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073-160-044
4#ws u 73-16-44 GERALD & PEGGY BOWES �o� 9 91 Mallory Lane, Forbestown Permit#5�-87B,P,E,M(new single fa -4=. r 73-16-44 ��g 9� t#1243-88B(lst renewal/576-87) 73-16-44 2340-89B,E BOWES, Gerlald & Peggy 91 Mallory ,Lane, Forbestown / r (complete work started under 576-87) 73-16-44 Permit,#2928-90B,E (complete/sf)� d 73-1644, Permit#3191-91B �' g --(1st renewal/ -2928--9M-----, v�_.� 673-16-0-044 92-3617B BOWES,Gerald & Peggy -�j 91 Mallory LN, Forbestown/ v:' V9 � complete/87-576 r-073=16=0-044 93-3337 B BOWES, GERALD & PEGGY �7 91 MALLORY,. LN , ' FORBESTOWN COMP/ETE WORK STARTED UNDER 87-57 073-160-044 PER14IT#94-2953 BOWES, GERALD & PEGGY 91 .MALLORY LN . , FORBESTOWN101 COMPLETE BP#93-3337 073-160-044 PERMIT#94-2964 BOWES, GERALD & PEGGY 91 MALLORY LN.; FORBESTOWN /a ADD OPEN DECK/SF a 9% 073-160-044 PERMIT#95•-_2803 J BOWES, Gerald & Peggy 91 Mallory Ln., Forbestown Lst.Renewal f BP#94-2964 t 4a I— _.. t s 73-16-44 s ={ IT Y , r BOWES, Gerlald &I Peggy t 91 Mall=ory Lane, #Forbestown j I. (complete worklstarted under 576-87) 4 ' ! PEF PERMIT EXPIRES OWNER } CONTR. Ll*, ASSESSOR PARCEL s LOCATION c-4 ?. -my, Peggy 60wes c ci A--- d,. so I'd ht � would bV. r) 10/5/qa 3 ,-o �e i Temp. Power Pole Called PG&E % Temp. Elec. Service / Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) Signature = OK 0 = Not OK + r''' �.. ,0'1 - = Not Applicable ' MOBILE HOMES ,� �' r MISCELLANEOUS ; = Not Ready,_ _ -Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s r ' 1. Zoning. Requirements -Setbacks -Easements 1. Zoning -Requirements-Setbacks-Easements - 2..Soils; Special MH Support -Sketch 2. -Footings; Soils -Size -Depth -Spacing -Connectors -Steel r - - ' 3. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails •ti. - - - 4. Water; Location -Test -Easement Needed (Sketch) - 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.- - - _ -- - 5. Electricity; Location-Clearances-Grnd.-/ /Amp -Concrete - Shthg.-Rfg.-Bracing ' -^ 6. Gas; Location -Test -Wrap: / /"L"ft. 5. Alum -Awn]; Columns -Connections -Splice -Decal -Enclosures --- - • - / - /".Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors ' - - -7. Utility Clearance 7. Elec. 8: Frmg; Sills-Anchors-Studs-Rftrs-Trusses _ 9. Siding; Nailing -Veneer -Stucco -Mesh Card -Bi Date Card -131 Date 10.'Roof; Shthg-Roofing ' Card -81 . Date •_ - Card -61 - Date-. 11. Ext.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s - 1. Zoning Requirements -Setbacks -Easements Card -81 Date Card -61 Date - 2. Footings; Size -Spacing -Marriage Line Card -131 Date Card -131 Date 3. Gas; MH Test -Demand -Valve -Connector - 4. Electricity; MH Test -Crossovers -Breakers -Clearances - Date POOLS (Plans) OK except #'s -- 5. Drain;,MH Test -Fall -Flex Connector - - 1. Setbacks -Easements- ^T ` '-6: Water; -MH Test -Regulator -Connector - ' ` 2. Soils; Compaction -Structure Stability 7. Water and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel-Connections-Thickness- 8.•Gas and Electricity Tagged_' Dead Men -Lining - 9. Exits; Insp.-Sketch 4.'Elec.; Receptacles and.Lighting, Distances-GFI 10. Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6: Elec.; Enclosures; Conduit. Entries -Terminals -Listed ' 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Card -B1 Date, Card -B1 Date Boxes-Enclosures-Panel boards- Ins. to Main in Conduit Card -81 Date Card -131 Date 9. Health Department Approval - 10. Plumb.; Cir. Test -Water Supply Test _ Card -131 Date Card -61 Date _• _ - Card -B1 Date . - Card -61 Date = uK o = NotOK RESIDENTIAL (Single and Duplex) - =Not Applicable. = Not Ready Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks; -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 50. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 51. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 52. Ext. Doors -One T -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 53, Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 55. Siding -Nailing Veneer 12. Electric; Underground 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance- Material -Su pprt-Ins. 57. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 58. Shear Walls; Nailing -Bolts 15. Insulation 59. Insulation-Walls-Clg. 60. Infiltration-Walls-Wndws Card -B1 Date Card -131 Date Card -131 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchors -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 86. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels Card -131 Date Card -131 Date 67• Stairs & Rails Card -131 Date Card -131 Date 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. Date ELECTRICAL (Permit) OK except #'s 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 22: Fixture & Transformer Clearance -Ins. Protection 71. Elec. Outlets & Receptacles at Kit. Counter 23. Elec. Receptacles Spacing -Lights & Switches at Doors 72. Garage Fire Door; Swing -Landing -Closer 24. Size Boxes & No. of Conductors -Stapled 73. A.C. Duct in Garage -Damper 25. Romex Installed Close to Edge of Studs & C.J. 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 27. 2 Appliance Circuts in Kitchen &Conductor Size/G.F.I. 75. Plb., Elec. &Mech. Equip. Listed for Location 28. Su Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. or Cu or AlA 76, Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 77. Insulation -Foam -Looked in Attic ❑ Yes 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or AI. Insulated Neutral Yes No 78. Guard Rails & Deck Construction -Post Caps 30. Service -Riser Conductors & Ground -Main Disconnect 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 31. Equip. Clearances Panels-Motors-Mech. Equip. 80. Following instld.; Drive .❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector 81. Stucco; Brown -Finish Card -B1 Date Card -131 Date 82. A.C. Unit; Disconnect, Electrical, Plumbing Card -131 Date Card -131 Date 83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. Date MECHANICAL (Permit) OK except #'s 84. Water Well; Disconnect, Electrical, Plumbing 34. A.C. Ducts Insulation & Support 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 35. Vent Fan; Exhaust above insulation 86. Ventilation throughout House 36. Condensate Drain & Overflow; Size & Grade 87. Glass Protection 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 88. Corrections from Previous Inpections 38. Attic Access & Platform if Furnace in Attic 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/0 to Grade -HD Approval 9i. Energy Compliance Certificate -Other Certificates Card -131 Date Card -131 Date 92• Roofing Certificate Card -B1 Date Card -B1 Date Card -131 Date Card -81 Date Card -131 Date Card -61 Date Date FRAMING (Plans) OK except #'s 39. Sills, Proper Material & Anchors Card -131 Date Card -61 Date Comments at Final: 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41• Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearing (NOTE: An entry must be made each time you visit iob site) I 4t3 17 PERMIT NO. • PERMIT EXPIRES.�,� 41, OWNER GERALD W. & PEGGY M. BOWES CONT R. owner ASSESSOR PARCEL 73-16-44 LOC TION 91 Mallory - Ln, Forbestown raw Olt' ke& Temp. Power Pole Called PG&E Temp. Elec. Service Temp JOB I G, V = OK , 0 = Not OK 3 Not Applicablea += N -Ready' y �". , RESIDENTI�►L,�Single and Duplex) r i. • Date UNDERFLOOR (Plans) OK except#'s' Date FRAMING (Continued) - - 1-1. Zcning requirements-Setbacks-Easeme s48 Property Ling Firewall,;&'Openings /12: Fig., Main; Soils-Steel-Elec. Grnd. / ' tg. Depth L,49- Ext. Doors -One 3' -Check Garage -3rd story, 2 exits -- 3...1-, Garage; S 'rte creel- / /" tg. Depth 0. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Fig -Perches-& Decks; Soils=Steel- / /" Ftg. Depth _ 1. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Stemwalls, Main; Steel-BlocWs-Wrapped-Slab W. Siding -Nailing -Veneer 6. Steel-Blockouts-Wrapped-Slab 53. *STffU01W93ff Drip Screed-Fdn. Vents-Underflr. Access / 7. p aTce Ftg.-Steel _v 8. DXV._ Fall -Fittings -Test -2 way C/O -Sewer Test _ 9. Gas Pipe; Size -Anchors - 10. Water Pipe: Test -Anchors -Regulator -Service Test _ 54r-61flYing� a -Glass Protection -Skylights -Plastic 55. _Shear-Wff1S�, Nailing -Bolts W 1y. Eleetrit-�{adecground 12. Plenums & Duc s; Clearance -Material -Support -Ins. Girders -Si AnchoEgak§ Joist�Gent-Crippl �� -- - - i - ---_ Card -BI Date - Card BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Oate�2 Card -BI Date • Card -BI Date •- Card -BI Date Date F L (ans) OK except #'s Date A0 UMBING (Permit) OK except #'s t. Steps -Door & Sidelight Protection -Landings Smoke Detector 4. Water Ht.: Vent -Access -Combustion Air�8-F�nace; �OlaterPipe: Test & Anchors -Nail Protection D.W.V.: Test-Fttngs & Anchors -Nail Protection �: Test, First Flo Tub Access 18. est Tub & Shower, 2n loor-Tub Access 9. Gas Pipe: Size & Anchors_ v� O Card -BI (/per Date �- / -p I CardDate Card-BIy Date Card -BI Date Vents -Clearance -Comb. Air-Connector- /ht Garage; Above Floor-,Ducts-Mech. Protection 59. droom Exiting & Bath Fixtures & Tub Actress ler. Trim & Subpanel; Breaker Sizes -Labels, -Stairs & Rails k-63. _Fireplace or Stove; Clearances -Hearth . E . Outlets at Wood Panel; Int. & Ext. �IkIT. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance . Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except #'s tr Door; Swing -Landing -Closer Duct i Gara e -Damper 20 Fixture & Transformer Clearance -Ins. Protection ,i �✓I Elec. Receptacles Spacing-Light_s_& Switches at Doors . Size Boxes & No. of Conductors -Stapled Romex Installed Close to Edge of Studs & C.J. 4. Equip. Ground made up w/Mech. Fastener -Bond Gas &Water 5. 2 Appliance Circuits in Kitchen & Conduc -P --SobFeeel-W+re Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 2q6---Ra+ige-6ir-&. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral Yes No � X.Qr28. Service -Riser Conductors & Ground -Main -Disconnect 29. Equip. learances. Panels-Moto rs-Mech_Equip. - 3C}=r1rnoc r e,e, Light -Shower Light1_94 •-� Card B -I e Date" ^ I �7 Card --.Bl- Date Card B-1 1� Dale Card -BI Date _ tr. Htr.; Vents -Clearance -Comb. Air-Conngcle . In.Garage; Above Floor -Meth. Protection j�lb., Elec. & Mech. Equip. Listed for Location ecept cies in Garage; (G.F.I.)-Romex Protec. uanon-Foam-Looked in Attic E3 Yes - Rails & Deck Construction -Post Caps Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor El Yes 75, Following instld.: Drive Yes C Walks ❑Yes Planters El Yes o nit; Disconn t-Clrnces-Brkr. & Cond. Size -115V Outlet . V_eats Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. Disconnect, Electrical, Plumbing L,80'. -Exterior Elec. Trim: G.F.I. Receptacle -Underground it ion throughout House G lafs Protection Dale MECHANICAL (Permit) OK except #'s orrections from Previous Inspections -� G -est-Meters Tagged; Gas -Electric 31. A.C. Ducts. Insulation & Support _ - - _ 32. Vent Fan: Exhaust above Insulation - 33. Condensate Drain & Overflow: Size _& Grade 34. Furnace -Vent: Access -Comb. Air -Return Air Vent- _115_V outlet 35. Attic Access & Platform if Furnace in Attic - Card -BI Date Card -BI Date - - Card -Bi Date Card -BI Date er & Sewer Connected -C/O to Grade -HD Approval 8 Energy Compliance Certificate -Other Certificates - - - - - -' Card-B,I Date Card -BI 1% , Date Card -BI Card -BI Date Card -BI Date Card -BI Date Date Date FR ING(Plans) OK except #'s Com lents at Final: 6. Sills; Proper Material & Anchors - -37. Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound L-�-8E�earing Walls over Girders & Floor Nailing `�39�. C,rafl Stop in Walls (rat proof) 1r-<. Fire Stops: Furred Ceilings -Stairs -Chases -Tub_ _ Header & Beam -Size &Bearing 42. Hangers -Post Caps -Anchors -Connectors --4'3. Cing. Joist-Rflr. Ties-Purlin-Roof Brac.-Truss-Shthrig -Rfng. 44. Fireplace Ties or Type A Flue -Fireplace Throat affles--- �.�-�cess: Size &Romex Protection -_Draft Stop -Ins. -Baffle-s 16446. � 6. Bdrm. Windows or Exiling Doors -Sill Hgl. & Dimensions 47�F%Iecuon Framing - _ - r' .---- -- ---- ---•-------- -- - (NOTE An entry must be made each time you visit job site) J = OK 0 = Not OK = Not Applicable MOBILEHOMES * = Not Ready MISCELLA,NPOUS4 ; .x Date MOBILEHOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Depth -Spacing -Connectors - _- 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4, Vrood Awn.; Posts- Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ P'Nat.or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors _ 7. Elec. 7. Utility Clearance Card -BI Date Card -BI Date Card -BI Date Card -BI Date _ Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/O to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures- Pane Iboards- Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -81 Date Card -BI Date Card -BI Date Insulation Certificate BUILDING OWNER: BUILDING LOCATION: BUILDING PERMIIT #: Description of Installation ROOF ` �. Material - - Brand Name Thickness (inches) w ✓ Thermal Resistance (R -Value) 3 L EILING a�[ p Batt or Blanket Type ts�b.I, Brand Name 14 ?Agv-utb,,d Thickness (inches) b t Thermal Resistance (R -Value) Loose Fill Type Brand Name Contractor's minimum installed weight/ft lb Mvtimum thickness �_ inches Manufacturer's installed weight per square foot to acheive Thermal Resistance (R -Value) ✓EXTERIOR WALLA r Material L P Ir Thickness (inches) AISED FLOOR-�8ply Material _ 4. Thickness (inches) `D j o ices SLAB FLOOR Material Thickness (inches) Width (inches) FOUNDATION WALL Material --�Ibi(cness (inches) �►' Vs — ig�-G PA ry Declaration Brand Name Thermal Resistance (R -Value) Bm6d Name Thermal Resistance (R -Value) Brand Name Thermal Resistance (R -Value) Brand Name Thermal Resistance (R -Value) I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the California Administrative Code. (Builder) License Number C , signature and Title Date QE� >ntractor�knsl a-u'n Installer)- ` Number ' " Signature and TitleDate J�UC 9'cd NIT7Wbi1A/V THIS CERTIFICATE MUST—BE—PROVIDED TO THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. JANUARY 1993 Installation Certificate: Residential CF -611 BUILDING OWNER: 0W -PT BUILDING PERMIT #: BUILDING LOCATION: An installation certificate is required to be posted at the building site prior to the issuance of the occupancy permit. This form may be used to meet these requirements. All appliance categories listed below are the actual equipment installed. Note that the efficiency and type of the appliance installed must be equivalent or better than the appliance specified on the Certificate of Compliance (CF -1 R). This certificate (or its equivalent) shall be prepared and signed by the person(s) assuming overall responsibility for the appliance installation. . I, the undersigned, verify that the equipment listed in the catejory above my signature is the actual equipment installed and that the equipment meets or exceeds the requirements of the Appliance Efficiency Standards. In addition, I have verified that the equipment is equivalent to or more efficient than the equipment specified on the Certificate of Compliance submitted to demonstrate compliance with the Energy Efficiency Standards.for residential buildings. HVAC SYSTEMS Note: Hydronic boiler information is entered here. Other hydronic or combined hydronic equipment is listed under. Water Heating Systems. Heating Equip. CEC Certified Actual Distribution Duct or Heating Load Heating Type (furnace, Manuf. Make & Efflclency Type and Piping Before Over- Equlpmertt heat pump,etc.) Model Number JAFUE,etc. Loratlon R -Value Sizing Btuh Ca ac Stuh CEC Cartif led - Cooling Equip. Compressor Unit Actual Distribution Duct or Type (air cond., Manuf. Make & Efflclency Type and Plping heat pump, etc.) Model Number (SEER) Location R - Value NO rut The building design heat loss and design heat gain rate have ILbeen determined using a method specified in Section 150(h) of the orgy Efficiency Standards, and are two of t e criteria used for equipment sizing and selection. 2� Signatu Date HVAC Subontractor (Co. Name) or General Contractor or Owner WATER HEATING SYSTEMS Energy' External Water Heating CEC Certified Rated' Tank Factor or Tank System Type Manuf. Make & Input (kW Capacity Recovery Standby' Insulation (storage gas, etc. Model Number or Btuh(gallons) Efficient ,. Loss 9'e R -Value s°I-6 D S±_*30'&9 00 I NJ 5y-3o-NDS4-� 1. For small gas storage (rated input:5 75,000 Btu/hr), electric resistance and heat pump water heaterglEnergyyyFactor; For large gas storage water heaters (rated input >75,000 Btufnr), list Rated Input, Recovery Efficiency and Standby Loss. For Instantaneous gas water heaters, list Rated Input and Recovery Efficiency. For Instantaneous electric water heaters, list Rated Input. FAUCETS & SHOWER HEADS All faucets and showerheads installed are listed in the Commission's Directory of Certified Faucets and Showerheads, pursuant to Title 24, Pan 6, Subchapter 2, Section 111. . . Sig turww't�o�-re. 5r� O�_ t�„� Plumbing Subcontractor (Co. Name) or General Contractor or Owner THI CERTIFICATE' MUST BE PROVIDED TO 2AUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AN -D A COPY SHALL BE POSTED WITHIN THE BUILDING. JANUARY 1993 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIV 7 County Center Drive - Oroville, California 95965 -Telephone (916) 538- 1, ` a RMIT No. APPLICATioN AND PERMIT ASSESSOR PARCELNUMBER ZONING BUILDING PERMIT OWNER --� { ROWES TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 919A FORTUNA ICT DAVIS, CA 95616 ES 1500 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ 35.00 ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS +`AT r PERMIT FEE $ 55.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF 0 Duplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New ❑ Addition ❑ Remodel ElUtilities ❑ Installation ElOther 119Contractor Describe Work: CODVI,ETE BP998_3337 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service10V OR LESS ) 1 200A OR LESS 23.00 Main Service 1 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. I & ACC. BLDS. ) So, 3.50 FT. NEW CONST. MULTI -OUTLET •NON-RESID. 1 BRANCH CIRCUITS ) @7.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification J6l .1, as the owner, or my employees with wages as their sole compensation, will do «<< the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) I am exempt under Sec. Business and Professions Code forthis reason ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) L.@,.00 BAL. .50 Ex. Occup.FIXEDAPPWS.OR (OUTLETS IRESID.I EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that 1 have read this application and state that the above information is correct. 1 agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said Count .n conse nce of the granting of this permit. Date �gnature licant ❑Owner O Contractor O Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ ocC CONST. Tr PE TOTAL FEE $ 55.00 HAZ. D. FEES IMP FLOOD COF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date` AA ^/ PERMIT EXPIRES ON %v or* ID tel Receipt No. 170465/0e�� WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE Department of•,Develgptnent Services Building Division Oroville: 7 County Center Dr., Oroville CA 95965 Ph: 916-538-7541 Chico: 1469 Humboldt Rd., Chico CA 95928 Ph: 916-891-2751 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) �. 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractor's License No. 4. 1 plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name n Address . IJJJ 21 rz City Phone Contractor's License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work . my �v � . ��G y1968b CowuAt Signed: Property Owner Social Security Date i O l NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County. Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATIO01AND PERMIT PERMIT NO. ASSESSOR PARCEL N 1--l 3 l1 � ZONING BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION ow�s CONTRACTOWS NAME TELEPHONE CO TOWS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN TOLeI Valuation $ Filling Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee - $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS1 L-� l L l in UWCQ PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF Duplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W 20.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ 0th r ( Describe Work: 3-33-17 1 PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 200111LESS 1 200A OR LESS 23.00 Main Service ( 200A TO 1000A 1 46.00 NEW CONST, DWELLING OCCUP. OR ADONS. ( & ACC. BLOS. 1 SO 3.50 FT. NEW CONST. MULTI.OUTLET NON RESID. ( BRANCH CIRCUITS 1 @7.50 CONTRACTORS LICENSE LAWI I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. ' Classification ❑ I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code for this. reason POWER APPARATUS 1 1 & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES 1 BA20 @ 1.000 Ex. Occup.FIXED APPLNS. OR ( OUTLETS IRESID.i EA. 1 5.00 Temporary Service 23.00 Mobile Home Facilities 20,00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. ❑ I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee S occ coNsr. rvPE TOTAL FEE $ HAZ. D. FEES IMP FLOOD COF PARCEL PO HD ISSUE Thi:: permit is hereby issued under the applicable provisions of 0e Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date I I PERMIT EXPIRES ON IOe tel Receipt No. 1:7n �LL�_ WHITE.D.D.S.-B.D. NARY -A SES OR PINK -INSPECTOR GOLDENROD -APPLICANT I COUNTY OF BUTTE - DEPARTMENT OF. EVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, C- 'ornia 95965 -Telephone (916) 538-75� 3 ^�RMIT O� APPLIMION AND PERMIT ASSESSOR PARCEL NUMBER 073-160-044 ZONING U BUILDING PERMIT OWNER Gerald756=6682 TELEPHONE S0. FT, OCC. BUILDING V LUA, ION OWNER'S MAILING ADDRESS 2124 Fortuna Ct., Davis 95616 CONTRACTOR'S NAME w r TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS - PERMIT FEE $ 91 Mallory Lane Forbestown PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other New Single FAmily SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W 1@20.00 TYPE OF WORK New ❑ Addition ❑ Remodel ElUtilities ❑ Installation ❑ OtherXJ Describe Work: Permit t0 Complete work Started Under PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 R p #976-87 Main Service ( '"ORLESS 200A OR LESS 23.00 Main Service ( 200A TO IOOOA 46.00 NEW CONST. DWELLING OCC P. OR ADDNS. ( & ACC. BLDS. I s0 3.50 FT. CONTRACTORS LICENSE LAW I declare under pens ty o perjury (check one) O I am a licensed under prov,sT ons o apter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. A(cense No. Classification las the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I am exem t under Sec. Business and Professions Code forthis r n NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS I 7.50 ( POWER APPARATUS 1 & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES , RAL. @ I.Os00 Ex. Occup.FIXED APPLNS. OR (OUTLETS IRESID.I EA. 1 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare unde pe alty of perjury (check one): ❑ This permit is for $100.00 (valuation) or IeTs. O 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Vsertificate of Consent to Self -insure. I hall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 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,'mq consequence of the granting of this permit. Q X (\\ >-�j DateAVA Signature of ant ❑Owner ❑Contractor ❑Agent An OSHA permit I requirea Tor excavations over eep and demolition or construction of structures overstories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ HAZ. I D. FEES I IMP FLOOD I CDF PARCEL PO HD ISS This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been DIRECTOR OF PUBLIC WORKS By �— PERMIT EXPIRES ON lDetel provisions to do work paid. (� ate i r33 Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT _'-t:crTMGra+i++s♦n -.KMy ..,, ..a f,� _ ' .. -.. r +�.pa+tr a r • 4"t COUNTYOF BUTTE - DEPARTMENiOOVELOPMENTSERVICES - BUILDING DIVISION . 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 ' PERMIT APPLICATION DATASHEET OWNER Q a' D ( S A. P. No. 073- 16,0 , b i/1-/ Proposed Buil ing Use . Pin, " f - ��M� �� •F Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: N, DATE RECEIVED BY 1. All items have been submitted. ...................................... . r ' 2. Plot plans, 3/4 sets, signed by preparer of plans. . . 3_ Complete plans, 3/4 sets, signed,by preparer of plans,. .................... A. Engineered plans and calcs, 3/4 sets, with wet signature oneplans. ............. -- 5. Hazardous Material Form. '.'.:.`..... .......... ................ .... -" 6. Energy Design Compliance and supporting documentation. . .:............... 7. Statement of Intent for Non -Heated and A/C Buildings . ................... r,. 8. Engineered truss details and layout in duplicate (required prior to plan check). .:.. Mobilehome data and manufacturer's installation instructions, 2 sets. ............. 10. Fees of $ ............................. ..... . 11. Impact fees as shown on attached schedule. .............................. "x `� 12. California Department of Forestry plan approval/fees. ................... .? .. ` 13. Flood elevation letter (100 year flood) by California Engineer ................ ... 14. Sanitation and plot plan approval Health Department. 15. City of Chico plumbing permit ........................................... 16. Plot plan and business license approval from City of Biggs/Gridley. •"� 17. Planning approval for (A) Use: (B) Parking: ' 18. Contact Land Development about (A) Improvements (B) Drainage. ........... 19. Driveway permit (construction approval required prior to occupancy)... .. ' 20. ap Pre -inspection for required. .. tt.1h ming Inspedo�-(Date) 21. Contractor's license information. (No., Name Style, Classification) . .............: 22. Certificate of Workmans Compensation Insurance. 23. Owner -Builder Verification (Given to owner , Mail to owner ............ ' 24. Recorded copy of Agricultural Acknowledgement Statement. �= 25. Letter of signature authorization . ....................................... ' 26. Copy of recorded deed of parcel creation and 60 right of way to a public road... 27. Letter of intent on building use . ......................................... f 28. Mobilehome utility clearance . ................................. �, ....... . 29. Documentation of legal access . ..................... . 30. Documentation of 50% subdivision developed or (A) Road improvements completed�� and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . .....................................`. 32. Plan check list . ..................................................... 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pic up At )7ylulyAe T office. Deliver with inspector. Other Cit 5'-5 _ Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air.Pollution Date Copy of plans sent PIealth Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: r Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by Date. Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder - Copy - Department of Public Works -' COUNTY OF BUTTE Dcrprtment of Public Works 7 County Center'Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing.your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) "' 2. I (have/have not) 4,�Je_ signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address Phone. Contractors License No. C ity 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Securit Date l TgWA, /�L- �1 - ber NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. . This verification must be completed and returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE - DEPANTMENT OF PUBLIC WORKS • 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZO INA�G"� 073-16-0-044 U BUILDING PERMI. DWALD BOWES T�`5�6'2 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 2124 Fortuna Court Davis 95616 CONTRACTOR'SNAME TELEPHONE caner CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN p Total Valuation $ 6,378. LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ 75.99 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit tee $ 90.00 91 Mallory Lane Forbestown PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 fres�., SF LAX Duplex❑ Mobilehome❑ Other Mobile Home I S I G JWT @ 15.00 SPECIFY TYPE OF WORK New Addition [I Remodel❑ Utilities [I Installation❑ Other Uy Permit Fee $ Describe work: Permit to complete work started Contractor under B.P. #576-87 ELECTRICAL PERMIT Filing Fee 15.00 Main service 200V OR LESS 00A OR LESS 18.50 Main service 200A TO IOOOA, 37.50 CONTRACTORS LICENSE LAW NEW CONST. DWELLING OCCUP.&1 3.6dsq.ft. I declare under penalty of perjury (check one): OR ADONIS. ACC. BLDGS. I 1 NEW CONSTR. ULTI.OUTLET @ 5.00 ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business NON-RESID BRANCH CIRC ITS POWER APPARATUS & and Professions Code and my license is in full force and effect. SINGLE OUTLET CIR. License No. Classification Ex, Occu sd po UTLETS OR FIXTURES20 @ 7 50 I, as the owner, or my employees with wages as their sole compen- \ Ex. Occup. OUTLETS ((RESID IKEA./ I 3.00 sation, will do the work,and the structure is not intended or offered Temporary service 15.00 for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- Mobile Home Facilities 15.00 ors. (Sec. 7044) Misc. Wiring '15.00 ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ WORKMEN'S COMPENSATION INSURANCE Contractor I declare under penalty of perjury (check one): MECHANICAL PERMIT Filing Fee 15.00 ❑ The permit is for $100.00 (valuation) or less. Heating ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate I Consent to Self -Insure. Cooling g I shall not employ any person in any manner so as to become subject I Hood 6.50 to the W. C. laws of California. Ventilation 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 permit Fee $ provisions or this permit shall be deemed revoked. Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee S is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Energy Inspection Fee $ Butte to enter upon the above-mentioned property for inspection purposes. OCC CONST TYPE I also agree to save, indemnify and keep harmless the County of Butte against TOTAL FEE $ all liabilities, judgments, costs, and expenses which may in any way accrue HAz DFEES IMP FLOOD CDF PARCEL PD HD ISSUE L againsaid County in conse uence of the granting of this permit. A I I I I I X ate `� This permit is hereby issued under the applicable provi T— $ignatur o i Owner Contractor ❑ Agent ❑ Bions of the But County Co and/or resolutions to do j work Indic d ove for ch fees have been An OSHA pe m t Is required for excavations over 5'0" deep and demolition or construct- paid. ion of structures over 3 stories in height. D ECT�. UBLIC WORKS By Date,/ pZ Receipt No. PER IT EXPIRES Date WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE Departmht of Public Works 7 County Center Drive,.Oroville, CA 959.65. Phone: 916-538-7541 OWNER -BUILDER -VERIFICATION Attention Property Owner: <Anown::::ld " building permit has been applieVff6rffnJyour name and bearing. youa Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and'issuingyouur building*permit. No.building permit will be issued until 'this verification is received: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. (yes.or no) 2. I (have/have not) _�— signed an application for a building permit for .the proposed 'work. 3. I have contracted with the following.person .(firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: , Name Address City. Phone Contractors License.No. _. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: c� Property Owner Social Securi umber Date/B2- NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of.the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. w -1G -'/ g0 "/as COBUNL Y OF SIING 15FN! Id OCT 0 9 19Si COUNJj OF BUTTE - DEPARTMENT OF PUBLIC WORKS -21 -PERMIT NO. 7 County Canter Drive - Orville, California 868e6 - Toloohono: ®9e/63e-7641 APPLICATION AND PERMIT1- All 45ON FARC96 NUMUSM 73-16-44 ZONING BUILDING PERMIT NGERALD & PEGGY BOWES 756-6686 MCPHONK S0. FT. OCC. BUILDING VALUATION IST RENEWAL OWNER'S MrrCrNG A OORK33 2124 FORTUNA CT DAVIS, CA 95616 CONTR C OR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee @ — FEE $ 19.25 - ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 91 MALLORY LN FORBESTOWN Permit tee $ 29.25 PLUMBING PERMIT FiIingFee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 r USE OF STRUCTURE SF MX Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other Describe work: IST RENEWAL OF BP,#2928-90 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service sooV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ontract- ors.(Sec. 7044) ors. ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& OR ADONS. ( ACC. BLDGS. , /20sgft NEW CONSTR. MULTI -OUTLET NON-RESID BRANCH CIRCUITS) 2.50 ea / POWER APPARATUS e (SINGLE OUTLET CIR. I EX. OCcup(OUTLETS OR FIXTURES 200sot eALO3o FIXED APPLNS. OR Ex, DCCUp. OUTLETS (RESID,) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �Yirin 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information .is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I Iso agree to save, indem d keep harmless the County of Butte against a I liabilities, judgmen cost ,and expenses which may in any way accrue Ins saidl',o nt in onsj @n ie of the3 ranting of this it. Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE E. TOTAL FEE .$ 29.25 HAz. can PARK scH� Fro PAR PD ) HD. ISSUE. This permit is hereby issued unser the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. R. OF PUBLIC WORKS By Date PERMIT EXPIRES Date 8-24-92 Receipt No. l) �rJ /� �f / WHITE-D.P'.W., FELLOW-ASSE990R, PINK' -INSPECTOR, GOLDENROD-APPLI CANT COUNTY OF BUTTE.'- Department of Public Works 7 County Center Drive, Oroville;,-CA.-95965 Phone: 916-538-7541`.` OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied•for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materialsJor construction of the proposed property improvement (yes or no) 2. I (have/have not) HA- signed an application for'd Building permit for the proposed work. 3. I have contracted wi h the following person (firm) to provide the proposed construction: Name �+ 1 Address City Phone Contractors License No. 4. J plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address IRE City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner �4 Social Security Number Date r NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. 1661 9 ® d3S S)WOM onen�� oo�a puna :,o COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT ,,NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541/ �--[�"�1e1• APPUCATMN AND PERMIT / ASSESSOR PARCEL NUMBER 73-16-44 ZONING BUILDING PERMIT2t OWNER Gpral a TELEPHONE 756-6686 SQ. FT. OCC: BUILDING VAL ATIMN 2,126 , OWNER'S MAILING A ESS 9194 'PnrtUCt, Davis 5616 CONTRACTOR'S NAME oWnpr TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ 38.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 91 Mallory Ln Permit fee $ 48.50 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Forbestown Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF a Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 1 5.00 Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New f_1 Addition [J Remodel❑ Utilities [I Installation[] Other Describe work: CoMPL.0-JE WOIel< S:M127-r_-C> O/Q } 7 7j40—k Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 10.00 Main service EA, ADD'L 100 AMP 2.50 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. SLOGS. , 2/xQsgft NEW CONSTRES'D, RANCH C CCULET NON.RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occu o p UTLETS OR FIXTURES 20 ® 30C SAL030 FIXED APLNS.I, Ex. OCCUp. OUTLETS PIRESID IREA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00Misc. Wiring g 15.00 15.00 Permit Fee $ 37.50 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The pe,mit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 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 againstd County in consequence of the granting of this permit.� X ' 1� Date 22. A- �,/% v Signature of p I am - Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 86.00 HAz I CUI PARK I SCHL I FLo I PAR I PD Ho issuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DI C R OF P IC C BY PERMIT EXPIRES ate the applicable provi- resolutions to do have been paid. WORKS Da Z CIAO Receipt No. 7o K3 I WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 4r ' COUNTY OF.BUTTE - DEPARTMENT OF PUBLIC WONKS - BUILDING. DIVISION k 7 COUNTYrCENTE+y!p� pRIVE}- CALIFORNIA 95965- TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA -SKEET,, /J Permit No. OWNER &-,y.� " f3O S _No.-_73—�— ccam�,, 71 Proposed Building Use 5 ��` � BuiIding Insp ce for:—:::;R Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: ' DATE RECEIVED APPROVED'' 1. All items have been submitted . ................. ............ r_ 2. Plot plans in duplicate/triplicate, signed by preparer of plans.:...... 3. Complete plans in duplicate/triplicate, signedgby preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans . . 5. Hazardous Material Form ....... ............................... . 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ......:........ 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including 'manufacturer's installation f instructions................................°...................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ..........:............................ 12. Park fees paid .................................................... 13. School. District fees paid .............. 14. Sanitation approval from Health Department - 15. City of Chico plumbing permit. t 16. Plot plan and business license approwkl from City of " (see City for other requirements) 17. Planning approval for (A) Use: -(B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pie-Inspec. request to r Building Inspector (Date) 21. Contracto'r's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner❑ Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w./inspector.. Other Applicanf' -P .Date 9 Zz (72) Copy of Haz-Mat form sentHealth�Dept. Fire Dept. fir Pollution Date' Copy of plans sent ---HealthDept: Fire Dept. Other Date By. The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by—phone---Mail —counter by ..date Contractor, designer, owner, was advised of above required data by—phone—mall—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ERM T NO 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARC L NUMBER & ` ZONING BUILDING PERMIT OWNERS TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MA AD�.---- �[ 2 1 CO RACTOR'S NAME TELEPHONE C RAC OR'S MAILING ADDRESS Fireplace CONS R CTION LENDER UNKNOWN Total Valuation $ 2,1 Z_& LENDER'S AILING ADDRESS Filing Fee $ 1000 Permit Fee $ ARCH T CT OR ENGINEER LICENSE NO.. Plan Checking Fee $ .Energy Plan Checking Fee $ ARCHIT CT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS- 51 Ah Permit fee , $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISIONNAMEPARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 8001 OR LESS 100 AMP OR LESS 10.00 /O Main service EA. ADD'L 100 AMP 2.50 Z KO CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.S OR ADDNS. ACC. BLDGS. , /Z0sgft NEW CONSTR. MULTI -OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea /POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex. OCCupI. OUTLETS OR FIXTURES 20050t eAL030 FIXED A LNS Ex. OCCUp. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 / Permit Fee $ 7 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a -Certificate of Workmen's Compensation Insurance or a Certificate,91� onsent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities nts, costs, and expenses which may in any way accrue again t sai nt in contsequence of the granting of thi elIDji. X 'J�'e/ "'e� Dat Ju�-� Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in eight. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 10 07 Occup. CONST.TTPL SCHOOL FLOOD PARCEL PD HD 139UE This permit is hereby issued under sions of the Butte County Code and/or work i ted abovq f r which DIR F PU P I EXPIRES Date the applicable provi- resolutions to do Is have been paid. WORKS Date Receipt No. WHITE-D.P.W.. TELLOW-ASSC35_OR, NR -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE'- Department of.Public.Works " 7 County Center Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone:'/ 916-538-7541 An 'owner -builder" building permit has been applied for in your name and bearing your signature.. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. ---1. I personally plan to'provide the major labor and materials for construction of the proposed property/ improvement (yes or no) 2. I (have/have not) �"/signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following. persons to provide the work indicated: Name Address . Phone Type of Work Signed: _e S Property Owner Social Security Number Date � i1.1(-•/ NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. --------------- / COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS .,� 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 73-16-44 ZONING _ BUILDING PERMIT OWNER GERALD W& PEGGY M BOWES TELEPHONE SQ. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS 2124 Fortuna Ct., Davis CA 95616 CONTRACTOR'S NAME OWNER TELEPHONE 1st renewal permit CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee 1 $ 125.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 91 MALLORY LN. Permit fee $ 135. PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 FORRESTOWN Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF 0 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[:] Other ❑ Describe work: 1st renewal of permit #576-87 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 1 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under (check one): penalty p y of perjury Iur y(ec) ❑ 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. !cense No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for thitleason NEW CONST. DWELLING OCCUP.611 '/zltsgft OR ADDNS. ACC. BLDGS. I NEW CONSTR. U I.OUTLET 2,50 ea RA C CIRC TS NO N.RESID .BRANCH POWER APPARATUS &I SINGLE OUTLET CIR. 20@50t EX. Occup(OUTLETS OR FIXTURES SAL030 EX. Occup. OUTLFIXEETS P(RESID )LNS REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit -Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. IV I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless !the County,of,Butte against all liabilities, judgments, costs, and expenses! whichimaylin,"any way accrue against saCounty in consequence of the granting of this permid. �. __ ,. u Date Qgn.,.r. of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for xcavations over 5'0" deep and demolition or construct- ion of structures over 3stories ' height. Mobile Home Installation Fee $ Energy Inspection Fee TOTAL PERMIT FEE $ 135.#0 occuP. CONST.TYPIJ SCHOOL PLOOD PARCEL SSUE This permit is hereby issued under sions of the Butte County Code and/ work in d above f r hi IREC PU By PE IT EXPIRES Date 3- the applicable 'provi- r resolutions to do f s have been paid. WORKS Date 6-89 Receipt No. 1019 WHITE-D.P.W.. YELLOW-A,5eCSSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT -j� 88619 9 44W sxaom onand d0 '1dW 3.Linn :10uNnoo y lAk I c V i COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 • APPLICATION AND PERMIT ASSESSOR PARCEL NUMBE %3'— t ZONING J� u BUILDING PERMIT OWNER TELEPHONE 7% SO. FT. OC BUILDING VALUATION p�a ADDRESS OWNER'S MAILING Z I Z4 i o u N e CTI. )AV(S R��1(0 CONTRACTOR'S NAME ZMZ 1 TELEPHONE ' CONTRACTOR S MAI NG ADDRESS ti Fireplace111.4111 CONSTRUCTION LENDER N fc� UNKNOWN Total Valuation is Filing Fee ,$ 10.00 LENDER'S MAILING ADDRESS / N/ � Permit Fee $ ARCHITF OR NGINE H 71 t L ENSEE NO. Plan Checking Fee ,a' tti v Ener Plan Checking Energy g Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS ZJ t;–�Qc— CA 95734 Penalty $ BUILDING ADDRESS �-e--o1Z LN Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT N SUBDIVISION NAME PARC Eis P /i//�/ •[/ Water piping 5.00 5, Each qas water heater or vent 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 67 C-1�0 Building sewer 5.00 Mobile Home is G W 0.00ea TYPE OF WORK New Addition❑ Remodel Utilities [I In_staAlation❑ Other ❑ Describe work: _ Permit Fee $ _O,0 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification Ar 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.BI , New DONSTR.(A C. BLDGS. ) h2sgft ULTI OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. 2 0050C Ex. Occup(OUTLETS OR FIXTURES BAL030 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EAJ 2.00 ' Temporary service 10.00 Mobile Home Facilities 15.00Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate Of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ d� Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all I' lities, judgments o nd expenses which may in any way accrue aga' st id Coy_n1q� in co equi �`f tJ�� anting of this perm t. �3 X �� v` { �.( Date �� p Signature of Applicant — Owne,V Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee TOTAL PERMIT FEE acc"2 .� ca FLOOD �Re PD ND IISS E V This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which RECTOR OF PUBLIC w By PERMIT PIKES Date the applicable provi- resolutions to do fees _have been paid. WORKS Date -3—/6-87 Receipt No. [/ s� WHITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT L Vb Com Cri16e Pena. j w, -cc 0 toil COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541 APPLICATION *AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 07's-1160 U - ZONING 0 BUILDING PERMIT OWNER (� e%A it,� ncr.�_ TELEPHONE 756-(6L SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING_ ADORS Z G9 -Y o ou r{ - o CONTRACTOR'S NAME Vw TELEPHONE CONTRA TORS- MAILINNGGADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE NO. Filing Fee 15.00 Permit Fee $ Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS CJ L.\ X11 �tj Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SFV—y Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe work: P—etA&4 TO 1150t--� Llti1DGfe-LIQ S %� r c4% Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 main service R LESS 200AORLESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): ❑ I am. licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license IS In full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200ATO1000A) 37.50 NEW CONST. ( DWELLING OCCUP.&) 3.50 sq.ft. OR ADDNS. ACC. BLOGS. NEW CONSTR ULT' -OUTLET NON -RE BRANCH CIRC ITS @ 5.0� (POWER APPARATUS &) SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES 20 @ 75d 454 FIXED Ex. Occup. OUTLETS PAPNS IRESIO,IRE A.� I 3.00 Temporary service15.00 Mobile Home Facilities 15.00Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject I to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Si nature of Applicant - Owner g pp ❑ Contractor ❑ Agent ❑ An OSHA permit is required For excavations over 5'0" deep and demolition or construct - ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ HAz 1 0FEES IMP FLDOD COF PARCEd ID I HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOL DENROO-APPL I CANT ;J+i'r`=.;r 3 +� • f ' wy'`',^'t """`�.:",�y;.'x?f �C ",` '�1r'�:'"�t�!`�`y{+�i"F' .:4` . - +r ;�-,;._,,,d.'z-'4',,'y COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE OWNER 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. IVA , f � r t r Inspector .� Date _ ' y COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS r r -- 196 Memorial Way, Chico— Phone: 891-2751 7 County Center Drive, Orovi I le — Phone: 538 7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correct* n of work is completed. If you have any question pertaining to this matter,• o ee(d. additional explanation, please contact this office immediately. Inspector Date_ 7 --� COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 198*Memorial Way, Chico — P41one: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE T NO. A routine Inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work Is completed. If you have any question pertaining, to this matter, or need additional explanation, please contact this office immediately. r Inspector + Dates_ F4 OWNER PERMIT N0. Rte.. e " A routine inspection indicates that the following violations of Butte County Ordinances exist at ek r�sY • the above address and should be corrected. Please notify this office when correction of work x, is completed. If yo have any questions pertaining to this matter, or need additional explanation, please contact is office immediately. h- w"T i COUNTY OF BUTTE BUILDING DIVISrON 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 9s- a Yo 3 F4 OWNER PERMIT N0. Rte.. e " A routine inspection indicates that the following violations of Butte County Ordinances exist at ek r�sY • the above address and should be corrected. Please notify this office when correction of work x, is completed. If yo have any questions pertaining to this matter, or need additional explanation, please contact is office immediately. h- w"T i COUNTY OF BUTTE f BUILDING DIVISION f DEPARTMENT OF DEVELOPMENT SERVICES - !' 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 ry 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE' OWNER s'PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work ., is completed you have any questions pertaining to this matter, or need additional explanation, please co act this office immediately. v .v` v ,d 401.el,10 ZS9A k/7 ov- �apm ALcIIT i l J/ a T "t ley ��.-,^�--v�'".�!*'�10w-y�`Ftity�.xt:,sr^+ac'+�"&►LS�4+,+�i�.'�?vr�....,����-�:.�,.���t:�;�..c�,�.�� COUNTY OF BUTTE `y DEPARTMENT OF PUBLIC WORKS 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 ! y' CORRECTION NOTICE PERMIT N0; A routine inspection indicates that the following violations of Butte County Ordinances exist at ,1 the above addre and should be corrected. Please notify this office when, correction of work _:! is complete you have any questions pertaining to this matter, or need additional explanation, please c tact this office immediately. f , SIJ///A syti, Date �,' �7�I9 2 Inspector /Y REV 11/91/ _-- / r v/ . ti, z �o'•' ' � �','3•��I�J�.���.�=•,�;i^z""�T�z'a�A.a""+..�„�aS.-1.Y��1C�p1' �..^T�_•^ v:ii+.;•hr;!T-tx^-"<*F"..�-'-+ , 073-160-044 PERMIT#95-2803 ' BOWES, Gerald & Peggy 91 Mallory Ln.., Forbestown -- f -" 1st Renewal fo BP#94-2964 5-70- 171, 1a143 -v, 113` o -iii a9:2-7-0101 6191-511 9'1 w (o -1`71 3-3337, R4-(�3�G7SF--��6Y } ' �; � • - ... � Tia. ir. ;,� .rte•.}. .-. .,.. a.-_ ..+ten �kw,'1 .�.•�.i�., -.r:,� ' 'f -.n. Ir �. _ ..t .......- -y. .. � Y:.. � .. � . ... - r S r • � 1 1 i • s j f . {.-—..s.s. r.. .r. . _ .. •.. v. rr+.s....-. ; : _1 , .,y;., -.• -�.' . _ S` _ - . -..-- - _ _. ... � . N _ _ _ - .-5 � ee I � � .. COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 PERMIT NO. APPLICATION AND PERMIT ~' ASSESSOR PARCEL NUMBER ZON1NG BUILDI G PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS CONTRACTOR'S NAME � TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAIUNG ADDRESS ARCHITECT OR ENGINEER UCEI�;,-'r,0. Permit Fee jt, `1 $ Plan Checking Fee $ a Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS 11 PERMITFEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. "SUBOINISIONS NAME - - - - - -PARCEL MAP, S019f Or he61 pump Water Beater 23:00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Ad'tlition ❑ " Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: '�`� '"'� '' — Mobile Home S I G W 920.00 PERMITFEE $ Contractor , ELECTRICAL PERMIT Filina Fee 20:00 • Main Service EOOV OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION% 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: C} I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason - E NEW CONST. DWELLING OCCUR OR ADONS. ( SACC. BLDS. ) S0. 3.5¢ FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) d SINGLE OUTLET CIq. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL Q .50 Ex. Occup. I FIXEEDrs (RESID.) OR E0.) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier ECHANICALPERMIT FilingFee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become sub!ect to workers' compensation laws of California, and agree that if I should becoma subject to the workers' compensation provisions of section 3700 of the Labcr Code, I shall forthwith comply with those provisions. X Date , ' r _ Signature of, Applicant -,,❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is OccCONST. TYPE TOTAL FEE $ HAZ. 1 D. FEES I IMP I FLOOD I CDF I PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. ` By ! !� �. = �` Date ,f f / ~ , PERMITEXPIRESON (Date) Receipt No. 1'� ��, � f �� WHITE-0.0.S79.D. CANARY ASSESSOR PINK -INSPECTOR GOLDEN RCF --APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 ERMIT O. APPLICATIONAND PERMIT ASSESSOR PARCEL NUMBER 073-160-044 ZONING BUI G PERMIT OWNER GERALD & PEGGY BOWES TELEPHONE SO, FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 2124 FORTUNA CT., DAVISCA 5616 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNIwOWN Total Valuation $ LENDER'S MAIUNG ADDRESS Filing Fee $ 20,00 Permit Fee 54/2 $ 27.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Plan Checking Fee $ " ARCHITECTEnergy OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS 91 MALLORY LN., PERMITFEE $ 47.00 FORRESTOWN PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23,00 USEOFSTRUCTURE SF OX Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑X Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: _ T9nnT•rtnTEmT� ni unci. revs _' L.0� i P# ��I v�� �� Mobile Home I S I G W 1 20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service 000V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I ' licensed under provisions of Chapter 9 (commencing with Section 7000) of ' ' Ion 3 of the Business and Professions Code, and my license is in full force alaect. License Class Lic. No. —Y OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law Law f `the following reason: owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR SO. OR ADONS. 8 ACC. BLDS._ ) 3.50 FT. NEW CONST. MULTI -OUTLET NDN-RESID. ( BRANCH CIRCUITS ) @7.50 ( SINGL APPARATUS )" d SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES) 20 Q 1.00 aAL so .0 EX. Occup. ( FIXED ETSRES EA) 5. Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor .+W WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by .section 3700 of the Labor Code, for the performance of the work for whicWhis permit is issued. ❑ 1 have and will maintain work compensation insurance, as required by Section 3700 of the Labor Code),or the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation pf one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date ��.3e��_ Signature ol A#plicant - UT Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 47.00 HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. Bgj��4/ Date -71 PERMITEXPIRESON 11/7/96 (Date) Receipt No. (3 ( WHITE-D.D.S.- .D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT O.B.- I Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major Ig and materials for construction of the proposed property improvement :.YES[V]/ NO ). 2. I HAVE[ HAVE NOT[ ] signed an application for a building permit for the proposed work. 3. I have contracted with the following pets on($rm) to pro -vide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: &Wtul SOCIAL SECURITY NUMBER:' DATE: NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER O.B.- I Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerel , Michail C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER J=OK O=Not OK = Not Applicable 'MOBILE HOMES = Not Ready Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ P'LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 a Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date . Card B-1 MISCELLANEOUS Date DECW, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s Zonin Requirements -Setbacks -Easements tings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (Single & Duplex) = Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope ---------------------------------- Date 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Date 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Date 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel ------------ 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test -------------------------------------- 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test ---------- 12. Electric; Underground -------------------- 13. Pienums & Ducts; Clearance -Material -Support -Ins. ------ ------------------------ 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation ------------ 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except #'s 16. Water Htr.: Vent -Access -Combustion Air -Baffle --------------- - ----------------------------- 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.: Test -Fittings & Anchor -Nail Protection ------- ------ ------ - ----------------- Shower Pan; Test, First Floor -Tub Access ----- - -- -- -- Date Date -19. 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe: Size & Anchors Card B-1 Date Card -B-1 Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled ---------------------------------------------------------------------------- 25. Romex Installed Close to Edge of Studs & C.J. ------------------------------------------------ 26. Equip Ground made up w/Meth. Fastners-Bond Gas & Water -------------------------- -- - ----- - --- --- - - - - -- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI -------------------------------------------------------------------------- ------ 28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size / ga. Cu or AI - --------------------------------------------------- 29. Range Circ ! ga. Cu or AI -Oven Circ. / i ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No --- --------------------------- ---- --- - ---------- 30. Service -Riser Conductors & Ground -Main Disconnect 31 Equip. Clearances Panels-Motors-Mech. Equip. --- -------- - ---------------------------- ----------------- 32. Clothes Closet Light -Shower Light -Spa Light --------- ------- ----- ---------------------- --- 33. Smoke Detector -------------------------------- --- -- - --- ---------------------------- Date Card B-1Date Card B-1 ------- - -------- ------- -----------------------•---- .. - -- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support --------------------------------------- -- ----- ------- 35. Vent Fan: Exhaust above insulation ----- ----------- ---------------- -- - - - - - - - 36. Condensate Drain & Overflow; Size & Grade - - -- - - ------ -- - ------- --- ----------- - 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet -- - - -------------- ------------- - -- ------------ -- 38. Attic Access & Platform if Furnance in Attic ------ - ------------- ---- - -------------- -------------- -------------------- -- Date Card B-1 Date Card B-1 - - --- ..- ------------------------------ - ---- - - - - -- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 39. Sils. Proper Material & Anchors - ------- --- --- -------- --- -- ------------------- -------------- - 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound --- --- ---- - ---- - - ----- - --- - - -------.... ._ 41. Bearing Walls over Girders & Floor Nailing ------------------------------------ -------------- --- 42. Draft Stop in Walls (rat proof) - ------------------------------- --- ----------- ------ 43 Fire Stops: Furred Ceilings -Stairs -Chases -Tub --------------------------- 44. ----------------- 44. Headers & Beam -Size & Bearing Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50._Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits --------- --------------------- 53. _Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers ------------------ -- 55. Siding -Nailing Veneer --------------------------- r ------------- 56. - Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access ------- --- 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows ---------------------------------- Date Card B-1 Date _ Card B-1 Date _ _ - - Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector _ 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 64. Bedroom Exiting ------------ ------------------------ 65. G_F.I_& Bath Fixtures & Tub Access -Spa -------------------------------------- 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stags & Rails ---------- 68. Fireplace or Stove: Clearances -Hearth ------------------ ------- - -------------------- 69. Elec. Outlets at Wood Panel: Int. & Ext. ---------- - ------ ------------------------ iance: Grnd.-Air Gap -Cooking Clearance 70. Kit.Fixt. & Appliance: ----- -- - 71. Elec. Outlets & Receptacles at Kit. Counter ------------ 72. Garage Fire Door; Swing -Landing -Closer -------------------------- ------- ------ 73. A.C. Duct in Garage -Damper ------------------------------- 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. . In Garage: Above Floor -Meth. Protection 75. Plb. Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 7;. Insulation -Foam -Looked in Attic ❑ Yes - - -- - ------ 78. Guard Rails & Deck Construction -Post Caps ------------------------------- 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes -- - - - --------------------- --------------------80. 80. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; -------------------------------------- Planters ❑ Yes ❑ No ---- ---- -- ---------- w 81.- Stucco: Bron -Finish --------------------- --- - ------ 82. A.C. Unit: Disconnect. Electrical, Plumbing ------------------------------------ - 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to ------ ---------------------------------- Openings ------ --- 84. Water Well; Disconnect, Electrical, Plumbing - - --------------- --- -- --- --- ...... ... 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground .. ------ ----------- -------- ---- 86. Ventilation Throughout House --- --- ------------- ------------------------ ---- - - - 87. Glass Protection ------- ------------------------------------------ 88. Corrections from Previous Inspections --- --- ---------------------------------------- ...... ....... 89. Gas Test -Meters Tagged; Gas -Electric ...---------------- ----------------------------- -- - - - - -- 90. Water & Sewer Connected -C/O to Grade -HD Approval ----------------------- - - - ---- ------------------ 91. Energy Compliance Certificate -Other Certificates -- --- .. Date ---------------------- --- -- ------------------------ ----- --- Card B-1 Date Card B-1 ----------------- --------------- Date ---------------------------------------- Card B-1 Date Card B-1 -- - Date Card B-1 Date Card B-1 Comments at Final: RESIDENTIAL FO�3,-160-044 PERMIT;Y94-2964 r`V t BOWES, GERALD & PEGGY 91 MALLORY LN., FORBESTOWN z" ADD OPEN DECK/SF ' JOB FINALED (Date) Signature f A COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95665 - Telephone (916) 538-7541 Q� / ` P R IT NO. APPLICATION' AND- PERMIT ZONING ASSET r -M4 BUILDING PERMIT ry OWNEtERALD & PEGGY BOWES TELEPHONE S0. FT, OCC. BUILDING VALUATION OWNEI&NG�,NA CT.-, DAVIS, CA 95616 288 0 2016. CONTfbMrE TELEPHONE CONTRACTOR'S MAILING ADDRESS ' Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ 5 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 35.10 ARCHITECT OR ENGINEER'S MAILING ADDRESS - Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS �' BESTOWNPLUMBING PERMIT FEE $ 109.10 PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF 5 Duplex ❑ Mobilehome O Other SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New ❑ Addition CY Remodel ❑ Utilities ❑ Installation ❑ Other O Describe Work: OPEN DECK PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( OOOVORLESS ) 200A OR LESS 23.00 Main Service ( 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( & ACC. OLDS. ) so. 3.5C FT. NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS ) @7.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) koo I am exempt under Sec. Business and Professions Code forthis reason ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. .50 Ex. Occup.FIXED APPLNS. OR (OUTLETS IRESID.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. Ishall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. 1 agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said Cou in conseq�lence he granting of this permit. X \��1/l Date16 na re licant ❑Owner ❑Contractor ❑AgentIF An OSHA#r r it is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 109. 1O HAZ. D. FEES IMP FLOOD COF PARCEL PO HD 1 U This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. BY Date `/ / 7 PERMIT EXPIRES ON !Date/ Receipt No. 170465 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT E.H. USE ONLY PW PI= Attached Floor Plan Aft ed Seat to B.D._ — 1 W, TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance M P,� - avi �/ �o-c-L-ogy Lq. - Owner Location Plan Approved for: Sewage Disposal Water Supply: Public Clearance for . Other Hold fin Final clearance O.K. for: AP# Private Well Environmental Health Specialist R/Q,) Date "'�ft71��FF�1t'��Mip+� . yti'm+x"1 r�����r�i'q 7J 4t'.+....�"%ti+lfii.•'„�".a:`}.:r-:-,.r'^r COUNTYOF BUTTE - DEPARTMENTOF DEVIF,LOPMENTSERVICES -BUILDING DIVISION. 7 COUNTY CENTER DRIVE - ORO VILLE,{.AL�IFRNIA95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATIPON DATA SHEET OWNER" No. Proposed Building Use a d Building Inspectortyi! �-4 Z -Date o� At time of permit application, I was advised the following data must>be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. All items have been submitted . ....................................... . Plot plans, 3/4 sets, signed by preparer of plans . .......................... Complete plans, 3/4 sets, signed by preparer of plans . ...................... Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. Hazardous Material Form . ............................................ ' Energy Design Compliance and supporting documentation . .................. Statement of Intent for Non -Heated and A/C Buildings . ...................... Engineered truss details and layout in duplicate (required prior to plan check). ... . Mobilehome data and manufacturer's installation instructions, 2 sets. ............ Feesof $......................................... Impact fees as shown on attached schedule. ............................. . California Department of Forestry plan approval/fees......................... Flood elevation letter (100 year flo94) by Cifornia Engineer ................... Sanitation and plot plan approval ( YiSV I Health Department. 1" City of Chico plumbing permit . ..................... .................. , Plot plan and business license approval from City of Biggs/Gridley. ............. Planning approval for (A) Use: (B) Parking: Contact Land Development about (A) Improvements (B) Drainage. .......... . Driveway permit (construction approval required prior to occupancy).... ... . Pn Inspection requ- Pre-inspection for required. .. to Building Inspector (Date) Contractor's license information. (No., Name Style, Classification) . .............. Certificate of Workmans Compensation Insurance . ........................... Owner -Builder Verification (Given to owner , Mail to owner _). ........... Recorded copy of Agricultural Acknowledgement Statement . .................. Letter of signature authorization . ....................................... . Copy of recorded deed of parcel creation and 60 right of way to a public road. .. . Letter of intent on building use . ....................................... . Mobilehome utility clearance . ..................:...................... . Documentation of legal access . .....................:................. . Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... Existing violations/expired permits . ...................................... Planch-aGWist......................................... When you issue the permit, process as follows: ✓ Mail to owner Telephone and hold for pickup at Other Mail to contractor. _ office. Deliver with inspector. Parcel Creation 11- �7 Acreage Applicant �"� Date 16 �0 7 Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept.,' Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new ite hecked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Count by _ Date Plans checked by Date Plans approved by Date 6 02 Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE Doartment of Development Services Building Division. Oroville: 7 County Center Dr., Oroville CA 95965 Ph: 916-538-7541 Chico: 1469 Humboldt Rd., Chico CA 95928 Ph: 916-891-2751 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) �. 2. I (have/have not) signed an application for a building permit for the proposed work. 3 I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractor's License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractor's License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner 144",, Social Security umbe �" 277Date 2v NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541�PERMIT N0. APPLICATION AND PERMIT 2�_ �2 l �1 ASSESSOR PARCEL NUMBER_) 60 /� / / ZQNI%''G BUILDING PERMIT OWNER TELEPHONE SQ. OCC. BUILDING VALUATION O�:A,WNLWERS CONTRACTORS NAME TELEPHONE CONTRACTOR`S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDEWS MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS AA PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF Duplex O Mobilehome O Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 20.00 TYPE OF WORK New O Addition Remodel ❑ Utilities ❑ Installation O Other ❑ Describe Work: PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( '" OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ACDNS. ( & ACC. BLOS. ) SO. 3.50 FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET •NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) B20 @ 1.50 Ex. Occup. FIXED APPLNS. OR p (OUTLETS IRESID.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. O 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. Cl I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 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 Signatun of Applicant ❑Owner ❑Contractor O Agent An OSHA permit is required for excavations over 5"0" deep and demolition or constructi.-)n of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEES �� HAZ. I D. FEES I IMP I FLOOD I COF PARCEL I PO HO ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON lDetel Receipt No. 40WHITE-D.D.S.-B.D. _1-7D CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT FOR DATE TIMLI-,Yep*m :OF ol PHONE AREA CODE NUMBER EXTENSION SIGNED ..LITHO IN'U.S.A- "-roos" FORM 3 _ 002S O&T x'qmmg-,< W, gi CALL -M -M, �g gv- w., gg 'CAME 3g -mo �M*M NOW -MR-1,2114 0--2 -W� --YOURCALL'�,7� ","NED. VW, tSPECIALATTENTION- . . . . . SIGNED ..LITHO IN'U.S.A- "-roos" FORM 3 _ 002S O&T August 17, 1990 Gerald & Peggy Bowes 2124 Fortuna Court Davis, CA .9.5616 RE: Expired Permit# 2340-89 A.P. #: 73-16-44 91 Mallory Ln, Forbestown Dear Mr. & Mrs. Bowes: This is a warning letter to notify you that you are in violation of the Butte County Code at the above referenced location as follows: Failure to obtain approval of previous corrections, failure to obtain final approval prior to expiration of permit. Since permits and inspections are required for the above work, .please contact this office within ten days of -the date of this letter, apply for the -re- quired permits to make corrections and complete project., and pay the appro- priate fees. '.A111 work must stop until these permits are issued and you are authorized 'by our field inspector to proceed. This field authorization cannot be made .until the existing work is inspected and approved. Please be aware that Butte County has entered into.a Code Enforcement Program that seeks voluntary compliance with the Butte County Code but provides an effective means of enforcement if such compliance is not obtained. If voluntary compliance is not obtained, enforcement will be pursued through the issuance of citations, fines, and the recording of a Notice of Violation. Your cooperation in 'resolving this matter would be appreciated. Should you have any questions concerning this matter, please contact Jim Glander or Rod Taylor of this office. RT: ds cc: Building Inspector Assessor Yours very truly, William Cheff Director of Public Works Opfer �:„• '� �` Rod Taylor Building Standards & Training Officer i File No. t S BUTTE COUNTY or qC"to`K 1 y 3) Public Works Dept. (For Information t/ ) Director i Dep. Dir. Sec. Rd. & Sr. Mtce. Shop & Yards Bldg. Insp. Admin. i Design Engr. Bridge Engr. Constr. Engr. i Surveys Mapping Transp. Land Dev. Drng. /S.I. E Sub. & PCI. Maps Permits Addr. i ` � - � �~ '-T oo -P , �/- -< 7/1 a ` n' r April 21, 1989 Gerald & Peggy Bowes 2124 Fortuna Court Davis, CA 95616 P 1 . RE: Permit Expiration A.P. #: 73-16-44 91 Mallory Lane, Forbestoim Dear Mr. and Mrs. Bowes: This is a warning letter to notify you that you are in violation of the Butte County Code at the above referenced location as follows:, Failure to obtain approval of previous corrections, failure to obtain final approval prior to expiration of permits. Since permits and inspections are required for the above work, please contact this office within ten days of the date of this letter,. apply for the required permits to make corrections and complete project, and pay the appropriate fees. All work must stop until these permits are issued and 'you are authorized by our field inspector to proceed. This field authorization cannot be made until the existing work is inspected and approved. Please.be aware that Butte County has entered into a Code Enforcement Program that seeks voluntary compliance with the Butte County Code but provides an effective means of enforcement if such compliance is not obtained. If voluntary compliance is not obtained, enforcement will be pursued through the issuance of citations, fines, and the recording of a Notice of Violation. Your cooperation in resolving this matter would be appreciated. Should you have any questions. concerning this matter,. please contact Jim Glander or Bob Reith of this office. ` Yours very truly, SIP William Chef f �' �� �� �,►. /�'� Director of Public Works J. F. Glander Chief Building Inspector JFG:laj cc: Assessor Building Inspector r April 21, 1989 Gerald & Peggy Bowes 2124 Fortuna Court Davis, CA 95616 P 1 . RE: Permit Expiration A.P. #: 73-16-44 91 Mallory Lane, Forbestoim Dear Mr. and Mrs. Bowes: This is a warning letter to notify you that you are in violation of the Butte County Code at the above referenced location as follows:, Failure to obtain approval of previous corrections, failure to obtain final approval prior to expiration of permits. Since permits and inspections are required for the above work, please contact this office within ten days of the date of this letter,. apply for the required permits to make corrections and complete project, and pay the appropriate fees. All work must stop until these permits are issued and 'you are authorized by our field inspector to proceed. This field authorization cannot be made until the existing work is inspected and approved. Please.be aware that Butte County has entered into a Code Enforcement Program that seeks voluntary compliance with the Butte County Code but provides an effective means of enforcement if such compliance is not obtained. If voluntary compliance is not obtained, enforcement will be pursued through the issuance of citations, fines, and the recording of a Notice of Violation. Your cooperation in resolving this matter would be appreciated. Should you have any questions. concerning this matter,. please contact Jim Glander or Bob Reith of this office. ` Yours very truly, SIP William Chef f �' �� �� �,►. /�'� Director of Public Works J. F. Glander Chief Building Inspector JFG:laj cc: Assessor Building Inspector RE: Permit Expiration A.P. #: 73-16-44 91 Mallory Lane, Forbestoim Dear Mr. and Mrs. Bowes: This is a warning letter to notify you that you are in violation of the Butte County Code at the above referenced location as follows:, Failure to obtain approval of previous corrections, failure to obtain final approval prior to expiration of permits. Since permits and inspections are required for the above work, please contact this office within ten days of the date of this letter,. apply for the required permits to make corrections and complete project, and pay the appropriate fees. All work must stop until these permits are issued and 'you are authorized by our field inspector to proceed. This field authorization cannot be made until the existing work is inspected and approved. Please.be aware that Butte County has entered into a Code Enforcement Program that seeks voluntary compliance with the Butte County Code but provides an effective means of enforcement if such compliance is not obtained. If voluntary compliance is not obtained, enforcement will be pursued through the issuance of citations, fines, and the recording of a Notice of Violation. Your cooperation in resolving this matter would be appreciated. Should you have any questions. concerning this matter,. please contact Jim Glander or Bob Reith of this office. ` Yours very truly, SIP William Chef f �' �� �� �,►. /�'� Director of Public Works J. F. Glander Chief Building Inspector JFG:laj cc: Assessor Building Inspector File No, a^ + BUTTE COUNTY (For Action 1, 2, 3) Public Works Dept. (For Information ve ) Director Dep. Dir. Sec. Rd. & Br. Mtce. Shop & Yards MEngr. . Constr. Engr. Surveys 1 Mapping p Transp. Land Dev. Drng. /S.I. Sub. & Pcl. Maps x Permits Addr. r jT ..� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION y ' t ' 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 } PERMIT APPLICATION DATA SHEET f Permit No. OWNER % IJ l3�Ly�S A. P. No. 7,--7– A7 7 Proposed Building Use /t�s'I/� Building Inspector Date' a3 2_4 At time of permit application, I was advised the following data must be submitted prior to permit processing and:/or issuance: DATE RECEIVED. APPROVED 1. All items have been submitted. . . . . . . . . . . . 2. -Plot plans in duplicate. /triplicate, signed by preparer of plans. . 3.' Complete plans in duplicate. /triplicate, signed by preparer of plans. ' 4. -Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . . t 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature –5author[zati ,n...Sanitation approval from—L�a�Health Dept.. �- 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. 13. .-Contractor's License Information (no., name style, classif.) 14.' Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ),•' t z: _15. • Improvements may be required. . . . . . . . . . . . ' 16.' Mobilehome Installation Data. . . . . . . . . . Prednspec. request to - (Date) 17. -Pre-Inspection for Required, Building Inspector -IS. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. PI t Ian approval from city of , /�- 22. When you issue the permit, process as follows: Mail to owner, Mail to contractor. r Telephone and hold for pickup at office, Other Applicant _Deliver w/inspector. Date c� T ° 7 Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prio to 1. Index permit for above items No. 2. Additional items required: issuance: (Circle new item not checked above). Contractor, designer,owner, was advised of above required data byyphone�nail—counter by- date Contractor, designer, owner, was advised of above required data by—phone —mal l=counter by date � � Date Plans checked by Date 3`U_9?Plans approved by,--/ Sets of plans on hold in File cabinet AP folder Copy—DPW – Hours: 10:00 a.m. - 3:00 p.m. TO Buildinv Department FROM: Environmental Heath. SUBJECT: Sanitation Clearance Owner Loca ion AP# Plan Approved for: Sewage Disposal _ r Water Supply Hold final for: \ Water Supply Final clearance O.R. for: Water Supply Clearance for r) bedroom mobile ome Other NOTE *** Sanitarian Date TO: Building Department FROM: Encroachment Permit Sec't'ion, RE: Driveway Clearance G'e,,Q //o r- la" - owner locatio AP # Driveway permit �dvi �� _ has been issued for the above property. n ber YIIII��A AXI/ ZL -Z `z3�� signatu date COUNTY OF BUTTE - Department of Public Works -7 County Center Drive, Oro,ville,'CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor andterials for construction of the proposed property improvement (.yes or no) -T �. 2. I (have/have not. signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed, construction: _ Name Address City Phone Contractors License No. 4. I plan to provide portions of this work; but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work. but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed; �n Property Owner /l1 Social Security Numbep Date r,C9 , �'� I, q $ 7 NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. , RESIDENTIAL ENERGY PLAN CHECK/INSPECTION SUMMARY FORM �3 •"Owner 446.4rItT-jo � S Climate Zone Permit No.,5W— 'Floor Area Compliance path: Package ❑ A ❑ B ❑ C ❑ -Po int System ❑ Budget Pother .� MIN R -VALUE DESCRIPTION REQ'D INSTALLED ITEMS (1) INSULATION: ® Roof/Ceiling �/ 9 ® Wall /L -S 4X g AW Zic� ❑ Slab Floor Perimeter '® Raised Floor /L-A (2) INFILTRATION: ❑ (A) A vapor barrier is required in climate zones, 1, 14 & 16. (B) All manufactured windows and sliding glass doors shall meet the 1972 ANSI Air Infiltration Standards and shall be certified and labeled. 41 (C) All swinging doors and windows leading to unconditioned areas shall be fully weatherstripped. Tight - the above standard features plus':, ❑ (D) Continuous infiltration barrier (E) Electrical outlet plate gasket ❑ (F) Air-to-air heat exchanger (3) GLAZING: (A) Location Area Glazing %Floor Area Single Double Triple Total Bldg 004 . Sr „240 ® North ® East S2. S S. / South /& 3 I.T. West y �_ ® Skylights (B) Shading Shading Coefficient Description ❑ East ❑ South ❑ West ❑ Skylights (C) South Overhang Length of projection 2 ft. Description ❑ (D) Moveable insulation: Area ftZ Description (E) Thermal mass o414r>efF_ ❑ Type - Area Ft.2 HC= R= MC= 'Location ❑ Type - Area Ft.Z HC= R= MC= Location ❑ Type - Area Ft.2 HC= R= MC= Location ❑ Type - Area Ft.Z HC= R= MC= Location ❑ Type - Area Ft.2 HC= R= MC= Location ❑ Type - Area Ft.Z HC= R= MC= Location 7/83 7 r, FORM I ❑ (4) MASONRY AND FACTORY -BUILT FIREPLACES'shall be equipped with tight fitting closeable metal or glass doors covering the entire opening of the firebox; a combusion air intake equipped with a readily accessible, openable, and tight,fitting damper to draw air from the outside of the building; and a tight fitting flue damper with a readily accessible control. 1071 U Is *1(5) HEATING, VENTILATING; AIR CONDITIONING SYSTEM (A) Heating . Central Gas Furnace (brand and model number) Btu/hr (heating capacity) Heat Pump (brand and model number) Btu/hr (heating capacity at 47°F) Active Solar -7/ % SE ACOP 'type (liquid or air) Collector brand and ft2 model number solar fraction collector area collector . orientation collector tilt rated y -intercept rated slope Other (describe) *1 (B) Cooling " Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr (cooling capacity at 95°F) ❑ Electric Heat Pump EER Btu/hr (cooling capacity at 95°F) ❑ Other (describe) ❑ (C) A TWO-STAGE THERMOSTAT, which controls the supplementary heat on' - its second stage, shall be required for heat pumps. (D) AN AUTOMATIC SETBACK shall be provided for all thermostats, except those controlling heat pumps. ® (E) AN INTERMITTENT IGNITION DEVICE shall be provided for all gas-fired fan type central furnaces, gas-fired fan type wall furnaces and gas cooking appliances. (F) BACKDRAFT DAMPERS shall be provided for all fan systems exhausting air to the outside. 4M (G) DUCT CONSTRUCTION & INSULATION. All transverse duct, plenum, and fitting joints shall be sealed with pressure sensitive tape or mastic to prevent air loss and shall be insulated to conform to the provisions of Section 1005 of the UMC, 1976 Edition. 7/83 2 FORM I ❑ (4) MASONRY AND FACTORY -BUILT FIREPLACES'shall be equipped with tight fitting closeable metal or glass doors covering the entire opening of the firebox; a combusion air intake equipped with a readily accessible, openable, and tight,fitting damper to draw air from the outside of the building; and a tight fitting flue damper with a readily accessible control. 1071 U Is *1(5) HEATING, VENTILATING; AIR CONDITIONING SYSTEM (A) Heating . Central Gas Furnace (brand and model number) Btu/hr (heating capacity) Heat Pump (brand and model number) Btu/hr (heating capacity at 47°F) Active Solar -7/ % SE ACOP 'type (liquid or air) Collector brand and ft2 model number solar fraction collector area collector . orientation collector tilt rated y -intercept rated slope Other (describe) *1 (B) Cooling " Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr (cooling capacity at 95°F) ❑ Electric Heat Pump EER Btu/hr (cooling capacity at 95°F) ❑ Other (describe) ❑ (C) A TWO-STAGE THERMOSTAT, which controls the supplementary heat on' - its second stage, shall be required for heat pumps. (D) AN AUTOMATIC SETBACK shall be provided for all thermostats, except those controlling heat pumps. ® (E) AN INTERMITTENT IGNITION DEVICE shall be provided for all gas-fired fan type central furnaces, gas-fired fan type wall furnaces and gas cooking appliances. (F) BACKDRAFT DAMPERS shall be provided for all fan systems exhausting air to the outside. 4M (G) DUCT CONSTRUCTION & INSULATION. All transverse duct, plenum, and fitting joints shall be sealed with pressure sensitive tape or mastic to prevent air loss and shall be insulated to conform to the provisions of Section 1005 of the UMC, 1976 Edition. 7/83 2 �CpR M 9 I (6) DOMESTIC WATER SYSTEM �7 t® (A) Gas Only Gallons (brand and model number) (tank size) ❑ Heat Pump w/Electric Bajkup (brand and model number) Gallons 2 (tank size) ❑ * Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft (backup heater type, brand and model number) .(collector area), (collector orientation) (collector tilt) ❑ Location of Solar Panels ❑ Other (Describe) "(B) TANK INSULATION. Storage type water heaters and storage and backup tanks for solar systems shall be externally wrapped with R-12 insulation or greater. IN (C) PIPE INSULATION. The five feet of pipe closest to the water heater and outside conditioned space shall be insulated with a minimum of R-3. Steam and steam conditioned space shall be insulated with a minimum of R-3. Steam and steam condensation return piping and recirculating hot water piping outside the building envelope shall be insulated in accordance with T2O-14O8(d), IN. (D) FLOW RESTRICTORS shall be provided for showerheads and faucets as outlined in the new appliance efficiency standards and shall be certified to the Energy Commission. (7) LIGHTING (A) Lamps used in luminaries for general lighting in kitchens and bathrooms shall have an efficacy of not less than 25 lumens per watt (usually florescent). *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(8), and fill out the following: Heating: Winter design temperature �°, elevation 9-.-306', heating load BTU elevation factor �6,4? x heating load = maximum outlet capacity gasce BTU Cooling: Summer design temperature ft°, cooling load ?adBTU (USE ONLY AS A SIZING GUIDE, COOLING MAY BE INADEQUATE) *2 Submit T.I.P.S.E. chart or other approved system (form #5) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the California Administration Code. 7/83 SIGNATUREW BUILDING DESIGNER OR APPLICANT 3 RESIDENTIAL PUMN CHECKING GUIDE (S.F., DUPLEX & MISC. ONLY) 7/85 - Bldg. Percit b ✓ �G r �/� OWNER C slAdA.?. 4 % GENERAL oroo"Zoning require encs: (sideyards and number of permitted livin units). ,,;r - Valuation. Vr3" P~,O~ -9-V& IA t. �/C+ 'dp3� ans signed by designer. Energy Des gn an onp ante. /ei�'I�•S ',W Aftd.VM on property. PLO? PLAN ,o"Complete parcel size and dimensions. >/ .Setbacks, sideyards, easements, etc. y' Other buildings or structures. Grading, fills, drainage. #/' Flood hazard. .6eo'Special conditions on creation map or compliance document FWOR PLAN ol'--Complete to scale plan with dimensions. oia" Required windows for light and ventilation (Sec. 1205). 3. Required windows for second exit (Sec. 1204). JP." -Skylights (Chapter 34 6 Sec. 5207). ,6*- Human impact glass (Sec. 5406). A—. Required room sizes, ceiling heights (Sec. 1207). -;! G.F.C.I.'a in baths, garage and exterior outlets (Article 210-8). ,i9'Light fixtures, switches, receptacles, and exterior receptacles for maintenance 'of mechanical equipment. 9. Locations of water heater icating and coolins equipment other electrical or gas equipment, and plumbing f a. .34' -Garage firewall, door size, and closer (Sec. 503(d)(3)). XXL- 1 - 3'0" exterior exit door (Sec. 3304(e)). Fireplace and wood stove location. ,,X3w, Smoke detectors (Sec. 1210). STRI;CTURAL DETAILS Foundation plan complete enough to construct building. 01V64M,0WW Floor cotictrhrcrt'io`n--detafls complete enougto construct building. e o truct on details complete enough to construct buildinb.� Roo construction details comrlete enough to construct ut in . 1 ep ace construction details hnr CaJCS it necessa Su'�f i2"iZ~n' i a .a an c e nh S Lu sat hs cue gy requirements (State Lav) (Form MISCELLANEOUS ITEMS TO LOOK OUT FOR il''�` Exposure I plywood on exposed locations and overhangs. Z N I— Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306). #J -'-Guardrail details (Sec. 1711 6 3306(j)). 44'Brick or atone veneer (Chapter 30). xterior plaster - weep screeds (Sec. 4706). ' Proper roof pitch for roof covering (Chapter 32). .7 -Rafter ties or bearing ridge beam. Jr- Garage door or porch header sizes. .%! Adequate bracing p6,e 26I.7L.9) Living area over garage - complete 1 -hour -separation required on garage side including supporting walls and poets, etc. Two exits on three-story dwellings (Sec. 3303 6 see Mezannines 1716). 2. Attic access and ventilation (Sec. 3205)./s</�.o�ve.¢s�/52�sFATrICI(Z2x3o� ,- Underfloor access and ventilation (Sec. 2516). /SF P_'A /60 SF 66F/fte-.4 (/1x24) �. -Wood stoves, clearances, alcoves 6 1 -hour shafts. Fjs F Fcea s b eau w6s Combustion air for fuel burning appliances. Noise requirements on duplexes. /1✓7� Adobe soils - special foundation design. Fifa.* Retaining walls requiring design. ,Unusual shape, size or split level house requiring lateral design. R-&Ae0W ^WVevnoal 00&IC46 A!4,t 1003, aPC F"'Z" vw D2 PT ez x fva'. Zs-ne4j, 61ec ours Bcoctit/a,B.+z.6 cbr� 2677CI1) 6 B�W" ce�eaxi�rc/ Ame 6 eo - 4I y4,CCoSGTl_%iVT f1d;T Cc AL I0� �/O-GA4Fe &/tnte2 oito7zGTlod/ �.c J X&-*- S,oyva/orot co,s.,-v rvmPi1T Ae-T sem_ 1709; a, -c - G Ar ►mo1®1,,vd ,oe°r 6X c l z /3, uPt 6AS Gni. N. Gl�*.ic.z :P�T�K %L�'%lgsvE Fi:a +as ce~ "w-7 o eels- Owe PFit i �. ZONE 16 POINTS OWNER 19 PERMIT ASSIGNED NO. �- ACTUAL 30 1. SLAB - INSULATION NONE 0 49 2. RAISED FLOOR - R- 19 -8 0.66 3. CEILING - R- 38 of _ A 4. WALL - R- 19 A o +7 5. NORTH GL.?ZING - 2.9-4.2% up to 0.7 ' 6. EAST GLAZING - 3.1-3.2% S_ 0.8- 1.3 +3 7. SOUTH GLAZING - 0-4.2% 1.4- 2.8 0 S. 4.TEST GLAZING - 3.6-4.2'x., -T- 2.9- 4.2 -3 9. 9. SKYLIGHT - NONE T.9�- -5 10. SHADING (Exclude Overhang) 5.3- 6.1 -8 -4 EAST $./ - .42-.66 6.2- 7.2 -10 -6 SOUTH UNLIMITED 7.3- 9.2 -13 -8 WEST - .42-66 .9.3-10.3 -1.5 -10 SKYLIGHT - NONE - -19 11. HCRIZONTAL SOU-:: OVEREANG - ANY 2' b -21 12. MOVABLE INSIri__T.IONT 0-3.5% 12.5-13.2 -24 -16 -11 13.3-14.5 -26 13. INFILTR=ATION (St�n�ar (Tiaaht� 12) 14.5-15.6 -29 14. THERMAL MASS (hNONE',(/��y' 10.2-11.0 -33 15. GAS FURNACE 71-74% 11.1-12.0 -37 16. HEAT ?U11P (EER) N/A 12.1-12.8 -41 17. DUAL PAC:; (SE, SE=")N/A(&w#j#'q + 2 T' -45 13. ACTIVE SOLAR 60% ;1IN. NONE .. -50 19. ZONALLY CONTROLLED ELECTRIC � -54 20. SOLAR !I rl GAS BACKUP .9NSF 11nLO �-?a. %.Plllll. 1r.5utatlun Yts. Tahla 1-7. C. r1..- Pr R -Value of Insulation Points 19 -8 22 -6 30 -2 38 0 49 0 R -Value of Insulation Points 11 -8 1S 0 24 +2 '30 +3 Total Z of Floor Glazing Type _ 0 - 1 -16 2 - 3 Area Sngl, Dbl, Trpl, 6 - U - U - U -8 0.66 0.42- 0.41 of 1.10 0.65 down o +7 +T Tj up to 0.7 +6 +6 ' +7 0.8- 1.3 +3 +4 i +5 1.4- 2.8 0 +2 +3 2.9- 4.2 -3 0 +2 . T.9�- -5 'Y 0 5.3- 6.1 -8 -4 -2 6.2- 7.2 -10 -6 -3 7.3- 9.2 -13 -8 -5 .9.3-10.3 -1.5 -10 -6 10.4-11.2 -19 -12 -8 11.3-12.4 -21 -14 -9 12.5-13.2 -24 -16 -11 13.3-14.5 -26 -18 -12 14.5-15.6 -29 -20 -15 Tota Z of Floor Glazing Type 0 - 1 -16 2 - 3 Area Sngl, Lbl. Trpl, 6 - U . U - U -8 0.66- 0.42- 0.42 of 1.10 0.65 down O +2 +2 +2 up to 4.2 0 0 0 4.3- 6.3 -3 -2 -1 6.4- 8.0 -6 -4 -3 8.1- 9.5 -9 -6 -5 9.6-10.9 -11 -8 -6 11.0-12.7 -16 -11 -9 12.8-14.4 -20 -14 -11 14.5-16.2 -24 -17 -14 T,hl- 'I -R u..�.-r,�l..., r-1-4- o... Total 2 of Floor Glazing Type 0 - 1 -16 2 - 3 Area Sngl, Dbl, Trpl, 6 - U - U - U - -8 0.66- 0.42- 0.41w of 1.10 0.65 don O +le I +10 +ro up to 1.2 +7 +8 -2 1.3- 2.0 •N, i +6 +7 I Z.1-2.7 +2 I +. +o 3.1- 3.2 I -1 I - +4 3.6- 4.2 I -4 0 +2 4.3- 5.0 -7 -2 0 5.1- 5.7 -10 -4 -2 5.9- 6.4 -13 -6 -4 6.5- 7.0 -15 -8 -6 1.1- 7.7 -18 -10 -7 7.8- 8.4 -21 -12 -9 8.5- 9.0 -24 -14 -10 9.1- 9.5 -26 -16 -12 9.6-103.1 -29 -18 -14 10.2-11.0 -33 -21 -lb 11.1-12.0 -37 -24 -18 12.1-12.8 -41 -27 -20 12.9-13.7 -45 -io -22 13.8-14.6 -50 -33 -25 14.7-15.5 -54 -36 -27' 21. OTTER - NO ELECTRIC R- a:ue of Insulation 0 - 1 -16 2 - 3 -12 Table 3-6. East-Facin Glazing Pts. Table 3-9. Skylight Points 6 - 7+ Total Glazing Type -8 -8 ITE:IS SiIOf,^:i = ZERO ?OI_I^ S of -3 -2 -2 --hl- 1-1- Slnti c1,•... insula- t1r.' Depth, R- a:ue of Insulation 0 - 1 -16 2 - 3 -12 inches 0-2 3-4 5-6 7+ -4 -8 -8 -8 -8 12 - IS -8 -3 -2 -2 t6 =1'9 -8 -3 -1 0 +6 +6 -2 0 +1 7/7/03 Table 3-2. Raised Floor Points R -Value of Insulation Points 0 - 1 -16 2 - 3 -12 4 - 5 -8 6-8 -6 9 -.13 -4 L4 - 18 -2 19 up 0 Floor Glazing Type 0 • 1.6-1 -3 Area Sngl, Dbl, Trpl, 0 U .. U - U - .42-.66 B?r -5- .86 up 0.66- 0.42- 0.41 . 1.10 0.65 down O +7 +7 '+7 up to 0.6 +6 +6 +6 0.7- 1.8 +5 +4 +4 1.9- 3.0 0 +2 +2 3.1- 3.2 -3 0 0 3.3- 5.4 -7 -2 -1 5.1- 5.7 -10 4- -3 6.6- 7.5 -13 -6 -5 7.6- 8.5 -16 -8 -7 8.6- 9.5 -18 -10 -8 9.6-10.4 -21 -12 -10 10.5-11.7 -24 -15 -12 11.8-12.9 -28 -18 -14 13.0-14.0 -31 -21 -16 14.1-15.1 -34 -24 -18 Tocal S of Floor Glazing Type 0 • 1.6-1 -3 Area Sngl, Dbl, Trpl, 0 U . U - U - .42-.66 B?r -5- .86 up 0.66- 0.4,2- 0.41 0 +3 +5 1.10 0.,65 down up to 1.2 -3 -2 -2 1.3- 2.0 -6 -4 -3 2.1- 2.1 -8 -6 -5 2.8- 3.5 -V -8 -6 3.6- 4.2 i 0.4-( -10 -8 4.3- 5.0/14 17 -12 -10 5.1- 5.7 21 -14 -12 5.8- 6.4 -23 -16 -14 6.5- 7.0' -ZS -19 -16 7.1-7. -28 -20 -17 7.8- .4 -31 -22 -19 8.5- Q 0 -34 -24 -20 9.1- 9.5 -36 -26 -22 9.6-10.1 -39 -28 -24 ble 3-10. Shad:r.- Cacfficier.t 1`oir.ts SC by Ori en - Floor Area. tation Past 0= 0.8-• 1.6- • 3.2- 6.4-( E.' 0.7 I.5 7.1 F.3 i.9 I up I 0-.21 0 • 1.6-1 -3 -f--- 6.!-; fr .22-.41 0 0 -1 -6 .-3 X1.5 -6 .42-.66 B?r -5- .86 up 0 0 0 0 0 � 0 +1 -44- 0 +3 +5 0 1 !• +i +111 -12 South 0 0 All 1 0 ^ I 67 - .85 A1.1 0 West 0- ! 0.8-I 1.6-1 3.2- -f--- 6.!-; fr 0.7 3.1 1 !?.: i 0 - .21 22 - .41 0 0 11.5 -1 0 -3 -1 6.3 -6 -3 7.9 I _!2 _1 -6 -- 41 - 66 0 0 0 0' 1 0 ^ I 67 - .85 0 0 I +1 +3 1 +6 .86 up 0 +1 +2 +5 +11 I +7' Skylight 0- i 0.4-( 0.8-� 1.6-1 3..-1 0.3 0.7 11.5 13.1 13.9 5.- 0 -.21 22 - .41 0 0 -I. I 0 -3 6 -12 -15 -1 �-3 -6 -7 I 42 - .66I 0 0 f, 0 O 1 86 up i 0 +1 I 1 - Table 3-11. Horizontal South South Glazing Length Out Area, Z of Floor from Wall fr 0-6.3 6.4 up All i 0 Ih;e 3-12. Movable insulation Points Xoveable Insulation Net Solar Fraction (NSF), Z Area, 7. of Floor Points 0 - 3.5 0 3.6 - 7.0 +2 7.1 - 10.5 +4 10.6 - 17.8 +6 17.9 - 21.5 +9 21.6 - 25.0 +12 ible 3-13. infiltration Control Features Points Control Features I Points Standard ! -7 0.9 air changes per hr Tight 0 r.6 air changes per hr ?-I5. Cas Furnace Points Seas,nal Efficiency I Points iSE), L 65 - 67 I -4 68 - 70-2 71 - 74 I 0 75 - 78 +2 79-82 +4 83 - 87 +6 83 - 93 +8 54 up +10 i%lc 3-16. Active Solar Space Heatine with Goa Points ::et Solar Fraction I Pointe (NSF), . I 0 - 9 0 10 - 19 +3 20 - 30 +6 31 - 40 '.9 41 - 50 +12 51 - 60 +15 61 - 70 +i8 71 - 81 +21 32 - 92 +24 92 up +27 7/7/P3 TA}LE 3_14 IHTE810:1 THERMAL MASS FOIHTS MASS nurll inn sora tnllaor rnnr A^,EA _1,000 Net Solar Fraction (NSF), Z perunit, 1.500 ft2 Solar with Electric 2,000 Meeting the Require- 21500 0 Electric Resistance 0.9 3,000 20-29 30-39 3,500 a nnn 50-59 60-69 ) < SUO 0 i 5,015 1.11 +15 SQ. FT. A 6 C D A B C D A 8 C D A 8 C D A 8 C D A B C D A B C D A Z C G C 1 +3 1 +4 50 2 2 2 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Cl. 0 0 0 3 _ 0 0 +3 150 4 4 2 2 2 2 2 2 2 2 2 0 2 Z 2 0 2 0'0 +4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0! I 150 6 6 4 2 4 4 2 2 2 2 2 2 2 2 2 0 2 2 2 0 2 2 2 0 2 2 D 0 2 0 0 0 0 '0 0 0 ?30 6 6 6 4 4 4 4 2 4 4 2 2 2 2 2 2 2 2 2 2 2 2 2 0 2 2 2 0 2 2 2 0 2 2 2 0 251 8 8 6 4 6 6 6 4 4. 4 4 2 4 4 2 2 2 2 2 2 2 2 2 2 2 2 2 0 2 2 2 0 ? 2 Z 0 1�J 10 10 8 6 6 6 6 4 6 6 4 2 4 4 4 2 4 4 2 2 4 2 2 2 2 2 2 2 2 2 2 2 I 2 2 2 0 350 10 10 10 6 8 8 6 4 6 6 6 4 6 4 4 2 4 4 4 2 4 4 2 2 4 4 2 2 2 2 2 2 2 2 2 2 410 1212 10 6 8 8 8 6 6 6 6 4 6 6 4 2 4 4 4 2 4 4 4 2 4 4 2 2 4 4 21 2 2 2 2 2 450 12 12 12 8 10 10 8 6 8 8 6 4 6 6 6 4 6 6 4 2 4 4 4 2 4 4 4 2 4 4 2 2 - 4 2 2 500 I14 14 12 8 10 10 10 6 8 8 6 4 6 6 6 4 6 6 6 4 6 6 4 2 4 4 4 2 4 4 4 2 4 4 2 2 630 16 14 14 10 12. 12 10 6 1 10 8 6 8 8 6 4 6 6 6 4 6 6 6 4 6 6 4 2 4 4 4 2 4 4 4 2 709 I16 16 14 10 12 12 12' 8 10 10 10 6 10 8 8 6 8 8 6 4 6 6 6 4 6 6 6 4 6 6 4 2 5 4 - 2 E00 i 18 1B 16 12 14 14 12 8 12 12 10 6 10 10 8 6 8 8 8 6 8 8 6 4 6 6 6 4 6 6 6 4 '6 6 4 2 f 9000 18 18 12 16 14 14 10 12 12 12 8 10 10 10 6 10 10 8 6 8 8 8 4 8 8 6 4 6 6 6 4 5 6 6 s 1,000 20 20 I22 18 14 16 16 14 10 14 14 12 8 12 12 10 6 10 10 8 6 10 8 8 6 8 8 6 4 8 8 \ 6 4 6 6 6 4 1,110 22 20 14 18 16 16 14 14 14 12 10 12 12 12 8 12 10 10 6 10 10 8 6 8 8 8 6 3 8 6 4 3 6 6 4 1 1., -no ;22 22 20 16 18 18 16 12 16 14 14 10 14 12 12 8 12 12 10 6 10 10 10 6 10 10 8 6 8 0 8 6 8 6 6 4 1 1,300 I24 22 22 16 20 18 18 12 )6 16 14 10 14 14 12 8 12 12 10 8 12 10 10 6 10 10 R 6 10 10 8 6 8' 8 8 4 1,400 X24 24 22 18 20 20 18 14 16 16 16 10 14 14 12 8 12 12 12 8 12 12 to 6 10 10 10 6 10 10 8 6 ,10 88 Z f j 1,509 24 24 12 18 20 20 18 14 18 18 16 12 16. 14 14 10 14 14 12 8 12 11 10 8 12 10 10 6 10 10 10 6 1C 10 g 6 2.00o 24 24 22 16 20 20 18 14 18 18 16 12 16 16 14 10 14 14 14 10 14 14 12 8 12 12 12 8 I1? 12 10 6 2,5.70 22 22 20 16 20 20 18 14 18 18 16 12 18 16 16 12 16 16 14 10 14 14 12 10 114 14 ,. 8 3.000 22 22 20 16 20 20 18 14 18 18 18 12 18 18 16 12 16 16 14 10 X15 14 ,. ..' 3,500 22 22 ZO 16 20 20 18 14 20 18 18 12 iZ 18 16 12 16 16 16 :0 4,003 22 22 20 16 20 20 18 14 20 16 18 12 :3 123- 18 - 1. 4.500 1 22 22 20 14 20 20 19 14 l2 .!& 12 5,000 1 22 22 23 14 I20 20 IC 14 Al 1. 311- concrete Slab: HL -H.93; R=.19; Factnr-7.H 2. 3 3/4" Thick Common Brick: HC=7.125; R=.13; Factor -7.8 B) 1, S:" Concrete Slab: IIC-14.106; R=.458; Factov- 7.5 C) i 3" Solid Filled Block: HC=20.63; R=1,93; Factor -6.5 • 2 6" Solid Filled Block With Both Sides Exposed To Conditioned Air note: Use all square footage- directly exposed to conditioned air for Thermal Nass Area: HC•10.164; R=.965; Factor -6.5 D) 1. i" Thick Concrete/TileHC-2.55; R•.083; Factor -4.0 Table 3-17. Zonally Controlled Electric Resistance Space lleatinq Points Points for this measure vilI be completed after the CEC :las approved an Alternative Component'Package for Resistance Flea[. I ( . 1-12 f..1- u-, ti.. -.4.,.. V;.1 r- a -..L .... n..4 - wood heat & 42 points (no backup) Casablanca fan=+1 point Multifamily ( er unitpoints) Floor Area Net Solar Fraction (NSF), Z perunit, + ft2 Solar with Electric Resistance Backup Meeting the Require- ments in Part 2 0 Electric Resistance 0.9 10-19 20-29 30-39 40-49 50-59 60-69 70-79 600-799 0 +4 +7 1.11 +15 +19 +22 +26 800-999 0 +3 -�-6 +9 +12 +15 +17 +20 1,000-1,499 0 +2 +4 +6 +8 +10 +13 +13 1,500-1,999 0 +1 +3 +4 +6 +7 +9 +10 2 C00 and uo 0 1 +l 1 +3 1 +4 1 +5 1 +7 +8 +9 All others (per building points) 800-899 0 +5' +11 +16 +22 +27 +32 +38 90C-999 0 +5 +10 +14 +19 +24 +29 +34 1,000-1,199 0 +4 +8 +12 +17 +21 +25 +29 1,200-1,499 0 +3 +7 +10 +14 +17 +20 +24 1,500-1,999 0 +3 +5 +8 +10 +13 +16 +13 2,000-2,999 0 +2 +4 +5 +7 +9 +11 +13 3,000 and tip 0 +2 +3 +5 +6 +8 +9 +11 System Type Points Cas Only 0 "cat Pump 0 Solar with Electric Resistance Backup Meeting the Require- ments in Part 2 0 Electric Resistance Only -40 HART - C H E S B R O F�1alE `"C`(1,ao r� PAGE i s of 4s CIVIL/ ST3 TURAL ENGINEERSAK ENGR R PATE POST 0607E BOX RIVE STREET. UI 95734 COUNTY � LO � � 0 STATE II_ REVISE PATE 10607 WEST RIVER STREET, SUITE F (9,e) 587"7300 (M) 587.13 14 SOB# �(n�j\� CHECK DATE P R 1. N. TED GENERAL NOTES AND SPECIFICATIONS file: con -spec .1 imp MIRM FOR CONSTRUCTION .NOTES M y A. All construction shall be in accordance wit requirements of the latest edition of the Uniform ,(UBC) and local building codes, or as specifica 'these plans and calculations, with the most stringe governing. It is the responsibility of the contra familiar and comply with the requirements as stated in B. If any changes are made from these plans and calculations, Hart-Chesbro Engineers (Engineer..) shall be notified prior to making such changes in the field and the necessary certified plans and calculations. obtained; if such changes are made without the necessary approval of the engineer, then H -C assumes no responsibility for the entire structure or any portion thereof, and shall be held harmless from any resulting claims. C. The contractor shall verify all dimensions on these plans before starting work, and the engineer shall be notified of any discrepancies found before work commences. D. These calculations are based on a completed structure as per the plans and calculations. Engineer shall. not be responsible for and held harmless from -any -damage resulting to an uncompleted structure subjected to design loads unless first consulted for an interim design. i �.I E. This structural design is based on loading conditions. as determined by local building codes and by the UBC. Engineer is f not responsible for damage resulting to a structure due to loading conditions exceeding those for which the structure has been designed, or due to "Acts of God" (e.g., fire, flooding, etc.). F. Grades as shown on plot maps and elevation drawings are the responsibility of the client, unless a field inspection and/or survey is specifically requested. Engineer takes no responsibil- ity for damage to or, additional construction costs of any structure for which the client, designer, architect, surveyor, or any other party has misrepresented the relative position of the structure to the natural finish grades of the building site. G. Stress increases of 15% for temporary loads (e.g. snow) and 33% for wind and seismic loads, as allowed for by the UBC, have been used in these calculations-, except where local building codes prohl bl t siich increaeea (ie. Placer County) I B. All studs are to be standard grade or better. C: All glu-lams are to have a bending stress rated at 2200 psi or greater, unless noted otherwise.. D. All stud walls are to have double top plates of the 'same dimension as the stud. Plates are to be lapped a minimum of 410" between splices, with at least 10 - 16d nails through bothx'Y�"s` plates each side of all splices, or as noted on framing plans. E. All partition walls shall have blocking directly below the partition. double joists or solid F. All built-up, laminated double or multiple 2x joists beams shall be nailed together with 16d nails at 12" o.c. both top and bottom, staggered, with 3 - 16d at ends and splices, unless noted otherwise. 0. All headers at exterior walls be 6x12 DF#2, bearing on 1 -stud specifically noted otherwise. and at .' a t and at roof bearing walls shall trimmer each side, except where. H. In no instance shall a stud wall be used as a retaining wall, i.e., to redist lateral pressure due to earth backfill, or water or snow build-up against the wall. In the case of snow build-up against a stud wall, it shall be the responsibility of the owner to remove such snow or create a gap between the snow and the wall (e.g., through heat loss from the structure). The engineer is not responsible for and shall be held harmless from damage and claims resulting from movement of or damage to the structure due to the lateral pressure of snow, water, or earth against a studwall. ' III. CONNECTIONS " A. All posts and columns are to be installed with ICBG -approved post or column caps and bases, unless otherwise specified in the plans. B. All hardware --column caps and bases, beam and joist hangers, straps, framing clips, etc. --shall be ICBO approved (e.g. Simpson Co.) or custom -fabricated specifically as detailed on the plans or calculations, and shall be installed with nails or bolts exactly as called for by the manufacture or as noted on plans. _ 1 C. All nails shall be common or sinkers, unless noted otherwise. Al : page 2 sof II. TIMBER 6/20/86 { -T{s: A. All joists, rafter Pram s, and light ing members membe are to * be,r k Douglas Fir,:grade #2 or better, except where -specifically noted;p•�'..�"' otherwise. All posts and beams are to.. be Douglas Fir #1 or;r�;=: better. B. All studs are to be standard grade or better. C: All glu-lams are to have a bending stress rated at 2200 psi or greater, unless noted otherwise.. D. All stud walls are to have double top plates of the 'same dimension as the stud. Plates are to be lapped a minimum of 410" between splices, with at least 10 - 16d nails through bothx'Y�"s` plates each side of all splices, or as noted on framing plans. E. All partition walls shall have blocking directly below the partition. double joists or solid F. All built-up, laminated double or multiple 2x joists beams shall be nailed together with 16d nails at 12" o.c. both top and bottom, staggered, with 3 - 16d at ends and splices, unless noted otherwise. 0. All headers at exterior walls be 6x12 DF#2, bearing on 1 -stud specifically noted otherwise. and at .' a t and at roof bearing walls shall trimmer each side, except where. H. In no instance shall a stud wall be used as a retaining wall, i.e., to redist lateral pressure due to earth backfill, or water or snow build-up against the wall. In the case of snow build-up against a stud wall, it shall be the responsibility of the owner to remove such snow or create a gap between the snow and the wall (e.g., through heat loss from the structure). The engineer is not responsible for and shall be held harmless from damage and claims resulting from movement of or damage to the structure due to the lateral pressure of snow, water, or earth against a studwall. ' III. CONNECTIONS " A. All posts and columns are to be installed with ICBG -approved post or column caps and bases, unless otherwise specified in the plans. B. All hardware --column caps and bases, beam and joist hangers, straps, framing clips, etc. --shall be ICBO approved (e.g. Simpson Co.) or custom -fabricated specifically as detailed on the plans or calculations, and shall be installed with nails or bolts exactly as called for by the manufacture or as noted on plans. _ 1 C. All nails shall be common or sinkers, unless noted otherwise. page 39 of 4s 6/20/86 D. All bolts shall comply with ASTM A-307 standards or.better. E. Posts, used for beam or girder supports shall be either 1) r solid, continuous members to the foundation, or (2) spliced ceiling or floor levels only, with full direct end bearing and using appropriate hardware and splice connections unless shown otherwise. IV. PLYWOOD DIAPHRAGMS A.' Horizontal diaphragms: (1) Plywood shall be a minimum of 5%8" thick 32/16 CDX (exterior glue) APA rated, with face grain* perpendicular to the supports, in a staggered pattern, unless' noted otherwise; (2) Plywood ,is to be nailed with lod common at a minimum of 6" o.c. at building perimeter and at all panel edges, and at 12" o.c. at all intermediate roof supports, and at 10" o.c. at all intermediate floor supports, or as noted on framing plans. B. Vertical Diaphragms (shear walls): All exterior walls of a structure shall be covered with minimum 3/8" thick CDX or other Structural II plywood, nailed with 8d common nails at 6" o.c. at all panel edges, and at, 1.2" o.c. at all intermediate supports (studs), unless noted otherwise. One 2x stud or plate shall be provided at all plywood edges. Check framing plans to see If more stringent conditions are called for. V. PRE -FABRICATED TRUSSES The manufacturer shall conform truss design according to the loading conditions as called for in these calculations, namely (1) live + dead loads; (2) unequal loading; (3) truss spacing; (4) spans and eave overhangs; -(5) roof pitch; and (6) bearing points. Any variation from the conditions as shown in these calculations shall first be approved by this engineer. VI. FOUNDATIONS A. All footings shall.bear on firm, undisturbed soil, or on fill compacted to 95% of maximum density based on ASTM D 1557-70. B. All piers and footings outside or at the perimeter of the structure, or in other unheated areas, shall be set to a depth of at least 18" below natural grade, or at a depth below the frostline, whichever is greater, unless otherwise noted on the plans. C. Unless otherwise noted, an assumed basic allowable soil bearing pressure of 2000 psf has been used, with additional allowances for increases in footJi,O ur plur width and depth an par un aoc i r i ca t i and N I page 4s of .4s 6/20/86 'j{S w• a _ •sem �,t� 1 D. Waterproofing of foundations and retaining walls -shall be the responsibility of the owner or contractor, and in no way is responsibility of this engineer.; E. This engineer is not responsible for the adaptability of these plans to the building site, unless a field inspection isu.''. specifically called for. If any questionable soil conditions are discovered, the contractor should notify this engineer before work begins. F. All footings are assumed to be level or stepped, unless ,specifically noted otherwise. G. Sill plates shall be pressure -treated Douglas Fir #2 or better, or Redwood, and shall be attached to all stemwalls with 1/2" x 10" anchor bolts, or as rioted on the plans. H.• Also refer to concrete and masonry notes below. VII. CONCRETE AND MASONRY A. All concrete shall have a minimum compressive strength of 2000 psi at 28 days unless noted in the plans. B. All masonry shall be lightweight concrete grade A units, with all cells grouted solid with concrete having a minimum compress- ive strength_of 2000 psi at 28 days. C. All reinforcing steel shall be grade 40 deformed bars, 20,000 psi tensile strength, ASTM A615. All splices shall lap a minimum of 40 bar diameters. D. All pier footings, both isolated and intergral with continuo- us perimeter footings, shall have at least 1 - #4 bar both ways. See plans for additional bars if so required. Bars shall'.be 3" from bottom of footings and piers. 4 E. All continuous footings shall have a minimum of 2 - #4 bars running continuous along their length, one bar centered 3" above the base of the footing and the other centered 3" below the -top of the stemwall. Check plans to see if more bars are required. F. 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Ik 1od,.� �i''p.c• 1t I(�� �'/Z„ o`G ' 13Z�,�oi �•� � F Ioa � 3 o•c. 11 ._ .. itad@ z.'�o•G•. �2y��o'4_..; � {o ,, ��C . �.�eit oz.. IToci��1 o,c', Cop. 6, G; I I PRo'JLCI- HkRT-C.HESBRO PAGE OF i k-lot-E'� CIVIL/ STRUCTURAL ENGINEERS ENGR DATE .M. POST OFFICE BOX 237. TRUCKEE CA 95734 COUNTY STATE— REVISE DATE 110607 WEST RIVER STREET. SUITE F (9116) 5877300 (9116) 587-1314 JOB# CHECK • —DATE NoSl�� Dv Cw��'d i. ..t. _..i ;_.!. ' .'__ + -i ; _' ` ' i - C-� CA\ 0 ' - � ; . ; spa • �;,,aa� �-�!.��,�._ , i :) .. ! ' ; Z). A 11 l ods u.)i Sc� - G6 1 Wood i t�\ncsvy-- ZZ30 a) vmbo%'4. cq • x �-\'A Eli P""A Qct Pec'y". G\\)e- -SVc.A G. "Tc, S-Ir�Glr-r— GYP QA ES I 45- A Civil 3417 I } OF, HART•PHESBRO `'.r. PROJECT L,ha�l ��. i�n,M�s PAGE OF # CIVIL/ STRUCTURAL ENGINEERS :yi ENGR DATE POST OFFA BOX 237, TRUCKEE CA 95734 ` Y; 10607 WEST RIVER STREET. SUITE F • COUNTY STATE REVISE DATE (916) 587.7300 (916) 587.1314 JOB# CHECK DATE i MC4 PM Z(�2C,�1Ci•33� yl 19 zh _ _.:..__.._. I.33 r i USE µLAS Z- 5�8«�..S.- X. X• (pr, ! 1.4��5 CornI:;l..y i i�135 "ToST, H8 I!/wNos +ZnTo low f 1 P Mr- i . ;.. �.s�.:. ACJ ,Q�� . • b :..�a-� T { MST 48 T. ;I 14's MT X146. ART • C H E S B R O PROJECT �� Y�do . �o,M� PAGE , OF CIVIL/ STRUCTURAL ENGINEERS 11 n'vi ENR ATF DATE POST OFFICt BOX 237• TRUCKEE CA 95734 COUNTY STATE REVISE DATE 10607 WEST RIVER STREET. SUITE F (916) 587.7300 (916) 587-1314 JOB# CHECK "DATE � H'D Z i •� P_ )(10" �o,.� I -; 3130. MST i lid 3 . i , 1,.T1 ,3(P -� �� �ia�is � �O(•3v�i.�U� �1%33l• = 27.y ,�! .: ! � ` : � j i �.._; i i • i I j i � �1 I:j� ��_ Iia • Q X 98 N135 `�o /IST . 3i , i, •. fir,.._ ,,j-: _.. - ► _ ...... „S .. - bogie - 10* nda.3 sem j t, MjT -�,? To i r3• .Gmin i t"(3 1110� �s, Cmc D-A--,0 Foc Na-A..; . 9T��F L� ATS 1 .I 7. �j Fie mSTZ- i 2y- I(� ��s �iACZ4�(-��1C13 5,) - 'I'i`i . .:. ' :... I I ; . I V ► �s„I�� VBC /3 ��lo . �-a!�S �i?�w�, i , I �.•; I I U3; 186.:�:: .::. �'. .... .•i;i .. ?� Ili: �` � . 2y-1�� Nc:,l 5' �c�?!N`. `SZ 7,9 'I,a• �yl�''Vckin j I i I ! , ! i ,_ I tAlk�fr�gs CSA. Fac M' I-J \1 I HART•�HESBRO PROJECT �-�nd�.� � 1�OmCS PAGE OF CIVIL/ STR"UCTURAL ENGINEERS * I,.: ENGRDATES Z�J POST OFFICE BOX 237. TRUCKEE CA 95734 i' I ` COUNTY STATE REVISE 'DATE • 10007 WEST RIVER STREET. SUITE F : "T 1916) 587.7300 (916) 587.1314 'JOB# CHECK DATE LA.) T): ' ST 2s'- ►iced N'G;,1's� zs. C`-�I.3r s M ! .:, j- - .:►.._: -:�` i-- ' w i � ! 1 1.. .. • ! - � _ � � I I, I I i .i (_ �. j` �._; .:1 • ..�.�:�:�h: �.. t l _ . I i. �O uS E IPA �5 w� 2 rz f � x c�It � Vis; Th; a�1, � Mb c.�^a l it o la {I{ v� z s-. I- d Nco T j �' 1._.................. _ } ._....:... _ . Fib w. MST �b ::i1C , ..��c6_ Q vv ' : FvO�To? f 25-166 NAii� ''Fro i ToGA P'A�••�tl i i 1 ;,i !i i;I:+ _- I i MST �C)—�_� • I `� .. i.., ,� : ...•;.:j ,+ 1. _{ 7. If i i : / I i ;TSP 2 F\ole+.l off' Pfi3r+------- , f :. ; , ; .. i � • : � i 1 ( Qp35 t I 3 I ! c HART-CHESBR4 l'I��,.IL I_�� � „�', - ►�:;�E of +� h CIVIL/ S.,RUCTURAL ENGINEERS -- EN(2 '-'I? � TF DATEPOSI OFCE BOX 237. TRUCKEE CA 9573n''" '' I 10007 WEST RIVER STREET. SURE F COUNTY STAIE REVISE DATE I (916) 5877300 (916) 587.131 n JOB# CHECK _ DATE T. � 3 IZ1 � ��1T� n 12 -1i�. --}c�- �+ .5(,%��._� I�`{G�,C.7\Il..�.�:a•l`i���'� 2Z �� �1.•33� i ----- -- --- FES Q \�- JG SA �G Z�I� 1,3�d� S�c� p : v� p L�.:t t i T W CIVIL: (DQ L� - -�.� F�`� �, p � 4710 -To cA t Ls A I i �t P ! + jin e -To T6(, la s 1 a 1r� lz x 3 Lc.� - 174 vl e, t •FhftG4'S � c:--- �' i - ! ___.. ...... ........... 1. � ^ '. t � � -= .. _.. -...— _ _ ...... . 1 C-44 ECM 16 COMPLIANCE CHECKLIST: .2 - to ' For Low-Rise Residential Buildings (except FOR"t 2 hotels and motels) Step 1: Enter on the form the values for each measure from your building and specifications sheet. g plan Step 2: Enter points on this page while working through the point Part 3. system in > . Building Shell Measure Points, *Total Floor Area . . . . . . . . . . 103,6 ft2 —_- 1. Slab-on-Ground; Perimeter ft, Depth in R_ . 2. Raised Floor R-Value . . . . . . . . . . : . . . . Rte_ 3. Ceiling Insulation or Construction Assembly, R-Value . . . . . . R- 3°c� 4. Wall Insulation or Construction Assembly R_ 9S o Glazing; Total % Floor, Area Single Double Triple 5. North-Facing . . . ft2 2 Pte ft2 O 6. East-Facie = a /, ft2�� -22 2 ft ft • 7. South -Facing ft2 2 2 3 ft -2 8. Wes t-Fact --- -16f t ng �', � _"'"'_"_� t2 f = ft2 _'f t 2 _ r _f __ 9. Skylight . . . . . ft — ft2 �" .' . 10. Shading Coefficient — —"' — (exclude overhang) a. East . . . . . Calc SC b. South . . . . C. West Lo Co SC . d. Skylight . ... . . -- Sc . 11. Horizontal South Overhang Length- f t r . . , . 12. Movable Insulation, % Floor Area • 13. Infiltration (indicate Standard or Tight) m 14. Thermal Mass Exterior. Wall .Thermal Mass Area, Heat Capacity, R-Value . . ft2� �R-� �;� Interior Thermal Mass 4-16 Area, Heat Capacity, R-Value . . ft2 R- `-HCS HVAC System** e/ W �' l�1-eoO :ToJS Ld Ir.�e�OC. I .15.. Gas Furnace (Net Seasonal Efficiency) o / CTS . . . SE *Heat Pump (Energy Efficiency Ratio) . . . . EER *Refrigeration Cooling (Seasonal Energy . . . . SEER Efficiency Ratio) 16. Active Solar (Solar Fraction, %). . . . . . . %NSF 17. Zonally Controlled Electric Resistance Space Heating (yes/No) Domestic Water Heating** 18. Solar With Gas Backup (Net Solar Fraction,-%) . . . .%NSF 19: Other Water Heating (Describe type)--- 0 Point System Compliance Total (must be greater than or equal to #)*Ch -� ec listterns; not a point system measle. **Attach documentation for efficiencies and NSF. - C-44 ECM 16 Ejustuslog Double Tongue & Groove Solid One -Piece 3x8 Timber WALL SYSTEM Nature Group Double Dovetail Groove WSN. 3-6/81Y PROPOSED CONSTRUCTiON ASSEMBLY RESIDENTIAL AVERAGE UNALUE (Point System)Form..3B* (Rev. 9/83) project title climate :one project location documentation author date List of Construction Components R -Value (for section between framing members) of Components Sketch of Construction' Assembly Framing Size—Z.:- s Framing Spacing 21�_' O.C. Chest one: ❑ Floor ❑ Wall Ceiling/Roof K Well check the a0wopiflare wdghC ❑ less than 25 Ib/f l ❑ 25 to 40 ib/fts ' ❑ grestar than 40 ib/R= r -J1 2g. 8, Inside Surface Air Film (Use Table 2. Performance Values) 9. Outside Surface Air Film (Use Table 2. Performance Values) Total Thermal Resistance (RTI sum of the above Facia RT ti Value: from above LWalue� Inside' Outside R Air Air • _;.Fritts ••Film' Use this R-Valtie for Code CA03 k iSM " PROPOSED CONSTRUCTION ASSEMBLY RESIOENnAL AVERAGE UNALUE (Point System)Form. 3 B' ' (Rev. 9/83) Enforcement Agency .Use Only. Project title climate zone building permit number project location checked by documentation author date date List of Construction Components R -Value (for section between framing members) of Components Sketch of Construction Assembly FramingS'�ze 2 ' x Framing Spacing 24- at: Cheat one: ❑ Floor ❑ Wall ? Ceiling/Roof N Wall. cheek the spanwists weigh[' ❑ less than 25 Ib/ft' ❑ 25 to 40 lb/fts ❑ greater than 40 IWO o. Co 2 8. Inside Surface Air Film . (Use Table 2. Performance Values) 9. Outside Surface Air Film Nse Table 2. Performance Values) Total Thermal Resistance (R T SUM of the above Framing, RT U-Valua: Factor, from above 1 , llrValua`.ik�ide' Outside R -Air Air _,.Filttc •Filttr Use this R -Value for Code oofatison Z E ... O O U�� co fnC, Q). F— C L�' > O C C o_ �.E0 r C41 .0 a. Ir v C- roN W G,�N .,C2 coN � 7" :5; mac) C 0 N 0 • DESCRIPTION • A one part adhesive/sealant that cures chemically to a tough, waterproof film. It is non -shrinking and offers exceptional weathering resistance. Bonds can be made up to four hours after application. Adheres to wet, frozen or pentachlorophenol treated lumber. • Tested and found to be in full compliance according to Specification AFG-01 by Plywood Fabricator Service, Inc., for field gluing plywood to wood framing. Also conforms to FHA "Use of Materials Bulletin No. UM -60." • Conforms to I.C.B.O. research recommendation No. 1379 concerning diaphragm construction when using "Lock -Dec►:"' laminated decking, roofing and flooring system or equivalent; to I.C.B.O. research recommendation No. 296. for attaching plywood sheathing to support members prior to nailing in accordance �.+ith Chaoter 25 of the Uniform Buiidlno Code. PHYSICAL PROPERTIES 'Reg. T.M. ofPorla:nCorp. BASE Synthetic Elastomer NET WEIGHT 12.0 -E 0.2 lbs./gal. CONSISTENCY Gun Grade, Thixotropic Paste SOLVENT FLASH POINT CALK RATE (Approx.) None None 45 grams/minute COLOR SOLIDS CONTENT CALK RATE Light Tan (APPROX.) Extrusion test 100% by weight '�" orifice, 50 psi APPLICATION CHARACTERISTICS (77°F., 50% R.H.) COVERAGE (per gallon) TACK FREE TIME 1500 lineal feet of '/e" 24 hrs. (maximum) diameter bead EQUIPMENT SUGGESTIONS CURE TIME 3 days to obtain a Shore A hardness of 60 (% inch bead) Pump -40 to 1 with a six inch diameter air motor, equipped with a chopping check valve and priming piston or equivalent. Pressure Ram—Pressurized ram with vented tire type follower plate capable of exerting a minimum of 10 pounds per square inch on material surface. Note: All pumps used with this material should be of a divorced design construction and should be equipped with solvent cups around the pump shaft. The solvent cup may be filled with SAE 10 motor oil to minimize material curing on the shaft during shut down periods. Pump Packing—Teflon. Hose—All hoses should be Nylon or Teflon lined, high pressure rated. Capacity -1.25 pounds/minute with 20 feet—% I.D. and 10 feet—'h I.D. hose. AdhESiVES, Coatings 3M CENTER, ST. PAUL, MINN. 55101 and SEaiers Division camImy PHONE- 7331110 AREA CODE 612 FreX Strength: One -inch over -lap spe,;�"ns-10 mil olue.lrne thickness, du' td and aced as indicates Tested in shear t 2.0 inches per minute. Values are in lbs. per, square inch. 7 DAY CURE 7 DAY CURE PLUS 7 DAY CURE PLUS SUBSTRATE AT 75-F./50% R.H. 1. • 7 DAYS 140'F. 1 .---7 DAYS IN TAP WATER Fir to Fir I 200 psi 270 psi,. 240 psi DIRECTIONS FOR FIELD GLUING PLYWOOD TO WOOD FRAMING Important: Store material above 40°F. to insure ease of application and maximum physical properties. (See Storage and Handling notes.) 1. Remove any standing water, ice, snow, frost, mud or other for'eign materials from joists. 2. Chalk line the joists for first course of panels at 4' intervals to determine where sheet of plywood will fall and where T&G joints will be. 3. Start at corner and apply a Ye" bead of Scotch -Grip Brand Wood Adhesive 5230 to joists rising two beads or zig zag bead where sheets butt. In areas of mismatch, apply sufficient adhesive to bridge gaps. 4. Apply iia" bead of material to the plywood in the groove. This is most easily done while the plywood is stacked but not longer than four hours before it will be used. 5. Lay plywood in place with a minimum of sliding on joists to avoid removal of adhesive. 6: Lay a 2 x 4 on joists against the tongue side of the sheet and use a sledge to drive it home. 7. Be sure to stagger end joists. 8. Nail sheet on perimeter to tack to joist using 6d deformed shank or 8d common nails spaced to conform to. applicable code. Interior nailing may be done at this time or up to 4 hours later. 9. Cleanup excess material prior to curing. Cure of the adhesive will vary with temperature and hu- midity conditions, but generally removal of adhesive is possible up to 4 hours after application. NOTE: Once opened, the entire container should be used within 3-4 days. Product cures upon exposure to the a tmosohere. STORAGE AND HANDLING Store product at 40-80'F. for maximum storage life. Higher temperatures reduce normal st�raoe life. Lower temperatures cause increased viscosity of a temporary nature. Rotate stock on a "first in -first out" basis. Upor• request, your 3N, Adhesives, Coatings and Seaiers Sales Representative will be pleased to advise you of the anticipated shelf life of t`rs product under the storage conaitrons in your plant. Clean-up can be accomplished with Scotch -Grip Brand Solvent No. 4. 1Vhen using solvents for clean-up, extinguish all rcnit on sources ano observe proper precautionary measures for hanc:.ng sucn materials. Shipping —The following information is provided for use in helping you determine the proper packaging, labeling and marking rr, accordance with hazardous materials reaulations! NMFC CLASSIFICATION: Caulking or Glazing Compound, NOL DANGER! VAPOR MAY BE HARMFUL Contains TDI (Toluene Diisocyanate). Do not breathe vapor. Use only in well ventilated areas with enough air movement to remove vapors and prevent vapor buildup. Avoid contact with eyes, skin and clothing. In case of eye or skin contact, flush immediately with plenty of water for at least 15 minutes; for eyes, and respiratory difficulty, get medical attention. Remove and wash contaminated clothing before reuse. Keep out of reach of children. Keep container closed when not in use. IMPORTANT NOTICE TO PURCHASER All statements, technical information and recommendations contained herein are based on tests we believe to be reliable, but the accuracy or completeness thereof is not guaranteed, and the following is made in lieu of all warranties, express or implied: Seller's and manufacturer's only obligation shall be to replace such quantity of the product proved to be defective. Neither 1 seller nor manufacturer shall be liable for any injury, loss or damage, direct or consequential, arising out of the use of or the inability to use the ,roduct. Before using, user shall determine the suitability of the product for his intended use, and i-er assumes all risk and liability whatsoever in connection therewith. No statement or recommendation not contained herein shall have any force or effect unless in an agreement signed by officers of seller and manufacturer. 10 DAY CURE AT 10 DAY CURE PLUS SUBSTRATE 75°F./50% R.H. 7 DAYS WATER IMMERSION Adhesion Peel: 5230.was used to bond canvas to primed aluminum and orimed steel, and after curing, the honds were evaluated in a 180` peel back test. Jaw separation rate was 2.0 inches per minute. 1. Aluminum (a) Alcohol 30 30 (b) Anodized 35 30 (c) Alodine 40 40 2. Steel (a) Cold Rolled 40 30 (b) Polished C.R. 30 40 Note: All failures 100% cohesive. (1) Substrate primed with EC1706. One thin coat (1-2 rt•*s dry) applied and allowed to dry for at least one but not more than four hours. DIRECTIONS FOR FIELD GLUING PLYWOOD TO WOOD FRAMING Important: Store material above 40°F. to insure ease of application and maximum physical properties. (See Storage and Handling notes.) 1. Remove any standing water, ice, snow, frost, mud or other for'eign materials from joists. 2. Chalk line the joists for first course of panels at 4' intervals to determine where sheet of plywood will fall and where T&G joints will be. 3. Start at corner and apply a Ye" bead of Scotch -Grip Brand Wood Adhesive 5230 to joists rising two beads or zig zag bead where sheets butt. In areas of mismatch, apply sufficient adhesive to bridge gaps. 4. Apply iia" bead of material to the plywood in the groove. This is most easily done while the plywood is stacked but not longer than four hours before it will be used. 5. Lay plywood in place with a minimum of sliding on joists to avoid removal of adhesive. 6: Lay a 2 x 4 on joists against the tongue side of the sheet and use a sledge to drive it home. 7. Be sure to stagger end joists. 8. Nail sheet on perimeter to tack to joist using 6d deformed shank or 8d common nails spaced to conform to. applicable code. Interior nailing may be done at this time or up to 4 hours later. 9. Cleanup excess material prior to curing. Cure of the adhesive will vary with temperature and hu- midity conditions, but generally removal of adhesive is possible up to 4 hours after application. NOTE: Once opened, the entire container should be used within 3-4 days. Product cures upon exposure to the a tmosohere. STORAGE AND HANDLING Store product at 40-80'F. for maximum storage life. Higher temperatures reduce normal st�raoe life. Lower temperatures cause increased viscosity of a temporary nature. Rotate stock on a "first in -first out" basis. Upor• request, your 3N, Adhesives, Coatings and Seaiers Sales Representative will be pleased to advise you of the anticipated shelf life of t`rs product under the storage conaitrons in your plant. Clean-up can be accomplished with Scotch -Grip Brand Solvent No. 4. 1Vhen using solvents for clean-up, extinguish all rcnit on sources ano observe proper precautionary measures for hanc:.ng sucn materials. Shipping —The following information is provided for use in helping you determine the proper packaging, labeling and marking rr, accordance with hazardous materials reaulations! NMFC CLASSIFICATION: Caulking or Glazing Compound, NOL DANGER! VAPOR MAY BE HARMFUL Contains TDI (Toluene Diisocyanate). Do not breathe vapor. Use only in well ventilated areas with enough air movement to remove vapors and prevent vapor buildup. Avoid contact with eyes, skin and clothing. In case of eye or skin contact, flush immediately with plenty of water for at least 15 minutes; for eyes, and respiratory difficulty, get medical attention. Remove and wash contaminated clothing before reuse. Keep out of reach of children. Keep container closed when not in use. IMPORTANT NOTICE TO PURCHASER All statements, technical information and recommendations contained herein are based on tests we believe to be reliable, but the accuracy or completeness thereof is not guaranteed, and the following is made in lieu of all warranties, express or implied: Seller's and manufacturer's only obligation shall be to replace such quantity of the product proved to be defective. Neither 1 seller nor manufacturer shall be liable for any injury, loss or damage, direct or consequential, arising out of the use of or the inability to use the ,roduct. Before using, user shall determine the suitability of the product for his intended use, and i-er assumes all risk and liability whatsoever in connection therewith. No statement or recommendation not contained herein shall have any force or effect unless in an agreement signed by officers of seller and manufacturer. C-44 ECM 16 COMPLIANCE CHECKLIST: r For Low -Rise Residential Buildings (except FOP -42 hotels and motels) Step 1: Enter on the form the values for each measure from your building plan and specifications sheet. Step 2: Enter points on this page while working through the point system in Part 3. Building Shell Measure Points *Total Floor Area . . . . . . . . '. 103`8 ft2 1. Slab -on -Ground; Perimeter ft, Depth in R- 2. Raised Floor R -Value . . R-_ 19 3. Ceiling Insulation or Construction Assembly, R -Value 4. Wall Insulation or Construction Assembly R- 9� JL - d Glazing; Total Z Floor, Area Single Double Triple 5. North -Facing . . . 3,.0 7 ft2 40 ft2 2 ft2 O 6. East -Facing . . . �o � ft2 • 1. South -Facing 7 ft2 `27.5 ft2 ft2 -Z �5,-� 8. Wes t -Facing z— --f t2 -1�e-3 f t2 f t2� ZCo ft, f t 9. Skylight . . . . '-1 ---ft2 �_ 10. Shading Coefficient "-- --ft '� (exclude overhang) a. East . . . . . ... . . Colo SC . . . . b. South o . • SC lo(o c . West . loco SC , d. Skylight SC Q 11. Horizontal South Overhang Length eft . 12. Movable Insulation, % Floor Area _ 13. Infiltration (indicate Standard or Tight) ,� AAAU64. Thermal Mass _ Exterior Wall Thermal Mass Area, Heat Capacity, R -Value Tft2� _�HC, Interior Thermal Mass y " Area, Heat Capacity, R -Value . ft2, HCS R - HVAC System** 11 15. Gas Furnace Net Seasonal Efficiency) . -l% SE *Heat Pump (Energy Efficiency Ratio) . . . . . . . . EER x-25 *Refrigeration Cooling (Seasonal Energy... . . —"' SEER Efficiency Ratio) 16. Active Solar (Solar Fraction, %). . . . . . %NSF 17. Zonally Controlled Electric Resistance Space Heating (Yes/No) Domestic Water Heating** 18. Solar With Gas Backup (Net Solar Fraction,-%) XNSF 19: Other Water Heating (Describe type) &4.5 0 Point System Compliance Total (must be greater than or equal to #) *Check,listitems; not a point system measure. **Attach documentation for efficiencies and NSF. - C-44 ECM 16 LO .40 I -re—turn to DPW Gp�P OdGv�A�GRICULTURAL STATEMENT OF ACKNOWLEDGEMENT_ DST COUNTY FOR RESIDENTIAL DEVELOPMENT 1 " d3oS �Y Section 26-8.1 of the Butte County Code requires this acknowledgement��T� SHOWN be recorded prior to issuance of a building permit. 87— 9,4 1981. HAS -4 M 3;- The4 property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this.:CANDACE J,GRU88S property may be subject to inconveniences or discomfort arising from CLERK—RECO E#t;:F:L the use of agricultural chemicals, including, but not limited to herbicides, pesticides,. and fertilizers; and from the pursuit of agricultural operations including, but.not'..Lim"ited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Date: February 26,1987 Peggy M. Bowes PROPERTY OWNERS: ............ State of California ) On this the 26th day of February , 19 87, before. ) SS. me, the undersigned Notary Public, personally appeared County of .Polo ) YYic Peggy M Bowes***-**************,*,** o�lunuuuunuunuuurnnumuuuuununenunuunnnununnunuuw•> S. A. GRABOWSKI N NOTARY PUBLIC—CALIFORNIA B du c E % PRINCIPAL OFFICE 1N YOLO COUNTY My Commission Expires July 30, 1990 Ouuuu,mmumuuwwiwuwwiwuuuuuuuuummumwuwwuul Personally known to me. Jxl Proved to me on the basis of satisfactory evidence. to be the person(s) whose bame(s) is subscribed to the within instrument and acknowledged that executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. ,� � 1; � / KLC �� 4� �, / � �_, Notary Public Present.A.P. No: L f -44932 DESCRIPTION: All that certain real .property situate. in .the County of Butte, State of California, described as follows: PARCEL I: Parcel 4, as shown on that certain Parcel Map entitled, "Lot 55 and a portion of Lot 56 of the Mexican Lode Claim lying in Section 10, T.19N., R.6E., M.D.M.", said Parcel Map was filed in the Office of the Recorder of the County of Butte, State of California, on April 8, 1983,: in Book 92 of Parcel Maps, at Page 59. PARCEL II: A non-exclusive public easement known as Mallory Lane and egress and public utilities purposes over Parcels 1, 2, and 3 as shown on that certain Parcel Map entitled, "Lot 55 and.a portion of. Lot 56 of the Mexican lode claim lying in section 10, T.19N., R.6E., M.D.W. said Parcel Map was filed in the Office of the Recorder of the County of Butte,; State of California, on April 8, 1983, in Book 92 of Parcel Maps, at Pagc 59. PARCEL III: A non-exclusive public easement for road adn public utilities 60 feet in width located in the South West quarter of the following described parcel. Lot 54, in Section 3 and 10, Township 19 North, Range 6 East, M.D. B. & M., as described in that certain Patent from.the United States of America to Burlington Gold Mining Company, dated March 23, 1897 and recorded April 27, 1897 in Book "E"'of Patents at Page 430, records of Butte County, California more particularly described as follows : All that real property situate in Section 10, Township 19 North, Range 6 East, M.D.B. & M., Butte County,California, being a non- exclusive easement for road and public utilities purposes on, over and under a strip of ground being more particularly described as follows: BEGINNING at a point on the South line of Parcel 4, as shown-,on'i' *A that certain parcel map filed'in Book 89 of Maps at Page;58from which the Southwest corner of said Parcel 4 bears North,*70 58' 12" West, 41.59 feet; t7?nce Southeasterly along said Soutj��lire`'South 700 58' 12" East, 68.94'feet; thence leaving said South line North 10° 29' 03" West,.55.44 feet; thence North 070 51' 56" East, 115.09 feet; thence North 190 21' 47" East, 55.17 feet to a point on a cure concave Easterly -the radius of which bears North 850 47' 00" East, said curve being the Westerly right of way of Forbestown Road; thence Northerly along said curve having a radius of 515.00 feet, a central angle of 090 57' 15", the arc length of which is 89.47 feet; thence South 520 03' 32" West, 58.31 feet to the West line of said Parcel 4; thence Southerly along said West line South 190 21' 47" West, 96.84 feet; thence leaving said West line SouthOoothe1Poin.tW'oftBegin0n81 feet; thence South 100 29' 03" East, 31.18 feet END OF DOCUMENT V 93% �- - International Conference of Building Officials RESEARCH REPORT Report No. 1949P June, 1983 -ruing Wmgory: DWELLING CONSTRUCTION PRECUT CEDAR WALL AND FLOOR SHEATHING LINDAL CEDAR HOMES, INC. 4300 SOUTH 104TH PLACE SEATTLE, WASHINGTON 98178 1. Subject: Precut Cedar Wall and Floor Sheathing 11. Description: A. Standard Wall: The Standard Wall consists of factory -cut wood members which are assembled at the building site. The Standard Wall has a maximum height of 8 feet 3r/. inches and consists of 2 - inch by 8 -inch nominal tongue -and -groove western ted cedar, "Select Dex." or better. members which span vertically between top and bottom plates. The top plate acts as a beam td support vertical loads and is formed from Douglas fir 2 -inch by 4 -inch and 2 -inch by 8 -inch nominal member, installed on edge. The 2 -inch by 8 -inch member of the top plate is supported at 5 -foot, 4 -inch intervals by 2 -inch by 4 -inch Douglas fir stud members nailed to the inside face of the tongue -and -groove planking with 10 -penny galvanized box nails at 6 inches on center. Double 2 -inch by 8 -inch members, installed on T�provide support for the planking at the bottom of the wall. clips installed at 4 -foot intervals maximum connect the double 2 -inch by 8 -inch members to a plate which is in turn bolted to a foundation designed to meet local soil conditions for the shear loads involved. Where windows occur, vertical 2 -inch by 4 -inch members are installed on each side of the opening to support the 2 -inch by 8 -inch top plate member. The maximum opening width is 5 feet 0 inch. Refer'to attached drawing for details. B. Glued Wall Sheathing: The shear wall construction is an alternate method of designing an exterior Standard Wall. Refer to Paragraph IIA. A tk-inch continuous bead of Scotch Grip Wood Adhesive No. 5230 (see current Research Report No. 2964) is applied to all. tongue -and -groove joints of the shear panel as the planks are erected. Each plank is driven against the preceding plank and fastened to the top plate with three 10 -penny galvanized box nails and to the side of the bottom double 2- by 8 -inch rim joist with three 16 -penny galvanized box nails. The vertical studs Of the Standard Wali construction are installed in the shear panel areas as specified. Each shear panel perimeter element is to be designed and de- tailed to resist the resulting horizontal, vertical and uplift loads developed by the shear panel. This data is to be submitted to the local building official for his approval. The field application of the adhesive is required to be under a special inspection as specified in Section 305 of the code. As an alternate, subject to the prior approval of the building official, the following field immection procedures may be used to verify the existence of the adhesive in the vertical joints of the shear wall planking: (a) Using a circular saw drill bit from 1 to 3 inches in diam- eter, plugs are to be removed from random vertical joints of the shear panels. The building official is to select the test locations depending upon the size and number of panels involved and/or as required to assure a satisfactory installation. (b) The plugs are to be removed from the inside face of the planking and shall be deep enough to uncover the adhesive in the tongue -and -groove area, but not completely througb the wall. (c) If the area opened does not establish the adequacy of the adhesive application, the joint is to be investigated further by chip- ping out or by drilling additional plugs. The absence of any adhe- sive in the test area shall presume that the entire vertical joint is deficient ' (d) Each shear panel in a structure which contains a deficient vertical t shall be reinvestigated at the discretion of the build- ing official. If more than one joint for each nine consecutive verti- cal joints in a panel is found to be deficient, then the entire shear panel is to be considered deficient The panel is required to be dis- mantled and reassembled under a continuous special inspection approved by the building official. The building official may accept a redesign of the structure by a qualified engineer demonstrating the adequacy of the building without the need for the shear panel in lieu of the panel replacement (e) After the completion of the inspection, the plugs are to be replaced in their respective locations using the same type of adhe- sive. C. Cross -braced Sheathing: The Cross -braced Sheathing con- sists of 2- by 8 -inch nominal, tongue -and -groove, western red cedar vertical wall planking supported at the top by a double 2- by 8 -inch continuous Douglas fir member on edge under a 2- by 4 -inch continuous flat top plate. Splices in the 2- by 8. and 2- by 4 -inch members are staggered a minimum of 4 feet from each other. Nailing consists of 10 -penny galvanized box nails at 12 inches on center maximum between each splice, or as required to transmit the longitudinal loads along the wall. The wall plank lap the double 2- by 8 -inch top plate 4 inches and each is nailed with three 16 -penny galvanized box nails. The bottom of the plank lap the floor construction 4 inches. Each plank is nailed to either the double 2- by 8 -inch rim joist, having Teco clips spaced at 24 inches on center maximum as for the Standard Wall, or the edge of a continuous 2- by 6 -inch sill plate under a 2- by 4 -inch stud wall plate with four 16 -penny galvanized box nails. Vertical 2- by 4 -inch studs are installed behind the planking at 5 feet 4 inches on center to support the top plate. Horizontal 2- by 4 -inch members are installed between the vertical studs at 24 inches on center. The horizontal 2 by 4 members are notched for the 1- by 4-iuch cross braces to the back of the wall planldng� The cross braces are nailed to each plank with four 6 -penny gaall vanized box nails and are cut to bear against the top and bottom plates. Refer to the attached drawing for additional nailing. Each shear panel perimeter element is to be designed and de- tailed to resist the resulting horizontal, vertical and uplift loads developed by the shear panel. The data are to be submitted to. the local building official for his approval. D. Allowable Loads: The allowable axial load for the standard and cross -braced and glued walls shall not exceed 320 pounds per foot The allowable shear load for the standard wall and cross -braced wall shall not exceed 60 pounds per foot and 250 pounds per foot. respectiveI . The height -to -width ratio for the standard wall and braced wall shall not exceed 1.5:1. The allowable racking shear load for the glued wall sheathing is not to exceed 267 pounds per lineal foot of shear panel having a maximum height/width ratio of 1.5:1. E. Floor and Roof Sheathing: The floor and roof sheathing con- sists of a 2 -inch by 6 -inch nominal tongue -and -groove decking of western red cedar "Commercial Dex" or better. The decking •is considered adequate for use as a floor and roof sheathing under the following conditions: (a) That the material is considered adequate for sheathing sub- ject to a maximum live load of 40 pounds per square foot, with a 20 -pound per square foot partition load in addition to the floor dead load, and with a maximum span of 5 feet 4 inches center -to - center of supports. (b) That all decking units are to be continuous over a minimum Of two spans and the end joints of the decking occur over supports. 1CB0 research reports are issued solely to provide information to Class A members of the organization utilizing the code upon which the report is bared. Research reports are not to be construed as representing aesthetics or any other attributes not specifu:ally addressed nor as an endorsement or recommendation for use of the subject report. This report is based upon independent tests or other technical data submitted by the applicant. The 1CB0 te;hnical staff has reviewed the test results and/or other data, but does not possess test facilities 10 make an independent verification. There is no warranty by ICBO, arpressed or implied, as to any. "Finding" or other matter in the report or as to any product covered by the report. This disclaimer includes, but is not limited to. merchantability. Page 1 of 2 Page 2 of 2 Report No. 1949P (c) That nailing shall be in accordance with the Uniform Build- ing Code. (d) That diaphragm values shall not be assigned to the decking unless adequate computations are submitted to substantiate the strength of the decking system to resist lateral loads. (c')7 That an overlay material is applied over the floor sheathing in compliance with Section 2518 (e) 3 of the Uniform -Building Code.• — F. Material Specifications: Vertical Wall Planking—western red cedar "Select Dex." The "Select Dex" grading rules are modi- fied to delete "Occasional short splits, medium seasoning check and holes, pin to small in size" as permitted in U.B.C. Standard No. 25-3, Section 25.3061. G. Floor and Roof Sheathing: Western red cedar "Commercial Dex.- U.B.C. Standard No. 25-3. Other Members—Douglas fir-larch—No. 2 grade for 2- by 4 -inch mem- bers and No. I for 2- by 8 -inch members. Wall plank. studs, plates and rim joists must be either air- or kiln -dried to a maximum moisture content of 15 percent at time of installation. . H. 'Iwo- by Four -inch Studs Spaced 24 Inches on Center:.Con- struction grade hem -fir 2- by flinch studs may be spaced 24 inches on center with an allowable load of 800 pounds per foot. The allowable load may be increased for duration of loading in accordance with Chapter 25 of the code. The studs shall be laterally braced on both sides with materials such as plywood or gypsum wallboard installed in accordance with the code. An exterior wall covering shall be provided that resists wind loads by spanning vertically from the foundation to the floor or roof line. The.studs are not to be used to resist wind loads perpendicular to the wall face. The stud height shall not exceed 8 feet. Let -in braces shall not be used. Temporary erection bracine which does not reduce the stud section must be used to provide lateral bracing until the exterior and interior facings are installed. All floor and roof joists and second story studs sball be spaced 24 inches on center and vhall be litcatcd so that thcv bear directly over Muds except where an ' engineering design is provided to investigate the bending stress of the plate r or headers. All other construction is to be in accordance with the Uniform Building Calc. Structural calculations and details arc to be submitted to the local building official having jurisdiction over the construction site -46r approval. The building official may require plans and specifications to be prepared and deigned by an engineer or architect licensed by the state. I. Identification: Factory -cut member% are delivered to the field in sealed cardboard containers bearing the ICBG research report number. . Ill_ Evidence Submitted: Engineering computations and laboratory test reports are submitted. Findings IV. Findings: That the Precut Cedar Wall and Floor Sheathing is an alternate method of construction to that required by the 1982 Uniform Building Code, subject to the following conditions: 1. The Standard, Cross -braced Wall and Glued Wall Sheathing are constructed in accordance with the attached drawing. 2. The vertical and lateral leads do not exceed those set forth in this report. 3. This report is applicable only to the construction set forth in this report. Other portions of the building such as gable end walls, roof framing, floor framing and foundations are designed in accordance with the Uniform Building Code and are subject to approval by the building oMdai. 4. The assembly of the Glued Wall Sheathing is to be performed ander a special inspection program as set forth in this report. This report is subject to re-examination in two years. PROPOSED CONSTRUCTION ASSEMBLY RESIDENTIAL AVERAGE U -VALUE (Point System) Form. 3B.* r ' (Rev. 9/83) it .. project title climate :one Project location documentation author date List of Construction Components R -Value (tor section between framing members) of Components Sketch of Construction' Assembly Framing Size— - x Framing Spacingor- Check one: ❑ Floor ❑ Wali Ceiling/Roof K well, check the eppropriete wei9ht: ❑ less than 25 tb/W ❑ 25 to 40 lb/fts ❑ greater than 40 lb/R= O.(o2 2,010 .• 8. 8. Inside Surface Air Film . Nse Table 2. Performance Values) 9. Outside Surface Air Film (Use Table 2. Performance Values] Total Thermal Resistance (R T) sum of the above Framing; R l-Valu6 Factac T from above -- — c_ --4L. LL-Valuekside' Outside R Air Air _..Fllmc Filrtr Lim this R -Value for Code cont ariSM COUNTY OF BUTTE Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction,of the proposed property improvement (yes or no) 2. I Qvehave not) signed an application for a building permit foproposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name .Ll}'riP/l? $ }4-0 Address I City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and rovide the major work: Nameit Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name _ Address Phone Type of Work Signed: Property Owner 1iV.(Blw& A- �M5l Social Securit Number ( — • 5'5'5 -5 z -o 82') Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification�must,be completed and returned to our office before we are per- mitted to issue th'e tpermit. -�.. A •. �ri� �R. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 73-16-44 OWNER ZONING BUILDING PERMIT ,GERALD W. & PEGGY M. BOWES TELEPHONE 756-6686 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 2124 Fortuna Ct., Davis CA 95616 CCIvTRACTCR'S NAME ' OWNER TELEPHONE 2nd renewal permit CONTRACTCR'S MA;LING ADDRESS Fireplace ' CONSTRUCTION LENDER NONE UNKNOWN Total Val a $ LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE NO. NONE FIII 10.00 rt ee 0 Ch F EnqNhPigiligAing Fee Pe "Ity ARCHITECT OR ENGINEER'S MAILING ADDRESS BUILDING ADDRESS 91 MALLORY LN. P it file $ PLUMBING PERMITee I 1o.00 Each Trap V 2,00 A417 R ES I KN Solar or heat pump water het 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping V 5,00 Each qas water heater or vent 5,00 USE OF STRUCTURE SFKX Duplex[] Mobilehome❑ Other ' SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home Is 10.00 ea •��... TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: 2nd renewal of permit #576-87 (1st renewal permit #1243-88) Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 1o.00' Main service e00V OR LESS 100 AMP OR LESS 10.00 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 1, as the owner, or my employees with wages as their sole compen- sation, will do the work, and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for t i r on Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.EI , OR ACDNS. ACC. BLDGS. 20sgit NEW CONSTR TI -OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e1 SINGLE OUTLET CIR. Ex. OCCU OUTLETS OR FIXTURES P� 200509SALO 30 FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare unde penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3,00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to .building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against iabilities, judgments, costs, and expenses which may in any way accrue gal st said County in consequence of the granting of this permit. . X Date nature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ .135.00 OCCUP. CONST.TYPc SCHOOL ►tuao PARCEL PD ND 39UE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY Date PERMIT EXPIRES Date _ • 3-16-90 Receipt No. WHITE-D.P.W.. TCLLOW-A3aC33OR. PINK -INSPECTOR. GOLDENROD -APPLICANT wl't Of- �`, a; , tom. �: F �� � \ � 1� '� ti - �1r'r" t f �t:S rS:[ sj �'ti�i r. �y \G - o, ."•:. . . -tf. , zL' Vv ;eg. It R�4 a ip F, WR•�Jw d.. f ,}i } t .qy , , t I 4.4 _Q .. ........ 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