The URL can be used to link to this page

Home My WebLink About005-406-005O. 005-406-005 PERMIT#96-2106 HOOPER, Mark 1410 Martin St., Chico Add Bedrooms/SF 005-406-005 PERMIT#97 2228 HOOPER, Mark 1410 Martin St., Chico 1st Renewal BP#96-210641 6 v � y q�23jQ'�- •' Nb�-,rer�e�:a� 1e�le� Sen�- RESIDENTIAL ql'r7 aaa� 1 005-406-005 P�D�TTm�nti HOOPER, Mark ' f 11410 Martin St., Chico f� Add Bedrooms/SF rr� r� =4h a� • r � _tea—�.._s�..J-�.J �r+-E �.�_—�a-_ .. _ OFFICE COPY J Address f y ; ! GAS Date Meter By L� ELECTRIC Date ! Meter By 5 Y • JOB FINALED (Date) b V a , Signature A 1 �•cyh�'�+!�37Y'W°�' �s 4•r--•-rte.-� .wR .r..+d}P"r`*avi}/�+'?••i R.eresiR/[/+�.v�^MC ';k!�T1j±F►��i51"'"D#97-,2228 005-•406-005 PERMI HOOPER, Mark 1410 Martin St., Chico 1st Renewal BP#96-2106 1 COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754,tX PERMIT NO (Rev. 12/96) APPLICATION AND PERMIT 7 ASSESSOR PARCEL NUMBER 005--406-005 ZONING BUILONG PERMITAR 1 OWNER MARK HOOPER TELEPHONE42-797 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADJWb3 _ _ - _`IN ST. CHICO CONTRACTOR'S NAME OWNER TELEPHONE ' CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS ' Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 —Filing Permit Fee $ 81.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1410 MARTIN ST. 1 Energy Plan Checking Fee $ CHICO PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF O Duplex. ❑ Mobilehome ❑ Other sveclry Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ,`0 Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: 2 BEDROOMMobile tat RENEWAL/ 96-2106 Gas piping system 1- 5 outlets 15.00 Building sewer 15.00 Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service 200,, OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIC. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License L `for the following reason: I /❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service ( 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP, OR ADDNS. ( & ACC. BUDS. s0 3.50FT. NEW NON -R S11DT S.MULTI-CIRCETS @7.50 POWER APPARATUS 8 SINGLE .LETCIR. Ex. Occu OUTLET OR FDmJRES 20 Q 1.00 BAL 9 .so OR Ex. Occup. ouTLSEoisA AE�SI6.) EEA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) iEl I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X !rI / u/l� / Date �t/ _ �l 7 _ Signature of ApplicantO `Owner- ❑ Contractor ❑ Agent An OSHA permit is reghred for excavations over 60” deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 101.00 / Z D„FEES. -4Me FLOOD _. cOF _.�.—. PARCEL --RD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have �v1 F Y By i / PERMIT EXPIRES ON the applicable provisions Resolutions.to do work been paid. Date �� -/ 5 Date Receipt No. L. L y �� WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Y �.r'+�rti.: '� �_J�'{!+''fE'�.�a'r�e'�...�'..�,(.. .i��Nr^i �..r �i'I`-'.t� `1.+r l.'�a:t'• .l�'r�k�.,t "...Y...-.+i1>��, y��'.`+�. COUNTY OF BUTTE .BUILDING DIVISION • DEPARTMENT OF DEVELOPMENT SERVICES - 411 Main Street, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 CORRECTION NOTICE ;t OWNER PERMIT NO. t f 'S A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work-y is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. - • i 2 S i rte' j �N J .l Date 11_ I/ Inspector REV 10192 e COUNTY OF BUTTE ; BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 CORRECTION NOTICE t Flo Zi a OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at 4 the above address and should be corrected. Please notify this office when correction of work ij,, is completed. If you have any questions pertaining to this matter, or need additional explanation, } s please contact this office immediately. v wax? 'i •.fi???�gFgFgFS `1 id Sf *y `10 7 7 411, `y c y Date Inspector REV 10/92 ;=,y V=OK t O =Not OKNot �. *=licable Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements - Setbacks - Easements 2. Soils; Special MH Support Sketch 3. Sewer, Location -Test -Fall -CIO -Concrete 4. Water, Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap; / /Ult. / /Nat. or/ PL ft./ /LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements- Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test-DemandVaNe-Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector i 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s i. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sils-AnchorsStuds-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/3 Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 t Ir i J o = - = = No OK RESIDENTIAL Not Applicable Not Ready Date Cling. Joist-RfV. Ties-Purlin-roff Brac.-Truss-Shting: Rfng. UNDERFLOOR (Plans) OK except #'s 18�FirepT a Ties or Type A Flue -Fireplace Throat clearance 1,. Zoning-Setbacks-Easments-Flood-Slope Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles . Ftg., Main; Soils-Elec. Gmd.-/ P Ftg. Depth 51. 3. Ftg. Gage; Soils-Steel-Elec. Grnd/ N Ftg. Depth Pr perty Line Firewall & Openings 7 . orches & Decks; Soils -Steel-/ PFtg. Depth Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection malls, Main; Steel-Blockouts-Wrapped PI ood on Roof Overhang -Attic Vents -Rafter Outriggers 6. mwalls, Garage; Steel-Blockouts-V✓rapped (Q 5 . 6a. Hold Downs and Special Anchors 61. 7. Slab, Steel -Wrapped Infiltration -Walls -Windows 8. Fi eplace Ftg.-Steel V ntilation Throught House 9. QA..; Fall -Fitting -Test -2 Way C/O -Sewer Test Glass Protection 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 9; -,Gas 11. Water Pipe; Test -Anchors -Regulator -Service Test Plater & Sewer Connected -C/O to Grade -HD Approval 12. Electric Underground 13. Pienums & Ducts; Clearance-Mater:al-Support-Ins. 14. Girders -Sills -Anchor Bolts -Joists Vents-Crippies Date 15. Access & Ventilation Card B-1 Date Card B-1 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card E-1 Date, f KUMBING (Permit) OK except #'s ater Htr.; Vent -Access -Combustion Air Baffle 1 .i W r Pipe; Test & Anchor -Nail Protection 1 .W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s ixture & Transformer Clearance -Ins. Protection 4-Elec. Receptacles Spacing -Lights & Switches at Doors ¢e Boxes & No. of Conductors Stapled mex Installed Close to Edge of Studs & C.J. af �fluip. Ground made up w/Mech Fastners-Bond Gas & Water 2e 2 aR&Dce Circuts in Kitchen & Conductor Size GFI bleed Wire Size / / ga. Cu or AI- ire Size / `M ga.Cq or Al -' 50. Circ. Circ. / / ga Cu or AI -Oven Circ. ga Cu or Al Insulated Neutral 0 Yes 0 No 1J. -Service -Riser Conductors & Ground -Main Disconect 32, Equip. Clearances Panels-Motors-Mech. Epuip. othes Closet Light -Shower Light -Spa Light Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 3 A.C. Ducts Insulation & Support A. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnance-Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date / , FRAMING (Plans) OK except #'s Materials & Anchors Walls Studs -Nailing Spacing & Braces -Plates -Sound 4VBearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) /Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs Headers & Beams -Size & Bearing (Single & Duplex) Date 46 FRAMING (Continued) ngers-Post Caps -Anchors -Connectors X. Cling. Joist-RfV. Ties-Purlin-roff Brac.-Truss-Shting: Rfng. `L .. 18�FirepT a Ties or Type A Flue -Fireplace Throat clearance Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles drm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing Or Pr perty Line Firewall & Openings 7 . t. Doors -One 3' -Check Garage 3rd Story, 2 Exits Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection PI ood on Roof Overhang -Attic Vents -Rafter Outriggers . S' i g -Nailing Veneer (Q 5 . ucco Mesh -Drip Screed -Fd. Vents-Underflr. Access Clenng Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts 60. J39ce Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 C141 Date Card B-1 Date Card B-1 1 Date Card B-1 Date FINAL (Plans) OK except #'s 3. t Steps -Door & Sidelight Protection -Landings WJI�Smoke Detector ,_66 -Furnace; Vents -Clearance -Comb, Air-Conector- Garage; Above Floor-Ducts-Mech. Protection 66. edroom Exiting F.I. & Bath Fixtures & Tub Access -Spa 619. Elec. Trim & Subpanel, Breaker Sizes & Labels Stairs & Rails -,rep ace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance X. Elec. Outlets & Recepticales at Kit. Counter rt�e Fire Door; Swing -Landing -Closure A.C. Duct in Garage -Damper Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection J�Plb., Elec. & Mech. Equip. Listed for Location X Elec. Receptacles in Garage (G.F.I.)-Romex Protection 7 . I sulation-Foam-Looked in Attic Guard rails & Deck Construction -Post Caps Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth earance Looked under Floor 0 Yes 70 Following Instld./Drive 0 Yes P' !o/Walks 0 Yeo No/Planters 0 Yes o �8z.-Staec6 Brown -Finish A.C. Unit Disconnect, Electrical -Plumbing 8 . ents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings . ater ell, Disconnect, Electrical, Plumbing xterior Elec. Trim, G.F.I. Receptacle -Underground 8 V ntilation Throught House 8 . Glass Protection 9 orrections from Previous Inspections 9; -,Gas Test -Meters Tagged, Gas -Electric 92. Plater & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVIS ON~ 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754�] PERMIT NO (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 005-406-005 , ZONINGR BUILDING PERMIT OWNER MARK HOOPER TELEPHONE 342-8797 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 1403 MARTIN ST. CHICO CONTRACTOR'S NAME OWNER TELEPHONE ' CONTRACTORS MAKING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee - $ 20.00 Permit Fee $ 81.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1410 MARTIN ST. Energy Plan Checking Fee $ CHICO $ PERMIT FEE s 101.00 LAT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF R Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: 2 REDROOM 1st RENEWAL/ ()6-91 06 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 920.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service ion OR LEss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIC. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License l.@y for the following reason: �}' I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BLD.. SO 3.50FT; NEW CONS.9 NON-RESIDT RMAUNLCH CIRCUTITS @7,50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. OCCU OUTLET OR FORUREs BAS @' 50 NS Ex. Occup. ouTLEIfDrs RES D.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) �l I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shell forghwith c ply wi those provisions. X tan I �j �7 i ____ Date �1� �� _ Signatu a of Ap lice ne ❑Contractor ❑Agent An OSHA permit is require excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 101.00 _ FLOOD I CDF PARC D ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By �v P RMIT EXPIRES ON applicable provisions Resolutions to do work been paid. / Date �((( -Date Receipt No. Z WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 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. 1 personally plan to provide the maj r labor and materials for construction of the proposed roperty improvement: YE NO NO[ ]. 2. I HAVE[�J 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: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. S. 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: 01041 IZA J SOCIAL SECURITY NUMBER: / :_ DATE: /0//& NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. May 1995 This verification must be completed and returned to our office before we are permitted to issue the permit. 2.26 Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks'are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Stant, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned Sincerely. Michael C. Vieira, C.B.O. Manager. Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. Mav 1095 22.11' COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 .County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT PO. APPLICk110N AND PERMIT��L ASSESSOR PARCEL NUMBER 005-406-005 ZONING AR BUILDING PERMIT OWNER JARK HOOPP2-8797 TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS . 1 1401 MARTIN ST. r l in i CONTRACTOR'S NAME 0WN E.R TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Fling Fee $ 20.00 LENDER'S MAIUNG ADDRESS - Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 105.30 Energy Plan Checking Fee $ 23.00 ARCHITECT OR ENGINEERS MAILIO ADDRESS • •- "•' • Penalty $ BUILDINGADORESs _r a' 0 M RTIW ST CHICO PERMITFEE $ 310 30 PLUMBING PERMIT Fling Fee 20.00 Each Trap 7,00 21-00 LAT NO. SUBDIVISION'S NAMEPARCEL MAP Solar Or heat pump water heater 23,00 Water piping 15.00 15.00 USEOFSTRUCTURE SF CX Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 15.00 Gas piping system 1 - 5 outlets 15.00 15. 00 Building sewer 15.00 TYPE OF WORK New 1r Addition QQ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 2 BDRM Mobile Home ISIGW 020.00 PERMITFEE S86.00 Contractor ELECTRICAL PERMIT Filinq Fee 20.'00 e0ov OR LESS Main Service ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION % I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. ' OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: .I I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason I WORKERS' COMPENSATION DECLARATION q". 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure' or workers' compensation, as provided for by section 3700 of the Labor de, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as require by Section 3700 of the Labor Code, for the performance Of,*ork for which this pelmit is issued. My workers' compensation insurance carrier and policy number aje: Carrier NEW CONST. DWELLING OCCUP. OR ADONS. ( a ACC. BLAS. ) so. 1 3.50 FT. Q NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 WER ( P NGLE APPARATUS ) a SINGLOUTLET C I R. Ex. Occup. (, OUTLET OR FIXTURES �0 0 1.00 Ex. Occup. (ouneDrs IAO .ORRn) 5..0 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ D • 97 Contractor MECHANICAL PERMIT Filing Fee 20.00 9 Heating 9 TONS5 Cooling - i,t , Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (rhe above sections need not be completed if the permit is for work f a valuation of one hundred dollars ($100) or less.) )9 1 certify that in the performance of the work for which this permit is ued, I shall not employ any person in any manner so as to become subje to workers' compensation laws of California, and agree that if I should become bject to the workers' compensation provisions of section 3700 of the Labor de, I shall forthwith comply with those provisions. �r .7-•;J ? X " :� .;. „ �I Date _ Signatur of Applicant Oiner� 15L ❑Contractor ❑ Agent -34 An OSHA permit is required for excavations over 60" deep and demolitionorconstruction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee $ J. 00 Occ CONST. TYPE I _TOTAL FEE $ 544.22 HA2. FEES IMP FLOOD CDF PARCEL PO HO ISSUE ' This permit is hereby issued under the of the Butte County Code and/or indicated abov for which fees have ? By Z k, PERMITEXPIRES ON applicable prov'i'sions Resolutions to do work been aid. P Date (Date) ReceiptNo. 206144 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENR -APPLICANT I COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION _.., 7 County Centbr Drive. - Oroville, California 95965 - Telephone (916) 538-7541 P RMIT o. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 005-406-005 ZONING AR BUILDING PERMIT OWNER MARK HOOPER TELEPHONE 342-8797 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1401 MARTIN ST, CHIC0 10 2160 600 - CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 14, 7n - Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 2 0 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 105-30 Energy Plan Checking Fee $ 23.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 1410 MARTIN ST, CO PERMITFEE $ 0.30 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 21.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF EX Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 15,00 Each gas water heater or vent 15.00 1 5 -on Gas piping system 1 - 5 outlets 15.00 19-00 Building sewer 15.00 TYPE OF WORK New 1* Addition IM Remodel ❑ Utilities ❑ Inslallatbn ❑ Other ❑ Describe Work: 2 BDRM Mobile Home I S I G W111 @20.00 PERMITFEE g 86.00 Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service000V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I( affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: XQ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the follcwing declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 370) of the Labor Code, for the performance of the work for which this permit is ssued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier anc policy number are: Carrier NEW CONST. DWELLING OCCUR OR ACDNS. ( 8 ACC. LDS. ) SD. 3.5Q FT. NEW CONST. / MULTI -OUTLET NON-RESID. \ BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) 8 SINGLE OUTLET US Ex. Occup. (OUTLET OR FIXTURES) 20 0 1.00 BAL .00 R) Ex. Occup. (ouEEDs PLNS..j EA nr 5.00 Temporary Service 23.00' Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE g 51.92 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling 15-00 Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. WU X _7 _ __ Dam _ Signature of Applicant O ❑Contractor ❑Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee is Energy Inspection Fee Is co s OTAL FEE $ 544.22 HAZ. — S KA IMP FLOOD .� COF PARCEL PD D IS This permit is hereby issued under the of the Butte County Code and/or indicate7)or which fees have BY/]AsnZDaae PERMITEXPIRESON applicable provisions Resolutions to do work been paid. `` 110 f7 (D e) Receipt No. 206144 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK-INSPECTDR GOLDENROD -APPLICANT ..`.".'"'�n...'"..hy"'!fw.n�i.'lv,f�'.".r�*..j.Uyi'*f+v^.^..viw�iti/L'rYtis�'HJT.r6'�4!`�MH"f'r►`n^+'f1D1"+r-^"„��ti-+'..`r�yr Y.+�r'+.'��s...."s�'Y��,....�+Y�t•#'R'�`-..•..i'.-.T r1Vv BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District Ca/ GO JCt�-x7 sc /-lao L A.P. Number d0r=y0�m—DOf'iurisdiction: 0 Property Owner M 49L.1,q Building Department No.' Ci �.Coun �` , . ., Property Location/Address -9-nT- Subdivison Lot'No. Residential Development 0 - EE9- 5q. Footage SJ°, No. of Living MHI Addition (Group R) Units Commercial/Industrial s Sq. Footage New Addition (Including Exterior ' Roofed Areas) " zz�) Building Department Rep entative Date _ 1 t (Floor Plans reviewed by School District Personnel) District Identification No. School District certifies that �rD (Applicant) (Street Address) ^ 'Z (City) has complied with the requirements of Resolution No. r representing ��J� square feet. resentative (Phone Number) d (Zip Code) 40—P6 by payment of $ AB 2926 $ FULL MITIGATION $ Date Paid by Check #� " Remarks:,e� Bank Number�j"" Paid by Cash 4 If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeformmkl (11/94)dmm E.H. USE ONLY Phot Plea Ata&W ;; Ploor PLa Attached Pseat w B.n. >� i TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance �Itri� �►�, � !ii►��1 � �� l� � • Location ' Plan Approved for: Sewage Disposal Water Supply: Public 161 eea�iance for bedroom mobile home. Other Hold final for: Final clearance NOTE: Private Well v / E ironmentalr Health SpecialistDate 8/92 ft StA8 COUNTYOF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER / "' 4'Pt K / Proposed Building Use X17ti A.P No. coDS-- gg-ooJ Building Inspector Date t" At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ....................................... . 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... � -in-fees of $......................................... ✓ (`11,! Impact fees as shown on attached schedule . .............................. 2. California Department of Forestry plan approval/fees.......................... -,11a Flood elevation letter (100 year flood California Engineer.......... . 4. Sanitation and plot plan approval ff alHealth Department . ............ // 6 City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about .(A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. . . 20. Pre -inspection for Pn a"�eCt1On n q°eat p required. . to Building Inspector �Aate) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . ......................... . 23. Owner -Builder Verification (Given to owner , Mail to owner ............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ......................... ............... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . .......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.......... ....... . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ..................................... . 32. Plan check list . ................................................ �... . 33. 34. When fou issue thyp rmitp rocess as follows: Mail to oyv�er. Mail to contractor. ✓ Telephone �! L i 7 and hold for pickup at C/`t' �O office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted pri r to 1. Index permit for above items No. 2. Additional items required: issuance: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by _K phone _ mail Counter by Date CI Contractor, designer, owner was advised of above required data by X phone _ mail Counter by Date OF _z.S.q� Plans checked by G\a6 0 4 s Date qPlans approved by 1 0 t3y�_ Date /Q Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE,. OROVILLE CA 95965 TELEPHONE (916) 538-7541 OWNER �G�%LtC' /4�Clz-p�/L A. P. #D�--Gof-- PROPOSED BUILDING USE 2D D DATE DATE REC �1- SCHOOL" DISTRICT FEES (paid at District Office) Q 2. SHERIFF FEES (paid at Building Division) Residential.. x unit amt. Commercial (sq. ft.).' x _$ 3. URBAN AREA FEES. aid at Building r` (P g Division ) .. . Residential (per unit). x =$ #units amt. Commercial (sq.ft.).. x -$ sq. ft. amt. 4. RECREATION DISTRICT FEES (paid at District Office) 5. THERMALITO DRAINAGE DISTRICT FEES $400.00 (paid at Building Division) 6. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 7. WATER TENDER FEES (BATTALION # ) $200.00 (paid at Building Division) 8. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 9. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT DATE1 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: YESW NO[ ]. 2. I HAVE[)(] HAVE NOT[ ] signed an application for a building permit for the proposed work- 3. ork3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY- PHONE:` CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide'the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: SOCIAL SECURITY NUMBER:_ DATE: 9 Mh b NOTE: This owner -Builder Verification is required by Section 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. OVER O.B.- I 'SJ.'AK4�.}v.w:::. �:. �.:v �i:�:L:v:�iriii4ii:�:::: iiiri v. �::::::. .:::.: �. �:::.:::.. ::... �:: :.::::::: •:::::::.:::..:. �.::. �::::: :..� :.:::vnv. �::::::::::.v: :j}<:?iL::4:t?•:?•:L?:i: i::::i?:': %j\i:};.`,:?:T ii: r:•ih,`: \�jK •. rQ:[>::.v. •::r Dear Property Owner. An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourseif, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the ' entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance Coyer, and unemployment compensation contributions. 0 There may be financial risks for you if you ,do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insuranCe• 0 For more specific information about your obligations under Federal Law, contract • the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your , obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned !im'nlcerell , • :, Michail C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER kiDC7 OVEF%Q4GS A SET BACK ''- FT. FI 5D FT. FF C ROFS1 FOR A a FT. E SM: All Mate Accordance wit of a Quality Pre in the Uniform Codes and the 1 1�. ELECTRICAL, P CONSTRUCTIC SHALL COMFL OF NEC, UM r :8 AND EQUIPMENT INCLUDING LL BE CLEAR OF ALL EASEMENTS. 5 : FT. FROM THE SIDE AND THE 'REAR PROPERTY LINES AND THE ROAD CENTERLINE SHALL BE TURES AND EQUIPMENT' (CEFr OVERHANG. i i C, els &t igiorkmanship Shall Be 16coanized Good Practices ax d ribedf r the Specified use Lilding plumbing & Mecham ;ional �lectri � ECHANICAL, AND PLUMBING ap N ( NOT PLAN CHECKED ) WITH CURRENT EDITION. J. AN6 UPC. -- 256 This set of PI ems and specifications MUBT be kept on the j ot at all times and it is uniawflil to make any c]4 -ax ges or alterations on same wahout written permiE slon from the Department of Publto Works, County pf Butte. t 1 ` f BUTTE COUNTY 14 .1111Q.0EPARMEN ' TFILE C A_P PRO � ED a 00_5 -q06 -6j _.1" C) 1 r A. ti+ Y r t•t" c-+ � • 4� h}: �i t .. _ 1.10___ l`lfiRTi IU Sfi. APS 005..-_G Dos APPROVED - Butte County Environmental Health Date �{-n gnature BU E COUNTY UI DEPARTMENT P ROVED h L�I�;CI - i►_ Q l tee - r �� C•{Ciafr�;�y S�wG�o, � A -P ✓u'15, - IfJG- 0 Q5} 1 GFI .r 35 fw Provide 1 bedroom widow with mint rr open dimensions of 24"- high., 20" o•7 sq. ft. -area, and 44" maximum Wide,' eau Smoke def ' ecto' Der code. i z, J g. K ^ P detector isLi j stall smoke detector OeT eon Provide 1 bedroom window with npnimu fr j ^ A open dimensions of 24" high, 20" wid'1 � fo.7 sq. ft. area, and 44" maximum . f ,_ i `r eight.''' i 1 •_ 3 ,i 1'l - h L�I�;CI - i►_ Q l tee - r �� C•{Ciafr�;�y S�wG�o, � A -P ✓u'15, - IfJG- 0 Q5} 1 GFI .r 35 fw Provide 1 bedroom widow with mint rr open dimensions of 24"- high., 20" o•7 sq. ft. -area, and 44" maximum Wide,' eau Smoke def ' ecto' Der code. i z, J g. K ^ P detector isLi j stall smoke detector OeT eon Provide 1 bedroom window with npnimu fr j ^ A open dimensions of 24" high, 20" wid'1 � fo.7 sq. ft. area, and 44" maximum . f ,_ i `r eight.''' i 1 •_ 3 ,i "777 1 00 Lf, U-1 i %7k a 'r s -fl n5 }fuse... �' o�,•' S-wtl KZ a 60�`►�m a x Q (atm BUTTE C®U,y BUILD WG DEPA i ENT APpRoV ED _/ ��ISTins �o��Rz'� �oura�a�fr0� 4~� wj V t-> ,,,_ U ':- . k, , 1 1• 5 33�•�1 `t 1- _ l�6 SA La 1��►� S1t �s�5 ---- - - - - --- T -COU. - - . _ P ID_ S _ a ' 5 33�•�1 `t 1- _ l�6 SA La 1��►� S1t �s�5 ---- - - - - --- T -COU. - - . _ P ID_ r Certificate of Compliance: Residential (Page 1 of 2) CF -1 R A I.1 17, SEPT I �n (v Project Title Date 1+1,-V r I/►Iz=rte! . !,- ...i 'r , C111,..F� Project Address 1 n Building Permit # L 1 S A �7fO IL -0 v4S E +A 2 $ Plan Check/ Date Documentation Author Telephone P v I H -T— 11 Feld Check/ Date Compliance Method (Package, Point System or Computer) Climate Zone Enforcement Agency Use Only GENERAL INFORMATION Total Conditioned Floor Area: 2 17 ft2 Building Type: >< Single Family >,/ Addition (check one or more) Multi -Family Existing -Plus -Addition Front Orientation: North /,East/ South / West / All Orientations (Input orientation in degrees and circle one.) Number of Dwelling Units: I Floor Construction Type: ( / Raised Floor (circle one or both) BUILDING SHELL INSULATION Construction Component Insulation Assembly Location/Comments Type R -Value O -Value (attic, to garage, typical, etc.) Wall .............. 2{ "i�(P►c.ltl� <��ut-t".t��.� Wall .............. Roof ............. 2192 TYPICAL_ @.. At�70I'rtot- Roof ............. Floor ............. Floor ............. Slab Edge...:, O T`(P 1 ZA L_ Lm A o b FT 1 a t --i FENESTRATION Shading Devices Fenestration Area Fenestration Interior, Exterior Overhang Framing Type Orientation (sf) U -Value (roller blind, etc.) (shadescreen, etc.) (yes/no) (metal/wood/vinyl) Front..... (E) 00�l t✓ _ .I� F16,T A L Front..... ( ) Left....... (5) — t_Ic,rt-r- l.2-,LtH P Left ....... ( ) Rear..... (t.l) 2 t_tIt, t11- c-AAA0E Rear..... ( ) Right..... (0) �_ -,/ 'e�'r o d . J/ Right..... ( ) Skylight ....... Skylight ....... THERMAL MASS Type/Covering Area Thickness (slab/exposed, tile, etc.) (sf) (inches) Location/DescriPl <�L.ArJ �5L, 4„ P�pe.0fL 00r.1 Revised December 1992 Certificate of Compliance: Residential (Page 2 of 2) CF -1 R 6t4e'0 A00 M0 f-4 Project Title Date HVAC SYSTEMS Note: Input hydronic or combined hydronic data under Water Heating Systems, except Design Heating Load. 1. For small gas storage (rated input15 75,000 Btu/hr), electric resistance and heat pump water heaters, list Energy Factor. For large gas storage water heaters (rated input a 75,000 Btu/hr), list Rated Input, Recovery Efficiency and Standby Loss. For Instantaneous gas water heaters, list Rated Input and Recovery Efficiency. SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with Title 24, Parts 1 and 6, of the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the individual with overall design responsibility. When this certificate of compliance is submitted for a single building plan to be built in multiple orientations, any shading feature that is varied is indicated in the Special Features/Remarks section. Designer or Owner (per Business a Professions code) Documentation Author Name: M A R v-- i A- on Q a V---- Name: L- 1 S A Sc:, Q 1— +� ✓ E ►- Title/Firm: Address: 1.+03 1, t—( LE11 [.�'v c -A It;. Telephone: Lic. all: (signature) (date) Enforcement Agency Name: Title: Agency: Telephone: (signature/stamp) (date) Revised December 1992 Title/Firm: Address: t 2 L, O b G to" -T- E tZ *,/ 1 L.LE C"a t L, t_7 UA cl 'Ki 2gb Telephone: 9 5 1 el — I 'Z !✓ (signature) (date) ►F''.L Distribution Heating Equipment Minimum Type and Duct or Heat Pump Type (furnace, heat Efficiency Location Piping Thermostat Configuration pump, etc) (AFUE/HSPF) (ducts/attic etc.) R -Value Type (split or package) rt1� taAGG — (,Ae;' � Jt) IJI Tfi Scrr?�.�4=- Pnr.r�f,�.�E Cooling Equipment Minimum Duct Type (air conditioner, Efficiency Location Duct Thermostat Configuration heat pump, evap cooling) (SEER) (attic etc.) R -Value Type (split or package) 12510 ATr t L �F, 2 S6'r e ••A C k-- PA C. t: Ay I~ WATER HEATING SYSTEMS Energyt External Ratedt Tank Factor or Tank Water Heater Distribution Number Input (kW Capacity Recovery Standby' Insulation Type Type in System or Btu/hr) (gallons) Efficiency Loss (%) R -Value STP. Gn D. It ,(02 _4-0 142— V2 1CP-1 1. For small gas storage (rated input15 75,000 Btu/hr), electric resistance and heat pump water heaters, list Energy Factor. For large gas storage water heaters (rated input a 75,000 Btu/hr), list Rated Input, Recovery Efficiency and Standby Loss. For Instantaneous gas water heaters, list Rated Input and Recovery Efficiency. SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with Title 24, Parts 1 and 6, of the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the individual with overall design responsibility. When this certificate of compliance is submitted for a single building plan to be built in multiple orientations, any shading feature that is varied is indicated in the Special Features/Remarks section. Designer or Owner (per Business a Professions code) Documentation Author Name: M A R v-- i A- on Q a V---- Name: L- 1 S A Sc:, Q 1— +� ✓ E ►- Title/Firm: Address: 1.+03 1, t—( LE11 [.�'v c -A It;. Telephone: Lic. all: (signature) (date) Enforcement Agency Name: Title: Agency: Telephone: (signature/stamp) (date) Revised December 1992 Title/Firm: Address: t 2 L, O b G to" -T- E tZ *,/ 1 L.LE C"a t L, t_7 UA cl 'Ki 2gb Telephone: 9 5 1 el — I 'Z !✓ (signature) (date) ►F''.L Point System Summary: Climate Zone 11 P-213 e-OcF Aoo 17101,J Project Title Date BUILDING DATA Fenestration Area % Conditioned Floor Area 'Z 50 Number of Stories �_ North Slab/Raised Floor East Check all applicable Unit Type condition(s): South 37-7 I .2 JSingle Family Detached (SFD) tA] Addition Alone West ZS 1 0, D Single Family Attached (SFA) (J Existing Building Skylight G-, 0 [ J Mufti-Family(MF) [ J Existing -Plus -Addition Total_ 2 SCORE CARD Measures 1. Ceiling Insulation -35 or 00 1-1 S R -value 1381 U -value (0.028] + :�> 2. Wall Insulation 21 or Sum 7-9 R -value [19] U -value (0.065] 3. Raised Floor Insulation --- or 178% or 6.8] 0.83; 2+ story: 0.881 R -value (19] U -value [0.037] + `�' 4., Slab Edge Insulation 10,5 or SEER [10.01 Duct Effic. 11 story: 0.81; 2+ story: 0.871 R -value [0] 'F2 factor 10.751 5. Infiltration Any Ducts in Unconditioned Space? N) [Y] 6. Fenestration Heat Loss 0 UA L Ext Ins. R -value [12] -'2 - Distribution ISTD] Type U -value (0.65] Total % Fenes. (16] 7. Fenestration Heat Gain % Fenestration SCShade Open Eff. % Fenes. Shade Eff: Ratio Distribution North ' , o � x 0,-1-1 = 3.1.S(10 East -E3- x = -631- South 1 x = Ie, 2 West 10,0 x ../ _ -I, "1 Skylight -IE31- x = - -e9- Overhangs? ( Y /g L) 8. Interior Thermal Mass or: ` cr or 9. Exterior Wall Mass 10. Heating System 11. Cooling System 12. Water Heating System 1 SG So Heater Type [SG50] System 2 k: E Heater Type [None] Point Scores ``1+ —13 Sum 1-6 % Exp. Slab [20] Int Mass/CFA 00 1-1 S tr-> + :�> Ext Wall Mass Sum 7-9 AFUE or HSPF Dud Effic. (1 story: Effective AFUE Zonal Control 178% or 6.8] 0.83; 2+ story: 0.881 or HSPF Adjustment (o] + `�' 17, o x �,1 = 10,5 0 SEER [10.01 Duct Effic. 11 story: 0.81; 2+ story: 0.871 Effective SEER Zonal Contml Adjustment (0] 1?.0 Energy Factor Ext Ins. R -value [12] Auxiliary Input [None] Distribution ISTD] [0.53] + S Energy Factor Ext Ins. R -value Auxiliary Input Distribution Point Total: Form Revised January 1992 Point Goal: f• Mandatory Measures Checklist: Residential MF=1 R NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance` . approach used. Items marked with an asterisk (') may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as binding minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. DESCRIPTION DESIGNER I ENFORCEMENT Building Envelope Measures *§150(a): Minimum R-19 ceiling insulation. §150(b): Loose fill insulation manufacturer's labeled R -Value. * §I50(c): Minimum R-13 wall insulation in framed walls (does not apply to exterior mass walls). * §150(d): Minimum R-13 raised floor insulation in framed floors; minimum R-8 in concrete raised floors. I a 1 A. §150(1): Slab edge insulation - water absorption rate no greater than 0.3%, water vapor transmission rate no greater than 2.0 perm/inch. N A §118: Insulation specified or installed meets California Energy Commission quality standards. Indicate type and form. §116-17: Fenestration Products, Exterior Doors and InfiltratioNExfiltration Controls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Manufactured fenestration products have label with certified U -value, and infiltration certification. c. Exterior doors and windows weatherstipped; all joints and penetrations caulked and sealed. §150(g): Vapor barriers mandatory in Climate Zones 14 and 16 only. 11-1/ A §150(1): Special infiltration barrier installed to comply with §151 meets Commission quality standards. 14 / A §150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs 1. Masonry and factory -built fireplaces have: a. Closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and control 2. No continuous burning gas pilots allowed. Space Conditioning, Water Heating and Plumbing System Measures O / A §110.13: HVAC equipment, water heaters, showerheads and faucets certified by the Commission. §150@: Setback thermostat on all applicable heating systems. §150(j): Pipe and Tank Insulation 1. Indirect hot water tanks (e.g., unfired storage tanks or backup solar hot water tanks) have insulation blanket (R-12 or greater) or combined interior/exterior insulation (R-16 or greater). 2. First 5 feet of pipes closest to water heater tank, non -recirculating systems, insulated (R-4 or greater). 3. All buried or exposed piping insulated in recirculating sections of hot water system. 4. Cooling system piping below 55°F insulated. 5. Piping insulated between heating source and indirect hot water tank k/ * §150(m): Ducts and Fans 1. Ducts constructed, installed and sealed to comply with UMC Sections 1002 and 1004; ducts insulated to a minimum installed value of R-4.2 or ducts enclosed entirely within conditioned space. 2. Exhaust fan systems have backdraft or automatic dampers 3. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers.. §114: Pool and Spa Heating Systems and Equipment 1. System is certified with 78% thermal efficiency, on-off switch, weatherproof operating instructions, no electric resistance heating and no pilot light ►a 2. System is installed with: a. At least 36' pipe between filter and heater for future solar heating. b. Cover for outdoor pools or outdoor spa. 3. Pool system has directional inlets and a circulation pump time switch. §115: Gas-fired central furnace, pool heater, spa heater or household cooking appliance have no continuously buring pilot light (Exception: Non -electrical cooking appliance with pilot < 150 8tutir.) Lighting Measures r §150(k): 40 lumens/watt or greater for general lighting in kitchens and rooms with water closets; and recessed ceiling fixtures IC (insulation cover) approved. k/ Revised January 1992