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021-070-106
OaT _ 4 021-07-0-�os�='. ' �z4 92=0202 CARTER , DARREL & ALICE CONTR. r OWNER 2`5� ANDRErA M': CT GR I NEW SF � , 021=07, O�Y06 ' 93=694 BPE CARTER,w,DARRELL & ,ALICE - 23 'ANDREA{M'CT,,, GRIDLEY,; + �'" Vla` l x MN --0N'PERM 021`=070-10.6,` 'x"'93 -2656'B E'" 'CARTERlbY R' RELL ,,k'>.`' •�. J �23 ANDREA,'''GRIDLEY - _ a , GARAGE Ham' `' •`.,,, �- s• - y a e r t u i r 7 i li 3 S f u ;1 _ ib 7 V=OK O = Not OK - = Not Applicable ' =Not Ready MOBILE HOMES, Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'a 1. Zoning Requirements-Setbacks-Easemente 2. Soils; Special MH Support Sketch , 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Teat -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete - 6. Gas; Location -Teat -Wrap: / /" L"ft. / /"Net. or/ P'L"ft./ P'LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date/Initials MOBILE HOME INSTALLATION (Plana) OK except #'a 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3.. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy t MISCELLANEOUS Date/Initial DE COVERS CARPORTS GARAGES Plana OK except Me ` 1. ning Requirements -Setbacks -Easements 2. -Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rolls 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. AI wn.; Columns -Connections -Splice -Decal -Enclosures rports; Windows -D 7.* ctric JL. 6a' i7 . mg; Sils-Anchors-Studs-Rftrs-Trueses 9. Siding;_ N sill ng-Venear-Stucco-Mosh oof; Shthg-Roofing 11. Ext.; Steps- oors-La Ings z Date/Initials POOLS (Plans) OK except #'a 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness bead Men -Lining ; 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Mein in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test I V=OK t O=Not OK - = Not Applicable RESIDENTIAL = Not Ready Date/Initials UNDERFLOOR (Plans) OK except #'s 1.ZonIng -Setbacks-Easements-Flood-Slope 2. Ftg., Main; Soils-Elec. Grnd. / P' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /' Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6s. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fell -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nasi Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/initials ELECTRICAL (Permit) OK except #'a 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water 27. 2 Appliance Circuts In Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels -Motors -Meth. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date/initials FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Wells (ret proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing (Single & Duplex) Date/Initials FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin=roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Faits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Wells -Windows Date/Initials FINAL (Plana) OK except #'a 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd: Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door, Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Meth. Protection 75. Plb., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door-Drainagge & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Comnwnts at Final: W ' f / COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. 93-2656 ' ,LssEsgP1,R6BER06 16 ZONING A-5 BUILDING PERMIT OWN CARTF'F' TELEPHONE TELEPHONE 846-2023' SQ. FT. OCC. BUILDING VALUATION 8b4 M $15 552 OWNER'S MAILING ADDRESS 23 ANDREA COURT, GRIDLEX CA 95948 CONTRACTOR'S NAME 0AER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is 15 552 Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 171,a) ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 111.15 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 23 ANDREA COURT PERMIT FEE $ 302 L5 GRIDLEY CA 95948 PLUMBING PERMIT Filing Fee 20.0+ Each Trap 7.00 Solar or heat pump water heater 23:00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP IP -- 46 6 Each gas water heater or vent 15.00 USE OF STRUCTURE Other ,., SF ❑ Duplex ❑ Mobilehome O DET' GARAGE SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W ` 20'00 TYPE OF WORK New Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 000V OR LESS ) 23.00 2OOA OR LESS Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. S0. OR ADDNS. ( a ACC. OLDS. ) 3.50,:T. CONTRACTORS LICENSE LAW( I declare under penalty of perjury (check one) ❑ 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification b.I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ lam exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET .NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BA20 @ 1.000 Ex. Occup.FIXED APPLNS. OR ( OUTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. IM I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 7 Contractor MECHANICAL PERMIT Filing Fee 2000 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, co s, and expenses which may in any way accrue against said Coun in consequ of the a this -permit_ � X 9 l%ff' Date C` / /1 /? Signature of Applicant -.Owner ❑Contractor El Agent' An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ /� I Cod,!. TiPE i/ TOTAL FEES 352.40 HAZ. D. FEES IMP FIOOO CDF PARCEL PD I HD OISSU This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By `�''```�'` Date /{1.,3 IV `T G PERMIT EXPIRES ON )) (Date) 148129 Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. 93-2656 ASSESPARCEL NUMBER �1-070-106 ZONING A-5 BUILDING PERMIT OWNER DARRELL CARTER TELEPHONE 846-2023 SQ. FT. OCC. BUILDING VALUATION 864 Al $15,552 OWNER'SADDRESS 23 ANDREA COURT, GRIDLEY CA 95948 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is 15,552 Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 1,71.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ N Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 23 ANDREA COURT PERMIT FEE $ 302.15 GRIDLEY CA 95948 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other DET GARAGE SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W 20'00 TYPE OF WORK New R Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 200 Main Service ( 'ov OR LESS ) .0. OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLDS. ) SD. 3.5C FT. CONTRACTORS LICENSE LAW( I declare under penalty of perjury (check one) O 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. {� , 'License No. Classification tical, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ lam exempt under Sec. Business and Professions Code forthis reason NEW CONST, MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) @ 100 B20 . Ex. Occup.FIXED APPLNS. OR ( OUTLETS IRESID.I EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20:.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, c s, and expenses which may in any way accrue ag inst said Co�/ X Date CJ Signature of Applicant -AZwner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ cc C i -T TOTAL FEE $ H.Z. D. FEES IMP FLOOD COF PARCEL �2A This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been DIRECTOR OF PUBLIC WORKS By Ciate PERMIT EXPIRES ON 4 (Dar 1 provisions to do work paid. � i Receipt No. 148129D WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT J COUNTY OF.,:PUTTE . =A BUILD4NG DIVISION:_ DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA ---(916)-891-2751 ..' •-'� v�. 7 County Center. Drive, Oroville, CA. (916) 538-7541 • 747 Elliott Road, Paradise, CA - (916) 872-6307..":.:_ CORRECTION NOTICE'. r: ..1 � • t 1 f 3 OWNER FERMIT:NO:r A routine inspection indicates that the following violations of Butte^ County. Ordinances exist at the above address and should be corrected. Please notify this office when coirection of'woik ,} is completed. If you have any questions pertaining to this matter, or r need additional explanation please contaSIAWr.,office immediately. t 4F r Ing cl i yr A`) iU E'B —7 1) d/ L,"O" "a ��✓ � � �'. � z e a VfAJ t 142 X41-/ 3 �• r. Y - 3} alt � a Date `r— Inspecto Ck ' REV 10/92 ti y COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENTSERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 c ,/ PERMIT APPLICATION DATA SHEET OWNER , ��4 r C'e Ul ��t ('-(-e l(� A. P. No, 07- 76 46b b Proposed Building Use 4e,4- CTA-tflCrE Building Inspector (z0 Date 60'1 1 93 r `3i. _ At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance` DATE RECEIVED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans. ......................... . 3. Complete plans, 3/4 sets, signed by preparer of plans. ..................... . .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form. ......... ............................... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... �. 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 $ .I ....................................... . 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 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.about (A) Improvements (B) Drainage. ........... 19. Driveway permit (construction approval required prior to occupancy). .. . st 20. Pre -inspection for to Building 1ector required. . to Building lnspeaor Gate) 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 fou issue the permit, process as follows: _ phone- - and hold for pip Other Parcel Creation Acreage Mail to owner Mail to contractor. p at � (< office. Deliver with inspector. Applicant Date Lam/ // 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: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Contractor, designer, owner, was advised of above required data by _ phone _ mail Plans checked by Date Plans approved by Sets of plans in - F►! ,Iet: fol Copy I Department of Public Works Counter by Date Counter by _ Date W1 Date { 1'liu I'lun AuuwhcJ L -L Cu �' �✓ ; I Ifiuf Phut Atwecd h---------- TO: ---TO: Btulding hopartmelit FROM: " Enviroil niental• , Hc7lth SUBJECT: Sanitation Clearance Owner _ Location AP# Plan Approved for: Sewage Disposal �/ ti'ater Supply: Public Private Well Clearance for bedr(iom mobile home. Other o3`� (��'�w�`�-- 4 Hold final for: Final clearance 0. K. for: NOTE: , Environmental Health Specialist 8/92 vv Date Yom, COUNTY OF BUTTE -'Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest cpportunity to avoid unnecessary delay. in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and material for construction of the proposed property improvement (yes or no) e 2. I (have/have not) signed an application fcr a building permit for the proposed work.. 3. I have contracted with the following person (firm) to provide the proposed construction - Name' Address City Phone Contractors License No. 4. I.plan to provide portions of this work, but I have hired the following person to coordinate, supervise,.and provide the major work:.. - Name' Address City Phone Contractors License No. 5. I will -provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work -Signed: Property Owner Social Secur' yl tuber Date . NOTE:;. -.This Owner -Builder Verification is sent to you ds-. required by Sections 19831 and 19832 -of the California Health and Safety Code. This verification must be completed and returned. -to our office before we are per- mitted to issue the permit. .Q . . , ,,.:. Environmental ,_Iaalth AUG Z' 1 1993 cAp `A L_ fi-. ' - - 1 `I � • ° �r. D , : D .' " = ___r •��r ville California f ... f ... NOTE. Atl Mater als & YVorkmanship Shall Be in Accorda c� with ecognized Good Practices and - `of a qual prescribed for the Specified use in the : .i ' _ _ . r Uniform ilding, Plumbing & Mechanical Codes and '' the Nati I Elect ical Code. Y • ; w�. i . o C = This set of plans and specifications MUST be,, 4 .ate ,1,,, �' ` s'� i, -Do ..,kept on the job at all times and it is unlawful to ,_ , make any changes or alterations on same withou - i '* ; `o 0 written permission from the Department of Public ' o \ re .11 i; rn Works, County of Butte. ` EAALL* STRUCTURES AND EQUIPIA INCLUDIN{ -I OVERHANGS SHALL SE CLEAR OF ALL EASEMENTS. I 1 U A SET BACK OF S FT THE SIDE AND, FT. FROM THEREAM` ES AND p ,,S' o FT. FRWA THE ROAD C_ENTE_RLINE S O CLEAR OF 'STRUCTURES AND EQUIPMENT EXCEPT Y ) a { FORA 2 FT. SAVE OVERHANG. - o 0 01 UM: COUNTY BUILDING DEFIAM TIViENf V --�Y � &�7 . _ � i 7 -0 � �./ �� Z� �� �� s`/ l / /� �S l � • � .� tee. 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NO1101)�jn,) MIN 33HVOHOa3V N1 0711Y1SN1 30 ISM S31V1d U003NNO3 IVCZ W91 Lu''@ 6210 :U-1 301-X 30 PJQPUQI_S H3UV1-1313 bXZ S03M H3HV1-tst 3 SW aUOWa"lof} 11HAV-14113( Ig-pi.HAV IVEZ 65'L1 00"Z1 10'9 62'0 .:U-1 301-X 31 I3 4'X2 -000N0 d01 ., RESIOgNT1AL 0-07-0-106 93-694 BPE 21 (,ARTF.R nARRFTJ. & ALICE w Maaress 'r { GAS ` Meter By } Dat ELECTRIC n 'S Meter By e*-- Uat k ;rr \ OFFICE COPY Address GAS ' Meter By Date ELECTRIC, 1, }: Meter By ate "JOB FINAED te) Sipnatun 5 V=OK O=Not OK -=Not Applicable' Not Ready MOBILE HOMES' = -Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'s - -1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fell -C/O Concrete 4. Water; Location -Teat -Easement Needed (Sketch) 5.` Electricity; Locatlon-Clearences-Grnd-/ - /Amp -Concrete" - • - 6.. Gas; Location -Teat -Wrap: / /"L"ft. / /"Net. or/ P'L"ft./ /"LPG 7. Well Clearance & Disconnect & Utility Clearance Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'a 1. Zoning Requirements -Setbacks Easements 2 Footings; Size -Spacing -Marriage Line 3.. Gas; MH Teat -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fell -Flex Connector 6. Water; MH Teat -Regulator -Connector 7. -Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy E `MISCELLANEOUS • Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel ,^yf 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg: Rfg.=Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric �. \ 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 4 VEu 10. Roof; Shthg-Roofing '\`V 11. Ext.; Steps -Doors -Landings �% J Date/Initials POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability_ ,.1 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining. 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed - 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Mein in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test c V=OK O = Not OK ` = Not Applicable R Not Ready RESIDENTIAL = Date/Initials UND LOOK Plans OK except #'s g -Setbacks -Easements -Flood -Slope Mein; Soils-Elec. Grnd.-/ P' Ftg. Depth 3. Fig., Garage; Soils-Steel-Elec. Grnd. / /" Fig. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6a. jfo}b Downs and Special Anchors tting-Test-2 Way C/O -Sewer Test 0. OF. Gas Pipe; Size -Anchors - 2. Electric; Underground 13. P enums & Ducts; Clearance -Material -Support -Ina. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING (Permit) deexcept #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection ' 18. D.W.V.; Test -Fittings & Anchor -Neil Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/initials ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels -Motors -Meth. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date/Initials FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Wells (ret proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing (Single & Duplex) Date/Initials FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Wells -Windows Date/Initials FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection - 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel: Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd: Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door, Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Mach. Protection 75. Fib., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door-Draina e & Wood -Earth Clearance Looked under Floor Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg: Appliance -Fireplace. -Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Comments at Final: A. COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT S�RVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE_ vwlz 1 PERMIT N Arootamitinspection indicates that the following violations of Butte County Ordinances exist at the ahmm address and should be corrected. Please notify this office when correction of work iscomohmm L ICfyoohave any questio ertaining to this matter, or need additional explanation, pfeas+e =officeimmely./ lc -2- ' dzf � Lr (fC C-61 c_t-4-L L�L �-�-C ��-c i i c y Date 9' 13 Inspector �rjAl REV B0W a COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico•— Phone: 891-2751 7 County Center Drive, Oroville- Phone: -538-7541 747 Elliott Road, Paradise—•Phone:'872-6307 CORRECTION'- NOTICE OWNER PERMIT A. -routine inspection indicates" that the following violations of County Ordinance exist at the above*' address and should be corrected. Please notify this office rF . when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 • , Ary CORRECTION NOTICE •` OWNER PERMIT 40. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work rami is completed. H you have any questions pertaining to this matter, or need additional explanation, ' please contact this office immediately. Ic )e... :.r iY - }F Date — '2, Inspector REV 10192 tom. a. -:..-`•_.'-'`�'`:u"Y':.sr:s+`.a.�'�`'.^'ss�; . «�__ _ �.. .-. COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 Courcy Center Drive, Oroville, CA - (916) 538-754.1 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE .- - _M 1: rNO. gaorrri knWeetim ind;cates that the following violations of Butte County O, '-ncis exist at the abam mikkess and should be corrected. Please notify this office when correction of work i:s;cetfyouhave any questions pertaining to this matter, or need additional explanation, pfd the office immediately. Pow /—/ W�&- s COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES° } 1469 Humboldt Road, Chico, CA - (916).891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise", CA - (916) 872-6307+ - .n CORRECTION NOTICE:..'..4-'. OWNER / PERMI O A routine inspection indicates that the following violations of Butte County Ordinances exist 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 needadditional explanation, " please contact this office imm iately. t4 l �- 7 / .OA i 'C ie C rt -, t. - t Date Inspector REV 10/92 - :2 COUNTY OF BUTTE - DEPARTMENT OF PLIPLIC WORKS Ge ;.II ' -G f!" 7 County Center Drive - Orovilttu; California 95965 - Tele�7honea16/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZONING — — A5 BUILDING PERMI. OWNER g2f 7 Chiesa �?r TELEPHONE SO. FT. OCC. BUILDING VALUATION nARIRFT.T. R, ATJCF CARTEROWNER'S 872-9640 MAILING ADDRESS DR GILROY, CA 95020 2248 R 121,392 CogrwA:CTQRM TELEPHONE CO 'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 155,00 Permit Fee $ 337.25 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 168.60 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee • . $ 520.85 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 7..00 Each qas water heater or vent 7.00 7r 4� USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 5.00 Building sewer 15.00 SF ❑ Duplex❑ MobilehomefE Other Mobile Home I S I G JW 1 015.00 SPECIFY TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installatior>U Other ❑ Permit Fee $ Describe work: MHI PERM. FOUNDATION Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 Main service 200A TO IOOOA). 37.50 CONTRACTORS LICENSE LAW NEW CONST. DWELLING OCCUP.&) . 3.54sq.ft. I declare under penalty of perjury (check one): OR ADDNS. ACC. BLOGS. ❑I am licensed under p provisions of Cha t. 9, Div. 3 of the Business NEW CONSTR ULTI.OUTLET NON.RESID BRANCH CIRC ITS 5.00 and Professions Code and my license is in full force and effect. POWER APPARATUS tr SINGLE OUTLET CIR. ) License No. Classification Ex. Occup(OUTLETS OR FIXTURES20 @ 76 El I, as the owner. Or my employees with wages as their sole compen- FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 3.00 dation, will do the work,and the structure is not intended or offered Temporary service 15.00 /for sale. (Sec. 7044) ®' I, as the owner, am exclusively contracting with licensed contract- Mobile Home Facilities 15.00 ors. (Sec. 7044) Misc. Iyirin g -15.00 ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ 3.50 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT FiIingFee 15.00 ❑ The permit is for $100.00 (valuation) or less. Heating ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate f Consent to Self -Insure. Cooling I shall not employ any person in any manner so as to become subject Hood 6.50 to the W. C. laws of California. Ventilation Notice to Applicant: If after making this statement, should you becomesubject to the W. C. provisions of the Labor Code, you must forthwith comply with such permit Fee $ provisions or this permit shall be deemed revoked. Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee S is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Energy Inspection Fee $ Butte to enter upon the above-mentioned property for inspection purposes. Occ CONST TYPE I also agree to save, indemnify and keep harmless the County of Butte against TOTAL FEES 596.35 all liabilities, judgments, costs, and expenses which may in any way accrue HAz DFEES IMP FLOOD CDF PARCEL PD HD ISSU against said County in copse fence oft granting of this permit. 1 I I ,-- � i I Y X A Date This permit is hereby issued under the applicable provi- signature of A- plicant — Owner ❑ Contractor ❑ Agan An OSHA P/mit is required for excavations over 5'0" deep and demolition or construct- ion of strut res over 3 stories in height. sions of the Bu e C unt ode and/or resolutions to do work indica a ve or hich fees have been p id. I CT F P BLIC WORKS Receipt No. 135866 By Qate 2�� PERM EXPIRES Date Z. / WHITE-O.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTI(OF BUTTE - DEPARTMENTFDVELOPMENTS,ERVICES - BUILDING DIVISION j r 7 COUNTY CENTER DRIVE - OROVI LLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET �V ( 'eo� OWNER �� %�- �f A. P. No. Z (-O 7 v - G� Proposed Building Use - W1.41 ori Building Inspector Date ` 8 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ....................................... . -0 2. Plot plans, 3/4 sets, signed by preparer of plans . ......................... . Complete plans, 3/4 sets, signed by preparer of plans. ............. . _ ,4: ngineered plans and calcs, 3/4 sets, with wet signature on plans . ............ . Hazardous Material Form . ............................................. -6. Energy Design Compliance and supporting documentation . .................. J. 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 f$ .................................... 11. Impact fees as shown on attached schedule . ............................... 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 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 about .(A) Improvements ',(B) Drainage. .......... . _ 19. Driveway permit (construction approval required prior to occupancy). . . 20. Pre -inspection for Prean,e�o"'6q° — required. . to Building Inspector mate) 21. Contractor's license information. (No., Name Style, Classification) . .............. y 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 . .............. .................... Plan check list. ................. K 433 = Vs&IAI Da b jJ r pen _c'Z --av , / t' i- I , Whe you issue the permit, process as follows: ail to oWhe . Mail to ontractor. Telephone and hod for pickup at office. �t Deliver with inspector. Other° u Parcel Creation/ p Acreage (&&✓1- r d„o ` q Z _X7534 y�, ;� Applicant %412-e—e-l) P11 Date 3 �' Copy of Haz-Mat form sent Health Dept.' t" Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire -Dept. Other Date By The following data must be submitted pri per issuance: (Circle new item not checked above). 1. Index permit for above items No. i , 2. Additional items req -wired: - 1 Contractor, designs , o was advised of above required data by _ phone _ mail ✓ Counter by Date ��2� p �a� Contractor, designer ne s advised of above required data byhone-_ mail Counter by Date 3 Plans,checked by Date -Plans Z -Plans approved by _ �W Date 30 g Sets of plans on hold in Copy - Department of Public Works folder i COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916)5387541 OWNER/A.P. NO. VZ �' 070 PROPOSED BUILDING USE ��/ DATE REC. # DATE REC District Fees 1. School _ / 9 .(paid.at District Office) 2. Sheriff -Fees _ ( paid.. at Building Department) Residential... ..... X unit amt. Commercial(per-sq.ft.) X _$ sq.ft.. amt. 3- Urban-.Area.Fees (paid atBuilding.Department Residential (per-unit) X =$ # units amt.. Commerical(per-sq.ft.) X =$' sq.ft. amt.. 4. Recreation -District Fees (paid at -District Office) „ :5. Drainage District Fees (Contact Land Development) 6. Other 7. Other At time of. -permit application,.I was advised the. above fees are required to be -paid. prior to issuance of the permit. 'APPLICANT / DATE .04 �VAf 0. BUTTE COUNTY -SCHOOLS DEVELOPMENT FEE CERTIFICATION FO /Q NCOFp 77'e ,. (One Form per Building), %g 1993 A.P. Number Z D%G 106 Building Department No. G ' School District CiAidle �z_ City'[n County [��Jurisdiction Property Owner U��'��LL �9cie Q Project Location/Address �J ' VN�R' �1- C� , aj %Qid�Gh� Cly Subdivision Lot Number Residential Development: ��x a Sq. Footage # of Living MHI Addition (Group R) Units P Commercial/Industrial: a a Sq. .Footage r New Addition (Including Exterior Roofed Areas) ing Department Representative Date (Floor Plans reviewed by School District Personnel) District Id No. �s•} l�i Applicant Name) treet (Cit ess) School District certifies that (Phone Number) ate) S ��Q Zip Code has complied with,-- he requirements of Resolution No. by the payment 'oO:' $ (�J j / representing 2,2, squar. eet. Scho District Representative Date PAID BY CHECK NO. REMARKS BANK . NO I'S PAID BY CASH white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) Ir.�^^wn r...r a.t� rvyMa C1Y X-11 TR NF—R'S MAILING ADDRESS gay -� CNse N TR A[/Oji�S N,AMEA tr N NAME COUNTY OF BUTTE -.DEP'ARTMENT OF PUBLIC WORKS 7 County Center Drive - Orov,ille, Carifornia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT CA 9.�a2a PERMIT NO. BUILDING PERMIT SO. FT. I OCC. I BUILDING VALUATION Fireplace UNKNOWN Total Valuation Filing Fee Permit Fee LfCENSE No. Plan Checking Fee Enerqv Plan Checki PARCEL MAP USE:OF-STRUCTURE=: SF ❑ Duplex❑ Mobilehome❑ Other SPECT FY TYPE.OF-WORK New❑ Addition❑ Remodel❑ Utiliti InstallatiotV Other C1 Describe work: E S S 15.Co I =� 67 $ Fee S i Penalty Permit fee PLUMBING PERMIT Each Trap Solar or heat pump water heater Water piping Each qas water heater or vent Gas piping system 1 - 5 outlets Building sewer .41 Mobile Home S I G I W Permit Fee Contractor ELECTRICAL. PERMIT* Main service 600V OR LESS 200A OR LESS Main service 200ATOI000At CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): F7NON.RESID. 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 FlI, 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 OCCUP.al\ OR AODNS. ACC. SLOGS. NEW CONSTR. MULTI.OUTLET SRANCH CIRCUITS) POWER APPARATUS e (SINGLE OUTLET CIR. Ji Ex. Occup( OUTLETS OR FIXTURES FIXED Ex. OCCuo. OUTLETS 4REAPNSID IKEA.) Temporary service Mobile Home Facilities Misc. Wiring g 5.00 Permit Fee WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. r u 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 Heating Cooling g Hood Ventilation Permit Fee Contractor I certify that I have read this application and state that the above information is correct I a ree to comet to all Count Ordinances and State Laws reiat Mobile Home Installation Fee $ Filing Fee 1 15.00 5.00( 20.00 I j 7.00 7- p o 7.00 i 5.00 15.001/5•c�3 @ 15.00 s • y2_y Filing Fee 15.00 18.50 37.50 j 3.64 so.ft. @ 5.00 I 1 3.001 15.00 l 15.00 15.00 $ Filing Fee 1E.00 #6.50 $ $ y g Y y fog Ener Inspection Fee $ to building construction, and hereby authorize representatives of the Countyot 9Y Butte to enter upon the above-mentioned property for inspection purposes. OCC CONST TYPE I also agree to save, indemnify and keep harmless the County of Butte against TOTAL FEE $ all liabilities, judgments, costs, and expenses which may in any way accrue I HAL 1 0FEES I IMP tL COF PARCEL PD HO ISSUE against said County in consequence of the granting of this permit. i X Date This permit is hereby issued under the applicable provi- sions L_' Contractor i—Agent of the Butte County Code and/or resolutions -o do 1 An OSHA work indicated above for which fees have been pald.r/�l� ion or structures to—rr astorldesarn hiv gtattlons over 5'0" -Jeep and demolition or construct- DIRECTOR OF PUBLIC WORKS __JJ T JPIo� RecelOt No. By DatePERMIT EXPIRES Date COUNTY OF. BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 PHONE: 916-538-75+1 Darrell Carter DATE March 26, 1993 c/o Obie Carter. 6294 West Wagstaff Rd.. RE: Building Permit #93-694 Paradise, CA 95969 Dear Mr. Carter: A.P. Jk 021-070-106 .With reference to the above subject: / / Attached is: Application for permit Mobilehome Utilities Installation Sheet Building Plans_ Mobilehome Installation Information Sheet Engr-. Calcs Typical Plan Sheet. Owner-Buildei Verification Form List.of Codes Enforced OTHER _1 We need the following information:- Permit nformation:Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or.check exemption statement.. Contractor's License Law information or check exemption statement. Complete plans in including plot plans. Plot plans in Structural details in Complete..plans and calcs'in. by registered engineer or architect. Energy design-including Street anddrainage improvement plan approval from Land Development Section (DP%):. sets of.plans in accordance with the.changes marked in red. Sanitation approval from Butte County Health Department at: 1469 Humboldt Road, Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7-County Center Drive, Oroville, for Completed. Owner-Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. XXX/ OTHER ..l. Proof= of ownership of mobilehome. 2. Mobile homes installed on permanent foundations require either engineered plans (wet stamped and signed) or a plan stamped with a current S.P.A. number. Plans should be in original form, not cut and stapled. Should you have any questions concerning the above, please contact. Barbara Wilding of this office., between 3:00 and 5:00pm weekdays. Yours very truly, William Chuff Director of Public Works J.F. Glander JFG/aj COUNTY OF. ,BUTTE ,-.,,DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville,'CA 95965 PHONE: 916-538-7541 DATE -3694- RE (p29 4 �e�r �U�.qS� �o� • A. P. # 0 ?_I - 6-7 0 /O& With reference.to the above subject:. / / Attached is: Application for permit Building Plans Engr. Calcs Owner -Builder Verification Form Mobilehome Utilities Installation Sheet' Mobilehome Installation Information Sheet Typical Plan Sheet List of Codes Enforced OTHER: t We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of.$ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License.Law information or check exemption statement. Complete plans in including plot plans. Plot plans in 1 Structural details in Complete _plans and calcs. in.. by registered. engineer. or-.architec;t. Energy design including F Street and.drainage improvement plan approval from Land Development Section•(DPW). 'sets of plans in _accordance with the changes marked -in --red - - t Sanitation.approval from Butte County Health Department at: 1469 Humboldt Road, -Chico 7 County. Center. Dr Oroville Skyway .&. Elliott Rd., Paradise.' Planning approval from Butte County Planning Department; 7 County Center Drive, ; Oroville, for' Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded. .copy.of. agricultur.al__acknowledgement_:.statement. -- -.--- -..-.. -. Should you have any questions concerning the above, please contact (,lll{(" of this. office_. Yours very truly, i William Chaff Director of Public Works a Glander JFG/ j COUNTY OF BUTTE 7 County .Centel Darrell and Alice Carter 8217 Chiesa Drive .Gilroy CA 95020 With reference to the above subject: DEPARTMENT OF PUBLIC WORKS' Drive,-Oroville, CA 95965 PHONE: 916-538-7541 DATE 3/24/93 RE: Building -Permit Application for Mobilehome on Permanent Foundation A.P. # 021-070-106 X Attached is: Application for permit Mobilehome Utilities Installation Sheet Building -Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced OTHER Receipt for Sheriff Fees / / We need..the following information: „Permit application signed and completed where indicated with all copies returned. Fees of $ payable to -Butte County Treasurer. Certificate of tiJorkmen's Compensation Insurance or check exemption. statement. Contractor's License Law information or check exemption statement. Complete plans in including plot plans. Plot plans in Structural details in Complete. plans and calcs in by registered.engineer or architect. Energy design including- Street-and ncludingStreet and drainage improvement. plan approval from Land Development Section (DP'd). sets of.plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 1469 Humboldt Road, Chico 7 County Center Dr.', Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed showing .Recordedcopy of agricultural acknowledgement statement. /,'OTHER We still need.some sort of proof of ownership of the mobilehome. A copy of the bill of sale or a letter from the lending agency involved would take care of this item. Thanks. Should you have any questions concerning the above, please contact Anne of this office. Yours very truly, William Cheff Director of Public Works ',J . F . Glander - _... JFG/aj : \ F.H.IIsE c)\I.Y } . Hour flan AlUich d sem to II.D. TO: "Building (Department t COUNTY OF BUTTE FROM: Environntcrital Health BUILDIN a DE.QT SUBJECT: Sanitation Clearance ,_�;. � i u j �3 C'a'4 Da-rre- 11 And, rea-W.. �ri I dl-D7-06 ` Owner Location AP# Plan Approved for: Sewage Disjxosal x Water\Supply: Pllbhc Private Well_ Clearance for 3 bedroom moblic•home- Other ' Hold final for: Final clearance O.K. for: NOTE: / 3 /0 '3 Environme tal Hgalth ,Specialist Date y 8/92 AAJ 0 cr) cc .5 M IS - Q i \A APPROVED Butte County Ervironmental Health ---------------- Date Segryature FACETED / WINDOW--- �7 �7"EN SHOWER B 21% I I I . CATHEDRAL CEILIV MASTER BEDROOM No. 1 16'- 0" 18'- 8" 18% U" APPROVED Butte County. Enxiironmental Health PORCH 3 G/C - - - - - - - - - -------- -- ------- Ott I Date 5514 *6626i 52'-10"13 i;nalu�r_e 3 BEDIMOM-CENTER 0 BAR - FAMILY ROOM - 2 KITC11EN - SNACK BATHS -MIAL 11.11 - 110RCI I - `,A-nTFD_R'NT.(--hAQN 2 is M2 FT cl vilum"mm "saim MAR 0 3 1993 Ofoville, California C, . I OPT. DESK 1 L 4 i-1 J, I"N .1 - ----------- - - - - - - - - - - j SPACE CAIE / DOORS<_ UTILITY DINING KITCHEN ROOM 12% 8" ISLAND 90PT. r BEDROO M .12' 0" PANTRY WORK BREAKFAST DOOR/ L No. 2 R EF AREA A 0 CATHEDRAL CEILING CATHEDRAL CEILING CATHEDRAL CEILING CATHEDRAL CEILING Z BEDROOM No.3 13% 4" FAMILY ROOM 18'- 8" 18% U" APPROVED Butte County. Enxiironmental Health PORCH 3 G/C - - - - - - - - - -------- -- ------- Ott I Date 5514 *6626i 52'-10"13 i;nalu�r_e 3 BEDIMOM-CENTER 0 BAR - FAMILY ROOM - 2 KITC11EN - SNACK BATHS -MIAL 11.11 - 110RCI I - `,A-nTFD_R'NT.(--hAQN 2 is M2 FT /06 31Z�/93 PaA:4/-f N M H 4--buNvfi"rl 6 A/S �2c��i�I2C ffITKEA. (6ticr SI6f4JEo� �� 5'Pfl- carry 1 (oj von o DO ,LA o rV1,o LJ PDW�(Z L!ti L 70� .v A 6E. N C 71 �� O �'- ti�ts� m�tirr GA-rJ L d J COUNTY OF BUTTE -DEPORTMENT OF PUBLIC WORKS PERMIT N0. 7 County Center Drive - Orovllle, Callfornla 4965 - Telephone: 916/538.7541 92-202 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 21-070-106 ZONING A 5 BUILDING PERMIT OWNER DARREL & ALICE CARTER TELEPHONE 872-9640 SO. FT. OCC.1 BUILDING VALUATION 1919 R 97 869 OWNER'S MAILING ADDRESS 8217 CHIESA DRIVE GILROY 95020 704 12,672 CONTRACTOR'S NAME OWNER TELEPHONE /M 132 COV 1,716 CONTRACTOR'S MAILING ADDRESS Fireplace "A" 1,500 CONSTRUCTION LENDER UNKNOWN Total Valuation is 113.757 LENDER'S MAILING ADDRESS Filing ee $ 15.00 PermiYee / L, $ 646.00 ARCHITECT OR ENGINEER LICENSE NO. Ik PI ecking F e $ 323.00 E e y Pla C king Fee $ 20.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS e Ity $ BUILDING ADDRESS 25 ANDREA M COURT GRIDLEY Permit fee $ 1004.00 UMBING PERMIT Filing Fee 15.00 a Trap q 5.00 ar or heat pump water heater 20.00 LOT NO. 2 SUBDIVISION NAME 1 PA EL MAP 107-66 Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF © Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home Is G W @ 15.00 TYPE OF WORK New[ Addition ❑ Remodel❑ Utilities❑ Installation❑ Other❑ Describe work: Bum _ Pennit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 18.50 18.5J 200A OR LESS Main service 200A TO 1o0OA, 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License ;Jo. 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 a NEW CONST. / DWELLING OCCUP.&\ 3.64 sq.ft. 92.0J OR ADDNS, l ACC. BLDGS. / NEW CONSTR.ULTI.OUT LET NON.RESID BRANCH CIRCUITS) @ 5.00 POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 @ 760 FIXED APPLNS. OR EX. Occup. OUTLETS IRESID.I EA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Iyirin g 15.00 Permit Fee $ 12-5.50 - 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. Eg 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 15.0 Heating 19.50 9_50 Cooling 31 TON 16.50 16..50 Hood 6.50 6-50 Ventilation Permit Fee $ 47.50 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, jud ments, costs, and expenses which may in any way accrue again said C in c s fice of the granting of this permit. X Date -� Signature of Applicant - Owner m, Contractor ❑ Agent ❑ An OSHA permit is required For excavations over 5'0" deep and demolition or construct - ion of structures over 3 stories in hei tt. Mobile Home Installation Fee $ Eng gy Inspection Fee $ 40.00 CONSTTYP bo, TOTAL FEE $ 131 HAz DFEES IMP FLOOD CDF PARC PD H SSUE This permit is hereby issued under the applicable prcvi- 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 PERMIT EXPIRES Date Date Receipt N0.10 • cr 1, 3%3'O 9/-73-50 WHITE-D.P.W.. YELLOW -ASSESSOR, PIA -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovlller CalifornlaF95965 - Telephone: 916,'538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ,".. ` Zl O7 "'':. lC� 6 ZONING BUILDING PERMIT OWN Li� R 2 ��'2 -TELEPHONE X72 96 V0SO. FTei. OCC. BUILDING VALUATION 1 / G! 3 6 OWNER'S AILING AD RESS g21 7 c�ri�s� �� . C1 L�o C4 9- 7011- i 6 -7-L CONTRACTOR'S NAME � w � TELEPHONE CONTRACTOR'S c'=" -• "-"CRESS _/ _ it fCNfsw� CONSTRUCTION LENDER UNKNOWN \ Fireplace /t} Total Valuation $ 5-7 Filing Fee $ 15.00 LENDER'S. MAILINGADDRESS - ' "OR Permit Fee $ 6y� ARCHITECT ENGINEER LICENSE No. Plan Checking Fee $ 2 3 Energy Plan Checking Fee $ 2� ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ loot' PLUMBING PERMIT Filing Fee 1500 /yy/► 37 �N�/lFi�j Co o4( Each Trap 5.00 CA Id Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP /0 —�o tp 7 / Water piping .00 7 Each qas water heater or vent P 7.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 05- Mobile Home S G W @ 15.00 TYPE OF WORK New �ddition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work:�6A' - _ Permit Fee $ 9t' Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service soot/ OR LESS1 8.50 1 •S 200A OR LESS _ Main service 20CATO t000A1 37.50 CONTRACTORS LICENSE LAW p y p I y (Check one): I declare under penalty of perjury ) ❑ 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 :Jo. Classification 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 2� I 3.64sq.rt. —' OR ACDNS. ACC. BLDGS. NEW CONST FLMULTI-OUTLET NON-RESIC BRANCH CIRC ITS @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 76d FIXED APLN Ex. Occup. OUTLETS P(RESID IREA.� I 3.00 Temporary service 15.00 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. 0 1 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 -5.00 Heating X </Oo I,!oril "P 6, son- IF, — Cooling )f '� -3 A- IG -SD rtS-S� Hood f 6.50 • _70. Ventilation permit Fee $ 4l p 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, c sts, and expenses which may in any way accrue agai t Said C ty i con uence of the granting of this permit. U X Date i�Z- Signoture of Applicant — Owner Contractor El Agent ❑ An OSHA permit is required for oxcavo ions over 5'0" de p and demolition or construct- ion of structures over 3 stories in heigh . Mobile Home Installation Fee S Energy Inspection F e $ c cONSTT'P' TOTAL F E $ .y �r♦'� HA2 I D FEES I IMPFLO COF PARCE P H ISSUE - 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 Date_ PERMIT EXPIRES Date _ Receipt No. 3 Q3 Z 9770//By wM rE-D.P.W.. •EI. I.OW-ASSESSOR, PIN -INSPECTOR, GOLD ROD -APPLICANT 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 ��l1� ft.�/VL/G� ��ARi{,_/L A. P. No. Z% bid O6. Proposed Building Use 6Lt.� 3&Z `51iC Building Inspector C,5W Date 2y Z At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. 2. Plot plans in duplicate/triplicate, signed by. pr:eparer of plans ....... . 3. Complete plans in duplicate/triplicate, signed bji preparer. of plans . . 4. Complete engineered plans and talcs, with wet signature on plans .. 5. Hazardous Material Form ......................... 0 ................ 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 ....... 7,: ................................... 10. Fees. of $ ........................ 11. Chico Urban Area fees paid ........................... 0 ........... 12. Park fees paid .............................................. 3. School Distrjlpt fees paid .............. '_r214. Sanitation ap - oval fromO/f �V G Health Department -✓ -�13 G}� S 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of N (see City for other req'u`irements) 17. Planning approval for (A) Use: (B) Parking:- 18. arking: 18. Improvements may be,required. Contact Land Development Section DPW t 19. Driveway permit (coristr0ai"O roval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Dai) 21. Contractor's license information (No., Name Style, Classification) ... 2. Certificate of Workmans Compensation Insurance ............ 2 . Owner -Builder Verification (Given to owner ❑, Mail to owner ... /- 3/-9Z 24. Recorded copy of Agricultural Acknowledgment Statement ......... /- 3) 2- 25. Letter of signature authorization .. ............................... . ✓2 6. :5iiee,X55 A� CE 3 6 27. When y u issue the permit, process as follows: Mail owner. Mail to contractor. When Q,�'Z 9-K4&d hold for pickup at office. Deliver w/inspector. Other Applicant Date �'7 ��-- 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 1. Index permit for above items No. 2. Additional items required: ✓ /41 r 11 - "M "I M r,��I��•,�����`3MM1112t,l=fir a �'��MO Contractor, designer, owner, was advised of above required data by_phont! v il_coun - 1�__ 7 - Contractor, designer, owner, was advised of above required data by_phone—mal l_counterr by date , Plans checked by /_61Z Date �r Plans approved by �U Date Sets of plans on hold in Copy—DPW File cabinet AP folder RESIDENTIAL PLAN CHECKING GUIDE ti 8/91 (S.F., DUPLEX & MISC. ONLY) n Bldg. Permit # OWNER �Q/f/Sl.� A. P. #a Plan Checker :GENE L ning requirements: (sideyards and number of permitted living units).. lj�.:Vauation.. ans signed by designer. Proper description of work on application. V___�Items Existing violations on property. on data sheet. (W.C., fees, Health, Developer Fees, License law, etc) W7. Recorded notice of violation. PLOT PLAN omplete parcel size and dimensions. Setbacks, sideyards, easements, etc. Other buildings or structures. ding, fills, drainage. Flood hazard. < Special conditions on creation map, (noise, CDF, fire sprinklers, non-comb- ustible, and foundations). y & FAS road setback. 8. Building or utilities across lot lines (Record form). FLOOR PLAN: Co plete to scale plan with dimensions. equired windows for light and ventilation (Sec. 1205). +` Required windows for second exit (Sec. '1'204). kylights (Chapter 34 & Sec. 5207). ' man impact glass (Sec. 5406). Required room sizes, ceiling heights (Sec. 1207). GFCIs in baths, garage, kitchen, and exterior -outlets (Article •210-8). �• Light fixtures, switches, receptacles, and 'exterior receptacles for main- tenance.of mechanical equipment. Locations of water heater, heating and cooling equipment, other electrical or gas equipment. age firewall, door size, and closer (Sec. 503(d)(3)). 1 - 3'0" exterior exit door (sec. 3304 (f). ' . Fireplace and wood stove location, alcoves, and clearance. . Smoke detectors (Sec. 1210). + lumbing fixtures, water closet clearances and shower size.. STRUCTURAL DETAILS .e o' Standard bracing or engineered design (Table 25V) ,-Z---.Unusual shape, size, or split level house requiring lateral 'design. �3� Clerestory requiring balloon framing and/or engineering. -4!Three•story-building requiring -engineered calculations and plans. Foundation plan complete enough to construct building'. .6! Floor construction details complete enough to construct building. ' -?'— Elevations and wall construction details complete enough to construct building 817 Roof construction details complete enough to construct building. --9—. Fireplace construction details and calcs if necessary. Rafter ties or bearing ridge beam. L-1— Garage door or porch header sizes. 0 --stud heights. ,1 -3 --Adobe soils - special foundation design. 1.4r.—Retaining walls requiring design. 44 rSpecial Inspection required. 8/91 RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR -I' Stairway details: landings, rise and run, head clearance, handrails 4(Sec. 3306). Guardrail details (Sec. 1711 & 3306(j). 3: ick or stone veneer (Chapter 30). .ick plaster - weep screeds (Sec. 4706). 14 * P oper roof pitch for roof convering (Chapter 32). Roof covering type - (fire hazard). oam insulation - protection. 36" halls and stairways. iving area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. w exits on three-story dwellings (sec. 3303 & see Mezannines - 1716). . Att• access and ventilation (Sec. 3205). derfloor access and ventilation (Sec. 2516). Combustion air for fuel burning appliances - L.P.G. requirements. Oise requirements on duplexes. y design. %. Flashing at all exterior openings. . CDF responsible area requirements. b C G v/t /t� w OZ) c / Q 11 OF BUTT# NG -DEPT--- -- *--- . L. r_ ' h ` } ,� ��. !, i i J ,�, } � � 11 i. ,� � r j .s . 1 'Q i -r �: .� ,.�.:f., � .. •� r � ` - �. - ' _ } COUNTY OF BUTTE ,i -DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 Darrel & Alice Carter 8217 Chiesa Drive Gilroy, CA 95020, Dear Mr. & Mrs. Carter: With reference to the above subject: PHONE: 916-538-7541 DATE March 12, 1993 RE: Building Pemrit #92-202 A.P. # 021-070-106 ".Attached is: Application for permit Mobilehome Utilities -Installation Sheet Building Plans Mobilehome.Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced We need.the following information: .Permit application signed and completed -where indicated:with-all copies -returned. Fees of $ payable to Butte County -Treasurer-.- Certificate of. Workmen's.Compensation Insurance-or,check-exemption statement. Contractor's License Law information or check exemption statement.. Complete plansin including plot plans. Plot plans in Structural details in Complete plans.and calcs in, by: registered.-engineeror.-archite;t. Energy design including Street -and drainage improvement -plan approval. from Land.. Development:. Section (DPMI) . sets of -plans in accordance with the changes. marked.: in red.. Sanitation approval from.Butte County Health.Department_at:: ,1469 Humboldt Road, Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7.County Center Drive, Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded_copy.of agricultural. acknowledgement statement., XXX/ OTHER Your permit application, dated January 24, 1992. -has expired. If you still plan to build you will need to reapply. Please inform us what you wnat us to do with your old plans, hold for you to pick-up or dispose of. Should.you have any questions concerning the above, please contact Linda Sexton of this office., between 3:00 and 5:00 pm weekdays. Yours very.truly, William Cheff Director of Public Works i;J.F. Glander JFG/aj o FO y l�y;S4 ,Y .. �.•S. 111 +.} ; .y �� !` I.^', , V _ 4i Vi t#. 5 ", ;� w4 � { - F T Y: � i RECORDING VREQUESTED BY " BIDWELL TITLE & FESCROW COMPANY l''y j t 9 ORDER# `4-149532 AND WHEN RECORDED MAIL TO Name �Mr . ' & Mrs . Darrell Carter • 8217 Chiesa Drive Street . Gilroy, Ca'. 95020 ; Address I • 90-023057 1 ,, , Rec. Fee ,; 7.00 City 8 ' ' • ` State Lt I DOC t'1 '30.25 t Recorded Total 37.25 The undersigned granrtor(s):declare(s): �.� TRANSFEaI Documentary, transfer tax is $ ; 3 0.2 5 • r , s TAX'RAID . ( x ) . computed on'full value`of property conveyed, or;, ( ) computed on -full value less value of liens and encumbrances'remaining at time ofsale:,g Unincorporated area: ( ) City of .. ;rand Yr FOR AI VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, 4 FRANK DUTRA, JR. and BERNIECE DUTRA, his wife hereby,GRANT(S) to DARRELL CARTER and ALICE CARTER, husband and wife, as Joint Tenants the'following described real property in the County of. Butte , State of California: c SEE"`+EXHIBIT 91.`ATTk1.fED! HERETO- AND 'MADE • A PART HEREOF • 01 i Y i e.> ,yr tt yj� ft2l2 Nie 12 9 , ' 19 9 0�Dated i1 Fr Dutra , Jr. STATE,OFiCALIFORNIA' ,�i{e/I�LLp-A—� ,� Q :4.4 F Alt "COUNTY OF,�' �" ,5 +' . Butte .. SS r Berrilece Dutra '•p-,: —.r, ^--•'`- ...•. ✓— A w a' z. �. , ,y 7t it 4i4 June r'4= 1*199'0' On, �t -• -� `' -. before' -. - , me,., the rundersigned, a"� Notary' Public in and for said State, fi ?- , �� °� Frank Dutra Jr. personally -appeared `� i "and+ }Berniece 'Dutra------ ,pei: onally'know`n to melor proved to me on'the basis of sat isfacto evidence to be'th,e', person S whose name s• are _ ryf,. _ p —y Oi^FICIAi: SEAL subscnbed'ti6,`.]the'within'°instrument and acknowledged' REB?E(CA l: BIEDSOL: iy ' the['-•th&V executed the same. *� t u." ° , NOTARY PUBLIC • CALIFORNIA` WITNESS my hind,and official seal. r��, "o , BUTTE COUNTY Cq(IFOHii P My Comm. Expires Feb: 1,1993 ilki' Signature * I. (This area'for official notarial wap ;Rebecca L: led�soe 4 FORM gBTE-DEDOS(1M2190)°MAILTAX:STATEMENTSY'AS•DIRECTED ABOVE 3 -'`� rii • r . ' I � • a 'PYA ..',+� -i,.. Official Records ; MAIL TAX STATEMENTS'TO I County of i Butte Name L: t4 as. aiiove=- - . Candace J. Grubbs I _ecords ..... r. ._->"..�_. _--RhSam� r_ --- "• �` , _•. „�, - ; -»-; ..., .!. Street Address 8:00am 5 -Jun -90 CD 2' City a State I a... r + s ,SPACE ABOVE THIS LINE FOR RECORDER'StUSE. ; APq Indi,.idual Grant Deed i �`` +=y° `' f,,l� 021-070-106 $ ` THIS FORM FURNISHED BY'BIDWELL TITLE & ESCROW COMPANY The undersigned granrtor(s):declare(s): �.� TRANSFEaI Documentary, transfer tax is $ ; 3 0.2 5 • r , s TAX'RAID . ( x ) . computed on'full value`of property conveyed, or;, ( ) computed on -full value less value of liens and encumbrances'remaining at time ofsale:,g Unincorporated area: ( ) City of .. ;rand Yr FOR AI VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, 4 FRANK DUTRA, JR. and BERNIECE DUTRA, his wife hereby,GRANT(S) to DARRELL CARTER and ALICE CARTER, husband and wife, as Joint Tenants the'following described real property in the County of. Butte , State of California: c SEE"`+EXHIBIT 91.`ATTk1.fED! HERETO- AND 'MADE • A PART HEREOF • 01 i Y i e.> ,yr tt yj� ft2l2 Nie 12 9 , ' 19 9 0�Dated i1 Fr Dutra , Jr. STATE,OFiCALIFORNIA' ,�i{e/I�LLp-A—� ,� Q :4.4 F Alt "COUNTY OF,�' �" ,5 +' . Butte .. SS r Berrilece Dutra '•p-,: —.r, ^--•'`- ...•. ✓— A w a' z. �. , ,y 7t it 4i4 June r'4= 1*199'0' On, �t -• -� `' -. before' -. - , me,., the rundersigned, a"� Notary' Public in and for said State, fi ?- , �� °� Frank Dutra Jr. personally -appeared `� i "and+ }Berniece 'Dutra------ ,pei: onally'know`n to melor proved to me on'the basis of sat isfacto evidence to be'th,e', person S whose name s• are _ ryf,. _ p —y Oi^FICIAi: SEAL subscnbed'ti6,`.]the'within'°instrument and acknowledged' REB?E(CA l: BIEDSOL: iy ' the['-•th&V executed the same. *� t u." ° , NOTARY PUBLIC • CALIFORNIA` WITNESS my hind,and official seal. r��, "o , BUTTE COUNTY Cq(IFOHii P My Comm. Expires Feb: 1,1993 ilki' Signature * I. (This area'for official notarial wap ;Rebecca L: led�soe 4 FORM gBTE-DEDOS(1M2190)°MAILTAX:STATEMENTSY'AS•DIRECTED ABOVE 3 -'`� rii • r . ' I � • a 'PYA ..',+� -i,.. i' -,MAR E4 '93, 05.1. ��IE FINANCIAL 1' 1IQ6760843 F. 1!1 VH' Land/Home Financial Services; Jnc. MORTGAGE DIVISION I COUNTY OF BUTTE BUILDING DEPT March 24, i993 MAR 2 5 1993 County of Butte Dept. of Developement.Service . Building Dzvision .I • Re: APN s57 t,_i u _ .23 Andrea . M. Cou7rt To_'Whom it!may concern, „ r Please accept this as notification that Land/Home is,aware of and will requix'e that Mr. and Mrs.. Cartier place their new manufactured home on a permanent foundation. Land/Home:Financial Services will_ also require a "copy of the recorded 433 prior to funding. Should you have any further questions, or need any additional informati6n, please do not hesitate to contact our office. Sincerely' Heidi McKim Loan Processor t f 4 t 1355.Willow Way, Suite 250 Concord, CA 94520 ((51:0) 676-7036 FAX (570) 676-0843 V Land/Home Financial. Services, Inc: H MORTGAGE DIVISION COUNi�+ 0 BU,Ll y� aurrrrE APR 0 6'1993 April 1, 1993 .County of Butte • Dept. of Public Works, Building Division 7 County Center Drive Oroville,'Ca 95.965 Re: Darrell and Alice Carter 23 Andrea M. Court Gridley, CA 95948 APN,,...021070106 To 'whom 'it may concern, Please accept.this as notification that,Land/Home is aware of and will require that Mr. and Mrs. Carter place their new manufactured home on a permanent foundation. Land/Home Financial Services will also require.a copy of -the recorded 433 prior to funding. Please also note.that Land/Home Financial.will be financing both the land.and.the mobil home for*the Carter's. We are also fully aware end give them our -permission to.place the manufactured home on a permanent foundation. —Should you have .any. further questions or need any additional, information, please..do not hesitate to.contact our office. Sincerely, Heidi McKim Loan Processor.,„ „ 1355 Willow Way, Suite 250 • Concord, CA 94520 (510) 676-7038 FAX (510) 676-0843 • - _ -- 92-0430;0. Return to DPW` AGRICULTURAL STATEMEY..I' 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. 1 The property described herein is adjacent ; 92-004300 1 Rec Fee 5..00I Cash 5.00' to land or included within an area zoned Recorded for agricultural purposes, and residents Official Records of this property may . be subject to incon- County ec 1 veniences or discomfort arising from the Butte use of agricultural chemicals, including, % Candace J. Grubbs 1 but not limited to herbicides, pesticides, Recorder and fertilizers; and from the pursuit 1:27pm 31 -Jan -92 I PUBL XX 1 of agricultural ope•r.ations 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 discomfort .from normal, necessary harm operations. All that real property situate in the County of Butte, State of California, described as follows• ,A portion of Lot 6 of Gridley Colony No. 9 as shown on the Official Map f thereof, filed in the Office of_ the Recorder of the County of Butte, State of California, July 10, 1907 in Book 6 of Maps, at pagmore particularly described as:; Parcel 2 as shown on that certain Parcel Map filed in the Office of the Recorder of the County of Butte, State of California, bn.August 19, 1987 in Book 107 of Maps, at page 66. - RESERVING THEREFROM a Right of Way for road and public utilities 60 feet in widish as shown on said Parcel Map. Da t e: %-a y �Z State of SS. County of*¢r A jg_ On this the / undersign.ed Notary PRO ERTY OWNF S: �j/► (%DN r-zp- t (% G A R F9LIC- CaRrs2 day of—� 19�, before me, the Public, personalXy appeared OFFICIAL SEAL personally known to me. $4 --proved to me on the basis CLAUDIA C. FISHER m NOTARY PUBLIC ^ CALIFORNIA of satisfactory evidence. .r SANTA CLARA000NTY to be the person(s) whose name(s) My comm. expires MAR 28, 1994 subscribed to the within instrument and acknowledged that. C� executed the same for the purposes therein contained. IN WITNE S tMEREOF, I hereunto set my hand and official seal. Present A.P. No. t�CJGt- 1\' Nd ®F DOCUMENT Y 9 v cn C" uj v I I NOT (,04PARED WITH ORtr,1NAL DO'CUMENI AM WHEN RECORDED hull TO: BUILDING DIVISION 7 COUNTY CENTER DRIVE- >t>rT OROVILLE CA 95965 AT d sk. 93-025602 93-025602 93-025602 93i-025602uTotal: n 0 ? :. Redckded' 1, a official Rectirda, 1 County of. 4r Buttes i Candace J. ,Irubbe .1 Recordsir 12: 48ps 21 -Jun -93 1 CO)KS XX I. rM LN FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME, (MOBILEHOME), OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTZIM Recording of this document at the request of the locai agency indicated is in accordance with California Healt., and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property descnbed with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all per- sons thereafter dealing with the real property. DARRELL AND ALICE CARTER BUILDING DIVISION REAL PROPERTY OWNER/IESSOR LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 8217 CHIESA DRIVE 7 COUNTY CENTER DRIVE MAILING ADDRESS MAILING ADORESS GILROY, SANTA CLARA CA 95020 OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP CITY COUNTY STATE ZIP 23 ANDREA M. COURT , 93-0694-,' (916) 538-7541 INSTALLATION MAILING ADDRESS. IF DIFFERENT BUILDING IT TELEPHONE NUMBER GRIDLEY, BUTTE, CA 95948 �'' - 6/21/93 CITY COUNTY STATE ZIP SIGNATURE OF LOCAL AGENCY OFFICIAL DATE ".W UNIT OWNER (If also property owner, write "SANZ") I MAILING ADDRESS t - C:TY COUNTY STATE ZIP UNIT DESCRIPTION . OWNER.. . _ DEALER NAME (If not a dealer sale, write "NONE") DEAL R LSC«4SZ NO. SKYLINE 1993 LEXINGTON/5514 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER 2T70-0688FA/B/C 38.5.'-X 66' ULI 361304/305/306 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBERS) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. #021-070-106 A PORTION OF LOT 6 OF GRIDLEY COLONY NO. 9 AS SHOWN ON THE OFFICIAL MAP THEREOF, FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, JULY 10, 1907 IN BOOK 6 OF MAPS, AT PAGE 56, MORE PARTICULARLY DESCRIBED AS: PARCEL 2 AS SHOWN ON THAT CERTAIN PARCEL MAP FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA ON AUGUST 19, 1987 IN BOOK 107 OF MAPS, AT PAGE 66. RESERVING THEREFROM A RIGHT OF WAY FOR ROAD AND PUBLIC UTILITIES 60 FEET IN WIDTH AS SHOWN ON SAID PARCEL MAP.' ( HCO FORM 433(A) 4/86 -4! l,l o j1111 . =��.. - L�NITT fit• H DISCOVERY HOM'ES. 030700'24_i=4_i5L_i3R4 0301 P.02 STATE OF CALWORNIA S�FSIAl SS, �`�t 5 � t' +L N' AND HOUSING AGENCY RF_Q1S1 kATTOX AND T1.TZ.ING PROGRAM i STATEVITNT OF FACIS y This unit i.-, a, I' obilehorne 0 Commercial Cciach Floating Home 0 Slide. -in Camper f lel (l i.ce ise) Nor (s; I Trade Name Lexington -serial Nq.(s) 2T70_0g8FC 2T70-0688PB 2T70-0688FA i'e; the uttdersij,Ld, hereby stake: . This unit is on a pei-marient foundation per section #18551- This horde has n :Ver C. been placed. pi evj.ous).y I ( i a a R Affiant further agree to indemnify and save harmless the Director of Mousing and Community Iaevel apmew,, State of California, andsubsequent purchasers of said unit, for any lass they may suffeg resulCing from r-egistratior. of the above; -described unit in Ca- ifarnia, or from i.Ssuanc:e of a Califomia certificate of title covering tlis: samc� I/We certify unda er p _nelt'y of penury that the foregoing is true and correct. a Executed cin 06/21%9: at Merced CA. Gate) (City) (State) J Signature of each a1 ant Printed name of each affiant fInstant i-lou5ing of CA INABA Disc.over y iic.itr;e;�, tdis ?..yarn? i`? Ahb : }?vat?— Me�cGe d State► ca IGD 476.6 (RI I , AM WHEN RECORDED MAX TO: EW BUILDING DIVISION 7 COUNTY CENTER DRIVE . OROVILLE CA 95965 IDD�$S aT't. ITATE. I.d a 93-.25602 1 Recorded I Official Records I County of I Butte I Total .00 COUNreG SLIM BUILDINJUN. Z 5 1993 Candace J. Grubbs I Recorder I 12:48 In L21,LJun X93f _� GOMS G,�rXX 1 NOTICE OF MANUFACTURED HOME, (MOBILEHOME), OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at lite request of the locai agency indicated is in accordance with California Healt" and Safety' Code Section 18551. This document is evidence that such local agency has iisued a certificate of occupancy for installation of the tin it described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all per- sons thereafter dealing with the real property. DARRELL AND ALICE CARTER REAL PROPERTY OWNER/LESSOR 8217 CHIESA DRIVE MAILING ADDRESS GILROY, SANTA CLARA CA 95020 CITY COUNTY STATE ZIP 23 ANDREA M. COURT INSTALLATION MAILING ADDRESS. IF DIFFERENT GRIDLEY, BUTTE, CA 95948 CITY COUNTY STATE ZIP SAME UNIT OWNER (If also property owner, write "SAME") NAILING ADDRESS CITY COUNTY STATE ZIP UNIT DESCRIPTION SKYLINE 1993 BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE. ZIP 93-0694 (916) 538-7541 BUILDING IT TELEPMCNE NUMBER 6/21/93 SIGNATURE OF LOCAL AGENCY OFFICIAL DATE OWNER.. ... DEALZR NAME (If not a dealer sale, write "NONE") OEALZR LIC NSE YO. LEXINGTON/5514 MANUFACTURER'S NAME DATE OF MANUFACTURE MOOEL NAME/NUMBER 2T70-0688FA/B/C/ 38.5..'''X 66' ULI 361304/305/306 SERIAL NUMBERS) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER r—A.P. #021-070-106 A PORTION OF LOT 6 OF GRIDLET COLONY NO. 9 AS SHOWN ON THE OFFICIAL MAP THEREOF, FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, JULY 10, 1907 IN BOOK 6 OF MAPS, AT PAGE 56, MORE PARTICULARLY DESCRIBED AS: PARCEL 2 AS SHOWN ON THAT CERTAIN PARCEL MAP FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA ON AUGUST 19, 1987 IN BOOK 107 OF MAPS, AT PAGE 66. RESERVING THEREFROM A RIGHT OF WAY FOR ROAD AND PUBLIC UTILITIES 60 FEET IN WIDTH AS SHOWN ON SAID PARCEL MAP. HCD FORM 433(A) 4/86 END OF DOCUMENT ",LMT Or H vt V a III `UNITY OE`. . Cr ATfR�CCU AJ( ZA I NO. 93-0694 Address or Location of< 23 ANDREA K. COURT,-GRIDLEY Legai Description of ReW Property A.P. #021-070-106 ---------- IYO A PORTIO OF LOT 6 9 AS SHOWN ON THE -OFF CIAL-MAP-OF GRIDLEY COLONY NO. ' THEREOF, — FILED IN THE OFFICE OF THE RECORDER OF THE-COUNTY--OF-BUTTE, STATE OF CALIFORNIA; JULY 10, 1907 IN BOOK 6 OF MAPS, AT PAGE -56.-MOR E PARTICULARLY DESCRIBED AS: -' PARCEL 2 AS SHOWN ON THAT CERTAIN PARCEL MAP=ED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE*, STATE OF CALIFORNIA ON AUGUST 19' 1987 IN BOOK 107 OF MAPS, AT PAGE 66. RESERVING THEREFROM A —RIGHT OF WAY FOR ROAD AND PUBLIC UTILITIES 60 FEET IN WIDTH AS SHOWN ON SAID PARCEL MAP. A E:Mobilehome/Manufactured Home E)Commercial Coach ha's been affixed tc,the real property described above by installation -on a foundation system pursuant to Health and Safety Code Section 18551. Owner's DARRELL-AND ALICE CARTER norrm: Owner's address: - .8217 CHIESA DR., GILROY CA 95020 INSIGNIA OR HUD NUMBER: ULI,36130.4/305/306 2T70-0688FA/8/C SERIAL NUMBER OR. V.I.N.; MANURACTU S LEXINGTON/5514/SKYLINE' YEAR OF MANUFACTURE. 1993 6/21/93 N916) 538-7541 1. Ceiling Insulation Controlled Ventilation Crawlspace Number of stories Number of stories 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 U -value 0 0.70 2 0.50 -176 -84 -54 0.30 -102. -49 -32 0.10 -26 -13 -8 0.08 -18 -9 -6 . 0.06-11 0.20 -5 -4 ' 0.04 -4 -2 -1 0.02 4 2 1 0.00 11 5 3 .2 0.04 -1 0 2. Wall Insulation 0.02 4 2 Single Single - 10 5 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 -17 -9 -2 0.80 -153 -114 -76 0.50 -91 -68. -46 0.30 -47 -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 Imuladon 21 -34 Insulation in Floor -2 Controlled Ventilation Crawlspace Specification Number of stories Number of Stories R -value One Two Three R-0 7,1.7 ,. -8 -5 • R-11 _3 •2 -1 R-19 0 0 0 R-30 3 1 1 U -value 0 0.70 2 2 0.60 -144 -70 -46 0.50 -120 -58 -38, 0.40 -95 -46 -30 0.30 -69 -34 a -22 0.20 •=43 -21 x-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 Crawlspace 4. Slab Edge Insulation Specification Number of stories Number of Stories 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 Specification '-4 Number of Stories SEER R -value One Two Three R-0 0 0 0 - �- • R-5 8 5 2 R-7 8 6 `3 F2 factor 16 4 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. Inriltration (Air Leakage) 7..Sbading (Shade Open) - Effective Percent Glass ' (percent Stan x SC) Effective Specification '-4 Interior SEER Points %Glass North Standard South :West /CFA 0 , .5 1 r 1 na 16 4 2 5 1 na 14 4 2 6. Glass Heat loss 1 na 12 Total 3 5 2 na U -value 3 Percent 5 2 .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 -20 =14 J 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 -0 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..Sbading (Shade Open) - Effective Percent Glass ' (percent Stan x SC) Effective -5 '-4 Interior SEER Slab Floor Raised Floor %Glass North East South :West /CFA 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 7.0 6- 9 11 13 13 S. Shading (Shade Closed) . 7.5. .6 Effective Percent Glass . 14 (percent SISM x SC) 10 11 13 Effective_ 14 8.5 7 10 12 13 %Gies• Norte '.. Ean South West Skylight 18 -14 -48 -69 -64 na 16 -12 -42 . -59 -55 na 14 -10 -35 -50 -46 na 12 ' -8 -29 -40 -37 na 11 -7 -26 -36 -33 na 10 -6 ' -23 -31• -29 -74 9 -5 -20 ' -27 -25 -65 8 -5 -17 -23 -21.. -56 7 -4 -14 -19 -18 -47 6 -3 -11 -15 -14 -38 5 -2 ' -9 -1'1 -10 -30 4 -1 -6 -8 7 -23 3 0 -4 -5 -4 _ -16. 2 1 1 -2 -1 -9 1 1 1 1 1 -4 0 2 3 4 3 0 9. Interior Thermal Mass -5 '-4 Interior SEER Slab Floor Raised Floor Mass Two+ Stories Stories 3 /CFA One Two Three One Two Three -0.0 -8 -5 -4 -2 -1 -1 0.1 -8 -5. -3 -1 0 ..0 c -14 -12 ;` -10 -8 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 ' 3 Exterior Single- Single - ° None Wall • -19 Family Family . Mulli -9 Mass Solar Detached Attached Fainly 0.00 3 0 0 0 POU 0.20 -6 ' 3 2 1 -3 0.40 Multi -Family (individual 5 " 4- 3 2.7 0.60 3.1 8 6 4 Water 0.80 699 10 8 5 1700 1.00 Healer 13 10 7 ` b 1.20 to 13 12 8 Type 1.40 .1199 12 13 9 more 1.60 None 10 13 11 0 1.80 0 10 12 12 14 200 5 10 11 13 HP 11. Heating System 9 5 3 2' SE or HSPF . 1.8 WSB 9 (assumes ducts In attic) 3 2 2 3.2 Sum of i-6 9 "• 5 3 2 -25 or -24 to -14 to -410 +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 None -8 Effective SE or HSPF . -3 -2 (SE or HSPF x duct efficiency) 25 Effective _ -2S 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 2.9 Zonal Control Adjustment 3.3 System Type Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2' 12. Cooling Syst'fail -5 '-4 It SEER -2 -2 Two+ (assumes ducts In attic) 3 .. 2 Stm of 7-10 2 1'' Single-Familyl -25 or -24 to ' 14 t0 -4 b +6 to 16 or SEER less -15 .6 +5 +15 more 8.0 c -14 -12 ;` -10 -8 -6 -4. 8.5 -9 -7 -6 -5 • -4 -0 8.9 -5 -4 -4 -3 -2 -2 9.0 -4 .-3 -3 -2 -2 -1 9,5 n n n n n n 10.0 - 4 3 3 2 2 1 10.5 7 6 5 4 3 2 11.0 10 9 7 6 4 3 =- 120 15 13 11 9 7 5 _13.0 20 17, 14 12 9 6 3 EKedive SEER WSB 5 3 (SEER xduct efficiency) 2 2 Sim of 7-10 POU 8 Effective-25or -24 to -1410 4b +6 to 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 4 -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 Solar Zonal Control Adjustment 5 17 3 2 1 POU 10 8 7 6 4 3 t No Cooling System Installed ° -Stories One -5 '-4 It -3 -2 -2 Two+ 3 3 .. 2 2 2 1'' Single-Familyl tached and Attached = R -value ue I 11 U -value [0.098] 3. Raised Floor Insulation Unit Size [sQ Water R -value 1191 ; i 99 120; 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 POU 8 5 4 3_, 3 SE None -37 -24 -18 -15 -12 75% Solar -1 -1 -1 0 0 .r 1201/. 125` HWR -18 -12 -9 -7 tli, " 2S% WSB. -25 -16 -12 -10' -8 POU -18 _-12. -9 -7 -6 IG None =5 -3 -2 -2 -2 ' Of. Solar 7 5 4 3 2 1.5 POU 3_ 2 1 1 1 IE None -28 • -19 -14 -11 -9 4.4 Solar 8 5 4 3 • 3 0.4 POU -10 -6 -5 -4 -3 1.9 Multi -Family (individual units)" 2.5 2.7 2.9 3.1 Unit Size (sQ . Water 4 699 700 1200 1700 220014 Healer Credit or ` b to to or Type Type .less .1199 1699 2199 more SG None 0 i 0 0 0 0 or Solar 14 7 5 4 3 HP HWR 9 5 3 2' 2 # 1.8 WSB 9 4 3 2 2 3.2 POU 9 "• 5 3 2 2 SE None -45 23 -15 -11 -9' 0.7 Solar . 2. • , 1 1 0 0 2.2 HWR -23' =12 -8 -6 -5 3.6 WSB -25. -13 - -8 -6 -5 5.1 __P_4U _23 ..112_8 , -6 -5 IG None -8 -4 -3 -2 ; -2 25 Solar 6 3 2 1 1 4 POU 1 _= 0 0 0 0 IE None -30 -15 -10 -8 -6 1.4 Solar 18 9 6 4 4 28 POU -8 ; . -4 -3 -2 -2 Point System Summary:. Climate Zone 11 • b. East c. Measures � - 1. Ceiling Insulation or , 8. --Shading (Shade Closed) ,.. R -value [38] U•value [0.030] Interior Mass/CFA or R -value ue I 11 U -value [0.098] 3. Raised Floor Insulation or \ TTP6 2 MASS R -value 1191 U -value [0.037] 4. Slab Edge Insulation or r R -value [0] .° S. Infiltration 7,: - + lt.7wtK•..21 !...petal a_EI t TYPE 1 MASS (UIMC • 4.2• is: exposed slab) ---�- 45% 50% 55% 60% 6946 75% 80x 85% 90% 95% 100% • 105% 110Y. 115% .r 1201/. 125` 0% • 5% 10Y. 15% 20% 2S% 30% 36% 40% ,70% Of. 0 = 0.2 0.4 „.0.6 0.8 1.1 1.3 1.5 1.7 1.9 2.1 23 -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 10Y. 0.2 0.4 0.6 0.8 1 1.2 1.4 1.6 1.9 2.1 23 2.5 2.7 2.9 3.1 3.3 3.5 3.1 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 27 29 3.1 3.3 3.5 3.1 3.9 4.1 4.3 4.5 4.8 5 5.2 5.4 56* 30% 0.5 0.7 0.9 1.1 1.4 1.6 1.8 2 ` 2.2 24 26 2.8 3 3.2 3.S' 9.7 3.9 4.1 4.3. 4.5 4.7 4.9 5.1 5.3 5.6 58 40Y. 0.7 0.9 • 1.1 1.3 1.5 1.7 1.9 2.2 24 2.6 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 •.50% 0.9 1.1 1.3 1.5 1.7 1.9 21 23 25 27 3 3.2 3.4 3.8 9.8 4 4.2 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 559E 0,9 1A 1.4 1.6 1.t y 2.1 4 2.8 28 3. '12 3.5 3.7 3.8 3.9 4 4.1 4.2 4.3 4.4 45 4.6 47 4.8 49 S S1 5.2 91 5.4 sa 5.6 gn 5.9 $ 6.1 $7 63 60% . 1 1.2 1.4 1.1 1.A 2) 2.3 S 2.7 2.9 3.1 3.3 3.5 65% 1.1 1.3 1.5.x1.7 1.9 22 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 6.1 6.4 70% 1.2 1.4• 1.6 1.8 2 2.2 2.5 27 2.9 3.1 3.3 3.S 3.7 3.9 4.1 4.3 4.6 4.8 . 5 P •5.2, 5.4 5.6 58 6 6.2 64 •75%. 1.3 1.5 1.7 1.9 21 2.3 25 2.7 3 3.2 3.4 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%9 1.4 1.6 1.8 2 2.2. 2.4 26 2.6 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.0 5.1 - 5.4 5.6 . 5.8 6 6.2 64 66 65% 1.4 1.7 1.9 2:1 2.3 25 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 5 5.2 54 5.6 5.9 6.1 6.3 6 5 67 . 90% 1.5 1.7 2 , 2.2 24 26 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 27 - 2.9 3.1 3.3 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 6.9 1100Y.';. 1,7 1.9. 21'� 2.3 2.5 28 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 63 6.1 7 105% 1.8 2 2.2 2.4 2.6 28 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 5.6 5.8 6 6.2 6.4 6.6 6 8 7 110% 1.9 21 2.3 2-5 27 29 3.1 3.3 3.8 3.8 4 4.2 4.4 4.6 4.8 5 5.2 5.4 5.7 5.9' 6.1 6.3 6.5 6.7 6.9 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 S.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 29 3.1 3.3 3.5 3.7 3.9 4.1 4.4 4.6 4.8 5 5.2 5.4 5.6 50 . 6 • 6.2 6.5 6.7 -6.9 7.1 7.3 125% 2.1 2.3 25 2.8 3 3.2 3.4 3,6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 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 b. East c. Measures � - 1. Ceiling Insulation or , 8. --Shading (Shade Closed) ,.. R -value [38] U•value [0.030] 2. Wall Insulation or R -value ue I 11 U -value [0.098] 3. Raised Floor Insulation or R -value 1191 U -value [0.037] 4. Slab Edge Insulation or r R -value [0] F2 factor [0.771 S. Infiltration Standard 6. Glass Heat Loss 7. Shading (Shade Open) a. North b. East c. South d. West e. Skylight 8. --Shading (Shade Closed) ,.. Type [double] U -value 10.651 % Total ss [ 161 % Gla s SC7 7 - Eff. & Glass •04 X = . X - x I Point Scores r E , � % G1 Sc Eff. % Glass a. North -�- X _ • 5 b. East 4f. 1__X = 2.7 � C. South x d. West x = p. e. Skylight 0 X = Ijs f i TYPE 1 MASS AREA = 119 ',Inteeior•Thermal Mass . e t r COND. FLOOR AREA k-% Interior Mass/CFA ' " 6'°° 10. Exterior Wall ")Mass TYPE 2 MASS AREA = $ Exterior Wall Mass ND . L OR AREA 11.Iieating System <i - , _� _�� x o = �Zonal;Control? (-Y. %/'N r ySE or HSPF Duct Efficiency [0.78] Effective SE or '[0.72/6.6]>>"" HSPF [0.W5.151 12. Cooling System r• x TO_ .� Zonal Control? ( Y / N) SEER [9.51 Duct Efficiency [0.74] Effective SEER [7,03] 13. Water Heating • Type [SG] Credit [none] 0 Point Total: Certificate of Compliance: Residential Climate Zone 11 Documentation Author Telephone BUILDING DATA Condition boorArea 19Slee lsed [I'l ingle Family Detached (SFD) (] Single Family Attached (SFA) (] Multi -Family (MF) " Permit # Build"3 ,t • s C hedced By / Date Enforcement Attencle Use only BUU,DING SHELL INSULATION. Component Insulation LocatilonlCommenits Tvne R -Value (auia..to garage. t/piaal. Wall .............. Roof ............. Roof ............. Floor ............. Floor ............. Slab Edge..... GLAZING Shading Devices l Glazing Area Glass Area % Glass Framing Type ' North (sf) Ssingl% double) Number of Stdries East North ( ) Number of ,Units � South Notch ( ) Addition Alone West D 4;1 [ ] Existing Building [ ] Existing -Plus -Addition Skylight Total m Al 11/.15 .Z. BUU,DING SHELL INSULATION. Component Insulation LocatilonlCommenits Tvne R -Value (auia..to garage. t/piaal. Wall .............. Roof ............. Roof ............. Floor ............. Floor ............. Slab Edge..... GLAZING Shading Devices l Glazing Area Glass Type Interior Exterior Overhang Framing Type ' Orientation (sf) Ssingl% double) (roller blind. etc.) (sltadescreen. etc.) (yekno) (mct&ood) North ( ) Notch ( ) East ( ) •• - a . East South ( ) �— • ' •• South ( ) _ West ( ) •• •• West ( ) Skylight....... �_ •� •s THERMAL MASS Type/Covering Area Thickness (slab/exposed. tile. etc -2— (SO (inches) Location/Description (kitchem bath. etc.) HVAC SYSTEMS Minimum Duct Type (furnace, air Efficiency Location Duct Output Manufacturer / Model # conditioner, heat pump) (SE. SEER.HSPF) (attic. etc.) R -Value (Btuh) (or approved equal) --- Cr 41(of � � 4 IF Maximum Furnace Heating Output: Btuh HOT WATER SYSTEMS Tank Manufacturer/Model # Svstem Tvoe (storage rias. etc.) Capacity (or approved equal) W-1 OVA r7l� FL SPECIAL FEATURESIREMARKS (Add extra sheets if necessary) 0 ;cial F-eaa Y)— Mandatory Measures Checklist: Residential MF -1R NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (*)maybe superseded by mat: stringent compliance MquMments listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents. the features rated shall be considered by all parties as binding minimum component performance specifications for the mandatory measures whether they are shown elsewhere in 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 I weighted average (does nes apply to exterior mass walls). §2-5352(k): Slab edge insulation - water absorption rate no greater than 03%. water vapor transmission rate no greater than 2.0 perm/inch. §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 Zones 14 and 16 only. §2.5317: Infeltration/Exfeltration Controls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Doors and windows certified. c. Doors and windows weathcrstripped: all joints and penetrations caulked and scaled §2-5352(e): Special infiltration barrier installed to comply with §2-5351 meets CEC quality standards 12.5352(d): Installation of Fireplaces 1. Masonry and factory -built fireplaces have: a Tight fitting, closable metal or glass door b. Outside air intake with damper and control c. Flue damper and control 2. No continuous bunting gas pilots allowed. HVAC and Plumbing System Measures 62-5352(8) and 2-5303: Space conditioning equipment siring: attach calculations. §2.5352(h) and 2-5315: Setback thermostat on all applicable heating systems. • 12-5316(a): Ducts constructed. installed and insulated per Chapter 10, 1976 UMC. 12-5316(b): Exhaust systems have damper controls. §2.5314(c): has -fired space hating equipment has intermittent ignition devices. §2-5314: HVAC equipment, water heaters. showerheads and faucets certified by the CEC. §2-5352(1): Water heater insulation blanket (R-12 or greater) or combined interior/exterior insulation (R-16 or greater), fust 5 feet of pipes closest to tank insulated (R-3 or greater).* §2.5312(Exception 1): Pipe insulation on steam and steam condensate return & recirculating piping. §2-53 18(d): Swimming Pool Heating I. System has: a. On/off switch on heater. b. Weatherproof instruction plate on hater. c. 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 lumenstwatt or greater for general lighting in kitchens and bathrooms. §2-5314(c): Gas rued appliances equipped with intermittent ignition devices. 12.5314(a): Refrigerators. refrigerator -freezers. freezers and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. COMPLIANCE STATEMENT This certificate of compliance lists the building featunfi and performance specifications needed to comply with Title 24. Chapter 2-53 and Title 20. Chaptcr2. Subchapte;r4. Article I 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 transmit the certificate to any subsequent purdiaser of the building. Designer Name: Address. Tekphone: t.ic. 0: (signature) (date) Documentation Author Nam: TitkJFumt: Address: Building Owner Name: Titk/Fum: �LIJ ti� Address: a� Tekphone: (signature) (date) Enforcement Agency Name: Agency: Teko m - I do 4• Jlli"� 3'0'x688-1 5LT I 3'0*x6'80-151.T SOOX6931* db BEDR OSI 2 -✓ I m windQ1VV\Ntkh minimumadequate: •arence Provide I bedroom 20" wide. P, n and a T -o -A -Fluty. opoll dimensions of 24" No, 5.7 sq. it. area, and 44" maximum si" CV -0 height. I rV 12 Lr r_1 F 120f 3'0'x5' "o, FAMIL Y, v A 73 ROOM CIA &g f 3 X 1.1 2'0* 'W POCKET SL DOOR' pol� jet}�' A . c • ~ � • V :r'a't ,,1. �:4 ,�, \ unx* 10 L.4 BRL x Na Rbe 8 1\ . 4 Min. Run ROOM Sun i neasured 109 to IQ*Ae Ce 7 I/el, rr ax. tolerakik" 'All rh K large it &smallest r run. MIN.VWkER2'1 11eadl ec" 4V� VIA I f-AilS.-V -30;'LJ l%P C4 k I q6 % LINEN— L I N LF4 6P 0�.1V1NG ROOM1 » 6xBATHI K i C '7! EIN C"I ru III•RT P 110, �-—� O datoctfor ON 040% r% -L -ro 000, Aq IN L -�} -.3 lr4l PrOvids 1 bedroom vv"W ffift open dim,-_rWi0jjr. 0", "N' *j, 20, rnrril Um 2Tx4'V-12j(5 v, � .. ... . ...... vWd 2- 5.7 sq. T-. 0 2'8'x4,6, -12j "armt CM %I _Wd 44" nwx1murn Sill tlln U CO BED_j R001 6- 4'0"x5'6*-16LT FIXED GLASS 19 -9" 81-9" (Y) "-d 0094 C` .............. ,34 s� X 0, Qr ---------------- r ------ 5T So, A ZAP A yrN . I V 0 rn y10 7.'1'x6' A V STORAG • T iJ � ( BMW ir Provide one-hour protection oa garcirp 'do Of commoh wall fol ilh self-clo4ing ick soli ore door. 10 C) AR A r\ r- .� i q C) V,%]L-- .., ry) e. x4 6 -121T r 0 0 M Lj N N G J VM J JIMFIV-1A t. 1 , I, 1 09 4'-7" 7._ 511 C 71-50 4 rvxl_^ CU\Sr 71-6" Bntmental County , jt�� le- . . He ETIV117 signature 71- 6 1# ITY