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064-500-003
64-50-3 Dan Wentland Pineland Cir., lot 120, PP#8, N contr •;_Wentland Const . ; -Paradige" " l Permit'#6860-79B,P,E,M(new single I family) �C 064-500-V37 063 01-0603 PICK -ROBERT 11j tt 140005 PINELA R. MAG IAl 1 CONT: UNK 1t'= GARAGE CONVERS-IONAC` B07-1814 I 064-500-003 MISCELLANEOUS' HVAC Change Out HVAC CHANGE OUT" 14005 PINELAND CIR PICKERING, ROBERT & JENNIFER I laZlImmalKIN BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 14005 PINELAND CIR Owner: Permit No: B07-1814 APN: 064-500-003 PICKERING, ROBERT & JENN Permit type: MISCELLANEOUS 14005 PINELAND Issued Date: 08/24/2007 By TMP Subtype: HVAC Change Out MAGALIA, CA 95954 Expiration Date: 08/23/2008 Description: HVAC CHANGE OUT (530) 873-4047 Occupancy: Zoning: R-1 Contractor Applicant: Square Footage: SECO HEATING AND AIR SECO HEATING AND AIR Building Garage RemdUAddn 4320 ANTHONY CT, SUITE 1 4320 ANTHONY CT, SUITE 1 ROCKLIN, CA 95677 ROCKLIN, CA 95677 Other Porch/Patio Total (916)652-6755 (916)652-6755 FEE INFORMATION DBM Heat Pump (Package Unit) $58.00 $58.00 Balance Due: $0.00 Receipt No: B4366 LICENSED CONTRACTOR'S DECLARATION I OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires SECO HEATING AND AIR 888629 / C20 C38 / 12/31/2008 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Se ' n 7000) of Division 3 of the Business and Professions Code, and my license is in full force ed. X �/ A„� i� 08/24/2007 Contractor's Signature Date WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR RKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the performance work for which this permit is issued. EfAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of 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: PREFERR!FD-EMPL(policy Number. WKN1275722 Exp. Date:05/0112007 (This sectio�d notnot bested if the permit is oror onIlars ($100) or less. 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 X. �� 4. 8/24/2007 Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. I CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lender's Address City State Zip I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's 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 [$5001; Please check one of the following: ❑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 Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does the 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 improvement is sold within one year of completion, the owner -builder will have the burden of proof 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 Provessions Code: The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). ❑ I AM EXEMPT under Section B. & P.C. for this Owner's Signature 08/24/2007 Date I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property pe'''er or am authorized to a on the gropeRe y o� s behalf. 'ham 08/24/2007 ❑ Owner 1:1 Contractor OR. E]Agent for Owner ent for Contractor FILE COPY BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION i AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** OWNER INFORMATION Last Name Vi C.1e� irst Name p �� Address jt V C3 1'f 111 D�1'1. City 11A Phone _ 8 � �o U State r.Ar Zip � r 5 4 Fax,s ol E-mail CONTRACTOR Name Address 9�p City I Phone%_I % IGT•I� r S ateGk Zip 1�15(_� Fax %, E-mail Lic. # g� Class L3 8 APPLICANT SIGNATURE X For office use only: ARCHITECT/ENGINEER Name r Address Oma• City Subdivision Name State Zip Phone � Fax V10 Fax E-mail State License Number APPLICANT SIGNATURE X For office use only: APPLICANT INFORMATION Name r Address nn^^ Oma• Type'Const. Subdivision Name City D State Zip�r Phone � Fax V10 E-mail APPLICANT SIGNATURE X For office use only: Zoning Flood Zone SRA Yes No Oma• Type'Const. Subdivision Name Map Book Page Lot # Planner r%%"_ Date Approved: vvr- runt SUBMITTAL REQUIREMENTS KAFORMS\BUILDING FOR1v1S0dgApplSubRgmts.doc Page 1 of 2 PERMIT NO. Ed7J1g BIN # PROJECT LOCATION APit Prop O y Add�ss ,I CALnAL City Cross Street WORKER'S COMPENSATION Policy Number Carrier TAcl I h"anc xc,� If hiring anyone other than license contractors, a certificate worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address �V te Description or Scope of Work: tFT- Garage Open Cov Built without Permits Change of Occupancy vious use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount: Bldg SRA Receipt #: Sheriff SMIP Date: Other Total REV 8-12-05 SUBMITTAL & PERMIT REQUIREMENTS. The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate ❑, 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's.bffice (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). 0 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has-been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 7 ,COn'T"'�3 �� Heating, Air Conditioning and Refrigeration Name Robert Pickering Phone # 530-873-4047 Date 8/7/2007 Address 14005 Pineland Proposal Number R35008072007145530-1 City Magalia State Ca Zip 95954 Comfort Specialist Chad Heating, Air conditioning and Refrigeration SYSTEM SYSTEMI System Investment Base System $11,035.16 Optional Items Total $0.00 Seco Matching <$683.33> 0% Sales Tax System Total Finance Calculation Estimated Monthly Investment Initial Investment Balance Investment Type Optional Items—(Checked items are included in system total) Status Price Description No optional components. By signing this agreement I acknowledge that I have read and understand each epresen i page, including the terms and conditions. Customer Dat oved by ' Swn ; -Per Pj' c'kerI %; 0 ,emperatures AreExtre r. Rest EASY With SECO f:ujU <$0.00> $0.00 $10,351.83 0.01801 $186.44 $0.00 $10,351.83 Finance Initials Dat IV 7, 07 Page 1 �Phon6,1,(800) CLEAI�i AIR 7 Fax x(91 Heating, Air Conditioning and Refrigeration Name Robert Pickering Proposal Number R35008072007145530-1 Components in Base System Investment Qty. Model # Description 1 WCZ036F100A 3 TON PACKAGED HEAT PUMP CONVERTIBLE -WA 1 TCONT802 7 day programmable thermostat -WA 1 BAYHTR1405000 MATCHED BACK UP - SUPPLEMEMTAL HEAT STRIPS -WA 1 ADD -MAT -25 Additional Materials 2 ElecReconnect Install new disconnect and whip. shop This is a California Energy Commision requirement. Cannot 1 HERS Rating complete job or get rebates without certificate from outside company verifying duct seal process. Customer will recieve duct seal certificate. 1 HARLOW DISPOSAL OF OLD EQUIPMENT AND RECOVERY OF ALL ENVIRONMENTALLY UNSAFE GASES. 1 Butte County Permit for Butte County 1 Package Unit on Ground. RPLACE PACKAGE UNIT ON GROUND Initials P Installation Instructions �reT�jemperatures AreExtre e Rest EASY With SECO Date 8!7/2007 SYSTEMI Inclusions (in Base System Investment) Clean up work area before leaving worksite Complete system start up Copper refrigerant lines, highest quality material Electrical safety switch for outdoor unit Energy saving setback thermostat Ensure proper amount of freon in AC or HP Ensures proper drainage Evacuate refrigerant system, removes air and water Includes Permits. Our Exclusive Twenty Five Year Workmanship Warranty. Quality assurance review Remove and dispose used equipment Sealed connections for greater energy savings and Indoor Health. THE KEY TO COMFORT Exclusions (not included in Base System Investment) No selections. Page 2 4320 Anthony Ct. Unit #1 Rocklin, CA 95677 Office: (916)652-6755 Fax: (916)952-6759 Contractor License #888629 August 24, 2007 From: David S. Edwards To: Butte County Building Department Re: Butte County Building Permits This letter serves as notification that Kevin Coulter is authorized to pull permits on behalf of my company, SECO Heating, Air Conditioning and Refrigeration, Inc. If you have any questions, please feel free to call me at (916)652-6755 Si David S.Flwards Owner / NOTES RESIDENTIAL 06 0 '6d3 01-0603 PICKERING, ROBERT f 14005 PINELAND CIR. MAGALIA CONT:UNK 4GARAGE CONVERSION/LIVING SPACE 3 SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature V= OK 0 = Not OK - = Not Applicable, MOBILE HOMES = Not Ready 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-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L -ft. / P Nat. or / /"L"ft./ /'LPG 7. Well Clearance & Disconnect 8. Utility Clearance 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Date 11. Card B-1 Date Card B-1 Date 12. Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line Card B-1 Date Card B-1 3. Gas; MH Test -Demand -Valve -Connector FINAL (Plans) OK except #'s 4. Electricity; MH Test -Crossovers -Breakers -Clearances Setbacks -Easements 5. Drain; MH Test -Fall -Flex Connector Soils; Compaction -Structure Stability 6. Water; MH Test -Regulator -Connector Pool Structure; Steel -Connections -Thickness Dead Men -Lining 7. Water and Sewer Connected -C/O to Grade -HD Approval Elec.; Receptacles and Lighting, Distance-GFI 8. Gas and Electricity Tagged Elec.; Pool Lighting; 15 Volts-GFI 9. Tie Downs -Type -Installation Cert. Elec.; Enclosures; Conduit Entries -Terminals -listed 10. Exits; Insp.-Sketch Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 11. Cert. of Occupancy Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 12. Permanent Foundation Only; License Decal Health Department Approval 10. 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; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rttrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply.Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 /OK 0 = Not OK = Not Applicable = Not Read} FRAMING (Continued) RESIDENTIAL (: Date Underfloor (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope Access; Size & Romex Protection -Draft Stop -Ins. Baffles 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Fig. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth rope tine Firewall & Openings 4. Ftg., Porches & Decks; Soils -Steel-/ P Ftg. Depth 5. Stemwalls, Main, Steel-Blockouts-Wrapped lywood on Roof Overhang -Attic Vents -Rafter Outriggers 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors lazing Area -Glass Protection -Skylights -Plastic 7. Slab, Steel -Wrapped 60. 8. Piers -Fireplace Ftg.-Steel Insulation -Walls -Ceilings 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Card B -i Date Card B-1 11. Water Pipe; Test -Anchors -Regulator -Service Test Date 12. Electric Underground E . teps-Door & Sidelight Protection -Landings 13. Plenums & Ducts; Clearance -Material -Support -Ins. iLo�urnnre 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Bedroom Exiting 15. Access & Ventilation 16. Insulation Stairs its fireplace or Stove, Clearance -Hearth Date Elec. Outlets at Wood Panel, Int. & Ext. Card B-1 Date Card B-1 Date 73. Card B-1 Date Card B-1 Date Garage Fire Door; Swing -Landing -Closure PLUMBING (Permit) OK except #'s A.C_Q<fin Garage -Damper 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection Elec. Receptacles in Garage (F.F.I.)-Romex Protection 19 D.W.V.; Test Fittings & Anchor -Nail Protection 80. 20. Shower Pan; Test, First Floor -Tub Access Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 21. Test Tub & Shower, Second Floor -Tub Access 82. 22. Gas Pipe; Sixe & Anchors Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing Date Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date entilation Throughout House EL RICAL (Permit) OK except #'s ,-_ s Protection pe"Corrections Fi Transformer Clearance -Ins. Protection 91. Gas Test -Meters Tagged, Gas -Electric Elec eptacles Spacing -Lights & Switches at Doors Water & Sewer Connected -C/O to Grade -HD Approval 93. ize B No. of Conductors Stapled Address Posted ome ailed Close to Edge of Studs & C.J. A7 quip. Ground made up w/Mech Fasteners -Bond Gas & Water Date 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI Card B-1 Date Card B-1 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral O Yes ❑ No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Cloth Closet Light -Shower Light -Spa Light ,74 oke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MggJ+A 4lCAL (Permit) OK except #'s A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date F ING (Permit) OK except #'s 4 it roper Materials & Anchors 4 W Stud -Nailing Spacing & Braces -Plates -Sound Be ' g Walls over Girders & Floor Nailing ra pin Walls (rat proof) re ps, Furred Ceilings -Stairs -Chasers -Tubs eaders & Beams -Size & Bearing jingle & Duplex) Date FRAMING (Continued) 40-'H rs-Post Caps -Anchors -Connectors Cling. Joist-Rftr. Ties-Purlin-Roff Brac.-Truss-Shting.-Rfng. s or Type A Flue -Fireplace Throat Clearance L9114t1fic Access; Size & Romex Protection -Draft Stop -Ins. Baffles drm. Windows or Exiting Doors -Sill Ht. & Dimensions g. Fire Protection Framing rope tine Firewall & Openings xt. Doors -One 3' -Check Garage 3rd Story, 2 Exits i th-Headroom- Rise- Run -Landing -Fire Protection lywood on Roof Overhang -Attic Vents -Rafter Outriggers Q6. ding -Nailing Veneer u esh-Drip Screed -Fd. Vents-Underflr. Access lazing Area -Glass Protection -Skylights -Plastic 5 hear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B -i Date Card B-1 Date Card BI-1-11,Date Card B-1 Date FINAL (Plans) OK except #'s E . teps-Door & Sidelight Protection -Landings SpKe Detector iLo�urnnre Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. &Bath Fixtures & Tub Access -Spa ec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs its fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C_Q<fin Garage -Damper tr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in G rage; Above Floor-Mech. Protection Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection sulation- Foam- Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 82. Following Instld./Drive J Yes J NoMalks J Yes J No/Planters J Yes J No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Wat II, Disconnect, Electrical, Plumbing Exter' lec. Trim, G.F.I. Receptacle -Underground 8 entilation Throughout House ,-_ s Protection pe"Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. En�ompliance Certificate -Other Certificates Address Posted Date 5 4 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: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 01-0603 ASSESSOR PARCEL NUMBER - ZONING R1 BUILDING PERMIT OWNER PICKERING , ROBERT TELEPHONE 873-4047 SO. FT. OCC. BUILDING VALUATION 480 R-3 9600.00 .OWNERS MAILING ADDRESS 14005 PINELAND CIRCLE, MAGALIA 95954 CONTRACTOR'S NAME UNKNOWN TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MAILING ADDRESS Total Valuation $ 9,600.00 ARCHITECT OR ENGINEER LICENSE NO. Filin Fee $ 20.00 Permit Fee $117,00 ARCHITECT OR ENGINEERS MPJUNG ADDRESS Plan Checking Fee $ ' -50 BUILDING ADDRESS 14005 PINELAND CIRCLE MAGALIA Energy Plan Checking Fee $ PERMIT FEE $ 236.50 LOT NO. 120 SUBDIVISIONS NAME PARCEL MAP 10— _ 70 PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ER Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New IM Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other XJ Describe Work: CONVRRSTON OF (;ARAI;F. T(1 FAMTTY ROAM OFFICE R anI grog exi4t liking r-gQm Gas piping system 1 - 5 outlets 15.00 15 QQ Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ 50.00 ELECTRICAL PERMIT Filing Fee 20.00 R LESS Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license IS in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, 11. will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit Is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed If the permit is for work of a valuation of one hundred dollars ($100) or less.) �S( I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that 0 1 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. F,,T (7, /lJn ic , �i! Date _. X PP,* Signiature of Ap licant -Owner ❑ Co actor ❑ Agent An OSHA permit is require for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service aooA TO 1000A 46.00 NEW CONST. DWWNO OCCUP. SO OR ADDNS. IE.C. BLOB3.50,T'.- 16,80 NEW ,pµR61D. MULTI.OUTLET @7.50 POWEPPARATUS a SINGLER Aovn tT OIR. .00 EX. Occup. OUTLET OR FDMAES BAL @ �.,S0 LNS Ex. Occup. oFimFis PEES 1 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating I 5 -nn Cooling Hood 6.50 Ventilation PERMIT FEi: $ 5000 Mobile Home Installation Fee $ Energy Inspection Fee $ Occ R3 CONST. TYPE VN TOTAL FEE $ — D. IMP FEES FLoo CDF PARC PD HD ISSU This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By PERMIT EXPIRES ON ete rReceipt No. 314832/.mr/�� 6 HITE-D.D.S.-B.D. CANARY -ASSESSOR fl PINK-INSPEC R GOLDEN ROD -APPLICANT (Ray. t 2196) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive a Oroville, California 95965 a Telephone (530) 538-7541 PERMIT NO. APPLICATION AND PERMIT M6=".AftW&.- 50 ^ d3 �D1M0 '�_ ( BUILDING PERMIT a""m�� (� SO. FT. OCC. BUILDING VALUATION owe .3 D Q eownwe+oArs wAAs ' goNFRActoR+ VAaws Aoowe �ss.�oua °o6W"LCn= W06t u C" y„aaq A0°oQe Fireplace Total Valuation $ Apcmff r oa 04UNM ucasa "O Fifing Fee = 20.00 Ap,CWW an orMMI HALM AoOWN Permit Fee • Plan Checkin Fee i a ,O s S "0" AMI Q' Ce Energy PlanChecking Fee = Z • i �-- PERMIT FEE S 3K;,.50 "DTI'Z© s"soNeiOrt�iWr[ �'� —� _ � � ') D PLUMBING PERMIT filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE Solar or heat pump water heater/'29.00 SF 0Duplex O Mobiehome 0 Other Water piping 15.00 IFFY Each gas water heater or nt 15.00 TYPE OF WORK Gas piping ristarn 1 -5 sets 15.00 1.6. Qa New 0 Addition 0 Remodel 0 UtlWes 0 IneEal- 1 0 Otho Building sewer 15.00 Describe Work: Moble Home G W 020.00 . �/r1+'yr�' ��-Q PERMIT FEE S VV ELECTRICAL PERMIT Filing Fee 20.00 Mein Service zooA a iss 23.00 Win Service 2*" To rowA 46.00 oe A°ONS. a�"r0ae ems.9.ser+nrI& 11D wonaaro.' �uuwvner Q7.50 rowea w+Aru►n,e a Ex. Occup. ouna oa rorrwo ew 0 Ex. Occu .ovn °a ago. a 5.00 Temporary Service 23.00 %_ �l Ci Moble Home Facilities Liisc. Wiring 20.00 23.00 PERMIT FEE _ MECHANICAL PERMIT ng Fee 20.� Fili, *PERMIT FEE PAID � Heating SRA _ $ Cooling c5 SHERIFF $ Hood 8.50 Ventilation OTHER $ PERMIT FEE S Moble Home Installation Fee S Energy Inspec n Fee i , �11i me °° T " TOTAL FEE $ AMOUNT RECEIVED .— ° Ra COO' " *RECEIPT NUMBER J��j 73 * TO BE PVT INTO COMPUTER This permit is hereby issued under the applicable Previsions of the Butte County Code and/or Resolutions to do work Indicated above for which fees have been paid. By Date --� PERMIT EXPIRES ON (Datil COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET 11 r - OWNER: PGC.#U" (-1 ASSESSOR PARCEL `J(o `-7 "DD'�b3 Proposed Building Use: �tilG9e_ C_trX .) Building Inspector: �.% Date: At time of permit applic tion, T was advised the following data must be submitted prior to permit processing and/or issuance: Date Received By ❑ 1. All items have been submitted -------------------------------------------------------------------------------------- E12. Plot plans, 3/4 sets, signed by the preparer of plans. ------ ❑ 3. Complete plans, 3/4 sets, signed by the preparer of plans. ❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! --------- 116. Energy Design Compliance and supporting documentation. ------------------------------------------- 117. ------------------------------------------ ❑7. Statement of Intent for Non -Heated and A/C Buildings. ------------------------------------------------ ❑ 8. Hazardous Material Fonm.--------------------------------------------------------------------------------- ❑9 ��a_�tffactured Home data and installation instructions including Tie Down Specifications .------------------ Fs of $---f-e_ --------------------------------------------------------------- YIZOIDI QW ❑ 11. Impact fees as shown on the attached schedule. ----------------------------------------------------------------- _ .,aC_alifornia-Depmtnm=#e&-iQemstty-pian-approual/fees•--------------------------------------------------------- ❑ 13. lood elevation certificate.------------------------------------------------.-_--�---�-------------------------------- Sanitation and plot plan approval Health Department. - �------------------------------ 15. City of Chico plumbing permit.----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ❑ 17. Planning approval for (A) Use: G kf, (B) Parking:. ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ---- ❑ 20. Pre -inspection for required. Request to Building Inspector on 021. Contractor's license information. (Number, Name Style, Classification). El 22. Workers' Compensation carrier and policy number. ----------------------- 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). -- 024. Letter of signature authorization. -------------------------------------------- 025. Recorded copy of Agricultural Acknowledgment Statement. -------------- 026. Letter of intent on building use. ----------------------------------------------- 1127. Manufactured Home utility clearance. --------------------------------------- 1128 ) Existing violations and/or expired permits. --------------- ❑ ❑04433 A, ❑Grant Deed, ❑ MH. Title,, ❑ Check to H.0 . Other: OU/YUA W 44441 Q (Date) When�you issue �t �permit, p; � .s� as follows 11 Mail to owner, ❑ ail to contractor. G•� P'P A elephone ••� and hold for pickup at ❑ e iver wi inspec or. Apphc Date. t: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department,❑ Air P llution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Otherl Date: I By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: 7\ Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Buildin Division counter, by Date: Plans reviewed by: Date: Plans approved by: � Date: r Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. , TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance o i - ol. o3 E.H. USE ONLY Plot Plan Attached Floor Plan Attach Sent to B.D. I,I Cox 0(a4 -SSM -0u 3 Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for—dwetiaing. Oth cmv�.� �ca_a � raj 1"xi "Qv .,v r 6 _ 1AA s .t/J w r Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist Date 8/96 COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE OWNER PROPOSED BUILDING USE (j'( ACL-0C;k (' 6AAJ V c7 V 1. DING PERMIT FEES -- Balance Due ................ $' -- Additional Fees Due ........... $ -- Additional Fees Due ........... $ �evised Plan Checking Fee ....... $ 2. SCHOOL DISTRICT FEES A k-- (paid at District Office) 3. SHERIFF FEES (paid at Building Division) Residential ........ x $360.00 = $ V 111 W Commercial (sq.ft.)... x $0.03 = $ Sq. Ft. 104.AN AREA FEES (paid at Building Division) Residential (per unit) . x = $ #Units Amt. Commercial (sq.ft.) .. x =$ Sq. Ft. Amt. 5. RECREATION DISTRICT FEES (paid at District Office) �6TI�iERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK 14 _$8 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $20 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER A. P. # 0(p 9 `66tW DATE ) RECEIPT # DATE REC At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. �RPPLICANT6 DATE Pursuant to Gont C de Section 66020, you are hereby notified that items 2,3,4,5,6,8,9, and 10 above may have been imposed on your project. You h s from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 2/97) 0 PLAN REVISION Please complete the following information in order to process your submittal. If this form is not complete, correct and legible, it may cause a delay to processing. Owner's Name: C,�� (?1Z �/Y1 C-1 Received By: Date:. A.P. #: (01T- 500' O D3 Permit #: Time: � 1 � JU . ContactPhoneNumber: T43 - 14D q Purpose of submittal: _,P 'Permit Application Data Item t8Cc-QCo,�4t - 1 7ft� 319908 ❑ Engineering a 617.8 d ❑ Plan Revision ❑ Requested by Building Inspector or Correction Notice - Inspector's Name: _ 'Requested By Plan's Examiner - Examiner's Name: UY-\Ca.C� ❑ Other: If you are revising a plan which has already been issued, submit two(2) drawings reflecting the revisions for plan review. If engineering is involved in this revision, the engineer must put his requirements on these drawings and stamp and sign the drawings. Include two (2) sets of wet signed engineering. Revised drawings m„ ;t clearly show how When Approved, Process as Follows: ❑ Mail to Owner at this address: ❑ Mail to Contractor at this address: 6 Call 3 ' 4 C)�� and hold for pickup at the Chico Office roville Office ❑ Deliver with next inspection. Revised Plan Check Fee: ❑ $46.00 Receipt #: ❑ Additional Fees Not Required Additional fees may be due based upon complexity and time involved to process this submittal. Additional Fees: Receipt #: -.. �. -., ,. ;.``,.• ; ia^` „7`>�.s�.y,;�-•,..---.. �-T :r. ,"y�...•'%i1`;"' '+'rl�r:.„.'r��;r,�-s�,n�,gr,,'c..�c..,,2*+a.,K ,a,: r�"'F":i.:...;;� t+d�A�i•'::--�`'�.• - . r BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District r 7 ( Building Department No. A.P. Number G �-� Sm) r- Q� Jurisdiction: 0 City County Property Owner. Property Location/Address Subdivision -moos Lot No. ' t Residential Development ............................................................................................................ � Sq. Footage �� No of Living Mobile Home Oddition/ 'Supplemental to (Group R) Units Installation Conversion Permit # ! €................................................................................................................... '(No foundation inspection): a: ;.Commercial/I,dustrjal,. P O .�xilS::,`S :Foote e w 3 t. New Addition 6 (Including Exterior A / Roofed Areas) Building it-ioor rians reviewed Dv scnooi uistnct rersonnei) Date Dis 'ct Identification No. LII -03 7 School District certifies that (Applicant) A en (Street Address) ” (Phone. (City) v (State) (Zip Code) has complied with the requirements of Resolution No. by payment of $ representing , > -square•feet. School District Paid by Check # �- Remarks: AB 2926 $ FULL MITIGATION $ Date / Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section. 660201a), within 90 days from the date fees are paid. • Failure to submit a timely written protest will prohibit ryou. from challenging the imposition of the fees in any court action. If, -subsequent to the School District Representative signing this Butte Courity Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed.under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (10/98)dmm I TABLE OF CONTENTS TOC Project Title.......... PICKERING ADDITION Date..02/27/01 12:25:54 P t Add rojec ress........ 180 PINELAND CIR. ******* MAGALIA, CA *v5.10* O r 'o 6_C13 Documentation Author... ROBERT'A. MANGRUM ******* Buil ing ermit # Paradise Mechanical � S- /aq 5655 Almond Street Plan Check /'Date Paradise, CA '95969 530-877-8882. Field Check/ Date Climate Zone......... 11 Compliance Method...... MICROPAS5 v5.10 for 1998 Standards by Enercomp, Inc. MICROPAS5 v5.10 File-RANDALL3 Wth-CTZ11S92 Program -TOC User#-MP1342 User -Paradise Mechanical Run-RANDALL3 TITLE 24 1101 TABLE OF CONTENTS Report Page FORM CF -1R ................ 1 FORM MF -1R ................ 3 FORM C -2R... 6 HVAC SIZING ............... 9 CW"IFq .5 O -fID3 q4j U CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 1 CF -1R Project Title.......... PICKERING ADDITION Date..02/27/01 12:25:54 Pt AAA ******* ro�ec ress........ 180 PINELAND CIR. MAGALIA, CA *v5.10* Documentation Author... ROBERT A. MANGRUM ******* Building Permit # Paradise Mechanical 5655 Almond Street Plan Check / Date Paradise, CA 95969 530-877-8882 Field Check/ Date Climate Zone........... 11 Compliance Method...... MICROPASS v5.10 for 1998 Standards by Enercomp, Inc. MICROPAS5 v5.10 File-RANDALL3 Wth-CTZ11S92 Program -FORM CF -1R User#-MP1342 User -Paradise Mechanical Run-RANDALL3 TITLE 24 1101 Component Type Wall Roof S1abEdge S1abEdge GENERAL INFORMATION Conditioned Floor Area..... Building Type .............. Construction Type ......... Building Front Orientation. Number of Dwelling Units... Number of Stories.. ..... Floor Construction Type.... Glazing Percentage......... Average Glazing U -value.... Average Glazing SHGC....... Average Ceiling Height..... 480 sf Single Family Detached Addition Alone Front Facing 240 deg (SW) 0.33 1 Slab On Grade 12.5 % of floor area 0.6 Btu/hr-sf-F 0.65 8 ft BUILDING SHELL INSULATION Frame Cavity Sheathing Total Type R -value R -value R -value Wood R-15 R-0 R-15 Wood R-38 R-0 R-38 None R-0 R-0 None R-0 R-0 FENESTRATION Orientation Window Front Window Front Window Back Area U_ (sf) Value (SW) 20.0 0.600 (SW) 20.0 0.600 (NE) 20.0 0.600 SHGC 0.650 0.650 0.650 Assembly U -value Location/Comments 0.081 0.029 F2=0.760 F2=0.510 Over - Interior Exterior hang/ Shading Shading Fins Standard Standard Yes Standard Standard Yes Standard Standard Yes SLAB SURFACES Area Slab Type (sf) Standard Slab 480 r ' 1 T-1-:17t c. i CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 2 CF -1R Project Title.......... PICKERING ADDITION Date..02/27/01 12:25:54 MICROPAS5 v5.10 File-RANDALL3 Wth-CTZ11S92 Program -FORM CF -1R User#-MP1342 User -Paradise Mechanical Run-RANDALL3 TITLE 24 1101 Minimum Equipment Type Efficiency Furnace ACSplit HVAC SYSTEMS Duct Location 0.800 AFUE Attic 10.0.0 SEER Attic REMARKS Duct Tested Duct ACCA Thermostat R -value Leakage Manual D Type R-4.2 No No Setback R-4.2 No No Setback COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with Title -24, Parts 1 and 6 of the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the individual with overall design responsibility. When this certificate of compliance is submitted for a single building plan to be built in multiple orientations, any shading feature that is varied is indicated in the Special Features Modeling Assumptions section. DESIGNER or OWNER Name.... JOHN RANDALL Company. JOHN RANDALL AND ASSOC Address. 5439 BLACK OLIVE DR. PARADISE, CA 95969 Phone ... ( 5k0 ) 877 912 License. N, N ,.. - AGENCY Name.... Title... Agency.. Phone... Signed.. (date) DOCUMENTATION AUTHOR Name.... ROBERT A. MANGRUM Company. Paradise Mechanical Address. 5655 Almond Street Paradise, CA 95969 Phone... 530-877-8882 Signed.. (date) .. r . � :t .,.j t --� _. ���• � it=. TS 1 � ... � _ •... .,. i-. J^ .n+ :)'... � 'tom ..+r1 .... _ .� -. J .. �. _. •. � �� _ _. _- ._.. .. �y 1 ..-'r'. .. ...-....... _. ... _ ..... � ,r�.f ...i- MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 3 MF -1R Project Title.......... PICKERING ADDITION Date..02/27/01 12:25:54 Pro ect Address 180 PINELAND CIR ******* MAGALIA, CA *v5.10* Documentation Author... ROBERT A. MANGRUM ******* Building Permit # Paradise Mechanical 5655 Almond Street Plan Check / Date Paradise, CA 95969 530-877-8882 Field Check/ Date Climate Zone........... 11 Compliance Method...... MICROPAS5 v5.10 for 1998 Standards by Enercomp, Inc-. MICROPAS5 v5.10 File-RANDALL3 Wth-CTZ11S92 Program -FORM MF -1R User#-MP1342 User -Paradise Mechanical Run-RANDALL3 TITLE 24 1101 Note: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (*) may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. BUILDING ENVELOPE MEASURES Design- Enforce- er ment AJIA '-`-V"R- *150(a): Minimum R-19 ceiling insulation. 150(b): Loose fill insulation manufacturer's labeled R -Value. *150(c): Minimum R-13 wall insulation in wood framed walls or equivalent U -value in metal frame walls (does not apply to exterior mass walls). *150(d): Minimum R-13 raised floor insulation in framed floors. 150(1): Slab edge insulation - water absorption rate no greater than 0.30, water vapor transmission rate no greater than 2.0 perm/inch. 118: Insulation specified or installed meets CEC quality standards. Indicate type and form. 116-17: Fenestration Products, Exterior Doors and Infiltration/ exfiltration controls 1. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. 2. Fenestration products (except field fabricated) have label with certified U -value, certified solar heat gain coefficient, and infiltration certification. 3. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed. 150on: Vapor barriers mandatory in Climate Zones 14 and 16 only. 150(f): Special infiltration barrier installed to comply with Sec. 151 meets Commission quality standards. 150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs 1. Masonry and factory -built fireplaces have: a. Closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and control 2. No continuous burning gas pilots allowed. on z fir,_. u e .- r ..`� tion ..`i..�•.1� � ' ... .• � i l � � . J ♦. , .. _ ` � 1. .. 5 ` MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 4 MF -1R Project Title.......... PICKERING ADDITION Date..02/27/01 12:25:54 MICROPAS5 v5.10 File-RANDALL3 Wth-CTZ11S92 Program -FORM MF -1R User#-MP1342 User -Paradise Mechanical Run-RANDALL3 TITLE 24 1101 SPACE CONDITIONING, WATER HEATING AND PLUMBING SYSTEM MEASURES Design- Enforce- er ment 110-113: HVAC equipment, water heaters, showerheads and faucets certified by the Commission. s� 150(h): Heating and/or cooling loads calculated in accordance / with ASHRAE, SMACNA or ACOA. 150(i): Setback thermostat on all applicable heating and/or cooling systems. 150(j): Pipe and Tank insulation 1. Storage gas water heaters rated with an Energy Factor of less than 0.58 must be externally wrapped with insulation having an installed thermal resistance of R-12 or greater. 2. First 5 feet of pipes closest to water heater tank, non - recirculating systems, insulated (R-4 or greater). 3. Back-up tanks for solar systems, unfired storage tanks, or other indirect hot water tanks have R-12 external insulation or R-16 combined internal/external insulation. 4. All buried or exposed piping insulated in recirculating sections of hot water system. 5. Cooling system piping below 55 degrees insulated. 6. Piping insulated between heating source and indirect hot water tank. *150(m): Ducts and Fans 1. All ducts and plenums constructed, installed, in- sulated, fastened, and sealed to comply with the ICBO 1997 UMC sections 601 and 603; ducts insulated to a minimum installed R-4.2 or ducts enclosed entirely within condit-ioned space. Openings shall be sealed with mastic, tape, aerosol sealant or other duct closure system that meets the applicable requirements of UL181, UL181A, or UL181B and other applicable specified tests for longevity given in Sec. 150(m). 2. Exhaust fan systems have backdraft or automatic dampers. 3. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers. 114: Pool and Spa Heating Systems and Equipment 1. System is certified with 789o- thermal efficiency, on-off switch, weatherproof operating instructions, no electric resistance heating and no pilot light. 2. System is installed with: a. At least 36 inches of pipe between filter and heater for future solar heating. b. Cover for outdoor pools or outdoor spas. 3. Pool system has directional inlets and a circulation pump time switch. 115: Gas-fired central furnaces, pool heaters, spa heaters or household cooking appliances have no continuously burning pilot light (Exception: Non -electrical cooking appliances / with pilot < 150 Btu/hr). i _if .` MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 5 MF -1R Project Title.......... PICKERING ADDITION Date..02/27/01 12:25:54 MICROPAS5 v5.10 File-RANDALL3 Wth-CTZ11S92 Program -FORM MF -1R User#-MP1342 User -Paradise Mechanical Run-RANDALL3 TITLE 24 1101 LIGHTING MEASURES Design- Enforce- er ment 150(k)1: Luminaires for general lighting in kitchens shall have lamps with an efficacy of 40 lumens/watt or greater for general lighting in kitchens. This general lighting shall be controlled by a switch on a readily accessible lighting control panel at an entrance to the kitchen. 150(k)2: Rooms with a shower or bathtub must either have at least one luminaire with lamps with an efficacy of 40 lumens/watt or greater switched at the entrance to the room or one of the alternatives to this requirement allowed in Sec. 150(k)2.; and recessed ceiling fixtures are IC (insulation cover) approved. COMPUTER METHOD SUMMARY Page 6 C -2R Proiect Title.......... PICKERING ADDITION Date..02/27/01 12:25:54 Project Address........ 180 PINELAND CIR. ******* MAGALIA, CA *v5.10* Documentation Author... ROBERT A. MANGRUM ******* Building Permit # Paradise Mechanical 5655 Almond Street Plan Check / Date Paradise, CA 95969 530-877-8882 Field Check/ Date Climate Zone........... 11 Compliance Method...... MICROPAS5 v5,10 for 1998 Standards by Enercomp, Inc. MICROPAS5 v5.10 File-RANDALL3 Wth-CTZ11S92 Program -FORM C -2R User#-MP1342 User -Paradise Mechanical Run-RANDALL3 TITLE 24 1101 Zone Type HOUSE Residence GENERAL INFORMATION Conditioned Floor Area..... Building Type .............. Construction Type ......... Building Front Orientation. Number of Dwelling Units... Number of Building Stories. Weather Data Type.......... Floor Construction Type.... Number of Building Zones... Conditioned Volume......... Slab -On -Grade Area......... Glazing Percentage......... Average Glazing U -value.... Average Glazing SHGC....... Average Ceiling Height..... 480 sf Single Family Detached Addition Alone Front Facing 240 deg (SW) 0.33 1 ReducedYear Slab On Grade 1 3840 cf 480 sf 12.5 0 of floor area 0.6 Btu/hr-sf-F 0.65 8 ft BUILDING ZONE INFORMATION Floor MICROPAS5 ENERGY USE SUMMARY Vent Energy Use Standard Proposed Compliance (kBtu/sf-yr) Design Design Margin Space Heating.......... 25.26 22.40 2.86 Space Cooling.......... 15.40 14.66 0.74 Total 40.66 37.06 3.60 *** Water Heating not calculated *** Zone Type HOUSE Residence GENERAL INFORMATION Conditioned Floor Area..... Building Type .............. Construction Type ......... Building Front Orientation. Number of Dwelling Units... Number of Building Stories. Weather Data Type.......... Floor Construction Type.... Number of Building Zones... Conditioned Volume......... Slab -On -Grade Area......... Glazing Percentage......... Average Glazing U -value.... Average Glazing SHGC....... Average Ceiling Height..... 480 sf Single Family Detached Addition Alone Front Facing 240 deg (SW) 0.33 1 ReducedYear Slab On Grade 1 3840 cf 480 sf 12.5 0 of floor area 0.6 Btu/hr-sf-F 0.65 8 ft BUILDING ZONE INFORMATION Floor # of Vent Vent Air Area Volume Dwell Cond- Thermostat Height Area Leakage (sf) (cf) Units itioned Type (ft) (sf) Credit 480 3840 0.33 Yes Setback 2.0 Standard No r� COMPUTER METHOD SUMMARY Page 7 C -2R Project Title.......... PICKERING ADDITION Date..02/27/01 12:25:54 MICROPAS5 v5.10 File-RANDALL3 Wth-CTZ11S92 Program -FORM C -2R User##-MP1342 User -Paradise Mechanical Run-RANDALL3 TITLE 24 1101 Surface HOUSE - New 1 Wall 2 Wall 3 Wall 4 Roof Surface OPAQUE SURFACES Area U- Insul Act Solar Form 3 (sf) value R-val Azm Tilt Gains Reference HOUSE - New 5 S1abEdge 6 S1abEdge Orientation Location/ Comments 120 0.081 15 240 90 Yes W.15.2X4.16 192 0.081 15 330 90 Yes W.15.2X4.16 140 0.081 15 60 90 Yes W.15.2X4.16 480 0.029 38 n/a 0 Yes R.38.2X12.16 PERIMETER LOSSES Length F2 Insul Solar (ft) Factor , R-val Gains Location/Comments 64 0.760 R-0 No 24 0.510 R-0 No HOUSE - New 1 Window Front (SW) 2 Window Front (SW) 3 Window Back (NE) FENESTRATION SURFACES Area U- Act Exterior Shade Interior Shade (sf) Value SHGC Azm Tilt Type/SHGC Type/SHGC 20.0 0.600 0.650 240 90 Standard/0.76 Standard/0.68 20.0 0.600 0.650 240 90 Standard/0.76 Standard/0.68 20.0 0.600 0.650 60 90 Standard/0.76 Standard/0.68 OVERHANGS AND SIDE FINS Window— Overhang Left Fin Right Fin— Area Left Rght Surface (sf) Wdth Hgth Dpth Hght Ext Ext Ext Dpth Hght Ext Dpth Hght HOUSE - New 1 Window 20.0 4.0 5.0 2.0 0.0 n/a n/a n/a n/a n/a n/a n/a n/a 2 Window 20.0 4.0 5.0 2.0 0.0 n/a n/a n/a n/a n/a n/a n/a n/a 3 Window 20.0 4.0 5.0 2.0 0.0 n/a n/a n/a n/a n/a n/a n/a n/a SLAB SURFACES Area Slab Type (sf) HOUSE Standard Slab 480 COMPUTER METHOD SUMMARY Page 8 C -2R Project Title.......... PICKERING ADDITION Date..02/27/01 12:25:54 MICROPAS5 v5.10 File-RANDALL3 Wth-CTZ11S92 Program -FORM C -2R User#-MP1342 User -Paradise Mechanical Run-RANDALL3 TITLE 24 1101 System Type HOUSE Furnace ACSplit HVAC SYSTEMS Minimum Duct Efficiency Location 0.800 AFUE Attic 10.00 SEER Attic Duct Tested Duct ACOA Duct R -value Leakage Manual D Eff R-4.2 No No 0.737 R-4.2 No No 0.645 a , HVAC SIZING Page 9 HVAC Project Title.......... PICKERING ADDITION Date..02/27/01 12:25:54 Project Address........ 180 PINELAND CIR. ******* MAGALIA, CA *v5.10* Documentation Author... ROBERT A. MANGRUM ******* Building Permit # Paradise Mechanical 5655 Almond Street Plan Check / Date Paradise, CA 95969 530-877-8882 Field Check/ Date Climate Zone........... li Compliance Method...... MICROPAS5 v5.10 for 1998 Standards by Enercomp, Inc. MICROPAS5 v5.10 File-RANDALL3 Wth-CTZ11S92 Program -HVAC SIZING User#-MP1342 User -Paradise Mechanical 'Run-RANDALL3 TITLE 24 1101 GENERAL INFORMATION Floor Area ................. 480 sf Volume.. ..... 3840 cf Front Orientation.......... Front Facing 240 deg (SW) Sizing Location............ PARADISE Latitude... .... ........ 39.8 degrees Winter Outside Design...... 30 F Winter Inside Design........ 70 F Summer Outside Design...... 99 F Summer Inside Design....... 78 F Summer Range ............... 34 F Interior Shading Used...... Yes Exterior Shading Used...... Yes Overhang Shading Used...... Yes Latent Load Fraction....... 0.20 HEATING AND COOLING LOAD SUMMARY Sensible Load .................... 8903 5419 Latent Load ...................... n/a 1084 Minimum Total Load 8903 6502 Note: The loads shown are only one of the criteria affecting the selection of HVAC equipment. Other relevant design factors such as air flow requirements, outside air, outdoor design temperatures, coil sizing, availability of equipment, oversizing safety margin, etc., must also be considered. It is the HVAC designers responsibility to consider all factors when selecting the HVAC equipment. Heating Cooling Description (Btuh) (Btuh) Opaque Conduction and Solar...... 4470 1284 Glazing Conduction ............... 1440 756 Glazing Solar .................... n/a 1683 Infiltration ..................... 2184 659 Internal Gain .................... n/a 545 Ducts ............................ 809 493 Sensible Load .................... 8903 5419 Latent Load ...................... n/a 1084 Minimum Total Load 8903 6502 Note: The loads shown are only one of the criteria affecting the selection of HVAC equipment. Other relevant design factors such as air flow requirements, outside air, outdoor design temperatures, coil sizing, availability of equipment, oversizing safety margin, etc., must also be considered. It is the HVAC designers responsibility to consider all factors when selecting the HVAC equipment. .. � r .�„ �' w � ,; _ � N 1. �.�. L' .. ••T _ , z 1 � ♦� 1. � . � t l+ I 1 1 � , � � 1. , ! ., .. 1 .. _. .. .s r .. t. r� ! .1 ' i � ' =._ i. � .r � _ ' ♦ ' _`,.,� r� i,: � . , .ieIVS-4 Ad a� " 1 •6860-T9B,P,E;M _j --PERMIT NO. PERMIT EXPIRE$ l�//✓/�� Dan Wentland OWNER CONTR. Wentland CanGt , ParadiBP 64-50-3 LOCATION (A.P. ) 180 Pineland Cir., lot]20, PP#8, Magalia Y� r z fl �4 �Y Temp.. Power Pole led PG&E emp. lea Serv. Called PG&E L—Z2_ O ' Temp. Gas Serv. JCalled PG&E _ -JOB j i FINALED j (Da r (Signature) j Setback Forms /— 1, Main Bldg. Footings Stemwai I Slab Piers 5E Garage Footings Stemwall Slab Carport Footings Slab Patio Footings Masonry Walls Reinf. Steel Bond Beam Framing Stucco -liZ, Mesh iN Scratch Brown Finish Interior Lath 1Z DooUM-0 e� rbw MOBILEHOME WWater Pipin BI E E Water Piping COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS r BUILDING INSPECTION RHORD BUILDING • BUILDING (Cont'd) a� ,l- 8B ® Firewall -9,0 am Paranah Restroom Finish Windows RL Siding SLS - D Roof Sheathin Roofing Fdn. Vents Garage Vents nsu atio p Prov. for physically handicapped ' Conformance of ex. structure f i ' FIREPLACE Footinq Heatin ool in Ducts ' Ventllat J-FrnVD ---------- Elec- Ser TION - - - - Support Drainage, a 'PLUMBING ' Soil Piping Icss i&fj 1st Floor -3/ 0 2nd Floor 3rd Floor Topout �O Water Piping A-74—yO Sewer Fixtures Water Htr. Heaters Appliances Gas Piping & Temp. Gas nitati Final !Z DS6- 4-0 i ELECTRICAL o 0 Rough c O . Fixtures 0-.P,0 FIRE SPRINKLERS Motors -� Water Htr. oG Subpanels ,z MECHANICAL-' : Feult Pro 7 s5Y/sJ A'A I ce...r— -Tema. Pole /.-7_570 'Permanent Final i g) Elec. Pedestal O, %t / �/o/�j !I/1La GfI.e D U /i(J \ DATE REMARKS OR CORRECTIONS 1 &�r� 10� �',4� /'Ns Ecrd- AI17 1 u/c� /o /'_, /" f� � �jiG¢/L�.FJ9 L�l�rl/ A�£!CS Cl �0/1:/ Fi�l (�u y o.eJ 4J l2p^llj � �= 30-8o Ole To rods or -1 K S --r zz ; Cr O��s�// r.�a'a /J�Fss- KEy, d.�klEa, r/oe�c aT �✓��r6c..11�'�.7c� , c (,v,,,,� �Sj//ird /°G�Woaw-5 0d&,1/£kd edd, 's9a.J cdr�>�oc�J�E G� `o� ova aK Qr-61c Z JZ4 An antry must be on this form each time visit the job site.) made you a. - A. a:-- gr 4 Oct, RES IDPt-ITTAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLTANCr CERTIFICATE, THIS IS TO CERTIFY THAT ENERGY CONSERVATION TT.QUIRDMNTS HAVE BEEN ' SL INSTALLED IN CQNF0W-1-qi(,F, WITH CURId"N't' ENERC, , CON �- �RVAT A N EECULATIONS AT A�iaAfv-h Qt��-�N#�Awd , ., N, /So kv R (locat BUILDING PERMIT NO ,cry 41. A. P. NO. THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not applicable) . . . . . . . . . . INSULATION: Slab Edge * - Fdn Malls t Floors -1 -a -a FOIL Walls R- I/ a A:IrA C 0 111 r i / I t 0 0 f- -R A-1.zIM ---Lj,ttcts 11v'StjL4aQ Circulating Pipes— APPROVED HFATER APPROVED WTR.HTR.__L,,' CLAZING: Single Glazed Special (Insulated)DOL (,1,J2Z TNRdct4Hvi CERT. & IABELPD WDS. & S1,14ING DRS. F-YEATHERSTRIPVED DRS.' 31 BACK DAIJPERI-J) 1-*Aj-,S INTE101IT1'EINT ICNITIM DEVICES 1-1-1A CERT. APPLIANCES Y I.DEGLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEWINSTALLED IN ACCORDA14CE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF THIS CERT, IFICATEkAS SUBMITTED. V 4 1 1 vs k - C-10 Insulation Applicator NameArLA-AZA — Si Q�e p nt Signature of Insulation Applicator State Contractors License No. ip General Contractor/Owner Name "k- 'MA4&- G0,v S;P'-,- in'Signature of vnZ V General Contractor/O- D'LtC-- .. h;111; State Contractor6i License No. TE IS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO REiX-FSTING FOAL INSPECTION AND SHALL BE POSTED IN'A CONSP ICU005—LOCATION WITHIN THE DWELLING.. P L U M B I N G Minsk T.i et Permit 6'jUjnderfl of Stage .W.V.: (1) Sizing. (2) Materials. (3) Fittings. (4) Grade & Support. (5) Cleanouts & Accessibility. (6) Clearances. (7) Rough -in Locations. �.� (8) Wrapping. (9) Test - including "Ts". (10) Additional test not required.* W a -er: (1) Sizing. (2) Materials. (3) Support. (4) Test. (5) Wrapping. (6) Dissimilar metals. (7) Service regulator installed or not required.* (1) Sizing. (2) Materials. (3) Support. (4) Log Lighter. (5) Wrapping. Framin a e(Top Out D.W.V.: (1) Size. (2) Vent Area & Termination. (3) Materials. (4) Fittings. (5) Grade & Support. (6) Cleanouts. (7) Traps. (8) Nail Protection. (9) Plumbing Access. (10) Toilet Clearances. (11) Shower size. (12) Shower Pan Test. (13) Vents - turns, horiz., runs, loop, wet, etc. '1 (14) Additional 2nd floor test not required.* Water: (1) Pipe Test. (2) Mixer Valves. (3) Support. (4) Roof drains. (1) Size. (2) Materials. (3) PR Valve Drain. Water Heater: (1) Vent. (2) . Location. (3). PR Valve Drain. Fiff�� l (1) Connected to sewer system. (2) Special systems. Water: (1) Water Source. (2) Shut-off. (3) Anti -siphon Valves. - I -da -i (1) Test. (2) Connectors. Water Heater: (1) Location. (2) Accessibility. (3) Clearances. (4) Stability. (5) 18" Garage Floor. (6) Mechanical protection. (7) Combustion Air. (8) Draft Diverter. (9) Vent Connector. (10) Vent. (11) Shut-off and onnector. (12) PR Valve & Drain. Fixtures: (1) Approved. (2) Stability. (3) Clearances. (4) Trapped. (5) Connections. (6) Cross -connections. (7) Dishwasher Air Gap. 5/79 M E C H A N I C A L Check List �rmit . Underfloo Sta e E39-nderfloor Supply Plenum: (1) One-story. (2) Clearances. (3) Combustible material. (4) Insulation and vapor barrier. (5) Access. (6) Catch . receptacles and registers. (7) Fire -stopping. (8) Boots. (9) Supply ducts. (10) Gas lines and plumbing cleanouts. ucts: M. Size. (2) Materials. (3) Support. (4) Fittings. (5) Wrapping. (6) Insulation. (7) Clearances'- ground, crawlspace, cleanouts, plumbing, etc. ombustion Air: (1) Size. --Qaerfriera nt Piping: (1) Material'. (2) Support. (3) Fittings. (4) Insulation. 0--frampnin& Stage 19 eating: (1) Approved appliances..(2) Accessibility. (3)'Clearances. (4) Combustion air. ent and Connector: (1) Approved. (2) Size. (3) Clearances. (4) Cap. (5) Termination. cts: (1) Materials. (2) Size. (3) Support. (4) Fittings. (5) Insulation. (6) Fire Damper. -Fl-ffe-frigerant Piping: (1) Material. (2) Support. (3) Fittings. (4) Insulation. (5) Condensate drain. incl eating: (1) Accessibility. (2) Combustion air. (3) Safety controls. (4) Electrical connection. (5) Fuel shut-off. .Cooling: .(1) Accessibility. (2) Support. (3) Controls. (4) Pressure -relief valves. (5) Class 2 refrigerant. 5/79 6y c/o�T�re�.z s'�ow::�y ��y�Jmax-ski/E� f�i!/�/ t'2L Ljre�lfE �IR�Y �� �r" �D �2�•�✓�/J7� pv% vis✓G� Y4.1/ , o/ 60 I G COUNTY OF BUTTE , DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orgyille, California 95965 6pew_7�1 -., Tel ephori2: X34-4541 APPLICATION AND PERMIT All III /l BUILDING Owner DAm SQ. FT. OCC. BUILDING VALILIATION 62Z zveo, 11!50 Mailing Address PIZ ggp pa Telephone No. c> V Q 80 0 D Contractor a , G r1; Mailing Address o -T o,4 Fireplace r Total Valuation S� G S, %(, ha N Q0 Permit Fee Building AddressPlan Checking Fee&/or Penalty Permit Fee f ,5 Cz l MA&ALIA CALIF PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 6� Each Trap 1.50 ik IP& eIA2 "-M * Repair drainage or vent piping 1,50 A. P. No. `p V-5,0 �-- 3 TZ'.) 'Zofiing & Pla Hing Water piping 1.50 Each gas water heater or vent 1.50 Sa i on Fire Dept. Fire Zone I Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking I Parcel Plans Declaration Parcel a P 60' R/W Improvements p ovements Each additional outlet .30 Building sewer 5.00 Sdg. Plans R'e'c'dw D Parc roval Plans Approval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ 16.700 .$ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 OC7 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family Duplex Mobil Home ❑Others ❑ Main service EA. ADD'L loo AMP 2.50 Main service OVERe00v 100 AMP OR LESS 25.00 AMP 1.00 Main service EA. AOD'LNEW CONSDWEO1�00 OR ADDNSP. T ACCL G9- a 4) 20sgft f 6 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business &Professions Code under the name style of:q CO)VS� , CD NEW RESID, BRANCH CIRCUITS T NON.CONST � BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS B NON-RESID, SINGLE OUTLET CIR. Ex. Occur)(OUTLETS OR FIXTIIRES 50 @ � ) BAL@1 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID,) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. �t 6.•� � Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 311 -IS$ li� MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code whic requires every employer to be insured against liability for Wor n's Compensation. have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 ,C� Heating ICC44A O% , .0 V_WT- - — Cooling pl7 Ventilation Hood 2.00 C� Permit Fee $ C5u $ 1 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 Land Development Fee $ TOTAL PERMIT FEE autnonze representatives or ine county oT tsutte to enter upon the mentioned tion purposes. X Date /r) Signotur of Permiteeee or Agent Receipt No. GJ Z>l f°' White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date!! Kullding permit expires Date I 01 LA e:04 I -T-7- r lt;:r . A 4� M Environmental Health Chico, CaUfornla APPROVED Bu",,e County Environmental Health ---3z!2zj2( Date Signature VI L ZY- IJOB NUMBE 7 SHEETNO. . 1, er 1 W jWt, t 7. r lt;:r . A 4� M Environmental Health Chico, CaUfornla APPROVED Bu",,e County Environmental Health ---3z!2zj2( Date Signature VI L ZY- IJOB NUMBE 7 SHEETNO. . 1, er 1