Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
005-384-011
57_3184-� �The Second Baptist 'Church- 1053-Ohio Church .THE SECOND BAPTIST Ul ^CHURCH 679-69B ■ ti APPLICATION FOR CERTIFICATI 1053 Ohio St., Chico 703-70B* 6z7 -69E ' APN# 00 s FVERGER 7-55=70E# 6 -0--. r 3$�f 607' aaS �. --� I - ` 1009 , 010 t D 1/A Perm 1%9� H��R(new church) , • , r 1053 Ohio St. Chico ( add entrance &. office to church) 7 poi • U#addition & repair fire damage t ch chi ,', Pit#2297-84 erm emo iB 1 .� Permit#1679-85B(lst ren al/1796 4) 1 i 5-38 8 Permit#1389=86B(2nd re wal 796=84) Ml 384, 8,10,11 , Permit#2531-87B( d renewal/1796-84) �rT'•... ' ` 5-384-87' Y � Perini 2963=89B(permit"-to 'complete) 0 V ✓ c I' �1 ; i '. I .; I e I t,fA4#,e 0?,u4 0 It If 4�- 44 A--W� F.ful PERMIT NO. PERMIT EXPIRES OWNER SECOND BAPTIST CHURCH CONTR. owner q — co, ASSESSOR PARCEL 46-t24 LOCATION 1053 Ohio St,, Chico I t OFFICE COPY Address GAS Meter By Date ELECTRIC Meter By Date OFFICE COPY 3 I Address GAS Date Meter By ELECTRIC e Meter By Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) Sigo�ture t ,` J �. �� -t 7 0 t ,` J �. �� -t 7 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE,iCALIFORNIA - 538-7541 CERTIFICATES OF OCCUPANCY This building has been constructed and completed in accordance with - --the requirements of the Uniform Building Code under permit number 1796_R4 _.iorahe following: Use Classification Church Address or Location 1053 Ohio Street, Chico Group A'3 occupancy; Type V—N construction. It is hereby certified for the occupancy described above and may be occupied. Director of Public Works Date A�•ds+27, 1990 by "7 POST IN A CONSPICUQ S PLACE (Over) NOTICE A new Certificate of Occupancy is required if the use or occupancy of this building changes. This Certificate of Occupancy shall be posted In a conspicuous place and is not to be removed by other than the Building Inspector. n f: s COUNTY OF BUTTE OWNER 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 CORRECTION NOTICE �46S—e0l;1P 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 pertalrVing to this matter, or need additional explanation, please contact this office medi e Inspector Date ��o 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 S�l,n r�13 ff B� OWNER PERMIT -NO. O. A routine inspection indicates that -the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office ry COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, OroviHe — Phone: 5344541 Skyway and Elliott Road, Paradise -- Phone: 872-2961, Ext. 57 CORRECTION NOTICE A -e,&7-4-0 giz 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. It you have any question pertaining to this matter, o�oXeed additional explanation, please contact this office immediately. Z-5) S C C kis"7 yep"1, 5 Lj iz-f n!!Se Inspector dVC/ Date ? -- - =* COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico— Phone: 891-2751 7 County Center Drive, Orgville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE PM r CAV'U2r.-- / 7 q 6 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. �4 r Inspector Da"tez� ' 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, Paradi"Se — Phgne: 872-2961, Ext. 57 , t CORRECTION NOTICE OWNER PERMIT NC 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, Jplease contact this office immediately. I- RD/Vs (fin "-I hoz tv e-0 rn\wn.Q. c4 45 I N �• �k. J� � f/ �_ C r C.4i5 5 'Inspector �� Date�� • • L'.. COUNTYcOF @!.',TTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Partidise — Phone: 872-2961, Ext. 57 D 59RRECTION NOTICE VNER RMIT 0. 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,_ pleaseAVntact this office imme}#i-qtely. M Inspector Date t J = OK ` O = Not OK - = Not Applicable = • Not Ready t MOBILEHOMES :i MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except q's 1. Zoning Requirements—Setbacks—Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s- 1. Zoning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch 2. Footings; Size—Depth—Spacing—Connectors 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—Beams—Rfirs.—Connec.—Shthg.—Rfg.—Bracing_ 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete _ 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors•• 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except U'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 _ i 5. Drain; MH Test—Fall—Flex Connector 4• Elec.; Receptacles and Lighting; Distances—GFI 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 1 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 i 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date j Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date t L- �V =SOK. 0 = Not OK Not Applicable Not Ready RESIDENTIAL (4ingle and Duplex) - i r Date UNDERFLOOR Plans OK except#'s Date FRAMING Continued Zoning requirements -Setbacks -Easements 48. roperty Line Firehall & O 2rFk)• n; S -St -Flet. G- - /" Ftg. Depth xt. Doors -One 3,-Ghec age- rd story, 2 exits 50. tairs; Width -Headroom -Run-Landing-Fire Protection Ft Porches &Decks; Soils -Steel- / /'' Ftg. Depth 51 Plywood on Roo rhang-Att' Vents -Rafter Outriggers _ Ste Is, M�err; Sy►e'I- uts-W -S 5 iding-N ene r IBM -slab -D ' Scr n. nts-Underflr. Access Wing Area- lass io kylights-Plastic ers-FwepVeeelef-St _ fFitrjpgs-T - ewer T hear Walls; Nat ' - Its 0 Water Pipe; Test -Anchors -Regulator -Service Test 1 Electric; Underground nums & Ducts; g learance-Material-Support-Ins. rders-Sills- n or Bo Joists -Vents -Cripples Card -BI Dat - and -BI Date _ Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date fCard-BI Date Date FIN (Plans) OK except #'s Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except #'s 5b- Ext. Steps -Door & Sidelight Protection -Landings �.ke Detector 14. _Water Ht.; Vent -Act s -Combust' Ai . Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 15. Water Pipe' st & chors- I c ' 16. c N r e D.W.V. est-"e2n(j1oor-Tuj 9. Bedroom Exiting _ _ 17. 18. Show -Poor-Tub 04 Test u ss -re-G.F.I. & Bath Fixtures & Tub Access -�? Trim & Subpanel; Breaker Sizes -Labels 19.Gas Pi e & Anc tc�xelrs �Ellec. & Rails Fireplace or Stove; Clearances-Hearth Card -BI Dat ` Card -BI Date --6f-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 #'s 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper -- 20. Fixture & Transformer Cleara -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor -Meth. Protection 21. Elec. Receptacles Spacing- hts &Switches at Doors _ 22. Size Boxes & No. Condu ed 70. Plb., Elec. &Mech. Equip. Listed for Location _ 23. s Rome ailed ttoo dge of Studs & C.J. 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. `. _ 24. 25. Equi . Gr a w/M h. Fasteners -Bond Gas & Water 2 A Ii Cir its i c Size 72. Insulation -Foam -Looked in Attic ❑Yes 73. Guard Rails &Deck Construction -Post Caps - 26. :)Conductor Subfe e r a C AI-A.C. Wire Size / / ga. Cu or Al _ 74. Fdn. Vents & Cra I Hole Door -Drainage & Wood -Earth Clearance i Looked under Flgor ❑Yes P. - - -_- 27. 28. 29. Ran / a. ven Circ. / / ga. Cu or Al, In ted Neutral es ❑No ice -Riser Conductors & Ground -Main Disconnect Equip. Clearances; Panels-Motors-Mech. Equip. 75. Followinginstld�: rive Yes No; Walks ❑ ❑ Yes ❑ No; lanters ❑ Y ❑ No tucco; B -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. - ETI I Card B -I --- - ------ -- Date0 rd -BI Date Date Card -BI Date 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. 82. Ventilation throughout House Glass Protection Date MECHANICAL (Perrr,it) except #'s-11 83. orreclions from Previous Inspections Meters Tagged; Gas -Electric _- _ - 31. 32. 3 A_C. Ducts; su t up _- Ve i F _usi a `' nsulation _- e sale Drain v rilow; Size &Grade 85. Water & Sewer Connected -C/O to Grade -HD Approval 86, Energy Compliance Certificate-Other"Certificates ab Card -BI- Card -BI urnace-Ve ; ccess-Comb._Air-Return Air Vent -115V outlet 35. Attic A ss & Platform if Furnace in All, ---_---___-__ Date - Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Card -BI Date and -BI Date Date Card -BI Date Date FRAMING(Plans) OK except #'s Comments at Final: _ __36. 37. 38. 39. 40. Sills; Proper Material &Anchors -_- Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Wallsaver Girders & Floor -Nailing- -- Draft_ Stop in Walls (rat proof) _ _Fire Stops: Furred Ceilings -Stairs -Chases -Tub �,¢� '{Y� � �� �1 2P 39 41. 42. 43. 44. 45. 46. 47. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors 7 Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Trus -S g. Ing. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles Bd..._Windows or_Exiti_ng Doors_Sill_Hgt. & Dimensions -- Garage Fire Protection Framing --- (NOTE:Anentrymust be made each time you visit jobsite) ( -- _ COUNTY OF BUTTE - DEPARTMENT OF PUBLIb WORKS 7 County Center Drive - OroviIIe, California 95965 - Telephone 916/534-4541 APPLICATION AD PERMIT / PERMIT NO. ASSES OR PARCEL NUMBER /'O 8 ZONI G BUILDING PERMIT OWNER . ECOAJb � PW T LEPHONE -3-1' SO. FT. OCL`, BUILDING VALUATION o zs OWNER'S MAILING ADDRESS D !✓ CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 04D4� Filing Fee $- 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 3171SV ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS ©� ® 7'. PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 11-Z,CrO Solar Water Heater 20.00 &_NleC> Water piping 5.00 &0 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or.vent &0 Gas piping system 1 - 5 outlets S,8(� USE OF STRUCTURE SF❑ Duplex❑ Mobilehome❑ Other&& t), SPECIFY Building sewer d5.00 Mobile Home S G W 10 TYPE OF WORK New�C Addition ❑ Remodel ❑ Uti lilies ❑ Installation ❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST.(DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 1 2h2sgit CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): ElI 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) ❑ 1, 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 CONSTP_ ULTI.OUTLET 2,50 ea NON -R ESID BRANCH CIRC ITS. NEWC ONST R. (POWER APPARATUS &' NON•RESID. (SINGLE OUTLET CIR. 20050a Ex. Occup(o DR FIXTURES eALeao IXEDTs Ex. Occup. OUTLETS P(RESID.)R EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 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 Q Cooling �Q� �. D Hood 3.00 Ventilation xj to,0,01, Permit F $ �� 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 againstOCCUP. all liabilities, judgments, costs, and expenses which may in any way accrue against said County inpnequence of the granting of this permit. X - Date lB��f'8� Signature of Applicant — Owner F-1 Contractor ❑ AgentF An OSHA permit is required for excavati oyer 5' " and demolition or construct- ion of structures over 3 t i s fight Mobile Home Installation Fee $ TOTAL PERMIT FEE $ GROUP A.3 TYP OF CONST. PARC L ND JE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which D) CTOp O PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. _- WHITE-D.P.W., YELLOW -ASSESSOR. PI .( . NKSPECTO GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLES-�,CALIP'ORNIA 95965 TELEPHONE: 916/534:4541 / µ PERMIT APP'LICATION'DATA SHEET f '✓ ' Permit No. OWNER _�4AP-r/S7- k;))WW) p#- A., P. No. _'`6n --/2-y /Q. i l -R Proposed Building Use_dt),ALW Permit Fee Based'Upon: Complete Contract Price DPW Valuation Other (Explain) Building Inspector a,lfi ��.v9aa Date vP.LP 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. . . . . . . . . . . Complete plans in duplicates/'riplf irate.) -: 4 omplete engineered plans Wd calcs G a ' 5. Plans with Energy Design Compliance Statement. . . 6. State Energ Forms No. "IC,, i4- `o 7 Statement of Intent for Non -Heated and AC Buildings. . NC 8. Fees of $Fop T^.; lo A// •.- : /h lT . . 9. Letter of signature authorization— . . . . . . . . 10. 'Sanitation approval from Health Dept. - 11. Planning approval'for (A) Use: 191Z u (B) Parking Zf� Z / 6 ��- 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 17. Pre -Inspection for Requi, re�d. uilding I (Date) ther1,18eIF hLA1JS .IS'�'A1Mi�E0 'Other C r When you issue the permit, process as follows: Mail to owner. Mail to contractor. - V Telephone e=3.1-"92JQS and hold for pickup at office. Deliver w/inspector. Other Applicant0 �,n /�.i A i i� t�}/1yDate Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked above at ti Nffa5ll &it c'. cl item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor % esign ne as advised of above required data b Telephone Mail Ot er Alf A .ii By Date 93 Plans checked by Plans approved b, Other ' •, Copy—D Date Date TO: Building Department FROM: Environmental Health, Chico SUBJECT: Sanitation Clearance Owner Location AP, Plann approved for; sewage disposal water supply r` Hold final for: water'supply Final clearance O -A. for: water supply Clearance fore bedroom mobile home. .Other Note*** 3 / Sanitarian Date COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA.. 95965 Phone: 916-534-4541 OWNER -BUILDER VERIF ICAT ION 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 in the envelope provided at your earliest -opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materialp for construction of the proposed property iinprovement (yes or no) 61/ 2'. I (have/have not)' CIA 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: P Property%Owner r Social Security number Date J _ NOTE This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSSO PARCEL NUMBER-,,,ZOWNG Y&;�a BUILDING PERMIT OWNR - r TELEPHONE s�3—s�7�s� SQ. FT. OCC. BUILDING VALUATION OWtJER-:,S I ING ADDRESS UOjt;S CONTRACT NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 1Q,QQ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ . ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 16 IS.. .j� Permit fee $ PLUMBING PERMIT Filing Fee 10.005 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF [I Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W - O.00ea TYPE OF WORK New❑ Addition❑ Re/model[] Utilities[:] Insttaallation❑ Other ❑ Describe work: D7 /W�2 O� ` C�—� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service OOOV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP.8d '/zQsgft OR ADONS, ACC. BLDGS. l / NEW CONSTR MULTI -OUTLET 2.50 ea NON.RESID BRANCH CIRCUITS) POWER APPARATUS &) SINGLE OUTLET CIR. ®50S Ex. OccupOUTLETS OR FIXTURES 1.20@504t AL®30 FIXED APPLNS. OR EX. Occup. OUTLETS (RESIO.) EAJ 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. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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, c sts, and expenses which may in any way accrue against aid County in cons quence of he granting of this permi . /X Date o In gnat a pplica — Owner ❑ Contractor ElAgent�� An HA p rmit 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 $ / �7 TOTAL PERMIT FEE $ (p I Occup. CONST.TYPC FLOoo PARCEL P11 I ND I ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County -Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By � .Date '/ ' PERMIT EXPIRES Date _ Receipt No. / WHITE-D.P.W.. YELLOW-ASSE350R, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT P . MIT NO. ASSESSOR PARCEL NUMBER eg /C, l ( ZONING _ I— BUILDING PERMIT O WNE TELEPHONE ,SQA FT. OCC. BUILDING VALUATION OWN R'S MAILING ADDRESS / COy„TRACTOR'S lg— TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is 4 O 2 ,S" Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ b ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$' Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ _� PLUMBING PERMIT Filing Fee 10.00 ^2 �^ �3�Q `�� C J Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE/ �)) SF ❑ Duplex❑ Mobilehome❑ Other ` � LA ekl SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe work: Aexmc ry cf!! gkelj_ _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 ft ��+ i ��� o �J # �S 3�_ �� 9T Main service e00v OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions Of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ��ff 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) E] 1, as the owner, am exclusively contracting with licensed con ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& OR ACDNS. ACC. BLDGS. , qft /z¢sea NEW R S,., RANCHUTLET NO N_R ESID BRANCH CIRC ITS 2,50 ea /POWER APPARATUS .&) (SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES 20050C BAL®so FIXED APPLNS. OR Ex. Occup. OUTLETS IRESID.I EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00tract- Misc. Wiring g 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. 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 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 Lawsxelating to building co uction, and hereby authorize representatives of the Countyot Butte to en n the above-mentioned property for inspection purposes. I also a to ave, indemnify and keep harmless the County of Butte against all 1 Ili ies judgments, costs, xpenses which may in any way accrue agai s ounty in co nee of the granting of this permit. f © C-1 X -/on/ Date Signatur f Applicant — Owner ❑ Contractor ❑ Agen An O$permit is required for excavations over 5'0" deep and demolition or construct- ion of tructures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 7 ALSCH HAZ CUA PARK FLD PAR Po HD IssuE This permit is hereby issued under sions of the Butte County_ Code and/or work indicated ab a for which fees D OR F PUBLIC By PER IT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS D to 2 Receipt No. �� L— WHITE-D.P.W.. YELLOW-ASSFSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public.Works 7 County Center Drive, broville, CA 95965 OWNER -BUILDER. VERIFICATION "'Attention Property Owner: Phone: 916 -538 -7541 - 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 ma' r labor and materials for construction of the proposed property improvement (ye or no) 2. I ( av /have not) signed an application for a building permit for he proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name .iA 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 VVContractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner Social Sec ur ty Numbe Date g 24Y05AU NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of.the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS vnL:�� 7 County Center Drive - Oroville, California ;5965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR. PARCEL NUMBER ZONING BUILDING PERMIT OWNER _ TELEPHONEAdQ SQ.FT. OCC, BUILDING VALUAtION CFWNER'S MAILING ADD S5 CONTRACTOR'SNAME TELEPHONE 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 $ . Energy Plan Checking Fee $ - ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty BUILDING ADDRESS Permit fee .. $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE" �" SF ❑ Duplex❑ Mobilehome❑ Other �,[yyJ�t�( SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S FG W 110.00ea TYPE OF WORK New '/ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 .7 100 Main service GOOV OR LESS AMP OR LESS 10.00 Main service EA. AOD'L 100 AMP 2.50 NTRACTORS LICENSE LAW declare under pe7FOperjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Busines$ 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 offer 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 oCCU1.8d) '/20sgIt OR ADDNS. ACC. SLOGS./I NEW CONSTR. MULTI -OUTLET 2,50 ea NON•R I -SID BRANCH CIRC ITS POWER APPARATUS 6 (SINGLE OUTLET CIR. Ex. Occup(ourLETs OR FIXTURES eLO 30 2ALO30 Ex. Occup. OUTLETS P(RESID )FIXED APLNS. REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 sc. MiWiring 15.00 Permit Fee $ Contractor ORKMEN'S COMPENSATION INSURANCE I declare anda alty of perjury (check one): ❑ The ermit 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. Not ce 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, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. XG�,� Date S gnature of Applicant — Owner NJ Contractor El 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 $ occu P. CONST.TYPC --i—FLOOD PARCEL PD I ND I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREJQT9R OF PUBLIC IF By PE IT EXPIRES Date- the applicable provi- resolutions to do fees .have been paid. WORKS 2 Q Date / 6_ Receipt No. 6a WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916=534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner:. An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay.in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) , 2. I (have/have not) *a,( -"/..signed an application for a building permit for the proposed wo k.. 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 Owner Social•Security mb r 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. y COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916=534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner:. An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay.in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) , 2. I (have/have not) *a,( -"/..signed an application for a building permit for the proposed wo k.. 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 Owner Social•Security mb r 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. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. 1 YASS S OR PARCEL NUMBER — Z ZONING, Z BUILDING PERMIT OWNER T LEPHONE SO. FT. OCC. BUILDING VALUATION " OWNER'S MAILING R 55 3 C NTR CTOR' NAME TELEPH N ' ONTR CTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 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 $ ADDRESS BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME ARC EL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE //�� SF ❑ Duplex ❑ Mobi lehome ❑ Other 4f l ar� SPECIFY Building sewer 5.00 Mobile Home S I G I W I I 110.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other,& Describe work: — S_ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service OOOV OR LESS 100 AMP OR LE55 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADONS. ACC, BLDGS. 21/22sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business20@50a and Professions Code and m license is in full force and effect. y 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 th' on NEW CONSTR TI.OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS NEW CONSTR. POWER APPARATUS &) NON-RESID, SINGLE OUTLET CIR. Ex. FIXTURES BAL030 FIXED A POR D )EA.) 2.00 Ex. DCCUp. OUTLETS (RESIR Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have 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. j� 1 shall not employ any person in any manner so as to become subject �l 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue st aid County in nseque of the granting of this mit peThis rii Date t ���""" ignature414plicant — Owner ❑ Contractor ❑ Agent, �--4 1 � _<Zg4, An OSHA permit is required for excavations over 5'0" deep and demolition or constru ion of structures over 3 stories in height. Mobile Home Installation Fee $ / TOTAL PERMIT FEE $ Ip OCCUP. GROUP I TYPE OF CONST. I PARCEL PD I ND I ISSUE permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC F P BLIC BY aZ PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. �Z �� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT J COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541 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 in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No building permit will'be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) �. 2. I (have/have not) 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 Owner �G SocialSecurity nu�b�er` 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 permitted to issue the permit. I COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS �J 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. A ES5P RCE NU 0 ER r B 0 ZONING BUILDING PERMIT OWNER'' ^^ u RI J I rel TELEPHONE SQ. FT. OCC. BUILDING VALUATIO OWNE 'S MAILING ADDR SS ID CONTRACTOR'S NAME T EPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER AJ PV I LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS S �}� tl PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 I Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE �,/ SF Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewerLYJ 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New ❑ Addition Remodel Utilities Installation❑ Other Describe work: �' — Permit Fee /Contractor $ ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUR.& OR ADDNS. ( ACC. BLDGS. 2/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ElI 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 VI, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULTI.OUTLET 2,50 ea NON. CIRC ITS NEW CONSTR (POWER APPARATUS &) NON -RES,D. SINGLE OUTLET CIR. 20@50C OR FIXTURES 9AL®30 Ex. Occup(o XED A FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) 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. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code,.you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 1 certify that 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 agai t id County in consequence of the granting of this permit. r- Date gnature of Applicant — Owner Contractor ElAgentwork 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, I PARCEL PD I HD I ISSuE This permit is hereby issued under sions of the Butte County Code and/or indicated above for which D REC F UBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS ^� Date7-.()x -,aA�(��� Receipt No. _9,E -c YELLOW-ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT "F 4 1 COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA. 95965 Phone: .916-534-4541 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 in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No building permit will be issued until this verification is received. r 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no)Izz 2. I (have/have not) , signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address. City. Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some•of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work S igned : r Property Owner Social Securi y.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 permitted to issue the permit. R. MCGH17 Is ASS MATES Structural Engineering 51 Forest Creek Circle CHICO, CALIFORNIA 95926 (916) 891.0508 .. .. ....... .......... ............ ............. ..... ...... ......... ... .............. . .................................................. .............. ............ . ............. . ............................ ................ : ............. . ............. e.s ............. .... ........ ............ .... ................................ .... . ............. ...... C. le. JOB ->(57 -5A4 f-- 7/.S 7- Q-,'QaCA- _ � SHEET NO. OF CALCULATED BY DATE 2- S CHECKED BY DATE SCALE 2- 32 UALi ...................... ... ....... .............. ............. ............. ............. ............ ........................ .... ........ .............. ......... ... .............. .. ...................................................... .......... ............. ........... .......... ..... .. .... ........... ............. ............. .............. ............. .............. .............. ............. .............. ............. ? .............. ....... .. .............. ............. ............. ............ .......... ............. .............. t MCS HIE,"'l ASF,=]A,777-3 roa Sl�c -V I - IP Structural Engineering :2 51 Forest Creek Circle SHEET NO. OF I CHICO, CALIFORNIA 95926 CALCULATED BY DATE -84- (916) 891.0508 CHECKED BY DATE SCALE /I .z ........... 1.4.7 r- i-1- . ................... ......... I ........... pai&6MI ®tw. wek atm 01411. ....... .....L,63 ?�nl . .......... .......... 1 -4 ............. ............ ............... .............. ............ .............. . .. ........ ...... ...... ............. ... ......... .......... ASSOCIATES Structural Engineering 51 Forest Creek Circle CHICO, CALIFORNIA 95926 (916) 891.0508 JOB 34P 721S 7- C496vi1Ca SHEET NO. J OF 7 CALCULATED BY /QQM DATE Z -LS —a e CHECKED BY DATE i SCALE I i ! i Ii i y � i.... ....i.... I a I ..1 .....1.............x.....1? I .................i ....i i i i i iL i i I a /,3 i I. .� u � I ....i... I i i . ' f i i i i '..... ..............+............. I......�....................5../1.3.. : : : : . : :: : : I I � / I ............... ... ....:....:............................................z.../............i � .... . .................... r i :........ _.........._:........_:.........:........:.......:.................:.....:......_........................I...................,!...........................:......................_I.................... �........ i I i i I : ..... .. iI iiGsz S Z,7 % I ............ ............_s ............. ........ ...... ................ ............ ........................ ........ ,... .... ............ ...... ...... ..... i ...... ...... .... i G,f .........................................I.............. I ` ! r ......... . ...... ..... ..... .... ...... ...... i ' ' i �. ..... .... .... i ( ' i i i i i • i i i i ' I ' 2° 7 I i / is T z L .. ............... .... ..... ....... .. ...... ..... ...... ...... ...... ..... ...... ..... ..... ..... .... ..... ...... I T .� : r ..... ...... ..... ..... c z �: S r v .............. ............. ................ I............. :............. :............ ;.............. ,.......... ... .............. ... .... I i i i 1 o ! i ..... ..... ..... ..... .................� .............. I ............:.............:.............:.............:.............:............_:...................................................................................................................... : ........... ...........:.........................................:.........:........:.... �: AA ;� I 5 3 i s 1 J i i f Z U`� /� i I i ! i i [ Z i i S D i i x / q z ' u .... a c ....................................`..............e................. ..... e..... I. ...........!......................................................................................... ...... ...... .... ..... ..... .... ..... ..... ..... .........I.......... ..... ..... ..... ..... ..... ,2. r .... ...... ....... ......v.............�.... ...... ...... ...... ..... ...... ........................... ..... i - ........... ............... ............... ,............. . ...... .......... ...... .... ...... ...... ..... ........................I .............................. ......... .... ..... ............ :.............. :.............:.............. :....................................... :............:....... '..... .... ......— ....... : : : . . : : € I L! ...........:..............:............................................. __............._............... .... P . . . . . . : . . . i 4 ; 40 ..... is a �. I I ........... ..:................................. .. ... :,.. . ............,................... ..... .... ..... ..... i rtyTr� a ...... . i ��...1 ........ :....:..................... -s/ . G3. I ii: r ............ i DP..S....." I .... ............. ..... ....... ..........sI ........................................................................:.......................... ..........e i r 3 3 I I : I �oGO� R. MCGHIE & ASSOCIATES Structural Engineering 51 Forest Creek Circle CHICO, CALIFORNIA 95926 (916) 891-0508 JOB SEGU�v/Qf i3/I�%/S % C11u?2G61 SHEET NO. `r OF CALCULATED BY �� DATE 2 - ,CHECKED CHECKED BY DATE SCALE Z................4'....%..D..........,....o...af 3............................................... Z 2, .............. :.......... .... �.......:............ :............. .... ........ ..... ..... ....... rL`2.ZF....I................................................. .. .......... .............. ..... ... ....... oma mi Qui, r+md r.. oun. i R. McGHIE & ASSOCIATES Structural Engineering 51 Forest Creek Circle CHICO, CALIFORNIA 95926 (916) 891.0508 .... ......... ...... .... .............. ... . ........ .. . . ...... ..... .......... . ...... . ..... ........... . ............. . ............. ............ .............. ............. .. .......... ..... ..... I . ... .. ......... ... ...... ............. . ............. . ........ Z 401 .............. i ............. . ......... . . . . . . . . . . . . . . . . . . . . . . . . I 7i 7- .......................... 19, 2 3 JOB SHEET NO. OF CALCULATED BY DATE CHECKED BY DATE SCALE ......... ... .............. .. ........... ! ...... ...... . ..... ............. .. ?.�- 2 ...... ..............i ............. .. . ......... . ............ ....... .... ... . ....... L/6 4 /Zi .. ... .. ...... s. - Mi Lw- GmCm Hm 01411. Rej 41, R. McGHIE & ASSOCIATES Structural Engineering 51 Forest Creek Circle CHICO, CALIFORNIA 95926 (916) 891.0508 JOB SSC O /V /> 1-m!5A A' -I / SHEET NO. h' OF 7 CALCULATED BY ,` ✓� DATE 12-21 CHECKED BY DATE SCALE ,mw ml � rc. WM ra oun. R. McGHIE & ASSOCIATES Structural Engineering 51 Forest Creek Circle CHICO, CALIFORNIA 95926 (916) 891.0508 JOB 5EG o A_1 b!3 A /, -I-I S'7 C,,Ae_/4,Afa SHEET NO. / OF 7 CALCULATED BY 1-2 12 Z" DATE CHECKED BY DATE SCALE as m►1®mc. C am. rr ON11. _4 BUILDING DATA FORM BUILDING ENVELOPE COMPLIANCE Project Title ��= CONCH S C (LG4d Location Project Designer �L-4ATOnI Form 1. Documentedby -Date Checked by summer UW 19 _. 1 W 12 - (cooling) u 20 14 06 Udoor 21 / fl Shading coefficient of glass, (from Table 3 of Appendix 1).sc 22 110 Weigbt of Wall Construction, Ib/ft2 w 23 �2 Pff Mass Correction Factor (from Fig. 4.1.16) MCF 24 �' O Equivalent Temperature Difference (from Fig. 4.1.16) Men 25 Roof Surface Areas Total % skylights I t Note? if Line 29 is 5% orgreater, automatic light-sensitive switching systems are required in the area lighted by sky- ligh t Enterthe-difference between line 27 and 5% of line 28, or zero, whichever is the greater Enter the sum of line 26 and line 30 Aopaque roof 26 Askylight 27 Q Aor (26 + 27) 28 . (27/28) 29 ^ 3C 'O r 31 112112 0 Dath ' SITE DESCRIPTION Location Code Number (from Table 2 of Appendix 1) Latitude R 2 2 — Degree Days -heating (from Table 2 of Appendix 1) 3 . art. SF, Solar Factor (from Fig. 4.1.17 or Table 2 of Appendix 1) AT, ASHRAE design temp — 78° (from Table 2 of 22. Appendix 1) 5' BLDG. DESCRIPTION Occupancy Type Code Number (from Table 1 of Appendix 1) 6 -7 Gross heated floor area, sq. ft. 7 1 Number of floors 8 i Ground Floor Perimeter, ft. dimension M floor, ft. 9 10 'j 3 Longest diagonal ground 11 lam' Height, ft. Record the detailed materials data on the Materials Data Form - Form 2 Wall Surface Areas Aopaque wall 12 J72A/�Q Awindow 13 Adoor 14 13 114' 15` O Total' Aow Line 12 + + Heat Transfer Coefficients (see Section 4.1. 8) winter Uwali 16 0' 07 (heating) Uwindow'. 17 Udoor hi13 1 93 18 LZ summer UW 19 _. 1 W 12 - (cooling) u 20 14 06 Udoor 21 / fl Shading coefficient of glass, (from Table 3 of Appendix 1).sc 22 110 Weigbt of Wall Construction, Ib/ft2 w 23 �2 Pff Mass Correction Factor (from Fig. 4.1.16) MCF 24 �' O Equivalent Temperature Difference (from Fig. 4.1.16) Men 25 Roof Surface Areas Total % skylights I t Note? if Line 29 is 5% orgreater, automatic light-sensitive switching systems are required in the area lighted by sky- ligh t Enterthe-difference between line 27 and 5% of line 28, or zero, whichever is the greater Enter the sum of line 26 and line 30 Aopaque roof 26 Askylight 27 Q Aor (26 + 27) 28 . (27/28) 29 ^ 3C 'O r 31 112112 0 i BUILbING DATA FORM —BUILDING ENVELOPE COMPLIANCE Page 2 of Form 1 PROJECT TITLE 7��or✓p P �I `� CU Heat Transfer Coefficients (See Section 4.1.8) 32 �-- winter Uroof (heating) UskVlight 33'70—,. �VA- ' u 34 r summer (cooling) • us 35 /1�i4 Shading Coefficient of skylight (from Table 3 of Appendix 1) SCs 36 N.4 / o Mass Coefficient (from Fig. 4.1.16) Mc 37 Ac 38 79 Absorptance (from Fig. 4.1..16) Floor Aof' 39 SLA6 Oi✓ Floor Area over unheated space U•value for`; floor U of -440 �/tA0E-E)G�ri�iT HEATING DESIGN CRITERION Standard Uow (from Fig. 4.1.2) Standard Uor (from Fig. 4.1.3) ,. Standard Uof (from Fig. 4.1.4) 45 /VA 2 Maximum,allowable Uo (from Fig. 4.1.1) i 46 47 Proposed Uow (from Fig. 4.1.7) o, 045 Proposed Uor (from Fig. 4.1.10) 48 .. 49 A Proposed 'Uof (from line 40) _L — 12' Proposed Uo (from Fig. 4. 1.1 50 Line 50 must not exceed line 46 Note: Uor is calculated from the equation of Fig. 4.1.10 for the proposed building using the value from line 30 for the area of skylights, and the value from line 31 for the overall roof �' area Aor is COOLING DESIGN CRITERION 33 S Standard•OTTWw (from Fig. 4.1.15) 51 Standard OTTVr (41 x line 44) 52 � Standard OTTV (from Fig. 4.1.13) Proposed OTTVw (from Fig. 4.1.14) /,51 3 ` 55 Proposed OTTVr (from Fig. 4.1.14) �� 3 Proposed OTTV (from Fig. 4.1.13) 56 Line 56 must not `. exceed line 53 Note: OTTVr for the proposed building is calculated from the equation of Fig. 4.1.14 using the value from line 27 for the area of skylights, and the value from line 28 for the overall roof area Aor g'-�'60ffD ( Af s7 Aow Uo-r +- A�Qor UO " Aow + /d or LOq-x Zoo Vow o,'r Z � q- �__._.._.. O �or I"ro p 0o^_Qvr Uor . o w + ,4-o r le7 -�-2 2�0,-- 4t- +- 2 I I- 4Nom- Z -Z 2 ff Z ` 5 OTTVr,► x /Tow (OTTVoA &or Q'T7'Vo )4- Dior .. __ C33,S,c. Z�o�¢��,/ x 21/t•� ,� 184- ... V7-74.- = (Uw AAf-, F' SCTD)_ A O W' o, 0 79 L 7 L 7 rs x /, o x X24- D T TV/r r �¢/ K U�- h Ar X . �. o� 44/ k O, 044_x -2-/12-)c oMgjc o OSG PropQTTVO x ,Aoar)4- Lr?Vrx,40�— ��a 4— -v r' + l x 2(I Z) F®rm 2 MATERIALS DATA FORM BUILDING ENVELOPE COMPLIANCE I Project Title �S% �r�kt' Tj2� V Documented by Location,Date 84' �i � �� . Project Designer �fChecked by 1 Date I Wall Wall Type 1 Weight of wall construction, Ib/ft2 (see Sec. 4.1.8) W1 1";: 2 Pjic Heat Transfer Coefficient (see Sec. 4.1.8) U1 2 0, 0 -7c] Surface Areas (attach sheets to document any additional Orientation 3 compass orientations) Area 4 4 2 Orientation 5 Area 6 �ZL� Orientation 7 Area 8 �.5 7 4 Orientation 9 10 1 Area Totl--c, na,4-Qvc a*u / 7 2 F T Z. Wall Type 2 r Weight of wall construction, IWO W2 11 NA Heat Transfer Coefficient U2 12 Surface Areas (Attach sheets to document any additional Orientation 13 i compass orientations) Area 14 i Orientation .15 Area 16 Orientation 17 Area 18 Orientation 19 Area 20 Wall Type 3 /VA Weight of wall construction, IWO W3 21 Heat Transfer Coefficient U3 22 Surface Areas (Attach sheets to document any additional Orientation 23 compass orientations) Area 24 i Orientation 25 I Area 26 Orientation 27 Area 28 Orientation 29 Area 30 I MATERIALS DATA FORM — BUILDING ENVELOPE COMPLIANCE I PROJECT TITLE Wall Type 4 1 Weight of wall construction, Ib/ft2 Surface Areas (Attach sheets to document any additional compass orientations) Glass Type 1 Page 2 of Form 2 W4 31 A U4 32 Orientation 33 Area 34 Orientation 35 Area 36 Orientation 37 Aiei? 38 Orientation 39 • Area 40 Shading coefficient (from Table 3 of Appendix 1 or mfrs. data) 41. A � Heat Transfer Coefficient (from mfrs. data) 42 �' 3 Surface Areas (Attach sheets to document any additional Orientation 43 N compass orientations) . Area 44 AS Orient'Aion 45 E Area 46 60 Orientation 47 S Area 48 3 �— Orientation 49 w Area 50 %TA�- r / ? 8 1=7' 2 Glass Type 2 Shading coefficient (from Table 3 of Appendix 1 or mfrs. data) 51 NA Heat Transfer Coefficient (from mfrs. data) 52 Surface Areas (Attach sheets to document any additional Orientation 53 compass orientations) Area 54 Orientation 55 Area 56 Orientation 57 Area 58 Orientation 59 Area 60 Glass Type 3 Shad ng coefficient (from Table 3 of Appendix 1 or mfrs. data) 61 N� Heat Transfer Coefficient (from mfrs.data) 62 Surface Areas (Attach sheets to document any additional Orientation 63 compass orientations) Area 64 Orientation 65 Area 66 Orientation 67 Area 68 Orientation 69 Area 70 MATERIALS DATA FORM —; BUILDING ENVELOPE COMPLIANCE/ Page 3 of Form 2 PROJECT TITLE INJ +'�I2C[P 8.. Glass Type 4 Shading coefficient (from Table 3 of Appendix 1 or mfrs. data) 71 LJAr Heat Transfer Coefficient (from mfrs. data) 72 Surface Areas (Attach sheets to document any additional Orientation 73 compass orientations). Area 74 Orientation 75 Area 76 Orientation 77 Area 78 Orientation 79 Area I Roof Roof Type 1 Weight of roof construction, Ib/ft2 (see Section 4.1.8) 81 PS/' Heat Transfer Coefficient (see Section 4.1.8) 82 Surface Area (Attach sheets to document any additional roof types) 83. 2 Skylight Area 84 Skylight Shading Coefficient (from Table 3 of Appendix 1) 85 NA Skylight Heat Transfer Coefficient (U -value) 86 Floor Floor Type 1 (floors over non -air conditioned spaces only) SLAB OW of floor construction, IWO (see Section 4.1.8) 87 Heat Transfer Coefficient (see Section 4.1.8) 88 Surface Area (attach sheets to document any additional floor types) . 89 Doors -Surface Area 90 /00 Heat Transfer Coefficient (U -value, see Table 4 of Appendix 1) 91 042 &kp HEAT TRANSFER COEFFICIENT r C44-UlL ciq PROPOSED CONSTRUCTION ASSEMBLY Form 3 eAc s I i W,�•�L TY� � i -- List of Construction Components R LA ST4EX 2. a. 5/a 6q P SOA b0,* - (L0 O' S6 .4. 5. 6. 7. 8 Inside Surface Air Film cooling heating Sketch of Construction Assembly WEIGHT: 1'2 Ib/ft2 Check one: Wall Roof Floor Outside Surface Air Film Total Resistance -Rt U•Value (I/Rt) 0, I "l cooling heating 12,67 cooling heating cooling. heating. w S HEAT TRANSFER COEFFICIENT Form 3 PROPOSED CONSTRUCTION ASSEMBLY- 2 ,o p Type List of Construction Components CoMAPC? . SI NfG':l '1/y, ? � I NSvt�.-C�� •.� f Sketch of Construction Assembly WEIGHT: i Ib/ft2 Check one: Wall—( Roof x Floor Inside Surface Air Film Outside Surface Air Film Total Resistance Rt U -Value (I/Rt) F1 R o 0, of cooling heating 0 ©d -7 cooling heating X1.0,7 3 20, 34 - cooling heating 0104-45 01 0417 cooling heating E DOCUMENTATION FORM Form 4 • HVAC SYSTEMS COMPLIANCE (Compi4 to for each system) (Rev. t 5/78) Project Title _�J� ��� G�kun.�l Documented byA Location Date g¢ Project Designer 1 ©N Checked by Date DESIGN CONDITIONS Building occupancy type (Table t of Appendix 1) ........ 01-7 Project Latitude (Table 2 of Appendix I) ............. Heating Degree Days (Table 2 of Appendix 1) ........... HEATING LOAD DOCUMENTATION (Attach calculations) v Outdoor Design Temperature, Winter ................ OF Indoor Design Temperature ....................... 70 OF Outdoor Air ................................... CFM Heat Loss From Outdoor Air............ ........ Btu/Hr. Temperature of adjacent unheated spaces .............. OF Transmission Heating Lossas ....................... Btu/Hr. Infiltration Air .............. f .... CFM Heat Loss From Infiltration...... /�. 7 Btu/Hr. Ventilation Air ..............:/.�..... CFM . Heat Loss From Ventilation ....:.Gl,.... ....... Btu/Hr. Outdoor Air for Special Processes... _1 ......... CFM Heat Loss From Process Air........kC .... ...... Btu/Hr. Other Heat Losses (describe) ...................... Btu/Hr. Total Heat Losses ............................... 54 Btu/Hr. COOLING LOAD DOCUMENTATION (Attach calculations) Outdoor Design Temperature, summer, dry bulb......... 10S OF Outdoor Design Temperature, summer, wet bulb......... OF Indoor Design Temperature, summer, dry bulb .......... OF Indoor Design Temperature, summer, wet bulb .......... OF Transmission Heat Gain .......................... Btu/Hr. Infiltration Air ................ ...... CFM Heat Gain From Infiltration .... �Gj. Btu/Hr. Outdoor Air for Special Processes., CFM CFM Heat Gain for Process Air .... G. Btu/Hr. Solar Heat Gain Through Windows, etc.. !.'............ Btu/Hr. Heat Gain From Lights, Equipment, People, etc.......... Biu/Hr. Heat Gain From Other Sources .................... Btu/Hr. Outdoor Air: Fixed Minimum Type System CFM Per Person (Not to Exceed Tabulated Minimum Ventilation Rates) ..... CFM/Person Heat Gain From Outdoor Air ................ Btu/Hr. SURVEY ify construction where weight is to be supported ,LLS. Note exposure and shading of the walls. Light - 40 Ib./sq. ft - 8" light weight aggregate concrete block or frame with 4" brick facing. Medium - 60 Ib./sq. ft. - 4" concrete block with 4" brick facing Heavy - 100 Ib./sq. ft. - 8" brick Insulation thickness - (0) (1) (2) (3) (4) inches Insulation R -value - (0) (4' (7) (11) (13) NDOWS Note type of windows and shading RTITIONS To unconditioned space To kitchen or boiler room Insulation thickness (0) (1) (2) inches Insulation R -value (0) (4) (7) IOF Light roof (preformed slab) INSTRUCTION Medium roof 14" concrete) Hung ceiling (yes) (no) Insulation thickness (0) (2) (4) (6) inches Insulation R -values (0) (7) (13) (19) Ceiling Ventilation (yes) (no) ILING OOR G HTS 'pLIANCES ;HAUST FANS OPLE )TDOOR AIR WER SUPPLY Conditioned space above (yes) (no) Conditioned space below (yes) (no) Slab floor on ground (yes) (no) Type Watts (See Table 6) (See Table 6) (Yes) (No) cfm Number See notes with Table 8. volts phase cycle Panel - feet from unit Main service capacity amps ,TER SERVICE Connection _ft. from unit Size _... __. inches Water pressure - i - New service, new meter _ Pressure reducing valve tNOENSER %TER AND/OR !NDENSATE ,AIN Distance from unit -- Low enough for gravity flow of condensate New drain or condensate pump required 1S SERVICE Distance from unit - New service, new meter R•COOLEO Special construction required? NDENSER Distance from unit ! ---- ft. Height above or below unit -_ - ft. :ATING Steam pressure _-- Hot water temperature Capacity available __ (lbs. steam) (gpm) Connection Connection size prig _ ___ F (Btuh) ft. from unit _ inches /� DESIGN Size of Space 6C�_ _ ✓_U .1A -P7_1_5- Floor Area 2 -.._ -- Sq. Ft. Ceiling Height.- -- -- -- -- ------- -- Ft. Room Volume r Cu. Ft. CONDITIONS SUMMER .75 .67 WINTER .42 55 59 1 61 tf.0 Room --.._._ Fdb _._._ % Rh .53 Fdb E W 86 90 Outdoor -._'Fdb .._ _ _. Fwb .45 .81 _Fdb GENERAL NOTES 1. Record information essential to'the cooling and heating estimates, air dis- tribution system and equipment selection, location and installation. Sketch floor plan on Fuge 1. 2. Table factors are based on 75 F room temperature. Factors include 5% for fan heat and are based on 12 -hour equipment operation. 3. Insert factors from tables in cooling estimate. Quantity x Factor is equal to cooling load. 4. This form can be used for applications where the peak loads occur during the normal summer daytime hours. For other applicantions use form E-20. 5. This form should not be used for locations over 2000 ft. above sea level. TABLE 1 -WINDOW FACTORS Bose Factor Shading Multipliers r .., L mlt.d. I Sinale Glazing I Double Glazing 30° 0° 0° are Inside I Shades Outside Awnings Bare Inside Shades Outslde I Awnings N 40 36 36 1.0 . .86 .75 .67 .53 .42 55 59 1 61 tf.0 .75 .56 .76 .53 .34 E W 86 90 91 .68 .45 .81 .55 .30 S SW 96 94 21. .67 .44 .80 .53 .310 S 85 80 75 1.0 .69 .48 .80 .54 .31 1. Consider show windows as an ordinary window if there is no partition and use the above factors. If there is a partition, use a factor of 20 and the area of the partition. 2. Factors based on 95 E niotdoor design temperature. For 100 F design add 6 to the base factor. or 105, add 12 nd for 110, add 17. Deduct 6 for 90 F. 3. Overall window factor = Base factor x shading multiplier. 4, Factors include both solar and transmission loads. TABLE 2 - WALL FACTORS Base Factor Insulation Factor • F: .,sure' Construction � E N S R4 R7 R111 R11 W Light 40*, U= .34 4 10 .42 .30 .2118 edium 60*, U= .39 5 9 12 .39 .27 .19 .16 Heavy 100*, U= .45 5 11 14 36 .24 .17 . 15 Partition Unconditioned space adjacent 6 43 .30 Kitchen or boiler room adjacent 11 43 ,.30 3 + f.- = / Z / UTY- _ / 4- 1. Consider shaded walls as facing North. 2. Factors based on 95 outdoor design temperature. For each 5 F igher design temperaturedd 2 base factor. -f' 4- 3. Overall wall factor = Base factor x insulation factor. 4. RA approximates 1" insulation, R-7 approximates 2", R-11 approximates 3", R-13 approximates 4". TABLE 3 - ROOF FACTORS Construction Bose Factor R7 Insulation Factor R I I R13 R19 tght No Ceiling 10a, U= .20 8 .4 1 .31 28 ;as Burners (Each) fight Ceiling 10a, U= .13 5 .53 .41 .31 .29 odium No Ceiling 40#, U= .51 24 .22 15 . 13 . 9 odium Ceiling 40 u, U= .21 10 .41 .:30 .27 .20 Factors based on95 or desig-7 mperature. For each 5 F igher design temperatur add 1 to ba factor for light roofs, and medium roofs with ceiling. Add 3 to medium roof with no ceiling. Overall roof factor - Base factor x insulation factor. If ceiling space is ventilated by a fan, multiply factor by .75. 8-7 approximates 2" insulation, R-11 approximates 3", 13-13 approximates 4 ", R-19 approximates 6". BLE 4 -CEILING FACTORS_ f Abo See Table Conditioned Space Above 0 Unconditioned Space Above 4 TABLE 5 - FLOOR FACTORS Base Insulation Factor Factor R7 R I I R13 lnconditioned space Below 5 .3 .21 . 19 n or Boiler Room Below 15 .3 .21 .19 lab Floor ;onditioned Space Below 0 1-7 approximates 2" insulation, R-11 approximates 3" R-1:3 pproximates 4". TABLE 6 - ELECTRICAL AND APPLIANCE LOAD Quantity X Factor`- Btuh ncandescent lights (Per watt) 3.6 rT =luorescent Lights Per tube watt) 'ZpSC> 4.5 2'LS dlachines Per KW 3600 Per HP 2900 ;eauty Parlors (per operator) 2000 ;as Burners (Each) 6000 ,lass Coffee makers (Each) 900 ;offee Urn per Gallon Capacity 'Z 1400 0 t, team Tables - Electric (per sq. ft. surface) 550 team Tables - Gas (per sq. ft. surface) 1300 -they appliances .)ffices, Hotels, Apts., 'Factor includes 5% Fan Heat Total =/ 3 �` I . Factors for appliances with. properly designed hoods may be reduced 50%. Adjust ratings of machines that are not fully loaded or do not run con- tinuously. Appliance factors are not maximum values but are adjusted for average use. For appliances not listed, use 50% of manufacturer's rating. TABLE 7 - PEOPLE LOAD FACTORS Typical Application Factor Typical Application Factor Tocol' Latenr Total* Latent Brest " uditoriu Floor (Table 5) 120 Banks, Library, 515 245 high Schoo ' 410 160 Museums 21 41 .)ffices, Hotels, Apts., 465 205 Restaurant 565 270 Colleges Person Factory, Light work 765 455 Dept., Retail or Variety 465 205 Dance Hall . 865 523 Story 75 F, 50% In determining the outdoor air quantity for calculating the outdoor air load t Factory, Fairly Heavy 1020 620 Drug Store, Beauty 315 245 Work from Table whichever is greater. In the absence of exhaust air information, Parlor Harker Shop quantity for 20 air changes per hour for toilet room and 10 air chang,- Factory, Heavy Work 1 1475 1 925 'Incudes 5%. Fan Meat S6Golvo G)%,O r7S 7- COVU/L«[ TABLE 8 - OUTDOOR AIR FACTORS Ce - Total Sensible Room Conditions Outdoor Wet Bulb Outdoor 75 F, 50% 8 26 46 59 6985 Ceiling (Table 4) 11 Outdoor Floor (Table 5) - .q h -� Electrical and Appliances (Table 6) - 13 4+C 95 22 75%,55% 3 21 41 55 64 105 32 &1-, 3 F Person Person I13 43 75 F, 60% .9-.95 17 37 50 60 General Offices 75 F, 50% In determining the outdoor air quantity for calculating the outdoor air load t guided as follows: 80 1. Outdoor air through the unit. .059 a) No exhaust fans, use value from Table 9. 75 F, 50% b) Exhaust fans, use exhaust, fan air quantity or value from Table whichever is greater. In the absence of exhaust air information, base a quantity for 20 air changes per hour for toilet room and 10 air chang,- for other ventilated rooms. .9-.95 2. No outdoor air through the unit. 175 a) No exhaust fans, use 7 cfm per person. .059 b) Exhaust fans, use exhaust air quantity. 75 F, 50%115-.9 COOLING ESTIMATE 52 ITEM Exposure Qu on City X Factor = STUM Dept. Stores, Upper Floors Al /$ W, ..7/ X / /278 WINDOWS ///F (0O sq ft 71 )< / 4.2&0 (Table 1) gw (o(o sq ft /08 X / 7 17 2 .8-.85 15- 3z+gft, /0 ex / 3 S 25 Aiw &,g2aq it /2x , 8 / 3 WALLS X1952 sq ft /T7) -C-777- $3 (Table 2) s tr , %aq ft /4' X ,(Q iOc7 .054 E 1 74- q 11 14- x , /A /4-4--7 Partitions (Table 2) ---- sq ft PEOPLE AND VENTILATIC Roof (Table 3) 7- 11 ?-.sq ft 7 2 Ceiling (Table 4) -- sq ft Outdoor Floor (Table 5) - .q h -� Electrical and Appliances (Table 6) - 13 4+C People (Total) (Table 7) OZ persons 1 3 0 /?000 Room Total Heat (RTH) Application ondition Outdoor Air (Total) (Table 8) 1 -Lzict:6 y <04-Oo Grand Total Heat (GTH) &1-, 3 F 1. Room Sensible Heat (RSH) _ (RTH) - [People X Latent Factor (Table 7)•j 2. Sensible Heat Factor (SHF) = RSH/RTH 3. Total Sensible Heat (TSH) = RSH + CFM" • X outdoor air factor (sensible) (Table F) Also deduct 50% of the load of moisture producing appliances. Cfm is outdoor air quantity. FABLE 9 -DESIGN DATA PEOPLE AND VENTILATIC Outdoor Room DIa ccu one Air Supply Sq ft/ Application ondition SMF F Air Cfm, Person Person Factor Private Offices 75 F, 50% .9-.95 SI 125 3P .059 General Offices 75 F, 50% .9-.95 54 80 15 .059 Hotel Rooms 75 F, 50% .9-.95 54 130 30 .059 Apartments 75 F, 50 .9-.95 54 175 20 .059 Museums, Libraries, Banks 75 F, 50%115-.9 52 60 10 .054 Dept. Stores, Upper Floors 75 F, 50 85-.9 52 60 715 .054 Dept. Stores, Main Floors 75 F, 50 .8-.85 52 25 715 .054 Berber Shops & Beauty Shops 75 F, 50% .8-.85 52 40 1S .054 Variety Stores 75 F, 50 .8-.85 52 40 10 .054 Dept. Store Basements, Dime Stores, Drug Stores 75 F, 50%.75-.8 52 30 10 .054 Classrooms 75 F, 50%75-.8 52 23 N .054 Auditoriums 75 F, 55 70-.7 52 10 715 .054 Restaurants 75 F, 60 .65 52 15 13 .054 Theaters 75 F, 60% .65 52 1 10 1 71S 1 .054 1. Occupancy and outdoor air values are suggested vaiues to use if actue figures are not available. See also local codes which may govern. 2. SHF is average room sensible heat factors for application. 3. ADP is average apparatus dewpoint temperature for application. RSH X SUAPIR Y FACTOR TOTAL =CFM GTH /; l° tls7 TABLE 10 - COIL ENTERING AIR TEMPERATURES ENTERING DB WB MODEL NUMBER AIR QUANTITY TC SHC ..... ..... I ..... 2,0 / , / 4- alp /OD sq ft ... . .... .......... ..... Entering Wet Bulb -Wall' •Light 8" It. wt. agg. concrete block r rame 4" concrete block with 4" brick facing plastered % Z(o.iq ft sq ft .34.15 . 10 .39 .15 .1 1 ROOM CONDITIONS ..... 1 Walls -Medium Outdoor Wet Bulb 8" brick -plaster finish - sq ft .451.16 .11 .08 .07 65 70 11 75 11 78 80 -� PERCENT OUTDOOR AIR THROUGH UNIT (NOTE 2 Preformed slab NO ceiling 0 10 20 30 10 20 30 10 20 30 10 20 30 10 20 30 75F, 50% 75F, 55% 75F, 60% 62.6 64.0 65.3 62.8 64.1 .... 63.1 64.2 .... 63.3 63.5 64.3 64.6 .... 65.8 64.4 65.2 66.3 65.3 65.9 66.8 64.0 65.2 66.4 65.4 66.4 67.4 66.7 67.6 68.4 64.4 65.5 66.8 66.2 67.2 68.1 67.8 68.7 69.4 64.7 65.9 67.0 66.7 67.7. 68.7 68.6 69.4 70.3 sq ft .48..... . 1 1 .08 .07 ..... Entering Dry Bulb �- Hardwood floor over vented crawl space sq ft .33 ..... .10 .07 .06 ..... _.. Same over enclosed space or unheated basement bq It .161 ..... .05 .03 .03 ..... Concrete slab on grade (perimeter) (Note 11 lin ft .85 ......... ..... ..... ..... (p O Basement Outdoor Dry Bulb - lin ft .05 ......... ............... 85 95 F100 105 115 PERCENT OUTDOOR AIR THROUGH UNIT (NOTE 2) 1/2 air change (floor area) 75/f. Any RH. 0 10 1 20 1 30 10 20 1 30 10 1 20 1 30 11 10 1 20 1 30 10 1 20 30 75 76 1 77 1 78 77 79 1 81 77.5 1 80 1 82..5 11 78 1 81 1 84 79 1 83 87 1. For outdoor air percentages from 30% to 50%. it is permissible to 2. % outdoor air = Outdoor air cfm x 100 __ extrapolate. Total Cfm % EQUIPMENT SELECTION DATA RSH X SUAPIR Y FACTOR TOTAL =CFM GTH TSH ENTERING DB WB MODEL NUMBER AIR QUANTITY TC SHC ..... ..... I ..... 2,0 / , / 4- alp /OD sq ft ... . .... .......... ..... 4,7.0 -Wall' •Light 8" It. wt. agg. concrete block r rame 4" concrete block with 4" brick facing plastered % Z(o.iq ft sq ft .34.15 . 10 .39 .15 .1 1 7. .06 .07 .06 ..... 1 �1 LRF KA Notes: Select unit on basis of air quantity, sensible heat capacity (ant_) ana total capaaty t i %-I DO ea on enrenng.air (EWB) to evoporator coils to match total sensible heat (TSH) and Grand Total Heat (GTH) loads. When sensible heat capacity is' insufficient room conditions cannot be met. HEATING ESTIMATE Room Temperature (occupied) F (unoccupied) _._...._._--_ F Outdoor Temperature 1 Items Description Quantity . X RO Factor = BTUH/ e F I R41 R7 R11 R13 R19 Glass Windows/doors Single Pane 17,g s q ft 13 ....... ..... ..... I ..... 2,0 / , / 4- alp /OD sq ft ... . .... .......... ..... 4,7.0 -Wall' •Light 8" It. wt. agg. concrete block r rame 4" concrete block with 4" brick facing plastered % Z(o.iq ft sq ft .34.15 . 10 .39 .15 .1 1 7. .06 .07 .06 ..... 1 Walls -Medium Walls -Heavy 8" brick -plaster finish - sq ft .451.16 .11 .08 .07 -� Roofs -Light Preformed slab NO ceiling sq ft .22 ..... .09 ..... 1 .06 4 - �Roofs-Light Same w/suspended acoustical tile ceiling �'L sq ft . 14 ..... .07 ..... .05 . , 8 Roofs -Medium 4" concrete NO ceiling sq ft .56 ...... 1 1 ......07 .05 ^� Roofs -Medium Same w/suspended acoustical tile ceiling ` sq ft .23..... .09 ..... 1 .06 .04 Floors 2" concrete over vented crawl space sq ft .48..... . 1 1 .08 .07 ..... Same over enclosed space or unheated basement sq It .24 ..... .05 .04 .03 ..... �- Hardwood floor over vented crawl space sq ft .33 ..... .10 .07 .06 ..... _.. Same over enclosed space or unheated basement bq It .161 ..... .05 .03 .03 ..... Concrete slab on grade (perimeter) (Note 11 lin ft .85 ......... ..... ..... ..... (p O Basement 6" Masonry wall (perimeter) - lin ft .05 ......... ............... Infiltration (See Note 4) 1/2 air change (floor area) - sq ft .10 ..... .... ..... ..... ..... _ 3/4 air change (floor area) sq ft .15 ..... .... ..... .......... Y _ 1 air change (floor area) Z sq ft .20 .... .... .......... ..... 22, bun 1 otal t I) Ventilation Outdoor air thru apparatus I 2p0 cfm '.I I ......... I Unoccupied Heating Load Sub Total (1) x Unoccupied Rm. Temp -Outdoor Temp. = BTUH x T.D. = -___ BTUH If Unoccupied or Setback Temp. is 10 F below Occupied Temp. Set Back Capacity Equals: Unocc. Htg. Load _ x 1.20 = BTUH Occupied Heating Load Sub Total (2) x Occupied Rm. Temp. -Outdoor Temp. = BTI. S T.D. _ ¢� (v_ BTU Less Credit for Lights = --- BTU (Note 4) Q 7( Occupied Heating Capacity = __. _ + . ___ BTI Select heating equipment to have the capacity to match or exceed the occupied or unoccupied capacity, whichever is greater. Unoccupied load is based outside air intake damper being closed. NOTES: 1. For concrete floor on ground figure lineal feet of exposed edge. 2. For pitched roof use area of ceiling. 3. Infiltration -` Tight building 1/2 air change, medium building 3/4 air change, loose building 1 air change. 4. Credits can be taken only when these heat loads are dependable and available during occupied times. Page 2 of Form 4 COOLING LOAD DOCUMENTATION (Continued) System Utilizing Outside Air For Cooling CFM Per Person (Not to Exceed 33% of Tabulated Recommended Ventilation Rates) CFM/Person Heat Gain From Outdoor Air ................. Btu/Hr. Total Cooling Load ................. .... ...' �/T Btu/Hr. TEMPERATURE CONTROL Attach manufacturer's data or other, give specification or drawing reference which shows in detail the following information: REFERENCE (page or sheet No.) o capability to sequence heating and cooling..... SWTI • temperature control device set point limits ................................... 5 ?� ® temperature set.point range between full heating and full cooling ........... :........ S'+T. I ® setback and shutoff controls ............................................ 5 ks I o capability to terminate heating at 70°F and cooling at 78°F .... , , . , , , , h*T. I Indicate drawing or specification reference where the temperature control device requirements given below are documented. An automatic temperature control device shall;be provided for: NA s each separate HVAC system .......... ...... I.................... ; ....... e each zone ...................... N� SIMULTANEOUS HEATING AND COOLING The' following requirements apply 'to the use of new energy and need not be complied with when recovered energy is used to control temperature. In each case, when resetting hot and cold deck temperatures, one representative zone may be chosen to represent no more than ten zones with similar heating or cooling requirements. Concurrent operation of independent heating and cooling systems serving common spaces must provide either or both'of the controls given below. List reference specification page or drawing number where control requirements can be verified. REFERENCE o Sequential temperature control of heating and cooling systems ......:.............. IVA o Automatic reset of heating -temperature, to limit energy input only to that level to offset heat loss due to transmission and infiltration ..............:......... . A/14_ Reheat systems — give reference specifications page or drawing number which will show compliance with the following when reheating 20% or more of the total air in the system. • When serving multiple zones, controls must automatically reset the cold air supply -to the highest temperature level of the zone requiring the most cooling ........... Single zone reheat systems shall be controlled to sequence heating and cooling ........... Page 3 of Forth 4 Dual -duct or multizone systems — give reference specifications page or drawing number which will show compliance with the following: REFERENCE o Hot deck temperature — must be automatically reset to the lowest temperature necessary to satisfy the zone requiring the most heating .................. e Cold deck temperature — must be automatically reset to the highest temperature necessary to satisfy the zone requiring the most cooling .................. • Recooling systems — give reference specifications page or drawing number which shows compliance with the following if retooling 20% or more of the total air in the system. e Controls must automatically reset the temperature of heated supply air to the lowest temperature necessary to satisfy the zone requiring the most heating .................. AIX HVAC SYSTEM RESTRICTIONS & SPECIAL REQUIREMENTS Several HVAC System types have special requirements or restrictions. In this section, the type of system used in the design must be listed and any special restrictions given here referenced to show compliance. Supply references to proper specifi- cations page or drawing numbers. Type. HVAC Systems Used — List type of system to be used here (include all systems for heating or cooling in the building) include reference for specifications for each system. %o lbG— zvt4,m /7 C� y° �Ii c-r�.a�i c a -c_ �o�rrt�-.Q c.z� �-► Constant volume reheat system — when serving both interior and exterior zones — separate cooling coils are required if the exterior zone exceeds 20% of the total air quantity through the cooling coil. REFERENCE �� Pape 4 of Form 4 DUAL DUCT AND MULTIZONE SYSTEMS Constant volume duct or multizone systems which utilize new energy to simultaneously heat and cool air streams which are subsequently mixed for temperature control are prohibited for buildings larger than 20,000 square feet of conditioned space. If used, the air leakage for dampers utilized for the mixing of heating and cooling air shall be limited to a maximum -leakage of 3% of the total air quantity handled by the dampers when operating at the maximum system pressure to which the dampers will be subjected. Manufacturer's label or nameplate shall state leakage rates. REFERENCE Al�� Economizer Cycle — For each cooling fan system, for other than dual duct or multizone systems, which serve zones having total cooling capacity greater than 134,000 Btu/hr or more than 5,000 CFM must have an economizer cycle unless one of the exceptions allowed is claimed. REFERENCE AIA— Electric Resistance' Heating Systems — These systems shall not be used unless the total installed electric resistance heat does not exceed 10% (ten percent) of the annual heating energy requirement or a life cycle cost analysis, Form 8 (see Section 4.2 of this manual) shows an alternate system life cycle cost exceeds that of the electric resistance system. Give reference if less tlian 10% or include Form 8 if calculating life cycle cost. REFERENCE MECHANICAL AND GRAVITY VENTILATION ,AIA— Mechanical ventilation — Dampers which are automatically interlocked and closed on fan.shutdown are required. REFERENCE Gravity Ventilators - Either automatic or readily accessible manually operated dampers must be provided for all openings to the outside with the exception of combustion air openings. REFERENCE -5H7- 2� POWER CONSUMPTION IN FANS REFERENCE Constant volume system Total Supply Air Quantity ................................ ... CFM Total Pressure of Supply Fan..... Inches Water Total Supply Air Quantity Adjusted for Process Loads ......��i .. �... CFM Total Gross Floor Area ................................. ........... Sq. Ft. Net Fan Performance Index (FPI)......................................... Variable volume system Total Supply Air Quantity at Maximum Flow.. .........:............... . Total Pressure of Supply Fan at Maximum Flow .. ` .......................... Total Gross Floor Area ................................................ Fan Performance Index at Maximum Flow (FPIm)......................... . . Variable Volume Adjustment'Constant.................................... Adjusted Fan Performance Index, FPla................................... . nches Water q. Ft. :FM P"P 6 of Form 4 r) PIPING AND DUCT INSULATION AND DUCT CONSTRUCTION References to the piping insulation, duct insulation and duct construction requirements presented in Section 4.2 of the Energy Conservation Design Manual must be given below: REFERENCE a r,I ell 1'A DOCUMENTATION FORM BUILDING LIGHTING COMPLIANCE Form '5 Project Title iecoN D &Ap-n s*T HU12c, k Documented by Location G 14 Lo Date Project Designer I�-� {laTal�1 Checked by Date Lamm IG. Room RCR Task Areas Note Sq. Ft. No. Sq. Ft. Total Watts Allotted Design Nn Sn Fr Anol. /Occ. Occ. /Task So. Ft. /So. Ft. • Watts Watts Page Total '�542 12450 3/3 83 t 's LAV. 83 �,� 133 80 5i —wo v. 83 i,� . 133 80 0(04-/6703 12,4 SAN C T`/ /Ly 1 /003 0, 7 7o 2 I I GO 063 So 7-A S&- r✓c.w/7 3 S/3 . 5 /Coo 242 1'L 8.1 pf�rc TAs►c 1 I loo l �o I Sc� 3.8 T4 ' O,�FIcE 1 122 33 2- 8 80 2� Lav, I 2S I, 40 -75 - - 331 37 13 Sto/t, I 1 37 /, 4 52 g0 313 /3 Lw i I3 l.c� 21 1� 023 2'7 a' 4,7 M L)L7/- Puxpoj e ,em," '279 O, 7 /qs /i� /02 7.6 c�Tc�r�r/ /�02 3,4- 34� leo 31 Zg HAL-�- 1 48 I. o .4-5 /oo I . I I � I I I I . I . I Page Total '�542 12450 DOCUMENTATION FORM & HVAC EQUIPMENT COMPLIANCE - 6AP VS7' C-6a-V,1LC1- Fora 6. References giving the specification page or drawing sheet number or manufacturer's data must be submitted to demonstrate com- pliance with Division 6 of the standards. ELECTRICALLY OPERATED COOLING SYSTEM EQUIPMENT' ABSORPTION WATER CHILLING COOLING SYSTEM EQUIPMENT COMBUSTION HEATING EQUIPMENT (Oil and gas-fired comfort heating equipment— ELECTRICALLY OPERATED HEATING HEAT PUMPS ELECTRICAL RESISTANCE SPACE HEATING EQUIPMENT Standard rating capacity, Btu/hr 6Y Minimum EER (COP) 44c --w Reference 42AI /L. Heat source (check one) Direct fired (gas -oil) Indirect fired (steam -hot water) Minimum EER (COP) Reference /.�Q-D G�tiiLE Minimum combustion efficiency at maximum rated output &Y �'S% Reference /14 ��'( /16/1- 0 (W U /LE Co ffM- Minimum EER (COP) Reference Supplementary Heater Control Reference REFERENCE FOR FULL -LOAD ENERGY INPUT AND OUTPUT REQUIREMENT FOR MAINTENANCE FOR MANUFACTURER'S MAINTENANCE AND, FULL AND PARTIAL CAPACITY AND STAND-BY INPUT(S) AND OUTPUT(S) SPECIFICATION REFERENCE AIA- Equipment HW Demand (attach description list) Total HW Demand for equipment requiring 140'F HW (e.g., dishwashing and laundry equipment) ................... 12 gal/day Special equipment requirements (attach description list)...... 13 gal/day ......14 OF ......15 gal/day ......16 °F Water Supply T'emperature.(from local utility) ............ 17 OF AT for Personal HW Demand (Avg. 110° F — Line 17) ....... 18 , 1 OF AT for Equipment HW Demand (140°F — Line 17)......... 19 OF Personal Hot Water Usage, days per year ................ 20 days/yr. Equipment Hot Water Usage, days per year .............. 21 days/yr. PERSONAL HOT WATER USAGE (at 1100F) 8.34 x Total HW Demand (Line 11) x Days of Use Per Year (Line 20) xQ T (Line 18) = Annual Energy Consumption .......... 22 Btu I < BUILDING DATA FORM ®r.� BUILDING SERVICE WATER HEATING COMPLIANCE (Refer to Chapter 4.4 of the Energy Conservation Design Manual) (Rev. 1 5/78) ��'-S! Documented By PROJECT TITLE ✓6�� �y�La . Date 3 ¢ Location Checked By LT�'�� Project Designer Date SERVICE WATER HEATING SYSTEM DESCRIPTION Energy Source Type — Record 1 if gas, 2 if electric, 3 if oil, 4 if other ................ ......1 Occupants (Use Table 1 of Appendix 1) ..................2_ Sq.Ft./Occupant Number of Occupants in Perimeter Zone ......... Weekdays 3 ... Weekends and Holidays 4 Number of Occupants in Core Zone .......•..... Weekdays 5 Weekends and Holidays 6 hrs., Occupancy (hours of use per day). .............•.Weekdays 7 h►s., ... Weekends and Holidays 8 HW Demand r Total Number of Occupants (Line 3 + Line 5) ..............9 HW Demand Per Person, gal/day (From Table 1 of Appendix 5). 10 gal/day Total HW Demand for personal uses, gal/day (Line 9 x Line 10). 11 _ *_ gal/day Equipment HW Demand (attach description list) Total HW Demand for equipment requiring 140'F HW (e.g., dishwashing and laundry equipment) ................... 12 gal/day Special equipment requirements (attach description list)...... 13 gal/day ......14 OF ......15 gal/day ......16 °F Water Supply T'emperature.(from local utility) ............ 17 OF AT for Personal HW Demand (Avg. 110° F — Line 17) ....... 18 , 1 OF AT for Equipment HW Demand (140°F — Line 17)......... 19 OF Personal Hot Water Usage, days per year ................ 20 days/yr. Equipment Hot Water Usage, days per year .............. 21 days/yr. PERSONAL HOT WATER USAGE (at 1100F) 8.34 x Total HW Demand (Line 11) x Days of Use Per Year (Line 20) xQ T (Line 18) = Annual Energy Consumption .......... 22 Btu I ACU -'MENTATION FORM, DOCUMENTATION OF MANDATORY STANDARDS FOR ENERGY BUDGET COMPLIANCE Form 14 Attach for reference manufacturers data or give specification section or drawing number which shows.•in detail the compliance with the following standards (show N/A when not applicable). 1. T20 -1495(c) Air Leakage Requirement, Window 2. T20 -1495(d) Air Leakage Requirement, Doors 3. T20.1495(e) Caulking and Sealing 4. . T20 -1495(g) Elevator Shaft Vents 5 T20 -1503(a) Temperature Control 6 T20 -1503(b) Zoning for Temperature Control 7. T20 -1503(c) Control Setback and Shutoff 8. T20.1505 Mechanical and Gravity Ventilation .9. 720-1507 Piping Insulation 10. T20-1508 Air Handling Duct System Insulation 11. T20-1509 Duct Construction 12. T20 -1521(a) Water Heaters, Storage Tanks, Boilers and Piping — Performance Efficiency 13. T20 -1521(b) Combination Service Water Heating/ Space Heating Boilers 14. T20.1521(c) Temperature Controls 15. T20-1523 Pump Operation 16. T20-1530 Electric Distribution Systems 17. T20-1541 (b) Lighting Standards . Reference_T:__ _ Reference 1! Reference It Reference Nib Reference 5"i3T, f Reference A/A Reference 5 t� Reference I Reference NQ _ Reference SN 7, Reference Reference Sld T r' Reference 11A Reference ReferencE NA Reference __.. /I%A...__—_.._... Reference Page 1 MULTIPLE FAMILY AND COMMERCIAL PLAN CHECKING GUIDE OWNER �E�t %"nCr C` A A. GE RAL zoning requirements (sideyards, parking, special conditions). Valuation. Signature by R.C.E. or Architect (if required). Calculations. Improvements and raina - Land Dev.,DPW; City of Chico; City of Biggs. P-lAdmillComplete plot plan with dimensions, easements, other buildings, and other pertinent data. See previous permits and plans in file for expired permits, change of use, etc. �t4q fit: Bldg. Pe it # AS 7-wlf Z A. P. B. OCCUPANCY REQUIREMENTS 1. Building use 2. Occupancy Class _ 3. Building floor area 4. Total allowable floor area Basic allowable floor area Basis for increase � rw►tem- sq. ft. sq. ft. sq. ft. _. Type of Constr. Occupant Load 2.0 Additions, alterations, and repairs exceeding 50% (Sec. 104). Compliance with occupancy group requirements (Chapters 5-13). Occupancy separations (Sec. 503). Area separations (Sec. 505). V' Firewalls due to location on property (Sec. 504). " W Maximum height requirements (Sec. 507). Attic separations (Sec. 3025). Ventilation and special hazards requirements (Chapters 6-13). Fire extinguishing systems (Chapter 38); Fire alarm systems (Sec. 809 & 909). ] Mechanical code requirements. (Grease Hood w/fire sprinkler system - Chapter 20). Jam. ,Health Dept. Plan Review -(a) Restaurant Act; (b) Commercial Pool. ,'Smoke detection system. LamFire Dept. Plan Review and/or Fire Marshal Plan Approval. ' 0 """ Electrical Code Requirements (Pools or hazardous occ.) (Art. 680 & 500's). C. TYPES OF CONSTRUCTION REQUIREMENTS JC Fire retardant roof coverings (Sec. 1704). COMP. Parapet walls (Sec. 1709). Toilet room floors and walls (Sec. 1711). Physically handicapped (Sec. 1711 & Table 33A). Guardrails (Sec. 1716). Detailed types of construction requirements (Chapters Proper roof pitch for roof covering (Chapter 32). Attic access and ventilation (Sec. 3205). �. Roof drainage (Sec. 3207). 1Sy.' Skylights (Chapters 34 & 52). IV, /Stages and platforms (Chapter 39). I V, Interior wall and ceiling finish (Chapter 42). l Fire resistive requirements (Chapter 43). Wall and ceiling coverings (Chapter 47). 15 /- Glass and glazing (Chapter 54). iBuilding Materials - Check: Grade, Species, Allowable Example: (Glu -lam Beams w/ certif. 24F ext.grade). 17-22). Human Impact (Sec. 5406). Stresses, Ext. or Int. -- ' as s � Page 2 a MULTIPLE FAMILY.AND COMMERCIAL PLAN CHECKING GUIDE (continued) D. STAIRS, EXITS AND OCCUPANT LOADS' General Exit Requirements (Sec. 3301) (Post occ. load, etc.). Number of exits, width and locations (Sec. 3302). Doors (Sec. 3303). Corridors and exterior exit balconies (Sec. 3304). Stairways, rise & run., width, winders, and construction (Sec. 3305).. 60.000 Horizontal exit (Sec. 3307). it and smokeproof enclosures (Sec. 3308 & 3309). :;Xit signs and illumination (Sec. 3312). 9 isles & seating (Sec..3313). xits for occupancy groups A-E (Sec. 3315-3319): E. ENGINEERING REGULATIONS, DESIGN, QUALITY, MATERIALS AND DETAILED REQUIREMENTS Complete plans sufficient to show how building is proposed to be constructed and to verify conformance with Chapters 23-29. Plans must include plot plan, floor plan, foundation plan, elevations, and complete structural details. Energy design, calcs, and necessary details (State law). Veneer (Chapter 30). Chimneys.and fireplaces (Chapter 37). Engineered plans if required. ,911' Plastics (Chapter 52). Excavation and grading (Chapter 70). Continuous or Special Inspection (Sec. 30.5).- 4K 05):4K Factory or other certification. �Wo-` Soils or compaction data. 10.10� Noise regulations. 1 Footing reinf. Min. Two #4 bars (cont.). Engineering Calc(s) should include: (a) Roof - Ceiling. (b) .Floor - Ceiling. (c) Foundation.. (d) Walls -r Large openings? (consider lateral):. (e) Lateral: 1. Roof Diaphram. 2. Shear Walls. 3., Anchorage & Tie -downs. 4. Connections thru-out. (f) Retaining Walls. I t N r COUNTY OF BUTTE - DEPARTMENT.OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 PHONE: 916-534-4541 Second Baptist Church 4390 V.C. Avenue Oroville, CA 95965 With reference -to the above subject: Attached. is : OTHER DATE October 25, 1983 RE' Building Permit Application #3557-83 A. P. # 46-124-10,11,8 Application for permit Mobilehome Utilities Installation Sheet Building.Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner-Builder'Verification Form List of Codes Enforced �l We need the following information: Permit application signed and completed where.indicated with all copies returned. Fees of $ 312 5`0 payable to Butte County Treasurer.+ elect., plumb., & mech. Certificate of -Workmen's Compensation -Insurance -or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including plot plans. Plot plans in Structural details in (WITH WET SIGNATURE) X_ Complete plans and calcs in �uTlt�ate by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way,'Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. 1 ._ u . u. 1 Should you have any questions concerning the above, please contact this office. JFG/aj Yours very truly, Clay Castleberry Di7;f oPublic Works ifli Glander Chief Building Inspector p C µq p rJ /a �✓ rOpv �✓ %�iCNG --5,7 Inter -.Depart ,iem®randum TO:' Land Development Section, DPW FROM: Building Division, DPW suejecT:'Improvements and Storm Drainage Clearance OAT E: October 17, 1983 We have recently received an application to construct a new church (use) by Second Baptist Church (owner and/or contractor)' at 105iae: o*� Chico- -� - (location) A.P. No. 46-124-8,10,11 Permit Appin. No. 3557-83B,P and he has been advised to contact your section regarding requirements. Would you please advise, by signing this memo, when you have cleared the improve- ments and storm drainage facilities for this project so we may issue the required permit. JFG:dd /F. Glander. Chief Building Inspector Improvements and drainage plans approved for construction. Z/ / �- Improvements and drainage not required for construction. vI/� 1 Other— (specify) ther(specify) (signature) G (date) A COUNN Zig BUM UND DFWLOPMENT Sm OCT 111983