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042-590-063
MEL HARRI NGTON 6_3416 w/s of Cussick Ave. at end of Sha to }° , 0&,3 'MEYE •, Chas. & Vivian 5806B r, Co Permit t �, ! ' �' • 4435P Permit 565-73B r ---- - _ (garage) 1 ' C w/s;Cussick Ave. at end o Shasta Ave. 42- 519 - A . P. (addition & conversion) ' ��1= Co 4 MEL ' HARRINGTON to W/S Cussick Ave. a@ nd of Shasta Permit 434-74B (1st Renewal -565.' 7 42-59-63. 92-1498 BPEM � /�/a �9 - WALLACE, 2 Mark & ary MEL HARR TON 45 Bell Ct Chico W/S Cushico Ave., Opp. Shasta new sf Ave . �• , Free -Standing' _ r� Pm`it # Yl48611-74 (Er_*al_.-Garage J q L• S'!— Yd Ab r 42-59-63 v 9- 2� B•,'E� WALLACE, Mar & Mary �/ 45 Bell Ct Chico detached ° • arage~ P= r "'' f �/�7 2 �� • � 042=59-0-063 i�, .t• 93-1445 BPE 42-59-63 3426-90B, %1E,M POTEETE, Herman 45 Bell Ct, Chic (new sf) v J 42-59-63 - - 3615-90B, P, E - - AMEN Bi 1 45 ,Bge Ct, C ' co rContr ar r o is 042-59-0-063 92-0415 WALLACE, MARK & MARY CONTR: OWNER ^I 45 BELL CT, CH I CO �J �v ]V NEW SF I` WALLACE, MARK `& - MARY 45 BELL CT, CHICO SWIMMING POOL rnNTP • RnMT T A nnnT n ' , 0 G I JOO FINALE Signature V=OK O=Not OK -=NotReadyApplicable MOBILE HOMES ' =Not Ready Date/initials- MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements-Setbacks-Eaeements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) S. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Teat -Wrap: / /"L"ft. / /"Net. or/ /"L"ft./ /"LPG 7. Well Clearance 8 Disconnect 8. Utility Clearance Date/Initials 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 #f MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rolls 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/Initials PO 8 Plans OK except #'a et acks-Easements IIs; Compaction -Structure Stability fix Pool Structure; Steel -Connections -Thickness Dead Men-Uning 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Mein In Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test C�-(a •S,��sa ................ ---- - -i V=OK O = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date/Initials UNDERFLOOR (Plans) OK except #'a 1. Zoning -Setbacks -Easements -flood -Slope 2. Ftg., Mein; Soils-Elec. Grnd.-/ P' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Teat 12. Electric; Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING (Permit) OK except #'a 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor-Naii Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/initials ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mach. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga'. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑Yes ❑ No 30. Service -Riser Conductors & Ground -Mein Disconnect 31. Equip. Clearances Panels -Motors -Mach. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector - Date/Initials 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/Initials FRAMING (Plans) OK except #'a 39. Sils, Proper Material & Anchors 40. Wells Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Wells (ret proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing i Date/Initials FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin=roof Brac-Truss-Shthng: Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ina. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Wells; Nailing -Bolts 59. Insulation -Wells -Ceilings 60. Infiltration -Walls -Windows Date/Initials FINAL (Plana) OK except #'a 61. Ext. Steps -Door & Sidelight Protectlon-Landings 62. Smoke Detector • 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd: Alr Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door, Swing -Lending -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Mach. Protection 75. Plb., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yea 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yea ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg: Appliance -Fireplace: Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Comments at Final: V - COUNTY OF BUTTE - DEPARTMENT OF PUB I RKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telepho 16. 38-7541 • APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 042-590-063 ZONING RT1A BUILDING ' PERMIT OWNER MARKADDRESS WALLACEWALLAC TELEPHONE 899-1236 S0. FT. OCC. BUILDING VALUATION EST 19,000 OWNER'S MAILING 45 BELL CT CHICO 95926 CONTRACTOR'S NAME BONITA POOLS TELEPHONE 893-8512 CONTRACTOR'S MAILING ADDRESS PO BOX 156 ORLAND 95963 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 165.00 ARCHITECT OR ENGINEER BACHMAN LICENSE NO. Plan Checking Fee $ 20.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING 45 BELL DCT S CHICO Permit fee $ 220.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO I SUBDIVISION NAME ::1 PARCEL MAP 11 Water piping 7.00 7.0 Each qas water heater or vent 7.00 17 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other POOL SPECIFY Gas piping system 1 - 5 outlets 1 5.00 Building sewer 15.00 Mobile Home I S I G 1W @ 15.00 TYPE OF WORK New' Addition U Remodel ❑ Utilities ❑ Installation[II Other ❑ Describe work: MASTER #500-91 Permit Fee $ .22.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600v OR LESS 200A OR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): /IJ-C"I I am licensed under provisions of Chapt. 9, Div. 3 of the Bushes$POWER and Professions Code and my license is in full force and effect. License No4v .?, Z�� !F1 Classification ce_/ 3 Fl I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered 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 20GATO1000A, 37.50 NEW CONST./ DWELLING OCCUP.&\ OR ACDNS. l ACC. BLDGS. // 3.64sq.ft. NEW CONSTRULTI.OUTLET NON-RESID BRANCH CIRC ITS @ 5.00 APPARATS e (USINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 @ 76d FIXED Ex. Occup. OUTLETS P(RESID )REA.) .3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Iyirin 9 15pool.00 15 00 Permit Fee $ 30.00 — 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 FiIingFee 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabil' ies, judgments, costs, and expenses which may in any way accrue oun n consequence of the granting of this per it. agains aZ1_LC4ZeAD Xate �� Signature of Applicant — OwnerElContractor Agent ❑ � An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over s ie s4 height. Mobile Home Installation Fee $ Energy Inspection Fee S OCC CONST TYPE TOTAL F E $ 272.00 I HAz DFEES IMP I FL o c0F PARCEL PD HD I s This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees R OF PUBLIC BM PERNIIT EXPIRES applicable provi resolutions to do have been paid. WORKS D to �� Receipt No. J WHITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLNROD-APPLICANT `�1Vf�t'7�,�'w....���T_'.^'h�F+"4F+'+''i�.�'"Fnr�"�fnt'�!I"`�,.,,•�.��.f•...,itsry.�ti.nti�.,ifr.�l"ri?!�'...ry:.-n.�r �... COU NTYOF BUTTE - DEPARTMENT OF DE;V,,ELWMENTSE / C - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - LEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER Proposed Building Use 2BuilA P. No. 112 - Building ding Inspector Date M At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECENED BY 1. All items have been submitted . ......................................... 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3_ Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . .......................................... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ............. 10. Fees of $ 11. Impact fees as shown on attached' schedule. ............................. . 12. California Department of Forestry plan approval/fees. ....................... . 3 Flood elevation letter (100 year flood) by California Engineer. . . 14. Sanitation and plot plait approval Health Department . ............ 15. City of Chico plumbing permit. ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ......... 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. .. ... 20. Pre -inspection for Pre4nspection reQU� required. . . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner _)............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . .............. i ........................ . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 27. Letter of intent on building use. ...............°......................... . 28. Mobilehome utility clearance . ......................................... . 29. Documentation of legal access . .....................:.................. ti 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. -34. When you issue the permit, process as follows: Mail to owner. GfMail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance 1. Index permit for above items No. 2. Additional items required: (Circle new item not checked above). 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 _ mail Cou er by _ Date Plans checked by Date Plans approved by % Dat o�- Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works F. It 1.1S � n\I.Y Plot Plan Atlached N. flour flan Auachad� r TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance (if JA. -e g�- " a; Owner Location Plan Approved for: Sewage Disposal Water Supply: Public _ Clearance for bedroom mobile home. Other Hold final for: Final clearance O.K. for: NOTE: uj",� (AIJ 31- Ij.—/ Environmental Health Specialist. 8/92 Z -S-4 63 AP# Private Well Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone. 916.538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZONI BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. ;BUILDING VALUATION V OWNER'S MAILING AD RESS CONTRACT R'S NAME — S TELEPHONE CONTRA TORS MAILING ADDRESS 9k J" PSY63 Fireplace CONSTRUCTION LENDER � � UNKNOWN Total Valuation $ Filing Fee g 15,00 LENDER'S MAILING ADOR//Vg/ �/JVJ/ Permit Fee $ ARCHITECT O NGINEE`� LICENSE No. Plan Checking Fee $ Jaig Energy Plan Checking Fee $ ARCHITECT R ENGINEER'S MAILING ADDRESS $ BUILDING ADDPESS - � /tyL�LL�7 Permit fel eke6D PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each pas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.001 Mobile Home S G W @ 15.00 TYPE OF WORK New r <dition `; Remodel Utilities ❑ Installation❑ Other ❑ Describe work: r�_* A— Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service V OR LESS 200AORLESS 18.50 Main service 200ATOI000A1 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is In ful forSoynd effect. License ;Jo. �ZZ�09 Classification ig Fl 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 1, as the owner, am exclusively contracting with' licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST./ DWELLING OCCUP. �\ OR ADDNS. ( ACC. BLDGS. / 3.60 sq.ft. NEWCONSTR ULT' -OUTLET NON-RESID BRANCH CIRC ITS @ 5.00 (POWER APPARATUS S\ SINGLE OUTLET CIR. 760 Ex. Occup OUTLETS OR FIXTURES L- 0 460 Ex. OCCUp. OUTLETS (RESIO )REA.� 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 010/15.00 g Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for 5100.00 (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. I Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling Hood 6.50 Ventilat* In Penni Fee $ Co actor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabiliti s, judgme costs, and expenses which may in any way accrue uence of the granting of this against ' C,ZZ X Date �� Signature of Applicant — Owner I Contractor I Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ HAz DFEES IMP 11000 COF PARCEL PO HD ISSUE This permit is hereby issued under the applicable provi- Bions 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. WHITE•O.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT g 2-59-63 OUTS IJ7 � 92-1498 BPEP1 WALLACE, Mark & Mary n5 Bsfl Mark Chico I y �lM ,1 r. 41, - � � �' - •' Its I. r 3 i OFFICE COPY , • Address + GAS.�.. • Meter By Date `• ELECTRI Meter By ate JOB FINALED (Date) _ t. Signature e i a NOV- 6-92 FRI 11:20 MOSS LUMBER ' -'FAX NO. 916 P.02 CERiIFICATEOF Gv TUNI%t� AITa �ecz C NFORMANCE 1HE UNDERSIGNED MANUFACTURER HERIE8Y CERTIFIES that the products identified below and -on attached sheets Nos, are marked with the Collective Mark of the AMERICAN INSTITUTE; OF TIMBER CONSTRUCTION (AITC) and were manufactured in conformance with applicable provisions of American National Standard ANSI/AITC A190.1-1983 Structural Glued Laminated Timber, and that such manufacture has been at our plant in Drain,_OR _ , which plant has a quality control system approved by the Inspection Bureau of the AMERIr.AN INSTITUTE OF TIMBER CONSTRUCTION and inspected periodically by such Bureau. The manufacture of these members complies with the manufacturing and fabricating provisions of Chapter 25 of the Uniform Building Code. JOB NAME- S pA pgr I.Mber Sales._ , for Stock __.- - • •---•-- • - JOB LOCATION iftiding I � CU$TOMEA'$ORVtANO -DATE �, b��.7�MFGR'3o11otRNO 2165-D -24E=y4,� r Apo .—Indy-wrap__ _.-...-- lfz SIGNAf-9 _ -_. _ COMPANY I)UC0-L4RN TITLE n 1,r0 _ ADOAGSS PO Box 297, Dialn , OR OATE +-2-92 AITC HEREBY CERTIFIES that the said company at its said plant is licensed by the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION to use the AITC Collective Mark in respect of products which comply with applicable provisions of said Standard, that the adequacy of the quality control system in effect at said plant is periodically inspected and verified by the inspection Bureau of the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION, and that, in the judgment of AITC, said company is capable of complying with applicable manufacturing and testing provisions of said Standard in respect of products manufactured at'said plant. Conformance with the Standard in respect of any specific or particular product is the sole responsibility of the manufacturer; AITC's guarantee hereunder being that the said company is qualified to produce a product meeting the said Standard and that Its plant is periodically Inspected and verified by the AiTC Inspection Bureau. AITC Certr/icate N0. 76778 A AMERICAN INSTITUTE OF TIMBER CONSTRUCTION Irrrrv11„ I_Aa&M 4,:wva - SEP _ q T��? WVw rl 1 FR I nil n A i hI ID 1983 AMF.CAN INSTITUTE OF TIMBER CONSTRUCTinN SNIPPING ORDER - FREIGHT BILL LUMBER SMEs,; fflti, ATE 1114192 CARRIER CUST M Et ORDER NO 7105 CL:PINTOF ONT F REDDING DESTINATION)RIGI�DrNG c z x E.X. ,.r Cay .. HIPPER KELLER LUMBER SALES, INC. CONSIGNEE MOSS LBR kODRESS P. O. BOX 4005 AOORESS :ITM REDDING, CALIF. %099 O PAYMENT CV RECEIVED: r+ SEE REVERSE SIDE FOR TERMS OF SALE CV CA CD 7 O 2 Q WIDTH DEPTH LENGTH DESCRIPTION OF COMMODITIES QTY. STOCK Lms 5-118 101 111816" - F0 !4-284 4k SH PPM KELLER LUMBER SALES, INC. CARRIER BY CUSTOMER DRIVER CONSIGNEE R VED IN GOOD CONDITION EXCEPT AS NOTED . MOSS LBR O PAYMENT CV RECEIVED: r+ SEE REVERSE SIDE FOR TERMS OF SALE CV CA CD 7 O 2 Q DEC- 9-92 WED 10:47 MOSS LUMBER r FAX NO. 916 GERJIFICATEOF �`tOTE 8F TIM Z4 NNW ! P. 02 Cl CONFORMANCE EHE UNDERSIGNED MANUFACTURER HEREBY CERTIFIES that the products Identified below and on attached sheets Nos. are marked with the Collective Mark of the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION (AITC) and were manufactured in conformance with applicable provisions of American National Standard ANSI/AITC A190.1-1983, Strpcturl Glued Laminated Timber, and that such manufacture has been at our plant in : , which plant has a quality control system approved by the inspection Bureau of the AMERICAN INSTITUTE~ OF TIMBER CONSTRUCTION and inspected periodically by such Bureau. The manufacture of these members complies with the manufacturing and fabricating provisions of Chapter 25 of the Uniform Building Code. JOB NAME. Keller Lumber Sales Inc. for Stock + JOU LOCATION Redding, CA CUSTOMEWS ORDER NO 4. WP Glue SIGNATURE ClAYF 1-25-92 MPGR'S ORDER NO, Xrldv Wr 2353-D ,.- COMPANY Ducp-l-am ?1tLE QualityControl AOGREss_ 1O �OX, 297, Drain, 01RDATE 11-6-92 A/ TC HERE8 Y CERTIFIES that the said company at its said plant is licensed by the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION to use the AITC Collective Mark in respect of products which comply with applicable provisions of said Standard, that the adequacy of the quality control system in effect at said plant is periodically inspected and verified by the inspection Bureau of the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION, and that, in the judgment of AITC, said company Is capable of complying with applicable manufacturing and testing provisions of said Standard in respect of products manufactured at said plant. Conformance with the Standard in respect of any specific or particular product is the sole responsibility of the manufacturer; AITC's guarantee hereunder being that the said company is qualified to produce a product meeting the said Standard and that its plant is periodically inspected and verified by the AiTC inspection Bureau. AITC Certificate No. 77609 A AMERICAN INSTITUTE OF TIMBER CONSTRUCTION RECEIVUD LA411>i GAaKS - (.d.iAl,LW NOV 9 1992 'ELLER LRR. SALC9983 AMERICAN INSTITUTE OF TIMBER CONSTRUCTION SHIPPING ORDER - FREIGHT BILL XF1l' 3M LUMBEA SAJI,, fit. WE 12-4-92 CARRIER CUSTOMER ORDER NO. 7382 __ I a: RIGINF REDDING DE TINATION REDDING i HIPPER KELLER LUMBER SALES, INC. CONSIGNEE MOSS LUMBER ; %DDRESS P. O. BOX 4005 AWRESS r C z x rs rl l Lz] m 0 CD O 0 w 3 CU CD 1 C7) I U u1 CN .ITY REDDING, CALIF. 46849 QTY. WIDTH DEPTH LENGTH DESCRIPTION OF COmmoDITIES STOCK GLU LAMS 1 5-1/8 x 101112 x 15' 1 5-1 A x 12 x 18' 10216 H[PeER KELLER LUMBER SALES, INC. ARRIER CUSTOMER oalvER ONSIGNEE RICEiYED IN GOOD CONDI ZION EXCEPTyrioltv Moss AYMENT ECEIVED: SEE REVERSE SIDE FOR TERMS OF SALE I I ►p .. 1 N � \1 Owner: .rr¢,•GPJJ_ .0 �y,�$ ENERGY CERTIFICATION �� OS�G � 1, �iJ ' Y Fcrmiti �{2•' �g � 63 LOCATION A.P. DESCRIPTIONOF INSULATIO;I ROOF MATERIAL BRAVD NAME THICKNESS THERMAL R' EXTERIOR WALL MATERIAL Fiberglass BRAND NAME Certineed THICKNESS THERMAL . RES . 5' CEILING 'BATT OR BLANKET TYPE -FIBERGLASS BRAND-NAME Certineed THICKNESS `p THERMAL RES. 36 LOOSE FILL INSULSAFE . II.I BRAND NAME 'CERTAINTEED THICKNESS �a �� `' THERMAL RES. FLOOR—ELEVATED '' '• MATERIAL Fiberglass . BRAND NAME Certineed THICXNE.SS G �y � =THERMAL RES._ FLOOR—SLAB INTERIOR WALL HATERIAL Fiberglass THICKNESS BRAND NAME Certineed THERMAL RES. I ZEREBY CERTIFY. THAT•THE ABOVE INSULATION WAS INSTALLED'IN THE ABOVE BUILDING IN CONFORMANCE WITH THE STATE OF CALIF. ENERGY REQUIREMENTS. HAW:KIN I D.IN dba HASTA INSULATION' LIC.1650722 93 Ihereby. certify the' aboveinsulation and all required items as shown on -the building department approved plans and attachments have been installed as required.by the State.of California Energy Requirements. All equipment, devices and materials are of the •quality prescribed or are .specifically approved by the State of Calif. 1-60 FIRM NAME/OWNER J PLEASE PRINT) STATE CONT. LIC/ -1--93'. SICNATft`E OF GENERAL CONVOWNER DATE This certificate must be on file with the Building Dept. and nnctPti .,{ t►,:.. .1._ ..., . is_ prior t'o • Final r 1 A 1 j f 1 A J=OK O=Not OK Not ApplicReady able MOBILE HOMES t: =Not Read 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) N 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete `. 6. Gas; Location -Test -Wrap: / /" L" ft. / /"Nat, or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B -1 - Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements-Setbacks`Easements y 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 t, 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged I 9. Exits; Insp.-Sketch y 10. Cert. of Occupancy Date Card B-1 Date Card B-1-, Date Card B-1 Date Card 13-14 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 arid/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater , 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures- Panelboards-ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water. Supply Test': Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 I. J=OKy O = Not OK Not Applicable Not Ready RESIDENTIAL (Single = r Date UNDERFLOOR (Plans) OK except k's 1. ning-Setbacks- Ease ments-Flood-Slope Main; Soils-Elec. G d_ -VZ. ' Fig. Depth ,31"Ftg., Garage; Soils-Steel-Elec.d.-tZ/" Ftg. Depth Ft ., Porches & Decks; Soils -Steel-/ /Fig. Depth a�lemwalls, Main; Steel -Bloc kouts-Wra pped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped .-Steel a n V D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Tem -0 _ --'I!! " 10. UF. Gas Pioe: Size -Anchors - vard Water Pioe: Test -Anchor -Regulator -Service Test 12. Electric; Underground ienums & Ducts; Clearance -Material -Support -Ins. 14 Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 13 AcWs Ventilati 16. Insulation Date 0-� '-!j and B-1 Date 1 �%� Card B-1 Date f7 • and B-1 6, C, Date Card B-1 Date P MBI (Permit),OK ex t a's ater Htr.: Vent -Accu -Comb ir-Baffle ------- ---------- ------------------------ ----------- a er Pipe: Test & Anchor -Nail Protection D.W.V.: Test -Fittings & Anchor -Nail Protection ---------------------- - ----------------- _,o Sbaw r Pan; Test. First Floor -Tub Access ----------- - - ---------------------------- Test Tub & Shower, Second Floor -Tub Access -- 21-6as Pipe_Size & Anchors Card Date !r Card B 1 "f Date CaB-1 ----- ----------------------------------------- ---rd - - Date _ Card B-1 G6 Date Card B-1 'Date ELECTRICAL (Permit) OK except a's 22. Fixture -& Transformer Clearance -Ins. Protection 23. Ele Receptacles Spacin Li hts & Switches at Doors -------- ----- -- - - - - - ------------------------------- Size Boxes o. of on Stapled Close to Edge of Studs & C.J. - - - Equip. Ground made up w/Mech. Fastners-Bond Gas & Water --------- -- ---------------------------------- ---- ------ ----- ----- 2�Appliance Circuts in Kitchen & Conductor SizerGFl -------K7�------------------------------- ed Wire Size J i ga.(2�por AI-A.C. Wire Sizer ! ga. Cu or At ------- -- - ------------------ - --------------- ----- ----------- 29. Range Circ. ! ga. Cu or AI -Oven Circ. / ga. or Al. Insulated Neutral 111 --fes No- ------------------ --------------- 30. Service -Riser -Conductors & Ground -Main Disconnect ------------- ---------------3k. Equip Clearances Panels-Motors-Mech. Equip - -- ---- - - - 32.othes Closet Light_Shower Light _Spa -Light ----- ------ 3 . Smoke Detector ------------------------- ----- ------------------------------------------- Date Card B-1 C'y Date Card B-1 ------------------------------- -------- --------- - -------------------------------- Date 3..1Z•d►j Card B-1 c� Date Card B-1 Date MECH CAL (Permit) OK except a's 3 A.C. Ducts Insulation & Support --------------' -------------------------- ----- -- - - ---- �,S�ent Fan Exhaust above insulation --- ------------- ----- - 38 Con------ e Drain &Overflow Size &Grade - urnance-Vent: Access omb. -Return Air Vent -115 outlet - ---- - -- '<`- - - ----------------- - ------------------ Attic Access & Platform if Furnance in Attic ----------------------------------- --- ----- - ---- -- --- - - Date - Card „5 c - B_1 � Date Card B-1 - - - ---- - --- ----------------------- - Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except a's 31Aiis. Proper Material & Anchors ------- --------------------------------------------------------- ---------- 4Q�Walls Studs -Nailing. Spacing & Bracing -Plates -Sound -- - -- -- -- --- -----------------------------------------•-- 4 Baring Walls over Girders & Floor Nailing -- --- nn ---------------------------------- -------- D ft Stop in Walls (rat proof) -- - - - ------- ------------------------------ ------------------- F' Stops: Furred Ceilings -Stairs -Chases- ------------- ---------------------------------- --------------- Headers & Beam -Size �'' & Duplex) Date FRAMING (Continued) angers -Post Caps -Anchors -Connectors ---4�feFng. Joist-Rftr. ties -Pu rlin-roof Brac-Truss-Shthng.-Rfng. _--�!�ireplace Ties or Type A Flue -Fireplace Throat clearance - ---J P!Allic,,Access: Size & Romex Protection -Draft Stop -Ins. Baffles --- 4 drm. Windows or. Exiting Doors -Sill Hgt. & Dimensions 5D. Garage Fire Protection Framing Property Line Firewall & Openings 5?ye'Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits ------------ 5�ggoeStairs; Width -Headroom -Rise -Run -Landing -Fire Protection S4 -plywood on Roof Overhang -Attic Vents -Rafter Outriggers i mg -Nailing Veneer cco Mesh -Drip Screed -Fd. Vents-Underflr. Access _ Glazing Area -Glass Protection -Skylights -Plastic -- -4 6trear Walls: Nailing -Bolts 9. Inswa•li n-WaIKIC ili� -----------= y� InfKration-Wags-Win ows Date ' yp S''i Card B-1 'Lj}�- Date Card B-1 Date ';��Z F`'%j Card B-1 Date Card B-1 Date FINA fans) OK except N's r. -Steps -Door & Sidelight Protection -Landings ---------------------- 62. Smoke Detector 63. ac`e: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor-Ducts-Mech. Protection _ edroom Exiting & Bath Fixtures & Tub Access -Spa 6. Elec. ---------- Trim & Subpanel; Breaker Sizes &Labels ------------------ - -- -- lairs.& Rails . - f 8.------------ '' place,or Stove: Clearances -Hearth 69. Elec utlets at Wood Panel: Int. & Ext. -- it.Fixt & Appliance: Grnd.-Air Gap -Cooking Clearance 71. -c Outlets & Receptacles at Kit. Counter - ---- ge ire Door: Swing -Landing -Closer --------------------------------- in __in Garage -Damper Wtr. Ht r.: Vents -Clearance -Comb. Air-Connector-P.R.V. In garage: Above Floor-Mech. Protection *7,. . Elec. & Mech. Equip. Listed for Location . Receptacles in Garage: (G.F.I.)-Rom rotection -------------- -----lation_Foam-Looked in-AtticAtti-/W Yes and Rails & Deck Construction -Post Caps 9. Fdn. Vents & Crawl Hole Door-Drainag�,&`WNood-Earth G4ta!a25!_Looked_under Floor rQ Yes d0. Followin 'nstld.; Drive Yes 0 No; Walks Yes 0 No; Pla s ❑ Yes ❑ No ------- -- - - -------------------- rown-Finish 82. C. Unit Disconnect. Electrical, Plumbing Aboveents Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings ear Well; Disconnect. Electrical, Plumbing ---------------------- Trim; G.F.I. Receptacle -Underground ---------------- - Ventilation Throughout House .. - - - - - - - - - - - - ------------------- ----------- ----- -- lass Protection------------------------ - - -- 88. Correc' s from Previous spe tions - 89. - --est-Meters Ta,-dp�L�: �ectric 3 -- - --------------•- ------ --� ----- -- 90. W Sewer Connected -C/O to Grade -HD Approval 1. Energy Compliance -Certificate: Other Certificates ------------------------------ -- Da and B-1 Date _ Card B-1 Dater, 7 and B-1 Date Card B-1 --- --- ----- Date Card B-1 Date Card B-1 Comments at Final: .^aj��.-•• is-- ,i.+; --'I`^ ::�t�{S�''%y�.,+';.:'Sw�+�. -. i'F'i!�;��T:t..; , .i«.. T "s....+. D y x S COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Nurnboldl Road, Chico, CA - (916) 891-2751 7 Canty Center Drive, Oroville, CA - (916) 538-7541 747 Bliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE w A TV PcRM1T N0. Aroulfbe i specdon bdicates that the following violations of Butte County UU� ances exist at the abuse address and should be corrected. Please notify this office when corre.;tion of work iisc=4daaFmLliywhm w anyquestions pertaining to this matter, or need additional explanation, Pb_ Wnce immediately. !% I n) / Y f �tpi�a A �-S 113,4 � � -1_ 64'r' S s /l WW_5__ 4=2�_r RCS/ WW -41 FF777: COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER - PERMIT NO. 1 1 A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is cow4*ted. H you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. ^CaiDot.. SGCvAx- r, eid U t 5' t�k ft> J, Jj nl- 1 Date `3 g /`� Inspector REV 1QW F COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE ER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at, the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. W e- c,u.- 5 hlo L/ ag t4) Cp 1-1 -7't:007-1w6, , 5 PSO Date J � pector REV 11/91 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO- 7 County Center Drive - Orovillei California 95965 - Telephone: 916,'538-7541 92-1498 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 042-590-063 ZONING RT 1 A BUILDING PERMIT OWNER MARK & MARY WALLACE TELEPHONE 899-1736 SQ. FT. OCC. BUILDING VALUAT 0 2627 P. 141 858 OWNER'S MAILING ADDRESS - 1431 TRENTA DRIVE CHICO 95926 501 C 6,513 CONTRACTOR'S NAME OW R TELEPHONE 51 0 357 1 CONTRACTOR'S MAILING ADDRESS Fireplace "At' 1,500 CONSTRUCTION LENDER UNKNOWN Total Valuation is 150,228 Filing Fee $ 15.00 LENDER'S MAILING ADDRESS - Permit Fee $ 776.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 388.00 Energy Plan Checking Fee $ 20.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 45 BELL CT CHICO Permit fee $ 1199.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5-0065,00 Solar or heat pump water heater 20.00 LOT NO. 7 SUBDIVISION NAME WILLOW BEND PARCEL MAP 116-69 Water piping 7.00 7,00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF 9] Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK New I ;j Addition [IRemodel ❑ Utilities ❑ Installation❑ Other El Describe work: _ 3 BEIjM NEW 8F _ Permit Fee $ 14.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600VORLESS 200A OR LESS 18.50 Main service 200A TO IOOOA) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions Of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 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 OCCUPM OR ACDNS. 1 ACC. BLDGS. 3.64sq.ft. 91-90 NEW CONSTRULT'-OUTLET NON -RESIDE BRANCH CIRC ITS @ 5.00 POWER APPARATUS 6 SINGLE OUTLET CIR. EX. OCCU p OUTLETS OR FIXTURES zo 76 FIXED APPLNS. EX. Occup. OUTLETS ((RESID )REA.) I 3.00 Temporary service 15.00 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ 121.90 - 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 dof 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 1 15.00 Heating 2 18.00 Cooling 2 18.00 Hood 6.50 6.50 Ventilation 3 4.50 13.50 Permit Fee $ 71.00 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all 'abilities, judgments, costs, and expenses which may in any aga t said un in o s�que c of the granting of t i ermit. Dat way accrue X / Z Signature of Applicant - owner❑ Contractor EJAgent ❑ i3001,(1, au An OSHA permit is required for excavations over 5'0" deep and demo tion or construeion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 40.00 occ CONSTTYPE TOTAL FEE $ 1545.1)0 HAz 0FEES IMP FLOOD CDT -1 PARCEL PD HD ISSUE This permit is hereby issued under the applicable provi- � 'ons of the Butte County Code and/or resolutions to do work indicatWrwhich fees have been paid. F PUBLIC WORKS LBy Date 7-/7-4'Z P MrT EXPIRES Date -7- t 7 - q3 Receipt No. 115317 467.00 116157 1077.90 �26� WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD-APPLI T r COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive'- Oroville,.California 95965 - Telephone: 916 538-7541 ,r APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMB R 0a 3 ZONILP V1 A - BUILDING PERMIT OWNERQ T LEPHONE -1-7 Q. FT. OCC. BUILDING VALUATI N OWNER'S AILINP -ADDRESS �,/y�'y�}/�[� ICS W A& CO 7R ACTjOfjt� M TELEPHONE Fireplace —, CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER UNKNOWN Total Valuation Filing Fee $ 15,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ O t Energy Plan Checking Fee $ -2— A -0 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 15.00 ,44 51 6 Each Trap 5.001 Q Solar or heat pump water heater 1 20.00 LOT NO.SUBOIVISION t NA E PARCEL MAP v✓l �o Water piping 7.00 v 0 Each qas water heater or vent 7.00 d USE OF STRUCTURE SF Duplex 17 Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 p 0 Building sewer I 15.00 Mobile Home S I G I W 615.00 TYPE OF WORK New)( Addition;_ RemddelL Utilities❑ Intallation[ Other ❑ c Describe work: mom N PLA IE Permit Fee $Lt t Contractor ELECTRICAL PERMIT FilindFee 15.00 Main service 20000AA OR LESS 2OR LESS 18.50 Main service 200A TO IOOOAI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 1 '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 DWELLING oCCUP.&\ NEW CONST.OR ADONIS. ( / ACC. -BLD -Gs . // 3.6(1sa.ft. NEW CONSTR ULTI.OUTLET NON•RE510 BRANCH CIRC 'ITS �: 5.00 (POWER APPARATUS e) SINGLE OUTLET OR. Ex. Occup( OR FIXTURES 20 76d A FIXED APP LNS. OR Ex. Occup. OUTLETS IRESID.) EA.) I 3.00 Temporary service 1.15.001 Mobile Home Facilities 15.00 Misc. Wiring g I 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): The permit is for 5100.00 (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. ❑ 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling Q Hood 1 6.5 I Ventilation Permit Fee Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnity 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 pecmi .� X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit .s required for excavation a deep and demolition r construct - ion of structures over 3 stories in height. �(� Mobile Home Installation Fee $ Energy Inspection Fee $ rQ CONSTT P CON TOTAL FEES d LHAZ I OFEE IMP FLoo C0FPARCE r— t/ Po 1 sue This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Ir Receipt No. — % y WHITE-D.P.... YELLOW- ♦5e C590R. PiNK•INSPECTOR. GOLDENROD -APPLICANT .'��`'��� � 7F'i��p_7F .�i���.i '�'"�`�'_�'_"�'K`i`:��Wr�"'+7'i'C'i�F'�'�r�T�1•�""T "'\'i�� �SR" 1 `+iA,',�-�"�''t 1`'S''�"'if"ylRii�aSlr'.^.7'Y'.., .r COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 'r 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION ..DATA SHEET OWNER /`//�- I� � � y• ,4-1. l =7 P �Y%e3 Proposed Building Use r Building Inspector DateV Vq ' At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted......................................... 2. Plot plans, 3/4 sets, signed by preparer of plans. ........ 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . .............................:............. . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). . 9. Mobilehome data and manufacturer's inst Ila io (nst uctions, 2 sets. ......... . 11. Impact fees as shown on attached schedule. ........... �4P* " 12. California Department of Forestry plan approval/fees........5- .: ©/� . . 13. Flood elevation letter (100 year flood by California Engineer. . CU.� . 'OX. > ... . A�T4. Sanitation and plot plan approva6#AfO -Health-Department. .....:...... 7- �n-�Z- �- 15. City of Chico plumbing permit . ......................... I ............... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. . ---- 19. Driveway permit (construction, approval required prior to occupancy). .. ... .. 6.uesy Fre-Inspection reque 20. Pre -inspection for required. .. to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner Mail to owner _). .......... . ecorded copy of Agricultural Acknowledgement Statement .................. 5,? -a -C/2 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . ......................................... . 29. Documentation of legal access . ........................................ 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . .............. . 31. Existing violations/expired permits . ...................................... 32. PI chec .. 33. 34. Whgn y,, issue the per t, process as follows: Mail tgo er Mail to contractor. Ci Telephone- V - hold for pickup at [� office. ` a Deliver with inspector. Other A'. A /1 Parcel Creation Acreage Applican Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Copy of plans sent Health Dept. Fire Dept. Other C The following data must be submitted prior to permit is 1. Index permit for above items No. 2. Additional items required: Date 9 2' Contractor, designer, owner, was advised of above required data by _ phone _ rril ' .-Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Co" ter by _ Date Plans checked by . S Date Plans approved by ` 2v/ Date ,(3 ?/ Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works. . By b e). �• � j Contractor, designer, owner, was advised of above required data by _ phone _ rril ' .-Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Co" ter by _ Date Plans checked by . S Date Plans approved by ` 2v/ Date ,(3 ?/ Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works. . TO Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance , /. (/ Owner Location AP# Plan Approved for: Sewage Disposal Water Supply Hold final for: Final clearance O.K. for: Clearance for e 6jm�gb NOTE * * * Water Supply Water Supply Other 7e�n:i t ea a A Date TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance Z' S /3 e �/ �7�. yZ S 67- ::0 . owner location AP # Driveway permit Z has si ature been issued for the above property. date COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid •unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor an materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) signed an app ication for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the,following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Sign NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916)5387541 OWNER WA A. P. NO. PROPOSED BUILDING USE DATE REC. # DATE REC 1.. School Distric Fees C. US E (paid at District Office) ........ Sheriff Fees (paid at Building Department) Residential ......... X =$ unit amt. Commercial(per sq -ft.) X =$ s .ft amt. j"�-3. Urban Area Fees (paid at Building epartment Residential (per unit) # X =$ units amt. Commerical(per sq.ft.) X =$ sq.ft. amt. Recreation District Fees (paid at District Office) .......................... 5. Drainage District Fees (Contact Land Development) ......................... 6. Other 7. Other At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT DATE S LffX-1151V A,kS- 9S-¢7 I -72- V17,,17 7 3�g/93 0�2-5�0-063 /. 75 ale= 5Z5+ 25x9= 9375�r S� r U -f /v Z /0. 5-o 679 % olG S,6 x /0 . S G L,s C = -2. 75; '/ ,le = 9.375" iM'C3�ii�t�Ki.�!��'�i1`'�fM►w"1w �1,hl' f '�t'j�y"»d�' ^��}.., �y.�,.�.�V�1-!�'�+,+�"�.L-RMV�.�;�u�i' i. ?. p BUTTE COUNTY PARKS DEVELOPMENT FEE CERTIFICATION FORM CHICO AREA RECREATION AND PARK DISTRICT Assessor Parcel Number(s) Property Owner Project Location/Addres�s� ) �2 , Subdivision /L�Csv A l�i(iZ2 Lot Number(s) Residenti 1 Development: (check one) New Development _Alteration/Addition _Mobilehome(s) Non -Residential to Residential Total Number of Dwelling Units Comment:. Chico Area Recreation andlPark District(CARD) certifies that icant ress r (City) (State) (Zip Code) has complied with the requirements of Butte Co.'Resolution No. 90-140 by 1 payment for _ dwelling units @41,189 for total payment of $-- 01b CA Re esentativeate PAID BY CHECK NO._ BANK NO. PAID BY CASH RECEIPT NO. REMARKS: Distribution: White --Applicant. Yellow --Butte Co. Building Dept. Pink --CARD Goldenrod --City of Chico Building Dept. park.fee (form revised 11/90) 1J `-r=.t`y�, "ti,.�v- ,,.. may.' .,✓ .vr"y7X-•r.^°^.+'•"ii .•P'.. �` ..�i�'.-r• : � v'" w..y�-,.iu� 7'ti iv v.i �.`N `�?., BUTTE COUNTY S.&HOOKS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District C US Building Department No. A.P. Number�0-63 _ Jurisdiction _ J City County Property OwnerArk 4 /dar __I A h�l Property Location/Address Subdivison Residential DevelopmentI No./fiving MH( Units Commercial/Industrial New Building De (Floor Plans reviewed by School District Pers Lot No. Sq. Footage2627 Addition (Group R) Sq. Footage Addition (Including Exterior Roofed Areas) <�--2$"%Z- Date District Identification No. U__ --School District certifies that (Applicant) (Stree�s) (city) ---------- - (Phone Number) { ,(Zip Code) a has complied with the requirements of Resolution No. _y�o�o_�� by payment of $ representing_square feet. School District Re resentative' Date Paid by Check Number Banc Numf erb; Paid'_by-Cash ----------- -- — If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeformmkl (4/92) RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX & MISC. ONLY) OWNER_ -', "Wa. U __� GENERAL e__ -Zoning requirements: .(sideyards and number 2. Valuation. •a! Plans signed by designer. Proper description of work on application. Existing violations on property. 8/91 Bldg. Perm' t # V,7 A. P. #oZ-�� -l•1 Plan Checker of permitted living units). Items on data sheet. (W.C., fees, Health, Developer Fees, License law, etc). Recorded notice of violation. PLOT PLAN Complete parcel size and dimensions. Setbacks, sideyards, easements, etc. Other buildings or structures. Grading, fills, drainage. Flood hazard. Special. conditions. on. creation map, ustible, and -foundations). FAU & FAS road setback. (noise, CDF, -fire sprinklers, non -comb= Building or utilities across lot lines (Record form). FLOOR PLAN Complete to scale plan with dimensions. Required windows for light and ventilation (Sec..1205). 5P -'Required windows for second exit (Sec. 1204) �-kylights (Chapter 34 & Sec.5207). �IIuman impact glass (Sec. 5406). Required room sizes, ceiling heights (Sec. 1207). GFCIs in baths,garage, kitchen, and exterior outlets (Article e- Light fixtures, switches, receptacles, and exterior receptacles tenance of mechanical equipment. Locations of water heater, heating and cooling equipment, other or gas equipment. Garage firewall, door size, and closer (Sec. 503(d)(3)). - 3'0" exterior exit door (sec. 3304 M. Fireplace and wood stove location, alcoves, and clearance. 9�moke detectors (Sec. 1210). "lumbing fixtures, water closet clearances and shower size. 210-8). for main - electrical STRUCTURAL DETAILS �! Standard bracing or engineered design (Table 25V) nusual shape, size, or split level house requiring lateral design. Clerestory requiring balloon framing. and/or engineering. Three story building requiring engineered calculations and plans. Foundation plan. complete enough to construct building. Floor construction details complete enough to construct building. Elevations and wall construction details complete enough to construct Roof construction details complete enough to construct building. Fireplace construction details and talcs if necessary. P.after ties or bearing ridge beam. Garage door or porch header sizes. 127 --Stud heights. . Adobe soils - special foundation design. Retaining walls requiring design. Special Inspection required. building 8/91 RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR Stairway details: landings, rise and run, -head clearance, handrails (Sec. 3306). . Guardrail details (Sec. 1711 & 3306(j). . Brick or stone veneer (Chapter 30). xterior plaster - weep screeds (Sec. 4706). Proper roof pitch for roof convering (Chapter 32). Roof covering type - (fire hazard). Foam insulation - protection. 36" halls and stairways. Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. . Two exits on three-story dwellings (sec. 3303 & see Mezannines - 1716). . Attic access and ventilation (Sec. 3205). . Underfloor access and ventilation (Sec. 2516). . Combustion air for fuel burning appliances - L.P.G. requirements. oise requirements on duplexes. ,1 -?."Energy design. Flashing at all exterior openings. CDF responsible area requirements. 624202 Notary (General) Rev. 8/91 STATE OF ��/s�.�it/i3O CAPACITY CLAIMED BY SIGNER SS. i �T COUNTY OF 444 C [ ]Individuals) Signing For Oneult/'fhemseNes On Z&Og, before me, the undersigned,, a Notary Public for said State, personally I I Corporate OtGoer(s) of the Above Named Corporation(s) appeared (_. [ ] Guardian of the Above Named Individual(s) [ ] Partner(s) of the Above Named Partnership(s) [ monally known to me -OR- [ ] proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) /are subscribed to the within instrument and acknowledged to me that hef shgthey executed the same in [ I Attorneys) -in -Feet of the Above Named Principals) I (their authorized capacity(ies), and that by+tsttmy: their signature(s) on the instrument the person(s), or [ ] Trustee(s) of the Above Named Trust(s) the entity upon behalf of which the person(s) acted, execut It .r.♦��♦♦x#004'*4+*♦«0 O OFrIC1AL $CAL WIT y h d and offi' Ise Z ALAN M. SUNAHARA NOTARY PUBLIC --CALIFORNIA ]Other PRINCIPAL OFFICE ♦ IN ♦ �<<, ... SHASTA COUNTY i My Commission Expires May 3. 1994 Signature ♦o"'e®�•°•"••••••''�••�•••••1 END OF DOCUMENT r Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT 92-23486 � FOR RESIDENTIAL DEVELOPMENT Section 16-8.1 of the Butte County Code requires this acknowledgement be recorded.------!,- prior ecorded.---- prior to issuance of a building permit. 92-0234861 D� F.x7rfr-, Rec Fee 5.00 The property described herein is adjacent I Check 5.00' to Land or included within an area, Toned Recorded for purposes, and -residents Official Records of thi.s property may be siibjec.L to incon- County of veniences or d i.scomfort ar-ising from the Butte I use of agricultural chemicals, -including, Candace J. Grubbs 1 but not .l.i.miLed to herbicides, pesticides,. Recorder and ferL.J l.izers; and from the pursuit 11:37am 28 -May -92 I PUBL XX 1 of agr.i.cu.l turaI operaLions inc.l.uding, but not. limited to cultivation, plowing, - - - - spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has esLablished agric.u.l.- Lur.al zones which have as a priority use for productive agricultural. purposes, c.uid res.i.de.w within said zones and on adjacent property should be prepared to accept suclI i nconven'i.encc- or discomfort from normal, necessary farm operations. Al..l. that real properly _sitee in the CounLy of Butte, State of California, dcscri.bod Lis fo].l.ows: AF LO, -7, A,,, -x2 z i, " C618 Atm MAP �`-rL)op,'VJI U 0,tq t -;C -,a0 C pl�J l�JfiDr� ", ot41x-1-1 VlA1AcFEGOT--t' CD (,OJ I'He CDOOTY D� F.x7rfr-, CAL., I ifogo(A � 00 OGTDY4,0-12. �V151 , I0 Date:02 a. &( 2 SP PaERT 0 'RS : State of ) On this the day of , 19 hefore me, SS. the undersigned Notary Public, personally appeared County of ) E] Personal]y known to me. 0 Proved to me on the basis of satisfactory ev:idenc.�e. to be the person(s) whose name(s) _ subscribed to the within instrument and acknowledged that ` executed the same for the purposes therein contained. TN W.I'TNrSS WHEREOF, I hereunto set my hand and official seal. Present A.P. No. 'i Notary Public !� A. a t t -RE I EN IAL Ci' 4 < 42-59-63 92-1499 B,E i WALLACE, Mark & Mary 45 Bell Ct, Chico detached garage • t r �Gr4a KrS �98�iz f k JOB FINALE Signature J=OK •O=Not OK Not = Not Readyable MOBILE HOMES 'Date MOBILE HOME UTILITIES (Plans) OK except #'s Date 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 1. Zoning Requirements -Setbacks -Easements 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 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 9. Siding; Nailing -Veneer -Stucco -Mesh 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 1. Ext.; Steps -Doors -Landings 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 Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s Date Card B-1 Date Card.,B-1 Date Card B-1 Date Card B-11 C, 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 1. Ext.; Steps -Doors -Landings -1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 T Date Card B-1 Date Card B-1 1 d=OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (Single = Date UNDERFLOOR (Plans) OK except ti's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wra pped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except ti's tE. Water Htr.: Vent -Access -Combustion Air -Baffle 17. Water Pipe: Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection -- ------------------------------------- 19. Shower Pan; Test, First Floor -Tub Access --------- -------- ---------------- 20. Test Tub & Shower. Second Floor -Tub Access ------------------- -------- ---------- 21. Gas Pipe: Size & Anchors --------------- ---------- ---- ----------------------------------- Date- -Card B_ -- - -1 Date Card B-1 - ----------------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ti's 22. Fixture & Transformer Clearance -Ins. Protection -------------------------------------------------- --------------------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled --------- -----------I ------------- ----------------------------------- 25. Romex Installed Close to Edge of Studs & C.J. - -------------------------------------------------- 26. Equip Ground made up w/Mech. Fastners-Bond Gas & Water ---------------------------------------------------------------- 27. 2 Appliance Circuits in Kitchen & Conductor Size/GFI --------- -------------------------------------------------------- 28. Subfeed Wire Size r / ga. Cu or AI-A.C. Wire Size r / ga. Cu or At ------------------------------------------------------------------------------------ 29. Range Circ. ! r ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral 0 Yes 0 No ----------- -------------------------------------------- 30. Service -Riser Conductors & Ground -Main Disconnect ---- - ---------------------------------- -- 31 Equip Clearances Panels-Motors-Mech. Equip. ------------------------------------------------------- 32. Clothes Closet Light -Shower Light -Spa Light ---- --- - --- - ---------------- -- -- - ------ -- - --- ------ -- -------------------- - -- - - - 33. Smoke Detector ------------------------------- --------------------------------------------- --- -- Date Card B-1 Date Card B-1 ------------------------------ - ---------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except ti'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 ----------------- 38 Attic Access & Platform if Furnance in Attic ----------------------------- ----- -- --- ----------- -------------------------- Date Card B-1 Date Card B-1 ----------------- ----------- ------------------------------ - - ---------------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except ti's 39. Sils. Proper Material & Anchors 40. Walls Studs -Nailing Spacing & Bracing -Plates -Sound ----------------------------------------------------------- 41. Bearing Walls over Girders & Floor Nailing --- - - --------------------------------------------- -- 42. Draft Stop in Walls (rat proof) ----------- - --------- ---------------------------------------------- 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings ------------------------- - 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. _Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers ------------------ --- 55. Siding-Nailino Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights- Plastic 58. Shear Walls; Nailing -Bolts ------------ ------------ 59. Insulation -Walls -Ceilings ---------- 60. Infiltration -Walls -Windows -------------------- -------------------- Date ------------------Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except ti's L_.&*.-ERt-"Steps-Door & Sidelight Protection -Landings --- --------------------------- --67- oke Detector --------------------------- 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. Protection ------------------------------------ 64. Bdr om Exiting - ----- ------- ----------------- - F.I. & Bath Fixtures & Tub Access -S 66. c. Trim & Subpanel; BreakefSi Labe s --------r-=- - 67. Stags & Rails -----------------p------------------ - 6e. Fireplace or Stove: Clearances -Hearth --------- 69. Elec. Outlets at Wood Panel: Int. & Ext. ------------------------------ ------------- 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance ------ -- - - ------------------------------ - 71. Elec. Outlets & Receptacles at Kit. Counter - - - -------- . arage Fire Door: Swing -Landing -Closer --------------------- ------------------ 73. A.C. Duct in Garage -Damper --------------------------------------- ------ 74. Wtr. H .; Vents -Clearance -Comb. Air-Connector-P.R.V. In rage: Above Floor-Mech. Protection -------------- -------------- _ Equip. _ b.. Elec. & Mech. E ui Listed for Location lec. Receptacles in Garage: (G.F.I.)-Romex Protection 7. Insulation -Foam -Looked in Attic 0 Yes ----------------------------------------- - - 78. Guard Rails & Deck -Co nstruct ion- Post Caps 79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor-- - 0 Yes 80. Following instld.; Drive 0 Yes 0 No; Walks 0 Yes 0 No; Planters 0 Yes 0 No ---------------------------------------------- - 81. Stucco_Brown_Finish - -- ---- 82. A.C. Unit; Disconnect. Electrical, Plumbing ------ -------------------------------- - 83. Vents Above Roof; Plb9 _ APP liance-Fire p lace. -Clearance to Openings ------- ------------------------------------ 84. Water Well: Disconnect, Electrical, Plumbing ------ ------ --------------------------- ---- 85. - - Ext-e-rior - Elec. - Trim; G.F.I. Receptacle -Underground - - - - - - - - - - - - - - - - --------------------------- - 86. Ventilation Throughout House -- -------------- -------------------------------- 87. Glass Protection - - -- ------------------------------------------ 88. Corrections from Previous Inspections . - • - - - -- - - - -- ---- ------------------ -------------------------- 89. Gas Test -Meters Tagged; Gas -Electric .. - ...... • - - - - --- ----------- ----------------------- 90. Water & Sewer Connected -C/O to Grade -HD Approval 991. Energy Compliance Certificate -Other Certificates Date's J and B- ate - Card B-1 -- Date t� rd B-1 ate--- Card B-1 Date rd B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center,Dri've - OrovIIIa, California 95965 - Telephone: 916.`538-7541 APPLICATION AND PERMIT PERMIT N ASSESSOR PARCEL NUMBER 042-590-0 ZONI G RT -1A BUILDING PERMIT OWNERTELEPHONE rk &S lace 899-1736 SQ.FT. OCC. BUILDING VALUATI 884 M 1-5,912.00 OWNER'MAILINGary ADDEas 1431 Trenta Dr., Chico 95926 CONTRACTOR'S NAME Owner .TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 15 912.00 Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $142.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 71.25 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $228.75 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other GarageBuilding SPECIFY Gas piping system 1 - 5 outlets 5.00 sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New [X Addition U Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Detached Garage Permit Fee $ Coniractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 1 18.50 18.50 Main service 20CATO1000A) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt.•9, Div. 3 of the Business and Professions Code and my license Is In full force and effect.SINGLE No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.9 OR ACDNS. ACC, BLDGS. X 3.61tsq.ft. 30,90 NEW CONSTR. ULTI.OUTLET N ON•R ESI D" BRANCH CIRC ITS @ 5.00 POWER APPARATUS 6 OUTLET CIR. Ex. Occup(OUTLETS P OUTLETS OR FIXTURES 20 761 FIXED APLNS.License EX. QCCUp. OUTLETS PIRESID IREA.1 I 3.00 Temporary service 1 15.00 Mobile Home Facilities 15.00 Misc. byirin g 15.00 Permit Fee $64.40 - WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all Ia ilities, judgments, cos S, and expenses which ay in any way accrue ag said Liu nt I co eq nce o the granting of th permit. X Z' Dat Signature of Applicant - Owner 9 PP ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep doli : o or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ c CONST E TOTAL FEE $293.15 t,Az OFEES -'r- IMP FLOG cOF PAR PO R IS E This permit is hereby issued under the cions of the Butte County Code and/or work indicated a ove for which fees I TO OF PUBLIC By PERMIT EXPIR S Date applicable provi- resolutions to do have been paid. WORKS ate Receipt No. 115317 101.25115317 101.25 PC//122314?- 1 q�f�g1 WHITE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT y „�.z � ,�,�n, , . � s, ': P .,� _ , ..•Sy-+ fy._ , ,�, �v'�.- .-.� r..ry!E;�"+,�1,�'::�,3;Y+'�ilr7li'tT_ . •'M�fyi-'�'YY'•'i,�i ��1'�°.'ubVzy�'f 'V j.'/}�L..� F. �„�-V,N � . ,._,y " � ry aAF� ,f° .> „it• �e � �EyNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, LIFORNIA 9.5965 - TELEPHONE (916) 538-7541 PERMIT APPOCATION DATA SHEET, At OWNER A. P. No. Proposed Building Use Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ..................... . 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ....................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... Mobilehome d to a n cturer's installation instructions, 2 sets. ........... Fees of $ ....... . 11. Impact fees ass own on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . 13. od elevation letter (100 year flood) by California Engineer. 4. Sanitation and plot plan approval Health Departure_-QG :. .. - 15. City of Chico plumbing permit. ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. . . 20. Pre -inspection for to Building Ins regal ) required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . ......................... . 23. Owner -Builder Verification (Givenito owner , Mail to owner _) ............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ........................................ 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... -Rlan check list. 33. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage 1 Applicant Date, Copy of Haz-Mat form sent Health Dept. Fire Dept:-- . Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By [ The following data must be submitted prior to permit issu ircle new item not checd 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 -mail Counter by _ Date Plans checked by Date Plans approved bye - Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville. California 95965 - Telephone: 916 '538-7541 APPLICATION AND PERMIT PERMIT NO. A-SSESSOR PARCEL NUMBER ZONING BUILDING PERMIT o fit Act ire Om-�`WO�N�R EL P' / ✓& ONE RFP S0. FT. OCC BUILDING VALUATION 41L 5 MAI LIN ADDR SSka 9 I (� �� �}�/]�' I/•/1�� CONTRACTOR'S N ME 1 Vo / `'y TELEPHONE j CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT O� ENGINEER (///JI//rV11N"11VJI'G/• LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUI DINGA DRESS CL6 Permit fee $ a PLUMBING PERMIT Fillee 15.00 i Each Trap 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTUREE�� ^- SF ❑ Duplex❑ Mobilehome❑ Other �(, /�T�� SPECIFY Gas piping system 1 - 5 out is 1 5.00 Building sewer 15.001 Mobile Home S G W @ 15.00 �+ TYPE OF WORK Ne�o✓C Additioni�TRemodel�L Ut�i/l�ities/❑ nstallation[ Other Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600v OR LESS 200A OR LESS 18.50 , Main service 200A TO 1000AI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions Of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License Ao. Classification UI, 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 OCCUPM OR ADONS. ACC. BLDGS. / 3.64sq.1t. NEW CONSTR. ULTI.OUTLET NON-RESID. BRANCH CIRCUITS) @;5.00 (POWER APPARATUS &) 1 SINGLE OUTLET CJR. Ex. Occup(OUTLETS OR FIXTURES 76d AL. 46 Ex. Occup. OUTLETS P(RESID )REA.) I 3.001 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ , Contractor — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): U The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accru against said County in consequence of the granting of this permit/ X Date 1s Si nature of Applicant – Owner g pp ❑ Contractor ❑ Age r ❑ An OSHA permit is required for excavations over 5'0" dee;7d demolition or construct- ion of structures over 3 stories in height. /� Receipt Nc�C/ �� WHITE-O.P. W., YELLOW- ASSESSOR, PINK -INSPECTOR, GOL' EN, Oa -APPLICANT Mobile Home Installation Fee $ Energy Inspection Fee $ occ I CONST TYPE TOTAL FEE $ r I IHAZIOFEESI IMP I FLOOD CBF I PARCEL PO I HO ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date COUNTY OF BUTTE - Department of Public Works 7 County Center Drive „ Oroville, CA 95965 Phone: 916-538_7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid 'unnecessary delay in processing and -issuing your building permit. No building permit will be'issued until this verification is received. 1. I personally plan to provide the major labor and materials -for construction of the proposed property improvement (yes or no) 2. I (have/have not) 16signed an ap ication for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: . Name Address Phone Type of Work Signed: L-1 Property Owne r Sociacurity-Vumker - Date"" lll�'t NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. CLAIMANT: ADDRESS: eaiw4. af . rk& l OROVILLE; CALIFORNIA GENERAL CLAIM Mark & Mary Wallace 1431 Trenta Dr. CITY & STATE:. Chico, CA 95926 IMPORTANT: May 13, 1992 SEE INSTRUCTIONS DATE OF CLAIM: ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Refund due to change of plans. Permit #92-415B,P,E,M, AP#42-59-63 Receipt #103860 dated 2/18/92.' - - Total Permit Fees Paid--------------- $489.00 Retain Building Permit Filing Fee------------- 15.00 Filingin Plumbing Permit Fee - Retain Electrical Permit Filing Fee ------------ 15.00 To -al Permit Fees Retained------------------------------- 80.00 ----------------------------------------- $409.00 TOTAL $40i 00 I, the undersigned, Declare under penalty of perjury that the services or articles claimed havtr been performe or del iv d, end that this claim is _ and corr et as stated. ^ Dated thi �.. `t day of ............................. 19....... at....ChicO.............. Calif. Signature of alment I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have �performed or de- livered and that there is a Budget Appropriation ❑ or Specific Board Approval � (Check one) for the same. • Dated this 13th Ma 92 Oroville day of 19„ et ....................... . Cellf. .......' ............... D pertinent Head or Authorized Dedu Code 440-002 Code 4210500 PAYABLE FROM Cons . Permits FUND ........................................................................................................................................................................................ DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. - µ/A7Ald h !B� I`�Y2. UF4. I✓u°�^'``� LVN`°�u Q teu�ay.�oi ��G-�P.�, ,PsUa.aR pneiP�A r.al u7a4 ,¢eau.aAA Sqq COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO 9 Z ASSESSOR PARCEL NUMBER 042-590-063 ZONING RT -1A BUILDING PERMIT OWNNERTELEPHONE Mary 899-1736 S0. FT. OCC, BUILDING VALUATION 2524 R 128,724 2524 OWNER'S ADDRESS 1431 Trenta Dr., Chico 95926 1165 M 20,970 CONTRACTOR'S NAME TELEPHONE 842 C 10,946 CON ACTOR'S AILING ADDRESS Fireplace A1,500 CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER Mark C_ Wallarp LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS 1431 Trpnta 'Dr- Chico 95926 Penalty $ BUILDING ADDRESS Permit fee $ i nn PLUMBING PERMIT Filing Fee 15.00 Each Trap 11 5.00 70.00 Solar or heat pump water heater 20.00 LOT NO. 7 SUBDIVISION NAME Willow Bend Subdivision PARCEL MAP Water piping 7.00 7,00 Each qas water heater or vent 7.00 7.00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 5.00 Building sewer 15.00 15,00 Mobile Home S G W @ 15.00 TYPE OF WORK New ® Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: New 3 Redrnnm 4i ngl p Fnmi 1 y _ Permit Fee $ 119.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 18.50 Main service 200A TO 1000AI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification "UP , as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP.yd\ OR ACDNS. l ACC. BLDGS. // 3.64sq.ft. 129.10 NEW CONSTRESID, RANCH TLFT CIRCUITS) NON•RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 76 20 464 Ex. Occup. OUTLETS P(RESID IREA.� I 3.00 Temporary service 15.00 15.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ 178.00 - 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. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating 2 9.00 18.00 Cooling 2 9.00 18.00 Hood 6.50 6.50 Ventilation 4 4.50 18.50_ Permit Fee $ 75.50 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I gree to save, indemnify and keep harmless the County of Butte against dgments, co ts, and expenses which may in any way accrue al liWin ag y co eq enc the granting of this ermit. (, Date 1 0 , 2 Signature of Applicant - Owner* Contractor ❑ Agent ❑ An OSHA ion of structures tover 3gstories ainehe ghi ons over 5'0" deep and demolition or construct- Mobile Home Installation Fee $ Energy Inspection Fee $ 40-00 occ CONST TYPE TOTAL FEES 1674.50 HAz OFEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By EXPIRES Date applicable provi- resolutions to do have been paid. WORKS DatePERMIT Receipt No. 103860 PC 489.00// WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT ,�. ..pt`tx+m.ht7l;7Yg:Y�C "r �'ir�i�°�'..P'j.°i• �.�,jy7,�-,.� p.•"yR'. R^.tcrlv�mrri' iW COUNTY OF BUT„T.E a [rEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVI�;©ROILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMI-P,OPLICATION DATA SHEET 1 , / + r d _ Permit No. OWNER IMA ri� I V yN�,n� A LVA I- C.A C— 6{ _ A. P. Proposed Building Use '7 Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED' 1. All items have been submitted . ........................ .......... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... � ��.�--7�'. Statement of Intent for. Non -Heated and AC Buildings .......... Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation / instructions.'..:�.�� 112 Fees of $� Chico Urban Area fees paid ...? ].,.00 ......................... Park fees paid ...............� l.�j..0. .School District fees paid ...%, > . Sanitation approval from I�fG0 Health Department 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: ...... Improvements may be required. Contact Land Development Section DPW 19 Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... y' i.<�4 ecorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of I nature_aut orizat_ ioJU-1 ..... 27. When Issue the per roces as follows: o ow er. Mail to contractor. Telephone and hold for pickup ff' p p —mail• Ice. Deliver w/Inspector. Other ` .-- Appl icanA"1"l Date �� �Z 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 followingdata ^�vF prior to permit issuance: (Circ ,nevr�l.�e�ed above). , 1. Index permit for above items No. l�� t .2. Additional items required: � to Contractor, designer, owner, was advised of above required data by—phone ----jnaiI—counter by ..date Contractor, designer, owner, was advised of above required data by —phone _maII—counter by date Plans checked by _Date 2Z' Plans approved by Date Sets of plans on hold in File cabinet ; AP.:folder Copy—DPW COUNTY OE BUTTE - Deoarcmenc of Pub 1 is t o rks 7 Councy Cancer" Drive, Oroville, CA 95967 Phone: 916-53a_75u1 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and 'bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. T. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 12. I (have/have not) signed an application .for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have cont=acted (hired) the following persons to provide the worms indicated: Name Address Phone Type of 'dor'.{ S igned : Property Ownej Social Securit Data Number 0 DOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. 11 This verification must be completed and returned to our office be -fare we are per- mitted to issue the permit. COUNTY OF BUTTE - DEPAPTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916)5387541 At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT `tel DATE �� tZ .� It W ALL f- Z — •� 40 OWNER -4 1 P. NO. PROPOSED BUILDING USE DATE REC. # DATE REC r�J l• School Distri -rFees paid at District Office) .......................... >). Sheriff Fees (paid at Buflding Department) Residential ......... X73i6-0 =$Z� unit amt. Commercial(per sq.ft.) X =$ sq.ft. amt. 3. Urban Area Fees (paid at Building Department Residential (per unit) x =$� # dnits amt. Commerical(per sq.ft.) X =$ sq.ft. amt. l/ 4. Recreation District Fees (paid at District Office) .......................... r 5. Drainage District Fees (Contact Land Development) ........................ 6. Other 7. Other At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT `tel DATE �� RESIDENTIAL PLAN CHECKING GUIDE 8/91 ` (S.F., DUPLEX & MISC. ONLY) Bldg. Permit # OWNER Valla p,I A.P. # Plan Checker L, S GENERAL Zoning requirements: (sideyards and number of permitted living units). aluation. Plans signed by designer. Proper description of work on application. ExistExisting violations on property. ing on data sheet. (W.C., fees, Health, Developer Fees, License law, etc). Recorded notice of violation. LOT PLAN Complete parcel size and dimensions. Setbacks, sideyards, easements, etc. ther buildings or structures. Grading, fills, drainage. F ood hazard. Special conditions on.creation map, (noise, CDF, fire sprinklers,-non-comb- stible, and foundations). AU & FAS road setback. Building or utilities across lot lines (Record form). FLOOR PLAN ---I" Complete to scale plan with dimensions, Required windows for light and ventilation (Sec. 1205). Reauired windows for second exit (Sec. 1204). Skylights (Chapter 34 & Sec. 5207). uman impact glass (Sec. 5406). equired room sizes, ceiling heights (Sec. 1207). GFCIs in baths, garage, kitchen, and exterior outlets (Article /B:�Light fixtures, switches, receptacles, and-eXE'erior receptacles tenance of mechanical equipment. ` ,I-- Locations of water heater, eating and cooling equipment, ther Dor gas equipment. W.- Garage firewall, door size, and closer (Sec. 503(d)(3)). Lk 1 - 3'0" exterior exit door (sec. 3304 (f). .�Z--;: Fireplace and wood stove location, alcoves, and clearance. 13. Smoke detectors (Sec. 1210). -1-4-7-Plumbing fixtures, water closet clearances and shower size. 210-8). for main - electrical STRUCTURAL DETAILS Standard bracing or engineered design (Table 25V) Unusual shape, size, or split level house requiring lateral design. Clerestory requiring balloon framing and/or engineering. Three story building requiring engineered calculations and plans. 5. Foundation plan complete enough to construct building. 6. Floor construction details complete enough to construct building. 7. Elevations and wall construction details complete enough to construct 8. Roof construction details complete enough to construct building. 9. Fireplace construction details and calcs if necessary. 10. Rafter ties or bearing ridge beam. 11. Garage door or porch header sizes. 12. Stud heights. .1a -.—Adobe soils - special foundation design. 14: Retaining walls requiring design. -5-t'Special Inspection required. building 8/91 RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306). Guardrail details (Sec. 1711 & 3306(j). Brick or stone veneer (Chapter 30). Exterior plaster - weep screeds (Sec. 4706). Proper roof pitch for roof convering (Chapter 32). Roof covering type - (fire hazard). Foam insulation - protection. 36" halls and stairways. Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. Two exits on three-story dwellings (sec. 3303 & see Mezannines - 1716). . Attic access and ventilation (Sec. 3205). nderfloor access and ventilation (Sec. 2516). Combustion air for fuel burning appliances - L.P.G. requirements. . Noise requirements on duplexes. 1 . Energy design. . Flashing at all exterior openings. F responsible area requirements. n p 2 "-y- CkPA 5 Q ,,5 a Permit # A.P. No. Date: Provide the following information: The proposed building does not comply with UBC Sec. 2517 (g.) for adequate bracing. Provide lateral design per UBC Chapter 23, or revise building to comply. [ ] The proposed building is of unusual shape and size per UBC Sec. 2517 (a), and requires complete lateral load design per UBC Chap. 23. [ ] Provide complete design for gravity loading including all structural members required to carry loads from roof to foundation. Design is to include all beams/joists, posts/columns, footings, and connections as required. XProvide complete lateral design per UBC Chap. 23 that results in a system which provides a complete load path capable of transferring all loads and forces from their point of origin to their load -resisting elements. Design is to include all required connections and appropriate construction details. [ ] The following portion: does not comply with the adequate bracing provisions of UBC Sec. 2517 (g). Provide lateral design for that portion which results in sufficient lateral support of the structure, or revise to comply. k Second floor shear walls are framed on the floor systemthout shear walls below. Provide complete analysis and design to transfer loads through floor diaphragm to load resisting elements. X Second floor shear walls are supported by floor beam(s). vide complete details for shear transfer to beam(s) and connections required to transmit drag forces to ultimate load resisting elements. [ ] Second floor shear walls are supported by cantilevered floor system. Provide complete analysis and design which accounts for effects of shear overturning forces which act on cantilevered floor as well as complete details to transfer shear to load resisting elements. All requirements of engineering calculations are to be clearly shown on (�< TWO sets ( ) THREE sets of plans. Provide complete coordination between plans, calculations, and specifications. [ ] See attached list of other specific requirements. P&PleE ��s/G�/ mon 6v- CC A/�dxy /ro-/z x/orew/ eL/ GU//1/D Lo t*D/A/C IAIC 4. 41- 4 C'o�v�c/EG7-/oit/S . PERMIT NUMBER - B 565-73B P E 1; PERMIT EXPIRES �O - t; OWNER Mel Harrington U CONTR: owner LOCATION (A.P. 42-34-17 wls of Cu.sslck Ave. at end of Shasta Ave.,Chicc /0 e t z 4 ;4 4, 1�. A COUNTY OR ,BUTTE t f Department. of Public Works BUILDING INSPECTION. RECORD ,. Zoning Setback Forms Foundation X74 'Piers & Girders Fireplace Rgh. Plumbing Bond.Beam Lath & Plaster Rein. Steel Gas Piping & Test Found. Vents Framing Plmg. Topout Rough.Elec. Wtr. Htr. Furnace . 3) /4-14 d Kitchen Vent Firewall Garage Vents Sanitation & Water ELECTRIC GAS BUILDING Temporary Temporary p7� Cert. of Occup. Final Final`� �—LFinal 'DATE REMARKS` OR CORRECTIONS "�"„-^"-^�.��'�e--�•y� � ., w'."r.`..i).v�.�C'�7--..J��'1-j�i.!,ry�:`!'/'!fti't`- ,. 'Cr.J!iry •t"`^�itt�`�•/i lrv�,:+Sry,{�.n� �t ;'�i �:.:e�,� .. � '1-�:i:�r ... - COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive Oroville, California 95965 h ,� Telephone: 534-4541 1J� t• . APPLICATION AND PERMIT ' �• r / �� , BUILDING Owner r/ ! "SQ.•FT. OCC. BUILDING VALUATION Mailing Address t Telephone No.- -ti�r7 Fireplace of . Contractor ��� �: '� J Total Valuation Mai I ing Address Permit Fee ' Plan Checking Fee &/or Penalty "t Telephone No. y Permit Fee $ $ BuildingAddress , ��,, r � �G��"t-?t, /_P+ PLUMBING No. @ FEE PERMIT FILING FEE J$2.00 Each Trap . �. ' 1.50 i/ q_-Ior� f/ '" L r1' Repair drainage'or vent piping 1,50 Water piping 1.50 - - Each gas water heater or vent 1.50 tr S A. P. N0. r/ � �. & Planning Gas piping system 1 - 5 outlets 1.50 -4Zoning Each additional outlet .30 Fees W.C. Sanitation-.FireDept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im rovement's P Lawn sprinkler system 2.00 Bldg. Plans Rec'd Parcel Approval Plans Approval•41' Permit Fee $ _ ' 0 $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Q ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter V JSub-panel Additional meters, each 1.00 (12 or less) (more than 12) Single Family 0 Duplex ❑ Mobil Home, ❑� Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater .1.00 Light fixtures balklo V -, Receps., switches & fix outlets 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: "1 Hood, Ex. Fan orF.A. Furn. Motor 1.00 Evap. cooler, gar. lisp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 ;i License No. Classification Misc. wiring T:: - I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor,,,- Code which requires every employer to be insured against liability,,; for Workmen's Compensation. ❑I 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 thiszf,4t' 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. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating � ! �� U Cooling Ventilation Hood 2.00 Permit Fee $ rA to 177 47, $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances' and State Laws relating to building construction, and hereby Y TOTAL PERMIT FEE $�v� ,I t, auuivg �o icNiwcntauvca ui uJe wunty ui tnutte w enter upon the above-mentioned property for inspection purposes. x ! Uf/l�f 4,g11hit_. koi Date Signature of/P%ermitee or Agent �'% Receipt No. __ / ,* .4 .- J 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 r^ By /t ` '`! Date -9— V COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WOR S 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT / BUILDING Owner i t� =' 7 SO. FT. OCC. U.I ING VALUATION Mailing Address Telephone No. Contractor P�� Fireplace Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee /i '+/ Building Address (,� * t C� �, PLUMBING No. FEE PERMIT FILING FEE $2.. 00 Each Trap 1.50 �r Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 /a r / A. P. No. Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fi W.C. 5en4046". Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W ImprovementsLawn sprinkler system 2.00 Bldg. ane e� Parcel Approval Plans Approval Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Singl Family E] Duplex ❑ Mob)] -Home ❑ thers ❑ Range, Cook -top or Oven 1.00 t t '• cz ' z`� Water Heater or Space Heater 1.00 Light fixtures ball 0 Receps., switches & fix outlets 20 (d 25 I 0 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: Hood, Ex. Fan or F. A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring ExI am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I 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. MECHANICAL No.1 @ FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. k___- X 71 . ��f — TOTAL PERMIT FEE $ ��, 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 Date Signature of Permitee o IAgent G — ^"7 T, Date Receipt No. 1'1 By White-D.P.W. – Yellow -Assessor – Pink -Inspector – Goldenrod -Applicant Budin$ permit expires Date ..:/–�+�- COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORK 7 County Center Drive — Oroville, California 95965 (D Telephone: - 534-4541. APPLICATION AND PERMIT Owner Mill ._ % 1-i _ — , .. — J Mailing Address 1< h % 13ci 1-) 34.L - Contractor Mailing Address e Building Address W/ 5 d `_ f� 5 S f C'. A. P. No. Z pnfng Fire Zone Fire Dept. Sanitation Planning Plans Fees W. C. R/W Encroachment NEW ADDITION ❑ • OTHER ❑ USE OF STRUCTURE Single Family ❑ Duplex ❑ Others ❑ 40 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: License No. Classification i am exempt from the Contractors License Laws of the State of Cal ifomia. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I 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 rpermit is issued I shall not employ any person in any manner o as to become subject to the Workmen's Compensation Laws of California. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. —` X Date 3- 2- 73 Signature o Permitee or gent Receipt No. _ White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant BUILDING SQ. FT. I OCC. I BUILDING VALUATION i 17 2.` Fireplace Total Valuation Permit Fee P Ian Checking Fee&/ nalt Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee ELECTRICAL PERMIT FILING FEE Main service incl. 1 meter Additional meters, each Sub -panel (12 or less) (more than 12) Range, dryer or water heater Oven, Cook -top or space heater Light fixtures Receps., switches & fix outlets Hood, Ex. Fan or F.A. Furn. Motor Evap, cooler, gar. disp. or D.W. Air conditioner or heat pump Water pump Misc. wirina mom mm mm MM MM M @ FEE $3.00 1.00 1.00 1.00 0 9 1.00 1.00 Permit Fee $ MECHANICAL NO. @ FEE PERMIT FILING FEE $3.00 Heatina Cooling Ventilation Permit Fee $ $ State Fee for Strpng Motion. $0.07/$1000 Evaluation $ Instrumentation rogram TOTAL PERMIT FEE $ 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 0 PUBLIC WORKS By...- Date 9—F-7 Building Permit Expires —?'� _ • z 't PERMIT NO. 4861-74B, P t E M MH UTIL. PERMIT NO. PERMIT EXPIRES OWNER MEL HARRINGTON !°Owner - GCONTR. ' (LOCATION (A.P. 42-34-17 ) W/S Cussick Ave„ Opposite Shasta Avenue, Chico 4 r, - Temp. Power Pole Called G&E Temp.Aec. Serv. .Ca led PG&E Teml Gas Serv. Called PG&E 0 B 7I 2 ;7 FINALED_ p� (Date) (Signature) 0 Setback Forms Main Bldg. Footings Stemwa I I Slab Piers Garage Footings Stemwal l Slab Carport Footings Slab Patio Footings Masonry Walls Reinf. Steel Bond Beam • Framing Stucco Mesh Scratch Brown Finish Interior Lath Door Closer DATE ` I �t COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING/ BUILD11 (Cont'd) Firewall Parapets Restroom Finish Windows Siding Roof Sheathing Roofing Fdn. Vents Garage Vents Prov. for physically handicapped Conformance of ex. structure Footin Throat Final Test Heatinc Cool inc Ducts Ventila Final FIREPLACE 3 1 F j 5 i S PLUM RING Soil Piping 1st Floor 2nd Floor -3rd Floor Topout Water Piping Sewer Fixtures Water Htr. Heaters Appliances Gas Piping & Test Temp. Gas Sanitation Final 7 `l Fixtures FIRE SPRINKLERS I Motors MECHANICAL Grd. Fault Prot. Service Temp. Pole Underground Permanent Final ELECTRICAL REMARKS OR CORRECTIONS C, Do!/iG� 4-6 s1 -f- e'- o% C G0 t2e-c_ y COUNTY OF BUTTE — DEPARTMENT OF PUBLIC W R �.. 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT (� authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. aa�� / X Date//— f- �- % Signature of Permitee or Age Receipt No.194,396-- 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 q - Date_! Building permit expires Date.....�.s"! ...�� BUILDING Owner TE7 1 IV eq -moi/ SQ. FT. OCC. BUILDING VALUATION Mailing Address / � U ��JJ Tel hone �"� 3�f Fireplace Q --- Contractor CQ /,/&i2_ Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ a Building Address_ PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 I /C Each Trap 1.50 !C Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. �� , '— Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F . SaHta Mh I Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking I Plans Parcel Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 Bldg. Plans Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ® ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 FXEE .5,7,9/VD//y/ le6 f,' C,!5- Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home ❑ Others Range, Cook -top or Oven 1.00 GaX, Water Heater or Space Heater 1.00 Light fixtures nal d20 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: Receps., switches & fix outlets Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring [YI am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 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. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. aa�� / X Date//— f- �- % Signature of Permitee or Age Receipt No.194,396-- 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 q - Date_! Building permit expires Date.....�.s"! ...�� COUNTY OF BUTTE - DEPARTMJENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. !� 2-4 _90 ASSESSOR Pte. CEL NUMBER 42-59-6 ZONING RT- • BUILDING PERMIT OWNER Herman P teete TELEPHONE 343-9164 SO. FT. OCC. BUILDING VALUATION ,IBJQ, 00nn OWNER'S MAILING ADDRESS 2803 E kin Maidu Trail, Chico 95928 9 -7_6_0__0 CONTRACTOR'S NAME Owner TELEPHONE 36 Q 36. 00 0 U -0 -0 .00Fireplace - CONTRACTOR'S MAILING ADDRESS Fireplace A 1.000.00 CONSTRUCTION LENDER UNKNOWN Total Valuation $-'�7 • 00 LENDER'S MAILING ADDRESS Filing Fee Is 10,00 Permit Fee $665.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ a 2_e7 Energy Plan Checking Fee $' 1 ,0 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ , 2 .2 PLU BING PERMIT Filing Fee 10.00 ro Each Trap L6 2.00 32.00 +-Chi Solar or hea pump water heater 20.00 LOT NO. SUBDIVISION NAME � ). PARCEL MAP I VAter V4,%ing 5.00 5.00 a h . as w r hater or vent 5.00 5.00 = USE OF STRybTURE SF (I Duplex❑ Mobilehome❑ 0th _ 1�7ui SPECIFY as pi ing SY40m 1 - 5 outlets 5.00 di se r 5.005.00 J�AiLHome S I G I W 10.00e TYPE OFR New [X Addition ❑ Remodel ❑ Uti Ites Instal lation 0th r Describe work: 4 Bedroom Permit Fee $62.00 ontractor ELECTRICAL PERMIT Filing Fee 10.00 OR L Main service 100 AMP ORSLESS 10.00 10.00 Main service EA. ADO'L 100 AMP 2.50 2.50 CONTRACTORS LICENSE L W I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, iv. of the Business and Professions Code and my license Is In II 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) ❑ orsa the owner, am exclusively contracting with licensed contract 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.h OR ADDNS. ( ACC. BLDGS. I Z�4sgft I 133.15 NEW CONSTFL ULTI-OUTLET NON-RESIO BRANCH CIRC ITS 2,50 ea POWER APPARATUS h1 (SINGLE OUTLET CIR. 1 Ex. Occup( OR FIXTURES 20@SO¢ .0@50C ALO FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA.) 1 2.00 Temporary service 1 10.00 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 69-65 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. V1 I shall not employ any person in any manner so as to become subject 1 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 i Ik.no is.00 uaL&_Sp1it_S_y_ste Cooling 5T 3T 22T 3 23.00 Hood 1 3.00 3.00 Ventilation 2 3.00 6.00 permit Fee $ 60.00 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against �s d�County in consequence of the granting of this ermit. Q( �o X �S M:E* Date (` t" Signature of Applicant - Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 3.Q._Q0 occ CONST TYPE TOTAL FEE $1 340 0 HA2 CUA PARK SCHL FLo PAR PDK�7 This permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 73500 $387.75 PCH WHITE -13. W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT t COUNTY OF BUTTE - DEPARTMkNT OF _PIJBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - ORO„VILLE;`CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER A. P No. _ Proposed Building Use 5PE Building Inspector7�2 Date .0 A,-A-� At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans . . 5. Hazardous Material Form ......................................... . 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation Sinstructions .... ...� .�,.,........................ ` ..... L/. Whe yo issue the permit, proce s as follows: Mail t wner. - Telephone?and hold for pickup at office. Other Applicant (Date) 1 a Mail to contractor _Deliver w/inspector. Copy of Haz-Mat form sentHealth-Dept f;' l "Fi4 Dept. _Air Pollution Date Copy of plans sent Health Dept. Fire Dept: Qth,er 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. ID -d-y-;? -13 -/5' --:7--3 C�,AAditi�ol items required: Contractor, designer, owner, as advised of above required data by_phone--nail—counter by ..date Contractor, designer, =_DatdQ dvised of above required data by—phone —mal l—counter by date Plans checked by -19JO Plans approved by Date _ Sets of plans on hold in Copy—DPW File cabinet AP folder TO Buildinc Department FROM: Environmental Health SUBJECT: Sanitation Clearance fc>4a - Oer Location ark m Plan;Approved for: Sewage Disposal Water Supply Water Supply Hold`"final for: Final clearance O.R. for: ' / n Water Supply Clearance for bedroom •mwWA-.Le home. NOTE * * * ~ Date San_tarian bpi Z' TOWN, IP. RA fix j For? bpi Permit # A.P. No. �%�.Si �i Date: Provide the following information: [ ] The proposed building does not comply with UBC Sec. 2517 (g) for adequate bracing. Provide lateral design per UBC Chapter 23, or revise building to comply. [ ] The proposed building is of unusual shape and size per UBC Sec. 2517 (a), and requires complete lateral load design per UBC Chap. 23. [ ] Provide complete design for gravity loading including all structural members required to carry loads from roof to foundation. Design is to include all beams/joists, posts/columns, footings, and connections as required. [ ] Provide complete lateral design per UBC Chap. 23 that results in a system which provides a complete load path capable of transferring all loads and forces from their point of origin to their load -resisting elements. Design is to include all required connections and appropriate construction details. The following portion: .:?A/!D SR/Zco FW -0 A) does not comply with the adequate bracing provisions of UBC Sec. 2517 (g). Provide lateral design for that portion which results in sufficient lateral support of the structure,,or revise to comply. `[Second floor shear walls are framed on the floor system without shear walls below. Provide complete analysis and design to transfer loads through floor diaphragm to load resisting elements. Second floor shear walls are supported by floor beam (s) rovide complete details for shear transfer to beam(s) and connections required to transmit drag forces to ultimate load resisting elements. [ ] Second floor shear walls are supported by cantilevered floor system. Provide complete analysis and design which accounts for effects of shear4overturning forces which act on cantilevered floor as well as complete details to transfer shear to load resisting elements: `[ All requirements of engineering calculations are to be clearly A own o nj TWO sets ( ) THREE sets of plans. Provide complete coordination between plans, calculations, and specifications. [ ] See attached list of other specific requirements. 1 5/89 RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX & MISC. ONLY) Bldg.'Permit # .3 5�� 6 40 OWNER �{`�2a�-rf?,� ��� J A. P. # V--2-- - (- GENERAL 1. Zoning requirements: (sideyards 2. Valuation. 3. Plans signed by designer. 4. Energy Design and Compliance. Existing violations on property. Items on data sheet. PLOT PL and number of permitted living units). 1. Complete parcel size and dimensions. 2. Setbacks, sideyards, easements, etc. 3. Other buildings or structures. 4. Grading, fills, drainage. 5. Flood hazard. 6. Special conditions on creation map or compliance document. 7. FAU & FAS road setback. FLOOR PLAN 1. Complete to scale plan with dimensions. 2. Required windows for light and ventilation (Sec. 1205). 3. Required windows for second exit (Sec. 1204). 4. Skylights (Chapter 34 & Sec. 5207). 5. Human impact glass (Sec. 5406). 6. Required room sizes, ceiling heights (Sec. 1207). 7. GFCIs in baths, garage, and exterior outlets (Article 210-8). 8. Light fixtures, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. 9. Locations of water heater, heating and cooling equipment, other electrical or gas equipment, and plumbing fixtures. 10. Garage firewall, door size, and closer (Sec. 503(d)(3)). 11. 1 - 3'0" exterior exit door (Sec. 3304(e)). 12. Fireplace and wood stove location, alcoves, and clearance. 13. Smoke detectors (Sec. 1210). STRUCTURAL DETAILS 1. Foundation plan complete enough to construct building. 2. Floor construction deItails complete enough to construct building. 3. Elevations and wall construction details complete enough to construct building. 4. Roof construction detlails complete enough to construct building. 5. Fireplace construction details and calcs if necessary. MISCELLANEOUS ITEMS TO LOOK OUT FOR -Gtairway details: landings, rise and run, head clearance, handrails (Sec. 3306). - ardrail-details (Sec. 1711 & 3306(j)). 3 Brick or stone veneer (Chapter 30). 5/89 RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR'(CONT'D) Exterior plaster - weep screeds (Sec. 4706). t/P�oper roof pitch for roof covering (Chapter 32). ::�Roof covering type - (fire hazard). 7 Rafter ties or bearing ridge beam. rage door or porch header sizes. a�taequate bracing. •0 iving area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. _-14-.-`Pwo exits on three-story dwellings (Sec. 3303 & see Mezannines - 1716). ]fl-l"Ittic access and ventilation (Sec. 3205). derfloor access and ventilation (Sec. 2516). 14--'Co-mbustion air for fuel burning appliances. -1-S-.-ffoise requirements on duplexes. -Z6—.Adobe soils - special foundation design. 44 -.-Retaining walls requiring design. �nusual shape, size, or split level house requiring lateral design. 1F,--FTashing at all exterior openings. /7) 86 -01 -ton U-1/ACDO[.L1.S S/L(- 14T SIkA4'C_ /a/E ln'gzy qC1 a /f "30 v%2 (1�'-LVV5)A- . NO 5 X 2.14- t_ PLSPi A P®/� A L. lo-�g-2�a -�-- �i ' V A OR OV ILL E,.CALIFORNIA GENERAL CLAIM CLAIMANT: Care -Free_ Pools ADDR ESS: P.O. Box 8689 CITY & STATE: -Chico, CA 95927-8689 IMPORTANT: SEE INSTRUCTIONS January 30, 1991 DATE OF CLAIM: ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SFRvirFc DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Owner has decided not to do work. Permit #3615-90B,P,E, — 9-63, Receipt #73944, dated 10/16190 Total Permit Fees Paid ------------------------------------$187,50 et in Plan Checkin Fee------------------------- $15.00 Retain Building Permit Filing Fee---------------- 10.00 Retain Plumbing Permit Filing Fee---------------- 10.00 Retain Electrical Permit Filing Fee-------------- 10.00 Total Permit Fees Retained-------------------------------- 45.00 TOTAL REFUND DUE------------------------------------------$142---50_- 1 2 ---TOTAL TOTAL $142 50 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. „„ Dated this ,,,,.,.,� de of �`'1-� 19q� �(, U ....................... Y ......................... ....... et '\...................... Cali[...Claims Signature of Claimant I, the undersigned, hereby certify that, to the best or f my knowledge, the services oarticles specified above have been performed or de- livered and that there is a Budget Appropriation[] or Specific Board Approvals (Ch eckone) the same. Dated this ......30th .................. day of January........ 199,1, at Oroville,...... Calif. ... ..... , ` ......... ..............Y........ D artment Head or Authorize ut Dept. Exp. �— Code ,,,,,,440-002 Code ,,,,,,,,,,4210500 PAYABLE FROM .......CO t. Permits ................................................................................ FUND DO NOT WRITE BELOW THIS LINE — AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. lid 2,d/ po F� O rh ' ccs q 7 M /2C COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oxoville,.California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. It 11, ASSESSOR PARCEL NUMBER 42-59-63 ZONING RT -1A .BUILDING PERMIT � OWNER BILL TELEPHONE 343-9164 SO. FT. OCC. BUILDING VALUATION Est 16500 •s WNERBOWENGADDRESS 45 Bell Court CONTRACTOR'S NAME Care Free Pools TELEPHONE 342-463 CONTRACTOR'S MAILING ADDRESS #9 Alyssum Way 95928 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 122.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 15.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 45 Bell Court Chico Permit fee $ 147.50 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF x❑ Duplex❑ Mobilehome❑ Othernnnl SPECT r Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home Is 110.00e ,. TYPE OF WORK New❑ Addition❑ Remodel❑ Utilities❑ Installation[] Other ❑ Describe work: #501-88 _ Permit Fee $ 15,00 Contractor ELECTRICAL PERMITFiling Fee 10.00 Main service 1100V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the BuslneS$ and Professions Code and my license is in full force and effect. Q e— License No. �� S'a-G Classification S 3 ❑ I, as the owner. or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason . DWELLING OCCUP.e NEW CONSTOR ADDNS. ACC. BLDGS. 21/2 QsgIt NEW CONSTULTI.OUTLET NO .RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) SINGLE OUTLET CIR. Ex. Occup( OR FIXTURES 20@500 9ALO so Ex. Occup. OU LETS ED PRESID IREA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin 9 15.00 Pool Elec .15.001 15.00 Permit Fee $ 25.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. �l have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue againstaid Coin consequence of the granting of this permit. ,_��_C�� X_ ' Date Signature of Applicant — Owner ❑ Contractor LE�/ 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 $Z--*' 87.5 AZ CUA SCHL F PAR HD ISSU� This permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTO OF PUBLIC By ✓ PEWT EXPIRES Date \ the applicable provi- resolutions to do have been paid. WORKS Date/"'Z6— Z to, 9 / Receipt No. 73944 WNITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTS, i, ANT OF PUBLIC WORKS - BUILDING DIVISION 7 GOUNiFY4ENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER .,a lam /�C� /l/ A. P o. Proposed Building User%lam Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................:.. 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 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 .................................................... School District fees paid .............. Sanitation approval from tl�t �l l% Health Department ' City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .... . 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When y Issue the permit, process as follows: Mail to ow er. Mail to contractor. Telephone d hold for pickup at office. Deliver w/inspector. Other Applicant Date Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (C rcle new item not .checked above).,- 1. bove).•1. Index permit for above items No. 2. Additional items required: ..C67 Contractor, designer, owner, was advised of above required data byV_2phone_maiI—counter by Contractor, designer, owner, was advised of above required data by —phone _maII—counter by s checked by Date s approved by of plans on hold in . File cabinet ✓ AP folder Copy—DPW -date- date date - date . Date _� TO Buildinc Department FROM: Environmental Health SUBJECT: Sanitation Clearance Omer Location AP# Plan Approved for: Sewage Disposal '—� Water Supplvam o Hold final for: I 7inal clearance O.K. for: Clearance for bedroom a home. Other NOTE * * * Water Supply Water Supply Date Sanitarian TO 9,u,ildina Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal / Water Supply Hold final for: 1 Final clearance O.K. for: Clearance for bedroom mobile home. NO Water Supp y Water Supply Other 9-O Dat Sanitarian may_ t LAND OF NATURAL WEALTH AND BEAUTY PLANNING COMMISSION LAWRENCE J. LAWSON. DIRECTOR OF PLANNING 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 533.1230 EXTENSION 305 January 24, 1973 Mr. Mel uarrington Rt. 1, Box 406E Chico, California 95926 Re: Variance, AP 42-34-17 Dear fir. Harrington OAt the regular meeting of the Butte County Board of Supervisors held January 23, 1973, your application for a variance of setback from 50 ft. to 35 ft. on property zoned '.`A-2" (General), Fest side of Cussick Avenue at• Shasta . Avenue, Chico- was approved subject to the following condition: 1. Deed 30. -ft. right-of-way to County of Butte. for propery frontage'on Bell and Cussick roads, _ measured from the centerlines of the roads and including 20 ft, radius return. Should you have any questions regarding this matter, please contact.our office. Sincerely, LAWR-Ea°?CE J. LATIS+ON Director of Planning 7. LJL/cc cc: -rPublic Works Dept 7 ~- Health Dept,. John R. &.G1adys'S.'Dobson MEETS REGULARLY ON THE FIRST FOUR THURSDAYS OF EACH MONTH 1 t COUNTY, OF BUTTE - DEPARTMENT OF PUBLIC WORKS �. PERMIT NO. 7 County Center Drive - Oroville,, -6all!4riniat95565'- Telephone: 916/538-7541. r ' APPLICATION AND PERMIT /! ASSESSOR PARC L MBER [ M w 79- 6 L%'- - 5 Jam- ±7'0 an.f- , -1 ` . /�7. 6 ZONING -0 -,/f " BUILDING PERMIT OWNER 'MAILING i"�Vy, TELEPHONE, S0. FT: OCC. BUILDING VALUATION OWNER'S /VfADDRESS ''"'=; /� t o. cl CONTRACTOR'S NA/jG�(E�+p.1 f Y ✓� W. TELEPHONE t ' CONTRACTOR'St MAILING ADDRESS t �, t f✓!� yr%?C - //V CayvSS�ff - Sea CO Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ /000 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ J'7 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT O. SUBDIVISION NAME C PARCEL MAP I Water piping 5.00 Each qas water heater or vent 5.00 j USE OF STRUCTURE f (` ❑ ❑ - Duplex�MobilehomeOther S� SPECIFY 4 Gas piping system 1 - 5 outlets 5.00 Building sewer -ST 5.00 Mobile Home T G W 0.00 e ` TYPE OF WORK New ❑ Addition ❑ emodeI ❑ Utilities ❑ Installation[]" Other Describe work: C ow z7fy y,,, h "� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00. V OR Main service 100 AMP LESLESS 10.00 Main service EA. ADD�L 100 AMP 2.50 CONT 'C RS LICENSE LAW I declare under penalty of perjury one): _- v ❑ I am licensed under provision of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and 9 effect. /yl�'t � icense No. / // // / Classification I, as 'the owner, Or my employees with wages as their sole Compen- sation, will do the work,and the structure is not intended or offere 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. DWELLhNG OCCUR.& OR ADDNS. ACC. BL•.DGS. � _ - yz¢sgft NEW CONSTR.ULTI-OUTLET NON -R ESID BRANCH CIRCUITS 2.50 ea POWER APPARATUS e SINGLE OUTLET CIR. / Ex. OCCUp\OUTLETS OR FIXTURES Z o@ s o c 3AL@30 FIXED APPLNS. OR Ex. OCCUp. OUTLETS (RESIO.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee-' $ Contractor , WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. fI 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 anty person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling , Hood ) 3.00 Ventilation ' permit Fee $ Contractor 1 certify that l have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot ,Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save,,indemnify and keep harmless the'County of Butte against all liabili.td•es, judgments, st• and expenses which may in any way accrue against said County •nuc e ence of the granting of this permit. / G �/ X Date 4 � j Signature of Applicant = Owner ❑ Contractor [ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over3stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ ��� HAZ CUA PARK SCHL ' FLD PAR PD HD ISSUE This permit is hereby issued under sions of the Butte County. Code and/or work indicated above for which fees DIRECTO ` F PUBLIC R By y PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS C Date/7--f 'If )^.��r / i - /" `Z/a Receipt No. L/ ! Z( WMITC-D.P.W., 'r EL LO W-A58l990R, PINK -INSPECTOR, GOLDEN ROD -APPLICANT COUNTY OF BUTTE'- DEPARTMENT OF PUBLIC WORKS PERMI N0. .. 7 County Center Drive - Oroville;, CQ,4ifornia 95965 - Telephone: 916/538-75 1 APPLICAT ON` -AND PERMIT / ASSES O PARC L MBE © - -- L' ��,y-, ZONING - lx� BUILDING PERMI OWNER �! nim F -O /'V / TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING -^`ADDRESS N J, (j'Jf} 127 CONTRACTOR'SN E TELEPHONE CON RACTOR'S MAILING A/D� RESS tncc�� q 1� C�rt1>A1 S_&Cf S a/lD /�%�2� Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEERLICENSE NO. Plan Checking Fee ,$ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 y� I7 ��'�S Each Trap 2.00 Solar or heat pump water heater 20.00 . LQT O. ON NAME SUBDIVISION ` /16.4 � � Li� r PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF� Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G W 0.00e TYPE OF WORK New ❑ Addition ❑ emodeI ❑ Utilities ❑ Installation[] Other Describe work:t7iti _ O2 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 8001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions Of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. ,` (cense No.�Z&;&, Classification 44Z 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 OCCUP.tr OR ADDNS. ( ACC. BLDGS. 2,/20sgft NEW CONSTR.MULTI-OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(o XTS OR FIXTURES 20050Q SAL030 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.,) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. bVirin 9 ,15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. have placed on file with the County -of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws.relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to indemnify and keep harmless the County of Butte against all liabil judg nts, and expenses which may in any way accrue again said County 'n rice of the granting of this permit. /n ` Q r� Date ! i Signature of Applicant — Owner ❑ Contractor [ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ HAZ CUA PARK SCHL FLD PAR PD HD IssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTO - F PUBLIC B Y PER EXPIRES Date _ the applicable provi- resolutions to do have been paid. WORKS , Date /2 !� I Z—/ 3— ` © I L% (' Receipt No. � � % I WHITE-D.P.W.. TELLOW-ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT ., ryq. �.yyrr-'.�+^ie.rk.(a��yysr�`�C�Yr..�Tr-�}"'-I!'�Y�"v�:.�+'•"j'.�. 7',dC'SitC�'/'V+..ils,.�''Rfr'�.+."'••�...JItc•.•ti�•r�7.'�"i"'uvrv..+—✓._..�... �..-.��1:.�,. ..�.. f COUNTY OF BUTTE -,DEPARTMENT OF PUBLIC WORKS - BUILDINV `SION 7 COUNTY CENTER DRIVE - OR1i7IILLE! `0AEIFORNIA 95965 - TELEPHONE: 916/538-754 OWNER Proposed Building Use PERMIT APPLICATION DATA SHEET 5 Permit No. A. P. No. BuiIdidg,lnspector CS Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. ' 15. 16. N 17. 18. 19. 20. t 21. 0-22. 23. 24. 25. 26. 27. All items have been submitted. Plot plans in duplicate/triplicate, signed by preparer of plans........ Complete plans in duplicate/triplicate, signed by preparer of plans .. Complete engineered plans and calcs, with wet signature on plans .. Hazardous Material Form .......................................... Energy Design Compliance and supporting documentation ......... Statement of Intent for Non -Heated and AC Buildings .............. Engineered truss details and layout in duplicate (required prior to plan check) Mobilehome installation data including manufacturer's installation instructions....................................................... �- Fees of $ ........................ Chico Urban Area fees paid ....................................... Parkfees paid .................................................... School District fees paid .............. Sanitation approval from Health Department City of Chicolumbing permit ..................................... Plot plan and�usiness license approval from City of (see City for other requirements) Planning approval for (A) Use: (B) Parking: ...... Improvements may be required. Contact Land Development Section DPW Driveway permit (construction approval required prior to occupancy) Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) Contractor's license information (No., Name Style, Classifications ... Certificate of Workmans Compensation Insurance .................. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... Recorded copy of Agricultural Acknowledgment Statement ......... Letter of signature authorization ................................... When you issue the permit, process as follows: Mail to owner. Telephone and hold for pickup at _ --oTice Other — /,% . {M ti 1 1 ail to contractor. ,-------.Deliver w/inspector, Applicant �.�%��� �� Date Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. m 2. Additional items required: j Contractor, designer, owner, was advised of above required data by—phone __rnall—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 Certificate of Compliance: Residential Component Insulation Climate Zone 11 R -Value (antic, .ea garage, r2ical, etc.) Wall .............. Project Title Wall .............. Roof ............. Building Permit g Roof ............. ' Project Address - Floor ............. . . Checked By / Date Documentation Author Telephone Enforcement Agency Use Only BUILDING DATA Glass Type Interior Exterior Overhang Framing Type Glass Area % Glass (single. double) (roller blind. etc.) (shadeacreen, etc.) (yes/no) (metal/wood) North ( ) North North ( ) Conditioned Floor Area Number of Stories East Slab/Raised Floor Number of :Units South South [ ] Single Family Detached (SFD) (] Addition Alone West West ( ) [ ] Single Family Attached (SFA) [ ] Existing Building Skylight [ ] Multi -Family (MF) (] Existing -Pius -Addition Tom THERMAL MASS BUILDING SHELL INSULATION - Component Insulation Locaii0rurommenits R -Value (antic, .ea garage, r2ical, etc.) Wall .............. Wall .............. Roof ............. Roof ............. Floor ............. Floor ............. Slab Edge..... GLAZING Shading Devices Glazing Area Glass Type Interior Exterior Overhang Framing Type Orientation (sf) (single. double) (roller blind. etc.) (shadeacreen, etc.) (yes/no) (metal/wood) North ( ) North ( ) East ( ) East ( ) South Sou tit ( ) West ( ) West ( ) Skylight....... THERMAL MASS Type/Covering Area Thickness (slab/exposed, lite, etc.) (Sf) (inches) Location/Description (kitchen, bath. etc.) HVAC SYSTEMS Minimum Duct Type (furnace, air Efficiency Location Duct Output Manufacturer / Model # conditioner, heat pump) (SE, SEER.HSPF) (attic, etc.) R -Value (Btuh) (or approved equal) Maximum Furnace Heating Output: Btuh HOT WATER SYSTEMS Tank Manufacturer/Model # System Type (storage gas, etc.) Capacity (or approved equal) Special Feature(s) SPECIAL FEATURES[REMARKS (Add extra sheets if necessary) Mandatory Measures Checklist: Residential r MF -1R 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 mare stringent compliance requuements listed on the Certificate of Compliance. When this checklist is incorporated into the parrhit documents, the features noted shall be considered by all parties as binding minimum component performance specifications for the mandatorymeasures whether they are shown elsewhere in the documents or on this cheeklistudy. . DESCR VnON Building Envelope Measures ' §2.5352(a): Minimum ceiling insulation R-19 weighted average. §2.5352(br Loose fill insulation manufacturer's labeled R -Value. §2.5352(c): Minimum wall insulation in framed walls R-11 weighted average (does not apply to exterior mass walls). 6 2-5352(ky Slab edge insulation : water absorption rate no greater than 03%. water vapor transmission rate no greater than 2.0 pens/inch. §2-531 l: Insulation specified or installed meets California Energy Commission (CEQ quality standards. Indicate type and form. §2-5352((): Vapor barriers mandatory in Climate Zones 14 and 16 only. §2-5317: Infiltration/Exfiltration Controls a. Doors and windows between conditioned and unconditioned spaces designed to limit au leakage - b. Doors and --rindows certified. c. Doors and windows weathersaipped: all joints and penetrations caulked and sealed §2-5352(e): Special infiltration barrier installed to comply with 02-5351 meets CEC quality standards §2.5352(d): Installation of Fireplaces 1. Masonry and factory -built fireplaces have: a Tight fitting, closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and control 2. No continuous burning gas pilots allowed. HVAC and Plumbing System Measures §2-5352(8) and 2-5303: Space conditioning equipment sizing: attach alculations- §2-5352(h) and 2-5315: Setback thermostat on all applicable heating systems. ' §2.5316(a): Ducts constructed, installed and insulated per Chapter 10, 1976 UMC. §2-5316(b): Exhaust systems have damper controls. 62-5314(c): Gas-fucd space heating equipment has intermittent ignition devices. §2-5314: HVAC equipment, water heaters, showerheads and faucets certified by the CEC. §2.5352(i): Water heater insulation blanket (R-12 or greater) oriombined interior/exterior insulation (R.16 or greater): fust 5 feu of pipes closest to tank insulated (R-3 or greater). 62.5312(Exception 1): 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 lumcns/wati or greater for general lighting in kitchens and bathrooms. §2-5314(c): Gas fired appliances equipped with intermittent ignition devices. 12-5314(a): Refrigerators, refrigerator-frceurs, freezers and fluorescent lamp ballot certified by the CEC. Indicate make and model number. DESIGNER I ENFORCEMENT I t COMPLIANCE STATEMENT This certificate of compliance lists tin building features and performance specifications needed to comply with Title 24. Chapter 2-53 and Title 20. Chapwr2. Subchapter 4. Article 1 of the California Administrative code. This j certificate has been signed by the individual with overall design responsibility and the building owner. who shall retain a copy of it and transmit the certificate to any subsequent purdtaser of the building. . 1 Designer Building Owner Name: Name t ruleJFrm TitkJFuTru jAddress: Address: Telephone: Telephone: tic. R: I �(--ignature) (date)' -' — ' (signature) (date) Documentation Author Enforcement Agency .(i Name: - Name- ��.. Titk/Ftrm: Agency: .i } Address: Tekplwne: 1. Ceiling Insulation -4 -3 .1 0.80 Number of stories i R -value One Two Three R-0 -103 -49 32 R-19 -8 -4 -2 8-30 -2 -1 -1 R-38 . 0 0 0 U -value -39 -24 -10 _ 0.50 -176 -84 -54 0.30 -102 -49 32 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 -10 -2 5 13 2. Wall Insulation -52 -17 -9 Single- Single - 13 26 Family Family Multi - R -value Detached Attached Family R-0 -68 -51 -34 R-11 0 0 0 R-13 12' 2 1 R-19 8 6 4 U�value -4 ' 8 - 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 17 -23 -1 3 3. Raised Floor Insulation 12 17 Insulation in.Floor 0 4 9 Number of stories 17 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 12 -9 6 - 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 -30 na 3.41 Number of stories -24 R -value One Two Three R-0 -11 -7 -5 R-5 -4 -4 3 R-11 -2 -2 -2 R-19 -1 -2 .2 4. Slab Edge Insulation 0.80 7.33 25 22 19 16 13 Number of Stories 0.90 8.25 R -value One Two Three R-0 0 0 0 R-5 8 5 2 R-7 8 6 3 F2 factor 0.90 -4 -3 .1 0.80 -1 .1 0 0.70 2 2 1 0.60 6 4 2 0.50 9 6 3 0.40 12 8 4 5. Infiltration (Air Leakagy) Specification Points Standard 0 I `. 6. Glass Heat Loss , -14 ' -69 Total na %Glass North East U -value :West Percent 18 5 .51 to .41 to .31 to 0.30 or Glass Single Double .60 .50 .40 less 50 -121 -53 -39 -24 -10 4 40 -90 37 -26 -14 3 8 35 -75 -29 -19 -9 1 10 30 -61 -21 -13 -4 4 12 29 -58 -20 -12 3 5 12 28 -55 -18 -10 -2 5 13 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 -34 -7 -2 4 10 15 20 31 -6 0 5 10 16 19 -29 -4 1 6 11 16 18 • -26 3 2 7 12 16 17 -23 -1 3 8 12 17 16 -20 0 4 9 13 17 15 -17 1 6 10 14 17 14 -14 3 7 10 14 18 13 -12 4 8 11 15 18 12 -9 6 9 12 15 19 11 -6 7 10 13 16 19 10 3 9 11 14 17 19 9 -1 10 13 15 17 20 8 2 12 14 16, 18 20 7..Shading (Shade Open) EtTcetlre Percent Giza (Percent glass x SC) :ifective -14 -48 -69 -64 na %Glass North East South :West Skylight 18 5 1 4 1 na 16 4 2 5 1 na 14 4 2 5 1 na_ 12 3 3 5 2 na -' 11 3 3 5 2 na 10 2 3 5 2 1 9 2 3 5 2 2 8 2 3 5 2 2 7 1 3 4 2 2 6 1 3 4 2 3 5 1- 2 4 2 3 4 0 2 3 1 3 3 0 1 2 1 3 2 0 0 1 0 3 1 -1 -1 -1 -1 2 0 -1 -2 -4 -2 0 1a = not allowed IB. Shading (Shade Closed) Erfwdve Pei c It Glass (lit Qlan X SC) %Gies NorM) East South West Skylight 18 -14 -48 -69 -64 na 16 -12 -42 -59 -55 na 14 -10 -35 -50 -46 na 12 -8 -29 -40 -37 na 11 -7 -26 -36 -33 na 10 -6 -23 31 -29 -74 9 -5 -20 -27 -25 -65 8 -5 -17 -23 -21.. -56 7 -4 -14 -19 -18 -47 6 3 -11 -15 -14 -38 5 -2 -9 -11 -10 -30 4 -1 -6 -8 -7 -23 3 0 -4 -5 -4 -16 2 1 -1 -2 -1 -9 1 1 1 1 1 -4 0 2 3 4 3 0 na •rot allowed 9. Interior Thermal Mass System SC Interior Slab Floor Raised Floor Mass Stories Stories One /CFA One Two Three One Two Three 0.0 -8 -5 -4 .2 -1 .1 0.1 -8 -5 3 -1 0 0 0.3 -7 -4 -2 0 1 1 0.5 -6 3 -1 1 1 2 0.7 -5 -2 -1 1 2 2 0.9 -5 -1 0 2 3 • 3 1.1 -4 -1 1 3 4 4 1.3 -3 0 2 3 4 5 1.5 -3 1 2 4 5 5 2.0 -1 2 4 5 6 7 25 0 3 5 7 7 8 3.0 1 4 6 8 8 9 3.5 2 5 7 9 9 10 4.0 3 6 8 9 10 10 4.5 3 7 8 10 11 11 5.0 4 7 9 11 12 12 5.5 5 8 9 11 12 12 6.0 5 8 10 12 13 13 6.5 6 9 10 12 13 13 7.0 6 9 it 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 6.0 Exterior Single- Single - 3 -4 Wall Family Family Mutt .. -2 Mass Detached Attached Family 0.00 0 0 0 8.0 0.20 3 2 1 3 0.40 5 4 3 7 0.60 8 6 4 19 16 13 0.80 10 8 5 26 1.00 13 10 7 120 1.20 13 12 8 9 1.40 12 13 9 15 1.60 10 13 it.. -19 1.80 10 12 12 4 9 200 10 11 13 is 11. Heating System 26 POU -10 SE or HSPF -5 -4 (assumes ducts In attic) 4.1 Multi -Family (individual _ Sum of 1-6 4.9 5.1 S.3 -25 or -24 to -14 to -4 to +6 to 16 or SE HSPF less -15 -5 . +5 +15 more 0.72 6.60 0 0 0 0 0 0 0.75 6.88 3 3 3 2 2 1 0.80 7.33 8 7. 6 5 4 3 0.85 7.79 13 11 10 8 7 5 0.90 8.25 17 15 13 11 9 7 0.95 8.71 20 18 15 13 11 8 or Etrective SE or HSPF 14 (SE or HSPF x duct efriciency) 5 Effective -25 or -24 to -14lo :4 to +6 b 16 or SE HSPF less -15 -5 +5 +15 more 0.30 275 -73 -64 -56 -47 -38 -30 na 3.41 -45 -39 -34 -29 -24 -18 0.40 3.67 -34 -30 -26 -22 -18 -14 0.50 4.58 -10 -9 -8 -7 -5 -4 0.56 5.13 0 0 0 0 0 0 0.60 5.50 5 5 4 3 3 2 0.70 6.42 17 15 13 11 9 7 0.80 7.33 25 22 19 16 13 10 0.90 8.25 32 28 24 20 17 13 1.00 9.17 37 32 26 24 19 15 Zonal Control Adjustment WSB System Type -13 -8 -6 Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 12. Cooling System SC Eff. % Glass X SEER One -5 -4 (assume; duets In attic) -3 -2 -2 Sim of 7-10 3 3 :. 2 -25 or -24 to •14 b -4 b +6 to 16 or SEER less -15 t -6 +5 +15 more 8.0 -14 i -12 i -10 _8' TYPE 1 MASS 4 . 8.5 -9 -7 -6 -5. 4 -3 e i ;139 :12G1 slab) -- 1700 2200 9.0 -4 -3 3 2 -2 -1 1 9.5 0 0 0 0 0 0' 10.0 4 3 3 2 2 1 10.5 7 6 5 4 3 2' 11.0 10 9 7 6 4 3 120 15 13 11 9 7 5 13.0 _ 20_ 17 .1 14 12 _ 9 6 I 3 1.5 Ettedtve SEER 5 3 3 (SEER xduct eMclency) 2 2.9 POU Stm of 7-10 5 4 Effective -25 or -24 to -1410 -410 +610 16 or SEER less -15 I -5 +5 +15 more 5.0 -30 -25 -21 -17 -13 .9 6.0 -12 -11 -9 -7 3 -4 6.6 -5 -4 -4 3 .. -2 -2 7.0 0 0 0 0 0 0 8.0 9 8 6 5 4 3 9.0 16 14 12 9 7 5 10.0 22 19 16 13 10 7 11.0 26 23 19 15 12 8 120 30 26 22 18 14 9 13.0 33 29 24 20 15 10 ' Zonal Control Adjustment -19 -14 10 8 7 6 4 9 8 No Cooling System Installed 4 -Stories SC Eff. % Glass X = One -5 -4 -4 -3 -2 -2 Two + 3 3 :. 2 2 2 1 X Ltached 11.7•ut�c•4.7) Ic.et.d -lab) rn Single -Family and Attached TYPE 1 MASS AREA B Unit Size (so i Water (UIMC & 4.2, le: ;139 :12G1 slab) -- 1700 2200 2700 Heater Credit or b to to or Type. Type less ;1699 20% 2199 2699 more SG None 0 0 0. 0 0 or Solar 12 8 6 5 4 HP -HWR 8 5 4 3 3 1.5 WSB 5 3 3 2 2 2.9 POU 8. 5 4 3 3 SE None -37 -24 -18 -15 -12 ' Solar -1 -1 .1 0 0 1.9 HWR -18 -12 -9 -7 -6 3.3 WSB . -25 -16 -12 -10' -8 4.8 POU -18 _-12 -9 -7 -6 IG None IS -3 .2 -2 -2 2.2 Solar 7' 5 4 3 2 3.7 POU 3_ 2 1 1 1 IE None -28 -19 -14 -11 -9 1.1 Solar 8 5 4 3 3 26 POU -10 -6 -5 -4 -3 4.1 Multi -Family (individual units) 4.9 5.1 S.3 5.6 Unit Size (sp 40% Water 0.9 699 700 1200 1700 2200 Heater Credit or b to b or Type Type less 1199 1699 2199 more SG None 0 0 0 0 0 or Solar 14 7 5 4 3 HP HWR 9 5 3 2 2 4 WSB 9 4 3 2 2 5.5 POU 9 5 3 2 2 SE None -45 -23 -15 -11 -9 28 Solar 2 1 1 0 0 4.3 HWR -23 -12 -8 -6 '-5 5.8 WSB -25 -13 -8 -6 -5 1.7 i'_QU _23 .112_8 2.3 2.5 -.-6 -5 IG None -8 -4 -3 -2 ; --2 4.6 Solar 6 3 2 1 1 1 6.1 POU 1 0 0 0 0 IE None 30 -15 -10 -'' -8 76 3.4 Solar 18 9 6 4 4 4.9 POU -8 -4 .3 -2 -2 Interior Mass/CFA . rrra t puss SC Eff. % Glass X = X = X = X = X = 11.7•ut�c•4.7) Ic.et.d -lab) rn TYPE 1 MASS AREA B COND. FLOOR t TYPE I KASS (UIMC & 4.2, le: exposed �- slab) -- TYPE 2 MASS AREA % Exterior Wall Mass 0% 5% 10% 15% 20% 2S% 30% 3S% 40% 45% 50% 55% 60% 06 70% 75% 110% 85y. 90% 95% 100% 105% 1101: 115% 120% 125• 0% 0 0.2 0.4 0.6 0.8 1.1 1.3 1.5 1.7 1.9 11 23 25 2.7 2.9 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5 5.3 10% 0.2 0.4 0.6 0.8 1 1.2 1.4 1.6 1.9 •2.1 23 25 2.7 2.9 3.1 3.3 3.5 3.7 4 4.2 4.4 4.6 4.8 -5 5.2 5.4 20% 0.3 0.6 0.8 1 1.2 1.4 1.6 1.0 2- 2.2 24 27 29 .3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.8 5 5.2 5.4 56 30% 0.5 0.7 0.9 1.1 1.4 1.6 1.8 2 22 24 26 28 3 3.2 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 S.3 5.6 58 40% 0.7 0.9 1.1 1.3 1.5 1.7 1.9 2.2 24 26 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.S 4.7 4.9 5.1 5.3 5.5 5.7 5.9 50% 0.9 1.1 1.3 13 1.7 1.9 21 23 23 27 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 1.8 1.8 2 2.2 24 2.6 28 3 32 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 5.8 6 6.2 60% 1 1.2 1.4 1.7 1.9 21 2.3 2.5 2.7 29 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 22 24 2.6 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.S 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 22 25 27 2.9 3.1 33 3.S 3.7 3.9 4.1 4.3 4.6 4.8 5 5.2 5.4 5.6 58 6 6.2 64 75% 1.3 13 1.7 1.9 21 2.3 2.5 27 3 3.2 3.4 36 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 BOY.1.4 1.6 1.8 2 2.2 2.4 26 2.8 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.0 5.1 5.4 5.6 5.8 6 62 64 66 85Y. 1.4 1.7 1.9 2.1 2.3 2S 2.7 29 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 5 52 54 5.6 5.9 6.1 63 65 67 NY... 1.5 1.7 2 2.2 24 26 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 53 5.5 5.7 5.9 6.2 6.4 66 68 95% 1.6 1.8 2 2.2 2.5 27 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 21 2.3 25 28 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 S.3 53 5.7 5.9 6.1 6.3 6.5 6.7 1 105% 1.8 2 2.2 2.4 2.6 28 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 5.6 5.8 6 6.2 6.4 6.6 6 8 7 110% 1.9 2.1 2.3 2.5 27 29 3.1 3.3 3.6 3.8 4 4.2 4.4 4.6 4.8 5 5.2 5.4 5.7 5.9 6.1 6.3 6.5 6.7 69 7.1 115% 2 2.2 2.4 2.62.8 3 3.2 3.4 3.5 3.8 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 6.2 6.4 '6.6 6.8 7 7.2 120% 2 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.4 4.6 4.8 5 5.2 5.4 5.6 59 6 6.2 6.5 6.7 6.9 7.1 7.3 125% 21 2.3 25 2.8 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.7 7 7.2 7.4 Point System Summary: Climate Zone 11 ' SCORE CARD Measures 1. Ceiling Insulation 2. Wall Insulation 3. Raised Floor Insulation 4. 'Slab Edge Insulation S. Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) a. North b. East c. South d. West e. Skylight 8. Shading (Shade Closed) a. North b. East c. South d. West e. Skylight 9. Interior Thermal Mass 10. Exterior Wall Mass 11. Heating System Zonal Control? ( Y / N ) 12. Cooling System Zonal Control? ( Y / N ) 13. Water Heating or R -value [38] U -value [0.0301 or R-value[III U-value[0.0981 or R -value [19) U -value [0.0371 or R -value [0] F2 factor [0.77] fC__-J__J Type [double] U -value [0.65] % Total Glass [ 16) % Glass . Sc Eff. % Glass X = X = X = X = X = % Glass SC Eff. % Glass X = X = X = X = X = TYPE 1 MASS AREA B COND. FLOOR AREA InteriorlVus/CFA TYPE 2 MASS AREA % Exterior Wall Mass ND. L OR AREA X = SE or HSPF Duct Efficiency [0.78) Effective SE or [0.7216.6] HSPF 10.5615.151 X _ SEER [9.51 Duct Efficiency [0.741 Effective SEER [7.031 Credit [none] Type [SG] Point Scores M Sum 1.6 Sum 7-10 Point Total: ��� Certificate of Compliance: Residential _._._-- _ -------_-•_-- _—_-- _... -.. __ -- Mandatory Measures Checklist: Residential MF -1R Project Tlli/e� �% //7 ev NOTE: mside-ntW building= sub = to the Standards must contain these a%caun mp nikn of the cormplianee S (/l / ff 7�L - bused Itemt marked net an asovuk (') maY De wpaxQed pp mare saints cornD4+�+D0uuurrcne 4stad . J Project Address J Budding Permit r on the Cerufiratc of Complian¢ Wheat this chwkhu is incorporated wu ated inno e perm= doc mis. the (causes aced shag _ S be considered by all panus as binding minimwe cemtponrnt pc:omunce syoaficatioru far the mandatory meatuses 5 /B yfi whncthc the)' arc shorn elsewhere is the documents Cron this chatu ist only. becked B y / Dux . _ Documentadon Author Telephone forceent Agency Use Only DESCRItTIDN EnmDFSW.VU 0MjtCEMENT Building Fjnvelo" Measures BUILDING DATA ` Glass Area % G • 12.5352(x): Minimum ceiling insulation R-19 weighted average ..- ? No'r•th 3 12.5352(b): Loose fill insulation maratfacnucr's labeled R -Value. Cond1t10 Area pR<v 017 Number of Stories" ; . East • §2-S]52(c), Minimum wall irtsuVt>on in fnrtted.alls R-11 weighted average (does not apply to Slab Floor Number of Units$Otlth ta cator mass walls). y §2.5352(k): Slab edge imdation - watts a [ Single Family Detached (SFD) [ j Addition Alone west ` : 3 transmission rate no greater than 2.o pest cinch. n nate rho $,tater than o39t,, tvar=.,por Single Family Attached (SFA) [ ] Existing Building - Skylight 12-5311: Insutaoon specified or installed meets California Energy Commission (CEC) quality [ l Multi-FamilyTotal , y �� standards- Indic:aut type and fom. �'ff� [ ] Existing -Flus -Addition _Z11 __ §2-5352(fk vapor barriers mandatory l tory in Climate Zones 14 and 16 only. 12.5317: lnfiloatimvEardoation Controls B UELDING SHELL INSULATION a. Doors and winwaw: between conditioned and unconditioned spaces drsigned to limit t u leakage. Component _ Insulation Location/Comments b. Doors and window: certified. Type R -Value (attic, to sra e. cal. etc.) a Doors ares window: wUherstrippra an pints and perwz=icns caulked and %eakd §2.5352(e): Special inrdaation barrier installed to comply with 12.5351 meet CEC quality standards. WaU.......... «.. §2.5352(d): Installation of Fireplaces Wall...:.:..«.... �q...�.�. 1. Masonry and factory -built fireplaces have Roof .••••••••• . • Tight ght rating, closeable metal at Sim door b. Outside air intake vitt damps and control Roof ........«... a Flue damper aid contra Floor .... :...:.«. C / '7 - 2. No continuous burning gas pilots albred. { " HVAC 2nd PlumbintSystem Measum Floor ............. 52-5352($) and 2-5303: Space conditioning equipment siting: uraeh calculatons. Slab Edge..... 12-5352(h) and 2-5315: setback thermostat on all applicable heating syyuns, s; GLAZINGj • §2-5316(a): Ducts eonsuucted. installed and insulated per Chapter'10. 1976 UMC- ShadingDevices §2-5316(b): Exhaust systems have damperwnaols. GIazing Area Glass Type Interior Exterjor ! §2-5314(cr Gas-fired space heating equipment has intermittent ignition devices. ( �, Onrhang Framing Type; §2-5314: HVAC equipment, water heaters, showe-heads and fauces certified by the CF -C -'- Orientation S sin double) eller blind, etc. (may etc.) eslnoµ (metal/wood) I §2-5352(i Water hate insulation blanket (R-12 or greater) or combined intrriorlcatrrior No r'L.h ( ) / - . -Ehj insulation (R-16 or great=): first 5 feet of pipes closest to tank insulated (R-3 a greater) ° _ §2-53 I2(Enception f) Pipe insulatiao wt scram and :tram condensate return & reeirwtating (``Nor 1.:. 3 1 /�_• East §SstOnJoff ming Pool HeaingEast 1. System has heater. b. Weatherproof instruction t plate on inter. - SOULIZ e Plumbed to allow for solar. 2. 75 percent thermal cfrncicncy. West ( ) 3. Pool cover- - -�� a. Time clock n West S.Directional wat=inla. Skylight......; T Lithtint and Appliance Measures rr THERMAL MASS - - - - ' 12-5352(): Lighting - 25 lumenstwau or $muga for generaw lighting in kitchens and bathrooms §2.5314(c): Gas fired appliances equipped with intermittent ignition devices. Type/Covering Area — Th1C)CIleSs •-- - .-- ;2.531a(a): Refrigerators. actor-( . (slab/exposed.(SO 8 g metras steers and fluorescent lamp ballasueestified file ere.) (inches) l.00ation/Description (kitchen. bath. etc.) by the CEC- lndicatt make and model number. COMPLIANCE STATEMENT M= eezrificwc of cotnpliarlce lists the burl ' feature and --- - - � Title 24. Qlap�(cr 2-53 and Title 2A. Cha � �°m� �fications needed to comply with � fi ri pter 2. Slbcimptcr 4. Article I of the Califomia Administrative code- ', s _hasbeen HVAC SYSTEMS Minimum Du lxd by the individual with overma design ttsports Nhry and the building owner, who shall Type (��. air Efficiency Location Duct Output Manufacturer Model # retain a copy of it and transmit the certificate to ally subsequent purchaser of the building. / conditions, beat urns) (SE, SEER.HSPb7 (attic, etc.) R -Value tuh) (oritpproved equal) Ptsigner Building Owner Name: Nurw-- - Addrzss: � -- Maximum Furnace Heating Output: Tekphone Tcrte B(uh LSc. r: HOT WATER SYSTEMS Tankt1d J/ lof Mantifacturer/Model # System Type (storage Ras, etc.) Capacity (or approved equal) Special Feature(s) (sitnaaim) A&L 1/21 (date) (signanat) (data ) Documentatlon Author . Enforcement Agency' SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) Nuns: Name: s. Tt1eJFtrhn Atm 5. Infiltration (Air Leakage) Number of stories R -value One Two Three R-0 -120 -59 -40 R-19 -10 -5 3 R30 -2 -1 .1 R-38 0 0 p U -value atterior Slab Floor Raised Floor Mass Stories 0.50 -200 -99 •66 - 0.30 -118 -59 39 0.10 32 -16 -11 Stories Two 0.08 -23 _11 -8 (assumes O.C6 -14 -7 5 6. Glass Heat Loss 0.04 -5 •2 -2 0.0 -10 •6 -42 0.1 9 5 3 _1 1 0.02 5 2 Sum of 7-10 25 or -24 to -14 to -4 t0 SEER +6 to - 0.00 14 7 4 U -value 2. Wall Insulation 1 2 1 8.0 -Single- Single - •15 -5 +5 +15 Family Family Multi - .51 to R -value Detached Attached Family 2 3 R-0 -102 -77 -51 3 -2 -1 -1 R-11 -11 -8 Glass Single Double .60 R-13 -8 -6 -4 0.9 -5 -1 0 2 R-19 0 0 0 0 U -value 0 0 0 t : 0.80 -212 -160 -107 -20 0.50 -132 -100 37 4 0.30 -74 -56 37 0 _..0.10 --11 ..- . 7. -8 40 -141 -59 35 117 46 -42 31 0.08 -5 -3 a 12 4 1.5 -3 1 3 5 _-- 0.06 2 _.1 1 3 6 0.04 9 6 - 4 0 0 0.02 15 11 8 3 0.00 22 16 11 8 3. Raised Floor Insulation 6 5 3 2 Insulation in Floor -88 31 - 28 -84 -29 -19 17 -7 6 Number of stories 16 R -value One Two Three 11.0 120 R-0 -24 -12 -8 • ] R-11 -5 .2 -1 -4 R-19 0 0 0 t R30 •4 2 1 13 U -value - 0 p 26 -75 -24 25 -70 -22 0.60 -218 -103 37 •� . ;, 0.50 0.40 -180 -85 -142 -55 _, . ; •: . ;• 0.30 -67 -103 -49 -44 32 25 0.20 -64 31 -20 10 0.10 -24 -12 -8 ut. 0.08 -17 -8 -5 22 -56 -14 0.06 -9 -4 3 20 21 0.04 -1 -1 0 0.02 6 3 2 i 0.00 14 7 5 13 Controlled Ventilation Crawispace 15 7'0 8 12 13 16 16 17 Number of stories Effective SEER -25 or less R -value One Two Three 16 or R-0 -15 -10 -7 15 16 R-5 R-11 -4 -5 •1 3 -4 -2 17 R-19 0 -2 •2 -5 +5 4- Slab Edge Insulation - 3 R -value Number of Stories One 24 8.0 8 12 14 16 8.5 9 13 14 17 17 Two Three -16 -5 R-0 R-5 -13 -8 -1 -4 0 R-7 -1 0 0 0 0 18 F2 factor 1.3 18 18 0.90 0.80 -19 -13 -14 3 -3 _2 0 0.70-6 -9 -4 -5 3 6 8 0.60 3 1 4 42 0.50 0 0 0 3 0.40 5 3 2 5. Infiltration (Air Leakage) Interior 12. Cooling ;/,,,tern Specification Points - Thermal MassSP Interior Mass/CFA ' Standard 0 atterior Slab Floor Raised Floor Mass Stories SEER /CFA One Two Three One Stories Two Three (assumes ducts in attic) 6. Glass Heat Loss 11. 7�tK•.. 11 0.0 -10 •6 -42 0.1 9 5 3 _1 1 1 1 -1 0 Sum of 7-10 25 or -24 to -14 to -4 t0 SEER +6 to 16 or Total U -value 0.3 •8 -5 -2 0.5 -7 3 -1 1 1 2 1 8.0 less -6 •15 -5 +5 +15 more Percent .51 to .41 to .31 to 0.30 0 0.7 -6 -2 -1 2 2 2 3 8.5 -2 -5 -2 3 -2 -1 -1 -1 0 0 0 Glass Single Double .60 .50 .40 less 0.9 -5 -1 0 2 3 4 8.9 0 0 0 0 0 50 -190 -85 -63 -41 -20 1 1.1 -5 -1 10 3 1,3 -4 0 2 4 4 9.0 9.5 1 0 0 0 0 0 40 -141 -59 35 117 46 -42 31 -25 •17 -8 2 a 12 4 1.5 -3 1 3 5 5 6 5 6 10.0 3 6 3 4 2 1 3 2 1 1 0 0 1 30 -93 34 '29 .P1 -9 3 15 20 1 3 4 6 25 0 4 7 8 10.5 8 6 5 3 2 0 -88 31 - 28 -84 -29 -19 17 -7 6 5 6 16 6 8 i 3.0 1 5 7 9 9 10 9 10 11.0 120 10 13 8 10 6 4 8 5 2 3 0 27 -79 -26 -15 -4 7 17 17 3.5 2 6 8 10 4.0 3 7 11 12 13.0 16 13 9 6 3 0 p 26 -75 -24 25 -70 -22 -13 •11 3 .1 8 9 18 t9 9 11 4.5 4 8 10 12 5.0 12 13 13 14 1.6 1.t 1.9 2 Effective SEER 23 25 24 -65 -19 23 31 17 9 -7 1 2 10 19 5 9 11 13 5.5 6 10 12 14 14 15 14 15 4.4 (SEER x duct efficiency) 4.6 22 -56 -14 -5 4 11 12 20 21 6.0 7 11 12 15 6.5 7 11 13 16 16 1.6 Sum of7-10 2 22 21 52 12 20 -47 -9 3 -1 5 7 13 22 15 7'0 8 12 13 16 16 17 16 17 Effective SEER -25 or less -24 to -14 to -4 to +6 to 16 or 19 -43 -7 1 8 15 16 22 23 7.5 8 12 14 16 17 17 1.5 1.7 -15 -5 +5 +15 more 18 39 5 3 10 17 24 8.0 8 12 14 16 8.5 9 13 14 17 17 18 5.0 6.0 -16 -5 -13 4 -10 3 3 0 17 34 -2 ! 4 11 18 24 1.3 18 18 6.6 0 0 -3 _2 0 _1 0 16 -30 0 15 •25 2 6 8 13 14 19 20 25 26 4 42 4.3 4.5 7 .0 3 2 2 1 1 0 1 0 0 l 14 -21 5 13 -17 7 10 12 16 17 21 22 26 27 10- Exterior Wall Thermal Mass 1.1 8.0 0 9 17 7 14 5 4 0 7 2 3 0 12 -12 9 11 -8 12 14 16 19 20 23 24 28 I Exterior Single- Single- 4.4 4.6 10 11.0 20 16 12 8 4 0 0 10 -4 14 9 0 16 18 21 25 28 29 I Wall Family Family Mass Detached Attached MUI6 Family 120 13.0 23 25 18 20 14 9 15 10 5 5 0 32 13 19 23- 26 30 4.3 4.3 4.7 4.9 5.1 53 S6 56 0 8 4 18 21 24 27 30 0.00 0 0 0 22 24 Zonal Control Adjustment 26 3 12 14 36 - 0.20 22 0.40 5 4 1 2 4.4 4.t 10 _. 8 _.- . 6 _ 4_ 2 0 5.9 6.1 63 NX 1.2 0.60 7 6 4 1.6 1 No Cooling _ _ System Installed _ 7. Shading (Shade Open) 13 15 1.0800 13 0 5 4.1 Stories, 4.S 4.7 4.9 S.1 i SS S.7 5.9 6.1 64 1.20 16 12 8 1.5 One 0 0 0 0 0 0 a, Effective Percent Glass 12 14 1.40 19Two+ 11 4 42 5 - 4 3 2 _ 1 - 0 (percent glass x SC) 5.6 S S6 1.60 22 16 19 64 13. Water Heating 1.4 1.6 1.1 Effective 22 24 26 21 1.80 22 19 - 200 22 21 12 14 Single -Family Detached and Attached A i .Glass North East South West Skyright 4.4 5.1 13 SS _.-. Unit size (so .. 18 10 6 16 9 124 95%110% a5% 1.1 1.7 /.9 2.1 23 Wat ' er Heater Credit 1199 or 1200 1700 to to 2200 2700 6 14 7 6 11 10 4 4 na na 4.5 11. Heating System 4.0 5.1 TYPO TYPO less 1699 2199 to 2699 or more 12 6 6 11 5 9 4 na 2 22 24 26 SG None 0 0 0 0 0 5 10 4 8 4 na 4.t 4.9 SE or HSPF 52 SI I or HP Solar 12 8 6 5 67 100% 7 4 5 22 (assumes ducts in attic) 27 26 29 3 11 WS8 17 2 9 7 3 8 3 4 7 2 3 5 4.t 5 I Sum of 1-6 SS 3.6 it 5.1 5.9 POU 9 6 4 3 6 3. 2 3 5 5 4 3 3 5 6 -25 or -24 to -14 to -4 to SE HSPF less -15 5 +6 to 16 or SE None 39 26 -19 15 -13 1 2 4 3 2 6 SS + 5 15 + more 6 41 6 2 43 Solar -2 -1 -1 -1 •1 1 1 3 2 1 6 21 29 0.72 6.60 0 0 0 0 0 0 3.3 HWR -18 -12 -9 -7 -6 0 0 0 0 5 5.6 0.75. 6.88 4' 4 3 3 3 2 Q.2 WS8 2 2 1 1 1 2 _1 -2 1 3 -2 4 3 0.80 7.33 11 10 9 8 7 6 3.6 3.6 38 3.6 POU -18 -12 -9 •7 -6 -1 -4 0 -6. 3 3 5.9 0.85 • 7.79 16 15 13 12 10 9 6.4 65 66 6.7 6 t 69 7 7.1 120% 2 23 -2 -6 -11 -6 p 13 0.90 8.25 21 19 17 15 13 11 19 IG None -2 .1 -1 _1 _1 na - not allowed SS S.7 S.9 6.2 0.95 8.71 26 24 21 19 16 14 6.6 Solar 10 7 5 4 3 2.5 2t 3 32 u Efrective SE or HSPF 11 4 POU 7 5 3 3 2 13 14 ss S.6 S d 6 (SE or HSPF x duct efriciency) 6.5 6.7 6.9 7.1 7.3 Effective -25 +6 t 24 t .14o 4 IE None Solar -28 10 -19 -14 7 5 -11 _9 S. Shading (Shade Closed) 5.7 SE HSPF less to 6.1 c e 65 POU -7 -5 4 3 0.30 275 -94 -85 -76 -68 -59 -50 _ •3 3 Muld-Family (individual units) -2 Effective Percent Glass na 3.41 -57 -52 -46 41 -36 31 (percent glass x SC) 0.40 3.67 -43 -39 -35 31 -27 -23 Unit Size (sQ Effective 0.50 4.58 -13 -12 -11 -10 0.56 5.13 0 0 0 -8Water U Heater Credit 699 700 1200 to 1700 2200 9. Glass North East South West Skylight 0 0 5.50 7 6 6 5 p 4 4 TYPO TYPO or less to 1199 1699 to 2199 or more 18 9 32 16 46 45 na 0-70 6-42 21 19 17 15 0.80 7.33 32 29 26 23 i 13 20 11 Sor Slar g 0 0 -8 -27 14 3 -23 39 32 38 31 rta na 0.90 8.25 40 37 33 29 1.00 9.17 47 43 25 17 22 HWR 14 10 7 5 3 3 3 3 2 12 -5 -18 11 -25 -24 na 38 34 30 25 WS8 29 14 10 7 6 -5 -16 10 -4 -14 -22 -19 -21 -18 naPOU .63 Zonal Control Adjustment 10 5 3 3 2 9 4 -13 8 3 -10 -16 -14 -15 -13 -54Syste m Type SE None Solar -46 2 -23 -15 1 -12 -9 7 3 -8 6 -11 -11 -46 .38 Resistance 10 9 7 6 5 3 HWR -23 1 -11 -8 0 -6 0 _5 _2 3 5 -8 -8 30 Other 6 5 4 4 3 2 WS8 22 11 7 5 4 -1 -4 4 .1 -5 -6 .23 POU -23 -11 -8 3 -5 .2 3 0 -1 2 3 -1 3 -1 -17 -11 n None -2 •1 -1 0 0 0 1 1 2 -7 Solar 11 6 4 3 2 1 1 2 0 1 4 3 4 .3 POU 8 4 3 2 2 4 6 0 na = not allowed IE None -28 -14 -9 _7 -6 Solar 22 11 7 6 4 POU -4 -2 -t .1 .1 Point System Summary: Climate Zone 16 • SCORE CARD Measures Point Scores 1. Ceiling Insulation R-val a (381 U -value (0.030] - 2. Wall Insulation R -v ue (19] U -value [0.066) 3. Raised Floor Insulation ( -or _ "- R -value (I ] U -value [0.037] 4. Slab Edge Insulation or - - --- --- _ R -value [71 F2 factor [0.511- S.:InriItration - Standard 0 - 6.. Glass Heat Loss - _. �.._ _ :......__ --_. __ -_ ; ::`:_ � _ _ _-.._.._.,........ ---- • - Type (double] ---`O % Toui Glare 16 Sum 13 U -value (0.65] 7. Shading (Shade Open) .-- %GlassSC . Eff. % GIass - a- North 1/!3 x _ _ O b. SEast - -- - x _ �x k� Q � d. West 5' • x � Of � _ e. Skylight �x � 8. Shading (Shade Closed) % Glass SC Eff. % Glass . a. North _�L_ X � b. East _ (0_ c. South d. West _S .� x _ _a - e. Skylighty • � x 9. Interior Thermal Mass TYPE 1 MASS AREA InteriorNisarCFp COND. eLOOS AREA s _ 10. Exterior Wall Mass TYPE 2 MASS AREA _. ND. rL R AREA Exterior Wall Mass Sum 7-10 11. Heating System _ x _ s y 7 Zonal Control? ( Y / N) SE a HSPF Due Effitaen y [0.78] Flteaive SE or (0.72/6.61 HSPF (0.56!5.15] 12. Cooling System x__� fY Zonal Control? ( Y / N) SEER [ .9] Duct Efficiency (0.74] Effective SEER [6.591 13. Water Heating Type (SG] Credit (Hanel Interior Mass/CFA 11. 7�tK•.. 11 1 i1•�1 a TTP9 1 /UISS MAC a 4.2• t.t *Xpo.M .t -_b) 0% 5% 10% 1S% 20% 2S% 30% 3S% 40% 4S% 50% 5S% 60% 6St -1.9 70% 75% t10% its% 00% OSx 100% los% 110% 11Sx 120% 125' O% 10% 0 01 0.2 0.4 0.4 011 06 0.8 0.1 1 1.1 1.2 12 1.4 1.S 1.7 21 23 25 27 21 32 14 3.6 3.1 4 42 44 4.6 20% 0.3 0.6 0.1 1 12 1.4 IA 1.6 1.t 1.9 2 21 22 23 25 27 2.9 11 33 15 17 4 4.2 4.4 46 4.6 4.1 S S 52 53 30% 0.5 tl7 09 1.1 1.4 1.6 1.6 2 22 24 2'Y 25 27 26 29 3.1 13 15 17 3.9 4.1 4.3 4.3 4.6 S S2 5.4 S 4 40% 0.7 Q9 /.1 1-3 1.5 1.7 1.9 22 24 26 26 3 3 32 3.2 3.4 15 16 3.7 39 4.1 4-1 4.5 4.7 4.9 5.1 5.3 S 6 56 5 4 W* 0.9 1.1 1.3 13 1.7 1.9 21 23 25 27 3 32 14 3.5 11 11 4 4 42 4.3 4.5 4.7 4.9 3.1 S 3 SS 5.7 59 55% 1.1 1.4 1.6 1.1 2 22 2! 4.4 4.6 11 11 S.3 S. 5.7. 5.9 6.1 60% 1 1 12 1.4 1.7 1.9 21 23 2S 26 27 26 29 3 11 32 13 35 35 3.7 11 4.1 4.3 4.3 4.7 4.9 5.1 53 S6 56 6 62 65% 1.1 1.3 1.5 1.7 1.9 22 24 26 26 3 12 14 36 3.t 3.t 4 4 4.2 4.4 4.t 4.1 • S S2 5.4 S.6 5.9 6.1 63 NX 1.2 1.4 1.6 1.6 2 22 25 27 2.9 11 13 15 11 3.9 4.1 4.3 4.3 4.S 4.7 4.9 S.1 53 SS S.7 5.9 6.1 64 75% 1.3 1.5 1.7 U 21 23 25 27 3 12 14 16 11 4 42 4-4 4.6 4.6 4.1 S 52 5.4 5.6 S S6 .6 62 64 1.4 1.6 1.1 2 22 24 26 21 4.4 5.1 13 SS 5.7 6,1 6 3 63 95%110% a5% 1.1 1.7 /.9 2.1 23 25 2.7 29 3 11 13 33 3.5 3.S 17 1t 10 4 4.1 42 4.3 4.5 4.7 4.0 5.1 54 S.6 S6 6 62 61 66 90% 957: 1.3 1.6 1.7 t.t 2 22 24 26 26 3 32 3.4 3.5 16 4.1 4.3 4.4 4.S 4.6 4.7 4.t 4.9 S S1 52 SI S6 59 6.1 63 6S 67 100% 1.7 19 2 21 22 2S 25 27 26 29 3 11 3 3 15 17 19 4.1 4.3 4.6 4.t S 5.2 SI 5.4 SS 3.6 it 5.1 5.9 62 64 65 i6 32 3A 3.6 1t 4 42 4.4 4.5 4A 11 5.3 SS 5.7 S.9 6 41 6 2 43 6.4 6.7 6 9 10S% 110% 1.1 1.9 2 21 22 23 2.4 25 25 27 21 29 3 11 13 3.3 17 3.9 4.1 4.3 43 4.7 4.9 St 5.4 5.6 S.6 6 Q.2 6S 6.7 7 115% 2 22 24 26 26 3 32 13 14 3.6 3.6 38 3.6 4 4.1 4.2 4.3 4.4 4.6 4.3 S 5.2 5.4 S.7 5.9 6.1 6.3 6.4 65 66 6.7 6 t 69 7 7.1 120% 2 23 25 27 29 3.1 13 15 3.1 19 4.1 4.4 4.5 4.6 4,7 4.6 4.9 S 5.1 S.2 S.3 SS S.7 S.9 6.2 5.4 6.6 6.6 7 7.2 125% 21 2.3 2.5 2t 3 32 u 3.6 11 4 42 4A 4.6 49 11 13 14 ss S.6 S d 6 6 2 6.5 6.7 6.9 7.1 7.3 5.7 s.9 6.1 6.3 65 6.7 7 72 7.4 Point System Summary: Climate Zone 16 • SCORE CARD Measures Point Scores 1. Ceiling Insulation R-val a (381 U -value (0.030] - 2. Wall Insulation R -v ue (19] U -value [0.066) 3. Raised Floor Insulation ( -or _ "- R -value (I ] U -value [0.037] 4. Slab Edge Insulation or - - --- --- _ R -value [71 F2 factor [0.511- S.:InriItration - Standard 0 - 6.. Glass Heat Loss - _. �.._ _ :......__ --_. __ -_ ; ::`:_ � _ _ _-.._.._.,........ ---- • - Type (double] ---`O % Toui Glare 16 Sum 13 U -value (0.65] 7. Shading (Shade Open) .-- %GlassSC . Eff. % GIass - a- North 1/!3 x _ _ O b. SEast - -- - x _ �x k� Q � d. West 5' • x � Of � _ e. Skylight �x � 8. Shading (Shade Closed) % Glass SC Eff. % Glass . a. North _�L_ X � b. East _ (0_ c. South d. West _S .� x _ _a - e. Skylighty • � x 9. Interior Thermal Mass TYPE 1 MASS AREA InteriorNisarCFp COND. eLOOS AREA s _ 10. Exterior Wall Mass TYPE 2 MASS AREA _. ND. rL R AREA Exterior Wall Mass Sum 7-10 11. Heating System _ x _ s y 7 Zonal Control? ( Y / N) SE a HSPF Due Effitaen y [0.78] Flteaive SE or (0.72/6.61 HSPF (0.56!5.15] 12. Cooling System x__� fY Zonal Control? ( Y / N) SEER [ .9] Duct Efficiency (0.74] Effective SEER [6.591 13. Water Heating Type (SG] Credit (Hanel / p �p S�z % x36 Al f „ �i 0,1 IARr= rc ti i3 SSO,gp(3' LINER J U;X �' S�{ F4d u J ` i "ems � e�rt �1 ��y-`� ..r�+F �' - ``•,•_ / t �i �\ �'�� �� � POOL CAPACITY ® ��'` y�� �'J� 1(i ��"y" �* �,, tN� PUMP �► i LOf _sN e Y IP� �-r- . � '� ,/� Ga� ' �:�' MOTOR H.P. a - _. \ `+ {` � FILTER VACUUM LINE & S a3 / RETURN LINE 1 i/ •may MAIN DRAIN �.„ SKIMMER MODEL Imo- SPLA 4AOE � � `� BACKWASH LINE V) Q ' OF IA" FII ANTI SIPHON VAI C I J�SCnLE —cli Y._ 11 HEATER °F GASLINE BY: f14 ;`• LIGHT ! CLOCK -..-.�.-.'�CTRIC BY. nv ELECTRICAL BOP 12�.r� �•,�. � 66 / POOL CLEANER ' C 's CHLORINATOR BOARD - SIZE BOARD SUPPORT LADDER - IMOD' GLIDE # J-9-65 ,._ ,... GRADING tiTU6 PLUMB L:+ECK BY: c SCA L �1 J