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Home My WebLink About024-282-006024-28-2-006. 00-0037 B GLISSON,'Virgil. 323 Obermeyer, Gridley (reroof/SF) Contr: RAW- Don Scribner 024-282-006 02-0267 CHAND,IK�%& TRIM 323 OKI= GRILE'\AA&�D CONT: DON SCRIBNE GARAGE CONVERSIN� OI 024-282-006 M S� E Room Addn-First Stry ADDITI t �323 OBEIMEYV��E- CHAND, MICHAEL J & TRINA 0 4 Ell NOTES i F .i� 1 �c X1 f. F RESIDENTIAL 624_-_K--006___ .702-0267_-. CHAND, MIk,E &';TRINA 323 OBERMEYER, GRIDLEY CONT: DON SCRIBNER GARAGE CONVERSION 11 SPECIAL"" CONDITIONS 11 SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature CHECKED BY = OK 0 = Not QK - = Not Applicable = Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Footings; Soils -Size -Depth -Spacing -Connectors -Steel 1. Zoning Requirements -Setbacks -Easements 4. 2. Soils; Special MH Support Sketch Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 3. Sewer; Location -Test -Fall -C/0 -Concrete 7. 4. Water; Location -Test -Easement Needed (Sketch) Frmg.; Sills-Anchors-Studs-RNrs-Trusses 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete - 6. Gas; Location -Test -Wrap;-/ /" L -ft. / P Nat. or/ /"L"ft./ PLPG Ext.; Steps -Doors -Landings 7. Well Clearance & Disconnect 9. Health Department Approval 8. Utility Clearance 11. Light Niche Date Card B-1 Date Card B-1 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. Tie Downs -Type -Installation Cent. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 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; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-RNrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels r Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK•except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/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 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date- 'Card B-1 r J = OK 0 = Not OK - = Not Applicable RESIDENTIAL (Single & Duplex) = Not Ready - Date Underfloor (Plans) OK except #'s Date FRAMING (Continued) 1. oning-Setback s- Easements- Flood- Slope 46. Hangers-Post Caps-Anchors-Connectors 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 47. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rfng, 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth 48. Fireplace Ties or Type A Flue-Fireplace Throat Clearance 4. Ftg., Porches & Decks; Soils-Steel-/ P' Ftg. Depth 49. Attic Access; Size & Romex Protection-Draft Stop-Ins. Baffles 5. Stemwalls, Main; Ste at- Blockouts-Wrapped 50. Bdrm. Windows or Exiting Doors-Sill Ht. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 51. Garage Fire Protection Framing 6a. Hold Downs and Special Anchors 52. Property Line Firewall & Openings 7. Slab, Steel-Wrapped 53. Ext. Doors-One 3'-Check Garage 3rd Story, 2 Exits 8. Piers-Fireplace Ftg.-Steel 54. Stairs; Width-Headroom-Rise-Run-Landing-Fire Protection 9. D.W.V.; Fall-Fitting-Test-2 Way C/O-Sewer Testlywyod on Roof Overhang-Attic Vents-Rafter Outriggers 10. UF, Gas Pipe; Size Anchors • Yard Gas Piping; Size Test Siding-Nailing Veneer 11. Water Pipe; Test-Anchors-Regulator-Service Test 57. Stucco Mesh-Drip Screed-Fd. Vents-Underflr. Access 12. Electric Underground 5 azing Area-Glass Protection-Skylights-Plastic 13. Plenums & Ducts; Clearance-Material-Support- Ins. 59. Shear Walls; Nailing-Bolts JP U4-Sills-Anchor Bolts-Jo ists- Vent s-Crippies 60. Brare Interior/Exterior Wall Panels ti"Access & Ventilation Insulation-Walls•Ceilings Insulation 2. Infiltration-Walls-Windows X Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Date FINAL (Plans) OK except #'s 17. Water Htr.; Vent-Access-Combustion Air Baffle Wit. Steps-Door & Sidelight Protection-Landings 18. Water Pipe; Test & Anchor-Nail Protection 0A,.J&m6ke Detector 19 D.W.V.; Test Fittings & Anchor-Nail Protection 65 4"•^^^e Vents-clearance-Comb, Air-Connector- 20. Shower Pan; Test, First Floor-Tub Access In Garage; Above Floor-Ducts-Mech. Protection 21. Test Tub & Shower, Second Floor-Tub Access _('A-BetTroom Exiting 22. Gas Pipe; Sixe & Anchors-E31i Fixtures & Tub Access-Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels Date Card B•1 Date Card B-1 6D, .gt-i. u q^;tc _ Date Card B-1 Date Card B-1 7 arance-Hearth Date ELECTRICAL (Permit) OK except #'s 71. Elec. Outlets at Wood Panel, Int. & Ext. 23. Fixture & Transformer Clearance-Ins. Protection 72. Kit. Fixt. & Appliance; Ground-Air Gap-Cooking Clearance 24. E!.Pc. Receptacles Spacing-Lights & Switches at Doors 73. Elec. Outlets & Receptacles at Kit. Counter Size Boxes & No. of Conductors Stapled 74. Garage Fire Door; Swing-Landing-Closure %j 2 omex Installed Close to Edge of Studs & C.J. 75. A.C. Duct in Garage-Damper i 27. Equip. Ground made up w/Meth Fasteners-Bond Gas &Water 76. Wtr. Htr.; Vents•Clearance-Comb. Air Connector-P.R.V. 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI in Garage; Above Floor-Mech. Protection 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At 77. Plb., Elec. & Mech. Equip. Listed for Location 30. Range Circle / / ga Cu or AI-Oven Circ. / / ga Cu or At 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection Insulated Neutral ❑ Yes O No ]9. Iion-Foam-Looked in Attic 31. Service-Riser Conductors & Ground Main Disconnect 80. Guard Rails & Deck Construction-Post Caps 32. Equip. Clearances Panels-Motors-Mech. Equip. 81. Fdn. VBents & Crawl Hole Door Drainage & Wood-Earth 33. Clot s Closet Light-Shower Light-Spa Light Clearance Looked under Floor O Yes Smoke Detector 82. Following Instld./Drive J Yes J No/Walks J Yes J No/Planters J Yes J No 83. Stucco Brown-Finish Date Card B-1 Date Card B-1 84. A.C. Unit Disconnect, Electrical-Plumbing Date Card B-1 Date Card B-1 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Date ME ANICAL (Permit) OK except #'s 86. Water Well, Disconnect, Electrical, Plumbing A.C. Ducts Insulation & Support 87. Exterior Elec. Trim, G.F.I. Receptacle-Underground Vent Fan, Exhaust above insulation entilation Throughout House 37. Condensate Drain & Overflow, Size & Grade 89. Glass Protection 38. Furnace-Vent Access-Comb. Air-Return Air Vent 115 outlet 90. Corrections from Previous Inspections 39. Attic Access & Platform if Furnace in Attic 91. Gas Test-Meters Tagged, Gas-Electric 92. Wat ewer Connected-C/O to Grade-HD Approval 9 . Enel4W Compliance Certificate-Other Certificates Date Card B-1 Date Card B•1 Address Posted Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Date Card B-1 Date Card B-1 40. Sil Proper Materials & Anchors Date Card B-1 Date Card B-1 Wall�uds-Nailing Spacing & Braces-Plates-Sound Date Card B-1 Date Card B-1 4;--gearing Walls over Girders & Floor Nailing Comments at Final: 43. Draft Stop in Walls (rat proof) 44. ;Xe Stops, Furred Ceilings-Stairs-Chasers-Tubs 45. Headers & Beams-Size & Bearing COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 02-0267 ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION 256 57120 00 .OWNERS MAIUNG ADDRESS DON SCRIBNER CONTRACTOR'S NAME 2996 PENNINGTON RD, LIVE OAK 95953 TELEPHONE CONTRACTORS MAILING ADDRESS ' CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ 5.120.00 ARCHITECT OR ENGINEER UCENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUIL.IffIRERMEYER, GRIDLEY Energy Plan Checking Fee $ 23.00 PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Ing ee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF R Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ OtherYO Describe Work: GARAGE CONVERSION Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service 60 LESS zoOA0V OR OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in u11 force and effect.D License Class Lic. NO. OWNER -BUILDER DECLARATION hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service zooA To ,000A 46.00 NEW CONST. DWEI NO OCCUP. OR ADDNS. ( a ACC. BLDS. SO 3.5¢FT. NOµR61UT' MULTI.OUTLET 97.50 POWER APPARATUS a SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES zo p ,.00 BAL O .50 FIXED NSI Ex. Occup. OUTLETS R 6.) Ep 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: I 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 worker ' com ti pce carrier and policy number are: Carrier a p 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.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that f I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. ' ry X �� _ Date 2, `^ / — 07 Sigrfature of Applicant - ❑ Owner W Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation EXTEMT PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ 4 64 00 occ coNST. TYPE TOTAL FEE $ HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON I the applicable provisions Resolutions to do work been paid. 6Dat Q 0� ifyt.) Receipt No. 343179$280.65 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET �/ OWNER: �Y) l i ASSESSOR PARCEL NUMBER 0 C�Z1• 6�u` Proposed Building Use: Y� (. _�J o '� Counter Technician: Date: Ty' ;� Items required in order to pply or permit. All boxes MUST be checked OR mak ed NA in order to apply. Z/1.. Plot plans, 3 or 4 sets, signed by the preparer of the plans. D 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. A0 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. P'4Engineered truss details and layouts in duplicate. No faxes! 5. Energy compliance design and supporting documentation in duplicate. BA6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. INAT Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................... 0'-11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 115 . Fees as shown on the attached Schedule of Fees Due Sheet ..:................................... Statement of Intent for Non -heated and A/C Buildings....................................�` Sanitation and plot plan approval from the Environmental Health Department in V ?z City of Chico Plumbing permit........................................................................ ❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ...................... ❑ 19. Planning approval for (A) Use: D )<_(B)Parking: (C) Parcel Check: ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization.................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits......................................................... ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: _ When issued Telephone and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: �'>IT'4 ''"� Date: 1. Index permit application for the above items timbered: 2. Additional items required Contractor, designer, owner, was advised of the above data by Contractor, designer, owner, was advised of the above data by Plans reviewed by: Date: Structural reviewed by: Date: Note transfer by: Date: a Plan Check Letter phone, ❑ mail, ❑ counter, by Date: phone, ❑ mail, ❑ counter, by Date: Plans approved by: /A/ Date: _Structural approved by: Date: Yellow: Building Division TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance E.H. Sd Plot Plan Attached Floor Plan Attached Sant to B.D. `Z R Z. e A Aro D Die a,,0r\ . 6 ZSSZ - L& Owner Location AP# Plan Approved for: Sewage Dispo�W ter Supply: Public Private Well Clearance for dwelling. Other' fLp Ux) .+ . PV-\ r J-,,_ _ (' �n,�) Dom► Hold final for: °_ - Final clearance O.K. for: NOTE:' 4H< Environmental Health Specialist 8/96 Z — - '` 72–, Date OWNER COUNTY; OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 ASCHEDULE OF FEES DUE PROPOSED BUILDING USE -0V 1. BUILDING PERMIT FEES --Balance Due ..................`..................................... $ --Additional Fees Due ............................................ $ --Additional Fees Due ...............................:............ $ t --Revised Plan Checking Fee .................................. $ 2. SCHOOL DISTRICT FEES g/n +d (paid at District Office) 3. SHERIFF FEES (paid at Building Division) Residential....................................x $360.00 = $ Units Commercial (sq. ft.) ...................... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES Residential ............................ x _ $ # Units Amt. Commercial (Sq. ft. x = $ Sq. ft. Amt. 5. RECREATION DISTRICT FEES 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER A. P. # C L 7' �. oC`l� DATE ' _7' RECEIPT # DATE REC. At time of permit application,'I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT DATE '4-9— 0 _-' Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code.Section 66020(a). Original - Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00) In BUTTE, COUNTY SCHOOLS IMPACT, FEE CERTIFICATION FORM .(One form per Building) School District ��l C 1( � t A.P. Number Va `T"• pI- G 0/�. �jU� Juri diction: City Property Owner F...)C� �`� nCk� y 'Property Location/Address 3a; Subdivision Residential Development No of Living Mobile Home .ti Units r Installation Commercial/Industrial ' s+ Building Department No. County Lot No. .........................o a i Sq. Footage Addition/ 'Supplemental to (Group R) Conversion Permit # '(No foundation inspection); (Floor Plans reviewed by School District Personnel) District Identification No. ' C2 P A 1"',A) n a t N 6 /School District certifies that (City) has complied with the requirements of Resolution No. representing square square feet: 1*. A V 14tA\ 10-- �xYa School District Representativ ' ( Paid by Check # Remarks: (State) Sq. Footage (Including Exterior Roofed Areas) Date (Applicant) . 1 r / (Phone Number) 1 " ln` 1 \'1? (Zip Code) by payment of $ AB 2926 $ FULL MITIGATION $ Date Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely.written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is! notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA); this project may, subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform'x1s 110/981dmm 3 t.• I ., Insulation Certificate BUILDING OWNER: " BiTII.DING LOCATION: ."t . BUILDING PMMT # Description of Installation ROOF Material Brand Name Thit:kncss (inches) / `Z� Thermal Resistance (R -Value) CEILING Bau or Blanket Type Brand Name Thickness ('inches) Thermal Resistance.(R-Value) Loose Fill Type Brand Name Contractor's minimum installed weight/ft lb Minimum thickness inches installed Manufacturer's weight per square foot to acheive Thermal Resistance (R -Value) EXTERIOR -WALL. Brand Name Thickness (inches) Thermal Resistance (R -Value) RAISED FLOOR ( / Material Thickness (inches) SLAB FLOOR Brand Name l� Thermal Resistance (R -Value) Material Brand Name Thickness (inches) Thermal Resistance (R -Value) Width (inches) FOUNDATION WALL Material Thickness (inches) Declaration - Brand Name jh,ermal Resistance (R -Value) I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the California Administradvel Code. j General C ntractor (Builder) License Number C!- o Z Signanue and Title • Date Sub-Contsaetor (Insulation Installer) Signuure and Title License Number Date THIS CERTIFICATE MUST .BE PROVIDED TO TETE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. JANUARY 1993 Department of Development Building Division Services 7 County Center Drive Oroville, CA 95965 (530) 538-7541 -(530) 538-2140 FAX ADDITIONS TO RESIDENTIAL BUILDINGS ENERGY COMPLIANCE PACKAGE CLIMATE ZONE I I UTE Goi IUILDING DEPART -- V tlw. Owner lel Permit Number Address -e1K `e�!Mi`Yl-! Floor Area The following data showing mandatory and required features shall be installed for additions to dwellings. Additions shall not include conversion of non -conditioned space to conditioned space. Rgmodeling of existing conditioned space is not included. COMPONENT <=100SQ.FT 101-499SQ.FT 500-999SQ.FT 1000>SQ.FT Ceiling Insulation R-19 R-3 . R-38 R-38 Wall Insulation R-13 R-1 R-13 R-19 Floor Insulation R-19 rig R-19 R-19 Radiant Barrier Required Required Required Required Glass U -factor .75 .75 65 65 Max.area of glass 50 sq.ft 16% plus removed 16% plus removed 16% Solar heat gain NSEW: .40. .40 .40 .40 Heat, Electric resistance Not allowed Not allowed Not allowed Not allowed Heat, Gas AFUE 78% AFUE 78% AFUE 78% 78% Heat Pump -Split HSPF 6.8 HSPF 6.8 HSPF 6.8 _AFUE HSPF 6.8 Heat Pump Package HSPF 6.6 HSPF 6.6 HSPF 6.6 HSPF 6.6 Cooling - Split SEER 10 SEER 10 SEER 10 SEER 10• Cooling Package SEER 9.7 SEER 9.7 SEER 9.7 SEER 9.7 Thermostatic expansion valve" Required on new split A/C systems Required on new split A/C systems Required on new split A/C systems Required on new split A/C systems Duct Insulation Duct Sealing* R-4.2 Required R4.2 Required R4.2 Required R-4.2 Required Additional waterFbudget heater: AS AN ALTFRNATIVF hich meets r:1 A71A1l1 WITU A Any which meets budget MAV!" Iw• .n Any which meets _budget Any which meets budget 11.0 SEER SPACE COOLING SYSTEM CAN BE SUBSTITUTED FOR DUCT SEALING AN THERMOSTIC EXPANSION VAGAIN LVE. E SEALED DUCTS AND THERMOSTATIC VALVE REQUIRES SPECIAL INSPECTION BY A HERS RATER. PROVIDE INFILTRATION CONTROL - WEATHERSTRIP DOORS, CERTIFIED WINDOWS, CAULKING. LIGHTING KITCHEN AND BATH NOT LESS THAN 40 LUMENS/WATT DUCTS TO MEET REQUIREMENTS OF UNIFORM MECHANICAL CODE -CHAPTER 6. DESIGN COMPLIANCE STATEMENT: THE ABOVE BUILDING DESIGN MEETS THE REQUIREMENTS OF TITLE 24, PARTS 1 AND 6 OF THE CALIFORNIA CODE OF REGULATIONS. r, PROPERTY OWNER OR CONTRATOR_ v (6/1/01 or ;i�ra.-_....:, a:}z.}mnv.u.l r;zT� „z.- r�; , .yai:n�� atax.w.G�:nM+�dvsy.;�'sfpll1:14'P'�,.-'!3:Yf•�iiv'!t'e?'�xvilec:�lt%A`�"�4k�'�!`e'�.�;<:,?�'!ca:�tiq!91G'A3�ij�.,�,e,..,rx ..:cv +z _ �.. y�,�� _,,,,..�;• 024-28-2-006 f GLISSON"* 00-0037 B 323. Argil. . r (reroof/SF)er,'Gridley Contr: Don Scribner COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 16 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 U7T NO. (Rev. 12/96) APPLICATION AND PERMIT ?1't' ;- r ASSESSOR PARCEL NUMBER ZONINO BUILDING PERMIT Y. OWNER r� D.UE 1 L126W1 ""i' TELEPHONE SQ. FT. OCC. BUILDING VALUATION vY�1RV11 ov��E S MAIUNG ADDRESSOFi?°ddl;i�'YL..y iDL_1 `i 1j594G , �' 1 9210.ld COJ RACTOR•S NAME SCRlBNM TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ , y LlX) ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 45.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS S Energy Plan Checking Fee $ $ PERMIT FEE $ 65.(k LAT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other 4 SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ ;'.iii Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 @20.00 PERMIT FEE S ELECTRICAL PERMIT Fee 20.00 RLEFiling 800VMain Service zoOA OR IESS 23.00 LICENSED CONTRACTOR}S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. f�/ .t OWN E -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A To 1000A 46.00 NEW CONST. DWELLING OCCUP.SO OR ( a ACC. BLDS. 3.50x. CNS. NEW MULT.1 CRR UT ITS 97,50 ER APPARATUS a PswOWoLE ourLEr CIR. Ex. Occup. OUTLET OR FDRURES 20 @ 1.00 BAL @ .50 Ex. Occu . DUTLEETS . °EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE S 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 f7 A t p f= [, M 7 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number ' Ie 30X" 1 he above sectio s need no^t be com leted if the permit is for work of a valuation R p p of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' a" 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. A+ 7 X -t t_ �'� -� * Date II— / � " � e• Sigr&ture of Applicant - ❑ Owner X Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE w" TOTAL FEE $ 65 • o`: .' HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSI�E' �,/ This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. ,r+' "- -0--.—Date V Od PERMIT EXPIRES ON Date Receipt No. 85646/ W WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT �r� ,�. COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION •°�"'��"• 7 County Center Drive Oroville, California 95965 •Telephone (530) 538-754 P T No. (Rev.12/96) APPLICATION AND PERMIT ��r �� ASSESSORPARCELNUMBER 024-282-006 ZONING AS BUILDING PERMIT ' OWNER VIRGIL GLI.. -SON GRIDLEY TELEPHONE SO. FT. OCC. BUILDING VALUATION 32 1 920.00 G".�� OB �ERMEYER, GRIDLEY 95948 COON SCRIBNER 695 3038 CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 1 920 , 00 ARCHRECT OR ENGINEER LICENSE NO. Flllrl Fee $ 20.00 Permit Fee $ 45 , OO ARCHRECT OR ENGINEERS MAILING ADDRESS Plan Checkin Fee $ BUILDING ADDRESS SAME Energy Plan Checking Fee $ $ PERMIT FEE S 65 , OO IAT NO. SUBDN610NS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other sPECIFv Solar or heat um water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: REROOF Gas i in stem t - 5 outlets 1 5.00 Buildin sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service zoOA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in I force and effect. License Class Lic. No. 3 Ski Z 3 6 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages astheir 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. ❑ I am exempt under Sec. ,Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ I 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. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier s -y' /} y. � � to N n Policy Number /n � � i� � � (The above sections need not be completed if the permk 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 Calrfornia, and agree that 'rf I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. r X Date �`�D "'- Z-t�0� _ Sig ature of Appli nt - ❑Owner Contractor ❑Agent An OSHA permit is required for excavations over 5'0"deep and demolition or construction of structures over 3 stories in height. Main Service �� To +o�A 46.00 NEw coNST. DwEwNG occuP. so OR ADDNS. ( a Acc. sLos. 3.Sa�: roµgEOSIpT� MULTI -OUTLET @7,50 PowER APPARATus a s+NGLE oLmEr cIR. Ex. OCCU otmET oR FocruREs eA� o +:w Ex. Occu ou�T E�s aE�slo,°� 5.00 Tem orar Service 23.00 Mobile Home Facilities 20.00 Misc. Wirin 23.00 PERMIT FEE S MECHANICAL PERMIT Filing Fee 20.00 Heating Coolin Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ occ coNST. TYPE TOTAL FEE $ 05.00 HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD S This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for ich fees have been paid. t%- llj o d PERMIT EXPIRES ON � �` � O '� o Dete Receipt No. 648 55.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 4. cr. Cti it CL a XL z co z 0 ,Rl I IK" CL( ti tk k ,Rl I IK" �,_ . ti Oi x ,1 n. VA ROOF PLAN } i I - 9x r, f. PPFIOVF I I a' R10O.FPLAN) :�? 2� �.s ,�-e '"amu 42- I 471 :�? 2� �.s ,�-e '"amu