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HomeMy WebLinkAbout028-410-100a 28-W-100 Mixon S/St ssion Olive Ct., app.200'E.of Mission Olive Rd., Oroville conte RR Pump, Oroville Permit #527-S4P,E(Stil.,MH) ELEC . 2.20-8/ 2.004 20 A GAS '2- Zo - 81 (9eAl t , SUPPORT STRUCTURE RfQ,, "kb COMPACTION TEST REQ. (-)tz �. n Permit#682-81P (gas- - p' i��,��j 28-M-100 Contr: R'- and Van Stavern MH Se Permit 116//-81MHI Iss ed 7�-8�� , loo contr. Gary Soudan Const., Oroville Permit #2225-81B(new decks/MH) _ 'nQ1 91/01 V11 28=V-100 contr: Oren�Const., Oroville Permit #4353-81B(new awning/MR) Y?-,--2-8=,�F-10 con r! R-& R Pump;Orovlle &rMIT #1265-82P,E(elec. & water pipe for new wll/MH) 28-x'-100 Permit. #, 1405-82B(add awgngs)MH,_-_ l 28-ir 100 MARK=ANDERSON k• `20 Mission Olive -Ct • . -- rmit#109-884(Agricultural Bldg Exemp ;~ farm implements, livestock,, hay & grain 28-10 MARK E. ANDERSON - 20 Mission olive C 0 ovil t Permit#1479-89B,P,E, ( ew ngle family -?F-100 S �1 Permit# 07-90B (t st renewal 79-89) I { 1 a 28-W-100 Mixon S/St ssion Olive Ct., app.200'E.of Mission Olive Rd., Oroville conte RR Pump, Oroville Permit #527-S4P,E(Stil.,MH) ELEC . 2.20-8/ 2.004 20 A GAS '2- Zo - 81 (9eAl t , SUPPORT STRUCTURE RfQ,, "kb COMPACTION TEST REQ. (-)tz �. n Permit#682-81P (gas- - p' i��,��j 28-M-100 Contr: R'- and Van Stavern MH Se Permit 116//-81MHI Iss ed 7�-8�� , loo contr. Gary Soudan Const., Oroville Permit #2225-81B(new decks/MH) _ 'nQ1 91/01 V11 28=V-100 contr: Oren�Const., Oroville Permit #4353-81B(new awning/MR) Y?-,--2-8=,�F-10 con r! R-& R Pump;Orovlle &rMIT #1265-82P,E(elec. & water pipe for new wll/MH) 28-x'-100 Permit. #, 1405-82B(add awgngs)MH,_-_ l 28-ir 100 MARK=ANDERSON k• `20 Mission Olive -Ct • . -- rmit#109-884(Agricultural Bldg Exemp ;~ farm implements, livestock,, hay & grain 28-10 MARK E. ANDERSON - 20 Mission olive C 0 ovil t Permit#1479-89B,P,E, ( ew ngle family -?F-100 S �1 Permit# 07-90B (t st renewal 79-89) {�• ��� ry � � 4 14 COUNTY OF BUTTE - DEPARTMENT OF LIC WORKS PERMIT NO. County Center Drive - Oroville, California 95965 - T\ p ne: 916/538-7541 APPLICATION AND PERMIT -� T ASSESS ARCEL NUMBER 42-45-049 ZONING BUILDING PERMIT WNER Jack & Lois Carmen TELEPHONE _8518 S0. FT. OCC. BUILDING VALUATION Est 11 000.00 OWNER'S MAILING ADDRESS 788 Silverado Estates Ct., Chico C ONTRACTOR'S NAME TELEPHONE Perfection CONTRACTOR'S MAILING ADDRESS Fireplace 897 E. 20th St.. Chico 95928 CONSTRUCTION LENDER UNKNOWN Total Valuation $11.000.0 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $92.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $15.00 Eff 15.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $132.50 PLUMBING PERMIT Filing Fee 10.00 Each Trap 1 2.00 Solar or heat pump water heater 20.00 LOT NO. 2 SUBDIVISION NAME Alamo East Subdivision PARCEL MAP // (, ,�i Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 SF ❑ Duplex❑ Mobilehome❑ Other_ n ' Building sewer 5.00 S G W 0.00 ea TYPE OF WO New Ad i ion / $15.00 Describe work: Pool Master 507-88 IAL PERMIT Filing Fee 10.00 V OR LESS AMP OR LESS 10 00 . AOD'L 100 AMP 2.50 CONTRACTORS LIC I declare under penalty of perjury p y p l y (check onl I am licensed under provisions of and Professions /Co/de and my lic License No. S'466 S4 CI: El 1, as the owner, or my employees /^ NELLING OCCUP.ai� V/ CC. BLDGS. u TLOUTLET _ 'RANCH CIRC ITS _ OWER APPARATUS 61 NGLE OUTLET CIR. /. LETS OR FIXTURES ED APPLNS. OR LETS (RESID.) EA.) yz¢sgft 2,50 ea 2000c SAL030 2.00 sation, will do the work,and the s I for sale. (Sec. 7044) I, as the owner, am exclusively c El I, ors. (Sec. 7044) /ice 1 10.00 15.00 15.00 ❑ I am exempt under Sec. •ic 1 15.00 15.00 for this reason $ 25.00 WORKMEN'S COMPENSATION INSURANCE. I declare under penalty of perjury (check one): MECHANICAL PERMIT Filing Fee 10.00 ❑ e permit is for $100.00 (valuation) or less. Heating 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. Cooling ❑ I shall not employ any person in any manner so as to become subject Hood 3.00 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. Ventilation pennit Fee Contractor $ I certify that I have read this application and state that the above information Mobile Home Installation Fee $ is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue gainst said gounty in consequence of the granting of this permit. Energy Inspection Fee occ CONST TYPE TOTAL FEE $ HAL. CUA PARK SCHL FLD CDF $ PAR PD HD. ISSUE Xtl� 3 l8 `�/ Date Signature of Ap cant — Owner ❑ Contractor ❑ Agent ❑ This permit is hereby issued unaer the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. DIRECTOR OF PUBLIC WORKS Receipt No. 83632 By Date WHITE-O.P.W., YELLOW-ASGESSOR, PINK -INSPECTOR, GOLD ENR00-APPLICANT PERMIT EXPIRES Date. COUNTY OF BUTTE -.Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. x1. I personally plan to provide the major labor and qaterials for construction of the proposed property improvement (yes ori) �( 2. I (have/heve—Mt) i� _ signed an application for a building permit \ for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4,. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide.the work indicated: Name Address . Phone Type of Work Signed: XProperty Owne Social Secu it Number Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT -- FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior.t" issuance of a building permit. The property described herein is adjacent , to land or included within an area zoned 1 99-017507 Rec Fee 9.00 for agricultural purposes, and residents Check 9.00 of this property may be subject to incon- Recorded : veniences or discomfort arising from the Official Records : use of agricultural chemicals, including, County of : but not limited to herbicides, pesticides, Butte : PATM SHQW� and fertilizers; and from the pursuit Candace J. Grubbs : of agricultural operations including, Recorder : but not limited to cultivation, plowing, 1:22pm 12 -May -89 : RB 3 spraying, pruning, and harvesting which occasionally 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 disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Date: ' � E State of I'714) On this the SS. the undersigned No County of ■ ■ PROPERTY OWNERS: r day of d'r/�l 194 before me, ry Public, p rsonally appeared E] Personally known to me. �oved to me on the basis of satj'sfactory evidence. ■ w r to be the person(s) whose name(s) / 5 a subscribed to the within instrument and acknowledged that executed the same for the purposes therein contained.. INi WITNESS WHEREOF, I hereunto set my hand and official seal. a ■ ■ Pr ■ P. No. '-zl� Notary Public ORDER N0. 1-142308 ' • SCHEDULE C The land referred to herein is described as follows: All that certain real property situate in the County of. Butte, State of California, described as follows: DDD('VT T . Parcel 3, as shown on that certain Parcel Map being a portion of Sections 5 and 6, Township 18 North, Range 5 East, M.D.B. & M., filed in the office of the Recorder, County of Butte, State of California, on April 4, 1980, in Book 76 of Parcel Maps, at page 40. DHDOVT M. A Right of Way for water pipeline over the Weste:_).y 10 feet of Parcels 1 and 3, as shown on that certain Parcel Map being a portion of Sections 5 and 6, Township 18 North, -Range 5 East, M.D.B. ;::,�[., filed in the office of the Recorder, County of Butte, State of California, on November 7, 1978, in Book 68 of Parcel Maps, at pane 68, and over the Westerly 10 feet of Parcels 1, 2, 3 and 4, as shown on that _-_.certain Parcel Map of a portion of Sections S, 6. 7 and 8, Township 18 North, Range 5•East, M.D.B.--& M. which Parcel 1-3ap was filed in the office of the Recorder of the County of Butte,State. of California, March 29, 1976, in Book 55 of Parcel Maps, at Dain. 91. PARCEL C: A non-exclusive public easement for ingress and egress and for road and public utility purposes, as shown on that. certain Parcel Map being a portion of Sections 5 and 6, Township 18 North, Range 5 East, M.D.B. & M., filed in the office of the Recorde):, County of Butte, State of California, on April 4, 1980, in Book 76 of Parcel Maps, at page 40. AP No. 028-19-0-100-0 Comp. _�• Ex. i ) _ 3 3.2 1 2 3 3 102 T. �1 93 0 0 �•37Ac J vt 5.01 Ac F7 7 5.91Ac 78 .9 21.2 3 1 o� 3.4 3.01Ac r 42 106 K AC 10 5.0 I Ac 32 PM 76- 701 co3.olAc PM 67-34 N 14, NAMOS Cr (tARRIE CT) ch '0.738 AC 73 10.35 AC /STY VIEW V WY_ f000` Pcl. Pcl. Pcl. 4 - - v 83 64 � 85 ti 5.80 Ac. .5. 80 Ac.- - 5 7.9 Ac. M Q P/M 59-78 n 467.49 467.49 467.49 2 p 11 3 4 81 2 3 'U S. �c 53.14 AC � 9% \ 0 �O J 2 11 l2 113 5.02 A 5.03 a �- 11 AC Ji 0 - cas -37�s0 9. 1 534.40 3!0.00 h -- 71co 86 0 87 N h PCI.A PcLB ()D 4.0 9.1 AC tO 7.92 Ac. 5.00 Ac. 600 Pnf60-63 h 1f, se .z► (656.27± 7 A c 6 t 42 • PLEASANT VIEW W 329.990 552.895 11 3 o l0 O 3' `Lc 3.094c o O lO w I0 PA4 79 243 5.13Ac 7 60.7 O 7 12 1 .b o, 0 gg 5.16 Ac m 21-2 (;!!:1 th �* o sou gg Ac -0 . 42 1 o � 3.23.dc• 101 01 PM 76-40 i 3 4 N89 30 7' 1137.; 31 92 5 8.37 AC. • i PTN 1 A4 73-56 14 � B8 )0-0311-BO.62AC. 132.3 PM 6 8-6 81 1317-44 Th's map may or may not be a survey of rho hand do* -%d dtereon. You shm(d not rely upon it for any purpose other .Tran orientation to the general location of the parcel or par- cels depicted. BBIDW'ELL TITLE 8 ESCROW CO., expressly disclaims any liability for alleged loss or damage which may result from reliance on this map. 5 8.5 Ac T 117Q1 " 5/ 8.5 Ac ^ 1179 4� " 52 _ 8.5 ,4 118.q. 72 F !`N`^+b.1..,_,•..,.►.al•M...-...'�4+i-"v:.,:r..r..1 T'x""iyd�t.,+rv'M YVit,7Ke7*:.-�}[.'r:ice"r�'r�„M'.iui..i~`'t'r..-� .s7cl'X.- r., • i, BUTTE COUNTY SCHOOLS DEVELOlMENT FEE CERTIFICATION FORM (One Form per Building) A.P. Number'— 1I —lb0 Building Department No. School District �,1+ City Q County E!r Jurisdiction Property Owner Project Location/Address CPO yl� r ,Q�flit,,CY`� 066 f - ( Subdivision Lot Number Residential Development: )Q(,�Q� ' Sq. Footage / D _./ 0 lk # of Living MHI Addition (Group R) Units Commercial/Industrial:. Sq. Footage New, Addition (Including'•Exterior Roofed Areas) / F9 Building Dep tme, t Representative Dat • ****************************************************************** <�ry District Id No. - School District certifies that (Applicant Name) (Phone Number) d L.dwu (S r, et Address) (City) (State) p (Zip Code) has complied with the requirements of Resolution No. by the paymelnt of $ -277.2-X4 -representing square feet. Sc ool Dis ''•t Representative Date PAID .BY CHECK NO.4 .3 BANK NO PAID BY CASH REMARKS:* white -applicant, yellow -building department, pink -school district SCHOOL . FEE (5/88) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE 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. Inspector �� Date 514 / 7 / d, " PERMIT NO. 527-81P,E PERMIT EXPIRES OWNER James Mixon CONTR. R & R Pump, Oroville ASSESSOR PARCEL 2819-100 LOCATION S/S Mission Olive Ct.,app.200'E.of Mission Olive Rd., Oroville Temp. Power Pole Called PG&E Temp. Elec. Service 2 71k/ 7 Called PG&E ' Temp. Gas Se r' ( v Calle.-(� INALE[ Signature J=OK 0 = Not OK — = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBIL OME UTILITIES (Plans) OK except #'s Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s Zoning Requirements—Setbacks—Easements 1. Zoning Requirements—Setbacks—Easements _ oils; Special MH Support—Sketch 2. Footings; Size—Depth—Spacing—Connectors le'rewer; Location—Test—Fall-C/0—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails ate ; 'ocation—Test—Easement Needed (Sketch) 4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rig.—Bracing lectricity; Location—Clearances—Grnd.—/ Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6r4 ^' "Gas Location—Test—Wrap:/ /"L"ft./ P'Nat. or/47' L"ft.*/" LPG 6. Carports; Windows—Doors tility Clearance 7. Elec. Card-BIDated W Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except #'s Card -BI Date Date Card -BI Date POOLS (Plans) OK except #'s oning Requirements—Setbacks—Easements 1. Setbacks—Easements matings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability t3.H Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Elec.; Receptacles and Lighting; Distances—GFI ectricity; MH Test—Crossovers—Breakers—Clearances rain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI mer; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed t-_Wa!q�r and Sewer Connected—C/O to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater O"tas and Electricity Tagged 6. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit xit Insp.—Sketch ert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B -I DateCard-BI Date Card -BI Date Card -BI Date Card B -I Dat Card -BI Date Card -BI Date Card -BI Date u c*& 2_//6 -?v V = OK 0 = Not OK - = Not Applicable RESIDENTIAL * = Not Ready (Single and Duplex) Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 51. 52. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolls 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. - Card -BI 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Date Card -BI Date Card -BI Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except N's - 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. 18. Shower Pan; Test, First Floor -Tub Access Test Tub & Shower, 2nd Floor -Tub Access 60. 61. G.F.I. & Bath Fixtures & Tub Access Elec. Trim & Subpanel; Breaker Sizes-Lcbels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth Card -BI Date Card -BI Date 64. Elec. Outlets at Wood Panel; Int. & Ext. 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 N's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes & No. of 71. Elec. Receptacles in Garage; (G.F.I.)-Ramex Protec. a to Edge of 23. Romex Installed Close to Edge of Studs & C.J. 24. 25. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 2 Appliance Circuits in Kitchen &Conductor Size 72. Insulation -Foam -Looked in Attic ❑Yes 73. Guard Rails & Deck Construction -Post Caps 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes ❑No 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters F-1 Yes 0 N 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77• A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card BI Date 81. Ventilation throughout House Card B -I Date Date Card -BI Date MECHANICAL (Permit) OK except p's 82. Glass Protection 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. 33. 34. Vent Fan; Exhaust above Insulation Condensate Drain & Overflow; Size & Grade Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 86. Energy Compliance Certificate -Other Certificates 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING Plans OK except q's 36. Sills; Proper Material & Anchors Comments at Final: 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound _ 38. Bearing Walls over Girders & Floor Nailing _ 39. Draft Stop in Walls (rat proof) ` 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing ^ _ 42. 43. 44. Hangers -Post Caps -Anchors -Connectors CI_ng. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfng. _ Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: An entry must be made each time you visit jobsite) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT N. • 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 / • - APPLICATION AND PERMIT Asr. ER PARCEL NUMBE _ ZONI G BUILDING PERMI �OW R TELEPHONE I O ER'S MAI LIN ADDRES SQ. FT. OCC. BUILDING VALUATION COAC N TELEPHON to CONTRACTO 'S MAILING ADDR p0]� f Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $� LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDINGDRESS V PERMIT Fee 10.00 FilingFee f 4 J41 SRI Each Trap 2.00 Repair drainage or vent piping 5.00 �() Water piping LOT NO. SUBDIVISION NAME PARCEL MAP C> Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome�eOther SPECIFY I Building sewer Q, Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities P-' Installation❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR10V OR LESS5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. /DWELLING OCCUP.y\ OR ADDNS, l ACC. BLDGS. I 2¢sgft CONTRACTORS LICENSE LAW I declare uDOef 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.FIXED License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended'or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec.-, Business and Professions Code for this reason NEW CONSTR -OUTLET NON-RESID BRA CH CIRC ITS 2,50 ea NEW CONSTR / POWER APPARATUS 61 NON-RESID. \SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURES 500251 gpL Pl LNS Ex. Occup.(P OUTTS (RESID )REA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 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 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. h'sl all 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. Heating Cooling Hood 3.00 Ventilation permit Fee S 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 eep harmless the County of Butte against all liabilities, Judgments osts, d expenses which may in any way accrue against Co i o equ a of the granting of this per it. X• Date nature of Applicant — Owner ❑ Contractor ❑ Agen 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 $ TOTAL PERMIT FEE $ OCCUP. GROUP TYPE OF CONST. PARCEL PD ND ISSUE �' V This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC B f PE T EXPIRES Dated"Z- the applicable provi- resolutions to do fees have been paid. WORKS Dat.2 f, -,p Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE'- DEPARTMENT OF PUBLIC WORKS PERMIT N 7 County Center Drive - Oroville, California 95965 - Telephone 9.16/534-454 APPLICATION AND PERMIT ASSESSOR ARC7 mB R � zo ING — BUILDING PERMIT OWNER TELEPHONE SQ- FT. OCC.1 BUILDING VALUATION OWNE 'S MAILI G ADDRESS CONTRACTOR'S NAME T LEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER ,/LICENSE �- NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILD% G ADDR 5 S S 155 /G-vl PLUMBING PERMIT Filing Fee 10.00 ` SS1 9'Yt % L' d Each Trap 2.00 Repair drainage or vent piping 5.00 D 1—D Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USEOF STRUCTURE SF ❑ Duplex❑ Mobilehome /Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ emodel ❑ Utilities e I1j stallation ❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP LESS 5.00 • Main service EA. ADD'L too AMP 2.50 NEW CONST. DWELLING OCCUP.d) OR ADONS. ACC. BLDGS. 2� sq fit CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) )� I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR.NON-RESID BRANCH CIRCUITS) NEW CONSTR. / POWER APPARATUS e NON-RESID. %SINGLE OUTLET CIR. EX. Occup(OUTLETS OR FIXTURES BAL2i 00 IXED APPLNS. OR Ex. OCCUp.�OUTLETS (RESID.) EA. 2.00 Temporary service. 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 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 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. Heating Cooling Hood 3.00 Ventilation Permit Fee S Contractor I certify that I have read this application and state that the above information 1s 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 ilities dgmen osts, and expenses which may in any way accrue ag inst said unty� co equegce of the granting of this permit. %� Date . �—�/ g lure of Applicant — Owner Contractor ElAgent❑ n OSHA permit is required for excavations over 5'0" deep and demolition or construct- of structures o[veerr 3(�stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ O OCCUP. GROUP I TYPE OF CONST. I PARCEL PD HD 15911E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which TPP OF PUBLIC BY(2 � _/� PERMIT EXPIRES D to _ the applicable provi- resolutions to do fees have been paid. WORKS Da�v3 Lion, A©Oceipt No. TE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT a i b I ,! ri This set of plans and specifications MUST be kept on the job at all times and it is unlawful to mare any changes or alterajions on same without written permission from the Department of Public Works, County of Butte. N 0 cc rd�Al/ M °{ a ante vtedol Unif 9valit with Re W the °ro) 8,41 djpresc►ibAc'9nitedorkn'anshi N°tiona/ E/�c,trPl Urn6 nq ' th& Geed �, rySh0// e ca/Ma t, en/ tees �ry SQ. FT. MINIMUM oQl®, chanicai '��in and FOR MOBILIES Coethe s and Utility connections shall be within 4 ft. of the mobilehomeEher directly behind a ° de (left)the of the rear half of the ro mobilehorrie. LN -z-7 -� I BUTTE COUNT ,BUILDING DEPAR MEN' "APPROVIED I - COUNTY OF BUTTE- DEPARTMENT 0! 7• County Center Drive - Oroville, California 95965 - PUBLIC WORKS PERMIT N Telephone 916/534-45 / APPLICATION AND PERMIT ASSESSOR PARCEL N MBER q b m ZONING I BUILDING PERM /.Z 6 8LJ,0 OWNER -To iA N M 1 X 0 1 TELEPHONE S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS -1 M(SS'(Oa et-IuE RO CONTRACTOR'S NAME 4QILHA2 Q u S-FAuEA A/ S6sq'iCC—_ TELEPHONE 972--036¢ CONTRACTOR'S MAILING ADDRESS li-30 c RP_QL-- RAO (SC— , c�9­ CONSTRUCTION LENDER UNKNOWN Fireplace Total Valuation Is LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 6 ,0 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDIN AD EssAt S-Slo VEach PLUMBING PERMIT Filing Fee 3.00 Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome V Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK 2 -'Other - New F] Addition❑ Remodel Utilities❑ Installation 2� Other❑ Describe work: ,��%–— Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 600V OR LESS 000 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP,&) OR ADDNS. ACC, BLDGS. 20 sq C RACTORS LICENSE LAW I declare under penalty of perjury p y p I y (check one): [� I am licensed under provisions of Chapt. 9, Div. 3 of the Business(OUT50 and Professions Code and my license is in full force and effect. License No. 3-714-18 Classification L° — & I ❑ 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 CON5TR ULTI.OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea NEW CONSTR POWER APPARATUS &) NON.RESID, (SINGLE OUTLET CIR. @ 250 TS OR FIXTURES 5B L@101 Ex. OccupED APP LNS. OR Ex. Occup.(FIXED 0UTLETS (RESID.) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE 1 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. MECHANICAL PERMIT FiIingFee 3.00 Heating Cooling Hood 2.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County din/ consequence of the granting of this permit. %� o jea6l vu—Itz;,/V1 � Date f---3 — f / Signature of Applicant — Owner❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST, PARCEL PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOI_O UBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 11-441 Receipt No. 23 (ig WHITED. P. W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 AGRICULTURAL BUILGING`>EXEMPTION PERMIT PERMIT NO. Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by'the public. ASSESS ARC190. 0. O� ZONING `A eM J f OWN /� /7/ U�O'� PHOT O 7 6 OWNER'S ADDRESS e eT �,`ss���J Q ��� ..) t 9� G� LOCATION OF BUILDING 7 m2o/'tt, tF USAF BUILDING f Ode i ,� c ,�ivt i6�w�s �.1 sro�� // g , �9,�c1 SIZE OF STRUCTURE � 1-167� - a X 94!9 /O So. FT. _ TYPE OF CONSTRUCTION: WOOD FRAME _�<_STEEL CONCRETE OTHER (Specify) TYPE OF SIDING x�d2 � a/006 ROOF COVERING FLOOR TYPE f 0_6#1A 1T- ESTIMATED`COO"ST OF CONSTRUCTION 0c)_ _ $ `� AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows: FRONT -h SIDES REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated above and the proposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date 1/17 a Permit Fee Receipt No. Signature of OwnerV The above described AG Building is exempt from a building permit. White - DPW, Yellow - Assessor, Pink - B. I., Goldenrod - Applicant Public Works .00- BY Date Director of -- COUNTY OF BUTTE - DEPART-MtNTtOF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRfC/E - OROVILLE, CALIFOONIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET OWNER Proposed Building Use Building Inspector Permit No, At time of permit application, I was advised the following data must be submitted prior to permit processing and:/or issuance: DATE RECEIVED APPROVED 1. All items.have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate. /triplicate, signed by preparer of plans. . 3. Complete plans in duplicate./triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on 'plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. School District "Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . . 10. Sanitation approval from Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate 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. . . . . . . . . . Pre-Inspec. request to (Date) 17. Pre -Inspection for Required. Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of 21. Engineered trusses in duplicate (required prior to plan check). 22. When you issue the, permit, procesJ as follows: Mail to owner, -Mail to contractor. _Z Telephone �i��" and hold for pickup at�office, Deliver w/inspector. Other Applicant Date Copy of plans sent Health Dept., __Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_mail—counter by date Contractor, designer, owner, was advised of above required data by—phone —ma II—counter by date Plans checked by Sets of plans on hold in Copy—DPW Date Plans approved by File cabinet AP folder Date COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) Cs'� 2. I (have/hie—net-) //i9lftL signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property OwnerAj]�� Social Security Number ' Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. TO Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance A % Amer Lo , cation Plan Approved for: Sewage Disposal y Water Supply Hold final for: Water Supply Final clearance O.K. for: Water Supply Clearance for 4r mot;4 e home— Other Date Sanitarian COUNTY OF BUTTE - DEPARTMENT OF,,PUBL'IC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 / PERMIT APPLICATION DATA SHEET _44) Permit No. — OWNER (O.( fn ." A. P. No. Proposed Building Use 1YlAU,r2 Building Inspector_ � Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .......... 0 ... __4W'<Z. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions...................................0................... 9. Fees of $ .......................... 10. Chico Urban Area fees paid ........................................ 11. Pa k fees paid .......... _ _ZLK2. —oCZO–m School District fees paid ................. Sanitation approval from Health Department ... I 14. City of Chico plumbing permit ..................................... 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: ......... 17. Improvements may be required. 18. Driveway permit (construction approval required prior to occupancy) ... 19. Pre -Inspection for Pre-Inspec. request to required ...... Building inspector (Date) 20. Contractor's license information (No., Name Style, Classification) ....... t 21. Certificate of Workmans Compensation Insurance .................... 4&74� Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .. Recorded copy of Agricultural Acknowledgment Statement ........... . 24. Letter of signature thorization ........+ r / 15 �6. When you issue the eermit, process as fol ows: f Mall -to owner. co Q � Mail to contractor. Telephone L and hold for pickup at office. Deliver w/inspector. Other Applica; Date Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---nail_counter by date Contractor, designer, owner, was advised of above required data by_phone_mail_coun r b date Plans checked by Date Plans approved by Date ^� —Sets -of plans on hold in File cabinQt AP folder Copy—DPW 1 r MOBILEHOME SUPPORT DATA If h " h 1 d of er t an sing e W Mobilehome Mfr. S/Q NN _ d d9° Ifurnish Setup Model No. Year b Width �� (ft.) Box Length_.66 (ft.) Tagalong or Expando Size �— ft. x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured aA er October.7, 1973, furnish manufacturer's installat;,ion manual and structural setup sheets' (if not on file with the County of Butte). All center supports measured from -front of mobilehome unless otherwise specified. Single t x (ft.)(in. (in.) (in.) Center suppot Center s pport locations" footing sizes (in. (ft.)(in.) (ft.)(in.) I 1 I1 x (ft.)I (in.) (in. (in.) *If center piers are other than drawn above, draw in locations; spacing, and dimensions. Footings (check one) 21"'1. Wood either pressure treated or foundation grade. 2. Other (specify) Supports (check one) �• Concrete block. 0 2. Other (specify) Tagalong or Expando, show support details. 6x3° -- Typical Support .) (in.) Footing Size -- Max. Pier -Spacing (ft.)(in.) Max. 'Overhang (ft.)(in.) y ;BUTTE COUNTY OLDING DEPARTMENT APPROVED BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: o (A.:% X 0 nl 2. Installer's name: Rk'cWAR0 4lIl9N S?AV9 4/ Ma'9� s�j2iJ1�� 3. Is the site currently under permit? Yes /x / No (If yes, furnish permit number j Z 7 — ) OR Is the site an existing site? Yes / / No X (If yes, furnish two (2) plot plans.) 4: Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes / k/ No ( If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- ® ® Amps 6. What is the mobilehome site service rating? --------------------- 0 Amps 7. What is the mobilehome site circuit breaker rating? ------------- . 8. Is there any other electric load to be served by the mobilehome t ® A site service? --------------------------------------------------- Yes / / (If yes, identify the load and size: (Load) Amps No / / (Amps) / 9. What is the --------------------- ----------- mobilehome site gas pipe size? ---------------------- 10. 10. What is the type of gas'service?----------------------------- Natu al / / LPG / 11. What is the gas pipe length from meter or tank t me. ( .) 12. What is the mobileho�e�gas errand? ------------------------------ (BTU) information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) est/' ��G?7OrUS a�QU�� 9v�e c G G County of Butte nernortal DEPARTMENT OF PUBLIC WORKS 89117751 k Way Chico — '"' "n" 7- 7 County Center Dr., Oroville — 534-4541 Skyway and Elliott Rd., Paradise—$?:;F 3435•- 87z Z96/ -Ear. 57 CORRECTIO NOTICE .... 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. f........................................................................ ..... Inspector Do Not Remove This Tog (400-4) PERMIT NO. 4353-81B PERMIT EXPIRES__ OWNER An Mixon CONTR. Oren Construction, Oroville ASSESSOR PARCEL 28-19-100 LOCATION SIS Mission Olive Ct.,app.200'E_of Mission Olive Rd., Oroville A d . Temp. Power Pole ~ Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Cal led PG&E _ JOB FINALED (Date) Signature R u 4�- 4 = OK 0 = Not OK t = Not Applicable MOBILEHOMES MISCELLANEOF..3S * = Not Ready . Date MOBILEHOME UTILITIES (Plans) OK except #'s Date DECKS, COVERS, CARPORT;., _TC. (Pj.<1, cept . 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch oning Requirements -Setbacks -Easements ootings; Size-Depth-Spacing-Coninecto_r_s 3. Sewer; Location-Test-Fall-C/0-Concrete_3 mom; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4_JNaod-Awn. Posts- Beams- Rftrs.-Connec.-Shthg.-Rfg.-(;racing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG . Awn.; Columns-Connections-Splice-Decal-Enc,us,..,es arp rts; Windows -Doors 7. Utility Clearance Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card7wf CAffl A210ate Card -BI Date ate bg - —IVCard-BI - Date Date MOBILEHOME INSTALLATION (Plans) OK except H's Date POOLS (Plans) OR except #'s 1. Zoning Requirements -Setbacks -Easements 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. Elec.; 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 7. Water and Sewer Connected -C/0 to Grade -HD Approval 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip, w/5' -Circulating Equip. -Pool Lghig. 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-1 Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date V = OK 0 = Not OK = Not Applicable �c = Not Ready RESIDENTIAL 4Sing4ei add Duplex) , Date UNDERFLOOR (Plans) OK except k's Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /'' Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 5$. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access'` ' 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. 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 Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except p's 57. Smoke Detector 14. Water Ht.; Vent -Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. 16. Water Pipe; Test & Anchors -Nail Protection D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels _ 19. Gas Pipe; Size & Anchors 62. Stairs & Rails _ 63. Fireplace or Stove; Clearances -Hearth Card -BI Date Card -BI Date 64. 65. Elec. Outlets at -Wood Panel; Int. & Ext. 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 p's 67. Garage Fire Door; Swing -Landing -Closer 68. 69. A.C. Duct in Garage -Damper Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 20. Fixture & Transformer Clearance -Ins. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. &Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. 73. am -L Insulation-Foam-Looked ooked in Attic E-1 Yes m-DeqL Construction -Post Caps Guard Rails 25. 2 Appliance Circuits in Kitchen & Conductor Size 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes C3 No 75, Followinginstld.: Drive Yes No; Walks ❑ ❑ C] Yes ❑ No; Planters ❑Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet - 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. - 79. Water Well; Disconnect, Electrical, Plumbing 80. 81. Exterior Elec. Trim; G.F.I. Receptacle -Underground Ventilation throughout House -- Card B -I Date Card -BI Date Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except H's 83. 84. 85. _ Corrections from Previous Inspections Gas Test -Meters Tagged; Gas -Electric Water & Sewer Connected -C/O to Grade -HD Approval -_ 31. A.C. Ducts; Insulation & Support _ 32. 33. Vent Fan; Exhaust above Insulation Condensate Drain & Overflow; Size & Grade 86. Energy Compliance Certificate -Other Certificates 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet _ 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI Card -BI - _- - - ----- ---- D_ate--- _ _ Card -BI - Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRAMING(Plans) OK except p's 36. _Sills; Proper Material & Anchors 37. 38. 38. 39. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing__ _ Draft Stop in Walls (rat proof) _ 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. 42. 43. 44. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties- Purlin-Roof Brac.-Truss-Shthnq.-Rfnq. Fireplace Ties or Type A Flue -Fireplace Throat _ 45. 46. 47. Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions _ Garage Fire Protection Framing (NOTE:Anentrymust be made each time you visit job site) COUNTY OF BUTTE - QE-ARTMENT OF PUBLIC WORKS PERMIT NO. >• 7 County Center Drive - Orovi.11e, California 95965 - Telephone 916/534-4541 `XZE5 • APPLICATIO,N AID PERMIT ASSESSOFj,LLP( Ey UMBER ((�SJJ(( /)G/J 0 ZONING BUILDING PERMIT, OYO#AJ M / W/ TELEPHONE SQ. FT. OCC BUILDING VALUATION OWNER'S MAILING ADDRESS CO T ACT R'S A) S T70 /t/ TELEP}i pE.7 53,`// '''r/' CONTRACTOR'S MAILING ADDRESS/V'�'J Ie l - Z BoX 27587 (%,�O(/ILL� - Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ y� �• 00 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER ILICENSE NO. `� Plan Checking Fee ,$ , 90 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ d DING ADDRESS 5 /SS ® ®L IC- � App, -o0011-:- PLUMBING PERMIT Filing Fee 10.00 ,/ �� M �s��0/V v�-� ��' Each Trap 2.00 Repair drainage or vent piping 5.00 )(?v Water piping LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition [jj RemodeI [ Utilities ❑ Installation ❑ Other [I f Describe work: feV(J A)l i� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 00V OR Main service 1100 AMP ORSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. (DWELLING OCCUP.y) OR ADDNS. ACC. SLOGS. 20 Sq ft 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 fu l force and effect. License No. 047 �5� Classification �, ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR TI -OUTLET 2.50 ea NON-RESID BRANCH CIRC ITS NEW CONSTR. IPOWER APPARATUS S1 NON-RESID. SINGLE OUTLET CIR. / 50@25¢ Ex. Occup(OUTLETS OR FIXTURES BAL�1 EX. Occup. UTLETS FIXED P(RESID )LNS R EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. p/l have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in co sequeX f the granting of this permit. /c7v� Date ,/ o Signature of Applica - Owner ❑ Contractor ❑ Agent �� An OSHA permit is required for excavations'over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCuP. GROUP I TYPE OF CONST. PARCEL PD ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE OR OF PUBLIC BY P T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. 59 Z9___ WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT County of Butte DEPARTMENT OF PUBLIC WORKS 695 Oleander Ave., Chico — 343-4211, Ext. 70 7 County Center Dr., Oroville — 534-4541 Skyway and Elliott Rd., Paradise — 877-3435 CORRECTION NOTICE �.. 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 ed additional explanation, please contact this ffice immediately. ............................... .....:.........�..!.. ,.�}.� .....:�........., rte•_ •.' �. '!/ ...................................................... �.. ....................................... ............................... .-...........T .. r..................... .....................�.... /'. ................I............................. .....................1..................:...............'....................................... Date..' ...... ........... [.. Inspector ...................................... ........ Do Not Remove This Tog rnnn_n� 2225-81B PERMIT NO. PERMIT EXPIRES 3 -�a-- OWNER Johm Mixon CONTR. Gary Soudan Const., Oroville � C 28-19-100 I ASSESSOR PARCEL I SIS Mission Olive Ct.,app.200'E.of LOCATION V Mission Olive Rd., Oroville % V r Temp. Power Pole a Called P Temp. Elec. Called P Temp. Gas Si Cal led P JOB FINALE Signatun J = OK 0 = Not OK — = Not Applicable MOBILEHOMES MISCELLANEOUS * = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except q's Date DEjFKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements—Setbacks—Easements oning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch . Footings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/0—Concrete s; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) 4./Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shing.—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/ P'L" it./ /" LPG 6. arports; Windows—Doors 7. Utility Clearance 7. EIec. Card -BI Date Card -BI Date CgWeT— ate /Gard -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's Card -BI Date Date Card -BI Date _ POOLS (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements 1, Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 4. Electricity; MH Test-Crossovers—Breakers—Clearances 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Elec.; 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— Pane lboards—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 O = Not OK - = Not Applicable * = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. 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 Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except #'a 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date _ Date Card -BI Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 57. Smoke Detector 58. 59. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection Bedroom Exiting 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels W 19. Gas Pipe; Size & Anchors 62. Stairs & Rails - -� - 63. Fireplace or Stove; Clearances -Hearth Card -BI Date Card -BI Date 64. 65. Elec. Outlets at Wood Panel; Int. & Ext. 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 q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. &Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 72. 73. Insulation -Foam -Looked in Attic ❑Yes Guard Rails &Deck Construction -Post Caps 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water _ 25. 2 Appliance Circuits in Kitchen &Conductor Size 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral ❑Yes ❑No 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters Dyes 0 -No 28. 29. Service -Riser Conductors & Ground -Main Disconnect Equip. Clearances; Panels-Motors-Mech. Equip. 76. Stucco; Brown -Finish 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. 80. Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. 82. Ventilation throughout House Glass Protection Card B -I Date Date Card -BI Date MECHANICAL (Perrrit) OK except N's 31. A.C. Ducts; Insulation & Support 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. 86. Water & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates _ 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 Card -BI_ Card -BI D_ate - _ _ Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except p's Comments at Final: 36. Sills; Proper Material & Anchors 37. 38. 39. Walls; Studs -Nailing, S_pacing_& Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing _ Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. 42. 43. 44. Header & Beam -Size & Bearing Hang -Post C_aps-Anchors-_Connectors ers urlRoof Brac.-Truss-Shthng.-Rfng. Cing. Joist-Rftr. Ties-Pin- Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions _ 47. _ Garage Fire Protection Framing (NOTE: An entry must be made each time you visit job site) Iq(o 40—"- =.j'County of Butte �emoay DEPARTMENT OF PUBLIC WORKS 8910.'15/ WayAve., Chico — 7 County Center'Dr., Oroville – 534-4541 Skyway and Elliott Rd., Paradise – 577-3436 87a-.2961-Er1-. 57 CORRECTION NOTICE � .�, ..; ... ;......................... ,,;......... �; ............................... wilding or ProRerty'Address f�(A�sn�'inspect on.indichtes that the following solations 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 o `ice immediately. fyjU// .f - .... ........ .. ... ... _ r.......................................... ......,... � ........................... ... � . _. e........'................... Inspectorf......?.::........................:....5......... G �rl�vt7o Not Removy T ►alas - ?:I. PERMIT N0. 1405-82B PERMIT EXPIRES OWNER John Mixon + CONTR. Oren Const, Oroville ASSESSOR PARCEL 28-19-100 LOCATION SIS Mission Olive Ct, app. 200' ` E. of Mission Olive Rd, Oroville Temp. Power Pole. Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E 1 JOB FINA (Date Signature t. = OK 0 = Not OK = Not Applicable MOBILEHOMES MISCELLANEO ��� = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date DECKS, CO S, CARPORTS, ETC. (Plans) OK except U oning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch . 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.-Rig.-Bracing_ 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 3emum. 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. C d -BI ate' Card -BI Date _ Card -BI Date Card - BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Card -BI Date a Date ' Card -BI Date _ POOLS (Plans) OK except #'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, Elec.; 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. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date V = OK 0 = Not OK �✓ - - = Not Applicable ' RESIDENTIA,L'(Single and Duplex) _ = Not Ready Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers (NOTE:Anentrymust be made each time youvisit jobsite) 5. Stemwalls, Main; Steel -Blackouts -Wrapped -Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel -Blackouts -Wrapped -Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 54. 55. Glazing Area -Glass Protection -Skylights -Plastic 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 Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date ' Card -BI Date Card -BI Date Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except q's 14. 15. Water Ht.; Vent -Access -Combustion Air Water Pipe; Test & Anchors -Nail Protection 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -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 N's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. 71. Plb., Elec. &Mech. Equip. Listed for Location Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 22. Size Boxes & No. of Conductors -Stapled 23. Ramex Installed Close to Edge of Studs & C.J. 24. 25. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 2 Appliance Circuits in Kitchen & Conductor Size 72. Insulation -Foam -Looked in Attic E] Yes 73. Guard Rails & Deck Construction -Post Caps 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes El No 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters Oyes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. 80. Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except q's 83. _ Corrections from Previous Inspections 84. 85. Gas Test -Meters Tagged; Gas -Electric Water & Sewer Connected -C/O to Grade -HD Approval 31. A.C. Ducts; Insulation & Support 32. Vent Fan; Exhaust above Insulation 86. Energy Compliance Certificate -Other Certificates _ 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 -- Card -BI Date Card -BI Date Card -BI _-_Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except q's 36. Sills; Proper Material & Anchors Comments at Final: 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound _ 38. Bearing Walls over Girders & Floor Nailing_ 39. Draft Stop in Walls (rat proof) Fire Stops; Furred Ceilings -Stairs -Chases -Tub _40. 41. Header & Beam -Size & Bearing___ 42. 43. 44. 45. Hangers -Post Caps -Anchors -Connectors Cing. Joist-Ritr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Ring. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access; Size &Romex Protect i on-Drait Stop -Ins. Baffles 46. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. _Bdrm. Garage Fire Protection Framing (NOTE:Anentrymust be made each time youvisit jobsite) _COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORK PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534- 1 c2 42_ APPLICATION AND PERMIT ASSESSOR PAR EL. UMBER ��� ZONIN �Cj BUILDING P RMIT OWVo#J �l'\O I ���\//// '�v/ TELEPHONE SO. FT. OCC. BUILDING VALUATION 400 P Ov`OQ OWNER'S MAILING ADDRESS CO TRA NAME /VS �,TOR'S600 A/ t£ !J-y/O7T � J$ , ,�/ C [JI R A/!Z/�T �� MAILING D I �iV OW OF_V V [ � / �/ Yrt.� /G/ 7 � Fireplace p CONSTRUCTION LENDERa//�^ -� UNKNOWN Total Valuation $ q ''I V©�49V Filing Fee $ 10,00 ' LENDER'S MAILING ADDRESS Permit Fee $ p ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER' MAILING ADDRESS Permit fee $ BUILD G AD KESS S S �1ISS OAl -OLJVE � APP. 000'E.- PLUMBING PERMIT Filing Fee 10.00 OF V15510A1 eL1 i/E l��%. Each Trap 2.00 Repair drainage or vent piping 5.00 '/ ' ` �-- 4000WI Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF�Duplex❑ Mobilehome Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New 5reAdditionM- Remodel Utilities❑ Installation❑ Other❑ Describe work: �I✓ �2 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMOR LESS 100 5.00 Main service EA. ADD'L too AMP 2.50 NEW CONST. / DWELLING OCCUP.N) OR ADONS. l ACC, BLDGS. 2�sgft CONTRACTORS LICENSE LAW clar I deunder penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code an my license is in fu force and effect. License No. 39t _ Classification ❑ 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NNE WCO ON•RESID R BRANCH CIRCT TS)2.50 ea NEW CONSTR. /POSINGLE OUTLET CIR, WER APPARATUS SJ NON•RESID. ` so � 2sc Ex. OCCUp OUTLETS OR FIXTURES 100 IXED APP ESI' OR EX. OCCUp.�OUTLE TS (REST D,) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 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 placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate Consent to Self -Insure. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith Comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabili 'es, judgment costs, and expenses which may in any way accrue against County in c sequence granting of this permit. / ` _ �`l X Date L ! v Signature of Applic t — Owner Contractor Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 30„OC7 OCCuP, GROUP //_,� A[ TYPE OF CONST. -/Vthe PARCEL HD 550 This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC R F PUBLIC By PE EXPIRES Date_ the applicable provi- resolutions to do fees have been paid. WORKS Date ' -1-3 —?Z f� ?J �'� Receipt No. �1180 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville,,California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT % PERMIT NO. _I C�Q �V� ASSE*SOH PARCEL NUMBER ZONING 1,ILDING PERMIT OWNE�TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CO TO AME5po ELEPHONE T V CO TR CT R'S A G ADORE �J Fireplace CONST UC ION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER Ip LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING AD SS PLUMBING PERMIT Filing Fee 10.00 i Sr Each Trap 2.00 Repair drainage or vent piping 5.00 r^n Water piping 5,60 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex F1 MobilehomeQKOther SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel Utilities ❑ I Ilation ❑ er D ribework: Y © Permit Fee $ ; 0 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 5.00 Main service EA. AOD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.DI\ OR AODNS. ACC. BLDGS. I 2�sgft CONTRAC ORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. ,00 39fi Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NON.RESID R BRANCH CIRCTITS 2.50 ea NEw CONSTR ( POWER APPARATUS 6 NON-RESID. SINGLE OUTLET CIR.- Ex. OccupOUTLETS OR FIXTURES a X25 1100 IXED APPLNS, OR \ Ex. Occup.�OUTLETS (RESID,) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 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 placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions.of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. 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 rmless the County of Butte againstoccu'. all liabil' ' s, j gments, c s, and enses which may in any way accrue agains sa' Co ty in c uenc the granting of this permit. X w Date Signature of App cant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures/over 3 stories in height.0 Mobile Home Installation Fee $ TOTAL PERMIT FEE GROUP TYPE OF CONST, PARCEL PD HD ssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DI CT9f OF PUBLIC )VJ By— PERMIT EXPIRES ate the applicable provi- resolutions to do fees have been paid. WORKS Dat Receipt No. (^ f / WHIY!-D.P.W., TEL LOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT N -r w COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Califlgrnja 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ERMIT NO. O /vl ASSESSOR PARCEL NUMBER ZO ING BUILDING PERMIT OWN h TELEPHONE SQ. FT. OCC. BUILDING VALUATION -- 7 OWNER'S MAILING ADDRESS ^ CO RACTOR'S NWGG V ELEPHONE CONTRACTOR'S SS Fireplace CONSTRUCTION LENDER UNKn oyl� Total Valuation Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ Do ARCHITECT OR ENGINEER LICENSE NO. �7 j / Plan Checking Fee ,$ /0-00 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ ,1D BUILDING DDRES PLUMBING PERMIT Filing Fee 10.00 8 1 s, V Each Trap 2.00 Repair drainage or vent piping 5.00 V Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USEOF STRUCTURE SF ❑ Duplex ❑ Mobilehome Other SPECIFY Building sewer Lawn sprinkler system 5.00 / TYPE OF WORK New ❑ Addition lam' Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: (� S Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2,50 NEW OR ADDNST (ACCLBL GS.LING CC UP. B1 20 sq ft CONTRACTORS LICENSE LAW I declare u der penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and y license is in full force and effect. License No. Classification �a/ ❑ 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR -OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea APPARATUS 6) NEW CONSTR. (SINGLE NON-RESID. (SINGLE OUTLET CIR. . ExOCCUp OUTLETS OR FIXTURES a �� ,TED APPLNS. OR Ex. Occup.(OUTLETS (RESID,) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 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. 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. 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 said County in cons a of the granting of this permit. Date Signature of App icant - Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE OCCUP. GROUP I TYPE OF CONST. PARCEL PD No ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PEXYWT EXPIRES Date_a the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. 597r/ 3 / WNITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT ! • 27t PERMIT NO. .t ! PERMIT EXPIRES OWNER MARK E. ANDERSON CONTR. owner ' ASSESSOR PARCEL 28-12-100 LOCATION .20 Mission Olive Ct, Oroville d 7� OFFICE COPY - ;� /1 tic Addres p GAS �% e� • , Dat Viif Meter By -&Z --- t ELECTRIC Date Yf i 1 Meter By _ •F f+ i OFFICE COPY Addres " 6Q- 1 y GAS Meter By Date ELECTRI . Meter By Dat/, ), / s Temp. Power Pole Called PG&E Temp. Elec. Service -• Called PG&E _ s Temp. Gas Ser Called PG1 JOB FINALED Signature J Tyr; rT Y . 1 = OK 0 = Not OK . • 1 * NotReaable= dyMOBILE HOMES � MISCELLANEOUS Date - MOBILE HOME UTILITIES (Plans) OK except #'s Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK exvept #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts- Bea ms-Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures - 6.,Carports; Windows -Doors _ /"Nat. or/ /"L"ft./ ' /"LPG 7. Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -B1 Date Card -B1 Date r 10. Roof; Shthg-Roofing Card -B1 ., Date Card -B1 Date 11. Ext.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -B1 Date Card -B1 Date 2. Footings; Size -Spacing -Marriage Line - Card -B1 Date Card -B1 Date 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s 5. Drain; MH Test -Fall -Flex Connector, , 1. Setbacks -Easements ' - 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability 7. Water and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - 8. Gas and Electricity Tagged Dead Men -Lining 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 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. Card -B1 Date Card -61 Date Boxes-Enclosures-Panelboards-Ins. to Main in Conduit Card -B1 Date Card -B1 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Tyr; rT •r . • 1 O=N 'OK - = No Applicable = Not Ready RESIDENTIAL (S-ing'le,,and Duplex) PUMFLOOR (Plans) OK except #'s oning-Setbacks;-Easements-Flood -Slope 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ P' Ftg. De 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 4. , Porches & Decks; Soils -Steel-/ /"Ftg. Dei Stemwalls, Main; Steel- Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel- Blockouts-Wrapped 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ft2,J�- ,P�-9. D.W.V.; Fall -Fit ' gs-Test-2 way C/O -Sewer Test X10. Gas Pipe; Size -Anchors %_11_Water P'�;Anchors-Regulator-Service Test 12. Electric; n erground 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 15. Insulation Card -B1 Date0bC rd -B1 Date .tf- Card-B1 Date ard- Dat / Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air- Baffle 17. Water Pipe; Test & Anchors -Nail Protection /18. D.W.V.; Test-Fttngs & Anchors -Nail Protection NF_ X19. Shower Pan; Test, First Floor -Tub Access 20 Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors Card -131 Date Card -B1 Date Card -131 Date Card -B1 Date Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection L/23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. � Equip. p . q p. Ground made u w/Mech. Fasteners -Bond Gas &Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. � 8. 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. C_,, --'Insulated Neutral Yes No _ ,30: Service -Riser Conductors & Ground -Main Disconnect �33-Equip. Clearances Panels-Motors-Mech. Equip. 33.r thes Closet Light -Shower Light -Spa Light Smoke Detector Card -131 Date Card -B1 Date Card -131 Date Card -B1 Date Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation L� 36. Condensate Drain & Overflow; Size & Grade 37, Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnace in Attic Card -131 Date Card -131 Date Card -131 Date Card -B1 Date Date FRAMING (Plans) OK except #'s 39. Sills, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearing Date , ,FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50 Garage Fire Protection Framing 1, Property Line Firewall & Openings iRExt. Doors -One T -Check Garage -3rd story, 2 exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers r.,55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts 59. Insulation-Walls-Clg. 60. Infiltration-Walls-Wndws Card- Dat Card -131 Date Card -131 Da ard-B1 Date Date INA ans) OK except #'s xt. Ste -Door & Sidelight Protection -Landings ke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection Exiting 06�G.Ej_&Bath Fixtures Tub Access -Spa Elec. TrPrA S anel; Breaker Sizes -Labels tairs & s or Stove; Clearances -Hearth 6b-I5f_ec._PtTfIets at Wood Panel; Int. & Ext. 7 F! t. & Appliance; Grnd. -Air Gap -Cooking Clearance ec. Outlets & Receptacles at Kit. Counter 72-'a•age Eue D2or; Swing -Landing -Closer arage-Damper 7 r. Htr.; Vents -Clearance -Comb. Air -Connector- .R.V.- In Garage; Above Floor-Mech. Protection ., Elec. & Mech. Equip. Listed for Location c. Receptacles in Garage; (G.F.I.)-Romex Protec. n -Foam -Looked in Attic 78 uard Rails & Deck Construction -Post Caps & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes owing instld.; Drive. -Yes o; Walks ❑ Yes o; Planters ❑ Yes e'No is 92. C. Unit; Disconnec Electrical, Plumbing 83-eaisove Roof; Plbg.-Appliance-Firepl.-Clearance to OPVDiags. 84 -Water Wel ; Disconnect, Electrical, Plumbing eri r Elec. Trim; G.F.I. Receptacle -Underground 86,vo'ntiIatjjon throughout House 8Z. G s Protection 88. Corrections -from Previous Inpections 2� 8 at -Meters Tagg a as -Electric a Sewer Connected -C/O to Grade -HD Approval rOiXnergy_Compliance Certificate -Other Certificates il-RaroTi-ng Certificate Card -131 Date Card -131 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Comments at Final: _ (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872.-6307 CORRECTION NOTICE tAJ n 0 As' /707 oc VNER % PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction.of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. vc. e live / `-- ( O -Z -1c= Inspector Date _ 2-D �j COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE e12 ER 1767 - 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 7 tt K, or need additional a e�on please contact this office immediately. v14C OVA Inspector COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS .. 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 ORRECTION NOTICE A PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector �—" Date 'A LOU KENT AAL oeo0f��,�. ,T � u� Ccs Ae �r- 000 2770 FEATHER RIVER BLVD., OROVILLE, CA 95965 (916)532-9366 Owner MAOLK, S,,^1 Permit No. ENERGY CERTIFICATION �o K"S S# o04 mli V F— (2au,,t-T Die 03le.._ 18-19-0• loop LOCATION ROOF MATERIAL THICKNESS DESCRIPTION OF INSULATION BRAND NAME THERMAL RES, A.P. NO. EXTERIOR WALL MATERIAL FI ERGLASS BRAND NAME CERTAINTEED _ THICKNESS Le'114" THERMAL RES. .lot CEILING BATT OR BLANKET TYP BRAND NAME CERTAINTEED THICKNESS. ICZ) THERMAL RES. •'30 LOOSE FILLTYPE INSUL-SAFE IIIBRAND NAME CERTAINTEED ' THICKNESS THERMAL RES. FLOOR,ELEVATED MATERIAL FIBERGLASS BRAND NAME CERTAINTEED THICKNESS " THERMAL RES. -1 1 FLOOR, SLAB MATERIAL BRAND NAME THICKNESS THERMAL RES. WIDTH FOUNDATION WALL MATERIAL BRAND NAME THICKNESS THERMAL RES. I HEREBY CERTIFY THAT THE ABOVE INSULATION WAS INSTALLED I.N THE ABOVE BUILDING IN CONFORMANCE WITH THE STATE OF CALIF. ENERGY REQUIREMENTS. SHASTA INSULATION INC. #530235 FIRM AME OWNER STATE CONTR. LICENSE N0. ,'. q- 7- 9 a I hereby certify the above insulation and all required items as shown on the Building Depart. approved plans and attachments have been installed as required by the State of California Energy Requirements. All equipment, devices and materials are of the quality prescribed or are specifically approved by the State of Calif. FIRM NAME/OWNER (PLEASE PRINT) STATE CONTRACTOR'S LICENSE NO. SIGNATURE OF GENERAL CONTRACTOR/OWNER 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. JANUARY 198.4 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orrville, Chlifornia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 28-19-100 ZONING ARMH 5 BUILDING PERMIT OWNER Mark E. Anderson TELEPHONE 589-4962 SQ. FT. OCC. BUILDING VALUATION 1St renewal OWNER'S MAILING ADDRESS 20 Mission Olive Ct. Oroville 95966 CONTRACTOR'S NAME owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER none UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee @ — FEE $ 220.25 ARCHITECT OR ENGINEER none LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 20 Mission Olive Ct. Permit fee $ S PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. 3 SUBDIVISION NAME PARCEL MAP 76-40 Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF NX Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.0 TYPE OF WORK Newn Addition[] Remodel❑ Utilities❑ Installation[] Other ❑ Describe work: 1st renewal of BP#1479-89 _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS t00 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.SINGLE License No. Classification XI as the Owner, or my employees with wages as their Sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLINGoCCIP.g OR ADDNS. ACC. BLDGS. I Vz¢sq it NEW CONSTR. ULT' -OUTLET NO N.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) OUTLET CIR. p OUTLETS OR FIXTURES Ex. Occup( 20@g0` 9AL@30 FIXED APP LNS. OR Ex. Occup. OUTLETS'RESID.I EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Norice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 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, dgments, costs, and expenses which may in any way accrue again id C �,'nt c equ ce of the granting of this permit. Date Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for eKCaVO ions over S'0" deep and demolition or construct- ion of structures o/ver 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ S ALSCI HAZ CUA PARK FLD PAR PD HD ISSUE This permit is nereby issued under sions of the Butte County Code and/or work i ated above f r which fes DI R OF P y PERMIT EXPIRES Date, —1_91 the applicable provi- resolutions to do have been aid. p WORKS T— Datev Receipt No. _* 61 it"), WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - D,EPARTMEINT OF PUBLIC WORKS PE MI 7 County Center Drive - Orgville, California 1,•_i965 - Telephone: 916/536-7541 APPLICATION AND PERMIT ASSEOR PA L_N)VO Z I BUILDING PERMIT OWNE SO. FT. 0C. BUILDINGLU ION IC S O R'S ILING ADDRESS SS 16 Irl 2 CO RACTOR'S NAME Inaic TELEPHONE . / �/ CONTRACTOR'S MAILING ADDRESS Fireplace 1 1 0oo CO RUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LEND R'S MAILING ADDRESS Permit Fee $ ARC 1 ECT OR ENGINEER OR LICENSE NO. Plan Checking Fee a Energy Plan Checking Fee $ ARCHITECTENGINEER'S MAILING ADDRESS Penalty _Perm $ BUILDING ADDRESS It fee = PLUMBING PERMIT Filing Fee 1 10.00 Each Trap 2.00 (� ' H1 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP 176 Water piping 5.00 Each qas water heater o 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outl 6j' 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00 ea TYPE OF WORK New 9Q Addition ❑ Remodel til' 'es ❑ Installation❑ Other ❑ Describe work: co o Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 500V OR LESS 100 AMP OR LESS 10.00 ffl, to Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury check one): P Y P J y ( )- ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCJP OR ADDNS. ACC. SLOGS. , �Z�SQft NEW CONSTR I.OUTLE NON-RESID .BRA CH CIRC ITS 2,50 ea /POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex. OCCUp(OUTLETS OR FIXTURES 20050t eAL03o FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 1 2.00 Temporary service 1 10.00 ---�� Mobile Home Facilities 1 15.00 Misc. �Yirin 9 15.00 Permit Fee $ WT WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g1/0,00 Hood 3.00 Ventilation pertnl4 Fee = Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue ago st ai o7tyi,, co equence of the granting of this't`This Date Signature of Applicant — Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ o CUP. 33 CONST.TYPE -- ISC 00 FL00D P Rc �,XISSUE permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PE EXPIRES Date_ the applicable provi- resolutions to do have been paid. WORKS Date 6 Receipt No. 7�7�� S� WNITE-D.P.W., YELLOW-ASSE330R. PINK -INSPECTOR. GOLDENROD -APPLICANT 1 A COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number for the following location: S/ Owner Owner's Address _ ��' - -' �• Mobilehome Mfg. ',J ' -� �f Model = 1 !!t-- 4ifear L _� Insignia No. - - Serial No. � •'' — It is hereby certified for occupancy at the above described location and may be occupied. Date Director of Public Works By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. Certificate of Compliance: Residential PC)nr1SSloat . 6414) &r Project Address Documentation Author Telephone Climate Zone 11 Buil ermit N Checked By Date _� Fnfotcement Attency Use only BUILDING DATA Area North Glass Area 1/10 % Glass �..; Conditioned Floor Area Number of Stories East -/.a ?� Slab tsed Floor Single Family Detach (SFD) Number of _Units P [ ] Addition Alone South West —2 1 .29— /. y [ ] Single Family Attached (SFA) [ ] Existing Building Skylight _4�- -6�-- [ ] Multi -Family (MF) [ ] Existing -Plus -Addition Total 2!ps_ BUILDING SHELL INSULATION Component Insulation Location/Comments Type R -Value (attic, to garage, typical, etc.) Wall .............. l'9 Wall .............. Roof ............. 3D Roof ............. Floor ............. Floor ............. -� Slab Edge..... GLAZING Shading Devices Glazing Area Glass Type Interior Exterior Overhang Framing Type Orientation (SO (Angle, double) (roller blind etc.) (shadesereen, etc.) (yesAo) (metaltwood) North ( ) Mp OwvduL C me CAn P_ North ( ) East ( ) G o •• East ( ) South ( ) •• South ( ) West ( ) _� • West ( ) Skylight....... THERMAL MASS Type/Covering Area (U4 Cie. 51r Thickness :JJ L.V(:4UV1VLA:5UnPLj0n (kitchen, bath, etc.) _ ly-6o�.1 tLt e C. C. 0 weea STdv/_ HVAC SYSTEMS Minimum Duct Type (fumace, air Efficiency Location Duct Output Manufacturer / Model # conditioner, heat pump) (SE, SEER,HSPF) (attic etc.) R -Value (Btuh) (or approved equal) -�.,�►,�.�,7X 477/e. Maximum Furnace Heating Output: // Btuh HOT WATER SYSTEMS Tank Manufacturer/Model # System Type (storage gas, etc.) Capacity (or approved equal) SDecial Feature(s) Sto✓L46/1- 4/0S SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) 7SVM SEER mea ducts In attic) Sum of 7-10 to -14 to -4b +$ to 16 or 5 -5 +5 +15 more 10 -8 -6 -4 -6 -5 -4 -3 -4 -3 -2 -2 -3 -2 -2 -1 0 0 0 0 3 2 2 1 5 4 3 2 7 6 4 3 11 9 7 5 14 12 9 6 :Restive SEER Unit Size (so 0.2 Z xduct eMclency) 1700 Sum of 7-10 2700 to to -14 to 4 to +6 to 16 or i -5 +5 +15 more i -21 -17 -13 -9 I -9 -7 -6 -4 -4 -3 -2 -2 0 0 0 0 6 5 4 3 12 9 7 5 ; 16 13 10 7 1 19 15 12 8 i 22 18 14 9 1 24 20 15 10 lontrol Adjustment 7 6 4 3 ling System Installed -4 -3 -2 -2 2 2 2 1 y Detached and Attached Unit Size (so 0.2 1200 1700 2200 2700 to 'to to or s 1699 2199 2699 more 0 0 0 0 8 6 5 4 5 4 3 3 3 3 2 2 . _ 5 4 3 3 ' -24 -18 -15 -12 -1 -1 0 0 -12 -9 -7 -6 -16 -12 -10 -8 _ -12 -9 -7 .6 -3 -2 -2 -2 5 4 3 2 _ 2_ 1 1 1 -19 -14 -11 -9 5 4 3 3 -6 -5 4 -3 m11y (individual 56 units) 0.5 Unit Size (sq 0.9 1 700 1200 1700 2200 to to to 0f 1199 1699 2199 more 0 0 0 0 1 7 5 4 3 5 3 2 2 4 3 2 2 5 3 2 2 5 -23 -15 11 -9 1 1 0 0 3 -12 -8 -6 -5 5 -13 -8 -6 -5 3 X12 -8. -6 -5 4 -3 .2 f -2 3 2 1 1 0 0 0 0 1 15 -10 -8 -6 9 6 4 4 -4 -3 -2 -2 Interior MasslCFA TYPE 2 PSS r it.Y•et.1.0 . (c•cvec•d 1 TYPE I MASS WIMC 4.2. le: exposed slab) .�n) 0% 5% 1095 15% 201/. 251/. 3011. 35% 40% 45% 50% 55% 601/. 65!'. 70% 75% 80% 85% 90% 95% 100% 105% 110% 115% 120% 115• 011. 0 0.2 0.4 0.6 0.8 1.1 1.3 1.5 1.7 1.9 2.1 2.3 2.5 2.7 2.9 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5 53 1`01/. 0.2 0.4 0.6 0.8 1 1.2 1.4 1.6 1.9 2.1 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.7 4 4.2 4.4 4.6 4.8 5 5.2 54 20% 0.3 0.6 0.8 1 1.2 1.4 1.6 1.8 2 2.2 2.4 2.1 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.8 5 52 5.4 56 30% 0.5 0.7 0.9 1.1 1.4 1.6 1.8 2 2.2 2.4 2.6 2.8 3 3.2 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 58 4011. 0.7 0.9 1.1 1.3 1.5 1.7 1.9 2.2 2.4 2.6 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 59 5095 0.9 1.1 1.3 1.5 1.7 1.9 2.1 2.3 2.5 2.7 3 3.2 3.4 3.6 3.8 4 42 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 55% 0.9 1.1 1.4 1.6 1.8 2 2.2 2.4 2.6 2.8 3 3.2 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 53 5.6 58 6 62 60% 1 1.2 1.4 1.7 1.9 2.1 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 5 52 5.4 5.6 5.9 6.1 63 65% 1.1 1.3 1.5 1.7 1.9 2.2 2.4 2.6 2.8 3 3.2 3.4 36 3.8 4 4.3 4.5 4.7 4.9 5.1 53 55 5.7 5.9 6.1 64 701/6 1.2 1.4 1.6 1.6 2 2.2 2.5 2.7 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 52 5.4 5.6 58 6 62 64 75% 1.3 1.5 1.7 1.9 2.1 2.3 25 2.7 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 609: 1.4 1.6 1.8 2 2.2 2.4 2.6 2.8 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.0 5.1 54 56 5.8 6 62 64 66 85% 1.4 1.7 1.9 2.1 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 5 52 54 5.6 59 6.1 63 65 67 90%. 1.5 1.7 2 2.2 2.4 2.6 2.8 3 32 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 53 55 5.7 5.9 6.2 64 66 68 9511. 1.8 1 2 2.2 2.5 2.7 2.9 3.1 33 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 5.2 5.4 56 5.8 6 6.2 6.4 6.7 69 100% 1.7 1.9 2.1 2.3 2.5 2.8 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 53 5.7 5.9 6.1 6.3 6.5 6.7 7 105% 1.8 2 2.2 2.4 2.6 2.8 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 56 5.8 6 6.2 6.4 66 68 7 1101/. 1.9 2.1 2.3 2.5 2.7 2.9 3.1 3.3 3.6 3.8 4 4.2 4.4 4.6 4.8 5 5.2 5.4 5.7 5.9 6.1 6.3 6.5 6.7 69 7.1 115% 2 2.2 2.4 2.6 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 6.2 6.4 6.6 6.8 7 72 120% 2 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.4 4.6 4.8 5 5.2 5.4 5.6 58 6 6.2 6.5 6.7 6.9 7.1 73 1251. 2.1 2.3 2.5 2.8 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.7 7 7.2 7.4 Point System Summary: Climate Zone 11 SCORE CARD 1. Ceiling Insulation 2. Wall Insulation 3. Raised Floor Insulation 4. Slab Edge Insulation S. Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) a. North b. East c. South d. West e. Skylight 8. Shading (Shade Closed) Measures Q 3 40 or R-value3U-value [0.030] Q/18] or R -value [ 11] U -value (0.098] 0- or R -value 1191 U -value [0.037] or R -value [0] F2 factor [0.77] Standard NW 644. Type [double] % Glass 4.3 X 3•a X 5.o X X •O. X 9. Interior Thermal Mass 10. Exterior Wall Mass 11. Heating System Zonal Control? ( Y / N ) 12. Cooling System Zonal Control? ( Y / N ) 13. Water Heating .0117 Interior Hiss/CFA .�� /`./ U -value [0.65] 9'o Total Glass (16) Point Scores -1. a 0 �- t �• Sum l-6 SC Glass a. North `.3 X b. East 3.2. X c. South 5.0 X d. West /-to X e. Skylight 4w X 9. Interior Thermal Mass 10. Exterior Wall Mass 11. Heating System Zonal Control? ( Y / N ) 12. Cooling System Zonal Control? ( Y / N ) 13. Water Heating .0117 Interior Hiss/CFA .�� /`./ U -value [0.65] 9'o Total Glass (16) Point Scores -1. a 0 �- t �• Sum l-6 SC Eff. % Glass .72 _ #/.a$- +� SE or HSPF . 7> _ 8.9:r .77 = 1.0 Cr _ 66 •�• SC Eff. % Glass Wo _ �/•/G SE or HSPF Duct Efficiency (0.78] Effective SE or .L� _ &'..�- ARWA X = TYPE 1 MASS AREA t" = J % COND. FLOOR AREA TYPE 2 MASS AREA _ $ Exterior W♦allMass ND. L OR AREA SE or HSPF Duct Efficiency (0.78] Effective SE or [0.7216.6] HSPF [0.56/5.15] ARWA X = SEER [9.5] Duct Efficiency[0.74] Effective SEER 17.031 456• Type [SG] Credit [none] Point Total. Sum 7-10 J 1. Ceiling Insulation 2. Wall Insulation Single- Number of stories Three `R -value One Two Three R-0 -103 -49 -02 R-19 -8 -4 -2 R-30 -2 -1 -1 R-38 0 0 0 U -value 8 6 4 0.50 -176 -84 -54 0.30 -102 -49 -32 0.10 -26 -13 -8 0.08 -18 -9 -6 0.06 -11 -5 -4 0.04 -4 -2 -1 0.02 4 2 1 0.00 11 5 3 2. Wall Insulation 3. Raised Floor Insulation Single- Single - Three R-0 Family Family Multi - R -value Detached Attached Family R-0 -68 -51 -34 R-11 0 0 0 R-13 2 2 1 R-19 8 6 4 U -value Three R-0 0.60 0.80 -153 -114 -76 0.50 -91 -68 -46 0.30 -47 -36 -24 0.10 0 0 0 0.08 4 3 2 0.06 9 7 5 0.04 14 11 7 0.02 19 14 10 0.00 24 18 12 3. Raised Floor Insulation R -value Insulation in Floor Number of stories Two Three R-0 Number of stories -7 R -value One Two Three R-0 -17 -8 -5 R-11 -3 -2 -1 R-19 0 0 0 R-30 3 1 1 U -value Two Three R-0 0.60 -144 -70 -46 0.50 -120 -58 -38 0.40 -95 -46 -30 0.30 -69 -34 -22 0.20 -43 -21 -14 0.10 -17 -8 -5 0.08 -11 -6 -4 0.06 -6 -3 -2 0.04 -1 0 0 0.02 4 2 1 0.00 10 5 3 Controlled Ventilation Crawlspace R -value . One Number of stories Two Three R-0 -11 -7 -5 R-5 -4 -4 3 R-11 -2 -2 -2 R-19 -1 -2 -2 4. Slab Edge Insulation -121 -53 " Number of Stories -10 R -value One Two Three R-0 0 0 0 R-5 8 5 2 R-7 8 6 3 F2 factor 0.90 -4 -3 -1 0.80 -1 -1 0 0.70 2 2 1 0.60 6 4 2 0.50 9 6 3 0.40 12 8 4 5. Infiltration (Air Leakage) Specification Points Standard 0 6. Glass Heat Lass Total 0 Slab Floor Effective Percent Glass Mass U -value (percent litass x SC) Percent Effective Stories .51 to .41 to .31 to 0.30 or Glass Single Double .60 .50 .40 less 50 -121 -53 -39 -24 -10 4 40 -90 -37 -26 -14 -3 8 35 -75 -29 -19 -9 1 10 .30 -61 -21 -13 -4 4 12 29 -58 -20 -12 -3 5 12 28 -55 -18 -10 -2 5 13 27 -52 -17 -9 -2 6 13 26 -49 -15 -8 -1 7 14 25 -46 -14 -7 0 7 14 24 -43 -12 -5 1 8 14 23 -40 -11 -4 2 8 15 22 -37 -9 -3 3 9 15 21 -34 -7 -2 4 10 15 20 -31 -6 0 5 10 16 19 -29 -4 1 6 11 16 18 -26 -3 2 7 12 16 17 -23 -1 3 8 12 17 16 -20 0 4 9. 13 17 15 -17 1 6 10 14 17 14 -14 3 7 10 14 18 13 -12 4 8 11 15 18 12 -9 6 9 12 15 19 11 -6 7 10 13 16 19 10 -0 9 11 14 17 19 9 -1 10 13 15 17 20 8 2 . 12 14 16 18 20 7. Shading (Shade Open) 0 Slab Floor Effective Percent Glass Mass Effective Pamt Glass (percent litass x SC) 1 Effective Stories (percent glass x SC) /CFA Effective Two %Glass North East %Glass North East South West Skylight 18 5 1 4 1 na 16 4 2 5_ 1 na 14 4 2 5 1 na 12 3 3 5 2 na 11 3 3 5 2 na 10 2 3 5 2 1 9 2 3 5 2 2 8 2 3 5 2 2 7 1 3 4 2 2 6 1 3 4 2 3 5 1 2 4 2 3 4 0 2 3 1 3 3 0 1 2 1 3 2 0 0 1 0 3 1 -1 -1 -1 -1 2 0 -1 -2 -4 -2 0 na = not allowed -1 -9 1 8. Shading (Shade Closed) 0 Slab Floor Effective Percent Glass Mass 3 (percent litass x SC) 1 Effective Stories 4 /CFA One Two %Glass North East South West Skylight 18 -14 -48 -69 -64 na 16 -12 -42 -59 -55 na 14 -10 -35 -50 -46 na 12 -8 -29 40 -37 na 11 -7 -26 -36. -33 na 10 -6 -23 -31 -29 -74 9 -5 -20 -27 -25 -65 8 -5 -17 -23 -21.. -56 7 -4 -14 -19 -18 -47 6 -3 -11 -15 -14 -38 5 -2 -9 -11 -10 -30 4 -1 -6 -8 -7 -23 3 0 -4 -5 -4 -16 2 1 -1 -2 -1 -9 1 1 1 1 1 -4 0 2 3 4 3 0 rte . not allowed 3 7 8 10 9. Interior Thermal Mass Interior 0 Slab Floor Raised Floor Mass 3 Stories 1 0.40 Stories 4 /CFA One Two Three One Two Three 0.0 -8 -5 -4 -2 -1 -1 0.1 -8 -5 -3 ,J1 0 0 0.3 -7 -4 -2 0 1 1 0.5 -6 -3 -1 1 1 2 0.7 -5 -2 -1 1 2 2 0.9 -5 -1 0 2 3 3 1.1 -4 -1 1 3 4 4 1.3 -3 0 2 3 4 5 1.5 -1 1 2 4 5 5 2.0 -1 2 4 0.30 6 7 2.5 0 3 5 7 7 8 3.0 1 4 6 8 8 9 3.5 2 5 7 9 9 10 4.0 3 6 8 9 10 10 4.5 3 7 8 10 11 11 5.0 4 7 9 11 12 12 5.5 5 8 9 11 12 12 6.0 5 8 10 12 13 13 6.5 6 9 10 12 13 13 7.0 6 9 11 13 13 14 7.5 6 10 11 13 14 14 8.0 7 10 11 13 14 14 8.5 7 10 12 13 14 15 10. Exterior Wall Thermal Mass Exterior Single- . Single - Wall Family Family Multi Mass Detached Attached Family 0.00 0 0 0 1 0.20 3 2 1 0.40 5 4 3 0.60 8 6 4 0.80 10 8 5 1.00 13 10 7 1.20 13 12 8 1.40 12 13 9 1.80 10 13 11 1.80 10 12 12 2.00 10 11 13 11. Heating System SE or HSPF (assumes ducts In attic) Zonal Control Adjustment System Type Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 12. Cooling S (&ssi -25 or SEER less 8.0 -14 8.5 -9 8.9 -5 9.0 -4 9.5 0 10.0 4 10.5 7 11.0 10 12.0 15 13.0 20 Sum of 1.6 -25 or -24 to -14 to -4 to +6 to 16 or SE HSPF less -15 -5 +5 +15 more 0.72 6.60 0 0 0 0 0 0 0.75 6.88 3 3 3 2 2 1 0.80 7.33 8 7 6 5 4 3 0.85 7.79 13 11 10 8 7 5 0.90 8.25 17 15 13 11 9 7 0.95 8.71 20 18 15 13 11 8 EfTective SE or HSPF (SE or HSPF x duct efficiency) Effective -25 or -24 to -14 to .4 to +610 16 or SE HSPF less -15 -5 +5 +15 more 0.30 2.75 -73 -64 -56 47 -38 -30 na 3.41 -45 -39 -34 -29 -24 -18 0.40 3.67 -34 -30 -26 -22 -18 -14 0.50 4.58 -10 -9 -8 -7 -5 4 0.56 5.13 0 0 0 0 0 0 0.60 5.50 5 5 4 3 3 2 0.70 6.42 17 15 13 11 9 7 0.80 7.33 25 22 19 16 13 10 0.90 8.25 32 28 24 20 17 13 1.00 9.17 37 32 28 24 19 15 Zonal Control Adjustment System Type Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 12. Cooling S (&ssi -25 or SEER less 8.0 -14 8.5 -9 8.9 -5 9.0 -4 9.5 0 10.0 4 10.5 7 11.0 10 12.0 15 13.0 20 Mandatory Measures Checklist: Residential MF -1R NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the corniriance approach used, Items marked with an asterisk (•) may be supawAW 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 I DESIGNER I ENFORCEMENT Building Envelope Measures • §2-5352(a): Minimum ceiling insulation R-19 weighted average. §2-5352(b): Loose fill insulation manufacturer's labeled R -Value. • §2.5352(c): Minimum wall insulation in framed walls R -I 1 weighted average (does not apply to exterior mass walls). §2.5352(k): Slab edge insulation - water absorption rate no greater than 03%, water vapor transmission rate no greater than 2.0 permlmch. §2.5311: Insulation specified oc installed mats California Energy Commission (CEC) quality standards. Indicate type and form. 62.5352(f): Vapor harriers mandatory in Climate Zones 14 and 16 only. §2.5317: Infiltration/Exfiltration Controls a. Doors and windows between conditioned and unconditioned spaces designed to Emit air leakage. b. Doors and windows certified. c. Doors and windows weathfrstripped: all joints and penetrations caulked and sealed. §2.5352(c): Special infiltration Denier installed to comply with §2.5351 meets CEC quality standards. §2-5352(d): Installation of Fireplaces 1. Masonry and factory -built fveplaces have: a. Tight fitting, closeable metal or glass door b. Outside au intake with damper and control c. Flue damper and control 2. No continuous burning gas pilots allowed. HVAC and Plumbing System Measures §2-5352(8) and 2-5303: Space conditioning equipment sizing: attach calculations. §2.5352(h) and 2-5315: Setback thermostat on all applicable heating system. • 12-5316(a): Ducts constructed, installed and insulated per Chapter 10, 1976 UMC. §2-5316(b): Exhaust systems have damper controls. §2.5314(c)-. Gas-fired space heating equipment has intermittent ignition devices. §2.5314: HVAC equipment, water beaten, showerheads and faucets certified by the CEC. §2.5352(i): Water heater insulation blanket (R-12 or greater) or combined interiorlextexior insulation (R-16 or greater): fust 5 feet of pipes closest to tank insulated (R-3 or greater). §2.5312(Exception 1): Pipe insulation on steam and steam condensate return & recirculating piping. §2-5318(d): Swimming Pool Heating I. System has: a. On/off switch on heater. b. Weatherproof instruction plate on heater. c. Plumbed to allow for solar. 2. 75 percent thermal efficiency. 3. Pool cover. 4. Time clock. 5. Directional water inlet. Lighting and Appliance Measures §2-53520): Lighting - 25 lumenslwatt or greater for general lighting in kitchens and bathrooms. §2-5314(c): Gas fired appliances equipped with intermittent ignition devices. §2-5314(a): Refrigerators. refrigerator -freezers, freezers and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. COMPLIANCE STAB This certificate of compliance lists the budding features and performance specifications needed to comply with Title 24. Chapter 2-53 and Title 20, Chapter 2, Subchapter Article I of the California Administrative code. This certificate has been signed by the individual with overall design responsibility and the building owner, who shall retain a copy of it and transmit the certificate to any subsequent purchaser of the building. Designer Name; Ttde/Fum: Tekphonc tic. M: (signature) (dam) Documentation Author Name: Titk/Fitm Addm=: Building Owner Name: Titk/Fum- Addmss: Telephone: "6d loll 6/�� �� g� (signatum) (date) Enforcement Agency Name: Agency: Telephone: TITLE 24 ENERGY COMPLIANCE.DOCUMENTATION DATE: MAY X89 JOB NAME: ANDERSON. MARK CONTRACTOR: OWNER/BUILDER CLIMATE ZONE• 11 COMPLIANCE METHOD: POINTS > > > SUMMARY OF COMPLIANCE REQUIREMENTS < < < MINIMUM REQUIREMENTS: -------------------- - INSULATE CEILING TO . . . R-30 - INSULATE WALLS TO . . . . R-19 - INSULATE FLOORS TO . . . R-19 - INSTALL DOUBLE GLAZEDD WINDOWS IN ALL OPENINGS AS PER PLANS - INSTALL GAS FRUNACE W/MIN 77% SE - GAS WATER HEATING (ONE 50 GAL TANK MAX) - MIN 98 SQ FT MASONRY @ WOOD STOVE AREA h Point System Summary: Climate.Zone'll �Al D 5- 6) X1 �' 8 Project Tide . Date BUILDING DATA Conditioned Floor Area / B71 63 Number of Stories Slab/Raised 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 SCORE CARD MR Form Revised March 19�g� l Point Scores -.f.. O O 0 Sum 1-6 O Sum 7-10 i D Point Total: 4/ - Glass Area % Glass North 1. Ceiling Insulation East 0 3 South 9 3 S- O West U -value (0.030] Skylight - —/ or Total a Form Revised March 19�g� l Point Scores -.f.. O O 0 Sum 1-6 O Sum 7-10 i D Point Total: 4/ - Measures 1. Ceiling Insulation – 30 or R -value [38] U -value (0.030] 2. Wall Insulation - —/ or R -value I I I I U -value 10.0981 3. Raised Floor Insulation R-19 or R-value(19] U-value[0.037) 4. Slab Edge Insulation or R -value 101 F2 factor [0.77] 5. Infiltration Standard 6. Glass Heat Loss Df3/_ /(o. / Type [double] U -value (0.65] % Total Glass [ 16] 7. Shading (Shade Open) % Glass SC Eff. % Glass a. North �, > x b. East _3 • a x c. South o x d. West /, x e. Skylight x = 8. Shading (Shade Closed) % Glass SC Eff. % Glass a. North -,.3 x 6, b. East 3e a x = �— c. South 50 x = 3.3 d. West / C;o x e. Skylight x = 9. Interior Thermal Mass Interior Mass/CFA 10. Exterior Wall Mass Exterior Wall Mass 11. Heating System .-77 x < 7 F­� Zonal Control? ( Y / N) SE or HSPF [Duct Efficiency [0.78] Effective SE or [0.72/6.6) HSPF [0.56/5.15] 12. Cooling System IVOAIC x = Zonal Control? ( Y / N) SEER 19.5] Duct Efficiency (0.74] Effective SEER [7.03] 13. Water Heating S C=1 Type [SG] Credit (none] Form Revised March 19�g� l Point Scores -.f.. O O 0 Sum 1-6 O Sum 7-10 i D Point Total: 4/ - V. Thermal Mass Worksheet WS -1R Project Title Date INTERIOR THERMAL MASS Use one of the two following options for calculating interior mass as explained in Section 4.2 of the Energy Conservation Manual (ECM). Method B must be used for mass elements that have an interior unit mass capacity less than 1.7. Method A: Look up the Interior Mass/CFA value from ECM Table 4-7 reprinted on the reverse side of this page. Type 1 mass has a Unit Interior Mass Capacity (UIMC) greater than or equal to 4.2 (see ECM Tables 4-8a and 4-8b reprinted on Attachment). Type 2 mass has an UIMC greater than or equal to 1.7 and less than 4.2. Mass % is the mass surface area divided by conditioned floor area (CFA). For mass elements exposed on both (two) sides to conditioned space, enter the area. of only one side to calculate the percentage. Mass % Type l Mass Area: Type 2 Mass Area: Interior Mass/CFA from Table 4-7: Method B: Calculate the Interior Mass/CFA value using the worksheet space below. Look up the Unit Interior Mass Capacity (UINIC) for each interior mass surface in ECM Tables 4-8a, 4-8b and 4-9 reprinted on the Attachment. 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 ECM. Description wo,o s��vc= Mass Area i x q— x X X X Unit Interior Interior Mass Capacity Mass Capacity i ! 6?�18 = Ia .2a 3 Total CFA Interior Mass/CFA EXTERIOR WALL THERMAL MASS Calculate the Exterior Wall Mass of all exterior walls. Look up the Exterior Mass Factor for each opaque wall element from ECM Table 4-9 reprinted on the Attachment. Only exterior mass wall surfaces may be included in this calculation. Opaque Exterior Description Wall Area Mass Factor Conventional Walls Form Revised March 1988 0 = Total 1 Total Opaque Exterior Wall Area Wall Mass Climate Zone 11 1. Ceiling Insulation Number of stories R -value One Two Three R-0 -103 -49 -32 R-19 -8 -4 -2 R-30 -21 -1 -1 R-38 0 0 0 U -value 0.50 -176 -84 -54 0.30 -102 -49 -32 0.10 -26 -13 -8 0.08 -18 -9 -6 0.06 -11 -5 -4 0.04 -4 -2 -1 0.02 4 2 1 0.00 11 5 3 2. Wall Insulation 3. Raised Floor Insulation Single- Single - 0.80 R -value Family Family fdulti- R-value Detached Attached Family R-0 -68 -51 -34 R-11 0 0 0 0 i 0 0 R-30 R-19 81 6 4 U -value -26 -14 0.60 0.80 -153 -114 -76 0.50 -91 -68 -46 0.30 -47 -36 -24 0.10 0 0 0 0.08 4 3 2 0.06 9 7 5 0.04 14 11 7 0.02 19 14 10 0.00 24 18 12 3. Raised Floor Insulation MU4 4. Slab Edge Insulation Insulation in Floor Number of Stones 0.80 R -value Number of stones Two R -value One Two Three R-0 -17 -8 -5 2 R-7 8 6 R-19 0 i 0 0 R-30 3 1 1 U -value -37 -26 -14 0.60 -144 -70 -46 0.50 -120 -58 -38 0.40 -95 -46 -30 0.30 -69 -34 -22 0.20 -43 -21 -14 0.10 -17 -8 -5 0.08 -11 -6 -4 0.06 -6 -3 -2 0.04 -1 0 0 0.02 4 2 1 0.00 10 5 3 Controlled Ventilation Crawlspace -46 -14 Number of stones 0 R -value One Two Three R-0 -11 -7 -5 R-5 -4 -4 3 R-11 -2 -2 -2 R-19 -1 -2 -2 MU4 4. Slab Edge Insulation F2 factor 0.90 -4 Number of Stones 0.80 R -value One Two Three R-0 0 0 0 R-5 8 5 2 R-7 8 6 3 F2 factor 0.90 -4 -3 -1 0.80 -1 -1 0 0.70 2 2 1 0.60 6 4 2 0.50 9 6 3 0.40 12 8 4 5. Infiltration (Air Leakage) Specification Points Standard 0 6. Glass Heat Loss Total 5 1 4 1 U -value 16 Percent 2 5 .51 to .41 to .31 to 0.30 or Glass Single Double .60 .50 .40 less 50 -121 -53 -39 -24 -10 4 40 -90 -37 -26 -14 -3 8 35 -75 -29 -19 -9 1 10 30 -61 -21 -13 -4 4 12 29 -58 -20 -12 -3 5 12 28 -55 -18 -10 -2 5 13 27 -52 -17 -9 -2 6 13 26 -49 -15 -8 -1 7 14 25 -46 -14 -7 0 7 14 24 -43 -12 -5 1 8 14 23 -40 -11 -4 2 8 15 22 -37 -9 -3 3 9 15 21 -34 -7 -2 4 10 15 20 -31 -6 0 5 10 16 19 -29 -4 1 6 11 16 18 -26 -3 2 7 12 16 17 -23 -1 3 8 12 17 16 -20 0 1 4 9 13 17 15 -17 1 6 10 14 17 14 -14 3 7 10 14 18 13 -12 4 8 11 15 18 12 -9 6 9 12 15 19 11 -6 7 10 13 16 19 10 -3 9 11 14 17 19 9 -1 10 13 15 17 20 8 2 12 14 16 18 20 Point Tables 7. Shadtng (Shade Open) Effective Percent Glass (percent glass x SC) Effective %Glass North East South West Skylight 18 5 1 4 1 na 16 4 2 5 1 na 14 4 2 5 1 na 12 3 3 5 2 na 11 3 3 5 2 na 10 2 3 5 2 1 9 2 3 5 2 2 8 2 3 5 2 2 7 1 3 4 2 2 6 1 3 4 2 3 -0 -9 -11 2 -30 4 9 -6 31 -7 3 3 0 Ij 2 1 3 2 0 0 1 0 3 1 -1 -1 -1 -1 2 0 -1 -2 -4 -2 0 na = not allowed 8. Shading (Shade Closed) Effective Percent Glass (percent glass x SC) Effective %Glass North East South West Skylight 18 -14 -48 -69 -64 na 16 -12 -42 -59 -55 na 14 -10 -35 -50 -46 na 12 -8 -29 -40 -37 na 11 -7 .26 -36 -33 na 10 -6 -23 -31 -29 -74 9 -5 -20 -27 -25 -65 8 -5 -17 -23 -21 -56 7 -4 -14 -19 -18 -47 11 -15 .14 .38 -2 -9 -11 -10 -30 4 -1 -6 -7 -23 14 -16 _21 -1 2 -1l 1 0 2 3 4 3 0 na = not allowed 4-68 Energy Conservation Manual Revised March 1988