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HomeMy WebLinkAbout073-120-052[�DN SECHRIST OCD �O5 At1dove-r- Dr, lot 191,PPCC#3 ntra -Marvin..An rson Paradise,LAWRLENCrmit#38 -75P E ut'l. �i)ELEC. DC7 15 Andover-, PPCC#3, 1 t 191 _V ag. GAS Contr : McMillan MH Ser, Parw�lse t " SUPPOR.STRUMURE REQ. Permit #4368-79MHI (existing sites); COMPACTION TEST REQ.. Issued %`02�—'% i - CONTR . Par Gas, Chico 16 0-16 PETERSON, OGordon •926 `BPEM �.''. /J 1 .Permit 4,Lda�-i -,c„-.___ " 13828 Andover- mna. i ; � -_ uuwm : Shasta Trail- r Sales vvv __R`S-,.., "'-JYOJ V , i Chid PETERSON, GORDON Permit #4674-75MHI 13828 ANDOVER, MAGALIA� Issued --2 — - __ Cont: UNKNOWN LNDRYRM ADD&BRZWY 4 Ct4- (,tJ —6 6 - 2 0-16 1 A. LaScala 3 5 An o r D".' 191 CC ga 2 mit �';/�� > ew ga -a �. o m) I 1 ° ~l�tt�" 61LJ)tOJ� ;20-16 {W� Dorothy Tab(®ZX&I3,m4plia ` fi 315 Andover Dr"'.. lot 191, t F contr: Mari -John Const., Magalia J� h Permit �#1317-78B,E new p ( private garage) 4 I Z96,0*0/f/% 66-20-16 f contr: Fuller Const., Mqpl:ia PermiO3RUCTURE -78 �sti1.,MH)RELOCATE fir, f" ELEC ,� GAS -r U SUPP REQ. y COMPACTION TEST REQ. 66-20-16 - -- - - - - - Permit #5672-78P ins . MH %®P P. 1 gas piping) _ 66-z-20-16 - Permit #5688-78MHI fj�' Issued d 0 icri) ICS 4 NOTES RESIDENTIAL PERMIT NO. 066-200-016 04-3485 PETERSON, GORDON 13828 ANDOVER, MAGALIA Cont: UNKNOWN LNDRYRM ADD&BRZWY & 0 i SPECIAL CONDITIONS CHECKED BY 8kA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REG. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER < JOB FINALE'D.,(Pate) Signature t i SPECIAL CONDITIONS CHECKED BY 8kA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REG. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER < JOB FINALE'D.,(Pate) Signature V.= OK 0 = Not OK . = NotReadyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or / /" L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office 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, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels 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, Distance-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- Panel boards- Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UND FLOOR (Plans) OK except #'s 17. ng -Setbacks -Easements -Flood -Slope 18. Water Pipe; Test & Anchor- rotection tg., Main; Soils-Elec. Grnd.-/t " 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 -Anchors -Regulator -Service Test 12. Elegtric Underqround 13. plenums & Ducts; Clearance -Material -Support -Ins. AU15 Q, J, W. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date , Card B-1 , f < Date Card B-1 D tae Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent-Access-Combusti it Baffle 18. Water Pipe; Test & Anchor- rotection 19. D.W.V.; Test Fittin nchor-Nail Protection 20. Shower Pa • st, First Floor -Tub Access 21. Test & Shower, Second Floor -Tub Access 22 as Pipe; Sixe & Anchors 3. Fire Sorinkler: Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixt Transformer Clearance -Ins. Protection Card B-1 Date Card B-1 ec. Receptacles Spacing -Lights & Switches at Doors jk"Tize Boxes & No. of Conductors Stapled 38. om Installed Close to Edge of Studs & C.J. quip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. 32. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral ❑ Yes ❑ No Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. • 34. Clothes Closet Light -Shower Light -Spa Light l 35. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Card B-1 Date Card B-1 36. A.C. Ducts Insulation & Support Card B-1 Date Card B-1 37. Vent Fan, Exhaust above insulatio 38. Condensate Drain & Ov Size &Grade 39. Furnace -Vent ss -Comb. Ait-Return Air Vent 115 Outlet 40. Attic 6pe<ss & Platform if Furnace in Attic Date 67. rd B-1 Date Card B-1 Date 68. Card B-1 Date Card B-1 D e FRA NG (Permit) OK except #'s Elec. Trim & Subpanel, Breaker Sizes & Labels Sills Proper Materials & Anchors Stairs & Rails Walls Studs -Nailing Spacing & Braces -Plates -Sound Fireplace or St e, Clearance Hearth e ring Walls over Girders & Floor Nailing Elec. Outlets a Wood Panel, Int. & Ext. . D ft Stop in Walls (rat proof) 4 Fir tops, Furred Ceilings -Stairs -Chasers -Tubs 46 eaders & Beams -Size & Bearing 76. A.C. Duct in arage-Damper Date FRAMING (Continued) an ers-Post Caps -Anchors -Connectors g. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. ,J"Flre�p'ace Ties or Type A Flue -Fireplace Throat Clearance 59-_AttfCAccess; Size & Romex Protection -Draft Stop -Ins. Baffles 5#r-Bdrtw. Windows or Exiting Doors -Sill Ht. & Dimensions 52-Gerage Fire Protection Framing -RC Channel 53r-Frt7Mrty Line Firewall & Openings 54-eRr D6ors-One 3' -Check Garage 3rd Story, 2 Exits idth-Headroom-Rise-Run-Landing-Fire Protection lywood on Roof Overhang -Attic Vents -Rafter Outriggers Ing- ailing Veneer St'St_ucco Mesh -Drip Screed -Fd. Vents-Underflr. Access " 59-.- a Ing Area -Glass Protection -Skylights -Plastic r 69-64eer-,Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents-cle rance-Comb, Air -Connector - In Garage; Above loor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or St e, Clearance Hearth 72. Elec. Outlets a Wood Panel, Int. & Ext. 73. Kit. Fixt. & Ap lance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets Receptacles at Kit. Counter 75. Garage Fire oor; Swing -Landing -Closure 76. A.C. Duct in arage-Damper 77. Wtr. Htr.; Veots-Clearance-Comb. Air Connector-P.R.V. in Garage; bove Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation! Foam -Looked in Attic 81. Guard Rgrls & Deck Construction -Post Caps 82. Fdn. VBtrnts & Crawl Hole Door Drainage & Wood Earth Clearance Looked under Floor ❑ Yes 83. Followin Instid./Drive ❑ Yes ❑ No/Walks ❑ Yes ❑ No/Planters ❑ Yes ❑ No 84. Stucc Brown -Finish 85. A.C. nit Disconnect, Electrical -Plumbing 86. ventsAbove Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Wat Well, Disconnect, Electrical, Plumbing 88. Ext for Elec. Trim, G.F.I. Receptacle -Underground 89. Ve ilation Throughout House 90. GI ss Protection 91. C rections from Previous Inspections 92. G s Test -Meters Tagged, Gas -Electric 93. ter & Sewer Connected -C/O to Grade -HD Approval ,),% 94. E ergy Compliance Certificate -Other Certificates 95. A ldress Posted 96. F e Sprinkler Date Ca J B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: BUTTE COUNTY , DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVIL'LE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.netldds LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license Is In full force and effect. License Class: License Number: Date: Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, Improve, demolish; or repair any structure, prior to Its Issuance, also requires the applicant for such permit to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractor's State License Law (Chapter g.commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the, alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).):, I ❑ .I, as owner of the properly, or my employees with wages as their sole compensation, will do the work, and the .structure Is not ' Intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' Stale License Law does not apply to an owner of property who builds or Improves thereon, and who does such work himself or herself or through his or her own employees, provided that such Improvements are not Intended or offered for sale. If however, the building or Improvements are sold. within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' Slate License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt undeArticle 3 of a Business and_tPxofesslons Code Date: / � _Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penally of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is Issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit Is Issued. My workers' compensation insurance carrier and policy number are: Carrier. Policy #: 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 i become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwllh comply with those provisions. t Date: Applicant:__U� WARNING: Failure to secure workers' compensation coverage Is, unlawful, and shall subject an employer to criminal penalties and one,' hundred thousand dollars ($100,000), In addition to the cost of; compensation, damages as provided for in Section. 3706 of the Labor; code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is Issued (Sec 3097 Clv.) Address: PERMIT NO. BP043485 Issued Date: 01/27/2005 APN: 066-200-016-000 Site Address: 13828 ANDOVER DR MAG Map Index: Description: laundry room addition 26 sq. ft.// breezeway 163s Owner: PETERSON GORDON K & JUNE 13828 ANDOVER DR MAGALIA, CA 95954 'A'pplicant: PETERSON GORDON K & JUNE Contractor: 'License #: Architect: Engineer: Total Square Ft: Valuation: Census Code: 189 S.F. $4,298.00 Is hereby issued under !"ppiicabie provisions of the Butte Cnunly Codn enrl/or s tgfio work Indlgaled pj5ovjf for which fees have been paid. PERMIT EXPIRES ON: Date:�� ❑ 1 hereby certify that the use of this facility shall comply with Seclions•25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification In accordance with Section 19827.5 of California Health & Safety Code Is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above Information Is correct, and that'l am the owner or the duly authorized agent of the owner. I agree to comply with all county and stale laws relating to building construction. I acknowledge It Is unlawful to alter the substance of any o ' lal form or document utle County. I hereby authorize representatives of Butte County to ente upon the above mentioned property for Inspection purposas. Print Name: ! .�ii�icG%it� / 'Signature: Dale: Owner 0 Contractor 0 Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY" iAddress - E-mail I Lic. # Class ARCHITECTIENGINEER Name - i ..Il�1A /.1. Address TFp City Fax State Zip iAddress - E-mail I Lic. # Class APPLICANT NAME ARCHITECTIENGINEER Name - i Q qn °� Address TFp City Fax State Zip Phone Page Fax E-mail State License Number APPLICANT NAME Name Address City State TFp Phone Fax E-mail APPLICAff 4IGNATURE_ For office use only: AP# &,�� - — 014� Zoning JWI I Flood Zone I'x SRA No Occ. Policy Number I Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. • '34f BP BIN # LOCATION AP# &,�� - — 014� Prop s ,:KAda& IL Mom a Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY —Name Address Description or Scope of Work: 44"L�4 Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. 11 Received by: Receipt#: "t I gg I � Date:�.� 4 ()Bldg 9�RA Sheriff SMIP OVER FOR SUBMITTAL REQUIREMENTS II ".X - r '- KAFORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 REV 7-27-04 .M SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND /N INK ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paperl ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature. on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.) ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). ❑ 13—Sanitation and s�lan..appmmaLfrom-tbe-EmdronmentaLHealth_Depadment. Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be "made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMSIBUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 RE/ 7_P7-04 T0: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance E.H. USE ONLY 'Biot Plan Attachod ✓ Raw Plan Atmchad ✓ Sent to G.D. z .&,60 C/&-ee O� (P -m oo - o o(0 Owner Location AP# Plan Approved for: Sewage Disposal V Water Supply: Public ✓ Private Well Clearance for dwelling. Otheri - -- Hold Hold final for: Final clearance O.K. for: NOTE: 8/96 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL NUMBER Proposed Building Use: r bc / Counter TechnicianqqL�: Date:l. 6 a q Items required in orderlo apply o a permit. All boxes MUST be ecked OR marked NA in ordert apply. ` J1. Site plans, 3 or 4 sets, signed by the preparer of the plans:) 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. -❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. 6. Energy compliance design and supporting documentation in duplicate. 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or find plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. zardous Material Form , 5. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers.......................................................................................... ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... osion Control Plan Required........................................................................ ees as shown on the attached Schedule of Fees Due Sheet .............................. 6� c ❑ 22. City of Chico Plumbing permit .................................................... ... .... g/ 23. California Department of Forestry plan approval p�paid. Sent by: 24. Planning approval (A) Use: A2�- B)Parking: (C) Parcel Check: f t S o L ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... 26., NPDES Form............................................................................................. 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ =. 28. Pre -Inspection for -required ....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... Worker's Compensation Carrier and Policy Number .......................................... 3 ner-Builder Verification (_ Given to owner, to owner) ..................... _Mailed 32. Letter of Signature Iauthorization .................................................................... ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ -35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction......................................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issLed Telephone and hold for ick p up. I have been informedo .#he abovZitem d requirements for obtaining a building permit. Applicant: _, Date: , 2 1. Index pe:init application forth a ov s red: Plan Chec Letter 2. Additional items req ' X26 O� Contractor, designer owner as advised of the above data by phone, ❑ mail, ❑ counter, by Date: Contractor, designer, own r, as advised of the ab a dat by ❑ phone, ❑ mail, ❑ count py Date: Plans reviewed by: Date: 14 O 5 Plans approved by: K� Date : Z Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: _ Yellow: Building Division COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 SCHEDULE OF RECEIPT OF FEES OWNER �� A.P. #v PROPROSED BUILDING USE b��'.,+�' DATE RECEIPT # DATE REC. 1. BUILDING PERMIT FEES --= Balance Due ..................... $ --- Additional Fees Due........... $ --- Revised Plan Checking Fee.... 2. SCHOOL DISTRICT FEES CC_ (paid at School District Office) (fo ayai aablee after lagCheck) �J 3. SHERIFF FEES (paid at Build ivision) Residential............ Built $360.00 =$ Units Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit)..... X = $ # Units Amt. Commercial (Sq. Ftg.).... X = $ Sq. Ftg. Amt. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK FEE $89.00 (paid at Building Division) 8. WATER TENDER FEES BATTALION #, $200.00 (paid at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. Commercial (sq. ftg.) ......... X = $ Sq. Fig. Amt. 10. OTHER At time of permit application, I was advised th ove fees are required to be paid prior to issuance of the permit. These fees may be changed durig�n c] eckin c S. Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) �✓CICWpP ER'� Department MIChael Crump, Director i of Public o f B u t Works LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville. CA 95965 (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement [LESS THAN 1 ACREI Project Description: Project Location and/or Parcel Number: .4f Lou �4 By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation. of grading and/or other permits or other sanctions provided by law. Signed: Title: Date: Less than i Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 . BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District �r c c ,,JJ__ A.P. Number ()LgU.�140' 61(_p Jurisdiction: City Property Owner Property Location/A Subdivision Building Department No. I County Residentiaa Development Q Q No of Living Mobile Home Units Installation Commerc•al/Industrial Q Q New Addition Building Department Representati,e ...:........... ..._.................................. :...................................... ac� ® Sq. Footage Add o I 'Supplemental to (Group R) Conversion Permit # ..(No foundation inspection) E .................................................................. Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) No. School District certifies that ol Sq. Footage (Including Exterior Roof Areas) Date , . ` (Applicant) _ (Street Address) (Phone Number) (City)—U (State) )i (Zip Code) s• :.. has complied with the requirements of Resolution No. '^ by payment of $ represerting square feet. 2926 i FULL MrT1GATION = o ,§Sc$oo D"strict Representative Date Paid by Check # -Remarks: Notla: You may protest the Imposition of the fess Identified above by submitting a wAttsn protest to the District, in compliants with fie; Govern m Cods Section 66020(a), within 90'days from the date less are pald. Failure to submit a timely written protest wlll'prohibit you from dYlierging the Imposition of the lees In any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Foe Certification Form, the School District Is rrotfiNd by the appllcW* Local Planning Agency that this project Is being reviewed under the Calfomia Environmental Quality Act (CEQAh this project may be subject to additional school fess to fully nttlgate.ks Impact on the school districtle schools. White (applicant), Yellow (building department), Pink (school district) feeform.rds (10/03)dmm SITE PLAN REVIEW APPLICATION Date: AP# Q6 —200' 0((0 Permit Number (if applicable) APPLICANT INFORMATION GV -3Y95, Parcel Size:. Owners Name: Vx v l cnyr I . U i Owners Address: ?-a_ s,- ZL C/ CvT" 9 S9sy Telephone No.: Situs Address: �,3 �� rG�o?/Y�l Proposed Use: Residential ❑ New Single Family Reside tial ® Single Family Additio❑ Single Family Remodel ❑ Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other ❑ Septic ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): ❑ Commercial Remodel r. ❑ Industrial Remodel ❑ Well DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) 11 Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval IN Site Plan Stamped Approved Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: 0 Snow Load Area: • 02000 -o .2500-P ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) _A Expansive Soils (Test for expansive soils and if verified proper foundation design required) Mme• K SRA - (CDF to determine specific requirements) El100-Year Flood Plain: (See �ched) • Flood Zone: • Flood Panel No.: Ya007C-6'i0dC✓ Index Date: 4 ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Variance ❑ Minor Use Permit ❑ Administrative Permit ❑ Variance --------------------------------- ❑ Detached Building Use Form ❑ Encroachment -Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: G Pt2- Applicable Applicable Building Setbacks: Front Zoning Code � A' Streets & Highways Fire Prevention Subdivision Map Side Side Street Rear Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2of5 { Applicable Development Fees: Standard Fees Amount ' ❑ I. Fire i School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ .NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Impact ❑ Other J '% Formula ----------------------------------------------------------------------------------7-------------------------------------- Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By ❑ Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation:❑ No ❑ Yes Comments: ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel "❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑' Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Page 3 of 5 Subdivision Ma /Parcel Ma �!l a -4C t- /?,,/?,,3 P p: Map Date of Recording: 1U ! ! 3 7 1 Lot: / "l / Book: 11 ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: Page: 6 Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development.. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for roa EJ ISM Page 4of5 0 0 Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at the time of review. CALarryslBuilding Permit Site Plan Reviewl.doc Page 5 of 5 fi T" ❑ 0 0 Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at the time of review. CALarryslBuilding Permit Site Plan Reviewl.doc Page 5 of 5 OWNER'S CERTIFICATE 'LARWIN 0EVE LOPMENTS, INC.. A CORPORATION AS OWNER OF THE LAND :INCLUDED WITHINPARADI SE PINES COUNTRY CLUB ESTATES UNIT NO 3 AS SHOWN WITHIN THE COLORED BORDER LINE ON THE ANNEXED MAP. AND OROVILLE 'TITLE COMPANY, A CALIFORNIA CORPORATION AS TRUSTEES L'NDER RECORD DEED SOF TRUST: DO HEREBY CERTIFY THAT WE ARE THE ONLY PERSONS WHOSE CONSENT IS-NECE5 SARY TO PASS CLEAR TITLE TO SAID LANG AND WE CONSENT TO THE PREPARATION AND RECORUAT'ION OF SAID MAP AS SHOWN WITHIN THE COLORED BORDER LINES. THOSE PORTIONS OF ADAMS COURT, ADRIAN DR., AL TUS COURT, ANDOVER DRIVE, KARAT COURT, BOONE COVRT, DRAKE COURT, FLINT COURT, HURON COURT, LA MAR COURT, LESLEY COURT. MAR IN COURT, 'MILTON COURT, OU FENS COURT, RANGER COURT. SKYWAY. AND STATEN COURT. AS SHOWN WITHIN THE COLORED BORDER LINES ON SAID MAP ARE HEREBY OFFERED FOR DEDICATION FOR PUBLIC USE FOR COUNTY ROAD PURPOSES, VIE •ALSO OFFER FOR DEDICAI'1 ON, AND 00 HEREBY DEDICATE FOR SPECIFIC PURPOSES. THE FOLLOWING: (A) RIGHTS OF WAY AND EASEMENTS FOR WATER. GAS, SEWER, AND DRAINAGE ,PIPES•.TOGETHER WITH ANY AND ALL APPURTENANCES APPERTAINING THERETO. ON, OVER AND UNDER THOSE STRIPS OF LAND DESIGNATED PUBLIC UTILITY 'EA5E MEN CONTIGUOUS TO THE REAR AND/OR SIDELINES OF LOTS AND OF THE �Wi DTHS SHOWN HEREON. (B) EASEMENTS FOR LIGHT AND AIR OVER THOSE STRIPS OF LAND LYING .BETWEEN THE FRONT PND/OR SIDELINES OF LOTS AND THE LINES SHOWN HEREON •AND DES IGNATEU SET BACK LINE, SAID STRIPS TO BE KEPT OPEN AND FREE OF BUILDINGS. (C1 RIGHTS OF WAY AND EASEMENTS FOR DRAINAGE PIPES TOGETHER WITHANY IAND ALL APPURTENANCES APPERTAINING THERETO ON OVER, AND UNDER TIIO SE `Sl'R I PS OF LAND DESIGNATED DRAINAGE EASEMENT IN THE LOCATIONS AND OF iTHE WIDTHS SHOWN HEREON. ;(D) EASEMENTS FOR ANCHORS AND GUYS, OVERHEAD AND UNDERGROUND WIRES AND :CONDUITS FOR ELECTRIC AND TELEPHONE• WATER, SEWER AND GAS SERVICE TO- GETHER WITH ANY AND ALL APPURTENANCES THERETO ON, OVER AND UNDER . 'STRIPS OF LAND 10 FEET IN WIDTH WITHIN THE LOTS AND CONTIGUOUS TO ANY STREET OR OTHER PUBLIC WAY TOGETHER WITH THE RIGHT TO TRI N. OR REMOVE ION LY THE NECESSARY TREES. TREE LIMBS OR BRUSII. I(E) EASEMENTS FOR POLES. ANCHORS ANDGUYS ON, OVER AND ACROSS THOSE ISTRi PS OF LAND LYING WITHIN 2 FEET ON BOTH SIDES OF ALL SIDE LOT LINES IAND EXTENDING 35 FEET BACK FROM THE FRONT PROPERTY LINES. (F) AN EASEMENT TO THE COUNTY OF DUTTE FOR THE DISPOSAL OF DRAINAGE WATER ON, OVER AND UNDER ALL OF LOTS A, B , C , D , E , F , AND G SHOWN HEREON. I(G) EASEMENTS FOR PUBLIC UTILITIES AND SEWERS ON, OVER. UNDER, AND :ACROSS A FIVE (5.00) F00T STRIP OF LAND ALONG EACH SIDE OF ALL SIDE iLOT':INES. LARWIN DEVELOPMENTS, INC., A CALIFORNIA CORPORATION , AS OWNER EXEIVE VI - RESID_ I AS ISl'ANT SECRf�� SPATE OF CALIFORNIA ��1 SS COUNTY OFIAIW,( % 1 ON THIS 1 DAY Of 1971, BEFORE ME, TllUNDERSIGNED, A NOTARY PUBLIC IN AND FOR T E COUNTY OFJ/�'(pf12I . PERSONALLY APPEARED JERRY BERG ER AND MICHAEL CAT CART KNOWN TO ME TO BE THC E%E CUTIVE VICE PRESIDENT AND ASSISTANT SCORE TARP. RESPECTIVELY OF LARWIN D EVELOPN.ENTS, INC.. A CORPORATION. WHICH is%E CII T ED THE FOREGOING CERTIFICATE. AHD KNOWN TO ME TO BE THE PERSONS WHO EXECUTED THE FOREGOING CERTIFICATE ON BEHALF OF THF CORPORATION THEREIN NAMED, AND ACKNOWLEDGED TO ME THAT SUCH CORPORATION E%ECUT ED THE SAME. '�/4w Nf.Ri PnflLli:I: GfGCN ;.: _.a •j , : }.T�.wv....rC . ii�" .� H n'tc•.,I'i T... u..i NOTARY P(1BLIC -rT.. ... .�. �---�^' MY COMMISSION EXPIRES ORO' LE TITLE COMPANY. A CALIFORNIA CORPORATION, AS 'f RUSTTEE , CALIFORNIA STA 1'F. OF C iTY COUNTYOF ! S.ON THIS6'� AY OF 191,@CFO E -ME. THE UNOERSIGNED;: A: (IT ARY PI)g�LND FOR THE OF jl$ RSSVLLy S`kY oEir"J. 29� 4 'KNOWN TO ME TO BE THE��N OTOiME TO BE THE��Np AND�A�'.ST�L 'RESPECTIVELY, OF OROVILLE TITLE COMPANY. .A CALIFORNIA CORPORATION. WHICH EXECUTED THE FOREGOING CERTIFICATE. AND KNOWN TO ME TO BE THE PERSONS WHO EXECUTED THE FOREGOING CERTIFICATE ON BEHALF OF THE CORP- ORATION THEREIN NAMED. AND ACKNOWLEDGED TO ME THAT SUCH CORPORATION EXECUTED THE 5A ME QAtPN W. N1uLQ NOTARY PUBLIC MY COMMISSION E%PIRES�-�'1/3.:i 1 In W[0 AM 1t Iq> SURVEYOR'S CERTIFICATE I,OONALD D. MCCORMICK. DO HEREBY CERTIFY THAT I AM A'REGISTEREO CIVIL ENGINEER OF THE STATE OF CALIFORNIA. THAT THE ANNFXED"MAP OF " PARA" ISE PINES COUNTRY CLUB ESTATES UNIT NO 3" CORRECTLY REPRESENTS A SURVEY MADE UNDER MY DIRECTION IN _. 1971 THAT 13 TRUE AND COM?LETE AS SHOWN. THAT THE MONUMENTS SHO 'AN THEREON. ARE.. SET (Y. THEIR CORRECT' POSITION AND ARE SUFFICIENT 1'0 ENABLE THE: ;SURXfY';T9. EE' RETRACED. 1 DONALD D. KK:CORMICK. R.C.E. 9033 AUDITOR'S CERTIFICATE 1 F. H. SEELY.Y JR .. AUDITOR OF THE COUNTY YE0F BUTTE. E. STATE OF CAL IF- ORN00 HEREBY CERTIFY THAT THERE ARE VDLIENS AGAINST PARADISE PINES COUNTRY CLUB ESTATES N0. ? AS HEREON SET FORTH, OR UNPAID STATE. COUNTY. MUNICIPAL ON LOCAL TAXES ON SPECIAL ASSESSMENTS COL TAXES AS TAXES EXCEPT '1'A%ES OR SPECIAL ASSESSMENTS NOT YET PAYABLE. Tq XES OR SPECIAL ASSESSMENTS }}�HIGH RE A LIEN BUT NOT YET PAYABLE, I EST IMATF. TO BE IN THE AMOUNT/.lJOGeO F.N. SEELY, JR.F.N. SEELY. COU�TY AUDIT .AUDIT R PUBLIC WORKS CERTIFICATE I•, CLAY CASTLEBERRY. DIRECTOR OF PUBLIC WORKS OF THE COUNTY OF BUTTE. STATE OF CALIFORNIA DO HEREBY CERTIFY THAT I HAVE EXAMINED THE FINAL MAP OF 'PARADISE PINES COUNTRY CLUB ESTATES IIN IT NO. 9 THAT IT IS SUBSTANTIALLY THE SANE AS APPEARED ON THE TENTATIVE MAP ON FILE AND ANY APPROVED ALTERATIONS THEREOF THAT ALL PRO V ISICNS OF THE SUBDI- VISION MAP ACT OF THE STATE OF CALIFORNIA. AND LOCAL ORDINANCES APPLICABLE AT THE TINE OF APPROVAL OF SAID TENTATIVE MAP HAVE BEEN COMPLIED WITH, AND i AM SATISFIED THAT SAID MAP IS TECHNICALLY CORRECI CLAY CASTLEBERRY, R.C.E.\tjIZ24. DIRECTOR OF PUBLIC WORKS, COUNTY OF BUTTE CMITY CLERK'S CERTIFICATE I, CLARK A. NELSON. COUNTY CLERK OF THE COUNTY OF BUTTE. STATE OF CALIFORNIA, DO HEREBY CERTIFY THAT ON THEZZDAY OF 1971. THE BUTTE COU N'I'Y BOARD OF SUPERVISORS OFFICIALLY APP RO ED THE SUB- GIVISION MAP OF 'PARADISE PINES COUNTRY CLUB ESTATES UNIT NO. 3' THE RECFIPT OF SATISFACTORY SECURITY IN THE AUDI T;RS CST I MA T EU AMOUNT OF TO INSURE PAYMENT OF TA%ES WHICH ARE A LIEN HU'T NOT YET . PAPA L- WAS AC KNO'LEGGED. THOSE PORTIONS OF ADAMS COURT, ADRIAN OR , AL TUS COURT, ANDOVER DRIVE, BARAT COURT, BOONE COURT. DRAKE COUNT.. V FLINT COURT, HURON COURT, LAMAR COURT, LESLEY COURT, MAR IN•COURT:. MILTON COURT. OUEENS COURT. RANGER COURT, SKYWAY, AND STATEN COURi,AS''�',:�'�` SHOWN WITHIN THE COLORED BORDER LINES ON SAID MAP AND OFFERED DEDICATION FOR PUBLIC USE WERE ACCEPTED ON BEHALF OF THE PUBLIC COUNTY ROAD PURPOSES.I CLARK A. NELSON. COUNTY CLERK BY DEPUTY RECORDERS CERTIFICATE RECORDED IN THE OFFICE OF THE RECORDER OF BUTTE COUNTY• STATE OF CALIFORNIA. AT T R -QUEST OF OROVILLE TIT E COMPANY ATf�MINUTES PAST_ O'CLOC" M. ON THE /.� DAY OF 1971, IN BOOK AL_ OF MAPS AT PAGES RECORDING_NNUUUMMB'E'Re� LOUISE KLUENDER. BUTTE COUNTY BY DEPUTY SUBDIVISION NO.1/0 PARADISE PINES COUNTRY CLUB ESTATES UNIT NO. 3 PTN. SEC. 35 d 36 T. 23 N., R.3 E., KUM BUTTE COUNTY, CALIFORNIA AUGUST '1971 THE MURRAY MCGORMICK ENVIRONMENTAL GROUP SHEET I OF 5 SHEETS A} BASIS OF BEARINGS THE CALIFORNIA COORDINATE SYSTEM ZONE 2 ESTABLISHED FROM TRIANGULATION STATION SAWMILL (X'2, 124. 255.90, Y-701,.649.98) TO TRIANGULATION STATION BALD MOUNTAIN (%•2,145. 390.63. Y-032.948.4,) BEAR I N G N 22.23'29-E AS SHOWN ON THAT AMENDED RECORD OF SURVEY FILED IN BOOK 33 PAGES 95. 96, 97, 98 8 99 BUTTE COUNTY RECORDS. DISTANCES SHOWN HEREON ARE GRID DISTANCES: MULTIPLY BY 1:0001138 TO OBTAIN GROUND DISTANCES. \ •� \ J°r�V of P. a A Z —\ + ., i,�r• z Y' A x'' s r w ;'�• \ `" �l� ,+a e„°�To6 • � 105 Q �:- Q a.o:• it � , rs sl. -2g � \ f'•�°of ' ' � Cffi?; 2oa�6 SKYW.QY 2�—?Fa Toa a.rrsver' w , f ,'.fit•: pN, ' $ i/v/r' § 5::�'.S ' iE• qr ,,/x _ aca� �Y 3' 4�e .:4..c�a, 201 3 .•:. `.., 0 e �'si is .r W -�a 8`rrois `` a' -c 9pi�' 06411.4 • et O •v �/ �' h V Q +•,�„� 4 K' i o° �4° �9B wrr � -w- c \ g �� °s is N SITE �� � e° "�..5 0 _ � ``•�/3."iisi .�N�S� mi4 X.p" r96 \— Z .., .1w SEE SHEET .VO. 42 LEGEND FOUND 3/4" IRON PIN TAGGED R.C.E. 9033..........}( FOUND MONUMENT AS SHOWN .........................j FOUND 2' IRON PIPE TAGGED R.G.E. 9033 ........... SET 2"% 3' IRON PIPE TAGGED R.C.E. 9033 .........� SET NAIL AND TIN ................................ ° SET CENTERLINE MONUMENT =_ SET BACK LINE .. ....... .. .. .. .... .... PUBLIC UTILITY EASEMENT (P.U.E.)....... �9-���`---- DRAINAGE EASEMENT (D.C.)...... :...-em RECREAT;ONA!. EASEMENT (R.E.).......... -CB _•a.__-__ ALLLOT CORNERS NOT INDICATED BY THE ABOVE SYMBOLS TO RE MARKED BY 3/4' IRON PIN WITH TAG R.C.C. 9033 ,,��,,,, SUBDIVISION NO.� PARADISE PINES COUNTRY CLUB ESTATES UNIT NO. 3 PTN. SEC. 35 a 36 T. 23 N., R.3 E., M.D.M. BUTTE COUNTY, CALIFORNIA SCALE: 1 100' AUGUST , 1971 THE MURRAY -McCORMICK ENVIRONMENTAL GROUP SHEET 5 OF 5 SHEETS �.RESIDENTIAL 066-20-0-016 92-3866 BPEM PETERSON, Gordon c� 13828 Andover, Magalia ! contr: Gary Mullanix new sf I P k 1 I, . r- OFFICE COPY Address 38u �0 GAS Meter By Date ELECTRIC Meter By Date3 _757 ! JOB FINALED (Date) _ Signature Li= F_F'F:k I Nv` P. O2 / t Owner • -- -� - - ' Permit; No s E N F R G Ye C B R .T I F I t. A TX AnCi�>�er, Magalia f A LOCATION :'•-�rk�4�•: ----- A.i'. tin.- _.._.__._ DESCRIPTIO14 OF INSULATION ROOF Thicknea s ( Inchea)� EXTERIOR,WALL Material_ FIBERGLASS BATTS 'rhicknea8 (inch ea) 3 5/8" CEILING Batt or inanl(et Type FIBERGLASS BATTS Thic)aiea6( inch©s) 1211 _ Loose Fill '1yPe`___fI E�� Minimum Thicknesi(Inches) 16" Area covered(ft. > gor FLOOR, ELEVATED Material FIBERGLASS BATTS Thickness(inchee) 6�" FLOOR, SL" 14a t e r i a l_ r___ `j'fi1,pkiiass ( Inc hes)__ - FOUL IAT' ON WALL material Thickiiess(inches) Brand Name Thermal Resistance (R Value) Brand Name OWF_NS-CORNING ThO Mal Reelatgnce(R V61.48) R13 •�w Brand Name OWNS -CORNING Thermal Resistance(R Valve) R38 Brand Name.—�k�lL.fi4$- C0BJj1tjG Number of Bagel_ Wt. per ba i5 �lb. Thermal Resiata,tlee(R Value) 7' Brand Name OWE NS-CORNIWA _ Thermal Reaiat:ance(R Value) R19��T Brand Name . Thermal Restat:anee(R Value) Brand Name Thermal. Restatanc:e(it Value), I, hereby 'Icex'tify tl►at the ahove insulatton Was installed in the above building its conformance with tile State of Californ).a Energy Requtroments, LULHft INSOLATION CO., INC_. 499150 ( 'j "FlOWNESUff, COWRACTOR 9 LICENSE NO. SICtATUAE OF '111STALLATI . may 5, 1993 -- DA H IFhereby'l,certtfy lire above insulation and all requited items as shown on tits Building bepar.tment approved plana and attachments Dave been metalled as required Eby the Stat4 of California Energy Requirements. All equipctent, devices and materials are of the quality prescribed or are speci.fic4lly approved by ttte State of California. 3 f,30 4 ' FIRM 1'W /M-1ZjER (Please .print) STATE CORMACTOR'S LTCENSE NO. SIGNA'rUR OF (IFNERAL COWFRACTOR7wm R DATE Y THIS` CNITIFICATE' MIST BE ON FILE WITH TILE BUILDING DEPARTMENT PRIOR TO YIN.AL INSPR l'' 64 APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING . January 1984 A " COUNTY OF BUTTE _ BUILDING DIVISION DPJW MENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE s OVWNM PERMIT NO. A 6eREvecam bmiiicates that the following violations of Butte County Ordinances exist at y, the af—e aifibesc wW should be corrected. Please notify this office when correction of work is compboulL Hyooham any questions pertaining to this matter, or need additional explanation, P exstLamQ Ob office immediately. 4 o�v �'�vSc� di�U✓.S Cull WOOD 5-76-0#- p(?AIL5 0 � " -4 e 3 a ,C -)t" .p 0,8 o v czc /6 f-(,&6(Le I C14-(- (2,DQvy�- COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE O. NER PERMIT MO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is corr.plet;d.lfyou have any questions pertaining to this matter, or need additional explanation, please contact :this office immediately. I ` /A ti• ' V ' V Date �� Inspector REV law COUNTY OF BUTTE. BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE r (1211T'fy50y Z 64 O ER PERMIT NO. A rawkw buVection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work ;. is cow,4&Ae LIN ouhave any questions pertainin .to this matter, or need additional explanation, _Please this office immediately. �r (I r Date r' nsspector REV 1ti1192 ���` - L; COUNTY OF BUTTE' DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE �r i errs v�� C12-366 0 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. ox cell (;x2 iV Oka 1 /1 LCJU 2 vA� LvG �r10 d Ak,ll�ieP iY s- i •F • : Date- Inspector J=OK O = Not OK - = Not Applicable Not Ready RESIDENTIAL = Date UNDORFLOOR (Plans) OK_exceot.#'s 1/3 -Seeks -C -Flood-Slope 1- - - . F,h3._Na+n`, Soils-Elec. Grnd.-/ /" Ftg. Depth jjfL c g., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth 4. F ., Porches & Decks; Soils -Steel-/ /Ftg. Depth Is, Main; Steel -B Vstem s, Garage; Steel-Blockouts-Wrapped Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. PitLAPFil9plase Ftg.-Steel Fall -Fitting -T -2 Way C/O -Sewer Test OF s Pipe; Size -Anchors - yard gas piping: size -test Water Pipe -Anchor-Regulator-Service Test 12. Ele c; U derground Pi ms & Ducts; Clearanc.ewmviferial-Support-Ins. Girders-Sills-Anch olts-Joists-Vents-Cripples 15. A & Ventilation -qL . Insulation Date/-'L`6{-r-,tZCard B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MBING (Permit),O except h's IL.VVWa r.: Vent -Access -Combustion Air -Baffle ----------- ----------------------------------------- Wa ipe: Test & A hor-Nail Protection ---------=-------- ------------------------- ---------- -_- D.W.V.; T ittings &Anchor -Nail Protection �ItiJ` Shower Pan; Test. First Floor -Tub Access ----------------- -------------------------------- 20. t st Tub & Shower. Second Floor -Tub Access ----------- --- - Gas Pipe: Size & Anchqjs Date 40 Card B-1 Date Card B_t - - -------------------=-- ------------ - Date 7--7?--q Z-) Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #r's >Fi�-ar- Transformer Clearance -Ins. Protection -------- L EI�3 ec. piacles Spacing -Lights &Switches at Doors - ?'El -- ------------------------------------------ &Subfe Eftre o. of Conductors -Stapled ---lose to Edge of Studs & C.J. --- made up w/Mech. Fastners-Bond Gas & Water -------------------------------------------------------------- rculs in Kitchen & Conductor Size/GFI ize / r ga Cu or AI -A.0. -Wire Sizer ! ga Cu or AI ---------------------------------------------------------- -------------------- 29. u or AI -Oven Circ. / ga. Cu or Al. Insulated Neutral ��' El No 30. ervice-Riser Conductors & Ground -Main Disconnect--- --- - - --- -----------. ----------------------------- -------------- 31. Equi arances Panels-Motors-Mech. Equip. -- ------------------------------------------------------------- lo Closet Light -Shower Light -Spa Light ------------ ---- - -- -- moke Detector ----- ------ - --- ------ --------------------------------------- Date �� Card B_1 Date Card B_1 ------------- -- ------------- Date Card-B-1- ard B-1 Date Card B-1 Date MEC CAL (Permit) OK except n's Ducts Insulation & Support ----------------- - ------------------------------------------------------------- Vent Fan: Exhaust above insulation ---------- -------------------- -------------------------------------------- ----------- ------------------------------ __ ---36-Condensate Drain & Overflow: Size & Grade - --- — F ante -Vent: Access -Comb Air -Return Air Vent -115 outlet -------------------------- ------------------------------------- Attic Access & Platform if Furnance in Attic Date-- -- - - --- ---------------- Card ----------------- - - ---- - --- Date _-��� Card --t Date Card B-1 Date -C-1- Card B-1 Date Card B-1 Date FRAMI (Plans) OK ONcept #+'s Si . roper Material & Anchors W suds -Nailing Spacing & BracingPlates- Sound --- -- - --------------------------------------------------------- B g Walls over Girders & Floor Nailing Draf -- in Walls (rat proof) -- - --------- -------------------------------------------- ------------ Fire s: Furred Ceilings -Stairs -Chases -Tub - ---- ----- - ----------------------...... eaders & Beam -Size & Bearing (Single & Duplex) Date _WMING (Continued) 4 Hangers -Post Caps -Anchors -Connectors 4-751 -ng. Joist-Rftr. ties-Purlin-roof Brac-Tr ng. -Ring. Fire e Ties or Type A Flue -Fireplace Throat clearance _ Atti cess; Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions _ "-*5r Garage Fire Protection Framing ---- -- -51` Property Line Firewall & Openings 4' Do he 3' -Check Garage -3rd Story, 2 Exits -- tairs; Width -Headroom -Rise -Run -Landing -Fire Protection wood -Roof Overhang -Attic Vents -Rafter Outriggers 5 ing-Nailing Veneer " 5F. -Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access Gla Area -Glass Protection -Skylights -Plastic ----------- ---- 5�. h ails; Nailing -Bolts ............. ---------- - ---- 5 Insulation- alts -Ceilings n titration -Walls -Windows -Datei �3 Card B_t- _ _ Date _ Card B-1 Datet:Z-?Card B-1 Date !Card B-1 Date FINAL (Plans) OK i;—.t ##'s 61. Ext. ps-Door & Sidelight Protection- Landings moke Detector ----------------- urnace; Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meeh. Protection ------------- ------- ---- �yoc m Exiting -- -- G.F. ath Fixtures & Tub Access -Spa - - ---- ----------- - p lecpElec Trim & Sub-anel: Breaker Sizes & Labels & Rails ------------- U ---------ace or Stove:Clearances-Hearth -jElec. ets at Wood Panel: Int. & Ext. Fixt & Appliance; Grnd.-Air Gap -Cooking Clearance Outlets & Receptacles at Kit. Counter ----------- -----9-------------Landing-Close -- 9 --- ---------------------------- $-4t, Fe. ara a Fire Door; Swing Landin Closer 7 tr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. . I Garage: Above Floor-Mech. Protection Plb.. Elec. & Mech. Equip. Listed for Location ------------ - --- -- ..fT?t3.-Eleec geceptacles in Garage: (G.F.I.)-Romex Protec ' elation -Foam -Looked in Attic --- ------- a ails &Deck Construction -Post Caps do Vents & Crawl Hole Door -Drainage & Woo—d-Earth Clearance Looked under Floor Fps ._4Q( F-ollowing instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No Brown-Finish - A.C. Disconnect. Electrical, Plumbing ents Above Roof: Plbg -Appliance-Fireplace.-Clearance to Openings ----- ----N�. er Well; Disconnect, Electrical, PlumbingILI —_ Exterior Elec. Trim; G.F.I. Receptacle -Underground Ksation Throughout House Protection --------------------- d8. Corrections from Previous Inspections -- -q3 t--eas Test -Meters Tagged Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Ap val 91 Energy Compliance -Certificate -Other Certificates Date Card B-1 _Date _ Card B-1 Date Card B-1 Date Card B-1 - ------ - ----------------------------------- Date Card B-1 Date Card B-1 Comments at Final_ - -`v ,V OK O = Not OK Applic No Readyable ' MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete ' 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / P L" ft. / /"Nat. or/ /" L"ft./ /"LPG - 7. Well Clearance & Disconnect 8. Utility Clearance a Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line - - e 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK expept #'s 1. Zoning Requirements -Setbacks -Easements `, i- _3„ " 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- 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 1 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 '4 •_'/ 11 t" %-I 2. Soils; Compaction -Structure Stability 'i 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI - 5. Elec.; Pool Lighting; 15 volts-GFI V 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 1, 1 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1. r 1 .. a COUNTY OF BUTTE - DEPARTMENT -OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT CACUfT XXX 92-3866 ASSESSOR PARCEL NUMBER 066-200-016 ZONING RTI / BUILDING PERMIT77 OWNER PETERSONON R 408 OWN TELEPHONE 395-2707 SO. FT. OCC. BUILDING VALUATION R'S MAIL NG ADDRESS 36 OAK GROVE LOS GATOS 95030 1876 R 101,304 20 C 260 CONTRACTOR'S NAME GARY MULLANIX TELEPHONE 877-7892 CONTRACTOR'S MAILING ADDRESS PO BOX 633 MAGALIA 95954 Fireplace I A 1,500 CONSTRUCTION LENDERK TRI COUNTIES BANLENDER'S UNKNOWN Total Valuation $ 103,064 MAILING ADDRESS CHICO Filing Fee $ 15.00 Permit Fee $ 611.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 305.75 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ 20.00 Penalty $ BUILDINGADDRESS 13828MAGALIA Permit fee $ 957.75 PLUMBING PERMIT Filing Fee 1 15.00 Each Trap 11 5-001 60.00 Solar or heat pump water heater 20.00 LOT NO. 191 SUBDIVISION NAME PP CC UNIT 3 PARCEL MAP 38-68 Water piping 1 7.00 7.00 Each qas water heater or vent 7.00 7.00 USE OF STRUCTURE SF KR Duplex Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 5,00 Building sewer 15.00 15,00 Mobile HomeS G W @ 15.00 TYPE OF WORK New ®X Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: �$ _ Permit Fee $ 94.00 Contractor ELECTRICAL PERMIT FilingFee 15.00 Main service 200AOR00V OR LESS 18.50 18.90 CONTRACTORS LICENSE LAW I declare `n'der 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 f and effect. License No.-1313Q�� Classification ❑ I, as the owner, or my employees with wages as their sole compen- sa-.ion, will do the work, and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 20CATo 10o0A) 37.50 NEW CONST.6 / DWELLING OCCUP.q\ OR ADONIS. ( ACC. BLDGS. I 3.6Qsq.ft. V 7.00 NEWCONSTR ULTI.OUT LET NO ESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS 6 (SINGLE OUTLET CIR. ) Ex. Occup(ouTLETS OR FIXTURES 20 76 IAL ED 4r� Ex. Occup. OUTLETS (.RESID )REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring '15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a, Certificate of Workmen's Compensation Insurance or a Certificate f Consent to Self -Insure. LrJ ' shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating 11.00 HAT PUMP Cooling g 17.00 HoodDOWN 6.50 6,50 Ventilation 2 4.501 9.00 permit Fee $ 5$.50 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 aid County in c equence of the granting of this permit. G %� ate - - 7 ' � si nature of A cant owner Signature p ❑ Contractor Agent ❑ An OSHA permit is required For ex vations over 5'0 eep an de Dlition or construct- ion of structures over 3 stories in h ght. L% Mobile Home Installation Fee S Ener Inspection Fee $ Energy P 0 occ CONST TYPE VN TOTAL FEE $1249.75 HAz DFEES IMP FLOOD CDF PARCEL PD HD I� Iss This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees (RECTOR OF PUBLIC B PE I XPI ES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. C B �I' /2 9S- 1 99 WH I TE-D.P.W.. YELL W -ASSESSOR PINIt•INSPECTO GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMLNT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916,538-7541 APPLICATION AND PERMIT ASSESSOR P. RCEL Ny MBER �b - 7i0� l,Ej/ ZONING.-_ BUILDING PERMIT OWNER Qn ��1� Q�� �QP«S o r✓ �JD,> 35 ELE'.ONE . 2?v7 Sp]O. FT. OCC. BUILDING VALUATION �Y-76 ' O Jo LT OWNE 'S (LING D S //• -y �'" 493 �Atb� %f ® Z CONTR/'� TO "' 4�2 R'S NAM u//.B,iX TELEPHONE e77 7 q2 CONTRACTOR'S MAILING ADDRESS X33 Fireplace CONST TION LENDER `��! � Co�� � UNKNOWN Total valuation I $ 103. 06 y Filing Fee $ 15,00 LENDER'S MAILING ADDRESS L _,> Permit Fee $ 61T.3,57 - ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ 'Z�J ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 15.00 /30 2�'a /JW Each Trap L2 5.00 0 - /�� Solar or heat pump water heater 20.00 LOT NO. SUBDIVI O NAME ! 1^! v C 7 r PARRCCEL pMAPP 7�' 1C� Water piping 7.00 Each qas water heater or vent"? USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other I SPECIFY Gas piping system 1 - 5 outlets 5.00 S Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK New [a ---Addition ❑ Remodel ❑ UtilitiesEJ �Iln�stallation❑ Other ❑ Describe work: �� - �����CG,f �v�6'/� Permit Fee $ Contractor ELECTRICAL PERMIT FF,ling Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 �j , Main service 200A TO 1000A1 _ 37.50 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- saion, 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.5j\ DR ADDNS. l ACC. BLDGS. // 3.64 sq.ft. O O NEW RESID, RANCOUTLET NON.RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS 6 (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES zo 76 FIXED APPLNS. Ex. OCCUp. R OUTLETS IIRESID. IEA.� I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. IVirin g 15.00 E� 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 becomes ubject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating ml—, 0 , Cooling % Hood 0044,4 6.50 Ventilation yfo 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 Butte to enter upon the above-mentioned property for inspection purposes.occ 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 El Agent F1sions — An OSHA permit is ryui, ed for excav i ns over S'0" de p and demolition or construct - ion of structures over 3 st ries in heig Mobile Home Installation Fee S Energy Inspection Fee $ IVO —3 coN tT�YPE 1� TOTAL FEES Q 7) HAz -� 1 11 FEES I IMP I FLOOjY j/ c -.F PARCEL PD ISSUE This permit is hereby issued under the of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. �� �i ,1707—Z 129i'2e, WHITE-D.P.W.. YELLOW•A $ESSO R, PIN NSP ECTOR, GO D ROD -APPLICANT 77;7g i7 //o /-NS w a � .4�.'y i'.,.. �^, , + '`rti tr�:'+i T" •:.i .kt' .v:;: . y„1.a'r.-. r.rr�;.y ., � ..'. COUNTY OF BUTTE " PARTMENT OF PUBLIC WO BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT. APPLICATION DATA SHEET OWNER GoRdQ,-j Proposed Building Use & 4j Building Inspector A. P C_ No. (06. Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted. ....................................... . 2. Plot plans, 3/4 sets, signed by preparer of plans ........................... " 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ . 6. Energy Design Compliance and supporting documentation . .................. Ij.I Statement of Intent for Non -Heated and A/C Buildings . ...................... Engineered truss details and layout in duplicate (required prior-to_plan check).-:-:./. 9. Mobilehome data aWanufacturer's installation instructions, 2 sets. ........... �,,.- Fees of $ G63 --........................................./�- 11. Impact fees as shown on attached schedule ............................... 2 Icl- 12. California Department of Forestry plan approval/fees. ....................... . MA Flood elevation letter (100 year flood)California Engineer. . . 14. Sanitation and plot plan approval / < Health Department. ........... 15. City of Chico plumbing permit . ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . �9. Driveway permit (construction approval required prior to occupancy). .. ... . ... 20. Pre -inspection for Pre -Inspection requs required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . ......................... . Owner -Builder Verification (Given to owner Mail to owner _)............ 4. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ Copy of recorded deed of parcel creation and 60 right owi public road. _ Letter of intent on � E'*k'S tIN c . M, ► ,�y0rr(F .f/i¢S .�f7oll �MoVEO v 28. Mobilehome utility clearance . ................... lo�✓to........... 29. Documentation of legal access . ........................................ 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other /1 A Parcel Creation Acreage Applicant -' Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Copy of plans sent Health Dept. Fire Dept. Other lution Date _ Date _ The following data must be submitted prior per ' it iss ce: ( 'r- le new item not checked above). 1. Index permit for above items No. 2. Additional items required: Date /% - 3 ! 7Z_ By Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by Date Plans checked by Date Plans approved by O Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works F.H. I.IsF ONLY i' I'[,,I Plan Atlachcd c� ., Fluor Man Auach.d sent lu B.U. J( - 7 2 TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance r Owner Location AP/# Plan Approved for: Sewage Disposal L,-"- Water Supply: Public Clearance for _2 bedroom AM home. Other Hold final for: Final clearance O.K. for: NOTE. Environme al ealth S ecialist 8/92 Private Well Date COUNTY OF Dlfffl' DEPAIUMENI' OF 111111l.11: 141111K.1; - Ilull.ulru; DIVISION 1 0011111' Y 1;[iITER DIl I V E OROV I I.I.I'., CALIF -011111A 95965 -- TEI TNI IIIE ( 916) 5:11115/o OMIER �j c3Rc��;,.✓ /C A. P. IW. 11RUPOSED HU11.011h; USE, �Q-y �'�'L SP' - DATE REC. I DATE ITEC School Disl: r I ct Fees - - ---- (lialil at hl strict 11f fJce) , , , , , , ................. 1. Sheriff Fees t1-) r _ Q)ald at Dul.ldliig Department) Resldentlal ......... unit amt. Coouuercial(per sq.f.t.)____ Sol. f t. 8111t. 3. Ilrban Area Fees (paid at Dodding Department Resldeutlal (per unit) _R 4 � uni.ts amt. Conunerical(per aq.ft.)x = Sq. ft. amt. 4. Recreation District Fees (paid at Dlstr-ict Office) 5. Drainage District Fees (Contact Laud Development) ......................... 6. Outer 7. Other LZ3 s2 Zg9Z 9 Z3 9Z� At' time of permit applical:lon, I was advised the above fees are requlred to be paid prior to Issuance of the permit. I I I I L I CAFI'I' 0 DATE //" 3 - "'f"9'V,4.fr'}rj,,�i?ia�li'\t+r�`qe''i�-.�-.:.,.i/`yw'Y"ie`f7hM�1^`1" 1ni':^.+�5'�`�"��'It"if"'M,t�"•�"7,T""g.�I"r+w�1 '<��o-«v:4..+A�'.;.rrt•�K'a 'knli•�""�.4 �'^'tr(�.••�•.'WW?•.. ^�..M.�. pp�N Epf BUTTE COUNTY SCHOOLS'IMPACT FEE CERTIFICATION FORM 8��'p1N (One Form Per Buildig) �r • School Di A.P. Numb Property Property ♦Q01i S_e.. Building Department No. •J Jurisdiction 0 CityCounty qt 5 oo c - Subdivison Lot No. Residential Development 0 0 Sq. Footage No. of Living, _ MHI Addition (Group R) Units Commercial/Industrial rtment Rep . 0 New Sq. Footage Addition (Including Exterior Roofed Areas) (Floor Plans reviewed by School District Personnel) Date District entfication No. Q� Q�School District certifies that (Anppli/a�nt (Street Address) (Phone Number) (City) • i has complied with the requireme�f Resolution No. rep ting square feet. // (State) a, Paid by Check Number 11A11 Remarks: Bank Number 9A ' 0 O Paid by Cash (Zip Code) • ? O by payment of $� /)-, -��- Date If, subsequent to'the School District Representative signing this Butte County Schools Impact Fee Certification' Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this.project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.wk?(4/92) Return to DPW AGRICULTURAL STATFr`Q;4T•,0F AC'.G(OWL.EDGEMENT FOR RESIDENTIAL.DEVELOPM Tr Section 26-8.1 of the Butte County Code.. requires this acknowledgement be recorded .,,prior to issuance of a building permit. The property described herein is adjacent 92-05367191 to land or included within an area zoned I for agricultural purposes, and residents Recorded I of this property may be subject' to incon- Official Records I veniences or discomfort arising from the County of I use of agricultural chemicals, including, Butte I but not limited to herbicides, pesticides, Candace J. Grubbs I and fertilizers; and from the pursuit Recorder I of agricultural operations 'including, 11:14am 23 -Nov -92 I but not limited to cultivation, plowing, ve spraying, pruning, and harvesting which C BUND 0jr J)SUI rTB 1VUV Z Rec F 3 1992 8.00 Check 8.00 PUBL XX 2 occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte,. State of California, described as follows: Date: ! r f3 State of rr County ofJcl.1C/1-14 PROPERTY OWNERS: On this the /Z day of 19'r?—, before me, the SS. undersigned Notary Public, personally appeared Personally known to °roved to me on the basis of satisfactory evidence. to be the person(s) whose name(s) C-0- CFF;L;AI!.$5EAL subscribed to the within instrument and acknowledged that s Vertior� executed the same for the purposes therein contained.. IN WIT`tESS WHEREOF, I hereunto set my hand and official seal. / S,A:dT., r: REl COUNTY Present A. P. No -,Ir -A", Notary Public 1S A."LA f 91-2.257.E =�= :r 4-C'" ORDER NO. SU -120251 TB DESCRIPTION ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE OF V--TFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS: p uCF • T IAT 191, AS SHOWN ON THAT CERTAIN• MAP ENTITLED, "PARD-.DlSE FINES COUNTRY CLUB ESTATES UNIT NO. 3", WHICH MAP HAS RECORDED IN THE OFFICE CF THE RECORDER OF THE COUNTY OF BU7'TF, STATE OF CALIFORNIA, ON OCTOBER 13,. 1971, IN BOOK 38 OF MAPS, AT PAGE(S) 64 THRU 68. EXCEPTING T}{EREFROM ALL MINERALS, OIL, GAS, ASPHALTUM AND OTHER HYDROCARBON SUBSTANCES, WITH PROVISION THAT ANY AND.ALL MINING OPERATIONS SMALL BE DONE FROM ORIFICES OUTSIDE THE SURFACE Axe► OF THE LAND DESCRIBED HEREIN, AND THAT NO DAMAGE SHALL BE DOt1E+ TO THE SURFACE OF SAID LAND. PARCEL, Z•I: A NON-EXCLUSIVE EASEMENT OVER LATS A, B, C, D, F., F AND G -(THE COMMON AREAS) OF SAID PARADISE PINES COUNTRY CLUB ESTATES UN'I'T NO. 3, AND THE LATS DESIGNATED FOR COMMON AND RECREATIONAL AREAS AS DESCRIDET) IN THE DECLARATION OF ANNEXATION FOR UNITS IV, VI, VIII, X, Xi, X22, XIII, XIV, XV AND COUNTRY CLUB ESTATES UNITS 210. 1, 2 AND 3. i y, <> �i '.r.•. .cam. NT 11 M w RESIDERzTIAL -1fLAN CHECKING GUIDE (S.F., DUPLEX & MISC. ONLY) OWNER GENERAL 1J".�ning requirements: (sideyards and number �tion. 3� ans signed by designer. r description ption of work on application. 5�ting violations on property. 8/91 Bldg. Permit # 9? -- A. P. 2-A.P. - -/� Plan Checker XZ -1 ! / - / 7-9Z of permitted living units). Items on data sheet. (W.C., fees, Health, Developer Fees, License law, etc). corded notice of violation. PLOT PLAN 1k""C mplete parcel size and dimensions. ��//2. �etbacks,_sideyards, easements, -etc. a. Other buildings or structures. 4�ading, fills, drainage. 5. Flood hazard. Special conditions on creation map, ustible, and foundations). FAU & FAS road setback. (noise, CDF, fire sprinklers, nen-comb= Building or utilities across lot lines (Record form). FLOOR LAN -�plete to scale plan with dimensions.. e ired windows for light and ventilation (Sec. 1205). windows for second exit (Sec. 1204). K.qllred yights (Chapter 34 & Sec. 5207). man impact glass (Sec. 5406). .equired room -sizes, ceiling heights (Sec. 1207). 7! , FCIs in baths, garage, kitchen, and exterior outlets (Article 210-3)., 8., Li ht fixtures, switches, receptacles, and exterior receptacles for main- nance of mechanical equipment. 9 Locations of water heater, heating and cooling equipment, other electrical o gas equipment. age firewall, door size, and closer (Sec. 503(d)(3)). 11. 1 - 3'0" exterior exit door (sec. 3304 (f). 1 reace and wood stove location, alcoves, and clearance. 13. Spto<e detectors (Sec. 1210). 14w4lumbing fixtures, water closet clearances and shower size. STRUCTURAL DETAILS Standard bracing or engineered design (Table 25V) mal shape, size, or split level house requiring lateral design. erestory requiring balloon framing and/or engineering. ory building requiring engineered calculations and plans. undation plan complete enoughto construct building. tr��PF Floor construction details complete enough to construct building. 7. Elevations and wall construction details complete enough to construct 8�Roof construction details complete enough to construct building. 9�ace construction details and talcs if necessary. 10t"lafter ties or bearing ridge beam. 1Y ­ age door or porch header sizes. 12!- tud heights. 1 Adobe soils - special foundation design. 1 Retaining walls requiring design. 1 Special Inspection required. building ►.. __: - . 8/91 RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR Y_- Stairway details: landings, rise and run, head clearance, handrails 3306). Guardrail details (Sec. 1711 & 3306(j). wick or stone veneer (Chapter 30). ior plaster - weep screeds (Sec. 4706). per roof pitch for roof convering (Chapter 32). 6 Roof covering type - (fire hazard). am insulation - protection. 36" halls and stairways. Living area over garage - complete 1-hour separation required on garage side inc g supporting walls and posts, etc. T1wo xits on three-story dwellings (sec. 3303 & see Mezannines - 1716). 1 tic access and ventilation (Sec. 3205). U floor access and ventilation (Sec. 2516). 1 Combustion air for fuel burning appliances - L.P.G. requirements. VMot L quirements on duplexes. E*E y design. lashing at all exterior openings. ble area requirements. PERMIT NO. 1317-78B,E PERMIT EXPIRES M 3 OWNER Dorothy Tobe21 CONTR. Mari -John Const., Magalia .LOCATION (A.P. 66-20=16 � 315 Andover Dr., lot 191, CO3, Magalia Temp. Power Pole Called PG&E Temp. Elea Serv. Called PG&E /Tem.as Serv. ed PG&E �/ FINALED T � (Date) (Signatu ) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION, RtCORD BUILDING BUILDING (Cont'd) ' Setback Forms J 117 Firewall Parapets Soil Piping 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing I V Sewer Garage Fdn. Vents Fixtures Footings Stemwall Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Slab Prov. for ph sically handica ed Conformance of ex. structure Final V1 I1' Appliances Gas Pi in & Temp. Gas Sanitation Patio FI EPLACE Final Footin s Footing Masonry Walls Throat Rough Reinf. Steel % Final Fixtures Bond Beam 4 FIRE SP13INKLERS Motors Framing Test Water Htr. Stucco Final Sub anels Mesh MECHANICAL CHANICAL Grd. Fault Pr Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Under rouni Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ---------:--------- Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping 1 E MEINSTALLATION -- ------------ Support Elec. Continuit� Water Piping Drainage Gas Piping in 9 DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) PLUMBING ICA L )ki — CCfJNTY-OFLBUTTE — DEPARTMENT OF PUBLIC WORKS J% 7 County Center Drive - Oroville, California 95965 Telephone: 53424541 APPLICATION AND PERMIT A,q17­A?' Aft i;l authorize represenUV4ves of the County of Butte to enter upon the above -mention e o erty for inspection purposes. Date `F 't °Z p' Signature of Pe�rm/itee or A ent R ceipt No. -7J � 19 2— White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant 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/FrUBLIC WORKS By Date 3- -Z-3 '7,5--> B ding permit expires Date 7— �/� BUILDING Owner �� ��� n SQ. FT. OCC. BUILDING VALUATION P �n J Mailing Address Telephone No. Contractor ° Mai lin Address g /4 Fireplace Total Valuation g Jane No. C� Permit Fee �j— Building Address Plan Checking Fee &/or Penalty - Permit Fee PLUMBING No.1 @ FEE O 7--- c�� �Cs43 // PERMIT FILING FEE $3.00 Each Trap 1.50 (/7t Repair drainage or vent piping 1.50 A. P. No. 7 �; �� Zoning 8 Planning Water piping 1.50 Each gas water heater or vent 1.50 Fe S on Fire Dept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking'Parcel Plans Declaration Parcel Ma P 60' R/W ImprovementsEach additional outlet .30 Building sewer 5.00 Bldg./.ns Recd Pa rcel ApprovolkoPlans pproval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ permit Fee $ $ ELECTRICAL No.1 @ FEE PERMIT FILING FEE J$3.00 Single Family Du lex Mobil Home ❑ P ❑ ❑ Others Main service 600V OR LESS 100 AMP LESS 5.00 -L Main service EA. ADDloo AMP 2.50 �• ` d�_,,, V� Main service OVER e00V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST OR ADDNS. ACCLBLDGS LINGUP.�4) 2�sgft 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 st le of: y NEW CONSTR BRANCH LET NON.CRESID.ONST ( BRANCH CIRCUITS) 2.50ea NEW CONSTR (POWER APPARATUS 8 NON-RESID. `SINGLE OUTLET CIR. Ex. Occuo{OUTLETS OR FIXTIIRES I BAL@1 BAL@1 Ex. FIXED APPLNS. OR QCCU / P•louTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No..�a�(%.5-„�'�, Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ ,>t— $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for W men'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. @ MECHANICAL No. FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 Land Development Fee $ TOTAL PERMIT FEE $ ,2 authorize represenUV4ves of the County of Butte to enter upon the above -mention e o erty for inspection purposes. Date `F 't °Z p' Signature of Pe�rm/itee or A ent R ceipt No. -7J � 19 2— White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant 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/FrUBLIC WORKS By Date 3- -Z-3 '7,5--> B ding permit expires Date 7— �/� PERMIT NO. A 4368-79MHI PERMIT EXPIRES OWNER LAWRENCE FREDRICKSON CONTR. McMillan MH,.Paradise LOCATION (A.P. 66-20-16 315 Andover, PPCC#3,lot 191, Magalia t 6� A- s� E� j a a i Temp. Power Pole Called PG&E a Temp. Elea Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED (Date) (Signature) 'Electrical ----- A. Is service large enough to provide adequate amperage -to mobilehome (must equal rating of mobilehome with a minimum of 10 amp) and other facilities on lot, i.e., water pumps, garage, -cabana, etc.? Yes No' B. Is there proper clearances around panels? YesyNo C.' Is power supply.cord or feeder assembly properly fused? Yes �6Is continuity test satisfactory as per the following procedure? Yesy40 . 1. De -energize electrical wiring system of the mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. `Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. All.non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, .water line), including fixtures and appliances, shall be tested for continuity from ` such equipment and the grounding conductor. 6. Upon completion of the above.procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory complet%ion of the electrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign -off -card and tag services. MOBILEHOME DATA / Manufacturer and/or Namestyle Length Width Vehicle Serial No. State Identification No. A /-(n 9 7Z.07 Additional Information or Comments: too 6-o e:;� 730--1% all MOBILEHOME INSTALLATION INSPECTION CHECK LIST Is the mobilehome located wit equired separation from lot lines and buildings and generally conform to plot plan? Yes 1�../(,.Does the mobilehome have required clearances above ground? (Sec.5085) Yes Z-- o 6/L Are footings and supports properly sized, spaced, and braced as per proved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes_ o` Ocis the mobilehome level? (Sec.' 5088) Yes No YIf more than a single unit, are crossover connections properly installed? (Sec. 5088) es No 6W Water ' A. Is flex' e connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes 11 B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes X. flow - If'coach is not State of California approved, does station have backflow device ressure-relief valve? Yes_ No 0/L Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at.each end? Yes !/No B. Does it have minimum 4' per foot slope and is it properly supported? Yes �No C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe? Yes No_9-� D)� If i/ is not State of California approved, does station have required trap and vent? Yes No_ 6/6as Piping and Gas Vents A. Connector - Is mobilehome connected.to-the gas supply with an.approved 3/4" minimum mobilehome connector not..more than 6 ft. long? Note: All piping is to be at least as large as the mobile a gas line inlet without reductions other than the mobilehome connector. Yes No Test OK as per following procedure? Yes No 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth'pound increments.- Test for 10 min,. -without drop. 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed?, Yes P. No TO: STATE DEPARTMENT OF HOUSING & COMM LAITY DEVELOPMENT Division of Codes and Standards 700 L Street, Room 300 Sacramento, CA. 95814 FROM: BUTTIE' COUNTY DEPARTMENT OF PUBLIC WORKS, 7 County Center Drive Oroville,, CA. 95965 RE: Mobilehome Installations DATE: July 30, 1979 Gentlemen: ..- Under'Secti6at:.5080 o€%Chapter 5.'of Title* 25, California Administrativ.el,Codei this-. ice is required to notify you when the mobilehome n.stallation.fails'to comply with the regu- lations because of defective materials, systems, or equipment of the mobilehome. The mobilehome owned by Lawrence Fredrickson m. located at 315 Andover, Magalia-(Lot 191, PPCC#3 - AP 66-20-16). installed by McMillan Mobilehome Service, 6983 Pentz Rd., Paradise 95969 Manufacturer and Serial No. Newport - DOH #A169728 has the following deficiencies: 1. Installed a fireplace stave not approved for mobilehome installation with no hearth extension, blocking the sliding glass door. (Montgomery Ward ICO #3066) 2. Has exposed wiring behind the refrigerator (paneling has been removed). Since the correction of the deficiencies is -under the jurisdiction of your department, please advise this office by memo when the deficiencies have been corrected.to your. satisfaction. Should you have any questions concerning the above, please contact this office. JFG:dd cc: E Paradise.Office Clay Castleberry Director of Public Works Nginal signedby J.. F. Glarider J.F. Glander Chief Building.Inspector e r COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS - BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback - Z7� 7 i Garage Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor StemwalI Siding To out Slab Roof Sheathing Water Piping Piers ` Roofing SA— ewer Gara a Fdn. Vents Fixtures Footings Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Car ort p Footings Prov. for ph sically handica ed Conformance of ex. structure Appliances, Gas Piping& Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECT isonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heatino Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer t1,C £ Final Final MOBILEHOME UTILITIES 4< -- Elec. Service s Elec. Pedestal Water Piping Sewer °" Gas Piping BILE OME INSTALLATION - - - - - - - - - - - Support -,W Elec. Continuity ' Water Piping7� 27---79 6V Drainage — z,7— 7J ,go Gas Piping 7-76- 40V9ewknuy. DATE 7 Z z ,7/IrIZ &&M -C/ -7 G� REMARKS OR CORRECTIONS Gj�e-,-/� (NOTE: An entry must be made on this form each time you vislt the job site.) r. COUNTY OF BUTTE DEPARTMENT OF•PUBLI,C WORKS 7 COUNTY; CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE -OF OCCUPANCY; This mobilehome has been installed in accordance' with the reqquirements of the Calf , is Administrative Code, Title 25, Chapter- 5, under permit number s %�' for the following location: KZf / r. ,rl.rsC 91, Owner��lal dl ` R/ ! c,/frf. l.'cryfF. • 3 'O�„�t✓ Owner's Address`. f//5; , MobilehomeMfg. N u1✓�Ql� Model '�1'e e%��`1 n f' Insignia No. Serial No. It. is hereby certified for occupancy at the above ,described location and may be occupied. Director ofyPublic'Works 'Date7J0_ .By . THIS CERTIFICATE IS VOID WHEN`MOBAZEHOME ISR L CATED White -Owner, Yellow- Installer, Pink-D.P.W.' N J - COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WO S 7 County Center Drive - Oroville, California 95965 Telephone: 5y34-4541 i� //�/"Op APPLICATION AND PERMIT � authorize representatives of the county of tsutte to enter upon the above-mentioned property for inspection purposes. e 1-7/ X ° Date Signot V9 of Permitee or Agent Receipt No. a � ! !95 - White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant 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. DIR OR OF BLIC WORKS 0 : 7 By Date permit expires Date BUILDING Owner to Mai I ing Address SQ. FT. OCC. BUILDING VALUATION I �� • �� Telephone No. Contractor e E ` Mailing Address �Z Fi replace Total Valuation ^ Tele hone No. Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Trap 1.50 _Each C J bIVA 6 d L Repair drainage or vent piping 1.50 A. P. No. pZ-d — G to ening &Planning Water piping 1.50 Each gas water heater or vent 1.50 F .8aai4•a n I FireDept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvemen s Each additional outlet .30 Building sewer 5.00 Bldg. s Recd Parc royal Pla Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service e0ov OR LESS 100 AMP OR I..ESS 5.00 Single Family "❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 7 NEW OR ADDNST (ACCLBLDGS.LING CCUP. Y) 2¢sq ft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business &,Professions Code under the name style of: Tl�.L t Ddg, Last 1 a/� 3 J$c4 i>aGtS NEW CONSTR /BRANCH CIRCUITS) NON-RESID 1 BRANCH CIRCUITS) 2.50ea NEW CONSTR (POWER APPARATUS & NON.RESID. SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTIIRES g L@; Ex. Occup • OUTLETS (RESID.) EA) 2.00 Temporary service 110.00 Mobile Home Facilities 15.00 License No. ly5 b %i 'Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE 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. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 $ �� TOTAL PERMIT FEE $ authorize representatives of the county of tsutte to enter upon the above-mentioned property for inspection purposes. e 1-7/ X ° Date Signot V9 of Permitee or Agent Receipt No. a � ! !95 - White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant 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. DIR OR OF BLIC WORKS 0 : 7 By Date permit expires Date ,���� e�'�B-�'�'�s;���� �1�.1�.�'� �:r'�' i i�,ir�i- ,�t',� ��, 7-e o-a lL Sa.. ��rs'G.rF.'r�-( •ir•5+P'LaEir Lp� r• � �� �� Jaw T P�t��� .7�. i yah �Avl—jj a rothy..Tobin - ' ' `�� s ;dullConstruction, X678 Shay Lan®P".0. BoY . 509 P ¢"aradise Ca. 95969 ffia 13e°,. Ca. 95954 :P f+G!{.`' •. J �', &,-87.0668'.'_ a .1 t -CC3 Lot 191 91r y� ""Paradise Pines iv- �:.. 603K <2 a J ' ecifications:l is se 01- Atpians .and sp �• and irk isi�lwfi.y, :�... ob at a!I comes. ,.. kept. on the j ' - r > or alter& ions on, 6M: H ifha TE:--. All Materials & Workmanship Shall Be in make any ch�nnq^' :c®rdance with Recognized Good Practices and written pDepartrrmen# mf ermiss-01-1 from the tb� f t� `quuiay prescribed for the Specified use in th®I;c Works, County of Qutte.. Uniform Building, Plumbing & Mechanical Codes and . �y ational Electrical Code, sz In All utility connactions Shall located within 4 ft. outsidebe v n the rear -•� o _ third section of the mobile home on the left (road) side of the mobile. home. Lv be.5 k Vicom. khd E c, rr "414C .. ' ac. Sia\1 50 i{ . a- ,4 N-D OYFR _ ! V g�d9• Se}b \�c.e ad ec:'c��'�`n9 Q�,���e\y -. .E; i� the copes}y a coa ' ?ev 014ba side p Mme ok }� eoje °ve Gey}et { a 2 {k • meli{s• P.L.8z•sa R- umbo �L r. - 330' ° ase 1. .y 3D 1 • ____-�__ — — -- — - — � -_. _ _ —,$ _l. his' _ _ � _ _ e� ��.__ -1: s' Xor mot t,nJil. �! f5UTTE COUNTN BUILDING DEPARTMENT °~ AQP P R Off/ E d 7/ , ' NAME: DATB - J :r 'r ' 1. .,,Ft i �. r .,r ;� `s � � fid• . .... ,... ._...�. ,..,,_.�.°.., ...<-.�.n..Te:a�+v.,li�vk%rem.�..�h..a��'-�.a,�:4'.�i�Y•��,�y'�3: BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS' + 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: ���.Q,(� /^ Ene-e, -re P GiC aw? 2. Installer's name: ,C M 1 I V\ ML' (' -_0 tcF'e 3. Is the site currently under permit?;, Yes / / No (If yes, furnish permit number ) OR .Is the site an existing site? Yes No (If .yes, furnish two (2)' plot plans.) 4.. Will :the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes T No (If no, clarify ) 5. What is the mobilehome electrical rating? ------------------------ Amps 6. What'is the mobilehome site service rating? --------------------- Amps 7. What is the mobilehome site circuit breaker rating? ------------- Amps 8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- Yes / / No (If yes, identify the load and size: (Load) t (Amps). 9. What''is the mobilehome site gas pipe size? ---------------------- (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:) demand? ------------------.------------ (BTU) 12. What is the mobilehome gas (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.). 4 MOB ILEHC. SUPPORT DATA '";: - If other than single wide, Mobilehome Mfr. U3 pot-*- furnish Setup Model No._ Year Width— (ft.) Box Length _(ft.)" Tagalong or Expando Size:7 ft. xL-7 ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). - All center supports measured from front of mobilehome unless otherwise specified. L— (ft.)(in;) Center support locations' - (f t.) (in. ocations (ft.)(in. I (ft.)(in.) Single (in-). n.) nter support footing sizes (in.) (in.) (in.) ' (in.) (in.) 15/6 (ft.)(in.) Footings (check one) Q 1. Wood either pressure treated or foundation grade. 0 2. Other (specify) Supports (check one) L31 1. Concrete block. 2. Other (specify) Tagalong or Expando, show support details. -- Typical Support Footing Size -- Max. Pier Spacing •I xI A)( Max. Overhang (in.)(in.)(fin.) BUTTE COON 17 BUILDING DEPARTMEN APPROVED �--- *If center piers are other than drawn above, draw in locations, spacing, and dimensions. TO: STATE DEPARTMENT. OF ROUSING & CO MN ITY DEVELOPMENT 4Q.0 Division of Codes & Standards AlE. : ae Z-finnte- 700 L Street, Room 300, Sacramento .95814 FROM: Butte County Department of Public Works. 7 County Center Dr., Oroville 95965 RE:. Mobilehome Installations e DATE: - Gentlemen:,, Under Section 5080 of Chapter 5 of Title.25, California Administrative Code, this office is required to notify you when the mobilehome installation fails to comply. with =he regulations because of defective materials, systems, or equipment of .the mobilehome. The mobilehome owned by �1CtGj�C✓C� l �t�f�'/Z/CI�So� �( (p �` m--��o located at: installed bye/�� Manufacturer and Serial No. /V GJ - Q has 'the following deficiencies:.� oo✓�wsalSttY Lc�4itd' LG.�OOlo A ./ - A /^ /' �� _- Since.the correction of the deficiencies is under the jurisdiction of your depart- ment, -please advise this office by memo when the deficiencies have been corrected. to your satisfaction. Should you have any questions concerning the above, please contact this office. 'Clay Castleberry Director of Public Works ``- --� dander JFG:dd Assistant Director (ice "�i'.-Ct, - • 3 V✓ufte OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT:. Anthony J. LaScala ADDRESS: 8233 Mediterranean Way CITY & STATE: Sacramento, CA. 95826 IMPORTANT: DATE OF CLAIM: January 20, 1978 SEE INSTRUCTIONS ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Decided not to build. (Permit Appin. ,#5686-77B,P,E - Receipt #170637) Building permit fee ----- $60.00 Retain 173 of fee -------. Amount of refund due ------------- $40.00 Plumbing permit fee ----- $13.50 Retain ng fee ------- 3.00 Amount of refund due ------------- $10.50 Electrical permit fee --- $26.80 Retain g fee ------�UU Amount of refund due ----------- -- 23.80 TOTAL REFUND DUE ----------------- $74.30 $74,30 3 ,f_d�.;.. TOTAL .�.>~._. I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. Dated:his .................................. day of ............................. 19......, at................................. Calif..................................................................................... Signature of Claimant I, the indersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de- livered and that there is a Budget Appropriation ❑ or Specific Board Approval a (Check one) for the some. Dated this 20th day of ., January 19 78 et Orcville Calif ....................... .......... ....... .............................. ..................................................................................... Department Head or Authorized Deputy Dept. Exp. Code Code PAYABLE FROM............................................................................................ FUND DO NOT WRITE BELOW THIS LINE _ AUDITOR'S USE ONLY VENDOR CODE DEPT. & SUB. PROD' SUB. OBJ. CLAIM NO. INVOICE NO. INVOICE DATE DISC. GROSS AMOUNT ENCUMB. SUB -DIST. I INSTRUCTIONS -. to. -CLAIMANTS All claims against the county must be itemized, giving dates and character of service rendered or- work_ performed, quantities, de- scription and unit prices of articics.furnished or delivered. Claims must be certified by the claimant and submitted to the De- partment head for approval. Upon approval the Department head will forward claim to County Auditor for payment procedure.' Do not file with the County Auditor first. Claims should be presented to officials for approval immediately upon completion of services requested or material ordered. Claims are paid every Tuesday; however, same must be approved by officials and in Auditor's office before preceeding Wednesday noon. Compliance with above will expedite payment of claim,.failure to do so may delay payment considerably. a COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS b 7 County Center Drive — Oroville, California 95965 i Telephone: 534-4541 APPLICATION AND PERMIT IZ�5-61 -;77 Receipt No. !1OG 3 7 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant By Building permit expires Date Date BUILDING OwnerA 4:2 SQ. FT. OCC. BUILDING VALUATION o 0 Mailing Address 220 -2 r Telephone Q Contractor 00 Fireplace 7 6,09 Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee $ ©, Building AddressSJUJ,I-p� PLUMBING No. @ FEE PERMIT FILING FEE J$3.00 3 �kALA_r_ Y1 V Q- Each Trap 1,50 ( Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. �— . Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fe Sanitation Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA ParkinPlans eParcel Parcel Map 60' Improvements Lawn sprinkler system 2.00 Bldg. PI s Recd Parcel Appro Plans provol Permit Fee $ $ - NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ LamPERMIT ELECTRICAL No. @ FEE FILING FEE J$3.00 3 �� Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home ❑ Others OVER Main service 00 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST OR ADDNS. ( ACCLB N P. &) 22 sq ft NEW CONSTR. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS) 2.50ea ' NEWCONSTR. POWER APPARATUS &) NON .RESID. (SINGLE OUTLET CIR. 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: Ex. Occup(OUTLETS OR FIXTURES),, @S L @1Q Ex. Occu FIXED APPLNS. OR P•(OUT LETS (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. Permit Fee $ r2 in, $6 In WORKMEN'S COMPENSATION INSURANCE 1 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. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 1 1 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property inspe tion purposes. X t i77 C;...... ♦...e .. Pe. =E. .._ TOTAL PERMIT FEE $ loo F& This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS Receipt No. !1OG 3 7 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant By Building permit expires Date Date /Mr"Off mz, �. � ' . , .. _ .. ti ._ P� =�, vo V� zr, 6-00.4 - i s S '�.r- IL l S• ' .'�' •Sik...Fr\ '1� 1. c M 1 - ( n PERMIT APPLICATION WORK SHEET /► �JJ Y / S(/ Permit _ OWNER J`� C7�,Q'ji !GI�('.A a 1 A.P. No . ._ Zoning Use Proposed Approved Not approved Permit fee based upon: 1. Complete contract price. 2. Partial contract price (explain). 3. DPW Valuation (show): At time of permit application, ithe applicant was advised the following data or information must be submitted prior to permit processing and/or issuance: 1. 2. L ----Y. 4. 5. -/6 =2 . 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. By All items have been submitted. ------------------------------ Plot plans in duplicate/triplicate. --- ---- ---- ___ a Ge t clans in duplicate --;&,bl--s'___ Complete engineered plans and calcs.------------------------ Fees of $ ------------------------ Letter of signature authorization. -----'--------------------- Sanitation approval.---------------------------------------- Planning --------------------- -_Planning approval for Workmen's Compensation Insurance Certificate. --------------- Contractors license.information.---------------------------- Parcel declaration, recorded copy. -------------------------- Access declaration. ----------------------------------------- Aunt Minnie information. ------------------------------------ Deed of access, recorded copy. ------------------------------ Deed of parcel creation, recorded copy. --------------------- Parcel map, recording data. --------------------------------- Pre -inspection request for Improv - lana re uired A. D 1 Date Received = 1 ap rova . ---------------- QtheA � C, p c �bO�� 1n G \ Q � 1 Y\ SIrue-- U r� )) I Bldg. Insfector During plan checking process, the following data or information must be submitted prior to permit issuance: 1. Index permit for items 7-/g above and in addition the following: 2. Applicant advised by Telephone Mail Other 3. Plans checked by Date 4. Plans approved by ate When permi s issued, process as follows: 1. Mail to owner. 2. Mail to contractor. 3. Deliver with inspection. 4. Telephone and hold for pickup. 5. Other Date Before permit issuance, all of the following items must be signed or marked NA: 1. Zoning use 2. Legal parcel 3. Envir.*Health Plans Seht A. Sanitation B. Restaurant C. Other 4. Public Works Plans Sent A. Street Imp. B. Drainage C. Permits & Fees D. Other 5. Planning A. Use Permit B. Variance C. Other 6. Other Agencies Plans Sent A. Fire Dept. B. Other u v. 1845-78P,E ,PERMIT NO. PERMIT EXPIRES DOWNER Dorothy Tobin ;CONTR. Fuller Const., Magalia LOCATION (A.P. 66-20-16 ) 315 Andover Dr., lot 191, CC#3, Magalia ,af r t t; . 14J `Rtt 1 Temp. Power Pole Called PG&E Temp. Elec. Serv. �^ % Called PG&E O Cv JOB FINALED i ' 3 /electrical ` A. Is service large enough to provide adequate amperage --to mobilehome (must equal rating of mobilehome with a minimum of 1 aip) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes No ` B. Is there proper clearances around panels? Yes,.'/No C. Is°power supply cord or feeder assembly properly fused? Yes No D: is continuity test satisfactory as per the following procedure? Yes No 1. De -energize electrical wiring system of the mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor; have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances; shall be tested for continuity from such equipment and the grounding conductor. 6: Upon completion of the above procedure, the power supply cord ori feeder assembly conductors shall be connected to the site service equipment. A further continuity- test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of theelectrical tests,.the lot or site service equipment may be approved for energizing. i 10. Is job card signed by Health Department forwaterand sanitation? 11. If everything okay, sign off card and tag services. r MOBILEHOME DATA 5110 Manufacturer and/or Namestyle Length] _ Width Vehicle Serial No. _01? State Identification No. A,Vtipnal Information or Comments: %f>6 �✓ Comic , �ffGS h1/ C40 l0 -,7-,7p �LLtod£ `°/1���£ ��i� 01V, off'. 5-64.T 3FT4ac% (K�i?0 4/!yr .4e re s'ixa rer C1 40 VfAi: a%oa -df S?f os Tsr F r MOBILEHOME.bIATALLATION INSPECTION CHECK LIST PC Is the mobilehome located" with .equired separation 'from "lot 'lines and buildings" and generally conform to plot plan? Yes No �� Does the mobilehome have required clearances above ground? (Sec.5085).Yes L/No 0/G Are footings and supports properly sized, spaced; and braced as per proved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes o ( �G Is the mobilehome level? (Sec. 5088) Yes 11 .5No_ If mor single unit are crossover connections properly installed? (Sec. 5088) Yes o LWater A. Is flex' a connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes No Test - Does water piping withstand working pressure or 50 lbs. air test? Yes_ ^� Backflow - If is not State of California approved, does station have backflow device / \ and pressure -re ivalve? Yes_ No — 0' Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes 1'1 B. Does it have minimum" per foot slope and is it properly supported? Yes No f l6 -re any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe?.Yes No_4,--' `I If is not State of California approved, does station have required trap and vent? Yes 8-1/44as Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as large as the mobile me gas line inlet without reductions other than the mobilehome connector. Yes_ No B. Test OK as*per following procedure? Yes /No- 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimuii, 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for .l0 min. without drop. " 4. Connect gas meter to mobilehome with connectZNNog. 'on gas, test connections with soapy water. C.. Are all appliance vents properly installed? Yes 11 ,County of Butte DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville Phone: 533-1230; Ext. 259 i . CORRECTION NOTICE ............................................................... :........................................................ Building or Property Address 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,, ............................................................................................. ............... ......................::................................................................................................ ......................................................................................................................... +i a ....................:................................................................................................... i ........................................................................................................................ ........................................................................................................................ ........................................................................................................................ Date............................. Inspector.......................................................... ,►, Do Not Remove This Tag (400-4) �1'ovc� Sys AvO GUi i COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING-- BUILDING (Cont'd) PLUMBING tback FI wall So Pipin FdVs Parlipets 1 s F I oor MbJn Bldg. Restr om Finish 2nd loor otin s Windo 3rd F or St wall Sidin To out Slab Roof SheaXina Water PI i Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport p Footings Prov. for ph sica handicaped Conformance of ex. structure Appliances Gas Piping &Test Temp. Gas Slab Final Sanitation Patio JIREkACE Final Footings FootingECTRIC Masonry Walls Throat Rou h Reinf. Steel Final Bona tseamy I FIRE SPRINKLE Motors Framing Test Water Htr. Stucco Final Sub ane Mesh MECHANICAL Grd. FAR Prot- Irorlor Latl oo�..r Closer MOBILEHOf Water Piping Water Piping MATE REMARKS OR CORRECTIONS o ►� ° T v �U-� G y Ve 1-4 411-t aij s/ T mp. Pole nder round Permanent Final Elec. Pedestal Elec. Continuity -- Gas Piping (NOTE: An entry must be made on this form each time you visit the job site.) %I/Final (TIES ---------------- Elec_ Service i b-9 Sewer ;TALLATI N --------------Support b . — .3 � 70 rainage MATE REMARKS OR CORRECTIONS o ►� ° T v �U-� G y Ve 1-4 411-t aij s/ T mp. Pole nder round Permanent Final Elec. Pedestal Elec. Continuity -- Gas Piping (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE Of OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number< /— 7S'for the following location: . _ / ✓/.-� C!/uffJ-Fit ..fly. r' `Owner Owner's Address Mobilehome Mfg, -' �, j 4 n - � Model ;�+ Year!' »- Insignia No. p '7 r Serial No. r. It is hereby certified for occupancy at the above described location and may be occupied. Directtoorroof,Public Works Date ��'� ' j�`- By 1 THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS}RELOCATED White; .0wner, Yellow - Installer, Pink - D.P.W. r COUNTY OF BUTTE . - DEPARTMENT OF PUBLIC WORKS o On 7 County Center Drive - Oroville, California 95965 yk"",Tolephone,: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. x X ` Dates,11- Signature of P mitee or Agent Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Go denrod-Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated abov or which fees have been paid. IR P IC WORKS 1 BV Date vlBuilding permit expires Date BUILDING Owner f>IZOT/7/ �Xf SQ. FT. OCC. BUILDING VALUATION Mailing Address _ q,D g G9 Telephone No. %7 9V Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address /,�/�/uaU„y-y� D -,z Plan Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 �-v% / /— C,Zj Repair drainage or vent piping 1.50 A. P. No. G (� jj ^ �6 Zoning 8 Planning Water piping 1,50 Each gas water heater or vent 1.50 F s 4.6'on FireDept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans I Parcel Declaration Parcel Ma p 60' R/W Improvements p Each additional outlet .30 Building sewer 5.00 Lawn sprinkler system 2.00 Bldg. Plan R c'd Parce eroval ans Approval NEW -W ADDITION ❑ UTILITIES ❑ OTHER D Permit Fee $ ELECTRICAL No. @ FEE $ I :Y61 — B PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home iff Others ❑ Main service EA. ADD'L 100 AMP 2.50 r!!r� PA_Jzm , Main service �00EAMP OR LESS 25.00 Main service// EA. ADD'L 100 AMP 1,00 NEW CONST. OR ADONIS. % ACCLBLDGS.DWELING CCUP. Y) 2¢sgft 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: NEW CONSTR, -OUTLET NON-RESID ` BRANCH CIRCUITS 2.50ea NEW CONSTR. (POWER APPARATUS all NON-RESID, (SINGLE OUTLET CIR, Ex. OCCUD{OUTLETS OR FIXTURES g @L Ex. Occup. \ OpUT LETS P(RESID OR 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. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section 3700 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. X 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. PERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $. $ 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 buildina construction. and hereby Land Development Fee $ p,®( TOTAL PERMIT FEE $ d( authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. x X ` Dates,11- Signature of P mitee or Agent Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Go denrod-Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated abov or which fees have been paid. IR P IC WORKS 1 BV Date vlBuilding permit expires Date BUTTE COL DING DEPq APPR 0V C) The - AR. Setback shall be 5 ft. from Ac side property line and 50 ft. from tho cen i rline of fhe read, permitting a maxi mum of a 2 ft. eave overhang but entirely out f all easements. .q This set of plans and specifications MUST bt kept on the job at �•!} and it is unlawful t© make :ry c'wm j22 0;ons on sa e without written peri ission ia;� the Dep'artm' t of Pub. lic Works, County of Butte. J®TE:—All. Moforic:ls.&. Workmariship Shall Be in �ccord--,,nsCn w*,"*hec'` gnized .- G3©od Pr ctices and f a qua iiy prescnSbo l }or,tl�:e' Specific" use in the Iniforrn i:ui},iirsg, Plui1::�ing & ,ilechanicaCodes and le National Electrical Code. It utility corhetions :afed t�rithin a r, shall be ';". Outside the rear ro sec; ion . o•f tl�e ra�ol�ile ho f he Leff (road) side of the me ie• mobile. C% � l r Jr 4019At BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's n e• 2. Ins=aller's name: v 3. Is .he site currently un permit? Yes / No ,7 (If yes, furnish permit number Is =he site an existing site? Yes / / No (.If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes �/ No (If no, clarify ) 5. What. is -the mobilehome electrical rating? ----------------------- Amps 6. What is the mobilehome site service rating? --------------------- �QO Amps 7. What is the mobilehome site circuit breaker rating? ------------- Amps 8. Is there any other electric load to be served by the mobilehome site service? ------------------------- - - --- ------------ -- _ Yes -7 1— No /— (If yes, identify the load and size: (Load) (Amps) 3 .-(in.)' 9. What is. the mobilehome site as' pipe' e' size g P ? ---------------------- 10. What is the type of gas service? ----------------------------- Natural T-1 'LPG /Z4-- Z4----11. 11. What is the gas pipe length from meter or tank to the mobilehome? a" (ft.) • 12. What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required if pipe length less than 6'ft. on natural gas or less than 50 ft. on,LPG.) -P, - MOBILEHONE SUPPORT DATA If other than single wide, Mobilehome Mfr. furnish Setup Model No. Year Width (ft.) LBox Length (ft.) Tagalong.or Expando Size ft. x (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured a?ter October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. Footings (check one) Single j. Wood either pressure treated ox A A foundation grade. x 2. Other (specify) Center supp rt Center sup ort locations' footing s'zes Supports (check one) (in.) Concrete block. ❑ 2. Other (specify) (ft.)(in. (in.) (in:)A In I x—J .. (ft.)(in.) (in.) in. (ft.)(in/), in.) (in.) ( -)j (in.) (in.) in. *If center piers are other than drawn above, draw in locations, spacing, and dimensions. .<--Tagalong or Expando, show support details. Typical_ Support (in.) ­(in.) Footing Size -- Max. Pier Spacing (ft.)(in.) _ -- Max. Overhang (ft-) (in.) BUTTE COUNTY BUILDING DEPARTMEW APPROVED Dorothy Tobin 6678 Shay Lane ,.J�amdise, Ca. 95969 -117n�t CC3 Lot 191 Paradlse Pines :877-2084 Fuller Construction,— P.O. Boz 509 Magalia, -Cs. 95954 916-873-6668 - w" V�f of piins and Sp9l.ificedoils muT' kePt On the job at all tim&s and it i s unfw.sfut N 110 J MA--? an chenges or alterations on s.,-rnN w jjr rzw-,re V"4 Be in writt-zn permisson from the qual'fv orp,*,-;�r*l-eq fo, -,he `'ccs and Departm nt of rvt-,ii use in the Works, County --I ��!Irrni Building, Buff#-, 7 Plum'olng Machanicaj' V.0 - ational Electrical Code. 4e," and -15 OL I hc -;M- S!1011 lbe E It. from sick I 4F - '%' 1:*.c 1%. from t V tile celdc'.61,0 of A * e road, pemiding a mayi. , z 2 ft. cove o-verhang but entirely out of all easements. AN-DOV-rk k= -e 19 0 Y 6-1 41 k�z INR Z! i Tb -3 S' 14AME :• r ��-�rUw-1 DATR: _COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Signature of Per tee or Agent Receipt No.,/,g�22 s5 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above which fees have been paid. IREC OF P BLIC WORKS By Dat o_ Building permit expires Date BUILDING Owner�� SO. FT. OCC. BUILDING VALUATION Mailing Address s// i S Telephone No. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address �/� Plan Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 0 Each Trao 1.50 Repair drainage or vent piping 1.50 A. P. No. � szO .� � Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F s -6' Uai-aatioKL Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets9- EOA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 13 Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ (i ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 5•00 100 AMP OR LESS Single Family ❑ Duplex ❑ Mobil Home JZ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 25.00 100 AMPP OR LESS O Main service EA. ADD'L 100 AMP 1.00 NEW CONST OR A.D.S. ACCLBLDGS.CCUP. h) 22 sq ft 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 NON-RESIESID,CONSTMULTI-OUTLET ( BRANCH CIRCUITS) 2.50ea NEWCONSTR POWER APPARATUS 8 NON .RESID. SINGLE OUTLET CIR, Ex. Occuo(OUTLETS OR FIXTURES) g L1� � Ex. OCCU FIXED APPLNS. OR p• 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. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 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. 01E1certify that in the performance of the work for which this 1 prmit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 Land Development Fee $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Signature of Per tee or Agent Receipt No.,/,g�22 s5 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above which fees have been paid. IREC OF P BLIC WORKS By Dat o_ Building permit expires Date . T COUNTY OF BUTTE-- — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orbville, California 95965 �^ Telephond:534-4541 / APPLICATION AND PERMIT BUILDING Owner Dorothy Tobtn SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor Fuller Construction, Inc. Mailing Address P.O. Box 509 Fireplace Total Valuation Magalia, Ca 95954 Tele 6%3-N 0668 Permit Fee Building Address CC Lot 1 1 3 9 Plan Checking Fee&/or Penalty LOLZi0o, Permit Fee Andover Drive Magalia, Ca 95954 PLUMBING No. @. FEE PERMIT FILING FEE KX $3.00 06 Each Trap 1.50 C . otrTtlg Ye_rifieatlon SZnIY Repair drainage or vent piping 1,50 A. P. � o'- / 7Z Zan g & Pla Water piping X -i 40 Qd Each gas water heater or vent 1.50 F s tion Fire Dept. I.Fir Gas piping system 1 -5 outlets 1.50 EQA Par ing Plans Parcel Declaration arcel Ma P 60' R/W Imp r p ov entsKX Each additional outlet .30 Building sewer -Fr90 �� ads T%'d �T19� Parce A royal Plans Approval Lawn sprinkler s stem 2.00 P y NEW ADDITION ❑ UTILITIES 10 OTHER ❑ Permit Fee $ 7,90 r ELECTRICAL No. @ FEE- PERMIT FILING FEE $3.00 800V OR LESS Main service 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 . FT. MINIMUM EQp MOMLES 100 service OVER eooVffffi 25.00 100 AMP OR LESS Main service// EA. ADD'L 100 AMP 1.00 NEW CONS. OR AODNST % ACCLBLDGS.DWELING CCUP. 4� 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: .r %� ._, Fuller Construction, Inc. ' M;t NEW CONSTR MULTI-OUTLET 11 NON.RESI D.BRANCH CIRCUITS I 2.50ea NEW CONSTR. (POWER APPARATUS a NON-RESID. SINGLE OUTLET CIR. Ex. Occul)(OUTLETs OR FIXTURES B Ex. QCCU FIXED APPLNS. OR P•�OUTLETS (REST D.) EA) 2.00 ;Temporary service 10.00 P.O. BOX 509 Magalia, Ca 95954 ' :Mobile Home Facilities 15.00 0 License No. 346997 A Classification Opc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Oe'rmi:t Fee $ $ moi' Q $ WORKMEN'S COMPENSATION INSURANCE 1 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. j I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑1 certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL N0.1 @ FEE PERMIT FILING FEE $3.00 Heati:ngw Cooling.' Ventilation'-, Hood 2.00 Permit Fee $ 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. Al �J A'l Date 13/ d Signature of Per�miittee or Agent Receipt No. 77 �ds / White-D.P.W. - Yellow-Assessor - Pink-Inspector - Goldenrod-Applicant Land Development-Fee $ G 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 VUBLIC WORKS zlz Date_Z7- By �-i� Bwlding permit expires Date ct( 7 Dorothy •T-:)1 in 6678 Shay Lane Paradise, Ca. 95969 .Unit CC3 Lot 191 Paradise Pines ,e-871-2084 Fuller Construction, Inc. - P . 0 . Box 509 N;agalia, Ca.. 95954 916-873-0668 r WevjSe d f JAS aRsh n Jhc;l $e in r Ll(dC r ,� gi t -•n�� ^�`tc f ie`P_s OT r� ,^ and �nl�Cfill �Utl'�I t o'.t^ .e^�r�P�i use or, fir n9, t'It�rn �;•�G mocha.nim. Cedes and flea Code. .. '- r . _t. st,�;l1 be 5 R. from file V lrxn fife pa. itiihmj C n'10xi- nSut.1 Qf 2 tt. e'..i•r a overhang but entirely out of all easements. chis sot of plan, and speciticat}ons MuSt bo k._i+t on t=le job at all tim-+s and it is unfe m.A e'tY ch,-nges es or alt gyrations on samc- wful to w itt)Cut writtcn Prrmisson from tie De partm^nt 17{ Pvh(ii Works, C00 of 5ut+n. AN�C;'tk l'ktft -- SC-Ph7c system and location - �- - to be as per Cut to County' Health De;ot. Re - 3'.L. a2.%A R,- 330' quirements. Q�zo, _o Zlz 7`ite t .o.�',� �. r��d�orrt♦ )AlIAGG J4- 1 ! 1 1 Z, Sa T -a'a't L t Aim CP All ut'"lity co~r.� _�,cns sh; t � Jc.olE / 2-0 *4 located wi thin third fF• t.utsiC,�2 f; `; rC,�r sectio of t -;,e Mobile, horne on the left (road) ':ids of tine mobile 43-.7 home. BU f FE COUN Ty au1Lcji�•�C �j -P A. 1 ME 'N N AYE: � DATE: �l � .. t•_,... ....-. .,.. r_ ....:✓.�. �a§.z1;iS,,t�P:....l+«rt.P .w._ .-.?�.-�.��:st^'±�¢s� �.+.i �;��i'�:..-i���r��4�'f �ids�eril,��-ad- '� � � �� Sia 'I MH Uti-16 PERMIT NO.' 49 3898--75P,E Ir_ x; P e. E Al M WH UTIL. hPERMIT NO. PERMIT EXPIRES 41 ';,OWNER Dori Sechrist 'C ONTR. Marvin Anderson, Paradise -LOCATION (A.P. 66-20-16 ) 315 Andover Dr., lot 191, PPCC#3, Magalia /' e.1 ,ted 1 ,?I i t Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E r JOB FINALED Y 9. Electrical A.* Is service large enough to -provide adequate amperage -to mobilehome (must equal rating of mobilehome with a minimum of1 amp) and oth r facilities on lot, i e., water pumps, garage, cabana, etc.? Yes No_Cr/% % a B. Is there proper clearances around panels? Yes No C, Is power supply cord -or -feeder assembly properly fused? Yes ZNo D. Is continuity test satisfactory as per the following procedure? Yes N.o 1. De -energize electrical wiring system of the mobilehome at the pedestal. 2. Make sure that the power supply.cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, - water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6._ Upon completion of the above procedure, the.power supply cord or feeder assembly conductors shall be connected to the site service equipment.. A further continuity test shall then be made between the grounding electrode and the -chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site. service equipment.may be approved for energizing. -10. Is job card signed by Health Department for water and sanitation? 11."If-everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle Length44 Width Vehicle Serial No. .State Identification No.�� Additional.Information or Comments: MOBILEHOME,. INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located wi�equired sepatation from lot lines and buildings and generally conform to plot plan? Yes No 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes �No 3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (�No 2 & 5083) Yes!/ No 4. Is the mobilehome level? (Sec. 5088) Yes 5. If more than aMO rrs—prop'., ^�+ ^11 P�� �cA�, 5088) Yes No 6. Water A. Iflex' 'e connector of adequate size and properly installed (1/2" ID min.)? (Sec. '.5566) Yee s D10 B. Test - Does•water piping withstand working pressure or 50 lbs, air test? Yes��No C. - If coach is not Stat backflow device and pressure -relief valve? Yes No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at.each end? Yes -e- No B. Does it have minimum 4" per foot slope and is it properly supported? Yes '�No C. Are any leaks detected in drainage system after running 3 ons of water through each fixture including washing machine standpipe?,.Yes No d D. and vent? Yes No 8. 'Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as large as the mobilehome gas line inlet without reductions other than the mobilehome connector. Yes No B. Test OK as per following procedure? Yes_ No 1. Open all appliance connector valves. 2.. .Shu.t.off appliance burner and pilot valves. 3. Air test with manometer to 10"-14"water.column; or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with .soapy water. �� C. Are all appliance vents properly installed? Yes/ No• COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Foot4gs Windows 3rd Floor StemA I Siding To out' Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Prov. for physi Ily Heaters Slab handicapped Appliances Carport Conforman of ex. Gas Piping & Test 1 Footings structure Temp. Gas Slab v Final Sanitati Patio FIREPLACE Final Footings Footing EI_CTRIC L Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Pro --t. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior La Ventilation Perman n Door Clos r Final Final DATE REMARKS OR CORRECTIONS 2 U ,,Q D) CV 7 5 a I COUNTY OF BUTTE `- -DEPARTMENT OF PUBLIC WORKS- `' 7 County Eenter.Ddve = Orovi Ile, California 95965 7-5 Telephone: 534-4541 (p / ^7 4 -' ` APPLICATION AND `PERMIT autnonze representatives or the county or tfutte to enter upon the above-mentioned property for inspection purposes. x Date A& Signature of Permitee or AAg'eent Receipt No. —Z-3 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant 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. J DIRECT O R OFPUBLICWORKS By ✓ - -i 9 Date '3 —a*W"g permit expires Date BUILD NG Ownere C� SO. FT. OCC. BUILDING VALUATION Mai I ing Address Telephone No. •Fireplace Contractor Total Valuation Mailing Address p Permit Fee Plan Checking Fee&/or Penalty Telephone No. P L _ Z d Building Address ('�(�� n %� Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE •$3.00 `.3 'i�///j L / 1`% ° Each Trap 1.50 Repair drainage or vent piping 1:50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. 61p _�a�l Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet' .30 F Fire Dept. Fire Zone Use Permit Building sewer 5.00 EOA Parking, Plans Parcel Declaration Parcel Map 60' R/W Improve ents Lawn sprinkler system 2.00 Bldg.1164<<ecd Parcel A roval Plan Approval Permit Fee $' $ NEW,[]ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl, 1 meter �1 �jC�SYL `�- Add I ti onal 'meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home L Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures '2b0 02 jp Receps., switches & fix outlets am 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* /� .� ,iAo 7-e I. Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump - Water pump ' Mobil Home Facilities 5.00 r _ 1� Temp. Power Pole 5.00 �,/per, —f C License No. Z-�5� - Classification Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee'•' $ Is MECHANICAL No. @ FEE ' WORKMEN'S COMPENSATION INSURANCE 1 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. R11 I have placed on file with the County of Butte a certificate of �l 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. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 1 1 2.00 Permit Fee ' $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County OrdinancesTOTAL and State Laws relating to building construction, and hereby .3� PERMIT FEE $ �© autnonze representatives or the county or tfutte to enter upon the above-mentioned property for inspection purposes. x Date A& Signature of Permitee or AAg'eent Receipt No. —Z-3 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant 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. J DIRECT O R OFPUBLICWORKS By ✓ - -i 9 Date '3 —a*W"g permit expires Date PHONE: 534 4541 a — ,' r _ 3 H Ln S• 6 Utility ; t _- �1 O MOSILEHOME INSTALLATION _ INFORMATION �51 1 Lot Facilities riobilehocie Data 1-3 , 1. Plot pan dimensioned, location of mobile 1. t 20' O . w <. d 41 s-Tt- 73� to y su • Insignia Control No. K ID n rt co N.ra Permanent Wiring Connection Ve_g' Conduit size l �� . .. K .. Receptacle = ' "' Ampacity* CJ ! n -3. ►r.. 11obilehorte connec or size 'V [t n• Capacity �- 4. .. k. :.. o 5. J.a- ter riser size ' .5. tdater connector: describe on -.'reverse side 6_.Are utility conn -c ins located outside 6. Desimel loads:. the rear 1/3 of. the mobilLl:a� ? .w hire P.00f live load .A psf 4 f eet of the lef t -wall? YOE; V r;o Vind load 1,���sf . - If not, show dix-e sions.above. (only for nobileho.mes rmainifactured after ' 7. Is the mobilehome clear of septic tank, October 7, 1973) • ; (D 2•;anufart rer's installation ins ructions? utility easements? Yes V_ No Yes � No . 8: Do you, propose to do other work on the-. 8. Will the mobI16 hone he irnstalled on'a property other than the mobi.lehome separate support tructure? - installation which -will require a peanity yes No = Yes No �1 O MOSILEHOME INSTALLATION _ INFORMATION �51 Lot Facilities riobilehocie Data 1-3 , 1. Plot pan dimensioned, location of mobile 1. Length Width O . and utlity connections? Manufacturer 9 a G d Yes 1/ No Vehicle Serial No._ O 9 9 y 2. Electrical. service. equipment ampacity10 Insignia Control No. Circuit breaker ampacity 1� ® 2.. Feeder assembly ampacity Permanent Wiring Connection Ve_g' Conduit size l �� E=pacity f _ ' ' �' '- _ Power -supply cord ;amps) Receptacle = ' "' Ampacity* 3: Gas inlet -'size -3. Gas: , Platural LPG !/ 11obilehorte connec or size 'V Gas -riser size , 3 �- Capacity �- 4. Drain unlet size of k. Drain connector: describe on reverse side 5. J.a- ter riser size ' .5. tdater connector: describe on -.'reverse side 6_.Are utility conn -c ins located outside 6. Desimel loads:. the rear 1/3 of. the mobilLl:a� ? .w hire P.00f live load .A psf 4 f eet of the lef t -wall? YOE; V r;o Vind load 1,���sf . - If not, show dix-e sions.above. (only for nobileho.mes rmainifactured after ' 7. Is the mobilehome clear of septic tank, October 7, 1973) leach fields and located outside public 7. 2•;anufart rer's installation ins ructions? utility easements? Yes V_ No Yes � No . 8: Do you, propose to do other work on the-. 8. Will the mobI16 hone he irnstalled on'a property other than the mobi.lehome separate support tructure? - installation which -will require a peanity yes No = Yes No If . so, specify -- *For plans. and specifications of support system; see other.side. ADDITIONAL CMr,:^::TS Dr"in Connector, Describe��,�-� . ri i1at�� 'Connector, Describe�_A LOAM BEAR-ING SUPPORT AIM 'VOOTING Pier Spacing Used .. F M"ximum Pier Load; ;{Y' VGximum Column Load (multi-units only) - e t s- Soil Bearing Capacity " Footing Dimension Used %� l) TYPE OF PIER USED . n Steel Concrete Concrete Block IP Other TYPE OF FOOTING'• IMTE:�IAL USED Pressure Treated S�Tood • Z / X 3 d' Concrete °0 •Redwood (Grade) Other A' roved � � rte• :. PF Type tn BUTTE COUNTY BUILDING. DEPARTMEN.T- ..s...a.1,w..,na.cs-v..,.:..r.u�y.9C,.,.,M.114t, � - -, ��'�' � �/• - 9 -• ''. APPROVED L•0AD BEAPI\G SUP T?0i TS COUNTY OF BUTTEt —,'"DEPARTMENT OF PUBLIC 7,5 ]� 7 County'Center'Drive — Oroville, California 95965 L� / _ Telephone: 534-4541 / APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. �y X c (/CZ ' l ate 0 �f Signature of PeUrmitee or Agent Receipt No. Z_-37 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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 Ob-RUBLIC WORKS By Date s —1 `J Z) 8 ilding permit expires Date.................�!��.0"7 BUILDING Owner Don Sechrist SQ. FT. OCC. BUILDING VALUATION Mailing Address 1A1 v. 91.0 Telephone No. — Fireplace Contractor 1049 Total Valuation Mailing Address 955 ,. aggonpr Rd. Permit Fee Plan Checking Fee &/or Penalty Paradise Ca Telephone No. Permit Fee $ $ Building Address A r PLUMBING No. @ FEE 'PERMIT FILING FEE " ,app Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1:1_ f A9. eC 3 LQ 7- /%/ Each gas water heater or vent 1.50 A. P. No. 1p �Q ^ �` zoni Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 FLels' I 9U -C_ ]tSa�gj)FireDept. FireZone Use Permit Building sewer 5:90 6, EQA ParkingI Plans Parcel Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 13340 l�ja s �Rec'd Parcel Approvol p Plans Approval Permit Fee $ $ (1D NEW ❑ ADDITION ❑ UTILITIES ® OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 J, ft Main service incl. 1 mete Bim/. 3r40 -(j Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home ® Others ❑ Range, Cook -top or Oven 1.00 , S©-0 s -Tla,- z � WV*«"4 Water Heater or Space Heater 1.00 Light fixtures ba) 2 Receps., switches & fix outlets 2 25 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: Marvin -R. Anderson Hood, Ex. Fan or F. A. Furn. Motor 1.00 Evap. cooler, gar. lisp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities Temp. Power Pole 5.00 License No. 274092 Classification A&B Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE 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. E]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. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 TOTAL PERMIT FEE $ lie 71101Z authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. �y X c (/CZ ' l ate 0 �f Signature of PeUrmitee or Agent Receipt No. Z_-37 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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 Ob-RUBLIC WORKS By Date s —1 `J Z) 8 ilding permit expires Date.................�!��.0"7 COUNTY OF BUTTE%;'DEPARTMENT OF PUBLIC WORKS 7 County..Center Drive Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT 61 authorize representatives of the Co ty of utte to enter upon the above-mentioned pro rty or inspe ion p ses. X Date Signature of Permitee or Agent Receipt No' '/ White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. ;DIRECTOR OF PUBLIC WORKS By Date Date Z5� B*wki-iiM-permit expires Date BUILDING Owner �Oi% S SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor ��c�/ ` V Total Valuation Mailing Address ��� 3�/ Permit Fee Plan Checking Fee&/or Penalty Telephone No. tG Permit Fee $ Building Address �" O £� JJ� PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00j Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. �� �� 6 Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fess Satfiita on Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration parcel Ma P 60' R/W ImprovementsLawn sprinkler system 2.00 B I d Parcel Approval L Plans Approval Permit Fee $ $Z 3 NEW ❑ ADDITION ❑ UTILITIES [a OTHER OTHER ❑ No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) — Single Family ❑ Duplex ❑ Mobil Home Others ❑ Range, Cook -top or Oven 1.00 _ �� 1qo �i >� 3�' _Water Heater or Space Heater 1.00 Light fixtures '110b 12 10 Receps., switches & fix outlets 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: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 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 W.4kmen's Compensation Laws of California. v PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 TOTAL PERMIT FEE $ .� D authorize representatives of the Co ty of utte to enter upon the above-mentioned pro rty or inspe ion p ses. X Date Signature of Permitee or Agent Receipt No' '/ White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. ;DIRECTOR OF PUBLIC WORKS By Date Date Z5� B*wki-iiM-permit expires Date 1. Ceiling Insulation 2. Wall Insulation -4 Number of stories Insulation in Floor R -value One Two Three R-0 -103 -49 32 R-19 -8 -4 -2 R30 -2 -1 -1 R38 0 0 0 U -value 6 4 U -value 0.50 -176 -IM -54 0.30 -102 -19 32 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 Insulation in Floor Single- Family Single - 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 -46 0.50 -120 -58 0.80 -153 -114 -76 0.50 -91 38 -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 1 8 14 23 3. Raised Floor Insulation -4 -3 -1 Insulation in Floor -1 R -value Number of stories Two 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. Slab Edge Insulation. _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 -4 -3 -1 Number of stories -1 R -value One Two Three R-0 -11 -7. -5 R-5 -4 4 3 R-11 -2 -2 -2 R-19 -1 -2 -2 4. Slab Edge Insulation. 4 12 29 - of Stories -20 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 u.iu 2 2 1 0.60 6 4 2 0.50 9 6 3 0.40 12 8 4 S. Inriltration (Air Leakage) ,Spedfica6on it !. � °`Points Standard _ 0 - ',6. Glass Heat Loss Total U -value IPercent - .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 ^7 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) Stab Floor Poised Floor Effective Percent Glass ElTeedwe Pet en t Glass Stories (pereeat alas x SC) Multi (Pavent glass x SC) Detached Effective One Two Three %Glass North East South :West Skylight 18 5 1 4 1 no 16 4 2 5 1 no 14 4 2 5 1 no 12 3 3 5 2 no 11 3 3 5 2 no 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 12 3 1 3 3 0 1 2 1 3 2 0 0 .l. 0 3 1 -1 -1 -1 -1 2 0 -1 -2 -4 -2 0 :no = not allowed -11 -10 tB. Shading (Shade Closed) Stab Floor Poised Floor Effective Percent Glass Wall Stories (pereeat alas x SC) Multi Stories Detached /CFA One Two Three Gctive ioss NoM Ea9 South West SI;y%ht 18 -14 -48 -69 -64 no 16 -12 -42 -59 55 no 14 -10 -35 -50 -46 no 12 -8 -29 -40 -37 no 11 -7 -26 -36 -33 no 10 -6 -23 -31 -29 -74 9 -5 -20 -27 -25 -65 8 -5 -17 -23 -21•. -56. 7 -4 -14 .19 .18 d7 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 no • not WV*vd 8 10 11 11 9. Interior Thermal Mass Interior Stab Floor Poised Floor Mass Wall Stories Family Multi Stories Detached /CFA One Two Three One Two Three 0.0 -8 -5 -4 il -1 -1 0.1 -8 -5 3 4 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 Exterior Sirmle- Single - Sum of 14 Wall Family Family Multi Mass Detached AttadW Family 0.00 0 0 0 0.20 3 2 1 0.40 5 4 3 0.60 8 6 4 0.80 10 8 5 1.00 13 10 .7 1.20 13 12 8 1.40 12 13 9 1.60 10 13 11.. . 1.80 10 12 12 2.00 10 11 13 11. Heating System SE or KSPF (assumes dueb In attic) Zonal Control Adjustment System Type Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 12. Cooling Syst'm North b. Sum of 14 c. South SEER -4 -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 8.7120 0 -.18- .15- 13 11 8 2 1 Effective SE or HSPF 7 6 5 (SE or HSPF x duct efficiency) 2 Effective -25 or -24 to 41D :4 to +6 to 16 or SE HSPF less -15 -5 +5 15 more 0.30 2.75 -73 -64 -56 -47-38 20 -30 no 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 Zonal Control Adjustment System Type Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 12. Cooling Syst'm North b. East c. South SEER -4 -4 -3 -2 -2 (assume, ducts In attic) ., 2 2 2 Stn of 7-10 Single -Family Petaehed and Attached s. 8 X -25 or -24 to 1.1419 -4 to +6 to 16 or SEER less -15 1.6 +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 4 7 6 5 4 3 2 ..!10.5 11.0 10 9 7 6 4 3 12.0 15 13 11 9 7 5 ,_13.0 20 17 r 14 12 9 6 -12 -10- Efyeitive SEER 'i POU -18 =12 (SEER xAuct efficiency) -7 -6 I IG None'' Sean of 7-10 -3 -2 -2 Effective -25 or -24 to -1410 -41c +6 to 16 or SEER less -15 -6 +5 +15 more 5.0 -30 .25 -21 -17 -13 -9 6.0 -12 -11 -9 1 -7 -6 -4 3 6.6 -5 -4 -4 -3 ".. 4 "-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 or 221 19 16 13 10 7 11.0 26 23 19 15 12 8 I10.0 12.0 30 26 22 18 14 9 13.0 33 29 24 20 15 10 Zonal Control Adjustment 10 8 7 6 4 3 No Coolin; System Installed Stories North b. East c. South One -5 -4 -4 -3 -2 -2 Two + 3 3 ., 2 2 2 1 Single -Family Petaehed and Attached s. 8 X Unit Size isQ . Is - Water ;199 120"' 1700 2200 2700 Heater Uedit or I to to to ,.or Type Type less. 11699 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 HWR -18 -12 -9 -7 -6 1 WSB... -25 -16 -12 -10- -8 'i POU -18 =12 -9 -7 -6 I IG None'' --5 -3 -2 -2 -2 Solar 7.: 5 -4 3 2 POU . 3_ _, 2 1 1 1 IE None -28 -19 -14 -11 .9 Solar 8 5 4 3 3 ! POU -10 -6 -5 -4 -3 Multi-Famliy (Individual units) 70% 7$% - .1 thift Size (6 90% 95% Water 699 700 1200 i 700 2200 Heater Credit or to to to or Type Type less 1199_ 16M 2199 more SG None 0 0 0 0 qE� or Solar 14 7 5 4 8 �t HP HWR 9 5 3 2 2 WSB 9 4 3 2 2 POU 9 5 3 2 2 SE None -45 -23 -15 -11 9 Solar 2 1 1 0 0 HWR --23 -12 .8 3. .5 W3B =25 X13 -8 � -5 __F�2U _�3 3.9 -12 8_.. -6 -5 l IG None "; -8 4 .. -3 _ 2 2 '. Solar.... 6 3 2 1 i 1 _ POU 1 __ 0. 0 0 0 IE None -30 -15 -10 -8 -6 Solar: 18 9 6 4 4 POU -8 -4 -3 .2 -2 Point System Summary: Climate Zone 11 SCORE CARD 1. Ceiling Insulation 2. Wall Insulation 3. Raised Floor Insulation 4. Slab Edge Insulation S. ,Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) a. North b. East c. South d. West e. Skylight G.O x Interior MasslCFA 2. Z x = 1 - -�_ s. 8 X = . Is - /,'7 /,7 x % Glass SC Eff. % Glass 1,4- X /�>, 9 1 x = 4.D �( _ . TYPE 2 PASS sr X /1-7 X '7 "7 = / r 3 ~ ~ r r TYPE 1 MASS AREA 8 COND. FLOOR AREA Vs .•. Interior nsa/CFA TYPE 2 MASS AREA tl.7.uTPc•4.21 Exterior Wall Mass ND. LOO AREA Sum 7-]0 G.G, 1, TYPE 1 16SS WIPC 6 4.2, ie: e■ esod slab) Duct Efficiency [0.78] Effective SE or [0.7216.6] HSPF [0.5615.15] 9".5 X 7r-7 SEER [9.5] Duct Efficiency [0-741 Effective SEER [7.03] -�;- Type [SG] Credit [none] D 0% 5% 10% 15% 20% 25% 30% 35% 40% 4SY. 50% 55'. 60% oft. 70% 7$% 80% BST. 90% 95% 100%.105% 110% 115% 120% 125`, 0% 0 0.2 0.4 0.6 0.8 1.1 1.3 1.5 1.7 1.9 2.1 23 2.5 2.7 29 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5 5.3 10% 0.2 0.4 0.6 0.6' 1 1.2 1A 1.6 1.9 21 23 2.5 2.7 2.9 9.1 3.3 3.5 3.7 4 4.2 4.4 4.6 4.8 5 5.2 5.4 20% 0.3 0.6 0.8 1 1.2 1.4 1.6 1.8 2 2.2 24 27 214 3.1 3.3 3.5 9.7 3.9 4.1 4.3 4.5 4.6 5 5.2 5.4 56 30% 0.5 0.7 0.9 1.1' 1.4 1.6 1.8 2 2.2 24 26 2.8 3 32 9.5 3.7 32 4.1 43 4.5 4.7 4.9 5.1 5.3 5.6 5.8 -401/. 0.7 0.9 1.1 1.3 1.5 1.7 1.9 2.2 24 26 2.8 3 3.2 3.4 -3.6 3.8 4 4.3 4.5. 4.7 4.9 5.1 5.3 5.5 '6.7 5.9 .50% 0.9 1.1 1.3 1.5 1.7 1.9 21 23 25 27 3 32 3.4 3.8 3.8 4 42 4.4 4.6 4.8 5.1 5.3 S.5 5.7 5.9 6.1 55% 0.9 1.1 1.4 1.6 1.8 2 2.2 24 2.6 28 3 9.2 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 S.6 5.8 6 6.2 1 1.2 1.4 1.7 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 5.2 5.4 5.6 5.9 6.1 6.3 %60% 65% 1.1 1.3 1.5 1.7 1.9 2.2 2.4 2.6 2.8 3 3.2 3.4- 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.4 70% 1.2 1.4 1.6 1.8 2 22 25 27 2.9 3.1 9.3 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 5.2 5.4 5.6 58 6 6.2 64 75% 1.3 1.5 1.7 1.9 21 23 25 2.7 3 3.2 8.4 3.6 3.8 4 4.2 4.4 4.6 4.6 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 e0y. 1.4 1.6 1.8 2 22 2.4 26 2.8 3 3.3 9.5 3.7 3.9 4.1 4.3 4.5 4.7 4.0 5.1 5.4 5.6 S.8 6 6.2 64 66 .857. 1.4. 1.7 1.9 2.1 2.3 25 - 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 5 5.2 54 5.6 5.9 6.1 6.3 6S 4.67 90%' 1.5 1.7 2 2.2 24 26 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 53 5.5 5.7 5.9 6.2 6.4 66: 68 951/. 1.6 1.8 2 2.2 25 27 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 5.2 5.4 5.6 5.8 6 6.2 6.4 6.7 6.9 .1001/. 1.7 1.9 21 2.3 2.5 28 3 3.2 3.4 3.6 9.8 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% 1.6 2 2.2 2.4 2.6 28 , 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 5.6 5.8 6 6.2 6.4 6.6 6.8 1 110% 1.9 2.1 2.3 2.5 2.7 29 3.1 3.3 3.6 3.8 4 4.2 4.4 4.64.8 5 5.2 5.4 5.7 5.9 6.1 6.3 6.5 6.7 6.9 7.1 115% 2 2.2 2.4 2.6 2.8 3 9.2 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 •6.8 6.8 7 7.2 120% 2 2.3 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 6.2 6.5 6.7 6.9 7.1 7.3 125% 2.1 2.3 2.S 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 .2 7.2 7.4 Point System Summary: Climate Zone 11 SCORE CARD 1. Ceiling Insulation 2. Wall Insulation 3. Raised Floor Insulation 4. Slab Edge Insulation S. ,Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) a. North b. East c. South d. West e. Skylight B. Shading (Shade Closed) a. North b. East c. South d. West y e. Skylight 9. Interior TT ermal� Mass 10.Eiterior WAIPM-ass�8 11Hea ng Systei Zonal Control? ( Y / N ) 12. Cooling System Zonal Control? ( Y / N ) 13. Water Heating Measures ��// _3s63bor R -value [38] U -value [0.030] /3 or R -value [11] U -value [0.098] -1 q or R -value 119] U -value [0.037] Point Scores -- O - Z or R -value [0] F2 factor [0.77] Standard Type [double] U -value [0.65] % Total Glass [ 161 0 .� Sum 1-6 % Glass SC Eff. % Glass G.O x 2. Z x = 1 - -�_ s. 8 X = . Is - /,'7 /,7 x % Glass SC Eff. % Glass 1,4- X /�>, 9 1 x = 4.D �( _ sr X /1-7 X '7 "7 = / r 3 TYPE 1 MASS AREA 8 COND. FLOOR AREA Vs .•. Interior nsa/CFA TYPE 2 MASS AREA Exterior Wall Mass ND. LOO AREA Sum 7-]0 G.G, X SE or HSPF Duct Efficiency [0.78] Effective SE or [0.7216.6] HSPF [0.5615.15] 9".5 X 7r-7 SEER [9.5] Duct Efficiency [0-741 Effective SEER [7.03] Type [SG] Credit [none] D Point notal: �,�� Certificate of Compliance: Residential Climate Zone 11 ProjectTltle 9 2 - 3 o I S S Za A N o o vE R- Building Pamit a Project Addreai FZ K I/ —I �9 Z Checked By / Date Documentation Author Telephone Ed{onxanent Agency Use Only BUILDING DATA Area Glass Type Interior Exterior Overhang Framing Type Glass Area % Glass (single. double) (roller blind etc.) (dwdescreefl, etc.) (yeahlo) (metaWood) North North Z_ #4 - 1#4 - Conditioned Conditioned Floor Area /B 74io Number of Stories �_ East //-S , o Slab/Raised Floor Number of .Units South 4r_ 2.2 IM Single Family Detached (SFD) [ ] Addition Alone West 14P.49 C� S ( ] Single Family Attached (SFA) [ ] Existing Building Skylight 5 C. 1.-07 Type/Covering [ ] Multi -Family (MF) [ ] Existing -Plus -Addition Total 3x3 / 0 - BUILDING BUILDING SHELL INSULA710N Component Insulation Locatilon/Comments Type R -Value (attec..to garage. tvpi-cal. etc.) -ro-rA L wall .............. wall ............. Roof ............. lmt --399- 38Roof Roof............. Floor ............. I� Floor ............. Slab Edge ..... — GLA'LING Shading Devices Glazing Area Glass Type Interior Exterior Overhang Framing Type Orientation (sf) (single. double) (roller blind etc.) (dwdescreefl, etc.) (yeahlo) (metaWood) North North ( ) East East ( ) South Sou til ( ) West West ( ) Skylight....... 3Z THERMAL MASS Type/Covering Area Thickness (slab/exposed, tile. etc.) (SO (inches) Location/Description (kitchen. bath. etc.) HVAC SYSTEMS Minimum Type (t'unace, air Efficiency conditioner, hest vumn) CSE. SEERMSPF) Duct Location Duct (attic, etc.) R -Value Manufacturer / Model # Maximum Furnace Heating Output: BtuhI HOT WATER SYSTEMS Tank Manufacturer/Model # System Type (storage gas. etc.) Capacity (or approved equal) Special Feature(s) ! 5. &� P & SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) .r M Mandatory Measures Checklist: Residential - �1 -. MF -1R NOTE: Lowrisse residential buildings subject to the Standards must contain Mae measures regCdlw of the Compliance approach used Items marked with an asterisk (•) may be superseded by more stringent eompliancr, requirements listed on the Certificate of Compliance. When this checklist is incorporated ino the perms documents. the features noted Shull 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. DESCUMON I DESIGNER I ENFORCF_blENf Building Envelope Measures • §2.5352(a): Minimum ceiling insulation R-19 weighted avenge. §2.5352(b): Loose fill insulation manufacturer's labeled R -Value. • §2-5352(c): Minimum wall insulation in framed walls R-11 weighted average (does not apply io exterior mass walls). 62.5352(k): Slab edge insulation - water absorption rate no greater than 03%. water vapor transmission rate no greater than 2.0 perm/inch. §2.5311: Insulation specified or installed mats Cal'domia Energy Commission (CECT quality standards. Indicate type and form. §2-5352(f): Vapor barriers mandatory in Climate Zona 14 and 16 only. §2.5317: Infiltration/Exfiltration Controls a Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Doors and windows certified. c. Doors and windows weatherstripped; all joints and penetrations caulked and sealed §2-5352(e): Special infiltration barrier installed to comply with 62-5351 mew CEC quality standards. §2.5352(d): Installation of Fireplaces 1. Masonry and factory -built fireplaces have: a. Tight fatting. closeable metal or glass door b. Outside au intake with damper and control c. Flue damper and control 2. No continuous burning gas pilots allowed. HVAC and Plumbing System Measures §2.5352(8) and 2-5303: Space conditioning equipment siring: attach calculations. 92-5352(h) and 2-5315: Setback thermostat on all applicable heating systems. • 12.5316(a): Ducts constructed. installed and insulated per Chapter 10, 1976 UMC. §2.5316(b): Exhaust systems have damper controls. §2-5314(c): Gas-fired space heating equipment has intermittent ignition devices. 62-5314: HVAC equipment. water heaters, showerheads and faucets certified by the CEC. §2-5352(1): Water heater insulation blanket (R-12 or greater) or combined interior/exterior insulation (R-16 or greater): fust 5 feu of pipes closest to tank insulated (R-3 or greater). 62.5312(Exception 1): Pipe insulation on steam and steam condensate return & recirculating piping. §2.5318(d): Swimming Pool Heating 1. System has: a. Orloff switch on heater. b. Weatherproof instruction plate on heater. c. Plumbed to allow for solar. .2. 75 percent thermal efficiency. 3. Pool cover. 4. Time clock. 5. Directional water inlet Lighting and Appliance Measures 12-5352(1): Lighting - 25 lumens/watt or greater for general lighting in kitchens and bathrooms. 62-5314(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 STATEN0gT This certificate of Compliance lists tate building features and performance specifications needed to comply with Title 24. Chapter 2-53 and Title 20. C hapten 2. Subchapter 4. Article 1 of the California Administrative code- This certificate has been signed by the individual with overall design responsibility and the building owner. who shall retain a copy of it and transmit the certificate to any subsequent purchaser of the budding. Designer Nana: Title/ ww Address: Telephone: lic. 0: (signature) (date) Documentation Author Name: rtleftrm: Addmss: Building Owne Name: Titk/Firm: 7 Address: X633 wt c9_cp Telephone: % — -7 S c- °Z -- (signature) Enforcement Agency Name: Agakcy: Telephone: (date) If leiv7 4 clew f a d MO. 18$A•11 %17 L } 1 i -- - , - P AR O V DRAWING NUMBER f,r4 t.. /00"/ `eve, rga d2 PARADISE PINES P.O.4. ARCHITECTU AL CONTRO COMMITTEE NAME %%S TRACT LST DATE �-Z'Z_.?� rvl APPROVED BY ,- c - S RU RAL PP�;OVAL .yam SCALE: /L� " PROVED BY DRAWN BY BUTTE COU AP TE: y �- Ire& CAM � c BUILDING DEPArfMF=Nl ' i -- - , - P AR O V DRAWING NUMBER f,r4 t..