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HomeMy WebLinkAbout024-130-09024 13=' 2053 qo Thresher Ave,: Gridley 0 cont: ayBoTges - (new sf) . Sas Z 024-130-090 'PERMIT#95-2654 JACKSON) Gayle & Yvonne 834 Thresher Ave., Gridley New Gazeb'd'" 10 B09-0929 024-130-090 MISCELLANEOUS Private,Pool IN -GROUND GUNITE POOL MP08-00( 834 THRESHER AVENUE JACKSON GAYLE E & YV, I� 6_5 -.1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICE_ S BUILDING PERMIT 24 HOUR INSPECTION(IVR)#: (530) 538-4365 OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 834 THRESHER AVENUE Owner: Permit NO: B08-0929 APN: 024-130-090 JACKSON GAYLE E & YV, Issued Date: 05/21/2008 By KEJ Permit type: MISCELLANEOUS 834 THRESHER AVE Subtype: Private Pool GRIDLEY, CA 95948 Expiration Date: 05/21/2009 Description: IN -GROUND GUNITE POOL MP08- Occupancy: Zoning: Contractor Applicant: Square Footage: BI - COUNTY POOL CONSTRUCTION BI - COUNTY POOL CONSTR Building Garage Remdl/Addn 871 VON GELDERN WAY 871 VON GELDERN WAY YUBA CITY, CA 95991 YUBA CITY, CA 95991 Other Porch/Patio Total (530) 673-3786 (530) 673-3786 FEE INFORMATION DBEH Building Review Fee $78.90 DBMSC Swim Pool -Master Plan Co $512.42 Total Charged: $591.32 Fees Paid: $591.32 Balance Due: • $0.00 Receipt No: B7414 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License BI -COUNTY POOL CONSTRUI 720512 / C53 / 03/31/2010 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, , also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and I. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X . 05/21/2008 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractors Signature Date ❑ I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does - WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or ceof the work for which this permit is issued. improve for the purpose of sale.). 4erforman HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑1, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code: action 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractors License Law dows not apply to an owner of the property who builds or improves y Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the 0005 Exp. Date:01/01/2007 Carrier: State Fund Policy Number: 618-000 Contractor's License Law.). (This section need not be completed if the permit is or one hum red ollars ($100) or less. F] I AM EXEMPT under Section B. & P.C. for this reason: ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California, and agree that if I should become subject to the workers' X 05/21/2008 compensation pro v'id S f Section 3700 of the Labor Code, I shall forthwith comply with those Owners Signature Date provisions. X 05/21/2008 1 hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signa ure Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, injury, including death, and property damage caused by, arising out of, or in any way connected with DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to ante he above mentioned property for inspection purposes. I hereby certify that I am the property o am authorized to act on the property oe behalf. r "' �>✓ e r /� 05/21/2008 CONSTRUCTION LENDING AGENCY 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Naple of Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) Owner Contractor OR; - , DAgent for Owner DAgent for Contractor FILE COPY Lenders Address City State Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION" OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buttecounty.net/dds PLEASE PRINT CLEARLY PERMIT NO. 2 -t)CO BIN # "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. OWNER INFORMATION Last NameC_ Q� Z -a' (first le_ ,oL e e vOnJN Mailing Address g y-/ Ave- f� eCity city G(,( „f(e State C� Zip Phone Ok 0.2 T 7 Fax F3T CONTRACTOR Name 9" o Name Address 0 71 o J 6 l� Wr.� City Cl State �lN Zip`_-, ql Phone 73 3 78G Fax (0 73 4079 E-mail Lic. # _�2 Class G3r'3 APPLICANT SIGNATURE X PROJECT LOCATION � API 0-2-C,. — DOcG ' Property Address City WORKER'S COMPENSATION Policy Number ti Carrier If hiring anyone other than licensed contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: ARCHITECT/ENGINEER Name P1, �o pc- s CSC. Address Ilev rw / erg (StateCA- City C_0. /IJ�Q % State Zip Phone Fax E-mail Open Cov State License Number APPLICANT SIGNATURE X PROJECT LOCATION � API 0-2-C,. — DOcG ' Property Address City WORKER'S COMPENSATION Policy Number ti Carrier If hiring anyone other than licensed contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: APPLICANT INFORMATION Name Flood Zone Address / / U Ilev rw / erg (StateCA- CityAJ [ v - Occ. N Zip 9s99/ Phone Fax 6;3r�le% E-mail Open Cov APPLICANT SIGNATURE X PROJECT LOCATION � API 0-2-C,. — DOcG ' Property Address City WORKER'S COMPENSATION Policy Number ti Carrier If hiring anyone other than licensed contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: Zoning Flood Zone SRA I Yes No Occ. N Typ Const. Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): :-``- l For office use o Zoning Flood Zone SRA I Yes No Occ. N Typ Const. V RESIDENTIAL 024-130-090 PERMIT#95-2654 JACKSON, Gayle & Yvonne 834 Thresher Ave., Gridley New Gazebo JOB FINALED (D ) Signature J=OK O =Not OK - = Not Applicable' =�-' Not Ready MOBILE HOMES°- Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special'MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 15. Electricity; Location-Clearences-Grnd-/ '/Amp -Concrete 6. Gas: Location -Test -Wrap: / /'L"ft. / /"Nat. or/ P L" ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance - Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except a's 1. Zoning Requirements -Setbacks Easements 2. Footings: Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity. Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 rx MISCELLANEOUS�,:a Date - DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except tl's 1. Zoning Requirements -Setbacks -Easements -- 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel -- - 3. Decks; Griders and/or Joi ts-Decking-Bracing-Stairs-Rails-^> LA -'Wood Awn.; Posts -Beams Rftrs.-Gonn.eqtoyys� . -< - Shthg.-Rfg.-Bracing OK Y_.&Lu 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric Z, Frmg; SiIs-Anchors- Studs- Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date % .3e) -7,6 Card B-�, Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except q's 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting. Distances-GFI 5. Elec.; Pool Lighting: 15 volts-GFI 6. Elec.:Enclosures: Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ',/=OK O = Not OK ' - = Not Applicable Not Ready RESIDENTIAL • = Date 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 -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts: Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit).OK except #'s 16. Water Htr.: Vent -Access -Combustion Air-Baffie ---------------- ------------ ---- ------- ----- 17. Water Pipe: Test & Anchor -Nail Protection 18. D.W.V.: Test -Fittings & Anchor -Nail Protection ------------------------ - ------------------- 19. Shower Pan: Test. First Floor -Tub Access 20. -Test -Tub & Shower, Second Floor -Tub Access 21. Gas Pipe: Size & Anchors ---------- ---------------------------------------------------------- Date ----------- -------------------- Card B-1 Date Card B-1 ------------ ----- ---------------- Date Card B -t Date Card B-1 Date 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 -------------- Romex Installed Close- to Edge of Studs & C.J. - 26. -------------- ------------------------------------------------ Equip. Ground made up wrMech. Fastners-Bond Gas & Water ------------------ -------------------------------------------------------------- 27 2 Appliance Circuts in Kitchen & Conductor SizerGFI ----------------------------------- --------- 28. ----------------------------- Subfeed Wire Size ; r ga. Cu or AI-A.C. Wire Size ga. 67. Cu or At ------------------------ ------------------------------ 29. Range Circ. r r ga. Cu or AI -Oven Circ. r r ga. Cu or Al. 69. Insulated Neutral ❑ Yes ❑ No -------------------------------------------------- ----------------- 30. --------- Service -Riser Conductors & Ground -Main Disconnect -- ------------------------------- - - ----- 31. ----• ----------------- .------------------------- Equip. Clearances Panels-Motors-Mech. Equip. --------------------------------------------- -- --------------------------------------------------- •------ 32 32 Clothes Closet Light -Shower Light -Spa Light 33 Smoke Detector ----------------------------- --------------------------------------------------- Date ----- -- ---------------------------------------- Date Card B-1 Date Card B-1 ------------------ -- --1 --........ --------------------------- ------------ Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except a's 34. A.C. Ducts Insulation & Support ----------------------------- - ------------------------------------------------ 35. Vent Fan: Exhaust above insulation -------.------------------------------....._... -- 36. CondenFale Drain & Overflow: Size & Grade --------- ---- - ------------------------- - - 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ---------- ------- ----- . _. - - - - - ------------- -------- 3d Attic Access & Platform it Furnance in Attic ------------- ------- ------ - ---- -- •----- --- --------------------- --- Date Card B-1 Date Card B-1 -- - -- -- - - - - ----------- Date --- ----- - - - -- Date Card B -I Date Card B-1 Date FRAMING (Plans) OK except $1s 39 Sits. Proper Material & Anchors - -- ------ ---------- - a0 Walls Studs-Nauing. Spacing & Bracing -Plates -Sound 41 Bearing Walls over Girders & Floor Nailing 42 Draft Stop in Walls (rat proof) 43. Fire Stops Furred Ceilings -Stairs -Chases -Tub 44 Headers & Beam -Size & Bearing Single & Duplex). Date FRAMING (Continued) ... ar •: , .; 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 Stairs: Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer ------ _ 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic - 58. Shear Walls: Nailing -Bolts --_-__ 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows - -- ------------------- Date B-1 Date Card B-11' _ __Card Date Card B-1 Date Card B-1 Date 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-Mech. Protection 64. Bedroom Exiting ------------- 65. G.F.I. & Bath Fixtures & Tub Access -Spa ------------------------------- 66. Elec. Trim & Subpanel: Breaker Sizes & Labels 67. Stags & R_ails 6a. -------•--- -------------------------- Fireplace or Stove: Clearances -Hearth --- 69. Elec. Outlets at -Wood Int. & Ext. 70. ----------------------- -Panel: Kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Gap-CookingClearance - 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-Mech. Protection 75. Plb.. Elec. & Mech. Equip. Listed for Location -- --- ---------------- 76. - ---------------- Elec. Receptacles in Garage: (G.F.I.)-Romex Protection -------------------------------------------------- 7;--. Insulation-Foam-Looked-in -Attic----- 11Yes - ------------ - 78. ------------------------------ Guard Rails & Deck Construction -Post Caps --------------------------------- 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes ------ -------------------------------- 80. --------------- Followinginstld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No ------------------------------------------- 81. Stucco: Brown -Finish 82. 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 e6. Ventilation Throughout House ---------------------------------------------- -- 87. ---------------------------------- Glass Protection --------------------------------88. 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 Cert f tate-Other Certificates .. _ ... .. _ ... - -.. . - - --- - ------------- --------------- Date Card Card B-1 Date Card B-1 Date Card B -I Date Card B-1 ._. ....... ....... ---------------- ---------------- -. Date Card B -I Date Card B-1 Comments at Final: COUNTY OF BUTTE -DEPARTMENT dF DEVELOPMENT SERVICES -BUILDING DIVISION 't 7 County Center Drive - Oroville,-California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 024-130-090 A10 ZONING BUILDING PERMIT OWNER GAYLE E. w YVONNE JACP.SON TELEPHONE 846-5470 SO. Fr, OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 834 THRESHER AVE GRIDLEY 95948 126 C 1 638.00 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ 39.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 2 5.35 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDINGADDRESS 834 THRESHERAVEPLUMBINGPERMIT PERMITFEE $ GRIDLEY Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other IR Describe Work: GAZEBO WITH TILT, ROOF Mobile Home I S I GI W 1 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filing Fee 20:00 Main ServiceOOOv OR LESS ( zooA oR IEss ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ,K I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ADDNS. ( a ACC. BLDS. ) SO. 3.50 FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( a POWER APPARATUS ) SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES ) 20 Q 1.00 00 BAL .50 Ex. Occup. ounEEDrs PES D.) FA ( Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE _ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X _ (L,4� __ Date ���,$ _ Sign re of Applicant - Owner ❑ Contractor ❑ Agent An HA permit is require for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is occ CONST. TYPE TOTAL FEE $ 84.35 I HAZ. D. FEES IMP FLOOD X CDF PARCEL PD HD Iss This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By / PERMITEXPIRESON applicable provisions Resolutions to do work been paid. 01 Date lQ _r paLe) Receipt No. 186207 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT .{H+��._F.'ti�1N`.1`'�,,.."�C.."`:..cYAWK � ""'y�y^''.'ti+rtlN-� `�i7+^.✓t}.�+"'r. `-+1e �.ti�..ty..n' R�'�'n�-�'M'�',_'F,'-r .�.-3ih�.� +.C�T..'*.,,ircl. .. � : �. COUNTY OF BUTTE - DEPARTMENTOF'�DEVELtOPMENTSERVICES -BUILDING DIVISIOr 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 --TELEPHONE (916) 538-7500� OWNER Proposed Building Use PERMIT CAT DATA SHEET ' A. P No. 2 -- - 09K) -Building Inspector Date a 93 - 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 $ .......................................... 11. Impact fees as shown on attached schedule. ............................. . 12. California Department of Forestry plan approval/fees. ....................... . 13. 14. Flood elevation letter (100 year floodl by C ifornia Engineer. . Sanitation and plot plan approval 01 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)....Pre�a��e�ioA - 20. �q� Pre -inspection for required. .. to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner _). .......... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ t 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..1 When you issue the permit, process as follows: Y Mail to owner. Mail to contractor. Telephone and hold for `pi up at office. Deliver with inspector. Other Parcel Creation Acreage Applicant -,Z ate �� d �S 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 Counter by _ Date Contractor, designer, owner, was advised,, of above required data by _ phone -mail Counter by _ Date Plans checked by Date Plans approved by (T, BI3o../S Date //-�'-_ < Sets of plans on hold in, File cabinet 3 AP folder Copy - Department of Public Works E.H. USE ONLY Plat Plan Atlached Floor Plan Atmched Seat to B.D. / TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance m Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well_ Clearance for mo a ome. er Hold final for: Final clearance O.K. for: NOTE: QD XYZ! Environmental Health Specialist Date Attention Property Owner. An "owner -binder" building permit has been applied for in your name and bearing your ^ - signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your budding permit No building permit wm be issued until this verification is received. 1. I personally plan to provide the major labor and materials _ proposed property improvement: YESO] NO[ J. 2. I HAVE] HAVE NOT[ ] signed an application for proposed work 3. I have contracted with the following person (firm) to construction: NAME: ADDRESS: CTI'Y: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: Com: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide'the work indicated: NAiME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: SOCIAL SECURITY NUM03ER:_ DATE: /D — �;, 9/— for construction of the a building permit for the provide the proposed NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the budder of property improvements wed -should be aware that as owner -builder" you are the rrspons1ble party of record For your protection, you on such a permit Budding permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yoursel& you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work ('including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. - 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contnbutions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract - the Internal Revenue Sia (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowedto or through their own employees, without a licensed contractor or subcontractor, only perform their work personally under limited conditions. A frequent practice of unlicensed persons profe"sling to be contractors is to secure an "ownerbuilder" ly implying that the property owner is providing his or her own labor and material building permit, erroneous personally Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. S�nc rel Michail C. Vieiia, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER SET L3ACV_ ON AL. 51DES Butte Cou,,:Y Environmental. Health Date ALL SM6 A EQUIPMENT NC_LUDING OVERHANGS L CLEAR OF ALL EASE takA.qS. Location of sbijduros & I tO FT. FRU' THE SIDE equipment shaU be as shown I A SET BACK AND C 0 ci,,-a, -,'all easements. :�C F-7.lF30M- ',F-- 'S AF PW)PERTY LINES AND 5 c FT'. f ROM flr,-!<�v ;"FNTERUNE SHALL BE CLEA R OF PTRUCTUREE-OUIPMENT EXCEPT/ FOR k 2 FT. EAVE OVERHANG: __,11* k All Materials & Wo hip Shall Be In &Ccoidanoe with 1�ecOgWZWd Good Practices and / i / of , Pre9oribed f ";-v 1-1, 8 (9 - pecifted use Lai thFl Uniform Building, Mechanicaj.. . Cadesj&nd the Ifational C=Zl'6 od e. Thiel Set Of plans and specifications MUST�be =@pt O:R tbo job at ail tim:�j; and it is unla" to V) Ift A WIV Qh&nges oriturations on aarne W thout 1 I permissiontrom the Dei�aitment o3f ;umbilo , Workal Countg of Butte. / i DRIVE GAZEL30 -7 J .B0 COUNTY BUILDING DEPARTMENT ZON A.PPROdED 5E.r ;CK5 0'.- 0/1 PRdN-r`,'E.T. 13ACK 501 ROM.'.Cr=NTE:iZ OF ROAD SINGLE FAMILY RES I VIEN'c S A, �� od CORY PLOT PLAN Yvonne E. Tock5on 23q,7 1-lre,5her /-4ve- G,- , cj/ey , Calip. -- - - --! 12, , FO UNDATION 4 - EDGE 1 -1"" -5l -A8 CONI R T,5� ON GrZAVEL WITH REBAPl f=OULIDATION_ PLAN 5C,ALE-: BUTTE CC)UNtry BUILD114 , E. G DEPARTMENT E ?314 77-ire-3Ae, Ave Gri'cl/c/ 2"xl/'' RAPTE,2S TO C-001EP- HUB W/ f-I,4NGE25 AND WOOD GLUE z/''>e y' SUPP02 �f "x y' REDWOOD PO5T5 Wr2APP.ED IN ROOF/NG FELT' Wl atzICK F'AClNG 2"x(o" J-0 iSt- W/ gA-FrEg A50V87 2�x`�" 2A1=TE'2s YzPLYWOOD UNDEeLAYMEN CONClZETC �� ;G�NTE2 TILL y 12 NU3 FA SC/A X7.01 sT o. M E r,4 z HAN G i5 S 1-AC-rNC� BUTTE cO jITy ,•y ROO F1 N C PLS SING DEQ SCA 4-E l "= 2 A P P Yvornne- JaCkson P4/ Wire5her Ave. -2//6 //j s� A130 YE y "X y" 2�.I�WOQG I3 EA M5 qv:, y" kEP WOOD — 90 5 TS RESIDENTIAL , --}� 24-13 ' ?6 2053-91B,P,E,M o 3y Thresher Ave, Gridley ;;...cont: Ray Borges - (new sf) n r a' u ~-1. . yY FICE COP 14 Y a • .. Pad ess s ate D MeDate c , • ELEC 6y G .. Mete j OFFICE COPY fi Address Ll H \ Dif� \ JOB FINALE(Date Signature J=OK O = Not OK Not= Not Ready -Applicable MOBILE HOMES' Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements `. 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L" ft. / /-Nat. or/ /" L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 _ Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances , 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 i IJ J 1 t MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors t - 7. Electric , 8., Frmg; Sils-Anchors-Studs-Rftrs-Trusses L 9.+Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing ' 11. Ext.;•`Steps-Doors-Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 w • _1 .1 + 4 r J =.OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (Single & 'Duplex) = Date UNDERFLOOR (Plans) OK except ft's - ' 1. _Zoning -Setbacks -Easements -Flood -Slope Date FRAMING (Conti qi,2. Ftg., Main; Soils-Elec. Grnd.- " Ftg. Depth i, 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth �jtg_ Porches & Decks; Soils -Steel-/ /Ftg. Depth I' ✓5. Stemwalls, Main; Steel -Bloc kouts-Wrapped Stemwalls, Garage; Steel-Blockouts-Wrap ed 6a. Hold Downs and Special Anchors (� 7. Slab; Steel - 9 V.; Fall-Fitti g -Test -2 y C/O -Sewer -W 4%J/{w�� F. Gas Pipe; Size -Anchors - yard gas piping: size 1.1!bWater Pipe; Test -Anchor -Regulator -Service 12. Electric; Underground /13. Plenums & Ducts; Clearance -Material -Support -Ins. 1Z-, irders-Sills-Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation j j1 at Card 13-1 ate% and B-1 (Date? -- hard B-1 Date Card B-1 Date's 6LUMBING (Perm t) •OK except ti's 6. ater Htr.; Vent -Access -Combustion Air -Baffle ==------ -- - ------------ ------------------ 17. Water Pipe: Test & Anchor -Nail Protection -------------------------------- LI -118- D.W.V.; Test -Fittings & Anchor -Nail Protection - - ower Pan: Test. First Floor -Tub Access ---- - - - --- ----------- 0. Test b & Shower, Second Floor -Tub Access ----------- ------------------- ------------ -- -_ Gas Pipe: Size &Anchors ---- --- Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ti's 22. Fixture & Transformer Clearance -Ins. Protection -- _ - 6ec. Receptacles Spacing -Lights & Switches at Doors - - - --- - ------- - -- ------------------------------------ 4. Si a Boxes & No. of Conductors-Stapled----- Romex Installed Close to Edge of Studs & C.J. ---- 6. quip Ground made up w/Mech. Fastners-Bond Gas & Water __ ----------------------------- ------ ---- ----------------- 2 Appliance Circuts in Kitchen & Conductor Size!GFI -------------------------------------------------- 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size r / ga. _ Cu or AI 29. Range Circ / / ga Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No Service -Riser Conductors & Ground -Main Disconnect ---------- -------------------------------------------------------------------- - 3 Equip. Clear--------------------nces Panels-Motors-Mech. Equip. --- --- --- - lhes Closet Light -Shower Light -Spa Light 3. Smoke Detector ---------------------- ------------------------------------------------- ---------------------------- Date Card B-1 Date Card B-1 --------------- ----------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except ti's 34. C. Ducts Insulation & Support --------------- - - - ---------------------------------- V nl Fan: Exhaust above insulation _______ Condensate Drain & Overflow: Size & Grade F-rrnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ttic Access & Platform if Furnance in Attic ----------------------------------- ------- ------------------------------------- Date Card B_t Date Card B_1 ------------- ------------------------- --------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except ti's .,,'5'9 Sils. Proper Material & Anchors ----------------------------------------------------------- �1q Walls Studs -Nailing Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing -------------- -- ----------------------- - ------------------- Draft - - - DraftStopin Walls (rat proof) ------------------ ----- 43 Fire Stops: Furred Ceilings Stairs Chases -Tub - -- -- ----- 44 Headers & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors 4 Cing. Joist-Rflr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. Fireplace Ties or Type A Flue -Fireplace Throat clearance Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles - Le-11f"b drm. Windows or Exiting Doors -Sill Hgt. & Dimensions �S -Garage Fire Protection Framing ---- - - .Property -Line Firewall & Openings - ;.�xt. Doors -One 3' -Check Garage -3rd Story, 2 Exits Stairs: Width -Headroom -Rise -Run -Landing -Fire Protection on Roof Overhang -Attic Vents -Rafter Outriggers --- , �iding-Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access ----------------- - ---- . Glazing Area -Glass Protection -Skylights-Pla _______ _ ar Walls: Nailing -Bolts 9. Insulation -Walls -Ceilings ----------------------- - - iltration-Walls-Windows Datand B-1 t>tj_ _ Datei . •'yr`i, Card 13-1 Date and B-1 Date Card B-1 DategjjL (Plans) OK except ti's ` �6�1 x teps-Door & Sidelight Protection -Landings V62. 5 Detector Furnac ;-Vents-Clearance-Comb. Air-Connector- arage; Above Floor-Ducts-Mech. Protection 64. B m Exiting ------- �--- f65. G�_& •Bath Fixtures &.Tub Access -Spa C. 6. Elec. Trim & Subpanel; Breaker Sizes & Labels - ---------_-- -- -------------------- & Rails ------ - -- 68. lace or Stove: Clearances -Hearth 69. c. Outlets at Wood Panel: Int. & Ext. --- --- - ---- - --- 70. -xt & Appliance: Grnd.-Air Gap -Cooking Clearance Elec. Outlets & Receptacles at Kit. Counter --`----- - --.------------------------------ t/ rage Fire Door: Swing -Landing -Closer 73. -_Duct in Garage -Damper . Htr Vents -Clearance -Comb Air-Connector-P.R.V. Garage: Above Floor-Mech. Protection ;I:+Tb.. Ele _& Mech. Equip. Listed for Location Receptacles in Garage; (G.F.I.)-Romex P ection Insulation -Foam -Looked in Attic Yes ---------/--------------------------- - j �u Rails & Deck Construction -Post Caps Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth `Clearance Looked under Floor �❑ Yes 0. Following insttd.; Drive ❑ 'es V< No: Walks ❑ Yes tars '❑Lmp-4,� � --------------81 Stucco: Brown- - nit: Disconnect. Electrical, Plumbing 3. Vents bove Roof: Plbg.-Appliance-Fireplace.-Clearance to ` --- ----------------- - Wings 111.11 84. W ell; Disconnect, Electrical, Plumbing - ------- E Trim; G.F.I. Receptacle -Underground Ve on Throughout House -t:�Glass Protection ------------- ------J✓ - - ------------- 8. - 8. Corrections from Previous Inspections 89. G est -Meters Tad: C�-ric - - 0. ater & Sewer Connected -C/O to Grade HD Approval Energy Compliance Certificate -Other Certificates -- - -- - Date / r�rd B 1 Date - rd B- -� --_ --s Date rd B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final 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 ?�}cAsoA) OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office ` 'v when correction of work is completed. If you have any question pertaining to this muter, oq need additional explanation, please contact this office immediately. A COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, OroviIIe — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE A route inspection indicates that the following violations of County Ordinance exist at tie above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this wader, or neego-additional explanation, please contact this office immediately. Date Inspector C/o 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 57, A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. r I HEREBY CERTIFY THAT THE ABOVE INSULATION WAS INSTALLED IN THE ABOVE BUILDING IN CONFORMANCE WITH THE STATE OF CALIF. ENERGY REQUIREMENTS. HAWKINS INDUSTRIES INC. `;� # 62.2184 Wereeby�certify 0 "STATE CONTR. LICENSE NO. 10 I the above insulation and all required items as shown on the Building Depart. approved plans and attachments have been installed as required by the State of.California Energy Requirements. All equipment, devices and materials are of the quality prescribed or are specifically approved by the State of Calif. -------------------------------- ------------------------------- FIRM NAME/OWNER (PLEASE.PRINT) STATE CONTRACTOR'S LICENSE NO. SIGNATURE OF GENERAL CONTRAP-!iPQR/OWNER DATE This certificate must be on file with the BUILDING DEPARTMENT prior to final inspection approval and a-copyshall be posted within the building. JANUARY 1984 � Owner Tl� CSi r .1 Permit No. ENERGY CERTIFICAfiION LOCATION A.P. NO.' + DESCRIPTION OF INSULATION ' ROOF MATERIAL BRAND NAME THICKNESS THERMAL RES. r EXTERIOR WALL MATERIAL FIBERGLASS BRAND NAME CERTAINTEED THICKNESS �„2 •� THERMA''P.ES. / CEILING BATT OR BLANKET TYPE-,Fiber.glasBRAND NAME. CERTAINTEED THICKNESS fOff THERMAL RES. cs ` t LOOSE FILLTYPE INSUL-SAFE IIIBRAND NAME CERTAINTEED THICKNESS /a.'�c,`' THERMAL RES. y FLOOR,ELEVATED MATERIAL FIBERGLASS BRAND NAME CERTAINTEED THICKNESS �`5' THERMAL RES. FLOOR, SLAB MATERIAL BRAND NAME THICKNESS THERMAL RES. WIDTH FOUNDATION WALL MATERIAL BRAND NAME. THICKNESS THERMAL RES. I HEREBY CERTIFY THAT THE ABOVE INSULATION WAS INSTALLED IN THE ABOVE BUILDING IN CONFORMANCE WITH THE STATE OF CALIF. ENERGY REQUIREMENTS. HAWKINS INDUSTRIES INC. `;� # 62.2184 Wereeby�certify 0 "STATE CONTR. LICENSE NO. 10 I the above insulation and all required items as shown on the Building Depart. approved plans and attachments have been installed as required by the State of.California Energy Requirements. All equipment, devices and materials are of the quality prescribed or are specifically approved by the State of Calif. -------------------------------- ------------------------------- FIRM NAME/OWNER (PLEASE.PRINT) STATE CONTRACTOR'S LICENSE NO. SIGNATURE OF GENERAL CONTRAP-!iPQR/OWNER DATE This certificate must be on file with the BUILDING DEPARTMENT prior to final inspection approval and a-copyshall be posted within the building. JANUARY 1984 ER ACKNOWLEDGMENT / INVOICE TERMS AND CONDITIONS ROS130R0 1 please support all freight deductions with orlginal freight bilis. kssoclation rules to apply on claims of grade, tally 6 manulacturo. CUSTOMER'S ORDER IS SUBJECT 'asl duo accounts will be assessed a service charge of 11/2% per month (18% per annum). SAY 'ustomor agrees to Indemnify Rosboro Lumber Company for all expanses incurrod In connection CONDITIONS STATED HEREIN. with the collection of amounts duo hereunder, Including all court costs and attorney's foes Incurred ROSE auvlp c at the bias level and on any appeal. _ All litigation concerning this order will take place In Lane County, Oregon. R®SBOR® LUMBER C®MI'°AN :l order, this acknowledgment lakes precedence In all cnsos. P.O. Box 20 a Springfield, OR 97477 PHONE: (503) 746-8411 FAX: (503) 726-8919 ]I:):)I::ati A(:C{'•I(:)bJl._G::1�(•I_1'Ili:i�l' ItiUar'(]I�I:] (.7L-l.l' L..r,l'I h'Iil'])?l.1(]T'2S _T(])_+ ;t.t<.:>I'.t:)iitC'1"' i�'i''tl_.I`II_:Fi (�_ L_l•::�'J:f.f:; C::r)f'll��'(-111'Y" :I:hIC; f:ilt:i.l:i 'T't:; l"t(::I •:1'•il'll:•.! I..I.(:! f:; Ft 5E`:<LL:`0 ``,, )) 7L, r. alt :1�%7: %I: iT. i(: :', :I(:, :`%:it iA:'.',t'...i.T�:`1::�:(�j(:I.:T.:I::•T:iIC�)n;p 111l,� /I'� ,,11 1l.. /1'' �i�i:r:.P•:7•%'/:j`: `r. ?7.:r. ii ::r.:p?F +n ;T::?l:;I;.�C:.:;<,X, ' !1"C L'?I" /)::!f:.I{:cA:�.L.:'.:''•.. I'•..l':?,1 +I"I:I. .1 T),-.1�:.('i? /1/16. 1- e i't/ 7,);/' .:i(:':I.....::i;::'. !' !:::!..l::il:. •.TC_tl) a i:..I I:i ':/: :il **I F', Li V c;cl'Lc;:' F,1-c':1.c)1-1t f.;I-lcici 10I (.41, 1.-1 E,1:2:3 e'1 Ifr::> .�,irnhc:)1.:: I�1} i'af]rl:►� I::.W'i :&tYtttttttttititt8ttttittittilitttttittttttttttitttttttttttttittttltttttttttttittittittitttttttttteittltltttttt. APPEARANCE PROT SPC ST BEAM PROFIL LINEAL 1RK OTY WIDTH DEPTH FEET IN FRACT RADIUS GRADE MODIFY -ECT FN CIE GR COMB. SECT L R FEET /I -3126 14 03-1/2 X 12 16 (19 2000 Arch. 1 S W EM A l W S 224 f '3136 7 03-1/2 X 13-1i2 16 09 2000 Arch. I S W EW A l W S 112 510 4 05-1/8 X 10-1i2 60 02 2060 Arch. 1 S D V4 2400F A 1 W S 240 ; 512 8 05 -lis X 12 60 02 2000 Arch. I S D V4 240OF A l W S 480 5i3 4 05-1/B X 13-1/2 60 P2 A!00 Arch. 1 S D V4 240OF A l W c 240 f t15 4 05--/8 X 1`., 60 rt2 20:0 Arch. I i D V4 240OF A 1 W i 24'. ' ii` - (!6-3114 X 15 6(! 02 2000 Arch. 1 5 D V4 2400E A 1 W S X16 2 4-3/4 X 16-1/2 64) 02 2000 Arch. I S D V4 240OF A l W S 120 1 ;19 2 06-3/4 X 19-112 60 02 2000 Arch. I S D V4 2400F A l W S 120 S 512R 4 05-1/8 X 12 44' 02 2000 Arch. I S D V4 2400F A l k S 176 4 5138 4 05-1/8 X 13-1/2 44. 02 2000 Arch.' 1 S D V4 2400F A I W S 116 4 515k 4 05-1/8 X 15 44 02 2)1)0 Arch. I S 0 V4 2400F A 1 W S 176 ; ER ACKNOWLEDGMENT / INVOICE TERMS AND CONDITIONS ROS130R0 1 please support all freight deductions with orlginal freight bilis. kssoclation rules to apply on claims of grade, tally 6 manulacturo. CUSTOMER'S ORDER IS SUBJECT 'asl duo accounts will be assessed a service charge of 11/2% per month (18% per annum). 10 ALL OF THE TERMS AND 'ustomor agrees to Indemnify Rosboro Lumber Company for all expanses incurrod In connection CONDITIONS STATED HEREIN. with the collection of amounts duo hereunder, Including all court costs and attorney's foes Incurred at the bias level and on any appeal. _ All litigation concerning this order will take place In Lane County, Oregon. Should Inconsistanclos In forms be found between this acknowledgment and customer purchase order, this acknowledgment lakes precedence In all cnsos. i -3-096 �,.,.., ♦ � t�rPP 16 91 1T:1-0 FGA p, 2/4 ,Si •4t 9 C �{ 1 V �1 CIT -C SR IF1CATE CSF C 0 N F 0 R M A N E �.. .t E UNC.l�r4S�l �/ V:`�Li ,�r;►f' !`v C!F i C l �'��,r-' r��R�B Y CER 1`/ADS :f , that the produc►n identified below ar.c', on atiochee shtc!s Nr�s,_._. 06 marked ; with the Collective Mark of the AYL 91CA": ;NS. i I JTr_ 'ti'BEP CONSTRUCTION (AITC) .' and were manufactured in con,fortnarce w;+.h aF �Iiracie Provislon3 of American National Standard .ANSI/AITC A190.1-1983, Structural Gtu,. 1 LA*rn�nated Tirr+ber, and !hot such manufacture hat Y been at our pians in ._Qy,. T_Nup.[�t�a� NSI+ cr, plant h,3s a quality control system approved by the lnsp.�c tion Pvrcau of t' -.e A NOR tPl� r"T",1E t'l>' TWOE R CONSTRUCTION and inspected perlodi :oily ,1:,y -uch Bureau. THe manufacture of -1hes^ marnbs%m carnplies wi'L, th_ :T),d •j`acwrir,g and abricating piovIssoni of Chapter 25 of the Uniforoy, Building Code. IJ06 "AM . Al v CU97CiMER•10ADEA no _—_. :Xt, d :4�+ -•--� / 1 < C No (� 24F -v4 -... uta, �_t,�►�tBF_tt cn. TtT,.E QUALITY CONTROL _.__•�o�Es�,._S. 2?ND ST_..raif 12/6 90 .AITC HCRF8Y CC R rha, the said at its SA�d plant is licensed by the AMERICAN INSTITUTE QF TIMBER C0r4S.'r+tJ,'M0�1 vi cis . the :aITC Collective Mark inrespect of products which co; -n ;Iy with ep•a:ica5lc �rrr,i; Fora of said Stuinr;ard, .`.. adequacy of the quality control system in effet-1 At said ;✓lin,'is -_eri0di-"^.I1y .1"y -he Inspection Bureau of the AMERICAN INS71TUrl: OP TIMBEi4, and that, in the judgment of AITC, said Company is Capable of complying sppli^;Nc man ifar+-.4 my aid testing provisions of said Standard in respect of products n)3,,ufac!vre,2 at s:,'A plant. Coni nr.Pjr.ce with tho Standard in respect , of any Sp9CifiC or rirtiiular rt'nduct.is th? vj!e rpt>F.ti1'ihilrt� of the mznufacturer;AITC'sguarantee hereunder being that the saio con,parly o,, q;,alifiec! to weeting the said Standard ani that its plant is pvriodl� n',iy insvvoc; ens • i?Wii, J by the ,t'•.;T . Ir. -,pec rion Bureau, AITC FORM IOCA AITC No ?p2584 A t AMERICAN INSTI i VI L OF TIIMIRER CONSTRUCTION 4.4 - 4-0 �. ... to _ •:,r 7weF.A CorrsrFIUG4N'"'r"`t':, i COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 24-130-088 .�„-� ZONING • A-10 BUILDING PERMIT OWNER cvonr, r, S TELEPHONE S0. FT. OCC.1 BUILDING VALUATIO 3,615 184,365.00 NG DRESS OWNER'S MAILI- 844 Thresher Ave. Gridley 95948 896 16-128.00 CONTRACTOR'SNAME Ra Bor es 1846-2328 TELEPHONE 2 664 C 632.00 CON RACTO 'S MAILING ADDRESS 422 Turner Ave. Gridley 95948 Fireplace M 2 500.00 CONSTRUCTION LENDER Unknown UNKNOWN Total Valuation $ `L • 00 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ .00 ARCHITECT OR ENGINEER None LICENSE NO. Plan Checking Fee Energy Plan Checking Fee $ 1_5.00ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Thresher Ave., Gridley Each Trap ld 2.00 32.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 5.00 5.00 Each qas water heater or vent 1 5.00 5.00 USE OF STRUCTURE SF[X Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 1 5.00 5.00 Building sewer 1 5.00 1 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK New U Addition ❑ Remodel E:1Utilities ❑ Installation ❑ Other E]Permit Describe work New 3 Bedroom Single Family Fee $ 62.00 Contractor ELECTRICAL PERMIT FiIingFee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 in -nn I Main service EA. ADD'L 100 AMP 2.50 2.90 CONTRACTORS LICENSE LAW I declare under penalty p I y (check one): of perjury NJif am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in ful force and f ect. h C License No. �y �� l� Classification. ❑ I, as the owner, or my employees with wages as eir 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.& , OR ADDNS. ACC. BLDGS. X hQsgft 112.80 NEW CONSTR. UL71-OUTLET NON-RESID BRANCH CIRCUITS) 2.50 ea POWER APPARATUS e SINGLE OUTLET CIR. / Occup(OUTLETS OR FIXTURES eAL030 Ex. Occu 5AL030 FIXED PR Ex. Occup. OUTLETS 1RESID.IEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $135.30 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. 1 have placed on file with the County of Butte Building Department a~Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed.revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating 1 16.00 6.00 Split Cooling Over 3 Ton 1 11.00 11.00 Hood 1 3.00 3.00 Ventilation 4 3.00 1 12_.0.0 permit Fee $ 42.00 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County ofo Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against sat County in consequ ce of the granting of this//permit. X Date Signature of Applicant - Owner ❑ Cont ctor-' Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home installation Fee $ Energy Inspection Fee $ 30.00 CONST PE TOTALF $ 1 , 3 x.80 HAz. I CUA I PARK r. I-S$eL rL cDF P i HD IssuE IV his permit is hereby issued under sions of the Butte County. Code and/or work indicat d ab ve for which I OF PUBLIC By, -/D PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS e V Receipt No. 94150 $1200.00/ 94151 $163.80 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT VNI COUNTY OF'BUTTE - DEPARTMgMTPUBLIC WORKS - BUILDING DIVISION i7601JNTY CENTER DRIVE`="OROVPLLE CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT AP!,�LICATION DATA SHEET , Permit No. ? (�Q OWNER t ✓ " r P No. C� _ -�� �a Proposed Building Use /jery 3(%� Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and At Buildings .. r —per 8. Engineered truss details and layout in duplicate (required prior to plan check) ' 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ....................... 11. Chico Urban Area fees paid ....................................... 12. Pagk fees paid _ ?F;�7 13. Ci OL School District fees paid .............. C t — 14. Sanitation approval from 690 Health Department 15. City of Chico plumbing permit .............:....................... 16. Plot plan and business license approval from City of !!,, #19. ee City for other requirements Gwo A-ckeJ /,v q !0 -'L- anning approval for (A) Use: (B) Parking: ;Eto' provements may be required. Contact Land Development Section DPW permit (construction approval required prior to occupancy) 9/ Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement .......$`8r`01 ' 25. LetAr of signature authori z tion £� 26.�e �n t 27, dplaii Ades a r ; When you issue the permit, process as follows: Mail to owner. Mail to contractor. .� Telephone' 2 32nd hold for pickup at office. Deliver w/inspector. Other G % I �'S C c, (fLt�4l l�(�3 �� r 5 Appl icant97 –1 0 Copy of !-Idz-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 rior to permit issuance: (Circle new 'tem not c ecked above). 1. Index permit for above items No. ✓ �� ---� I 2, Additional items required: Contractor, designer, owner, was advised of above required data by_phone---naiI—counter by—.date— Contractor, y .dateContractor, desi ner, owner, was advised of above required data by—phone —ma il_count r by date Plans che- ed by L, Date Plans approved by Date S_— Sets of plans on hold in Copy—DPW File cabinet AP folder FROM: SUBJECT: Buildinc Department Environmental Health Sanitation Clearance Owner Location AP# Plan Approved for: Sewaqe Disposal _�_ Water Supply Water Supply Hold final for: Water 'Supply Final clearance O.K. for: Clearance for bedroom Mgkgo home. Other NOTE _. Date Sanitarian f T0: Building Department A FROM: Encroachment Permit Section RE: Driveway Clearance -_ Ave,r � J � •2 `� AP # r�j 2 �J� location owner permit has been issued for the above property. Driveway date si ature -'12/90 RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR Stairway details: landings, rise and run, head clearance, handrails • (Sec. 3306). Guardrail details (Sec. 1711 & 3306(j). tcBrick or stone veneer (Chapter 30). Exterior plaster - weep screeds (Sec. 4706). Proper roof pitch for roof convering (Chapter 32). -6! Roof covering type - (fire hazard). 7�__ Foam insulation - protection. 36" halls and stairways. Living area over garage - complete 1 -hour separation required on garage side Iincluding supporting walls and posts, etc. 5,wo exits on three-story dwellings (sec. 3303 & see Mezannines - 1716). kri. Attic access and ventilation (Sec. 3205). Underfloor access and ventilation (Sec: 2516). i4b- 'Combustion air for fuel burning appliances - L.P.G. requirements. oise requirements on duplexes. Energy design. lashing at all exterior openings. -i-T-CDF responsible area requirements. MWWWMI�M U .N RESIDENTIAL PLAN CHECKING GUIDE .12/90 (S.F., DUPLEX &'MISC. ONLY) Bldg. Permi'�j # o?0S2- 9 OWNER C1�1�1 A. P. # a Y` Plan Checker S'^ GENERAL •r�Gning requirements: (sideyards and number of permitted living units). Valuation. ,a ---Plans signed by designer. Proper description of work on application. 5� Existing violations on .property. . Items on data sheet. (W.C., fees, Health, Developer Fees, License law, etc). y. Recorded notice of violation. PLOT PLAN tuomplete parcel size and dimensions.•-�9P� C&M etbacks, sideyards, easements, etc. & ther buildings or structures. - rading, fills, drainage. lood hazard. pecial conditions on creation map, (noise, CDF, fire sprinklers, non-comb- stible, and foundations). AU & FAS road setback. uilding or utilities across lot lines (Record form). FT.nnR PT.AN Complete to scale plan with dimensions. Required windows for light and ventilation (Sec. 1205). Required windows for second exit (Sec. 1204). Skylights (Chapter 34 & Sec. 5207),. Human impact glass (Sec. 5406). '—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. rage firewall, door size, and closer (Sec. 503(d)(3)). 1. 1 - 3'0" exterior exit door (sec. 3304 (f). . Fireplace and wood stove location, alcoves, and clearance. . Smoke detectors (Sec. 1210). . Plumbing fixtures, water closet clearances and shower size. STRUCTURAL,DETAILS Stancrard bracing or engineered design (Table 25V) Unusual shape, size, or split level house requiring lateral design. oundation plan complete enough to construct building. Floor construction details complete enough to construct building. Elevations and wall construction details complete enough to construct building. Roof construction details complete enough to construct building. tSFireplace construction details and talcs if necessary. Fireplace ties or bearing ridge beam. arage door or porch header sizes. tud heights. dobe soils - special foundation design. etaining walls requiring design. pecial Inspection,required. _ Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT {. FOR RESIDENTIAL DEVELOPMENT Section0-8..1 of .the Butte County Code require' this acknowledgement be recorded prior to issuance of a building permit. 91-032608 1 Rec Fee The property described herein is adjacent I STF to land or included within an area zoned Recorded I Check for agricultural purposes, and residents Official Records 1 ec of this property may be subject to incon- County of I veniences or discomfort arising from the ButI t Butte use of agricultural chemicals, including, Candace Grubbs I but not limited to herbicides, pesticides, Recorder 1 and fertilizers, and from the pursuit f a ric It ral o erations includin 10:46am 8 -Aug -91 o g u u p g, but not limited to cultivation,. plowing, spraying,, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. tural zones which have as a priority use for productive within said zones and on adjacent property should be or discomfort from normal, necessary farm operations. 7.00 1.00 8.00 XX 2 Butte County has established agricul- agri.cultural purposes, and residents prepared to accept such inconvenience All that real .property situate in the County of Butte, State of California, described as follows: Date: (nLZ a1. State of �) SS. County of`-&,J�ft�) �tl PROPERTY OWNERS: I r On this theo?,5- ":Oday of �-.s� _, 19'7-/ before me, the undersigned Notary Public,'Ifersonally appeared OFFICIAL SEAL [] Personally known to me. � Proved to me on the basis RF IC, 1.BSDSOE of satisfactory evidence. NOTARY PUBLIC CALIFORNIA to be the person(s) whose name(s) ® BUTTE COUNTY subscribed to the within instrument and acknowledged that Cq(iFOaN� My Comm. Expires Feb. 1, 1993 executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Present A.P. No. �"7 —�� � �Q�j �%1Y,,(2Q Notary, Publ. c J`' 7; FLT i ,r t 91-03260@ 91-032608 91-032608 91-032608 1 Roc Fee 7.00 1 STF 1.00 Recorded I Chaco: 8.00 Official Rvcordo I County w I (r, Butte i Candace J.-'tarubbe I Recorder I `j 10: AGnn S-Aug••91 I XX 2 a...i�� .�-�+-_-- w.�w..-tia.-r.N-1 � __ A.Yi�` 1f.ti.J..Yw.w��.�.���....0 � ri. ♦.. Recmdcd at the requ6t of Return to Gayle E. Jackson ...... :..... YV6456 ..E.:...Jacks-on................................... .............. .......rYS!Y....... ..7..r..Q.sh..el .......A.Vc. .r;ley..,.. *'C.. '................. '9 1/? 91-012671 Recorded Official Records County of Butte Candace J. Grubbs Recorder. 8t48am 4 -Apr -91 91-12871 Rec Fee 5.00 Cash 5.00 ; ; e i X 1 -koa�, 130 -OXY' OOv (Pitt )DCO- NO CONSIDERATION GERALD A. WILL and DOREEN L. WILL, his wife , the first part , for and in consideration of the love and affection which ilio/ h ave for lire second part do hereby give and grnnt unto GAYLE E. JACKSON and YVONNE E. JACKSON, husband and wife, as Joint Tenants all that real proprrly situate in the County of Butte , the second part , Stnte of Cniifornia, described as follows: Being a portion of Lot 70 of Gridley Colony No. 5, near Gridley, Butte County, California, according to the official map thereof, filed in the Office of the Recorder of the County of Butte, State of California, April 12, 1906 in Volume "5" of Maps, at page 23, more particularly described as follows: Commencing at the Northwest corner of said Lot 70, thence South along the West line of said Lot 70 a distance of 165.0 feet to the true point of beginning for the parcel of land'herein described; thence East and parallel to the North line of said Lot 70, a distance of 330.0 feet; thence South along the East line of the West one-half of said Lot 70, a distance of 165.0 feet; thence West and parallel with the North line of said Lot 70, a distance of 198.0 feet; thence North and parallel with the West line of said -Lot 70, a distance of 145.0 feet; thence West and parallel with the North line of said Lot 70 a distance of 132.0 feet; thence North along the West line of said Lot 70 a distance of 20.0 feet to the true point of beginning. TOGETHER with a non-exclusive right of way for road and public utility purposes over the North 601 and the East 601 of the following described parcel of land: The Northerly 165 fP..P.t of -the Westerly half'of Loti70, lying between parallel lines of Gridley Colony No. 5 near Gridley, Butte Co., Cal., according to the Official Map thereof, filed in the office of the Recorder of the County of Butte, State of California April 12, 1906 in Volumq.."5, of Maps, at page 23. 1VI"tNf:Ss........ ctn�......Iranc�.S.....11lis.....3.-�'..... ......dny of...Ll7 "`" ...................................z ................. 19...y�...... ...........................................................................................e .............................. �RALD A. WILL ............................................................................................................................ ......... `...:.2Y ........ DOREEN L. WILL STATE OF CALIFORNIA �y ............................County o/ . nn...(-�....`3......... 19.9�., be/oro ��c.//4���.�!fsS� a Notary Publle, In and /or sold State, personally pppenred.... ) (¢ac, ..... J9 r.�Q...........O� QT .....W..G. c�? �1�........................................................ OFFICIAL SEAL REBE(UI 1. BUDSOE ............................ tb me to be the porson,jruhma name,...6.... I ..snbacrlbed �rA ttOTARYPUBUC-CALIFORNU► to the within Insbument, and acknowledged to +ne that lthe..yetecuted the mine, a �I BUTIECOUNTY' „ qN MY Comm. Expires Feb. 1, 1993 MY couernl331on ezplres„�/�1��,;••., ` � �0��'�� Notary Public PARCEL CHECK LIST AND REQUIREMENTS Owner �' 1 1 Permit No. Telephone No. - 'Z-3 Date cj / 1. Parcel creation Map Book ; Page J,4, C6 Legal Parcel Creation date l F �� 0' R/W Certificate of Compliance Other ecl _ 2. Parcel created by subdivision map prior to July I9 Parcel size is less than 5 acres Parcel exempt from items 3 & 4Abelow 3. Legal Access Parcel fronts on publicly maintained road Parcel does not front on public maintained road Documentation on legal access submitted (must be by Title Co. or licensed engineer or surveyor) Road Improvement Standatds �' ``��^ mos► (4� ✓e�'�/� . vj �, A. Parcel fronts a publicly maintained road Frontage Improvements not required Frontage Improvements are required Frontage Improvement. plans approved and improvements must be installed prior to building occupied B. Parcel not fronting publicly maintained road 1. Parcel Frontage Frontage improvements not required Frontage improvements are required Frontage improvement plans approved and improvements must be installed prior to building occupied 2. Parcel access to publicly maintained road Access improvements not required _ Access improvements are required Access plans approved and access improvements required prior to building occupied Copy of form sent to Land Development t/ by a e Copy of form sent to Building Department approved 'for permit issuance subject to= items marked in 4 above Elother Specify Date By. Recordrd nt the request of .................... /:�:1. u ................... Return to I Gayle E. Jackson Y'vi 4h6..E.:...OaCkSOn................................... ....................fl YY....:77zne sA.e.......... >1 V..e. ..................G.r.d/e.�..,....... _............ 9s9y� 91-012871 Recorded Official Records County of Butte Candace J. Grubbs Recorder 8:48am 4 -Apr -91 91-12871 Rec Fee 5.00 Cash 5.00 G, f- ., L X 1 e kt oa�� /.30 - 0,'P•- 00U 01ft MCO- NO CONSIDERATION GERALD A. WILL and DOREEN L. WILL, his wife , [lie first part , for and in considerntion of the love ind nffection which tiny Lave for the second part , do hereby give and grant unto GAYLE E. JACKSON and YVONNE E. JACKSON, husband and wife, as Joint Tenants the second pnrt , nil that real proprrty situate in the Comity of Butte Stnte of Cnlifornin, described as follows: Being a portion of Lot 70 of Gridley Colony No. 5, near Gridley, Butte County, California, according to the official map thereof, filed in the Office of the Recorder of the County of Butte, State of California, April 12, 1906 in Volume "5" of Maps, at page 23, more particularly described as follows: Commencing at the Northwest corner of said Lot 70, thence South along the West line of said Lot 70 a distance of 165.0 feet to the true point of beginning for the parcel of land herein described ;'# thence East and parallel to the North line of said Lot 70, a distance of 330.0 feet; thence South along the East line of the v West one-half of said Lot 70, a distance of 165.0 feet; thence West and parallel with the North fi-ne of said Lot 70, a distance of 198.0 feet; thence North and I parallel with the West line of said`L( t-70, a distance of 145.0 feet; thence West and parallel with the North line of said Lot 70 a distance -6f 132.0 feet; thence I North along the West line of sai,d,Lot 70 a -distance of 20.0 feett'o the true point of beginning. TOGETHER with a non-exclusive right of way for road and public utility purposes over the North 60' end the East 60' of the following described parcel of land: The Northerly 165 feet of. the Westerly half'of Lot:70, lying between parallel lines of Gridley Colony No. 5 near -Gridley, Butte Co., Cal., according to the Official Map thereof, filed in the office of the Recorder of the County of Butte, State of California April 12, 1906 in Volumes 5"of Maps, at page 23. BVI TNI:SS........0C r......lfanc�.5.....tItis......3'-�..........dny of ....(L. , 19...91...... .......................................................................................... �!.�f..�/Q�W1....` :.!. ' ..G'�....�"1... �........................ GERALD A. WILL .......................................................................................... .Q..... ^ ....'........ Q�f ........ DOREEN L. WILL SPATE: OF CALIFORNIA ............................ County o/�.l�..SrK7.�...................... ............... 79.., Ac)oro rnr,,.,.2.�2:P�A.'rti...�c.nn.S.1�.'��t.fss?e-. a Nofnry 19rblle, In and for #old State, peraman!!y pt')7cared..., 401).4LX fl EQR1010 — _wi.:c?.�rQQ....d�...1Q.;?'L4Rc'Yl-is?�........................................................ FFIcw. SEAL1. ORDSOE...........................known to root to be the pnr:son Sroho.1n mm�e„5[c?�t1L#ubacrl6rd ARYPUBLIC-CALIFORNAfv the udfhln Inafrurncnfand ocicnou4arl rd to rnr, that 01177E COUNTYy-the.11execufed the saran.mm. Ex0es Feb. 1,1993 Ply conrrnfaalon explrr,#..!....../l( Notary 1'ubno MAIL 7'AX S'rA'FrMrN'l'C'I'O:, END OF D h -e (,, e s,P / , -f- G/ 0 I- l --J ,f— :_T,11r Ir'.:: r• ,, ; ` to V S !1� f� fJ t fry a kt 11111 at the truant of F-5 F-5 ................... ................................ Return to I t� • _...._ G.A c1l.1st...... w.. ... .............................. ..............•.............. .................... Pf V11110iii 1(ECORDLU AT THE REQUEST q e'sleel Al Vel..li�{tn.pe i !�� OFFICIAL RECORDS OF 9UTT6 COUNTY, CALIFORNIA CT11111_4ii' i Co W"9CM4111"s RN = r" "'OKU39 Pni; 479 III 2.20 Rei (:RANT DF.1•:) (Joint •renancy) Por value rmlvell Woodrow He Cooper and Elsie A. Cooper, his wife t:RANT....... to Oerald A. Will and Doreen L. Wills his wife as JOINT TENANTS all that real property situate in the t4': Countyof Butte r , State of California, described as follows: ?'; Beira a portion of Lot 70 of Oridley Colony No. 5, near Oridley, Butte County, California according to the officialp thereof, filed in the office of tie Recorder of the County of" Butte, State of California, April 12, 1906 in Volume ^ ^ page 239 more particularly descried as follows= of Mops, at CommencinE at the Northwest corner of said Lot 70 thence South �• along the Y1eat line of said Lot 70 a distance of 165.0 feet to the true point of be•inning for the parcel os' land herein describec; r# thence East and para lel to the North line of said Lot 70, a distance of 330.0 feet:i thence South along the East line of the a West one-half of acid LOL 70, a distance of 165.0 feet; thence West andparallel with the North line of said Lot 70, a distance of 198.0 feet= thence North and parallel with the West line of 'e•i said Lot 70, a distance of 145.0 feet- thence West and parallel with the Horth 1$ne of said Lot 70 a Aistanee of 132.0 feet; thence North along the West line of said Lot 70 a distance of 'fY 20.0 feet to the true point of beginning. t • - i f"n ly T•.. r• Dat ed ............. A pri1..12.................. .... I q..b.3. t........................ I........................... '.• %Z.......... ,:C;� STATE OFCAt.IFItNNtA a1k......... tr.afJllrwi/...... / l •.e.........Cirr1�../,Sq4 1(t;l; ry}}. 1;O(ij+ + 4 .......................................................... ry ............. 1... .. . .•. 1.1 ; ... \:•...: AO • I+• l 1s."M to Ilw M M 140 /v.rna .5...... WA 10 .v, l.lawam,a.rlir., SaI t ^6 1^L5 � •....1. .,.... .. .................... ... ...........• 1'1d 19 .... M" H' ��.I[.G� br1C�,fQ,Gr)', . • ...:. •"� va Nefrerty Nlr..rr.&%,�'�a ' w - _ _ 7 —TD�ECLIARATION REGARDING ACCESS GCt y le,uTCi�-lSa I, YV 0n Vl e� �/lc.GSG/l , applicant for a permit from the County of Butte for the parcel of land identified as Assessor's Parcel No. 0 9' — J 30 — 0 ffY-60.6 , declare that said parcel was created on 1963 , by deed recorded in Book of Official Records at Page y7 in the office of the County Recorder of the County of Butte, and that I first purchased an interest in said -parcel on or about 19and that at that time I was not aware of any facts that would cause me to suspect that said parcel may have been created without the access thereto required by law. I declare under penalty of perjury that the foregoing is true and correct. Executed this day of , 19 , at , California. S igned...- . -t- x/319/ P,C0 M 1 N en -d e d Loy f COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7..County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER4/3 �/3 0 ' ^ 1���// ONI '+n) Q BUILDING PERMIT OWNER �" -� ` TELEPHONE SQ. FT. OCC.1 BUILDING VALUATION OWNER'S MAI LI�G_�RE55 ��� (�L,��Tyy[[// l/�' ��, die �- 5-7�� CONTRACTOR'S NA AY �� TC�PHONE S^ , CONTRACTOR'S MAI IN ADDR �IESSV eaz rorlw f� / f CONSTRUCTION LENDER k/_✓W / UNKNOWN N Fireplace % )r0 Total Valuation LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE NO. Naves Filing Fee $ 10.00 Permit Fee EE Plan Checking Fee $ I $ 3:;, v ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ , 6 Penalty $ BUILDING ADDRESS Permit fee $ G PLUMBING PERMIT FilirdFee 10.00 Each Trap 2,00 :W, C3t) Solar or heat pump water heater 20.00 LOT NO.SUBOI VISION NAME PARCEL MAP USE OF STRUCTURE SF„Z Duplex[] Mobilehome❑ Other SPECIFY Water piping - 5:00 .560 Each qas water heater or vent Gas piping system 1 - 5 outlets 5.00 00 5.00 Building sewer 5.00 Mobile Home S G W 0.00ea TYPE OF WORK New Addition[] Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Jt Permit Fee $ 2, o� Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service loo AMP OR LESS RSLESS 1 10.00 (0.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under p provisions of Cha t. 9, Div. 3 Of the Business and Professions Code and my license is in full force and effect. License No. Classification. 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADD'L 100 AMP 2.50 SI) NEW CONST. DWELLING OCCUP.a/ OR ADONS. ACC. BLDGS. /22sgft / �U NEW CONSTR. U TI.OUT LET NON.R'E"SID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) SINGLE OUTLET CIR. EX. OCCU OUTLETS OR FIXTURES P 20930C eALe3O FIXED APP LNS. OR Ex. Occup. OUTLETS IRESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate 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 FiIingFee 10.00 Heating iTJ Cooling fUN Hood 3,00 .3 0D Ventilation Permit Fee - $ 4 2-IDrJ 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 Countyof Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ . Agent ❑ An OSHA permit is required for excavationsov r 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 3 occ CONST TYPE /� TOTAL FEE $ 133 t�v HAZ. CUA PARK SCHL FLo coFPAR PO I Ho. ISSUE This permit is hereby issued unser the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES ngtP I Receipt No. °/-Wso-- 1a60.0— 9LI151— 163 U WHITE-D.P.W., YELLOW-ASSC330R. PINK -INS- CTO.. GOLDENROD-APPLICART _. .A'{: a t-.... �-.-E�.a �'.""�-"'`1'.n ''y�.1�,�V`^' 3�, «,r" �.. ;� .w���� �.•-7hp..,-a. •.tom .r ....r �..-..�,�;iry fC,,,. ..� t BUTTE COUNTY .SCHOOLS 0EUtLdPMENT FEE CERTIFICATION FORM fi (One Form per Building) A.P. Number ��' $ui:�ding Department No, School District �y City 0 County ©'-Jurisdiction Property Owner A ,Q/ Q Project Location/Address, 4 Subdivision Lot Number Residential Development: s _ L Sq. Footage # of Living MHI Addition (Group R) Units Commercial/Industrial: Sq. Footage New Addition (Including Exterior Roofed Areas) Building Department Representative Date District Id. No.' t x N School District certifies that a (Applicant/ Name) (Phone Number) Street Address ,Vk (City) „ (State) (Zip Code) has complied with the requirements of Resolution No. by the payment of $ representing sr square feet. A'a s 9/ Sch of District Representative Date PAID BY -CHECK NO. BANK NO��� REMARKS:* PAID BY CASH K. white -applicant, yellow -building department, pink -school district SCHOOL . FEE (5/88) 1 All that .real :property situate in the County of Butte, State of California, described as follows: Date: State of �) County of`� PROPERTY OWNERS: On this the o;�Z_ 'day of 19'`/ , before me, the SS. undersigned Notary Public, Ifersonally appeared �pL OF ti OFFICIAL SEAL ❑ Personally known to me. a] Proved to me on the basis REBE((A L. BLEDSOE of satisfactory evidence. NOTARYPUBLIC- CALIFORNIA to be the person(s) whose name(s) L---- BUTTE dBUTTE COUNTY subscribed to the within instrument and acknowledged that C'aLIFOpN�P my Comm. Expires Feb. 1, 1993 executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Present A.P. No.�ZJf�� i�p� Notary Public R . y . �J Return to DPW AGRICULTURAL STATFA`MM OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMEINI' Section X0-8.1 of the Butte County Code require' this acknowledgement be recorded% - ,,,prior to issuance of a building permit•. I The property described herein is adjacent 91-032 606 Fee I Rec Rec 7.00 to land or included- within an area zoned I STF Recorded I Check 1.00 for agricultural purposes, and residents Official Records ec 8.00 of this property may be subject to incon-. County of 1 veniences or discomfort arising from the Butte use of agricultural chemicals, including, i Candace J. Grubbs 1 but not limited to herbicides, pesticides, and fertilizers;_ and from. the pursuit Recorder of agricultural operations including,. 10:46am 8 -Aug -91 I _ _ _ XX 2 but not limited to cultivation, plowing, -- spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has .established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm'operations. , All that .real :property situate in the County of Butte, State of California, described as follows: Date: State of �) County of`� PROPERTY OWNERS: On this the o;�Z_ 'day of 19'`/ , before me, the SS. undersigned Notary Public, Ifersonally appeared �pL OF ti OFFICIAL SEAL ❑ Personally known to me. a] Proved to me on the basis REBE((A L. BLEDSOE of satisfactory evidence. NOTARYPUBLIC- CALIFORNIA to be the person(s) whose name(s) L---- BUTTE dBUTTE COUNTY subscribed to the within instrument and acknowledged that C'aLIFOpN�P my Comm. Expires Feb. 1, 1993 executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Present A.P. No.�ZJf�� i�p� Notary Public R . y . �J Recorded at the requrgat of ...... ................... Return to 1 Gayle E. Jackson ............Yvonne ..E.:...Jackson................................... .....................rS'yY.......Th.r..Q s�t.P.r........%V.e. ................... G.r: ley ..,......Gs.b,...-.. 9s9y� .. 91-012871' Recorded Official Records County of Butte andace J. Grubbs Recorder 8:48am 4 -Apr -91 91-12871 91-32& 8 Rec Fee 5.00 Cash 5.00 X 1 -*O,A�- 130 - 03F`P-- 000 gift MCO - NO CONSIDERATION GERALD A. WILL and DOREEN L. WILL, his wife the first part , for and in consideration of the love and affection which tlrcy have for the second part do hereby give and grant unto GAYLE E. JACKSON and YVONNE E. JACKSON, husband and wife, as Joint Tenants all that real property situate in the County of Butte the second part , State of Cnlifornia, described as follows: Being a portion of Lot 70 of Gridley Colony No. 5, near Gridley, Butte County, California, according to the official map thereof, filed in the Office of the Recorder of the County of Butte, State of California, April 12, 1906 in Volume r'5" of Maps, at page 23, more particularly described as follows: Commencing at the Northwest corner of said Lot 70, thence South along the West f-� line of said Lot 70 a distance of 165.0 feet to the true point of beginning for the parcel of land herein described; thence East and parallel to the North line of said Lot 70, a distance of 330.0 feet; thence South along the East line of the West one-half of said Lot 70, a distance of 165.0 feet; thence West and parallel with the North line of said Lot 70, a distance of 198.0 feet; thence North and parallel with the West line of said -Lot 70, a distance of 145.0 feet; thence West and parallel with the North line of said Lot 70 a distance of 132.0 feet; thence North along the West line of said Lot 70 a distance of 20.0 feet to.the true point of beginning. TOGETHER with a non-exclusive right of way for road and public utility purposes over the North 60' and the East 60' of the following described parcel of land: The Northerly 165 fePt. of -the Westerly half of Lot;70, lying between parallel lines of Gridley Colony No. 5 near Gridley, Butte Co., Cal., according to the Official ,Map thereof, filed in the office of the Recorder of the County of Butte, State of California April 12, 1906 in Volum "5" of Maps, at page 23. WITNIISS........ ctn..r...... hand.S.....tliis.... 3�........... day of...�......................................................... 19...91...... 1...................................................................... ��...JJ'.'........................................ �' GERALD A. WILL �• ......................................................................................... ............................... °..... . ................ DOREEN L. WILL SI'AI'E OF CALIFORNIA ............................county o/.................... ............... 19.�%., be/oro a Notary Public, in and /or sold State, personally Appeared_... µ� .. ti OFFICIAL SEAL l r.QQ.... ...t{�. eRT ....t .. 0 .......................................................... REDEtU 1. BLEDSo known fo me to be the porsonwho.+o name. �..,..fL,.nrdiscribed orp fJOTARYPUauC•CALIFORNW to the within instrumcnf, and acknowledged to mf7r e that :the. executed the scoBUTTE COUNTY ne. R ,< / 1 ,[IFOpN My Comm. Expires Feb. 1, 1993 MY cornrnisslon ��® Notary Public Buildinc Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Lo ation Plan Approved for: Hold final for: Sewage Disposal /r— ^incl clearance O.R. for: Clearance for —3 bedroom mobile me. other NOTE 'Rater Supply 41ell Water Supply Water Supply ate Sanitarlan C 10'-0" f E -r L ACK -,--IDES Complainant: Address: Phone Number: _ Other Comments: Building Inspector must draw a plot plan with all buildings and violations: Additional comments from Building Inspector: OVER 4 e Ceruticate Of COlnptiance: Kesiaenuai Ciimate Zone 11 Author BUELDING DATA Condi ' r Area Number of S torics Sla 'sed Fl Number of Units —4— P-lingle Family Detached (SFD) [ ] Addition Alone [ ] Single Family Attached (SFA) [ ] Existing Building (] Multi -Family (MF) [ ] Existing -Plus -Addition BU71I.DING SHELL INSULATION North East South West Skylight Total . e9,05-3- q/ Building Permit 0 t;eciced By / Date Enforcement Agency Use Only Component Type Insulation Locaiion!C-)mmerits R -Value (atria to garage, =i_ 4 etc.) Wall .............. Wall .............. bii:.imum Duct Roof ............. D Roos' ............. Efficiency Location Floor ............. Output Manufacturer / Model # Floor ............. (SE, SEER.HSPF) (attic etc.) SIab Edge..... GLAZING Shading Devices GLus Area % Glass za 411 J r�-- Glazing Area Glass Type Interior Exterior Overhang FramingType Orientation (ST) (single, double) (yolier blind, etc.) (shadescret:n, etc) (yesino) (meta.Vwood) No rth ( ) 1_76-5 /. _ - MX -"d North ( ) East East ( ) South South ( ) West West ( ) Skylight....... THERMAL MASS- Type/Covering Area Thickness (slab/exposed, tile, etc.) (Sf) (inches) Locadon/Description(kitchen. bath etc.) <� HVAC SYSTEMS bii:.imum Duct "' T'ype (furnace, air Efficiency Location Duct Output Manufacturer / Model # conditioner, hent pump) (SE, SEER.HSPF) (attic etc.) R -Value (Btuh) (or approved equal) tc Qat �r� Maximum Furnace Heating Output: Btuh HOT WATER SYSTEMS Tank Manufacturer/Model # System Type (storage gas, etc.) Capacity (or approved equal) "7V SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) `' pe �. (' Mandatory Measures Checklist: Residential MF -IR NOTE. Lowrise residential buildings subject to the Standards mets: contain these oras res regardless of the tompliz= approach used Items muted with an uteruk (') may be superseded by mart; stringent compliance requirurcaft fismd on tau Cvrific u: of Compliance. Wben this checklist is incorporated inw the permit docluncrtu, the features noted strait be considered by all parties as binding minimum component performs= spocafrrationa for Use mandatory measures whether they arc shown elsewhere in the documents or on this choddist only. DESCRIPnON Buildint Envelope Measures ' §2.5352(ar Minimum coling insulation R-19 weighted average. §2.5352fb}• Loose rill'utsrlation muufacturces labeled R -Value. §2.5352(cr Minimum wall insulation in framed walla R.I I weighted average (does net apply to esternor mus waits). 42.5352(k): Slab edge insulation - water absorption rate no greater than 0-3%, stater vapor transmission rate no greater than 2.0 permfuah. §2-5311: Insulation specified or installed meets California Energy Commission (CEC) quality standards. Indicate type and font. §2.5352M Vapor barriers mandatory in Climate Zones 14 and 16 only. 12.5317: InfiltratiavEafrltration Controts a. Doors and -udows between conditioned and unconditioned spaces designed to limit air leakage - b. Doors and windows eertirted. C Doors and wudows wcadWrsoiPPed: all pmts and penetrations caniktd and soled 42.5352(e): Special infiltration barrier installed to comply with 02-5331 moeu CEC quality standards §2.5352(d), Installation of Fireplaces I. Masonry tad factory -built fueplacu have a. Tight fitting, closeable metal or glass door b. Outside au intake with damper and control C. Fluc damper and control 2. No continuous burning gas pilots allowed HVAC and Plumbing System Measures §2-5352(8) and 2-5303: Space conditioning equipment siring: attach calculations. §2-5352(h) and 2.5315: Setback thermoses: on al. applicable heating systems. ' 12-5316(a): ,Ducts constructed, installed and insulated per Chapter 10. 1976 UMC: 12-5316(br Exhaust systems have damper controls. §2-5314(c): Gas -rued space heating equipment has intermittent ignition devices. §2-5314: HVAC equipment, water heaters. showerheads and fauuutertified by the CEC. §2.5352(1): Water heater insulation bta nker (R-12 or greater) a combined imerior/uterior insulation (R-16 or gm;ucr): fust 5 feet of pipes closest to tank insulated (R-3 or greater). §2.5312(Faception 1): Pipe insulation on steam and steam condensate return & recirculating piping. §2.5318(d)- Swimming Pool Heating 1. System has. a. On/off switch on heater. b. Wcwherproof instruction plate on hater: e. Plumbed to allow for solar. 175 percent thermal efficiency. 3. Pool cover. 4. Time clock. 5. Directional water inlet Lighting and Appliance Measures . §2-5352(1): Lighting - 25 lumens/watt or greater (or general lighting in kitchens and bathrooms. 12-5314(c): Gas rued appliances equipped with intermittent ignition devices. §2.5314(a): Refrigerates. refrigerator -freezers, freezers and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. DESIGNER ENFORCEMENr COMPLIANCE STATF24ENT This certificate of compliance lists tlr_ building featums and performance specifications needed to comply with Title 24. Chapter 2-53 and Title 20. C iaptr 2. Subchip`er 4, Article 1 of the California Administrative code. This certificate has been signed by the individual with overall design respcnsibiliry and the building owner, who shall retain a copy of it and transmit the certificate to arty subsequent purchaser of the building. Designer Narsse c TuklFum Adores: t r Telepihone lic. r: I (signature) Documentation Author Name Tide/nucn Address: Building Owner Name T,tk/f-treL Address: Tek -phone: (signature) (date) Enforcement Agency. Name: Atter. TcIe-J. o- i 1. Ceiling Insulation U -value 0.50 -176 Number of stories -54 R -value One Two Three R-0 -103 -49 32 R-19 -8 d .2 R-30 .2 -1 .1 R38 0 0 0 U -value 0.50 -176 -84 -54 0.30 -102 -19 32 0.10 -26 -13 -8 0.08 -18 -9 -6 0.C6 -11 -5 -4 0.04 -4 .2 .1 0.02 4 2 1 0.00 11 5 3 2. Wall Insulation Spedfc3tion -48 -69 Single- Single - East Slandaid 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 1.1 -value 5 2 .51 to 0.80 .31 to 0.30 or -114. .. ...76 0.50 -91 -68 -46 0.30 •47 36 -24 0.10 0 0 0 0.08 4 3 2 O.C6 9 7 5 0.04 14 11 7 0.02 19 14 10 0.00 24 18 12 29 -58 -20 3. Raised Floor Insulation 3 5 Insulation In Floor 28 •55 Number of stories .2 R-valua One Two Three R-0 -17 -8 -5 R-11 -3 .2 -1 R-19 0 0 0 R-30 3 1 1 U -value 7 14 24 - _,_:___-0.60 . -144 •70 -46 0.50 -120 -58 38 0.40 -95 -46 30 0.30 -69 -34 .22 0.20 -13 -21 -14 0.10. -17 -8 -5 0.08 -11 3 _4 0.06 -6 .3 .2 0.04 -1 0 -29 0.02 4 2 1 0.00 10 5 3 Controlled Ventilation Crawispace 12 Number of stories 17 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 Fdge Insulation -14 3 - - - Number of Stories-- _ - R -value One Two Three R-0 0 0 0 R-5 8 5 2 R-7 8 6 3 F2 factor 7 10 13 0.90 -4 3 •1 0.80 •1 .1 0 0.70 2 2 1 0.60 6 4 2 0.50 9 6 3 0.40 12 8 4 5. Infiltration (Air Leakage) 7..Shading (Shade Open) -Effective Percent Glass (percent giass x SC) Effective Spedfc3tion -48 -69 Points %Glass North East Slandaid :West SWight 18 5 0 4 1 na 16 4 .2 5 1 na 6. Glass Heat Loss 2 5 1 Total 12 3 3 5 2 1.1 -value 11 3 Percent 5 2 .51 to .41 to .31 to 0.30 or Glass Single Double .60 So .40 less 50 -121 -53 -39 .24 -10 4 40 -90 37 -26 -14 3 8 35 -75 -29 -19 .9 1 10 30 -61 -21 -13 -4 4 12 29 -58 -20 -12 3 5 12 28 •55 -18 -10 .2 5 13 27 -52 -17 .9 -2 6 13 26 -49 -15 3 -1 7 14 25 -46 -14 .7 0 7 14 24 -43 -12 .5 1 8 14 23 -40 -11 -4 2 8 15 22 37 -9 3 3 9 15 21 34 -7 -2 4 10 15 20 31 -6 0 5 10 16 19 -29 -4 1 6 11 16 18 •26 3 2 7 12 16 17 -23 -1 3 8 12 17 16 -20 0 4 9 13 17 15 -17 1 , 6 10 14 17 14 -14 3 7 10 14 18 13 -12 4 8 11 15 18 12 -9 6 9 12 15 19 11 -6 7 10 13 16 19 10 3 9 11 14 17 19 9 .1 10 13 15 17 20 8 2 12 14 16 18 20 7..Shading (Shade Open) -Effective Percent Glass (percent giass x SC) Effective -14 -48 -69 -64 %Glass North East South :West SWight 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 2 3 4 3 l3. Shading (Shade Closed) Erfective Perclmt Glass (percent gia= x SC) Effective %Glans North Est Soul!} West Vq*l 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 3 .23 31 .29 -74 9 -5 .20 -27 -25 35 -8 -5 •17 -23 -21. -56 7 -4 -14 -19 -18 -47 6 3 -11 -15 .14 -38 5 •2 -9 -11 -10 .30 4 .1 -6 3 -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 na . not allowed 9. Interior Thermal Mass or F2 factor [a771 Interior Slab Floor Raised Floor Mass Stories = • 2 � Stories x _ iCFA One Two Three One Two Three 0.0 -8 -5 -4 -2 -1 •1 0.1 .8 -5 3 -1 0 0 0.3 -7 -4 .2 0 1 1 0.5 -6 3 -1 1 1 2 0.7 -5 -2 •1 1 2 2 0.9 -5 •1 0 2 3 3 1.1 -4 -1 1 3 4 4 1.3 -3 0 2 3 4 5 1.5 -3 1 2 4 5 5 20 -1 2 4 5 6 7 25 0 3 5 7 7 8 3.0 1 4 6 8 8 9 3.5 2 5 7 9 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 r 13 14 15 10. Exterior Wal] Thermal Mass 6.6 Exterior wall single- Single- -2 •2 7.0 Family Family Mute 0 Mass Detactled Attached Family 5 0.00 0 0 0 14 12 0.20 3 2 1 22 0.40 5 4 3 11.0 0.60 8 6 4 8 0.80 10 8 5 14 1.00 13 10 7 20 1.20 13 12 8 22 1.40 12 13 9 6 1.60 10 13 11.. : 1.80 10 12 12 52 s.3 2CO 10 11 13 3 .2 •2 Two + 3 11. Heating System 2 2 1- 1 Single•FamUy ] etached and SE or HSPF 3.4 i Unit size (sq _ (assumes ducts In attic) Water Heater Credit .139 120t' Sum of 1.6 2200 2700 -25 or -24 to -14 to -4 to +6 to _ 16 or SE HSPF less -15 -5 +5 +15 more 0.72 6.60 0 0 0 0 0 0 0.75 6.88 3 3 3 2 2 1 0.80 7.33. 8 7 6 5 4 3 0.85 7.79 13 11 10 8 7 5 0.90 8.25. 17 15 13 11 9 7 0.95 8.71. 20 18 15 13 11 8 4 Effective SE or HSPF 3 (SE or HSPF x duct etTadency) 37 -24 Effective -25 or -24 to -14 b .4 to +6 to 16 or SE HSPF less •15 -5 +5 +15 more 0.30 275 -73 -64 -56 -47 38 30 na 3.41 -45 .39 -34 -29 -24 -18 0.40 3.67 -34 30 .26 .22 -18 -14 0.50 4.58 -10 -9 3 •7 .5 .4 0.56 5.13 0 0 0 0 0 0 0.60 5.50 5 5 4' 3 3 2 0.70 6.42 17 15 13 11 9 7 0.80 7.33 25 22 19 16 13 10 0.90 8.25 32 28 24 20 17 13 1.00 9.17 37 32 28 24 19 _ 15 Zonal Control Adjustment 4.3 System Type POU -10 3 -5 .d Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 12. Cooling Syst•:m or F2 factor [a771 , Standard 3.47 3 SEER -� � X ({ 4 = • 2 � �•7 x _ _ 7F (&ssumet ducts In attic) Interior Mass/CFA U-v911e.{0,95] 90 Total GUA (16] Stm of 7-10 x X Sc 4 '71 = =� Eff. % Glass 3.77 -25 or -24 b 0410 -4 In +6 to 16 or SEER .leas -15 1 3 +5 +15 more 8.0 -14 -12 -10 3 3 -4 8.5 -9 -7 3 -5 -4 3 8.9 -5 -4 -4 3 -2 .2 9.0 -4 3 -3 -2 .2 -1 9.5 0 0 0 0 0 0 10.0 4 3 3 2 2 1 10.5 7 6 5 4 3 2 11.0 10 9 7 6 4 3 120 15 13 11 9 7 5 13.0_ 20 17 14 12 9 6 100% 105y. 110% 1tS% 120% 12S- 0% 0 0.2 0.4 0.6 0.8 1.1 Efteltlye SEER 13 1.7 1.9 (SEER xaud cMclenc7) 23 2S 27 San of 7-10 7.2 14 16 Effective -25 or -24 to -14 to -4 In +6 In 16 or SEER $ass -15 S +5 +15 more 5.0 30 -25 -21 -17 -13 -9 6.0 -12 -11 -9 -7 -6 -4 6.6 -5 -4 -4 3 -2 •2 7.0 0 0 0 0 0 . 0 8.0. 9- 8 6 5 4 3' 9.0 16 14 12 9 7 5 10.0 22 19 16 13 10 7 11.0 26 23 19 15 12 8 120 10 .26 22 18 14 9 13.0 33 29 24 20 15 10 1.8 Zonal Control Adjustment 22 24 26 10 8 7 6 4 3 33 No Cooling System Installed 4.5 -Stories 4.9 5.1 52 s.3 5.4 One -5 •4 -4 3 .2 •2 Two + 3 3 .. 2 2 2 1- 1 Single•FamUy ] etached and Attached 12 3.4 i Unit size (sq 18 Water Heater Credit .139 120t' 1700 2200 2700 Type Type or . b less 1699 to 2199 to Of 2699 more SG None 0 i 0 0 0 0 or Solar 12 8 6 5 4 HP HWR 8 5 4 3 3 6.1 WSB 5 3 3 2 2 1.8 POU 8 5 4 3 3 SE None 37 -24 -18 -15 -12 41 Solar -1 .1 -1 0 0 56 HWR -18 -12 -9 -7 3 1.3 WSa -25 -16 -12 -10' -8 2S 26 POU -18 _-12 •9 -7. -6 IG None -5 .3 -2 .2 -2 S Solar 7 5 4 3 2 6 ? POU 3 2 1 1 1 IE None .28 -19 •14 .11 .9 13 Solar 8 5 4 4 4.1 4.3 4.S POU -10 3 -5 .d 3 5.7 Multi-Famn7 (Indlvldual units) 6 4 Wafer 1.3 ' UNf Size (sq 699 700 1200 1700 22M Heater Type Credit. Type or In less 1199 to 10 r 1699 ?199 or more SG None 0 0 - 0 ti 0 0" i or Solar 14 7 5 4"1 7 3. HP HWR 9 5 3 2 }t it 62 WSB 9 4 3 2 2 POU 9 5 3. 2 2 SE None -45 -23 -15 J-1 1 ' • .9 Solar 2 1 1 07 0 - 5.7 HWR -23 -12 -8 3 .5 . 1.4 1.4 WSB -25 -13 -8 -6 -5 26 _ EOII _23 =12 -8 3 .5 n None -8 .4 -3 -2 -2 5.1 Solar 6 3 2 1 1 61 POU 1 0 0 3 0 IE Nonn 40 15 -10 -8 3 3.3 14 Solar 18 9 6 4 4 4.6 POU -8 -4 -3 -2 .2 I 17111L 0.YaM111 DUIIIIIIUFy; Climate Lone n SCORE CARD Measures I. Ceiling Insulation RSO or R -value (381 1.1 -value {0.030] 2. Wall Insulation R l R or R -value ( I I I U -value (0.0981 3. Raised Floor Insulation or R -value 191 11 -value (0.037] 4. Slab Edge Insulation S. Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) a. Noah b. East c. South d. West e. Skylight 8. Shading (Shade Closed) a. North b. East C. South d. Wes[ e. Skylight 9. Interior Thermal Mass I N 10: Exterior Wall Mass 11. Heating System Zonal'Coiitrol? ( Y / N ) 12. Cooling System Zonal Control? ( Y / N ) 13. Water Heating R -value [0] or F2 factor [a771 , Standard 3.47 3 �• :� -� � X ({ 4 = • 2 � �•7 x _ _ 7F Type [doable] Interior Mass/CFA U-v911e.{0,95] 90 Total GUA (16] % Glass IZ.2 x X Sc 4 '71 = =� Eff. % Glass 3.77 A7 a X X Tns r Mss a.i y o. X =V� Exterior Wall Mass ND. FLUOR AREA . •7A X �� - SE or HSPF Dun Effc' icicy (0 781 Effective SE or (0.7,01 HSPF [0.5415.151 �,y X SEER (9.51 Duct Efficiency [0.741 Effective SEER (7.031 Tree I1.7•u1K•1.11 tr,_fAta [SGI Credo [none] 4 TYPO 1 %ASS (UI3a: 6 4-2• - le: e: sed slab)' 0% S% 10% IS% M. 25% 30% 35% 40% 45% 50% 55% 60% 667E 70% 75% 60% 8S% 90% 95% 100% 105y. 110% 1tS% 120% 12S- 0% 0 0.2 0.4 0.6 0.8 1.1 1.3 13 1.7 1.9 21 23 2S 27 29 7.2 14 16 3.8 1 !.2 !.! "-4.6 til% a2 QI 0.6 OA 1 1.2 1.4 1.6 13 It 23 I5• 27 29 It 13 15 17 4 4.2 4.4 4.6 '1.8_ 4.8 S S 3 20% 0.3 0.6 0.8 1 1.2 1.4 1.6 1.8 2 22 21 27 29 3.1 13 15 17 19 4.1 43 4.5 4.8 5 5 52 5.4 30% 10% 0.5 0.7 a7 OA 0.9 1.1 1.4 1.6 1.8 2 22 24 26 IS 3 32 15 17 33 4.1 4.3 4.5 4.7 4.9 5.1 52 s.3 5.4 56 50% a91-1 1.1 1.3 1.3 13 1.5 1.7 1.7 1.9 1.9 21 22 2.3 24 26 2.8 3 12 3.4 16 18 4 4.3 4.S 4.7 4.9 5.1 5.3 5.5 56 5.7 58 59 25 27 3 32 14 IS 18 4 42 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 55% 60% 0.9 1 1.1 1.2 1.4 1.4 1.6 1.7 1.8 2 22 21 26 28 3 12 15 3.7 3.9 4.1 41 4.S 4.7 4.9 S.1 53 56 S8 6 62 f 65y. 1.1 1.3 1.S 1.7 1.9 1.9 21 22 23 24 2S 26 27 26 29 3 11 12 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 S 5 2 5.4 5 6 S.9 6.1 6 ? 70% 1.2 1.4 1.6 1.8 2 22 25 27 29 11 13 14 15 36 17 3.8 19 4 4.1 4.3 4.S 4.7 4.9 5.1 53 55 5.7 5.9 6 1 6 4 75% 1.3 1.5 1.7 1.9 2t 23 23 27 3 32 14 18 18 4 4.2 4.3 4.4 4.6 4.8 S 52 5.4 5.6 58 6 62 64 1 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 607: 85% 1.4 1.4 1.6 1.7 1.8 1.9 2 2.1 2.2 2.3 2.4 26 28 3 13 1S 17 19 4.1 4.3 4.5 4.7 4.9 5.1 54 56 5.8 6 62 61 66 Wy.' 1.5 1.7 2 2.2 24 IS 26 17 2.8 29 3 11 3.2 3.3 14 3.5 3.8 1 8 4 4.2 4.4 4.6 4.8 S S2 54 56 59 6.1 63 65 67 95% 1.6 .1.8 2 22 2S 21 29 11 33 15 17 1t 3.9 4.1 4.3 4.5 4.7 4.9 5.1 53 SS 3.7 5.9 6.2 64 66 68 1007: 1.7 to 21 2.3 2S 28 3 12 3.4 16 18 4 4.1 4.2 4.3 4.4 4.6 4.8 5 5.2 5.4 5.6 5.6 6 6.2 6.4 6.7 6.9 4.6 4.9 5.1 5.3 55 5.7 5.9 6.1 6.3 6.5 6.7 7 105% 110% 1.8 1.9 2 21 22 23 2.4 2.5 2.6 27 28 3 13 35 3.7 3.9 4.1 4.3 4.5 4.7 4.9 S.1 5.4 56 5.8 5 6.2 6.4 6.6 6 8 7 1t5% 2 2.2 21 IS 2.8 29 3 11 32 13 14 16 3.6 3.8 4 4.2 4.4 4.6 4.6 5 5.2 5.4 5.7 5.9 6.1 6.3 6.5 6.7 69 7.1 120% 2 23 25 2.7 29 3.1 13 15 17 3.8 3.9 4.1 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 6.2 6.4 6.6 6.8 7 7.2 125% 21 23 2S 28 3 3.2 14 16 3.8 4 4.2 4.4 4.4 4.6 4.8 4.8 4.9 5 5.1 5.2 5.3 5.4 15 5.6 58 6 6.2 6.5 6.7 6.9 7.1 ,7.3 5.7 5.9 6.1 6.3 6.5 6.7 7 7.2 ,74 I 17111L 0.YaM111 DUIIIIIIUFy; Climate Lone n SCORE CARD Measures I. Ceiling Insulation RSO or R -value (381 1.1 -value {0.030] 2. Wall Insulation R l R or R -value ( I I I U -value (0.0981 3. Raised Floor Insulation or R -value 191 11 -value (0.037] 4. Slab Edge Insulation S. Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) a. Noah b. East c. South d. West e. Skylight 8. Shading (Shade Closed) a. North b. East C. South d. Wes[ e. Skylight 9. Interior Thermal Mass I N 10: Exterior Wall Mass 11. Heating System Zonal'Coiitrol? ( Y / N ) 12. Cooling System Zonal Control? ( Y / N ) 13. Water Heating R -value [0] or F2 factor [a771 , Standard 3.47 3 �• :� -� � X ({ 4 = • 2 � �•7 x _ _ 7F Type [doable] X . 7 7 U-v911e.{0,95] 90 Total GUA (16] % Glass IZ.2 x X Sc 4 '71 = =� Eff. % Glass 3.77 A7 a X X = a.i y o. X =V� % G_lasss SC Eff. % GIass X , � 3.47 3 �• :� -� � X ({ 4 = • 2 � �•7 x _ _ 7F 42 X . 7 7 ,1. - TYPE 1 MASS AREA InmriorNti4s1CFA 11 GOND. FLOOR AREA TYPE 2 MASS AREA = 8 Exterior Wall Mass ND. FLUOR AREA •7A X �� - SE or HSPF Dun Effc' icicy (0 781 Effective SE or (0.7,01 HSPF [0.5415.151 �,y X SEER (9.51 Duct Efficiency [0.741 Effective SEER (7.031 Tree [SGI Credo [none] Point Scores 0 Surd l3 Point Total. Sum 7-10 pLANNING DTVI rnPzdvur) Oftf: -- slgnetufa" gU1►DINGj`N AP ROVAL Date: � _ Landscaping:. -------- 0 U. 0 w V W \ z U O z W o to h W 0 oc v 0i ,IU Uj LL ( .J W! w ' ce° z LL �` U U i I o -,.� sr_i LAPSN` 'i�7IS' id 6Ut'Li� ING7.1 se: Dote . ( rki Iran MIN E301 `VISION u� APP w,/7 CEC 680.26 BONDING SHALL BE INSTALLED AS DESCRIBED BY . 2007 CEC. FIXED METAL PARTS WITHIN 5 FEET OF THE INSIDE WALL OF POOL SHALL BE BONDED TO COMMON POOL BONDING GRID An outdoor swimming pool shall be provided with drowningprevention safety y features that comply with California Health and Safety Code Section 115920-115928. These features shall be installed, inspected and approved prior to plastering or filling with water. AMPLY WITH 2004 4LIFORNIA ELECTRICAL ODE ARTICLE 680 9 40 I. RFORDER FROM CALIFORNIA SURVEYING A DRAFTING SUPPLY 1A00Q47.1414 oC�klcn BUILDER NOT RESPONSIBLE FOR CONCRETE, SHRUB- BERY AND / OR UNDERGROUND OBSTRUCTIONS IN ACCESS THE UNDERSIGNED APPROVES THIS WORKING PLAN AND ACKNOWLEDGES RECEIPT OF A COPY: BI -COUNTY POOL MIGNED_ESPECIALLY C-1V-IVL.�__-1 SALESMAN_ HOME • BUSINESS _ DRAWN BY_T,Z _ CHECKED BY BI -COUNTY POOLS CONSTRUCTION, INC. 871 GARDEN HWY YUBA CITY, CA 95991 530-673-3786 Contractors License 720512 . POOL '',,pp���� -- SPECIFICATIONS SIZE � x �� PERIMETER �tAREA-1±11 sq, ft. DEPTH 2V TO _V VOLUME i(e,-l(vZ GALS. CONSTRUCTION SPECIFICATIONS RAMPHALLO DEEP SWIMOUT� 0� x LOVESEAT --' x " WALKOUT EXCAVATION (COPING/CANTILEVER) FENCE: DOWN BY ��'"� UP BY L+AT7` HOURS OF GRADING / LOADS TO DUMP 'STUMPS LEAVE/HAUL CONCRETE: REMOVE sq, ft. STEEL/GUNITE/TILE/PLASTER (VORTEX/ANTI-VORTEX) RAISED BOND BEAM FT. x " height RAISED BOND BEAM FT. x ! height DECK TIES .TILE 6,11Ga COLOR OF PLASTER P T CAP FOR BOND BEAM CAP FOR RAISED BOND BEAM SPA _Z z_4'_LENGTH OF DAM CAP FOR DAM SPILLWAY PLUMBING SPECIFICATIONS 1 „ POOL: NO. OF RETURNS 5 MAIN DRAIN SII E .� SIZE OF SUCTION LINE F OM SKIMMER SLIDE _ " FILL LINE 34' FOUNTAIN LINE _ ft. SOLAR HEAT'T' _ POOL CLEANER I Iz REVERSE FLOW'PLMG. - DIV. BRD. L PRONG JIG SPA MAIN DRAIN SIZE � NO. OF JETS LIGHT ZRETURN -,-' VALVE TYPE NOTE: ALL AIR LINES PLUMBED BACK TO EQUIP. (I") UTILITIES (� ELECTRIC BY GAS BY POOL DECKING, (CANTILEV )-t/ Z SQ. FT. TYPE FINISH S�--r is . FOOTINGS _-Z. x Z MASTIC DIVIDERS: TYPI?6Ag&*Jf---DRAINS RISERS it. 5 TES P 11.1 i F1Lt-C.i-bl-n�- 5i� L_T POOL EQUIPMENT 43- FILTER: TYPE �P-r SIZE V.& -- PUMP:TYPE rte► ' SIZE 4 ' SHP' HEATER: TYPE SIZE 0008TU BLOWER: TYPE57 SIZE AMPS POOL CLEANER TYPE���� , SEPARATION TANK POOL ACCESSORIES LIGHTS: POOLtZPP SPA a PLENSE KIT BOARD _ Z BOARD STANDARDS SLIDE _ Z STRT./LC/RC COLOR GRAB RAILS/STEPS LADDER-/- HANDRAIL POOL CLEANER TYPE z VACUUM HEAD AND Z FEET OF H SE MAINTENANCE KIT AND POLE 11-1 Cl MAP BOOK PAGE: TRACT NUMBER: LOT NUMBER: .. ��"+�°•, y` J i 'j}� 'k 6. — - y4{ � � "Y 'i �� `•k 4A, ��,'� f v p ���2.,s� x x.�� .� 6'i;'�'�.^i ,M �> �� ' yN •� M AAIt �`.__.,'_�s, �� i r11�1 r*�' 4 �k � �J r 1 .iJS R'r t . -i ^16'�'4j� '.. c`P '- 6���I Ony - - - , -- - e4 00 x o4lail o-d pu r '000a 4.1'0Ci, i i r i 'u.r,awnc hMRc r.ir�G.aNN��. _ i..ia.. ww.e.k�>.uuoe4.u�:wer.=..—r= a+w�ww ,r v:N4 . si4.'� rf� r :+a•iprwwWk+k'w.�NP..ww x fmwN ;w.,> w.�-.m n>s�Y >Y-:f/`a b.,�An .r ir,� II4 ITWA IIII— — iIIIIIIIIiI1'i$ iIIIIIIir t IIIIII4y'l t, IIIIIIIiIIIIIIIIIIIIIIIIIIIFIit Iri IIlit w iffim IIIIItITh IIiIFill IIr 'lit IWI IiI4 ti, l IIII'14 IIlIIIIIIA. ilIIIt4.1 41 %it IIIIlIIIIIIIo Ik4 IIItitIIt, IIh y P '41 'o IIIIIIIIIIItitIIItIIIIlt