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017-170-033
)74 REGINOLD SiiARP H %S oneyrun. �l' 3/10 mi E Cov Bridge Chico Contr: Robert Sharp, Permit#2295-82P,E(plbg-& ele for well & l �/ future lot development) Al 11-25-33 .1844=90Be.c, PE M. HEATH,' Sam Honey Run Rd,' Chico. Contr: Gene Camp (new,single family) 1 011=250-033 ' `�• PERMIT#96 ti 2755 ' HEATH, am C.4 2197 Honey.,, -Run ,Rd. '-"Chico New Pri Det..Garage .0111250:033'-`;---:"��' R. ' 03=3 2 BORDENAVE, NEAL b - BNALED, - ,' 2197, HONEY. RUN, RD; CH Cont: OWNER r. INST WOOD STV/RELO PE L T } L-50-033 - 04-1121 DENAVE,NEALHONEY.RUN RD; CHICO POOL BUILDERS 7 POOL: , • .. . . nub i.s' _�,..,,�.,,.�,� P .. -. � ; �� �-� � $�`.il�'�i ^G,;=. w�r�::<r��. :..�.� 4� ���....r�.��..`,-ti.....+.F :S 011-250-033 t , 03 3572 3ORDENAVE, EA i�%:^- 2197 HONEY RUN RDCHICO ' it ► Cont: OWNER A 7a NST WOOD STV./RELO PELLET y f � ! 1 iir i d e t 111 r z+ ler s i b J� r Uk Jcp , �F ' J COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541, FEFVIT NO. (Rev. 12/96) APPLICATION AND PERMIT >` ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDERS MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $ Plan CheckingFee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex O Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Gas piping system t - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W F @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 1 20.00 Main Service e00V OR LESS 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class 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: p 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. O 1 am exempt under Sec. , Business and Professions Code for this reason 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 Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 01 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 a.._ Date Signature of Applicant - ❑ Owner O Contractor O_A,,,9ent An OSHA permit is required for excavations over 5'0"deep and demolition or construction of structures over 3 -stories,' height. `F i Main Service 200A To 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( a Acc. BLos. 3.51ta: NON -RE NS NEW co MULTI -OUTLET @7.50 Po ER APPARATUS a SiLE 0. cIR. Ex. OCCU OUTLET OR FIXTURES 620 Q 1.000 Ex. Occup.O AE.sID.DeA 5.00 _ Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ GCC CONST. TYPE TOTAL FEE $ HAz o FEES IMP I FLOOD CDF PARCEL I PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above f9ryvhlch.fehs have been paid, r By Date PERMIT EXPIRES ON f vara ReceiptNo. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT «,f"-�..a --. ,,..,;r.:«.,�.:.ssr:.++..w�+�'Y=:.�+A.q-•Y�'�'A,'Y��,.�,-:�.�C.'�C+�.+:.,..1+�-fs+\; s`..r-���i�r�;.k,:.r}.,;�: COUNTY OF BUTTE BUILDING DIVISION. DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico; CA • (530) 891-275,11 7 County',Center Drive • Oroville, CA • (530) 5384541 2 j f y CORRECTION NOTICE gode'✓'i Uo3-3Si . OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the :F above address and should be corrected. Please notice this office when correction of work is 'completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. AoI/ f C. /W ff It" �e� R�✓ � �. .f t r �~ A '9 d 1 y� Date / Inspector REV 10/92 9 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 P (Rev. 12/96) APPLICATION AND PERMIT �� ASSESSOR PARCEL NUMBER 011-250-033 ZONING BUILDINGPERMIT OWNER BORDENAVE NEAL 1 5 TELEPHONESO, 0 435-0117 �, OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS PO BOX 5377 WALNUT CREEK 94596 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER A 3000.00 Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 54.00 ARCHITECT OR ENGINEERS "UNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS O Energy Plan Checking Fee $ PERMIT FEE $ 74.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: TNS,j -1- WOODSIOVE REL(1CAIE PE'LLZ� Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home -JSJ GI W1 1@20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service 8 A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class 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: K[,as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm 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 permitis issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A TO 1000A 46.00NEW CONST. DW EwNG OCCUP. OR ADDNS. ( 8 ACC. S. SO 3.50FT_ pNOµROSIDT MULTI.OUTLET @7,50 POWEPPARATUS a SINGLER AouTLET C'R. Ex. OCCu OUTLET OR FIXTURES 20 @ 1.00 BAL @ .50 FIXO Ex. Occup. ouTLtrs R=.1 Ell 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 :d PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation `} of one hundred dollars ($100) or less.) (� I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthw' co pl th tho rovisions. .L�//// X /w� _ Date �(�� U3 ;toe of Atli nt - ❑ Owner ❑ Contract ❑ A t An OSHA permit is required for ex ava ns over 5'0" deep and demolition or construction of structures o t Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 74.00 HAZ. D. FEES IMP ROOD CDF PARCEL pp ND ISS Th' permit is h y issued under the of th Butte ou ty Code and/or indi t d ab e f r ich f IS By PERMIT EXPIRES ON applicable provisions Resolutions to do work been paid c Date to Receipt No. WHITE-D.D.S._-9. D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I - 1 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive -Orovillle, California 95965 • Telephone (530) 538-7541 (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEINUMBERO J/ _ f1 3 ZONING BUILDING PERMIT lI O �/ OW NE NO✓N]� SQ. FT. OCC. BUILDING VALUATION Z G V w ADOR is -7, /T)/ -7-7 - , vgkW5�1(0 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER ARCHITECT OR ENGINEERS MATING ADDRESS BUI DING ADDRESS n / /it -.I LOT NO. SUBDIVISIONS NAME PARCEL MAP USEOFSTRUCTURE SF ❑ Duplex ❑ Mobiiehome ❑ Other SPECIFY TYPE OF WORK New ❑ Addition ❑ model ❑ Utilities ❑ Installation ❑ Other 9 Describe Work: 1: '40Dv)/Vafo ON PERMIT, FEE PAID $ -74- SRA $ SHERIFF $ OTHER $ AMOUNT RECEIVED $-74- DATE 74 -DATE RECEIVED I ( 1 q 103. RECEIPT # `rq 3go7 Total Valuation Is PERMIT FEE $ FIXED APPUNS. OR,OO Ex. Occup. OUTLETS ESID. Rlinq Fee $ 20.00 Permit Fee $ Main Service Plan Checking Fee $ NEM CONST.DwEur1NG OR Energy Plan Checking Fee $ NEW DONS . - MULTI -IM ET 07.50 PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping Each gas water heater or vent 15.00 Gas piping syst4m 1- 5 out 15.00 Building sewer 15.00 Mobile Home I S G I W I I 1 020.00 E)L Occup. OUTLET OR WuRES PERMIT FEE $ FIXED APPUNS. OR,OO Ex. Occup. OUTLETS ESID. ELECTRICAL PERMIT I Filing Fee 20.00 Main Service .w►on ft s 23.00 Main Service 2oaL TO i000A 46.00 NEM CONST.DwEur1NG OR OCG1P. 8 ACC. BLDS. 3.50M .5Q FT. ADONS. NEW DONS . - MULTI -IM ET 07.50 E)L Occup. OUTLET OR WuRES aqL @ •go FIXED APPUNS. OR,OO Ex. Occup. OUTLETS ESID. Temporary Service 23.00 Mobile Hom ip Fac' ' es 20.00 Misr_ Wirinn 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 1 2 0. 00 Heating._ Cooling Hood 6.50 PERMIT FEt 4 IN Mobile Home Installation Fee $ Fnarnv Insoectinn Fee $ CCC coNST. TrPE TOTAL FEE $ 1 HAZ. D.FEES IMF'F7Z37 COF I PARCEL I PD I HD 65UE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON (Date) OWNER -BUILDER VERIFICATIiON 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. 01- I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES ❑ ' NO ❑ 2.HAVE.❑ HAVE NOT 11signed an application for a building permit for the proposed work. .),Uave contracted with the following person (firm) to provide the proposed construe: N ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE 4. I plan to provide portions of thi ork, but I have hired a following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: PHONE: CTOR'S LICE ENO. 5. I will provide some of the but I have contracted (hired) the fo wing persons to provide the work indicated: NAME ADDRESS PHONE TYP F WORK .J: � PROPERTYOWNER: 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. .- I OWNER BUILDER INFORMATION ___7 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 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: ♦ 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. ♦ 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. ♦ 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 professing to be contractors is to secure an "owner builder" 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. rely, Mic el C. Vi ira, C.B.O. M ger, Building Inspection NOTE. This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code OLI RES DENTIAL ;-,---� - PERMIT#96-2755! 011-250-033 HEATH' Sam C. 2197. Honey Run Rd., Chico New Pri Det Garage i i f JO® FINAIED (Date) / 0/1 D�— Signature V = OK ,/ R`► O = Nqt OK Not `=NotRepady MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements - Setbacks - Easements 2. Soils; Special MH Support Sketch t 3. Sewer, Location-Test-Fall�C/O-Concrete 4. Water, Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap; / /UtL / /Nat. or/ /°L°ft./ /LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Cana B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements- Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test-DemandAtatve-Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MISCEL 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Date 7 Card B-1 Date /Car Date i Card B-1 Date Car B - 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/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. TestOater Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card-B-1- 4. ardB-1 ✓ = OK O = Not OK - = Not Applicable * = Not Ready Date UNDERFLOOR (Plans) OK except #s 1. ZoningSetbacks-Easments-FloodSlope 2. Ftg., Main; Soils-Elec. Gmd. / /' Ftg. Depth 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ P' Ftg. Depth 4. Ftg. Porches & Decks; Soils -Steel-/ P Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockoutsa/yrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel. 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card E-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral 0 Yes 0 No 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels-Motors-Mech. Epuip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnance Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing RESIDENTIAL (Single & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-roll Brac.-Truss-Shting.-Ring. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor-Ducts-Mech. Protection 66, Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor -Meth. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.FI.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE BUILDING DIVISION DEPAR_ TM14T OF DEVELOPMENT SERVICES 411 Main Street, Chico, CA - (916) 891-2751 .7 County Center Drive, Oroville, CA - (916) 538-7541 xn CORRECTION NOTICE OWNER PERrT NO. A routine inspection indicates thpt the following violations of Butte County Ordinancesexist at the above address and should be corrected,\Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact th>-office immediately. r Date l �(� ' Inspector (Z &&,tZ4- VW REV 10/92 COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 .County Center Drive - Oroville, California 95965 - Telephone (916) 538-754)yn, PERMIT NO./ `� APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 11-95-11 ZONING FR5 BUILDING PERMIT OWNER SAM C_ HEATH TELEPHONE 891-8 SO. FT. OCC. BUILDING VALUA N Z 10 368 OWNER'S MAILING ADDRESS F0 BOX 64R9, CHIC0 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 126.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 81.90 Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 2197 HONEY 0 PERMITFEE $ 227.90 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. S UBDNISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF CR Duplex ❑ Mobilehome ❑ Other GARAGE 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 IR Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ ' Describe Work: GARAGE Mobile Home I S I GI W @20.00 PERMITFEE S 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 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 NEW CONST. DWELLING OCCUP.20.16 O. O . 16 OR ADDNS. ( & ACC. BLDS. ) 3.50 FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( & POWER APPARATUS ) _ SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL 0 .SO EX. Occup. (OFI . EIETS (RESIDOR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ 40,16H Contractor 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 MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the wor ars' compensation provisions of section 3700 of the Labor Code, I shall fo h ith comply with t ose prov'sions. I_Z �, X Date � SignatuOe 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. Mobile Home Installation Fee $ Energy Inspection Fee Is OCC CONST. TYPE TOTAL FEE $ 268.06 HA D. FSS / IMP. FLO 7 cD P L P HD ISs 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 9 Z ?V2-7 I r,11 PERMITEXPIRESON Z'z-/QP, (Date) rReceiptNo. 206928 HITE•D.D.S.-B. D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 511 f. CQUNTYOF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTYCENTER DRIVE - OROVILLE, CALIFO,RNIA95965 - TELEPHONE(916)538-7541 PERMIT APPLICATION DATA SHEET OWNER 50 ' _ �* t -W - - 7A. AR. No. /-�. - D S' Proposed Building Use Building Inspector Date (b At At time o!,Verffiit 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 . ..................... . 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ .......................................... 1. Impact fees as shown on attached schedule. . . �N'q 2. California Department of Forestry plan approval ees /'9 /,� ........ . -Flood elevation letter (100 year flood h California gineer. 14. Sanitation and plot plan approval 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.a bout (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). ... . P�a"aDeCbO� 20. Pre -inspection for - required. . . to Building Ins �Qpedor (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . ......................... . 23. Owner -Builder Verification (Given to owner , Mail to owner )............ 24. Recorded copy of Agricultural Acknowledgement Statement . ................... 25. Letter of signature authorization . ........................................ . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... . 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, proces 's follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other /7 Parcel Creation Acreage Applic e Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted r to pe issuance: (Circ row item of chec 1. Index permit for above items No' �- 2. Additional items required: �,ggh& Contractor, designer, owner, was advised of above required data by _ phone _ _ mail C unter by Date L ' Contractor, designer, owner, was advised of above required data by _ phone _ mail ounter by _ Date Plans checked by Date Plans approved by ate J- Z Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works 4 "7to TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance E.H. USE ONLY Plot Plan AttwW t -'- Floor Plan AltwW t/ Sent to B.D. i !z /4 / �/ VIC JJ-�- Owner Locatin AP# Plan Approved for: Sewage Disposal Water Sup ly: Public Private Well Clearance for bedroom mobile home. Other la-)a's Hold final for: Final clearance O.K. for: NOTE: vironmental Health Specialist r: 4YA Date O.B.-1 .....-:.y.•>:?.:?a W ;;�:tCv"b::a':ZiC:: NX IB ... U......................................................................: :• :•......:4 +\'r:..3N: xr.:. J. n:{^:?:m..•:.1:.r::::•..::: v...: ]v.?,:.. 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 budding 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: YESD4. NO[ ]. x;.. 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 construction NAME -A69 1✓F ADDRESS: C11Y: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide .portions of this work, but I have hired the following person to coordinate, supe 'se, 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: ,;> N ADDRESS PHONE TYPE OF WORK IYO t SIGNED: PROPERTY OWNER: Q - SOCIAL SECURITY NUMBER: S l a' - 5'P •- to i�9 DATE: 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 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 your protection, you should be aware that as "owner -builder" you are theresponsible 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 yoursei4 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 professing to be contractors is to secure an "ownerbuilder" 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 S,nIrel , • :, 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 x 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 FASSE7SSORCELNUMBER ZONING BUILDING PERMIT owN NE_97— fo b SO. FT. OCC. BUILDING VALUATION NOADO OWNERS 77"74 CONTRACTOR'S NAME TFJ.EPFgNE 00R5 MAJUNG ADDRESiS Fireplace CONSTRUCTI NOER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDERS Mau G DRESS Permit Fee $ &o ARCHITECT OR LICENSE NO. Plan Checking Fee $. Energy Plan Checking Fee $ ARCHITECT OR EN7dEERMAIUNG ADDRESS Penalty $ BUILDING REss PERMITFEE $ Z , d _ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDNKSKONS NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUC SFDuplex ❑ Mobilehome ❑ Other �Dlry Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WOR New Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: (�� Mobile Home S G W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Flina Fee 20.00 Main ServiceOOOV OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 4.6:00 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 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑.. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm 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 NEW CONST. DWELLING OCCUP. OR ( a ACC. BLDS. ) SO. 3.5Q Fr. CNS. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 (POWER APPARATUS ) a SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURE ) 00 O 1.5 BAL .50 FtIxTED A� '. OR ) Ex. Occup. / OUTLETS 5.00 Temporary Service 23.00: Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE • S , Contractor MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE S 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 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. Mobile Home Installation Fee $ Energy Inspection Fee. Is OCC CONST. TYPE n/ TOTAL FEE $ 11A2. 1 D. FEES I IMP FLOOD I COF PARCEL I PD I HD I ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Date (Date) Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution rLESS THAN 1 ACREI Prevention Plan (SWPPP) Acknowledgement Project Title: By signing below, I, the project owner/owner's agent, certify that I am aware that a construction project that disturbs 1 acre or more of land requires a Construction Storm Water Permit from the State Water Resources Control Board and that it is my responsibility to submit a Notice of Intent (N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP), and a check for $700.00 made payable to the State Water Resources Control Board to obtain such a permit if my project disturbs 1 acre or more of land. I, further, certify that this project will not disturb 1 acre or more of land. I am aware that submitting false and/or inaccurate information may result in revocation of grading and/or other permits or other sanctions provided by law., Signed: Title: Date: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.neAdds PERMIT NO. BP041121 LICENSED CONTRACTORS 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 Issued Date: 04/21/2004 APN'' 011-250-033-000 the Business and Professions Code, and my license is in full force and effect. License Class : -; 3 Llcleennse Number: T33g9 y Site Address: 2197 HONEY RUN RD CHI Date: O Contractor. 1 06oa�,tLP_&_'.-S Map Index: Description: NEW GUNNITE POOL MASTER # 01-516 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Stale License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, Improve, demolish, -or repair any structure, prior Owner: BORDENAVE NEAL & LINDA to Its Issuance, also requires the applicant for such permit to file a 2448 WESTCLIFFE LN signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section WALNUT CREEK, CA 7000) of Division 3 of the Business and Professions Code) or that he or 94596-3213 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penally of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure Is not Intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: BORDENAVE NEAL & LINDA owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such Improvements are not intended or offered for sale. If however, the building or Improvements are sold within one year of completion, the owner -builder will have the burden of proving (hat he or she did not build or Improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' Stale License Law does not apply to an owner of property who builds or Improves thereon, Contractor: POOL BUILDERS and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 1351 MANGROVE AVENUE ❑ I am Exempt under Article 3 of the Business and Professions Code CHICO, CA 95926 530-899-8988 Date: Owner: SKIMMERCH@AOL.COM License #: 833994 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penally of pedury one of the following declarations: O 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 Architect' is Issued. hi I have and will maintain workers' compensation insurance, as Engineer: f required by Section 3700 the Labor Code, for the performance of the work for which this permit Is Issued. My workers' compensation Insurance carrier and policy number are: Carrier. w"tr C&"yp Total Square Ft: 0 S. F. Policy #: l/ O[ Z D 0 too o Valuation: $0.00 Census Code: ❑ 1 certify that in the performance of the work for which this permit is Issued, I shall not employ any person In any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' I compensation provisions of Section 3700 of the Labor Code, I shall e��i P .. L -L GS(� r forthwith comply with those provisions. Date: f�e�elveGi : Flo 7.�z Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for 1n Section 3708 of the Labor code, Interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is here y issued under the applicable provisions of the Butte County Cod and/or I hereby affirm that there Is a construction lending agency for the Resolutions o in cated abov or which fees have been paid. performance of the work for which this permit Is issued (Sec 3097 Civ.) BY al D% Name: PERMIT EXPIRES ON: Zi Address: Date O I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827:5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above Information is correct, and that I am the owner or the duty authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to eller the substance of any official form or document of Butte County. I hereby authorize representatives of Butte C Nnty to enter upon the above mentioned property for Inspection purpo es. � �✓� Print Name: 1 C-(<'-� a -45 Signature: ��'v � Date: Z ( O 0 Owner 0 Contractor ❑ Agent for Owner ):Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP *11a DATE 2 1 0q APN. 011- 0�_ 5 0 _0 3 3 ZONING: 1 OWNER'S LAST NAME: c,aZF_t,)A�-C.)1 OWNER'S FIRST NAME: N) E L PHONE '?9 STREET ADDRESS: l S,J FAX CITY, ZIP: S�iZ� E -MAIL - SITE SITE ADDRESS: ✓Vl Gz �5 � 13 0 lJf� CRY. ZIP: NEAREST CROSS STREET: TRACT/LOT t APPLICANT NAME: P00 R V 1 t_D� fZS PHONE (39=7 - 8 q k T STREET ADDRESS: ( , r L /-�NG20 J ►L y FAX 3 l� " � - d -ttg CITY, ZIP: t( r C-0 n-� l 5 G/ 2 � E-MAIL: CONTRACTOR NAME: f>oo L C) I W) e PHONE: Y99 -89 STREET ADDRESS: V V l �tj G ep a L FAX CRY, ZIP: E-MAIL: ` LICENSE NUMBER: LICENSEFE: `5 ARCHITECT/ENGINEER NAME: PHONE STREET ADDRESS: FAX CRY, ZIP: LICENSE NUMBER: E-MAIL: DESCRIPTION OR SCOPE OF WORK: ❑ Structure Built without permits ❑ Proposed Change of Occupancy (note previous use) EXPIRATION OF APPLICATION Applications for which a permit has riot been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. For office use only: Notes: a �1 Application Received by. 7P Date. Receipt number: ���� n/ Amount Received: y6 '_7 , y. L01 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER:, ce ' O � OF r_Q P�l r aP( ASSESSOR PARCEL NUMBER" Proposed Building Use: 1Ve60 P06L. 0/- Counter Technician: Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10.. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ......... ❑ 20. Erosion Control Plan Required........................................................................ ........ ❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit........................................................................ ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. ❑ 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check: ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization.................................................................... ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ 35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction......................................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone 7 a -:17 s!�Ji and hold for pickup. . I have been informed of the above items and requirements for obtaining a building permit. t - Applicant: Date: 1. Index permit appl ation for the above items numbered: 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by - Plans reviewed by: Date: Plans approved by: Structural reviewed by: Date: Structural approved by: Note transfer by: Dale: Yellow: Building Division C( Z f q Plan Check Letter Date: Date: Date Date: I I TO: - Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance ajqr e Owner Plan Approved for: Sew � Clearance for dwell g. Other Hold final for: Fina( clearance O.K. for: NOTE: • E.H. USE alai Slot Plan AttecMd Floor Plan Anached Santo B.D. ! will/ An ti� do AP# er Supply: Public ,�Privatq We(_ I �41 Envi onmental Healtheci ist I date 8/96 • �� DE TIAL ' 1844-90B,P,E,M 11-25-33 HEATH, Sam Honey Run Rd, Chico- Contr: Gene Camp (new single family) .F 'M J •a' 7 - J o OFFICE COPY Address 'z_ 1, ELECT, 1 _ man>> ! Meter By - _ _ Date- JOB FINALED (Date) Signature J=OK O = No1 OK = Not Readyable MOBILE HOMES - • , Date MOBILE HOME UTILITIES (Plans) OK except #'s . 1 1. Zoning Requirements -Setbacks -Easements 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 2. Soils; Special MH Support Sketch 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg: Rfg.-Bracing 3. Sewer; Location -Test -Fall -C/O Concrete \ r L - 4. Water; Location -Test -Easement Needed (Sketch). 7. Electric 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 6. Gas; Location -Test -Wrap: / P L" ft. / /"Nat. or/ /" L"ft./ /"LPG f 7. Utility Clearance *, , 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date N., r Date Card B-1 Date Card B-1- - Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK--except-#'s 1. Zoning Requirements -Setbacks Easements 5. Elec.; Pool Lighting; 15 volts-GFI " 2. Footings; Size -Spacing -Marriage Line 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed.' 3. Gas; MH Test -Demand -Valve -Connector '8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. 4. Electricity; MH Test -Crossovers -Breakers -Clearances Boxes-Encl osu res -Panel boards- Ins. to Main in Conduit 5. Drain; MH Test -Fall -Flex Connector 9. Health Department Approval 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged - Date 9. Exits; Insp.-Sketch Date Card B-1 Date Card B-1 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 1` '., 'I, , MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg: Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors f� 7. Electric 8. Frmg; Sils-Anchors-Studs-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, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI " 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed.' 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater , '8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Encl osu res -Panel boards- 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 1 f� 'JE OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (Sing) ' = Date UND FLOOR (Plans) OK except #'s Date . zoning -Setbacks -Easements -Flood -Slope Ftg., Main; Soils-Elec(.�rn .-//Z/" Ftg. Depth �!Ftg., Garage; Soils-Steel-Elec. d.-/y/"'Ftg. Depth 4 tg., Porches & Decks; Soils -Steel-/ /Ftg. Depth em alts, Main Blockouts-Wrapped temwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors VSlab: Steel -Wrapped �8. Piers -Fireplace Ftg.-Steel W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Date/'/S•'F/ Card B-1 Date -� �� Card B-1 C-rG Date -t[e -CA( Card B-1 Date Card B-1 Date PLUMBIN15 (Permit) OK except #'s 16. to tr.; Vent -Access -Combustion Air affle W Pipe; Test & Anchor -Nail Protection 1 .V.; Test -Fittings & Anchor -Nail Protection 1 . Shower Pan; Test, First Floor -Tub Access 20 TJAt Tub & Shower, Second Floor -Tub Access Pipe; Size & Anchors Date iu. Card B71 6A r Date Card B-1 Date Card B-1 Date Card B-1 Date ELECT ICAL Permit OK except #'s 22. fixture & Transformer Clearance -Ins. Protection tl c. peceptacies Spacing -Lights & Switches at Doors Boxes & No. of Conductors -Stapled ex Installed Close to Edge of Studs & C.J. 2 . quip. Ground made up w/Mech. Fastners-Bond Gas & Water . 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed_Vire Size 4..W ga. Cu or AI-A.C. Wire Size /W ga. Cu or 29. RaXe Circ. /X/ ga. Cu or Oven Circ. / ga. Cu or J#Tsulated Neutral 3iVYes 'WNo 3VService-Riser Conductors & Ground -Main Disconnect 31. Equi F. Clearances Panels-Motors-Mech. Equip. 32. Xthes Closet Light -Shower Light -Spa Light Smoke Detector Date'Le a' t) Card 13-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHAbnAL Permit OK except #'s 4 ucts Insulation & Support gey&t Fan; Exhaust above insulation Condensate Drain & Overflow; Size & Grade 7. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet An& Attic Access & Platform if Furnance in Attic Date Z -It'yl Card B-1 r14,Ui Date Card B-1 B-1 Card B-1 Date FRA (Plans) OK except #'s it , Proper Material & Anchors 4 alls Studs -Nailing, Spacing & Bracing -Plates -Sound Be mg Walls over Girders & Floor Nailing ly t Stop in Walls (rat proof) 49.'4re Stops; Furred Ceilings-Stairs-Chases-TOb Headers & Beam -Size & Bearing & Duplex)'s`v ING (Continued 41V Cln Joist-Rftr. ties -Pu rlin —roof Brac-Truss-Shthng.-Rfn 47. &replace Ties or Type A Flue -Fireplace Throat clearance Access; Size & Romex Protection - 4T B,gm. Windows or Exiting Doors -Sill Hgt. & Dimensions . Garage Fire Protection Framing rty Line Firewall & Openings xt. Doors -One 3' _Check Garage -3rd Story, 2 Exits th-Headroom-Rise-Run-Landing-Fire Protection . p ood on Roof Overhang -Attic Vents -Rafter Outriggers Sidin Nailing Veneer o Mesh -Drip Screed -Fd. Vents-Underflr. Access Glazi Area -Glass Protection -Skylights -Plastic. alls; Nailing -Bolts A7 Insulation -W alls-Ceilings 60. Infiltration -Walls -Windows Date ( Card B-1 a Date Card B-1 Date C rd B-1 Date Card B-1 Date FIN (P 'ns) OK except #'s 44ft. ps-Door & Sidelight Protection -Landings 9. oke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In ra e; Above Floor-Ducts-Mech. Protection e om Exiting F.I. & Bath Fixtures & Tub Access -Spa . Elec. Trim & Subpanel; Breaker Sizes & Labels & Rails eplace or Stove; Clearances -Hearth /P{/ flepud'c. Outlets at Wood Panel; Int. & Ext. . ixt. & Appliance; Grnd.-Air Gap -Cooking Clearance IKEI . Outlets & Receptacles at Kit. Counter Garage Fire Door; Swing -Landing -Closer ct in Garage -Damper tr. Vents -Clearance -Comb. Air-Connector-P.R.V. I ge; Above Floor-Mech. Protectio Elec. & Mech. Equip. Listed or cation 7*,5K Receptacles in Garage; ome rotection 1 Gs4ulation - Foam -Looked in Attic ErYes W. & Deck Construction -Past -Caps nts & Crawl Hole Door -Drainage & Wood -Earth earance Looked under Floor 0 Yes Following instld.; Drive 0 Yes t dkhJo; Walks 0 Yes o; Plarit,ifirs 0 Yes NONo o; Brown -Finish C. Unit: Disconnect, Electrical, Plumbing 0.. V!/s Above Roof; Plbg.-Appliance-Fireplace.-Clearance to ,Openings 8/Wer Well; Disconnect, Electrical, Plumbing terior Elec. Trim; G.F.I. Receptacle -Underground W. Venlotiog,4hroughout House ss tection C t' ns from Previous Ins tion AWGag^fest-meters Taaaed;s-EI ric 9P1 ater & Sewer Connected -C/O to Grade -HD Approval 10 Energy Compliance Certificate -Other Certificates Date /,J IP -9) Card B-1 " Date Card B-1 - Date6-g7-q/ Card B -r Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile --Phone: 538-7541_ 747 Elliott Road, Paradise — Phone: 872-6307 r CORRECTION NOTICE VNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, .9ineed additional explanation, please contact this office immediately. AF.c t ` � r,.t ` s _�r•r f l �• -1 Gas Date y�2 Q, 5;� Inspector Z;&14 �— a COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872,-6307 CORRECTION NOTICE VNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance yRM exist a/rIel e above address and -should be co erected. Please notify this.office �I when ction of work is completed. If an V. p y y question pertaining to this matt , or •eed additional explanation, please contact this office immediately. e s3 `Lf <e 4'Arftc 4' t �f. Pep- Date r Date - (�' Inspector L- COUNTY O BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541' 747 Elliott Road, Paradise —Phone: $72-6307 CORRECTION NOTICE - OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the.above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. n.,.. A r Permit No. (DUPLICATE) E N E R G Y 2207 Honev Run Road Chico Ca. A.P. No, LOCATION DESCRIMON OF INSMATION ROOF Material_i_ Th Lcknesa(inches) E)ffERIOR WAIL Material f 113ELIU.ASS 61111 15 Thickness (lncliee) 0 / w (/- qa Brand Name Thermal Resistance (R Valu• „_,.___T,.. Brand Name QWENS-COf3NII�i_.. Thermal Resleta"OS(K VB149 R1,�.,..,_._.. CEILING Batt or Blanket 'type FIBERGLASS BAT1S Brand Name OWENS-CORN N(; 'filicknese(inches) 1�"_— I'1►ermal Resistance( R Value .ic w S -f �N I Nf_. loose Fill Type F 1QERCd- 5S Brand Namern _ „ , ,a _�._ �� Number of Bags,_ Wt. per bag 1b. Minimum Tred(fit ic es@(Tncl�ee) 1_ — *r1jarmel ReelstsnCO(R Velu*)�� Area covered(ft. ) 1647 FLOOR. ELEVATED Material Thlckness(Inches) FLOOR, BLAB Material- Thickness(inches) Wldth(Lnchea) FOUNDATION MALI. lieterial Thickness(lnches) Brand Nome Thermal Resistance (R value)_r_________ Brand Name 'Thermal ReeletenCe(R VslYO)�. Brand Name Thermal ResietAnOB ll Valois).�A.._...... I bbuilding hereby certify that Lite al,ove insulation Was Lnstalled in t110 ap11• In Confonasnce Wltl� Lite State of California Knergy RequirOaNnts• LOERKE INS -T I(LN 499150 NAM FIRM E/OWNER STATE CONT1tACTOR S LICE -011 90. June 28, 1991 DATE SIGNATURE OF INS'TA1.1]ON APPLTCATOR I hereby certify Lite above Insolation and all requLred lteme of shown on tile Buildilig Departmentapproved plane and attachinents Dave been installed of required by the State of California Energy Requirements.. All egnLpment, devices and materials are of the quality prOeCK004 OC ars specifically approved by Lite State of California. FIRM NAME/OWNER (Please print) STATE CONT RACTOB 8 LI.CEN8N0. ---- SIGNATURE OF QEtTERAL COM'RACW -R DAT THIS CER't'IFICATF MUST BE Oil FILE wrril 'rilK BUILDING DEPARTMENT PRI04.10 PiNAL INSPECTION APPROVAL Atli) A COPY SHALL BE POSTED WITHIN THE B11I1-P1Uq.1.. Jnnuary 19814 .�i N1 COUNTY OF BUTTE -,DEPARTMENT OF PUBLIC WORKS _._ 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLUTI-A AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 11-25-33 ZONING FoeJ BUILDING PERMIT OWNER a e HEATHSS TELEPHONE 895-3710 S0. FT. OCC. BUILDING VALUATION 2341 R 93,640 MAILING ADDRESS OWNER'2207 Honev Run Rd Chico 95928 552 M 7,728 CONTRACTOR'S NAME[� �� �(,•CJ TELEPHONE -505 288 cov 2,800 O CONTRACT R'S MAILING ADDRESS ahGarden Dr. Chico Fireplace "A" 1,000 CONSTRUCTION LENDER UNKNOWN Total Valuation $ 105.168 Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ 448.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 224.00 Energy Plan Checking Fee $ 15.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING -ADDRESS 17 Honey Run Rd. Permit fee $ 697.00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 1 2.00 26.00 Chi 170 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 5.00 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFE2 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 5.00 Building sewer5.00 5,00 Mobile Home S G W 10.00e TYPE OF WORK Newts Addition❑ Remodel[] Utilities[] Installation❑ Other❑ Describe work: 4 hdrm _ Permit Fee $ 56.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 10.00 Main service EA. ADD'L 100 AMP 2.50 2.50 CONTRACTORS LICENSE LAW 1 declare under penalty,of perjury (check one): �I ❑ I am licensed under provisions Of Chapt. 9, Div. 3 of the Bushes$ 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 SOIe COmpen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason LIN OCCUP.d\ oR T ( DWELLING WELG / ADDNS 2yzQsgft 58.50 NEW CONSTR ULT' -OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS d (SINGLE OUTLET CIR. ) Ex. Occup(oUTLETS OR FIXTURES 2AL@ BL®30 FIXED S. OR Ex. Occup. OUTLETTSS (R(REEST D.) EA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g 11.00 Hood do n 3.00 3,00 Ventilation 4 3.00 12.00 Permit Fee $ 42.00 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County 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 again ai�Cou�yconsequence of the granting of this permit. �' Date C,L__ Signature of Applicant - Owner? Contractor ❑ Agent ❑ An OSHA permit is required for excavations over S'0" deep and demolition or construct- ion of structures over 3 stories//n'� height. Mobile Home Installation Fee $ Energy Inspection Fee $ 30.00 � CONST TYPE TOTAL FEE $906 0 HAz CUA PARK sc FLDIV Pq Issu "'� '- ^' This permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees D OR OF PUBLIC By 1 J;0 PERMIT EXPIRES Date `� the appiica le provi- resolutions to do have been paid. WORKS ate 2 Receipt No. (o �j T�i�' 6 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK-INSPEC R. GOLDENROD -APPLICANT i � PSH IC�4�t7oti:Fp A P. Pz--'-> COUNTY OF BUTTE.- DEPARTMENT OF PUBLIC WORKS 7 County Center Drime - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. t f o ASSESSOR PAR EL N M R / ' ZONING BUILDING PERMIT OWNEI _M ELEPHONE SO. FT. OCC. BUILDING VALUATION O WNEFj'SS MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ i Filing Fee - $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 ! Each Trap 2.00 Solar or heat pump water heater 20.00 ! LOT NO. SUBDIVISION NAME -_ PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other - '•:i SP ECIFY Gas piping system 1 - 5 outlets 5.00 j Building sewer 5.00 j Mobile Home S G W O.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ '-:Instarlation ❑ Other ❑ Describe work: a'`":: Permit Fee $ - Contractor ELECTRICAL PERMIT Filing Fee 10.00 11V OR 00 AMP ORSLESS Main service 1 10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): = ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADD -L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.y OR ADDNS. ( ACC. SLOGS. � ,Z2sgft NEW CONSTR ULTI-OUTLET NON-RESID BRANCH CIRCITS 2.50 ea - POWER APPARATUS 6 (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 2ALO 30 eL0 E%. Occup. FIXED OUTLETS PIRESID FREAJ _ 2.00 -- Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for S100.00 (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 is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit isrequired for excavations over 5'0" eep and demolition or construct- ion of structures over 3 stories in height: Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ HA2 I CUA I PARK scHL I FLD -n Po HD ISSUE Th;s permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. D 2 Z tr • '. Ci WHITE-O.P.W.. YELLOW- •Se ESSOR• PINK -INSPECTOR. of N Raa..P —.1—T r ' F • w.i."hy'Kw•>,,,}„-YbY"I,•..t+«.Q�.'t;j}.r;t•.pr6yxyt'3s.,15k: c.wVA COUNTY OF BUTTE'- DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER .��BM ���o-t� - A. P. No. Proposed Building Use lyer,/ Building Inspector GS'� Date o i At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . ........................ ......... r 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 caics, with wet signature on plans... 15;�Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions ........ . Fees of $ / C7 �j ..!V :,... 11. Chico Urban Area fees paid ....................................... 12. Park fees�paid �rL13. P/ School District fees paid .............. 14. Sanitation approval from O Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... Improvements may be required. Contact Land Development Section DPW 9. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. req est to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 2 . Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... �— 24. Recorded copy of Agricultural Acknowledgment Statement ......... 8-21-96 Pw 25.. Letter of signature authorization ................................... 26: 27. 1.r ' When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephoned 75-3,5 and hold for pickup at office. Deliver w. /inspector.,' Other 1�_ z '3 —7/ Applicant .Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By. The following data must be submitted prior to permit issuance: (Circled.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---nail—counter by ..date Contractor, designer, ow er, jas advised of above required data by—phone—mall cou ter by date Plans checked by Date Plans approved by Date Ip _ r- -Sets of plans on hold in File cabinet AP folder Copy—DPW TO: tuilding Department FROM: Encroachment Permit Section RE: Driveway Clearance lqea Z, 7 lln- 7'ev owner loca4ion AP # Driveway permit /I has been issued for the above property. date si ature TO Buildinq Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner cation APO Plan Approved for: Sewaqe Disposal Water Supply L � Fold final for: Water Supply ' Final clew ance Oh, for: w Wath- a4 r -Supply 0� Clearance or edroom- home. Other ' t4 NOTE x** San arian Date i Building Department Environmental Health SUBJECT: Sanitation Clearance Owner location . AP# Plan Approved for: Sewage Disposal Nold final for: Final clearance O.R. for: Clearance for bedroom me -home. NOTE *** Water Supply �— Water Supply Water Supply Other ------------- Sanitarian Date 1 1 ;I G rw• .:.. . ^s s.R"-NV +-+ rTh'pt"'F'fY':�na+a-•°'l�'A"!r"'�'7i'`rwwtit'+.T7k..r"''r""�* 'fY.r'*:"l�My''� - . ^.-'i•_ ".F'r�v BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (OreForm per .Building ) A.P. Wumber .; ,Building Department No. -- School District G r/%CiJ City County Q Jurisdiction Property Owner ,Project Location/Address Subdivision Lot Number Residential Development: /J a Sq. Footage # of Living- MHI Addition (Group R) Units. Commercial/Industrial: Sq. Footage New Addition (Including Exterior Roofed Areas) r Bui'l'ding/Department, Representative Date �,, (Floor Plans reviewed by School District Personnel) District - Id No. 10, 0 _�(= School District certifies that +... 1 iWS _:3?/ (� (Applicant Name) (Phone Number) P:a fox3�I� \. _ (Street Address) • � � c� �� � spa � (City) (State) (Zip Code1) has complied with the requirements.of Resolution No. /JV (� by the payment of, $ representing 4341/ square feet. School District Representative. Date PAID BY CHECK NO X71 REMARKS: BANK NO PAID BY CASH g' r' white -applicant, yellow -building department, pink -school distrit SCHOOL.FEE (8/88) � P Y'- 90-035847 ; Rec Fee 7.00 Cash 7.00 Recorded ; Official Records ; County of ; Butte ; Candace J. Grubbs ; Recorder ; 11:52am 21 -Aug -90 ; X 2 Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT 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. described herein is adjacent to land or included within an area zoned [or agricultural purposes, and residents of this property may be subject to incon- veniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit. ' of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate .dust, smoke, noise, and odor. Butte County has established 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 disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Date: 8/21/90 PROP TY 0 ERS: SAMUEL C. HEATH, State 'of CA ) On this the 21 day .,of;' August 199, before me, SS. the undersigned Notary Public, personally appeared County of Butte ) **Samuel C. Heath************************ ti OFFICIAL SEAL D Personally known'to me. ❑ Proved to me on the basis ` DEE PALMER _ ® NOTARY PUBLIC• CALIFORNIA of satisfactory evidence. • �° BUTTE COUNTY to be the person(s) whose name(s) is OR My Comm. Expires April 26, 1994 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. Notary Public Present A.P-.- No(. 89-30085 DESCRIPTION:" All.that: certain real property situate in the County of Butte, State of California, described as follows' A part of the East half of the Northwest quarter of Section 30, Town- ship 22 North, Range 3 East,M.D.1•1., more particularly described as fol- lows: BEGINNING on the North and South centerline -of said Section 30, -at a point. of intersection with the Northo:esterly boundary line of that cer- tain parcel of land conveyed by Deed from H. W. Skillin and Mrs. II. W. Skillin, his wife, to Josie E. DeLong dated February 15, 1906 and re- corded November 21, 1910, in Volume 121 of Deeds, page 320, in the office of the.Recorder, County of Butte, State~ of California, said point is also in the centerline of Chico and Paradise County Road, also known as Honey - Run Road; thence Southwesterly along said Northwesterly boundary line of Ise Long.parcel and the Southwesterly production thereof, along the cen- terline of said Honey Run County Road, a distance of 400 feet; thence leaving said Road centerline North and parallel with the said North and South centerline of'Section 30, a distance of 500 feet; thence North- easterly and parallel with the said Northwesterly boundary of the DeLong parcel and the Southwesterly production thereof, a distance of 400.0 feet to the said North and South centerline of Section 30; thence South a distance -of -500.6 feet to the point of beginning. mi EXCEPTING THEREFROM the following described parcel: A portion of the East half of the Northwest quarter of Section 30, To:-mship 22 Forth, Range 3 East,t•I.D_B. & M., more particularly described -.as follows: BEGItI_QING'at a point on the North-South centerline of said Section 30 in the centerline.of Honey Run Road distant South 01' 40' 49" East 1432.01 feet from theNorth quarter corner of said Section 30; thenceyfrom said point of beginn- ing and along the centerline of said honey Run Road South 430 30' 00" !-lest 67.00 feet; thence leaving the centerline of said Honey Pun Road, North 33* 01' 25" %Jest 230.72 feet; thence -North 160 02' 40" west 169.53 feet; thence :forth - 55* 06' 00" East 158.14 feet; thence .11orth.480 30' 00" East 127.53 f-eet to a �*1a ..or... - •� - �'^ •' h cc: terli.^.e of said Section 30 ; thence along said line Fair.., cn South 01`- 40' 49" East 475.47 feet to the point of beginning. t STATE OF CALIFORNIA ass COUNTY OF—_E.L1ttC —_-•—_ -...._ .---.....---._...1 . Au ust 9 1989 .. _.._.. -........... before me. the undersigned a Notary Public in and for Ll. BUTTON E sad ..- State. personalty appeared—- ' - personalty L) known to me tar orored to me on the basis of the oath ot._ . _ _11... BUTTON. o a Credible w itness who is personalty known to met toLc the person whose name is subscribed lot" within instrument. as C a witness lhereto.who being by me duty sworn. deposed and said. E Teat twisho resides in_ BUTTE._ .COUNTY . .: .That he!Shr rysrwuewtunnmrrwa�uwrwunwntnnuwMwtuwtNr . CcF.CLAL SM -as oesentand saw.-. RIGNALD AT.LEN Sf1ARPk ,�c •e AND EDNA LEORA SIiAI(P s f`.^ TA�IIBARLRLOW ... . W:rSOnallY a "' 100TMr Nl:Q.G At OANA Of FC CE ift known to h.mihxr to be tnr same nenpnst drscrtlted .n amu wno fa �� BunE COVrnr [t ' 5/89 RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX & MISC. ONLY) Bldg. Permit OWNER S4vV A. P. # / /-3S • 33 GENERAL PIt ningrequirements: (sideyards and number of permitted living units). luation. ans signed by designer. ergy Design and Compliance. isting violations on property. ems on data sheet. PLOT PLAN 6omplete parcel size and dimensions. backs, sideyards, easements, etc. er buildings or structures. ading, fills, drainage. od hazard. tial conditions on creation map or compliance document. FAU & FAS road setback. FLOOR PLAN r C mplete to scale plan with dimensions. "'•. - quired windows for light and ventilation (Sec. 1205). , uired windows for second exit (Sec. 1204). ylights (Chapter 34 & Sec. 5207). man impact glass (Sec. 5406). ; uired room sizes, ceiling heights (Sec. 1207):._ - - y * Is in baths, garage, and exterior outlets -(Article 210-8). Light fixtures, switches, receptacles, and exterior receptacles for maintenance mechanical equipment. Locations of water heater, heating and cooling equipment, other electrical or equipment;' and plumbing fixtures. Ga age firewall,'door size, and closer (Sec. 503(d)(3)). 1 1 - 3'0" exterior exit door (Sec. 3304(e)). ireplace and wood stove location, alcoves, and clearance. Smoke detectors (Sec. 1210). STRUCTURAL DETAILS Foundion plan complete enough to construct building. Floor catonstruction details complete enough to construct building. . i levations and wall construction details complete enough to construct building. f construction details complete enough to construct building. Fireplace construction details and talcs if necessary. .r CELLANEOUS ITEMS TO LOOK OUT FOR Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306). � ardrail details (Sec. 1711 & 3306(j)). Brick or stone veneer (Chapter 30). i i 8�1�f -9a RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONY D) Q1 erior plaster - weep screeds (Sec. 4706). S, Proper roof pitch for roof covering (Chapter 32). _i�of covering type - (fire hazard). Aq-0- Rafter ties or bearing ridge beam. ,8� rage door or porch header sizes. equate bracing. -19--Living area over garage -_complete 1 -hour separation required on garage side including supporting walls and posts, etc. o exits on three-story dwellings (Sec. 3303 & see Mezannines - 1716). 1� Attic access and ventilation (Sec. 3205). -derfloor access and ventilation (Sec. 2516). lea! Combustion air for fuel burning appliances. -+5. ,Noise requirements on duplexes. 116**� Adobe soils - special foundation design. Retaining walls requiring design. Unusual shape, size, or split level house requiring lateral design. 2C.A./L 5/89 F / A C 0 owd* Of 9u to OROVILLE, CALIFORNIA i GENERAL CLAIM CLAIMANT: Sam Heath ADDRESS: 2207 Honey Run Rd. CITY & STATE: (0111 ro, LA Y )YZb IMPORTANT: SEE INSTRUCTIONS 6/11/90 DATE OF CLAIM: ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GnnnS nR QFRV►rrc DATE DESCRIPTION OF CLAIM .(DESCRIBE FULLY TO AVOID DELAY) I AMOUNT Refund due to wrong parcel # on permit application #1818-90B,P,E,M AP. 11-25-22 Receipt #59500 dated 5/30/90. Total Permit Fees Paid -------------------------- Retain Building Permit Filing Fee -----$10.00 Retain Plumbing Permit Filing Fee----- Retain Electrical Permit Filing Fee--- 10.00 etain Mechanical Permiti ing tee--- Total Fees Retained----------------------------- 40.00 TOTAL $866 00 I. the undersigned, declare under penalty of perjury that the services or articles claimed have be performed or delivered, and that this claim is true nd a rrect as stated. Dated this ,,, de o[ LV..... Y 19....... et ................................. Calif. . . .... ....................................................... Signature of Claimant I, the undersigned• hereby certify that. to the best of my knowledge, the services or articles specified above have been performed or de- livered and that there is a Budget Appropriation ED or Specific Board Approval (Check one) for the ae Dated this 11th day of ,June....2)19, at Oroville Calif. ............................... .....«....... ... .....................................»... eQ ry........ D ment Heed or Authorized D u Dept. Code 440-002 Cod 4210500pgygBLEFROM Const. Permits ...............................................................................................................,. ........... FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. ��o ✓lam c� �1� �� LV �P 6, .,4,7 0 r .::r..:7:":Pan \ a �i,y. <:e[^-.-I::f-y .a i\'f.�}:..�,-?:•:'r "...: _ - v,--rr•:.i..r,._<e.>.-t•;:::. �:.c".'•'a• _ , :..N=6,.:_: :d. -i" .au4•.!ii l 1 tri t ... , ..7.r :eS�N:(.' � - :Mil•=:��L::'b::-.. Y�..:f 1^',SS`ar� Yi%;"LY�::h�'I•a%' lAt 4%""' .•tr � �i ��'r `.K•�- t�.! .:Kt r2 +K ,�.:. C•TrS �a•\t T _ ,•t !n.... s +J x � .�"+e„Zt��`s:xL .. 'f'7"` ?�L"jt 1 h!'„fl••'it`-?� 342 -7��3 a COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT I i` ASSESSOR PARCE.L NUMBER 11-25-22 1 ZONING 1 BUILDING PERMIT OWNER Sam Heath pager TELEPHONE 895-3710 SO. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS 2207 Hone Run Rd. Chico 95926 959 7,798-00 CONTRACTOR'S N AME GeneC m TELEPHONE 895-3505 980 2,80Q,00 CONTRACTOR'S MAILING ADDRESS Spanish Garden Dr., Chico 95926 Fireplace A 1 1,000.00 CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $448.00 ARCHITECT OR ENGINEER 77TLICENSE NO. Plan Checking Fee $ 224.00 Energy Plan Checking Fee $ 15 -no ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 6Q7. 0 PLUMBING PERMIT Filing Fee 10.00 Honey Run Rd., Chico Each Trap 2.00 26,00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 5.00 Each qas water heater or vent 5.00 5-00 USE OF STRUCTURE SFEI Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 5.00 Building sewer 1 5.00 5,00 Mobile Home JSFG W 10.00 ea TYPE OF WORK New® Addition ❑ Remodel ❑ Uti lities ❑ Installation❑ Other ❑ Describe work: 4 Bedroom _ Permit Fee $ 56.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service BOOV OR LESS 100 AMP OR LESS 10.00 10.00 Main Service EA. ADD -L. 100 AMP 2.50 2.50 1 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCC UP") OR ADDNS. ( ACC. BLDGS. X , �2 QSQ ft 58.50 NEW CONSTR. ULTI-OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 20050C 30C. FIXED PR Ex. OCCUp. OUTLETS (RESIO.)EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Mobile M Ho g 15.00 Permit Fee $81.00 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. Lal -I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating SPI it Cooling g 4 Ton 1 11.00 11.00 Hood Down 1 3.00 3.00 Ventilation 4 3.00 12.00 Permit Fee $ 42.00 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 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 again aid County in consequence of the granting of this permit. X YG 'S -3 O-- �O �Sl Date Contractor ❑ F1Agent Signature of Applicant -0 wne `An OSHA permit is requiredfor excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 0 occ CONST TYPE TOTAL FEE $ 906.00 HAz I CUA PARK I SCH FLD PAR PO HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable resolutions have WORKS Date to-do to-do been paid. Receipt No. 750D WHITE•D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE- `�JEPARTMENT OF PUBLIC WORKS PERMIT NO. V 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION ANP PERMIT ASSESSOR PARCEL NUMBER " ZONING BUILDING' PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS / Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Building sewer T. Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work:_ - - Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 00V OR Main service 100 AMP ORSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST_ ( DWELLING OCCUP.51) OR ADDNS. ACC. BLDGS. 26 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR-OUTLET 2.50 ea NON-RESID BRANCH CIRC TS NEW CONSTR /POWER APPARATUS h) NON-RESID. SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES B �� FIXED APPLNS, R Ex. Occup.(OUTLETS (RE.SIDJ En.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIirig Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee S Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP, GROUP TYPE OF CONST. PARCEL PD NO ssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. WHITE-D.P. ., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE--DERA-rITMENT OF PUBLIC WORKS PERMIT NO, 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 �$2_ APPLICATION -AND PERMIT N.SSESSO PARCEL NUMBER —3 ZONING BUI ING PERMIT OWNER I r eNFA_1LV_rFN_GAe1KDDRESS TELEPHONE SQ. FT. OC BUILDING VALUATION 0 W N E R'Sf CONT C OR'S NAME — TELEP ONE X1;5 ON ACTSP'S MAILING ADDRE JIS Q S/ C �• rC6NSTRUCTION Fireplace LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LEN ER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILD AD RESS /�� � X PLUMBING PERMIT Filing Fee 10.00 _ Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping` 43 LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCT E�� SF [:1 Duplex ❑ Mobilehome ❑ Other l�'J �� /O SPECIFY Building sewer Lawn sprinkler system 4T_ 5.00 TYPE OF WORK New ❑ Additionn�❑ Remodel ❑ Utilities ❑ Installation Other Describe work:/P Cc/£�� Cli✓lid �C/T/� /`' Permit Fee $ IQ 0 Contractor ELECTRICAL PERMIT Filing Fee 10,y00 Main seryice 100 AMP OR10V OR LESS`� g 0s 0 C Main service EA. ADD'L 100 AMP 2;50 NEW CONST. OR ADDNS. (ACCLBLDGLING SCCUP.y) 22 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BusinesssoL and Professions Code and my license is in full force and effect. License No. Classification ❑T I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044)%Af3 ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST ID R. BRANCH CIRCTITS 2.50 ea NEw CONSTR. POWER APPARATUS e\ NON.RESID. SINGLE OUTLET CIR. ) Ex. OCCUp OUTLETS OR FIx ORES BAL@1 Ex. Occup. (oI P(R R 2.00 0 d Temporary service 10.00 Mobile Home Facilities 15.00 M• c. Wiring 7.50 . p Permit Fe $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee S Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, [udgments, costs, and expenses which may in any way accrue �sity 'n co quence of the granting of this permit. �� _�% Date Signature of Applicant — Owner ❑ Contractor Agent F] An OSHA permit is required for excavations over 5' eep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE�' ^v OCCOP. GROUP TYPE OF CONST. PARCEL PD ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE R OF P LIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 4. - 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET Permi No. OWNER 71 A. P. No. Proposed Building Use "� A Permit Fee Based Upon: omplete Contract Price DPW Valuation Other Explain) Building Inspector Date 7— 3:::�,— f At time of permit application, I was advised fah fo fbwing data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate./triplicate. 3. Complete plans in duplicate./triplicate. .. . . 4. Complete engineered, plans and calcs. 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner[], Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data.. . . © 7. Pre -Inspection for C��J/G���p1. �� • ��°/red.•Pre-Inspec. request to �— Building Inspector ° e D� 18. Other When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Copy of plans sent Health Dept,, Fire Dept., Other Date During the plan checking process, the following1data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item.) 1. Index permit for above Items'No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail By Date Plans checked by Date Plans approved by Date Other: Copy—DPW Other 6 COUNTY OF BUTTE OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION -AND PERMIT 1 ASSESSOR PARCEL NUMBER -ZONING BUILDING PERMIT OWNER yp= y e— ` / TELEPHONE S0. FT. I OCC. I BUILDING VALUATION CONI' C OR•S NAME TELEPI ONE ys CON �ACTO/S MAILI G AD�jDRE CONSTRUCTION LENDER "ERS ,�.J/> UNKNOWN MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE NO. LOT NO.I SUBDIVISION NAME I PARCEL MAP USE OF STRUCT�}11 ,R�E SF ❑ Duplex[] Mobilehome❑ Other,, 02- Jy��f� SPECIFY TYPE OF WORK '' New ❑ Addition%%❑ Remodel ❑ Utilities ❑ Installation% Other Describe work: r i t CONTRACTORS LICENSE LAW ' declare under penalty of perjury (check one): i [ ] 1 am licensed under provisions of Chapt. 9, Div. 3 of thelBusiness and Professions Code and my license is in full force and effect. License No. Classification { ❑ 'I, as the owner, or my employees with w as their so pen- sation, will do the work, and the stru a is not intended or ed for sale. (Sec. 7044) ,. ❑ I, as the owner, am exclusively ontragting it I n ontract- ors. (Sec. 7044) ❑ I am exempt under Sec. B si ess and Profession e for this reason 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. r i ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. i Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. I certify that I have read this application and state that the above Information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgme,nts, costs, and expenses which may in any way accrue st said,40pty 'n co quence of the granting of this permit. Lt cL ate _ Signature of Applicant — Owner ❑ ContractoKep Agent ❑ An OSHA permit is required for excavations over 5and demolition or construct- ion of structures over 3 stories in height. Receipt No. (19 gl' d' 7 t5 WNITE-D.P.W.. YELLOW-ASStSSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT I J , Fireplace Total Valuation $ Filing Fee Permit Fee Plan Checking Fee Penalty Permit fee PLUMBING PERMIT Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Building sewer t Lawn sprinkler system Permit Fee Contractor f ELECTRICAL PERMIT Main service BOOV OR LESS _ 100 AMP OR LESS Main service EA- ADD'L 100 AMP NEW CONST. ( DWELLING OCCUP.y) OR ADDNS. ACC. BLDGS. NEW CONSTR, ( POWER APPARATUS D1 NON-RESID, SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIX URES Ex. Occup.(O(}r`JXPR 1R Temporary service Mobile Home Facilities Mises Wiring Permit Fed( Contractor MECHANICAL PERMIT Heating Cooling Hood Ventilation Permit Fee Contractor Mobile Home Installation Fee TOTAL PERMIT FEE OCCUP. GROUP I TYPE OF CONST $$ 10.00 V 5.00 $ /J "o 0 Filing Fee 1 10.00 4 -5 -off /0, CO 2.50 20 sq ft 2.50 ea Filing Fee 10.00 3.00 S $ $ J-74-0 ARCELI Pp I NO 1 ISS This permit is hereby Issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date _ PERMIT EXPIRES Date SII L L k � � �v v to A Iii d 350 Q� o\ lO 0 I (L 6 0 0 6 ' os O r\ 0 "O a 2tj bg Q o R 00'00 h 24A v a h a AO 90 w ^ / j g �_ Z o• �p (� a � 20 � • O ag 55 N b N ct 1'z 2 r� 9- 30 O 0 o O O h e 516±45 ren M = o lD v o e5 0 v 3k56 94 5A 1 Q b ar.. .75 .10 �n ov� a. � � o O h o u� N t. • cri o O tin C, If) N • N 0091 '5:9 \ 2FOcV0 �.� I: �C-% 4 310 0 ate, 650 0 0 \ Oo0 I tip• ,N CY) O _ O I ' R � � r f o �y.9£83 mss• v 0 CICO In V.% to N �o s., LU % QJ _.____e-....—...a e•nea.eamv¢s¢senenxtBer.4' A '� 1. Ceiling Insulation 2. Wall Insulation Single- Number of stories -46 R -value One Two Three R-0 -103 -49 -02 R-19 -8 -4 .2 R-30 .2 -1 -1 R-38 0 0 0 U -value 8 6 4 0.50 -176 -84 -54 0.30 -102 -49 -02 0.10 -26 -13 -8 0.08 -18 -9 -6 0.06 -11 -5 -4 0.04 4 -2 -1 0.02 4 2 1 0.00 11 5 3 2. Wall Insulation 3. Raised Floor Insulation Insulation in Floor Number of stories R -value One Two Three R-0 -17 -8 -5 R-11 -3 -2 -1 R-19 0 0 0 R-30 3 1 1 U -value 0.60 Single- Single - -46 0.50 Family Family Multi - R -value Detached Attached Family R-0 -68 -51 -34 R-11 0 0 0 R-13 2 2 1 R-19 8 6 4 U -value -6 -3 -2 0.80 -153 -114 -76 0.50 -91 -68 -46 0.30 -17 -36 -24 0.10 0 0 0 0.08 4 3 2 0.06 9 7 5 0.04 14 11 7 0.02 19 14 10 0.00 24 18 12 3. Raised Floor Insulation Insulation in Floor Number of stories R -value One Two Three R-0 -17 -8 -5 R-11 -3 -2 -1 R-19 0 0 0 R-30 3 1 1 U -value 0.60 -144 -70 -46 0.50 -120 -58 -38 0.40 -95 -46 -30 0.30 -69 -34 -22 0.20 -43 -21 -14 0.10 -17 -8 -5 0.08 -11 -6 -4 0.06 -6 -3 -2 0.04 -1 0 0 0.02 4 2 1 0.00 10 5 3 Controlled Ventilation Cravvlspace -4 -3 : -1 Number of stories -1 R -value One Two Three R-0 -11 .7 =5 R-5 -4 -4 3 R-11 .2 -2 -2 R-19 .1 -2 -2 4. Slab Edge Insulation 4 40 -90 Number of Stories -26 R -value One Two Three R-0 d 0 0 R-5 8 5 2 R-7 8 6 3 F2 factor 0.90 -4 -3 : -1 0.80 -1 -1 0 0.70 2 2 1 0.60 6 4 2 0.50 9 6 3 0.40 12 8 4 5. Infiltration (Air Leakage) Specifi mkn Points Standard 0 6. Glass Heat Loss Total Single- Slab Floor Rased Floor Mass U -value Stories Percent Mass Stories .51 to .41 to .31 to 0.30 or Glass Single Double .60 .50 .40 less 50 -121 -53 -39 -24 -10 4 40 -90 -37 -26 -14 -3 8 35 -75 -29 -19 -9 1 10 30 -61 -21 -13 -4 4 12 29 -58 -20 -12 -3 5 12 28 -55 -18 -10 -2 5 13 27 -52 -17 -9 -2 6 13 26 -49 -15 -8 -1 7 14 25 46 -14 -7 0 7 14 24 43 -12 -5 1 8 14 23 40 -11 -4 2 8 15 22 -37 -9 -3 3 9 15 21 -34 -7 -2 4 10 15 20 -31 -6 0 5 10 16 19 -29 -4 1 6 11 16 18 -26 -3 2 7 12 16 17 -23 -1 3 8 12 17 16 -20 0 4 9 13 17 15 -17 1 6 10 14 17 14 -14 3 7 10 14 18 13 -12 4 8 11 15 18 12 -9 6 9 12 15 19 11 -6 7 10 13 16 19 10 -3 9 11 14 17 19 9 -1 10 13 15 17 20 8 2 12 14 16 18 20 7. Shading (Shade Open) Single- Slab Floor Rased Floor Mass EErftUve Percent Glass Stories Multi Mass Stories (percent Stan x SC) /CFA Effective Two Three One Two %Glass North East South West Skylight 18 5 1 4 1 na 16 4 2 5 1 na 14 4 2 5 1 na 12 3 3 5 2 na 11 3 3 5 2 na 10 2 3 5 2 1 9 2 3 5 2 2 8 2 3 5 2 2 7 1 3 4 2 2 6 1 3 4 2 3 5 1 2 4 2 3 4 0 2 3 1 3 3 0 1 2 1 3 2 0 0 1 0 3- 1 -1 -1 -1 -1 2 0 -1 -2 -4 -2 0 na = not allowed 3.5 2 5 1S. Shading (Shade Closed) Effective Percent GIs= (percent Stan x SC) %Gcdve lus NoA1 18 -14 16 -12 14 -10 '12 -8 11 -7 10 -6 9 -5 8 -5 7 -4 6 -3 5 -2 4 -1 3 0 2 1 1 1 0 2 na • rat allowed East Sank -48 -69 -42 -59 -35 -50 -29 -40 -26 -36 -23 -31 -20 -27 -17 -23 -14 -19 -11 -15 -9 -11 -6 -8 -4 -5 .1 -2 .1 1 3 4 West SltyGght -64 na -55 na -46 na -37 na -33 na -29 -74 -25 -65 -21.. -56 -18 -47 -14 -38 -10 -30 -7 -23 -4 -16 .1 .9 1 -4 3 0 9. Interior Thermal Mass Interior Single- Slab Floor Rased Floor Mass Family Stories Multi Mass Stories Attached /CFA One Two Three One Two Three 0.0 -8 -5 -4 -2 -1 -1 0.1 -8 -5 -3 -1 0 0 0.3 -7 -4 -2 0 1 1 0.5 -6 -3 -1 1 1 2 0.7 -5 -2 -1 1 2 2 0.9 -5 -1 0 2 3 3 1.1 -4 -1 1 3 4 4 1.3 -3 0 2 3 4 5 1.5 -3 1 2 4 5 5 2.0 -1 2 4 5 6 7 2.5 0' 3 5 7 7 8 3.0 1 4 6 8 8 9 3.5 2 5 7 9 9 10 4.0 3 6 8 9 10 10 4.5 3 7 8 10 11 11 5.0 4 7 9 11 12 12 5.5 5 8 9 11 12 12 6.0 5 8 10 12 13 13 6.5 6 9 10 12 13 13 7.0 6 9 11 13 13 14 7.5 6 10 11 13 14 14 8.0 7 10 11 13 14 14 8.5 7 10 12 13 14 15 10. Exterior Wall Thermal Mass Exterior Single- Single - Sum of 1-6 Wall Family Family Multi Mass Detached Attached Family 0.00 0 0 0 0.20 3 2 1 0.40 5 4 3 0.60 8 6 4 0.80 10 8 5 1.00 13 10 7 1.20 13 12 8 1.40 12 13 9 1.60 10 13 it 1.80 10 12 12 2.00 10 11 13 11. Heating System SE or HSPF (assumes duets In attic) Zonal Control Adjustment System Type Resistance 10 9 7 6 4 3 .Other 6 5 4 3 2 2 12. Cooling System SEER (assume; ducts In attic) Sim of 7-10 _ -4 to Sum of 1-6 16 or SEER less -15 I -6 -25 or -24 to -14 to -4 to +6 to 16 or SE HSPF less -15 -5 +5 +15 more 0.72 6.60 0 0 0 0 0 0 0.75 6.88 3 3 3 2 2 1 0.80 7.33 8 7. 6 5 4 3 0.85 7.79 13 11 10 8 7 5 0.90 8.25 17 15 . 13 11 9 7 0.95 8.71 20 18 15 13 11 8 20 17 14 Effective SE or HSPF 6 -1 -1 (SE or HSPF x duct efficiency) 7 Effective -25 or -24 to -14 to -4 to +610 16 or SE HSPF less -15 -5 +5 +15 more 0.30 2.75 -73 -64 -56 -47 -38 -30 na 3.41 -45 -39 -34 -29 -24 -18 0.40 3.67 -34 -30 , -26 -22 -18 -14 0.50 4.58 -10 -9 -8 .7 .5 -4 0.56 5.13 0 0 0 0 0 0 0.60 5.50 5 5 4 3 3 2 0.70 6.42 17 15 13 11 9 7 0.80 7.33 25 22 19 16 13 10 0.90 8.25 32 28 24 20 17 13 1.00 9.17 37 32 • 28 24- 19 15 Zonal Control Adjustment System Type Resistance 10 9 7 6 4 3 .Other 6 5 4 3 2 2 12. Cooling System SEER (assume; ducts In attic) Sim of 7-10 Zonal Control Adjustment 10 8 7 6 4 3 No Cooling System Installed . Stories One -5 -4 -4 -3 -2 -2 Two + 3 3 2 2 2 1 Single -Family Detached and Attached -25 or .24 to {-14 to -4 to +6 to 16 or SEER less -15 I -6 +5 +16 more 8.0 -14 -12 -10 -8 -6 -4 8.5 -9 -7 -6 -5 -4 -3 8.9 -5 -4 -4 -3 -2 -2 9.0 -4 -3 -3 -2 .2 -1 9.5 0 0 0 0 0 0 10.0 4 3 3 2 2 1 10.5 7 6 5 4 3 2 11.0 10 9 7 6 4 3 12.0 15 13 11 9 7 5 13.0 20 17 14 12 9 6 -1 -1 ElYedive SEER 0 7 HWR (SEER xduct eMciency) -12 -9 -7 Sm of 7-10 _ TYPE 1 MASS AREACOND. FLOOR AREA - $ WSB Effective -25 or -24 to -14 to 410 +6b 16 or SEER less -15 -5 +5 +15 more 5.0 -30 -25 -21 -17 -13 -9 6.0 -12 -11 -9 -7 -6 -4 6.6 -5 -4 -4 -3 -2 2 7.0 0 0 0 0 0 '0 8.0 9 8 6 5 4 3 9.0 16 14 12 9 7 5 10.0 22 19 16 13 10 7 11.0 26 23 19 15 12 8 12.0 30 26 22 18 14 9 13.0 33 29 24 20 15 10 Zonal Control Adjustment 10 8 7 6 4 3 No Cooling System Installed . Stories One -5 -4 -4 -3 -2 -2 Two + 3 3 2 2 2 1 Single -Family Detached and Attached Interior MasslCFA TTVC 2 IWS It rpet*d ..2{ I TYPE I MASS (DING ><, 4.2, !e: exposed slab) Ie.rpeta0 •I.bl 0% 5% 10% 15% 20% 25% 30Y. 35% 40% 45% 50% 55% 60% 657. 70% 75% 8o% 85% 90% 95% 100% 105% 110% 115% 120% 125` OY. 0 0.2 0.4 0.6 0.8 1.1 1.3 1.5 1.7 1.9 2.1 Z3 2.5 2.7 2.9 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5 53 107. 0.2 0.4 0.6 0.8 1 1.2 1.4 1.6 1.9 2.1 2.3 25 2.7 2.9 3.1 3.3 3.5 3.7 4 4.2 4.4 4.6 4.8 5 5.2 5.4 20% 0.3 0.6 0.8 1 1.2 1.4 1.6 1.8 2 2.2 24 21 29 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.8 5 52 5.4 56 30% 0.5 0.7 0.9 1.1 1.4 1.6 1.8 2 2.2 2.4 26 2.8 3 3.2 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 58 4011. 0.7 0.9 1.1 1.3 1.5 1.7 1.9 2.2 2.4 2.6 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 W. 0.9 1.1 1.3 1.5 1.7 1.9 21 Z3 Z5 2.7 3 3.2 3.4 3.6 3.8 4 42 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 55% 0.9 1.1 1.4 1.6 1.8 2 2.2 2.4 2.6 2.8 3 3.2 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 5.8 6 6.2 601/6 1 1.2 1.4 1.7 1.9 Z1 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 5 5.2 5.4 5.6 5.9 61 63 65% 1.1 1.3 1.5 1.7 1.9 2.2 2.4 2.6 2.8 3 3.2 3.4 36 3.8 4 4.3 4.5 4.7 4.9 5.1 53 55 5.7 5.9 6.1 64 70% 1.2 1.4 1.6 1.8 2 2.2 2.5 2.7 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 52 5.4 5.6 58 6 62 64 75% 1.3 1.5 1.7 1.9 Z1 2.3 Z5 2.7 3 3.2 34 3.6 3.8 4 4.2 4.4 4.6 4.8 5.1' 5.3 5.5 5.7 5.9 6.1 6.3 6.5 80% 1.4 1.6 1.8 2- 2.2 2.4 Z6 2.8 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 56 5.8 6 6.2 64 66 2 85% 1.4 1.7 1.9 .1 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.6 4 4.2 4.4 4.6 4.8 5 52 54 5.6 5.9 6.1 63 65 67 90% 1.5 1.7 2 12- 2.4 Z6 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 53 5.5 5.7 5.9 6.2 6.4 66 68 95% 1.6 1.8 2 2.2 2.5 2.7 2.9 3.1 33 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 5.2 5.4 5.6 5.8 6 6.2 6.4 6.7 69 100% 1.7 1.9 Z1 2.3 2.5 Z8 3 3.2 3.4 3.8 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.7 7 105% 1.8 2 2.2 2.4 2.6 2.8 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 56 5.8 6 6.2 6.4 6.6 68 7 110Y. 1.9 2.1 2.3 2.5 2.7 2.9' 3.1 3.3 3.6 3.8 4 4.2 4.4 4.6 4.8 5 5.2 5.4 5.7 5.9 6.1 6.3 5.5 6.769 7.1 115% 2 2.2 2.4 2.6 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 5.3' 5.5 5.7 5.9 6.2 6.4 6.6 6.8 '7 7.2 120% 2 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.4 4.6 4.8 5 5.2 5.4 5.6 58 6 6.2 6.5 6.7 6.9 7.1 7.3 125% 2.1 2.3 2.5 2.8 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.7 7 7.2 7.4 Point System Summary: Climate Zone 11 SCORE CARD 1. Ceiling Insulation 2. Unit Size (sQ ,1200 3. Water 4. 1199 S. 1700 2200 2700 Heater Credit or •) to to to - or Type Type less .1699 2199 2699 more SG None 0 0 0 0 0 or Solar 12 "' 8 6 5 4 HP HWR 8 5 4 3 3 WSB 5 3 3 2 2 a. North POU '8 5 4_ 3 3 SE None -37 -24 -18 -15 -12 !o Solar -1 -1 -1 0 0 7 HWR -18 -12 -9 -7 -6 _ TYPE 1 MASS AREACOND. FLOOR AREA - $ WSB -25 -16 -12 -10 -8 POU -18 -12 -9 -7 -6 IG None -5 -3 -2 -2 -2 x_ Solar 7 5 4 3 2 Effective SE or POU 3 2 1 1 1 IE None -28 49 -14 -11 .9 Duct Efficiency [0.741 Solar 8 5 4 3 3 POU -10 -6 -5 -4 .3 Multi-Famlly (individual units) Unit Size (s Water 699 700 1200 1700 2200 Heater Credit or b to b or Type Type less 1199 1699 2199 more SG None 0 0 0 0 0 or Solar 14 7 5 4 3 HP HWR 9. 5 3 2 2 WSB 9 4 3 2 2 POU 9 5 3 2 2 SE None -45 -23 -15 -11 .9 . Solar 2 1 1 0 :0, HWR -23 -12 -8 -6 " .:.5 WSB -25 -13 -8 -6 -5 POU _23 _12_8 . - , -6 -5 IG None -8 -4 -3 .2 .2 Solar .6 3 2 1. ! '.1... POU _ ._t , ^0 0 0 0 ; .E None -00 -15 _ -10 -8 Solar 18 9 6 4 4 POU -8 -4 -3 -2 :.-2. , Interior MasslCFA TTVC 2 IWS It rpet*d ..2{ I TYPE I MASS (DING ><, 4.2, !e: exposed slab) Ie.rpeta0 •I.bl 0% 5% 10% 15% 20% 25% 30Y. 35% 40% 45% 50% 55% 60% 657. 70% 75% 8o% 85% 90% 95% 100% 105% 110% 115% 120% 125` OY. 0 0.2 0.4 0.6 0.8 1.1 1.3 1.5 1.7 1.9 2.1 Z3 2.5 2.7 2.9 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5 53 107. 0.2 0.4 0.6 0.8 1 1.2 1.4 1.6 1.9 2.1 2.3 25 2.7 2.9 3.1 3.3 3.5 3.7 4 4.2 4.4 4.6 4.8 5 5.2 5.4 20% 0.3 0.6 0.8 1 1.2 1.4 1.6 1.8 2 2.2 24 21 29 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.8 5 52 5.4 56 30% 0.5 0.7 0.9 1.1 1.4 1.6 1.8 2 2.2 2.4 26 2.8 3 3.2 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 58 4011. 0.7 0.9 1.1 1.3 1.5 1.7 1.9 2.2 2.4 2.6 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 W. 0.9 1.1 1.3 1.5 1.7 1.9 21 Z3 Z5 2.7 3 3.2 3.4 3.6 3.8 4 42 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 55% 0.9 1.1 1.4 1.6 1.8 2 2.2 2.4 2.6 2.8 3 3.2 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 5.8 6 6.2 601/6 1 1.2 1.4 1.7 1.9 Z1 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 5 5.2 5.4 5.6 5.9 61 63 65% 1.1 1.3 1.5 1.7 1.9 2.2 2.4 2.6 2.8 3 3.2 3.4 36 3.8 4 4.3 4.5 4.7 4.9 5.1 53 55 5.7 5.9 6.1 64 70% 1.2 1.4 1.6 1.8 2 2.2 2.5 2.7 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 52 5.4 5.6 58 6 62 64 75% 1.3 1.5 1.7 1.9 Z1 2.3 Z5 2.7 3 3.2 34 3.6 3.8 4 4.2 4.4 4.6 4.8 5.1' 5.3 5.5 5.7 5.9 6.1 6.3 6.5 80% 1.4 1.6 1.8 2- 2.2 2.4 Z6 2.8 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 56 5.8 6 6.2 64 66 2 85% 1.4 1.7 1.9 .1 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.6 4 4.2 4.4 4.6 4.8 5 52 54 5.6 5.9 6.1 63 65 67 90% 1.5 1.7 2 12- 2.4 Z6 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 53 5.5 5.7 5.9 6.2 6.4 66 68 95% 1.6 1.8 2 2.2 2.5 2.7 2.9 3.1 33 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 5.2 5.4 5.6 5.8 6 6.2 6.4 6.7 69 100% 1.7 1.9 Z1 2.3 2.5 Z8 3 3.2 3.4 3.8 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.7 7 105% 1.8 2 2.2 2.4 2.6 2.8 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 56 5.8 6 6.2 6.4 6.6 68 7 110Y. 1.9 2.1 2.3 2.5 2.7 2.9' 3.1 3.3 3.6 3.8 4 4.2 4.4 4.6 4.8 5 5.2 5.4 5.7 5.9 6.1 6.3 5.5 6.769 7.1 115% 2 2.2 2.4 2.6 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 5.3' 5.5 5.7 5.9 6.2 6.4 6.6 6.8 '7 7.2 120% 2 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.4 4.6 4.8 5 5.2 5.4 5.6 58 6 6.2 6.5 6.7 6.9 7.1 7.3 125% 2.1 2.3 2.5 2.8 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.7 7 7.2 7.4 Point System Summary: Climate Zone 11 SCORE CARD 1. Ceiling Insulation 2. Wall Insulation 3. Raised Floor Insulation 4. Slab Edge Insulation S. Infiltration Measures Z)Au(sI- E. k 3,0 or 17.0 9' R -value [38] U -value [0.030] R l or U -value [0.65] R -value [ l ll U -value [0.098] or --- R-value [ 191 U -value [0.037] 'er- or % Glass R -value [01 F2 factor [0.77] Standard a. North 6. Glass Heat Loss Z)Au(sI- E. G S 17.0 9' Type [double) U -value [0.65] % Total Glass [ 16) 7: Shading (Shade Open) % Glass SC Eff. % Glass a. North 7.3 9 x , % = s • G 9- b. East ? a x 77 c. South �/. /o x , ? 7 = 3 d. West 05- x .72 _ / •� $ e. Skylight 77 xT 8. Shading (Shade Closed) % Glass Sc Eff. % Glass a. North __). ?4-- x 1. 6.3 b. East ; - 7,e x c. South y. l o X. !o d. West x.65 x Y = e. Skylight 7 x Z = 5-9 9. Interior Thermal Mass 3 _ TYPE 1 MASS AREACOND. FLOOR AREA - $ Interior Hiss/CFA 10. Exterior Wall Mass TYPE 2 MASS AREA Exterior Wall Mass ND . FLOOR AREA 11. Heating System , 7 '� x_ Zonal Control? ( Y / N) SE or HSPF Duet Efficiency [0.78] Effective SE or [0.72/6.61 HSPF [0.56/5.15] 12. Cooling System 'S . x Zonal Control? (Y / N) SEER 19.51 Duct Efficiency [0.741 Effective SEER 17.031 :.13. Water Heating -Type ISG)it Credit [none] • Point Scores rt� 0 Suri 1.6 44 Sum 7-10 _t 3 Point Total: ' 4 lO 1W Certificate of Compliance: Residential Climate Zone 11 Address Documentation Author Telephone / ffyq— o -Build' P it # Che&ed By/ Date Enforcement Agency Use Only Glazing Area Glass Type Interior . Exterior Overhang Framing Type Glass Area 9b Glass (single, double) (roller blind etc.) (shadescreen. etc.) (yes/no) (metaltwood) BUILDING DATA BU 173 North 03 conditioner, heat pump) (SE, SEER,HSPF) Conditioned Floor Area a2 3 ell Number of Stories East East ( ) _7, A. 57n C- Slab/Raised Floor 5LA6 Number of Units t South•/ c� e Single Family Detached (SFD) [ ] Single Family Attached (SFA) [ ] Addition Alone [ ] Existing Building West Skylight 48, Skylight....... Total qi> o 0, Type/Covering (] Multi -Family (MP) [ ] Existing -Plus -Addition (slab/exposed, tile, etc.) __- _00 (inches) Location/Description (kitchen, bath. etc.) BUILDING SHELL INSULATION Component Insulation Localion- omments Type ---- R -Value (attic, to garage, t~Ricei, etc.) Wall .............. A/ 3 Wall .............. Roof ............. 3 c Roof ............. _ Floor ............. Floor ............. b- Slab Edge ..... 4b- GLAZING GLAZING Shading Devices Glazing Area Glass Type Interior . Exterior Overhang Framing Type Orientation (SO (single, double) (roller blind etc.) (shadescreen. etc.) (yes/no) (metaltwood) North ( ) 173 Vof8SAt v &-�— North conditioner, heat pump) (SE, SEER,HSPF) East ( ) 1. 5-_ _ East ( ) 7 2 A. 57n C- South 4/6-376 O SOUth West West ( ) Skylight....... THERMAL MASS Type/Covering Area Thickness (slab/exposed, tile, etc.) __- _00 (inches) Location/Description (kitchen, bath. etc.) P,,4iffJ,(. f�i/t1iaJ� HVAC SYSTEMS Mirdmum Duct Type (furnace, air Efficiency Location Duct Output Manufacturer / Model # conditioner, heat pump) (SE, SEER,HSPF) (attic, etc.) . R -Value (Btuh) (or approved equal) St A 7 2 A. 57n C- . i 4/6-376 O Maximum Furnace Heating Output: i/e ,4*'bO Btuh HOT WATER SYSTEMS Tank Manufacturer/Model # System Type (storage gas etc.) Capacity (or approved equal) Special Feature(s) .S1314+44— SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) Mandatory Measures Checklist: Residential MF -111 NOTE: Lowrise 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 feature noted shall - be considered by all parties as binding minimum component performance specifications for the mandatory measure art cu whether they ashown elsewhere ,n the documents or on this checklist only. - DESCRIPTION I DESIGNER I ENFORCEMENT Building Envelope Measures • §2-5352(a): Minimum ceiling insulation R-19 weighted average. §2.5352(b): Loose fill insulation manufacturer's Labeled R -Value. §2.5352(c): Minimum wall insulation in framed walls R -I 1 weighted average (does not apply to exterior mass wails). §2.5352(k): Slab edge insulation - water absorption rate no greater than 03%, water vapor transmission rate no greater than 2.0 pcmVuxh. §2-5311: Insulation specified or installed meets California Energy Commission (CEC) quality standards. Indicate type and form. §2.5352(f): Vapor barriers mandatory in Climate Zone 14 and 16 only. §2.5317: Infiltration/Exfilt ation Controls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Doors and windows certified. c. Doors and windows weadxrstripped: all joints and penetrations caulked and sealed. §2.5352(e): Special infiltration barrier installed to comply with 02-5351 meetsCECquality standards. §2.5352(d): Installation of Fireplaces 1. Masonry and factory -built fireplaces have: a. Tight fitting, closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and control 2. No conunuous burning gas pilots allowed. HVAC and Plumbing System Measures §2-5352(8) and 2-5303: Space conditioning equipment siring: attach calculations. §2.5352(h) and 2-5315: Setback thermostat on all applicable heating systems. ' §2-5316(a): Ducts constructed, installed and insulated per Chapter 10, 1976 UMC. §2.5316(b): Exhaust systems have damper controls. §2-5314(c): Gas-fired space heating equipment has intermittent ignition devices. §2-5314: HVAC equipment, water heaters, showerheads and faucets certified by the CEC. §2-5352(i): Water heater insulation blanket (R-12 or greater) or combined interior/exterior insulation (R-16 or greater); first 5 feet of pipes closest to tank insulated (R-3 or greater). §2.5312(Exception I): Pipe insulation on steam and steam condensate return & recirculating piping. §2.5318(d): Swimming Pool Heating 1. System has: a On/off switch on heater. b. Weatherproof instruction plate on heater. e. Plumbed to allow for solar. 2. 75 percent thermal efficiency. 3. Pool cover. 4• Time clock. 5. Directional water inlet. Lighting and Appliance Measures §2-5352(1): Lighting - 25 lumens/watt or greater for general lighting in kitchens and bathrooms. §2-5314(c): Gas fired appliances equipped with intermittent ignition devices. §2.5314(a): Refrigerators• refrigerator-frazers, freezers and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with Title 24. Chapter 2-53 and Title 20, Mptcjr2. Subchapter4. Article 1 of the California Administrative code. This certificate has been signed by the individual with overall design responsibility, and the building owner, who shall retain a copy of it and trwismit the certificate to any subsequent purcimser of the building. Designer Building Owner Name: Name: TitkJFirm: TitkJFirm: Address: Address: Tekphonc Telephone: Uc. N: (signature) (date) (signature) (date) Documentation Author Enforcement Agency Name: Name: '.1j Titk/Fum: Atenc7: Address: Telephone �LoT l�,,na "COIL fanaox- s P.O. Bog 1043 C)IWIML3MCIL, 43114ZOX-jai 95963 o(0:340)o <15:340� 404511 N'ml F>C w I v al TI Hl�nei :Rop fw % Ina elft tl AM OWA -Ammmk � .. in APR 0 --,2 22'N CHIC, CA L I G. E: .400 POOL GENERAL SPECIFICATIONS SIZE 15 X 3L AREA47A O DEPTH 3 TO SHAPE r=C"rtkT,,(?I�-E LINER wH' i VE, POOL CAPACITY f6f + 3 GALS. PUMP L--rg A F L. Q (d MOTOR H.P. Z' H. P. FILTER c'. i C - Tr I *�O A 320 SO. FT. VACUUM LINE i SKIMMER (Y ,??-- " RETURN LINE l 1 2 " MAIN DRAIN I Z " SKIMMER MODEL U BACKWASH LINE hjo -0—' OF %" FILL LINE u r o ANTI SIPHON VALVE 5 HEATER N SIZE BTU GASLINE BY: VENTED BY: LIGHT CLOCK ELECTRIC BY: I-.G#,,J ELECTRICAL BONDING BY: 0 POOL CLEANER A CHLORINATOR tJ U W E U BOARD - SIZE BOARD SUPPORTS 0 LADDER - MO/DEL SLIDE A +V Color_ m=up GRADING STUB PLUMB XYES ❑ NO DECKBY:�ph� �/Nirsf} NOTES SCALE 1/8" ( Dict.. w or To . SC.arLr_ w *Oc , d r -k. v _ 4q 1 nods oromAric oa- tK!rNv#tL. f DWN EY. C cro •Y. .. DATE NOT TO SCALE _ DEEP END SHALLOW END... UNLESS OTHERWISE SPECIFIED: POOL IS 3 SHALLOW -TO 'I DEEP I- HAVE RECEIVED A COPY OF THIS PLAN AND HEREBY APPROVE POOL AND EQUIPMENT LOCATION STOMER'S SIGNATURE DATE A