HomeMy WebLinkAbout065-050-0422750-90E
S Lake Fro Dr,,, Magalia.
for -well & lot velopme ) r
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RES11DENTIAL
65-05-42 4343-90B,P,E,M
BRIGGS, Wes 2% 5fl
:.67�4- Lake Front Dr, Magalia
Contr: Vern Hall
(new sf)
6 A
6A) e A e o-,- (c-,29 j 0-
07 ee4 12-�
0,j
L L ej O/Z
OFFICE COPY
I I
AAA—,
JOB FINAI
Signatur
J=OK
O = Not OK
= Not Applicable
Not Ready RES.11DENTIAL (-C
' =
Date UND FLOOR (Plans) OK except #'s
Hing-Setbacks-Easement412 od-Slope
F ., Main; Soils-Elec. d.- /" Ftg. Depth
LS -F ., Garage; Soils-Steel-Elec. Grnd. " Ftg. Depth
. F.,Porches & Decks; Soils-Steel-/P-ZEtg. Depth
mwalls, Main; Steel-Blockouts-Wrapped
Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7 dab; Steel -Wrapped
LZ'Piers-Firepiace Ftg.-Steel
(�D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. Gas Pipe; Size -Anchors
)1. Water Pipe; Test -Anchor -Regulator -Service Test
Electric; Underground
0-rienums & Ducts; Clearance -Material -Support -Ins.
1"irders-Sills-Anchor Bolts -Joists -Vents -Cripples
15. Insulation
Date? -/-4-T/ Card Date Card B-1
DateL :L" /— 7/ Card B-1 /,DPW Date Card B-1
Date PLUMBING (Permits OK except #'s
14rWater H ..; Vent -Access -Combustion Air -Baffle
17 at Pipe; Test & Anchor -Nail Protection
1 .V.; Te -ittings & Anchor -Nail Protection
10/Shower Pan; Test, First Floor -Tub Access
20. Test Tub & Shower, Second Floor -Tub Access
21. Gas Pipe; Size & Anchors
Date ti- �5 - O Card B-1 CS.J Date Card B-1
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except #'s
22"Fixture & Transformer Clearance -Ins. Protection
Elec. Receptacles Spacing -Lights & Switches at Doors
2!.l ze Boxes & No. of Conductors -Stapled
2 . Romex Installed Close to Edge of Studs & C.J.
2 ip. Ground made up w/Mech. Fastners-Bond Gas & Water
2 Appliance Circuts in Kitchen & Conductor Size/GFI
® ub Wire Size / / ga. Cu or AI-A.C. Wire Size/ / ga.
u or AI
29. Rhe Circ. /%l/ ga. or AI- ven Circ. / / ga. Cu or Al.
/Insulated Neutral Yes O No
30!"Service-Riser Conductors & Ground -Main Disconnect
31� Equip. Clearances Panels-Motors-Mech. Equip.
3 Cghes Closet Light -Shower Light -Spa Light
3 Smoke Detector
Date " - t /�. Card B-1 5 J 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 5�3Date Card B-1
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except #'s
3 Sils, Proper Material & Anchors
4 . Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
Bearing Walls over Girders & Floor Nailing
Draft Stop in Walls (rat proof)
Fire Stops; Furred Ceilings -Stair -C a -Tub
44 -. "Headers & Beam -Size & Bearing
Jngle & Duplex)
Date FRAMING (Continued)
45�eangers-Post Caps -Anchors -Connectors
Ing. Joist-Rftr. ties -Pu rlin -roof e- us -Shthng.-Rfng.
ire lace Ties or Type A F e -Fireplace Throat clearance
ttic Access; Size o e rotection-Draft Stop -Ins. Baffles
49 rm. Windows or Ex, Ing Doors -Sill Hgt. & Dimensions
-510. -Garage Fire Protection Framing
51. Pro ''Line Firewall & Openings
5 . xt. Doors -One 3' -Check Garage -3rd Story, 2 Exits
_53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
54-0-ywood on Roof Overhang -Attic Vents -Rafter Outriggers
55. Siding -Nailing Veneer
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
5 -lazing Area -Glass Protection -Skylights -Plastic
58. Spd'ar Walls; Nailing -Bolts
� . Insulation -Walls -Ceilings A I 1 1 931y
60. Infiltration -Walls -Windows
Date b- / .e,4 Card B-1 J Date Card B-1
Date r1`-0' Card B-1 Date Card B-1
Date FINA ans OK except #'s
Ex tees -Door & Sidelight Protection -Landings
S e Detector
65. urnacp; Vents -Clearance -Comb. Air -Connector-
. bove Floor-Ducts-Mech. Protection
G-Prr & Bath Fixtures & Tub Access -Spa
(68' Eles ,Trim & Subpanel; Breaker Sizes & Labels
$?!St ' & Rails
Fir place or Stove; Clearances -Hearth
Elec'Outlets at Wood Panel; Int. & Ext.
7T I-Wrixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
a -f El . utlets & Receptacles at Kit. Counter _
G ge.Fire Door; Swing -Landing -Closer
7 . A. uct in Garaae-Damper
JX4 Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.
In arage; Above Floor-Mech. Protection
Ib., ec. & Mach. Equip. Listed for Location
ec. Ceptacles in Garage; (G.F.I.)-Romex Protection
Hsu ation-Foam-Looked in Attic O Yes
Guar ails & Deck Construction -Post Caps
L19-rdn Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
80. Following instld.; Drive ❑ Yes o; Walks O Yes m-Ntt
Planters 0 Yes 0 No
tuc oi-Brown-Finish
A.C. Unit; Disconnect, Electrical, Plumbing
8 ants Above Roof; Plbg.-Appliance-Fireplace.-Clearance to
a4 -'Water -Well; Disconnect, Electrical, Plumbing
gaar'/Exterior Elec. Trim; G.F.I. Receptacle -Underground
enwation Throughout House
o ections from Previous Inspections
. Ga_Test-Meters Tagged; Gas -Electric r
ate 'Sewer Connected -C/O to Grade -HD Approval
9 nergy Compliance Certificate -Other Certificates
Date s ZZ and B_ 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)
v=Ok
O=Not OK
Not
= Not Readyable MOBILE HOMES
Date MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
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.-Connectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date Card B-1 Date Card 13 -1 -
Date Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater'
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
6. Gas; Location -Test -Wrap: / P L" ft.
/ P'Nat. or/ /"L"ft./ /"LPG
7. Utility Clearance
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
4.Electricity; MH Test -Crossovers -Breakers -Clearances
5.Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
Date
Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date Card B-1 Date Card 13 -1 -
Date Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater'
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
COUNTY OF BUTTE
DEPARTMENT OF PUBLi.0 WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 538-7541'
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
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Date Inspector.
COUNTY OFf.�JTTE d
1\\`, DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
�R ccs
'13"K3 - 5 J
t
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when c rection of work is completed. If you have any question pertaining to this
atte , or need additional explanation, please contact this office immediately.
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Owner A4l/
LOCATION
Permit No.
ENERGY CERTIFICATION
DESCRIPTION OF INSULATION
ROOF
MATERIAL
THICKNESS
BRAND NAME_
THERMAL RES.
A.P. NO.
EXTERIOR WALL
MATERIAL FIBERG SS BRAND NAME ERTAINTEED
// THICKNESS s,! TyERMAL RES.
CEILING
BATT OR BLANKET TYP ,ticltf�ao BRAND NAME CERTAINTEED
THICKNESS ' THERMAL RES.
LOOSE F.ILLTYPE I.NSUL-SAFE IIIBRAND NAME CERTAINTEED
THICKNESS THERMAL RES.
FLOOR,ELEVATED
MATERIAL FIBERGLASS. BRAND NAME rnERTAINTEED
THICKNESS 1 THERMAL RES.
FLOOR, SLAB
MATERIAL BRAND NAME
THICKNESS THERMAL RES.
WIDTH'
FOUNDATION WALL
MATERIAL BRAND NAME
THICKNESS THERMAL RES.
0
I HEREBY CERTIFY THAT THE ABOVE INSULATION WAS INSTALLED IN THE ABOVE
BUILDING IN CONFORMANCE WITH THE STATE OF CALIF. ENERGY REQUIREMENTS.
SHASTA INSULATION: INC. #530235.
FIRM NAME/OW STATE CONTR. I ENSE. NO..
I hereby cer i y the above insulation and all required items as shown
on the Building Depart. approved plans and attachments have been.installed
as.required by the State of California: Energy Requirements.
All equipment, devices and materials are of the quality prescribed or
are specifically approved by the. State of Calif.
FIRM NAME/OWNER (PLEASE PR1NT) STATE CONTRAC'TOR'S LTCrN`I:; NO.
S NATURE OF GENERAL CONTRACTOR/OWNER
This certificate must be on file with the BUILDING DEPARTMENT prior to
final inspection approval and a copy shall be posted within the building.
JANUARY 1984
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 Courtly Center Drive - Oroville, Califoinia 95965 - Telephone: 91 ' -7541
APPLICATION AND PERMIT
PERMIT NO.
4343-90
ASSESSOR PARWL NUMBER
65-05-42
ZONING
M S_ w P
BUILDING PERMIT
OWNER
Wes Briggs
TELEPHONE
873-4930
SO. FT. OCC. BUILDING VALUATION
2336 R 93,440
OWNER'S MAILING ADDRESS
Box 1731 Ma alfa 95954
1536 M 21,504
CONTRACTOR'S NAME
Vern D. Hall
TELEPHONE
877-9215
336 porch 3,360
1260 cov 12 00
f
CONTRACTOR'S MAILING ADDRESS
7166 Beverly Ln Paradise
Fireplace "All 1,000
CONSTRUCTION LENDER
none
UNKNOWN
Total Valuation $131,904
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 513.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 256.50
Energy Plan Checking Fee
$ 15.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Lake Front Dr Ma alfa
Permit fee
$ 794.50
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00 22.00
Solar or heat pump water heater
20.00
LOT NO.
4
SUBDIVISION NAME
Manthei
PARCEL MAP
jz.-F
Water piping
5.00 5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ffk Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00 5-00
Building sewer
5.00 9-00
Mobile Home I S I G JW 1
0.00e
TYPE OF WORK
NevK® Addition EJ Remodel❑ Utilities❑ Installation❑ Other ❑
Describe work: _
Permit Fee $ 52,00
Contractor
ELECTRICAL PERMIT Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
1 declare under penalty of perjury (Check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
'- and Professions `Coft and my license is in fullforce and effect.
License No. �(O 1� 6 Classification 1� 1
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. ( DWELLING or��up2ek)
OR ACDNS. ACC. BLDGS.
2'/zQsgft 97,00
NEW CONSTR ULTI.OUTLET
NON.RESID BRANCH CIRC ITS
2.50 ea
POWER APPARATUS&
(SINGLE OUTLET CIR. )
Ex. Occup( OUTLETS OR FIXTURES
BALO 30
Ex. QCCUp. OUTLETS FIXED PIRESIO.IREA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. 6yirin 9
15.00
Permit Fee
$ 107.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating x <100k btu
6.00
1p pas split floor
Cooling 5 ton
11.00
Hood
3.00 3.00
Ventilation
�Permlt
9.00
Fee
$ 39.00
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
aga- t said County in consequence of the granting of this per it.
X� Date 2
f
Signature of Applicant - Owner ❑ Contractor Agent ❑
An OSHA permit is required for excavations over Yb' deep and demolition or construct-
ructures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $ 30.00
occ
CONST TYPE
0 22.50
TOTAL $ 1 FEE 0
HAz
CUA
PARK
FE PAR
P
Issue
This permit is nereby issued under
sions of the Butte County Code and/or
work indicatedovee for which fees
CT ✓ PUBLIC
By0�
PE MIT EXPIR Date
the applicable provi-
resolutions to do
have been paid.
WORKS
Q
DateP.W.,
rReceiptNo. `73.6 C) �
YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
TO Building Departmento-��
FROM: Environmental Health T . I
SUBJECT: Sanitation Clearance
OSo
Owner_ Location AP#
Plan Approved for: Sewaqe Disposal _ Water Supply It
Fold final for: Water Supply
Final clearance O.K. for: Water Supply ly
Clearance for bedroom mobile home. Other
Sanitar'an Date
COUNTY OF BUTTE - DEFSRTMENT OFi PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVItLE, CAL FORNIA 95965 - TELEPHONE: 916/538-7541
OWNER wo
0
PERMIT APPLICATION DATA SHEET
S
�(X
Permit No.
A. P..No.
Proposed Building Use MIJ 361? fFNpui Idi ng Inspector G Si Date 14-- Z L ',_7V
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 .........
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 $
-..
.1 Chico Urban Area fees paid
2. Park fes paid ...................................................
�`' S School District fees paid ..............�-/�-
4. Sanitation approval from �*eP"1Q' -r—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 bd 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 ..................
_77�Owner -Builder Verification (Given to owner ❑, Mail to owner ❑)......
. Recorded copy of Agricultural Acknowledgm6ntt"Statement .........
25. Letter of signature authorization /J
27. 4IYI
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 `
F. Applicant Date I2 T�
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. rvw Z
2. Additional items required:
Contractor, designer, owner, was advised of above required data by_phone---nall—counter by ..date
Contractor, designer, owner, was advised of above required data by_phone_mall c unter by date
Plans checked by Date ,, Plans approved by . Date
- - Sets of plans on hold in File cabinet AP folder
Copy—DPW
.�7 COUNTY OF BUTTE - dEPARTMENT OF PUBLIC WORKS �T/NO.
'7 7 County Center Drive - Oroville, Califolnia 95965 - Telephone: 91 �L�_
APPLICATION AND PERMIT (rYl / 111
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT
OWNERwe ` �
g7j BONE
SO. FT. OCC. BUILDING VALUATION
-^ _ q�
S�? 2 VO
OWNER'S MAILING ADDRESS
?5M 173 l Mc, c (tom ��, S�S�
CONTRACTOR'S NAME
JJ-e_Vi,_ ,
TELEPHONE
K77 C411S
33b o 360
CONTRACTOR'S MAILING ADDRESS
:76 00
Fireplace O
CONSTRUCTIO11rLENDER
UNKNOWN
Total Valuation $ 131 Q /
LENDER'S MAILING ADDRESS
Filing Fee $ 1000
Permit Fee $ � "'
ARCHITECT R ENGINEER
S (�2rC.�U r,
LICENSE NO.
C 9 j
Plan Checking Fee $ 2,56�.7v
ARCHITECT OR ENGINEER'S MAILING nAD'D^FESS p,
�4�Y", lNL l:/`t� CtV �5�,��
Ener Plan Checking Fee
Energy g
Penalty $
BUILDING ADDRESS
Le two �-1- '�Y 1 � C" I f �., �1nnnn �►+
Permit fee $ o
�
PLUMBING PERMIT Filing Fee 10.00
Each Trap 2.00 ZZ
Solar or heat pump water heater 20.00
LOT NO.SUB
DnI VISI ON NAME
1' �w�"�i
PARCEL MAP
Water piping 5,00
Each gas 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 S I G I W 10.00e
TYPE OF WORK
I[:] Utilities❑ Itnstalla�tion❑ ,Other❑
New)o Addition ❑n�^�nRemode�LIf-
Describe work: 00 1 .L�� /� WJ/)G-9 _
M -M 1'-.,7 6- P My,%j,99-8, , 2-7-20- 2-o
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 10.00
Main service 100 AMP ORV OR LESS10.00
CONTRACTORS LICENSE LAW
I deGla.re under penalty of perjury
P y p l y (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.SINGLE
License No. [11L�it5 Classification l�-1
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
Main service EA. ADD'L 100 AMP 2.50
NEW CONST. DWELLING O cu2y:¢sglt q,7,�'
OR ADDNS. ACC. BLDGS.
NE w CONST" ULTI.OUTLET
NON•RESID BRANCH CIRC ITS 2.50 ea
POWER APPARATUS e
OUTLET CIR. %
P( 9005o
Ex. Occup( OUTLETS OR FIXTURES 2AL@30
Ex. Occup. OUTLETS IPRESID IED APLNS.REA.1 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $ j
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ 1 have placed on file with the County of Butte Building Department0
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
NA I shall not employ any person in any manner so as to become subject
�4 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 x look -6 Q I 1 /6
�— c! Lll� F�
Cooling
Hood 3,00
Ventilation O .3
Permit Fee $ 3-7--
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X 0,�1_..Dj �O
Signature of Applicant — Owner [:1 Contractor XJ 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 $ 300i
OCC
CONST TYPE
TOTAL FEE $ �OL2.$�
HAz
cuA
PARK
SCHL
FLD
PAR
PD
Ho ISSUE
This permit is hereby issued under the applicable provi-
sions 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 Date
PERMIT EXPIRES Date
Receipt No.___2_360v
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
7
RESIDENTIAL PLAN CHECKING GUIDE 5/89
(S.F., DUPLEX & MISC. ONLY)
Bldg. Permit p
OWYE4 c s A.P.
GE:lERAL
Zoning requirements: (sideyards and number of. permitted.living units)..
aluation.
T-.--NPla-ns
signed by designer.
4. Energy Design and Compliance.
_25< 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.
ecial conditions on creation. map or- compliance documezc.
FAU & FAS road. setback..
FLOOR PLAN
Complete to scale plan with dimensions.
Required windows for light and ventilation*(Sec. 1205).'
>�Required windows for second exit (Sec. 1204).
>. ylights (Chapter 34 & Sec. 5207).
man impact class. (Sec. 5406). _
-krl equired. room sizes, ceiling heights (Sec. 1207-).....
_,7<�GFCIs in baths, garage, and exterior outlets (Article 210-8).
Light__fixtures;. switches,_.. receptacles, and. exterior receptacles for'maintenance
_:.. mechanical equipment.'�. .. ; .. .. •:. ..: .:.;
ocations of water heater, heating and cooling equipment,other electrical or '
gas equipment, and plumbing fixtures.
Garage firewall, door size, and closer (Sec. 503(d)(3)).
- 3'0" exterior exit door (Sec. 3304(e)).
FireDlace and wood stove location, alcoves, and clearance.
Smoke' detectors (Sec. 1210). Z
STRUCTURAL DETAILS
�oundation plan complete enough to construct building.
;e-",Foundation
construction details complete enough to construct building.
,3' 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 ITE4.S TO LOOK OUT FOR
Stairway details: landings,'rise and run, head clearance, handrails (Sec. 3306).
Guardrail. der-ails.(Sec. 1711.& 3306(j)).
Brick -.or -..stone. veneer.. (Chaucer 30) .
�r�''7,,.'s�'fl�tYi*i.�!:�:•�'.ii3�1�'n''°+h°;'..-EMcr��n4.y;"Y..r�'":l.r+.Ui•' rw e.� a:7iiny.ti-.y � .-�+'Xr,*-.::r rr.�j�'iRR +c,•v .c ,rff ct,.'.1r i'.,'c.,, «
BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION -FORM
- (One Form per'Building)
A.P. Number �j - �s0 �Z,. Building Department No. Ax
School District p�\i. S,O. .City =' County' Qf urisdiction
Property Owner VcS Ar
Project Location/Address .�4K1 i'�t 0.4
Subdivision '• ����- Lot -Number
Residential Development:
,Il Sq. Footage ' "�,3 3
# of Living MHI Addition _ (Group R)
Units
•'•Commercial/Industrial:
- .. orw�.-- ym-�,—
ilding Department Representative Date
J
�...t.•�t�k�kiriii_t**i,�k�k�t�kic�t*�tirir*1kir�k�Ih�tyF�k�t�k�t�k�tlk�F�Ir�tir�tic�t�Fitityt�t�t�t�tit�tyt�tir�t�tir�t�kyt�t�k�t�tyt�Y�t1t
rx" ► "' y ,, (Floor Plans reviewed by School District_ Personnel) .�
;.
Sq. Footage
New Addition (Including Exterior ;
Roofed Areas)
/2 -7i -C,(
D ,tric't Id No.
-� .�cP.Ge� School District certifies that
(Applicant.Name) •+�. Phone Number)
(Street Address)CIA11- a Ve f-^�
V
City) y .(State) (Zi.p Codej
has complied with the requirement,s�.of,k-Re:so'luti'on ",No.•'
g 4.t�.
y the ay, ent of. $U'g3,1 representing square feet.
i.
Y
Sc ool istrict'Representative Date
PAID BY CHECK NO. /
BANK NO
PAID BY CASH
REMARKS:
white -applicant, yellow=building department, pink -school district
SCHOOL.FEE (8/88)
-4
r
KclU n'- cJi;VVW AUhJ.l.ULIUl.ni, ,�inli..iu.iii
FOR RC511)I NTT ll1 VELOP11f�N 1 9 I -00,823
Z
Sectl.o l 26-8.1, of the Butte County Code'
requires this acknowledgement be recorded
3
prior to, issuance of a building permit.
- - -
'File property described herein is adjacent
91-00092.3
Rec Fee 9-. OO y
4.,
to ].and or included within an area zoned
� Check 9,.,00
for agricultural purposes, and residents
Recorded-.
Records
of this property may be subject to incon-
P P Y Y �
.Official
1,
veniences or discomfort arising from the
County of
�
use of agricultural chemicals, including,
Butte
but not limited to Herbicides, pesticides,
Candacubbs'.
and fertilizers; and from the pursuit
;. -.Recorder
-
of agricultural operations including,
1:36pm' 7 -Jan -91
but not limited to cultivation, plowing,
spraying, pruning, and harvesting which
occasionally generate dust, smoke, noise, and odor. Butte County
has established agricul-
tural zones. which leave as a priority use for
productive agricultural purposes, and residents
within said zones and on adjacent property
should be prepared to
accept such inconvenience
or disconform from normal, necessary farm operations.
All that real property situate in.tile County of Butte, State of California, described as
follows:
Date: %/7M PROPERTY OWNERS: // ON
State of ) On this the day of 19 C!! , before mc,
SS. the undersigned Notary Public, personally appeared
County of
E] Personally known to me. MProved to me on the basis
of satisfactory evidence.
to be the person(s) whose name(s)
ubscribed to the within instrument and acknowledged L -hat
xecuted the same for the purposes therein contained. IN 41TNN :SS
Il-REOE, I hereunto set my hand and official seal.
TRE CCKM
My Commldon E���kIrm
sip�fTibe- 2r. 199 .
Present A.P. No. t 05�0_
WM
,&p
w was. ma-MAM
ITO—tari- —Public
00.8.23
9'0 05548
,
ORDER NO. BU -109771-2 MB
.DESCRIPTION:
ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE,
STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS:
PARCEL I•
LOT 4, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "MANTHEI
SUBDIVISION", WHICH MAP WAS, RECORDED IN THE 'OFFICE OF THE
RECORDER•OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MARCH
27, 1989, IN BOOK 112 OF MAPS, AT PAGE'(S) 93 AND 94.
ADDITIONAL MAP SHEET RECORDED MARCH 27, 1989, UNDER BUTTE COUNTY
RECORDER'S SERIAL NO. 89-10495.
RESERVING THEREFROM THOSE 60 FOOT NON-EXCLUSIVE ROAD AND PUBLIC.
UTILITY EASEMENTS OVER. LAKEVISTA DRIVE AND LAKEFRONT DRIVE, AS
SHOWN ON THE MAP REFERRED TO ABOVE.
PARCEL II• .
A 60 FOOT NON-EXCLUSIVE ROAD AND PUBLIC UTILITY EASEMENT OVER
LAKEVISTA DRIVE AND LAKEFRONT DRIVE, AS SHOWN ON THAT CERTAIN MAP
ENTITLED, "MANTHEI SUBDIVISION", WHICH MAP WAS RECORDED IN THE
OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF
CALIFORNIA, ON MARCH 27, 1989, IN BOOK 112 OF MAPS, AT'PAGE(S) 93
AND 94.
EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF
PARCEL I, DESCRIBED HEREIN.
PARCEL III•
THOSE CERTAIN 15 FOOT DRAINAGE EASEMENTS OVER LOTS 3, 7 AND 8, AS
SAID EASEMENTS ARE SHOWN ON THAT CERTAIN MAP ENTITLED, "MANTHEI
SUBDIVISION", WHICH MAP WAS RECORDED IN THE OFFICE OF THE
RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MARCH
27, 1989, IN BOOK 112 OF MAPS, AT PAGE(S) 93 AND 94.
PARCEL IV•
A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES
OVER A STRIP OF LAND 30.00 FEET IN WIDTH, LYING NORTHERLY OF AND
COINCIDENT TO THE FOLLOWING DESCRIBED LINE:
BEGINNING AT THE NORTHWEST CORNER OF THE SOUTHWEST QUARTER OF
SECTION 7, TOWNSHIP 23 NORTH, RANGE 4 EAST, M.D.B. & M.; THENCE
SOUTH 0 DEG. 55' 36" EAST ALONG THE WEST LINE OF SAID NORTHWEST
QUARTER OF THE SOUTHWEST QUARTER OF SAID SECTION 7 FOR 974.78
FEET TO THE SOUTHWEST CORNER OF THAT CERTAIN PARCEL OF LAND
9f-00823 90-05.548
ORDER NO. BU -109771-2 MB
PARCEL IV• CONTINUED
DESCRIBED IN DEED TO BARBARA JEAN ELIASON RECORDED UNDER
RECORDER'S SERIAL NO. 86-18795 IN THE OFFICIAL RECORDS OF 'BUTTE
COUNTY, CALIFORNIA, ALSO BEING THE TRUE POINT OF BEGINNING FOR
THE LINE HEREIN DESCRIBED; THENCE FROM SAID TRUE POINT OF
BEGINNING, NORTH 87 DEG. 51' 44" EAST, PARALLEL TO THE NORTH LINE
OF SAID SOUTHWEST QUARTER OF SAID SECTION 7, FOR 77b,,4.39 FEET TO
THE CENTERLINE OF NORTH LAKE ROAD AND THE END OF S`AID;`,DESCRIBED
LINE.
THE SIDELINES OF THE ABOVE DESCRIBED STRIP OF LAND ARE -,.TO BE
LENGTHENED OR.SHORTENED TO INTERSECT PROPERTY LINES.
END OF DOCUMENT
END OF DOCUMENT
2
n
c
141 0 o
Dov)
ti
CustomerOw
l
Address
. ON(iu-
L-UM.113ER-
.
• Truss Design
f and Floor Systems
89 Loren Ave.
Chico, - Ca 95928
916-893-0112
FAX 916-893-0140
j=a
2
BUTTE C®UN 1 Y
SU VLD3 DEPARTMF-N'T
AppFto\]ED
Detail'for fabrication of bottom chord filler to be used to
produce a flat bottote chord of variable length.
Refer to appropriate design for lumber, plates, and
other data not shown here.
W 1X4 continuous lateral bracing @ 6'-0" O -C. (Paz-).
Attach with 2-8d nails. Furnlsb copy of this drawing to
erection contractor so be will know of this
reguirewent.
t A)
�P 43 45 -ct-D
AP
(A) -
3X4 L-- 2z4 #2 Fir-Larcb
sazimm fljen.Pau,el
i
as I
Truss
3. U19, 39:i
I2X4
PLATE TYPE ALP ME FURMM A COPY OF TM OE ! TO EBKCMrA comgt^CTOR
MPORTAPf T: AtPt�E 9/GIMI� PNOOU[.TS MIC.
WARNING: TRUSSES REQUIRE
E)ITT�E CARE N Iw1Dtl6 ERECTION ANO
DESIGN CRM DBC 5736 R427
TC LL- PSF 7/19/88
LL:
SM"NOTeERr�ONSF8LEFORANYDEM1110PFAQM7*6W
SPECF1CAM64S OR AM IMEW040N FMM TM OMW OR ANY
BRACMIM SEE 'BNT-W IBRAt240 woo*
7iWBSEM COY@QAM AM aetoNMEa-
TO atom nE �iM � N 00MoF4NICE %WH TIE
'CUAMYCOPORMMA04Ar-e.cr MME COMECTOM AM
CATIONS — -Wqk SE fMSVePM FOR ADM
TKMAL s+ECIAL PEpw►Ewff eRACMG
TC Dl.: PSF 3,029,393
A -
tMMtfACT UWD FPMA 20 GAUGE GAIWYAM SMML'MAASS
OTHO S1 SHOW VI ETWO P:f�OL"VDdMTS ff ASTU AOO
GRADE A. APPLY COM ECTOM TO BOTH FACES AT EACH.KIMIT
REQUNW-M 7f]SlplMOTMEffnGESHOWK
nor CHORD Slue BE tATePhAtLY GRACED
%WTH PFVOPERLY ATTACHED MTWOM S IEA -
®C DU 5.0 PSF FN . � '�
TRUSS
•
Aro LOCATE AS 910MO ee�.G WOTKS ARE � WOIAWL
1MISS aTHERURSE SHowM MIM STAbOMM CONFO§M
V/U"APR1CAMEW"DYISIONSOF'WM46AWI;n 45GA PCT -8M
•
Troll*, 6oTTOM CVKV0 %V" few CtAta.G
09 BRACWG AS SPEKNMD ON DE90K 00
"OTUM Tms DESk M VWTH PRE RETARwuT
T'i¢ATED LLAABER
TOT. LD: F VARIES
OUR. FAC: 1-25 }� PLTCH: VARIES
SPACING 24.0" O.C. TYPE: - DMUL
•TPI =MUSS PUITEMSMUMt"=HATroT/ALMRSIGNSPECHCATIMKR
WOOD copesTfwcnom.
Mandatory Measures Checklist: Residential MF -1R
NOTE: Lowrisc residential buildings subject to the Standards must contain these measures regardless of the compliance
approach used. Items marked with an asterisk(') maybe superseded by mors stringent compliance requatments listed
On the Certificate of Compliance. When this checklist is incorporated into the permit documents. the features noted stall
be considered by all parties as binding minimum component performance specifications for the mandatory measures
Wbethcr-tbcy-anesbown elsewhere in the documents or on -this checklist only.---
DESCRIPTION I DESIGNER I ENFORCEMENT I
Building Envelope Measures
§2-5352(a): Minimum ceiling insulation R-19 weighted average.
§2.5352(br Loose fill insulation manufamurer's labeled R -Value -
§2.5352(c): Minimum wall insulation in framed walls R -I 1 weighted average (does not apply to
exterior mass walls).
§2-5352(k): Slab edge insulation - water absorption rate no greater than 0.3%. water vapor
transmission rate no grater than 2.0 permormh.
§2.5311: Insulation specified oc installed meets California Energy Commission (CEC) quality
standards. Indicate type and form.
§2-5352(x): Vapor barriers mandatory in Climate Zones 14 and 16 only.
§2.5317: InfiltratioMExfiltralion Controls
a. Doors and windows between conditioned and unconditioned spaces designed to limit au
leakage,
b. Doors and windows certified.
c. Doors and windows weatherstripped: all joints and penetrations caulked and sealed
02-5352(e): Special infiltration barrier installed to comply with 02-5351 mccUCEC quality
standards.
§2.5352(d): Installation of Fueplaces
I. Masonry and factory -built fireplaces have
a. Tight fitting. closeable metal or glass door
b. Outside air intake with damper and control
c. Flue damper and control
2. No continual burning gas pilots allowed.
HVAC and Plumbing System Measures
§2-5352(8) and 2-5303: Space conditioning equipment siring: attach akulations.
42-5352(h) and 2-5315: Setback tltemtostat on all applicable heating systems.
" §2-5316(a): Ducts constructed. installed and insulated per Chapter 10. 1976 UMC.
§2-5316(b): Exhaust systems have damper controls.
§2.5314(c): Gas -rued space heating equipment has intermittent ignition devices.
§2.5314: HVAC equipment. water heaters. showerheads and faucets certified by the CEC.
§2-5352(1): Water heater insulation blanket (R-12 or greater) or combined interiorkmerior
insulation (R-16 or greater): fust 5 feet of pipes closest to tank insulated (R-3 or greater).
§2.5312(Excep6on I): Pipe insulation on'steam and steam condensate return & recirculating
piping.
§2.5318(d): Swimming Pool Heating
1. System has:
a. On/off switch on heater.
b. Weatherproof instruction plate on heater;
e. Plumbed to allow for solar.
2. 75 percent thermal efficiency.
3. Pool cover.
4. Time clock.
5. Directional water inlet
Lighting and Appliance Measures
§2-5352(1): Lighting - 25 Iumens/wau or greater for general lighting in kitchens and bathrooms.
§2.5314(c): Gas fired appliances equipped with intermittent ignition devices.
§2-5314(a): Refrigerators. refrigerator -freezers, freezers and fluorescent lamp ballasts certified
by the CEC. Indicate make and model number.
COMPLIANCE STATEMENT
This certificate of compliance lists the building featuitis and performance spec ificadons needed to comply with
Title 24, Chapter 2-53 and Title 20. ChaM r2. Subchapt"4. Article I of the California Administrative code. This
certificate has been signed by the individual with overall design responsibility and the building owner, who shall
retain a copy of it and transmit the aerdficate to any subsequent purdfaser of the building.
Resigner Building Owner
Name: Name: V>^
Ti4k1F'irm: Tid effium:
Address:. Address: -7 1 64� RR u'e-v v
Telephone: Telephone:
Lic. R:
(signalers:) (daec)
Documentation Author
Name:
Ti k/Ftrm:
Address:
( 41 12-) 1.) ) Ci a
(signatum) f (Atc)
Enforcement Agency
Name:
Agency:
Tekphonc
1. Ceiling Insulation
0.50
-176
Number of stories
-54
R -value
One
Two
Three
R-0
-103
-49
-02
R-19
-8
-4
-2
R-30
-2
-1
-1
R-08
0
0
0
0.50
-176
-84
-54
0.30
-102
-49
-02
0.10
-26
-13
-8
0.08
-18
-9
-6.
0.06
-11
-5
-4
0.04
-4
-2
-1
0.02 =
4
2
1
0.00
11
5
3
2. Wall Insulation
3. Raised Floor Insulation
Single-
Single -
Effective Percent Class
R -value
Family
Family
Multi -
R -value
Detached
Attached
Family
R-0
-68
-51
-34
R-11
0
0
0
R-13
2
2
1
R-19
8
6
4
U -value
-07
R -value
-- 0.60 .
0:80
-153
-114
-76
0.50
-91
-68
-46
0.30
-47
-36
-24
0.10
0
0
0
0.08
4
3
2
0.06
9
7
5
0.04
14
11
7
0.02
19
.14
10
0.00
24
18
12
3. Raised Floor Insulation
S. Infiltration (Air Leakage)
Speafice�ci faints
Standard 0"
Total
Insulation fn.Fioor
Number of stories
Effective Percent Class
R -value
Number of stories
Two
R -value
One
Two
Three
R-0
-17
-8
-5
R-11
-3
-2
-1
R-19
0
0
0
R-30
3
1
1
U -value
Number of Stories
-07
R -value
-- 0.60 .
-144
-70
-46
0.50
-120
-58
-38
0.40
-95
-46
-30
0.30
-69
-34
-22
0.20
-43
-21
-14
0.10
-17
-8
-5
0.08
-11
-6
-4
0.06
-6
-3
-2
0.04
-1
0
0
0.02
4
2
1
0.00
10
5
3
Controlled Ventilation Crawlspace
S. Infiltration (Air Leakage)
Speafice�ci faints
Standard 0"
Total
Single-
Number of stories
Effective Percent Class
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
A. Slab Edge Insulation
-10
4
40
Number of Stories
-07
R -value
One
Two
Three
R-0
0
0
0
R-5
8
5
2
R-!
8
6
3
F2 factor
12
29
-58
0.90
-4
-3
-1
0.80
-1
-1
0
0.70
2
2
1
0.60
6
4
2
0.50
9
6
3
0.40
12
8
4
S. Infiltration (Air Leakage)
Speafice�ci faints
Standard 0"
Total
Single-
Slab Floor
Effective Percent Class
---Effective
U -value
(Percent Stas x SC)
Percent
Effective
(percent glass x SC)
.51 to
.41 to
.31 to 0.30 or
Glass
Single
Double
.60
.50
.40
less
50
-121
-53
-39
-24
-10
4
40
-90
-07
-26
-14
-3
8
35
-75
-29
-19
.9
1
10
30
-61
-21
-13
-4
4
12
29
-58
-20
-12
-3
5
12
28
-55
-18
-10
-2
5
13
27
-52
-17
-9
-2
6
13
26
-49
-15
-8
.1
7
14
25
-46
-14
.7
0
7
14
24
-43
-12
-5
1
8
14
23
40
-11
4
2
8
15
22
-37
-9
-3
3
9
15
21
-04
-7
-2
4
10
15
20
-31
-6
0
5
10
16
19
-29
4
1
6
11
16
18
-26
-3
2
7
12
16
17
-23
-1
3
8
12
17
16
-20
0
4
9
13
17
15
-17
1
6
10
14
17
14
-14
3
7
10
14
18
13
-12
4
8
11
15
18
12
-9
6
9
12
15
19
11
-6
7
10
13
16
19
10
-3
9
11
14
17
19
9
-1
10
13
15
17
20
8
2
12
14
16!
18
20
7. Shading (Shade Open)
Single-
Slab Floor
Effective Percent Class
---Effective
Percent Class
(Percent Stas x SC)
Multi
Effective
(percent glass x SC)
, Attached
/CFA
Effective
Two
%Glass
North
Etat
%Glass
North
East South :West
18
Skylight
18
5
1 4
1
na
16
4
2 5
1
na
14
4
2 5
1
na_
12
3
3 5
2
na
11
3
3 5
2
na
10
2
3 5
2
1
9
2
3 5
2
2
8
2
3 5
2
2
7
1
3 4
2
2
6
1
3 4
2
3
5
1
2 4
2
3
4
0
2 3
1
3
3
0
1 2
1
3
2
0
0 1
0
3
1
-1
-1 -1
-1
2
0
-1
-2 -4
-2
0
na = not allowed
-9
1
1
�B. Shading (Shade Closed)
Single-
Slab Floor
Effective Percent Class
Mass
Family
(Percent Stas x SC)
Multi
Effective
Stories
, Attached
/CFA
One
Two
%Glass
North
Etat
South
West
Skylight
18
-14
-48
-69
-64
na
16
-12
-42
-59
-55
na
14
-10
-35
-50
-46
na
12
-8
-29
-40
-37
na
11
-7
-26
-36
-33
na
10
-6
-23
-31
-29-74
-1
9
-5
-20
-27
-25
-65
8
-5
-17
-23
-21..
-56
7
-4
-14
-19
-18
-47
6
-0
-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
4
7
9
11
9. Interior Thermal Mass
Interior
Single-
Slab Floor
Raised Floor
Mass
Family
Stories
Multi
Mass
Stories
, Attached
/CFA
One
Two
Three
One
Two
Three
0.0
-8
-5
-4
-2
-1
-1
0.1
-8
-5
-0
-1
0
0
0.3
--
-7
---
-4
-2
0
-
1
_ 1-
1
0.5
0.7
-5
--
-2
-1
1
-•
2
2
2
0.9
-5
-1
0
2
3
- 3
1.1
-4
-1
1
3
4
4
1.3
-3
0
2
3
4
5
1.5
-3
1
2
4
5
5
2.0
-1
2
4
5
6
7
2.5
0
3
5
7
7
8
3.0
1
4
6
8
8
9
3.5
2
5
7
9
9
10
4.0
3
6
8
9
10
10
4.5
3
7
8
10
11
11
5.0
4
7
9
11
12
12
5.5
5
8
9
11
12
12
6.0
5
8
10
12
13
13
6.5
6
9
10
12
13
13
7.0
6
9
11
13
13
14
7.5
6
10
11
13
14
14
8.0
7
10
11
13
14
14
8.5
7
10
12
13
. 14
15
10. Exterior Wall Thermal Mass
Exterior
Single-
Single -
_ Sum of 1.6
Wall
Family
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 j
200
10
11
13 I
11. Heating System
SE or HSPF
(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.
;139
_ Sum of 1.6
Credit
or • 1
Stf
Type
-25 or
-24 to
-14 to -4 to
+6 to
16 or
SE
HSPF
less
-15
-5
+5
+15
more
0.72
6.60
0
0
0
0
0
0
0.75
6.88
3
3
3
2
2
1
0.80
7.33
8
.7
6
5
4
3
0.85
7.79
13
11
10
8
7
5
0.90
8.25
17
15
13
11
9
7
0.95
8.71
20
18
15
13
11
8
Effective
SE or HSPF
(SE or
HSPF x duct efftaency)
Effective -25
or -24 to -14 to
.4 to
+610 16 or
SE
HSPF
less
-15
-5
+5
+15 more
0.30
2.75
-73
-64
-56
-47
-38
-30
na
3.41
-45
-39
-34
-29
-24
-18
0.40
3.67
-34
-30
-26
-22
-18
-14
0.50
4.58
-10
-9
-8
-7
-5
-4
0.56
5.13
0
0
0
0
0
0
0.60
5.50
5
5
4
3
3
2
0.70
6.42
17
15
13
11
9
7
0.80
7.33
25
22
19
16
13
10
0.90
8.25
32
28
24
20
17
13
1.00
9.17
37
32
28
24
19
15
Zonal Control Adjustment
System Type
Resistance 10 9 7 6 4 3
Other 6 5 4 3 2 2
12. Cooling Syst.
;139
(assumes
Credit
or • 1
Stf
Type
-25 or -24 to r
SG
None
8.0
-14
-12 .
8.5
-9
-7
8.9
-5
-4
9.0
-4
-3
9.5
0
0
10.0
4
3
10.5
7
6
11.0
10
9
120
15
13
13.0
20
17 ,
=5
Effer
7
(SEER x:
�y
Effective -2S or -24 to
SEER less -15
5.0 -30 -25
6.0 -12 -11
6.6 -5 -4
7.0 0 0
8.0 9 8
9.0 16 14
10.0 22 19
11.0 26 23
12.0 30 26
13.0 33 29
Zonal Cor
10 8
. No Coolin<
_Stories
One -5 -4
Two+ 3 3
}
Single -Family II.
Water
;139
Healer
Credit
or • 1
Type
Type
less ,
SG
None
0
or
Solar
12
HP
HWR
8
WSB
5
POU
8 _
SE
None
-37
`
Solar
-1
HWR
-18
WSB
-25
POU
-18 _
IG
None
=5
Solar
7
POU
3
IE
None
-28
Solar
8
POU
-10
Multi-Famil;
Water
Heater Credit
Type Type
SG None
or Solar
HP HWR
WSB
POU
SE None
Solar
HWR
WS8
__.F_QU
n None
Solar
POU
IE None
Solar
POU
699
or
less
0
14
9
9
9
-45
2
-23
-25
_23 .
-8
6
1
-30
18
-8
#,;erwicate of Compliance: Residential
Zone 11 -
Documentation Author Telephone Fnfomanent Ajtencv Use
BUILDING DATA
Area
Glas�ss A-r�eea-
% Glass
Conditioned Floor Area o1.33lo
/Raised Floor u . e�
Number of Stories _[_
Number of ,Units
North
East =-37
Southmss"
�3, d
Single Family Detached (SFD)
[ ] Addition Alone
West _ f 2�_____
e lye/1-P_
[ ] Single Family Attached (SFA)
[ ] Existing Building
Skylight
East ( )
[ ] Multi -Family (MIS
[ ] Existing -Plus -Addition
Totals
BUILDING SHELL INSULATION.
Sou th
Component Insulation LocatiaonlComments
Z—
Type R -Value (aWc..to
garage, cipierL etc.)
Skylight.......
Wall ..............
THERMAL MASS
Roof .............
Area Thickness
(slab/exposed, tile, etc.)
.
Roof .............
Floor ............. =—`—
Floor .............
Slab Edge..... --
GLAZING
Shading Devices
Glazing
Orientation
Area
Glass Type Interior Exterior Overhang Framing Type
(s0
(single. double) (colla blind. etc) (shadescreen, etc.) (yes/no) (metal/wood)
North ( )
1��
ro ,4 r
North ( )
e lye/1-P_
East ( )
_3Sl
East ( )
South
Sou th
West ( )
Z—
West ( )
Skylight.......
p
THERMAL MASS
Type/Covering
Area Thickness
(slab/exposed, tile, etc.)
.
00 (inches) L ocation/Description (kitchenu bath etc.)
HVAC SYSTEMS
Type (furnace, air
conditioner, hent omnn)
Minimum
Efficiency
E. SEERASPR
Duct
Location Duct Output Manufacturer / Mod 14
etc.) R -Value (Btuh)
Maxii'num Furnace Heating Output: Btuh
HOT WATER SYSTEMS Tank Manufacturer/Model #
SPECIAL FEATURES/REMARKS (Add extra sheets if necessary)
e
(or woroved eoual)
J
41 y I -
EER
lucts In attic)
of 7-10
Ato -4b +6 to 16 or
4.- - -+5--.-+.15 _more.
-10
-8
-6
-4
-6
-5
-4
-3
-4
-3
-2
-2
-3
-2
-2
-1
0
0
0
0
3
2
2
1
5
4
3
2
7
6
4
3
11
9
7
5
14
12
9
_ 6 ,
Ive SEER
uet efficiency)
of 7-10
4 b 410 +b b 16 or
4 +5 +15 more
-21 -17 -13 .9
-9 -7
4
-4
-4 .3 ..
-2
-2
0 0
0
0 ,
6 5
4
3
12 9
7
5
16 13
10
7
19 15
12
8
22 18
14
9
24 20
15
10
rol Adjustment
7 6 4 3
System Installed
Point System Summary: Climate Zone 11
SCORE CARD
1. Ceiling Insulation
2. Wall Insulation
3. Raised Floor Insulation
-3 -2 -2 4. 'Slab Edge Insulation
2 2 1
5. Infiltration
taehed and Attached
Unit Size (sQ
% Glass
1200
1700
2200
2700
b
to
to
or
699
2199
2699
InteriorMass/CFA
0
0.
0
0
8
6
5
4
. TTV6 2 PSS
4
3
3
3
3
2
2
5
4
3
f
-24
-18
-15
-12
-1
.1
0
0
-12
-9
-7
-6
-16
-12
-10
1 p,tlMc:..2,
(c.tpet.a .l.bl
-12
-9
_7_
-6
-
-2
-2
.2
I TYPL I
MASS
(UIMC a 4.2,
ie: exposed slab)
2
1
1
1 .
19
-14
-11
-9
5
0%
5%
10%
1S%
20%
2S%
30%
35%
40%
4SY. 50%
55%
60%
6676
70%
7S%
80%
85Y.
90%
95%
100% 105Y. 110Y. 115Y. 120% 125`
OY.
0
0.2
0.4
0.6
0.8
1.1
1.3
1.5
1.7
1.9
21
23
2.S
2.7
2.9
3.2
14
3.6
3.8
4
4.2
4.4
4.6
4.8
5
53
_ IM ---0.2-0.4x-•0:6-0.8--1----1.2-
1
1
0
1.4-:.
1.V--
1.9-2.1
-6
---13--25-
-13
2.77-2.9"_&1'
-3.3-3.5"-'3:7-}'4'--42"-4:4--7:6-4:8`5'-'S'2'
S.I
20%
0.3
0.6
0.8
1
1.2
1.4
1.6
1.8
2
2.2
2.4
17
19
3.1
3.3
15
3.7
3.9
4.1
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
1.8
2
2.2
24
26
2.8
3
3.2
3.5
3.7
3.9
4.1
4.3
4.5
4.7
4.9
5.1
5.3
5.6
58
40Y.
0.7
0.9
1.1
1.3
1.5
1.7
1.9
2.2
2.4
16
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
5.9
50%
0.9
1.1
1.3
1.5
1.7
1.9
V
13
2.5
17
3
32
3.4
3.6
3.8
4
42
4.4
4.6
4.8
5.1
5.3
5.5
5.7
5.9
6.1
55%
0.9
1.1
1.4
1.6
1.8
2
2.2
2.4
2.6
18
3
32
3.5
3.7
3.9
4.1
4.3
4.5
4.7
4.9
5.1
5.3
5.6
5.8
6
6.2
60%
11.2
1.4
1.7
1.9
2.1
2.3
2.5
2.7
2.9
3.1
3.3
3.5
3.8
4
4.2
4.4
4.6
4.8
5
5.2
5.4
5.6
5.9
6.1
63
65%
1.1
1.3
1.5
1.7
1.9
2.2
2.4
2.6
2.8
3
3.2
3.4
3.6
3.8
4
4.3
4.5
4.7
4.9
5.1
5.3
55
5.7
5.9
6.1
6.4
70%
1.2
1.4
1.6
1.8
2
2.2
2.5
2.7
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
?It
64
75%
1.3
1.5
1.7
1.9
2.1
2.3
2.5
17
3
3.2
3.4
16
3.8
4
4.2
4.4
4.6
4.8
5.1
5.3
5.5
5.7
5.9
6.1
6.3
6.5
80%.
1.4
1.6
1.8
2
2.2
2.4
26
2.8
3
3.3
3.5
3.7
3.0
4.1
4.3
4.5
4.7
4.0
5.1
5.4
5.6
5.8
6
6.2
'6 4
66
65%
1.4
1.7
1.9
2.1
2.3
2.5
2.7
2.9
3.1
3.3
3.5
3.8
4
4.2
4.4
4.6
4.8
5
52
54
5.6
S.9
6.1
63
65
67
90%'
1.5
1.7
2
2.2
14
16
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
6.4
%66
68
95%
1.6
1.8
2
2.2
2.5
2.7
2.9
3.1
33
3.5
3.7
3.9
4.1
4.3
4.6
4.6
5
5.2
5.4
5.6
5.8
6
6.2
6.4
6.7
6.9
100%
1.7
1.9
11
2.3
15
28
3
3.2
3.4
3.6
3.8
4
4.2
4.4
4.6
4.9
5.1
5.3
5.5
5.7
5.9
6.1
6.3
6.5
6.7
7
105%
1.6
2
2.2
2.4
2.6
2.8
3
3.3
3.5
3.7
3.9
4.1
4.3
4.5
4.7
4.9
5.1
5.4
5.6
5.6
6
6.2
6.4
6.6
68
7
110%
1.9
2.1
2.3
2.5
17
19
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
S.1
5.3
5.5
5.7
5.9
6.2
6.4
6.6
6.8
7
7.2
120%
2
2.3
2.S
2.7
19
3.1
3.3
3.5
3.7
3.9
4.1
4.4
4.6
4.8
5
5.2
S.4
5.6
50
6
6.2
6.5
6.7
6.9
7.1
7:3
125%
2.1
2.3
2.5
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
Point System Summary: Climate Zone 11
SCORE CARD
1. Ceiling Insulation
2. Wall Insulation
3. Raised Floor Insulation
-3 -2 -2 4. 'Slab Edge Insulation
2 2 1
5. Infiltration
taehed and Attached
Unit Size (sQ
% Glass
1200
1700
2200
2700
b
to
to
or
699
2199
2699
more
0
0.
0
0
8
6
5
4
5
4
3
3
3
3
2
2
5
4
3
3
-24
-18
-15
-12
-1
.1
0
0
-12
-9
-7
-6
-16
-12
-10
-8
-12
-9
_7_
-6
-3
-2
-2
.2
5
4
3
2
2
1
1
1 .
19
-14
-11
-9
5
4
3
3
-6
-5
-4
-3
(Individual units)
x
Unit Size (s
_
700
1200
1700
2200
to
to
to
or
199
1699
2199
more
0
0
0
0
7
5
4
3
5
3
2
2
4
3
2
2
5
3
22
-23
-15
-11
-9
1
1
0
0
.12
-8
-6
-5
-13
-8
-6
-5
-12_8_._.._,-6
.5
-4
-3
-2
; -2
3
2
1
1
0
- 0_
0
0
.15
-10
-8
-6
9
6
4
4
-4
-3
-2
.2
6. Glass Heat Loss
7. Shading (Shade Open)
Measures
% Glass
w or
a. North.
_R-
R -value 1381
U -value [0.030]
or
% Glass
R -value [11]
U -value [0.098]
` -/Q or
x =f�
R -value (19]
U -value [0.037]
or
e. Skylight
R -value [o]
F2 factor (0.77).
Standard
1, 2
x
�+
Type [double]
U -value [0.65] % Total Glass (16]
Point Scores
O
0
Sum l-6
8. Shading (Shade Closed)
% Glass
SC Eff. % Glass
a. North.
66
x 77 = ,
b. East
% Glass
x =
c. South
/,o
x =f�
d. West
��. p
x = `'
e. Skylight
x = --
Point Scores
O
0
Sum l-6
8. Shading (Shade Closed)
% Glass
SC
Eff. % Glass
a. North
��. p
x
b. East
1, 2
x
=
4-1.
c. South
x
_/040a
d. West
G , s7
x
=
V w
e. Skylight
x
9. Interior Thermal Mass
-InteniirI..,ss/CFA
TYPE 1 MASS AREA = a _
COND. FLOOR AREA -�
10. Exterior Wall Mass
TYPE 2 MASS
AREA
t
Exterior Wall Mass
ND. L OR
=
AREA
Sum 7-10
11. Heating System
66
x
9-2--
_ '5,, y i
Zonal Control? ( Y / N)
SE or HSPF
Duct Efficiency [0.78]
Effective SE or
[0.77J6.6] .
HSPF [0.5415.15]
12. Cooling System_
x
_
Zonal Control? ( Y IN
SEER 19.51
Duct Efficiency [0.74]
Effective SE [7.031
13. Water Heating
0�
p
Type[
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COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Qro4ille, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
65-05-42
ZONING
BUILDING PERMIT
OWNER
Edward W. Briggs
TELEPHONE
873-4930
SQ. FT. OCC.1 BUILDING VALUATION
OWNER'S MAILING ADDRESS
P.O. Box 1731 Magalia 95954
CONTRACTOR'S NAME
unknown
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 1000
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Lake Front Dr
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Ma alfa
Solar or heat pump water heater
20.00
LOT NO.
4
SUBDIVISION NAME
Manthei Sub.
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other well electric
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
10.00e
TYPE OF WORK WA
New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Othert`j
Describe work: p nwPr fnr wall R Int- dPv _ in f d-iirP _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 6101 OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD -L 100 AMP
2.50 2-90
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
F-1 1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. ( DWELLING 0CCU1.rx)
OR ADDNS. 1 ACC. BLDGS.
yZ¢sgft
NEW CONSTR. MULTI -OUTLET
NON-RESID BRANCH CIRC ITS
2,50 ea
POWER APPARATUS &)
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
9A 050
FIXED APLNS.
Ex. Occup. OUTLETS (RESID.)REAJ
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00 19,00
Permit Fee
$
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W.f. laws of California.
Notice to Applica, t: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, jud ments, costs, and expenses which may in any way accrue
against said Co my I consequence of the granting of this per it.
X —� Date a
Signature of Applicant — 0Wner>�I_ 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 $ 52.50
HAz
I CUA
PARK
SCHL
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JPDJHO
, ISSU
This permit is hereby issued under
sions of the Butte County Code and/or
work zllted above for which fees
D I R�TOF PUB
4W1,01C
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
ORKS
G
Date
Receipt No. 7®3
WN1TE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
a ;/Z/Iz
x
J
i
�
Copy of Haz-Mat form sent Health Dept. Fire Dept. _Air Pollution • Date
Copy of plans sent Health Dept. Fire Dept. Other Date By.
The following data must be'submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by_phone_mail—counter by ..date
Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by .date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy—DPW
COUNTY OF BUTTE - DEPAj3TIVIENT OFIPUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE bibitVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
.
PERMIT APPLICATION'DATA SHEET
'
Permit No. �
OWNER
A. P..No. - 050 — Vi ,
Proposed Building Use 1,�� B�P�It/Z'1 Building Inspector GSA Date 'e- e !/D
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;-w.i.th wet signature on plans . .
5.
Hazardous Material Form ..........................................
6.
Energy Design Compliance and supporting documentation .........
7.
Statement of Intent for Non -Heated and AC Buildings ...............
8.
Engineered truss'details and layout in duplicate (required prior to plan check)
9.
Mobilehome installation data including manufacturer's installation
instructions...... ...... ... ............................. .
10.
Fees of $ ........................
11.;
Chico -Urban Area fees paid ................... .................
-12.
Park fees paid.................................�..................
13.
School District fees paid .............. f
14.
Sanitation approval from Health Department
15.
City of Chico plumbing permit .....................................
16.
Plot plan and :business license approval from City of l
(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)
Pre -Inspection for 2LGG is YL required Pre-Inspe°. reque t
MOWt.)
Building InspeCt(
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 0) .....
24.
Recorded copy of Agricultural Acknowledgment Statement .........;
25.
Letter of signature authorization ...................................
/26.
tz A.)
27.
—
When
you issue the permit, process as follows: ail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver w. /inspector.
nthPr
Copy of Haz-Mat form sent Health Dept. Fire Dept. _Air Pollution • Date
Copy of plans sent Health Dept. Fire Dept. Other Date By.
The following data must be'submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by_phone_mail—counter by ..date
Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by .date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy—DPW
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Orovllle, California 95965 - Telephone: 916/538-7541.
APPLICAI!QN- VD PERMIT
ASSESSOR PARCEL NUMBER
Q 5-0 2
ZONING
BUILDING PERMIT
SO. FT. OCC. BUILDING VALUATION
OWNER
TELEPHONE
3- ,t-_.
OWNER'S MAILING ADDRESS
7,3 /?-/, -�,44,,a S'L-e,.
CONTRA TOR'S NAME
nI 1,,4 v f,J /v /
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
LENDER'S MAILING ADDRESS
Filing Fee
$ 10.00
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty
$
BUILDING ADDRESS
Permit fee
$
p^
PLUMBING PERMIT
FllingFee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.SUBDII'VVIISION
NAME J
I ' I �H �L U ro 1
PARCEL MAP
Water piping
5,00
Each qas water heater or vent
5,00
USE OF STRUCTURE//
SF ❑ Duplex[]Mobilehome❑ Well P/6Gi'RlGr
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
Mobile Home S I G I W
5.00
10.00e
TYPE OF WORK
New ❑ Addition[:] Remodel❑ Utllities QV Installation❑ Other
Describe work: _ DwALM_ 6 o-, r„!a// L o� QB yr i„/ `oraA.P ,
Permit Fee
$
Contractor
ELECTRICAL PERMIT
FiIingFee 10.00
Main service io°o AtOnN ORSLESS
10.00 —
CONTRACTORS
CONTRACTORS LICENSE LAW
I declare underenalt of
p y perjury y (check one):
F-1 I am licensed under provisions Of Chapt. 9, Div. 3 01 the BUSIneS$
and Professions Code and my license is in full force and effect.
License No. Classification
❑ 1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
F]Misc.
I am exempt under Sec. , Business and Professions Code
for this reason
Main service EA. ADD -L too AMP
2.50 -
NEW CONST. DWELLING OCCUP.&
oR ADDNS. ( ACC..8LDGS.
,
2/22sgft
NEW.CONSTR H
CULT 1.OUTLET
NON RES10 BRANCIRC ITS
2.50 ea
(POWER APPARATUS p)
SINGLE OUTLET CIR.
EX. OCCU OUTLETS OR FIXTURES
P
20.Q 50t
eALA3o
FIXED APPLFIS. OR
EX. OCCU p• OUTLETS (RESID.) EAT
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Wiring
9
5, .moo
n e %.. eC�io r✓
±5.00
S ��
Permit Fee
$ _
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
E) 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 Sell -Insure.
I shall not employ any person in any manner so as to become subject
Y-7—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. L
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3,00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
Is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, Indemnify and keep harmless the County of Butte against
all liabilities, jud men s. costs, and expenses which may in any way accrue
against said C y I consequence of the granting of this per
X- F S
Date
Signature of Applicant — wner, Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion bf structures over 3 stories
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST TYPE
TOTAL FEE $
HAz
CUA
PARK
I SCHL
Lo
FR
PA
PD
HO
ISSUE
This permit is hereby issued under
sions or the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By
PERMIT FXPIRFS rlatn
the applicable provi-
resolutions to do
have been paid.
WORKS
Date
inn /height.
Receipt No. 307
WMTE•D.P,W., YELLOW-ASeL530R. PINK.I.IPI[Tnn..........
PRE=INSPECTION
OWNER: La Li DATE y
LOCATION:(� L -/d �; /z`/ Q a0a M� t'_ l o�} A. P. # �- OS C� - L
CONTRACTOR: Vn1b W "V ZONING �c Zi _-' r4 D
PRE -INSPECTION FOR: l'% t-/ /. Chi/GC d"2l �•
DATE TO INSPECTOR
PERMIT HISTORY: NONE AS FOLLOWS:
TYPE OF OCCUPANCY
FIELD - INFORMATION
BUILDING USAGE:
TENNANT:
OCCUPIED [] HAS ELECTRIC �] HAS GAS [I HAS SANITATION FACILITIES
Q HEATED -COOLED PERSON CONTACTED
OTHER COMMENTS:
K' RECOMMENDED:
ISSUE Q HOLD FOR,
OTHER:
DATE ��