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HomeMy WebLinkAbout079-370-071�r FRANCIS GYORKEY Permit TT �#33- 7 A Exe pt permit 162 Arts Lane, Oroville ?vairy `y1�7� Permit#693-87B,P,E,M(new sing a family) bb ;�-�-w of 9- 3 70 i Permit #1270-87B,p,E M(neSFQ y i JUAN E MURDY 162 Arts e, Oroville PErmit;12875"---Vfutil, MP � ELEC GAS - — /v COMPACTION TEST'RE SUPPORT STR REQ__0^4g Contr: Mob' Home Center PErmit# 3-87MHI ISs / O / 2-10 MURDY, Juana 4,7o „.. ae+herv� 162 Arts Lane, Oroville A (new gas line/MHj 93=2915-'MHI' r� JUANA 162% uRPB LN, OROVILLE., CONTR: SKYCREST -MHI RESIDENTIAL 1f 7 nn 036-23-0-071 93-2915 MHI 19'ArJr wjRPHY, JUANA J)o rf h e r ll 162 ARTS LN, OROVILLE ICONTR: SKYCREST I1iI q j,-I/gzy- ,3 ti f d` fi C OFFICE COPY I Address GAS Meter By Dat ELECTRIC Meter By �- Date JOB FINALED (Date) Signature V=OKE O = Not OK -= Not Applicable Not Ready MOBILE HOMES ' = h Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'a 1. toning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Teat -Fall -C/O Concrete 4. Water; Location -Teat -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Teat -Wrap: / /"L"ft. / P'Net. or/ /"L" ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance I Date/Initials MOBIL"OME INSTALLATION (Plans) OK except q's `--1!Zojiag-Requirements-Setbacks Easements . FoOAOK, Size-Specing-Marriage Line may- gsrfg_H Test -Demand -Valve -Connector ' 'Ela icity; MH Test -Crossovers -Breakers -Clearances vd4!6rai_% MH Test -Fell -Flex Connector matqLand Sewer Connected -C/O to Grade -HD Approval as a d Electricity Tagged 0.• sp.-Sketch 42-46irt. of Occupancy Ir MISCELLANEOUS Date/initial 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.-Connectors Shthg.-ft.-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 -Mash 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/Initials POOLS (Plans) OK except #'a 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 V=OK O = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date/Initials UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING (Permit) OK except #'a 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/initials ELECTRICAL (Permit) OK except #'a 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/Mach. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Seryice-Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels -Motors -Meth. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date/Initials FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Date/Initials FRAMING (Continued) 45. Hangers -Post Ceps -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 T -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/Initials FINAL (Plans) OK except #'a 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & 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. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Meth. Protection 75. Plb., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. 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. Following instid.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ 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 Comments at Final: P MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 PERMIT N0. S Address or loc Owner's name Owner's address Insignia or hud number Manufacturer's name_ ,6- / ru Serial number rf V.I.N. Year of manufactuurre �� y Ur v (Offici I Appro g Installation) (Date) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE 4 MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. i "<r.. 513B White_,: Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF• DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE PER A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, COUNTY OF BVTTE ..DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 -Telephone (916) 538-75413 ��//__1"R 7T APPLICATION ANp PERMIT ASSESSOR PARCEL NUMBER 036-230-071 ZONING AR -5 BUILDING PERMIT OWNER Jua n TELEPHONE 533-3901 SQ. FT. OCC. BUILDING VA ION OWNER'S MAILING ADDRESS 2 Arts Lane,Oroville 95965 CONTRACTOR'S NAME Sk crest Building Systems TELEPHONE 342-2694 CONTRACTOR'S MAILING ADDRESS 13468 Hwy. 99, Chico 95926 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee S ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS PERMIT FEE s43.00 162 Arts Iane, Orou'lle PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NQ SUBDIVISION'S NAME P CEL MAP 8� 82— Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome IN Other SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 0 n TYPE OF WORK New C3Addition ❑ Remodel ❑ Utilities ❑ Installation] Other ❑ Describe Work: MHI Replaces B.P. #3193-87 PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service 1 BOOV OR LESS ) 2ODA OR LESS 23.00 Main Service 1 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCCUP. OR AODNS. 1 & ACC. BLDS. ) SO, 3.50 FT. CONTRACTORS LICENSE LAW ecI I dunder penalty of perjury (check one) I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code an/d'm license is in full force and eff ct. LicenseNo..2c/���7—�7 Classification / ❑ I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET NON-RESID. 1 BRANCH CIRCUITS ) @7.50 1 POWER APPARATUS ) B SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES ) BAO @ 1.0550 L. Ex. Occup. FIXED APPLND.) E p' (OUTLETS (RESID.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): Pis permit is for $100.00 (valuation) or less. have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. ❑ I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County i onseque e f the anting of this permit. c X Date _7C— / C7 Signature of pplicant - ❑ 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 $ 100.00 Energy Inspection Fee $ OCC CONST. TTPE TOTAL FEE $143. 00 HAZ- D. FEES IMPZ FLOOD COF PARC PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated abov r which fees have een paid. I ECTOR OF P LI WORKSCG�� // BY Date 'G� PERMIT EXPIRES ON �•'Z"� [Date) Receipt No. 1A ft1_�F WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT J 10, �J COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE = :OROVILLE, CALIFORMIA 95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATASHEET`` OWNER tJ !/ O' A. P. No. 036 zm -07/ Proposed Building Use / x7m Building In pector Date gs At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted......................................... 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3, Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................. 6. -Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ . ............. . 11. Impact fees as shown on attached schedule. S .............. ..' . , , ­ * * * * * * * , , , * , * * * * * T 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year floo by California Engineer. . . --, 14. Sanitation and plot plan approval AIVI I - Health Department. ............ �� S3 _ l� 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. .. .. . Pre -Inspection request 20. Pre -inspection for required. .. to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... t 23. Owner -Builder Verification (Given to owner , Mail to owner. ........... 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ....................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ........................................ . 28. Mobilehome utility clearance . ......................................... . 29. Documentation of legal access . ..................... :............. .... . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... Plan check list. ..................... i .. . When 6u issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone -yVz- 4(9f/ and hold for pickup at s office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date 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 1. Index permit for above items No. _ 2. Additional items required: permit issuances (Circle new item not checked above). Con ctor, designer, owner, was advised of above required data by _phone _ mail Counter b ate Contractor, designer, owner, was advised of above required data by _ phone _ mai Counter by _Date Plans checked by Date Plans approved by / Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works Ii.ii. I�SIi O Plot Plan Hunched Floor 19nn nluichmd _ lenl I ci® TO: BUildinb Department FROM: Environmental Health SUBJECT: Sanit tion Clearance �TA692, ( Owner Location �. Plan Approved for: Sc wa-e ].disposal Water Supply: Public _ Clearance foGbeclroon mobil Hold nal for: clearance O.K. for: NOT vironmental Health Speciali 8/92 aro -07/ A Phi Private Well Date 9 BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District /%,GE/ f? --14 A.P..Number .., 0 07 Jurisdictio 0 City, Property Owner Property Location/Address 16 Subdivison Residential Development i eoie Commerciandustrial No. of Living t - Units `T..; .. New Building Department Representative Building Department No. County Lot No. 0 Sq. Footage Addition (�` (Group R) Sq. Footage Addition (Including Exterior Roofed Areas) Date 42 1 (Floor Plans reviewed by School District Personnel) District Identification No. / 7 �ce�x�fQee School District certifies that (Applicant) (Street Address) (Phone Number),a4lxd-h- (?A `--- &7rl Lt, i (City) _ _ _ ,, (State) (Zip Code) has complied with the requirements of Resolution No. 0 "i, t by payment of $ representing S School District Representative Paid by Check Number Bank Number Paid by Cash square feet. l Date �. a If, subsequent to'the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.wkt (4/92) NOTE:--,Vl Materials & Workmanship Shall Be in Accordance with Recognized Good Practices and of a gpality prescribed for the Specified use in the Uniform Buililing, Plumbing & Mechanical Codes and the National Electrical Code. BEAR ALL STRUCTURES AND EQUIPMENT INCLUI OVERHANGS SHALL BE CI_7EAR OF ALL EASEME A SET BACK OF -�= FT. FROM THE SIDE tO FT. FROM THE REAR PROPERTY LINES ,S'O FT. FROM TiHE ROAD CENTERLINE SHAI CLEAR OF'STRUCTURES AND EQUIPMENT,80 FOR A 2 FT. EAVE OVERHANG. This set of plans and specifications --MUST be kept on the job at all times and it is unlawful to ` make any changes or alterations on same without written permission from the Department of Public Works, County of Butte. Ti I Environments::'aatth AUG 2 3 1993 oroville, Caftpl ig 13E V 'STI unoJ as U0J1^U3 43A0dddd8 BUTTE COUNTY BUILDING DEPARTMENT A P P R O V E D -_ _ _ _ or /m9 /So, -Z ���/, i 92 JOS Y, o v d Wr•C /� HOME MUST�m- U.D. LABELS RZ m e NG ° rs. 13E V 'STI unoJ as U0J1^U3 43A0dddd8 BUTTE COUNTY BUILDING DEPARTMENT A P P R O V E D -_ _ _ _ or /m9 /So, -Z ���/, i 92 r r O -A -K -#MANOR r�.� .. Z 65090/4424 2BEDROOM - 28ATHS - CATHEDRAL (1,041 SO.FT.I Envlronmelitai ;:aalth v l........ DIMNG ROOM llmmrlmzr� PANTRY 1C[ B --S O _ J R' ARfr1O(NDRRµ lR ROm OOM MASTE BEDROOMLIVING ROOM No. 20' 14'-8' AUG 2 3 1993 Oroville, Cawomis APPROVED Butte County E.4S vironmental Hea�h -Signat e �.�moll I�r Nil one ,.BEDROOM Ir.■ Q u►o r■■►1 i BEDROOM 13' 3B i t IE �UILDIN ;a;. ��� R 1824=`.38EOROOII.�BAU18�'��iF�DRlll;l� 116 �:1�"`� Lor l BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS j 7 County Center Drive, Oroville, CA PHONE: 538-7541. MOBILEHOME INSTALLATION SHEET 1. Owner's Name: 'rJ O h n &O 2. Installer's Name: 3. Is the site currently under permit? Yes F-1 No . (If yes, furnish permit number ) OR Is the site an existing site? Yes No F . (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft, away from septic tank and leach fields and clear of .all setbacks and easements? Yes No F-1 (If no, clarify 5. What is the mobilehome electrical rating? --------------- %Gl Amps 6. What is the mobilehome site service rating? ------------- /CG Amps 7. .What is the mobilehome site circuit breaker rating? Amps 8. Is there any other electric load to be served by the n mobilehome site-seivice?-------------------------------- Yes 'L�i No (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? -------------- (in.) YP g ? ----- ------ 10. What is the type of as service -------- Natural � LPG 11. What is the gas pipe length from meter or tank to the mobilehome?---------------------------------------------- /G 7Z (ft.) * 12. What is the mobilehome gas demand? ----------------------- (BTU) *(This information not required 'if :pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) BUTTE COUNTY BUILDING DEPARTMENT P P R 0 Y E D MOBILEHOME SUPPORT DATA If other than single wide, Mobilehome Mfr. 5/1- P furnish Setup Model No. �),�/ Year /722 Width141 (Et.) Box Length (ft.) Tagalong or Expando Size ft, x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural --setup sheets (if not on file with the County of Butte).U FOOTINGS (check one)1. Wood -pressure treated or foundation grade. 2. Other (specify) SUPPORTS (check one)1. Concrete block. a 2. Other (specify) �2r-T-1 4QZe,&Ej: v Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE ..� Li=e 1 Line 2 Main Beams Line 2 _ _ _ _ _ _ _ _ Line 1 _ Main Beams TLIne Tag or Triple 1.inP Line 1 Piers: Line 1 OpeninRe: v Size-Min-------------Size-Min Size -Min. ------------------ ' 11x Spacing -Max. --------- Each Side of Openings - From Ends -Max. ------- I '_ O " With Width Over --'-"""-" s_I 9 Line 2 Piers: Size-Min.------------ Spacing-Max - ----------- Spacing-Max.--------- From Ends -Max .------- _ G Line 3 Roof Loads: Size -Min. ------------ location (From Front) Line 3 Piers: (Under Bearing Wall Only) Size -Min .------------------ ,x Spacing -Max---------------- From Ends -Max.------------- 3b„��,.3�, , 30, „x .,xd ,x -Ix -� 3 '-4 y - - - - Line 4 Piers: Size -Min .------------ Spacing -Max.--------- From Ends -Max .------- „ Size -Min ------------------- Spacing-Max ----------------- From ------------------Spacing-Max.--------------- From Ends -Max -------------- Size -Min.------------ _ "x1.1 "x 'Sc "x 'k 'k ” "x "x Location (From Front) W RACE-; Is cc MtID Ry F611OW iTF Lt SEP -2-3 L m ot: it Vq k;:A-f e -1 S F"T.. �...{_�r-�w.•+.e;yr,�±r�!.-•.�r.,..k1rr,:�,'.T...�?;+;;t��"'L!_dl_!ygi_'nu:T'atrt�r?7t4r�ElKM:.iy ._�."- Oy,• ..-ty;� .0 e.c+r a; J`. »� �.vc+:.hc +oo,�^w.xn µi—.`W-"Fse%�*tS+F'i'a�r'd '•'�'^^'.^1.'•w�°g`-6"Y°-�fi�."4r'IT';X,s�p ' r • Y•v 7 � 036-23-0-071 '93-2777 P A ..MURDY, Juana 162 Arts Lane, Oroville (new gas line/MHJ Y- l r - x i r f t r. i I • • _ .` •- /^� �� /`,ter . 9 .i COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERM rr No. APPLICATION AND PERMIT ASSESSOR PARCEL NUM BER ZONING BUILDING PERMIT OWNER T N M TELEPHONE SQ_ FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS Fi 7 P.S CONTRACTOR'S NAME RT? ruF TELEPHONE CONTRACTOR'S MAILING ADDRESS P6 7 RnAD.. CORNING,CA Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEERLICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUI1.11f6 1DR�s TS. LANE 11 LL H PERMIT FEE $ j 0R0VILLB CA 96021 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEF MAP Each gas water heater or vent 15.00 - USE OF STRUCTURE SF ❑ Duplex ❑ '•:Mobilehome El`( Other SPECIFY •. -• Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S W @20.00 7 TYPE OF WORK I �.. � New El AJdition ❑ . Remodel ❑ Utilities P 1:1Installation Other 1:1 Describe Work: ., y'CAS LINE. PERMIT FEE $ i f1 Cont ractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOVORLEI ) 2OOA OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( &ACC. BLDS. ) 3.50 Fr.SO, CONTRACTORS LICENSE LAW ! I declare under penalty of perjury (check one) �:!,.am a licensed under provisions of Chapter 9, Division 3 of the Business and � Professions Code and my license is in full force apd_effect. License No. / ")''/0 � � Classification /' j- ❑ I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCU ITS ) @7.50 ( POWER APPARATUS ) 6 SINGLE OUTLET CIR. Ex. Occup. •( OUTLET OR FIXTURES ) BAL.@1.50 Ex. Occup.FIXED (RESID OR (OUTLETS 1RESID.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Dept. of Development Services, Ilding Division a Certificate of Workmen's Compensation Insurance or a ertificate of Consent to Self -insure. y",hall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. p `, p p y p p p ( I also agr�� to save, demnify and keep harmless the County of Butte against all Iiabilitiesrjudgments cots, and expenses which may in any way accrue against said Count�in c nsequenc o/the granting of this permit. �] X J' Date ) " p 7 Signature ppllcant O Owner ontractor O Agent An OSHA permit is required fo 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 $ 40.00 HAZ. I D. FEES I IMP I FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By J Date .1..- ..i .S f PERMIT EXPIRES ON -A, L 1 (Dote)' Receipt No. 148167 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERM NO. APPLICATIONAND PERMIT ASSESSORPARCELNUMBER 03 71 ZONING BUILDING PERMIT OWNER�/Azdy TELEPHONE 0,�1��2a OWNER'S MAILING ADDRESS 169 ARTS I-AdE. OROVIT-TE, CA 96965 SQ. FT. OCC. BUILDING VALUATION CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS 3860 KIRKWOOD ROAD, CORNING, CA 96021 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ Permit Fee $ 20.00 ARCHITECT OR ENGINEER LICENSE NO. y ARCHITECT OR ENGINEER'S MAILING ADDRESS i Plan Checking Fee $ Energy Plan Checking Fee $ Penalty $ BUILDIf1 11 Y'"HTS LANE PERMIT FEE $ OROVILLE, CA 96021 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex O Mobilehome R Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S W @20.00 2o oo TYPE OF WORK New O Addition O Remodel O Utilities R Installation ClOther ❑ Describe Work: NEW GAS LINE. PERMIT FEE $ 40 QQ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( "*' OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUR OR ADONS. ( 8 ACC. BLDS. ) SO, 3.5C FT. CONTRACTORS LICENSE LAW I decI a under penalty of perjury (check one) a licensed under provisions of Chapter 9, Division 3 of the Business and C de a d my li ense is in full force a e fect. License No. Classification ❑ I, as the own -ET, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) @ 100 B20 . AL.Professions Ex. Occup.FIXED APPWS. OR ( OUTLETS (RESID.I EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This ermit is for $100.00 (valuation) or less. O I h e placed on file with the County of Butte Dept. of Development Services, Ilding Division a Certificate of Workmen's Compensation Insurance or a ertiticate of Consent to Self -insure. 1s hall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California.6.50 Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE S Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 1 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon th above mentioned property for inspection purposes. 1 also agr save, ' emnify and keep harmless the County of Butte against all liabilitie , jud mems co ts, d expenses which may in any way accrue against said Coun in c nsequ nc of a granting of this permit. X Date3 g ture ppllcant - O Owner ontractor O Agent An 0 permit is required f 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 FEES 40.00 HAZ- D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. DIRECT/OR OF PUBLIC WORKS Q By / Dat �4 / PERMIT EXPIRES ON -777,,q,-Z)( g� /Date Receipt 114167 .D. WHITE-D.D.S.-BAY. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT eounf*'q V \/ uU ­ OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: Francis Gyorkey ADDRESS: 1416 Farrell St. CITY & STATE: Vallejo, CA 94590 IMPORTANT: August 14, 1987 SEE INSTRUCTIONS DATE OF CLAIM: ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE I DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Owner has decided not to do work. (Bldg Permit Appin. #1270-87B,P, Receipt #83223, dated 4/20/87, A.P. #36-23-71). ,M, Total fees paid----------------------------------- $245.25 Retain filing fee--------------------------------- 10.00 Refunddue -------------------------------------------------- $235.25 Owner has decided not to do work. (Agricultural Building Exemption Permit #33-87, Receipt 83224, dated 4/20/87, A.P. #36-23-7 . Total fees paid----------------------------------- 25.00 Retain filing fee--------------------------------- 10.00 Refunddue -------------------------------------------------- TOTAL REFUND DUE -------------------------------------------- $250.25 $250. 25 TOTAL $250,25 1, the undersigned• declare under penalty of perjury that the services or articles claimed have been performed /delired, and at this claim is true and correct as stated.Doted tnie 13th day of ...,August 19 87at Orovillecal;r... ............ ....... .............................. Signature of Claim ant 1, the undersigned, hereby certify that, to the beat or my knowledge• the services or articles specified above have been performed or de- livered and that there is a Budget Appropriation ❑ or Specific Board Approval ED (Check one) f e a Dated this......... 14th August 87 Oroville (CL cauf.................. say or ............................ 19......, at ..... ....p ........................................ ....................... D artment Head or Authorized Code' ............ 40-002 Code 4710700pgygHLE FROM C st. Permits FUND ............................................................................ DO NOT WRITE BELOW THIS LINl= - euniTnOPC itcc nut .. DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville,-California 95965 - Tglephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. J2 "7D ASSEO PARC NUMBER ZO IN S- BUILDING PERMIT OW RTELEPHONE S�-� �� �5_ SO. FT. OCC. BUILDING VALUATION OW ER'S AILING DO t /�� ^�� CONTRACTO 'S N ME �V TELEPHONE CONTRAC DR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation 1 $ Q �' Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ 3 - ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $.220 j Energy Plan Checking Fee $ -" ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 — Solar or heat pump water heater 20.00 LOT SUBDIVISION NAME PAIC/EL GMAP II - OZ Water piping 5.00 tt /` Each qas water heater or vent 5.00 5 -- —USE USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 S — Building sewer 5.00 5^ — Mobile Home T S G W 10.00ea TYPE OF WORK New n Addition ❑ Remodel ❑ / Utilities ❑ Installation ❑ Other ❑ Describe work: �7✓�/rrJ Permit Fee $ S Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1 OR LE 100 AMP ORSLESS 10.00 1,4— 0— Main Main service EA. ADD'L too AMP 2.50 2,5-1-1 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑NON-RESID I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ orsa (Sec owner, am exclusively contracting with licensed contract- 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.tk , New CONSTR.( AMULTI-OUTLET , h¢sgft BRANCH CIRC ITS 2.50 ea ( POWER APPARATUS e� %SINGLE OUTLET CIR. Ex. Occup( 20 ®'0a p OUTLETS OR FIXTURES SAL@30 FIXED APPLNS Ex. Occup. OUTL ETS (RESIO.)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 93,%D 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 111eee of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject 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 1 10.00 Heating ✓�, r Cooling r®)11_ (� Hood 3.00to Ventilation3— Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agalns said County in sequence of the granting of this permit. X /� -97 Date Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ — TOTAL PERMIT FEE $ 9 q/j OCCUP. CONST.TYPEJ I FLOOD PARCEL PD ND I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable resolutions fees have WORKS Date provi- to do been paid. Receipt No.p2-3 �� #-f WNITE-D.P.W., YELLOW -ASSESSOR, PINK -1 PECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT.OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - ogbviCLL, CALIFORNIA'95966 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET Permit No. OWNER i A. P. No. -3!D -.2-3 —171 Proposed Building Use � SBuilding 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. . y 3. Complete plans in duplicate. /triplicate, signed. by preparer of,plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ /ri.S�r� �i . . . . . . . . Letter of signature authorization. . . . . . . . f� 10. Sanitation approval from O'rolIiII—C 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 ownerEJ _15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . Pre-Inspec.request to (Dote) 17. Pre -Inspection for Required. Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. -20. Plot plan approval from city of 21. 22. When you issue the permit, process as follows: Mail to owner, Mail to contractor. Telephone and hold for pickup at�ffice, Deliver w/inspector. Other 7G SS"� ;Z s Applicant \ to Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance 1. Index permit for above items No. 2. (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by_phone_mail—counter by date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked Sets of plans on hold in Copy—DPW Date Plans approved by File cabinet AP folder Date — Flours: 10:00 a.m. - 3:00 p.m. TO Buildina Department FROM: Environmental Health SUBJECT: Sanitation Clearance 1-6,A _ S Olwner Location- AP# I -Plan Approved for: Sewage Disposal Water Supply \ b.,�_d Hold final for: + Water Supply Final clearance O.R. for: Clearance for bedroom mobi a home Other NOTE * * * Sanitarian Water Supply ate Y COUNTY OF BUTTE - Department of Public Works 7 County -Center Drive, Oroville, CA 95965 Phone: 916-538=7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for -in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit.. -No building permit will be issued until this verification is received. 1. I personally plan to provide the malar labor'and materials for construction of the proposed property improvement ye or no) � i 2. I have/have no signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work.but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type o.f Work Signed: Property Owner Social Security Number Date oto T -T NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per mitted to issue the permit. E COUNTY R¢turn` to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT ¢' (C F C ASL RECO n$ BY a FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit.S►y.�` 8`i8� _198_?,. HAR. SCJ AN' & 1'6 The property described herein is adjacent to land or.included CANDACE-.J..�GRU$85 within an area zoned for agricultural purposes, and residents of this eLE REC4RMR:FEE; - property may be subject to inconveniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides,.p.esticides, F 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. A11 that real property situate in the County of Butte, State of California, described as follows: PARCEL 1: Parcel as shown on that .certain Parcel Map entitled, "Lying in Section 25, 1.19N., R.4E., M.D.M.", said Parcel "lap was filed in the Office of the Recorder of the County of Butte, State of California, on February 25, 1985,- in 985;in Book 98 of Parcel Maps, at Page 82. RESERVING THEREFROM a non-exclusive easement for road and .public utility purposes as shown on the above described Parcel Map. Date: 4 State of r ) County of ) PROPERTY 1. i On this the day of 19 9 7, before SS. me, the undersigned Notary Pu lic, personally appeared OFFICIAL SEAL E17 Personally known to me. Proved to me on the basis DOROTHY A. WISE of satisfactory evidence. Notary 1`0AIC-California = BUTTE COUNTY to be the persons) whose iiame(s) „j,4i su scribed to My Comm. Exp. Aug. 6, the within instrument and acknowledged that executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. tary Public Present A.P. No. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESS P�I— � �RCEL NO. ZONING OWNER I PHONE NO. O/ E� ADDRESS x5z L Lam' 7" LOCATION OF BUILDING USE OF BUILDING SIZE OF STRUCTURE X SQ. FT. TYPE OF CONSTRUCTION: WOOD FRAME _STEEL CONCRETE OTHER (Specify) TYPE OF SIDING ROOFCOVERING FLOOR TYPE ESTIMATED COST OF CONSTRUCTION $ AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows * ollo s* s � 4 FRONT bSIDES r�k REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated above and the proposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. / L Date T '—� Signature of Owner Permit Fee - $25.00 The above described AG Building is exempt from a building permit. Receipt No. 9 � R V Director of Public Works By White - DPW, Yellow - Assessor, Pink - B.I., Goldenrod - Applicant Date 41' 2i-� i r r PERMIT NO. PERMIT EXPIRES 9 // OWNER _11-14-NA,ERNniugY CONTR. Wee ASSESSOR PARCEL 36-23-71 LOCATION 162 Arts Lane,.Oroville T.O-4 AA OFFICE COPY Address GAS Date r y ELECTRIC Date�Q"f� Meter By l� Temp. Power Pole Called PG&E Temp. Elec. Service r Called PGPF Temp. Gas Ser Called PG! r JOB FINALED t Signature I = OK' 0 = Not OK NotRaable= edyMOBILE HOMES MISCELLANEOUS bYZo ing Requirements -Setbacks -Easements S ils; Special MH Support -Sketch Sewer; location -Test -Fall -C/O -Concrete 4. ; Location -Test -Easement Needed (SI 5. Electricity; Location-Clearances-Grnzw 6.9as-Eesatkw Test -Wrap: / /"L"ft. / "Nat. or/ /"L"ft./ /"LPG- 91r4?7 tility Clearance Card -131 Dat - rd -B1 Date Card-BDate Card -131 Date Date OBI Ofilllllt INSTALLATION (Plans) OK except #'s 1. o ' g Requirements -Setbacks -Easements ootings; Size -Spacing -Marriage Line - 7�-Um*„161FTsT16emand-Valve-Connector ec icity; MH Test -Crossovers -Breakers -Clearances rai ; H Test -Fall -Flex Connector at"H Test -Regulator -Connector 7. ater and Sewer C nected-C/O to Grade -HD Apprr, 8. Gas46d Electd4z6v Taqqed of Card-B1ZA "ate(C/ (5 -Bard -B1 Date Card -B1 Date and -131 Date Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures. 6. Carports; Windows -Doors 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings ' Card -131 Date Card -131 Date ' Card -131 Date Card -81 Date Date POOLS (Plans) OK except #'s 1. Setbacks -Easements + 2. Soils; Compaction -Structure Stability i 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI A 5. Elec.; Pool Lighting; 15 volts-GFI i 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed { 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Ground ing; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit t 9. Health Department Approval ' 10. Plumb.; Cir. Test -Water Supply Test I Card -131 Date Card -131 Date I' Card -131 Date Card -131 Date I = OK ` o = NotOK RESIDENTIAL (.Single and Duplex) - =Not Applicable ' = Not Ready Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued). 1. Zoning requirements -Setbacks -Easements 44. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 45. Cing. Joist-Rftr. Ties-Purlin-Root Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 46. Fireplace Ties or Type A Flue -Fireplace Throat 4. Ftg., Porches & Decks; Soils -Steel-/ /"Fig. Depth 47. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 48. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel- Blockouts-Wrapped 49. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 50. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 51. Ext. Doors -One T -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 52. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 53. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 54. Siding -Nailing Veneer 12. Electric; Underground 55. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 56. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 57. Shear Walls; Nailing -Bolts 15. Insulation 58. Insulation-Walls-Clg. 59. Infiltration-Walls-Wndws Card -131 Date Card -B1 Date Card -131 Date Card -81 Date Card -131 Date Card -131 Date Card -B1 Date Card -B1 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchors -Nail Protection 60. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 61. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 62. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors 63. Bedroom Exiting 64. G.F.I. & Bath Fixtures & Tub Access -Spa 65. Elec. Trim & Subpanel; Breaker Sizes -Labels Card -B1 Date Card -B1 Date 66. Stairs & Rails Card -131 Date Card -131 Date 67. Fireplace or Stove; Clearances -Hearth Date ELECTRICAL (Permit) OK except #'s 68. Elec. Outlets at Wood Panel; Int. & Ext. 22. Fixture & Transformer Clearance -Ins. Protection 69. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 23. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Elec. Outlets & Receptacles at Kit. Counter 24. Size Boxes & No. of Conductors -Stapled 71. Garage Fire Door; Swing -Landing -Closer 25. Romex Installed Close to Edge of Studs & C.J. 72. A.C. Duct in Garage -Damper 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 73. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 27. 2 Appliance Circuits in Kitchen &Conductor Size 74. Plb., Elec. & Mech. Equip. Listed for Location 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 75. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 76. Insulation -Foam -Looked in Attic ❑ Yes 77. Guard Rails & Deck Construction -Post Caps 30. Service -Riser Conductors & Ground -Main Disconnect 78. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑Yes 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 79• Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 80. Stucco;'grown-Finish Card -61 Date Card -B1 Date 81. A.C. Unit; Disconnect, Electrical, Plumbing Card -131 Date Card -B1 Date 82. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. Date MECHANICAL (Permit) OK except #'s 83. Water Well; Disconnect, Electrical, Plumbing 33. A.C. Ducts Insulation & Support 84. Exterior Elec. Trim; G.F.I. Receptacle -Underground 34. Vent Fan; Exhaust above insulation 85. Ventilation throughout House 35. Condensate Drain & Overflow; Size & Grade 86. Glass Protection 36. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 87. Corrections from Previous Inpections 37. Attic Access & Platform if Furnace in Attic 88. Gas Test -Meters Tagged; Gas -Electric 89. Water & Sewer Connected -C/O to Grade -HD Approval 90. Energy Compliance Certificate -Other Certificates Card -61 Date Card -61 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date '`Date FRAMING (Plans) OK except #'s Card -B1 Date Card -B1 Date 38. Sills, Proper Material & Anchors Card -B1 Date Card -B1 Date 39. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Comments at Final: 40. Bearing Walls over Girders & Floor Nailing 41. Draft Stop in Walls (rat proof) 42. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 43. Header & Beam -Size & Bearing (NOTE: An entry must be made each time you visit job site) I MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 PERMIT NO. / Y Address or location of mobilehome ` f ' L L L Owner's name Owner's address Insignia or hud number Manufacturer's name = Serial number of V.I.N. %. , 7 Year of manufacture (Official Approving Installation) (Date) r I �x IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 5138 White - Owner, Yellow - Installer, Pink - D.P.W. DEPARTMENT OF PUISLIC WORKS 196 Memorial Way, Chico — Phone: 89's -2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROP F RTY ADDRESS A routine Inspection Indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. if you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. CmAtFo ELI n( 6 Po R C H '1 N D opt S -EA (k S 1P u- I Q t= D L.,// TA�( /N � o InsGector__ �U� /�,%�� =�--� �u .� `� � hkti:st. /�,LL��yt-�� ..��, .cam' � �� COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS • 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE OWNER E M T NO. 7 A routine Inspection indicates th 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 Im digtely. A _ '7- ``��' l'�r�"12,41k 0 Inspector. � a Date _��"— 7 ` JCOUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville;talifor,4ia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT P IT NO/ 3 ASSESSOR PAR c E IMBER 7 ZON BUILDING PERMIT Ovoq vu u 1,24 EL PHo SQ. FT. OCC. BUILDING VALUATION OWNER'S AILING ADDRE S �- v �s�s6s CONTRACTOR'S AME TELEPHONE CONTRACTO_R'5 MAILING DDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ I Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 -- Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] MobilehomeR Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00ea TYPE OF WORK New ❑ Addition ❑ Re odelZ Ili es I to lationX Other ❑ Describe work: ��) � � �, Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e00V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 y. CONTRACTORS LICENSE LAW I declare u der penalty of perjury (check.one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business/POWER and ProfessionDde and m license is in full force an effect. License No. Classification `� ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason oR ADDNST ACCLBLDGS. OCCUP.&� 2+h2sgft NEW CONSTR. U T"OUTLET NON-RESID BRANCH CIRC ITS 2,50 ea APPARATUS &I (SINGLE OUTLET CIR. Ex, OCCUp(OUTLETS OR FIXTURES 50 200 SAL930 \ Ex. Occup. OUTLETS (RESID,)FIXED APPLNS. REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. 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 thea bove-me ioned property for inspection purposes. I also agree to save, indemnify an keep harmless the County of Butte against all liabilities; -ju gments, costs, and expenses which may in any way accrue against", C ty 'n co seq nce of the granting of this permit. —r X Date Sign Applicant — Owner ❑ Contractor P Agent ❑ An OSHA permit is req ired 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 $ D OCCUP. CONST.TYPE PLooD P CEL PD ND uE This permit is hereby issued under sions of the Butte County. Code and/or work indicated above for which DIRECTO OF PUBLIC By PE IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date /-C;'Z �7 �� Receipt No. (J WHITE-D.P.W., YELLOW-ASSCSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT Of PUBLIC WORKS - BUILDING DIVISION �t95965- ti ✓ - 7 COUNTY CENTER DRIVE- OROVIL°LE'CALDGO.RNIA 95965 -TELEPHONE: 916/538-7541 / PERMIT APPLICATION DATA SHEET / • � Permit No. v OWNER Y) YJ A. P. No., �� -C`� Proposed Building Use Building Inspector Date z,;:� At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . — 2. Plot plans in duplicate/triplicate, signed by preparer of plans. _ 3. Complete plans in duplicate/triplicate, signed by preparer of plans. - 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. School District "Fees Paid'' Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . 10. Sanitation approval from _ Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: . 12. Certificate 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. . . . . . . . . . . Pre -inspection for " _ __ _ Required, Pre -Ing In request to (Date) 17. Pre -Ins P --- - - q Building nspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of 21. 22. — — — -- When you issue the permit pc,r(o/qje s as follows: Mail tg owner; ti?aii to contractor_ ephone✓��3^/v Teland hold for pickup aY office, Deliver w/inspector. Other � l Applicant Date/ /X Copy of plans sent Health Dept.; Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: _ Contractor, designer, owner, was advised of above required data by—phone---mail —counter by date Contractor, designer, owner, was advised ci above required data by—phone—mail—counter date Plans checked by Date a� Plans approved by Date/©_r2 Sets of plans on hold in File cabinet AP folder t Copy—DPW This set of plans and specifications MUST be kept on the job at rll times and it is unlawful to. make any changes or F•It.-2!rations on same with- out written permission from the Department of Public,Works, County of Butte. A permit will be required for the iWdation of the mobilehome. a I 2 MOBILE Fviq.;c 8E4R (i.U.e , :..';P. V1/ 4c+ 1, /o A set tg ck ofA ft. from the ,,--.Pro y lines and a setback. of from the road ' cent line shall be clear of stru ures or equipment except for 2 ft. eave overhano. Utility connections shall be w3ftRV 4 ft. of the mobilehome; either directly behind or within the rear half of the roadside (left) of the mobile -home. eko L P Y BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 534-4541 MOBILEHOME INSTALIATION SHEET* 1. Owner's Name: 2. Installer's Name: 4/- 3.' -3. Is the site currently under permit? Yes Q-----No (If yes, furnish permit number ) OR Is the site an existing site? Yes F-1 No (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic. tank—and-leach fields and clear of all setbacks and easements? Yes r No F-1 (If no, clarify 5. What . ) Amps is the mobilehome electrical rating? --------------- 9 of 0. b 6. What is the mobilehome site service rating? -------- .-----+ :16 Amps + y 7. What is the mobilehome site circuit breaker rating? ----- U Amps 8. Is there any other electric load to be served by the . mobilehome ------------------------------ site service. -- Yes No r (If yes, identify the load and size: _(Load) (Amps) 9. What is the mobilehome site gas pipe size? -------------- (in. 10. What is the ty pe of gas service. -.-- Natural F] LPG 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- --------------- * 12. What is the mobilehome gas demand? ---------------------- *(This information not required if pipe length less than 6 ft. on .natural-gas or less than 50 ft. on LPG.) Y w (ft.) (BTU) MOBILEROME SUPPORT DATA L_��4If'other- Than single wide,Mobilehome Mfr. (r.� furnish Setup Model No. Year IF Width (ft.) Box Length__CPj2-L_(ft.) Tagalong or Expando Size ft. x --ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one) 1. Wood -pressure treated or foundation grade. 2. Other (specify) SUPPORTS (check one) 1. Concrete block.❑ 2'. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE Line l a _ Line 1 Main Beams — — Line 2 Main Beams Line 2 Line 1 Line __—Line Tag or Triple —. — — — — Lin, 4. Line 1 Line 1 Piers: Size -Min. ------------ n Spacing-Max. -'-------From Ends -Max: ------- Line 2 Piers: Size -Min. ------------ 4 .A Spacing -Max .--------- From Ends -Max.-----=- '_ U Line 3 Roof Loads: Size -Min. ---------- Location (From Front) Line 1 Openings: Size -Min. ----------- ---- „ „ Each Side of Openings / With Width Over --------- Line 3 Piers: (Under Bearing Wall only) Size -Min ------------------- 5c , n Spacing -Max._______________ From Ends -Max .------------- Size -Min. ------------ 'k " Spacing -Max.--------- ,- From Ends -Max .------- Line 5 Roof Loads: Size -Min .------------ Size-Min.------------------ „x ., Spacing -Max.--------------- r_ n From Ends -Max.------------- ..x1. nx ..x „ x ., „x .. x ,. ..x ,. ,x Location (From Front) „ SU �-� gU1L o\j V® COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS P MIT NO. 7 County Center Drive - Oroville, California -95965 - Telephone: 916/538-754 APPLICATION AND PERMIT ASSSSQR PARCELS MBE (/O ZONI G BUILDING PERMIT OWNER n ,�, P 0- 111t✓ TELEPHONE o SQ. FT. OCC. BUILDING VALUATION O R'S MAI G ADDRESS �a �, CONTRACTOR',S^NAME V TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONST UC TION LENDER d UNKNOWN u Total Valuation $ Filing Fee $ LENDER'S MAILING ADDRESS" Permit Fee $ ARC ECT OR ENGINEER 0 LICENSE NO. Plan Checking Fee $ D Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS rf Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Ura oille Sqlar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] MobilehomeV Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home nyGIPP10.00 ea o:t) Q TYPE OF WORK New ❑ Addition ❑ Remodel[:] Utiliti s Installation[] Other ❑ Describe work: _ �-� Permit Fee $ Q Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA, ADO'L 100 AMP 2.50 '9. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check.one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BuslnesS 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 oR ADDNST DWELLIN GOCCUP.&) 'S. /22sgft NEW CONSTR. MULTI -OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS /POWER APPARATUS &� \SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES ez0®s0¢ AL030 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 JS : Mis . Wiring 15.00 k 0 V TORT Permit F e $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee Contractor $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against II liabilities, judgments, costs, and expenses which may in any way accrue the granting of this permit. ^� g _ O iy a inst said C in MOwngerM Date o!! V1na.1eT..1 Applicant — ❑ Agent ❑ ;Contractor An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 in height. Mobile Home Installation Fee $ Energy Inspection Fee TOTAL PERMIT FEE $ occu P, CONST.TY FLoo PAR y'EL J/ P ND, v// 159U This permit is hereby issued under sions a Butte County.Code and/or Wor ind' ted bov for which T R OF PUBLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Datec DP (97 /-✓c-/ K+ ,stories Receipt No. C/ % WHITE-D.P.W., YELLOW -ASSES SOR, PINK -INSPECTOR, GOLDENROD -APPLICANT $Zyrts 1.'1jt ,..1 :.-4in ,y "'".'� a` -s LC �' � y r.\-r'� C-•�"7 -.r i f COUNTY OF BUTTE - DEPARTMENT'OP PUBLIC WORKS - BUILDING/DIVISION Y s 7 COUNTY CENTER DRIVE - OROVICLE:,CAtLhFOAIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATIONDATA SHEET �f Permit No. OWNER tTu Q YI 0 oe 0 /"/U ed, sv A. P. No. - – Proposed Building Use Al/W F Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/ sUance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . — 2. Plot plans in duplicate/triplicate, signed by preparer of plans, _ 3.. Complete plans in duplicate/triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. School District ''Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. ' 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . - 10. Sanitation approval from _ Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . X13. Contractor's License Information (no., name style, classif.) _14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . Pre•Inspec.request to (Date) 1/7.. Pre -Inspection for__ _.. _ - -..._- _ Required. Building Inspector Recorded copy of Agricultural Acknowledgment Statement. III �49 . Driveway Permit. — 20. Plot plan approval from city of _ 21. —22.— — — -- W en yo-1-444"usue the permit, rocess as follows: Mail t owner; Mail to contractor. Telephone 53,3 FO 1 and hold for pickup at�V office, Deliver w/inspector. Other Applicant E Copy of plans sent Health Dept.; Fire Dept., Other Date 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—phoneAaic to by date Contractor, designer, owner, was advised ci above re uired data by_phonet r by date Plans checked by Date��Plans approved Date 1'3ep 8 Sets of plans on hold in File cabinet AP folder Copy–DPW TO Buildina Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner - �__.._...___. Location AP# Plan Approved ,for: Sewage Disposal Water Supply Hold final for: Water Supply Final clearance O.R. for: Water Supply _ Clearance for -- bedroo mobil home. Other NOTE *** Sanitarian Dat COUNTY OF BUTTE - Department of Public Works 7 County Center Drive,.Oroville., CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916-538-7541 An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will.be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I 0havehave not) signed an application for a building permit foproposed work. 3. I have contracted with the following person (firm) to provide the proposed-, construction: .Name Address City Phone Contractors License No. 4-. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work"but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Securit Number — D IY Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. AP # 0-3 - °7 OWNER) D Ak/u r ' PERMIT..# M 'UTIL.CLEARANCE DATE O INSPECTOR ELECTRIC GAS Support Struc. Compactior Test -Req. Service Size Other Load TvDe Pipe Size Length YES NO YES NO eoun4 of -iot u OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: Frnnri c Gyarkey .ADDRESS: CITY & STATE: Vallejo, CA 94590 IMPORTANT: DATE OF CLAIM: April 22, 1987 SEE INSTRUCTIONSON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Owner has decided not to do work. (Bldg Permit Appin. #693-87B,P,E,M, Building Permit fees Paid ----------------------- Retain filing fees ---------------------- $10.00 Retain energy plan checking fp,-Q -------- $19-00 Retain plan checking fees--------------$ 87.50 Amount retained -------------------------------- $112.50 Refund due ----------------------------------------------- $175.00 Plumbing permit fees paid ------------------------ $40.00 filingRetain e ----------- -------------------- 10.00 Refund due ------------------------------------------------ $30.00 Electrical permit fees paid ------- --------------- $48.50 Retain filing fees------------------------------- $10.00 Refund due ------------------------------------------------ $38.50 Mechanical permit fees paid ---------------------- $19.00 Retain filing fees------------------------------- $10.00 Refund due ------------------------------------------------ $ 9.00 Refund energy inspection fees paid ------------------------ $30.00 TOTAL REFUND DUE ----------------------------------------- $282.50 TOTAL $282 50 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delive , and that t s claim is true and correct as stated. k �' Dated this ., r�,r 7 �......... day of .!r ....'L`.......... 191, at/� �' Calif. �w .. ... ....................• ...... ......... ............ ......... .......... Signature of Claimant I. the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above ha been performed or de- livered and that there is a Budget Appropriation ❑ or Specific Board Approval ❑ (Checkone) for sam Dated this...................2.2nd Aril 87 Oroville dayof ............ ................. 19....... et .............................. .Celli. ...... _— ertment Head or Authorized Depu Dept. Exp. Code............................................ Code ................................................PAYABLE FROMFUND ............................................................................. DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY rEOT. & SUB. PROJ. I SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND'PERMIT P RMIT NO. ASOR PA CEL UM ER �- ZONI v BUILDING PERMIT ow R ►^ ©r T L.€ ONE s �S� Sq.FT. OCC. BUILDING VALUATION OW ER'S MAILING A.DR,)_ 1 CONT CTO 'SNAME C , TELEPHONE C NTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Flling Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCrIJr�ECT OR ENGINEER A10 hC LICENSE NO. Plan Checking Fee Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit feeS $ 1 PLUMBING PERMIT Filing Fee 10.00• Each Trap 2.00 p(' v Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCE`L�M-,APP Water piping 5,00 IQ� Each qas water heater or vent 5.00 T USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 S Building sewer 5.00 Mobile Home Is G W 0.00ea TYPE OF WORK Newt/ Addition❑ Remodel[] Utili 'RE] Installation❑ Other [J Describe work: \J Permit Fee $ Q , Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1 OR LE 10000 AMP ORSLESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El am licensed under provisions of Chapt. 9, Div. 3 of the BusinesS and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their Sole compen- sation, will do the work,and the structure Is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ontract- ors. ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason LIN CCU 21/20SQft oR ACDNS. CONST. DWEACCLGS NEw cONSTR ULTI.OUTLET2.SOea NON•RESID BRANCH CIRC ITS /POWER APPARATUS R1 l SINGLE OUTLET CIR. Ex. Occup(ourLETs OR FIXTURES eAL0g30 FIXED APPLES. OR Ex. Occup. OUTLETS L SID,) EA.I 2.00 Temporary service 10.00 / Tau Mobile Home Facilities 15.00 Misc. 6yirin 15.00 9 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 P RMIT Filing Fee 10.00 Heati Cooling g -�— Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 c ns quence of the granting of this permit. t X--F Date Signature of Applicant —wner Contractor ❑ Agent ❑ An OSHA permit is required for excava ons 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 S OCC. CCNPE FLoo PARC PD V'SSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No.By WNITE•O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET Permit No. OWNER t i�Q n C 1 ? GV01r _ A. P. No. 36 Proposed Building Use No V—) a��" Building Inspector /M 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. 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 I$ . . . . . . . . 9: Letter of signature authorization. % . . . . . . . , _Sanitation approval from r41) / •�. Health Dept. r oil 9 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. . . . . . . . . . Pre-Inspec. request to (Date) 7. Pre -Inspection for Required. Building �Inspect / % ecorded copy of Agricultural Acknowledgment Statement. 3f �1 g Driveway Permit. Y 20. Plot plan approval frorpcity of 21 PC. OV ORIS 22. When ou issue the permit, process as follows: Mail to owner, Mail to contractor. Telephone and hold for pickup at.n�affice, Deliver w/inspector. Other C 7th > c —015-y s— • n - /_ Copy of plans sent Applicant Health Dept., Fire Dept., The following data must be submitted�pri rr 1. Index permit for above items No. r� 2. Additional items required: ate Other Date to permit issuance: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by_phoneyJnaiI—counter byjff)­- date Contractor, designer, owner, was advised of above required data by —phone _maII—counter by date Plans checked by Sets of plans on hold in Copy—DPW Date Plans approved by File cabinet AP folder Date — Flours: 10:00 a.m. - 3:00 p.m. TO Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Arro /I V-,111 caner Location AP# Plan Approved for: Sewage Disposal _dWater Supply�� Hold final for:\ Water Supply Final clearance O.R. for: Water Supply Clearance for _ bedroom mobile home. Other NOTE *** EO Sanitarian Date COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville,-CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your.building permit: No building permit will be issued until this verification is received. ,1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (hve/have not) `e/ signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed- constru ion: Name zk Address City Phone Z6'7 �,'� ��, .("—Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coot inat@ su vise, and pro ide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work.but I have contracted (hired) the following persons to provide the work indicated: NameAddress Phone Type of Work Signed: ' Property Owner Social Security Number mber Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive,.Oroville, CA 95965 PHONE:(916)538-7541 Francis Gyerkey 1416 Farrell St. Vallejo, CA 94590 With reference to the above subject: RE: Buildng Permit Application #693-87 A.P. #36-23-71 X/ Attached is: Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs X Typical Plan Sheet .Owner -Builder Verification Form List of Codes Enforced OTHER X/ We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. X Complete plans in DUPLICATE per 4XXX11KdXKgXNX5KX�1XKXX attached. Plot plans in Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes marked in red. X Sanitation approval from Butte County Health Department at: 196 Memorial Way, Chico X 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. LL OTHER Should you have any questions concerning the above, please contact this office. JFG/aj Yours very truly, William Cheff Director of Public Works .F. Glander Chief Building Inspector u;y 18, 1987 Dear. Planning I ha, Te sold the .property which I got all permits for. I will no longer go'through with these permits,on Parsel 36-23-71. I have instead bought a new parcel on 0akvale Road. I am-' asking you to please credit me with whatever you can on the present amount on the Building Permit, Sewel Disposal Permit, Well Permit,.Agriculture Building Exemption Permit and all other permits I got from you. I will have to apply for all of .these permits again so I will appreciate whatever you can 'credi t me. rks very ch• r1an i s G or Y Y- }�►�m�c� %�r � o� I�P�/ J c o un hL Y icy (2.9 A. t . t+r RESIDENTIAL ENERGY PLAN CHECK/INSPECTION`.SUMMARY FORM Owner MC= Location Climate Zone Permit No. Floor Area ❑ Type Compliance path: Package ❑ A ❑ B ❑ C ❑ Point System ❑ Budget ❑ Other MC= MIN R -VALUE DESCRIPTION ❑ REQ'D - Area INSTALLED ITEMS (1) INSULATION ❑ ❑ Roof. /Ceiling ❑ Ft.2 HC= Wall _ ❑ Slab Floor Perimeter ❑ ❑ Raised Floor Ft.Z HC= (2) INFILTRATION: ❑ (A) A vapor barrier is required in climate zones, 1, 14 & 16. ❑ f (B) All manufactured windows and sliding glass doors shall meet the 1972 ANSI Air Infiltration Standards and shall be certified and labeled. ❑ (C) All swinging doors and windows leading to unconditioned areas shall be fully weatherstripped. Tight - the above standard features plus: [] (D) Continuous infiltration barrier ❑ (E) Electrical outlet plate gasket ❑ (F) Air-to-air heat exchanger _ (3) GLAZING• (A) Location Area Glazing %Floor Area Single Double Triple ❑ Total Bldg ❑ North ❑ East ❑ South ❑ West ❑ Skylights (B) Shading Shading Coefficient Description 7/83 ❑- F L East South West Skylights (C) South Overhang Length of projection ft. Description (D) Moveable insulation: Area feZ Description a (E) Thermal mass Type - Area Ft:2 HC= MC= Location R= Type - Area : Ft. 4 HC= R= R= R= R= R= MC= Location ❑ Type - Area Ftp HC= — MC= Location ❑ Type - Area Ft.Z HC= MC= Location } ❑ Type - Area Ft.2 HC= MC= Location ❑ Type - Area Ft.Z HC= MC= Location f R= R= R= R= - . FORM 1 ❑ (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 combusibn 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 Q Central Gas Furnace '/, (brand and' model number) SE Btu/hr (heating capacity) ❑ Heat Pump (brand and model number) ACOP Btu/hr (heating capacity at 47°F) ❑ Active Solar type (liquid or air) Collector brand and ft2 model number solar fraction collector area collector orientation collector tilt r- rated y -intercept rated slope ❑ Other (describe) *1 (B) Cooling ❑ Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr ` (cooling capacity at 95°F) t ❑ Electric Heat Pump ' EER Btu/,hr (cooling capacity at 95°F) ❑ Other (describe) Q (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. Q (E) AN INTERMITTENT IGNITION DEVICE shall be provided for all gas-fired fan type central furnaces, gas-fired fan type wall furnaces and gas cooking appliances. ❑ (F) BACKDRAFT DAMPERS shall be provided for all fan systems exhausting air to the outside. ❑ (G) DUCT CONSTRUCTION & INSULATION. All transverse duct, plenum, and fitting joints shall be .sealed with pressure sensitive tape or mastic to prevent air loss and shall be insulated to conform to the provisions of Section 1005 of the UMC, 1976 Edition. -7/83 2 1 FORK 1 (6) DOMESTIC WATER SYSTEM " ❑ (A) Gas Only Gallons (brand and model number) (tank size) ❑ Heat Pump w/Electri,cBackup (brand and model number) Gallons 2 (tank size) ❑ * Active Solar (collector brand and model number) (rated y -intercept) (rated slope)' (solar fraction) ft 2 (backup heater type, brand and model ,number) (collector area) (collector orientation) (collector tilt) ❑ Location of .Solar Panels ❑ Other (Describe) ❑ (B) TANK INSULATION. Storage type water heaters and storage and backup tanks for solar systems shall be externally wrapped with R-12 insulation or greater. ❑ (C) PIPE INSULATION. The five feet of pipe closest to the water heater and outside conditioned space shall be insulated with a minimum of R-3. Steam and steam conditioned space shall be insulated with a minimum of R-3. Steam and steam condensation return piping and recirculating -hot water piping outside the building envelope shall be insulated in accordance with 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 Q (A) Lamps used in luminaries for general lighting in kitchens and bathrooms shall have an efficacy of not less than 25 lumens per watt (usually florescent). *1 Submit documentation of sizing heating and cooling equipmen"t.by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(g), and fill out the following: Heating: Winter design temperature °, elevation ', heating load - BTU elevation factor x heating load = maximum outlet capacity gas furnace BTU Cooling: Summer design temperature °, cooling load BTU (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 Administr tion Code. 7/83 SIGNATURE OF BUIL NG DE R OR APPLICANT 3