HomeMy WebLinkAbout024-300-001°�----------' ---------------- - --'--�'w^�—~—�-- ' -----'-' � - -
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24-30-01
1595 Glen Ellen DriVe
,M64 -84B P31EJIM(new single family)
\ � / C0��^ l1595 GLEN ELLEN DR-
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CONTR: NORTH YALLEj- CONST
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024-300-001 03-33' PERMIT RENEWAL
EPPERSON, MATTHEW
5 L __
95 GLENN ELLEN DR, GRIDLEY BP # D,
Cont: OWNER Date:
AS BUILT ADDITION P
BP Expires:
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B07'1690 024'300'001
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MISCELLANEOUS Re-Roof�
' RE ROOF 40 SQ.'S COMOFF)
/ |5A5GLENN ELLEN DR
LAWRENCE, WILLIAM
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #:(530) 538-7541 FAX#: (530) 538-2140
WEBSITE: www.buttecounty.net\dds
PROJECT INFORMATION
Site Address: 1595 GLENN ELLEN DR
Owner:
Permit NO: B07-1690
APN: 024-300-001
LAWRENCE, WILLIAM
Issued Date: 08/07/2007 By TMP
Permit type: MISCELLANEOUS
1595 GLENN ELLEN DR
Subtype: Re -Roof
GRIDLEY, CA 95948
Expiration Date: 08/06/2008
Description: RE ROOF 40 SQ.'S COMP(TEAR OI
(530) 846-3848
Occupancy; Zoning: SRI
Contractor
Applicant:
Square Footage:
OWNER
LAWRENCE, WILLIAM
Building Garage Remdl/Addn
1595 GLENN ELLEN DR
GRIDLEY, CA 95948
Other Porch/Patio Total
(530)846-3848
FEE INFORMATION
DBMSC Re -Roofing $230.00
Total Charged: $230.00 Fees Paid: $230.00
Balance Due: $0.00 Receipt No: B4134
LICENSED CONTRACTOR'S DECLARATION
OWNER / BUILDER DECLARATION
Contractor (Name) State Contractors License No. / Class / Expires
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License
OWNER / /
Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that
requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance,
,
also requires the applicant for such permit to file a signed statement that he or she is licensed
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9
(commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license
pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000)
is in full force and effect.
of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects
X 08/07/2007
the applicant to a civil penalty of not more than five hundred dollars ($500];
Please check one of the following: "
Contractor's Signature Date
I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE
P1 COMPENSATION, WILL DO THE WORK AND THE STRUCTURE IS NOT INTENDED OR
WORKERS' COMPENSATION DECLARATION
OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License
Law does not apply to an owner of the property, who builds or improves thereon, and who does
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
the work himself or herself or through his or her own employees, provided that such improvements
❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR
are not intended or offered for sale. If, however, the building or improvement is sold within one
WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the
year of completion, the owner -builder will have the burden of proof that he or she did not build or
performance of the work for which this permit is issued.
improve for the purpose of sale.).
❑ I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by
I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code:
Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
The Contractor's License Law dows not apply to an owner of the property who builds or improves
My Workers' Compensation insurance carrier and policy number are;
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
Contractor's License Law.).
Carrier: Policy Number: Exp. Date:
(This section need not be competed if the permit is or one hunddollars ($100) or less.
re
❑ 1 AM EXEMPT under Section B. & P.C. for this reason:
I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS
ISSUED, I shall not employ any person in any manner so as to become subject to the Workers'
Compensation laws of California, and agree that if I should become subject to the workers'
X ���2� 08/07/2007
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those
Owners Signature Date
provisions.
X 08/07/2007
I hereby certify that I have read this application and state that the above information is correct. I agree
to comply with all City and County ordinances, rules, regulations, and State laws relating to building
Signature Date
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless
Butte County, its officers, agents and employees from any and all claims and liability for personal
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
injury, including death, and property damage caused by, arising out of, or in any way connected with
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the
use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
ATTORNEY'S FEES.
County to enter the above mentioned property for inspection purposes. I hereby certify that I am the
pro rty owner or am authorized to act on the property owner's behalf.
CONSTRUCTION LENDING AGENCY
eq r 08/07/2007
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
Name of Permittee [SIGN] Print Date
the performance of the work for which this permit is issued. (3097 civ. code)
Owner ❑ Contractor OR. DAgent for Owner Agent for Contractor
FILE COPY
Lenders Address City State Zip
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
OFFICE #: (530) 538-7541 FAX #: (530) 538-2140
A FEE WILL BE REQUIRED AT TIME OFAPPLICATION
Website: www.buttecounty.net/dds
**PLEASE PRINT CLEARLY**
OWNER INFORMATION
Last Namef �w�
Address
First Nam OL4—
Mailing Address t
K flW 0r
City/ I
Fax
State C A
f
Zip Q� y
—
Phone 36 y _ZpN
5_36_'•�cl
Fax
E-mail
CONTRACTOR
Name
Address
City
State
Zip
Phone
Fax
E-mail
Lic. #
Class
APPLICANT INFORMATION
ARCHITECT/ENGINEER
Name np
V
City
Address
Zip
City
Fax
State
Zip
Phone
Fax
E-mail
State License Number
APPLICANT INFORMATION
Name .SGOwer
a,e.. aS
Address
City
State
Zip
Phone
Fax
E-mail
APPLICANT SIGNATURE
PERMIT
NO.
�gQl-° 16
BIN #
WORKER'S COMPENSATION
Policy Number A/rT
Carrier
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address v
DESCRIPTION OR SCOPE OF WORK:
Te&r• 0 S I - V'00 O s,_
6l ,'q �016
SBFT- Living 3990 Garage Open Cov
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
For office use only:
Zoning Flood Zone SRA I Yes I No
Occ.
Type Const.
Butte County Department of Development Services
TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR
7 County Center Drive
Oroville'' CA 95965
(530) 538-7601 Telephone
(530) 538-2140 Fax
www.buttecounty.net/dds
OWNER -BUILDER INFORMATION
An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified.
For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed
by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from
possible liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by
law to put their license number on all permits for which they apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and
protection:
° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire
project and such persons are not licensed as contractors or subcontractors, then you may be an employer.
G If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal
G income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions.
There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance.
° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business
Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial
Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through thier own employees,
without license contractor or subcontractor, only under limited conditions.
A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is
providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work
personally.
Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321
-CLSB (2752) or by accessing thier website at www.CSLB.ca.gov.
PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE
AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED.
OWNER BUILDER VERIFICATION
PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING
PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED.
1. I PERSONALLY PO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY
PEMENTJ�ES R NO)
2. 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:
ADDRESS CITY
PHONE CONTRACTORS LICENSE NO
4. I PLAN TO PROVIDE PORTIONS OF THE 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
Description: RE ROOF 40 SQ.'S COMP(TEAR OFF)
Reference Number: B07-1690
Applicant Name: LAWRENCE, WILLIAM
Owner's Name: LAWRENCE WILLIAM AP # : 024-300-001
Signature of Property Owner: Date: e. -?-" O--7-
BALANCE OF FEES
SHEET
DATE: , ^ 15 C� S
PERMIT #:
ASSESSOR PARCEL #:
OWNER'S NAME:Q%7'Pl
FEES (Amount and Purpose):
BALANCE OF FEES:
$
ADDITIONAL FEES:
$
REVISED PLAN CHECK:
$
SHERIFF FEE (commercial only):
$
SRA:
$
'
COPY FEES ($1 or more)
$
DRAINAGE
$
BASIN '
BC RESIDENTIAL IMPACT
i
County Wide Chico Urban
EI Medio North Chico Specific
_ $
WATER TENDER FEES
$
BATTALION # '
FEMA
$
SMIP
$
OTHER
$ 1
`Z s/
CJ
RECEIPT NUMBER(S)
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7 PER IT NO.
PPL
(Rev. 12/96) ALICATION AND PERMIT
ASSESSOR PARCEL NUMBER
024-300-001
2ONIAG
BUILDING PERMIT
OWNER
a+eilJ 2rSo�1 �
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
.OWNER MAI ADDRES
l� GRIDLEY CA 95948
458 R 24 732.00
CONTR�A7C�T7ORR'SS NAME TELEPHONE
0 V �1\
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace 1500.00
Total Valuation $ 26.23 .00
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $ 265.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Pian Checking Fee $ 172.25
BUILQI�(���Qj1RESLENN ELLEN DRIVE GRID -LEY CA
1 G
Energy Plan Checking Fee $ 23,00
$
PERMIT FEE $ 480. 25
LAT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Fling Fee 20.00
USEOFSTRUCTURE
SF )( Duplex ❑ Mobilehome 13 Other
' \ SPECIFY
Each Trap 7.00
Solar or heat pump water heater 23.00
Water piping 15.00
Each gas water heater or vent 15.00
TYPE OF WORK
New ❑ Addition K Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: AS BUILT ADDITION
Gas piping system t - 5 outlets 15.00
Building sewer 15.00
Mobile Home IS I G I WT-' @20.00
PERMIT FEE S
ELECTRICAL PERMIT Fling Fee 20.00
Main Service 20 A OR LEss 23.00 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.POWER
License Class Lic. NO.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
rfor 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. DWEwNGOCCUP. SO 3
OR ADDNS. ( a ACC. BUDS. 3.50
=RI. MULTI.OUTLET 97,50
APPARATUS
b SINGLE OurLET CIR.
Ex. OCCU OUTLET OR FIXTURES B20 @ 1.000
Ex. Occup. oL,TEE'A A'.ID.OEA 5.00
Tem orar Service 23.00
Mobile Home Facilities 20.00
Misc. Wirin 23.00 23.00
PERMIT FEE _ $2.03
WORKERS' COMPENSATION DECLARATION
I by 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 workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT Fling Fee 20.00
Heating 15.00
Cooling
Hood 6.50
Ventilation
PERMIT FES $ 55,00
Policy Number
(rhe above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
6( J 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'
cc pensation laws of California, and agree that if I should become subject to the
wc ers' compensati visions of section 3700 of the Labor Code, I shall
with mply those pr 'sions.
T "
D e
ieignature f Applicant - Owne�O`Contrector Agent ^
An OSHA permit is require for excavations over 60" deep and demolition or construction
of structures over 3 stories in heig
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 663.28
"AZ HD 5 U
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By Date
PERMIT EXPIRES ON
�- (Da to)
Receipt No.`o
WHITE-D.D.S.-B.D. ANARY-A ESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One form per Building) 1
SChOOI;DISlrict �Y� R=' "'1 Building Department NO.
•-A.P. Number Oa `rt' -300 -00 d' JurMiction: :y' � City /County
Property Owner
Property Location/Address I Vl
Subdivision
Residential Development Q
No of Ing Mobile Home
Units Installation
Commercial/Industrial i Q
New
Building Department Representative
Lot No.
Sq. Footage
(Group -R)
I` Deed Restricted Sq. Footage
(Attachia signed copy of Deed Restriction and Notice of Limited Use Facility document)
f Sq. Footage
~i
(Including Exterior
foofed Areas)
o`L/
Date
t
District Identification No.,
1
C'iA*�',\eA*V)r N School District certifies that �,fAl .�/� r -.—
u (Applic nt:)
';N
(City)
has complied with the requirements of Resolution No.
representing 1- f �j O square feet.
School District
Paid by Check # �"'�'�— Remarks:
(Phone Number)
(Zip
by payment of $
2926 $
FULL MITIGATION $
Date
Notice: You may protest the InhpoeftlA of the fess Identified above by submitting a written protest to the District. In compliance with
Government Cods Section 66020(a), within 90 days from the data fees are paid. Failure to submit a timely written protest will'prohihit
you from challenging the Imposition of the fees In any court action.
N. subsequont to the School District Reprsserdatiw signing this Butte County Schools Impact Fee Cortiflatlon Form, the School District Is
nod by the aWlicabls Local Planning Agency that of project Is being reviewed under the CalUorrda Environmental Quality Act (CEQAh
this pr amset may be aubjsd to additional school fess to fully rrhltlpate.its Impact on the school dbbkft schools. f
White (applicant), Yellow (building department), Pink (school district) feeform.>ds (10/03)dmm
Addition/
'Supplemental to
Conversion
Permit #
*(No foundation inspect
Sq. Footage
(Group -R)
I` Deed Restricted Sq. Footage
(Attachia signed copy of Deed Restriction and Notice of Limited Use Facility document)
f Sq. Footage
~i
(Including Exterior
foofed Areas)
o`L/
Date
t
District Identification No.,
1
C'iA*�',\eA*V)r N School District certifies that �,fAl .�/� r -.—
u (Applic nt:)
';N
(City)
has complied with the requirements of Resolution No.
representing 1- f �j O square feet.
School District
Paid by Check # �"'�'�— Remarks:
(Phone Number)
(Zip
by payment of $
2926 $
FULL MITIGATION $
Date
Notice: You may protest the InhpoeftlA of the fess Identified above by submitting a written protest to the District. In compliance with
Government Cods Section 66020(a), within 90 days from the data fees are paid. Failure to submit a timely written protest will'prohihit
you from challenging the Imposition of the fees In any court action.
N. subsequont to the School District Reprsserdatiw signing this Butte County Schools Impact Fee Cortiflatlon Form, the School District Is
nod by the aWlicabls Local Planning Agency that of project Is being reviewed under the CalUorrda Environmental Quality Act (CEQAh
this pr amset may be aubjsd to additional school fess to fully rrhltlpate.its Impact on the school dbbkft schools. f
White (applicant), Yellow (building department), Pink (school district) feeform.>ds (10/03)dmm
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541
Irl SCHEDULE OF FEES DUE
OWNER
V V
PROPOSED BUILDING USE
1. BUILDING PERMIT FEES
Balance Due ....................... $
Additional Fees Due ................. $
Additional Fees Due ................. $
Revised Plan Checking Fee ...........$
2. SCHOOL DISTRICT FEES
(paid at District Office) (Available after Plan Check
3. SHERIFF FEES (paid at Building Division)
0-1. / C/ 0
Residential ...................... x $360.00 = $
Units
Commercial (sq. ft.) ............... x $0.03 = $
Sq. ft.
4. URBAN AREA FEES (paid at Building Division)
Residential ............... *...—x—=$
# Units Amt.
5
Commercial (sq. ft.) ............ x _ $
Sq. ft. Amt.
RECREATIONAL DISTRICT FEES
(paid at District Office) (Available after Plan Check)
s
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. # d��1 — 3400" 00
Al
DATE / G
RECEIPT # DATE REC.
At time of pe ' application, I was advised the above fees required to be paid prior to issuance of the building permit. These fees
may be c anged d 'ng th plan the process.
9LICANT D
Pursuant to Government Code Section 6 20, 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 - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner , (Rev. 6/00)
` COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENV E - BUILDING DIVISION
tzomk7 County Center Drive a Oroville, California 95965 T h (530) 538-754,1,+
.12/96)
APPLICATI®NAN®P u
SESSOR PARCEL NUMBER
spBUILDING PERMIT
NER U �J ( "TELEPHONE SQ, Fr. BUILDING VALUATION
OWNERS
NIPACTOR'S NAME . I TELPPMONE
ucnON LENDER
iv✓
Fireplace'
LENDERS MAILING ADDRESS
Total Valuation
ARCHITECT OR ENGINEER LICENSE NO. Filinq Fee $ 20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS $. -
. Plan Checking Fee
BuaDINGADDREss Energy Plan Checking Fee $
PERMIT FEE d.
LOT NO.SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00
7
�3 C Each Trap .00
USEOFSTRUCTURE Solar or heatum ter heater 23.00
SF Duplex ❑ Mobilehome ❑ Other Water piping 15.00
SPECWY Each gas water heater or vent 15.00
TYPE OF WORK Gas piping system 1 - 5 outlets 15.00
New ❑ Addition ❑ emodei ❑ Utilities. ❑ Installation Cl Other ❑ Building sewer 00
_�F Mobile Home S G W @20.00
.PERMIT, FEE PAID
SRA
SHERIFF
OTHER
$ (XG �� ��
S
S
S
S
S
AMOUNT RECEIVED $
DATE RECEIVED
RECEIPT
Ex. OCCUID. OUTLET OR FDnURES
PERMIT FEE $
Ex. Occup. Z QID 10EA.
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service
LESS 1.
20oi on LESS
23.00 --
Main Service
200A TO 1000A
46.00
NEW CONST.
OR ADONS. (
DwE11rrG OCCUP.
a ACC. Ows
3.54F°. GZ
NEW CONS
-MULTI-ovnFr 1
@7.50
Ex. OCCUID. OUTLET OR FDnURES
BAL @ .50
Ex. Occup. Z QID 10EA.
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.0
PERMIT FEE $ uoc'
MECHANICAL PERMIT Fling Fee 20.00
Heating,
Cooling
Hood 6.50
Ventilation
PERMIT FEt S
Mobile Home Installation Fee $
Energy Inspection Fee $
n C PE TOT,4L FEE $ &&/5
HAZ I D. FEES I 14y ROOD 17F I PAVE FD nu �suc
This permit is hereby issued under the applicable provisions /
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By Date /
PERMIT EXPIRES ON
(Dafe2
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: /`i U ASSESSOR PARCEL NUMBER G��• / GL ' GG ��
Proposed Building Use: v\ ► , Counter Technician:�dd-rlhpi
Date: /01 ems required in order to pplyfor a permit. A I boxes MUST be checked OR marked NA in ly.
1. Site plans, 3 or 4 sets, signed by the preparer of the plans.
i - 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans.
❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 4. Engineered truss details and layouts in duplicate. No faxes!
5. Energy compliance design and supporting documentation in duplicate.
❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate.
❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be
stamped and wet -signed by the engineer.
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. Site plan and business license approval from the City of Biggs ....................................
❑ 10. Letter of intent for non-residential buildings.........................................................
❑ 11. Detached Accessory Building Form filled out by the owner .....................................
❑ 12. Hazardous Material Form...............................................................................
❑ 13. Fire Sprinklers............................................................................................
❑ 14. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by
❑ 15. Other ...
a
Reining items needed to issue the permit. (May require additional pla review upon receipt of the following items.)
16. Fees as shown on the attached Schedule of Fees Due Sheet... 5 ..................
Statement of Intent for Non -heated and A/C Buildings .................................... .......
Sanitation and site plan approval from the Environmental Health Department in iY011/1 �0 7fi-U3 /i1J�
❑ 19
. City of Chico Plumbing permit........................................................................
.❑ 20. California Department of Forestry plan approval ❑ paid. Sent by: ......................
❑ 21. Planning approval for (A) Use: o K(B)Parking: (C) Parcel Check: 1 S-
❑ 22. Contact Land Development about ❑ Improvements, ❑ Drainage ...............................
❑ 23. NPDES Form.............................................................................................
❑ 24. Encroachment Permit for driveway from the Public Works Dept .................................
❑ 25. Pre -Inspection for required ................
❑ 26. Contractor's license information. (Number, Name Style, Classification) ......................
027 Worker's Compensation Carrier and -Policy Number .............................................
Owner -Builder VerificationLT_Given to owner, ElMailed to owner) .....................
29. Letter of Signature authorization....................................................................
❑ 30. Recorded copy of Agricultural Acknowledgment Statement ....................................
❑ 31. Manufactured home utility clearance...............................................................
0 32. Existing violations and/or expired permits .....................................
.........r..........
❑ 33. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $
❑ 34. Other: �.
When issued Telephone 7Q and hold for pickup.
I have be6h i,pfoped of the abo ft itempand requirements for obtaining a buildi
Applicant: F' 1 Date: I L O
1. Index permit a plication for the abb4e ite re��
2. Additional items required -
r, designer was advise of th a ove dat y R phone, ❑mail, ❑counter, by
Lbrrtr�ctor, designer, her, was advised of the above data by ❑ phone, ❑ mail, ❑ counter
Plans reviewed by: Date: Plans approved by:
Structural reviewed by: Date: Structuraf approved by:
Note transfer by: Q,% Date:
Yellow: Building Division
-4=0 Ow
f P1*15
v ®✓ l4lq
Plant eck Letter
ao...s /zEe o
Date: 2
_Date:
_ Date:
Date:
00,
TO:
FROM:
SUBJECT:
Building Department
Environmental Health
Sanitation Clearance
11 03-33351
J�L�i�'f A ,L• � ��---S�n� S ��� rl
Owner Location
Plan Approved for: Sewage Disposal
Clearance for dwelling. Other
Water Supply: P lic
E.". USE ONLY
Plat Plan AnechQ
Float' Plan Attachad
Sent to B.D. 6 ,/Zj:?
AP#
Private Well 4 -
Hold final for:
Final clearance O.K. for:
NOTE:
fk4/
Environmental Health Specialist
Date
8/96
11
O.B.- I
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.
property rovement :
�I HAVE
HAVE NOT -0 signed-an_apphcation for -a -building permit.for the proposed work
3. I have contracted with the following'person (firm) to provide the" sed construction:
E
:
y
MADD SS.
'
CITY:
PHONE: CONTRACTOR'S LICENS
4. I plan to provide rtions of this work, but I have ' ed the. following person to coordinate,
supervise, and provi a major work:
NAME: , -
ADDRESS: -
PHONE: C
ONIC
5. I will provide so of the work but I have co
the work in
NAME ADDRESS
CITY:
BR'S LICENSE NO.
7i d (hired) the following persons to provide
PHONE TYPE OF ' WORK
NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 of the
California Health and Safety Code. This verification must be completed and
returned to our office before we are permitted to issue the permit.
OVER
OWNER BUILDER INFORMATION
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of property
improvements specified. ,
For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such
a permit. Building permits are not required to be signed by property owners unless they are personally performing their
own work. If your work is being performed by someone other than yourself, you may protect yourself from possible
liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business
license from the city or county. They are also required by law to put their license number on all permits for which they
apply. 11
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should
be aware of the following information for your benefit and protection:
♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials
and other costs) is '$300 or more for the entire project, and such persons are not licensed as contractors or
subcontractors, then you may be an employer.
♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are
subject to several obligations including state and federal income tax withholding, federal social security taxes,
workers compensation insurance, disability insurance costs, and unemployment compensation contributions.
♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious
with respect to worker's compensation insurance.
♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and,
ifyou wish, the U.S. Small Business Administration). For more specific information about your obligations under
State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their
work personally or through their own employees, without a licensed contractor or subcontractor, only under limited
conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building
permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building
permits are not required to be signed by property owners unless they are performing their own work personally.
Information about licensed contractors may be obtained by contracting the Contractors State License Board in your
community or at 1020 N Street, Sacramento, CA. 95814.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you
are aware of these matters. The building permit will not be issued until the verification is returned.
rely4Viditra,
Mc el .B.O.
M ger, BuildInspection
NOTE. This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code.
[11M
,0-S'bI
I�
r-
0
O
c
,0-S'bI
PLANNING DIVISION - BUILDING PLAN APPROVAL
Use: a Date:
Parking: Landscaping:
Other:
Signature:
C,
20'
G�
c4
n
3L.
C,
20'
w hareby d
god Known- AREA OF SUBDIVISION v
I 6eorinq 7.24 Acres more or less I � 0 I I part
)e La -
rd5@=2'x20'Anchor Eas¢m¢nt I 0 a incl
39' 34' 30" W 527. 1 O' Z I qos
c.:-. �_ .t^- h�1. t -, �r� cry- fIRK �a 'ti.-;iaT H+"'• - Qr0
12............................................. 1.30 00 42.00 �Fnd.
F corn
..........................................
..._....... S thel
nail - ¢place
w 12 ' P. U. E.LLI `N/5t ndord
E
Count yl Monumen?' Eas
man
O O ' w i rc
pp
00 00 i"
Qj se r
;p d7 easl
- bi
iD F, IigF
O - O Q1 .,+ ( o for
O O
Z20' Setbock Line Z
3.
Ion.
-� i- ---------------=--------- ------------------- _ the
4
Saic
I' 12 7.. 3 8' 10 0. 36' I bu
ro5.58' ,
OO 0
O I 'q Le F
CO S 89 34" 30'' YV _ 317.82' `n
0 _ - - 0_
a
6 GLENN ELLEN DRIVE o
CO A 0 I CO STAT E
72.91' 100.00' 72.19' Q I COUN7
On t
---1 2 O me
I '�-------------------20' S¢tback Line uJ------------ --- i 0O th¢ Cou
UJI
i L i LL oppaora
i $ :0 0 . i known
0 y i 0) I F- for g o i r
`q O 0 u i 7 u that t1
15 b °' 16 0 0 17 L �
464-84B,P
• ,r' i PERMIT NO. � n sE s M
r
f ~' n PERMIT EXPIRES
OWNER LEROY HILBERS
4y CONTR. HilberS Const
t
t ASSESSOR PARCEL 24-30"01
f LOCATION_ 1595 Glen Ellen Dr, Gridley _
I •
' lt
• 1
OFfICE COPY ,
cr a. `5
• Address'��� `�` �•' ....
r AS t er Dat`;,'
.~MeterBlit$�'oYr
a E4, ,� Dates_ --:�
y�1 .. ,
- --'`
Y
Temp.
Calf OFFICE COPY
s - Temp. EI / Address )
Calli GAS S
{ Meter Bye` --Date&
Temp. a ELECTRIC
s GMeter By Date .
+� III II
t Lalli
'i
JOB,FINALED (Dat
Signatu a �/
f
J =-OK
0 = Not OK
— = Not Applicable MOBILEHOMES
= Not Ready
.r -f=•
MISCELLANEOUS -
Date
MOBILEHOME UTILITIES (Plans) OK except #'s
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's L '
1. Zoning Requirements—Setbacks—Easements
1. Zoning Requirements—Setbacks—Easements
2. Soils; Special MH Support—Sketch
2. Footings; Size—Depth—Spacing—Connectors
3. Sewer; Location—Test—Fall-C/0—Concrete
i
_
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
5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures
6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L" ft./ /"LPG
_
6. Carports; Windows—Doors
'~4
7. Utility Clearance
7. Elec.
1
F .
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except k's
Card -BI
Date
_
Date Card -BI Date
POOLS (Plans) OK except #'s V
1. Zoning Requirements—Setbacks—Easements
1. Setbacks—Easements
2. Footings; Size—Spacing—Marriage Line -
2. Soils; Compaction—Structure Stability _
3. Gas; MH Test—Demand—Valve—Connector
3. Pool Structure: Steel—Connections—Thickness—Dead Men—Lining
4. Electricity; MH Test—Crossovers—Breakers—Clearances
4, Elec.; Receptacles and Lighting; Distances—GFI
S. Drain; MH Test—Fall—Flex Connector
5. Elec.; Pool Lighting; 15 volts—GFI
6. Water; MH Test—Regulator—Connector
6, Elec.: Enclosures; Conduit Entries—Terminals—Listed
7. Water and Sewer Connected—C/O to Grade—HD Approval
7, Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg.
Boxes—Enclosures—Panel boards—Ins. to Main in Conduit
,9. Exits; Insp.—Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test—Water Supply Test
Card B -I
Date Card -BI Date
Card BI
Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
k
i
'~4
1
F .
0 = Not Cr,-. '� ^
- = Not Applicable
} = Not Ready
RESIDENTIAL (Sin'gle and Duplex)
Date
�(
DERFLOOR Plans OK except#'s
Date
FRAMI Continued
oning requirements -Setbacks- asements
r y Line Firewall &Openings
g., Main; Soils-Steel-Elec - " Ftg. Depth
.v
xt. Doors -One 3' -Check Garage -3rd story, 2 exits
Ftg., Garage; Soils -Steel- / '7. ' Ftg. Depth
50.rStairs;
Width -Headroom -Rise -Run -Landing -Fire Protection
F ., Porches & Decks; Soils -Steel- / /" Ftg. pth
5t ePlywood on Roof Overhang -Attic Vents -Rafter Outriggers
walls, Main; Steel -Blackouts -Wrapped -SI
52
iding-Nailing-Veneer
_Ste
Stemwalls, Garage; Steel-Blockouts-Wrapped-
53AStucco
Mesh -Drip Screed-Fdn. Vents-Underflr. Access
Piers -Fireplace Ftg.-Steel
56, -Glazing Area -Glass Protection -Skylights -Plastic
-
8. D.WV-.1 FaW-FittWgs-Te 2 way C/O -Sewer _Tej!2
5
hear Walls; Nailing -Bolls
Gas Pipe; Size -Anchors
Water Pipe; Test -Anchors -Regulator -Service Test
Electric; Underground
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
ate v Card -BI Date
C gre-t I
4G
Date Card -BI Date
d -BI
Date --j-7-Card-BI Date
Card -B 1-9111MCard-BI
Date
Date
�
FINAL (PI94s) OK except #'s
Car 1 Da Card -BI Date
Date
P UMBING (P t OK except #'s
5
xt. Steps -Door & Sidelight Protection -Landings
Smoke Detector
H[.:' en Access -Combustion Air
Water Pipe; T st & Anchors -Nail Protection
58.
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Meeh. Protection
W.V. ttngs & Anchors -Nail Protection
59!16edroom Exiting
1,7. Shower an; Test, First Floor -Tub Access
V
G.F.I. & Bath Fixtures & Tub Access
18. Test Tub & Shower, 2nd Floor -Tub Access
61,-Elec. Trim & Subpanel; Breaker Sizes -Labels
1 Gas Pipe; Size & Anchors
62.
Stairs & Rails
_
6&�F2replace
or Stove; Clearances -Hearth
Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
6
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date!j Card -BI Date
6§
,Elec. Outlets & R,eceptacles at Kit. Counter
Date
ELECTRICAL R(.1<1) OK except #'s
6V
Garage Fire Door Swing -Landing -Closer
60
A.C. Duct in Garage -Damper
---
jl> ixture & Transformer Clearance -Ins. Protection
�ec. Receptacles Spacing -Lights &Switches at Doors
tr.; en -Clearance-Comb. Air-Connector-P.R.V.-
In Garage; bove Floor-Mech. Protection
_
Size Boxes & No. of Conductors -Stapled
7
fib., Elec. &Mech. Equip. Listed for Location
4R!'Romex Installed Close to Edge of Studs & C.
7.Y—Elec.
Receptacles in Garage; (G.F.I.)-Rompx Protec.
Equip. Ground made up w/Mech. Fasteners and Wate
72,
73..
Insulation -Foam -Looked in Attic Rt es
Guard Rails & Deck Construction -Post Caps
ppliance Circuits in Kitchen & ConductonSize
--74.
-
26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size /$-/ ga. or Al
`
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor El Yes
27. Range Circ. / jr/ ga.42}Dor AI -Oven Circ. / / ga. Cu or A1,
,,
_ In ulated Neutral ,mss ED No
75.
Following instld.: Drive Yes No; Walks
g ❑ ❑ Yes ❑ No;
Planters El Yes [J_ No
i
Service -Riser Conductors & Ground -Main Disconnect
76
Stucco; Brown -Finish
-+_
ip. Clearances; Panels-Motors-Mech. Equip.
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Siz - 15V Outlet
_—
3 Clothes Closet Light -Shower Light —
_
7.
ents Above Roof; Plbg.-Appliance-Firepl.- teara ` --.
--
— - ---- -
70—,"Water
Well; Disconnect, Electrical, Plumbing
Card -I
ate y and -BI Date
--
8
terior Elec. Trim; G.F.I. Receptacle -Underground
8
Vegtilation throughout House
C B -I
Date ��/9j Gard -BI Date
!
8,?�Iass Protection
Date
MECH NICAL (Perrrit) OK except #'s
83.
-
Corrections from Previous Inspections
A,- 4.
est -Meters Tagged; Gas -Electric
_ A. . D_ucts: Insulation & Support
Water Sewer Connected -C/0 to Grade -HD Approval
_
3 ent Fan_Exhaust above Insulation
_
Energy C mpliance Certificate -Other Certificates
Condensate Drain _& Overilow; Size & Grade
34. Furnace -Vent: Access -Comb. Air -Return Air Vent -115V outlet
35. Attic Access & Platform if Furnace in Attic
Card -BI
Card -BI
Date
--
-flate ,•_f/_� Card -BI _- Date
Date Card -BI Date
FRAMING(PwKs') OK except #'s
Card-BIate
�'. Card -BI Date
Card -BI Date Card -BI Date
and -BI pateCard-BI Date
Comments at Final:
Si-lIs; Proper Material & Anchors
_
--
_1``.
iiGi 1-1 s: Studs -Nailing_ Spacing & Bracing -Plates -Sound
3 ,-1 e_aring Walls over Girders & Floor Nailing---
3ry� It Stop in Walls (rat proof)
-
ire Stops; Furred Ceilings -Stairs -Chases
04! Header &_Beam -Size & Bearing
Hangers -Post Caps -Anchors -Connectors, ^
,ting. Joist-Rftr. Ties-Purlin-Roof B ac.-Trussuss-Shthng.--Ring.
it lace Ties or TylueFire ace Throat
tic Access: Size & raft Stop -Ins. Baffles
Bdrm.-Windows or Exiting Doors -Sill Hgt. & Dimensions__-_
arage Fire Protection Framing
(NOTE: Anentry must be made each time you visit jobsite)
Owner:
Permit No. (P
ENERGY C E R TSI F ICAT ION
— 3._<7 --0
LOCATlLON � A.P. No. '
DESCRIPTION OFCYNSULATION
ROOF
Material Brand Name
Thickness(inches) Thermal Resistance (R Value)
EXTERIOR WALL.�p QQ
Material
Thickness(inches)
CEILING
Batt or Blanket Type
Thickness(inches)
Loose Fill Type �7;
lsy✓
Minimum Thickness(Inc
es) �% S
Area covered(ft.2)
FLOOR, ELEVATED
Material
Thickness(inches)
FLOOR, SLAB
Material�y�r v�
Thickness(inches)
Width(inches)
FOUNDATION WALL
n
Material ! lrrl &kZ1.
Thickness(inches)
/ Z
Brand Name reLdp
Thermal Resistance(R Value)
Brand Name
Thermal ,
Resistance(R Va e)
(,
Brand Name uAA ', fee"
Number of Bags z Z Wt. per bag alb.
Thermal Resistance(R Value) Z�
Brand Name
Thermal Resistance(R Value)
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.
FIRM NAME/OWNER STATE CONTRACTOR'S LICENSE NO.
SIGNATURE 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 WNER (Please print)
SIGNATURE 6F GENERAL CONTRACTOR OWN
i P0 77
STATE CONTRACTOR'S LICENSE NO.
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
1n
a
i
------------
ID --J -3r
AMBULATION CERTIFICATION
Numberand Slrost -,
City Counly —'
ubdivl►lon — _
DESCRIPTION OF INSTALLATION LotNunter
ROOF
Material
Thickness (inches)
EXTERIOR WALL
Material F^ fiberglass
Thickness (inches) 1'
CEILING
Brand Name
Thermal Resistance IR Value) �!
Brand Name Certainteed
Thermal Resistance (R Value)_
F.i:.be r g 1.�.
Brand Name Certain treed
Thickness (inches)
Loose Fill Tvpe Fiberglass�-----
Thermal Resistance IR Value)
Minimum Thickness finches) ��
Brand Name Certainteed
Number of bags � •;r
4
Area Covered Ih3)/
Werght Per bap _ jp
FLOOR, ELEVATED
Thermal Resistance IR Value) �__d_
Material Fiberglass
Certainteed
Brand Name
Thickness finches)
FLOOR, SLAB
Thermal Resistance (R Valwl
Material
Brand Name
Thickness finches)
Width (inches)
FOUNDATION WALL
Material
Thickness (inches)
HEATING SYSTEM Gas Furnace
Make
Model Description --------
Rated Bonnet Capacity
Thermal Resistance (R Value)
Brand Name
Thermal Resistance (R Value)
DECLARATION
1 hereby certily that the above insulation was installed in the builoing with the
California Administrative Code). C
current regulations setting Energy Conservation Stana,rds for new at the above focal residential buildings (located in Title
,r, cor.lormence e 2v of the
Generf,l Contractor (builder) ^�•'-"'�"-
License tVumD__H
Srgnalure antl Yllle
Date
Hawkins Ineul tion Co.,
IS onlractor it _ i nC
License N.rnb�er�"-"--
S�ynatwe antl T111b --1L �`(J 7
a%r V .LZWLU HY
BIN -029 Late.
BuiTd�in— . TnspNc[ion Wf :l EL . �------
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 8914451 : , 1.
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
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.
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville -- Phone: 53413541
Skyway and Elliott Road, Paradise -- Phone: 872-2961, Ext. 57
C RRECTION NOTICE
VNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
utter, or need additional explanation, please contact this office immediately.
Inspector_ Date
�„ �•rte -x . .t _ ; t . .
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 5344541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
VNtFi( rtI�MIT Ni
A routine inspection indi`caatte"s`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.
Inspector
COUNTY OF BUTTC - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 9 965 - Telephone 916/534-4541
APPLICATION ANOERMIT
PERMIT NO.
r
ASSESSOR PARCEL NUMBER ZON NG
t`
BUILDING PERMIT
OWN R TELEPHONE
yrs A - 3
SO. FT. OCC. BUILDING VAL ON
OW ER'S MAI IN D ESS
fl r. I
CO 7RACT0 NA E
TELEPHON
/1
CONTRACTOR'S MAI NG ADDRESS
5-6 r
Fireplace
.'I;C?!*STRUCTION LENDER
UNKNows,
c�
Total Valuation $
4f ---)L03
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ aa__ g>
ARCHITECT OR ENGINEER
IV
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee Q t
$
BUILDING ADDRESS 1 5 ��
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00 ,
Solar Water Heater
20.00
Water piping
5.00 s'op
LOT NO.
SUBDIVISION NAME -
PARCEL MIAP
Each qas water heater or vent
5.00 S^on
Gas piping system 1 - 5 outlets
5.00 S^
USE OF STRUCTURE
SF Duplex ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer
5.00 ,S^
Mobile Home ISI GJWJ
10.00 e
TYPE OF WORK
New P' Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Mob
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. / DWELLIO"Pd 4L &)
OR ADDNS. \ ACC. B
•ZI�q�Sgft
CONTRACTORS LICENSE LAW
p y p I y (check one):
I declare under penalty of perjury )
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. 01 A-7% Classification kj
❑ 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 CONSTR ULTI-OUTLET 2.50 ea
NO N.RESID BRANCH Q LIT
NEW CONSTRPOWER APPARATUS &'
NON-RESID. (SINGLE OUTLET CIR.
20®50C
Ex. Occup(o OR FIXTURES eALmsoQ111.
IXEDTs
Ex. Occup. OUTLETS P(RESID.)REA.) 2.00
Temporary service
10.00
Mobile Home Facilities 15.00 •
Misc. Wiring 15.00
Permit Fee $ 7 2. 20
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
e�
_a
Cooling
c�
Hood
3.00 ,3
Ventilation
,
r
Permit Feel
$ 3 ,
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 liabiliti , judgments, costs, and expenses which may in any way accrue
agains d ounty in co equence of the granting of thi permit.
X �' Date l��. %r�i0,7
Signature of &pplicant — Owner ❑ ContractorAgent Elwork
An OSHA permit is required for excavations over 5'0" eep and demolition or construct-
ion of structures over stories in height.
Mobile Home Installation Fee $
rN30Db
d
TOTAL PER IT FEE $
occuP GROUP
.3
TYPE CONST.
4
PARC
PD
ND
ssu
This permit is hereby issued under
sions of the Butte County Code and/or
indicated above for which
D TO�i UBLIC
BY
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date a
Receipt No. 13 ! 7 8 l)
WHITE-D.P.W.• YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
OFFICIAL RECORDS
Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT -BUTTE COUNTY-CM.Ir-
FOR RESIDENTIAL DEVELOPMENT �ECW f�l �I..^•.T� :+ I�
FEe 23 3 SOWN
Section 26-8.1 of the Butte County Code requires this acknowledgement 52 PN 1911
be recorded prior to issuance of a building permit. ELEANOR
The property described herein is adjacent to land or included
within an area zoned for agricultural purposes, and residents of this foe.
property may be subject to inconveniences or discomfort arising from 84-- 5196 -
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 agricultural zones which have as a
priority use for productive agricultural purposes, and residents within said zones and on
adjacent property should be prepared to accept such inconvenience or disconform from normal,
necessary farm operations.'
All that real property situate in the County of Butte, State of California, described
as follows:
All that certain real property situated in t -e County of Bute, State of California,
described as follows:
Lotl, as s'^own on that certain map entitled, "GORDON ESTATES", wrich map was
filed in t`e -office of the Recorder of the County of Butte, State of California,
on June 8,_1966 in Book 34 of Maps at page 46.
Date: a/ -,/(o, /9``%
PROPERTY OWNERS:
State of California ) On this the 16th day of February ., 19 84 , before
Sutter ) SS. me, they -undersigned Notary Public', personally appeared
County of )
LeRoy Hilbers
L/ Personally known to me. ,L/ Proved to me on the basis
of satisfactory evidence.
to be the person(s) whose hame(s) subscribed to
the within instrument and acknowledged that Taroy HilbarA
executed the same for the purposes therein contained. b
IN WITNESS WHEREOF, I hereunto set my hand and official seal.
Present A.P. No. C'q `ergo ^Z)
Notary Public
OFFICIAL SEAL
�. .
ti, n 2St
MARY WATANABE
NOTARY PUBLIC - CALIFORNIA
%��
'SUTTER COUNTY
My Comm. Expires Aug. 11, 1987
a �'
OWNER
A. GENE L
_ning requirements (sideyards and parking).
Valuation. I '
<� Signature by R.C.E. or Architect (if required).
B. PLOT PLAN
�omplete parcel size and dimensions.
etback,$, sideyards, easements, etc.
Other buildings or structures.
5ZGrading, fills, drainage.
RESIDENTIAL PLAN CHECKING GUIDE
(S.F. ) DUPLEX, .& MISC. ONLY)
Bldg. Permit #
/mplete to scale plan with dimensions.
quired windows for light and ventilation (Sec. 1405).
Required windows for second exit (Sec. 1404).
4• owable glazing for energy requirements (20% max. per State law).
pact glass (Sec. 5406).
fired room sizes, ceiling heights (Sec. 1407).
. .I.'s in baths and exterior outlets (Sec. 210-8).
Lig�hts�fxtures, switches, receptacles, and exterior receptacles for maintenance of
hanical equipment.
ocat* s of water heater, heating & cooling equipment, other electrical or gas
erft a d plumbing fixtures.
rage 'firewall''door size, and closer (Sec. 503(d)(4)).
,,ly �- 3.'Ol r terioexit door (Sec. 3303d).
y12 Fireplace location.
13. Smoke detectors (Sec. 1413).
. / ti
b�_ 6
D. STRUCTURAL DETAILS
oundation plan complete enough to construct building.
oor construction details complete enough to construct building.
vations and wall construction details complete enough to construct building.
-o-of construction details complete enough to construct building.
`replace construction details and calcs if over one-story in height.
Sufficient data and details to satisfy energy insulation requirements (State law).
E. MISCELLANEOUS ITEMS TO LOOK OUT FOR
1. CCX plywood on exposed locations and overhangs.
Stairway details (Sec. 3305).
Guardrail details (Sec. 1716).
Brick or stone veneer (Chapter 30).
Iterior plaster - weep screeds (Sec. 4706 & 4708).
Vper roof pitch for roof covering (Chapter 32).ter ties or bearing ridge beam.age door or porch header sizes.
quate bracing.
ing area over garage - complete 1 -hour separation required including supporting
walls and posts, etc.
zpro Two (2) exits on three-story dwellings (Sec. 3302).
-,361 -a/
=ol? M I
n
RESIDENTIAL ENERGY PLAN CHECK/INSPECTION SUMMARY
pwner
Climate Zone yL� Permit No. -
Floor Area
Compliance
path: Wckage ❑ A ❑ B ❑ C OR416int'System ❑ Budget Other Geo / /6_3
MIN
'
R -VALUE DESCRIPTION
REQ Da
INSTALLED
ITEMS (1)
INSULATION:
®�
Roof/Ceiling
8--
Wall _
❑ '
Slab Floor Perimeter
❑
Raised Floor
(2)
INFILTRATION:
13
(A) A vapor barrier is required in climate zones, 1, 14 & 16.
p'
(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 � LDS G ®EPARTM
*;�� ��
13(F)
Air-to-air heat exchanger
(3)
p�
GLAZING: p V
V
(A) Location f�
Area Glazing %Floor Area Single Double Triple
Total Bldg - c—
/
North'
East
SouthT—
West 2�,
❑
Skylights
(B) Shading
Shading
Coefficient Description
❑
East
❑
South
❑
West
❑ /
Skylights
Q/
(C) South Overhang .
Length of projection _09, ft. Description
❑
(D) Moveable insulation: Area ft2 Description
(E) Thermal mas
[
Type - Area S Ft . 2 HC= ,/.ZS'R= ,, 3
/
MC =-;IL3— Location l ..
Type A
Areap LZZ)'Ft . HC= R-
MC= A,
cation j, 4 s / f Z
❑
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
^
FORM
2--___(4)
MASONRY ANP FACTORY -BUILT FIREPLACES shall,be equipped with tight
fitting closeable metal or glass.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�ht fitting flue damper with a
readily, .accessible control.
*1(5)
HEATING; VENTILATING, AIR CONDITIONING SYSTEM.
(A) Heating '
Central Gas. Furnace 74,
' (brand and model number) SE
Btu/hr
(heating capacity)
❑
Heat Pump.
(brand and model number) ACOP
Btu/hr
(heating.capacity at 47°F)
❑ ti
Active Solar
`type (liquid or air) Collector brand and,
ft2
model number, solar fraction collector area collector
orientation collector tilt rated .y -intercept
rated slope -
❑
Other
(describe)
*1
(B) Cooling
Electric Air Conditioner
(brand and model number) (seasonal EER)
Btu/hr
(cooling capacity at 95°F)
❑
Electric Heat Pump
EER
i
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 f 1. an systems exhausting
air to the outside.
(G) DUCT CONSTRUCTION & INSULATION. 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
*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 t>'?0 °, elevation—� ', heating load oS�, BTU
elevation factor , d10 x heating load = maximum outlet capacity gas furnace
-BTU
Cooling: Summer design temperature°, cooling load BTU
*2' Submit T.I.P.S.E. chart or other approved system (form #5) to document sizing of._.;.....
solar panels.
s .
® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of
Title 24, Part 2, Chapter 2-53 of the California Administration Code.
7/83 SIGNATURE OF BUILDING DESIGNER OR APPLICANT
3
•
. FORM 1
6)
DOMESTIC WATER SYSTEM'
❑4
(A)
Gas Only Gallons
'
(brand and model•number) (tank size)
❑
Heat Pump w/Electri,cBackup
(brand and model number)
Gallons
(tank size)
® * 2
Active Solar
(collector brand and `model number) -
(rated y -intercept) (rated slope) (solar fraction)
ft
(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.
p'.
(C)
PIPE INSULATION. The five feet of pipe closestto 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).
(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 t>'?0 °, elevation—� ', heating load oS�, BTU
elevation factor , d10 x heating load = maximum outlet capacity gas furnace
-BTU
Cooling: Summer design temperature°, cooling load BTU
*2' Submit T.I.P.S.E. chart or other approved system (form #5) to document sizing of._.;.....
solar panels.
s .
® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of
Title 24, Part 2, Chapter 2-53 of the California Administration Code.
7/83 SIGNATURE OF BUILDING DESIGNER OR APPLICANT
3
?A°LE 7-14 (11DADiEO) ZUNF 11
INTERIOR THERMAL MASS POINTS
_ DWELLING AREA SQUARE FOOT MA • .
Table 3-13. Inf/1•tation Control AR. EA - 1,000 1,500 2,000 I 2,500 3,000 3,SOO ! 4,000 4,SG0_ 5,000 _
Fru-xes Po•i-n3s= .r=; ^'-` =KSO-_ F `a A'•"`8`- -C D A B C D A 6 C D A 8 C D A 8 C D A 9 C 0 A 8 C D A 6 G B C�
_ I
I ~ C� o- col Feat°ureV� `I PT u stn lr o .' 2. 2 2 2 2 2 0 1 2 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 J 0 0 0 0 C 0 C 0 0 0 O�
'" y 4 y 1 r .•°I a 100. `I4 4-. 4 2 2 2 2 2 2 2 2 2 I 2 2 2 0 2 2 2 0 2 2 0 0 2 2 0 0 2 2 0 0!
i
I�St�dn�±a'r21 t -a 0 �� 1 �� p� 11 U ISO 6 6 6 4 4 4 4 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 0 2 2 2 0 2 2 2 0
200 8 8,��" 6 4 6 6 4 2 4 4 4 ' 4 4 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2
'I ^.i 9 air cfiangesl pecdhc 'I - Z Z53 1 10 10 8 6 6 6 6 4 6 6 4 2 4 4 4 2 4 4 2 2 2 2 2 2 2 2 2 2 I 2 2 2
12 12 '10' 6 8 8 6 4 6 6 6 4 6 6 4 2 4 4 4 2 4 4 2 2 2 2 2 2 1 2 2 2 7 2. 7 2 2!
I'
r' Tight 4 I,+1 Y 6 e 350 14 P4 ° 12 8 10 1 8 6 6 6 6 4 6 6 6 2 6 4 4 2 4 4 4 2 4 4 2 2 I 4 4 2 1 2 2 7 2
409 14 14 12 8 10 10 8 6 8 8 6 4 6 6 4 4 6 - 6 4 2 4 4 4 2 4 4 4 2 I 4 4 2 2( 4t 2
I. A..6 air--changes-per hr I_-'- -.h r, itm�
n.•;; Lt y, F;:; ,a�.;;a I _ 500" 1.18'°18-d_,f6t`'10 12 12 10 6 10 10 8 6 R 8 6 4 6 6 6 4. 6 6 6 2 6 5 •1 4 4 4 2 4 4 4 !
60a 22 20 18 12 14 14 12 8 12 12 10 L 10 10 8 6 8 8 6 4 0 L 6 4 6 6 6 4 I 6 5 4 2 16 6 4 2'
24 .24.., 20 14 18 16 1 I 10 14 14 12 D 10 10 10 6 10 10 8 6 8 8 6 4 I 8 6. 6 4 1 6 6 6 4I 6 6 R 7 i•
I.tb1-e 3-15. Gas Furnace Wtthou`c'' ;f:' r;t!C: '`.Z30' ,i 26 24 22 16 70 16 16 10 14 14 12 8 12 10 10 6 10 10 U 6 10 P 0 4 b 6 4 I 8 b 6 4I G 6 v
Ref:lgeratlon Ccol_r.q Points y903 :8 28 74 16 22 20 18 12 16 15 14 10 14 14 12 b 12 12 10 6 �10 10 0 6 v 8 'B d 8 b 5 4� 0 8 6 c
-'--T 1,4.'0 I 30 30 ?5 l8 122 20 20 14 18 16 16 10 14 14 12 8 12 12 10 6 I2 10 10 6 110 10 8 6 I 8 8 C 4 j 2 8 L .1 1
S� anal„Effici?ncy wI_Points I - 7, 100 fZ '-j?- -28'°-20 24 24 22 14 20 20 18 10 16 16 14 B 14 14 12 8 12 12 10 6 I IO 1J 10 6 110 10 9 (� '_• C Q I L
1,200 34 _32 _3,0,22 26 26 22 16 22 20 18 12 18 18 14 10 14 14 12 8 14 12 12 8 1.12
12 12 10 E 110 10 b 6± 70 1n1,1CU 34 34 32 22 28 26 24 16 22 22 20 12 18 1S 1E 10 10 14 14 9 14 ?2 12 6 12 10 6 i 12 10 10 L i 10 ;^ b
1 71 - 76 I 0 I,-.__7.,4.pA, 1 34- 3i--32--24 28 28 26 18 24 24 2n 14 20 20 18 12 118 16 14 10 14 14 12 8 14 14 12 8 ,2 1' ;G t! 10 10 19
1 1 r(, `
1 77 82 1 +2 I i,i00 j 36 34 34 24 30 30 26 18 24 24 22 14 22 20 18 12 18 16 16 10 1 lu IL 14 8 IC 14 1,1. 8 117 12 10 L I ;' 1<' 1: o
-a '8g1=6"g8 ti`Jw I - " 6 I \ b1ti:-2- Oii- I 34 34 32 22 30 30 26 i8 26 26 22 16 22 22 20 14 20 20 IB 12 18 10 16 10 1L• I6 i4 t.l 14 14 1_' B I
I 95 up I 1
2.500 34 34 30 22 130 30 26 18 26 26 24 lb 124 24 22- la 22 22 i8 '2 120 C. I8 ! 13 ._ 1, :;•
i.000 34 32 30 22 30 30 26 18 28 :6 24 lb 124 24 22 14 22 c 20 i .0
1 12 i
---- 3;500-, --- 43-- 32 32 30 :0 30 30 26 ld 28 28 24 16 26 24 22 1: 'i ;4 70 It
' �- -- 4'000 32 32 30 20 i 30 30 26 18 1 73 28 24 It .16 ::y 2. if
-.
T-jbl?e ]-?L:'.. Y<at;ij'ur;o 1?oLn'[s :�). - 4,500 2 32 _b _
3 ^U � 30 ldcb ?: '
N
I `lfz:gy�;E;?:,'fciisncj%.: I Poin[s I `- ' A) 1. 7`y" Concrete Slab: 1!4.8.93; R-.29; Factor -7.3
l 'atlo (EEC) ! I - _ __..2.._. 3_.3/_4" Thick Common Brick: IIC=7.125; R-.13: factor -7.3
.;_j;•;,;,;,! 1t"�"'sG .4_„I;\.,.:Ji-^�',, 8) 1. Sk" f.oncrete Slab: NC -14.106; x'.•.458: F;,ctor-7.1 wood StOVO
C} 1. 8" Solid Filled Block: MC -26.63; R�1.93; Factor -6.1 433 points -(no back up)
-•-- •---2.-•-8,`-Solid Filled Block With i
I 75_'1;;9 1;; 11 :v„+9- ocBoth Sides Ex posed T o Conditioned Air. Casablanca fan + 1 point
%�1+1 NOTE: Use all square footage directly exposed to conditioned air
1
3.0 - 8.3 i +6 I for Thermal,Mass Area: HC•10.164; R-.96:; Factor -6.1
1 `f' 9.w• T] 7,1;!,"?y +9;TLH1; D) -1' Thick Concrete/Tile: HC•2.55; R•.083; Fattor.3.7
I 9.2 - �9.,611'j[°,I +15 I �lpble;,3-19. Zonally Controlled
i 9.7 - 10.2 I +19 I - ,_ElCetT{c-Resl's{'un'ce
1 10.3 - T(i:'A +21 I i '- Spece Heating Points
I 10.9 - 1:1'i5j1"11 I +24 <. I T Table 3-20. Solar ida,r.r MeattnT With (as 83rku Paints
1 .1.5 - 12.3 1 27 1 I` nts-,for---t1,-i•s measure viii I
I 12.4 - f]'.3i 1 + I `d=be leteA after the CEC I
has app . ed-- an •• -;.lett-native I
Component Pac foe Resistance
I Deat,
Table 3-19. Active Solar Spr
;1•-3' Featin with Cas Po
Table 3-17. Gas`Furnace With __
Retr.i•r�ragl;on Coclin, Points i',J--:7etj'Solsr Fraction h Pofnts
Refrleerat1an1Cj,V3Qa9 Furnace 1 y 1-;' I ~--
1,. Cooling I SE Z I
>r ?~�e9.a'3- 99- 9'5-T`a - F - I 0 i
1 76 821 891 941 uo 1 1 7-_ 14
3 0 +21 +61 +61 +8 1 I 24 - 30 L +6
J ` 8� L 8.7 i ;1ft2 - 94 I -+,51 +31+10 1 1 31 - 39 - P 1 - +0
I 9.8 9.2 1 +4i +61 +G1+101+12 1 1 40_7._4?._ J.
' - 9,.7 +jl +gl'+Lol,a'ihj+l4 1 1 4s55I +12 i
to 9.8 - 10.3 I +311'r1+121+141+16 1 1 56_- 03
1G.4 - 1'0't9 l+l01+12j1}ly,l(+y6,+1'8''1 1 (i4 - 71 al -�++10
I
11.0,.- 11 5 72 nh I +20 I
7/7/83
T 7-
Multifamil ( er unitop ints)
Floor Area
Net Solar Fraction (tISF), Z
per un1-c,
ft2.
0.9
10-19
20-29
30-39
40-49
50-59
60-69
70•-79 ,
600-7
0
+3
+7
+10
+14
+17
+21
+24
800-599
0
+3
+5
+8
+11
+14
+16
+19
I
1,000-1,499
4.2
+4
+6
+8
+10
+12
+14
1,500-1,999
0+3
+4
+ti
+7
+8
+11)
2 400 and u
0
+1
+2
+4
+5�-+5
+7
+9
All others ( er
800-8.99
building pntnts)
0 +5 +10+l +1�
+2'
+29 rfl
900-999
0 +4 +9 +13
+21
+26 +
1 oco-i,199
0 +4 F7 +11 +IS
IL9
+22 +
1,20(,!,499
0 +3 +6 +9 +l2
+l
418 +211
1,500-1,999
0 +2 r5 +7 +9
+12
+14 +lc
2,000-7,919
0 +� +3 +5 41
+8
+l0 +11
3,04.0 ar.d mo
0 +! i•3 _ +S +5
''7_ I
+S +10 1
Table 3-21. Othar Water 1!eat!nq Pts.
T--_ -T--- �.
i System Type I Points I
I Gas Only i 0 T
1 Seat Pocip I 0 I
I I I
I Solar with Electric I 1
I Resistance DRequire-
ments
equI 1
I Mertln6 the Reuir9- 1 I
i ment5 in Pact 2 I 0 i
I 1
i Electric. Resistance i 1
fj ZONE I
J
OWNER Xe__v POINTS
Table 3-3a. Ceiling Insulation
Table 3-7. South-FacingGlazin
Pts
'Fable 3-10. ShadingCoefficient Points
--
"
PERMIT NO.-4A6el-ASSIGNED
ACTUAL
Points
I I Glazing
Type I
T
I SC by
I
I R -Value of Insulation I
Points I
I Total I
I
I Orien-
1 2 Floor Area
1. SLAB - INSULATION NONE
_5
I 1
I
1 x of I Sngl,
I Dbl, I T _r-p l ,T
tation
I
I Floor I (U -
I (U
- I (f1 - I
I
1
2. RAISED FLOOR - R-19
+'
1 19 I
-4 I
I Area I 1.10)
i 0.65)
10.41)1
-j---'
3. CEILING - R-30 �-
�aZI
22 I
I 30 1
-2 I
0 I
I I oint9
+3
I lints
I olntsl
I East
I
I I 3.2 1
I 38 i
+2 I
O
I up to 1.5 I +2
+3
I +2
+g
I +2 I
I
10-3.1 1 to I 6.4 up
I
4. WALL R-19�
0
( 49 1
+4 I
I 1.6- 3.6 I -1
1
I
I 6.3 1
- (�
5. NORTH GLAZING - 2.4-3.61'
I
I
I 3.7•- 5.2 I -4
6
0
I -2
4
I 0 1
I -2 I
-3
I I
0 -.19
I 0
IVL ;
I I I
0
1 I
-9
-6
I -5 I
1 . -.36
+11 +2
I
I 0 I I -1
6. EAST GLAZING - 2.5-3.6% -
-t-
I 7.8- 8.9 I -11
I -8
1 -7 I
I .37-.66
I 0 1 0 I 0
I 9.0-10.0 I -13
1 -10
,I -9 I
I .67-.82
I 0 I 0 I -1
7. SOUTH GLAZING - 1.6-3.6%_
Table 3-4a. Mall Insulation Points
I 10.1-11.5 1 -17
I -13
I -11 I
( .83 up
0 I -1 I -2
T
111.6-13.0 1 -21
I =16
I -14 I
I I
S. WEST GLAZING - 2.9-3.6% �j�
I R -Value of Insulation I
Points I
113.1-14.5 I -25
I -19
I -16 1
14.6-16.0 1 -28
1 -22
I -?9I
I South
1 0 1 3.2 16.4 1 8.0 1 9;
9. SKYLIGHT - 0-1.3% `�-
I I
I
I I
i
I to I to I' to I to I up
10. SHADING (Exclude Overhang)
I 11 I
19
-7 I
Table 3-8. West-Facin Glazing Prs.
13.1 16.3 17.9 19.5 I
EAST -/ �, .67-.82
I 24
1 30 i
+2 I
+3
Glazing
Type
i
I 0 -.18
I .19-.42
I 0 I +1 I +2 I +TZ�j +3
I 0 1 0 1 0 1 .
SOUTH - S, 7 19-.42
.- 2
i
1 Total
1 Z o[ I Sngl, Dbl, Trpl,
I .43-.66
I 67
0 1 0
1 1 -1 I I I
I 0 -2 -2 -3
WEST - .13-.36
Table 3-5. North -Facing Glazing Pts
I Floor I (U -
I Area 11.10)
I (U -
10.65)
I (U - 1
10.41)1
up
11 �
0 1 -2 I -4 I -4 1 -6
SKYLIGHT - .37-.57
ns
I lints I olntsIl
West
.1 1.6 3.2 6.4 9. 0
Glazing Tye
TotalI
+6
+6
11
to to to to upI
11. HORIZONTAL SOUTH OVERHANG 2'
2 o
1 up to 1.3 +5
+6
+6
1.5 3.1 6.3 7.9I I
12. MOVABLE INSULATION - NONE
USn, IUDb-,
Floor
Trpl,
U-
1.4- 2.2 +3
I23 8 0
+4
+2
+5
+3
I I I
I Az ea 0.66 1 0.42-
0.41
2.9- 3.6 -3
0
+1
0-1 2II
0 +1 +3 +6 +71.10
INFILTRATION (St dard=0)(Tight=+12)
i 10.65
O +4 q+a
down
3.7- 4.2 -5
-2
0
.13-36
0 0 0 0
/4.f
IIII
+4 +4
0.21--
+4
4.3- 5.0 -8
-4
-2
.37-•5713.
I 0 -1 -3 -6 -7
THERMAL MAS }+ �L14. SF
�7
1.3- 23 +1 +2
+2
5.1- 5.6 -10
-6
1 -4
.58-82
-1 -6I -12 -15
3.6 -2
+115. I
5.7- 6.2 -13
-8
-6
.83 up
--3I
-2 -4 -8 -162.4- II
GAS FURNACE (SE) 71-76%
41.p2 I
1I -4 -2
I 6.3- 6.9 -15
-10
-7 Ij
1
16. ?TEAT PUI(P (EER) 7.5-7.9% �.
I 4.9- 6.1 I -7 I -4
I 6.2- 7.3 I 1
I -3 I
7.0- 7.6 I -18 I
I 7.7- 8.2 I -23 I
-12
-14
I -9 I
I -11 I
Sk !ght
I -1 I .8 11.6 1 3.2 14.0
DUAL PACK (SE, SEER) 8.0 -k-
-9 -6
8.2 I -12 -8
I -5 I
1 8.3- 8.8 1 -22I
8.9- 9.5 -25
-18
-15
to to to to to7.4-
•7 1.5 3.1 3.9 5.
217.
-8.3/71 -76%&W
I 9.8-10.8 I -17 1 -12
-8 i
I -10 I
I 9.6-10.1 I -27 j
-20
I -16 I
r-i�-
13. ACTIVE SOLAR 60"' 11IN (NONE)
110.9-12.0 I -19 1 -14
1 -12 I
110.2-11.0 I -29 I
-23
I -17 I
0-.12
1 0 I +3 I +6 I +7
].9. ZONALLY CONTROLLED ELECTRIC -
( 12.1-13.2 I -22 1 -16
1 13.3-14.5 I I
I -13 1
1 11.1-11.8 I -35 i
111.9-12.7 I -38 I
-26
-29
i -21 I
I -24' I
•13-•36
•37'•57
1 0 1 0 0 1 0 1 0
1 0 1 -1 I I -6 I
-24 -18
1 14.6-15.3 1 -27 1 -20
I -15 I
1 -17 113.6-14.3
I 12.8-13.5 I -42 I
-32
I -27 I
.58-.82
I -1 I -3 I -6 -12 I -,
20. SOLAR WITH GAS BACKUP (HW)I
_
I -46 1
-35
1 -29 I
.83 up
I -2 I -4 I -¢ I - -20
14.4-15.2 I -50 I
-33
I -32 I
I ( I I
21. OTHER - NO ELECTRIC (HW) �
�
1 I I
I I
Table 3-11.
Horizontal South
Table 3-9. Skylioht Points
--�
-� sOverhane Foints
j-outh Glazing
ITEMS SHOWN = ZERO POINTS
�S
Table 3-6. East -Facto Glazing
Pts.
I
I Glazing Type I
I Length Out
I from Wall
1 Area, % of Floor
I
I Glazing Type
I
I
(
i ft
T_
o---
-
--1 Total I
1
Sngl,
\Ar
Dbl,
Trpl,
I
I 0-6.3 6.4 up
I x of I Sngl, Dbl,
Trpl,
I U- I
U-
I U- 1
I
I i
'able 3-1. Slab Floor Points Table 3-2. Raised Floor Points
I Floor 1 (U - 1 (U -
I (U - I
10.66- i
0.42-
1 0.41 1
0 - 0.5
-2
1 Area 11.10) 1 0.65).1
0.41)1
1 1.10 10.65
I down i
10.6 - 1.0
I -2 I -3 I
1 in=uIa- R -Value of Insulation I 1 Value of I
I
1Polnes 1points
1 olntsl
11.1 - 1.9
I -1 1 -2
I
1 -7 --- I Ina tloa I
Pointe
I o I+ 1 +
r[r
1 I
I up to 1.3\-31-2;4
0
I 0 I
I 2.0 up
I 0 I 0
I Depth, I ' I I I
u to 1.3 I +�(
+4 I
I 1.4- 2.23 I
-2
I -1
I inches I 0-2 13-4 ! 5-6 I 7+ 1
1. -moi j +1 +2
( +2 I
I 2.3- 2.86 I
-4
I -3 I
Table 3-12.
Movable Insulation
I I I I I ( I below 3 1
-12 I
( 2.5- 3.6 1 -2 I 0
1 0 1
1 2.9- 3.6(
-6
1 -5 1
Points
T T 1 3- 4
-B 1
1 3.7- 4.6 I -5 1 -2
1 -1 I
I 3.7- 4.21 I
-8
I -6 I
-S 1 5- 7 I
-6 1
1 4.7- 5.5 1 -8 1 -4
1 -3 1
1 4.3- 5.04
-10
1 -8 I
I hove a Insulation l I
-1 1 8- 12 1
l 16 - 19 I -5 1 -2 I -1 1 0 1 1 13 - 18 (
1
1
1 5.7- 6.7 1 -10 I -6
1 6.8- 7.7 1 -13 I -8
1 -5 1
1 -7 I
I 5.1- 5.66 I
I 5.7- 6.29 I
-12
14
i -10 I
1 1
I Area,
Floor I Points I
I 10 + I -S I -1 I O I +1 I i •19+ I
0 1
1 7.8- 8.7 1 -15 1 -10
I -8 I
I 6.3- 6.91 I-
-12
1 -13 I
I
I
I I I 1 1 1 1 1
1 8.8- 9.7 1 -1.7 I -12
1 -10 1
i 7.0- 7.64 1
-1
1 -15 I
I 0- S.S 1 0 1
v� /
F7 �L .W,,/ , e 9�'S
7/7/8' / �' /' /
1 9.8-11.2 I -21 1 -15
1 11.3-12.7 I -25 1 -18
112.8-14.0 I -28 1 -21.
1 -13 1
•1 -15 1
1 -18 +I
1 7.7- 8.26 1
1 8.3- 8.88 1
1 8.9- 9.51 i
-20
-22
-24
-17 I
-19 I
1 21 I
I 5.6 - 11.5 +2 I
I 11.6 - 17.5 1 I
(
14.1-15.3 I -32 I -24
1 -20 I
I 9.6-10.13 1
-26
I
17.6 - 23.5
1i
_
-
>23.6+
( +----�.-----�----
GLAZING PLAN TAKEOFF SHEET
3-5 North Glazing
QUANTITY SIZE
AREA (SQ.FT.)
(a) * �_— x�
/:to
(b) % x =
_�
(c) x
S .FT.
(d) x
=
(e) x =
Total North Glazing =
(SQ.FT.)
(a+b+c+d+e)
(a+b+c+d+e)
TOTAL
TOTAL
NORTH TOTAL BLDG CONVERSION TOTAL %
GLAZING FLOOR AREA FACTOR
°NORTH GLAZING
� x 100
SOUTH GLAZING
SQ.FT. SQ
3-7 South Glazing
QUANTITY 'SIZE
AREA (SQ.FT.)
(a) x o =
/:to
(b) �— x aamss- =
Jr..
(c) ! x SZs�
S .FT.
(d) / x
(e) x =
'..'Total South Glazing = 1 ° j (SQ.FT.)
(a+b+c+d+e)
TOTAL
SOUTH TOTAL BLDG CONVERSION
TOTAL %
GLAZING FLOOR AREA FACTOR
SOUTH GLAZING
�- w / �Q 7' X 100
'8Q!. FT. SQ.FT.
3-9 Skylights
QUANTITY SIZE AREA (SQ.FT.)
(a) x =
(b) x =
(c) X =
Total Skylights, _ (SQ.FT.)
(a+b+c)
TOTAL
SKYLIGHT TOTAL BLDG
GLAZING FLOOR AREA
SQ.FT. SQ.FT.
ROR M
3-6 East Glazing
QUANTITY SIZE AREA (SQ.FT.)
(a) i x vel /6
(b) x =
(c) x =
(d) x =
(e) x _
Total East Glazing = 41,11 (SQ.FT:)
(a+b+c+d+e)
TOTAL
EAST, TOTAL BLDG CONVERSION TOTAL %
GLAZING FLOOR AREA FACTOR EAST GLAZING
/�G f x 100
SQ.FT. SQ.FT.
3-8 West Glazing
QUANTITY SIZE AREA (SQ.FT.)
(a) / 'x
(b) x =
(c) X' _
(d) x =
(e) x =
Total West Glazing = 4/d (SQ.FT.)'
(a+b+c+d+e)
TOTAL
WEST
TOTAL BLDG
GLAZING
FLOOR AREA
1/0
C ' x
SQ.FT.
S .FT.
CONVERSION TOTAL '/o
FACTOR SKYLIGHT GLAZING
x 100 = %
OWNER I -1.f " , w- - ,
PERMIT NO. - O
7/83 1
CONVERSION TOTAL %
FACTOR WEST GLAZING
100
Draw locater line perpendicular to plane of glazing. Overlay
intersection point with center point of circle.' Turn circle so
North arrows are parellel with plan North arrow. Locater line
then indicates facing direction.
i
4
LOSS
OF
7
7S
'K
WHOLE -HOU RKWEET'
Address
;to
Zip Tole ber
P
OF
—42 kk,.Design. Temp
OF -Ac "fes :aanu
COMMON DATA SECTION' _777.4 _
SUBJECT ti. C06LING
SO FT.,
:FACTOR v
GROSS
,DOORS &
WINDOWS (ubie A or B)
r
NET
4v
k
R'.
AN
TOTALLOSS (per 1606,
47 'STA GAIN'-;.'.,..
W
X
SUB -TOTAL B.TUH*GAIN 0
(room sensible
OUCYIOSSY- GAIN FACTOR, 20
SUB�TOTAk,: UH -'(Sen , ble.Gailn)
MOISTURE REMOVAL (sub
iloal - .x..1.3?
'.Br1MDOW8. (PERiWIF)
1W (D Assume per b,
ed"O m-, 4A
Caicuiate,onfy'jf,,duct,.-is�.Ibc..
ditionecl.space
eco�ft_uarit uncon,
For.-
I!Vf.
CrOwl soazeor ba4inahf v -,� -,0
5 multiplier In '6
7 -,Ov. P.mit, it d t ik,is embedde-Ekin: slab
uc W6-
vvs
TAALE'El COOLINGVOORS & V1
Factors a- mibi) , W
assume win OWS-have inside. side. shading by draper ies or venetian blinds
A. -Ir!. sliding glass doors are Immea as.wind6W8.
S'W-LE QLASS OWSLE GL"S • 'TRWIX941LASS
TEMP. DIFF. TEOP_qIFF
Direction X Area 8TUH Gad
20 15 25
16 f20-12
20 25
v N P 20 0 12' 14 t6
NE & NW IOU 3 .36- 5. 2os,' 26. C.
E & W 65 41
0 i3a",38 AD
i SE sk .15 so
4 45 qVG 34
:L 30 30
35.. 5 25 30 fa 20;; 3/ 1 0 7 57
40 13
Doors
16- 3 16
Y
LS.
il 0-ea:`�
4!
d'
RESIDENTIAL
024-300-001': PERMIT#95-1147
COWEE
1595 Glenn Ellen Dr., Gridley
Cont.: Adonis" Pools & Spas
New. Pri Swimming Pool
i
1,
`4
f
r
t
k i
t
r
f
��"
.JOB FINALED (D e _
'..�Slgnature
J=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 i
Date Card B-1 Date Card B-1
Date Card B-1 Date Card 6-1
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; Griders and/or Joists -Decking -Bracing -Stairs -Rails
w� 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric'
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -landings
Date Card B-1 Date Card B-1
Date Car B-1 Date Card B-1
Date POO (Plans) OK except #'s
Se acks-Ea ments
oils' mpaction-Structure Stability
ool S cture; Steel -Connections -Thickness
DeeU Men -Lining
ec.; Receptacles and Lighting, Distances-GFI
C.; Pool lighting; 15 volts-GFI
Ne-`E!2closures; Conduit Entries -Terminals -Listed
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
A-Ere—cGrounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Bo�Enclosures-Panelboards-Ins. to Main in Conduit
(Health Department Approval
0. Plumb.; Cir Test -Water Supply Test
Da and B-1 Date Card B-1 gl$
Dae Card B-1 Date Card B-1
JsOK
O = Not QK
= Not AI5Readyable
Not Ready RESIDENTIAL (
' =
Date UNDERFLOOR (Plans) OK except ti's
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Stemwalls, Main; Steel -Bloc kouts-Wrapped
6. Stemwalls, Garage; Steel-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 ti's
16. 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 "t
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 ti'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. Fastners-Bond Gas & Water
----------------------------------------------------------------
27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI
---------------------------------------------
28. Subfeed Wire Size r r ga. Cu or AI-A.C. Wire Size ! / ga.
Cu or AI
- --------- --------------- ------------------------------
29. Range Circ. ! r 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
--- - -------------------------------------
33.
-----------------------------33. Smoke Detector
---------------------------------------------------------------------
------------------------------------------------------------------------------
Date Card B-1 DateCard B-1
------------------ ----------------------------------------------------------------
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except ti'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_t
---------
---------------- =---------------------------
Date_
Card
-B_1
-----------_-
Date
Card
B-1
Date
Card
B-1
Date FRAMING (Plans) OK except ti's
39. ``ils. 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
Single & Duplex)
Date FRAMING (Continued)
45. Hangers -Post Caps -Anchors -Connectors
46. Cing. Joist-Rflr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng.
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
---- _--- _ 50. Garage Fire Protection Framing
51. Property Line Firewall & Openings
52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits
53. Stairs: Width -Headroom -Rise -Run -Landing -Fire Protection
_54-.1 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 Card B-1
•-- -------------------------
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except ti's
-------------- 61. Ext. Steps -Door & Sidelight Protection -Landings
' 62. Smoke Detector
--------------------------- -
63. Furnace: Vents -Clearance -Comb. Air -Connector -
In Garage: Above Floor -Ducts -Meeh. Protection
---------------
64.
-------------64. Bedroom Exiting
--- ----------------
65. G.F.I. & Bath Fixtures & Tub Access -Spa
------------------------------
66. Elec_ Trim -& Subpanel_Breaker Sizes & Labels
-----------------
67. Stairs -&-Rai-Is _ _
68. Fireplace or Stove_CIearances-Hearth
69. Elec. Outlets at Wood Panel: Int. & Ext.
70. Kit Fixt. & Appliance; Grnd_Air Gap -Cooking Clearance
-7l..-Elec_ Outlets & Receptacles at Kit. Counter -_
72. Garage Fire Door: Swing -Landing -Closer
------------------------------------
---------- 73.-A_C.-Duct in Garage -Damper -
74. Wtr. HIr.: 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 Construction -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
82. A.C. Unit: Disconnect. Electrical, Plumbing
--------------- ---------------------- -
83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to
Openings
------------- --------------------
h 84. Water Well: Disconnect, Electrical, Plumbing
-------------- --------------------- -- ---
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
86. Ventilation Throughout House
-- ----------------------------------------------
87. Glass Protection
- 88. -Corrections from Previous Inspections - -- -----_
89. Gas Test -Meters Tagged: Gas -Electric
" ----- ----- 90. Water -&-Sewer Connected -C/O to Grade -HD Approval -
91 Energy Compliance Certificate: Other Certificates -
-------
-----------------------------
Date
---------------------------
Date Card B-1
-------------- -----------
Date Card -6- 1
Date - ---------Card B -1 --
Comments at Final:
Date Card B-1
Date Card B-1
Date Card B-1
C
COUNTY OF BUTTE- DEPARTMENT OFIDEVLOPMENT SERVICES -BUILDING DIVISION
V
_ 7 County Center Drive - Oroville, rajifornia 95965 - Telephone (916) 538-7541 PERMIT NO.
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER24-30-1
ZONING
S �
BUILDINGPERMIT
OWNER MR & MRS- COYaEE
TELEPHONE
846-5281
SO. FT. OCC. BUILDING VALUATION
17 700.00
OWNERS MAILING ADDRESS
1595 GLEN ELLEN DR
CONTRACTOR'S NAME
ADONIS POOLS & SPAS
TELEPHONE
891-1197
CONTRACTORS MAILING ADDRESS
12 PHEASANT RUN CT CHICO
Fireplace
CONSTRUCTION LENDER
UNMOWN
Total Valuation Is
Fling Fee
$ 20.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 189.00
ARCHITECT OR ENGINEER
BACHMAN
LICENSE NO.
Plan Checking Fee
$ 23.00
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
ESPLANADE
Penalty
$
BUILDINGADDRESS
1595 GLENN ELLEN
PERMITFEE
$
(;RIDLEY, CA
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
Solar Or heat pump water heater
23.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other POOL
SPECIFY
Water piping
15.00
Each gas water heater or vent
15.00 '
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New )b Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: MASTER 508-91
—
Mobile Home S G W
@20.00
PERMITFEE
g 35.00
Contractor
ELECTRICAL PERMIT
Filinq Fee 20:00
Main Service e00V OR LESS
( zooA OR LEss )
23.00
Main Service ( 200A TO 1000A )
46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class -� ��3 Lic. No.- ��6 �3
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ 1, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUR
OR ADONs. ( a ACC. BLD-. )
SO.
3.5¢ Fr.
NEW CONST. MULTI.OUTLET
NON-RESID. ( BRANCH CIRCUITS )
97.50
( POWER APPARATUS )
8 SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
20 @ 1.00
eAt S0
Ex. Occup. (OUTLETS PR SD.OEA)
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
POOL E r
PERMITFEE
$ 35.00
Contractor
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 thq, 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' compens ' in uric rner policy number are:
Carrier_
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE
$
Contractor
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, 1 shallTOTAL
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
work scorrAtliInsation pfsWiIsions of section 3700 of the Labor Code, I shall
wit ly with o....
Q /
Date J " `S_
g pplican caner 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
FEE $ 302.00
HAZ.
D. FEES
IMP FLOOD
—�
CDF PARCEL PD HD
��
ISSU
This permit is hereby issued under the
of the Butte County Code and/or
indicate ve for which fees have
By
PERMITEXPIRESONITE-D.D.S.-B.D.
applicable provisions
Resolutions to do work
been paid.
Date 3 �
(date)
FR,ceiptNo. 176239
CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
�;(Y'ti..^.'f;r+r,^tSkE�at.��'t'.an's•�C'S".
1" 7
COUNTYOFBUTTE-- DEPARTMENTOF 5-MfOPMENTSERVICES- BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE; CALIFORNIA95965 - TELEPH JAE (916) 538-7541
PERMIT APPLICATION DATA SHEET ,
OWNER _]
Proposed Building Use
Building Inspector
• M
Date
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
1. All items have been submitted.........................................
2. Plot plans,1.3/4 sets, signed by preparer of plans . ..........................
3. Complete ,plans, 3/4 sets, signed by preparer of plans . ......................
4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form . ............................................
6. Energy Design Compliance and supporting documentation . ..................
7. Statement of Intent for Non -Heated and A/C Buildings . ......................
8. Engineered truss details and layout in duplicate (required prior to plan check). ....
9. Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
10. Fees of $ ......................................... .
11. Impact fees as shown on attached schedule . ..............................
12. California Department of Forestry plan approval/fees. ....................... .
Flood elevation letter (100 year flo dc�) by C fornia Engineer . ................ .
Kms/ Sanitation and plot plan approval Or Health Department . ............ �3 s
City of Chico plumbing permit . .........................................
16. Plot plan and business license approval from City of Biggs/Gridley.
+. 17. Planning approval for (A) Use: (B) Parking:
18. Contact Land Development about (A) Improvements (B) Drainage.
19. Driveway permit (construction approval required prior to occupancy). ...a..
Pre-Inspection ..request
20.: pre -inspection for required. .. to Building Inspector. (Date)
21, -,'Contractor's license information. (No., Name Style, Classification). ...`............ .
22' Certificate of Workmans Compensation Insurance . ..........................
23. Owner -Builder Verification (Given to owner , Mail to owner _). ... ........ .
24. Recorded copy of Agricultural Acknowledgement Statement . .......... :...... .
25. Letter of signature authorization . ........................................
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .....
27. Letter of intent on building use . ................................... •.. '.... r
28. Mobilehome utility clearance . ....................................`
29. Documentation of legal access . ..................... :..................
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits . ......................................
32. Plan check list . .....................................................
33.
34.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver with inspector.
Other
Parcel Creation
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 pri r t permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Plans checked by G�lalhon S Date (o-(a.g5 Plans approved by GtSSo45Date qg
Sets of plans on hold in File cabinet X AP folder
Copy - Department of Public Works
COUNTY OF BUTTE
BUILDING DIVISION.
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916).538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE.
OWPr-R PERMIT NO.
A routine inspection,ihdicates that the following violations of Butte County Ordinances exist at,
the above address and should be corrected. Please notify this office when correction of work
is completed 'li you have any questions pertaining to this matter, or need additional explanation,
Please c n4act this office immediately.
Yi
rl) (A
Date
(,2 inspector lam^ '0'
REV 10/92,
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
usB oNL
Plot Pha AWCW
Fkm Pha A --4-A pp
Scat to B.D. I !, "/ 7I
Leon -B kn Q�: 2u -
Owner Location AP#
Plan Approved for: Sewage Disposal Water Supply: Public Private Well
Clearance for�edFe�n-erax n
Hold final for:
Final clearance O.K. for:
NOTE:
Pn i 7m rn Lcne 1 " I
Environmental Health Specialist Date
8/92
u , _�.. .,. rl.:s .�: �. • `...:..'' r .>;; .:y w rN:}-,`,e .: 3'. 4 F.. Jy... ...j- aft . 's• SL +"tte _.•� a .moi �+' is r :?✓ `•1rb..F1 .��.. e
r 88 024-30-0-001'
COWES, GENE 93-820 BPM.
• t GLEN ELLEN DR
TR. NORTH VALLEY CONSTEY
CO
• • . ,. `• �• �,. ,; �'`, PARTIAL SIDING, GAS LINE, KITCHEN HOOD
. o
A• ° �u
_ ,` it - .. � .. _ � +• , a s
' L
r.zip•-r•'rj:.,.-yt*:1y?f---ir+TMT-;�e'+!v�,.`+"•:v�l�n+`i�"^-ITRaI.g•�y'w"4"sr`iY.`,Ve. �n ,..qw"MpvI
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
.'I - ''"' APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
024-300-.001
OWNER
ZONING
SR --I
BUILDING PERMIT
Gene Co,
TELEPHONE
846.12
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
1595 Cowee
Sgt * •
CONTRACTOR'S NAME
North Valley Construction
TELEPHONE
893--1177
CONTRACTOR'S MAILING ADDRESS
2y71 Guynn Ave., Chico 95920
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
LENDER'S MAILING ADDRESS
Filing Fee
$ 15.00
Permit Fee
$ .
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty
$
BUILDING ADDRESS
Permit fee
$ 30.00
1595 Glen Ellen Dr., Cridle
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
s.00
Solar or heat pump water heater
20.00
LOT NO.
SU BDI VISIONdtJrAME
PARCEL MAP
Water piping
7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE
SF 9 Duplex❑ Mobilehome❑ Other
SPECT FY
Gas piping system 1 - 5 outlets
1 5.00
-75.00
Building sewer
15.00
Mobile Home S I G I W
@ 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other [N
Describe work: Add Gas Pipe (11at•) & Replace Part. _
Siding
Permit Fee
$20.
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 200AORLESS
18.50
CONTRACTORS LICENSE LAW
declare under penalty of perjury (check one):
lyl
,lJ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code ryand my license is in full force andjeffect.
License No. C/fr r.` 2 9 Classification
El1, 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)
Eli, 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 1000A)
37.50
NEW CONST. ( DWELLING OCCUP.&)
OR ADDNS. ACC. BLDGS.
3.54sq.ft.I
NEW CONSTR.ULTI-OUTLET
NON.RESID BRANCH CIRC ITS
@ 5.00
POWER APPARATUS &)
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES20
@ 7i
FIXED
Ex. Occup. OUTLETS P(RESID )REA.)
3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with suchDU
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 15.00
Heating
Cooling
Hood ,as uookstove
1 6.50 • DU
Ventilation
permit Fee
$ 6 •
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against s County in consequence of the granting of this permit.
X ''� , r Date ' a� %.
of A icon0 - Wner E:1 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.DIRECTO
Mobile Home Installation Fee S
Energy Inspection Fee $
OCC
CONST TYPE
TOTAL FEE $.d�LSo
HAz
DFEES
IMP
FLOOD
COF
PARCEL
PO
HD
IssuE
This permit is hereby issued under the
sions$igneture of the Butte County Code and/or
work indicated above 1 .1 which fees
F PUBLIC
By `�� ` %
PERMIT EXPIRE Date
applicable provi-
resolutions to do
have been paid.
WORKS
r
/Date
9
135943
Receipt No.
WHITE-O.P.W.. YELLOW-A58CSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
.y
1469 Humboldt Road, Cbico, CA - (916) 891-2751
7 County Center Drive, droville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
ct� 3 ��
ry
OWNER —PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office. when correction of work
is completed. If you hav questions pertaining to this matter, or need additional explanation,
please contact thi fice immediately.
COUNTY OF BUTTE - DEPARTMENT OF PUBLICW PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone: 9 6/5 8-75 1
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
024-300-001
ZONING
SR -1
BUILDING PERMIT
OWNER
Gene Cowee
TELEPHONE
846-5281
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
1595 Cowee
Est. 100.00
CONTRACTOR'S NAME
North Valley Construction
TELEPHONE
893-1177
CONTRACTOR'S MAILING ADDRESS
2471 Gu nn Ave., Chico 95926
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is 100,00
LENDER'S MAILING ADDRESS
Filing Fee
$ 15,00
Permit Fee
$15.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty
$
BUILDING ADDRESS
Permit fee
$ 30.00
1995 C�Ipn F11pn Dr., Gridley
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 ER Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
1 5.00 5.00
Building sewer
15.00
Mobile Home S I G I W
@ 15.00
TYPE OF WORK
New❑ Addition❑ Remodel❑ Utilities❑ Installation❑ Other®
Describe work: Add Cas Pipe (Nit.) & Replace Part _
Siding
Permit Fee
$20,00
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 200A OR LESS
18.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury
p y p er I y (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. 5/& 3 Classification (T
❑ 1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
ElI, 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 1000A)
37.50
NEW CONST. / DWELLING OCCUP.&)
OR ADONS. 1 ACC, BLDGS. I
3.60 sq.ft.
NEW CONSTR. ULT"OUTLET
NON-RESID BRANCH CIRC ITS
@ 5,00
(POWER APPARATUS Q)
SINGLE OUTLET CIR.
Ex. Occu /
P\OUTLETS OR FIXTURES
20 76
FIXED APP LNS. OR
EX. Occup. OUTLETS (RESID.) EA.)
3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
-15.00
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
FiIingFee 15.00
Heating
Cooling
Hood Gas COokstove
1 6.501 6.5T—
Ventilation
perm it Fee
$ 21 .50
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X-4aDate --%3
signarure of A Ivanwner ❑ 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 t
Energy Inspection Fee
occ
CONST TYPE
TOTAL FEE
HAz
I DFEES I
IMP
I FLOOD
I CDF
I PARCEL
I PD
HD
ISSUE
This permit is hereby issued under the
sions of the Butte County Code and/or
work Indic d above which fees
IR CT PUBLIC
By
PE M E PIKE Date
applicable provi-
resolutions to do
have been paid.
ORKS
Date 73
9
Receipt No. 135948
WNITC-D.P.W.. YELLOW-ASSC530R, PINK -INSPECTOR. GOLDENROD -APPLICANT
� `r'x fi� �n.�1,1{� •r `' ""yr��,.�'i7 i� *. .- 4�� �, �,.,.t..R;,,ry �..Ay�n..-.`...y�vrt3rfx'1:��..`
_ L
COUNTY OF BUTTE -DEPARTMENT OF-dSVELOPMENT SERV E - UILDINGDIVISION
7COUNTY CENTER DRIVE -OROVILLE,_C IFORNIA95965-TEL HON 916)538-7541
PERMITAPPUCATION DATA SHEET a _ 3da-vo
OWNER
Proposed Building Use Building Inspector Date /47
At time of per it application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECENED BY
1. All items have been submitted. ............`... ........................
2. Plot plans, 3/4 sets, signed by preparer of plans. ....................... .
3_ Complete plans, 3/4 sets, signed by preparer of plans . ......................
.4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form. ...............................................
6. Energy Design Compliance and supporting documentation . ..................
7. Statement of Intent for Non -Heated and A/C Buildings . ......................
8. Engineered truss details and layout in duplicate (required prior to plan check). ... .
9. Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
10. Fees of $..........................................
11. Impact fees as shown on attached schedule. ............................. .
12. California Department of Forestry plan approval/fees. ....................... .
13. Flood elevation letter (100 year flood) by California Engineer . ................. .
14. Sanitation and plot plan approval Health Department .
15. City of Chico plumbing permit . .........................................
16. Plot plan and business license approval from City of Biggs/Gridley. .............
17. Planning approval for (A) Use: (B) Parking:
18. Contact Land Development about (A) Improvements (B) Drainage. ......... .
19. Driveway permit (construction approval required prior to occupancy). .. .. .
20. Pre -inspection for required. .. o e� Id � i� ea (Date)
.21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Workmans Compensation Insurance . .........................
23. Owner -Builder Verification (Given to owner , Mail to owner _ ) ............
24. Recorded copy of Agricultural Acknowledgement Statement . ..................
25. Letter of signature authorization . ....................................'°` . .
26. Copy of recorded deed of parcel creation and 60 right 'of way to a public road. .... .
27. Letter of intent on building use . .........................................
28. Mobilehome utility clearance . ...........................................
......................
29. Documentation of legal access......................:.................a. --
30. Documentation of 50% subdivision developed or (A) Road improvements completed'
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits . ......................................
32. Plan check list . .....................................................
33.
34.
When you issue the permit, process as follows:, Mail to owner. Mail to contractor.
Telephone and hold for' pickup at office. Deliver with inspector.
Other
Parcel Creation `
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 Counter 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
COUNTY OF BUTTE - OEPARTUENT OF PUBL.:C WORKS
7 County Canter orive - Orovrile. Calitomia 9$965 - i eleondne: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
sessoR PARCEL. ".,�IR I=�Ns>//e
I BUILDING PEgMIT
,NeR I---C_� EL PwONE
Kw
5Q. =T, I OCC. I 9UILDlN
I
VAl_UAT10N
INfAA'S MAI LINO �OORE33_ ._
INTRA �R•3 NAw ��� I —PMON6
le- 077
IN TRAC ORj 1dA�L1NG-�Q�(//(%/�i.�
Cl` 7 Y �/ /v`,f-Y/ !(A Z
Fireplace
I1I3TRUCTION LENOSR UNKNOWN
I otat Valuation ! S
Filing Fee
S 15.00
6NOSR's MAILLNG AooRsss
Permit Fee
S
QCNITZECT OR £NGINsBR LiCfiNSG NO.
Plan Cheexinq Fee I
$
Energy Plan Checking Fee
tichlT CT OR ENGiNsaWs MAILING AOORE33
P enat tv
5
:7I6.GiNG AooRtS33
/V ✓V to
Permittee
S -
PLUMBING PERMIT'
Ft-iingFee j 15.00
Eacn Trao
5.001
Solar or neat pump water heater
20.00E
AT NO• SUHOIVIStON NAMs
PARCEL MAP •
water piping
7.001
Each as water heater or vent
7.001
USEOF STRUCTURE:
Gas piping system t - 5 outlets
IF`iL1 OuglexQ Mobilehomea Other
Suiidino sewer
I 15.0011
SPEC: FY
Mobile Home 1 S I G WI
1@ 15.001
TYPE-.OF-WORKr
yew Q Addition Remodel (a Uttlities {� Installation Other
Permit Fee
S 0r
)escrfbe work: el
Contractor
ELECTRICAL PERMIT'
RiingFee i 15.GC
Main service 20(0)vORLESS
I I 18.501
Main service 200ATOI000A9
1 ;7.501
CONTRACTORS UCF-NSE LAW*
NEW CONST. OwEt_L L.D OCCUP.aI\
/
I i3.6d aalLi
I
declare under penaity of perjury (check onel:
OR AOONS. ACC. 310.5.
LF-
NEw CONSTR. .1AUL. -OUTL T
I �@ 5.001
.ON.SRANC}I CIRC' TS
Q am licensed under provisions at Chaot. 9. Dtv. 3 of the Business /POWER APPARATUS tr
/
1 I
.1
and Professions Code and my license is in full force and effect.
\ SINGLE OUTLET CIR.
License No. Classification
EX. OCCUC( OUTLETS OR FIXTURES
1 I At_ 764
a7
�Ix-0 APPLNS. UR
Q 1, as the owner. or my employees with wages as their sale cdmoen- EX. OCCU0. OUTLETS IRESIO.1 EA.)
1 1 3.001
sation. wiil do toe work.and the structure is not intended or offered Temoorary seryice-
1 15.0oll
for sale. (Sec. 704x)
Mobile Home Facilities
1 I t 5.00i
Q I. as the owner. am exclusively contracting with licensed contract-
disc. ',7inng
! 15.001
ors. (Sec. 704x)
Q_ I am exempt under Sec. Business and Professions Code..
I 1 1
for this reason
Permit Fee -
WORKMEN'S COMPENSATION INSURANCE
1 declare under penalty of perjury (checx one):
C The permit is for SICO.00 (valuation) or less.
CI have placed on file with the County of Butte Building Oeoartment
- a Certificate at Wommen's Compensation Insurance or a Certificate
of Consent to Sett -Insure.
I snail not employ any person in any manner so as. to become- subject
to the W. C. laws of California -
Notice -to Applicant: It atter malting this statement', should you become -subject
to the W. C. provisions of the Laocr Code, you must forthwith comply with such
provisions or this permit snail be aeemea revolted.
Contractor
MECHANICAL PE?IMIT FilingFee
H eats nq 1 I I
Cooling.� I I
Hood fid �U7�DU�i I i 5._01
Ventilation I 1 I
P,erfnit Fee-
C3ntractor
I certity that I have read this application and state that the- above- information I Moeiie Home installation Fee- s
is correct. I agree to comply to all County Ordinances and State Laws relating
m building construction. and hereby autnorize representatives of the County or energy Insoectlon Fee -
Butte to enter upon the above-mentioned property for Inspection purposes. )CC CONST TYPE I T
I also agree -to save. Indemnity and ►seep harmless me County at Butte against i TOTAL FE.. $ ;*ora
all liabilities. judgments. costs. and expenses wmr:n may to an w y accrue �At 1 O FEES I -Mr, PLOOO I COF I PARCEL PO I n0
against said County In censeduence of the granting of this p mi - I I !
17
X Cate ' hi�em,it is nereov Issues unser the aoottcaote crcis nereov Issueo unser the aooucaote crc
ions of cne-Butte t-ounty Code analor resoruuons to c.
:,gnature or A0041conf – •].+heti— •_infractor I IVent t
:forK Inoicacea 30ove for .vnicn tees nave oeen oa1c.
w OSHA r0, e.ea—r.ont ave, i'o'• :evo ons asmannon or conntruef• IOIREC"OR OF PUBLIC WORKS
nn O, tI,V CIV Ief Ovw1 .lar.w� •' n.Ont.
F_5-q,/� -� irate
" NOTES
RESIDENTIAL
,
024-300-0.01 03-3334
Y
PERMIT NO. i. EPPERSON,-MATTHEW
'
1595 GLENN ELLEN DR, GRIDLEY
Cont: OWNER
..
d AS BUILT ADDITION
T / {
i
A
t
i
i
SPECIAL CONDITIONS
F
r CHECKED
BY
SRA
FLOOD CERTIFICATE -.REQ.;-
"
FIRE SPRINKLERS REQ.'.
SPECIAL INSPECTION ITEMS '
VERIFY
USE PERMIT CONDITION.
'L
SUB -STANDARD HOUSING",LETTER .
(
JOB FINALED (Date))
Signature �-/ �a
J=OK
0 = Not OK
. = 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-Clearances-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap;-/ /" L 'ft.
/ P Nat. or/ /" L "ft./ P LPG
7. Well Clearance & Disconnect
- 8. Utility Clearance
Date
1.
Card B-1 Date Card B-1
Date
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
Wood Awn.; Posts- Beams- Rftrs-Connectors
Shthg-Frg-Bracing
1.
Zoning Requirements -Setbacks -Easements
6.
2.
Footings; Size -Spacing -Marriage Line
Electric
3.
Gas; MH Test -Demand -Valve -Connector
9.
4.
Electricity; MH Test -Crossovers -Breakers -Clearances
Roof; Shthg-Roofing
5.
Drain; MH Test -Fall -Flex Connector
12.
6.
Water; MH Test -Regulator -Connector
7.
Water and Sewer Connected -C/O to Grade -HD Approval
8.
Gas and Electricity Tagged
9.
Tie Downs -Type -Installation Cert.
10.
Exits; Insp.-Sketch
11.
Cert. of Occupancy
12.
Enclosure; Fencing -Alarms
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PERMANENT END SYSTEM (ONLY)
1.
Zoning Requirements-Setbacks=Easements
2.
Footings; Size -Spacing -Marriage Line
3.
Blocking
4.
Gas; MH Test -Demand -Valve
5.
Electricity; MH Test
6.
Water; MH Test
7.
Water and Sewer Connected
8.
Gas and Electricity Tagged
9.
Exits
10.
License Decals
11.
Verify #'s with Office
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-Rftrs-Trusses
9.
Siding; Nailing -Veneer -Stucco -Mesh
10.
Roof; Shthg-Roofing
11.
Ext.; Steps -Doors -Landings
12.
Braced Wall Panels
Date
.
Card B-1 Date Card B-1
Date
Card B-1 Date. Card B-1
Date
POOLS (Plans) OK except #'s
1.
Setbacks -Easements
2.
Soils; Compaction -Structure Stability
3.
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4.
Elec.; Receptacles and Lighting, 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- Panel boards- Ins. to Main Conduit
9.
Health Department Approval
10.
Plumb.; Cir. Test -Water Supply Test.
11.
Light Niche
12.
Enclosure; Fencing -Alarms
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
J=OK
0 = Not OK
- = Not Applicable
. = Not Ready
RESIDENTIAL (Single & Duplex)
Date UNDERFLOOR (Plans) OK except #'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-Blockouts-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 -Anchors -Regulator -Service Test
12. Electric Underground
13. Plenums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
15. Access & Ventilation
Date FRAMING (Continued)
16.
Insulation
48.
Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng.
49.
Date
50.
Card B-1 Date Card B-1
Date
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
Property Line Firewall & Openings
17.
Water Htr.; Vent -Access -Combustion Air Baffle
55.
18.
Water Pipe; Test & Anchor -Nail Protection
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
19. D.W.V.; Test Fittings & Anchor -Nail Protection
Siding -Nailing Veneer
20.
Shower Pan; Test, First Floor -Tub Access
59. Glazing Area -Glass Protection -Skylights -Plastic
21. Test Tub & Shower, Second Floor -Tub Access
Shear Walls; Nailing -Bolts
22.
Gas Pipe; Sixe & Anchors
Insulation -Walls -Ceilings
23.
Fire Sprinkler; Test
Date
Card B-1 Date Card B-1
Date
Date
Date FINAL (Plans) OK except #'s
Card B-1 Date Card B-1
Date
65.
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
24.
Fixture & Transformer Clearance -Ins. Protection
25.
Elec. Receptacles Spacing -Lights & Switches at Doors
26.
Size Boxes & No. of Conductors Stapled
27. Romex Installed Close to Edge of Studs & C.J.
28.
Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
29.
2 Appliance Circuits in Kitchen & Conductor Size GFI
30.
Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al
31.
Range Circle/ /ga Cu or AkOven Circ. / /ga Cu or Al
Insulated Neutral O Yes O No
32.
Service -Riser Conductors & Ground Main Disconnect
33.
Equip. Clearances Panels-Motors-Mech. Equip.
34.
Clothes Closet Light -Shower Light -Spa Light
35.
Smoke Detector
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
36.
A.C. Ducts Insulation & Support
37.
Vent Fan, Exhaust above insulation
38.
Condensate Drain & Overflow, Size & Grade
39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
40.
Attic Access & Platform if Furnace in Attic
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
41. Sills Proper Materials & Anchors
42.
Walls Studs -Nailing Spacing & Braces -Plates -Sound
43.
Bearing Walls over Girders & Floor Nailing
44.
Draft Stop in Walls (rat proof)
45.
Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
46.
Headers & Beams -Size & Bearing
Date FRAMING (Continued)
47.
Hangers -Post Caps -Anchors -Connectors
48.
Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng.
49.
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
50.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
51.
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
52.
Garage Fire Protection Framing -RC Channel
53.
Property Line Firewall & Openings
54.
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
55.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
56.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
57.
Siding -Nailing Veneer
58.
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
59. Glazing Area -Glass Protection -Skylights -Plastic
60.
Shear Walls; Nailing -Bolts
61. Brace Interior/Exterior Wall Panels
62.
Insulation -Walls -Ceilings
63.
Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date FINAL (Plans) OK except #'s
64.
Ext. Steps -Door & Sidelight Protection -Landings
65.
Smoke Detector
66. Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
67. Bedroom Exiting
68. G.F.I. & Bath Fixtures & Tub Access -Spa
69. Elec. Trim & Subpanel, Breaker Sizes & Labels
70. Stairs & Rails
71. Fireplace or Stove, Clearance -Hearth
72. Elec. Outlets at Wood Panel, Int. & Ext.
73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
74. Elec. Outlets & Receptacles at Kit. Counter
75. Garage Fire Door; Swing -Landing -Closure
76. A.C. Duct in Garage -Damper
77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
78. Plb.; Elec. & Mech. Equip. Listed for Location
79. Elec. Receptacles in Garage (F.F.1.)-Romex Protection
80. Insulation -Foam -Looked in Attic
81. Guard Rails & Deck Construction -Post Caps
82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
_ Clearance Looked under Floor ❑ Yes
83. Following Instld./Drive O Yes O No/Walks O Yes O No/Planters O Yes O No
84. Stucco Brown -Finish
85. A.C. Unit Disconnect, Electrical -Plumbing
86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87. Water Well, Disconnect, Electrical, Plumbing
88. Exterior Elec. Trim, G.F.I. Receptacle -Underground
89. Ventilation Throughout House
90. Glass Protection
91. Corrections from Previous Inspections
92. Gas Test -Meters Tagged, Gas -Electric
93. Water & Sewer Connected -C/O to Grade -HD Approval
94. Energy Compliance Certificate -Other Certificates
95. Address Posted
96. Fire Sprinkler
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:
S'
APPLIED TESTING CONSULTANTS
MATERIALS ENGINEERING TESTING AND INSPECTION
Inspector's Daily Report
DATE: 6/8/05 PROJECT: Epperson Residence
,Client: Paula Epperson
1595 Glenn Ellen Drive
Gridley, CA 95948
Type of Inspection: Pachometer Testing
Arrived jobsite at 1000 hours to verify reinforcement in concrete footing. Performed pachometer testing
over exterior footing and on interior floor over footing -lines. Testing indicated that reinforcing steel was
present in the footings of this structure. We did observe one area of the foundation where the reinforcing
steel was at surface of the concrete at the exterior footings. It is our opinion that the footings of this
structure does contain reinforcing steel.
P. Dickin on�
Inspector
3060 Thorntree Drive, Suite 10 ° Chico, CA 95973 0 Telephone: (530) 891-6625 0 Facsimile: (530) 891-4243
/f
-4
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, Californiar'35�965' • Telephone (530) 538-7541_ PERMIT No.
(Rev. 12/96) APPLICATION AND PERMIT ' � 7?S ie-ly
r
ASSESSOR PARCEL NUMBER
024-300-001
ZONING
BUILDING PERMIT
OWNERTELEPHONE
a, - AU) �� SG�1
SO. FT. OCC. BUILDIINGVALUATION
. OWNERS RESL
cA r GRIDLEY CA 95948
2 32.(
_
CONTRACTORS NAME
VYY*M
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace 1500.00
Total Valuation $ 26.732.00
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee s 265.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $ 172.25
BUIU)IN_GT3RE UEM AELLI,'i: DRIVE GRIDLEY CA
�`�7`� �
Energy Pian Checking Fee $ 23,00
$
PERMIT FEE $ 480.25
LAT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Filing Fee 20.00
USEOFSTRUCTURE
SFS Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap 7.00
Solar or heat pump water heater 23.00
Water piping 15.00
Each gas water heater or vent 15.00
TYPE OF WORKANII
New ❑ Addition I' Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: BUILT ADDITION
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home S G W @20.00
PERMIT FEE S
ELECTRICAL PERMIT Fling Fee 20.00
Main Service wOV OR LESS
zoOAORLESS 23.00 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.CIRCUITS
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.
❑ 1, 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 To 46.00
WEE200A
CCU000A
NEW CONST. DWELLING OCCUP. SO V�
OR ADDNS. ( a ACC, sus. 3.5¢FT: 1b •
NoN.RESID. MULTI -OUTLET @7,50
POWER APPARATUS
8 SINGLE OUTLET CIR.
20
Ex. OCCu OUTLET OR FIXTURES SAL @':50
LINSI
Ex. Occup. oFluxT E°s AEsID.DEE 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00 23.00
PERMIT FEE S 132.03
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
O 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 workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
f❑ it certify that in the performance of the work for which this permit is issued, I shall
�.•/ not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the w�
workers' comp ensation—provisions of section 3700 of the Labor Code, I shall
orthwith comply those pr6-visions.
\i rl
X J D e 01'
��S gyre of Applicant cJV*Owner ❑ Contractor Agent
of OSHA permit r required for excavations over 60" deep and demolition or construction
of structures over 3 stories in heig�h�'t�
MECHANICAL PERMIT Filing Fee 20.00
Heating '15.00
Cooling2().(50
Hood 6.50
Ventilation
PERMIT FEE S 55.00
Mobile Home Installation Fee $
Energy Inspection Fee $ 46 00
1$
occ
CONST. TYPE
FEE $ 663.28
".—::r
..+MR-
FEGOD..
uF
�pAgC
_ 7
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 aid.
p
By /!%� I(,w
���. Date
PERMIT EXPIRES ON
Date
Receipt No. 4) C, 2-I)% ( 196-s -
WHITE-D.D.S.-B.D. CANARY-ASPESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
cl 3 TiimimIF1
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