HomeMy WebLinkAbout024-150-045I
24-1-5-45
MA RMICK
A�
585 Higgin , Gridley
rmjt
Permit#687-88B. ew garage)
Permit
garage)
a
m
9.
- .1
g 5
it
rPermit 8 B,P,E,"M(new single family)
024-15-0-045 92-3449-B
SIZELOVE, Mattie
585 Higgins, Gridley
open deck/sf 2
J670
10
c
RESIDENTIAL
024-15-0-045 92-3449 B
SIZELOVE, Mattie
585 Higgins, Gridley
open deck/sf
JOB FINALE
Signature
.1 OK
O = Not OK
Not
= Not Readyable MOBILE HOMES
Date MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O Concrete
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
MISCELLANEOUS
Date DEC COVERS, CARPORTS, GARAGES, (Plans)G*Y exce t #'s
Zoning Requirements -Setbacks -Easements
ootings; Soils -Size -Depth -Spacing -Connectors -Steel
ecks; 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
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
`Steps -Doors -Landings
,_I -Card B-1 Date Card B-1
Date/_,;?- Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.: Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
_ Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
J=OK
O = Not OK
= Not Applicable
Not Ready RESIDENTIAL (;
=
Date UNOgRFLOOR (Plans) OK except a's
1. Zoning -Setbacks -Easements -Flood -Slope
° 2. Ftg., Main; Soils-Elec. Grnd.-/ /" 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-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. 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 a's
tE. Water Htr.: Vent -Access -Combustion Air -Baffle
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-1 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. Conductors -Stapled
--of-- ----------------------------------
25. Romex Installed Close to Edge of Studs & C.J.
------ ----------------------- -----------------------------------------------
26. Equip. Ground made up w!Mech. Fastners-Bond Gas & Water
-------------------- -------------------- ------------------
27. 2 Appliance Circuts in Kitchen & Conductor Size!GFI
----------------------------------------- -----
28. Subfeed Wire Sizer ga. Cu or AI-A.C. Wire Size ! ! ga.
Cu or At
--------- ---------------------------------------- ----
29. Range Circ ! r ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral ❑ Yes ❑ No
----------------------------------------------------------------------------------
-------------- 30.
-------------------------------
30. Service -Riser Conductors & Ground -Main Disconnect
31. Equip Clearances Panels-Motors-Mech. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
--------------
Smoke Detector
----------------------------------------------------------------------------------
Date Card B-1 Date Card B-1
------------- -- ------ - -- - - ----- -- -- - ----------------------------- -- ---- ---------
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except ✓+'s
34. -A. -C. -Ducts Insulation & Support
35. Vent Fan: Exhaust above insulation
-------------- -- ----- --------------------------- -- - - - - ---
36. Condensate Drain & Overflow: Size & Grade
---------- ---- -- --
----------------------------------------------..._....__.
37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet
38. Attic Access & Platform if Furnance in Attic
---------------------------------------------------------------------------------
Date Card B-1 Date Card B-1
------------------ ------------------------------------------ ----------------
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except fr's
39. Sils. Proper Material & Anchors
------- ---------------------------------------------------------------
40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound
41. Bearing Walls over Girders & Floor Nailing
- ------ ---------------------------------------------------
42. Draft Stop in Walls (rat proof)
-----------------------------------------------------------------
43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub
------------- -----------------------------------------------------
44. Headers & Beam -Size & Bearing
jingle & Duplex)
Date FRAMING (Continued)
45. Hangers -Post Caps -Anchors -Connectors
46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring.
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50. Garage Fire Protection Framing
51. Property Line Firewall & Openings
52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits
53. Stairs: Width -Headroom -Rise -Run -Landing -Fire Protection
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
______ 55. Siding -Nailing Veneer
__-------- _ 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
57. Glazing Area -Glass Protection -Skylights -Plastic
_ 58. Shear Walls; Nailing -Bolts
59. Insulation -Walls -Ceilings
60. Infiltration -Walls -Windows
Date Card B-1 Date
•-------------------------- -
Date Card B-1 Date
Card B-1
Card B-1
Date FINAL (Plans) OK except N's
61. Ext. Steps -Door & Sidelight Protection -Landings
62. Smoke Detector
-------------------
63.
------ ----------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 & Subp anel: Breaker Sizes & Labels
----------------
____________ 67. Stairs -&-Rai-Is---
__ _
68. Fireplace or Stove_ Clearances -Hearth
69. Elec. Outlets at Wood Panel; Int. & Ext.
. ------.. - ---------------------------
70. Kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance
71. Elec. Outlets & Receptacles at Kit. Counter
72. Garage Fire Door; Swing -Landing -Closer
----
73. --A.C.-Duct in -Garage -Damper
-- ----- ----------------------- ------
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage; Above Floor-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 ❑ Yes
-
--------------------------------------
----------------- -
78. -Guard Rails- & Deck -Const ruction -Post Caps
------------------------ --
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
80. Following instld.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No:
Planters ❑ Yes ❑ No
------- ---------------------
81. Stucco; Brown -Finish
a2. A.C. Unit: Disconnect. Electrical, Plumbing
--------------------------------------- - -
83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to
Openings
-- -- - -- -- -- -- ------------------------------ ----
84. Water Well: Disconnect, Electrical, Plumbing
------------------------------
a5. --E-xterior---Elec. --Trim: G.F.I. Receptacle -Underground
------------- ----------------- -----
86. Ventilation Throughout House
-- - - - ----------- - --------
87. Glass Protection
---------------------
88. Corrections from Previous Inspections
----- ------- -------------------------------------
89. Gas Test -Meters Tagged: Gas -Electric
- - ------ --------------------------------------
_90. Water & Sewer Connected -C/O to Grade -HD Approval
91. Energy Compliance Certificate -Other Certificates
-------------------------- -------------------- -- --
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
---------------------------------------
Date Card B-1 Date Card B-1
Comments at Final:
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 538-7541
747 Elliott Road, Paradise•— Phone: 872-6307
__...-_,-.CO_R.R-ECT I O N 'NOTICE
PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected.. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
r
I
r
Ile t.
i
Date / Inspector
j
/ COUNTY OF BUTTE- DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Orovilaa, Califdrnia 95965 Telephone: 916/538-7541
APPLICATION AND PERMIT
�zRMIT NO
ASSESSOR PARCEL NUMBER
024-150-045
ZONING
A 40
BUILDING PERMIT
OWNERS
I o REZELOVE
TELEPHONE
846-4303
S0. FT. OCC. BUILDING VALUATfON
540 0 3,78-0
OWNER'S MAILING SS
P.O. BOX 212 GRIDLEY 95948
CONTRACTOR'S NAME
OWNER
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ 3,780
LENDER'S MAILING ADDRESS
Filing Fee
$ 15,00
Permit Fee
$ 52.50
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 26.25
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty
$
BUILDING 585 ADDRESS
HIGGINS AVE GRIDLEY- 95948
Permit tee
--
$93.75;
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
5.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE
SF Duplex[]Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home S I G W
615.00
TYPE OF WORK
Newoo Addition Remodel❑ Utilities[] Installation❑ Other ❑
Describe work: OPEN DECK 510 SOFT _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service R LESS
200A OR LESS
18.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Check One):
El am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
Main service 200A TO IOOOA)
37.50
NEW CONST.OR ADONIS. / ( ACC. SLOGS. DWELLING OCCUR.&)
3.66sq.ft.
NEW CONSTR ULTI-OUTLET
NO N.R ESID BRANCH CIRC ITS
@ 5.00
POWER APPARATUS &\
(SINGLE OUTLET CIR. /
Ex. Occup(OUTLETS OR FIXTURES
20 @ 760
Ex. Occup. OU LETS ED APP(RESID )REA.)
I 3.00
Temporary service
j 15.00
Mobile Home Facilities
15.00
Misc. Iyirin g
'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.
❑ 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.
Contractor
MECHANICAL PERMIT
FiIingFee 15.00
Heating
Cooling
Hood
6.50
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgmen s, costs, and expenses which may in any way accrue
against a' County in onsequence of the granting of this permit.
X - Date /®/
-°
Sign Lure f Applicant — Owner Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee S
Energy Inspection Fee $
Locc
CONST TYPE
TOTAL FEE $ 3.7
HA2
DFEES IMP FLOOD cDF
PAR
y
PD HD
Issu
This permit is hereby issued under the
sions of the Butte County Code and/or
work indicat d a ove for which fees
CT F PUBLIC
By
PE IT EXPIRE Date
applicable provi-
resolutions to do
have been paid.
WORKS
Date
Receipt No. 125865
WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT
i ♦��
I' rt 1 :lIA7 i a }�� Y � �a� 4.4 u �iiV -
{ -AA
COUNTY OF BUTTE *PARTMEP4-f ,�tf F PUBLIC WOO -- BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIIrORNIA 95965 - TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER TIS
��AiiNo.
101
Proposed Building Usq OP6LJ DOCK- Building Inspector olti Date z -
At time of permit ajlication, 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 . ........................................
-�5 2. Plot plans, 3/4 sets, signed by preparer of plans ........................... ���%- QIt-
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. ....................... .
3. Flood elevation letter (100 year flood) California Engineer. .......... .
14. Sanitation and plot plan approval Health Department . ............ z-
5. City of Chico plumbing permit. ........................................ .
16. Plot plan and business license approval from City of Biggs/Gridley .............
t
17. Planning approval for (A) Use: (B) Parking: ........
18. Contact Land Development about (A) Improvements (B) Drainage. ...........
19. Driveway permit (construction approval required prior to occupancy). .. ... ....
20. Pre -inspection for Pre -Inspection request....
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 X) ............ ro qo2
24. Recorded copy of Agricultural Acknowledgement Statement . ..................
25. Letter of signature authorization . ........................................
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
27. Letter of intent on building use . ........................................ .
28. Mobilehome utility clearance . ......................................... .
29. Documentation of legal access . ............................... .
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits . ......................................
Plan check list. ...... GwNcf2.................
APPLl�A770� Sl6NEi� 13Y.ow,u UJIIC M I
9oYe-S 6A
When ywissue,the permit, process as follows: Mail to owner. Mail to contractor.
t/Telephone8q(*L(363 and hold for pickup at office. Deliver with inspector.
Other
Parcel CreationSoyer.
Acreage Applicant Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted prior to_permit issuance: (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 �Coynter by _ Date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
E. If. Ils1: t)\I.1'
Hot Plan Attached ---
Hour Iron Almched
sant to II.U. /
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
4 aL -L5 —1-%.5
Owner Lour iIN
Oil AP#
Plan Approved for: Sewaoc Disposal i/ Water Supply: Public Private Well �.--
1 �ial�il� Other—ZD,,}'
Hold final for:
Final clearance O.K. for:
NOTE: I Co
L-nvifon
8/92
Health Specialist
Date
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroviller California 95965 - Telephone: 916.538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
_ — —Ol{S
ZONING
A—tip
BUILDING PERMIT
OWNER
114, 7T/ - S � ZLCOVE
TELEPHONE
�Y6 3
SQ. FT. OCC. BUILDING VALUATION
OWN R'S MAILING ADDRESS
RQ _63al 2-f-22 CROCEty
CONTRACTOR'S NAME
Dwoe
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee
$ 15,00
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 2 C_ , 2S
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
S s �iGGi�US �
Permit fee
$ 7
'S
PLUMBING PERMIT
Filing Fee 15.00
f �L
Each Trap
1 5.00
Solar or heat pump water heater
1 20.00
LOT NO.SUBDIVISION NAME
PARCEL MAP
Water piping
7.00
Each qas water heater or vent
7.00
USE OF STRUCTURES
SF ❑ Duplex❑ Mobilehomer-1 Other OPE DO; /<
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
1 15.00
Mobile Home I S I G JW 1
615.001
TYPE OF WORK
New Addition❑ Remodel[) Utilities❑ Installation[] Other ❑
Describe work: DP( --,u I)EC
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 200A OR LESS
18.50
Main service 20GATO1000A)
37.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am. licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license Is In full force and effect.
License No. Classification
01I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. ( DWELLING OCCUP.fk\
OR ADDNS. ACC. SLOGS.
3.6C sq.ft.
NEW CONSTR ULT'.OUTLET
NO N.R E SID BRANCH CIRC ITS
@
POWER APPARATUS e
( SINGLE OUTLET CIR.
276id
Ex. Occup(OUTLETS OR FIXTURES
20
FIXED APLNS.
Ex. Occup. OUTLETS P(RESID )REA.J
1 3.00
Temporary service
1 15.00
Mobile Home Facilities
15.00
Misc. IYirin g
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
Filing Fee 1 15.00
Heating
Cooling
g
Hood
6.50
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
1 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 neigh tions over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST TYPE
TOTAL FEE $ r9 —7S
HAz
1 0FEES
IMP
FLOOD
I COF
PARCEL
I P5
HD
ISSUE
This permit is hereby issued under the
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By
EXPIRES Date
applicable provi-
resolutions to do
have been paid.
WORKS
DatePERMIT
Receipt No./ zs"565,
WMITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - Department of Public Works
7 County.Center Drive, Oroville, CA 95965 Phooe: 916-538-7541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An 'owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued -until this verification is received.
1. I personally plan to provide the major labor and.materials for construction of
the.proposed property_improvement.(yes or no)
2. I (have. /have not) signed an application for a building permit
for the proposed work.
3. I have contracted with.the following person (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors License No.
4. I plan to provide 'portions of this work, but I have hired the following person
to coordinate, supervise, and provide the major work:
Name
Address City
Phone Contractors License No.
5. I will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name Address Phone Type of Work
Signed:
Property Owner
Social Security Numbers
Date
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of. the California Health and. -Safet_y.Cod-e. -
This verification must be completed and returned to our office before we are per-
itted to issue the permit.
A�'# zY -iso-oars
NOM—Ail Mato; itis & Workmanship Shall Be in
-��!,ordancp witi, Recogi,:;zed Good Prat ices and
n pr,':,sorbeth for the Specified use 4n ".-he
Uniio,,fn Build:ng, Plumbing & Mechanical Code's and
the Nationai Electrical Code.
i..�cuiiun of s&uct.ures &
equipment shall be as shown
& clear of all easenvoft.
1*i1IIf'P"v"1
This set of plans and specIrRmtions MUST be
kept on the job at all tim6s and it is unlawful
make any ohanges or alterations on same to
written pem-ssion "I&Mt
from the Department of pub4c
Works, County of aufte.
/p -7''f'
ZY -
4�
L A N D O F NATURAL WEALTH AND BEAUTY
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397
1�1 t"4 1% ,"TELEPHONE: (916) 538-7541
o• *--� ! '_ FAX: -(916) 538-2140
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BUTTE COUNTY o z
MAX. A No --
MIN. S TAI R ..—
BUILDING DEPARTMENT,, rn W IDT4
6• fix=Np-m.
P�vo_O_
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687-88B, E
PERMIT NO.
+
PERMIT EXPIRES
MAC McCORMICK
OWNER
CONTR.
owner
24-15-45
ASSESSOR PARCEL
t
LOCATION .585
Higgins, Gridley
y
1
.
a:
Temp. Power Pole
Called PG&E
Temp. Elec. Service
/
Called PG&E
Temp._ Gas Service
Called PG&E
/
JOB FINALED (Date)
Signature
= OK ' -
0 = Not OK
=Noeaable t RRdyMOBILE 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-Clearances-Grnd.-/ / Amp -Concrete
6. Gas; Location -Test -Wrap: / P L" ft.
/ /"Nat. or/ /"L"ft./ /"LPG
7. Utility Clearance
Card -B1 Date Card -B1 Date
Card -B1 Date Card -61 Date
Date MOBILEHOME 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
Card -B1 Date Card -B1 Date
Card -B1 Date Card -B1 Date
MISCELLANEOUS
OVERS,CARPORTS,GARAGES, (Plans)OK except #'s
Requirements -Setbacks -Easements
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Ejec.
�Z mg; Sills-Anchors-Studs-Rftrs-Trusses
Siding; Nailing -Veneer -Stucco -Mesh
M. Roof; Shthg-Roofing
11. Ext.; Step -Doors-Land! 9 gs
t.
Card -13Q00 rCand-1211 ate r
Card-13Dat Card -61 Date
Date -POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness -
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
ICard -B1 Date Card -131 Date
Card -B1 Date Card -131 Date
= OK
0 = Not
Not Applicable RESIDENTIAL (Single and Duplex)
- =
=
Not Ready
Date UNDERFLOOR (Plans) OK except #'s
1. Zoning requirements -Setbacks -Easements
2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. De
3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Dei
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test
10. Gas Pipe; Size -Anchors
11. Water Pipe; Test -Anchors -Regulator -Service Test
12. Electric; Underground
13. Plenums & Ducts; Clearance-Material-Supprt-Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Insulation
Card -B1 Date Card -B1 Date
Card -81 Date Card -B1 Date
Date PLUMBING (Permit) OK except #'s
16. Water Ht. Vent -Access -Combustion Air
17. Water Pipe; Test & Anchors -Nail Protection
18. D.W.V.; Test-Fttngs & Anchors -Nail Protection
19. Shower Pan; Test, First Floor -Tub Access
20. Test Tub & Shower, 2nd Floor -Tub Access
21. Gas PiDe: Size & Anchors
Card -B1 Date Card -B1 Date
Card -B1 Date Card -131 Date
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
25. Romex Installed Close to Edge of Studs & C.J.
26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
27. 2 Appliance Circuits in Kitchen & Conductor Size
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga.
Cu or Al
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral Yes No
30. Service -Riser Conductors & Ground -Main Disconnect
31. Equip. Clearances Panels-Motors-Mech. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
Card -131 Date Card -131 Date
Card -131 Date Card -131 Date
Date MECHANICAL (Permit) OK except #'s
33. A.C. Ducts Insulation & Support
34. Vent Fan; Exhaust above insulation
35. Condensate Drain & Overflow; Size & Grade
36. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet
37. Attic Access & Platform if Furnace in Attic
Card -B1 Date Card -B1 Date
Card -131 Date Card -B1 Date
Date FRAMING (Plans) OK except #'s
38. Sills, Proper Material & Anchors
39. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
40. Bearing Walls over Girders & Floor Nailing
41. Draft Stop in Walls (rat proof)
42. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
43. Header & Beam -Size & Bearing
Date FRAMING (Continued)
44. Hangers -Post Caps -Anchors -Connectors
45. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
46. Fireplace Ties or Type A Flue -Fireplace Throat
47. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
48. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
49. Garage Fire Protection Framing
50. Property Line Firewall & Openings
51. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
52. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
53. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
54. Siding -Nailing Veneer
55. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
56. Glazing Area -Glass Protection -Skylights -Plastic
57. Shear Walls; Nailing -Bolts
58. Insulation -Wal Is-Clg.
59. Infiltration-Walls-Wndws
Card -B1 Date Card -B1 Date
Card -B1 Date Card -B1 Date
Date FINAL (Plans) OK except #'s
60. Ext. Steps -Door & Sidelight Protection -Landings
61. Smoke Detector
62. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Mach. Protection
63. Bedroom Exiting
64. G.F.I. & Bath Fixtures & Tub Access -Spa
65. Elec. Trim & Subpanel; Breaker Sizes -Labels
66. Stairs & Rails
67. Fireplace or Stove; Clearances -Hearth
68. Elec. Outlets at Wood Panel; Int. & Ext.
69. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance
70. Elec. Outlets & Receptacles at Kit. Counter
71. Garage Fire Door; Swing -Landing -Closer
72. A.C. Duct in Garage -Damper
73. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
74. Plb., Elec. & Mech. Equip. Listed for Location
75. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
76. Insulation -Foam -Looked in Attic ❑ Yes
77. Guard Rails & Deck Construction -Post Caps
78. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
79. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ No
80. Stucco; Brown -Finish
81. A.C. Unit; Disconnect, Electrical, Plumbing
82. Vents Above Roof; Plbg.-Appliance-Firepl: Clearance to
Openings.
83. Water Well; Disconnect, Electrical, Plumbing
84. Exterior Elec. Trim; G.F.I. Receptacle -Underground
85. Ventilation throughout House
86. Glass Protection
87. Corrections from Previous Inpections
88. Gas Test -Meters Tagged; Gas -Electric
89. Water & Sewer Connected -C/O to Grade -HD Approval
90. Energy Compliance Certificate -Other Certificates
Card -B1 Date Card -B1 Date
Card -81 Date Card -B1 Date
Card -B1 Date Card -B1 Date
Comments at Final:
(NOTE: An entry must be made each time you visit job site)
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office,4mmediately.
Inspector Date
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC
7 County Center Drive - Oroville, California 95965 - Telephone:
APPLICATION AND PERMIT
WORKS P RMIT O.
916/538-7541
ASSESSOR RCEL NUMBER_
ZONI G
BUILDING PERMIT
OWNER
TEL P ONE
'SO. FT. OCC. BUILDING XALUATION
OWNER' A 1 G ADDR ��
CONTRACTOR'S AME TEL PHONE
CONTRACTOR'S MAILING A D S
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$ SQ
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL AP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other-
sPCI FY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
10.00 ea
TYPE OF WORK
New Zj,-Ikddition❑ Remodel[:] Utilities[] Installation❑ Other[] i
Describe work: ;2XY X.3(
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.SINGLE
License No. Classification
I, 8S the owner, or my employees with Wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.al �2¢Sgff
OR AODNS. ACC. SLOGS. ,
NEW CONSTR MULTI -OUTLET I2,50 ea
NON.RESID BRANCH CIRCUITS)
POWERAPPARATUS e
OUTLET CIR.
z0®s0e
Ex. Occup OUTLETS OR FIXTURES .ALO 30
FIXED OR
EX. Occup. OUTLETS TS (R(RESEST. D.)EA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $ ,
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
[A -1 -4 -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
FilingFee 10.00
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
�a�gain�st said County in consequence of the ranting of this permit. �*
,- ��-•- y Date �" b
Signature of APplicant — Owner Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-/
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $ ,
OCCUP.
CONS
SCHOOL
PLOODARCO
Tr
ND
ISSUE
This permit is hereby issued under
Lsions o the Butte County Code and/or
work 'n icatedbove for which
CTOR OF PUBLIC
Bywzq
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date MSR 88
���
Receipt No. i� ;P� �
WHITE-D.P.W., YELLOW-ASSC390R. PINK -INSPECTOR. GOLDENROD -APPLICANT
II
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING'DIVISIO
7 COUNTY CENTER DRIVE - OROVILLE %ALJFFORNIA 95965 - TELEPHONE: 916/538-7541��
PERMIT APPLICATION DATA SHEET
Permit No.
OWNER IX0 4:w el A. P. No. _
Proposed Building Use
a41_1s-�/S
Building Inspector 4P& 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. Plans with Energy Design Compliance Statement. . . . . .
6. School District "Fees Paid" Stamp on Floor Plan.
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . , .
9. Letter of signature authorization.
' 10. Sanitation approval from IQro Health Dept..
11. Planning approval for (A) Use: (B) Parking:
12. Certificate of Workmen's Compensation Insurance. . . . . .
13. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to owner❑, Mail to ownerE])
_15. Improvements may be required. . . . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . . . .
Pre-Inspec. request to j
17. Pre -Inspection for Required. (Date)
p q Building In
18. Recorded copy of Agricultural Acknowledgment Statement. '
19. Driveway Permit.
20. Plot plan approval from city of
21. Engineered trusses in duplicate (required prior to plan check)�tp�c���`
v 22.
When you issue the permit, process as follows: Mail to owner, Mail to contractor.
Telephone 9-14/g- (to -3,Q4 and hold for pickup at 44( ffice, Deliver w/inspector. 3
Other
Applica
Copy of plans sent Health Dept., Fire Dept., Other Date
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by_phone---jnail—counter by date
Contractor, designer, owner, was advised of above required data by —phone _maII—counterby `%/ date
Plans checked by Date Plans approved by "' Date
Sets of plans on hold in File cabinet AP folder
Copy—DPW
r
TO Buildinq Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
VyYkc
Owner Locatfibn AP#
Plan Approved for: Sewage Disposal 41— Water Supply
Hold final for:
Final clearance O.K. for:
Clearance for bedroom mobile home.
0
NOTE ***
Sanitarian
Water Supply
Water Supply
Other
_7--74-)
Date
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-5384541 '
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An 'owner -builder" building permit has-been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no)
2. I (have/have not) signed an application for a building permit
for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors License No.
4. I plan to provide portions of this work, but I have hired the following person
to coordinate, supervise, and provide the major work:
Name
Address City
Phone Contractors License No.
5. I.will provide some of the work but I have contracted (hired) the following
persons,to provide the work indicated:
Name Address Phone Type of Work
Signed:
Property.Owner'�
Social Security Number
Date
NOTE: This Owner -Builder Verification is sent to you as required by.Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to -our office before we are per-
mitted to issue the permit.
687-88
PERMIT NO. —
PERMIT EXPIRES
OWNER MAO McCORMICK
CONTR. Awe®
ASSESSOR PARCEL
LOCATION'. >85Higgins Gridley,
OFFICE COPY
Address
I
i
GAS �
Meter By S, Date
ELECTRIC
Meter By Date
i OFFICE COPY
Address
t ,
i
GAS
Meter By ` Date
t ELECTRICr1, S^�
V
Meter By Date
Temp. Power, _
Called PG&E
t Temp. Elec. Service
Called PG&E '
Temp. Gas Service
Called PG&E
JOB FINALED (Date)
Signature
OK
0 = Not OK
= Not Readyable MOBILE HOMES MISCELLANEOUS
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
Date
DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Sewer; Location -Test -Fall -C/O -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-
Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
6. Gas; Location -Test -Wrap: / /"L"ft.
/ /"Nat. or/ /"L"ft./ /"LPG
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
Card -B1
Date Card -131 Date
10. Roof; Shthg-Roofing
Card -B1
Date Card -B1 Date
11. Ext.; Steps -Doors -Landings
Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Card -B1
Date Card -B1 Date
2. Footings; Size -Spacing -Marriage Line
Card -B1
Date Card -B1 Date
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
Date
POOLS (Plans) OK except #'s
5. Drain; MH Test -Fall -Flex Connector
1. Setbacks -Easements
6. Water; MH Test -Regulator -Connector
2. Soils; Compaction -Structure Stability
7. Water and Sewer Connected -C/O to Grade -HD Approval
3. Pool Structure; Steel -Connections -Thickness -
Dead Men -Lining
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
4. Elec.; Receptacles and Lighting, Distances-GFI
10. Cert. of Occupancy
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
Card -B/
Date Card -B1 Date
8. Elec.; Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
Card -61
Date Card -131 Date
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Card -Bt
Date Card -131 Date
Card -B1
Date Card -B1 Date
= OK
0 = Not OK
- = NotARpliCable
= Not ,Ready
Date UNDEI
RESIDENTIAL (Single and Duplex)
R (Plans) OK except #'s
r Zgal'ng requirements -Setbacks -Easements
ge'Ng., Main; Soils-Steel-Elec. F&.-//,2 /"
3. Ftg., Garage; Soils -Steel-/ /" Ftg. Deptl
,4e,Ftg., Porches & Decks; Soils -Steel-/ /111
5. Stemwalls, Main; Steel-Blockouts-Wrappe(
6. Stemwalls, Garage; Steel- Blockouts-Wraps
Pe: Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test
11. Water Pipe; Test -Anchors -Regulator -Service Test
12.
Girders-SillsjAnchor Bo
Insulation
Card -131 Date �f--s<_ 5ryCard-B1 Date
Card -B1 (V C Date 4_R-�Mard-131 Date
Date PLUMBING (Permit) OK except #'s
1". ater Ht. Vent -Access -Combustion Air
„Water Pipe; Test & Anchors -Nail Protection
D.W.V.; Test-Fttngs & Anchors -Nail Protection
First Floor -Tub Access
2Q-T-&st-T iob- - Sf Ewer, 2nd Floor -Tub Access
i,/21. Gas Pipe; Size & Anchors
Card -B1 Dat��� Card -131 Date I
Card -61 Date Card -131 Date
Date ELECTRICAL (Permit) OK except #'s
22,, Fixture & Transformer Clearance -Ins. Protection I
X23. Elec. Receptacles Spacing -Lights & Switches at Doors I
1.24. Size Boxes & No. of Conductors -Stapled
14& Romex Installed Close to Edge of Studs & C.J.
.26"Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
L-21. 2 Appliance Circuits in Kitchen & Conductor Size
28:-S�r Cu or Al Al Wire -Size / / ga. Cu or AI-A.C. Wire Size / /ga.
c. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Neutral Yes No
//39 -Service -Riser Conductors & Ground -Main Disconnect
31--Eo(Hp,-Clearances Panels-Motors-Mech. Equip.
32_.4M. 1bes-Claset Light -Shower Light -Spa Light
Card-Blft Date
Card -131 Date
Date
L7.
Card -B1 Date
Card -131 Date
Lem
35. n & Overflow; Size & Grade
� a�:'c^o; Access -Comb. Air -Return Air Vent -115 outlet
3z,-Atiio-Assess-& Platform if Furnace in Attic
Card -61 QD Dat Card -131 Date
Card -131 Date Card -81 Date
Date FRAMING (Plans) OK except #'s
38,Sills, Proper Material & Anchors
L39,,,Walls Studs -Nailing, Spacing & Bracing—Plates-Sound
`'40,,Bearing Walls over Girders & Floor Nailing
b41. Dr ft Stop in Walls (rat proof)
G42. ire Stops; Furred Ceilings -Stairs -Chases -Tub
Header & Beam -Size & Bearin
Date FRAMING (Continued)
44. Mangers -Post Caps -Anchors -Connectors
Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
e ies or Type A Flue -Fireplace Throat
7. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
8. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
49 Ga ge-F• —Potection Framing
0. Property Line Firewall & Openings
xt. Doors -One T -Check Garage -3rd story, 2 exits
ea room -Rise -Run -Landing -Fire Protection
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
Veneer
uru"estr-Dripcreed-Fd. Vents-Underflr. Access
6. Glazing Area -Glass Protection -Skylights -Plastic
57�Vrral19` Nailing -Bolts
58. Insulation-Walls-Clg.
59. Infiltration -Wal is-Wndws
Card -131 Date Card -B1 Date
Card -B1 Date and -B1 Date
I 1Z
Date FI Plans) OK except #'s
Steps -Door & Sidelight Protection -Landings
1. Smoke Detector
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Mach. Protection
3/Bedroom Exiting
--64. I. & Bath Fixtures & Tub Access -Spa
_Elec. Trim & Subpanel; Breaker Sizes -Labels
Stairs & Rails
e ances-Hearth
6a_90C_GQ#e46 at Weed Panel; Int. & Ext.
Kit. F'xt. & Appliance; Grnd. -Air Gap -Cooking Clearance
les. Outlets & Receptacles at Kit. Counter
Swing -Landing -Closer
-Damper
11�-13. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
ech. Protection
Plb., Elec. & Mech. Equip. Listed for Location
rage; (G.F.I.)-Rome( Protec.
76. Insulation -Foam -Looked in Attic s
Sivard Rails & Deck Construction -Post Caps
8. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor _ ❑ Yes
79. Following instld.; Drive es 0 No; Walks es o No;
Planters ❑ Yes b-Nif
,Stucco; Brown -Finish
81. A,.C. Unit; Disconnect, Electrical, Plumbing
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to
Openings.
L -81_ -Water Well; Disconnect, Electrical, Plumbing
84 Exterior Elec. Trim; G.F.I. Receptacle -Underground
851/entilation throughout House
86. Glass Protection
7. Corrections from Previous Inpections
/ 8. s Test -Meters Tagged; Gas -Electric
89.,Water & Sewer Connected -C/O to Grade -HD Approval
Energy Compliance Certificate -Other Certificates
Card -B Date % Card -B1 Date
Card -61 Date ' Card -B1 Date
Card -B1 Date Card -B1 Date
Comments at Flnal:
(NOTE: An entry must be made each time you visit job site)
COUNTY OF BUTTE
a'
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2753
7 County Center Drive, Orovi Ile — Phone: 538-7541
747 Ef l iott Road, Parad i se — .Phone: 872-6307
CORRECTION NOTICE
Q- (70A A
" �'
OWNER PERMIT NO.
A routine inspection Indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office Immediately.
x)
{ A • n ..
Inspector Da
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.
:i
Me Age N,
OWNER PERMITIT.1
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.
I L •.s I/i. � � t�
Inspector ��ic� �� Date -5 -.8—c98
Owner:
Permit No.
ENERGY CE.RTI,FICATION
585 Higgins St Gridley
LOCATION A.P. No..
DESCRIPTION OF INSULATION
ROOF
Material
Thickness(inches)
EXTERIOR WALL
Material Fiberglass Batts
Thickness(inches) 61j�
CEILING
Batt or Blanket Type Fiberglass Batts
Thickness(inches) 10"
Loose Fill Type
Minimum Thicknesi(Inches)
Area covered(ft. )
FLOOR, ELEVATED
Material Fiberglass Batts
Thickness(inches) 6z'
FLOOR, SLAB
Material,
Thickness(inches)
Width(inches)
FOUNDATION WALL
Material
Thickness(inches)
Brand Name
Thermal Resistance (R Value)
Brand Name Manville
Thermal Resistance(R Value) R19
Brand Name Manville
Thermal Resistance(R Value) R30
Brand Name
Number of Bags. Wt. per bag lb.
Thermal Resistance(R.Value)
Brand Name Manville
Thermal Resistance(R Value) R19.
Brand Name
Thermal Resistance(R Value)
Brand Name
Thermal
Resistance(R Value)
I hereby -certify that the above insulation was installed in the above building
in conformance with the State of California Energy Requirements.
I_nerke Tnsulatinn Co. ____ 499150
FIRM NAME/OWNER STATE CONTRACTORS LICENSE NO.
n I nLb-e" May 17, 1988
SIGNA E'OF INSTALLATION APPLICATOR DATE
I hereby certify the above insulation and all required items as shown on the
Building Department 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 California.
FIRM OWNER (Please print) STATE CONTRACTOR S
LICENSE NO.
c
IGNATURE __0_P 1 RAL CONTRACTOR WNER DATE
THIS CERTIFICATE,MUST BE -ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL
INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING.
January 1984
- COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS Eg IIT Np �
7 Count Center Drive - Oroville, Ca:iforni,a.95965 - Telephone: 916/538-7541 d �/
APPLICATION ARID PERMIT (0:/
ASSESSOR PARCEL. NUMBS =
S
Z0,*G_ 6
/sC'L- (([
BUILDING PERMIT
OWNER.�
TEL�gHo E ;10,SO.
�-�o-
FT. OCC. BUILDING
VALUATION
OWNER'S M N ORESS ^
CONTRACTOR'S NAM
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
I
Fireplace 000
CONSTRUCTION LENDER UNKNOWN
LENDER'S MAILING ADDRESS
Total Valuation $
Filing Fee
Permit Fee
gdo
$ 10,00
$ 0
ARCHITECT OR ENGINEER LICENSE NO.
ARCHITECT OR ENGINEER' MAIL ADDRESS �
Plan Checking Fee
Energy Plan Checking Fee
Penalty
$ 3 s
$ - QD
$
BUILDING ADDRESS
8
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00 U
c USE OF STRUCTURE
SFE-' Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00 �Q(�
Building sewer
5.00 20
Mobile Home TS FG T_WiT7
0.00 ea
TYPE OF WORK
New Addition❑ Remodel❑ Utilities❑ Installation❑ Other ❑
Describe work:
Permit Fee
$ r�
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
1100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
�..�)
2.50 C__4? —05V
CONTRACTORS LICENSE LAW
I declare under penalty perjury
p y of p I y (check One):
El am licensed under provisions of Chapt. 9, Div. 3 of the Busines$
and Professions Code and my license is in full force and effect.
License No. Classification
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. / DWELLING OCCUP.aI\ yzQsgft
OR ADONS. \ ACC. BLDGS.
NEW CONSTR. TI.OUTLET
NON.RESID .BRANCH CIRCUITS) 2.50 ea
POWER APPARATUS e
SINGLE OUTLET CIR.
Ex. Occup OUTLETS OR FIXTURES .00O5 00
2AL
FIXED APPLES, OR
EX. Occup. OUTLETS (REST D,) EA. 1 2.00
Temporary service 1 10.00 ZJ .0
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
The permit is for $100.00 (valuation) or less.
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.
n 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
Filing Fee 10.00
Heating
&&6eJ1G
Cooling
OD
Hood
3.00
Ventilation
Permit Fee
$ CD
Contractor
I certify that I have read this application and state that the above information
1s correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the grant' of this permit.
/dThis
-�� Date %J —�
Signature of Applicant — Owner T Contractor E]Agent❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $ Q�
7CCUP.
CONST.T
SCN OOL F OD
CE PD ND S9UE
permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By v� `O
P MIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date 1q—/— g
J,/_ I� %
Receipt No. ���,
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
A
l
COUNTY OF BUTTE - DEPARTMENT`OFPIJBLIC WORKS - BUILDING DIVISION
1
7 COUNTY CENTER DRIVE - OROVIr�E, CA A ORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET
Permit No.
OWNER y%�l ( ,`iGl A. P. No.
Proposed Building Use Building Inspector Date
At time of permit application, I was advised the following data must be submitted prior to permit processing
and:/or issuance: DATE RECEIVED APPROVED
1. All items.have been submitted. . . . . . . . .'�j.
2. Plot plans in duplicate/triplicate, signed by preparer of plans. �+!
3. Complete plans in duplicate/triplicate, signed by preparer of plans,
4. Complete engineered plans and calcs, with wet signature on plans.
5. Plans with Energy Design Compliance Statement.
6. Lf .) School District "Fees Paid" Stamp on Floor Plan.
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . , , .
9. Letter of signature authorization .�_ 10. Sanitation approval from 0w Health Dept.
11. Planning approval for (A) Use: (B) Parking:
12. Certificate of Workmen's Compensation Insurance. . . . . .
13. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to owner0, Mail to ownerE])
_15. Improvements may be required. . . . . . . . . , ,
16. Mobilehome Installation Data. . . . . . . . . .
Pre-Inspec. request to (Date)
17. Pre -Inspection for Required. Building Inspector
18. Recorded copy of Agricultural Acknowledgment Statement.
Driveway Permit. 3 2$
20. Plot plan approval from city of
21. Engineered trusses in duplicate (required prior to plan check).-
22.
heck). 22.
When you issue the permit, process as follows: Mail to owner, Mail to contrac or.
telephone �Y �O �P� and hold for pickup atmloffice, Deliver w/inspector.
Other
Copy of plans sent Health Dept., Fire Dept., Other Date
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---nail—counter by date
Contractor, designer, owner, was advised of above required data by—phone _mail_ oun r by date
i
Plans checked by r Date Plans approved by Date
-
Sets of plans on hold in File cabinet AP folder
Copy—DPW
-
TO Buil(li"r " Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
--- _—
Owner
Locat�n
AP#
Plan Approved for:
Sewage Disposal
Water
Supply
Hold final for:
Water
Supply.
Final clearance O.K..for:
Water
Supply
Clearance for _-Z- bedroom SININUP home. Other
NOTE ***
Sanitarian '
i
Date
TO: Building Department
,-FROM-* -Encroachment Permit -Section
RE: Dtj:veway Clearance
owner Dlocatio AP #
Driveway permit 0UQ 40A8I has been issued for the above property.
numb -0
'2 -z-S -JY
sign re date
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An 'owner -builder" building permit has been applied for in your name and bearing
your signature. I
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no)
2. I (have/have not) signed an application for a building permit
for the proposed work.
3.
I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors License No.
4. I plan to provide portions of this work, but I have hired the following person
to coordinate, supervise, and provide the major work:
Name
Address City
Phone Contractors License No.
5. I will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name , Address . Phone Type of Work
Signed
Property.Owner L�
Social Security Number
Date`3
NOTE: This Owner -Builder Verification is sent to you as required by.Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to�our office before we are per-
mitted to issue the permit.
1
4
�Gfy�Gl� RESIDENTIAL PLAN CHECKING GUIDE (CONT'D) 7/85
MISCELLANEOUS ITEMS TO LOOK OUT FOR'(CONT'D)
or porch header sizes.
to bracing.
Living area over garage - complete 1 -hour separation required on garage side
.including supporting walls and posts, etc.
4 -In exits on three-story dwellings (Sec. 3303 & see Mezannines 1716).
ttic access and ventilation (Sec. 3205).
1.4! Underfloor access and ventilation (Sec. 2516).
14-"�Wood stoves, clearances, alcoves & 1 -hour shafts.
l&'. --Combustion air for fuel burning appliances.
-16. Noise requirements on duplexes.
-1q.—Adobe soils - special foundation design.
-14--. Retaining walls requiring design.-
-44-.- Unusual shape, size or split level house requiring lateral design.
RESIDENTIAL PLAN CHECKING GUIDE
(S.F., DUPLEX & MISC. ONLY)
Bldg. Permit #
OWNER M -e—%%% c' °C�a2.� / G f � A.P. #k ? `i - t 5 -
GENERAL
&! Zoning requirements: (sideyards
2�valuation.
Plans signed by designer.
t�lxisting
nergy Design and Compliance.
violations on property.
and number of permitted living units).
PLOT PLAN
Complete parcel size and dimensions.
��etbacks, sideyards, easements, etc.
3!,,Other buildings or structures.
4<ading, fills, drainage.
6 " lood hazard.
b! Special conditions on creation map or compliance document.
7/85
FLOOR PLAN
�Y Complete to scale plan with dimensions.
Required windows for light and ventilation (Sec. 1205).
Required windows for second exit (Sec. 1204).
-4-:�;kylights (Chapter 34 & Sec;:. 5207)..,.
uman impact glass (Sec. 5406). =`
Required room sizes, ceiling heights (Sec. 1207).
;/G.F.C.I.'s in baths, garage and exterior outlets (Article 210-8).
'''Light fixtures, switches, receptacles, and exterior receptacles for maintenance of
mechanical equipment..
8� Locations of water heater, heating and cooling equipment, other electrical or gas
quipment, and plumbing fixtures.
�arage firewall, door size, and closer (Sec. 503(d)(3)).
3'0" exterior exit door (Sec. 3304(e))
1 fireplace and wood stove location.
1i! Smoke detectors (Sec. 1210).
STRUCTURAL DETAILS
Y! F indation plan complete enough -Z.. -to construct building.
i/ Ioor 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.
sem--fireplace construction details and calcs if necessary.
:/ Sufficient data and details to satisfy energy requirements (State Law) (Form 1).
MISCELLANEOUS ITEMS TO LOOK OUT FOR
Exposure I plywood on exposed locations and overhangs.
stairway details: landings, rise and run, head clearance, handrails (Sec. 3306).
-.3----Cuardrail details (Sec. 1711 & 3306(j))..
-brick or stone veneer (Chapter 30).
-ter:— Exterior plaster - weep screeds (Sec. 4706).
9 roper roof pitch for roof covering (Chapter 32).
8/ Rafter ties or bearing ridge beam.
Return t.o DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT
FOR RESIDENTIAL DEVELOPMENT RKORDE BUTTg-1C TY
B C B
Secton, �OFFICIAL BY
6-8.1 of the Butte County Code '
requi-res this acknowledgement be recorded• 4
prior to issuance of a building permit. NOT CON�,PARED WITy FAR I e S14.OWN
RE^4N, Ai. D-_)CUMENT
T'r)e vilest 135.0 feet of the East 270.0 feet of the South 150.00 feet of •
Lot 39 of"Gridley Colony, according to.the official map of said Colony
recorded. in the office of the County Recorder of the County of Butte,
State.of California, June 7, 1905 in Map Book 4 at page 37.
Date: March 25, 1988 PROPERTY OWNERS:
CREDIBLE WITNESS
State of California
SS.
County of BUTTE .
��rs�s�s�m��m�sta><s®�laawo0o®a®®
RUTH H. KING
IC-CALS, s
NOTARY Butt `County IFORNIA W
® 'O My oommission Expires Jan• 2 1989
man®■®a1a<oliavo�**none tmawao.
1111
On this the25th day of March
before me, the undersigned Notary Public, personally appeared
Robert H.King
proved to me on the basis of satisfactory evidence, in' the .form of
the oath oraffirmation of Duane L. McCormick
to be the person(s) whose name(s) is Subscribed to the within
instrument and acknowledged that he executed the same
for the purposes therein contained:
IN WITNE REOF, I hereunto set my hand and official seal.
's Signature
Ruth H. King.
FORM C.W.A.. HOPKINS LEGAL FORMS, 232$ FRUITVALE AVE.. OAKLAND. CALIF. PHONE (415) 532-1972
Present A. P. No. 24 - QS-- Ruth H .King Notary P l i.c
The property described herein is adjacent
to land or i.nclu'ded within an area zoned
GANDACE J. GR UB��
for agricultural purposes, and residents
of. this property may be subject to incon-
CLER -RRC R �)y�-
RDE
veniences or discomfort arising from the
use of agricultural chemicals, including,
but not limited to herbicides, pesticides,
and fertilizers; and from the pursuit
of agricultural operations including,
but not limited to cultivation, plowing,
spraying, pruning, and harvesting which
occasionally generate dust, smoke, noise, and odor. Butte County,
has established z1f;ri.eLIl--
tural zones which have as a priority use for productive agricultural purposes, and resi(I(,III
within. said zones and on adjacent property should be prepared to
accept such -L11convr.n i value
or disconform from normal, necessary farm operations..
t
All that real property situate in the County of Butte, State of
California, described ;Is
follows:
T'r)e vilest 135.0 feet of the East 270.0 feet of the South 150.00 feet of •
Lot 39 of"Gridley Colony, according to.the official map of said Colony
recorded. in the office of the County Recorder of the County of Butte,
State.of California, June 7, 1905 in Map Book 4 at page 37.
Date: March 25, 1988 PROPERTY OWNERS:
CREDIBLE WITNESS
State of California
SS.
County of BUTTE .
��rs�s�s�m��m�sta><s®�laawo0o®a®®
RUTH H. KING
IC-CALS, s
NOTARY Butt `County IFORNIA W
® 'O My oommission Expires Jan• 2 1989
man®■®a1a<oliavo�**none tmawao.
1111
On this the25th day of March
before me, the undersigned Notary Public, personally appeared
Robert H.King
proved to me on the basis of satisfactory evidence, in' the .form of
the oath oraffirmation of Duane L. McCormick
to be the person(s) whose name(s) is Subscribed to the within
instrument and acknowledged that he executed the same
for the purposes therein contained:
IN WITNE REOF, I hereunto set my hand and official seal.
's Signature
Ruth H. King.
FORM C.W.A.. HOPKINS LEGAL FORMS, 232$ FRUITVALE AVE.. OAKLAND. CALIF. PHONE (415) 532-1972
Present A. P. No. 24 - QS-- Ruth H .King Notary P l i.c
10. SHADING (Exclude Overhang)
EAST - .66 .T�` y- -p-
SOLrfH - .19-.42 6189► �' .L
WEST - .13-.36
SKYLIGHT - .37-.57
11. HORIZONTAL SOUTH OVERHANG 2'�-
12. :LOVABLE INSULATION - NONE
13. ,INFILTRATION (Standard=0)(Tight=+12)
14. THERMAL MASS SF
15. GAS FUR-NACE (SE) 71-76%
16. HEAT PIRIP (EER) 7.5-7.9%
17. DUAL PACK (SE, SEER) 8.0-8.3/71-76%
WOOD STOVE 'r•Z�
_&65_ WATER -HEATER �
ATTIC Q'Of % �.
OTHER . FaVs Q) �-
TOTAL POINTS = t8
Table 3-1. Slab Floor Points
1 Tn=•zla- I R -Value of Insvlstion I
I tlu'! I 1
1 Derth,
I inches 1 0-2 1 3-4 ! 5-6 I 7+ I
I I I ! I I
I 0- 11 1 -5 ! -5 I -5 I -5 I
I 12 - 15 I -5 I -3 I -2 I -1 I
16 - 19 I -5 i -2 I -1 1 0 1
I 20 + i -5 I -1 I' 0 i +1 I
I i 1 I I I
7/7/83
Table 3-2. Raised Floor Points
I R -Value of I
ZONE 11
I Insulation 1
I
Points I
I
OWNERM fele-POINTS
-12 I
PERMIT
NO. -7&0 `&S
ASSIGNED
ACTUAL
1.
SLAB - INSULATION
�-
T I
2.
RAISED FLOOR - R-19
I 3.7- 4.8 1
-4
3.
CEILING - R-30
Rao
a
4.
WALL - .R-19
�
...5
5.
NORTH GLAZING -
2.4-3.67._
-12 I
6.
EAST GLAZING -
2.5-3.6%
-14 i
7.
SOUTH GLAZING -
1.6-3.6%
-17 i
8.
VEST GLAZING -
2.9-3.6% �
-19 I
9.
SKYLIGHT -
0-1.3%
-0-
10. SHADING (Exclude Overhang)
EAST - .66 .T�` y- -p-
SOLrfH - .19-.42 6189► �' .L
WEST - .13-.36
SKYLIGHT - .37-.57
11. HORIZONTAL SOUTH OVERHANG 2'�-
12. :LOVABLE INSULATION - NONE
13. ,INFILTRATION (Standard=0)(Tight=+12)
14. THERMAL MASS SF
15. GAS FUR-NACE (SE) 71-76%
16. HEAT PIRIP (EER) 7.5-7.9%
17. DUAL PACK (SE, SEER) 8.0-8.3/71-76%
WOOD STOVE 'r•Z�
_&65_ WATER -HEATER �
ATTIC Q'Of % �.
OTHER . FaVs Q) �-
TOTAL POINTS = t8
Table 3-1. Slab Floor Points
1 Tn=•zla- I R -Value of Insvlstion I
I tlu'! I 1
1 Derth,
I inches 1 0-2 1 3-4 ! 5-6 I 7+ I
I I I ! I I
I 0- 11 1 -5 ! -5 I -5 I -5 I
I 12 - 15 I -5 I -3 I -2 I -1 I
16 - 19 I -5 i -2 I -1 1 0 1
I 20 + i -5 I -1 I' 0 i +1 I
I i 1 I I I
7/7/83
Table 3-2. Raised Floor Points
I R -Value of I
1
I Insulation 1
I
Points I
I
I below 3 I
-12 I
I 3-4 I
-8 1
1 5- 7 I
-6 I
I j12 I
-4 1
I 13 - 18 I
T I
19+ I
0 1
Table 3-3a. Ceiling Insulation
Points
R -Value of Insulation I Points I
1 I I
i 19 I -4 1
22 1 -2 I
0
8 I ++2
I 49 I +4 I
Table 3-4a. Wall Insulation Points
I R -Value of Insulation I
I I
Points 1
I
ria i
0 s
I 24 i
+2 I
30 i
+3
3-5. North -Facing Clazing Pts
I Glazing Type
Total I
I Z of I Sngl, I Dbl, I
I Floor l U- I U- I
1 Azea i 0.66 10.42- I
11.10 10.65 I
I OI
+4
1 44
I +4 I
I 0.1- 1.2 1
+4
! +4
I +4
I 1.3- 2.3 (
+1
I +2
I +2 I
I 2.4- 3.6 I
-2
I 0
i +1 I
I 3.7- 4.8 1
-4
I -2
I -1 I
1 4.9- 6.1 I
-7 I
-4
I -3 I
1 6.2- 7.3 I
-9 I
-6
I -5 I
I r -r -r2 I
-12 I
--'r
1 -7 I
I 8.3- 9.7 i
-14 i
-10
1 -8 I
I 9.8-10.8 I
-17 i
-12
I -10 1
110.9-12.0 I
-19 I
-14
I -12 I
112.1-13.2 I
-22 1
-16
I -13 1
113.3-14.5 1
-24 I
-18
I -15 I
1 14.6-15.3 I
-27 I
-20 I
-17 I
Table 3-6. East-Factn3 Glazing Pts.
I I Glazing Type 1
--I Total I I
Z of 1 Sngl, Dbl, 1 Trpl,
I Floor I (U - 1 (11 - I (U - I
Area 1 1.10) 1 0.65).1 0.41)1
i llpcants (points I ointsl
1 O I + ♦ 4 t4�
i up to 1.3 I +3 I +4 I +4 I
i 1.4- 2.4 I +1 I +2 I +2 I
I r -r -T. n -2 I -6-1 0 1
I 3.1- 4.6 I -5 I -2 1 -1 I
I 4.7- 5.6 I -8 I -4 I -3 I
I 5.7- 6.7 I -10 1 -6 I -5 I
I 6.8- 7.7 I -13 ( -8 I -7 I
I 7.8- 8.7 I -15 ( -10 I -8 I
1 8.8- 9.7 I -17 I -12 i -10 I
I 9.8-11.2 1 -21 I -15 1 -13 ;
i 11.3-12.7 j -25 1 -18 I -15 I
112.8-14.0 I -28 I -21 I -18 I
114.1-15.3 I -32 I -24 I -20 I
Table 3-7. Sough -Ficin Clazin Pts Table 3-10. Shading Coefficient Pot=Ts
T-
Glazing :,.!pe I I SC by I
1 Total I I I Orten- I 2 Floor Area
I Z of I Smgl, I Dbl,Tr;l,r 1 cation I
I Floor I (T - 1 (11 - I (1i - I I I
1 Area 1 1-10) 1 0.65) 10.41)1 �-
I I "r.ts I oints I oinISI I East I 1 3.2 I
O �! +3 + 3 I 1 0-3.1 1 to 1 6.4 op
I up to 1.5 I +2 i +2 I +2 I I 1 I 6.3 1
i 1.6- 3.6 I -1 I 0 1 0 1 1 I I I
I 3.7-- 5.2 I --4 I -2 I -2 I I T-
5.3- 6.5 I -6 1 -4 I -3 1 1 0 -.19 I 0 +1 I +2
I 6�A-9 I 6 i -5 i I .20-.36 I 0 1 0 I it
I 7.8- 8.9-8 1 -7 1 1 .31-.66 1 _O I 0 I 0
I 9.0-10.0 1 -13 I -10 .I -9 I 1I 0 ( 0 -1
1 10.1-11.5 I =17 I -13 I -11 I I .83 up I 0 I -1 I -2
1 11.6-13.0 I -:1 I -16 I -14 11 I I !
1 13.1-14.5 I 5 I -19 I -16 1
1 14.6-16.0 I -28 I -22 I -19 I I South 1 0 1 3.2 16.4 i 9.0 1
i I I I I I I to i to I to I to I up
I 13.1 16.3 17.9 19.5 1
Table 3-8. West -Facing Clazlna Pts.
0 -.18 10 i +1 I +2 I +2 1 +3
I 1 Glazing Type I I 19-.42 1 0 1 0 1 0 1 0 1 C.
I Total I 1 i .43-.66 1 0 1 -1 IBJ -2 i -3
I Z of I Sn;gl, I DDI, 1 Trpl, I Vrp " 1 0 i -2 1 -4 1 -4 1 -6
I Floor I (2 - I (U - I (U - I
Area 11._0) 10.65) 1 0.41)1 Wes[ i 1 1 1.6 13.2 16.4 19.0
I
!PC ir.-s I oints I ointsl
o +f +6 +6 I to I to I to I to I
1
uR L%-LaI -5 1 +6 1 +6 1 I 1.5 I 3.1 I 6.3 I 7.9 I
14-2.2 I -3 I S I +5
I 2.3- 2.8 1 D i +2 I +3 I -.t2 0 +1 +3 I 1 I I +6 1 +7
1 2.9- 3.6 I -3 I 2 .13
1 +1 0
I -.36 I 0 0 0 i 1 1 0 1 0
1 3.7- 4.2 1 -5 i -2 I 1 .37-.57 I 0 -1 1 I -3 I -6 1
I 4.3- 5.0 I --B I -4 I -22 I
I 5.1- 5.6 I -L D I -6 I -4 .5 8 A I T_1 -4 1 -8 1 -16 1 -. ^
I 5.7- 6.2 1-:3 I -8 I -6 I I I 1 ! I
I 6.3- 6.9 I -05 I -10 I -7 1
I 7.0- 7.6 I -B I -12 1 -9 I 1
1 7.7- 8.2 i -..J I -14 I -11 i Skylight 1 .1 1 .8 1 1.6 13.2
I 8.3- 8.8 I I -16 I -13 I I to I to 1 to I to I t�
I 8.9- 9.5 I -15 I -18 I -15 I 1 7 1 1.5 13.1 1 3.9 I`
1 9.6-10.i I - -20 I -16 I �-
110.2-11.0 i -:-V I -23 1 -17 I 0-.12 1 0 1 +1 I +3 I +6 1 .7
111.1-11.8 I --U I -26 I -21 I .13-.36 1 0 1 0 1 0 1 0 1 0
111.9-12.7 I -'f I -29 I -24' I .37-•57 1 0 1 -1 I -3 1 -5 1 --
112.8-13.5 I -42 I -32 I -27 i .58-.82 I -1 I -3 I -6 1 -12 1-
113.5-14.3 I -4m I -35 1 -29 ( .83 up I -2 I -4 I -8 I -16 1
1 14.4-15.2 I ---i- I -33 1 -32 I ! I I I !
Table 3-9. Skyli -ht Poin
I GZlazing Type !
Total 1 I
Z ofSr.g.l, I Dbl,rpl,
Floor I D- I U- U -
Area I 0.6fi- 10.4 10.41 I
I
1.1c, 1 0. I do 6-n I
I up to 1.3 I 0 1 0
I 1.4- 2.2 -2 I -1
1 2.3- 2.8 I 1 -4 I -3
I 2.9- 3.6 I I -6 I -5
I 3.7- 4.2 I -1, i -8 I -6
4.3- 5.0 -14 I ' -10 I -8
5.I- 5.6 -li 1 -12 I -10
5.7- 6 I -11 1 -14 I -12
I 6.3- .9 1 -Z: I -16 1 -13
I 7. 1.6 I -2- I -18 I -15
I 7.7- 8.2 I -Zi 1 -20 I -17
I 8.3- 8.8 I -:3 i -22 I -19
I 8.9- 9.5 I -31 i -24 I -21
I 9.6-10.1 I -33: 1 -I6 I -22
Table 3-11. Horizontal South
Overhane Point.
South Glazing
I Length Out I Area, I of Floor !
I from Wall I i
I ft T
I 1 0-6.3 I 6.4 up I
I I I I
0 - 0.5 -2 -
10.6 - 1.0 I -2 I -3 I
1 1.1 - 1.9 1 -1 I -2 I
0
Table 3-12. Movable Insulation
Points
I Moveable Insulation'(
I
I Area, Z of Floor I
I 1
Points I
I
1 0- 5.5 I
0 I
I 5.6 - 11.5 I
+2 I
1 11.6 - 17.5 I
+4 i
I 17.6 - 23.5 I
+6 I
i X23.6+ i
+8 i
Inf•ltrstlon Control
Fe! -r, -res Points
� I
Coc:rol Fel:Cres I Points 1
I I
i Standard I 0 I
I I
1.9 slr changes per hr I 1
1 I I
r -
I Tight j +12 I
I I i
10.6 air changes per hr I I
i 1 I
Table 3-15. Gas Fur^.ace Withouc
Refr!cera,-!on Ccol!.n.R Points
T-- i f
! Seasonal Efficiency I Points I
1 (SE), T I I
i 71 - 76 I 0 1
I 77 - 82 I +2 I
I 83 - 88 I +4 I
I 89 - 94 I a6
I 95 up +8 I
I ( I
'able 3-lG.
r
Heat Po=o
Points
I Energy Effi:!eney
I Popes I
I Ratio
I
(EER)
j
I 1
I 7.5 -
T.9
( +3 I
I S.0 -
8.3
I +6 j
I 8.4 -
3.7
I +9 I
l 8.8 -
9.1
I +12 I
1 9.2 -
9.6
I +13 I
I 9.7 -
10.2
I +18 I
I • 10.3 -
10.8
I +21 I
I 10.9 -
11.5
j +24
.1.5 -
12.3
I +27
I 12.4 -
!
13.2
I +30 I
I I
Tible 3-17. Cas Furnace With
Refrlveration Cooline Points
:Refrieeraclod Cas Furnace I
Cooling I SE !: I
I 1- 77-153- 39- 95
I 1 761 8:1 891 941 up I
f
! 8.0 - 8.3 1 01 +21 +•41 +61 +8 1
1 8.4 - 8.7 1 +21 + ! +51 +31+10 1
! 8.3 - 9.2 1 +41 +;I +e1+101+12 I
9.8 - 10.3 I +:1+::1+121+141+16 1
i 1C.4 - 10.9 I+1 G;+12i•l:l+:6i+l9 I
i 11.0 - 11.5 1+:2i•:-I+lsl+lst+�a I
I ! I I I
7i7i 83
TABLE 3-14 (ADAPTED)
MASS
AREA 1.000
Sn. FT.lr A 6 -C
En
103.
15o
IBD
253
303
353
400
$03
003
703
zlo
503
1,000
I.;Ou
1,200
1, 1C0
1,.00
1.500
2, O0J
2.S09
J,:GJ
3,500
•1, 000
4,503
5,eo3
A
1,500 1 2,000
B C D I AA 6 C 0
2
2
2
2 2
2
2
0 j
2
2
2
0
4
4
4
2 2
2
2
2
22
2
2
2
6
6
6
4 a
4
4
2
2
.2
2
2
8
8
6
4 6
6
4
2
4
4
A
2
10
10
8
6 6
6
6
4
6
6
4
2
12
12
10
6 1 8
8
6
4
6
6
6
4
14
14
12
8 10
iC
8
6
6
6
6
4
14141281-310868864
2
2
2
2
2
Z
2
2
2 I 2
2
18
18
16
10 12
12
10
6
10
10
8
6
22
20
18
12 14
14
12
8
12
12
10
6
24
24
20
11 I18
16
11<
10 114
4
14
12
a
26
24
22
16 X70
16
16
10
14
14
12
8
Z8
28
74
16 122
20
18
12
16
15
14
10
30
30
25
18 122
20
20
14
18
18
16
10
32
32
28
20 (24
24
22
14
20
20
18
10
34
32
30
22 '26
26
22
16
22
20
18
12
34
34
32
22 28
26
24
i6
22
22
20
12
34
34
32
24 2d
28
26
18
24
24
20
l4
36
34
34
24 30
30
26
18
24
24
22
14
6
10
R
�34
34
32
22
30
30
26
IS
4+ 6
6
6
12
12
10
34
34
30
22
ZONE 11
INTER.1011 THERMAL MASS POIATS
2.500 3.000 3,S00 ( 4,000 I 4.SC0
8 C D A 6 C 0 1 A S C OTA 6 C D I A 5
10 0 0 0
2 2 2 a
2 2 2 2
4 4 2 2
4 4 4 2
6 6 4 2
6 6 6 2
6 6 4 4
R 8 6 4
10 10 8 6
10 IO 10 6
12 10 10 6
14 14 12 8
14 14 12 8
16 16 14 8
18 18 14 10
18 20 1 19 18 6 11
20 12
22 20 16 12
26 26 22 16
30 30 26 18
34 32 30 22
0
0
0
0
I 0
0
0
0 f 0
0
0
a 0
C
0
C
0
3
0
7
2
2
2
0
2
2
0
0
2
2
0
0 2
2
0
r,10
+3
+2
+1
+l
D
0
0
2
2
2
Z
2
2
2
2
2
2
2
0 2
?
2
012
+4
+4
2
2
D
2
2
2
2
2
2
2
2
2
2
2
2 2
f
2
2
a.7
+5 _
+9
7
51
4
4
2
2
2
2
2
2
Z
2
2
2 I 2
2
2
2
I2 2
T
2
'
4
4
4
2
4
4
2
2
2
2
2
7 1 2
2
2
2'
2
2
2
2
6
4
4
2
4
4
4
2
4
4
2
2 I 4
4
2
2 I
2
2
7
2
6.6
4
2
4
4
4
2
4
4
4
2 I 4
4
2
2 I
.
4
1
2
6
6
6
4
6
6
6
2
6
5
4
11 4
4
1
2
4
4
4
i
8
8
6
4
8
C
6
4
6
6
6
t l 6
5
4
2I
- 6
6
4
2'
10
10
8
6 I 8
6
6
i
8
6.
6
4 1 6
R
5
4 1 6
6
'i
2 1
10
10
8
6
10
R
B
4
e
6
6
4I 8
6
6
4+ 6
6
6
12
12
10
6
I10
10
3
6
I D
B
8
e e
B
5
4; 2
8
6
c
12
12
10
6
12
l0
10
6
10
110
l0
8
6 I 8
8
C
4 1
8
i
4 i
14
14
12
8
12
12
10
6
to
10
6 1 17
10
8
( !:+
e
f
!
14
14
12
8
14
12
12
8
12
12
10
E to
10
8
6 In
ln.
8
C ;
lu
14
14
9
14
'.2
12
6
12
12
1O
6 112
10
10
C 10
`0
S
I8
16
14
10
1414
12
8
14
14
12
8 ' 1
1..
'G
E 110
10
1;
'.
18
18
16
10116
IE
14
8
14
14
12
!'l17
11
10
GI ;2
12
1:
6 i
22
22
20
14
20
18
11
18
18
16
10 16
16
is
6 14
la
12
5 j
26
26
24
120
16
24
24
22•
14
22
22
13
•Z i 20
2C
IS
!:' Id
=
16
'•�
30
30
26
18
28
:6
24
16
i 24
24
22
14 22
Z2
20
;4 1 :.
:3
. _ •
I Y i
32
32
30
20
30
30
26
ld
7d
28
24
16 126
14
27
1: i _
;4
ZO
14
32
32
30
20
� 30
30
26
10 1 '9
18
24
lE � t5
Z.i '2:
if �
I32
32
28
10 17J
3.1
16
:E j :8
...
A) 1. 3's- Concrete Slab: PC, 8.93; R-.29; Factor -7.7 ---- - ---------•-- 1---- - - ,
2. 3 3/4 .hick Common Brick: 11C-7.125: R -.I3; Factor -7.3
B) 1. Sk- Concrete Slab: HC -14.106; P-.458; F4ctor-7.1
C) 1. 8" solid Filled Block: HC -2C.63; R-1.93; Factor -6.1 wood stove #33 points'(no back up)
2. 8• solid Filled Bloc: With Both Sides Exposed To Conditioned Air, casablanca fan + 1 point
NOTE: Use all square footage directly exposed to Conditioned air
for Thermal Mass Area: HCo1.3.164; R-.96;; Factor -6.1
D) i' Thick Concrete/Tile: MC -2.55; R-.083; Factor -3.7 -
Table 3-19. Zonally Controlled
Electric Resistance
Space Heating Points
Points for thismeasure v!11 I Table 3-20. Solar Hater Hcatinx With Cas Backs Points
I be completed afterthe CEC I
I has approved an AIC
urn ative
Component Package for Resistance 'I
I Seat.
Table 3-15. Active Solar Space
Heatin3 with Cas Points
I Vet Solar Fraction I Points I
I (NSF), z I I
I I I
I 0-6 I 0 i
I 7 - 14 I +2 I
I 15 - 23 j +4
I 24 - 30 I +6 I
I 31 - 39 j +8
I 40 - 47 j +10 I
48 - 55 j +12 I
56 - 63 I +14 I
I 64 - 71 I +18 I
i 72 up I +20 I
I I I
Multifamily (per unit oints)
Floor Area
Net Solar Fraction (NSF), 1
perun1.c,
ft2
I Cu Only I
I
0 I
I
1 Beat Poop I
I
I
0
I
I Solar with Electric
I
Rellstaace Backup I
j
I Mer-rtno the Require -
0.9
10-19
20-29
30-39
40-49
50-59
60-69
70•-79 ,
600-799
0
+3
+7
+l0
+14
+17
+21
+;4
800-999
1,OCQ-1,499
1,500-1,999
2 C00 and u
0
0
0
0
+3
+2
+1
+l
+5
+4
+3+2
+8
+6
+4
+4
+ll
+8
+6
+5
+14
+10
+7
+6
+16
+12
+8
+7
+19
+14
+10
+9
All oti,ers (pe: building, paints)
8uO-894
0
+5
T +10
+14
+19 +2'
++9
+3q
90(}-999
1,000.1,199
0
0
+4
+4
+9
+1
+13
+11
+17 +cl
+15 +49
+26
+22
+3;,
+26
1,204,-!,499
1,500-1,999
2,000-2,999
0
0
0
+3
+2
+2 I
+6
+5
+3
+9
+7
+5
+12 +15 I
+9 +1!
+7 +
+18
+;4
+!G
+21
+16 I
+1l
a3
+4 I
a.7
+5 _
+9
+ID
!
Table 3-21. Other Water Reat/ns Pts.
I System Type I
1
Points I
I
1
I
�T
I Cu Only I
I
0 I
I
1 Beat Poop I
I
I
0
I
I Solar with Electric
I
Rellstaace Backup I
j
I Mer-rtno the Require -
went -1 ill Part 2 I
1
0 I
I
Eleccrit Resistance I
I
I
+ __
-d0
7/83
FORM 0
RESIDENTIAL ENERGY PLAN CHECK/INSPECTION SUMMARY
Owner
/%%tdew-0:71ex Qllmate Zone Permit No. 768-W
Floor Area
11890,
_
Compliance
path:
Package ❑ A ❑ B ❑ C MPoint System ❑ Budget 10 Other �i•�6
MIN
R -VALUE DESCRIPTION
REQ'D
INSTALLED
ITEMS
(1) INSULATION:
®
Roof/Ceiling k 3o
Wall
❑
Slab Floor Perimeter
�1
Raised Floor/
(2) INFILTRATION•
❑
(A) A vapor barrier is required in climate zones, 1, 14 & 16.
(B) All manufactured windows and sliding glass doors shall meet the
1972 ANSI Air Infiltration Standards and shall be certified and
labeled.
®
(C) All swinging doors and windows leading to unconditioned areas
shall be fully weatherstripped.
Tight - the above standard features plus:
❑
(D) Continuous infiltration barrier
❑
(E) Electrical outlet plate gasket
❑
(F) Air-to-air heat exchanger
(3) GLAZING:
(A) Location
Area Glazing %Floor Area Single Double Triple
Total Bldg /I&/ K
®
North %y G► 3 %�
East a ��
®
_
South 7. x
®
West /.'Z . O _2<!
❑
Skylights — --
(B).Shading
Shading
Coefficient Description
®
East •4G at 4G C1.A2_1/t%C.-
South •' of
®
West =_�
❑
Skylights '-
(C) South Overhang
Length of projection :16- ft. Description
❑
(D) Moveable insulation: Area ftZ Description
(E) Thermal mass
❑
Type - Area Ft.2 HC= R=
MC= Location
❑
Type - Area Ft.Z HC= R=
MC= Location
❑
Type - Area Ft.2 HC= R=
MC= Location
❑
Type - Area Ft.Z HC= R=
MC= Location
❑
Type - Area Ft.2 HC= R=
MC= Location
❑
Type - Area Ft.Z HC= R=
MC= Location
7/83
u
❑ (4) MASONRY AND FACTORY-BUITT FIREPLACES shall be equipped with tight
fitting closeable metal oryglass doors covering the entire opening
of the firebox; a combusion air intake equipped with a readily
accessible, openable, and tight fitting damper to draw air from the
outside of the building; and a tight fitting flue damper with a
readily accessible control.
U
❑*
*1(5) HEATING VENTILATING AIR CONDITIONING SYSTEM
(A) Heating
Central Gas Furnace
(brand and model number).
Btu/hr
(heating capacity)
Heat Pump
(brand and model number)
Btu/hr
(heating capacity at 47°F)
Artive Solar
model number
orientation
-71-%
SE
ACOP
type (liquid or air) Collector brand and
ft2
solar fraction collector area collector
collector tilt rated y -intercept
7/83 2
rated slope
®
Other 100 aqbvA-
(describe)
*1
(B)
Cooling e.9)
®
Electric Air Conditioner
(brand and model number) (seasonal EER)
Btu/hr
(cooling capacity at 95°F)
Electric Heat Pump
EER
Btu/hr
(cooling capacity at 95°F)
❑
Other _
(describe)
❑
(C)
A TWO-STAGE THERMOSTAT, which controls the supplementary heat on
its second stage, shall be required for heat pumps.
®
(D)
AN AUTOMATIC SETBACK shall be provided for all thermostats, except
those controlling heat pumps.
®
(E)
AN INTERMITTENT IGNITION DEVICE shall be provided for all gas-fired
fan type central furnaces, gas-fired fan type wall furnaces and
gas cooking appliances.
®
(F)
BACKDRAFT DAMPERS shall be provided for all fan systems exhausting
air to the outside.
®
(G)
DUCT CONSTRUCTION & INSUTATION. All transverse duct, plenum, and
fitting joints shall be sealed with pressure sensitive tape or
mastic to prevent air loss and shall be insulated to conform to
the provisions of Section 1005 of the UMC, 1976 Edition.
7/83 2
0
r"OR K 1
(6) DOMESTIC WATER SYSTEM
(A) Gas Only Gallons
(brand and model number) (tank size)
Heat Pump w/Electri,cBackup
(brand and model number)
Gallons
2 (tank size)
E3 * Active Solar
(collector brand and model number)
(rated y -intercept) (rated slope) (solar fraction)
—ft 2
(backup heater type, brand and model number) (collector area)
(collector orientation) (collector tilt)
❑ Location of Solar Panels
❑ Other
(Describe)
® '(B) TANK INSULATION. Storage type water heaters and storage and
backup tanks for solar systems shall be externally wrapped with
R-12 insulation or greater.
® (C) PIPE INSULATION. The five feet of pipe closest to the water
heater and outside conditioned space shall be insulated with a
minimum of R-3. Steam and steam conditioned space shall be
insulated with a minimum of R-3. Steam and steam condensation
return piping and recirculating hot water piping outside the
building envelope shall be insulated in accordance with
T20 -1408(d).
IF (D) FLOW RESTRICTORS shall be provided for showerheads and faucets
as outlined in the new appliance efficiency standards and shall
be certified to the Energy Commission.
(7) LIGHTING
® (A) Lamps used in luminaries for general lighting in kitchens and
bathrooms shall have an efficacy of not less than 25 lumens per
watt (usually florescent).
*1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing
charts (form #4) or other approved methods, section 2-5352(g), and fill out the
following: '
Heating: Winter design temperature �30 °, elevation 0 ', heating load .31 BTU
elevation factor x heating load = maximum outlet capacity gas furnace
3 X36 BTU
Cooling: Summer design temperature °, cooling load.i0 9A C BTU
(USE ONLY AS A_ SIZING GUIDE, COOLING_ MAY BE INADEQUATE)
*2 Submit T.I.P.S.E. chart or other approved system (form #5) to document sizing of
solar panels.
® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of
Title 24, Part 2, Chapter 2-53 of the California Administration Code.
fir...
7/83 SIGNATURE OT—BUILDING DESIGNER OR APPLICANT
#40th I NO.
3
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC Wl>>1I1'I'II' II'�I'l1ALUATION
7 County Center Drive - Or vllle, California 95965 - Telephone: 9101 14,111 I (I� �IIII �f '
A33ESSOR PARCEL NUMB R APPLICATION AND PERMIT VIII
24-15-45 ZONING rill I� _permit
OWNER t/I l', I I'111,11I I
DUANEK TELEPHONE -� Y
OWNER'S MAILING ADDRESS
0
846-632SQ FT.
P. 0. Box 21, Gridley, CA 95948
CONTRACTOR'S NAME 10.00
OWNER TELEPHONE
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER Fireplace �!
NONE UNKNOWN Total Valuation N
LENDER'S MAILING ADDRESS
Filing Fee
ARCHITECT OR ENGINEER Permit Fee I1!uf'ae 10.00
NONE LICENSE NO. Plan Checking f -UN 1.111 I II
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan C11o0bll11l 2.110
;!11.00
BUILDING ADDRESS Penalty
585 HIGGINS - Permit tee
I(I itI� II fi_oo
6.00
PLUMBING! IIIII��' 6,00
Each Trap IIII�� 5,U0
LOT NO. SUBDIVISION NAME GRIDLEY Solar or heat pump A I IOU ea
PARCEL piping
MAP Water_ -�,I '� 1����•� I�•
Each qas water ha141111
�USE OF STRUCTURE Gas piping systonl
SFfidv
�I Duplex[] Mobilehome❑ Other LPeffnit
ding sewer• I
SPECIFY I' 1111UI-ae 10.00'
TYPE OF WORK le Home I.. I' In 110
New ❑ Addition ❑ Remodel ❑ Utilities II 2.50
❑ Installation❑ Other ❑ ` Fee fll
Describe work:_ ! 11`�JyQft
1st renewal of permit #768-88 ractor
ELECTRICA
11 I
s Main service $a°o �•%
CONTRACTORS LICENSE LAW Main service EA. A!ll�jj 2 00
I declare under e a NEW CONST. DWp
P y f.perjury (check one): oR ADDNS. ( ACCf
❑ I am licensed under provisions of Cha t. 9 NEW cES!D. 1; ,. 5 00
and Professions Code and my licenseisinDlful3focehandueiness NON.REs!D B llj f
License No. effect. 1
(sPir�inl,8
Classification Ex. Occup( OUTLK I
❑ I, as the owner, or my employees with wages as their sole compen- Ex. Occup. , u _ R� �I
sation, will do the work,and the structure is not intended or offered Temporary servica
for sale. (Sec. 7044)
❑ 1, as the owner, am exclusively contracting with licensed contract- Mobile Home Facl1111004 10.00
ors. (Sec. 7044) 11111rt�
❑ I am exe Pt under Sec. Misc. Wiring
Business and Professions Code
for t i ,�eson
Permit Fee
WORKMEN'S COMPENSATION INSURANCE Contractor 'I�I.
I declare un Halt of perjury 'fr�' a•�x�
y P J y (v u tine): MECHANICAL•
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department Heating
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure. .•
❑ I Cooling
shall not employ any person in any manner so as to beco
to the W. C. laws of California. me subject Hood
Notice to Applicant: If after making this statement, should you become subject Ventilation
to the W. C. provisions of the Labor Code, you must forthwith comply with such l 59.25
CC
cC
33
provisions or this permit shall be deemed revoked. Permit Fee i � ,D ND Iseuc
I certify that I have read this application and state that t Contractor �i}� I II
is
is correct. I agree to'compty to all County Ordinances and Stave information Mobile Home (nstall»01r� I I,Ilrable provi-
te Laws relating Energy Irsaection f r�" d 'k;,,lutions to do
to building construction, and hereby authorize representatives of the s relating
of
Butte to enter upon the above mentioned property for for
purposes. f `
I also agree to save, indemnify and keep harmless the County of Butte against TOTAL PERM17 iold Ii I(�I�VIII l,vj been paid.
all liabilities, judgments, costs, and expenses which may in any way accrue flllth3
g inst said County in consequence of the granting of this permit.
X
S• Date This permit is her
)
/,
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