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HomeMy WebLinkAbout007-390-003�ke Ho a s�� ' 33' Silverbell Rd., lot 3, Woodside Sub co Permi ��3'32-80B(new single family) r� 7-59-0 Contr : Gore ite Plumbing A,.x i Permit#3300-8 bg/3232-80)SF� Contr: McClellan .AC, Chico Permit#3494-8 (mech/322-80)SF . Reed Francis Electric s ContPe mit#3933-80E(ele/3232-80)SF _4 H. A. Carling /� 3393 Silverbell, lot 3, Chico Permit #3236-81B(new patio cover/SF) 7-39- Contr: Mike Watts PErmit#367 -87B E addition SF B08-0599 007-390-003 MISCELLANEOUS Re -Roof REROOF 27 SQ , 3393 SILVERBELL RD CARLING, FAMILY TRUST f i I I �o �chc,1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 3393 SILVERBELL RD Owner: Permit NO: B08-0599 APN: 007-390-003 CARLING, FAMILY TRUST Issued Date: 4/4/2008 By GLB Permit type: MISCELLANEOUS 3393 SILVERBELL RD Subtype: Re -Roof CHICO, CA 95973 Expiration Date: 4/4/2009 Description: REROOF 27 SQ (530) 893-5116 Occupancy: Zoning: ASR Contractor Applicant: Square Footage: JIMBOE ROOFING CARLING, FAMILY TRUST Building Garage RemdVAddn 365 GARDENSIDE CT 3393 SILVERBELL RD CHICO, CA 95973 CHICO, CA 95973 Other Porch/Patio Total (530)894-7269 (530)893-5116 FEE INFORMATION DBMSC Re -Roofing $176.00 Total Charged: $176.00 Fees Paid: $176.00 Balance Due: $0.00 Receipt No: B6900 LICENSED CONTRACTOR'S DECLARATION OWNER /: BUILDER, DECLARATION Contractor (Name) State Contractors License No. / Class / F- spires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License JIMBOE ROOFING 878520 / C 39 / 5/31/2008 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed 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 pursuant to the provisions of the Contractors License Law (Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 4/4/2008 the applicant to a civil penalty of not more than five hundred dollars ($5001; Please check one of the following: Contractor's Signature Date ❑ 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 (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: HAVE AND the work himself or herself or through his or her own employees, provided that such improvements ❑I WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractors License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Carrier. State Fund policy Number: 713-0017758 Exp. Date:9/1/2008 Contractor's License Law.). (This section need not be competed if the permit is or one hundred dollars ($100) or less.) ❑ I AM EXEMPT under Section B. 8 P.C. for this reason: ❑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 Workers' Compensation Laws of California, and agree that if I should become subject to the workers' X 4/4/2008 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date provisions. X 4/4/2008 •:.; I hereby certify that I have read this application and stale that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnity, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, injury, including death, and property damage caused by, arising out of, or in any way connected with o ,o the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the Propert mer or a orized to f n the property owners behalf. 4/4/2008 CONSTRUCTION LENDING AGENCY 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee [SIGN] Print I Date the performance of the work for which this permit is issued. (3097 civ. code) ❑ Owner 1:1 Contractor OR. Agent for Owner Agent for Contractor FILE COPY Lender's Address City State Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION* OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds PLEASE PRINT CLEARLY PERMIT NO. BIN # "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. OWNER INFORMATION L me -,6 C— G F— 'i /�j JL_ -J Maili wul 3 1 L �� IL�b►r,C.C� 2 ✓.� City C__ /' -4—` Stat 7 PJ8cC3 Fax E-mail APPLICANT INFORMATION CONTRACTOR Name l City Address C� 1= Address 5 �Or 5i �OtZ. C l ci -a Zip stgS� 7 e .7 Fax -mail State License Number Lic. #�6�aO Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X PROJECT LOCATION API DU -7- Property Address'::Fl L U [z`:�r3 City WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than licensed contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK. Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): \_ 1 For office use only: Zoning7 FloodZone SRA Yes No Occ. Type Const. PERVjIT NO. 3232-80B PERMIT EXPIRES OWNER Drake Homes f.'CONTR. owner LOCATION (A.P. 44-47-74''port - 3393 Silverbell Rd., lot 3, Woodside Sub, Chico Temp. Power Pole Called PG& -E T*m@—Elec. Serv. Called PG&V,'�' Te -P, Gas— erv' as CaIlVdP PG&E JOB FINALED— (Date) (Signature) o 6L RESIDENTIAL {Singh and Duplex), Onto UNDERFLgOR (Plans " eAeP, Davi FRAC, NG (Continued) 1. ZQrfi_ng requireffr<s-Sattrl-cks-E3 Property Line Firewall & Openings tg- Depth e-FTg. Qc--� 4 t. Doors -Ons 3' -Check G3r3g7-1d story, 2 exits aadroorn -M-.r. se -R -Landing -Firs Protection 4. �P.49,_P,0664,1& & Oeeks: Go; I a 6 m 9" E" M4' P yvjcod on Roof Overhang-Arric Access -Ratter Outriggers .5 walls, hlaio�3feeL�blocVuafWra�ad-S1ab y -Veneer •- 6XStemwails, Garage: Steel-Blockcuts-,ir-apped-Slab _- Stucco Mesh -Drip Scre-d-Fdri. Van!s-Ur.dE!ff;r. Access q4e"Glazing Area -Glass Protection-Skylight3-Plastic, 8. D.VjJV.: FaU-,F`ilzi74s---Test-2 Nailing -Bolts Ss Pipe: Size -Anchors Dater Pips: Test-Anchors-R--ot.,Iater-Sevica Test I t,-)<P_!ectric; Underground 12,,'N<Plenums & Ducts; Clearance--MatarialSupport-lis. 13>1tirders-Sills-Anchor Bolts-Joists.-Vents-Crippigs -el Date Date fCar,,-31 Date Card -BI Data [Card -BI Date Card -BI Data Card BI Date !rd -Bl Data Card -81 Date Card -BI Data oats F114AL (Plan except P's Vats PLU;JBING (Permit) OK except O's r VC Vla_;er Ht.; Vent- Access-Cornbustion Air 58. Furnace-, Ve rrfs--Ctor- I arage; Aboye or -0u nhch. tion later t'?�Test Anc t4clicn ,& TC-,s�-Fttfji­&Vh.rs_1piao1 Protection Bedroom Exiti�� Shower Pan; Test, First Floor -Tub Access 60. G. F. 1: & &,-rKFixture ,Tu cas- tlTstub-Shower, 2nd Floor -Tub Access 6 psi: Gas Pipe; Size A Anchors E3'. mP;Faplaxrm_SLou&: Cleetifnce34'lel _J Sgfdel Date Mj�aU Card -81 Data 65. Kit. Fixt. & pfrp-liance: ggE<—t it _ -_wkinT!I!'i9aranc9 C 'd BI ats-a•tard-BI Date - 65. Elec,ap"Oe'Is &,Wece at Kit rgr DateC_TPIC�L (Permit) OK except ✓P's 67. Garage Ei4a-Door: E3. • 5PF) •Lure& Transformer Clearance -Ins. Praiection 69. Wir. H,%;,Wnnts-Cl-2ara In Garage; Abov_+,1KToor. 29. Ipc. Receptacles Spacing-Lishts & Swi;ches at Doors 2 - ' e Boxes & No. of Conductors-Staplad 70. Plb. 931-.v max lnstall�d Close to Edge at Studs & C.J. 71. Elec. Recep!gf!! sin Gzraqa; (G.F.I.)72P!!5pro!9c- Egie-rp. Ground made up w/Mech. Fastaners-Bond Gas & Water "Foa A in Attic L4_Ye�s 72. Insulallpe m -I co.kL__ 2 Appliance Circuits in Kitchen & Conductor Size 2'6. Subf-sed-Wre-Sre-s./ / ga. Cu or M-A.C. Yhre Size /Y/ ga. Cu 0 74. Fdn. Vents t CrawlW9+9 'Wood -Earth Claaranco Looked under Floor ty,&222� c. / 27. Range Circ. ga. Cu orgjg�!Ovan Cir, ga. Cu or Al, insulated Neutraf Elyes K� 75. Following instil.: -Driv 6+YS'T� 0 No. Walks 0(tes-0 No; Planters [3yes i&�Creatinq Drug. Problems 0 Ye.9 W'-S_er-vice-Riser Conductors & Gro&Q­ktain Disconnect x.76, Stucco; Efalrn--Finish uip. clearances; Panels-Motcrs-Mach. Equip. .77. A. rt; Disq_jaae6-ClrncOt-W4v�& Cond. ight-Shower Light 78. Vens,.AAoV'e Root: 79. 60., d rd 3v7_ji_Datq Card -Bl Casa El. Ventilation ttr ut House Card 13-1 Date Card -BI Date 82. Glass Pit4etffion Data MECHANICAL (Permit) OK except 9's 83. 01 1 Aq *9- Tag jr:c C. Ducts; Insulation & Support E5. Wat _4*rC—annect?_1 _r ad -2 -HO nt Fan; Exhaust above Insulation F Atoorn-Lrgy Compliance Certificate--O!'iief Certificates 3*101C _gndensale Drain & Overflow; Size & Grade u. nace-vent; Access -Comb. A i r -Return Air Vent -1 i 5V outlet -3latrorrn if Furnish in Attic Card -8I Datae—IW-AW Card -BI Date Date rl'79�1Eard-Bl Daze Card -81 Date 14!?8 rd -BI Date Card -81 Data Cafd-51 DaisCard-BI Da!s Card -Bt Data Date FRA.!el NG (Plans) OK except #'s Cor, cants at Final: Sllls; Proper Matsri3l & Anchcrs Studs -Nailing, Spacing & Bracing -Plates -Sound *1---dring Viills over Girders & Floor Nailing 30 --"Draft Siop in Walls (rat proof) Fire Stops: Furred Ceilings-Siairs-Chases-Tub 4Ader & BedM-Size & Bearing . Hangars -Post Caps-Anchcrs-Connectors 04,3s/c"'g. Joist-Rlir. Ties-Purling-Rcot Brac:nthrip.-Rfna. Ties or Typ&A Fl%:e-Fi.eplxe Tnroa! 4A, -'Attic Access: Size & Rainq,. Pro*&ctica-Draft S:o.3-Ins. Baffals rai. Windows or Exiling Doors -Sill K -F. & Dif, , eniiGrI3 Fire Protection Framing PR .0 OF; >. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) -PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Sidin To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings StemwaI I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for ph sically handica ed Conformance of ex. structure Appliances Gas Pip!n &Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footina ELECTRICAL Relnf. Steel I Final ' I Fixtures Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping E OME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job .site.) ERSEi' COMPANY LICENbEO CONTRACTOR Phone: 342.4764 P.O. Box 628 — Durham, California 95938 RES IDENT IAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALT,ED IN CONFORMANCE WIT CU RR NT E�CONSERV ION REGULATIONS AT 0 (location) BU ILD ING PERMIT NO. A.P. NO . _ THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not applicable) INSULATION: GLAZING: Slab Edge A—a/ Single Glazed Fdn. Walls ft 191 j Special (Insulated) Floors CERT. & LABELED WDS. Walls / _-/ & SLIDING DRS. ✓ Ceiling/Roof WEATHERST RIPPED DRS. Ducts BACK DAMPERED FANS Circulating Pipes_kL-,INTERMITTENT IGNITION DEVICES APPROVED HEATER A, _.. CERT. APPLIANCES APPROVED WTR.11TR.1. I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CANSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF THIS OERTI KATE AS SUBMITTED. Insulation Applicator Name Signature of Insulation Applicator General Contractor/Owner Name Signature of General Contractor/Owne (phase print) State Contractors;�.� � License No. (plea • print) Date ate Contractor icense No. 3 s THIS CERTIFICATE MUST BE ON FILE WITH THE BU ILD ING DEPARTMENT PRIOR TO ` REQUES.TING.FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION -AND PERMIT PERMIT NO.�,� Z�,((JJjj ASSESSOR A C LNUM ER - �- a &r_7- • ZONING C2 !�S BUILDING PERMI O NER/1 /t K� TELEPHONE SO. FT. O/C�C. BUILDING -VALUATION /`J/V t„ F OWNER'S MAILING ADDRESS 3 M COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION -AND PERMIT PERMIT NO.�,� Z�,((JJjj ASSESSOR A C LNUM ER - �- a &r_7- • ZONING C2 !�S BUILDING PERMI O NER/1 /t K� TELEPHONE SO. FT. O/C�C. BUILDING -VALUATION /`J/V !60 OWNER'S MAILING ADDRESS 3 M Z, cry CONTRACTOR'S OR'S NAME / /7/l //L/tG^ lT/'-V� TELEPHON $�IS-3 -3G`r /J�,/ /J Vs'r0,, tJ W CON RACTOR'S MAILINGjADDRESS/� 9` r� ���C��ooNSTRU ION LErp�l WALLS RP�r0 KG4[ �q7�' �,VD, �y,P.VUP U KNOWN Fireplace Jv� Total Valuation $ 37Sb7,00 ING ADDRESS I,E�DER O X 25�®o9 SAG, CA y 5g 2s Permit Fee $ '151,66 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ , ` S' Penalty $ ARCHITECT OR ER(GINEER'S MAILING ADDRESS, Permit fee $ '8g, j BUILDING ADDRESS 3 511-VEr_8_Q_Zt_ ' �?Dl PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping Lor O. SUBDIVISION NAME (/V OI`✓�s.7 I L) PARCEL MAP Each qas water heater or vent 2.00' Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New []Addition ❑ Remodel ❑ U t i Iities ❑ InstallationEl Other ❑ Describe work: — /LM-S%'C—e_ 2-3-76 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 100 AMP ORLESS5.00 Main service EA. ADD'L too AMP 2.50 NEW CONST. DWELING OR ADDNS. ( ACCLBL GS.CCUP,&) 22 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Profess i ns Cod and my license is in ful 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 CO I TR. BRANCH CIRCTITS 2.50 ea NEw CONSTR. ( POWER APPARATUS a) NON•RESID, SINGLE OUTLET CIR, So Ex. Occup( OR FIXTURES BAL@10Q (FIXEDTs FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. have placed on file with the County of Butte Building Department Certificate of Workmen's Compensation Insurance or a Certificate o 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. I MECHANICAL PERMIT FiIingFee 3.00 Heating Cooling u. Hood 2.00 Ventilation _IT�4 permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I aIs g to save, indemnif and keep harmless the County of Butte against all I' biliti jud ents, c s nd expenses which may in any way accrue ag C t i o s qu c of the granting of this permit. 24j _�>O Date + Signature of Applicant — Owner ❑ Contra for ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 33storiieees in height. Mobile Home Installation Fee $ Land Development Fee $ 25,00 TOTAL PERMIT FEE $ 2 13,75' oy�uP. GROUP F},F�" °J� TYPE OF CONST. �` PARCEL PD NO 15�E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By T EXPI PE RES Date the applicable provi- resolutions to do fees have been paid. WORKS Date_/s? Receipt NO. ?7-7 WHITE-O.P.W„ YELLOW- ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT ��Oot7Sl D� c,�tJiavl•�: St JN I ` i Th is se} 1. of plans and specificat ens MUST be Ul4.1 T 11: g3.83 N E:—All aterials & Workmanship Shall Be In ecordance w th. Recognized Good Proctic6s and of a quality p escribed for the Specified .use • in the Uniform Buildi Plumbing & Machanical LCodeS and 4we National ectcical Cade. kept on the iob at all +;rues and it is tInlawfu o makq any changes or alterations o same without written permission from the Depart ent of Public Works, County of Butte. Ta See- Master Plan n file for plans. 0 3 P"—. A setback of 5 ft. from the • property lines and a setback Of 50ft. from the road' - centerline shall be clear of structures or equipment erept for a 2 ft. eave overhang. 2- BUTTE COUNTY BUILDING DEPARTME APPROVED: REVISED 2-I8-30 ;ti ( COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS T 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PE RMI T ASSESARC�L N`MBE - / ZONING ////��// [/l" BUILDING PERMI OWN TELEPHONE SQ. FT. OCC. BUILDING VALUATION OW 'S MAILING ADDRESS TRACTO 'S A E - / T L PONE CO A O MAILING ADORE_Sj CONSTRUCTION LENDER LINKNowy, Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEERLICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT ORENGINEER'S MAILI G ADDRESS Permit fee $ BUILDING ADD SS PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 t� Repair drainage or vent piping 2.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 -5 outlets t00 USE OF STRUCTURE SF Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer S100 Lawn sprinkler system 2.00 # I TYPE OF WORK New ❑ Additio Remodel ❑ ti lities ❑Installation ❑ Other Rr Describ work: a �3 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 100 AMP ORV OR LESS5.00 Main service EA. ADO'L too AMP 2.50 NEW CONS. DWELING O OR ADDNST ( ACCLBLOGS.CCUP.&) 22 sq ft CONTRACTORS LICENSE LAW I declare nder penalty of perjury (Check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and y license is in full force nd 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 CO ID R BRANCH CTRCTITS 2.50 ea NEW NON.CONSTRESID, R. SINGLE OUTLET CIRPOWER APPARATUS .&) ( . Ex. OCCUp(OUTLETS OR FIXTURES 5O@� BAL@tos FIXED ALNS. Ex. Occup.(OUT ETSP(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ T 'permit is for $100.00 (valuation) or less. have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIIng 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 sWCoun'in po se en e f t e granting of this permit. X e %) v Sign ure of Applica — gent Owner❑ Contractor A An OSHA permit is required for excavations over 5'0" deep and demolition or construct-15CTOR ion of structures over 3 stories in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE ®`O OCCUP. GROUP I TYPE OF CONST. PARCEL PD HD ssuE This permit is hereby issued under the applicable provi- Sion f the Butte County Code and/or resolutions to do wo ndic ted above for which fees have been paid. OF PUBLIC WORKS �� 4VW — Date �o PERMIT EXPIRES Date � C� Receipt No. �JJ /��� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT J116 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 ' APPLICATION AND PERMIT P IT O. v - .A ASSESSOR PARCEL NUM E r/�• / ZONING BUILDING PERM OWNER Brake Homes TELEPHONE SQ. FT. OCC. BUILDIN ALUATION DWNP.O.ILBoxD1 8, Chico, .Ca. 95927 CONTRACTOR'S NAME McClelland Airr'%Coriditionin' Inc TELEPHONE - 891 -6202 - ' CONTRACTOR'S MAILING ADDRESS 690 Thunderbolt St. Chico, Ca. 95926 CONSTRUCTION LENDER UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ A BUILDINDDRESS G 3 A Siverbell Rd. PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO.SUBDI 3 VISION NAME Woodside PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF q Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition ❑ Re odel ❑ Utilities ❑ InstallationC Other ❑Q De riby wor : — Aazl Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 100 AMP ORSLESS 5.00 _ (`�O d Main service EA. ADD'L 100 AMP 2,50 OR ACDNSNEW . ( ACCLBLDG$.LING CCUP,&) 20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): r-� 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. 345121 License No. Classification C-20 ❑ 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 U TI.OUT LET NON.RESID BRANCH CIRC ITS 2.50 ea NEW CONSTR. POWER APPARATUS & NON-RESID, ( SINGLE OUTLET CIR, Ex. Occup(OUTLETS OR FIXTURES SO@� BAL@1 FIXED APPLES. OR Ex. Occup.(ouTLETs (RESID,) EA.� 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 3.00 Heating O Cooling Cy, 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, indemni y and keep harmless the County of Butte against all liabil• ies, judgmenty, carpts nd expenses which may in any way accrue agains aid County in s ue a of the granting of this permit. n O X Date / Signo4ure of Applicant — Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and/demolition or construct- of structures over3stories in height.ceipt Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE OCCUP. GROUP TYPE OF CONST. PARCEL PD NO ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DI TOR O PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date" T Lion No. T/ / TE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT ln!N1T!71g1;100slzj �` p861 u 111f a,ana do N COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 '' Y APPLICATION AND PERMIT PERMIT N ASSESSOR PARCEL NUMBER y4% • ,�� ON NG /j5' BUILDING PERM T OWNER TELEPHI E SO. FT. OCC. BUILDING ALUATION OWNER'S MAILING ADDRESS CON RACTO N�m€ �"� TELEPHONE �Y3 CONTRACTOR'S MAILING ADDRESS 17 �lv ) Le vo Avio e CONSTRUCTION LE ER UNKNOWN Fireplace Total Valuation $ LENDER'S MAILI G ADDRNESS4 Permit Fee $ ARCHITECT OR ENGINEER ��4r,Penalt LICENSE No. Plan Checking Fee $ Y '$ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS .- ? 3 �' / PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO. 3 SUBDIVISION AME /% K/ ,0, e Z PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE ��/uplex❑ Mobilehome❑ Other SF I"1 D SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition ❑ R model ❑ Ut'lities ElInstallation❑ Other Describe work: �ec �� �% �a�L�o�"�C— Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00• Main service 100 AMP OR00V OR LESS5.00 Main service EA, ADO'L 100 AMP 2.50 NEW CONST. DWELING OR ADDNS. ACCLBLDGS. P,& 22sgft CONTRACTORS LICENSE LAW 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. (y License No. ;2o'5—,2 Z b Classification _ �' l� ❑ 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 MULTI -OUTLET NO N.RESID, BRANCH CIRC ITS 2.50 ea NEW - NEW CONSTR. POWER APPARATUS & NON-RESID. %SINGLE OUTLET CIR.Ex . Occu 50 @250 p�OUTLETS OR FIXTURES BAL@10e EX. OCCU /FIXED APPLNS. OR p•\OUTLETS (RESID.I EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ �s Contractor WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. �/ have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 3.00 Heating Cooling Hood 2.00 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 against said Co my in conse uen the granting of this permit. XThis Date Signature of Applicant — Owner Contractor, Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over stories in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE ?0^r OCCUP. GROUP I TYPE OF CONST, PARCEL PD I ND I ISSUE permit is hereby issued under sions of the Butte County Code and/or work indicated above for which EC OR OF PUBLIC BY_ ZZAff PERMIT EXP to the applicable provi- resolutions to do fees have been paid. WORKS Date 1-30-96 /3 Receipt No. / O� ?� — __ - WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT PERMIT NO. 3236-81B PERMIT EXPIRES OWNER H. A. Carling CONTR. owner ASSESSOR PARCEL 44-71-3 LOCATION 3393 Silverbell, Chico Temp. Power Pole— Called ole_Called PG&E _ Temp. Elec. Service i Called PG&E_ t iI Temp. Gas Service _ I Called PG&E r JOB FINALE D (Date) Signature V = OK 0 = Not OK ' = Not Applicable MOBILEHOMES * = Not Ready - MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except #'s Date DECKS, C VERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements—Setbacks—Easements o g"Requirements= cks-t�ts 2. Soils; Special MH Support—Sketch ootings; e—WgHl--_Sp g—Conml� 3. Sewer; Location—Test—Fall-C/0—Concrete and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) ood Awn.;P—Bg3w�R6irs!Cor Is�hcr f grBrXk� 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete __ olumns—Connections—Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG ors; endows—Doors 7. Utility Clearance .4 —Hees Card -BI Date Card -BI Date Card -BI & Date y Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements—Setbacks—Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except #'s 1. Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 4. Electricity; MH Test—Crossovers—Breakers—Clearances 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Elec.; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/O to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. Exits; Insp.—Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date = OK = Not OK = Not Applicable = Not Ready RESIDENTIAL ISing.#e and Duplex) Date UNDERFLOOR Plans OK exce t#'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 51. 52. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall-Fittings-Test>2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except q's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date _ Date Card -BI Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. 62. Elec. Trim & Subpanel; Breaker Sizes -Labels Stairs & Rails 19. Gas Pipe; Size & Anchors 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except p's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors., 70. Plb., Elec. &Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72, Insulation -Foam -Looked in Attic ❑Yes 73. Guard Rails & Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen & Conductor Size 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral Ci Yes El No 75. Following instld.: Drive ❑ Yes []No; Walks ❑ Yes []No; Planters El Yes-. 0 N 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. Ventilation throughout House Card B -I Date Date Card -BI Date MECHANICAL (Permit) OK except q's 31. A.C. Ducts; Insulation & Support 82. Glass Protection 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/0 tc Grade -HD Approval 32. Vent Fan; Exhaust above Insulation 86, Energy Compliance Certificate -Other Certificates _ 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic - ----- Card -BI Date Card -BI Date Card -BI _ _Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except q's Comments at Final: 36. Sills; Proper Material & Anchors _ 37. 38. 39. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub _ __41. 42. 43. 44. 45. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat -Attic-Access:. Size & Romex Protection -Draft Stop -Ins. Baffles _ 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: An entry must be made each time you vi sit job site) i COUNTY OF BUTTE - DEPIARTM&NT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 � 6 �-- CJ ., 141APPLICATION AND PERMIT ASSESS P RCEL NUMBE ZONING — BUILDING PERMIT WNE ELEPHON raIQ SQ. FT. OCC. BUILDING VALUATION 0 SS WNER' Al ING A1.2 CO A TOR'S N EL PHONE CONTRACTOR'S M NG ADDRESS Fireplace Total Valuation $ Z� . CONSTRUCTION LENDER ,� UNKNOWN Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ t1pARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee Penalty $ ARCHITECT OR ENGINEER'S M LING ADDRESS Permit fee $ , BUILDING ADDRESS 3v j, Jr`� VIe PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISI N NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system +5_-OO TYPE OF WORK New ❑ Addition Remodel Utilities ❑ Installation❑ Other ❑ 0%0', / �J 6i Describe work: A A 7 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. (DWELLING OCCUP.EI) OR ADDNS. \ ACC. BLDGS. 20 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): F -1I 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. '"OUT .ou LET 2.50 ea NON.RESID BRANCH CIRC TS NEW CONSTR ( POWER APPARATUS &) NON.RESID. SINGLE OUTLET CIR. Ex. 50 @ 25¢ OccupOUTLETS OR FIXTURES BAL01 FIXED APLNS Ex. Occup. -(OUTLETS P(RESID )REA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. FA I shall not employ any person in any manner so as to become subject VX to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X ./ ��1 Date Q / Signature of Applicant – Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures overstories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ occuP. GROUP .. TYPE of CONST. PARCEL PD ND ISSUE This permit is hereby issued under sions the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC By PERJO EXPIRES Date _ the applicable provi- of resolutions to do fees have been paid. WORKS Date ,y 6, %i7 �2 t3 Receipt No. S-6 a SZ -1 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT k PERMIT NO. 3677-87B, E PERMIT EXPIRES n% OWNER HAROLD & ARJORIE CARLING CONTR. Mike Watts I C if �v ASSESSOR PARCEL 7-29-3 LOCATION 3393 Silverbell Rd, Chico } Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E / Temp. Gas Service Called PG&E JOB FINALED (Date) Signature = OK . 0 =.Not OK. otReaableNdyMOBILE HOMES MISCELLANEOUS t Date MOBILE HOME UTILITIES (Plans) OK except #'s Dafe ' " DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts- Beam s-Rftrs.-Con nec.- 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. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -B1 Date Card -B1 Date 10. Roof; Shthg-Roofing Card -B1 Date Card -B1 Date 11. Ext.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -B1 Date Card -B1 Date 2. Footings; Size -Spacing -Marriage Line Card -B1 Date Card -B1 Date 3. Gas; MH Test -Demand -Valve -Connector - 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s 5. Drain; MH Test -Fall -Flex Connector 1. Setbacks -Easements 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability 7. Water and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining _8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date 9. Health Department Approval - 10. Plumb.; Cir. Test -Water Supply Test Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date J = OK o = NotOK RESIDENTIAL (Single and duplex) - 0 Not Applicable 3 Not Ready Date UNDERFLOOR ,(Plans) OK except #'s Date . F A 1NG Continued NN Zoning requirements -Setbacks -Easements 4. ngers-Post Caps -Anchors -Connectors Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 1 'g. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth . fireplace Ties or Type A Flue -Fireplace Throat 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 4' .,11tic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Stemwalls, Main; Steel-Blockouts-Wrapped . Bd rn. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrappedge Fire Protection Framing Slab; Steel -Wrapped $6. property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel . Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test- eadroom-Rise-Run-Landing-Fire Protection 10. Gas Pipe; Size -Anchors . PI wood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test - i ing Veneer 12. Electric; Underground cco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance -Material -Su pprt- Ins. lazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 51.mghear Walls; Nailing -Bolts 15. Insulation , nsulation-Walls-Clg. S \ : Infiltration-Walls-Wndws Card-131 Date/ /3 r -B1 Date Card -B1 Date Card -131 Date Card -131 Date) `7 Card -B1 Date Card -B1 Date Card Date Date MBING (Per it OK except #'s -B1 16. r Ht. nt-Access-Combustion Air Date FINAL (Plans) OK except #'s 17. WaterNA; Test & Anchors -Nail Protection . Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V Te Fttngs & Anchors -Nail Protection . Smoke Detector 19. Shoyfer Pan; Nt, First Floor -Tub Access nts-Clearance-Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 20. Tesi Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors Bedroom Exiting 6.4 G.F.I. & Bath Fixtures & Tub Access -Spa —" -filet. Trim & Subpanel; Breaker Sizes -Labels Card -B1 Date Card -B1 Date —66,8tairs &Rails Card -B1 Date Card -B1 Date Clearances -Hearth Date EL 'CTRICAL (Permit) OK except #'s . Elec. Outlets at Wood Panel; Int. & Ext. . Fixture & Transformer Clearance -Ins. Protection w09. K t. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 2 . Elec. Receptacles Spacing -Lights & Switches at Doors E+eReceptacles at Kit. Counter e Boxes & No. of Conductors -Stapled --rage-Eire Door; Swing -Landing -Closer 2 omex Installed Close to Edge of Studs & C.J. in Garage -Damper W. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water ., nts-Clearance-Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection pp lance Circuits in Kitchen & Conductor Size ch. Equip. Listed for Location ee Wire Size 7' / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al les in Garage; (G.F.I.)-Romex Protec. '—/-ga.-Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No - -Looked in Attic ❑ Yes _-MoGeard-Raft & Deck Construction -Post Caps ,3e-8Er7"=Riser Conductors & Ground -Main Disconnect . Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 34-Egaip-8l raves-Panels-Motors-Mech. Equip. 32 Clothes Closet Light -Shower Light -Spa Light . Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ es ` ❑ No Stucco; Br n -Finish 'f Card -B1 , . Date r/ <r7 Card -B1 Date -'8-A.C. Unit; Disconnect, Elebtricqf, Plumbing Card -B1 Date Card -B1 Date X62 -Ver" Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. Date LVRCHACAL (Permit) OK except #'s Nater Well; Disconnect, Electrical, Plumbing 33. .0 ucts Insulation & Support 34. V t Fan; Exhaust above insulation. 35. o densate Drain & Overflow; Size & Grade NM. Exterior Elec. Trim; G.F.I. Receptacle -Underground Ventilation throughout House —�86. Glass Protection 3!2. Fur ce-Vent; Access -Comb. Air -Return Air Vent -115 outlet . C rrections from Previous Inpections 7. Attic ccess & Platform if Furnace in Attic ters Tagged; Gas -Electric ewer Connected -C/O to Grade -HD Approval nergy Compliance Certificate -Other Certificates Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -B Date and -81 Date Card -B1 Dat22=4 Card -B1 Date Card -B1 Date Card -B1 Date Date FRAMING (Plans) OK except #'s ' Sills, Proper Material &Anchors Walls Studs -Nailing, Spacing & Bracing—Plates-Sound Comments at Final: Baring Walls over Girders & Floor Nailing raft Stop in Walls (rat proof) ire Stops; Furred Ceilings -Stairs -Chases -Tub 4Q/Header & Beam -Size & Bearing (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE `T DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 x CORRECTION NOTICE L- til,% 7 OWNER "PERMTT 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 Vmater, or need additional explanation, please contact this office immediately. !u , 0 Inspector Date COUNTY OF BUTTE y DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE r� �7 _ OWNER / PERMIT NO. A routine inspection Indicates that the following violations of County Ordinance /existt the above address and should be corrected. Please notify this office rrection of work is completed. If you have any question pertaining to this or need additional explanation, pleaseecontact this office immediately.el I /LPI i2klff 17 Inspector. Date Owner • CPje0 A& Permit No. 26 / /—<��7 E N E.R G.Y C E R T I F I C A T I O N ., LOCATION A.P. No. DESCRIPTION OF INSULATION ROOF Material Thickness(inches) EXTERIOR WALL Material Thickness(inches) 7' CEILING Batt or Blanket Type 31q T% Thickness(inches) /b " Loose'Fill Type Minimum Thicknesi(Inches) Area covered(ft. ) FLOOR, ELEVATED Material Thickness(inches) FLOOR, SLAB Material Thickness(inches) Width(inches) FOUNDATION WALL Material Thickness(inches) Brand Name Thermal Resistance (R Value) Brand Name C--A-k3PAA, S C-Crr Thermal Resistance(R Value) Brand Name O(.l'IVNS - COPM1 `5 Thermal Resistance(R Value)IF-3Q Brand Name Number of Bags Wt. per bag lb. Thermal Resistance(R Value) Brand Name Thermal Resistance(R.Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) I hereby certify that�the above insulation was installed in the above building in conformance with the State of California Ener&, Requirements, FIRM NAME/OWNER C S NATURE OF INSTALLATION APPLICATOR STATE CONTRACTOR'S LICENSE NO. O /r?- - O U DATE I hereby certify the above insulation and all required items as shown on the Building Department approved plans and attachments have been installed as required by the State of California Energy Requirements. All equipment, devices and materials are of the quality prescribed or are specifically approved by the State of California. FIRM NAME/OWNER lease print) STATE CONTRACTOR'S LICENSE NO. C �� - /7— e SI TUBE OF GENERAL CONTRACTOR OWNER DATE _ THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. January 1984 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ERM T 1�Q. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 / APPLICATION"AND PERMIT CO ASSESSORPARCEL NUMBER C�o ZONING BUILDING PERMIT pw�ER n c� A 1 Y ori 09 21—� nc _ TELEPHONE 8_7 3 —cS�s (, SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 33��S�Lvcn1S'!�4 CONTRACTOR'S NAME ITELEPHONE CONTRACTOR'S MAILING ADDRESS A_ Fireplace O - CON R CTION G.E�ER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAIL/If4 ADDRESS /L�¢ Permit Fee $ ARCHITECI-00 ENGINEER � LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ p� ARCHITECT ORR EN GINNtom//EER'S MAILING ADDRESS EN Penalty $ BUILDING ADDRESS t Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 6f/iG Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Alccd /�� Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFA9#h Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 -151utlets 5.00 Building sewer 5.00 Mobile Home S I G W 10.00 ea �yy TYPE OF WORK New ❑ Addition Remodel❑ Utilities ❑ Installation❑ Other ❑ Describe work: ��// �� 5=7,%� AeQA;; — / -�lJST7yl, Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 QNTRACTORS LICENSE LAW I declare nder pea y 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. '4110 96' M4 Classification' 1-1I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST./ DWELLING OCC , OR ADDNS. ( ACC. BLDGS. /Zgsgft NEW CON5TR ULTI.OUTLET2,50 ea NON.RESID BRANCH CIRC ITS POWER APPARATUS e (SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES 20080* SALO 30 FIXED APLINIS Ex. OCCUp. OUTLETS P(RESID )REA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor )i10RKMEN'S COMPENSATION INSURANCE I declare under na ty of perjury (check one): ❑The permit is for $100.00 (valuation) or less. k"'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 afny manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 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 against said my in consequence of the granting of this permits �f f� .--c`�? f X d = Date �/ 8% Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL P IT FE $ oF SWPEI LPJVeELt PD HD s9 E This p mit is hereby issued under sions of the Butte County. Code and/or work indicated above for which DIRECTOR OF PUBLIC By / PE T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS DateZ— - O^ Receipt No. WHITE-D.P.W., YELLOW-ASSE3SOR, PINK -INSPECTOR, GOLDENROD -APPLICANT .`c�tFi!"F" F4.(Y,S��v'"Tri`rrr�v'a ..�;z+-.,. •.y..w� ^. r..t t•�i,�•���,,,,ai-.�.+c..ti •« ��1;,�...r.,�;.r..rr+¢, y� jt} "f` , '�'�i}` 1 . T %h rl• '„ •�Gy "�� 1 COUNTY OF BUTTE - DEPARTMENT OF'P.UBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLIt YIft DATA SHEET a.. / ° r Permit No. OWNER C /�/Z%� t A. P. No. _ 67-31`� —1154 Proposed Building UseBuilding Inspecto Date //15 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or Issuance: DATE RECEIVED APPROVED 1. All items have been submitted. 2. Plot plans in duplicate/triplicate, signed by preparer of plans, _ 3, Complete plans in duplicate/triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . 6. School District "Fees Paid Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . 44 9. Letter of signature authorizIi . . . . . . . Sanitation approval from1Health Dept, 9 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) _.—...._15. Improvements may be required. . . .~ . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . 17. Pre -Inspection for .__...__ _RequiredPre-Inspec. request to (Dote) . Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. .19. Driveway Permit. — 20. Plot plan approval from city of— 21. 22, — — '--When you issue the A, Jmit, pie ss as follows: Mail to owner; L?ail to contractor_ Telephone �� and hold for pickup at office, Deliver w/inspector. 'Other _ _- 4 x Appl i c a n ate 0 1 � Copy of plans sent Health Dept.; Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: —_—_ 1. Contractor, designer, owner, was advised of above required data by—phone ----nail—counter by Contractor, designer, owner, was advised c? above required data by —phone _maiI—counter by Plans checked Sets of plans on hold in Copy—DPW Date Plans approved by File cabinet AP folder.: — date — date Datil' TO Buildina Department' FROM:. Environmental Health SUBJECT: Sanitation Clearance 0000 Owner � Location 4 APO Plan Approved for: Sewage Disposal _ Water Supply Hold final for: Water Supply Final clearance O.R. for: Water Supply _ Clearance for bedroom mobile home. Other NOTE * * * _�� Sanitarian Date r� FORM 7 ADDITIONS TO RESIDENTIAL BUILDINGS ENERGY SHEET PACKAGE "R' -(Additions) Owner CP} a/&I(., Climate Zone t� Permit .# 36,2 g Z_ Floor Area The following data showing mandatory and required features of Package "A" shall be installed for additions to dwellings. Additions to dwellings include room additions, converting garages and patios to living areas, house moves that add footage and attic conversions, and any space that is existing non -conditioned space that is -converted to conditioned space. Remodeling of existing conditioned space is not included. ZONE 11 ZONE 16 APPLIES TO NEW AREA CEILING R-30 - 8 WALL R-11 R 19 FLOOR R-11 - 9 SLAB ; R-7 R-7 GLAZING 4 U-.65 (Dual) U-.65 (Dual) SHADING SOUTH - OPTIMUM OVERHANG or .36 Shading Coefficient .WEST - .36 Shading Coefficient LOOSE FILL INSULATION (Density) Al INFILTRATION CONTROL -(Weatherstrip doors, certified windows, caulking) VAPOR BARRIER (Zone 16) DUCTS PER UNIFORM MECHANICAL CODE - Ch. 10 LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT a MAXIMUM GLAZING 16% OF -AREA PLUS REMOVED GLAZING NEW HEATING, VENTILATING, AIR CONDITIONING AND HOT WATER SYSTEMS IN CONJUNCTION WITH AN ADDITION SHALL BE INSTALLED AS SHOWN ON BACK OF THIS SHEET. OTHER 12/85 *1 HEATING, VENTIIATING wY.IR'COWITIONING SYSTEM (A) Heating ❑ Central Gas Furnace % (brand and model number) SE Btu/hr (heating capacity) ❑ Heat Pump (brand and model number) ACOP Btu/hr (heating capacity at 47°F) ❑ Active Solar type (liquid or air) Collector brand and ft2 model number solar fraction collector area collector orientation collector tilt rated y -intercept ❑ Other (describe) *1 (B) Cooling ❑ Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr (cooling capacity at 95°F) ❑ Electric Heat Pump EER Btu/hr (cooling capacity at 95°F) ❑ Other (describe) DOMESTIC WATER SYSTEM ❑ • (A) Gas Only Gallons (brand and model number) (tank size) ❑ Heat Pump w/Electric Backup (brand and model number) Gallons 2 (tank size) 13* Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) ❑ Location of Solar Panels ❑ Other (Describe) *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(g), and fill out the following: _ Heating: Winter design temperature elevation ', heating load BTU elevation factor x heating load = maximum outlet capacity gas furnace BTU Cooling: Summer design temperature ", cooling load BTU *2 Submit T.I.P,S.E. chart'or other approved system (form #5) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the California Administration Code. SIGNATURE 0 BUILDING DESIGNER OR APPL CANT