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005-466-012
Nidred, Inc. N. 212,1 Laurel St 11 U 116, MulbeyiryTr. uFj-t'7.�?, Chic ERIC LANGFORD Permit 4-2983-07�v�)E(util MR) 2121 LAUREL ST. ELEC. 7- LTR.FROM ENV HEALTH GAS) 21 10/23/97 (WPACTION TEST REQ. Permit 3476-77MHI 77 CONTR: Kentwood MH Sales, Chico ISSUED Don Hoff 2121 Laurel St., Chico Permit #3931-79P,E(Nuta. MH) COMYCTION TEST REQ. �7AJ,-7 ssued Permit #72,51 permit #4,59-3-80B,E(new cabana/MH) Ell 1P c� L21Laure St, Chi -C-0 Permit#453-85B,P,E,M(new detached hobby shop) home occupation /01� V07 005-46-6-012 95-2031-B LANGFORD, Eric & Patricia 2121 Laurel Street, Chico (demo SF) Steel Mill Recyclers 41 658 Stilson Canyon Road Chico, CA 95928 July 9, 2.009 Butte County Development Services Oroville, CA Sirs: This letter is in reference to a property that I own located at 2121 Laurel Street, Chico, CA, Parcel #005-466-012. I purchased this property in 1993 which was formerly the location of "Maxine's Ceramics." Since that time I have used the existing 2700 square foot building (the former ceramics shop) and the accompanying 1000 square foot garage as accessible storage structures, for storage of personal property. I will continue to do so and the structures shall not be used for any commercial purposes. Very truly yours Esc Luva Eric S. Langford When recorded return to: County of Butte Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965-3397 Space above for Recorder's Use (rev.5/04) Owner Name: Eric S. Langford and Patricia C. Langford,_ husband and wife, as Joint Tenants Building Permit. No: B09-1036 94�w �� �\100 P L �c0fi DEED RI 12-v r ;qk-rz-r--0" NOTICE OF L, 6 ITY I. WHEREAS, on this 13th day of July, 2009, Eric S. Langford and Patricia C. Langford, husband and wife, as Joint Tenants, hereinafter referred to as owner(s), is the record owner of the following real property: 2121 Laurel Street, Chico, CA (005-466-012), and as further set forth in Exhibit "A" attached hereto and hereby incorporated by reference, hereinafter referred to as "the subject property"; and II. WHEREAS, the Building Division of the Butte County Department of Development Services is acting on behalf of the People of Butte County; and III. WHEREAS, the owner applied to the Building Division for a building permit in order to develop the subject property described above; and IV. WHEREAS, Building Permit No. B09-1036 was applied for on 7/13/09 by the owner in accordance with the provisions of the Butte County Code and the California Building Code; and V. WHEREAS, the use allowed by Building Permit No. B09-1036 has been reviewed and approved for only the limited purposes set forth below; and VI. WHEREAS, it is intended that this Deed Restriction and Notice of Limited Use Facility shall constitute an enforceable restriction and remain in effect until a change in use or character of use has been approved by the Butte County Building Official or a change in law has occurred, either of which change allows the uses otherwise restricted herein to be conducted on the real property described herein. Under either circumstance allowing such change in use, Owner shall be entitled to have this Deed Restriction and Notice of Limited Use Facility rescinded by the execution of a subsequent document entitled Rescission of Deed Restriction and Notice of Limited Use Facility by the Director of Development Services; and VII. WHEREAS, Owner acknowledges that Owner will comply with the limited use restrictions that were incorporated in reviewing and approving Building Permit No. B09-1036 which enabled Owner to undertake the limited use authorized by this permit. NOW, THEREFORE, with the issuance of Building Permit No. B09-1036 to Owner by Butte County, Owner hereby affirms Owner's desire to develop a limited use facility, as set forth below, which establishes restrictions on the use and enjoyment of this limited use facility. The undersigned Owner, for himself/herself and for his/her heirs, assigns, and successors in interest, acknowledges and agrees to those restrictions. This limited use facility shall be utilized in compliance with those limitations prescribed by the California Building Code occupancy classification assigned by the building official, except the following uses are not allowed: sleeping, cooking and livin_q. Additionally, the space will be used for storage of personal items only and will not be heated and or cooled. If any provision of these restrictions is held to be invalid or for any reason becomes unenforceable, no other provision shall be thereby affected or impaired. This deed restriction and notice of limited use facility shall remain in full force and effect during the period that this permit, or any modification or amendment thereof, remains effective, and during the period that the development authorized by this permit, or any modification of this development, remains in existence in or upon any part of, and thereby confers benefit upon, the subject property described herein, and to that extent, this deed restriction and notice of limited use facility is hereby acknowledged and agreed to by Owner to restrict the use and enjoyment of this limited use facility and shall be binding on Owner and all his/her assigns or successors in interest. Scott Rutherford Building Manager, DDS Owner agrees to record this Deed Restriction and Notice of Limited Use Facility in the Recorder's Office for the County of Butte as soon as possible after the date of execution. This document shall be recorded and returned to the Butte County Department of Development Services, Building Division prior to the issuance of Building Permit No. B09-1036. DATE: Owner Signature: Owner Signature: Scott Rutherford Building Manager, DDS 20 Print or Type Name of Above Print or Type Name of Above NOTE TO NOTARY PUBLIC: If you are notarizing the signatures of persons, signing on behalf of a corporation, partnership, trust, etc., please use the correct notary jurat (acknowledgment) as explained in your Notary Public Law Book. STATE OF CALIFORNIA COUNTY OF BUTTE 107, Public, personally appeared before me, SS. Notary , who proved to me on the basis of satisfactory evidence to be person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature (Seal) Scott Rutherford Building Manager, DDS STATE OF CALIFORNIA COUNTY OF BUTTE On Public, personally appeared before me, SS. Notary , who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature (Seal) Scott Rutherford Building Manager, DDS This is to certify that the Deed Restriction set forth above is hereby acknowledged by the Director of the Department of Development Services and that Butte County consents to its recordation thereof. STATE OF CALIFORNIA COUNTY OF BUTTE On Public, personally appeared Dated: before me, Scott Rutherford, Manager Building Division SS. Notary , who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature (Seal) Recorded at the Request of Mld Valley TWO & Escrow Company 9 3 " 4 9039 Order No. Escrow No. 138WTB r Loan No. 93-049039', Fee 5.00 WHEN RECORDED MAIL TO: Rec I DOC 44.00 ERIC S. LANGFORD Recorded 1 Check 49.00 PATRICIA C. LANGFORD Official Records I County of I 658 STILSON CANYON Butte I CHICO, CA. 95928 Candace J. Grubbs I Recorder I i8:00am 4 -Nov -93 1 11VTC FM 1 MAIL TAX STATEMENTS TO: DOCUMENTARY TRANSFER TAX $44XD ii CWMuled on the canaWwaaw or value of property ccnvwa4 OR Computed on die omerderatIm or vale sees lane or enoxhmnces SAME AS ABOVE l Ismaintlp at Um of sale. rnA IIndwr_ ifInAd Arantnr cinclarae Signature of Deciarent or Apeni datermlrikV tax - farm Name GRANT DEED APNOOS-466-012 FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, ADA MAXINE BOWMAN, an unmarried woman hereby GRANT(S) to ERIC S. LANGFORD and PATRICIA C. LANGFORD, husband and wife, as Joint Tenants the real property In the Clty of UNINCORPORATED AREA County of BUTTE State of California, described as LOTS 16 AND 17, IN BLOCK 9, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "MAP OF MULBERRY TRACT SUBDPASION NO. 2, VALLEY SYNDICATE ADDITION TO CHICO, CAL", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MARCH 14, 1907, IN BOOK 6 OF MAPS, AT PAGE(S) 90. Dated -- October PA. ISM I ) STATE OF CALIFORNIA )ss. COUNTY OF BUTTE ) On i0 CO babe rr>e, TAMT RART.DW personally appeared ADA MAXINE B014MAN personally known to me (or proved to me on the basis of satisfactory evidence) to be ft porson(s) whose name(s) Wars subscribed to the wifNrl Instrument and acknowledged tome that tWshelthey executed the same In hWher/UWr aulhoted capaclty(les), and that by hWherAhelr signature(s) on the Instrument the person(s) or the entity upon behalf of which the parson(s) acted, executed the InstrumerIL WITNESS my hand and official Bad \ i Slgnatur(t.� .�. !e11a1t11111II I IIUINIIIIIIIIIII IIr11II I III III I 1.11nI111jeRRn1 III* 3 OFFICIAL SEAL 978221 .m TAMT BARLOW > li NOTARY PUBLIC-onLIMOR4IA Q ' COUNTY OF BUTTE (iJ My comml..lon Explr_ Nov. 19 , 1B9e r'+nrrnmrn uunuurn n nuumur amu nu anon u,unu nrfi t END OF DOCUMENT ►-- l " if PERMIT NO. 453-85B, P, E,M Q PERMIT EXPIRES Y/` I a2 OWNER MAXINE BOWMAN 910A _ CONTR. owner ASSESSOR PARCEL 46-206-12 LOCATION 2121 Laurel St, Chico -OFFICE CO YWl s Address` 77. Meter_By' ;Date �. " Meter ,9'' FICE COPY Address,2 C<-� 1 ' GAS Meter By Date ELECT Meter By,;� Dam i i Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Call JOB FIN Sign V = OK - 0 = Not OK \ " = Not Applicable MOBILEHOMES MISCELLANEOUS * = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except N;s 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4• Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except k's 1. Zoning Requirements -Setbacks -Easements Date POOLS (Plans) OK except N's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghig. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date 0 11-j'Apolticable -Ready RESIDENTIAL (Single and Duplex) Date UN RFLOOR Plans OK except#'s Date NG Contin oning requirements-Setbacks-Easements [J roperty Lin xt. Doors-One-Ciw_k_GaragE_-3rd-story._ _ Ftg., Main; Soils-Steel-.6Le_-..1 ,1, /" Ftg. Depth •5@=Sta7rs-Width-Headroom-Rise-Run- Land ing- Fire Protection .,4�i�&, err,4ies & Decks; Soils-Steel- / /" Ftg. Depth P. ang-Att' nts-RMIer- u iggera, 5 Stemwalls, Main; Steel-Blockouts-Wrapped-Slab ding-Veneer el-Blockouts-Wrapped-Slab j^ry tuc6o-M6sh-Driped-Fdrr.-VL=nts=tlmierffh-Aceess- . Glazing Area-Glass-Protection=Sxyhtjhts-Pfastic @: D-W-VT-Fal'I-Finings-Test-2 way C/0-Sewer Test 55—Shear-Watts;-Na4.f.ing-Bolts -9. Gas-P'pe';-S'ize=Anchors Test-Anchors-Regulator-Service Test 1 lectric; Underground 2.s-&-Daets;-•Clearance-Material-Support-Ins. 1 Girders-Sills-Anchor Bolts-Joists-Vents-Cripples Card-BI Date,S ' Card-BI Dat Card-BI Date Card-BI Date Card-BI Date Card-BI Date Card-BI SR Date Card-BI IM Date 03i)�J Date F14L Plans) OK except #'s _ Card-BI SK, Date 11.115i1�5 Card-BI Date r I Date PLUMBING (Per it OK except #'s7 -�% 5 xt. Steps-Door & Sidelight Protection a m Cmnke Pxector 14. Water Ht.; Ve cress-Combustion Air Vis-Clearance-Comb. Air-Connector- In or-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors-Nail Protection 16. D.W.V.; Test-Fttfgs & Anchors-Nail Protectionxi ing 17. Shower Pan; est, First Floor-Tub Access ss 18. Test Tub & S er, 2nd Floor-Tub Access c. T"' ub Breaker Sizes-Labels" 19. Gas Pipe; Size & Anchors 6^ gAaw, u ReTtT Card-BI Date Card-BI Date lec. Outlets at Wood Panel; Int. & Ext. as I<f F .. t __ e; Grnd.-Air Gap-Cooking Clearance Card-BI Date Card-BI Date 6 Iles at Kit. Counter Date ELECT AL Permit OK except #'s 2 fixture &Transformer Clearance,-I+ie-Protectirnt ing-Landing-Closer e-Damper 6 - earance-Comb. Air-Connector-P.R.V.- In Mech. Protection rr� J�£ Elec. Rec t es Sp�ci+ng hts &Switches at Doorss i 2. ize Boxes & No. of Conductors- ted Elf& NIvA. Equip. Listed for Location 2a_,.Rame Installed Close to Edge of Studs & C.J. quip. Ground nZ_de_upw/Mech. Fasteners R - Q2_-iTIsu lation-Fseam-Looked in Attic Zj-9 _ �o.-�".ppNanee Circuits in Kitchen &Conductor Size 7 on-Post Caps 6 Subfeed Wire Size / / ga. Cu or AI A.C. Wire Size / / ga. Cu or Al -Drainage d-Earth Clearance s _ Ai-@Ven Circ. / / ga. Cu or Al, I� t5--followinginstld.: Drive ❑ Yes: ❑Yes o; Walks �•pIA=- SX28 Service-Riser Conducto g�ound-Main Disconnect 2 uip. Clearances; Panels-Motors-Mech. Equip. , �Ianters �o❑YFs—�tflle� JUL ( ,thes-6feseYLight-Shower Light 7)7, A.C. Unit; Disconnect- res-Brkr. ond. Size-115V Outlet - - -C ranee to9•gags. I erior EI rim; G.F.I. Receptacle ndq)g nd Card B-1 x Dat2 .,(',Wi —Card-BI Date TW-Ventilation throughout House Card B-1 Date Card-BI Date Date MEC ANICAL (Pe t�OK except #'s / Corrections fr m-P-rev.ious-lnspe tions e Meter gged;=QaS-El9ctric st Nj 3 A.C. Ducts; Insulation &Support d-C/O to Grade-HD Approval 3 33.-Gond"sete-Drai n-&-04w44ow;-Size-&-G "ad e C �- nergy Compliance Certificate-Other Certificates - . Air-Return Air Vent-115V outlet I'atform if Furnace in Attic Card-BI Date j Card-BI Date Card-BI Date Card-BI Date Card-BI Date - Card-BI Date Card-BI Date Card-BI Date Card-BI Date —Card-BI Date Date FRAMING(Plans) OK except #'s Comments at Final: ills; Proper Material & Anchors X37. Studs-Nai.l+ng'Sp & Bracelgg-P s-Sound n r-GlTders & Floor Nailing a9/15raft Stop in Walls (rat proof) ases-Tub eade eam-She-&-Bea"g a 42-klaagew_-Rest-Gaps-Anchors-Connectors G-RurFin-Re&f• ac. r Sh g. Rf ^^ T'ac nr T oe A Flue-Fireplace Throat omex Protection-Draft Stop-Ins. Baffles Exiting Doors-Sill Hgt. & Dimensions 7 Fire Protection Framing (NOTE:Anentrymust be made each time youvisit jobsite) Uaner �1'1G1( 1,{/ P . e, E N E R G Y 0 I.' R '!' I F' L C A T 10 N 21_21 Loral Street, Chico I•ocn•1•zc�r�� _ Ilk. P. No. DESCRIPTION OF INSULATION ROOF Material N/A Thickness(inches) EXTERIOR WALL Material Fiberglas Ba`tts- '(•hickness(inc:hes 3Y' CEILING i Eats or Blanket Type 1 Thickness(inches) i� Loose Fill Type InsulSaf_e III Minimum ThicknesWriches) Z! Area covered(ft. )� 2640 FLOOR, ELEVATED Material. -NA Thickness(inches) FLOOR, SI.A_B Material TI-,ickness(inches)_ Width(inches) _----_._� FOUNDATION WALL Ma t e r i a l__ByA Thickness(inches) Brand Name Thermal Resistance (R Value) Brand Nrtme CertainTeed Thermal. Resistance(R Value)—R-11 - Brand Name _ Thennal R.esistance.(R Value) Brand Name_ CertainTee d Number of Bags -:1O Wt. per bag 25 lb. Thermal Resistance(R Value)R_�� Brand Name__ Thermal Resistance(R Value) Brand Name Thermal ResistanCe_(R _ Value) Brand Name_ _ Thernal Resistance(R Value) I hereby certify that the above -insula tion was installed in the above building o ance with the State in c .Qfgf--Cs-liforni.a Energy Requirements. � �;- 1, H its Insu inn Co.;' Inc. #378407 STATE CONTRACTOR'S LICENSE NO. SIGI A l Ute INSTALLATION nPPLICM-OR T hereby certify the ab(�•ve insizlztion Building Department apprgved plans an required by the State of, -California E All e(u' d 7/23/8 DATE and all required items as shown on the attachments have been installed as ergy Requirements. I ipment) evices aria materials are of the quality prescribed or are specifically approved byit:hc St:atc of California. f - FIRM 1CME11OWNER (Please ,print) STATE CONTRACTOR'Sevi LICENSER NO. SIGN* REOF GENERAL CON.IRAC OR OWW.R — DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. January 1984 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS. 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise-- Phone: 872-2961. Ext. 57 MI 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, need additional explanation, please contact this office immediately. —%r COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS - / 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise— Phone: 8772-2961, Ext. 57 CO UO ®1C VK7 SS 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 smatter, or need additional explanation, please contact this office immediately. ;,e 7.t/ f /Gs // /'r /.a / )-,e /,/ .✓'/; - /4 Inspector Date 7—.76)- - � COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS . 196 Memorial Way, Chico - Phone: 891-2751 d�� 7 County Center Drive, Oroville - Phone: 534-4541 �- Skyway and Elliott Road, Paradise- Phone: 872-2961, Ext. 57 CORRECTION NOTICE �3. 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. /e© 0 "e"1 1 Inspector Date7— a �S COUNTY OF BUTTE i DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 E C 7 0 0 TIE .R PPORAIT Kin 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,19r, need additional explanation, please contact this office immediately. 0 II s Inspector_ /��/ -� Date / " �� d' COU T`.! OF BUTTE �.�% r_•= DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradisee— Phone: 872-2961, Ext. 57 DOnEo DUY�(aH MOT0CE -3 mss A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office wh �jrrection of work is completed. If you have any question pertaining to this 7 41 need additional explanation, please contact this office immediately. .\ ti VAI COUNTY OF BUTTE �. DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and.should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector Date COUNTY OF BUTTE D.FPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovil.le, California 95965 - Telephone 916/534-4541 APPLICATION -AND PERMIT PERMIT ER ASS -- y O ING Z 7 BUILDING PERMIT OWNER _ ELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILfNG ADD ESS _ 62117 f /CCU CONTRACTOR'S NAM TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ " Filing Fee 10.00 LENDER'S M IL NG ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ Penalty $ ARCHITECT OR NGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS n� S�% PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 G�1j Water piping 5.00 LOT NO. SUBDIVISION NAME 7PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 �(�V USE OF STRUCTURE � � :CII E; iQc SF ❑ Duplex❑ Mobilehome❑ Other p CI Y Building sewer 5.00 Mobile Home S G W 10.00e TYPE OF WORK New Additio Remodel❑ Utilities ❑ Instal lation❑ Other ❑ Describe work: f 11 �% — Permit Fee $ ,S, d CJ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service (3001 OR LESS 100 AMP OR LESS 10.00 (j Main service EA. ADO'L 100 AMP 2.50 ZNEW CONS.O LL NG OR ADONST ( DACC. LD ) 2'h�Sgf CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEw CONSTR( ULT I-OUTUFT NON.RESID. `BRANCH CIRCUITS) 2.50 ea NEw CONSTR POWER APPARATUS & NON-RESID. (SINGLE OUTLET CIR. ) " .Ex. Occup(OUTLETS OR FIXTURES SgL@30Q FIXED APPLNS. OR Ex. QCCUp. OUTLETS (RESID.) EA.) 2.00 Temporary service 1,40AIII 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ LC7 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. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject V� 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 shal I be deemed revoked. Heating ,V ,0U AC/111 ka r Cooling Q 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 aggj..nst said County in consequence of the granting of this permit. Signature of Applicant — Owner Contractor ❑ Agent An OSHA permit is required for excavations over r d ep a�demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE OCCUP.GRUP TYPE o� CONST. s/ , JE PARCE PD /H IssuE ' This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRER OF PUBLIC By 1 PERM T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date �l ✓ Receipt No. J .� % fob - WHITE-D.P.W., YELLOW -ASSESSOR, PINK-INSPECT11. GOLDENROD -APPLICANT Return to DPW AGRICULTURAL `STATEMENT OF- ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT jrFIc A RF n Section 26-8.1 of the Butte Count Code requires this acknowledgement �•```"' be recorded prior to issuance of a building permit. '9, A'i�. The property described herein is adjacent to land or included MAR Z within an area zoned for agricultural purposes, and residents of this may be subject to inconveniences or discomfort arising from ��' property Y J g PC - the use of agricultural chemicals, including, but not limited to herbicides, pebr,t��fidie and fertilizers; and from the pursuit of agricultural operations including, but not lim to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on 'adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Being a portion of the South half of the South half of Section 14, Township 23 North, Range 1 East, M.D.B. & M., more particularly described as follows: Parcel 1, as shown on that certain Parcel Map recorded in the office of the Recorder of the County of Butte, State of California on March 14, 1979 in Book 70 of Parcel Maps, at page 63. Date: State of SS. County of �= ) OFFICIAL SEAL 0 I COLBERT ILI KATHRYN M. la NOTARY PUBLICCALIFORNIA Butte County t9S7 My Commission Expires Jan. 23, °°ts®©m PROPERTY OWNERS: On this the day of C�C" & , 199-) , before me, the undersigned Notary Publ c, personally appeared !* Personally known to me. L/ Po,vedYto me on the basis ofsatisfactory evidence. to be the person(s) whose name(s) l subscribed to the within instrument and acknowledged that -11-el executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Notary Public Present A.P. No. END OF DOCUMENT File No BUTTE COUNTY (For Action 1, 2,3) Public Works Dept. (For Information ✓) Director Dep. Dir. Sec. Rd. & Br. Mtce. Shop & Yards Bldgs. & Grnds. Bldg. Insp. Admin. + Design Engr. Bridge Engr. Constr. Engr. Surveys Mapping Tronsp. Land Dev. Drng. /S.I. Sub. & Pcl. Maps Permits Addr. Maxine Bowman 2121 Laurel St. Chico, CA 95926 Dear No. Bowman: March 5, 1983 R8: Building Permit #453-85 AP 046-206-12 With reference to the above subject rand your application for a building permit to construct a bobby shop building as a home occupation on your property at the subject address, we need the -following information: 41) Since the property is.$oned.AR, please submit a letter describing the. operations to be conducted within the building and verification of your intention to comply with the provisions of the home occupation requirements (see attachments). Three complete.sets of..plans.prepaied by a registered civil engineer or arW tect licensed by the State. of. California. (3) The three exterior walls within 20' of the property line must be IHR firewalls with parapets. (4). Plans and design.compliance statement,to verify compliance.with state energy requirements. In addition to the above, the building located on the front of the property was con- ructed in 1979 as a private detached garage. The building is apparently now being 0p� et�- ed by the Work Training Center as a nonresidential building without. permits from this office for the change of occupancy. Please submit three complete sets of plans on this building and apply for the required permits for the change of occupancy. As soon as we receive the.above requested data, we will continue to process for the required permits. Should you have any questions, please contact this office. JFG:aj Attachments cc: Planning Department Yours very truly. Original signer! by I F. C—lander J.B. Glander Chief Building Inspector "71� o 'Gf-rices d � g`a a C 3 ca r -A On r moo- �L Lu 0 Cay 21V 11 BUILDING DATA FORM BUILDING ENVELOPE COMPLIANCE Project Title 50 W M A-rJ STU p( o Location Project Designer Form 1 Documented by J Date. 3 5 Checked by Date Wall Record the detailed materials data on the Materials Data Form - Form 2 Aopaque wall 12 Awindow 13 ' Adoor 14 Total Aow Line 12+13 + 14 15 o Surface Areas Heat Transfer Coefficients (see Section 4.1.8) 0"3 LITE DESCRIPTION Location Code Number (from Table 2 of Appendix 1) 1 R' e Latitude Degree Days -heating (from Table 2 of Appendix 1) 2 2— -7 17 T— SF, Solar Factor (from Fig. 4.1.17 or Table 2 of Appendix 1) 4 1 2'(a' 8 AT, ASHRAE design temp — 78° (from Table 2 of Uw 2 2 Appendix 1) 5 20 N4 BLDG. DESCRIPTION Occupancy Type Code Number (from Table 1 of Appendix 1) 6 -_ ( 8 C> Gross heated floor area, sq. ft. 7 22 NL— Number of floors 8 23 -- Ground FI'oor Perimeter, ft. 9 24 ( , P Longest diagonal dimension at ground floor, ft. 10 25 4r Height, ft. 11 1 Wall Record the detailed materials data on the Materials Data Form - Form 2 Aopaque wall 12 Awindow 13 ' Adoor 14 Total Aow Line 12+13 + 14 15 o Surface Areas Heat Transfer Coefficients (see Section 4.1.8) DIO? 8 winter U wall 16 (heating) Uwindow 17 NA Udoor 18 Dt 4.9 summer Uw 19 0,078 (cooling) u 20 N4 Udoor -/_ 21 O.4 7 Shading coefficient of glass, (from Table 3 of Appendix 1) SC 22 NL— Weight of Wall Construction, Ib/ft2 w 23 -- Mass Correction Factor (from Fig. 4.1.16) MCF 24 ( , P Equivalent Temperature Difference (from Fig. 4.1.16) TDeq 25 4r Roof Surface Areas Aopaque roof 26 _ 0 Askylight 27 Total Aor (26 + 27) 28� % skylights (27/28) 29 0 Note: If Line 29 is 5% or greater, automatic light-sensitive switching systems are required in the area lighted by sky- Iigh t tift Enter the difference between line 27 and 5% of line 28, or zero, whichever is the greater 30! — _ Enter the sum of line 26 and line 30 31 ) 8 �2 0 I BUILDING DATA FORM—,BUILDING ENVELOPE COMPLIANCE PROJECT TI TL J�up (O L Floor Heat Transfer Coefficients (See Section 4.1.8) winter (heating) summer (cooling) Shading Coefficient of skylight (from Table 3 of Appendix 1) Mass Coefficient (from Fig. 4.1.16) Absorptance (from Fig. 4.1.16) Floor Area over unheated space U -value for floor HEATING DESIGN CRITERION Standard Uow (from Fig. 4.1.2) Standard Uor (from Fig. 4.1.3) Standard Uof (from Fig. 4.1.4) Maximum allowable Uo (from Fig. 4.1.1) Proposed Uow (from Fig. 4.1.7) Proposed Uor (from Fig. 4.1.10) Proposed 'Uof (from line 40) Proposed Uo (from Fig. 4.1.1) 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 COOLING DESIGN CRITERION Standard OTTWw (from Fig. 4.1.15) Standard OTTVr (41 x line 44) Standard OTTV (from Fig. 4.1.13) Proposed OTTVw (from Fig. 4.1.14) Proposed OTT Vr(from Fig. 4.1.14) Proposed OTTV (from Fig. 4.1.13) 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 Page 2 of Form 1 Uroof 32 0104-7 Uskylight 33 NA ur 34 Us 35 SCs 36 ` Mc 37 O Ac 38 0, q Aof 39 N A - SLAX Uof 40 !Q 43 0.4r 44 fl� (O 45 46 47 0'09 ( 48 Dt 0+-' 49 Nk 50 d'()O9 Line 50 must not exceed line 46 51 33.5 52 4.11 53 .1"1,0614 54 55 ' ¢ J 56 '"Pl Line 56 must not exceed line 53 b -'O w tvA,a-rj FO 2M I P� 75 ciLA+r l o&j -,,- Ud y A ow Oo,,r + 4 -or Ur Aow �-Aav- J �— _ p, 24 --l-q-�z -ti- 1-8 6 v— — =J?.Z Ow A,., Moi + �� A� + Ud Add ` (o, 078 x Ia o`z x I) ±C°+ o, 49 x �? O Aow d"( d, o� 6 Ur r - USS -As im 0,047 x I ij6u �(U 04 Aor�--- Aow. U9�j + Ao��� _ la-► 2 x aQq��...k.�►.._��o x o,na-r� ` 0,06 S� ud - AOw + A or Gia t► l N C,.— SH S� 0TTv = (Q w x Aow 4-(OTT- Vr x Aoorr) _ (33,Sx14��+ �I x I86u o.� +lQor IQ (Z+ IB60 I7.o9 Pref'Sr ' SC� + Uol A d, I G (Ow AIIJ T D-�- w Aow- = O, 07 8x t Qo�� + o.� -I�o� 4'1 �4� 1'7 � q�z Prop 55 0—(TVr IIx UrX AYX/ac xM (4► x o,046x 1+�0,7Rx 1�` I � �5� Pro p oTTVo - LOTrV,, x AtT'l/✓ x A0 Acs w + A o .r 4, I x l 4I 1, 1. 4.11 Z 1/0-7 1471 + )L36o MATERIALS DATA FORM Form 2 BUILDING ENVELOPE COMPLIANCE S570DIO , Project Title WrM�a� Documented by aj �- Location C �(� Date 3 B S Project Designer ` Checked by Date Wall Wall Type 1 Weight of wall construction, Ib/ft2 (see Sec. 4.1.8) W1 1 0"� F Heat Transfer Coefficient (see Sec. 4.1.8) U1 2 Surface Areas (attach sheets to document any additional Orientation 3 compass orientations) 'Area 4� Orientation 5 E R.z 4) Area 6 4cE�b Orientation 7 -S Area /f 8 'L1 9 Orientation Area 9 10 7-OrA.L- 1400f Wall Type 2 Weight of wall construction, IWO Heat Transfer Coefficient Surface Areas (Attach sheets to document any additional compass orientations) Wall Type 3 Weight of wall construction, IWO Heat Transfer Coefficient Surface Areas (Attach sheets to document any additional compass orientations) W2 1\ U2 12 Orientation 13 Area 14 Orientation 15 Area 16 Orientation 17 Area 18 Orientation 19 Area 20 W3 2`i, _ V3 22'�, Orientation 23 Area 24 Orientation 25 Area 26 Orientation 27 Area 28 Orientation 29 Area 30 MATERIALS DATA FORM — BUILDING ENVELOPE COMPLIANCE Page 2 of Form 2 PROJECT TITLE I •QJMArj Wall Type 4 41 Heat Transfer Coefficient (from mfrs. data) Weight of wall construction, Ib/ft2 wa 31 Surface Areas (Attach sheets to document any additional U4 3 compass orientations) Orientation 33 Orientation Area 34 Area Orientation 35 Orientation Area 36 Area Orientation 37 Orientation Area 38 Area Orientation 39 Area 40 Glass Type 1 Shading coefficient (from Table 3 of Appendix 1 or mfrs. data) - 41 Heat Transfer Coefficient (from mfrs. data) 42 Surface Areas (Attach sheets to document any additional Orientation 43 compass orientations) Area 44 Orientation 45 Area 46 Orientation 47 Area 48 Orientation 49 Area 50 Glass Type 2 Shading coefficient (from Table 3 of Appendix 1 or mfrs. data) 51 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 Shading coefficient (from Table 3 of Appendix 1 or mfrs. data) 61\ 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 PROJECT TITLE b0'1/AA Page 3 of Form 2 Glass Type 4 Shading coefficient (from Table 3 of Appendix 1 or mfrs. data) 7 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 80 Roof Roof Type 1 2 S PSF Weight of roof construction, IW (see Section 4.1.8) 81 Heat Transfer Coefficient (see Section 4.1.8) 82 0, 0 Surface Area (Attach sheets to document any additional roof types) 83 18GO Skylight Area 84 —0— Skylight Shading Coefficient (from Table 3 of Appendix 1) 85 A Skylight Heat Transfer Coefficient (U -value) 86 Floor Floor Type 1 (floors over non -air conditioned spaces only) � Weight of floor construction, Ib/ft2 (see Section 4.1.8) 87 1\/A— Heat Transfer Coefficient (see Section 4.1.8) 88 3LON6 CA) Surface Area (attach sheets to document any additional floor types) 89 6 Doors Surface Area 90 3 Heat Transfer Coefficient (U -value, see Table 4 of Appendix 1) 91 0,49 1) �I HEAT TRANSFER COEFFICIENT PROPOSED CONSTRUCTION ASSEMBLY 1. L --� YPC-- Form 3 PAS 1 List of Construction Components R ' 11 O 3�g PLYiNoop o,4-7 i$JsULAr1,o0 I, Sketch of Construction Assembly WEIGHT: (2 Ib/ft2 Check one: Wall X Roof Floor -- Inside Surface Air Film Outside Surface Air Film Total Resistance Rt i U -Value (I/Rtl 0, (p 1? cooling O, 2 e✓ cooling 12,.2 )57 cooling 0. of g cooling 0,(000 heating 0, ( -7 heating 12,-7 1 heating (0,V-73 heating HEAT TRANSFER COEFFICIENT Gd L,, JAA At PROPOSED CONSTRUCTION ASSEMBLY Form 3 ('AGl 2 Sketch of Construction Assembly WEIGHT: Ib/ft2 Check one: Wall Roof Floor — Inside Surface Air Film Outside Surface Air Film Total Resistance Rt U -Value (I/Rt) O,�t2 List of Construction Components R 13 J L -c- je R.o o F eO , '� 3 - - -- - z. heating (L 5 PAC, 121,1$ 4. (oil I tJ S J LAT L,0qJ heating L)A-I �o� 2c� 0,A� Sketch of Construction Assembly WEIGHT: Ib/ft2 Check one: Wall Roof Floor — Inside Surface Air Film Outside Surface Air Film Total Resistance Rt U -Value (I/Rt) O,�t2 cooling heating 0,15 0,1-1 cooling heating 21,57 121,1$ cooling heating 0, 04G 0 � cooling heating R DOCUMENTATION FORM HVAC SYSTEMS COMPLIANCE (Complete for each system) Project Title b0IoAJt A(J '�—FtUpfy Location C �c4 Project Designer R, DESIGN CONDITIONS Form ( Rev. 1 5/78) Documented by` ' /e)' —r -- Checked by Date Building occupancy type (Table 1 of Appendix 1) ........ �� S Project Latitude (Table 2 of Appendix 1) .............. 3 S 8 Heating Degree Days (Table 2 of Appendix 1) ........... '17 9 5 HEATING LOAD DOCUMENTATION (Attach calculations) Outdoor Design Temperature, Winter ................ 29 OF Indoor Design Temperature ....................... 70 °F Outdoor Air ...................... ..... .... CFM Heat Lois From Outdoor Air ...................... Btu/Hr. Temperature of adjacent unheated spaces .............. °F Transmission Heating Losses ...........�.f ........ Btu/Hr. Infiltration Air ................ .��..... .. CFM Heat Loss From Infiltration...........[ �►,�; '. Btu/Hr. Ventilation Air ............. (, /" ......... CFM Heat Loss From Ventilation ......A .. . . . . . . . . . . . . Btu/Hr. Outdoor Air for Special Processes ................... CFM Heat Loss From Process Air ....................... Btu/Hr. Other Heat Losses (describe) ...................... Btu/Hr. Total Heat Losses .............................4.0 Btu/Hr. COOLING LOAD DOCUMENTATION (Attach calculations) Outdoor Design Temperature, summer, dry bulb.......... (os Outdoor Design Temperature, summer, wet bulb........ . Indoor Design Temperature, summer, dry bulb .......... -7G Indoor Design Temperature, summer, wet bulb .......... Transmission Heat Gain ......................... Infiltration Air ................... . Heat Gain From Infiltration ....... Outdoor Air for Special Processes...... Heat Gain for Process Air ......... (. t ......... Solar Heat Gain Through Windows, etc............... . Heat Gain From Lights, Equipment, People, etc......... . Heat Gain From Other Sources .................... Outdoor Air: Fixed Minimum Type System CFM Per Person (Not to Exceed Tabulated Minimum Ventilation Rates) .... . Heat Gain From Outdoor Air ................ of OF OF OF BtulHr. CFM Btu/Hr. CFM Btu/Hr. Btu/Hr. Btu/Hr. Btu/Hr. CFM/Person Btu/Hr. SURVEY Verify construction where weight is to be supported WALLS. Note exposure and shading of the walls. Light 40 Ib./sq. ft. - 8" light weight aggregate concrete block or frame with 4" brick facing. VVdium - 60 Ib./sq. ft. - 4" concrete block with 4" brick facing > Heavy!` 100 lb./sq. ft. - 8" brick „Insulation thickness - (0) (11 (2) (3) 14) inches Insulation R -value - (0) (4' (7) 1111 (13) WIN DOWS Note type of windows and shading PARTITIONS To unconditioned space Insulation Factor To kitchen or boiler room Insulation thickness (0) (1) (2) inches Construction Insulation R -value (0) (4) (7) ROOF Light roof (preformed slab) CONSTRUCTION Medium roof (4" concrete) Hung ceiling (yes) (no) Insulation thickness (0) (2) (4) (6) inches N E Insulation R -values (0) (7) (13) (19) Ceiling Ventilation (yes) (no) CEILING Conditioned space above (yes) (no) FLOOR Conditioned space below (yes) (no) S Slab floor on ground (yes) (no) LIGHTS Type Watts (See Table 6) APPLIANCES (See Table 6) EXHAUST FANS (Yes) INo)---___._-_. cfm PEOPLE Number OUTDOOR AIR See notes with Table 8. POWER SUPPLY _ volts _--_ phase _-....... _.._.____ cycle .t MLghh 40a,u-.34 Panel __.__-_- feet from unit `8 IN: Main service capacity--.-____-. amps WATER SERVICE Connection _- ___..ft. from unit .21 Size -------__--- inches ediutm t;ON, U= .39 Water pressure --------.------------------ New service, new meter .39 Pressure reducing valve CONDENSER Distance from unit ._.___..___._____._____...__-_.-_ ft. WATER AND/OR Low enough for gravity flow of condensate CONDENSATE New drain or condensate pump required DRAIN .24 GAS SERVICE Distance from unit ...____.___-._.__ _...._ .._.. ft. Partition- U11condltiuned space adjacent NH,w service, new meter AIR-COOLED Spftcial construction required? CONDENSER Distance from unit ft. Kitchen or boiler room adjacent Heit3ht above or below unit .___.'_.._.__ ___.__.__.___._ ft. HEATING Steam pressure _.__... _.__._______.___.__ psig Hot water temperature Capacity even Iable ---.--------------------- (B t uh ) (lbs. steam) (gpm) Connection _ .. _ ___.__.___ _ . ._. ft. from unit Connection size -__.-....__-________-----_-_.._ inches �j�IL1n/1•.��'� DESIGN Size of Space- Floor Area Sq. Ft Ceiling Haight tr.�. (�.. ------ Ft Room Volume --_-_.__ ---_._Cu. Ft CONDITIONS SUMMER WINTER Room _ _. Fdb _-. O, Rh Fd Outdoor Fdb _ Fwb Fd GENERAL NOTES 1. Record information essential to the cooling and heating estimates, air dis tribution systun, and equipment selection, location and installation. Sketcf floor plan on page 1. 2. Table factors are based on 75 F room temperature. Factors include 5% to fan heat and are based on 12 -hour equipment operation. 3. Insert factors from tables in cooling estimate. Quantity x Factor is equal tt cooling load. 4. This form can be used for applications where the peak loads occur durinf the normal summer daytime hours. For other applicantions use form E-20 5. This form shucdd not be used for locations over 2000 ft, above sea level. TABLE 1 -WINDOW FACTORS Base Focror Shading Multipliers Exposure rltude Single Glazing Oou61. Glazing Inside Outside Inside Outside 30° 40° SO° Shades Avenin s Bore Shados Avenin s N 40 36 36 1.0 .75 .67 .53 .42 NE NW 55 59 61 1.0.75 .56 .76 .53 .34 E W 86 90 91 1.0 .68 .81 .55 .30 SE SW 96 96 94 1.0 .67 .44 80 .53 .30 5 85 fl0 75 1.0 .69 .48 .8 .54 1 .31 1. Consider show windows as an ordinary window if there is p rtition an use tine above factors. If there is a partition, use a factor of 20 the are of the partition. 2. Factors based on 95 F outdoor design temperature. For 100 F design add to the base factor. For 105, add 12 and for 110, add 17. Deduct 6 for 9 F. 3. Overall window factor = Base factor x shading multiplier. 4. Factors include both solar and transmission loads. TABLE 2 - WALL FACTORS 4+ ,::� - 'c j314, - 1'-L ! Oar 4 - I y- 1. Consider shaded walls as facing North. 2. Factors basr:cf on 95 F outdoor design temperature. For each 5 F high design tumperature add 2 to base tactor. + 3. Overall wall factor = Base factor x�insulation factor. 4. 11-4 approximates 1" insulation, R-7 approximates 2 R-11 approximate 3"Il-1 3 acpproxitn;ues 4". Base Factor Insulation Factor Ex osure Construction E N N E SE S SW R4 R7 R11 R13 _ NW W .t MLghh 40a,u-.34 4 `8 IN: 10 CT2 .42 .30 .21 18 ediutm t;ON, U= .39 L .39 .27, . 16 Heavy 100 a . U= .45 S 1 11 1 14 t 36 .24 . 17 15 Partition- U11condltiuned space adjacent 6�' 4 43<.,30' -_,- Kitchen or boiler room adjacent 11 43 ..30 4+ ,::� - 'c j314, - 1'-L ! Oar 4 - I y- 1. Consider shaded walls as facing North. 2. Factors basr:cf on 95 F outdoor design temperature. For each 5 F high design tumperature add 2 to base tactor. + 3. Overall wall factor = Base factor x�insulation factor. 4. 11-4 approximates 1" insulation, R-7 approximates 2 R-11 approximate 3"Il-1 3 acpproxitn;ues 4". TABLE 3 - ROOF FACTORS ConsNuction -9 Base Insulation Factor Factor R7 R I I x13 R1.9 .ight No Ceiling 10#,U= .20 8 .4 1 .31 28 1 ight Ceiling 10a, U= .13 .53 .41 .37 .29 edium No Ceiling 40 a, U= .51 4 .22 , 15 13 odium Ceiling 40a, U= .21 11]0 .41 30 .27 .20 Factors based on 95 F outdoor design terYrtperature. For each 5 F higher design temperature acid 1 to base 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. R-7 approximates 2" insulation, R-11 approximates 3", R-13 approximates 4 ", R-19 approximates 6". TABLE 4 - CEILING FACTORS Roof Ab_ See Table 3 Conditionepace Aboved S 0 Unconditioned Space Above 4 TABLE 5 - FLOOR FACTORS Base Insulation Factor Factor R7 R I I R13 mconditioned space Below 5 .3 .2T . 19 '.itchen or Boiler Room Below 15 .3 .21 .19 lab Floor 0 on ttioned Space Below 0 ;-7 approximates 2" insulation, R-11 approximates 3" R-13 pproximates 4". TABLE 6 - ELECTRICAL AND APPLIANCE LOAD Factor Quantity X Factor`- Btuh ncandescent lights (Per watt) 3.6 :luorescent Lights Per tube watt) 0 4.5 04- .tachines I Per KW 3600 Per HP 2900 .eauty Parlors (per operator) 2000 as Burners (Each) 6000 :lass Coffee makers (Each) 900 .offee Urn p Lr Gallon Capacity 1400 team Tables - Electric (per sq. ft. surface) 550 team Tables - Gas (per sq. ft. surface) 1300 ther appliances 'Factor includes 5% Fan Heat Total = Factors for appliances with property 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' Latmnt Total' Latent -heater, Auditoriums 360 120 Banks, Library, 515 245 sigh School 410 160 Museums 17751 Ceiling (Table 4) iffices, Hotels, Apts., 465 205 Restaurant -.545-270 Colleges Electrical arid Appliances (Table 6) Factory, Light work 765 455 ')ept., Retail or Variety 465 205 Dance Hall 86 525 Story Cfm 75 F, 50 %9-.95 Factory, Fairly Heavy 1020 620 )nut Store, Beauty 515 245 Work _ Also deduct 50', of the load of moisture producing appliances. ' Cftn is nntdncrr;iir (11INotily 54 P""of 8arlier Shop 30 .059 Factory, Heavy Work 1475 925 Includes 5% Fan Root a3 TA13LE 8 - OUTDOOR AIR FACTORS Tocol I Sensible Room Conditions Outdoor wpt Bulb Outdoor 75 F, 50% 8 26 16 59 69 85 11 75 F 55'~ 3 21 �41� 55 64 105 --.• 115 43 75 F, 60% - 17 37 50 60 in determining the outdoor air quantity for calculating the outdoor air load be guided as follows: 1. Outdoor air through the unit. a) No exhaust fans, use value from Table: 9. b) Exhaust fans, use exhaust fan air quantity or value from Table 9, whichever is greater. In the absence of exhaust air information, base air quantity for 20 air changes per hour for toilet room and 10 air changes for other ventilated rooms. 2. No outdoor air through the unit. a) No exhaust fans, use 7 cfnt pur person. b) Exhaust fans, use exhaust air quantity. COOLING ESTIMATE ITEM Exposure I Quantity I X Factor = BTUR eq ft WINDOW,'; sq It (Table 11 sq ft WALLS (Table 2) DATA, PEOPLE AND VENTILATIU t q 6-4 ft 14X .21 145'6.Z t sq ft ^--- --.• S -.q ft 14- x, -21 33 18 Partitions (Table 2) h set ft r>>,, 35 - Roof (Table 3) 6 D ■q ft 7 X, 2- 17751 Ceiling (Table 4) - sq ft Air -- Floor (Table 5) sq ft (7 Electrical arid Appliances (Table 6) 041; People (Total) (Table 7) q person ss 319 Room Total Heat (RTF) 54 125 30- Outdoor Air (Total) (Table W Cfm 75 F, 50 %9-.95 Q Grand Total Heat (GTH) 80 15 ? S 8 4 1. Room Sensible Heat (RSH) = (RTH) - [People X Latent Factor (Table 7)•1 2. Sensible Heat Factor (SHF) = RSH/RTH 3. Total Sensible Heat (TSH) = RSH + CFM" X outdoor air factor (sensible) (Table 8) 75 F, 50% _ Also deduct 50', of the load of moisture producing appliances. ' Cftn is nntdncrr;iir (11INotily FABLE 9 - DESIGN DATA, PEOPLE AND VENTILATIU Ou�doorsupply ccu one Applicotion Room Con di tion SRF DP 'F Air Air Sq It/ Cfm. Person Factor Private Offices 75 F, 50% .9-.95 54 125 30- .059 General Offices 75 F, 50 %9-.95 54 80 15 .059 Hotel Rooms 75 F, 50% .9-.9 54 150 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-.8 52 25 715 .054 Barber Shops & Beauty Shops 75 F, 50% .8-.8 52 40 15 .054 Variety Srorus 75 F, 50 .8-.85 52 40 10 .054 Dept. Store Basements, Dirne Stores, Drug Stores 75 F, 50%75-.8 52 30 10 .054 Classrooms 75 F, 50%75- 8 52 25 715 .054 Auditoriums 75 F, 55% 70-.752 10 715 .054 Restaurants 75 F, 60' .65 52 15 15 .054 Theaters 75 F, 60% .65 52 10 715 .054 1. Occupancy and outdoor air values are suggested vdtues to use if actua figures are not available. See also local codes which may govern. 2. SHF is average, room sensible heat factors for application. 3. ADP is averaye apparatus dewpoint temperature for application. Any RH. 1 75 1 76 1 // I /ts 11 // I i�j 1 0. II r 1.0 ov II "' I i tl I 1 1. For outdoor air percentages from 30% to 50%. it is permissible to 2. % outdoor air = Outdoor all clm x 10Q = % extrapolate. _ f _ Total C1m EQUIPMENT SELECTION DATA Description TABLE 10 - COIL ENTERING AIR TEMPERATURES X RO I R4 Factor = BTUH/ ° F R7 R 11 R13 R 19 Glass Windows/doors Single Pane sq it 1. 13 ..... Entering Wet Bulb RSH X SUPPLY AIR TOTAL GTH TSH ENTERING Outdoor Wet Bulb AIR TC SHC FACTOR ROOM Walls -Medium 70 75 78 NUMBER QUANTITY 80 .06 CONDITIONS Walls -Heavy PERCENT OUTDOOR AIR THROUGH UNIT (NOTE 2) sq it .45 . 16 . 1 1 .08 .07 ... 0 10 20 30 10 20 30 10 20 30 10 20 30.165.9fl67.7 ..... 0 .04 75F, 50% 75F, 55% 60% 62.6 64.0 65.3 62.8 64.1 63.1 64.2 63.3 64.3 63.5 64.6 G5.8 64.4 65.2 E;6.3 65.3 65.9 G6.8 c.,....:., 64.0 65.2 f,6.4 n.., u"ur, 65.4 66.4 67.4 - 16.7 67.6 68.4 64.4 65.5 66.8 66.2 67.2 68.1 G7.86.7 68.775F, 69.48.7 .06 .04 L69.4 Any RH. 1 75 1 76 1 // I /ts 11 // I i�j 1 0. II r 1.0 ov II "' I i tl I 1 1. For outdoor air percentages from 30% to 50%. it is permissible to 2. % outdoor air = Outdoor all clm x 10Q = % extrapolate. _ f _ Total C1m EQUIPMENT SELECTION DATA Notes: Select unit on basis of air quantity, sensible heat capacity (Jell) ona total capnclty l I �_1 ouseu on e(1renny w1 w v k-1 (EWB) to evaporator 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 ..__...__-._-- F Items Description Quantity X RO I R4 Factor = BTUH/ ° F R7 R 11 R13 R 19 Glass Windows/doors Single Pane sq it 1. 13 ..... .... RSH X SUPPLY AIR TOTAL GTH TSH ENTERING MODE I_ AIR TC SHC FACTOR =CFM Walls -Medium 4" concrete block with 4" brick facing plastered DB WB NUMBER QUANTITY . 7 .06 ... Walls -Heavy 8'" brick -plaster finish sq it .45 . 16 . 1 1 .08 .07 ... Roofs -Light Preformed slab NO ceiling Notes: Select unit on basis of air quantity, sensible heat capacity (Jell) ona total capnclty l I �_1 ouseu on e(1renny w1 w v k-1 (EWB) to evaporator 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 ..__...__-._-- F Items Description Quantity X RO I R4 Factor = BTUH/ ° F R7 R 11 R13 R 19 Glass Windows/doors Single Pane sq it 1. 13 ..... .... ..... ..... ..... Double Pane sq it .6 1 ..... .... ..... ..... ..... Walls -Light 8" It. wt. agg. concrete block o ranee 14 .7 ;q ft .34 . 15 . 10 '. .06 ... O , 04 Walls -Medium 4" concrete block with 4" brick facing plastered sq it .39 .1 S . 11 . 7 .06 ... Walls -Heavy 8'" brick -plaster finish sq it .45 . 16 . 1 1 .08 .07 ... Roofs -Light Preformed slab NO ceiling sq it .22 ..... .09 ..... .06 .04 Roots -Light Same vv/suspended acoustical the ceiling sq ft .14 ..... .07 ..... .05 .04 Roofs-Mediurn 4" concrete NO ceiling sq it .56 ..... . 1 1 ..... .07 .05 Roofs -Medium Same w/suspended acoustical tile ceiling sq it .23..... .09 ..... 1 .06 .04 Floors 2" concrete over vented crawl space sq it .48..... .1 1 .08 .07 ..... Sante over enclosed space or unheated basement sq it .24 ..... .05 .04 .03 ..... Hardwood floor over vented crawl space s q it .33 ..... . 10 .07 .06 ..... Same over enclosed space or unheated basement s,q it . 16 ..... .05 .03 .03 ..... Concrete slab on grade (perimeter) (Note 1) 184' lin it .85 ..... .... ........... ..... 5 , Basement G" Masonry wall (perimeter) lin it .05 ..... .... ..... ..... ..... Infiltration (See Note 4) 1/2 air change (floor area) sq it .10 ..... .... ..... ..... ..... 3/4 airgchange (floor area) aq it .1 5 ..... .... ..... ..... ..... 1 air change (floor area) (d ay fl 10 .... .... ..... I ..... ..... I 37Z JUII I Otal I I I Ventilation Outdoor air thru apparatus cfm 1.1 1 ..... I .... Sub Total (' ! 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: I Inner Htn. I oad _ _ _ .._.. _____.___' x 1.20 = _._.__.._ ...BTUH. Occupied Heating Load Sub Total (2) x Occupied Rrn. Temp. -Outdoor Temp. = BTUH. q Z 5.,,84-x ....._._ T.D._ 73 BTUH. Less Credit for Lights = ___ _..____.__-__ BTUH. (Note 4) Occupied Heating Capacity .: L`� 1 !�.-- -_ BTUH. Select heating equipment to have the capacity to match or exceed the occupied or unoccupied capacity, whichever is greater. Unoccupied load is based on 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, louse building 1 air change. 4. Credits can be taken only when these heat loads are dependable and available during occupied tinies. Page 2 of Form 4 A 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 ............................ Btu/Hr. TEMPERATURE CONTROL Attach manufacturer's data or other, give specification or drawing reference which shoves in detail the following information: REFERENCE (page or sheet No.) • capability to sequence heating and cooling ................ .....�✓��( ......... ..... • temperature control device set point limits ........... ...................... I I • temperature set point range between full heating and full cooling .................... • setback and shutoff controls ...........I� ................................ • capability to terminate heating at 70°F and cooling at 78°F ....................... Indicate drawing or specification reference where the temperature control device requirements given below are documented. An automatic temperature control device shall be provided for: • each separate HVAC system ............................................ (� • each zone ................................................. ..... tl 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 • Sequential temperature control of heating and cooling systems NA • Automatic reset of heating temperature, to limit energy input only to that NA - level to offset heat loss due to transmission and infiltration ........................ 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 i 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 ........... r Page 3 of Form 4 Dual -duct or multizone systems — give reference specifications page or drawing number which will show compliance with the following: REFERENCE • Hot deck temperature — must be. automatically reset to the lowest temperature necessary to satisfy the zone requiring the most heating.................. " • Cold deck temperature — must be automatically reset to the highest temperature necessary to satisfy the zone requiring the most cooling .................. Retooling 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. • Controls must automatically reset the temperature of heated supply air to the lowest r jj temperature necessary to satisfy the zone requiring the most heating .................. 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. .Root- DUOPAC I� AG VnJt-r 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 WA- Page 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 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 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 than 10% or include Form 8 if calculating life cycle cost. REFERENCE MA_ MECHANICAL AND GRAVITY VENTILATION Mechanical ventilation — Dampers which are automatically interlocked and closed on fan shutdown are required. 1 REFERENCE ITA_ A_ 1 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. POWER CONSUMPTION IN FANS REFERENCE N/ -- REFERENCE Constant volume system , Total Supply Air Quantity ........................................... a�t,9i� CFM Total Pressure of Supply Fan ........................................... Inches Water Total Supply Air Quantity Adjusted for Process Loads ........................... CFM Total Gross Floor Area ................................................ �' v Sy- Ft. Net Fan Performance Index (FPI►......................................... b 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 (FPI m) ...................... Inches Water Sq. Ft. Variable Volume Adjustment Constant .................... I ................ Adjusted Fan Performance Index, FPla..................................... Po" 6 of Form 4 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 ��� �' l 0 114 DOCUMENTATION FORM Form 5 BUILDING LIGHTING COMPLIANCE Project Title f3oWMA-N CO -ILA m IC STUD 1 u Location C ���[[ C CA)' Project Designer _% l�IC�� T O /J Documented by� , C- I /G Z^ Date Checked by Date %AC% &--m Room RCR Task Areas Note Sq. Ft. No. Sq. Ft. Total Watts Allotted Design Nn ' Sn Fr ADDI. /Occ. Occ. /Task Sq. Ft. /Sq. Ft. Watts Watts Page Total � 2�•O / ZQ S To�iA --11/37 Z o 27 S-? 7 Z� /z 3 (0 3,0 °jC�c��oi —�— �?q(�, 1, 4 S;� �' 2.4o 33 1- �v 1. M a v� y -.- i Eo -7 A o � 0 -7 1 G J I I � I I I Page Total � 2�•O / ZQ (AAAA d DOCUMENTATION FORM & HVAC EQUIPMENT COMPLIANCE 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 Minimum EER (COP) Reference Heat source (check one) Direct fired (gas -oil) Indirect fired (steam -hot water) Minimum EER (COP) Reference Minimum combustion efficiency at maximum rated output Reference 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 'Z 4-, U 0 v 8�5 P�2o cca-u/� '%S °/o r�A-(X - IvA N�- r DOCUMENTATION FORM -w M ,4, NJ Form 14 DOCUMENTATION OF MANDATORY STANDARDS FOR ENERGY BUDGET COMPLIANCE J ` 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. 2. 3. 4. 5 6 7. 8. 9. 10. 11. 12. T20.1495(c) T20 -1495(d) T20.1495(e) T20 -1495(g) T20.1503(a) T20.1503(b) T20 -1503(c) T20-1505 T20-1507 T20-1508 T20-1509 T20 -1521(a) Air Leakage Requirement, Window Air Leakage Requirement, Doors Caulking and Sealing Elevator Shaft Vents Temperature Control Zoning for Temperature Control Control Setback and Shutoff Mechanical and Gravity Ventilation Piping Insulation Air Handling Duct System Insulation Duct Construction Water Heaters, Storage Tanks, Boilers and Piping — Performance Efficiency Combination Service Water Heating/ Space Heating Boilers Temperature Controls Pump Operation Electric Distribution Systems Lighting Standards Reference S! Reference 13. T20-1521 (b) 14. T20.1521(c) 15. T20.1523 16. T20.1530 17. T20-11541 (b) Air Leakage Requirement, Window Air Leakage Requirement, Doors Caulking and Sealing Elevator Shaft Vents Temperature Control Zoning for Temperature Control Control Setback and Shutoff Mechanical and Gravity Ventilation Piping Insulation Air Handling Duct System Insulation Duct Construction Water Heaters, Storage Tanks, Boilers and Piping — Performance Efficiency Combination Service Water Heating/ Space Heating Boilers Temperature Controls Pump Operation Electric Distribution Systems Lighting Standards Reference S! Reference Reference f� Reference Reference Sfi Reference f�%A Reference Reference NA Reference _ Reference Reference Reference t -J/" Reference tJA Reference Reference IVA Reference Reference =I, '725 / 1 q i PERMIT N0. 7251-79B,E PERMIT EXPIRES OWNER Don Hoff CONTR. owner 46-206-12 LOCATION (A.P. ) 2121 Laurel St., Chico Temp. Power Po Called PG&,E Temp. Elec..#Serv. Called/PG&E I Temp. Gas Serv. Galled PG&E �z -I./ FINALED 1 II// lll��� (Date) (Si nature) Setback Forms Main Bldg. Footings StemwaI I Slab Piers Garage Footings — S.tauuaa++ Slab Carport Footings Slab Patio Footinas COUNTY OF BUTTE — DEPARTMENT & PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Firewall - Soil Piping ' Parapets 1st Floor Restroom Finish — 2nd Floor Windows 3rd Floor Siding To out Roof Sheathing Water Piping Roofing Sewer Fdn. Vents Fixtures Garage Vents Water Htr. Insulation Heaters Prov. forph sically handica ed Conformance of structure A liances Gas Piping & Temp. Gas Final Sanitation ,FIREPLAC Final Footing \ / I J,ELECTRICAL Reinf. Steel I Final / N- I Fixtures i� ii Stucco Final Subpanels Mesh M WHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling k Temp. Pole Finish Ducts Underground 2y $OAC • Interioi Lath Ventilation Permanent ` Door Closer Final iss Final MOBILEHONIE UTILITIES ------------------ Elec- Service Elec. Pedestal Water Piping Sewer Gas Piping BI EH NflE INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping j .. G L DATM REMARKS ^o f AOO C/TIAGIC =�,-► G g 0000, '�96 j FA FFA (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPAWTMENT OF PUBLIC WORKS 7 County Center Drive°` Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT 9 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X ADate Signature of Permiitee or Age t Receipt No. -32mij— White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR PUBLIC WORKS By Date/11--16 _71f 41ding permit expires Date y—� ' BUILDING 77 Z Owner N &Apor- SQ. FT. OCC. BUILDING VALUATION 00 > YOo Mailing Address al 2) LA42,j ST' - CJ� 1 co 4 Telephono. e N Yr Contractor COAAe Mailing Address Fireplace Total Valuation too Telephone No. Permit Fee("Co Building Address Plan Checking Fee&/or Penalty ,00 Permit Fee .14(go PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 � + ��/ 1 l (U Repair drainage or vent piping 1.5 A. P./No. Hb– 20(o /Z Z, Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F es C. han Ion Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Par 'ng I Parcel P ns Declaration Parcel Ma p 60' R/W Im rovements p Each additional outlet .30 Building sewer 5.00 Bldg. lans Recd Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ElOTHER [:]$ Permit Fee $ /� (2 -- H G1442A 6- ELECTRICAL No. @ FEE Single Family ❑ Duplex ❑ Mobil Home ❑ Others PERMIT FILING FEE $3.00 .00 Main service I300v OR LESS 100 AMP OR LESS 5.00 Main service EA. ADO'L 100 AMP 2.50 Main service OVER e O 25.00 100 AMP OR LESS Main service EA. ADO'L 100 AMP 1.00 NEW CONST. NG CCUP. 9e OR ADDNS. (A LDGS. O2�Sq ft Cl'' CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW NONRESID, MULTI -OUTLET .CONST ( BRANCH CIRCUITS) i2.50ea NEW CONSTR. (POWER APPARATUS 9 . NON-RESID. SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTI)RES) 6 L@ice Ex. Occup.(FIXED APPLOUTLETS RETS (RENS. EA S. OR ) 2.001 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 Jam! am exempt from the Contractors License Laws of the State of California. Permit Fee $ 11 CID $ ,oC WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. j� I certify that in the performance of the work for which this i� permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances State Laws relating to building construction, and hereby Land Development Fee Is TOTAL PERMIT FEE $ _75and authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X ADate Signature of Permiitee or Age t Receipt No. -32mij— White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR PUBLIC WORKS By Date/11--16 _71f 41ding permit expires Date y—� ' 4593-80B,E PERMIT NO. PERMIT EXPIRES_ Y/ OWNER Don Hoff CONTR. owner ASSESSOR PARCEL 46-206-12 LOCATION 2121 Laurel St., Chico Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E 1 Temp. Gas Seery Called PG&E JOB FINALE[ Signature J = OK 0 = Not OK - = Not Applicable RESIDENTIAL (Sing'fe and Duplex) SIE - Not Ready ' Date UNDERFLOOR(P ns OK except#'s 1, -toning requirements -Setbacks -Easements Date FRAM&G (Continued) 4e 5�Faperty Line Firewall & Openings - - 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /'' Ftg. Depth 9. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel-'/ /" Ftg. Depth 50. irs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /'' Ftg. Depth K. PJ,ywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab . Siding -Nailing -Veneer 6. mwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access Piers -Fireplace Ftg.-Steel 54. 55. Glazing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test _ 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11.Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 1pj6irders-Sills-Anchor Bolts -Joists -Vents -Cripples Cad -BI Date / Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Ca -BI Date Card -BI Date Date FINAL (Plans) OK except #'s / 56. Ext. Steps -Door & Sidelight Prtection-Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except #'s e c or 14. Water Ht.; Vent -Access -Combustion Air - nnector- - Protection _ 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 17. Shower Pan; Test, First Floor -Tub Access 60 r F ' Rah 18. Test Tub & Shower, 2nd Floor -Tub Access s 19. Gas Pipe; Size & Anchors 62. Stair s-&-Rarf lace Card -BI Date Card -BI Date 64. E utlets at Wood Panel; I xt. 65. Kit. Fixt. pp lance; rn .- it ap- Card-BI Date Card -BI Daten er Date ELECTRICAL Perrnit OK except #'s 20. Fixture & Transformer Clearance -Ins. ProtectionIn Garage; Above Floor-Mech. Protection EI c. Receptacles Spacing -Lights & Switches at Doors 70.-Plb--Flee 8 ^" h Fniiin Listed for Location e tacles in Garage- G.F.I. -Romex Protec. 2 S'ze Boxes & No. of Conductors -Stapled 2y,�omex Installed Close to Edge of Studs & C.J. 24!Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water _ ion- ops 25. 2 Appliance Circuits in Kitchen & Conductor Size r/d %'Looke Vents & C�{�wl oor-Drainage & Wood -Earth Clearance under Moor _ 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or AI, Insulated Neutral ❑Yes ❑No 75. following instid.: Driy�• ❑ Yes Iks [I Yes Planters El Yes [�I b 28. Service -Riser Conductors & Ground -Main Disconnect 29. Equip. Clearances; Panels-Motors-Mech. Equip. sconn - 30. Clothes Closet Light -Shower Light 78. C d B Da Card -BI Date Card B I Dajepy�(�' Card -BI Dale - n erg nd 81. Venti roug uYHouse 82. Glass rot n Date MECHANICAL (Permit) OK except #'s v. - peciions 8 31. A.C. Ducts; Insulation & Support 32. Vent Fan; Exhaust above Insulation _Or- eertrftCV%'5 __33. Condensate Drain & Overflow: Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic -. - -- Card -BI , Date BI Date Card -BI Card -BI Date - Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(PIX) OK except #'s Comments at Final: _/Sy4ls; Proper Material & Anchors 37< W Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing _ Draft Stop in Walls (rat proof) _39. 4�0. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 4T. Header &_Beam -Size .&-Bear i ng 42, Hangers -Post Caps -Anchors -Connectors OW"CIng. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 44. Fireplace Ties or Type A Flue -Fireplace Throat _ 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hqt. & Dimensions 47. Garage Fire Protection Framing (NOTE: An en try must be made each time you visit job.s1te) m" J = OK _ O = Not OK = Not Applicable M,OBILEHOMES MISCELLANEOUS * = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Depth -Spacing -Connectors _ 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4, Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except N's Date POOLS (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 1, Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7, Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date COUNTY OF BUTTE - QcPARTMENT OF PUBLIC WORKS PE IT 7 County Center Drive - Oroville, Cali:LQ nia 95965 - Telephone 916/534-4541 APPLICAVON AND PERMIT , ASS $ A RC2 L N BER - -- -- / ZONI G :L BUILDING PERMI7,,/1 OWN R TELEPHONE SO. FT. UCC. BUILDING VALUATION l OWNER SMA LING D RESS - �,� ��e�-Z s C , co CO NTRACTOR'SNA E TELEPHONE CONTRACTOR'S (LING ADDRESS CONSTRUCTION LENDER A/ L' UNKNOWN Fireplace Total Valuation $ 0f) LENDER'S MAILING ADDRESS Permit Fee $ 3W, a v ARCHITECT OR ENGINEER LICENSE NO. ' ' Plan Checking Fee- $ 0 Penalty $ ARCHITECT OR ENGINEER'S MAIL ING ADDRESS Permit fee $ v(� BUILDING ADDRESS - (J_C7 PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 ` Water piping LOT NO. SUBDIVISION NAME- � S f P ARCEL MAP Each qas water heater or vent 2.00 Gas piping system. 1 - 5 outlets US OFSRUCTURE SF Duplex❑ Mobilehome Other ❑ SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe work:C�t�ir/rr, — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee `0.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELLING O e.&\ OR ADDNS, ACC. BLDGS r/ / 2�sgft 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. rce and effect. License No. 33 M2) 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) ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONSTR MULTI-OUT'LET 2,50 ea NON-RESID, BRANCH CIRCUITS NEW CONSTR. ( POWER APPARATUS & NON -RES ID•\SINGLE OUTLET CIR. Ex. Occup(oUTLETS OR FIXTURES 50@256 BAL@too FIXED APP LNS, OR Ex. Occup.(OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor 61 J4 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): 0 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 3.00 - Heating Cooling Hood 2.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and 'state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against s 'd County in consequence -f granting of this permi X C/J C/ . Date / �� Signature of Applicant — Ownerontractor ❑ AgentE:f D An OSHA permit is required for excavations over 5'0" deep and demolition or construct- oveer 3 stories in height., ion of structures over Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE $ (' Dc P, GROUP ` ?, TYPE F CONST. V, PARCEL PD HD ISSUE This permit is hereby issued under sions of. the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC B Y PE .EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date ; 2— �� Receipt No. 7 / � J T WHITE-D.P.W., YELLOW -ASSESSOR, PINK-IN5PECTOR, GOLDENROD -APPLICANT e) ' PERMIT NO, 3931-79P,E 31-31-11 PERMIT EXPIRES 7-1s✓Sla OWNER Don Hoff owner CONTR. 46-206-12 LOCATION (A.P. ) 4 Laurel St., Chico 2121 1 Temp. Power Pole i Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. 0 Called PG&E JOB FINALED_ (Date) ure) R .1 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING S ,back Ole I Fir all So Piping For s Parap is 7 Floor lVid1ji Bldg. Restroo Finish 2naNFloor F tins WindowsX, 3rd k0or Ste wall Siding To out Slab' Roof Sheathiho Water Pip%19 Piers " Roofing Sewer Garage t Fdn. Vents Fixtures Footin s\ Stemwall Garage Vents '\ Insulation Water Htr. Heaters Slab , Carport X Footings X Prov. for physically handicapped Conformance of ex. structure Appliances Gas Pipinq & Test Temp. Gas Slab Final Sanitation Patio FIREPLA E Final Footings \ Footing ELEfTRIdAL Masonry Walls Throat Rough Reinf. Ste Final X Fixtures Bond Be FIRE SPRINKLERS Motors Framinq Test X Water Htr. Stucco Final Subpanels Mesq MECHANICAL Grd. Faul Prot. Sc r ch Hea Ifn g Service BAwn Codring Terut. Pole Inferior Lath X I lentilation ennanent oor Closer anal -' J 7 , anal l MOBILEHOMEUT.ILITIE .------------------ Elec. Service Z Elec. Pedestal Water Piping j -� _ Sewer Gas Piping ` BI E OM INS- CATION - - - - - - - - - - - - Support Elec. Continuity Water PipingDrainage )/Gas Piping DATE REMA KS OR O- 1 (NOTE: An entry must be made on this form each time you visit the job site.) C: OO Q w w 0 O � � ° '"' m CD m CDw a 3r` ti m 7DD cn 0CD-d �� ti � O m n m », ° o p f m�'z CD O �� �, o C 00 .. w w F ro�CD (D o I oCD o a mfD ° Cin n � o CL sn O Fn co a ,b sop C '� `� loo m `° :Ori +y. CD o a # 1 P`� 41, m Z O w m m m m a '°I m 9. Electrical A. Is service large enough to provide ad,�quate amperage -to mobilehome (must equal rating of mobilehome with a minimum of 10 . mp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes_ No B. Is there proper clearances around panels? Yes&_—No C. Is power supply cord or feede assembly properly fused? Yes= No D. Is continuity test sat' ct ry mer the following procedure? Yes No l S 7 1. De -energize elect i al ipk system of the mobilehome at the pedestal. i- G•2,--Iiake sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. witch all breakers and switches in the mobilehome to the "on" position. 4 onnect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5L�A'I'f �non- current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6.'Upon -omp el tion of the above procedure, the power supply cord or feeder assembly nductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of theelectrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle Length J �2- Width_ Vehicle Serial No. State Identification No. Additional Information or Comments: 9V,3, l OCA;) �/ MOBII.,EHOME INSTALLATION INSPECTION CHECK LIST �3(i 1. Is the mobilehome located with ire& separation from lot lines and buildings and generally conform to plot plan?" Yes 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes L 1No 3. Are footings and supports properly sized, spaced, and braced as per a .owed plans? (Note possible variation at spring shackles.) (Sec. 5082' 5083) Yes o 4. Is the mobilehome level? (Sec. 5088) Yes_Z--Io- 5. o_5. If more than a s' a ni re crossover. connections properly installed? (Sec. 5088) Yes No 6. Water A. Is flexib connector of adequate size and properly installed (1/2" ID mein.)? (Sec. 5566) Yes_ No B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yesz_ o C. Backflow - If coach is not State of a-1ifornia approved, does station have backflow device and pressure -relief valve? Yes [/No_ 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each o L - ,,end? YYds.1 Does it have minimum k" per foot slope and is it properly supported? Yes�IQo A4any leaks detected in drainage system after running 3- ons of water through each fixture including washing machine standpipe7,Yes Nom D. If coac i/'s not State of California approved, does station have required trap and vent? Yeso_ 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as large as the mobilehho�ome gra -line inlet without reductions other than the mobilehome connector. Yes_ o B. Test OK as per following procedure? Yes`L-�No 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. Connect gas meter to mobilehome with connector,,turn on gas, test connections with soapy water. *L�P�ea l appliance vents properly installed? Ye No COUNTY.G�S7BUTTE — DEPA61VIENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Tel erfhone: 534-4541 APPLICATION AND PERMIT �C autnonze representatives or the county or tsutte to enter upon the above-mentioned property for inspection purposes. X Date 937 Signature of Permitee or !�g nt / Receipt No. 5305- White-D.P.W. — Yellow -Assessor — Pink -Inspector — Gol.denrod-Applicant This permit is hereby issued under the applicable provi the Butte County Code and/or resolutions to do work i above for which fees have been paid. /'? DIRffeT64_QF PUBLIC WORKS By Building permit expires Date "� BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address ��� Tt�lephone No. Contractor wu Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address ` Plan Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 C Repair drainage or vent piping 1.50 A. P.No. Z Zoning & Planning Water piping 0 1.50 Each gas water heater or vent 1.50 Fb,es t to Fire Dept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Parcel Plans Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. Pla ec'dParcel Ap oval Plan stAV proval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ /�! ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 100 AMP OR V OR SL ESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 100 25.00 100 AMP OR LESS Main service( EA. ADD'L 100 AMP 1.00 OCCUP. 4'1 20sgft OR ADONS.NEW CONST. \ DWEACCLBLDGS. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the s State of California Business Professions Code under the name st le of: y ULTI NEW coNeTR RAHUTL T NON•RESID, BRANNCCH CIRCUITS 2.50ea NEW CONSTR. POWER APPARATUS &� NON•RESID. SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXTIIRES) g L0 1000 EQFIXED APPLNS, OR x. CCUp•1 2.00 �OUTLETS (RESIO.) EA� Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 ® I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I,am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ®- I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ � I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby � 1 A4F-r� $ 3©� $ , TOTAL PERMIT FEE autnonze representatives or the county or tsutte to enter upon the above-mentioned property for inspection purposes. X Date 937 Signature of Permitee or !�g nt / Receipt No. 5305- White-D.P.W. — Yellow -Assessor — Pink -Inspector — Gol.denrod-Applicant This permit is hereby issued under the applicable provi the Butte County Code and/or resolutions to do work i above for which fees have been paid. /'? DIRffeT64_QF PUBLIC WORKS By Building permit expires Date "� COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS I 7 County Center Drive.- Oroville, California 95965 - Telephone: 534-4541 APPLICATION AND PERMIT / authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X �� � Date /''� 7/9 ' Signature of Permitee or Aged Receipt No.��� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated abo r which fees have been paid. OF P, C WORKS .I ate - &%,r Building per it expires Date / BUILDING Owner SO. FT. OCC. BUILDING VALVA ION Mailing Address Telephone No. —7 Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address PIanCheckingFee&/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 3. ev Each Trap 1.50 eA-1 Gp Repair drainage or vent piping 1.50 A. P. No. zU "'(Z /� Zoning 8 FTfannin9 Water piping 1.50 j0,00 Each gas water heater or vent 1.50 F)Ws' W. S ryt o Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EOA Parking Plans Parcel , Declaration Parcel Map 60' R/W Improvements ' Each additional outlet .30 Building sewer 5.00 IQ,00 Bldg. Pla Recd Pa ce pprovalPlans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ permit Fee -'3 1CC ELECTRICAL No:'' @ FEE PERMIT FILING FEE $3.00 x,00 SLESS 5.00 �t OO Main service 100 V OR LESAMP ORS Single Family ❑ Duplex ❑ Mobil Home F'17r Others ❑ Main service EA. AOD'L 100 AMP 2.50 e2„td Main service OVER 25.00 100 AMPP OR LESS O Main service EA. ADD'L 100 AMP 1.00 NEW CONST.( DWELING 0OR ADDNS. ACCLBLDGS.CCUP. 4� 20sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style le of: NEW CONSTR. (MULTI.OUTLET NON-RESID. ` BRANCH CIRCUITS., 12.50ea NEW CONSTR. POWER APPARATUS & NON-RESID. SINGLE OUTLET CIR. Ex. Occun(OUTLETS OR FIXTIIPES gLIp Ex. Occup. FIXED APPLNS. OR p•�OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 '00 License No. Classification Misc. Wiring 6.25 y I am exempt from the Contractors License Laws of the State of California. Permit Fee $ :7 6.56 $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ 3� az TOTAL PERMIT FEE $ $C authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X �� � Date /''� 7/9 ' Signature of Permitee or Aged Receipt No.��� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated abo r which fees have been paid. OF P, C WORKS .I ate - &%,r Building per it expires Date / PERMIT NO. 2983-77P,E PERMIT EXPIRES OWNER Aldred, Inc. CONTR. owner LOCATION (A.P. 46-206-12 port. 2121 Laurel St., lot 16, Mulberry Tr.,Unit#l, Chico i' i Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB Q FINALED COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD ` BUILDING � N BUILDING (Cont'd) 4\ PLUMBING Setbhk _ Fir _ all Soi Piping Main I%dg. Footi s SternwAll Slab Piers Garage Footings Stemwa I I Slab Carport Footings Slab Patio Footinas Restroap Finish Windows Siding Roof Sheathhg Roofing Fdn. Vents Garage Vents Insulation Prov. for phsicall! handicauoed Conformance of ex. Footin REPL'ACE 1st loor 2nd Nor 3rd Flo To out Water Piping Sewer Fixtures Water Htr. Heaters Appliances Gas Piping & T Temp. Gas Sanitation Final ECTRICAL' Reinf. Stegn Final X Fixtures Bond Bek FIRE SPRINKLER Motors Framing Test Water Htr. Stucco Final Sub ane Mes MECHANICAL Gird. FAR Prot. Sc tch HeaJ(ng Servile own Co ling T mp. Pole finish D cts nder round I terior Lath A. fientilation Permanent oor Closer Final final S. MOBILEHOME UTILITIES - - - - - - - - - - - - - - - - - - EI Service '7-/'Z--'?/? Elec. Pedestal / f %- I Water Piping r 2, - ^j BI EHOME INSTALLATION - - - - - - - - - - - - - - ew Support i Gas Piping 7 -� Elec. Continuity / Water Piping - ' 12 , -/-,L,7 Drainage i / P ,-7-7 Gas Piping --7 -,/,F - 77 DATE ► � REMARKS OR "PIRECTIONS 1,2 c �.'c5►�-�� �� 4C-)��, A�"—D�: may /� , r. �S . 60 ec sb J t _� (NOTE: An entry must be made on this form each time you visit the job site.) II STALLAT'ION INSPECTION CHECK LIST 1. Is the. mobilehome: loc,�!tcd'wi.i]i -required separation from lot lines and buildings and general].;, conform to plot plan? Yc:>.. ... No! the m.)bil.ehome have required clearances above ground? (Se.c.5085) Yes No 3. Are footin;s and supports properly sized, spaced, and braced as per,approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes No 4. Is the mobilehome level.? (Sec. 5088) YesLY No+ 5. If n re than a single unit, are crossover connections properly installed? (Sec. 5088) Yes No Water A. is 1:1 x;_ble connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes No B. Test - Does water piping withstand working pressure or 50 lbs, air test? Yes* No C. Backflow - If coach is not State of California approved, does station have backflow device and pressure -relief valve? Yes_ No_ Dom/ 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes_ No R. Does it have minimum ," per foot slope and is it properly supported? Ye 914 No C. Are any leai:s detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe? Yes Nog, D. If coach is not State of California approved, does station have required trap and vent? Yes No_ V 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All piping is.to be at least as large as the mobileriome gas line inlet without reductions other than the mobilehome connector. Yes o ?3. 'gest OK as per following procedure? Yes ` rNo 1. Open all appliance connector valves. - 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. 4. Connect: gas meter to mobilehome with connector, turn on gas, test connections with: soapy w�iter. C. Are all appliance vents properly installed? Yes No t 1E , 9. Electrical A. Is service large enok.gl. to provide ;.idequate amperage to mobilehome. (must equal rating of mobi_lehot:?e with a ::;ini<:um of 100 amp) anal other faciliti��.on lot, i.e., water pumps, g rate, cabana, etc.? Yes No� B Is there. proper 'clearances around panels? Yes a( No C. Is power supply cord or feeder assembly properly fused? Yes_ No` D Is con:-inuit:y tesL satisfactory as per the following procedure? Yes_ No _ 1. De -energize electrical wiring syste.?i of the mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been. disconnected. 3. Switch call breakers and switches in the mobilehome to the "on" position. 4. Connect one '1,^. -id of a test instrument to the mobilehome grounding conductor and apply Lire o'LL.Of .Lea.0 0i t0 eCiC i n1UUL.L1tUlllt_ SLLP -Ly COtiuLictoY, ilicluuiiig iie;.liraL. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment .and the grounding conductor. b. Upon completicn of: tiie above procedure, the power supply cord or feeder assembly conductors shall be connected to the ser -vice sevice equipment. A further continuity ;hall then be made between he grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of theel.ectrical tests, the lot or site ' service o.quipment r:.ay be approved for energizing. 7" Jb card si,,nc-cl by Health Department for water and'sanitation? Il.. If everything (Akay, sign off card and ta.-, services. MOBILE110-ME: DATA WAJ Manufacturer and/or NaTTlE'styJ_e �� _. 1.engt.h__ l�'idti.�• �- Vehicle Serial No. State ldentif. icati.on No. CA Q. Lv,:� �, v 3 !/ _.�1 `/ 07 ^. d<'_ L t ional Inf ormzt t: ion or Cormr.ent s : COUNTY OF BbFTTE- — DEPARTMENT OF PUBLIC WORKS % ']� ' 7 Count^ Center Drive — Oroville, California 95965j(71//i� / Telephone: 534-4.541 APPLICATION AND PERMIT authorize representatives of the County of t3utte to enter upon the above-mentioned property for inspection purposes. X /) Date —C Sig *ture of Peimitee or Agent Receipt No. / White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date /—_ B I(ding permit expires Date %-'/ 3 7 BU11LDING Owner ! SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor pC) Tofal Valuation Mailing Address (� ���. Permit Fee Plan Checking Fee &/or Penalty T e one No. 3 _, Permit Fee $ $ Building Address �j _ ; � � 7L I PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater qr vent 1.50 A. P. No,,-/4�CiG r Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 FeeW.C. a Ion ire Dept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma p 60' R/W Im rovements p Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER D-' ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 •/� pC � • Main service 600v oR LE55 5.00 100 AMP OR LESS Main service ,EA. ADD•L 100 AMP 2.50 Main service OVER 600V100 AMP OR LESS 25.00 Single Family ❑ Duplex ❑ Mobil Home ©/ Others ❑ Main service EA. ADD•L too AMP 1.00 NEW CONST. LING OR ADONS. ( DACCLB.LOGS.OCCUP. &) 20sgft NEW CON5TR. MULTI -OUTLET NON- RES,D. ( BRANCH CIRCUITS) 12.50ea NEW CONSTR. POWER APPARATUS & NON-RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: %� ( /r\eiU�L��l:`�? Ex. Occup(OUTLETS OR FIXTURES)@25C BAL@1 Ex. Occup.04 FIXED APPOR (LNS, OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15:00 License No._,;;� �i�j l� Classification C — 6, / Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Wor en's Compensation. ❑have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling ; Ventilation "F ° Hood t;'' 2.00 , Permit Fee ' $ • 3 — $ 0 -' 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County OrdinancesTOTAL and State Laws relating to building construction, and hereby PERMITrF=E E: ' lig'' "' ' $ jU authorize representatives of the County of t3utte to enter upon the above-mentioned property for inspection purposes. X /) Date —C Sig *ture of Peimitee or Agent Receipt No. / White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date /—_ B I(ding permit expires Date %-'/ 3 7 hd WY 116! SAWM 011and do aaa 3.une 10 Al.Nnoo f, COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 'F 7 County Center Drive - Oroville, California 95965 Tel ephone:.534!4541 APPLICATION AND PERMIT 19P&--711? J Z17� I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the. County of Butte to enter upon the above-mentioned property for inspection purposes. X Date �7 ignature of Perm-i/itee or Agent Receipt No. �ft� AJr2S White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 0 $ TOTAL PERMIT FEE is Xy 100 This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR 0 UBLIC WORKS By Date wilding permit expires Date G -Z7— -7' BUILDING Owner E, _j n ialww G/ SQ. FT. OCC. BUILDING VALUATION Mai I ing Address e%rG_ el phone No ,,one � Fireplace Contractor Total Valuation Mailing Address Permit Fee PI an Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address, / --� r� //1� PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 CRepair drainage or vent piping 1.50 Water piping .-;--b8 Q gni �ntication Vh„y Each gas water heater or vent 1.50 A. P. No. _ --� z°n 1 Gas piping system 1 - 5 outlets a Each additional outlet .30 Fh s S n ion FireDept. Fire Zone Use Permit Building sewer —x66- EQA Parking I ParcelParcel Plans Declaration Ma p 60' R/W Improve is p Lawn sprinkler system 2.00 AA.ns R� Parce proval Z Plans Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT, FILING FEE $3.00 C Main service 600V OR LESS 100 AMP OR. LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600v 100 AMP OR LESS 25.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service( EA. ADD'L 100 AMP 1.00 NEW OR ADDNS•T ( DACCLBLOGLING OCCUP. &) 20 sq ft NEWCONSTR. .-OUTLET NON .RESID. (MULTI BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS .&) NON-RESID'. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES) BAL@1 Ex. Occup ( FIXED APP LNS, OR • OUTLETS (RESID.) EAI 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ (; .MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 PermitFee $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the. County of Butte to enter upon the above-mentioned property for inspection purposes. X Date �7 ignature of Perm-i/itee or Agent Receipt No. �ft� AJr2S White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 0 $ TOTAL PERMIT FEE is Xy 100 This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR 0 UBLIC WORKS By Date wilding permit expires Date G -Z7— -7' F 005-46-6-012 95-2031 B LANGFORD, Eric & Patricia i 2121 1 L u I Street, 121 Laurel Street, Chico (demo SF) Steel Mill Recyclers •F7 �/ A. .t r �'.;.• ..=�� �. �f , ��4+• I�,>!T(j"�., N'�'�,:C.*�f�r,<teU •>S.. F', s„b.f�y�f'•%"�%si<vr•J ��='''"y' "v' '�''� ti�'+i?�'8 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPrVENT SERVICES - BUILDING DIVISION 7 .County Center Drive - Oroville, California 95965 - Telephone (916)• 538-7541 ,.• PERMIT NO. APPLICATION AND PERMIT Ell X. ASSESSOR PARCEL NUMBER 005-466-012 ZONING As: BUILDING PERMIT OWNER RRIC & PATRICIA LANGFMD TELEPHONE SO. FT. OCC. ” BUILDING VALUATION OWNER'S MAILING ADDRESS 658 STILSON CANYON. 95928 {j 1600 CONTRACTOR'S NAME STEEL PALL RECYCLERS TELEPHONE 342--4930 CONTRACTOR'S MAILING ADDRESS FO BOX 783. DURHAM 95938 Fireplace CONSTRUCTION LENDER UNMOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ 37«00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ . BUILDING ADDRESS 2121 LAURFLL STS C3FIC0 PERMITFEE $ 57000 PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUED—ION'SNAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF 0 Duplex ❑ Mobilehome ❑ Other 4 SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building .sewer 15.00 TYPE OF WORK c i New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other IX Describe Work: OEM SF Mobile Home S G W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filinq Fee 20.00 • Main Service000V OR LESS ( 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 01---7) Lic. No. .�� ( /�r OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law 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 NEW CONST. DWELLING OCCUP. SO. OR ACDNS. ( a Acc. BLOB. ) 3.5¢ Fr. NEW CONST.MULTI-OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR, Ex. Occu OUTLET OR FIXTURES 20 @ 1.00 p' ( ) BAL .50 EX. Occup. OUTLETS FIXED PRES O.OEA. 5.00 ( t ) Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION I 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. O'" I have and will maintain workers' compensation insurance, as required by Section d 3700 of the Labor 'Coe, .forthe performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier t? = '4-- , ?.-tiles j MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling I` Hood 6.50 Ventilation r PERMITFEE' $ Contractor Policy Number ffJ :f� 5�(�.,?-�(� �l' (The above sections need not 6e completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 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 worker. 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. •' r �� , X ,a y am% fry r--, ., _ Date ��' " F"-".) — 4� Signature of Appljcanf` 0 (Owner ©"Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ EnergyjInspection .Fee $ 0 C g R3 CONST TYPE VN C 3o00lTA TOTAL EES 5 HAZ. D. FEES' IMP FLOOD , CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. n By P r Date p,�o_9,•J q`a PERMITEXPIRESON /199 CK -1 (Date) Receipt No. O a 1 ,� WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT X COUNTY OF BUTTE -DEPARTMENT OF.DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - OrovK6, California 95965 - Telephone (916) 538-7541 PERMIT O. APPLICATION AND PERMIT gS � 0;U ASSESSOR PARCEL NUMBER 005-466-012 ZONING AR BUILDING PERMIT OWNER ERIC & PATRICIA LANGFORD TELEPHONE SO. FT, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 658 STILSON CANYON 95928 1600 CONTRACTOR'S NAME STEEL MILL RECYCLERS TELEPHONE 342-4930 CONTRACTOR'S MAIUNG ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAIUNG ADDRESS Filing Fee $ 20.00 Permit Fee $ 37.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS n Energy Plan Checking Fee $ ' Penalty $ BUILDINGADDRESS 2121 LAUREL ST CHICO PERMITFEE $ 57.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDNISION'S NAME PARCEL MAP Solar or heat pump water heater 23,00 USE OF STRUCTURE SF X Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other IR Describe Work: DEMO SF Mobile Home I S I GI W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service000v OR LESS ( 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 with Section 7000 of Division 3 of the Business and Professions Code, (commencing ) and my license is in full force and effect. / License Class C — a / Lic. No. %S CC�26 OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law 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. ❑ 1, 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 NEW CONST. DWELLING OCCUP. SO. OR ADDNS. ( d ACC. BUDS. ) 3.5¢ FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS (8 SINGLE OUTLET CIR. ) Ex. Occup. (OUTLET OR FIXTURES ) BAL 20 @ ,.00 .50 XED Ex. Occup. OUITLETS(RES D.OEA ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor 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. I 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 PERMITFEE $ Contractor Policy Number COP -�� .�, � '� (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 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 forth comply with those provisions. _ X _ Date — �� Signature Of Ap 116 - Owner rac Conttor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is OCC R3 CONST. TYPE VN TOTAL FEE $ 57.00 HAZ. D. FEES IMP I FLOOD I CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. BY r Date PERMITEXPIRESON QcZ-1/ q(p (Date) Receipt No. 18, 081 5,7. DO WHITE-D.D.S.-B.D. CANARY- SESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Demolition Permits Asbestos Notification Statement Date 8 /Q-11QS�' --I I AP# 006- 4446 -012 - Pursuant 46-01Z Pursuant to section 19827.5 of the California Health and Safety Code, all demolition permit applicants are required to fill out this form. "19827.5. A demolition permit shall not be issued by any city, county, city and county, or state and local agency which is authorized to issue demolition permits as to any building or structure except upon the receipt from the permit applicant of a copy of each written asbestos notification regarding the building that has been required to be submitted to the United States Environmental Protection Agency or to a designated state agency, or both, pursuant to Part 61 of Title 40 of the Code of Federal Regulations, or the successor to that part. The permit may be issued without the applicant submitting a copy of the written notification if the applicant declares that the notification is not applicable to the scheduled demolition project. The permitting agency may require the applicant to make the declaration in writing, or it may incorporate the applicant's response on the demolition permit appli- cation." Attached is a copy of my written asbestos notification to the United States Environmental Protection Agency for the demolition project located at Signature of Applicant M I hereby declare that a written asbestos notification to the United States Environmental Protection Agency is not applicable to this demolition project. Signature of (Applicant 2/19/91 MAIL TO ASBESTOS NOTIFICATION EPA/NESHAPS Region IX 1235 Mission St. A-3-3 San Francisco, Ca. 94103 DATE: PROJECT JOB # (Please see reverse side) Agencies A= Notified: O I.o=i ❑ califouiia Air liosources Board ❑ cal ass=► ❑ BaUding Department INSTRUCTIONS ON REVERSE ASBESTOS DEMOLITION/RENOVATION NOTIFICATION Please check one: Renovation Demolition requiring 10 day notice Demolition requiring 20 day notice Revision of Original (Form on reverse side) SDE PLEASE READ BEFORE USING THIS EPA USE ONLY DateRec Pstmrk School Del/ND ADQUTE? Code#: Doc#: FORM 1. OPERATOR: 3. FACILITY NAME: (Contractor) ADDRESS STREET ADDRESS CITY STATE CITY STATE ZIP PHONE( ) COUNTY ZIP 2. OWNER 4. FACILITY DESCRIPTION ADDRESS CITY STATF� AGE SIZE ZIP PHONE( ) PRIOR USE I 5. Project Start Date: Completion Date: 6. Estimate of Friable Asbestos: ON PIPE: Linear Feet SURFACE OF OTHER COMPONENTS: Square Feet Nature of Materials: 7. DESCRIBE METHODS OF REMOVAL: 8. PROCEDURES USED TO COMPLY WITH 40 CFR 61.147 & 152: 9. NAME & LOCATION OF DISPOSAL SITE: ANY FURTHER PERTINENT INFO CAN BE INCLUDED BY ATTACHING ADDITIONAL SHEETS QUESTIONS??? FOR FURTHER INFORMATION CALL (415) 556-6415 8am/4pm M -F INSTROCTIONS FOR IISE OF AS?E$TOS DEMIOLITI&VRENOVATTON NOT IF1C.A 0 FORM RENOVATION: means altering in any way one or more facility components. NOTICE MUST BE POSTMARKED AS EARLY AS POSSIBLEBEFORE PROJECT DEMOLITION: means the wrecking or taking out of load -supporting structural members of a facility together with any related handling operatic-- 10 peratic:10 Day notice for MORE than 160 sq.ft.or 260 linear ft. asbestos 20 Day notice for LESS than 160 sq.ft.or 260 linear ft. asbestos, includes facilities which contain no asbestos. FACILITY: means any institutional, commercial -or industrial structure, installation; or building. Renovations on single family residence - and apartment buildings with 4 units or fewer are exempt from notification to EPA. - PROJECT JOB #: Your OWN IN-HOUSE I.D. for a specific jobsite. Optional, but expedites communication -concerning notifications. LOCAL AGENCY: Most areas in Region 9.have local NESHAP delegated agencies. In these areas notice must be provided to both EPA and the local agency. 1. OPERATOR/CONTRACTOR: Full information concerning person doing the work. 2. PROPERTY OWNER: Complete in full. 3. FACILITY NAME: Must have complete address OR directions to the jobsite. 4. FACILITY DESCRIPTION: Current use of building. Project location in the facility. Other descriptive information as necessary. 5. START AND COMPLETION DATE: Provide month, day and year. Must be revised if dates change. (see revision form below) 6. Estimate of amount to be removed (must be in square or linear feet). Revisions(see form below) must be made for additional amounts uncovered. 7. Examples of methods: glovebag, scrape, remove in sections, etc. - 8. Examples: Adequate wetting prior to and during work, double bag, etc. DRY REMOVAL MUST RECEIVE PRIOR WRITTEN APPROVAL FROM EPA OR THE LOCAL DELEGATED AGENCY IF MORE SPACE IS NEEDED THAN PROVIDED, ADDITIONAL SHEETS SHOULD BE ATTACHED TO REVISE A NOTIFICATION ALREADY ON FILE WITH EPA, USE FORM PROVIDED BELOW PROJECT NAME PROJECT JOB I ORIGINAL NOTIFICATION DATE Revision Notice #1 2 3 4 please circle This is to advise that the above referenced notification presently on file has been revised. Please note the revised portion listed. CHANGES FOR THIS REVISION: 1. NEW Location 2. NEW Scope of Work 3. ADDITIONAL Quantity of Asbestos 4..NEW Start Date 5. NEW Completion Date 6. NEW Disposal Site PROJECT ( ) CANCELLATION - � utte Count PIZ LAND OF NATURAL WEALTH AND BEAUTY L, DEPARTMENT OF PUBLIC HEALTH DIVISION OF ENVIRONMENTAL HEALTH October 23, 1997 18-B County Center Drive 411 Main Street 7 County Center Drive Oroville, CA 95965 P. O. Box 5364 Oroville, CA 95965 PROOF OF SERVICE TEL: (916) 538-7282 \ Chico, CA 95927 TEL: (916) 538-7281 FAX: (916) 538-2165 TEL: (916) 891-2727 FAX: (916) 538-2140 Mr. Eric Langford FAX: (916) 895-6512 658 Stilson Canyon Chico, CA 95928 RE: Courtesy Notice; 2121 Laurel St., Chico; APN 005-466-012 Dear Mr. Langford: This is a courtesy notice to notify you that you are in violation of the Butte County Code, as follows, at the above -referenced location: A site visit on October 20, 1997 confirmed the presence of a travel trailer being used as a residence. The travel trailer was connected to an existing septic system by a flex hose. Butte County Code, Chapter 24, Section 24-260 Camping Limitations and Prohibitions. A. No person shall place or park or allow the placing or parking of any trailer coach, recreational vehicle, tent trailer or tent, or otherwise occupy or allow the occupancy of any parcel (as defined in Section 24-305.310) for the purpose of camping (as defined in Section 24-305.095) on public or private property within the County for a period in excess of 9 days in any one calendar year, except in an outdoor recreational facility, campground, recreational vehicle park, or hunting/fishing camp, lawfully established and maintained pursuant to this Chapter. It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should be advised that Butte County has an active Code Enforcement Program which provides an effective means of enforcement if voluntary compliance is not obtained. Enforcement may be pursued through the issuance of citations, fines and the recording of a Notice of Violation including a description of the action necessary to abate the violation. You have THIRTY (30) DAYS to voluntarily comply with the above directions or to present an acceptable plan for abatement or corrective actions to be taken by you. If you have any questions, please contact me at the Chico office listed above between 8 and gam, Monday through Thursday. Sincerely C1 ffo Bottenfield E.H.S. Division of Environmental Health CB/dd/complain/langford.3-Od CC: Code Enforcement C1 A CLEAN INDOOR AIR ENVIRONMENT FOR A HEALTHIER TOMORROW ���� I am over the age of 18 and not a party to this cause. I am employed in the County where the mailing occurred. My business address is 411 Main Street, P O Box 5364, Chico, California, 95927. I served the foregoing COURTESY/VIOLATION NOTICE by enclosing a true copy in a sealed envelope and depositing said envelope in the United States mail with postage fully prepaid on October 24, 1997, and addressed as follows: Mr. Eric Langford 658 Stilson Canyon Chico, CA 95928 I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration, in the City of Chico, CA was executed on: Date Gail Lawrence, Office Assistant Butte County Environmental Health