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028-230-066
DONALD ROMINGER 28-23-36 11N/S Los Verjeles, app 1k mi E LeRrte i Rd, BangorJpr �: • M.MaZalfiTsVe. Contr: YE 01deBa.rn B.ld, Permit448-83B(new garage & s.torage). 28-23-36 Contr: Br olomew Const Permit#2.521-8 E,M(new single family) � 8-23-36 Contr: B olomew Const 0 / Perr gi&f3774-86m(wall furnace)Sf 028-230-036 PERMIT#94-2126 5 ROMINGER, DONALD & ANN i 511 LOS VERJELES RD., BANGOR CONT: MIKE BARTHOLOMEW o ADD FAMILY ROOM/SF / f 1308-0511 028-230-066 t MISCELLANEOUS Re-Roof REROOF 44 SQ.:4 511 LOS VERJELES RD ROMINGER, DONALD 4 b Q RESIDENTIAL 028-230-036' PERMIT#94-2126 ROMINGER, DONALD & ANN 511 LOS VERJELES RD., BANGOR CONT: MIKE BARTHOLOMEW ADD FAMILY ROOM/SF JOB FINALED ( te) I Signature V=OK O = Not OK -=Not Applicable Not Ready '' MOBILE HOMES ' = Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch - 3. Sewer; Location -Test -Fell -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L"ft. / /"Nat. or/ P'L"ft./ /"LPG 7.. Well Clearance & Disconnect 8. Utility Clearance Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'a 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3.. Gas; MH Teat -Demand -Valve -Connector ' 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fell -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 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 -Balls 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 -Mash 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/Initials POOLS (Plans) OK except #'a 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-Enclosu res -Pane I boards- Ins. to Mein in Condult 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test v V=OK O = Not OK - = Not Applicable = Not Ready DateDete/Ini�F Soils-Elec. Grnd.-/ RESIDENTIAL (Single & Duplex) -17 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Fig. Depth 4. Ft orches & Decks; Soils -Steel-/ /Fig. Depth temwalls, 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.; Fell -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. rders-Sills-Anchor Bolts -Joists -Vents -Cripples Access & Ventilation 16, Insulation Date/Initials PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor- rotection 18. D.W.V.; Test -Fitting nchor-Nail Protection 19. Shower Pan t, First Floor -Tub Access 20. Test & Shower, Second Floor -Tub Access 21. s Pipe; Size & Anchors Date/initials ELECTRICAL (Permit) OK except #'a 22 Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 2 Size Boxes & No. of Conductors -Stapled 6,0'25. 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. S ke Detector Date/Initials MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above ' ation 36. Condensate Dr ' Overflow; Size & Grade 37. Furnan ent Access -Comb. Air -Return Air Vent -115 outlet 38. c Access & Platform if Furnance in Attic Date/Initials FR IND Plans OK except #'s 9. , Proper Material & Anchors 0. Wells Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Wails over Girders & Floor Nailing . Draft Stop in Walls (rat proof) --Z. a Stops; Furred Ceilings -Stairs -Chases -Tub 4. Headers & Beam -Size & Bearing Date/Initials FRAMING (Continued) 5. H rs-Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin=roof Brec-Truss-Shthng.-Rfng. Ties or Type A Flue -Fireplace Throat clearance LAttic Access; Size & Romex Protection -Draft Stop -Ins. Baffles ,:7--49rBdr Windows or Exiting Doors -Sill Hgt. & Dimensions _ 51 Garage Fire Protection Framing .al-Eropefty Line Firewall & Openinas (_52,-Ezt. Doors -One 3' -Check Garage -3rd Story, 2 Exits Cs,� ; Width -Headroom -Rise -Run -Landing -Fire Protection 5t.,.plyw8od on Roof Overhang -Attic Vents -Rafter Outriagers JL/55. Siding -Nailing Veneer X56, -taco Mesh -Drip Screed -Fd. Vents-Underfir. Access Area -Glass L-513. Shear, W811s; Nailing -Bolts �, 59. ulation-Walls-Ceilings 0. Infiltration -Walls- Ind s Date/Initials FINAL Plane OK except #'s &1-61 .6tepe-Door & Sidelight Protection -Landings 4r.-Srm2Ke-Detector Be-lu-mace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection AM-8sdcoom-Exiting •65�'G`F. r h Fixtures & Tub Access -Spa LOA, -Ere -c. Irlm & Subpanel; Breaker Sizes & Labels emirs & Rails Stove; Clearances -Hearth 9 . Elec. Outlets at Wood Panel; Int. & Ext. 74--44.F.ixR_&-Appliance; Grnd.-Air Gap -Cooking Clearance 71s-Eleer9att il-I'Receptacles at Kit. Counter or, Swing -Landing -Closer J4--A-Gust in-G"arage-Damper Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Meth. Protection ec . Equip. Listed for Location 6. a atlas in Garage; (G.F.I.)-Romex Protection 7 . nsulation-Foam-Looked in Attic , ❑ Yea 7 . eck Construction -Post Caps 79. .ants & Crawl Hole Door -Drainage &' Wood -Earth Clearance Looked under Floor O.Yes owing instld.; Drive ❑ Yes No; Walks ❑ Yes Flo; Planters ❑ Yes ❑ No i a&-6hwx, _Brown -Finish 82--4.G LW4-,-9iaconnect, Electrical, Plumbing 89. ova oof; Plbg: Appliance -Fireplace: Clearance to Openings 84-VVa 4rj90"-Dlsconnect, Electrical. Plumbina Trim; G.F.I. Reci rounhout House from Previous 8Gr8- eters Tagged; Gas -Electric 00. ewer Connected -C/O to Grade -HD Approval Eneray ComDliance Certificate -Other Certificates Comments at Final: 1` COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Ordville, California 95965 - Telephone (916) 538-7541. PERMIT No. APPLICATION AND PERMIT - a� ASSESSOR PARCEL NUMBER 028-230-036 ZONING BUILDING PERMIT OWNER DONALD & ANN ROMINGER TELEPHONE692481 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS PO BOX 67 BANGOR, 95914 ( 511 LOSVERJELES. 448 R 94J92 -no CONTRACTOR'S NAME MICK BARTHOLOMEW TELEPHONE CONTRACTOR'S MAILING ADDRESS321 FOOTHILL BLVD OROVILLE, 95966 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $163.80 ' ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee s 23.00 Penalty $ BUILDING ADDRESS 511 LOS VERJELES RD PERMIT FEE s 458.80 BANGOR 95914 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SFj Duplex O Mobilehome El Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New O Addition NX Remodel O Utilities O Installation O Other ❑ Describe Work: ATM FAMILY MOM PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOV OR LESS I 200A OR LESS 23.00 Main Service ( 200A TO I000A I 46.00 NEW OCCUP. OR ADDNS.T ( D ELLINa ACCGBLDS. I 3.5C F°: 15.65 CONTRACTORS LICENSE LAW, I declare under penalty of perjury (check one) O 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. /cense No. Classification �1 I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O lam exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI.OUTLET .NON.RESID. ( BRANCH CIRCUITS I @7.50 POW ER APPARATUS ) 8 SINGLE OUTLET CIN. Ex. Occup. ( OUTLET OR FIXTURES I 200 1.00 RAL. .50 Ex. Occu FIXED APPwS. OR p (OUTLETS IRESID.I EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. O 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a ertificate of Consent to Self -insure. I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 35.65 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling EXIST Hood 6.50 Ventilation PERMIT FEE $ Contractor 1 certify that 1 have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against saidHA2. Count consequence the granting of this permit. Date Signature of Applica t w r ❑ Contractor O Agent An OSHA permit s require or excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 40 UU OCC CONST. TYPE TOTAL FEES 540.45 S FLOO CDF ARC PD HD UE This permit is hereby issued under the of the Butte County Code and/or Resolutions indicated above for which fees have been BY PERMIT EXPIRES ON :!:SZO5 Date applicable provisions to do work paid. ,Q' Dae v �1 Receipt No. 454.-.-45 17/4:1�1 3 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT t..t'11'•M of tif-iw'•y,�A'H "tii4... rr....'S�•+�:.t�r�...� '�hr�,4.rh! ♦Y.; .-- Mr -- r- �w •_��,�. 4r....�. ^•ry�t Yrn. 4•�"�- q � rw..^ ' � � ' ti�+ ti✓'!'J'..r..�..-c , COUNTYOF BUTTE - DEPARTME�T_O�,DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CAIIFORNIA95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET _ OWNER VJ4 o. Proposed Building Use Building Inspector _4a Date C� 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 . ........................................ f 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... k' 3. Complete plans, 3/4 sets, signed by preparer of plans. . ' f� 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 406. Energy Design Compliance and supporting documentation . .................. Statement of Intent for Non -Heated and A/C Buildings . ...................... -4(,8. Engineered truss details and layout in duplicate (required prior to plan check). .... Mobilehome t nd manufacturer's installation instructions, 2 sets. ........... 1-111-jKFees of $ D ............................./............ . mpact fees ass own on attached schedule5C_.ftDo QyL; !... -J� 4Iifornia.Department of Forestry plan approva e?'.11'�a7 Flood elevation letter (100 year flood) by Calif i eer. .................. anitation and plot plan approval Oko 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). ..Pre -I . . nspection request 20. Pre -inspection for required. .. to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . ........................... 23. Owner -Builder Verification (Given to owner , Mail to owner ............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... . 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When you issue the permit, proce"ss as follows: Mail to owner. Mail to contractor. Telephone 7and hold for pickup at office. Deliver with inspector. Other Parcel Creation / Acreage ,4 A/ Applicant Z Date 7.�� `9 Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollutio Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, o as advised of above required to by_phone_ mail unter by _Date Plans checked by Date Plans approved by Dat � t Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works x *- 4 EX4 L' Plat Plan Attached Floor Phu AttwW Seat to B.D. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance lxA A. Owner Location A a (&cY;L AP# Plan Approved for: Sewage Disposal Water Supply:c Private Well l� r - Clearance for bed Other fi�� A-�c5�a iT� z C28 final for: clearance 04(lfor: Environmental Health 8/92 62-7 :14.' 9 Date COUNTY OF BUTTE Dgpdrtment of Development Services Building Division Oroville: 7 County Center Dr.,.Oroville CA 95965 Ph: 916-538-7541 Chico: 1469 Humboldt Rd., Chico CA 95928 Ph: 916-891-2751 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. 'I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) ( �. 2.' I (have/have not) -Q., signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractor's License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate,. supervise, and provide the major work: Name Address City Phone Contractor's License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security Date L NOTE: .This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. • ENERGY INSTALLATION CERTIFICATE Building Owner �}�/Lt J.l^'c�G(—��-� Building Permit # Building Location (F -L< -S ROOF - Material Thickness(inches). EXTERIOR WALL Material /, Q (+s S Thickness(inches) CEILING Batt or Blanket Type Thickness(inches) Loose Fill Type Minimum Thickness(Inches) Area covered(ft.2) FLOOR, ELEVATED Material Thickness(inches) FLOOR, SLAB Material Thickness(inches) Width (inches) FOUNDATION WALL Material Thickness(inches) OF OF INSULATION Brand Name a P-JJIA16 Thermal Resistance (R Value) Brand Name e!fe.4 , IA)G 42 Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value)_ Brand Name . Number of Bags Wt. per bag lb. Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) I hereby certify that the above insulation was installed in the above building, 1s consistent with. approved building department--plans-and attachments- and- con- forms with requirements of Chapter 2-53 of State of California Energy Requiremen FIRM NAME/OWNER STATE CONTRACTOR'S LICENSE NO. SIGNATURE OF INSTALLATION APPLICATOR DATE I hereby certify the required features, devices, and equipment, ab shown on the approved Building Department plans and attachments have been installed and conform to the appli- ance standards and Chapter 2-53 of the State of California Energy requirements. BUILDING CONTRACTOR/OWNER (Please Print) (FIRM NAIME) SIGNATURE OF BUILDING CONTRACTOR/OWNER STATE CONTRACTOR'S LICENSE NO. DATE • HVAC FIRM -NAME OWNER (Please Print) STATE CONTRACTOR'S LICENSE NO. �IG�N&RE OF HV C CONT A TO ER DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. SEPTEMBER 1988 -Riova G ERft.s 'top- PKI��,Pols,�Et )ops 9' A r4 �j 11 \_0 S \j I- 9ZE Les Iv r:nVlr6hM@htdi Health JUL 2 6 1994 Oroville. Califomia ed Fire SbeecomPleted-ft-,e atiact, � mus eq,-wementS roved specified aInd aPP 75 TT,MY— lento APPRO suit'. VED —00U.rD1y REVIEWED BY gnat, BUTTE7 GO. FIRE r.--EPT. CALIF. DEMI'. of F-OPIESTRY. E] approved as subrnii�ed pproved !Oil's per aftached she6i;5- ( 7kop7osrzD "Iri V 6 r , Z_-- , Ex i sT i w sTap-y P, 34:,1 �-Lj ,Xit) I I ►, 5w W E.., -Ll t ALL ISTRUCTURESS AND EO'UPMENT . INCLUMNG OVERMANG-43, 314;91181E OF ALL. EASEMENTS. Aw-0y-Ack OF Fr" OM- THE 8!DE AND Mr. FROM THCTURES" i--,, I &R 04S R OF'STRUAND EQUiPMENT EXCEPT Pon A 2 FT- CAVE OVERHANG. LOS .. . ................ ....... 40 Job: ISCOARTri-9. a. SARTMOLENEfr SAMOA) I IS- SPEC TOP CHORD 2x4 FL #1 SOT CHORD 2x4 FL #i WEBS 2x4 FL Standard CONNECTOR PLATES DESIGNED FOn GREEN LUMBER PER NQS -91 TAULE 7.3.3. A RIGID CEILING OR CONTI14UBM LATERAL BRACING AT 72.0' U.C. MUST BE PROPERLY ATTACHED TO THE BOTTOM CHORD. SHT9 ALL SUPPORTS SOLID TO BEARIM3. IT - a �b1- Z Q77`/J .' 7ai.� �LA.ICKF.CKi�1C� THIS-pilGr PRE�RE4 FROM COMPUTER INPUT {LOADS C DIMENSIOW SUBMITTED BY TRUSS HFA. TOP CHORD TO BE BRACED BY PROPERLY AiTACHEO PURLIMS 824.00" OC.a c N A CONNECTOR PLATES MUST BE INSTALLED IN ACCORDANCE WITH THE u RE12UIRE-MENTS OF I.C.B.O. RESEARCH REPORT 02949. 14 10 PSF BOTTOM CHORD LIVE LOAD CHECKED PER UBC CRITERIA. s REFER TO DRAWINGS A103 AMU A104R FOR OVEfiHAIM OETAILS. o c 0 11 10-6-4 _ _1 �s-5-12 �Q 2-0-0 - - ------ i 6 ` M LIVER -2t SUPPER'fS—"� 5-600! W-3'6 E3l, T% COUNTY BUILDING DEPARTMENT 1, 1- -ALPINE MSI&N_CRIiUBC min/4/n/- F i� RaR7.0 v SCALE "0 K*IMP0RTANT**1"I'Er"E'v"m pwu'c':- w` SIAL ]a7 IE AEsve"L5ue 1,10&" WARN INf;K*miss'mn"'tAT#11b"ad lr AIatS:Rl. 01lCTl01 am ,taliic3 TC LL 16.0 PSF AEF R427-,49028 DATE 07 25/94 O O [a p *MAIM rwe This U310 cp ImA S►ECIr1timm-%. m Aft �0 kAKINI. cm int -it 1S Tac. SEE Tars amw TE OL 1 Q Q PSF O [� O O 0 Ea O C7 ; rommo T6 onto " mm W cowaw11! m rm QSIIIL t? VT. A111Et 00311=1 IS Aft MIX 10 MA CELT_ WIM 391RI1/ 41111 ►011 ra141EV1�L 'JACJAl Kikula r bwwm 71( MISE14lCa Ct. DIAW ItIVIRM XtMCATTG y �A � BC OL . 5.0 PSF OAW CA1M4V 94MISON O 4 C3 C= O O ALPIN ASK m D fmall AS mm. aftf Cole lclo" To f/fll FAfe C7 TIKM ifD E'er GISMiSS X10 W Mll090%IL FOWITT61 CF+Isiu!E a. DE LAWAAtLY Wam rTT11 rawit tt A] 3#0410 I-LIOtOO sWArl1w Tt'JItmam* � Yu_ _ ^ ry Wga(S 7V �. ;L Q . O PSF CA-Eftti E.5 II n� (�� 0 o v TRUSS o irerurTAs Il CLUEW"VIh5 aC IM t ]" 9 T ocsrw su�auaS MfaM EEWS MAL W WEE 01AIM ArFUCI To TK VwomMl Acvuti #m. 11210 KQ+9fff h1LMAT AIE MD aTuoc -- SW M Tt i4 43891 aim atL wLx of v}� �1-25� TOT.LO. 31.0 c o a o ra o 0 _ 111 oEar. Aw slAu pm ZE macm owl n off nnw Tut, TIa TAW A me IS 013mm w hC Voss "CIMN C�LLC R. 1oECIFTC&I Wit folk M000 CMSTR1=n0lI � ! Qi CA06 bUR.FAC, t I�u1 •--nE - TPVSS oLAII rrlST1TYEE: It10 - 1011 MILT Ea11L C1a1CM SRdf_`TNR 24 _Q rPSF ll T "-�CDFFIRE=SAFE—REQUIREMENTS 2%- Z 3 - 3� 2-(2L "J - AP# PERMIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provide for by the land owner.' Drivewav Standards [ ] 1273'.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other appirte-iant structures which supple- ment the roadway bed or shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,ODO pounds. 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius [ ] 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet to those from 100-200 feet. [ ] 2. The length of vertil curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. [ l 1273.05 Turnarounds. If required, will have'a minimum turning radius of 40 feet from the center of the road. [ ] 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. [ ] 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of :2--. V i i_S(- z 3 -3l, 9 V-2( 2(� ,4e, �a� 1qA11) AP # PERMIT # N E [ ] 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. [ ] 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet -of the building. 1273.11 Gates [ ] 1. Gate entrances shall be at least two feet wider than the roadway it serves. [ ] 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [ ] 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space. 1. All parcels 1 acre and larger shall provide a mini- mum 30 foot setback for buildings.and accessory buildings from 413 property lines and/or the center of the road. [ ] 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See Other Requirements below. [f(7 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by -site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction ,r fi:-ial inspection of a building permit. Page 2 of 3 J� r 23- 3(�, 9 �(-zr ZC, ,�� , fion/ F, � AP # PERMIT # NAME Other Requirements [ ] If Building Setback is 15 to 30 Feet: - Class A or B roof. - Enclosed eaves [ ] If Building Setback is Less Than 15 Feet Choose any 3 of the following: - Metal or no doors on side toward property line with insuffi- cient setback - Class A or B roof with enclosed eaves - Interior automatic sprinkler system per NFPA 13D - Glass area not to exceed 10k of wall area toward property line with insufficient setback - Siding from the following list: Stucco - 3 coat Hardi-Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials , �� ��0 Date�Signature Page 3 of 3 40- [_\ [�r--7- �- F- \ K."= / | ./ || »u ' RONMu,AGER-Z' \T \ C ^ \ � (3 w zoi 61 ul LE n-::3 (L 2. (el LO ul UJ W D P 1j-- v O 2� F � j^Q I �H L4 J 3 O pt) LL %9 A3 LL LD o � a � H LO W Q 7 v O �L 2� j^Q I L4 J 3 O 4 LL %9 A3 LL LD o a O H LO W o 7 Q W lJ z 0 C9 QLy Q-19 - � pC Lti lf� c� �L m a 40 y N �t1 D Q Z 0 0t 0 �O o ro N �.-Lo 2 8� N 04 -- - Q0 o F" �� !W( .9 y N D i Z 0 0t 0 ro N 2 8� N 04 -- - Q0 o F" �� !W( ^ ` - � ~ ' . � _ w) � ~ Point System Summary: Climate, Zone 11 BUILDING DATA Conditioned Floor Area f2 Number of Stories SlaWRaised Floor Check all applicable Unit Type condition(s): [Single Family Detached (SFD) [ ] Addition Alone [ ] Single Family Attached (SFA) [ ] Existing Building [ ] Multi -Family (MF) [ ] Existing -Plus -Addition P -2R SCORECARD Measures --- Point Scores �1: -Cellingalnsulation- . _ _-d or P. -value 1381 w►aluo 10.0291 2 Wall_Insulaaon, or O _- Rim 1191 u-valuo 10.0.661 3. Raised Floor Insulation l`_jor N a 19 1 w►dua [0.037) 4. Slab Edge Insulation d or d R -value 0 F2 tacbr [0.751 5. Infiltration Any Duds in Unconditioned Space? ( Y /ii [Y] O 6. Fenestration Heat Loss y "sue 0.861 Total % Fenes. [1.61 Sum 1-6 7. Fenestration Heat Gain % Fenestration SCsttade open Eff. % Fenes. Shade Eff. Ratio North —6,91 x East -lam x South I x West x Skylight Z- x Overhangs? M N) • " 8. Interior Thermal Massx%01 or [201 Int MaWCFA 9. Exterior wall Mass N L Ext. wali Mau Sum 7-9 10. Heating System AF�SPF s ry: five AFUE Zonal Control [7996 or 9.81 .2* s : 0.9ek-� or F Adjustment [01 11. Cooling System x �d Ir aw SEER 10.01 0 Effic [t s ER Zonal Adju t 12. water Heating �G Q P� •� System 1 N a C. �pe In1Auxiliarf1 ut ism I�J[21 titin [None, !�t[STDJ System HeaterTy—pe None]arpn yT& Ext Ins. I `CDistribution Point total. �' 1 Foran Revised January tii8'2 Point Goal. Fenestration Area % North IG✓ 1 1b East $_ South_ IG 1 West I ' Skylight Totall i SCORECARD Measures --- Point Scores �1: -Cellingalnsulation- . _ _-d or P. -value 1381 w►aluo 10.0291 2 Wall_Insulaaon, or O _- Rim 1191 u-valuo 10.0.661 3. Raised Floor Insulation l`_jor N a 19 1 w►dua [0.037) 4. Slab Edge Insulation d or d R -value 0 F2 tacbr [0.751 5. Infiltration Any Duds in Unconditioned Space? ( Y /ii [Y] O 6. Fenestration Heat Loss y "sue 0.861 Total % Fenes. [1.61 Sum 1-6 7. Fenestration Heat Gain % Fenestration SCsttade open Eff. % Fenes. Shade Eff. Ratio North —6,91 x East -lam x South I x West x Skylight Z- x Overhangs? M N) • " 8. Interior Thermal Massx%01 or [201 Int MaWCFA 9. Exterior wall Mass N L Ext. wali Mau Sum 7-9 10. Heating System AF�SPF s ry: five AFUE Zonal Control [7996 or 9.81 .2* s : 0.9ek-� or F Adjustment [01 11. Cooling System x �d Ir aw SEER 10.01 0 Effic [t s ER Zonal Adju t 12. water Heating �G Q P� •� System 1 N a C. �pe In1Auxiliarf1 ut ism I�J[21 titin [None, !�t[STDJ System HeaterTy—pe None]arpn yT& Ext Ins. I `CDistribution Point total. �' 1 Foran Revised January tii8'2 Point Goal. Certificate of Compliance: Residential GENERAL INFORMATION' Total Conditioned Floor Area: 44&ft2 Building Type: -AZ Single Family Addition (check one or more) amily Existing -Plus -Addition Front Orientation: rt / East / South / West / All Orientations t orientation in degrees and circle one.) Number of Dwelling Units: Floor Construction Type: / Raised Floor (circle one or both) BUILDING SHELL INSULATION Construction Component Insulation Assembly tocation/Comments Type R -Value U -Value (attic, to aaraae. tvDIM Wall .............. A Wall .............. Roof ............. Roof . Floor ............. Floor ............. Slab Edge .... FENESTRATION Shading Devices (Page 1 of 2) CF -1 R Building Permit r Plan Check/ Date Field Check / Date Enforcement Agency Use only Fenestration Area Fenestration Interior Exterior Overhang Framing Type Orientation (sf) Ll -Value (roller blind, etc.) (shadescreen, etc.) (yes/no) (metaVwood/vinyl) Front..... (#J) 1A Front..... ( ) Left ....... ) Left....... ( ) Rear ..... (12) s Rear ..... ( ) Right..... (\N) Right..... ( ) Skylight ....... Skylight ....... THERMAL MASS Area Thickness etc. RoviaW Deoembw 1992 bath. etc. Certificate of- Compliance: Residential HVAC SYSTEMS Note: Input h is c I Hea quipmer Ty (furnace, heat m , etc. ooling Equipment ype (air conditioner, eat um , eve . co^finnl 7nic d" under I feler Heating �/ Distribution Minimum Type and Efficiency Location Minimum Duct Efficiency Location WATER HEATING SYSTEMS (Page 2 of 2) CF -1 R Duct or Heat Pt Piping Thermostat Configu R -Value Tfpe (split or. Duct Thermostat R -Value TVDe Configuration (sDIR or Dackz Energy' External Rated' Tank Factor or Tank Water Heater Distribution Number - Input (kW Capacity Recovery StandbyInsulation T e T in System or Btu/hr(gallons) Efficiency Loss % R -Value 1. F:e small gas storage (rate�.input 5 75,000 Btu/hr), electric resistance and heat pump water heaters, list Energy Factor. For largg"as stor__ S"ater heaters (rated input 2 75,000 Btu/hr), list R Input, Recovery Effidenr and Standby Loss For Instantaneous gas water heaters, list�Rakdlnput and Recove�. / \ t7 SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with Title 24, Parts 1 and 6, of the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the individual with overall design responsibility. When this certificate of compliance is submitted for a single building plan to be built in multiple orientations, any shading feature that is varied is indicated in the Special Features/Remarks section. Designer or Owner (per Business 6 Profeadon& Code) Name: Title/Firm: Address: Telephone: Lic.11: (signature) (date) •• w Enforcement Agency Name: Title: Agency: Telephone; (signature/stamp) (date) Revised December 1992 Documentation Author Name: /7 ( 11..( Title/Firm: Address: d/. KA if 11 Thermal Mass Worksheet WS -1 R. INTERIOR THERMAL MASS: METHODS Method B is one of the two possible options for calculating Interior mass as explained in Section 4.2 of the Residential Manual (RM). The other option, Method A, is a simplified method to take thermal mass credit for concrete slab -on -grade only. This worksheet is not required for Method A. Method B must be used to take thermal mass credit for any mass elements other than concrete slab -on -grade. Calculate the Interior Mass/CFA value using the worksheet space below. Look up the Unit Interior Mass Capacity (UIMC) for each interior mass surface iii RM Tables 4-9a, 4-9b and 4-10. Include the interior surfaces of exterior mass walls. For interior mass walls exposed on both (two) sides to conditioned space, enter the surface area of only one side. Include the`• inside_surfaces of exterior mass walls as explained in Section 4.2 of the RM. Unit Interior Interior M s Are Mass Capacity Mass Capacity X = X X = X = X = X = Total EXTERIOR WALL THERMAL MASS 1 CFA Interior Mass/CFA Calculate the Exterior Wall Mass of all exterior walls. Look up the Exterior Mass Factor for each opaque wall element from RM Table 4-10. Only exterior mass wall surfaces may be,included in this calculation. Description onventiona a s Revl4ed December 1992 Opaque Exterior Wall Area Mass Factor X = X = X X = X = X = X 0 = Total Total Opaque Exterior Wall Area Wall Mass Mandatory Measures Checklist: Residential MF -1 R NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (') may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as binding minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. DESCRIPTION Building Envelope Measures * §150(a): Minimum R-19 ceiling insulation. §150(b): loose fill insulation manufacturer's labeled R -Value. DESIGNER I ENFORCEMENT * §150(c): Minimum R-13 wall insulation in framed walls (does not apply to exterior mass walls). / * §150(d): Minimum R-13 raised floor insulation in framed floors; minimum R-8 in concrete raised floors. i §150(1): Slab edge insulation - water absorption rate no greater than 0.3%, water vapor transmission rate no greater than 2.0 pemLlinch. §118: Insulation specified or installed meets•Galifornia Energy Commission quality standards. Indicate type and form. ✓ §116.17: Fenestration Products, Exterior Doors and InfiltratiordExfiltration Controls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Manufactured fenestration products have label with certified U -value, and infiltration certification. Q Exterior doors and windows weatherstripped; all joints and penetratioris caulked and sealed. §150(g): Vapor barriers mandatory in Climate Zones 14 and 16 only. §150(f): Special infiltration barrier installed to comply with §151 meets Commission quality standards. §150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs 1. Masonry and factory -built fireplaces have: a Closeable metal or glass door b. Outside air intake with damper and control c. Flue.damper and control 2. No continuous burning gas pilots allowed. Space Conditioning, Water Heating and Plumbing System Measures §110 -13: HVAC equipment, water heaters, sbowerheads and faucets certified by the Commission. §150(i): Setback thermostat on all applicable heating systems. §1500): Pipe and Tank Insulation 1. Indirect hot water tanks (e.g., unfired storage tanks or backup solar hot water tanks) have insulation blanket (R-12 or greater) or combined interior/exterior insulation (R-16 or greater). 2. First 5 feet of pipes closest to water heater tank, non -recirculating systems, insulated (R-4 or greater). 3. All buried or exposed piping insulated-irr recirculating sections of hot water system.. 4. Cooling system piping below 55°F insulated. 5. Piping insulated between heating source and indirect hot water tank * §150(m): Ducts and Fans 1. Ducts constructed, installed and sealed to comply with UMC Sections 1002 and 1004; ducts insulated to a minimum installed value of R-4.2 or ducts enclosed entirely within conditioned space. 2. Exhaust fan systems have bac kdraft or automatic dampers 3. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers.. §114: Pod and Spa Heating Systems and Equipment 1. System is certified with 78% thermal efficiency, on-off switch, weatherproof operating instructions, no electric resistance heating and no pilot light 2. System is installed with: a. At least 36' pipe between filter and heater for future solar heating. b. Cover for outdoor pods or outdoor spa 3. Pod system has directional inlets and a circulation pump time switch. §115: Gas-fired central furnace, pool heater, spa heater or household cooking appliance have no continuously buring pilot light (Exception: Nonelectrical cooking appliance witft fol < 150 Btu/hr.) Lighting Measures §150(k): 40 IumensAvatt or greater for general lighting in kitchens and rooms with water closets; and recessed ceiling fixtures IC (insulation cover) approved. Revised January 1992 BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District oxo) A/ S Building Department No. A.P. Number �Q "p�Q 4 --"CJ tl.JJurisdiction City ©�county Property Owner Dl%Azi oeI '1f/it/ G./Y7 /N G Z7 Property Location/Address 14-e�s ��/Z,�i��� •�� �/�G UG�—� Subdivison Lot No. Residential Development �q. Footage T No. of Living MHI Addition (Group R) �... Units Commercial/Industrial Sq. Footage New Addition (Including Exterior Roofed Areas) A .�v Bui ding Department resentative Date (Floor Plans reviewed by School District Personnel) •strict Identification No. "' 0 ®® 9 Y LOW 7t C School District certifies tha pplicant) (Street Address) (Phone Number) �x (City) (State) (Zip Code) has complied with the requirements of Resolution No. M5- �� by payment of $ . representing square feet. • School District Representative Paid by Check Number Bank Number Paid by Cash Remarks: If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school. district) feeform.wkl (4/92) im k PERMIT NO. 2521-86B, P E PERMIT EXPIRES D OWNER DON & ANN ROMINGER CONTR. Bartholomew Const ASSESSOR PARCEL 28-23-36 LOCATION 511 Los Verjelles Rd, Bangor i. } s t , l e OFFICE COPY Address GAS �1 Meter 6e2�� ELECTRIC"' j Meter By Date Temp. Pol..- - ---- -- — — - -- - Called PG&E ' Temp. Elec. Service Called PG&E Temp. Gas Service t f Called PG&E / + JOB FINALED Dat) 4/*/e o Y Signature N �, OK 0 = Not OK = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS 4. Date M0BILEHOME UTILITIES (Plans) OK except N's 1., Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except k's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch _ 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete _ 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card - BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except q's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4, Elect; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6, Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card,Bl Date Card -BI Date r Card B -I Date Card -BI Date Card -BI Date Card -BI Date ac-- / •j V = OK 0 = Not OK v Not .Applicable k = Not Ready RESIDENTIAL (Single and Duplex) Date UND OOR Plans OK except N's Date FRAMING Continued _ _ _ Zoning requir ments-Setb s -Easements qty Line Firewall & Openings /f e2. Fig., Mai Sdils Steel-Elec. Grnd.- / /'' Ftg. Depth 4 Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; oils -Steel- / /" Ftg. Depth SO iF9--Width--Headreem-Rise-Run-Landing-Fire Protection 4. Ftq4, Porches & Decks; Soils -Steel= / /" Ftg. Depth Sit! _ Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 62. _ Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53.--Stu"G-Me6h--Brifr�creed-Fdn. Vents-Underflr. Access_ 7_. Ftg.-Steel _ Ding Area -Glass Protection -Skylights -Plastic xPiers_-Fireplace f p�U Fall -Fittings -Test -2 way C/O -Sewer Test SYShear Walls; Nailing -Bolt, as Pipe; Size -Anchors // 10. Water Pipe: Test -Anchors -Regulator -Service Test / - �j S -_ - 3r�1 lectric: Underground 12. Plenums &_Ducts; Clearance -Material -Support -Ins. _ 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples - Card -BI DateCard-BI Date Card -BI Date Card -BI Date Card -B Date Card -BI Date Card -BI ) Date s/•7_IF�6 Card -BI Date 1 Date FIyAt (Plans) OK except N's Card -BI Date/- 3,_Q-6 Card -BI Date Date PLUMBING (Permit) OK except q's 6!/Ext. Steps -Door & Sidelight Protection -Landings ySmoke Detector 14.Yale Ht.: g ccess-Combustion Air ater Pip Anchors -Nail Protection/In D.W.V.' gs & Anchors -Nail Protection 17. ,First Floor -Tub Access 1 'T-esl-iti ower, 2 d Floor -Tub Access ri 19. Gas Pipe: Size &Anchors --- - Card-BIC19 Date Card -BI ____ Date Card -BI Date - Card -BI Date. 58. Furnace; Vents -Clearance -Comb. Air-Connector- Garage; Above Floor -Ducts -Meeh. Protection 59. Bedroom Exiting G.F.I. & Bath Fixtures & Tub Access 61. 'Elec. Trim & Subpanel; Breaker Sizes -Labels at s -1763. Fireplace or Stove; Clearances -Hearth 4 Elec Outlets at Wood Panel; Int. & Ext. 5• . Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Elec. Outlets & Receptacles at Kit. Counter Date ECTRICAL Permit OK except N'sara 67 ing-Landing-Closer e -Damper ;ko err tX. Card B -I Card B -I 20. Fixture & Transformer Clearance -Ins. -Protection ��l 2pec. Receptacles Spacing -Lights_& Switches at Doors 2Y/$(ze Boxes & No. of Conductors -Stapled 23iFfomex Installed Close to Edge of Studs & C.J. ' � - - apitquip. Ground made up w/Mech. Fasteners -Bond Gas &Water -- - !Appliance Circuits in Kitchen &Conductor Size 26. fWbteed=Wire-Sizes / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, �I sulated Neutral Yes --No 29! Service -Riser Conductors & Ground-Main_Disconnect - uip. Clearances: Panels-Motors-Mech. Equip. _ VC11othes Closet Light -Shower Light - -- Date/A-1jr-i b Card -BI Date - - - Date _ Card -BI Date 9. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor -Meeh. Protection 0. Plb., Elec. & Mech. Equip. Listed for Location 7 s in Garage; (G.F.I.)-Romex Protec. 2. Insulation -Foam -Looked in Attic ❑Yes - 73. 5-Gnec444ei+9--&-9eck Construction -Post Caps 74enta &.Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 75, Following instld.: Drive C es ❑ No: Walks ❑ Yes No; Planters Dyes b No 7 rown- A.C. Unit; Disconnect-Clrnces-Brkr ond. Size -115V Outlet 7 Vents Above Roof; Plbg.-Applianc-Firepl XClearance to Opngs. Well; Disconnect, Electrical, Plumbing PWater Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. ( Ventilation throughout House Glass Protection Date M HANICAL (Permit) OK except q's 8 _ Corrections from Previous 8q. Gas Test -Meters Ta Galectric Card -BI Ca'd-BI . A.C. Ducts. Insulation & Support - - _ - 32. Vent Fan: Exhaust above Insulation _ 33. Condensate Drain & Overflow: Size _& Grade 34. Furnace -Vent: Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic - Date Card -BI Date -Card-BI Date Card -BI Date 8 W ter & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates - ---- - -- Card -BI Dat Card -BI Date Date�'� / Card -BI Date __- Card -BI 3L Date --7 Card -BI Date Date FR OK except q's Com tents at Final: �NIsG(Plans) 3 . Si ; Proper Material & Anchors 3 /IIs: Studs -Nailing, Spacing & Bracing -Plates -Sound 3�aring Walls over Girders & Floor Nailing Eft Stop in Walls (rat proof) Fire Stops: Furred Ceilings-Stair_s_-C_ha_s_e_s-Tub 4t eader & Beam -Size & Bearing ng -Post Caps -Anchors -Connectors ng. Joist-Rftr. Ties-Purli Roof Brac - r Shlhnp.-Rfnq. F place Ties or Type ue-Fireplace Throat uic Access: Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 09-8erage-F-4re-Protection Framing - - - - --_ _ (NOTE Anentry must be made each time youvisit jobsite) Owner: N ENERGY CERTIF ICAT ION 611 LOCATION DESCRIPTION OF INSULATION ROOF Material Thickness(inches) EXTERIOR WALL Material ' Thickness(inches)� CEILING Batt or Blanket Type Thickness(inches) 171 Loose Fill Type Minimum ThicknesWnches) Area covered(ft. ) gg8 FLOOR, ELEVATED Material Thickness(inches)_____ FLOOR, SLAB Material_ Thickness(inches) Width (inches) FOUNDATION WALL Material Thickness(inches)_ A. P. No. Brand Name Thermal Resistance (R Value) Brand Name `'. Thermal Resistance(R Value) Brand Name Thermal Resista e(R Valu r Brand Name_ Number of Bags Wt. per bag lb. Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name _ Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) I hereby certify that the above insulation was installed in the above building in conformance with the State of California Energy Requirements. llawl.ins Insulation Co., Inc. 378407 FIRM NAME/OWNER STATE CONTRACTOR'S LICENSE NO. W7 SIGNATURE OF INSTALLATION APPLICATOR DATE I hereby certify the above insulation and all required items as shown on the Building Department approved plans and attachments have been installed as required by the State of California Energy Requirements. All equipment, devices and materials are of the quality prescribed or are specifically approved by the State of California. B 1-04-0 1'WE4-�) a5 _ �� G/3 Z FIRM NAME/OWNER (Please print) STATE CONTRACTOR'S LICENSE NO. _ -3/Z 4 7 SIG TURE 0? QE.NERAL CONTRACTOR OWNER DA E THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. January 1984 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-275.1 7 County Center Drive, Oroville — Phone: 53411541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when come tion of work is completed. If you have any question pertaining to this matter,7eed additional explanation, please contact this office immediately. or Inspector__ 0 Date 3 — a-3 � K t- ENGINEERINGa:. 220 GRAND AVENUE SURVEYING D o OROVILLE, CA. 95965 z PLANNING (916) 533-2068 �F'VHARDI , October 24, 1986 f Mr. Jim Glander Building Department County of Butte 7 County Center Drive Oroville, CA 95965 RE: Compaction Test, 511 Los Verjelles Road Nick Bartholomew Dear Jim, We have taken compaction tests on the referenced site. The tests were taken at depths on the fill from one foot to six feet. The fill has been in place for over six years. Results of our test, taken with a Troxler 3411B Nuclear Gage, indicate the fill has been constructed in excess of 90% relative density. Sincerely, Kenneth C. Lenhardt, P.E. G.D.A. ENGINEERING, SURVEYING & PLANNING KCL/jm 127-86 CC: Nick Bartholomew 50 Mountain View Drive Oroville, CA 95966 WILLIAM W. GEDDIS JOHN D. CHRISTOFFERSON KENNETH C. LENHARDT COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 5344541 Skyway and Elliott Road, Paradise � Phone: 872-2961, Ext. 57 CORRECTION NOTICE A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector_ c a ! Date— COUNTY OF BUTTE.- DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovil le, Cziliforhia 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PA1-NER ZONING BUILDING PERMIT OWNERTELEPHONE �h114X SO. FT. OCC, BUILDING VALUA ION '7 OWNER'S MAILING ADDRESS _ QQ CONTRACTOR -5 NAME TELEPHgONE CONTRACT 'S MAULING ADDRESS r —6cJ UI Fireplace r. QOv .� CONSTRUCTION LENDERoe # UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS — - Permit Fee $ u°C ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee QM $ /&i Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS r/J _ Permit fee $ Q PLUMBING PERMIT Filing Fee 10.00 NCO Each Trap 2.00 aa_ Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent Aoo 5.00 USE OF STRUCTURE SF Ze'Dup'lex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer A, 5.00 Mobile Home S G W 10.00 ea TYPE OF WORK New Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: _ Permit Fee $ �� Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main Service EA, ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): ® I am licensed under provisions of Chapt. 9, Div. 3 of the BusineSS and Professions Code and my license is in full force and effect. ^/ �1y License No. ��y Classification fl. 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) ❑ I, 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 o ) yzQsgft OR ADDNS. 1 ACC. BLDGS. NEW CON5TR. MULTI-OUTLET2,50 ea NON.RESID BRANCH CIRC ITS POWER APPARATUS e (SINGLE OUTLET CIR. ) EX, Occup( OUTLETS OR FIXTURES ezaesoe AL&30 OR Ex. Occup. OUTLETS (RESIO.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �Yirin 15.00 9 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. �j I have placed on file with the County of Butte Building Department yam' 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. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against so6d County in c nspqUence of the granting of this per it. / p X ham`— Date ZS O� Sign re of Applicant — Owner ❑ Contractor'W 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 $ Q. TOTAL PERMIT FEE $ 1p /—�`� � M.1 cONST)Pc '•1V/ FLo PARC PD ND ssuc This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By P IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Datef� �Q1 �Q?3� LO... 7- dZ Receipt No. ���� �� WHITE-D.P.W.. YELLOW -ASSESSOR, PINx-INSP TOR, GOLDENROD -APPLICANT A3 v A" r' COUNTY OF BUTTE - DEPARTMENT,6F_.PIIBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVI LLE, CALIFORNIA 95965 - TELEPHONE: 916/53 4-4541 PERMIT APPLICATION DATA SHEET / Permit No. e OWNER lel A. P. No, 2 9— 2 -31, - Proposed Building Use J%,_ Permit Fee Based Upon: Complete Contract Price L� DPW Valuation `r (,- plain) / 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. . . . . . . . . . . . lot plans in uplicate riplicate. . . . . . . . . . . Complete plans In duplicate/triplicate. Complete engineered plans and calcs. . 9a�7�G 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD ''Fees Paid'' Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. s 8. Fees of $ : . . . . . . . . 9. Letter of signature authorizaytl. 0�10 anitation approval from �-� Health Dept. 11. Planning approval for (A) Use: (B) Parking: �- ertificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner[], Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . .. i • 17. Pre -Inspection for Required. Pre-Inspec. request to Building Inspector (Date) 18. Recorded copy of Agricultural Acknowledgment Statement. . . • 0 Other When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at kimg o application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Con ra tor, D igner, Owner) was advised of above required data by Plans checked by. Plans approved by Other: Copy—DPW . •ITiMy, 10" i.�� • W. ".0 - To:-,ailding Department. From.: ,.-,n ironment4l i{o; lth Subject: itation Clear,-u:cc Owner Locatio AP/ Plan Approved for: e t,':at;'i? c:ji;;po:;al i:ate.r :uppl.y, J Hold final for: i •:::rJer supply Final clearance O.R. for: :,rater supply Clearance for _j:�2—bed.room mobil �011ier 12 �70 J Sanitarian Date; t,A,e turn to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT RECORDED IN OFFICIAL RECORDS ` FOR RESIDENTIAL DEVELOPMEN'SOT COMPARED Vff COUPITY,nrtLIFORNiA ITTHE REt VEST OF ORIGINAL DOCUMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. e6.278721986 AUG 22 PM 2: The property -described herein is adjacent to land or included ELEANOR KBECKER within an area -zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort arising from. CLERH=RECORDER FEE the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Date: Ai& . / / 'P�e4' 67 State of ) SS County ofi P� ) PR PERTY OWNERS: On this the /9 day of 19 &� , before me, the undersigned Notary Public, personally appeared ;T Personally known to me. / / Proved.to me on the basis of satisfactory evidence. to be the person(s) whose names) ,�iL� subscribed to the within instrument and acknowledged that executed the same for the purposes therein containe . IN WITNESS WHEREOF, I hereunto set my hand and official seal. -MEN 'PaINITREY NO i'Ar;" Pl 7LlC-CA!_IFUH^!IA i hly �amc i:::. �n _xr;irc Juno 20, 19c37 .r'� v�w::c,�..,:.�..Y,, nr.•;,�:-:;.r:` �x Notary Public Present A.P. Nog 28) 2.3 _U— C���, - L' p, 07 4 Tz " MR AN N k or 4. car amdn d JVd G 4JO R & C66) �av to w4Lt� vW pM, j Vr gor r_'n Am. no:.. 1:40�T _J 'Ar jjItt the JOIA&S—at she Newd pan, JFrat �0 and in eamideratko of thr km sI the fah. Toiqch ..the, A"L fwlhe pdollna_.of -the $:tfco"d part" do --by these prfjfcl�fs L [live amd.0* anoo I 1w j tie ascarid pars,aimdi ra Ak-.*rs and auipwi former, all 7. of lead 'I dftwe hi AW bou�� and detcriW at faow, gowk: stem* 'th,t re , An e ut n Of t SO— h' Bo:�, r a' Fi-- S t" 2.D.:,3utto Gourtv, SecM 4 nchip rt bai "v- mpg c: .3cribedi ow*�-f V q, a art. r. co r . r . iur L. t 2f sata'c6rnar -Soln =4wwqte4.-*by at acribed redwood ostj ther-co 3 89 1510012 U �oc4i0 A 358 1333.39..f et.to northeast corner o^ that along ti north line of a parcul of land t: a dascrtbod in de od to W11119. Aomlapr as Mod In Book 299p.;, 4 cco'llty IZ�6o'r'du,' {;t PL. -Co 12, sa-44 C0'r;4jr bAAZ tho uort!=wt., -P:.-rcul 'of L,v.4 az'sqvoyod t1Y r6u ,,;o Coy.+on Jbily 7# * 1915, �Ild 1% the ell qld notes 6.1 hi; in Book .88 said field notes rf 1 boinc on PikOf floe' or,, tbi�:swttw - cpl�At '.. bi� 0 IA. the r �i &W mmer 4" boUg -Aba,�,, 4U d the TWA: POUT 64 %;�q p+u'Qatof laA4. thauclp _ 3 020 241 3.0 Wo 40M 1A . �lto a p9tut P.4 M + I Go W. ty p Etto' f, U44, U 0 s tv, i5ro as, ear, U..`4 c"o-h0Z.14� polp 412. L�� "'S"n 041'0 016. 4 b. li-no of sa!4 l A !"t 4 24 V-.3911 1. auction 35 0 LS 3Q51 tho7. wine LS V`5; t'lanco 3 09' 151 00" V along the north lira of Saction 35, MOD f 40ts ri ..nd cont.�Jmn10.56 actron, more or leas. I ALU that roal proporV &,,g deacribod itt dead rrom Adolf Rominprr to Willie Rominpor, riled ."oar r000rd ort April 8, 19.42, ih %-ok 2", orrioua Ntecordx of Dut."'a O)Unt4, P.t Pries 12. **k (IV fewwww, h, xv, dkow*k, 41W SA*wlewwos thffm* beta OW 4w OPte"OWV, OW Me reversion Ons, rmersiow, remainder and rmainders, mats, iu&w, Swd Ob to Ifte Ow no Pr'Mim" ftfedw W&A #Aw wift ...airs Md wilow twvw j. T P IL - ': Ik s 1 �t s:' osib"a ?os� & e.._Qf wore patgt w4-- -*P§t w t.4at re;i,t-ry- =.!e the doy tend yrar flt-0 wrdtfti. x, ;r as?u ono III tlp jortgruasa of f • Ott& Of qq 8ff, ts. Cmmtyof._.....___ Oro thii._.:... A -lis___.. -day of— flOr in the year one thousand Kine hundred and__ il-L*+ ,, beforr ssse a Notary Pusblc�ate of California, duly commissioned and tBtwrn, persossolly appeared= _ known to nae to be the persow. -.described in and whose ssarwe'L-LU:g ascribed to tho edthiss instrument, and acknowledged to arse that -__i executed the some. JU NUMBS MPTId I how herrimto set my hand and sped rely ogscral teal in the---. id _...Coin :Y of -6.49 the day and year in this certificate first above winew. Notary Public, State of Califorwio. My corm a' sion expires i SEA L ELIZABETH •M SWETT NOIAq. •VD% -C tAONR.Nfi ' c Burn COIJMT 09 my Its k tats ? � _ ! •.•' j f 1-4 — RES ENTIAL ENERGY PIAN CHECK/INSPECTION SUMMARY FORM RM ` Owner �� ew Climate Zone —�� Permit No.. ,,,=- " I Floor AreaIZZO 9' Compliance path: Package ❑ A ❑ B ❑ C oint System ❑ Budget ❑ Other MIN R -VALUE DESCRIPTION REQ'D . INSTALLED ITEMS (1) INSULATION: Roof/Ceiling Q! Wall - O ❑ Slab Floor Perimeter ❑ Raised Floor (2) INFILTRATION: ❑ (A) A vapor barrier is required in climate zones, 1, 14 & 16. (� (B) All manufactured windows and sliding glass doors shall meet the 1972 ANSI Air Infiltration Standards and shall be certified and labeled. , (C) All swinging doors and windows leading to unconditioned areas shall be. fully weatherstripped. BUTTE COUNTY Tight - the above standard features plus: ❑ (D) Continuous infiltration barrier BUILDING DEPARTMEN' ❑ (E) Electrical outlet plate gasket ' ❑ (F) Air-to-air heat exchanger APPROVED (3) GLAZING:' (A) Location Area Glazing %Floor Area Single Double Triple Total- Bldg O ,�,� a2t / , _ North Ae 0' East 77, X [� South 6 C� _�_ West %7, 7 -s -i L/ ❑ _�_ Skylights �- (B) Shading Shading Coefficient Rqscrion �.,� U.►�j East ,4_ e ld' SouthAV West Q Skylights Q� (C) South Overhang ` Length of projection _ , ft. Description ❑ (D) Moveable insulation: Area ftZ Description (E) Thermal mass ❑ Type - Area Ft.2 HC= R= MC= Location ❑ Type - Area Ft. HC= R= MC= Location ❑ Type - Area Ft.2 HC= R= MC= Location ❑ Type - Area Ft. HC= R= MC= Location ❑ Type - Area Ft.2 HC= R= MC= Location ❑ Type - Area Ft.Z HC= R= MC= Location 7/83 FORM ❑ (4) MASONRY AND FACTORY -BUILT FIREPLACES shall be equipped with tight fitting closeable metal or glass doors covering the entire opening of the firebox; a combusi.op air intake equipped with a readily accessible, openab le, and tight fitting damper to draw air from the outside of the building; and a tight fitting flue damper with a readily accessible control. *1(5) HEATING, VENTILATING; AIR CONDITIONING SYSTEM (A).' .Heating ❑ Central Gas Furnace % (brand and model number) SE Btu/hr (heating capacity) ❑ Heat Pump. (brand and model number) ACOP Btu/hr (heating capacity at 47°F) ❑ Active Solar 'type (liquid or air) Collector brand and ft2 model number solar fraction collector area collector orientation collector tilt rated y -intercept Ilk rated slope Other Gl% _ _ _ (describe) (B) Cooling Electric Air Conditioner (brand and model number). Btu/hr (cooling capacity at 95°F) Electric Heat'Pump Btu/hr (cooling capacity at 95°F) Other (seasonal EER) EER (describe) ❑ (C) A TWO-STAGE THERMOSTAT, which controls the supplementary heat on its second stage, shall be required for heat pumps. ❑ (D) AN AUTOMATIC SETBACK shall,be provided for all thermostats, except those controlling heat pumps. (E) AN INTERMITTENT IGNITION DEVICE shall be provided for all gas-fired fan type central furnaces, gas-fired fan type wall furnaces and gas cooking appliances. ❑� (F) BACKDRAFT DAMPERS shall be provided for all fan systems exhausting air to the outside. all�(G) DUCT CONSTRUCTION & INSUTATION. All transverse duct, plenum, and fitting joints shall be sealed with pressure sensitive tape or mastic to prevent air loss and shall be insulated to conform to the provisions of Section 1005 of the UMC, 1976 Edition. 7/83 2 *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other.approved methods, section 2-5352(8), and fill out the following: Heating: Winter design temperature C�?o_°, elevation o4) ', heating load BTU elevation factor x heating load maximum outlet capacity gas furnace. BTU A1114 A)0019( SI0)1 . Cooling: Summer design "temperature °, cooling load BTU (USE ONLY AS A SIZING GUIDE, COOLING MAY BE INADEQUATE) *2 Submit T.I.P.S.E. chart or other approved system (form #5) to document sizing of solar panels. . ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the California Administration Code. 7/83 SIGNAT OF BUILDING DESIGNER OR APPLICANT 3 ti j FOR KI (6) DOMESTIC. WATER SYSTEM -(,A)� Gas Only Gallons (brand and model number) (tank size); ❑ Heat Pump w/Electric Backup (brand and model number) Gallons (tank size) ❑ * 2 Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft :(backup heater type, brand and model number) (collector area (collector orientation) (collector tilt) ❑ Location of Solar Panels ❑ Other (Describe) ❑� "(B) TANK INSULATION. Storage type water heaters and storage and backup tanks for solar systems shall be externally wrapped with R-12 insulation or greater. — / p' (C) PIPE INSULATION. The five feet of pipe closest to the water heater and outside conditioned.space shall be insulated with a minimum of R-3. Steam -and steam conditioned space shall be insulated with a minimum of R-3. Steam and steam condensation return piping and recirculating hot water piping outside the building envelope shall be -insulated in accordance with T20 -1408(d). (D) FLOW RESTRICTORS shall be provided for showerheads and faucets as outlined in the new appliance efficiency standards and shall be certified to the Energy Commission. /(7) LIGHTING D' (A) Lamps used in luminaries for general lighting in kitchens and bathrooms shall have an efficacy of not less than'25 lumens per watt (usually florescent). *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other.approved methods, section 2-5352(8), and fill out the following: Heating: Winter design temperature C�?o_°, elevation o4) ', heating load BTU elevation factor x heating load maximum outlet capacity gas furnace. BTU A1114 A)0019( SI0)1 . Cooling: Summer design "temperature °, cooling load BTU (USE ONLY AS A SIZING GUIDE, COOLING MAY BE INADEQUATE) *2 Submit T.I.P.S.E. chart or other approved system (form #5) to document sizing of solar panels. . ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the California Administration Code. 7/83 SIGNAT OF BUILDING DESIGNER OR APPLICANT 3 10. ZONE 11 -8 S-7 I OWNER,.hA eY: ' POINTS PERMIT NO. ASSIGNED ACTUAL 1. SLAB - INSULATION 49 I .SKYLIGHT - .37-.57 1 -2 I -1 f 0 2. RAISED FLOOR - R-19 ! 12. 3. CEILING - R-30 -s I t4. WALL - R-19 ?-67 14. LZ 5. NORTH GLAZING - 2.4-3.67 (0-2- ,2-6. 15. 6. EAST GLAZING - 2.5-3.67 S, y 16. 7. SOUTH GLAZING - 1.6-3.67 l% 2'- 112.1-13.2 I 8. WEST GLAZING - 2.9-3.67 _'.5t q ^O 9. SKYLIGHT - - 0-1.37 -- 14.6-15.3 i 10. SHADING (Exclude Overhang) 17. DUAL PACK(SE, SEER) 8.0-8.3/71-767 WOOD STOVE? _ WATER -THEATER ATTIC OTHER - TOTAL POINTS = �� -Able 3-1. Slab Floor Points I T_ - T I Tncula- I R -Value of Insvlation 1 I tiva I I I Derth, -� I Inches 1 0-2 1 3-4 ! 5-6 I 7+ 1 T -T T I, 0-111-5 I-5 I -S IS > I I 12 - 15 I -5 1 -3 I -2 I -1 I I 16 - 19 I -5 I -2 I -1 1 0 1 I 20 + I -5 I -1 I D I +1 I 1 I I 1 I I 7/7/83 Table 3-2. Raised Floor Points T I R -Value of I I I Insulation 1 Points I below 3 I 2 EAST - .66 -8 S-7 I -6 SOUTH - .19-.42 -4' 1 - 18 I T2 WEST - .13-.36 . 49 I .SKYLIGHT - .37-.57 1 -2 I -1 11. HORIZONTAL SOUTH OVERHANG 2' 12 1 -1 I 12. ,LOVABLE INSULATION - NONE 1 �I -s I 13' INFILTRATION (Standard=0)(Tight=+12) 1 1 -7 I 14. THERMAL MASS SF I -10 I -8 1 15. GAS FURNACE (SE) 71-767 I -12 I -10 1 16. HEAT PUl(P (EER) 7.5-7.9% I -14 I -12 I 17. DUAL PACK(SE, SEER) 8.0-8.3/71-767 WOOD STOVE? _ WATER -THEATER ATTIC OTHER - TOTAL POINTS = �� -Able 3-1. Slab Floor Points I T_ - T I Tncula- I R -Value of Insvlation 1 I tiva I I I Derth, -� I Inches 1 0-2 1 3-4 ! 5-6 I 7+ 1 T -T T I, 0-111-5 I-5 I -S IS > I I 12 - 15 I -5 1 -3 I -2 I -1 I I 16 - 19 I -5 I -2 I -1 1 0 1 I 20 + I -5 I -1 I D I +1 I 1 I I 1 I I 7/7/83 Table 3-2. Raised Floor Points T I R -Value of I I I Insulation 1 Points I below 3 I 2 3-4 -8 S-7 I -6 8 - 1 -4' 1 - 18 I T2 19+ I 1 0 Table 3-4a. hall Insulation Points R -Value of Insulation I Points 1 I I I I I � I I 19 I I +2 I +3 Table 3-5. North -Facing ClazlnR Pts I IGlazing Type 1 Total I I x of Sngl, Dbl, Trpl,l I Floor l U- l u- I U- I I Ares i 0.66 1 0.42- i 0.41 1 I 11.10 10.65 I down I I 0.1- 1.2 1 +4 Table 3-3a. Ceiling Insulation +4 I Points +1 R -Value of Insulation I I I Points I I 19 -4 I I I `3s` I I S2 I 49 I +4 I Table 3-4a. hall Insulation Points R -Value of Insulation I Points 1 I I I I I � I I 19 I I +2 I +3 Table 3-5. North -Facing ClazlnR Pts I IGlazing Type 1 Total I I x of Sngl, Dbl, Trpl,l I Floor l U- l u- I U- I I Ares i 0.66 1 0.42- i 0.41 1 I 11.10 10.65 I down I I 0.1- 1.2 1 +4 ! +4 { +4 I I 1.3- 2.3 ( +1 I +2 I +2 I I 2.4- 3.6 I -2 I 0 1 +1 I 3.7- 4.8 I -4 1 -2 I -1 I6.1 I -7 12 1 -1 I 17.3 I X7.4- -9 1 �I -s I 1 8.2 I -12 1 1 -7 I I 8.3- 9.7 I -14 I -10 I -8 1 I 9.8-10.8 I -17 I -12 I -10 1 110.9-12.0 i -19 I -14 I -12 I 112.1-13.2 I -22 I -16 I -13 I 113.3-14.5 I -24 I -18 I -15 14.6-15.3 i -27 i -20 i -17 Table 3-6. East-Factng Glazing Pts. 1 Glazing Type Total I %-of I Sngl, I Dbl, Trpl, Floor I (U - I (U - I (U - Area 1 1.10) 1 0.65).1 0.41) (points (points (points I a 1+1 1.3 I I +4 I •� I I up to 1.3 I +3 1 +4 1 +4 1 I 1.4- 2.4 I +1 1 +2 I +2 I I 2.5- 3.6 I -2 I 0 1 0 1 1 3.7- 4.6 I -5 12 1 -1 I I 4.7- 5 1 -8 I 4 1 -3 I I 5.7- I -l0 1 1 -5 1 I 6.8- 7.7 I -13 I -8 I -7 i I 7.8- 8.7 I -15 1 -10 I -8 1 1 8.8- 9.7 I -1.7 I -12 I -10 1 I 9.8-11.2 I -21 I -15 I -13 ; ( 11.3-12.7 { -25 I -18 { -15 I 112.8-14.0 I -23 1 -21 I -18 I 14.1-13.3 I -32 1 -24 1 -20 I 8.8 I -28 I -22 1 -19 8.9- 9.5 1 -31 1 -24 Table 3-7. South-FaclnR Glazing Pte Table 3-10. Shading Coefficient Points I Glazing Type I I SC by 1 I• Total I I I Orien- i Z Floor Area I Z of I Sngl, I Dbl, Trpl, I Floor I (U - I (U - I (U - I I Area 1 1.10) 10.65) 1 0.41)1 I I oints I oints i ofntsl o +s +31 +3 1 up to 1.5 1 +2 1 +2 1 +2 1 1 1.6- 3.6 1 -1 1� :0� I 0 1 1 . •- 5-.2 -4 1 �'sC I -2 1 1 s=3-..6.5 1 -6 1 -4 I -3 1 1 6.6- 7.7 1 -9 1 -6 I -5 1 1 7.8- 8.9 1 -11 1 -8 1 -7 1 1 9.0-10.0 I -13 1 -10 .I -9 I 110.1-11.5 I -17 1 -13 i -11 I 111.6-13.0 I -21 I =16 I -14 I 113.1-14.5 1 -25 I -19 1 -16 I 14.6-16.0 I -23 i -22 I -'.9 I I I I I I Table 3-8. West -Facing ClazinR Pts. I I Glazing Type I Total I 1 Z of I Sngl, I Dbl, Trpl, I Floor I (U - i (U - I (U - I Area 1 1.10) 1 0.65) 10.41) i I oints I oints 1 oints o +6 1 +6 1 +6 1 up to 1.3 I +5 I +6 1 +6 I 1 1.4- 2.2 I +3 1 +4 I +5 1 2.1- 2.8 I 0 1 +2I +3 I I 2.9- 3.6 I -3 I 0 1 +1 I I 3.7- 4.2 I -5 I -2 I 0 1 I 4.3-1 -8 I �-4 1 -2 I I 5. -10 I 0" I -4 5.7-5:6 -13 I -8, I -6 1 I 6.3- 6.9 I -15 I -10 I -7 I I 7.0-'7.6 1 -18 I -12 I -9 .I 7.7- 8.2 I •-20 I -14 I -11 I ( 8.3- 8.8 I -22 I -16 I -13 I I 8.9- 9.5 I -25 I -18 I -15 I 1 0.6-10.1 I -27 1 -20 I -16 I 1 10.2-11.0 I -29 I -23 I -17 I 111.1-11.8 1 -35 I -26 I -21 I 111.9-12.7 I -38 1 -29 I -24' i 1 12.8-13.5 I -42 i -32 I -27 1 13.6-14.3 I -46 I -.35 I -29 1 114.4-15.2 I -50 I -33 I -32 I I I I I I Table 3-9. Skylipht Points I Glazing Type 1 I Total I I I Z of T Sngl, I Dbl, I Trpl, I Floor l U- I U- I U- I I Area 10.66- 10.42- 10.41 I 11.10 10.65 I don I I up to 1.3 I -1 I 0 1 0 I 1.4- 2.2 I -3 I -2 I -1 I 2.3- 2.8 I -6 I -4 I -3 I 2.9- 3.6 I -9 1 -6 I -5 I 3.7- 4.2 I -11 I -8 I -6 1 4.3- 5.0 1 -14 1 - -10 I -8 I 5.1- 5.6 I -16 I -12 i -10 I 5.7- 6.2 I -19 1 -14 I -12 6.3- 6.9 i -21 i -16 I -13 1 7.0- 7.6 I -24 I -18 I -15 7.7- 8.2 1 -26 1 -20 I -17 8.3- 8.8 I -28 I -22 1 -19 8.9- 9.5 1 -31 1 -24 I -21 1 9.6-10.1 1 -------�- -33 1 -26 ---1--- 1 -22 I 1 tation I I I East I I 3.2�- I 10-3.1 I to 1 6.4 up � IV. 3-) I I I 0 -.19 I 0 I +1 I +2 I .20-.36 I 0I I * I .37-.66 I 0 I 0 1 0 I .67-.82 I 0 I 0 -1 I .83 up I I 0 I -1 I -2 I I I I South 1 0 1 3.2 16.4 19.0 19.6 I I to I' to to I up � 13.1 16.3,4 7.9 19T5 - I 0 -.18 1 0 1 +1 I +2 1 +2 I +3 1 .19-.42 1 0{ 0 1 0 1 0 1 0 I .43-.66 I 01( -2 I -2 -3 I .67 up .I 1 0 1 i -4 I -4 I -6 ' West ( .1 11.6 13.2 16.4 19.0 I to I to 19 I to I up 11.5 13.1 16 3 7.9 I I I I I I 0-.12 I 0 1 +1 I +3 I +6 I +7 .13-.36 I 0 I 0 1 0 1 0 1 0 .37-.57 1 0 I -1 1 3 1 -6 I -7 .58-.82 i -1 I -3 I 6 1 -112 1 -15 .83 up I -2 I -4 ( -16 1 -70 I I I 1 I Skylight 1 .1 I .8 11.6 1 3.2 14.0 I to 1 to I to I to I to I .7 11.5 13.1 1 3.9 15.2 0-.12 10 I +1 I +3 I +6 I +7 .137.36 1 0 1 0 1 0 1 0 1 0 .37-.57 10 I -1 I -3 I -6 I - .58-.82 I -1 I -3 I -6 1 -12 I -. .83 up i 72 I -4 I -8 I -16 1 -20 I I I I I Table 3-11. Horizontal South Overhang. Potnts South Glazing Length Out I Area, 2 of Floor I I from Wall ( I. I ft T' I 1 0-6.3 I 6.4 up I I I I I 0 - 0.5 1 -2 - 10.6 - 1.0 I -2 I -3 I 11.1 - 1.9 I -1 I -2 I I .2.0 up I 0 I 0 I Table 3-12. Movable Insulation Moveable Insulation] Area, Z of Floor I Points 0 - 5.5 I 0 I 5.6 - 11.5 I +2 1 11.6 - 17.5 I +4 I 17.6 - 23.5 I ±6 I _23.6+ 1 +8 I Table 3-1.3. I.011tration Control Fer.tvres Points �--- -- ! Control Features I Points 1 ! ( I I I I tandard I ! I 1 1.9 air changes per hr 1 Tight i +12 0.6 air changes per hr 1 I_ Table 3-15. Cas Furnace Without Refrf eration Ccol_nq Points r- 1 1 Sle �aon31 Efficiency I Points 71 '.9 0 I 77 - 8. I +6 83 - 88 +d ! a9-94 - 9.1 ! +6 1 95 up 1 8 1 Table 3-16. Neat Puoo Points T Energy Efficiency I Points I I Ratio (EER) I I 1 7. '.9 I +3 S.0 - 8. I +6 8.4 - 3.7 I +9 8.8 - 9.1 1 +12 9.2 - 9..6 1 +13 9.7 - 10.2 I +18 1013 - 10.8 +21 10.9 - 11.5 +24 11.6 - 12.3 1 +27 12.4 - 13.2 I +30 I Tale 3-17. Cas Furnace With Refriveration Cooling Points T �"T Ref x(eracfon! Cas Furnace 1 I 'Si.CoI SE I I I 8.0 - 8.3 1 01 +21 +4 +61 +8 1 I 8.4 - 8.7 1 +21 ++1 +61 41+10 1 1 8.8 - 9.2 1 +41 +61 +EI+l 1+12 1 I 9.3 - 9.7 1 +61 +81+101.1 1+14 1 I 9.8 - 10.3 I +31+101+121+14 +16 I 1 10.4 - 10.9 1+1G1+L2i+141+1611 1S I 1 11.0 - 11.5 1+121+141+161+'181+ 0 1 7/7/83 TABLE 3-14 (ADAPTED) Va Vz nu r11 Iut 110 r• ZONE 11 INTERIOR THERMAL MASS POINTS AREA 1,000 Net Solar Fraction (NSF), Z per un!.t, fez. 1,500 i( Cas Only ( 2,000 Heat Pump ( I 0 2,500 ! ` 3,000 0.9 I 3,500 30-39 f 4,000 60-69 I 4. SC 0 +3 5_,000 I Sq. FT. 1 A 8 C D A 5 C D A 6 C DI A 8 C D A B C D A 8 C' 0 A 8 C 0 A 6 C D A 8 C +5 +6 +7 +9 All others -(pe build nn points) 800-8.99 0 +5 +10 +14 1-� 19 +24 _ +?9 FO 900-999 0 +4 +9 +13 + +il +26 +30 1,000-•1,199 0 +4 +7 +11 +15 a19 +22+26 1,200-1,499 0 +3 +6 +9 50 2 2 2 2 2 2 2 0 1 2 2 2 0 2,1100-2,1:9 0 0 0 0 0 0 0 0 0 0 +1 0 0 00 +7 1 D 0 D D 0 D 0 0 '.00. 4 4 4 2 2 2 2 2 2 2 2 2 2 2 2 0 2 2 2 0 2 2 0 0 2 2 0 0 2 2 0 n 0 0 0 0 1 150 6 6 6 4 4 4 4 2 2 •2 2 2 2 2 2 2 2 7 2 2 2 2 2 2 2 2 2 0 2 ? 2 OI 2 1 2 0 1 200 8 8 6 4 6 6 4 2 4 4 4 2 4 4 2 2 2 2 2 2 2 2 2 2 2 2 2 2 11 2 z z 1 1 250 10 10 8 6 6 6 6 4 6 6 4 2 r' 4 4 2 4 4 2 2 2 2 2 2 2 2 2 2 2 2 2 2 I = 2 300 12 12 10 6 8 8 6 4 6 6 6 4 6 6 4 2 4 4 4 2 4 4 2 2 2 2 2 2 2 2 7' 2. 2 2 2 350 14 14 12 8 10 10 8 6 6 6 6 4 6 6 6 2 6 4 4 2 4 4 4 2 4 4 2 4 / 2 7) 2 Z 7 2 400 14 14 12 8 10 10 8 6 8 8 6 4 6 6 4 4 6 - 6 4 2 4 4 4 2 4 4 2 I 4 4 2 2 I S 4 2 2 509 18 18 16 10 12 12 10 6 10 10 8 6 R .8 6 4 6 6 6 4 6 6 6 2 5 4 4 4 4 2 4 a 4 603 22 20 18 12 14 14 12 8 12 12 10 6 10 10 8 6 8 8 6 4 8>1 6 6 6 6 4 1 6 5 G 2( 6 6 4 2' Mo 24 24 20 14 18 16 1 I 10 14 14 12 a 10 10 10 6 10 10 8 6 6 4 8 6. 6 4 6 6 6 41 6 6 5 7. 1 i 230 26 24 22 16 70 16 16 10 14 14 12 8 12 10 10 6 10 10 a 6 8 4` P 6 6 4 8 6 6 4� 6 5 u a i 503 28 28 74 16 22 20 18 12 16 16 14 10 14 14 12 8 12 12 6 10 10 3 6 Is 8 '8 d 8 8 5 4� 1.000 30 70 25 18 i?2 20 20 14 10 18 16 10 11 14 12 8 12 . 10 6 12 10 10 6 10 10 B 6 I 8 8 0 a I 7 B E •i i 1 ,;OU .32 37. 28 2O 124 24 22 14 20 20 18 10 16 16 14 14 14 12 8 12 12 10 6 10 10 10 6 113 10 8 (1 `_� e e , ! 1.200 34 32 30 22 26 26 22 16 22 20 18 12 18 1 4 10 14 14 12 8 14 12 12 8 1'12 12 10 E 1 1 J 10 8 6 i 1 n 10 8 6 1,)00 34 14 32 22 28 26 24 16 22 22 20 12 1B lE 10 1, 14 14 8 14 12 12 8 12 12 13 6 t2 1.0 10 GI 10 ;0 E G 1,-00 J4 34 32 24 28 28 26 18 24 24 4 20 20 1B 12 18 16 14 10 14 14 12 8 j14 14 12 8 72 1" ;G 6; 10 13 I9 '. 1,500 1 76 71 34 24 30 30 26 18 2 22 14 122 20 18 12 18 18 16 10 116 lE 14 8 14 14 12 g 17 12 10 61 ;2 12 1; 1 e 1 2,000 34 34 32 30 30 26 18 26 26 22 16 22 22 20 . 14 20 20 18 12 18 18 16 10 11 16 16 1, T I{ 14 14 12 5 j 2,500 I 34 34 30 22 130 30 26 18 26 26 24 16 1 24 24 22. 14 22 12 119 :2 20 10 38 1, is .; 116 J.000 34 32 30 22 30 30 26 IS 28 26 24 16 114 24 22 14 1 22 22 20 14 3,500 32 32 30 20 30 30 26 la 28 28 24 16 26 24 22 1, 1 +a ;4 20 -14 4,000 I 32 32 30 20 130 30 26 18 70 Z 14 16 1 b 2.5 21 if 4,500 II 132 32 28 ZU 30 30 26 IE j 2 r. ?' ;c , 132 17 z 20 j w . o ,76 1 / A) 1. 3's' Concrete Slab: HC*8.93; R-.29: Factor -7.3 2. 3 3/4' Thick Common Brick: IIC=7.125: R•.i3; Factor -7.3 • • a) 1. S+y' Concrete Slab: HC -14.106: P-.458; F4ctor-7.1 woostove C 1. 8" Solid Filled Block: HC -20.63; R-1.93; Factor -6.1 #33 oints' n0 back u 2. S" Solid Filled Block With Both Sides Exposed To Conditioned Air. an + point NOTE: Use all square footage directly exposed to conditioned air (or Thermal`Mass Area: HC -10.164; R-.965; Facto r•6.1 D) 1' -Thick Concrete/Ti.le: HC -2.55; R-.083; Factor. -3.7 - Table 3-19. Zonally Controlled Electric Resistance rte_ Space Heating Points Points for this measure will I be completed of;er the CEC ! 1 has approved an Alternative I Component Package for Resistance 'I Table 3-15. Active Solar Sp -..e ---,- Heating Sp- ..e---,-Heatingwith Gas Points I Net Solar Fraction I Points I I (NSF), % I I I I ( 11 0-6 I 0 l I 7 - 14 I +2 1 1 15 - 23 I +4 I I 24 - 30 I +6 I I 31 - 39 I +8 i I 40 - 47 I : +10 I 1 48 - 55 I +12 I 56 - 63 1 +14 I I 64 - 71 I +18 I I 72 up 1 +20 I 14ult1famil (per unitpoints) Floor Area Net Solar Fraction (NSF), Z per un!.t, fez. i( Cas Only ( 0 Heat Pump ( I 0 I I Solar vith Electric I ! 1 0.9 10-19 20-29 30-39 40-49 50-•59 60-69 70-79 , 600-799 0 +3 +7 +10 +14 +17 +21 +24 800-999 0 +5 +8 +11 +14 +16 +19 1.000-1,499 0 +•2 +4 +6 +8 +10 +12 +14 1,500-1,999 0 +l +4 +6 +7 +8 +10 2,000 and up 0 +1 1 +2 +4 +5 +6 +7 +9 All others -(pe build nn points) 800-8.99 0 +5 +10 +14 1-� 19 +24 _ +?9 +34 900-999 0 +4 +9 +13 + +il +26 +30 1,000-•1,199 0 +4 +7 +11 +15 a19 +22+26 1,200-1,499 0 +3 +6 +9 +12 +18 +21 1,500-1,999 0 +2 +5 +7 1 +9 +12 +14 +lc 2,1100-2,1:9 +2 +3 +5 +7 +8 +Ii 3,000 ar.d uo -0 0 +1 +3 +4 +5 +7 1 +S I +10 Table 3-21. Other Water Heating Pts. I System Type i Points i( Cas Only ( 0 Heat Pump ( I 0 I I Solar vith Electric I ! I Resistance Backup I Meeting the Require- I I I ments la Part 2 I I 0 i I Electric Resistance ( I I I 0.^.11' i -40 1 RESIDENTIAL PLAN CHECKING GUIDE (CONT'D) MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONT'D) 1 " Garage door or porch header sizes. 9 Adequate bracing. Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. Two exits on three-story dwellings (Sec. 3303 & see Mezannines 1716). 3.2-, Attic access and ventilation (Sec. 3205). Underfloor access and ventilation (Sec. 2516). Wood's'toves, clearances, alcoves& 1 -hour shafts. >6_-�Combustion air for fuel burning appliances. Noise requirements on duplexes. 6 Adobe soils - special foundation design. Retaining walls requiring design. Unusual shape, size or split level house requiring lateral design. 0 L e 171e, a% s v{� a "04 7/85 RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX & MISC. ONLY) ~ Bldg. Permit #J�/-�� OWNER A . P . # GENERAL 1. Zoning requirements: (sideyards d,2-*-' aluation. ans signed by designer. 44 Energy Design and Compliance. 5. Existing violations on property. and number of permitted living units). 4,s--0)• 7/85 �' vu0"j 4"sr'm Nan J fit, PLOT PLAN 5�_omplete parcel size and dimensions. Setbacks, sideyards, easements, etc. 3. Other buildings or structures. / '-V A<' Grading, fills, drainage. `�f! Flood hazard. e-y1c! Special conditions on creation map or compliance document. FLOOR PLAN Complete to scale plan with dimensions. .?,.r'"Required windows for light and ventilation (Sec. 1205). " ,iw- Required windows for second -exit (Sec. 1204). --4� Skylights (Chapter 34 & Sec. 5207). Human impact glass (Sec. 5406). Required room sizes, ceiling heights (Sec. 1207). G.F.C.I.'s in baths, garage and exterior outlets (Article 210-8). ,11-.1 Light fixtures, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. -_9.'_�Locations of water heater, tion*� od-e-ee+i-ng equipment, other electrical or gas equipment, and plumbing fixtures. _>Q� Garage firewall, door size, and closer (Sec. 503(d)(3)). 1 - 3'0" exterior exit door (Sec. 3304(e)). Fireplace and wood stove location. Smoke detectors (Sec. 1210). STRUCTURAL DETAILS Foundation plan complete enough -:to construct building. Floor construction details complete enough:to construct building. �3� Elevations and wall construction details complete enough to construct building. .>•Roof construction details complete enough to construct building. /�01*1 Fireplace construction details and calcs if necessary. 65 Sufficient data and details to satisfy energy requirements (State Law) (Form 1). MISCELLANEOUS ITEMS TO LOOK OUT FOR Exposure I plywood on exposed locations and overhangs. Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306). Guardrail details (Sec. 1711 & 3306(j)):1 V4e Brick or stone veneer (Chapter 30). Exterior plaster - weep screeds (Sec. 4706). Proper roof pitch for roof covering (Chapter 32).. Rafter ties or bearing ridge beam. / ')j Return to DPW AGRICULTURAL STATEMENT -OF ACKNOWLEDGEMENT . FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement - b r c rded rior to issuance of a buildin ermit 86-27872 RECORDED IN OFFICIAL RECORDS OF BUTTE COUNTY CALIFORNIA AT TIIE REQUEST OF e e o p g p 86-27872MOD AUG 22 Ppi Z. 3i The property described herein is adjacent to land or included ELEA14OR M.8ECKER within an area zoned for agricultural purposes, and residents of this. CEERK=RECORDER FEE property may be subject to inconveniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, PA90 smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property'situate in the County of Butte, State of California,"described. as follows: 86-27872 Date: Alt. / / PRAPERTY OWNERS: 164AA-M e State of w:v ) On this the /9406-- day of 19 before SS. me, the undersigned Notary Public, personally appeared County of Present A.P. Nop2-8^ 2_3 —0 _ d3�s END OF DOCUMENT .-TPersonally known to me. / / Proved to me on the basis of satisfactory evidence. to be the person(s) whose names) 1_el� subscribed to the within instrument and acknowledged that executed the same for the purposes therein containe . IN WITNESS WHEREOF, I hereunto set my hand and official seal. HELEN RMONTREV NOTARY PUBLIC -CALIFORNIA Put:3 Countl ,+c y MY Commi€e;on Expiree luno 2o, 1887 Notary Public Present A.P. Nop2-8^ 2_3 —0 _ d3�s END OF DOCUMENT w 1.9 6' ol \cSO�i ��o �oJ��o A1.1 that real property situ4tod in the Section 35, ToimShip IS I�ort::, age 5 -':d beinc ♦:acre var Uculz.-r it (described Horth -half of the I;o:-threst quarter of East, ,.aDo1-1) ratte County, C-Eliforaia as -fo11olds o Co:::tiencin --::at t.'..e quaxter sec tion cor=ner tkt��:,n S3ction 35 allc� 9,ict3 ara 26, said corner being mmnumented by a scribed redwocd post; thence S 89 15,100" W, along the north line of Soction 35, X333®39 feet to northeast conger of;' that Parcel of land as described in deed to -I lUe Bomiagar as filed h-.Bool;- 299, Butte County Offi tial Records, at Page 12; -said cornbr bein; the northeast cornor of th-t o,�-rcel of Land as surveyed by Bm ; c Coy, on ;�uI '7, 1915, and sho= in the field notes of his su-rvoy i.0 Book. 83, at Page 1439 S;Ad field motes .baing on file in the Office of the Butte County aurveyor, siad-.corner also* beim tho 1� L� PODIT OF BBG-IP+ITING for the herein described parcel of land; then S 020 241 sir¢ ;J, b? ong the east line of said willia FLnm.nger parcel, 751020 feet; to a point on the North lins of than; parcel of land ns* ,Iescaribad in deed to -th6 County of Butto which is filod in Look 16.45, Gatto-- Cccnty Offici;-1 Records.9:-nit pate 4.12 and 41.5; thence S ao 049 01" E9 a1.on5 the' north li :c of sa:.d county', 1=1d) 22'1, 54. fcct- thenco S r1+0 75t 11" E9 353,65 fe s -b to a one-half .inea retar t;. gg-ad IS -1,625; thence N 02� 24. a 3'9 s .E, 829, GZ''eet t6 a point on the noi-tb , Iia®. of said Section 352 said point bsLag r..arkeci vita a ohne--hsl,f, inch sebrar- ta�;ed LS 3625, thonce S 890 15" 0011 V along the north lime of Section 35o 580.00 feet, to the point of b3ginning and contai,2ing 10.56 aures, �b e or less. PARCM 2: All that re 1 property 3s described in deed from Adol-P Ro:--•' nger to Willie Rominr er., riled for record on April 8; 1?�,2, in Book 299, Cffic.t l Pecords of 3utte County, r_t P;-,ee 120 )3L t�O LoGtEp- t-�0e1%E IACnnE �T Lo ciscliq 16, _ ��.� 67 JCOUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND'PERMIT PER NO. ASSES,SP PAR .E N MBER IBJ ZONIN BUILDING PERMIT Ow TELEPHONE SQ. FT. OCC -1 BUILDING VALUATION OWNPIERMAI LI A DR ,^ S CO RACTOR' NA7E T PHON Oons 1,3 C~ R' MAI G A RESS h3V tP,_1J d'o U Fireplace CONSTRUCT ON LENDER UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Vo -r' Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARC MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFJ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I IN 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remod I ❑ UyWties ❑ Instal latio Other Describe work: ( 4 ✓I hAaC d to Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1000 00VOR AMP LESS 10.00 Main service EA. ADO'L too 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 Profess' ns Code and my, license is in II force and effect. -- License No. Classification ❑ 1, as the own%er, 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.61 , OR ADDNS. ACC. SLOGS. /20sgft NEW WC ?N ULTI.OUTLET 2,50 ea NON.R ESID BRANCH CIRC ITS (POWER APPARATUS e) SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20050t SALO 30 FIXED P(RESID,)REAJ 2.00 Ex. Occup. OUT LETS Temporary service 10.00 Mobile Home Facilities 15.00 Misc. bVirin g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating N Cooling g Hood 3.00 Ventilation —permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against s d County in cons qu ce of the ranting of this ppermit / X Date / 2 G Signure 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 tories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ occuP. CONST.TYPEJ FLOOD PARCEL P11 I ND I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indic above for which RECT PUB BY PE XPIRES Date the applicable provi- resolutions to do fee have been paid. ORKS Date Receipt No. . WHITE-D.P.W.. YELLOW-ASSESSORPINK-INSPECTOR, GOLDENROD -APPLICANT ENGINEERING SURVEYING PLANNING October 24, 1986 Mr. Jim Glander Building Department County of Butte 7 County Center Drive Oroville, CA 95965 RE: Compaction Test, 511 Los Verjelles Road Nick Bartholomew Dear Jim, -C�3� 2 2 0 `G R AN -N:--) OROVILLE, CA. 95965 (916) 533-2068 We have taken compaction tests on the referenced site. The tests were taken at depths on the fill from one foot to six feet. The fill has been in place for over six years. Results of our test, taken with a Troxler 3411B Nuclear Gage, indicate the fill has been constructed in excess of 907 relative density. Sincerely, Kenneth C. Lenhardt, P.E. G.D.A. ENGINEERING, SURVEYING & PLANNING KCL / j m 127-86 CC: Nick Bartholomew 50 Mountain View Drive Oroville, CA 95966 WILLIAM W. GEDDIS JOHN 0. CHRISTOFFERSON KENNETH C. LENHARDT t I PERMIT NO. 48-83B PERMIT EXPIRES %L10 A/� OWNER DONALD ROMINGER CONTR.l- WendelSorenson' ASSESSOR PARCEL 28-23-36 ! NIS Los Verjeles, app 1k mi E La Port j LOCATION _ 4 Rd, Bangor y Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E x Temp. Gas Service Called PG&E JOB FINALED (Dat Z Signature f RESIDENTIAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED XT CONY? ,NC C NT ENERGY CONSERVATION REGULATIONS AT ,(�� S" GPS / ' (/ (locat&on) BU ILD ING PERMIT NO. fT� A'..' P . NO. THE FOLLOWING HAVE BEEN INSTALLED AS PER-APPROVED,.PLANS: (Check each item or write N/A if not applicable) INSULATION: Slab Edge Fdn. Walls Floors n� Walls Ceiling/Roof Ducts -� Circulating Pipes APPROVED HEATER APPROVED WTR.HTR. GLAZING: / Single Glazed Special (Insulated) CERT. & LABELED WDS. & SLIDING DRS. ,.--- WEATHERSTRIPPED DRS. BACK DAMPERED FANS INTERMITTENT IGNITION DEVICES CERT. APPLIANCES , I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED. Insulation Applicator Name Signature of (please print) � � • Insulation Applicator State Contractors ' ense No. ' General Contract Owner e E• i G ease print) Signature of ` General Contr o Owner Date SteYe Contractors License No. THIS CERT IF ICATE MUST BE ON FILE WITH THE BU ILD ING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. t V-= OK- 0 Not OK = Not Applicable MOBILEWOMES = Not Ready N MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except H's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except 4's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete _ 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4, Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing_ 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures i 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L'.ft./ /"LPG 7. Utility Clearance 6. Carports; Windows -Doors ' 7. Elec. Card -BI Card -BI Date Date Card -BI 1 Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line Card -BI Card -BI Date .Date Card -BI Date _ Date Card -BI Date _ POOLS (Plans) OK except N's 1. Setbacks -Easements ` 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances _ 4, Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 1 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/O to Grade -HD Approval, 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I - Date Card -BI Date Card -BI Date Card -BI Date J OK 0 = Not OK - = Not Applicable * = Not Ready i RESIDENTIAL (Single and Duplex) Date UNDE FLOOR P06 OK except#'s Date FRAMING Continued oni g requirements -Se cks-Easements 4 roperty Line Firewall & Openings A -Kg., Main; Soils -St -Elec. Grnd.- / /, /" Ftg. Depth Doors -One 3' -Check Garage -3rd story, 2 exits g., Garage; Soils -S I- / /" F.tq Depth tairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Fig., Porches & Decks; Soils -Steel- / /'' Fig. Depth 5 ywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab SP--Siding-Nailing-Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -F' eplace Ft .-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D. Fall -Fittings -Test -2 way C/O -Sewer Test Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground - 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI jU Date 3 Card -BI Date Card -BI Date Card -BI Date Card -BI Q Date Card -BI Date C d -BI Date2./gi:: j Card -BI Date Date FINAL (PIOK except #'s Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except #'s Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector _ 14. Water Ht.; Vent -Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 15. Water Pipe Test & Anchors -Nail Protection D.W.V., es Fttngs &Anchors -Nail Protection 59. Bedroom Exiting -_-_16' 17. Shower Pan; Test, First Floor -Tub Access 6 .I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 6 Elec. Trim & Subpanel; Breaker Sizes -Labels 19_. Gas Pipe; Size & Anchors 6$/�tairs & Rails 640qireplace or Stove; Clearances -Hearth t-Efee-c. Outlets at Wood Panel; Int. & Ext. Card -BI DateCard-BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except #'s 67. IGarage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. fixture & Transformer Clearance -Ins. Protection 6t.,A4trHtr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor -Meeh. Protectioneceptacles -- _ �E RSpacing -Lights &Switches at Doors 7%b,, Elec. & Mech. Equip. Listed for Location 2'S Boxes & No. of Conductors -Stapled 7�Elec. Receptacles in Garage; (G.F.I.)-Rome Protec. R ex Installed Close to Edge of Studs & C.J. Gro d Equip. made up w/Mech. Fasteners -Bond Gas & Water 721 Insulation -Foam -Looked in Attic s -25 Appliance Circ its in Kitchen &Conductor Size 7 Guard Rails & Deck Construction -Post Caps 74.rn s Crawl Hole Door -Drainage &Wood -Earth Clearance rawlloor ol Yes 26.-&otr*ed-I 4w.,Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI ga Cu or AI -Oven Circ. / / ga. Cu or AI, Insulated Neutral Yes ❑No 266ervicLrRiser Conductors & Ground -Main Disconnect76.own-Finish 75,in�stl�- Drive es No; Walks Yes ❑ No; RYes ❑No Equip. Clearances; Panels-Motors-Mech. Equip, Z7. Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet _ of es Closet Light -Shower Light -_ Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. ---------- Card B -I Card B -I -------------------- Dateg�y Card -BI Date Date Card -BI Date 7 Water Well; Disconnect, Electrical, Plumbing . Exterior Elec. Trim; G.F.I. Receptacle -Underground ntilation throughout House ss Protection Date - _ _ - --- MECHANICAL (Permit) OK except #'s 31. A.C. Ducts; Insulation &Support - 32. Vent Fan_ Exhaust above Insulation _ _- 33. _Condensate Drain _& Overilow, Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic ------- _ Corrections from Previous Inspections 84. G Test -Meters Tagged; Gas -Electric W r-& Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates Card -BI Card -BI ---- - -- - ------------------ Date -Card-BI Date Date Card -BI Date Card- Date - Card -BI Date -BI Date _ Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date _ ---- - FRAMING(Plans) OK except #'s 36. Sills; Proper Material & Anchors Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing- -- 33-5rraft Stop in Walls (rat proof) -------- --------- ---- --- ---- _40. _Fire Stops; Furred Ceilings -Stairs -Chases -Tub - 40 -"Header & Beam -Size & Bearing 4� �i gers-Pos Caps -Anchors -Connectors Cing fir. Ties -Pur -Roof Brac.-Truss-Shthnq,-Rfnq. 4�irep e Ties or Type &oFfue-Fireplace Throat 41kq tic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. m. Windows or Exiting Doors -Sill Hgt. & Dimensions _- 4 ,arage Fire Protection Framing---- - - __-_ - - (NOTE:Anentrymust be made each time youvisil jobsite) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE 1r� BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. J u r� r" Inspector � Z----7'(/ Date's COUNTY OF BUTTE - DEPA14TMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 05965 - Telephone 916/534-4541 T APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER a O NG BUILDING PERMIT OWN EbZAi a ] CJ(/_ TELEPHONE SQ. FT. OCC. BUILDI ALUATION �Xw:q D11 OWNER'S MAILING ADD ESS TRAC OR'S ME ,S ITELEPHONE C NTRAC OR'S M ILING ADDRESS Fireplace oo0, CO TRUCTION LEN ER { N UNKNOWN Total Valuation $ Filing Fee $ 10.60 LENDER'S MAILING ADDRESS Permit'Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 79 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS _ Permit fee BUILDINGDDRE�J) P� 5 10 V LOS PLUMBING PERMIT Filing Fee 10.00 + TO vile- WC1 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME RCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCT RE SF ❑ Duplex ❑ Mobi lehome ❑ Other - S T h Building sewer 5.00 lobi le Home S I G I W I I 110.00ea TYPE OF W3 New Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: — Permit Fee $ 00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELLING C OR A.D.S. ACC. BLDG 2'hQSgft CONTRACTORS LICENS L-VgeNON.RESID I declare under penalty Of perjury (c (One : prove s 9, Div. 3 Of the Business and Professi e and m license is in full force and effect. I am licen d un�C�o License N � Classification /J ❑ 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 CONSTR ULTI-OU E 2,50 ea BRANCH CIRC ITS NEW CONST R. POWER APPARATUS & NON-RESID. ( SINGLE OUTLET CI 0@50C Ex. Occup(OUTLETs OR FIXTURES eALeg OQ FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. �• I have laced on file with the County of Butte Building Department Asha I icate of Workmen's Compensation Insurance or a Certificate sent to Self -Insure. I not employ any person in any manner so as to become subject P'—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. Heatin g Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building constructioand hereby authorize representatives of the Countyot Butte to enter upon t )'ave -mentioned property for inspection purposes. also ag a to ve inify and keep harmless the County of Butte a ainst against d, int and all Iiab t' s, d cost`s" and expenses which may Aany,yra% �C+'�e a granting of this p iT [ " a X— 1 Date Signature of Applicant — Ownerlj�ContractooM Agent ❑ An OSHA permit is required for excavations over deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ _ TOTAL PERMIT FEE$I OCCUP. GROUP TYPE OP ONST. � PAROL f/ PD Ito/ v ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIR R OF PUBLIC By � PE T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Datea� 2^`` �V Receipt No. LZ 7 WHITE-D.P.W., YEL O PINK- E,�G L ROD -APPLICANT • 4 � , .. - ., ..i y �. i ' - .y �- _ � ` � � i. - _ � - ti � � � Y Return to DPW AGRICULTURAL STATEMENT- OF' AC'M. OWLEDGEMENT 55� FOR RESIDENTIAL Di'VELO•PMENT • �rE'IC'.Ai. !Tip`.:(,`::: Section 26-8.1 of the Butte County Code requires this acknowledgement gtS TE CQ�'Pa" �~ be recorded prior to issuance of a building permit. RE ; RO" ;•t�'.3` . ` The property described herein is adjacent to land or included Aq 7 25 Q►k� within an area zoned for agricultural purposes, and residents of I Itrl* f this property may be subject to inconveniences or discomfort arising . ELES.NOR M- u �CK'8I Rte R CORDER I from the use of agricultural chemicals, including, but not limited to iic es, wFEE pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa- sionally generate dust, smoke, noise, and odor. Butte County has established.agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Bu.ttState of California, described as follows: Raz ► )U11 -A (>ER_ 00b-�23-0-03& -0 kocam-z) W/-rw1 k) SEC. Date • C28 1 ! 9- State of ) SS. County of ) 9 HELEN MONTREY NOTARY ,PUBLIC Butte County State of California My Commission fxpires lune 20,1983 • K PR ERTY OWNERS: On this the day of 19�, before me, the undersigned Notary Public, personally appeared G tr /2-X known to me to be the person(s) whose name(s) subscribed to the within instrument and acknowledged that executed the'same for the purposes therein cofftained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Present A.P. Notary Public END OF DOCUMENT n PR ERTY OWNERS: On this the day of 19�, before me, the undersigned Notary Public, personally appeared G tr /2-X known to me to be the person(s) whose name(s) subscribed to the within instrument and acknowledged that executed the'same for the purposes therein cofftained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Present A.P. Notary Public END OF DOCUMENT n M1461A Wall H