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HomeMy WebLinkAbout017-020-020D 1� f 4 i II J l y William F. Helms jJ-40"o!0 E/S Humbug Rd.; opposite -Centerville Cemetery, Chico Permit #1724-80B,E(new pri.det. / y garage &workshop)^��0/fes/O 11-40-20 2845-90B,P,E,M HELMS, Bill & Carol 5307 Pasa Way, Chico Contr: Robert Hill ��) (new sf) . � 3-a 011-40-0-020 99-0403 BPE HELMS, Willia 5307 Pasa Way, ico i (new swimming poo ) Hi&lAssoc 011-400-020 PERM # 0331' HELMS, William 5307 Pasa Way, co Cont: Hill & ssoc:L . c1 1st Renewa BP#99-0403 % 1 _ 1 f V- I rom" , C�� F PERMIT NO. } 1792-80.8,E f PERMIT EXPIRES `OWNER Phil LaRocca --CONTR. owner '- 63-02-77 LOCATION (A.P. ) . . F W/S Helltown Rd:, app mi.N.ot Hmbug Rd. ,. Chico ��ta�.,� a,�JratZe G�ure y 0-2-0 7 ' i . r' 4 _ tl i. t Temp. Power Pole' Called PG&E �Elec. Serv. r Called PG&E 4 Temp. Gas Serv. Called PG&E JOB FINALED (Date) (Signature) 4 btucco LFinal ISuboanels Mesh MECHANICAL Gird. Fault Prot. Scratch Heating Service Brown Cooling Temp: Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping BILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Pi in � P 9 DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Colit'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out. Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings StemwaI I Garage Vents Insulation Water Htr. Heaters Slab Car ort p Footings Prov. for ph sically handicaped Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Relnf. Steel Final Fixtures Bond Beam _ FIRE SPRINKLERS Motors btucco LFinal ISuboanels Mesh MECHANICAL Gird. Fault Prot. Scratch Heating Service Brown Cooling Temp: Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping BILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Pi in � P 9 DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) `j. W EJO OK _ = Not Applicable-- RESIDENTIAL (Single and Duplex) = Not dealt with yeto 7f2 - Fo Date UNDERFLOOR (Plans) OK"exept N's Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Fig., Main; Soils-Steal-Elec. Grnd.- " Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- " Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Fig., Porches & Decks; Soils -Steel- ❑" Fig. Depth 5. Stemwalls, Main; Steel-8lockouts-Wrapped-Slab 51. Plywood on Roof Overhang -Attic Access -Rafter Outriggers 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 8. D.W.V.: Fall -Fittings -Test -2 way C/O-Sewor Test 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test-Anchors-Regulator-Seryice Test 54. Glazing Area -Glass Protection -Skylights -Plastic 55. Shear Walls; Nailing -Bolts 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples _ Card -BI Card -BI Card -BI Date Card -BI Date Date Card -BI Date Date Card -BI Date Card -81 Card -BI Date Card -BI Date Date Card -BI Data Date FINAL (Plans) OK except M's Data PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Artchors-Nail Protection 17. Shower Pan; Test, First Floor -Tub Access 56. Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection _ 59. Bedroom Exiting 60. G.F.I. & Bath Fixtures & Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 18. Test Tub & Shower, 2nd Floor -Tub Access 19. Gas Pipe; Size & Anchors Card -BI Date Card -BI , Data 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance: Grnd.-Air Gap -Cooking Gap-CookingClearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except ht's 67. Garage Fire Door; Swing -landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture &Transformer Clearance -Ins. Protection _ 69. Wtr. Htr.; Vents -Clearance -Comb. Alr-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 22. Size Boxes & No. of Conductors -Stapled . 23. Romex Installed Close to Edge ofStuds & C.J. 24. Equip. Ground made up w./Mech. Fasteners -Bond Gas & Water 72. Insulation-Foam-Looked am -Looked in Attic C:] Yes 25. 2 Appliance Circuits In Kitchen & Conductor Size 73. Guard Rails Deck Construction -Post Caps 74• Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes C3 No 75. Followinginstid.: Drive C1 Yes []No; Walks ❑ Yes ❑ No; Planters E3 Yes C1 No; Creating Drug. Problems El Yes Q No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish .77. A.C. Unit; Disconnect-Cirnces-Brkr. & Cond. Size -115V Outlet 78. Vents Above Roof; Plbg.-Appliance-Firepi.-Clearance to Opngs. 29. Equip. Clearances; Panels-Motors-Mech. Equip. 30. Clothes Closet Light -Shower Light 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B-1 Date Card -BI Date 81. Ventilation throughout House 82. Glass Protection Card B -I Date Card -BI Date Date MECHANICAL (Permit) OK except k's 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/O to Grade -HO Approval 32. Vent Fan: Exhaust above Insulation _ 86, Energy Compliance Certificats-Other Certificates 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnish in Attic - Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -81 Date Card -81 Date Date FRAIMING(Plans) OK except p's 36. Sills; Proper Material & Anchors Comments at Final: 37. Walis; Studs -Nailing, Spacing & Bracing -Plates -Sound _ 38. Bearing Walls over Girders & Floor Nailing 39. Draft_ Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing _ 42. Hangers -Post Caps -Anchors -Connectors 43. Cing_Joist-Rftr. Ties -Purling -Root Brac.--Truss-Shthng.-Ring. 44. Fireplace Ties or Type A Flue -Fireplace Throat 45. Attie Access; Size & Romex Protection -Draft Stop -Ins. Baffels 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — OroviIle, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT ' Z �cr�cocnlaU- VI UIV lJVullly v1 Ou110 N CIIICI UPUJI 111C above-mentioned property for inspection purposes. X Date Signature of P+/eermiteee/o_r Agent Receipt No. r ) White-D.P.W. – Yellow -Assessor – Pink -Inspector – Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By - .e Date ,'I u .� .. t Building permit expires Date BUILDING Owner [ I �1�,{(A e SO. FT. OCC. BUILDING VALUATION 4(X) Mailing Address Telephone No. Contractor r f 1 rI.JL_/L Mailing Address Fireplace Total Valuation Telephone No. Permit Fee 2 ,?ua Building Address' S �-FE[ (l (�L� jib �t)���� Plan Checking Fee &/orPenalty Itl Permit Fee — W (}(, , 6,77 f-ki f too t,r /-,V1n,A0G PO PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trao 1.50 ri'ta" Repair drainage or vent piping 1.50 A. P. No. UZ — ?-7tro"t�sM / Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F es W!C. Sanitation Fire Dept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans I Parcel Declaration (4 - a Parcel Map 60' R/W I Improvements Each additional outlet .30 Building sewer 5.00 Bldg. Plans Recd /'~1�Parcel A o'v'al—:1 Plans Approval - Lawn sprinkler system 2.00 NEW 0 ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 UU Main service 100V OR L0o AMP ESS 1ESS 5.00 L Others tf Single Family ❑ Duplex ❑ Mobil Home ❑ ❑ Ma Main service E4. ADD -L 100 AMP 2.50 1 / Main service OVER 1100V25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1,00 NEW CONST. (/ DWEL; INGiOCcup- S OR ADDNS. l ACC, BLD"GULT.91. 2�Sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW.NONCONSTR RESI D, l BRAN(MBRAN -OUTL T CH CIRCUITS) 2.50ea NEW CONSTR (POWER APPARATUS & NON-RESID, SINGLE OUTLET CIR, Ex. Occuo(OUTLETS OR FIXTIIa _S) 1B �254@ 104 FIXED ALRTS. Ex. Occup. ( OUTLETS P(RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 O1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ rl r)r. $ // TG_( WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. • MECHANICAL iNO-1 @ I FEE PERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee is TOTAL PERMIT FEE $ Z �cr�cocnlaU- VI UIV lJVullly v1 Ou110 N CIIICI UPUJI 111C above-mentioned property for inspection purposes. X Date Signature of P+/eermiteee/o_r Agent Receipt No. r ) White-D.P.W. – Yellow -Assessor – Pink -Inspector – Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By - .e Date ,'I u .� .. t Building permit expires Date Phill. La .iocca P.O. ?ox 635 Chita, CA 95926 r r LAND OF NATURAL WEALTH AND BEAUTY DEPARTMENT OF PUBLIC WORKS CLAY CASTLEBERRY, Director 7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965 Teleohone: (916) 534--4541 H. W. McDONALD Deputy Director Novo 9; 1981 RE: Building Permit No, 17e2_80 (ti � ar Expired / AT`" -I- (A.P. No. 63 02 rna ) With reference to the above subject, our records indicate that your building permit has expired. Building: permits are valid for one year and should construction not be completed at the expiration date of the permit, the permit shall be renewed for 1/2 the original fee. Kindly contact this office within ten (10) days t'o renew _your permit. Should our records be in error or should your construction be completed, please advise this office immediately. Thank you in advance for your prompt attention cortcc--rning this matter. Yours -very truly, Clay Castleberry. Director of Public Works F. G1 nder JFG:dd Chief Building Inspector Attachments P.S. For your convenience, we are attaching a renewal application form which may be completed and signed by you where indicated and returned to this office together with the fee shown. vie are ales attaching an OvamerBBUIlder Information Sheet and an Over—Builder Verification ftm , Please cwnplete the Omer—Builder Verificatbn Form and return it with the renetwal application and gees. cc: Building Inspector, Chico y �- _..--. u to • LAND OF NATURAL WEALTH AND BEAUTY _ .ae -DEPARTMENT OF PUBLIC WORKS 7`C•'OUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965 Telephone: (916) 534-4541 WILLIAM ( 0 CHEFF' �irector De` embee 6, 19.84 Phillip LaRocca,` 13505 Helltown Rd. RE: Building Permit No. .179.280 Chico.,. 'CA 95926 Expires 4114181. ' (A,P, Dear -Mr : LaRocca: With reference to the above subject, our records indicate that your Building Permit will expire on the above date. Building permits are valid for one year and should construction be started but not completed by the expiration date of the permit, the permit shall be renewed for 1/2 the original Building Permit Fee (plus a $10.00 "Filing Fee"). The renewal permit will extend the Building Permit for an additional year from the original expiration date. Should you not renew your permit in•a timely manner, it cannot be renewed and all work must cease until a new building permit is issued. If your construction is completed or.should you have any question concerning this matter, please contact the Chilc o office. For your convenience, we are enclosing a renewal application form -and an owner - builder form to be completed and signed by you where indicated and returned to this office together with the fee shown. Please return all copies of the application form. Thank you for your prompt attention concerning this matter. Yours very truly, JFG:aj Attachments: Permit Application Owner -Builder Information Owner -Builder Verification William Cheff .Direc.tor, , of Public. Works .F. Glander Chief Building Inspector cc: Building Inspector - Chico Chico - 196 Memorial Way/891-2751 Paradise - 747 Elliott Rd/872-2961, Ext. 57 NOTES RESIDENTIAL PERMIT N- -011-40-0-020 99-0403' BPE' HELMS, William 5307 Pasa Way, Chico i (new swimming Pool) Hill & Assoc. h t S .. 11� _t 11 SPECIAL CONDITIONS 1 SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) �+ t Signature /� CHECKED BY ,/ = OK 0 = Not OK - = Not Applicable = Not Ready ` MOBILE HOMES Date ' MOBILE HOME UTILITIES (Plans) OK except #'s Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements. 2. 2. Soils; Special MH Support Sketch Gas; MH Test -Demand -Valve -Connector 3. Sewer; Location -Test -Fall -C/O -Concrete 5. 4. Water; Location -Test -Easement Needed (Sketch) Water; MH Test -Regulator -Connector 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 8. 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /"L"ft./ PLPG 7. Well Clearance 8 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 12. Permanent Foundation Only; License Decal 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-Rttrs-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 FINAL (Plans) OK except #'s Se cks-Easements of S,'Compaction-Structure Stability tol Structure; Steel -Connections -Thickness ad -Men -Lining lec.; Receptacles and Lighting, Distance-GFI Elec.; Pool Lighting; 15 Volts-GFI 6. Alec.; Enclosures; Conduit Entries -Terminals -Listed Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. lec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 9. ealth Department Approval 1V Plumb.; Cir. Test -tater jupply Te t V. Liaht Niche'WIRKPI Date 2J4M1 Card B-1 t> -Y ate Card B-1 Date I 9� 'Card B-1 Date Card B-1 h� V= OK 0 = Not OK - = Not Applicable =Not Ready RESIDENTIAL (; Date Underfloor (Plans) OK except #'s Hangers -Post Caps -Anchors -Connectors 1. Zoning-Setbacks-Easements-Flood-Slope Cling. Joist-Rttr. Ties- Purlin-Rolf Brac.-Truss-Shting.-Ring. 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Fireplace Ties or Type A Flue -Fireplace Throat Clearance 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4. Ftg., Porches & Decks; Soils-Steel-/ /" Ftg. Depth Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 5. Stemwalls, Main; Steel-Blockouts-Wrapped Garage Fire Protection Framing 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Property Line Firewall & Openings 6a. Hold Downs and Special Anchors Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 7. Slab, Steel-Wrapped Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 8. Piers-Fireplace Ftg.-Steel Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 9. D.W.V.; Fall-Fitting-Test-2 Way C/O-Sewer Test Siding -Nailing Veneer 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 11. Water Pipe; Test-Anchors-Regulator-Service Test Glazing Area -Glass Protection -Skylights -Plastic 12. Electric Underground Shear Walls; Nailing -Bolts 13. Plenums & Ducts; Clearance-Material-Support-Ins. Brace Interior/Exterior Wall Panels 14. Girders-Sills-Anchor Bolts-Joists-Vents-Crippies Insulation -Walls -Ceilings 15. Access & Ventilation Infiltration -Walls -Windows 16. Insulation Date Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Ext. Steps -Door & Sidelight Protection -Landings 17. Water Htr.; Vent-Access-Combustion Air Baffle Smoke Detector 18. Water Pipe; Test & Anchor-Nail Protection Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 19. D.W.V.; Test Fittings & Anchor-Nail Protection Bedroom Exiting 20. Shower Pan; Test, First Floor-Tub Access G.F.I. & Bath Fixtures & Tub Access -Spa 21. Test Tub & Shower, Second Floor-Tub Access Elec. Trim & Subpanel, Breaker Sizes & Labels 22. Gas Pipe; Sixe & Anchors Stairs & Rails 70. Date Card B-1 Date Card B-1 Date Card B-1 Date .Card B-1 Date ELECTRICAL (Permit) OK except #'s Elec. Outlets & Receptacles at Kit. Counter 23. Fixture & Transformer Clearance-Ins. Protection Garage Fire Door; Swing -Landing -Closure 24. Elec. Receptacles Spacing-Lights & Switches at Doors A.C. Duct in Garage -Damper 25. Size Boxes & No. of Conductors Stapled Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 26. Romex Installed Close to Edge of Studs & C.J. Plb., Elec. & Mech. Equip. Listed for Location 27. Equip. Ground made up w/Mech Fasteners-Bond Gas & Water Elec. Receptacles in Garage (F.F.I.)-Romex Protection 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI Insulation -Foam -Looked in Attic 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At Guard Rails & Deck Construction -Post Caps 30. Range Circle / / ga Cu or Al-Oven Circ. / / ga Cu or Al Insulated Neutral Q Yes O No Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 31. Service-Riser Conductors & Ground Main Disconnect Clearance Looked under Floor Q Yes 32. Equip. Clearances Panels-Motors-Mech. Equip. Following Instld./Drive ] Yes ] No/Walks J Yes J No/Planters ] Yes J No 33. Clothes Closet Light-Shower Light-Spa Light Stucco Brown -Finish 34. Smoke Detector A.C. Unit Disconnect, Electrical -Plumbing 85. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 87. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace-Vent Access-Comb. Air-Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Date FRAMING (Permit) OK except #'s Date 40. Sits Proper Materials & Anchors 41. Walls Studs-Nailing Spacing & Braces-Plates-Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings-Stairs-Chasers-Tubs 45. Headers & Beams-Size & Bearing >ingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rttr. Ties- Purlin-Rolf Brac.-Truss-Shting.-Ring. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor Q Yes 82. Following Instld./Drive ] Yes ] No/Walks J Yes J No/Planters ] Yes J No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELQ, )MENT SERVICES - BUILDING ISION 7 County Center Drive • Oroville, California V5965 • Telephone (530) 5 -75 D PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING© -BUILDING PERMIT OWNER WILLIAM HEIMS TELEPHO 898-9947 SO. FT. OCC. BUILDING VALUATION NTE 17,500 OWNER'S MAIUNG ADDRESS 5307 PARA WAY, CHIM 95998 _ CONTRACTOR'S NAME 14TT.T. ANT) Aqqn('.TATTON,; TELEPHONE 891-428n CONTRACTORS MAILING ADDRESS 1QQ 'PAST SHASTA AVE, CHICO 95973 CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 189.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUI13IMsPASA WAY, CHICO Energy Plan Checking Fee $ $ PERMIT FEE $ 232.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other POOL SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 5.00 Each flas water heater or vent 15.00 TYPE OF WORK New ❑XAddition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: MASTER #502-94 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT I Fling Feel 20.00 OOOVOR LESS Main Service 2o.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class B—GS Lic. No. _2-7% 4021 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service To 46.00so W:.200A CCU000A NEW coNsr. owELLNG occuP. ( OR ADDNS.NEW SST 3.5¢so. FT. CONST. MUAiCTIC-�ou�rt NON-RESID. C 97.50 FowER AFPARATUS a SINGLE OUfLEr CIR. OUTLET OR FIXTURES Ex. Occup.BAL @ I'� o .so Ex. Occup. oFIx�LEED�A R p OEp 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 POOL ELECTRic PERMIT FEE _ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: n Carrier 1z� na Policy Number 0-& ZA'Oc3Z (The above sections need not be completed H the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Np,&VM Date 3 `2- �[ Signature of Applicant - ❑ Owner Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TO ALF $ 7.00 422 HAZ. D. FEES I , FL CDF EL pp HD ISS This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By , PERMIT EXPIRES ON '1 the applicable provisions Resolutions to do work been paid. QDa lb 4 /op Det, Receipt No. 257975 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT t.r�7��"S'^y4�i'�"�^•�"��~`'r.K "��i.�ir'_:'pn' RE' �����t�'�r�F�'"�'%'/1C;i=.V���r:.^ . f...�,�y COUNTY OFilBUTTE - DEPARTMENT OF DEQ "OPMENT SERVICES- BU ING DIVISION .- 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHO 3 38=7541 - PERMIT APPLICATION DATA SHEET OWNER' i ASSESSOR PARCEL NUMBER: ,d a i 2, Proposed Building Use: Building Inspector: ate: 1 • " At time of permit application, I ivas advised the following data must be submitted prior to pe t ro sero and/or issuance: Date Received By ❑ 1. All items have been submitted ----------------------- ----------------------------------------------------------- ❑2. Plot plans, 3/4 sets, signed by the preparer of plans. '=� ---------------------------------------------------------- 113. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 114. Engineered plans, 3/4 sets, with w t'signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 0 6. Energy Design Compliance and supportingdocumentation.---------------------------------------------------- ❑ T. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- El8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications ------------------- 0 10. Fees of $------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ❑ 12. California Department of Forestry plan approval/fees. --------------------------------------------------------- ❑ 13 lood elevation certificate. ----------- ---------------------------------------------------------------------------- //�� 4. Sanitation and plot plan approvalC� Health Department. ------------------------------------------- 15. City of Chico plumbing peiinit.----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: -------------------------- ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- ❑20. Pre -inspection for required Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). ----------- 0 22. Workers' Compensation carrier and policy number. ----------------------------------- 1123. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - ------------- 024. Letter of signature authorization. -------------------------------------------------------- ❑ 25. Recorded copy of Agricultural Ackrpowledgment Statement. ------------------------- 1126. ------------------------ ❑26. Letter of intent on building use. ---------------------------------------------------------- 0 27. Manufactured Home utility clearance. --------------------------------------------------- 028. Existing violations and/or expired permits. --------------------------------------- ❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ 030. Other: (Date) When you issue the permit, process as follows ❑ Mail to owner, ❑Mail to contractor. ❑Telephone S9 1 q i;' S 0 and hold for pickup at 1,ct T) office. ❑ Deliver with inspector. Applicant:RrISICJ*E;� Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:. Plans reviewed by: Date: Plans approved by: Date: :f>' Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date::.. Vallnw rnnv - rlan-t-f _f71o..01 a TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance E.H. USE ONLY Plot Plan Attache Floor Plan AttachedMd ', ` Sent to B.D. 3 4— - /� -f;0-&41- 5307 P44a_ Vaa4 0/1- 4W- ozo Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well, Clearance for Wit, ag. Other .aJe0i4,;V ®vt d6t-0Q4wt Hold final for: Final clearance O.K. for: NOTE: i ✓. ��� c�-�l l ,� 3 3-4-299 Environmental Health Specialist Date 8/96 t 011-400-020 PERMIT#00-0331 HELMS, William _--_ '5307 Pasa Way, Chico Cont: Hill,& As a e 1st Renewal'' 99-04 ??.,.�...QI Y' COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISIQN "~ 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 . PERMIT No. (Rev. 12/96) APPLICATION AND PERMIT OD -0331 ASSESSOR PARCEL NUMBER 011-4 ZONING BU I LDI NG PERM IT OWNER WILLIAM TELEPHONE _9547 SQ. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 5307 PASA WAY, CHICO. CA 95928 - CONTRACTOR'S NAME ' HILL \& AS TELEPHONE CONTRACTORFS MAILING ADDRESS 199 CA AVE., CHICO, CA 95,971 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace, Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 94.50 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan. Chec ing Fe i $ BUILDING ADDRESS Energy Plan Checking Fee $ PERMIT FEE $ 114.50 LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Unities ❑ Installation ❑ Other ❑ Describe Work: IST RENEWAL BM9--0403 s Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 @20.00 PERMIT FEE $ > ELECTRICAL PERMIT Fling Fee 20.00 Main Service oA mss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is 'n full force and effect. , t ) Jin �� Z � (� :.,.1• i) I License Class Lic. No. i tt S 11/ OW R -BUILDER DECLARATION I I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUR OR ADDNS. & ACC. BLDS. SO 3.5QFT. MULTI-OUTLET ITS INON-g6T. 1p.I NBAt&H @7,50 PowER APUTLETCI 8 S GLE OUTLET CIR. Ex. OGCU SET OR FIXTURES p Loo BAL .50 Jzo Ex. Occup. OF EDA R IES�OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirin 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATIONMECHANICAL I hereby affirm under penalty 6Tpe�iGr one of the meowing declaratio_ns: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the _ performance of the work for which this permit is issued. I;- I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Coe, for the performance ofork for which this permit is issued. My workers' co m ti n in r ce carrier1nd licy num_ r,are: ' Carrier Policy Number I /- i (The above sections need not be completed if the permit is for ork of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X�;' Date i -�+`�' C ��i nature of Applicant - ❑ Owner 900tontractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or constructionf, of structures over 3 stories in height. PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home InstaAation Fee $ Energy Inspection Fee I $ OCC CONST. TYPE TOTAL FEE $ 114. SO HAZ. o FEES IMP I FLOOD CDF PARCEL I PD I HO ISSU 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 o3I04�01 Date 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 (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 00-0331 ASSESSOR PARCEL NUMBER 011-400-020 ZONING BUILDING PERMIT OWNER WILLIAM HELMS TELEPHONE RQR-9547 SO, FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 5307 PASA WAY, CHTCO, CA 9592R CONTRACTOR'S NAME HILL & ASSOCIATES TELEPHONE RQI-42,90 CONTRACTORS MAILING ADDRESS 199 CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ 94.50 ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS 5-im PARA WAY CHICO Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 1 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utlities ❑ Installation ❑ Other ❑ Describe Work: 1ST RENEWAL BP#99-0403 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I G 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service eo.V OR LESS 2o0A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license isS full force and effect. 2 ^ License Class C 5 Lic. No. 3 ! _ OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm un e a o perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. p—f-ttave and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Cp0e, for the performance ofkvork for which4his permit is issued. My workers' com a . n in r ce arr. nd licy num are: Carrier Policy Number (The above sections need not be completed if the permit is for ork of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. _ X �f Date _ ©D nature of Applicant - ❑ Owner Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUR sO OR ADONS. ( & ACC. BUDS. 3.50FT. NO4Nt-WRE41DT. BRANCH MULTI -O 97,50 TS POWER APPARATUS 6 SINGLE OUTLET CIR. EX. OCCU . OUTLET OR FIXTURES 20 Q 1.00 BAL @ .50 Ex. Occup. D °TSA ga,p,OEp 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 114.50 HAZ D FEES IMP FLOOD CDF PARCEL pp HD ISSU This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated bove for which fees have been paid. ByACArl/Date PERMIT EXPIRES ON 3/04/01 ate ReceiptNo. 286032 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT 7 County Center Drive, Oroville Phone: 916-538-7541 WILLIAM HELMS 5307 PASA WAY CHICO, CA 95928 RE: RENEWEL A.P. # 011-4g9/0403 -0-020 With reference to the above subject: Attached is: _X_Application for permit Building Plans Engineered Calculations Owner -Builder Verification Fm SERVICES, BUILDING DIVISION rA 95965 DATE: 18 FEBRUARY 00 �0 - 033 Mobilehome Utilities Installation Sheet Mobilehome Installation Information Sheet Typical Plan Sheet List of Codes Enforced We need the following information prior to permit processing and/or issuance: X Permit application signed and completed where indicated with all copies returned:' Plot plans, 3/4 sets, signed by preparer of plans. Complete plans, 3/4 sets, signed by preparer of plans. Engineered plans and calcs, 3/4 sets, with wet -signature on plans. Hazardous Material Form Energy Design Compliance and supporting documentation. Statement of Intent for Non -Heated and A/C Buildings. Engineered truss details and layout in duplicate. Mobilehome data and manufacturer's installation instructions, 2 sets. Fees of $ , payable to Butte County Treasurer. Impact fees paid. California Department of Forestry plan approval/fees. F.E.M.A. National Flood Insurance Program Elevation Certificate prepared by a licensed land surveyor, architect or engineer. Sanitation and plot plan approval Health Department. City of Chico plumbing permit. Plot plan and business license approval from City of Biggs/Gridley. Planning approval for Land Development (a) Improvements (b) Drainage. Driveway permit (approval of construction required prior to occupancy). Contractor's license information (No. Name Style, Class) or exemption statement. Owner -Builder Verification Form. Recorded copy of Agricultural Acknowledgement Statement. Letter of signature authorization. Copy of recorded deed of parcel creation and 60' right of way to a public road. Letter of intent on building use. Mobilehome utility clearance. Documentation of legal access. Documentation of 50% subdivision developed or (a) Road improvements completed and (b) Parcel meets zoning area and frontage requirements. Existing violations/expired permits resolved. Plan check list data and revisions. sets of plans in accordance with changes marked in red. Copy of recorded 60' right of way to a public road Other: PLEASE SIGN WHERE INDICATED AND RETURN ALL COPIES TO THE BUILDING DEPARTMM Should you have any questions concerning the above, please contact SCOTT of this office. very t, Mittfael C. Vieira, C.B.O. MCV:ahb Man ger, guilding Inspection ` - r RESIDENTIAL 11-40-20 2845-90B,P,E,M 1 " f r HELMS, Bill & Carol t s 5307 Pasa Way, Chico � Contr: Robert Hill t (new sf) S GiC RssS ��..N {�k • I ti • r _ a OFFICE COPY t Address, 0? s3 ,. aAS� Kz�t ELECTRIC Meter By Date s ° JOB FIMALED (Date) 3 'q — Signature J=OK O=Not OK Not Appli Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 1 _ 4. Water; Location -Test -Easement Needed (Sketch) .! 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG 7. 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 a 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. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Q 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; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Hoofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements + 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and'Lighting, Distances-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 in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card 6-1 J=OK O 4 Not, OK - = Not Applicable ESIDENTIAL Minnie & Duplex) • = Kot Ready Date UN FLOOR Plans OK exce s oning-Setbacks- Ease men/ -Flood -Slope Fig., Main; Soils-Elec. G d. -/n/" Ftg. Depth oils-Steel-Elec. Grnd.-/ P' Fig. Depth 4. pg Porches & Decks; Soils -Steel-/ /Ftg. Depth . Stemwalls, Main; Steel-Blockouts-Wrapped rage; Steel-Blockouts-Wrapped 6a. H d Downs and Special Anchors lab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Datelo,(-9y Card B-1 tA,Ql...- Date Card B-1 Date t o -7. , c -A Card B-1 b G Date Card B-1 Date PLUMBING Permit OK except Is 16. Woker Htr.; Vent-AccessComb stionAr Baffle r Pipe; Test & Anchor -Nail Protection ; Test -Fittings & Anchor -Nail Pr ction 1' ower Pan; Tebe, First Flo -Tu cess Tt Tub & Shower, Second oor-Tub Access Gas Pipe; Size & Anchors Date)'-/Jf4to Card B-1 k AAAA_y Date Card B-1 Date J -Z5- Cj ) Card B-1 Date Card B-1 Date ELEC RICAL Permit OK except #'s 21Z,"bre & Transformer Clearance -Ins. Protection Receptacles Spacing -Lights & Switches at Doors S' Boxes & No. of Conductors -Stapled 1<Rqwdx Installed Close to Edge of Studs & C.J. 401."E . Ground made up w/Mech. Fastners-Bond Gas & Water 2 pliance Circuts in Kitchen & Conductor Size/GFI Subfe Wire Size /a[, ga. Cu cCA A.C. Wire Size / / ga. C I 06.'Range Circ. //9tga.Q_W�br AI -Oven Circ. / / Cu or Al. ipsulated Neutral 0 Yes No rvice-Riser Conductors & Ground -Main Disconnect 1. Equip. Clearances Panels-Motors-Mech. Equip. CI as Closet Light -Shower Light -Spa Light moke Detector Date Card B-1 �� Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL Permit OK except #'s A.C. Pucts Insulation & Support 3 V t Fan; Exhaust above insulation 6. ondensate Drain & Overflow; Size & Grade Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date Card. B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s A,---39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 1. Bearing Walls over Girders & Floor Nailing 4 raft Stop in Walls (rat proof) Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Date FRAM (Continued) 5. Han s -Post Caps -Anchors -Connectors 46. g. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions -5e -Garage Fire Protection Framing St property Line Firewall & Openings 2. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits -63 --Stays; Width -Headroom -Rise -Run -landing -Fire Protection t�b4 wood on Roof Overhang -Attic Vents -Rafter Outriggers . Siding -Nailing Veneer --5f-Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. ear Walls; Nailing -Bolts . Insulation -Walls -Ceilings A!�4Q X 60. Infiltration -Walls -Windows Date // d 0"`10 Card B-J,_Tf Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (P sY0 cept #'s / Protection -Landings W. Fur ce; ents-Clearance-Comb. Air -Connector - Gar e; Above Floor-Ducts-Mech. Protection r dm Exiting I. ath Fixtures & Tub Access -Spa gym;& Suboanel: Breaker Sizes & Labels K. ,%dir4 Rails bif FicAlace or Stove: Clearances -Hearth Elec. Outlets at Wood Panel; Int. & Ext. 70. KP . ixt. & Appliance; Grnd.-Air Gap -Cooking Clearance lec. Outlets & Receptacles at Kit. Counter �Fc�f-6ere�e-Fre Door; Swing -Landing -Closer m arage-Damper 74. Wtr tr.; Vents -Clearance -Comb. Air -Co Garage; Above Floor-Mech. Protecti 7 . Plb., Elec. & Mech. Equip. Listed for Locatio ptacles in Garage; (G.F.I.)-Rome rotection igodation-Foam-Looked in Attic Yes 118'.�Guard Rails & Deck Construction -Post Caps n. ents & Cia ole Door -Drainage & Wood -Earth Clearance Looked unZerFloor El Ybs 80. Following instld.; Drive ❑ Yes o; Walks ❑ Yes o; Planters Yes Obe Brown -Finish Unit; Disconnect, Electrical, Plumbing Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to 84. e/r*ell; Disconnect, Electrical, Plumbing Trim; G.F.I. Rea 96'V ti n Throughout House ass•Pr Wet ti Ko ,st a wr C9rl;ec-tiorw1rorn Previous Inspections .7_,e / as T&.11 -Meters Tagged: Gas -Electric /7t 96. Water & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates Date / fV Card B-1 Card B-1 Date _! S, )Card B-1 C_CDate Card B-1 Date Card B-1 Date Card B-1 Comments at Final: (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile —"Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE r OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this f matter, or need additional explanation, please contact this office immediately. S .• S tz I � G �/ � G ti � • S t �.D�i ,Pi.ti !s —�' r .. 4 7-�'ARFAQ--1 Date �' �) Inspector—W A .I f COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS' "— —r.-• 196 Memorial Way, Chico — Phone: 891-2751_ 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 c CORRECTION NOTICE OWNER PERMIT NO. A routing inspection indicates that the following violations of County Ordinance exist a the above address and should be corrected. Please notify this office ' when orrection of work is completed. If you have any question pertaining to this er, or pied/additional explanation, please contact this office immediately. Y � � !A 4t2 ei rgar Date �� ��� — C?d Inspector COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541' 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE E ER PERMIT A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Date I Ill— Inspec COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS y z 196 Memorial Way, Chico — Phone: 891-2751 �• 7 Counfy Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE Y;- � OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. ��ZWV r ' ,t .l CLct Lea o�-cs �a 1V' / 7' IP P Date [ 'ry Inspector m. (//4--'� MAR- 1 5-9 1 TUE S 52• HAWK I NS I N', ULAT I ON `r _ C ENERGY CERTI FI ('A,TION _ 's3 -0') � C ' c�sc� l I� LOCATION A. P, NU. ROOF Material Brand Maine Thickness EXTERIOR WALL --- --.-- Thermal Resistance (R Value).. Material__ F.�BERGLASS.. _ — Thickness (Inches) �r� Brand Name_ CERTAINTEED_ Thermal - CEILING Resisnc tae (R Value).j. Batt or Blanket Type FILE GLASS Thickness (Inches) Id Brand Marne_ _ CERTAINTEED _ Loose Fill T YpP, . F,j�ERSrLAs$.___..___.._... Thermal Resistance R Value 3'0 ( ).--- ------ Brand Name-.. CERTAIN1'EE0 Minimum Thickness (Inches)_L eJo . o.f Baa i— g• g Weight/BaQ 2.5 lbs Area Covered (Sq. Ft. —IbO� FLOUR,ELEVATFD Thermal Resistance (R V3Iue)30 Material __�IgERGLASS_•__,_^�_ — Thickness Inches,) Brand Name CERTAINTEED _..._esist_._—.ance--•--...___ _ FLOOR, SLAB -Thermal R(R Value)_ Material Brand CJamA ThicknessInches ( ), --_ --_ FOUNDATION WAIL --------...-----_.._..---. Thermal Resistance (R Value)_,. Material Brnnd Name Thickness Inches ( )�_: -----� _.._.._.__..._. .. Thermal Resistance (R Value)_. I HEREBY CERTIFY THAT THE 'ABOVE INSULATION WAS INSTALLED IN THE ABOVE BUILDING IN CONFORMANCE WITH THE STATH OF CALIFORNIA ENERGY REQUIREMENTS. ----__li�►JKLN.S__lNRUS'IR:1.�S_J,1�C--__._____._.__.-------.37.9407....___.-__._..._._....-. _ Firm Name/Owner State Contractor . . . __ .. 's Lice.rxse Mo. 1 � q - - Jnu Signature _........ Date I HEREBY CERTIFY THE ABOVE INSULATION AND ALL REQUIRED I'I'pHs AS SIIOWN ON THE BUILDING DEPARTMENT APPROVED PLANS AND ATTAC,IJMFNTS HAVE BEEN INSTALLED AS REQUIRED BY THE STATE OF CALIFORNIA ENERGY REQUIREMENTS, 0 7— -T /Nim Wss e c . Firm Name/Owner - _............._.....-- ._-.-- Date Signature Gen. Contractor/Owner._._----•-----•--------.._`-----------__....--.---._..-___..� Date P _ 0 1 !V COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - OroviNb, Califotrnia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT o A9.4ESSOR PARCEL NUMBER i°1-40-20 Z IN -�0 BUILDING PERMIT OWNER BILL & CAROL HELMS TELEPH N 343-939 SO. FT. OCC. BUILDING VALUATION 229:3 R 91,720 OWNER'S MAILING ADDRESS 5307 Pasa Way, Chico 304 coy 3,040 CONTRACTOR'S NAME TELEPHONE CA9W495WS Mvk4i4E D L, 95926 Gh Fireplace A 1,000 CO R 71 R UNKNOWN Total Valuation $ 99. 60 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 421.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 210.50 Energy Plan Checking Fee $ 00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 5307 Pasa Way, Chico Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 9 2.00 18.00 Solar or heat pump water heater 20.00 LOT NO. -7- SUBDIVISION NAME PARCEL MAPp 3 Y 6 O Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF [:k Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00e TYPE OF WORK New[f Addition❑ Remodel❑ Utilities[:] Installation❑ Other ❑ Describe work: 3 bedroom _ Permit Fee $48.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service i°o Do AMP 1 OR LOR E5S S 10.00 IQ 00 Main service EA. ADD'L too AMP 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. X77400 t License No. Classification 16 %S3 ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUPM OR ADDNS. CACC, SLOGS. 2/,zOsgit NEW CONSTR. M ULT' -OUTLET NON.RESID BRANCH CIRCUITS) 12.50 ea POWER., APPARATUSe �SINGLE'OUTLET CIR. Ex.Occu (( Occup( OR FIX TUR 5 20®tsoa SAL030 FIXED APLNS. Ex. Occup. OUTLETS P(RESID )REA.�. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ 67.30 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. E -1 -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 IMECHANICAL PERMIT Filing Fee 1 10.00 Heating 6.00 Cooling 6.00 Hood 3.00 3.00 Ventilation 1 3.00 3.00 Permit Fee $ 2$,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 Countyot Butte to enter upon the above-mentioned property for inspection purposes.L 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. %� ` Date Signature of Applicant - Owner ❑ Contractor E�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 onC(7 , E F TOTAL f $ 829. 0 A HAZ ✓ cuA - -4 PARK FLD AR PD HD Issue Th's permit is nereby issued under sions of the Butte County Code and/or work indicated ab a for which fees D OR:„✓ C/ UBLIC / By PERMIT EXPIRES ate the applicable provi- resolutions to do have been paid. WORKS Date !' ` T+•� Receipt No. 70713 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT N r COUNTY OF BUTTE - DEPARTM, EI NIT -OF PUBLIC WORKS - BUILDING DIVISION 7 COLINTY.CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET (� Permit No. OWNER (� �, 44- U LL, 1� [ _ VYI A. P No. - aOo Proposed Building Use�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 ......... -8Statement of Intent for Non -Heated and AC Buildings ............... . Engineered truss details and layout in duplicate (required prior to plan check) 7 Z Z ct (J 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid 1 School District fees paid .............. Zy . Sanitation approval from / GZ2 Health Department Y— 15. City of Chico plumbing permit ..................................... 16. Plot plan and busine"s 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){�tPV"f"' 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. V3. Owner -Builder Verification (Gi.vjen toner o owner) . .=ow ❑, Mail t ❑ 4Recorded copy of Agricultural Acknowledgment Statement ......... Letter of signature authorization .... . L �✓ /V7"% 1� �1 %=�XS7 / it/ l %2� f i Z zU 27. When yo issue the permit, process as follows: MailWow�ner. Mail to contractor. When �- l Z 5CDand hold for pickup at ��-office. Deliver w/inspector. Other _ Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date__ Copy of plans sent Health Dept. Fire Dept. Other Date By a The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: 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—mall—countAr by date Plans checked by Date Plans approved by �9KDate I Sets of plans on hold in File cabinet AP folder Copy—DPW TO Buildind'Department FROM: Environmental Health SUBJECT: Sanitation Clearance T -- r n - L- Lo -ao Owner Location AP# Plan Approved for:: Sewaqe Disposal Water Supply Hold final for:��Mc- � a4 eRWr4 (rCw*)kt Water Supply Final clearance O.K. for: Water Supply Clearance for bedroom mobile home. Other. o tzkpo,nm hnr» P NOTE * * * - L Date Sani arian COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, Califprnia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSE»cJH-PARCEL NUMBER . _ DU '—e2 ZO ' l "' BUILDING PERMIT O WNE�R r✓ �'L ^LIZI TELEPHONE 3el3 3 SO. FT. OC BUILDING VALUATION OWNER'S MAILING ADDR CON OC TQR'S NAME Z—L 1PHONE !'�7C�� �o O av CONT CTOR'S MAILI G E S J CONSTRUCTION LENDER UNKNOWN Fireplace D Total Val UatlOn LENDER'S MAILING ADDRESS Filing Fe Fee 10.00 ARCHITECT OR ENGINEER LICENSE NO. Permit Fee Plan Checking Fee S o2 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee BUILDING ADDRESS S 30 1� I /j of V� Penalty Permit tee $ S PLUMBING PERMIT Filing Fee 10.00 Each Trap 200 JZO� LOT NO. SUBDIVISION NAME PARCEL MAP Solar or heat pump water heater Water piping 20.00 5,00 O Each qas water heater or vent Gas piping system 1 - 5 outlets 5,00 Q 5.00 USE OF STRUCTURE SF Duplex❑ Mobiiehome❑ Other Building sewer 5.00 0 SPECIFY TYPE OF WORK Mobile Home S G W 10.00 eat Ne - Add ition❑ Remo de ❑ Utilities❑ Installation❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10. 93-2 Main service i0O00 AMP ORLESS10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El I am licensed under pfOVlSIOn$ Of Chapt. 9, Div. 3 of the BUSIneSS and Professions Code and my license is in full force and effect. License No. _ Classification ❑ 1, 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) Main service EA. ADO'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.6 OR ADDNS. ACC. BLDGS. NEWCONSTR ULTI.OUT LET NON.RESID BRANCH CIRC 11Ts y2QSQft 2.50 ea (POWER APPARATUS el ISINGLEOUTLET CIR. EX. OCCUp(OUTLETS OR FIXTURES 209301 e AL930e FIXED APPLNS. OR EX. Occup. OUTLETS IRESID.) EA.7 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 El I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code Misc. Wiring 15.00 for this reason Permit Fee $ WORKMEN'S COMPENSATION INSURANCE Contractor MECHANICAL PERMIT FiIingFee 10.00 I declare under penalty of perjury (check one): ❑The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such u provisions or this permit shall be deemed revoked. Heating 4,00 Cooling 6, OD Hood 300 r 01 - Ventilation Permit Fee Contractor OG ,61 $ O (� 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Count of Butte to enter upon the above-mentioned property for inspection purposes. y 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. Mobile Home Installation Fee $ Energy Inspection Fee Q occ CONST TYPE TOTAL FEE $ HAZ CUA PARK SCHL Fro I PAR PD HO ISSUE X DateTh;s Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures overstories in height. permit is nereby 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 r33 Receipt No. /� / -� WNITE-O.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT 9 0_ 3 6 0 7 8 FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. Al.l that r.ea1 property situate i.n the CounLy of Butte, State of California, dc:;cri-bbd as f ol.luws : Parcel 2, as shown on that certain Parcel Map of a portion of the South half of the South half of Section 33, Township 23 North, Range 3 East, M.D.B. &M., which Parcel Map was filed in the office of the Recorder of the County of Butte, State of California, July 5i1977 in Book 62 of Parcel Maps, at page 29. Date: USOlLA N lqq (0 State of CounLy of On this the SS. the undersiR. PROPERTY OWNERS: aq� day of1'tlbh 19 QO , before me, �d Notary Public, personally appeared ki Q J � Cx,no _V`It k5 Pt tM 5E — OF�ICIAL $$A� E] Personally known to me . roved to me on the heis i s 6EnYJANE. FRY of satisfactory ev:ideii(:c. "OTARyMOU"UdF01"A to be the person(s) whose name(s) BUIL COUNTY subscribed to the within instrument and accnowledged that My Cantu, E�rplhs Jan, 8.1 W2 executed the same for the purposes therein contained. TN W.I:` NESS WHEREOF, I hereunto set lily hand and official seal.. X11Present A. P. No. r�0TMR9 i I i�R*� kqj Notary Pub]. 1(: END OF DOCUMENT ' I I'he pr.opert:y described herein is adjacent 90-036078 'Rec Fee 5.00 to Land or included within an area zoned I Cash 5.00 for agr.i.c.uit.ur.al. purposes, and residents Recorded I of this property m:iy he suh:jecL to irrcon- Official Records I veiii_c nces or discomfort arising from the County of use of agr:ic:ultural chemicals, :including, Butte I huL not l.imiLed to herbicides, pesticides, Candace J. Grubbs, I and ferL:i l.izers; and from the pursuit ' Recorder. I of agr.i.cu.l tura 1. ope:raL_i.ons i ncl.uding., 12:22pm 227Aug-90 : I X 1 but not. l im:i l:cd to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has esuibl._ished agricu.l- Lur.al zones which have as a priority use for productive agricultural. purposes, aiid r.es.i.dew s Within said zones and on adjacent property should be prepared to accept such inronven'i.encU or discomfort from normal, necessary farm operations. Al.l that r.ea1 property situate i.n the CounLy of Butte, State of California, dc:;cri-bbd as f ol.luws : Parcel 2, as shown on that certain Parcel Map of a portion of the South half of the South half of Section 33, Township 23 North, Range 3 East, M.D.B. &M., which Parcel Map was filed in the office of the Recorder of the County of Butte, State of California, July 5i1977 in Book 62 of Parcel Maps, at page 29. Date: USOlLA N lqq (0 State of CounLy of On this the SS. the undersiR. PROPERTY OWNERS: aq� day of1'tlbh 19 QO , before me, �d Notary Public, personally appeared ki Q J � Cx,no _V`It k5 Pt tM 5E — OF�ICIAL $$A� E] Personally known to me . roved to me on the heis i s 6EnYJANE. FRY of satisfactory ev:ideii(:c. "OTARyMOU"UdF01"A to be the person(s) whose name(s) BUIL COUNTY subscribed to the within instrument and accnowledged that My Cantu, E�rplhs Jan, 8.1 W2 executed the same for the purposes therein contained. TN W.I:` NESS WHEREOF, I hereunto set lily hand and official seal.. X11Present A. P. No. r�0TMR9 i I i�R*� kqj Notary Pub]. 1(: END OF DOCUMENT r TS VI VI � . 3 August 15, 1990 To the County of* Butte, CA., the Chico Unified School District, and others of concern: This is our statement of intent to remove the existing mobile home from our real property upon the completion of the proposed new home on the same real property located at 5307 Pasa Way, Chico, CA. 95928-8877. We have resided at this location in this mobile home for eleven years. Sincerely, William F. Helms Carol A. Helms 5307 Pasa Way Chico, CA. 95928-8877 BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One Form per Building) A.P. Number b(�-��Q�Q-•CL'k�Building Department No. School District C OSO City = County [ [ Jurisdiction Property Owner (j 1 ( I 6aelo _,• i4ELM S 1 Project Location/Address g30'7 P4504 Wi4V G (41:Co Subdivision Lot Number Residential Development: I Sq. Footage�7 # of Living MHI Addition( roup ) Units L/dZ r%a Commercial/Industrial: a New oa Sq. Footage Addition (Including Exterior Roofed Areas) Da e ******************************************************************* (Floor Plans reviewed by School District Personnel) District Id No. 910 1 Q D O 100 Uh d School District certifies that nhe r4 -r u 11 � I (Applicant Name) (Phone Number) eet Address) C_11 W 06, 9 5 Cia C (City) (State) (Zip Code) has complied with the requirements of Resolution No. !'{'1 In -9 Q by the payment of $ representing square feet. L 0" �IL7znt)6z R, -,P3-90 School District Representative Date PAID BY CHECK NO. REMARKS: OfP_,A. .�n( e)u"` W�1- a rl,,;, g yl BANK NO PAID BY CASH white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) 5/89 RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX & MISC. ONLY) Bldg. Permit # ;7'p 4/__ 1Q OWNER A.P. # IL- 0 - "30 GENERAL x/ Zoning requirements: (sideyards tel. Valuation. 4'.""' Plans signed by designer. . • Energy Design and Compliance. • Existing violations on property. -� Items on data sheet. and number of permitted living units). PLOT PLAN Complete parcel size and dimensions. Setbacks, sideyards, easements, etc. Other buildings or structures. Grading, fills, drainage. Flood hazard. P Special conditions on creation map or compliance document. FAU & FAS road setback. FLOOR PLAN Complete to scale plan with dimensions. Required windows for light and ventilation (Sec. 1205). Required windows for second exit (Sec. 1204). Skylights (Chapter 34 & Sec. 5207). Human impact glass (Sec. 5406). R quired room sizes, ceiling heights (Sec. 1207). GFCIs in baths, garage, and exterior outlets (Article 210-8). Light fixtures, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. Locations of water heater, heating and cooling equipment, other electrical or gas equipment, and plumbing fixtures. 'Garage firewall, door size, and closer (Sec. 503(d)(3)). 1-3'0" exterior exit door (Sec. 3304(e)). Fireplace and wood stove location, alcoves, and clearance. 'moke detectors (Sec. 1210). STRUCTURAL DETAILS fo undation plan complete enough to construct building. oor construction details complete enough to construct building. evations and wall construction details complete enough to construct building. of construction details complete enough to construct building. Fireplace construction details and calcs if necessary. MISCELLANEOUS ITEMS TO LOOK OUT FOR Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306). ardrail details (Sec. 1711 & 3306(j)). Brick or stone veneer (Chapter 30). 5/89 RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONY D) Exterior plaster - weep screeds (Sec. 4706). Proper roof pitch for roof covering (Chapter 32). /Roof covering type - (fire hazard). � Rafter ties or bearing ridge beam. /�' Garage door or porch header sizes. � AAdequate bracing. -1-B'Living area over -garage - complete 1 -hour separation including supporting walls and posts, etc. -4!Two exits on three-story dwellings (Sec. 3303.& see 1-2�ttic access and ventilation (Sec. 3205). ��nderfloor access and ventilation (Sec. 2516). a< Combustion air for fuel burning appliances. .Y5: Noise requirements on duplexes. Adobe soils - special foundation design. Retaining walls requiring design. required on garage side Mezannines - 1716). 18"Unusual shape, size, or split level house requiring lateral design. Flashing at all exterior openings. 01) PERMIT NO. 1.724-80B.E PERMIT EXPIRES -:,OWNER William F. Helms CONTR. owner LOCATION (A.P. 63-02-65 E/S Humbug Rd., opposite Centerville Cemetery, CHICC apt. '/U Temp. Power Pole Called PG&E Temp. Elec. Serm v Called Temp. Gas erv. Cal PG&E Temp. Se mp' sS Ca I d PG&E JO- ALED IA7— (D anatvl aiucco Final Subpanels Mesh MEC NICAL Grd. Fault Prot Scratch Heating Service -'�O Brown Cooling Temp. Pole Finish Ducts Underground Interior LathVentilation Permanent Door Closer Final Final — MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping 2816EHOME INSTALLA LION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS � (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS T ..' . BUILDING INSPECTION RECORD BUILDING. BUILDING (Cont'd) PLUMBING Setback Firewall Soli Piping Forms LZ Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Siding To out Slab Roof Sheathin j�� Water Piping Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwal I Garage Vents Insulation Water Htr. Heaters Slab Car ort p Footings Prov. for ph sically handica ed Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas Slab Final �fi ^ - Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE JPRINKLERS Motors Framing /A - Z .. Tact I w�•e. u.. aiucco Final Subpanels Mesh MEC NICAL Grd. Fault Prot Scratch Heating Service -'�O Brown Cooling Temp. Pole Finish Ducts Underground Interior LathVentilation Permanent Door Closer Final Final — MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping 2816EHOME INSTALLA LION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS � (NOTE: An entry must be made on this form each time you visit the job site.) County of Butte DEPARTMENT OF PUBLIC WORKS 695 Oleander Ave., Chico — 343-4211, Ext. 70 7 County Center Dr., Oroville — 534-4541 8kyway and Elliott Rd., Paradise — 877�3435 CORRECTION NOTICE ... . ............................ . ........ Building or Property Address A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional . explanation, please contact' this office immediately. .......... . .............. . . . . . . . . . . . :� . . . . . . . . . . . . . . . . . . . . . ... 7e;1' ... ....... ............................................................. . / . . .... *: ............................................... Dateyr/10-� Do Not Remove This Tog (400-41 County of Butte - I DEPARTMENT OF PUBLIC WORKS 695 Oleander Ave., Chico —.a4awM- 17.E3ff=M- 7 County Center Dr., Oroville — 5 34-4541 Skyway and Elliott Rd., Paradise — 877-3435---n/ ( ORRECTION NOTICE n.0' A/ Building or Property Address A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please noiify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. . . .......... .............................. 01 .......................... ............................................................. ....... . ....... .................... .... ...... .... . �.; ........................................................................................................................ ...................... ................................................................................... DateWIn spector—.� .......... .... .............................. Z ' * /---- " - ' Do Not Remove This Tog (400-4) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS W County Center Drive — Orovi Ile, California 95965 Po Telephone: 534-4541T APPLICATION AND PERMIT �- UU111U114C ICt/ICJCIIL0LIVCJ VI 111C liVUIILy VI DULLU lU CIIICI Uf1U11 tFle above-mentioned property for inspection purposes. X ✓ A. " T. Date ql�l?o Signature of Permitee or Agent Receint No. 96-715-0 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BYDate—/J �0 `� Bu• ing permit expires Date -( BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address, 8 /V M.3 4vi S eAc e 520 Tel hone No� Contractor Mailing Address Fireplace Total Valuation Telephone No. Building Address I Nl^yv� v,� �, PIan Checking Fee & or Penalty [ .00 r Liq 00 MITT 4g M -E/S 144 M BU F_D • . aP Pos Ire PLUMBING No. @ FEE CG_K)TC—W I fl , G GCM E�� �l� PERMIT FILING FEE $3.00 Each TraD 1.50 CA LCD Repair drainage or vent piping 1.50 A. P. No. 3 — a Z -O —Ods — O FV_ 10 F V— 20 Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F Sa�ti tion Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Parcel Plans Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Buil g sewer 5.00 � Bldg. Pla.Vr..'d Parcel Approval Plans Approval awn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ )PR/' lt)E U�,(LS'/��/d ELECTRICAL No.1 @ FEE �� �� ��• i PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5•�� Single Family ❑ Duplex ❑ Mobil Home ❑ Others Main service EA. ADD•L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD•L 100 AMP 1.00 NEW CONSOR ADDNST � ACCL6 O CUP. 7i) 2¢sgft (0, L� CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name le of: style NEW CONSTR MRL I-OUTL T NON-RESID BRANCH CIRCUITS) 12.50ea NEW CONSTR. (POWER APPARATUS B NON-RESID. SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXTIIRES 5 , Ex. Occup. FIXED APP LNS, OR p• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 ®1 am exempt from the Contractors License Laws of the State of California. Permit Fee $13.4o $ 4'( WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. % "I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee Is TOTAL PERMIT FEE GA K4C $ UU111U114C ICt/ICJCIIL0LIVCJ VI 111C liVUIILy VI DULLU lU CIIICI Uf1U11 tFle above-mentioned property for inspection purposes. X ✓ A. " T. Date ql�l?o Signature of Permitee or Agent Receint No. 96-715-0 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BYDate—/J �0 `� Bu• ing permit expires Date -( - COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS — BUILDING DIVISION ,3- 7 County Cent�f'b'rive - Oroville, California 95965 - Telephone 534-4541 PERMIT APPLICATION DATA SHEET Permit No. OWNER //LLC •r /L� f. �I C& A4,5 ! A.P. No0 C,.J Proposed Building Use '.?: A-(-,'-1 A),O'ILL 5 f'i' _ Permit fee based upon: l ) Complete Contract Price r' DPW Valuation Other ('explain:) %l / Building Inspector ( LAVIV Date r l 16 r 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............................................................... 3. Complete plans in duplicate/triplicate................................................... 4. Complete engineered plans and calcs..................................................... 5. Plans with Energy Design Compliance Statement ............................ 6. State Energy Forms No. .................... 7. Statement of Intent for Non -Heated & AC Buildings ................... 8. Fees of $ 9. Letter of signature authorization............................................................. 12 10. Sanitation approval from f�f GU Health Dept.... 7 j/ 6 11. Planning approval for ............. 12. Certificate of Workmen's Compensation Insurance ........................ 13. Contractors License Information (no., name style, . classification) ............................... 14. Improvements may be required. Contact Land Development Section of Dept. Public Works (see addressbelow)................................................................................................. 15. Pre -inspection for required. Pre-inspec. request to 16. Other 11 1 bldg.inspector (date) When you issue the permit, process as follows: E Mail to owner Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspection. Other 0 Applicant k�° , '� � Date /< ?\ Copy of plans sent Health Dept., Fire Dept., Other Date— During ateDuring the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: -4 (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by 41 Date Plans approved by Date - --� OTHER: Coov/DPW To D -apartment B�nivlrwmeiittd lIfIrl-1th Stlbj�, 3 -0,:�L VIM/�,---. AP pl.nuig approvek, fa---- Disposal Z-Uppiv—.- 17.old final or,., �&ier Supply IiIi,nal, clearnmon, O.K. fo:v--� watex- Supply Sor horws. i,11"I"Ir for txdditiox�, of te I'll 1. Ceiling Insulation S. Infiltration (Air Leakage) Specification Points Standard 0 2. Wall Insulation Number of stories .y t R-11 R -value One Two Three R-0 -103 -49 32 R-19 -8 -4 .2 R-30 -2 -1 .1 R38.. 0 0 0 U -Value -19 -9 1 10 30 0.50 -176 -84 -54 0.30 -102 -49 32 0.10 -26 -13 -8 0.08 -18 -9 -6 • - 0.06 -11 .5 -4 0.04 -4 .2 1 0.02 .. . 4 2 R-11 0.00 f 11 5 - 3 31 3 0 ._ 5 10 S. Infiltration (Air Leakage) Specification Points Standard 0 2. Wall Insulation 6. Glass Heat Loss .y t R-11 Total _.. .._ ..._ _. U -value ". Percent 14 .51 to ..41 to .31 to 0.30 or Glass Single Double .60 .50 .40 less 50 -121 -53 -39. -24 -10 4 40 -90 37 -26 -14 3 - 8 35 -75 -29 -19 -9 1 10 30 -61 -21 ` A 3 --4 - • 4 12 29 -58 -20 -12 3 5 12 28 -55 ""-18 ---10 ----2-- 5 .: 13 27 -52 -17 -9 -2 6 13 " 's R-0 2. Wall Insulation -8 -5 .y t R-11 26 -49 -15 -8 -' -1 -- 7 14 ] 1 1 Single- Single- -4 25 24 -46 43 -14 12 -7 .. 0 ...-.7 5 1 8 ' 14 14 1 -95 Family Family Multi- 23 -40 -11 -4 2 8 15 -8 -5 R -value Detached Attached Family 22 37 -9 3 3 9 15 R-7 R-0 38 -51 34 21 34 -7 -2 4 10 15 -1 R-11 0 0' 0 20 31 3 0 ._ 5 10 16 4 R-13 2 .. .. 2.. .- .. 1 19 -29 -4 1: 6 . 11 . ...16 .. 0' R-19 8 6 4 i 18 -26 3 2 7 12 16 -4 -2 0 na = not allowed .... ,. ' 17 -23 -1 _ ..._ 3; 8 ... 12 17 " U -value -16 .2 1 ..16 ... -20 0 4 9 13 17 1 '0.80*-:- ' -153 = -114 " -76 15 -17 1 6 10 14 17 i 0.50 -91 -68 -46 ': 14 14 3 7 10 14 '15 18 ( 0.30 47 36 •-" - -24 13 -12 4 8 11 7.0 18 • 0.10 0 0 0 12 -9 6 9 12 15 19 i 0.08 4 3 2 11 -6 7 10 13 16 19 12 0.06 9 7.' " .. 5 10 -3 9 -.111- 14 --- 17 19 1 " 0.04 ' 14 11 7 9 -1 10% ':13'.---15 _• 17 20 3 0.02 19 14 10 8 2 12 14 16 18 20 Water 0.00 24 18 12 2700 Heater Credit --_...... to to or-- Type. i 3. Raised Floor Insulation 2199 7. Shading (Shade Open) more SG None 0 ( 0 Insulation in Floor 0 0 --- Et7 ecUre Percent Glass 12 '' 8 6 5 4 ' Number of stories -HWR' 8 5 (Percent gumx SC) 3 3 R -value One Two Three 2 2 _ POU 8 5 4 's R-0 -17 -8 -5 .y t R-11 3 -2 4 R-19 0 0. 0 R-30 3 1 1 U -value J R-5 -4 -_ 0.60 -144 -70 -46 . d 0.50 -120 -58 38 0.40 -95 -46A e i►30 0.30 -69 -34 _ - .22 ' 0.20 -13 -21 -14 0.10 -17 -8 -5 0.08 -11 -6 -4 ' 0.06 3 -3 -2 0 04 .1 0 0 0.02 4 2 1 0.00 10 5 3 Controlled Ventilation Crawlspaee' Slab Floor Raised Floor Number of stories Effective Percent Class R -value One Two Three R-0 -11 -7 -5 R-5 -4 -4 3 R-11 -2 -2 .2 R-19 .1 .2 .2- 4. Slab Edge Insulation 3 --' 2 Number of Stories 11 3 R -value One Two Three R-0 0 0 0 R-5 8 5 2 R-7 8 6 3 F2 factor 2 2 7 1 0.90 -4 3 -1 0.60 --1 -1 0 0.70 2 2 1 0.60 6 4 2 0.50 9 6 3 0.40 12 8 4 Effective. ' Slab Floor Raised Floor Mass Effective Percent Class %Glass North East South :West (Percent glass x SC) Skylight 18 : 5 1 4 1 na i6 4 2 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 3 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 2 0 0' 1 0 3, 1 -1 -i 1 .1 2 0 -1 .2 -4 -2 0 na = not allowed -8 -7 -23 3 �. Shading (Shade Closed) Slab Floor Raised Floor Mass Effective Percent Class Family Stories Multi (Percent glass x SC) One Edeaive .Three One Two Three 0.0 %Gies Norttt Est South West S1g6pht 18 -14 -48 -69 -64 na 16 -12 -42 -59 -55 na 14 -10 35 -50 -46 na 12 -8 .29 -40 37 na it -7 -26 36 -33 na 10 3 -23 31 -29 .74 9 -5 -20 -27 -25 35 8 -5 -17 .23 -21. ' -56 7 d -14 -19 -18 -47 6 3 -11 .. -15 -14 38 _ 5 2 -9 -11 -10 -30 4 -1 -0 -8 -7 -23 3 0 -4 .5 -4 -16 .2 1 -1 .2 -1 .9 1 S 1 i.. 1 -4 . 0 2 3 4 .3 0 no r»t a wrrd 5 8 9 11 9: Interior Thermal Mass Interior Slab Floor Raised Floor Mass Sbries Family Stories Multi 1CFA One Two .Three One Two Three 0.0 -8 -5 -4 -2 -i -1 -.0.1 -8 . -5 3 -1 0 0 0.3 --1. i-.:4, .. -2 0 1 ..._. 1 0.5 -6 -3 ;'-1 - 1 1 2 ,rq.7- 0:9 :� -5 x-5,. -2 -1 -1:=-F:. 1 0;;2 2 ,,3 2 3 1.80 10' 12 ... I T, 10 11 1.3 -3 0 2 3 4 ., 5` 1.5 -3 . 1 2\.,--14 5 5 20 A 2 4.- 5' ., 6 7 25 0 3 5 7 7 8 3.0 1 _. 4 .:.:.. 6 .. 8 .. 8 . .,-.9 3.5 2 5 7...-9:.. -15 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 6.5 6 9 10 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 Exterior Single-'. Single - East Wall Family Family Multi Mass Detached Attached Family 0.00 0 0 0 0.20 3 2 .. 1 0.40 5 4 3 0.60 .. e 6 4 0.80 10 8 5 100 13 10 7 120 13 12 8 1.40 12 13 9 1.60 10 13' :' 11....,... 1.80 10' 12 ... 12 200 10 11 13 11. Heating System (aaumtiducU In attic) b. East c. South Sim 01 7-10 West e. Skylight 25 or -24 In .14 b -4 b +6 to 16 or SEER less....15 1.6 SE or HSPF +15 more 8.0 -14 -12 -10 (assumes ducts In attic) ., -4 8.5 -9 Sum of 1-6 -5-. , -4 3 -25 or .24 to -14 to -4 to +6 to 16 or SE HSPF less -15 .. -5 +5 ' +15 more 0.72 6.60 0 0 0 0. 0 0 0.75 :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 17 15 13 11 9 ' 7 0.95 8.71 20 18 '' 15 13 11 8 (SEER xdud cmclency) Effective SE or HSPF 30% 35% (SE or HSPF x duct efficiency) 55% Effective -25 or -24 to -14 to 4 to +6 b 16 or SE HSPF less -15 -5 +5 +15 more 0.30 275 -73 -64 -56 -47 38 -30 na 3.41 -45 -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 3 2 0.70 6.42 17 15 13 11 9 7 0.80 7.33 25 22 19 16 13 10 0.90 825 32 28 24 20 17 13 1.00 9.17 37 32 28 24 19 15 Zonal Control Adjustment System Type Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 12. Cooling System SEER Interior MasslCFA _ (aaumtiducU In attic) b. East c. South Sim 01 7-10 West e. Skylight 25 or -24 In .14 b -4 b +6 to 16 or SEER less....15 1.6 +5 +15 more 8.0 -14 -12 -10 -8 -0 -4 8.5 -9 -7 -6 -5-. , -4 3 8.9 -5 .4 -4 3 -2 '2 9.0 -4 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 3 120 ---15 13 11 9 7 5 .-13.0 20 17 14 12 9 __6 Effed1ve SEER 0% S% 10% 1S% (SEER xdud cmclency) 25% 30% 35% Sun of 7-10 50% 55% Effective -25 or -24 to .1410 -410 +8 b 16 Of SEER less -15 S +5 +15 more 5.0 -30 -25 -21 -17 -13 .9 6.0 - -12 -11 -9 -7 3 -4 6.6- -5 -4 -4 -3 ... -2 -2 7.0 0 0 0 0 0 0 8.0 9 8 6 5 4 . 3 -9.0 i6 14 12 9 7 5 10.0' 22 19 16 13 10 7 11.0 26 23 19 15 12 8 120 301 26 22 18. 14 9 13.0 33 '29 24 20 . 15 10 1.4 Zonal Coatroi Adjustment 1.8 2 22 .10 8 7 6 4 3 3.5 No Cooling System Installed 3.9 ;-Stories 4.3 4.5 4.8 5 5.2 One -5 .4 -4 3 -2 -2 Two + 3 3 2 2 2 1 Sing[ e -Family Detached and Attached 26 3 Unit Size (sQ 3.5 Water 3.9 1199 12CO' 1700 2200 2700 Heater Credit orb to to or-- Type. Type less :1699 2199 2699 more SG None 0 ( 0 0.. 0 0 or Solar 12 '' 8 6 5 4 ' HP • -HWR' 8 5 4 3 3 5.7 WSS • 5 3 3 2 2 _ POU 8 5 4 3 3. SE None 37 -24 -18 -15 -12 1 Solar -1 -i -1 0 0 i HWR -18 -12 .9 -7 -6 0.9 WSB.. -25 -16 -12 -10' -8 2.2 POU -18 .--12 -9 -7 •6 IG None '-S .3 -2 -2 -2 4.7 Solar 7 - 5 •4 3 2 6 POU .3 2 1 1 1 IE None -28 -19 -14 -11 -9 29 Solar 8 5 4 3 3 v PCU -10 ' 3 -5 -4 -3 5.4 Multi-FamUy (individual units) 6.1 63 65% Unit Size (sq 1.3 Water 1.7 699 700 1200 1700 2200 Heater CroM or b b b or TYPO Type less_ 1199_ 1699 2199 more SG None . 0 0 0 0 0 or Solar 14 7 5 4 3 HP HWR 9 5 3 2 2 3.3 WSB 9 4 3 2 2 4.6 POU 9 5 3 2 2 SE None -45 -23 -15 -11 -9 1S Solar 2 1 1 0 0 27 HWR -23 -12 -8 -0 '-S 4 WSB -25 -13' -8 3 .5 __EQU_ 3 t 2 -8_-6 5.9 -5 IG None -8 -4 -3 .2 "-.,2 - Solar 6 3 2 1! 1 _. POU_ 1 0 0 0 4.3 E None 30 15 -10 ' 3 -A-- -b 5.8 Solar 18 9 6 4 4 1.4 POU • -8 -4 -3 -2 -2 Interior MasslCFA _ Point System Summary: Climate Zone 11 SCORE CARD 1. Ceiling Insulation 2. Wall Insulation 3. Raised Floor Insulation 4.- Slab Edge Insulation 5. Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) a. North b. East c. South d. West e. Skylight 8. Shading (Shade CIosed) a. North b. East c. South d. West e. Skylight rt•t•°r"�'�•tr a TYPE i MASS =4C s 4.2. Set exposed slab) ' 0% S% 10% 1S% 20% 25% 30% 35% 40% 4S% 50% 55% 60% 65X 70% 75% W% 85% 90% 95% 100% 105% IICY. 115% 120% 125`, 0% 0 02 0.4 0.6 0.8 1.1 1.3 iS 1.7 1.9 21 23 25 27 2.9 3.2 3.4 3.6 3.8 4 42' 4.4 4.6 4.8 5 53 10% 0.2 0.4 0.6 0.6 1 1.2 1.4 1.6 1.9 21 23 2.5 27 29 3.1 3.3 3.5 3.7 4 4.2 4.4 4.6 :. 4.6 5 5.2 S4 20% 0.3 0.6 0.8' 1 1.2 1.4 1.6 1.8 2 22 24 21 29 3.1 13 3.5 3.7 3.9 4.1 4.3 4.5 4.8 5 5.2 5.4 S6 30% ' O.S 0.1 0.9 1.1 1.4 1.6 1.8 2 22 24 26 26 3 32 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 . 5.3 5.6 58 40% 0.7 09 1.1 1.3 1.5 ' 1.7 1.9 22 24 26 2.8 3 3.2 3.4 3.6 3.8 4 4.3 1.5 1.1 4.9 5.1 5.3 55 5.7 59 50% 0.9 1.1 1.3 15 1.1 1.9 21 23 25 27 3 32 3.4 3.6 18 4 42 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 5S% 0.9 1.1 1.4 1.5 1.8 2 2.2 24 2.6 28 3 32 3.S 3.7 39 4.1 4.3 4.5 4.7 4.9 5.1 5.3 S.6 5.8 6 6.2 60% 1 12 1.4 1.7 1.9 21 23 2.5 2.7 29 3.1 3.3 3.S 3.8 4 4.2 4.4 4.6 4.8 ' 5 5.2 5.4 5.6 S.9 6.1 63 65% 1.1 1.3 1.5 1.7 1.9 22 24 2.6 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 53 55 5.1 S.9 6.1 64 70% 1.2 1.4 1.6 1.8 ' 2 22 25 27 2.9 3.1 3.3 3.S 3.7 3.9 4.1 4.3 4.6 4.8 5 5.2 5.4 5.6 58 • 6 6.2 64 75% - 1.3 1S 1.7 19 . 21 23 25 27 3 3.2 3.4 3.5 3.8 4 4.2 4.4 4.6 4.6 5.1 5.3 5.5 5.7 5.9 6.1 6.3 65 807: 1.4 - 1.6 1.6 2 -.2.2 2.4 26 2.8 3 3.3 3.S 3.7 3.9.- 4.1 4.3 4.5 4.7 4.9 5.1 54 56 5.8 6 6.2 64 66 85% 1.4 1.7 1.9 2.1 2.3 25 2.7 ' 29 3.1 3.3 35 3.8 4 4.2 4.4 4.6 4.8 S 52 54 56 59 6.1 63 65 67 90% '" 1.5 1.7 2 2.2 24 26 2.6 33.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 53 5.5 5.7 5.9 6.2 6 4' 66 68 95Y. 1.6 1.8 2 22 25 27 29 3.1 33 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 5.2 5.4 5.6 5.8 6 6.2 6.4 6.7 69 1007. 1.7 1.9 21 23 25 28 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 55 5.7 5.9 6.1 6.3 6.5 6.7 7 105% 1.8 2 22 2.4 26 28 3 3.3 3S 3.7 3.9 4.1 4.3 45. 4.7 4.9 5.1 5.4 5.6 5.8 6 6.2 6.4 6.6 68 7 110% 1.9 21 23 2.5 21 29 3.1 3.3 3.6 3.6 4 4.2 4.4 4.6 4.6 5 5.2 5.4 5.7 5.9 6.1 6.3 6.5 6.7 69 7.1 115% 2 2.2 24 2.6 2.6 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 6.2 6.4 '6.6 6.8 7 7.2 120% 2 2.3 25 2.7 29 3.1 3.3 3.5 3.7 3.9 4.1 4.4 4.6 4.8 5 5.2 5.4 5.6 58 6 6.2 6.5 6.7 6.9 7.1 73 125% 21 23 25 2.8 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 55 5.7 5.9 6.1 6.3 6.5 6.7 7 7.2 7.4 Point System Summary: Climate Zone 11 SCORE CARD 1. Ceiling Insulation 2. Wall Insulation 3. Raised Floor Insulation 4.- Slab Edge Insulation 5. Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) a. North b. East c. South d. West e. Skylight 8. Shading (Shade CIosed) a. North b. East c. South d. West e. Skylight 9. Interior Thermal Mass 10. Exterior Wall Mass 11. Heating System Zonal Control? ( Y / N ) 12. Cooling System Zonal Control? ( Y / N ) 13. Water Heating Measures 3a_.. or R -value [381 U -value [0.030] or R -v ue [1IJ U -value (0.098] or R -value C 19 U -value (0.037] . ' or R -value 101 F2 factor (0.77] Type (double] U -value 10.651 % Total Glai4 (161 % Glass SC Eff. % Glass 4,6 X . 77 = -3 ok F-3 X = 1-39 /-0 X = -77 0- X = % Glass SC Eff. % Glas a X _ 61 �(> x _ --- X - -- D X = D TYPE I MASS AREA COND. FLOOR AREA Interior N iss/CFA ' TYPE 2 MASS AREA 6 Exterior Wall Mass ND. L OR AREA X - SE or HSPF Duct Efficiency [0.78] Effective SE or (0.71/6.6] HSPF [0.56/5.15) 9.9_X .S ;,--'= SEER [9.51 Duct; ficiency 10.741 Effective SEER (7.03] Point Scores 7� 0 i Sum 1.6 -'r 0 Sum 7-10 -t 3 _:- .S� O Type [SGI , Credit (none] Point Total: 4 Mandator 3 y Measures Checklist: Residential MF-IR PloJectTlUe 42MNOTE 1..owr = tuidential buildings subject to the Sondards must contain these messwes n Project.rtddress Butldtng Ptasatt M approach used Items marked with an utcruk (-) may be su J; o! the oomPliartta:. on the Crnificate of Com y � more stringent compliance requuanents listed �..5 pliure. W1wt this checklist is incorporated into the tat L `7 be coruidced by all parties as binding minimum component performance SPecifieW,i , ((0, theta` the futures rtotrA shall Uledted By / Date - whether they are shown elsewhere in the documents or on this chocYlist only. M—ta1ory 11C3f1res - • Documentation Author .:'_ : • ::.9 Telephone Enforcement Agency Use Only DESCRlPttON 3 DESICNEP Eltl'+0RCEMENr BUILDING DATA Glasser 95 Glass • 9aildiagFjtwelepeMeaanres ;. ' - • 42.5352(x): Minimum ceiling _ . NOrth g insulation R•19 weighted aweralle_ C tinned Floor Area a Number of Stories (b}- East— 42.5352Loose fill insulation maran(acttuci s labclod R•Valtte VSin; sed Floor Number of Units �_ South•42.5732(cr Minimum wallinsulation in (tamed wantR•II weighted average(docs not apply to U _ eaterior miss walls). le Family Detached (SED) [ ] Addition Al one West % 7/ 12•5352(k)r Slab edge insulation. —absorption ratenopciteadw 0396, watt vapor [ ] Single Family Attached (SFA)[ ]Existing Building Skylight----�0�--� uartanusion rate no great" than 2.0 pemtfatch. [ ] Multi-Family (MF)[ ] Existing-Plus-Addition Total A 5 a 42.5311: Insulation Specified or installed meets California Energy Commission (CEI) qualiry _ --r--�� standards Indicate. type and form. 42-5)52( 0: Vapor barriers mandatory in Climate Zones 14 and 16 only. BUILDING SHELLINSULATICiN., . ' 42.5317:InfiltratiorAxfiltrationcontrols A- Decors and windows bctwecn conditioned and unconditioned ' Component �ag� spaces designed to Emit air tt po Insulation I..0Ca1�0t3/C01rirI�o.'�t3. � b. Doors and windows certified. . 9 ? TYPe R-Value (tttde, to >`araPe, t`�i_L, etc.j c Decors and windows v eaUscrseippee: ser joints and Putcaations caulked and sealed y :.. -- --J� 42-53�� Special inrtloation barrier installed to comply with 42-5331 moots CEC quality ..., Wall .............. - :..:. Wall .............. ...:..:: ��/217 % t JC §2.3352(dr Gutallauon of Fucplaces " Roof ............. I. Masonry arta factorybuilt fueptare have; Roof ............. e Tight rw or Outside glass door per and contad ng, closeable metal Floor ............. a tluc damper andean dam Floor ............. 2. No continuous bunting gas pilots allowed. HVAC and Plumbing System Measures Slab Edge ..... 42-5352(g) and 2-5303: Space conditioning cquiprrtutt suing attach nktdadons GLAZING . 42-5332(h) and 2-5315: Setback thcrmoata cn 317 applicable heating =yam. ing ShadDCYit,eS • 42-5316(x): Ducts constructed. installed and inntlattA per chapter 10. 1976 UMC :" :!: Gla: ing Area Glass 42.5316(br- Exhaust systems have dampereontrols_ Type Interior Ex • :. Orientation S Exterior Overhang 42-5314(cr Gas•facdspaceheatin (stn double) oller blind, etc.) n t t 2.33 HVAC equipment, water heautS _ .. _..... . . Framing Type t 'ntcrm'oertt ignition do icer. , (shadeScreen, etc.) es/no) (metal/wood) 4 ter: ten alwwerneaat and rauccts certified by the CEC N.0rtl1 ( ) 42-53520: Water heats insulation blanker (R•12 a greater) orcombinA iniciw,extericr I North ( ) insulation (R-16 a grrater): fust 5 feet of pipes closest to tank insulated (R-3 oreater gr)• t East ' av Eas L ( )-- ` 42-5312(Exccption 1): Pipe insulation on steam and steam condensate return & recirculating g. East 42.53 8(d) Swimming Pool Heating •.;... a .:, ,; South ( ) .oZ / - S .. L System har _ f switch on heater. SOU L11(.. ) b. Weatherproof innrvction plainc. llow for sow. on hinter: West ( ) L %I r 2.75 percent themuto lleefficiency. n West ( ) 3. Pool cower. Skylight... 4. Time clock. 5. Directional water inleL THERMAL MASS Lighting and Appliance Measures TYpelCoverirg Area _.. __ 42-5352(j): Lighting .25lumcns/wattor . greater rex general lighting in kitchens and bathrooms Thickness 42•5314(c); Gas fired appliances equipped with intermittent ignition devices, .. (slab/exposed, tile, ere.) S inches - • • L oeation/Deseri CIOs itehen bath, etc. 42-5314(x): Refrigerators, ncrrigcrator•frecrers, fnc¢ers and fluorescent I,,,,p ballasts eertifiea f by the CEC. Indicate make and model number, - s —►�—_ COWLIANCE STATEMENT This crrrificate of compliance lists ter. btuldiag feaaur3 and o HVAC SYSTEMS 'Tide 24. Chapter 2-53 and Tide 20. Cha specifications rlocdcd to comply with Minimum Duct ate b F 4 �bchapter4, Article I of the California Administrative code. This Type (furnace. air Efficient retain a m of it ander by the individual strath overall design rtsperlsibiliry and the building owner, who shall Efficiency Location Duct Output Manufacturer / Model # tray =it d)e cert3ficate to my subsequent purdiaser of the building. conditioner, heat um) (S E, SEER.HSPF7 (attic, etc.) 'R-Value ' tuh ora roved a ual , Designer t Building - —_ �.•_ -����' -,ZZ �� Names :. g Owner. ------------- TakiFirm MaAddress: ximum rn Fuace Heating Output: Btuh TekPN nc I HOT WATER SYSTEMS �-- A\ tie R: Tekphonc I 01- e1v Tank Manufacturer/Model #S stem (starea as, et.) Cor approved equal) `al Fea ' y ®� (dart) (si6nattuc) (date) SPECIAL FEATURESIREMARKS (Add extra sheets if necessary) _ Docuinentatlon Author_ Enrorcement Agency - - Namc = - - - — - - Ttk/Furrt. _ N,trne ,.. _ ... ,:..,... .:.... _ .. ...... . ..... ... ,....:.. ... .. ....._..r .,..... ... .... .. ..,_. .,..,. ,; ..,.. .... .,:...,,- ... .^,T."1:'.. r Mwl�11,11 ,. , r f t di� F."4� a 1 i! Sr 1i I! a I�fi iil!!I VIII f 11 �t ��ri arise ate s �Gaatr YI b a� a. t t t i � .G � : a i x Otob! 1 �r I�� � f � � ii���l ��i► �i�i��. �.��,1���ix ���w�4d���.:���1�la�w.�Ir�11��1�Ii1���.���cacrt��,.,1,_,���.,�, a r N r� � .: �- , S2 .ft Proi{tL4W�'���y�� A• r.Xfb�v rm. it I. `t ..Mt �w ..,r' n a <-•r. ;, a r+n. +,�"':o. Ir>++vtx A arkvrr.>+�ewerrsrrsknw,�rr»sosM+�sal d •U. ..::;.. Y�, .yt Vii:. K'li �.., ,(hl�,.. 9'�Y'.... �rS y*y���. l'yJ ,.. .. ..�. NC, P ��,q+' i��y,��yr,r », T... bj�..� � Y;