Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
062-690-001
F' Phillip L. McKim 0(` P-(oC10-0( � ff 0Pine Tree'Ln_ 500'SW of Bald. Rock rry eek + wPermit� #5628r79B,P.E(new pri.det.garage) CY . Permit 96494-80B(wood burning stove for r garage r Permit #49,3-80B,P,E-M(new single r family) \ 625912' ° n - Permit963553-82B(lst & 2nd renewals/ I ' 493-80) `. , o _ j Permit#435-84B(3rd renewal/493-80)SF r -6T Permit#439-84B(lst thru 4th renewal/, 5628-79) Permit#657-86B(4th,5th & 6tg renewal 493-$O)SF l f tPermit96658-86B(5th & 6th renewal/5628= . +F s. i . v? rage Permit#2569-87B(7th j ., ���': t �� `"• 6renewa9l2/'493-80) Permit #1641-88B(8th renewal/493-80 ) ° o 4 L4 062-690-001 02-2098 MGKIM,PHIL &JENNIE qu, y i... 33 PINE TREE LN., BERRY CREEK NEW GAS LINE 6_ GAS WTR HTR v' a u- _ ,,c,� ...�,,.. ti;; .n. i:�—•�.::'f �,w .. : Y... ;: r•- .:�. .---�,. w 4•:,ie`�4:.wi-��RaC-.�Y_";�/./�°+ 7.'n� •D!�; %'>,'fS.K, ""�+i' EGAS 02-2098 + NNIE ERRY CREEK GAS WT HTR c - i i 1 r j ' y • .5 OFFICE COPY Address GAS � � Meter By Date4 �L� ELIC J� Met`er—� _- INALED ' r f IF COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATIGIN, AND PERMIT 02-20QR (567SOgE N ER V L ZONi' G BUILDING PERMIT MA AND JENNIE tNCKIM TEE HONE SO. FT. OCC. BUILDING VALUATION 3'3'VfW`2`Gftff LAN, BERRY CREEK 95916 6afJR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICE E NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 33 PINE TREE LN, FERRY CREEK Energy Plan Checking Fee $ $ rr i PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCi L MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF)p Duplex ❑ Mobilehome ❑ OtherWater :_ SPECIFY TYPE OF WORK.. New ❑ Addition ❑ Remodel ❑ Utilities M Installation ❑ Other 0Building Describe Work: NEW GAS LINE AND GAS WATER HFAnL i Solar or heat pump water heater 23.00 piping 15.00 Each as water heater or vent 15.00 15.00 Gas piping system 1 - 5 outlets 15.00 15.00 sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ • I ELECTRICAL PERMIT Filing Fee 20.00 600V OR LESS Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: J9 I, as owner of the property, or my employees with wages as their sole co pensation, will do the work, and the structure is not intended or offered for sal ❑ I, as owner of the property, am exclusively contracting with license contractors to construct the project. ❑ 1 am exempt under Sec. , Business and Professions ,de for this reason Main Service 200A TO I000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. a ACC. OCC. SO 3.5¢FT. µRCOIDT. MULTI.. BRANCH OUTLET @7,50 POWER APPARATUS b SINGLutLET E OCIR. OUTLET OR FIXTURES Ex. Occup.SAL 20 @ I'50 @ .so APPLNS. Ex. Occup. pvTL FUCED D RESID. EORA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirin 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. _ X Date '^ � r� _ Signature of Applicant - Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee. 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 50.00 HAZ. p. FEES IMP FLOOD I CDF PARCEL I Pp I HD WUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions ve jpr which fees have been *By 1� f Date PERMIT EXPIRE ON' ���//// Dale provisions to do work paid. C. •-� S S ' G� Receipt No. 360652/3-90.W WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 _ 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE - 2coI(R OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. % r i / S t , t/ Date fA-7A) 2-- Inspector �v! REV 10/02/ / v COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 02-2098 U82L08T) EUV TER ZONING BUILDING PERMIT PM AND JENNIE MCKIM TELEPHONE SQ. FT. OCC. BUILDING VALUATION S'SETffT2'TW1T LAN, BERRY CREEK 95916 ' V R'S NAME W1, TELEPHONE CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 —Filing Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 33 PINE TREE LN, BERRY CREEK Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUSDNIS IONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ),O Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities M Installation ❑ Other ❑ Describe Work: NEW GAS LINE, AND CTAS WATER HFATFR Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE 50 MCI S ' ELECTRICAL PERMIT Fling Fee 20.00 a00VOR LE Main Service zoOA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: J9 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWa ACEWNG OCCUP. OR ADDNS. ( C. BLAS. SO 3.50 FT. =R.IDT MULTI.OUTLET 97.50 POWEPPARATUS a sINGIFR AOunET CIR. EX. Occup. OUTLET OR FIXTURES 20 20 1 O 60 Ex. Occup. OFlxLn rs Aa DRQ 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (rhe above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. 07) X(_ Date o Signa ure of Applicant - Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ COZhreby TAL FEE $ 50.00 HAZ FLOOD CDF PARCEL PO HD UE This permlt isd under of e B e and/or ind ate afees have By PERMIT EXPIRE ONITE-D.D.S.-B.D. the applicable provisions Resolutions to do work been paid. Date JJ Date rReceiptNo. 360852$50.00 CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT O`VNER-BUILDER VERIFICATION Attention Property Owner: An "owner -builder building permit has been applied for in your name and beating your siBOahue. Please complete and reduce this information at your earliest opportunity to avoid nooeoesaaryLy in processing and issuing your building permit. No building permit will be iced -tumtil :ibis _ verification is received. 1. personally plan to provide the major labor and materials for construction of the proposed property improvement: YES P, NO O 3 2. I HAVE- HAVE NOT ❑ signed an application for a building permit for the proposed WO& 3. I have contracted with the following person (firm) to provide the proposed Co , NAIME: ADDRESS: CITY: PHONE: COiN TRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAIM E: I ADDRESS: PHOr-E: CITY: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNE,R. SOCIAL SECURITY NUMBER: DATE ;/h 8 - 0 a - NOTE: This Owner -Builder Verification is required by Section 19831 and 198314V&d California Health and Safety Code. This verification must be eoMp19W and returned to our office before we are permitted to issue the permit OVER rt �' .A •{•;.ti�PO-RMIT NO. f - �� ,� 67 PERMIT EXPIRES Phillip McKim -OWNER ONTR. owner tp 62`50-52 �= LOCATION (A.P. ) S S Pine Tree Lane, 500' SW of Bald Rock Rd, a, Berry Creek 5 Temp. Pov Called Temp. Ele Called Temp. GaE Called JOB FINALED 1. �t Temp. Pov Called Temp. Ele Called Temp. GaE Called JOB FINALED 1. r t . COUNTY OF BUTTE — -DEPARTMENT OF PUBLIC: 01416S � BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback-/ - ate_ Firewall Soil Piping Forms Parapets 1st Floor 2 Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers 6 — S—r-0 Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwall I Garage Vents Insulation Water Htr. Heaters Slab Prov. for phsically handicaooed Appliances ?( Carport Footings Slab Patio Footings Masonry Walls ex. FIREPLACE Gas Piping & Test Temp. Gas Sanitation Final EL Reinf. Steel Final Fixtures Bond Beam - FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating -Service Brown Cooling Temp. Pole Finish Ducts j i Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping OBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE 9—s - REMARKS OR CORRECTIONS N (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS r 196 Memorial Way, Chico — Phone: 891-2751 7 Craunty Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE OWNER PERMIT NO. f A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office a when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. a ��, , J it 7•: ,/ .a Inspector /�� Date �� P J .COUNTY OF BUTTE = DEPARTMENT OF PUBLIC WORKS 7 C.9 Center Drive - OroviIIe, California 95965 'y 410 Telephone: 534-4541 � APPLICATION AND PERMIT Owner Pw L -Ll P L . e -I _,,► M Mailing Address 6>0(06Q�06 C—L-M 52-it)(L V�'1`p��-,_ s►ng7rj JOSE q�12q Te c7J Y5 7 Contractor 6WAJ15- 2C - Mai I ing Address Telephone No. Building Address S/s P/%AG 772,57C— L AJ. Soo / IVt4/ off= &A&D ) eOG/Z- F2D• 644. A. P. No. -Az' 60' % 6/ Zoning & Plannin F te! ire Dept. FireZone Use Permit EQA Parking Parcel Parcel M 60' R/W Im rovemer Pia p Declaration p Bldg. ans Recd Parce royal Plans pr al NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Single Family EK Duplex ❑ Mobil Home ❑ Others ❑ CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: License No. Classification SQ. FT. I OCC RX BUILDING / 1 BUILDING VALUATION ZS/2O, / 1,2 o a Fireplace I ry I S 08 Total Valuation 2-72-Z-0, Op Permit Fee /Z/. 0 61 Plan Checking Fee &/or Penalty 00115-0 Permit Fee $ /, 50 PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 3,00 Each TraD 4.99• 1'74, 00 Repair drainage or vent piping 1.50 Water piping A-&@ Z.Op Each gas water heater or vent e1-50 Z-4> V Gas piping system 1 - 5 outlets 2.00 Each additional outlet 12.0000 sewer5. E30Building Lawn sprinkler system Ex. OCCUR OR FIXTI1PES Permit Fee $ L:3.0 ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 '35"60 Main service 8000V OR L 0 AMP ORLESS5.00 Main service EA. ADD'L 100 AMP 2.50 OVER Main service OVER - AMP-OR LESS O 25.00 Main service EA. ADD'L 100 AMP// 1.00 NEW CONS. DWELING 0 OR ADDNST V ACCLBLDGS O� 20sgft NEW CONSTR. (MULTI-OUTL T NON-RESID. BRANCH CIRCUITS 2.50ea NEW CONSTR. (POWER APPARATUS e NON-RESID. SINGLE OUTLET CIR. Ex. OCCUR OR FIXTI1PES 50@4 BAL01{OUTLETS FIXED APPLNS. OR EX. QCCU p• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 1 am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE MECHANICAL PERMIT FILING FEE I am aware of the provisions of Section3700 of the California Labor Heating.,000 Code which requires every employer to be insured against liability for Workmen's Compensation. C� I have placed on file with the County of Butte a certificate of y�l Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit is Issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 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. J X Date $ignatur o2er i��ent Receipt No. v White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Coo I i Ia 7 Ventilation Hood 2.00 1.2. O O Permit Fee $ 1 00 $ 0b Land Development Fee TOTAL PERMIT FEE 073 This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF BLIC WORKS By Date .2 B ing permit expires Date Z'y �— �r COUNTY OF BUTTE - DEPAR�TMEAT OF PUBLIC WORKS PERMIT NO 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 ��� .� •�---�. APPLICATION AND PERMIT r ASSESSOR PARCEL NUMBER 62-50-52 ZONING ' A2 BUILDING PERMIT OWNER Phillip L. McKim 408-255-3574 TELEPHONE SQ. FT. OCC. BUILDING VALUATION 1st & 2nd Renewals OWNER'S MAILING ADDRESS 6068 Elmbridge Dr. San Jose CA 95129 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee Original X 2 $ 121.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 131.60 BUILDING ADDRESS -� SIS Pine Tree Ln,.500 S/W of Bald Rock Rd. PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Berry Creek Water piping 5.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF [:1Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 - Mobile Home S G W 10-00e TYPE OF WORK New❑ Addition❑ Remodel❑ Utilities Installation Other Describe work: 1st & 2nd Renewals to #493-80 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 ' Main service EA. ADD'L 100 AMP 2.50 NEW CONST.(DWELLING OCCUP.& OR ADDNS. ACC. BLOGS. I 2/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification [� I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting'�With licensed contract- ors. (Sec. 7044) ❑ I am exempt under Seca , Business and Professions Code for this reason NEW CONSTR.ULT'-OUTLET 2,50 ea NO .RESID BRANCH CIRCUITS) NEW CONSTR. ( POWER APPARATUS &1 NON-RESID. SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES 20@50 ¢ FIXED APPLNS. OR Ex. OCCUp. OUTLETS (RESID,) EA.). 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 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. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 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 sai County in cPAS quence of the granting of this permit. X D ate 1LE Signature of A p:cant — Owner.X 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 $ TOTAL PERMIT FEE $ 131.00 OCCUP. GROUP I TYPE OF CONST. PARCEL PD ND I 1550E 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. MDI�=OPL�BL WORKS Byjt)Date /.-> PERMIT EXPIR S ate 2-29-83 1 3 ka /3 Receipt No. / WHITE-D.P.W.• YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 1. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS _7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 62-50-52 ZOY41NG A-2 BUILDING PERMIT OWNER Phillip L. McKim 408-255-3574 TELEPHONE SO. FT. OCC. BUILDING VALUATION 3rd renewal OWNER'S MAILING ADDRESS 6068 Elmbridge Drive, San Jose, CA 95129 CONTRACTOR'S NAME TELEPHONE CONTRA R'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee z original $ 60.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 70.50 BUILDING ADDRESSt S/S Pine Tree Ln 500 SW Bald Rock Rd BerryCreek PLUMBING PERMIT Filin9Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SFU Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home TsTG W 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: 3rd renewal/493-80 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service j00 AMP OR00V OR LESS10.00 1st & 2nd ren/395-3-92 Main service EA. ADD'L too AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC, BLDGS. t 2/20sgft CONTRACTORS LICENSE LAW I declare under p natty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and m license is in full force and effect. Y License No. Classification ,l, 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 CONSTFL ULTLOUTLET 2,50 ea NON.R ESID BRANCH CIRCUITS NEW CONSTR. (POWER APPARATUS &') NON.RESID. (POWER OUTLET CIR, Ex. Occu Ts OR FIXTURES BL®30 zAL@ P�o FIXED APP LNS, OR EX. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. P07I 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. 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 s u ty in consequence of the grantinf this permit. L _9� 1 X — ate Signature of Ap icant – OwnerX 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 $ TOTAL PERMIT FEE $ 7n Cin OCCUP. GROUP I TYPE OF CONST. [—IPARCELI PD HD I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which F UUBLIC BY ;7; PERMIT XPIR S Date 2/29/84 the applicable provi- resolutions to do fees have been paid. WORKS Date z Receipt No. /J Z4 0 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ��LP,,,�E�RMIT NO. �lL7= ASSESSOR P//�RCEL N`�dHER ZONING BUILDING PERMIT OWNER G, ♦ W05LS TELE =HONE 3S21 "f SO. FT. OCC. UILDING VALUATION OWNER' MAI I�NG ADOR SS g CONTRACTOR'S NAME ELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee -v $ O ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS ,,e nn fj �/ V �✓,�- JLC�C� V O -S"V Permit fee $ ` • D PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF,y Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other Describe work' , _ �70 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 8001 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/POWER 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. DWELLING OCCUP.. OR ADDNS. ACC. BLDGS. , /Z0sgft NEWCONSTR ULTI.OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS APPARATUS el (SINGLE OUTLET CIR. 20e50e EX. Occup(OUTLETS OR FIXTURES eAL030 FIXED APPLES. OR Ex. Occup. OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. y� I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 1 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 agains oun_ty in con!pmyce of the granting of this permit. X Date �� Signature of A Cant — Owner Contractor ElAgentF-1work An OSHA permit is required for excovotions over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CONST.TYPFJ I FLOOD PARCEL I PlD ND 990E This permit is hereby issued under sions of the Butte County Code and/or indicated above for which D) E OR PUBLIC By .2 "Z PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS / Date /��� �� Receipt No. WHITE-D.P.W., YELLOW-A99E990R, PINK-IN9PECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT 'ASSESSOR PARCEL NUMBER 62-90-59 ZONING BUILDING PERMIT OWNER Phi TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S AILING ADDRESS CO N T R AC TOR'SNA nwnpr TELEPHONE 7th renewal permit CON RACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee 1 $ 60.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking ree .$ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS = Penalty $ BUILDING ADDRESS SW Permit fee $ o PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Berry Crepk Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW 1 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other [3 Describe work: >,�T1i9,.,al� �.c13_Qn per-mit� 4th 5th & 6th renewals #657-86 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADo'L too 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 BUslnesS and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this rason NEW CONST.( DWELLING OCCUP.ai , (A New ' /22sgft CONSTR.MULTI -OUTLET NON.RESIOBRANCH CIRCUITS) 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES e AL* AL00 3 FIXED PR Ex. OCCUp. OUTLETS (RESID )EA.� 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under fenalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ® 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ® I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT: Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue st said County in consequence of the granting of this permit. X Date 7�2$�87 u e of Applican:—OwnerZ Contractor ❑ Agent ❑ An OSHA permit is rr excavations over 5'0" deep and demolition or construct- ion of structures over in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 70.50 OCCUP. CONST.TYPEJ I IFLOODIPARCELI PD f-73-17= This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indi ed above for which fee have been paid. DIRE PUB ORKS BY �]]UULCe �/✓ PERMIT EXPIRES Date 2—G9-88 Receipt No. WHITE-D.P.W.. YELLOW-ASSESS0 . PINK -INSPECTOR. GOLDENROD -APPLICANT 5/ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/53807541 APPLICATION AND PERMIT PERMIT NO_\ ASSESS R F, RCEL NUM BEt - SQBUILDING ZONING PERMIT 0 N - t 10 L, ry\caa, TELEPHONE SQ. FT. OCC. BUILDING VALUATION OW ERQ t.�/II LI IAESSd QA 9'9ta9I CONTRACTOR'S NAME, TELEPHONE CONTRACTOR'S MAILING ADDRESS F i rep I ace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee Q(I $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 33 � e Permit fee $ ' PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE I SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I IN 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other] Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6 00V OR LESS 00 AMP OR LESS 1 10.00 Main service EA. ADD'L 600 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 Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason OCCUP..) NEW CONST. DWELLING OR A.D.S. AGC. BLDGS. I yz¢sgft NEW CONSTR -OUTLET RA CH CIRC ITS .BPOWER 2,50 ea APPARATUS e) SINGLE OUTLET CIR. Ex. OCCUp OUTLETS OR FIXTURES SA 030 LN5 OR Ex. Occup. OUTLETS FIXED P(RESID ) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. 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 becomesubject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 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. Date �� noture of Applicant — OwnerfiV Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct -11 ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ Occup. CON LrPc SCHOOL PLDOD PARCEL PD ND Is This permit is hereby issued under sions of the Butte County Code and/or work Indicated above for which D C PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Datea- -� Receipt No. WHITE-D.P.W.. TELLOW-A3SE33OR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS — BUILDING DIVISION 7 County Cent�D-r%e - Oroville, California 95965 - Telephone 534-4541 PERMIT APPLICATION{bATA SHEET f �j / // Permit No. OWNER f N/LUP L . AIC k11V A. P, No. CMZ - 570 - 5� Proposed Building Use a/,% Permit fee based upon: Complete Contract Price `DPW Valuation Other jex Building 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............................................................... 3. Complete plans in duplicate/triplicate................................................... Complete engineered plans an calcs................................................... 5. Plans with Energy Design Comp Iliance Statement ............................ 6. State Energy Forms No. .................... . 7. Statement of Intent for Non -Heated & AC Buildings ................... ,,8. Fees of $.................................................. �9. Letter of signature authorization............................................................. 10. Sanitation approval from 410-70 Health Dept.... 11. Planning approval for ............. 12. Certificate of Workmen's Compensation Insurance ........................ 13. Contractors License Information (no., name style, classification) ............................... 14. Improvements may be required. Contact Land Development Section of Dept. Public Works (see addressbelow)................................................................................................. 15. Pre -inspection for required. Pre-inspec. request to (date) bldg.inspector 16. Other When you issue the permit, process as follows: V Mail to owner Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspection. Other _ Applicant .,� —`7; '�� Date Copy of plans sent Health Dept., Fire Dept., Other Date— During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of a ation, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractoresign wner was advised of above required data by Telephone (77� cm mss¢ Mail 0 D Other By Date ans Plans approved by OTHER: Coov/DPW 20 it Z2) — So Date Date RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX, & MISC.. ONLY) Bldg., .Permit # OWNER .; N X111 �� L4 ISI A. P. # & % - A. GE Ar -Zoning regy�}rements 4sideyard and arking). 2. ,Valuation. i ? 4; /�,� -� 20'� �Signature,by R.e.E. or Architect if required). B. PLOT PLAN 4� Complete parcel size and dimensions. Setbacks, sideyards, easement's, etc. ther buildings or structures. Grading, fills, drainage. C. FLOOR PLAN Complete to scale plan with dimensions. Required windows for light and ventilation (Sec. 1405). Required windows for second exit (Sec. 1404). Allowable glazing for energy requirements (20% max. per.State law). €� ,Human impact glass (Sec. 5406). . equired room sizes, ceiling heights (Sec. 1407).- .F.C.I.'s in baths and exterior outlets (Sec. 210-8).' 80" Light fixtures,' switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. 01- Locations of water heater, heating & cooling equipment, other electrical or gas j'equipment, and plumbing fixtures. 1�. Garage firewall, door size, and closer (Sec. 503(d)(4)). - 3'0" exterior exit door (Sec. 3303d). replace location. 1�Smoke detectors (Sec. 1413). D. STRUCTURAL DETAILS 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. ;0.055Fireplace construction details and calcs if over one-story in height. Sufficient data and details to satisfy -energy insulation requirements (State law). E. MISCELLANEOUS ITEMS TO LOOK OUT FOR . ' CCX plywood -on exposed locations and overhangs. Stairway details (Sec. 3305). J'. Guardrail details (Sec. 1716). S�Brick or stone veneer (Chapter 30). 0 Exterior plaster - weep screeds 6 (Sec. 470 & 4708). Proper roof pitch for roof covering,(Chapter 32). y'' Rafter ties or bearing ridge beam. 8. Garage door or porch header sizes. 1W��Adequate bracing. . Living area over garage - complete 1 -hour separation required including supporting- Z. upporting. Zwalls and posts, etc. Two (2) exits on three-story dwellings (Sec. 3302). 7 PLUMBING --Above Floor Permit No. 1. Water Heater--Vent--Access--Combustion Aim 2. Water Pipe --Test & Anchors --Nail Protection �• 3 Drain Pipe--Test--Fittings & Anchors --Nail Protection 42" Test 4. Shower Pan --Test First floor--Tub°Access 5. Test Tub & Shower, second floor --Tub Access 6. Gas Pipe --Size & Anchors , 7 Sign Job Card ' ALL OF ABOVE COMPLETED L_/ EXCEPT . Signed: Date: ABOVE LISTED CORRECTIONS COMPLETED Date: ELECTRICAL --Above Floor Permit No. - 1 Clearance & Insulation Protection at Flush Light Fixtures 2 Elec. Receptacles Spacing --Lights & Switches at Doors 3 Size Boxes & No of Conductors --Stapled 4 Romex Installed Close to Edge of Studs & C.J. 5 Equip Ground made up w/Mech. Fasteners 6. 2 Appliance Circuits in Kitchen & Conductor Size 7. Sub Feeders --Wire size ga. Cu or A1 -,--Breaker Size Q Amp. -- Insulated Neutxal, Yes Q No Q 8: Range Circuit Q ga. Cu or Al, Breaker Size [Q Amp. --Oven Circuit ga. Cu or Al, Breaker Size [Q Amp. 9. Service --Riser Conductors & Ground -10 Bond Gas & Water Pipes 11 Clothes Closet Light --Shower Light 12 Sign Job Card ALL OF.ABOVE COMPLETED EXCEPT w Signed: Date: ABOVE LISTED CORRECTIONS COMPLETED Date: ...............-....... MECHANICAL --Above Floor _ Permit No. . ...... . ... ................. ........--*......... .............. 1. A.C. Ducts --Insulation & Support 2. Vent Fan --Exhaust Above Insulation ' 3. Condensate Drain & Overflow --Size & Grade 4. Furnace--Vent--Access-Comb.Air--Return Air Vent --115V Outlet 5. Attic Access & Platform if Furnace in Attic 6 Sin Job Card ALL OF ABOVE COMPLETED QZ EXCEPT Signed: Date: ABOVE LISTED CORRECTIONS COMPLETED Date: -3- FINAL Permit No. 1. Plans r 2. Entrance Stens. Door & Sidelieht Protection. 3. Smoke Detector / 4. Furnace --Vents. Clearances. Combustion Air.:Connectory$n Garage -Height & Mech.Protection 5. Bedroom Exiting 6. G.F.I. & Bath Fixtures 7. Electric Trim & Sub Panel --Labels 8. Stairs & Rails 9. Fireplace or Stove --Clearances, Hearth 10. Electric Outlets at Wood Panel --Int. & Ext. 11._ Fixtures_ & Appliances in Kitchen--Grounded:--Air Gap --Cooking Clearance 12. Electrical Outlets & Receptacles at Kitchen Counter 13. Garage Fire Door --Swing & Landing, Closer 15. Water Heater --Vents, Clearances, Combustion Air, P.R.V., Connector' -In Garage -Height & Mech.Protection 16. Firewalls & Openings --Area Separation Walls 17. Electrical Receptacles in Garage G.F.I. Romex protect 18. Insulation--Foam--Looked in Attic Yes 19. Steps at Ext. Doors & Landings 20. Guard Rails and Deck Construction 21. Foundation Vents &.Crawl hole Door --Drainage & Wood -Earth Clearances Looked Under Floor �% Yes 22. Following Installed:- Drive L.J Yes 1_1 No; Walks � Yes L l No; Planters or _ Wing Walls %-/ Yes = No ---Creating Drainage Problems 7'% Yes J-_7 No 23. A.C. Unit --Disconnect, Clearances, Breaker & Conductor Size --115V Outlet 24. Vents Above Roof --Plumbing, Appliances, Fireplace --Clearance to Openings 25. Water Well -Disconnect, Electrical, Plumbing 26. Exterior Electrical Trim & G.F.I. Receptacle 27. Ventilation Throughout House 28. Glass Protection 29. Corrections from Previous Inspections 30. Gas Test --Meters Tagged -Gas & Electric 31. Water Supply & Sewage Connected 32. Energy Compliance Certificate 33. Sign Job Card ALL OF ABOVE COMPLETED / / EXCEPT Signed: Date: ABOVE LISTED CORRECTIONS COMPLETED SIGN JOB CARD Signed: Date -4- FRAMING Permit No. 1. Plans 2. Sills --Proper Material and Anchors 3.• Walls--Studs--Nailing & Spacing & Bracing --Plates 4. Bearing Walls over Girders & Floor Nail1 5. Draft Stop in Walls (rat proof) 6. Fire Stops --Furred Ceilings--Stairs--Chases--Tub 7. Header & Beam --Size & Bearing M 8. Hangers --Post Caps--Anchors--Connectors 9. Ceiling Joists, Rafter Ties, Purlins, Roof Bracing, Trusses,.Sheathing,'Roofing,' 10. Fireplace Ties or Type A Flue --Fireplace Throat 11. Attic Access --Size'& Romex Protection 12. Bedroom Windows or Exiting -.Doors --Sill Hgt. & Dimensions 13. Garage Fire Protection Framing 14. Area.Sevaration Walls --1 hr. Fire --2 hr. Fire 1 -.. 15. Ext. Doors --One 3' - Check Garage 16. Stairs --Width, Headroom, Rise, Run, Landing --Fire Protection 17. Plywood on Roof Overhang --Attic Vents --Rafter Outriggers 18. Sidink--Nailing--Veneer 19. Stucco Mesh, Drip Screed & Foundation Vents,& Underfloor Access 20. Glass Protection if required 21. Sign Job Card ALL OF ABOVE COMPLETED/ / EXCEPT Signed• Date: ABOVE�LISTED CORRECTIONS COMPLETED SIGN JOB CARD Signed: Date: -2- UNDERFL00$ Permit No. 41 L -P7 ans Setbacks --Easements W. -,"Piers Footings & Stemwall-: /" Fill Required--Steel--Block-outs--Elec.Ground Piers- 5 Plumbing--Drain--Fall-Fittings--Wrapped in Concrete 42" test/ / 6 Gas Pipe --Size & Test 7 Water Pipe --Test & Anchors --Regulator 8. Electrical 9 Plenums & Ducts--Clearance--Material & Support & Insulation 10 Girders--Sills--Anchor Bolts--Joists--Vents--Cripples 11 Sign Job Card ALL OF ABOVE COMPLETED / / EXCEPT Signed: Date: ABOVE LISTED CORRECTIONS COMPLETED SIGN JOB CARD Signed: Date: -1- COUNTY OF BUTTE - Department of Public Works 7 County Center Drivt, OroVille, CA. 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing.and issuing your build- ing permit. No building permit will be issued until this verification is received: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) C(Up_ signed an application for a building permit,for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone -Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone `'Type of Work Signed: Property Owner c Social Security numbe ( 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 permitted to.issue the permit. COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has.been applied for in your name and bearing your signature. Please complete and return this information in the envelope provided at your ~ earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No building permit will be issued until -this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 8�_. 2. I (have/have not) bextre signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed u constrction: Name Address. City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, sup rvise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security numberil- Date c;2 o2 -a 3-A 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 permitted to issue the permit, A/ 3 /! - r,11 (,;�. �. ��r ) COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in tprocessing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and terials for construction of the proposed property improvement (yes or no) 2. I (have/have not) h aue signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and ovide the major work: Name Address ' City , Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phon2� Type of Work Signed: Property Owner Social Security Number Date •45 lig NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California'Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your. signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (.yes or no) Yes 2. I (have/have not) have signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed - construction: Name Address City Phone. Contractors License No, 4. I plan to provide portions of this work; but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work. but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security er Date Tilly 28 1997 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 - Departadnt of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541" OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has-been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) �o 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: _Name Address City Phone Contractors License No. 5. I.will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: � J Property. Social Security Number . Date 04—e4z ,NOTE: This Owner -Builder Verification is sent to.you as required by Sections 19831 and 19832 of the California Health and Safety Code. .e This verification must be completed and returned to -our office before we are per- mitted to issue the permit. ♦ t iy...._ / .... DATESU��EGT I/d � ...... ' .15i-3, `/!'a! Orel skiEE ,N O. »• ..0"t'.....1�-._ •> CHKD. DY _._..._.j...DA TFr. _ -.. r �:' � .._- .... +fit?'^ i? .wci. „i ..�.. JOB ..i'� y s +.ti L: I'i�iC•. rte+ '^�wr • ' '. lv yiltitJ:2n'.. i • - �� . , ; . _ ...,....;._ .� ._ { - _.... a ,: .. .. '00001/ /��r /L. li►c •rl� , • CL t : 1/t •�I.1_ i• " i , t r , ,5 Y moi•-.ft.y..Y+�•*.,.A�i �-waw.-�..5.�.-•w�•.'•'.'�"-•i.^-.+Ir4r-,--^''ten. A o04w • "1 e Y r w cc ro No. 8929tco le H � : • , :ti . � t � .. t�, � 3 •, I. ,i Of Cant r ' _.._.__QSU�/..._... . SME-EtBYBJOB NCHKD. BY_ -_._.,..OATE_._._.... _......... 1........... ._. ..._......... .. O.N._O ..-..rr _..._n:.♦F(_. ..................... .......... ........•--.........._._.......... .._-.... .._ ...> .•�....•-__._.........._ ;..__ .••...,...•.............. ._._..-_.__...____....._.• .- 1 ty� 1 '��'�Y�=/Ti✓ "i1. ? S �sr` r,' , VeS.LE E. ♦'1 „ .— C , r C&tf F.7QF.28tr Avrr;sE 4P CA 7,54ex 'Tj' ♦ /'irk,! ze r� t�:/o/wov yr( Z) • � ' � ' + Z.A. � � . , • • .,- .. .: , , r ♦ ,,.,,, Ar IL � ��, / / •ter,• � • r / •/ Lie ,'7�'1''��e!`3 • r, ,/, f ��"'"+�, f :� 7 ' • G �l�/',rr7�'.' l'��r.'+Pr*f�I�a' `? : � .'' e'^*� t ' . v�, . d �°?�► „���/�.��.- a , .. `fes .•'•d�/i: .� .4'.r�a,(� . .•r�� � 4'i�s �jel'C/'Xi�r° ,.• _ .� 0 �.�..J _, • `�^ ' � � arm:,a�.....to.......,..,,...s.;..s,.:..._.. ,F • , , . < % 1 ._G..%.� .. f✓ _ _ o THDxSUBJB'F.BDATE. _ CHKD. BY ............. -._._ ...1, ... _ .;. c. a_t.....�3�._....._.,......._ s JQB Qf0 ..... ...._. .. _ _. ,__." ............. . .._... ,....................... _... .._..... • • .......... ._... ._........ �.......... _ .,• .,,1.l. ..................... .... 40-41.j.:...... ......... ,i�">x ,<.� .%��++�.�, >Ys' •' ,�/,'�'�''C. f �f�%f�.y 1 `1 �f• �� �,.wr�-•��A 1�.�,s,�� ' wl � iY« t. ^. �af. fr .. •+, wr. 'rc', f.rr �5 a . v.. .+..�- � � `��Wrr, /// w ,. �Jr1If.Wr',f/" i 7 � ' r °i � ' : r il. • a � � " f ._ . _ __ ✓ •�c. . •� � v f � � ; l t�:� ` fid, i1 ` � . ,:�',.� /fes `,t /•yam/ `;,i, ..-. /,�.-I f 67A>'�' L�.�"'_..__.__ • ,,.7.r. ```'T . a • ar a ��il� �i .i � l . ' it `• !_ , , :, I' . , f 1 + � .c. � �• ''� •. • ..,' r• '� •: it • � , ar , ' ' ;• • , ... , , •/�n6•• E.t= � 3 i f '..f a. `Y' A '• � as ,' - . f BY,....,-'1_.DATE..._. SUBJECT �`f "�,! _.. Sh�iT NO. OF..-, R......._.. ......... .... •.....h.................e.... ..-+..._...«................. ...1 ' �. µ .. _ r-.�.....----'-. CHKO. BY. ............. DATE .................. .... _ JOB x!10.....4 . •�•• . 3 ..........,e l �� ,�.• � N.e i iii ( Fji �rt"� � ` / .p.A� f.•� .r' .-.i'7 %,w '%h�'J'".•s%• -. �fi/� •'30 ��%.�A.i37 ram CA .5' 40 ` ' t tai e• 7 a ';,i�,J',,,r„�"y .+�'.}a+'«j�M.3`'y r�{��+' f..r',�/jl ( •• / "'."1r i',wyr . % 91x ... i,./��,��. j.� .. { • r "—w ,�,�%�+�� ,lam' : � r 1�. ��,i ; j '� j .'� �.y X 5y'. /�' 14.i' f.... ��i��♦� � Y �,i,�r� t > , a C'/fft.�¢� / �•'"" � r/ `l,�`r � i�';�"!'�'�l SIJ t./ v �3 7',3 � ' ^ : � `, .� 4t • ,,rl% j� ��_ �} ; - •�}' a '... •v .DATE//_f SUBJECT 1f/'11 _... fl �,, .... SHS T A{O,, CHko. •BY,... .. DATE �._... �'�_���� 4J'�_L�_s 1 '__.__...._ ......_... ��, ._..� '. ldEf l�YO ;ll e� - .:'••• i _......__.. .,....._. ......r ..._ ............ "Y •._ ........ .. _. __..__ _ .f+.._. r.. i �_r.. w.t a :..w a �� • ' .," j r A IN ' .. ,� � � � • •r fry � r ,• a +�, 'e .r rj;°� .5 � ? � "� . --''—•i��is �.e�.►sI }.i tel) r'�.. „ji,'' t .�' � `� y ` ' r • ',t.. F �1, ,4S , c v 1 k • ' 4 { r Gr'/ .._.., �E� / ter / :!" .�e�-- EE;r AVO; ' ..— OF..• BY.-�.._......._ Ztr!"'.•_IAT_....-....._ SUBJECT _--...........Sr'��•tl�.........._x•.., ... _ _ _,. r yyam�++ i tCMKO. By. ..__---..:DATE.._.............. .. ....... ............. JOB NO ...... ►:_ -'?• ..-...y...._.....;-�.at.cti- ..+.y .. .. .y,..-.......... ..,....++•'`.'��''''�`•�'....�.r_{t.':' -.♦.. •..,.,.r.�_..... -..... «.._..._.- ....... .. ......... �Y. .... ... ..._.,...-., .-.'+........................ �. ...... _. +-• ,,wy�'s—' --•`-:Irk' •+ ..•� �!•� ���,"/y , 40. • i . j = }moi...,, - � " ' w ' � ��� t � s�%r ~ �'Sa � ! �� � f / � � •' 1 O • j6• � . i /_,�ry� /F , � �'�1�7�+`•+`�'�„ • t r'�,. r„ , 'r�► d r :s , �/�`%, .—�` A/- OYSUBJECT SHEET NO.. ?-OF. 1_ CHKO.•BY» .. OATk'.-_ _..._ _.._... .,..s._.:,... __........... .............. JOS NO........ 1' ..•_............. ...... ».. ........ ». .« ».. ......._ ...............1......_._.. 94 011 • ��'es 11 il 10,01 t ........ . . .... (::9'e<--OAT9 /4,V*UEiJECT Cidk6.13Y ............... :.OAT# . . 4Z...... ... ... . . ...... . • ............................. .. ...... .. •_-....... SHEET Nq.--t_.oF-._. J0G.NO-Z OVIUKe f. COLSON Re r. Cjvtt 41 n".r -2,00 0j 540 .4.qwqnVa 'Awo, or P5F AT ON o0e, 44% No L —s r It fr ew �71 i 4p o CO E. Q. No! ,26892,cn- *V Cl - C. fl . O 1-7 .. 7.-DATE ' SUBJECT S EET NO, CHKD, BY... _ .DATE.._...._.. _ Gryr�A f//�•L,� _ ru! JOB NO........ �.r iK .... Y >r� �-r - '+�'".� `•,�, liYiN,(�Ow""..' _ • � Stala►rb Rosa, GA 95405 "K i ► r •�/� .�� ��m� � fir+, . l�i•'..�� .•�.f:: •' `' '. � ..:G �. r�...% . %J •'lf'.��?� • °�ie�i�4r'r % � �'✓ a 7v • f �i, , 1e- /'le v �' � ` • .. • . .. .•�•.+ «try. .,� �~' ..r �r /C r �6�Y'7i i1 r• ' ORVILLE E., CARLSON i s PROJECT'DATA SUMMARY a' �itiit E�iAie► - 'Form 1 ' %©1 `; $� ' .....5409. Nwrpns' Avenue , . l ,Srntra Rosa, u► 954o3'' Owner I , 1 L� system tvtu u ' documentation author � date • _ •, I }:��,r,� � � ` SITE INFORMATIONv!s - �- *rf,�s� fy� HOD Heating Degree Day (from Appendix' Cl..............................................._ ,.., .. u. • r r-.. ° Outside Design Temperature (from Appendix C or Append,x Ci).._ ................ . To,, 79. air ' ti f F 'PROPOSED BUILDING ENVELOPE INFORMATION 'T r • f ` ;• '.. + Gross Floor Area if Low -Rise (ho m, Calculations)..... .. . At h2• Gross Wall Area if High -Rise (fromCalculat+ons)................... ......... .............. A. � }4,� ► 9• .- }t2 Designed Glazing Area (from Calc 10631 ............................. :...... .,...... Ag , 5'. .� n2 Basic Glazing Area 0 y,6%of Line 3+t {ow -rise or 40%rot Lint it t*,,se):....... Apy . Z.04060 h2 Oescnptibn of Assembly ..+ �' • . `•,� iw' i l •1//. t y - . Glazing ,ylit*/ ,> ► :UAir, «' ^�� Stut1hr-ft 2•°F I' . r . • • ' �� • ` u92 t• $ '.. z Sty! thr'.fi2. t, U �• y It 9D Ifu•h2 ��F1 • Waif i�ri(�� ST 4 c' I DtP1ti7 i f! U.sl �'ll� t` , �' •� Stu? fht..ft2.9F1' YP% 4{.v 1,Uw2,V 11 , r Ply— 81u1(hr:ft2+,DP) Sen 'r.lu {idt f3wrft Ir r7+.=t. *_`fie Aid Uw 3 ' .12 a Stu{ (hr .ft2•oFl �ir3 . w4 s Btullhr•ft2•°F} 11 - Ceiling/Roof X -0 Ucl 14 �r � cl Btu/Itir•hz�FFI l� �r Uc? .15 Btyi Ihr.•ft= '0Ft Floor /Yt� �?r,�i - G•• 1•�ri.c, !3'.y'*�s Uti 4' '16'' Btutlhr'.tt2•°Fa c� I L . t - 1 Ut2 17 .+. Btu! IN.ft2I°F), PROPOSED SPACE HEATING SYSTEM !Chapter 71 ' ► ' Gas Furnace • t . ' .. ., , ,,, a� s + BuildingDesign Howl Heat -Loss (from Form 21 ... • ............ qh ,' � • 18 Btu/hr Maximum Allowed Sonnet Gagac,�yDil , 1 .5 x e 18 . ...................' 19, Stu/hr Proposed Furnace f r ' Make Model Description Rated Bonnet Capacity Electric Resistance Alone Electric Resistance Life Cycle Cost Ifrpm Form Siy,.,:.. ........ .... sLCCa 20 L S Lowest Life Cycle Cost of thetOther Systems 1from Fbrm 51...........:.....,, •$LCCi,w,,l21 r S Non•Depletable Energy w/Electric Resiitarue Back -UP Percentage of Annual Heit Lost Met'by Non•Oepletaf316 £gy nein Source (from Calculationst. ......•.. ...A .... . ................. 22 Now Pump with Electric Resistance Supplementary Heat , Percentage of Annual Heat Loss MM by le lectric het,stance : ,• (from Calculations) ......................r..,.:. .... . ............. 23 + .. PROPOSED WATER HEATING SYSTpM INFORMATION (ChOtec &}-�•; � ' O C, Resistance Alone ,c Resistance Life •e•Ne• c Cyt1t;Cos• ffrom Form 6) ................f.,..........: wUCCe 24 S • iw+est ��E E• C�9 Life Cycle Cost of the Other Sysums (from Form 6).... .,....:ow LCC 25 $ PR P MING POOL HEATING SYSTEM INFORMATION i r("h, apter �r e C e Cost (from Form 7) ............... ..... ................................_pLCCs 46 S ........ Cs_ to Cycle Cost Itrorfi,Form 71 ..pLCCs 27 u. $ , •00• • "' Y' •� 000• t - • , , •, _ • •00000000000 A�� • + .• • f � ,�, • - • ire of Ca1A • ''' , . 4 r,. , HOURLY AND ANNUAL BU1L:DING HEAT LOSS RATE . .,, .; . � •.,%���, �c!/iia -•^"^"^-' •Owner r dRV1ltE F. CARLSON form 2 Chlig Engineer 500-Njwango Menww Santo Rosa, CA 95405 po' , checked by ect *.. . r.yysYD+ • �• .. �� ��G�'•�' fes✓ ,/. �y documentation author O dam• ��`1 � •� .HOURLY NEAT LOSS • DESIGNTEMPERATURE DIFFERENCE o l��t; of For All Conditions Other Than the FeRowing 70°F - F &Twl 1 - TOw hOm Form 1 _ OF For Insulated Flow Oval Vented Unhiiited SPacfi'• ......... Line 1 r ? .. &Tw2 2 20� • cr Si, t °F For Unmsutated Floor. Vented Urfheatet� SPace : • , Line 2 - 5°F 4 w3 3 . s CONDUCTIVt HEAT.LOSS' u from -Form gaming pTw Arai, ft3 w 1, orNfrom Factor from from It T�lee 44.1 Table 3.6 �ab>o�ve � . Oescrlptton of Assembly L x=Taab�'F 9- x r x—_'. "'^- ._ Btu/hr. + Gb:irg x x x Wall T ... �. x i% 3 >< 4_ x -- i x x till x - t Cailfnp/Roaf .. x'�I+ x x -, x xx Floc. x Of x� Lv x� , r ---- 00W x x x•--r-�'�' x x x- 8tu/h► Subtotal 4 t • INFLITRATION Mnnter 0 an trine 5 if there is Positiveventilstionl 3 l '4 I. 1! �..L_— h x 10♦ x —ILL— OF 5 Grpss Flow Area Weighted 1 fromTableJ•7 pTw from C , Average Line 1 Ceiling Height VENTILATION (Enta 0 on Line 6 if there is no Positivt wntiistion) OF x 1.08 ' ..• 6 ventilation R-te5rbm ft (minx &T,, from Line 1 ' Calculations Subto;al 7 v 8tuft ti DUCT HEAT LOSS (Enter 0 on Line 8 if there are no ducts) • 0.15 x lint 7 - 8 ' •, r TOTAL (Line 7+8) Qh • 9 E tulhr r ANNUAL HEAT LOSS a' °F•4svlvr X " Btu/hr x x 24 hr/day J. MOO rovn I pends C M µfly Heat,Lgsi C from s• Ecom LMe 9 Table 3.8 : Qn 10 - Btulvr froth Line 1 ?i t , flRVi�,tE CAWON HOURA.* AND ANNUALfiri! fnyinter Form .2 BUILMNO' HEAT LOSS RATE- 500 `t�sw 0o Avenue SeMO Rosa, t,A 95445 ° %y%' ,tel ,��'s/ �,"lYi' �',.. • i -. owner prOlect crocked by , system type - - • 'date .. documentation author ate .%/YPAwr> . t HOURCY,.HEAT LOSS DESIGN TEMPERATURE DIFFERENCE 1 '� " i ,:0 . 4 e, For All Conditions Othtr Than the Follow. 70dF' , OF *- ATii1 t # from Form ) For Insulated Floor Over.Vented Unhested Sow*..... . s.t.�M,t-2• ,> QTwz• 2+ OF OF for Uninsutated Floor Over Vemed Unheaaed SPeee - • Lini 2 _,50P. • 43 w3 —� i CONDUCTIVE HEAT LOSS V from Form Framing J Ww ' Are*,itr or • "-1, or Ft ffom Factor ftom from oestriatlon of Assembly t.iA9tit..R Tapte a=1 Table 34 above 'p x w t 8twht Gbtsa+p x x x T ' Ws!!_,:,....x��K"_sc D x�` _ ,• T k z•�-'--sem-- t *, Calinq/Roof ..�►— ' . � Floor 4Y, Ocher.r--------- ix x ' Subtotol 4 $cul w ;NFLIYRATION f(Enter 0 on Line 5 if there is positive ventilation) / '533 , � `f ft2 x el ft x 0, 0-Ve 0-Vx Tf — OF, 5 Gross Floor Area weighted I fromTab"3.7 4Tw trotn Average Line r VENTILATION (Enter, 0 on Line 6 if there is no positrvtventdation) , • s. ft3/min x 'OF x 1.01B U a ...... ' 6 �T Ventilation Rate from -GTw from Writ 1. Calculattons Srbtgtai 7 J t Otuft DUCT HEAT LOSS (Enter 0 on Lint a if there are no ducts) 0.15 x Line 7 8 r • TOTAL ILine 7+61 qh 9 . Dw/tu t ANNUAL HEAT LOSS OF-day/yr x StuJhr X_ rom' rx24,hridaV HOD from APoend,x C. RO—Wly eat Loss C from ftom'LJne� ' Table 3-2 �•� 10 - 8tutyr F G—Twfrom — + e • L,ne 1 . t r ORVILLE E. CARLSON HEAT TRANSFER COEFFICIENT' Civil Engineer Form 3 PROPOSED rONSTRUCTION AS$EMBLY. r , - 5400 NewQnga Avenue ' Santa Rosa, CA 95405 00 e • '�� ` " �� r- - Checked by • rP'oject , 4";9"s 1 date system t De / docunrentatton author date 'List of Construction Components R - r ltt tltttt 3. d • S 4. ! JJJj t i • 1 5. ' s. Sketch of Construction Assembfy 7• • • Inside Surface Air Film - I • �n Ghet:k orie:' _ .. - Matinq Wall Outside Surface�A' heating r Weight':...`...— lb 012 • ' . ,_,_---CeilinglRoof • Z � I � � Total Thermal Resistance (RT) Metlnq Floor t , t/RT, Overall Heat Transfer. Coefficient (U1 0'0, 0. C("' Btu/ lhr•ft2 •°F1 u ,. r, • r + i QRyILLE . CAROON ♦ ' Form 3 HEAT TRANSFER COEFFICIENT Civil.Enginw ' PROPOSED rJUSTRUCTION ASSEMBLY , , - 5400 NewanRa Avtuo , + Santo Rosa; CA 14»5405 ' ow Vier chocked DY •�' '� tla • tam typ ! • • ..---- to docuntenbtion suthor� WON ., ' List of Ctirtstructtort Ctimpontnfr R . ! ' 2' ,t • 3 : � • �. � . : , - .. s• � +; ___._..ter--' , l . tamp• , 5. Sketch of Construction Assembly i .. , y ps , 'Inside, Surface Air Film' Check one: ' ~ , '. . h��t ing • • , - Outside Surface Air Film' Wall et Mating •� '+ Weight 1bm/ft2 __—Xeiling/Roof • Total Thermal desistance (RTI �' •� � `'; 'hosting t • _L____Floof .� • t 1/R6r.,ovevvAHwJTransfer Coefficient (U) d,,.Z 3 Btu/ (hr•tt' .OF) ' 9>RVILLE E. CARLSON ' HEAT TRANSFtR COEFFICIENT CiY;I tggiruer Forte 3 PROPOSED f'01,4STRUCTION ASSEWLY , „•,�r ; 5400 Newanga,Avfaaus Spnta Rosa, CA #540524 , _ owner checRed by 1 ez' +system date type r ' docu,nentathon author a dale .' h. ' List gf Cortstruction C6mponents ' 3. i 1 2 • 477 �.5, � c '. • •' a .. � `. � ,'�..'=_. jr .. Sketch of lConstructi6n AssernbW 7, Check one: Inside Surface Air Film, r heating Wall Ou4ide'Surface Akr Film --- '�� Maung Weighti l 1b,/ft? ' �11(letling/Roof • Total Thermal Resistance (RT) � e heating _____,floor ... ' • T ,�> 11R t, Overall Hest Transfbr Coefficient M IZ i119 Btu�'Ihr'• ftp • °F►, •, ' ORVILLE E: CARCSON + •. r HEAT TRANSFER COEFFICIENT Y • . Y PROPOSED CONSTRUCTION ASSEMBLY - CivilEnginett �4t'rn• 3 , r:i r ` ,5400 New.4ngo A"nu• ' • r_ . v. SaNd tom -CA 15405- Ar, owner ' + project t - t _ {necked by system type date ' f zrr r te' ` _ r ., :/ � •d , . r OoculnenUtlon author `mss' date List of Construction Components" t R If • J � I 6. ' Sketch of Construction Assembly, ~ .7. •r• -r'.� ' • �� . , •I » . 0 1 r ' `I r/' I s , 8. +• Check one. Inside Surface Air Film • heUting ✓ Wall + " Outsideturfaoe Air Film t Weight , bm/ft2 Ceiling/Roof Total Thermal Resistance MT) _Floor ' hooting .' • 1/RT, Overall Neat Transfer Coefficient (U) 006? etuf (hr -0.0F) � t { � , rF WILLE •E. CARLSON 'Eftgirteel' • • • . , ALTERNATIVE DESIGN SUMMARY X400 N9wM9c1*Av*n.uw FO'rm 4 r ' CA,OS40S owntr pro j checkoct by rir 1 system. tY , date ' ' r / .•� - documentation author ar . Date . r, iG •�' s r COOLED BUILDINGS WITH EXCESS GLAZING (Chapter, 101 r n _ . .. Ay 1 -2 OnionbGlazing Ara (from building pians! . .... . ...... ......................... .....:.......-....l......... - 2 ................................. _ .......... ...» ..,. ... Basic Glazing Arta (from Form 1) ....... ................-..• Northerly Glazing Area (from bwlding•Ptans! ..,... ................... ................... .............................. ling 3 h2 • . r ,_, .Glazifg Area Under tRqulation T20.14031c)(41 ........ .............s ...... ............ F ........ _..... .........lone r 1t2-3 ■ 4 ft2 If Line 4 S 0, there is eomoilrance Otherwise, complete Lines 5 and 6. 1 ,. 1u nlrrtenis, Ags) x ■ 5 S�ssdad Glazing Cr _ .. _ .-.._ ......... . -IA.ta of glazing rneetong shadingre ft2 • r•s (if Line 6 6 0, tinted g(aking isnot required) Line 4-5t■ 6 ft 2 , Area of glazing Which must be tifited PASSIVE SOLiAl4 EXEMPTION (Chapter 101 a ' •■" Total Thermal Mass, MT (from calculations) .. ............ ..- { .......,......... ...... ......+t2 Btu/QF h x 7.2� x 2'.25 B Basic Thermal Nip, Mo boor areaol stab on graoe _ remalmng floor arta ` 9 h2 of Special Glazing Wetong Mass RequrrememssAgrn _-._:... ,...••.. ........ .._•••••- (Lina 7-8) .,i0 •Area 'Area of Special Glazing Meeting.ShIlding Re-quulments, Agp (from GRculat.ons)..'...................................... 10 f121 Area of special glazing exempted is the lesser of Lias 9" 10, ENVELOPE COMPONENT ADJUSTMENT (Chaptm•0 •;.: { r. p 14 standard Design Hou_ ray Heat Loss (from Form 2!. _�- 1...,•rJ. ,. ....... .. n Btulhf r tr Proposed Des Heat Lois (from Form 2).. -- .............. ................15 opo Design Hourly..._...., ....... qn Bt►t�h� - � .. if Line 15 Line 14, there is compliance NONDEPLETABLE ENERGY SOURCE CREDIT (Chapter Sr Standard D4,gn Annual New Loss.ifrom Fgrm 2 uuhgl one /4 abgvel... : �, • ,h Stu1w Proposed Design Atinual Heat Lois (from Form 2 using Lios 15 above!.,...•.,•.••• -••••--•• .•••••••r • 1 .' n •__ Btulyi . table Energy Sct (fromcalcutatronsl ... .....:........ ••,• «. •.•• 16 Annual Host Loss Met by Nondepltow - Btu/vr Annual Neat Loss Met by Depletable.Ertergy urct «•. ,. ................ .. " 19 Btu/yr If Lone 19 4 Lone 16, there os.compiwance • 'LIFE CYCLE COST DEFICI-T'ABSORBED BY TAE`BUICDING ENVELOPE tCnapter 5!011 •- •, " ' < r . , ,, 20 .... • qh Btu/hr LouStandard Onion Hourly Heat (from Form 21 .:........................... ,..4 ....... r Hourly Now Loss to be' Absorbed by the BuirwtloPt • - . 1,-15 1AF I _i^�) x 3413 dtuflfWh xf! l �- 'E Nom Tia, Irom S s� sLCClowest ,a,LCCt w CC+t�west1. Tab1a 7•S form 1 5 r from Form b from For[r 5 from Form 5 from. Form 0 21 Btu/hr 2 SdF/ of •dav/vr 1 fo/ AI-vr/kWh x 2A hrldayt, r H00 from C from Pwo from Appendix C Table 3-8, Table 7.3 Allowable Hourly Most Loss of Proposed Dis M ..... ............................................» .�i tu/hr . .. ,: Line 20-21 • +22 r .1 +.. 4h 23 BtuJhr Proposed Oesign Hourly Htat Lou ..... ..... ......................... .. ... ..................••-• , If Lone 23 < Lone 22, there is compliance P r ' O!,RVILLE E. CARLSON +Civil Engii;ee i r �/a , ' IpI•F$CYCLE QQ T'ANALYSIS 5404. Newfan a 4ve>nil �,' , �c�•re .6. TOO, gt�VICE°•MATER HEATING ', _ fa ,. , . Sante Resq, CA, 454;0 . Owner -rh•ckW DY �- ,• .» - � r -' ..,�.. .. <`zYst•ir! typo -. at` `, d:yi,q�•gtntiaR�au nor ` oata: X INITIAL. 4YATEM 00$T / ♦ 1 r '"fR 11mir,g Equipmun Cost, ECw t, i ! ♦ t% O `S , . t • r Lagpf to Install water Meeting f cwl rnaj t Lw 2 . u d 3 ; •3 5 .5 . f!p S , r Cott of Matafisa, lahpr to Install fAateryls, OvarhoW and Profit ..................................... ........................ 4 S R . �..Hull`• ECGtMf ,CQS. .. • S"35 o, Sof . 5 i� 3 . Y. • s• •r'. ECw �'L„„ rrpm"Lino l „ R from Table7.2 a rpm TabW,7-z e• CA C, f AMITENANGE CM* 1 t 4 t/ f ,7,xest ...............:.. ....... s i .......................... ......................... . ' "ECN Orri LInqrC "am Tab 1• 0 4- ' R ENERGY DOST. Qtu/,vr x Yr • SMhertrr or kW • hr) + • 14,,- If* ca C4 Ont ?W ro.rn Tau!• 7.31 • .. Of. Or #b% . ,A.................. 7 S 1. . -� + •. ... i ktui(thorm or, M. hr) • ! , �^1 Towrr, .... .........., ..ILiM-3+4+3+ra•+71 y,C"�,, &� �V i•t� J ..� ^ * :� `. • .,... of 4..f•.•t` eAi , - ••�• I' r ORVILLE E. CARLSON � •: • CiJit Engineer � IIF ' " E'CYCLE COST. ANALYSIS NetNanRa avenue, Forms r FOR SERVICE WATER HEATING5400 „ Santa Rossi, CA 9S405, • , - � •� fr � owasr �..• r • prom r ChOckeO by ' /systets�m type j, data • ' • 00CYRMntattOn author date " A INITIAL iYSTENI COST water Hit d' Egrrrplt}errt CAst f SCM, t JA'! o u $ Lebon to in"( Water Heating Equiprr" 1 Lw 2k4 � S O u s 3 � T,• � � . Cost ot-Mat&Jtil, Labor t0 tnststl Mlitrrtiafs, Ovirhaed and Profit � • $' E9!l1PMENT flEPLACEMENT C&T , froon Un•.3 111 from 1rom 77 w • L.* Table • RV Tsble r•l: , C ,MAIj TENANCE C0gT m; x17.2b21 + ............... ...._.................. .......................... w from Une 1 MC front Table ed r .1 O ENERGY COST Btulyt.>; W •al/(ttrerm or kW • het • �trom m•. (, i +I Q,, from alCufatiorrs Table T a tlr�4s �'L ,� rL' 'L 3 . ► v . _.............. t , _:._..,� i .Stu/1111arn or M hr) F from Taws 7.4 r• r E LIFE CYCLE COST r • Toul r .... ...... _..•,.r.. ................... .................... ,...a.........,...........Mift3+4+5+6+7) WLCt j • .. f r r 0 'YRUCTURAL TES PING. INC. 2971 WtBRIDE LANE -- SANTA ROSA, CAI II ORNIA 95401 (707) 542' 0279 � PROJECT: . Cal -Cedar M-omeS PAGE NO. 1 OF' 3 LOCATION: Sebastopol , C a . REPORT NO. 1118,01-2 STATE FILE NO. APPLICATION NO. SUBMISSION DATE 2 / 2 / 7 9 OISTRIBUT16_N:--------- ----------------— ( ) ARCHITECT C INSPECTOR (• ) STR. ENG. (.: ) GENT. CONTR. ( ) O.S.A. ( ) (3 )OWNER -- —— —)——---———— — — — — — - TESTING OF PRE-CUT CEDAR LOGS Samples:- Standard pre-cut log sections, 5=3/4" deep, 2-3/4" thick, random-sampled'by Structural Testing, Inc. personnel on 1/25/79, from stockpile estimated at 55000,f.b.m.., Samp-le Preparation: 1. 14=inch long -pieces cut from each tes.t sample. Individual pieces joined in laboratory,with Ca.1-Cedar standard hammer block and 6 -pound hammer, after placing a 1/8" -bead of Scotch -Grip #5230 Wood Adhesive.on.o:ne mating face. Adhesive cured 72 hours at 73.4.0F, a.nd 50% relative humidity prior to testing. Test Procedure: T. Frictional resistance (shear) parallel to length tested by joining 3 pieces. See Detail A for joining and loading. -of samples with no normal force.(.unrestrained) and Detail C for.loading of samples with 300 pound normal force. 2. Frictional resistance perpendicular to length tested by joining.2 pieces. See.Detai.l B for joining and loading method. Test Data: Sample - Frictional Resistance,.' Remarks No. eounds per foot of len th Parallelto.length (two joints) Perpendicul.ar. to length . one joint l 2420 - No normal force. See 2 _ 26.30 - Detail A. 3 2 5.0 0 _ Average .2517 - 4• 2740 - 300 pound normal force 5 2690 - applied, See Det..ail C 6 2640 = (photograph) Avera a 2690. - 7 - 910 S`ee Detail B 8 ' _ 730 9 - 1020 Average - 887 STRUCTURAL TESTING, INC. 0'' .STRUCTURAL TESTING. INC. 2931 McBRIDE LANE --SANTA ROSA, CALIFORNIA 93101 17071 5h 0279 PROJECT: Cal -Cedar Homes PAGE NO. —TTI 3 LOCATION: Sebastopol , C a . REPORT N1 uU 11 STATE FILE NO. APPLICATION NO. SUBMISSION DATE 2/2/79. BU DISTRITION: — - — — — — —7 — _ — — — — — — — — — — — — — — — - ( ) ARCHITECT (. ) INSPECTOR ( ) STR. 'ENG. ( ) GENL. CONTR.. ( ) O.S.A. ( ) (3 ) OWNER ( ) TESTING OF PRE-CUT CEDAR LOGS LOA 0.' N CAL -CEDAR LOGS STRUCTURAL TESTING, INC. STRUCTURAL TESTING FORM NO. 109 1 J STRUCTURAL TESTING. INC. , 2934 Mc BRIDE LANE — SANTA ROSA, CAI IFORNIA 95401 (707) 5420779 PROJECT: Cal -Cedar Homes PAGE NO. 3 OF 3 LOCATION: Sebastopol , Ca. REPORT NO. 1118,01-2 STATE FILE NO. APPLICATION NO. SUBMISSION DATE 2/2/79 BU DISTRITION : — — — — — — — — — — — — — — — — — — — — — — — — — — — ( ) ARCHITECT ( ) INSPECTOR ( ) STR. ENG. ( ) GENL. CONTR. ( ) O.S.A. ( ) ( 3)OWNER ----------- -------------— STRUCTURAL TESTING FORM NO. 109 TESTING OF PRE-CUT CEDAR LOGS DETAIL C STRUCTURAL TESTING, INC. Paul A. Vincilione pricy number H P 0 17 63 124 'ITEM 1 Coverage is provided in the company designated by number, each is a stock insurance company, herein called the company. DECLARATIONS This replaces ,I' p-e••ilr v ir,^d Any Ices under Ih• t I :.. � .. .. . .,{• , r dlirie�iNeei'Q�'nsme9lL'ia`Ielreec' ',i5i6i::li��tfhtie�:ti�:.'�zfi. MC KIM, PHILIP L AND JENNIE E -H41/JT 6068 ELMBRIOGE OR SAN JOSE CA 95150 Insurance is provided only with respect to the following coverages for which a limit of liability is specified, subject to all conditions of the policy 3'i1G a F` •., i. , s.:i L ,a .. , T t l rf t ,'St fi �.., ,,.� , � °, •:; c o.rC: t :% aGB s 2� 1 RELIANCE M.. �• IVTION: OCOVERAGE COVERAG T ' t INSURANCE COMPANY Philadelphia, Pennsylvania 3 PLANET PROTECTION 2 INSURANCE COMPANY UNITED Philadelphia, Pennsylvania PHO S E C T I O N 1 UNITED PACIFIC Ta .>il.., PACIFIC .'. 3 :=A. DWELLING 31A130 53 72 99 90 )7 6 INSURANCE COMPANY NORTHERN CALIFORNIA SAVINGS ==B APPURTENANT PRIVATE STRUCTURES FARG0 L7985C; Federal Way, Washington RELIANCECOUNTERSIGNED I BY insurance j companies 1panies AUTHORIZED REPRESENTATIVE COUNTERSIGNATURE IS NOT REQUIRED IF THIS DECLA• I CA 95404 RATION IS A REPLACEMENT OF ONE PREVIOUSLY ISSUED. "_L.I FROM 'POCVTP�ERIOD - . - •agency n8me.8t address�k`,. 209500 60-2477. 90% 03--24-82 03-24- i3 OCRSEY F1AZEL.T INE_ Z. WYNNE . AND FOR SUBSEQUENT TERMS, SEE POLICY FOR CONTINUOUS PROVISIONS. Q1� P 0 X 0 I� 7 J O 7PERIOD 1100 DEDUCTIBLE APPLICABLE TO ALL PERILS PALO aLTO CA 9430"! DECLARATION n EFFECTIVE ON ,, 7- 1 Q- 7 - Insurance is provided only with respect to the following coverages for which a limit of liability is specified, subject to all conditions of the policy 3'i1G a F` •., i. , s.:i L ,a .. , T t l rf t ,'St fi �.., ,,.� , � °, •:; c _ •. :% aGB s 2� 1 `�'`e �`;3Y. M.. �• IVTION: OCOVERAGE COVERAG T ' t L •I M I.T srt r�x .DESC'R SECOND j N:L'P;TGAGEE''°^ .kc.tiY••+N PHO S E C T I O N 1 Ta .>il.., ')60220874 .'. 3 :=A. DWELLING 31A130 53 72 99 90 )7 x•102.500 NORTHERN CALIFORNIA SAVINGS ==B APPURTENANT PRIVATE STRUCTURES FARG0 L7985C; AND,. LOAN ASSN *Co UNSCHEDULED PERSONAL PROPERTY FOURTH 71,750 ''0 80•X 560 ! 306 REPLACEMENT COST - CONTENTS RCSA, CA 95404 -'ALO ALTO CA 44302 QF!"lNAl_ ,:D. ADDITTsNAL LIVING EXPENSE 209500 46 *THEFT COVERAGE EXTENSION 1100 DEDUCTIBLE APPLICABLE TO ALL PERILS t := S E C T I O 'N I I *E. PERSONAL LIABILITY -EACH OCCURRENCE 100,RCOC f *F. -MEDICAL PAYMENTS -EACH PERSON ?,00G EACH. ACCIDENT 259000 75 WATERCRAFT LIABILITY -HP -51-100 11239 90c, •305 *PERSONAL INJURY t • ., W O R K E: R S@ C n M P E N S A T I 0 v ,r 91, PRIVATE• R�':SIDENCE EPPLOYEFS OCCASIONAL 0C"IC. 101. ;,,245 ADDITIONAL POLICY. CONDITIC".'S REVISED ANNUAL PREMIUM THIS ITEM E364.00 Additional Forming apclt�r;;,-:^:i^,•.: RHO 3279. 43813FU, _PHG2.16 � ,TGAGEE SECOND j N:L'P;TGAGEE''°^ _,QM _ Ta .>il.., ')60220874 I W =LLS F A R G 0 3A NK C/O NORTHERN CALIFORNIA SAVINGS !!111FLLS FARG0 MCRT. CC. ;1725 AND,. LOAN ASSN 1701 FOURTH ST. ''0 80•X 560 ! SANTA RCSA, CA 95404 -'ALO ALTO CA 44302 QF!"lNAl_ ' ' / ' ^` ' ° . , v� ` , ~. � ' � ^ '-'RMi:r No. 5628-79B,PJIE PERMIT EXPIRES OWNER' Phillip L. McKim 'CONTR. owner 62-50-52- I LOCATION (A.P. S/S Pine Tree Ln., 500'SW of Bald Rock Rd. y. Berty Creek a. Temp. Poi Called Temp. Ele Called Temp. Ga, Called JOB FINALED i - r COUNTY OF BUTTE — DEPARTIIA,ENT- OF PUBLIC WORKS BUILDING INSPECTION RECORD Setback Forms Main Bldg. Footings StemwaI I Slab Piers Garage Footings Stemwa I Slab / Carport Footings Slab Patio Footings Masonry Walls Relnf. Steel BUILDING BUILDING (Cont d) PLUMBING Firewall Soil Piping Cz %�lZ Parapets 1st Floor Restroom Finish 2nd Floor Windows 3rd Floor Siding To out Roof Sheathing /U Water PI in Roofing 8 Sewer Fdn. Vents Fixtures Garage Vents Insulation Water Htr. Heaters Prov. for phsically handicappeY Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas Final Sanitation FIREPLACE Final Footing ELECTRICAL F T Stucco Final l Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown' Cooling Temp. Pole Finish I Ducts Underground I Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping 1 E ME IN A LATION - - - - - - - - - - - - - - Support Elec. Continuity ' Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS /7' 'Vill 47 /101--l/ (NOTE: An entry must be made on this form each time you visit the job site.) ifs _ COUNTY OF BUTTE N DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this /matter, or need additional explanation, please contact this office immediately. ij O&Vrr 7 r - i V- I nspector � � � '<< �'' Date—/ ✓ f p P Owner Mai I i nq Address /.1': Contractor COUNTY.OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT0 1 BUILDING I SQ. FT. QCC. BUILDING VALUATION C / //`t, Tel phone N p L~ ' "`r Fireplace Mai I i ng Address Telephone No. Total Valuation Permit Fee S Plan Checking Fee&/or Penalty Building Address Permit Fee Lao PLUMBING No.1 @ I FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. �, Zoning &Planning Water piping 1.50 /1 0 - 00 Each gas water heater or vent 1.50 . •5V F FireDept.1 Fire Zone L Use Permit aa kEiinnPr I PPlans DeFp!�claration Parcel p 0 Improvements Gas piping system 1 - 5 outlets 1.50 �Q EQA Each additional outlet 30 Building sewer 5.00 �� Bldg. PI Parcel A rovol Plans Approval Lawn sprinkler system 2.00 NEW L4 ADDITION ❑ UTILITIES ❑ OTHER ❑ Pt Z erml Fee ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 .VO V OR LE Main service 100 AMP ORSLESS 5.00 Single Family ❑ Duplex ❑ Mobil Home ❑ OthersJV Main service EA. ADD'L too AMP 2.50 Main service OVER e O 25.00 �100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. I DWELLING O{{��P 7i �� OR ADDNS. % ACC. BLDGS, b 20sqfto NEW CONSTR. (MULTCI OU L T CONTRACTORS LICENSE LAW NON. RESID ` BRANCH CIRCUITS) 12.50eal NEW CONSTR. POWER APPARATUS 6 I am licensed under the provisions of Chapter 9, Div. 3, of the NON-RESID. SINGLE OUTLET CIR. State of California Business &Professions Code under the name Ex. Occup{OUTLETS OR FIXTURES a �@ FIXED ALNS. style of: Ex. Occup. ( OUTLETS P(RESID )RE A) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 License No. Classification I am exempt from the Contractors License Laws of the State of California. Permit Fee $ I Z MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE PERMIT FILING FEE $3.00 1 am aware of the provisions of Section3700 of the California Labor Heating Code which requires every employer to be insured against liability for Workmen's Compensation. r71 I have placed on file with the County of Butte a certificate of Cooling �! Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this Ventilation permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of Hood 2.00 California. Permit Fee $ $ I certify that I have read this application and state that the above Land Development Fee $ information is correct. I agree to comply to all County Ordinances TOTAL PERMIT FEE 4 h and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the This permit is hereby issued under the applicable provisions of above-mentioned property for inspection purposes. the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. X O I DateS.J DIR TOR.OF BL IC WORKS / Signature of Permitee or Agent a By Date u eceipt No. � d �ihite-D.P.W. — Ye11ow-A W--%Fink-In actor - Go den od-Applicant Building permit expires Date �f'` ev COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 —r�0 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X ate Sign atu armlt`_orAg�nt Receipt No. 3 L�/aw``/ White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This p it is hereby issued under the applicable provisions of the utte County Cod and/or resolutions to do work indicated a ve for whit eiee ave been paid. E OR OF PUBLIC WORKS k By Date 1 -31 -go - Building J?1_ " Building permit expires Date �D—�� 6 U BUILDING / Owner AtIL(—C/-n L L SQ. FT. OCC. BUILDING VALU Mai ling Address &068 E&A-19AI E 42. I Telephone No. Contractor /(J Mailing Address Fireplace�j)Q.DO Total Valuation Telephone No.`OO Permit Fee . I ) Building Address S s �l/V� %-%C, �-1�, CSD Plan Checking Fee&/or Penalty Permit Fee Bpd $ G(J �� '✓�L�b �> PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 L �y G� Repair drainage or vent piping 1.50 C A. P. No. Z y %d Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 esI FireDept. .Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking Plans ParcelEach Declaration I Parcel Map 1 60' R/W Improvements additional outlet .30 Building sewer 5.00 BI Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ wooz) ELECTRICAL No. @ FEE �(O�D PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR Less 5.00 Single Family ❑ Duplex ❑ Mobil Home ❑ Others Main service EA. ADD -L 100 AMP 2.50 Ile Main service OVER 25.00 100 AMPP OR LESS O Main service EA. ADD'L 100 AMP 1.00 NEW CONST OR ADDNS. ACCLLING BLDGS.CCUP. Y) 20sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONSTR BRANCH CIR T NON.CRESID.ONST ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS a NON.RESI D. SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXTIIRES 5 L2j FIXED LNS Ex. Occup. ( OUTLETS APP (RESID.)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Mist. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for,Workmen's Compensation. ('I I have placed on file with the County of Butte a certificate of •k ` Workmen's Compensation Insurance. r -1I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 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 Land Development Fee $ TOTAL PERMIT FEE Is 5 �z authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X ate Sign atu armlt`_orAg�nt Receipt No. 3 L�/aw``/ White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This p it is hereby issued under the applicable provisions of the utte County Cod and/or resolutions to do work indicated a ve for whit eiee ave been paid. E OR OF PUBLIC WORKS k By Date 1 -31 -go - Building J?1_ " Building permit expires Date �D—�� 6 U COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7" Ca�nty.Center Drive - OroviIIe,=Cal°ifdrnia 95965 - Telephone 916/534-4541 XPPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 62-50-52 ZONING' BUILDING PERMIT OW iRllip L. McKim P�ti TELEPHONE SO. FT. OCC, BUILDING VALUATION 1st 2ndl 3rd I,% 4th renewals OWNER'S MAILING ADDRESS 6068 Elmbridge Dr. San Jose CA 9512 COp1,rSAg TOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ ' Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee 2 original X4 $ 64.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 4 00 BUILDING ADDRESS S/S Pine Tree Ln 5001SW Bald Rock Rd BerryCr PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: 1st, 2nd, 3rd & 4th renewals/5628-79_ private detached garage Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service ;$o AMP OROR LESS10.00 Main service EA. AOD'L too AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLOGS. t 2/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 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 efor sale. (Sec. 7044) l, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code .for this reason NEWCON5TR (MULTI -OUTLET NO N.R ESID BRANCH CIRC ITS. 2,50 ea NEW CONSTR ( POWER APPARATUS &'1 NON -RES,D. SINGLE OUTLET CIR. / Ex. OCCu P�o OR FIXTURES Isom 9ALAL®ao APPLNS. OR FIXED ED A Ex. OCCUp- OUTLETS (RESID.) EA.) 2.00 Temporary service '10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare unddr penalty of perjury (check one): The permit is for $100.00 (valuation) or less. 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. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against s 'd o nyt in conse nce o the grantin f this permit. L _ X — ate Signature of Applicant – OwnerN 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 $ TOTAL PERMIT FEE $ 74.00 Oc CUP. GROUP I TYPE OF CONST. F I PARCEL PD ND I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees CT A O UBLIC By 'I PERMIT XPIRES Date 10/11/84 the applicable provi- resolutions to do have been paid. WORKS � Date 3 vY Receipt No. J 5 r76 � WHITE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT \ x ��0�a�Q7 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMITN,� ASSESSOR P RC NUMBER '�.�'j) -S Z ZONING BUILDING PERMIT OWNERC TELEPHONES SO. FT. OCC. BUILDING VALUATION s OWLING ��A'DR SS Co( , CONTRACTOR'S N ME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Q Filing Fee $ 10,400 LENDER'S MAILING ADDRESS Permit Fee Z,X v $ 7� ° ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDR r– � Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 — Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other _ sP I F Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe work' �fT'1� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 10.00 100 AMP OR LESS 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 Bu$Ine$$ 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) ❑ 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 , NEA DDNS. AUC �osgft TB OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) SINGLE OUTLET CIR. 200500 Ex. Occup OUTLETS OR FIXTURES .ALC 30 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESIO.) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Codntyot 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 again Cou ty in s uence of the granting of this permit. r ___? X Date r,1) y Signature pplicant — Owner Contractor E]AgentE]work An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ �� occup. CONST,TYPEJ I I FLOOD PARCEL ND I ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or �resofutions to do indicated above for which fees have been paid. I EC OR 0 UBLIC WORKS y ` 3 24- 0 PERMIT EXPIRES Date �></ -r �� D1./=Q Receipt No. S WHITE-D.P.W., TELL -A58 LSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT s W Building Inspector ; 1 Q..1(JI Date %q At time of permit application, I was advised the following data must be submitted prior to permit processing and/or r issuance: DATE RECEIVED APPROVED s 1. All items have been submitted................................................................... 2. Plot plans in duplicate/triplicate............................................................... COUNTY OF BUTTE, — DEPARTMENT OF PUBLIC WORKS — BUILDING DIVISION 7}C40d�'ty Center Drive 3 0rovil.le, California 95965 — Telephone 534-4541 PERMIT APPLICATION DATA SHEET OWNER A✓-f�I,k Proposed Building Use % Permit fee based upon: Complete Contract Price Permit No. A.P. No. � S-4 — r W Valuation --jr,-,-Other (explain) Building Inspector ; 1 Q..1(JI Date %q At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted................................................................... 2. Plot plans in duplicate/triplicate............................................................... 3. Complete plans in duplicate/triplicate................................................... O Complete engineered plans and calcs..................................................... ` 7-9• , Plans with Energy Design Compliance Statement ............................ 6. State Energy Forms No. .................... 7. Statement of Intent for Non -Heated & AC Buildings ................... 8. Fees of $.................................................. 9. Letter of signature authorization .............. .-... ....................................... S 10. Sanitation approval from Health Dept.... 11.E Planning approval for C7� Certificate of Workmen's Compensation Insurance ........................ 13. Contractors License Information (no., name style, classification) ............................... 14. Improvements may be required. Contact Land Development Section of Dept. Public Works (see addressbelow)................................................................................................. 5 ,e -ins ec. re Pre inspection for required. bldg. inspe request t°(date) rOther w G6 v�l When you issue the permit, process as follows: Mail to owner Mail to contractor. Telephone and hold for pickup at e'1� office. Deliver w/inspection. Other 7Drt"4F'f S %2 ��t C1 Applicant .�a,' Date Copy of plans sent Health Dept., Fire Dept., Other Dater During the plan checking process, the following data must be submitted prior to permit issuance: (For items required not checked above at time o a circle 1. Index permit for above Items No. �. 2. Additional items required: >f (Contractor, Designe O vr�c�was advised of above required data by Telephone Mail Other !x_17 _fig B Date Plans checked by Date Q Plans approved by Date OTHER: r. �'/r)PW r p� cis 5wUtAA4;na Cl !Vusx.ae ,.ru _ . _._ �'�..-_s.rl�s�Z ./:.mir..!zn'�" .c1`+�5 �"iz+'.\-a..!z�merU ar.��£dosvn —__ rie-o .cwu.e�I�� su.•.w4.�ar.. �, A'4+'L E..Gd. 6�IxE?t3.1 i`'i 1'�: �? 4� 41.•J � �:lT i .�..:�i k?.Vice for w i— ° 13c'maa o k.itrlf.:,Or c <mcae>mc uan�r.>n� s.r+am�oa�sr.,r.�ssc�+..ws for anld�'Alca of •Sx�C�'/ibnL'bs[.1ti'f1�:x,yv�iT�n•^••�•.•+•••-..S!.ffiavY nY[:AIOSc�iG�C2ive���� CYO NVT_� 1TYL_ 1_ _ <.il_.•_.t]f..uv�,� � - C•RStf.':r_.� x. � LY :oaf" Philip. L.. McKim Jennie E. McKim 6068 Elmbridge Drive San Jose, CA 95129- (408) 255-3574 August 24, 1979 TO WHOM IT MAY CONCERN: This. letter is intended to certify that Don Nichols has - been granted full permission to obtain any and all permits .required, on behalf of Philip L. McKim and Jennie E..McKim, regarding construction in.Berry Creek, California.. Your.cooperat.ion in assisting Mr..Nichols is respectfully requested. ..Very truly yours, C5J'enn`ieE� . McKim 1 D OF NATURAL WEALTH AND BEAUTY DEPARTMENT OF PUBLIC. WORKS 7 COUNTY. CENTER DRIVE, OROVI.LLE, CALIFORNIA 95965'. .Telephone: (916) 534-4541 - WILLIAM (Biil)'CHEFF :Acting . Direcrcr March 1, 1984 Mr. & Mrs. Philip L'. McKim RE i. Building Permit Renewals. 6068 Elmbridge Dr. AP #62-50-52' San Jose,.CA 95129 Dear Mr.. '& Mrs.. McKim: With reference to the above subj:ect.and jour letter of .February 28, 1984,,' . Workmen's Compensation Insurance -is not required if the.valuation of the building project is under $100 not"the price of the permit fees. However:, you did mention in your letter that you .have not and do not plan -to hire . outside.help. If that is,the case you would not need Workmen's.Compensation, Insurance at all.. Please complete theattached renewal forms by signing, dating, and checking the appropriate blocks.under Contractor's License Law and Workmen's Compensation Insurance. If you do. not plan to hire outside help. check the block which states-, "I shall not employ Any.pe.rson....." Additionally, the. 3rd renewal for Permit #493-80 only brought the expiration date to 2/29/84. An additional fee of $60.50 will .be required to renew this permit for another year' with an expiration date. of 3/1/85. Thank you.for your help in -this matter,. should you have any, questions;please contact this office. JFG:aj Attachments Yours very truly, William Cheff Acting Director of Public Works Original signed by J. R. Glander J. F. Glander Chief Building Inspector Land Day. Drng. /S.I. Sub. & Pct. Maps Permits Addr. D File No. BUTTE COUNTY (For Action 1,;2,3) Public Works Dept. (For Information ✓) Director Dep. Dir. Sec. Rd. & Br. Mtce. Shop & Yards Bldgs. & Grnds. Bldg. Insp. Admin. Design Engr. Bridge Engr. Constr. Engr. Surveys Mapping Transp. Land Day. Drng. /S.I. Sub. & Pct. Maps Permits Addr. 6068 ELMBRIDGE DRIVE • SAN JOSE. CALIFORNIA W29 February 28, 1984 Mr. J. F. Glander Chief Building,.Inspector Department of Public Works 7 County Center Drive Oroville, CA 95965 Dear Sir: we are in receipt of your letter of February 16, 1984 requesting verification of Workmen's Compensation Insurance. If I am interpreting the copy of the Labor Code which you supplied correctly, we do not need Workmen's Compensation Insurance if "The permit is for one hundred dollars ($100) or less".- The cost of four (4) renewals was $74.00 and $70.50 respectively. Both permits costing under $100. Please note that we have not hired nor do we intend to hire any outside labor. Should our plans change we will contact you immediately. Very truly yours, Jennie E. McKim enclosure olis 1a a000�� 9111011'1119 40 t VA .I COUNTY ®F BUTTE �Tn ( 1 j OFF191A,L.RECEIP 1t! 13760 OFCE OR DE tART E T ISSUING RECEIPT i Received Froin y p 14 19& j The Sum of For tH I Received: I Received By /' _ I CASH Title CHECK I By I • I M<I y i j UNTY OF BUTTE �M 13'65 , OFFICIA RECEIPT I J j OFFICE OR DEPARTMEN ISSUIN RECEIPT - PV Received from I � The Sum of �W For RV,11.- —� Received: I Received By r I CASH j Title CHECK By �F�II�.bM,.�Fti,,,.q., ..,,s.�•«atiiiaM•,.;r _. ..f„<; �; - .. ---- �r County ri t 7 F (`J A T 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, Director 7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965 Teleohone: (916) 534-4541 H. W. McDONALD Phillip L. McKim DATE February 16, 1.984 Deputy Director 6068 Elmbridge Drive San Jose, CA 95129 RE: Workmen's Compensation Insurance Dear Mr. McKim: A review of our records indicates that you do not have on file in this office a CERTIFICATE of Workmen's Compensation Insurance in a form approved by the State of California Insurance Commissioner. The data required on this document is: /X / 1. CERTIFICATE OF INSURANCE heading or Title and approved form. / X / 2. Expiration date of policy. / X / 3. Designation of Butte County Public Works Department, #7 County Center Drive, Oroville, CA., 95965, as the Certificate holder. /X / 4. A statement that the insurer shall give the County at least 10 days advance written notice of..the cancellation of the policy.., / X/ 5. A statement or designation that named insured has Workmen's Compensa- tion and/or Employers Liability for the statutory limits prescribed by California Law (if limits are shown). 6. Certificate of Workmen's Compensation Insurance on file has expired. Please be notified that your permit(s) are deemed to be null and void until the above required Certificate is on file in.this office. Do not send or bring in the policy. Section 3800 of the State of California Labor Code requires that the CERTIFICATE of Workmen's Compensation be on file in this office. Should you have any questions concerning this matter, please contact this office. NOTE: A Homeowner's Insurancy Policy will not Yours very truly, suffice for this requirement. See attached sheet for requirements of Workmans Compensation Certificate. Clay Castleberry Director of Public Works F. Glan er JFG:dd Chief Building Inspector Attachment LABoR CODE 7006 Security for payment of compensation. Every employer except the State id all political subdivisions or -institutions thereof, shall secure the pay-.' .nt of compensation in one or more of the following vrays.- (a) By being insured against liability pay compensation in one or )re insurers duly authorized to write ccmpensati.on insurance in this State. (b) By securing from the Director of Industrial Relations a certificate consent to self -insure, which may be given upon furnishing proof satisfactory the Director of Industrial Relations of ability to self -insure and to pay iy compensation.that may become due to his employees. (Stats. 1937, C. 90, 270, 3700, as amended Stats. 19450 C. 1431, P� 2694, 63; Stats. 1946, 1st Sess. C'. 7, P. 12, 1.) ,.4 Every county or city which requires the issuance of a permit as a ,r. ition precedent to the construction, alteration, improvement, demolition : repair of any building or structure shall require that each applicant for .ch permit have on file or file (1) A certificate of consent to self -insure issued by the Director of Ldustrial Relations, or (2) A certifn.Cate of workmenas compensation Ansurance issued by an :Pitted insurer, or (3) An exact copy or duplicate thereof c.rt1fied by the director or the .surer. The certificate of insurance shall state that there is in e.-cistence a lid policy of war'luve6 P s compensation insurance in a forma .approved by the surance Cozm.rnbssioner. the certificate sh3s1 s'cOW the eXpibation date of .e policy. No -insure.- shall issue such certificate unless the full deposit ezmium on the policy has been paid, and the insurer shall give the county city at least 10 clays, advance notice of the cancellation or the policy. This section ehaij not apply if (1) The permit is for one hundred dollars ($100).or less, or (2) The applicant for the permit signs a certificate Which reads a's flows, or the wording of which has been approved a+_r the Director of Industrial 1ations: I certify that in the performance of the frock for Which -this permit is issued I shall not employ any person in any manner 'so as to become subject to the workmen°s compensation 1Getrs of California. If, after mating such certificate, the applicant for the Pea. -mit should vor-,ie subject to the wo knmenos compensation provisions of this code, he shall �hwith comply with th provisions of Section 3700 or his permit shall be ,,ned revoked. Ided by Stats. 1941, Ch. 1.010; ar:ended by Stats. 1945, Ch. 1431, by Stats, 530 Ch, 552, by Stats. 1959, Ch. 361, and by Stats, 1963, Ch. 1140) rE g CERTIFICATE OF INSURANCE TO BE ISSUED TO: County of Butte �-^cy �cpaA,i...Tent of Pub1Ac wodks 7 County Center Drive Orovil) e, California 95965 fit &0un LAND F IINATURAL WEALTH AND SEAUT'Y DEPARTMENT OF PUBLIC W. 0RKS CLAY CASTLEBERRY, Director 7 COUNTY. CENTER DRIVE, OROV.ILLE, CALIFORNIA 45965 T.eleohone: (91,6),534-45411' H. W. j± cDONALD Phillip L.. McKim DAT: February 1.6, 1:984 Deputy. Director 6068 Elmbridge Drive S.Ain Jose'.,., CA 95129: RE: Workmen's Comp..ensatiion Insurance Dear Mr. McKim: A:review of our records indicates that you do not have on file in this o--r'fice a CERTIIFICATE.of.Workmen's Compensation Insurance in a form approved by the State of California Insurance Commissioner. The data required on this c X / 1. CERTIFICATE / X / 2. Expiration c / X 3 e Des ig'nation - Drive, Orovi / X / .4. A statement advance writ / X / 5....A statement tion and/or by Californi 2./16/84 Mr McKim: Please complete the attached.Owne'r Builder Verification. sheets and return them to this office. Also, we do not have an approved Certificate of Workmans Compensation Insuranceon file as you indicated on your permiv application. The attached letter explains.what we need on the certificate of insurance. Thank -you... Bldg Dept 534-4541 6. Certificate of Worlanen's- Compensation Insurance on file has expired. Please be notified that your permit(s) are deemed -to be null and void until the above required Certificate is on file in this office. Do not send or bring in theoP licy. Section 3800 of the State of California -Labor Code requires that the CERTIFICATE of Workmen's Compensation be on file in this Office. Should you have any questions concerning this matter, please.contact this office. NOTE: A Homeowner's Insurancy Policy will not Yours very truly, suffice for this requirement, See attached sheet for requirements of Workmans Compensation Certificate. Clay Castleberry D i:re ' t & of Public Works ?.Chief Cla.nc�:er JFC:dd Building Inspector Attachment r COUNTY OF BUTTE —Department of Public Works 7 County Center Drive, Oroville, CA. 95965 *Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder' -building permit has.been applied for in your name and bearing your signature. Please complete and return this information in the envelope provided at your. earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No building permit will be issued until this verification is received'. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) Yom. i 2. I (have/have not) (U C signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: 4. Address, Phone Contractors License No. City I plan to provide portions of this work, but I have hired the following person to coordinate, supe rvis , and provide the major work: Name Address City Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address / Phone Type of Work Signed: Property Owner Social Security number - - Date - r-23 —$ e 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 permitted to issue the.permit. COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965' Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: .An 'owner -builder" building.permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to. avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no)_. 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with'the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provid he major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: . Name AddressPhone Type of Work Signed: _ Property Owner Social•Security Number Date C I. 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. sueJCCT j . 3. �f` ;p . •'�i: ! _�� ' ._ SML'L?T NO.._ ......... OF..._-.......,..- ......+«-.. _._..,7..,, :...........:....<...-_r.. r........... .. ..--•- ......-_ ..-..- .... ••- ...«--.. .«........_.....--....--....-......-._...._............. -. "�T terry`„' �• � ' � i' • - 1 s ' t � � 'r:1-. � .a.' t. L �"� � t.. , _45 �. f +e v . • la` " ., `' '•' • � tip •. r ` , eel �. _ r 14 i ....._..:DATE.__ f .t SUBJECT _.jl.%�� t..,..• ry,.. �.f SHEET NO. �OF-:�.- ».. . CHKD. 9f__ .._...._DAT6 ..... _:.__ _.._ _. , _ c . ... ..__........ _ r_••� p� Jdn NO._ rsf`_.."i.1...� 3.. . RLSGF! 4i1�_:,,,� �G • � Qnr�' • �+ a. ,�j, � �' Sar,'s� �casa, 'CA9sA�5 lxo- : ` lav S' �30 . S P5 • Op _ � 7�. • S�l�., _.,..,.4; ....y. ,.. ,,. .. jar � . 6571 e� • .. atX4�f ` ^H • ++fit 5 �. y P-43 TS � � + p ..� :. !j�•u n� �sy: bras -�• • J s a - _, r • )95SHEET NO. .OF o DATE ...... ...... susia ........ ... CT CHKO. BY.___ ... DATE__ ... JOE .... ..... . .... ..... ....... . ...... ....... ........... ............... 2 y COW f Z/1111;7 -6� 00 000 7"Is t 474, 4 ..1 STRUCTURALTES DING. INC.. 2934 *tBRIDE LANE SANTA ROSA, CAII ORNIA 95401 (70t).542 0779 r PROJECT: Cal -Cedar Homes PAGE NO. l OF 3 LOCATION: Sebastopol Ca. REPORT NO. 1118,01-Z STATE FILE NO. APPLICATION NO. SUBMISSION DATE 212179 DISTRBU ITION: — — — — — — — — — — — — — — — --- — — — — - — — — — — ( ) ARCHITECT ( ) INSPECTOR (. ) STR. ENG. ( ) GENL. CONTR. ( ) O.S.A. ( ) (3 )OWNER----------- ------ -- TESTING OF PRE-CUT CEDAR LOGS Samples:- Standard pre-cut log sections, 5-3/4" deep, 2-3/4" thick, random -sampled by Structural Testing, Inc. personnel on 1/25/79, from stockpile estimated at 55000 fbm. Sample Preparation: 1. 14 -inch long pieces cut from each test sample. Individual pieces joined in laboratory with Cal -Cedar standard hammer block and 6 -pound hammer, after placing a 1/8" bead of Scotch -Grip #5230 Wood Adhesive on one mating face. Adhesive cured 72 hours at 73.40F, and 50% relative humidity prior to testing, Test;Procedure: Test data - 1. Frictional resistance (shear) parallel to length tested by joining 3 pieces. See Detail A for joining and loading of samples with no'normal force.(unrestrained)-and Detail C for loading of samples with 300 pound normal force:' 2. Frictional resistance perpendicular to length tested by joining 2.pieces. See Detail B for joining and loading method. 0 Sample Frictional Resistance, Remarks No. Vounds per foot of len th ,Parallel to length erpen i -cu ar (two joints) to length one joint 1 2420 - No normal force. See 2 26.30 - Detail A. 3 2 5:00 - Avera e 2517 - 4 2740 - 300 pound normal force 5 2690 - applied. See Detail C 6 2640 = (photograph) Average 2690. - 7 - 910 See Detail B 8 - 730 9 - 1020 Average - 887 STRUCTURAL TESTING, INC. STRUCTURAL TESTING, INC 2954 McBRIDE LANE --SANTA ROSA, CA11FORNIA 95401 (T07) 542-6279 'PROJECT: Cal -Cedar Homes PAGE NO. 2 3 LOCATION: Sebastopol, C a. REPORT NO77 - 2 STATE FILE NO. APPLICATION' NO. SUBMISSION DATE 2/2/79.. DISTRBU ITION:------- ——————————————————- ( ) ARCHITECT ( ) INSPECTOR ( ) STR. 'ENG. ( ) GENT. CONTR. ( ) O. S.A. ( ) (3 )OWNER — — — — — — — — — —— i -———————— — — - — —- TESTING OF PRE-CUT CEDAR LOGS LOA D DETAIL A CAL -CEDAR LOGS CAL CEDARtiAHOMES, . INC. 2160 .Green Hill Road ;` , IrSebastQpo1, CA. 95472 STRUCTURAL TESTING FORM NO. 109 LOADING FRAME CAL -CEDAR LOGS 91 � M. B• . STRUCTURAL TESTING, INC. STRUCTURAL TESTING. INC. 2924 Mc BRIDE LANE — SANTA ROSA. CAI IfORNIA 95401 (707) 542.0779 PROJECT: Cal -Cedar Homes PAGE NO. 3 OF 3 LOCATION: Sebastopol , C a . REPORT NO. 1118,01-2 STATE FILE NO. APPLICATION NO. SUBMISSION DATE 2/2/79 BU DISTRITION: — — — — — — — — — — — — — — — — — — — — — — — — — — - ( ) ARCHITECT ( ) INSPECTOR ( ) STR. ENG. ( ) GENT. CONTR. ( ) O.S.A. ( ) ( 3) OWNER ( ) TESTING OF PRE-CUT CEDAR LOGS DETAIL C STRUCTURAL TESTING FORM NO. 109 STRUCTURAL TESTING, INC. Paul A. Vincilione r x. March 19, 1980 Mr. & Mrs. Philip McKim 6068 Elmbridge Drive San Jose, to 95129 Re: Reference File#.792371 Your #21336 Fireplace Dear Mr: & Mrs. McKim:* Thank you for submitting your Customer Inquiry Form relating to th-e.. proper clearances on your Hearth Craft Franklin Fireplace. It will give you satisfactory service when installed at proper distances from combustible walls according to the installation instructions received with it. (18 inches measured from the most rear projection to the back wall, 12 i.nches from side walls to edges of the cast iron hearth). Subsequent tests have confirmed, however, that the heat shield originally offered as an option with the unit should be used with itfor. satisfactory operation. We will provide the heat.shield kit to you, free of charge, and will provide assistance in installing it if you desire it, if you can establish you purchased your Hearth Craft fireplace from Wards. You indicate on your Customer Inquiry Form that your Hearth Craft fireplace was purchased from Montgomery Ward. As many other retailers have sold thousands of these fireplaces, it is essential that we have something which confirms purchase of the fireplace from us. It is not necessary that you were the original purchaser, only that. someone purchased it from us and that we have something that confirms that purchase. The simplest thing of course is the sales slip. If you. can't locate that we suggest the following: Was the purchase on a.Wards Charg-all Account? If so, name, address, account number.and purchaser. Was it paid for by check? If so, attach a photocopy.. M.ErCHANUISE OFFICcS a Mobil company 'rvvo 1.11i-JTGONIERY %NARU PLAZA ,CHICAGO. 1L 60671 PHONE (312) 467-2000 Page 2 Do you know the name and daytime telephone number of a Wards employee or catalog sales agent that sold it and can confirm the purchase for you. If so, give us the name, telephone number Include any.other information that may be helpful in establishing.the purchase of the fireplace from Wards. Whenever you write me on this matter, refer to the reference file number above. We sincerely wish to take care of this matter for those who, purchased their fireplaces. -at Wards. We appreciate your cooperation in helping us to help you. C. D. Gutmann Customer..Relations Mgr:, 4-N Montgomery Ward Plaza Chicago, IL 606711. KC IMPORTANT SAFETY NOTICE TO OWNERS OF WARDS WOODBURNING HEATERS AND FRANKLIN FIREPLACES MONTGOMERY WARD CUSTOMER INFORMATION PACKET DEAR CUSTOMER The attached packet has been .prepared to provide our customers with complete and correct information.for the proper installation of cer- tain woodburning heaters and Franklin Fireplaces. It includes: 1. The -IMPORTANT SAFETY NOTICE to Owners published in recent catalog media. (Reproduced on the reverse side of this page). 2. A MODEL IDENTIFICATION AND CLEARANCE GUIDE.which identifies all of the.units which are affected by our agreement with the Federal Trade Commission. (If you own a different unit and have questions about your installation, have it inspected by a local building official or fire �-narshal.) 3.. A CUSTOMER INQUIRY FORM for your use in requesting further information from our Corporate Office.. Please read the following instructions and examine -the attached materials carefully -to determine what action you should take. . IF YOU THINK YOU OWN ONE OF THE ABOVE UNITS LISTED ON THE' "Important Safety Notice", see the attached MODEL IDENTIFI- CATION AND CLEARANCE GUIDE for details on how to identify your unit and how to determine and compare'your clearances with those which are recommended. IF YOU DETERMINE THAT YOU HAVE AN AFFECTED UNIT, and you require a heat shield, floor pad, spacers or assistance in either installing them or in moving your unit to proper. . clearances, or if you think you may be eligible for a refund, please fill out the attached CUSTOMER INQUIRY FORM completely. (Be sure to include the Installation Details information re- quested on the reverse side of the form), and mail to Mr. Gutmann as requested. The information you provide to us will be carefully reviewed and you will be subsequently con- tacted regarding any necessary corrective action. IF YOU HAVE AY OTHER QUESTIONS with regard to the woodburning heaters and Franklin fireplaces on the list, please direct them -to Mr. Gutmann at the address shown on the CUSTOMER INQUIRY FORM. . MONTGOMERY WARD 11579-1 ` MODEL IDENTIFICATION & CLEARANCE GUIDE ' r If you determine you have one of the following units, it should be installed as shown, with at least the minimum recommended clearances. If you need a heat shield, or assistange in installing it, fill out the attached Customer Inquiry Form. IMPORTANT,NOTE: If your walk or floor are other than solid unfinished masonry, they are combustible. WARDS"Hearth Craft" Franklin Fireplaces rr*" 220 (Little Ben), WARDS NO. 74-21335 model 260 (Big Ben), WARDS NO. 74-21336 model 300 (Giant Ben), WARDS NO 74-21337 REAR HI SHIELD lu rte' i �•w � f BOTTOM COMBUSTIBLE SIDE & REAR WALLS I HECK FOR �','.:•_'• :.. I. D. NOS. ON OUTS IDE OF SIDE AND UNDER HEARTH SHELF' FIREPLACE NONCONIBUSTI BLE HEARTH EXTENSION IAT BAST 373' THICK) MODEL NO APPROXIMATE OVERALL MINIMUM SIDE ,; MINIMUM NONCOMBUSTIBLE HEARTH COMBUSTIBLE SIDE & REAR WALLS I HECK FOR �','.:•_'• :.. I. D. NOS. ON OUTS IDE OF SIDE AND UNDER HEARTH SHELF' FIREPLACE NONCONIBUSTI BLE HEARTH EXTENSION IAT BAST 373' THICK) MODEL NO APPROXIMATE OVERALL MINIMUM SIDE MINIMUM BACK MINIMUM NONCOMBUSTIBLE HEARTH DIMENSIONS CLEARANCE FROM CLEARANCEFROM EXTENSION DIMENSIONS SIDES OF HEARTH * BACK OF UNIT TO WIDTH HEIGHT DEPTH SHELF TO SIDE WALL REAR WALL* FRONT SIDES BACK 74-21335 '34" 29 314" 221" 17, IS" 20" IT' 12" 74-21336 38V 313/4" 24}" 12" 18" 20" 12" 12" 74-21337 42$" 31 314" 24V 12" 18" 20" 12" 12" *WITH HEAT SHIELD KIT INSTALLED. HEAT SHIELDS MUST BE INSTALLED ON FIREPLACE IF FLOOR OR WALLS ARE OTHER THAN SOLID UNFINISHED MASONRY. WARDS WILL PROVIDE THE HEAT SHIELD AND INSTALLATION FREE UPON REQUEST, IF NEEDED. 12579-8 \► Li