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079-090-003
M EDA HART MARTIN Q J� J #90Melr s Drive, lot 3, Copley Acre§� `�' Iq 0 c " V03 #2, Oroville Permit#571-83B,P,E;M,(new single family) F � Permit-�A891-84B�E(conv carport to ga.,�) SF - ! J FERNS M j 90 M ose, Oroville Permits 2-86B,P,E(convert utnflnhed r attic -to '1 ng area/SF) 1 Contr; ibel AC t ! Permi #1339-86E,M(misc wiri, Sys m) I'1 03-3600. BRAZIL, RICHARD 't t 90 MELROSE DR, OROVILLE� Cont: GRADY BRAUN CONY GARAGE TO LIVING 1 • . ' 1 or 4 0- 05-0214 BRAZIL, RICHARD 90 MELROSE DR, OROVILLL" , 'Cont: GEORGE ROOFNG ' REROOF 21 SQ 05-0510 :'BRAZIL; R CHARD `1 90 MELROSE DR, OROVILLE { Cont: OWNER NEW ELEC PANEI, ` I raft% BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. P050510 B. C. Building Permit 01-16-04 pp 1 LICENSED CONTRACTORS 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 Issued Date: 02/24/2005 APN: 036-760-003-000 the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Site Address: 90 MELROSE DR ORO Date: Contractor: Map Index: . Description: new elec panel OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: BRAZIL RICHARD W & LUCINDA J to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 90 MELROSE DR 7000) of Division 3 of the Business and Professions Code) or that he or OROVILLE, CA she is exempt therefrom and the basis for the alleged exemption. Any 95966 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, 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 (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: BRAZIL RICHARD W & LUCINDA J such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one 90 MELROSE DR year of completion, the owner -builder will have the burden of OROVILLE, CA proving that he or she did not build or improve for the purpose of ale.). 95966 I, as owner of ..the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' Slate License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.) - Contractor: ❑ I am Exempt under Articleofthe Businessand Professions Code /3 ' cl /05 c=`•'u� i AIL Date: Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the License #: Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of Architect: the work for which this permit Is issued. My workers' compensation Engineer: insurance carrier and policy number are: Carrier: otal Square Ft: 0 S. F. Policy #: I certify that in the performance of the work for which this permit is Valuation: $0.00 issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, Census Code: and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall 6= forthwith comply with those provisions. Date: OZ/�`�! •5 �Lf�� Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one 2 hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit Is h9feby IssueSLuRdfiFr the pp icable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolutions wor ' dica abov for `!y ch fees have been paid. t� 2 �G performance of the work for which this permit is issued (Sec 3097 Civ.) ro 2 " • r By Date: Name: Z"' Z -/^b G PERMIT EXPIRES ON: Address: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives Butte Counry to enter upon the above mentioned property for inspection purposes ja 4'Z �lN/ Print Name: 1 \ j G► lir Nr L' Signature: oC/(7Z �! Date: V Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pp 1 BUTTE COUNTY DEPARTMENT OFDEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICA TION Website: www.buttecounty.nettdds "PLEASE PRINT CLEARLY* OWNER Last Name�%p�V L //II �� First L e Address a � I &Ir0 5 e '61 - 1,City City 0 rG 6'1149 _ State ,, Zi19 61" Phone �J^3�— Fax E-mail u A IS �=g IV �• rt�fi APPLICANT SIGNATURE X AdUAd For office use only: CONTRACTOR Name I ra 2 i / Address qAddress Q 5 64 �` City Occ. State Zip Phone Page Fax E-mail Date Approved: Lic. # Class APPLICANT SIGNATURE X AdUAd For office use only: ARCHITECT/ENGINEER Name I ra 2 i / Address qAddress Q 5 64 �` City Occ. State Zip Phone Page Fax E-mail Date Approved: State License Number APPLICANT SIGNATURE X AdUAd For office use only: APPLICANT NAME Name I ra 2 i / I qAddress Q 5 64 �` City Occ. State Zip Phone Page Fax E-mail Date Approved: APPLICANT SIGNATURE X AdUAd For office use only: Zoning Pro erty Address Inafa s� O r • I Flood Zone I SRA J Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO. BP BIN # LOCATION AP# o,�, G— 7 6 0 r- o Pro erty Address Inafa s� O r • City o ra yr /LQ Cross Styept 'n �r N,t, WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: 'k0 vy., to p to ZU n Sq. Footage O Structure Built without Permits 0 Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Page 1 of 2 Received by, Amount: Bldg Y? -7 SRA Receipt #: Sheriff SMIP Other Date: Total REV 7-27-04 t/ 1 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.) ❑ .5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. , ❑ 6. Manufactured homes: (A) Data'sheets and installation inst,,.(B) Marriage line info, (C) Floor Plan,. (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D).'Ploor plans in triplicate. All of these must be stamped and wet -signed by the engineeY; ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. . ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). ❑ 13. Sanitation and site plan approval from the Environmental Health Department. Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ -3. California Dppartment.of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this; process, contact a Permit Application Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION Al: (530) 538-7636.(OROVIL'LE) (530) 891-2834 (CHICO) OFFICE M (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.neAdds t9. PERMIT NO. P050214 LICENSED CONTRACTORS 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 .Issued Date: 01/31/2005 APN: 036-760-003-000 the Business and Professions Code, and my license is In full force and effecLcenlseClass: -3! 'J.�l Site Address: 90 MELROSE DR ORO License Number: 91 `' J -OS" Contractor. Map Index: Description: re roof 21 squares OWNER -BUILDER DECLARATION V I hereby affirm under penally of perjury that 1 am exempt from the Contractors' Stale License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city•or county which requires a Owner: BRAZIL RICHARD W & LUCINDA J permit to construct, alter. Improve, demolish; or repair any structure, prior to Its Issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of 90 MELROSE DR the Contractor's State License Law (Chapter 9. commencing with Section 7000) of Division 3 of the Business and Professions Code) or (hat he or . OROVILLE, CA she is exempt therefrom and the basis for the alleged exemption. Any 95966 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the properly, or my employees with wages as their-, , sole compensation, will do the work, and the structure Is not r: ; Intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Lew does not apply to an Q IlCant:,,GEORGE ROOFING pp owner of property who builds or Improves thereon, and who does i' " such work himself or herself or through his or her own-, employees,. provided that such Improvements are not Intended or offered, for 6810 LINCOLN BLVD sate. If however, the building or Improvements are'soldiwllhin one,; year of completion, the owner-bullder will have the ;burden of , :. t;4,j ,. , 'i • ;'OROVILLE, CA 95966 ;,� i proving that he or she did not build or Improve for the purpose of(530) 533-6393 sale.). ❑ I, as owner of the property, am exclusively contracting with '. licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' Slate License Law does not apply to an owner of property who builds or Improves thereon, • Contractor: GEORGE ROOFING and who contracts for. such projects with a contractor(s) licensed pursuant to the Contractors' Stale License Law,), 6810 LINCOLN BLVD ❑ 'I am Exempt under Article 3 of the Business and Professions Code OROVILLE, CA 95966 Date: owner: I 1,'rG ,• (530) 533-6393 " ' •' License #: 452266 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarallons„ ❑ 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. I have and will maintain workers' compensation Insurance, as Architect: Engineer: required by Section 3700 the Labor Code, for the performance; of ' the work for which this permit Is Issued. My workers' compensation Insurance carrier and policy number are: Carrier.lrrir _ otal Square Ft: 0 S. F. Policy a: Valuation: $0.00 ❑ 1 certify (hat in the performance of the work for which this permit Is Census Code: Issued, 1 shall not employ any person In any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' . compensation provisions of Section 3700 of the Labor Code, I shall forthwllh comply with those provisions. �— Dale• J Appllcanl:�=41 U > Is WARNIIJQ; Fellure (o secure workers' compensation coverage „e unlawful, and shall subject an employer to criminal penalties and on hundred thousand dollars ($100,000), In addition to the cosi of compensation, damages as provided for in Section 3706 of the Labor code, interes(, and attorney's fees. / CONSTRUCTION LENDING AGENCY ,' .� 't , This permit Is eby issued under I s app' . le provisions of the Bufla County Cody+ enrtlor I hereby affirm that there Is a construction lending agency for` the' i!'1 , Resolution do work In eve fo whic fees have been paid. performance of the work for which this permlt'is Issued (S'ec 31)97 CIV:) 7— Name: E• B Date: Y PER T, IRES ON: Address: Date ❑ 1 hereby certify (hal the use of this facility shall comply with Section's 25505, 25533,' and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials.. J <. ❑ Notification In accordance with Section 19627.5 of California Heallh &I Safely Code,is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. nollficatton forms.. I hereby certify that I have read this application, that the above Information is correct, and that'l amrthe owner or the duly authorized agent of the owner. I agree to comply with all county and slate laws relating to building construction. I acknowledge It is unlawful to eller the substance of any official form or document of Butte County. I hereby authorize representtattives of Butte County upon the above mentioned property logy Inspection purposes. , Qtoenter Print Name: /T/ L/ i//CC� �•� 'Signature' Dale U Owner ❑ Contractor Xgenl for Owner ❑ Agent for Contractor 1 ,ti, BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES Ua* •• yxr..,r BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION #: (530) 538-7636 (OROVII.LE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION APPLICANT SIGNATURE X S i e r wj Age t or Geor a oofing For office use only: OWNER Name Richard Brazil Address 90 Melrose Dr. City Oroville State CA Zip 95966 Phone 534-8112 Fax E-mail Lic.# APPLICANT SIGNATURE X S i e r wj Age t or Geor a oofing For office use only: CONTRACTOR Name GEORGE ROOFING Address 6810 Lincoln Blvd City Oroville State CA Zip Phone (530)533-6393 Fax (530)533-0287 E-mail dan@abcgc.com Lic.# Class dan@abcgc.com 452266 1 C39 APPLICANT SIGNATURE X S i e r wj Age t or Geor a oofing For office use only: ARCHITECT/ENGINEER Name N/A Address 6810 Linocln Blvd City Oroville State CA Zip Phone (530) 533-6393 Fax E-mail dan@abcgc.com State License Number APPLICANT SIGNATURE X S i e r wj Age t or Geor a oofing For office use only: APPLICANT NAME Name GEORGE ROOFING Address 6810 Linocln Blvd City Oroville State CA Zip 95966 Phone (530) 533-6393 Fax (530)533-0287 E-mail dan@abcgc.com APPLICANT SIGNATURE X S i e r wj Age t or Geor a oofing For office use only: Zoning Flood Zone $RA Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. NO. BP OS © 2V BIN # LOCATION AP# 036— —?60-003 Property Address 90 Melrose,Dr. Oroville, Ca. 95966 Cross Street WORKER'S COMPENSATION Policy Number 272-596-02 Carrier STATE FUND If hiring anyone other than license contractors, a certificate of workers compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work Reroof - House - Comp Sq. Footage 21 Squares ❑ Structure Built Without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount: / 2i % Bldg ( SRA Receipt #: �yJ Sheriff Cf f 0, / SMIP Other Date: / �/ d j 7 % Total REV G R f . eorge oo ing rt 1 i COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION i NOTICE Post this job card .in a safe, conspicuous place. Do not remove until all required inspections are made and building is approved for occupancy. Plans must be available on the lob site. 036-760-003 03-3600 A. P. No. BRAZIL, RICHARD ' Owner 90 MELROSE DR, OROVILLE Cont: GRADY BRAUN Contractor _ CONV GARAGE .TO LIVING Permit No. _ PERMITTEE MUST CALL FOR INSPECTIONS INSPECTION DATE INSPECTOR Footings Piers Underground Conduit Pre-Gunite Underfloor Plumbing - Underfloor Electrical Underfloor Mechanical Underfloor Framing Slab a COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES _ 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive * Oroville, CA • (530) 538-7541 . CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office imm diately. /67 7 �,le-1 A Date 4-1 Inspector REV. 10/92 ;;r;; ;,,COUNTY OF BUTTE • • • . BUILDING DIVISION . DEPARTMENT OF DEVELOPMENT SERVICES y "+ 411 Main Street • Chico, CA • (530) 891-2751 ? 7 County Center Drive • Oroville, CA • (530) 538-7541 1. + CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. NOTES't RESIDENTIAL 03-3600, PERMIT NO. -BRAZIL,-R I 90 MELROSE DRf_OROVILLE,' ,. Cont: GRADY BRAUN,, r CONV GARAGE TO LIVING. t Y 6 - ""SPECIAL CONDITIONS �f CHECKED - BY SRA . FLOOD CERTIFICATE REQ.. FIRE SPRINKLERS REQ. }I SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER, I/V/7 JOB FINALED (Date) ` Signature ` J OK o = Not OK . = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or/ /" L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utilitv Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s _ 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged . 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date 1. Card B-1 - Date Card B-1 Date 3. Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. 1. Zoning Requirements -Setbacks -Easements Electric 8. 2. Footings; Size -Spacing -Marriage Line Siding; Nailing -Veneer -Stucco -Mesh 10. 3. Blocking Ext.; Steps -Doors -Landings 12. 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date 'Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 . Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. . Boxes- Enclosures- Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date. Card B-1 = OK = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Sternwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation Date Card B-1. Date Card B-1 Date ELECJR(CAL (Permit) OK except #'s ixture & Transformer Clearance -Ins. Protection lececeptacles Spacing -Lights & Switches at Doors 9 z ,Boxes & No. of Conductors Stapled omex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /qa. Cu or AI-A.C. Wire Size/ /qa Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral ❑ Yes ❑ No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Date-/ � Y/L% Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECtWhICAL (Permit) OK except #'s J�A.QeDucts Insulation & Support Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMI (Permit) OK except #'s ills oper Materials & Anchors al tuds-Nailing Spacing & Braces -Plates -Sound 4 earing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire ps, Furred Ceilings -Stairs -Chasers -Tubs eaders & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties- Purl in -Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailinq-Bolts 61. Brace Interior/Exterior Wall Panels 63. Date..( %- / (,<- C44Card B-1 4K/ / Date Card B-1 Date Card B-1 / Date Card B-1 Date FINA tans) OK except #'s ext -Steps -Door & Sidelight Protection -Landings Smoke Detector 66. Furnace Vents-clearanc - qpb, Air -Connector - In Garage; Above A r -Du ech. Protection 68. ath Ixtures cess -Spa DW-Elec. Trim & 70. 7 - 7Ext 7 _ coking Clearance unter re oor; wing -Landing -Closure 7 r onnector-P.R.V. in G oor-Mech. Protection Elec. & Mech. Equip. Isted for Location 79. Elec. )-Romex Protection &,4nsulation-Foam-Looked in Attic 8 ction-Post Caps 8 Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes Iks U Yes U No/Planters O Yes O No 84. 85.Elee rical-Plumbing n s ove Roof, P g- ppla -Fireplace-Clearance to Openings er e , Isconnec , , Numbing xterior Elec. Trim, G.F.I. Receptacle -Underground entilation Throughout House Gla rotection Apotorrections from Previous Inspections 9 lectric 3. W Grade -HD Approval Energy Compliance Certificate -Other Certificates 95- Address Pe -191 9 Fire S rinkler Date Dy 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: 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test Date Card B-1 Date Card B-1 Date Card B-1. Date Card B-1 Date ELECJR(CAL (Permit) OK except #'s ixture & Transformer Clearance -Ins. Protection lececeptacles Spacing -Lights & Switches at Doors 9 z ,Boxes & No. of Conductors Stapled omex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /qa. Cu or AI-A.C. Wire Size/ /qa Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral ❑ Yes ❑ No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Date-/ � Y/L% Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECtWhICAL (Permit) OK except #'s J�A.QeDucts Insulation & Support Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMI (Permit) OK except #'s ills oper Materials & Anchors al tuds-Nailing Spacing & Braces -Plates -Sound 4 earing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire ps, Furred Ceilings -Stairs -Chasers -Tubs eaders & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties- Purl in -Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailinq-Bolts 61. Brace Interior/Exterior Wall Panels 63. Date..( %- / (,<- C44Card B-1 4K/ / Date Card B-1 Date Card B-1 / Date Card B-1 Date FINA tans) OK except #'s ext -Steps -Door & Sidelight Protection -Landings Smoke Detector 66. Furnace Vents-clearanc - qpb, Air -Connector - In Garage; Above A r -Du ech. Protection 68. ath Ixtures cess -Spa DW-Elec. Trim & 70. 7 - 7Ext 7 _ coking Clearance unter re oor; wing -Landing -Closure 7 r onnector-P.R.V. in G oor-Mech. Protection Elec. & Mech. Equip. Isted for Location 79. Elec. )-Romex Protection &,4nsulation-Foam-Looked in Attic 8 ction-Post Caps 8 Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes Iks U Yes U No/Planters O Yes O No 84. 85.Elee rical-Plumbing n s ove Roof, P g- ppla -Fireplace-Clearance to Openings er e , Isconnec , , Numbing xterior Elec. Trim, G.F.I. Receptacle -Underground entilation Throughout House Gla rotection Apotorrections from Previous Inspections 9 lectric 3. W Grade -HD Approval Energy Compliance Certificate -Other Certificates 95- Address Pe -191 9 Fire S rinkler Date Dy 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: Insulation Certificate BUILDING OWNER: i L, .) R 1C1,4 f BUILDING PERMIT #:03 - BUILDING LOCATION: qj O Y `n pA ro 5 - - Description of Installation ROOF - i\//A- Material Brand Name Thickness (inches) Thermal Resistance (R -Value) CEILING fl Brand Name Q. Batt or Blanket Type cr'��a Thickness (inches) Thermal Resistance -(R -Value) rZ-36 Loose Fill Type Brand Name Contractor's minimum installed weight/ft lb Minimum thickness (8 inches Manufacturer's installed weight per square foot to acheive Thermal Resistance (R -Value) EXTERIOR.WALL �d� Material Ft b -en z I Q5S Brand Name r. Thickness (inches) 302- "` Thermal Resistance (R -Value) RAISED FLOOR AJ IA - Material Thickness (inches) SLAB FLOOR - d ( t�- Material Thickness (inches) Width (inches) _ FOUNDATION WALL AJ /,4 - Brand Name Thermal Resistance (R -Value) Brand Name Thermal Resistance (R -Value) Material Brand Name Thickness (inches);.rural Resistance -(R -Value)— Declaration 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. General Contractor (Builder) "�igd Title 4 V15_ ulation Installer) ignamr Title THIS CERTIFICATE MUST -BE APPROVAL AND A COPY S t y�. License Number Date License Number Date PROVIDED TO THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION HALL BE POSTED WITHIN THE BUILDING. JANUARY 1993 Insulation Certificate BUILDING OWNER �,�'� D �— • �. �Ca/lQ �� � BUILDING PERMIT 0: 07� _ fib_ JBUILDING LOCATION: G � �' ® �,a 0 0 r 0\41 d [e , cai Description of Installation ROOF - /\/Mt Material Brand Name Thickness (inches) Thermal Resistance (R -Value) CEILING Batt or Blanket Type Brand Name t CAY4 1 A Thickness Cinches) Thermal Resistance.,(R-Value) (Z -5 Loose Fall Type Brand Name Contractor's minimum installed weight/ft lb Minimum thickness 16 inches Manufacturer's installed weight per square foot to acheive Thermal Resistance (R -Value) EXTERIOR -WALL Material Ft b ex G I Q 5S Brand Name P,44a � - Thickness (inches) - 'i Z- "„ Thermal Resistance (R -Value) RAISED FLOOR N/ Material Brand Name Thickness (inches) Thermal Resistance (R -Value) SLAB FLOOR (- Material Brand Name Thickness (inches) Thermal Resistance (R -Value) Width (inches) FOUNDATION WALL A% ��- Material Brand Name 'Thickness (niches) --,, anal Resistance (R -Value) -----_....____-: Declaration 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. General Contractor (Builder) ignatje and Title car m ulaaion Installer) V J a'Signatur Title License Number Date License Number Darr. 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 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95,965 • Telephone (530) 538-754 r PERMIT NO. (Rev. 12/96) APPLICATIOtiAND PERMIT �' ` `� ���4xz� ASSESSORPARCELNU. ER • _ 7466 _00 ZONING BUILDING PERMIT OWNER ����� Q T /��Z Bch k rnl �/Jl J 4pJ( LEPHONE V�� SO. FT. OCC. BUILDING VALUATION n T� 37o u-1\ 7800.00 . OWN 5 MAILING ADORES ®� p� � �, 1,e-�� U �IlTELEPHONE CONT CTOR'S NAME CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $99.00 ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS %0 Energy Plan Checking Fee $23.00 D 1,6 V 14 C G PERMIT FEE $206.35 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 1 7.00 Solar or heat pump water heater 1 23.00 Water piping 15.00 Each as water heater or vent 15.00 — /TYPE OF WORK New ❑ Addition ❑ Remodel VILItilities ❑ Installation ❑ �O(theer ❑ Describe Work: C6 (JP,I-I gara f e_ /y Gas piping stem 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service AOR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 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 I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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 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 Main Service 200A TO 1000A 46.00 NEW CONST. DWEWNGOCCUP. OR ADDNS. ( BACC. BLDS. S° 3.5¢sT. 13,65 =,RE ,o MULTI -OUTLET BRANCH 97,50 POWER APPARATUS 8 sINOLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 00 @' .50 50 BAL � LNS Ex. Occup. oUTLEE°�sA aEs,D,°En 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating 9 TON 20 00 Cooling 25 00 Hood 6.50 Ventilation DUCT EXTENSION 115.00 PERMIT FEIE $ A6. 00 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.) 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. ��j�A� X `�'ll�— Date• r) . Signature of Applicant - ❑ ner ❑ Contractor ❑ Age t An OSHA permit is required -for excavti over5'0"-deep and demolition or construction of structures over'3" stories in height." Mobile Home Installation Fee $ Energy Inspection Fee $ cc oCONST. TYPE R3 VN TOTAL FEE $ 366. QO �.AZ. D. FEES IMP FLOOD CDF I PARrFj I.2n_LkLD_I ISSUE This permit is hereby issued under the of the Butte County Code and/or indicat for which fees have By PERMIT EXPIRES ON Z applicable provisions Resolutions to do work been paid. Date (7 ,S F0 Def Receipt No. WHITE-D.D.S.-B.D. CANARY-ASSE SOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION PERMIT NO. 7 County Center Drive a Oroville, California 95965 • Telephone (530) 1 2/96) APPLICATION AND PERMIT 3 LA"I COO _ O3 zowNG /a _ BUILDING PERMIT ESSOR PARCEL NUMBER 1F'� TELEPHONE SO. FT, OCC. BUILDING VALUATION Wn S MALING ADDRESS`V I _ r r _ Clcq TELEPHONE ,ONAME CONTRACTORS MA -NG AD RESS Illk NSTRUCTION LENDER Fireplace ERS MA[UNG ADDRESS Total Valuation $ LICENSE N0. Firm Fee $ .00 ARCNrIECT OR ENGINEER Permit Fee • $ ARCHITECT OR ENGNEER13 MAILING ADDRESS • Plan CheckingFee $ BUILDING ADDRESS Energy Plan Checking Fee $ 3. $ -L�' CIL S V�1T 2' PERMIT FEE $ CoP1 LOTNa. SUBDMSIONSNAME p�� gQ �w 9 qS-�3 PARCEL MAP PLUMBING PERMIT Feng Fee 20.00 C7 1 J 1 Each Trap 7.00 USEOFSTRUCTURE Solar or heat pump water heater 23.00 Water piping 15.00 SF Duplex ❑ Mobilehome ❑ Other s�ffy Each gas water heater or vent 15.00 TYPE OF WORK Gas piping system 1 - 5 outlets 15.00 15.00 New ❑. Addition ❑ Remodel 13 Willies ❑ instBiiation ❑ Other Building sewer S G W @20.00 Mobile Home Describe Works lJ PERMIT FEE $ /Y ELECTRICAL PERMIT FiMg Fee 20.00 S / Main Service www oR L� 23.00 Main Service 2WA TO !!0 A 46.00 NEW CONST. DWELLING Occup. 3.5¢FT. OR ADDNS. a ACC. BLDS. GJ raNREs%' MUL1FOLrTtFT @7.50 PERMIT, FEE PAID $ p°W°'APp a srNGLE oLmE7 dR m @ Loo Ex. Occup. OVn.ET OR FUTURES L SAL @ .50 FD® APPI16. OR 5.00 N�'. / Ex. Oceu ovrLE�s ro. Ea SRA $ �f�V/ V Temporary Service 23.00 Mobile Home Facilities 20.00 Mise. Wiring 23.00 SHERIFF $ PERMIT FEE $ 33. MECHANICAL PERMIT Filing Fee 20.00 $ Heating OTHER CooruTg Hood 6.50 Ventilation $ r PERMIT FEt S Mobile Home Installation Fee $ $ Energy Inspection Fee $ COCCO TOT17-5 e L FEE $ �U ` �� NAL. D. FEES MP CDF CEL �UE AMOUNT RECEIVED This permit is hereby issued under the applicable provisions // of the Butte County Code and/or Resolutions to do work AE RECEIVED `` ^ � ��� indicated above for which fees have been paid. �D/p� �/f By Date ti --"i."�►•.'�•I+'•:�+r."-�..1.•v..'n'Y'a'."..rrvr .r..�. .i _ - •�.. ... ..y.., nsrn -rte-. � .�,,, vc-_+'.-' .;+.-.: ;. ::_. . 63-36,0 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICA'T'ION DATA SHEET OWNER: 6-0--il I ASSESSOR PARCEL NUMBER - 7(O Proposed Building Use: _jAJ Counter Technician.kcK Date: t s required in order to apply fof` permit. II boxes MUST be checked OR marked NA in order to apply. 1 . Site plans�r etts, signed by the preparer of the plans. 2. Complete plan( 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ,/4. Engineered truss details and layouts in duplicate. No faxes! J5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. I Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ........................... ❑ 9. Site plan and business license approval from the City of Biggs ............................... ❑ 10. Letter of intent for non-residential buildings........................................................ ❑ 11. Detached Accessory Building Form filled out by the owner ................................. ❑ 12. Hazardous Material Form............................................................................... ❑ 13. Fire Sprinklers............................................................................................ ❑ 14. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 15. Other Reg items needed to issue the permit. (May require additional plan re iew upo receipt o th f win�i 16. Fees as shown on the attached Schedule of Fees Due Sheet ... 5C.la.,1,. ❑ 17. Statement of Intent for Non -heated and A/C Buildings ........................................... 018. Sanitation and site plan approval from the Environmental Health Department ❑ 19. City of Chico Plumbing permit........................................................................ ❑ 20. California Department of Forestry plan approval ❑ paid. Sent by: ...................... ❑ 21. Planning approval for (A) Use: a K (B)Parking: (C) Parcel Check: ❑ 22. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 23. NPDES Form............................................................................................. ❑ 24. Encroachment Permit for driveway from the Public Works Dept ................................. ❑ 5. Pre -Inspection for required ................ 6. Contractor's license information. (Number, Name Style, Classification) ...................... . V7. Worker's Compensation Carrie;4nd Policy Number ............................................. 28. Owner -Builder Verification (Etiven to owner, ❑ Mailed to owner) ..................... ❑ 29. Letter of Signature authorization.................................................................... ❑ 30. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 31. Manufactured home utility clearance............................................................... ❑ 32. Existing violations and/or expired permits......................................................... 33. ❑ Grant Deed ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. % 5 34. Other: �G&4 then issued Telephone,.S_ 91) V/ Vfi;Of and hold for, pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: ladl Or -6A Date: 1. Index permit application for the above items numbered. Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division School District A.P. Number Property Owner BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) onu I Building Department No. County Property Location/Address Subdivision Lot No. Residential Development .............. Sq. Footage zoo. No of Living Mobile Home Addition/ *Supplemental to (Group R) Units Installation Conversion Permit # *(No foundation Inspection) i ........................................................................ 1 ....................... . .... Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/IndustrialSq. Footage Yo Now Addition t (including Exterior Roofed Areas) Building Department Representative Date' District Identification No. �gY School District certifies that -4 Address) (Applicant)) (Phone Number) L-71 (City) Istate) (Zip Code) hbs complied with the requirements of Resolution No. /Il by payment 6f $ i representing )* --- square feet. Representative Paid by Check # Remarks: 2926 FULL MMIGATION Date Notice: You may protest the Imposition of the fen Identlfled above by submitting a written protest to the Disbict. In compliance with Gamiunent Code Section 66020(a), within 90 days from the des fen am pall. Fallure to submit a timely wrttten protest will'prohibIt you ham challenging the Imposhtlon of the fees In any court action. M. subsequent to the School District RepresentatIve sloning of Butte County Schools Impact Fee Certification Form, the School District Is nodftd by the applicable Local Planning Agency that dft p oj et le being mevievwd under the Celffornia Environmental Quality Act (CEQA), dftp old may besuloctlioaddittional school fees tofury n-1, Impact on the school disbUft schools. fteform.)ft (10/03)dmm O.B.-1 OWNER -BUILDER VERITICATION 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 ❑ . 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 !tel CAr9(e)% 00 t7 V 9 SIGNED: PROPERTYOWNER: &AGP SOCIAL SECURITY N/I AMER:_ DATE:__ NOTF: 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. M I OWNER BUILDER INFORMATION 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 ofrecord 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 Stats 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. Ifyouplan 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: ♦ 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. ♦ 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. 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 "owner builder" 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 contactors may be obtained by contracting the Contractors Stats 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 mattsrs. The building permit will not be issued until the verification is returned. rely. /X Mic 1 C. Vi ira, C.B.O. M ger, Building Inspection NOTE. 77ils Owner -Builder Information is required by Section 19830 of the California Health and Safety Code OVER '- N 89.45'00" E 248;71' 00') I 1e8.71.'' r FD, ' u. S -ry ? - 1 -l'o.coo' P . oo I p 4 0. s24 Ac .LO z I p , , w N 89045'00" E �tj SCAI_ 187-40' ''0 Ocr 11- Y I 0 10 0 cli LEG 1 z W P Im 0.322 Ac.. O o 1 n �^J > _ w ►~ Fd I tI` 1 cn O Se N 89°45'00'�E { C;,10.10' t /-� �-�l LC EAST I 0 186-09. _ 6.0.10 i t - RI S WI I m o QST 10.10 U) 1 O O 0.3 9 AC. to T 0 Lo N 89°45' 00" E p W18448 o' O O 1 O 1M M L O _ o �,D ,o I �.o lz z t ~ 6 40 _ �— Io' SF -WF -;—z183-471 l-It4F- F-ASEnN';- 5 1 ' 213.47' --�. B E PERMIT NO. 891-84B, PERMIT EXPIRES��' OWNER FRIEDA HART MARTIN CONTR. owner ASSESSOR PARCEL .36-.76-3 LOCATION 90 Melrose Drive, Oroville _ i t. i ' 0 , a l 0 v 3 y i C Temp. Power Pole Called'PG&E $ Temp. Elec. Service ,d Called PG&E r Temp. Gas Service 1 Cal led PG&E JOB FINALED (Date) 2A Signature J = OK O = Not OK Not Applicable 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; Location -Test -Easement Needed (Sketch) 4, Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance _ 7. Elec. Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1, Zoning Requirements -Setbacks -Easements Card -BI Card -BI Date Date Card -BI Date _ Date Card -BI Date POOLS (Plans) OK except #'s r 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- Enc losures- 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-1 Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date , i = OK = Not OK = Not Applicable = Not Ready RESIDENTIAL (Vngle and Duplex) Date UNDERFLOOR Plans OK except N's Date FRAMINA-(6ontinued) 1. Zoning requirements -Setbacks -Easements 48. ropertykirriz- irewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Fig. Depth 49. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Staff Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51,-I!`r_1yypod'on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52-�_iding-Nailing-Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 7. Piers -Fireplace Ftg.-Steel 53. 54. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test _ 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -S IIs -Anchor Bolts -Joists -Vents -Cripples Card -BI ate Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FIN (Plans) OK except N's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except p's 56PExt. St oor & Sidelight Protection -Landings 5,77 -Smoke Detect _ 14. Water Ht.; Vent -Access -Combustion Air 58. F� encs -Clearance -Comb. Air -Connector - -In Garage; Above Floor -Ducts -Meth. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. _Bedroom Exiting _ 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access _ 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. &,n - xCard-BI Card -BI Date Card -BI Date 65. Kit. 'xt. A Appliance; Grnd.- it Cookin Clearance Card -BI Date Date Card -BI Date ELECTRICAL Permit OK except q's 66. 67. 68. Ele 64ks & aeceiltac s Counter GarAgq Fre Do ; SwhWkYhdi Closer A.C. t i Damper --- 20. Fixture & Transformer Clearance -Ins. Protection 21. Elec. Receptacles Spacing -Lights & Switches at Doors 69. Wtr. tr.; t -Clearance-C Air-Connector-P.R.V.- In G a • Above Floor-Mech. Protection _ 22. Size Boxes & No. of Conductors -Stapled 70. Plb Elec. &Mech. Equip. Listed for Location 23. Romex Installed Close to Edge of Studs & C.J. 71. EI c. Receptacles in Garage; (G.F.I.)-Romex Protec. --_ 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 72 , Insulation -Foam -Looked in Attic E] Yes -- 25. 2 Appliance Circuits in Kitchen & Conductor Size 73. Guard Rails & Deck Construction -Post Caps -- - - 26, Subfeed Wi,e Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, insulated Neutral ;-'Yes ❑No 28. -Service-Riser Conductors & Ground -Main Disconnect 74. 75. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes Following instld.: Drive ❑ Yes ❑ No; Walks C Yes ❑ No; Planters ❑Yes EJ No 76. Stucco; Brown -Finish - 29. Equip. Clearances; Panels-Motors-Mech. Equip. 30. Clothes Closet Light -Shower Light _- 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 78, Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. - - ---------------- ------ --- -------- Card B -I _ Date Card -BI _ Date --- - Card B -I Date Card -BI Date 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House 82. Glass Protection Date MECHANICAL ;Permit) OK except q's 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric - 31. A.C. Ducts; Insulation & Support - 32. Vent-Fan:_=xhaust above Insulation - 33. _Condensate Drain _& Overilow; Size & Grade 85. Water & Sewer Connected -C/O to Grade -HD Approval 86, Energy Compliance Certificate -Other Certificates Card -BI Card -BI 34. Furnace -Vent; Access-Comb._Air-Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic -- - -- - - -- --- -- .-------_-._-- Date Card -BI _- Date Date Card -BI Date Card -BI Date and -BI Date Card -BI Date ZI V Vard-BI Date Card -BI Date Card -BI Date Date FRAMINGns OK except p's Comments at Final: 36 1 Proper Material & Anchors 37. Walls; Stud>_ -Nailing, Spacing & Bracing -Plates -Sound_ 38. Bearing Walls over Girders to or Nailing__ _ 39. Draft_ Stop in Walls (rat proof) _ 40. Fir Sto Furred Ceilings -Stairs -Chases -Tub 41. Heal & Beam -Size & Bearing 42. H gers-Post Caps -Anchors -Connectors 43. Cing. Joist-Rfir. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfnq. 44. Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic ess: Size &Romex Protection -Draft Stop -Ins. Baffles _- 46. Bd Windows or Exiling Doors -Sill Hgt. & Dimensions - Garage Fire Protection Framing J (NOTE:Anent.ymust be made each time youvisit jobsite) 4<ti1 f PERMIT NO. _ 571-83B,P,E,M PERMIT EXPIRESQV/6 1 OWNER, FRIEDA HART`MARTIN CONTR. owner ASSESSOR PARCEL 36-54-20 & 21port LOCATION #90 ,Melrose Dr, lot 3, Copley Acres s� Orbville Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E��%� _ Temp. Gas Service " Cal led PG&E JOB FINALE[ Signature = OK 0 = Not OK �- = Not Applicable MOBILEHOMES MISCELLANEOUS = Not Ready 1 Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors _ 3. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) _ 4. Wood Awn.; Posts-Beams-Rttrs.-Connec.-Shing.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -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 -61 -Date MOBILEHOME INSTALLATION (Plans) OK except q's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date _ POOLS (Plans) OK except N's 1. Setbacks -Easements - t 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 5. Drain; MH Test -Fall -Flex Connector 4, Elec.; Receptacles and Lighting; Distances-GFI 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 -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test i - Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -B1 Date Card -BI . Date r O! V=OK - 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR (Plans) OK except#'s Date FRAMING (Continued) Z� 1. Zoning requirements -Setbacks -Easements 4 II & Openings Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth t. Doors -One 3' -Check Garage -3rd story, 2 exits 3!Ttg., Garage; Soils -Steel- / /" Ftg. Depth tairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. F g., PorchBs & Decks; Soils -Steel- / /" FtgDepth wood on Roof Overhang- Attic'Vents- Rafter Outriggers St walls, vlain; Steel-Blockouts-Wrapped-S ing-Nailing-Veneer 6 temwalls, Garage; Steel-Blockouts-Wrapped-SI 5 - p Screed-Fdn. Vents-Underflr. Access mg Area -Glass Protection -Skylights -Plastic 7. Pi -Fireplace Ft .-Steel - W.V.: Fal-Fittj,pgs--t6gl-2.w"-,C'/O-Se Test 9. Gas Pipe; S ze-Anchors 55 s; et ng -Bolts 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Unierground 12. Plenums & Cucts; Clearance -Material -Support -Ins. 13. Girders-Silla-Anchor Bolts -Joists -Vents -Cripples Date --Z-87 Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date .(P= Card -BI Date Date FINAL (Plans) OK except k's 56. E . Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's- . Smoke Detector _ 14. Water Ht.; Vent -Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 15. Wate ipe; Test & Anchors -Nail Protection W.V.; Test-Fttngs & Anchors -Nail Protection 17. Sho er Pan; -est, First Floor -Tub Access . Bedroom Exiting ().F.I. &Bath Fixtures &Tub Access est Tub & Svower, 2nd Floo 61-Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Siz: & Anchors tairs & Rails _ 63.�e..oc Stove; Clearances -Hearth 6 . . ut ets a ood Panel; Int. & Ext. Card-BI.�� Date and -BI Date Fixt. & Appliance; Gr ' .-Air -Coo Clearance Card -BI Date Card -BI Date E c. Outlets & Receptacl at K' . Count Date ELE ICAL Pe*rr.it OK except it's Garage Fire Door; Swio<-Laneffng-CloKr 68. A.C. Duct in Garage -Damper 2 F� & Trarsformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air -Connector P.R; .- In Garage; Above Floor -Meth. Protection . El Elec. Receptacles Spacing -Lights &Switches at Doors er ZDElec. & Mech. Equip. Listed for Location _ ize s &410. of Conductors -Stapled Fes•`• Receptacles in Garage; (G.F.I.)-Romex Protec. omex Installed Close to Edge of Studs & C.J. _ -- uip. Ground made up w/Mech. Fasteners -Bond Gas & WaterI lation-Foam-Looked in Attic E]Yes Guard Rails & Deck Construction -Post Caps 25. Hance Ci tufts in Kitchen &Conductor Size - d Wire See / Cu or AI-A.C. Wire Size / / ga. Cu or At ange Circ. / g r AI -Oven Circ. / / ga. Cu or At, Insulated Neutral ❑Yes ❑No 74. ents & Crawl Hole oor-Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 75, Following instld.: Drive ❑ Yes [:]No; Walks ❑ Yes ❑.No; Planters Dyes ❑No - -- ervice-Riser Conductors & Ground -Main Disconnect ae �rrrip. Clearances; Panels-Motors-Mech. Equip. 77. r--- rnish A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet _ 30. es Closet Light -Shower Light —_ 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. -------------------- ----- - C r I _ ate _ and BI Date Card B -I Date Card -BI Date 7 nett, Electrical, Plumbing xteri r Elec. Trim; G.F.I. Receptacle -Underground 8 en fi'titroughout House 82. ass Protection Date MECHANICAL (Permit OK except q's 84, 8 80e'—Energy _ Correc 'ons from Previous Inspections ed; Gas -Electric Wa Sewer Connected -C/O to Grade -HD Approval Compliance Certificate -Other Certificates 31._ts; InsL lation & Support ` _ent Fan; Exhar st above Insulation 33. s nn lanear_o n. :, o Overilow; Size & Grade _ 34. L"wxase--tVffrWf.ccess-Comb. Air -Return Air Vent -115V outlet 35. m if Furnace in Attic /Z_.-______— C9f8-BIU,��f'1 te� Card -B I_ Date Card -BI Date Card -BI Date Card -BI Card -BI i Date Card -BI Date Date Card BI Date Card -BI Date Card -BI Date Date FRAMI Plans) Oh except q's Comments at Final: _rraaft�Stop - ill roper Material & Anchors _--_ - aIl S�tuds-N_ai ing, Spacing & Bracing -Plates -Sound T9IBe g Walls_over Girders & Floor Nailing in Wall; (rat proof) 4 -!fir ops; Furrec Ceilings -Stairs -C -T _ ead Beam -Sze & Bearing angers -Post Caps -Anchors -Connectors - 4 Joist-Rftr. Pies-Purlin-Root Brac. -Trk-Shthnp.-Ring. or Type A Flue -Fireplace Throat 5. Attic_ cess: Size & Romex Protection -Draft Slop -Ins. Baffles dr endows or=xiting Doors -Sill H_g_t. & Dimensions arage Fire Protection Framing - - (NOTE: An entry must be made each time you visit job site) 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 All BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. e v 114 t ,1io�1 �v,��� ,� - �?,... >r -n- � \ i %A. C, V Inspector \ Ir Date -� t' "-A. P, COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS r 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 F. Skygay and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this ,smatter, or need additional explanation, please contact this office immediately. X&/1 -T 7V �y�l Inspector — �X-"/'&'-d Date I _ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 V/ APPLICATION Aft PERMIT st PERMIT NO. ASSESSOR PARCELN MBER _ ZON1 G BUILDING PERMIT OWNE5. ' - TELEP NE -29 SQ . FT. OCC. BUILDING VALUATION OWN AILI ADDRE S W chi 10 CON CTOR' CNS E g TELEPHONE CO T TO AILING ADDRES 1^ Fireplace CON UCTIO LENDE VUNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New ❑ Additio Remodel [:J U ' ties ❑ Instllation�] Other Describe work: —� �—D Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING cc*76) OR ADDNS. ( ACC. SLOGS. h2Sgft � , V CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): J' 1 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.-Tl4'-67 Classification 2S ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR.,MULTI-OUTLET 2.50 ea NON-RESID BRANCH CIRC ITS. NEW CONSTR POWER APPARATUS & NON-RESID. (SINGLE OUTLET CIR, Ex. OCCUp(OUTLETS OR FIXTURES BA 0°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 $ 1190 Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ Jhe permit is for $100.00 (valuation) or less. X71 I have placed on file with the County of Butte Building Department lei 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 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 against said County in consequence of the granting of this permit. X Date ���7 Signature of Applicant — Owner ❑ Contractor ❑ Agent © An OSHA permit is required for excavations over '0" e p demolition or construct- ion of structures over 3 stories ' height. I� Mobile Home Installation Fee $ TOTAL PERMIT FEE $ %�• �%o OCCUP. GROUP TYP of ONST. JP1"1CrLJ PD ND 19 E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for whi DI OR OF LIC �+ By PERMIT EXPIRES Date�� the applicable provi- resolutions to do fees have been paid. WORKS Date '— Receipt No. 067&! %a ` WHITE-D.P.W., YELLOW -ASSES OR. PINK -INS P OR, GOLDENROD -APPLICANT • COUNTY OF BUTTE - DERRRTMI�NT OF PUBLIC WORKS ' 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATIJN AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 1- ZO I BUILDING PERMIT o N z a. ELEPH E SQ. FT. OCC. BUILDING VALUA- I s OWNER'S MAILING ADDRESS - CO RACTOR'S NAM A NE C IyT)AC OR's MAIL G DRESS (/,/ Fireplace CONSTRUCTION YENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ � `a, ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ~ O Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDI A KESS - PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 0 Solar Water Heater 20.00 (� 1 Water piping 5.00 LOT NO.SUB IVISI NAME e, S PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets 5.00 �� USE OF STRUCTURE SF Lf� Duplex ❑ Mobi lehome ❑ Other SPECIFY Building.sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New Addition ❑ Remodel ❑ Ut' ities ❑Installatl C7J Other ❑ Describe work: MlS�V_r �� .- Z9 l� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service eoov OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. 1 ( DWELLING) OR ADDNS. ACC. BLDG 2'h¢$q ft oC 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 m license is in full force and effect. Q %� License No.ZZ 7 s&� Classification :5-3 ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale, (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR. MULTI -OU LET 2.50 ea NON.RESID BRANCH CIRC ITS NEW CONST FL POWER APPARATUS &l NON•RESID. SINGLE OUTLET CIR, / Ex. Occu SALG30 P�o Ts OR FIXTURES BAL@30Q FIXED APPLNS. OR FIXED Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 - Misc. Wiring 15.00 - Permit Fee $ ,g Contractor MECHANICAL PERMIT Filing Fee 10.00., WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) o`r 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. Heating 010 Rip IM3� Cooling 6,D0 Hood 3.00 Ventilation permit Fee $ Q 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 saveindemnify 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 '.- /IQ W4 -011L 3 X %Yi +^- Q _41411 F�'f �i[t-� & 1 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 $ �/, TOTAL PERMIT FEE $ 3fo` • pa Oy.r�IP. GROUP ,�! 3 �l TYPE oP CONST. PARC _L PD HD ssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT O PUBLIC By , PE EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. T //a � � WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT Telephone ti. 533.2000 North Burbank Public Utility District 1960 Elgin Street OROVILLE, CALIFORNIA 95965 DISTRICT APPROVAL AND 12-83, VERIFICATION OF INSPECTION BUILDING SEWERS ti This verification form must be submitted to the Butte County Department of Public Works - Building Department prior to issuance of a•building or occupancy permit, whichever is applicable. Prior to final approval by Butte County of a Building or an Occupancy Permit, a copy of this verification form, signed off by North Burbank Public Utility District, must be submitted to Butte County. Applicant: FRIEDA E. HART MARTIN ` Applicant Address: 91 Canyon Drive, Oroville . .Applicant Phone No.. 589-3759 Property Location(s): 90 Melrose Drive, Oroville Copley Acres Subdivision Unit No. 2, Lot 3 A. P. No. (s): 36-76-03 k Fees Paid: $250.00 NBPUD Connection Fee, $900.00 SCOR Regional Facility Charge Due Application for service approved: North Burbank March 8, 1983 Public Utility District Inspections) made and successful test(s) observed: Location: Date: By: North Burbank Public Utility District release to close permit: Date: By: PERMIT NO. 1142-86B P E PERMIT EXPIRES OWNER NILE FERNS CONTR. owner' ASSESSOR PARCEL 36-76-3 LOCATION 90 Melrose, Oroville Temp. Power Pole_ Called PG&E _ Temp. Elec. Service Call Temp. G; Call JOB FIN Sign t =0K O = Not OK = Not Applicable MOBILEHOMES = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N'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 4. Water; Location -Test -Easement Needed (Sketch) 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 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; Location -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 -BI Date MOBILEHOME INSTALLATION (Plans) OK except q's 1. Zoning Requirements -Setbacks -Easements ' 2. Footings; Size -Spacing -Marriage Line Card -BI Date Date Card -BI Date POOLS (Plans) OK except N's 1. Setbacks -Easements 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 -Enc losures- 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 E Card B -I Date Card -BI Date Card -BI Date Card -BI = Date ' Card B -I Date Card -BI Date Card -BI Date Card -BI Date r \ 1. R d = OK = NLu-0K Not Applicable Not Ready RESIDENTIAL'(Single and Duplex) � Date UNDERFLOOR Plans OK except #'s Date FRA MI Continued 1. Zoning requirements -Setbacks -Easements rope ty Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 4 xt. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. tairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. on Root Q*a4u-mg-Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. -SidiRg-44athTrg-teneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Strtp'Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. GI ing rea-Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. S s; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date i and -BI Date Card -BI Date Card -BI Date Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except #'s Card -BI Date FINAL §6!Ext. Date Card -BI Date (Plans) OK except #'s Steps -Door & Sidelight Protection -Landings V57. Smoke Detector __ --14.--Water Ht.; Vent -Access -Combustion Air Water Pipe; Test & Anchors -Nail Protection 58 ce; en - learance-Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection _15. 16. D.W.V.: Test-Fttngs & Anchors -Nail Protection 9. Bedroom Exiting 1 an; Test, First Floor . G.F.I. & Bath Fixtures & Tub Access _Shower Test Tub & Shower, 2nd Flo -Tub-Ae6es _ c. Trim & Subpanel; Breaker Sizes -Labels Gas Pipe: Size & Anchors 6tX �MStairs & Rails - Fireplace or Stove; Clearances -Hearth Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date r- Card -BI Date pP Lance; rnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. s at Kit. Counter Date ELEC AL Permit OK except #'s 67.Ga age - nding-Closer 68 - per Fixt & Transformer Clearance -Ins. Protection 6 ., a -Comb. Air-Connector-P.R.V.- 1n Garage; Above Floor-Mech. Protection 21 leg Spacing -Lights & Switches at Doors _ Receptacles 2 Rize - as & No. of Conductors -Stapled 0. 71. o • 73. Plb., Elec. &Mech. Equip. Listed for Location ecep ac e; (G. F.I.)-Romex Protec. -Insulation-Foam-Looked in Attic ❑ Yes Construction -Post Caps 2 omex Installed Close to Edge of Studs & C.J. quip. Ground made up w/Mech. Fasteners -Bond Gas &Water - --- 25. nce Cir its in Kitchen &Conductor Size 74. n. ens . ole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 26.'99b-feedWire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At --_ - 27.c. / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ,'Yes No 28. �tou�round-Main Disconnect 75. Following instld., Drive es ❑ No; Walks es ❑ No; Planters es ❑No 7 29. - nces: Panels-Motors-Mech. Equip. C. Unit; Disconnect-Clrnces-Brkr. Size 115V e Card B -I Card B -I _ 90. _--_ t -Shower Light .� - • - -G----- - rA Date 6!f-i�gfgrd-BI Date _T�.\7 Date / Card -BI Date . Vents Above Roof; Plb A lianc Fie I. learance o 9•- PP P Pngs. 79. 80. W Electrical, Plumbing E im; .F.1. Receptacle -Underground 81. V ouse Glass Protection Date MECHANICAL (Permit) OK except #'s bix L8 _ Corrections from Previous Inspections 84. Gas -Electric _ _ Card -BI _ Card -BI Date 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 -_1115V outlet 35. Attic Access & Flatform if Furnace in Attic - - - Date Card -BI Date Date Card -BI Date FR G(Plans) OK except #'s 85. VmMr X Sewer Curmeeted-C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates Card -BI Date Card -BI Date Card -BI r Card -BI Date Card -BI Date Card -BI Date Comments at Final: - _ S' 's; Proper Material & Anchors _ Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearjng Walls over Girders & F_loor-Nailing r It Stop in Walls (rat proof) Fire Stops: Furred Ceilings -Stairs -Chases -Tub - r _ H4�He er & Beam -Size & Bearing 4 . Han s -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shihng.-Rfng. 44. lace Ties or Type A Flue -Fireplace Throat Att' ccess: Size & Romex Protection -Draft Stop -Ins. Baffles drm. Windows or Exiting Doors -Sill Hgt. & D_imen_sions e rote&;ion Framing It (NOTE: An entry must be made each time you visit jobsite) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE va -- l . 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. Inspector 2 " V Date �� 11!�-- 6 / COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS r 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 PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matte" ned additional explanation, please contact this office immediately. Inspector/�! Date Owner: /(I LC/�G,C1/ Permit No. E N E R G Y C E R T I F I C A T I O N 36 - 76 - 03 LOCATION A.P. No. DESCRIPTION OF INSULATION ROOF _ Material i 'i. 't` l! « r . fi;l Brand Name Thickness(inches) V14 Thermal -Resistance (R Value) EXTERIOR WALL Material'_^�� "�(�`.S'`rT�/✓.�_ Brand Name ' Thickness(inches) Thermal Resistance(R Value) CEILING Batt or Blanket Type 791-kg'k T Thickness(inches) Loose Fill Type Minimum Thickness(Inches) Area covered(ft.2) FLOOR, ELEVATED Materials Thickness(inches) FLOOR, SLAB Material Thickness(inches) Width(inches) FOUNDATION WALL Material Thickness(inches)_ Brand NameV k l__.1-1= Thermal Resistance(R Value) Brand Name Number of Bags Wt. per bag lb. Thermal Resistance(R Value) Brand 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 above building in conformance with the State of California Energy Requirements. i([ 4 FIRM R4V STATE CONTRACTORS LICENSE NO. SIGNATURE OF INSTALLATION APPLICATOR DATE I hereby certify the above insulation and all required items as shown on the Building Department approved plans and attachments have been installed as required -by the State of California Energy Requirements. All equipment, devices and materials are of the quality prescribed or are specifically approved by the State of California. FIRM NAME/OWNER (P1 ase print) STATE CONTRACTOR'S LICENSE NO. SIOATURE .OF C.IEPRRAL CONTRACTOR WRIER DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. January 1984 r.� t COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS P RMITO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 / APPLICATIOW AND 'PERMIT ASSES O PAR2L UMB53 r ZONING BUILDING PERMIT owN i j� TELEP o S0. FT. 0 C. BUILDING VALUATION OWN ' S MA ING DR SS ►^ v ' OL CON CTOR NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS ,% Fireplace I A000 CON T'FtUq e- LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHI E T OR ENGINEERLICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Cl Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping p I (/1 5.00 L 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 O.00ea ' TYPE OF WORK New❑ Addition[] Rerngde1❑ Utilit- ❑ installation Other Describe work: 11 a -�- 1 VA Permit Fee $ 0 Contractor ELECTRICAL PERMIT FilingFee 10.00 Main service OOOV 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): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING o , New CONSTR� A ) 2�zQsea ULTB"OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) SINGLE OUTLET CIR. EOzo ® Doe Ex. ccu P OUTLETS OR FIXTURES eAL030 Ex. Occup. our OUTLETS (RESID ) D APPLNS. REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �yirin 15.00 9 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling 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 againstOCCu all liabilities, judgments, costs, and expenses which may in any way accrue against said Cty in nsequ nce of the anting of this permit. X '' S % . Date �` Signe of Applic — OWner,Xontractor ❑ Agent ❑ - a urnt 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 $ t P. CONST.T•P! I I FLOO ARCEL I1 1 39U This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO OF PUBLIC By PE T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date`s%f3 Receipt No. Irmo 2 WHITE-D.P.W., YELLOW-A98C9S0 PINK -INSPECTOR, GOLDENROD -APPLICANT I M,ak^�^�~~�``'��^��r ~=r=~�.'c �w�'"���p m��w�^���`�~:��`�-��p,`� w�^���~ �' ' �'' . ` ' COUNTY OFBUTTE 'DEPARTMEN^OFPLICVVQR' -BU|LD|NG rCOUNTY CENTER DRIVE - ORUv|LLE^6A|�on8Os ' TE�EP�Ow��o1s<b���S41 "r° ^ +�� PERMIT APPLICATION DATA SHEET ~--� Permit No. OWNER X1 . le 0 S P. No. Proposed Building Use C 6 1A (J UM a) Permit Fee Based Upon: —Complete Contrac..t Price _/y -DPW Valuation Building lnspector� e (252 At time of "' t application, I was advised the following data must be submitted prior to permit processing Ie and./ uance. DATE RECEIVED APPROVED 2– P|n1 plans in duplicate/triplicate . , . , . . . . . . . –_---- 3. Complete plans in dup|ioot»/trip|iuoh*, ... , . , , , , __--- 4. Complete engineered plans and ou|ou, , . , , . . , , . –_---- 5. Plans with Energy Design Compliance Statement . , '. , . . –__-- 6, CU SD "Fees Paid'' Stamp on Floor Plan . ' ' , , ' . . -----' 7 Statement of Intent for Non-Heate.d and AC Buildings. _–_–_ 8, Fees of $ . , , . , . , , . ___--- 9, Letter of signature authorization , , . , , , , . , . , 10. Sanitation approval from . Health Dept. 11, Planning approval for (A) Use: ______'(B) Parking:------_--_ , 12. Certificate ofWorkmen's Compensation Insurance . , . . . , 13. Contractor's License Information (no., name style, o|aoeif.) . 14, Owner -Builder Verification (Given to �wnerEl. Mai| to mwnerEl) 15. Improvements may berequired . , . . , , , . . . . . __--_18, Mobi|ehomo Installation Data, . . . . . , , . . , . p°'/""�" request to o } 17, Pre -Inspection fo Required. a,d'"y/",~w ,, "m 18 When you issue the permit, process as follows: K Mai I to owner. —Mail to contractor. Telephone and hold for p?cku'p at —office. —Deliver w/inspector. Other Date A ZZ Copy of plans sent —Health Dept.. —Fire Dept., —Other Date During the plan checking pr0000a, the following data must be submitted prior to permit issuance; (For required items not checked above at time of app|ioadon, circle item.) ' 1, Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by —Telephone —Mail —Other By Date Plans checked by Da tn Plans approved by te A? Other: Copy–DPW 0 COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916-534-4541 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) // 2ES . 2. I (have/have not) signed an application for a building permit for the proposed work. 3 I have contracted with the following construction: Name ; Address son (firm)- to provide the proposed Phone / Contractors License No. i City 4. I -plan to provide portions of this wo''k, but I have hired the following person to coordinate, supervise, anpr �de the major work: Name Address Phone Contractors License No. City 5. I will provide some of the work but Ijhave contracted (hired) the following persons to provide the work indicated: Name Address /` Phone Type of Work Signed: Property Owner Social Security Kumbeir Date S 4y 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. FORM '1 ENERGY SHEET FOR ADDITIONS TO RESIDENTIAL BUILDINGS PERMIT No. A " 4 - PACKAGE "A" (Additions) NAME �./� �1s SQUARE FOOTAGE JOB ADDRESS Existing Residence _ TYPE OF. WORK&M-4 : Z New Addition New Total The following information sheet, showing mandatory features and required features of; Package."A" must be completed and attached.to all plans for additions. to dwellings. Additions to dwellings A ncludetroom additions, converting garages and patios to living areas, house moves that, add footage and attic conversions, and any space that is ex- isting non -conditioned space that is converted to conditioned space. Remodeling of existing.conditioned space is not included. ZONE 11 ZONE 12 ZONE 16 INSTALLED APPLIES TO NEW AREA AILING R-30 R 3 -3" R-11 R- 1 R 19 rFLOOR R-11 SLAB R- 7 .R-11 R-,7 DAZING. , 65 .65 .65 SHADING RUTH OPTIMUM OVERHANG or .36 S,C,- &WEST -- .36 S.C. _ OSE FILL INSULATION (Density) INFILTRATION CONTROL (Weatherstrip doors; certified windows, caulking) VAPOR BARRIER (Zone 16) DUCTS PER. UMC - Ch, 10 RIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT ✓MAXITNM GLAZING'16% OF AREA PLUS REMOVED GLAZING NEW HVAC AND HOT WATER IN CONJUNCTION WITH AN ADDITION SHALL COMPLY AND FILL OUT DATA ON BACK OF THIS SHEET 7/83 *1 HEATING VENTILATING. AIR CONDITIONING SYSTEM (A) Heating ❑ Central Gas Furnace (brand and model number) SE Btu/hr (heating capacity) ' ❑ Heat Pump (brand and model number) ACOP Btu/hr (heating capacity at 47°F) ❑ Active Solar 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) DOMESTIC WATER SYSTEM ❑ (A) Gas Only Gallons (brand and model number) (tank size) ❑ Heat Pump w/Electric Backup (brand and model number) Gallons (tank size) ❑ *2 Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft ' (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) 0 Location of Solar Panels ❑ Other (Describe) *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(g), and fill out -the following: • Heating: Winter design temperature °, elevation ', heating load BTU elevation factor x heating -load = maximum outlet capacity gas furnace BTU Cooling: Summer design temperature ', cooling load BTU *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. SIG U 0 UI G DESIGNER OR CANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERAy,T O. Af ASSESSORPAR EL UMBER _ ' ZON BUILDING PERMIT OW V, ELEPH SO. FT. OCC. BUILDING VALUATION O NER'S MAI G DDRES OI C ACT RRN Atvt T �� CONT TOR'S MLI GDRESS 'lr VC Fireplace CONSTR CTION� LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCH CT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS n (n Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 " (1` Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 rtrtrt��� USE OF STRUCTURE SF l� Duplex❑ Mobilehome❑ Other / SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S rG JW I 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other V .Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 000V 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 an my license is in full force and effect. 3 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.8d OR ADDNS. \ ACC, BLOGS. /20sq ft NEW CONSTR. ULTI.OUTLET 2.SOea NON,RESID BRANCH CIRC ITS (POWER APPARATUS &) SINGLE OUTLET CIR, .111150 Ex. Occup(ouTLETs OR FIXTURES 2AL930 FIXED Ex. OCCUp. OUTLETS ( R RESID 1EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 g Permit Fee $ s� Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating , 0 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 which may in any way accrue agains said County in consequence the granting of this permit. XDate �/ Signature of Applicant — Owner ❑ Co actor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height.2 Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ G occuP. CONST.TYPe I FL000 PARCEL I PD I HD I ISSE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which IR OF PU BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS —05 Q to Receipt No.—M21 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION' AND PERMIT ERMIT NO. �LK ASSESSOR PARCEL NUMBER 36-76-03 ZONING BUILDING PERMIT OWNER NILE FERNS TELEPHONE 534-6695 SO. FT. OCC, BUILDING VALUATION OWNER'S MAILING ADDRESS 90 Melrose Oroville C ONTRACTOR'S NAME owner TELEPHONE 1st renewal permit CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER none UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee @ FEE $ 31.25 ARCHITECT OR ENGINEER none LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty BUILDING ADDRESS 90 Melrose41.25 Permit fee c$ S PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Oroville 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 P Duplex❑ Mobilehome❑ Other conv attic to living_ SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W I J 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: 1st renewal of permit #1142-86 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 00V OR LESS �00 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.SINGLE 3 License No. Classification 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 th eason NEW CONST. / DWELLING OCCUP.a) ,h2sgft OR ADONS. l ACC. BLDGS. NEW CONSTR. "OUTLET 2.50 ea NON.RESID BRANCH CIRC I S POWER APPARATUS &) OUTLET CIR. Ex. OCcup(OUTLETS OR FIXTURES 200301 SAL030 FIXED APPLNSR EX. Occup. OUTLETS (RESID.IEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee s Contractor WORKMEN'S COMPENSATION INSURANCE I declare under p natty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee = Contractor I certify that I have read this application and state that the above information is correct. I' agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against II liabilities, judgments, costs, and expenses which may in any way accrue a Inst said County in consequence of the granting of this permit. X Date gnature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit isryuired 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 $ 41.25 OCCUP. CONST.TTP[ I FLOOD PARCEL PD I No I 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 5-13-88 ceipt No. F-geII[-D.P.W., TCLLOW•Ase(SeOK. PINK•INSPECTOP. OOLOCNROD-APPLICANT .r, atr ' x --j 1 1 IL SFr : --41 ""- r \\ \\ // \ / w 11 I I PLOT PLAN 7Y6 CHURN IL L, DR CHICO CA, APA/ #04Z SCALE "o /o IVANIC: CoNry CERTIFICATE OF COMPLIANCE; RESIDENTIAL Page 1 CF-iR Project Title -------.......... --ADDITION ____ Project Address........ 90 MELROSE *******Date_.11/24/03 06:25:33 OROVILLE *v6.01* ' Documentation Author... MARTIN ALVIS ******* ; Building Permit # ; Alvis Heating and Air P.O. Box 5127 ; Plan Check / Date ' Oroville, CA 95966 530-534-8491 ; Field Check/ Date ; Climate Zone.. .. . . ... 11 - - - - - - - ------ ----- Compliance Method..- -- MICROPAS6 v6.01 for 2001 Standards � by Enercomp, Inc. MICROPAS6 v6.01 File-BRA390W Wth-CTZ11S92 Program -FORM CF -1R ' User*-MP2308 User -Alvis � g and Heating Air Run -HOUSE � ------------------------------------------------------------------------------ GENERAL INFORMATION ------------------- Conditioned Floor Area..... 390 sf Building Type .............. Single Family Detached Construction Type ......... Addition Alone Building Front Orientation. Front Facing 270 deg (W) Number of Dwelling Units... 0.25 Number of Stories.......... 1 Floor Construction Type.... Slab On Grade Glazing Percentage......... 19.5 % of floor area Average Glazing U -factor... 0.35 Btu/hr-sf-F Average Glazing SHGC....... 0.35 Average Ceiling Height..... 8 ft BUILDING SHELL INSULATION Component Frame Cavity Sheathing Total Assembly Type----- Type --- R -value -------- R -value R -value U -factor Location/Comments -------- Wall Roof Wood R-13 R-0 -------------- R-13 0.088 ------------------------ OUTSIDE S1abEdge Wood None R-11 R-0 R-19 R-30 0.031 ATTIC R-0 F2=0.760 To Outside FENESTRATION ------------ Orientation Area (sf) U- Factor Interior SHGC Shading Exterior Over- hang/ -------------------- Shading Fins Window Window Front Front (W) (W) 9.0 9.0 0.350 ----------- 0.350 Standard ------------- Standard. ----- None Window Back (E) 12.5 0.350 0.350 0.350 Standard 0.350 Standard Standard None Door Window Back Back (E) (E) 33.0 12.5 0.350 0.350 Standard Standard Standard None None 0.350 0.350 Standard Standard None BUTTE COUNTY BUILDING DIVISION APPROVED CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 2 CF -1R Project Title ......... ADDITION - Date 11/24/03 06:25:33 -------------------------------------------------- MICROPAS6 v6.01 File-BRA390W Wth-CTZ11S92 Program -FORM CF -1R ; User*-MP2308 User -Alvis Heating and Air Run -HOUSE ; ------------------------------------------------------------------------------- SLAB SURFACES ------------- Area Slab Type (sf) ---------------- ------ Standard Slab 390 HVAC SYSTEMS REMARKS 9 Refrigerant Tested RCCA Equipment Minimum Charge and Duct Duct Duct Manual Thermostat Type ------------ Efficiency ------------ Airflow Location ------------------ R -value ------- Leakage D Type HPSplit 8.20 HSPF n/a Attic R-4.2 ------- No ------ No ---------- Setback HPSplit 12.00 SEER No Attic R-4.2 No No Setback REMARKS 9 CERTIFICATE OF COMPLIANCE: RESIDENTIAL ---ADDITION Page 3 CF-iR Title Project le.......... ------it-- _____ ------------- Date..11/24/03 06:25.33 MICROPAS6 v6.01 File-BRA390W Wth-CTZ11S92 Program -FORM CF -1R ' User*-MP2308 User -Alvis Heating and Air Run-HOUSE ------------------------------------------------------------------------------- COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with Title -24., Parts 1 and 6 of the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the individual with overall design responsibility. When this certificate of compliance is submitted for a single building plan to be built in multiple orientations, any shading feature that is varied is indicated in the Special Features Modeling Assumptions section. DESIGNER.or OWNER Name.... RICHARD BRAZIL Company. Address. 90 MELROSE OROVILLE CA. 95966 Phone... 530-534-8112 License. Signed.. (date) ENFORCEMENT AGENCY Name.... Title. Agency.. Phone... Signed.. (date) DOCUMENTATION AUTHOR Name.... MARTIN ALVIS Company. Alvis Heating and Air Address. P.O. Box 5127 Oroville, CA 95966 Phone... 530-534-8491 Signed.. (date) MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 1 MF -1R Project Title..... ADDITION--------------------=-=-_- -- Date..ii/24/03 06:25:33 Project Address........ 90 MELROSE ******* --------------------- OROVILLE *v6.01* ; Documentation Author... MARTIN ALVIS ******* ; Building Permit # ; Alvis Heating and Air ; P.O. Box 5127 ; Plan Check / Date ; Oroville, CA 95966 ; 530-534-8491 ; Field Check/ Date ; Climate Zone........... 11 _____ ---------------- Compliance Method...... MICROPAS6 v6.01 for 2001 Standards by Enercomp, Inc. MICROPAS6 v6.01 File-BRA390W Wth-CTZ11S92 Program -FORM MF -1R ' User MP2308 User -Alvis Heatingand Air Run -HOUSE ' ------------------------------------------------------------------------------ Note: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (*) may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. BUILDING ENVELOPE MEASURES -------------------------- Design- Enforce - *150(0): Minimum R-19 ceiling insulation. er We, ment 150(b): Loose fill insulation manufacturer's labeled R -Value. _�/ *150(c): Minimum R-13 wall insulation in wood framed walls or equivalent U -factor in metal frame walls (does not apply to exterior mass walls). f *150(d): Minimum R-13 raised floor insulation in framed floors. 150(1): Slab edge insulation - water absorption rate no greater than 0.3%, water vapor transmission rate no greater than 2.0 Perm/inch. 118: Insulation specified or installed meets insulation quality standards. Indicate type and form. 116-17: Fenestration Products, Exterior Doors and Infiltration/ Exfiltration Controls 1. Doors and windows. between conditioned and unconditioned spaces designed to limit air leakage. 2. Fenestration products (except field fabricated) have label with certified U -factor, certified Solar Heat Gain Coefficient (SHGC), and infiltration certification. 3. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed. 150(8): Vapor barriers mandatory in Climate Zones 14 and 16 only. 150(f): Special infiltration barrier installed to comply with Sec. 151 meets Commission quality standards. 150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs 1. Masonry and factory -built fireplaces have: a. Closeable metal or glass door MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 2 MF -1R ------------------ ----- ------------------- Project Title ADDITION Date..11/24/03 06:25:33 MICROPAS6 v6.01 File-BRA390W Wth-CTZ11S92 Program -FORM MF -IR Users-MP2308 User -Alvis Heating and Air Run -HOUSE i ------------------------------------------------------------------------------- b. Outside air intake with damper and control c. Flue damper and control 2. No continuous burning gas pilots allowed. SPACE CONDITIONING, WATER HEATING AND PLUMBING SYSTEM MEASURES ------=------------------------------------------------------- Design- Enforce- er ment 110-113: HVAC equipment, water heaters, showerheads and ✓ faucets certified by the Commission. 150(h): Heating and/or cooling loads calculated in accordance with ASHRAE, SMACNA or RCCA. 150(1): Setback thermostat on all applicable heating and/or cooling systems. 150(j): Pipe and Tank insulation 1. Storage gas water heaters rated with an Energy Factor less than 0.58 must be externally wrapped with insulation having an installed thermal resistance of R-12 or greater. 2. First 5 feet of pipes closest to water heater tank, non - recirculating systems, insulated (R-4 or greater). 3. Back-up tanks for solar system, unfired storage tanks, or other indirect hot water tanks have R-12 external insulation or R-16 combined internal/external insulation. 4. All buried or exposed piping insulated in recirculating sections of hot water system. 5. Cooling system piping below 55 degrees insulated. 6. Piping insulated between heating source and indirect hot water tank. *150(m): Ducts and Fans 1. All ducts and plenums installed, sealed and in- sulated, to meet the requirements of the 1998 CMC sections 601, 603, and 604, and standard 6-3; ducts insulated to a minimum installed level of R-4.2 or enclosed entirely in conditioned space. Openings shall be sealed with mastic, tape, aerosol sealant, or other duct -closure system that meets the applicable requirements of UL181, UL181A, or UL181B. If mastic or tape is used to seal openings greater than 1/4 inch, the combination of mastic and either mesh or tape shall be used. Building cavities shall not be used for conveying conditioned air. Joints and seams of duct systems and their components shall not be sealed with cloth backed rubber adhesive duct tapes unless such tape is used in combination with mastic and drawbands. 2. Exhaust fan systems have backdraft or automatic dampers. 3. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers. 114: Pool and Spa Heating Systems and Equipment 1. System is certified with 78% thermal efficiency, on-off switch, weatherproof operating instructions, no electric MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 3 MF-1R Project Title.......... ADDITION Date..11/24/03 06:25:33 MICROPAS6 v6.01 File-BRA390W Wth-CTZ11S92- Program-FORM MF-1R ' User*-MP2308 User-Alvis Heating and Air Run-HOUSE ; -------------------------------------------------------------------------------- resistance heating and no pilot light. 2. System is installed with: a. At least 36 inches of pipe between filter and heater for future solar heating. b. Cover for outdoor pools or outdoor spas. 3. Pool system has directional inlets and a circulation pump time switch. tk 115: Gas-fired central furnaces, pool heaters, spa heaters or household cooking appliances have no continuously burning pilot light (Exception: Non-electrical cooking appliances with pilot < 150 Btu/hr). N LIGHTING MEASURES ----------------- 150(k)1: Luminaires for general lighting in kitchens shall have lamps with an efficacy of 40 lumens/watt or greater for generallighting in kitchens. This general lighting shall be controlled by a switch on a readily accessible lighting control panel at an entrance to the kitchen. 150(k)2: Rooms with a shower or bathtub must have either -at least one luminaire with lamps with an efficacy of 40 lumens/watt or greater switched at the entrance to the room or one of the alternatives to this 'requirement allowed in Sec. 150(k)2.; and recessed ceiling fixtures are IC (insulation cover) approved. Design- Enforce- er merit I / COMPUTER METHOD SUMMARY Page 1 C -2R Project Title.......... ADDITION Date. 11/24/03 06:25:33 Project Address........ 90 MELROSE ******* --------------------- OROVILLE *v6.01* Documentation Author... MARTIN ALVIS ******* ; Building Permit Alvis Heating and Air ; P.O. Box 5127 ; Plan Check / Date ; Oroville, CA 95966 ; 530-534-8491 ; Field Check/ Date ; Climate Zone. ..... it --------------------- Compliance Method...... MICROPAS6 v6.01 for 2001 Standards by Enercomp, Inc. MICROPAS6 v6.01 File-BRA390W Wth-CTZ11S92 Program -FORM C -2R , User*-MP2308 User -Alvis Heating and Air Run -HOUSE ; ------------------------------------------------------------------------------- ----------------------------- ---------------------------- MICROPAS6 ENERGY USE SUMMARY = Energy Use Standard Proposed Compliance = _ (kBtu/sf-yr) Design ---------- Design ---------- Margin = ---------- _ _----------------------- = Space Heating.......... 26.24 20.35 5.89 = - Space Cooling.......... 11.89 16.68 -4.79 = = Total 38.13 37.03 1.10 = *** Water Heating not calculated GENERAL INFORMATION ------------------- Conditioned Floor Area..... 390 sf Building Type .............. Single Family Detached Construction Type ......... Addition Alone Building Front Orientation. Front Facing 270 deg (W) Number of Dwelling Units... 0.25 Number of Building Stories. 1 Weather Data Type........... ReducedYear Floor Construction Type.... Number of Building Zones... Conditioned Volume......... Slab -On -Grade Area......... Glazing Percentage......... Average Glazing U -factor... Average Glazing SHGC....... Average Ceiling Height..... Slab On Grade 1 3120, cf 390 sf 19.5 % of floor area 0.35 Btu/hr-sf-F 0.35 8 ft COMPUTER METHOD SUMMARY Page 2 C -2R Project Title .. .. .. ADDITION Date..11/24/03.06:25:33 ' MICROPAS6 v6.01 File-BRA390W Wth-CTZ11S92 Program -FORM C -2R User$-MP2308 User -Alvis Heating and Air Run -HOUSE ---------------------------------------------------------------------------- Floor Area Zone Type (sf) HOUSE Residence 390 Surface -------------- HOUSE - New 1 Wall 2 Wall 3 Wall 4 Roof BUILDING ZONE INFORMATION ------------------------- * of Vent Vent Air Volume Dwell Cond- Thermostat Height Area Leakage (cf) Units itioned Type (ft) (sf) Credit. ------- ----------------------- ----- -------- --------- 3120 0.25 Yes Setback 2.0 Standard No Surface ------------ HOUSE - New 5 S1abEdge PERIMETER LOSSES ---------------- Length F2 Insul. Solar (ft) Factor R-val Gains Location/Comments --------------------- ----- ---------------------- 59 0.760 R-0 No To Outside FENESTRATION SURFACES OPAQUE SURFACES Area U- Ares U- --------------- Insul Act Solar Form 3 Location/ (sf) ------ factor ----- R-val ----- Azm =-- Tilt Gains ---------------------- Reference Comments ---------------- 138 0.088 13 270 90 Yes W.13.2X4.16 OUTSIDE 98 0.088 13 90 90 Yes W.13.2X4.16 OUTSIDE 180 0.088 13 180 90 Yes W.13.2X4.16 OUTSIDE 390 0.031 30 270 27 Yes. R.30.2X4.24 ATTIC Surface ------------ HOUSE - New 5 S1abEdge PERIMETER LOSSES ---------------- Length F2 Insul. Solar (ft) Factor R-val Gains Location/Comments --------------------- ----- ---------------------- 59 0.760 R-0 No To Outside FENESTRATION SURFACES SLAB SURFACES ------------- Area S 1 ab .Type (sf) ----------------------- HOUSE Standard Slab 390 Area U- Act Exterior Shade Interior Shade Orientation (sf) ----- factor ----- SHGC ----- Azm --- Tilt ---- Type/SHGC -------------- Type/SHGC -------------- ---------------------- HOUSE - New 1 Window Front (W) 9.0 0.350 0.350 270 90 Standard/0.76 Standard/0.68 2 Window Front (W) 9.0 0.350 0.350 270 90 Standard/0.76 Standard/0.68 3 Window Back (E) 12.5 0.3500.350 90 90 Standard/0.76 Standard/0.68 4 Door Back (E) 33.0 0.350 0.350 90 90 Standard/0.76 Standard/0.68 5 Window Back (E) 12.5 0.350 0.350 90 90 Standard/0.76 Standard/0.68 SLAB SURFACES ------------- Area S 1 ab .Type (sf) ----------------------- HOUSE Standard Slab 390 COMPUTER METHOD SUMMARY Page 3 C -2R ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- Project Title.......... ADDITION Date..11/24/03 06:25:33 MICROPAS6 v6.01 File-BRA390W Wth-CTZ11S92 Program -FORM C -2R ; User*-MP2308 User -Alvis Heating and Air Run -HOUSE ; ------------------------------------------------------------------------------- HVAC SYSTEMS REMARKS Refrigerant Tested RCCA System Minimum Charge and Duct Duct Duct Manual Duct. Type Efficiency Airflow Location R -value Leakage D Eff ------------- HOUSE --------------------------=---- ------- --------- -------- ---- HPSplit 8.20 HSPF -n/a Attic R-4.2 No No 0.767 HPSplit 12.00 SEER No Attic R-4.2 No No 0.645 REMARKS PA Ifo 0� 0„ xs Ln A i PA Ifo 0„ 1 � . r � ( i'V r''i3 f t9QJrV'1 r $r roo nr\ r 10 t t i 10.61# k 30` .....fir....° _...�`. :.u� t � -- t f r 3' 14 YAP' 1 � t V O C105Qf � HA i jj zr f 1 r ; IctAn4Ty ro"t &,, Bc�throae� x JAa Jy �-y-r Si'J nO. BUTTE COUNTY BUILDING DIVISION APPROVED 1�ilww� - x C1 a 5- a +- i + �" y Bed, ro Zr -•. ... �� r err �.. �f„� ---.._-._ .. - .:. .. - . i : 1 � . r � ( i'V r''i3 f t9QJrV'1 r $r roo nr\ r 10 t t i 10.61# k 30` .....fir....° _...�`. :.u� t � -- t f r 3' 14 YAP' 1 � t V O C105Qf � HA i jj zr f 1 r ; IctAn4Ty ro"t &,, Bc�throae� x JAa Jy �-y-r Si'J nO. BUTTE COUNTY BUILDING DIVISION APPROVED