HomeMy WebLinkAbout056-110-073.056-11-0-073. .,.
ADMINISTRATIVE PERMIT -96-05- . F
,°SEDOND UNIT ON PROPERTY.
,'12/27/95 ' $
w
MOBILEHOME W/O PERMITS
THIRD LIVING UNIT
8/26/97
U � oda ��
�,e*,01 l��
LEVANS,om
haven Ln, Cohasse' garage) /I2
.p_._._. _._._._.
56-11-73 447-91B,P,E
LEVANS, Tom :& .Susan
190 Woodhaven Dr,'Cohasset
'(conv garage to 'new sf) '
056-110-073 PERMIT#95-2282
PREJEAN, Carol '
190.Woodhaven Dr., Cohasset
Cont; Henning Const.
Add Bedrm,Bath & Closet/SF // 7
056-110' 073 'y PERMIT#96-0573
PREJEAN; Carolj
192 Woodhaven Dr.,,Cohasset
Mobilehome Util/2nd- Dwelling'�!%��/
ELECTRIC 100 POVII-9
GAS LINE Lf & 3(4°'
COMPACTION TEST REQ Alv
SUPPORT STRUCT REQ Jl�p
.,=0 c6-11-0-073 V --96--0982
'PREJEAN, Carole '
192 Woodhaven, Cohasset
(MHI/96-0573)
056-11-0-073
PREJEAN, Carol 9 -2014 MHI
192 Woodhaven Dr,�9
D
(MHI/ex site ExecCohasset
utive Homes
_ 3
s
I
Y; ;���ti .
r
RESIDENTIAL
056-110-073 PERMIT#96-0573
PREJEAN, Carol'
192 Woodhaven Dr., Cohasset
Mobilehome Util/2nd Dwelling
�v
�e
OFFICE COPY
Address
i GAS k Date
Meter BY—
E
Y
i ELECTRIC pate
1 Meter BY
JOB FINALED (Date) —
Signature
V=OK
0 = Not OK
'=NottR aldyble! MOBILE HOMES
r1.t. unpH p Flnur UTILITIM rPlansl M PYCPnt #'s
Requirements - Setbacks - Easements
5 ectricity; Location -Clearances -G p-qoncrete
6. Gas; Location -Test -Wrap; / /'L'ft. t
/ at. or/ t' L'ft./ /LPG Zfl>]
7. ell Clearance & Disconnect
S. kdblitv Clearance
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date MO HOME INSTALLATION(Plans) OK except #'s
ng equirements-Setbacks Easements
gs; Size -Spacing -Marriage Line
s; MH Test -Demand -Valve -Connector
iffElectricity; MH Test -Crossovers -Breakers -Clearances
Dr n; MH Test -Fall -Flex Connector
atter; MH Test -Regulator -Connector
apfandsewer Connected -C/O to Grade -HD Approval
s and Electricity Tagged
Tie Downs -Type -Installation Cert.
xits; Insp.-Sketch --
11. Cert of Occupancy
Date Card B-1 Date Card B-1 i
Date Card B-1 Date Card B-1
t
MISCELLANEOUS
Date
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils-Size-DepdiSpacing-Connectors-Steel
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg: Rfg: Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg.; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distance-GFI
5. Elec.; Pool Lighting; 15 Volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5 Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
✓=OK
O = Not OK
= Not Applicable
Not Ready RESIDENTIAL (Single & Duplex)
' =�
a
Date UNDERFLOOR (Plans) OK except H s
51. Property Line Firewall &Openings
Date FRAMING (Continued) r
1. Zoning -Setbacks Easements Flood Slope
_
j 45. Hangers -Post Caps -Anchors -Connectors
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
--------`---`-__-------`
46. Cing. Joist-Rftr. ties- Purlin-roof Brac-Truss-Shthng.-Rfnq.
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
---------------- _-_---
47. Fireplace Ties or Type AFlue-Fireplace Throat clearance
4. Fl..g., Porches & Decks; Soils -Steel-/ /Ftg. Depth
57. Glazing Area -Glass Protectiori_Skylights-Plastic
---------------- -
7 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
5. Stemwalls, Main; Steel-Blockouts-Wrapped
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
-
60. Infiltration -Walls -Windows
----------------`----
50.. Garage fire Protection Framing
6a. Hold Downs and Special Anchors
-----------------------------------------------
Date
-------------1. PropertyLine F-`
7. Slab; Steel -Wrapped
-- --------------------------
Card B-1 Date Card B-1
"Date
8. Piers -Fireplace Ftg.-Steel
----------------
- --------
61. Ext. Steps -Door & Sidelight Protection -Landings
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Pienums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. Insulation
Date t Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit),OK except It's
16. Water Htr.: Vent -Access -Combustion Air -Baffle
17. Water Pipe: Test & Anchor -Nail Protection
- --------------------
18. D.W.V.: Test -Fittings & Anchor -Nail Protection
---------------------------------------------------
19.
--------------- -- --
-19. Shower Pan: Test_ First Floor -Tub Access
20. Test Tub & Shower. Second Floor -Tub Access
---------------------------------------------------------- --
21. Gas Pipe: Size & Anchors
-----------------------------------------------------------------------------
Date Card B-1 Date Card B-1
------------------------ -------------------------------- ------------ -------
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except a's
22. Fixture & Transformer Clearance -Ins. Protection
---------------------- ------------- -----------
23. Elec. Receptacles Spacing -Lights & Switches at Doors
---- --- --- ------ - - ------ -- ---------------------------------.._..---
24. Size Boxes & No. of Conductors -Stapled
-------------- --------------------------------------------------...- - -
25. Romex Installed Close to Edge of Studs & C.J.
--------------------------------------------------------- ---------.--- -
26. Equip. Ground made up wrMech. Fastners-Bond Gas & Water
--------------------------------------------_...._... ...................
27. 2 Appliance Circuts in Kitchen & Conductor S1ze1GFl
--------------------------- - ------ ------------ - - --
28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size ga.
Cu or Al
-------------------------------------------- - -- --- - .............. ..
29. Range Circ ga. Cu or AI-Oven,Circ. ga. Cu or Al.
Insulated Neutral 0 Yes 0 No
---------------------------------------------------------
30.
---------------------------------- ....... - ._...
30. Service -Riser Conductors & Ground -Main Disconnect
------------------ - - - --- - - - -
31_ Equip_ Clearances Panels-Motors-Mech. Equip.
- .. ....... ..
32. Clothes Closet Light -Shower Light -Spa Light -
------------------------- - ----
33. Smoke Detector
---- -- -
........ ......................... ...... ......... I......... ..
Date Card B-1 Date Card B-1
-------------.... - _..._.......... ...- --............... ... ....... ... ... ..
Date Card B-1 Date Card B-1
Date MECHANICAL.(Permit) OK except a's
34. A.C. Ducts Insulation & Support
-----------------...------------_._.......----..................... ..._...
35. Vent Fan: Exhaust above insulation
------------------------------------ . _ .... __. ... ... ....... .. ... ..
36. Condensate Drain & Overflow: Size & Grade
-- ................ ....................... ....... .. .
37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet
- -- --_..._ ... _ ......... ... ... ....... ... ... ..
38. Attic Access & Platform if Furnance in Attic
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except a's
39. Sils. Proper Material & Anchors
40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound
...... ..........._... ...... ...
41. Bearing Walls over Girders & Floor Nailing
- _ ............. ... .. .. ... .. ..
42. Draft Stop in Walls (rat proof)
....._.._. .----........... -.... ._.... . ...... ....
43. Fire Stops: Furred Ceilings- Stairs -Chases -Tub
44. Headers & Beam -Size & Bearing
86 Ventilation Throughout House
...... ... .......-...- --------------------------------
87. Glass Protection
88. Corrections'rom Previous Inspections
89 Gas Test -Meters Tagged: Gas -Electric
..._.. .......__..._..-----------------------------
90. Water & Sewer Connected-CrO to Grade -HD Approval
91. Energy Compliance Certificate -Other Certificates
. ... .. .... ....... . ..... .....__..__..... - -- - ------------------------
Date Card B-1 Date Card B-1
---- ---
---_-----------------------------------
Date Card B-1 Dale Card B-1
Date Card B-1 Date Card B-1
Comments. at Final:
51. Property Line Firewall &Openings
52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits
___________
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
_
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
55. Siding -Nailing Veneer
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
-----------------
57. Glazing Area -Glass Protectiori_Skylights-Plastic
58. Shear Walls: Nailing -Bolts
59. Insulation -Walls -Ceilings
----------------------------------------
-
60. Infiltration -Walls -Windows
c ------ ---------------------------
--------- -------
-----------------------------------------------
Date
-
Card B-1 Date Card -b-1
- -
Date
-- --------------------------
Card B-1 Date Card B-1
"Date
FINAL (Plans) OK except a's
----------------
- --------
61. Ext. Steps -Door & Sidelight Protection -Landings
-
62. Smoke Detector
62.
------------------------------- -
63. Furnace: Vents -Clearance -Comb. Air -Connector -
....----
--------------------------------------
In Garage: Above Floor -Ducts -Meth. Protection
- ----------------------------- --
----------------------------------
64. Bedroom Exiting
65. G.F.I.& Bath Fixtures & Tub Access -Spa
--- ----
66. Elec. Trim & Subpanel: Breaker Sizes & Labels
----------------------------
67: Stags & Rails
68. Fireplace or Stove: Clearances -Hearth
-- - ----- --- ----- --------
69. Elec. Outlets at Wood Panel: Int. & Ext.
- - - - - - -.
-------------------------------------
70. Kit.Fixt. & Appliance: Grnd.-Air Gap- Cooking Clearance
- - - - ------------------------------------ --
71. Elec. Outlets & Receptacles at Kit. Counter
72. Garage Fire Door: Swing -Landing -Closer
...
73. A.C. Duct in Garage -Damper
- - --------------
74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V.
..- -------------------------------------------
In Garage: Above Floor-Mech. Protection
----------------------------------------- ----
...........
75.
75. Plb.. Elec. & Mech. Equip. Listed for Location
---------------------- -
...... ........
76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection
---- --------------------------------
7 Insulation -Foam -Looked in Attic 0 Yes
......
78. Guard Rails & Deck Construction -Post Caps
---------------------------------------------- --
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
'. - -----------=-------------------
80.. Following instldil, Drive 0 Yes 0 No. Walks 0 Yes 0 No;
Planters 0 Yes C1 No
--------------------------
.. ...
dl. Stucco: Brown -Finish '
. -- - -- ---------------------------------------
..... _......._.---------------------------
82. A.C. Unit: Disconnect. Electrical, Plumbing
83. Vents Above Roof: PIbg.-Appliance-fireplace. -Clearance to
Openings
84. Wale, Well:•D,sconnect. Electrical. Plumbing
--- -
.............
85. Exterior Elec. Trim. G_F.I_Receptacle_Underground - -
86 Ventilation Throughout House
...... ... .......-...- --------------------------------
87. Glass Protection
88. Corrections'rom Previous Inspections
89 Gas Test -Meters Tagged: Gas -Electric
..._.. .......__..._..-----------------------------
90. Water & Sewer Connected-CrO to Grade -HD Approval
91. Energy Compliance Certificate -Other Certificates
. ... .. .... ....... . ..... .....__..__..... - -- - ------------------------
Date Card B-1 Date Card B-1
---- ---
---_-----------------------------------
Date Card B-1 Dale Card B-1
Date Card B-1 Date Card B-1
Comments. at Final:
w V
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 .County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541/ � IT
APPLICATION -AND PERMIT
ASSESSOR PARCEL NUMBER
0564110-071
ZONING
TIM5
BUILDING PERMIT
OWNER
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
CONTRACTOR'S NAME
OWNER
TELEPHONE
CONTRACTORS MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNW40WN
Total Valuation $
Filing Fee $ VAIR
LENDER'S MAIUNG ADDRESS
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $ 23-00
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
WOODHAVEN DR COHASET
PERMITFEE $ 23.00
PLUMBINGPERMIT Filing Fee 20.00
Each Trap 7.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Solar or heat pump water heater 23.00
Water piping 15.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome M Other
SPECIFY
Each gas water heater or vent 15.00
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities 1X Installation ❑ Other ❑
Describe Work: _ E 2ND DWELLING
Mobile Home IS I G I W 920.00 60.00
PERMITFEE g 80.00
Contractor
ELECTRICAL PERMIT Filinq Fee 20:00
Main Service ( Zoon DOR LEss ) 23.00 23.00
Main Service ( 200A TO 1000A ) 46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under 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
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
�[ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUP. SD.
OR NS. ( 8 ACC. ) 3.5Q FT.
NEW CT
CONST. MULTI�OUTLETLE
NOWRESIO. ( BRANCH CIRCUITS ) @7.50
POWER APPARATUS
(a SINGLE OUTLET CIR. )
Ex. Occup. ( OUTLET OR FIXTURES) 20 @ 1.00
BAL 0 .50
Ex. Occup. FIXED APPLNS.
) 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMITFEE $ 43.00
Contractor
WORKERS' COMPENSATION DECLARATION
I 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
MECHANICAL PERMIT Filing Fee 20.00
9
Heating
Cooling
Hood 6.50
Ventilation
PERMITFEE $
Contractor
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.)
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 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.
r��
Date _J 1) /5(
Signature of Applicant - ❑ OJiVer ❑Contractor Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
I
TOTAL FEE $ 166. W
HA2. I
_
D. FEES
IMP
FLOOD
CDF PARCEL PO
_
Ho U
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.
By Clate
PERMITEXPIRESON
(Dat
Receipt No. �% �^
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENVOF 6 VELOPMENT SERVICES
1469 Humboldt Roadv. ico, CA - (9` :el 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
'rK 747 Elliott Road, Paradise, CA - (916) 872-6307
r
`t, f CORRECTION NOTICE
PZ0-%T- AA/
OWNER PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
theNave address and should be corrected. Please notify this office when correction of work
is co p ted. If you have any questions pertaining to this matter, or need additional explanation,
Rleas c tact "i office immediately.
�- COUNIrTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION
7 COUNTY CENTER DRIVE - ORO.VILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET
"OWNER C/9/Z0� ,�. Pile A. P. No. 6 ' -�7�
Proposed Bung U,se ,- U �^'� V fBuilding Inspector C. Date -3/nz 5116
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
1. All items have been submitted . ....................................... .
2. Plot plans, 3/4 sets, signed by preparer of plans . ..........................
3. Complete plans, 3/4 sets, signed by preparer of plans . ..................... .
4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form . ..........................................:.
6. Energy Design Compliance and supporting documentation.
7. Statement of Intent for Non -Heated and A/C Buildings . ......................
8j2. Engineered truss details and layout in duplicate (required prior to plan check). .... rT
Mobilehome dataphd manufacturer's installation instructions, 2 sets. ...........
Fees of $ .......................... .
Impact fees as shown on attached schedule. .
California Department of Forestry plan approv �I/fee /./. �b .... .
�1' Flood elevation letter 100 year flood b CalifOffTla�Per...................
4. Sanitation and plot plan approval N%/L 10 Health Department . ............
15. City of Chico plumbing permit . .........................................
16. Plot plan and business'license a proy I from City of Biggs/Gridley. .
17. Planning approval for (A) Use: '�� ��G • (B) Parking: .........
18. Contact Land Development about (A) Improvements (B) Drainage. .......... .
19. Driveway permit (construction approval required prior to occupancy). .. .. .. .
Pre -Inspection request
20. Pre -inspection for required. . to Building Inspector (Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Workmans Compensation Insurance . ..........................
23. Owner -Builder Verification (Given to owner , Mail to owner. . .......... .
g. Recorded copy of Agricultural Acknowledgement Statement . ...............: .
2_5. Letter of signature authorization . ........................................
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
27. Letter of intent on building use. ......>..................................
28. Mobilehome utility clearance . ..........................................
29. Documentation of legal access . ..................... :..................
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements .r�`
..............
31. Existing violations/expired permits.......................................
32. Plan check list . .................................................... .
33.
34.
Wh n you issue the permit process as follows: ai to own "r. Mail to contractor.
W Telephone 472- ;91 Q,4 and hold for pickup a G/l/ten office. Deliver with inspector.
Other EDo - 0
Parcel Creation / 9G
Acreage Applicant _ [tA Date 3 I
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
' The following data must be submitted p iloj to per it issuance: (Circle new item not checked above).
Index permit for above items No. KP -
2. Additional items required:
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date -
Contractor, designer, owner, w sadvised of above required data by'_ phone_ m_ Date
Plans checked by it nter y Date-o'tj� (/ Plans approved by Date S
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
Ij-4 .
TO: Building Department
FROM: Environmental Health
�( E.H. USE
Plot Plea A&dwl `„ ' E"
Floor Plea Aunched B'
Seat to B.D.��
SUBJECT: Sanitation Clearance
/L
V�. r�.e wi t fii �iGI� I v2- �G�j-//- �--cAe4l P, - &�u,,4 S6
Owner Location AP#
Plan Approved for: Sewage Disposal Water Supply: Public Private Well
Clearance for bedroom mobile home. Other Wk 12' fico 6��✓�-oy� rho�i/ �ionLe
Hold final for:
Final clearance O.K. for:
NOTE: o?r�c� i�S� c dee�o / /mac i
Environ ental Heal Specialist Date
8/92
. �
:. ;; _ .
�. _
� r a
�
•
A
, � . , f
, '
�
.+
i -
r
_. � - �
.---. ,. ,
� f
h `�
t S ��• r' .. ' �.�
• �
S Y
�
..�
' � � �J
` r
`'
� t' � ' �
,,
I'
. �
( � ! " s �. � �� -!'fir i , . .4 '
u � �� 'J�y• .r �. .z
'.
•
• � ` � r � � � .�3 � ...
, Y ate ~X..� ' �
.. � . � 1r-
��•�
^'
* I .
;
t � i 1 �• � ! ^L
ADMINISTRATIVE PERMIT
BUTTE COUNTY PLANNING DEPARTMENT December 27, 1995
DATE
AUP96-05
PERMIT NO.
AP 056-110-073
ASSESSOR'S PARCEL NO.
Pursuant to the provisions of the Zoning Ordinance of the County of Butte and the special
conditions set forth below: Carol Prejean is hereby granted an Administrative Permit in
accordance with application filed: 10/9/95 to allow a second unit on property zoned TM -5
located at 190 Woodhaven Drive, Cohasset.
1. Failure to comply with the conditions specified herein as the basis for approval of
application and issuance of Permit, constitutes cause for the revocation of said permit in
accordance with the procedures set forth in the Butte County Zoning Ordinance, including
Butte County Code Section 24-62.
2. Unless otherwise provided for in a condition to an Administrative Permit, all
conditions must be completed by the permittee within 24 months of the delivery
of the countersigned permit to the permittee.
3. If any use for which an Administrative Permit has been granted is not established
within two year of the date of receipt of the countersigned permit by the permittee,
the permit shall be come null and void and reapplication shall be required to
establish the use.
4. The terms and conditions of this permit shall run with the land and shall be binding upon
and be to the benefit of the heirs, legal representatives, successors, and assigns of the
Perm ittee.
SPECIAL CONDITIONS:
1. Occupancy of the mobile home is limited to Valerie Griffiths.
2. No rent is to be changed to the occupancy of the mobile home.
3. Meet the requirements of the Butte County Environmental Health Department for
domestic water supply and sewage disposal.
1Z
4. The mobile home is to be a temporary use on the property pursuant to the requirements
of Section 24-304 of the Butte County Code.
5. The temporary mobile home must be placed a minimum of 30 feet away from the existing
structures.
6. The Use Permit shall expire two years from the date of issuance of the Use Permit. Upon
application, the Planning Commission may grant an extension of the Use Permit not
exceeding one year.
7. In the event that the applicant who is residing within the mobile home or the conventional
residence, for any reason, moves to another location or is deceased, then in that event,
the Use Permit granted herein shall automatically expire and the mobile home shall be
removed within one hundred twenty (120) days. In the event the mobile home is not
removed within one hundred twenty (120) days pursuant to the terms of the Use Permit,
the County shall remove the mobile home and store it at the owner's expense.
8. The applicant is to pay a deposit or post a bond to cover the cost of removal in the amount
of $1,500.00 for a single -wide mobile or $2,000.00 for a double -wide mobile.
9. Meet the requirements of the Building Division of the Department of Development
Services.
10. Minor changes may be approved administratively by the Director of Development Services
upon receipt of a substantiated written request by the applicant. Prior to such approval,
verification shall be made by each Department or Division that the modification is
consistent with the application, fees paid and environmental determination as conditionally
approved. Changes deemed to be major or significant in nature shall require a formal
application for amendment.
11. Applicant must also comply with all other applicable State and local statutes, ordinances,
and regulations.
NOTE: Issuance of this Administrative Permit does not waive requirement of obtaining Building
and Health Department permits before starting construction and their approvals prior to use or
occupancy, nor does it waive any other requirements. ,
CC: Land Development Division
Building Division
Health Department
Department of Forestry
Plargrfirig Manager
utte coun y
-U..,:'_ V�/ EA I TH AND
PLANNING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397
TELEPHONE: (916) 538-7601
FAX: (916) 538-7785
January 2, 1996
Carol Prejean
190 Woodhaven Dr.
Cohasset, CA 95973
CERTIFIED MAIL
Re: Administrative Permit, AP 056-110-073
Dear Ms. Prejean:
Enclosed is your validated Administrative Permit No. MUP 96-05 to allow second unit on
property zoned TM -5 located at 190 Woodhaven Dr., Cohasset.
Should you have any questions regarding this matter, please contact this office between
8:00 a.m. and 4:00 p.m., Monday through Thursday.
Very truly, yours,
er
BKH:pa
Enc.
cc: Land Development Division
Building Division
Environmental Health
Department of Forestry
j:\temp\up7
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING
v
__�
DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538=7�1�q/ 0.
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER O�
ZONING
BUILDING PERMIT
1�
,gq-3 $ I Q r
I V Y�
SQ. FT. OCC. BUILDING VALUATION
OCIs MAILING ADD S
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAIUNG ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Fling Fee
$ 20.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
p
$ a 3 ap
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS/ (0 V �/�
PERMITFEE
$
PLUMBINGPERMIT
Filing Fee 20.00
Each Trap
7.00
LOT NO.SUBDNISIONS
NAME
PARCEL MAP
Solar or heat pump water heater
23.00
Water piping
15.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ �JUilities ❑ "I�n�stallation ❑ Other ❑ //
Describe Work: �% pJ%7Q/ //yQ��/1GJ ro
Mobile Home S I G W 1
@20.00
PERMITFEE
S
Contractor
ELECTRICAL PERMIT
FilinQ Fee 20:00
Main Service a OR LESS
( 200A OR LESS )
23.00
Main Service ( 200A TO 1000A )
46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under 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:
10 I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUP.
OR ( a ACC. BIDE. )
SD.
3.50 F7.
CNS.
NEW CONST. MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS )
97.50
( POWER APPARATUS )
a SINGLE OUTLET CIR.
EX. Occup. ( OUTLET OR FIXTURES
)
20 @ 1.00
BAL 0 .30
Ex. Occup. (oFIXEEDTs RES D.OR )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE
S
Contractor
WORKERS' COMPENSATION DECLARATION
I 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
MECHANICAL PERMIT
Filing Fee 20.00
9
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE
$
Contractor
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.)
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 workers'
Compensation laws of California, and agree that if I should become subject to the
compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisioW.
X __ Date
Signa ure of� Own r ontractor (K Age
An OSHA permit is required for excavations over 50" deep and demolition or construction
of structures over 3 stories inheig t.
Mobile Home Installation Fee
$ d D sb
Energy Inspection Fee $
OCC
CONST. TYPE
Al/A O
TOTAL FEE $ ll
HAZ.
r--
I D. FEES
_
IMP FLOOD
_
CDF
PARCEL PD HD �E
1(workers'
This permit is hereby issued under the
of the utte CounV Code and/or
Indic e e fo which fees have
B_
Y
PERMITEXPIRESON_
applicable provisions
Resolutions to do work
been paid.
Date�//fo
713,11f%
(Date)
ReceiptNo.� �'L�� /
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
44s. M031 �" x Pl ilkr � ' `r� s+� �amaYi94wrsf� �r'iF 3 t73 �4. + "i +h
COUNTY OF BUTTE - DEPARTMENT!DFtiDBVELOPMENTSERVICES -BUILDING DIVISION
7COUNTY CENTER DRIVE- OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET f
OWNER C ,4Rp / '/l e,) ��'''"' A. P. No. 7 7,� Z 3 -O g 3
Proposed Building Use %'%h'i' Building Inspector L ' Date
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
1. All items have been submitted . ........................................
2. Plot plans, 3/4 sets, signed by preparer of plans . ..........................
3. Complete plans, 3/4 sets, signed by preparer of plans . ... ................... .
4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form . .................................... .
6. Energy Design Compliance and supporting documentation. ..............
7. Statement of Intent for Non -Heated and A/C Buildings . ........ .
Engineered truss details and layout in duplicate (required prior to plan check). ....
Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
Fees of $ ., dule. ............................. .
1 Impact fees as shown on attached schedule.
California Department of Forestry plan approval/fees.........................
13. Flood elevation letter (100 year flood) by California Engineer . ................. .
14. Sanitation and plot plan approval Health Department. :...........
15. City of Chico plumbing permit. ... `......... N.....:.`......" ............. .
16. Plot Oran and business license approval from City of Biggs%Gridley.
17. Planning approval for (A) Use: (B) Parking: '�i- . .........
18. Contact Land Development about (A) Improvements (B) Drainage ............ .•
19. Driveway permit (construction approval required prior to occupancy).`'
20. Pre -inspection for I,ln,,I,n requestrequired. -. . to Building Inspector (Date)
21. Contractor's license information. (No., Name Style, Classification) . .............
22. Certificate of Workmans Compensation Insurance . ..........................
23. Owner -Builder Verification (Given to owner , Mail to owner _�. .......... .
24. Recorded copy of Agricultural Acknowledgement Statement . ............ .
25. Letter of signature authorization......•.r':�'............. "—
26. Copy of recorded deed of parcel creation and 60 right of way to a public road.....
7. Letter of intent on building use. ....... h`
Mobilehome utility clearance..............................................
Documentation of legal acces........?..............:................% .
30. Documentation of 50%subdivision developed or (A) Road improvements compleied
and (B) Parcel meets zoning area and frontage requirements. ...... .
31. Existing violations/expired permits . ............................... .... .
32. 'Plan check list. ........... r... ........ .. i... .
was� ..................... .
When you issue the permit, process as follows: V Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver with inspector.
Other
Parcel Creation_� , Ce
-Acreage Applicant _ C�. Date S
Copy of Haz-Mat form sent' Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submittedp ' r to permit issuance: (Circle new item not checked above).
1. Index permit for above items' -No. -Q 4 1 (
2. A ditional items required: ID 6a i e
D i y4o r - ur,
Contractor, designer, ow er lIVas advised of above required data by _ phonemail �1-Counter by Date -�
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Plans checked by \- � ' : Date �(s Plans approved by G j 6 67-5 Date % 31 _e)6
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES -. BUILDING DIVISION,
7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541
OWNER P. #
PROPOSED BUILDING USE &
v.
T
KVAE
e
%i-; z -
N!
SCHOOL DISTRICT
R
DWI'
(paid at District Office)
LR
KR=
SHER.117
FEES (paid at Building -Division)
Residential.
E wwi��N
v
v. unit
�Z
4
URBAN AREA FEES » V '4
-4
- 4
-4
- 4
-4
- 011
Buildi�j' sion)
(paid at Divi
Residential (per unit).
/units anit
•
Z!�'
Comnercial (Sq. ft.) x im64
S q. ft. — amt
Milt
mz_
PrSt
FEES 4 'S 1 43'.*?o T Vk-
f hiN
RECREATION DISTRICT " ra m
at District 'Office)
5. -,-t..-mERmiALrr0 DRAINAGE DISTRICT FEES ;4
$400.00 (paid at Building Division)
6. SRA FIRE INSPECTION AND PLAN CHECK
�W_
$89.00 • (paid at Building Division)
el -I, _
411Z -7
7. WATER TENDER FEES 11t t;�J-g
(BATTALION #
Division) $200.00 aid at Building Di
(p, IVIS
8. 'CSA 87
$2500.00 (paid at Building Division)
OTHER `75
9.
s to
17
y ' "_: 1 "� r_ . , ~rte , - �i fk . ni?M s•S^ �?`.{�jeyi3 *3! Zy
At time or pe=t application, I was advised me above fees are required to be
APPLICANT
paid prior to issuanceo'f the
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
SO. Fr, OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
CONTRACTOR'S NAME
TELEPHONE
CONTRACTORS MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 20.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty
$
BUILDING ADDRESS / � , I po /� J��
l Ire cN/
PERMITFEE
S
PLUMBING PERMIT
Filing Pee 20.00
/
(f
Each Trap
7.00
LOT NO. S UBDNIS IONS NAME PARCEL MAP
Solar Or heat pump water heater
23.00
Water piping
15.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ MobilehomeG�110therGas
SPECIFY
Each gas water heater or vent
15.00
piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation/tOther ❑
rT t
Describe Work: ..L_
Mobile Home S I G W
@20.00
PERMITFEE
S
Contractor
ELECTRICAL PERMIT
Filino Fee 20.00
Main ServiceOOOV OR LESS
( 200A OR LESS )
23.00
Main Service ( 200A TO 1000A )
46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under 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:
❑ 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
WORKERS' COMPENSATION DECLARATION
I 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
Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories In height.
NEW CONST. / DWELLING OCCUR
OR ADONS. \ a Bens. )
s0.
3.5c FT.
NEW CONST. MULTI -OUTLET
LTI-
NON•RESID. ( BRANCH CIRCUITS ) 97.50
PO WER APPARATUS )
( 6 SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FOrTURES ) 20 @ 1.00
BAL P .SO
Ex. Occup. (oFXXEEDTS Ip sE o.ORA) 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMITFEE S
Contractor
MECHANICAL PERMIT Filing
9 Fee 20.00
Heating
Cooling
Hood 6.�0
Ventilation
1`
PERMITFEE S
Contractor
Mobile Home Installation Fee $
Energy Inspection Fee $ .1
OCC
CONST. TYPE
TOTAL FEE $ !!S
MP Z. D. FEES IMP FLOOD CDF PARCEL
PD Hl) ISSUE
This permit is hereby issued under the
of the Butte County Code and/or
indicated above for which fees have
By
PERMIT EXPIRES ON
applicable provisions
Resolutions to do work
been paid. }
Date
(Date)
Receipt No.
WHITE -D -D S -B.D CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I
n
�
Mobilehome Manufacturer: Manufacture Yeal: 7cl-
If other than single wide, furnish Setu Model Number:
Width: �_(ft.) Length:�_(ft.) Tagalong or Expando Size (ft.) x (ft.)
On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's
installation manual and structural setup sheets.
FOOTINGS: Wood pressure treated or foundation grade[ d -f Other:
SUPPORTS: Concrete block[ Other:
Provide Tie Down Specifications for all Mobilehomes: 46ESnn C oln di i llir l an/
Pier Footings Sizes and Location
SINGLE WIDE MULTI -WIDE
Line 1 Line 1
Line 2 Line 2
................................................................................................
Main Beano
Line2................................................................................................ e2
Line 1 Line 3
Line 2
Main Beams
Line 2
................................................................................................ Line 1
17 r
r
A�
................................................. Fine S
Tag or Triple me 4
ine 1
Line 1 Piers:
Size minimum: r 1 x
Spacing maximum: I C`
From ends -maximum] 4`
Line 2 Piers: 12 >c 30
Size minimum: [�] x ].
Spacing maximum: `
From ends -maximum: Q `
Line 3 Roof Loads:
Size minimum
Location (from front):
Line 5 Roof Loads:
Size minimum:
Location (from front):
Line L Openings
Size minimum: [ ] x [ J.
Each side of openings
with width over: I I`
Line 4 Piers:
Size minimum: [ ] x [ ].
Spacing maximum: I C`
From ends -maximum: `
4mi all CUNC
9G- D�'8z
OVER TT
FIL14: COPY
6 6 ` oqf32 M.H.I.-2
1. Owner's Name: (1.p&L PQF-A�Ac)
2. Assessor's Parcel Number: C)S-lo — W— U� 5
3. Installer's Name:
4. Is the site currently under permit? Yes 1Permit No.
5. Is the site an existing site? Yes[ ] No[ ] (If yes, furnish two plot plans).
6. What is the electrical rating of the mobilehome? Amperes.
7. What is the mobilehome site circuit breaker rating? 36 Amperes.
8. What is the electrical rating of the mobilehome site? /P 0 Amperes.
9. Is the main service remote from the mobilehome site? Yes[ ] Nope] If it is, what is
the rating? Amperes.
10. Is there any other electric load to be served by the mobilehome site electric service
(i.e. well, garage etc.)? Yes[ ] Nobef yes, please identify the load and size:
a) The mobile home site:
Load- Amperes -
b) The main service:
Load- Amperes -
11. Type of gas service at mobilehome site: Natural[ ] Propane[? None[ ]
12. Size of gas pipe at the mobilehome site from the meter or
tank: inches.
El
13. What is the gas pipe length from the meter or tank to the mobilehome2Q0 (ft.).
14. What is the mobilehome gas demand? B.T.U.*
*(This information is not required if the pipe length is less than 6 feet on natural gas or
less than 50 feet on propane).
THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO
PROCESS THIS PERMIT APPLICATION
May 1995 8.5
x
'Ir
:6 y6. 90
1'
/914s
�o.
A
w
me
� z
3.
* IRE
�o.
ly
I
I
' I <
�v' `v ID
a, 1. 300
d c
m
= v
o -z}
L. 1 m `G
I
ENT
.Z
' S
' I
t -
)EP ARTM
joy. ED
Nb
►�;
R,
W
�
Z
�
ly
I
I
' I <
�v' `v ID
a, 1. 300
d c
m
= v
o -z}
L. 1 m `G
I
ENT
.Z
' S
' I
t -
)EP ARTM
joy. ED
Nb
►�;
R,
Z
�
a
a
M
/2
i
444 r P i 4C r t/ 4/1 S
9 (Joo I-) �'q vIc t) 2)'e
�fo HA ssf t / (f --� 7 3
/9 p Atz-
D00
APPROVED
Butte County
Environmental Health
y i 8= S G ENviROIjJLJEKML.MALT"
______Date�K j� (,lk ;f� APR 1 11996
%w_ o b_ rn r•e10,0 14
Chico, Cal'rfomia
U
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
`p (One Form Per Building)
s School District / L O Building Department No.
A.P. Number - 3 Jurisdiction: City County
C /sc -
Property Owner k -,e% ,Z,-->/ D- /"lf G I "-J
Property Location/Address 92. O��I�I�✓�^!
Subdivison Lot No.
Residential Development 0 Sq. Footage �s No. of.Living MHI�) j Addition (Group R)
Units 2.,14 '^w✓!✓�/�i�/�j lo.,`
Commercial/Industrial
Bui
Representative
0 0 ,
New Addition
(Floor Plans reviewed by School District Personnel)
Sq. "rootage
(Including Exterior
Roofed Areas)
Date
• ,�i pL
District Identification No,
School District certifies that �--�
ff (Applicant)
a)OKIdA2 630
(Street Address) (Phone Number)
(City) (State) (Zip Codi
has complied with the requirements of Resolution No.by payment of $
representing 5S ;-L% square feet,
hool District Representative
Paid by Check # � ` ���� Remarks: C
Bank Number /
Paid by Cash
Ic
AB 2926 f ;$j,
FULL MITIGATION $ /� L
�! Q
Date
If, subsequent to the School District Representative signing this Butte County Schools Impact Fee
Certification Form, the School District is notified by the applicable Local Planning Agency that this project
is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to
additional school fees to fully mitigate its impact on the school district's schools.
White (applicant), Yellow (building department), Pink (school district) feeform.wkt (11/94)dmm
_
h -
Eat& County*
a.,ID
�.I a URAL `NrAL ANC
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE - OROVILLE. CALIFORNIA 95965-3397
7�24�96
TELEPHONE: (916) 538.7541
.
FAX:.1916) 538.2140
CAROL PREJEAN _
192 WOODHAVEN
-
COHASSET, CA 95973
-
Re: B.P.#96-0982
A.P.#. 056=110-073
With reference'to the above subject,
-attached is:
[XI Plan Check List
[ ] Red Marked Calculations
] Red Marked Plans
Other
Action Required-
(X] Comply With Plan Check List
] Resubmit Plans with Revisions
As Required
( ) Return All Original Materials
and Revised Plans to the Building Department
Other
Should you have any questions, please
phone number listed above.
contact this office at the address or
Sincerely,
GLENN GIBBONS
Permit Applicant:
CAROL PREJEAN
Permit Number: 96-0982
Assessor Parcel Number: 056-110-073 Date• 7/24/96
The above referenced building plans were reviewed by this office. Provide additional
information and/or make revisions to plans, spec cations and calculations as follows:
I. SCHOOL DISTRICT IMPACT FEE CERTIFICATION.
2. MOBILE HOME TIE DOWN INFORMATION.
,i
If you wish to discuss any requirements, you may contact me at (916) 538-7541 between 1:00
P.M. and 4:00 P.M., Monday through Thursday.
GLEN GIBBONS - PLAN CHECKER
SCALE: 1"-=50'
EXISTING
SEPTIC
EXISTING -
LEACH FIELD
175.00. Io
(o
0
I�
0
o PROPOSED
12° X 65'
cu MOBILE
EXISTING HOME SITE
I STORY WOOD
DWELLING
EXISTING
PROPANE
80.00_ 1
0
i
i
1 1 PROPOSED
y DRIVEWAY
626.81
5 ACRE
\ / BU REVIEVVED .83Y
1 f CO. FIRE DEPT.
i
�-
CALIF. DEPT. of FORESTRY
EXISTING ❑ approved as submitted
� GRAVEL DRIVE
} �1 approved with .conditions
er attache sheet.
EXISTING
_ DOMESTIC
0z ( WELL Signature � p—;ate=�
0
.>
fV Q --
p ALL STRUCTURES AND EQUIPMENT INCLUDING
o cel OVERHANGS SHALL BE CLEAR OF ALL EASEMENTS.
3 I A SET BACK OF FT. FROM THE SIDE AND
1 a FT'. FROkiii
THE I AIS PROPERTY LINES AND
CLEAR OF STRUCTURES ANEL3 E— tQt ° PMENT EX, MR 9
FOR A R - T. U- tklE ','0NVE :'sl`Wa-*.
NOTES:
1. PROPOSED WATER AND
SEWER CONNECTION TO.,
EXISTING ON-SITE SERVICE.
2. EXISTING USE: AG - RES1'��cedto, tme
be .1 a.\0hom0
.
— ecR,�t W���8 mo
PROPOS AN FOR:
CAROL PRS
.. I E3D�QVE 1
95973
A. 1 I r73
The attached 'Fire Safe
requirements must be complew
as specified and approved
by C.D.F.
CDF FIRE SAFE REQUIREMENTS
7 3 96
AP# PERMIT # NAME
Under authority of PRC 4290, the following checked items are required
by the Butte County Fire Department and are made a part of this permit.
These requirements are minimums and will be superseded by Butte County
local regulations which equal or exceed these standards. Field
inspections will be made by the Butte County Building Department for
compliance.
1272.00 Maintenance of Defensible Space. To ensure continued
maintenance of properties in conformance with these
standards and measures and to assure continued avail-
ability, access and utilization of the defensible space
provided for in*these standards, annual maintenance
must be provide for by the land owner.
Driveway Standards
01
1273.02
Surface. All driveway surfaces and structures (bridges,
1273.07
culverts and other appzrteaant structures which supple-
ment the roadway bed or shoulders) shall provide unob-
structed access to conventional drive vehicles, includ-
ing sedans and fire apparatus weighing up to 40,000
pounds.
�(]
1273.03
Grade. Not to exceed 16 percent unless paved.
1273.04
Driveway Radius
[�
1. No roadway shall have a horizontal inside radius of
curvature of less than 50 feet and additional sur-
face width of 4 feet shall be added to curves of 50-
100 feet radius; 2 feet to those from 100-200 feet.
[�
2. The length of verb^%:1 curves in roadways exclusive
of gutters, ditches and drainage structures designed
to hold or divert water shall be not less than 100
feet.
1273.05
Turnarounds. If required, will have a minimum turning
radius of 40 feet from the center of the road.
]
1273.05
Turnouts. Shall be a minimum of 10 feet wide and 30
feet long with a minimum 25 foot taper on each end.
(I-
1270.10
Width. All driveways shall provide a minimum 10 foot
\
traffic lane and unobstructed vertical clearance of 15
feet along its entire length.
Page 1 of :?_-,
AP # PERMIT # AME
[�] 1273.10 Turnouts. Driveways exceeding 150 feet in length, but
less than 800 feet in length, shall provide a turnout
near the midpoint of the driveway. Where a driveway
exceeds 800 feet, turnouts shall be provided no more
than 400 feet apart.
[�(] 1273.10 Turnaround. A turnaround shall be provided at all
/ building sites on driveways over 300 feet in length and
shall be within 50 feet of the building.
1273.11 Gates
1�] 1. Gate entrances shall be at least two feet wider than
the roadway it serves.
] 2. The gates must be located at least 30 feet from the'
roadway and shall open to allow a vehicle to stop
without obstructing traffic on that roadway.
[ ] 3. Where a one-way road with a single traffic lane
provides entrance, a 50 foot turning radius shall be
used.
Fuel Modification
1276.01 Setback for Structure Defensible Space.
[ 1. All parcels 1 acre and larger shall provide a mini-
mum 30 foot setback for buildings and accessory
buildings from ul] property lines and/or the center
of the road.
2. For parcels less than 1 acre, local jurisdiction
shall provide for the same practical effect. See
Other Requirements below.
1276.02 Disposal of Vegetation and Fuels. Disposal, including
chipping, burying, burning or removal to a landfill site
approved by the local jurisdiction, of flammable
vegetation and fuels caused by site development and
construction, road and driveway construction and fuel
modification shall be completed prior to completion of
road construction �,r fi_ial inspection of a building
permit.
Page 2 of 3
AP # PERMIT # 14AME
Other Requirements
[ ] If Building Setback is 15 to 30 Feet:
- Class A or B roof
- Enclosed eaves
[ ] If Building Setback is Less Than 15 Feet
Choose any.3 of the following:
- Metal or no doors on side toward property line with insuffi-
cient setback
- Class A or B roof with enclosed eaves
- Interior automatic sprinkler system per NFPA 13D
- Glass area not to exceed 10% of wall area toward property
line with insufficient setback
- Siding from the following list:
Stucco - 3 coat
Hardi-Board or Plank
Masonry
Masonry veneer
Metal
Other Butte County Fire Department approved materials
3_zbgL p2
Date Signature
Page 3 of 3
r
A
G
-f- U
Z
LA
Z
v
7z
O"
•
N
it
O CA
.�
m�
/��
•r
V
At
^
r OA
Z
^ G
MA
Y
x
�"
r1of
3 x
-f- U
Z
1
-
V
^ G
MA
Y
x
�"
r1of
3 x
V
Vu
V
W
lei
`
�
W
(Uh
1 \
Tp
k
C
+�
C
0
m
Ic
z
3
too `--
M s
- —for the
A P®rmlt will be required
inatallatlon of Ule movilehome•
V
O
V
Vu
V
W
lei
`
- —for the
A P®rmlt will be required
inatallatlon of Ule movilehome•
(Uh
C
k
C
n
- —for the
A P®rmlt will be required
inatallatlon of Ule movilehome•
°IDfNTIAL
56-110-073 PERMIT#95-2282
a PREJEAN, Carol
190 Woodhaven Dr., Cohasset
Cont; Henning Const.
Add Bedrm,Bath & Closet/SF
JOB FINALED (Date) 4,/
Signature
J=OK
O=Not OK ,
=NotReadyable MOBILE HOMES
Date MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / /" L"ft.
/ /"Nat. or/ /"L"ft./ /"LPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date Card B-1 Date Card B-1•
Date Card B-1 Date Card B-1
Date MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector ,
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
MISCELLANEOUS
Date DECKS,, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
2: Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails w
4. Wood Awn.; Posts- Bea ms- Rftrs.-Con nectors \ '
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric r
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
_ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
✓=OK
O= Not OK
= Not Applicable
= Not Ready
RESIDENTIAL (Single & Duplex) -
Date UNDERF (Plans) OK except If's -1 r
o Setbacks -Easements -Flood -Slope 7i 4or
Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
/ J 5 Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold ns and Special Anchors
V09ab; Steel -Wrapped
8. Piers- ace Ftg.-Steel
V.; Fall -Fitting -Te ay C/O-Sewe
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Pienums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. Insulation
DateCard B- 11140 Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit),OK except ti's
,�6/WaLef-Fitr.: Vent -Access -Combustion Air -Baffle
( ate(, Pipe; Test & Anchor -Nail Protection
1 D.._ V.: Test -Fittings & Anchor -Nail Protection
--S ower Pan; Test. First Floor -Tub Access — ---- --- ----
\
�,C_.'20jest Tub & Shower, Second Floor -Tub Access
Gas Pipe: Size & Anchors
Date Card B-1 DateCard B-1
-------------------------------- ---------------------- ---------------
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK exceptY"VIti's
Fixture & Transformer Clearance -Ins. Protection
lec. Receptacles Spacing -Lights & Switches at Doors
------------ - - - -
-------
------------------------
-- -- ------ ------
:_-- 4. S " Boxes & No. of Conductors -Stapled
omex Installed Close to Edge of Studs & C.J.
-------- - T-----
--- - - ---- -- - --- -- - -----------
12
-- -- -
--- - - -- --- ---- ----- --- -- - ---
q ip_Ground made up w/Mech.. Fastners_Bond Gas & Water
------- - - ----------------------
------
------ ------
Appliance Circuts in Kitchen & Conductor Size!GFI
Subfeed Wire Size r / ga Cu or AI-A.C. Wire Size ! ga
Cu•or At
2 ge Circ ! / ga. Cu or AI -Oven Circ / ! ga Cu or Al.
sulated Neutral ❑ Yes ❑ No
--
-------------------------- — ------- ------------------
Conductors & Ground -Main Disconnect
equip Clearances Panels-Motors-Mech. Equip.
- ---- - - —y- - --------------------- -- ----- --
32. Clothes Closet Light -Shower Light -Spa Light
------------------
-- 33 -Smoke Detector
-----------------------------------------------------------------------------
Date Card B-1 Date Card B-1
----------------------------------------------------------------------------------
Date Gard B-1 Date Card B-1
Date MECHANICAL (Permit) Ok except ti's
34"A C. Ducts Insulation & Support
--- ----495. Vent Fan Exhaust above insulation -- - - --- -
-------------------------------------------- - -----
3 Condensate Drain & Overflow: Size & Grade
- - 3 F-rnance_Vent_ Access---------------------------------------------Comb
Air-Return Air Vent-
115 outlet
1 Attic Access &Platform if Furnance in Attic
------------------------------------------------
-----------------------------------------------------------------------------------
Date Card B-1 Date Card B-1
----------------------------------------------------------------------------------
Date rd B-1 Date Card B-1
Date FR ING (Plans) OK except tis
Sils. Proper Material & Anchors
-----------
-- - -- 0. al's Studs -Nailing. Spacing & Bracing -Plates -Sound
--- -- - - - - -
-- ----------------- ------ -----------
------------
earing Walls over G-irders -& -Floor Nailing
--------- ----------- ---- -- - --
Draf top in Walls (rat proof) _
F e Stops Furred Ceilings-Stairs_Chases-Tub---------------
Headers & Beam -Size & Bearing
a!e _FRAMING (Continued)
5 Ha gers-Post Caps -Anchors -Connectors
6. I g. Joist-Rftr. ties-Purlin—roof Brac-Truss-Shthng.-Ring.
41 repute Ties or Type A Flue -Fireplace Throat clearance
tic"Access; Size & Romex Protection -Draft Stop -Ins. Baffles
drm.;Windows or Exiting Doors Sill Hgt. &Dimensions
— Garara*e—Fire Protection Framing
---- --- 1. oY 'perty Line Firewall & Openings
x_t. Doors -One 3' -Check Garage -3rd Story, 2 Exits
----- ----- rs Width -Headroom -Rise -Run -Landing -Fire Protection
plywood on Roof Overhang -Attic Vents -Rafter Outriggers
_ Siding -Nailing Veneer )
IL -- -- - ucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
1. Glazing Area -Glass Protection -Skylights -Plastic
_ 58. Shear Walls: Nailing -Bolts
59. Insulation -Walls -Ceilings
f{�60. Infiltration -Walls -Windows
------ — -------- ----------
Date _____Card B-1 Date Card B-1
Date — rd B-1 Date Card B-1
Date. FIL Plans) OK except It's
.............. 6_ xt_ Steps -Door & Sidelight Protection -Landings
- - moke Detector
Furnace: Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
--------------- --- - ----
- ------ ----
4. Bedroom Exiting
o : --
&5�/G. F. I. & Bath Fixtures & Tub Access -Spa
_______77
- �f6/Elec. Trim & Subpanel; Breaker Sizes & Labels
67. Stairs & Rails
------------------------
Fir"eplace or Stove: Clearances -Hearth
Ole. I
Elec. Outlets at Wood Panel; Int. & Ext.
3D. iLFixt & Appliance; Grnd.-Air Gap -Cooking Clearance
----------------
7 Eleyc�.,Outlets & Receptacles at Kit. Counter
- ----- - 7rage Fire Door: Swing -Landing -Closer
-Wo-. Duct in Garage -Damper
-4 Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V.
I "Garage Above Floor-Mech. Protection
7 Ib. Elec.'& Mech._Equip. Listed for Location
7�Receptacles in Garage: (G.F.I.)-Romex Protection
----- - ulation- Foam- Looked in Attic ❑ Yes
uard Rails & Deck Construction -Post Caps
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor . ❑ Yes
Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ No
Stucco Brown -Finish
8 .C. Unit: Disconnect. Electrical, Plumbing
�
------------------------- --- —
3' Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to
Openings
8 W r Well: Disconnect, Electrical, Plumbing
xterior Elec. Trim; G.F.I. Receptacle -Underground
- -------- — ----------
-- --
Ventilation Throughout House -----------
- - s Protection — — --- --- -
----------
orrections from Previous Inspections
- ------..-----------------------------------------
as Test -Meters Tagged; Gas -Electric -- —
0. Water & Sewer Connected -C/O to Grade -HD Approval
91. Energy Compliance &ertificate-Other Certificates
Dat!
4�_
Card B- Date Card B-1
----------- -Date Card -6-1 _Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final: I
•----------------------------------------------
-----------------------------------
I
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
-- 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 �P I o•
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER 056-110-073
TM -5 ZONING
BUILDING PERMIT
OWNER CAROL PREJEAN TELEPHONE
190 WOODHAVEN DR CONASSET OWNERMAILING ADDRESS
S
NEKKX N�NNZNIX�N�ZZNI�TZ�N
SQ. FT. OCC. BUILDING VALUATION
- 18 144.00
CONTRACTOR'S NAME
HENNING CONSTRUCTION
TELEPHONE
894-3651
CONTRACTORS MAILING ADDRESS O BOX 9101 CHICO, 95927
Fireplace
CONSTRUCTION LENDER
UNMOWN
Total Valuation $ 18
144.00
Filing Fee
$ 20.00
LENDER'S MPJUNG ADDRESS
Permit Fee
$ 198.60
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 128,70
Energy Plan Checking Fee
$ 23.00
ARCHITECT OR ENGINEER'S MAIUNG ADDRESS
Penalty
$
BUILDINGADDRESS
190 WOODHAVEN DR
PERMITFEE S
369.70
COIIASSET
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
LOT NO.
NAME
PARCEL MAP
Solar or heat pump water heater
23.00
Water piping
15.00 15.00
USEOFSTRUCTURE
SF CY Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00 15.00
TYPE OF WORK
New ❑ Addition IJ( Remodel ❑ Ublibes ❑ Installation ❑ Other ❑
Describe Work: _OF MASTER BEDROOM, BATH & CLOSET
Mobile Home S G W @20.00
PERMITFEE ;
-00
Contractor
ELECTRICAL PERMIT Filing Fee 20.'00
Main Service a OR LESS
( 200A OR LESS )
23.00
Main Service ( 200A TO ,000A )
46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in f force and effect. / _ _ _
License Class Lic. No. {'L_ 9
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ 1, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUR
OR ADDNS. ( a ACC. )
So.
3.5¢ Fr. TG
NEW CONST. MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS )
@7.50
( POWER APPARATUS
a SINGLE OUTLET CXR.
Ex. Occup. ( OUTLET OR FIXTURES)
20 @ 1:00
Ex. Occup. ( OUTELETSPR ISE D.)ew)
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE
s
31-76
Contractor
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT
Filing Fee 20.00
Heating
11 15.00
Cooling
Hood
6.50
Ventilation
PERMITFEE
$ 35.00
Contractor
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 rovisions of section 3700 of the Labor Code, I shall
forthwith comply with th a provisio S.
X r - Date _ -�i
Sig6aturg of Applicant - ❑ Owner C ntractor ❑ Agen
An OSHA permit is required for excava o over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee Is 46. 00
OCC
CONST. TYPE
TOTAL FEE $ 568.46
Z. D. FEES
IMP FLOOD
-
C PARCEL
This permit is hereby issued under the
of the Butte County Code and/or
indicated above for which fees have
BY-,�,2zzDate
PERMITEXPIRESON
applicable provisions
Resolutions to do work
been paid.
q�("
(Date)
Receipt No. 185531 231.70 K 9j ,?%
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOL ENROD-APPLICANT
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -
7 County Center Drive - Oroville, California 95965 - Telephone
APPLICATION AND PERMIT
BUILDING DIVISION
(916) 538-7541 PERMIT Nc
ASSESSORPARCELB
. �- 0 3
ZONING
BUILDING PERMIT
OW,N
TEL P"°NE
SOFT. I OCC. I BUILDING VALUATION
_�J JOU I I (i�
00
OWNERS MAILING ADOR S'
CONTRACT R NAME
MK�wvwt�c
TELEPHONE
CONTRAC 'S MA4J ADDRESS , .
q �_Q Z
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ 1q4 I
06
Filing Fee $
20.00
LENOER•S WALING ADDRESS
Permit Fee $Mno
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee I $
,`40
1AP40
Energy Plan Checking Fee I $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty $
BUILDINGADORESS LJ 0
PEAMITFEE I S
(pq,._40
PLUMBING PERMIT
Filing Fee 1 20.00
Each Trap 131 7.00 I ,oQ
LOT NO. SU8ONISX3NS NAME
PARCEL MAP
Solar or heat pump water heater I
23.00 I
USEOFSTAUCTURE
SF X Duplex ❑ Mobilehome ❑ Other
SPEC,Fv
Water piping 1
I 15.00 11,6 00
Each gas water heater or vent
Gas piping system 1 - 5 outlets
15.00
Building sewer
I 15.00 ,
TYPE OF WORK
New ❑ Addition A Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: -"
q—
Mobile Home I S 1 G1 W �, � @20.00
PERMITFEE I S�(y
Contractor
ELECTRICALPERMIT Filing Fee 20.00
Main Servicedoov OR LESS
( 20o OR LESS /
I 23.00
Main Service ( zddA To I000A
46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is 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:
❑ I, as owner of the property, army employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ 1, as owner of the. property, am exclusively contracting with licensed contractors
to construct the project
❑ I am exempt under Sec. Business and Professions Code for this
reason
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 forwhich this permit is issued.
My workers' compensation insurance carrier and polity 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 provisionJ8S7 , l ` .31. 70
OJ✓c.I ). o'
X __ Date
Signature of Applicant • ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5.0" deep and demolition or construction
NEW CONST.OWELUNG LOCUP. So.I 1
OR AODNS. ( a ACC. BLaS. ) 3.5¢ Fr. 1
NEW CONST. MULTI.OUTLET
NON•RESID. ( BRANCH CIRCUITS ) @7.50
(a SINrLF APPARATUS CIA )
Ex. Occup. () I BRzoI ) 1.00
(OUTLET FrxiuREs
.Sd
Ex. Occup. OUTLETSFX(PEs . °�
(I 5.00
Temporary Service 1 23.00
Mobile Home Facilities I 20.00
Misc. Wiring 23.00 I
PEAMITFEE S
Contractor
MECHANICAL PERMIT Filing
g Fee 20.00
Heating
Cooling
Hood 6.50 ,
Ventilation
PEAMITFEE
Contractor
Mobile Home Installation Fee I $
Energy Inspection Fee I $ l� (o,pO
occ
CONST, rr PE
TOTAL FEES 6 (B. yo I
HAz. I 0 FEES IMP FLOOD COF PARCEL PO NO ISSUE ,
I I 1 I ! I I
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.
_ _
.r 4 fir+"-''�-�•'(Wx �+.' �'„ .4�7- , Mv��L.rr�r�,;ta�'541+a'1+�.....+ 4!'1.+ Rr• .,. .. �. .''i
�y
COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541
PERMITAPPLICATION"DATA SHEET
Proposed Building Use
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
1. All items have been submitted . ........................................
2. Plot plans, 3/4 sets, signed by preparer of plans . ..........................
3. Complete plans, 3/4 sets, signed by preparer of plans . ..................... .
4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
S. Hazardous Material Form . ............................................
6. Energy Design Compliance and supporting documentation . ..................
7. Statement of Intent for Non -Heated and A/C Buildings . ......................
8. Engineered truss details and layout in duplicate (required prior to plan check). ....
9. Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
0. Fees of $ 3 3G o%% . ..........
11. Impact fees as shown on attached schedule.....
12. California Department of Forestry plan approv .
13. Flood elevation letter (100 year flood bx Califo sneer. ... .
Sanitation and plot plan approval Health Department . ............
15. City of Chico plumbing permit . ........................................ .
16. Plot plan and business license approval from City of Biggs/Gridley. .............
17. Planning approval for (A) Use: (B) Parking: . ........
18. Contact Land Development about (A) Improvements (B) Drainage. ...........
19. Driveway permit (construction approval required prior to occupancy). ..pecti. .
Pre-Inson requeg_
20. Pre -inspection for required. . . to Building Inspector (Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Workmans Compensation Insurance . .......................... '
23. Owner -Builder Verification (Given to owner , Mail to owner . .......... .
24. Recorded copy of Agricultural Acknowledgement Statement . ..................
25. Letter of signature authorization . ........................................
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
27. Letter of intent on building use ........................................ .
28.. Mobilehome utility clearance ......................................... .
29. Documentation of legal access . ..................... :..................
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits . ......................................
32. Plan check list . .....................................................
33.
34.
When you issue thepermit, process as follows: Mail to ovy ner. Mail to contractor.
Telephone W-3ks1 and hold for pickup at office. Deliver with inspector.
Other
Parcel Creation q
Acreage )(,Applicant Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date/ /
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter bNi.ADate
Contractor, designer, owner, was advised of above required data by _ phone _ mail ounter by _ Date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
Insulation Certificate '` V
BUILDING OWNER'. % Q— l ��I BUILDING PERMIT #:
BUILDING LOCATION:
LOCATION:
Description of Installation
ROOF
Material
Thickness (inches)
CEILING
Brand Name
Thermal Resistance (R -Value)
Baa or Blanket Type Brand Name .4gjd/r ,S C'dTL
Thickness (inches) Thermal Resistance (R -Value)
Loose Fill Type Brand Name
Contractor's minimum installed weight/ftL lb Minimum thickness inches
Manufacturer's installed weight per square foot to acheive Thermal Resistance (R -Value)
EXTERIOR WALL
Material 41CL: Brand Name
Thickness (inches) % Thermal Resistance (R -Value)
RA;ickness
D F OR
rial
(inches)
SLAB F OR
serial
Thickness (inches)
Width (inches)
FOUNDA 1� ON WALL
tertal
Thickness (inches)
Declaration
Brand Name
Thermal Resistance (R -Value)
Brand Name
Thermal Resistance (R -Value)
Brand Name
Thermal Resistance (R -Value)
I hereby certify that the above insulation was installed in the building at the above location in conformance with
the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the
California Administrative Code..
,' 913
General Contracto ( udder) License Number
Wi,% aA1 aeiaA1 /,;� - /2 -'?5
Signature and Title Date
Sub -Contractor (Insulation Installer) . License Number
Signature and Title Date
THIS CERTIFICATE MUST BE PROVIDED TO THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION
APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING.
JANUARY 1993
. Wes-
-. --.r
Installation Certificate:. yr.. Residential CF -6R
f. BUILDING OWNER: BUILDING PERMIT #:
BUILDING LOCATION: µ
An installation certificate is required to be posted at the building site prior to the issuance of the occupancy, permit. This form
may be used to meet these requirements. All appliance categories listed below are the actual equipment. installed. Note that
the efficiency and type of the appliance installed must be equivalent or bettei than the appliance specified on the Certificate of
Compliance (CF -1R). This certificate (or its equivalent) shall be prepared and signed by the person(s) assuming overall
responsibility for the appliance installation. ;
I, the undersigned, verify that the equipment listed in the category above my signature is the actual equipment installed and
that the equipment meets or exceeds the requirements of the Appliance Efficiency Standards. In addition, I have verified that
the equipment is equivalent to or more efficient than the equipment specrfied on the Certificate of Compliance submitted to
demonstrate compliance with the Energy Efficiency Standards for residential buildings.
HVAC SYSTEMS
Note: Hydronic boiler information is entered here. Other hydronic or combined hydronic equipment.is listed under
Water Heating Systems.
Heating Equip. CEC Cartif led Actual Distribution Duct or Heating Load Heating
Type (furnace, Manuf. Make & Efficiency Type and Piping Elefore Over- Equipment
heat pump, etc.) Model Number (AFUE. etc.) Location R -Value Sizing (Stuh) Capacity (E
CEC Certffled
Cooling Equip. Compressor Unit' Actual Distribution Duct or .
Type (air cond., Manuf. Make & Efficiency Type and Plping
heat pump, etc.). Model Number (SEER) Location R -Value
The building design heat loss and design heat gain rate have been determined using a method specified in Section 150(h) of
the Energy Efficiency Standards, and are two of the criteria used for equipment sizing and. selection.
Signature Date
WATER HEATING SYSTEMS
HVAC Subontractor (Co. Name) or General Contractor or Owner
Energy' External
Water Heating CEC Certified Rated' Tank Factor or Tank
System Type Manuf. Make & Input (kW Capacity Recovery Standby' Insulation
(storage gas, etc.) Model Number or Stuh) (gallons) Efficiency Loss (%) 1 R -Value
For small gas storage (rated inputs 75,000 Btu/hr), electric resistance and heat pump water heaters, list Energy Factor.
For large gas storage water heaters (rated input >75,000 Btwhr), list Rated Input, Recovery Efficiency and Standby Loss.
For Instantaneous gas water heaters, list Rated Input and Recovery Efficiency.
For instantaneous electric water heaters, list Rated Input.
FAUCETS & SHOWER HEADS
All faucets and showerheads installed are listed in the Commission's Directory of Candied Faucets and Showerheads,
pursuant to Title 24, Part 6, Subchapter 2, Section 111,
Signature Date Plumbing Subcontractor (Co: Name) or General Cdntractor or Owner
THIS CERTIFIC;ATEMUST BE PROVIDED TO THE BUILDING DEPARTMENT. PRIOR TO FINAL INSPECTION
APPROVAL AN -D A COPY SHALL BE POSTED WITHIN THE BUILDING.
JANUARY 1993
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916),5H-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
OWNER
PERMIT NO.
A routine inspo6tion indicates that the following violations of Butte County Ordinances exist at
the abovedress and should be corrected. Please notify this office when correction of work
plcomp) ed. If you have any questions pertaining to this matter, or need additional explanation,
pleas ontact this office immediately.
"/7i947Vcn car_ Q Fl-"
O/C d 7—
REV 10/92
/l/\411N
1 Awa: • Il....'.�.._}' 1
VLilYlll'♦VAlli VA' VVl'11L-L J -t i• AY►.O1UVl l 1.1 K1
III:i1..
11111: IIIA41 AI\1\111`1/\&1
1:&11111111:
11/\11Vl:
1aV,�l.VV 111.11.••
AlYl'.V Li r11 A✓✓a la Vll
L'tl 1, LYLi
1IVVVL
..i .�..
11111 III nn1\11 A II 1: 11 1\II
•tV�J 1.V1. AUul
V II VV✓IlAl lit. A,IY.
y
/l/\11 AV011:111 /lA
'�
1.IV I llIVVlil 1 VA.
I)-1A:_w 111: L1..
111)1: 11: AAI AI\1\111'1/\M
1:►111'11)1.'
11/\I IV 1.'
✓ u L l u A Lip, 1 1 1. A l-
1 IVV L A A, n✓✓♦ A A vi I
"I, A A I Y C.
11 V V u li
1\.. .... �. ...+4. A..L 1+.. ..•
Ill\11 &411:111'//11!11 U.V.C`
✓V\.umont AUL.LIVl •
L/Vl, PILI AJ U1 LUI V✓
V•
111..1....1...
012G01000 -,A'i
rlCi,l)
L C• 1 1. ♦J / ! V / l 1. •
VVV ✓VVV 3r J 'S L+
✓ V V v
111..}1,
/lAl 111: C7'/ II.._..:
IL 91
3LA
i1KllV�. 1'll. UllVu•
Compl
VALLYLNLr Il.l O1V1!
. V1
,
11
AA l, 1, A, \.•
11
/10&11.11 b A 11 %I VI %1)" A 1111 /\&I
V 1'.1l✓lYA✓ 1111' V IYI'lAll VAN
I1.... A"L: -1!,1 A»
VVIIUl I.l VIl C•U 11VVl AL VK•
✓U11LLlll r� L' L Vll V VL 1 V111.K V1V11
1\LLW vl.l VL ✓It 1.11111 111%13
I'll /1 ..}... ..} 111.
l'1VJ1 VVllO 1, UVt VII
A C'n 4L'i
✓VV L V-,
n• w . 1
L ago 1
III., 1 n
VL' 1lY
u.._. ACA 01 L, _ 6
lY LLll• ZVZ 1.1 U1.'/ J✓
11M.- 1: 1 1: A &1 A 1 \ 1 \ 1 11' 1 / \ &1 W4111-1 1 l 1:
A LYAiU L' Ail A✓✓A 11 VLI L' All A lYL
11..: 1 .�:..w 11..»...: L L1
LLL 11%1111,1 1 \.11111 l• i
117 .... /11.....1. / 1\..+..
1 1Kll VI11. Val / ✓U VV
A'1V1U VIIl.Vl1 / ✓KI.L
N l'✓ V1ll r\11.. 1'KII/11,ti ✓V VKVlIVLL
1rIC.1 .... /cl ....i11%
AIV u V M
1 rlr\
1 • VV
uluu vu hi uul.
111111 1\1 NO Cllll:l 1 1 AIC11II A11'//\AI ,
✓lil ✓✓llYV U11L'U✓ 1LYVV✓A.L1U/1
/1,.,__.._.._+ 1 _....1 41.........1.1..
VVW�/V/l1. /11. 1llOU1 A00►.WU1,)
1 J' NV lY Y CL1LLl. V Y K1UV LV VKV1V1l/ VVLIIIl l.l1 VO
✓VVL V V . VVV VUL.O1Cl1.
10 n nOO I\..L..: AC
11K11 1 V V . VVV VU L.O lu\.
1:1.. n r1 744 r1_..d.
A.- LC; V V • I b/r uL / C:
1'1VV1 V V.L1✓J V♦Ku\.
Vo lAng VV V . VLJ Al. L.1 V
C 1..1, 11.._: M..+.._ n n rinn I1..L. .1.3 ..
NiKl/ LC.L 1Wl.. VC•L V V.✓VV VU L.O AU\.
V1KV A.l..L 1W1. 1.V1 V V. 14V VU L.J1ul..
1: 1: &11: 011111! &1111 I\AI
l'Li 11 LiN 11YA 11 Vl\
Al VK V n t 0 r 101 L'A 1 -A. AV4 V Y 1.1 1. ang L'L Klll1.
/1»:..•. L..+: /4+01 ..1. n„., ,,,. vl....1: 01.....1: _A 1::_ 1n�...,
Vt 11.11 I.K UAwA1 1 L L.L / Y 111111. 1 /A111.0 NlluulllF, Vl1Ku l!!rwj wllu 1'111) a,rW`-
o..._+1. An n n urn Cl r+.7 n_,...., u..w o.,_...... I'...._1..._w u..+•.1
11111LLV/1 VVV LAI TV.V V. IJV L. L., 1,1K�,1. ✓urq NV11.•C.. VY1.1 llKllrj III V UK1
IJ: _.7 .... 41 .. ...+ c n 'n 7Grl C) v4 -A 1\».. .. .. I).•w Ll ....... .... I\...._1. .._w V..+.,1
I/111UV11 II 1..0V V.V V. IJV V Nl.0 "rapt.. ✓urs UVt VVlI VY1./ILKIIr, Plot A
1.1:_.7.... AI.._+1+ OC n n 7rr1 . 4 v+A I\_...... IL.w O.._...... ......_il.._w u..}„1
/1111 UVI1 11311.11 L.V.V V.IVV b Nl.0 1,1Kj,1. l,urj NVL VI.aI Overhang l'l l.•VK1
.,.7.... 1: ....+ 00 0 n 7Gn 4 � clL.7 1\_.. ..... 1)..w cl.._. -- n.... _1, ....w U-4. 1
11111LLVrt LJKOL VJ.V V.1JJ 4 N1.LL ✓1 K1,\. ✓Ur1 UVL 1. Vll VY1.11LK11r1 1'11. I./Al
111111:11Y A l U A C Cl A ---
C%&
_-..AL l.. 4& 1111011
111__.... 1: ...... .. ...��, 4+•1 1 .. ..+:.... //,.. _�. ....+..
1 J' 4/1. LA �,V Ov)1 . i A. V1. / 1 111 / L,V VK1.1 Vl1/ VUWIOI.1/ l.0
v.... 074 n 7
1'1001 11.0 V/1•.V V.V V1 KU1. I
1:1.. AI.. coo n n_..a.,
1'1001 LYV VVV.V V.V Ul KuV
111141/1 C VC1111,&AV
11 I Av V 1 N 1 lil'1V ` jjj111A��.,,,
Duet,
..+ 1 .. +'OrA
Ak
111...... 1`44' .7 n 1
l j wi- 111 1 1011 llV,r K111A 11 Y K1 C PINS 1
(�.L�,y�j��J 1jt��l�,
Space0_...,e i.....+ /.. 4 n CC A1:1a: n _.7:+' 7 cra X77
ul.Kl.vi n/v Auia V.cr Al'vL vvuul L.i vuvu II (6Y +
A'_ 7 + 7 1'+ to nn 0v1:u •++' u A 4 ��7R70q18
41 1 1 L/ 1/ ! l U• V v l 1 L.1 K 1 O �/ 1 1 V A V. V V V li 41.11 A L. L. 1 V L Y T. b
111: I)011 L11 /1AV11: 1\1: 11I\U 111 / A141111:. 11....'.7•.«A-' l 111.w.. 11
VlilY/11'1VA1L V1' VVl•lL LJ 1 Al1Vli. LYl.s l uVll 1,l Kl 1K�V V Vl' 11Y
11«..' .. J_ 111:}1 11111.`11:AAI A/\1\111`11\AI "k
: &111111)1: 11/\I IV11: 1)..«. ALA ')I LI ..« (11.
L1V,)1.VI, 111,11.. 11YliV LiA11 AUU11LV11 1.111114Li IIV VUI. lYUll• TVY V1 V1.'I JJ
"'4
J 41111:1) 111; A11`1►I/1 VVV1111:LALs
l l A A L A l I , 4 1 11 V u l U l li l• A u
L1....1 .. ul ,, ... 0
V ,)., tl.W 11 Kl1IV
A 1111 A 1 1.1 /11
TVVAUII/ !!
/L ..r I. .. .. «.�.• 11..1. 1.1«..«
Tr V1 lilll.L j1,) Y Vluwt. 111 "FJ
11}«1. 1: .. .. }..« /1.1.1 1 1) 1.1
lA tls L'"V tVl 1�K1/ lY YUl
1 n1,:0 An n
1 V . 1JV TV V
V 1 L11.1 .. L. -- 1.1.....7 ..}.. 1.1.....7 S4 -o
UV 141 0"\�11/ns UV1K1 s,)•stl.11l IIVIJu stiJYl. IrVVU stVYl,
11KV t1 V11 t,)L/l. uVlll.1 UV 111.1 �/uWl/.
WA11`1:.1) 111: A1111:1) /111\1 1 1:1) 1\1:111A 1 1 V
11AA 1LY liti 11:.1Y/ UV A. AJLL4 AJ it Al""
I
Uls 1,l lU
flWtl.l
1141,1.1
V.•1.}.._ AI.._..
111.•«..
11..1.}..« 411._..
11..1.}..« 111..«..
UJsVV111 11"WV
1,)1J \.
111.4 tl.l L1KIll 1.
lll."tl.l I,J NI'
An/1A 11.1 /11
V }1.«.7 ..«A
Anl.l /11
V}..«1
Tvunun/ a
utuuuul u
Tvn/ 11
u1,Va "hl, quo
gc
1.1 A�111:I1 111: AWI a1/1
11A1Li14 I14;1 1A LIU
V VV11111:UV
U1 ull:l'!U
A/1 L1/1
11l1uV
L1....1 .. ul ,, ... 0
V ,)., tl.W 11 Kl1IV
A 1111 A 1 1.1 /11
TVVAUII/ !!
/L ..r I. .. .. «.�.• 11..1. 1.1«..«
Tr V1 lilll.L j1,) Y Vluwt. 111 "FJ
11}«1. 1: .. .. }..« /1.1.1 1 1) 1.1
lA tls L'"V tVl 1�K1/ lY YUl
1 n1,:0 An n
1 V . 1JV TV V
V 1 L11.1 .. L. -- 1.1.....7 ..}.. 1.1.....7 S4 -o
UV 141 0"\�11/ns UV1K1 s,)•stl.11l IIVIJu stiJYl. IrVVU stVYl,
11KV t1 V11 t,)L/l. uVlll.1 UV 111.1 �/uWl/.
WA11`1:.1) 111: A1111:1) /111\1 1 1:1) 1\1:111A 1 1 V
11AA 1LY liti 11:.1Y/ UV A. AJLL4 AJ it Al""
NAI
Vlll.
V 1 11: A I 1: 1: A 1111 11 1 1: V 1) 1: M A 1) V V A kilt A I/\ 1111: V
VI 1 Ul U All -1 VlY liu t lYl 111 AL,J 1 411" 11V 11i1J
1 LI.. «.7: }: «} : r: ...7 r.. %11........7 al
J. 11V Oil VVlaul 1,l Vl1 i11q Vljul Nlu l.11t is s)JVVil J.Vu ♦V1 4V11 \: 11V usl. . 1.11 Lli Wino13
UL'1i14
a-114.1Ktt1V VUVts ALss UWl.u.
IV 111 1 ALI/11: V111A111 I:AAI:AI111
V V1'll Ul I'll, U1PL1 L'1'/LitA1
1111:. }:r:...} c 1 1 }, }1 x..:117 c }.._,,
11110 %1`- t111VKtV V1 VVW1J11K&!VV lists tlll, u .L.L lA g 1VAltu1\.s Kl&u �/\.a 1V1 W"l1VV
•C' }' a...7 }.. 7 '}1, }1.., t:�...rgy 'S'tan
S' 17.._.7.. ' 111:}1 �)A 1t.._�.. 1
ONlalit iVu1,i Vllo 11l.VUVu 1,V Vv1Y �/1 Ai 1,L tllt L'1lVL Ff a' Vt411uKlus 1L 111,1V 4Tt La is 1
7 C C }1 11. 1 ' r 11 7 r 1) ...1 } ' 7 }1.1. A.7_: }. } '
anu VI V1 t/1V VKIILVL111.K VVUV Vl AYl.�U11.YV1 V11o) Kllu tIAV AU W 11A1 s V1 K 1,l Y1. rcgu.L tlLJAA0
}1. 7 } }1..._ 1111.: 4'r: }.. 1..... l.w.... a 1. }1... .7:..:.7....1 .}1,
1,V iWlJlI.VI�.11t tAAVW. 1L10 VVL tll ll.a.c Alas LACVl1 sAgn C.0 AJ J� 1,111. 11AulYluuK1 X11 1,A1
11 .7 '1.' 7 }.. 1.11..... }1,: 4t-11 r: A}.. C 1 l._:}}1.17
VY1.a411 ul.slf111 LVs oAsi Vi111,•)• 11111. Al tl&ls VV111VU L,V VL CC
1K11V1.. i0 sU M4 -4-CA
C l 1. •1.7: 1 }.. L... 1. lA- 1}' 1 }..
LV1 K s1 LC UU11u Ann plan 1,V UV UUllt 111 Ylultl)J.Lc V 11 Vll tK VlVIls) Klla' sllKull/�
r.. ..}..«.. }1, ..} a .7: ....}...] }1, .. V«....: 1 1: .... }.. «.... 1, .._.. «1.,,, .1 AI..}....
1VKtU1V 1,1&41, is Y"11V\1 is 11lU4VW tl.0 111 1,111. Li V1K1 L'1..W tUl Vs) lY1.W"/As) Kllu 11V tl.s
.l-
sVVt1V11.
I
11: 1V..}
K1.}...1
lY V U
V
a 1 1 1,
1.1 ..}�
11.. ...... ..«
1« .A-
V}1.«17uy
111..«1.
1141,1.1
lY1.VVY1.1 •)
111 �JUt
VtKl1U V,)
1"1!11
U1�llV
11 .. ..}..« U.. ... ..
1: rr: ..
A 1:111: / 1. I, A-..1, 1
1 ..
U .. 1 .
/ 1,}.. 1, 1
11l.0 tl.l 11 W1U1.
L'LL 1V1l.nc
Al'Vli \ilU tUll/
Loss
1Y YW1 Ul.
\U1,U1!/
An1.1 /II7Cw
%r nn
TV11/!t
1 V/O
VJ•VV
IIVI\I)/\411/11\I 0
1/119 1 111 1111 1 I\AI ARM
1111:1)u IAIAI V
111 U1YV111V L1 u1/Y1
UV11V11 A11U
1l.N-1L1AU/.!
11 : «
11 : «
1 « .
1 loll.
1 l�JV
Insut
AA.SUl
V.... J-.. �, /AI.._.+
111..«..
AI.. _1. ..«
1 r} 1
.7: 14 « 1
}1, ..1. / : « 1
I) .. 7.
✓,)'s LV W/l1,Kull.
1J pi-
LIUMU1.1
lull 11 t/
111"111 \L1!/
tI1V11 \lla/
14 Y�"1 UV
NAI
Vlll.
V 1 11: A I 1: 1: A 1111 11 1 1: V 1) 1: M A 1) V V A kilt A I/\ 1111: V
VI 1 Ul U All -1 VlY liu t lYl 111 AL,J 1 411" 11V 11i1J
1 LI.. «.7: }: «} : r: ...7 r.. %11........7 al
J. 11V Oil VVlaul 1,l Vl1 i11q Vljul Nlu l.11t is s)JVVil J.Vu ♦V1 4V11 \: 11V usl. . 1.11 Lli Wino13
UL'1i14
a-114.1Ktt1V VUVts ALss UWl.u.
IV 111 1 ALI/11: V111A111 I:AAI:AI111
V V1'll Ul I'll, U1PL1 L'1'/LitA1
1111:. }:r:...} c 1 1 }, }1 x..:117 c }.._,,
11110 %1`- t111VKtV V1 VVW1J11K&!VV lists tlll, u .L.L lA g 1VAltu1\.s Kl&u �/\.a 1V1 W"l1VV
•C' }' a...7 }.. 7 '}1, }1.., t:�...rgy 'S'tan
S' 17.._.7.. ' 111:}1 �)A 1t.._�.. 1
ONlalit iVu1,i Vllo 11l.VUVu 1,V Vv1Y �/1 Ai 1,L tllt L'1lVL Ff a' Vt411uKlus 1L 111,1V 4Tt La is 1
7 C C }1 11. 1 ' r 11 7 r 1) ...1 } ' 7 }1.1. A.7_: }. } '
anu VI V1 t/1V VKIILVL111.K VVUV Vl AYl.�U11.YV1 V11o) Kllu tIAV AU W 11A1 s V1 K 1,l Y1. rcgu.L tlLJAA0
}1. 7 } }1..._ 1111.: 4'r: }.. 1..... l.w.... a 1. }1... .7:..:.7....1 .}1,
1,V iWlJlI.VI�.11t tAAVW. 1L10 VVL tll ll.a.c Alas LACVl1 sAgn C.0 AJ J� 1,111. 11AulYluuK1 X11 1,A1
11 .7 '1.' 7 }.. 1.11..... }1,: 4t-11 r: A}.. C 1 l._:}}1.17
VY1.a411 ul.slf111 LVs oAsi Vi111,•)• 11111. Al tl&ls VV111VU L,V VL CC
1K11V1.. i0 sU M4 -4-CA
C l 1. •1.7: 1 }.. L... 1. lA- 1}' 1 }..
LV1 K s1 LC UU11u Ann plan 1,V UV UUllt 111 Ylultl)J.Lc V 11 Vll tK VlVIls) Klla' sllKull/�
r.. ..}..«.. }1, ..} a .7: ....}...] }1, .. V«....: 1 1: .... }.. «.... 1, .._.. «1.,,, .1 AI..}....
1VKtU1V 1,1&41, is Y"11V\1 is 11lU4VW tl.0 111 1,111. Li V1K1 L'1..W tUl Vs) lY1.W"/As) Kllu 11V tl.s
.l-
sVVt1V11.
1 .
iuf.
CI: w.. ...] 1\..4-.. v . a
Vlf'j 1l0 LtI VV U1 j111\.0 LtI VV
1: All./\11/11. AA 1: AIIII A/11. AIfIV
L.11 a'V1YVLi1'lL'.11/ AV1i 11V1
AI..
111: 4. 1
11 V11..
A a
A'c 1. .. pho
11.1F/lIV SIV �
CI :...i 1 \.. A- ..
L.P.A. . U ✓ (1 A,
/11: 1111.11: 1/1 A 1111: !\1. /1/\AA 111 1 AAI/11.. 11 1' i
11.. .�.. •1
/11. ill
VL'lYlll'1 VA♦L' V/' VVl•11 L1 A11VL'. lYl.01U1.11V1U1
LAA�1 1. J
Vl' ♦l4
1),,,,, :.. Ip:}�„ 1111111,111:AA1 AI\n1 n11/\AI 1.AI 0,1
nl, Iv411o1, n..... ACA
01 0.... AG
..+
♦ 1 V��I.VV LiliA/l ALL111V1I ♦ 01.
A11'Li IIVV UIi lYU1I. ZVZ
V1 AJV �./ J✓
\1111111/\11
L 1iU1 Vl1 L'14 V1Y VII 11 A;111LV
VVl'IL'lllA 11 V11 Ali 111 V1Y
III. -AIA. IAIf1 !11\AIC1111111111111 I f\AI
11/\1) AA 1.1111/ 111, 1) /\ 1\ CI
1/Ii11111I'm VV111J11Y V V11 V1I
LVU {'1111 L,MLY V.L. V•
'
1)f\11 Y1.1111/f 11,1/ /\ 1\ CI
LVL 1'11i14UL'lY V. L. U•
n nur\v cliAi
i10 1: IJAI ul:u
-
♦ V UVLI ✓1V1
11J L'I• It I&li11'
/1111/4\/IA
AJJJ11/.17
!IAA
1A1A
0111)
Ad. ,VY/1VA. I
.ArAOJ
LVJV✓VJ
OIIA .Jori
oar \COG 9A10 AC OO
VJZ 10VJ1
VVJ JVVV V1 JZb ✓VVV
1 .
iuf.
CI: w.. ...] 1\..4-.. v . a
Vlf'j 1l0 LtI VV U1 j111\.0 LtI VV
1: All./\11/11. AA 1: AIIII A/11. AIfIV
L.11 a'V1YVLi1'lL'.11/ AV1i 11V1
AI..
111: 4. 1
11 V11..
A a
A'c 1. .. pho
11.1F/lIV SIV �
CI :...i 1 \.. A- ..
L.P.A. . U ✓ (1 A,
/11\U 1111'1+1:1) U1:'111/\I\ CIIUUAIIV
VVl'!1 V1LilY !•1 L'. 1lIVU VVl'U'IAIYL
L urs V 1
V L•lY
III.►11:I)A11 AI 1.1/\I IU A11+1/\AI
VLSI\Li JYA1.1 A IIL' VLYI'Jl11
AVI-
VVllul V1Vll\.0 1'13VL AlY.u•
U4114111 r1 L'l V1lV VL 11.11 VUV 1Vll.
LIUWV\.L V1 VWCAA1114 uA,A VO•
LluWul.l VL VVVL 1%.•D.
nen P1-',
vVV L VGG
V Ill\ C+: «..l 1!.._: 1._ 1\..},,,.11„13
VA'U V111n 1V L'uWllj UI.VUVII\.0
Inn
A.VV
1
1
11111: I1:AAI AI\1\llnlr\►1
1:\1'1'1111! 11/\I IV1:
11. - AOA -lI C+..«
Ili
1LV•/I.VV 11 V1Y.•
♦lY LIV l:.A!\ AUU111V1\
ail\11lYLi 11VVVLi
1Y 411• TVT V1 VV'/
✓J
11....: 1- Aaa«.•..
1CIn 1.1/\/\1\IIA\I l!AI 1\Il
11101
111)1! 11!AIII AI\1\11111/\AI
IT 11
..
i 1 V•J C V V ALLLL1 1.00 •
1 ✓ V II V VU11A 1 1 1\ 'UlY
•
L 1YliV 1i A1\ '1/111 l l Vl. Lill 1
114E
❑+,. 1-..l /+..«13: }: ..a v..l.
r1/\II ACIV 1:'11 /IA
A..
Ina ♦
n»..
1VVu1 VV11U1 V1V1lVU YV141111.•
WV IAVVGiA 1 Vn•
1jyV
\1 V4/
./11UV
U.•:7a: 'P:}1..
11111! 11!'AAI A1\I\1111/\AI
VkI'T'1111! !It %I ILII!
Il..' 7a .e 11.. } 1L
Ljy�.
U411U 111 11 V1\.•
AJYL.V LiAL\ /l J/U111 VI\
L'I\111YLi 11VVVl'.
LLL 11U l I, 1\.11111V Tr
,. «a wl A«
nen P}O
UV\.4WV11V A41.11V1 •
LVL 1'11;14 VLilY V.U•U•
n'..1....1. .... ...
o0r, r1e0o •�A•i
;11`00
117 n6.. ,.1_ / n..}..
1\.. ..«
Ll.1V�/!l VJl Y.•
uvv ✓VVV V1 VTL.
✓VVV
l lull V111 Y.A / UUVV
Ian
/\...•,«t' U..}1..,a•
/IA1 Ila:C:/ 11 ..«..: ..«
1 01
.. ,.1. / 1\•.}..
V V. V
VVWI/11u11V1. !•14 V11VU•
VALIYL'V1+ IVa O1Vll
1.V1
L'1V1U VJJVVA / L/uVV
t VA, V
1,1
W l l
OOA n
Arca
V11WU VV IIVIII.•
11
A lla./ WVO Vu 1,
I1 \. 1r1ll 1,
wI 0 O..A 1 0
1:►11: 11lIV IIC 1: 4.1II\LUA11V
Ilutl
"UV. V
V • VVV
1 V
L'1ILi l4V1 VUL' IJ ALMA.
\AU I, 1
Ljt/Y.
\1 V/
\1 VLI/
11.... us.. Caen neon
ALV UOQ. ✓VV ?Cor.
/1..«13: �: ..a
VV1lU1 V1V11V4
111:,, C+1. ..«a.•�.a
VL'.V VVt1JlLLtAILL
�,�rl f1
V V
Lilll.l l�j� VO\. UI.
ILJIuuLU UO.S O.S.A. ll 11
V�/VOVU UVO1r�ll
1.119 O..A 10
1%, -s:a..
11411
101A
17 1A
1 V
VVV
V�/uVl. /Jl.0 Vlllrl
1V•1T
11.1V
VV 1, LUt I.
1.1..1 7
91 A A
I O illiC)
O•')
19
nn
V�/uVV VVV111/rj
1V•1V
14.VV
I l u l l
V A T. V
w..}„ 11...•1•:
111 AO
1r1 AC
✓ V
11.0
/14 VLL 1l\.0 Villjl
1✓,. TV
1✓•TV,
1 nn v
n noo
1 9
1 A
nn
V....
w1 9 O..A 10
/\..}..: a..
11411
1I V • I
Comp»7
l i%o
1V
n'..}..l
Gn C7
AO Oil
V....
V4 VO lu\.
A iotau l
V V. V.
Tv.V✓
1 1. 0
III.►11:I)A11 AI 1.1/\I IU A11+1/\AI
VLSI\Li JYA1.1 A IIL' VLYI'Jl11
AVI-
VVllul V1Vll\.0 1'13VL AlY.u•
U4114111 r1 L'l V1lV VL 11.11 VUV 1Vll.
LIUWV\.L V1 VWCAA1114 uA,A VO•
LluWul.l VL VVVL 1%.•D.
nen P1-',
vVV L VGG
V Ill\ C+: «..l 1!.._: 1._ 1\..},,,.11„13
VA'U V111n 1V L'uWllj UI.VUVII\.0
Inn
A.VV
1
1
/\IIA/\111! 11111)1! Ar11:C
VL AAj Vl1 UVIYl'AW1 W
..»Pw....
A»....
11
1....7
11+....
l'1VV1 VVIIO I, UV VAVl1 ljP/ .
UluU WAS qki l
1w, :
f\..»..}�...�"I-
Mur
VULIUVV
AL Vu
V
11101
l/u
lI4W Ul.l Vl VVIIUl V1V111. C1 A, l.0•
1
na.«..
I P4 \
❑+,. 1-..l /+..«13: }: ..a v..l.
?Con P}O
A..
Ina ♦
n»..
1VVu1 VV11U1 V1V1lVU YV141111.•
I VVV A. VV
1jyV
\1 V4/
./11UV
LYY ul
AL/W
11V
V110
Ljy�.
V V1141\.1VIl\.0 1'VV VIJ11111. AL1.11•
✓VV
,. «a wl A«
nen P}O
VLV41,LL VVL Al Vu•
✓VV 1VL
I)IIII I\IAI/1 •//\All: IAI I!/\ICU A1111 I\AI
1\.. ..«
UV 1 L1J 111V L.VN 1 11, L'VLYIll A/1Vl\
A 00A
A
1 nr
Ian
v....
OA w., ,,a
UV V L
V V. V
L. 1VVL
V
1 ./ V
I Vll V
t VA, V
1,1
W l l
OOA n
Arca
1.V11V AL Vu I V1uWl.
I nr
A lla./ WVO Vu 1,
I1 \. 1r1ll 1,
wI 0 O..A 1 0
r\•.},.:.3
Ilutl
"UV. V
V • VVV
1 V
All am\. \1VA./ %A VV/
Lj'F/Y.
Ljt/Y.
\1 V/
\1 VLI/
11.... us.. Caen neon
ALV UOQ. ✓VV ?Cor.
/1..«13: �: ..a
VV1lU1 V1V11V4
111:,, C+1. ..«a.•�.a
VL'.V VVt1JlLLtAILL
�,�rl f1
V V
in r
1V.V
/\IIA/\111! 11111)1! Ar11:C
VL AAj Vl1 UVIYl'AW1 W
..»Pw....
A»....
11
1....7
11+....
CII..
1w, :
f\..»..}�...�"I-
Mur
VULIUVV
AL Vu
V
11101
l/u
UAL
c;-.. VL LLV V1VlJ
na.«..
I P4 \
..1.
u....l
A..
Ina ♦
n»..
n+..»..
1 .. ..}: » /n..__..�,}„
1jyV
\1 V4/
./11UV
LYY ul
AL/W
11V
V110
Ljy�.
LVV(1 V1 V1// VVWW1.11V0
II..».. 11 ...•....
1\.. ..«
/,r1A
A 00A
A
1 nr
Ian
v....
OA w., ,,a
UV V L
V V. V
V. v V V
V
1 ./ V
v V
ACS 0
V V I I V V LL
W l l
OOA n
n noo
1 0
I nr
An
v....
wI 0 O..A 1 0
r\•.},.:.3
Ilutl
"UV. V
V • VVV
1 V
Av✓
JV
l V0
II I V . 4.1T. AV
VU L.O1 L./\.
1.1.,11
Ino A
A noo
1'3
Oor
An
v....
1.119 O..A 10
1%, -s:a..
11411
iJV.V
V. VVV
1 V
VVV
JV
IVO
111✓. VAT • AV
VV 1, LUt I.
1.1..1 7
91 A A
A AGO
113
19
nn
v....
w1 0 O..A 1 C
/\..}..:.3
I l u l l
V A T. V
V. VVV
1 V
1✓
✓ V
11.0
11 1 V. b A T. 1 V
V 4 V O 1 U V
wa1 1
1 nn v
n noo
1 9
1 A
nn
V....
w1 9 O..A 10
/\..}..: a..
11411
1I V • I
V. VVV
1V
1VV
vV
LVO
II1V. MAT. LV
V4 VO lu\.
/f1....«
O�•� n
n
Ion
Al..
c 1..1.1 AAI!
/1«..13.. .
L'AVV/
,r 1 6. V
V
lUV
L.V
V1CL1/1TVAi
VL uU%-
1:1..
Coo n
A
ton
u.,
01..1.IAA/1
n«..a..
1'1VV1
VVV•V
V
AWV
L\V
UluV1TVV
VL ULL\:
/+ . 1 :» .
ACA n
n nnr
90
n
v
1,90 O..A OA
A}}: ,
V\.A L Ln �
✓V V . V
V • V".
Vu
V
A L.0
l.V V . bAT. bT
'A 1.1V
111:111 M1:11, 1:1, 1 /\CC "S1 l Lbl lull 1 L' LY L/VVV1 "
1 l
11: w1.}
/vwntwn:u
ul:nnv111
c11uuAuv
I ago
4
A.
r
V
4u
VU
1/VI'1L V AG1Y
1.&A; 1//VA/
1l UlRDlrU A.
l K�j �.
Por L l Y 1 V 1. or
L on � L III
A' 4
1 1I 0 U 1
IP:}1..
11111: 11: AAI AI\1\11PI/\AI 1: Alllll 1, 1. 11/\IIC 1:
11.....
ACA
41 f.,
nr.
�}
1 L V•J 1.V V
♦1 V11..
1IYiiV L -AL\ AUL111 V1. Li1I111YLi 11VVVL'
lYUll.
TVT
i.t VCp
✓✓
111:111 M1:11, 1:1, 1 /\CC "S1 l Lbl lull 1 L' LY L/VVV1 "
" W A I I: C 1 I, I I A• 1. 1I 1 A 1 CI"1 ArC
V' 111"AI4-11 VL, UVlbl'AVLiV
1 l
11: w1.}
I, 1
Li/oul
A v V Y 1. V V 1 1.
11,1 !111 1.
V1K4 illrj
11..: w1.}
Por L l Y 1 V 1. or
L on � L III
A' 4
1 1I 0 U 1
1:x4,
LYKWI.
111.1-
1'1.11 \.0 V1 K 1.1 VIA
U1.NVll
AL VK
1/
1.71.
\L V /
1'KV VVl
1Y YK1
\ 111,
A,1/I/K 1.i V11/ %awit, ..7
�/11 .... .. ..
111......
/ Q}.) \
A..`.
1111 }
11,.... ..
4VI/V - 11V U01.
Ono
AI .. ... ..
/,.. ... �.. .... A. '
LY KWI.
1 �7 1/1.
\ 1 VL /
1: ..., .. .. ,.a
A97 1111
n niln
n
n
n..}..: a..
L'Ap1/01.0
TV v
V.✓VV
V
V
VU V011A1.
I, .. _,.a
VVY Vl VU
or 7nll
VJ V
n 7•in
V. I LV
n
V
n
V
/1.. 1-..: a
VU1.01 UV
" W A I I: C 1 I, I I A• 1. 1I 1 A 1 CI"1 ArC
V' 111"AI4-11 VL, UVlbl'AVLiV
I\111: 1,11 A AIr,C
V 1 l IUIJA11 V V
1:........ } ..... }
1' V111.0 VL K V1VAl
A L....... 1 .. L`}
11: w1.}
I, 1
A v V Y 1. V V 1 1.
11,1 !111 1.
V1K4 illrj
11..: w1.}
1.1'a}1„
11....}1,
1:..}..
1:x4,
LYKWI.
111.1-
1'1.11 \.0 V1 K 1.1 VIA
U1.NVll
AL VK
11U
1'1 KWl.
VIIKl KV1.l
'Ginn
AI .. �. ..
111......
/ Q}.) \
A..`.
1111 }
11,.... ..
11,.... ..
AI .. ... ..
/,.. ... �.. .... A. '
LY KWI.
1 �7 1/1.
\ 1 VL /
ALW
111.
1 •y �, 1.
1 �7 �/l.
L.KWI.
VVlll 111 1.11 t.0
= 11........
A It
C 7 p r 1
131 7 011
1'"1
T V
✓ v
LwI1, uv u.7 �.
,'Ono
T
V V
V1 V
')Intl
g7nit
1:11
t.1
411 n'
1 rlr.
AA
O1 : a....
u..}..1
/\11I'mI /..}a
V V
1'11
11111LL
rrV.V
1J✓
✓V
A.L. AU.1
1'11. 1.K1
V/l'.lY/OI.0
g7All
1:"1
IJ:..a
'in n
Ina
nn
c l : a,. �.
u..}..1
/\I11:U /..}a
b V
L' fr l
11 111 u
LV. V
1 V V
✓ V
V 1 1 u 1. 1
lull. V a l
V l A:. L Y/ 0 1,U.
Ginn
1 11
Ll:..a
C n
'lUr.
Ilrl
of : a....
u.+}..1
/\111:U /..}a
V V
LI11
It 1114
v
LV✓
✓V
V11111.1
111 �. VKl
V♦LILY/0Vu
aIAll
1111
IJ:..a
C n
1 r.
An
C1 : a.,...
AA..},.1
V V
✓ V
L11
111114
V. V
1✓
✓V
V11u1.L
VA1. 1.K1
Vl L.IY/ 01.0
1141
IJ:..a
411 n
1 F
nn
al :a.._
u..}..1
1114:4 /..}a
Vvl
111114
YV. V
Av
✓V
VA1u1.1
1'1 �. VKl
Vl lilY/ 01.0
1111
/J:..a
��
Inc
An
C,l : a....
AA..}..l
/\111:11 /..}a
I I .A. U
V V• V
1 V v
✓ V
bI 1 111 V 1
1'11. V K 1
V 1 Ai 14 / 0 L. u.
I,1 All IAIf' I,IIAIIA/,11,
1:111 C11,
1/,C,
U LI)411YV V11AlYAV11ilY1U11
VV
VV
1.111 L'111
KVVY1.
VV
A1.. �..
11..:91.}
7
/\..M}l.
Ito.
'
1\..M}l. Ilw:
LYKWI.
11V A 111.
U
V AK41/!r1
AIV 1.11
-1,} -1 �
111.1 !1 V 1411
�1
14111 �
91,}
A/V 1.A1 111.1 111,
91....9
1411
R1411lF
LI
11 ono
nl..
LL
..0
li
or• nl..
Ir+•.. w, 1..}
1: ..} on W.
Vll41 UV1.1
U1KL .
11
V1
V
UV V1O
111 V1.11V1 UV Lll 1.
LiA V1.l iVl UV LiAV
A1.. .., ..
111......
11.... ..
..1 /\..1.
Cl. .. a.. 111...... Cl. .. a„
L, 1. .. a,. 111...... vu.. a..
/1 CL/111.
1,)NV
LKll1.s
a'A ul. Vll 1•)�
U11Kul. 1•)7-11- Ul/uul.
VIlauc 1.7{ 1-' UIIKUV
I\111:11 /..}a
I,1
4
n r/rn n 000
L, 4-3
1\.. .. .. .+ n r7on
"U9 C........., n Of7A
V l -1 b/ J V u
V.LV K 1
4
V. I✓ V V. V V
V U V lA
A! 1 K'/ 1. V. I V V
LJ U U V L V 1. 1 1 V. WIV
I\111: 1,11 A AIr,C
V 1 l IUIJA11 V V
1:........ } ..... }
1' V111.0 VL K V1VAl
A L....... 1 .. L`}
11: w1.}
A v V Y 1. V V 1 1.
11,1 !111 1.
AI..�.o
11..: w1.}
1.1'a}1„
11....}1,
1:..}..
1:x4,
LYKWI.
111.1-
Iliu Vll
U1.NVll
U1K4lll♦1 LiA Vl.11.J A Vll
U.A
A,A V1.11.71VI1
AIAll
'Ginn
g1Ctt
Air
431 soft
C1oil
L' A.A.
T V
V V
4 V
T
VA V
V V
1.141
A 7 All
G i nil
:, 7 CTI
A It
C 7 p r 1
131 7 011
1'"1
T V
✓ v
4 V
T
V V
V1 V
')Intl
g7nit
11011
/•,7Cft
r7Ctt
glsCtt
111
11
v V
V V
1 V
V V
V V
A.A. V
411
%IAli
g7All
g7CIT
An
01011
00117011
U11
V V
b V
4 v
T
V V
V1. u
441
A7nil
Ginn
g7CII
An
gnIoil
1971011
VV 1
T V
V V
4 v
T
6.V u
1 1 V
utt
C7Of?
aIAll
11011
03 111
07011
1r7off
11,11
V V
✓ V
A. V
V 1
V V
1✓ V
VIAIC,
1 j.,}
'A
1' 11YV
C,.
Ll V A AAA
AAAA1,
1' 111
L'1.l11.0 VL KL.1 Vll
liA V1.I1
L101.
J.;,^V1.Al
✓101.
1'1!1
l'Ll/ KVV I1.
VV
1.111 L'111
KVVY1.
VV
A1.. �..
11..:91.}
l.l:a}1•.
/\..M}l.
Ito.
'
1\..M}l. Ilw:
LYKWI.
11V A 111.
tI1UN11
AIV 1.11
-1,} -1 �
111.1 !1 V 1411
�1
14111 �
91,}
A/V 1.A1 111.1 111,
91....9
1411
R1411lF
LI
11 ono
II+111: 1 I W A 1 WAC C
1 allilYl'lAL 1'1nVV
I,w4...1
Vol
Vol
r'..
11: 14-
f1fluiIIIII'1:1/
WI:•1+11MIN
VIIuUA/IV
Ilw.�w
14 0
V
V
L.lY
VVI'll VIL.LY
1'AL11//VL
VVl'li'IAlY1
1 ' wl.a`
I1a001
LY40VY41y
input
1,.... .. ..♦
II';.�1..
11111.' ll: A.1 AM%1'P I•f lA1 1: .IINI Ill: ,1If \11C•1:
1,.....
lYUl1•
ACA
ZVZ
01 C•w..
V1 u4�/
nG
✓✓
1LV�j 440
110.L 1•.
IlYL.V LiAIY ALu111V11 1iL1111Y1i IIV VVLi
I+w..
' ' i.. II+.... ..
I,..w 1
1 6 ' //+..__....��
II+111: 1 I W A 1 WAC C
1 allilYl'lAL 1'1nVV
,S0....L .._ Is....w
yJVY.W Ay W,
-
"Duct-, LV0401V11
V 04 . ..a a wl..w
Lit L1011.11Vy Ullu 1Y Ya1LL0
'So..w.... 1... .. �-.... /w Ow.. n CG A1.1111.1 n..... 4 a: w.. w13
pa00 114{104L n/ V Lµ111 V.V✓ A1'V l.:. VV11"101 V110u
A; ...1 ..a.....1 ..1;1. to nn ol: Lvr AaJ-' u A O
A11 0V11u. 01.11011µA JP110 1V. VV uL.LLY AV010 lY Il
1.1A'II WI) 111: AII'1 Uf+ V VVII'I:UV
11,1-1Y 'A1 a1Alu ►rl Ullil'lV
L1J0i iv iiu}I.c If u IIT vi i.il%i qy i/viumc iii ap
o....a•w_ Alw_.. ,1'....w 11wwa ►Iw_w 11....4 11'....w ua_.. 1:w..aw.. 1- 1 1 u 1
uy J04W 1114U10 Ly1J4 111l.µ001 a1(1W0 114401.1 1ypic Al IL l'Ii00V1 \Fj41/ 1Y Yµ1
Anf,A11.1/11 al.... 11w...3 An1.1/It C1.. .... 1 •n f.0 An n
TVVnLII/ll uI, Va/u TvlI/111 ,V VV1 ap�lV qua 1 V.✓V Tv v
41 AII'1:11 111:.'III ►If+ VVVIO UCI u1 VI'
IlAllilY 111iA111YV u1 U 1L.1'IV 1'11 VV
V ..l w.. �.._ IJ ..0 J_...... 111loo.7 1.....w
UV14L J"Y 111 />,J VV141 Jy J00W 1/VVu JVV.V4 IIVVu J0V Y4
1-,
uyJ4.00W l►YIµWO 10
1 1. .1
0y'//4 VV 1141 • uV 1141 F/LLWII.
A All AI W /11 ►1.. ►Iw
Zvv1 ,I'/ 11 1YV UV
I.IAII'lii/ I/IJAlp 1.•I, /II/VI 1 IA, "E"'A 11 C
11A1L'.LY ll LiAltilY/ VV1 L1ilY LL' LAl Lu
I,w4...1
Vol
Vol
r'..
11: 14-
11Yµ 04 u
V
V...�
V11lU
IJw ♦•w..
11 .. ........ ....
1 .. ....�
C �.....i L...
II+w..l.
1 ' wl.a`
I1a001
LY40VY41y
input
UVµllUuy
AL Oa
111011
/ 1040
uLLOV VVLJ VL UV 01 on
i11Ju
1 ..
Il .. 1.
/ li f! \
/ ' 1
I+w..
' ' i.. II+.... ..
I,..w 1
1 6 ' //+..__....��
uw.... ►1w_..
!•14JJ IN
\ 1 04 /
\ lU /
Vµ'f
1 V 1 0y l y Ff0
LV Y 41
LV 0a 01011/ V0W W011 VJ
'r.. 11........
I VAD
Vv. VV
LV110 � IIV LLJ�.
L1l 1A....
f,rmn
J G
017
n no V l w1.1 AA
n iaA
/1_w.l ..
..1.
u14u Li.l �/
4,0" . V
V. V
LV
V. ✓V V1µ"1 -LVLT
V. IJ"Vrau4
al w1 n .. .1
COO n
0 C
f)0
n il0 L+l 1.1 Anf,
f� n0
f+. w.3
V 1 1L u V V Y 0 1 4 u
V V V. V
v. ✓
4u
V. ✓ V u 1 4 u 1 -L V V
L. ✓"
V 1µU1..
V1\1 All f1A 1 ►1 Ill V'1'1111111'1'1f%kI
IJV Lr1lY u 0 L1 U11Y1"V11
VII
I: .... .+.. t
I.I;
V..
_... .. ..
'1'w ...ww♦-L w.l
rat,;
l'0114J V1401 011
An cr
1/11/041
uUWW01
141 �4000u
►Iw_w
1: ..w .. J-:.... I:
.�.w ..� '1'1....._wl u.. .. .. r•..__.... a..
1YµW4
1'14001 VI1 1'La00JVr
1110E WW1 III µJ) l/1/YI/U4ll0J
,S0....L .._ Is....w
yJVY.W Ay W,
-
"Duct-, LV0401V11
V 04 . ..a a wl..w
Lit L1011.11Vy Ullu 1Y Ya1LL0
'So..w.... 1... .. �-.... /w Ow.. n CG A1.1111.1 n..... 4 a: w.. w13
pa00 114{104L n/ V Lµ111 V.V✓ A1'V l.:. VV11"101 V110u
A; ...1 ..a.....1 ..1;1. to nn ol: Lvr AaJ-' u A O
A11 0V11u. 01.11011µA JP110 1V. VV uL.LLY AV010 lY Il
1.1A'II WI) 111: AII'1 Uf+ V VVII'I:UV
11,1-1Y 'A1 a1Alu ►rl Ullil'lV
L1J0i iv iiu}I.c If u IIT vi i.il%i qy i/viumc iii ap
o....a•w_ Alw_.. ,1'....w 11wwa ►Iw_w 11....4 11'....w ua_.. 1:w..aw.. 1- 1 1 u 1
uy J04W 1114U10 Ly1J4 111l.µ001 a1(1W0 114401.1 1ypic Al IL l'Ii00V1 \Fj41/ 1Y Yµ1
Anf,A11.1/11 al.... 11w...3 An1.1/It C1.. .... 1 •n f.0 An n
TVVnLII/ll uI, Va/u TvlI/111 ,V VV1 ap�lV qua 1 V.✓V Tv v
41 AII'1:11 111:.'III ►If+ VVVIO UCI u1 VI'
IlAllilY 111iA111YV u1 U 1L.1'IV 1'11 VV
V ..l w.. �.._ IJ ..0 J_...... 111loo.7 1.....w
UV14L J"Y 111 />,J VV141 Jy J00W 1/VVu JVV.V4 IIVVu J0V Y4
1-,
uyJ4.00W l►YIµWO 10
1 1. .1
0y'//4 VV 1141 • uV 1141 F/LLWII.
A All AI W /11 ►1.. ►Iw
Zvv1 ,I'/ 11 1YV UV
I.IAII'lii/ I/IJAlp 1.•I, /II/VI 1 IA, "E"'A 11 C
11A1L'.LY ll LiAltilY/ VV1 L1ilY LL' LAl Lu
I,w4...1
11: 14-
11Yµ 04 u
1 1 10 0
IJw ♦•w..
11 .. ........ ....
1 .. ....�
C �.....i L...
II+w..l.
1 ' wl.a`
I1a001
LY40VY41y
input
UVµllUuy
lallil
L.Lr,110
Il..wi w ►Iw_..
1: io:.. .1.'1111:
/ 1.Ui.. 1. 1
1 ..
Il .. 1.
/ Il1•.. 1, 1
114400E 1\µW0
L'i111010110y Al'VL'
\AL OUIa/
LJOJJ
lY Y111LL4
\LOU II/
Anal /11r%CW
• r, nn
TV11/l/
I VAD
Vv. VV
f
/•/1MIIII1111JU M1:111111M CIIMMAIIV I agc A /\ Q11
VVPIL V A ''IV a'A 1llVL LJVIVPIAIYL 1 wq�, 9 V 6.1Y
11....: ..t 41:F1.. 111)1: 11: AAI AI\1\11P1/\►1 1: AP111 It, I. 11..... ACA '1� r.�.. Ili.
1LV.J VVV L11.14.• L1IliU L'+A 11 ALLYL 11.V 1\ Lill l•1 lYli IIV V✓li 1YUll• ZVZ VA ✓VAI VV
IIV I\I I/\All /• 1\ I C•111111 1/1111111\AI A ►11\ 11. 1:1)U I AI A I C•
111LLYV111V L1 u1141 LV 11 V11 Al\✓ LL'LYl•ll 11ALU
1: .. 1.. .� 1.. .l
L 11JV L L APl. 1ttJU1 i11JU1
o...L /AI. n1... u..�t ! OL 1 7: ! \ ♦L .1. ! :. 1 u 1..
u J'JNY.w/a1KwY. l,�y�, nuu/✓�.1 run �l l./ ulKw Biu/ wlVL1 \1ll! LY vutuc
Lv
11 V11V
0111:/11 Al I:I:A111111)1: C• 1)I:M AIIU C• AAII\ AI/\1111: C•
✓L l w AL L'LiA1 VlYli✓ 1 lY Lil•lAIY/Y✓ 1 Alli/ 11V a LiU
1 AI.. ' ..A:4.: ' : L ' '0' A r.. .. X11...... ..� M:..:.... �. C1:I11
1• 1\V KAL VV11LL1 V1311 Asir• VljullJW\. 11V 1J LVL LVfIV AIV UJI. • P111I1111U/11 ✓Lili14
....7 .. L : .7.... L .. ...7
K11LL KVU1V LLUV VJ wJJUWI.LL•
MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 1 ii, MF -1R
Project Title.......... MASTER PLAN Date........ 01/01/93
Project Address........ MASTER PLAN ---------------------
CHICO, CA. -
Documentation Author... BOB METZGER 865-9688 ; Building Permit # ;
Company ................ BOB METZGER 0 D S
Telephone .............. 865-9688 or 342-9688 ; Plan Check / Date ;
Compliance Method...... MICROPAS4 by Enercomp, Inc. ,' Field Check/ Date ;
Climate Zone....... .. 11 ---------------------
' MICROPAS4 v4.01 File- Wth-CTZ11S92 Program -FORM MF -1R '
User#-MP1000 User -BOB METZGER 0 D S Run
-------------------------------------------------------------------------------
Lowrise residential buildings subject to the Standards must contain these
measures regardless of the compliance approach used. Items marked with an
asterisk (*) may be superseded by more stringent compliance requirements listed
on the Certificate of Compliance. When this checklist is incorporated into the
permit documents, the features noted shall be considered by all parties as
binding minimum component performance specifications for the mandatory measures
whether they are shown elsewhere in the documents or on this checklist oy.
I�,�-tet
4
BUILDING ENVELOPE MEASURES G
a
esign- nforce-
er ment
*150(a): Minimum R-19 ceiling insulation. kLaA
150(b): Loose fill insulation manufactlabeled R -Value
urers . It
*150(c): Minimum R-13 wall insulation in framed walls
(does not apply to exterior mass walls).
*150(d): Minimum R-13 raised floor insulation in framed floors;
minimum R-8 in concrete raised floors.
150(i): Slab edge insulation - water absorption rate no greater
than 0.3%, water vapor transmission rate no greater than 2.0
perm/inch.
118: Insulation specified or installed meets CEC quality
standards. Indicate type and form.
116-17: Fenestration Products, Exterior Doors and Infiltration/
exfiltration controls
a. Doors and windows between conditioned and unconditioned
spaces designed to limit air leakage.
b. Manufactured fenestration products have label with
certified U -value, and infiltration certification.
c. Exterior doors and windows weatherstripped; all joints r ��
and penetrations caulked and sealed. r-t�
150(8): Vapor barriers mandatory in Climate Zones 14 and 16
only.
150(f): Special infiltration barrier installed to comply with
Sec. 151 meets CEC quality standards.
150(e): Installation of Fireplaces, Decorative Gas Appliances
and gas logs
1. Masonry and factor -built fireplaces have:
a. Closeable metal'�or glass door
b. Outside air intake with damper and control E
l c. Flue damper and control l
E ��
2. No continuous burning gas pilots allowed., $ [-_�
110-13: HVAC equipment", water heaters, snowerneaas ana faucets
certified by the CEC. C ll�„�
150(1): Setback thermostat on all applicable heating systems.
150(j): Pipe and Tank insulation
1. Indirect hot water tanks (e.g., unfired storage tanks or
backup solar hot water tanks) have insulation blanket (R-12
or greater) or combined interior/exterior insulation (R-16
or greater).
2. First 5 feet of pipes closest to water heater tank, non -
recirculating systems, insulated (R-4 or greater).
3. All buried or exposed piping insulated in recirculating
sections of hot water system.
4. Cooling system piping below 55 degrees insulated.
5. Piping insulated between heating source and indirect-�
hot water tank.
*150(m): Ducts and Fans'
1. Ducts constructed, installed and sealed to comply with UMC
sections 1002 and 1004; ducts insulated to a minimum
installed value of R-4.2 or ducts enclosed entirely within
conditioned space.
2. Exhaust fan systems have backdraft or automatic dampers.
3. Gravity ventilating systems serving conditioned space have
either automatic or readily accessible, manually
operated dampers.
114: Pool and Spa Heating Systems and Equipment
1. System is certified with 78% thermal efficiency, on-off
switch, weatherproof operating instructions, no electric
resistance heating and no pilot light.
2. System installed with:
a. At least 36 inches pipe between filter and heater for
future solar heating.
b. Cover for outdoor pools or outdoor spa.
3. Pool system has directional inlets and a circulation
pump time switch.��
115: Gas-fired central furnace, pool heater, spa heater or
household cooking appliance have no continuously burning
pilot light (Exception: Non -electrical cooking appliance
with pilot ( 150 Btu/hr.).�v
LIGHTING MEASURES
-----------------
Design- Enforce-
er sent
150(k): 40 lumens/watt or greater for general lighting in
kitchens and rooms with water closets; and recessed ceiling
-fixtures. IC (insulation cover) approved.
Be aware that glazing units (including doors -with
..glass) must. have permanent NFRC labels. Glazing labels 'will be -
rhecked against the Title 24 calculations at the time of framing `
inspection. If the installed U -value is of a lesser value, the Title
24 calculations Aust be redone, and appropriate changes made to the
structure (e.g., this may include additional insulation, addition of
screening devices, reduction of window sizes, etc.).
Note that an Installation Certification Form CF -6R is required to be
- •popted at the residence proper to the issuance of a Certificate of
Occupancy. This is in addition to the Insulation Certificate.
IF APPLIES GENERAL NOTES SHEET E
1. ALL PENETRATIONS THRU -THE BUILDING 'ENVELOPE (CLG. WALLS AND
FLOORS)Ta dE CAULKED, SEALED OR WEATHER STRIPPED. SHIM SPACES AROUND
EXTERIOR DOORS OF THE BUILDING ENVELOPE TO BE INSULATED.
2. ALL EXTERIOR PANELS EDGES TO BE CAULKED.
3. ANY ACCESSESS TO ATTIC SPACE OR CRAWL SPACE FROM CONDITIONED SPACE
TO BE FULLY WEATHER STRIPPED.
4. EXHAUST FANS TO HAVE BACKDRAFT DAMPERS.
5. FIRE PLACES TO HAVE. a) O.S. COMBUSTABLE AIR TO F.P. BOX W/ MIN.
DUCT CROSS-SECTIONAL AREA OF 6 SO. INCHES b) DAMPERS TO ' 'DUCT
_ ACCESSABLE FROM INSIDE F.P. AREA c) FLUE.DAMPER.TIGHT-FITTING 8
READILY ACCESSABLE d) TIGHT -FITTING F.P. DOORS OR HEAT CIRCULATING
DEVICE.
6. A/C DUCTS TO BE INSTALLED PER 10A l' U.M.C. 8 INSULATED 0" I NSUL . -
GAS EQUIP.) 8 (2" I NSUL . -HEATPUMP EQUIP.) 15# DENSITY TYP . !�
7. MAIN LIGHTING SOURCE IN ALL BATHS 8 KITCHEN TO BE FLOURESCENT OF
40 LUMENS/WATTS OR GRATER.
8. FAUCETS 8 SHOWER HEADS TO BE WATER SAVING TYPE 8 CERTIFIED BY C.E.C.
9. W.H. TO HAVE.
a) 1'-6" HIGHT PLATFORM.
b) . VENT T HRU ROOF.
c) ADEQUATED CONBUSTABLE AIR VENTING_
d) R-4 INSULATION 5'-0" TO 8 FROM UNCOND. SPACE.
e) R-12 INSULATION WRAPPING.
f) R-4 INSULATION ON CIRCULATING SYSTEM.
g) CERTIFIED BY C.E.C.
10. GAS COOKING APPLIANCES NOT TO HAVE CONTINUOUS BURNING PILOT LIGHT.
I]. A/C UNIT TO HAVE
a) SIZED 8 CERTIFIED BY C.E.C.
b) SET -BACK THERMOSTATS.
12. INSULATION INSTALLER TO BE CERTIFIED BY STATE 8 LOOSE FILL INSULAT-
ION TO HAVE MANUFRS. LABLED R -VALUE
13 BUILDER TO SUPPLY TO OWNER ALL INFO. PERTAINING TO THE OPERATION.
OR TREATMENT OF ALL APPLIANCES 8 DEVICES RELATED TO ENERGY OR
WATER USE.
14. ALL WDOS. @ CONDITIONED SPACED DUAL -PANE. DOORS 8 WDOS. TO BE FUL-
LY WEATHER STRIPPED.
15. CAULK BETWEEN BOTTOM PLATE AND CONC. FLOOR.
16. PROVIDE INSULATION BAFFLES @ EAVE BLOCK VENTS.
17. USE ELECT. OUTLET GASKETS @ O.S. WALLS.
18 WATER HEATER TO HAVE P -T VALVE WITH DISCHARGE TO OUT SIDE.
19. REF. FRZRS. FLUR. LAMP BALLAST TO BE CERTIFIED BY C.E.C. CON TRACT-
OR -OWNER TO' SUPPLY MAKE AND MODEL.
OWNER: REC' D BY DATE:c�5. C1J_
AP# J — r 3 PERMIT NUMBER: /V'�G-� TIME: � ' 3 G
RESIDENTIAL COMMERCIAL
OOOo000a00a000oao000o000a0a0000a0o0000a00o000oa00000a00o0aaaa0o00aoo0o0000a0aoa0oa0000ooa00000a
REQUIRED BEFORE PERMIT ISSUANCE
FROM DATA SHEET REQUESTED BY PLAN CHECKER ENGINEERING
OTHER/COMMENT:
000000000000000000000000000000000000000000000000000000000000000004000000000000000000000000000 OC
'`f REQUESTED BY CORRECTION NOTICE
YES NO ITEM:
LOCATION IN BUILDING WHERE CHANGE OCCURS:
OOOOOOOOo00o0a0000000aoo0000000000a0a00ao00000a000000000000000000000o0000a00oo0000000000000000a
WHEN APPROVED PROCESS AS FOLLOWS
MAIL TO OWNER:
MAIL TO CONTRACTOR:
--4—CALL #:_�?q q -3(o, AND HOLD FOR PICKUP AT THE OFFI
DELIVER WITH NEXT INSPECTION
000000000000000000000000000'00000000000000000000000000000000000000000000000000000000000000000000
REVISED PC FEES PAID: RECEIPT# $23.00 $46.00 NOT REC
I
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One Form Per Building)
School District--cl t)
A.P. Number
Property Owner
Building Department No.
=,'City County
,r
Property Location/Address
Subdivison
Residential Development
No. of Living MHI
Units
"GQmmercial/Industrial
ding Department
Lot No.
Sq. Footage
Addition (Group R)
0
Addition
(Floor Plans reviewed by School District Personnel)
Sq. Footage
(Including Exterior
Ro fed Areas)
Date
District Identification No.
II
n I CO School District certifies that r
v( pplicant)
�0 �ok 9 t01' S7Y- 36s l
(Street Address) (Phone Number)
CAco C4 �s9�
(City) (State) (Zip Code)
has complied with the requirements of Resolution No
representing 336 square; feet.
Paid by Check # 14114 Remarks:
Bank Number
Paid by,Cash
5 ) 9 _ by payment of $
AB 2926 $
FULL MITIGATION $
-Date
If, subsequent to the School District Representative signing this Butte County Schools Impact Fee
Certification Form, the School District is notified by the applicable Local Planning Agency that this project
is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to
additional school fees to fully mitigate its impact on the school district's schools.
White (applicant), Yellow (building department), Pink (school district)
feeform.wkl (11/94)dmm
AR ENTIAL
i 56-11-73 447-91B,P,E
EVANS, Tom & Susan
190 Woodhaven Dr, Cohasset
(conv garage to new sf) 3_a7- 9�
JOB FINAL
Signature
198/z
rCOUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 538-7641
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
JNER 1 ��M� �� PER NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matte/, or need additional explanation, please contact this office immediately.
��� �. 1_ •�f)iT.�l•/H=�s •_ _ __ _._ _ i _ / qui
_ l ✓
c �
Date_ 9j)
— / ( �- —
Inspector
Owner ::_&MA S l . EY/,41V S _ Permit No.
ENERGY C ERTIF ICAT I O\N
j90 WDDo HA4ugw =t.; cor.�ts516r SG -it -73
LOCATION A.P. No.
DESCRIPTION OF INSULATION
ROOF
Material [b6he (F-
Thickness(inches) t9_
EXTERIOR WALL
Material rL.6�'v2440f
Thickness(inches)
CEa3tt G
att or Blanket Type
Thickness(inches) Z.
Loose Fill Type
Minimum ThicknesWnches)
Area covered(ft.)
FLOOR, ELEVATED
Material
Thickness(inches)
FLOOR, SLAB
Material
Thickness(inches)
W idth(inches)
FOUNDATION WALL
Material
Thickness(inches)
Brand Name
Thermal Resistance (R Value),_
Brand Name 0k. -I A:i bd S -- 44IZ ofa►-1 G
Thermal Resistance(R Value) 13
Brand Name d C o/L1y,,,4 G
Thermal Resistance(R Value) 3 8
Brand Name
Number of Bags Wt. per bag lb.
Thermal Resistance(R Value)
Brand Name,
Thermal
Brand Name
Thermal
Resistance(R Value)
Resistance(R Value)
Brand Name
Thermal Resistance(R Value)
I hereby certify that -the above insulation was installed in the above building
in conformance with the State of California Ener, Requirements.
9541AA4 s G 004s ;_/Z 06-zl 0& 543 0 ( 8'Y
FIRM NAME/OWNER STATE CONTRACTOR'S LICENSE NO.
SIGNATURE OF INSTALLATION APPLICATOR DATE
I hereby certify the above insulation and all required items as shown on the
Building Department approved plans and attachments have been installed as
required by the State of California Energy Requirements.
All equipment, devices and materials are of the quality prescribed or are
specifically approved by the State of California.
'(/� N S cas:.PcJcTl al5/ .5'3 0 y
FIRM NAME/OWNER (Please print) STATE CONTRACTOR'S LICENSE NO.
SIGNATURE OF GENERAL CONTRACTOR/OWNER DATE
THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL
INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING.
January 1984
J=OK J y
O = Not OK
-=Not Applicable
' = Not Ready MOBILE HOMES '
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
2. Soils; Special MH Support Sketch
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
3. Sewer; Location -Test -Fall -C/O Concrete
4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors
Shthg: Rfg.-Bracing
4. Water; Location -Test -Easement Needed (Sketch)
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Carports; Windows -Doors
6. Gas; Location -Test -Wrap: / /"L"ft.
/ /"Nat. or/ /"L"ft./ /"LPG
7. Electric
7. Utility Clearance
8. Frmg; Sils-Arichors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
Card B-1 Date Card B-1
1. Zoning Requirements -Setbacks Easements
Card B-1 Date Card B-1
2. Footings; Size -Spacing -Marriage Line ,
POOLS (Plans) OK except #'s
3. Gas; MH Test -Demand -Valve -Connector
1. Setbacks -Easements
4. Electricity; MH Test -Crossovers -Breakers -Clearances
2. Soils; Compaction -Structure Stability
5. Drain; MH Test -Fall -Flex Connector
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining - -
6. Water; MH Test -Regulator -Connector
4. Elec.; Receptacles and Lighting, Distances-GFI
7. Water and Sewer Connected -C/O to Grade -HD Approval
5. Elec.; Pool Lighting; 15 volts-GFI
8. Gas and Electricity Tagged
6. Elec.;Enclosures; Conduit Entries -Terminals -Listed
9. Exits; Insp.-Sketch
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
10. Cert. of Occupancy
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Pane Iboards- Ins. to Main in Conduit
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
N.
MISCELLANEOUS
Date
DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
_T
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors
Shthg: Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Arichors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining - -
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.;Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Pane Iboards- Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
_T
J=OK
O = Not OK
- = Not Applicable Not Ready RESIDENTIAL (.c
=
Date UNDERFLOOR (Plans) OK except #'s
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Fig. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Fig. Depth
5. Stemwalls, Main; Steel -Block outs -Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. Gas Pipe; Size -Anchors
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Pienums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Insulation
Date Card B-1 Date Card B-1
Date Car B-1 Date Card B-1
Date PLU NG (Permi except #'s
lZeAlater P' , Test & Anchef-1413if Protectio
18 .; T - fittings & Anch Pr ction
19. lSSh r Pan; t, First FI -
Ae><ess
20. Test TLWfShower, Secon oor-Tub Access
21. Gas Pipe; Size & Anchors
Date y-�j Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date ELECTRI Permit) OK except #'s
xture & Transformer Cleara c ns. Protectio
2 Receptacles Spa ' ghts & Switches at Doors
2 ize Boxes & No. of Conductors-Sta ed
25. ae+„1g'x_1 ailed Close to E of Studs & C.J.
2 . Ground made up w/Meth. Fastners-Bond & Wa er
2 Appliance Circuts in Kitchen & Conductor Size/GFI
28. ire 7e / / ga. u or Size / / ga.
In
Circ.
/ / ga. Cu or Al.
r�Riser Conductors & Grou ain Disconnect
31-,15q'uip. Clearances Panels-Motors-Mech. Equip.
3 h Closet Light -Shower Light -Spa Light
30. oke Detector
Date 3 1 Card B-1yV Date Card B-1
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except #'s
3,r.- ucts Insulation & Support
35.aust above insulation
36. rain erflow; Size & Gra e
3 . urna Ve ccess-Comb. Air -Return Air Vent -115 et
is Access &Platform if Furnance in Attic
Date (,� �j-q I Card B-1 Oate Card B-1
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except #'s
39. Sils, Proper Material & Aperors
40. Walls Studs-Nailin pacing & Bracing -Plates -Sound
41. Bearing Walls er Girders & Floor Nailing
42. Draft Sto n Walls (rat proof)
43. Fire As; Furred Ceilings -Stairs -Chases -Tub
44. H ders & Beam -Size & Bearing
jingle •& Duplex)
Date FRAMING (Continued)
(4a.,2jangers Cost C ps chors-C ctors
46L.C4R9-Toist-Rftr. ties -Pu -roof Brac-Tru ng.-Rfng.
4 e-F1TQQ1a6G1hrmil C.IParai3cm ,
48.• ^••....eaaa-=Q °�nm x Prot ting=prait_S�pp�dRe-les
49edrm. Wino-< or Exiting Doors -Sill Vge-'rDi sions
50. rotection Framing
51. ProptrLKLine Firewall & Openings
52 xt. Doors -One 3' -Check Garage -3rd Story, 2 Exits
53. Stahs, - ise- un -Landing -Fire Protec io
54, plywood on Roof Overhang -Attic Vents -Rafter Outriggers
55. S - ailin
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
57. GlaAnn Arna-rlace PrQtonJ'Qp_cicvlinhtc-Pia. tic
58.
59. Insula ' s -Ceilings
of iltration-Walls-Windows
Date q,3
Card B-1 Date Card B-1
Date
_
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
61. Ext. Steps -Door & Sidelight Protection -Landings
62. Smoke Detector
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Meth. Protection
64. Bedroom Exiting
65. G.F.I. & Bath Fixtures & Tub Access -Spa _
66. Elec. Trim & Subpanel; Breaker Sizes & Labels
67. Stairs & Rails
68. Fireplace or Stove; Clearances -Hearth
69. Elec. Outlets at Wood Panel; Int. & Ext.
70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
r
71. Elec. Outlets & Receptacles at Kit. Counter
72. Garage Fire Door; Swing -Landing -Closer
73. A.C. Duct in Garage -Damper
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage; Above Floor-Mech. Protection
75. Plb., Elec. & Mech. Equip. Listed for Location
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection
77. Insulation -Foam -Looked in Attic ❑ Yes
78. Guard Rails & Deck Construction -Post Caps
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
80. Following instld.; Drive O Yes D No; Walks 11 Yes 0 No;
Planters 11 Yes 11 No
81. Stucco; Brown -Finish
82. A.C. Unit; Disconnect, Electrical, Plumbing
83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to
Openings
84. Water Well; Disconnect, Electrical, Plumbing
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
86. Ventilation Throughout House
87. Glass Protection
88. Corrections from Previous Inspections
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
91. Energy Compliance Certificate -Other Certificates
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
(NOTE: An entry must be made each time you visit job site)
COUNTY OF BUTTE - DEP-ARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
4SSES9OR PARCEL NUMBER
56-11-73
ZONING
TM -5
BUILDING PERMIT
OWNER
Tom & Susan Evans
TELEPHONE
345-2335
SO. FT. OCC, BUILDING VALUATION
624
OWNER'S MAILING ADDRESS
190 Woodhaven Dr., Chico 95926
CONTRACTOR'S NAME
Same
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace A 1,000.00
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ 7.240.0
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$68-50
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
4.25
Energy Plan Checking Fee
$15.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$ 127.75
PLUMBING PERMIT
Filing Fee 10.00
190 Woodhaven Dr. �ibe�6J
Each Trap
1 2.00 2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping - 1 5.00 5.00
Each qas water heater or vent 5.00
USE OF STRUCTURE
SF,f Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home Is
10.00 ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other E]
Describe work:
K, V ar*kOL a ca
Permit Fee
$ 22,00
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
ns t
BOOV OR LESS
Main service 100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LIC SE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BusinessIPOWER
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
r 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 OCC UP.81
OR AODNS. ACC. BLDGS.
/20sgft
, 19,60
NEW CONSTR ULTI.OUTLET
NON-RESID BRANCH CIRC ITS
2.50 ea
APPARATUS tr
ISINGLEOUTLET CIR. I
Ex. Occup(OUTLETS OR FIXTURES
200
5AL03t
ALoo
\\
Ex. Occup. OUTLETS FIXED P(RESID )KEA./
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. �Yirin 9
15.00
Permit Fee
$ 25.60
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
Consent to Self -Insure.
shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Cooling
g
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against.
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
�.-1
%� �ti�–��^ ����+ ���+ Date 2—
Signature of Applicant — Owner Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
, Energy inspection Fee $ 30,00
CONST TYPE
TOT E $ 05. 5
L E
PHA
cuA PA K
SCH
FVJ
PA
Pp
i
Issu ,
This permit is hereby issued unoer the
sions of the Butte County. Code and/or
work indicated above for which fees
DIR. > TOR F LIC
By 'D7ate'
PERMIT EXPIRES Date —�G.
applicable provi-
resolutions to do
have been paid.
WORKS
��
Receipt No. 83368 ra 3 �a ..
WHITE-D.P.W.. TELLOW-A66C6 R, PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMEN ',t6FJP,UBLIC WORKS - BUILDING DIVISION
- -
7 COUNTY CENTER DRIVE - O 'VILF CALIFORNIA 95965 - TELEPHONE: 916/538-7541
A _'_.a PERMIT APPLICATION DATA SHEET
Permit No.
OWNER V /v V `N A. P. No. /
Proposed Building U6AA2-� wilding Inspector Date 9l
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
1. All items have been submitted . ....................................
2. Plot plans in duplicate/triplicate, signed by preparer of plans ........
3. Complete plans in duplicate/triplicate, signed by preparer. of plans . .
4. Complete engineered plans and calcs, with wet signature on plans ..
5. Hazardous Material Form ..........................................
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC Buildings ..............
8. Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturer's installation
instructions.
Fees of �." .. /.0 .....................................
1.1. Chico Urban Area fees paid .......................................
Parkees pai...........................................
School District fees paid ..............
14. Sanitation approval from G /f /G �'� Health Department 74-q�4
5. City of Chico plumbing permit .....................................
16. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A) Use: (B) Parking: ......
18. Improvements may be required. Contact Land Development Section DPW
19. Driveway permit (construction approval required prior to occupancy)
20. Pre -Inspection for required Pre-inspec. request to
Building Inspector (Date)
21. Contractor's license information (No., Name Style, Classifications ...
22. Certificate of Workmans Compensation Insurance ..................
23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .....
® Recorded copy ,of Agricultural Acknowledgment Statement .........
25. Letter of'signature authorization ...................................
26.
27.
When you issue the permit process as follows: Mail w er. Mail to contMctor.
t/Telephone3?5� 3 and hold for pickup at office. Deliver wj'inspector.
Other
Applicant 24-4 - Date 2 •zd 9
Copy of !-Idz-Mat form sent Health Dept. Fire Dept. _Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted prior to permit issuance: Circl w item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by phone_—jnail_counter byel� .dat
Contractor, designer, owner, was advised of above required data by_phone_mall—Founter by dat13:
Plans checked by Date Plans approved by �n(�Date 14
Sets of plans on hold in File cabinet AP folder
Copy—DPW
TO Building Department
FROM: Environmental Health
SUBJECT: Sanitation Cleararr_*e H
-" Owner
Location
Plan Approved for:
Sewage Disposal
Hold final for:
Pinal clearance O.K. for:
Clearance for bedroom mobile home.
Other
Water Supply , .�
Water Supply
Water Supply
RESIDENTIAL PLAN CHECKING GUIDE .12/90
(S.F., DUPLEX &'MISC. ONLY)
Bldg. Permit # 447 -�ll
OWNER cC//,Q/�/S A.P. #
GENERAL Plan Checker�U/
V7Zoning requirements: (sideyards and number of permitted living.units).
/Valuation.
�3" Plans signed by designer.
Proper description of work on application.
Existing violations on .property.
• tems on data sheet. (W.C., fees, Health, Developer Fees, License law, etc).
Recorded notice of violation.
PLOT PLAN
W. Complete parcel size and dimensions.
/Setbacks, sideyards, easements, etc.
`5 Other buildings or structures.
/Grading, fills, drainage.
VFlood hazard.
,Specialconditions on creation map,
ustible, and foundations).
�FAU & FAS road setback.
(noise, CDF, fire sprinklers, non -comb-
. Building or utilities across lot lines (Record form).
FLOORS PLAN
Z"CompleteVV/Human
to scale plan with dimensions.
V.,1,1equired windows for light and ventilation (Sec. 1205).
quired windows for second exit (Sec. 1204).
ylights (Chapter 34 & Sec. 5207).
impact glass (Sec. 5406).
Required room sizes, ceiling heights (Sec. 1207).
.GFCIs in baths, garage, kitchen, and exterior outlets (Article 210-8).
Light fixtures, switches, receptacles, and exterior receptacles for main-
tenance of mechanical equipment.
0cations of water heater, heating and cooling equipment, other electrical
gas equipment.
Vrage firewall, door size, and closer (Sec. 503(d)(3)).
1� 3'0" exterior exit door (sec. 3304 (f).
Fireplace and wood stove location, alcoves, and clearance.
3,�Smoke detectors (Sec. 1210).
Plumbing fixtures, water closet clearances and shower size.
STRUCTURAL DETAILS
a//,Standard bracing or engineered design (Table 25V)
1�J Unusual shape, size, or split level house requiring lateral design.
X Foundation plan complete enough to construct building.
Floor construction details complete enough to construct building.
�./ Elevations and wall construction details complete enough ugh to construct building,
I<' Roof construction details complete enough to construct building.
Fireplace construction details and calcs if necessary.
VVO//,"
Rafter ties or bearing ridge beam.
gGarage door or porch header sizes.tud heights.
Adobe soils - special foundation design.
Retaining walls requiring design.
.' Special Inspection required.
12/90
RESIDENTIAL PLAN CHECKING GUIDE
M/ ISCELLANEOUS'ITEMS TO LOOK OUT FOR
�1. Stairway details: landings, rise and run, head clearance, handrails
/ (Sec. 3306).
v2 Guardrail details (Sec. 1711 & 3306(j).
Brick or stone veneer (Chapter 30).
Exterior plaster - weep screeds (Sec. 4706).
Proper roof pitch for roof convering (Chapter 32). °
Roof covering type - (fire hazard).
Foam insulation - protection.
j36" halls and stairways. eJ.
Living area over garage - complete 1 -hour separation ,required on garage side
I/Two
including supporting walls and posts, etc.
exits on three-story dwellings (sec. 3303 & see Mezannines - 1716).
/Attic access and ventilation (Sec. 3205).
Underfloor.access and ventilation (Sec. 2516).
15.
/ Combustion air for fuel burning appliances - L.P.G. requirements.
Noise requirements on duplexes.
Energy design.
.Flashing at all exterior openings.
CDF responsible area requirements.
w
BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM
(One Form per Building)
A. P. Number �'�p-"��- -73 Building Department No.
School District G-(J`�j City -County r Jurisdiction
Property Owner
Project Location/Address 04 4AV5 j/ /_-) /L X/
Subdivision
Lot Number
Residential Development:
a Sq. Footage COQ
# of Living MHI Addition (Group R)
Units
Commercial/Industrial: a 0 Sq. Footage
New Addition.(Including Exterior
Roofed Areas)
C�l 1,2aZC71
Building Department Representative 7 Date',
*******************************************************************
(Floor Plans reviewed by School District Personnel)
District Id No. / /0ily
�}- (J/", School District certifies .that
TOM EV6Y1S 3YS-�33s
(Applicant Name) (Phone Number)
190 �JWd hQ v,9,� 0;, --
(Street Address)
(City) (State) (Zip Code)
has complied with the requirements of Resolution No. 9 -
by.
-by the payment off, $ 9 a
representing square feet.
/N�
School Distr ct.Represen�ative. Date
PAID BY CHECK -NO. `� `� REMARKS 7/0 A&M14J
BANK NO
PAID BY CASH
white -applicant, yellow -building department, pink -school district
SCHOOL.FEE (8/88)
5
Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT
FOR RESIDENTIAL DEVELOPMENT
Section 26-8.1 of the Butte County Code
requires this acknowledgement be recorded ;
prior to issuance' of .a building permit.. 9
The propert.y described herein is adjacent M`-
to land or. included, .vi.thin an area zoned AR 2 6 1991 11
for agr.i.cu It ural. purposes, and residents
of this. property may be subject to -incon-
ven.iencos or d i.scom.fort ar-ising from the
Use of agricultural .chemicals, including,
but not l.imiLed to Herbicides, pesticides,.
and fert:i l.izers; and from the pursuit
of agr.icu.ltural operations including,
but not. 1 i.m:i tied to cultivation, plowing,
spraying, pruning, .and harvesting which
occasionally generate, dust, smoke, noise, and odor. Butte County has established agri.c.u.l-
tural zones which have as a priority use for productive agricultural purposes, '1:►nd r.es.i.deut.s
within said zones and on adjacent property should be prepared to accept sucl► inconvenience
or discomfort from normal, necessary farm operations.
All that real property situate in the County of Butte., State of California, dc,:,cribed as
fol.l.ows:
SEE EXHIBIT "A" ATTACHED HERETO AND MADE A PART HEREOF.
Date: March 26 1991
,.
PROPERTY OWNERS:
State of: calif, ) On this the 26th day of March 9 1991
_ before me,
) SS. the undersigned Notary Publi.t, personally appeared
County of TITTTTF. )
THQMAS C - FV NS
Personally known to me. Q Proved to me on the )as is
of satisfactory ev:ideii(.:e.
to be the person(s) whose name(s) IS
subscribed to the within instrument and acknowledged that HE
executed the same Cor the purposes therein contained. TN WITNESS
WHEREOF, I hereunto set my hand and official seal.
o0e�000eeo
OFFICIALUAL
:XP.
HRIS I. BENTIEN
-[*
RP PUWC-CALIFORNIA
I'resen t A. P. No. GLENN COUNTY
OCT. 30 1992
Nota P 1 i c:
EXHIBIT "A"
.The band referred to herein is described as follows:
All that certain:real property. situate in the County of Butte, State of
California, described as follows:
PARCEL A:
A PORTION of the. .North one-half of the Northeast one-quarter of the
Northeast one-quarter of Section 22, Township 24 North, Range 2 East,
M.D.B. & M., more particularly described as follows:
PARCEL 1, as shown on that parcel map recorded February 22, 1983, in Book
92 of Maps, at pages 38 and 39, Official Records of Butte County.
AP No. 056-110-07.3
PARCEL B:
A sixty foot easement for road and utility purposes described as follows:
A PORTION of the -Northwest quarter of Section 23, Township 24 North, Range
2 Easit, M.D.B. &.M., and the Northeast quarter of Section -22, Township 24
North, Range 2 East, M.D.H. & M., being more particularly described as
follows:
BEGINNING at the.most Southerly corner of Lot 6 of Cohasset Homes
Subdivision, as shown on that Map recorded in Book 15 of Maps, at page 16;
thence along the,Southwesterly line of said Lot 6 North 530 26' 12" West,
400.00 feet to the most Westerly corner of said Lot 6; thence South 360 33'
48" West along the Westerly line of Cohasset Homes Subdivision, 448.00
feet; thence leaving said Westerly line West, 112.77 feet; thence North 260
8' 32" West, 217:39 feet; thence North 62° O1' 02" West, 34.00 feet; thence
South 820 16' 28 West, 192.86 feet; thence South 77° 56' 18" West, 109.77
feet; thence South 88°,04' 23" West, 260.47 feet; thence North 000 32' 38"
West, 361.02 feet; thence North 120 20' 27" East, 177.27 feet; thence North
2° 43' 35" West,.,.151.26 feet; thence North 490 28' 30" West, 68.60 feet;
thence North 400 31' 30" East, 60.00.feet; thence South 49' 28' 30" West,
94.53 feet; thence South 2° 43' 35" East,. 185.12'feet; thence South 12° 20'
27" West, 178.51'feet; thence South 000 32' 38" East, 292.72 feet; thence
North 88° 04' 23" East, 193.62 feet; thence North 770 56"18" East, 106.78
feet; thence North 820 16' 28" East, 214.49 feet; thence South 620 O1' 02"
East, 72.65 feet;. thence South 260 18' 32" East, 199.45 feet; thence East
45.30 feet; thence North 36° 33' 48" East,.477.74 feet; thence South 530
26' 12" East, 459.94 feet to a point on the Northwest Right -of -Way of
Cohasset Road; thence along said Right -of -Way South 360 33' 48" West, 60.00
feet to the Point of Beginning.
EXCEPTING that portion lying within the bounds of above described Parcel A.
END OF DOCUMENT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, Galifornia 95965 - Telephone: 916:'538-7541
tAPFLICATION AND PERMIT
AS6ESSOR PA EL NyMp ER-
// //
ZO N�pyG
//
BUILDING PERMIT
OWNER
1-0 Ilii S(J �/ U/9iI/S
N
TELEPHONEqSO.
el< O33
FT. OCC. BUILDING VALUATION
OWNE�'S„t+1A1 LING ADDRESS
/�
Ci/J, (/Af/C)T
77 D/L.
C O R(I/('/'� AM E
fI//lJ,/tf
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER UNKNOWN
Fireplace 1
Total Valuation $
LENDER'S MAILING ADDRESS
ARCHITECT OR ENGINEER LICENSE NO.
Filing Fee -
$ 10 .00
Permit Fee
Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$ O
Penalty
$
BUILD G ADDRESS
O WOOD LA U �
Permit fee
$ r
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 O
Each qas water heater or vent
5,00
USE OF STRUCTURE
SFE] Duplex[] Mobilehome❑ Other 6/99/9615 CUNy
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00 r 00
Mobile Home S G W
O.00e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Insta lation ❑ Other
Describe work:12 lib Ei��
�/Z 7q
Permit Fee
$ )
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP 1 OR LESS
10.00
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 Sec. , Business and Professions Code
for this reason
Main service EA. ADD'L 100 AMP
2,50
NEW CONST. DWELLING OCCUP.ai
OR ADONS. ACC. SLOGS. )
, h ¢sgft ,.
NEW CONST R. ULT I.OUTLET'
NON•RESID 'BRANCH CIRCUITS
2.50 ea
POWER APPARATUS e
SINGLE OUTLET CIR. )
Ex. Occup�OUTLETS OR FIXTURES
20030t
e AL03a
FIXED APPLNS. OR
Ex. Occup. OUTLETS IRESID.) EA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$ 171
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
Ventilation
3 00
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information '
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X Date
Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" dee a d demolition or construct-
ion of structures over 3 stories in heigt
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $ �05,
HAZ
cuA
PARK
SCHL
FLO
PAR
Pn
HD
IssuE
This permit is nereby issued under
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES nAtp
the applicable provi-
resolutions to do
have been paid.
WORKS
Date
Receipt No. �r 2
WHITE-D.P.W., YELLOW -ASSESSOR, Nx-INSPECTOR, GOLD NP O -APPLICANT
" 9I -I I4I
Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT
FOR RESIDENTIAL DEVELOPMENT
S(sction' 26-8.t of the Butte County Code
re uires this acknowledgement be recorded
prior to issuance of a building permit.
The property described herein is adjacent
91-011411 I Rec Fee
7.00
to Land or i.ncluded within an area zoned
I Check
7.00
for �Agr.i.cu I.t.AM11. purposes, and residents
Recorded
of this property mr.Iy he sub.,ject to incon-
Official Records I
ven.i.ences or d i.scomforL ar-i sing from the
County of
"
use of agricultural chemicals, including,
Butte I
but not limi-ted to herbicides, pesticides,
Candace J. Grubbs I
and fert.:i l.izers; and from the pursuit
Recorder
or agI.-i.cu.ltura1. operations including,
1:34pm 26 -Mar -91
XX 2
but not: liswited to cultivation, plowing,
spraying, pruning, and harvesting which
occasionally generate dust, smoke, noise, and odor. Butte County has established
agric.u.l-
tur.al zones which have as a priority use for
productive agricultural. purposes, told
r.esi.deni s
within said zones and on adjacent property
should be prepared to accept such inconveni.encc
or discomfort from normal, necessary farm operations.
9
All that r(-.a'l property situate i.n the County of Butte, State of California, dcscri..bed as
f ol.l.uws :
SEE EXHIBIT "A" ATTACHED HERETO AND MADE A PART HEREOF.
Date: March 26, 1991
PROPERTY OWNERS:
State of Calif, ) On this the 26th day of March 1991 , before me,
SS. the undersigned Notary Public, personally appeared
County of gI1TTR )
THOMAS C FVANS _—
• 'A
Personal]y known to me. Ed Proved to me on the h<Isis
of satisfactory ev.idc>nr:c.
to be the person(s) whose name(s) IS
subscribed to the within instrument and acknowledged that. HE
073 executed the same .for the purposes therein contained. TN WiTNrSS
WHEREOF, I hereunto set Iny hand and official seal..
OFFICIALSEAL
CHRIS I. BENTIEN
TARP PUBUC-CALIFORNIA
GLENN COUNTY
Present A.P. No.
.' XP. OCT. 30,1992
C-1
xk
0IN 0
"0' �q
EXHIBIT "A..
The land referred -to herein is described as follows:
All that certain real property situate in the•Qounty of Butte, State of
California, described as follows:
PARCEL A:
A PORTION of the.North one-half of the Northeast one-quarter of the
Northeast one-quarter of Section 22, Township 24 North, Range 2 East,
M.D.B. & M., more particularly described as follows:
PARCEL 1, as shown on that parcel map recorded February 22, 1983, in Book
92 of Maps, at pages 38 and 39, Official -Records of Butt County.
AP No. 056-110-073
PARCEL B:
A sixty -foot easement for road and utility purposes described as follows:
A PORTION of the Northwest quarter of Section 23, Township 24 North, Range
2 Ea4t, M.D.B. & M., and the Northeast quarter of Section 22, Township 24
North, Range 2 East, M.D.B. & M., being more particularly described as
follows:
BEGINNING at the most Southerly corner of Lot 6 of Cohasset Homes
Subdivision, as shown on that Map recorded in Book 15 of Maps, at page 16;
thence along the Southwesterly line of said Lot 6 North 530 26' 12" West,
400.00 feet to the most Westerly corner of said Lot 6; thence South 36° 33'
48" West along the Westerly line of Cohasset Homes Subdivision, 448.00
feet; thence leaving -said Westerly line West, 112.77 feet; thence North 260
8' 32" West, 217.39 feet; thence North 620 O1' 02" West, 34.00 feet; thence
South 820 16' 28" West, 192.86 feet; thence South 770 56' 18" West, 109.77
feet; thence South 880 04' 23" West, 260.47 feet; thence North 000 32' 38"
West, 361.02 feet; thence North 120 20' 27" East, 177.27 feet; thence North
20 43' 35" West, 151.26 feet; thence North 490 28' 30" West, 68.60 feet;
thence North 40° 31' 30 East, 60.00 feet; thence South'490 28' 30" West,
94.53 feet; thence South 20 43' 35" East, 185.12'feet; thence South 120 20'
27" West, 178.51 feet; thence South 000 32' 38" East, 292.72 feet; thence
North 880 04! 23" East, 193.62 feet; thence North 770 56' 18" East, 106.78
feet; thence North 820 16' 28" East, 214.49 feet; thence South 620 01' 02"
East, 72.65 feet;.. thence South 260 18' 32" East, 199.45 feet; thence East
45.30 feet; thence North 36° 33' 48" East, 477.74 feet; thence South 530
26' 12" East, 459.94 feet to a point on the Northwest Right -of -Way of
Cohasset Road; thence along said Right -of -Way South 360 33' 48" West, 60.00
feet to the Point of Beginning.
EXCEPTING that portion lying within the bounds of above described Parcel A.
f
END OF DOCUMENT
j
END OF DOCUMENT
-4P
a SI® NTIAL
56-1:1-73 1333-90B, P,
EVANS, Tom
190 Woodhaven Ln, Cohasset
(private garage)
y✓¢sG- ��d o�ss�� Ro
Fo d r"
J4,
• � �rN01 Ly �s�
JOB FINALED (Date)—
Signature
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 538-7541'
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
s 3-7-0
PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to -this
maty�r, or need additional explanation, please contact this office immediately.
//
s
�YJ �
Date Inspector
l
,isa „_ - - ..: .-,..: k•,• . .... _ .-ww'-.a �,,,H,€+•�:.d#rF•. 1. 1F:. . : a.'�+,awsr'^7�!re�
COUNTY OF BUTTE t t
r
DEPARTMENT OF PUBLIC WORKS
t,
e 196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
tia,�S J333
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
wh correction of work is completed. If you have any question pertaining to this
tter, or need additional explanation, please contact this office immediately.
• CH
IV T am,J'qre PRv w1tr4 aF
C� lege si���i
cht La.,s o,,
r Urns �R1
'k . Po les
.'l f 1Me-
11
Inspector
,Bt bs
7-2.3- 90
J=OK
O = Not OK
= Not Readyable MOBILE HOMES
Date MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / P'L"ft.
/ P'Nat. or/ PV'ft./ /"LPG
7. Utilitv Clearance
r
MISCELLANEOUS
Date DEQfSjCOVERS, CARPORTS, GARAGES, (Plans)OK except -#'s
ing Requirements -Setbacks -Easements
414"Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
", ood Awn.; Posts-Beams-Rftrs.-Coonectors
Shthg: Rfg.-Bracing
5. Alum. AwD/Columns-Connections-Splice-Decal-Enclosures
--W'C ;Windows -Doors
. E tris (e9-3
r , Sils-Anchors-Studs-Rftrs-Tru s
i; Nailing -Veneer -Stucco -Mesh
Date 5/2_.Y/7L Card B-1 , JZ Date 'Y-7_2, 9ri, Card B-1 "
Date *1 b / PP Card B-1 C: S.J Date Card B-1
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
'8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-PaneIboards- Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test-Demand-Valve—Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
r
MISCELLANEOUS
Date DEQfSjCOVERS, CARPORTS, GARAGES, (Plans)OK except -#'s
ing Requirements -Setbacks -Easements
414"Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
", ood Awn.; Posts-Beams-Rftrs.-Coonectors
Shthg: Rfg.-Bracing
5. Alum. AwD/Columns-Connections-Splice-Decal-Enclosures
--W'C ;Windows -Doors
. E tris (e9-3
r , Sils-Anchors-Studs-Rftrs-Tru s
i; Nailing -Veneer -Stucco -Mesh
Date 5/2_.Y/7L Card B-1 , JZ Date 'Y-7_2, 9ri, Card B-1 "
Date *1 b / PP Card B-1 C: S.J Date Card B-1
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
'8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-PaneIboards- Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
V=OK •.
O =Not OK ,
=Not yabi0,
Not Ready RESIDENTIAL (Single
' = Read
& Duplex)
Date
UNDERFLOOR (Plans) OK except #'s
Date
FRAMING (Continued)
1. Zoning -Setbacks -Easements -Flood -Slope
45. Hangers -Post Caps -Anchors -Connectors
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
46. Cing. Joist-Rftr. ties -Pu rlin-roof Brac-Truss-Shthng.-Rfng.
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
5. Stemwalls, Main; Steel -Bloc kouts-Wrapped
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
50. Garage Fire Protection Framing
6a. Hold Downs and Special Anchors
51. Property Line Firewall & Openings
7. Slab; Steel -Wrapped
52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits
8. Piers -Fireplace Ftg.-Steel
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
10. Gas Pipe; Size -Anchors
55. Siding -Nailing Veneer
11. Water Pipe; Test -Anchor -Regulator -Service Test
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
12. Electric; Underground
57. Glazing Area -Glass Protection -Skylights -Plastic.
13. Pienums & Ducts; Clearance -Material -Support -Ins.
58. Shear Walls; Nailing -Bolts
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
59. Insulation -Walls -Ceilings
15. Insulation
60. Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
Date
Card B-1 Date Card B-1
16. Water Htr.; Vent -Access -Combustion Air -Baffle
Date
FINAL (Plans) OK except #'s
17. Water Pipe; Test & Anchor -Nail Protection
61. Ext. Steps -Door & Sidelight Protection -Landings
18. D.W.V.; Test -Fittings & Anchor -Nail Protection
62. Smoke Detector
19. Shower Pan; Test, First Floor -Tub Access
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
20. Test Tub & Shower, Second Floor -Tub Access
21. Gas Pipe; Size & Anchors
64. Bedroom Exiting
65. G.F.I. & Bath Fixtures & Tub Access -Spa -
Date
Card B-1 Date Card B-1
66. Elec. Trim & Subpanel; Breaker Sizes & Labels
Date
Card B-1 Date Card B-1
67. Stairs & Rails
Date
ELECTRICAL (Permit) OK except #'s
68. Fireplace or Stove; Clearances -Hearth
22. Fixture & Transformer Clearance -Ins. Protection
69. Elec. Outlets at Wood Panel; Int. & Ext.
23. Elec. Receptacles Spacing -Lights & Switches at Doors
70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
24. Size Boxes & No. of Conductors -Stapled
71. Elec. Outlets & Receptacles at Kit. Counter
25. Romex Installed Close to Edge of Studs & C.J.
72. Garage Fire Door; Swing -Landing -Closer
26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water
73. A.C. Duct in Garage -Damper
27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage; Above Floor-Mech. Protection
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga.
Cu or Al
75. Plb., Elec. & Mech. Equip. Listed for Location
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral 0 Yes No
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection
77. Insulation -Foam -Looked in Attic 0 Yes
30. Service -Riser Conductors & Ground -Main Disconnect
78. Guard Rails & Deck Construction -Post Caps
31. Equip. Clearances Panels-Motors-Mech. Equip.
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
32. Clothes Closet Light -Shower Light -Spa Light
33. Smoke Detector
80. Following instld.; Drive 0 Yes 0 No; Walks 0 Yes 0 No;
Planters 0 Yes 0 No
Date
Card B-1 Date Card B-1
81. Stucco; Brown -Finish
Date
Card B-1 Date Card B-1
82. A.C. Unit; Disconnect, Electrical, Plumbing
Date
MECHANICAL (Permit) OK except #'s
83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to
Openings
34. A.C. Ducts Insulation & Support
84. Water Well; Disconnect, Electrical, Plumbing
35. Vent Fan; Exhaust above insulation
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
36. Condensate Drain & Overflow; Size & Grade
86. Ventilation Throughout House
37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet
87. Glass Protection
38. Attic Access & Platform if Furnance in Attic
88. Corrections from Previous Inspections
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
Date
Card B-1 Date Card B-1
91. Energy Compliance Certificate -Other Certificates
Date
Card B-1 Date Card B-1
Date
FRAMING (Plans) OK except #'s
Date
Card B-1 Date Card 8-1-
39. Sils, Proper Material & Anchors
Date
Card B-1 Date Card B-1
40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
Date
•Card B-1 Date Card B-1
41. Bearing Walls over Girders & Floor Nailing
Comments at Final:
42. Draft Stop in Walls (rat proof)
43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
44. Headers & Beam -Size & Bearing
each time you visit job site)
(NOTE: An entry must be made
COUNTY OF BUTTE--DEPAWTMENTOF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
56-11-73
ZONPNG
TM -5
BUILDING PERMIT
OWNER
Tom Evans
TELEPHONE
345-2335
SQ. FT. OCC.BUILDING VALUATION
t
OWNER'S MAILING ADDRESS
1385 Chestnut St., Chico 95926
72 Cov 720.00
CONTRACTOR'S NAME
Owner
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation 1 $ 9,456.00
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 80,50
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 40,25
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$ 130.75
PLUMBING PERMIT
FiIingFee 10.00
190 Woodhaven Ln., Cohasset
Each Trap
4 2.00 8.00
Solar or heat pump water heater
20.00
LOT N/.
SUBDIVISION NAME
PARCEL MAPA
Water piping
5.00 S.00
Each qas water heater or vent
5.00 5.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other Private Garage
SPECIFY
Gas piping system 1 - 5 outlets
5.00 5.00
Building sewer
5.00 5,00
-
Mobile Home S G W
10.00e
TYPE OF WORK
New] Addition❑ Remodel❑ Utilities [:1 Installation❑ Other❑
Describe work: 2 Car Garage w/ Bath _
Permit Fee
$ 38,00
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
t00 AMP OR LESS
10.00 10.00
Main service ADD'L 100 AMP
2.50 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
and Professions Code and my license Is In full force and effect.
License No. -S3y(3 � Classification L.3
❑ 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
//EA.
oR ACDNS. l ACCLBLDGS°. �i{P'&)
j 2'/zQsgft 15,50
NEW CONST R. RANCH CIRCUITS
NON-RESID BRANCH CIRC ITS
2,50 ea
1 POWER APPARATUS e
— HP Pum SINGLE OUTLET CIR. )
1 2.00 2.00
Ex. Occup OUTLETS OR FIXTURES
zo® sos
eAL®30
FIXED APPLNS, OR
Ex. Occup. OUTLETS IRESID.) EA.)
2.00
Temporary service
1 10.00 10,00
Mobile Home Facilities
15.00
Misc. IVirin 9
15.00
Permit Fee
S40.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
�❑ The permit is for $100.00 (valuation) or less.
LJ have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
g
Hood
3.00
Ventilation
Petmit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
%�`'`�' f'"�"`"'� Date LS!//l�0
Signature of Applicant — OwnerContractor ❑ Agent ❑
An OSHA permit is required for excavations over '0" deep and demolition or construct-
ion of structuresover3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
FEE
TOTAL 08, 75
AL
A
PA
F
Ho
Is
This permit is nereby issued under
sions of the Butte County Code and/or
work indicated above for which fees
FC XQUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
��� ^
Date (/j�-/L)
Receipt No. ✓/ �2 Z l� 3 2 — �38� S$ 'c/Z3
WHITE-D.P. EL SOR, PINK -1 PE OR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE =,0 O ILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APP'L'ICATION DATA SHEET
Permit No.
Ir
OWNER Y uew-< A. P. No.
Proposed Building Use ARJIu,�Gf, Gj44n5,e_,_ Building Inspector CDate J
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
1. All items have been submitted . ....................................
2. Plot plans in duplicate/triplicate, signed by preparer of plans ........
3. Complete plans in duplicate/triplicate, signed by preparer of plans ..
4. Complete engineered plans and calcs, with wet signature on plans ..
5. Hazardous Material Form ............. :............................
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC Buildings ..............
- J Engineered truss details and layout in duplicate (required prior to plan check)
0bilehome installation data including manufacturer's installation
nstructions.........................................
Fees of $� - ........................
Chico Urban Area fees paid .......................................
12. Park fees paid ................................................
1.11. School District fees paid ..............
_CKAA. Sanitation approval from C'i�/ L Health Department 5-23-96
5. City of Chico plumbing permit .....................................
16. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A) Use: (B) Parking: ......
18. Improvements may be required. Contact Land Development Section DPW
19. Driveway permit (construction approval required prior to occupancy)
20. Pre -Inspection for required Pre-Inspec. request to
Building Inspector
21. Contractor's license information (No., Name Style, Classifications ...
22. Certificate of Workmans Compensation Insurance ..................
Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .....
Recorded copy of Agricultural Acknowledgment Statement ......... 5'2.3-90
5. Letter of signature authorization ...................................
26.
27.
WheVTelephone
Issue the permit, process as follows: Mail to owner. _
and hold for pickup at (f H14 office.
Other
11
(Date)
- 1
i—
Mail to contractor.
_Deliver w/inspector.
Applicant -7;e�n4vt.L- --9/. Date
Copy of plans sent Health Dept., Fire Dept., Other Date
The following data must be submitted prior t
1. Index permit for above items No.
2. Additional items required:
perTn AsAance: (Circle new item not checked above).
Contractor, designer, owner, was advised of above required data by hone—mai l—counter by date a`' ala
Contractor, designer, oVwner, advised of above req fired data
Plby phone_mail_cdate -V46 /61 1d0
s checked Date Id Y Plans approved bY Date
Sets of plans on hold in � File cabinet AP folder
Copy—DPW
TO . Buildina Department
FROM: Environmental Health Z2
SUBJECT: Sanitation Clearance
Owner Location AP#
Plan Approved for: Sewage Disposal ✓ Water Supply ?112
04
•
Hold final for: Water Supply
Final clearance O.R. for: Water Supply
Clearance for-Le2c-bedroom home. Other
NOTE * * *
Sanitarian
ate
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Orovilie, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSRCELNUvBE�
`
ZONI
/P
BUILDING PERMIT
OWNER
OoO
ELE/PlHONE
TI= '2
SQ.�F�T.
OCC. BUILDING VALUATION�✓,01s
OWNER' LING A91DRESS
33-efC � �
CONTRANA
.A.✓�
/JJ�
TELEPHONE
3YS- 233f
-
CONTRACTOR'S MAI ING ADDRESS
Rb6– 11,fspyvr CL//La , C Q%t_jr2
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation I $ v sx:,
i
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ Ji0-5b
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ -PI
Energy Plan Checking Fee r-
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$ 00- 2r -
s490
PERMIT
Filing Fee 10.00
490A-49tf � Z, -/PLUMBING
Each Trap
C 2,00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
3
% 5.00 5"*
Each qas water heater or vent
1 5.00 5-0'
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ q0)0/1' VOR— Cl/a/t/?-Sv
- f SPECIWY
Gas piping system 1 - 5 outlets
If 5.00
Building sewer
5.00 —
Mobile Home S I G I W
0.00e
TYPE OF WORK
New Addition Remodel[]Utilities[]Installation❑ Other ❑
Describe work:
i
Permit Fee
$ m >:
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00 )
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
[I -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. 301 (�� Classification 13
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. ( DWELLING OCC P. \
OR ADDNS. ACC. BLDGS.
y2QSQft
NNFW ON•RESID CON5TR. BRANCH CIRCTITS
2.50 Be
POWER APPARATUS &)
H p� (SINGLE OUTLET CIR.
,y,
( L Z
Ex. Occup(ouTLETs OR FIXTURES
e00 0t
2AL@30
FIXED APLNS.
Ex. Occup. OUTLETS(RRES ID )RE A.)
2.00
Temporary service
10.00 iJ
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
; O
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
2-1-1haveplaced on file with. the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
g
'
Hood
3.00
Ventilation
permit Fee
;
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
XS l� 8
Date
Signature of Applicant — Ownere�Controctor ❑ Agent ❑
An OSHA permit is required F r excavations ov r '0" deep and demolition or construct-
ion of structures over 3 storie in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
q�Q
TOTAL FEE $ �V v
HAz CUA
PARK
SCHL
FLD
PAR
PD
HD
ISSUE
Th;s permit is nereby issued under
sions or the Butie County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By
P9z PUIT ;rV01QFC rete
the appiicable provi-
resolutions to do
have been paid.
WORKS
Date
Receipt No. Lf
41
- /1 /- iJr. I - _
v r / •., v / /
Netujn t..o DPW AGRICULTURAL STATEMENT, OF AUNOWLEDGEM.ENT
FOR REST'DENUAL DEVELOPMENT
Sec t..ioII (i--8. I. of the Butte
require:; Lhi.s acknowledgement
prior to 'issuance of a building
County Code
be recorded
permit.
90-021072 : R e c Fee 7.00
I'lic pr. oper•t y (lescr. ibed herein is adjacent
: Check 7.00
to land or i nc:auded within an area zoned
Recorded '
I"or agr.icutl ural. purposes, and residents
Official Records :
of' Lh i s prOlrc-r•I y m;iy he snh.lec•.L Lo i neon-
County of ,
vcn i.c•nccs or d i.scomfort arising from the
Butte :
u�:c` of np r i cu.1 t..ur;.n.l chemica.l.s, incIud.ing,
Candace 'J. Grubbs ,
IML noL 1 imi.ted to herbicides, pesticides,
Nina fer-L it iters; and from the pursuit
Recorder
of, -.I gIJ.cltural- c,pex-aLion s including,
lU: i4am 23 -May -90I CU 2
but not. limited to cul.Livat:i.on, plowing,
spraying, pruning, and harvesting which
occasiona l.1y generate dust,. smoke, noise, and odor . Butte CounLy has esLab I i tihe,l ;i,,r i (-u I -
tura:L zones which have as a priority use for
producL:i.ve agricultural purposes, rind residrul:;
w:i.Lh:i.n sa i.d zones and on adjacent property
should be prepared to accept such i nc-onven i ence
or discomforL from normal, necessary farm operations:.
All. Lhat-1 rc'aa property si.tuaVe. in Lhe CounLy of Butte, StaLe of Ca1.:i.founin, dc:;cr-i,bvd as
Da Le- . r -'d 5 E v
C hoc(
PROPERTY OWNERS:
State of ciQuK ) On this the ts^ day of�I"CL 1 Jc)c(y, befor•c� mc,
_ ) SS. the undersigned Notary Public, personc.l]y appear
--------• •••••••....unneuununuu
P
OFFICIAL SEAL ersonal] y known to me. Proved Lo me on Lhe
• L, tJORMOYIE of satisfact-ory c>vidcii(.c,.
r NOTARY r'..' 1.: t:nzl:ORM1A
3o be the person(s) whose name(s) I S _
"dA.'..,,,� 0 --- - -- - •---
b COUNTY Butte 1ubscribed to the within instrument and acknowle(Iged Hial
Comm. FXp. Oct. 3, 1993 xecuted the same for the purposes therein conta i.ned . I N W ITNI;SS
¢¢����¢�m�une¢r�¢unuwat¢¢¢�o:yse¢euenuno¢ HEREOF, I hereunto set my hand and official. sea I
Present- A.P. No. 51c) Notary Pub l i c
p4asAhomon that certain Parcel Map entitled, "a portion of
the most southerly corner of Lot 6 of Cohasset Homes
as shown on that
the North one-half of the Northeast one-quarter of the Northeast one-
Map recorded in Book 15 of maps, at page
161 thence along the southwesterly line of said Lot 6. North 30 261 120
West, 400.00
quarter of Section 22, Township 24 North, Range -2 East, M.D.B. & M.",
South :360 331
said Parcel Map was filed in the Office of the Recorder of the County
Of Butte, State of California, on February 22, 1983, in Book 92 of
West along the w6vtorly line of Cohasset Homes
448.00 feed thence leaving said
Parcel 14aps, at pages 38 and .39.
feet; thence
TOGETHER WITH an easement for;ingreas and egress and public utilities
as - shown on said Parcel 14ap.
feet; thence South 161 280 West, 192.86 feett
770 56' 18*
ALSO TOGETHER'NITH a sixty foot easement for road and utility purposes
described as followsl.
West, 260.47
West, 109.77 feett thence South 880 041 23*
feety thence North 000 321 38'
PORTION of the Northwest quarter of Section 23, Township 24 North,
Range 2 East, M.D.B. & M.r and the Northeast
West, 351.02 feet) thence
270 East, 177.27 feed thence North 20 431 350 West,
thence
quarter of Section 22,
Township 24 North, Range 2 East, M.D.B.
1;
& M., being more particularl
describd as follows: y
BEGINNING at
Subdivision,
the most southerly corner of Lot 6 of Cohasset Homes
as shown on that
Map recorded in Book 15 of maps, at page
161 thence along the southwesterly line of said Lot 6. North 30 261 120
West, 400.00
South :360 331
feet to the most westerly corner of said Lot 61 thence
480
Subdivision,
West along the w6vtorly line of Cohasset Homes
448.00 feed thence leaving said
feet; thence
westerly line West, 112.77
North 260 81 320 West, 217'.39 feet] thence North 620 011
020 West, 34.00
thence- South
feet; thence South 161 280 West, 192.86 feett
770 56' 18*
West, 260.47
West, 109.77 feett thence South 880 041 23*
feety thence North 000 321 38'
North 120 201
151.26. feet;
West, 351.02 feet) thence
270 East, 177.27 feed thence North 20 431 350 West,
thence
"V".
Al
400 311 30*
North 490 280 30" West, 68.60 feet; thence North
East, 60.00 feet, thence
feed -thence
South 490 281 300 West, 94.53
20 431 35Q Cast, 185.12 feet; thence South 120 201
270 west, 178South
.51 feet, thence South 000 321 38* East # 292.72 feetj
thence North 880 041 23*
East, 106.78
East, 193.62 feet; thence North 770 560 180
feett thence North $20 161 28'
thence. South
East, 214.49 feet#
620 011 02' East, 72.65 feetj thence South 260 181 32"
East, -,199.45
East, 477.74
feetj thence East 45.30 feetj thence North 360 331 48,
feetl thence
point on the
South 530 261 120 East, 459.94 feet to a
northwest Right -of -Way of Cohasest Road; thence along said
Right -of -Way South 360 33 480 west, 60.00 feet to the Point of
Beginning.
EXCEPTING that portion lying within the bounds of the above described
parcel.
AP #�
OWNER
PERMIT'V
MH UTIL. CLEARANCE DATE
INSPECTOR C�7
ELECTRIC
GAS
Support
Struc.
YESI NO
Compaction,
Test Req.
Service
Size
Other
Load jkT�e
Pipe
Size
Length
YES NO
��H
IvlM3
I21�1� IU10-7�2
RESIDENTIAL
056-11-0-073 97-2014 MHI
PREJEAN, Carol
PERMIT NC. 192 Woodhaven Dr, Cohasset _
(MHI/ex site) Executive Hom
PERMIT EX. _ _ „ /O/e/,97-
OWNER
CONTR.
ASSESSOR PARCEL
LOCATION
OFFICE COPY G
1 �
Address
GAS
Meter ByD/vt�
ELECTRIC ate
Meter By D
Temp. Powe
Called PG&E
Temp. Elec. Service
Called PG&E
Temp. Gas Service
Called PG&E
JOB FINALED (Date)
Signature
V=OK
0 = Not OK
Not •=NotRepaldyble MOBILE HOMES
Date MOBILE HOME UTILITIES(Plans) OK t 'Y's
1. Zoning Requirements - Setba asements
2. Soils; Special MH Support SketcA
5. tridty; learances-Gmd-/ /Amp Concrete
6. G Locati s rap; / /L'fL
/ /Nat or///°L'ft/ /LPG
. W learance & Disconnect
Utility Clearance
Date Card B-1 Date Card B-1
Date Cardj3-I' Date Card B-1
Setbacks Easements -
t-tarriaoe Line
MH
7.AVXeond Sewer Con i'kjo"/O to grade -HD Approval
9,offie Downs -Type -Installation Cefi
10. Exits; Insp.-Sketch
11. Cert of Occupancy
12. Permanent Foundatlon Only: License Decal
Date Card B-1 Date Card B-1
Date Card B-1 Date A bCparrdd B-1
A*d)l
A 3 �-
.MISCELLANEOUS
Date DECKS, C.OVM, CARPOI11TS,0ARAGES OK except #'s
1. Zoniry RequirementsZetbacks-Easements
2. Footings; Sc i sSbB-DepthSpadng-Connector-Steel
3. Deeks; Girders.and/or Jofsts-Dedking- mcingStairs-Rails .
4. Wood Awn.; Posts-BeamrcRftra.-Connectors
Shthg.- tg.-Bracing ,
S. Alum. Awn.; Columns-ConnectionsSplice-Decal-Endosures
6. Carports; Windows -Doors
7. Electric
S. Frmg.; Sils-Andiors•Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext; $ceps-Doors"ndings
12. Braced WAR Panels
Date Card B-1 Data Card B-1
Date Card B-1 Date Card B-1
Date POOLS (Plans) OK except fr b
1. Setbacks -Easements
2. Soils; Compaction -Structure, Stability
3. Pool -Structure. Steel -Connections -Thickness
Dead Men -Linin
4. Elec.; Receptacles and Lighting, Distance-GFI
5. Elec.; Pod Lighting; 15 Volts-GF1
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/6-CIrcutating Equip. -Heater
8. Elec.; Grounding; Equip. w/5 Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Vater Supply Test
11. Light Niche
Date Card B-1 Date Card B-1
Date Card13-1 Date Card B-1
✓ = OK
0 = Not OK
- = Not Applicable
* = Not Ready
Date UNDERFLOOR (Plans) OK except #'s
1. ZoningSetbacks-Easments-FloodSlope
2. Ftg., Main; Soils-Elec. Gmd. / P Ftg. Depth
3. Ftg. Garage; Soils-Steel-Elec. Gmd/ p Ftg. Depth
4. Ftg. Porches & Decks; Soils -Steel-/ p Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab, Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test
10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test
11. Water Pipe; Test -Anchors -Regulator -Service Test
12. Electric Underground
13. Plenums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists Vents-Crippies
15. Access & Ventilation
16. Insulation
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit) OK except #s
17. Water Htr; Vent -Access -Combustion Air Baffle
18. Water Pipe; Test & Anchor -Nail Protection
19. D.W.V.; Test Fittings & Anchor -Nail Protection
20. Shower Pan; Test, First Floor -Tub Access
21. Test Tub & Shower, Second Floor -Tub Access
22. Gas Pipe; Sae & Anchors
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except #s
23. Fixture & Transformer Clearance -Ins. Protection
24. Elec. Receptacles Spacing -Lights & Switches at Doors
25. Size Boxes & No. of Conductors Stapled
26. Romex Installed Close to Edge of Studs & C.J.
27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water
28. 2 Appliance Circuts in Kitchen & Conductor Size GFI
29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI
30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or Al
Insulated Neutral 0 Yes p No
31. Service -Riser Conductors & Ground -Main Disconect
32. Equip. Clearances Panels-Motors-Mech. Epuip.
33. Clothes Closet Light -Shower Light -Spa Light
34. Smoke Detector
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except #'s
35. A.C. Ducts Insulation & Support
36. Vent Fan, Exhaust above insulation
37. Condensate Drain & Overflow, Size & Grade
38. Fumance-Vent Access -Comb. Air -Return Air Vent 115 outlet
39. Attic Access & Platform if Furnace in Attic
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except #'s
40. Sits Proper Materials & Anchors
41. Walls Studs -Nailing Spacing & Braces -Plates -Sound
42. Bearing Walls over Girders & Floor Nailing
43. Draft Stop in Walls (rat proof)
44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
45. Headers & Beams -Size & Bearing
RESIDENTIAL (Single & Duplex)
Date FRAMING (Continued)
46. Hangers -Post Caps -Anchors -Connectors
47. Cling. Joist-Rftr. Ties-Purlin-roff Brac.-Truss-Shting: Rfng.
48. Fireplace Ties or Type A Flue -Fireplace Throat clearance
49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
51. Garage Fire Protection Framing
52. Property Line Firewall & Openings
53. Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits
54. Stairs; Width -Headroom -Rise -Run -landing -Fire Protection
55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
56. Siding -Nailing Veneer
57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
58. Glazing Area -Glass Protection -Skylights -Plastic
59. Shear Walls; Nailing -Bolts
60. Brace Interior / Exterior Wall Panels
61. Insulation -Walls -Ceilings
62. Infiltration -Walls -Windows
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except #'s
63. Ext Steps -Door & Sidelight Protection -Landings
64. Smoke Detector
65. Furnace; Vents -Clearance -Comb, Air-Conector-
In Garage; Above Floor-Ducts-Mech. Protection
66. Bedroom Exiting
67. G.F.I. & Bath Fixtures & Tub Access -Spa
68. Elec. Trim & Subpanel, Breaker Sizes & Labels
69. Stairs & Rails
70. Fireplace or Stove, Clearance -Hearth
71. Elec. Outlets at Wood Panel, Int. & Ext.
72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance
73. Elec. Outlets & Recepticales at Kit. Counter
74. Garage Fire Door; Swing -Landing -Closure
75. A.C. Duct in Garage -Damper
76. Wtr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V.
In Garage; Above Floor -Meth. Protection
77. Plb., Elec. & Mach. Equip. Listed for Location
78. Elec. Receptacles in Garage (G.F.I.)-Romex Protection
79. Insulation -Foam -Looked in Attic
80. Guard rails & Deck Construction -Post Caps
81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
82. Following Instld./DHw 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No
83. Stucco Brown -Finish
84. A.C. Unit Disconnect, Electrical -Plumbing
85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
86. Water Well, Disconnect, Electrical, Plumbing
87. Exterior Elec. Trim, G.F.I. Receptacle -Underground
88. Ventilation Throught House
89. Glass Protection
90. Corrections from Previous Inspections
91. Gas Test -Meters Tagged, Gas -Electric
92. Water & Sewer Connected -C/O to Grade -HD Approval
93. Energy Compliance Certificate -Other Certificates
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
R
MOBILEHOME INSTALLATION ACCEPTANCE
COUNTY OF BUTTE y,.."w
DEPARTMENT OF DEVELOPMENT: SERVICES
BUILDING DIVISION --7 COUNTY CENTER DRIVE
OROVILLE, CA 95965 -PHONE (916) 538-7541
APN:
5 - 11 -U -a---+-3
PERMI NO.:
Owners:
Name:
Owners:
tj
Address: �.�l�f t Cts
Mobilehome ,WVt;7tk
� � �
Year of
Manufacturer
Manufacture:
/ rr`j,(�/V Iv�J�¢
/�^
Serial number C�AA� I— L V 17A� D3S IS -C l Z
C' L (ISC
((((���I ^
Insignia or k A J) l U g Iq p
or V.I.N. A L Y a Z 6 3 9 12-1
HUD number: li' "!S 3
Official approving installation:
Date:
If the mobilehome is moved or relocated, the mobilehome installation acceptance shall become invalid. This form shall.
not be used when the mobilehome is installed on a foundation system.
5136 White-pwner,;Yellow-lnstaller, Pink -Bldg., Gold -Assessor
9 L a..
�p COUNTY OFBUTTE - DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-75 PERMIT.NO.
(Rev. 12/96) APPLICATION AND PERMIT �,7- azY
ASSESSOR PARCEL NUMBER
056-11-0-073
ZONING
tm-5
BUILDING PERMIT
OWNER
carol prejean
TELEPHONE
891-8186
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
192 WOODHAVEN DR COHASSET 95973
CONTRACTOR'S NAME
EXECUTIVE HOMES
TELEPHONE '
891-6992
CONTRACTORS MAILING ADDRESS
ESPLANADE,3042 CHICO
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
UCENSE NO.
Filing Fee $
20.00
Permit Fee $
&3.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
Energy Plan Checking Fee $
PERMIT FEE $
43.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome EX Other
SPECIFY
Solar or heat um water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation EA Other ❑
Describe Work: MWEXISTING SITE
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home IS I G I W
920.00
PERMIT FEE S
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service ioonORLEss
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' full f nd 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:
❑ 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
46.00NEW
CONST. DWELLING OCCUP.
OR ADDNS. ( 8 ACC. BLDS.
So
3.50FT.
NEW CONST.E
NON-RESID. UU�LCTI-OUT UT
97,50
ER APPARATUS
6 PSINOWGLE OUTLET CIR.
EX. OCCU OLrtLET OR FIXTURES
20 @''00
BAL @ .SO
PPLNS
Ex. Occup. ouTLEEDTs RES D.OEA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
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.
I 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.
a wor co-. mpen sig�vn�ur@n��c mer r asdlioacy number are:
Carrier( 1� Y��� �j I
Policy Numbe
(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 co ply with those provisions.
X _/ _ Date A (QLq7_
Signature of Applicant - ❑ Owner ontractor ❑ Agent
An OSHA permit is required for excavations over 60" 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
TOT/AL FEE $
J 14 -1 -nn
ES IMP
FLOOD
CDF pD
HD
ISSUE
This permit is hereby issued under the applicable
of the Butte County Code and/or Resolutions
indicated above for which f es have been
By Datelo/I
PERMIT EXPIRES ON
Dat
provisions
to do work
paid.
k_7
Receipt No.
WHITE-D.D.S.-B.D. CANARY- SSESSOR PINK -INSPECTOR' OLDENROD-APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754����I IT NO.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER — ...-ZONING
15BUILDING
PERMIT
OWNER ' e- e-
TELEPHONE$!�b
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
/ qg= i0&oJ Gia ✓cam 604&51,e 95973
CONTRACTOR'S NAME
Ex e
TELEPHONE
?'099 L
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation 5
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$ C2 3
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS
9'. We 0
Energy Plan Checking Fee
$
Ci 5S�
PERMIT FEE
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New dition ❑ Remodel ❑ Utilities ❑ Installation M Other ❑
Describe Work: P,./iJB[ e X % 5 T `! /+�
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
@20.00
PERMIT FEE
$
x �� g�
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service o0 oA LE .
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:
❑ 1, 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
46.00NEW
CONST. DWELUNG occUP.
OR ADDNS. ( DW:
ACC. BLD S.
so
3.5¢FT.
CONS MULTI-oLmEf
Ftp
@7,50
POWER APPARATUS
a sIN.Le ourLET cIR
Ex. Occup. ourLEr OR FIXTURES
BAL @ .SO
Ex. Occup. ouTLEETS REESID.oFR-A
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
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
(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
Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" de p 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 $ f zF
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ / Ll 3, arc-)
HAZ.
D. FEES IMP
FLooO
COF
PARCEL
PD HD
ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
Date
Date
Receipt No. o) -5'7.2-0-V
WHITE-D.D.S.-B.D. CANARY -ASSESSOR N -INSPECTOR GOLDENROD -APPLICANT
W
COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER CL_ D /- C ( e a A/
Proposed Building Use
Building Inspector
P. No. 156— t J —07 3
A14. Date 9-- /6 — 9 7
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
1. All items have been submitted . .............
2. Plot plans, 3/4 sets, signed by preparer of plans.
3. Complete plans, 3/4 sets, signed by preparer of plans . ......................
4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form . ............................................
6. Energy Design Compliance and supporting documentation . ..................
7. Statement of Intent for Non -Heated and A/C Buildings . ......................
8 Engineered truss details and layout in duplicate (required prior to plan check). ....
ilehome/ ata an manufacturer's installation instructions, 2 sets. ...........
or
1. Impact fees as shown on attached schedule. ...... 9/.Zy�g
California De �rtrrient of Forestry Ian a roval/fees... .
P YP PP P•••
Flood elevation letter (100 year flo d by California Engineer. ..
1 Sanitation and plot plan app. Health Department . ............
City of Chico plumbing permit. ........................................ .
16. Plot plan and business license approval from City of Biggs/Gridley. .............
17. Planning approval for (A) Use: (B) Parking: . .........
18. Contact Land Development about (A) Improvements (B) Drainage. .......... .
19. Driveway permit (construction approval required prior to occupancy). ..P . .
re -Inspection request
20. Pre -inspection for required. .. to Building Inspector (Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Workmans Compensation Insurance . .......................... .
23. Owner -Builder Verification (Given to owner , Mail to owner _). ...........
24. Recorded copy of Agricultural Acknowledgement Statement . ................. .
25. Letter of signature authorization . ........................................
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
27. Letter of intent on building use. .......................
28. Mobilehome utility clearance . ...........................................
29. Documentation of legal access . ..................... :..................
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits . ......................................
32. Plan check list . .....................................................
33.
34.
Wh5wfqu issue th 3e . , rocess as follows: Mai to ownef. Mail to contractor..
Telephone? �y9 �- and hold for pickup at j/ �"e-- office. Deliver with inspector.
Other
Parcel CreationI /1
Acreage Applicant Date 10
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone _ mailounter by _ Date
Plans checked by Date Plans approved by Date _`::VZ46_7
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
�Y.rte`WRr�r—'�#,.,•iM„�;r.,:,..-+,�+'i,�,.;.o•c+�;:raFir:7='`"���r7'�"'�i .
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541
SCHEDULE OF FEES DUE
OWNER I �-� A.P. #�
PROPOSED BUILDING USE %' DATE
_✓ 1. BUILDING PERMIT FEES
-- Balance Due ................
-- Additional Fees Due ........... $
-- Additional Fees Due ........... $
-- Revised Plan Checking Fee ....... $
2. SCHOOL DISTRICT FEES � e -
(paid at District Office)
3. SHERIFF FEES (paid at Building Division)
Residential ........ x $360.00 = $
Units
Commercial (sq.ft.)... x $0.03 = $
Sq.Ft.
4. URBAN AREA FEES (paid at Building Division)
Residential (per unit) . x = $
#Units Amt.
Commercial (sq.ft.) .. x =$
Sq. Ft. Amt.
5. RECREATION DISTRICT FEES
(paid at District Office)
6. THERMALITO DRAINAGE DISTRICT FEES
$425.00 (paid at Building Division)
AS
SRA FIRE INSPECTION AND PLAN CHECK
$89.00 (paid at Building Division) Pd 9//4, (eck 2--1459Z-
8. WATER TENDER FEES (Battalion # )
$200.00 (paid at Building Division)
9. CSA 87 TRAFFIC FEE
$2500.00 (paid at Building Division)
10. OTHER
REC # � DATE REC
10 (
At time of permit application, I was advised the above fees are required to be paid prior to issuance of the
building permit. These fees may be changed.during the plan checking process.
APPLICANT DATE
Original -Owner Copy -Building Div. (Rev. 12/96)
`r SIDE TIE—DOWN —
�/ END TIE=DOWN
h #406 PIER
BOLT—ON TOP --
#614 STL.
STRAP —
TIE -DOWN
' "I" BEAM CHASSIS
SEE "I" BEAM CHASSIS
NOTE #5, SHT. 1 FOR
/..t TIE—DOWN INFORMATION
#606 STEEL
STRAP
DRILL 9/16" HOLE AT
MID HEIGHT OF BEAM,
INSTALL 1/2" A307
BOLT
"C" BEAM CHASSIS "RFC" BEAM CHASSIS
SEE "I" BEAM CHASSIS SEE "I" BEAM CHASSIS
NOTE #5, SHT. 1 FOR NOTE #5, SHT. 1 FOR
TIE—DOWN INFORMATION TIE—DOWN INFORMATION
m
SPLIT BOLT
do NUT
GROUND LINE --�
#616 T.D.A.
STABILIZER
PLATE
NOTE:
VERTICAL OR. ANGULAR
INSTALLATION IS OPTIONAL
INSTALLATION
INSTRUCTIONS
(TYPICAL)
1. INSTALL ANCHORS INTO SOIL APPLYING CONSTANT
DOWNWARD PRESSURE TO MINIMIZE SOIL DISTURBANCE,
UNTILL HEAD IS FLUSH WITH STABILIZER PLATE.
ANCHORS SHOULD BE INSTALLED BELOW FROST LINE.
2. ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN.
3. INSERT STRAP THROUGH SPLIT BOLT. CUT OFF EXCESS
STRAP AND THEN TIGHTEN BOLT UNTIL STRAP IS SNUG.
CONTRACTORS WARNING:
CHECK FIRST FOR UNDERGROUND UTILITIES.
INSTALL GROUND ANCHOR `ti'• '`''• PLACE STABILIZER PLATE ` FINISH TURNING ANCHOR
INTO GROUND, LEAVING NEXT TO SHAFT BETWEEN :r,':;; INTO THE GROUND UNTIL
8"-12" OF SHAFT EXPOSED. ;: ;ANCHOR AND CHASSIS ':' = ANCHOR HEAD IS FLUSH
:•; : ;'. BEAM, AND DRIVE INTO +';`` ' ' WITH STABILIZER PLATE.
GROUND. :;,.: THIS PROVIDES SECURE
PROTECTION AGAINST LATERAL
MOVEMENT. `
Z
- CONTRACTORS VERIFICATION -
3 •
0
1 CERTIFY THAT I HAVE INSTALLED THE ABESCO ANCHORING SYSTEM AS PER THE INSTALLATION INSTRUCTIONS.
I HAVE MADE NOM0. IFICATIONS TO THE ANCHORING SYSTEM OR TO THE BUILDING STRUCTURE.
COMPANY NAME:_ 13.L1ie _t.t(t�CONTRAC S LIC.#_� � __________
DATE:_ f� _� SIGNATURE:_ __ _____
=ir
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 MainStreet, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
CORRECTION NOTICE
q-7-c90l
OWNER ( I PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
Date �� % -9nspector
REV 10/92
.J.(o-� ll/AI- / - LY= JEC ✓/.Jig) �.1� , j ,►.cN r i �/c
l9� U)I�V)%49k"YAJ �'� ► APPROVED-
��'`�L Butte County /
C'A �-� 97.3 j 90��� J,y�IvW Environmental Health =
Dat�,,�j
Lu
'0
,Mob►1 � �3 �'rr�
\� '0 0s�
oM�e- r2.olaa \ 2.
24
1,'�/�8 �Q/►1 E • / ` — Zy-
11t1�
o� e-C6
v
19Rz4 '�eS
f
UIA
C,r �f aS i I�
iov
P199 ell
"�' �� d � ► L C711-11 r� 'P. t ;� !fie � •— �� n :.� � �r� „ ��.o, � ��� �
3_. a ��
APA 1 1 1996
Chico, Calffomla
FC :fai G �'a' dWWei.
6,26,71 i
C6fiASS7 ff e/o /597
FSi37, JN6
NO'" E _ •
� ro'
0�
- n
2 12re
S ,c .9.vJt
t r �s•7�GL �2E ✓ Fs9n/ r/
90 BOO ri,�/slv�t/ J�
I�L►�Y
A%
Zy' ry i7
APPROVED
Butte County /
Environmental Health
------ patt��y cah USc fir.+« t��
.-I--",-7Siqpature
fie'R15 Ki9g efs L
ENVIRrih><tLN-: I icAlnl
A cA 1 1 1996
Chico, Caiifomia
q
p�
u_3U_'
r
..l
�!
I �LC ? i � � � j \\ ` �. .: �
p �..'yil:
1�.�..�1�: i 4.Y \yaw L..Y ��•
I
fie'R15 Ki9g efs L
ENVIRrih><tLN-: I icAlnl
A cA 1 1 1996
Chico, Caiifomia
CDF FIRE SAFE REQUIREMENTS
SZ —i1-73 q?— zoo
AP# PERMIT # NAME
Under authority.of PRC 4290, the following checked items are required
by the Butte County Fire Department and are made a part of this permit.
These requirements are minimums and will be superseded by Butte County
local regulations which equal or exceed these standards. Field
inspections will be made by the Butte County Building Department for
compliance.
1272.00 Maintenance of Defensible Space. To ensure continued
maintenance of properties in conformance with these
standards and measures and to assure continued avail-
ability, access and utilization of the defensible space
provided for in these standards, annual maintenance
must be provide for by the land owner.
Driveway Standards
[ 1273.02 Surface. All driveway surfaces and structures (bridges,
1273.07 culverts and other appurtenant structures which supple-
ment the roadway bed or shoulders) shall provide unob-
structed access to conventional drive vehicles, includ-
ing sedans and fire apparatus weighing up to 40,000
pounds.
[� 1273.03 Grade. Not to exceed 16 percent unless paved.
1273.04 Driveway Radius
1. No roadway shall have a horizontal inside radius of
curvature of less than 50 feet and additional sur-
face width of 4 feet shall be added to curves of 50-
100 feet radius; 2 feet to those from 100-200 feet.
2. The length of vertical curves in roadways exclusive
of gutters, ditches and drainage structures designed
to hold or divert water shall be not'less than 100
feet.
1273.05 Turnarounds. If required, will have a minimum turning
I radius of 40 feet from the center of the road.
[� 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30
feet long with a minimum 25 foot taper on each end.
1270.10 Width. All driveways shall provide a minimum 10 foot
traffic lane and unobstructed vertical clearance of 15
feet along its entire length.
Page 1 of .3--,
2,01 / Ak' Te _�: Cri, �Ve_ 0
AP # PERMIT # NAME
[�] 1273.10 Turnouts. Driveways exceeding 150 feet in length, but
,\ less than 800 feet in length, shall provide a turnout
near the midpoint of,the driveway. Where a driveway
exceeds 800 feet, turnouts shall be provided no more
than 400 feet apart.
[�]
1273.10 Turnaround.
A
turnaround shall be provided at all
building sites
on
driveways over 300 feet in length and
shall be within
50
feet of the building.
1273.11 Gates
1. Gate entrances
shall be at least two feet wider than
the roadway
it
serves.
(�] 2. The gates must be located at least 30 feet from the
roadway and shall open to allow a vehicle to stop
without obstructing traffic on that roadway.
[ ] 3. Where a one-way road with a single traffic lane
provides entrance, a 50 foot turning radius shall be
used.
Fuel Modification
1276.01 Setback for Structure Defensible Space.
[ 1. All parQels 1 acre and larger shall provide a mini-
mum 30 foot setback for buildings and accessory
buildings from 411 property lines and/or the center
of the road.
[ ] 2. For parcels less than 1 acre, local jurisdiction
shall provide for the same practical effect. See
Other Requirements below.
[�] 1276.02 Disposal of Vegetation and Fuels. Disposal, including
chipping, burying, burning or removal to a landfill site
approved by the local jurisdiction, of flammable
vegetation and fuels caused by site development and
construction, road and driveway construction and fuel
modification shall be completed prior to completion of
road construction .;r -f.:ial inspection of a building
permit.
Page 2 of 3
I
-!�-6 -rr,?3 .
AP #
97-2-0/c/
PERMIT #
Other Recruirements
[ ] If Building Setback is 15 to 30 Feet:
- Class A or B roof
- Enclosed eaves
AME
[ ] If Building Setback is Less Than 15 Feet
Choose any 3 of the following:
- Metal or no doors on side toward property line with insuffi-
cient setback
- Class A or B roof with enclosed eaves
- Interior automatic sprinkler system per NFPA 13D
- Glass area not to exceed _0% of wall area toward property
line with insufficient setback
- Siding from the following list:
stucco - 3 coat
Hardi-Board or Plank
Masonry
Masonry veneer
Metal
Other Butte County Fire Department approved materials
Date Signature
Page 3 of 3
VA
CDF FIRE SAFE REQUIREMENTS
.5Z—i�--?3 q7- Zor .4?� , �L
AP# PERMIT # NAME
Under authority of PRC 4290, the following checked items are required
by the Butte County Fire Department and are made a part of this permit.
These requirements are minimums and will be superseded by Butte County
local regulations which equal or exceed these standards. Field
inspections will be made by the Butte County Building Department for
compliance.
�] 1272.00 Maintenance of Defensible Space. To ensure continued
maintenance of properties in conformance with these
standards and measures and to assure continued avail-
ability, access and utilization of the defensible space
provided for in these standards, annual maintenance
must be provide for by the land owner.
Driveway Standards
[� 1273.02 Surface. All driveway surfaces and structures (bridges,
1273.07 culverts and other appartezant structures which supple-
ment the roadway bed or shoulders) shall provide unob-
structed access to conventional drive vehicles, includ-
ing sedans and fire apparatus weighing up to 40,000
pounds.
1273.03 Grade. Not to exceed 16 percent unless paved.
1273.04 Driveway Radius
1. No roadway shall have a horizontal inside radius, of
II curvature of less than 50 feet and additional sur-
face width of 4 feet shall be added to curves of 50-
100 feet radius; 2 feet to those from 100-200 feet.
2. The length of vertical -curves in roadways exclusive
of gutters, ditches and drainage structures designed
to hold or divert water shall be not less than 100
feet.
T127'3.05 Turnarounds. If required, will have a minimum turning
radius of 40 `feet from the center of the road.
[�] 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30
feet long with a minimum 25 foot taper on each end.
[(`] 1270.10 Width. All driveways shall provide a minimum 10 foot
traffic lane and unobstructed vertical clearance of 15
feet along its entire length.
Page 1 a£ - 3- ,
AP #
PERMIT # NAME
[�] 1273.10 Turnouts. Driveways exceeding 150 feet in length, but
'\ less than 80b feet in length, shall provide a turnout
near the midpoint of the driveway. Where a driveway
exceeds 800 feet, turnouts shall be provided no more
than 400 feet apart.
[�] 1273.10 Turnaround. A turnaround shall be provided at all
building sites on driveways over 300 feet in ,length and
shall be within 50 feet of the building.
1273.11 Gates
1. Gate entrances shall be at least two feet wider than
II the roadway it serves.
�] 2. The gates must be located at least 30 feet from the
roadway and shall open to allow a vehicle to stop
without obstructing traffic on that roadway.
[ ] 3. Where a one-way road with a single traffic lane
provides entrance, a 50 foot turning radius shall be
used.
Fuel Modification
1276.01 Setback for Structure Defensible Space.
[\, 1. All parcels 1 acre azid larger shall provide a mini-
mum 30 foot setback for buildings and accessory
buildings from 411 property lines and/or the center
of the road.
[ ] 2. For parcels less than 1 acre, local jurisdiction
shall provide for the same practical effect. See
Other Requirements below.
[(] 1276.02 Disposal of Vegetation and Fuels. Disposal, including
N chipping, burying, burning or removal to a landfill site
approved by the local jurisdiction, of flammable
vegetation and fuels caused by site development and
construction, road and driveway construction and fuel
modification shall be completed prior to completion of
road construction �r fi:ial inspection of a building
permit.
Page 2 of 3
N
u
�G -(r, 7 3 97-101V
AP # PERMIT #
Other Requirements
[ ] If Building Setback is 15 to 30 Feet:
- Class A or B roof
- Enclosed eaves
AME
[ ] if Building Setback is Less Than 15 Feet
Choose any 3 of the following:
- Metal or no doors on side toward property line with insuffi-
cient setback
- Class A or B roof with enclosed eaves
- Interior automatic sprinkler system per NFPA 13D
- Glass area not to exceed 110% of wall area toward property
line with insufficient setback
- Siding from the following list:
Stucco - 3 coat
Hardi-Board or Plank
Masonry
Masonry veneer
Metal
Other Butte County Fire Department approved materials
X7_3O,q 0%
Date Signature
Page 3 of 3
E.H. USE
Plot Phm An.ched
Plow Phu Atmehed v
Sent to B.D. Q%26=Q7 i
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
...' ►►. �.rs�. ,..
Lmation AP#
Plan Approved for: Sewage Disposal Water Supply: Public Private Well
Clearance for bedroom mo ile ome. Other
Final clearance O.K. for:
NOTE:
8/92
Health Specialist
Date
r��o1:, X12 ho�l�e c•W i1e.l`
Emtifcr ,�ntal Health
Ste i. i 54., �
Chicul
�ioite•r \ e � ri �-�'��-�l S
1Go Woodhc,.v�v���
VIP �* off- l! —a- 3
lh
oche
Y/ P rD pQ r)E
�xSC a x;,s fang
g4IIo�
_ �PfiC
J�
frbfkt2v
o
1
dol ---� • �ra�( 2 c. X (d,
"mobile home 3�r'
*ace
O 2k t 4�>�nc3 Ig.
?ski
�� �-- Y; S+
_-off
v
1
�PA
Apy�
me
rl
Date
�9nat��s
e
Pig.
ROM
SIMMONS
'ik,r . �.- a , � .u.o.. m■�e•al1[AII��AA111� .�..� ..I�',ry��
aa::aaaaa:a::: ::::IRISHI� ► ,
• ® ... . ........YY........ L.nNOW
• m:: FARM ::a:li:::::::: a:a::::
• •� 6'il�36 ia•Al �t:� aa:aa:aaaaa SINS
. ........................
• - QaMlip lip 11
�aa::a::a:::::aa:�
In
AF
.. r•rr ,r 'I I • • � 1 � •
AMIN
urrr� , • /
rrr 0
b
STANDARD FEATURES
Tri -color exterior
Metal mini -blinds, inside mount, with valance
throughout
Tape and texture -all living areas (not including wet areas)
Acoustic ceiling
Carpet in living areas and bedrooms
Inswing front door
32" outswing solid rear door
White hollow core closet doors (where applicable)
White. passage doors
Metal door knobs
Free-standing range
15 cu. ft. double door frost -free refrigerator
Double cell porcelain sink
Metal ,single:lever.kitchen faucet
Colored ceramic tile backsplash and self -edge in
kitchen only
Crown molding
Colored ceramic tile backsplash only in both baths
One piece oval tub/shower in -master bath
One piece tub/shower in guest bath
Recessedmedicine cabinet in master bath
Plastic sink with dual lever metal faucets in both baths
Mirror with U -channel light in both baths
Single lever metal tub faucet, tub spout and
showerh'ead.in both baths
Toilet paper holder and towel bar in both baths
Raised panel cabinet doors with handles
Overhead utility shelf
Upgrade drawer guides
Two door overhead cabinet over refrigerator
Lined overhead cabinets in kitchen
Plumb/wire washer
Wire for dryer
Shut off valves throughout
30 gallon gas water heater
House ventilation
Removable hitches
3/12 roof pitch
20 Ib. roof load
Fixed eaves on.2.6' wides only (no rear overhang)
Cathedral ceiling throughout
11/16" floor. decking
All floor joist 16" D.C.
10' integrated window dormer (26' wides. only)
HUD fees
Zone II thermal standards:
R22, 11; 11 insulation, bath exhaust fans, GFI in
kitchen, standard blend air, larger rangehood vent
fans, additional caulking, vinyl framed dual glazed
windows
Note that square footage is measured from exterior wall to exterior wall, and is an approximate
figure. Length indicated in floor plans is floor length only. Renderings and diagrams are meant to
be representative and, in keeping with Fleetwood's policy of constant updating and improvement,
.may vary from the actual home. All dimensions are nominal. Ask_'your retailer for specifics.(Add
four feet to.arrive at transportable length.)
PRICES AND SPECIFICATIONS. SUBJECT TO CHANGE WITHOUT NOTICE OR OBLIGATION.
OPTIONS
Knockdown ceiling
Inswing rear door
Outswing cottage door
Raised panel white passage door
Vinyl sliding glass door ,
Mirrored wardrobe doors
Dishwasher
Disposal
19. cu, ft. double door frost -free refrigerator
Whirlpool tub in master bath
White raised panel cabinets
Laundry tub with. cabinet
Plumb for gas dryer
Exterior hose bib
Wire for air
Ceiling fans
Porch options
Rear overhang
Zone III thermal standards — same as Zone II with
additional'insulation: R33, 19, 22 and 2" x 6"
sidewalls
OTHER OPTIONS AND FEATURES MAY BE
AVAILABLE. BE SURE TO ASK YOUR RETAILER.
OUM17rs/
0
01
BY FLEETWCOD®
�s
n`E=) FIVE re^11-Suncrest-Homes are built by:
FLEETWOOD HOMES OF CALIFORNIA, INC. -
a subsidiary of Fleetwood Enterprises, Inc. t
18 N. Pioneer Ave., P.O. Box 1308
Woodland, California 95776
W A a R n u T v (916) 662-3223 SU/17/NOV95
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One form per Building)
f
School District, j �--� Building Department No.
A.P. Number 07 3 Jurisdiction: � City r 171 County
«z Property Owner i; . inPi r a R'1' G. \ e ex /J
Property Location/Address 0 Q A A,
Subdivision Lot No.
Residential DevelopmentL4z;j Sq. Footage
-7/0
No of Living Mobile Home Addition (Group R)
Units Installation
Commercial/Industrial Sq. Footage
Rejo1Q C jti- QX► S�i,v� pFjj /•G
Roofed RNew Addition (Including Exterior
Areas)
5 `7
Building Departmen p epresentative Date
(Floor Pians reviewed dy scnooi uistnct Personneu
District Identification No. J4-
(-1
/(-1 o , > p School District certifies that
(Applicant)
G•� LJ / / -6 ! 9
(Street Address) m (Phone Number)'
SLl
(City). ' (State) (Zip Code)
has complied with the requirements of Resolution No.
representing 17 0 square feet
School District Representative
Paid by Check # 11yA Remarks:
by payment of $ C.�V
B 2926 $
ULL MITIGATION $
Date
Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with
Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit
you from challenging the imposition of the fees in any court action.
If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is
notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA),
this project may be subject to additional school fees to fully mitigate its impact on the school district's schools.
White (applicant), Yellow (building department), Pink (school district) feeform.xls (2/97)dmm
exify�v^ 1�
if ll��-P
• Ct,4
W
v :J
r
-a
Ao
p b
0�
a
qt 'o
W
VJ
ti
to
v :J
r
-a
Ao
p b
0�
a
qt 'o
Ll
VJ
v :J
1
-a
Ao
p b
0�
Ll
Q
Ll
ti
ti
a
,
m
�
I
IqI
of O <
I s
I
k
Mobilehome Manufacturer: S i. ceTW Ton _ Manufacture Year: 1419 9
If other than Single wide, furnish Setup Model Number: SDN o 3 A
Width: Z5"9 (ft.) Length: 6b6 1(ft.) Tagalong or Expando Size $ (ft.) x_$ (ft.)
On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's
installation manual and structural setup sheets.
FOOTINGS: Wood pressure treated or foundation grade[N] Other:
SUPPORTS: Concrete block[(] Other: t
Provide Tie Down Specifications for all Mobilehomes:
Pier Footings Sizes and Location
SINGLE WIDE MULTI -WIDE
Line I Line 1
Line 2 Line 2
................................................................................................
Main Beams
Line2................................................................................................ ine 2
Line 1 Line 3
Line 2
Main Beams
.........................................................................................:......
Line 2
Line 1
............................................. ine 5
Tag or Triple ine 4
ine 1
Line 1 Piers:
Size minimum: x
Spacing maximum: A From ends-maximu
Line 2 Piers:
Size minimum: x
Spacing maximum: 13 10 `
From ends -maximum: 1 O `
Line 3 Roof Loads:
Size minimum
Location (from front):
Line 5 Roof Loads:
Size minimum:
Location (from front
Line 1 Opening
Size minimum: ] x J.
Each side of openings
with width over: ti
Line 4 Piers:
Size minimum: ] x ].
Spacing maximum: `
From ends -maximum: `
C`) x30 ty y3n 14..30 Zy ATO Z� x3t� b,;30 2y ti30
o v" 11 10" Lt y 3V $ 3$ (0 53 y lob 8
BUTTE COM
OVER BOWNG, D►EPAR 7
4 P P P �' :..a
0
1. Owner's Name:
2. Assessor's Parcel Number: S to — 1 — r13
3. Installer's Name: , yo, 440mes
4. Is the site currently under permit? Yes[ ] No[)Q Permit No.
5. Is the site an existing site? Yes j�j No[ ] (If yes, furnish two plot plans).
6. What is the electrical rating of the mobilehome? (CO Amperes.
7. What is the mobilehome site circuit breaker rating? 2O0 Amperes.
8. What is the electrical rating of the mobilehome site? 20O Amperes.
9. Is the main service remote from the mobilehome site? Yes[ ] No[>° If it is, what is
the rating? Amperes.
10. Is there any other electric load to be served by the mobilehome site electric service
(i.e. well, garage etc.)? Yes[ ] NoK If yes, please identify the load and size:
a) The mobile home site:
Load- Amperes -
b) The main service:
Load- Amperes -
11. Type of gas service at mobilehome site: Natural[ ] PropaneM None[
12. Size of gis pipe at the mobilehome site from the meter or
tank: Y ti inches.
13. What is the gas pipe length from the meter or tank to the mobilehome?
14. What is the mobilehome gas demand? B.T.U.*
*(This information is not required if the pipe length is less than 6 feet on natural gas or
less than 50 feet on propane).
s
THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO
PROCESS THIS PERNUT APPLICATION
C.
0
4 ft DEPART
May 1995 ® V
ED 8.5
ABESCO ENGINEERED
COMBINATION TIE -DOWNS
MANUFACTURED HOME TIE -DOWN CALCULATIONS Al
SCHEDULES FOR SINGLE/DOUBLE/TRIPLE WIDES
DESIGN LOADS: DESIGN & GENERAL NOTES
iEWIND--------- 15 PSF �]
dE SOIL BEARING ---- 1000 PSF � I - ! 5
�F TIE DOWN. STRAPS- 3150# WORKING LOAD
TIE -DOWN STRAPS MEETS FEDERAL SPECIFICATION 00 -S -781H FOR TYPE 1, CLASS B, GRADE 1 STRAPPING AND BE AT
LEAST 1 1/4" x .035 ZINC PLATED.
# EARTH AUGERS -------- 2962# TESTED TO 4750# MIN.)
• CROSS DRIVES -------- 2962# TESTED TO 4750# MIN.)
• CONCRETE SLAB ANCHORS - 1390# (CALCULATED)
GENERAL NOTES:
1. THE CHARTS SHOWN HEREON ARE THE REQUIRED NUMBER OF TIE -DOWNS ON THE SIDES OF THE
MANUFACTU♦ ED HOME.
2. TIE -DOWNS ARE REQUIRED AT EACH CHASSIS BEAM, EACH END OF EACH TRANSPORTABLE SECTION
OF THE MANUFACTURED HOME AND CAN BE ANY OF THE TYPES SHOWN HEREON.
3. COMBINATIONS OF THE DIFFERENT TYPES OF TIE -DOWNS CAN BE USED.
4. IN THE EVENT AN EARTH AUGER CANNOT - BE INSTALLED DUE TO AN OBSTRUCTION, USE OF CROSS
DRIVE ANCHORS IS PERMITTED, PROVIDED THAT (2) CROSS DRIVES ARE INSTALLED FOR EACH
EARTH AUGER THAT CANNOT BE INSTALLED. SEE PAGE #3.
5. FOR ALL TIE -DOWN INSTALLATIONS, THE MFG'D. HOME CHASSIS MEMBERS ARE SHOWN AS "I" BEAMS.
(FOR ILLUSTRATION PURPOSES ONLY) CHASSIS BEAMS CAN ALSO BE "C" SHAPED OF RFC SHAPED.
6. END TIE -DOWNS CAN BE LOCATED WITHIN 24" OF EITHER SIDE OF CHASSIS BEAM AXIS AS SHOWN.
CHASSIS BEAM N
(ONE END TIE -DOWN MANDATORY
a AT EACH END OF "I" BEAM)
N
18"MIN --j
7. THE SIZES, TYPES, LENGTHS, ETC. OF MATERIALS SHOWN HEREON ARE MINIMUM. I.ARGER, LONGER,
HEAVIER MATERIALS SUPPLIED BY ABESCO MAY BE USED AT THE SAME SPACING & LOCATIONS SHOWN.
ENGINEER APPROVAL STATE APPROVAL
r S� 0t 61 /MWXOO _11"Ea 1-6-04l,LW
APPROVED
Q4[f-J SIOBJECT TO CORRrr:LIONS NOTED
APp,ovuf deet not ovthwize nr c.l.p:u.•e ally omission o,
..' f� q •c,^ lev,atien from re q virtmenk :f applicable
State Imus nr,d
V /Y�-�`�r1 rr•yvinrians.
E
6.1 v State of C,00
er nia
O r
�.� E? Deporhnent of Hcasing nn,l C.ornrnr.,ity Dr..r!gpn,2nr
t DIv:SI OF CODES ANU $IANDAR(!S
9 rF �, /� 3 Date��'
o (Iigeath,reI
W 110
V'CD -SPA No... .............................'/Dl -G
0 - -----
U
W THIS TIEDOWN SYSTEM MEETS THE REQUIREMENTS
< This Plan Approva) Expires -
OF SECTION 1336.3, SUBSECTION (a) ,A
PACIFIC CONSULTING ENGINEERS ABESCO
2150 BELL AVE. SUITE 145 5851 FLORIN-PERKINS ROAD
SAC. CA. 95838 PH: 916-564-6028 SAC. CA. 95828 PH: 916-383-8631
<�e
ABESCO TIE -DOWNS
CABESCO NAME STAMPED IN)
HEADS OF TIE—DOWNS
• • m
o � � lk. Nhes
0
#607 CROSS #606 STEEL #406 PIER
DRIVE ANCHOR #608 SPLIT STRAP W/BUC BOLT—ON TOP ,
BOLT & NUT 0
#601 30" S
T.D.A. TRAP W / HOLE
�
#604 CONCRETE
#602 48" SLAB ANCHOR W/ #615 CONCRETE #616 STABILIZER
T.D.A. #SH 5822 SLEEVE SLAB ANCHOR PLATE
ANCHORS (DRY) (WET)
SIDE TIE—DOWNS (SEE NOTE BELOW)
MAX. LENGTH OF
36'
=2
72'
J
W
68'
0 co
SINGLE WIDE
<,
1
>.Wo
r=
8
z
o W
2
Z
W W
..
EVENLY SPACED
2'�
1 LENGTH VARIES
<�
SIDE TIE—DOWNS (SEE NOTE BELOW)
<, /Z O
OW
om
IW
If O
DOUBLE WIDE W W
23EVENLY SPACED EVENLY SPACED EVENLY SPACED 2'
LENGTH VARA
NOTE:
SIDE TIE—DOWNS: MUST BE WITHIN 24" OF THE
a END OF CHASSIS BEAM.
6 END TIE—DOWNS: CAN BE LOCATED WITHIN 24"
o OF EITHER SIDE OF CHASSIS BEAM. ONE TIE—DOWN
3 IS MANDATORY AT -EACH END OF "I" BEAM.
o (SEE PAGE #I, GENERAL NOTE #6)
W IF SIDE. WALL TIE—DOWN GROUND ANCHOR LOCATION
IS SUCH THAT'THE ANGLE BETWEEN THE GROUND AND
u STRAP EXCEEDS 60', CONNECT THE TIE STRAP TO THE
A
INSIDE CHASSIS BEAM ON DOUBLE AND TRIPLE WIDES
4 AND THE OPPOSITE CHASSIS BEAM ON SINGLE WIDES.
S10E TIE—DOWNS (SEE NOTE BELOW)
TRIPLE WIDE
I► ► ► ► ►�
2'( EVENLY(SPACED I EVENLY[SPACED [2'
ice_ LENGTH 1 VARIES 1 1 1
EARTH AUGERS
MAX. LENGTH OF
36'
54'
72'
59
68'
MFG'D. HOME
1
5
1
1 7
8
MINIMUM NO. OF
2
3
4
SIDE TIE—DOWNS
CROSS DRIVE ANCHORS
MAX. LENGTH OF
36'
54'
72'
59
68'
MFG'D. HOME
1
5
1
1 7
8
MINIMUM NO. OF
2
3
4
SIDE TIE—DOWNS
CONCRETE SLAB ANCHORS
MAX. LENGTH OF
MFG'D. HOME
34'
42'
50'
59
68'
MINIMUM NO. OF
4
5
6
1 7
8
SIDE TIE—DOWNS
o'
z
0
z
W
0
n
c
z
3
0
0
W
H
0
v
W
i
END TIE—DOWN
#406 PIER
BOLT—ON TOP --,-
#614 STL`
STRAP \
CROSS DRIVE TIE 'DOWN
-., CHASSIS
' SIDE TIE—DOWN
STEEL
�i.,. STRAP i
0
#606
STEEL
STRAP
INSTALLATION INSTRUCTIONS
#608 SPLIT
BOLT do NUT
#616 STABLIZER IN
PLATE
GROUND LINE
#607 CROSS
DRIVE ANCHOR
1. INSTALL CROSS DRIVE ANCHORS INTO SOIL AS SHOWN. I TVICAL UHU55 L1KIVt
2. ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN. (WITH STABILIZER PLATE
3. INSERT STRAP THROUGH SPLIT BOLT. CUT OFF EXCESS STRAP
AND THEN TIGHTEN BOLT UNTIL STRAP IS SNUG.
CONTRACTORS WARNING: CHECK FIRST FOR UNDERGROUND UTILITIES.
CROSS DRIVE ANCHORS ARE USED WHERE HARD OR ROCKY SOIL OCCURES. IF THE GROUND SURFACE IS OTHER
THAN ROCK OR MINIMUM 2" ASPHALT, INSTALL #616 STABILIZER PLATE. (STABILIZER PLATES - MAY BE PREWELDED
TO #607 CROSS DRIVE ANCHOR) OR INSTALL 12' x12"x12" CONCRETE BLOCK.
NOTE:
IF A CROSS DRIVE IS USED WHERE AN AUGER COULD BE USED (IN LOAMY TYPE SOIL), THEN TWO CROSS DRIVES
MUST BE INSTALLED PROPERLY IN PLACE OF THE ONE TIE—DOWN. BOTH CROSS DRIVES MUST BE STABILIZED AS
SHOWN IN DETAIL"A". SEE PAGE #1, GENERAL NOTE #4.
..........................................._.._........_.........................._.._.....
CONCRETE TIE -DOWN
SIDE TIE—DOWN --
INSTALLATION
INSTRUCTIONS
#604 DRY
1. CONCRETE MUST BE A MINIMUM OF 3 1/2"
THICK AND IN GOOD CONDITION.
2. MINIMUM SLAB AREA OF EACH ANCHOR IS 28
SQUARE FEET.
3. DRILL PROPER SIZE HOLE IN SLAB, A MINIMUM
OF 12" FROM ANY EDGE.
#615 WET
1. PLACE CONCRETE ANCHOR INTO WET CONCRETE.
2. ALLOW CONCRETE TO PROPERLY DRY.
CHASSIS CONNECTION
1. ATTACH STRAPS TO CHASSIS BEAM IN MANNER
SHOWN.
2. INSERT STRAP THROUGH SPLIT BOLT. CUT OFF
EXCESS STRAP AND THEN TIGHTEN BOLT UNTIL
STRAP IS SNUG.
SIDE TIE—DOWN
END TIE—DOWN
x/406 PIER
BOLT—ON TOP—
#614
STRAP
SEE DETAIL"A"
(TYPICAL)
TIE -DOWN
' m� "I" BEAM CHASSIS
SEE "I" BEAM CHASSIS
NOTE #5, SHT. 1 FOR
TIE—DOWN INFORMATION
x/606 STEEL
STRAP
ifid+
.O10
cp
OG
L, 4p
DRILL 9/16" HOLE AT
MID HEIGHT OF BEAM,
INSTALL 1/2 A307 ,
' BOLT
"C" BEAM CHASSIS "RFC" BEAM CHASSIS
SEE "I" BEAM CHASSIS SEE "I" BEAM CHASSIS
NOTE #5, SHT. 1 FOR NOTE #5, SHT. 1 FOR
TIE—DOWN INFORMATION TIE—DOWN INFORMATION
m
SPLIT BOLT
do NUT —�
GROUND LINE
m
INSTALLATION
INSTRUCTIONS
1. INSTALL ANCHORS INTO SOIL APPLYING CONSTANT
DOWNWARD PRESSURE TO MINIMIZE SOIL DISTURBANCE,
UNTILL HEAD IS FLUSH WITH STABILIZER PLATE.
ANCHORS SHOULD BE INSTALLED BELOW FROST LINE.
2. ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN.
3. INSERT STRAP THROUGH SPLIT BOLT. CUT OFF EXCESS
STRAP AND THEN TIGHTEN BOLT UNTIL STRAP IS SNUG.
CONTRACTORS WARNING:
CHECK FIRST FOR UNDERGROUND UTILITIES.
is INSTALL GROUND ANCHOR PLACE STABILIZER PLATE ' :' FINISH TURNING ANCHOR
'. INTO GROUND, LEAVING NEXT TO SHAFT BETWEEN , ;`,?: i':`.' "`' INTO THE GROUND UNTIL
8"-12" OF SHAFT EXPOSED. ; ANCHOR AND CHASSIS ANCHOR HEAD IS FLUSH
'-? BEAM, AND DRIVE INTO �;" ` '• WITH STABILIZER PLATE.
GROUND. THIS PROVIDES SECURE
'• .•:..
'•: PROTECTION AGAINST LATERAL
MOVEMENT.
u .._.._.._.._.._.._.._.._.. _....._.
- CONTRACTORS VERIFICATION -
3 •
0
1 CERTIFY THAT I HAVE INSTALLED THE ABESCO ANCHORING SYSTEM AS PER THE INSTALLATION INSTRUCTIONS.
I HAVE MADE NO MODIFICATIONS TO THE ANCHORING SYSTEM OR TO THE BUILDING STRUCTURE.
0
W COMPANY NAME:--------------------------- CONTRACTORS LIC.//
---------------------
DATE: ------------
--------------------
DATE:------------ SIGNATURE: ---------------------------------
VIOLATION 'CHECK LIST
A.P. # osG- l /-o - v 7 3 Address 6 Wo oA �vv,,n 0, ,
Owner _Ca y -a I DLdaa- Praxeaa
Owner's Address cd�,
Owner's Phone No. Supervisoral District
Tenant's Name Phone No.
Type of Violation in Detail with Code Section Priority No.
Specific Plot Plan with C/V Noted _des no Penalties Required
1st. Notice Sent ��� 2nd. Notice Sent
ate Date
CoWents and/or Determination
Disposition
For Citation Citation
Date (Date)
Department Recommendation to Court
Court Action
Notice of Violation Recorded
(Date)
-A V= I�ON �Nr- -
�K' ®....... sutte Co,
:.
®� L A N D O F N A T U R A L W E A L T H A N D (3 E A U i Y
�--� BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397
TELEPHONE: (916) 538-7541
FAX: (916) 538-2140
August 27, 1997
Carol Diane Prejean
190 Woodhaven Drive
Chico, CA 95973
RE: Code Violation A.P. #056-11-0-073
190-192 Woodhaven Drive, Chico
Dear Ms. Prejean:
This is a courtesy notice to notify you that you are in violation of the
Butte County Code, as follows, at the above -referenced location.
Failure to obtain the required permits, inspections and approvals from
this office for installation of a mobilehome.
Since the additional living unit (3rd unit) is not allowed in the TM -5 zone,
the mobilehome must be removed from the property or the occupancy and use
must cease and desist immediately and the ,mobilehome be placed in dead
storage.
It is the County's goal to obtain voluntary compliance with the Butte County
Code. However, you should be advised that Butte County has an active Code
Enforcement Program which provides an effective means of enforcement if
voluntary compliance is not obtained. Enforcement may be pursued through
the issuance of citations, fines and the recording of a Notice of Violation
including a description of the action necessary to abate the. violation.
You have thirty 30 days �o voluntarily comply with the above directions
or to present an acceptable plan for abatement or corrective actions to
be taken by you. Should you have any questions concerning this matter,
please contact Scott Rutherford or Michael Vieira in this office at the
address or telephone number listed above.
MCV:dms
cc: Assessor
Sincerely,
Scott Rutherford
Supervisor, Building Inspection
BUTTE COUNTY DEVELOPMENT SERVICES
:..COM' PLAINT FORM
Date: & - -L-) - 9 1
Owner] c - � 2p �- 'P �'Z-C_3'� A Pj
Address: 1 C)O 12�20bAAUC1\� -bP
Ca r c. a. CIA q L) L1 1 O
AP# (O
Zoning:
General Plan: A
Supervisorial District # 3
Com laint/Violation Location: 19 - J -b 2 _ Cu I C, )
TYPE: Building [ ]Health ( ]Planning Complaint Taken By:
COMPLAI T: 1-4h S VC -,E iZrr17" -FQ)l i.Mf'
1r . H _ F107 )4 _ 0-J --rH �.
QG���
Caution: [ ]Yes [ ]NQ
Permit History on File: [ ]None [ ]As follows:
:..............•.•.......•.•.......•. ......•..... ::........._....... .
INSPECTOR'S REPORT
Tenant: Address:
Decription of Violation:
Approx. Size of BldgJM.H. Approx. Age of Bldg./M.H.
[ ]Occupied Has Electricity: [ ]Yes ( ]No Has Gas: [ ]None [ ]Propane [ ]Natural
[ ]Vacant Has Sanitation: [ ]Yes [ ]No Obvious Sewage Problems?[ ]Yes [ ]No
Under Construction: [ ]Yes [ ]No Built by/for: [ ]Present Owner [ ]Previous Owner
Hazards:[ ]No [ ]Yes,(explain)
Person Contacted: Describe Action Taken:
INSPECTOR MUST ATTACH A COPY OF THE CORRECTION NOTICE!
ACTION RECOMMENDED
Inspector: Date:
[ ]Information Only, File [ ]Hold for Days
[ ]Complaint Unfounded [ ]Other
( ]Resolved per Inspector's Report ( ]Send Letter for Compliance
. A
,�-9"E51D
t,LIL ALd
August 29 1997 SFP o 2 1997
13 7 ATE COUNTY
F OILDING DIVISION
Butte County
Building Division - -
7 County Center Dr.
Oroville, CA. 95965-3397 '
RE: A.P. 056-11-0-073 Code Violation
L
Dear Scott Rutherford, -
i
I am sorry someone has mis -informed your department regaring an illegal 3`d dwelling
on our property. We have one cabin, one mobile home with all permits required, one 5' wheel
traveltrailer and one 27ft pull trailer. The 5' wheel is a vacation vehicle and the travel trailer is a
temporary storage unit only` We are in the process of purchasing a replacement mobile home and
the trailer is for storing item's during the move. Needless to say all permits will be obtained for the
new mobile and the previous unit will be moved on the same day of delivery. It was used as our
trade in on the new unit.
The travel trailer will be removed after the move into the new mobile. Please feel free to have an
inspector view our property (they will soon for the new mobile) and verify these truths.
If we can be of any further assistance in this matter please advise.
Regards,
Carol D. Prejean
190,192 Woodhaven Dr.
Cohasset, CA. 95973
892-8186 Home phone
345-6395 Work Phone
y` 7
f
I'LL Cw;�F, rn-� Til..E A,Jva vArT
� IEEE jr- 'TeaG (5101IAAMoA CueES
Carol Prejean / T
192 Woodhaven'br. ,> r��N w ..
Cohasset, CA 95973 UAA
i
SEP p 2 1997
BUIL IIV�o
DISI®P,I_
Butte County
Building Division
7 County Center Dr.
Oroville, CA. 95965-3397
Attn: Scott Rutherford
SCALE: 1"=60'
525.81
EXISTING
SEPTIC
EXISTING
LEACH FIELD
175.00 0
to
0
I�
0 PROPOSED
0
• 12' X 65'
MOBILE
(U
EXISTING HOME SITE
1 STORY WOOD
DWELLING
EXISTING
PROPANE
80.00
i
i
O 1
� PROPOSED
1I % DRIVEWAY
l T i
i
EXISTING
\ GRAVEL DRIVE
t
I
EI\EXISTING
I DOMESTIC
Z WELL
oW
.]
N Q
o ai
o
3
NOTES:
1. PROPOSED WATER AND
SEWER CONNECTION TO.
EXISTING ON-SITE SERVICE.
2. EXISTING USE: AG - RES1
I
5 ACRE PARCEL
i
626.79
PROPOSED S ITE PLAN FOR :i —
CAROL PREJEAN
190 WOODHAVEN-DRIVE
.COHASSET. CALIFORNIA. 95973
.A.P.N. 560-tii-0+1 --7,3
/ID _
,/OH,u �o'•9Ns/iya/I�E a sy /� 7 7(, ,v. s �� oQ., „� iovcE ro&„v , ca 94sai
�O
co
v
fn
99 j
)HA►SSwr
N 001—
V I C I N I TY
pL
VICINITY MAP
Ci
--N.r.s.
APPROVED
Dvelo int Plan
DATE
USE -PERMIT VARIANCE
MINOR U.P- ADM.PERMIT
PLANNING COMMISS.
PLANNING MANAGER
�O
co
v
fn
99 j
)HA►SSwr
N 001—
V I C I N I TY
pL
VICINITY MAP
Ci
--N.r.s.
a
�? t3
w w
�<
> d
< ..0
a
1 '
LJ
A
w {
tea
C �
Certificate of Compliance: Residential Climate Zone 11
Documentation Author Telephone
—9/
Building Fjermit MAlq I
Checked By // Date
Enforcement Agency Use Only
BUILDING DATA
Glass Area % Glass
Conditioned Floor Area 6
Number of Stories
North
East
3.S
or
Slab/Raised Floor
Number of Units
South
0. b
Single Family Detached (
[ ]Addition Alone
West
'9.67
[ J Single Family Attached (SFA)
[ ] Existing Building
Skylight
[ J Multi -Family (MF)
[) Existing -Plus -Addition
Total
/ 3
BUU,DING SHELL INSULATION
Component Insulation Llocaflon/Comments
Type R -Value (ander. to
Parsee. tvviat:l. etc.)
Wall ..............
Wall ..............
Roof .............
Roof ............. _
Floor .............
Floor .............
Slab Edge.....
GLAZING Shading Devices
Glazing Area Glass Type Interior Exterior Overhang Framing Type
Orientation (SO (single, double) (holler blind. etc.) (shedescreen, etc) (yesh►o) (metal/wood) _
North ( ) 23L - D �; AS
North ( )
East ( )
East ( )
South
South ( ) I '—
West ( )
West ( ) �� 1 -
Skylight......._
THERMAL MASS
Type/Covering Area Thickness
(slab/exposed, tile, etc.) (sf) (inches) LOCation/Dcscription (kitchenu bath, etc.)
HVAC SYSTEMS Minimum
Type (furnace, air • Efficiency
conditioner, heat pump) (SE, SEERMS
Duct
Location Duct Output Manufacturer / Model #
(attic, etc.) R -Value (Btuh) (or anaroved eaual)
Maximum Furnace Heating Output: Btuh
HOT WATER SYSTEMS .rte Manufacturer/Model #
System Type (storage gas, etc.) Capacity (or approved equal) Soecial Feature(s)
SPECIAL FEATURES/REMARKS (Add extra sheets if necessary)
Mandatory Measures Checklist: Residential MF -1R
NOTE: Lowrise residential buildings subject to the Standards must contain thtse measures regardless of the compliance
approach used. Items marked with an asterisk (•) may be superseded by more stringent compliance requirements fisted
on the Certificate of Compliance. Wben this checklist is -incorporated into the permit documents, the features noted shall
be considered by all panics as binding minimum component performance specifrstions for the mandatory measures
whether they are shown elsewhere in the documents or on this Checklist only.
DESCRIPTION I DESIGNER I ENFORCEMENT
Building Envelope Measures
§2.5352(a): Minimum ceiling insulation R-19 weighted avenge.
§2.5352(b): Loose fill insulation manufacturer's labeled R -value.
§2-5352(c): Minimum wall insulation in framed walls R-1 l weighted average (does not apply to
exterior mass walls).
§2.5352(ky Slab edge insulation - water absorption rate no greater than 0.3%. water vapor
transmission rate no greater than 2.0 pemtfunch.
§2.5311: Insulation specified or installed meets California Energy Commission (CEC) quality
standards. Indicate type and form.
§2-5352(p: Vapor barriers mandatory in Climate Zones 14 and 16 only.
§2.5317: Infnitration/Exfiltration Controls
L Doors and windows between conditioned and unconditioned spaces designed to limit air
leakage.
b. Doors and windows certified.
c. Doors and windows weathers[ripped: all joints and penetrations caulked and scald
§2-5352(e): Special infiltration barrier installed to comply with §2-5351 meets CEC quality
standards
§2-5352(d): Installation of Fireplaces
I. Masonry and factory -built fireplaces have
a. Tight fitting. closeable metal or glass door
b. Outside air intake with damper and control
c. Flue damper and control
2. No continuous burning gas pilots allowed.
HVAC and Plumbing System Measures
§2-5352(8) and 2-5303: Space conditioning equipment siring: attach calculations.
02-5352(h) and 2-5315: Setback thermostat on all applicable heating systems.
• §2-5316(a): Ducts constructed, installed and insulated per Chapter 10. 1976 UMC.
62-5316(b): Exhaust systems have damper controls.
§2-5314(c): Gas -rued space heating equipment has intermittent ignition devices.
§2-5314: HVAC equipment, water heaters, showerheads and faucets certified by the CEC.
§2-5352(i): Water beaux insulation bLa nket (R-12 or greater) or combined interior/extcrior
insulation (R-16 or greater): fust 5 feet of pipes closest to tank insulated (R-3 or greater).
§2.5312(Exception 1): Pipe insulation on steam and steam condensate return 6t recirculating
piping.
§2-5318(d): Swimming Pool Heating
1. System has:
a. On/off switch on heater.
b. Weatherproof instruction plate on heater.
c. Plumbed to allow for solar.
2. 75 percent thermal efficiency.
3. Pool cover.
4• Time clock.
5. Directional water inlet.
Lighting and Appliance Measures
§2-53520): Lighting - 25 lumens/watt or greater for general lighting in kitchens and bathrooms.
§2-5314(e): Gas fired appliances equipped with intermittent ignition devices.
12-5314(a): Refrigerators. refrigerator -freezers, freezers and fluorescent lamp ballasts certified
by the CEC. Indicate make and model number.
COMPLIANCE STATEMENT
This certificate of compliance lists On building feaArres and performance specifications needed to comply with
Mile 24, Chapter 2-53 and Title 20. Ciaptr 2. Subchapter4. Article 1 of the Califomia Administrative code. This
certificate has been signed by the individual with overall design responsibility and the building owner. who shall
retain a copy of it and transmit the certificate to any subsequent purcliaser of the building.
Designer
Name:
Tttk/Furn
Addmss:
Telephone:
Lic. 4 -
signature) -- (date)
Documentation Author
Name:
TitkJFtrm:
Address:
Building Owner
Name:
TitwFirm
Addmu:
Telephone:
(signatu:z)
Enforcement Agency
Name:
Agency:
Tekowne.
(dater)
1. Ceiling Insulation
2. Wall Insulation
Single-
Number of stories
-76
R -value
One
Two
Three
# R-0
-103
-49
32
R-19
-8
-4
.2
R-30'
-2
-1
-1
R-38
0
0
0
U -value
8
6
4
0:50
-176
-84
-54
0.30
-102
-49
32
0.10
-26
-13
-8
0.08
-18
-9
-6
O.C6
-11
-5
-4
0.04.
-4
-2
-1
0.02
4
2
1
0.00
11
5
3
2. Wall Insulation
U -value
0.80
Single-
Single -
-76
0.50
Family
Family
Multi-
- R -value
Detached
Attached
Family
R-0
-68
-51
-34
R-11
0
0
0
R-13
2
2
1
R-19
8
6
4
U -value
0.80
-153
-114
-76
0.50
-91
-68
-46
0.30
-47
-36
.24
0.10
0
0
0
0.08
4
3
2
0.06
9
7
5
0.04
14
11
7
0.02
19
14
10
0.00
24
18
12
3. Raised Floor Insulation
F2 factor
0.90
Insulation in Floor
-3 -1
0.80
-1
Number of stories
0.70
R -value
One
Two
Three
R-0
-17
-8
.5
R-11
-3
-2
-1
R-19
0
0
0
R-30
3
1
1
U -value
37
-26
-14
0.60
-144
-70
-46
0.50
-120
-58
38
0.40
-95
-46
-30
0.30
-69
-34
-22
0.20
43
-21
-14
0.10
-17
-8
-5
0.08
-11
-6
-4
0.06
-6
-3
.2
0.04
-1
0
0
0.02
4
2
1
0.00
1 a
5
3
Controlled Ventilation Crawlspace
-46
+14
Number of stories
0
R -value
One
Two
Three
R-0
-11
-7
.5
R-5
-4
-4
3
R-11
-2
-2
.2
R-19
-1
-2
-2
•4. Slab Edge Insulation
9
15
-
Number of Stories
-7
R -value
One
Two
Three
R-0
0
0
0
R-5
8
5
2
R-7
8
6
3
F2 factor
0.90
-4
-3 -1
0.80
-1
-1 0
0.70
2
2 1
0.60
6
4 2
0.50
9
6 3
0.40
12
8 4
5. Infiltration (Air Leakage)
Specification Fbints
Standard 10
6. Glass Heat Loss
Total
-14
-48
-69
-64
U -value
%Glass
Percent
East
South
.51 to
.41 to
.31 to 0.30 or
Glass Single
Double
.60
.50
.40
less
50
-121
-53
-39
-24
-10
4
40
-90
37
-26
-14
-3
8
35
-75
-29
-19
-9
1
10
30
-61
-21
-13
-4
4
12
29
-58
-20
-12
-3
5
12
28
-55
-18
-10
-2
5
13
21
52
-17
-9
2
6
13
26
-49
-15
-8
-1
7
14
25
-46
+14
-7
0
7
14
24
-43
-12
-5
1
8
14
23
-40'
-11
-4-
2
8
15
22
-37
-9
-3
3
9
15
21
34
-7
-2
4
10
15
- 20
31
-6
0
5
10
16
19
-29
-4
1
6
11
16
18
-26
-3
2
7
12
16
17
-23
-1
3
8
12
17
16
-20
0
4
9
13
17
15
-17
1
6
10
14
17
14
-14
3
7
10
14
18
13
-12
4
8
11
15
18
12
-9
6
9
12
15
19
11
-6
7
10
13
16
19
10
3
9
11
14
17
19
9
-1
10
13
15
17
20
8
2
12
14
16
18
20
7..Shading (Shade Open)
ENeetive Percent Clan
(percent YWs x SC)
Effective
-14
-48
-69
-64
na
%Glass
North
East
South
West
Skylight
18
5
1
4
1
na
16
4
2
5
1
na
14
4
2
5
1
na
12
3
3
5
2
na
11
3
3
5
2
na
10
2
3
5
2
1
9
2
3
5
2
2
8
2
3
5
2
2
7
1
3
4
2
2
6
1
3
4
2
3
5
1
2
4
2
3
4
0
2
3
1
3
3
0
1
2
1
3
2
0
0
1
0
3
1
-1
-1
-1
-1
2
0
-1
-2
-4
-2
0
na = not allowed
t3. Shading (Shade Closed)
Effective Percent Glue
(percent Sian x SC)
Effective
North East South West Skylight
18
-14
-48
-69
-64
na
16
-12
-42
-59
-55
na
14
-10
-35
-50
-46
na
12
-8
-29
-40
-37
na
11
-7
-26
-36
-33
na
10
-6
-23
-31
-29
-74
9
-5
-20
-27
-25
35
8
-5
-17
-23
-21
-56
7
-4
-14
-19
-18
-47
6
3
-11
-15
-14
-38
5
-2
-9
-11
-10
-30
4
-1
-6
-8
-7
-23
3
0
-4
-5
-4
-16
2
1
-1
-2
-1
-9
1
11
t3
2.5
1
-4
0
2
4
3
0
oa . not allowed
8
8
9
3.5
9. Interior Thermal Mass
Interior
SCORE CARD
Slab Floor
SE or HSPF
Raised Floor
Mass
One
Stories
Stmt of 1-6
A
Stories
-25 or -24 to -14 to -4 to
/CFA
One
Two Three One
Two Three
0:0
-8
.5 -
-4
.2
-1
-1
0.1
-8
-5
3
-1
0
0
0.3
-7
-4
-2
0
1
1
0.5
-6
-3
-1
1
1
2
0.7
-5
-2
-1
1
2
2
0.9-
-5
-1
0
2
3
3
1.1
-4
-1
1
3
4
4
1.3
-3
0
2
3
4
5
1.5
-3
1
2
4
5
5
2.0
-1
2
4
5
6
7
2.5
,AP 3
5
7
7
8
5-e-
Z1
J 4
6
8
8
9
3.5
2
5
7
9
9
10
4.0
3
6
8
9
10
10
4.5
3
7
8
10
11
11
5.0
4
7
9
11
12
12
5.5
5
8
9
11
12
12
6.0
5
8.
.10
_ 12_
13
13
6.5
6
9
10
12
13
13
7.0
6
9
11
13
13
14
7.5
6
10
11
13
14
14
8.0
7
10
11
13
14
14
8.5
7
10
12
13
14
15
10. Exterior Wall Thermal Mass
1700
Exterior
Single-
Credit
Single -
10
to
Wall
or
Family
Type
Family
Multi
1699
Mass
more
Detached
Attached
FamN
0.00
0
0
0
0
0
14
0.20
5
3
3
2
1
9
0.40
3
5
2
4
3
9
0.60
3
8
2
6
4
9
0.80
3
10
2
8
5
-45
1.00
-15
13
-9
10
7
2
1.20
1
13
0
12
8
-23
1.40
-8
12
-5
13
9
-25
1.60
-8
10
-5
13
11
-23
1.80
-8
10
-5
12
12
-8
200
3
10
; -2
11
13
6
11. Heating System
SCORE CARD
SE or HSPF
SEER
(assumes ducts In attic)
One
(assumes ducts In attic)
Stmt of 1-6
A
Slm of 7-10 -
-25 or -24 to -14 to -4 to
+6
or
- E HSPF less -15 5 +
+ 5
more
0.720 0 0
0
0
0.75 6.88 3 2
2
1
0.80 7.33 8 6 5
4
3
0.85 7.79 3 11 --10 8
7
5
0.90 8.2 17 15 1 11
9
7
0.95 . 1 20 18 15 1
1
8
Effective SE or HSPF
10.5
(SE or HSPF x duct efficiency)
Effective -25 or -24 to -14 In .4 to +610
16 or
SE HSPF less -15 -5 +5
+15
more
0.30 2.75 -73 -64 -56 -47
-38
-30
na 3.41 -45 -39 -34 -29
-24
-18
0.40 3.67 -34 -30 -26 -22
-18
-14
0.50 4.58 -10 -9 -8 -7
-5
-4
0.56 5.13 0 0 0
0
0
0.60- 5.50 5 5 3
3
2
0.70- 6.42 -17 .15-411
9
7
0.80 7.33 25 22 19 16
13
10
0.90 8.25 32 28 24 20
17
13
1.00 9.17 37 32 28 24
19
15
Zonal Control Adjustment
6.0
System Type
3
4
Resistance 10 9 7 6
4
3
Other 6 5 4 3
2
2.
i
12. Cooling Syst,!m
SCORE CARD
SEER
Measures
One
(assumes ducts In attic)
.d
A
Slm of 7-10 -
-2
-2
Two +
-25 or -24 to x-14 to -410
+6 to
16 or
SEER
less -15 1 •6 +S
+15
more
8.04 12 -10 -8
-b
-4
8.5
-97 -6 -5
-4
-3
8.9
9.0
4 -4 -3
-5 4'
-4 -3� 3 -2
-2
-2
-2
-1
9.5
10.0
0 0 0 0
4 3 3 2
0
2
0
1
10.5
7 6 5
3
2
11.0
10 9 7 6
4
3
120
15 - 13 11 9
7
5
13.0
20 17 14 12
9`
6
0
Effective SEER
0
0
0
(SEER xduct efficiency)
- -
Solar
- -
-
Seen of 7-10
6
5
Effective -25 or -24 to -1410 -4b
46 to
16 or
SEER
less -15 -5 +5
+15
more
5.0
-30 -25 -21 -17
-13
-9
6.0
-12 -11. -9 -7
3
4
6.6
-5 -4 -4 3
-2
2
7.0
0 0 -_: 0 0
0
0
8.0
9 8 6 5
4
3
9.0
16 14 12 9
7
5
10.0
22 19 16 13
10
7
11.0
26 23 19 15
12
8
12.0
30 26 22 18
14
9
13.0
33 29 24 20
15
10
-12
Zonal Control Adjustment
-8
05%
10 8 7 6
4
3
-9
No Coolin. System Installed
-6
Stories
SCORE CARD
Measures
One
-5
.d
A
3
-2
-2
Two +
3
3
.. 2
2
2
1
I
Single
-Family
Uetached and
_
Attached
Raised Floor Insulation
or
I
Unit Size (so
Water
-•(•
;199
I Xn
1700
2200
2700
Heater
Uedit
or -
to
to
to
or
Type
Type
less
:1699
2199
2699
more
SG
None
0
0
0
0
0
or
Solar
12
8
6
5
4
HP
HWR
8
5
4
3
3
WS8
5
3
3
2
2
POU
8
5
4
3
3
SE
None
-37
-24
-18
15
-12
Solar
-1
-1
-1
0
0
15%
HWR
-18
-12
-9
-7
-6
50%
WSB
-25
-16
-12
-10
-8
05%
POU-
-18
-12
-9
-7
-6
IG
None
-5
-3
-2
-2
-2
1.9
Solar
7
5
4
3
2
3.4
POU
3
2
1
1
1
IE
None
-28
-19
-14
-11
-9
0.8
Solar
8
5
4
3
3
2.3
POU
-10
-6
-5
-4
-3
3.7
Multi -Family (Individual
4.2
units)
4.6
4.8
5
52
Unit Size (sQ
20%
Water
0.6
699
700
1200
1700
2200
Heater
Credit
or
10
to
to
or
Type
Type
less
1199
1699
2199
more
SG
None
0
0
0
0
0
or
Solar
14
7
5
4
3
HP
HWR
9
5
3
2
2
4.1
WS8
9
4
3
2
2
5.6-58
POU
9
5
3
2
2
SE
None
-45
-23
-15
-11
-9
3.2
Solar
2
1
1
0
0
4.7
HWR
-23
-12
-8
3
-5
50%
WSB
-25
-13
-8
-6
-5
Z1
EOU
-23
_ -12
-8
-6
-5
n
None
-8
.4
3
.2
; -2
5.1'
Solar
6
3
2
1
1
0.9
-POU
1
-0
0
0
0
IE
None
30
-15
-10
-8
-6
3.9
Solar
18
9
6
4
4
5.3
POU
-8
. -4
-3
-2
-2
Point System Summary: Climate Zone 11
SCORE CARD
Measures
1.
Ceiling Insulation
Q 3g or
f
Interior Mass/CFA
R -value [381
U -value [0.030]
2.
Wall Insulation
-/3 or
-I
U -value (0.098]
3.
Raised Floor Insulation
or
v ue( ]
-•(•
•
Slab Edge Insulation
.• -
'.
R -value [01
F2 factor [0.77]
S.
Infiltration
Standard
6.
Glass Heat Loss
pQL
Type 2 MSS
Type [double]
U -value (0.65]
(1.7au2nCa4.21
(c.cpsted slab)
t TYPE 1 MASS
(U1MC + 4.2, ie:
exposed slab)
�-- --
0%
5%
101%
15%
20%
2S%
30%
35%
40%
45%
50%
55%
60%
6514
70%
7S%
80%
05%
90%
95% t00Y. 105% 110%
1159: 1207: 125•
0%
0
0.2
0.4
0.6
0.8
1.1
1.3
1.5
11.7
1.9
2.1
23
7.5
2.7
2.9
3.2
3.4
3.6.-3.8
4
4.2
4.4
4.6
4.8
S
53
IV.
0.2
0.4
0.6
0.8
1
1.2
.1.4
1.6
1.9
Z1
2.3
ZS
2.7
2.9
3.1
3.3
3.S
3.7
4
4.2
4.4
4.6
4.8
5
52
5.4
20%
0.3
0.6
0.8
1
1.2
1.4r 1.6
1.8
�2
2.2
2.4
21
2.9
3.1
3.3
3.S
3.7
3.9
4.1
4.3
4.5
4.8
S
52
5.4
56
30%
O.S
0.1
0.9
1.1
1.4
1.6
1.8
2
2
Z4
26
28
3
3.2
3.5
3.7 • 3.9
4.1
4.3
4.5
4.7
4.9
5.1
5.3
5.6-58
40%
0.7
0.9
1.1
1.3
1.5
1.7
1.9
2.2
2.4 '
26
2.8
3
3.2
3.4
3.6
3.8
4
4.3
4.5
4.7
4.9
5.1
5.3
5.5
5.1
5 9
50%
0.9
1.1
1.3
1.5,-
1.7
1.9
Z1
2.3
, 2.5
2.7
3
3.2
3.4'
3.6
3.8
4
42
4.4
4.6
4.8
5.1'
5.3
5.5
5.7
5.9
6.1
55%
0.9
1.1
1.4
1.6:
1.8
2
2.2
Z4
Z8
3
3.2
3.5
3.7
3.9
4.1
4.3
4.5
4.7
4.9
5.1
5.3
5.6
5.9
6
6.2
60%
1
-1.2
1.4
.1.7
1.9
Zt
2.3
2.5
2.9,
3.1
3.3
3.5
3.8
4
4.2
4.4
4.6
4.8
5
5.2
5.4
5.6
5.9
6.1
63
65%
1.1
1.3
1.5
1.7
1.9
2.2
2-4
2.6
3
3.2
3.4
3.6
3.0
4
4.3
4.5
4.7
4.9
5.1
5.3
55
5.7
5.9
6.1
6.4
701Y.
1.2
1.4
1.6
1.6
2-
2.2
2.S
ZI
2.9
3.1
3.3
3.5
3.7
3.9
44.1
4.3
4.6
4.8
5
5.2
5.4
5.6
58
6
62
64
7S%
1.3
1.5
1.7_
1.9
Zt
2.3
ZS
Z7
3
3.2
3A
34
3.8
4
4.2
4.4
4.6
4.8
5.1
` 5.3
5.5
5.7
5.9
6.1
6.3
6.5
eOYa
1.4
1.6
1.8
2
2.2
2.4
Z6
2.8
3
3.3
3.5
3.7
3.9
4.1
4.3
4.5
4.7
4.9
5.1
5.4
S.6
5.8
6
62
64,
6 6
85%
1.4
1.7
1.9
2.1
2.3
Z5
2.7
2.9
3.1
3.3
3.5
3.8
4
4.2
4.4
4.6
4.8
S
52
54
5.6
5.9
6.1
63
65
67
90%
1.5
1.7
1
2.2
2.4
Z6
2.8
3
3.2
3.4
3.6
3.8
4.1
4.3
4.5
4.7
4.9
5.1
S3
5.5
5.7
S.9
6.2
6.4
6 6
68
95%
1.8
1.8
2
2.2
2.5
2.7
2.9
3.1
33
3.5
3.7
3.9
4.1 .
4.3
4.6
4.8
S
5.2
5.4
5.6
5.8
6
6.2
6.4
67
69
100%
1.7
1.9
2.1
2.3
ZS
Z8
3
3.2_3.4,;--3.6.-l8_4•
-4.2-4.4-4.6V,4.9._5.1._.5.3_SS-5.7-.5.9-.6.1.=6.3-6.5-6.1-7--
105%
1.8
2
2.2
2.4
2.6
Z8
3
3.3
3.5
3.7
3.9
4.1
4.3
4.5
4.7
4.9
5.1
5.4
56
5.8
6
6.2
6.4
6.6
68
7
110%
1.9
2.1
2.3
2.5
Z7
Z9
3.1
-3.3
3.6
3.8
4
4.2
4.4
4.6
4.8
5
5.2
5.4- 5.7
5.9
6.1
6.3
6.5•
6.7
69
7.1
115%
2
2.2
2.4
2.6
2.8
3
3.2
3.4
3.6
3.8
4.1
4.3
4.S
4.7
4.9
5.1
5.3
5.5
5.7
5.9
6.2��6.4
6.6
6.8
7
7.2
120%
2
2.3
2.S
2.7
Z9
3.1
3.3
3.5
3.7
3.9
4.1
4.4
4.6
4.8
5
5.2
5.4
5.6
5 9
6
6.2,:, 6.S
6.7
6.9
7.1
7.3
125%
2.1
2.3
ZS
2.8
3
3.2
3.4
3.6
3.8
4
4.2
4.4
4.6
4.9
5.1
5.3
5.5
5.7
5.9
6.1
,`, 6'3
6.5
6.7
7
7.2
7.4
Point System Summary: Climate Zone 11
SCORE CARD
Measures
1.
Ceiling Insulation
Q 3g or
f
R -value [381
U -value [0.030]
2.
Wall Insulation
-/3 or
R -value (11]
U -value (0.098]
3.
Raised Floor Insulation
or
v ue( ]
U -value 10.0371
4.
Slab Edge Insulation
or
R -value [01
F2 factor [0.77]
S.
Infiltration
Standard
6.
Glass Heat Loss
pQL
Type [double]
U -value (0.65]
7. Shading (Shade Open)
a. North
b. East
c. South
d. West
e. Skylight
8. Shading (Shade Closed)
a. North
b. East
c. South
d. West
e. Skylight
9. Interior Thermal Mass
10. Exterior Wall Mass
11. Heating System
Zonal Control? (Y/ N )
12. Cooling System
Zonal Control? ( Y / N )
13. Water Heating
a
% Total Glass [ 16]
% Glass SC Eff. % Glass
r
x • X •> _
rpt✓ X = Aer"
X
<- X =
X = �-
% P lass LSCC Eff. % Glass
fes- X ..29 =s-�-
X A
= 3 B
- X =
TYPE 1 MASS AREA .Qh
lVass/CFA COND. FLOOR AREA
Interior6
TYPE 2 MASS AREA = $
Exterior WaMass ND . L OR AREA
II
S r HSPF Duct Efficiency 0.781 Effective SE or -
[03U.61 HSPF [0.5615.15]
X
SEER[ Duct Efficiency [0.741 Effective SEER 17.03]
Ty (SG] Credit (none]
Point Scores
0
=�4 42
Sum 1-6
0.3
�7
Sum 7-10
�3
Point Total: �
E.H. USE ONLY
PUA Aw Attached
Fl. PI.. Aah,:d
S=i to B.D. jai .
— zz
To.. Building Department
FROM: Environmental Health
SUBIECT: Sanitation Clearance
Final clearance. O.K. for:
NOTE -
f
Environme,rital Health S*/ ialist Date
8/92
$
Owner
Location
AP#
Ain _approved for:
Sewage Disposal
Water Supply: Public
Private Well-
Cle,wrance for
bedro,,-)m mobile home. Other Xt
.j,=7
Hold finall for:
Final clearance. O.K. for:
NOTE -
f
Environme,rital Health S*/ ialist Date
8/92
$
,... _ .. _..n .a�tr 5..,.,K ... _ .-. r.,. '��*.. ,,, .o ;�a ..- }' ref . �k 4 � v
n e � rS �
;:
...._ , - � - ,. . - T�