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Home My WebLink About079-100-025o 5-- -- " i R. ,BRUCE MULLIN �� 175 Deerwood Dr.,,Orov' O Permit# 1120-75B(ga_rage�/3-,z9-7lo Permit# 1983-75B(pot=bell' stove f garage)// — E^��r ' - �B,P,E,M(new SF) Fw. -36-6e--24-rj' Contr: Freida Hart Martin/�a�8 Permit�k968-86B;P,E,M(new single fami y) ;PERMIT#96-1828+ MULLIN, Bruce & 'Na �8 & orm ' ;1'75,Dee'rwood Dr.'Oroville '' J r Cont:,,'George ^Roofings Reroof/SF, .;✓(' '� �. t •' - `' � i 111 f P r - � I oe 036-600-025 et PERMIT#96-1828't` 7 MULLIN, Bruce & Norma' s 175 Deerwood'Dr.., Oroville Cont: George Roofing ^J` •� Reroof/SF i i COUNTY OF BU-fTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVI N 7 County (tenter Drive - Oroville, California 95965 - Telephone (916) 538-7 1 r,1 ERMIT NO. APPLICATWN AND PERMIT �f ASSESSOR PARCEL NUMBER ,. •....• I - - E _Y1 ZONING BUILDING PERMIT , • OWNER-1PH .•-� Ma TELEONE r- SO. FT. � OCC. BUILDING VALUATION :., OWNER'S MAILING ADDRESS }' f :tet" > (rte` rt CL. r l CONTRACTOR'S NAME • 4�. fr )r- TINE r, i. CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ '<� f'I ;-00 Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 1p it ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDINGADDREP.% -� r. • ,,,,_ enc PERMITFEE $ PLUMBING PERMIT Filing Fee 20.00 Each'Trap 7.00 LOT NO.SUBDIVISIONS NAME " PARCEL MAP 1 Solar Or heat pump Water heater 23.00 Water piping 15.00 ti USEbFSTRUCTUR\ E � SF,KDuplex ❑ Mobjlvehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK' New ❑ Addition ❑ Remodel ❑ Utilities ❑ Inslallefion ❑ Other ❑ Describe Work: ^L>r ti , ' L i Mobile Home ISI GI W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20.00 Main Service000V OR LESS ( 200 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 provisio ` s of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Prof sions Code, and my license is , full o and effect. �- License Class - Lic. No. ` �• OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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 OCCUR OR ( a ) S0. 3.5¢ FT. CNS. LTI-ACCUTLEBUDS NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 07.50 POWER APPARATUS (a SINGLE OUTLET CI R. ) Ex. Occup. ( OUTLET OR FIXTURES ) B20 @ I.00 Ex. Occup. ( O50 UTLEEDTs RESID.)EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE ,S . Contractor WORKERS' COMPENSATION D1rCLARATION I hereby affirm under penalty of perjuone of the fgllowing declarationEi: ❑ 1 have aZo—will maintain a ce Ificate of consent to self -insure for workers' com6gP satic , as provided fo by section 3700 of the Labor Code, for the performance of the work for whi this permit is issued. ❑ 1 have and will maintain workers'`compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insuranc carrier and policy number are: Carrier �! c . l r l ��(' MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy NumberTL . - /d c, FM (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. �I X _ l _ Date SigntofrApplicant. Owner Contractor ❑ Agent ry An OSHA permit is requited for eX _ _ tions over 5'0" deep and demolition or construction of structures over 3 stor7es in height. Mobile Home Installation Fee $ Energy Inspection Fee Is occ CONST. TYPE TOTAL FEE $ 1 Q� HAZ. 1 D. FEES I IMP I FLOOD I CDF PARCEL PD HD ISSU This permit is hereby issued under of the Butte County Code and/or indicate d above for which fees have - / PERMITEXPIRESON Pie applicable provisions Resolutions to do work been paid. Date <, f l (Da/e) Receipt No. 'f + hf �)� WHITE-D.D.S.-B.D. CANARY -ASSESSOR P-INK-INSFfECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIV[ON 7 -County Center Drive - Oroville, California 95965 - Telephone (916) 538-7 196_ 00 EPIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER .� zDNING BUILDING PERMIT OWN UCe 4- or(n0 . u � TELEPHONE 5 -LJ SQ. FT. OCC. BUILDING VALUATION OWN ' MAIUNG AQDRESS V CONTRA OR'S NAME e TELEPHONE -6393 CO NT RAC ARS MAI AD RESS MG tg / V U 8V i Il Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Q400 Filing Fee $ 20.00 LENDER'S MAIUNG ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING D E PERMITFEE $ Q�e)e)of0/`oroottl n PLUMBING 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 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 ❑ Describe Work: �G n _ O��- Mobile Home S G W111 @20.00 PERMITFEE g Contractor ELECTRICAL PERMIT Filinq Fee 20:00 Main Service 00oV OR LESS ( 2000A OR LESS ) 23.00 Main Service ( 200A To I000A ) 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 full o and effect. License Class Lic. No. "7J v�dr (D� OWNER -BUILDER DECLARATION 1 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 OCCUP. so. OR ADDNS. ( a ACC. BLDS. ) 3.50 FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ I.00 BAL .SO Ex. Occup. FIXED PLNS..OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My worker/s.'�, �c�ompgnsation i ranc carrier and policy number are: Carrier t. i- Qe(i �1q�� MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor —ra--nCQ Policy Number t UG — / (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 w kers' compensation provisions of section 3700 of the Labor Code, I shall rt with comply with th se provisions. _ X Date al _ Signature of Applicant - ❑ Owner Contractor ❑ Agent An OSHA permit is required for excavations over 5 0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ / HA2. D. FEES IMP FLOOD CDF PARCEL PD HD ISSU 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. / 4&41 Date 4 I (G e) Receipt No.PERMITEXPIRESON WHITE-D.D.S.-B. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT �.- J YPERMIT NO. ` 968-86B, P, EM. PERMIT EXPIRES OWNER BRUCE MULLIN CONTR.Freida Hart Martin ASSESSOR PARCEL 36-60-25 LOCATION 175 Deerwood, lot 88, Copley Acres Oroville -rte OFFICE COPY JOB FINALE Signaturt I Address i � GAS � ( Meter By Date Temp. Power P,. ELECTRIC B Meter Y_ Called PG �- — ------ 1 Temp. Elec. Service Called PG&E Temp. Gas Service 9'�f Called PG&E JOB FINALE Signaturt I OK _ 0 = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) Date UNDE OOR Plans OK except it's Date FJ3A G(Continued) o requirements -Setbacks- sements 49. P ert Line Firewall & Openings tg., Main; Soils -Steel -EI ,- / " Ftg. Depth 49. E . oors-One 3'7Check Garage -3rd story, 2 exits Garage; Soils -Steel- / /" tg. Depth 5 S irs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ft , orches & Decks; Soils -Steel- / /" Ftg._Pepth 5dfePlywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. St alts, Main; Steel-Blockouts-Wrapped- 52. ng -Nailing -Veneer . Stemwalls, Garage; Steel-Blockouts-Wrapped-S 5?' Stu co Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. P' -Fireplace Ftg.-Steel ing Area -Glass Protection -Skylights -Plastic D.W.V.: Fall-Fittings-Teet-2 /0 -Sew t 55. Sear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. W taterP'pe Test -Anchors -Regulator -Service Test 11. ElectriC-UTmfu ground 12. 'Ibarance-Material-Support-Ins.wn 13. Gird- nc of Bolts -Joists -Vents -Cripples Card -BI I Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date 1 Card -BI Date Date FINAL (Plans) OK except q's Card -BI DateI Card -BI Date Date LUMBING (Permit) OK except N's Steps -Door & Sidelight Protection -Landings Smoe, Detector 40�VPPF(t.; Vent -Access -Combustion Air urnace; Vents -Clearance -Comb. Air -Connector - Int ardge; Above Floor -Ducts -Meth. Protection 1 iter Pipe; Test & Anchors -Nail Protection 16(('D.W.V.; Test-Fttngs & Anchors -Nail Protection �. Bedroom Exiting _ 17. Shower Pan; Test, First Floor -Tub Access 60/G. 61. I. & Bath Fixtures & Tub Access EI . Trim & Subpanel; Breaker Sizes -Labels 18. Test Tub & Shower, 2nd Floor -Tub Access 19. Gas Pipe; Size & Anchors 6R tairs & Rails - 63. es -Hearth Card -BI -ateDate 64—^�e-49e4et"l-Wood Panel; Int. & Ext. K'. ixt. & Appliance; Grnd.-A' -Coogagtiearance -7Zard-BI Card -BI Date Card -BI Date EIec'�Outlets & Receptacles at Kit. Counter Date ELEPIKRICAL Permit OK except q's Gar Fire Door; Swing -Landing -Closer. r,& --A C,_Duct in Garage -Damper F' lure & Transformer Clearance -Ins. Protection - 69 tr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor -Meth. Protection _ 2Y . Receptacles Spacing -Lights & Switches at Doors 2_ cBoxes & No. of Conductors -Stapled 70✓F51 Elec. &Mech. Equip. Listed for Location leeptacles in Garage; (G.F.I.)-Romerotec. x2 2 mex Installed Close to Edge of Studs & C.J. _tp. Ground made up w/Mech. Fasteners -Bond Gas & Water 7,2, suJatiBn-Foam-Looked in Attic 7,0e -Guard 74. Rails & Deck Construction -Post Caps F ole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 2 Appliance Circuits in Kitchen &Conductor Size -- 24, __ _ e Size / / a. Cu or AI-A.C. Wire Size / / ga. Cu or At �27 Range Circ. / / ga. or AI -Oven Circ. / / ga. Cu or At, I ulated_Neu_tral� DNo rvice-Riser Conductors _ain Disconnect -_ Equip. Clearances; Panels-Motors-Mech. Equip. /3iT�CtIIt1TtCloset Light -Shower Light �7 Card Date / O+� Card -BI Date C B -I Date {/ Card -BI Date _ O r 75, Following instld.: Or iv ❑Yes Walks 'E] Yes jNo; Planters El Yes 3 No j7 tucco- finishjV'_ 7, Unit; isconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 7 g ents Above Roof; Plb A liance-Fire I Clearance to 0 n s. 9•- PP P •- P 9 79 Waiar me+P,-9 stvmtet.T Electrical, Plumbing $Q x rior Elec. Trim; G.F.I. Receptacle -Underground $l entilation throughout House G [9,ssr Protection Date M C ANICAL (Permit) OK except p's Corrections from Previous Inspections 84. rs Tagged; Gas -Electric - A.C. Ducts: Insulation &Support& 32. Vent Fan: Exhaust above Insulation 33. Condensate Drain & Overflow; Size & Grade _ 34. Furnace -Vent: Access -Comb. Air -_Return Air Vent -_115V outlet 35. Attic Access & Platform if Furnace in Attic =81�jL/6ate ��` Card -BI _ Date - Card -BI Date Card -BI Date Sewer Connected -C/0 to Grade -HD Approval 1,2-5/86elTnergy Compliance Certificate -Other Certificates - Card -BI Date g- LC70 Card -BI Date Card -BI l,ate��/t{�� Card -BI Date C I ate Card -BI Date Date FR G(Plans) OK except q's Comments at Final: 36.Sii, Proper Material & Anchors T 3 W : Studs -Nailing, Spacing & Bracing -Plates -Sound 380 ring Walls over Girders &_F_loor_Nailing_ Floor -Nailing -- aft Stop in Walls_(rat proof)_ _ 7 F' StopsI Furred Ceilings -Stairs -Chases -Tub & Beam -Size &Bearing 41.�Ca 4 s-PostCaps-Anchors-Connectors43 oist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shlhnp.-Ring. es or Type A Flue -Fireplace Throat 4 ,c ccess: Size & Romex Protection -Draft Stop -Ins. Baffles - _ 4 B. Windows or Exiting Doors -Sill Hgt. & Dimen_sions 4 Garage Fire Protection Framing - (NOTE:Anentrymust be made each time youvisit jobsite) OK ' Wt OK = Not Applicable MOBILEHOMES MISCELLANEOUS Not Ready Date MOBILEHOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1, Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch _ 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE ME 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 immediateiv. A- - Inspector_ .+_� Date1 Owner: u�cf/ �� CO�/AQ /�% / Permit No. 614 d ' 4�� ,- ENERGY CERTIFICATION- Wood LOCATION A.P. No. DESCRIPTION OF INSULATION' ROOF Material Brand Name Thickness(inches) Thermal Resistance (R Value) EXTERIOR WALL,, �'C Material Brand Name - Thickness(inches) `' Thermal Resistance(R Value) CEILING Name�- Batt or Blanket Type 10 Brand " , Thickness(inches) dl' Thermal Resistance(R Value) / Loose Fill Type Brand Name Minimum Thicknes$(Inches) Number of Bags Wt. per bag lb. Area covered(ft.ZZ) Thermal Resistance(R Value) FLOOR, ELEVATED Material Thickness(inches) FLOOR, SLAB Material Thickness(inches) W idth(inches) FOUNDATION WALL Material Thickness(inches) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) I hereby certify that -the above insulation was installed in the above building in conformance with the State of C o Energy. Requirements. -3 7 � "SRM NAME/0 STATE CONTRACTOR'S LICENSE N0. SIG OF I STAL IO CATOR DATE I hereby certify the above insulation and all required items as shown on the Building Department approved plans and attachments have been installed as required by the State of California Energy Requirements. All equipment, devices and materials are of the quality prescribed or are specifically approved by the State of California. FIRM- 1ME/ZWNEZ� (Plea a print) STATE CONTRACTOR'S LICENSE NC(. fK GNATURE OF QUERAL CONTRACTOR OWNER DA E 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 6) r_ .14 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE 1 r; 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 m er, or ed additional explanation, please contact this office immediately. 0 Inspector Dat;7jj/�� • Ho mmn Tp�oam _ mn.c g<mpm<= a^ JOB#>C4729 Darrow Wood Products Span>20-0-0 Height>5-4-9 - 12-04-1984 BUTTE LAND DEV. Left Depth> 0-7-2 'Ri9ht>0-6-1 TC LL> 16 1.25 Lumber psf increase m m .- came o - TC DL> 7 psf Repetitive members Top Chord> 2x6 #2 ' Douglas-fir ;g�=a�� BC LL> 0 p.sf 1.00 Plating increase Bot Chord> 2x4 #2 , Douglas-fir -nag. BC OL> 10 psf 209a Hydro-Air PT # 6_5_7 r ,�•. �• ' N 9 . -748-634 oa.m ^m o• ticm o^z`n^ C m O n O ry 0 .e O T � 2•, 01 . . •� o -2_g ° ° -1295 aye � DCO• TW" C r m m m rav �Snn �nr 9.07 .. 6 (f oo.an 9Yzx z s {� 4.28- . DO u v m m m 0 m O lD r _ a o ga- ; Ix4Oe 1it E COUNTY 60 6-5-7 7 A DEPRTMENT` 597 122511L M-sso� 20-0--0 11 p p R O' V°v _ ,A, Brg to Brg Mu 1 t i P I y the f o 11 ow i ng inch coefficients by 268 . to obtain the web forces /''► r .1.4 .5 -2.6 11 CERy OFMAI 'OTE OF TITC M�� ? o V 70 C C3 C . W 0 z CONFORMANCE 1EL1W'Q"JW IHE'UNDERSIGNED MANUFACTURER HE1 REBY CERTIFIES that the products identified below and on attached sheets Nos. are marked with the Collective Mark of the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION (AITC) and were manufactured in conformance with applicable provisions of American National Standard ANSI/AITC A190.1-1983 Structural Glued Laminated Timber, and that such manufacture has been at our plant in �wisshome, OR , which plant has a quality control system approved by the Inspection Bureau of the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION and inspected periodically by such Bureau. The manufacture of these members complies with the manufacturing and fabricating +provisions of Chapter 25 of the Uniform Building Code. JOB NAME: Weyerhaeuser — Sacramento for Stock & Custom JOB LOCATION: Sacramento, CA CUSTOMER'S ORDER NO. PO #142 DATE X26 86 MFGR'S ORDER NO. 8404—A 24F—V-4, WP Glue, Arch. App., Individ. Wrap. SIGNATUREJV COMPANY American Laminators, Inc. TITLE Quality Control AODREQOB 46A, Swisshome, OR DATE 3/17/86 s' A/TC HEREB Y CERT/F/ES that the said company at its said plant is licensed by the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION to use the AITC Collective Mark in respect of products which comply with applicable provisions of said.S,tandard, that the adequacy of the quality control system in effect at said plant is periodically inspected and verified by the Inspection Bureau of the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION, and that, in the judgment of AITC,'. said company is capable of complying with applicable manufacturing and testing provisions of said Standard in respect of products manufactured at said plant. Conformance with the Standard in respect of any specific or particular product is the sole responsibility of the manufacturer; AlTC's guarantee' hereunder being that the said company is qualified to produce a product meeting the said Standard and that its plant is periodically inspected and verified by the AITC Inspection Bureau. AITC FORM 18CA AITC Certificate No. 2 4 3 8 4 A r MI N INSTITUTE OF TIMBER CONSTRUCTION c ' AP MAY 2 3 15 it < � RSC D. m ® 1983 AMERICAN INSTITUTE OF TIMQER CONSTRUCTION COUNTY OF BUTTE _ DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Carifornia 95965 - Telephone 916/534-4541 APPLICATION ANQ PERMIT f, PERMIT NO. ASSESSOR -PAR L NUt�Q(/�BBEERR ZONING it� �,0✓) .BUILDING PERMIT OWNER TELEPHONE S0. FT. DCC. BUILDING VALUATION OWNEAILING ADDRESS - P tKP®-lN- Com -PO 0� CONT ACTOR'S NAME R 1 N TELEPHONE 7 %'7 In C �O (�C/ CCrNTRACTOR'S AILING ADDRESS Fireplace CONST UCTION LENDER UNKNOWN Total Valuation 1 $ 87 7 &F2 1 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $j"] ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ S ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 0IJ Permit fee $ SO PLUMBING PERMIT Filing Fee 10.00 Trap $ 2.00 or heat pump water heater 20.00 Zp— LOT�10. C7�/�7�(VXj//A//J/V,' 7W�S SUNAME PARCEL MAP Water piping 5.00 Each gas water heater or vent 5.00 �/ USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other /lam SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home JSFG W 0.0Oea TYPE OF WORK New [Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service loo AMP OV OR RSLSESS 10.00 O °%- Main service EA. ADD'L 100 AMP 2.50 2-0 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. 3/93�i 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 o �.� 2y2�sgft �S NEW CONST, OR ADDNS. l ( DWELLING ACC . BLDGS 01 NON•RESID R. BRANCH CTRCTITS 2.50 ea (POWER APPARATUS a) SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 2ALO 30 eAL030 Ex. Occup. OUTLETS P(RESID )FIXED APLNS.REAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin g 15.00 Permit Fee $ 3 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. rV I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C..provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Z2� Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said /County in consequence of the granting of this permit. X �r, 44— Date ?-,117hGThis Signature of Applicant — Owner ❑ Contractor ❑ Agent [9 An OSHA permit is required for excavations over 5'0” deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ ©� TOTAL PERMIT FEE $ , OCC2.cob FD- -! ST„TYPE V �F;JPARC L 1,:�J ND uE permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRE R OF PUBLIC WORKS By Date y- g—?/. PE T EXPIRES Date �� Receipt No. L. ! 1?/ ` WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT,AF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 / PERMIT APPLICATION DATA SHEET v Permit No. OWNER `t�C.� A. P. No. Proposed Building Use Permit Fee Based Upon: Complete Contract Price DPW Valuation Other (Expl. 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. . . . . . . . . . . 3. Complete plans in duplicate/triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD ''Fees Paid'' Stamp on Floor Plan . . . . . , . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . Letter of signature authorization.. . . . . . . . Sanitation approval from & 13 U.D Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner[], Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . . 17. Pre -Inspection. for RequiredPre-Inspec. request to . Building Inspector (Date Recorded copy ofri�,ultural Acknowledgment Statement . . . Othet WArrs Vamrr. g4wodE`,(„, Foe DRtveU-144-N )OR 1oA-To OCC vPAL(,ZQ AAj er hen you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other i� AppIicant � � Date 1714 + Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at.tim—e\o( pplication, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, �Owner) as advised of above required data by /// /1 By Plans checked b�, Plans approved by Other: ,a. Copy—DPW Telephone Mail Date Date Date Other TO: Building Department FROM: Encroachment Permit Section'' RE: Driveway Clearance 73, 'Oeedo'l owner location �G-(,j- a - ZS AP # Driveway permit �19 ),o — has-been issued for the above property. signatu date Telephone 533-2000 North Burbank Public Utility District 1960 Erin Street OROVILLE, CALIFORNIA 95965 29-86 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 North Burbank Public Utility District, must be submitted to Butte County. Applicant Address: 31 T,a Marada., nravi l l P CA 95966 Applicant Phone Ro.: 589-3433 599-3759 Property Location (s): 175 Dc -rwaad A. P. No. (s): RF -An --25 Fees Paid: $900 nn SC -OR Facility Charms & $95000 Application for service approved: May 6, 1986 N rth Burbank Public Utility District Inspection(s) made and successful test(s) observed: Location: Date: M North Burbank Public Utility District release to close permit: Date: By: RESIDENTIAL PLAN CHECKING GUIDE �/85 (S.F., DUPLEX & MISC. ONLY) p/ Qp', LBldg'. Permit # OWNER /JFK( �UL/N A . P . # 36 GENERAL ,l! Zoning requirements: (sideyards and number of permitted living units). 2! Valuation. Plans signed by designer. Energy Design and Compliance. iY. Existing violations on property. PLOT PLAN �! Complete parcel size and dimensions. i2' Setbacks, sideyards, easements, etc. i3 Other buildings or structures.- A�' Grading, fills, drainage. jf Flood hazard. Special conditions on creation map or compliance document. FLOOR PLAN X. Complete to scale plan with dimensions. ,2'' Required windows for light and vent-14-ation (Sec. 1205). ' i3Y Required windows for second -exit (Sec. 1204). -41 Skylights (Chapter 34 & Sec. 5207). ,6' Human impact glass (Sec. 5406). Required room sizes, ceiling heights (Sec. 1207). X' G.F.C.I.'s in baths, garage and exterior outlets (Article 210-8). -K Light fixtures, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. o,9: Locations of water heater, heating and cooling equipment, other electrical or gas equipment, and plumbing fixtures. Garage firewall, door size, and closer (Sec. 503(d)(3)). �Y 1 - 3'0" exterior exit door (Sec. 3304(e)). .1-2:' Fireplace and wood stove location. Smoke detectors (Sec. 1210). STRUCTURAL DETAILS iiY- Foundation plan complete enough -.-to construct building. ,2:' Floor construction details complete enough` -.to construct building. ,3!' Elevations and wall construction details complete enough to construct building. f� Roof construction details complete enough to construct building. .,g' Fireplace construction details and calcs if necessary. .(f. Sufficient data and details to satisfy energy requirements (State Law) (Form 1).. MISCELLANEOUS ITEMS TO LOOK OUT FOR -T'. ExposureI plywood on exposed locations and overhangs. ,2.' Stairway details: landings, rise and run, head clearance, handrails'(Sec. 3306). X3:4 Guardrail details (Sec. 1711 & 3306(j))., +!' Brick or stone veneer (Chapter 30). �! Exterior plaster - weep screeds (Sec. 4706). Proper roof pitch for roof covering (Chapter 32). r• Rafter ties or bearing ridge beam. RESIDENTIAL PLAN. CHECKING GUIDE (CONT'D) 7/85 MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONT'D) .: Garage door or porch header sizes. .e9 Adequate bracing. Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. ,P]�* Two exits on three-story dwellings (Sec. 3303 & see Mezannines 1716). .1-2'0 Attic access and ventilation (Sec. 3205). Underfloor access and ventilation (Sec. 2516). Wood stoves, clearances, alcoves & 1 -hour shafts. " Combustion air for fuel burning appliances. 1 -FT' Noise requirements on duplexes. Je7. Adobe soils - special foundation design. l.g!' Retaining walls requiring design. 1, Unusual shape, size or split level house requiring lateral design. Telephone 533-2000 North Burbank Public Utility District 1960 Erin Street OROVILLE, CALIFORNIA 95965 29-86 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 North Burbank Public'Utility District, must be submitted to Butte County. Applicant: Rritr•.a Rr Nnrma A41_1IIinS (Rob Martin) Applicant Address: si La Marada - oravilie r.A A -,AFF Applicant Phone No.: 589-9423 Property Location (s): 17..9 naarwnnri A. P. No. (s): Fees Paid: •nn •o •• Application for service approved:%_�Burban May 6, 1986 North k Public Utility District Inspection(s) made and successful test(s) observed: Location: M Date: North Burbank Public Utility District release to close permit: Date: By. FORM RESIDENTIAL ENERGY PLAN CHECK/INSPECTION SUMMARY Owner � CC' "IV LUA)s Climate Zone Floolk Area /974T - .Compliance 8 7 s-� .Compliance path: Package ❑ A ❑ B ❑ C 6; oint System MIN R -VALUE REQ'D Permit No. 96I'-8lv []Budget Other DESCRIPTION INSTALLED ITEMS (1) INSULATION: [� Roof/Ceiling 81, Wall /9. o 0 ❑ Slab Floor Perimeter ❑ Raised Floor (2) INFILTRATION: ❑ (A) A vapor barrier is required in climate zones, 1, 14 & 16. Type (B) All manufactured windows and sliding glass doors shall meet the - Area 1972 ANSI Air Infiltration Standards and shall be certified and HC= labeled. (C) All swinging doors and windows leading to unconditioned areas Location shall be fully weatherstripped. Tight - the above standard features plus: ❑ (D) Continuous infiltration barrier ❑ (E) Electrical outlet plate gasket ❑ (F) Air-to-air heat exchanger (3) GLAZING: (A) Location Location Area Glazing %Floor Area Single Double Triple Qi Total Bldg 2/Z -4 O //. 3� ✓ . p� North 32-00 / . 97 Type East / • 00 d • 8S' [[� South 7/ 3. 60 7 G G HC= West 6, oo d •b'S —� ❑ Skylights Location (B).Shading Shading Coefficient Description (( East ..&C p� South . (0 6 (� West ❑ Skylights Q/" (C) South Overhang r Length of projection / ft. Description ❑ (D) Moveable insulation: Area ftz Description (E) Thermal mass ❑ Type - Area Ft.2 HC= R= MC= Location ❑ Type - Area Ft. HC= R= MC= Location ❑ Type - Area Ft.2 HC= R= MC= Location ❑ Type. - Area Ft. HC= R= MC= Location ❑ Type - Area Ft.2 HC= R= MC= Location ❑ Type - Area Ft.Z HC= R= MC= Location . 7/83 (6) DOMESTIC_ WATER SYSTEM -(A) Gas. Only FORK 1 Gallons (brand and model number) (tank size) Heat Pump w/Electric Backup (brand and model number) Gallons (tank size) I . * Active Solar (collector brand and model number) (010 (rated y -intercept) (rated slope) (solar fraction) ELt22_..121G .(backup heater type, brand and model number) (collector area) ft (collector orientation) (collector tilt)_ ❑ Location of Solar Panels ❑ Other (Describe) :(B) TANK INSULATION. Storage type water heaters and storage and backup tanks for solar systems shall be externally wrapped with —. R-12 insulation or greater. PIPE INSULATION. The five feet of pipe closest to the water heater and outside conditioned.space shall be insulated with a minimum of R-3. Steam.and steam conditioned space shall be insulated with a minimum of R-3. Steam and steam condensation return piping and recirculating hot water piping outside the building envelope shall be insulated in accordance with T20 -1408(d). '(D) FLOW RESTRICTORS shall be provided for showerheads and faucets as outlined in the new.appliance efficiency standards and shall be certified to the. Energy Commission. (7) LIGHTING (A) Lamps used in luminaries for general lighting in kitchens and bathrooms shall have an efficacy of not less than 25 lumens per watt (usually florescent). *l Submit documentation of sizing.heating and cooling 'equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(g), and fill out the following.. Heating: Winter design temperature '00 °, elevation 2 �o 0 , heating load 26 380 BTU elevation factor'/ -00 x heating load maximum outlet,capacity gas furnace 2.41 S1 BTU Cooling: Summer design temperature 1401°, cooling load 257/00; BTU (USE ONLY AS A SIZING GUIDE, COOLING MAY BE INADEQUATE)` *2 Submit T.I.P.S.E. chart or other approved system (form #5) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of. the California Administration Code. 7/83 SIGNATURE OF BUILDING DESIGNER OR APPLICANT 3 t(F) BACKDRAFT DAMPERS shall be provided for all fan systems exhausting air to the outside. (G) DUCT CONSTRUCTION & INSULATION. All transverse duct, plenum, and fitting joints shall be sealed with pressure,sensitive tape or mastic to prevent air loss and shall be insulated to conform to the provisions of Section 1.005 of the UMC, 1976 Edition. FORM y ❑ (4) MASONRY AND FACTORY -BUILT FIREPLACES shall be equipped with tight �. fitting:closeable,metal.;,or glass doors.covering the entire opening of the firebox; a combu'sion air-intake equipped with a readily accessible, openable,-and tight fitting damper to draw�air from the outside of the building; and a tight fitting flue damper with a readily accessible control. •*1(5) HEATING. VENTILATING; AIR CONDITIONING SYSTEM (A):: `Heating ❑ Central Gas Furnace % (brand and model number) SE Btu/hr / (heating capacity) Heat Pump. (brand and model number) Btu/hr (heating capacity at 47°F) " ❑ Active Solar "type (liquid or air). Collector. brand and ft2 model number solar fraction collector area- collector orientation collector.tilt rated y -intercept rated slope 0 Other (describe) *1 (B) Cooling ❑ Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr (cooling capacity at 95°F) % S Electric Heat Pump EER Btu/hr (cooling capacity at 95°F) ❑ Other (describe) ( (C) A TWO-STAGE THERMOSTAT, which controls the supplementary heat on its second stage, shall be required.for heat pumps. ❑ (D) AN AUTOMATIC SETBACK shall be provided for all thermostats, except those controlling heat pumps. ❑ (E) AN INTERMITTENT IGNITION DEVICE shall.be provided for all gas-fired fan type central furnaces, gas-fired fan type wall'furnaces and gas cooking appliances.- t(F) BACKDRAFT DAMPERS shall be provided for all fan systems exhausting air to the outside. (G) DUCT CONSTRUCTION & INSULATION. All transverse duct, plenum, and fitting joints shall be sealed with pressure,sensitive tape or mastic to prevent air loss and shall be insulated to conform to the provisions of Section 1.005 of the UMC, 1976 Edition. r Table 3-13. Inflltratlon Control Feetvres Points ICoaYrol Features I Points 1 I ( 1 I Standard I 0 1 I 1.9 air changes per hr I I Tight I +12 1 I I i 1 0.6 air changes per hr I' I � 1 Table 3-15. Gas Furnace Vithout _ Refrigeration Cooltnq Poin n 1 I Seasonal Efficiency I Points I I (SE), Z I I � I I I 71-76 I 0 I I 77 - 82 I +2 1 I 83 - 88 i +d 1 ( 89 - 94 I +6 . I I 95 up I +8 I I I I Table 3-1t. Heat Pumo Points I Energy Efficiency 1 Pointe I I Ratio (EER) ; 1 I 7.5 - 7.9 I +3 I I S.0 - 8.3 1 +6 I I 8.4 - 3.7 I +9 I 1 8.8 - 9.1 ' I +12 I I 9.2 - 9.6 I +13 I I 9.7 - 10.2 I +18 1 I 10.3 - 10.8 I +21 I I 10.9 - 11.5 I +24 I I 11.5 - 12.3 I +27 I 12.4 - I 13.2 I +30 1 I ( 4 2 2 Table -3-17. Cas Furnace With Refrlveration Coo11nit Points ;Refrigeracionl Cas Furnace I I Cooling I SE 11 I 1171-117-i83-189- 1- 7-183- 89- 95 I 1 761 821 881 941 up I 1 8.0 - 8.3 1 01 +21 +41 +61 +8 1 1 8.4 - 8.7 1 +21 +41 +51 +91+10 1 1 8.8 - 9.2 1 +41 +61 +8I+101+12 1 1 9.: - 11.7 1 +61 +81+101+121+14 1 1 9.8 - 10.3 1 +81+101+121+141+16 1 1 10.4 - 10.9 i+IG;+L2i+1-I+161+19 I 111.0 - 11.6 I+LII+i:1+161+191+'20 I I ! I I I 7/7/83 ZONE I1 TACLE 3.14 (ADAPTED) INTERIOR THERMAL MASS POINTS MASS _ DWELLING ARFA SRUARE FOOT AREA 1,000 I 1,500 I 2,000 I 2.500 I 3,000 I 3.500 4,000 I 4.SGO 5,000 1 - SO. FT. , A B C 0 A 8 C D A 6 C D A B C D A 8 C D I A B C' 0 . A. B C D I A 5 C D :+ 8 '�n 750 200 253 300 350 400 507 600 700 230 900 1,000 1,;OU 1,200 1,'100 1,:00 I,ico 2,000 2,500 J. COO 3,500 1,000 4,500 5,003 2 2 2 2 2 2 2 0 1 2 2 2 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0111 0. 0 O 3! 4 4 4 2 2 2 2 2 2 2 2 2 I 2 2 2 0 2 2 2 0 2 2 0 0 2 2 O 0 2 2 0 0! 0 0 0 0 6 6 6 4 4 4 4 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 • 2 2 2 2 2 0 2'? +14 2 0 2 1 2 0 8 a 6 4 6 6 4 2 4 4 4 2 4 4 2 2 2 2 2 2 2 .2 2 2 2 2 2 2 2 2 Z 2 2 2 2 0 1010 8 6 6 6 6 4 6 6 4 2 4 4 4 2 4 4 2 2 2 2 2 2 2 2 2. 2 I 2 2 2 2 2 22 2' 12 12 10 6 8 8 6 4 6 6 6 4 6 6 4 2 4 4 4 2 4 4 2 2 2 2 2 2 2 2 2 7• 2. 2 .2 2 14 14 12 8 10 10 8 6 6 6 6 4 6 6 6 2 6 4 4 2 4 4 4 2 4 4 2 21 4 4 2 7 I 2 2 7 2 1414 12 8 1010 8 6 8 8 6 4 6 6 4 4 6-6 4,2 4 4 4 2 4 4 6 2 I 4 4 2 2( 4 4 Z 2 18 18 16 10 12 12 10 6 10 10 8 6 R -8 6 4 6 6 6 4 6 6 6 r 2 6 5 .1 4 4 4 2d 4 4 j 22 20 18 12 14 14 12 8 12 12 10 G 10 10 8 6 8 8 6 4 8 L 6 4 6 6 6 4 1 6 6 4 2I 6 6 4 2' 24 24 20 14 18 16 16 10 14 14 12 9 10 10 10 6 10 10 a 6 8 8 6 4 8 6. 6 4 1 6 6 6 41 6 6 F 2 1 26 24 22 16 70 16 16 10 14 14 12 8 12 10 10 6 10 10 8 6 10 R 8 4 e 6 6 4 I 8 6 6 4I 6 6 L 28 28. 74 16 22 20 18 12 16 16 14 10 14 14 12 6 12 12 10 6 10 10 3 6 3 8 '8 d B 8. 6 4, 8 a 6 c j 30 JO 25 18 '2 20 YO 14 10 18 16 10 14 14 12 8 12 17 10' 6 12 10 10, 6 10 10 8 6 8 8 0 Qj .^, 8 L d i .12 37. 28 2O 24 24 22 14 20 20 18 10 16 16 14 8 14 14 12 8 12 12 10 6 10 10 10 6 10 10 8 Gi !•3 f f 34 32 30 22 26 26 22 16 22 20 18 12 18 18 14 10 14 14 12 8 14 12 12 a I'12 12 10 6 1 id 10 B E i In In 8 6 i 34 34 32 22 '.2 i 28 26 24 16 22 22 20 12 IB 19 IE 10 lu 14 14 8 ld 12 6 12 12 10 6 IZ !0 10 LI 10 1^. F, 6 1 34 34 32 24 28 28 26 18 24 24 2n 14 20 20 18 12 18 16 14 10 14 14 12'. •B 14 14 12 8 12 1' :G C. 10 10 10 S 36 34 34 24 30 30 26 18 24 24 22 14 I22 20 18 12 IS 18 16 10 r14 16 1E 14 • 8 14 14 12e 17 12 10 LI ;2 12 1'. o i 34 34 32 22 30 30 26 18 26 26 22 16 22 22 20 i20 20 18 12 19 18 16 10 1G 16 is L1 14 ld 12 I 34 34 30 22 I30 30' 26 18 26 26 24 16 24 24 22. 14 22 22 13 !2 20 20 18 !'.,1 19 15 16 'u 34 32 30 22 30 30 26 18 28 :6 24 16 124 24 22 14 22 22 20 14i :: :J ._ lk • 32 32 30 '20 30 30 `26 la 29 28 24 16 26 14 22 It 1 74 24 20 14 ' I 32 32 30 20 30 26 18 ' 7B 2a 24 1 E i 26 1.3 2: if 130 32 32 28 I 2U 170 3l 26 if j 2 k r. ?= ;f 32 T' 2i 20 j 1J G 76 1 =. A) 1. 3'y' Concrete Slab: IiC•8.93; R•.29; Factor -7.3 2. 3 3/4' Thick Common Brick: IIC=7.125; R•.13; Factor -7.3 8 1. SV Concrete Slab: HC•14.106; '•.458; Factor -7.1 C) 1. a" Solid Filled Block: HC -20.63; R -1. 9J; Factor -6.1 2. 8` Solid Filled Block With Both Sides Exposed To Conditioned Air. NOTE: Use all square footage directly exposed to conditioned air for Thermal'Mass Area: IlCo!0.164; R-.965; Factor -6.1 D) I' Thick Concrete/Ttlei HC -2.55; R-.083; Factor�-3.7 Table 3-19. Zonally Controlled Electric Reslstance Space Heating Points ' T I Pointefor this measure will ) Table 3-20. Solar Water Heating With Cas Backup Points be completed after the CEC i i has approved an Alternative 1 I Component Package for Resistance '1 I Beat. Table 3-19. Active Solar Space Heatlne with Cas Points Net Solar Fraction I Points I (YSF). Z I I wood stove 4433 points'(no back up) casablanca fan + l.point N.ultlfamll (per unitpoints) lbinte I I I 7 - 14 I +2 I I 15 - 23 1 +4 I I 24 - 30 1 +6 I 131 - 39 i +8 1 I 40 - 47 1 : +10 I 1 48 - 55 1 4.12 I 56 - 63 1 +14 I I 64 - 71 I +18 . I' 1 72 up I I +20 I I I wood stove 4433 points'(no back up) casablanca fan + l.point N.ultlfamll (per unitpoints) lbinte I I --"T ( Gas Only I I 1 0 I ( I Beat Pump I 1 Floor Area I ( Solar with Electric I Net Solar Fraction (NSF), Z 1 per unit, I I mems is Part 2 I I 0 1 I 1 I Electric Reststance I I on!f 1 I I -40 ; I ft2• 0.9 10-19 20-29 30-39 40-49 50-59 60-69 70-79 , 600-799 0 +3 +7 +10 +14 +17 +21 +24 800-999 0 +3 +5 +8 +11 +14 +16 +19 1,000-1,499 0 +•2 +4 +6 +8 +10 +12 +14 1,500-1,999 0 +1 +3 +4 +6 +7 +8 +10 2X00 and up 0 +1 1 +2 1 +4 1 +5 +6 +7 +9 All others (pe build ng points) _ BUO-899 0 +5 +10 +14 +19 +24 +29 +34 900-999 0 +4 +9 +13 +17 +il +26 +30 I,000-•1,199 0 +4 +7 +11 +15 4.19 +22 +26 I.20�,l.499 0 +3 +6 +9 +12 +15 +18 +21 1,500-1,999 0 +2 +5 +7 1 +9 +12 +14 +Ic '999 0 +2 +3 +5 +7 +8 +10 +11 3,000 nr.d mo _0 +1 +3 +4 +5 +7- +8 +in i Table 3-21. Other Water Heating Pts. T i' I System Type 1 I I lbinte I I --"T ( Gas Only I I 1 0 I ( I Beat Pump I 1 0 I I ( Solar with Electric I Re4lstaace Backup I 1 1 Meeting the Requfrs- I I I mems is Part 2 I I 0 1 I 1 I Electric Reststance I I on!f 1 I I -40 ; I �• __ TOTAL POINTS = -Able 3-1. Slab FIoor Points 11n=•lla- I R -Value of lnsulstion I I tion I I I Depth, __r l inches 1 0-2 1 3-4 15-6 I 7+ I 1 0 - 11 ( -5 ZONE 11 1 -S 1 -5 1 112-15(-S I-3 I-2 I-1 1 1 16 - 19 I -5 D POINTS OWNER AliXUAIT Table 3-3a. Ceiling Insulation Table 3-7. South-Facin GlazingPte Table 3-10. ShadingCoefficient Points '& p O ASSIGNED PERMIT N0. - 0.O ACTUAL Points 1 0.65),1 Glazing Type I T- Glazing Type 1 I SC by 1 1 ft T 1. SLAB - INSULATION � �''J- I R -Value of Insulation I Points I I Floor I Total I I Orten- I : Floor Area 1 1.1 - 1.9 I -1 I I ( I 2 of I Sngl, I I DEI, Trpl, i teflon I 2. P.AISED FLOOR - R-19 0 I 1 19 I -4 I I O I Floor I (V - I Area 11.10) I (U - I (U I 10.65) 10.41)1 I I I +4 I 3. CEILING - R-30 �9 O J -2 I IZZ ---2 I oints I olnts I ointsl I Zest I I 3.2 I' + If +2 I I 30 I 1 38 I 0 I +2 I -4 i O +! I up to 1.5 I +2 +8 4-3-T I +2 I +2 I 1 I 10-3.1 i to 1 6.4 up I I 6.3' I 4. WALL - R-19 -,PC _e I 49 I +4 1 I 2.9- 3.6 I I 1.6- 3.6 i -1 I 0 I 0 1 1 I I I VE 5. NORTH GLAZING - 2.4-3.6% /-'7 �'L I I I I 3.7•- 5.2 I -6 -2 I -2 i I - I t ( 0 -.19 6. EAST GLAZING - 2.5-3.6% D.�5 t'� S- 7 i 1 1 6:63_ 6.5 -3 I -S I 1 -8 I I .20-.36 I I 0 I +1 I +2 1 0 I 0 I I 8- 8.9 -11 7. SOUTH GLAZING - 1.6-3.6% 7 �r G Table 3-4a. Wall Insulation Points 110.1-11.5 I -17 -7 I I -13 1 -11 .37-.66 I •up 0 I 0 I 0 I 8. WEST GLAZING - 2.9-3.6% O� g5 -5 11 I R -Value of Insulation I Points I 1 11.6-13.0 I -21 I 13.1-14.5 I -25 I 1 =16 1 -14 1 1 -19 I -16 1 .83 1 0 I -1 -2 I I I Points I I 13 - 18 I 72 1 i 6.8- 7.7 I -13 I I I 114.6-16.0 I -28 1 -22 I -1.9 1 1 South 1 0 1 3.2 1 .4 B.0 19.6 9. SKYLIGHT - 0-1.3%i I •19+ I 0 I I I 1 I -10 1 totoup to3 tog 10. SHADING (Exclude Overhang) -16 ( 19 i -O i Table 3-8. West -Facing ClazIng Pts. I I I I I I 8.8- 9.7 1 EAST - .66 .�jG -12 1 I 24 I i 30 i +2 I +7 Glazing Type I 0 -.18 I .19-.42 1 0 1 +1 I +2 1 +2 I +3 1 0 1 0 1 I 0- 5.3 SOUTH - 19-.42 , � � i I Total 1 z of I Sngl. i I .47-.66 1 0 1 0 1 0 I 0 1 -1 I -2 I -3 -2 --r�1 Dbl, Trpl, -26 I -20 I WEST - .13-.36 . �j�j �- f' Table 3-5. North-Facin ClazinR pts I Floor I (U - 1 Area 1 1.10) I (U - I (V - I 1 0.65) 1 0.41) 1 .ST up I D j -4 l -6 , -25 I -18 I -15 I I 8.3- 8.8 1 SKYLIGHT - 37-.57 �-- I I 11.6 - 17.5 I oints I oints I ointsl West 1 1.6 1 3.2 1 6.4 I 8.0 11. HORIZONTAL SOUTH OVERHANG 2' � -18 I I Glazing Type 1 Total I I -Db p 4 6 I up to 1.3 I +5 �+ � +6 I ( J -21 I (1.)51 I to I to I to I up 3.1 1 6.3 1 7.9 12, MOVABLE INSULATION - NONE :. 1 I of Sngl, I Floor I U- 1, I U- Trp,, I U- I I - 2.2 I 2.]- 2.8 i 0 1 i ±5 i +2 I -33 1 -26 -22 1 s� 1 I Area i 0.66 1 1.10 1 0.42- 1 0.41 I 10a 5 I i I 2.9- 3.6 1 -3 I +3 I 0 1 +1 1 0-.12 i 0 1 +1 I +3 I +6 I +7 13. INFILTRATION (Standard=0)(Tight=+12) t7 + 4 ±off I 3.7- 4.2 i -5 ( -2 1 0 1 .13-.36 i 0 1 0 1 0 1 0 1 0 0-1- I 01- 1.2 1 +4 I +4 l 1 4.3- 5.0 I -8 1 -4 1 -2 i .37-.57 I -1 I -3 I -6 I -7 14. THERMAL MASS $F . I 1.3- 2.3 I +1 I ® +4 l I I 5.1- 5.6 I -10 I -6 1 -4 .58-.82 I -1 -3 I .-6,1 -12 i -15 1 • -2 0 +2 I 1 +1 1 I 5.7- 6.2 I -13 I -8 I -6 aj up 1- I -4 I -8 I -16 I -70 15. GAS FURNACE (SE) 71-76% 1 3.7- 4.8 I -4 I -2 I -1 1 1 6.3- 6.9 1 -15 I -10 I -7 16. SEAT PU1D? (EER) 7.5-7.9% % S ,0.. 9 I 4.9- 6.1 ( -7 1 I 6.2- 7.3 I -4 I -3 I j 7.0- 7.6 I -18 I 1 7.7- 8.2 1 •-20 I -12 I -9 •I -14 I -11 I Skylight 1 .1 1 .8 11.6 1 3.2 1 4.0 -9 I ( 7.4- 8.2 I -12 I -6 -8 I -5 I I -7 I 1 8,3- 8.8 1 -22 1 -16 I -13 I I to I to I to 'I to I to 17. DUAL PACK (SE, SEER) 8.0-8.3/71-76% �'" l 8.3- 9.7 I -14 I -10 I -8 I 1 8.9- 9.5 I -25 I -18 I -15 1 1 7 1 1.5 13.1 13.9 15.2 WOOD STOVE Q 1 9.8-10.8 I -17 1 -12 110.9-12.0 I -19 I -14 1 -10 1 1 I 9.6-10.1 I -21 110.1-11.0 1 _29 I -20 l -15 I -23 I -17 I 0-.12 �� 1 0 1 +1 I +3 1 +6 I +7 SQCAFL�i WATER 'iTEATER 12.1-13.2 I -22 1 -16 -12 1 I -13 I 111.1-11.8 I -35 1 1 11.9-12.7 I -38 1 -26 I -21 I -29 I -24' I .13-.36 .3757 -.13.3-14.5 1 0 1 0 1 0 1 0 1 0 1 0 1 -1 I -3 I -6 l p I I -24 1 -18 14.6-15.3 -27 -20 I -15 I 1 12.8-13.5 1 -42 I -32 i -27 I .58-.82 1 -1 1 -3 I -6 I -11 I -. ATTIC DO %1 S i i i i -17 i 113.6-14.3 1 -46 I -35 1 -29 I •83 up I -2 1 -4 I -8 1 -16 1 -20 1 14.4-15.2 I -50 1 -38 1 -32 1 I I I I 1 OTHER TOTAL POINTS = -Able 3-1. Slab FIoor Points 11n=•lla- I R -Value of lnsulstion I I tion I I I Depth, __r l inches 1 0-2 1 3-4 15-6 I 7+ I 1 0 - 11 ( -5 ( -5 1 -S 1 -5 1 112-15(-S I-3 I-2 I-1 1 1 16 - 19 I -5 j -2 I -1 1 0 1 I 20 + I -5 I I I -1 I l 0 I l +1 I I 1 7/7/83 Table 3-2. Raised Floor Points I Floor Table 3-I1. Horizontal South I (U - I (U - i I Area 10.66- Overhang Points 1 Table 3-9.Sk light Points SoutA Glazing _ Table 3-6. East-Factn Clazln Pts. T I Length Out I Area, Z of Floor I 1 1.10) 1 0.65),1 Glazing Type I I from Wall I i I Glazing Type I I Total I 1 1 ft T - "- --I Total I I I I of Sngl. Db!, Trpl, I 10-6.3 1 6.4 up 1 Z of I Sngl, DDI, Trpl, I Floor I U- I U- I U - I I I I I Table 3-2. Raised Floor Points I Floor 1 (U - I (U - I (U - i I Area 10.66- 10.42- 1 0.41 1 0 - O.5 -2., I T I Area 1 1.10) 1 0.65),1 0.41)1 1 11.10 1 0.65 1 down I 1 0.6 - 1.0 I -2 I R -Value of I Insulation I I Points 1 I�I1oints 1 I O I oints I ointsl I+ 7 1 1.1 - 1.9 I -1 + ♦,4 I up to 1.3 I -1 1 0 I 0 I 1 .2.0 up I 0 I O I I I I I up to 1.3 I +3 I I +4 I I 1.4- 2.2 I -3 I -2 I -1 I I I I 1 . - 2.4 + + I +2 I I 2.3- 2.8 I -6 I -4 i -3 I Table 3-12. Movable Insulation ( below 3 I -12 I I 2.5- 3.6 I -2 I 0 1 0 1 I 2.9- 3.6 I -9 I -6 I -5 I Points 3 1I -6 . . S- 7 4.7- 5.5 I -8 ( -4 I -3 I I 4.3- 5.0 i -14 1 -10 I -8 1 I Moveable Insulation 'l I I 8- 12 1 -4' I I 5.7- 6.7 I -10 I -6 I -5 11 5.1- 5.6 ( -16 I -12 I -10 I I Area, Z of Floor 1 Points I I 13 - 18 I 72 1 i 6.8- 7.7 I -13 I -8 I -7 1 1 5.7- 6.2 I -19 l -14 I -12 1 1 I I •19+ I 0 1 1 7.8- 8.7 ( -15 1 -10 1 -8 ( I 6.3- 6.9 l -21 1 -16 ( -13 I I I I I I 8.8- 9.7 1 -1.7 I -12 1 -10 1 I 7.0- 7.6 I -24 1 -18 I -15 I I 0- 5.3 I 0 I I 9.8-11.2 I -21 I .-13 1 -13 ; I' 7.7- 8.2 1 -26 I -20 I -17 I I 5.6 - 11.5 I i +2 I ( 11.3-12.7 I -25 I -18 I -15 I I 8.3- 8.8 1 -28 I -22 I -19 I I 11.6 - 17.5 I +4 I ( 12.8-14.0 1 -28 I -21 I -18 I I 8.9- 9.5 I -31 1 -24 I -21 I I 17.6 - 23.3 I +6 I :. ; 14.1-15.3 1 -32 I -24 I -20 1 I 9.6-10.1 I -33 1 -26 -22 1 i _23.6+ 1 +8 I RECORDED IM OFFICIAL RECORDS OF BUTTE_ COUHTtOALIFOR41A AT T9E REQUEST OF 1986 MAY - 6 A�9 I0� - ELEANOR K BECK --ER CLERK tC_ 6RDER FEE....: Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance'of a building permit. The property described herein is adjacent to land or included NOT COMPARED WITH within an area zoned for agricultural purposes, and residents of this ORIGINAL DOCUMENT property may be subject to inconveniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit 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 agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: LOT 88 Copley Acres Unit No. 1 Deerwwod Drive Date: S - 6 PROPERTY OWNERS: v . Mu in R. Bruce Mullin State of Calif. ) On this the 5th day of May 19 86 , before SS. me, the undersigned Notary Public, personally appeared County of Butte ) NORMA J. MULLIN and R. BRUCE MULLIN ®■•••®°■•■■■■■■■s■�eee��Is� / / Personally known to me. XyjA Proved to me on the basis ■ L@ANNEGALLEGOS ' of satisfactory evidence. a NOTARY PUBLIC -CALIFORNIA • to be the person(s) whose hame(s) are.subscribed to - Butte County the within instrument and acknowledged that they ■ My Commission Expires July13.19M • executed the same for the purposes therein contained.- IN ontained:IN WITNESS WHEREOF, I hereunto set my hand and official seal. Notary Public Present A.P. No. 6.3�-�� Yom_ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, California 95965 PHONE: 916-54 -4541 C. IU 9 CbRIC 1 R7% E LAR) E DATE LF RE: With reference to the above subject. 5 Attached is: Application fort Typical Plan Sheet — Building Plans Mobile Home Sheet Engr. Calcs. (N co?`List of Codes Enforced OTHER We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ Certificate of Workmen's Compensation Insurance. Contractors License Law information. Letter authorizing signature of Complete plans, in duplicate, including plot & floor plans and complete structural details. Plot plans in duplicate. Structural details in duplicate. Complete plans in duplicate, prepared b registered civil engineer or architect. Engr, calcs. 815E eq�e,S �- UMViD Two (2) sets o plans in accordance with changes marked in red. S*.e NO Sanitation approval from Butte County Health Dept. 695 Oleander Ave., Chico_ 7, County Center Dr: ;. Oroville. Skyway & Elliott Rd.,Paradise Planning approval, i.e., use permit, variance, rezoning, etc., from Butte County. Planning Dept., 7 County Center Dr., Oroville. Improvement Plans. Parcel declaration recording data. Verification of access or right of way by deed. Verification of legally created parcel by deed. Deed for right of way. Parcel map recorded. TL A Q9 AW 7ZOLNED 63 M4 T65Z� e©6?°1' s OF c- .AWS I WAUV %JA0" Xt-Cs I��T sNou� C'c�iVllPt'T'Ga%ETA iLS P,-�c As soon as we receive the above data, we will process your application, or, should you have any questions concerning the above, please contact this office. JFG:dd Yours very truly, Clay Castleberry 'Director of Public Works J.F. Glander Assistant Director COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS • Yj� 7 County Center Drive, Oroville, California 95965 • PHONE: 916-534-4541 . T � � DATE T 07 With reference to the above subject: i Attached is: Application for permit Typical Plan Sheet ' Building Plans S Mobile Home Sheet Engr. Calcs. List of Codes Enforced OTHER . We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ Certificate of Workments Compensation Insurance. Contractors License Law information. Letter authorizing signature of Complete plans, in duplicate, including plot & floor plans and complete structural details. Plot plans in duplicate. Structural details in duplicate. Complete plans, in duplicate,.—prepared by registered c-'vil engineer or architect. Engr. calcs. � ��N �sea N0 7 19 ZLC�Two (2) sets of plans in acdance with changes marked in red. Sanitation approval from Butte County Health Dept. 695 Oleander Ave., Ch' 7. County Center Dr,. , Oroville. Skyway & Elliott Rd.,Paradise Planning approval, i.e.,.use permit, variance, rezoning, etc., from Butte County Planning Dept., 7 County Center Dr., Oroville. Improvement Plans. Parcel declaration recording.data. Verification of access or right of way by deed. Verification of legally created parcel by deed. Deed for right of way. Parcel map recorded.of S�vWt N C-Tt, scc. FOS: 'PWNOATW4 AND' W10F.EOr� ''F ny� Nt3#E� As soon as we receive the above -data, we will process your.application, or, should you have any questions concerning the above, please.contact this office JFG:dd Yours very .truly, Clay Castleberry Director of Public Works J.F. Glander Assistant Director �AL COUNTY OF BU'TE DEPT. OF PUBLIC WORKS t SEP 12 1976 AIIR�� 'e8s9iIDa�1��s�gNs��gil 6 2 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS U/ 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT BUILDING Owner �y-Al SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address a fj p S' i OS' S �3a Telephone No 533^-1e20 O Fireplace ,.$— 00 Contractor Total Valuation , p Mai I ing Address Permit Fee , d O Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ j; 00 i oe Building Address S �� j PLUMBING No. @ FEE PERMIT FILING FEE $3.00 3 p(J Each Trap 1.50 d Repair drainage or vent piping 1.50 Water piping 1.50 l% Each gas water Aeater or vent 1.50 , S`0 / `� A. P. o• j —rpD' J Zoning & Planning Gas piping system 1 - 5 outlets 1.50 ,/. OG Each additional outlet .30 Fglrss/ W/.G. S&QKon Fire Dep FireZon Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration arce a P 6 R/W Im r p ovements Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel Approval I Plans Approval Permit Fee NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL !No.1 @ FEEPERMIT FILING FEE $3.00 , 00 Main service incl. 1 meter 31 d0 Additional meters, each 1.00 Sub -panel (12 or,s) (more than 12) ESQ Single Family fZ Duplex ❑ Mobil Home ❑ Others ❑ Ra '_ e, Cook -top or Oven 1.00 fj Water Heater or Space Heater 1.00 Light fixtures Q 20P210 O U sw s & fix is CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air5n itioner or heat pump ©d Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring AWI am exempt from the Contractors License Laws of the State of California. Permit Fee $ oZ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. y I certify that in the performance of the work for which this /t permit ,is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California.J� MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Bre Heating okef j.0 a AA Cooling Ventilation Hood 2.00 , Permit Fee $ 1,f , v $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ auuwiicc 1UPICaentauvca ui uie t�uunty ui ouue to enter upon ine above-mentioned property for inspection purposes. X.C;R& ^�!�iGDate A5 O �S Signature of Permitee or Age t Receipt No. f 3 30 %(F White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Building permit expires Date Date M r PERMIT NO. 1120- 7 5B 7-5—,i 117 P E z.NH UTIL. -;PERMIT NO. PERMIT EXPIRES ,OWNER —R. Bruce Mullin �CONTR. .LOCATION (A.P. 36-60-25 175 Deerwood Dr.,-Oroville Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED (Date) (Signa,(ule) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS,' BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback _5 Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish— 2nd Floor Footings Windows 16 — —;-7-a 3rd Floor Stemwall Siding 3 - 7 To out Slab Roof Sheathing Water Piping --Piers Roofing -T-; Sewer Garage Fdn. Vents Fixtures Footings -//7 Garage Vents Water Htr. Stemwa I I :9-7 Prov. for physically Heaters Slab —.2-9 -74, handicapped Appliances Carport Conformance of ex. Gas Piping 8/Test Footings structure Temp. Gas Slab Final, Sanitation Patio FIREPLACE r Final Footiaw Footing ELECTRICAL Masonry Wall !�,_, Throat Rough Reinf. Steel Final r 4 Fixtures Bond Beam FIRE SPRINKLERS Motors Framing 77,45- Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Ifath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS 3 -76;.1 1 lop. C__ -'7 el /-0. _S� lle� ell---/ "07 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC Wyl 7 County Center Drive — , Oroville, California 95965 A Telephone: 534-4541 APPLICATION AND PERMIT BUILDING Owner �UG� U�L� SQ. FT. .00C. BUILDING VALUATION Mailing Address Telephone No. R) 'a C,4 Z ja,3 —6z0 Fireplace ` Contractor e9 Total Valuation Mai I i ng Address Permit Fee P I an Checking Fee &/or Penal ty Telephone No. Permit Fee Building Address �� 9 PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 $ Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. 3 Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees WLG_ Sef►i� Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA I Parking Plans I Parcel Declaration Parcel Ma P 60' R/W Improvements p ovements Lawn sprinkler system 2.00 Bldg. Plans Rec'd Parcel Approval Plans Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER [[ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 5T4, va SCa ��K .� �%/�� Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) — Single Family ❑ Duplex ❑ Mobil Home ❑ Others Range, Cook -top or Oven 1.00 C _ Water Heater or Space Healer 1.00 Light fixturesbOp Receps., switches & fix outlets mi CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the _ State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F. A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities .5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring B--1am exempt from the Contractors License Laws of the State of Califomia. Permit Fee $ is , $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the.provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ 1 have placed on file with the County'of Butte a certificate of Workmen's Compensation Insurance. [a -I certify that in the performance of the work for which this permit ,is issued 1 shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE ' PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ I certify that I have read this application and state that the above information is correct. I agree to comply to,all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. ; . I - �i X 0e4_,, .,JcDate r Signature of Permitee or Agent Receipt No. �/�06 White-D.P.W. — Yellow -Assessor — Pink -Inspector = Goldenrod -Applicant TOTAL PERMIT FEE . $ 5- L90 This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF BLIC WORKS By Date LS �� 2• %1j (ding permit expires Date I'1(, COUNTY OF BUTTE — DEPAR7MENT OF PUBLIC Wd J Oma- 7 County Center Drive OroviUe, California 95965 / Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the county of butte to enter upon the above-mentioned opert ection purposes. XDate /� J Signature -f Per e o Agent Receipt No. ( White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF UBLIC WORKS BY Date ku/i/wing permit expires Date ............................................ BUILDING Owner uLL�� SO. FT. OCC. BUILDING VALUATION Mailing Address a�(0 �^ = Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No: Permit Fee $ ;I— ,60 $ Building Address 1 U PLUMBING No.1 @ I FEE PERMIT FILING FEE $2.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No.Z oning $ Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fjes< S i on I FireDept. FireZone Use Permit Building sewer 5.00 EOA Parking Parcel Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 �Pla�ns Bldg. PI nlfs Recrd I Parcel Approvol Plans pprovol Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Single Family ❑ Duplex ❑ Mobil Home ❑ Others Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures bal(10 Receps., switches & fix outlets b. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F. A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring v I am exempt from the Contractors License Laws of the State of Califomia. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. 'have placed on file with the County of Butte a certificate of ❑ Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that -1 have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ authorize representatives of the county of butte to enter upon the above-mentioned opert ection purposes. XDate /� J Signature -f Per e o Agent Receipt No. ( White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF UBLIC WORKS BY Date ku/i/wing permit expires Date ............................................ ._ � � 7 I r ... �� _ r �� / � � � �' � �Z y o �._ _�C.l � A � _ _ _ DENNIS HARVEY ATTORNEY AT LAW 2175 ROBINSON STREET OROVILLE, CALIFORNIA 95965 TELEPHONE (916) 532-1113 September 14, 1988 Custodian of Records Butte County Department of Public Works 7 County Center Drive Oroville, California 95965 Re: Martin v. Mullin Case No. C-00119 I am the attorney of record for Frieda E. Hart -Martin in a case currently pending in South County Municipal Court. At this time you are being served with a Subpena Duces Tecum to produce the documents related to any construction or repair work done on the home of Bruce and Norma Mullin. Please attach a copy of the requested documents to the Affidavit I have enclosed, sign the affidavit, seal the affidavit and documents in the envelope I have enclosed, and place the sealed envelope in a second envelope and mail it to Clerk, South County Municipal Court, 1931 Arlin Rhine Drive, Oroville, California 95965. For your information I am enclosing a photocopy of sections 1560 and 1561 of the California Evidence Code. If you will be unable to comply with these requirements and mail the documents to the court in time for the scheduled hearing you must personally appear in court at that time and bring the documents with you. If this becomes necessary please call me and I will see that you are paid your witness fees. .Thank you for your cooperation. If you have any questions please give me a call. Sincerely, Q., 4—q-� DENNIS HARVEY ?r'-T.:pz) 1t, -Tr.I b,. 7! F, L 0C., .-W of 7!?Sf:ij fry5Ei H Fi'c.+!? 'TO'� T):,o-v-)-1, jC r'�±tYbj u _j1iS -q L t7Ur.,7} it�rrilb.iTUI`t ffIU4? tl?fi+= !^G'D CIS , 71137 :1 -vr t -y -r! tr±';3Y i�J nrtl :'fir/�.S^:1+:.b xUl 6 U3t1 t .ibUhbi'� IrL 1(r[`j EraYOY; 17." %4:1J 19 i,'r rrr+l. '111: I.1 i+ rC+il C'(':..i li c if1�ilSLr"+.r�. FJ '.f�'±l(i6, a rJ-: ? 7+': "C�`JJ r_ .'�'a. }�. c:.•fb�± . .6 7'X'i�L..32 J V Cl .i ZC yliJ tTj)L'' a�'+r �3 rJ .: ll."'� �i ;7ct1 r halt C)�7*L. n'D +3viif Z :,,Qo 3 v I -c` .r b tin,_ fL�C, of i:n6 E,gc.I`"TfI S i.±±1Ct:�.':7 / iI ,jam•"R�' � f.9-1. + ai l L vc,'!Q a9Vt if] Jnll::A. n C r i,! rI t 1f_'+"1') ,� r *• r 3c. Go Ioriq 1; ooJ �-nI-T 1:lr i e1 ,: t ir'1r Irri a,:c-at 7! 9 93Jis,brl:1:ACrti iE,.' =+1�? 7C+ ! 0-'r Wis Orif.,f i!.Irl: f:Jt'1-2 +rlf i . Jr n f T F, 2fnt-fr, -1 !il_!Q' � 7r;= »14 Walli'=Rt1 a t ! 14 14:?u,T t"i:l6 .i :� riu :xri .0 _1tiJ iJ3 r+TIt7 JT f 71Jr m.I _c:J a:ti[<<?i[il`sJ ?i 'iTS"Tt_i L+i?r 3,71L� ':ark .7 !jurJ1 air 7rS•�:'E 1• j�±Tbli'r:+i LIi47 [ illlai 3±T1 L!t� D."c 'SEz!F0oso ?c.mC..,:D rf3" 11 I1Gt! f4 i -IJ C:! 1r1G+4 fIiz.; T 9Lr�" T,7 E. �3Vf5(1 (r[±V' 3I fTI1.i jC.Y)�GF1_, Irr I -IT AnF4 co- i1,i O IV a SECONDARY EVIDENCE § 1560 Admissibility of hospital record relating to cause or circumstances of accident or incident in which patient sustained injury. 44 ALR2d 553. Admissibility of hospital record relating to physician's opinion as to whether patient is malingering or feigning injury. 55 ALR2d 1031. § 1560. Compliance with subpoena duces tecum for business records (a) As used in this article: (1) "Business" includes every kind of business described in Section 1270. (2) "Record" includes every kind of record maintained by such a business. (b) Except as provided in Section 1564, when a subpoena duces tecum is served. upon the custodian of records or other qualified witness of a business in an action in which the business is neither a party nor the place where any cause of action is alleged to have arisen, and the subpoena requires the production of all or any part of the records of the business, it is sufficient compliance therewith if the custodian or other qualified witness, within five days after the receipt of the subpoena in any criminal action or within the time agreed upon by the party who served the subpoena and the custodian or other qualified. witness, or within 15 days after the receipt of the subpoena in any civil action or within the time agreed upon by the party who served the subpoena and the custodian or other qualified witness, delivers by mail or otherwise a true, legible, and durable copy of all the records described in the subpoena to the clerk of court or to the judge if there be no clerk or to such other person as described in subdivision (a) of Section 2018 of the Code of Civil Procedure, together with the affidavit described in Section 1561. (c) The copy of the records shall be separately enclosed in an inner envelope or wrapper, sealed, with the title and number of the action, name of witness, and date of subpoena clearly inscribed thereon; the sealed envelope or wrapper shall then be enclosed in an outer envelope or wrapper, sealed, and directed as follows: (1) If the subpoena directs attendance in court, to the clerk of such court, or to the judge thereof if there be no clerk. (2) If the subpoena directs attendance at a deposition, to the officer before whom the deposition is to be taken, at the place designated in the subpoena for the taking of the deposition or at the officer's place of business. (3) In other cases, to the officer, body, or tribunal conducting the hearing, at a like address. (d) Unless the parties to the proceeding otherwise agree, or unless the sealed envelope or wrapper is returned to a witness who is to appear personally, the copy of the records shall remain sealed and shall be opened only at the time of trial, deposition, or other hearing, upon 541 § 1560 WRITINGS i the direction of the judge, officer, body, or tribunal conducting the ' proceeding, in the presence of all parties who have appeared in person or by counsel at the trial, deposition, or hearing. Records which are original documents and which are not introduced in evidence or i required as part of the record shall be returned to the person or entit% ' from whom received. Records which are copies may be destroyed. Enacted Stats 1965 ch 299 § 2, operative January 1, '1967; Amended Stats 1969 ch 199 4 :. Stats 1982 ch 452 § 2.5; Stats 1984 ch 481 § 2. Prior Law: Former CCP § 1998, as added by Stats 1959 ch 1059 § 1, amended by Stats 196: ch 1034 § 1. . ' Amendments: 1969 Amendment: (1) Deleted ", `hospital' means a hospital located in this state f♦ that is operated by a public entity or any licensed hospital located in this state" after "article" in subd (a); (2) added subds (a)(1) and (a)(2); (3) amended subd (b) `of for "from hospital" "witness"; (b) by (a) substituting a business" a after 16it substituting "business" for "hospital" wherever it appears; (c) deleting "relating "it to the care or treatment of a patient in such hospital" before is sufficient"; (d) substituting "qualified witness" for "officer of the hospital" after "custodian or other"; (e) adding ", legible," after "otherwise a true"; (f) substituting "durable" for "correct"; (g) deleting "(which may be a photographic or microphotographic production)" after "copy"; and (h) substituting "judge" for "court" before "if there"; and (4) deleted `or other hearing" after "deposition" in subd (c)(2). 1982 Amendment: (1) Generally eliminated "such"; and (2) added "in any criminal action or within the time agreed upon by the party who served the subpoena and the custodian or other qualified witness, or within fifteen days after the receipt of in action or within the time agreed upon by the party who the subpoena any civil served the subpoena and the custodian or other qualified witness" in subd (b). .._...c ", 1984 Amendment: (1) Amended subd (c) by (a) adding "and" near the end of the introductory clause; and (b) substituting "the officer's" for "his" in subd (c)(2); and (2) amended subd (d) by adding (a) `original documents and which are" in the second sentence; and (b) the last sentence. _ Law Revision Commission Comments: n+. 1965 --Section 1560 is the same in substance as Code of Civil Procedure Section 1998, except for the clarifying definition of "hospital" added in subdivision (a). • Cross References: "Action": § 105. "The hearing": § 145. "Public entity": § 200. Personal attendance of custodian and production of original records: § 1564. Production of evidence by subpoena: CCP §§ 1985 et seq. ' Inapplicability of CCP § 1989, providing for attendance of witness outside of county _ of residence, to this section: CCP § 1987.3. Persons before whom deposition may be taken: CCP § 2018. Collateral References: Witkin Evidence (3d) §§ 952, 953. j Cal Jur 3d (Rev) Criminal Law § 3230. 1 Cal Jur 3d Evidence § 389. Cal Practice Rev Ch 20 Discovery Proceedings. Am Jur 2d Hospitals and Asylums § 43, Witnesses §§ 14 et seq. Jefferson's California Evidence Benchbook, 2nd Edition (CEB, 1982) §§ 4.1, 4.4. i Forms: Rucker & Overland, California Criminal Forms & Instructions § 13:3. Suggested form is set out below, following notes of decisions. f I 542 SECONDARY EVIDENCE § 1560 Proof of Facts: 14 Am Jur Proof of Facts 2d 173, Admissibility of Computerized Business Records, i §§ 22 et seq. (proof of computerized business records). � Foundation for admissibility of hospital records and x-rays. 38 Am Jur POF2d 145. Law Review Articles: _ Review of 1982 Legislation. 14 Pacific LJ 484.';'x;, , Annotations: Personal checkbook or account as business record under Federal Business Records Act (28 USC § 1732). 8 ALR Fed 919. NOTES OF DECISIONS ; • • ••- In a criminal prosecution, hospital records are under Evidence Code, §1560 et seq., relating to. admissible if properly authenticated and if a the admissibility of hospital records, an affidavit proper foundation is laid, and the fact that the can be used in place of oral testimony of an - - records are hearsay and that the particular nurse, authenticating witness. People v Blagg (1968) 267 doctor or other person making the record has not CAM 598, 73 Cal Rptr 93. been called does not preclude their admission; SUGGESTED FORM Waiver of Custodian's Personal Appearance [Title of Court and Cause] Dear —i You will soon be served with a subpoena duces tecum for documents or things under your control. You may avoid personal appearance in court if you follow each of these instructions carefully: 1. Make a true, legible, and durable copy of each record or document described in the subpoena. 2. Complete and sign the enclosed declaration. 3. Place the declaration and the copy of the subpoenaed records or documents in an envelope or wrapper and seal securely. 4. Place the following information on the outside of the envelope or wrapper: a. the title and number of the case as indicated above; b. your name, having signed the declaration enclosed with the records or documents; c. the date of the appearance in court stated in the subpoena. • 5. Place this sealed envelope or wrapper containing the records or documents and the declaration of the witness in another envelope or wrapper and mail or deliver it to: Clerk of the Court Department No. 2_ County Courthouse [address] If you do not complete the above procedure within five days after you receive the subpoena, you must appear personally in court with the subpoenaed records or documents at the time and place indicated in the subpoena. If you have any questions concerning this matter, please do not hesitate to call this office. Sincerely, [Signature] 543 r i § 1561 WRITINGS i § 1561. Affidavit accompanying records (a) The records shall be accompanied by the affidavit of the custodian 1 or other qualified witness, stating in substance each of the following: (1) The affiant is the duly authorized custodian of the records or other qualified witness and has authority to certify the records. e (2) The copy is a true copy of all the records described in the at° subpoena. (3) The records were prepared by the personnel of the business in the F„ ordinary course of business at or near the time of the act, condition, or event. (b) If the business has none of the records described, or only part thereof, the custodian or other qualified witness shall so state in the affidavit, and deliver the affidavit and such records as are available in r the manner provided in Section 1560. Enacted Stats 1965 ch 299 § 2, operative January 1, 1967; Amended Stats 1969 ch 199 § 3. Prior Law: Former CCP § 1998. 1, as added by Stats 1959 ch 1059 § 2. Amendments: 1969 Amendment: (1) Deleted "That" before "The" in subds (a)(1), (a)(2) and (a)(3); (2) added "or other qualified witness" in subd (a)(1); (3) substituted "business" for "hospital" in subds (a)(3) and (b); and (4) amended subd (a)(3) by deleting (a) ", staff physicians, or other persons acting under the control of either," after "personnel business"; and (b) "hospital" before "business at or near' Law Revision Commission Comments: 1965 --Section 1561 restates without substantive change the provisions of Code of Civil Procedure Section 1998.1. Cross References: Compliance with subpoena duces tecum for business records: § 1560. "Record"; "business": § 1560. Affidavit as evidence: § 1562. Personal attendance of custodian or other qualified witness required, when subpoena contains statement that procedure authorized pursuant to this section will not be deemed sufficient: § 1564. ! Collateral References: . # Witkin Evidence (3d) § 953. Cal Jur 3d Evidence § 389. Cal Practice Rev Ch 20 Discovery Proceedings. Am Jur 2d Affidavits §§ 8 et seq., Hospitals and Asylums § 43, Witnesses §§ 14 et seq. Jefferson's California Evidence Benchbook, 2nd Edition (CEB, 1982) §§ 4.1, 4.4. ' Forms: lRucker & Overland, California Criminal Forms & Instructions § 13:3. Suggested forms are set out below. I Proof of Facts: Foundation for admissibility of hospital records and x-rays. 38 Am Jur POF2d 145. SUGGESTED FORMS Affidavit of Custodian of Records Accompanying Subpoenaed Records Affidavit of Custodian of Hospital Records 544 SECONDARY EVIDENCE § 1562 Affidavit of Custodian of Records Accompanying Subpoenaed Records , [Title of Court and Cause] State of California County of —1 ss. f . I, the undersigned, declare as follows: } 1. I am the duly authorized custodian of the records and documents enclosed in this sealed } envelope and have authority to certify these records and documents. 2. These copies are true copies of all the records described in the subpoena. '~ 3. These records and documents were prepared by the personnel of in the ordinary - course of business at or near the time of the acts, conditions, or events described in the records. 4. Of the records described in the subpoena, this business does not have the following: I declare under penalty _9f perjury that the foregoing is true and correct. Executed on this _a day of —s. 19_s-, at —r, California. [Signature] -- [Jurat] Affidavit of Custodian of Hospital Records [Title of Court and Cause] State of California County of —, ss. state: 1. I am the duly authorized custodian of the records of a Hospital and that I have authority to certify said records. 2. The hospital is located at _a; California, and is s [operated by a public entity, to wit: —s , or a duly licensed hospital]. 3. The copy. of the records of _7y annexed hereto, is a true copy of all the records described in the subpoena duces tecum served on me on A , 19-9y in the above - entitled proceeding. 4. The records were prepared by the —,o [personnel of —„ Hospital or staff physicians of _,- Hospital or persons acting under the control of personnel of —13 Hospital] in the ordinary course of hospital business at or near the time of the . —,a [act or condition or event] described in said records. [Signature] [Jurat] § 1562.' Admissibility of affidavit and copy of records The copy of the records is admissible in evidence to the same extent as though the original thereof were offered and the custodian had been present and testified to the matters stated in the affidavit. The affidavit is admissible as evidence of the matters stated therein pursuant to Section 1561 and the matters so stated are presumed true. When more than one person has knowledge of the facts, more than one affidavit may be made. The presumption established by this section is a presumption affecting the burden of producing evidence. Enacted Stats 1965 ch 299 § 2, operative January 1, 1967. 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