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HomeMy WebLinkAbout027-330-009FAILURE TO FINAL SINGLE FAMILY 9/21/92 11 0 27-33-09 3877-90P,E - NORTH, James 321 Dack Way, Oroville (utilities/MH) f ELEC GAS COMPACTION TEST REQ SUPPORT STRUCT:REQ- 27733=09 4361-90B,P,E,M NORTH; James10 321.:Dack Way, Oroville (new sf) '027-337-0-00§ -._ 9,Z - 3539P,M CONNER, Don. 321 Dack Way, OrovilleJ'^ complete/90-4361 027-33-0-009 Permit#94-1560 B CONNER, Don 321 Dack Way, Orov Ile (to complete 4361-90) . �l U?7-330-009 04-3090 ROBIMNS, GLOR(A, 321* DAC K U'AY., PALLRN10 CONT: O W"N I -R R:L'R 001= BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING; PERMIT 24 HOUR INSPECTION #: (530) 538-7836 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541• FAX#: (530)538-2140 WEBSITE: www.but,tecounty.net\dds LICENSED CONTRACTORS 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: License Number: Date: Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance.' also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): 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 (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for: sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.): ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of thousiness and Plotaksions Code Date: &'1,�' c' I `Owner: 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 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Policy #: ,q I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: G Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one PERMIT NO. BP043090 V Issued Date: 10/22/2004 APN: 027-330-009-000 Site Address: 321 DACK WAY PAL Map Index: Description: REROOF W/COMP 14 SID Owner: ROBBINS GLORIA C 2212 S GRAND BLVD SPOKANE, WA 99203 Applicant: ROBBINS GLORIA C i Contractor: License #: I Architect: Engineer: 1 Total Square Ft: 0 S. R. pD / Valuation: $0.00 Census Code: hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor_r- code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Coda anrvor I. hereby affirm that there is a construction lending agency for the Resolutions to do - d indicated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) -- % c� Q/- /G > a'0 • G Name: BY: Date: Address: PERMIT EXPIRES WIM ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. . ❑ -Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. thereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. /) �1 Print Name: -per, /�Q'GL_� -� �) /1� Signature: Date: C7 ❑ Owner 0 Contractor Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF -DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.neAdds PERMIT NO. BP043090 LICENSED CONTRACTORS 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 Issued Date: 10/22/2004 APN: 027-330-009-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 321 DACK WAY PAL Date: Contractor: Map Index: Description: REROOF W/COMP 14 SQ OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: ROBBINS GLORIA C permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance; also requires the applicant for such permit to file a 2212 S GRAND BLVD signed statement that he or she is licensed pursuant to the provisions of SPOKANE, WA the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 99203 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): 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 (Sec. 7044, Business and Ptofessions Applicant: ROBBINS GLORIA C Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: not apply to an owner of property who builds or improves thereon, • and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). O I am Exempt under Article 3 of th usiness and Pr sions Code Date:l�'oZ�- b Owner: License #: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of pejury 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 Architect: is issued. Engineer: ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Cartier: Total Square Ft: 0 S. F. Policy #: Valuation: $0.00 Census Code: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: O c Applicant: WARNING: Failure, to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages s provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County CodR anrVOr I hereby affirm that there is a construction lending agency for the Resolutions to doxod indicated above for which fees have been paid. ^ performance of the work for which this permit is issued (Sec 3097 Civ.) fG� Name: By: Date. Address: PERMIT EXPIRES ON: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. thereby authorize representatives of Butte County to center upon the above mentioned property for inspection purposes. Print Name: cGL to l� h�j) ,'1 Signature: Date: ❑ Owner 13 Contractor /Q Agent for Owner 13 Agent for Contractor ALICE MEFFORD Supeivisor,.Staff Support Services Land of Natural Wealth and Beauty BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE OROVILLE, CALlFORNIK95965 (530) 538-7541 FAX: (530) 538.2140 rI I Attention Property Owner: An ""owner -builder" building pemut has been applied for in your name and bearing your signature. Please complete and return - this information , at ,your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No' building permit will be issued until this verification is received. ` I personally plan to provide the major labor ,and materials for construction of the proposed property improvement: -YES[ NO[ ]. 2. 'HAVE[ J -HAVE NOT[ v]''signed an application for a building•permit for the proposed work. 3. T have. contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS • CITY: PHONE:.- CONTRACTOR'S I.ICEI�TSE NO. 4_ I plan 'to provide portions. of.this work; abut I fhaye:,.hired .the ;following -person to coordinate,. supervise,- and., provide; themajor-.work: NAME: ADDRESS: _ _ ...__ _ CITY• ._... _.... _. PHONE: CONTRACTOR'S LICENSE NO. 5,. I will,provide some, of the work but I have contracted (hired) thefollowingpersons tok-r' provide the work indicated: - NAME ADDRESS PHONE TYPE OF,,WORK SIGNED: r PROPERTY OWNER: NOTE:.., _ v.Y This. owner=Builder.;Verification. is:required by Section 19831 and '419832-.6f the!!California Health and Safety_ Code:: _ _. This verification must be completed and returned to our office before we are permitted to issue the permit. ic� 1or� Oa7l-, 3o-ooQ�C/oi-S, ► May 1995 2.26 Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for -the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material _ personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned C. Viei* C.B.O. ', Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. May 1995 2.27 RESIDENTIAL" 27-33-09' 4361 90B P E M ` 321 DD' T ack Way Or-ov- l -l -e - --- - - -- - - �� (new �sf) . 3 z j1a ' OFFICE COPY �lAddress�� GAS i 'Meter By Date ELECTRIC Da? � Meter.By JOB FINALED (D e) l — Slgnature V OK O = Not OK = Not Applicable RESIDENTIAL (Single & .Duplex) = Not Ready Date VNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) J. Zoning -Setbacks -Easements -Flood -Slope 45. Ha ig'ers-Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Elec. Grnd.-/A`/'' Ftg. Depth C% Cing. Joist-Rftr. ties -Pu rlin-roof Brac-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 1aet-eTies or Type A Flue -Fireplace Throat clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 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 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped iers-Fireplace Ftg.-Steel O.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Gas Pipe; Size -Anchors mater Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. t. Ai irders-Sills-Anchor Bolts -Joists -Vents -Cripples 15. Insulation Jf DateCard B- Date Card B-1 Date ., Card B-1 Date Card B-1 Date7 PL MBING (Permit) OK exce L#s ,.6 --Water Htr. Vent -Access- ombustion _AW- Baffle 17: ater Pipe; Test & Anchor -Nail Protection 1 1 Q.W.V.; Test -Fittings & Anchor -Nail Protection to sewer Pan; Test, First Floor -Tub Access —2DrTpt'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 ELE IC -AL (Permit) OK except #'s xture & Transformer Clearance -Ins. Protection 3! Iec-Receptacies Spacing -Lights & Switches at Doors �l/24! ize Boxes & No. of Conductors -Stapled 5_ omex Installed Close to Edge of Studs & C.J. ip. Ground made up w/Mech. Fasiners-Bond Gas & Water Appliance Circuts in Kitchen & Conductor Size/GFI �2 Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes No 30_Service-Riser Conductors & Ground -Main Disconnect 31 uip. Clearances Panels-Motors-Mech. Equip. 32. othes Closet Light -Shower Light -Spa Light �,3 . Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s A.C. Ducts Insulation & Support Vent Fan; Exhaust above insulation 6 Condensate Drain & Overflow; Size 8 Grade urnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet . ­38-A-ttic Access & Platform if Furnance in Attic Date Card B-1 Date Card B-1 Date Card 13 Date Card B-1 Date FRAME (Plans) OK except #'s r. 3 siIs-Proper Material & Anchors ] _,'-�40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Baring Walls over Girders & Floor Nailing (� 42 'raft Stop in Walls (rat proof) 4'3. F(te Stops; Furred Ceilings -Stairs -Chases -Tub 4 eaders & Beam -Size & Bearing -----507-arage Fire Protection Framing --Si--Prooky Line Firewall & Openings Doors -One T -Check Garage -3rd Story, 2 Exits --53� fairs; Width -Headroom -Rise -Run -Landing -Fire Protection —54 pfyw on Roof Overhang -Attic Vents -Rafter Outriggers I- idin -Nailing Veneer l 5fi ucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Pjazing Area -Glass Protection -Skylights -Plastic . Shear Walls; Nailing -Bolts 59. In uta ion -Walls -Ceilings Infiltration -Walls -Windows Date % rd B-1 and B DAM'V " /Card B-1 Da Card B-1 Date FINA Plans K except #'s Ex t Door & Sidelight Protection -Landings m e Detector u ace; Vents -Clearance -Comb. Air-Connector- arage; Above Floor-Ducts-Mech. Protection 4. Be room Exiting 5. G ath Fixtures & Tub Access -Spa r 6. Elec. Trim & Subpanel; Breaker Sizes & Labels it lace or Stove; Clearances -Hearth -c. Outlets at Wood Panel; Int. & Ext. Grnd.-Air Gap -Cooking Clearance Elec. Outlets & Receptacles at Kit. Counter arage-PWe-Door; Swing -Landing -Closer Duct in Garage -Damper 7 tr.; Vents -Clearance -Comb. Air-Connector-P.R.V. ���ageF Above Floor-Mech. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location acles in Garage; (G.F:I Romex ction Ins tion -Foam -Looked in Attic Yes ward Rails ck Construction -Post Caps n Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor P Yes 4.80.Fofi'owing instld.; Drive p4es No; Walks ❑ Yes No; Planters 0 Yes No lam_ cco; Brown -Finish 82. nit onnect, Electrical, Plumbing 8 nts Above Roof; Plbg.-Appliance-Fireplace.-Clearance to _gpowngs 4. Wate Well; Disconnect, Electrical, Plumbing 5. Exterior . T.im; G.F.I. Receptacle -Underground 86 i a ' Throughout House ass Protection 88. C ctions from Previous Inspections Meters Tagged; Gas -Electric 90. WguOksewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates Date ` and B-1 Date rd B-1 Date rd 13-1 Date Card B-1 Date and B-1 Date Card B-1 Comments at Final: (NOTE: An entry must be made each time you visit job site) v=OK O = Not OKNot 1 = 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 -Clea rences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L" ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy ' Date Card B-1 Date Card B -1 - Date Card B-1 Date Card B-1 r ' MISCELLANEOUS Date' DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coo nectors Shthg: Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s - 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test ' Date Card B-1 Date Card B-1 _ Date Card B-1 Date Card B-1 COUNTY OF BUTTE -:DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. 3�1�4f� ASSCSSOR PARCEL NUMBER 27_ - ZONING BUILDING PERM T OWNER James R. North TELEPHONE SO. FT. OCC. BUILDING VALUATION 1008 40,320 OWNER'S MAILING ADDRESS 400 N Walton Ave- Sp 10, Yiiba City 9`3991 CONTRACTOR'SNAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace i "All 1.000 CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ 247.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 123.50 Energy Plan Checking Fee $ 15,00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 321 Dack Way, lie Permit fee $ 395.50 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 10.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME Qom . �lS PARCEL MAP /-,z 3 Water piping 5.00 5-00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFK1 Duplex[] Mobilehome❑ Other SPECI FY Gas piping system 1 - 5 outlets 5.00 5.00 Building sewer 5.00 5-00 Mobile Home S G W 10.00 e TYPE OF WORK NewXJ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: 2 bdrm _ Permit Fee $ 40.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service ;000V OR 0 AMP ORLESS10.00 10.00 Main service EA. ADD'L too AMP 2.50 2.50 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one):NEW ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business an Professions Code and my license is in full force and effect. cerise 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) ElI, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.&25.20 OR ADDNS. ( ACC. SLOGS. 2/2Qsgft CONSTR ULTI.OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS .&) (SINGLE OUTLET cIR. Ex. Occup( OR FIXTURES 2AL@ 9L@ 30 FIXED PR \ Ex. Occup. OUTLETS IRESID IEAJ 2.00 Temporary service 10.00 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ 57.70 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 Consent to Self -Insure. shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating 6.00 Cooling g 6.00 Hood 3.00 1 3,00 Ventilation Permit Fee $ 25.00 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments costs, and expenses which may in any way accrue against said County i o sequence of nting of this permi . � ate✓� z�"() X �,�y r. na S� ture of Applicant - Owner [-J +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! occ ITOTAL CONST TYPE A FEE $ 48.20 HAz ^ - CUA PARK r- FL PAR PD HD I20 This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC BY PE IT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date -� 1,4 -T Receipt No. 8488 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT Y A^^ `L+r 1-s;�yp.�::,-•1 t a:^^ r..�ti `9Y 7ft � .`...^."° COUNTY OF BUTTE - DEPART, 041 ({IIIENT OF. PUBLIC WORKS - BUILDING DIVISION 1 7 COUNTY CENTER DRIVE = OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 . -. . ., PERMIT APPLIC°ATION,"DATA SHEET Permit No. /► OWNER t� ti ! KE S Aj 7 1 A. P. No. Proposed Building Use Building Inspector Date�� At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .............. . ........ ........... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 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 ......... �J.rStatement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) —4r - 9. S9. Mobilehome installation data including manufacturer's installation instructions. jo-4-0. Fees of ........................ 11. Chico Urban Area fees paid ....................................... A&1.2. Park es a' ...................................... School i rict fees paid .............. / '2- 21 d9 4. Sanitation approval from He h Department 15. City of Chico plumbing permit ............ .....'�47............. 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 .................. _0_�8Owner -Builder Verification (Given to owner , Mail to owner ❑) ..... 11,. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. _ Mail to contractor. —Del.iver w./inspector. When you issue the permit, process as follows: Mail to owner. Telephone and hold for pickup at office. Copy of Haz-Mat corm 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 Contractor, designer, o Plans checked by Sets of plans on hold in Copy—DPW advised of above required data by—phone Date Plans approved by Fildcabinet AP folder _..date date Date 111 TO Huildinc Department FROM: Envirdnien•tal Health SUHJ=T: Sanitation Clearance Owner Locati n AP# Plan Approved for: Sewaqe Disposal Water Supply ?old final for: Water Supply Final clearance O.R. for: Clearance for bedroo obil home. Other Water Supply Data Sanitarian COUNTY OF BUTTE - Department of Public.Works 7 County Center Drive, Oroville, CA, 95965 Phone: 916=538-754.1 OT?NER-BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing'and issuing your, building permit. No building permit Will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of, the proposed property improvement J10. or no)LOS 2. I (have/have not) /7,6y—e- signed an application for a building permit for the proposed work. 3. 1 have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. -I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the.work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work r, Signed: �¢z� Property Owne ��" Social Secur' N xber Date 7i NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California.Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. dracr)rirr`l^_V-„ '` L--'�'t-�-^.'w'^�lri�'d"Y�s�-- �r�'y--�'°'�..+5"`�'"�t`.��"'"ki'E_" :..�! z•�''.�si �.i,.1,rr„,•ra�l�L� Yv��rr'*'!1•�w.1'rti�Ss-�'"~'��`i"tay ki.'+.:i '-;,^ r BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM _ �`• (One Form per Building) A.P. Number -7''3'°C!-1 - Building --Department No. A School District City = County Jurisdiction Property Owner A V\ Ali)tL714 Project Location/Address ,?.. /�'�.-/ac,, WA Subdivision Lot Number .Residential Development: Sq. Footage # of Living MHI Addition (Group R) Units fo DSL Commercial/Industrial: a Sq. Footage - New Addition (Including Exterior Roofed Areas) 014- 2 1 / .2-'1-2 Building D&artment Representative Dater t' (Floor Plans reviewed by School District Personnel) District Id-No. School District certifies that. (Applicant' Name) (Phone Number) (Street Address) ( City) (S((//taste) ( Zip Code) J ` has complied with the requirements of Resolution No. Gs� d by the /payment of $ representing O square feet. School Di" ict Representative Date PAID BY CHECK,NO. ( BANK NO PAID BY CASH J REMARKS: white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) 5/89 RESIDENTIAL PLAN CHECKING GUIDE (S.F.,- DUPLEX &.MISC. ONLY) n Bldg. Permit # OWNER �4-1W e --Q. UC �� A.P. # 5;;;29 33 --0 GENERAL ning requirements: (sideyards and number of permitted living units). Valuation. Plans signed by designer. 4. nergy,Design and Compliance. Existing violations on property. Items on data sheet. PLOT PLAN Complete parcel size and dimensions. Setbacks, sideyards, easements, etc. Other buildings or structures. Grading, fills, drainage. Flood hazard. �C Special conditions on creation map or compliance document. FAU & FAS road setback. FT.nnp PT.AN r ,,V -1 -Complete to scale plan with dimensions. quired windows for light and ventilation (Sec. 1205). quired windows for second exit (Sec. 1204). ,Shlights (Chapter 34-& Sec. 5207). >,_Human impact glass (Sec. 5406). i0 Re wired room sizes, ceiling heights (Sec. 1207). ` CIs in baths,, garage, and exterior outlets (Article 210-8). Light fixtures., switches, receptacles, and exterior receptacles for maintenance of mechanical equipment - Locations of water'; at;r, heating and cooling equ t, other electrical or gas equipment, and plumbing fixtures. Garage firewall, door size, and,closer (Sec. 503(d)(3)). • 1 - 3'0" exterior exit door (Sec. 3304(e)). fireplace and wood stove location, alcoves, and clearance. AI -T. moke detectors (Sec. 1210). STRUCTURAL DETAILS Foundation plan complete enough to construct building. Floor construction details complete enough to construct building. /. /Elevations and wall construction details complete enough to construct building. Roof construction details complete enough to construct building. Fireplace construction details and talcs if necessary. MISCELLANEOUS ITEMS TO LOOK OUT FOR Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306). .� Guardrail details (Sec. 1711 & 3306(j)). eX Brick or stone veneer (Chapter 30). 5/89 RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONT'D) Exterior plaster - weep screeds (Sec. 4706). Proper roof pitch for roof covering (Chapter 32). Roof covering type - (fire hazard). — Rafter ties or bearing ridge beam. Garage door or porch header sizes. Adequate bracing. Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. Two exits on three-story dwellings (Sec. 3303 & see Mezannines - 1716). 12. Attic access and ventilation (Sec. 3205). Underfloor access and ventilation (Sec. 2516). Combustion air for fuel burning appliances. Noise requirements on duplexes. I.- Adobe soils - special foundation design. jDk Retaining walls requiring design. Unusual shape, size, or split level house requiring lateral design. Flashing at all exterior openings. .Return tp 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. The property described herein is adjacent 90-054148 to land or included within an area zoned ` for agricultural purposes, and residents Recorded of this property may be subject to incon- , of Records County 6f veniences or discomfort arising from the Butte use of agricultural chemicals, including, ` Candace J : Grubbs but not limited .to herbicides, pesticides, and fertilizers; and from the pursuit Recorder � 12:01pm 19 -Nov -90 of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. tural zones which have as a priority use for productive within said zones and on adjacent property should be or discomfort from normal, necessary farm operations. 1 1 1 1 1 1 1 1 f•9Q- 0 14 8 Rec Fee Cash 1 7:00'". 7.00 yR. GF 2 Butte County has established agricul- agricultural purposes, and residents prepared to accept such inconvenience All 'th-at real :property: -.-situate in the County of Butte, State of California, described as follows: SPe Date: //-/%- J` -O PROPERTY OIJNERS• z State of On this the/%day of ,���1��„„�,b� 19 -2,0, before me, the SS. undersigned Notary Public, personally appeared County of ,r OFFICIAL SEAL JANIE STEVENS Pd4YTARY PUBLIC — CALIFORNIA COUNTY OF BUTTE Comm. Exp. Sept. 11, 1992 C] Personally known to me. roved to me on the basis of satisfactory evidence. to be the person(s) whose name(s) /s subscribed to the within instrument and acknowledged that executed the same for the purposes therein contained. IiN WITNESS WHEREOF, I hereunto set my hand and official seal. Present A.P. No. ) !-33 —0 iot ry Public �L��� mJ�° O J�� J� � Q Gp O o�� �o� •cwo y 90-50148 ORDER NO. BU -117070=3 + DESCRIPTION ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS: PARCEL I' LOT 9, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "ORO HILLS RANCH SUBDIVISION", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER'OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE 7, 1985, IN BOOK 100 OF MAPS, AT PAGE(S) 36 AND 37. RESERVING -THEREFROM A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES, OVER DACK WAYAS SHOWN ON SAID MAP. PARCEL II- A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES OVER DACK COURT AND DACK WAY, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "ORO HILLS RANCH SUBDIVISION", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE 7, 1985, IN BOOK 100 OF MAPS, AT PAGE(S) 36 AND 37. EXCEPTING THEREFROM ALL THAT PORTION LYING- WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN PARCEL III• A 60 FOOT WIDE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES, ON, OVER, AND UNDER A STRIP OF LAND, THE CENTERLINE OF WHICH IS MORE PARTICULARLY DESCRIBED'AS FOLLOWS: BEGINNING AT THE NORTHWEST` CORNER OF SECTION 23,.TOWNSHIP 18 NORTH, RANGE 4 EAST, M.D.B. & M.; THENCE SOUTH 63 DEG. 15' 23" EAST, 419.40 FEET TO A TANGENT CURVE CONCAVE NORTHERLY HAVING A RADIUS OF 150 FEET, A CENTRAL ANGLE OF 52 DEG. 30' 2611, AN ARC LENGTH.OF 137.46 FEET; THENCE NORTH 64 DEG. 14' 11" EAST, 249.28 FEET TO THE -CENTER OF A 50 FOOT RADIUS CUL-DE-SAC; THENCE NORTH 75 DEG. 33' 38" EAST, 523.62 FEET TO. THE END OF THE HEREIN. DESCRIBED CENTERLINE. lq PAGE 5 END OF DOCUMENT ��'�`'; -sY.. :,+•�-., r. ;.c � i`ti:",""" ..„_. � - v. srwr-yw � tiY1F '.-.4*.�C;.n..'.'F���'-{'K'�t.tY�.j. �e-i�1'R'-.i;s'.�,9.-. Sy,*",.'�"i,.,tn;p.�✓!.2;�":,�.js.�y�.s`���k:�,.��oay �r+r� x Permit -#94-1560'B- 027-33-0-009 :< ' , a .CONNER, Dori ;. 3 32�, Dack .Way, Oroville *> '(to complete 4361-90) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 �y /SG IT NO. APPLICATION AND PERMIT ASSF �=1j�F,�NWtIBE�^� 33•'�I'�UU ZONINGA-5BUILDING PERMIT WN R '"Ton )Toil COId;Im, TELEPHON 3b-4031 SO. FT. OCC. BUILDING VALUATION DW"Y1,200 'SpltilAll)ax D342, Oroville 95965 CONTpAC;O 'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER hT UNKNOWN Total Valuation Is NeRe LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ 29.010 ARCHITECT OR ENGINEER T LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER' AIL G ADDRESS Penalty $ BUILDING ADDRESS 321 Deck Tela Oroville PERMITFEE $ 49 � PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF Gni. Duplex O Mobilehome O Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @ 20.00 TYPE OF WORK New O Addition ❑ Remodel O Utilities ❑ Installation O Other CIX Describe Work: Completion of work started under 4361-90 PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOVORLESS ZOOA OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 /� A�nn 92-3539 P. NEW CONST. ( DWELLING BLDU) OR ADDNS. BACC 3.5C F°,- CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 'ffl—f, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ lam exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON.RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BA2L0 @ 1.O000 Ex. Occup.(FIXED APPWS. OR OUTLETS(RESID.)EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. I 4-1 shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. // n X cc:, Date (A 2 7 Sig tur6 of Applicant - J} -owner O Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE I TOTAL FEE $ 49.00 HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. !%� ✓ Date PERMIT EXPIRES ON (Dote) 163225 Receipt WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 -Telephone (916) 538-7541 ����T NO. APPLICATION AND PERMIT ASS V G/ J J N V BEV09 ZONINGA_5• BUILDING PERMIT "WON SON CONNER TELEPHONE 589-4081 SQ. FT. OCC. BUILDING VALUATION Est , 200 OWN R'S AILING ADDRESS Box 5742, Oroville 95965 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 2 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERItAM ADDRESS Penalty $ BUILDING ADDRESS 321 Dack Way,Oroville PERMIT FEE $ 49.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF [ Duplex O Mobilehome ❑ Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑Y Describe Work: Completion Of work started under PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 —90 Main Service 1 6200VA200A OR LESS OR LESS ) 23.00 Main Service 1 200A TO I000A ) 46.00 — NEW CONST. DWELLING OCCUP. OR ADDNS. I & ACC. BLOS. ) SO. 3.5C FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET .NON•RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS 1 & SINGLE OUTLET CIR. I Ex. Occup. ( OUTLET OR FIXTURES ) B20 @ 1.00 Ex. Occup.FIX ED APPWS. OR (OUTLETS IRESID.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a `4Certificate of Consent to Self -insure. 4 shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X(QrLDate - Sig7i aturre of Applicant - wner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 49.00 HAZ. 1 D. FEES I IMP I FLOOD CDF PARCEL PD I HD I ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. Date PERMIT EXPIRES ON v /Date/ Receipt 163225 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I Owner: permit No. ENERGY C B R T I F j U a v n 321 Dack Way, Oroville Ca. A.F. No. LOCATION I)ESCRIP'1'ION OF INSULATION ROOF ala t e r L a lam__— Th tckness(lnches) EXTERIOR WALL llaterial F161:RGL"AS S DATTS Tllickneee(inclies) 3�„ Brand Name Thermal Resistance (K Value)_,_._ Brand "ams — Tllermal Resiatance(R Vatue) ll' — CEILING Brand Name Batt or Blaidcet Tyi1e—.___._ TilBrmal Realetance(R Value)________ Tl,ic!sness( incl►es) 6cAr�l Naris Ol+�_NS CORNTN[; Loose FLII Type RGLAS �� tb. l,g Number of Bags 20 Ht. per beg 3_5 Minimum Tbicknesl(Incl'1000 'fl�ermaI. Resistance(lk Value) R38 Area covered(ft. ) FLOOR, ELEVATED Material Tit ickness (1 ncl�ee) FLOOR, SLAB Material Thickness (lncl�ea) width inches) FOUNDATION WALL Material a knase(inches) Brand Name Thermal Reblatance(R Value) Brand Name Tllerwal Restatence(K Value)_ __._._. BrOM N40 Thot"I T � c •• alloil to -the I I►ereby certify that tl�e above insulation t l Rorn14 Nasriyaequlrwente�gaov building in conformance with the state of e 1 9 LOERKE 1NSU..AT 1ON CO. INC. ATATZ CONTRACTOR 8 l.ICa"SE N0. FIRM NAME/ONNi:R STC TURE OF IN. AMATIO I APP1.iCATOR November 9, 1992•. VATIC • . I hereby rectify tlle above ineup�isndand etteclwanteihaveiboon instaled red tems Of lloaetile BuLldiug Deperimel►t approved ple required by the State of California Bnergy Requitemente. All equip�aent, devices end Mato ere of tl►e quality prescribed or are specifically approved by the State of CalifocniA. FIRN "ANE/ OHNP.R (Please print) STATE CONTRACTOR S LICENSE t10. SIGNATURE OF (IF9ERAL CON1'M1:1'OR OHNER DATE TATS CERTIFICATE MUST BE ON FILE WITH �POSTED II9 BUILDING INpTI "I"t PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL B ING ,lanuary 1984 . � COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS a' 196 Memorial Way, Chico — Phone: 891-2751 j 7 County Center Drive, OroviIle — Phone: 538-7541 747 Elliott Road, Pkaradi!�e� Phone: 87.2-6307 CORRECTION\ NOTICE4 OWNERPERMIT'NO.5 S S y 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 n additional explanation, please contact this office immediately. .►rte i �4,v 47 x�y1p i :.. •,cc _ _-.i rte, .. " ... ,r• � . . �t + - COUNTY OF BUTTE DEPARTMENT OF PUBLICWORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drivd, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA'- (916) 872-6307 CORRECTION NOTICE Jit 4A -1A 4061 OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please 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. COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER - PERMIT -NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at; the above address and should be corrected. Please notify this office when correction of work is completed. I ou have any questions pertaining to this matter, or need additional explanation, please con t this office immediately. n Date Inspecto REV 10/92 atit „ COUNTY OF BUTTE Department of Development Services Building Division Oroville: 7 County Center Dr., Oroville CA 95965 Ph: 916-538-7541 tir Chico: 1469 Humboldt Rd., Chico CA 95928 Ph: 916-891-2751 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) I (have/have not) A, signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractor's License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise,, and provide the major work: Name Address City Phone Contractor's License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security Number Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. ' FY STATE OF CALIFORNIA ) � k *,# I I) ss. COUNTY OF LOS ANGELES ) On March 15, a Notary Public in and for said State, pe ,personally known.to me (or proved to me c be'the person who executed the within Ins Shirley C. McIntyre , personally k of satisfactory evidence) to be the.persc Assistant Secretary of TRANSAMERICA DEVEI executed the within Instrument, known to within Instrument, on behalf of the Corpc me that such Corporation executed the wit a resolution of its board of directors. WITNESS my hand and official seal. OFFICIAL SEAL r . VERNA LEE SMITH NOTARY PUBLIC - CALIFORNIA LOS ANGELES COUNTY PAY CORIRI. Expires July 18, 1988 T �y Hqy 91F pGv�uy Ct.Eet4� af..1 ,�u/.�C Donald R. & Christine M. Conner P.O. Box 5742 Oroville, CA 95966 RE: Building Code Violation 321 Dack Way, Oroville Dear Mr. and Mrs. Conner: BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (916) 538-2140 April 12, 1994 A.P. #: 027-33-0-009 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 approval of previous corrections and failure to obtain final inspection prior to occupancy and permit expiration for construction of single family residence. Since permits and inspections are required for the above work, apply for the required permits to make corrections and complete project and pay tthe appropriate fees. All work must stop until these permits are issued and you are authorized by our field inspector to proceed. This field authorization cannot be made until the existing work is inspected and approved. 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 to .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. questions concerning this matter, please contact Michael Vieira or Scott Rutherford in this office at the address or telephone number listed above. MCV:d.ms cc: Assessor Yours very truly, *haelMCA!Vie�ira, C.B.O.' Manager, Building Inspection James Richard North 321 Dack Way Oroville, CA 95965 RE: Building Code Violation 321 Dack Way, Oroville Dear Mr. North: September 23, 1992 A.P. #: 027-33-0-009 This is a warning letter to notify you that you are in violation of the Butte County Code at the above referenced location as follows: Failure to obtain approval of previous corrections and failure to obtain final inspection prior to occupancy and permit expiration for single family residence. Since permits and inspections are required for the above work, please contact this office within ten (10) days of the date of this letter, apply for the required permits to make corrections and complete project, and pay the appro- priate fees. All work must stop until these permits are issued and you are authorized by our field inspector to proceed. This field authorization cannot be made until the existing work is inspected and approved. Please be aware that Butte County has entered into a Code F,nforcement Program that seeks voluntary compliance with the Butte County Code but provides an effective means of enforcement if such compliance is not obtained. If voluntary compliance is not obtained, enforcement will be pursued through the issuance of citations, fines, and the recording of a Notice of Violation. Your cooperation in resolving this matter would be appreciated. Should you have any questions concerning this matter, please contact Rod Taylor or David Purvis of this office at (916)538-7541. RT:dms cc: Assessor Building Inspector, Oroville Yours very truly, Z/'�' David Purvis Supervisor, Building Inspection / COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 \ APPLICATION AND PERMIT PERMIT NO. 92-3539 ASSESSOR PARCEL NUMBERZONIN' 027-13-0-009 _ BUILDING PERMIT y OWNER DON CONNER TELEPHONE 589-4081 S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 155,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome❑ Other 1a�f�i SPECIFY Gas piping system 1 - 5 outlets 5.001 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New❑ Addition ❑ Remodel❑ Utilities❑ Installation❑ Other Describe work: Permit to complete 4361-90 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AA OR LESS 18.50 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. 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 200ATO1000A, 37.50 NEW CONST. ( DWELLING OCCUP.&) OR ACDNS. ACC. BLDGS. 3.64sq.ft. NEW CONSTRES'D, RANCH NO N•R ESID BRANCH CIRC ITS @ 5,00 POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 @ 76 EX. Occup. FIXED __OUTLETS (RESID )REAJ I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate 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 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ 24.00 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the COuntyof 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 a t said County in consequence of the granting of this permit. — Date �� Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Ener Inspection Fee $ Energy P occ CONST TYPE TOTAL FEE $ 45.00 HAz I DFEES I IMP I FLOOD I CDF PARCEL PD I Ho I ISS This permit is hereby issued under the Si ons o Butte o n Code an wor ndi ated e • r which DI UB P PI R ES Date , �%�7-/� a plicable pr i- 4or solutions to do ve been paid. RKS DatJ-0/6/92 9 i6 93 �-cl Receipt No. � �- . WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER '')_09/-�- ZONIN y BUILDING PERMIT OWNER Do TELEPHONE SO. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS P,/Jz5 OW 0 �%? - ( 5� C,�///�` CONTRACTOR'S NAME TELEPHONE CO RACTOR'SNrAILING ADDRESS Fireplace CONSTRUC TI LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDR115AS.S Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADORES Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS ,n MACK �, �'i `� Permit fee $ crrz© CIA PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each gas water heater or vent 7.00 USE OF STRUCTURE SFV, Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 C70 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition )❑ Remodel ❑ Utilities ❑ Installation[:, Other Describe work: 'A_rw,1h to cw4,pie Permit Fee $ 2_0 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service SS 200A OR 00v OR LESS 18.50 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. Classification FlI, 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 20CATO1000A1 37.50 NEW CONST. ( DWELLING OCCUP.�\ OR ADONS. ACC. BLDGS. II 3.60 sq.ft. NE w CON5TR ULTI.OUTLET N O N.R -S1 Q, BRANCH CIRC ITS @ 5.00 (POWER APPARATUS til \ SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURES A20 754 FIXED EX. Occup. OUTLETS P(RESID )REA.) 3.00 Temporary service 1 15.00 Mobile Home Facilities 15.00 Misc. Iyirin g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 1 15.00 Heating (_ -- Cooling g Hood t6—.:5:0 Ventilation permit Fee $ ao 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 Sinature of Applicant — Owner 9 PP ❑ Contractor ❑ Agent ❑ An OSHA over 5'0" deep and demolition or construct- ion of structures toverr 39storries in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEES S� HAz 1 0FEES IMP I FLOOD I CDF PARCEL I PD I HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date 2 Sq Gt -7 Receipt No. ( WHITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT 'COUNTY OF' BUTTE =-Depart ent of Public- Works _ 7 County Center Drive, Oroville, CA .95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature.. _ Please complete and return this information at your earliest.opportunity to -avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification".is received. 1. I personally plan to provide the major labor and matdrials for construction of the proposed property.improvement (yes or no)L 2. I (have/have not) signed an application for a building permit for the .proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License -Na-. .4. I.plan'to provide portions of this work, but I have -hired the following person to coordinate, supervise, and provide the major work: -- Name - Address City Phone Contractors. License No'. 5. I will provide .some of the work but I.have contracted (hired) the following persons to provide the work indicated: Name Address -Phone Type o -f Work NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831.and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER V- ZONING BUILDING PERMIT OWNER J TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS�+� 40 N VAL1"t SP tI`3, TIM ""i CONTRACTOR',SS NAME o TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER l LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECTi OR ENGINEER'S MAILING ADDRESS • Penalty $ BUILDING ADDRESS ,rye iI'M-1, WAY 0"V permit fee $ ulim PLUMBING PERMIT Filing Fee 15.00 ' Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 ;, USE OF STRUCTURE SF Xt Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW I @ 15.00' - TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Innsctallation❑ OtheR Describe work: IST ?SO" IV "361' t Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15:00 Main service 600V OR LESS 18.50. 200A OR LESS Main service 200A TO IOOOAI 37.50 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. Classification U I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑' 1, as the owner, am exclusively contracting with 'licensed contract- ors. (Sec. 7044) ❑ ,, I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUPM 3.54 sq.ft. OR ADONS. ACC. BLDGS. / NEW CONSTR. ULTI.OUTLET NON-RESID BRANCH CIRC ITS i@ 5.00 _ POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES 20 76d' Ex. Occup. OUTLETS;RES­ IRE ! J 3.00 Temporary service j1 15.00 Mobile Home Facilities 1, 15.0011 Misc. Wiring g 15.00 ' 1 �\ Permit Fee s. — 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 . e f -:-surae. 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 ' FPIingFee 15.00 Heating f , \ ,' Cooling Hood 6.50 '\ Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all 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" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $'� . HAz I DFEES I IMP I FLOOD I CDF I PARCEL I PD I HO ISSUE This permit is hereby issued under the applicable pr ovi- sions of the Butte County Code and/or resolutions to do Work indicated above for which fees have been paid.. DIRECTOR OF PUBLIC WORKS By 1 -*14" Date PERMIT EXPIRES Date q r ' - Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. COLDENROO-APPLICANT utte r .� J"' __ _ . _- OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: James R. North ADDRESS: 400 N. Walton Ave. Sp. 10 CITY & STATE: - Yuba City, CA 95991 IMPORTANT: SEE INSTRUCTIONS January 4, 1991 DATE OF CLAIM: ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Owner has decided not to do work. Permit #3877-90MHU,3879-90MHI, #4276-90B,AP#27-33-09, Receipt #84255 & #84257, dated 11/7/90, ate . Total Permit Fees Paid--BP#3877-90, receipt #84255 --------- $92.50 Retain 1 --------------------------- Retain Plumbing Permit Filing Fee------------------- 10.00 Retain Electrical Permit Filing Fee----------------- 10.00 Total Permit Fees Retained--------------------------------- 35.00 TOTAL REFUND DUE------------------------------------------- $57.50 Total Permit Fees Paid--BP#3879-90, receipt #84257--------- $70.00 Retain Plan Checking Fee ---------------------------- $15.00 Retain Building Permit Filing Fee------------------- 10.00 Total Permit Fees Retained--------------------------------- 25.00 TOTAL REFUND DUE ------- ----------------------------------- $45.00 Total Permit Fees Paid--BP#4276-90 receipt #84814--------- $85.75 Retain Plan Checking Fee ------------------------------- $25.25 Retain Building Permit Filing Fee------------------- 10.00 Total Permit Fees Retained--------------------------------- 35.25 TOTAL REFUND DUE ------------------------------------------ $50.50 TOTAL 153 00 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performs dellveted, and that this claim is true and correct as stated. &C-11 ! �u n� -� 1.,�J/•� , Dated this �"C........... day ofr»..... 19 �, at........ Calif.?.�..�:._` �•[ Kr ....f ..... ........... .............. �Ja✓ Signature of Claimim ant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de. livered and that there is a Budget Appropriation ❑ or Specific Board �� Approval O (Check one) for ams Dated this.......4rFA.................... day of ....slf��}� Xy.... 19.9x. at ..1lX�}!.�.��Pr..... . Callf. ...... .epaKment Head or Auth •Deputy CCdO 440-002 Cod 4210500 Const. Permits ode ............................................ Code ................................................PAYABLE FROM........................................................................................... FUND DO NOT WRITE BELOW THIS LINE — AUDITOR'S USE ONLY DEPT. & SUB. PROD. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. ` s 12-1,-74115�o C%C-�-Ci�tiG � � (IJV �' �'�.•E%C.-!/'LZ.i G%CjC/�- :�C��-•� `"' age -53C6- 92 W1111�16 s Z� 1eal - 7eq COUNTY OF BUTTE o-6EPARTMENT OF PUBLIC WORKS 7 County Center Drive - OrDville, Galifornia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. 3877-90 ASSESSOR PARCEL NUMBER 27-33-09 ZONING A5 11 BUILDING PERMIT OWNER James R. North TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 400 N Walton Ave Sp 10 Yuba City 95991 CONTRACTOR'5NAME Unknown TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 1�- LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee Energy Plan Checking Fee Penalty $ 15.00 $ $ BUILDING ADDRESS � Permit fee $, 15.00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION 9 NAME Oro Hills Sub PARCEL MAP f0U 3(v/3 Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeEN Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I I G LW I 10-00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ UtilitiesU Installation❑ Other ❑ Describe work: 2 bdrm _ Permit Fee $ 40.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 10.00 Main service EA. ADD'L 100 AMP 2.50 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F -1I 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 Fl 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 iZfor sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& OR AODNS. ( ACC. BLDGS. ! , 2/z¢sgft NEW CONSTRMULTI-OUTLET NON.RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup( OR FIXTURES 2AL0 eLo30 FIXED APLNS. Ex. OCCUp. OU LETS ( R RESID IEA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 15.00 Misc. �yirin g 15.00 Permit Fee $ 37.50 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. 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, aW expenses which may in any way accrue agains said County4? gonsequeeA the granting of this permit. X� G �/ Date lu Si re 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 $ occ CONST TYPE TOTAL FEE $ HAz cuA PARKSCHL FLo PAR HD Issu This permit is hereby issued under sions or the Butte County Code and/or work indicated above for which fees D! ECTOR OF PUBLIC By PE !T EXPIRES Date the appiica le provi- resolutions to do have been paid. WORKS Date /Z-{ 7—cF� /Z' —17— - Receipt No. 94255 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT y `.rr'�",• 4t�4r�4+"`�i-���- A.—. r�.,SY"!�-''�'f�.y �r+..G..,Sy.�s•.'�.�.. ' COUNTY OF BUTTE - DEPARTME,jT,OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE -.OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT A2PR61�,A ION DATA SHEET Permit No. OWNER v� s �� A. P. No. Proposed Building Use Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED ' 1. All items have been submitted . .................................... 1 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including -manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 11. SMI Distric / s paid .............. — !.l Sanitation approval from / (% 1 � Health Department 15. City of Chico plumbing permit ..................................... `- 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... A I ovements may be required. Contact Land Development Section DPW e. Dtiveway 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 .................. ` ,/2� Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) -LL77 Recorded copy of Agricultural Acknowledgment Statement— LetW of signature uthorization / . rdo1 o; D to11*6�AIf j� 5ti-ff 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant•�w�/ ovZ`l.Date �� 7� Copy of Haz-Mat corm 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 issuan e: Cir e' ew item not 'c`hesked.. above). 1. Index permit for above items No. 2. Additional items required: ` t Contractor, designer, owner, was advised of above required data by_phone---nail—counter by ..date Contractor, designer, owner, was advised of above required data by_phone_mall_c unter by date v' Plans checked by Date Pans approved by Date ' Sets of plans on hold in File cabinet AP folder Copy—DPW Mid Valley Title & Esanw Caq:)any 2295 Feather River Blvd Siitte A * Oroville, CA. 95965 (916) 533-6680 .r(A`!IDER: .117070- - - .d'Y: C DA < wAy TODAY'S DATE:- 12/07/90 . - OFMILLE, CA. 95966 CI1OSI1'JG DATE: 11/20/90, VACANT! LAND MCATED ON DAC K WAY ESCROW CLOSING STATEMENT OF: JArIEs R. NORTH OTHER PARTY: y HURRY T. RUNG'E, JR. CYNPHIA A. RiJNGE BUYER'S CLOSING STA'IZTP ------------------------------------------------------------- DESCRIPTION --------------- --------------------------------------------------------------------------- DEBITS,.CREDITS. Sales Price - _ --- -- ,Deposit By BUyer 27,500.00 Second Deed. of Trust H1H3'W & CYNTHIA RUNGE2, 903.11 First Deed of Trust (Assn m) BEITY R.. SIl�SON Load ' 5.000.00 s Credit for Title & Escrow Fe� AND CYNTHIA RUQ'- 20,000.00. 2ND% IlNSTALL 90/91 , TAXES . BUTTE COUNTY TAX COLLECTOR 250.00 Prorate Taxes 125.11 .f 28.00. Balanoe .Due To Buyer " TOTALS , -=------------ ------------------------------------------------------ 27 903.11 7-7 27,903.11 . This statement should be retained by You for Income Tax puzposes: ---- #3-117070 AP# 27-33-9 DO NOT DESTROY THIS NOTE. When Dald, this note. If secured by Decd of Trust."must be surrendered to Trualte for- . csnctllallon, before reconveyance will be made. D Installment _Qote==3lntere5t 3ndubeb O --- Orc�_ille- t California, ........ ---- In installments as herein stated for value received, I promise to pay to _??Y T. RUNGE, JR. alld_.0 ij.A_,__RWQB_.__husband-and_wife_as Joint _Tenants ------------------------------------------------------ or - order, at ---- any_.placa-m._daslgaated__by_he-----------------------------left__- -------------•---- t*h*e sum of FIV 1HQUSMD__.and._OW100._**Dollars_ with interest from _No-v_embe r 2 0, 1990 _ _ on unpaid principal at the rate of-__TIIV___________________ per cent per annum; principal and interest payable in ...._..._ n lY______________________ installments of ONE..HUNDRED--and 001100 ********************** ********�'*************** DOLLARS ....... . .... . - - - -- - -------- - - ------ - - ------ - - - ------ --------- --------- - -- , or more on the ----------- 0th-------- ----- I--- day of each _._and every____________________ _ month, beginning on the --------2 0 t -h -------------- day of __December --------------------------------------- ------------- 19 90---------------------------- ---- --------------------.....-------------------------------------------------------------------------------------------------------------------------------------------------- ---------------------------------------- and continuing until said principal and interest have been paid. Each payment shall be credited first on interest then due and the remainder on principal; and interest shall thereupon. cease upon the principal so credited. Should default be made in payment of any installment when due the whole sum of principal and interest shall become immediately due at the option of the holder of this note. Principal and interest payable in lawful money of the United States. If action be instituted on this note I promise to pay such sum as the Court may fix as attorney's fees. This note is secured by DEED OF TRUST.' L� �?----------------------- ------------------------------------------------------------ RI NORTH s �.ar.+. 27-3 - _ 4 M.D. J— ORO HILLS RANCH SUBDIVISION , T. 18N. R• E• s & H/omQnship S4+a11 Be i^ • , too _. eclfications MUST be NOTE!—Au Material , This set of plans and sp f, "- kepton the job at all times and it is unlawful to Accordance with Recognized eke S°O rifled W e in the - - IB of a quality prescriber honied Codes and - make any changes or alteratigns on ame jr]� Uniform Building. Plumbing & Mec `ro-f— tncal Code. - out written permission from the Departmen o the National Hec . ' 25"3 $•O6 — - -Public Works, County of Butte. Npp°09 WEcez.c9 ^, 1 r !63.33 0•. h r 3 11 - • 12 Ac ' 8.10AC 3.o1Ac - 4 w 9.01AC \:/ v At I 121. / -- - l 300.3. ID - 270• - _ .�-�" _ •-" / a ���0 '�� .� \ \yam i�� � / 1 �� . 00.1 1.5\D.01 AC � .,5.02ACq `-� DACK CT / I 349-= oA auction lie 003 - -== / d.01 AC r 0 00? !L - _ Z j _. 628.79 D �^cA� -- - won \?` 'I r„� „„y a mey not Vey oe a s` r nm/ t> ° PrP 26..92 ` `Z ,� reH uPo of the 1 1 pme or per ; e You cnouW _�: t lot +: o: r e 5 ft. from of a 27-2s �► "er.° , W the r•"` •id i Lrr1 E: row �� i A s and a setback \ `�: owa im b,„epeo �jj�. - property lines c ,, tt.> �,,,� we^ tnn nrP slw"s tMa 0.. ad - m the road , .,,,,e, tnr"'',r/ 50 ft. fro shall be Cfe2U of s�;,..: +; C •=''_r: - -`__ centerline s� eauiPmentx D x� m }', o� -j-= �— - structures r hang fora 2 ft. eave over F �A�N sve. ��R. ��is>•.0-7-� Otto NILLS — - !a C �UNTY OF BUTTE r:,.I�E-RrARTMENT .OF PUBLIC WORKS 7 'ntykenter Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. 3879-90 ASSESSOR PARCEL NUMBER 27-33-09 ZONING A5 I BUILDING PERMIT OWNER James R. -North TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 400 N Walton Ave Sp 10 Yuba City 95991 CONTRACTOR'SNAME Unknown TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10.0(1 LENDER'S MAILING ADDRESS - Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 15.00 'Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 25.00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S G W 10.00e TYPE OF WORK �Y New [_1 Addition [:1Remodel ❑ Utilities [:1Installationp Other ❑ Describe work: 2 bdrm _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS I00 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): El am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification FlI, 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) I, as the owner, am exclusively contracting with licensed contract- ontract ors.(Sec. 7044) ors. ❑ I am exempt under Sec. , Business and Professions Code for this reason LIN OCCUP,&\ ADDNS/ oR T ( DDWELG 2y22sgft NEW CONSTR.MULTI-OUTLET NON-RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup( OR FIXTURES 20@30S DAL@30 Ex. Occup. OUTLETS ED APPLNS.(RESID.)REA.� 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. P—T,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 thisperm t. X Date /j < Sig" /. 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 $ 45.00 Energy Inspection Fee $ occ CONST TYPE TOTAL L FE $ 70.00 HAz CUA PARK FLD I PAR PD HD I00 Th;s 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 Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 84257 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT RPM :� """� 1i��; `..+'rr �'`�t#�u� '� � �r^r�•i���, � ' � y COUNTY OF BUTTE - DEPAR'�`N1OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 F PERMIT APPLICATION DATA SHEET Permit No. c� OWNER N�� A. P. No. 2 _3 3- 0 Proposed Building Use �/l/%14 % Building Inspector Date 7 '� 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 .............. A- Engineered truss details and layout in duplicate (required prior to plan check) Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... Parkfees paid .......................................... School District fees paid .............. 9y P=S 4. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -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 ❑) ..... �� 24. Recorded copy of Agricultural Acknowledgment Statement ......... r Letter of si nat re authori at ion ;;V �� /;?s 27! When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone - and hold for pickup at office. Deliver w/inspector. n*tio" 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 is�(uq cce: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by—phone—mal I counter by ..date Contractor, designer, owner, was advised of above required data by—phone —mai I—counter by date Plans checked by Sets of plans on hold in Copy—DPW Date Plans approved by File cabinet AP folder Date J ,-COUNTY OF BUTTE, -.DEF?ARTMENT OF PUBLIC WORKS 7 County Center Drive - Qroville,yPaliformia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZONING A5 BUILDING PERMIT OWNER - - TELEPHONE 755-0972 James NorthOWNER'S SQ. FT. DCC. BUILDING VALUATION 497 COV49/0 MAILING ADDRESS I 400 N. Walton Ave. Sp. 10 Yuba City, CA 95991 I CONTRACTOR'S NAME iinknown TELEPHONE f CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE ND. Plan Checking Fee $ 99-99 Energy Plan ARCHITECT OR ENGINEER'S MAILING ADDRESS Checking Fee $ $ F 5�Penalty BUIq�G�aCKEWay, Oroville L Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME P�A`RCEL MAP Water Water piping 5.00 /0 ¢%(L v 7 - Each qas water heater or vent 5.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 SF ❑ Duplex❑ Mobilehome❑ Other MH awninps Building sewer 5.00 SP CI FV Mobile Home I S I G JW 1 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ InstallationOther ❑ Permit Fee $ Describe work: metal awnings (10 X 20) (11 X 2 /� Contractor _ ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 VAMP OROR LESS10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW NEW CONST. DWELLING OCCUP.& OR ADONIS. ( I declare under penalty of perjury (check one): ACC. BLDGS.h¢sgft NEW CONSTR ULTI.OUTLET 2.SOea ❑ I am licensed under provisions Of Chapt. 9, Div. 3 of the Business - NONRESID BRANCH CIRCITS POWER APPARATUS & (SINGLE and Professions Code and my license is in full force and effect. OUTLET CIR. License No. Classification Ex. Occup(OUTLETS OR FIXTURES 20�5OQ BAL®30 1-1I, as the owner, or my employees with wages as their sole compen- Ex. Occup. ou LETS ED APP(RE 510 .)OR EA.) 2.00 sation, will do the work,and the structure is not intended or offered Temporary service 10.00 sale. (Sec. 7044) Mobile Home Facilities 15.00 2<for I, as the owner, am exclusively contracting with licensed contract ors.(Sec. 7044) Misc. byirin g 15.00 ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT Filing Fee 10.00 ❑ The permit is for $100.00 (valuation) or less. Heating ❑ I 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. Cooling g II shall not employ any person in any manner so as to become subject Hood 3,00 to the W. C. laws of California. Ventilation 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 permit Fee $ provisions or this permit shall be deemed revoked. Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee $ is correct. I agree to comply to all County Ordinances and State Laws relating Energy Inspection Fee $ to building construction, and hereby authorize representatives of the Countyot DCC Butte to enter upon the above-mentioned property for inspection purposes. CONST TYPE 85.75 I also agree to save, indemnify and keep harmless the County of Butte against TOTAL FEE $ AL E all liabilities, judgments, costs, and expenses which may in wa accrue HA2 CUA PARK PAR PD HD IssuE a agains said County in s uence of the granting of this 71�, Dat�� Th;s permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do Sip ture of Applicant — Owner ❑. Contractor ❑ Agent work indicated above for which fees have been paid. An OSHA permit is required for excavations over 5'0" deep and demolition or construct- DIRECTOR OF PUBLIC WORKS ion of structures over 3 stories in height. Receipt No. 84R14 BY Date WNITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT (PERMIT EXPIRES Date COUNTY OF BUTTE - DEPAR' I tk&OIe,PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95985 - TELEPHONE: 918/538-7541 t PERMIT APPLICATION,DATA SHEET Permit No. OWNER (_)dAW/1 006A A. P..No.07- 33 - Proposed Building Use rnff'O/W11k th Building Inspector Aw Date /2-9U 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 . £ae 5.o 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions........................................................ 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid ...................................................... 13. School District fees paid .............. —tL 14 Sanitation approval from OQOUtILIE Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -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 ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ......................... ......... . 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. 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---nail—counter by ..date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by iJ Date IZ-ZO- 90 Plans approved by did) Dat e12-20-96 Sets of plans on hold in Copy—DPW File cabinet AP folder RESIDENTIAL i 27-33-09 NORTH, James 321 Dack Way, Orovi,lle j (utilities/MH) l a: s., pcw c s SLr- ,r JOB FiNALED (Date) _ Signature V OK O = Not OK - = Not Applicable ' Not Ready RESIDENTIAL (Single & Duplex) = Date U FLOOR (Plans) OK except #'s 1._Zei6i ng -Setbacks -Easements -Flo d -Slope 2. Ftg., Main; Soils-Elec. Grnd.-Etg. Depth LA 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped 66. Hold Downs and Special Anchors dab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Gas ipe; Size -Anchors Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. L., Girdars-Sills-Anchor Bolts -Joists -Vents -Cripples 15. Insulation Date/ - Card B- Date Card B-1 Date Card B-1 Date Card B-1 DatLy PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 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 #'s 39. Sits, 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 i MO t Date FRAMING ((qontinued) 45. Hangers -Post Caps -Anchors -Connectors 46. Ong. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. 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 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 75. Plb., Elec. & 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 ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections L14-9 est -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) d=OK O=Not OK Not '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. Utility Clearance 8. Frmg; Sils-Anchors- Studs- Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mash - 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 Date 1. Zoning Requirements -Setbacks Easements Date 2. Footings; Size -Spacing -Marriage Line Date 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 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg.-Rfg: Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors- Studs- Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mash - 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings ^ Date Card B-1 Date Card B-1 Date Card B-1 Date Card 9-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements - 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Certificate of Compliance: Residential Climate Zone 11 Oea l Mandatory Measures Checklist: Residential V MF -1R Project Title t NOTE Lownse residential buildings subject to the Standards mus conuia these measures regardleu of the compliaraz approach used. Items marked with an'este isk (-) may be superseded by more stringent lianoe is listed l� ermn _ _ component ProjectAddreaa ........._..peru Bu P M on the Certificate: of Compliance When this checklist is incorporated into the permit dochurmahu,,the f hveseat cored slue _.._...-hetmare.shown elsew binding in themtdocumenu or on dh s chockuu only. "fratioro far Ne aiarmdatory rrmeasusu - - Checked By / Da Documentation Author Telephone Fnforcernett Agency Use Only + DETC7UP ION DESIGNER ENFORCEMENT BUILDING DATA Glass Arej 9b Glass Condition - North �_p2 _ f�Q� Number of Stories East 3 SI sed Floor Number of .Units ( South Single Family Detached (SFD) [ ] Addition Alone West . 5-2. ./"S 5 -,,- Single -,,.Single Family Attached (SFA) [ ] Existing Building Skylight Cj Q (] Muld-Family (MF) [ ] Existing -Plus -Addition Total BUILDING SHELLINSULA710N• Component Insulation Locaiiorr/Comme,-gs h T)M R -Value (atliic, to garage, t�?Pi.c„ etc.j gall....... Wall .............. Roof ............. : 30 Roof ............. Floor ............. Slab Edge..... - + GLAZING :.' 'Shading Devices - Glazing Area Glass Type Interior Exterior Overhang Framing Type Orientation (Sf) (single, double) (roller blind etc.) (shuleescreen. etc.) (ye$Mo) (metal/wood) North 010 a/Y�;� P North ( ) East East..' South ( ) South West Ju.— West (-) P— Skylight ....... p ' THERMAL MASS Type/Covering Area Thickness (slab/exposed, tile, etc.) (Sf) (inches) Locatiort/Description(kitchen, bath etc.) HVAC,SYSTEMS Micimum Duct Type (furnace, air Efficiency Location Duct Output - Manufacturer Model # conditioner, heat pump) (SE, SEER,HSPF) (attic etc.) R -Value (Btuh) (or approved equal) 7A= Maximum Fumace Heating Output: Btuh HOT,WATER SYSTEMS Tank Manufacturer/Model # , ~ —. _System Tvtp fetn­n .. _ ... �. r--4., /__ --a - _-_ _., — ,..., _ - S ,t SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) Building Envelope Measures §2.5352(x): Minimum ceiling insulation R-19 weighted average. 62.5352(b} Loose fill insulation manufaauret's labeled R -Value. 12-5352(c): Minimum wall insulation in framed walls R-1 l weighted average (doe not apply to caterior mass wa►ts). .12.5352(k)r Slab edge insulation - water absorption rate too greater than 0.3%. water vapor transmission rate no greaw than 2.0 pemVinch. 12-5311: Insulation specified or installed mecu California Erwgy Commission (CECT quality standards. Indicate type and form_ 12.5352(f)c Vapor barriers mandatory in Climate Zones 14 and 16 only. §2.5317: Inftltration/EafilnEkm Controls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage_ b. Doors and window: certified. c. Doors and windows weathcrstripped: all joints and penetrations caulked and srakti 1 §2.553� Special infttration barrier installed to comply with §2-5351 moeu CEC quality s t 12-5352(d): Installation of Fireplace 1. Masonry and factory -built fireplaces have a. Tight fitting. closcabk metal or glass door b. Outside au intake with damper and control l c control damper and conts 2. No continuous burning ger pilots allowed HVAC and Plumbing System Measures 12-5352(g)"2-5303: Space conditioningequipment W pment sizing: attach calculations. h 112-5352(h) and 2-5315: Setback thermostat on all applicable heating system 12-5316(a): burets constructed, installed and insulated per Chapter 10. 1976 UMC. §2-5316(br Exhaust systems have damper controls. §2.5314(c): Gas-fired space heating equipment has inwmiawt ignition devices. §2-5314: HVAC equipment, waw heaters, showerheads and faucets certified by the CEC §2-5352(i): water heats insulation blanket (R-12 or greats) oe combined intcriorkxltrior t insulation (R-16 or greater): fust 5 feet of pipes closest to tank insulated (R-3 or greater). 12.5312(Exccpdon 1): Pipe insulation on steam and steam condensate return & recirculating I Piling. l §2-5318(dr Swimming Pool Heating I. System has: a. On/off switch on heater. b. Weatherproof instruction plate on heater: t 2 75 c. Plumbed to allow for solar. percent thermal efficiency. 3. Pool cover. 4. Time clock. 5. Directional water inlet. Lighting and Appliance Measures 52.5352(1): Lighting - 25 lumens/watt or greater for general lighting in kitchens and bathrooms. §2.5314(c): Gas fired appliances equipped with intermittent ignition devieuz. 12-5314(a): Refrigerators• refrigemtor-freezers, frtezers and nuoreseent lamp ballasts certified by the CEC. Indicate make and model number. COMPLIANCE STATLMFNr This certificate of compliance lists the building features and performance specifications needed to comply with Title 24. Chapter 2-53 and Title 20, Cilaptcr Z Slibchapter 4, Article 1 of the California Administrative code. This certificate has bern signed by the individual with overall design rt spensibility aced the building owner, who shall retain a copy of it and ==it the Certificate to any subsequent purdlaser of the building. Designer T-rt3e�latm - Add=: Telephone tic. #: Building Owner Name T'itWFrtre Address: Tekphonc ate) (sibnattc e) Documentation Author Enforcement Agency Name: Name: 7itklFunu Agency: Add=w Telephone. (date) R -value Detached Attached Family R-0 -68 -51 -34 S. infiltration (Air Leakage) 0 0 0 Number of stories 2 2 1 R-19 8 6 R -value One Two Three Specification 0.80 -153 Pani -76 R-0 -103 -49 32 Standard -47 -36 - 0, 0.10 R-1 9 R-19 -8 -4 -2 4 3 2 0.06 9 R-30 -2 -1 -1 11 7 0.02 19 14 R-38 0 0 0 12 0.06 -6 -3 -2 U -value -1 0 0 6. Glass Heat Loss 4 2 1 __,..._...0.50-.._. -176- -. - -84• :-.: -54.:.-:.Total_ ..:.:., :...............__... 8 11 U -value 18 0.30 -102 -49 32 Percent .51 to Alto .31 to 0.30or 0.10 -26 -13 -8 Glass Single Double .60 .50 .40 less 0.08 -18 -9 -5 -6 '4 50 -121 -53 .39 .24 -10 4 0.04 4 2 -1 40 -90 3 7 .26 -14 3 8 ' 0.02 4 2 1 35 -75 -29 -19 -9 1 10 0.00 11 5 3 30 -.. -61 - . -21 -13 -4 4 12 5.5 5 8 9 29 -58 -20 .12 .3 5 12 8 10 12 13 28 -55 .18 -10 .2 5 13 2. Wall Insulation 13 13 27 -52 -17 26 -49 -15 .9 _8 .2 -1 6 7 13 14 13 Single- Single- 6 25 -46 .14 .7 0 7 14 8.0 Family Family Multi- 24 -43 -12 .5 1 8 14 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 0 0 0.80 -153 -114 -76 0.50 -91 -68 -46 0.30 -47 -36 -24 0.10 0 0 0 0.08 4 3 2 0.06 9 7 5 0.04 14 11 7 0.02 19 14 10 0.00 24 18 12 3. Raised Floor Insulation Insulation in Floor Controlled Ventilation Crawlspace -40 Number of stories Number of stories 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 4. Slab Edge Insulation 10 16 0.60. -144 -70 -46 0.50 -120 -58 38 0.40 -95 -46 30 0.30 -69 -34 .22 0.20 -L9 -21 -14 0.10 -17 -8 -5 0.08 -11 -6 -4 0.06 -6 -3 -2 0.04 -1 0 0 0.02 4 2 1 0.00 10 5 3 Controlled Ventilation Crawlspace -40 -11 Number of stories -4 3 . 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 10 16 19 Number of Stories -4 . R -value One Two Three R-0 0 0 0 R-5 8 5 2 R-7 8 6 3 F2 factor -40 -11 0.90 -4 3 -1 0.80 -1 -1 0 0.70. --- - 2_ . _ 2 3 0.60 6 4 2 0.50 9 6 3 0.40 12 8 4 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 1014 3 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) 0 Slab Floor EtkctlTe Percent Class Errectfre Percent Class 3 (percent QWa x SC) - (percent &I&= x SC) Stories Effective /CFA One Two %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 -11 -10 a3. Shading (Shade Closed) 0 Slab Floor EtkctlTe Percent Class Mass 3 (percent QWa x SC) 1 Effective Stories 4 /CFA One Two %Glass Norlh Etat South West Sky6pft1 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 -05 8 -5 -17 -23 -21.. -56 7 -4 -14 -19-- -18. - -.47 ::6 _� _3 -- _ =11 ' _-15 " -14 -38 ' 5 -2 -9 -11 -10 -30 4 -1 -6 -8 -7 .23 3 0 -4 -5 -4 -16 2 1 -1 .2 -1 -9 1 1 1 1 1 -4 0 2 3 4 3 0 na - not allowed 3 7 8 10 9. Interior Thermal Mass Interior 0 Slab Floor Raised Floor . Mass 3 Stories 1 0.40 Stories 4 /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 • 11 10 8 7 5 --"-2- 8.25 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 20 -1 2 4 5 6 7 25 0 3 5 7 7 8 3.0 1 4 6 8 8 9 3.5 2 5 7 9 9 10 4.0 3 6 8 9 10 10 4.5 3 7 8 10 11 11 5.0 4 7 9 11 12 12 5.5 5 8 9 11 12 12 6.0 5 8 10 12 13 13 6.5 6 9 10 12 13 13 7.0 6 9 11 13 13 14 7.5 6 10 11 13 14 14 8.0 7 10 11 13 14 14 8.5 7 10 12 13 - 14 15 10. Exterior Wall Thermal Mass Exterior Single- . Single - Wall Famly Family Multi Mass Detached Attached " Family 0.00 0 0 0 0.20 3 2 1 0.40 5 4 3 0.60 8 6 4 0.80 10 8 5 1.00 13 _. 10------ 7 1.20 13 12 8' 1.40 12 13 9 1.60 10 13 11 1.80 10 12 12 i 200 10 11 13 11. Heating System SE or KSPF (assumes ducts In attic) Zonal Control Adjustment System Type Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 12. Cooling Syst'!m SEER (assumeiducts In attic) Stm of 7-10 -2S or -24 b :-14 b _ Sum of 1-6 16 or SEER less -15 ; 3 -25 or -24 to -14 to -4 to +6 to 16 or SE HSPF less -15 -5 +5 +15 more 0.72 6.60 0 0 0 0 0 0 0.75 6.88 3 3 3 2 2 1 0.80 7.33 8 7 6 5 4 3 0.85 7.79 13 • 11 10 8 7 5 0.90 8.25 17 15 13 11 9 7 0.95 8.71 20 18 15 13 11 8 17 ,. 14 12 Effective SE or HSPF WSB E1fec41ve SEER (SE or HSPF x duct efficiency) (SEER x duct eMclency) Effective -25 or -24 to -14 b 4 to +6 to 16 or SE HSPF less -15 .5 +5 +15 more 0.30 275 -73 -64 .56 47 38 -30 na 3.41 -45 -39 -34 -29 .24 .18 0.40 3.67 -34 .30 .26 -22 .18 -14 0.50 4.58 -10 -9 -8 -7 .5 4 0.56 5.13 0 0 0 0 0 0 0.60 5.50 5 5 4 3 3 2 0.70 6.42 17 15 13 11 9 , 7 0.80 7.33 25 22 19 16 13 10 0.90 8.25 32 28 24 20 17 13 1.00 9.17 37 32 28 24 19 15 Zonal Control Adjustment System Type Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 12. Cooling Syst'!m SEER (assumeiducts In attic) Stm of 7-10 Zonal Control Adjustment 10 8 7 6 4 3 No Cooling System Installed -Stories -2S or -24 b :-14 b -4 b +6 to 16 or SEER less -15 ; 3 +5 +15 more 8.0 14 . .................. -12 -10 -8 ......... 3 ...... -4 . 8.5 -9 -7 -6 .5. -4 3 8.9 -5 -4 -4 -3 -2 -2 9.0 -4 -3 -3 -2 -2 -1 9.5 0 0 0 0 0 0 10.0 4 3 3 2 2 1 10.5 7 6 5 4 3 2 11.0 10 9 7 6 4 3 =• 120 15 13 11 9 7 5 13.0 20 17 ,. 14 12 9 6 WSB E1fec41ve SEER 3 3 2 (SEER x duct eMclency) POU 8 5 Strn of 7-10 3 3 Effective -25 or -24 to -1410 -4b +6 b 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 8 120 - 30 26 22 18 14 9 13.0 33 29 24 20 15 10 Zonal Control Adjustment 10 8 7 6 4 3 No Cooling System Installed -Stories SCORE CARD One -5 -4 -4 -3 -2 -2 Two + 3 3 2 2 2 1 Single -Family Uetaehed and Attached 3. Raised Floor Insulation � or Unit Size iso '1200 Water R -value [ 9] 1499 4. 1700 2200 2700 Heater Credit • or -1 to to to or Type. Type less ;1699 2199 2699 more SG None 0 1 0 0 0 0 or Solar 12 8 6 5 4 HP -HWR 8 5 4 3 3 WSB 5 3 3 2 2 2S% POU 8 5 4 3 3 SE None 37 24 -18 -15 -12 100% 105% 110% 115% 120% 125• Solar -1 -1 -1 0 0 1.1 HWR -18 -12 -9 -7 .6 25 WSB -25 -16 -12 -10 -8 4 POU -18 - -12 .9 -7 -6 IG None -5 -3 -2 -2 -2 Solar 7 5 4 3 2 POU 3. _ 2 1 1 1 IE None .28 -19 .14 -11 -9 Solar 8 5 4 3 3 1.8 POU -10 -6 -5 .4 .3 3.3 MuIU-Famlly (individual 3.7 units) 1.1 4.3 4.5 4.8 Unit Size (sQ 5.4 56 Water 0.5 699 ?00 1200 1700 2200 Heater Credit or to to to or TYPO TYPO 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 3.6 WSB 9 4 3 2 2 5.1 POU 9 5 3 2 2 SE None -45 -23 -15 -11 .9 25 Solar 2 1 1 0 '0 4 HWR -23 -12 .8 -0 -5 - WSB--25 5.9 - -13- .8 -6 -5 1.4 PQU _-23 --- 12.._8. 2.2 3 _5 IG None -8 -4 -3 -2 -2 4.3 Solar 6 3 2 1 1 5.8 POU 10 _0 0 0 0 IE None 3 •15 -10 -8 3 11 Solar 18 9 6 4 4 4.6 POU -8 . -4 .3 -2 ' -2 mint system summary: Climate Zone 11 SCORE CARD Measures 1. Ceiling Insulation 3o or Interior MasslCFA R -value 1381 U -value [0.030] 2. Wall Insulation or TTn 2 PASS U -value (0.098] 3. Raised Floor Insulation � or ' R -value [ 9] U -value [0.037] 4. Slab Edge Insulation or R -value [01 F2 factor [0.77] S. - Infiltration Standard �S , /1.1.utK•/. r) ic..n.cw .t.bl ♦ TYPE 1 MASS (U114C b 4.2. ie: e_ iposed slab) 0% 5% 107E 1S% 20% 2S% 30% 35% 40% �5% 50% 55% 60% 65Y. 70% 7S% 80% 85% 90% 95% 100% 105% 110% 115% 120% 125• 0% 0 0.2 0.4 0.6 0.6 1.1 1.3 1.5 1.7 1.9 21 23 25 2.7 2.9 3.2 3.4 3.6 3.8 4 4.2 4.4 4.8 4.8 5 53 --t0%....._02....0.! 0.6 �Q..._t.._.1.2._.1:4 ..1.6._..1.$.:.2L.....23....25....21...2.9_.11...3.3.--3:5....3.7...4....- 4.2: 4.4:- 4.6-,-.4.8....5._._ 52 _, 54" -0.3 0.6-b.8"": 1 1.2 1.4 1:6 1.8 T 22 24 27 29 3.1 3.3 15 3.7 3.9 1.1 4.3 4.5 4.8 S 5.2 5.4 56 30% 0.5 0.7 0.9 1.1 1.4 1.6 1.6 2 22 24 26 28 3 32 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 5 8 40% 117 0.9 1.1 1.3 1.5 1.7 1.9 22 24 26 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5 7 59 50% 0.9 1.1 1.3 15 1.7 1.9 21 23 25 27 3 31 14 3.6 18 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 24 2.6 28 3 32 3.5 3.7 3.9 4.1 4.3 4.S 4.7 4.9 5.1 5.3 5.6 5.8 6 62 60% 1 1.2 1.4 1.7 1.9 21 2.3 25 2.7 29 11 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 ' 5 5.2 54 5.6 5.9 6.1 63 65% 1.1 1.3 1.5 1.7 1.9 22 24 2.6 28 3 3.2 3.4 35 3.8 4 4.3 4.5 4.7 4.9 5.1 53 55 5.7 5.9 6.1 64 70% 1.2 1.4 1.6 1.8 2 22 25 27 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 5.2 5.4 56 58 6 62 64 75% 1.3 15 1.7 1.9 21 23 25 27 3 12 U. 16 3.8 4 4.2 4.4 4.8 4.8 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 80Y. 1.4 1.6 1.8 2 22 2.4 26 2.8 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 54 56 5.8 6 62 64 66 65Y. 1.4 1.7 1.9 2.1 2.3 25 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 5 52 54 5.6 59 6.1 63 6S 67 WY.'' 1.5 1.7 2 2.2 24 26 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 53 5.5 5.7 5.9 6.2 64 66 68 95% 1.6 1.8 2 22 2.5 27 2.9 3.13 3 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 6 7 69 10011. 1.7 1.9 21 2.3 25 28 3 3.2 3.4 3.6 18 4 42 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.7 7 105% 1.8 2 22 2.4 2.6 28 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 56 5.6 6 6.2 6.4 66 Sl 7 110% 1.9 2.1 2.3 2.5 27 29 3.1- 3.3 3.6 3.8 4 4.2 4.4 4.6 4.8 5 5.2 5.4 5.7 5.9 6.1 6.3 6.5 6.7 69 7.1 115% 2 2.2 2.4 2.6 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 6.2 6.4 6.6 6.8 7 7.2 120% 2 2.3 2.5 2.7 29 3.1 3.3 3.5 3.7 3.9 4.1 4.4 4.6 4.8 S 5.2 5.4 5.6 59 6 6.2 6.5 6.7 6.9 7.1 7.3 125% 21 23 25 2.8 3 3.2 3.4 3.8 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 mint system summary: Climate Zone 11 SCORE CARD Measures 1. Ceiling Insulation 3o or R -value 1381 U -value [0.030] 2. Wall Insulation or R -value [11] U -value (0.098] 3. Raised Floor Insulation � or R -value [ 9] U -value [0.037] 4. Slab Edge Insulation or R -value [01 F2 factor [0.77] S. - Infiltration Standard �S , Point Scores - 6. Glass Heat Loss , -- Type [double) U -value [0.65] 4o Total Glass [ 16) Sum 1-0 7. Shading (Shade Open) - _ % Glass SC Eff. % Glass ►: a. North -0 tee'..- x - __,77 O b. East 6.( x =_ --- -'>J 93 �_ f C. South ,= , 'r, .2 f. - x - .�ll� • 1-5 d. West 5.�.., s- x = 'J,9 -a- W 41 e. Skylight D x 0 0 0 8. Shading (Shade Closed) % Glassc/ SC Eff. % Glass a. North �-0, o x I, Y5,k- b. East x c. South d. West ;�y . 3 _- e. Skylight x 9. Interior Thermal Mass TYPE i MASS AREA interior N.♦ ,ICFA COND. FLOOR AREA 10. Exterior Wall Mass TYPE 2 MASS Exterior Wall Mass ND. FLOO; AREA Sum 7-10 11. Heating System ,-7 x = z 13 Zonal Control? ( Y / N) SE or HSPF Duct Efficiency (0.78] Effective SE or (0.72/6.6] -- _ _ _.� _ ... _ HSPF (0.56/5.15] _ , / 12. Cooling System ;.- I u �a t,��„ x = `rf Zonal Control? ( Y / N) S [9s] Duct Efficiency (0.74] Effective SEER (7.03] 13. Water Heating Type [901 Credit (none] Point Total: