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HomeMy WebLinkAbout047-560-092I .1�47-28-45 �.�367 P., E BREDEN & O"Guinn-., % an 670 Oasis Dr�'. Chico Contr: Ritchie Const (new sf) 4-/-26-45 Permit#19-91 E 1 \E mh ELk- /00 (util��'T�esmh) ( S-0 GAS COMPACTION TEST REQ lNo SUPPORT STRUCT REQ__ 7-Ad45, Peri�itlZQ&MHI t (ins allation/MH) 'T V 'I 7 ENTIAL 4 7-28-45 4336-90B,P,E,M BREDEN & O'Guinn 670 Oasis Dr Chico Contr: Ritchie Const (new sf) 72> iekc,)�-- live -:F 9- '12, 6 �/41 4,,v - O)K e41%le1ee,10FFICE. COPY zk Address ":!p GAS Meter By DAte- ELECTR Date Meter By OFFICE COPY Address GAS Date Meter BY ELECTRIC Date Meter By ------ JOB FINALED (Date) Signature - %/ = Ok 0 Not OK Not Applicable Not Ready r MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements-Setbads-Easemepts 2. Soils; Special MH Si*pport Sketch 3. Sewer; Location -Test -Fall -C/0 Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / P'Nat. or/ PV'ftJ P'LPG 7. Utility Clearance N, Date Card B-1 Date Car d B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'a 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/0 to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Carl. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements-Setbacks-Easemdnts 2. Footings; Soils-Size-Depth-Spacing-Connectors-SteeI 3. Decks; GrIders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps- Doors -Land i ng s Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks- Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Term i na Is- Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Bo xes- Enclosu res- Pane I boards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 "1, 4 % V ='OK',r 0 Not QK Not Applicable RESIPENTIAL (Single & Dup Not Ready 1-1, .10 Date UND F OR (Plans) OK except . ff's Date )XR, 4,�i ng -Setbac ks- Ease men ts- Flood -Slope Hang KFtg.,,Main; Soils-Elec. Grnd.-//I_a Fig. Depth a,-rg., qarage; Soils-Steel-Elec. Grnd.-/)2,j�� Fig. Depth M_hk 4. F ., Porches & Decks; Soils -Steel-/ /Ftg. Depth 44g:� 0 Aw-ce . Ster%vO]-s, Main; Steel-Blockouts-Wrapped 4 LIX'r rn *,6�femwal!s, Garage; Steel-Blockouts-Wrapped VGaraE - .1 6a. H4W'fowns and Special Anchors 49-1 old"'; oteei-wrappeu 8. Pi!.�VF`ireplace Ftg.-Steel V'6-.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 10. �k Pipe; Size -Anchors rx'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. Insulation Date2a4l( Card B-1 fi�& Date Card B-1 Date/,9-/ -9 / Q-ard B-1 "_ �Date Card B-1 Date ft4BING (Permit) 0Jk*19xc:6V;!,� )��ter Pipe: Test & Anchor-Naif Protection leD.W.V.; Test-Fitting��chor-Nail Protection 19. Shower Pan; ZLr'-First Floor -Tub Access __ oc__ __ - - - - ____ -mor-Tub Access 41*'Gas Pipe: Size & Anchors Date Card B-1 XP!2 Date Card B-1 re,61 D ate Ca roe- 1 J&,7- Date //-/15-9/ Card B-1 02415 Date ELE01"AICAL (Permit) OK except If's (0-1s, 2"f. Fi��re & Transformer Clearance -Ins. Protection 43.-Clec. Receptacles Spacing -Lights & Switches at Doors D,<ze goxes & No. of Con d ucto rs-Sta pled o_!pex stalled Close to Edge of Studs & CJ p. Ground made up w/Mech. Fastners-Bond Gas & Water (M Apoance Circuts in Kitchen & Conductor Size/GFI 26,,5_ubfeed Wire Size /(,,/ ga. Cu oaPA.C. Wire Size ga. Cu ­or Al 201 -Range Circ. 0/ ga. Cu aCjgjal'en Circ. ga. Cu or Al. InU.4ated Neutral Iff Yes 0 No avl�er��e-Riser conductors & Ground -Main Disconnect 3!,�,t'gLfl . clearances Panels-Motors-Mech. Equip. 3:�.-6othes Closet Light -Shower Light -Spa Light aSe'l-moke Detector Date/,q,,/e, _99/ Card B -A4 4 Date Card B-1 Date Ih- /4, Q/Card B-1 Date Card B-1 Date IVIECHPRq�ekl_ (Permit) OK except #'s Ducts Insulation & Support IV -14, (2nVeqJFan; Exhaust above insulation 3@-6ondensate Drain & OverMow: Size4 Grade., (4�7) F��nceiCv6p/Acdess-ConWAir-ReturOrlAir Votf-1 15 (Wet 3W"Attic Access & Platform if Furnance in Attic Date/D,/5-91 Card B-1 k4_7 Date Card B-1 Date JLX-&. At( CarS�.B-1 12,6 Date Card B-1 Date -Fawilia-(Plans) OK except #'s Ws, Proper material & Anchors lb-1,�, &tr,4qAe�uds-Nailing, Spacing & Bracing -Plates -.Sound 4�,�4i alls over Girders & Floor Nailing - op in Walls (rat proof) s!t, s -Stairs -Chases -Tub 0 1,7—,f- AC-Aeaders & Beam -Size & Bearinq NG ce Ties or Type A Flue -Fireplace Throat clearance cess; ize & Romex Protection -Draft Stop -Ins. Baffles Windows or Exiting Doors -Sill Hgt. & Dimensions � Fire Protection Framing ry-Ti—neFirewall & Openings �ors-One 3' -Check Garage -3rd Story, 2 Exits VV_id_th_H_-effffMMM-Ri se -Run- Land I ng- Fire Protection )d on Roof Overhang -Attic Vents -Rafter Outriggers -Nailing Veneer , Mesh -Drip Screed -Fd. Vents-UnderfIr. Access -Bolts nfiltration-Walls-Windows Date Card B-1 1W Date Card B-1 QL7, Date /A �A -4 1 Card B-1 &I, A Date la- /I- I I Card B- 1 IC6 Date FINA14PIans) OK except #'s WEX. Steps -Door & Sidelight Protection- Land I ngs V/`Sq)e<e Detector 23 --flu" T, e -C e; Vents -Clearance -Comb. Air -Connector - 9, araqe; Above Floor-Ducts-Mech. Protection Bath Fixtures & Tub Access -Spa 6&41'ec. T�e4_5ahpanel; Breaker Sizes & Labels J�8 a i I s Fir ace or tove; Clearances -Hearth � _t, ets at Wood Panel; Int. & Ext. 7410`k��f. & Appliance; Grnd.-Air Gap -Cooking Clearance 0--flec. Outlets & Receptacles at Kit. Counter �-Landing-Closer per 7&,4t'r. HV, -vents -clearance -Comb. Air-Connector-P.R.V. In,.Gd'raqe; Above Floor-Mech. Protection 7;,�Ie & Mech. Equip. Listed for Location joeReswacies in Garage; (G.F.I.)-RomeVrdfection Ins ion -Foam -Looked in Attic Po"Fes 7 u ails & Deck Construction -Post Caps 7101--fdri Vents & Crawl Hole Door- DrA ii nage & Wood -Earth lopro, 0 Yes cleapa�nce Looked under Flo, 84,<ollowing instid.; Drive ITYes 0 No; Walks 0 Yes 0 No; Planters 1:1 Yes 0 No '81. Styr,�, Brown -Finish 6?.-Akc._vatf-gisconnect, Electrical, Plumbing 8&-Vlen-ts ,�ove Roof; Plbg.-AppliancepFireplace.-Clearance to m; G.F.I. Reci iahout House @18'Cwr'ectAs from Previous Inspections G es - ers Tagged; Gas -El ctric I,-,' I--," 9Ia_5W,-k_r,4,8ewer Connected -C/O 14-Gratre—FID AVp—roval St,e-ergy Compliance Ci§rtificate-Other Certificates Date -7 / Card B-1 Date Card B-1 Date Card B-1 Date Cara B-1 Date q-O(YI-97-Card B-1 IZA Date Card B-1 Comments at Final: (NOTE: An entry must be made each time you visit job site) Owner Permit No. $:: 4?e ENERGY CERTIFICATION 4�� � LOCATION DESCRIPTION OF INSULATION ROOF .MATERIAL BRAND NAME* THICKNESS THERMAL RES. A.P. NO. EXTERIOR WALL ,MATERIAL UM/LASS BRAND NAME CE3.?%INTEED I / - THERMAL RES. .THICKNESS CEILING BATT OR BLANKET ,YPE-FiberglasBRAND NAME C;4TAIN EED .THICKNESS /oO THERMAL RES. 4f -Ho ,t.-X-OOSE FILLTYPE NSUL-SAFE IIIBRAND NAME CEU,AINTEED 'THICKNESS la2 THERMAL RE�. FLb6R,ELEVATED . MATERIAL FIBERGLASS. BRAND NAME CERTAINTEED THICKNES� THERMAL RES. FLOOR, SLAB MATERIAL THICKNE SS WIDTH FOUNDATION WALL BRANDNAME THERMAL RES. OCT 3 1 199, MATERIAL BRAND NAME .THICKNESS THERMAL RES. I HEREBY CERTIFY THAT THEABOVE IN SULATION WAS INSTALLED IN THE ABOVE BUILDING IN CONFORMANCE WITH THE STATE OF CALIF. ENERGY REQUIREMENTS. V SHASTA INSULATION INC. # 62-2184 FIRM,�N NE STATE CONTR.*LICENSE NO.' erti�I hereby c, h e a 'o v e insulation and all required :items as shown on . t he Building Depart. 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 bythe State.of.Calif. F I ,,�ER��(EASE PRINT) -g-j-i OWNER 494-9-9.& ---------------------- STATE CONTRACTOR'S LICENSE NO. ATE This certif icate must be on f ile with the BUILDING DEPARTMENT prior to 'i and a copy shall be posted w ithin the building. final inspection approva JANUARY 1984 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 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 f5r- e d'r /I - �16 OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at of work the above address and should be corrected. Please notify this office when correction is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. 4 V 7 -7 - Date c712-9 Z --Inspector \A REV1 1/91 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1-1 It 196 Memorial Way, Chico — Phone: 891-27'51 7 County Center Drive. Orovi Ile — Phone: 536-7541* 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE f-* e- q 336 - 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 qOestion pertaining to this matter, or need additional explanation, please contacUlthis office immediately. re /fA,;2 10'Aec-4('e9--� AVeIA 42 (1 e AA, e,5 44 =e- 4-4 2:4 '14 3 & A-) 11 A ra e- e II) wj-e .0 � '0 z Date Inspector COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Wav Chico — Plhone:'891-2751 7 County Center Driv e, Orov i I I e — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE r 04 V3 -3�, - 9 R PERMIT NO A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. I < e, -7r I "�'. bate Inspector COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way,'Chico —Phone: 891-27�11 7 County Center Drive. Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 ,CORRECTION NOTICE I OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, o/need additional explanation, please contact this office immediately. re c ', Dt& \0 tA -, 4 ; " /-, a *, r- C0,1A e 6 0 -A-- (0 a A,01 " e- Q /k S 1- 1- e r CCL I I fo r- f -e )'A-� _v il e c -r/ 1,'o A-1 Date�_/ Inspector Pi,4 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS —Phone: 891-2751 196 Memorial Way, Chico 7 County Center Drive, Orovi Ile — Phone: 538-7541- 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE R n4e'/ V^ OWNE�t- PERMIT NO. A routine inspcli:n indicates that the following violations of County Ordinance exist at the _o' address and should be corrected. Please notify this office when corr ction of work is completed. If you have any question pertaining to this r need additional explanation, please contact this office immediately. matter,�� to— 4 o Ao 4F__' _J e - Inspector A COUNTY, OF BUTTE DEPARTMENT OF PUBCIC 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 -e ocv'�,' / AZ /V OWNER 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 corr tion of work is completed. If you have any question pertaining to this matter, r need additional explanation, please contact this office immediately. 47-r b +Lk Date /0- Inspector I L -,I,- �19 Az 40 6') f-8,J; 1� 16- 4-e /-,z Z2 ne r 710/0 j -7 (,-7 d 6, tvo 75' 6 .V4 CA),e re, r rez" e CA v e- --4 47-r b +Lk Date /0- Inspector 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 Br e e-,Ij 4./ 3 �;4; "4 .7 OWNER-- PERMI 1 NU. 71; A routine inspection indicates that the following violations of County Ordinance exist at the a ve address and should be corrected. Please notify this office when i irre on of work is completed. If you have any question pertaining to this need matter ��5additlonal explanation, please contact this office immediately. -4 I A.1 r 1%4 Li to- r- Ve-V 7�— f &,, n zr) rle 0 1"4- /a --e k /, q" "z'V e C— /1'o" /�' Date%— Inspector COUNTY OF BUTTE - D EPARTMENT OF PUBLIC WORKS PERMIT NO. ll� 4 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT AS!fESSOR PARCEL NUMBER 47-28-45 ZONING SR3 BUILDING PERM71 OWNER Sue Ann Breden/ Brian O'Guinn TELEPHONE 893-4759 SQ.FT. OCC. BUILDING VALUA L2�L_ -6-3-,280 1582 R OWNER'S MAILING ADDRESS 3820 Hicks Ln. Chico 95926 700 M 9,800 CONTRACTOR'S NAME Ril-rhie Const TELEPHONE 893-0162 240 COV 2,400 CONTRACTOR'S MAILING ADDRESS Ave, Chico 95926 1224 Vg�VQ . Fireplace , "A" 1,000 CONSTRUC E.gF R UNKNOWN Total Valuation Is 76,480 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 364.00 ARCHITECT OR ENGINEER LICE SE NO. Plan Checking Fee $ 182.00 Energy Plan Checking Fee $ 15.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 670 Oasis Dr, Chico Permit fee $ 571.00 PLUMBING PERMIT FilingFee 10.00 Each Trap Lo 2.00 20.00 Solar or heat pump water heater 20.00 LOT NO. UBDIVISION NAME 1 PARCEL MAP 1 Water piping 5.00 5.00 Each qas water heater or vent 5.00 1 5.00 USE OF STRUCTURE SFUX DuplexE] MobilehomeR Other SPECIFY Gas piping system 1 - 5 outlets 5.00 5.00 Building sewer 5.00 .00 Mobile Home S I G W *9�� TYPE OF WORK Newa AdditionEl RemodelE] UtilitiesEj InstallationEl Other EJ Describe work: 3 bdrm Permit Fee $ 50.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 10OV OR LESS 100 AMP OR LESS 10-00 10.00 Main service EA. ADD -L 100 AMP 2-50 2.50 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Busines S. 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) 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) I am exempt under Sec.-, Business and Professions Code for this reason NEW CONST. D W ELLING O.CCUP.&) OR ADDNS. ACC.BLDG5 2'/2Csqftl 50.45 NEW CONSTSL i"ULT'_DUTLET 2.50 ea .N.RE� N D. BRANCH CIRCUITS) (POWER APPARATUS.&) SINGLE OUTLET CIR Ex. Occup(OLITLETS OR FIXTURES 20@50c BAL& 30g! OCCUP. FIXED APPLNS. OR Ex. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 10.00 Mobile Home Facilities 15.00 Misc. Wiring 5.00 Permit Fee $ 82.95 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): F-] 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. rv) I shall not employ any person in any manner so as to become subject IN' 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 FilingFee 10.00 Heating 6.00 3 ton dual Cooling 6.00 Hood 3.00 3.00 Ventilation 213.00 6.00 Permit Fee $ 31.00 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 again =County in consequence of the granting of this per it. X '�7 Date Signature of Applicant Ownep ontract r 11 Agent An OSHA permit is required for excavations over 5'0" doep an)�Iemolition 0;? ptruct- ion of structures over 3 stories i n hei" 19 91 19� Mobile Home Installation Fee $ Energy Inspection Fee $ 30.00 occ , T YPE fXWS I TOTAL FEE 76,4.95, HAZ � I CUA JfaBX r-- I SCHL F PA PID H ;x This permit is hereby issued under the applicable si�ns oi the Butte County 'ode and /or work indicated above,4tr which fees have 0 DI/ OF PUBLIC WORKS y 'i B Date PERMIT EXPIRES Date provi- do been paid. ZZ� le /-y Receipt No. 64879- 11011IY2 _V / I ,off LLQN.Cl -C WHITE-O.P.W.. YELLOW -ASSESSOR, PIN K-INSPECTORI/GOLDENROD-APPL I CANT COUNTY OF BUTTE; DEPARTMENT�Or. PUBLIC WORKS - BUILDING DIVISION 4k \ 7 COUNTY CENTER DRIVE �,,OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 CATION DATA SHEET IT APPLI"' OWNER - Proposed Building Use' Building Inspector Permit No. A. P. N o. j r-5. �1=1%,142MMEAM Date /4- /?-/170 At- time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1 . All items have been submitted . .. ................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer.of plans 4. Complete engineered plans and calcs, with wet signature on plans 5. Hazardous Material Form .......................................... — ----- Ener Compliance and supporting documentation .......... t t ement of Intent fo�r,No6-Heated an6 AC'Buhdi'ngs .......... Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation i_n Wo -c -t -i o n s ....... .... 47 ....................................... 61 ees of 4/9j - . ........................ '�rl 11. Chico Urban Area fees paid .. ................... 9, 1 paid .............. /.q Z4 / Health Department 15. City of Chico Olumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use:—(B) Parking: . ...... 18. Improvements may be required. Contact Land Development Section DPW 9. Driveway permit (construction approval required prior to occupancy) 20. Pre-Inspectionjor required Pre-Inspec. request to f Building Inspector (Date) 21. Contractor's license information (�o� Name Style, Classi i ation) ... 22. Certificate of Worl�mans Compensation Insurance .................. wn23 Owner -Builder VerificAti6'n_(Gi_ en to owner 0, Mail to owner 0) ..... . : Recorded copy of Agricultural vAcknowledgment Statement ......... <7, ........ ....... 25. Letter of signature authorization . . 6. $7400b Zo-'r- W;Ri C11 4�� - e 'd A When you issue the permit, process as follows: Mai I to owner. —Mail to contractor. 91 -Ad __G�'�Ice. Telephone hold for pickup at Deliver w/insp�ctor. — ot C(Zpyof­4H,az-Matform,sent —HealthDept. —FireDept. ----Air Pollution Date Copyofplanssent ____HealthDept. —FireDept. —Other— Date— By. The following data �" t 'Mus be submitted t t issi,lar)ce: (Circle new item not checked above). 1. Index permit4or above items No. - P�UPV ew . IV, 'p. //IN< / V / N/ y 2. Additional. items required: Contractor, diesigner, owner, was advised of above required data by—phone ---- inall—counter by—..date Contractor, designer, owner, Was advised of above required data by—phone —mal I —counter by— date Plans 9hecked by MCK_ Date 91 -Plans approved by:gF�_ Date -VM-JRVZ-1 t7 --- le cabinet _AP folder _�137ets of plans on hold i Copy—DPW TO Buildina Department FROM: Environmental Health. -- SUBJECT: Sanitation Clearance 2e Owner Location AP# Plan Approved for: Sevaqe Disposal Water Supply Hold,final for: Water Supply Final clearance O.K. for: Water Supply Clearance for bedroom zmdb;!t-&e home. Other NOTE A &k. - Y sa-nitarian Date COUNTY -OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-'538-7541 OWNER-BUILDFA VERIFICATION Attention Property owner:' . An "owner -builder" b6ilding 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. 3. 1 personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) Q 1 (have/have not) 40 -we signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. 1 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. 1 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 A - Social Security Number ? �' - 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 PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL. NU M BER ZONING 3 - f ILDING7-PERMI-T-- AJ OWNER TELEPHONE 7 5? SO.FT. OCC. BUILDING VALUATION OWNER'S MAILING AD� '3 0 -7, r> % (� 00 CONTRACTOR'S�N �AMK� C 6�je ITI _LEP.ONE 2- COIL/ (9 CONTRACTOR'S MAIL-ING ADDRESS C mul, Fireplace Q, 0. (2) c> CONSTRUCTION LENDER F-N.'NOWN Total Valuation $ F - i - ling Fee $ 10.00 LENDER*S MAILING ADDRESS Termit Fee $ a00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ /69L-420 Energy Plan Checking Fee $ (SOO ARCHITECT OR ENGINEER*S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ S --;ii /,_q� PLUMBING PERMIT FilingFee 10.00 '20 0,9-� 17 4. Each Trap 2.00 I ar or heat pump water heater 20-00 LOT NO. UBDIVISION NAME is PARCEL MAP Water piping 5.00 cD Each qas water heater or vent 5.00 USE OF STRUCTURE SF4��DuplexF_l Mobileho'mef_1 Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S FGTWH 10.00 e4 TYPE OF WORK Niew..ET Addition[3 Remodel[] UtilitiesEl Installation[] Othero Describe work: Idle - I Permit Fee $ !;7q Contractor T ELECTRICAL PERMIT FilingFee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD -L. 100 AMP M Fo.�) 2.50 t CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): 0 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 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) El I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) I am exempt under Sec.—, Business and Professions Code for this reason NEW CONST DWELLING 0 , C �rel) OR ADONS. ACC. BLOGS. k�/,Osqft 5-0. y NEW CONSTR MULTI -OUTLET NON-RESIO, BRANCH CIRCU !TS) I T S 12.50 ea W PO ER APPARATUS SINGLE OUTLET CIR :1 Ex. Occup(OUTLETS OR FIXTURES 'U FIE. 0050C .2AL(P 30C FIXED APPLNS. OR I Ex. Occup. OUTLETS (RESID.) EA.) 2.00 — Temporary service 10.00 /0.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ qoz Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): F-1 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 Filing Fee 10.00 Heating 0 Cooling 00 - Hood 3.00 300 Ventilation sool 6 CO Permit Fee $ CS> C> Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to ail County Ordinances and State Laws relating to building construction,, and hereby authorize representatives of the County ot Butte to enter upon the above-mentioned property for inspection purposes. I also agr' ee to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant OwnerEl Contractor [3 Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- io n a' structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee 36)_00, occ CONST TYPE TOTAL FEE $ 9,5. HAZ I CUA I PARK I SCHL I FLO A I PAR Hd I ISSUE Th's permit is hereby issued under sions oi the Butte County -Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date i 00 :e pt No.3yq, )"e -c .:e c [R T. -O.P.W.. YELLOW -ASSESSOR * PINK -INSPECTOR. GOLDENROD-APPLI CANT 5/89 RESIDENTIAL PEAN CHECKING GUIDE (-S-.F., DUPLEX & MISC. ONLY) Bldg. Permit # -90 OWNER O'G-UlAIN/ A.P. # 14C +7--76 15 - GENERAL -,A".00 Zoning requirements: (sideyards and number of permitted living units). Valuation. Plans signed by designer. Energy Design and Compliance. Existing violations on property. Z,-1 A 6. Items on data sheet. PLOT PLAN Complete parcel size and dimensions. Stfbacks, sideyards, easements, etc. O�her buildings or structures. Grading., fills, drainage. Flood hazard.9L::"� Special conditions on creation map or compliance document. FAU & FAS road- setback.,-,, FLOOR PLAN r Complete to scale plan with dimensions ,,Required windows for light and,ventila�ion (S6c. 1205). Required windows for second exit"(Sec. 1204). Skylights (Chapter 34 & Sec. 5207). -�-Human impact glass (Sec. 5406)'- n Required room sizes, ceiling h;ights (Sec. 1207). --GFCIs in baths, garage, and exterior outlets (Article 210-8).' �—Light fixtures, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. Locations of water heater, heating and cool.ing equipment, other electrical or gas equipment, and plumbing fixtures. �-Garage firewall, door size, and closer (Sec. 503(d)(3)). 1 - 3'0" exterior exit door (Sec. 3304(e)). Fireplace and wood stove location, alcoves, and clearance. Smoke detectors (Sec. 1210). --1) STRUCTURAL DETAILS F 6"Idation plan complete enough to construct building. oo 2t, �r r construction details complete enough to construct building. Y. Elevations and wall construction details complete enough to construct building. 4. Roof construction details complete enough to construct building. Fireplace construction details and calcs if necessary. MISCELLANEOUS ITEMS TO LOOK OUT FOR ,1-1�-Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306). ;;.'�Guardrail details (Sec. 1711 & 3306(j)). . Brick or stone veneer (Chapter 30). 5/89 RESIDENTIAL PLAN CHECKING -GUIDE MISCELLANEOUS ITEMS -TO LOOK OUT FOR (CONT'D),, -4-�— Exterior plaster weep screeds (Sec. 4706). j ,5- Pro er roof pitch for roof covering (Chapter 32). f ':' 2 7a�- f covering type - (fire hazard). after ties or bearing ridge beam. eft Garage door or porch header sizes. ,-9-. Adequate bracing. 10'. -Living area over garage - complete 17hour separation required on garage side including supporting walls and posts, etc. k17'._ Two exits on three-story dwellings (Sec. 3303 & see Mezannines - 1716). k2"% -Attic access and ventilation (Sec. 3205). Underfloor access and ventilation (Sec. 2516). Combustion air for fuel burning appliances. 1 Noise requirements on duplexes. 6_,/Adobe soils- special foundation design. ir_ Retaining walls requiring design. 18 Unusual shape, size. or split level house requiring lateral design. i'K Flashing at all exterior openings. T F -MA 3?Avc� BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM e (one Form per Buildin4) A.P. Number V-2- 2_2- YS Building Department No. 4 School District C#i City = County Jurisdiction C 0 Property Owner 54 AehfO Project Location /Addre s s_ afs"� Subdivision Lot Number , — -4-f. � Residential Development. Sq. Footage OA # of Living MHI Addition (Gro R) units �60 H, 4400 6_____ AK 9 ca -,;z, Commercial/Industrial: Sq. Footage New Addition (Including Exterior Roofed Areas) /7- 70. Date (Floor Plans reviewed by School District Personnel) District Id No. 9;2n 1�' -0 ch h AA School District certifies that J A .0 (Applicant Name) (PProne Number) G) (Street Ad -dress) I - 0JU oiz q0? �—, (city) (Stz�teJ (Zip C6de F has complied with the requirements of Resolution No. Hiq -9 D by'the payment of $ _5�36 Q,_1 square feet. / 7 �7 re�resenting L-A A- T, 1(2� hool District Representative Date PAID BY CHECK NO. BANK NO' & PAID BY CASH white -applicant, yellow-buildi SCHOOL.FEE (8/88) t -A REMARKS: k^, i c n %'r- A ^,-%^ n ral lua LIS a Lle/ 1z, -e -73 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 PHONE: 916-538-7541 DATE Sue Ann Breden and Brian O'Guinn. 3820 Hicks Lane RE: building permit application #19-91 for Chico, CA 95926. mobile home utilities A.P. # 47-28-45 With reference to the above subject: " Attached is: Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced OTHER " 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. Complete plans in including plot plans. 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. Sanitation approval from Butte County Health Department at: 196 Memorial Way, Chico 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. WORNW.V". Should you have any questions concerning the above, please contact Dave Wasney io of this office. Yours very truly, William Cheff Director of Public �4orks J.F. Glander JFG/aj Chief Building Inspector COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive Oroville, CA 95965 534-4266 April 11, 1978 Bruce and Nancy McDougal et al Re: AP 47-28-45, 46. & 48 Rt. 1 Box 444-B Chico, CA .95926 Dear Mr. and Mrs. McDougal: Enclosed please find a copy of the Certificate of Compliance issued by the Butte County Subdivision Violation Conm-dttee which was recorded on April 4, 1978 in Book 2271 Page 360, .161 gnd 505 in the Office of the Butte County Recorder. Should you have any questions regarding this matter, please contact this office. Very truly yours, Clay Castleberry Director of Public Works 0641nal Agn8d bY McLaren Parker MP/db Enc. cc: Planning Dept. Health Dept. Building Dept. McLaren Parker Assistant Director RETURN TO: Public Works :Y,i Land Development Section CERTIFICATE OF COMPLIANCE Issued to: Bruce and Nancy McDougal Rt. 1., Box 444-B Chico, CA 95926 OFFICIAL RECORn—'i eUTTE,CM1kT1i PUBLIC 0 APR AP 19 7' L lbud CfJJINTY FE; -,-i' FEE 34338 - This Certif� �cate of Compliance is hereby issued by the County of Butte to certify that the land divi�ion which created the parcel of property identified below complies with the applicable provisions of the Subdivision Map Act and of Chapter 20 of the Butte County Code. 1.� Property location: Northwest quarter of Section 34 T23N RIE, -Chico area. . 2. -Assessor's Parcel Number: 47-28-48 Description: All that certain property located in the County of Butte, State of California, more particularly described as follows: Parcel One: A portion of the northwest.quarter of Section 34, township 23 North., Range 1 East M.D.B. & M.,, more partLcularly described as follows: Beginning at the W dorner of the property of the City of.Chico as described in the deed dated 8/31/42 and recorded Sept. 10, 1942, in Volume 303 page 56 of Official Records of Butte County., Calif., said corner being on the West line of said Section 34, North 000812D" West 579.85 feet from the quarter section corner -between Section 34 and 33; thence along the North boundary of,the City of Chico property described in -above mentioned deed and in deed from Augustus W. Griffith, recorded April 25, 1941 in Volume 272 page -96 of Official Records of Butte County Calif., the following courses and distances: North 8905015011 East 1315.40 feet; North 89051t5011 East 319-75 feet and North "0521. East 989.2 feet; thence leaving said City of Chico property line South 780331 West 619.26 feet to an iron pipe, thence continuing South 780331 West 60.0 feet to a point; thence North -000113311 West 900.0 feet along the line common to the Arent & Watkins properties to.the Southwest corner of the parcel of land described in the deed of trust from the true point of beginning for the parcel of land herein des- cribed; thence from the said true.point of beginning continuing North 0001133" We"st. 309..6 feet thence parallel to the North line of said Section 34; South 8805413011 . 'West, 416-975 feet thence parallel with the West line of said Section 34 South 000812011 East 309.5 feet more or less, -to a point which bears South 8805413011 West*from the true point of beginning; thence North 8811541301, East 416.5 feet more or less to the true point of beginning. Also including all easements and rights of way of record. Issuance of this Certificate is conditional upon the following conditions which have been imposed pursuant to the Butte County Code Chapter 20-167 and Government Code, Section 66499-35 (b), to urotect tki�F, pu­b-Iic- h*eal:-C.h`a_Y1d -publi c saY e ty No further division of the property until 60 ft. of access has been pro-,rided to the publicly maintained road. County of Butte C" Em C:) FIN 7". RETURN TO: Public Works Land Development SectiQn CERTIFICATE OF COMPLIANCE Issued to: Bruce and Nancy McDougal Rt. 1, Box 444-B Chico., CA 95926 OFFICIA,, RECI-JR.n') SUTTE Cfb11jNTV_r4,' ;1 R E �C- F ,-. S PUBLIC WoRks APR 4 q _* Aim 197? LG lj:'zc- it%� Li. - - - .. L 0;'J.N T v R E FEE 34339 This Certif:cate of Compliance is hereby issued by the County of Butte to c.ertify that the land divi�ion which.created the parcel of property identified below complies with the applicable provisions of the Subdivision Map Act and of Chapter 20 of the Butte'County Code. 1. Property location: Northwest quarter of Section 34 T23N RIE, Chico area. 2. Assessor's Parcel Numher: 47-28-46 Description: 'All that certairi property located in the County of Butte, State of -California, more particularly described as follows: Parcel One: A portion of the northwest quarter of Section 34, township 23 North Range 1 East M.D.B. & M., more parti--cularly described as follows: Beginning at the NW corner of the property -of the city of Chico as described in the Deed dated 8/31/42 and recorded Sept. 10, 1942, in volume 303 page 56 of Official Records of Butte County, Calif., said corner being on the West line of said Section 34, North 00081201, West 579.85 feet from the quarter'section corner between Section 34 and 33; thence along the North boundary of'the city of Cbico property described in above mentioned deed and in.deed from Augustus W. Griffith recorded Ap 1 25. 19 ri 41 in volume 272 page 96 of Official Records of Butte County Calif., the following courses and distances: North 8905015011 East 1315.40 feet; North 8905115011 East 319-75 feet and.North 44052, East 989.2 feet; thence leaving said City of Chico property line South _*� 33'West-619.26 feet to an iron pipe, thence continuilng South 780331 West 60.0 feet to a point; thence North 000113311 West 900.0 feet along the line common to the Arent & Watkins properties to the Southwest corner of t1B parcel of land described in the Deed of'Trust from the true point of beginning for the parcel of land herein.described; thence from the said true point of beginning parallel along the North li!�p of said Section 34, South 8805413011 West 416-975 feet to the new true point of beginning, thence North 000113311 West .309.6 feet., thence parallel to the North line of said Section 34; South 880541301t West 416-975 feet, thence parallel with the West line of said Section 34, South 01.1081201.1' East 309.5 feet more or less, to a point which bears South 8805413011 West from the true point of beginning; thence North 8805413011 East 416.5 feet more or less to the true point of beginning.. Also including aLU easements and rights of way of record. Issuance of this Certificate is conditional upon the following conditions which have been imposed pursuant to the Butte County Code Chapter 20-167 and Government.Code, Section 66499-35 (b), to Drotect the -public- he�il:th-and publi=s6f No further division of the property until 60 ft. of access has been provided to the publicly maintained road. County of Butte 'E�,Fj t')P C=, __J _V cri RETURN TO: Public Works Land Development Section CE'RTIFIC.ATE OF COMPLIANCE Bruce and Nancy McDougaiHTY RELU': ��F E PEE Rt. 1, BQx 4"-B Cbico, CA 95926 34422. F TE ... put"Uc WOMS � 1151 A�i 1111 Issued to: This CertifIcate of'Compliance is hereby issued by the County of Butte'to certify that the land division which created the parcel of property identified below complies with the applicable provisions of the Subdivision Map Act and of Chapter 20 of the Butte County Code. 1. Property location: Northwest quarter of Section 34 T23N RIE, Chico area. 2. Assessor's Parcel Number: 47-28-45 Description: All that certain property located in the County of 'Butte, State of California, more particularly described as follows: Parcel One: A portion of the nroth-viest quarter of Section -34, township 23 north, Range 1 East M.D.B. & M., more particularly described as follows: Beginning at the NW corner of the property'of the city of -Chico as desc�ibed in the.-. Deed dated 8/31/42 and recorded Sept. 10, 1942, in volume -303 page 56 of Official Records of Butte County, Calif., said corner ' being on the West line of said Section 34, North 000812011 West 579.85 -feet from the quarter section corner ' between Section .34 and 33; thence along the North boundary of the city of Chico property described in above mentioned deed and in deed from Augustus W. Griffith, recorded April 25, 1941 in Volume 272 of page 96 of Official Records of Butte County Callf., the follow- ing courses and distances: North 8905015011 East 1315.40 feet; North 89051150" East 319-75 feet and North "052t East 989.2 feet; thence leaving said City of ChLco property line South 780331 West 619.26 feet to an Iron Pipe, thence continuing South 780331 West 60.0 feet to a point; thence North 000113311 West 900.0 feet along the :.Line common to the Arent & Watkins properties to,the Southwest corner of the parcel of land described in the Deed of Trust from the true point of beginning for the parcel of land herein des- cribed; thence from said true point of beginning continuing North 0001133" West 309.6 feet to a new true point of beginning; thence continuing North 000113311 West i 309.6 feet to -an iron pipe on the North line of said Section 34; thence along said North line, South 88�15413011 West 416-975 feet; thence parallel 'with the West line of said Section 34 South 000812011 East 309.5 feet more or less, thence North 88054,301, East 416.5 feet more 6r.less to the true point of beginning. Also including all easements and rights of way of record. Issuance of this Certificate is conditional upon the following conditions which have been imposed pursuant to the Butte County Code Chapter 20-167 and Government Code, Section 66499-35 (b), to Protect No further division of the property until 60 ft. of access has been provided to the publicly maintained.road. 4 County of Butte Subdivision Violation ttee Return to DPW- AGRICUUMAL STATFAMM OF ACKNOWLEDG04ENT NT FOR RESIDENTIAL DEVELOPfffi 'Sec"ti-o'n 26-8.1 of the, Butte Coun'ty Code requires this acknowledgement. be. recorded prior to issuance of a -building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to incon- ACCEPTED FOR RECORDING veniences or discomfort arising from the AT 8:01 A -M, 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, spr6pying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal,.necessary farm operations. All that r.e&l property situate in the. County of Butte, State of California, described as follows: Date: JJq J PROPERTY OWNERS: State of C�Vll'f On this the //� day of Q�A/ ILf!tL 19 F/ before me, the SS. undersigned Notary Public, personally'appeared County of _5a �5_ AIVAI z1rj7,V�Fx1 - - - - - - - - OFFICIAL SKk'E,l Personally known to me. n Proved to me on the basis JAMES F. BREDIN of satisfactory evidence. NOTARY PUBLIC - CALIFORNIA to be the person(s) whose name(s) BUTTE COUNTY My Comm. Expires Aug. 17, 1992 subscribed to 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. Present A.P.""No. Section; thence along said West line, North 0* 081 20" West, 50.0 feet to the point of beginning. PARCEL III: An easement for road purposes and public utilities purposes over a strip of land described as,follows: COMMENCING at the Southwest corner of Parcel 1 hereinabove and running thence South along the West line of said Greenwald Parcel to the Southwest corner thereof; thence North 880 541 30" East along the South line thereof, 833 feet more or less to the Southeast corner; thence North 00 011 33" West along the East line thereof, 50 feet to a point; thence South 88* 541 30" West and parallel to the South line of said Greenwald Parcel, to a point 251 East of the West line thereof; thence North and parallel to the West line of Greenwald Parcel to a point in the South line of Parcel 1 hereinabove; thence West along the South line of said Parcel 11 25 feet to the TRUE POINT OF BEGINNING. PARCEL IV: An easement for mad purposes and public utilities purposes over a 50 foot strip of land lying Northerly of and adjacent to a line as hereinafter described, the Northerly line of said 50 foot strip to be extended Northeasterly to its intersection with the North and South centerline of Section 34, Township 23 North, Range 1 East, M.D.B. & M. BEGINNING at the Northwest corner of the property of City of Chico, as described 1- Deed dated August 31, 1942 and recorded September 10, 1942. In Vo." I.'*'., at page 56 of Official Records of Butte County, said corne -n the West line of said Section 34, North 0* 081 20" West feet. from the quarter section corner between Sections 34 and 33 of said Township and Range; thence along the North boundary of the City of Chico- property described in above mentioned Deed and* in Deed from Augustus W. Griffith, recorded April 25, 1941 in Volume 272, at page 96 of Official Records of Butte County, the following courses and distances: North 89* 501 50" East 1315.40 feet; North 89* 51' 50" East 319.75 feet; and North 440 521 East 989.2 feet; thence leaving said City of Chico property line South 78* 331 West 619.26 feet to an iron pipe; thence continuing South 78* 331 West 60.0. feet to a point; thence North 00 011 33" West 900.00 feet along the line common to the Arent and Watkins properties to an iron pipe for the TRUE POINT OF BEGINNING of the line to be described; thence from said TRUE POINT OF BEGINNING North 780 331 East, 985.0 feet to an iron pipe in the North and South center line of said Section 34, and the end of said line. coxv� Ex CAM The land referred to herein is described as follows: All that certain real property situate in the County of Butte, State of California, described as follows: PARCEL I: A portion of the Northwest quarter of Section 34, Township 23 North, Range 1 East, M.D.B. & M., more particularly described as follows: I BEGINNING at the Northwest corner of the property of the City of Chico as described in the Deed dated August 31, 1942 and recorded September 10, 1942 in Volume 303, at page 56 of Official Records of Butte County, California, said corner being on the West line of said Section 34, North 0* 081 20" West 579.85 feet from the quarter section corner between Section 34 and 33; thence along the North boundary of the city of Chico property described in above mentioned Deed and in Deed from Augustus W. Griffith, recorded April 25, 1941 in Volume 272, at page 96 of Official Records of Butte County, California, the following courses and distances: North 89* 501 50" East 1315.40 feet; North 890 511 50" East 319.75 feet; and North 440 521 East, 989.2 feet; thence leaving said City of Chico property line South 780 331 West 619.26 feet to an iron pipe; thence continuing South 780 331 West 60.0 feet to a point; thence North 00 011 33" West 900.00 -feet along the line common to the Arent and Watkins properties to the Southeast corner of that certain parcel of land described in Deed to Douglas R. Greenwald, et ux, recorded May 11, 1959 in Book 998 of Official Records, at page 87,; thence continue North 0* 011 33" West 309.6 feet to an iron'0ipe on the Nc­.­11 line of said Section 34; thence South 88* 541 30" West along the kor*-;'._'q ...ine of said Section 34, a distance of 416.975 feet to a point; thence South 00 081 20" East. a distance of 309.5 feet to a point that bears South 880 547 30" West a distance of 416.'5 feet more or less from the true point of beginning; thence North 88* 541 30" East a distance of 416.5 feet more or less to the true point of beginning. AP No. 047-220-045 PARCEL II: An easement for road purposes and public utility purposes over a strip of land partly 50 feet in width and partly 25 feet in width, said strip being a portion of the Northwest quarter of Section 34, Township 23 North, Range 1 East, M.D.B. & M., particularly described as follows: BEGINNING at the Northwest corner of said Section 34; thence along the North line of said Section, North 88* 541 30" East 833.95 feet; thence parallel with the West line of said Section, South 0* 081 20" East, 619.2 feet; thence parallel with the North line of said Section, South 88* 54' 30" West 25.0 feet; thence parallel with the West line of said Section, North 00 081 20" West 569.2 feet; thence parallel with the North line of said Section, South 880 541 30" West, 808.95 feet to the West line of said . (Continued) 9 -00324 n , .- I Z�--k�v ,to,'DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT Section 26-8. 1 of the Butte requires this acknowledgeient prior to issuance -of a building FOR RESIDENTIAL DEVELOPMENT County Code be recorded permit. The property described herein is adjacent i : Rec Fee to land or included within an area zoned 91-000324 for agricultural purposes, and residents Cash of this property may be subject to incon- Recorded veniences or discomfort arising -from the officia ' I Record's use of agricultural chemicals, including, County of but not limited to herbicides, pesticides, Butte and fertilizers; and from the pursuit Candace J. Grubbs of agricultural operations including, - Recorder ' but not limited to cultivation, plowing, .8:01am 3-Ja:n-91. 1 9.00 9.00, SM 3 spraying, pruning, and harvesting which occ�sionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All th--at redl.-Tr-operty-situate in the County of Butte, State of California, described as follows: Date: J ILI iq I PROPERTY OWNERS: State of _CWIT '-'-'On this the //�F day of 19 911 , before me, the SS. undersigned Notary Public, personally'appeared County of /3,4,77�-7 - - - - - - - - - - - - - - - - OFFICLAL SKE=- Personally known to me. 0 Proved to me on the basis JAMB F. BREDEN of satisfactory evidence. NOTARY PUBLIC - CALIFORNIA to be the personfs) whose name(s) BUTTE COUNTY 19 My Comm. Expires Aug. 17,1992 subscribed to 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. Pres ent A.P. No(_b ot The land referred to herein is described as follows: '9 1 -00324 All that certain real property situate in the County of Butte, State of California, described as follows: PARCEL I: A portion of the Northwest quarter of Section 34, Township 23 North, Range 1 East, M.D.B. & M., more particularly described as follows: BEGINNING at the Northwest corner of the property of the City of Chico as described in the Deed dated August 31, 1942 and recorded September 10, 1942 in Volume 303, at page 56 of Official Records of Butte County, California, said corner being on the West line of said Section 34, North 0* 081 2011 West 579.85 feet from the quarter section corner between Section 34 and 33; thence along the North boundary of the city of Chico property described in above mentioned Deed and in Deed from Augustus W. Griffith, recorded April 25, 1941 in Volume 2�2, at page 96 of Official Records of Butte County, California, the following courses and distances: North 890 501 50" East 1315.40 feet; North 89* 511 50" East 319.75 feet; and North 440 521 East, 989.2 feet; thence leaving said City of Chico property line South 78* 331 West 619.26 feet to an iron pipe; thence continuing South 78* 33' West 60.0 feet to a point; thence North 00 011 33" West 900.00 feet along the line common to the Arent and Watkins properties to the Southeast corner of that certain parcel of land described in Deed to Douglas R. Greenwald, et ux, recorded May 11, 1959 in Book 998 of Official Records, at page 87-, thence continue North 0* 011 33" West 309.6 feet to an iron'pipe on the N:: -..line of said Section 34; thence South 88* 541 30" West along the Nor--. .!ne of said Section 34, a distance of 4*16.975 feet to a point; thence Sou -ch 08' 20" East, a distance of 309.5 feet to a point that bears South 889 5�' 30" West a distance of 416.5 feet more or less from the true point of beginning; thence North 88* 541 30" East a distance of 416.5 feet more or less to the true point of beginning. AP No. 047-220-045 PARCEL II: An easement for road purposes and public- utility purposes over a strip of land partly 50 feet in width and partly 25 feet in width, said strip being a portion of the Northwest quarter of Section 34, Township 23 North, Range 1 East, M.D.B. & M., particularly described as follows: BEGINNING at the Northwest corner of said Section North line of said Section, North 880 541 30" East parallel with the West line of said Section, South feet; thence parallel with the North line of said 30" West 25.0 feet; thence parallel with the West North 00 081 20" West 569.2 feet; thence parallel said Section, South 880 54' 30" West, 808.95 feet (Continued) Q! 34; thence along the 833-95 feet; thence 0* 081 20" East, 619.2 Section, South 880 541 line of said Section, with the North line of to the West line of said 2 1 -00324 Section; thence along said West line, North 0* 08' 20" West, 50.0 feet to the point of beginning. PARCEL III: An easement for road purposes and public utilities purposes over a strip of land described as follows: COMMENCING at the Southwest corner of Parcel 1 hereinabove� and,running thence South along the West line of said Greenwald Parcel to't�e Southwest corner thereof; thence North 88* 541 30" East along'ih'e South line thereof, 833 feet more or less to the Southeast corrie"k; thence North 00 011 33" West along the East line thereof, 50 feei to a point; thence South 88" 54' 30" West and parallel to the South line of said Greenwald Parcel, to a point 251 East of the West line thereoi; thence North and parallel to the West line of Greenwald Parcel to a point in the South line of Parcel 1 hereinabove; thence West along the South line of said Parcel 1, 25 feet to the TRUE POINT OF BEGINNING. PARCEL IV: An easement for mad purposes 'and public utilities purposes over - a 50 foot strip of land lying Northerly of and adjacent to a line as hereinafter described, the Northerly line of said 50 foot strip to be extended Northeasterly to its intersection with the North and South centerline of Section 34, Township 23 North, Range I East, M.D.B. & M. BEGINNING at the Northwest corner of the property of City of Chico, as described Deed dated August 31, 1942 and recorded September 10, 1942. In Vc. at page 56 of Official Records of Butte County, said cornt, --i the West line of. said Section 34, North 0* 081 20" West 5. 6 feet from the quarter section corner between Sections 34 and 33 of said Township and Range; thence along the North boundary of the City of Chico property described in above mentioned Deed and in Deed from Augustus W. Griffith, recorded April 25, 1941 in Volume 272, at page 96 of Official Records of Butte County, the following courses and distances: North 89* 501 50" East 1315.40 feet; North 890 511 50" East 319.75 feet; and North 440 521 East 989.2 feet; thence leaving said City of Chico property line South 780 331 West 619.26 feet to an iron pipe; thence continuing South 780 331 West 60.'0 feet to a point; thence North 0* 011 33" West 900.00 feet along the line common to the Arent and Watkins properties to an iron pipe for the TRUE POINT OF BEGINNING of the line to be described; thence from said TRUE POINT OF BEGINNING North 780 331 East, 985.0 feet to an iron pipe in the North and South center line of said Section 34, and the end of said line. aCoRgx (3 Ex END OF DOCUMENT Butte County, L A "-J' D 0 F N A —1 U R A L W E A L T H A N D B E A U T Y DEPARTMENT OF PUBLIC WORKS CLAY CASTLEBERRY, Direictor 7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965 Telephone: (916) 534-4681 H. W. McDONALD Deputy Director March 23, 1978 Bruce and Nancy McDougal.et al Re: AP 47-28-45, 46 & 48 Rt.. I.J. Box 444-B Chico., CA 95926 Dear Mr. and Mrs. Mm Dougal: At the regular meeting of the Butte County Subdivision Violation Committee held March 22, 1978, the Committee approved your Certificate of Compliance for A.P 47- 28-45, 46 & 48 subject to the following condition: _aWs�ion of the property unti of access has been provided 1. (N�o 'further 1 60 ft' - to the publicly maintained road. There is a fifteen (15) day appeal period in which you may.appeal t he decision �of the Butte County Subdivision Violation Committee. When the appeal period is over and the necessary clearance from the Health Department has been obtained, this Certificate of Compliance will be recorded. If you wish to'waive your appeal period, please have -an the owners of record sign the waiver and return it to this office. Should you have any questions regarding this matter, please contAct this office. Very truly yours, Clay Castleberry Director of Public Works Qriginal signed by McLaren Parker McLaren Parker Assistant Director mp/ns Encl. cc: Planning Department Health Department B"41ding De-oartment C__ J I f RESIDENTIAL 47-28-45 19-91P,E BREDEN & O'GUINN 670 Oasis Dr, Chico (utilities/mh) 00L IS OFFICE COPY Address 620 0 ers, � (�,- GAS Meter By Da E ELECT Meter y D :yq JOB FINALED (Date) -,2 Signature v=Ok 0 Not OK Not Appiicable Not Ready MOBILE HOMES /MISCELLANEOUS Date MOWCOOME UTILITIES (Plans) K except #'s Date DE COVERS, CARPORTS, GARAGES, (Plans)OK except i a ments-Setbac ks- Easements Ir Zoning Requiremenis-Setbacks-Easements ,quire �pial MH Support Sketch 2. Footings; Soils-Size-Depth-Spacing-Connectors-SteeI V§k4V-,-'Location-Test-Fall-C/0 Concrete 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails WVer; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts- Beams- Rft rs.-Coo necto rs WElectrico; Location-Clearences-Grnd-/ /Amp -Concrete Shthg.-Rfg.-Bracing V\j 6. Gas. ocation-Test-Wrap: /0�111. 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 0 e �Xal. or/ /"L"ft./)e/"�PG 6. Carports; Windows -Doors (F,Xtility Clearance 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nail i ng -Veneer -Stucco -Mesh DatVj,,77 41 Car 10. Roof; Shthg-Roofing ,l;VB-1 Date Card B 11. Ext.; Steps -Doors -Landings Date Qfrd B-1 Date Card B-1 Date MOVfLEHdME INSTALLATION (Plans) OK except #'s V. O'ning Requirements -Setbacks Easements Date Card B-1 Date Card B-1 Y'Footin_gs; Size-Spacing-MeffkKje-L4m— Date Card B-1 Date Card B-1 3. 5?t,�4aqemand-vaive—con�� Date POOLS (Plans) OK except #'s OetW'ctricity; -P—H Test-Crossovers-Irritak6-i 9clearances 1. Setbac ks- Ease me nts VDr4We`MH Test-Fall-Fiex Connecfo�r__ 2. Soils; Compaction -Structure Stability ,f.�er; MH Test -Regulator -Connector 3. Pool Structure; Steel -Connections -Thickness W anel Sewer Connected -C/0 to Grade -HD Approval J, Dead Men -Lining sland Elect icity Tagged 4. Elec.; Receptacles and Lighting, Distances-GFI s; Insp.-Sketch 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Term 1 na Is- Listed Cert. of Occupancy 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes -En closu res -Pane I boards- Ins. to Main in Conduit Date,t- Card B-1 0XV Date Card B-1 9. Health Department Approval Date Card B-1 Date Card B-1 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 IL 1591 9��V) �V_� 4 OK 0 Not OK- 4 - =,Not Applicable tiot Ready RESIDENTIAL (E Date UNDERFLOOR (Plans) OK except It's 1. Zo n i ng-Setbac ks- Ease ments- FI ood-SI ope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg.. Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Sternwalls, Main; Steel -Bloc kouts-Wra pped 6. Sternwalls, 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/0 -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders-Sills-An-chor Bolts -Joists -Vents -Cripples 15. insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except If's 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe: Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe: Size & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Cond uctors-Sta pled 25. Romex Installed Close to Edge of Studs & CJ 26. Equip. Ground made up w/Mech. 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 Al -Oven Circ. ga. Cu or Al. Insulated Neutral 11 Yes No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Pane I s- Motors- Mach. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except If's 34. A.G. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. F6rnance-Vent: Access -Comb. Air -Return Air Vent -1 15 outlet 38. Attic Access & Platform if Furnance in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'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 & Bearino lingle & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps-Anchors-Connectori 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop- Ins. -Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 57. Glazing Area -Glass Protection- Skyl ig hts- Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration-Walls-Winclows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection- Land i ngs 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. 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-Mech. 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 0 Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 80. Following instId.; Drive 13 Yes 0 No; Walks 0 Yes 0 No: Planters 0 Yes 11 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 Gracle-HD Approval 91. Energy Compliance Certificate70ther Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card -B-1 Date Card B-1 Date Card B-1 Comments at Final: (NOTE: An entry must be made each time you visit job site) MOBILEHOME INSTALLATION ACCEPTANCE '*COUNfY OF BUTr-F- DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 PERMIT NO. Address or location of mobilehome Owner's name Owner's address Insignia or hud number— Manufacturer's name Serial number of V.I.N. Year of manufacture (Official 7�pprovinq Installation) (Date) 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. L 513B White - Owner, Yellow - Installer, Pink - D.P.W. 4 COUNTY OF BUTTE DOARTMEINT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Vrive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE 0 10 J— PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. J, a Lo� A I It A e) j A A( :( P 4 , I G 4 5 - %J% & Date :2 Inspector MA COUN:TY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center DMve, Oroville — Phone: 538-7541 747 Elli�tt Road, Paradise — Phone: 872-6307 CORRECTION NOTICE J. OWNER PERMIT NO. 4 A routine in S pection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when co"rrection of work is completed. It you have any question pertaining to this matteVor need additional explanation, please contact this office immediately. tO - Date Inspector A, ea—lle..n I 11 Certificate of Compliance: Residential FrojectTitle ProjectAddress Documents L'Oh— BUILDING DATA ' 17 Condi ' oor Area . =-Soor 15 A<:j_Single Family Detached (SFD) Single Family Attached (SFA) Muld-Famfly (NM W4 ,"Stories Number ol, Number of Units I Addition Alone I Existing Building I Existing -Plus -Addition BUI[LDING SHELL INSULATION. Component IrLsulation Locaflon/comments Type R -Value (atdc, to gange, ictL etc.):' WaU .............. A-13 E��, WaU .............. Roof ............. /tiq-rl C_ Roof Fl Floor ............. Slab Edge ..... GLAZING Shading Devices Glazzing. Area Glass Type Interior . Extexior North 7,2: North East East SouLh (41-1) jeo SouLh on the Ccrtificate of ComplWwr- Wben Checklist is incorporated into the permit documenm the features noted shad be considered by all panics as binding mu" umcomponent "m performance specifications for the mandatory measures West Cbecked By/ Date West Enforcement Agency Use Only DESCRJMON Skylight ....... 7'g— THERMAL MASS Type/Covering Climate Zone 11 Mandatory Measures Checklist: Residential MF -1R NOTE. Lowrise rt&i&ntLal buildings subject to the Standards must covain these measures regardless of the c6mpi,2nce approach used. Items marked with anas" (*) may be superseded try meet stringent compliance requirements listed Building Permit on the Ccrtificate of ComplWwr- Wben Checklist is incorporated into the permit documenm the features noted shad be considered by all panics as binding mu" umcomponent "m performance specifications for the mandatory measures Cbecked By/ Date �....-..-.-.heLha.they-me.showneiscwhcrcinftdocumenLsorondtischa:kListonl)r.--:---::------.�-� ...... - Enforcement Agency Use Only DESCRJMON DFSIGNER DOORCEME?rr Gins Area % Glm Building Envelope Memures "thted North 5 -,au §2-5352(a): Minimurn ceiling insulation R-19 average. 12-5352(by. Loose rill irutulation manufacturer"Sclabeled R-Vajuc. East 12-5352(c): Minimum wall insulation in framed wait% R. I I weighted average (dots not apply to e .1. exterior num walls). Ou West Skylight Total Area Thickness KAV X zi -�o �12 7 Overhang Framing Type HVAC SYSTEMS Njirimum Duct Type (fumace, air . Efficiency Location Duct output Manufacturer / Model # conditioner, he;aEurnp) -(SF, SEER.HSPF) (attic,etc.) R -Value (Btuh) (or approved equal) 06 -1 195 -5. -7 —3 e, -717 Ir UAAA- Maximum Furnace Heating Output: Btuh -awl")ING DEPARTMSt4j HOT WATER SYSTEMS Tank Manufacturer/Model # -.-System Type (storage gas, etc.) Capacity ..(or approved equal)..----,.-,-::1-4-gp,,Qlnl(v�c:- ,Snp A -,q AS V SPECIAL FEATURESIREMARKS (Add extra sheets if necessary) I §2-5352ft Stab edge insulation - water absorption rate no greater than 0.3%. WWU vapor transmission rate no greater than 2.0 pertWulck §2-5311: Insulation specified or installed mects California Energy Commission (CEC) quatlity standard&. Indicate type and form. §2-5352M Vapor barriers mandatory in Climate Zones 14 and 16 only. §2-5317: Infiltration/ExroltrationControls a. Doors and wuidows between conditioned and unconditioned spaces designed to limit air leakage. b. Doors and windows certified. C. Doors " wir4o-s weatherstripped; all joints and penetrations caulked and sealed 12-5352(c): Special inrdmLion barrier installed to comply with §2-5351 meets CEC quality standardL 12-5352(d): Installation of Fvcplacr-s 1. Masonry and factory -built rurplacrs have: a. Tight fitting. closeable metal or glass door b. Outside air intake with damper and control C' Flue damper and control 2. No continuous burning gas pilots allowed. HVAC and Plumbing System Measures §2-5352(g) and 2-5303: Sparc conditioning equipment sWng: attach calculations. 12-5352(h) and 2-5315: Setback thermostat on all applicable heating systems. 12-5316(a): Ducts constrMtod. insWltd and insulated per Chapter 10. 1976 UMC. §2-5316ft Exhaust systems have damper controls. §2-5314(c): Gas-firod space heating equipment has intermittent ignition devicm §2-5314: HVAC equipment. water heatm. showerheads and fauce, certified by the CEC. §2-5352(i): Water heater insulation blanket (P-12or greaLer) orcombincd interiorkxLer;oe insulation (R-16or greater): first 5 feet o(piptscloscst to tank insulated (R-3 or greater). 12-5312(F-xccption 1): Pipe insulation on steam and sicam condensate return & recirculating piping. 12-53 1 8(dy Swimming Pool Heating 1. System hay a. Or,/off switch on heater. b. Weatherproof instruction plate on heater; c. Plumbed to allow for solar. 2. 75 percent thcrmal cfficicacy. 3. Pool cover. 4. Time clock. 5. Directional Water inlCt. Lighting and Appliance Measures §2-53520): Lighting - 25 lumens/watt or greater for general lighting in kitchens and bathrooms. 12-5314(c): Gas fired appliances equipped with intcrmiaent ignition devices. 12-5314(a): Refrigerators. refrigcr2tor-trcezers. freezers and fluorescent Lamp ballasts ccrtified by the CEC. Indicate make and model number. COMIPLUNCE, STATEMENT TIM Outificate of comphance lists the. building feamies and pedo rMance: Speci cations rmded to comply with Title 24, Chapter 2-53 and Title 20. C2iapwr2. Sllibclupter4. Article I of the California Administrative code. TWs celdficate has been mgned by the individual widt overall design responsibility and the building owner. who shall retain a copy of it and transmit dx certificate to iny subsequ= purclLaser of Ek building. Designer Building Owner Name: NAmc: Addmu: Ad&=: Telephone: Tckphonr- Lic. 1: jr D '--(a ignaturc) (da I t . c) --.— (signanrrc) (d2tc) Documentation Author Enforcement Agency Name: Name: Agency: Addrea: Tekolonc. 2. Wall Insulation Stab Floor Number of stories Single- R -value One Two Three R-0 -103 -49 -32 R-19 -8 -4 .2 R-30 -2 -1 .1 R-38 0 0 0 U -value 4. Slab Edge Insulation -39 0.80 -153 0.50-- -176- 7 -84- -54-- 0.30 -102 -49 -32 0.10 -26 -13 -8 0.08 -18 -9 -6 . O.C6 -11 -5 -4 0.04 -4 -2 .1 0.02 4 2 1 0.00 11 5 3 2. Wall Insulation Stab Floor Number of stories Single- Single - One Family Family Multi- R-yalue Detached Attached Family R-0 -68 -51 -34 R-11 0 0 0 R -I 3 2 2 1 R-19 8 6 4 U -value 4. Slab Edge Insulation -39 0.80 -153 -114 -76 0.50 -91 -68 -46 0.30 -47 -36 .24 0.10 0 0 0 0.08 4 3 2 0.06 9 7 5 0.04 14 11 7 0.02 19 14 10 0.00 24 18 12 3. Raised Floor Insulation Insulation In Floor Controlled Ventilation Crawlspace Stab Floor Number of stories Number of stories R -value One Two Three R-0 -17 -8 -5 R-1 1 -3 .2 .1 R-19 0 0 0 R-30 3 1 1 U -value 4. Slab Edge Insulation -39 -24 0.60 -144 -70 -46 0.50 -120 _58 -38 0.40 -95 -46 _X 0.30 -69 .34 -22 0.20 -13 -21 -14 0.10 -17 -8 -5 0.08 -11 -6 -4 0.06 -6 .3 -2 0.04 -1 0 0 0.02 4 2 1 0.00 10 5 3 Controlled Ventilation Crawlspace Stab Floor Raised Floor Number of stories -4 -3 R -value One Two Three R-0 -11 -7 _s R-5 -4 -4 3 R-1 1 .2 .2 .2 R-1 9 -1 -2 -2 4. Slab Edge Insulation -39 -24 '" iiumbJr-of Stories 40 R -value One Two Three R-0 0 0 0 R-5 8 5 2 R-7 8 6 3 F2 factor Stab Floor Raised Floor 0.090 -4 -3 Y. Glass North 0.80 -1 .1 0 0.70 18 5 Percent 0.60 6 4 2 0.50 9 6 3 0.40 12 8 4 S. intiltrauon (Air Leakage) Spe6f=tion Points Standard 0 6. Glass Heat Loss Stab Floor Raised Floor EffectivePesc tGlass TotaV*'-'-- Y. Glass North East South iWest U�vajue 18 5 Percent 4 1 .51 to .41 to .31 to 0.30 or Glass Single Double .60 .50 .4o lem 50 -121 -53 -39 -24 -10 4 40 -90 �37 .26 -14 -3 8 35 -75 -29 -19 -9 1 10 30 -61 -21 -13 -4 4 12 29 -58 -20 -12 .3 5 12 28 -55 -18 -to .2 5 13 27 -52 -17 -9 .2 6 13 26 -49 -15 -8 -1 7 14 25 -46 -14 -7 0 7 14 24 -43 -12 .5 1 8 14 23 -40 -11 -4 2 8 15 22 -37 -9 -3 3 9 15 21 -34 -7 -2 4 10 is 20 -31 -6 0 5 10 16 19 -29 -4 1 6 11 16 18 -26 -3 2 7 12 16 17 -23 -1 3 8 12 17 16 -20 0 4 9 13 17 15 -17 1 6 10 14 17 14 -14 3 7 10 14 1 8 13 -12 4 8 11 15 18 12 -9 6 9 12 15 19 11 -6 7 10 13 16 19 10 -3 9 11 14 17 19 9 .1 10 13 15 17 20 8 2 12 14 16 18 20 7..Shading (Shade Open) EffectIve Percent Glass (percent &Law X SC) -flective Stab Floor Raised Floor EffectivePesc tGlass 0.20 Y. Glass North East South iWest Skylight 18 5 1 4 1 na 16 4 2 5 1 na 14 4 2 5 1 na 12 3 3 5 2 na 11 3 3 5 2 na 10 2 3 5 2 1 9 2 3 5 2 2 8 2 3 5 2 2 7 1 3 4 2 2 6 1 3. 4 2 3 5 1 2 4 2 3 4 . 0 2 3 1 3 3 0 1 2, 1 3 2 0 0 �11 0 3 1 -1 -1 -1 -1 2 0 -1 .2 -4 -2 0 ia = not allowed 3 0 -4 -5 Shading (Shade Closed) Stab Floor Raised Floor EffectivePesc tGlass 0.20 Stories (percent Stan x SQ 1 Effective 5 /CFA One Two Three %Giass Norih East South West Sk)*t 18 IZ- 48 -69 -64 na 16 -12 -42 -59 -55 na 14 -10 -35 -50 -46 na. 12 -8 -29 .40 -37 na 11 -7 .26 -36 .3i na 10 -6 -23 -31 -29 -74 9 -5 .20 -27 -25 -65 8 -5 -17 .23 -21 -56 7 -4 -14 -19 -18 -47 6- -3 -11 -15 -14- -38 5 -2 -9 -11 -10 -30 4 .1 -6 -8 -7 .23 3 0 -4 -5 -4 -16 2 1 .1 -2 -1 -9 1 1 1 1 1 -4 0 2 3 4 3 0 na - not aillowed 3 7 8 10 9. Interior Thermal Mass Interior Stab Floor Raised Floor Mass 0.20 Stories 2 1 swes 5 /CFA One Two Three One Two Three 0.0 -8 -5 -4 -2 -1 -1 0.1 -8 -5 -3 -1 0 0 0.3 -7 -4 .2 0 1 1 0.5 -6 -3 -1 1 1 2 13 - 11 10 8 7 5 0.90 0.9 -5 -1 0 2 3 3 1.1 -4 .1 1 3 4 4 1.3 -3 0 2 3 4 5 1.5 (SE or HSPF x duct efficiency) 1 2 4 5 5 2.0 .1 V 2 4 5 6 7 2.5 -64 3 5 7 7 8 3.0 1 4 6 8 8 9 3.5 2 5 7 9 9 10 4.0 3 6 8 9 10 10 4.5 3 7 8 10 11 11 5.0 4 7 9 11 12 12 5.5 5 8 9 11 12 12 6.0 5 8 10 12 13 13 6.5 6 9 10 12 13 13 7.0 6 9 11 13 13 14 7.5 6 10 11 13 14 14 8.0 7 10 11 13 14 14 8.5 7 10 12 13 14 15 10. Exterior WaH Thermal Mm Exterior Single- . SingW_ Wall Fami� Famillt lMutl:i Mass Detadmi AttadW ' Family 0.00 0 0 0 0.20 3 2 1 0.40 5 4 3 0.60 8 6 4 0.80 10 8 5 1.00 13 10 7 1.20 13 12 8 1.40 12 13 9 1.60 10 13 11 1.80 10 12 12 2.00 10 11 13 11. Heating System SE or KSPF (assumes ducts In attic) Zonal Control Adjustment System Type Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 12. Cooling Syst,!m SEER (xssumet ducts In attic) Stm of 7-10 -25or -24io AAIo -4b Sum of 1-6 16or SEER Is" -15 -5 -25 or -24 to -14 to -4 to +6 to 16 or SE HSPF less -15 -5 +5 +15 more 0.72 6.60 0 0 0 0 0 0 0.75 6.88 3 3 3 2 2 1 0.80 7.33 8 7 6 5 4 3 0.85 7.79 13 - 11 10 8 7 5 0.90 8.25 17 15 13 11 9 7 0.95 8.71 20 18 15 13 11 8 17 14 12 Effective 6 SE or HSPF -1 0 (SE or HSPF x duct efficiency) Effective -25 or -24 to .14 in .4 to +610 16 or SE HSPF less -15 -5 +5 +15 more 0.30 2-75 -73 -64 -56 47 .38 -30 na 3.41 -45 -39 -34 -29 -24 -18 0.40 3.67 .34 .30 .26 .22 .18 .14 0.50 4.58 -10 -9 -8 .7 .5 -4 0.56 5.13 0 0 0 0 0 0 0.60 5.50 5 5 4 3 3 2 0.70 6.42 17 15 13 11 9 7 0.80 7.33 25 22 19 16 13 10 0.90 8.25 32 28 24 20 17 13 1.00 9.17 37 32 28 24 19 1 5 Zonal Control Adjustment System Type Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 12. Cooling Syst,!m SEER (xssumet ducts In attic) Stm of 7-10 Zonal Control Adjustment 10 8 7 6 4 3 No Coolin!, System Installed .1 -Stones One -5 -4 -4 -3 -2 -2 Two + 3 3 + 2 2 2 1 Single -Family betached and Attached -25or -24io AAIo -4b +610 16or SEER Is" -15 -5 +5 +15 more 8.0 -14 .12 -10 -8 -6 -A 8.5 -9 -7 -6 .5 -4 -3 8.9 -5 .4 -4 -3 -2 .2 9.0 -4 -3 -3 -2 -2 -1 9.5 0 0 0 0 0 0 10.0 4 3 3 2 2 1 10.5 7 6 5 4 3 2 11.0 10 9 7 6 4 3 12.0 15 13 11 9 7 5 13.0 20 17 14 12 9 6 -1 -1 0 0 HWR -18 -12 Effeetive SEER -7 -6 MASS (SEER x -duct efficiency) -16 -12 -10, S I oii of 7-10 POU - Effective-25or -24to -1410 -41* +610 16 or SEER less -15 -5 +5 +15 more 5.0 -30 -25 -21 -17 -13 -9 6.0 -12 -11 -7 -6 4 6.6 -5 -4 -4 -3 -2 -2 7.0 0 0 0 0 0 0 8.0 9 8 6 5 4 3 9.0 16 14 12 9 7 5 10.0 * 22 19 16 13 10 7 11.0 26 23 19 15 12 8 120 30 26 22 18 1 4 9 13.0 33 29 24 20 15 10 Zonal Control Adjustment 10 8 7 6 4 3 No Coolin!, System Installed .1 -Stones One -5 -4 -4 -3 -2 -2 Two + 3 3 + 2 2 2 1 Single -Family betached and Attached Point System Summary: Cumate zone ii L Unit Size (sQ '12W. Water K' 10. Exteri.ortWall MAS's 11139 1700 2200 2700 Heater Lkedit or i to to to or Type Type less 0699 2199 2699 more SG None 0 0 0 0 0 or Solar 12 8 6 5 4 HP HWR 8 5 4 3 3 7-V -4. WSB 5 3 3 2 2 Standard POU 0 5 Glass Heat Loss 3 3 SE None -37 -24 -18 -15 -12 Solar -1 -1 -1 0 0 HWR -18 -12 -9 -7 -6 MASS WS13 -25 -16 -12 -10, -8 POU - -10 -12 -9 -7 .6 IG None -5 .3 -2 -2 -2 So% Solar 7 5 4 3 2 90% POU 3 -2 1 1 1 IE None -28 - 1�9_ -14 -11 -9 ZI Solar 8 5 4 3 3 3.8 POU -10 -6 -5 -4 -3 53 Mult.1-FamIty 0.2 (individual 0.6 �': units) .1.2. " 1.4 1.6_11_ .. Unit Size (sQ ... 2 5_21- Water 2.9 699 7DO 1200 1700 2200 Heater Credit or b to to 3D% Type Type ks .1199 IM 2199 moor, SG None 0 0 0 0 0 or Solar 14 7 5 4 3 HP HWR 9 5 3 2 2 1.1 WS8 9 4 3 2 2 Z6 POU 9 5 3 2 2 SE None -45 -23 -15 -11 -9 5.6 Solar 2 1 1 0 '0 1 7 HWR -23 -12 -8 -6 -5 3.2 WSB -25 -13 -8 -6 .5 4.7 4.8 RQU -23 --j 2 -8. -6 -5 iG None -8 -4 .3 -2 -2 Solar 6 3 2 1 1 POU 1 '-30 0 0 0 0 IE None 5.7 -15 -10 -8 -6 1.1 Solar 18 9 6 4 4 2.6 POU -8 . -4 :3 -2 -2 Point System Summary: Cumate zone ii SCORE CARD K' 10. Exteri.ortWall MAS's Interior W;-..ICFA 0 Measures AREA Point Scores 1. Interior MasslCFA Exterior Wall Mass or COND. F-55-ORAREA R value 138] U -value (0.030] I TT" 1 "35 Wall Insulation' P_ - 1 _-L or SEorHSPF Duct Efficiency [0.781 Effective SE or R-vKe I U-v&lue [0.0981 [0.72/6.61 3. Raised Floor Insulation or X 7.2 R-valuc 19] U -value 10.0371 SEER (9-5] 4. Slab Edge Insulation or 7-V -4. R -value 101 f Tacuw 10.771 Type ISGI S. Infiltration Standard 0 -6. Glass Heat Loss yy- - f, 9 _�_3 -t 6 Type Jdoubl�)_ U-v&Iue 10.651 9-.' T_o_La_1d1`ass( 161 Sum 1-6 ryPE I MASS (UtMC b 4.2. ie: exposed slab) 0% 5% 10% IS% 201/ 2S% 37% 3S% 40% . 4S% So% S5% 60% 69�6 70% ?A W% 85% 90% 95% 1100% 105% 110% 115% 120% 125- 011. 0 0.2 0.4 0.6 0.8 1.1 1.3 1.5 1.7 1.9 ZI Z3 25 2.7 2.9 3.2 ' 3.4 3.9 3.8 4 4.2 4.4 4.6 4.8 5 53 10% 0.2 0.4 0.6 �': O.S...-I. .. .1.2. " 1.4 1.6_11_ 7-t....23 ' ... 2 5_21- 2.9 11 - 13-15-... 3.7 ­ 4--4.2 -41:41:- 4.6--- '4.8'-' -5- -:� 57-14 - 3D% 0.5 0.7 0.9 I 1.1 I ' :F 1 4 1.4 1.6 1.6 1.8 1.8 2 2 2-2 Z2 Z4 Z4 Z6 Z? ZS to 3 3.1 3.3 &5 &7 3.9 4.1 4.3 4.5 4.8 5 52 5.4 56 40Y. &7 0.9 1.1 1.3 1 5 1.7 1.9 Z2 24 Z6 2.0 3 3.2 3.2 3.4 3.5 3.6 3.7 3.9 3.8 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 5 1 50% 0.9 1.1 1.3 1.5 1 7 1.9 ZI Z3 U U 3 3.2 U 3.5 IS 4 4 4.2 4.3 4.4 4.5 4.6 4.7 4.8 4.9 5.1 5.3 5.5 5.7 59 5.1 5.3 S.5 5.7 5.9 6.1 55% 0.9 1.1 1.4 1.6 1.8 2 2.2 Z4 2.6 ZS 3 3.2 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 5.8 6 62 67% 1 1.2 1.4 1.7 1.9 2.1 2.3 Z5 2.7 Z9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 5 5.2 5.4 5.6 5.9 61 63 65% 1.1 1.3 1.5 1.7 1.9 2.2 Z4 2.6 ZS 3 3.2 3.4 35 3.8 4 4.3 4.5 4.7 4.9 5.1 53 55 5.7 5.9 6.1 64 70% 1.2 1.4 1.6 1.8 2 Z2 Z5 27 Z9 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 5.2 5.4 5.6 58 6 62 64 75% 1.3 1.5 1.7 1.9 ZI 2.3 2.5 Z7 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4,8 5.1 5.3 5.5 5.7 5.9 S.t 6.3 6.5 wy. 1.4 1.6 1.8 2 Z2 2.4 2.6 2.8 3 3.3 3.5 3.7 3.2 4.1 4.3 4.5 4.7 4.9 5.1 54 56 5.8 6 62 85% 90 Y. 1.4 1.5 1.7 1.7 .0 2.12 2. 2.3 Z4 2.5 2.7 2.2 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 5 52 54 5.6 5.9 6.1 63 64 65 66 6 7 95% 1.6 1.8 22 2.5 ZS 27 2.8 2.9 3 3.1 3.2 33 3.4 3.5 3.6 3.7 3.8 3.9 4.1 4.3 4.5 4.7 4.9 5.1 53 5.5 5.7 59 62 64 66 68 1 00% 1.7 1.9 2- 1 2.3 Z5 ZS 3 3.2 3.4 3.6 IS 4 4.1 4.2 4.3 4.4 4.6 4.6 4.8 5 4.9 5.1 5.2 5.4 S-6 5.8 6 6.2 6.4 6 7 69 5.3 5.5 5.7 5.9 U 6.3 6.5 6.1 7 105% 1.8 2 2.2 2.4 2.6 2.8 3 3.3 IS 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 56 5.8 6 6.2 6.4 66 68 7 110*16 1.9 2.1 2.3 2.5 27 Z9 3.1- 3.3 3.6 3.8 4 4.2 4.4 4.6 4.8 5 5.2 5.4 5.7 5.9 6.1 6.3 6.5 6.7 69 7.1 1 15% 2 2.2 2.4 2.6 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 6.1 5.3 5.5 5.7 5.9 6.2 6.4 6.6 6.0 7 72 120% 2 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.4 4.6 4.6 5 5.2 5.4 5.6 58 6 6.2 6.5 6.7 6.9 7.1 73 125% 2.1 Z3 Z5 2.8 3 3.2 3.4 3.6 3.8 4 4.2 4.4 &6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.7 7 7.2 - 7.4 Point System Summary: Cumate zone ii SCORE CARD K' 10. Exteri.ortWall MAS's Interior W;-..ICFA 0 Measures AREA Point Scores 1. Ceiling Insulation Exterior Wall Mass or COND. F-55-ORAREA R value 138] U -value (0.030] 2. Wall Insulation' P_ - 1 _-L or SEorHSPF Duct Efficiency [0.781 Effective SE or R-vKe I U-v&lue [0.0981 [0.72/6.61 3. Raised Floor Insulation or X 7.2 R-valuc 19] U -value 10.0371 SEER (9-5] 4. Slab Edge Insulation or R -value 101 f Tacuw 10.771 Type ISGI S. Infiltration Standard 0 -6. Glass Heat Loss yy- - f, 9 _�_3 -t 6 Type Jdoubl�)_ U-v&Iue 10.651 9-.' T_o_La_1d1`ass( 161 Sum 1-6 7. Shading (Shade Open) % Glass SC Eff. % Glass a. North 5,0 X 7,-7 b. East �0.41g X c. ' South X d. West X r JLr, e. Skylight X .36 8. Shading (Shade Closed) Z- % Glass SC Eff. % �8.ss a. North 57,0 - X 3,0 9D b. East Z X c. South X a> d. West X 7, e. Skylight X 9. Interior Thermal Mass TYPE I MASS AREA COND. FLOOR AREA K' 10. Exteri.ortWall MAS's Interior W;-..ICFA 0 TYPE 2 MASS AREA Exterior Wall Mass COND. F-55-ORAREA Sum 7-10 11. Heating System'-,- # , , I X T,6-ff , Z61nal Control?, Y N SEorHSPF Duct Efficiency [0.781 Effective SE or 12. Coolir�g Sy [0.72/6.61 9 Sim' X 7.2 Zonal Control? Y N SEER (9-5] Duct Efficiency [0.74] Effective SEER (7.03] 13. Water Heating Type ISGI Credit [none] Point Total: COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - OrGville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 47-28-45 ZONING SR3 BUILDING PERMIT OWNER Sue Ann Brgden & Brian O'Guinn TELEPHONE 893-4759 SQ. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS 3820 Ricks Ln, Chico 95926 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is - .LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER SE NO. Plan Checking Fee $ 15. 00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 670 Oasis Dr. Chico Permit fee $ 25.00 PLUMBING PERMIT FilingFee 10.00 Each Trap 2.00 Solar or heat pump water heater 20-00 LOT NO. SUBDIVISION NAME L MAP Water piping - 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF 0 Duplex 0 MobilehomeF�X Other SPECI FY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S �1 0.00 ed TYPE OF WORK New [__J Addition[—] . Remodelo Utilities[] InstallationER Other El Describe work: MHI (MHU #19-91) Permit Fee -J $ Contractor ELECTRICAL PERM I FilingFee 10.00 main service 6101 OR LESS - -T 100 AMP OR LESS 10.00 Main service EA. ADD -L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Busines S 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) 0 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) I am exempt under Sec.—, Business and Professions Code for this reason NEW CONST DWELLING OCCU OR ADONS.* ( ACC. BLOGS. 121A Osq It NEW CONSTR. MULTI -OUTLET_ NON,RESIO, BRANCH CIRCUITS) 12.50 ea (POWER APPARATUS.&) SINGLE OUTLET CIR Ex. Occup(OUTLETS OR FIXTURES 0@50t eAL@ 30t FIXED APPLNS OR Ex. Occup. OUTLETS (RESI*D.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare,under penalty of perjury (check one): R The permit is for $100.00 (valuation) or less. E] I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensatio'n Insurance or a Certificate of Consent to Self -Insure. to the W. C. laws of California. NotiKI shall not employ any person in any manner so as to become subject ce to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Fi I ing Fee 10.00 Heat ing Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above in formation 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 all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this per . I. Le Date / -X, /9' /__ Signature of.Applicant Owner El Contractor El AgentEJ I I 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 $ 45.00 Energy Inspection Fee $ occ — 1 ONST TYPE . ITOTALFEE 70.00 HAZ I — I CUA — Th's permit is nereby issued under si�ns of the Butte County Code and/or work indicated above for which fees DIRECT PUBLIC B =ate PEROT EXPIRES Date— the applicable provi- resolutions to do have been paid. WORKS 17-il Receipt No. 84947 WHITE-D.P.W., YELLOW-ASSF3SOR, PINK -INSPECTOR, GOLDEN ROD-APPL I CANT COUNTY OF BUTTE - DEPARTMENT+QF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - O�OVILLE, CAZIFORNIA 95965 - TELEPHONE: 916/538-7541 �PERMIT APPLICATION DATA SHEET Permit No. Y-1 )7� OWNER Y) 6*0 A. P /z�Proposed Building Use Buildin'g Inspector— Date At time of permit application, I was advised the following data must be submitted prior to permit processing And/or issuance: as fol low"s: — MVAo, owner. —Mail §" im I DATE RECEIVED APPROVED 1 . All items have been submitted . .................................... —Del.iver w/Inspector. 2. Plot plans in duplicate/triplicate, signed by preparerof plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans 4. Complete engineered plans and calcs, with wet signature on plans 5. 6. Hazardous Material Form .... ;,, ... ................................. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9.. Mobilehome installation data including irrdnti4aet-d;re�Zt9TtM1Vn j1:164-detivT-Is ..................................... .................. 10. Fees of $ ..... .................. 11. 7�w� 2. Chico Urban Area fees paid ........................................ Park f?!gaid .................................................... 3. i C-0 3 School District fees paid .............. 14. Sanitation approval from Health Department 15 . City of Chico plumbing.permit ...................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use:—(B) Parking: . ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre-Inspec. request to Pre -inspection for required ... Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classification) ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner 0, Mail to owner 11) ..... 24. Recorded copy of Agricultural Acknowledgment "Statement ......... ?5. / 26. Letter f a h rization Fee( vv k*01:C-'1: /,6 6 19 ZP� 27. Wh ou issue the as fol low"s: — MVAo, owner. —Mail §" im to contractor. Telephone and hold f6r pickup at bff ice. —Del.iver w/Inspector. Other Applicant Date Copy of Haz-Mat iorni.serft -—Health Dept. —Fire Dept. ----Air Pollution Date Copy of plans sent Health Dept. —Fire Dept. —Other-- Date— By The following data must be submitted prior to permit issuance: (Circle new-i,t - em not checked above). 1. Index permit for above items No. f 2. Additional items required: Contractor, designer, owner, was advised of above required data by —phone ---mai I —counter by—date Contractor, designer, owner, was advised of above required data by —phone _rna I I _cop�nter �by date Plans checked by Date Plans approved by --(A) nte J-10 � Z? Sets of plans on hold in —File cabinet _AP folder Copy—DPW COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916--:538-7541 014NER-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 pe"rmit will be issued until this verification is received. 1. 1 personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. 1 (have/have not) cky!�_' signed an application for a building permit for the proposed work. 3. 1 have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. 1 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. 1 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 Security Number 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. a BUTTE COUNY-PARKS DEVELOP14ENT FEE CERTIFICATION FORM CHICO AREA RECREATION AND PARK DISTRICT Assessor Parcel: Number(s) Property O�mer o% Project Location/Address I A;- I 10 t, U (�&J- IJ r Subdivision Lot Number(s) Residential Development: (check one)' New Development Alteration/Addition UXMobileliomd(s,) T,, Non -Residential to Residential A Total, Numberr-of Dwelling Units Comment: use 0� CL S) le rv� ell) V Buil&�(KDepartment Representative Chico Area Recreation and Park District(CARD) certifies that - (Applicant Name) (Phone Number:) 3L(D �4 i'ct<4 Lo .cst-reet Address) QJ4 (.C- 0 (City) (State�, (Zip Code) has complied with the requirements of Butte Co. Resolution No. .89-081 by payment for dwelling units @ $7.22 fo r -total payment of $ 1,3 _q CARD Representative Date PAID BY CHECK NO. BANK NO. PAID BY CASH RECEIPT NO. park.fee (7/89) REMARKS: E)CEMPr P's !�F_a eucc-ra_ Co 0" (s S3 L� V --T C f,3 se C.�-T (�)fz-, it.- 3Q- IrVI: 44 s, - �; I a%_nVV.U0 Ur1Vr1LJVr111z141 rrlrl (one Form per -Building) A. P. Number Building Department No. School District—el City (�punty Jurisdiction L4J Property Owner Project Location/�ddress 6 �O 0-0 Sub di.vision Lot Number Residential Development: Sq. Footage # of Living Add*t* Group R) Units 1 lox, Sq. Commercial/Industrial: otage New Addition (Including Exterior - V 4= A h 4�_ I A? DAte (Floor Plans reviewed by School District Personnel) District Id No. 910,30 School District certifies that 4?�� 4 r7s 9 a" 6t (Applicant Name) (Phone Number) S?Po (Street AddressY j� A ?s 9A ro (City) (State) (Zip Code) has complied with the requirements of Resolution No. .-22 by the paymen -o $ Zoi representing (960 square feet. Scho61 Di!E�trlct/Mepresentative bate PAID BY CHECK NO., R�MARKS: BANK NO /(0- j4 PAID BY CASH white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) r� - 6 . I COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oromille, California 95965 - Telephone: 916,'538-7541 PERMIT NO. . APPLICATION AND PERMIT ASSE17R PAF�1_,;(5WfW_ (SNER A �J VJ Z.ONIN P eL H 0 4 Q_ �J 'I ,� 0 M� C_ Q,_�W'5 MAILING OR?SSS 9ff BUILDING- PERMIT ­ _:_Z_� -.,=== n OCC. SO. FT. BUILDING VALUATION C205TRACTOR.S N­� W I`1GL Y_ TELEPH�_O_NE CONTRACTOR'S MAILING ADDRESS COXJRUCTION LENDER UNKNOWN [C) V1 0— Fireplace 7-7o—tai vaivat�ion $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 ARCH ECT OR ENGINEER LICENSE NO. J In VX (_ Permit Fee Plan Checking Fee _Fnergy $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ BUILCIING—ADDRE �b Snos;s (Ln Penalty Permit fee $ $ PLUMBING PERMIT FilingFee 10.00 Each Trap 2.00 LOT,NO. SUBDIVISION NAME PARCEL MAP Solar or heat pump water heater — Water piping 20.00 —tr-1 5.00 Each qas water heater or vent USE OF STRUCTURE SF Duplexo MobilehomeX Other Gas piping system 1 - 5 outlet S 5.00 Building sewer 5.00 SPECIFY Mobile Home S I G I W 10.00 e — TYPE OF WORK New Addition[] (�e odel UtililwEl Installation Other Describe work: Permit Fee $ — Contractor ELECTRICAL PERMIT Fi ing Fee 10.00 Main service 6100001AM'RP LESS —OR LESS 10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F-1 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 0 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 sale. (Sec. 7044) Main service EA. AOO'L 100 AMP 2.50 NE 7--C—ONST- ( DWELLING OCCUPM OR A .. S. ACC.BLOGS. 21/20sq it NEW CONST ULT'_0U LET NON RESIO. BRANCH j'RC..TS) 2.50 ea (POWER APPARATUS.&) SINGLE OUTLET CIR Ex. OCCUP(OUTLETS OR FIXTURES Yo @ 5-0 9 5AL@ 30c Ex. Occup. FIXED Z_F`PLNS. —OR % OUTLETS (RESID.) EAJ — 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 - Elfor I, as the owner, am exclusively contracting with licensed contract- F_J ors. (Sec. 7044) I am exempt under Sec.—, Business and Professions Code Misc. Wiring 15.00 for this reason Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE Contractor MECHANICAL PERMIT Fi I ing Fee 10.00 I declare under penalty of perjury (check one): E] The permit is for $100.00 (valuation) or less. E] I have placed on file with the County of Butte Building Depariment 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: It after making this statement, should you become subject to the W. C.. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood Ventilation e It 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 Ordinancss and State Laws relating to building construction, and hereby authorize representatives of the County ot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which ma i y in any way accrue against said County in consequence of the granting of this permit. Mobile Home Installation Fee Energy Inspection occ CONST TYPE TOTA FEE $ AZ CUA PARK SCHL FLD PAR PD HD ISSUE X r Date Signature of Applicant — Owner 0 Contractor El Agent[--] An OSHA permit is required for excavations over 5'0" deep and demolition or construct. ion of structures over 3 stories in height. T.h;. s permit is nereby issued under sions oi the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By the applicable provi- resolutions to do have been paid. WORKS Date Receipt NO. 'F�'4 7 412 WHITE-D.P.W.. YELLOW-A53CSSOR, P1 f NX -INSPECTOR, GOLDENROD-APP6 CANT PERMIT EXPIRES Date I , TV. � , 4- t, k . , Y�, 4:r, NO BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538�7541- MOBILEHONE INSTALLATION SHEET 1. Owner's Name: Zritt-'i ("A-51C&�No 2. Installer's Name: 3. Is the site currently under permit? (If yes, furnish permit number Is the site -an existing site? (If yes, furnish two plot plans.) Yes No /9 q _) OR Ye s Fi No 12 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 17 (If no, clarify 5. What is the mobilehome electrical rating? --------------- J% 0 Amps 6. What is the mobilehome site service rating? ------------- I to Amps 7. What is the mobilehome site circuit breaker rating? ----- toc� Amps 8. Is there mobilehome any other electric load to site service? -------------------------------- be served by the Yes No (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? -------------- (4 (in.) 10. What is the type of gas service? ------------------- Natural LPG 11. What is the gas pipe length from meter or tank to the mobilehome? -------------------------------------------- (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.) C) 0 -9 1 Comm'. OWING DEV"W" 16PROVED 0 1'2 �/91 MOBILEHOME SUPPORT DATA If other than single wide, Mobilehome Mfr.. furnish Setup Model No. Year 197z —76' Width- /.2- (ft.) 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). FOOTINGS (check one) FX] 1. Wood -pressure treated or foundation grade. 1:1 2. Other (specify) SUPPORTS (check one)[j]l. Concrete block. F1 2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE Main Beams Line 2 Line 1 Piers: Size -Min - ------------ Spacing-Max - --------- From Ends -Max - ------- Line 2 Piers: Size -Min - ------------ Spacing-Max ---------- From Ends -Max -------- Line 3 Ro f Loads : Size -Min ------------ 7 Location (From Front) Line 4 Piers: Size -Min ------------- Spacing-Max ---------- From Ends -Max -------- Line 5 Roof Loads: Size -Min ------------- Location (From Front) Main Beams Tag or Triple Lin, 4 Line I Line 1 Openings: Size -Min - ------------------ Each Side of Openings With Width Over --------- Line 3 Piers: (Under Bearing Wall Only) Size -Min ------------------- �Spacing-Max ---------------- From Ends -Max -------------- e 5 Piers: (Under Bearing Walls Only) Size -Min ------------------- Spacing-Max ---------------- From Ends -Max -------------- 4MING D -APPROVED 011. lozi 1001 .08 .09 IN Thi's set of PI 6 s airid specificationt'MUST bo... Jait I Aime.t.-a6d 'it cz -on-ihc- job -a 6r'�tt&atiorfs Witiq Int"o out.- written Wm$sio'n f e.&n -th-eL Do.airtme c i*. 6f . Butte.. -.06-6TI" "Works' -.Co icis OT ..pid4lrtces equipment:60'. SeMees' dbdv'e' _An Mofet d.60�a - the: flood elevation j)f- _U Go WWII --­jItcJ-use--In.- Acc6_407fi bed f6r- the ect pre Get , 1 des anh I V- -M ne quo ty I 01 C.0 n. g r1f Win -plum -it ioo*. !GOT tog ..Ae 77-:_ T IV) ;08 7 . ..... .... .......... _J ----------- A L ..... ... .. -A-A 7': 7 -7- 7-� . ..... J A L --- J----- ----- ovt L+ -J lam, 7 . .... ... ... .... .. 4—' 77- 7 ......... WN T __1091 tbrid-! Ir6rh J...... -.7 straintilrBg eq I L -L J' Q -4 08 L: _A7 J twi 4- f L. 7--'- ION, M tr A; -,,5' 4L I? - u, S" Q tu 4j-' to Tr" -JR fro tz tr A; -,,5' 4L I? - u, S" Q tu 4j-' LIXZ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS I T NO n ,Jr Cou'iCenter Drive - Oroville, Cal4ornia 95965 - Telephone: 916/538-7541 APPLICATIO� AND PERMIT 1_4 ASSESSOR PARCEL NUMBER 47-28-45 ZONING SR3 BUILDING PERMIT OWNER I .qiip Ann Brpdpn & Brian O'Guinn TELEPHONE 893-4759 SQ. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS ,igqn "i C nne, Chico 95926 CONTRACTOR-RSAME1 TELEPHONE CON9WRHf_05R'S MAILING ADDRESS _?�OWN Fireplace CONSTRUCTION LENDER Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee _�;7ermit $ 10.00 Fee $ ARCHITECT OR ENGINEER SE NO. Plan Checking Fee $ 19-00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 670 Oasis Dr, Chico Permit fee $ 1-15.00 PLUMBING PERMIT FilingFee 10.00 Each Trap 2.00 Solar or heat pump water heater 20-00 LOT NO. FUBDIVISION NAME PARCEL MAP 1 Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFEJ Duplex[] Mobilehomea Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home 1,%1 § 1XV I 10-00ea 30.00 TYPE OF WORK New R Addition [:1 Remodel[] UtilitiesKA InstallationD OtherE:1 Describe work: 2 bdrm (temporary during const of sf) Permit Fee $ 40.00 Contractor ELECTRICAL PERMIT FilingFee 10.00 it Main service 6101 OR LESS 100 AMP OR LESS 10.00 10.00 Maih service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El I am licensed under provisions of Chapt. 9, Div. 3 of the Busines S 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) El I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) F� I am exempt under Sec.—, Business and Professions Code for this reason NEW CONST. DWELLING OCC up -al R ADDNS. ACC.BLDGS. 121/20sqft E W CO NSTR. MULT'_OUT LET N N -R E BRANCH C, C" TS) 2.50 ea (POWER APPARATUS.&) SINGLE OUTLET CIR Ex. OCCUP(OUTLETS OR FIXTURES .20@50t AL9 301 — OCCUP. FIXED APPLNS. OR Ex. 0 UTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 15.00 Misc. Wiring 15.00 Permit Fee $ 35.00 ZSXNN WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): F� The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure * ' I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FilingFee 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 ot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in conseq of the granting of this permit. X e zt1— Date _� /d, 2 1 Signature of Applicant — Owner 0 Contractor El 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 occ CONST YPE TOTAL FEE $ 90.00 HAZ I CUA PARK SCHL FLD& Ss - Th"s permit is nereby issued undbr Sion Buttp Count Code and/or wol I f=1 c- -a ed bove f which fees CTO 0`UBLI B bl/WO �InntA y PERM EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS & L4 Receipt No. 84947 WHITE-D.P.W.. YELLOW -ASSESSOR. PiNK-INSPECTOR. GOLDENRO -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orevifle, Cilifornia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ERMIT NO. 'OR PARCEJ . _�NkAMBER V J-&! . 3 Z BUILDING PERMIT NER ;4 R(L 11 P1 6 re r �q '64; n SO. FT. OCC. BUILDING VALUATION fNER'6AILIW,7D A S SS I L;l CA �co CO ,7ACTOR's NAME U J1 K n - r I TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSJF;(PCTION LENDER 416 YL (L UN"OWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ Permit Fee. $ Ag"T OR ENGINEER LICENSE NO. Plan Checking -Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADCRESV­� C', Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater r 20.00 LOT NO. SUBDIVISION NAME _777- 1 EL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF[1 Duplex[] Mobilehomeg -Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer - 04� 5.00 Mobile Home LS4EG)& V bO.00ea WZT TYPE OF WORK New[] Addition[] Remodel[] U itie�( Installation[] Other Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT FilingFee 1.0.00 C n A 's C9, Main service 600V OR LESS 00 AMP OR LESS 10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 0 t 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 0 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) 0 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 Main service EA. ADO -L 100 AMP 2.50 NEW CONST DWELLING* OCCUP.&) OR ACONS.' ACC. BLDGS. 21/2(tsq ft N I- W CO NSTR. UL "OU LE NO r N -RE "0. �WATC. CTIRKJITS) 2.50 ea PO ER APPARATU SINWGLE OUTLET CIS Ex. Occup( OUTLETS OR FIXTURES_ 0@50C eAL9 30; _ FIXED APPLNS. OR N Ex. Occuli. OUTLETS (RESIO.) EA.) 2.00 Temporary service - 10.00 Mobile Home Facilities 15.00 —Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION IN URANCE I declare under penalty of perjury (check one): The permit is tor $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 shal I be deemed revoked. Contractor MECHANICAL PERMIT FilingFee 10.00 Heating Cooling Hood 3.00 Venti lation — Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — O�ner 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 occ CONST PE ITOTA FEE $ 9(!� 6111) HAZ I CUA FLD I PAR PD I HD ISSUE T.h:s permit is nereby issued under sions oi the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. WHITE-D.P.W.. YELLOW-ASSE330R.tPINK-INSPECTOR. GOLDE WROD-APPLICANT COUNTY OF BUTTE - DEPAR - TMENT - OF PUBLIC WORKS - BUILDINd DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95985 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER -ki Z C914 I, ti Y\ A P No. Proposed Building Use Building lnspector___�I(� Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1 . All items have been submitted . .. .................................. 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer.of plans - 4. Complete engineered plans and calcs, with wet signature on plans'�.. 5. Hazardous Material Form ................................. 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions .............. I .......................................... 10. Fees of $ ......................... 11. Chico Urban Area fees paid .................................... 12. Park fees paid .................................................... '4V 13. S5 )QI District fees paid .............. 14.. Sanitation approval from M I �—Q Health Department 1—!5z -!�t 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use:—(B) Parking: . ...... 18. Improvements may be required. Contact Land Development Section DPW kl 9. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required ... Pre-inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classificati 0 n) ... 22. Certificate of Workmans Compensation Insurance .................. -23. Owner -Builder Verification (Given to.owner 0, Mail to owner 0) ..... 4. Recorded copy of Agricultural Acknowledgment Statement ......... I ��625. Leper of �ignpturejajjthorizat 26. Opel Utst ifte -Yvw� 2 . When you issue thegqit, �rgcys as follows: Ma o owner. Mail to contractor. Telephone and hold for pickup at t��RC_Qfice. _Del.iver w/inspector. Other I Applicanti 2—- Date �4�ct I Copy of Haz-Mat iorm sent —Health Dept. —Fire Dept - ----- Air Pollution Date Copyofplanssent ____HealthDept. —FireDept. —Other— Date— By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items.No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by —phone ---mal I —counter by—date Contractor, designer, owner, was advised of above required data by—phone—mail—)(Ounter by— date Plans checked by Date approved by .A Sets of plans on hold in —File cabinet AP folder Copy—DPW Date F7 0 TO Buildina Department FROM: Environmentil fiealth� SUBJECT: Sanitation Clearance 2- Y'— O*n e--r----z Location AP# Plan Approved for: Sewaqe Disposal Water Supply Hold final for: Water Supply Final clearance O.K. for: Water Supply Clearance for -�LL bedroom mobile home. other A, A- A -I 1,00 A/ - NOTE Sanitarian Date COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 MNER-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. 1 personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) S 2. 1 (have/have not) signed an application for a building permit for the proposed work. 3. 1 have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. -1 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. 1 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 %_o Signed: Property Owner Social Security Number _- Date .9 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. OWNER PEMIT J %77 MH UTIL.CLEARANCE DATE 7 INSPECTOR. 7 1 'r-LECTRIC GAS Supportkompaction 1C C I GA e Struc. Test.Rec. TRI pj_p :LT e,rvice Other i Lo d Tv e Size Len th YES No� =YES -NO ize Load I f ?4 6_0 6-0 - /H 14