The URL can be used to link to this page

Home My WebLink About017-050-020,E SPECIAL INSPECTION #93-32 11-36-20 7/28/93 °TWSTINE VELASQUEZ_ 5350 Ft. Humbug Rd, Chico Permit#3676-88P,E(util, MH) /P ELEC. GAS SUPPORT STRUCTURE REQ. COMPACTION'TEST REQ. 011736-07020 93-2619 BPEM VELASQUEZ,~AUGUSTINE &'LINDA 5350 FTS HUMBUGS CHICQ NEW 'SFS t — '•Y4r ._e , .- . 4th .i 0117360-020' ►;, PERMIT#W 0066 VELASQUEZ, Augustine' ,5350 Ft Humbug .Rd:',',Chico•:'; 'Add'Dressing&;.Wa"rd'robe Room/SF'/� 011-360-020 PERMIT#96-1510 VELASQUEZ, Augie " 5350 Ft Humbug Rd., Chico Cont: McClelland Htg & AC New HVAC/SF n V RESIDENTIAL AV 011-36-O�O 93- ----2- 9 BPOM 0 61 VELASQUEZ, AUGUSTINE & LINDA 5350 FT HUMBUG,CHICO NEW SF V=OK O = Not OK - = Not Applicable MOBILE HOMES ' Not Ready Date/Initials MOBILE HOME UTILITIES (Plana) OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Teat -Wrap: / /" L"ft. / /"Net. or/ P'L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date/Initials MOBILE HOME INSTALLATION (Plana) OK except #'s 1. Zoning Requirements -Setbacks Easements 2 Footings; Size -Spacing -Marriage Line 3.. Gas; MH Teat -Demand -Valve -Connector 4. Electricity; MH Teat -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 MISCELLANEOUS Date/Initial 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 Joista-Decking-Bracing-Stairs-Rails 4. Wood Awn.; Posta-Beams-Rftm. Connectors 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 -Mash 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/Initials POOLS (Plans) OK except #'a 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI S. 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-Enclosu res -Panel boa rds- Ins. to Mein in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V=OK O = Not OK -=Not Applicable RESIDENTIAL = Not Ready Date/Initials UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Mein; Soils-Elec. Grnd.-/ P' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd. / /" Ftg. Depth 4.Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5.Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nall Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/initials ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled -••25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mach. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels -Motors -Mach. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date/Initials FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing (Single & Duplex) Da et /Initials FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr, ties- Puri in=roof Brec-Truss-Shthng.-Rfng. 47. 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 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date/Initials FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. • Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. KIt.Fixt. & Appliance; Grnd: Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door, Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Meth. Protection 75. Plb., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door-Drainagge & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instid.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg :Appliance -Fireplace. -Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Comments at Final: • _ COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965.- Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT 93-2619 ASSESSOR PARCEL'NUMBER 011-3 — — 020 ZOVING FR -1 0 BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION .1200 R 64,800.00 OWNERS MAILING ADDRESS 5390 Fort HumhuR Rnad, Chico 95998 540 M 9,720.00 CONTRACTOR'S NAME ne TELEPHONE \ CONTRACTOR'S MAILING ADDRESS A r Fireplace1,500-00 CONSTRUCTION LENDER UNKNOWN Total Valuation $ a LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 354915 Energy Plan ChYecking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDIEtOrt humbug Road, Chico PERMIT FEE $ Q 49-99 PLUMBING PERMIT Filing Fee 20.00 Each Trap i 7 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 15 00 LOT NO. 11 SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 1 ' USE OF STRUCTURE SF OX Duplex O Mobilehome O Other SPECIFY Gas piping system 1 - 5 outlets 15.00 15-00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New OX Addition O Remodel O Utilities O Installation O Other O Describe Work: 1 bedroom PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 1101 OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO IOOOA ) 46.00 Built w/o permits approx 1984 NEW CONST. DWELLING OCCUP. OR ADONS. ( 8 ACC. B LOS. ) $ O, 3.5, so CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET .NON -RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BAL. @ r.00 50 Ex. Occu FIXED APPWS. OR p• (OUTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Ceificate of Corisent to Self -insure. shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 103.90 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling 15,00 Hood 6.5o 6.50 Ventilation PERMIT FEE $ 41/50 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X 7 Date 0 Signat a of Ap icon - Owner ❑Contractor ❑•Agent An OSHA permit is r q for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee Is 46.00 Occ R3 CONST. TYPE U1, TOTAL FEE $ 1262.65 HAZ. D. FEES IMP — FIOOD X CDF PARCEL PD X ND This permit is hereby issued under of th e County Code and/or ind' ateduttabove for which fees hape I,RECTOR PU By � PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. IC WORKS �j to - 1 -7 � /Date/ Receipt No. 14$107 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Ad COUNTY OF BUTTE - DEPARTMENT OF DEVFLOPMENT SERVICES - BUILDING DIVISION .,7 County Center Drive - Oroville, California 95965 - Telephone (916) 53 5 1 / P RMIT N� APPLICATION AND PERMIT �j p - 20NING ASSESSOR PARCEL NUMBER _ �/ � — � � BUILDING PERMIT OWNER `� (7 [�+ / / OrJ Act /1/ /� /_/�J VgfJ TELE N SQ. FT. OC BUILDING VALUATION OWNER'S MAILING ✓iD 9 � D`�r /��1 _a CONTAACTO TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20,00 LENDER'S MAILING ADDRESS Permit Fee $ — j 0 ARCHITECT OR ENGINEER ucENSE NO. Plan Checking Fee $ R Energy Plan Checking Fee _ $ _ Penalty - PERMIT FEE I $ ` • ARCHITECT OR ENGINEER'S MAILING ADDRESS BUILDING ADDRESS �� , / !/ (/ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 ,OD Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP -( Each gas water heater or vent 15.00 USE OF STRUCTURE SF�I Duplex ❑ Mobilehome ❑ Other � t SPECIFY Gas piping system 1 - 5 outlets 15.00 / O Building sewer 15.00 Q Mobile Home S G W @20.00 PERMIT FEE $ TYPE OF WORK New,y Addition Cl Remodel Q❑ Utilities D Installation O Other ❑ Describe Work: 1 %�� 4✓ , Contractor ELECTRICAL PERMIT Filing Fee 20.00 OA Main Service 200 11R ( 20OA OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 �/1} �'////�� fin/ A / 1 P 1� `m , l�� NEW CONST. ( DWELLINGDec ) 3.5C so OR ADDNS.BLDSUP' r CONTRACTORS LICENSE LAW / I declare under pen'�Ity of perjury (check one) r' O I am a licensed�nder provisions of Chaptey9.,-Division 3 of the Business and Professions Code and my license.is.in-full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) Cl I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI-OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) a SINGLE OUTLET CIp. EX. OGDLI OUTLET OR FIXTURES 20 @ 1.00 p• ( ) BAL. so Ex. Occu FIXED APPWS. OR Occup. ( OUTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. `"' �n _ 23.00 _ -. rUcRMIT FEE $ a� Contractor MECHANICAL PERMIT Filing tee 20.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. O I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self-insure. O 1 shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. Heating Cooling GJ [ Hood 6.50 Ventilation PERMIT FEE S — Contractor - - Mobile Home Installation Fee $ .x I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 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 acct a ag 'nst said County in consequence of the granting of this permit. X Date 3 Signature of Applicant - O Owner O Contractor O Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Energy Inspection Fee $ , cTf TOTAL FE $ �p H D. FEES IMP FLUX COF PARC PO Y.7 !,SUE yz � • This permit is hereby issued under the .ac;�Iic�bie provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES ON IOe[el t� ^ / 07 Receipt No. / x � WHITE-D.D.S.- .D. ANAR -ASSESSOR PINK-INSPECTOR GOLDEN ROO-APPLICANT COUNTYQF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFOF3NIA 95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER A(/6 U S T I AJEt V (,4—S Q U E tel/ ,A,,P No. G) //— Proposed Building Use ilding Ins Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ......................................... 2. Plot plans, 3/4 sets, signed by preparer of plans. ......................... . 3_ Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............. 5. Hazardous Material Form . .............................................. 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome d�tnd_martufacturer's installation instructions, 2 sets. ........... E49 ees of $ �� .......................................... Impact fees as shown on attached schedule.........I ... California Department of Forestry plan approval/fees. t-Q!i�. ..... 3—flood elevation letter (100 year flood) by California Engineer ................... 4. Sanitation and plot plan approval Health Department. .......... lF 9Pw - 15. City of Chico plumbing permit . .......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: ASontact Land Development about (A) Improvements (B) Drainage. .......... . ,Q I/ X19. Driveway permit (construction approval required prior to occupancy). .. . . 20. Pre -inspection for to Buil Building Ins requ�— required. .. to Bu�ia�n9 inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... M wner-Builder Verification (Given to owner , Mail to owner- ). ......... . _24. Recorded copy of Agricultural Acknowledgement Statement . .................. D 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . .................................................... . 33. .34. When you issue the permit, process as follows: lo -O" Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant, `C . Dated Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Obate Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit is (C� e 'm not checked above). 1. Index permit'for above items No. 2. Additional items required: 72- ew 91 o)A,1 i C-4--4 Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail yy�Counter by _ Date Plans checked by Date Plans approved by V� Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works ..»..•s�,WMV% n'� $"ii Wil, r � , � w }• -. P i . t -BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District �` Llru Building Department No. AP A.P. Number//-3(0(�-ca�f� Jurisdiction City County Property Owner . R Property Location/Address 5 3 Subdivison Residential Development Commercial/Industrial A Forr 0 0 No. of Living MHI Units Y Building Department Representative _Lot No. 0 Sq. Footage Addition (Group R) 0 = Sq. Footage New Addition (Including Exterior Roofed Areas) (Floor Plans reviewed by School District Personnel) Date District Identification No. %Zt School District certifies that (�.,l�ac 01-a (Applicant) L6-1.1741 l�g �� `3%'-197 (Street Address) (Phone Number) (City) (State) (Zip Code) has complied with the requirements of Resolution No. g/ c/a 50?� by payment of $ J_:X [ P)0%^ representing square feet. School District Representative Paid by Check Number Bank Number Paid by Cash 113 Date s it, subsequent to the 5cnooi uistrict-Hepresentatrve signing this tsutte county Scnoors impact ree Certification Form, the School District is notified by'the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this.project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building..department), Pink (school district) feeformmkt (4/92) a COUNTY OF BUTTE - DEPARTMENT OF,DEVELAPNENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 -.TELEPHONE (916) 538=7541 OWNER. �-61577W&, A.P. #4�9l/— 56 Z? -�z) PROPOSED BUILDING USE DATE REC. # DATE REC 1.. SCHOOL DISTRICT FEES (paid at District Office) ................... ... 2. SHERIFF FEES AL4icA0,q 66)1&-r (paid at Building Department) Residential...... x =$ unit amt. Commercial (sgft) x =$ %sq.ft. amt. `//1- 3. URBAN AREA FEES (paid at Building Department) Residential (per unit) x =$ # units amt. Commercial (per sq.ft) x =$ /j��} sq.ft. amt. `" / / 4. RECREATION DISTRICT FEES (-paid at District.Office)..................:... 5. DRAINAGE DISTRICT FEES "(Contact Land Development Division)............... 6. SRA MWSP"ON eANDDIPL CHECK = $89.00 ....... % D (paid at Building Department) 7. OTHER 8. OTHER - 899 At time of.permit application, I was advised the above fees are -required to be paid prior to issuance of the permit.* APPLICANT DATE COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. NOTE: l. -.I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) 7Y signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name�- Address �� City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work:-. Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security N Date. This Owner -Builder Verification is sent to you_�_as'required by. Sections 1:9831.'and_ 19832 of the California Health and Safety Code:: This verification must be completed and returned.to our office before we are -per- mitted to issue the permit. I '- A July 27, 1993 Augustine Velasquez P.O. Box 136 Chico, CA 95926 BUILDING DIVISION_ DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE. CALIFORNIA 95965.3397 TELEPHONE: (916) 538-7541 FAX: (9161 538-2140 RE: Special inspection #93-32 (A.P. #011-360-020) Dear Mr. -Velasquez: With reference to the above subject and 'your .°request for inspection of the construction of a single family dwelling at 5350 Ft Humbug Rd., the inspection was made on July 22, 1993. The single family dwelling was constructed without permits and inspections from this office, so we were not able to perform the required inspections during construction-. We therefore made a .reasonable visual inspection, without going on the roof, under the building, or in the attic, and found the single family dwelling appears to conform to the -intent of code -requirements, except for.the following items which must be done or resolved: vide Health Department approval for septic system and water system. 0--- 6 9 Provide verification structure meets all California Energy require- ments. G D P 40 -r AAO i 4 --'Verify wood burning appliance installed per approved listing. ef—Rrovide safety glass at tub enclosure. J �erify foundation adequate per Uniform Building Code, 1991 edition. 6 Verify spiral staircase meets requirements of section 3306(f), Uniform Buil ng Code, 1991 edition. 4( rovide 1" clearance at water heater flue and extend pressure relief valve ine to 6" above grade. V��Label breakers. 7 rovide GFI protection for bathrooms and exterior outlets. ( xtend front handrail to include all stairs. (bf�,-Rebuild stairs to conform to maximum deviation 3/8" for full rise of staircase. 7 I Letter -to Auggustine Velasquez (Special' Inspection #93-32., A.P. .#011-360-020) July 27,..'1993 _ Page Z' This inspection by the : "Cotinty .°of Butte does' not act as . a . guarantee or warranty as. to the internal soundness of said - . It is now in order for you to submit complete plans in duplicate to this office including plot plans, floor plans and structural details, apply for the required permits and.pay the appropriate fees including penalties. The permits must be obtained and above listed items completed within thirty days of the date of this letter. Should you have any. questions concerning this matter, please"contact Rod Taylor of 'this office. Yours very truly, Scott Rutherford Supervisor, Building Inspection RT:ahb J RES DENTIAL 011-360-020 PERMIT#96-0066 VELASQUEZ, Augustine i 5350 Ft Humbug Rd., Chico Add Dressing & Wardrobe Room/SF J Usf C,V.-\a ceb JOB FINALED (Date)— Signature V =0K O = Not OK , '=Not t able NoReady MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements - Setbacks - Easements 2. Footings; Soils-Size-DepthSpacing-ConnectorsSteel 2. Soils; Special MH Support Sketch 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg: Rfg.-Bracing 4. Water; Location -Test -Easement Needed (Sketch) 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Carports; Windows -Doors 6. Gas; Location -Test -Wrap; / /"L'ft. / /Nat. or/ /Lt./ /LPG 7. Electric 7. Well Clearance & Disconnect 8. Frmg.; Sils-AnchorsStuds-Rftrs-Trusses 8. Utility Clearance 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Card B-1 Date Card B-1 1. Zoning Requirements- Setbacks Easements Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line POOLS (Plans) OK except #'s 3. Gas; MH Test-DemandValve-Connector 1. Setbacks -Easements 4. Electricity; MH Test -Crossovers -Breakers -Clearances 2. Soils; Compaction -Structure Stability 5. Drain; MH Test -Fall -Flex Connector 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 6. Water; MH Test -Regulator -Connector 4. Elec.; Receptacles and Lighting, Distance-GFI 7. Water and Sewer Connected -C/0 to Grade -HD Approval 5. Elec.; Pool Lighting; 15 Volts-GFI 8. Gas and Electricity Tagged 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 9. Tie Downs -Type -Installation Cert. 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 10. Exits; Insp.-Sketch 8. Elec.; Grounding; Equip. w/9 Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 11. Cert of Occupancy 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 B-1 Date MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Size-DepthSpacing-ConnectorsSteel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg: Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sils-AnchorsStuds-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 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, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/9 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 B-1 J=OK O=Not OK = Not Applicable Not Ready RESIDENTIAL (Single & Duplex) ' = Date UNDERFLOOR (Pla K except If's 44 1. Zonin - cks-Easements-Flood-Slope / 1.ef`&., Main; Soils-Elec.-@rfld-/- "-- � ^ rah 3. 4emMain; S1"Blockouts- emwalls, Garage; Steel -Bloc kout Hold Downs and Special Anchors Depth 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Elect! ; Underground 1 ie s & Ducts; Clearance -Material -Support -Ins. rIrccess Gir ers-Sills-Anchor Bolts -Joists -Vents -Cripples & Ventilationsulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except b's 16. Water Ir.: Vent -Access -Combustion Air -Baffle ------------------ -------------------------------------------------- 17. Water P e�-Fitfings chor-Nail Protection 18. D.W. & Anchor -Nail Protection ------- --- ------------------ ---------------------------- 19. Shower Pan. Test. First Floor -Tub Access ------------------ --------------- ----- -------------------------- 20. Test Tub & Shower, Second Floor -Tub Access ---------------------------------------------------------------------------- 21. Gas Pipe: Size & Anchors -------------------------------------------------------------------------------- Date Card B-1 DateCard B-1 ----------------- ----- -------------- -------- -------------- -- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except a's 22. Fixture & Transformer Clearance -Ins. Protect on ^- I Receptacles Spacing -Lights & Switches at Doors -- f ` __---- - - ------ -- -- - -- -- -- - - - -- Size Boxes & No. of Conductors -Stapled 25. Rome. Installed Close to Edge of Studs & C.J. Equip. Ground made up wrMech. Fasiners-Bond Gas & Water ---- - - - - ------------ ---------------- _._.._. --- --- 27. 2 Appliance Circuts in Kitchen & Conductor SizerGFI --------------------------- - --- - ----------- -- --- -- 28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size ga. Cu or At ------------------------------------------ - ----------------------- .. 29. Range Circ. / ' ga. Cu or AI -Oven Circ. / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No ------------------------------------------------ . - ----------- .. 30. Service -Riser Conductors & Ground -Main Disconnect --- -- - .................. ....... 31. Equip Clearances Panels-Motors-Mech. Equip. -------------- --- ---------- -- - - ------ ---------- ----- -- - -- 32. Clothes Closet Light -Shower Light -Spa Light --------- - - -- --_---------- ---------- ......... ..... 33. Smoke Detector --------------- - -- ------ - --- ----- --- ------ ....... ....... ....... .. .... .. Date Card B-1 Date Card B-1 ---------------------- ---- ---------- -- ---------------- Date Card B -t Date Card B-1 Date MECHANICAL (Permit) OK except O's 34. A.C. Ducts Insulation & Support 35. Vent Fan: xhaust a ve nsulaI!on ------------ - - 36. Condensat n & Overflow. Size & Grade ...... -----_ _.-... ..-. ....... ... ... .... .. .. 37 Furnan -Ve t Access -Comb. Air -Return Air Vent -115 outlet ------------ - ---- -- 38 Attic Access & Platform it Furnance in Attic ------ ------- --- .-. --- - - Date Card B-1 Date Card B-1 - - .. ... . ... . ..... . Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except ft's 39. S Is. Proper Mater ial & Anchors le Wal S. S' Spat ng & Bracmg-Plates-Sound Bear ng Walls over Girders & Floor Nailing Dr t Stop in Walls (rat proof) Fi Stops_ Furred Ceilings -Stairs -Chases -Tub 10-'H'eaders & Beam -Sze & Bearing Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors Ing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. ire s or Type A Flue -Fireplace Throat clearance__ Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles -------------------- -- 4+J-BR M -71M 1'UOws or Exiting Doors -Sill Hgt. & Dimensions ------------------------ - tection Framing y ine Firewall & Openings _ rs- 3 -Check Garage -3rd Story, 2 Exits /jP_Stairs Width -Headroom -Rise -Run -Landing -Fire Protection ywood_on Roof Overhang -Attic Vents -Rafter Outriggers -------------- 55�. Si ailing Veneer . St�K ucc Mesh veneer---- Screed-Fd. Vents-Underflr. Access azin rea-Glass Protection=Skylighis- Plastic 8 ar Walls: Nailing -Bolts -1 -,"�i0. Infiltration -Walls -Windows ---- -------------------------------- - Date Card B-1 Date Card B-1 - ----------- Date --------- Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except a's 61. Ext. -Steps -Door & Sidelight Protection -Landings _ - --------------- - 62. Smoke Detector -------------- ------------------------------ - - 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. Protection ---------------------------------------- 64. Bedroom Exiting 65 G.F.I.& Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel: Breaker Sizes & Labels ..-- ----------------------------- 67. Stags & Rails - ----------------------------------- 68. Fireplace or Stove: Clearances -Hearth ..---------------------------- ----- 69 Elec. Outlets at Wood Panel: Int. & Ext. 70. Kit Fixt & Appliance: Grnd.-Air Gap -Cooking Clearance 71 Elec. Outlets & Receptacles at Kit. Counter -- -- 72. Garage Fire Door Swing -Landing -Closer .....- --- -._ ---------------------- ----- -- 73. A.C. Duct in Garage -Damper _----..._.._-------------------------- ----- ----- 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage. Above Floor -Meth. Protection ..... - ------------------------- ---- 75. Plb.. Elec. & Mech. Equip. Listed for Location ------ ------------------------------------------- - 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection .. --- --- ----------------- ------------------------------- 7, Insulation -Foam -Looked in Attic ❑ Yes ..------------------------------------------- ---- 78. Guard Rails & Deck Construction -Post Caps .. ----------------------------------------- -- 79 Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes --- -------------------------------------------- 80. Following instld.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No: Planters ❑ Yes ❑ No . ---------------------------------------- 81. -------------- ---------------------- 81. Stucco. Brown -Finish .. - --- - - ------------------------------------ 82 A C Unit: D sconnect, Electrical, Plumbing . .. --------------------------- -------- -- ----- 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings .. - - - - - - - - - --------------------- --- ----------------- 84 Water Well: Disconnect. Electrical, Plumbing 85 Exterior Elec Trim. G.F.I. Receptacle -Underground - - ---------------------------------- 66 -------------------------------66 Ventilation Throughout House .. . .. .... --- --------------------------------- 87 Glass Protection ----- - ----------------------------- 86 Corrections from Prev ous Inspections - - - -- ------------------ 89 Gas Test -Meters Tagged: Gas -Electric 90 Water & Sewer Connected-C'O to Grade -HD Approval -_------------------------------ 91 Energy Compliance Certificate -Other Certificates -------------------- Date Card B-1 Date Card B-1 .._ . ----------------------------- -------- Date Card B -t Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 .County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT q(0 -0 �. ASSESSOR PARCEL NUMBER 11-36-020 ZONING FR10 BUILDINGPERMIT OWNER AUGUSTIiTE VEtASOUEZ Tnl�NE6971 SQ. FT. OCC. BUILDING VALUATION 140 7,560.00 OWNER'S MAILING ADDRESS 5350 FT HUMBUG RD CHICO, 95928 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is 7,560.00 Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 64 35 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 5350 FT HOIBUG RD PERMITFEE s 35 CHICO, 95928 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LAT NO. SUBDNISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF 6 Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition IN Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: ADDITION 140 SO FT DRESSING AND — WARDROBE ROOM Mobile Home S G W @20.00 PERMITFEE s Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main ServiceEDDY OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: VI, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ( a ACC. ) so. 3.SQ FT. CONST. MULTI.OUTLENS. NEW CTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) a SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL Q So Ex. Occup. (oFI ELErSPRE S ORR.a) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ 24.90 Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (rhe above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X / Date Signa ur p can - Contractor ❑ A en An OSHA permit is required for exc tions over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 46.00 occ CONST. TYPE TOTAL FEE 277.25 HAZ ID. FEES IMP FLOOD F P1,6 PQ1tIID,*'IS"I1' This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been BY Date PERMITEXPIRESON , FD provisions to do work paid. -e) Receipt No. 190731 WHITE-D.D.S. RB D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT -BUTT COUNTY SCHOOLS IMI'MPFEE CERTIFICATION FORM (One Form Per Building) School District—oh( Cy- Building Department No. A.P. Number 6 �' Jurisdiction:' City County Property Owner AW -C ye V O / Property Location/Address 53:50 F- 14 N% b C' C ,Q i L v Subdivison Residential Development Commercial/Industrial Lot No. 0 w No. of Living MHI Aa-d—itio n Units , ,T4&- -Cv LINTY F GUM BUILDING DFVT JAN 10 1996 t A Sq. Footage NO (Group R) r 0 Sq. Footage New Addition (Including Exterior Roofed Areas) e, Al Building Department presentative �►; f ; Date (Floor Plans reviewed by School District Personnel) District Identification No.) t� chool District certifies that (Street Address) (Applicant) (Phone Number) (City) - (State) (Zip Code) has complied with the requirements of Resolution No. , t� by payment of $ representing P /O square feet. - AB 2926 $ FULL MITIGATION $ / 6 School . rict Representative Date Paid by Check # yi Remarks:__�,� Bank Number Paid by Cash If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.wki (11/94)dmm 14 +wt-1�-J': 4..-��..'.r�'f�,c-t:....:..:�,fie.�--'^i.:-dir;.,+.y�'was.r.:k..+�+.t;.*...',5��"YT�'',s-.T,'�Yv.r.{�".i`'.:.�.�A ri l�*+r+a%�F..-..-..--�••-•• v.r�...-...-d.,. .�.- ...,,:,,,.1• «. r , COUNTYOF BUTTE - DEPARTMENTOF DE^VE_LQPMENTSERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916)538-7,541 PERMIT APPLICATION DATA SHEET OWNERI Proposed Building f !A,, .-- Ue- [a .5q ue Use -5/1'r 1W o mac. A. P. No. It- 3 �, -' 0 2 0 Building Inspector %e I6. Date /-x-F16 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1, All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . ................:..y . . 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans. .. `......... . 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructians, 2 sets. .......... . 10. Fees of $ . ............... ... .............:...... . Impact fees as shown on attached schedule. . ...... - California Department of Forestry plann-approv I/fees t Flood elevation letter (100 year flood),b Califo ngineer. .. ............ . 14. Sanitation and plot plan approvalt, , � 0 Health Department. ............ 15. City of Chico plumbing permit. ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. ........ -` 19. Driveway permit (construction approval required prior to occupancy). .. .. 20. Pre -inspection for Preansve�oA request required. . to Building Inspector (Date 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of rkmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner ) ............ 24. Recorded cop)of Agricultural Acknowledgement Statement. ..........''� ....... 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed.of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... ��- 28. Mobilehome utility clearance. 29. Documentation of legal access . ....................................... . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list. ............:.:._.._�................................. 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deli v r with inspector. Other Parcel Creation Acreage Applicant 6C/ Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other . Date _ The following data must be submitted prior to permit 1. Index permit for above items No. i 2. Additional items required: not By Contractor, designer, owner, was advised of above required data by _phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date - Plans checked by Date Plans approved by Date Z i/z Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance r, e �� Pbt Pbs AnKhed Fl. PI. AMwW Suet to B.D. r � •Locatioin' Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for bedroom mobile home. Other Y rn Hold final for: Final clearance O.K. for: NOTE: En ' onmental Health Specialist `" ="� Date 2/01) TO — '> AM- Oate Time D-FrM WHILE YOU WERE OUT, M g:t� — of 0 Phone L51X-5---6 11,711 Area Code Number Extension TELEPHONED I PLEASE CALL CALLED TO SEE YOU WILL CALL AGAIN WANTS TO SEE YOU URGENT I RETURNED YOUR CALL Mes Is Operator AMM A S T M A N 4C200 // - -3 4� - 26, COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 OWNER f/ua uS+ i PROPOSED BUILDING USE A. P. # J/- 36 " D 2- DATE DATE -- 8 At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT DATE # DATE REC /REC. y 1. SCHOOL DISTRICT FEES �f Office) (paid at District 2. SHERIFF FEES (paid at Building Division) Residential...... x =$ unit amt. Commercial (sq.ft.). x =$ 3. URBAN AREA FEES (paid at Building Division) Residential (per unit). x =$ #units amt. Commercial (sq. ft.) . x =$ sq. ft. amt. 4. RECREATION DISTRICT FEES (paid at District Office) 5. THERMALITO DRAINAGE DISTRICT FEES $400.00 (paid at Building Division) AND -PLAN CHECK 6. SRA FIRE INSPECTION Building Division) _79/ $89.00 (paid at 7. WATER TENDER FEES (BATTALION # ) $200.00 (paid at Building Division) 8. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 9. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT DATE Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature.. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement : YES[gi] NO[ ]. -2._ I HAVE[e]' HAVE NOT[ ] signed an application for a_building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the. proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide'the work indicated: NA_lM ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: SOCIAL SECURITY NUMBk:x: DATE: It � X NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER O.B.-41 Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified- For pecifiedFor your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not_required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to.do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and.protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons profegsing to be contractors is to secure an "ownerbuiidee' building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sinccrel , Michail C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County -Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NC APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZO OWNER OWNER'S 36 60 61n/�' p N1NO F -le -lo BUILDING PERMIT ^ I.(. , 'l'/✓v V C �Q UC, TELEPHONE SQ. FT. OCC. J� s� 2 ADOREss NAME TELEPHONTE L.(% /v -el MAILING ADDRESS CONSTRUCTION LENDER Fireplace BUILDING VALUATION Iorat vawauon $ '754 LENDER'S MAILING ADDRESS Fling Fee Permit Fee ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ARCHITECT OR ENGINEERS MAILING ADDRESS Energy Plan Checking Fee Penalty BUILDINGADDRESS C PERMITFEE 0 LOT NO. SUBONISIONSNAME USEOFSTRUCTURE SF M,'tuplex ❑ Mobilehome ❑ Other TYPE OF WORK New ❑ Addition 0' Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Ady;,f-;ro,4-/ 1-1104 a AzcD LJ m,,r rD (� e1—e) -3, /y✓! MAP 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 Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 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 I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (rhe above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X — Date 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. ReceiptNo. /V0791 WHITE-O.O.S.-B.D. CANARY -ASSESSOR PINK -INSPECT OR GOLDENROD•APPLICANT Each Trap Solar or heat pump water heater Water piping Each gas water heater or vent Gas piping system F-75 outlets Building sewer Mobile Home I SIG w for PERMITFEE 1 $ Main Service ( OO200Aov OR LESS - - OR LESS ) 23.00 Main Service ( 200A TO I000A ) NEW CONST. DWELLING OCCUR OR aDONS. ( a ACC. BLDS. ) / 46.010 3.5C Fr NEW CONST. MULTI-OUTLS NON-RESID. ( BRANCH CIRCUIT ) (7O 7, rj� (POWER APPARATUS 6 SINGLE OUTLET CIR. ) EX. OCCup.( OUTLET OR FIXTURES) 20 Q 1.00 fiAL S0 Ex. Occup. FIXED A--. OF; 7( OUTLETS (RESID.) EA ) 5,00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 20. CIO r �'O 20.00 1 20.00 1 PERMITFEE s t( Contractor MECHANICALPERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Mobile Home Installation Fee $ Energy Inspection Fee $ �p OCC CONST. TYPE TOTAL FEE HAZ. 0. FEES I IMP FLOOD I CDF I PARCEL I PO HD 6SUE 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 PERMITEXPIRES ON LONGFELLow LUMBER CO. INC. ■ Quality Truss Design ■ Roof & Floor Systems 89 Loren Avenue Chico, CA 95928-7434 (916) 893-0112 FAX (916) 893-0140 Customer: 1'44AsOu Er— Address: W"; Job No: Alpine Engineered Products, Inc. Christian Chappel 8351 Rovana Circle Sacramento, CA 95828-2522 (916) 387-0116 Timber Products Inspection, Inc. P.O. Box 20455 Portland, OR 97220 (503) 2540204 Job: (VAL--AUGIE VALASOUES) / 15- HONG t. 2 -SOFFIT H3GH END TOP CHORD 2x4 FL #1 BOT CHORD 2x4 FL #1 WEBS 2x4 FL Standard :W4 2x4 FL N1: CONNECTOR PLATES DESIGNED FOR GREEN LUMBER PER NDS -91 TABLE 7.3.3. A RIGID CEILING OR CONTINUOUS LATERAL BRACING AT 72.00" O.C. MUST BE PROPERLY ATTACHED TO THE BOTTOM CHORD. IN LIEU OF RIGID SHEATHING: TOP CHORD TO BE BRACEO BY PROPERLY ATTACHED PURLINS SPACED @ 24.00' O.C. IN ADDITION. A RIGID CEILING OR 2x4 03 H.F. OR BETTER CONTINUOUS LATERAL BRACING SPACED @ 72.00' D.C. MUST BE PROPERLY ATTACHED TO THE BOTTOM CHORD. (W)�THIS AREA OF THE TRUSS IS DESIGNED TO SUPPORT AN ADDITIONAL 4 PCF TO THE BOTTOM CHORD. THIS DWG. PREPARED FROM COMPUTER INPUT ILOAU3 s 0IAEN5ION51 5UdMITTEU ar IHU55 Ntll. 0 AMNLOADING ON THIS TRUSS CALCULATED BY TRUSS FABRICATOR*** a c CONNECTOR PLATES MUST BE INSTALLED IN ACCORDANCE WITH THE Ln REQUIREMENTS OF I.C.B.O. RESEARCH REPORT 02949. n A (U) 10 PSF BC LL CHECKED PER UBC CRITERIA. "I V CONTRACTORS WARNING: to THIS TRUSS IS DESIGNED TO BEAR AND/OR SUPPORT ADDITIONAL LOADS AT SPECIFIC LOCATIONS. PARTICULAR CARE IS ADVISED DURING o INSTALLATION TO ENSURE THAT THIS TRUSS IS ERECTED PROPERLY. o ut 0 Is. (Ai) 15' --- 34 2- --j � — 15-0-0 - — _02-0-0 I- 2-0-0 I 17-0-0 17' OVER 2 SUPPORTS R-5660 W -5"B R=600# W=5'8 F'L 1 TYP — AL NE l;n —1-11- Hav I 1.5E DLALC - U . J f uu fl 0 o I= o O o **IMPORTANT*xA"m EN:ums" D "mmm 11r,. WARNINGf'-sm PE"'n" E"lw'* cow iES$ TC LL 16.0 PSF REF R427--5906 GATE 01/04/96 C OAUS arid► Not DE aEaomaceLE ftia w1 Alli nF wTRLIND. EREcrsoR Airy , C EAACNO. aEE N1b-el Bf TPI- SEE THIS DESIGN TC DL 10.0 PSF OEYtA1IRl FDOeI iNES'OE61G° lyl THESE SPECEF1t:lT[WS. OR c ORW CAUSp427 96004904 7 O 0 TAtEUM 10 BUILD INE T"S IN LWiUWNCE 11ITN 05108 BY TP1• FOR ACDITTO UL SPECIAL PEF'AAMiIIT tRACl10 RE BC DL. 5.0 PSF ALPtlk CONIECIO S, ARE IYDE a EDDA (ALV. SIEa NEETtro ASTN Att6 DR D EEEEPT AS NOTED. AFPLT CUMOCTDRS TO EACH TACE CF WIRENEATS. [11X33 OII[RIfISE INDICATED. TOP v CNODD SHALL E£ IATERALAT PARCEL, 11 [f4 DOTRU9a CJj�IJ 8C LL (U) 0.0 {ASF CA^�NG E' D'p 010 ROLE" OI/ERNISE LOWED a/ THIS DEST6N POSITION Lt AIIADNED FLMocD AE, it,IC. eDr10N%iO C09ECTORR PER ORAIf11CS 110. so t 369A-F..1r.1 STMOAf1" N7111 MWEPL7 AItACNED RI6ID CEILTDV -- 6EJ49) *TOT.LD. 31.0 PSF=60RN WIPPLICAKE PROV1310r1a W TOS t TPI. AN WO11EWS ' ES Lal' 3:JS MNPUL'a`:�. � "II! 10EWICIL GPPAIE II/1/VII IOR PROPER CI ti� �� DUR. FAC. 1.25 O O o o t� O SE b L«;�°NCOMPONENT s�� `,o K"� s P �;�a �D„.a:E �1`N16 SPECIFICATION EOV NCO" CCAIST11=119H ! � SPACING 24.0" A --IPI - Imm PLATE U191I7ulE. ND3 - 1991 NAIIOI/1L DES169 LONGFELLow LUMBER CO. INC. ■ Quality Truss Design ■ Roof & Floor Systems 89 Loren Avenue Chico, CA 95928-7434 (916) 893-0112 FAX (916) 893-0140 Customer: Address: AP#: / 1,44A,5Qu,&L, Job No: Alpine Engineered Products, Inc. Christian Chappel 8351 Rovana Circle Sacramento, CA 95828-2522 (916) 387-0116 Timber Products Inspection, Inc. P.O. Box 20455 Portland, OR 97220 (503) 254-0204 Job: (VAL^-AUGIE VALASOUES) 1 15' MONO ► 2'SOFFIT HIGH END TOP CHORD 2x4 FL SP1 BOT CHORD 2x4 FL #1 WEBS 2x4 FL Standard :W4 2x4 FL 01' IT? D. CONNECTOR PLATES DESIGNED FOR GREEN LUMBER PER NDS -91 TABLE 7.3.3. A RIGID CEILING OR CONTINUOUS LATERAL BRACING AT 72.00" O.C. MUST BE PROPERLY ATTACHED 70 THE BOTTOM CHORD. IN LIEU OF RIGID SHEATHING: TOP CHORD TO BE BRACED BY PROPERLY ATTACHED PURLINS SPACED @ 24.00" D.C. IN ADDITION. A RIGID CEILING OR 2x4 03 H.F. OR BETTER CONTINUOUS LATERAL BRACING SPACED @ 72.00" O.C. MUST BE PROPERLY ATTACHED TO THE BOTTOM CHORD. (W) THIS AREA OF THE TRUSS IS DESIGNED TO SUPPORT AN ADDITIONAL 4 PCF TO THE BOTTOM CHORD. THIS DWG. PREPARED FROM COMPUTER INPUT (LOADS 6 DIMENSIONS) SUBMI7TEO BY TRUSS NFA. 0 Am*LOADING ON THIS TRUSS CALCULATED BY TRUSS FABRICATOA*NX a c CONNECTOR PLATES MUST BE INSTALLED IN ACCORDANCE WITH THE N AEOUIREMENTS OF I.C.B.O. RESEARCH REPORT 02949. a (U) 10 PSF BC LL CHECKED PER UBC CRITERIA. v CONTRACTORS WARNING: THIS TRUSS IS DESIGNED TO BEAR AND/OR SUPPORT ADDITIONAL LOADS cn AT SPECIFIC LOCATIONS. PARTICULAR CARE IS ADVISED DURING o INSTALLATION TO ENSURE THAT THIS TRUSS IS EAECTEO PROPERLY. o Ul • o a 41AI) 2.5X4 0 1 5x4 W4 v . N v 0 Z: L� 2X4 (A1) _ N 3_f5 B' 02.5X4 W 2.5X4 a3>F4 2. a( 4 —15-0-0 - - -- __�L_w)2-0-0 _J E I- 2-0-D 1 P 17-0-0 -j D- a) — 17' — _) OVER 2 SUPPORTS m R -566f W-5"0 R=600TT W=5"8 0) I a: PLT TYP - ALPINE CA - - Rev 17.3t SCALE 70 04 3750 C=3 o C= o **IMPORTANT*NAL°T10 EN'",E`Y° mwxcm tlr.. WAANXW,'us�' REouim ELM" CARO piESS►0 TC LL 16.0 PSF REF R427--5906 Z [� C [� G SNAIL NOT of RESPOMIOLE M ANY IU HVIOLM7. Emcf1OB ArOI cc OEvruI4T1 Fowl rws oESIED clT THESE sPEcinuTtnts OR ar BRAOItO. SEE HIB 01 Of IPI- SEE THIS OE91t01 • C �yc TC OL 10.0 PSF DATE 01/04/96 C� O C= C� rAILAM 10 EUILO INE TRUSS IN C016F""E WITH 05109 BY TPI. FOR AC011TOWL SPECIAL PEFW.OENT ORLCl1D RE 4G� A y t= C C= C� ALPINE CDRIEcron ARE VAX Or 200A oxv. SIEAL WTI10 ASTM otmeIIIOTs. IML33 OTmmist IIOIcArco. 1 BC DL 5.0 PSF ORW CALJSF1427 96004904 C [� C= O Actio OR B EICEDI AS NOTED. /POLY CC#MTDRS TO EACH rACE OF rADDO WDLL 6E IATEPALLY e"CEG g[r11 I. r I ALP INE O TIa1S3 110 WLE9S OIHEWISE LCC/TED ON 71115 OEBTGK P053TION LY AT IAOIED FLMDOD 9FATIIu4c. BOrroN c NQ 043845 BC LL (U) 0.0 PSF CA—ENG E. D p C= CONNECTORS PER CAME CS 170. ISO F 1 S 4 t O. AN 0171101006 1131HALPINE PRO"EINI AITACIEO RIOW CE1lr0 -- SEC IFp 6j(►91 * TOT.LD. 31.0 PSF �I��I�III�Illlplllll C@4r00N N/LPR.ICLDIC FAOY1slp4! 9F 1001 C fPl. AN D1D11E(R's AIDII! TCCWIUL 4A0►IE II/1/9II IDR FITOPER * {cul f ��"I i C=3 TRUSS o c uar.ON lAuo swTLtlrurecAPFlAeL�enlwDN�ilw o EFOMIrIXM D�Es�cn 10 rRIEIr�s IlEcrml clruatcT°Fint�s Irl CI til Q`Z�� OUA.FAC. 1.2�J 0 0 1� o =3 o - -- - --- - ---- --- - - - - - N Ca - .nr ,Yd4 .,.......... n • n Oii- 3Go - o.,26 9G -isiv 14 S3.so �' Oi�u COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, Carornia,95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT - p� � / ASSESSOR PARCEL NUMBER _ 3 ( - C) mNR, -5r BUILDING PERMIT OWNER A V F L tJ F 1 NE IV CITE SO. FT. OCC. BUILDING VALUATION Q OWNERS IUNCiADDRE93 Si /1 N I% /T tl• CnlLv ��z ri Q )` �/ CONT CTOR'S TEUPHONE CONTRACTO S MAILING ADDRESS rHL)^Jo64Ac>1_,r A JG CNlC0 9S'973 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDREss 3 5 O PERMITFEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF fK Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Othej. ' Describe Work: ,y Mobile Home ISI GI W1 @20.00 PERMITFEE $ Contractor ELECTRJCAL PERMIT Filino Fee 20.00 Main Service ( 000V OR LESS 200A OR LESS ) 23.00 Main Service( 200A TO 1000A ) 46,00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class 0"— 2- O Lic. No. .3 Lir I Z 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 I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. J[ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier GA 6.q-, L7 NEW CONST. DWELLING OCCUP. SO. OR ADONS. ( a ) 3.52 FT. NEW CONST . MULTI-TI.OUTLETLE T NON-RESIO. ( BRANCH CIRCUITS ) 97.50 WLFI (B�SINGLE OPUTLEr CIA.AKAT) Ex. Occup. ( OUTLET OR FIXTURES) 20@Q 1.00 sAl '� EX. Occup. ( OUTLEEDTS RESIO.) EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 -4 PERMITFEE S Contractor MECHANICAL PERMIT Filing Fee 20.00 g Heating IS. Cooling Is. Hood 6.50 Ventilation PERMITFEE Contractor Policy Number tA) 01.f- X 17- 9'4-3 L-1 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 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 —1 3 / �� Signature of Applicant - ❑ Owner �& Contractor ❑ Agent An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee Is OCC CONST. TYPE L FEE $ J v-00 HA2. D. FEES IMP FLOOD COF PARCEL PO NO ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. B �� Date y PERMITEXPIRESON (Date) Receipt No. ^ I J 113 3'�L, WHITE-D.D.S.-G.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT QF DE.VELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7 PERMIT NO. APPLICATION AND PERMIT z�6-1. 0 ASSESSOR PARCEL NUMBERI -3 6- z0 ZONING r -A -s BUILDING PERMIT OWNERv L UF1 o SO. FT. OCC. BUILDING VALUATION OWNERS (LING ADDRESS 3 o mR HUS v Rd. CH/Lo yrclZe CONT CTOR'S NAME C Le-,LL TELEPHONE Q l?/- 6201 CONTAACTO 5 MAILING ADDRESS V^J o6 p /� J` l�1-/lGO �5�%%3 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS p,3, c) u� b� R� C� PERMITFEE $ –5,3,5c) G 1;f -L L J PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LAT NO. SUBDNISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF VKDuplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel /❑ Utilities ❑ Installation ❑ Othec-e Describe Work: V — Mobile Home –FFG Ew7 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service / 000V OR LESS 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATIONOR 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 [– 2 0 Lic. No. .3�5 I Z ( 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 NEW CONST. DWELLING OCCUR SO. ADDNS. ( a ACC. BLDS. ) 3.52 FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS ( & SINGLE OUTLET CIR. ) Ex. Occup. (OUTLET OR FIXTURES) 0 1.5 BAL FIXED APPLNS. OR EX. Occup. ( OUTLETS (RESID.) EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. JK I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier CA I 6a.,tN MECHANICAL PERMIT FilingFee 20.00 Heating !S'_- Cooling 15% Hood 6.50 Ventilation PERMITFEE $ 50. Contractor Policy Number W 9_<_ J 7- 5-4-3 (rhe above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X _______ Date 3��--- Signature of Applicant - ❑ Owner P. Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is occ CONST. TYPE TOTAL FEE $ 50- ai HAZ. D. FEES IMP FLOOD CDF PARCEL PD I HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. B 7 3 % 2 Date c y PERMITEXPIRESON ,�— I (Date) Receipt No. 0 I1 16 3 e WHITE-D.D.S.-B. D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX & MISC. ONLY) OWNER GENERAL `l. Zoning requirements: (sideyards and number Valuation. signed by designer. roper description of work on application. xisting violations on property.. 8/91 Bldg. Permit # A.P. # l/-�� 'oZ� Plan Checker L,S of permitted living units). 6 Items on data sheet. (W.C., fees, Health, Developer Fees, License law, etc). -Recorded notice of violation. PLOT PLAN 0- Complete parcel size and dimensions. 2. Setbacks, sideyards, easements, etc. jOther buildings or structures. ading, fills, drainage. lood hazard. Special conditions on creation map, tible, and foundations). FAU & FAS road setback. S f. d (noise, CDF, fire sprinklers, non—comb— Building or utilities across lot lines (Record form). F ,nnp PT.AN G 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). uman impact glass (Sec. 5406). ,Required room sizes, ceiling heights (Sec. 1207). GFCIs in baths, garage, kitchen, and exterior outlets (Article Light fixtures, switches, receptacles, and exterior receptacles tenance of mechanical equipment. Locations of water heater, heating and cooling equipment, other or gas equipment. Garage firewall, door size, and closer (Sec. 503(d)(3)). /— 3'0" exterior exit door (sec. 3304 (f). Z. Fireplace and wood stove location, alcoves, and clearance. Smoke detectors (Sec. 1210). Plumbing fixtures, water closet clearances and shower size. STRUCTURAL DETAILS 210-8). for main electrical Standard bracing or engineered design (Table 25V) ? Unusual shape, size, or split level house requiring lateral design. Clerestory requiring balloon framing and/or engineering. Three story building requiring engineered calculations and plans. Foundation plan complete enough to construct building. Floor construction details complete enough to construct building. Elevations and wall construction details complete enough to construct Roof construction details complete enough to construct building. Fireplace construction details and calcs if necessary. Rafter ties or bearing ridge beam. Garage door or porch header sizes. Stud heights. Adobe soils — special•foundation,design. Retaining walls requiring design. Special Inspection required. building r 8/91 RESIDENTIAL PLAN CHECKING GUIDE ISCELLANEOUS ITEMS TO LOOK OUT FOR Stairway details: landings, rise and run, head clearance, handrails /Sec. 3306). Guardrail details (Sec. 1711 & 3306(j). !Erick or stone veneer (Chapter 30). � xterior plaster - weep screeds (Sec. 4706). doper roof pitch for roof convering (Chapter 32). / Roof covering type - (fire hazard). �oam insulation - protection. P6" halls and stairways.iving area over garage - complete 1 -hour separation required on garage .side including supporting walls and posts, etc. Two exits on three-story dwellings (sec. 3303 & see Mezannines - 1716). . Attic access and ventilation (Sec. 3205). Underfloor access and ventilation (Sec. 2516). ombustion air for fuel burning appliances - L.P.G. requirements. oise requirements on duplexes. Energy design. . Flashing at all exterior openings. . CDF responsible area requirements. waw C s /re 9 3 ��, -93 4_5 TO: FROM SUBJECT: Building Department Environmental Health Sanitation Clearance G.H. USI: ONLY ri.,, Him nuach,d �7 ri,,,,r Nan Aua Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well/-- Clearance for bedroom +r�abire home. 19th-Frn4 Hold .final for: Final clearance O.K. for: NOTF- �jsc.a2 Environmental Health Specialist 8/92 S - I � -g--1 Date State of California County of Butte On October 14th, 1993 Notary Public, personally appeared All -Purpose Acknowledgment before me Brian A Collins Augustine Julian Velasquez and Lina Ann Velasquez personally known to me (or proved to me on basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrumentthe person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. Signature L�� 0 1 "�n BRIAN A. COLLINS COMA. #f: 963997 ® N NOTARY PUBLIC -CALIFORNIA BUTTECOUNTY WCOMM. EXPIRES APR. 9,19M (seal) Optional Notary use only. CertifiGate aXache� to the d cu ent of: NameofDocument Agrlcultura� �tatement of Acknowledgement for Residential Development Date of Document 09-10-93 Number of Pages one Capacity of Signer ❑ Individual ❑ Guardian/Conservator ❑ Attorney in Fact ❑ Corporate ❑ Other ❑ General Partner(s) ❑ Limited Partner(s) Officer Titles Name of person(s) or entity(ies) being represented DA 192 1192 Rett urn to SUtarNg o v AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT t '9 3 -4 S 6 02 FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this -acknowledgement be recorded prior to issuance of a building permit. The property de sc.ribe'd•herein is adjacentI to land or included within an area zoned I I Rec Fee 5.00 Cash 5.00 for- agricultural ---purposes, and residents. Recorded I of this property may be subject .to incon- Official Records I CaLfNTVOF8L rL, veniences or. County of I discomfort arising from .,the BUILDING DEPT use of agricultural chemicals, including, Butte I Ori 2 1: but not limited to herbicides, pesticides, Candace -J. Grubbs I and fertilizers;. and from the pursuit Recorder I of agricultural' operations including, 11:19am 15 -Oct -93 I PUBL XX 1 but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust,' smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within.said zones and on adjacent property should be prepared to accept.such inconvenience or discomfort from normal, -necessary farm operations. - All 'that. ..real. -property. situate. in . the County of Butte, State of California, described as follows: a-0.;2_0 PARCEL TT.10 : CJ1 S Lot 11 of the Southwest quarter of Section 4, Township .22 North, Rank 3 CJt East, .IS.D.B. & I4. EXCEPTING THEREFROM the above 2 described of land, all lying Northerly and Westerly of the that portion n Humbug Road. • ALSO FXCEP TING InEnErnum all that portion lying within the exterior boundary lines of Parcels 1 and 2 as shown on that certain Parcel Map being a i Portion of Sections 4 5, and 8 Township 22 forth} Range 3 East If D.B. e. 2M. filed in the office 01 the Recorder, County of Butte, StatR of 6alifornia, .7 on March 8 1977 in Book 60 of Parcel Mat --.---.�._- as�pa6e368 and 69 Date: �� PROPERTY OWNERS. .fULI� U�fi¢SQj��y- State of On this the day of ,,19 before me, the SS., undersigned.Notary Public, personally appeared County of ) Personally known to me. p Proved to me on the basis of satisfactory evidence. to be the person(s) whose name(s) subscribed to the within instrument and acknowledged that executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Present A. P. No. O//•- 3�O-- o 1- O Notary Public {._---�j'+�..-i.rr ;�.yfy,.. s.n'�r-k,...j:-v_,��1�1-.ro+"':',.,-.'�.'•7�••..--�"T-..-1.n.-�"n''µ'-�6"rRi''/�r.a�s,..v',.,..r�+"Z^•�:�. .ti,!'"'`.+,r-�: .••r .. . •r';.,.. .. -.. COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATASHEET OWNER �� U --<Nc ll -.C- A .rjGe- Z A. P. No. II - 2a6 6 2. P :Proposed Building Use S% Uit' NS�la 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 BY 1. 2. 3, .4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. All items have been submitted. 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 (required prior to plan check). ... . Mobilehome data and manufacturer's installation instructions, 2 sets. ........... Feesof $ .......................................... Impact fees as shown on attached schedule. ............................. . California Department of Forestry plan approval/fees. ....................... . Flood elevation letter (100 year flood) by California 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 (A) Use: (B) Parking: . ........ Contact Land Development about (A) Improvements (B) Drainage. .......... . Driveway permit (construction approval required prior to occupancy). . . Preanspedion reque�s Pre -inspection for required. . to Building Inspector (Date) Contractor's license information. (No., Name Style, Classification) . .............. Certificate of Workmans Compensation Insurance . .......................... Owner -Builder Verification (Given to owner , Mail to owner . .......... . 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 . ............... 31. Existing violations/expired permits . ...................................... 32. Plan checklist ...................................................... 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone ,.311.5- 697Ad hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant lald-4Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Dates / Copy of plans sent Health Dept. Fire Dept. Other Date By 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 _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works S COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS �1aJ�'li 7 County Center Drive, Oroville, California 15115 r Telephone: 538-7541 APPLICATION FOR SPECIAL INSPECTION. ny . Owner � U5f'i'N� ��a.Sc1L�r� � A P D 11 ` ,300 • No oZ a Mailing Address QU � ,X Ch, Go Telephone No _395-6971 Applicant AA -P Telephone No Mailing Address Building Location .5.3ff O F / ��UM bU�i �� I -C 0 I hereby request a special inspection of the following building: 1. Dwelling (if only a portion, specify) AQ as . Q 2. Apartment House (if only a portion, specify) 0 3. Commercial (specify present occupancy) 0 4.. Other (specify)11- '. I am requesting a special inspection for the purpose of: 1. Moving the building. l� 2. Financing (specify agency) Case No. 3. Change of occupancy to 4. Other (specify) 1'N7,o ejr OerM # r _-rNsrD. T I hereby certify that I will obtain the necessary permits and make any necessary correc- tions, alterations, or repairs required by.the County of'Butte, as a result of this inspec- tion, to comply with building and housing code .requirements. I also certify that prior to the use or occupancy of this building, I will complete the above required corrections, alterations, or repairs, or, if the building is presently occupied, I will complete the above required corrections, alterations, or repairs within 30 days. I certify that I have read this application and state the above information is correct and hereby. authorize representatives of the County of Butte to enter upon the above- mentioned property for inspection purposes. Date -� Signatu of Owner I U 2 Fee Paid $ +%s, Q Receipt No. lst-DPW/2nd-.Inspector/3rd-Applicant 4 �tv �. �.. ...-�;��w�r•-�, ... m.;+R.>, . .v. �?''4r ar+%+5"�!"-'�''i`.f3 1�.,'• �.��t! 1fw�'�`Z,«.e. S COUNTY OF BUTTE'_-.DEPARTMENT»OF,-PUBLIC WORKS J ��L 7 County Center Drive,'Oroville, California 95965 ' Telephone: " 538-7:54193 APPLICATION FOR SPECIAL INSPECTION Applicant tjL A M ma Telephone No Mailing Address�� Building Location �..35 f' �"!UM l7Ug T) L� VV! 1-( 0 L'�i c�7�fi�tcJ/L L� Q S7��G -� 9-0/ 11714A I hereby request a special3 inspection of the following building: 1 C� portion, {}G L d Welll �o 1 U specify Q Q r�V'fy pspecify)2.part , / — mm�� 3. �Coercial(%pe-fj+presei d' 1,upYn , . `4 72 r p c.0 t'f' ► � T'' t,�' " � � � 4. -Other (specify) ,� .. _ a' I am requesting a special inspection fof U2. Financing (speci y a�genc 3.17�ocu nly�t�Y+ i f-{2v+v 4. Other (specify) mus purpose of: .- ._ 6�0 0 I hereby certify that I will obtai,Vthe-noqygs rye per �� s and "'k aj��'' necd4s&ycojr3 tions, alterations, or r p�y►`;u►'�te`�t%b.3'/xhe C,But`e,)res'tifit of this inspec- tion, to compl�/u�ii.�t�h�"td��ng and housing code requirements. I also certify that prior to the use or occupancy of this building, I will complete the above required corrections, alterations, or repairs, or, if the building is presently occupied, I will complete the above required corrections, alterations, or repairs within 30 days. I certify that I have read this application and,.. qte the above information is correct and hereby authorize re r A-�tatives 5;�- e -County of Butte to enter upon-)Cthe-=above- mentioned property for iWec qqn;purposes. Date sign-at-Glye Aof kwner j�J 2 Fee Paid $�j , Q Receipt No., / / 3 35!� lst-DPW/2nd-Inspector/3rd-Applicant F7, Complaint -Date F7 Other -Date BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT ZONING Owner: �57� It , �y S U 11 a A. P. # /_'5. �—t�G(J Address • Tenant: • Inspector j�• �- 00 �� 10 � ��C) C ��J`� `� Date of Inspection Building Location : �3s d rr AI AH v9 IGDra "Cy Type of Inspection requested: A. ousing ".2. 2. Financing / / 3. Change of Occupancy to 4. Work W/0 Permit / / 5. Other (speciy; Present use of building: Sanitation (Housine) 1. Water close 2. Lavatory:. 3. Bathtub or 4. Kitchen sinK: 5. Hot and cold water to fixtures:. 5 6. -:eating facilities: W0019 7. Natural light and ventilation:- V_�_ 8. Room and space requirements: C 9. Bedroom window or door for second exit: 10. Infestation of insects, vermi 11. Connection to sewage disposal 12. Connection to water supply: 13. Rubbish and garbage'facilitie__ 14. Stairs :(Rise, Run, Headroom, 1HR, Tolez 15. Comments: �r1w1 f � Y W UtA� tLl_ B. Structural n (� 1. Piers and -footings: oC�(e I 2. Floor construction: ,3TX(LV(-C' 3. Wall construction: 2 (% Lowa 4. Ceiling and roof construction: Z 5. Fireplaces: F"i-' 6. Comments: - to C. Electrical 1. Service and ground: 2. Receptacles: _QC; 3. Fusing:�_ 4. Comments: --r KD -1k- Handra } I ice4 "LA/ 6N.U(i 4x1< . �c�( /1*6 1,"t U A_tA — S-7 p X� ZA D. Plumbing 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating vents: 4. Comments: E. Other 1. Maintenance and repair: 2. Fire hazards: 3. Safety hazards: 4. Weather protection: 5. Underfloor and attic ventilation: 6. Energy:. 7. Comments: F. Commercial Buildings 1. Roof covering: 2. Distance to property lines: 3. Physically handicapped: _ 4. Restroom floors and walls: 5. Exits: 6. Improvements: 7. Zoning: 8. Comments: G. Field Problems or Violations 1. Problem or violation (give complete description): 2. What action taken (give complete description): 3. What action recommended: A. Information only - file. B. Hold for ten days, then write letter. C. Write letter. Ll D. Other: COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orowille, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO ASSti30 PARCE NUMBER ZOr^ � 10 BUILDING PERMIT OWNER � cue TELEPHONE SQ. FT. OCC.1 BUILDING VALUATION O NER'S M NG ADDRESS 91 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation LENDER'S MAILING ADDRESS Filing Fee Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Vv ARCHITECT OR ENGINEER'S MAILING ADDRESS Ene y Plan Checking Fee $ —PenaXy $ BUILDING ADDRESSPerml 3--3 50 Yrl etc e $ 5. L MBING PERMIT Filing Fee 10.00 rap 2,00 or heat pump water heater Valh 20.00 LOT O. SUBDIVISION NAME PARCE1L M 9Lf " piping 5.00 qas water heater or vent 5.00 USE OF STRUCTURE SF❑ Duplex❑ MobilehomeC Other SPE FY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home SPG 0.00 eaUT TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities g Installation❑ther ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e00v OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICEf4 E LAW I declare undervpenalty of perjury (check ne): ❑ I am licensed under provisions Chap , Iv. 3 of the Business and Professions Code and my I rise i 'ri full force and effect. License No. C a Ifica ion 1, as th owri or my employees wit w ges as their sole compen- sation, w) o the work,and the tructu a 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 OCCUP.ai ,h¢sgft OR ADDNS. C ACC. BLOGS. NEW CONSTR I.OUTLET 2,50 ea NON.RESID .BRA CH CIRC ITS POWER APPARATUS 6 SINGLE OUTLET CIR. I Ex.00Cu o 2Om50e Occup(OUTLETS OR FIXTURES SAL030 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. IYirin g 15.00 Permit Fee $ S , 62) WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information 1s correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said Count in consequence of the granting of this per it. Date 6 Signature of Applicantcaner❑ Contractor ❑ Agent ( AThis An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in hei ht. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE OCCUP, CONST.TTPC SCHOOL FLOOD PARC PD Ho ISSUE permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No.279 WHITE-D.P.W.. YELLOW-A38ESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT 4%,..� 4 " .l 10 y �;t.t!-r•,�� COUNTY OF BUTTE - DEPART-MEN7:90F PUBLIC WORKS - BUILDING DIVISION OWNER— Proposed WNER_ Proposed Building Use 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET r Building Ins Permit No. A. P. No. Date At time of permit application, I was advised the following data must be submitted prior to permit processing and:/or issuance: f DATE RECEIVED APPROVED M 1, All items have been submitted, 2. Plot plans in duplicate./triplicate, signed by preparer of plans. 3. Complete plans in duplicate./triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . 6. C ht C Q School District "Fees Paid" Stamp on Floor\ PI 7 Statement of Intent for Non -Heated and AC Buildings, �, , 8.. Fees of $ , 9. Letter of signature authoriz tion.^ . 10. Sanitation approval from h C.C7 H alth Dept. 11. Planning approval for (A) Use:`P4rk4 g":� 12. Certificate of Workmen's Compensation Insula �ce. 13. Contractor's License Information (no., name yle, classif.) 14, Owner -Builder Verification (Given to owner, Mail to owner ❑.) _15. Improvements may be required. , , , , . , , , . , , 16. Mobilehome Installation Data. ;; . . . . . . . . Pre-Inspec. request to 17. Pre -Inspection for Required, Building Inspector 18. Recorded copy of Agricult�i al Ae�Awledgment Statement. , 9 11 Driveway Permit.-- fI 20. Plot plan approval from city f t 21. Engineered trusses "in u .lica;e equi•red,pri,or to plan check). CUA FEES REE T `" °": _ •y.- ,_ When you issue the permit, Telephone Other s as follows: _V/Mail to owner, —Mail to contractor. _and hold for pickup at office, Deliver w/inspector. (Date) Copy of plans sent Health Dept., Fire Dept,, Other Date The following data must be submitted prior to.permit I suance: (Circle new item not checked above). 1. Index permit for above items No. 10r 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_mail_counter by date— Contractor, designer, owner, was advised of above required data by—phone—mall—cdate — Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW, COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916-538-7541 An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please.complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) �. 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed cons ction: Name AddresstY Phone Contractors L�ec�se o. 4. I plan to provide portions oftl�kork, but I have hired the following person to coordinate, supervise provide t major work: Name Address City Phone Contrac�have 'eense No. will provide some of the work b contracted (hired) the following 5. I persons to provid a work is icated:' Name Ad-d'res Phone Type of Work Signed: Property Owner '41J, Social Security Number Date kly NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. q ° 3o 1 A setbac of 4f ft. from the �\ properYyi lines and a setback �(.. of..50ft. from the road centerline shall be clear of structures or equipment except for a t.,ea a/overhang. A permit will be rec installation of, the �3 the b d Utility connections shall be within 4 ft. of the mobilehome, either directly behind -or within the rear half of the mobilehome. fhts set of plans and specifications /RUST bs -r-• — ,,— I%JU d, an nmcas and it is unl`Wful to make any changes or alterations on same withoul written permisson from the Department o Public Works, County of Butte. NOTE:--qfl Materials & Workmanship Shall Be in Accordance with Racogni=_ed Good practices and Of a clualify prescri%ed for the Specified use in the Uniform @wilding, plumbing & Mechanical Codes and Me National Electrical Code. /3o3, -?'-'v BUTTE COU TY 3UILDING DEPARTMGN APPROVED 3�7� -g8 MND I BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES July -27,:.19937 COUNTY CENTER DRIVE - OROVILLE; CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (916) 538=2140 Augustine Velasquez P.O. Box 136 Chico, CA 95926 RE: Special Inspection #93-32 (A.P. #011-360-020) Dear Mr. -Velasquez: With reference to the above subject and your request for inspection of the construction of a single family dwelling at 5350 Ft Humbug Rd., the"inspection was made on July 22, 1993. The single family dwelling was constructed without permits and inspections from this office, so we were not able to perform the required inspections during construction. We therefore made a .reasonable visual inspection, without going on the roof, under the building, or in the attic, and found the single family dwelling - appears to conform to the -intent of code -requirements, except for.the following items which must be done or resolved: (1) Provide Health Department approval for septic system and water system. (2) Provide verification structure meets all California Energy require- ments. (3) Verify wood burning appliance installed per approved listing. (4) Provide safety glass at tub enclosure. (5) Verify foundation adequate per Uniform Building Code, 1991 edition. (6) Verify spiral staircase meets requirements of section 3306(f), Uniform Building Code, 1991 edition. (7) Provide 1" clearance at water heater flue and extend pressure relief valve/line to 6" above grade. (8) Label breakers. (9) Provide GFI protection for bathrooms and exterior outlets. (10) Extend front handrail to include all stairs. (11) Rebuild stairs to conform to maximum deviation 3/8" for full rise of staircase. -Letter-'to'Augustine Velasquez (Special Inspection #93-32., A.P. .#011-360-020) ,Jul-y 27.-1993 This inspection by.the::--County:°of Butte does not act as-a.guar_antee or warranty as.to the internal. soundness of said-construction. It is now in order-for. you to subnit' complete plans in duplicate to. this office including plot plans, floor plans and structural details,-apply for the required permits, and..pay the appropriate fees including penalties. The permits must be obtained and above listed items completed within thirty days of the date of this letter. Should you have any,-questionsthis matter, please-contact Rod Taylor of this office.- Yours ffice. Yours very truly, Scott Rutherford Supervisor, Building -Inspection RT:ahb:. _ COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES, BUILDING DIVISION 7 County Center Drive, Oroville CA 95965 Phone: 916-538-7541 A. & L. VELAQUEZ 5350 FORT HUMBUG ROAD CHICO CA 95928 RE: Bl.dg�Permit.Appin #2619=93 A. -P.- # .011-36-0-020 . With reference.to-the above subject: Attached is: Application for permit Building Plans Engineered Calculations Owner -Builder Verification Fm - DATE: 12/27/93 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: 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. Flood elevation letter (100 year flood) by California Engineer. XXXXSanitation and plot plan approval CRTC( 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. Certificate of Workmans Compensation Insurance. 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 50o 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. Other: Since this house was built without permit, please obtain the above item as soon as possible to avoid o e n orcement action. Should you have any questions concerning the above, please contact LINDA of this office. (916-538-754.1) Y rs very tr ly, Mic ael C.ieira, .C.B.O. .MCV:ahb Manager, Building Inspection SEXTON between 1:30 & 4:00 Suite Ount BUILDING DIVISION _ DEPARTMENT OF DEVELOPMENT SERVICES Jul y 27 1993 7 COUNTY CENTER DRIVE - OROVILLE; CALIFORNIA 95965=3397 .. TELEPHONE: (916) 538-7541 FAX: (916) 538-2140 Augustine Velasquez P.O. Box 136 . Chico, CA 95926 . RE: Special Inspection #93-32 (A.P. #011-360-020) Dear Mr. -Velasquez: _ With reference to - the 'above" subject. and your _.request for inspection of the construction of a single family dwelling at 5350 Ft Humbug Rd., the inspection was made on July 22, 1993. The single family dwelling was constructed without . permits and inspections from this. office, so we were not able to perform the required inspections during construction. We therefore made a .reasonable visual inspection, without going on the roof, under the building,_ or in_the' attic, and found the single. family dwelling'-' -appears to conform -to the -intent of code -requirements, except for.the following items which -must be done or resolved: (1) Provide Health Department approval for septic system and water system. (2) Provide verification structure meets all California Energy require- ments. (3) Verify wood burning appliance installed per approved listing. (4) Provide safety glass at tub enclosure. (5) Verify foundation adequate per Uniform Building Code, 1991 edition. (6) Verify spiral staircase meets requirements of section 3306(f), Uniform Building Code, 1991 edition. (7) Provide 1" clearance at water heater flue and extend pressure relief valve line to 6" above grade. (8) Label breakers. (9) Provide GFI protection for bathrooms and exterior outlets. (10) Extend front handrail to include all stairs. (11) Rebuild stairs to conform to maximum deviation 3/8" for full rise of staircase. 4y- R08 -L-�� f (oma ; (off +o ge-.-� err► t +" pro cess oO Letter-'to Auggustine Velasquez (Special Inspection #93-32., A.P. .#011-360-020) j July 27;� 1993 _ -- Page .2 This -ins.pection b`y the =-County . of Butte does not act as . a guarantee or warranty as.ta the internal .soundness of said-construction. It is'now -in order: for -you- to submit' complete plans in duplicate to this office including plot-plans,-floor plans and structural details, apply for the required permits, and..pay the appropriate--fees= including_penalties. The permits must be obtained 'and above listed items_ completed within thirty days of the -date of this letter. Should you have any:questions concerning this'mitter,.- please contact Rod Taylor :of.'this office. Yours very truly:: Supervisor, Building Inspection RT:ahb- 0 Mandatory Measures Checklist: Residential MF -1 R NOTE: Lownse, residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (-) may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as bindihn minimum eomonnAnt nnrfnrmanre sperifiratinns fnr the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. DESCRIPTION ( DESIGNER I ENFORCEMENT Building Envelope Measures ' §150(a): Minimum R-19 ceiling insulation. §150(b): Loose fill insulation manufacturer's labeled FI -Value. • §150(c): Minimum R-13 wall insulation in framed walls (does not apply to exterior mass walls). §150(d): Minimum R-13 raised floor insulation in framed floors; minimum R-8 in concrete raised floors. §150(1): Slab edge insulation - water absorption rate no greater than 0.3%. water vapor transmission rate no greater than 20 pernvinch. §118: Insulation specified or installed meets California Energy Commission quality standards. Indicate type and form. §116-17: Fenestration Products, Exterior Doors and Infiltration/Exfiltration Controls a_ Doors and windows between conditioned and unconditioned spaces cesioned to limit air leakage. b. Manufacwred lenestration products have label with certified U-vajue. and infiltration certification. c. Exterior doors and windows weatherstripped: all joints and penetrations caulked and sealed. it 50(g): Vapor barriers mandatory in Climate Zones 14 and 16 only. §150(f): Special infiltration barrier installed to comply with §151 meets Commission quality standards. §150(e): Installation of Fireplaces. Decorative Gas Appliances and Gas Logs 1. Masonry and factory -built fireplaces have: a. Closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and control 2. No continuous burning gas pilots allowed. Space Conditioning, Water Heating and Plumbing System Measures §110.13: HVAC equipment. water heaters• showerheads and faucets certified by the Commission. §150(i): Setback thermostat on at applicable heating systems. §150(j): Pipe and Tank Insulation I . Indirect hot water tanks (e.g., unfired storage tanks or backup solar hot water tanks) have insulation blanket (R-12 or greater) or combined intenortextenor insulation (R-16 or greater). 2 First 5 feet of pipes closest to water heater tank, non -recirculating systems, insulated (R-4 or greater). 3. All buried or exposed Piping insulated in recirculating sections of hot water system. 4. Cooling system piping oelow 55°F insulated. 5. Piping insulated between heating source and indirect hot water tank. §150(ml: Ducts and Fans 1. Ducts constructed. installed and seated to comply with UMC Sections 1002 and 1004: ducts insulated to a minimum installed value of R-4.2 or ducts enclosed entirely within conditioned space. 2. Exhaust fan systems nave backdraft or automatic dampers 3. Gravity ventilating systems serving conditioned space have either automatic or readily accessible. manually operated Pampers.. §114: Pool and Spa Heauno Systems and Equipment 1. System is certified with 78% therms efficiency, on -orf switch, weatherproof operating instructions. no eiectric resistance neatino and no Pilot light. 2 System is instailed with: a. At least 36- cice oetween filter and heater for future solar heating. b. Cover for outdoor Pools or out000r spa. 3. Pool system nas Pvectional inlets ano a circulation Pump time switch. §115: Gas -vireo cenuai furnace. pool heater, spa neater or household coming appliance have no continuously bunno pilot lioht. (Exceotion: Non-eiectnral cooking appliancewith pilot < 150 Btwhr.) ( Lighting Measures if 50(k): 40 lumenswar, cr greater lot general lighting in kitchens and rooms with water closets: and recesses ceiiino fixtures iC iinsufation coven approved. COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to compty'with Title 24, Parts 1 and 6, of the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the indliividual with overall design responsibility. When this certificate of compliance is submitted for a single building plan to be built in mulOple onem bons. any shading feature that is varied is indicated in the Special Features/Remarks section. Designer or Owner (per Busineu s Profmsions code) .Name: TidalFrm: Address: Telephone: (s noire) (date) Enforcement Agency Name: Tide: Agency: Telephone: (signaturetstamp) (Patel Documentation Author. Name: Tide/Firm: Telephone: (signature) (date) Certificate of Compliance: Residential Climate Zone 11 East ( ) Building] es� _.Jat Address a X Checked B y / Date West ( ) I I Documentation Author Telephone Enforcement Agency Use Only v Fenestration Type/Covering BUILDING DATA / Area % North Jr� 3 !,4 1t ConditiS�ned.Flgor�rea /�0 6 Number of Stories Number of �— East HVAC SYSTEMS Slab aised.Floor -- .Units South conditioner, heel riumy) (AFuFiSEER,HSPF) �-]''Single Family Detached (SFD) [ ] Addition Alone West 3 (. ] Single Family Attached (SFA) [ ] Existing Building Skylight (] Multi-Family(MF) [ ] Existing -Plus -Addition Total B UU.DING SHELL INSULATION Component Insulation Locatiiotr/fomments Type R -Value (Aloic, t4 gwage, taL eta) Roof ............. Roof............. - Wall .............. Wall ...........«. � Floor.............--,�-F—+— Floor............. - Slab Edge....: FENESTRATION Shading Devices -Eenestration Area Type Interior . Exterior Overhang Framing Type North North East ( ) l East ) South- f SOuth West ( ) I I West Skylight ....... THERMAL MASS Type/Covering Area Thickness (slab/exvosed, tile, etc.). (so (inches) Location/Descriotion (kitchen, bath, etc.) !,4 1t _ l, % ,r r HVAC SYSTEMS Minimum Duct Type (furnace, air Efficiency Location Duct Heat Pump conditioner, heel riumy) (AFuFiSEER,HSPF) (attic, etc.) R -Value Thermostat Tyne (split or pkg) IIOT NVATER SYSTEMS Tom . ` R Value Svstem Type (storage gas, etc.) Capacity Nt Ener 1 r t ^DN nrri heti nn _ - SPECIAL FEATURES/REMARKS -' :Floint System Summary: Climate2one 11 1. Ceiling Insulation or R -value (381 U -value 10.0261 2. Wall Insulation or R -value [191 u -value (EW] Point Scores 3. Raised Floor Insulation R-11 or One Two Three` - R -0 R -value [191 U -value (0.0371 -27 R-19 4. Slab Edge Insulation -2 or -1 -1 0 R-38 R -value 101 F2 facax 10.751 0 2. Wall Insulation 5. Infiltration Any Ducts in Unconditioned Space? ( Y / N ) [Y] Single- S. Fenestration Heat Loss ti Family Family PAA - 48 -41 Type 1.1 -value (0.651 Total % Fenes. 1161 Sum 1.6 7. Fenestration Heat Gain -17 •13 -10 or 400/64 • -77 • % Fenestration SCshade open Eff. % Fenes. Shade Elf. Ratti -27 -25 North x -19 = •13 tt -8 East x -3 = -34 -29 -25 South X •20 o -15 -12 40 West x -5 = �--- -2 30y. S x,•54 :440' :36 •31 Skylight x -23 = -17 -15 •13 Overhangs? ( Y / N ) -8 6 100 2 S. Interior Thermal Mass 28Y. -,r=50 or -25 -21 -17 -15 % Exp. Slab [201 Int Mass/CFA -9 -7 9. Exterior Wall Mass •1 1 -23 26% -45 `•33 10_1-29 25 -22 Ext Wall Mass -14 -13 Sum 7-9 10. Heating System -7 x -4 -2 0 2 AFUE or HSPF Duca Eft. 11 story: Effective AFUE Zonal Control -16 -12 (78% or 6.81 0.83; 2+ story: 0.881 or HSPF Adjustment 101 11. Cooling System -2 x = 3 •11 2211. _ /-36' SEER [10.01 Duct Eftfc- (1 sorry: Ettecave SEER Zona Q;o ;til -8 -7 -5 0.81: 2+ story: 0.871 -2 Adjustment 101 12- Water Heating System 1 Heater Type Energy Factor Ext Ins. R -value Auxiiiary Input Distribution (SG501 (0.531 (121 (None( [STD1 System 2 _ Heater Type (None) Energy Factor Ext Ins. R -value Auxiliary Input Distribution Pont Total: 1. Ceiling Insulation R -0 Numoer of stones R-11 R -value One Two Three` - R -0 -74 48 -27 R-19 -5 -4 -2 R-30 -1 -1 0 R-38 0 0 0 2. Wall Insulation R-19 0 0 R-30 Single- Singw- less ti Family Family PAA - R -0 -72 -57. R-11 -7 -6 R-13 -5 -4 R-15 -4 -3 R-19 0 0 R-21 1 1 3. Raised Floor Insulation % Insulation In Floor Fenestration more Numow of siones R -value One Two R-0 -14 -9 R-11 -3 -2 R-19 0 0 R-30 2 1 4. Slab Edge Insulation Number of Stones R -value One Two Three R-0 0 0 0 R-5 6 4 2 R-7 7 4 2 6. Fenestration Heat Loss S. Infiltration (Duct Air Leakage) Ducts in Unconditioned Space 0 No Ducts in Untnrtdatoned Soace 3 U tr.Iue Total 1.31 1.21 1.11 1.01 .91 .81 .76 .71 .66 .61 .56 .51 .46 .41 .36 .35 t to to to to or Famthr Percent or to to to to to to to to to 0 Three West- Ston Skylight % .87 Fenestration more 130 1.20 1.10 1.00 .90 .80 .75 70 65 .60 .55 .50 45 40 less ti 50Y. -100 •76 •69 -62 -55 48 -41 •38 -34 -31 -27 -24 -20. -17 •13 -10 or 400/64 • -77 • -58 •52 -47 -41 -36 -30 -27 -25 -22 -19 -16 •13 tt -8 5 -3 / - 35% ,v ��6� 49 -44 -39 -34 -29 -25 -22 •20 -17 -15 -12 40 •7 -5 -3 -2 30y. S x,•54 :440' :36 •31 •27. -23 •19 -17 -15 •13 -11 -8 6 100 2 0 0 28Y. -,r=50 �35,G 32'--28 -25 -21 -17 -15 •13 •11 -9 -7 -5 -3 •1 1 -23 26% -45 `•33 10_1-29 25 -22 •18 -14 -13 -11 -9 -7 -5 -4 -2 0 2 -13 "` 247f.')Y .--41 -29 26 . =22 . -;19 -16 -12 -11 -9 -7 -6 -t -2 -1 1 3 •11 2211. _ /-36' -25 -22 -19' 0-16 -13 -10 -8 -7 -5 -4 -2 -1 1 2 4 .1 20% •31 (22 ";19 •16 •13 -11 4f .6 •5 -4 -2 -1 1 2 3 5 -31 18% -27 -18 - "ir. •13 -11 -8 -6 -s •3 •2 •1 1 2 3 4 6 -16 16% -22 -14 -12 -10 -8 -6 -3 •2 -1 0 1 2 3 4 6 7 Three 14% -18 -11 -9 •7 -5 -3 •1 0 1 2 3 4 5 6 7 8 -5 12% •13 -7 -6 -t -2 •1 1 2 3 4 4 5 6 7 8 9 A 101. •6 -t -2 1 1 2 3 4 5 5 6 7 8 8 9 10 0 BY. -t • 0 1 2 3 4 6 6 7 7 8 8 9 9 10 11 I 7. Fenestration Heat Gain (based on Shape Eftecaveness Ratio) Elf 'Single- North rtetbad A (Slab -on -grade East Poreem One South Two Three West- Ston Skylight % .87 .67 •52 51 .87 .67 .52 .51 .87 .67 52 .51 .87 .67 .52 .51 .67 .66 Fen• or to to or or to to or or to to or or to to or or or sstpa- more .86 .66 less more .86 .66 less more .86 .66 less more .86 .66 less more less bon 2 80 7.6 8 7 5 4 3 90 957. 9 &0 6 9 3 100 4 10 187. -5 -4 .3 -2 -21 -20 -15 -12 -26 -23 •16 -12 •36 -32 -23 -16 -75 -50 16% -4 -4 .2 •1 -18 -16 -13 -10 -21 -19 -13 -9 -31 -27 •19 -14 -65 -44 14:. -4 -3 -2 -1 -14 -13 •11 -8 -16 -14 -10 -7 •26 -23 -16 -11 •55 -38 12% -3 -2 .1 -1 -11 -10 -8 -6 -12 -10 -7 -4 -21 -18 -13 -8 -46 -31 119E -2 -2 •1 0 -10 -9 -7 -6 -10 -8 -5 -3 -19 -16 -11 -7 -41 -28 100/. -2 -1 -1 0 -8 -8 -6 -5 -8 •7 -4 -2 -16 -14 -9 -6 -37 •25 9% "-2 -1 -1 0 -7 -7 -5 -4 •6 •5 -3 -t -14 -12 -8 -5 -32 -22 8% -1 -1 -1 0 -6 -5 -4 .4 -4 .4 -2 0 -11 •10 -6 -4 -28 -19 77. -1 -1 0 0 -5 -4 -4 .3 -3 .3 -1 0 •10 -8 -5 -3 -24 -17 6% -1 -1 0 0 -4 -4 -3 -2 -2 -2 -1 0 -8 -7 -4 •2 -20 -14 5% -1 Q. 0 0 -3 -3 -2 •2 •2 •1 0 0 -6 -5 -3 .0 -16 -12 4% 0 0 0 0 -2 -2 -1 •1 •t •1 0 1 -4 -4 -2 0 -12 -10 3% 0 0 0 0 -1 -1 - -1 0 0 0 0 1 -2 -2 0 1 -9 •7 2% 0 0 0 1 0 0 0 0 0 0 1 1 0 -0 1 2 -6 -5 1% 1 1. 1 1 1 1 1 1 0 A 0 0 1 1. 2 2 -3 -2 0% 1 1 1 1 1 1 1 1 0 0 0 0 3 3 3 3 0 0 8. Interior Thermal Mass 'Single- Single- rtetbad A (Slab -on -grade Construction Only) Poreem One Mass Two Three Exomeo Ston 0 Stones Stones 0 3 -3 2 •2 7 -1 10 0.60 -2 8 -1 0.80 -1 20 7 0 14 0 9 0 30 13 1 1.40 1 14 1 . 40 .21 3 13 2 23 1 50 2.00 4 19 3 1 2 60 1. 5 0 3 7.4 2 70 4 6 2 4 1 2 80 7.6 8 7 5 4 3 90 957. 9 &0 6 9 3 100 4 10 100% 6 8.5 4 11 9 Method B 2 AC Ira Effective AFUE or HSPF so Floor -5 Raised Floor Mass more stories 2 5 3 Stones Sum of 1.6 /CFA One Two Three One Two Three 0.0 -11 -8 46 -1 -1 0 0.1 -10 -7 -6 0 0 0 0 3 -9 -6 -5 1 1 1 05 -8 -5 -4 2 2 2 1.0 -6 -3 -1 4 4 5 15 -4 •1 1 6 6 6 2.0 -2 2 4. 8 8 8 Z5 1 3 5 9 9 9 3.0 3 6 5 11 10 10 4.0 4 6 7 13 13 13 5.0 4 6 8 14 14 14 6.0 5 7 9 15 15 15 7.0 7 8 10 16 16 16 8.0 8 9 11 18 17 17 9. Exterior Wall Thermal Mass Extenor 'Single- Single- Muni Wall 'Family Family Family Mass Detached Attached Pcxg 0.00 0 0 0 0.20 3 3 2 0.40 7 5 4 0.60 - -9 8 6 0.80 12 10 7 1.00 14 12 9 1.20 '17 13 10 1.40 18 14 11 1.60 .21 17 13 1.80 23 18 14 2.00 -24 19 14 10. Heating System Houses With Ducts (R4.2) 1000 Walerlwasti SEER to Pam Score Houses With Ducts (R-42) 1499 .10 Spin Pcxg -25 or -24 to -14 to Sum of 1.6 16 or AC Gas Split Pkg -25 -24 -14 -4 +6 16 AFUE HP HP or to to to to or - nSPF KSPF less •15 •5 .+5 +15 more 787. 6.8 6.6 - 0 0 0 0 0 0 80% 7.0 6.8 1 1 1 1. 0 0 85% 7.4 7.2 5 4 3 2 2 1 90% 7.8 7.6 8 7 5 4 3 1 957. 8.3 &0 11 9 7 5 4 2 100% 8.7 8.5 13 11 9 7 4 2 AC AC Effective AFUE or HSPF -15 -5 .5 (AFUE or HSPF x duct efficiency) more Effective 2 5 3 Sum of 1.6 5.0 Gas Split Pkg -25 -24 -14 -4 +6 16 AFUE HP HP or to to to to or -6 esPF KF less -15 -5 .5 +15 mom One Story House 0 0 0 0 0 8.1 33% Z9 Z.8 -62- '-53 -44 -34 -25 -16 400/6 3.5 3.4 -40 -34 -28 - -22 -16 -10 RM. 4.4 4.2 -19 -16 -13 -10 -7 -5 60% 5.2 5.1 -4 -4 -3 -2 -2 -1 64% 5.6 5.4 0 0 0 0 0 0 70% 6.1 5.9 6 5 4 3 2 1 80% 7.0 6.8 13 11 9 7 5 3 90% 7.8 7.6 19 16 13 11 8 5 102% 8.7 8.5 24 . 20 17 13 10 6 Two or Three Story House 7.0 6.8 -11 A -7 33% 2.9 2.8 a -58 -48 -37 -26 -15 400/6 3.5 3.4 -46 -39 -32 -24 -17 -10 50% 4.4 4.2 -24 -20 -16 -13 -9 -5 60% 5.2 5.1 -9 3 -6 -5 -3 4 69% 6.0 5.8 0 0 0 0 0 0 70% 6.1 5.9 1 1 1 1 0 0 80% 7.0 6.8 9 8 6 5 3 2 90% 7.8 7.6 15 13 10 8 6 3 100% 8.7 8.5 20 17 .14 11 8 4 Zonal Control Adjustment System Type Resistance 6 4 3 2 1 0 Other 3 3 2 1 1 0 11. Cooling System Adjustment for NoTm* Insotadon Number of water MME Water Healer Tvoe One Two SC50 -2 -5 SGiS •3 -6 SE -5 4 HP -2 -4 Zonal Contrtii Adjtutinent All 6 5 4 2 1 0 House Shia Adjustment Hasa Size (h=) Subtotal Houses With Ducts (R4.2) 1000 Walerlwasti SEER to Pam Score Sum of 7-9 1499 .10 Spin Pcxg -25 or -24 to -14 to -4 to +6 to 16 or AC AC less -15 .5 +5 +15 more 10.0 9.7 0 0 0 0 0 0 11.0 10.7 4 3 2 2 1 0 120 11.6 8 6 5 3 1 0 13.0 126 11 9 6 4 2 0 14.0 13.6 13 11 8 5 2 0 15.0 14.6 16 12 9 6 2 0 1158 3 Effective SEER -5 -1 4 (SEER x duet efficiency) am 7 Eft SEER -/ 3 Stan of 7.9 SE All Spin Pckg -25 or -24 to -14 to -4to +6 to 16 or AC AC less -15 -5 .5 +15 more One Story House 2 5 3 5.0 4.9 -29 -23 -17 -11 . ' 0 6.0 5.8 -16 -13 -9 -6 -2 0 7.0 6.8 -7 -6 -4 -3 -1 0 8.0 7.8 -1 0 0 0 0 0 8.1 7.9 0 0 0 0 0 0 9.0 8.7 5 4 3 2 1 0 10.0 9.7 9 7 5 3 1 0' 11.0 10.7 12 10 7 4 2 0 120 11.6 15 12 9 6 2 0 13.0 126. 18 14 10 6 3 0 14.0 13.6 20 16 11 7 3 0 15.0 14.6 22 17 12 8 3 0 Two or Three Story House -12 5.0 4.9 -35 -27 -20 -13 -5 0 6.0 5.8 -21 -17 -12 -8 -3 0 7.0 6.8 -11 A -7 -4 -2 0 8.0 7.8 -4 -3 -2 -1 -1 0 8.7 8.4 0 0 0 0 0 0 9.0 8.7 2 1 1 1 0 0 10.0 9.7 6 5 4 2 1 0 11.0 10.7 10 8 6 4 1 0 12.0 11.6 13 10 7 5 2 0 13.0 IZ6 16 12 9 6 ' 2 0 14.0 13.6 18 14 10 6 3 0 15.0 14.6 20 16 11 7 3 0 Adjustment for NoTm* Insotadon Number of water MME Water Healer Tvoe One Two SC50 -2 -5 SGiS •3 -6 SE -5 4 HP -2 -4 Zonal Contrtii Adjtutinent All 6 5 4 2 1 0 House Shia Adjustment Hasa Size (h=) Subtotal .lets 1000 Walerlwasti plan to Pam Score 1000 1499 .10 -17 •5 -25 -14 -A -20 -11 •3 -15 A -3 -10 -6 -2 . •5 -3 -1 0 0 0 5 3 1 10 6 2 15 9 3 2D 11 3 25 14 4 House Shia Adjustment Hasa Sae (ftp Subtotal ism 2000 Water Humhg to a Pont Score 1999 more 30 0 3 -25 0 2 -20 0 2 -15 0 1 -t0 0 1 .5 0 0 0 0 0 5 0 0 10 0 •1 15 0 -1 20 0 -2 25 0 -2 12- Water Heating One Water Heater - No AttlaWrf Credlb Ditmbuot Synam2 PA= Svsten_s Want Climatts Ertrgy STD MR Pipe No Timor Damd Healer Tvoel Zones Factor POU In6{d on SG50 All t1.S11 0 3 1 -0 -5 0 am. 5 8 6 -4 0 5 0.73 8 11 9 0 4 8 SG73 AN 0.48 -2 1 -1 -12 -7 -2 1158 3 6 5 -5 -1 4 am 7 10 8 -/ 3 7 SE All 0.67 -20 -12 -17 -41 •32 -19 0.93 -17 -0 -13 38 -28 -16 IG6 All 080 2 5 3 IE All 0.03 -21 -12 HP 6-11.13.15 1.80 4 7 5 -5 -1 4 Two Water Heataas -,*4* AaslOary Credits SG50 AS am -7 1 -6 -17 -12 -7 0.63 1 5 3 B -4 1 0.73 6 10 8 -2 2 7 SG75 h All 0.48 12 -0 -11 -22 -17' -12 038 1 0 -11 .6 -1 0.68 6 9 7 1 1 6 SE At 0.87 -22 -14 -19 -46 -35 -22 0.93 -16 -7 -12 -39 -28 -15 !G AA 0.60 .4 , -1 -3 IE AI 0.9, -21 -12 HP 6.11,13,15 1.80 -1 3 1 •10 -6 0 VINlloMWoofHo £66� 8 Z d3S KIM 1b1N3YYNOVIAN3 W 30 ' noose 1 - h rvd sNo w6 A v 1 �- Iv O �A✓. O � l A .P i�ivrcy x 4 Z eANFr Al , 1 � N �a 0 s 3 i Sig w 0