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HomeMy WebLinkAbout041-540-003d -4� AP s/s Pentz Rd. approx. lk mi. E. of Clark Rd., Paradise (CERTIFICATE nv rnmpT.TAWCE) 41-54-013' '741-91B,P,E,M PAGE, Tom &-Lo 4436 Myvalli Dr,'lle. b_jAA.1 I -LI v1 v r,e bap nm e n Cont: Nickelson Dev (new sf) 41-54-03 Permio sf Z2L9-9�1.B (addl decki sf B07-0073 041-540-003 MISCELLANEOUS Mechanical FURNACE REPLACEMNT(LPG) '01F 1, 4436 MYVALLI DR.. -.7" I SMITH, JERRY K & TUCK -SM rV4_F_-Y40-0U3 uu-lb-rAu-- TUCK-SNUTH, CHERYL 1:., 4436 MYVALLI DR., OROVILLE AG EX BLDG -LIVESTOCK, TACK ROOM,HAY STG 23 mlm F- E--- --- �r i" f)uQ/tom �� irz BUTTE COUNTY ak 0)40.09 DEPARTMENT OF DEVELOPMENT SERVICES INSPECTION CARD MUST BE ON JOB SITE 24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico) Office: (530) 538-7541 Fax: (530) 538-2140 Website: www.buttecounty.net/dds Permit No: B07-0073 Issued: 01/11/2007 Address: 4436 MYVALLI DR Area: CTE VALLEY Owner: SMITH, -JERRY K & TUCAPN: 041-540-003 Applicant: AIR RITE HEATING ANIMap Page: Permit Type: Mechanical Description: FURNACE REPLACEMENT(LPG) Flood Zone: None Set Backs AREA 3 SRA Area: Yes Front Setback: Side Setback: Rear Setback: Other Setback: Minimum Setback From Centerline of Street: ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING Inspection Type IVR INSP DATE Setbacks 132 Foundations / Footings 111 Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 Forms/Steel/Holdowns 122 Do Not Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test House 404 Gas Test Yard 404 Masonry Grout 120 Masonry Bond Beam 119 Underfloor Framing 149 Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing 411 Gas Piping 403 Do Not Install Floor Sheathing or Slab Until Above Signed Holdowns/Straps 122 Shearwall/B.W.P.-Interior 135 Shearwall/B.W.P.-Exterior 135 Roof Nail/Drag Trusses 129 Do Not Install Siding/Stucco or Roofing Until Above Signed Rough Framing 128 Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 Gas Piping 403 Shower Pan/Tub Test 408 Fire Sprinkler Test 702 Fire Sprinkler Final 702 Building Final 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Pool Final 802 Mobile Home Final 802 E Finals Inspection Type IVR INSP DATE Do Not Insulate Until Above S gned Wall Insulation 117 Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Stucco Lath 142 Stucco Scratch 143 Stucco Brown 144 Swimming Pools' Setbacks 132 Pool Plumbing Test 504 Gas Test 404 Pre-Gunute 506 Pool ElecBonding/Light Nitch 502 Pool Fencing/Alarms/Barriers 503 Pre -Plaster 507 Manufactured Homes Setbacks 132 Blocking/Underpining 612 Tiedown/Foundation System 611 Site Utilities/Trench Insp. 137. Gas Test Yard 404 Manometer Test 605 Continuity Test 602 Skirting/Steps/Landings 610 Coach Info Manufactures Name: Date of Manufacture: Model Name/Number: Serial Numbers: Length x Width: Insignia: Public Works Fina 538-7681 Fire Department/CDF 538-7111 Env. Health Final 538-7281 "PROJECT FINAL 801 tZ, rroject r inal is a l.Rrmicate of uccupancy for (Kesiaential Unly) PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION i )7 �p r-� '� �lr. a, Y-- -: n'-.. -.r --.-.+-r....•1-�-e .vti�;.."`�'�"y"'y--^�7c"1��.T:-'�.�-.�. �� ,c,.,,<+.-�.� >�u COUNTY OF BUTTE is »° BUILDING DIVISION ` DEPARTMENT OF DEVELOPMENT SERVICES '7 County Center Drive • Oroville, CA • (530) 538-7541 ' CORRECTION NOTICE Y` OWNER PERMITNO. A routine inspection indicates that the following violations of Butte County Ordinances exist at i° z - the above address and should be corrected. Please call for re -inspection when correction of r work is completed. If you have any questions pertaining to this matter, or need additional x explanation, please contact the Building Inspector as indicated below. 3r;)9wxlAl �Zo t-2 40 Viz•; �l //C�1 , 117, //w111(i q0 L'L /�.iw lily/ /i7lf Date/? -,-7- O 7 Inspector + REV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 .4 CaICERTS -Certificate 60-7— X73 n fir Page 1 of 1 aq 1- 6V0_003 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 1 of 8) CF -4R 4436 Myvalli Drive - Oroville, CA 95915 Air Rite Heating and Air / 842877 Project Address Contoctorr, Name / License No. B07-0073 "" Contractor Contact , �lti Telephone Permit Number Joe Sinclair ._,,,Alin3 530-865-4214 51713 HERS r Telephone Sample Group. Number January 19, 2007 CC14-1798392295 Certifinj Sig ature NWA Date CertificateNumber Firm: Sinclair Air Duch Cleaning HERS Provider: CaICERTS, Inc. Street Address: 6360 County Road 12 City/State/Zip:Orland / CA / 95963 5 0' (a5' Z Copies to: Homeowner, HERS Provider and Building Department This CF -411 has been registered with the CalCERTSO registry in accordance with the Title 24 & Title 20 of the CCR. CalCERTSO is an approved HERS provider by the California Energy Commission. HERS RATER COMPLIANCE STATEMENT The house was 0 Tested ❑Approved as part of sample testing, but was not tested. As the HERS rater providing diagnostic testing and field verification, I certify that the house identified on this form complies with the diagnostic tested compliance requirements as checked on this form. The HERS rater must check and verify that the new distribution system is fully ducted and correct tape is used before a CF -4R may be released on every tested building. The HERS rater must not release the CF -4R until a properly completed and signed CF -611 has been received for the sample and tested buildings. The installer has provided a copy of the CF -611 (Installation Certificate). New Distribution system is fully ducted (i.e., does not use building cavities as plenums or platform returns in lieu of ducts). New systems where cloth backed, rubber adhesive duct tape is installed, mastic and drawbands are used in combination with doth backed. rubber adhesive dud tane to teal leaks at dart rnnnartinnc MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT: NEW CONSTRUCTION Duct Pressurization Test Results (CFM @ 25 Pa) Measured Values 1 N/A 2 r� Fan Row: Calculated (Nominal 0 Cooling 0 Heating) or 0 Measured Enter Total Fan Flow in CFM:... 2018 - 3 N/A N/A ALTERATIONS: Dud System and/or HVAC Equipment Change -Out 4 Enter Tested Leakage Flow in CFM from CF -6R: Pre -Test of Existing Duct System Prior to Duct System Alteration and/or Equipment Change -Out. 5 Enter Tested Leakage Flow in CFM: Final Test of New Dud System or Altered Duct System for Duct System Alteration and/or Equipment Change -Out. 262 6 Enter Reduction in Leakage for Altered Dud System [Line 4 - Line 51 - (Only if Applicable) 7 Enter Tested Leakage Flow in CFM to Outside (Only if Applicable) 8 Entire New Duct System - Pass if Leakage Percentage < 6% [ 100 x ( Line 5 / Line 2 )]: ❑ Pass ❑ Fail TEST OR VERIFICATION STANDARDS: For Altered Dud System and/or HVAC Equipment Change -Out, use one of the following four Test or Verification Standards for compliance: 9 Pass if Leakage Percentage <= 15% [ 100 x ( Line 5 / Line 2 )]: 13.00% Q Pass ❑ Fail 10 Pass if Leakage to Outside Percentage <= 10% [ 100 x ( Line 7 / Line 2 )]: ❑ Pass ❑ Fail 11 Pass if Leakage Reduction Percentage >= 60% [ 100 x ( Line 6 / Line 4 )] and Verification by Smoke Test and Visual Inspection ❑ Pass ❑ Fail 12 Pass if Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Inspection ❑ Pass ❑ Fail Pass if One of Lines #9 through #12 pass © Pass ❑ Fail https://www.calcerts.comlcf4r_print_certificate. cfm?lots, 51713&UseCF4R=1 &ce"p... 1/22/2007 laarz couml 4.. 2007 4DPWNT 4iom Rll cooAiy- JAN 2 4.2007 DEVELOP ac r I KA. ha w`o 61 dikd Ca10ERTS - Certificate Page 1 of 1 `V1 CERTIFICATE OF FIELD VERIFICATION 8z DIAGNOSTIC TESTING (Page 1 of 8) CF -411 4436 Myvalli Drive - Oroville, CA 95915 Air Rite Heating and Air / 842877 Project Address Contractor Name / License Na. B07-0073 Contractor Contact Telephone Permit Number Joe Sinclair 530-865-4214 51713 HERS R Telephone Sample Group Number January 19, 2007 CC14-1798392295 Cert' g Sign ure Date Certificate Number Firrrf Sinclair Air Duct Cleaning HERS Provider:Ca10ERTS, Inc. Street Address: 6360 County Road 12 City/State/Zip:Orland / CA / 95963 Copies to: Homeowner, HERS Provider and Building Deuartment This CF -411 has been registered with the CaICERTS@ registry in accordance with the Title 24 & Title 20 of the CCR. CalCERTSO is an approved HERS provider by the California Energy Commission. HERS RATER COMPLIANCE STATEMENT The house was 0 Tested ❑Approved as part of sample testing, but was not tested. As the HERS rater providing diagnostic testing and field verification, I certify that the house identified on this form complies with the diagnostic tested compliance requirements as checked on this form. The HERS rater must check and verify that the new distribution system is fully ducted and correct tape is used before a CF -4R may be released on every tested building. The HERS rater must not release the CF -4R until a properly completed and signed CF -611 has been received for the sample and tested buildings. The installer has provided a copy of the CF -6R (Installation Certificate). New Distribution system is fully ducted (i.e., does not use building cavities as plenums or platform returns in lieu of ducts). New systems where cloth backed, rubber adhesive duct tape is installed, mastic and drawbands are used in combination with doth backed, rubber adhesive dud tape to seal leaks at dud connections. MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT: NEW CONSTRUCTION Duct Pressurization Test Results (CFM @ 25 Pa) Measured Values 1 Entei Tested Ees'N/A Fan Flow: Calculated (Nominal 0 Cooling 0 Heating) or U Measured 2 Enter Total Fan Flow in CFM: 2018 ALTERATIONS: Duct System'and/or HVAC Equipment Change -Out - - _4 Enter Tested Leakage Flow in CFM from CF -6R: Pre -Test of Existing Duct System Prior to Duct System Alteration and/or Equipment Change -Out. 5 Enter Tested Leakage Flow in CFM: Final Test of New Duct System or Altered Duct System for 262 Duct System Alteration and/or Equipment Change -Out. 6 Enter Reduction in Leakage for Altered Duct System [Line 4 - Line 51 - (Only if Applicable) 7 Enter Tested Leakage Flow in CFM to Outside (Only if Applicable) 8 Entire New Duct System - Pass if Leakage Percentage < 6% [ 100 x ( Line 5 / Line 2 )]: ❑ Pass ❑ Fail TEST OR VERIFICATION STANDARDS: For Altered Duct System and/or HVAC Equipment Change -Out, use one of the following four Test or Verification Standards for compliance: 9 Pass if Leakage Percentage <= 15% [ 100 x ( Line 5 / Line 2 )]: 13.00% 0 Pass ❑ Fail 10 Pass if Leakage to Outside Percentage <= 10% [ 100 x ( Line 7 / Line 2 )]: ❑ Pass ❑ Fail 11 Pass if Leakage Reduction Percentage >= 60% [ 100 x ( Line 6 / Line 4 )] ❑ Pass ❑ Fail and Verification by Smoke Test and Visual Inspection 12 Pass if Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Inspection 1:1 Pass El Fail if One of Lines #9 through #12pass 2 Pass El Fail https://www.calcerts.comlcf4r print_cerfficate.cfm?lots=0,51713&UseCF4R=1&cert_typ... 1/22/2007 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 4436 MYVALLI DR Owner: Permit NO: B07-0073 APN: 041-540-003 SMITH, JERRY K & TUCK -SMI Issued Date: 01/11/2007 By TMP Permit type: MISCELLANEOUS 4436 MYVALLI DR Subtype: Mechanical OROVILLE, CA 95965 Expiration Date: 01/11/2008 Description: FURNACE REPLACEMENT(LPG) Occupancy: Zoning: SR5 Contractor Applicant: Square Footage: AIR RITE HEATING AND AIR CONDI AIR RITE HEATING AND AIF Building Garage Remdl/Addn 4335 CO RD DD 4335 CO RD DD ORLAND, CA 95963 ORLAND, CA 95963 Other Porch/Patio Total (530) 865-4655 (530) 865-4655 FEE INFORMATION Furnaces (F.A.U., Floor) $55.00 Total Charged: $55.00 Fees Paid: $55.00 Balance Due: $0.00 Receipt No: B1488 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License AIR RITE HEATING AND AIR C( 842877 / C20 / 07/31/2008 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full fo ce and elle of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X01/11/2007 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractor's Signature Date ❑ I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR WORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: HAVE AND the work himself or herself or through his or her own employees, provided that such improvements ❑I WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑ 1, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractors License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Carrier. State Fund policy Number: 713-0015755 Exp. Date:04/01I2007 Contractors License Law.). (This section nee not be competed if the permit is or one un red dollars ($100) or less. ❑ 1 AM EXEMPT under Section B. & P.C. for this reason: I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers'X 01/11/2007 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date provi ons. X 01/11/2007 I hereby certify that I have read this application and slate that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKER COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 5100,000, IN ADDITION TO THE COST OF COMPENSATION, ( ) injury, including death, and property damage caused arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge thatt is issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the pr rty ovam ulhorized ine to act on t'% plroperty owners behalf.,, I�DY I 11eO 1/11/2007 CONSTRUCTION LENDING AGENCY IHEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Wme of Permittee [SIG Print Date the performance of the work for which this permit is issued. (3097 civ. code) ❑ Owner 1:1 Contractor OR; Agent for Owner WAgent for Contractor FILE COPY Lender's Address City State Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buftecounty.net/dds "PLEASE PRINT CLEARLY" CONTRACTOR OWNER INFORMATION Last Name LL—S irst We Mailing Address r I `i City ,ter V E -m it r 1a.,U5 State . L ( Phone _ Fax jj 3 — Oy S E-mail State License Number CONTRACTOR Name 1 N Q Address '� 33S P-OA.p D D City U_Uqrl_�� StateCA Zip �lS�l(03 Phone Fax L(0 LN E -m it r 1a.,U5 Lic.#JN 977 Cla�s I-.--.-----..-..--- APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip I,5_., 3 1 City Fax $bS_��y State Zip Phone. Page Fax E-mail State License Number I-.--.-----..-..--- APPLICANT INFORMATION Name cbri1' _ l 1 Address 1 L.3 'ITV 7 City State Zip I,5_., 3 1 Phone czl_ _ Fax $bS_��y E-mail W lr APPLICANT SIGNATURE X For office use only: AP# Zoning Flood Zone SRA I Yes No Occ. WORKER'S COMPENSATION Type Const. Subdivision Name If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. Map Book Page Lot # Planner Date Approved: PERMIT NO. q,ao BIN # PROJECT LOCATION AP# Property Address 1 Ci x9111 Cross Street WORKER'S COMPENSATION Policy Number #0007/3-L5 55 Carrier 5fzt� Fu*2,aC If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: IJ Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ - Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. U � Received by: -7V - y: Amount: SS • Bldg SRA Receipt #:,s g Sheriff �p SMTP D Other Date: Total BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. 00--16 Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. A� ASSESSOR PARCEL NO. Q % OWNER \�+M PHONE NJQO �r�`•`i � f... a VlV f"�" � 4�1� 1� vJ/ f f OWNER'S ADDRESS LOCATION OF BUILDING ryv\l v ®n T �� (1 C� USE OF BUILDING SIZE OF STRUCTURE r p b X SO. FT. TYPE OF CONSTRUCTION: WOOD FRAME STEEL_ CONCRETE OTHER (Specify) TYPE OF SIDING nl_ ROOF COVERING FLOOR TYPE �C�R E-7- E. ESTIM ED COST CONSTRUCTION $ �- fzR AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: FRONT SIDES 2-0 141t � 2LO r � REAR -- AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated about, and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. / Date X // - Signature of Owner Permit Fee - $60.00 The above described AG Building is exempt from a by filding per F OOD I PAR L PLY [R-Q-01ING 117 Receipt No. _36t6y Manager Building Division By kl � Date l f z 1/06 White — DPW, Yellow —Assessor, Pink — B. I., Goldenrod —Applicant u RESIDENTIAL 41-54-03- - 741-91B,P,E,M=- - n PAGE, Tom & Lori _ 4436 Myvalli Dr, Oroville Cont: Nickelson Development A .1Q4 i� i y. Y r+ OFFICE COPY "I I Address GAS Date - Meter By — ERIC 'y OFFICE COPY Address M B �—Date ELECTF Meter By 0 I� JOB FINAL Signature J=OK O = Not OK =NotReadyable -MOBILE HOMES Date MOBILE HOME UTILITI12S (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / P L" ft. / /"Nat. or/ /"L"ft./ /"LPG ; 7. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS; GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater '8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 'J OK O = Not OK - = Not Applicable =Not Ready RESIDENTIAL ' �' Date UNDERFLOOR (Plans) OK except #'s J, -Setbacks -Easements -Flood -Slope Ftg., Main; Soils-Elec. Grnd.-J&6_Ftg. Depth twB-Ftg., Garage; Soils -Steel -EI c. Grnd.-g tg. Depth 4. F ., Porches & Decks; Soils -Steel-/ /Ftg. Depth Ste IIs, Main; Steel -Bloc kouts-Wrapped temwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab eel -Wrapped s -F ce g. -Steel r� QW<. Fall -Fitting -Test -2 Way C/O -Sewer Test .MfGipe; Size -Anchors Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13„94sFw ucts; Clearance -Material -Support -Ins. l.L ,rders-Sills-Anchor Bolts -Joists -Vents -Cripples 15. Insulation Date GJ Card B-1 Date Card B-1 Date 4Li4LI Card 8-1 Date Card B-1 Date PLU G Per it OK except #'s r Htr ent ccess-Combustion ' -Baffle 1 . a3pr Pipe, est & Anchor-Nail"(Protection es - ittings & Anch ail P ection 1 hower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date727M,-,-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 Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & ductor Size/GFI 28. Subfeed Wire Size / / ga. Cu o A A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s ,ta-r-A.C. Ducts Insulation & Support &a3�_V-e n; Exhaust above insulation ondensate Drain & Overflow; Size & Grade &f6rnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet tic Access & Platform if Furnance in Attic Date 171^qqj Card B-1 .111, Date Card B-1 Date Card B-1 Date Card B-1 Date FRA NG (Plans) OK except #'s _ Sils, Proper Material & Anchors 7N�t1§ Studs -Nailing, Spacing Braci -Plates_-Sou_n_d 0Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) C 4 ire Stops; Furred Ceilings -Stairs -Chases -Tub M Headers & Beam -Size & Bearing (Single & Duplex) Date FRAMING (Continued) JOegers-Post Caps -Anchors -Connectors g. Joist-Rftr. ties -Pu rlin —roof Brac russ- hthng.-Ring. ireplace Ties or Type A Flue -Fireplace Throat clearance ttic Access; Size & Romex Protection -Draft Stop -Ins. Baffles A919drm. Windows or Exiting Doors -Sill Hgt. & Dimensions rage Fire Protection Framing roperty Line Firewall & Openings xt. Doors -One T -Check Garage -3rd Story, 2 Exits kt3. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection t54-ptVood on Roof Overhang -Attic Vents -Rafter Outriggers ceding -Nailing Veneer -66_6lnecv Mesh -Drip Screed -Fd. Vents-Underflr. Access Glazing Area -Glass Protection -Skylights -Plastic sa Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 4-13Loi, 60. Infiltration -Walls -Windows Date P C Q/ Card B-1 Date Card B-1 Date Card B-1 Date Card 8 1 Date FIN ans OK except #'s t1wi- Ext. Steps -Door & Sidelight Protection -Landings moke Detector 63. F ce; Vents -Clearance -Comb. Air -Connector - In Gaga e; Above Floor-Ducts-Mech. Protection ,6 dro Exiting F.I. & Bath Fixtures & Tub Access -Spa ec. Trim & Subpanel; Breaker Sizes & Labels 6 airsj& Rails ireplace or Stove; Clearances -Hearth Z.49��c. Outlets at Wood Panel; Int. & Ext. i .Fi t. & Appliance; Grnd.-Air Gap -Cooking Clearance lec. O tlets & Receptacles at Kit. Counter 7 . arage Fire Door; Swing -Landing -Closer ct in Garage -Damper tr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In G ge; Above Floor-Mech. Protection 7 byE•lec. & Mech. Equip. Listed for Location Elec. 5-4ceptacles in Garage; (G.F.I.)-Romex Protection 7 sul ' -Foam-Looked in Attic ❑ Yes 7 . uard Rails & Deck Construction -Post Caps 7 n.Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor, ❑ Yes 80. Following instld.; Drive ❑ No; Walks es ❑ No; Planters ❑ Yes o t Brown -Finish A nit; Disconnect, Electrical, Plumbing Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to gperfings Wate I; Disconnect, Electrical, Plumbing 8 x for Elec. Trim; G.F.I. Receptacle -Underground enti 'on Throughout House rotection qpprections from Previous Inspections . Ga t -Meters Tagged; Gas -Electric & Sewer Connected -C/O to Grade -HD Approval 1417 Energy Compliance Certificate -Other Certificates DateYll Date Card B-1 Date Card B-1 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) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS " 196 Memorial Way, Chicb — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — 872-6307 Phone: _ CORRECTION NOTICE _r ER T NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matte or need additional explanation, please contact this office immediately. -,54 /o e yr/\, 4C1 Date .//z/ / / 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 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 eed additional explanation, please contact this office immediately. be5L- L/ I o lac grn-g- &?C14-&" 1:;:�- _ /Low � !� L? � � � � G. f. /LDS ��• Date �` �+ Inspector / , COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Cbico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE 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 correction of work is completed. If you have any question pertaining to this mer; or need additional explanation, please contact this office immediately. C.N Ems_ r A l '�- v 17�-ti 4 Alke v A n f a "ERC --y CIERTIFIC�ATION Lo �- 3 m c..t� LOC TION ROUT? Material Thickness___ — EXTERIOR WALL MaterialrUERGLASS _ _ Thickness (Inches) —_ ­ 3t(2_ CEILING Batt 1 0rwi1�p- A.P. NO. Brand Name _ Thermal Resistance (R Value) Brand Name CERTAINTEED Thermal Resistance (R Value)l3 or A anket Type FIBERGLASS — Brand Name CERTAINTEED Thickness (Inches) FO _Thermal Resistance (R Value)3 a _ Loose Fill TyPe..._F H&QLAS_S-__-.----_---_ Brand Name_._. CERT.ATNTEEU _ _ _ Minimum Thickness (Inches)—I!, Nc., ct EagsD_ ;;eight/Bag_25 - -- Area Covered (Sq. Ft.) l �__ Thermal Resistance (R Value)`__ FLOOR, ELEVATED flat erial T,[13GRGLASS�____i Thickness Inches) (n — FLOOR, SLAB Material Thickness (Inches) FOUNDATION WALL Material_ Thickness (Inches) Brand Name CERTAINTEED Thermal Resistance (R Value)_ Brand Name -_1 _ Thermal Resistance (R Value)_ Brand Name Thermal Resistance (R Value) I. HEREBY CERTIFY THAT THE ABOVE INSULATION WAS INSTALLED IN THE ABOVE BUILDING IN CONFORMANCE WITH THE STATE OF CALIFORNIA ENERGY REQUIREMENTS. HAWK„IN.S_LNRUS.R�.,S�iVc— _ _ 622184 �,`•'' Firm flame/Owner State Contractor's License No. Signature=Date I HEREBY CERTIFY THE ABOVE INSULATION AND ALL REQUIRED ITEMS AS SHOWN ON THE BUILDING DEPARTMENT -APPROVED PLANS AND ATTACHMENTS HAVE BEEN INSTALLED AS R.F:QUIRED BY TILE STATE OF CALIFORNIA ENERGY REQUIREMENTS. ate ate COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, California 05065 - Telephone; 010/538.7541 APPLICATION AND .PERMIT 41-54-3 BUILDING PERMIT -OWN - Tom896-0930 4NO NON SO. FT. OCC. BUILDING VALUATION 2480 R 99,200 OWNER'S M I AD5FAIffie 22 Hemmin Lane Chico 95926 816 M 11,424 CONTRACTOR'S AM TELEPHONENickel 395-5407 560 COV 5,680 CONTRACTOR'S MAILING A DRESS P.O. Box 7741 Chico 95927 Fireplace 2 2,000 CONSTRUCTION LENDER Nonp UNKNOWN Total Valuation $ 118,304 Filing Fee $ 1000 LENDER'S MAILING ADDRESS Permit Fee $ 480.50 ARCHITECT OR ENGINEER None LICENSE NO. Plan Checking Fee $ 240.25 Energy Plan Checking Fee $ 15.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Dr. Oroville Permit fee $ 745.75 PLUMBING PERMIT Filing Fee 10.00 y'Lf 36 M% ��" Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME Rolling Hills Prf AP - ,5 Water piping 5.00 Each Qas water heater or vent 5.00 USE OF STRUCTURE SF%X Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 9 nn Mobile Home S I G I W 10.00ea TYPE OF WORK New(M Addition❑ Remodel❑ Utilities❑ Installation❑ Other❑ Describe work: 3BR Permit Fee $ 54.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare der penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions �Cosie and my license is in full for a and effect. License No. � �� Classification. ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ontract- ors.(Sec. 7044) ors. ❑ I am exempt under Sec. , Business and Professions Code I for this reason NEW CONST. DWELLING OCCUPM OR ADDNS. ( ACC. BLOGS. 21/2 Osq ft NEW CONSTR U TI.OUT LET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS 6 (SINGLE OUTLET CIR. Ex. OCcup�OUTLETS OR FIXTURES 20®GOC SALO 90 Ex. Occup. OUTLETS P(RESID )FIXED APLNS.REAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ i WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Departmerit a Certificate of Workmen's Compensation Insurance or a Certificate f Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating 86,000 6.00 dual vak 11.00 Cooling 31 T. Hood 3.00 3.00 Ventilation 4 3.001 12.00 permit Fee $ 42.00 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 ve, indemnify and keep harmless the County of Butte against i all liabilil .dg costs, and expenses which may in any way accrue against unty ' c cace f the granting of this permit. j %� Date Signature of Applicant - Owner ❑ Contractor Agent An OSHA permit is required For excavations over 5'0" deep and demolition or cos r t- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 30,00 occ coys TTYPE 1✓ -n% TOTAL FEE $ 6.65 HAL HAz. CUA PARK sc FL coF PA P I H ISSUE This permit is hereby issued unaer the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. IR. CTOR OF PUBLIC WORKS / (�IpU r/y Date PERMIT EXPIRE Date •f 7 /' - Receipt No. 83768-$259. S/ 30 -. 6 �� WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT • 'p�. - l�f, �� `���I��A •�. 1 i _ Y` n�, . :,.tv�'Vi.Y+-.•i�-xi�� � r ' r^I -•N' � �' 'SCT 4.,,i�-�' COUNTY OF•Bl},TTE —DEPARTMENT. , OF PUBUC WORKS - BUILDING DIVISION—) 7 COUNTY, CENTER DRIVE.: 01`16 j4LLE, CAWFORNIA 959$5 - TELEPHONE: 916/538-7541 ' t ''a zPrRNT APPUCATIOWDATA SHEET / �a l Permit No. OWNER D%%% O !gG~ A. P. �—S'S� —00 Proposed Building UseBuilding In Date �S C,(/ At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED %y'� ' All items have b - en submitted . .:.......................... . Plot plans i duplicate triplicate, signed by preparer of. plans. 3. Complete plans In upllcate/trlpllcate, 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 ......... Statement of Intent for Non -Heated and AC Buildings ,........... 8. Engineered truss details and layout in duplicate (required prior to plan check) -7—i;Vb 7/ 9. Mobilehome installation data including manufacturer's installation instructions .............. .......................... 10 Fees of $ �, ' ........................ t ' 1. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... ' 13 � UN ffS School District fees paid .............. 4.. Sanitation approval from �7� Health Department /f> 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) rt 17. Planning approval for (A) Use: (B) Parking: ...... JIV Improvements.•may be required. Contact Land Development Section DPW —9. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required...Pre-inspec. request to t RBuilding Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 4 Recorded copy of Agricultural Acknowledgment Statement ......... 5. Letter of signature authorization ................................... 26. 27. When y - issue the permit, process as follows: mail r. Mail to contractor. Telephone _345� 640-7and hold for pickup at [/office. Deliver w/inspector. copy of Haz-Mat torm sent Health Dept. Fire Dept. ---Air Pollution Date Copy of plans sent ``f Health Dept. Fire Dept. �Othe"r. "Date z By �y The following data must be submittl: 1. Index permit for above items No. 2. Additional items required: it is uan a Circ of ne It m' t checked above). Xw kw - _7 ) Contractor, designer, owner, was advised of above required data bylLphone__nail—counter by..date 3 Z Contractor, designer, owner, was advised of above required data by—phone —mal l_counter by date Plans checked b ' Date 1bla r d b J y ��� �p �- y Date a . tr) Sets of plans on hold ins ' File cabinet Copy—DPW r TO Buildinv,,De,,Crtment FROM: Environmental -Health SUBJECT: Sanitation Clearance Ip LCd/le y/�Sy'-3 pyo Vocation/ AP# Plan Approved for: Sewage Disposal _�_ Water Supply lie! Hold final for: Water Supply Final clearance O.K. for: Clearance for bedroom mobile ome. Other NOTE * * * Water Supply Date Sanitarian TO: BuilctingQepartment FROM: Encroachment Permit Sectio -n RE: Driveway Cleararke Z-612) ownat loc/ation AP # Driveway permit .,olen-e jedd has bee , n issued for the above property. si ature date �'1t•Y�"''%;;i Y+it tri=��.�'.-.F""I''�C"���'fh!`*'�°gs�yt'+�."`ti".`'P`r#V"�-'..`y�,,. `, �.� w%.,r'�.,.7rS��'kT"" o'�Y''r.aL'i`;, a'+�rr '..-'+.t:r. ,7„�,;..t.,-..�.. ... .. ` , BUTTE COUNTY.SCHOOLS DEVELOPMENT. F” E CERTIFICATION FORM 0 /���D O (One Form per Bui ding) //0 A`P. .Number �'7x,�'_'�i Building Department School District City County Jurisdiction Property Owner %—e% /Yj!�`� P of ect Location/Address %Y% l VALzr-, y d /L .4.1 Subdivision 9V z1 &1 A16 %7�/ L. L- Lot Number Residential .Development: � a F,. Sq. Footage 2 T el' # of Living MHI Addition (Group R) Units e Commercial/Industrial: New .. i -1. /1 ) Buildin(j Department Representativ Sq. Footage Addition (Including Exterior Roofed Areas) 3 e D aof e (Floor Plans reviewed by School District Personnel) District Id No. en ' .. I A . School District certifies that (Applicant Mame) (Phone Number) A I ti (Street Address) l4 Oeoild"& k (City) (State) (Zip Code) has complied with -the requirements of Resolution No. by the payment of $�� representing C;2QU square f� et: School Distric 'Representative Date r PAID BY CHECK NO . REMARKS: " r white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) 1, COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WOR S PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUM ER S �. ZONING / (o'•j:2 BUILDING PERMIT OWNER # g � TELEPHONE SO. FT'. OCC. BUILDING VALUATION O ' OWNER 5 M LNG&OORES� L Lc ZS9, /11 C 014f AC TO 'S NAM TELEPHONE co�f L� ��IJ//M O TRA C 'S MAILING AtOCFRESS .� Fireolace ONST UCTION 1_E - -R 9_UNKNOWN Total Valuation S Filing Fee S 1.0.00 LENDER'S MAILING AOORESS Per^1i: Fze $ ARCHITECT OR �.� :I:.IEER LICENSI- No• Plan Che. ;:Ing Fee $ Energy Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS $ Penalty SUILOING ADDRESS Permit fee 1 $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 121 2.00 Solar or heat pump water heater 20.00 LOT NO. SU BOI VISION NAMEPARCEL MAP Water piping 1 5.00 ✓ Each qas water heater or vent 1 5.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 ____ Building sewer 5.00 Duplex❑ Mobilehome❑ Other SPECIFY Mobile Home S I G I W 0.00ea TYPE OF WORK NewAddition ❑ Remodel 11Utilities [IInstallation❑ Other ❑ Permit Fee $ Descnb work:. Contractor ELECTRICAL PERMIT Filing Fee 1 10.00 Main service 80ov OR LESS 100 AMP OR LESS 10.00 Main service EA. AOD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW NEW CONST. ( DWELLING ocCl�a_. OR ADONS. ACC. BLDGS. .fit y:¢sgh .Z 1 declare under penalty of perjury (check one): NEW CONSTR. ULTI.OUTLET 12.50 ea ❑NON-RESID I am licensed under provisions of Chapt. 9, Div. 3 of the BusinessPOWER BRANCH CIRCUITS) __- APPARATUS e+ CIR. and Professions Code and my license is in full force and effect. SINGLE OUTLET 2 04950l1 License No. Classification. / EX. Occup\OUTLETS OR FIXTURES AL030t ..L.3t ❑ 1, as the owner, or my employees with wages as their sole compen- FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA. 2.00 sation, will do the work,and the structure Is not intended or offered Temporary service 10.00 for sale. (Sec. 7044) Mobile Home Facilities 15.00 ❑ I, as the owner, am exclusively contracting with licensed contract- Misc. Wiring 15.00 ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code D for this reason Permit Fee IA4 S Contractor WORKMEN'S COMPENSATION INSURANCE MECHANICAL PERMIT Filing Fee 10.00 I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. Heating t ❑ I have placed on file with the County of Butte Building Department D)J0J_ JJC�L a Certificate of Workmen's Compensation Insurance or a Certificate Cooling of Consent to Self -Insure. 3.00 3 ❑ I shall not employ any person in any manner so as to become subject Hood --- to the W. C. laws of California. Ventilation Notice to Applicant: If after making this statement, should you become subject Permit Fee $ to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor Mobile Home Installation Fee $ I certify that I have read this application and state that the above information Energy Inspection Fee $ Q is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot occ CONSTTYPE Butte to enter upon the above-mentioned property for inspection purposes. TOTAL FEE S • �� 1 also agree to save, indemnify and keep harmless the County of Butte against HAz CUA PARK SCHL FLO COF PAR PO i Ho. IssuE all liabilities, judgments, costs, and expenses which may in any way accrue I I I I against said County in consequence of the granting of this permit. This permit is hereby issued unser the applicable provl- X Date sions of the Butte County Code and/or resolutions to do Signature of Applicant — Owner ❑ Contractor ❑ Age r ❑ work indicated above for which fees have been paid. An OSHA permit is required for excavations over 5'0" de p nd demolition or construct- DIRECTOR OF PUBLIC WORKS ion of structures over 3 stories in height. By Date —ei 3 23'2 /'Z Receipt No. PERMIT EXPIRES Date WHIT[-O.P.W., TCLLOW-AS°(77011, PINK -INSPECTOR. 00 O ROD -APPLICANT REQUESTED BY: 7C, RetuM% to DPW It - Section requires prior to AGRICULTURAL STATEMENT OF ACKNOWLEDGEII(ENT 9 1- 1 2 3 6 f FOR RESIDENTIAL DEVELOPMENT 26-8.1 of the Butte County- Code this acknowledgement be recorded issuance of a building permit. The property described herein is adjacent, to land or included within an area zoned ' for agricultural purposes, and residents 91-012360 Rec Fee of this property may be subject to incon- I Check veniences or discomfort arising from the Recorded use of agricultural chemicals, including, Official Records I but not limited to herbicides, pesticides, F County of I and fertilizers; and from the pursuit Butte of agricultural operations including, I Candace J. Grubbs but not limited to cultivation, plowing, Recorder spraying, pruning, and harvesting which '. 8:00am. 2 -Apr -91 I 7. OO_ 7.00 JJ 2 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 'fliat real :property: situate in the County of Butte, State of California, described as. follows: SEE ATTACHED LEGAL DESCRIPTION Date: 3-a s PROPERTY OWNERS: w-. State of Californi4 On this the 25th day of March 19 91 before me, the ) SS. undersigned Notary Public, personally appeared County of Butte ). Thomas J. Page and Leri L. Page °••"•"••"""""....6.•'•••••personally known to me. El Proved to me on the basis OFFICIAL SEAL LUCYA. PERSHALL of satisfactory evidence. m ` NOTARY PUBLIC -CALIFORNIA ;to be the person(s) whose name(s) are •subscribed to the within instrument and acknowledged that they BUTTE COUNTY o i......�...... • MY Comm.Expo• lan.10:• 1992 :executed the same for the purposes therein contained. IN WITNESS 'WHEREOF, I hereunto set my hand and official seal. Present A.P. No_._54T"/ otary Public f - .. •j.S�•G h. prSCRII'TION ALL THAT CERTAIN REAL PROPERTY. SITUATE IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS: PARCEL I: A PORTION OF LOT 2, AS SHOWN ON THAT CERTAIN PARCEL MAP, BEING A PORTION OF SECTIONS 26 AND 35, TOWNSHIP 21 NORTH, RANGE 3 EAST, M.D.B. & M., WHICH PARCEL MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JANUARY 25, 1971, IN BOOK 37 OF MAPS, AT PAGE(S) 70, AND MORE PARTICULARLY DESCRIBED AS FOLLOWS: COMt4ENCING AT THE NORTHEAST CORNER OF SAID LOT 2, AND RUNNING THENCE SOUTH 0 DEG. 00' 10" EAST ALONG THE EAST LINE OF SAID LOT, A DISTANCE OF 1395.70 FEET TO A POINT IN THE CENTERLINE OF A 60.00 FOOT ROAD RESERVATION; THENCE ALONG SAID CENTERLINE NORTH 89 DEG. 59' 30" WEST, 451.31 FEET AND SOUTH 78 DEG. 27' 00" WEST, 566.26 FEET TO TILE TRUE POINT OF BEGINNING FOR THE PARCEL HEREIN DESCRIBED; THENCE FROM SAID TRUE POINT OF BEGINNING NORTH 78 DEG. 27' 00" EAST, 345.00 FEET; THENCE NORTH 00 DEG. 00' 10" WEST TO A POINT IN THE NORTH LINE OF SAID LOT 2; THENCE. SOUTH 89 DEC. 09' 35" WEST TO THE NORTHEAST CORNER OF LOT 1, AS SHOWN ON SAID MAP; THENCE ALONG THE EASTERLY LINE OF LOT 1 SOUTH 07 DEG. 10' 10" EAST, 397.36 FEET; THENCE SOUTHERLY IN A DIRECT LINE TO THE POINT OF BEGINNING. RESERVING THEREFROM A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES OVER THE SOUTHERLY 30 FEET. EXCEPTING THEREFROM ALL MINERALS, INCLUDING GAS, OIL AND OTHER HYDROCARBONS LYING UNDER THE HEREIN DESCRIBED PROPERTY BELOW A DEPTH OF 50.0 FEET FROM THE SURFACE. PARCEL II: A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES OVER PARCELS 1, 2 AND 3, AS SHOWN ON THAT CERTAIN PARCEL MAP, BEING A PORTION OF SECTIONS 26 AND 35, TOWNSHIP 21 NORTH, RANGE 3 EAST, M.D.B. & M., WHICH PARCEL MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF- CALIFORNIA, ON JANUARY 25, 1971, IN BOOK 37, AT PAGE(S) 70.' PARCEL III: A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES AS, SHOWN ON THAT CERTAIN RECORD OF SURVEY MAP, BEING A PORTION OF SECTIONS 26 AND 35, TOWNSHIP 21 NORTH, RANGE 3 EAST, M.D.B. & M., WHICH RECORD OF SURVEY MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON DECEMBER 19, 1974, IPI BOOK 57, AT PAGE(S) 75 AND 76. EXCEPTING THEREFROM ALL THAT PORTION -LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED ABOVE.` PARCEL IV: A. NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES OVER PARCELS 10, 11 AI4D 12, AS SHOWN ON THAT CERTAIN BOUNDARY LINE MODIFICATION BY PARCEL MAP, BEING A PORTION OF SECTIONS 26 AND 35, TOWNSHIP 21 NORTH, RANGE 3 EAST, M.D.B. & M., WHICH PARCEL MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE 8, 1984, IN BOOK 97 OF MAPS, AT PAGE(S) 12 AND 13. PARCEL V: A NON-EXCLUSIVE EASEMENT ''FOR''INGRESS AND EGRESS AND PUBLIC UTILITIES OVER PARCELS 23, 24 AND' 25, AS SHOWN ON THAT CERTAIN PARCEL MAP OF A BOUNDARY LINE MODIFICATION, BEING A PORTION OF SECTION 35, TOWNSHIP 21 NORTH, RANGE 3 EAST, M.D.B. & M., WHICH PARCEL MAP WAS RECORDED IN THE OFFICE OF TIIE RECORDER OF THE COUNTY OF BUTTE, STATE -.OF CALIFORNIA, ON MARCH 5, 1981, IN BOOK 81 OF MAPS, AT PAGE(S) 99. END OF DOCUMENT RESIDENTIAL PLAN CHECKING GUIDE .12/90 (S.F., DUPLEX & MISC. ONLY) Bldg. Permit # / yl— �?/ OWNER 415F A.P. # — —3 Plan Checker GENERAL I Zoning requirements: (sideyards and number of permitted living units). Y-a-luation. Elans signed by designer. Proper description of work on application. vv_ Items on data sheet.(W.C.,fees, Health, Developer Fees, License law, etc). 7-. — RICC[..V1�CQ- lI - - -- dLTD'I1•. . ef L' T P :P Complete parcel size and dimensions. Setbacks, sideyards, easements, etc. • f fv • a `}. �1.4 Flood hazard. •_ f and faun hrti-o ). FLOOR PLAN �omplete to scale plan with dimensions. ��Required quired windows for light and ventilation (Sec. 1205). windows for second exit (Sec. 1204). e" --Skylights (Chapter 34 & Sec. .5207).• Human impact glass (Sec. 5406). Required room sizes, ceiling heights (Sec. 1207). l FCIs*in baths, garage, kitchen, and exterior outlets (Article 210-8). Light fixtures, switches, receptacles, and exterior receptacles for main- tenance of mechanical equipment. ! Locations of water heater, heating and cooling equipment, other electrical or gas equipment. r Garage firewall, door size, and closer (Sec. 503(d)(3)). 1 - 3'0" exterior exit door (sec. 3304 (f). Fireplace and wood stove location, alcoves, and clearance. Smoke detectors (Sec. 1210). rRumbing fixtures, water closet clearances and shower size. STRUCTURAL DETAILS Standard bracing or engineered design (Table 25V) Unusual shape, size, or split level house requiring lateral design. Foundation plan -complete enough to construct building. Floor construction details complete enough to construct building. Elevations and wall construction details complete enough to construct building. Roof construction details complete enough to construct building. 71replace construction details and calcs if necessary. Rafter ties or bearing ridge beam. Garage door or porch header sizes. S-tud heights. Adobe soils - special foundation design. Retaining walls requiring design. Special Inspection required. 12/90 RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR L airway details: landings, rise and run, head clearance, handrails c. 3306). ardrail details (Sec. 1711 & 3306(j). ck or stone veneer (Chapter 30). erior plaster - weep screeds (Sec. 4706). per roof pitch for roof convering (Chapter 32). Roof covering type - (fire hazard). oam insulation - protection. 36" halls and stairways. -9. Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, -etc. Two exits on three-story dwellings (sec. 3303 & see Mezannines - 1716). ttic access and ventilation (Sec. 3205). -12—Underfloor access and ventilation (Sec. 2516). —Combustion air for fuel burning appliances - L.P.G. requirements. Noise requirements on duplexes. j.&! Energy design. .4444(j1W Flashing at all exterior openings. L� DF responsible area requirements. e5a;uAelc7 AllC1r-6Sa� Sys �7O 7 .Certificate of Compliance: Residential F& Project Address BUILDING DATA Conditio Floor Area e'—z1,FO Slab sed Fl (X Single Family Detached (SFD) (] Single Family Attached (SFA) [ ] Multi -Family (MF) BUILDING SHELL INSULA Number of Stories Number of .Units [) Addition -Alone [ ] Existing Building [ ] Existing -Plus -Addition Component Insulation Locafinrl/eomments Type R -Value (attic. to garage t piccL etc.) Wall .............. _ Wall ............. Roof ............. 3a Roof ............. Floor ............. Floor ............. SIab Edge ..... GLAZING Shading Devices Climate Zone 11 Z - - q/ Building Permit # Cbedced By / Date Enfonxment Aitency Use only Glaring Orientation Glass Area % Glass North z , 5 East ,U North ( ) South West a , 5 3 /-0 Skylight 016 Total i/. 5 /;z • tr Glaring Orientation Area Glass Type Interior Exterior Overhang Framing Type (Sn (single. double) Qo11er blind. etc.) (Shade=am etc.) (yesmo) (metal/wood) North ( ) �(� L✓ _ North ( ) East ( ) East ( ) South ( ) 42 2_ Sou th ( ) West ( ) West ( ) Skylight....... THERMAL MASS Type/Covering Area Thickness (stab/exposed, tile, etc.Z� Of) (inches) Location/Description (kitchen, bath etc ) 1 HVAC SYSTEMS Minimum Duct Type (furnace, air Efficiency Location Duct Output Manufacturer / Model # conditioner, heet pump) (SE, SEER,HSPF) (attic, etc.) R -Value (Bmh) (nr annmvi-A ennal) NOW Maximum Furnace Heating Output: ' Btuh 140T WATER CVCTRMQ etc. 9 Tank L 160 O�Q Manufacturer/Model # SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) ty 'EER ducts in attic) I of 7-10 d4 b -4 b +6 to 16 or .6 +5 +15 more -10 -8 -6 -4 -6 -5 -4 -3 -4 -3 -2 -2 -3 -2 -2 -1 0 0 0 0 3 2 2 1 5 4 3 2 7 6 4 3 11 9 7 5 14 12 9 6 live SEER Dud emcienc7) 4 of 7-10 ,14b -4b +6b 16 or -6 +5 +15 more -21 -17 -13 .9 -9 -7 -6 4 -4 -3 .. -2 -2 0 0 0 0 6 5 4 3 12 9 7 5 16 13 10 7 19 15 12 8 22 18 14 9 24 20 15 10 trol Adjustment 7 6 4 3 System Installed 4 -3 -2 -2 2 2 2 1 etached and Attached Unit Size (sQ 1200 1700 2200 2700 to to to or 1699 2199 2699 more 0 0 0 0 8 6 5 4 5 4 3 3 3 3 2 2 _ 5 4_ 3 3 .24 -18 -15 -12 -1 -1 0 0 -12 -9 -7 -6 -16 -12 -10 -8 -12 .9 -7 -6 -3 -2 -2 -2 5 4 3 2 _2 1 1 1 -19 -14 -11 .9 5 4 3 3 -6 -5 -4 -3 / (Individual 40% units) 50% Unit Size (so 60% 700 1200 1700 2200 10 to b or 1199 1699 2199 more 0 0 0 0 7 5 4 3 5 3 2 2 4 3 2 2 5 3 2 2 -23 -15 -11 .9 1 1 0 0 -12 -8 -6 -5 -13 -8 -6 -5 2.7 2.9 -6 -5 -4 -3 -2 ; -2 3 2 1 1 0 0 0 0 715 -10 -8 -6 9 6 4 4 -4 -3 -2 .2 Point System Summary: Climate Zone 11 SCORE CARD 1. Ceiling Insulation 2. Wall Insulation 3. Raised Floor Insulation 4. `Slab Edge Insulation S. Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) Measures t2 3a or R -value 1381 5 or R-vpitle [ 11] 'V (J or R -value 119) u-vaiuc tv.wvl U -value [0.098] v-vaiuc lv.\uil or R -value [0] F2 factor (0.77] Standard 'D -NL Type [double] U -value (0.65] % Total Glass [ 161 Point Scores -A �I y J 0 +5 *.5 Sum 1.6 % Glass SC Eff. % G� l� a. North c./. S x = 3 •' / 7 b. East a -3 x = /. ?1 0- c. South 3 X.3 a- d. West � x = e. Skylight D . 5 x _ _ 4! 1 8. Shading (Shade Closed) % Glass SC Eff. % Glass O a. North l.�• S x a - �1 % b. East .3 x = 5 �- c. South (1-3 x d. West 1.0 x = e. Skylight D x-_�-- 9. Interior Thermal Mass TYPE 1 MASS AREA InteriorMus/CFA COND. FLOOR AREA 10. Exterior Wall Mass TYPE 2 MASS AREA _ e Exterior Wall Mass ND. L OR AREA 7-10 11. Heating System a1 x = , 517 Zonal Control? ( Y / N) SE or HSPF Duct Efficiency 10.781 Effective SE or [0.76.61 HSPF [0.56/5.151 / 12. Cooling System � • q1 x �� = 7.2 -r I Zonal Control? ( Y / N) SEER [9S] Duct Efficiency (0.741 Effective SEER 17.031 13. Water Heating 5& J Type [SGl Credit [none] Point Total: Interior Mass/CFA \ "PC 2 PASS 41.2.01K•4.2t te.rn.e.a .1_el TYPE I ., KASS (UIIIC + 4.2, Se: exposed slab) 0% 5% 10% 15% 20% 2S% 30% 35% 40% 4SY. 50% 55% 60% 6tk 70% 75% 80% 85% 90% 95% 100Y. 105% 110Y. 115% 120% 125- 0% 0 0.1 0.4 0.6 0.8 1.1 1.3 1.5 1.7 1.9 2.1 23 2.5 2.7 2.9 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5 53 10% 0.2 0.4 0.6 0.8 1 1.2 1.4 1.6 1.9 21 23 25 2.7 2.9 3.1 3.3 3.5 3.7 4 4.2 4.4 4.6 4.8 S 5.2 5.4 20% 0.3 0.6 0.8 1 1.2 1.4 1.6 1.8 2 2.2 24 27 29 3.1 3.3 3.5 37 3.9 4.1 4.3 4.5 4.8 5 52 5.4 56 30% 0.5 0.7 0.9 1.1 1.4 1.6 1.8 2 2.2 24 28 28 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 5a 40% 0.7 0.9 1.1 1.3 1.5 1.7 1.9 2.2 24 26 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 59 50% 0.9 1.1 1.3 1.5 1.7 1.9 21 23 2.5 27 3 32 3.4 3.5 3.8 4 4.2 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 55% 0.9 1.1 1.4 1.6 1.8 2 2.2 24 2.6 28 3 32 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 5.8 6 6.2 60% 1 1.2 1.4 1.7 1.9 21 2.3 25 2.7 29 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 S 5.2 5.4 5.6 5.9 6.1 63 65% 1.1 1.3 1.5 1.7 1.9 2.2 2.4 2.6 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 53 55 5.7 5.9 6.1 64 70% 1.2 1.4 1.6 1.8 2 2.2 2S 27 2.9 3.1 33 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 5.2 5.4 5.6 So 6 62 64 75% 1.3 1.5 1.7 1.9 21 23 25 27 3 3.2 9.4 3.6 3.8 4 4.2 4.4 4.8 4.8 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 WY. 1.4 1.6 1.8 2 2.2 2.4 26 2.8 3 3.3 3.5 3.7 3.9 4.1 4.3 4.S 4.7 4.9 5.1 54 56 5.8 6 6.2 64 66 85% 1.4 1.7 1.9 2.1 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 5 52 54 5.6 59 6.1 63 6S 67 901:' 1.5 1.7 2 2.2 24 26 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 53 5.5 5.7 5.9 6.2 64 66 68 95% 1.6 1.8 2 2.2 2.5 27 2.9 3.1 33 3.5 3.7 3.9 4.1 4.3 4.6 4.6 S 5.2 5.4 5.6 5.8 6 6.2 6.4 6.7 69 100% 1.7 1.9 21 2.3 2.5 28 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 55 5.7 5.9 6.1 6.3 6.5 6.7 7 105% 1.8 2 22 2.4 2.6 28 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 S.1 5.4 5.6 5.8 6 6.2 6.4 6.6 68 7 110Y. 1.9 2.1 2.3 2.5 27 29 3.1 3.3 3.6 3.8 4 4.2 4.4 4.6 4.8 5 5.2 5.4 5.7 5.9 6.1 6.3 6.5 6.7 69 7.1 115% 2 2.2 2.4 2.6 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 6.2 6.4 6.5 6.8 7 7.2 120% 2 2.3 2.S 2.7 29 3.1 3.3 3.5 3.7 3.9 4.1 4.4 4.6 4.8 5 5.2 5.4 5.6 58 6 6.2 6.5 6.7 6.9 7.1 .7.3 125% 21 2.3 25 2.8 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.7 7 7.2 7.4 Point System Summary: Climate Zone 11 SCORE CARD 1. Ceiling Insulation 2. Wall Insulation 3. Raised Floor Insulation 4. `Slab Edge Insulation S. Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) Measures t2 3a or R -value 1381 5 or R-vpitle [ 11] 'V (J or R -value 119) u-vaiuc tv.wvl U -value [0.098] v-vaiuc lv.\uil or R -value [0] F2 factor (0.77] Standard 'D -NL Type [double] U -value (0.65] % Total Glass [ 161 Point Scores -A �I y J 0 +5 *.5 Sum 1.6 % Glass SC Eff. % G� l� a. North c./. S x = 3 •' / 7 b. East a -3 x = /. ?1 0- c. South 3 X.3 a- d. West � x = e. Skylight D . 5 x _ _ 4! 1 8. Shading (Shade Closed) % Glass SC Eff. % Glass O a. North l.�• S x a - �1 % b. East .3 x = 5 �- c. South (1-3 x d. West 1.0 x = e. Skylight D x-_�-- 9. Interior Thermal Mass TYPE 1 MASS AREA InteriorMus/CFA COND. FLOOR AREA 10. Exterior Wall Mass TYPE 2 MASS AREA _ e Exterior Wall Mass ND. L OR AREA 7-10 11. Heating System a1 x = , 517 Zonal Control? ( Y / N) SE or HSPF Duct Efficiency 10.781 Effective SE or [0.76.61 HSPF [0.56/5.151 / 12. Cooling System � • q1 x �� = 7.2 -r I Zonal Control? ( Y / N) SEER [9S] Duct Efficiency (0.741 Effective SEER 17.031 13. Water Heating 5& J Type [SGl Credit [none] Point Total: Mandatory Measures Checklist: Residential MF -1R NOTE: Lowrise residential buildings subject to the Standards must contain these mcaiures regardkm-Df the compliance approach used. Items marked with an asterisk N may be superseded by more stringent compliance mqu_renxnts listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as binding minimum component perforn Ince specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. DESCUPflON I DESIGNER I ENFORCEMENT I Building Envelope Measures §2.5352(a): Minimum ceiling insulation R-19 weighted avenge. §2.5352(b): Loose fill insulation manufacturer's labeled R -Value. §2.5352(c): Minimum wall insulation in framed walls R-11 weighted average (does not apply to exterior mass walls). §2-5352(k): Slab edge insulation - water absorption rate no greater than 03%. water vapor transmission rate no greater than 2.0 permftnch. §2.5311: Insulation specified or installed meets California Energy Commission (CEC) quality standards. Indicate type and form. §2.5352((): Vapor barriers mandatory in Climate Zones 14 and 16 only. §2.5317: InfiltradowExfiltration Controls a. Doors and windows between conditioned and unconditioned spaces designed to limit au leakage. b. Doors and windows certified. c. Doors and windows weatherstripped: all joints and penetration caulked and sealed. §2-5352(e): Special infiltration barrier installed to comply with 02.5351 meets CEC quality standards. §2-5352(d): Installation of Fireplaces I. Masonry and factory -built fireplaces have: a Tight fitting, closeable metal or glass door b. Outside air intake with damper and control e. Flue damper and control 2. No continuous burning gas pilots allowed. HVAC and Plumbing System Measures §2-5352(8) and 2-5303: Space conditioning equipment sizing: attach akuladons. §2.5352(h) and 2.5315: Setback thermostat on all applicable heating systems. §2-5316(a): Ducts constructed, installed and insulated per Chapter 10, 1976 UMC. §2-5316(b): Exhaust systems have damper controls. §2-5314(c): Gas -furl space heating equipment has intermittent ignition devices. §2-5314: HVAC equipment, water heaters, showesheads and faucets certified by the CEC. §2.5352(1): Water heater insulation blanket (R.12 or greater) or combined interior/exterior insulation (R-16 or greater): fust 5 feu of pipes closest to tank insulated (R-3 or greater). §2-5312(Excep6on 1): Pipe insulation on steam and steam condensate return At recirculating piping. §2-53 19(d): Swimming Pool Heating 1. System has: a. On/off switch on heater. b. Weatherproof instruction plate on heater: c. Plumbed to allow for solar. 2. 75 percent thermal efficiency. 3. Pool cover. 4. Time clock. 5. Directional water inlet. Lighting and Appliance Measures §2.53520): Lighting - 25 lumens/watt or greater for general lighting in kitchens and bathrooms. §2-5314(c): Gas fired appliances equipped with intermittent ignition devices. §2.5314(a): Refrigerators, refrigerator -freezers, freezers and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with Title 24. Chapter 2-53 and Title 20. Chapta2. Subchaptet4. Article I of the California Administrative code. This certificate has been signed by the individual with overall design responsibility and the building owner. who shall retains a copy of it and transmit the certificate to any subsequent purdhaser of the building. Designer Mame: riddFirm: Adds=: . Tetephone: Lic. N: (signamrc) Documentation Author Name: Title/Fum: Addmss: (date) Enforcement Agency Name: Ager- Telephone: 1. Ceiling Insulation 2. Wall Insulation Single- Number of stories - -- R -value One Two Three R-0 -103 -49 -02 R-19 -8 -4 -2 R-30 -2 -1 .1 R-38 0 0 0 U -value 8 6 4 0.50 -176 -84 -54 0.30 -102 -49 -02 0.10 -26 -13 -8 0.08 -18 -9 -6. 0.06 -11 -5 -4 0.04 -4 -2 -1 0.02 4 2 1 0.00 11 5 3 2. Wall Insulation 3. Raised Floor Insulation Single- Single - - -- R -value Family Family Multi - R -value Detached Attached Family R-0 -68 -51 -04 R-11 0 0 0 R-13 2 2 1 R-19 8 6 4 U -value -3 R -value --- 0.60. 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 S. Infiltration (Air Leakage) Specification Points standard a 6. Glass Heat Loss Total Insulation in Floor Number of stories - -- R -value Number of stories Two R -value One Two Three R-0 -17 -8 -5 R-11 -3 -2 -1 R-19 0 0 0 R-30 3 1 1 U -value Number of Stories -3 R -value --- 0.60. -144 -70 -46 0.50 -120 -58 -08 0.40 -95 -46 -00 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 S. Infiltration (Air Leakage) Specification Points standard a 6. Glass Heat Loss Total -14 Number of stories - -- R -value One Two Three R-0 -11 -7 -5 R-5 -4 -4 3 R-11 -2 -2 -2 R-19 -1 -2 -2 4. Slab Edge Insulation -90 -07 - Number of Stories -3 R -value One Two Three R-0 0 0 0 R-5 8 5 2 R-7 8 6 3 F2 factor 5 1 28 -55 0.90 -4 -3 -1 0.80 -1 -1 0 0.70 2 2 1 0.60 6 4 2 0.50 9 6 3 0.40 12 8 4 S. Infiltration (Air Leakage) Specification Points standard a 6. Glass Heat Loss Total -14 -48 - -- Efrective Percent Glass Ll -value Percent -12 (percent glass x SC) .51 to .41 to .31 to 0.3 Glass Single Double .60 .50 .40 le 50 -121 -53 -39 .24 .10 40 -90 -07 -26 -14 -3 35 -75 -29 -19 .9 1 1 30 -61 -21 -13 -4 4 1 29 -58 -20 -12 -3 5 1 28 -55 -18 -10 .2 5 1 27 -52 -17 -9 -2 6 1 26 -49 -15 -8 .1 7 1 25 -46 -14 .7 0 7 1 24 -43 -12 .5 1 8 1 23 -40 -11 -4 2 8 1 22 -37 -9 -3 3 9 1 21 -34 .7 .2 4 10 1 20 -01 -6 0 5 10 1 19 -29 -4 1 6 11 1 18 -26 -3 2 7 12 1 17 -23 -1 3 8 12 1 16 -20 0 4 9 13 1 15 -17 1 6 10 14 1 14 -14 3 7 10 14 1 13 -12 4 8 11 15 1 12 -9 6 9 12 15 1 11 -6 7 10 13 16 1 10 -3 9 11 14 17 1 9 -1 10 13 15 17 2 8 2 12 14 16 18 2 ) or >s l 0 2 2 3 3 4 4 4 5 5 5 6 5 6 7 7 7 B B B B B ) ) 7. Shading (Shade Open) -14 -48 - -- Efrective Percent Glass na 16 -12 (percent glass x SC) -59 Effective na 14 -10 %Glass North East South :West Skylight 18 5 1 4 1 na 16 4 2 5 1 na 14 4 2 5 1 na 12 3 3 5 2 na 11 3 3 5 2 na 10 2 3 5 2 1 9 2 3 5 2 2 8 2 3 5 2 2 7 1 3 4 2 2 6 1 3 4 2 3 5 1 2 4 2 3 4 0 2 3 1 3 3 0 1 2 1 .3' 2 0 0 1 0 3 1 -1 -1 -1 -1 2 0. -1 -2 -4 .2 0 na = not allowed -9 1 �. Shading (Shade Closed) 1 1 1. Effective Percent Glass 0 2 3 (percent &law x SC) 3 %Gctiwi iese Norte bat South Wait Skylight 18 -14 -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 -33 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 m - not all^. od 9. Interior Thermal Mass Interior Single- Slab Floor Raised Floor Mass Family Stories Multi Mass Stories Atmcihed /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 0.7 -5 -2 .1 1 2 2 0.9 -5 -1 0 2 3 3 1.1 -4 -1 1 3 4 4 1.3 -3 0 2 3 4 5 1.5 -3 1 2 4 5 5 2.0 -1 2 4 5 6 7 2.5 0 3 5 7 7 8 3.0 1 4 6 8 8 9 3.5 2 5 7 9 9 10 4.0 3 6 8 9 10 10 4.5 3 7 8 10 11 11 5.0 4 7 9 11 12 12 5.5 5 8 9 11 12 12 6.0 5 8 10 12 13 13 6.5 6 9 10 12 13 13 7.0 6 9 11 13 13 14 7.5 6 10 11 13 14 14 8.0 7 10 11 13 14 14 8.5 7 10 12 13 14 15 10. Exterior Wall Thermal Mass Exterior Single- Single - _ Sum of to Wall Family Family Multi Mass Detached Atmcihed Family 0.00 0 0 0 1 0.20 3 2 1 0.40 5 4 3 0.60 8 6 4 0.80 10 8 5 1.00 13 10 7 1.20 13 12 8 1.40 12 13 9 1.60 10 13 it. 1.80 10 12 12 2.00 10 11 13 11. Heating System SE or RSPF (assumes duets In attle) Zonal Control Adjustment System Type Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 Water ; i99 _ Sum of to Credit or Type Type -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 EfTective SE or HSPF (SE or HSPF x duct efficiency) Effective -25 or -24 to -14 to -4 to +6 to 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 15 Zonal Control Adjustment System Type Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 Water ; i99 Heater Credit or Type Type less. SG None 0 or Solar 12 HP HWR 8 WSB 5 POU 8 SE None -37 Solar -1 HWR -18 WSB -25 POU -18 IG None -5 Solar 7 POU 3 IE None .28 Solar 8 POU -10 Multi-Faml Water Heater Credit Type Type SG None or Solar HP HWR WSB POU SE None Solar HWR WSB POU IG None Solar POU IE None Solar POU 699 or less 0 14 9 9 9 -45 2' .23 -25 _23 -8 6 1, -00 18 ; -8 1 ZL COUNTY Or BUTTE DEPARTMENT Or PUBLIC 'WORKS 7 County Center Drive Oroville,. CA 95965 .534-4266 January.17,. 1977 Balotcc, Inc, Re'' AP 41-12-51 655 Lucky John Rd. Paradise, CA 95969 Enclosed please find a. copy of the Certificate of Compliance issued by the Butte County Board of Supervisors , which was recorded on January 4, 1977 ,. in Book 2133 , Page 206 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 McLaren Parker Assistant Director MP/db Enc. 9 655 Jchrrjd. P 95969 ararlis�, �..-. rye a ZU vFF.'CIA- RECORD- oBUTTE CG'J ITY=C; r 1� COU NTY OF B�� J�,� 8 30 AN 1971 CCUhTY; FES This C2='-ificaoa oc Comnlio�tnce is }7e�otjv 153L:?e by the Count Q. ���`� to C� _ Wil`'.' that land d4which created the oa.rcel of ^�"LY ide tiEiad belo�i co -^71; as 1`L`t apol_ c.Able T'1;0 vI;10 1S of the S�_-_­i_si°o1 Mao Act and oL C^ante ' Zi of t:he 'E]ti-ta Coun-v Cod=. l.' Property south side of Perms "Road, appr0x 1 mi. east of Glare Rd. (Stats L^rr 191), Paradisa. 2. Assessor's Payrel Nur-:3ar: 41-121-51 Description: All at certain oro arty located. in theCount,, of Butte, State of California,. mora particularly described as follows: z _co-tior_ of Lot 2, 3s shown on that certain Record of Surrey, Map of a portion of Sections 26 ani 35, T21ti, 33I, ?LL33&M: which '1Iap was recorda& in th.e office of.tca Recorder of the County of Butte, on January 25, 19712 in Booms 37 cf 11- ps, at page 70; arca more partict0larly despribed as follows: Co�r:ercir. at the N" --corner of said Lot 2 and running thence S 0° 00' 10" E alar= the E lire of said. Lot a distance of 1395.70 ft- to a point in'' the cer_terlia oL a. 60,.00 ft. road reservation; -hence along? 'said_ canterline 8-o 51;' 30" '7 4.51.31 ft. and S780 27' 00 W 566.26 ft. to the: true point of for the parcel herein described; thence from sa.i.d.true point of beginning ,; 780 27' 00" E 345-00 ft. thence r; 000 Go, 10" W to a point in the .N line of. ° 0 to the?7 corner of Lot 1 as shoc:n on said - s==�: ' of 2; thence S 89 9 35 ,'gyp 1'- ence along the easterly line of Lot 1, S 070 10' 10�" E 397.35 ft; _ther_ae southerly in a direct lire .to --the -poi:nt--of berinn:urq.- -- Issuance of this c=_- tificate is con itional upon the follow- �-- coneit:ic-nS t•:'_ ich hates imn- osee nu -suint to Butte. County Code.. Chia -t—- 20-48 and Govornm,nt Codes, -ction 66499.35 (b), =--otect the public health and public safet4t. 0 0 N CID- Of .J._Of BL:��� Board o S_ip�_�isc�s _ C� B v END �r= i�C?iLkiil' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County ,Geoter Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT r A -N ASSESSOR PARCEL NUMBER 041-54-0-003 ZONING SR 5 BUILDING PERMIT OWNER TELEPHONE 896-0930 SO. FT. OCC. BUILDING VALUATION 300 OPEN 2100 OWNER'S MA D 22 HEMMING LANE CHICO CA 95927 CONTRACTOR'S NAME NICKELSON DEVELOPMENT ITELEPHONE 345-5 CONTRACTOR'S MAILING ADDRESS P.O. BOX 7741 CHICO 95927 Fireplace. CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 1000 LENDER'S MAILING ADDRESS Permit Fee $38.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 19.25 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 4436MYVALLI DRIVE OROVILLE Permit tee $ 67.75 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. 3 SUBDIVISION NAME C P ROLLING HILLS 75— Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF q Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W O.00ea TYPE OF WORK New ❑ Addition g Remodel ❑ Uti lities ❑ Installation[] Other ❑ Describe work: ADD'L OPEN DECK RE: 741-91 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 0001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare -under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business 1 and Professions C e and my license is in full f rce and effect. �� License No. Classification. ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.ad) OR AODNS. ACC. SLOGS. '/z¢sgft NEW CONSTR. ULT' -OUTLET NO N•RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e SINGLE OUTLET CIR. ) EX. Occup(OUTLETS OR FIXTURES 20050t eALe3o FIXED ALNS. Ex. Occup. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. 6yirin 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate f Consent to Self -Insure. shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed.revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all Iia i ties, ju gments, costs, and expenses which may in any way accrue agai t aid C u in co equence of the granting of this per it. ' Date 11 Signature of Applicant — Owner ❑ Contractor � Agent ❑ 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 $ i Energy Inspection Fee $ occ — -- CONST TYPE TOTAL FEE $ 67.75 HAz. CUA PARK scHL FLo DF PAR PD 1 H 'ssuE This permit is hereby issued under the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTO OF PUBLIC WORKS BY D(�ate X-44WHITE-D.P.W., P IT EXPIRES Date `+—L--72 Receipt No.94498 YELLOW-ASeESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT Y•cl=f�''.3�'��7�'Vi71s�'tti"sg*`'-'t.,�4^�..�. ,.*2'wt,.�.�V.y...f:r :t'�.y.`.P''{5.�..Y„4�.���Sr�r«7"_,��...y fi`y•.. �t `�.,��ws�:.✓e�,i�F 1-.•,... s -'r i^ --f-, 9.r�• r � ALT, - _ 1 COUNTY OF BUTTE - DEPARTMENT OF PUBL •C�yW {� KS -BUILDING DIVISION r~ / 7 COUNTY CENTER DRIVE 'OROVILLE`'CALIFOFTIIA 9t#5 - TE PHONE: 916/538-7541 PERMIT APPLICATION DATA S4ET , r--�-- OWNER Permit No. T© t A. P. No. Proposed Building Use ^Building'lnspector Date L . At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been -submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans . . 5. Hazardous Material Form ......................................... . 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. 14. Sc ool District fees paid .............. Sanitation approval from rt9y i I(P Health Department /ly'� F1 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of i (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ,i4• 24. Recorded copy of Agricultural Acknowledgment -Statement .........l 25. Letter of signature authorization O 26. When you issue the mit, process as follows: Maio owner. Mail to contractor. Telephone g - hold /'Q and for pickup at office. Deliver w/inspector. . 'k Other 3 — t }� Applicant Date �1 Copy of Hdz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other,; ;Date The following data must be submitted prior to permit issuan 1. Index permit for above items No. 2. Additional items required: (C i rc I'eevv • i By Checked above). Contractor, designer, owner, was advised of above required data by_phone---naiI—counter by ..date Contractor, designer, owner, was advised of above required data by—phone —ma II —counter by date Plans checked ,e Sets of plans on hold in Copy—DPW Date Plans approved by File cabinet AP folder Date —L 4;. TO Buildinv Department FROM: Environmental Health SUBJECT: Sanitation ClearanceD14Q 'k"j- Lo Ae' / to Owner ocation AP# Plan Approved for: Sewage Disposal Water Supply Hold final for: Water Supply ^incl clearance O.R. for: W ter Supply Clearance for bedroom mobile home. Other NOTE *** • � r Sanitarian a e COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO, 7 County Center Drive - Orovlllet California 95985 - Telophono: 918/538-7541 APPLICATION ARD PERMIT Aar, a ` N M89 ^ O©� BUILDING PERMIT WNL S0, FT. OCC. BUILDING VALUATION OWr){R' �S MAII-ING 633 tC© 95?�6 11 COON`TR C O 'S N M - f- vFO T L P H O N E .. CON A TOR'S AILING A00 E S 0 . 4Zt CO �S /� Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 10.00 Permit Fee Plan Checking Fee $ $ ' /1 o� ARCHITECT OR ENGINEER'S MAILING ADDRESS _ Energy Plan Checking Fee $' Penalty nalt $ SUILOINc D RESS Perm fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO. SUSO ISI NAME PARCEL MAP © , %l SEach g �) Water piping 5,00 Qas water heater or vent 5,00 USE OF STRUCTURE SF � Duplex[] Mobilehome❑ Other SPECI FY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 EEEd Mobile Home S G W 0.00 ea TYPE OF WORK New ❑ Additio 7emodel ❑ UtiIit' s ❑ installation[] Other ❑ Describe work: ` — qf Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 CONTRACTORS LICENSE LAW I declare under penalty of p y perjury y (check one): ❑NON-RESIO I am licensed under provisions of Chapt. 9, Div. 3 of the Busines$POWER and Professions Code and my license is in full force and effect. License No. Classification. ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason Main service EA. ADO'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP. N`` OR AODNS. ( ACC. SLOGS. f ,/z¢sgft NEW CONSTR ITU—LFI-OUTLET BRANCH CIRC ITS 2.50 ea APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 8ALO 30 FIXED APLNS. Ex. Occup. OUTLETS IPRESID IKEA.) 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): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3,00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. XThis Date Signature of Applicant - Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over in he' t. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ ! 7 ,tiO..t$SUE HAz cuA PARK SCHL FLo coF PAR pD I permit is hereby issued unaer sions of the Butte County. Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date L the applicable provl- resolutions to do have been paid. WORKS Date -,* -� �3/storiess Receipt No. 7 T [ WHITE-O.P.W.. YELLOW-ASOCSSOR. PINK -INSPECTOR. GOLD ENRoo- PPLICAN r --ray_ I BUtTE COUNTY -B,UILDING DEPARTMENT A P P 0 V E D f v k t, t, t5y Lf FWO m TYP. 4'xV 17b�' T4 G PLYWOOD CC EXT. X I`_ , RM_ f —IT' v-12" PIES _TDPy{EW H AUDVAIL NOT SHOWN FOK CbACZlTY. 411,,(o DF42 2,,x(P", DEWWG (ALT) 3/S" BDLT G I F D E R S °1 Ps" TSG t'LYWOUD U EXT 2"x4" i MOBILE NOME �► OR DEC.1� MAX , L� ply I1 . \ 49' MTL, FRMI16 MAX, CLIP (Ek SIDE) q„Mli�l. I„x9`/POST • �. �rlIARDlZ�IL2DF 3, „ _ r , R DOLTS 6„MhX. — DECKI1Jf, GIRDER PiEI; AC.� <; t -,'Tt >tr"�L'G�tJr 1, BUTT fJCFlCItJ�,, TP1C',_ , rte—, a ."'D.:'h' ... y;: `'”-..,; ,�� ..' �`i"•r COUNTY O�UITE — PWT NT;F 63LIC WORKS 7 County Center Drive — Oroviiie, California 95965' Telephone: 538--7541 -