HomeMy WebLinkAbout007-460-038•• wi •� A•--�----'^.'-�—.--.'-I- -.. � � L .ter. n..r .. .. Tw� f _ - � ...,.iy.. _ _ -'} Jir.���-�+.�--.�..-. _' _ .<�.� - -
ALVI NCO
'SO'Cimmaron lot '129,-"Chico �- t
Contr` Webb Bros ; Chico
` Permit#1531 84B,P,E,M(new single family)
' /*I�` ((��LI ; mow: `�.�
I!�g jI `ITS+
Contr Sutherlan& Landscape & Maint . '
Permit ,#2748-84P. '(lawn 'sprink&er's/SF)
007460.038,,03 0087';° 2,
MARSICOLA, RAYMOND_; 't;77
,567, CIMARRON DR; CHICON ;, o
COIVTEDWARDSHOME,s 2
RENOVATION
EX GAS HEATERW, ; a U ^ XVS
1007-460-_03.8;x, , f a t,05'0300
' ` rMARSICOL�A,RAY�vIOND�. ���' Sy
x 567 CIMARRON•Di ,rtHI�O;�*y,
,*F Cont: BAIRD ROOFINGS
' REROOF'
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NOTES t RESIDENTIAL
3
A
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PERMIT NO. 2_007=4`60=038-- —
OS -0300
MARSICOLA, RAYMOND
567 CIMARRON DR, CHICO
Cont: BAIRD ROOFING
REROOF
11 SPECIAL CONDITIONS 11
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
JOB FINALED (Date)
�4 Signature
CHECKED
BY
J=OK
0 = Not OK
. = NotReadyable MOBILE HOMES
Date MOBILE HOME UTILITIES (Plans) OK except ft
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O -Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap;-/ P' L 'ft.
/ P Nat. or / P' L "ft./ P LPG
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except ff's
7.
Well Clearance & Disconnect
2.
8.
Utility Clearance
Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails
4.
Wood Awn.; Posts- Beams- Rftrs-Connectors
Roof; Shthg-Roofing
Shthg-Frg-Bracing
5.
Date
Braced Wall Panels
Card B-1 Date Card B-1
Date
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except ff's
Date POOLS (Plans) OK except ff's
1.
Zoning Requirements -Setbacks -Easements
2.
2.
Footings; Size -Spacing -Marriage Line
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
3.
Gas; MH Test -Demand -Valve -Connector
5.
4.
Electricity; MH Test -Crossovers -Breakers -Clearances
Elec.; Enclosures; Conduit Entries -Terminals -Listed
5.
Drain; MH Test -Fall -Flex Connector
8.
6.
Water; MH Test -Regulator -Connector
Health Department Approval
7.
Water and Sewer Connected -C/O to Grade -HD Approval
11.
8.
Gas and Electricity Tagged
9.
Tie Downs -Type -Installation Cert.
10.
Exits; Insp.-Sketch
11.
Cert. of Occupancy
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PERMANENT END SYSTEM (ONLY)
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Size -Spacing -Marriage Line
3.
Blocking
4.
Gas; MH Test -Demand -Valve
5.
Electricity; MH Test
6.
Water; MH Test
7.
Water and Sewer Connected
8.
Gas and Electricity Tagged
9.
Exits
10.
License Decals
11.
Verify ff's with Office
Date
Card B-1 Date Card B-1
Date
Card 6-1 Date Card B-1
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except ff's
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3.
Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails
4.
Wood Awn.; Posts- Beams- Rftrs-Connectors
Roof; Shthg-Roofing
Shthg-Frg-Bracing
5.
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6.
Carports; Windows -Doors
7.
Electric
8.
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9.
Siding; Nailing -Veneer -Stucco -Mesh
10.
Roof; Shthg-Roofing
11.
Ext.; Steps -Doors -Landings
12.
Braced Wall Panels
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date POOLS (Plans) OK except ff's
1.
Setbacks -Easements
2.
Soils; Compaction -Structure Stability
3.
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4.
Elec.; Receptacles and Lighting, Distance-GFI
5.
Elec.; Pool Lighting; 15 Volts-GFI
6.
Elec.; Enclosures; Conduit Entries -Terminals -Listed
7.
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8.
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main Conduit
9.
Health Department Approval
10.
Plumb.; Cir. Test -Water Supply Test
11.
Liqht Niche
12. Enclosure; Fencing -Alarms
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
J=OK
0 = Not OK
- = Not Applicable
. = Not Ready
RESIDENTIAL (Single & Duplex)
Date UNDERFLOOR (Plans) OK except #'s
1.
Zoning -Setbacks -Easements -Flood -Slope
2.
Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3.
Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4.
Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
5.
Stemwalls, Main; Steel -Bloc kouts-Wrapped
6.
Stemwalls, Garage; Steel- Bloc kouts-Wrapped
6a.
Hold Downs and Special Anchors
7.
Slab, Steel -Wrapped
8.
Piers -Fireplace Ftg.-Steel
9.
D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10.
UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
11.
Water Pipe; Test -Anchors -Regulator -Service Test
12.
Electric Underground
13.
Plenums & Ducts; Clearance -Material -Support -Ins.
14.
Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
Date
15.
Access & Ventilation
47.
16.
Insulation
48.
Cling. Joist-Rftr. Ties- Purl in -Roll Brac.-Truss-Shting.-Rtng.
Date
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
Card B-1 Date Card B-1
Date
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
17.
Water Htr.; Vent -Access -Combustion Air Baffle
_
18.
Water Pipe; Test & Anchor -Nail Protection
19.
D.W.V.; Test Fittings & Anchor -Nail Protection
20.
Shower Pan; Test, First Floor -Tub Access
21.
Test Tub & Shower, Second Floor -Tub Access
22.
Gas Pipe; Sixe & Anchors
23.
Fire Sprinkler; Test
59.
Glazing Area -Glass Protection -Skylights -Plastic
Date
60.
Card B-1 Date Card B-1
Date
61.
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
Insulation -Walls -Ceilings
24.
Fixture & Transformer Clearance -Ins. Protection
Infiltration -Walls -Windows
25.
Elec. Receptacles Spacing -Lights & Switches at Doors
Card B-1 Date Card B-1
26.
Size Boxes & No. of Conductors Stapled
Card B-1 Date Card B-1
27.
Romex Installed Close to Edge of Studs & C.J.
28.
Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
29.
2 Appliance Circuits in Kitchen & Conductor Size GFI
30.
Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al
31.
Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or All
Insulated Neutral Cl Yes O No
32.
Service -Riser Conductors & Ground Main Disconnect
33.
Equip. Clearances Panels-Motors-Mech. Equip.
34.
Clothes Closet Light -Shower Light -Spa Light
35.
Smoke Detector
72.
Elec. Outlets at Wood Panel, Int. & Ext.
Date
73.
Card B-1 Date Card B-1
Date
74.
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
Garage Fire Door; Swing -Landing -Closure
36.
A.C. Ducts Insulation & Support
A.C. Duct in Garage -Damper
37.
Vent Fan, Exhaust above insulation
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
38.
Condensate Drain & Overflow, Size & Grade
Plb.; Elec. & Mech. Equip. Listed for Location
39.
Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
Elec. Receptacles in Garage (FF.I.)-Romex Protection
40.
Attic Access & Platform if Furnace in Attic
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
41.
Sills Proper Materials & Anchors
83.
42.
Walls Studs -Nailing Spacing & Braces -Plates -Sound
84.
43.
Bearing Walls over Girders & Floor Nailing
85.
44.
Draft Stop in Walls (rat proof)
86.
45.
Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
87.
46.
Headers & Beams -Size & Bearing
Date
FRAMING (Continued)
47.
Hangers -Post Caps -Anchors -Connectors
48.
Cling. Joist-Rftr. Ties- Purl in -Roll Brac.-Truss-Shting.-Rtng.
49.
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
50.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
51.
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
52.
Garage Fire Protection Framing -RC Channel
53.
Property Line Firewall & Openings
54.
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
55.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
56.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
57.
Siding -Nailing Veneer
58.
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
59.
Glazing Area -Glass Protection -Skylights -Plastic
60.
Shear Walls; Nailing -Bolts
61.
Brace Interior/Exterior Wall Panels
62.
Insulation -Walls -Ceilings
63.
Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
64.
Ext. Steps -Door & Sidelight Protection -Landings
65.
Smoke Detector
66.
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
67.
Bedroom Exiting
68.
G.F.I. & Bath Fixtures & Tub Access -Spa
69.
Elec. Trim & Subpanel, Breaker Sizes & Labels
70.
Stairs & Rails
71.
Fireplace or Stove, Clearance -Hearth
72.
Elec. Outlets at Wood Panel, Int. & Ext.
73.
Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
74.
Elec. Outlets & Receptacles at Kit. Counter
75.
Garage Fire Door; Swing -Landing -Closure
76.
A.C. Duct in Garage -Damper
77.
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
78.
Plb.; Elec. & Mech. Equip. Listed for Location
79.
Elec. Receptacles in Garage (FF.I.)-Romex Protection
80.
Insulation -Foam -Looked in Attic
81.
Guard Rails & Deck Construction -Post Caps
82.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
_
83.
Following Instld./Drive ❑ Yes ❑ No/Walks ❑ Yes ❑ No/Planters ❑ Yes ❑ No
84.
Stucco Brown -Finish
85.
A.C. Unit Disconnect, Electrical -Plumbing
86.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87.
Water Well, Disconnect, Electrical, Plumbing
88.
Exterior Elec. Trim, G.F.I. Receptacle -Underground
89.
Ventilation Throughout House
90.
Glass Protection
91.
Corrections from Previous Inspections
92.
Gas Test -Meters Tagged, Gas -Electric
93.
Water & Sewer Connected -C/O to Grade -HD Approval
94.
Energy Compliance Certificate -Other Certificates
95.
Address Posted
96.
Fire Sprinkler
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUI.�DING PERMIT
24 HOUR INSPECTION #: (53d) 538-7636 (OROVIL'LE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541 FAM (530)538-2140
WEBSITE4 www.buttecounty.neAdds
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penally 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: / ,.,, 9 License Number.
Contractor. 619
OWNER -BUILDER DECLARATION
I hereby affirm under penally of perjury that I am exempt from the
Contractors' Stale License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which 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 pursuant to the provisions of
the Contractor's State License Law (Chapter 9.commencing with Section
7000) 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 the
applicant to a civil penally of not more than five hundred dollars ($500).):
❑ 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 Contractors' State License Law does not apply to an
owner of property who builds or Improves thereon, and who does
such work himself or herself or through his or her own employees,
provided that such Improvements are not Intended or offered for
sale. If however, the building or Improvements are sold within one
year of completion, the owner -builder will have the burden of
proving that he or she did not build or improve for the purpose of
sale.).
❑ I, as owner of the properly, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Profdsslons Code. The Conlrectors' Slate License Law does
not apply to an owner of property who builds or Improves thereon,
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' Stale License Law.).
O I am Exempt under Article 3 of the Buslness.and Professions Code
Date: Owner:
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.
tl I have and will maintain workers' compensation insurance, as
required by Section 3700 the Labor Code, for the performance of
the work for which this permit Is Issued. My workers' compensation
Insurance carrier and policy number
are:
Carrier. ' �nL/
Policy M oCwjltt 3lD 7
❑ 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 the workers' compensation laws of California.
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Date:
Applicant: .
WAR N IJUG: Pallu to secure workers' compensation coverage Is
unlawful, and shalt subject an employer to criminal penalties and one
hundred thousand dollars ($100,000). In addition to the cost of
compensation, damages as provided for In Section 3706 of the Labor
code; Interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY
1 hereby affirm that there Is a construction lending agency for the
performance of the work for which this permit Is Issued (Sec 3097 Clv.)
Name:
Address:
PERMIT NO.
P050300
Issued Date: 02/07/2005 APN: 007-460-038-000
Site Address: 567 CIMARRON DR CHI
Map Index:
Description: RE ROOF COMP OVERLAY 25 SQ.'S
Owner: MARSICOLA RAYMOND A & SANDRA
567 CIMARRON DR
CHICO, CA
95973-0390
Applicant: BAIRD ROOFING CO
11025 MIDWAY
CHICO, CA 95928
530-342-1631
Contractor: BAIRD ROOFING CO
11025 MIDWAY
CHICO, CA 95928
530-342-1631
License M 631460
.i::::,.
Architect:
Engineer:
3tal Square Ft: 0 S. F.
Valuation: $0.00
Census Code:
Is he eby Issued under
tpy work Indicated al
PERMIT EXPIRES ON:
which
sions of the Bide
have been paid.
Dale: A-_ i/
CndP pnrl/or
❑ 1 hereby certify that the use of this faclllly shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification In accordance with Section 19827.5 of California Health & Safely Code Is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above Information is correct, and Ihal'I am the owner or the duty authorized agent of the o or. I agree to comply with
all county and stale laws relating to building construction. I acknowledge It,ls unlawful to alter the substance of any official form or document of B to County. I hereby
authorize representallves of Butte County to enter upon the above mentioned properly for Inspection purpose
Print Name: ! Signature:
Date:
,
❑ Owner 0 Contractor i 0 Agent for Owner iXAgenl for Contractor
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR rNSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834
OFFICE #: (530) 538-7541
A FEE WILL BE REO UIRED AT TIME OF APPLICA TION
Website: www.buttecounty.net/dds
**PLEASE PRINT CLEARLY**
CONTRACTOR
Name RO O J5j W Ax
OWNER
Last Name
Stat
y\
irst Name
Address
E-mail
Lic. tl / /O
City
o
Fax
State
Zi
Phone R?q_
/
Fax
E-mail
CONTRACTOR
Name RO O J5j W Ax
Address - — en W UV
City
Stat
ZipQ
`6
Phone `�
cJ
� O
FaxNc;� n y
E-mail
Lic. tl / /O
CI DF
APPLICANT NAME
ARCHITECT/ENGINEER
Name.
City
Address
Zip
City
Fax
State
Zip'
Phone
Map Book
Fax
E-mail
Planner
State License Number
APPLICANT NAME
Name
Address
City
State
Zip
Phone
Fax
E-mail
APPLICANT SIGNATURE
X
For office Me only:
Zoning
Property Address
SC 7 �mp��
Flood Zone
Cross Street
SRA
Yes
I No
Occ.
Type Const.
Subdivision Name
Map Book
Page
Lot #
Planner
Date Approved:
UVtK I -UK sUbM1 I IAL REQUIREMENTS
PERMIT
NO.
QP5�
BIN #
LOCATION +
AP# , C
Property Address
SC 7 �mp��
Cit
,
Cross Street
WORKER'S COMPENSATION
Policy Number .o 7
Carrier
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2
Description or Scope of Work:
.-a ll
s.
Sq: Footage
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
required.
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
Received by: Amount: /, �v Bldg
SRA
Receipt #: Sheriff
SMIP
Date: / �Other
/ 7 <56 Total
REV 7-27-04
J
SUBMITTAL & PERMIT REQUIREMENTS
The following drawings and specifications must be submitted to the Building Division in order to apply for a
permit.
INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK
❑
1.
Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper!
❑
2.
Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR
Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑
3.
Engineered truss details and layouts in duplicate (if required). No faxes!
❑
4.
Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to
mobile or modular homes.)
❑
5.
Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
❑
6.
Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down
or fnd plans, all in duplicate.
❑
7.
Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor
plans in triplicate. All of these must be stamped and wet -signed by the engineer.
❑
8.
Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required).
❑
9.
Site plan and business license approval from the City of Biggs.
❑
10.
Letter of intent for non-residential buildings.
❑
11.
Detached Accessory Building Form filled out by the owner (if required).
❑
12.
Hazardous Material Form (for Commercial Buildings only).
❑
13.
Sanitation and site plan approval from the Environmental Health Department.
Remaining
items needed to issue the permit. Additional items may be required after Plan Check and Planning
review
(May
require additional plan review upon receipt of the following items.) -
❑
1.
Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required).
❑ -2.
Impact Fees:._:._..,-.; :.... - --
❑
3..
CaliforniaaDepartment of. Forestry plan approval (if required). ;.
_ .. .. .. .. ..--aR3.4
❑
4.
NPDES Form.
O
5.
_
Encroacliment`Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).. -
❑
6.
Contractor's -license. information. (Number, Name Style, Classification).
❑
7.
Worker's Compensation Carrier and Policy Number:
❑
8.
Owner -Builder Verification (if required).
❑
9.
Letter of Signature authorization (if required).
❑
10.
Recorded copy of Agricultural Acknowledgment Statement.
❑
11.
❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's).
If you have questions or would like additional information regarding this process, contact a Permit
Application Assistant at (530)538.7541.
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one year after date of application. In order to renew action
on an application after expiration, a new application, plans and fees will be required.
REQUEST FOR FEE REFUNDS
Refunds can only be made upon written request by the person who paid the fee. The request must be made within two
years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits
issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not refundable.
OVER FOR BUILDING PERMIT APPLICATION
KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
. 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541
OW
(Rev. 12/96) APPLICATION AND PERMIT C 3�j�
ASSESSOR PARCEL NUMBER ^ _ j // `'
,••Ii- SIL (\(/tel/✓/
ZONIN;_
BUILDINGPERMIT
OWNER
TELEPHONE
IS 31o3
SQ. FT. OCC. BUILDING VALUATION
owN Iu ADD
59 3
CONTRACT 'S NAME
,QN
✓✓{{
CO R ILI DR SS V /gyp
1.
CONSTRUCTION LENDER
[Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Plan Checking Fee $
BUILDINGADDRESS 54p? 1
Energy Plan Checking Fee $
$
PERMIT FEE $
LAT NO.
SUBDNISION'S NAME
PARCEL MAP
PLUMBING PERMIT Fling Fee 20.00
USEOFSTRUCTURE
S�4 Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap 7.00
Solar or heat pump water heater 23.00
Water piping 15.00
Each as water heater or vent 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Ulilities ❑ Installation ❑ Other,❑
Describe Work:C10MU
Gaz)
Gas piping system 1 - 5 outlets 15.00 .0
Building sewer 15.00
Mobile Home I S I G I W @20.00
PERMIT FEE S , (JV
ELECTRICAL PERMIT Fling Fee 20.00
UES
Main Service zo.A OR LESS 23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license ' In full force and effect. p�
License Class � Lic. No. �1 Co ��
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ 1, 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
Main Service 200A TO 1000A 46.00
NEW CONST. DWELLING OCCUP. s0
OR ADDNS. ( DIT
ACC. S.3.50FT.
NEW CONST.MULTI.OUTLET
NOFFRESID. @7.50
POWER APPARATUS
a SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FIXTURES Q 1.00
BA20 .s0
Ex. Occup. OFIxLI A IES o ORS 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE S
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
'( 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
forthwith comply with those provisions.This
/_ /Lg X03
X Li�i�Lf/d/1 Date
Signature of Applicant - ❑ Owner ontractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
R_ 3
E
Uh TOTAL FEE $ 3S, Qu
CONST. �FE
HA2.
D. IMP
I FLOOD
CDF
I PARCELPD
HD
ISSUE
permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicate a ove for which fees have been paid.
By Date �_�� O3
PERMIT EXPIRES ON
Data
Receipt No. 35-00
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
Name IMARSICOLA RAYMOND A & SANDRA
Addr1 1567 CIMAR RON DR
Addr2 I CHICO CA 95973
Addr3
Addr4
Comments 10746003800 CONVERTED 09/08/88
Creaking D oc#1 1984R 2977500 D ate
Current D oc# 1993R 21399 Dake 5/27/1993
Killing Doc# D ate
Asmt Desc LOT 129 NORTH PARK
Zoning R1 00 D well
AcresS g Ft 0 ..6jN �CIF0 7
S uplCnk F
Asmt # 1007-460-038-000 Fee # 1007-460-038-000
Status ACTIVE Status Date
Tax [00-0 INORMAL OWNERSHIP TRA 062-096
Situs F567 CIMARRON DR CHICO
BaseDk
Timber Preserve
AgPres
Etal
N okes
B onds
multi Situs
Flag1
Flagg
910 MH
Asmt PP Pen
Tax PP Pen
Appeal Pending
F Split Pending
Land
S truckure
Fixtures
G rowing
Total L&I
Fix. R F
MH PP
PP
Exempt
64,543
77,452
0
0
141,995
0
0
0
7,000
Net 1 134,995
R!C#F—
T!R DtI
R!C Stag
PHY I OWN I EXP I jAX I HON I ATT I SIT ,SPR I ECL I
P-1 N
Find
c27
'CO UNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 '
APPLICATIOWAO PERMIT '
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
SQ. FT. OCC. B ILDING VALUATION
OWNER'S MAILING ADDRESS
CONTRACTOR'S NAME ,
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
• � [ r` . /• r r
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10,00
LENDER'S, MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20,00
C ,
Water piping
5.00
LOT NO.
SUBDIVISION NAMEPARCEL
MAP
Each qas water heater or vent
5,00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF [:1Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
5.00
Mobile Home S G W
10.00 e
l�" /J�
J 4
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Uti Iities ❑ Installation ❑ Other
Describe work: '- �- _ r ��'� `��- "r _
`
Permit Fee
$
-Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LEss
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.&
OR ADDNS. ( ACC. BLDGS.
21h2sq ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. ! 1 I - Classification I _
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR ULTI-OUTLET 2,50 ea
NON-RESID BRANCH CIRCUITS)
NEW CONSTR (POWER APPARATUS &1
NON-RES,D. SINGLE OUTLET CIR, /
20@50c
Ex. Occup(o XEDTs OR FIXTURES BAL@30Q
FIXED APPLNS, OR
Ex. Occup. OUTLETS (RESID.) EA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Mise. Wiring
15.00
Permit Fee
$
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
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 County in consequence of the granting of this permit.
X , Date�'- �-
Signature of Applicant — Owner❑ Contractor !❑ Agent 0 !
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $ If f , f_ fJ
OCcuP. GROUP
I TYPE OF CONST.
PARCEL
PD
I HD I
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By, �� - _ �-
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No.
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTT: - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO.
O `
ASSESSOR PARCEL NUMBER
419L 75
ZONING
BUILDING PERMIT
OWN
G
TELEPHONE
SO. FT. OCC, BUILDING VALU ION'b
OWNER'S A LING ADDRESS
N7 ACTR'S N M
,J<% �f � � 'may
TELEPHONE
13".3,
'
CONTRACTOR'S MAILING ADDRYSS
IeQ ✓ li L C /GO
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEERLICENSE
��
NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
PLUMBING PERMIT
Filing Fee 10.00
L5
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO.SUBDIVISION
Z
NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
5.00
Mobile Home S GJWJ
10.00e
'= ✓(-
Zoo
TYPE OF WORK
New❑ Addition Remodel❑ ilities❑ installation[--]Otherontractor
I
Describe work: 1 �'
Permit Fe
$
ELECTRICAL PERMIT
Filing Fee 10.00
Main service eo0V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD•L 100 AMP
2.50
NEW CONST.(DWELLING OCCUP.&
OR ADDNS. ACC. BLDGS.
t
2/20sgft
CONTRACTORS LICENSE LAW
I decI under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professiops Code and my license is in full force and effect.
License No. 41+1-17 Classification �/ Z7
❑ 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 ULTI.OUTLET 2,50 ea
NON.RESID BRANCH CIRC ITS
NEW CONSTR POWER APPARATUS .&)
NON.RESID. (SINGLE OUTLET CIR.
20050a
Ex. Occup(OUTLETS OR FIXTURES SALQ30
FIXED
Ex. OCCUp. OUTLETS P(RESID ILNS KEA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
The permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ 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 10.00
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemni n p harmless the County of Butte against
all liabi lid judgments, o and expenses which may in any way accrue
a sal County in co ence of a gr in f is permit.
%� ate
Signature of Applicant o ner❑ Contractor Agent
An OSHA permit is required for excavations over 5' " deep and demolition or construct-
ion of structures over 3 stories in height. IL
Mobile Home Installation Fee $
_
TOTAL PERMIT FEE $ O
OCCUP. GROUP
TYPE OF CONST.
PARCEL
PD
HD
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIR CTOR OF PUBLIC
B
PERMIT EXPIRES a
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Dat
�/
Receipt No. ,alts
WHITE-D.P.W., YELLOW -AS Se SSO R, PINK -INSPECTOR, GOLDENROD -APPLICANT
PERMIT NO. ; 4 1531-84B,P;E,M
-.PERMIT EXPIRES S/ or l US
OWNER ALVINCO
CJS U Q r --i
; CONTR. Webb Bros Const
ASSESSOR PARCEL 44-75-38
LOCATION 567 Cittttttaron, lot 129, Chico
4t
Wr
,JL�,.t+ SOF ICE COPY �S' '`s't�•
ss
�`--- �+
5.1
GAS �'s'i'��'rtlka�,�y�" -�
s� s Wter. Y -4a,. ►.r+.lQ•4ar `T Dater
�_.
Mete
y Date
OFFICE COPY -i •'
(#P Address�,��
t GAS
1p Meter Dat
ELIECTRIC
Meter By Date
Temp. Power Pole
Called PG&E _
Temp. Elec. Service I
' Called PG&E •
i 'Temp. Gas Service
` Called PG&E
r" JOB FINALED (Date)
L'
Signature
J = OK
O Not Ulf
= Not Applicable MOBILEHOMES
= Not Ready
MISCELLANEOUS
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 k'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
5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures
6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG
6. Carports; Windows—Doors
7. Utility Clearance
7, Elec. —
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except 's,
Card -BI
Date
Date Card -BI Date
POOLS (Plans) OK except k's
1, Zoning Req uire ments—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/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-1
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
V =OK
0 = Mot OK' •
= Not Applicable
= NorrReady RESIDENTIAL (Single and Duplex)
� '
.r
Date
UNDERFLOOR P ns OK except #'s
Date FRAMING (Continued)
ning requirements-Sedbae(t's-
gs ,
g., Main; $Rite= -Elec ,- / Ft;. Depth
4 -Doors -One 3' -Check ��ts
arage; $piiSr-Srteel- / Zi/" Ftg. Depth
5 ise-Run-Landing-Fire Protection
P -
t ., Porches Se Beeks; S*Hf-6leef- / /" Ftg. Depth
E lywood ork:q of-erhang-Alti(Lyents-Raf�ac-9ntriggers
i
temwalls, Main; -BI outs ra
id' g -N ing-Vtr2¢r
mwalls, Garage; -BI uts-W - a /
ucco Mesh -Drip &-feed-F r s
- el
5 zing Area -Glass Protection -Skylights -Plastic
V.:�aff-Fit w / ew
a s; ai ing-Bolts
9^a Pipe; Size -Anchors -
ater Pipe nchors- egulator-Se st
/
11
Ins.
1 -
Card BI Date Card -BI Date
Card -BI Date Card -BI Date
Card -BI Dat Card -BI Date
Card-BIDa4__
Card -BI Dat r C�
_
Date FINAL (Plans) OK except N's
Card -BI Date „/Lp V Card -BI Date
Date
PLUMPING (Permit) except q's
96!Ext. Steps -Door & Sideligh r ction-Len< rngs-
5 . oke Detector
1 ater Ht.; V -Acs -Comb n Air
A8 urnace; V-ClewanCe;'Co;; -. r-Conwect6r-
In - rotection
P L ater Pipe' nchors- ai I Protection 7
Test-Fttngs ors-NdwP'rotection
5 e m Exiting
n, st, Fir�5+o6r-
G.F. ath Fixtures & T
- Access
-6 ec. Tr4mj-SubpUgi;-B eake"4QZs-Lcebeis'
Lge-eTs--pipe; Size & Anchors
irs
f�i ince or4tove-Clear#ncgsA4eafth--
24e-E-Fec. Outlets at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
Appliance; GZx1--='Air Gap-(13ookin arance
Card -BI
Date Card -BI Date
6firllTec. Outlets & Receptacles at Kit. Counter
Date
ELECT CAL Permit OK except q's
- 6 rage Fire Door; Swing-9-CJ2seF�1
6 - ef. .
ixture & Transformer Clearance -Ins. Protection
_
69-Wtr. Htr.; Vaats—Clearance-GombbAir-Co2ec-�_k:-
In ge; Aboy FI -MaQAo dale rinn
ec. Re ptacles Spacing -Lights & sat Doors
oxes & No. of Conductors -Slept (�
70,151b., Elec. & Mech. Equip. Listed for Location•
7�S4ec. Receptacles in Garage; (G.F�L�Romex,Psolec.
ex Installed Close to Edge olL-&kd9 & C.J.
ip. Ground made up.9LLbleeh: Fasteners-B02g-Gas iGJNaier-n-Posy�a�s�
;2r -Foam -Looked in Attic Byge.
pliance Circuits in Kitchen & Conductor Size
Subfeed Wire Size / ga. Goer AI-A.C. Wire Size / ga. Cu erPd
d ' Draine _&_ Earta Clearance
Loq ed a dsr ri n es
Vel�ange Circ. / / ga. G+ro AI-Ovaa-6irer,�--lea. Cu or At,
Ins fated Neutral -L7❑No
Y. owing instld.: Drive Y No; Walks s ❑ No;
Planters ❑ s o
-/L•
S ice -Riser C&<uctors & -Main nnect
tucco; Br n-Fi G i
20 ►Equ earances; Panels-Motors-Mech. Equip.
7Y-•{rC-0nit; Di nett-Clrincee��ikrv-&-6orfd. Size-11S�Oytlet
3 ht
7a_-Vsf1fs Above Roof; RLbg.=AppWaaeer--F' - araca lo-Opngs.
72 Water WW'i 04seeftmeCr,-VTCCTrtc2f,-4aPatbag
0. for Elec. Trim; G.F.I. Receptacle -U__,_
Card B-1
Date �_ Card -BI Date
-Z81_-VV-ntLLaUon throughout House
Card B -I
-
Dat a)-yy Card -BI Date
ass Protection
Date
MEC ICAL (Permit) OK except N's
8 cti ns from Previous Inspections
4. Gas T Ta/jged"C;a; E, -
A. ucts; Insulation & Support
RS,-Wa—Jer & Sewer Con nected-C/Q,1 HD Approval
W, -Vent Fan; Exhaust above Insulation
3 er ow; ize & Grade
nergy Compliance Certificate -Other Certificates
34 a mrAccess-Comb. Air -Return Air Vent -115V outlet
atform if Furnace in Attic
Card-BDat Card -BI Date
Card -BI,
�CardBI
Dat �� Card -BI Date
Card -BI Date Card -BI Date
Date Card -BI Date
Card -BI Date Card -BI Date
Date
FRAMING Plans OK except q's
Comments at Final:
3 ills; Proper Material & Anchors
s; Studs-Mfiling*S�ng & B - Iates-Sq""4-
3 ailing
3 raft in Walls (rat proof)
4 ire F s�saise�(}hesee�
ader & Beam -S' Baring
angers -Post Ca¢c-Anchor�e
43 g. st-RfU-.;r-Ys-Ptrrrrfr-lioaLLk-ac.-Tr hUpv -Riaq
r Typ�— — - - at -- -- -
c cce ex P Dr p n ies
4QyBe*.'Windows or Exiting Doors -Sill Hg_t. & Dimensions
&7 -'-Garage Fire Protection Framing ,J
(NOTE:Anentrymust be made each time you visit job site)
�--- = Penuit No.
L N h:iz c r C L CAT ION
LOCATION )
ROOF DESI:'(11'TION 0[. INSULATION
Material
Thickneus(inches) hc4nd Name
EXTERIOR WALL. 1'tierp�l Resistamg k
. ( Valur)
Material Fibergla5�.
Thickness(inches)_ r; braid N:uue Certainteed
CEILING Thermal�sistauce(R Value)_
Batt or Blanket1e t_ -:i t'
Thickness (inchesjcr 1a55 brand
Name Certainteed
Loose Fill Type F1bL7rgl-as s Thermal
RAI ietanCe R
Minimum Thicknes,(Inches brand ( Value)
�,� ` Name Certainteed
Area covered(ft, ) -----_ Number of Bags Wt, per ba
FLOOR, ELEVATED Thermal ReEi.st ce.(N Value) lb,
Material Fiber lay
Thickueas(iIn, ches) brand Name Certainteed
FLOOR, SLAB Thermal Res
Material iattWWR Value),'
Thickness(inches) brand N;tme
Width(inches) T1►enn►al RealatQuce(Lt
FOUNDATION WALL,
Material
Thicknesa(inches)brand-Name
Thermal Resiatance(R
I hereby certify that
in
at ti�a above insula cion ,•,as
confOr%Ance with tt,u State of Caliroruia Energy
in the above builds
ng
Hawkins Insulation cc).
6Y p4qukretente.
] nc' 3�84378407FIRM
NAME/OWNLR
E CUNTRAOTOk'S LICENSE N0,
SIGNATURE OF INSTALLA,rION APPLICA'1'Ult O
DATE
I hereby certify the above
i�►�«lation Mild all rc sussed
b Department appruved plans and •tCLac Meme as spawn on the
required by the State of California Ener temente have been inetallud as
Energy Requirement, Be.
All equipment, devices and nlatcrials are of the
specifically approved by the Stat;: Of Californiaquality prescribed or are
F YLiM NAS
W>�R (Yleaee print) (J -
STATE Cp ,LAM
8 LICENSE NO
SIGMA RE OF 0 '
RAL CONl'ttAC'MR OWM..0 ✓ U y
DATB
'1'IiIS CEItTIFICATC MUST bli ON
INSPECTION APPRUVAL ANU A Copy SHAL LttBE j US'1'Lj) WN" D
LPAItTMENT PlZI013 TO FINgy
ITHIN THE BUILDING
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial ,Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext, 57
CORRECTION NOTICE
0
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, ed additional explanation, please contact this office immediately.
/'j
4T
/dTi lT� ��w7
4Lc
Inspector
L COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS '
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 5344541
Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57
CORRECTION NOTICE
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, or need additional explanation, please contact this office Immediately.
6-
v lI III,_,�
Inspector Date Z, — 7 S ��
COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS `-
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND -PERMIT
PERMITZ�l
3
.00%
ASSESSOR PA CEL NUMBER
zON
BUILDING PERMIT
OWNER
TELEPHONE
S0. FT. OCC. BUILDING VAL
OWNER' MA LI G ADDRESS
8s
CONTRACTOR'S NAME �Q ELEPHONE
I C /v/V ✓ /
V
{ice
CONTRACTOR'S MAILING ADDRESS
Fireplace 66?)
CONSTRUCTION LENDER
UNKNOWN
Total Valuation I $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS ,
Permit Fee
$ Z521
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee$
CX/
p pna�t�f.-/
�'T -" E C /
ri
$ Jt
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ ft,6110
BUILDING ADDRESS ��
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00 �F3
Solar Water Heater
20.00
C.�OI
Water piping
5.00 S6t�
LOT NO.
J
SUBDIVISION NAMEPARCEL MAP
o _e
Each qas water heater or vent
5.00 5106
Gas piping system 1 - 5 outlets
5.00 Si
USE OF STRUCTURE
SFli$0 Duplex ❑ Mobi lehome ❑ ' Other
SPECIFY
Building sewer
5.00
Mobile Home S I G I W
10-00e
TYPE OF WORK
New Addition❑ Remodel❑ Utilities❑ Installation❑ Other❑
Describe work: —
Permit Fee
$ 16, IB'0
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service e00V OR LESS
100 AMP OR LESS
10.00
51S.
Main service EA. ADD'L 100 AMP
2.50 Z0�
NEW CONST. ( DWELLING OCCUP. B\
OR ADDNS. ACC. BLDGS.
ej
I 2�/ZQSq ft T5r
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 fulllfforce and effect.
License No. �D % 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. ULTI-OUTLET 2,50 ea
NO N.RES'D BRANCH CIRC ITS
NEW CONSTR. (POWER APPARATUS .&)
NON-RESID. 1 SINGLE OUTLET CIR.
Ex. Occu BAL@30
P�o
XEDTs OR FIXTURES BAL®30
FIXED
EX. DCCUp. OUTLETS P(RESID )RE A.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee
$
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
61100
Cooling Z
Hood
3.00 eLi
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 id County in consequence of the granting of this permit.I
%� n Date ��� ! —
Signature of A icant — Owner. Contractor E]Agent [�,
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures overstoriesheight.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
ocCUP. GROUP I
TYPE OF CONST,
PARC L
PD ND
ssu
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIREC OF PUBLIC
BY
PE T EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
yam{
Date S
? I V
�in
/�3
Receipt No. 19019nr,�
WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT
This set of plans an specifications MOT be
kept on the iob at all t mes and it is unlv
sarful. to
.....
make any changes or Iterations on ixe with_ \\ S O
out written permission from the Department of `r l
Public Works, County f Bu •i.,J
NOTE:—All Materials &Wor manshp.Shall Be in-
Accordance
ri Accordance with Reco niz6U G0_0_ Pr�tices and ^~
of a quality prescribed - 107.87 _
Uniform Building, Plu bing & Mecharhga C des
and the National Electric ede,-- `k— — --- --t-� -- — ,
setback of 5 ft. fr m the y
Property lines and setback _
of Soft, from the rod 1 ►;r=
centerlI ne shaft be c earo`F
structures or equ ipn ienf exEdpf _
for a. 2 ft. eave ovre ang'. '
7,
tN
z
�..v
----' --See Master Plan on fi
pa for b ildin gi
J
't plans07Ar
__.
Job
mz� BUTT CO NTY
�T �`�� BUILDING DERAIRTM NT
IL
��. APP OVE
FORM
RL'SIDENT RI:L)ICir. NIAID '(1 LCK/'INSPECTION "ARi
Owner, '! imate Zone �l
Floor AreL C
_ Permit No. ..�%
Compliance path: Package Cell, PainL System
MIN Y ❑Budg
et n Other
REQ1D K-VALLIE DESCRIPTION
INSTALLED ITEMS (1) INSL'IAT:(Ot1:
❑ Roof/Ceiling --- '---
0 Wall
❑ Slab FloorPerimeter
C Raised Floor --
(2) INFILTRATION;
❑ (A) A vapor barrier is required in climate zones, 1, 14 & 16.
❑ (B't All ►manufactured windows and Sliding
hall meet the
197.2 ANSI Air IntilLration Standards and �shall rbescertified and
labeled.
---- ❑ (C) All swinging doola and windows leading to unconditioned areas
shall be fully weatherstripped,
'fight - the above standard leatttres plus:
�j (D) Continuuu-- iuf-iltration barrier
❑ (E) Electrical 'utlet plat.e,gasker_
t7 (F) Air-to-air heat exchanger
(3) - AZING:
(A) Loca_tic�_n
Total Bldg Area Glazing %Floor Ar a Singlu Double Triple
❑ North
❑ East
i_l South�-
❑ West L --�-
❑ Skylights -----
(B)
Shading
Coefficient Description
SOULh C1 East ._-r+—fJ_3—
❑ West
-de- -
❑ Skylights
❑ (C)South Overhan
Length of projection - _ft. Description _
❑ (n) Moveable insulation.:Area _� - fDescii _
ption
(E) '.l-hermal _mass - — ----..... ---
'rype Area
_1 3 Location _ a l..sna. � � C -� --
ItC=.. z- -._--- �•rea Ft.�
-- _ .► �1cy.'pc: - - Area _- Ft HC R=
_ Ldcatior•
_— ' ❑ TICpe Location ._' -- - Area __-Ft, Rte__
Type �.._ _- _ -... _ - Area gt
14(,=- Location - _- -Ft. HC= R=
---- L7 T.fpe Area - Ft HC= R=
Oil
7/183
U FDR M
/
❑
(4) MASONRY,AND FACTORY_BURZ, E.lREPIACES shall be equipped with tight
fitting closeable metal or glass doors covering the entire opening
of the firebox; a combusion air intake equipped with a readily
accessible, bpenable, and tight fitting damper to draw air from the
outside of the building; and.a tight: fitting flue damper with a
readily accessible control.
*1 (5) HEATING, VENTILATING. AIR_ CONDI_IONING SYSTEM
❑
(A) Heating --
Central
Gas Furnace n q- Q
D k (bradd and model number) SE
t�ac_k. 115-0 J9 ao Etu/hr
(heating capacity)
❑
Heat Pump
_
(brand and model number) ACOP
Btu/hr
(heating capacity at 47°F)
_ ❑
Active Solar
type (liquid nr air) Collector brand and
- ft2
model number . solar fraction collector area collector
orientation collector tilt rated. y -intercept
rated slope _
_ C.
Other ---___._... __._.._._......
- •— {describe).
*1
(R') Cooling
❑
_
Electrix: Air Cunditiouct �� ��._rL•5 .�as� 9 /1
'D
(brand and model number) (seasonal EER)
Btu/hr
(cooling capacity nt 95°F)
❑
Eiectric Heat Pump - _ —^—
EER
Btu/hr
(cooling capacity at'95°F).
❑
Other
(describe) +
❑
(C) A TWO-STAGE THERMOSTAT, which controls the.supplementary heat on
its second stage, shall. be required for heat pumps.
❑
(D) AN AUTOMATIC SETBACK stall be provided for all thermostats, except
those controlling heat. pumps..
_ Q
(E) AN INTERMITTIN.-I GNITlON-DEVICE shall be provided for all gas-fired
fan type central furnaces, gas-fired fan type wall furnaces and
gas cooking appliances.
(F) BACKDRAI-Ir I?AMPERS shalt bre pi:ovided for all fan systems exhausting
air to the outside.
❑
(G) DUCT CONSTRU(.'TION & INSULI NtION. All . transverse duct, plenum, and '
fitting joints shall be sealed with pressure sensitive tape or
mastic to prevent air loss and shall be insulated to conform to
the provisions of Section 1005 of the UMC, 1976 Edition.
7/83
2
,�f �a,1� �la��o-7 UKM 1
(6) DOMESTIC WA T 4 .SYSTEM
❑ (A) Cas OnlyuSQLif' Gallons
(brand and del num e ) (tank size)
❑ Heat Pump w/Electric Backup
(brand and model number)
Gallons
2 (tank size)
Q * 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)
❑ (B) TANK INSULATION. .Storage type water heaters and storage and
backup tanks for solar systems shall be externally wrapped with
R-12 insulation or greater.
❑ (C) PIPE INSULATION. The five L,;et of pipe closest to the water
heater and outside conditioned space shall be insulated with a
minimum of R-3. Steam and steam conditioned space shall be
insulated with a minimum of R-3. Steam and steam condensation
return piping and recirculating. hot water piping outside the
building envelope shall be insulated in accordance with
T20 -1408(d).
❑ (D) FLOW RESTRICTORS shall be provided for showerheads and faucets
as outlined in the new appliance.efficiency standards and shall
be certified to the Energy Commission.
(7) LIGHTING
❑ (A) Lamps used in luminaries for general lighting.in kitchens and
bathrooms shall have an effigy of not. less than 25 lumens per
watt (usually florescent).
~ ---� _.._..._ ._.._._..... -•
*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 °, ..1evation L mop', heating load U
elevation factor _�x heating load = max"imu"m outlet capacity gas urnace
BTU
ybi ypo �o �-- a oj
Cooling: Summer design temperature cooling load U OGYBTII
*2 Submit T..I.P.S..E. chart or other approved system (form #5) to document sizing of
solar panels:. USE ONLY AS SIZING GUIDE,
COOLING t jAYrSE J�IAP�U(4TE
® DESIGN COMPLIANCE STATEMENT: The above building design meets t e equ
Title 24, Part 2, Chapter 2-53 of the California Administration Code.'
7/83 IGNATURE OF U G DESIGNER OR APPLICANT
3
ZONE 11
OUNER
PEPMIT '.NO. AS .:GN -ED A.'.'il-,:L
FATSED FLO-Y - F-19
CEiILING - R-30
:IALL - RA- I I
::J.."MI GLAZ:!::i
6. EAST GLAZING
7. SOUTH GLAZI*%;
3 :.-j�5'
s::•r:.:(,::- - X1.1.3^,
It. SHADING (Exclude Cuc:ttan^)
EAST
- 67-.E2
SOUTH
- 1'I-:4= -
VEST
- .13-.10 --__
1 -2
1 -1 !
i2. I-VIVAbUr 1::Su=r.'rI' is -
13._. -_--
IL, TriZRAA .ter.- ----- --e -- ---
15. GAS FUR.N' CE ;SE) 7. 76'•
DUALPACK != Sic'! 5.. --.3/71-7:5" -
11 ACT?"t-. SOLD •i(';. .:1:. (NoNE1
1
)--O:*ALLY
ON-ROLLF-D Ei - :' ZIC
2U. 50:.,1P .:tT!E G:. SAC::C?
21. OTHER - ::G ELECTRIC 01W)
ITEMS 5!10+i`: a ZEiv^ ?O i::TS
'able 3-1. Slab Floor Points
1 ta•:t!a- 1 li-Vaiu+ o! :ns.a:stion I
I Dtrth. T-- T -i -j -'
1 int_*ea l 0-2 1 3-4 ! 5-6 1 7+ 1
n-It1-5
1-5
1-5
1-5 1
- 15 1 -5
I -3
1 -2
1 -1 !
1st -5
i -2
I -1
1, o I
! R -Value of Insulation I Porta 1
}
1 'rocal
!
1 i
Tal•le 3> R
1 !
1 R -Value of I
I Insulation 1
Table 3-3a. Ceiling
Pu f n t -i
Iasulatien
Table 3-7.South-Facir.�
dart*5 is
--T
74tle 3-L0.
Shadin Coefficient Potnts
( i
Tetal
Z of
I {
1 Sngl, Ob:, Trp!..
Polnta I
T----T--S-
I (U - I (U - i (1;
! R -Value of Insulation I Porta 1
}
1 'rocal
i Glazing Type !
1
I SC by
I
!no!nts 1points I001n:51
Point, J I
of
!
I Sng1, Dbl, Tr, 1,
I Oren-
i tetion
1 Floor Area
'1
I -5 I
1.4- 2.4
I Floor
1 (U _ I (U - I (. - I
}
I
I t9
I _4
1
1 Arca
11.10) ! 0.55) 1 0.41)1
-15 I
I --T-
I 22
1 30
! -2 1
I
I oirts !points I oointsl
I East
1 1 3.2 1
I 38
1 0 I
O
I
+) 1 +j a 3--
1
i 0-3.1 1 to 1 6.4 up
I 49
I +2 I
UP to I -SA
+2 1 +2 1 +2 I
I
I I 6.3 !
; -15 I
J +4 J
I 1.6- 3.6
1 -1 I o I
Floor
1 1 (u -
Area 1 ,.101
I ('
! 0.65)
!
I I
1 3.7•• 5.2
I -4 1 -2 1 -2 {
I
I k 11.4 13.2 ' S.4 1 1 '
Table 3-4a. FAII Insulation Points
i P. -Value of insulation I 7ointa
T I i
1 11 i
I 19 _0
i 24 ! +2 1
30 ; +3 !
Z� Tale 3-S. North -F
- C T ,�acln; . Clati Pts "�" ! I Glazing Iype -(
Total ! 1
-- I
2.0f snap. ; bi�Irpl T
I F:oer I U ' 11t - ! l: - !
1 As ea ! 0.36 1 0.62- 1 0.41 i
0.65 1 -!, m ;
r- -1- q
0
3.7- 4.8 ! 1 -2 l -1 1
1 6.2- ..3 ( -9. 1 -6
7.4- 6.2 I -12 ! -6 j -' j
! ?•°-::•8 i -17 i -12 1 -10 J
-• 110.9-:2.0 I -19 J -14 1 -12 I
J 12.1-13.2 I -22 i -16 1 -13 I
-- 1. 1'3. ?-:4.5 -2: 1 -;3 1 -15
--- - 14.6-:5.3 ; -i % 1 �-Z0 � ..
Table 3-S.
1
1
cast -i uliZ Clazirq 7t5.
I ( 2.5-- 3.6 1
-2 1
0
! Glazing Type I
( i
Tetal
Z of
I {
1 Sngl, Ob:, Trp!..
Polnta I
Floor
I (U - I (U - i (1;
I
Are,
i 1.10) 10.6s).i 0.41)1
1 i
-4
!no!nts 1points I001n:51
Point, J I
o
-+ -( +.4 +4-r
I IuPto1.3
+3 1 +4 1 +4 1
I -5 I
1.4- 2.4
I +1 ! +2 +2 1
1 below 3
1 -12
I ( 2.5-- 3.6 1
-2 1
0
1 0 1
I 3- 4 1
-8
I I 3.7- 4.6 1
-5 I
-2
I -1 1
t 5- 7 I
-6
1 i 4.7- 5.5 I
-8 1
-4
i -3 t
I a- 12 I
-4
I i 5.7- 6.7 I
-10 1
-6
I -5 I
I 13 - 18 I
+2
J ! 6.8- 7.7 (
-13 I
-8
! -7 I
'19+ i
0
I I 7.8- 8.7 !
-15 I
-10
I -8 I
I I 8.8- 9.7 i
-17 i
-12
1 -10 !
1 3.1 1 6.3 1 7_9 9.51
TTj 7'--T....
I 9.8-11.2 1
-21 I
-15
! -!3 '
11.3-12.7 1
-25 I
-13
; -15 I
1 5.3- 6.5 1 -6
1 -4
1 -3
1 J -.19
1 0 ! +1 1 +2
1 6.6- 7.7 ( -9
I -6
1 -5 I
l •20-.36
1 0 I 0 I -R
1 7.8- 8.9 I -11
1 -8
1 -1 11
.37-.66
I 0 I 0 1 0
1 9..0-10.0 I -13
110.1-11.5 1
1 -10
,I -9 1
1 .67-.82
( 0 1 0 1 -1
-17
1 11.6-13.0 I -21
I -13
i -16
1 -11 I!
I -14
83 up
I 0 I -1 1 -2
113.1-14.5 1 -25
I -19
i -16 1
T-
114.6-16.0 ! -23
I -22
! -19 1
I South
1 0 1 3.2 1 6.4 1 3.0 1
to 1 to I to 1 to I :.
Table 3-8. Vest-Facln :latfnc P;s.
-----�
i
1 3.1 1 6.3 1 7_9 9.51
TTj 7'--T....
! I Glazing Type
0 -.18
1 1 +1 1 +2 I +2 !
! Total i
.19-.42
1 0 1 0 1 0 1 0 1
I f
I oSngl
I I ,
Ob1�
I
Trpl.
1 .4-.
366
1 til up
1 0 1 -1 I -2 I .2 1
! 0 ! -2 1 -4 1 -4 1 5
Floor
1 1 (u -
Area 1 ,.101
I ('
! 0.65)
I (C - 1
10.41?i
t-{----
! ! ointa
lonlnta I o!r.!s!
Vea:
I k 11.4 13.2 ' S.4 1 1 '
! up to 1.3 I
i
-'5
! 45
{ +6
1 1.5 13.1 ! 6.) i 2.7 1
I 1.4- 2.2 ( +3
+4
! +5
1 2.3- 2.a ! 0
I +2
! +3 ;
I--
! 2.9- 3.6 ! -t
! 0
( +1 I
^.-•l2
0 ! +1 .i 0 t +6 +7
1 -2
i v i
I
• 13- 36
! 0! 1 ! 0 1 L i
i 4.3- 5.0.1. -A
j -4
I -2
! 37-.5%
0 i k I -3 1 -6 1 _:
! 5.1- 5.6 I -1�
! -6
! -;
! S: •?2
I -1 ' -3 1 -6
1 5.7- 4.2 'i -0
1 -6
-8 1 -15 I
6.3 t -15
7.6
3.2 j -20 !
-1-
I -1: !
Skylight
I .1 1 .8 i 1.6 13.2
1 8.3- 8.8 1 2 {
-19
! _1)
1 to I to t to i t2 i to
9.S I -:5 1
-13
! -15 !
I .7 I l.5 I'M t ! 3.9 1
1 *'6-l)- i : -2. i
-20
1 -1 •
i - 1 -T-
110.2-1:.0 ! -:y 1
-21
I -l7
'-•12
1 C 111 i +3 I t6 I -)
-35 !
-26
1 -2l
•:3-•35
1 0 1 0 1 0 1 J I
' 11.9-12.7 1 -33 I
-29
i -24
•32-.57
1 0 1 -1 I -3 I -5 1
J 12:8-13.5 1 -42 I
-32
-27
( 56-.d2
I : 1 -3 i -6 ! -12 i
1 13.5-14.3.1 -46 I
-15
-24 1
:•] u.-
1 -2 1 -4 J -8 ! -'a
1
--
1 I
} }
Table 3-t.t.
Kn.!zan:al South
Table 3-9-Skylinht Points
I 1 Glazing Type !
! Totvl I 1
1 I of T Srg1,- Dbi, T TrPI.
Floor i. U - I U -
I Area 10.66- 10.42- ! 0.:1 :
! I i.t0 1 0.65 i down i
! up to 1.1 i -1 ! 0 1 0 !
I 1.4- 2.2 1 -3 I -2 1 -t
i 2.3- 2.8 I -6 I -4 ( -3 I
I 2.9- 3.4 J -9 I -6 ( -5 1
! 3.7- 4.2 1 -11 I -8 I -6 I
t 4.3- 5.0 I -15 I -10 I -8.1
I 5.1- 5.6 I -16 1 -12 I -10 !
1 5.7- 6.2 i -19 I =14 I -12 1
I 6.3- 6.9 1 -21 I -16 I -13 i
I 7.0- 7.6 I -24 I -13 I -Is
I 7.7- 8.2 1 -26 I -20 I -17 I
I 8.3- 8.8 1 -28 1 -22 1 -19 I
Overha^.o. Pc!nt•
T --
i Le^Zth lut ! Ares. : of T!�cr
i fraz Cal: !
1
I
it
6.4 up !
I t 1 1
10.6 - I.0 -2 1 -3 1
! 1.1 - 1.9 I -1 1 I
! 2.0 up ! 0 ! 0 1
I ! ! 1
Table 3-12. Movable Insulation
Po1n•s
_ 1
I saveable Insulation I I
1 Area, Z of Floor ! Points I
I 1 1
! 0 - 5.5 I 0 I
I 5.6 - 11.5 1 +2
i 11.5=-17.3 I +j
PIAN TAKEOFF SHEET
orth Glazing
NTITY S,�I,,ZE AREA (SQ.FT.)
=) _ x a
x c
x
Total North Glazing= (� G (SQ.FT.)
(a+b+c+d+e)
1A L
IRTH TOTAL BLDG CONVERSION TOTAL
ZING FLOOR AREA FACTOR NORTH GLAZING
.FT. SQ.FT. —
3-7 South Gla_zinR
QUANTITY SIZE
AREA (SQ.FT.)
x
FLOOR AREA FACTOR. WEST GLAZING
�?_
'
x 100 � %
-�_ X LY13
SQ.FT.
x
=
x
Total South Glazing
= (SQ-FT.,)(a+b+c+d+e)
CSA L
JTH TOTAL BLDG CONVERSION TOTAL.
°ING FLOOR AREA FACTOR
SOUTH GLAZING
33Q . x loo
%
IT. SQ.FT.
3-9 Skylights
QUANTITY SIZ
AREA (SQ.FT.)
xX/ = 8
x =
_
Total Skylights
(SQ.FT.)
(a+b•ic )
M,
.ICHT TOTAL BLDG
INC FLOOR AREA
FT. SQ.FT.
CC%NVLRSIOid TOTAL
FACTOR SKYLIGHT GLAZING,
n
R
IT N0. � -- —r- —�
E_
FOR M 8
3-6 East Glazing
QUANTITY ZE AREA. (SQ.FT.)
(a) 1 _. x
(b) x =
(C) x =
(d) x =
(e) x =
Total East Glazing (SQ.FT,)
(a+b+c+d+e)
TOTAL
EAST TOTAL BLDG. CONVERSION TOTAL
GLAZING FLOOR AREA FACTOR EAST GLAZING
3a x loo %
A FT. SQ.FT.
3-8 West Glazing
(a)
QUANTITY SIZE _ --- AREA
(SQ.FT.)
x _ 1/X- 5/
(b) x _
(C) x =
(d) X a
(e) x -
Total West Glazing (SQ,ET.)
(a+b+c+d+e)
TOTAL
WEST-
TOTAL BLDG CONVERSION TOTAL
GLAZING
FLOOR AREA FACTOR. WEST GLAZING
�?_
'
x 100 � %
SQ.FT.
SQ.FT.
l
THEM, MASS TAKEOFF SHEET �' FORM -1
N0.
/(al :mass: Materials which have the ability to store heat (typical types are masonry,
ck and ceramic tile).
Thermal mass cannot be insulated from the interior of the buildin
Pet, cabinets, or enclosed in closets the mass is considered insulated)f covered by car -
Thermal mass floors must have an exposed and textured surface or design so tha
not occur. (Covering of vinyl or asphalt Lile and linoleum is permitted), t carpeting will
TYPE THICKNESS LOCATION
DIMENSIONS AREA
Entry Floor; x, s
Bath #1 Floor_ x `, SQ.FT.
Bath #2 Floor -x SQ.FT.
� .�
Bath #3 Floor:x , SQ.FT. j
Kitchen Floor _SQ.FT.
Floor `� x a �SQ.FT,
-- ------ Floorx a ------SQ. FT.
Fireplace x SQ.FT.
--
Fireplace x —'� a SQ.FT.
Bath it Counters -� , -----SQ.FT.
Bath #2 Counters x._._SQ.FT.
Bath #3 Counters x "'--, n ,SQ.FT.
Kitchen Counters X , _--SQ.FT.
------- Wa 1 l Shield`x -----=-_S Q • FT.,
Walls x .._.SQ.FT.
Walls , SQ : FT .
W411s X
m ..
~ x o--�_SQ. FT.
, x ._,SQ. FT..
x o-_.SQ..FT.
—.__SQ. FT.
f compliance method proposed is other than the points stem
harts are available), use calculation methods on reverse of 'thisformto s mass point
ass compliance. show thermal
;83
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ad
1• taa�sirteles to iara woL a tiaildfaS posit.
'dha M�=L1M Mew is a/1as«t to land os'laaladid
ai0s Mint
!��'�• lbat gef�lte�l }us�rlN„, a6d twllMata a! ,: �;
tllRs .tsw�q �4 1!6 w►10at ,bn ��a. or dlsaoartot , . fj�, F ' s
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.. '� •. �,' bat an• 1linitad � 7 .�f 4.
• 4!M 28etl�,lStrO, #� :� !� P it Ol..grta�ito=' e7apatiaq lM . ^ °
< eat 1lIKlat 'N aolt6w>7f. Ail4nsre�tiap' rtifa6 wooiA
-
i17►dMst. w�ein, • aM t/s:. Butt. County bas istsi lahat Cpl• r
Issm
a0 hwr w a llt6oelq rM 6ete Pseeneti a apriaaltoml.,
prt*oaaa,: oat
P'L"Olt7' �i101fh ba t0 "a visOh
dsMdi"Mm !![r' nom�lal, Wsaae�atp tasa, garatieas
s l 4l�'tt,• 1"Yl` pl+oPelt7 sitllOta is t� Codaty O: mltta� State O! Cralilos�ia� t
Maosellad a� . dallw»s . Loo�tad in Rosth park Subdivision:
'63 94 .i5,86,t7,98,89;91,9Z,93,94,95,96,.97, ..
-,.90,91'100,101,1OZ,103.,101,10',106,107,106,109,110,11'1,112 13,114,.' ;
113,116,117,I1e,.119,140,.121,122,123,124,125,'126,127,12;b,130,
131,132;133,134,'135.,136;.137, and -239. Lot 90.
, i'.
;Dabs1982.'PROPERTY OWNELS:
U ['
f
staea otCalitornia )' On this the day of 19
):88, Mora oa,'the .usdersisned Notary.PuDlic, persooallY r
all 3uttel. ). x
� .. � . 41pMlad. �
fr;
tw.
o mi. to be tha petsou(s), vhose uss(j)
o scribed .to the within instrumentaad aeimwl
ti tAat :�.
osecuted the Bain for the 'purposaa !
therein eoatained: +
Di iiI I NIS WIMRM, I hereunto sot my hood and otllal"
seal.
.. . * Notary Publia' `
present A.P. 110: 44-40.9 :
-+... _. .,.,J.. ,-, te,. J.t _'.1'i ,. ,.. .r4�L._�..• v4 .>.. .. .,,.Mt �'_.. .. .. ?:., .. r. ._}1��.�'. r. -. ..,.._.,, t..�
Jr
i
A
r
.^r
•iL�
K^
1
aeuaa o� 352ALI
OF AC�p
Ch , lil.
'- ...
K Cow Mi -!,A
MtlSaw"9hA.l K the NtH �7 Oeda X11" tbis aalmooladpa��Q"M A[Qut
ad
1• taa�sirteles to iara woL a tiaildfaS posit.
'dha M�=L1M Mew is a/1as«t to land os'laaladid
ai0s Mint
!��'�• lbat gef�lte�l }us�rlN„, a6d twllMata a! ,: �;
tllRs .tsw�q �4 1!6 w►10at ,bn ��a. or dlsaoartot , . fj�, F ' s
€.
.. '� •. �,' bat an• 1linitad � 7 .�f 4.
• 4!M 28etl�,lStrO, #� :� !� P it Ol..grta�ito=' e7apatiaq lM . ^ °
< eat 1lIKlat 'N aolt6w>7f. Ail4nsre�tiap' rtifa6 wooiA
-
i17►dMst. w�ein, • aM t/s:. Butt. County bas istsi lahat Cpl• r
Issm
a0 hwr w a llt6oelq rM 6ete Pseeneti a apriaaltoml.,
prt*oaaa,: oat
P'L"Olt7' �i101fh ba t0 "a visOh
dsMdi"Mm !![r' nom�lal, Wsaae�atp tasa, garatieas
s l 4l�'tt,• 1"Yl` pl+oPelt7 sitllOta is t� Codaty O: mltta� State O! Cralilos�ia� t
Maosellad a� . dallw»s . Loo�tad in Rosth park Subdivision:
'63 94 .i5,86,t7,98,89;91,9Z,93,94,95,96,.97, ..
-,.90,91'100,101,1OZ,103.,101,10',106,107,106,109,110,11'1,112 13,114,.' ;
113,116,117,I1e,.119,140,.121,122,123,124,125,'126,127,12;b,130,
131,132;133,134,'135.,136;.137, and -239. Lot 90.
, i'.
;Dabs1982.'PROPERTY OWNELS:
U ['
f
staea otCalitornia )' On this the day of 19
):88, Mora oa,'the .usdersisned Notary.PuDlic, persooallY r
all 3uttel. ). x
� .. � . 41pMlad. �
fr;
tw.
o mi. to be tha petsou(s), vhose uss(j)
o scribed .to the within instrumentaad aeimwl
ti tAat :�.
osecuted the Bain for the 'purposaa !
therein eoatained: +
Di iiI I NIS WIMRM, I hereunto sot my hood and otllal"
seal.
.. . * Notary Publia' `
present A.P. 110: 44-40.9 :
-+... _. .,.,J.. ,-, te,. J.t _'.1'i ,. ,.. .r4�L._�..• v4 .>.. .. .,,.Mt �'_.. .. .. ?:., .. r. ._}1��.�'. r. -. ..,.._.,, t..�