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HomeMy WebLinkAbout078-280-032i 36-021- 13ERT MIX 4310 V -C Rd.-, Oroville gas--fr' om �;q 3prmit.#4671-76P(conver .�gas_fxo propane to natural) SIF 36 --02lm48FqY4rk..Q Contr: Martin Willis" Gardnerville,Nev 2 1 1 >.Permit#3752-84B(demolish/SF.). rl ;__w, 36--021-48- illi&2 Gardnerville,Nev Mtr arti W Permit#3753-84B,P,E,M(new single family -4 PERMIT NO. 3753-84B P E,M PERMIT EXPIRES OWNER BERT & MYRTLE MIX CONTR. Martin -Willis, Gardnerville, Nev. ASSESSOR PARCEL 36`021-48 LOCATION. 4310 VC Rd, Oroville OFFICE COPY U Address - A -p iG AS Date meiei BY L ELECTRIC m6ter B� OFFICE COPY Address -10/0 VC - GAS Mete by L: E TRIC M ter By_ rk I 41, Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Sei Called PC JOB FINALE[ Signature V = OK 0 Not OK- NotApplicable MOBILEHOMES Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements-Setbacks�Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size-Depth-Spacing-ConnectorS 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; L ocat i on -Test- Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Locatiorv--Test-Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -131 Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -131 Date Date Card -131 -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- Reg u lator-Con nector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equiliment-Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enc losures-Pane I boards- Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval Card B -I Date Card -BI Date 10. Plumb; Cir. Test -Water Supply Test Card -BI Date Card -131 Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date OK 0 Not Olt Not Applicable RESIDENTIAL (Single and Duplex) Not Ready Date UNDEVCOOR (Plans) OK except #'s Date FRAMING. (Continued) 13-*foninjq,requirements- acks-Easements 4 arty Line Firewall & Openings 2.1,FIT., Main; Soils-$Veml-E469.-r�- - / jl"Z�tg. Depth K. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /­ Ftg.-Depth 50. IS_Wirs; Width-Headroom-Rise-Run-�anding-F ire Protection '4. 2��Stemwalls, F�g,, Porches & Decks; Soils -Steel- / /" Ftg. Depth Main; Steel-Blockouts-Wrapped-Slab Rgel-Plywood 5A---,Tiding-Nailing-Veneer on Roof Overhang -Attic Vents -Rafter Outricgers 6. �;Wwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. 1 Stucco Mesh -Drip Screed-Fdn. Vents-Underfir. Access 74* -Piers -Fireplace Ftg.-Steel low --,Glazing Area -Glass Protecti on -Sky I ights-P last ic 8. D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test- 55.[Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors - 10. 11. Water Pipe; Test-Anchors-Regu lator-Sery ice Test Electric; Underground -12. _PiAums & Ducts; C learance-Materi al -Support- Ins. Z4(j;' fd'-Gjxders-Sills7,AngporBolts-Joists-Vents-Cripples Card -BI 6ate :3 Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI D46�111" _Card -BI Date Date FIIO<L- (Plans) OKexcept #*s Card -BI DatEVI U &- 1K ,P� Card -B I Date Date I F PLUMBING (Permit) OK except #'s I. Steps -Door & Sidelight Protect ion- Land I ngs s oke Detector 14. Water Ht.; Vent- Access -Combustion Air ,__�,Lp,.Garage; urnace; Vent�- .Clearancq�,,Comb. A��Connector- AbO,�_, b_u-cT-s--1Ql-ecfi. Protection 15 .4ater Pipe; Test & Anchors -Nall Protection �1`1� D.W.V.; Test-Fttngs & Anchors -Nail Protection 5p --'Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60:��_ ,g.F_L,8, Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. gTec. Trim & Subpanel; Breaker SizgZ-Mels�:� 19. Gas Pipe; Size & Anchors 621 -Stairs & Rails 63. _Fi eplace or Stove; Clearances -Hearth IW.-Ele'c. Outl�ts at Wood Panel'. Int. & Ext. Card -Bl Date2.,1j70;?Card-BI Date j2a4t. Ftj/& ApgliWce; Gr6d.-*tr-G-ap-Cobeing Clearance Card -BI Date Date Card -BI Date ELECTRICAL (P it) OK except #'s 6V Elec. Outlets & Receptacles at Kit. Counter 61.--Garage-F-ire-DDor,-Swing--Landi4ng-CIeser .611 . , . uct , a(age- to,-15"i.vure & Transformer Clearance -Ins. Protection 69. 76' Wtr. Hit �.;,Ke ce-Co4b. All - �nlearan f- P -R -l'. - r_M.,h P-tec.LLQ!i Plb., Elec. & Mach. Equip. Listed for Location Receptacles Spacing -Lights & Switches at oors ize Boxes & No. of Conductors -Stapled 7-l.:,,��e7-Receptac7les.-in-Gerag%-(G7F-. l­-)=Romq,%%Prot_ec. 4W Romex Installed Close to Edge of Studs & C.At;-_� k4gnquip. Grounid mqo�p w/MechAPVtenersAq�Ehfs`& W�M 7V I nsu lat ion -Foam- Looked in Attic B�-�es 7 15,ol-Appliance Circuits in Kitchen & Conductor Size 26. Subfeed Wire Size / / ga. Cu or Al-A.C. Wire Size ga. Cu or At r 74. 0--T-ook-ed Fdn. Ve�nt�s& Crawl Hole Do -or -Drainage & Wood -Earth Clearance under Floor KWes 27. Range Circ. / / ga. Cu or Al -Oven Circ. ga. Cu or At, Insulated Neutral E]Yes El No 75. Following instld.: D�� El Yes OKo; Walks E) Yes CWo: Planters E]Yes 28. Service -Riser Conductors & Ground -Main Disconnect 2V Equip. Clearances; Pane Is-Motors-Mech. Equip. 7y,�',A<C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 32!!��Clothes Closet Light -Shower Light UeVents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. XMnu=-,etecbiea4-lR4umWng 80. Pterior Elec. Tri eceptac I a- U nderg round Card B -I Dat!ee!�2 Card -BI Date q;I�Ventilation through��utuse Card B -I Date Datr Card -BI Date MECHANICAL (Permit) OK except #'s 31KA.S...,,Ducts; Insulation & Support D-`�C'o=rectmn. Mo. Frevious Inspections §L,:2�s Test7-"-ters Tagged; Gas -Electric 8V -Water & Sewer Connected -C/O to Grade -HD Approval V_ -'Tent Fan; Exhaust above Insulation 86. Energy Compliance Certificate -Other Certificates 33.11 Condensate Drain & Overflow; Size & Grade 34.1 Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35.1 Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI A_?1__ Date -Iff Card -BI Date Card-Bil Date Card -BI Date Card -BI Date Card -BI Date Card -BI -A Coffrents Date Card -BI Date at Final: Date FRANING(Plans) OK except #'s 3F.' Sills; Proper Material & Anchors 6 V eq(^- X444_<X_K W1 17�-`Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound W. U.!�ing Walls over Girders & Floor Nailing V ,,.I:fraft Stop in Walls (rat proof) LM. Fire Stops; Furr d Ceilings -Stairs -Chases -Tub e H!,M!!�& Beam -Size & Bearing '42. Xangers- Post Caps -Anchors -Connectors CIng. Joist-Rftr. Ties-Purlin- Roof Brac. Q!!5>-Shthnp.-Rfrp. ireplace Ties or TyptA. �e-Fie��_Iace Throat !�Z ic Access; Size & Romex Protect ion -Draft Stop -Ins. Baffles JK Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47.lGarage Fire Protection Framing (NOTE: An entry must be madeeach time youvisit jobsite) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: -872-2961, Ext. 57 CORRECTION NOTICE OWNER FERMITINO. 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 mattir, or need additional explanation, please contact this office immediately. er, 0% -.t'5 t' U C 14+ ':�z An d., <- L-1 JA 1A 0 e I 4A AJI-A-.9-f- CP Inspector D Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2i5l 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE 75- -5'- 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. It you have any question pertaining to this matter, or nee5l,�i tional explanation, please contact this office Immediately. COUNTY OF BUTTE DEPART MENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE -3 �57- rMAIMCD M�-.- - I 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 que - stion pertaining to this , �4 matter-, or need additional explanation, please contact this office immediately. 64 JZ, LI -41 1 Inspector Date V�y Owner: FAPA:T WA, ej Permit No,.—,2 m-3 —R4 ENERGY C ERTIF ICAT ION 3 rQ 11 C_ A V0 '1 0 R 6 0 1 eh- It A Af N 1A 24_0Z1_4A LOCATION A.P. No. ROOF Material Thickness(inches) EXTERIOR WALL Material 9�sjorr-14f-r Thickness(inches) V11 CEILING DESCRIPTION OF INSULATION Brand Name �. , A/A Thermal Resistance (R Value) WA Brand Name *0'hkA_f M'.4Wj1jAA40& Thermal Resistance(R Value) P--tl Batt or Blanket Type &47,1- Brand Name �Ae M.4W,0AiA'- Thickness(inches) Thermal Resistance(R Value) k-36 Loose Fill Type Brand Name Minimum Thickness(Inches) Number of Bags Wt. per bag lb. Area covered(ft.2) Thermal Resistance(R Value) FLOOR, ELEVATED Material Thickness(inches) 8 FLOOR,, SLAB Material HIA Thickness(inches) NA Width(inches) .4v 1A FOUNDATION WALL Material z-1-ixicre�7-4z— Thickness(inches) '&// Brand Name z7bkoix moAow,,A� Thermal Resistance(R Value) A—/!F Brand Name A11A Thermal Resistance(R Value) A11.4 Brand Name W.4 Thermal Resistance(R Value) AoAI,4 I hereby certify that -the above insulation was installed in the above building in conformance with the State of California Energy Requirements, ronou,,�Aorej flu FIRM NAME/OWNEK' STATE'CONTRACTWS LICENSE NO. SIGNATURE OF'2RSTALLATION APPLICATOR DATE (.001 I hereby certify the above insulation and all required items as shown on the Building Department approved plans and attachments have been installed as required by the State of California Energy Requirements. All equipment, devices and materials are of the quality prescribed or are specifically approved by the State of California. CrWr~n, AM I 1j, �e_ +- n 0-o'. & - FIRM NAME/OWNER (tlease print) STATE CONTRACTOR'S LICENSE NO. SIGNATURE OF6RWERAL CONTRACTORIOWNER DATE THIS CERTIFICATE MUST BE ON FILE WITH T14E BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. ' January 1984 COUNTY OF BU I TTE - DEPARTMENT OF TUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, Caltforni* 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSO P RCEL �TTR_ !� � �o I z 0A4 BUILDING PERM I =T OWNE& U to TELEPHONE SQ.FT. OCC. BUILDING VALUXTION OWNER'S MAILING ADDR if xl_� / 0 VE SOS , 2 d— CUNIH -TOR' NAME 1- - bv� �fv ITELEPHONE 9-1_-1($(7iV CON?PACTO,q_� MAILIN_G ADDRESS '317 _J), Fireplace Total Valuation Is 000 25 G 00-0 CSSTRUCTION Llr_N!2�; L) r1a,3U 0 UNKNOWN Filing Fee $ 10.00 DER'S,SLING ADDRESS Permit Fe $ ARCHITECT OR ENGINEER ILICENSE NO. Plan Checking Fee ' $ 'EV\ e./rO ,AV / C, $ ARCHITECT OR ENGINEER'S MAILING ADDRESS —Penalty Permit fee Q 1 1 $ BUILDIA.DDRESS -3/0 VC- VZA PLUMBING PERMIT Fi I ing Fee 10.00 Each Trap V1 2.00 Solar Water Heater 20-00 rD Water piping 5.00 LOT NO. SUBDIVISION NAME I PARCEL MAP I Each qas water heater or vent 5.00 LI) Gas piping system 1 - 5 outlets 5.00 S. FQ 't) USE OF STRUCTURE SFP/DuplexR Mobilehomer-1 Other SPECIFY Building sewer 5.00 Mobile Home S I G I W 1 110-00 ea I I TYPE OF WORK New g?" Addition 0 RemodelEl UtilitiesO InstanationD Other[:] Describe work: 6.796 9 ) 2./ Permit Fee $ Contractor ELECTRICAL PERMIT FilingFee 10.00 main service 600V OR LESS 100 AMP OR LESS 10.00 10'(9-0 Main service EA. ADD -L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.&) OR_AODNS. ACC, BLDGS. 21/20sqft p_1!S_1fM CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 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. S&Zgf- Classification 41 -4-czz� El 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) 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 CONSTP_ ( MULTI-OUTLIET 2.50 ea ON.RF N _SD. RANCH CIRCUITS) NEW.CONSTRL (POWER APPARATUS.&) NON RESID. SINGLE OUTLET CIR 20@50t Ex. Occup OUTLETS OR FIXTURES IDAL030f FIXED APPLNS. OR Ex. OCCUP- OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Fi I ing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): J F� The permit is for $100.00 (valuation) or less. ve placed on file with the County of Butte Building Department fW*__,9__1.�Certificate of Workmen's Compensation Insurance or a Certificate 0 f Consent to Self -Insure. .Z 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 shal I be deemed revoked. Heating V/, 8 0 Cooling _p od Ventilation Permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyu, 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 f t against said Coun:t�4conse5pTce o he grant ng o this permit. X Z�Z '0�_ _/ _J�IZ Date M - e, Signature of Appli..n Wrier E3 contractor EL--.4.ynt El An OSHA permit i S renired for excavations over 5'0" deep and demolition or construct- ion of stru, r stories in height. Mobile Home Installation Fee $ '5:, -r\ ki --E,\ 5 D A ex V -D TOTAL PERQT �EE �J— y T07- oc�CP. GROUP 3 I TYPE OF CONST, P^11 -No Is This permit is hereby issued under sions of the Butte County Code and/or work indicated above for whi DIRE RX LIC By. PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt NO. WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD-APPL I CANT I Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMNT 84-44135 Section 26-8.1 of the Butte County Code requires this acknowledgement OFFIC14L RECO"St I - ODA' I 4 -Tv - � V. I , . COUNT be recorded prior to issuance of a building permit. IJES-TE0 .. Ar)s The property described herein is adjacent to land or included 01 ?1� within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbici R�.Fidtldl e and fertilizers; and from the pursuit of agricultural operations includfng, but not li0medd 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: The Southerly 134.27 feet of the Northerly 390.64 feet of Lot 4 in Block 18, as shown on that certain map entitled "Map of Villa Vernona, Butte County, California" which map was filed in the office of the Recorder' of the County of Butte, State of California, January 17, 1889. Said 390.64 feet being measured from the center line of the 60 foot road running along the Northerly line of said Lot. I Date: PROPERTY OWNERS: --n State of CALIFORNIA- On this the 5th day / of December 1984 before SS. me, the undersigned Notary Public, personally appeared County of . BUTTE --- Bert Mix and Myrtle G. Mix --- Ll Personally known to me. j�:/- Proved to me on the' basis of satisfactory evidence. to be the person(s) whose fiame(s) arp subscribed to the within instrument and acknowledged that they executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. OFFICIAL SEAL THELMA M. SWEEARENGIN NOTARY PUBLIC - CALIFORNIA TY BUTTE COUNTY 986 MY Commission Expires Mt. 3.1986 Nota�ry Public Present A.P. No. ,,;L/ 7 s a- sy 461 bA COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 . I' APPLICATIPIN AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER l'i I - r) ;a ZONING BUILDING PERMIT OWNER I -1 TELEPHONE SQ.FT. OCC.1 BUILDING.VALUATION I�J -14 T OWNER'S MAILING ADDRESS 4.,� i u -f-" r --\ -, CONTRACTOR'S NAME Ty I -,) tr - 't \ I,\ �k% Q 7 0 -a - TELEPHONE I 7R,-,- - s? 7, 17 A I I) -V CONTRACTOR:S MAILING ADDRESS V. c) - k --S 6 g, / n3 Cna A Y'Seck 1) 1 1 �11 9 All 0,111 Fireplace CONSTRUCTION LENDER 6 LJ reii ) eirt -:rn f4JR h , A4 JUNK N.WN Total Valuation Filing Fee $ 10.00 L:ENDER'S.MAI LING ADDRESS 0 , K _5'&15Q (1 1,411) Permit Fee $ ARCHITECT OR ENGINEER LICENS E NO. Plan Checking Fee $ Penalty ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee BUILDING ADDRESS 3,1 0 0 Cl� 'IN) d- PLUMBING PERMITr Fi ling Fee #-10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SLJBOIVISIO� NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5. 0 USE OF STRUCTURE SF2 DuplexF] MobilehomeEl Other SPECIFY Building sewer 5.00 Mobile Home S I G I W 1O-OOe4 TYPE OF WORK New Addition[:] .-Remodel[:] Utilities Installation[] Other Describe,work: r) n Permit Fee $ contractor ELECTRICAL PERMIT FilingFee 10.00 600V OR LESS Main service 100 AMP OR LESS 10.00 Main service EA. ADD -L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.&) OR ADDNS. ( ACC. BLDGS. 21/20sq ft -60NTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under prov"isions of Chapt., 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. "q License No. — � -� -1 / '-, , Classification P 1 r )/ El 1, as the owner, or my employees with wages as iheir sole compen- --sation, will do tbe.work,and the structure is not�intended or offered for -sale. (Sec. 7044) El I, as thefowner, am­eZusively contracting with licensed contract ors. (Sec.1 7044) I am exem, pt under Sec. Business And Professions Code for this reason NEW CONSTPL(MULTI-OUTLET NON:RES'D, BRANCH CIRCUITS) 2.50 ea N E W. C 0 NIS T FL ( POWER APP ARATUS .&) NON RES D. SINGLE OUTLET CIR Ex. Occup ( 2 @50t OUTLETS OR FIXTURES 321-030C OCCUP. FIXED APPLR OR Ex. OUTLETS (RESSI.D.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Fi I ing Fee 10.00 JWORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): The perr;it is for $100:00 (valuation) or less. I have placed'on file with the County of Butte Building Department a Certificate of"WorkrTien's-Compensation Insurance or a Certificate of Consent to Self-Inswe. J I shall not erKploy any person in any manner so as to become subject to the W. C. liIws of Californibi. 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. Heating Cooling - Hood 3.00 1 Venti lation Permit Fee $ Contractor 1 certify','th'at lThave��eA(f,thli"ra�pli'�aii66'�nd �tate tl�iwt�lh;��6ove information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorizecrepresentativei of the County ot Butte to enter upon the above-mentioned pfopeFty for inspection purposes. I also agree to save, indemnify and keep hArmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue_ against said County in consequence of the granting of this permit. X - " -(�/ Date Signature of Applicant Owner El Contractor Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ LJ TOTAL PERMIY,�EE' F $ OCCUP. GROUP TYPE OF CONST. 7 1,_, JPARCELJ:`7DTHO,J ISSUE, T.h�is-�permitii�'-6e(e6y!i�sued under s of the Butte County Code and/or work indicated above for,which /I DIRECTO BLIC "Ir By 1A PERMI . T EXPIRES Date the appli(36ble p-ro-vi- resolutioiis to-do' fees have been paid. WORKS /, �1, v r Date / — R ece i pt No. . -1 / S, AS— WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD-APPL [CANT Bert Mix 4310 VC Road Orovi.1le, CA 95965 Dear Mr. Mix: DEPARTMENT OF PUBLIC WORKS WILLIAM (Bill) CHEFF, Director 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 Telephone: (916) 534-4541 RONALD D. McELROY December 10, 1985 Deputy Director RE: Demolition Permit #3752-84 A.P. #36-021-48 With reference to the above subject, on January 4, 1984, when we issued permit #3753-84 to build a single family dwelling, you signed a letter and obtained a demolition permit to remove an existing single family dwelling on your prop- erty at 4310 VC Road, Oroville. The new dwelling was finaled May 20, 1985, and to date the existing dwelling still exists and is occupied. This constitutes a zoning violation, as the AR zone does not permit two dwelling units. Since the zone does not permit two units, please contact this office within ten days of the date of this letter and advise us of your..intentions concerning this violation. Should you have any questions concerning this matter, please contact this office. JFG: ahb Yours very truly, William Cheff Director of Public Works Original signed by J� F. Glander J.F. Glander—, Chief Building Inspector cc: BdIffidin—g _nspector - broville Pl—annifigDe—partment IF coun!�F '6'afte, L A N D 0 F N A T U R A L W E A L T H A N D B E A U T Y DEPARTMENT OF PUBLIC WORKS WILLIAM (Bill) CHEFF, Director 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 Telephone: (916) 534-4541 RONALD D. McELROY December 10, 1985 Deputy Director RE: Demolition Permit #3752-84 A.P. #36-021-48 With reference to the above subject, on January 4, 1984, when we issued permit #3753-84 to build a single family dwelling, you signed a letter and obtained a demolition permit to remove an existing single family dwelling on your prop- erty at 4310 VC Road, Oroville. The new dwelling was finaled May 20, 1985, and to date the existing dwelling still exists and is occupied. This constitutes a zoning violation, as the AR zone does not permit two dwelling units. Since the zone does not permit two units, please contact this office within ten days of the date of this letter and advise us of your..intentions concerning this violation. Should you have any questions concerning this matter, please contact this office. JFG: ahb Yours very truly, William Cheff Director of Public Works Original signed by J� F. Glander J.F. Glander—, Chief Building Inspector cc: BdIffidin—g _nspector - broville Pl—annifigDe—partment IF 0 t,4 o. s e, COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS .7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATIONAND RERMIT PERMIT NO , 5�q — ASSASO, PARCE BER _�L j�Cum -0 1 —4-W- - ZONING BUILDING PERMIT 0 TELEP OWN4! MA CING AD R SS CON;MTORI ME �nN V% ITZLEPHONE - 992 FEE c A TO=MAILING ADDRESS I " 6 e-16 1 ri,�R ri (.1. _rA r ntajrU I I e-, QA J Fireplace TSTRUCTION LEI`1DEr' _Aq ( �i_ 4 U rew ) 0-i _Ell )CR h UNKNOWN Total Valuation Filing Fee $ 10.00 A-U%NDER-NAI LING ADDRESS M / 74o , Permit Fee $ ARCHITECT OR ENGINEER CENSE 140. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADORE PLUMBING PERMIT FilingFee 10.00 Each Trap 2.00 Solar Water Heater 20-00 Water piping 5.00 LOT NO. SUBDIVISION NAME ARCEL MAP 1P Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF[12/DuplexP Mobilehomef_� Other SPECIFY Building sewer 1 5.00 _F__J 1 Mobile Home T -S G 110-00 ed TYPE OF WORK NewEJ Additio-I:LD RemodelIQ UtilitiesEl InstallationEl Other 2' Describe work: 14 hn n -Permit Fee $ Contractor ELECTRICAL PERMIT FilingFee 10.00 Main service 6011 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD -L 100 AMR 2.50 NEW CONST. DWELLING OC "P,"j OR ADDNS. ACC. BLDGS. 21/20sqft CONTR CTORS LICENSE LAW I declare under penalty of perjury (check one): 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. -3 61 If k- Classification 137-C-Ao El 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) 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) El I am exempt under Sec.—, Business and Professions Code for this reason NEW.CONSTRL MULT '-OUTLET NON RESID, BRANCH. CIRCUITS) 2.50 ea, NEW . CONSTR. POWER APPARATUS.&) NON RESID. (SINGLE OUTLET CIR 20050c Ex. Occup(OUTLETS OR FIXTURES IBAL@300 FIXED APPLNS. OR Ex. OCCUP- OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.22_[_ Permit Fee $ Contractor MECHANICAL PERMIT Fi I ing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): F] The permit is for $100-00 (valuation) or less. A- MPL-4-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. Heating Cooling Hood 3.00 Venti lation 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 against said Counly inXpnsequence of the granting of this permit. X /6�� &K — - - T - __1 Date /A Signature of ApplicdW- Owner F Contractor 1071 Agent An OSHA permit is required for excavations over 5'0%-eep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST, PARCEL PO No ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for w 'ch DI OR 0 BLIC By 411 PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date A4, Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD-APPL I CANT rt-�5 C 10 6/oa v,"r Yn e n 7--o De-loa r-r--MoA7-d!70- pc4lollc- wvr<!� 18,e r--7— ',+- M y A:7-1 e - Al -3/0 V e, A Vewvg 0 /Zo, Z19) 6-31 9 I- -r -e> z�) Ae 4,Y i 7 7 c, ci 4,7- e ol o47-eAr Al ezz,� A b� 7ZL-- 9"V4eZ4-- 14-6 ew,� / 17zoas- / 1 4�2 r7- At e C.5- 'N OWLAND OF NATURAL WEALTH AND 6 E A U I Y DEPARTMENT OF PUBLIC WORKS WILLIAM (Bill) CHEFF, Director 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNiA 95965 Telephone: (916) 534-4541 RONALD D. McELROY March 7, 1986 Deputy Director Bert Mix RE: Health Hazard 4310 VC Road A.*P. #36-021-48 Oroville, CA 95965 Dear Mr. Mix: With reference to the above subject, we have been advised by one of our building inspectors that the debris from a building that was demolished on your property located at 4310 VC Road creates a health, safety, and fire hazard. Please remove this debris within thirty days of the date" of this letter, then advise this office so that we may verify. Should you have any questions concerning this matter, please contact this office. Yours very truly, William Cheff Director of Public Works Original signed by ja F. Glander J.F. Glander - JFG:ahb Chief Building Inspector cc: Building Inspector - Oroville 7- P61 I,x alp 00 re�J44,9 Ve- A., i Bert Mix 4310 VC Road Oroville, CA 95965 Dear Mr. Mix: butte, C0,01an L N D 0 F NATU RAL WEALTH A N D 8EAUTY DEPARTMENT OF PUBLIC WORKS WILLIAM (Bill) CHEFF, Director 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 Telephone: (916) 534-4541 RONALD D. McELROY December 10, 1985 Deputy Director RE: Demolition Permit #3752-84 A.P. #36-021-48 With reference to the above subject, on January 4, 1984, when we issued permit #3753-84 to build a single family dwelling, you signed a letter and obtained a demolition permit to remove an existing single family dwelling on your prop- erty at 431O.VC Road, Oroville. The new dwelling was finaled May 20, 1985, and to date the existing dwelling still exists and is occupied. This constitutes a zoning.violation, as the AR zone does not permit two dwelling units. Since the zone does not permit two units, please contact this office within ten days ,Of the date of this letter and advise us of your intentions concerning this violltion. Should you have any questions concerning thi's matter, please contact this office'. Yours very truly, William Cheff Director of Public Works Original signed by J. F. Glander J.F. Glander JFG: ahb Chief Building Inspector cc: Building Inspector Oroville Planning Department 0 File No. BUTTE COUNTY Public Works Dept Dir'ector, Dep. FDir. Sec. R8. & Br. Mtce. Shop & Yards Bldg. Insp. Admin. �Design Engr. 'g 3 idge =En Constr. Engr. Surveys Mapping Transp. Land De,. Drng. /S.I. Sub.& PCI. Maps Permits Addr. Act�,.nl, 273) (For Information or ) J1, 7,4, -7C .......... IC: Owner I Mailing Address 00UNTY OF BUTTE — DEPARTMENT OF PUBLIC WORRS 7 County Center Drive yroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT 4 -�b (LD V- c �_D. (,'I—<:) V I L Telephone �o. Contractor cwt,-) iF- e— I Mai I Ing Address one No. Building Address 4-3 1 c) \I- C (,- �) I � 0\)t LL A. P. No.. 1�)6 -0-2-1 - 14 Zoning & Planning F,ee-s*'l 7 *�Cl. I Saini4a-ti-on I FireDept. I Fii e Zone Use Permit EQA I Parking Parcel Plans DeclarationTParcel Map 1 60' R/W I Improvements -B+4—P-f am s Recz-d I Parcel Approval I Plans Approval NEW [] ADDITION F] UTILITIES OTHER 2 um U E P—T— T J _!�--A Single Family IS Duplex [:] Mobil Home [:] Others [I CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: License No. Classification BUILDING SQ. FT. I OCC. I BUILDING VALUATION Fireplace I I Total Valuation Permit Fee PlanChecking Fee&/orPenalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sorinkler system Permit Fee ELECTRICAL PERMIT FILING FEE Main service 1,00V OR LE SS 100 AMP OR LESS Main service EA. ADD -L 100 AMP Main service OVER 600V 100 AMP OR LESS Main service EA. ADD -L 100 AMP NEW CONST. I OR ADDNS. % DWELLING OCCUP. ACC.BLDGS. NEW.CONSTR. NON RESID. (MULTI -OUTLET BRANCH CIRCUITS $3.00 1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 $3.00 5.00 2.50 25.00 1.00 20sq f t 2.50ea Ex. OCCUP(OUTLETS OR FIXTURES r13 A "L @�IqO I FIXED APPLN9. OR Ex. Occup.(OUTLETS (RESID.) EA) 2.00 Temporary service 0 .00 Mobile Home Facilities 1 5.00 Misc. Wiring #6.0205 El I am exempt from the Contractors License Laws of the State of Califomia. Permit Fee MECHANICAL WORKMEN'S COMPENSATION INSURANCE PERMIT FILING FEE I am aware of the provisions of Section3700 of the California Labor I : i., Heating Coode which requires every emp oyer to be nsured against I a ility for Workmen's Compensation. E] I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. certify that in the performance of the work for which this Elplermit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Permitee or Agent Receipt No. ISI LA S' White-D.P.W. — Yellow -Assessor — Pink -inspector — Goldenrod-Appli cant Cooli Ventilation Hood Permit Fee FEE , I , FEE @ FEE $3.00 2.00 TOTAL PERMIT FEE 1$ 1 This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS �ol , C_ /I r -1 By Date ,Building permit expires Date COUNTY OF BUTTE — D.EOARTMENT OF PUBLIC WORKS 7 County Center Drive — Orovi Ile, California 95965 Telephone: -i34-4541 71-76 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. n -, .1 X &1� Date Signature of P(ermitee or Agent Receipt No. 15-1 64S- White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod-Appli cant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF BLIC WORKS Date kll�lng permit expires Date -2-y -212 BUILDING Owner F)E� T SQ. F T. OCC. BUILDING VALUATION Mai I ing Address 4 V - C, P -D b P-0 V t LL F- q -45-ni L,.,� Telephone No._ Fireplace Contractor owm r -e- Total Valuation Mailing Address Permit Fee Plan Checking Fee&/orPenalty Telephone No. Permit Fee $ Building Address 4-3 t o y -c (2-dp PLUMiBING No.1 @ FEE PERMIT FILING FEE $3.00 P—O\) L LLL Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. N�_ 3(o Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fu -4 W-4. 1 ftoke"n I Fi re Dept. I Fire Zone] Use Permit Building sewer 5.00 EOA Parking Plans Parcel Declarati on Parcel Map i 60' R/W I --plans I Improvements = Lawn sprinkler system 2.00 -Bldg. PIMT-ftcA�d I Parcel Approval T Approval Permit Fee $ lo $ Fs -e NEW ADDITION UTILITIES OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 COKWe-P-7- C--rA<,:i, FROAA PAPPA"EL Main service 6001 OR LESS 100 AMP OR LESS 5.00 TQ IJ A7-(,) Main service EA. ADD -L 100 AMP 2.50 OVER 600V Main service 100 AMP OR LESS 25.00 Single Family Duplex Mobi I Home E] OthersEl Main service EA. ADD -L 100 AMP 1.00 NEW CONST. I DWELLING OCCUP. 9 OR ADDNS. % ACC.BLDGS. 20sq ft NEW CONSTR. - ULTI-OUT LET NON . RESID. (BRANCH CIRCU I TO 2.50ea NEW CONSTR. (POWER APPARATUS NON-RESID, SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES) BAL@109 FIXED APPLN OR Ex. Occup. (OUTLETS (RESSI'D.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 21-1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. E] I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. certify that in the performance of the work for which this plermit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood Permit Fee $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE 1$ 1 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. n -, .1 X &1� Date Signature of P(ermitee or Agent Receipt No. 15-1 64S- White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod-Appli cant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF BLIC WORKS Date kll�lng permit expires Date -2-y -212 BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL'INSPEUTION REPORT Owner: BEP -7- A.P. # Address: V,C_ tE::0_0VLLJC__-1 Date of �Inspection Tenant:- Inspector 92 -Building Location: Type of Inspection requested: 1. Housing 2. Financing 3. Change of Occupancy to 4. Other (s'ecify) VP --U— 1P,4 JP G5A CO 9,4 \J&ZS c 0 Ll LV p Present use of building: A. Sanitation (Housing) 1. Water closet: 2. Lavatory: 3. Bathtub or shower: 4. Kitchen sink: 5. Hot and cold water to fixtures: 6. Heating facilities: 7. Natural light and ventilation: .8. Room and space requirements: 9. Bedroom window or door for second exit: Infestation of insects, vermin, or rodents: 11. Connection to sewage disposal: 12. Connection to water supply: 13. Rubbish and garbage facilities: 14. Comments: B. Structural 1. Piers and footings: 2. Floor construction:, 3. Wall construction: --4.,, 'Ce'ilii�g'and -roof construction: 5. Firep.laces: 6. Comments: C. Electrical 1. Service and ground:. 2. Receptacles*. 3. Fusing: - 4. Comments: D. Plumbing 1. Fixtures connected and vented: 2. Gas water heater: 3. 4. Gas heating vents:., C ents: (continued on back) E. Other 1. Maintenance and repair: 2. Fire hazards: 3. Safety hazards: 4. Weather protection: 5. Underfloor and attic ventilation: 6. C enus�-: F. Commercial Buildings 1. Roof covering: 2. Distance to property lines: 3. Physically handicapped: 4. Restroom floors and walls: 5. Exits: 6. Improvements: 7. Zoning: 8. C ents: G. Field Problems or Violations 1. Problem or violation (give complete description): 2. What action taken (give complete description): 3. What action recommended: T-1 A. Information only - file. / / B. Hold for ten (10) days, then write letter. " C.,Write letter. 77D. 4Q/OOC/ 4ftn's, �� -r ;r .41/ OV C- t*'-- Id.S oov e, ce 7R 6�/p 74' e,04V�j a_e�' qZO IA/ �r4 J4 04 U/6 Is 44��—Jj ft STATE INDUSTRIAL INSURANCE SYSTEM 515 East Mussor Street C�arson City, Nevada 80714' Jelephan* 702 885-5212 UNIT # I .WORKERIS*COMPENSATION INSURANCE CERTIFICATE FOR MARTIN JOHN WILLIS MARTIN JOHN WILLIS P.OLICY NUMBER 12�428.4 0 BOX 1037 EFFE..CTI,VE 01:50 PM GARDNERVILLIE NV 89410 AUGUST 01, 1984 THE AB'OVE-NAMtD EMPLOYER, -A SOLE PROPRIETORSHIP WITH'tHE PRINCIPAL-NEVADA'BUSINESS LOCATION(S) IN DOUGLAS COUNTY HAS WORKER'S COMPENSATION INSURANCE FOR HIS EMPLOYEES WITH THE STATE INDUSTRIAL INSURANCE SYSTEM.- - — THISEMPLOYER ALSO DOES BUSINESS AS:. WHITE MOUNTAIN ELECTRIC 7— wow* THIS IS TO CERTIFY THAT MARTIN JOHN WILLIS HAS PAID PREMIUMS INTO THE STATE INSURANCE FUND AS PROVIDED BY LAW AND, THEREFORE, SAID EMPLOYER IS ENTITLED TO THE RIGHTS AND BENEFITS OF THE NEVADA INDUSTRIkL INSURANCE ACT AND THE NEVA ' DA OCCUPATIONAL DISEASES ACT. THIS CERTIFICATE SHALL BE IN FULL FORCE AND.EEFFECT AS LONG A S. PREMIU14S ARE PAID AND THE EMPLOYER COMPLIES WITH THE PROVISIONS -OF THE AFOREMENTIONED ACTS. EMPLOYEES OF THE POLICYHOLDER WHO ARE HIRED OR ARE REGULARLY EMPLOYED IN NEVADA ARE COVERED WHILE WORKING OUTSIDE OF NEVADA FOR UP TO SIX MONTHS. THE COVERAGE MAY BE EXTENDED AN ADDITIONAL SIX MONTHS UPON REQUEST OF THE POLICYHOLDER4 A POLICYHOLDER WORKING NEVADA EMPLOYEES IN OTHER STATES SHOULD REQUEST'THE STATE INDUSTRIAL INSURANCE SYSTEM TO ISSUE CERTIFICATES OF EXTRATERRITORIAL COVERAGE TO THE WORKER'S COMPENSATION AGENCIES IN EACH STATE WHERE WORK IS BEING PERFORMED. IN ADDITION, THE POLICYHOLDER SHOULD CONTACT THE WORKER'S COMPENSATION AGENCY IN EACH STATE REGARDING ITS PARTICULAR REQUIREMENT. CLASSIFICATION DESCRIPTION:. NUMBER .--EFFECTIVE DATE RATE GENERAL CONSTRUCTION/ELECTRIC 8101 AUGUST 01, 1984.--... .10-82 PAYROLL REPORTS AND PREMIUM PAYMENTS WILL BE DUE BEFORE THE 25TH OF THE MONTH FOLLOWING THE MONTHLY REPORT PERIOD. THE FIRST REPORT FOR THE PERIOD ENDING AUGUST 31, 1984 IS DUE BY SEPTEMBER 25, 1984. STATE INDUSTRIAL INSURANCE. SYSTEM Dated dt Titto Carson City, Novadc By La ZONE 11 OWNER A9115C7-, oWIr POINTS PERMIT NO. ASSIGNED ACTUAL 1. SLAB - INSULATION 2. RAISED FLOOR - R-19 3. CEILING - R-30- 4. WALL - R-19 5. NORTH GLAZING 6. EAST GLAZING 7. SOUTH GLAZING S. WEST GLAZING A _/ I - 2.4-3.6% - 2.5-3.6% 1.6-3.6% 2.9-3 . 6% 9. SKYLIGHT 0-1.3% 10. SHADING (Exclude Overhang) EAST - .66 SOUTH - 19-42 WEST - .13-.36 .SKYLIGHT - .37-.57 11. HORIZONTAL SOUTH OVERHANG 2' 12. �IOVABLE INSULATION - NONE 13. INFILTRATION (Standard=O)(Tight=+12) 14. THERMAL MASS 15. GAS FURNACE (SE) _SF 71-76% 16. HEAT PU1TP (EER) 7.5-7.9% 17. DUAL PACK (SE, SEEP) 8. 0-8. 3/71-76% WOOD STOVE Gg!tj WATER HEATER ATTIC 10V % OTHER - -able 3-1. Slab Floor Points 4_6 0 .- t 4::;o TOTAL POINTS = ln�-jla- I R -Value of Insulation tiun Depth, Lncles 0-2 3-4 1 5-6 1 7+ 0 - 11 -5 1 -5 -5 1 #4 1 12 - 13 -5 -3 -2 1 +4 1 16 - 19 -5 -2 -1 0 20 + -5 -1 0 +1 7/7/83 -t-2.0 - &.3 Table 3-3a. Ceiling Insulation Points I R -Value of Insulation I Points I __T 19 -4 22 -2 30 0 38 +2 49 +4 Table 3-4a. Wall Insulation Poin R -Value of Insulation I Points I 19 0 24 +2 30 +3 Table 3-5. North -Facing Clazina Pts I Glazing Type Total X of T__Sn_g_1_,7r_Dbl 'T Floor U - U - U . I Axes 0.66 0.42- 0.41 1.10 0.65 down 0 __7_74 -4--F-.& q +�.q 0.1- 1.2 +4 +4 +4 1.3- 2.3 +1 +2 +2 2.4- 3.6 -2 0 +1 1 3.7- 4,8 1 -4 -2 -1 r -9-&- 1 -7 -4 -3 6.2- 7.3 -9 -6 -5 7.4- 8.2 -12 1 -8 -7 8.3- 9.7 -14 -10 -8 9.8-10.8 -17 -12 -10 10.9-12.0 -19 -14 -12 12.t-13.2 -22 -16 -13 13.3-14.5 -24 -18 -15 14.6-15.3 -27 -20 -17 Table 3-6. East-Facln3 Glazing Ptsi Zj_d #r T I Glazing Type Total I I of I Sngl. I Dbl, I_T__rp1_.7 Table 3-2. Raised Floor Points T -7 R -Value of Insulation Points below 3 -12 3 4 -0 5 7 -6 8 12 _4' 13 IS T2 0 Floor 1 (11 - I (U - I (u - I Area 1 1.10) 1 0.65).1 0.41)1 1 loo!nts 1nolnts Inointni a I - -1 1 44 1 #4 1 to 1 3 1 +3 tL 1 +4 1 -r- 2!4 -1 +2 1 .2 1 2.5- 3.6 -2 0 0 1 3.7- 4.6 -5 -2 -1 1 4.7- 5.6 -8 -4 -3 1 3.7- 6.7 -10 -6 -5 6.8- 7.7 -13 -6 1 -7 7.8- 8.7 -15 .-8 1 -10 -4 8.8- 9.7 -1.7 1 -12 1 -10 9-8-11.2 -21 1 .-15 1 -13 11.3-12.7 -25 1 -18 -1 -15 12.8-14.0 -23 -21 -18 14.1-15.3 -32 -24 -20 9.6-10.i 1 -27 -20 -16 Table 3-7. South-FactnR Glazing Pts T_ J -7 I Glazing Type Total I X of Sngl. I _D_b_j.__T_T_r_pj_,T Floor (U - (U - (U . I Area 1.10) 0.65) 0.41)1 1points 1points [pointsf 0 1 4 3 1 1 3 1 -"-3- 7 up to 1.5 1 +2 +2 +2 1.6- 3.6 1 -1 0 0 3.7-- 5.2 1 -4 -2 -2 5.3- 6.5 1 -6 -4 -3 6.6- 7.7 1 -9 -6 -5 7.8- 8.9 1 -11 1 -8 -7 9-0-10-0 1 -13 -10 -9 10.1-11.5 -17 -13 -11 11.6-13.0 -21 �-16 -14 13.1-14.5 -25 -19 -16 14.6-16.0 -23 -22' 9 Table 3-8. West -Facing Glazing Pt T . I I Glazing Type Total I Z of Sngl, I Dbl, _f Trpl.1 Floor (U - (U - (U - I Area 1.10) 0.65) 0.41)1 1points 1points loointsi 0 1 46 1 #6 1 +6 --- up to 3 +5 1 -+T +6 1.4- 2.2 +3 1 +4 +5 2.S- 2.8 0 1 +2 +3 2.9- 3.6 -3 0 +1 3-7- 4.2 -5 -2 0 4.3- 5.0 1 -8 -4 -2 5.1- 5.6 -10 -6 1 -4 5.7- 6.2 -13 -8 -6 6.3- 6.9 -15 -10 -7 7.0- 7.6 -18 -12 - 9 7.7- 8.2 -20 -14 -11 8.3- 8.8 1 -22 -16 -13 8.9- 9.5 1 -25 -18 -15 9.6-10.i 1 -27 -20 -16 10-2-11-0 1 -29 �-23 -17 11.1-11.8 -35 -26 -21 11.9-12.7 -33 -29 -24' 12.8-13.5 -42 -32 -27 13.6-14.3 -46 -35 1 -29 14.4-15.2 -50 -33 -32 Table 3-9. Skyli?ht Points T_ T T I - Glazing Type Total I Z of I-Sn-,I. I Db!. I Tr!,.T Floor U - U U Area 0.66- 0.42- 0.41 1.10 0.65 do�m I up to 1.3 -1 1 0 1 0 1.4- 2.2 -3 1 -2 -1 2.3- 2.8 -6 1 -4 -3 2.9- 3.6 -9 1 -6 -5 3.7- 4.2 1 -11 -8 -6 4.3- 5.0 1 -14 -10 -8 1 5.1- 5.6 1 -16 -12 -10 1 5.7- 6.2 1 -19 -14 -12 1 6.3- 6.9 -21 -16 -11 1 7.0- 7.6 -24 -13 -15 1 7.7- 8.2 -26 -20 -17 1 8.3- 8.8 -28 -22 1 -19 1 8.9- 9.5 -31 -24 1 -21 9.6-10.1 -33 -26 1 -22 J__A_ ___ -IL _ Table 3-10. Sh.dl­ (!­Ff4�4­ SC by 0 Orien- X Floor Area tation 44' East . . . ....... 3.2 >23.6+ 0-3.1 to 6.4 up 6.3 0 -.19 0 +1 +2 .20-.36 0 0 it -37--'66 0 0 0 .67-.82 16- 0 -1 .83 up 0 -1 -2 South 0 3.2 6.4 9.0 9.6 to to to to up 3.1 6.3 7.9 9.5 T --- T___r__ 0 --18 1 7-- 0 1 +1 +2 +2 +3 .19-.42 0 0 0 0 0 .43-.66 0 -1 -2 r2 -3 up 1 0 1 _7_1 -4 -4 -6 West .1 1.6 3.2 6.4 3.0 to to to to up 1.5 3.1 6.3 7.9 0 +1 +3 +6 +7 .13-.36 0 0 0 0 o .37-57 0 -1 -3 -6 -7 .1A7 �p -1 -3 -6 1 -12 -15 .83 up -2 -4 f -8 1 -16 -.20 Skylight .1 .8 1.6 1 3.2 4.0 to to to to to .7 1.5 3.1 3.9 5.2 0-12 0 +1 +3 +6 +7 .13-36 0 0 0 0 o .37-57 0 -1 -6 .58-82 -1 -3 -6 -12 .83 up -2 -4 -8 -16 -20 Table 3-11. Horizontal South Overhane Points S _G1 -.-- I -ng-7 Length Out Area, Z of Floor from Wall ft _T 0-6.3 6.4 up 0 - 0.5 -2 -_4___T 0.6 - 1.0 -2 -3 1.1 - 1.9 -1 -2 2.0 up 0 0 Table 3-12. Movable Insulation Points 1 1 ------7 Moveable Insulation'l Area. 2 of Floor I Points 0 - 5.5 0 5.6 - 11.5 +2 11.6 - 17.5 44' 17.6 - 23.5 +6 >23.6+ +8 b. Table 3-13. InVIti3tion Control Feervres Points T- Cottrol Features I Points Standard 1.9 air changes per hr I Tight +1.2 0.6 air changes per hr Table 3-15. Gas Furnace Without T-- kefrigeration Ciol-ng Pointl I Seasonal Efficiency Points (SE), X f T- 71 - 76 0 1 77 - 82 +2 83 - 88 +4 89 - 94 +6 95 up +8 Table 3-16. Eeat PumD Points I Energy Effic!ency I Points I Ratio (EER) System Type 7.5 - 7.9 +3 S.0 - ;.3 +6 3.4 - 3.7 +9 8.8 - 9.1 +12 9.2 - 9.6 +15 9.7 - tO.2 +18 10.3 - 10.8 +21 10.9 - 11.5 +24 11.6 - 12.3 +27 12.4 - 13.2 +30 Table 3-17. Cas Furnace With RefrIveration CoolIna Points :Refrtgeraciani Gas Furnace. Cooling I SE % 171-177-iaJ-5979-5-T 1 761 821 BJ31 941 u " I 1 8.0 - 8.3 1 Of +21 - i +61 48 1 1 8.4 - 8.7 1 +21 +41 +61 +91+10 1 1 8.3 - 9.2 1 +41 +if +614in1+12 1 1 .9.-- - 1.7 1 +61 +81+101-121+14 1 1 9.8 - 10.3 1 +31#.'()1+121+141+16 1 1 10.4 - 10.9 j*IG;+12j+Izj+'6;+I8 I 1 11.0 - 11.6 1+121+141+1614-131420 1 1 1 ! I I I 7/7/83 TA!LE 3-14 (ADAPTED) MASS DWELLING AREA SOUARE FOOT ZONE 11 INTERJOR THERMAL MASS POINTS AREA 1,000 1.500 System Type 2.000 d Floor Area 2.500 0 Net Solar Fraction (NSF). 3.000 per UnAt. 3.500 Mer!cinj the Require - 4.000 I 4. SGO f tz S.000 -40 sq. FT. A 8 C D A 0 C D- A 8 C 20-29 - A 8 C D A 8 C 0 A 8 C 0 A 8 C D A 0 +3 +5 +8 +11 C +16 +19 1,000-1,499 0 +2 +4 +6 +8 +10 1 +14 1,500-1,999 0 +1 +3 +4 +6 +7 +8 +10 ,roo. and up 0 *1 +2 +4 -6-5 1 +6 +7 +9 All others (pe building pnints) 8U0 -P99 !-0 2 2 2 2 2 2 2 0 2 2 2 0 0 0 0 0 0 0 1 . 0 0 0- - I -, 19 9 0 0 0 0 0 0 0 1,2k,1,499 0 0 0 0 01 4 a 0 1,50(1-1.999 !00. 4 4 4 2 2 2 2 2 2 2 2 2 2 2 2 0 2 2 .0 2 0 Z 2 0 0 2 2 : 0 2 2 q M 6 6 6 4 4 4 4 2 2 '2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 0 2 Z 0 2 01 . 0 2 0 2 0 2 0 0 200 8 8 6 4 6 6 4 2 4 4 4 2 4 4 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 - 2 s' 253 10 10 a 6 6 6 6 4 6 6 4 2 4 4 4 2 4 4 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 1 Z 2 3-30 12 12 10 6 8 8 6 4 6 6 6 i 6 6 4 2 4 4 4 2 4 4 2 2 2 2 2 7. 2 2 2 2 2.2 2 2 350 14 14 12 8 10 IG 8 6 5 6 6 4 6 6 6 2 6 4 4 2 4 4 4 2 4 4 2 2 4 4 2 7 2 2 2 2 400 14 14 12 8 10 10 8 6 8 8 6 4 6 6 4 4 6 - 6 4 2 4 4 4 2 4 4 4 2 4 2 2 4 4 2 2 502 IS 18 16 10 12 12 10 6 10 10 8 6 8 8 6 4 6 6 6 4 6 6 6 2 6 6 4 Z 4 : 2 603 22 20 18 12 14 14 12 8 12 12 10 6 10 10 8 6 8 6 4 8 1 6 4 6 6 1 4 1 6 : Z Too 24 24 20 14 18 16 14 10 14 14 12 8 10 10 10 6 10 'S 10 a 6 a a 4 a 6 6 4 6 A 6 4 6 6 15 230 26 24 22 16 20 16 16 10 14 14 12 8 12 10 10 6 10 10 a 6 10 11 : 4 1 - 6 6 1 8 6 4 6 6 903 28 2: 74 186 22 20 18 12 16 16 14 10 14 14 12 8 12 12 10 6 10 10 3 3 4 8 : 6 4 9 8 6 e 1.010 30 25 1 ?Z 20 2 0 1 4 10 1 8 1 6 1 0 1 4 14 12 8 12 TO 12 10 1 D I 0 I 0 6 8 8 C 4 3. a e ],;Do 321 32 28 LO 24 24 22 14 20 20 18 10 16 16 14 8 112 4 14 1 2 : 1 2 1 2 1 0 10 a 10 6 111 10 !a e V 1,200 34 32 30 22 26 26 22 16 22 20 18 12 18 18 14 10 14 14 12 8 14 12 1 2 12 12 10 6 )a 10 E In 11) 8 6 I.JCO 34 34 32 22 26 28 24 16 22 22 20 12 18 13 16 10 1 �; 14 14 8 14 12 12 8 12 12 To 12 :0 10 6 10 "0 F. 6 1.400 34 34 32 24 28 28 26 18 24 24 20 1: 20 18 12 18 15 14 10 14 14 a 1 4 1 4 1 2 12 1? 10 1-) S 1.500 36 34 34 24 30 30 26 18 i4 24 22 120 I 22 20 18 12 18 18 16 1 16 1 & :2 4 14 -,Z 1 .10 8 14 12 17 12 10 (.1 IZ 1-. 2.00, 34 34 32 22 30 30 26 18 2t6l 22 16 22 22 20 14 20 20 18 I 2 IS 18 16 10 IC 16 j, &1 14 i's 12 s 2,500 34 34 3 0 126 22 0 3 26 1 8 26 26 24 16 24 24 22 1 4 22 22 :2 20 , 0 18 1:, 1!1 15 16 !U J..-00 3.500 34 32 30 22 30 32 30 32 26 30 18 210 28 30 26 31) 24 26 16 124 18 128 24 28 ;3 2 74 14 22 16 26 22 24 20 2? 141 Ic f ?a 20 12 14 4.000 32 32 10 20 30 30 2.6 18 29 218 24 1 f 1 2 5 22 If 4.500 1 1 32 32 2 10 30 3 0 kfi 1. t I jb !� ?! -, e .5,003 0 .. . 3Z V' 3i ZO ; I -) -, G 76 14 A) 1. 311" Concrete Slab: HC�8.93; R-.29, Factor -7.3 2. 3 3/4" Thick Comnon Brick: 11C-7.125; R-.],'; factor -7.3 8 8 I -418;,,1ac,or;7.I 1: W.Concrete Slab: RC -14 8: Sci,,11,d Filled Block: 'Hi!02'0;63" R-1. ; Fac or -6.1 2. 1 d --th Both Sides Exposed To Conditioned Air. ,OTC: s:1a1;"1,S.1:Crek footage directly exposed to conditioned air . for Thermal',Mass Area: IIC-10.164; R -.M; Factor -6.1 01 1' Thick Co n cr. te/Tile: KC-2.SS; R-.083; Factor?3.7 Table 3-19. Zonally Controlled Elcctrtc Restatance Space Heating Points Points for this eeasurc will be comoeted after the CEC has approved an Alternative Componenc Package for Resistance Bea t. Table 3 -IS.. Active Solar Space Heating with Gas Polnts� T- I I Net Solar Fraction Points (NSF), 2 f -7 0 6 0 7 14 +2 15 23 +4 24 30 +6 31 39 +8 40 - 47 +10 48 - 55 +12 56 - 63 +14 64 - 71 +18 72 up +20 Table 3-20. Solar Water Heatinz With Gas Backun Points wood stove #33 point�s-(no back up) casablanca fan + 1 point Multlfamil� (pir unit points) System Type Points Floor Area CBS Only 0 Net Solar Fraction (NSF). 0 per UnAt. Reqlstancp Backup Mer!cinj the Require - menti iti Fact 2 0 f tz -40 0.9 10-19 20-29 30-39 40-49 50-59 60-69 70-79 600-799 0 +3 +7 +1 () +14 +17 +21 +,' 4 800-999 0 +3 +5 +8 +11 +14 +16 +19 1,000-1,499 0 +2 +4 +6 +8 +10 +12 +14 1,500-1,999 0 +1 +3 +4 +6 +7 +8 +10 ,roo. and up 0 *1 +2 +4 -6-5 1 +6 +7 +9 All others (pe building pnints) 8U0 -P99 6- +5 + 1 +19 +2 +29 +3 900-999 0 +4 +9 +1 +17 +ii +26 + 3;) 1 . 0 0 0- - I -, 19 9 0 +4 .1-7 +11 +15 .1-19 22 +26 1,2k,1,499 a +3 +6 +9 +12 +15 418 +21 1,50(1-1.999 0 +1 +5 +7 +9 +12 +14 +1e 2,000-2,999 0 +3 +5 -t 7 +B +10 +11 -0 n- 3. nC. .d tio 0 +4 +5 17 43 +10 Table 3-21. Othtr Water Heating P a. System Type Points CBS Only 0 Beat Pjap 0 Solar with Electric Reqlstancp Backup Mer!cinj the Require - menti iti Fact 2 0 Eleccric Resistance -40 cr ,