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073-090-018
` 73-09-18 . � F> ov . , � 73-09-18 /Termi 763-8 073-090-018 AG 01-91 )lge) MAZZARELLA, JOIfN.. 782 BINET RD., OROVILLE � AG EXEMPT PERMIT � ' o � ` r BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 ;J4TY LENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT -PERMIT NO. Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. 0 73 - O qO - 01'9— 000 ZONING OWNER To A N l ilaek a z za o e I PHONE NO. -- OWNER'S ADDRESS . LOCATION OF BUILDING 710— /91,1 e0goll 6 5/ USE OF BUILDING S�vra e 0, f, s� Qw�IOW er lower �1q�rzZ�✓' ���%rs tw�i.�e��av SIZE OF STRUCTURE Id �ChCrke��� Z 0 X — ' _ SQ. FT. J TYPE OF CONSTRUCTION: WOOD FRAME STEEL I CONCRETE OTHER (Specify) TYPE OF SIDING ROOf COVERING FLOOR TYPE ESTIMATED COST OF CONSTRUCTION L ,)0 AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows ��.F� �r �„,,_ < < i r FRONT"6' a 5/ -"" SIDES � 9'0 A4, REAR a6'''"`J AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 fe % oma mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet f a <,%CWsidence a d a mobilehome, and 40 feet from a commercial building. .2od� AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevt'd'��� ' USGS Datum. , I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date Permit Fee - $60.00 Receipt No. Signature of Owner A:�7 The above described AG Building is exempt from a b ' ing permit. P.D. FLOG PA L ROOF K ,IS ti/ Manager Building Division By Date White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant Ir 757, 7 94vG d APERMIT NO. 212-86B,P,E W PERMIT EXPIRES OWNER DAVID & TERRY DAVIS Owner CONTR. j `� ASSESSOR PARCEL 73-09-18 LOCATION S/S Binet Rd, 800'W Lost Creek Dam Rd:,,Oroville � t � 14 ^ti i� 4l 5 OFFICE COPY tt. Address ,y GAS pate - ?` Meter By ELECTRIC Com_ Dat® Meter By Temp. Power PI, j Called PG&E / Temp. Elec. Service .,Called PG&E 1 Temp. Gas Service 1 Called G E JOB FINALED (Date) Signature- OK - Not OK = Not Applicable MOBILEHOMES MISCELLANEOUS Not Ready Date MOBILEHOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1, Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch _ 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4, Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; LocatiorrTest-Wrap:/ /"L"ft./ /"Nat. or/ /' L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability, 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers- Brea kers-CIearancas 4, Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/0 to Grade -HD Appro•al 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater• 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date 0- d = OK 0 = Not OK - = Not Applicable RESIDENTIAL JSingl,e and Duplex) * = Not Ready Date UNDER R Plans OK exce tk's A-foning requirements -Setbacks -Easements 2. Ft n; Soils-Steel-Elec. Grnd.- / /" Ftg. Dept tg., Garage; Soils -Steel- / " Ftg. Depth Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth SJ w�Is, Main; Steel-Blockouts-Wrapped-Slab ��mwalls, Garage; Steel-Blockouts-Wrapped- 7. P� Fireplace Ftg.-Steel A!6.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test X9. Gas Pipe; Size -Anchors 40. Water Pipe; Test -Anchors -Regulator -Service Test _- 11 Electric; Underground /� !� _ X12. Plenums & Ducts; Clearance -Material -Support -Ins. Nti3. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples I C/Z../Date%o /4-9-ri Card -BI Date Date PLUMBING (Permit) OK except N's 14. Ht.; Vent -Access -Combustion Air r 15. _Water Water Pipe; Test & Anchors -Nail Protection _ D.W.V.; Test-Fttngs & Anchors -Nail Protection __16. 17. Shower Pan; Test, First Floor -Tub Access ___18. Test Tub & Shower, 2nd Floor -Tub Access 19. Gas Pipe; Size & Anchors Card -BI Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date Date ELECTRICAL (Permit) OK except q's 57. 20. Fixture & Transformer Clearance -Ins. Protection Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 21, Elec. Receptacles Spacing -Lights & Switches at Doors 60. 22. Size Boxes & No. of Conductors -Stapled s 23. Romex Installed Close to Edge of Studs & C.J. _ 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 25. 2 Appliance Circuits in Kitchen & Conductor Size 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 27. _ 28. 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral EYes ❑No Service -Riser Conductors & Ground -Main Disconnect Equip. Clearances: Panels-Motors-Mech. Equip. Card B -I Card B -I 30. Clothes Closet Light -Shower Light Date _ Card -BI Date Date Card -BI Date Date MECHANICAL (Permit) OK except p's _ 31. 32. 33. 34. 35. A.C. Ducts: Insulation & Support Vent Fan: Exhaust above Insulation - --- ---- ------ ----- Condensate Drain & Overflow; Size & Grade Furnace -Vent Access -Comb. Air -Return Air Vent_ -_115V outlet Attic Access & Platform if Furnace in Attic Date FRAMING (Continued) -08-Property Line Firewall & Openings .49. -Ext. Doors -One 3' -Check Garage -3rd story, 2 exits Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection ywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing -Veneer -58, n sh-Drip Screed-Fdn. Vents-Underflr. Access azing Area -Glass Protection -Skylights -Plastic 55. Shear Walls; Nailing -Bolts Geste 6� Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FI AL (Plans) OK except N's 6. Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 59. Bedroom Exiting 60. G.F.I. & Bath Fixtures & Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth _ 64. Elec. Outlets at Wood Panel; Int. & Ezt. 65. Kit. Fixt. & Appliance; Grnd.-Air Ga} -Cooking Clearance 66. Elec. Outlets & Receptacles at Kit. Counter 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72. Insulation -Foam -Looked in Attic [:3 Yes 73. Guard Rails & Deck Construction -Post Caps 74. Fdn. Vents & Crawl !-tole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No 76. Stucco; Brown -Finish 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House 82. Glass Protection _ 83. Corrections from Previous Inspections CIL�84. Gas Test -Meters Ta ; Gas -Electric 85. Water & Sewe nected-C/0 to Grade -HD Approval 86, Energy Compliance Certificate -Other Certificates ------ - -- - --- - - Card -BI Date Card -BI Date Card -BI Date Card -BI _ Date Card -BI Pate Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMI Plans) OK except q's Comments at Final: �Is: 1per Material & Anchors _ 3 ds -Nailing, Spacing & Bracing -Plates -Sound alls over Girders & Floor Nailing •Q__ raft Stop in Walls (rat proof) _. t Stops: Furred Ceilings -Stairs -Chases -Tub e Beam -Size & Bearing angers -Post Caps -Anchors -Connectors d9r•Cing. Joist-Rfir. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfnq. ,"-Fireplace Ties or Type A Flue -Fireplace Throat -- -45_Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles -. .-- -- - -- -- --4&.-Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions A,Garage Fire Protection Framing (NOTE: An entry must be made each lime you visit job site) At i t t ttltd;q IStStill , tlim(, '! ! IAg ;Lllily!!'?; cI L Y:i, l,r lql �I A.UAdII! 1044; l� .lil, i'" „1 6 e dl:tlllli 6�I Yrs +tb; 1 O O - a a o N k �( 'r�N 3 ti N Z I IL b 8£'91 6 (8£' 15L cn rn N Q i OQ in M ski I'n o •�� Q\��8G'@bl ko ID CID CD Q z b~ I °D O` \�' M Z IZ o ZO N N ko LZ'60£1 9ZS 89'699� in r; .3 v co Z B9S b6'BSZ £6'86Z 1 M N O M„6b,LSOIO N. b61b 1' M i n o N K •� d n.- Q N 7 ` N to M J M Q h Lb'Zoe � q 0 w Qtt O•b0 £6'992 £5' 992 in t I NCID--- b Z Q 16 \ O i m $ �' l %Z — of 'Elis' \ o m ; \\ m f Vo. GI \\ LZ.6OrL ► • � �%z B%zos �� 'Lo'1,1.c. 8- 3 9Z,IZ oZ0 S r i I COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Croville, California 95965 - Telephone 916/534-4541 APPLICATA-MbefERMIT PERMIT NO. / ASSESSOR P R=EL DUMBE U ZONIN BUILDING PERMIT Off R ^I� `9 TELE H E SO. FT. OCC. BUILDING VALUATION LEAO O M LIN A D S I v Q CO CTO 'S NAME TELEPHONE CONTRA TOR'S MAILING ADDRESS Fireplace ` CONST UCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 L NDER'S MAILING ADDRESS Permit Fee $ ARCHIT CT OR ENGINEER LICENSE No. Plan Checking Fee Energy Plan Checking Fee $ ARCHITECT OR NGINEER'S MAILING ADDRESS Penalty $ BUILDING Ess Rd Q 2,001 Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 �© 1 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 STRUCT E SF[:]Duplex❑ Mobilehome❑ Other Dat SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 LC j�o Mobile Home I S I G JW 1 10.00 ea TYPE OF WORK NewX Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: Permit Fee $ —_ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 10.00 OQ 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAKY I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. w Div. 3 of the Business and Professions Code and my license is In full force and effect. License No. Classification 1, as the owner, or my employees with waves as their sole compen- sation, will do the work, and the structure .s not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contractirg with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Busiress and Professions Code for this reason NEW CONST. DWELLING OC c , � A BI.OUTLET �22sgft NEW CONSTR. ULT NON.RESID BRANCH CIRCUITS) 2.50 ea (POWER APPARATUS e.) (SINGLE OUTLET CIR. Ex. OCcup(OUTLETS OR FIXTURES 20050t .ALO 30 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 11 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any mannar so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 1 certify that i have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property fo- inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all Iia 'tie judg ts, costs, and expenses which may in any way accrue agai t s i C u in 4consequence of the granting of this permit. r _a g X Date b Signature of Applicant — Owngr Contractor ❑ Agent ❑ An OSHA permit is required for exc votions over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ occu P. CONST.TYPE I FLO0 PARCEL PD HD I SUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTaROF PUBLIC WORKS By Date . PERM EXPIRES Date ti Receipt No. �o I S 0_ WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, LDEN.00-APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CP ;6. 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET Permit No. F�OWNER r i Y ✓ V la/►' _C A. P. No. Proposed Building Use Permit Fee Based Upon: Complete Contract Price x DPW Valuation Building Inspector uate 7 i (,,) 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. .. ..`v��. Complete plans in up Icate: i.pliEate.°� Complete engineered plans and calcs, s 4. Com P P 9 � � 5. Plans with Energy Design Compliance Stat0 e �N4-` '•6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. Fees of $ 9. Letter of signature authorization. 11 J a 110..Sanitation approval from �� 10)1) ,, /•/('Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner[], Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. •Pre-Inspec. request to je 17. Pre -Inspection for Required. B(Dat ]Building Inspector ) 18: Recorded copy of Agricultural Acknowledgment Statement. nK/9. Other DRIVEWAY PERMIT IS&NSTRUCTION APPROVAL REQUIRED. PRIOR To OCCUPAkyb When you issue the permit, process as follows: ��. Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w./inspector. Copy of plans sent Health Dept., Fire Dept., Otner Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above a Ime f application, circle item.) 1. Index permit for above Items No. 2. Additional items required: fir N r (Contractor, Designe O as advised of above required data by Telephone Mail Other 'rpt - By—T Date Plans checked by Plans approved bi Other: Copy—DPW I Date Date 44 4 v To: Building',Department'. From: Environmental Health Subject: Sanitation Clearanc�, A. Owmer 7 Itf R -A 3 Location API Plan Approved for: SewaE, .,c dirponal water -upply Hold final for: -;;ater supply Final clearance O.K. for: watcr supply Clearance for -3 bedroom mobil. e(LE�M- Other &-A Sanitarian Date TO: Building -Department -4. FROM: Encroachment Permit Section R . E:- Driveway Clearance owner location AP elieeW has been issued for the. above property. Driveway permi t /Va 'N date 4ig&7_4d_" s gnat e COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information 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 aterials for construction of the proposed property improvement (yes or no) P 2. I (have/have not) Gym signed an application for a building permit for the proposed work. 3. I have contracted with the following person construction: Name Address (firm) to provide the proposed Phone IContractors License No. City 4. I plan to provide portions, of this work, but I have hired the following person to coordinate, supervi e, and provide the major work: Name !� AddressyC_/ City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security Number Date NOTE: This Owner -Builder Verification is sent to you.as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE -.DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Q.roville, CA 95965 PHONE: 916-534-4541 David & Terry Davis DATE 2/4/86 1365 Mt. Shasta Ave. Milpitod, CA 95035 ME Building Permit application #212-86 A.P. # 73-09-18 With reference to the above subject: Attached is: Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced OTHER /R 1 We need the following information: Permit application signed and completed where indicated with all copies returned. X Fees of $ 63.60 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 X Structural details in dsplic to or nd f10 r in ludi g st details & 15'x 15'x12' of Complete plans and calcs in ciea�sf ven o 4x1 MMEAeeor-orea elsieeet. Energy design including �1 Street and drainage improvement plan approval from Land Development Section sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 196 -Memorial Way, Chico 7 Csounty Center Dr.; Oroville Skyway & Elliott Rd., Paradise (DPW). Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. OTHER Should you have any questions concerning the above, please contact this office. JFG/aj DM Yours very truly, William Cheff Director of Public Works Glander ;1.F. hief Building Inspector COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Groville, California 95965 - Telephone 916/534-4541 APFLICATION AND PERMIT ERMd NO. ASSESSOR PARCEL NUMBER 73-09-18 ZONING BUILDING PERMIT Nvid &Terry Davis Eq °1'Sa TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1365 Mt- Shasts Ave-, Milpifng, CA_ ginis CONTRACTOR'S NAME ciwnpr TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee 1 $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking ree $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee PLUMBING PERMIT Filing Fee 10.00 rreek Dam Rd nrn1rj 13 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❑ OtherBuilding E Gas piping system 1 - 5 outlets 5.00 sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: 1st renewal of permit #212-86 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 At 100 AMP OR LESS Main service 6001 OR LESSIlk 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAM' I declare under pens y of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Bushes$ and Professions Code and my license Is Il full force and effect. License No. Classification FlI, 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 thi r ason NEW CONST. DWELLING OCCUP.61 , q it OR ACDNS. ACC. SLOGS. ��¢sea NEW CONST R. U CH CIRCUITS) 2.50 ea NON•R ESID BRANCH CIRC ITS (POWER APPARATUS &) I SINGLE OUTLET CIR, Ex. Ocu 20050# c p OUTLETS OR FIXTURES .ALO 30 FIXED Ex. OCCup. OU LETS (RESIDNS)REAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ RKMEN'S COMPENSATION INSURANCE I declare under arty 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 Irsurance 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, would you becomesubject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3,00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue Inst said County in consequence of the granting of this permit. X Date ignature of Applicant — Owner ❑ Contractor [I Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 53.25 OCCUP. CONST.TYPEJ I IFLOODIPARCIELI Po I No I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date 9110/88 the applicable provi- resolutions to do fees have been paid. WORKS Date p Receipt No. WNITE-O.R.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROOI-APPLICANT ;212-86 PERMIT NO. 1763-87B,P,E,M PERMIT EXPIRES -Z, -7 J. OWNER DAVID & TERRY DAVIS CO'NTR. owner ASSESSOR PARCEL 73-09-18 LOCATION S/S Binet Rd, 800' W of Lost Creek Dam Rd, Oroville• Temp. Pow Called Temp. Elec Called Temp. Gas Called Signati OK 0 = Not OK = Not Readyiable MOBILE HOMES MISCELLANEOUS . Date MOBILE HOME UTILITIES (Plans) OK except ##'s Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4..Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts- Beam s-Rftrs.-Con nec.- Shthg.-Rfg.-Bracing ,5. Electricity; Location-Clearances-Grnd.-/ / Amp-Goncrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/. /"L"ft./ . /"LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -131 Date Card -B1 Date 10. Roof; Shthg-Roofing Card -131 Date Card -B1 Date 11. Ext.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #% 1. Zoning Requirements -Setbacks -Easements Card -131 Date Card -B1 Date 2. Footings; Size -Spacing -Marriage Line Card -61 Date Card -B1 Date 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test-Crossovers-Breakers-Clea rar-ces Date POOLS (Plans) OK except #'s 5. Drain; MH Test -Fall -Flex Connector 1. Setbacks -Easements 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability 7. Water and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit Card -B1 Date Card -B1 Date Card -B1 Date Card -131 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -B1 Date Card -B1 Date Card -131 Date Card -131 Date = OK 0 = Not OK - = Not Applicable = Not Ready Date UNDEJ RESIDENTIAL (Single and Duplex) OK except #'s Hing requirements -Setbacks -Easements . Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Deptl 4. Ftg., Porches & Decks; Soils -Steel-/ /" 5. Stemwalls, Main; Steel- Bloc kouts-Wrappe 6. Stemwalls, Garage; Steel -Bloc L&.-Viers-Fireolace Fta.-Steel 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Card -131 Dat -/ - and -B1 Date Card -B1 Date Card -131 Date Date PVdMI31NG (Permit) OK except #'s §it7i/ater Ht. Vent -Access -Combustion Air 7. Water Pipe; Test & Anchors -Nail Protection D.W.V.; Test-Fttngs & Anchors -Nail Protection est, First Floor -Tub Access 20-iest--T b -Shower, 2nd Floor -Tub Access 2L_Ges-Pt(3e; Size & Anchors Card -1342p Datej_�go Card -131 Date Card -B1 Date Card -81 Date Date ELECTRICAL (Permit) OK except #'s A. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 2 Size Boxes & No. of Conductors -Stapled Comex Installed Close to Edge of Studs & C.J. 6. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 2 Appliance Circuits in Kitchen & Conductor Size 2 / a. Cu or AI-A.C. Wire Size / /ga. �C.0-6r A 6-n. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or AI. Jnsulated Neutral Yes No 0. Service -Riser Conductors & Ground -Main Disconnect 3-1---Equip--Glearances Panels-Motors-Mech. Equip. 32-etvtNes-Closet Light -Shower Light -Spa Light Card -131 Date Card -B1 Date Card -81 Date Card -B1 Date Date MECHANICAL (Permit) OK except #'s •83 -A -e -Ducts Insulation & Support 3 r-TeTiTF r Exhaust above insulation ate Drain & Overflow; Size & Grade 36-FOPRffce-Vent; Access -Comb. Air -Return Air Vent -115 outlet c Access & Platform if Furnace in Attic Card -131 Date�� r and -131 Date Card -B1 M Date ' and -61 Date Date FR ING (Plans) OK except #'s Sills, Proper Material & Anchors LSO.,Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing ft Stop in Walls (rht proof) T..fid*e Stops; Furred Ceilings -Stairs -Chases -Tub Header & Beam -Size & Bearing Date _ FRAMING (Continued) Flangers-Post Caps -Anchors -Connectors 4T Plog. Joist-Rftr. Ties-PVrlin-_PQef Brac.-Truss-Shthng.-Rfng. Fireplace Ties or Type lue-Fireplace Throat lemic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 8. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing wall & Openings c.5 ExL. Doors -One T -Check Garage -3rd sto r� Atairs; Width -Head room- Rise- Run- Land in§,," -Pr " ctio &W, Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing Veneer d. Vents-Underflr. Access GlazingArea-Glass Protection -Skylights -Plastic uW�Shear Walls; Nailing -Bolts 58. Insulation-Walls-Clg. 59. Infiltration-Walls-Wndws Card-Blceo DataiR32>i Card -B1 Date Card -B1 Date Card -B1 Date Date FINAL (Plans) OK except #'s ✓80. Ext. Steps -Door & Sidelight Protection -Landings v61. Smoke Detector -62.=Furnace--Vents-Clearance-Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 1,63 -Bedroom Exiting G.F.I. & Bath Fixtures & Tub Access -Spa. i-6 . Elec. Trim & Subpanel; Breaker Sizes -Labels '•'66. Stairs & Rails '-6f Fireplace or Stove; Clearances -Hearth 8. Elec. Outlets at Wood Panel; Int. & Ext. 9. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance t . Elec. Outlets & Receptacles at Kit. Counter Garage Fire Door; Swing -Landing -Closer 72: "-DQcrtn-Garage=Damper 173. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection UA-Plb., Elec. & Mech. Equip. Listed for Location L, . Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. Insulation -Foam -Looked in Attic ®-Yes 7 . ass onstruction-Post Caps 78-F4"ent ole Door -Drainage & Wood -Earth Clearance Looked under Floor D Yes 79. Following instld.; Drive ,O-YHs O No; -Walks O Yes IP_Nci Planters O Yes " -80:-Stucco Brown=Finish-- 81�-A G.-Unit-,,-Disconnect,-Electrical, Plumbing (/62. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. i- 3 Water. Well; Disconnect, Electrical, Plumbing xterior Elec. Trim; 6- 1. Receptacle -Underground 85._Ventilation throughout House 86"Gi ss Protection L-97. Corrections from Previous Inpections - Tagged; Gas -Electric (__69. W t&- & Sewer Connected -C/O to Grade -HD Approval /09 . Energy Compliance Certificate -Other Certificates Card -B1 C Dat Card -81 Date Card -B1 Date Card -B1 Date Card -131 Date Card -131 Date Comments at Final: (NOTE: An entry must be made each time you visit iob site) Owner: haUil `/errr� �b/s Permit No. ) 7 63 -- -T.1 ENERGY CERTIFICAT ION LOCATION DESCRIPTION OF INSULATION ROOF Material Thickness(inches) EXTERIOR WALL r, Material ` Thickness(inche CEILING Batt or Blanket Type2� Thickness(inches)_. Loose Fill Type Minimum Thickness(Inches) Area covered(ft.2) FLOOR, ELEVATED Material Thickness(inches) FLOOR, SLAB Material Thickness(inches) Width(inches) FOUNDATION WALL Material Thickness(inches) A. P. No. Brand Name Thermal Resistance (R Value) Brand Name Thermal Resistance(R Value) —/ Brand Name n c Thermal Resistance(R Value) Brand Name Number of Bags Wt. per bag lb. Thermal Resistance(R Value) Brand Name n C, f --- Thermal Thermal Resistance(R Value) / Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) I hereby certify that the above insulation was installed in the above building in cqn€4rmance w4h the,St�ate of California Energy Requirements. STATE CONTRACTOR S% LIICCEENNSE NO. APPLICATOR DATE I hereby certify the above insulation and all required items as shown on the Building Department 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 California. STATE CONTRACTORS LIICENSE NO. DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. January 1984 COUNTY OF BUTTE DEPARTMENT OF PUBLIC �VORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — P6ne: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 1 CORRECTION NOTICE INER PERMIT NO. A routine inspection indicates that the -following violations of County Ordinance I 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 con'tact this office. immediately. I Inspector Date, I COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Ororille, California 95966% Telephone: 916/538-7541 APPLICAPON ACIP PERMIT PERM T NO� ASS SO PARCEL NUMB R ZON�G-02 _ BUILDING PER owIVE� V` e / 1 J T EPHON SO. FT. OCC. BUILDING VALUATION OWN 'S AI IN DDRESS ea � 3 $ C TR CTOR'S NAME Z TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace 1 000— CO S RUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 1000 LENDER'S MAILING ADDRESS Permit Fee $ 91,00 A ITECT OR ENGINEER 0 LICENSE NO. Plan Checking Fee $ 1117,049 Energy Plan Checking Fee $ , /105-1 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDS _ AMS �J Permit fee $ 11 PLUMBING PERMIT Filing Fee io.00 Ea c Trap 2.00 V I ar r heat pump water heater 20.00 Q 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 0.00 ea TYPE OF WORK New ] Addition Remode Utilities[Inst 11 t' Other] Describe work: ) r A 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 ChapL 9, Div. 3 of the Business and Professions Code and my license s in full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structu,-e is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contrasting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason OR ADDNST ( DWEACCLBL GSO.CC 'h2sgft NEW CONSTRMULTI-OUTLET_ NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) SINGLE OUTLET CIR. Ex. OCCup�_OUTLETS OR FIXTURES SAL020@30 awLO 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 $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. E] 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensa-ion Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any nanner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statervent, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with, such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating — Cooling Hood 3.00 Ventilation �-- Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Orcinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned propwty for inspection purposes. I also agree to save, indemnify and keep harmiless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against ounty in co eque f the granting of this permit. " e X �✓ Date ~� K7 Signature of Applicant- Ownerg Contractor ❑ Agent ❑ An OSHA permit is required fore ovations over 5'0" deep and demolition or construct- ion of structures over33 stories ' Sight. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 91 occuP. tl_e2 coNs PE F1"JP11r P11 N Ssu This permit is hereby issued under sions f the Butte County. Code and/or wor i dicated above for which fees �! ECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS ,� Date 5� 4 7 Receipt No. � WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, COLDENROD-APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUPI_ I,3 WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVI-LE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 - ;4 PERMIT �APPLICATION DATA SHEET Permit No. OWNER I! 1 Q V I { - A P. No. Co � 81 Proposed Building Use �� ✓ a �Cf/� Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing andJor issuance: DATE RECEIVED APPROVED 1. All items have been submitted . . . . . . . . . . . . . 2. Plot plans in duplicate./triplicate, s.gned by preparer of plans, , 3. Complete plans in duplicate. /triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fee's Paid" Stamp on Floor Plan . . . . . . , . 7 Statement of Intent for Non -Heated and AC Buildings, 8. Fees of $ , , , , , , , , Letter of signature authorizat'-n,J Y / Yet: Sanitation approval from 0 J Health Dept, 11. Planning approval for (A) Use: (B) Parking:- arking: 12. 12, Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) , 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ), _15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . 8. Pre-Inspec. request t (Date) Pre -Inspection for Required, Building Inspector Recorded copy of Agricultural Ackiowledgment Statement. (ol� r° �) -�- Driveway Permit. y 20. Plot plan approval from city of 21. 22, When you issue the permit, process as follows: Mail to owner, Mail to contractor. Telephone End hold for pickup at office, Deliver w/inspector, Other Applicant svi �' f-�' D % 'c_/pate Copy of plans sent Health Dept., Fire Dept„ Other Date The following data must be submitter 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 or above required data by_phone---nail—counter by date Contractor, designer, owner, was advised of above required data by—phone —ma ll—counter by date Plans checked by Dace Plans approved by Date Sets of plans on hold in Copy—DPW Fi a cabinet AP folder — Flours: 10:00 a.m. - 3:00 p.m. K NOTE Sanitarian Date/ TO Buildina Department FROM: Environmental Health' SUBJECT: Sanitation Clearance nj Owner Location. AP# Plan Approved for: Se�qage Dispos'al Water SupplV Hold final for: Water Supply Final clearance O.K. for: f Water Supply Clearance for bedroom mobile' Other caln th C NOTE Sanitarian Date/ e COUNTY OF BUTTE - Department of Public Works s 7 County -Center Drive, Oroville, CA 95965 Phone: 916 538=7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building perm -_'t 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) I�Ie5-. 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the fallowing 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: i Property Owner Social Security N)u er Date �� V, -w�Coiir% 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 perTZ, mitted to issue the permit. FORM I RESIDENTIAL ENERGY PLAN CHECK/INSPECTION/ SUMMARY Owner r2 ay/S Climate Zone /(O Permit No.IA.3rg Floor Area Compliance path: Package ❑ A ❑ B ❑ C ❑ Point System ❑ Budget ❑ Other 3 MIN R -VALUE DESCRIPTION REQ'D INSTALLED ITEMS (1) INSULATION: is Roof/Ceiling is Wall 117- ❑ Slab Floor Perimeter ❑ Raised Floor (2) INFILTRATION• ® (A) A vapor barrier is required in climate zones, 1, 14 &63D (B) All manufactured windows and sliding glass doors shall meet the 1972 ANSI Air Infiltration Standards and shall be certified and labeled. (C) All swinging doors and windows leading to unconditioned areas shall be fully weatherstripped. ` Tight - the above standard features plus: ❑ (D) Continuous infiltration barrier ❑ (E) Electrical outlet plate gasket ❑ (F) Air-to-air heat exchanger (3) GLAZING: (A) Location (Area Glazing %Floor Area Single Double Triple Total Bldg, /CyZ 17 _ North Z q- Z. 7 --�— East 419 _L j South 9, 7 x West Z• 7 X ❑ Skylights (B) Shading Shading Coefficient Description: ❑ East J/ A6, C7CAXI N(► ❑ South__' t( f ❑ West • (oG ` K �� ❑ Skylights ❑ (C) South Overhang Length of. projection 4 ft.: ,,Description ❑ (D)'Moveableiinsulation: Area ft Description: 5 + t t z (E) Thermal mass 2' ❑ Type - Area, Ft.HC= R= MC= Location ` ❑ Type, - Area Ft.Z HC= i R= MC= Location ❑ Type - Area Ft.2 HC= R= MC= Location ❑ Type - Area Ft.Z HC= R= MC= Location ❑ Type - Area Ft.2 HC= R= MC= Location ❑ s. Type - Area Ft.Z HC= R= MC= Location 7/83 FORM (4) MASONRY AND FACTORY -BUILT FIREPLACES shall be equipped with tight fitting.closeable metal or glass doors covering the entire opening of the firebox; a combusion air intake equipped with a readily accessible, openaole, and tight fitting damper to draw air from the. outside of the building; and a'tight fitting flue.damper with a readily accessible control. *1(5) HEATING; VENTILATING, AIR CONDITIONING SYSTEM (A) Heating ❑ Central Gas Furnace 13 (brand and model number) Btu/hr (heating capacity) Heat Pump ACOP (brand and model number) Btu/hr (heating capacity at 47°F) Active Solar SE type (liquid or air) Collector brand and ft2 model number solar fraction collector area collector orientation collector tilt rated y -intercept. rated slope Other f✓S lf%O� Sir011 (describe) *1 (B) Cooling ❑ Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr (cooling capacity at 95°F) ❑ Electric Heat Pump EER Btu/hr (cooling capacity at 95°F) ❑ Other (describe) ❑ (C) A TWO-STAGE THERMOSTAT, which controls the supplementary heat'on its second stage, shall be required for heat pumps. ❑ (D) AN AUTOMATIC SETBACK shall be provided for all thermostats, except those controlling heat pumps. ❑ (E) AN INTERMI—_TENT IGNITION DEVICE shall be provided for all gas-fired fan type central furnaces, gas-fired fan type wall furnaces and gas cooking appliances. (F) BACKDRAFT DAMPERS shall be provided for all fan systems exhausting air to the outside. ❑ (G) DUCT CONSTRUCTION & INSULATION. All transverse duct, plenum, and fitting joints shall be sealed with pressure sensitive tape or mastic to prevent air loss and shall be insulated to conform to the provisions of Section 1005 of the UMC, 1976 Edition. 7/83 2 . :.'FORM 1 (6) DOMESTIC WATER SYSTEM ❑ (A) Gas Only Gallons (brand and model number) (tank size) ❑ Heat Pump w/Electric Backup (brand and model number) Gallons (tank size) ❑ *2 Active Solar (collector brand and model number) (rated y -intercept) (rated slope), (solar fraction) ft2 (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) ❑ Location of .Solar Panels Other 4EL. C}-? t C. (Describe) (B) TANK INSULATION. Storage type water heaters and storage and backup tanks -for solar systems shall be externally wrapped with R-12 insulation or greater. (C) PIPE INSULATION. The five feet of pipe closest to the water heater and cutside conditioned space shall be insulated with a minimum of R-3. Steam, and steam conditioned space shall be insulated with a minimum of R-3. Steam and steam condensation return piping and recirculating hot water piping outside the building envelope shall be insulated in accordance with T20 -1408(d) - go (D) FLOW RESTRICTORS shall be provided for showerheads and faucets as outlined in the new appliance efficiency standards and shall be certified to the Energy Commission.. (7) LIGHTING (A) Lamps used in luminaries for general lighting in kitchens and bathrooms stall have an efficacy of not less than 25 lumens per watt (usually florescent). *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(-g), and fill out the following: Heating: Winter design temperature °, elevation ', heating load BTU eleva ion factor x heating load = maximum outlet capacity gas furnace BTU Cooling: Summer design temperature °., cooling load �,(%� BTU (USE ONLY AS A SIZING GUIDE, COOLING MAY BE INADEQUATE) *2 Submit T.I.P.S.E. chart or other approved system (form #5)'to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 cf the California Administration Code. YvaRv' _ - 7/83 SI ATURE OF BOI LDINX DES! GNL'R OR APPLICANT 3 ZONE 10 POINTS OVNER • PERMIT NO. ASSIGNED ACTUAL I. Si:.3 - I:}1TION NONE -8 2. RAISED .'•LOOR - R- 19 3. CGILIJIG - R- 38 57-32( 0 A 4. WALL - - 19 ,., d:c r.ln. Lrsa In IIUVIa[Iun rCs. R -Value of Insulation Points 19 -8 22 -6 30 -2 38 0 49 0 s 5. NORTH GL?ZING - 2.9-4.27. 217 �y �Tabic 3-4a. wall Insulation Points �i 6. EAST GLAZING - 3.1-3.2`!. �14 /,Iv 7. SOUTH GLAZIN - 0-4.2% %�17� yG 1 "1 IL S. WEST GLAZING - 3.6-4.2; p+ 7 + 1 9. SKYLIGHT - NONE 14. THERii1.L SASS NONE 10. SHADING (Exclude Overhang) 0 7 -~ R -Value of Insulation Points 11 -8 IS 0 24 +2 '30 +3 EAST - .42-.66 �_ Table 3-5. North -Facing Glazing Pts Total Z of Floor SOU?H - U14LI11ITED _ -16 WEST - .42-.66 Area Srgl, SKYLIGHT - NONE � 11. HCRIZONTAL SOU:--'. OVERHANG - ANY U - 12. MOVABLE INSUL T!30 0-3.5% 0.66 13. O INFILTRATICJJ (Standard381(Tigilt=y}2j � , 14. THERii1.L SASS NONE do -n 15. GAS FUR::ACE 71-74% 0 7 16. 4EAT ?U:JP (EER) N/A +6 17. DUAL PAC:; St", Sc"=.n.)H/A 0.8- 1.3 13. ACTIVE SOLAn 60% MIN. NONE +5 19. ZONALL7 CONT.aOLLED ELECTRIC - 20. SOL1R 'Ii:H GAS 3ACKUP .9NSF -3 0 +2 . 4.3- 5.2 21. OTHER - NO ELECTRIC 140;% q v Total Z of Floor Glazing Type _ -16 2 - 3 Area Srgl, Dbl. Trpl, -6 U - U - U - -2 0.66 0.42- 0.61 '1•r 1.10 0.65 do -n 0 4 7 0 7 07 up to'0.7 +6 +6 1 +T 0.8- 1.3 +3 +4 +5 1.6- 2.8 J -4 +3 2.9- 4.2 -3 0 +2 . 4.3- 5.2 -5 -2 0 5.3- 6.1 -8 -4 -2 6.2- 7.2 , -10 -6 -3 . 7.3- 9.2 -13 -8 -5 .9.3-10.3 -1.5 -10 -6 10.4-11.2 -19 -12 -8 11.3-12.4 -21 -14 -9 12.5-13.2 -24 -16 -I1 13.3-14.5 -26 -18- -12 14.5-15.6 -29 -20 -15 - L] C...., n -(b. r! -.In- Dr. T.1,1n '-In W.-_ Total X of Floor Clazing Type 0 - t -16 2 - 3 Area Sngl, 6b1, Trpl.. -6 U - U - U - -2 0.66- 0.A2- 0.42 '1•r 1.10 0.65 down O o2 ►2 +2 up to 4.2 0 0 0 4.3- 6.3 -3 -2 -1 6.4- 6.0 -6 -4 -3 8.1- 9.5 -9 -6 -5 9.6-10.9 -ll -8 :6 11.0-12.7 -16 -11 -9 12.8-14.4 -20 -14 -11 14.5-16.2 -24 -17 -Is Total Glatigg Type 1 of Floor Area Sngl, Dbl, Trpl, U - U - U - 0.66- 0.42- 0.41 1.10 0.65 do1•-I O +10 +r0 +/o up to 1.2 +7 +8 +8 1.3- 2.0 +4 1 +6 +1 2.1-2.7 +2 +. +3 2.8- 3.5 -1 +2 +4 3.6- 4.2 -4 0 +2 4.3- 5.0 -7 -2 0 5.1- 5.7 -10 -4 -I 5.8- 6.4 -13 -6 -4 6.5- 7.0 -15 -8 -6 7.1- 7.7 -18 -l0 -7 7.8- 8.4 -21 -12 -9 8.5- 9.0 -24 -14 -t0 9.1- 9.5 -26 -16 -12 9.6-10.1 -29 -18 -14 10.2-11.0 -33 -21 -Io 11.1-12.0 -37 -24 -18 12.1-12.8 -41 -27 -20 12.9-13.7 . -45 -30 -22 13.6-14.6 -50 -33 -25 14.7-15.5 -54 -36 -27 Table 3-6. Fast-Facin�rzinR Pts. Table 3-9. Skylight Points G% G T- %A/�/ i ITE:!S SHO!;,'; - ZERO ?OI:;:S T-AIn t-1 8.1 ..A-, �,..1 .... bl- 3-1. Slab Flear Points :�s•lia- R-:a:ue of Insulation Cc, th, inches U-? 1 3-4 5-6 . 7+ 0 - 1: -8 -5 I -8 1 -8 1 2 - is -B -3 -2 -2 16 =l9 -8 -3 -1 0 20 + 1 -8 -2 0 +1 R -Value of Insulation Points 0 - t -16 2 - 3 -12 4- 5 -8 6-8 -6 9 - 13 -4 14 - 18 -2 19 up 0 YOU AVelf*C ,eeQP-w.ta<s 7 / 7 /3 Meeitir CaXi _ -j Total of Floor Glazing. Type _-, 0.8-I 1.5 .� . Area 3.7.-� 16.3 Area Sngl, Dbl, Trpl, U - U U • 0 0.66- 0.42- 0.41 '1•r l.lU 0.65 down O o 7 e7 '07 up to 0.6 +6 +6 +6 0.7- 1.8 +5 +6 +4 1.9- 3.0 0 +2 +2 3.1- 3.2 -3 0 0 3.3- 5.4 -7 - -1 5.5- 6.5 -10 -4 -3 6.6- 7.5 -13 -6 -5 1.6- 8.5 -l6 '-8 -7 8.6- 9.5 -18 -10 -8 9.6-10.4 -21 -12 -10 10.5-11.7 -24 -15 -12 11.8-12.9 -2S -18 -14 13.0-14.0 -31 -21 -16 14.1-15.1 -34 -24 -18 Total X of Floor Glazing Type _-, 0.8-I 1.5 .� . Area 3.7.-� 16.3 Area Sngl. Dbl. Trpl, U U - U 0 0.66- 0.42- 0.41 '1•r 1.10 0.65 do -n up to 1.2 -3 -2 -2 1.3- 2.0 -6 -4 -3 2.1- 2.7 -8 -6 -5 2.8- 3.5 -11 -8 -6 3.6- 4.2 -14 -10 -8 4.3- 5.0 -17 -12 -l0 5.1- 5.7 -21 -14 ,-12 5.8- 6.4 -23 -16 -14 6.5- 7.0 -25 -18 -16 1.1- 7.7 -28 -20 -17 7.8- 8.4 -31 -22 -19 8.5= 9.0 -34 -24 -20 9.1- 9.5 -36 -26 -22 9.6-10.1 -39 -28 -24 Sc by Or le n- 0- 0.7 _-, 0.8-I 1.5 .� . Area 3.7.-� 16.3 I tation ft 0 - .2l 0 >i► ai- .O- ii? '1•r 22- .GI Past D- 0.8- l.6- 3.2- 6.4-1 E•i 0 0 0.7 l.5 J.1 R.3 7.9 1 u; j J%a- -3 Af-t4a _f2 -Y Skylight 0- 0.4- mix 0-.21 0 • 0.3 � .74 13.1 61 0 0 41 43 I +10t/2 -;Lt .-tom 22 •• .41 .42-.64 0 0 0 0 0 0 .67-.85 0 0 -1 --►3 -•Mi --t .86 up 0 .0w jig Orb- 0-w -y+p South All All 0 Vest 0- 0.7 _-, 0.8-I 1.5 1.6-I 13.1 3.7.-� 16.3 I - ft 0 - .2l 0 >i► ai- .O- ii? '1•r 22- .GI 0 0 _#1 -13 46 �. 42 - .66 67 - .85 0 0 0 0 0 • 1 0 1 0 -►3 -+6 -+7 .86 up 0 -1 J%a- -3 Af-t4a _f2 Ai 1 --1$ Skylight 0- 0.4- 0.8- •4 1.6-1 3.7-i 0.3 0.7 1.5 13.1 13.9 `•.- 0 - .21 0 +1 .rF- +2 • 5- s2- Pi- I +10t/2 -;Lt .-tom 22 •• .41 0 0 +1 43 +6 47 42 - .66 0 0 C 0 O 61 - .3s� 86 up 0 0 0 It- -*1 a3 40-- oil - --6 -7 I Table 3-11. Horlr.ontal South Mh r.l-r. South Glazing Lenqth Out Atea, of FLoar from Wall ft 0-6.3 6.4 up All 0 0 Is 4 8 7 r 1' 9 9 8.3 O DED BUT E COU'N'TY aRetu& to DPW. AGRICULTURAL 'STATEMENT OF ACKNOWLEDGEMENT DEC FOR RESIDENTIAL DEVELOPMENT OFFICIAL RECORDS BY .�� PAF1 SH®fib° Section 26-8.1 of the Butte County Code requires this acknowledgement. be recorded prior to issuance of a building9'7 19983 permit. — 198T ,iUN —2 M 2 08 The property described herein is adjacent to land or included CAND.4CE J. GRUBBS within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort arising from CLERK—RECORDER FEE the use of agricultural chemicals, including, but not.limited to herbicides, pesticides and fertilizers; and from the pursuit of agricultural operations including, but not limited Pages to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Date: PROPE WN OERS: dzvl GLaC I#VI V/S __._.__...... _ State of y ) On this. the as day of C%//A1 19-L-7. 7, before �) SS. me, the undersigned Notary Public, personally appeared County of SANDY A. STACK ■ �• NOTARY PUBLIC -CALIFORNIA • ■ Butte County ■ ■ My Commission E)Oms Nov. 3,1989 ■ ■ ■•■■■ G's ■■■■■■■■■■■■■■1/■■ ?ersonally known to me. //T/- Proved to me on the basis of satisfactory evidence. to bB the person(s) whose hame(s) /J subscribed to the within instrument and.acknowledged that executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Notary Public Present A.P. No. DESCRIPTION: .87-419`983 � i. All that certain real property situate in the County of Butte, State of California, described as follows: PARCEL I: All that portion of Section 25, Township 20 North, Range 7 East, M.D.B. & M., more particularly described as follows: COMMENCING at the Southwest -corner of said Section 25; thence Easterly along the South line of said Section 25, South 88° 05' 39" East, 1155.70 feet to a point; thence Northerly along A line parallel to the West line of said Section 25, North 02° 21' 26" West, a distance of 533.06 feet to the point of beginning for the parcel herein described; thence North 880 05' 39" West 490.30 feet to a point; thence Northerly along a line parallel to the West line of said Section 25, North 02° 21' 26" West, a distance of 204.02 feet to a point on the centerline of an existing road; thence Northeasterly along the centerline of said road, the following 7 (seven) consecutive courses: North 670 32' 35" East, 132.53 feet North 57° 32' 22" East, 25.03 feet North 490 50' 32" East, 135.89 feet North 67° 00' 02" East, 24.19'feet North 800 12' 39" East, 87.13 feet North 57° 31' 30" East, 69.74 feet North 58.° 20' 26" East, 75..80 feet to a point that bears North 02° 21' 26" West from the point of beginning; thence South 2° 21' 26" East and parallel with the West line c -f said Section 25, a distance of 473.74 feet to the point of beginning. PARCEL II: The right to use a non-exclusive easement for road and utility purposes 60 feet in width, 30 feet on each side of the following described line: COMMENCING at the Southwest corner of said Section 25; thence South 88° 03' 39" East along the Southerly line of said Section 25, a distance of 1155.70 feet to the point o:f beginning for said line; thence North 02° 21' 26" West 1006.80 feet to a point on the centerline of the existing road and the end of said ling. EXCEPTING THEREFROM that portion lying within the bounds of Parcel I, above. PARCEL III: The right to use a non-exclusive easement for road and utility purposes 60 feet. in width, 30 feet an each side -of the following described line: (continued) 3'���, i' 1F,� 8 7 - 19 9.8 3 PARCEL III - CONTINUED COMMENCING at the Southwest corner of said Section 25; thence South 88° 05' 39" East 665.40 feet to the point of beginning for said line; thence North 02° 21' 26" West 737.08 feet to a point on the centerline of the existing road and the end of said line. EXCEPTING THEREFROM that portion lying within the bounds of Parcel I, above. PARCEL IV: The right to use a non-exclusive easement for road purposes 30 feet in width, 15 feet on each side of the centerline of which is described as follows: COMMENCING at the Southwest corner of said Section 25; thence South 88° 05' 39" East. 1155.70 feet; thence North 020 21' 26" West, 140.15 feet to the point of beginning of the centerline of said easement; thence the following 7(seven) consecutive courses: North 730 18' 20" East,-42.27„feet North 60° 21' 00” East, 75.00 feet North 52° 03' 50" East, 60.00'feet North 43° 11' 50" East, 75.00 feet North 380 06' 30" East, 75.00 feet North 24° 15' 30" East, 22.50jeet North 06° 15' 55" East, 36.24 feet to'a point on the Westerly boundary of that certain area known as the "Pond Area". PARCEL V: The right to use for recreational and domestic drinking water purposes an area known as the "Pond Area" which is described as.follows: COMMENCING at the Southwest corner of said Section 25; thence Easterly along the South line of said Section 25, South 88° 05' 39".East, 1155.70 feet; thence North 02° 21' 26" West, 526.45 feet;.thence South 88° 05' 39" East for 338.90 feet to the point of beginning of the ;parcel herein described; thence from said point of beginning, South 88° 05' 39" East, 151.40 feet; thence South 02°21',26" East, 265.45 feet; thence the following 8 (eight) consecutive courses: North 770 47' 30" West, 10.03 feet North 580 47' 50" West, 38.00 feet North 36° 53' 40" West, 25.00 feet North 220 51' 50" West, 60.00 feet North 470 03'. 30" West, 34.00 feet North 740 43' 10" West, 120.010 feet. North 16°.45' 50" East, 50.00 feet North 320 19' 30" East, 83.40 feet to the point of beginning. END OF DOCUMENT -� " i,. w 4NI""s