HomeMy WebLinkAbout010-270-10803-1655,
R�Q�BqERTS,
T_ ANDREA MCT, GR1DL
CONT: HAGBL-RG, LOWELL
NEW SINGLE FAMILY
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217-108 { _ 3253791B,P,E,M "
THOMPSON, kt
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49 Andrea M Ct, Gri
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021".670-108• 94-0205B P,E,M i�tg
ANGUTANO, JOSE « MARIA ELENA :[jam„ 1.
49 ANDREA M CT., GRIDLEY
NEW SINGLE FAMILY Ott+
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RESIDENTIAL
021-070-108 03-1655
RO E TS,
PERMIT NO. ANDREA- M CT, GRIDLEY k
CONT: HAGBERG, LOWELL A
NEW SINGLE FAMILY r R
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} SPECIAL CONDITIONS.
CHECKED
BY
SRA
a , ¢ FLOOD CERTIFICATE REQ. e `
i FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
LLi
�= — pFFICE COPY.
I _
Address
— path
G AS
Meter 6 pat$
ELECTRIC
y Meter -
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t
' JOB FINALED (Date)
'. Signature
J=OK
0 =-Not OK
NotReady
1.
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
3.
1.
Zoning Requirements -Setbacks -Easements
Wood Awn.; Posts- Beams=Rftrs-Connectors
Shthg-Frg-Bracing
2.
Soils; Special MH Support Sketch
6.
3.
Sewer; Location -Test -Fall -C/O -Concrete
Electric
4.
Water; Location -Test -Easement Needed (Sketch)
Siding; Nailing -Veneer -Stucco -Mesh
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
11.
6.
Gas; Location -Test -Wrap;-/ P' L 'ft.
/ P Nat. or/ P' L "ft./ P LPG
Braced Wall Panels
7.
Well Clearance & Disconnect
8.
Utility Clearance
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME'INSTALLATION (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Size -Spacing -Marriage Line
3.
Gas; MH Test -Demand -Valve -Connector
4.
Electricity; MH Test -Crossovers -Breakers -Clearances
5.
Drain; MH Test -Fall -Flex Connector
6.
Water; MH Test -Regulator -Connector
7.
Water and Sewer Connected -C/O to Grade -HD Approval
8.
Gas and Electricity Tagged
9.
Tie Downs -Type -Installation Cert.
10.
Exits; Insp.-Sketch
11.
Cert. of Occupancy
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
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. Verifv #'s with Office
Date Card B-1 . Date' Card B-1
Date Card B-1 Date Card B-1
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
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
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 #'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. Light Niche
12. Enclosure; Fencing -Alarms
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
J=OK
0 = NotOK
- =Not Applicable
Ap
. = Not Ready
MECHANICAL (Permit) OK except #'s
RESIDENTIAL
Date
UN
LOOR (Plans) OK except #'s
-417
1.
ing-Setbacks-Easements-Flood-Slope
Card B-1 Date Card B-1
2.
2�-, Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
Date
3'� Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4.
F!9- Porches & Decks; Soils -Steel-/ /" Ftg. Depth
4;/Palls Studs -Nailing Spacing & Braces -Plates -Sound
Stemwalls, Main• Steel-Blockouts-Wrapped
Draft Stop in Walls (rat proof)
F' a Stops, Furred Ceilings -Stairs -Chasers -Tubs
Headers & Beams -Size & Bearing
Stemwalls, Garage; Steel- Bloc kouts-Wra ed
6a.
Hold Downs and Special Anchors
7.
Slab, Steel -Wrapped
8. Pier -Fire lace Ftg.-Steel
10.
11.
W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
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
15.
Access & Ventilation
16.
Insulation
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PLVMBM (Permit) OK except #'s
17,Jpfet¢r Htr.; Vent -Access -Combustion Air Baffle
T8.: r Pipe; Test & Anchor -Nail Protection
. .V.; Test Fittings & Anchor -Nail Protection
O� er Pan; Test, First Floor -Tub Access
Tub & Shower, Second Floor -Tub Access
Gas Pipe; Sixe & Anchors
23. Fire Sprinkler; Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except #'s
F' ture & Transformer Clearance -Ins. Protection
c. Receptacles Spacing -Lights & Switches at Doors
Size Boxes .& No. of Conductors Stapled
Zk!s2Tex Installed Close to Edge of Studs & C.J.
2 ip. Ground made up w/Mech Fasteners -Bond Gas & Water
&"2 A fiance Circuits in Kitchen & Conductor Size GFI
0 ubfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al
4 31. Range Circle/ /qa Cu or AI -Oven Circ. / /qa Cu or Al
Insulated Neutral ❑ Yes O No
• N I 32. Sesvice-Riser Conductors & Ground Main Disconnect
i . Clearances Panels-Motors-Mech. Equip.
�p1f . Cjethes Closet Light -Shower Light -Spa Light
Y 0 r 3 --,"Smoke Detector
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
(Single & Duplex)
Date
MECHANICAL (Permit) OK except #'s
A_Q. Ducts Insulation & Support
nt Fan, Exhaust above insulation
-417
3 jQondensate Drain & Overflow, Size & Grade
ilf OT Xmace-Vent Access -Comb. Ait-Return Air Vent 115 Outlet
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
IIs Proper Materials & Anchors
4;/Palls Studs -Nailing Spacing & Braces -Plates -Sound
aring Walls over Girders & Floor Nailing
Draft Stop in Walls (rat proof)
F' a Stops, Furred Ceilings -Stairs -Chasers -Tubs
Headers & Beams -Size & Bearing
Date - FRAMI (Continued)
_AWgers-Post Caps -Anchors -Connectors
Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng.
49. Fi lace Ties or Type A Flue -Fireplace Throat Clearance
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
pclr+rt'.-Windows or Exiting Doors -Sill Ht. & Dimensions
_arage Fire Protection Framing -RC Channel
Ext. Doors.. One 3' -Check Garage 3rd Story, 2 Exits
55'St ' idth-Headroom-Rise-Run- Land ing-Fire Protection
,. • lywood on Roof Overhanq-Attic Vents -Rafter Outriaaers
/ L I v'' Z1(�e_5tucco Ms&M Drip Screed -Fd. Vents-Underflr. Access
59. Glazing Area -Glass Protection -Skylights -Plastic
60. Shear Walls; Nailing -Bolts
61. Bro Interior/Exterior Wall Panels
6 sulation-Walls-Ceilings
63. Infiltration -Walls -Windows
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FINAL ns) OK except #'s
rSteps-Door & Sidelight Protection -Landings
cfi6-Smqre Detector
L§5. -Furnace ents-clearance-Comb, Air -Connector -
In rage; Above Floor-Ducts-Mech. Protection
& Bath Fixtures &
Trim & Suboane .
70. Stair & Rails s�
fireplace or Stove, Clearance -Hearth
7 ec.laaflets at Wood Panel. Int. & Ext.
79--iGt,F1kt. & Appliance; Ground -Air -Gap -Cooking Clearance
lecGutlets & Receptacles at Kit. Counter
7ct in Garage -Damper
tr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Gara a;.Above Floor-Mech. Protection
7 c. & Mech. Equip. Listed for Location
9 eceptacles in Garage (F.F.I.)-Romex Protection
nsulation-Foam-Looked in Attic
81. Gu ails & Deck Construction -Post Caps
dn. VBentsA Crawl Hole Door Drainage & Wood -Earth
ClearaLnqWILooked under Floor/ ❑ Yes/ /
Instld./Drive O Yes Q<o/WalksGere's O.No/PlanterpElles ❑ No
• `85. A. it Disconne t, EledjOdWbing
ents,Abbve Roof, Plb - Lance -Fireplace -Clearance to Openings
RZ--Wat ell, Disconnect, Electrical, Plumbing
x or Elec.'Trim, G.F.I. Receptacle -Underground
Ve ' ation Throughout House
tg.11C Pdctions from Previous Inspections
G est -Meters Tagged, Gas -Electric
& Sewer Connected -C/O to Grade -HD Approval
y Compliance Certificate -Other Certificates
Address Posted
96. Fire Sprinkle
Date - - G Y Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date I Card B- Date Card B-1
Comments at Final:
• J
CERTIFICATION OF INSULATION
ADDRESS OR TRACT: � '+q
'. ;_SACRAMENTO BUILDING CONTRACTORS
towel( qao
[k ' 1309 MELODY ROAD, MARYSVILLE, CA 95901 LIC#202026
C/LOT
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❑ 605 S. AUBURN STREET, GRASS VALLEY, CA 95945 LIC#202026
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❑ 3881 BEN ATAR WAY, SUITEA, CHICO, CA 95928 LIC#202026
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❑< 8924 AIRPORT ROAD, REDDING, CA 96002 LIC#202026
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YDATE
INSULATION COMPLETED , `
` eck
- O 4 -- � y A" M< G V,
SQUARE FEET)
SQUARE FEET) r SQUARE FEET)
(
(
(
,TYPE OF INSULATION:
TYPE OF INSULATION
`R TYPE OF INSULATION T:#r
MATERIAL
MATERIAL
MATERIAL
FIBERGLASS
FIBERGLASS
-FIBERGLASS
FORM BATTS
FORM BATTS & BLOW
FORM BAITS
MANUFACTURER'S PRODUCT I.D. -
MANUFACTURER'S PRODUCT I.D.
MANUFACTURER'S PRODUCT I.D.
;MANUFACTURER ,
,a.MANUFACTURER't
a`, .,z,MANUFACTURER 5 �;
OCF
OCF
OCF
BAGS
43
t 11 -VALUE
PLIED
R -VALUE
APPLIED ';
MIN. INSTALLED
• WEIGHT PER
'' R -VALUE t
r APPLIED ci
dR-
INSTALLED %-
THICKNESS ji
INSTALLED ;
-_ _
(THICKNESS . '
SOUARE FOOT
fi ,INSTALLED,, <
_
, THICKNESS �y
5
KNEE WALLS IF.R-VALUE IS OTHER,THAN WALLS ABOVE�;s,
MATERIAL
FORM
R -VALUE -
MANUFACTURER
FIBERGLASS
BATTS
OCF
. ' gym.. ^:, .' _ i.,' • sAIR INFILTRATION SEALANT, "W `: as. : a� • r a t i vw�"a ,k�
MATERIAL
MANUFACTURER
-
W R GRACE
TO_CERTIFY,THAT,INSULATION,AND/OR SEALANT HAS BEEN INSTALLED IN,CONFORMANCE WITH'APPLICABLE'CODES'
MATES
- p RIAL STANDARDS AND REGULATIONS
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SIGNATURE - INSULT, TRACTOR
TITLE
DAT
; .
� G c
-b4_64
SIGNATURE - GENERAL CONTRACTOR
TITLE
DATE
REMARKS
WHITE - Builder Copy, GREEN - Builder Copy, YELLOW - Customer Copy, PINK - Attic Copy, GOLD - File Copy <
or
A
. .........
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street - Chico, CA - (530) 891-2751
7 County Center Drive - Oroville, CA
- (530) 5�3 -7541
8
CORRECTION NOTICE
OWNER' PERMIT NO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Pl'e'iase notice this office when correction of work is
completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately. - I
V A I (f - FAI", & -/- /- &', -I.-
....... . COUNTYOFBUTTE
�BUILDING DIVISION'
DEPARTMENT OF DEVELOPMENT SERVICES -
411 Main Street * Chico, CA * (530) 891-2751'
7 County Center Dri . ve * Oroville, CA * (530)'538-7541
CORRECTION NOTICE
/-27
ER PERMIT NO. � 71
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
'A
completed. If you have any questions pertaining to this matter, or need additional explanation, a!
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street - Chico, CA - (530) 891-2751
7 County Center Drive - Oroville, CA - (530) 538-7541
"Ifir-
OWNER
CORRECTION NOTICE
6
) — � 6 5—T--&
PERMIT NO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above "address and should be corrected. Please notice this office when correction of work is
cbmpl6ted. It you have any questions pertaining to this matter, or need additional explanation,
pleasq,contact this office immediately.
0 e::277
Date Inspector -
REV 10/92..
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING DIVISION
AUTHORIZATION
TO CONNECT
Address
GAS
Meter By Date v
ELECTRIC
Meter By Date
DETACH FOR SERVING UTILITY
Address
GAS
Meter By Date
ELECTRIC
Meter By Date
OFFICE COPY
Address
GAS
Meter By Date
ELECTRIC
Meter By Date
i
t
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING DIVISION
AUTHORIZATION
TO CONNECT
Address
GAS
Meter By Date v
ELECTRIC
Meter By Date
DETACH FOR SERVING UTILITY
Address
GAS
Meter By Date
ELECTRIC
Meter By Date
OFFICE COPY
Address
GAS
Meter By Date
ELECTRIC
Meter By Date
,x
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 P RMIT O.
(Rev. 12/96) APPLICATION AND PERMIT ®3 �/6 S-6
TTVtOLI= 9 108
Z°A°5
BUILDING PERMIT
00BERTS , DAWN
TE846E 5547
SO. FT. OCC. BUILDING VALUATION
. O4WNr_TIp1'S,G,�TMyp�•II�LISNG IIQDRESS LIBERTY RD. GRIDLEY CA 95948
,L`T21!fAAMIE
930 U 16 84
CJJL�`�-}}N�/��'}Y HAGBERG
TELEPHONE
198
7 C
-29574
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation Is 146 520.00
ARCHrrECT OR ENGINEER
LICENSE NO.
—Filing Fee
$ 20.00
Permit Fee
$ 804.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$ 5.22.600
BUILDINoyo�ho ss ANDREA M. COURT GRIDLEY 95948
Energy Plan Checking Fee
$
$
PERMIT FEE
$ 1,369.60
WNO.
�+
SUBDNys1RRN NAME
L V – 6 6 678-19–
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF ff Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
1 7.00.8 4 . 0
Solar or heat pump water heater
23.00
Water piping
15.00 -1-5.0
Each as water heater or vent
15.00
TYPE OF WORK
New Ck Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: NEW SF W.X(;AIR,a,GF
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
@20.00
PERMIT FEE
$ 164.00
flood. X, 1 1 2SC
ELECTRICAL PERoMIoRLEss
Fling Fee 20.00
Main Service 200."OR LESS
23.00 23.00
LICENSED CONTRACTOR'S DECLARATION
1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencingwith Section 7000 of Division 3 of the Business Professions Code,
on ) on ness anons
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
I, 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.
.g I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
1a exempt under Sec. Business and Professions Code for this
❑ reason
r
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
I 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
Main Service 200A TO 1000A
46.00NEW
CONST. DWELLING OCCUP.
OR ADDNS. ( 6 ACC. BLDS.
SO
3.5¢Fr. 115.2
NEW CONST. MULTI.OUTLET
NON-R61D.
97.50
POWEPPARATUS
8 SINGLER AOUTLET CIR.
Ex. Occup. OUTLErOR FIXTURES
B20 0';00
Ex. Occup. ouTlEEis AEsID LNS°Ea
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wirin
23.00
PERMIT FEE
S 198.20
MECHANICAL PERMIT
Fling Fee 1 20.00
Heating
Cooling
Hood
6.50
Ventilation
2
PERMIT FEE
$ 80.50
Policy Number
(The above sections need not be completed If the permit is for work of a valuation
of one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X Date 49i–� --
Signature of Applican Owner ❑ Contractor ❑ Agent
An OSHA permit is requir for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in hei h
Mobile Home Installation Fee $
Energy Inspection Fee $ 46.00
OC
)Z
CONST. TYPE
VU
TOTAL FEE $ 1818.10
HAZ
_
D
IMP
/
FLOOD
X
CDP
–
PARCEL
PD
HD
SUE
This permit is hereby issued under
of the Butte County Code and/or
Indic Ove for which fees have
V
y
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
Date
Date
Receipt No. 3 Jr" % j
WHITE-D.D.S.-B.D. CANARY SS SS R PINK -INSPECTOR GOLDENROD -APPLICANT
;srlMfJ'}f+;ryr:ari rn.:rt�.•..wyn^�m�•• �- . T. _ . „t..r. �,._� ..— w�•xt•-� �+'wtror:rie°"a"'�7"'R3�if7��-'°'�"F`f1Y7ARrY�"� � /
' COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140
PERMIT APPLICATION DATA SHEET
OWNER: wj_J� p ASSESSOR PARCEL NUMBER V t; ;7
Proposed Building Use: Counter Technician: 0�y Date: (p &
t-3
Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply.
1.. Plot plans, 3 or 4 sets, signedty the preparer of the plans.
JV72. Complete plans, 3 or 4 sets, signed by the preparer of the plans.
. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
�4. Engineered truss details and layouts in duplicate. No faxes!
5. Energy compliance design and supporting documentation in duplicate.
❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or
foundation plans, all in duplicate.
❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate.
(D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer.
Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The.permit will be
indexed and returned to the plan review line-up when required items are received.
Date Received By
❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ....................... :........
❑ 9. Plot 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 .....................................
* 12. Hazardous i I F- o . - ........... ....................................... _
ther �'
Remaining items needed to issue the permit. (May require additional plan review upon'receipt of the following items.)
29 14. Fees as shown on the attached Schedule of Fees Due Sheet..., r-,&. u.,)1 ....................
A
5. Statement of Intent for Non -heated and A/C Buildings ...........................................
6. Sanitation and plot plan approval from the Environmental Health Department in I—d3
17. City of Chico Plumbing permit.........................................................................
18. California Department of Forestry plan approval ❑ paid. Sent. by: ......................
❑ 19. Planning approval for (A) Use: oiC (B)Parking: . (C) Parcel Check:
❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ...............................
21. Encroachment Permit for driveway frpm the Public Works Dept. (construction approval prior to occupancy).
❑ 22. Pre -Inspection for f required ................
❑ 23. Contractor's license information. (Number, Name Style, Classification) ......................
❑ 24. Worker's Compensation Carrier and Policy Number ........................................ :.....
❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) .....................
2 . tter of Signature authorization........................................................... ....
�ecorded copy of Agricultural Acknowledgment Statement ..................
❑ 28. Manufactured home utility clearance...............................................................
❑ 29. Existing violations and/or expired permits.........................................................
❑ 30. ❑,,Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $
❑ 31. Other:
When issued Telephone ; $ and hold for pickup.
I have been informed of the above items and requirements for obtaining a building permit.
Appli ant:a 4 "L6
1. Index permit application for the above items numbered: Plan Check Letter � .0
2. Additional items required
Contractor, designer, owner, was advised cf the above data by ❑ ph mail, ❑ counter, by Date: _
Contractor, designer, owner, wa , dvised of the above ata by ❑ phone, ❑ mail, ❑ counter by Date:
Plans reviewed by: Date: Plans approved by: Date:
Structural reviewe b : Date:Structural approved by: Date:
Note transfer by- Date:
ellow: lluildiulp Division=w �,• k_
TO:
FROM:
SUBJECT:
Building Department
Environmental Health
Sanitation Clearance
E.H. USE GAILY
Plot Plan Artach;d-��
Raw Man Attacho
Sent to B.D. a —!�-
Owner Location AP#
Plan Approved for: Sewage Disposal ater Supply: Publi Private Well'�,�
4
Clearance for — dwelling. Other
Hold final for:
Final clearance O.K. for:
NOTE:
Environment ealth. Specialist Date
8/96
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541
A SCHEDULE OF FEES DUE
OWNER
PROPOSED BUILDING USE S f
1. BUILDING PERMIT FEES
Balance Due ....................... $
Additional Fees Due .................. $
Additional Fees Due .......... :...... $
/ Revised Plan Checking Fee .............$
. SCHOOL DISTRICT FEES
(paid at District Office) (Available after Plan Check)
3. SHERIFF FEES (paid at Building Division) a
Residential ...................... x $360.00 = $�
Units
Commercial (sq. ft.) ............... x $0.03 = $
Sq. ft.
4. URBAN AREA FEES (paid at Building Division)
Residential ................... -x-=$
# Units Amt.
Commercial (sq. ft.) ............ -x-=$
Sq. ft. Amt.
5. RECREATIONAL DISTRICT FEES
(paid at District Office) (Available after Plan Check)
6. THERMALITO DRAINAGE DISTRICT FEES
$510.00 (paid at Building Division)
7. SRA FIRE INSPECTION AND PLAN CHECK
$89.00 (paid at Building Division)
8. WATER TENDER FEES (Battalion # )
$200.00 (paid at Building Division)
9. CSA 87 TRAFFIC FEE
$2500.00 (paid at Building Division)
10. OTHER
A.P. #
DATE Z6/3
RECEIPT # DATE REC.
At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees
may be changed during the plan checking process.
AP LICANT (aTE
Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been
imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned
items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a).
Original - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner
(Rev. 6/00)
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
*7 COUNTY CENTER DRIVE
OR6VILLE, CA 95965
COPY of Document Recorded
28 -Aug -2003 2003-0058752
Has not been compared with
original
BUTTE COUNTY RECORDER
AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT
FOR RESIDENTIAL DEVELOPMENT
Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior, to issuance of a building
permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes,
and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals,
including, but not limited to herbicides,pesticides, and fertilizers; and from the pursuit of agricultural operations
including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust,
smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on
adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm
operations.
All that real property situate in the County of Butte, State of California, described as follows:
Date 1E - ;)�2 - O 3 PROPERTY OWNERS:
State of California
County of7k��
.in
before me,,
Afflomlmw��� NA
personally appeared���_ [��r rc "� �,�, r0 personally
known to me (or proved to me on the basis of satisfa tory evidence) to be the person(s) whose name(s) is/are subscribed
to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized
capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which
the person(s) acted, executed the instrument.
WIT hand and official seal.
Signature SIX Seal:
�- • • LYNETTE GARTON
COMM.# 1351379
A.P. # 0 �, I - O7 O — I Q NOTARY PUBLIC -CALIFORNIA N
LC
Q COUNTY OF BUTTE
Comm. Expires April 17, 2008 W
Order No.: 00203137-004
SCHEDULE C
THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS:
ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE
OF CALIFORNIA, DESCRIBED AS FOLLOWS:
PARCEL A:
A PORTION OF LOT 6 OF GRIDLEY COLONY NO.9 AS SHOWN ON THE OFFICIAL
MAP THEREOF, FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF
BUTTE, STATE OF CALIFORNIA, JULY 10, 1907 IN BOOK 6 OF MAPS, AT PAGE 56,
MORE PARTICULARLY DESCRIBED AS:
PARCEL 4 AS SHOWN ON THAT CERTAIN PARCEL MAP FILED IN THE OFFICE OF
THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON AUGUST
19, 1987 IN BOOK 107 OF MAPS, AT PAGES 66 AND 67.
AP NO. 021-070-108
PARCEL B:
A NON-EXCLUSIVE RIGHT OF WAY 60 FEET IN WIDTH FOR ROAD AND PUBLIC
UTILITIES AS SHOWN ON THAT CERTAIN PARCEL MAP WHICH. WAS FILED IN THE
OFFICE OF THE RECORDER, OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA,
ON AUGUST 19, 1987 IN BOOK 107 OF MAPS, AT PAGES 66 AND 67.
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One form per Building)
T
School District u 5 �J Building Department No.
A.P. Number �� " �D /Q�j Jurisdiction: City County
Property Owner (� S
Property Location/Address
Subdivision Lot No.
Residential Development
z
Commercial/Industrial
Building
1
:....................:............................................................................................:
Sq. Footage
Addition/ *Supplemental to (Group R)
Conversion Permit #
:(No foundation inspection):
PL
F"
Sq. Footage
(Including Exterior
Roofed Areas)
"- �, - d3
Date
moor rians reviewea oy scnooi uistnct versonneu +
District Identification No. 1
1tt \C ��•.c; f School District certifies that euro a`�)A w r1
- (Applicant)
(Street Address) (Phone Number)
rn
(City) (State) (Zip Code)
has complied with the requirements of Resolution No.
representing 5,� square feet. ( r
i
School District
N
Paid by Check # )
� Remarks:
by payment of $ r -)o -�s • 1'',-,
LB2926 $L MITIGATION 4 $
Date
Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with
Government Code Section 660201a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit
you from challenging the imposition of the fees in any court action.
If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is
notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA),
this project may be subject to additional school fees to fully mitigate its impact on the school district's schools.
White (applicant), Yellow (building department), Pink (school district) feeformAs (10/98)dmm
National Pollutant Discharge Elimination System (NPDES) Phase II
Construction Stormwater Permit and Storm Water Pollution
Prevention Plan (SWPPP) Acknowledgement
Project Title: . . 1► . 1 ,ice • I�
By signing below, I, the project owner/owner's agent, certify that I am aware that a construction
e� project that disturbs more than 1 acre of land requires a Construction Storm Water Permit from
the State Water Resources Control Board and that It Is my responsibility to submit a Notice of
(y Intent (N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP) and a check for $700.00
made payable to the State Water Resources Control Board to obtain such a permit if my project
disturbs more than 1 acre of land. I, further, certify that this project will not disturb more than 1
acre of land. I am aware -that submitting false and/or inaccurate information may result in
revocation of grading and/or other permits or other sanctions provides by law.
Signed:
Title:
Date:
----------------------------------------------------------------------------------------------------------------------------------------------------------------
National Pollutant Discharge Elimination System (NPDES) Phase II
Construction Stormwater Permit and Storm Water Pollution
Prevention Plan (SWPPP) Acknowledgement
Project Title: ` ha IDzu>Ar,d-�_�P
By signing below, I, the project owner/owner's agent, certify that I am aware that a construction
project that disturbs more than I acre of land requires a Construction Storm Water Permit from
the State Water Resources Control Board and that it is my responsibility to submit a Notice of
Intent (N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP) and a check for $700.00
made payable to the State Water Resources Control Board to obtain such a permit if my project
disturbs more than I acre of land. I, further, certify that this project will not disturb more than I
acre of land. I am aware that submitting false and/or inaccurate information may result in
revocation of grading and/or other permits or other sanctions provides by law.
Signed: _:-
Title: --
Date: 23- -0
NPDES & SWPPP Non -Compliance Certification
Butte County Stonn Water Management Plan
Revised 5/22/03
° %3T
o
,TF
° o
RESIDENTIAL PLAN
° r: .-�
REVIEW GUIDE
ra.---c
SINGLE FAMILY, DUPLEXAND
n_ �d
MISCELLANEOUS ONLY
_Owner. Building Permit Number: 6n 22
Plans Examiner-: ,Li/ictc, 54.tn�o.,[>n A. P. Number: ��'-Z)70 ld
Er ERkL:
Zoning requirements — (number of permitted living units).
Plans signed by the designer.
Proper description of work on the application.
Existing violations on the property.
Recorded notice of violation.
Building permit valuation.
OT PLAN:
Complete parcel size and dimensions.
Setbacks, side yard, easements, etc.
Other buildings or structures.
Grading, fills an&or drainage.
Flood hazard
Special conditions on Parcel Map:
Noise Q S? -.k ❑ Fire Sprinklers ❑ Water Tender ❑ Traffic and Drainage flees ❑
Federal :did Route and/or Federal Aid Secondary Route setback requirement
Building or utilities across lot lines (Lot merger approval by Butte County Land Development)
OOR PLA.N:
Plans and specifications drawn to scale with dimensions and of sufficient clarity (UBC section 106.3.3).
10% of natural light and 5% of ventilation (Uniform Building Code section 1203).
Escape or rescue windows shall have a minimum net clear operable area of 5.7 square feet The minimum net
clear openable height dimension shall be 24". The minimum net clear openable width dimension shall be 20".
When % indo« s are provided as a means of escape or rescue, they shall have a finished sill height not more than
44" above the flcor (Uniform Building Code section 310.4).
Skylights (Uniform Building Code section 2409 & 2603.7).
Glazing in Hazardous locations (Uniform Building Code section 2406).
Habitable space shall have a ailing height of not less than 7 feet 6 laches except as otherwise permitted in this
section. Kitchens. halls, bathrooms and toilet compartments may have a ailing height of not less than 7 )feet
measured to the lowest eroiection from the ailing (Uniform Building Code section 310.6.1).
All habitable rooms except kitchens shall have an area of not less than 70 square feet and not less than 7 &et is
any dimension (Uniform Building Code section 310.6.2 & 310.6.3).
GFCI in baths. garage, kitchen, wet bar. and exterior receptacles (NEC 210).
Water heaters a hich depend on the combustion of fuel shall not be installed in a room used or designed to be
used for sleeping purposes, bathroom, clothes closets or in a closet or other confined space opening into a bath
or bedroom (uniform Plumbing Code section 509.0).
I0 Fuel burning equipment shall not be installed in a closet, bathroom or a room readily usable as abedt+oom. oris
a room compartment or alcove opening directly into any of these (Uniform Mechanical Code secdott 304.5).
Garage firewall separation - required on garage side including supporting walls and posts (Unifi=7hrming
Cade section 30'_.1 exception #;).
Under no circumstances shall a private garage have any opening into a room used for sleeping purposes
(C; nifor-n Building Code section 312.3).
Wood stove location - Alcove — U1v(C section 205 confined space & 223 unconfined space & 304.2).Smok.- detcctors (Uniform Building Code section 310.9.1).
Pagel of 2
Water closet clearances (Uniform Plumbing Code 408.5).
w,er compartment minimum 1024 sq. in. & 30" circle (Uniform Plumbing Code 412.7).
Bearing walls shall be supported on masoru)• or concrete foundations that shall be of sufficient size to support
all loads (Uniform Building Code section 1806.3).
rUCI'URAL DETAILS:
1. Bmeed wall panels shall start at not more than 8 feu from each end of a braced wall line. Braced wall panels
must be in line or offset from each other by not more than 4 feet (UBC section 2320.11.3). Spacing shall not
exceed 34 feet on anter in both the longitudinal and transverse directions NBC section 2.320.4.1_) Braced wall
lines must be continuous throughout the strucnue. -
2. A California licensed architect or registered engineer must prepare a lateral analysis for the areas of the building
that do not comply with the Uniform Building Code. This must include the designees "wet" stamp, signattu=e,
registration number and expiration date on all sheets of plans depicting the designed elements and cover sheets
of calculations.
erestory requiring balloon framing and/or engineering.
Foundation plans complete enough to construct building (Uniform Building Code Table 18-I-C�.
Floor construction details complete enough to construct building.
Elevations and wall construction details complete enough to construct building.
Roof construction details complete enough to construct building.
Fireplace concoction details and calculations if necessary.
Garage door header size(s).
. Porch header size(s).
. Typical header size(s).
tud heights.
High expansive soil — special foundation design required.
Rt raining walls requiring design
Gypsum wallboard nailing inspection required.
the area below the lowest floor is fully enclosed, than a minimum of two openings are required with a total
net area of at least one square inch for every square foot of area enclosed with the bottom of the openings no
more than one foot above grade. Alternatively. certification may be provided by a registered professional
engineer or architect that the design will allow equalization of hydrostatic flood forces on exterior walls.
Building must be designed and anchored to prevent floatation, collapse or lateral movement Construction
design requirements must be shown on the building plans.
Electric, heating, ventilation, plumbing and air conditioning equipment and other service facilities shall be
designed and/or located so as to prevent water from entering or accumulating with the components during
conditions of flooding.
DMCELLANT-OUS ITEMS: �-- -
Staimay details — landings, rise and run. head clearance, handrails (Uniform Building Code section l 03).
Guardrails (Uniform Building Code section 509).
Brick or stone veneer (Uniform Building Code section 1403).
Exterior plaster— weep screeds (Uniform Building Code section 2506.5).
Roof pitch for roof covering (Uniform Building Code Table 15 -B -I & 2, 15 -D -I & 2).
Foam insulation — protection.
36" halls and stairways (Uniform Building Code section 100.4.3.3.2).
Two exits on three — story dwellings (Uniform Building Code section 1004.2.3.2).
Underfloor access and ventilation (Uniform Building Code section 2306.3 & 2306.7).
. Attic access and ventilation (Uniform Building Code section 1505). ,
Sound requirements.
2: Energy design compliance and supporting documentation.
F responsible area requirements. /
UILDING PERMIT REQUIREMENTS:
1. ❑
SRA.
2. ❑
Flood elevation certificate.
3. ❑
Fire Spriniders required.
4. ❑
Special Inspection requiremens.
5. ❑
Use Permit conditions.
6. ❑
Sub -Standard Housing lener.
i
Pace -- of 2
SITE PLAN REVIEW APPLICATION
Date: 6 6— ff3 AP#
Permit Number (if applicable) O 3--) (�5
02.)-070- 10
APPLICANT INFORMATION Parcel Size: Z 8 04 (-
Owners Name:��'S
Owners Address: ) 33 3 W. L11SeQT�Z 821 64_-_') _bLEY q s L/ E)
Telephone No.: y to — S5 y Z
Situs Address: AND2G A M, C--'- e5r2.) _r_"�L
Proposed Use:
Residential
New Single Family Residential
❑ Single Family Addition
❑ Mobile Home
❑ Residential Accessory
❑ Permanent Second Dwelling
❑ Temporary Mobile Home (Aunt Minnie)
❑ Temporary Travel Trailer
❑ Multi -family
Non-residential
❑ New Commercial
❑ Commercial Addition
❑ New Industrial
❑ Industrial Addition
Other
❑ Septic
❑ Agricultural Exempt Building
❑ Other:
❑ Single Family Remodel
❑ Commercial Remodel
❑ Industrial Remodel
❑ Well
Brief Explanation (if necessary):
DO NOT WRITE BELOW THIS LINE
DEVELOPMENT SERVICES INFORMATION (For Staff Use)
il Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval
At Site Plan Stamped Approved
By Date `7 1
Page 1 of 5
Ilk
ALL ITEMS CHECKED APPLY TO THE PROPERTY
Parcel Is In:
❑ Snow Load Area:
❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract
❑ Nitrate Action Plan (See Environmental Health for standards)
❑ Watershed Protection Overlay Zone (See attached standards and requirements)
❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required)
❑ SRA - (CDF to determine specific requirements)
❑ 100 -Year Flood Plain: (See attached)
• Flood Zone: 7
• Flood Panel No.: 1) -G C- Index Date: 96
❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board)
❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board)
❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements)
❑ Chapman/Mu I berry (See attached standards and requirements)
❑ Cohasset Area (See attached standards and requirements)
❑ Grading Zone (See attached handout)
Use Requires:
❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit
❑ Minor Variance ❑ Variance
--------------------------------------------- ----------------------------------------------------------------------
❑ Detached Building Use Form ❑ Encroachment Permit
❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement
Zoning: A — 5 -
Applicable Building Setbacks:
❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks.
Page 2 of 5
Zoning Code
Streets & Highways
Fire Prevention
Subdivision Map
Front
Jr O
Side
-
Side Street
Rear
Height
Waterway
N/A
N/A
N/A
❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks.
Page 2 of 5
Applicable Development Fees:
Standard Fees Amount Formula
❑ Fire
❑ School*
❑ Parks/Recreation
❑ Roads
❑ Sheriff
❑ Drainage
❑ NCSP/CSA 87
❑ Chico Urban Area — Road
❑ Thermalito Drainage Area
❑ Thermalito Urban Area
❑ Other
--------------------------------------
Subdivision Map Special Fees
❑
Water Tender
❑
Road Improvement
❑
North Oroville Area
❑
Other (per map)
* Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of
the building permit.
Parcel Created By
❑ Deeds:
Date of Creation: Legal Access Provided: ❑ No ❑ Yes
Deed of Reference: Legal Access Required ❑ No ❑ Yes
Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name:
Complies with County Standards for Deed Creation:❑ No ❑ Yes
Comments:
❑ Parcel Deemed to be legal
❑ Verify Legal Parcel ❑ Verify Legal Access ❑Provide Deed of Creation
❑ Obtain a Certificate of Compliance
❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment
❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23).
❑ Construct road to: ❑ Meet Parcel size required by zone
❑ Meet current Environmental Health Department requirements
Page 3 of 5
PA Subdivision Map/Parcel Map:
Map Date of Recording: &-) 9— 8
Lot:
❑ Use Permit/Minor Use Permit
Permit Number:
Book: )0-7
Date of Approval:
Page: 64A-2
Parcel Map/Subdivision Map/Use Permit Conditions
❑ Comply with the following Conditions of ApprovaL• XOA)C-,
❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290
❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the
National Fire Protection Association Standard for installation of sprinkler systems in one
and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized
community water system, with hydrants that meet the Fire Department specifications, serves
the parcel
❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission
requirements of the California Clean Air Act of 1988, as amended.
❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan
must be prepared by a registered civil engineer or other qualified professional and be
submitted to and approved by the Department of Public Works.
❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate
Battalion Water Tender Fund may be required.
❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil
construction associated with residential development. Approved dust control measures are
found in the fugitive dust control plan for the site approved by the Butte County Air Quality
Management District, a copy of which can be obtained from the Butte County Department
of Development Services, Building Division."
❑ Engineered foundations are required.
❑ Class A roofs are required.
❑ Property owners responsible for road maintenance, and stop sign maintenance.
u
Page 4 of 5
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OROVILLE, CALIFORNIA
GENERAL CLAIM
CLAIMANT: JOSE & MARIA ELENA ANGUTANO
ADDRESS: 300 KENTUCKY ST
CITY & STATE: GRIDLEY, CA 95948 IMPORTANT:
9/20/94 SEE INSTRUCTIONS
DATE OF CLAIM: ON REVERSE SIDE
SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES
DATE
DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY)
AMOUNT
OWNER DECIDED TO CANCEL PROJECT FOR NOW. B.P.#94-0205
RECEIPT # 155955 DATED 1/25/94, A.P.#021=070-108, OWNER:
JOSE & MARIA ELENA ANGUTANO)
TOTAL AMOUNT PAID..................................$777.20
RETAIN REFUND PROCESSING FEE.............`.$25.00
RETAIN FILING FEES .........:..............$80.00
TOTAL AMOUNT TO BE RETAINED .....................$105.00
0
AMOUNT TO BE REFUNDED. TOTAL
$ 672.
20
I, the undersigned. declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this
claim Is true and correct as stated. C���,jj l/ �
�J���_..
Dated this ........./�..� .... day of .�.. e fIJ.......... 19d I, et.���%.!�✓..!.1� ... Calif. %f;,�........ .` .y'N _.
Signature of Claimer
I, the undersigned, hereby certify that, to the beat of my knowledge, the services or articles specified above have been performed or de-
livered and that there is a Budget Appropriation E:] or Specific Board Approval O (Checkone)'for the • me.
9 L G
Dated this .........2O ..... ........... day or ...... SEPTEMBE 9......4. ae .....................OROVIL......LE ... c.ur.
Department Head or Authoriz Deputy i
Dept. Esp. ;
Code ............................................ Code ...............................................PAYABLE FROM...................................................................................... FUND
DO NOT WRITE BELOW THIS LINE _ AUDITOR'S USE ONLY
DEPT. & SUB.
PROJ.
SUB. OBJ.
CLAIM NO.
INV. NO.
INV. DATE
ENCUMB.
GROSS AMT.
'
I
i
2�yu�a1�,S
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COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
d 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO.
APPLICATION AND PERMIT 1?q_0aOS
ASSESSOR PARCEL NUMBER OOH � /1 _ lO �/
//VVJJ�
XVAtV6U1AN0
ZONING,A
BUILDING PERMIT
OWNERS O/'��� L�
SLE oNE S
SO. FT. OC9. BUILDING VALUATION
OWN ® L ADDRESS / � � ^ 7 ��� /
S
CONTRACTOR'S ,�l//• � �
TELERIONE
�
� .
O
CONTRACTOR'S MAKING ADDRESS
Freplace (I �
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee $
20,00
Permit Fee $ a
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
(y (fib, 0
Energy Plan Checking Fee $
C Z
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS74 '
PERMIT FEE $
PLUMBING PERMIT
Filing Fee
20.00
Each Trap 7,00
C7
Solar or heat pump water heater
23.00
Water piping
15,00
Q
LOT NO.SUBDIVISION'S
NAME
PARCEL MAP
Each gas water heater or vent
15.00
(, 0
USE OF STRUCTURE
SF Duplex O Mobilehome O Other
SPECIFY
Gas piping system 1 - 5 outlets
15.00
Cj 0
Building sewer 15.00
Mobile Home S G W @20.00
TYPE OF WORK
New Addition ❑ Remodel O Utilities ❑ Installation ❑ Other ❑
Desc/ri\ibeWork: �/C-/!�/
PERMIT FEE $
Contractor
ELECTRICAL PERMIT Filing Fee
20.00
Main Service ( IIIOR LESS )
200AOR LESS 23.00
200A
Q
Main Service ( 200A TO IOOOA )
46.00
NEW CONST. DWELLING OCCUP. O
OR ADONS. ( 6 ACC. SLOS. ) 3.50SFT.,
3 Ag
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
O 1 am a licensed under provisions of Chapter ter 9, Division 3 of the Business and
p
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 compensation, will do
the work, and the structure is not intended or offered for sale. (Sec 7044)
O I,as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
O 1 am exempt under Sec. Business and Professions Code
forthis reason__
NEW CONST. MULTI.OUTLET
NON REBID. ( BRANCH CIRCUITS )
@7.50
( POWER APPARATUS )
& SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00
BAL. 50
Ex. Occu FIXED APPLNS. OR
( )
p' OUTLETS IRESID.I EA. 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
WORKER'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
0 This permit is for $100.00 (valuation) or less.
O 1 have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
❑ 1 shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
S
Contractor
MECHANICAL PERMIT Filing Fee
VO.O
Heating S
Cooling
Hood 6.50
j
Ventilation
S�
PERMIT FEE $
Contractor
certify that I have read this application and state that the above information is correct.
I agree to comply to all Butte County Ordinances and California 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 aid
County in consequence of the granting of this permit.
X Date
Signature of Applicant - O Owner O Contractor O 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
CONST. TYPE
TOTAL FEE $
HAZ.
I D. FEES
I IMP
I F100D
COF
I PARCEL I PO
HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do
indicated above for which fess have been paid.
BY Date
PERMIT EXPIRES ON
10ate)
work
Receipt No. "—
WHITE•D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO.
APPLICATION AND PERMIT -gq- D 0-6S
ASSESSOR PARCEL NUMBER
ZONING ,
BUILDING PERMIT
OWNER
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
PERMIT FEE $
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15,00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Each gas water heater or vent
15.00
USE OF STRUCTURE
SF ❑ Duplex O Mobilehome ❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G I W
` 20'CC
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work:
PER FEE $
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service ( 600VORLESS )
200A OR LESS
23.00
Main Service ( 200A TO 1000A )
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( & ACC. BLOS. )
S0,
3.5C FT.
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
O 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full force and effect.
�Cense No. Classification
as the owner, 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)
❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
O I am exempt under Sec. Business and Professions Code
for this reason
NEW.CONST. MULTI -OUTLET
*NON RESID. ( BRANCH CIRCUITS )
@7.50
( POWER APPARATUS )
a SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
BA20 @ 1.000
FIXED (RESID OR
Ex. Occup.UT
(OUTLETS IRESID.) EA. )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ This permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
ertificate of Consent to Self -insure.
I shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
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 Butte County Ordinances and California 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.
1 also agree to save, indemnify and keep harmless the County of Butte against all
liabilities, judgments, costs, and expenses which may in any way accrue against said
County
yiin�consequence of the granting of this permit.
X Date
Sig re of Applicant - ner ❑ Contractor O Agent _T
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
CONST. TYPE
TOTAL FEE $
HAZ.
I D. FEES
I IMP
I FLOOD
I CDF
PARCEL PD
I HD
I ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By Date
PERMIT EXPIRES ON
(De tel
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
�""`^* r`'�"�/`{`S'"'L.-�--.'�{�-+'y�.�'�—�:l,..rt�MP."-•�,. �� !.; .: ���'L� '����,��7M1:4 '�'1'�vc•`^c*'Giti.$r-4-w^rY}r"'.�y�...r+Y✓`u`�ts:•y-r�....�..y
A
COUNTYOF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER ` I A& 6 1// AYVO + A.. P o. c-c—(!:�-7
Proposed Building Use Building Inspector Date Z Z2:�R-
At time of permit application, I was advised the following data must be submitted prior to permit processing a dlor issuance:
DAW rtECEPAW BY
All items have been submitted. .........................................
���„�2�Plot plansl3/4 sets, signed by prepares of plans . ............................
3_ `Complete plans(3)14 sets, signed,byp►eparer of plans.
.4. Engineered plans and calcs, 3/4 sets, with wet signature on plans. ......... .
Hazardous Material Form. ............. • • . • .
;Energy Design Compliance and supporting documentation . ..................
7. Statement of Intent for Non -Heated and A/C Buildings . ......................
8. Engineered truss details and layout in duplicate. (required prior to plan check). ... .
.� 9. Mobilehome d ta,an anufacturer's installation instructions, 2 sets. ...........
—�—
�0. Fees of $ % (� o Z% .............................
11. Ichpact fees as shown on attached schedule . ..............................
12. California Department of Forestry plan approval/fees. ........................
Flood elevation letter (100 year flood) by California Engineer.. .
14. Sanitation and plot plan approval 0 eZ? Health Department . ............
15. City of Chico plumbing permit . .........................................
16. Plot plan and business license approval from City of Biggs/Gridley. .............
17. Planning approval for (A) Use: (B) Parking:
18.. Contact Land Development about (A) Improvements (B) Drainage. ....... c/' _
/ 19. ,Driveway permit (construction approval required''prior to occupancy). .. /ter yy a
20. Pre -inspection for required. .. Buildingnsp a;, (oa►a)
21. -Contractor's license information. (No., Name Style, Classification) . ..............
22. -Certificate of Workmans Compensation Insurance . ..........................
Owner -Builder Verification (Given to owner , Mail to owner . .......... .
24. Recorded copy of Agricultural Acknowledgement Statement . ..................
25. Letter of signature authorization . ........................................
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. . .
27. Letter of intent on building use . .........................................
28. Mobilehome utility clearance...........................................�
29. Documentation of legal access...............r:�`......:................. .
30. Documentation of 50% subdivision developed or (A) Road improvements completed
N,jnd (B) Parcel meets zoning area and frontage requirements. ...... � ...... .
31. Existing violations/expired permits . ......................................
32. Plan check list . ............................................
33.
34.
When you issue the p rrnit,rocess as follows: Mail to owner. Mail to contractor.
Telephon S and hold for pickup at office. Deliver with inspector.
Other i✓ L Q
Parcel Creation 0y 6�� /1�"'( G
Acreage Applicant l/...�4 i� Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted prior to
1. Index permit for above items No.
2. Additional items required:
nce: (uircle new
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cab' t AP folder _
Copy - Department of Public Worksci
COUNTY OF BUTTE -
DEPARTMENT OF DEVELOPMENT
SERVICES -
BUILDING DIVISION
7 COUNTY CENTER
DRIVE, OROVILLE CA 95965
- TELEPHONE
(916) 538-7541
OWNER
PROPOSED BUILDING USE
1. 7 L DISTRICT FEES
(paid at District Office) .........................
2. SHERIFF FEES
(paid at Building Department)
Residential......x &O
unit amt.
Commercial (sqft) x -$
sq.ft. amt.
3. URBAN AREA FEES
(paid at Building Department)
Residential (per unit) x =$
# units amt.
Commercial (per sq.ft) x =$
sq.ft. amt.
4. RECREATION DISTRICT FEES
(paid at District Office).... ......................
r
5. DRAINAGE DISTRICT FEES
Contact Land Development'"Division)..............
j6. SRA FIRE INSPECTION AND PLAN CHECK = $89.00......
(paid at Building Department)
7. OTHER
A. P.
DATE vZ
REC. # DATE REC
At time of permit application, I was advised the above fees are required to be paid
prior to issuance of the permit.
APPLICANT DATE
amu �3-3 wiz
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 PERMIT NO.
APPLICATION AND PERMIT 4q-0aOS
ASSESSOR PARCEL NUMBER DoZ _0 7a _ / O
2ONINO A _
- BUILDING PERMIT
QS� 2t r— AN�oV/ANa
iE
TELE oNE
OC BUILDING VALUATION
9MAIUNGADDRESS/� AK YS7— 0(V ���
-CONTRACTOWSS
AM ,`,,
TELEPHONE
"Fireplace
CONTRACTOR'S MAILING ADDRESS1
14 Iff
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
6 T
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee $
d
Penalty g
BUILDING AooREss C�^�–�—
PERMIT FEE $
�j ,
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7,00 O
Solar or heat pump water heater
23.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Water piping
15.00 0
Each gas water heater or vent
15.00 a0
USE OF STRUCTURE
SF)yDuplex O Mobilehome O Other
SPECIFY
Gas piping system 1 - 5 outlets
15.00 /,<-,()0
Building sewer
15.00
Mobile Home S I G I W
@20.00
TYPE OF WORK
New Addition O Remodel O Utilities El Installation ❑ Other O
'' \\
Describe Work:
PERMIT FEE g
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service ( `OR LESS )
.AOR LESS
23.00
rldeclar�.und&
Main Service ( 200A TO IOOOA )
46.00
NEW CONST. DWELLING OCCUP.
OR ADONS. ( 6 ACC. BLDS. )
3.50 SO. FT•
'
CONTRACTORS LICENSE LAW
penalty of perjury (check one)
O I am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full force and effect.
license No. Classification
'O I, as the owner, 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)
O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
O 1 am exempt under Sec. , Business and Professions Code
forthis reason
NEW CONST. MULTI -OUTLET
•NON RESID. ( BRANCH CIRCUITS )
@7.50
( POWERAPPARATUS )
8 SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
20 @ I•00
BAL. .50
Ex. Occup.FIXED APPUVS. OR
(OUTLETS IRESID.1 R)
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
O This permit is for $100.00 (valuation) or less.
O 1 have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
❑ 1 shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
S
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
X,00
Cooling
010d
Hood12
6.50 j
Ventilation
S�
PERMIT FEE S
Contractor
I certify that I have read this application and state that the above information is correct.
I agree to comply to all Butte County Ordinances and California 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.
1 also agree to save, indemnify and keep harmless the County of Butte against all
liabilities, judgments, costs. and expenses which may in any way accrue against aid
County in consequence of the granting of this permit.
Date
ature of Applicant - O Owner O Contractor O Agent
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
coNsr. rvPE
TOTAL FEE $
HA2.
1 D. FEES
IMP
F1000
CDF
PARCEL PD
'-�
HO
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
BY _ Date
PERMIT EXPIRES ON
!Dere/
Receipt No.
WHITE-D.D.S.-B.O. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Orovllle, California 95965 - Telephone: 916/538-7541
APPLIDATI'ON AND PERMIT
PERMIT NO,
33/3-9/
ASSESSOR PARCEL NUMBER
21-07-108
ZONING
A5
BUILDING PERMIT
OWNER
RICHARD THOMPSON
TELEPHONE
846-6465
SO, FT. OCC. BUILDING VALUATION
960 M 17 280
OWNER'S MAILING ADDRESS
35 ANDREA M CT GRIDLEY 95948
CON TRACTOROWNER 'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER
NONLENDER'S
UNKNOWN
ion $
Wit
$ 10.00
MAILING ADDRESS
$ 128.50
ARCHITECT OR ENGINEER
NONE
LICEN N.
Plan Checking Fee
$ 64.25
Energy Plan Checking Fe
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
49 ANDREA M CT GRIDLEY
Permit fee
$ 202.75
PLVMBING PER IT
Filing Fee 10.00
ELL
Ea2h T1 p
r o heat pump at r t4ater
2.00
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
er p ing
5.00
a qas water ater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other DET GARAGE
SPECIFY
JGas piping sy t - 5 outlets
5.00
Building ewe
5.00
Mobi e S I G I W
0.00 ea
TYPE OF WORK
New RX Addition ❑ Remodel ❑ Utilities ❑ Installation ther ❑
Describe work:
Pe t Fee
$
Catfractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service soov OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD•L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑NON-RESID
I am licensed under provisions of Chapt. 9, Div. 3 of the BuslnesS
and Professions Code and my license is in full force and effect.
License No. Classification.
R?�,APLNS., as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ 1 am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING o
OR ADDN5. ACC. BLDGS. ��
/=¢sgft00
24.
NEW CON5TRESI0,-ULTNCH CILET
BRANCH CIRC ITS
2,50 ea
POWER APPARATUS &)
SINGLE OUTLET CIR.
EX. OCCU o
Occup(OUTLETS OR FIXTURES
20asot
eAL*30
FIXED
Ex. Occup. OUTLETS P(RESID )REA.�
1 2.00
Temporary service
1 10.00
Mobile Home Facilities
15.00
Misc. �yirin 9
15.00
Permit Fee
$ 34-00
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
�, �f Consent to Self -Insure.
Lie' ' 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.
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Cooling
g
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgm n s, costs, and expenses which may in any way accrue
agaiPAt saiPA unt onsequence of the granting of this ermffit.
X Date ` (j�
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 $
OCC
CONSTTYPE
TOTAL F E $
236.75
�
HAZ.
CUA PARK
SCHL
F D
cDF
PAR
PD
I HD.
ISSUE.
This permit is hereby issued unoer the applicable provi-
sions of the Butte County. Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By Date
PERMIT EXPIRES Date
Receipt No. 100870-84.25//
WHITE-D.P.W., YELLOW -ASSES P TOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
U�• PERMIT NO.
:5 4---3 -::-*
ASSESSOR PARCEL NUMBER
��1 ^07D -16F
ZON G
S
BUILDING PERMIT
OWNER
4�j M d
TELEPHONE
'��
,SQA FT. OCC. BUILDING
�jVALUATION
L
OWNER'S MAILING A. DRE S
3S dre,,� /yt'
CONTRACTOR'SfIAM
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
/Ud
UNKNOWN
Total Valuation is
7. 2
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$ Sd
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee :K=/_
a�
Energy Plan Checking Fee
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS )
�( � /J n
L 1v l -e 114
Permit fee
$ V f�
PLUMBING PERMIT Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.SUBDIVISION
NAME
PARCEL MAP
Water piping
5.00
Each pas water heater or vent
5.00
USE OF STRUCTURE L �r
SF❑ Duplex❑ Mobilehome❑ Other 7 v
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home I S I G JW 1
0.00 ea
TYPE OF WORK
New k Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work: �6y S �� _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100V OR LESS
100 AMP OR LESS
10.00
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
El 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
Main service EA. ADD'L 100 AMP
2.50
oa ADDNS. ( ACCLBLDGsC DBI)
'/20sgft
NEW CONSTR. MULTI -OUTLET
NON.RESID BRANCH CIRC ITS
2.50 ea
(POWER APPARATUS e)
SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
20050t
eALO 309!
FIXED ALNS.
Ex. OCCup. OUTLETS P(RESID )REA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
g
15.00
Permit Fee
$ ()v
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 subjectLHood
to the W. C. laws of California.
Noticeto Applicant: If after making this statement, should you become subjectlt
to the W. C. provisions of the Labor Code, you must forthwith comply with suchprovisions or this permit shall be deemedrevoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
g
3.00
ilation
Fee
$
ractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X 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 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $
HAZ.
I CUA-1PARK
SCHL
FLD
CDF
I PAR
PD
1 HD•
ISSUE,
This permit is hereby issued unoer the applicable provi-
sions of the Butte County. Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By Date
PERMIT EXPIRES Date
per/
Receipt No. M4 C7 /U — L3 / lam% f-5
WHITE-D.P.W.. YELLOW-ASSE330R. PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTED Department of Public Works
7 County Center Drive, Oroville, CA .95965
OWNER -BUILDER VERIFICATION
Attention Property Owner:
Phonei 916-.538-7541
An 'owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
1. I personally plan to provide the ma)an materials for construction of
the proposed property improvement yes' r no) <:;
2.1 av /have not) L' signed an application for a building permit
for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors License No.
4. ,I plan to provide portions of this r4ork, but I have hired the following person
to coordinate, supervise, and provide the major work:
Name
Address City
Phone Contractors License No.
5. I will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name Address . Phone Type of Work
Signed:
Property Owner
Social Securit Num ber (�-
Date 9 � � ' a
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
RESIDENTIAL PLAN CHECKING GUIDE 8/91
(S.F., DUPLEX & MISC. ONLY)
• r .
Bldg. Permit # 5'4� 91
OWNER %fOh/P5o�J A.P: # Z/- D - 08'
GENERAL,
Plan Checker Z;-3 7�
Zoning requirements: (sideyards and number of permitted living units).
Z!l�lans
tion.
signed by designer.
4. Proper description of work on application.
Existing violations on property.
6 Items on data sheet. (W.C., fees, Health, Developer Fees, License law, etc).
corded notice of violation.
PLOT PLAN �9_ A PP Qom EZj
1vComplete parcel size and dimensions.
2 -"Setbacks, sideyards, easements, etc.
a---6ther buildings or structures.
ading, fills, drainage.
Flood hazard.
Special conditions on creation map,
ustible, and foundations).
7. & FAS road setback.
(noise, CDF, fire sprinklers, non -comb -
8. Builqng or utilities across lot lines (Record form).
FLOOR PLAN
Vk. Complete to scale plan with dimensions.
RR quired windows for light and ventilation (Sec. 1.205).
Y- Required windows for second exit (Sec. 1204). r
ig is (Chapter 34 & Sec. 5207). e
Suman impact glass (Sec. 5406).
6� quired room sizes, ceiling heights (Sec. 1207).
1,- CIS in baths, garage, kitchen, and exterior outlets (Article 210-8).
t fixtures, switches, receptacles, and exterior receptacles for main-
tenance of mechanical equipment. `
Locations of water heater, heating and cooling equipment, other electrical'
or gas equipment.
rage firewall, door size, and closer (Sec. 503(d)(3)).
1 1� 3'0" exterior exit door (sec. 3304 (f).
1 r eplace and wood stove location, alcoves, and clearance.
1.3' Smoke detectors (Sec. 1210).
plumbing fixtures, water closet clearances and shower size.
STRUCTURAL DETAILS . a
l. Standard bracing or engineered design (table 25V)
2 -Unusual shape, size, or split level house requiring lateral design.
3erestory requiring balloon framing and/or engineering.
4,— Tree story building requiring engineered calculations and plans.
5vjou.dation plan complete enough to construct building.
��//6. or construction details complete enough to construct building.
7/ Elevations and wall construction details complete enough to construct building
84 --Roof construction details complete enough to construct building.
.• replace construction details and talcs if necessary..
1 fter ties or bearing ridge beam.
IP-G�rage door or porch header sizes.
13'!Stud heights.
13., Adobe soils - special foundation design.
14,etaining walls requiring design.
15. Sp ial Inspection required.
8/91
RESIDENTIAL PIAN -CHECKING GUIDE1.
y
MISCELLANEOUS ITEMS TO LOOK OUT FOR
1. S irway details: landings, rise and run, head clearance, handrails
Sec. 3306).
2. Guardrail details (Sec. 1711 & 3306(j).
3 -.---Br= or stone veneer (Chapter 30) .
c error plaster - weep screeds (Sec. 4706).
per roof pitch for roof convering (Chapter 32).
Roof covering type - (fire hazard).
• insulation - protection.
84/36" halls and stairways.
. wing area over garage - complete 1 -hour separation required on garage side
inclu i supporting walls and posts, etc.
1Q. ee.%its on three-story dwellings (sec. 3303 & see Mezannines - 1716).
Alation
access and ventilation (Sec. 3205).
loor access and ventilation (Sec. 2516).
air for fuel burning appliances - L.P.G. requirements.
requirements on duplexes.
I
V. Energy design.
1� Flashing at all exterior openings.
res onsible area requirements.
-t'E-4-
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/ l2
SEISMIC•LOCKING PIN HANGER MIRE
Y
NOTE: 'METAL' SUSPENSISYSTEMS 'FOR ACOUSTICAL
TILE AND FOR LAY-IN NEL CEILINGS SH
BE INSTALLED IN ACC ANCE M ,
'UNIFORM BUILDING 0 TER- 47 .S
U.B.C. STANDARD
HANGERS F SUSP OED, EILING SHALL BE,,
NOT LES THAN TH SIZES SET FORTH IN TA 47-A.
FASTENED, T0, OR BEDDED IN THE STRUCTURAL F ING.
MASONRY 0 CONC ETE'.
, - -
HANGERS SHA L SADDLE-TIED AROUND MAIN . NNERS:
TO DEVELOP TH L STRENGTH OF THE HA S. LOWER•ENDS
OF FLAT HANG SH E BOLTED W/ i/ BOLTS
SS RUNNER
TO RUNNER CH NELS OR B LY UNO RUNNERS.'
AND BOLTED T THE MAIN PART OF
LO NG IP TO FA TEN
CR RUNN R TO MAIN UNNER
SPLICES AN INTERSECTIONS OF NERS SH BE
ATTACHED TH MECHANICAL IN OCK ONNECTORS
SUCH AS P P RIVETS. SCREWS. I PLATES N/BENT TA
OR OTHER PPROVED CONNECT DESIGN CONNECTORS F
2 TIMES ESIGN LOAD OR AL TENSION OR
COMPRES ON (MIN. B .)
OR. CRO S-FURR SHA BE SECUREL ATTACHED TO
RUNNER Y S E-TYI WITH NOT L S THAN AND
OF N0. TWO STR OS OF NO'18 GE
COMPRESSION POST
MIRE 0 PPROVED IVALENT A ENTS.
LATERAL FORCE GING
•T MA N RUNN AN OSS-FU I SHA BE OT LE
NOT TO EXCE 12' OX
B'
AN T E SIZ FORTH IN ABLE N 47-A, CEP T
THAT 0 EEL SECTIONS EOUI LENT ST ENGT MAY
IN BOTH D CTIONS W
(MA).)
BE TED FOR THOSE ET FO H IN THE ABL
HE FIRST J POINT W HI
4M EACH MA
PROVIDE 12 GA HANGER..W E 48' OC ALONG TR
'
LAY �BRACE RE
1/2'
PROVIDE COMPRESSION P TS U.B.C. 47-18
CROSS R NEA
MAIN RUNNER PANEL ALL RIMJ
'0
CONT. HORIZ. STRUT
PREVENT SPR DIN F RUN R
I,
SUSPEND CEILING
i
I
OETA AT WALL
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
_3- If
ASSESSOR PARCEL NUMBER
21-070-108
ZONING
-A-5
BUILDING PERMIT
OWNER
Richard Thompson
TELEPHONE
846-6465
S0. FT. OCC. BUILDING VALUATION
2 2 R 116 382.00
OWNER'S MAILING ADDRESS
35 Andrea M Ct., Gridley 95948
4t 44_1489_94
CONTRACTOR'S NAME
Owner
TELEPHONE
1-11
C 3 614.00
CONTRACTOR'S MAILING ADDRESS
F eplace A 1,500.00
CONSTRUCTION LENDER
None
r3K7N
total Valuation
Filing Fee
$
1000
LENDER'S MAILING ADDRESS
Permit Fee
$je.
ARCHITECT OR ENGINEER L CE SE N10.
None
Plan Checking Fee
$ 265.25
Ener Plan Checking Fee
Energy g
$ 15.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit tee
$-�-
PLUM NG PERMIT
Filing Fee
10.00
49 Andrea "M" Ct . Gridley
Each Trap
8 2.00
16.00
Solar or p a mp water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL M P
I
Water p g
1 5.00
5.00
Each a ater heater or vent 1 5.00
5.00
r USE OF STRUCTURE
SF[N Duplex❑ Mobilehome❑ Other
SPECIFY
Gas p system 1 - 5 outlets
1 5.00
5.00
I Ing sewer 1 5.00
5.00
ob a Home S I G I IN 0.00 ea
TYPE OF WORK
New ® Addition EJRemodel ❑ Utilities ❑ Installati Other
Describe work:
ermit Fee $ 46.00
Contractor
ELECTRICAL PERMIT Filing Fee
10.00
001 OR L
Main service 100 AMP ORSLESS
1110-00
10.00
Main service EA. ADD'L 100 AMP
1 2.50
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification.
j��
I1 A I, as the owner, or my employees with wages as their sole compen-
Y 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-
7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
CONSTGOCCUP &
OR ADDNST
YzQsgft _$ �
NEW CONSTR U TI-OUTL
NON-RESID BRANCH CIRC ITS 2.50 ea SL
POWER APPARATUS e
SINGLE OUTLET CIR.
Ex. OCCup(OUTLETS OR FIXTURES eA 030
FIXED APPLNS. OR
Ex. OCCUp. OUTLETS (RESID.) EAJ 2.00
Temporary service 1 10.00
Mobile Home Facilities q15.00
Misc. �Yirinors.(Sec. g
Permit Fee $^
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
I Consent to Self -Insure.
7 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.
Contractor
MECHANICAL PERMIT Filing Fee 1
10.00
Heating 116.00 1
6.00
Dual Pack 116.00 1
6.00
Cooling
g
Hood 1 3.00 1
3.00
Ventilation 4 3.00
12.00
permit Fee $ ,Q
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.
1 also agree to sav ,indemnify and keep harmless the County of Butte against
all liabilities, ju ments, costs, and expenses which may in any way accrue
aga'nst sai Cc t in consequence of the granting of this permit.
X (,�``r� (
r� Date
Signature of Applicant - caner Lf I 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 $ 30,00
occ
CONST TYPE
e
TOTAL EE
7H..
HAz.
cuA PARK
scHL
cDF
PAR
PD
ISSUE
This permit is hereby issued under the applicable
sions of the Butte County.Code and/or resolutions
work indicated above for which fees have been
DIRECTOR OF PUBLIC WORKS
By Date
PERMIT EXPIRES Date
provi-
to do
paid.
Receipt No. 100837 $350.25 PCH
WHITE-D.P.W., YELLOW-ASDE350R. PINK -INSPECTOR. GOLDENROD -APPLICANT
ry.."'r:j'R(r'�\tic�+'ti`'i7'Yf}f/"`�j'[ir -r._`7'y"'k3T�fi:i `:,�,Sf�.y.�t R�r�.a:.� ..ra:.,.�.�: J4va'-r %.'r: •..-....,n:.,'t•
COUNTY OF BUTTE - DEPART , N�f F PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - O VICLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APP:10N DATA SHEET,
Permit No.
OWNER k(TC1(1QVJ
TACMOSOO A. P. No.21-0 %– 108
Proposed Building Use jow f /0eCC1-00IV\Building Inspector Date
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. Hazardous Material Form .... .... ' .. ' ........................ .
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC Buildings ..
AMLo— 8. Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturer's installation
instructions. G�
—� 10. Fees of $ `h �� (� ..............'....... .
11. Chico Urban Area fees paid .......................................
2. Park fee paid .....................................
13. (9rLa r -cam School District fees paid..............
4. Sanitation approval from Ut _ ' Health Department
15. City of Chico plumbing permit .....................................
16. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A) Use: ' (B) Parking: ......
18. Improvements may be required. Contact Land Development Section DPW
'-
19. Driveway permit (construction approval required prior to occupancy)
20. Pre -Inspection for required Pre-Inspec.request to
Building Inspector
21. Contractor's license information (No., Name Style, Classification) ...
22. Certificate of Workmans Compensation Insurance ..................
23. Owner -Builder Verification (Given to owner ❑, Mail to owner 0) .....
24. Recorded copy of Agricultural Acknowledgment Statement .........
25. Letter of signature authorization ...................................
27.
When ac6u issue the §%t,�vKra
s follows: Mail to owner. Mail to contractor.
Telephone X (,nd hold for pickup at office. Deliver w/inspector.
Other
- Applicant –Q� .Date
Copy of ! .az-Mat form sent Health Dept. Fire Dept. Air Pollution Date
°Copy of plans sent Health Dept. Fire Dept.Other_ Date By
The following data must be submitted prior to permit issuance: (C'rcl new' item not checked above).
1. Index permit for above items No. ) 7i , (A Z_ :
2, Additional items required:
Contractor, designer, owner, was advised of above required data by_phone--jnail—counter by ..date
Contractor, designer, owner, was advised of above required data by —phone _maII—counter by date
Plans checked by Date2-4'27' Plans approved by Date_
7 ets of plans on hold in
Copy—DPW
File cabinet AP folder
TO: Building Department
FROM: Encroachment Permit Section
RE: Driveway Clearance
4wW 7L qe(-
owner location AP #
T
Driveway permit 14s",t We-eJelhas been issued for the above property.
(2,r 74 'r
s i/ature date
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Orovlller California 959e5 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMB
—
ZON' rC
.
-TfiLEPHONB
BUILDING PERMIT
OWNER
SO. FT. OCC. BUILDING VALUATION
4
OWNER'! MAILING D E33
35 I �fi� &Krd f-- OfS9'�8
c460 7
80
CONTRACTORSNAM
TELWPHONE
7 /' /
• (p
(,
CONTRACTOR'S MAILING ADDRESS
Ir
lC �(
U
F i rep lace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'! MAILING ADDRESS
Filing Fee
$ 10.00
Permit Fee
$ sa
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ S '1S
Ener Plan Checking Fee
Energy g
$ S a�
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ALDDRESS �� ec„ ,�
Permit fee
$ ��, 7S
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2,00 6 00
Solar or heat pump water heater
20.00
LOT NO. SUBDIVISION NAME
PARCEL MAP
Water piping
5,00 sU'C,
Each qas water heater or vent
5.00 00
USE OF STRUCTURE
SFX Duplex❑ Mobilehome❑ Other
SPECT FY
Gas piping system 1 - 5 outlets
5.00 `CIO
r
Building sewer
5.00 h-0
Mobile Home S G W
0.00 ea
'�,{ TYPE OF WORK
New>j Addition 11Remod 10 Utilities❑ Installation❑ Other❑
Describe work: 7 �P ((��jyV�
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service io°0 AMP OR ORSLESS
10.00 ° '
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
�❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification.
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. Business and Professions Code
for this reason
Main service EA. AOO'L loo AMP
2.50 5
NEW CONST. DWELLING oc-_
OR ADONS. ( ACC. BLDGS. )
,� ZQr OS sgttl 1
NEW CONSTR -14C.LTI.OUTLET
NO N.R ESIO 9R ACH CIRCUITS
i2,50ea1
POWER APPARATUS &
(SINGLE OUTLET CIR. )
i
I
Ex. Occup(OUTLETS OR FIXTURES
;;L;'Ooa:�
FIXED APPL.11 OR
Ex. Occup. 0UTL=TS IR ESID.I EA.)
2.00
Temporary service
10.00 �' I
Mobile Home Facilities
15.00 11
Misc. Wirin g
15.00
Permit Fee
$ Z Z 3,3S
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of (check one):
u 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.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00 I
Heating
e G
I ov
Cooling
g
Hood
300 3
Ventilation
y I cu 2 c -o
permit Fee
$ 00
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 or
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.
XTh;s
Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
,on of structures over 3 stories In height.
Mobile Home Installation Fee $
Energy Inspection Fee $ oO
occ
CONST TYPE
TOTAL FEE $
HAS CUA I ARK , scRL FLD :oF BAR ao ,o...ss�= I
I I I l
! I
permit is hereby issued unser
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
BY
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
Date
Peceipt No. 1,0653 / -- L3s0•25✓
YELLOW-43aE33OR• PINR•iNSPECTOR. ;0L0ENR0a-APVLICANr
COUNTY OF BUTTE - Department of Public Works
7.County Center Drive, Oroville, CA 95965
OWNER -BUILDER VERIFICATION
Phone: 916 -538 -7541, -
Attention Property Owner:
An 'owner -builder" building permit has been applied for in your name and bearing
your signature.
s
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
1. I persona.11y.p.lan to provide the maj_ labor and materials for construction of
the proposed property improvement c-yeno
2 I (k v�./have not) T7 signed an application for a building permit
for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors License No.
4. ,I plan to provide portions of this work, but I have hired the following person
to coordinate, supervise, and provide the major work:
Name
Address City
Phone Contractors License No.
5. I will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name. Address . Phone Type of Work
Signed:
Property Owner
Social Security Number
Date—V1_CIL
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
Pt
/sG/. °50 �lcJ
?,4YBER.PY TO
cover
/T/CS
Ws
Flo
E,
I
T
B9".�'4aN/.r7J
SEE OETq/t "O" ,
PC. 2
- /Gi77. 94'/�YIJ _ 1
-7 - -
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AS Of TL/E 0.47E OF F/C /NC E N/1 -1/C/1 /S A/Or /NTEN o rD
TO AFFECT .PECORD T/TCE /NTEE'EST. '
X ~ J°IlEDETE, I/�1/E�
I N,444 SirES
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i
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9TFOF CAO���
RECORDED BUTTE COUN' y
U'FICIQL RECOftOS FAY
1381 AUG 19 AN 8: 10
CANDACE J. GRUUBS
s
CLERK 'RECORDER FEE.,..`
ID
Pages
Ty/S S.S/EET /S BE/�t/G CD�t/CUPPENrLY �-2-
.PECO.QDED N//TN T.ygT PWC74'i M.4P FO,P
AS F/f EO FD.P RECORD /.t/ 8oOA' I
MAPS ,4T PgGECS)
LL -4--&Z TN _ '9
LWY OF AUG: >STf /98 7
AS OFF/C/AC �PECOROS SER. �� `% - �Cjcj 2 �
/7T' T•�/E REQUEST OF G. D. A, E�1/6'/NEER/it/G
PWAWAZIP 8Y .-
0.54V D. C/,/,P/STOP SON �. S. 4208
I
m4zz
I /
ENGINEERING
• SURVEYING
GDA a PLANNING
220 GRAND AVE
OROVILLE, CALIF. 95965
`h (916) 533-206B
---------------
•t E
® f
NOTE: AN AFFIDAVI T ONNERS a IS BEING CO C`URRENTLY RECORDED IN
THE OFFICE OF THE BUTTE COUNTY RECORDER UNDER SERIAL NUMBER
• /9 .VI y i1 -� .. w
Lernricate or %_ompu;:wL;e rcesiaemlai c.Ilmate !,one li
T�DMP�otJ
P"ject Title
Address
Documentation Author Telephone
r--
BL'ILDING DATA
Conditioned Floor Area ZZ8 Z Number of Stories
Slab/Raised Floor Number of Units
Single Family Detached (SFD) [ ] Addition Alone
[ ] Single Family Attached (SFA) [ ] Existing Building
(j Mulch -Family (MF) [ ] Existing -Plus -Addition
BailditaQ omit 0 s
laected B y Due
Enforcement Agency Use Only
Glass Arca % Glass ..,....
North 1(Z : 4► q ..
East
!oo
Ztly
lir building features and perforz nce Specifications needed to comply with
South
75--
SWest
:train a copy of it and transmit the
txrtif care to any subsequcat purchaser of the btnld"in&
West
G O
e •!o
Name i
Skylight
O
Tekplhone
Telephone
Total 307 13 -.S
BLM.DLNG SHELL INSULATION
Component Insulation Locafion/ecmrn-:-.=
Tym R -Value (abler, :as garage, QTix1, este.)
Wall .............. — r TOTA-� Po l wT
Roof ...........»• -- 3D 4 -4 -
Roof ............
Floor .............
+ Fioor............
Slab Edge .....
GLARING Shading Devices
Glaring Area Glass Type Inte for Exterior Overhang Framing Type
_Orientation (Sri (single, double) (roller blind, etc-) (shadccTeen- ere.) (geshno) (metal),wood)
NOi—uh ( ) (f Z
North ( )
East C ) 700
East
Sou _h ( )
Souf—h ( )
West
West
Skylight.......
THERMAL MASS
Type; Covear-g Area Thickness
(slab/ezxsed, tilt etc.) (sf) (inches) Locatiott/Descriotion (kitchen- bath- etc.)
- tll v�(L_ 3!� A E,V D (lv
T t -F'- !oS FOYE _ woov STV vE
w
HVAC SYSTEMS hiinimum Duct
Type (anace, air Efficiency Location Duct ' Output Manufacturer /Model #
conditioner- hertt oumu) (SE,• SEER-HSPF) (attic, etc-) R -Value (Bruh) (or aoproved equal)
e
—dUI t ae rc rr
Maximum Furnace Heating Output: 746,30 Btuh
HOT WATER SYSTEMS Tank Manufactumr/Model # APPROVED
System Type (storage Ras- etc.) Capacity (or aooroved equal) Soecial Feature(s)
srts'. 67D M" .
SPECIAL FEATURESIREMARKS (Add extra sheets if necessary)
Mandatory Measures Checklist: Residential MF -IR
No?E: Lawns a rc=dertnaf buildings subx= to tee Smndutis mug tauaia these mczmw tegardlcn o(thc mmplimac
appeoaen used. Beau martin .huh an astute (0) may be ser Va26fad (rybr mnngvht eompuanmnxtawc no 4sd
en tier Cwfie ae o(Compunoe when on Chw e•a u arrorporwed into the peri documama. the (oaue Ono long
be cengnatd by all pane AS buhding mummum component perfOnnanoe spevfatauons (or the mandatory Mcumca -
-raarhe they arc srhowo rlsewxase n grit aoetmanu r: on the eheeklig ss+ily.
9.adieg En-elopt Memura
• 12•5352(a): Minamumcaling mmium" R-19 wagaased avenge I
12.5352fbr. Lease rill itag iumn manu(acum's 1—kid R -Value.
• 12.5352(cr Mimmom wall insuiacon in inured walls R-11 weighted average (does not apply 10
exterior mus walls).
12.5352fkk Slab edger intufabon - water atssormiat roes no greater than 0.3%- watts �ZPM
uartsmaaaen rase an pflse than 2.0 purnfi Ch -
12 -5311: Iraulauon spearaod or inualkd mots: Ui(omia Energy Commission (CEC) gtaftty
standards lhaicme type orad torso.
12.53520k Vapor boners maemtory in Climate Zones 14 and 16 only.
12.5317: Inriltraucm&,filoaoon Controls
L Doors and -uwows between concuuonrd and urcendiuctned spaces d=Vtcd to limit air
leakage -
b. Doors and winnow: coursed.
e Doors and -uwo"-causesspippet 111 joints and paseauiass eanUmd and sealed.
12-5352(e)-- Speaal iafdeauon barrier smallea neomply with 12.5351 imams CEC quafity
12.5352(d): lnssaflationorFveptaces
1. Masonry and factory -belt ruep— have
a. Tight Chung. closeable metal or glass door
It. Ouu4c atr ,nate wnth damper and c mcrd
e Flue oaemocr orad control
2. No coctmarsaa aurmng>w pilots atowwed-
HVAC and Ptumbint System Measuat
12-5352(1) and 2-531(3: Smcc; conditioning , Iucpmest siting: attach ealtathdanz
12.5352(b) and 2-5315: Sennet thermho= ea au appliczble heatint sygu=
•-12-5316(2)r Ducts a mstruetrd, inst:uW and inssdawd per chapter 14 1976 UMC
12.5316(b): i :shaua sygans have damper eocum1L I y
R -5314(c): Gas -rued space Mating esmionmu has imc mium ignitim derirzL
12-5314: HVAC equipmern, eraser h=orn- si� and (aaacas entified by the CEC I
12.5352(ik wase honer isssulation bLvnto (R• 12 or prate:) a combined inter;otlu&cricr
.ruurataon (R-16 or grcawrr- fust 5 fee d pipes csmest to tank irmdased (R-3 or poser).
t 12.53 t2(Esccpuan rr Pipe nuu(aomt on steam and stem condenmue return B rtana+latint I
PW F -
i 12-531R(d)r S-immng Pod Hcuing
1 1. System Rbc
a. 01rmfr switch of heats. -
b. wnahaproof inuovoici n plate on hots.
C. Plumocc! u also- for sour. .
7- 75 percent uhcrmal dRauncy.
3. Pesos cover.
4. Tame Choc:.
5. Dt =uona1 water inlC-
t Ughtint and Appfiaaee Metawres
12.53520 Ugnung - 25 bamicrW au or greases for genera( righting in kitchens aha mwooms.
i 12-53141ck Gas turd apptian= equipped with intermiam ignition devices.
12.5314(a): Relrigcmwrs- refrigerator•(reams- freaas and 0uoraeost lamp baLi= entified
by Yee CEC laaoaate stake and mood numaer.
CONOLIANCE STA•IF.NIEN't
'This certif ester of eompiia= lieu
lir building features and perforz nce Specifications needed to comply with
Title 24. Chapter 2-53 and Title 20. Clue r 2. Subchapter 4. Article I of the Califomia Administrative code. This
certificate has beat signed by the individual with ovem[L design respcnsibMty and the building owner. who shall
:train a copy of it and transmit the
txrtif care to any subsequcat purchaser of the btnld"in&
Designer
Building Owner
Name .
Name i
Tttk/Futs
Addn=
Titkff:6m:
Adam=
Tekplhone
Telephone
tic.
(aivata m)
(date) (siLnuuse) (date)
Documentation Author
Enforcement Agency
Name
Name
Tat)r4Fum
Atenci=
I. Ceiling IasL: t
I Wall Insulation
Single.
Numoer at sones
Single.
R -value
One
Two
Three
R-0
-103
-4
32
R-19
-8
-t
•2
R-30
.2
-t
-t
R38
0
0
0
U -value
-17
: ,...:..
__.� - • 0.80..._-.._-153 ...
- - -
0.50
-176
-84
-54
0,M
-102
-49
32
0.10
-26
.13
4
Us
-18
.9
-6.
US
-11
•5
1
O.C4
-1
.2
.1
O.C2
4
2
1
O.Co
11
5
3
I Wall Insulation
Single.
Stab Floor
Single.
Singte-
-144
Famtiy
Family
MUI&
R -value Dem=ed
A=k--.ed
Famt0f
R-0 -68
-51
4A
R-11 0
0
0
R-13 2
2
1
3 1 _.....1.:
.21
-14
:-... u -value ..... '_ .....
-17
: ,...:..
__.� - • 0.80..._-.._-153 ...
- - -
r
_. --114 - _ ---76
0.50 31
38
_ -46
: 00 -'
36
-24
0.10 v
3
0
' 0.08 4
3
2
- US 9
7
5
- 0.04 14
10
7
0.02 9
=
10
O.Co .:S
3
12
=-3. Raised Floor Insulation
Single.
Stab Floor
Ittsttlatlon in Floor
Total
-144
Number of s=ries
16
R-vaiue
One Two
Three
R-0
-17 -8
.5
R-11
-3 2
.1
R-19
0 0
0
R-30
3 1 _.....1.:
.21
U-vaiue
Single.
Stab Floor
Number of stories
Total
-144
-70
16
a.5o
-12D
-se
38
0.40
•95
16
vro
0.20
-69
34
•Z2
0.20
-:3
.21
-14
0.10
-17
3
.5
0.08
-11
-6
.4
0.06
-6
-3
_2
O.C4
•1
0
0
0.02
4
2
1
0.00
10
5
3
Controlled Ventilation Crawispaee
Single.
Stab Floor
Number of stories
Total
R -value
One
Two
Three
R-0
-11
.7
-5
R-5
-4
.4
3
R•11
.2
.2
•2
R-19
less
50
-121
4. SIab Edge Insulation
39
- -
-10
Number of Stones
40
R -value
One
Two
Three
' R-0
0
0
0
R-5
8
5
1
R-7
8
6
3
F2!atar
.4
:
12
0.90
1
3
.1
0.80
,1
.1 _
0
0.70
2
2
1
0.60
6
4
2
0.5o
9
6
3
0.40
12
8
4
S.Infiltradoo (Air Leakage)
Spearuaoon Points
sbwdard 1.11.4 0
6. Glass Heat Loss
Single.
Stab Floor
Sum of 1-6
Total
Erre ctd.e Peresnt Gina
%Goss
Noah
East
U value
:West
Pen ent
18
5
.51 a
.41 to
.31 b 0.30 or
Glass Single
Double
.60
.50
.40
less
50
-121
-S3
39
•24
-10
4
40
-90
37
•26
-t4
3
8
35
-75
-29
-19
-9
1
10
30
•61
-21
.13
.4
4
12
29
-58
-20
-12
3
5
12
28
-55
.18
-10
.2
5
13
27
•52
-17
-9
.2
6
13
25
19
-15
-8
.1
7
14
25
16
•14
-7
0
7
14
24
-4
-12
-5
1
8
14
23
-t0
-11
.4
2
8
15
22
-37
•9
.3
3
9
15
21
34
.7
-2
4
10
15
20
31
-6
0
5
10
16
19
-29
1
1
6
11
1s
-18--.•_26
12
3
2
7
12
16
17
-23
-1
3
8
12
17
16
-20
0
4
9
13
17
.15
-; 7
1
6
10
14
17
14
-14
,3
7
10
14
18
13
-12
4
8
11
15
18
12
-9
6
9
12
15
19
11
3
7
10
13
16
19
10
3
9
11
14
17
19
9
-1
10
13
15
17
20
8
2
12
14
16
`18
20
1J
Z2
24
Z6
26
3
12
7..Shading (Shade Open)
'--EiTectl.e Pereatc Glass
(percent Alas x SC)
E9ecve
Single.
Stab Floor
Sum of 1-6
Raised Floor
Erre ctd.e Peresnt Gina
%Goss
Noah
East
South
:West
Skylight
18
5
1
. 4
1
na
16
_ - 4 .,.Z.
5
_. 1 ....
na
14
4
2
5
1
na
12
3
3
5
2
na -.
11
3
3
5
2
. na
10
2
3
5
2
1
9
2
3
5
2
2
8
2
3
5
2
2
7
1
3
4
2
2
6
1
3
4
2
3
5
_ 1
. 2
4
2
3
4
0
2
3
1
3
3
0
1
2
1
3
Z
0
0
1
0
3
1
•t
-t
-t
-t
2
0
•1
d
-1
•2
0
na not allowed
1
1
1
6
R. Shading (Shade Closed)
Single.
Stab Floor
Sum of 1-6
Raised Floor
Erre ctd.e Peresnt Gina
Family
Sbnes
!,cast
Detached
. (portent tiara x SC)
Fam4
Edetoiv,
One
Two Twee
One
Two
Three
%Gms
North Estt
Soudt
Wee
MY60
18
-14
-18
-69
34
Ri
16
•12
-12
-59
•55
na
14
t0
35
-50
16
m
12
-a
-29
-t0
37
na
11
-7
-26
36
33
na
10
-5
-23
31
2
-74
9
-5
-20
•27
-25
35
8
-5
-17
-23
.21.
-56
7
1
.14
-19-
A8_
A7
6
3
-11
-15
-14
38
5
.2
-9
-11
-10
.30
4
.1
-6
3
-7
•23
3
0
1
.5
1
-16
2
1
1
2
1
-9
9
1
1
1
6
8
1
0
_
10
4
3
0
9. Interior Thermal h1asS
Interior
Single.
Stab Floor
Sum of 1-6
Raised Floor
Mass
Family
Sbnes
!,cast
Detached
Sbries
Fam4
ICFA
One
Two Twee
One
Two
Three
0.0
-8
-5
1
-2
-1
-1
0.1
-8
•5
-3
•1
0
0
0.3
-7
.4
-2
0
1
1
03
-6
3
.1
1
1
2
0.7
-5
.2
.1
1
2
2
0.9
•5
-
0
2
3
3
1.1
-t
•1
1
3
4
4
1.3
3
0
2
3
4
5
1.5
3
1
2
4
5
5
ZO
-1
2
4
5
6
7
Z5
0
3
5
7
7
8
3.0
1
4
6
8
8
9
35
2
5
7
9
9
10
4.0
3
6
8
9
10
10
4.5
3
7
8
10
11
11
5.0
4
7
9
11
12
12
5.5
5
8
9
11
12
12
6.0
5
8
10
12
13
13
0
6
9
1C
12
13
13
7.0
6
9
11
13
13
14
7.5
6
10
11
13
14
14
8.0
7
10
11
13
14
14
8.5
7
10
12
13
14
15
10. Exterior Wall Thermal Mass
Exmnor
Single.
single.
Sum of 1-6
Wait
F9miiy
Family
Multi
!,cast
Detached
Attached
Fam4
0.00
0
0
0
0.20
3
2
1
0.40
5
4
3
0.60
8
6
4
0.80
10
8
5
1.00
13
10
7
im
13
12
8'
1.40
12
13
1
1.60
10
13
•.
1.80
10
12
12
ZCo
10
11
13
11. Heating System
SE or HSPF '
(asumes ducts in &lids
Zonal Control Adjustment
System Type
Resismnce 10 9 7 6 4 3
Other 6 5 4 3 2 2
1=. Cooling Syst•:1n
SEER
(aaam4tducts in attic)
Site of 7.10
•25 or -24 b 04 In
-4 to
Sum of 1-6
16 or
SEER
. fess
-15 1 -6
-25 or -24 to
-14 to
-1 to
+6 to
16 or
SE
HSPF
less
-;5
-5
+5
+15
more
0.72
6.60
0
0
0
0
0
0
0.73
6.88
3
3
3
2
2
1
0.80
7.33.
8
7
6
5
4
3
0.85
7.79
13
11
10
8
7
5
0.90
8.25
i7
15
13
11
9
7
095
8.71
20
18
15
13
11
8
9
6
Efrective SE or HSPF
b. East
j
(SE or HSPF x duct es7icieney)
1o%
15%
ENecive -25
or
-24 to •14 In
1 to
+4 b i6 or
Sc HS?F
less
-15
-5
+5
+15 more
0.30
2.75
-73
-64
-56
-47
38
-M
na
3.41
-15
-39
-34
-29
.24
•18
0.40
3.67
-34
30
-26
-22
-18
-14
0.50
4.58
-10
-9
-8
.7
•5
.4
0.56
5.13
0
0
0
0
0
0
0.60
5.50
5
5
4
3
9
2
0.70
6.42
17
15
13
11
9
7
0.80
7.33
25
22
19
16
13
10
0.90
8.25
32
28
24
c0
17
13
1.00
9.17
37
32
28
24
19
15
Zonal Control Adjustment
System Type
Resismnce 10 9 7 6 4 3
Other 6 5 4 3 2 2
1=. Cooling Syst•:1n
SEER
(aaam4tducts in attic)
Site of 7.10
Zonal Cootrol Adjustment
10 8 7 6 4 3
No Coodw,- System Installed
Ulterior MaWCFA
. tiff 7 AAZX
•25 or -24 b 04 In
-4 to
+6 to
16 or
SEER
. fess
-15 1 -6
+5
+15
mon
8.0
-id
-12 -10
-8
3
1
8.5
g
.7 -6
•5
.4
J
8.9
.5
-4 -4
3
.2
•2
9.0
.1
3 3
-2
.2
.1
9.5
0
0 0
0
0
0
10.0
4
3 3
2
2
1
10.5
7
6 5
4
3
2
11.0
10
9 7
6
4
3
12.0
15
13 11
9
7
5
13.0
Solar
17 14
12
9
6
4
b. East
j
5%
1o%
15%
20%
2S%
ERatdre SEER
3:%
40% 4S%
50%
(SEER xdod eRicienc7)
60%
$A
70%
gait of 7-10
60%
8S%
Effective -25 or
-24 b -t4 b
-4 b .
+6 b
16 or
SEER
Vass
. -15 -5
+5
+15
mon
5.0
30
-25 -21
-17
-13
•9
6.0
-12
-11, 9
-7
-6
.4
6.6
.5
1 1
3
-2
•2 .
7.0
0
0 0
Q.
0
0:
8.0
3
8 6
"5
4
3:
9.0
16
14 12
9
7
5
10.0
17
19 16
13
10
7
11.0
26
23 19
15
12
8
12.0
`'0
Z6 22
18
14
9
13.0
s3
29 24
20
15
10
Zonal Cootrol Adjustment
10 8 7 6 4 3
No Coodw,- System Installed
Ulterior MaWCFA
. tiff 7 AAZX
or
Eff. too Glass
R-vaice (191
x
U -value (0.M
-
4. SIab Edge Insulation
One
s
-:
1
R-vahle (01
-2
.2
-Z
Two +
3
3 .,
2
Z
2
1
3'
Type (double(
It. t...e-4
4L ZwAi Glass (161
oo Glass
SC
S. Infiltration
Single -F -illy Detached and
Attached
6. Glass Heat Lou
1 Tt►e I t1AS3
MAC b 4.2. le. *,Dosed
Slabl
ZOO
3.3
Water
Heater
credit
:199
1200
1700
2200
2700
7. Shading (Shane Open)
Type
Type
or • t
fess !
to
1699
to
2199
,
. or
mon
:
SG
None
0~ 1
0
0.
0
0
a. North
or
Solar
12 1
8
6
5
4
b. East
0%
5%
1o%
15%
20%
2S%
30%
3:%
40% 4S%
50%
55%
60%
$A
70%
75%
60%
8S%
90%
95%
loot' toss 1t07.
115. 120% tz
0%
0
02
04
0.6
0.6
1.1
1.5
is
1.7
1.9
Z1
23
ZS
21
2.9
12
.13
14
29
16
4
4.2
44
J.6
.4.6
S 5:
10%
02
04
06
0.6
1
1.2
1.4
1.6
1.1
Zt
Z3
ZS
21
Z9
11
is
17
4
4.2
4.4
46
7.6.
S
52 S.:
20%
43
46
0.8
1
1.2
1.4
1J
1.6
2
22
Z4
Z7
29
11
13
23
17
19
4.1
43
4.5
4.6
s
52
5.4 5
30%
OS
V
at
1.1
1.4
1.6
1.3
2
Z2
24
Z6
Z6
3
12
IS
3.7
39
4.1
4.3
4.5
4.7
49
5.1
5.3
S6 5
40%
t1.7
09
1.1
t3
1.5
1.7
1J
Z2
24
Z6
26
3
12
14
15
1t
4
4.3
4.5
4.7
4.9
3.1
i3
53
5.7 5.
50%
19
U
1J
iS
1.7
1.2
21
V
Z5
ZI
3
32
14
L
16
4
42
4.4
4.6
4.8
S1
5.3
IS
51
19 6.'
55%
19
1.1
1.4
1.8
1.8
2
Z2
Z4
16
18
3
12
IS
17
19
4.1
43
4.5
4.7
4.9
11
53
56
S.1
6 S.
60%
1
12
1.4
1.7
1.9
Zt
Z3
1S
21
Z9
11
.13
3.3
it
4
4.2
"
4.6
4.8 '
S
52
5.4
5.6
5.9
$1 6:
65%
1.1
U
1.5
1.7
1.9
Z2
24
21
Zt
3
32
34
36
3.2
4
4.3
AS
4.7
4.9
it
53
55
5.1
5.9
61 6,
70%
1.2
1.4
1.6
1.8
2
Z2
Z5
Z7
Z9
11
33
15
17
11
4.1
4.3
4.6
4.1
S
5.2
5.4
5.6
58
6
62 5,
75%
U
13
1.7
1J
Zt
Z3
25
Z7
3
12
14
16
38
4
42
4,4
4.6
4.111
5.1
5.3
IS
5.7
5.9
6.1
6.3 6:
W.
1.4
1.6
1
2
22
24
26
Zt
3
13
13
17
19
U
4.3
AS
4.7
4.9
5.1
54
36
5.6
6
62
64 V
957
1.4
1.7
21
23
ZS
17
29
11
13
15
21
4
4.2
4.4
4.6
4.8
S
S2
64
54
39
6.1
63
6S s:
90x'
1.5
U22
24
26
ZS
3
12
14
16
24
It
43
4.5
4.7
4.9
11
53
.55
i7
5.9
62
44
66 6:
S%1.e
9S%1
*3
. U
2
Z2
25
17
29
11
33
25
17
19
4.1
43
4.6
4t5
12
5.4
5.6
16
6
d2
6.4
6.7 U
1007:
1.7
i,
Zt
23
15
26
3
32
34
Ze
1t
4
42
44
4.6
4.9
It
53
SS
17
SJ
6.1
6.3
63
6.1 1
105%
1.8
2
22
Z4
2.6
26
3
13
3S
17
19
4.1
4.3
43
4.7
4.9
ii
14
39
i6
6
6.2
64
so
es 7
110%.
1.9
21
23
25
2.7
29
11
13
16
3.6
4
41
4.4
4.6
4.8
5
SZ
5.4
5.7
59
it
6.3
6.5
6.7
69 1.'
115%
2
22
2.4
Ze
2.6
3
12
14
3.5
16
4.1
4.3
4.5
4.7
4.9
it
13
IS
5.7
5.9
6.2
6.4
6.6
6.1
7 7.
120%
2
13
ZS
27
29
11
13
is
17
19
4.1
4.4
4.6
4.8
S
12
SA
i6
50
6
61
6.5
6.7
6.9
7.1 7 :
125%
21
U
25
26
3
32
3.4
36
it
4
4.2
4.4
4J
4.2
it
53
IS
i7
SJ
Rl
6.3
6S
6.7
7
7.2 ,7..
Point System Summary: Climate Zone 11
SCORE CARD
1. Ceiling Insulation
I Wall Insulation
3. Raised Floor Insulation
• Stories
or
Eff. too Glass
R-vaice (191
x
U -value (0.M
-
4. SIab Edge Insulation
One
s
-:
1
R-vahle (01
-2
.2
-Z
Two +
3
3 .,
2
Z
2
1
3'
Type (double(
U•aiuc Jab51
4L ZwAi Glass (161
oo Glass
SC
S. Infiltration
Single -F -illy Detached and
Attached
6. Glass Heat Lou
Z,<0
'
Unit size (so
ZOO
3.3
Water
Heater
credit
:199
1200
1700
2200
2700
7. Shading (Shane Open)
Type
Type
or • t
fess !
to
1699
to
2199
to
2599
. or
mon
:
SG
None
0~ 1
0
0.
0
0
a. North
or
Solar
12 1
8
6
5
4
b. East
HP
HWR
8
5
4
3
3
Me
5
3
3
2
2
c. South
POU
8
5
4
3
3
d. RIt _
SE
None
37
-24
•18
-15
•12
'
Saiar
-1
.1
-t
a
0
e. Skylight
HWR
-18
-12
-9
-7
-6
WS3
Pok
-Z5
.18 _42
-16
-12
.9
-10'
-7
-a
-6
8. Shading (Shade Closed)
iG
None
.5
-3
-2
-2
-2
Solar
POU
7
3
5
2
'4
1
3
i
' 2
1
a. North
IE
None
-28
-t9
-t4
.11
.9
b. East
Solar
POU
8
_10
5
.6
4
.5
3
1
3
-3
0. South
MUW-FamRy (individual
amts)
d. • W=
Water
6'99
Unit size (SQ
100 1200 1700
e. Skylight
Type
Credit
rya
less
iiw
1a9
2199
9. Interior Thermal Mass
SG
None
0 •
0
0
0
ma,
-rtd: -
!--,-"'- IIJ :.-{ � . ` .
or
Hp
solar
HWR
9
7
5
s
3'
10. Exterior Wall Mass
WSB
g
4
3
2
2POU,
9} .•
`• 11' Heating System A
SE
a
HWa
-15
2
23
1
- s
1
->,
0
0
Zonal Control? ( Y/ N)
vise
-23
.12
-8
-6
-5
12. Cooling System
>G
-None
° ar
-23
a
-�2_-3
1
•3
.6
.2
S
.2
Zonal Control? ( Y / N )
6
3
2
1
1
'Vater
P^U
None
10
-;5
O
0
0
13. Heating
IE
,afar
30
t8
-s0
6
-a
4
a
4
4U
a
1
.3
-
.2
Measures
SO or
R•v 3 1 U -value (0.0301
or
R-value(III U-vaiue (0.0981
Point Scores
-1
1.r
o Z
3 Sum
% Glass
or
Eff. too Glass
R-vaice (191
x
U -value (0.M
S f. ,
or
R-vahle (01
x =
F2 factor [0.771
-Z
Standard
-4-
x
b7
�,
3'
Type (double(
U•aiuc Jab51
4L ZwAi Glass (161
oo Glass
SC
Eff. °bGi PM
Z,<0
x
=
ZOO
3.3
x
= Zt5
Z►
xx
C.11
Point Scores
-1
1.r
o Z
3 Sum
% Glass
SC
Eff. too Glass
r 9
x
2
x =
Z..
-Z
-4-
x
b7
TYPE 1 t4ASS AREA v tf
Intenorn�A COND. FLOOR AREA i
TYPE 2 `MASS AREA
Excnor Wal.I.Mus ND. FL OR AREA
. ??i x -
SE or HSPF Duct Efficiency 10.781 Effective SE or
(0.77166151 I•ISPF JUGS. 151 v
SEER 19.51 Due Effictency (0.741 Effe-ve SEER (7.031
S�% - .
Type iSGI Cnxiit(nonci 4
Pni nt Tntal: