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HomeMy WebLinkAbout072-070-017T, i PAUL HENRY HARDER 72-07-4/77 E/S Bakslee Dr. app 900, Off Mi .ers Ranch Rd' I , Oroville 7o t Permit #2072-78P,M(inst. 1Pg gas line & wa 1. heater) Sp 40%41 joiml?v I I 72-07-1/ 1666-90B,P,E, 2' HARDER, Paul & Lavonne 62 Blakeslee Dr, Oroville Contr: Better Builders (new single family) Pe-rmit#2045-90B 72-07-17, (demolition/sf) 72 7 7 -0 HARDER 62 Bl ake Co tr . n B (new s :L e n, 72-07-17 1571-91P,En L7tc� HARDER, Paul 62 Blakeslee Dr, Oroville (utilities/mh)" -1-1 r4�� ELECir- 7 _� 7 -tq 0 600 GAS L pr" 51., " 50, COMPACTION TEST REQ Wo _f� SUPPORT STRUCT REQ� _ 0- 72 . -07- 1750-91B�� HARDER, Paul 54 Blakeslee Dr, Oroville ?X!.21-9 (demo SO 2-07=�17 2360-91 -HARDER, PAUL cv 62 BLAKESLEE DR,OROVILLE (MHI) - CONTR: MOBILE HOME .6kTER I sero �'�"'� _. -�-� .,� \T ��r�r �r� 771" COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538.7541 APPLICATION4AND PERMIT PERMIT NO. ASSESSOR 2 a R Al2 . `70717 BUILDING PERMIT OWNER PAUL HARDER TELEPHONE SO;. FT. OCC. BUILDING VALUATION r CONT. &cT 500 OWNER'S MAILING ADDRESS _ 62 BLAKESLEE DR OROVILLE 95966 CONTRACTOOR'_S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTIoO_N LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 10.00 ARCHITECT OR ENGINEER LICEN'6E�NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING AD J BLAKESLEE DR OROVILLE Permit fee $ 20.00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 (' Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL�MAP F i Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE 77� SFn Duplex❑ Mobilehome❑ Other SPECIFY :q_;y Gas piping system 1 - 5 outlets 5.00 Building sewer... 5.00 Mobile Home S I G I W 10.00 ea' TYPE OF WORK New Addition❑ Remodel❑' Utilities❑ Installation❑ QtherJU Describe work: DEMO 1.'f �. Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR ORSLESS 10.00 Main service EA. ADD'L 100 AMP 2.50 p 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. fi " 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.a1 OR ACDNS. ACC. BLDGS. I +/z2sgft NEWCONSTR ULTI.OUTLET -RE BRANCH CIRC ITS NON, 2.50 ea (POWER APPARATUS a) SINGLE OUTLET CIR, Ex. Occup( OUTLETS OR FIXTURES 20e50C 8ALO 30 FED APPLNS. OR IX Ex. Occup. OUTLETS (RESID.1 EA.� 2.00 Temporary service 10.00 Mobile Home,•Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 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. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilatibn Permit Fee $ Contractor Mobile Home Installation Fee $ I certify that I have read this application and state thai 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 udgments, costs, and expenses which may in any way accrue against sal n ons que ce of the granting of this permit. X Date S-��� 9'� Signature of Applicant — OwnerJ�, Contractor ❑ Agent ❑ �/ An OSHA permit is required,ior excavations over 5'0" deep and demolition or construct. ion of structures over 3 stofies in height. Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ 2 HAz. CUA I PARK I SCHL I FLD I CDF I PAR I PD i HD. Iss This permit is hereby issued under the applicable provi- sions of the Butte County. Code and/or resolutions to do work indica ed above for hich fees have been paid. DIREPUORKS Eyte 7 PERMIT EXPIRES Date Receipt No. 93913 WNITE-O.P.W., YELLOW-A38E33OR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC 7 County Center Drive - Oroville, California 95965 - Telephone: APPLICATION AND PERMIT WORKS PERMIT NO. 916/538-7541./� / �dJ � t/ ASSESSOR PARCEL NUMBER r 72-07-17 ZONING Al2 BUILDING PERMIT OWNER PAUL HARDER TELEPHONE SO. FT. OCC. BUILDING VALUATION CONT. EST 500 OWNER'S MAILING ADDRESS 62 BLAKESLEE DR OROVILLE 95966 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 10.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee n ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ AD RIESS BUILDING 54 BLAKESLEE DR OROVILLE Permit fee $ 20.00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each pas water heater or vent 5.00 1 USE OF STRUCTURE SF -u Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home is G W 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other Describe work: DEMO _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 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) ❑1, a (Sec owner, am exclusively contracting with licensed contract- 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.aI OR ACDNS. ACC. BLDGS. ) , /zQsgft NEW CONST"ES'.. U NCH C LET _NON .RESID BRANCH CRC., 2.50 ea POWER APPARATUS e SINGLE OUTLET CIR. ) Ex. Occu po UTLETS OR FIXTURES 20050a eALO 30 FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00- Misc. Wiring 15.00 Permit Fee $ 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 I 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 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities save, costs, and expenses which may in any way accrue against sal n ons que ce of the granting of this permit. X 2� Date 6-,-20— VIX Signature of Applicant — OwnerX Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ Z. CUA- PARK SCHL FLD cOF PAR PD i HD, Issu This permit is hereby issued unser the applicable provi- sions or the Butte County. Code and/or resolutions to do work indi d above for #hl ch fees have been paid. ORIC DIREC PUWD By e_ PERMIT EXPIRES Date Receipt No. 93913 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Califo,nia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ESSOR PARCEL NUMBER ZONIN PERMIT NO. 07 Z` O 70 .—n t -7 %Z BUILDING PERMIT I OWNER 12n , / ^ o7,(, ITELEPHONE SO. FT. I OCC. I BUILDING VALUATION - CONTHA�UH"AIy„� Ne TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONaTR C NLENDER V^IOA)Total UNKNOWN Valuation $JI �O , Filing Fee $ 10.00 LENOER'S MAILING ADDRESS • Permit Fee $ � . 0 ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS B n /� �/\ Permit fee $ 0 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping - 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFX Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1.- 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00ea TYPE OF WORK New El Addition[IRemodel` jo Utilities[] Installation[] Other Describe work' ��O ri(�U5e. -T O io e E0 C2 VjC-1 Mpin', Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service i°oo AMP V OR LEOR SS10.00 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 s and Professions Code and my license is in full force and effect. -Ex. 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.al , =¢sgft OR ACONS. I ACG, BLDG S. NEW CONSTRESIO, RANCH CIRCU 2,50 ea ESID BRANCH IT ITS + 1IPOWER APPARATUS e \SINGLE OUTLET CIR. I Occup�OUTLETS OR FIXTURES BALL ot eAlA 30a 30 EX. OCCUp. OUTLETS PRESIO IFIXED APLNS. KEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. VYirin 15.00 g Permit Fee $ •°J 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 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs. and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owne4-Contractor ❑ Agent ❑ I An OSHA permit is required For e:tions over 5'0" deep and demolition or construct- ion of structures over 3 stories in t. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ �(./ ©O HALCUA I PARK scHL FLD I coF PAR PD I Ho. Issul This permit is hereby issued unser 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 Receipt No.`s WHITE-D.F.W.. YELLOW-ASSE33O PINI{ -IN SPCCTOR, r.OL.FMR00-APILICAHT PERMIT EXPIRES Date COUNTY OF BUTTE-.DA_paitment of Public Works 7 County Center Drive,iOroville, 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. A 1. I—p sonally plan to provide the ma'�r labor and materials for construction of the proposed property improvement (yes or no) 2. ha/have not) signed an application for a building permit X�Pe 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 P y Social Security Number Date S— 30 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. Demolition Permits Asbestos Notification Statement Date AP# 6-7z- Pursuant 7ZPursuant to section 19827.5 of the California Health and Safety Code, all demolition permit applicants are required to fill out this form. "19827.5. A demolition permit shall not be issued by any city, county, city and county, or state and local agency which is authorized to issue demolition permits as to any building or structure except upon the receipt from the permit applicant of a copy of each written asbestos notification regarding the building that has been required to be submitted to the United States Environmental Protection Agency or to a designated state agency, or both, pursuant to Part 61 of Title 40 of the Code of Federal Regulations, or the successor to that part. The.permit may be issued without the applicant submitting a copy of the written notification if the applicant declares that the notification is not applicable to the scheduled demolition project. The permitting agency may require the applicant to make the declaration in writing, or it may incorporate the applicant's response on the demolition permit appli— .cation .-", Attached is a copy of my written asbestos notification to the United States Environmental Protection Agency for the demolition project located at Signature of Applicant 6R I hereby declare that a written asbestos notification to the United States Environmental Protection Agency is not applicable to this demolition project. Signature of Applicant 2/19/91 MAIL TO ASBESTOS NOTIFICATION EPA/NESHAPS Region IX 1235 Mission St. A-3-3 San Francisco, Ca. 94103 DATE: PROJECT JOB # (Please see reverse side) Agsx=iez A= Notified: E3 Zccal ❑ w ito,,ia Aix P ouroos Board ❑ cal CSEUL ❑ Euildina Dooartmont ASBESTOS DEMOLITION/RENOVATION NOTIFICATION Please h ck one: Renovation Demolition requiring 10 day notice Demolition requiring 20 day notice Revision of Original (Form on reverse side) IDE—PLEASE READ BEFORE USING THIS EPA USE ONLY DateRec Pstmrk School Del/ND ADQUTE? Code#: Doc#: rnnM 1. OPERATOR: 3. FACILITY NAME: (Contractor) ADDRESS STREET ADDRESS CITY STATE CITY STATE ZIP PHONE( ) COUNTY ZIP 2. OWNER 4. FACILITY DESCRIPTION ADDRESS AGE -' SIZE CITY STAT&, ZIP PHONE( ) PRIOR USE 5. Project Start Date: Completion Date: 6. Estimate of Friable Asbestos: ON PIPE: Linear Feet SURFACE OF OTHER COMPONENTS: Square Feet Nature of Materials: 7. DESCRIBE METHODS OF REMOVAL: 8. PROCEDURES USED TO COMPLY WITH 40 CFR 61.147 6 152: 9. NAME i LOCATION OF DISPOSAL SITE: ANY FURTHER PERTINENT INFO CAN BE INCLUDED BY ATTACHING ADDITIONAL SHEETS QUESTIONS??? FOR FURTHER INFORMATION CALL (415) 556-6415 8am/4pm M -F INSTRUCTIONS FOR USE. OF ASBEETOS I)EMM Tj TION/RENOVATION NOTIFT ATTON -FORM-- RENOVATION: ORS RENOVATION: means altering in any way one or more facility components. NOTICE MUST BE POSTMARKED AS EARLY AS POSSIBLESEFORE PROJECT DEMOLITION: means the wrecking or taking out -of load -supporting structural members of a facility toaether with any related handling* operations 10 Day notice for MORE than 160 sq.ft.or 260 linear ft. asbestos 20 Day notice for LESS than 160 sq.ft.or 260 linear ft. asbestos, includes facilities which contain no asbestos. FACILITY: means any institutional, commercial -or industrial structure, installation, or building. Renovations on single family residences and apartment buildings with 4 units or fewer are exempt from notification to EPA. - PROJECT JOB #: Your OWN IN-HOUSE I.D.' for a specific jobsite. Optional, but expedites communication -concerning notifications. LOCAL AGENCY: Most areas in Region 9. have local NESHAP delegated agencies. In these areas notice must be provided to both EPA and the local agency. 1. OPERATOR/CONTRACTOR: Full information concerning person doing the work. 2. PROPERTY OWNER: Complete in full. 3. FACILITY NAME: Must have complete address OR directions to the jobsite. 4. FACILITY DESCRIPTION: Current use of building. Project location in the facility. Other descriptive information as necessary. 5. START AND COMPLETION DATE: Provide month, day and year. Must be revised if dates change. -(see revision form below) 6. Estimate of amount to be removed (must be in square or linear feet). Revisions(see form below) must be made for additional amounts uncovered. 7. Examples of methods: glovebag, scrape, remove in sections, etc. - 8. Examples: Adequate wetting prior to and during work, double bag, etc. DRY REMOVAL MUST RECEIVE PRIOR WRITTEN APPROVAL FROM EPA OR THE LOCAL DELEGATED AGENCY IF MORE SPACE IS NEEDED THAN PROVIDED, ADDITIONAL SHEETS SHOULD BE ATTACHED TO REVISE A NOTIFICATION ALREADY ON FILE WITH EPA, USE FORM PROVIDED BELOW PROJECT NAME PROJECT JOB I ORIGINAL NOTIFICATION DATE Revision Notice #1 2 3 4 5 please circle This is to advise that the above referenced notification presently on file has been revised. Please note the revised portion listed. CHANGES FOR THIS REVISION: 1. NEW Location 2. NEW Scope of Work 3. ADDITIONAL Quantity of Asbestos 4. -NEW Start Date 5. NEW Completion Date 6. NEW Disposal Site PROJECT ( ) CANCELLATION WESIDENTIAL [-2-0�7 '_ �- r 1666-90B,P,E,M HARDER, Paul & Lavonne 62 Blakeslee Dr, Oroville Contr: Better Builders (new single family) /,q o% J f o q4 f i. �l t OFFICE COPY .y Address GAS t ! Meter By Date ELECTRIC Date Meter By I JOB FINALE Signature 1. J=OK O=Not OK' - Not Not dMOBILE 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. / P'Nat. or/ /" L" ft./ P'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 wa 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fell -Flex Connector 6. Water: MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 6. 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 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.; Posta-Beams-Rftrs -Coonectors Shthg: Rfg: Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 6. Frma: Sits-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 We 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 B. Elec.; Grounding; Equip. w/5' Circulating Equip.-Pobl 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=Not0 - = Not Applicable Not Ready RESIDENTIAL ` = Date UN FLOOR Plans OK except #'s Zon' -Setbacks-Easements-Flood-Slope g.,Main; Soils-Elec. Grnd.-Y&f .Ftg. Depth L,Frg., Garage; Soils -Steel -EW -E Grnd.e7/" Fig. Depth 4. Ftg. Porches & Decks; Soils -Steel-/ /Fig. Depth emwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hol owns and Special Anchors lab; Steel -Wrapped !!:: sTfteplace Ftg.-Steel V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 16.-13a3-Atpb; Size -Anchors 14-Watef Pipe; Test -Anchor -Regulator -Service Test 12-t4eCtrte—U Fderground 13 P1aauc+a_&-Ddcts; Clearance -Material -Support -Ins. jg_Affders-Sills-Anchor Bolts -Joists -Vents -Cripples sulation Dat LIP ly Card B-1 Date (J Card B - Date 4 d Card B-1 Date Card B-1 Date PLU ING Permit OK except #'s 6. Water Htr.; Vent -Access -Combustion Air -Baffle er Pipe; Test & Anchor -Nail Protection V.; Test -Fittings & Anchor -Nail Protection hower Pan; Test, First Floor -Tub Access 20. Tost Tub & Shower, Second Floor -Tub Access 1. Gas Pipe; Size & Anchors Date Z Card 8-1 Date Card B-1 Dat Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s fixture & Transformer Clearance -Ins. Protection Elec. Receptacles Spacing -Lights & Switches at Doors Size Boxes & No. of Conductors -Stapled ex Installed Close to Edge of Studs & C.J. kA�quip. Ground made up w/Meth. Fastners-Bond Gas & Water 7. 2 Appliance Circuts in Kitchen & Conductor Size/GFI Subfeed Wire Size / / ga. Cu or AlA. ire Siz / ga. Cu or At 29. Range Circ. (-, / ga. Cu o Oven Circ. / /�3 Cu or Al. In fated Neutral Yes �No Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. -E es Closet Light -Shower Light -Spa Light oke Detector Date Card B-1 Date Card B-1 Date 2_ ti'17 Card B-1 Date Card B-1 Date MECHANICAL ( ermit) OK except #'s 34. A.C. Ducts Insulation & Support int Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Fur nce-Vent; Access -Comb. Air -Return Air Vent -115 outlet Attic Access & Platform if Furnance in Attic Date 92 Card B-1 QJ Date Card B-1 Date Card B-1 Date Card B-1 Date FRAM NG (Plans) OK except #'s LZIJ�Sils, Proper Material & Anchors Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) i�Stops; Furred Ceilings -Stairs -Chases -Tub P Headers & Beam -Size & Bearing (Single & Duplex) Date FRAMING (Continued) angers -Post Caps -Anchors -Connectors Joist-Rftr. ties-Purlin—roof Brac-Truss-Shthng.-Rfng. Fir ce Ties or Type A Flue -Fireplace Throat clearance tic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 5 . ge 5re rotection Framing 5*--Property-tine Firewall & Openings L-BrExt. Doors -One T -Check Garage -3rd Story, 2 Exits tEg;5"fairs Width-Headroom-Rise-Rur.-Landing-Fire Protection pIllwood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing Veneer cco ash -Drip Screed -Fd. Vents-Underflr. Access azing Area -Glass Protection -Skylights -Plastic, 58wehegi W_a1Ts; Nailing -Bolts f(isylation-Walls-Ceilings J� i . Infiltration -Walls -Windows Dat A. /Lp Card B-1 Date Card B-1 Date 2 Card B-1 Date Card B-1 Date I FI)CAL Plans OK except #'s 1. Ext. Steps -Door & Sidelight Protection -Landings . Smoke Detector Furnace; Vents -Clearance -Comb. Air-Connector- In.Garage; Above Floor -Ducts -Meth. Protection --- /BA-'Bedroom Exiting - - LetM. 1. & Bath Fixtures & Tub Access -Spa 11,VElec. Trim & Subpanel; Breaker Sizes & Labels fairs & Rails fireplace or Stove; Clearances -Hearth ec. Outlets at Wood Panel; Int. & Ext. t?b. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 1. Elec. Outlets & Receptacles at Kit. Counter 74r68rJgV­Fire Door; Swing -Landing -Closer c m Garage -Damper tr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection Elec. & Mech. Equip. Listed for Location tacles in Garage; (G.F.I.)-Romex Protection 171- Insulation -Foam -Looked in Attic O Yes e7$_Gaard Rails & Deck Construction -Post Caps . Q9.Fdrf-Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor O Yes 80. Following instld.; Dryye OO Yes 13K—b Walks O Yes o; Planters O Yes U No n -Finish Unit; Disconnect, Electrical, Plumbing 4?9ants Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 8�k-Wteter ryVell; Disconnect, Electrical, Plumbing Ext for Elec. Trim; G.F.I. Receptacle -Underground entilation Throughout House Protection Corrections from Previous Inspections k. 4 Gas Test -Meters Tagged; Gas -Electric 90. y4ater & Sewer Connected -C/O to Grade -HD Approval 1. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date ' Card B-1 Date Card B-1 Date/4/,/P1 Card B-1 Date Card B-1 Comma is At Final: (NOTE: An entry must be made each time you visit job site) Owner Permit No. ENERGY CERTIFICATION GZ T`\J /100 LOCATION A.P. NO. ROOF DESCRIPTION OF INSULATION ' MATERIAL BRAND NAME THICKNESS THERMAL RES. EXTERIOR WALL MATERIAL 01fIRERGLASS _ BRAND NAME CFdTAINTEED THICKNESS THERMAL RES. ..CY CEILING BATT OR BLANKET TYP-RAND NAME CER INTEED THICKNESS ACP THERMAL RES. LOOSE FILLTYPE INSUL-SAFE IIIBRAND NAME CERTAINTEED THICKNESS Z f THERMAL RES. ,rev FLOOR,ELEVATED MATERIAL FIBEUL66S BRAND NAME_ ERTAINTEED THICKNESS f/' . THERMAL RES. — / FLOOR, SLAB MATERIAL BRAND NAME THICKNESS THERMAL RES. WIDTH FOUNDATION WALL MATERIAL BRAND NAME THICKNESS THERMAL RES. I HEREBY CERTIFY THAT THE ABOVE INSULATION.WAS INSTALLED IN THE ABOVE BUILDING IN CONFORMANCE WITH THE STATE OF'CALIF. ENERGY REQUIREMENTS. SHASTA INSULATION INC. #530235 FIRM NAME OjaNR STATE CONTR. LICENSE NO. �( /a - 3 — 90 I hereby certify the above insulation and'all required items as shown on the Building Depart. approved plans and attachments have been installed as required by the State of California Energy Requirements. All equipment, devices and materials are of the quality prescribed or are specifically approved by the State of Calif. -----"--L—A1 v"-------------- -------3 a�AA"5 FIRM NAME/OWNER (PLEASE PRINT)' STATE CONTRACTOR'S LICENSE NO. s• -o ENERAL CONTRACTOR/OWNER -,//— 90 DATE This certificate must be on file with the BUILDING DEPARTMENT prior to final inspection approval.and a copy shall be posted within the building. JANUARY 1984 /;�-1"7--�° , /,X/y s -c, *,, 2 - .1 �qla p- COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE " *4-oJvr /6E1b -Z0 JNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. ( V_ _ _0_ /, { t fir—'-------- -- . - .. r Date w� 9J Inspector l/ — COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center drive, Oroville.— Phone: 538-7541' 747 Elliott Road, Paradise — Phone: 872-6307 ' F CORRECTION NOTICE iti oa t.r 66 -- OWNE PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and shpuld be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this ma er, or need additional explanation, please contact this office immediately. I �a h - '` /ViJ ( �' a i'.2 in r� o+ � ; v,� ( dt,�i c< � c c.✓/d c e rf—" . Date �l/ r Inspector _ COUNTY OF BUTTE i - DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 . 747 Elliott Road, Paradise —Phone: 872-b307 CORRECTION NOTICE OWNER PERMIT NO. "A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matte , or need additional explanation, please contact this office immediately. a IL Cf '-[OVCi -f" yC`i�[ �' C��2�C ��l C) 45' t��/ ?tet 6 ,c� �• ct I [ / C `V vvc. —v — — - Date U Inspector F COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2759 7 County Center Drive, Oroville — Phone: 5�8-7541 R 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE oa /- WINr-h PERAITO. A routine inspection indicates that the following violations of County Ordinance r,<; exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. / I a .s{ t�r1 .a } r' t a`r A 3 1 �1i Inspector. Date `� " COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. .7 County Center Drive - O[oville, Calitfornia 9j965 - Telephone: 916/538-7541 - APPLICATION AND PERMIT 1F-� ASSESSOR PARCEL NUMBER 72-07-17 ZONIN BUILDING PERMIT OWNER L &LAG OHARDER PAUL TELEP ONE 589-3708 SQ. FT. OCC. BUILDING VA'CIJATION 1,844 R 73,760 OWNER'S MI L ADDRESS 62 Blakeslee Drive, Oroville 95966 620 M 8,680 `° e1Yer"9u1r&ers Const N TELF-589E157 O7 L 84 CON, 840 CONTRACTOR'S MAILING ADDRESS 5263 Ro al Oaks Drive Oroville Fireplace 1 1,000 CONSTRUCTION LENDER UNKNOWN Total Valuation $ 84,800 Filing Fee $ 10,40 LENDER'S MAILING ADDRESS Permit Fee $ 388.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 194.00 Energy Plan Checking Fee $ 15.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS • 62 Blakeslee Dr Oroville Permit fee $ 597.00 PLUMBING PEJRFiling Fee 10.00 - Each Trap1 2.00 22.00 Solar or heat pump wat20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 5.00 Each qas water heater 5.00 5.00USE OF STRUCTURE Mobilehome❑ Other SPECIFY Gas piping system 1 - 5.00SF❑XXDuplex❑ Building sewer5.00 9.00 Mobile Home S10.00e TYPE OF WORK New [I(XAdd ition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: 3 bedroom w/ att. garage Permit Fee $ 92.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP,OR LESS 10.00 Main service EA. ADO'L 100 AM )oo2.50 CONTRACTORS LICENSE LAW I declare der penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 Of the Busines$ and Professions Code and my .license is in full force and effect. License No. .59Z,52 -2S 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 contacting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST: ( DWELLING OCCUP.&1 OR ACDNS. ACC, SLOGS. I '/zQsgft NEW CONSTR ULTI-OUTLET NON-RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 201109 _ eAlm 30 Ex. Occup. OUED PR TLETS IRESID 1EA,) 2.00 Temporary service 10.00 ------- Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): • ❑ The ermit is for $100.00 (valuation) or less. have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating 21 ton 6.00 6.00 Cooling Hood 3.00 1 3.00.. Ventilation 3 3.00 1 9.00 permit Fee $ 34.00 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 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 Cc my in cons e uence 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 $ Energy Insp ction Fee $ 0.00_ c Ns TYPE TOTAL FEE $ • 781.60 HAz w, CUA PARK � SCHI/ V F o PAR PD HD ssue This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees 1 CTO OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS / Date Receipt No. 663037%/ ,5na ��<� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVItLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER ?&QL t (100NUti N'A2(( UZ A. P..No. 7z -o-7-1-7 Proposed Building Use SFF_ DaW Building Inspector Date 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. Piot 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 Form. 6. Energy Design Compliance and supporting documentation. 7. Statement of Intent for Non -Heated and AC Buildings. —fes 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. —1" 13. Ore) , 0Ltm. School District fees paid. 14. Sanitation approval from t)r?0VI LLQ 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 of DPW. 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 ❑). J� 24. Recorded copy of Agricultural Acknowledgment Statement. 25. Letter of signature authorization. 26. i e11UDAA M /rl lMp/Uo L L8nrpA L to e4 Low ho t.c oe. 27. When you issue the permit, process as follows: Mail to owner. k`� Telephone 541 '- 2574 and hold for pickup at office. _ Other Applicant GENERAL INFORMATION Mail to contractor. -Del.iver w./inspector. Date BUILDING'DEPARTMENT OFFICES HEALTH DEPARTMENT OFFICES Chico. . . . 196 Memorial Way Chico. . . . 196 Memorial Way Phone: 891-2751 Phone: 891-2727 Hours: 8:00 a.m. - 12:00 a.m. Hours: 8:00 a.m. - 9:00 a.m. Orovi I le 7 County Center Drive Phone: 538-7541 Hours: 8:00 a.m. - 5:00 p.m. Paradise,- 747 Elliott Road Phone: 872-6307 Hours:, 8:00 a.m. - 12:00 a.m. Orovi I le . . . 7 County Center Drive Phone: 538-7281 Hours: 8:00 a.m.: 10:00 a.m. Paradise . . . 747 Elliott Road Phone: 872-6308 Hours: 8:00 a.m. - 9:00 a.m. PLANNING DEPARTMENT -.7 County Center Drive, Oroville - Phone: 538-7601 - Hours: 10:00 a.m. - 3:00 p.m. Original — Applicant r: COUNTY OF BUTTE-;D.EPARTIEI^�F PUBLIC WORKS -BUILDING DIVISION _ 7 COLINTY�CENTER DRIVE - OROVICLE', &ATTFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET . Permit No. E2z OWNER FAUL 4 IiAUONNt:_ NAf2VX_E A. P. No. 7Z-6-7-17 Proposed Building Use SFL nu,0 Building Inspector Date _5/-Z - G At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED ! 1. All items have been ,submitted . ................................... . 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . j 4. Complete engineered plans and calcs, with wet signature on plans .. l: 5. Hazardous Material Form ......................................... . 6. Energy Design Compliance and supporting documentation ......... Statement of Intent for Non -Heated and AC Buildings ............... r., . 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 .................................................... �j3. 011FQ . F_L�-YT1, School District fees paid .............. W40 .0 ♦•3��p'� 14. Sanitation approval from Ot?O\I1I.lr - Health Department 15. City of Chico plumbing permit ..................................... t 1P. Plot plan and business license approval from Cit of (see City for other requirements) DA11 17. Planning approval for (A) Use:- B) Parking: �� 2 18. Improvements may be required. Contact Land Development Secttgn DPW •t' 19. Driveway permit (construction approval required prior to occupancy) �r 20. Pre -Inspection for required Pre-inspec. request to ` Building Inspector W ` (Date) 21. Contractor's license information (No., Name Style, Classifications ... w•5 "' 22. Certificate of Workmans Compensation Insurance .................. 3. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) :.. . 4. Recorded copy of Agricultural Acknowledgment Statement .. .� Letter ofsignature authorization•.... .... . 121 CPrtA s D10YY( GU.f"A/3 /L¢ : typo t� ¢ YY10 Pit! l.0 J 4 27. 4• a When you issue the permit, process as follows: Mail to owner. Mail to contractor. V Telephone 549' 25-74 and hold for pickup at office. Deliver w/inspector. Other Applicant Date 90 w J 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 issuan (Circle new • em not checked above). 1. Index permit for above items ,No. 2. Additional items required: Contractor, designer, owner, was advised of above required data ti y—phone --- inail_counter by d to Contractor, designer, owner, was advised of above required data by—phone —mal l_counter by date Plans checked by Date Plans approved Date Sets ol plans on hold in File cabinet AP folderf Copy—DPW ` 1 TO Buildinc Department FROM: Environmental Health SUBJECT Sanitation Clearance Gy �� 7,-�-' =0 7- / 7 Owner Location AP# W Plan Approved for: Hold final for: Sewaqe Disposal _Zxf" Water Supply L� L Water Supply Final clearance O.K. for: Water Supply Clearance for bedroom mobil home Other Dat sanitarian COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - 0 rov"ie,, California 959 6 '533-7�.lt 65 - Telednone: 91 PEAr`IIT NO. APPLICATION AND PERMIT A 33 ESSOR P♦/g��GrEL NUMB Eq -72 _ d7— I ZONING orrN R BUILDING PERhjIT v, ✓,K LERr.pNE 1589-3760 so. FT. I ccs. ; BUILOHN O wN tR'3 MAi L'Np -^ RE 5 G VALU/�I ION I C�2 iii///(JJJr((( Il�Cn_J�O 6 0 M y �9l 4' j 1. foo C :NrRAC-.-.q'3 N E Z 1314444 CJN: RAC-oR•3 .M Ai LINA ADORES �• 15� ^2�� 4 . I r j 5Z63 C[,Q4C�•�o ! CONSTRUC SIO N'LENO ER Fireolace I I UNKNpwN Total Valuanon LEND EA'3 MAI LINA ADDRESS . -. Filing Fee S 10.00 ARCt,17ECT OR ENp7NEER Permit Fee C LICENSE X10. I S I Plan Checr•Ing = I S Aq GT+ITE. JR NN E ^. pi•EER'3 Msi L;,N ♦ _ as CpRt; 3S .=nerCY''an C�eckl.^ aul�� Np ♦c�REss genal;' 13 i5. i S r i Permit fee 15 TJ 7 PLUti1BING 1`ERtti11T I FilingF— j .0.00 Eacn Trao I f I 2.00 Cor No. I sueolvlsl Solar or neat oN NAME �ur..o water heater I I _0.00 j PARCEL .MAP ',Vater ptoing i S.CO I �,� _Each oas water `eater or vent I j 5 tt��T USE OF STRUCTURE Gas oioing systetn 1 - 5 outlets a Sr 3 DuolexT^ Mdbilehomel I OtherBuildingI I 5.001 �r sewer I I 5.00 ! $REC: F`r TYPE OF WORK Mobile Home I S : G ! 11 I 170.00 e� New KI Addition LI Remodel f Utilities Installation L Other ` �. Permit Fee Describe work: � i3y�t�t-mrv, �,F� �J s Contractor =10 ELECTRICAL PERMIT I a Fi6ri r- 9 e t0.00 Main service I j 110.00 lo�'i lAP �. ,�-55_$3 I fore. .. CONTRACTORS LICENSE LAW Main service EA, AOo L too AMP 2�I I 2.50 I. I declare under penalty of Perjury �Ew CONST, pwE__;Np aCCQP,y) I 12'/, - . ,EW Y (check one): oR AOON5. (,cG, aL�cs. I am licensed under provisions of Chabt. 9, Div. 3 Of the Business E" oN.Pgslo 3a A. c•. c:=c:':-$) I 12.Z0eal and Professions Code and my license is in full force o. an effect. d License N(sINCLE =urL R. CClassification Ex. Occuo(OU7LE-3 OR .'I-L'RES I zoe„r, I, as the owner, or my employees with wages as their sole Ex. DCCUO. �A2.Co FxEC ♦Po�_,15, JR for sa, will do the work, and the structure is not intended or o . ) I I 2.00 I for sale. (Sec. 7044) Temodrary service Q I, as the owner, am exclusively contracting with licensed contract- I 110.00 I — ors. (Sec. 7044) `Mobile Home Factlines I C 115.00 ec. I am exempt under SMisc. '.lirtng ' ,Business and Proles I '5.00 I for this reason Professions Cade PetTnit Fee S WORKMEN'S COMPENSATION INSURANCE Contractor 7declare er penalty o! p_r r•I0 i (check or,e):`.1EC`iAlNICAL PER;,11T _E ! cer.-sit Is !or S1C0.00 (valuation)or less. I Fiiirn, -e 70.00 ve -.laced on file win me CJunty or ��''::_- 2 irtiar,l(icate of ',vorkmen's=uilding Comoensaucn Insurance or a Certificate I I I of Consent to Self -Insure. ,� I snail not employ any person in any manner so as to become subjectgVe Cooling I I to the W. C. laws of California. • Notice to Applicant: It after making I I 3.00 I 3,QD pp g this statement, should you become subjectlation 131 to tris W. C. provisions of tris Laoor Code, you must tortnwnh cJmoty with sucht Feeprovisions Or this permit snail be deemed revoked. actor ' I certify that I have read this aoOlication and state trial the aoove information is correct. I agree to comp) to all Mooile Home In3tailation Fee S Y Cauthorize ounty Ordinances and Stale Laws relating Energy Inscectton Fie Buto te building enter uponcthenabove-men oneo p ooertyfor of the or Occ s 3 I also agree to save, Indemnify and keep harmless the CONST TYPE all IlaoiIities, judgments. costs, and expenses which may in ane wa against .AZ I C. 'TOTAL FEE $ against said County in consequence of the granting of this permit. Y Y y dCC:u@ I I sc,+l- I i� I PAR ( Po mo I ISSUE X Date _ T.h permit Is nerebv Issued urger the ao tt Signature of Appi;conr _ ''� r� sions or the Butte Ccunt• p Coote prove- ”^•� . .Cdnnaeror G Aq.., LI t work / CJde and/or rESOlUlIOnS IO dp An OSHA ;s ,*'•:• indicated above for wnicn fees have been pato_ ;an ai structu,•s over J %?ornaa�n•h u, gh rxco�rrons ovr S'0'• d••o and demolition or consrrucr- - - – .. R .DIRECTO OF PUBLIC WORKS -• .- – r 10 �B Receipt No. �....._..:_,:, •�n`�-• :_. _ � - BY ww,TL•O. A. M.. T[L IOw---•----- ►,Meat -a aol.os..00-.•.ucA.r PERMIT ... - I • EXPIRES OarR " • !j u BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One Form per Building) A.P. Number '72- 67- 1-7 Building Department No. 6Vo School District QQQUiLLL' LLLYn City n County ® Jurisdiction Property Owner PAUL t LAV6MlJr__ HAIZOLe Project Location/Address ( Z T5LAK(=_sItzV" Dig. , 6K6 Subdivision Lot Number Residential Development: � a Sq. Footage 1844- # of Living MHI Addition (Group R) Units Commercial/Industrial: uilding Depa aSq. Footage New Addition.(Including Exterior Roofed Areas) t xepresentati.ve S IZ;2 Date (Floor Plans reviewed by School District Personnel) ,..'District Id No. r School.District certifies that (Applicant Name) (Phone Number) (Street Address) (City) (State) (Zip Code) e has complied with the requirements of Resolution No. j�-SD10 4 sem- CC// by the pay ent of $ 02 Cf/3 representing square feet. '86hool Distr' Representative Date PAID BY CHECK NO . BANK NO PAID BY CASH REMARKS: white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) L STATEMENT OF Return to DPW AGRICULARESIDENTIAL 0 _ 2 Z 7 6 FOR DEVELOPMENT Section 26-8.1 of the Butte County' Coderequires. this acknowledgement be recorded prior to issuance of a building permit. --- The property described herein is adjacent 90-022762 Fee 5.00 to land or included within an area zoned � Che Check 5.00 for agricultural purposes, and residents11 of this property may be subject to incon- Recorded official Records ' veniences or discomfort arising from the County of use of agricultural chemicals, including, but not limited to herbicides, pesticides, fertilizers; CandaceuJteGrubbs and and from the pursuit It Recorder of agricultural operations including, i B:Olam 4 -Jun -90 1 CD i 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 disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as f of lows : /a/Y Dic �CvT /.S� �.S S.S�o�✓�Y Oiy T.,i9T ce <TV /-ey .t�9P E ivriy ctvJ '.`oFF�C�g� �,t�qp oma. oeo�rCGE-�Y9/5'OoD� �,e'u �CflNdS cG1�N.lT Nom. _5 I/ GJHtChl e -,&l F/LSD rHD 0`cC6 tl/' iNE ,QL�RDE7 0� r/1c 4�uivly t7F �v% i2r o�G9Lii�b�eiy/i9, vza c y /1zB. .0&7:5C e,,S W !JS fotcov c J �EG�N/Y/NG �T T/JC Sa�Ta wEST CD�YC�Z O SfJ �v SOT NO. /b� �'y�isC6 �yt7.c°T./ Syv, 00 y'H4ivcrr SourH 7,�°/p �,q,�-✓ 39J /.S j��r� Til�ircr SovrN 39°Ro � �;,c�T eZ,fc 6 S L��r� Tyr:ti.cer ?'Y 2a caj- 333- F�.7 ' T��•ocrm /a u7'Nc✓�CT Cb�2nit:2 of �A/v :col- ye, ✓ �J S8s J 97.75 •��.�` - TdfE/1,T OF d'tz/�/yi,�.��r�9�•y aye /air /teE� o,c Date: 5/29/90 =PROPER WNERS: State of CALIFORNIA ) On this the 29TH day of MAY , 1990, before me, BUTTE ) SS. the undersigned Notary Public, personally appeared County of ) PAUL H. HARDER AND LAVONNE R. HARDER ® Personally known to me. M Proved to me on the basis of satisfactory evidence. to be the person(s) whose name(s) ARE subscribed to the within instrument and acknowledged that THEY �'`' • • • • • • • ted the same for the purposes therein contained. IN WITNESS 01:FICW SEAL OF, I hereunto set my hand and official seal. NOTARY F®B ILC CALIFORNIA . • , Prfncw office In BUTTE County • Comm'8810 i Ex Ires DEC 7,11793 p / 00 Present A.P. No. 7a - y7-/7 otary Public END OF DOCUMENT 0 C— C: �0 z WF -< C� � O e5 CD � O� O m COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS Jr County Center Drive �— Oroville, California 95965 Telephone: 534-4541 APPLICATION -ARD PERMIT BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address LA 4 eI ephon e.No s Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee $ PLUMBING No. @ FEE r PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. a Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Sanitation Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 oaf EQA Parking Pians I Parcel. Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bla.g.�d Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service 80001 OR 0 AMP ORSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Main service 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONS. I DWELING OR ADDNST % ACCLBLDGS.CCUP. Y) 20sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style Of: Y NEW .CONST BRANCH CIRCUITS) 12.50ea NONRESID. MULTI -OUTLET NEW CONSTR (POWER APPARATUS B NON-RESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTIIRES g L@ FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's -Compensation Laws of California. 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. X Date Signatu e of Permitee or Agent Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Permit Fee $ MECHANICAL No. @ PERMIT FILING FEE $3.00 0 Heating—&",,m Cooling Ventilation Hood 1 2.00 Permit Fee $ ou$ Land Development Fee $ TOTAL PERMIT FEE $ 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 PU IC WORKS BY�—c-9 r Date�� Building permit expires Date 5/89 RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR.(CONT'D) exterior plaster - weep screeds (Sec. 4706). /. Poper roof pitch for roof covering (Chapter 32). /Roof covering type - (fire hazard). �fter ties or bearing ridge beam. ,�jarage door or porch header sizes. Adequate bracing. Living area over garage - complete -1 -hour separation required on garage side n luding supporting walls and posts, etc. wo exits on three-story dwellings (Sec. 3303 & see Mezannines - 1716). tic access and ventilation (Sec. 3205). erfloor access and ventilation (Sec. 2516). . Combustion air for fuel burning appliances. oise requirements on duplexes. Adobe soils - special foundation design. . Retaining walls requiring design. . Unusual shape, size, or split level house requiring lateral design. ashing at all exterior openings. W_ A PIP PAP W'd NOWA iF 710 Mit I 5/89 RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX & MISC. ONLY) Bldg. Permit # OWNER A.P. # GENERAL 4_._/Zoning requirements: (sideyards �Y -aluation. --T. Plans signed by designer. 4. .Energy Design and Compliance. Existing violations on property. Items on data sheet. and number of permitted living units). PLOT PLAN Z.__�Complete parcel -size and dimensions. etbacks sid�ards easements, etc.3. Other buildinstructures.P.FAU Grading, fil ood hazard. ecial conditions on�creation map or compliance document. & FAS road setback. PT.001? PT.AN Complete to scale plan with dimensions. �quired windows for light and ventilation (Sec. 1205). Required windows for second exit (Sec. 1204). Skylights (Chapter 34 & Sec. 5207). �-uman impact glass (Sec. 5406). uired room sizes, ceiling heights (Sec. 1207). GFC in baths, garage, and exterior outlets (Article 210-8). L' t fixtures, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. Locations of water heater, heating and cooling equipment, other electrical or gas equipment, and plumbing fixtures. --G— !j�age firewall, door size, and closer (Sec. 503(d)(3)). 1 exterior exit door (Sec. 3304(e)). F' eplace and wood stove location, alcoves, and clearance. !smoke detectors (Sec. 1210). L DETAILS Foundation plan complete enough to construct building. /F3oor construction details complete enough to construct building. kevations and wall construction details complete enough to construct building. Roof construction details complete enough to construct building. . Fireplace construction details and calcs if necessary. MISCELLANEOUS ITEMS TO LOOK OUT FOR Gtairway details: landings, rise and run, head clearance, handrails (Sec. 3306). uardrail details (Sec. 1711 & 3306(j)). Brick or stone veneer (Chapter 30). OWNER'S NAME: Gp cc ��.r ✓°�'''� ,y -e �=� RECEIVED PERMIT NUMBER: P 6 A . P . # : -2 -67 — / 7 DATE RESIDENTIAL NON RESIDENTIAL RECEIVED BY J 5 TIME U REQUIRED PRIOR TO PERMIT ISSUANCE ----- FROM DATA SHEET REQUESTED BY PLAN CHECKER [� OTHER ---------------------------------------- REQUESTED BY CORRECTION NOTICE [� YES NO ITEM: LOCATION IN BUILDING WHERE .CHANGE OCCURS: "n WHEN APPROVED, PROCESS AS FOLLOWS: -------- ------- 5� r Mail to owner (Address) Mail to contractor (Name and Address) Call and hold for pickup at office. Deliver with next inspection. REVISED PLAN CHECK FEES PAID: $15.00 $30.00 Additional Fees Not Required —P-- i��F'.V���'- k � rai,y.l 4y;gF..:rs- `, �w.a�-.�.e, r..¢.. v.w+E.l'elf']"M"'�R'_" c � .-j:�...�."��'a -•,'� i� -•y,.,.� 72-07-17 2045-90B HARDER, Paul 62 Blakeslee Dr, Oroville Contr: Better Builders ' (demolition/sf) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS, 7 County Center Drive - Oroville, CalijlorniV5965 - Telephone: 916/538-7541 APPLICATION AND PERMIT .rY A4 PERMIT NO. ;Z.o'.s- -9a ASSESSOR PARCEL NUMBER 72-07_17 ZONING BUILDING PERMIT OWNER Paul Harder TELEPHONE 589-3708 SO. FT. OCC. BUILDING VALUATION S+ (SVA Est 1000 OWNER'S MAILING ADDRESS Better Builder CONTRACTOR'S NAME - 5263 Royal Oaks Dr., Oroville TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ 2 17.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 62 Blakeslee Dr., Oroville Permit fee $ 2] 50 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP {I Water piping 5.00 Each qas water heater or vent 5.00 r� USE OF STRUCTURE X SF Duplex❑ Mobilehome❑ Other SPECIFY , Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home -I S I G JW I 1 110-00e TYPE OF WORK i New F-1 Addition❑ Remodel❑ Utilities❑ Installation❑ Other® Describe work: Demolition i _ t Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 11001eOR LESS 10.00 100 AMP OR LESS Main service EA. A`DD'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 th Business and Professions y CIo�de/�and my license is in full force nd`,effect. License No. 12°S.2,2 Classification A$444A e. c. ❑ I, as the owner, or my employees with wages as their so ;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 Profes ions Code for this reason NEW CONST. DWELLING OCCUP.d ft New CONSTR.( A ) Z�z¢sga UL*r"OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e:) SINGLE OUTLET CIR120@. Ex. Occup(OUTLETS OR FIXTURES SALO 30 9AL0 30 S. Ex. Occup. OUTLETS FIXED P(RESID.)LN REA.) 2.00 Temporary service 10.00 ;;,Mobile Home Facilities 15.00 ` Misc. Wiring 15.00 I ' Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ®' I have placed on file with the County of Butte Building epartment a Certificate of Workmen's Compensation Insurance or a4Certificate of Consent to Self -Insure. I ❑ 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 became subject to the W. C. provisions of the Labor Code, you must forthwith comp) with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above nformation is correct. I agree to comply to all County Ordinances and State LaIvs relating to building construction, and hereby authorize representatives of thi Countyot Butte to enter upon the above-mentioned property for inspection pur ses. 1 also agree to save, indemnify and keep harmless the County of B tte against all liabilities, judgments, costs, and expenses which may in any Way accrue agai st said County in consequence of the granting of this permit. I! .�1-^' Date " �Q ' 7� !j © ❑ Signatu� of &pplicant — 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. r Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE 27.50 TOTAL FEE $ HAz I CUA PARK I SCHL I FLD I PAR PD HD IssuE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work i ca ed abAhich fees ave been aid. p pJRECUBL 19RKS By ate PERMIT EXPIRES Date Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, �alifXia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 72-07-17 ZONING 1 BUILDING PERMIT OWNER ul Harder H TELEPHONE 589-3708 SO. FT. OCC. BUILDING VALUATION L Est 1000 ER'S OWNardNG ADDRESS Better Builder CONTRACTOR'S NAME 5263 Ro al Oaks Dr., Oroville TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 1000 LENDER'S MAILING ADDRESS Permit Fee $ 2 17.50 ARCHITECT OR ENGINEER. LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 62 Blakeslee Dr. Oroville Permit fee $ 27 .50 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each 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 S I G I W 10.00ea TYPE OF WORK New❑ Addition [I Remodel El Utilities❑ Installation❑ Other Describe work: - IlemrLiti Cin Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORV OR LESS10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penaltyof perjury (check one p I y hk : ( ) © I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions �C�jod�e and my license is in full force and effect. License No.�ld ?•/Vi—Classification F'J/LC/M f 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.ai OR ADDNS. ( ACC. SLOGS. , V20sgft NEW CONSTRMULTI-OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea (POWER APPARATUS tri SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURES g20 0 50C A 030 FIXED APLNS.❑ Ex. OCCup. OUTLETS P(RESID.)REA.1 1 2.00 Temporary service 1 10.00 Mobile Home Facilities 15.00 Misc. bYirin g 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 FiIingFee 10.00 Heating Coolin g Hood 3,00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agai ,St said Count in consequence of the granting of this permit. XALNCDate -90 Signat4 of Upplicant — Owner ❑ Contractor Q Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTFEE $ 27.50 AL ALSCHqFL. HAZ CUA PARK I PAR PD HD I ISSUE This permit is hereby issued under -ions of the Butte County Code and/or work i ca ed above for hich fees IREC PUBLI BY PERMIT EXPIRES Date the applicable provi- resolutions to do ave been paid. RKS ate Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT M -- N -11 -NU ADDRE CONSTRUCTION LENDER LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER ARCHITECT OR ENGINEER'S MAII BUILDING ADDRESS LOT NO. 801v ISION NAME COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovi-,1q, Caoornia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT NG ADOR �WAV g �72 0 TELEPHONE PERMIT NO. BUILDING PERMIT - FT. OCC. BUILDING VALUATION r Fireplace 5,00 5.00 UNKNOWN Total Valuation $ SPECIFY Filing Fee $ TYfP�E OF WORK ❑ �. NewAddition❑ Remodel Utilities ❑ Installation❑ Others Permit Fee $ LICENSE No. Plan Checking Fee Energy Plan Checking Fee J $ Contractor Penalty $ C?S c�6 Permit fee $ PLUMBING PERMIT Filing Fee Main service EA. ADD -L 100 AMP Each Trap 200 NEW CONST. /DWELLING OCCUP-') LR ADONS, l ACC. BLDGS. / I q h¢s ft Solar or heat pump water heater 20.00 PARCEL MAP WaterP� I In P 9 5.00 Each qas water heat Ex. Occu p�OUT LETS OR FIXTURES 10.00 10.00 USE OF STRUCTURE SF e or vent Gas piping system 1 - 5 outlets 5,00 5.00 uplex❑ Mobilehome❑ Other Building sewer SPECIFY Mobile Home S G W 5.00 ea TYfP�E OF WORK ❑ �. NewAddition❑ Remodel Utilities ❑ Installation❑ Others m Permit Fee —10-00 Describe work:— l'/j $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 8000 AMP LESS 10.00 CONTRACTORS LICENSE LAW Main service EA. ADD -L 100 AMP 2.50 I declare under penalty of perjury P Y P I y (check one): NEW CONST. /DWELLING OCCUP-') LR ADONS, l ACC. BLDGS. / I q h¢s ft ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code NEw coNsrR ULTI.OUTLET NO N•R ESID BRANCH CIRCITS 2.50 ea and my license is in full force and effect. License No. POWER APPARATUS e SINGLE OUTLET CIR. Classification ❑ I, as the owner, Ex. Occu p�OUT LETS OR FIXTURES 20®s0, 5AL030 or my employees with wages as their sole compen- sation, will do the work,and the structure is Ex. Occup. OULETS IIRESI0.)R IREA.) 2.00 for sale. (Sec. 7044) not intended or offered T emporary service 10.00 ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) 1 Mobile Home Facilities 15.00 ❑ I am exempt under Sec._,Business ness and Professions Code Misc. Wiring 15.00 for this reason Permit Fee $ WORKMEN'S COMPENSATION INSURANCE Contractor I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) less. MECHANICAMPERMIT or ❑ I have placed on file with the County of Butte Building Department Heating a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any Cooling manner so as to become subject to the W. C. laws of California. Hood Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, Ventilation you must forthwith comply with such provisions or this permit shall be deemed revoked. 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 Mobile Home Installation Fee S relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned Energy Inspection Fee $ property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, Occ CONST TYPE TOTAL FEE $ % � and expenses which may in any way accrue against said County in consequence of the granting of this permit. HAz CUA PARK scHL FLD PAR X Date Signarure of Applicant — Owner ❑ Contractor ❑ Agent ❑ =HOISSUE Th;s permit is Hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures 3 above for which fees have been paid. over stories in height. DIRECTOR OF PUBLIC WORKS Receipt No. By WNITE-D.P.W., TELLOW-ASSESSOR, PIN K•IN9PCCTOR, r.OLOENROD-APPLICANT PERMIT EXPIRES Date Date �_�.�yL y_,�y�2o�•P C�w�� aP oi�.Ti�� '�=J�Jovt- �NL� O� Tiff j1,�0 �!/�!G,��- ��✓�LL✓i./� —. ✓G,(E /NG cowSTi�uLlt�Y �fJ_N S/�� ' W& C r G.�l_L/ ,t3 G !S�LLOI✓r ,D ,_�0 2 �� Td ��v �.�°[./J_/� a i I v ,"ft d I i i I v ,"ft RESIDENTIAL ri 72-07-17 1571-91P,E HARDER Paul 62 Blakeslee Dr, Oroville (utilities/mh) OFFICE COPY , Address i GAS �I i Meter By Date ELECTRIC lMeter By Dat E I r JOB FINALE ' Signature i l -75 -D -W 4 O ° O=No►OW Wit = Not Readyable MOBILE HOMES Date g004LE HOME UTILITIES (Plans) OK except #'s 1. gpDjng Requirements -Setbacks -Easements L14—S9.1.1s; Special MH Support Sketch Sewer; Location -Test -Fall -C/O Concrete v . ater; Location -Test -Easement Need V. S etch) 5. EI etficity; Location-Clearences-Gr mp-Concrete Gas; Local st-Wrap' /" L" ft. "ft. 'LPG —arance & Disconnect 6zp 5`P9 9 Yo c>g2__gctq_2 c 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 V Utility Clearance Date — Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILA HOME INSTALLATION (Plans) OK except #'s going Requirements -Setbacks Easements FWings; Size -Spacing -Marriage Line Gas H Test-Demand-Valve—Connector le 1ricity; MH Test -Crossovers -Breakers -Clearances Drai MH Test -Fall -Flex Connector a'MH Test -Regulator -Connector r and Sewer Connected -C/O to Grade -HD Approval as and Electricity Tagged 'Insp.-Sketch Cal�cert. of Occupancy Dater/ Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 6zp 5`P9 9 Yo c>g2__gctq_2 c 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 (; = Date UNDERFLOOR (Plans) OK except ff's f 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-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. 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 ft'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 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 Size/GFI ---------------- ---------------------------------- ------ 28. Subfeed Wire Size i / ga. Cu or AI-A.C. Wire Size ! ! ga. Cu or At ------------ --------------------------------------------------------------- 29. Range Circ. / r 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-1 DateCard B-1 ------------------ ------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except n's 34. A.C. Ducts Insulation & Support ------------ ----------------------------------------------------------------- 35. Vent Fan: Exhaust above insulation --------------------------------------------- ------------- 36. _Condensate Drain & Overflow; Size & Grade -------------------------------------------------------- 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ---------------------------------------------------------- --- 38. Attic Access & Platform if Furnance in Attic -------------------------------- --- - --- ---------------------------------------- - Date 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 ---------------------------------------------------------- - ------------------- Bearing-Walls ----------------- 4t. 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 e • ` I ►ingle & Duplex) j Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-root 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. Stucco Mesh -Drip Screed -Fd. Vents-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 n's Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meeh. Protection 64. Bedroom Exiting ------------------------------ --- 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel: Breaker Sizes & Labels ---------------- ----------- 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, ------------- ---------------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 -Meth. Protection 75. Plb. Elec. & Mech. Equip. Listed for Location ----------------------------- 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection 77. 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. ------------------------87. Glass Protection - - --------------------- . 88. Corrections from Previous Inspections -------------------------------- 89. Gas Test -Meters Tagged; Gas -Electric - -------------------------------- 90. ------------------------------90. Water & Sewer Connected -C/O to Grade -HD Approval ---------------------- 91. Energy Compliance Certificate -Other Certificates ---------------------------- Date Card B-1 Date Card B-1 ---------------------------- Date Card B-1 Comments at Final: Date Card B-1 Date Card B-1 Date Card B-1 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS .196 Memorial Way, Chico — Phone: 891-2751 , 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE / S,71 - 04 R PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. r f� ,J. • i .ti `.1 } Date Inspector a, ,.a COUNTY OF BUTTE 5, DEPARTMENT OF PUBLIC WORKS ; 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 ` //// CORRECTION NOTICE MR- r /.5-7/-cl / OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. r Date Inspectors_ � } I,GGGI J MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER'SRRIVE OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 / '�� // PERMIT NO.�3�=� Address or location of mobilehome 2- �oL 5 It Owner's name f 5a f� (� v -7 e r., Owner's address ��tca.9 P Insignia or hud number �� !7aa �� � `� 3,q �-o Manufacturer's nameC�h-a g o;o1 Serial number of V.I.N. r7 �2 �y ��-.z`zo� Year of manufacture -7 // JA / al,oApproving Installat `IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL' BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 3136 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California A365 -'telephone: 916/538-7541 2 APPLICATION AN,O PE�I�MIT c� ASSES,$,OR07Alcll NUMBER ZONING AR BUILDING PERMIT "'MUL HARDER TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWN 6 S ftk1fftt.ffRbV OROVILLE 95966 O"1v MYT .Mull', CENTER T E "!U3104+4+03 CONI�Ar3t5TWANWRYMILVD OROVILLE 95965 Fireplace CON$,T�WTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHJ6,C,T OR ENGINEER LICENSE No. Plan Checking Fee $ 1Jl 5.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ "'WT1bUkYftEE DR OROVILLE Permit fee $ 2 on PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping - 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFO Duplex[]MobilehomK Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer `500 Mobile Home S I G I W10.00'- TYPE OF WORK New ❑ Addition ❑ Remodel Utilities ❑ InstallationX Other ❑ Describe work: MHI /� J �� _ C Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 00V OR Main service 100 AMP ORSLESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I I am licensed under provisions of Chapt. 9, Div. 3 of the Business /T 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.e AUC New , /2 OSq ft CONSTR.( TI ODUTLET NON•RESID BRANCH CIRC ITS .50 ea 2.50 ea (POWER APPARATUS el SINGLE OUTLET CIR. I Ex. Occup(OUTLETS OR FIXTURES 20®606 SALO 30 FIXED Ex. OCCup. OUTLETS P(RESID IREA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. IYirin 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE i I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. /K p� 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 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all (t(e me ts, costs, and expenses which may in any way accrue ainst s u y ' o sequence of the granting of this permit. Signature of Ap licant — 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 $ 45.00 Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 70.00 HAZ. I CUA- I PARK SCH FLD cDF PAR PD J HD• ISSUE This permit is hereby issued unoer the applicable provi- sions of the Butte County.Code and/or resolutions to do work indicatedab ve for which fees have been paid. R. O PUBLIC WORKS BY Date / PERMIT EXPIRE Date Receipt No. 9/4556 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT OWNER r COUNTY OF BUTTE - DEPAORTMEAT,OF P11&'_ 1C''WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE7CALIFO LIIAV5965 - TELEPHONE: 918/538-7541 PERMIT APPLICATION DATA•SINEEET 15 7� U' �� ��.� "•� Permit. No. � t� , � �,, . ; i • .,Merz .r �..,-�,�„,,. t A P. No. Proposed Building Use Building Inspector Date -14 At At time of permit application, I was advised the following data must be submitted prior to permit processing And/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . ........................ .......'' 2. Plot plans in duplicate/triplicate, signed by preparer of plans.,....... 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. 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) -6`�— 9. Mobilehome installation data including manufacturer's installation 7_ �� 7 �J instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fpfte ................... ....................... Z 13. y% School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit... .! ............................... 16. Plot planed busf er ineuss license approval from City of (see Ci$+ o o;ebuirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector 21. Contractor's license information (No., Name Style, Classifications ... �-- 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification -(Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement .... '.. 25. Letter of signature authorization ................................... 26. 27. l/ (Date) When you issue the permit, process as follows: Mail to owner. Mail to contractor. _v/ Telephone 3-1/L/&nd hold for pickup at office. Deliver w/inspector. Other `i I. ---7 n ppl icant Date 7 A -t -/f 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---- rnall_count by ..date Contractor, designer, owner, was advised of above required data by_phone_mall_cou er by date Plans checked by Date Plans approved by Date _ S Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7,County Center Drive; Oroville, Californ a 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER r O _ ZONING BUILDING PERMIT OWNER- A Z 6 L R_ TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 6 Z gZAIcES 6 - � _ CONTRACTOR'S NAMETELEPHONE 53 C CON T R A C T 0 R'S MAILING DDRESS Q �_oo'ce IE Fireplace CONSTRUCTION LENPER UNKNOWN AA Total Valuation Is _ Filing Fee $ 10.00 LENDER'S MWADDRESS ING Permit Fee $ ARCHITECT OFj ENGINEERNP4LICENSE NO. Plan Checking Fee $ �Q Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS C Permit fee $ •0 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome)g� Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer . 5.00 Mobile Home Is 10.00 ea' TYPE OF WORK New ❑ Addition ❑ Re/mode 10 Utilities ❑ Installationy Other ❑ Describe work: (/�J1 —,y Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1001 OR 0 AMP ORLESS10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): �f 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 NoS'DS Classification.' �� v ❑ 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. ACC. BLDGS. ,/z¢sgft NEW CONSTR. MURANCH TLET NON.R ESID BRANCH CIRC ITS CIRCUITS) 2.50 ea POWER APPARATUS e) SINGLE OUTLET CIR. Ex. OCCUp�OUTLETS OR FIXTURES aAL@30 FIXED Ex. Occup. OUTLETS (RESID IREA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. 6yirin 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith Comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all ies, udgments, costs, and expenses which may in any way accrue a ainst s ount 1 consequence of the granting of this permit. %� Date Z Si nature licant — Owner g pp Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep a demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ q5. 0_, , Energy Inspection Fee $ occ _T CONST TYPE n TOTAL FEE $ AZ. CUA- PARK SCHL FLD CDF PAR PD I 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 aid. p DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No. I"l/ 55( — 70-!a-0— a0 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT ' MUBILGi-iUME SUPPOKT DATA --'- If other than single wide, Mobilehome Mfr. (7I4cr furnish Setup Model No. u - C.. �� �-1- /� Year �7 / Width. —(ft.)' Box Length_�ZD� (ft.) Tagalong or Expando Size ft. x ft. On all mobilehomes.manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one)P1. Wood -pressure treated or foundation grade. F72. Other (specify) SUPPORTS (check one) E-]1. Concrete block.7 2. .Other (specify) r Pier Footing Sizes and Locations SINGLE -Glue 11' MULTl-MIAL I in _ _ _ _ _ Lina 1 Main Beams .. _ I lne Line l.lILL�L� Line 2 _ Linc 2 MJIn Beams —. — — — -- — —2 Line 2 — Tag or Triple t -in, 4 Line 1 lne •! Plora: Size -Min. ------------ Spacing -Mex. ......• k From Enda-Max.------- ..; Size -Min.------------ „ .�._.. Spacing -Max.--------- From Enda-Max......... I1ng 7 Roof Loids Sise-Min.----------.. Location (Fro■ Front) Size -Min ------------- 'k ' Spaying -Max---------- From inch -Max........ Linj_L Roof load*; Sise-Min.------------ k S� Ltne 1 Ooeointts: Size -Min. .................. Each Side of Openings With Width Over - -------- s �� Line 7 Piers: (Under Bearing Wall Only) Size -Min.. ................. Spacing -Max................ k +- o From Enda-Max.............. „ Line 5 P1are: (Under Bearing WGjl# Only) Size -Min. .................. ,k Spacing -Max. ............... From Enda-Max.------------- n x x k „x "x Location (From Front) ,,_ CNEPAMMEW APPROVED BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541 MOBILEHOME INSTALLATION SHEET 1. Owner's Name: ,:./ 2......Installer's Name: 3. Is the site currently under permit? Yes (� No (If yes, furnish permit number ) OR Is the site an existing site? . Yes 7/X1 No (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes 7/X No F ] (If no, clarify 5. What is the mobilehome electrical rating? --------------- /1-1-1 Amps 6. What is the mobilehome site service rating? ------------- 1 E'�Amps 7. What is •the mobilehome site circuit breaker rating? ----- / FZ7:- Amps 8. Is there any other electric load to be served by the mobilehogae site service? ------------------------------- FX1 _ - Yea No (If yes, identify the load and size: (Load) (Amps ) 9. What is the mobilehome site gas pipe size? --------------/c! (in.) 10. What is the type of gas service? ------------------- Natural LPG 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- (ft.) * 12. What is the mobilehome gas demand? ---------------------- *(ThWs 4A% a 4'lcwh required if pipe length less than 6 ft. on natural �50 ft. on LPG.) �� ,V� �-,JW,,: `+r G3V0 ..qqA (BTU) (/-: ' COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovlller Californla 95965 - Telephone: 916/538-7541 11 it APPLICATION AND PERMIT P RMIT NO. �� SESSOR PARCEL NUMBER 072-07-0-017 ZONING i# AR BUILDING PER OWNER Paul Harder TELEPHONE 589-3708 SO. FT. OCC, BUILDING VALUATION OWNER'S MAILING ADDRESS 62 Blakeslee Drive Oroville 95966 CONTRACTOR'S NAME Unknown TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER None VN N Total Valuation $ Filing Fee $ xX_H LENDER'S MAILING: ADDRESS Permit Fee $ 15.00 ARCHITECT OR LN (NEER None LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee n $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 62 B e 'll Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION VAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehomeffy Other ' SPECIFY Gas piping 'system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S nrl 10.00 ea qr) nn TYPE OF WORK New❑ Addition❑ Remodel❑ Utilities Installation❑ Other[:] Describe work: HUD �j Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1100V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): • ❑ 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. 14 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. I DWELLING OCCUP.g{, OR ADDNS. % ACC. BLDGS. /2Osq ft NEWoNSTR U TI.OUTLET c NON •R ESID BRANCH CIRC ITS 2.SOea (POWER /POWER APPARATUS &) OUTLET CIR. Ex. Occup( OR FIXTURES 20®50Q .5 ALO 30 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ 37.50 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. Ishall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed.revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue. ag:;;Mnty i consequen5=�7ce of the granting of this permit. X Date —�/ Signature of Applicant — OwnerX Contractor ❑ Agent ❑ An OSHA permit is required For excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ .50 HAZ,, CUA- PARK SCHL FLD CD PAR PD ) HD ISSUE This permit is hereby issued under sions of the Butte County. Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PE#fT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS ate 6<. Receipt No. 93667 WHITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. 60LDENROD-APPLICANT Copy of Hdz-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 pr' r t, p rm), 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---maillzcounter by�..date Contractor, designer, offer, was advised of above required data by—phone —mal l—counter by. ,d . date Plans checked by ?IW Date. Copy—DPW Plans approved by Sets of plans on hold in File cabinet AP folder Date 4 COUNTY OF B TTE - DEPARTMENT O f PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - O'ROVILLE, LIFORNIA 95_965 - TELEPHONE: 916/538-7541 / PERMIT APPIAJORTION DATA SHEET - OWNER _ a U f / r C( Y'Gl C1 r ' ,V Permit No. (� "O A. P. No. < Proposed Building Use Building Inspect orDate 5 /"l/ 9 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... ffq2,Plot plans in duplicate/triplicate, signed by preparer of plans........ Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, 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 instructions....................................................... { 10. Fees of $ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. —� 14. School Distrigt fees paid .............. Sanitation approval from d ('CDv Health Department 5—/7-9/ 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of 17. (see City for other requirements) / ��or eYis�in no„co„�'n�.r;h Planning approval for (A) Use:Y–tL.�_(B) Parkin 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. � 21. Pre -Inspection forrequired Pre-Inspec. request to Building Inspector (Date 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 Acknowledgment Statement 25. Letter of signature authorization .... .......... ............ - c/ 26. 10va- n(&� #3 -O�AeAAx WjAgfaLa Cgd 27. When you issue the permit,r cess as follows: Mail to owner. Mail to contractor.+ Telephone and hold for pickup at ro office. Deliver w/inspector. Other 4 Applicant Date- S_-1--'–,91 Copy of Hdz-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 pr' r t, p rm), 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---maillzcounter by�..date Contractor, designer, offer, was advised of above required data by—phone —mal l—counter by. ,d . date Plans checked by ?IW Date. Copy—DPW Plans approved by Sets of plans on hold in File cabinet AP folder Date TO Buildinc,Department FROM: Environmental -Health SUBJECT: Sanitation Clearance ?A 07 - Owner L c on AP# Plan Approved for:' SewaQe`Disposal Water Supply Hold final for: 7inal clearance O.K. for: Clearance for _6-,9—.bedroom mobile home. NOTE r Sanitarian Other Water Supply Water Supply -77-A46\1 Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 Colinty'vr'enter Drive- Orbvllle, Callfornla 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. � ASS SSOR PARCEL NUMBER /j -- Q � —Q Q l ? ZO;G r BUILDING PERMIT OWN a � ia� � TELEPHONE -3 SO. FT. OCC. BUILDING VALUATION OWNER'S M)QGAODRE��� r �S Q CO TRAC OR'S NAME (It< n Lu YA TELEPHONE ' CONTRACTOR'S MAILING ADDRESS F i reD l ace CONST UCTION LENDER - VNKNOWN Total Valuation Is Filing Fee $�-' LENDER'S MAILING ADDRESS Per.^ut Fee $ $ ARCH TECT OAR cel :INEEP, V1R LICi=11 NO. Plan Cheei:ing Fee j Energy Plan Checking Fee $ ' ARCHITECT O1,9 ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRES" X31 L Or`ov� �. 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 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 10.00 ea OQ TYPE OF WORK Newft Addition❑ Remodel Utilitiesg"stallation❑ Other ❑ Describe work: -'U! �� Permit Fee $ Q OQ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service eoov OR LESS 100 AMP OR LESS 10.00 707770 Main service EA. ADO'L 100 AMP 2.50 Cy Q 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.e, OR (ACC. BLDGS. 1 , h¢sgft ONS. NEW CONST R. ULTI.OUTLET N ON ESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20930t BAL030 FIXED PR Ex. Occup. OUTLETS IRESID )EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 /S 0 Misc. 1Yirin 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 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 10.00 Heating Cooling g Hood 3.00 Ventilation pernIt Fee = I 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. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ i An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ HAZ. CUA PARK SCHL FLD coF PAR Po I Ho. Issue This permit is hereby issued unser 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. C1366 WHITE-D.P.W.. YELLOW-A3eE330R, PINK -INSPECTOR. COLD ENROD-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) Ve s 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 IAddress . Phone Type of Work Signed: Property Owner Social Security Number Date S=%7-9/ 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. f,4 k -Al times ono if is tAwfel -�. ...L t0 any a ,(. fee>s o u �1 art ic,rs� ora Scm'` K = .-,"Men Permission from �;m Departrr rl, +Fri PEJO T. ' R. 4 E. M. D. B. W. -� . - - = -•' ASSESSOR'S IIAP NO. 72-07 /dust be H afpreved C) G) Ln 3 0 rt' -� cvsrw� �) • M }� J Ne.asr - NEAJ Qe WELL —�— 17 �O 0 9-5. 7,5' Accordance with Re_ .c g fi of a quality prescribed for Uniform Buildin0, Plumbi and the National Electrical (0 n A setback of 5 ft. from the C) �/ Property lines and a setback V of 50ft. from the road centerline shall be clear of structures or equipment exc `e)r a 2 ft. oay. overhann.°r' Clear 0Y a 11 ease. -left I f/q uL r, ,Crgc ONNLIIF ylt?-DLF,1 � •2 B�A�,S� � o,e marrship Shall Be in 00 s a>, S eci ie n t{ & Mechanical Cott: 3 15-71- 91 9WE COUNIV DING" DEPARTMEN" kPV' (9400191, BUTTE.COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One Form per Building) A.P.- Number_= - 0 70- 0 / 7 Building Department No. School District �rZ�ce Q.n.(_ City L_J County LkJ Jurisdiction Property Owner Project Location/Address (o Q U kLj Subdivision Lot Nu ber Residential Development: EJ Sq. Footage # of Living. MHI, Addition (Group R) Units h0PTKk. lOc p 11 d Commercial/Industrial: a Sq. Footage New Addition (Including Exterior Roofed Areas) Building Department Representative Date ******************************************************************* (Floor Plans reviewed by School District Personnel) District 'Id No. Q� School District certifies that P"? , r .�; i (Appl°ic n Name) (Phone.Number) Street Address) (City) (State) (Zip Code) has, complied with the requirements of Resolution No.f- by the pa ent of $ representing %square feet., % /, School Dista' Representative Date . ,..,..-PAID' BYE CHECK NO. BANK NO PAID BY CASH white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) AP 4r` 'Z2 _0 ; ?_ 014NER PERMIT Mll UT IL . CLEARANCE DATE. INSPECTOR ELECTRIC. GAS Support Struc. Compaction Test eq. Service Size Other Load Type Pipe Size, Length YES NO YES NO Z, P 40 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS '7 County Center Drive, Oroville, CA 95965 PHONE: 916-538-7541 PAUL HARDER 62 BLAKESLEE DR OROVILLE CA 95966 RE: With reference to the above subject: " Attached is: OTHER DATE MAY 28, 1991 MOBILEHOME UTILITY PERMIT APPL. A.P. # 72-07-17 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 77 We need the following information: Permit application signed and completed where indicated with all copies returned. 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 TRIPLICATE 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. XXX 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 Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. form. 7V OTHER_ 1. PLEASE PROVIDE UPDATED PLOT PLAN INDICATING ALL STRUCTJJRF9 oN pRnpFFTe . DEMOLITION PERMIT IS REQUIRED FOR HOUSE BEING REPLACED BY MogTTF Should you have any questions concerning the above, please contact BARBARA WILDING of this office. BETWEEN 3PM & 5PM) Yours very truly, JFG/aj William Cheff Director of Public Works /;J.F. Glander ' Chief Building Inspector Certificate of Compliance: Residential Climate Zone 11 Project Tide /Issl '�� Building Permit 0 Protect Address r �^ lox KQ� lee- Checked By/ Date Documentation Author Telephone Enforcement Agency Use Only BUILDING DATA Conditi ea /70 �— Slab 'sed Floo [ Single Family Detached (SFD) [ ] Single Family Attached (SFA) [ ] Multi -Family (MFS BUILDING SHELL INSULATION Number of Stories Number of Units (] Addition Alone [ ] Existing Building [ ] Existing -Plus -Addition Component Insulation Locaflon/Comments. Type R -Value (allic, to garage, c�icei, etc.j Wall .............. Wall .............. Roof ............. Roof ............. Floor ............. _ Floor ............. Slab Edge..... GLAZING Shading Devices Glazing . Area Glass Type Interior Exterior Orientation (sf) (single, double)_ troller blind. etc.) (shadescreen, etc.) North Glass Area % Glass North 105 A� FSouth ( ) East 1-35 West -32 a . Skylight (9— O Total 305 /G - 5 Component Insulation Locaflon/Comments. Type R -Value (allic, to garage, c�icei, etc.j Wall .............. Wall .............. Roof ............. Roof ............. Floor ............. _ Floor ............. Slab Edge..... GLAZING Shading Devices Glazing . Area Glass Type Interior Exterior Orientation (sf) (single, double)_ troller blind. etc.) (shadescreen, etc.) North ( ) I D 5 North ( ) East ( ) East ( ) South ( ) /_35 South ( ) West ( ) West ( ) Skylight....... 0_ THERMAL MASS Type/Covering Overhang Framing Type HVAC SYSTEMS Minimum Duct Type (furnace, air Efficiency Location . Duct Output Manufacturer / Model # conditioner, heat pump) (SE. SEER,HSPF) (attic, etc.) R -Value (Btuh) (or approved equal) Maximum Furnace Heating Output: TEMS Btuh HOT WATER SYS Tank Manufacturer/Model# System Type (storage gas etc.) Capacity (or approved equal) Special Feature(s) . . SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) Mandatory Measures Checklist: Residential MF -1R NOTE: Lowrise residential buildings subject to the Standards must contain these meantres regardless of the comOianx approach used. Items marked with an asterisk (•) may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents. the features rioted shall be considered by all parties as binding minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. DESCRIPTION Building Envelope Measures §2-5352(a): Minimum ceiling insulation R-19 weighted average. §2-5352(b): Loose fill insulation manufacturer's labeled R"Value. §2.5352(c): Minimum wall insulation in framed walls R -I 1 weighted avenge (does not apply to exterior mass walls). §2.5352(k): Slab edge insulation - water absorption rate no greater than 0.3%. water vapor transmission rate no greater than 2.0 perm/inch. §2.5311: Insulation specified or installed meets California Energy Commission (CEC) quality standards. Indicate type and form. §2-5352(x): Vapor barriers mandatory in Climate Zones 14 and 16 only. §2.5317: Infiluatiort/Exfilca6on Controls a. Doors and windows between conditioned and unconditioned spaces designed to Emit air leakage. b. Doors and windows certified. c. Doors and windows weatherstripped; all joints and penetrations caulked and sealed. §2.5352(e): Special infiltration barrier installed to comply with §2-5351 meets CEC quality standards. §2.5352(d): Installation of Fireplaces 1. Masonry and factory -built fireplaces have: a. Tight fitting, closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and control 2. No continuous burning gas pilots allowed. HVAC and Plumbing System Measures §2-5352(8) and 2-5303: Space conditioning equipment siring: attach calculations. ..§2.5352(h) and 2-5315: Setback thernwstat on all applicable heating systems. • §2.5316(a): Ducts consuucted, installed and insulated per Chapter 10. 1976 UMC. §2.5316(b): Exhaust systems have damper controls. §2-5314(c): Gas -feed space heating equipment has intermittent ignition devices. 62-5314: HVAC equipment, water heaters• showerheads and fauces certified by the CEC. §2.5352(1): Water heater insulation blanket (R-12 or greater) or combined interiorkxterior - insulation (R-16 or greater); fust 5 feu of pipes closest to tank insulated (R-3 or greater). { §2.5312(Excep6on 1): Pipe insulation on steam and steam condensate return & recirculating piping. §2.5318(d): Swimming Pool Heating 1. System has: a. On/off switch on heater. b. Weatherproof instruction plate on heater. e. Plumbed to allow for solar. t 2. 75 percent thermal efficiency. t 3. Pool cover. _ 4. Time clock. 5. Directional water inlet. t Lighting and Appliance Measures §2.53520): Lighting - 25 lumens/watt or greater for general lighting in kitchens and bathrooms. §2-5314(c): Gas fired appliances equipped with intermittent ignition devices. §2.5314(a): Refrigerators• refrigerator -freezers, freezers and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. COMPLIANCE STATEMENT DESIGNER I ENFORCEMENT This certificate of compliance lists t1n bAding features and performarice specifications needed to comply with Title 24. Chapter 2-53 and Title 20, Chapter 2. Subchapter Q. Article 1 of the California Administrative code- This certificate has been signed by the individual with overall design responsibility and the building owner, who shall retain a copy of it and transmit the certificate to any subsequent purdtaser of the building. Designer Name: daA . Telephone: Lic. 0: (signature) (date) Documentation Author ,. Name: Address. Building Owner Name: TitWFvm: Address: Telephone: (signature) - (date) Enforcement Agency,, Name F ... Agency: Tc 1. Ceiling Insulation U -value 0.50 -176 Number of stories -54 R -value One Two Three R-0 -103 -49 -32 R-19 -8 -4 -2 R-30 -2 -1 -1 R-38 0 0 0 U -value 0.50 -176 -84 -54 0.30 -102 -49 -02 0.10 -26 -13 -8 0.08 -18 -9 -6 0.06 -11 -5 -4 0.04 -4 -2 -1 0.02 4 2 1 0.00 11 5 3 2. Wall Insulation -4 -3 -1 0.80 Single- Single - 0.70 2 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 .3 8 35 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 -15 -8 -1 7 3. Raised Floor Insulation 46 -14 Insulation In Flour 7 14 Number of stories -12 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 -2 4 10 0.60 -144 -70 -46 0.50 -120 -58 -38 0.40 -95 -46 30 0.30 -69 -34 .22 0.20 -43 -21 -14 0.10 -17 -8 -5 0.08 -11 -6 -4 0.06 -6 -3 -2 0.04 -1 0 0 0.02 4 2 1 0.00 10 5 3 Controlled Ventilation Crawlspace 3 Number of stories 14 R -value One Two Three R-0 -11 -7 -5 R-5 -4 -4 3 R-11 .2 -2 -2 R-19 -1 -2 -2 4. Slab Edge Insulation 19 10 -3 .. Number of Stories 11 R -value one Two Three R-0 0 0 0 R-5 8 5 2 R-7 8 6 3 F2 factor 0.90 -4 -3 -1 0.80 .1 .1 0 0.70 2 2 1 0.60 6 4 2 0.50 9 6 3 0.40 12 8 4 S. Infiltration (Air Leakage) Spedficdtion Points Standard 0 6. Glass Heat loss Total Slab Floor Raised Floor Mass U -value %Glass North Percent South West .51 to .41 to .31 to 0.30 or Glass Single Double .60 .50 .40 less 50 -121 -53 -39 -24 .10 4 40 -90 -37 -26 -14 .3 8 35 -75 -29 -19 -9 1 10 30 -61 -21 -13 -4 4 12 29 -58 -20 -12 -3 5 12 28 -55 -18 -10 .2 5 13 27 -52 -17 -9 -2 6 13 26 -49 -15 -8 -1 7 14 25 46 -14 -7 0 7 14 24 43 -12 -5 1 8 14 23 40 -11 -4 2 8 15 22 -37 -9 -3 3 9 15 21 -34 -7 -2 4 10 15 20 -31 -6 0 5 10 16 19 -29 4 1 6 11 16 18 -26 -3 2 7 12 16 17 -23 -1 3 8 12 17 16 -20 0 4 9 13 17 15 -17 1 6 10 14 17 14 -14 3 7 10 14 18 13 -12 4 8 11 15 18 12 -9 6 9 12 15 19 11 -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) Effective Percent Glass (Percent glass x SC) Effective Slab Floor Raised Floor Mass Water %Glass North East South West Skylight 18 5 1 4 1 na 16 4 2 5 1 na 14 4 2 5 1 na 12 3 3 5 2 na 11 3 3 5 2 na 10 2 3 5 2 1 9 2 3 5 2 2 8 2 3 5 2 2 7 1 3 4 2 2 6 1 3 4 2 3 5 1 2 4 2 3 4 0 2 3 1 3 3 0 1 2 1 3 2 0 0 1 0 3 1 -1 -1 -1 -1 2 0 -1 -2 -4 -2 0 na = not allowed 3 6 8 9 &.Shading (Shade Closed) 10 4.5 Effective Percent Clain 7 8 (Percent glass x SC) 11 Effective 4 7 9 11 12 %Glass Nodi East South West Skylight 18 -14 -48 -69 -64 na 16 -12 -42 -59 -55 na 14 -10 -35 -50 -46 na 12 -8 -29 -40 -37 na 11 -7 -26 -36 -33 na 10 -6 -23 -31 -29 .74 9 -5 -20 -27 -25 -65 8 -5 -17 -23 -21 -56 7 -4 -14 -19 -18 -47 6 -3 -11 -15 -14 -38 5 -2 -9 -11 -10 -30 4 -1 -6 -8 -7 -23 3 0 -4 -5 -4 -16 2 1 .1 -2 -1 -9 1 1 1 1 1 -4 0 2 3 4 3 0 na - not allowed ' 8 5 1.7 9. Interior Thermal Mass Interior Slab Floor Raised Floor Mass Water Stories ;139 1200 Stories 2200 /CFA 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 6.5 6 9 10 12 13 13 7.0 6 9 11 13 13 14 7.5 6 10 11 13 14 14 8.0 7 10 11 13 14 14 8.5 7 10 12 13 14 15 10. Exterior Wall Thermal Mass Solar Exterior 10 Single- 6 Single - 3 HWR Wall 5 Family 2 Family MUI6 WSB Mass 4 Detached Attached Family 5.3 0.00 9 0 3 0 0 SE 0.20 -45 3 -15 •2 1 2.8 0.40 2 5 1 4 3 4.3 0.60 .23 8 -8 6 4 57 0.80 -25 10 -8 8 5 1.7 1.00 _23 13 _8 10 7 IG 1.20 -8 13 -3-2 12 8 4.6 1.40 6 12 2 13 9 6.1 1.60 1 10 0 13 11 IE 1.80 -00 10 -10 12 12 3.5 2.00 18 10 6 11 13 4.9 11. Heating System Unit Size (sQ Water SE or ASPF ;139 1200 1700 2200 (assumes ducts In attic) (assume; duels In attic) or . to to Sum of 1.6 or Type Type less -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 1 10.5 Effective SE or HSPF 6 5 4 (SE or HSPF x duct efficiency) 2 Effective -25 or -24 to -14 to .4 to +6 to 16 or SE HSPF less -15 -5 +5 +15 more 15 0.30 2.75 -73 -64 -56 -47 -38 -30 na 3.41 -45 -39 -34 .29 .24 .18 0.40 3.67 -34 -30 -26 .22 -18 -14 0.50 4.58 -10 -9 -8 .7 .5 -4 0.56 5.13 0 0 0 0 0 0 0.60 5.50 5 5 4 3 3 2 0.70 6.42 17 15 13 11 9 7 0.80 7.33 25 22 19 16 13 10 0.90 8.25 32 28 24 20 17 13 1.00 9.17 37 32 28 24 19 15 8 6 Zonal Control Adjustment 3 System Type 16 14 12 9 7 Resistance 10 9 7 6 4 3 Other 7 6 5 4 3 2 2 12. Cooling System Unit Size (sQ Water SEER ;139 1200 1700 2200 2700 (assume; duels In attic) or . to to Sim of 7-10 or Type Type less -25 or -24 to -14 to -410 +6 to 16 or SEER iess -15 I -6 +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 -12 -9 Effective SEER -6 IG None (SEER xduct eMcfency) -3 -2 -2 San of 7-10 1.9 Solar 7 Effective -25 or -24 to -14to -4to +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 -0 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 0 Zonal Control Adjustment Solar 14 10 8 7 6 4 3 HWR No Cooling System Installed 5 3 Stories One -5 -4 -4 -3 -2 -2 Two + 3 3 2 2 2 1 Single -Family Detached and Attached rolnt system summary: unmate Gone 11 SCORE CARD Measures 1. Ceiling Insulation r3D or R -value [38] U -value [0.030] 2. Wall Insulation 3. Raised Floor Insula 4. Slab Edge Insul 5. Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) a. North b. East c. South d. West e. Skylight 8. Shading (Shade Closed) a. North b. East c. South d. West e. Skylight 9. Interior Thermal Mass 10. Exterior Wall Mass 11. Heating System Zonal Control? ( Y / N ) 12. Cooling System Zonal Control? ( Y / N ) 13. Water Heating - or R -value [ 191 Standard Type [double) % Glass X /. X X .,i • / X (5 X U -value [0.098] F2 factor [0.77] U -value [0.65] Point Scores 0 a -S %Total Gla. 16] _ Sum 1 6 SC - Eff. V s % Glass SC Eff. % Glass X -AR X ,a7 _ TYPE 1 MASS AREA = GOND. FLOOR AREA InteriorN`aas FA TYPE 2 MASS AREA rEUND77LCOR AREA $ X SE or HSPF Due E [0.7216.6] S, ? X SEER [[9.51 Dua EE ,envy [0.78] Effective SE or HSPF [0.56/5.15] %6;� incy [0.74] Effective SEER [7.03] Type [SG] Credit [none] Sum 7-10 Point Total: �" Unit Size (sQ Water ;139 1200 1700 2200 2700 Heater Credit or . to to to or Type Type less 1699 2199 2699 more SG None 0 0 0 0 0 or Solar 12 8 6 5 4 HP HWR 8 5 4 3 3 WSB 5 3 3 2 2 POU 8 5 4 3 3 SE None -37 -24 -18 -15 -12 Solar -1 -1 -1 0 0 15% HWR -18 -12 -9 -7 -6 50% WS8 -25 -16 -12 -10 -8 85% POU- -18 -12 -9 -7 -6 IG None -5 -3 -2 -2 -2 1.9 Solar 7 5 4 3 2 3.4 POU 3 2 1 1 1 IE None -28 -19 -14 -11 -9 0.8 Solar 8 5 4 3 3 2.3 POU -10 -6 -5 -4 -3 3.7 Multi-Famlly (individual 4.4 units) 4.8 5 52 54 n Size [S 0.3 Water 0.8 699 700 1200 1700 2200 Heater Credit or b to to or Type Type less 1199 1699 2199 more SG None 0 0 0 0 0 or Solar 14 7 5 4 3 HP HWR 9 5 3 2 2 3.9 WSB 9 4 3 2 2 5.3 POU 9 5 3 2 2 SE None -45 -23 -15 -11 -9 2.8 Solar 2 1 1 0 0 4.3 HWR .23 -12 -8 -6 -5 57 WS8 -25 -13 -8 -6 -5 1.7 _ 24U _23 _12_ _8 -6 -5 IG None -8 -4 -3-2 42 4.4 4.6 Solar 6 3 2 1 1 6.1 POU 1 0 0 -0 0 - IE None -00 -15 -10 -8 �& ' 3.5 Solar 18 9 6 4 4 4.9 POU -8 -4 .3 -2 .2 rolnt system summary: unmate Gone 11 SCORE CARD Measures 1. Ceiling Insulation r3D or R -value [38] U -value [0.030] 2. Wall Insulation 3. Raised Floor Insula 4. Slab Edge Insul 5. Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) a. North b. East c. South d. West e. Skylight 8. Shading (Shade Closed) a. North b. East c. South d. West e. Skylight 9. Interior Thermal Mass 10. Exterior Wall Mass 11. Heating System Zonal Control? ( Y / N ) 12. Cooling System Zonal Control? ( Y / N ) 13. Water Heating - or R -value [ 191 Standard Type [double) % Glass X /. X X .,i • / X (5 X U -value [0.098] F2 factor [0.77] U -value [0.65] Point Scores 0 a -S %Total Gla. 16] _ Sum 1 6 SC - Eff. V s % Glass SC Eff. % Glass X -AR X ,a7 _ TYPE 1 MASS AREA = GOND. FLOOR AREA InteriorN`aas FA TYPE 2 MASS AREA rEUND77LCOR AREA $ X SE or HSPF Due E [0.7216.6] S, ? X SEER [[9.51 Dua EE ,envy [0.78] Effective SE or HSPF [0.56/5.15] %6;� incy [0.74] Effective SEER [7.03] Type [SG] Credit [none] Sum 7-10 Point Total: �" Interior MasslCFA TYPE aIU 55 ^ /1. 7.V1K'1. a1 I c. rye c.d .l.bl t TYPE 1 LUSS (UIMC a 4.2, ie: exposed slab) 0% 5% 10% 15% 2011. 2S% 30Y. 35% 40% 45% 50% 55% 60% 65Y. 70% 75% 80% 85% 90% 95% 100% 105% 110-1 115% 120-1 125• 0% 0 0.2 04 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 44 4.6 4.8 5 53 101/. 0.2 0.4 0.6 0.8 1 1.2 1.4 1.6 1.9 2.1 2.3 Z5 2.7 2.9 3.1 3.3 3.5 3.7 4 4.2 4.4 4.6 4.8 5 52 54 20% 0.3 0.6 0.8 1 1.2 1.4 1.6 1.8 2 2.2 Z4 27 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.8 5 52 5.4 56 30% 0.5 0.7 0.9 1.1 1.4 1.6 1.8 2 2.2 2.4 Z6 2.8 3 3.2 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 56 58 4011. 0.7 0.9 1.1 1.3 1.5 1.7 1.9 2.2 Z4 2.6 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 51 53 5.5 57 59 SOY. 0.9 1.1 1.3 1.5 1.7 1.9 . Z1 Z3 Z5 27 3 3.2 3.4 3.6 3.8 4 42 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 2.4 2.6 2.8 3 3.2 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 53 56 5.8 6 62 60% 1 1.2 1.4 1.1 1.9 21 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 5 52 5.4 56 5.9 61 63 65% 1.1 1.3 1.5 1.7 1.9 2.2 2.4 26 2.8 3 3.2 3.4 36 3.8 4 4.3 4.5 4.7 4.9 5.1 53 55 5.7 5.9 61 64 70% 1.2 1.4 1.6 1.8 2 2.2 2.5 ZI 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 52 5.4 56 58 6 62 64 75% 1.3 1.5 1.7 1.9 Z1 2.3 Z5 2.7 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.6 5.1 5.3 5.5 5.7 5.9 6.t 6.3 6.5 8011. 1.4 1.6 1.8 2 2.2 24 Z6 2.8 3 3.3 3.S 3.1 3.9 4.1 4.3 4.5 4.7 4.0 5.1 54 56 5.8 6 62 64 66 85% 1.4 1.7 1.9 2.1 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.8 4 42 4.4 4.6 4.8 5 52 54 56 59 6.1 63 65 67 90Y. 1.5 1.7 2 2.2 2.4 2.62.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 53 55 5.7 59 62 64 66 68 95% 1.6 1.8 2 2.2 2.5 Z7 2.9 3.1 33 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 5.2 5.4 56 58 6 6.2 6.4 67 69 100% 1.7 1.9 2.1 2.3 2.5 2.8 3 3.2 3.4 3.8 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 6.1 7 105% 1.8 2 2.2 2.4 2.6 2.8 3 3.3 3.5 3.7 3.9 4.1 4.3' 4.5 4.7 4.9 5.1 5.4 56 5.8 6 6.2 6.4 66 68 7 110% 1.9 2.1 2.3 2.5 2.7 2.9 3.1 3.3 38 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 6.6 6.8 7 72 120% 2 23 2.5 2.7 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.4 4.6 4.8 5 5.2 5.4 5.6 58 6 62 6.5 6.7 6.9 7.1 73 125% 2.1 2.3 2.5 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 rolnt system summary: unmate Gone 11 SCORE CARD Measures 1. Ceiling Insulation r3D or R -value [38] U -value [0.030] 2. Wall Insulation 3. Raised Floor Insula 4. Slab Edge Insul 5. Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) a. North b. East c. South d. West e. Skylight 8. Shading (Shade Closed) a. North b. East c. South d. West e. Skylight 9. Interior Thermal Mass 10. Exterior Wall Mass 11. Heating System Zonal Control? ( Y / N ) 12. Cooling System Zonal Control? ( Y / N ) 13. Water Heating - or R -value [ 191 Standard Type [double) % Glass X /. X X .,i • / X (5 X U -value [0.098] F2 factor [0.77] U -value [0.65] Point Scores 0 a -S %Total Gla. 16] _ Sum 1 6 SC - Eff. V s % Glass SC Eff. % Glass X -AR X ,a7 _ TYPE 1 MASS AREA = GOND. FLOOR AREA InteriorN`aas FA TYPE 2 MASS AREA rEUND77LCOR AREA $ X SE or HSPF Due E [0.7216.6] S, ? X SEER [[9.51 Dua EE ,envy [0.78] Effective SE or HSPF [0.56/5.15] %6;� incy [0.74] Effective SEER [7.03] Type [SG] Credit [none] Sum 7-10 Point Total: �"