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079-090-028
535=91B' -T;' -E M, Mike ,TISH' 90.1 N�j 0 -'(.new,. sf 15 3 5 r.'O.vl _ 91 g -R'_ Permit#2931 91B '(opejj.deck/§f 0*8 .91-3541 12, FA SHE(,., MAKE T'R:- OWNER R .190 HUNTER,tDW, OF'OV I LLE NEI PERMIT#96-2796 MOLLEY, Marion ,90 Hunte 0 r :Dr. Oroville Cont: John Wheeler Const. 'R&pair.Roof/Garage -3111 Q 0 7q - 090 - 02$ _rd I�ly� - - wl-W ti, t .'.RESIDENTIAL..", 36-76-28 R 1535-91B,P,E,M a. FISHE, Mike ' 90 Hunter Dr, Oroville (new sf) - -' �d 1; OFFICE COPY 1 i Address�� i{ GAS Meter By Date ELECTRIC P, Meter By Date !' OFFICE COPY Address v i GAS Meter By Date ELECTRIC ' Meter By Date h i JOB FINALE Signature i i { i. ✓=OK O = Not OK =Not Ready plicafZle Not ReRESIDENTIAL ' = Date UNDERF OOR Plans OK except #'s nin - etbacks-Easements-Flood-Slope Q-ffg-- Main; Soils-Elec. Grnd.- ' Ftg. Depth (� 3. Ftg., Garage; Soils-Steel-Elec. Grnd. %& Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped rs-Fireplace Ftg.-Steel .9!6W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. Gas Pipe; Size -Anchors mer Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. AA -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Da Card B-1 Date Card B- D Card B- Date Card B-1 Date PL M ING Permit OK except #'s �IeW,W,r Htr.; Vent -Access -Combustion Air -Baffle Water Pipe; Test & Anchor -Nail Protection At—D—W.V.; Test -Fittings & Anchor -Nail Protection hower Pan; Test, First Floor -Tub Access e Tub & Shower, Second Floor -Tub Access Gas Pipe; Size & Anchors Da — Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRI Permit OK except #'s fixture & Transformer Clearance -Ins. Protection Elec. Receptacles Spacing -Lights & Switches at Doors oxes & No. of Conductors -Stapled Ro x Installed Close to Edge of Studs & C.J. quip. Ground made up w/Mech. Fastners-Bond Gas & Water Appliance Circuts in Kitchen & Conductor Size/GFI 20. -SrftfMttVdire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insul Neutral ❑Yes ❑ No er' -Riser Conductors & Ground -Main Disconnect Equi . Clearances Panels-Motors-Mech. Equip. lot es Closet Light -Shower Light -Spa Light moke Detector Date y :77CCard B- 17 Date Card B-1 Date Card B-1 Date Card B-1 Date ME HANICAL (Permit) OK except #'s 4. A.C. Ducts Insulation & Support 3 nt Fan; Exhaust above insulation /,C. -D6 Condensate Drain & Overflow; Size & Grade ur a -Vent; Access -Comb. Air -Return Air Vent -11.5 outlet Attic Access & Platform if Furnance in Attic Date (Card 13-1 Date _ Card B-_1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s mr,SKs, Proper Material & Anchors . Vj Its Studs -Nailing, Spacing & Bracing -Plates -Sound Be g Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) i Stops; Furred Ceilings -Stairs -Chases -Tub Headers & Beam -Size & Bearing AO=v (Srngle .& Duplex) Date FRAMING (Continued) H gers-Post Caps -Anchors -Connectors Cing. Joist-Rftr. ties-Purlin—roof Brac-Truss-Shthng.-Rfng. ce Ties or Type A. Flue -Fireplace Throat clearance - Att cess; Size & Romex Protection -Draft Stop -Ins. Baffles Bdr . Windows or Exiting Doors -Sill Hgt. & Dimensions Gara a Fire Protection Framing roperty Line Firewall & Openings xt. oors-One 3' -Check Garage -3rd Story, 2 Exits fairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54-0 ywood on Roof Overhang -Attic Vents -Rafter Outriggers iding-Nailing Veneer rip Screed -Fd. Vents-Underfir. Access rea-Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts 59. Insulatioa s- filings /`J 60. Infiltration--Walls-Windows Dat / , / Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s xt. Steps -Door & Sidelight Protection -Landings �mike Detector &T Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection edroom Exiting G.F.I. & Bath Fixtures & Tub Access -Spa Elec. Trim & Subpanel; Breaker Sizes & Labels Stairs & Rails replace or Stove; Clearances -Hearth ec. Outlets at Wood Panel; Int. & Ext. . Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance pec. Outlets & Receptacles at Kit. Counter ara e7ire Door; Swing -Landing -Closer A . Duct in Garage -Damper tr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection Elec. & Mech. Equip. Listed for Location ec. Receptacles in Garage; (G.F.I.)-Romex Protection Insulation -Foam -Looked in Attic ❑ Yes Rails & Deck Construction -Post Caps dn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes towing instld.; Drive Q -*es --O No; Walks �s ❑ No; Planters ❑ Yes ❑ No (NOTE: An entry must be made each time you visit job site) inish nit; Disconnect, Electrical, Plumbing 8 . ents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings a74,UntPr WPIF Disconnect, Electrical, Plumbing j85,fZterior Elec. Trim; G.F.I. Receptacle -Underground dfi—VenfiTa—tion Throughout House 87. Protect' n M—eV—rrecqQpefrom Previous Inspections s st-Meters Tagged; Gas -Electric ater & wer Connected -C/O to Grade -HD Approval E y Compliance Certificate -Other Certificates Date ] and B .1 Date Card B-1 Date Card B-1 Date Card B-1 Dat Comm Knts at and B-1 Date Card B-1 y1nill I (NOTE: An entry must be made each time you visit job site) J=OK O = Not OK NotNot Applicable MOBILE HOMES ' Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L" ft. / /"Nat. or/ /" L"ft./ /"LPG 7. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS - Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements �. 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 -W- Owner: Permit No. ENERGY CERTIF ICAT I.0 N Hunter Drive, Oroville, Ca. LOCATION A.P. No. DESCRIPTION OF INSULATION ROOF Material Thickness(inches) EXTERIOR WALL Material FIBERGLASS BATTS Thickness(inches)_ 64" Brand Name Thermal Resistance (R Value) Brand Name OWENS-CORNING Thermal Resistance(R Value) RR119__ CEILING Batt or Blanket Type Brand Name Thickness(inches) Thermal Resietance(R Value) Loose Fill Type FIBERGLAS_Brand Name OWENS-CORNING Minijw.im Thicknee (Inches) 12 3/411 Number of Bags 29 Wt. per bag 35 lb. Area covered(ft. ) 1850 Thermal Resistance(R Value) R30 FLOOR, ELEVATED Material FTRFRC'I ASS RATTS Brand Name nwFNS-C'nRNTNG Thickness(inches)_ 6111 Thermal Resistance(R Value) R19 FLOOR, SLAB Material Brand Name Thickness(inebes) Thermal Resistance(R Value)�� Width(inches) FOUNAATI(K NA" ss� i t+tc� I hereby ce t fy that ' the above ii> f4k"t in confor";400 With =thy+ State of 08119PL� f; �aad �Na� ;i�etalled.Ei,.>�A,. the gbove• bu�.�.diag LOERKE INSULATION CO. i INC. r ST'S rQ! r,,. . FIRM NAME/OWNER �;�••,RTAT$ri0ONTRgCTOR 8 LICENSE N0. Au6ust"'28: 1991 J �•`R..?� I r r SIGNATURE OF INSTALLATION APPLICATOR" DATE•, I hereby certify the above insulation a04:all.require4 items ae shown on the Building Department approved plans and attagWents 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 (Please print) STATE CONTRACTOR S -LICENSE N0, SIGNATURE OF QE.NERAL CONTRACTOR OWNER DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. January 1984 COUNTY OF BUTTE DEPARTMENT OF PUBLIC 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 T i A routine inspection indicates that the following violations of County Ordinance• exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or -reed additional explanation, please contact this office immediately. Date—LQ `1(—Inspector 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 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 Date r, COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, Cali=Sornia 95965 - Telephone: 916/538-7541 _ APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 036-760-028 ZONING A -R BUILDING PERMIT OWNER Mike Fishe TELEPHONE 533-2480 S0. FT. OCC. BUILDING VALUATIO 1889 R 9 ,3 39 OWNER'S MAILING ADDRESS 81 Ed ewood Drive Oroville 95966 462 M 8,31 CONTRAC OR'SNAME Owner TELEPHONE 39 C 507 CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER Nonp UNKNOWN Total Valuation $lUb, 162 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 448.010 ARCHITECT OR LN ,INEER None LICENSE No. Plan Checking Fee $ 224.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Hunter Drive Oroville 95966 Permit fee $ 697.00 PLUMBING PERMIT Filing Fee 10.00 Each Trap JC 2.00 20.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL `M99AP �I 2- _Q"� Water piping 5.00 5,00 Each qas water heater or vent 5.00 5.00 USE OF STRUCTURE SF®X Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 5.00 Building sewer5.00 5.00 Mobile Home S G W 10.00 ea TYPE OF WORK New [U Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: 3BR _ Permit Fee $ 50.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR1 OR LESS10.00 10.00 Main service EA. ADD'L 100 AMP 2.50 2•S0 CONTRACTORS LICENSE LAW 1 declare der penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No..2/ --22-q f 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 P. OR ADDNS. ( ACC. BLDG � + 58.80 �20sgft NEW C0N5TFL MULTI.OUTLET NON-RESID BRANCH CIRCUITS) 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES eAL@30wLO 30 Ex. Occup. OUTLETS P(RESID )FIXED APLNS.REAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 . MiscWiring 15.00 Permit Fee $ 81.30 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate f Consent to Self -Insure. -Felshall not employ any person in any manner so as to become subject to the W. C. laws of California. ` Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Split_ r Cooling Over 3 ton g 1 11.0 c f MOT Hood 3.00 Ventilation 1 3.0 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 to enter upon the above-mentioned property for inspection purposes.TOTAL jI also agree to save, indemnify and keep harmless the County of Butteagainstz' all liabilities, judgments, costs, and expenses which may in any way accrue against s id CountyJIL�onsgquence of the granting of this p,e It. e/ �� J 14 X '- Date ` Signature of Applicant - Owner El Contractor Age a •A91 An OSHA permit is required for excovations over 5' eep d s rust- ion of structures over 3 stories in height. _ g� ee Mobile Home Installation Fee $ , Energy Inspection Fee $ 30.00 co eButte FEE $30 q1A cuA PARK .� scH P co anR, (/ P I Hp,r `/ Issu This permit is hereby issued unoer the applicable provi- i9yy11s of the Butte County. Code and/or resolutions to do fk indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Datl f7 T/WNITC-D.P.W.. PE EXPIRES Date r� Receipt No. 89160/279.00 C��Q�-�/Z 200 THL LOW-AS8lS 90 R, PINK-IN9P OO -APPLICANT / ,max +..r • �.. .. 1',.Y1 r 7�M1i" " J' fir' r+�.r, �.� r; y 1T: I. COUNTY OF BUTTE - A&PAIITIVI !OF PUBLIC WORKS -BUILDING DIVISION 7 COUNTY CENTER DRIVE - Q�tOV�CALIFORNIA 95965 -TELEPHONE: 916/538-7541 p, i PERMIT APPLICATION DATA SHEET Permit No. OWNERAke ( P. No. "7C9/' Q�62B J v�� 3rd Proposed Building Use Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2, Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans... 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... j 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check)..• 9. Mobilehome installation} data including man ufacturer's4rfstalIation Awl instructi�Ons.....p/vC• .. ...... , ,_ 10 Fees of .. ........ . , ....... 11. Chico Urban Area fees paid ............ ......................... 12. Park fees ``paid ..... .... . Q'W ' L�/�/t�t CNS' School istrict fees paid ........ �— 4 Sanitation approval from 4 O — Pa,o Health Department GM 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW Driveway permit (construction approval required prior to occupancy) WIMT 20. Pre -Inspection for required P'e-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... - 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .. Recorded copy of Agricultural Acknowledgment Statement ....... L 25. Letter of signaturg authorization .... _ via 27. 516" b- en you issue the permit, process as foil" MaiI to owner. Mail to contractor. _ 1�33 Telephone J~"Z�/�Lsfat nd hold for pickup at � office. Deliver w/inspector. , Other Appicant �' Date opy of !-laz-Mat form sent Health Dept. Z Fire Dept�� l �opy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to p4mit is nce4rclQ new itg9jeobt checked above). 1. Index permit for above items No. 2. Additional items required: -• Contractor, designer,10, , was advised of above required data byJ,�hone--nail—counter byIS&() .date 15/3(j,/'g/ Contractor, designer, owner, was advised of above required data by—phone —mal l_counter by date I Plans checked by Date Plans approved by k4— Dated -5 Sets of plans on hold in File cabinetz f P(0 folder Copy—DPW ``77/S��t NQPel TO: Building Department FROM: Encroachm-ant Permit Section RE: 'Driveway Clearance 00 owner location AP Driveway permit //O � '79 C has been issued for the above property. numbee sign re date COUNTY OF BUTTE,- DEPARTMENT OF PUBLIC WORKS PERMIT NO 7 County Center Drive - Orovllle, Callfornia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER d,36 -76d —0.2,V ZONING �� BUILDING PERMIT " OWNER TELEPHONE -Z � S0. FT. OCC. BUILDING VALUATION �. OWNER'�LIDAD4RE33 /]5 v1,6 W •/N) (,t/ CONTRACTOR'S NAME� O_Wlylt0 TELEPHONE /' CONTRACTOR'S MAILING ADDRESS' Fireplace CONSTR UC TIOt; ►, Eglp E,q UNKNOWN Total Valuation $ 0 Z� Filing Fee $ I0_ LENDER'S MAILING ADDRESS . Permit Fee $ ARCH17ECT OR,"N—INEE,y. LICENSE No. Plan Che. king Fee $ _Z Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADCRESS Penalty $ BUILDING ADDRESS rr- g P^{ 1 e ` V Permit fee S PLUMBING PERMIT Filing Fee 10.00 Each Trap 161 2.00 Q, Old 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 2' Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 5 Building sewer 5.00 SO® Mobile Home I S I G W 10.00 ea TYPE OF WORK NewZJ Addition[] Re odel❑ s Utilitiestailation❑ Other ❑ Describe work: �+Pr Permit Fee $ d QQ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e00V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 1 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In full force and effect. License No. Classification. ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING Occ OR ADDNS. ACC. BLDGS. , U /x¢sgft 5�• Q NEW CONSTR. U TI.OUTL T NON-RESID BRANCH CIRC ITS 2.50 ea -. POWER APPARATUS e SINGLE OUTLET CIR, Ex. Occup(OUTLETS OR FIXTURES 20050t e ALO 30 Ex. Occup. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Kirin 9 15.00 Permit Fee $ tj WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W.'C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating ` ,> Cooling 0 3 Q P-66 Hood 3.00 60 Ventilation ©� Permit Fee $ 3 dO 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 or 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. Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ ( An OSHA permit is required for excav tions over 5'0" deep and demolition or construct- ion of structures over 3 stories iin1 hei t. Mobile Home Installation Fee $ Energy Inspection Fee $ _36.0 occ CONST TYPE TOTAL FEE E — Q HAZ. CUA PARK scHL FLD . .$ PAR D I HD. ISSUE This permit is hereby issued unser the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No. V — WHITE-D.P.W.. TELLOW-ASSE330R. PINK -INSPECTOR, GOLDENROD -APPLICANT Power of Attorney 46 9 I -05 I.49 RECORDING REQUESTED BY Know All Men by These Presents: Fishe 81...Edg.ewood Drive 1. That ...... '?ike of .... ....... ......................, L Oroville Butte Cityof ........................................................... County of......................................... Tom E. Fishe State of California, hereby appoints............................................................................. . MID VALLEY TITLE AND ESCROW CO. ; 91-005149 Rec Fee 7.00 me and in my name, place, and stead and for my use and benefit: Check 7.00 AND WHEN RECORDED MAIL TO Recorded i may acquire the legal right, power, or capacity to exercise, do, or perform in connection with, arising out of, Official Records or relating to any person, item, thing, transaction, business property, real or personal, tangible or r- —� County of 1 (b) To ask, demand, sue for, recover, collect, receive, and hold and possess all such sums of money, Butte Name TOM E. FISHE Candace J. Grubbs Street 81 EDGEWOOD DRIVE Recorder benefits and proceeds, documents of title, choses in action, personal and real property, intangible and ress OROVILLE, CA 95966 8:00am .11 -Feb -91 CD 2 a& ly siie or shall hereafter become due, owing, payable, owned, or belonging to me or in which I have or may acquire an interest, and to have, use, and take all lawful ways and means and legal and equitable remedies, SPACE ABOVE THIS LINE FOR RECORDER'S USE Power of Attorney (General) Know All Men by These Presents: Fishe 81...Edg.ewood Drive 1. That ...... '?ike of .... ....... ......................, Oroville Butte Cityof ........................................................... County of......................................... Tom E. Fishe State of California, hereby appoints............................................................................. . of ...81.. Edgewood Drive ................................... City of.. Oroville......................., Butte County of ............. . ... , State of California, my true and lawful attorney-in-fact for me and in my name, place, and stead and for my use and benefit: (a) To exercise, do, or perform any act, right, power, duty, or obligation whatsoever that I now have or may acquire the legal right, power, or capacity to exercise, do, or perform in connection with, arising out of, or relating to any person, item, thing, transaction, business property, real or personal, tangible or intangible, or matter whatsoever; (b) To ask, demand, sue for, recover, collect, receive, and hold and possess all such sums of money, debts, dues, bonds, notes, checks, drafts, accounts, deposits, legacies, bequests, devises, interests, dividends, stock certificates, certificates of deposit, annuities, pension and retirement benefits, insurance benefits and proceeds, documents of title, choses in action, personal and real property, intangible and tangible property and property rights, and demands whatsoever, liquidated or unliquidated, as are now, or shall hereafter become due, owing, payable, owned, or belonging to me or in which I have or may acquire an interest, and to have, use, and take all lawful ways and means and legal and equitable remedies, procedures, and writs in my name for the collection and recovery thereof, and to compromise, settle, and agree for the same, and to make, execute, and deliver for me and in my name all endorsements, acquittances, releases, receipts, or other sufficient discharges for the same; (c) To improve, repair, maintain, manage, insure, rent, lease, sell, release, convey, subject to liens, mortgage, and hypothecate, and in any way or manner deal with all or any part of any real or personal property, tangible and intangible, whatsoever, or any interest therein, which I now own or may hereafter acquire, for me and in my name, and under such terms and conditions, and under such covenants as attorney shall deem proper; Page 1 This document is only a general form which may be proper for use in simple transactions and in no way acts, or is intended to act, as a substitute for the advice of an attorney. The printer does not make any warranty, either express or implied, as to the validity of any provision or the suitability of these forms in any specific transaction. - r 9 1 -05 149 1•11,11M hr- 4'Ya%^11 f0ei'l1Y �S (d) To engage in and transact any and all lawful business of whatever nature or kind for -me and in my name; and (e) To sign, endorse, execute, acknowledge, deliver, receive, and possess such applications, contracts, agreements, options, covenants, deeds, conveyances, trust deeds, security agreements, bills of sale, leases, mortgages, assignments, insurance policies, bills of lading, warehouse receipts, documents of title, bills, bonds, debentures, checks, drafts, bills of exchange, notes, stock certificates, proxies, warrants, commercial paper, receipts, withdrawal receipts and deposit instruments relating to accounts or deposits in, or certificates of deposit of, banks, savings and loan or other institutions or associations, proofs of loss, evidence of debts, releases, and satisfaction of mortgages, judgments, liens, security agreements, and other debts and obligations, and such other instruments in writing of whatever kind and nature as may be necessary or proper in the exercise of the rights and powers herein granted. 2. Granting to my attorney-in-fact full power and authority to do and perform all and every act and thing whatsoever requisite, necessary, and proper to be done in the exercise of any of the rights and powers herein granted, as fully to all intents and purposes as I might or could do if personally present, with full power of delegation substitution or revocation, hereby ratifying and confirming all that my attorney-in- fact, or his substitute or substitutes, shall lawfully do or cause to be done by virtue of this Power of Attorney and the rights and powers herein granted. 3. This instrument is to be construed and interpreted as a general Power of Attorney. The enumeration of specific items, acts, rights or powers herein does not limit or restrict, and is not to be construed or interpreted as limiting or restricting the general powers herein granted to my attorney-in-fact. 4. By executing this document I further intend to revoke all previous general Power of Attorney appointments executed by me or on my behalf. In Witness Whereof, I have hereunto signed my name this .....23rd. day of Jax�u�xy.................. 19.9.1.... . . .............................................................. Signature Signature State of California, On this ....... 23 ........ day of ...... ,January ..........................i ss, in the year one thousand nine hundred and ... nnety-one ...... County of..... Butte before me, ......M.•.. Lander.s......................................... a Notary Public, State of California, duly commissioned and sworn, personaiiy appeared .......... Ki lm . Fis.ba .................. ........................................................................... personally known to me (or proved on the basis of satisfactory evidence) to be the persons described in and whose name are subscribed to the within instrument, and acknowledged to me that ...... he ....... executed the same. In Witness Whereof I have hereunto set my hand and affixed my official seal in the ..... ca, .................................... County of..................Butte. . . on the day and year in this certificate y _ lrst above written. r Or=FICIAL SEAL / ................. .. .................... "A Nota Public, State of California ;; r�/ :,r. ;., ;`: ,•:, :: 2. 1991y y commission expires ...... 9.-22n91 .............................. Page 2 This document is only a general form which may be proper for use in simple transactions and in no way acts, or is intended to act, as a substitute for the advice of an attorney. The printer does not make any warranty, either express or implied, as to the legal validity of any provision or the suitability of these forms in any specific transaction. Cowdery's Form No. 1022 — POWER OF ATTORNEY — General — (CC Secs. 1216, 2349-2357, 2403) — (Rev. 6/85) 1•11,11M hr- 4'Ya%^11 f0ei'l1Y 91-Q5149 f-_lk# l ne- 41nne �eesrar�r i (d) To engage in and transact any and all lawful business of whatever nature or kind for me and in my name; and (e) To sign, endorse, execute, acknowledge, deliver, receive, and possess such applications, contracts, agreements, options, covenants, deeds, conveyances, trust deeds, security Agreements, bills of sale, leases, mortgages, assignments, insurance policies, bills of lading, warehouse receipts, documents of title, bills, bonds, debentures, checks, drafts, bills of exchange, notes, stock certificates, proxies, warrants, commercial paper, receipts, withdrawal receipts and deposit instruments relating to accounts or deposits in, or certificates of deposit of, banks, savings and loan or other institutions or associations, proofs of loss, evidence of debts, releases, and satisfaction of mortgages, judgments, liens, security agreements, and other debts and obligations, and such other instruments in writing of whatever kind and nature as may be necessary or proper in the exercise of the rights and powers herein granted. 2. Granting to my attorney-in-fact full power and authority to do and perform all and every act and thing whatsoever requisite, necessary, and proper to be done in the exercise of any of the rights and powers herein granted, as fully to all intents and purposes as I might or could do if personally present, with full power of delegation substitution or revocation, hereby ratifying and confirming all that my attorney-in- fact, or his substitute or substitutes, shall lawfully do or cause to be done by virtue of this Power of Attorney and the rights and powers herein granted. 3. This instrument is to be construed and interpreted as a general Power of Attorney. The enumeration of specific items, acts, rights or powers herein does not limit or restrict, and is not to be construed or interpreted as limiting or restricting the general powers herein granted to my attorney-in-fact. 4. By executing this document I further intend to revoke all previous general Power of Attorney appointments executed by me or on my behalf. In Witness Whereof, I have hereunto signed my name this .......3rd. day of .................. 19.91.... .......... ' Signature Signature State of California, On this ....... 23 ........ day of...... January ......: .................. ss, in the year one thousand nine hundred and.. ninety—one . , ... . County of ..... Butte before me, ......M., Landers • . , .... „ ............................... . a Notary Public, State of California, duly commissioned and sworn, personaiiy appeared .......... Mi lke . F.iahe .................. ........................................................................... personally known to me (or proved on the basis of satisfactory evidence) to be the persons described in and whose name are subscribed to the within instrument, and acknowledged to me that ...... h?....... executed the same. In Witness Whereof I have hereunto set my hand and affixed my official seal in the ..... Ca, .................................... County Of..................Butte... on the day and year in this certificate lrst above written. {mfr OFFICIAL SEAL J '-C - is !`GR' a^Nota y Public, State of California 22. 1"1 rr y commission expires......9.-22n91 .............................. Page 2 This document is only a general form which may be proper for use in simple transactions and in no way acts, or is intended to act, as a substitute for the advice of an attorney. The printer does not make any warranty, either express or implied, as to the legal validity of any provision or the suitability of these forms in any specific transaction. Cowdery's Form No. 1022 — POWER OF ATTORNEY — General — (CC Secs. 1216, 2349-2357, 2403) — (Rev. 6/85) f-_lk# l ne- 41nne �eesrar�r 1. Ceiling Insulation 2. Wall Insulation Insulation in.Floor Number of stories _ R -value One Two Three R-0 -103 -49 -32 R-19 -8 -4 -2 R-30 -2 -1 -1 R-38 0 0 0 U -value 2 1 R-19 0.50 -176 -84 -54 0.30 -102 -49 -02 0.10 -26 -13 -8 0.08 -18 -9 -6. 0.06 -11 -5 -4 0.04 -4 -2 -1 0.02 4 2 1 0.00 11 5 3 2. Wall Insulation Insulation in.Floor Slab Floor _ Single- Single - Stories R -value Family Family Multi - R -value Detached Attached Family R-0 -68 -51 -34 R-11 0 0 0 R-13 2 2 1 R-19 8 6 4 U -value -144 -70 46 0.80 -153 -114 -76 0.50 -91 -68 -46 0.30 -47 -36 -24 . 0.10 0 0 0 0.08 4 3 2 0.06 9 7 5 0.04 14 11 7 0.02 19 14 10 0.00 24 18 12 3. Raised Floor Insulation " Insulation in.Floor Slab Floor _ Percent Glass Number of stories Stories R -value One Two Three .41 to .31 to 0.30 or Glass Single Double R-11 -3 -2 -1 R-19 0 0 0 R-30 3 1 1 U -value -07 -26 -14 .3 -144 -70 46 0.50 -120 -58 -08 0.40 -95 -46 -30 0.30 -69 -34 -22 0.20 -13 -21 -14 0.10 -17 -8 -5 0.08 -11 -6 4 0.06 -6 .3 -2 0.04 -1 0 0 0.02 4 2 1 0.00 10 5 3 5. Infiltration (Air Leakage) Specification Points Standard 0 6. Glass Heat loss Total Exterior Slab Floor --ENectlie Percent Glass U -value Stories Percent (percent Mass x SC) Stories .51 to .41 to .31 to 0.30 or Glass Single Double .60 .50 .40 less 50 -121 -53 -39 -24 .10 4 40 -90 -07 -26 -14 .3 8 35 -75 -29 -19 -9 1 10 30 -61 -21 -13 4 4 12 29 -58 -20 -12 -3 5 12 28 -55 -18 -10 .2 5 13 27 -52 -17 -9 -2 6 13 26 -49 -15 -8 .1 7 14 25 46 -14 -7 0 7 14 24 -43 -12 -5 1 8 14 23 -40 -11 -4 2 8 15 22 -37 -9 -3 3 9 15 21 -34 -7 -2 4 10 15 20 -01 -6 0 5 10 16 19 -29 -4 1 6 11 16 18 -26 -0 2 7 12 16 17 -23 -1 3 8 12 17 16 -20 0 4 9 13 17 15 -17 1 6 10 14 17 14 -14 3 7 10 14 18 13 -12 4 8 11 15 18 12-9 10 11 9 12 15 19 11 . -6 7 10 13 16 19 10 -3 9 11 14 17 19 9 -1 10 13 15 17 20 8 2 12 14 16 18 20 7. Shading (Shade Open) Exterior Slab Floor --ENectlie Percent Glass Family Family Stories Mass (percent Mass x SC) Stories Effective /CFA - Two %Glass North East South :West Skylight 18 5 1 4 1 na 16 4 2 5 1 na 14 4 2 5 1 na 12 3 3 5 2 na - 11 3 3 5 2 na 10 2 3 5 2 1 9 2 3 5 2 2 8 2 3 5 2 2 7 1 3 4 2 2 6 1 3 4 2 3 51 3 4 2 3 4 0 2 31 3 3 0 1 2 � 3 2 0- 0 1 0 3 1.5 -3 1 2 0 -1 2 -.'217 -2 0 9. Interior Thermal Mass Interior Exterior Slab Floor Raised Floor Mass Family Family Stories Mass Detached Attached Stories 0.00 /CFA One Two Three One Two Three 0.0 -8 -5 -4 -2 -1 -1 0.1 -8 -5 -0 -1 0 0 0.3 -7 -4 -2 0 1 1 0.5 -6 -3 .1 1 1 2 0.7 -5 -2 -1 1 2 2 0.9 -5 -1 0 2 3 3 1.1 -4 -1 1 3 4 4 1.3 -3 0 2 3 4 5 1.5 -3 1 2 4 5 5 2.0 -"t 2 4 5 6 7 2.5 0 3 5 7 7 8 3.0 1 4 6 8 8 9 3.5 2 5 7 9 9 10 4.0 3 6 8 9 10 10 4.5 3 7 8 10 11 11 5.0 4 7 9 11 12 12 5.5 5 8 9 11 12 12 6.0 5 8 10 12 13 13 6.5 6 9 10 12 13 13 7.0 6 9 11 13 13 14 7.5 6 10 11 13 14 14 8.0 7 10 11 13 14 14 8.5 7 10 12 13 14 15 10. Exterior Wall Thermal Mass Exterior Single- Single - +6 to Wall Family Family Multi Mass Detached Attached Family 0.00 0 0 0 1 0.20 3 2 1 0.40 5 4 3 0.60 8 6 4 0.80 10 8 5 1.00 13 10 7 1.20 13 12 8 1.40 12 13 9 1.60 10 13 11... , 1.80 10 12 12 2.00 10 11 - 13 i 3 2 11. Heating System _. _ .. 0.40 3.67 -34 SE or HSPF -22 .18 (assumes ducts In attic) R-11 -2 _ _ Sum of 15 -2 - Effective Percent Gnus -25 or -24 to -14 to -4 to +6 to 16 or SE HSPF less -15 -5 +5 +15 more 0.72 6.60 0 0 0 0 0 0 0.75 6.88 3 3 3 2 2 1 0.80 7.33 8 7 6 5 4 3 0.85 7.79 13 11 10 8 7 5 0.90 8.25 17 15 13 11 9 7 0.95 8.71 20 18 15 13 11 8 15 -'.13 22 19 Effective SE or HSPF SE HSPF Controlled Ventilation Crawispace na = not allowed -4 b +6 to ( or x duct efficiency) Effective -25 or -24 to -14 b .4 to +6 b 16 or SEER less Number of stories +5 +15 more 8.0 SE HSPF less -15 5 +5 +15 more R -value _R - One --11 Two --• _ --7 Three_ - _ 8.9 0.30-•_2.75._:73___ ^;56 -47 - -38_- 3 30 0 -4 .3 .3 5 �. Shading (Shade Closed) -1 na 3.41 45 39 -34 29 24 18 R-5 4 4 3 2 2 _. _ .. 0.40 3.67 -34 -30 -26 -22 .18 -14 R-11 -2 _ 2 -<_ -2 - Effective Percent Gnus 4 0.50 4.58 -10 0.56 5.13 0 -9 -8 0 0 -7 0 -5 0 4 0' R-19 -1 2 2 (percent Qlaas x SC) ---0.60 5.50 5 5 .4 3 .3 2 4. Slab Edge Insulation -9 -7 Effetlive -•- - -- 0.70 '6.42 - 17.:. 0.80 25 15 -'.13 22 19 • '11 --9 -13 t--7.- 1 10 '- xluet efficiency) -9 -7 •6 - - %6fe6s Nosh '6ttt Soup West -Skyfpht .7.33 0.90 8.25 __32 -_-28 ' 24 .16 20 -17 13 R -value One Numberof Stories Two Three 18 . -14 48-' 69� -64- - na '-' 1.00_ 9.17 37.. 32 . 28 - 24 .. 19 15 -� - - R-0 0 .•---- -8 - - 0 0 16- -_ -12 - -42 . 14 -10 -=-35 .59 .55 -50 - na na - - Zonal Control Adjustment -5 -4 -4 -3 _ R-5 8 5 2 12. -8 r46 "- -40 -37 na ' :.. - 9 8 fi 5 R-7 8 6 3- . -_-29 11. --7.__ -26 -36 -33 na System Type - 22 19 16 13 F2 factor 7 -� - 26 10 -6 -23 -01 -29 .74 ` ' -. Resistance `;1- 10 9 7 ' '6 26 22 18 0.90 _. _.-0_ -1. 9 - -5 20 . 8 ' -5 ' : -27 . 25.:. 23 -21.. -65 _56 Other - _. --6 5 4' -:3 .2 -2 -- 0.80 ..0.70. -- -.1 - .1 -___0_ ._ . -:17 7 -4 -14 _ _ _ -19 '-18 47 5.3 WSB .25 -13 -8 -6 -5 2 2 2 _ 1 6 -3 -11 -15 -14 -38 None -8 -4 _76 .3 .2 i -2 --- 0.60 0.50 6 9 6 2 3 - 5 -2 .- -9 _ -11 -10 =30 None .30 -15 .10 -8 .-6 5.5 Solar _,. 12 8 4 1.1 7 -23 -3 -2 -2 2.1 2.3 2.5 __0.40 _. _ .4 3 0 5 -16 4.2 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 1 1 1 4 1.1 1.4 1.6 1.8 2 2.2 24 2.6 28 11 y 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 0 2 3 4 3 0 6.2 609E 1 1.2 1.4 1.7 1.9 2.1 2.3 na . not allowed 2.7 2.9 3.1 3.3 3.5 3.8 4 I 12. Cooling System SEER (assumes ducts In attic) Stm of 7-10 Zonal Control Adjustment 10 8 7 6 4 3 -25 or -24 to A4 to -4 b +6 to 16 or SEER less -15 1 -5 +5 +15 more 8.0 -14 -12 -10 -8 -6 -4 8.5 -9 -7 .6 -5 -4 -3 8.9 -5 -4 -4 -3 -2 -2 9.0 -4 .3 .3 -2 -2 -1 9.5 0 0 0 0 0 0 10.0 4 3 3 2 2 1 10.5 7 6 5 4 3 2 11.0 10 9 7 6 4 3 12.0 15 13 11 9 7 5 13.0 20 17 14 12 9 -1 0 0 0.4 1 -18 -12 -9 -7 _6 1.5 WS8 . Effective SEER -12 -10 -8 2.5 (SEER xluet efficiency) -9 -7 •6 n St:m of 7-10 ':5 -3 -2 -2 Effective -25 or -24 to -1410 -4to 46110 16 or SEER less -15 5 +5 +15 more 5.0 -30 -25 -21 -17 1-9 Solar 6.0 -12 -11 .9 -7 -6 4 6.6 -5 -4 -4 -3 .. -2 -2 , 7.0 0 0 0 0 0 0 j 8.0 9 8 fi 5 4 3 l 9.0 16 14 12 9 7 5 10.0 22 19 16 13 10 7 11.0 26 23 19 15, 12 8 12.0 30 26 22 18 14 9 13.0 33 29 24 20 15 10 Zonal Control Adjustment 10 8 7 6 4 3 Interior Mass/CFA . TTGC : MSS No Cooling System Installed -Stories - One -5 -4 .4 -3 -2 -2 Two + 3 3 r. 2 2 2 1 Single -Family Detached and Attached Unit Size (sQ Water F2 factor [0.77] . .099 1'M 1700 2200 2700 Heater Credit or • to to to : or TYPO TYPO less ,1699 2199 2699 more SG None 0' i 0 0.. 0 0 or Solar 12 ' 8 6 5 4 HP -HWR 8 5 4 3 3 109/6 WSB 5 3 3 2 2 45% POU 8 5 4 3_ 3 SE None -37 -24 -18 -15 .12 ` Solar -1 -1 -1 0 0 0.4 HWR -18 -12 -9 -7 -6 1.5 WS8 . -25 -16 -12 -10 -8 2.5 POU -18 _-12. -9 -7 •6 n None ':5 -3 -2 -2 .2 4.6 Solar 7' 5 -4 3 2 _ -None POU .3 - 2__ 1_. _ 1 0.8 IE 1.2 -28 -19 .14 -11 -9 2.1 Solar 8 5 4 3 3 - -POU -10 -`-6 -5 ----4 -3 4.2 Multi -Family (individual units) 4.8 -Water 5.2 , Unit Size (so 699 '. 700 1200 1700 2200 Heater Cre(fid - or- 10 -to --- b - to . TYPO Type less :1199 1699 2199 more SG None 0 0 0 0 0 or. "" Solar 14 7- 5 4 3 HP HWR 9 -5 3 -2 2 5'6 WSB 9 .. .4 3 2 2 1.1 POU - 9. 5 3 2 2 SE None 45 --23 -15 .11 -9 3.2 Solar -2 - 1 1 0 . 0 4.3 -- 23- 4.95.1 5.3 WSB .25 -13 -8 -6 -5 0.9 eQU . _29 ' 12 -8 .. -5 IG None -8 -4 _76 .3 .2 i -2 --- -Solar--•6--- 3----2 -1 1 - 3.8 POU 0 __ 0 ._0 _....0.._ IE None .30 -15 .10 -8 .-6 5.5 Solar 18 9 6 4 4 1.1 POU -8 . -4 -3 -2 -2 Interior Mass/CFA . TTGC : MSS or • - U -value [0.037) , 4. -Slab Edge Insulation or R -value 101 F2 factor [0.77] . •..:1 Ie,rpetw .1_b1 5. Infiltration Standard - p 6. Glass Heat Loss t TYPE I KUS (OINC h 4.2, ie: exposed slab) Type [double] U -value [O.tiS] 4o Total Glass (16) .. _. _.._. Sum -6 3 7. Shading (Shade Open) 09/. S% 109/6 IS% 20% 25% 30Y. 35% 40% 45% 50% 55% 60% 659/. 70% 7S% 80% 85% 90% 95% 100% 105% 110% 115% 120% 125!: 09/. 0 0.2 0.4 0.6 0.8 1.1 1.3 1.5 1.7 1.9 2.1 23 2.5 2.7 2.9 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5 5.3 107'. 0.2 0.4 0.6 0.8 1 1.2 1.4 1.6 1.9 2.1 2.3 2.S 2.7 2.9 3.1 3.3 3.5 3.7 4 4.2 4.4 4.6 4.8 S 5.2 5.4 20% 0.3 0.6 0.8 1 1.2 1.4 1.6 1.8 2 2.2 24 2.1 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.8 5 5.2 5.4 5'6 30% 0.5 0.7 0.9 1.1 1.4 1.6 1.6 2 2.2 2.4 2.6 2.8 3 3.2 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.95.1 5.3 5.6 5.8 409/6 0.7 0.9 1.1 1.3 1.5 1.7 1.9 2.2 2.4 28 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 509/. 0.9 1.1 1.3 1.5 1.7 1.9 2.1 2.3 2.5 2.7 3 32 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 55% 0.9 1.1 1.4 1.6 1.8 2 2.2 24 2.6 28 3 32 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 5.8 6 6.2 609E 1 1.2 1.4 1.7 1.9 2.1 2.3 2.S 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 ' S 5.2 5.4 5.6 5.9 6.1 6 3 659/6 1.1 1.3 1.5 1.7 1.9 2.2 2.4 2.6 2.8 3 3.2 3.4 3.6 3.8. 4 4.3 4.5 4.1 4.9 5.1 5.3 55 5.7 5.9 6.1 6.4 70% 1.2 1.4 1.6 1.8 2 2.2 2.5 27 2.9 31 3.3 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 5.2 5.4 5.6 58 6 6.2 64 75% 1.3 1.5 1.7 1.9 21 2.3 2.5 2.7 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 W% 1.4 1.6 1.8 2 2.2 2.4 26 2.8 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.1 4.0 5.1 5.4 5.6 5.8 6 6.2 64 66 85% 90%" 1.4 1.5 1.9 2.1 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 5 5.2 54 5.6 5.9 6.1 63 65 67 959/. 1.6 2 2 2.2 2.2 2.4 2.5 2.6 2.7 2.8 2.9 3 3.1 3.2 3.3 3.4 3.5 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 53 5.5 5.7 5.9 6.2 6.4 66 68 100% 1.7 1.9 . 2.1 2.3 2.5 2.8 3 3.2 3.4 3.6 3.7 3.8 3.9 4 4.1 4.2 4.3 4.4 4.6 4.6 4.8 5 5.2 5.4 5.6 5.8 6 6.2 6.4 6.7 6.9 4.9 5.1 5.3 55 5.7 5.9 6.1 6.3 6.5 6.1 7 105% 1.8 2 2.2 2.4 2.6 2.8 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 5.6 5.6 8 6.2 6.4 6.6 68 7 110% 1.9 2.1 2.3 2.5 2.7 2.9 3.1 3.3 3.6 3.8 4 4.2• 4.4 4.6 4.8 5 5.2 5.4 5.7 5.9 6.1 6.3 6.5 6.7 69 7.1 115% 2 2.2 2.4 2.6 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 6.2 6.4 '6.6 6.8 7 7.2 1209/. 2 2.3 2.5 2.7 2.9 3.1 3.3 3.5 9.7 3.9 4.1 4.4 4.6 4.8 5 5.2 5.4 5.6 5 8 6 6.2 6.5 6.7 6.9 7.1 73 125% 2.1 2.3 25 2.8 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.7 7 7.2 7.4 Point System Summary: Climate Gone n SCORE CARD Measures Point Scores 1. Ceiling Insulation or " Z R -value [38] U -value (0.030) 2. Wall Insulation �_- 19 or R -value (I I] U -value [0.098] 3. Raised Floor Insulation or R -value 1191 - - U -value [0.037) 4. -Slab Edge Insulation or R -value 101 F2 factor [0.77] . 5. Infiltration Standard - p 6. Glass Heat Loss D'RL Type [double] U -value [O.tiS] 4o Total Glass (16) .. _. _.._. Sum -6 3 7. Shading (Shade Open) % Glass SC Eff. % Glass a. North / ; (P X 17 7 b. East S-, 7 x d. West / x e. Skylight D x = 8. Shading (Shade Closed) a. North % Glass SC Eff. % Glass ----= _.__....___x_ b. East S 7 x - 3 ---- __--_ --c. South P' d. West= ./ x Z.% -3 = e. Skylight Q .' x 9. '-Interior Thermal Mass TYPE 1 MASS AREA . = 10.,Exterior. Wall Mass .interiorMaas/CFA COND. FLOOR AREA TYPE 2 MASS AREA _ B !. --_ Exterior Wall Mass ND. L OR AREA. - - Sum 7-10 11. Heating System' , t ► j.-�. x 3 = 1�..'_ o �_ _... Y 3 Zonal Control? ( Y / N) a SE or HSPF Duct Efficiency [0.78) Effective SE or -"- - - - 12. Cooling System -.:. (0.72/6.6) -- X: ---HSPF[0:5615. S]. �'%� = w '%•." - . - _ Zonal Control? ( Y / N) SEER [9.51 Duct Efficiency 10.741 Effective SEER [7.03] Water Heating .� r _. Cz- Typ.- e [SGJ Credit [none] Point Total: Certificate of Compliance: Residential. Climate Zone 11 Mandatory Measures Checklist: Residential MF -1R rro ccs s we / !, 9S j - - — NOTE: Lowrise residential buildings subject to the Standards must contain dtese meastita regardless of the compliance J approach used Items marked with an aswisk (•) may be superseded by more stringent compliance requirements LUW 9�'j'i U N F- `� _ Buttd' g Perirtit M _ on the Certificate of Compliance. When this checklist is incorporated into the permit documents. the feuurcs rioted shall �1/� be considered by all panics w binding minimum component perfomhance specifications for the mandatory measures Project Address --- - �.— -- -- . — _ _-- / +` ���� " l ) _ . _ _ _ _ .. .� weer they are shown elsewhere in the documents or on this checklist only. -- Tr .... _ Checked By / Date ON -- DESIGNER ENFORCEMENT Author - BUILDING DATA - Conditioned Floor Area -- SlabfiWsed Floor 75_7e_E [t] -Single Family Detached (SFD) [ ] Single Family Attached (SFA) _ [ ] Multi Family (MF) --- t ._ Telephone - Number of StoriesEast Number of ..Units [ ]Addition Alone -- .. [ ] Existing Building [ l Existing -Plats -Addition--- . _ _ North South West . Skylight ---Total Enforeenent Agency Use Only Glass Area % Glass a`9 -f- /i /Deo � �( O; �: -- - ./ - d0 - 2 • S .- - ?"f v Building Envelope Measures- • §2-5352(a): Minimum ceiling insulation R-19 weighted average. §2.5352(br Loose rill insulation manuracturces labeled R -value. • §2-5352(c): Minimum wall insulation in framed walls R-11 weighted average (does rat apply to -- _. _. u-5 - - - - _ - §2.53s2 mass walls). (kr slab edge insulation -water absorption rate no g,ea,er than 0.3'b. -water vapor. , transmission rate no greater titan 2.0 perm/inch. §2-5311: Insulation specified or installed meets California Energy Commission (CECT quality standards Indicate type and form. §2-5352(1): Vapor barriers mandatory in Climate Zones 14 and 16 only. - _ - ~. BUILDING SHELL INSULATION-* jComponent Insulation Location/Comments Type R -Value (attic. to garager rMical. etc.)` Wall .............. -19 Wall ............. Roof ............. (L- 30 Roof ............. _ Floor ............. Floor ............. ! Slab Edge..... GLAZING Shading Devices Glazing Area GlassType Interior Exterior Overhang Framing Type Orientation (sf) (single. double) (roller blind. etc.) (Shuleween, etc.) (yeSMO (metal/wood) NorthD6LfL North ( ) East East ( ) South South ( ) West West ( ) THERMAL MASS Type/Covering Area Thickness (slab/exposed, tile, etc.) (So (inches) Location/Description (kitcheru bath, etc.) -n yIre f 4- i ! HVAC SYSTEMS Minimum Duct Type (furnace, air Efficiency Location Duct Output Manufacturer / Model # conditioner, heat pump) (SE, SEER,HSPF) (attic, etc.) R -Value (Btuh) (or approved equal) i7 v lz N � � zrG� BUTiE COUNIT I Maximum Furnace Heating Output: � Btuh a (] i PR HOT WATER SYSTEMS Tank Manufacturer/Model# r1 r OVEJ) System Type (storage gas, etc.) Capacity (or approved equal) Special Feature(s) SPECIAL FEATURESIREMARKS (Add extra sheets if necessary) §2.5317: Infiltration/Exftlt ation Controls Doors and windows between conditioned-an&unconditioned•spa= designed to limit-air— leakage. b. Doors and windows certified. c. Doors and windows weatherstripped; all joints and penetrations caulked and sealed 12.5352(e): Special infiltration barrier installed to comply with §2-5351 mats CEC quality standards §2-5352(d): Installation of Fireplaces 1. Masonry and factory -built fucplaces have: a Tight filling. closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and control 2. No continuous burning gas pilots alk>wed. HVAC and Plumbing System Measures §2-5352(8) and 2-5303: Space conditioning equipment sizing: attach calculations. §2-5352(h) and 2-5315: Setback thermostat on all applicable heating systems. ' §2-5316(a): Ducts constructed. installed and insulated pts Chapter 10, 1976 UMC. 62.5316(b): Exhaust systems have damper controls. §2-5314(c): Gas-fired space heating equipment has intemittent ignition devices. §2-5314: HVAC equipment. water heaters. showerheads and fauces certified by the CEC. §2-5352(7: Water heats insulation blanket (R-12 or greater) or combined interior/exterior insulation (R-16 or greater); fust 5 feu or pipes closest to tank insulated (R -3 -or greater). §2-5312(Exception 1): Pipe insulation on steam and steam condensate ruum & recirculating piping. §2-5318(d): Swimming Pool Heating 1. System has - - - a Ort/off switch on heater. b. Weatherproof instruction plate on heater. e Plumbed to allow for solar. 175 percent thermal efficiency. 3. Pool cover. 4. Time clock. s. Directional water inlet. Lighting and Appliance Measures §2-5352(1): Lighting - 25 Iumens/wau or greater for general lighting in kitchens and bathrooms. §2-5314(c): Gas fired appliances equipped with intermittent ignition devices. 12-5314(a): Refrigerators. refrigerator -freezers, freezers and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. COMPLIANCE STATEMENT This certificate of compliance lists tate building features and performance spedfications needed to comply with Title 24, Chapter 2-53 and Title 20, Chaptra2. Subchapter4. Article 1 of the California Administrative code. This certificate has been signed by the individual with overall design responsibility and the building owner, who shall retain a copy of it and transmit the certificate to any subsequent purdtaser of the building. Designer Building Owner Name: Name: TWdFu1n: ThtkJFirm- Addrar Address: Telephone c Tetcphon tom. 4: (signature) (date) (signature) (date) Documentation Author Enforcement Agency Name: Name: Tidc um: Atency: Address: Tckphonc PERMIT NO: 54-91 Lake Oroville Area Public Utility District 1960 Elgin Street OROVILLE, CALIFORNIA 95966 533-2000 DISTRICT APPROVAL AND VERIFICATION OF INSPECTION BUILDING SEWERS 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 Lake Oroville Area Public Utility District, must be submitted to Butte County. Date: June 12, 1991 Applicant: Marion M_ Molley (Mike Fishe) Applicant Address: 1292 Anvilwood Ct. , Sunnyvale, CA 94086 Applicant Phone No.: (408)L2-5330 533-2480 Property Location (s): 90 Hunter Drive Copley Acres 2 - Kyte Subd. - Lot 5 A. P. No. (s): 36-76-28 Fees due: All fees paid. Application for service approved: LAKE OROVILLE AREA PUBLIC UTILITY DISTRICT Inspection(s) made and successful test(s) observed: Location: M Date: Lake Oroville Area Public Utility District release to close permit: Date: By: +• � f t ..'•.. .i^'+""'•"'l iR� w �r4, :4 -T-u �..,..: i -.'_r•', f,,,..,,.,.�*x-,..`,� . Y ,r BUTTE,COUNTY SCHOOLS DF�VELOPMENT FEE CERTIFICATION FORM - (One Form per.Buiiding) A.P. Number 2(p - 74 Building Department No. , School District Qom' City+ County Jurisdiction nil ,//-_ Property Owner / v tf--. Project Location/Address Subdivision Lot Number s Resident Dal Development: i Sq. Footage # of Living MHI Addition (Group R) .ti Units Commercial/Industrial: �l Sq. Footage •' New Addition (Including Exterior Roofed Areas) �- l • q1 BuilZing Department Representative Date (Floor Plans reviewed by School District Personnel) ;y District Id No. 41 r' - . s School District,ce• rtifies that, - T;• (Applicant Name) (Phone Number) (Street Address) j (:City) ( State) (Zip Code) has complied with the requirements of Resolution No. 0 �a by the pa ment of $ c�% representing square feet. "School Di W, ct Representative Date REMARKS: • BANK NO PAID BY CASH white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) 12/90 RESIDENTIAL"PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR lt""Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306). -2--Guar rail details (Sec. 1711 & 3306(j). 3 Rr_. k or stone veneer (Chapter 30). eri r plaster - weep screeds (Sec.`4706). 5 Proper roof pitch for roof convering (Chapter 32). 6�oof covering type - (fire hazard). m insulation - protection. 8. 36" halls and stairways. 97-14 * �rea over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. 1 its on three-story dwellings (sec. 3303 & see Mezannines - 1716). 1 . Attic access and ventilation (Sec. 3205). door access and ventilation (Sec. 2516). 1I.—t-Ombustion air for fuel burning appliances - L.P.G. requirements. se requirements on duplexes. o 1 V�F�'shing nergy design. 1 at all exterior openings. 17CDF responsible area requirements. Y OWNER F�14C RESIDENTIAL PLAN CHECKING -GUIDE (S.F., DUPLEX & MISC. ONLY) 12/90 Bldg. Permit # Ag3F/Z A. P. # - T Plan Checker GENERA � 1ning requirements: (sideyards and number of permitted 2. V -nation. 3 lans signed by designer.S 1l�ry FO eta r Proper description of work on app ica ion. Existing violations on property. Items on data sheet. (W.C., fees, Health, Developer Fees, SRL-=ded notice of violation. PLOT LAN 1.omplete parcel size and dimensions. Setbacks, sideyards, easements, etc. 3' ---Other buildings or structures. ;,rading, fills, drainage. 5' Flood hazard. Special conditions on creation map, astible, and foundations). -7-.--M & FAS road setback. living units). License law, etc). (noise, CDF, fire sprinklers, non-comb- 8,----Btrlding or utilities across lot lines (Record form). FLbOR PLAN 1`. omplete to scale plan with dimensions. 2equired windows for light and ventilation (Sec. 1205). 36: Required windows for second exit (Sec. 1204). ylights (Chapter 34 & Sec. 5207). unman impact glass (Sec. 5406). 6. Required room sizes, ceiling heights (Sec. 1207). 7�FF s in baths, garage, kitchen, and exterior outlets (Article 210-8). 8f/Light fixtures, switches, receptacles, and exterior receptacles for main- tenance of mechanical equipment. 9k-1 Locations of water heater, heating and cooling equipment, other electrical gas equipment. 1 gaxage firewall, door size, and closer (Sec. 503(d)(3)). 11--'l - 3'0" exterior exit door (sec. 3304 (f). ep ace and wood stove location, alcoves, and clearance. 1 Smo�ke detectors (Sec. 1210). 1/1 -Plumbing fixtures, water closet clearances and shower size. STRUCTURAL DETAILS 1. Standard bracing or engineered design (Table 25V) 2-----Urns-55-1--shape, size, or split level house requiring lateral design. r-.�.Foundation plan complete enough to construct building. FF oor construction details.complete enough to construct building. Elevations and wall construction details complete enough to construct building. Roof construction details complete enough to construct building. -r-egl-ace construction details and calcs if necessary. ��Guaxage after ties or bearing ridge beam. door or porch header sizes. 1(. Stud heights. 1Adobesoils - special foundation design. i2. Retaining walls requiring design. Y3. pSpecial Inspection required. 4 Return to DPW AGRI Section 26-8.1 of the Butte requires this acknowledgement prior to issuance of a building 91-24210 UJURAt STATEMtN- T OF ACUOWLEDGEMEINT FOR RESIDENTIAL DEVELOPMENT County Code _- - - - _--- - - - -- - be recorded (" permit . 91-024270 1 Rec Fee 5.00 ri The property described herein is adjacent I Cheek .5. 00 i to land or included within an area zoned Recorded 1 NOTARYPUBLIC— CALIFORNIA COUNTY OF BUTTE for agricultural purposes, and residents M Official Records I r :. of this property may be subject to incon- County of veniences or discomfort arising from the Butte I use of agricultural chemicals, including, I Candace J. Grubbs but not limited to herbicides, pesticides, 4 Recorder i and fertilizers; and from the pursuit 8:43am 17 -Jun -91 I XX 1 of agricultural operations including, — - - but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, -smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real -property. -'situate in the County of Butte, State of California, described as --fol-lows: _ LOT 5, AS SHOWN ON THAT .CERTAIN MAP ENTITLED, "KYTE SUBDIVISION", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON FEBRUARY 28, 1989, IN BOOK 112 OF MAPS, AT PAGES 85,86 AND 87. SUBJECT TO COVENANTS, CONDITIONS AND RESTRICTIONS, RECORDED MARCH 1, 1989, UNDER BUTTE COUNTY RECORDER'S_ SERIAL NO. 89-6579.. Date: C -1-2- PROPERTY Otv'y �.RS State of Calif. ) On this the 12thday of _ June , 19 91, before me, the ) SS. undersigned Notary Public, personally appeared County of Butte ) Mike Fishe Personally known to me. 2 Proved to me on ,the basis of satisfactory evidence. to be the person(s) whose name(s) is subscribed to the within instrument and acknowledged that he executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. -t.Present A.P. No. 03-.6 -76- 6�2F rotary Public Janie Stevens END OF DOCUMENT OFFICIAL SEAL JANIE STEVENS �» a NOTARYPUBLIC— CALIFORNIA COUNTY OF BUTTE Comm. Exp. Sept. 11, 1992 Personally known to me. 2 Proved to me on ,the basis of satisfactory evidence. to be the person(s) whose name(s) is subscribed to the within instrument and acknowledged that he executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. -t.Present A.P. No. 03-.6 -76- 6�2F rotary Public Janie Stevens END OF DOCUMENT I 9 �.'iaj' 3.. �Yc3'M:�i'Ai"F••• v:�f'ti"`,ry8. Z...,",., :x (,>�,,'TF,: "'_r:+' w �' ,�}< a 3��'�egle,+H�yY'�':Q�A'�. { t 1 0 i 01 036-760-028 PERMIT#96-2796, MOLLEY; Marion 90 Hunter Dr., Oroville Cont: John Wheeler Const. Repair Roof/Garage COUNTY OF BUTTE- DEPARTMENT OF DVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, Califorr*.m<,95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT /'� 9b "m? r'�T(,2 ZowNG BUILDING PERMIT OWNER ON 40LI.EY TELEPHONE '9• OWNERS MANJNfi DAE§S � • � - SQ. FT. OCC. BUILDING VALUATION ES 1200 CONTRACTOR'S NAME JOHN WHEELER CONST. TELEPHONE 534-5449 DONT U OBOXIu5262,55 OROVILLE CA 95966 �J Fireplace p CONSTRUCTION LENDER NONE UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 29.00 ARCHITECT OR ENGINEER NON) ucENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 90 IWNTER DR., OROVILLE PERMITFEE S PLUMBINGPERMIT Fling Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other GARAGE SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other . REPAIR DAMAGED ROOF SHEATHINP & Describe Work: � TRUSS ' Mobile Home I S I G W I @20.00 PERMITFEE 1$ Contractor ELECTRICAL PERMIT Filinq Fee 20.00 Main Service a 0 OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO ,000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full fo ce and effect. G / 4 Class to /I�� Lic. No. �!3 y �/ 7 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 NEW CONST. DWELLING OCCURSO. OR ( d ACC. ) 3.5Q FT. UTLEBLDS CONST. MULTI.OTLENS. NEW CT NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS (a SINGLE OUTLET CIR. ) Ex. Occup. (OUTLET OR FIXTURES ) BAL Q I.50 License Ex. Occup. ( OunEEDrs LNS.. eA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE s Contractor WORKERS' COMPENSATION DECLARATION 1 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 Labor Code, for the performance of the work for which this permit is issued. 19 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 I suranc carrier and policy number are: f1 Carrier f t -w t i �u ., � ' MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor - Policy Number if & S'Z —Z& (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become 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. /f / t/ X (,l _S �IC�c -- ` Date Z- ''�O — _ Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 49.00 HA2. I D. FEES I IMP I FLOOD I CDF PARCEL I PD HO ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. i 1 BY / ,1?.!' �h,41 -_Date 12/18/96 PERMITEXPIRESON 12/18/97 (Date) Receipt No. I WHITE-D.D.S.-B.D. CANAR - SSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVLOPMENT SERVICES -BUILDING DIVISIO 7 County Center Drive - Oroville-, talifornia 95965 - Telephone (916) 538-75 PERMIT NO. APPLICATION AND PERMIT ASbIr PQ�i (�NUMOB'ERR ZONING BUILDING PERMIT G1'S3Y'RIO/NMOLOLEY TELEPHONE OZQJTaUg&DR., OREWILLE 6k 95966 SO. FT. OCC. BUILDING VALUATION EST 1200 CONTRACTOR'S NAME JOHN WHEELER. CONST. TELEPHONE 534-5449 CONTRACTOR'S ESS ILI2OX562 , OROVILLE CA 95966 Fire lace p CONSTRUCTION LENDER NONE UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 29.00 ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 90 HUNTER DR., OROVILLE PERMITFEE $ 49.00 PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other GARAGE SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other IN Describe Work: REPAIR DAMAGED ROOF SHEATHING & TRUSS Mobile Home I S I GI W 1 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20.00 Main Servicea000v OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license s in full fo ce and effect. S� License Class Pn //� 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. 0 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR. OR ADDNS. 8 ACC. BIDS. ) ( So, 3.SQ FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES ) 20 a 1.00 BAL .50 Ex. Occup. ( OUFIXED TLETS PRESID.)ea ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. c. I 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' ompensationi uranc carrier and policy number are: Carrier 7L'ar✓9 6 7 MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number p9 —2,/ -"m (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become 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 fo it comply with those provisions. X Date /�O — /_ Sig re of Applicant - ❑ Owner ❑ Contractor ❑ Agent An 15SHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 49.00 HA2. I D. FEES I IMP I FLOOD —[737 -1-7 PD HD SSUE This permit is hereby issued under the of the Butte County Code and/or indicated ove for which fees hav By PERMITEXPIRESON I applicable provisions Resojytions to do work b paid. Date 19118196 19.118,197 (Date) Receipt No. WHITE-D.D.S.-B.D. CAN R - SSOR PINK -INSPECTOR GOLDENROD -APPLICANT RESIDENTIAL 036-76-0-028 91-3541 :f FISHE, MIKE 1 CONTR: OWNER 90 HUNTER DR, OPOVILLE NEW GARAGE - 2V/-9/ Iy JOB FINALE Signature J=OK O = Not OK =Not ApplicReadyable MOBILE HOMES =Not Ready Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L" ft./ /"LPG MISCELLANEOUS Date DECK OVERS, CARPORTS, GARAGES,(Plans)OK except #'s 4-'2on,ipg Requirements -Setbacks -Easements ootings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6.Carports; Windows -Doors 7. Electric Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Date Card B-1 Dat V1,11C Card B-1 / Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECK OVERS, CARPORTS, GARAGES,(Plans)OK except #'s 4-'2on,ipg Requirements -Setbacks -Easements ootings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6.Carports; Windows -Doors 7. Electric Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Date Card B-1 Dat V1,11C Card B-1 / Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O=Not OK = Not Applicable Not Ready RESIDENTIAL (Single = Date UNDERFLOOR (Plans) OK except N's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth - riy., 'Viwics a Ucurts, JVIIS-JICCI-/ /ray. vaPui I 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped V. Jicmwana, �a�ayc, Jiccrowcnuuw-vviaPPcu 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit).OK except h's 16. Water Htr.: Vent -Access -Combustion Air -Baffle - ------------------------- 17. Water Pipe; Test & Anchor -Nail Protection ------- ----------------- 18. D.W.V :-Test-Fittings & Anchor -Nail Protection -------------------- ----------------- 19. Shower Pan: Test. First Floor -Tub Access -------------------- ---------------------------- 20.--Test-Tub & Shower, -Second Floor -Tub Access ------------------------------ -------- ----------- 21. Gas Pipe: Size & Anchors -------------- -------------- ------------------------------------------------- Date ---------------------------- Date Card B-1 Date Card B-1 ------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except h's 22. Fixture & Transformer_ Clearance -Ins. Protection - - - - ------------------------------ 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled ----------------------------------------------- --------------- ----------- 25. Romex Installed Close to -Edge -of Studs & C.J. 26. Equip. Ground made up w/Mech. Fasiners-Bond Gas & Water - -- ----------------------- ------ - ---- -- - -- --- --- - ---- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI ------------- - - -- -- - ---------------------- --------- ------- --------- 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu -or AI - ---------------------------------------------------- 29. Range Circ. / , ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes 0- No -------------------- --------- --- ---------------------------------------------- 30. Service -Riser Conductors & Ground -Main Disconnect - --------- ----------------------------------------------------------- 31. Equip. Clearances Panels-Motors-Mech. Equip. ------- --------------------------------------------------- 32. Clothes Closet Light -Shower Light -Spa Light --------- --------------------- 33, ----------------- 33. Smoke Detector ---------------- --------------- ---------------------------------------------- -- Date Card B-1Date Card B-1 ------------- -- ---- ------------------------------------------- --------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except h's 34. A.C. Ducts Insulation & Support -- ---------------------------------- -------- - --...------------ 35. Vent Fan: Exhaust above insulation ---------- - -- ----- -- -------------------- --- --- - -- -- ---.------ 36. Condensate Drain & Overflow: Size & Grade ------ - - -- - -- ------------------ -- - - ... -- ... ... ._ 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ----------- ------- ---- -- -------------------------------------------- -- 38 Attic Access & Platform if Furnance in Attic ------ ------- ------ ----- --- -------- -- ---------------------------- -- Date Card B-1 Date Card B-1 -- -- - - -- - - - ------ -------------------- -- --- ----- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except h's 39. Sits. Proper Material & Anchors ------ ------- --------------- --------------------------- -------- ------- --- -- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound - --------- - - - -- - - -- - - - 41. Bearing Walls over Girders & Floor Nailing ------------------------------- -- 42. Draft Stop in Walls (rat proof) 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub - - -- ------------------------------------------------- -- 44. Headers & Beam -Size & Bearing & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Bra c-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance ----- 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits _ 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers ----------------- 55. Sidino-Nailino Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access ---------------------- ----- 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings --------------------- 60. Infiltration -Walls -Windows ---- ------------------ Date__ -----------------Date__ Card B-1 Date _ Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except ft's 61. Ext. Steps -Door & Sidelight Protection -Landings ----------------- 62. Smoke Detector -------------- -------- ____ 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. Protection 64. Bedroom Exiting 65. G F.I_& Bath Fixtures & Tub Access -Spa ---------------------------- 66. Elec. Trim & Subpanel: Breaker Sizes & Labels 67. Stags & Rails 68. Fireplace or Stove: Clearances -Hearth _ - - - - - - -- - - -- --- -------------------------- 69. Elec. Outlets at Wood Panel: Int. & Ext. ----------------- --- 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door: Swing -Landing -Closer ------------------------------- 73. -----------------------------73. A.C. Duct in Garage -Damper ------- - -------------------------- 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection 75. Plb. Elec. & Mech. Equip. Listed for Location --------------------- 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection 7 . Insulation -Foam -Looked in Attic ❑ Yes ------------------------------------------- - 78. Guard Rails & Deck Construction -Post Caps ------------------------------------------ - 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes .. - - - -------------------------------- 80. -------------------------------80. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No: Planters Cl Yes ❑ No 81. Stucco: Brown -Finish ---------------------------------------- -- 82. A.C. Unit_ Disconnect. Electrical, Plumbing 83. Vents Above Roof: Plbg -Appliance-Fireplace.-Clearance to Openings ------------------------------ 84. Water Well: Disconnect, Electrical, Plumbing ------------------------------------- -- 85. Exterior Elec. Trim: G.F.I. Receptacle -Underground 86. Ventilation Throughout House .. ... -.. ---------------------------------------------- 87. Glass Protection -- .------------------------------------ ---------------- 88. Corrections from Previous Inspections -- - - -- ------------------------ ------------------------- 89. Gas Test -Meters Tagged: Gas -Electric - ---------- --- ----------------- ---------------------------- 90. Water & Sewer Connected -C/O to Grade -HD Approval - - ----------------------- 91. Energy Compliance Certificate -Other Certificates - --- -- ---- ------------------------------- -- ---- Date Card -B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: (12 / COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 Cqi, tty Center Drive - Orov-1118, Callfomla 95965 - Telephone: 916,'538-7541 a . APPLICATION AND PERMIT PERMIT NO ASSESSOR P RCEL NUMBER 3 —76-28 ZONING AR BUILDING PERMIT OWNER MIKE FISHE TELEPHONE E533 2480 SO. FT. OCC. BUILDING VALUATI fV" 1 OWNER'S MAILING ADDRESS 81 EDGEWOOD OROVILLE 95966 CONTRAC Y R'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCij6%LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ SS BUILDING90 OHUNTER DR OROVILLE Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. LuT Jr SUBDIVISION NAME PARCEL MAP 1/2– 06 Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other DET. GARAGE SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W 615.00 TYPE OF WORK New XX Addition❑ Remodel❑ Utilities❑ Installation❑ Other F1 Describe work: 24X30 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 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 ,JOS I'� Jam/ Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200ATO1000A) 37.50 OCCUP.&\ NEW CONST. ( DWELLING OR ADDNS. ACC. BLOGS. I 3.6Q sq.ft. NEW CONSTR ULT' -OUTLET NON -RIE -ID, BRANCH CIRCUITS) I @ 5.00 (POWER APPARATUS e) SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES AO 7rA FIXED APLNS. E.X. Occup. OUT ETS P(RESID )REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. byirin g 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Not ce to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor r MECHANICAL PERMIT Filing Fee 1 15.00 Heating Cooling g Hood Ventilation 6.50 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 Countyof 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 Co my�i copse consequence of the granting of this permit. �� X ?' "L Date/a "-! - �/_ signature of Applicant — Owner ❑ Contractors Agent ❑ An OSHA permit is required for excavations over 5' deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE I TOTAL FEE $ 195.00 HAz DFEES IMP FLOOD CDF PARCEL PD MD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work Gated abo for which fees D R I 1�R Pl1 LIC By PER EX IT PIRE Date applicable provi- resolutions to do have been paid. WORKS r G DCt�� Receipt No. 101192 WNITE•D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT W►7T ' ` `^' v.- r ?+•• �T'"�.w� ... y-r��, . ��,� ,,�.r-rF.',Cr'T''+r'1�Mr`sM';��'.ca�r.,�y ,x� ' - .. 1yjtrj'�q�'Ny" �"�.� 'ter " a } COUNTY OF BUTTE -DEPART TiOF PUBLICrWORKS -BUILDING DIVISION - 7 COUNTY CENTER ,DRIVE - OROVrLLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT"APPLICATION DATA SHEET I Permit No. OWNER / .Le- , •�A. P. No. -35; Proposed Bui Idi,ng Use �4 C'A%CrE'' Bui Iding InspectorO Date At time of permit application, I was advised the following data 'must be submitted prior to permit processing and/or issuance: Je" , DA41 RECEIVED APPROVED 1. All items have been submitted. ............... " 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form ............. ..4 ..... ................ . 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ 11. Chico Urban Area fees paid ....................................... ' 12. Park fees paid .................................................... 13• OZ 14. School District fees paid .............. Sanitation approval from t -dA - Pul% Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: 18. Improvements may be required. Contact Land Development Seetion'DPW 19. Driveway permit (construction approval required prior to occupancy) " r 20. I'Building 21. Pre -Inspection for required...Pre-Inspec. request to Inspector (Date) Contractor's license information (No.,- Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement .......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail too�wnr. Mail to contractor. �TelephoneS���,„-ZC/c'o and hold for pickup at - office. Deliver w/inspector. . Other AppI i c a n t /O - Date Copy of Hdz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above, items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---nail—counter by ..date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Date L_Plans approved by R Date D g Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orwillet California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 36. _ % -Z8 ZONING A - 2 BUILDING PERMIT OWNER ish w TELEPHONE S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 6?i _ 0& 5 G CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENL\ER A , o N I "' UNKNOWN C Total Valuation .D Z & LENDER'S MAILING ADDRESS ARCHITECT OR ENGINE€t? a LICENSE NO. Filing Fee $ 15,00 Permit Fee Plan Checking Fee $ -2 0- $ 00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ l Q PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other .Dt2-k - CrA2AGiP SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W I @ 15.00 TYPE OF WORK New -Z Addition El Remodel C Uti lities ❑ InstallationE, Other ❑ Describe work: SLI X 30 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OLESS 200A OR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under p provisions of Cha t. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License ;Jo. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason Main service 200A TO t000A) 37.50 NEW CONST. (DWELLING OCCUP.&) OR ADDNS. ACC. BLDGS. I 3.64 sq.ft. V NEW CONSTR. ULT' -OUTLET NON-RESID• BRANCH CIRC ITS @ 5.00 POWER APPARATUS &) SINGLE OUTLET CIR. ) EX. Occup( OUTLETS OR FIXTURES 20 76d FIXED APPLNS. OR Ex. Occup. OUTLETS IRESID.) EA.) I 3.00 Temporary service 1 15.00 Mobile Home Facilities 15.00 Misc. byirin g 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I� 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. Contractor MECHANICAL PERMIT FiIirig Fee 15.00 Heating Cooling Hood 6.50 Ventilation pennit 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 OT Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner❑ Contractor ❑ Agent ❑ An OSHA ion of structures toverr3QstoriesoineheigVfatlons over 5'0" deep and demolition or construct- Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ oma - HAz I DFEES I IMP I FLOOD I COF PARCEL I Pb I HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. ,2-- (�Ir7rJ� WNIT[•D.P. W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT ES.I.DENTIAL 36-76-2g 2931-91B FISHE, Mike 90 Hunter Dr, Oroville (open deck/sf) JOB FINALE Signature ✓=OK O = Not OK119P NoApplic Readyable RESIDENTIAL (; Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /Z Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Block outs -Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test-Anchor-Reg.ilator-Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance- Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Jo sts-Vents-Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except N's 16. - Water Htr.: Vent -Access -Combustion Air -Baffle ---------- -- -- --------------------------- 17. Water Pipe: Test & Anchor -Nail Protection -------------------- ------------------------------- 18. D.W.V.; Test -Fittings & Anchor -Nail Protection ------- ---------------- -- ------------------- 19. Shower Pan; Test, First Floor -Tub Access ----- ---------------------------------------- 20. Test -Tub & Shower, Second Floor -Tub Access ---------------------------- -------------------- 21. Gas Pipe: Size & Anchors Date Card B-1 Date Card B-1 -- --------- -------------------------------- --------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except 4's ------ 22. Fixture & Transformer Clearance - -Ins. Protection ------ 23. Elec. Receptacles Spacing -Lights & Switches at Doors ------------------------- ---------------------------------------------- 24. Size Boxes & No. of Conductors -Stapled --- - --------------------------------------------------------------- 25. Romex Installed Close to Edge of Studs & C.J. ------------------------------ - - -------------------------- ---- ------------------------------------------ 26. Equip. Ground made up w/Mech. Fasiners-Bond Gas & Water --- -------------------------------------------------- -------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size!GFI -----------------------------------'------------------------- 28. Subfeed Wire Sizer ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI ----------- -------------------------------------- 29. Range Circ. ! ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑Yes ❑ No ------- 30. --Service-Riser -Conductors -& -Ground-Main---Disconnect- - ------------------- ---------------------------------------- ---------------1. Equip_Clearances Panels-Motors-Mech. Equip. ---------------------------------------------- 32.- Clothes Closet Light -Shower Light -Spa Light ----------------------------------------------------- 33. Smoke Detector ----------------------- --------'--------------------------------------------- Date Card B-1 Date Card B-1 --------------- - ---------------- -- -- ----------------------------------- --- --------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except a's 34. A.C. Ducts Insulation & Support 35. Vent Fan: Exhaust above insulation ----------------------------------------- ---- --- - --- - 36. Condensate Drain & Overflow: Size & Grade -------------------------------------- 37. Furnance-Vent: Access -Comb. Air -Return Air Vent - t 15 outlet --------------------------------------------------------- ------- 38. Attic -Access-&. Platform ii Furnance in Attic --------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except a's 39. Sils. Proper Material & Anchors - -- ------- --- - ------------------------------------------------------------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound ----------------------------------------------------------- 41. Bearing Walls over Girders & Floor Nailing ---------- ---------------------------------------------------------------- 42. Draft Stop in Walls (rat proof) --------------------------------------------------- ------------------------ ------------- - 43.- Fire Stops: Furred Ceilings -Stairs -Chases -Tub ------------------------------------------------------- 44. Headers & Beam -Size & Bearing "ingle & Duplex) Date FRAMING (Continued) - 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles - 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions ---- ----- _ 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings --------------------------- 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits ------ _----- 53. _Stairs; Width -Headroom -Rise-Run-Landing- Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers --------------- --- _ 55. Siding -Nailing Veneer ____________ 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic _ 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows -------------------------- _Date ------ _--Card B -t Date _ Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except ft's _______ 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector --------------------- 63. Furnace: Vents -Clearance -Comb. Air -Connector - Garage: Above Floor -Ducts -Meth. Protection ------'----- --------------------- 64. Bedroom Exiting -------------------------------- _ 65. G F.I & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Su_bpanel; Breaker Sizes & Labels _ 67. Stairs & Rails 68. Fireplace or Stove Clearances -Hearth ------------- -------------------------- 69. Elec Outlets at Wood Panel: Int. & Ext. 70. Kil.Flxi & Appliance; Grnd.-Air Gap -Cooking Clearance --------...-- --------------------- ----- - 71. Elec. Outlets & Receptacles at Kit. Counter - - - - - ----- 72. Garage Fire Door: Swing -Landing -Closer 71 A.C. Duct in Garage -Damper - - 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection 75. Plb.. Elec. & Mech Equip. Listed for Location 76. Elec_ Receptacles in Garage: (G_F_I.)-Romex Protection -------------7;.-Insulation-Foam-Looked in--- Attic ❑ Yes -------------------------- - 78. Guard Rails & Deck Construction -Post Caps --------------------------------------- - 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor D Yes 80. Following instld.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ N_o 81. Stucco: Brown -Finish - - 82_ A_C_Unit: Disconnect. Electrical, Plumbing - 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; -Disconnect, Electrical, Plumbing - 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House ...... ....... _- ---------------------- -------------------- 87. Glass Protection - ---------------------------------- 88. Corrections from Previous Inspections ------ ----- --------------------------------------------------- 89. Gas Test -Meters Tagged; Gas -Electric ---------------------------------------- ------------ 90. Water & Sewer Connected -C/O to Grade -HD Approval ------------ 91. Energy Compliance Certificate -Other Certificates ------- --------------------------- Date ------------- ------Date Card B-1 Date Card B-1 --------------------- - ---------------------------- - ------ Date Card -B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: J=OK O = Not OK = Not Applicable MOBILE HOMES =Not Ready � Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / P L" ft. / /-Nat. or/ /" L" ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date _ Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 it MISCELLANEOUS Date /DECKA COVERS, CARPORTS, GARAGES, Plans OK except #'s oni Requirements -Setbacks -Easements ootings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- RItrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Ele c Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Dat SY. (rte Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 6 OWNER COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS } 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541' 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE 3 / ---�7� 'ERMIT 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. 49 Date / Inspector COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovjille, California 95965 - Telephone: 916/538-7541 2 r Y, PERMIT NO.� APPLICATION -AND PERMIT ASSESSOR PARCEL NUMBER ZONING AR BUILDING PERMIT OWNER MIKE FISHE TELEPHONE 533-2480 SQ. FT. OCC. BUILDING VALUATION 442 0 3 0 94 OWNER'S MAILING ADDRESS 81 WOOD DRIVE OROVILLE CONTRACTOR'S NAME SAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation $ 3,094 Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ 44.50 ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ 22.25 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 90 HUNTER DRIVE OROVILLE Permit fee $ 76.75 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 , 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF © Duplex❑ Mobilehome❑ Other 1i SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home Is G W 10.00 ea' TYPE OF WORK New ❑ Addition Q Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: NEW DECK Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 600V OR LESS Main service 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No.%) Classification. Fl 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.6I\ OR ACDNS. ACC. BLDGS. yxQsgft NEW CONSTR. MULTI.OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES eLO 30 ZAL@30 Ex. OCCUp. OUTLETS FIXED P(RESID )LINIS KEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate I shall not employ any person in any manner so as to become subject NotXof Consent to Self -Insure. to the W. C. laws of California. cetoApplicant: 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 County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agains id County in c sequen of the nting of this permit. X �1 Date Signature of Applicant - Owner ❑ Contractor ❑ Agent Elwork An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 76. 7 H Z. PA sc ,%� FLO CDF_, PA PD i H ISs This permit is hereby issued unser the applicable provi- sions of the Butte County. Code and/or resolutions to do indicated ab for which fees have been paid. D EC OR OF PUBLIC WORKS % By Date —`-0- _ PER IT EXPIRES to eceipt No. 97407 7f; 75 Fg, /I TE-D.P.W.. YELLOW-ASSES50R. PINK -INSPECTOR, GOLDENROD -APPLICANT J r rT, ,pr7't cAtict r�^`s "i }'YY"'V4•.r�►`li. `J7Y, 'M +'I 74i, yL.. wf 7 COUNTY OF BUTTE :y DIPq{R,TMEN;TOFrPUBLIC WORKS -BUILDING DIVISION ;a 7 COUNTY CENTER DRIVE - OR©V14LE,:,£ALIFORNIA 95965 -TELEPHONE: 916/538-7541 + '_*0 PERMIT APPLICATION'DATA SHEET Permit No. > ' OWNER All& /.S I A. P. No.� Proposed Building Use xmc , Building Inspector o Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . ........................ 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form ........................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School Distric fees paid .............. 6-0�11 Sanitation approval from Lf O� — Z' QQ Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required ... Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... k 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. r✓ Telephone S"ao - (21193 and hold for pickup at _office. Deliver w/inspector. Other Applicant Date A/ Copy of Haz-Mat form sent Health Dept. Fire Dept. air Pollution Date Copy of plans sent Health Dept. Fire Dept: Other Date By. The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone--jnaiI—counter by ..date Contractor, designer, owner, was advised of above required data by—phone _maII c unter by date Plans checked by Date Plans approved by Date _Sets of plans on hold in ile cabinet AP folder Copy—DPW COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovilie. California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 3E- 74-28 ZONING - BUILDING PERMIT OWNER TEL ONE Mt � % S 33-Z £fie OWNER'S MAIL!NG A.FDRESS -- CONTRAC TO:.•s r r „ TELEPHONE C" S0. FT. OCC. BUILDING VALUATION �j y CONTRACT R S MAILING ACMESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Q Filing Fee $ 1000 LENDER'S MAILING ADDRESS Permit Fee $ , D ARCHITECT R ENGINEER LICENSE NO. Plan Checking Fee $27—,26 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS T ,p 7 C. Permit fee $ s 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 5,00 Each pas water hea2.er or vent 5.00 USE OF STRUCTURE SF'Q Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S 7G I W 10.00 ea TYPE OF WORK New❑ Addition Remodel Utilities[] Installation❑ Other ❑ Describe work:� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2,50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of 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 OCCUP.S OR ACDNS. ( ACC, BLDGS. /z¢sgft NEW CONSTRULTI.OUT LET NO N.RESID BRANCH CRC., TS 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup( OR FIXTURES 2 0 (91 50t eAL9L930¢ FIXED APPLNS. Ex. Occup. OUTLETS (RESID )KEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. lyirin 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ L Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date 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 in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ „7 HALCUA I PARK I $CHL FLD coF PAR pD i He o. Issu This permit is hereby issued under sions of the Butte County. Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date �3/stories Receipt No. 17711617, 7' %(0 7.� -- NNITE-O.P.W., TELL0W-A3eE330R. PINK -INSPECTOR, GOLDENROD -APPLICANT ;t �7tiy a