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025-030-064
...---25-03-64 SAM SCHMELTZ ' 40 Bob Way, Orovji Permit#1220-89P,F.(qt.,J, M ELEC.'.-,,',)00 /4 - GAS 'SUPPORT STRUCTURE REQ. rN COMPACTION TEST REQ. 25-0 -64 ContR: R Van.-,,Stavp.'r Permit#2041-89MHI Issued 7— 3— -0730-064 92-2483 BPEM'-,-' SCHMtLTZ, Sam- '40,Bob Way, Oroville contr:.'Cook & Son 9Z; new sf I 025-036-064 -'PERMIT#96 0626 SCHMELTZ, Sam 40 Bob Way, Oroville New ,Pri Det Garage,//(( 1���� ` �j ''025-030-064 PERMIT#96"41k SCHMELTZ Sam - 1 Bob Way'; Oroviklle 4e A9 Exempt Peri'mit-Stg,,Equip Feed 4 4 C��T 1C �. I RESIDENTIAL 025-030-064 PERMIT#96-0626 SCHMELTZ, Sam 40 Bob Way, Oroville New Pri Det Garage y—/6-97 V = OK : t' O = Not OK NotA'=eadylb15 Not RMOBILE 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-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap; / tUft. / /Nat. or/ fVft./ /LPG 7. Well Clearance & Disconnect 03 MISCELLANEOUS . 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors 8. Utility Clearance 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures Ca s; Windows -Doors 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 Date 3. Gas; MH Test -Demand Valve -Connector Date 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert of Occupancy 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool LBhtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 03 MISCELLANEOUS . 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures Ca s; Windows -Doors lectric rrn -An rsS s-Rftrs-T s i ' Nailing -Veneer -Stucco -Mesh Roof; Shthg-Roofing Ext.; Steps -Doors -Landings Date Card B-1 Date 9 Card B-1 Date Card B-1 Date - r'L 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/6 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool LBhtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 'J=OW/ O - Not OK 'Not Applicable - Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except If's .Date FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main;'Soils-Elea Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth o. otemwans, main; oteerestocKouts-wrapped I 6. Stemwalls, Garage; Steel -Bloc kouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except n'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 -------------------------------------------- ----- 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 a's 22. Fixture & Transformer Clearance -Ins. Protection -------------------- ----------------- -- - -- ----------------------- - - 23. Elec. Receptacles Spacing -Lights & Switches at Doors -- - - --------------------------------------- -------- -- 24. Size Boxes & No. of Conductors -Stapled ---------- ---------------------------------------------------- --- 25. .-25. Romex Installed Close to Edge of Studs & C.J. -------------------------------------------- `---------------------------------- .. 26. Equip. Ground made up wrMech. Fastners-Bond Gas & Water ------------------------------------------------------- . ....... ........ ...... _. 27. 2 Appliance Circuts in Kitchen & Conductor SizerGFI ------------------------------------------------------------_ .. 28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size ga. -Cu or At -----------------------------` - ----------------------------------- .. 29. Range Circ. r , ga. Cu or AI -Oven Circ. 1 r 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. Smoke Detector -------------------------------- --------- ------------- -_.... ....... ....... .. Date Card B-1Date Card B-1 - -------- ------ ----- - .------------ ------------..... ... ... ... ... ... .. Date Card B-1 Date Card B -t Date MECHANICAL (Permit) OK except a's 34. A.C. Ducts Insulation & Support - ---------------------.................................... .... ... .._ .. .. 35. Vent Fan: Exhaust above insulation ------ ------ - -------....I.. ....... ...... .. 36. Condensate Dram & Overflow: Sze &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 ft's 39. Sils. Proper Material & Anchors ...... ... _.. _.. ... ... ... ... ... ... ... 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound ...... ....... ... ... .. ... 41. Bearing Walls over Girders & Floor Nailing ....... ... ........... . .. .... ..... ... . 42. Draft Stop in Walls (rat proof) 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing 45. Hangers -Post Caps -Anchors -Connectors _ 46. Cing. Joist-Rftr. ties- Purlin-roof Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles - ----- -- 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions - - -- 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings _ 52. Ext. Doors -One -T -Check Garage -3rd Story, 2 Exits 53. _Stairs: Width -Headroom -Rise -Run -Landing -Fire Protection 54, plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55 Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access --------------------------------- - 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls: Nailin Bolts ------------- 59. Insulation -Walls -Ceilings ------------------------ - 60. Infiltration -Walls -Windows -------------------- -----------------...------------------------- -- - Date Card B-1 _Date _ Card B-4 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings -------------------- 62. Smoke Detector ----------- . ----------------------------- - 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above floor-Ducts-Mech. Protection --------------------------- 64. Bedroom Exiting 65 G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel Breaker Sizes & Labels ..-- ---------------------------- 67. Stairs & Rails - - - _ . --- -------------------------------- 68. Fireplace or Stove: Clearances -Hearth ... ............... ---------------- 69 Elec. Outlets at Wood Panel: Int. & Ext. ------------------------- -- --------- 70. Kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance ._------------------------------------ -- 71 Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door: Swing -Land ing-Close r 73. A.C. Duct in Garage -Damper _... .. --..-..---------------------------------- 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection ......--------------------------------- -- ---- 75. Plb.. Elec. & Mech. Equip. Listed for Location _---------------------------------------- - 76. Elec. Receptacles in Garage. (G.F.I.)-Romex Protection -- --- ------ ------ ------------------------- --------------- 7,. Insulation -Foam -Looked in Attic ❑ Yes ----------------------------------------------- 78. Guard Rails & Deck 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 .. .. ....... ... ... ------------------------ C ------- 82 A C. Unit: D Disconnect. Electrical, Plumbing .. --- . _------------------------------------------ 83. Vents Above Roof. Plbg.-Appliance-Fireplace.-Clearance to Openings ....... .... - -------------------------------- 84 ----------- - ---------------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 -CIO to Grade -HD Approval - -- - ----------------------------- 91 Energy Compliance Certificate -Other Certificates ---- - - - -------------------- Date Card B-1Date Card B-1 . . ..... ------------------------------ ------------ Date Card B-1 Date Card B-1 - ----- ---------- ------ Date Card B-1 Date Card B-1 Comments at Final: w V COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 .County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 PERMIT NO. APPLICATION AND PERMIT �� ASSESSOR PARCEL NUMBER 025-03-0-064 ZONING U BUILDING PERMIT OWNER SAM SCI-Z7ELTZ TELEPHONE 534-3305 SQ. FT. OCC. BUILDING VALUATION 900 16 200 OWNER'S MAILING ADDRESS 40 BOB WAY CONTRACTOR'S NAME OW114ER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UN -OWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 180.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 117.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAIUNG ADDRESS Penalty $ BUILDWp,4USVD AD�gfj WAY, OROVILLE PERMITFEE $ 317.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDNISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 0 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outl 15.00 Building sewer 15.00 �yy TYPE OF WORK New E ' Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: GARAGE — Mobile Home G W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service aoov OR LESS ( z00 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 Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law f 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 NEW CONST. DWELLING OCCUR OR NS. ( 8 ACC. ) SO. 3.5¢ FT. NEW CCONST. MULTI.OUTLETLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 WER (& SIINGLE OUTLETT CS IR. ) Ex. Occup. (OUTLET OR FO(TURES ) BAL 0 1:w EX. Occup. FIXED OUTLETS D.OR ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ 5`1 90 Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued.„--PERMITFEE My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 00 9 Heating Cooling Hood 6.50 Ventilation $ Contractor Policy Number one hundred dollars ($100) or less.) Aocerhe above sections need not be completed if the permit is for work of a valuation tifythat 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 theVI workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith cc ply with those provisions. / Date X Zp`_ � Signature of Applicant - ❑ Owner CrContractor ❑ 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 Is Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 368.50 HAZ. 0. FEES IMP FLOOD CDF PARCEL PD HD SUE V 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 ` D` to PERMITEXPIRESON l 6 / (Date) ReceiptNo. 1 94(g9 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT w COUNTY OF BUTTE v BUILDING DIVISION - , DEPARTMENT OF DEVELOPMENT SERVICES' Lr 46.9,H�mboldt 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 SC-k46P l4 ("a( OWNER PERMIT. NO. A routine inspV'ction indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of 'Work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. S P 4 e c-1 a I I 40 Azle /c 1rI 4- 10 �1 U2/ �c.► 0,11 IWele, ho Xe -s &4- �t� Date Inspector REV 10/92 ..4rti-.:wr•i::wra;/'WTS'*.�0.:7yNYv''w'"iw''i.f'vii4•s0�'Fr+fi�yl+µtli • 3•urn '141 ir`"HV1..e.-. Sr^r .r, •r ' COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTR DRIVE - OROVILLE; CALIFORNIA 95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET. OWNER � � SC_ l� t= �- `� A. P. No. Proposed Building Use Building Inspector Date When ou issue the perm't rocess as follows: Mail to owner, Mail to contractor. f Telephone 5 3 4Omand hold for pickup at 40 office. Deliver with inspector. I Other i Parcel Creation _ Acreage Applicant �'�� Date 2✓ 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 I Contractor, designer, owner,,w advised of abovere 7_746 Plans by _phone _mail Counte y Date Plans checked by Date 7_ _16 Plans approved by Date�` b Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works 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 . ................. ................ t 7. 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. 8. Statement of Intent for Non -Heated and A/C Buildings. . 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. ......... . 100?714. 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 P��"�ng Inspector required. .. �o e���d��9 ��spedo. (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. 23. Certificate of Workmans Compensation Insurance. . 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- ccess:30. 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 ou issue the perm't rocess as follows: Mail to owner, Mail to contractor. f Telephone 5 3 4Omand hold for pickup at 40 office. Deliver with inspector. I Other i Parcel Creation _ Acreage Applicant �'�� Date 2✓ 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 I Contractor, designer, owner,,w advised of abovere 7_746 Plans by _phone _mail Counte y Date Plans checked by Date 7_ _16 Plans approved by Date�` b Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works t E.H. Uf E-0 Y Plot Phn Attached Poor Plan Attnchad Seat to B.D. TO: Building Department FROM: % 'iEEnvironmental Health SUBJECT: Sanitation Clearance ac Sn Owner Location AP# Plan Approved for: Sewage Disposal . Water Supply: Public, Private Well Clearance for . Other Hold final for: Final clearance O.K. for: NOTE: ` e Environmental H th Specialist Date 8/92 Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid . unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally pl to provide the `o la r and materials for construction of the propo ro rty improvement : S NO J. 2. I ] HAVE NOT[ ed an application for a building permit for the ro work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide*the work indicated: NAIIE ADDRESS PHON_E TYPE OF WORK SIGNED: PROPERTY OWNER: SOCIAL SECURITY NUMBER: DATE: 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 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. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is S300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue 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 their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of uniicensed persons professing to be contractors is to secure an "ow-nefouiider' building permit, erroneously irapiving 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. 95314. 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. Sin6e rely,- . Micha4l C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19330 of the California Health and Safety Code. OVER All construction shall be done in accordance with plans as approved by this office. If structural or other significant code related changes to the plans and the construction are proposed, the following procedure must be followed prior to allowing the change: 1. If the plans are prepared by a registered engineer or architect, the plan change must be resubmitted for approval with the consent of the engineer or architect. 2. If the plans are prepared by other than an engineer or architect, the plan change must be resubmitted for approval. 3. If the change is simple enough to not require resubmission of the plans, the changes may be made verbally through our plan checkers. 4. Energy revision will require resubmission of energy design compliance and documentation. NOTE: In all cases, both the job set of plans and our file set of plans must show the approved changes even if only accomplished by a written and initialed note on the plans. 0 When taking in revisions, charge for one hour ($46.00) for most revisions. Occasionally there will be major changes that will require more than one hour charge, those will be charged accordingly by the plan checker. However, collect the minimum $46.00 before accepting the plans for revision. Also there will be times when a yM minor change is requested. This may involve one beam change or maybe a door or window change or one or two trusses. This type of minor change may be charged at 1/2 hour (or $23.00) only, if revised plan is clear of exact change to be made, without client having to explain the change to you. 0 There are very few changes that can be done in 1/2 hour because of your time at the counter, our time pulling AP. files, pulling original plan, comparing new with old, checking proposed change, re -filling AP. jacket and plans, making deposit, etc. Therefore, collect enough money to cover the f z. DATE: lS� Permit Number: ql -06 d A -P 4: �� S_o�0 r� TRYIE: [Residential [ ]Non -Residential Received by: 26Receipt #: [ ]From Data [ ]Requested by Plan Checker[ ]Engineering[ ]Other: ]Re nested b correction notice: Location in building where change occurs: / When approved, process as follows: ( Po C PP ]Mail to owner: ]Mail to contractor: [ ]Call: and hold for pickup at [ ]Deliver with next inspection. REVISED PLAN CHECK FEES PAID [ ]$23.00 [ ]$46.00 additional fees not required office. SAM SCHMELTZ 40 BOB WAY OROVILLE, CA 95965 Re: B.P.#96-0626 Em He Count y BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE . OROVILLE. CALIFORNIA 95965.3397 TELEPHONE: 19161 538.7541 FAX: (9161 538.2140 4/4/96 A.P.# 025-03-0-064 With reference to the above subject, attached is: [X] Plan Check List [ ] Red Marked Calculations ] Red Marked Plans Other Action Required: [X] Comply With Plan Check List [ j Resubmit Plans with Revisions As Required [ J Return All Original Materials and Revised Plans to the Building Department ] Other Should you have any questions, please contact this office at the address or Phone number listed above. Sincerely, MARTHA WHITNEY - PLAN CHECKER SAM SCHMELTZ Permit Applicant: Assessor Parcel Number: 025-030-064 Permit Number: 96-0626 Date: 4/4/A6 ?he above referenced builcdng . plans were reviewed by this ofce. Provide additional information and/or make revisions to plmcs, specifications and calculations as foAows: RACED WALL PANELS ARE REQUIRED ON EACH END AND EVERY 25' MEASURED CENTER TO CENTER. A THIRD BRACED WALL PANEL IS REQUIRED ALONG EACH WALL OF THE A,, ( UILDING. FRONT OF THE BUILDING WILL NOT COMPLY WITH THIS REQUIREMENT BECAUSE OF LOCATION OF DOORS. PROVIDE BRACING WITH DESIGN CHANGE OR PRO- VIDE ENGINEERING. (ANGLE BRACING NOT ALLOWED) CANNOT DECIPHER FROM PLAN WHICH WALLS TRUSSES ARE BEARING ON. PLEASE SHOW ON PLANS. RAFTER TIES SHALL BE PROVIDED SPACE MAXIMUM 4' ON CENTER. IS THERE A CEILING IN THIS STRUCTURE? If you wish to discuss any requirements, you may contact me at (916) 538-7541 between 1:00 P.M. and 4:00 P.M, Monday through Thursday. MARTHA WHITNEY - PLAN CHECKER ~ BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE – OROVILLE, CALIFORNIA 95965 – TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT i ,/,-PE�tMIT NO. Agricultural building is defined as follows: Agricultural building is a structure designed Ad constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This struct�shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. 0 (pS �O -O _ AG ZONING q� OWNER � / �J PHONE NO. � 3 OWNER'S ADDRESS LOCATION OF BUILDING 7n I -& Cl,,-- 701�-- USE OF BUILDING i&07 ftd& Aer4( SIZE OF STRUCTURE :)0 X � SQ. FT. TYPE OF CONSTRUCTION: WOOD FRAME _STEEL CONCRETE OTHER (Specify) —V —t-6 I "¢Y t, 5 TYPE OF SIDING -61ee / ROOF COVEPING -tee FLOOR TYPE gore c6,0 ,Cre y�� ESTIMATED COST OF CO STRUCTION g 3 300' AG Buildings shall comply with the building front, side, ano. rear yard requirements of the applicable County Ordinances as follows: �S t �- 2p - —`f FRONT ;"'"''''SIDES REAR � A---- AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. It. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. r, A t? / Z Date 3 --/T — ?'6 Signature of Owner.'zovlz&A� --"-< Permit Fee - $60.00 The above described AG Building is exempt from a bu)ding pe Receipt No., I Manager Building Division M White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant Date BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT / ,,/PWMIT NO. Agricultural building is defined as follows: Agricultural building is a structure designedA constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structyfe shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. .4 ASSESSOR PARCEL NO. n.as ZONING £: a I P.D. OWNERPHONE NO.14 OWNER'S ADDRESS Ile wall LOCATION OF BUILDING ,. USE OF BUILDING -o �� i� f? 9& l �Or�/ SIZE OF STRUCTURE '�O ' X � ' q�y SQ. FT. TYPE OF CONSTRUCTION: WOOD FRAME --tZ STEEL CONCRETE OTHER (Specify) 6 i F 6 I - 4r (t 5! J TYPE OF SIDING -61ee / ROOF COVEPING � -f e,e FLOOR TYPE ESTIMATED COST OF COKSTRUCTION - - $ AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows:- FRONT �s�'u 'ASIDES -b REAR A4. __ AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a reside ce, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a, mobilehome, and 40 feet from a commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation _ USGS Datum. I declare under penalty of perjury that the ibuilding will be used as stated above and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made,.l will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date .3 -JT "` y� Signature of Owner �Z`C - (�t/.,�Z—1Xz'117� Permit Fee - $60.00 Receipt No. The above described AG Building is exempt from a building permit. �--� Manager Building Division By Date White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant`°" FLOOD I PA5K I P.D. ROOFI G SSUE Manager Building Division By Date White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant`°" BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT i PER//MIT NO01 . 9' Agricultural building is defined as follows: Agricultural building is a structure designed affd constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structpe" shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR - PARCEL NO. 0 _ ZONING Clpj OWNER ������� z_ NO. PHONE y L "o, OWNER'S ADDRESS LOCATION OF BUILDING USE OF BUILDING P 11 " 07 ac' ilP ✓ a i, 1 thin -J r j' ��� C �> i� i ��l'el -) SIZE OF STRUCTURE r -1 317 X SO. FT. TYPE OF CONSTRUCTION: WOOD FRAME __,�Z STEEL CONCRETE OTHER (Specify) l F E 7 t DC7 TYPE OF SIDING _/J <e e / ROOF COVERING i � <-")F / FLOOR TYPE yll /�l � CC'd'l !' / &- 'I ESTIMATED COST OF CONSTRUCTION $ 3 3lrlt� AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows: s- �. �� `y *vv FRONT '#*t'K%_ "SIDES ' REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. s AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a- mobilehome, and 40 feet from a commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made,.) will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. -- Date --19)e " y Signature of Owner Permit Fee - $60.00 Receipt No. �] The above described AG Building is exempt from a building permit. �--. Manager Building Division By White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant FLOOD I PAVRC I P.D. ROOFG( (ISSUE *,e,'�-� BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT / PERMIT NO. 1� y b Agricultural building is defined as follows: Agricultural building is a structure designed gFd constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structV a shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. r J "'' �J� - /3 ZONING el e-) OWNER J PHONE NO. OWNER'S ADDRESS 7 [ r 1 LOCATION OF BUILDING / y USE OF BUILDING SIZE OF STRUCTURE r i7 `� n�% X SO. FT. TYPE OF CONSTRUCTION: WOOD FRAME ---�Z STEEL CONCRETE OTHER (Spec'Ify) TYPE OF SIDING/ !V C'� I ROOF COVERING )4,-,-1 FLOOR TYPE ESTIMATED COST OF CONSTRUCTION AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows FRONT '/ 'SIDES REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a- mobilehome, and 40 feet from a commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made,.l will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy.Date Signature — /r% -` �/ E' Signature of Owner Permit Fee - $60.00 The above described AG Building is exempt from a building permit. Receipt No. t L Manager Building Division By White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant FLOOD I PAVE P.D. ROOFING ISSUE Date M ` COUNTYOFBUTTE -DEPARTMENTOFDEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE(916)538-7541 OWNER 1--i_� Proposed Building Use PERMIT APPLICATION DATA SHEET Building Inspector A. P. No. (7 03o Date At time of permit 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). . . ieV- 20. Pre -inspection for required. o a� �d 9 �spetor (Date) t ` 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner _�. .......... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ....................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use ..................................... . 28. Mobilehome utility clearance . ......................................... . 29. Documentation of legal access . ..................... :............. .... . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... V32. Plan -Check lis ................................... 33. 34. follows: Mail to owner. Mail to contractor. When you issue the erm't, roceSand �33o�and ✓Telephone 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 CLAIMANT ADDRESS: COUNTY OF BUTTE Oroville, California GENERAL CLAIM SAM SCHMELTZ 40 BOB WAY CITY & STATE: OROVILLE, CA 95965 DATE OF CLAIM: 3/20/96 SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES IMPORTANT.• SEE INSTRUCTIONS ON REVERSE SIDE DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT OWNER DECIDED TO BUILD A GARAGE. A.P.# 025-030-064, B.P.# 96-41AG RECEIPT#194914 DATED 3/18/96, OWNER:SAM SCHMELTZ RETAIN REFUND PROCESSING FEE ......... $25.00 I TOTAL AMOUNT TO BE REFUNDED ................... ... TOTAL $35 .00 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. Dated this i ' day of 19 at Calif. Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or delivered and that there is a Budget Appropriation I j or Specific Board Approval [ I (Check one) for the'sale !!' Dated this 20TH day of MARCH 199Nt OROVILLE Calif. I/ De 0artment Head or Authorized Deputy 440-002 Exp. Code 4210500 PAYABLE FROM CONSTRUCTION PERMITS FUND Pt.ECode DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. FOR BUILDING DIVISION USE: Receipt Information: Number: Date: 3�jL49A ` Issued To:_ Amount: $ Fees Retained: V processing Fee: 60 Bldg Filing Fee $ P1bg Filing Fee $ j1 r Elec Filing Fee $ • Mech'Filing Fee $ Energy P/C Fee $ Plan Check Fee $ Inspection Fee $ Total Amount Retained $ TOTAL REFUND.DUE $ �s'06 REFUND CLAIM APPLICAT ION CLAIMANT'S NAME S'0_ V- l 'Ejal, Vl , P_ MAILING ADDRESS ASSESSOR -PARCEL PERMIT # RECEIPT NUMBER(S) Request a refund of fees paid on the above receipt number(s) for the following reasons: Please refund any applicable fees in the following categories: (Chec those categories which you wish to have refunded.) [ Building Permit Fees [ ] Sheriff Fees [ ] SRA Fee (CDF Fire Planning) [ ] Urban Area Fees Disposition of plans: [ ] Plans returned to me at counter. [ ] Please mail plans to me at above address. [ ] Please dispose of plans. SIGNATURE DATE RESIDENTIAL 025-030=064 SCHMELTZ, Sam 92-2483 BPEM 40 Bob Way, Oroville contr: Cook & Son . new sf -.w r" 41 i„ w �pf , is OFFICE COPY Address 91 v tjXT GAS , `j Meter By Date { ELECTRIC Meter By y Date) ! r� r JOB FINALE Signature J=OK 1 O = Not OK Not Applicable = Not Ready •MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except ff's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete J 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 13-1 - Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except ft's 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector' 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 i MISCELLANEOUS Dae DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except ft's 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-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 Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining ` 4. Elec.; Receptacles and Lighting, Distances-GFI ' 5. Elec.; Pool Lighting; 15 volts -GF] 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 I ✓=OK O = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single ' Date's UND RFLOOR (Plans) OK except #t's 1. Zoning -Setbacks -Easements -Flood -Slope Ftg' Main; Soils-Elec. Grnd.-/ Depth Fig., Garage; Soils-Steel-Elec. Grnd.;,tj/,-�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 p . D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground Pienums & Ducts; Clearance -Material -Support -Ins. ,>46irders-Sills-Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. nsulation Date and B-1 Date Card B-1 + Dat Card B- ate Card B-1 Date PLUM NG (Permit),OK except ft's ! Water Htr.: Vent -Access -Combustion Air -Baffle ---------�-- �------------------------------------- L r7. wat Pipe; Test & Anchor -Nail Protection ----- --- -- --------------- ------------------------------ --- 8. D.W.V.; Test -Fittings & Anchor -Nail Protection -- i&. 3 wer Pan; Test, First Floor -Tub Access - --- --- ----- t Tub & Shower. Second Floor -Tub Access --------- c ---------------- r --_ Gas Pipe: Size & Anchors Date Card B-1 Date• Card B-1 ---------------------------------- ----- - - ------------ Date Card B-1 Date Card B-1 Date ELEC RICAL (Permit) OK except k's _ 2. Fixture & Transformer Clearance -Ins. Protection Receptacles Spacing^Lights & Switches at Doors -------- - -- --------------------------- -------------------- 4. ' e 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 .--------------------------------------------------- -------- ------------------- �7ippliance Circuts in Kitchen & Conductor Size!GFI ( ------------------------------=------------------------ 2,8. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size / / ga. C r Al ---------- --------- ----------- Range Circ. ! ga.-Cu or-- ven Circ. / / ga. Cu or Al. Insulated Neu rat Yes- - 0 No -----------------------------------Ser-v-i-c--e--- ----s-e-r --C----o-n- -d--u----c--to----rs----&--- -G--ro--u-n-d-Main Disconnect - ----------------------------- -a+. - . -------- quip. Clearances Panels-Motors-Mech. Equip. ------ --- -- - --------------------------------------------------------- ---------- ------- Clot loset Light -Shower -Light-S-pa Light ------- - --- ---- ---- -------------------------------------------- Smoke Detector ----------------------------------------------------------------- --------------------------------------------------------------------------------- Date Card B_1 Date Card B-1 ------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except a's nsulation & Support ----------------- -- ---_,ns ---------------------------------- -------------- Vent Fan: Exhaust above insulation ------- - en= a Drain & Overflow: Size & Grade - ccess & Platform if Furnance in Attic ------------------------------------------ - - urnance-Vent: Access -Comb. Air -Return -Air Vent -115 outlet .-------------------------------------------------------------------------------- Date , Card B-1 Date Card B-1 ----------------------------- --------------------------------------------------- Date Card B-1 Date Card B-1 Date FRAMING Plans) OK except fts 39. . Pr per Material & Anchors --- ---- --- - -- - - - --- ----------------------------------------------------- all Studs -Nailing. Spacing & Bracing -Plates -Sound - - -- ----------------- - earing Walls over Girders & Floor Nailing --------------------- - - - ------ ----------------------------------------------- --- raft Stop in.Walls (rat proof) ----------�Headers Furred Ceilings -Stairs -Chases -Tub Beam -Size & Bearing & Duplex) Date MING (Continued) angers -Post Caps -Anchors -Connectors 46. ng. Jo' t-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. ---,- ire- a Ties or Type A Flue -Fireplace Throat clearance ttic Access; Size & Romex Protection -Draft Stop -Ins. Baffles rm. Windows or Exiting Doors -Sill Hgt. & Dimensions _ Garage Fire Protection Framing -----___5-3operty Line Firewall & Openings ?ors -One 3' -Check Garage -3rd Story, 2 Exits --_ Width -Headroom -Rise -Run -Landing -Fire Protection 4. Wood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing Veneer esh-DripScreed-Fd. Vents-Underflr. Access lazing -Area -Glass Protection -Sk li hts-Plastic ---------------- ---- :-Nailing-Bolts ---- --- 59. Ins _Walls -Ceilings Infiltration -Walls -Windows Date rd B- ate - Card B-1 Date and B-1 a "Card B-1 Date FI 'Plans) OK except ft's 61.E s -Door & Sidelight Protection -Landings 62. Sm _ _etector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. Protection --------------- ed ---- ----- 64. Broom Exiting -------------- 5. G F.I.& Bath'Fixtures & Tub Access -Spa lec. Trim & Subpanel: Breaker Sizes & Labels rs & Rails ----------------- Fireplace or Stove: Clearances -Hearth . -- a--- -- -- --------- 69. Elec. (lets at Wood Panel: Int. & Ext. Kit.F' t-: & Appliance: Grnd.-Air Gap -Cooking Clearance Elec. Outlets & Receptacles at Kit. Counter arage Fire Door Swing -Landing -Closer ____Z3 -A -C -Duct in Garage -Damper -- ----- -- --------- -- - ----- tr. tr.; Vents -Clearance -Comb. Air-Connector-P.R.V. Garage; Above Floor-Mech. Protection �_b.let. &Mech Equip. Listed for Location _.eceptaclesi'11 ara'ge: (G.F.I!)-Romex P otection Insulation -Foam -Looked in Attic Yes - - -------- - - ---------��------------------- Guard Rails & Deck Construction -Post Caps 7 Vents & Crawl Hole Door -Drainage ood-Earth V Olearance Looked under Floor Yes J Following instld.; Drive Yes No: Walks 0 Yes -P NNo: Planters ❑ Yes UNo ----- - ----------------------------- +�dt: tut o: Brown -Finish -- A_9_ A_ �. Unit: Disconnect, Electrical, Plumbing . ents Above Roof; Plbg -Appliance-fireplace.-Clearance to . Ings - - - 84. Wa_ter Well: Disconnect, Electrical, Plumbing Exterior Elec. Trim: G.F.I. Receptacle -Underground --- ----------------------- d6. Ventilation Throughout House- !. Glass Protection --- ------ ---- - - -- ----------------------- 88. Corrections from Previous Ins -pec -tions -- --------------------------------------------------- 89. Gas Test -Meters Tagged; Gas -Electric ----------------------------- ------ ----------------------------- 90. Water wer Connected -C/O to Grade -HD Approval rgy Compliance Certificate -Other Certificates Date/ and B-1 ate -- Card B_1 - ------ - --- Dat ea�jB 1 Date _ Card B-1 Date d B-1 Date Card B-1 Comments at Final: 1. COUNTY OF BUTTE • DEPARTMENT OF PUBLIC WORKS 140 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 . -cert L-Tz - :r 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 have any questions pertaining to this matter, or need additional explanation, A please contac t is office immediately. , VWC Ix 7;ck Az ivd Date ' LZ%Ins REV 11191 r i Date ' LZ%Ins REV 11191 COUNTY OF BUTTE 'DEPARTMENT OF PUBLIC WORKS 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 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 have any questions pertaining to this matter, or need additional explanation, . please contact this office immediately. REV 11/81 411 Ovner: ENERGY CERTIFICATION Permit i_- a. /9•? Ihereby 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 Calif. FIRM NAME/OWNER (PLEASE PRINT) STATE"CONT. LIC# SIGNATURE OF ,GENERAL CONY OWNER DATE This certificate must be on file with the Building Dept. prior to Final and posted within the buildine. L0CA `V A. P. 3ESCRLPT:O`! OF INSULATION ROOF MATERIAL BRAND NAME THICKNESS - THERMAL RES. EXTERIOR WALL MATERIAL Fiber -lass BRAND NAME Certineed THICKNESS ,Z �' THERMAL RES. f CEILING BATT OR BLANKET TYPE -FIBERGLASS BRAND NAME Certineed THICKNESS THERMAL RES. LOOSE FILL INSULSAFE III BRAND NAME CERTAINTEED THICKNESS THERMAL RES. 3Z) FLOOR -ELEVATED MATERIAL Fiberglass BRAND.NAME Certineed THICKNESS 2 THERMAL RES. FLOOR -SLAB INTERIOR WALL MATERIAL Fiberglass BRAND NAME Certineed THICKNESS THERMAL RES. I HEREBY CERTIFY THAT THE ABOVE INSULATION WAS INSTALLED IN THE ABOVE BUILDING IN CONFORMANCE WITH THE .STATE OF CALIF: ENERGY REQUIREMENTS.. HAWK INS IND.IN_/dba SHASTA INSULATION LIC #650722 /9•? Ihereby 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 Calif. FIRM NAME/OWNER (PLEASE PRINT) STATE"CONT. LIC# SIGNATURE OF ,GENERAL CONY OWNER DATE This certificate must be on file with the Building Dept. prior to Final and posted within the buildine. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 025-030-064 ZONING AR 1 •1 BUILDING PERMIT OWNER S o�E STZ TELEPHONE 534-3305 SQ. FT. OCC. BUILDING VALUATION 1468 R 79,272 OWNER'S MAILING 40 BOB WAY OROVILLE 95965 480 M 8,640 CONTRACTOR'S NAME MIKE COOK & SON TELEPHONE 589-1446 44 C 572 CONTRACTOR'S MAILING ADDRESS 20 La MIRADA AVE OROVILLE 95966 Fireplace "A" 1,500 CONSTRUCTION LENDER UNKNOWN Total Valuation $ 89.984 Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee 5T2.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 276.25 Energy Plan Checking Fee $ 20.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 40 BOB WAY OROVILLE 95965 Permit fee $ 863.75 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 40.00 Solar or heat pump water heater 20.00 LOT NO. 3 SUBDIVISION NAMEPARCEL MAP I102-94 Water piping 7.00 7.00 Each pas water heater or vent 7.00 7.00 USE OF STRUCTURE SF U Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.001 5.00 Building sewer 15.00 Mobile Home S I G IW @ 15.00 TYPE OF WORK New [3 Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: 3 BDRM _ Permit Fee $ 8 .00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 18.50 200A OR LESS 18,50 Main service 200A TO 1000A1 37.50 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Coder? and my license is in full f ce and effect. License No. ` �� / �( Classification ❑ 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUPM 3.50sq.ft. 6 OR ADDNS. ACC. BLDGS. II 68.10 NEW CONSTF ULTI.OUTLET NON.RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS a (SINGLE OUTLET CIR. Ex. Occup(OUTLETs OR FIXTURES 20 76 FIXED APLNS Ex. Occup. OUTLETS IPRESIO IKEA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 9 Permit Fee $ 101.70 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. P49 1 shall not employ any person in any manner so as to become subject y� to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 15.00 Heating 9.00 Cooling EVAP 10.00 Hood 6.50 6.50 Ventilation 2 4,5 9.0.0 permit Fee $ 49.50 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, j dgmen s, costs, and expenses which may in any way accrue against sai�C nt in consequence of the granting of this permit. X Date 7 5 - �- Signature of Applicant - Owner ElContractor Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ 40.00 OCC CONST TYPE TOTAL FEE S1143.95 HAz DFEES IMP FLDOD CDF PARCEL Po HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte ounty Code and/or resolutions to do work indicateda ve for which fees have been paid. TO UBLIC WORKS By Date ��%�� PER ITE IRS Date - Receipt No. 1 17717 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT / S--/Z- PERMIT NO. --/Z- PERMITTNO. Q,L �Y ASSESSOR PARCEL NUMBER lazs o6 z1 77P 7. BUILDING PERMIT OWNER�� SA A47 TELEP oNE f SO. FT. OCC. BUILDING VALUATION OWNER'S MAILI G ADDRESS 000 Is -1c '4 -qJ CONTRACTO 'S NAME $}ION !(/f CONTRACTOR'S MAIL N ADDRESS' � Fireplace 1f �� 6D CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Z s Energy Plan Checking Fee $ Q0.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS i/a Permit fee $ s PLUMBING PERMIT Filing Fee 15.00 Each Trap gi 5-00i 40.60 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION 3 NAME PARCEL MAP lO -q Water piping 7.00 t� Each qas water heater or vent 7.007.00 USE OF STRUCTURE SF T Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 .- O0 Building sewer 1 15.00 0 Mobile Home S I G I W @ 15.00 TYPE OF WORK New&- Addition❑ Remodel❑ Utilities❑ Installation[] Other ❑ Describe work: IGO Permit Fee $ y9 -D0 I Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service soov OR LESSOROR LESS 18,50 d Main service 200A TO IOOOAI 37.50 CONTRACTORS LICENSE LAW 1 declare under penaltyof perjuryOR (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect.SINGLE License No. Classification ❑ I, 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCU ADDNS. ACC. BLOGS. 12 3.6Qeq.ft. NEWCON5TFL MULTI.OUTLET NON .RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS e OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 V 760 FIXED PR Ex. Occup. OUTLETS IRESID,)EA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ 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 atter making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 15.00 Heating lin Cooling 6V Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in an way accrue against said County in consequence of the granting of this permit ` X Date � 'J Si nature of Applicant - Owner g pp ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S J, Energy Inspection e S a, CONST,TY TOTAL F $ H of s 1/ IMP PLoo CDF PA CEL PD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. Z 17 / / -7 WMITE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE PARTMENT OF PUBLIC WO BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER, 5l./lWe/7 Z'" A. P. No. OA -57- O36 066 Proposed Building Use Cad Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED 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. ...................... O 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 3' 9 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) byyCalifornia Engineer . ............... . 14. Sanitation and plot plan approval OWVille Health Department . ........... .. 1 92 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: I . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). ..... . 20. Pre -inspection for to Buil dinggpeInspe'on reque-Es required. . . to Builctor (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 . ........................................ 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 lis ...... ................... . 6)16,0-33. i e+tey ..� O C /�lo lie 1� o N►� 3 9 f a 34. When you issue the perit, process as follows: Mail to owner. Mail to c . Telephone - i � and hold for pickup at a office.ntractorDeliver with inspector. Other Parcel Creation�� Acreage Applicant f/ 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: �G Contract , designer, owner, was advised of above required data by l� phone _ mail Counter b� Date ontractor, designer, owner, was advised of above required data by _ phone _ mail Co ter by _ Date Plans checked by Date Plans approved by v _ Date ;S Sets of plans on hold in File cabinet AP folder f Copy - Department of Public Works _ .T TO9uildinc Department FROM: Environmental Health SUBJECT: Sanitation Clearance ownerLocation AP# Plan Approved for: Sewage Disposal Water Supply Hold final for: Water Supply ^incl clearance O.R. for: Water Supply Clearance for _a bedroom mobile omOther P ilCfri e Q I NOTE * * * -7 A Date sanitarian OWNER COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS — BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916)5387541 0 PROPOSED BUILDING USE J A.P. NO. LQ 5-` 6,30 DATE 7 A REC. # DATE REC School Distric Fees a 4Q r3- 3Z (paid at District Office) Sheriff Fees (paid at Building Department) Residential ......... x =$ ,&1vO `9 11-7-717 7 /-5/-yZ unit amt. Commercial(per sq.ft.) x =$ sq.ft. amt. 3. Urban Area Fees (paid at Building Department Residential (per unit) X =$ # units amt. Commerical(per sq -ft.) x _$ sq.ft. amt. 4. Recreation District Fees (paid at District Office) 5. Drainage District Fees (Contact Land Development) 6. Other 7. Other J At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. N APPLICANT DATE RESIDENTIAL PLAN CHECKING GUIDE 8/91 (S.F., DUPLEX & MISC. ONLY) Bldg. Permit's - OWNER l A.P. # of GENERAL Plan Checker " -oning requirements: (sideyards and number of permitted living units). Valuation. Plans signed by designer. Proper description of work on application. xisting violations on property. Items on data sheet. (W.C., fees, Health, Developer Fees, License law, etc). Recorded notice of violation. PLOT PLAN Complete parcel size and dimensions. -etbacks, sideyards, easements, etc. Other buildings or structures. Grading, fills, drainage. Flood hazard. ! Special conditions on creation map, ustible, and foundations). AU & FAS road'setback. 1. (noise, CDF, fire sprinklers, non -comb - Building or utilities across lot lines (Record form). M.nnp PT Am %Complete to scale plan with dimensions. Required windows for light and ventilation (Sec. 1205). ;)"'-Required windows for second exit (Sec. 1204). r- Skylights (Chapter 34 & Sec. 5207). <,'� Human impact glass (Sec. 5406). :--Required room sizes, ceiling heights (Sec. 1207). 'GFCIs insbaths, garage, kitchen, and exterior outlets (Article 210-8). Light fixtures, switches, receptacles, and exterior receptacles for main- tenance of mechanical equipment. Locations of water heater, heating and cooling equipment, other electrical gas equipment. K age firewall, door size, and closer (Sec. 503(d)(3)). 3'0" exterior exit door (sec. 3304 (f). eplace and wood'stove location, alcoves, and clearance. ke detectors (Sec. 1210). mbing fixtures, water closet clearances and shower size. STRUCTURAL DETAILS �ndard bracing or engineered design (Table 25V) %'ual shape, size, or split level house requiring lateral design. lerestory requiring balloon framing and/or engineering. Three story building requiring engineered calculations and plans. ,:"-Foundation plan complete enough to construct building. Floor construction details complete enough to construct building. Elevations and wall construction details complete enough to construct Roof construction details complete enough to construct building. Fireplace construction details and talcs if necessary. R - Rafter ties or bearing ridge beam. arage door or porch header sizes. Stud heights. Adobe soils - special foundation design. Retaining walls requiring design. Special Inspection required. building 8/91 RESIDENTIAL PLAN CHECKING GUIDE ` MISCELLANEOUS ITEMS TO LOOK OUT FOR Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306). Guardrail details (Sec. 1711 & 3306(j). Brick or stone veneer (Chapter 30). terior plaster - weep screeds (Sec. 4706). Proper roof pitch for roof convering (Chapter 32). Roof covering type - (fire hazard). yLo F sulation - protection. 36" halls and stairways. Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. o exits on three-story dwellings (.sec. 3303 & see Mezannines - 1716). Attic access and ventilation (Sec. 3205). . Underfloor access and ventilation (Sec. 2516). Combustion air for fuel burning appliances - L.P.G. requirements. . Noise requirements on duplexes. 1-5—In.ergy design. lashing at all exterior openings. '0 ere DF responsible area requirements.9 cam" 'LL .-L � _ _ J 0of\5 03D 0644 q 1 BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM F (One Form Per Building) School,District ORO, 000,0 HII�44 y Building Department No. A.P. Number 015-030 Jurisdiction City Ea--Cunty Property Owner SAM SC(,04 CL T2, Property Location/Address L(0 d3 o 8 k A 1 A Q e -Q, 9 S--5 6,57 Subdivison Lot No. Residential Development TO REPLRcC Evsrw& M081t_6 KOME IOYU sQ.M Commercial/Industrial Buildin¢Dej6artment 1 1:4 No.. of Living Units A� t, i� 0 MHI New Addition Addition (Floor Plans reviewed by School District Personnel) Sq. Footage (Group R) Sq. Footage (Including Exterior Roofed Areas) Date District Identification No.930538 chool District certifies that s (Applicant) °fib &bwa (Street Address) , + (Phone Number) (City) (State) (Zip Code) \ J` has complied with the requirements of Resolution No:. 1� by payment of $ c2j9 representing /� aquarefeet P s$s': School District Representative ��-gam . Date Paid by Check Number �%�/ Remarks: Bank Number Paid by Cash If, subsequent to the School District Representative signing this Butte County Schools Impactz.Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeformmkl (4/92) ty f: Burg COBUiL01NOG D r JOL D w July 26,1992 STATEMENT OF INTENT: As the owners and principal residents of the mobile home located at 40 Bob Way Oroville, CA 95966 we hereby state that it is our intent that upon completion of construction of our new home, that the mobile home be sold and removed from our property as soon as is possible. Thank You, Samuel Wayne Schmeltz COUlyTy &7jou �& BUILDINGDEPTTre Michelle Dee Schmeltz JUL 3 1 I ti r • i '' :off 25-03-64 s SCHMELTZ, Sam 40 Bob Way, Oroville (uti1,..MH) u. A PERW PERMIT EXPIRES OWNER CONTR. ASSESSOR PARCEL LOCATION a Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) Signature = OK 0 = Not OK ' = Not Readyable MOBILE HOMES MISCELLANEOUS Date MOBJLE HOME UTILITIES (Plans) OK except #'s Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s G�jr.olZoping Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements ;Special MH Support -Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel Se r; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails r; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts- Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing lectricity; Location-Clearances-Grnd. imp -Concrete 6. Gas; Location -T st-Wra / /"L"ft "Nat. or /"L"ft./ /"LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors . Utility Clearance 7. Elea 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -131 ' Date Card -131 Date 10. Roof; Shthg-Roofing Card -131 Date — and -81 Date 1 11. Ext.; Steps -Doors -Landings Date - WOJOLEHOME INSTALLATION (Plans) OK except #'s KZgpihg Requirements -Setbacks -Easements Card -131 Date Card -131 Date '_F.er6iings; Size -Spacing -Marriage Line Card -B1 Date Card -131 Date AT s; MH Test -Demand -Valve -Connector t<Elj <ricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s AVbrain; MH Test -Fall -Flex Connector 1. Setbacks -Easements 6. t MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability klr_wa'ter and Sewer Connected -C/O to Grade -HD Approval ; 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 8. Gas_aftd Electricity Tagged F its; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI Cert. of Occupancy f 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater I 8. Elec.;Ground ing' E Equip. w/5' -circulating Equip. -Pool L ht g• Boxes-Enclosures-Panelboards-Ins. to Main in Conduit Card -Bi Date Card -B1 Date Card -B1 Date Card -81 Date I 9. Health Department Approval i 10. Plumb.; Cir. Test -Water Supply Test Card -131 Date Card -131 Date Card -81 Date Card -131 Date = Uk 0 = Not OK - =Not Applicable RESIDENTIAL (Single and Duplex) y = Not Ready Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks; -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. Ties- Purl in -Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils -Steel-/ P' Ftg. Depth 4.7. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 48, Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 50. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 51. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 52. Ext. Doors -One T -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 55. Siding -Nailing Veneer 12. Electric; Underground 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 57. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 58. Shear Walls; Nailing -Bolts 15. Insulation 59. Insulation-Walls-Clg. 60. Infiltration-Walls-Wndws Card -B1 Date Card -B1 Date Card -131 Date Card -B1 Date Card -131 Date Card -B1 Date Card -131 Date Card -B1 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchors -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 85. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels Card -81 Date Card -81 Date 67. Stairs &Rails Card -131 Date Card -B1 Date 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance s 23. Elec. Receptacles Spacing -Lights & Switches at Doors 71. Elec. Outlets & Receptacles at Kit. Counter 24. Size Boxes & No. of Conductors -Stapled 72. Garage Fire Door; Swing -Landing -Closer 25. Romex Installed Close to Edge of Studs & C.J. 73. A.C. Duct in Garage -Damper 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 75. Plb., Elec. & Mech. Equip. Listed for Location # 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 77. Insulation -Foam -Looked in Attic 0 Yes 78. Guard Rails & Deck Construction -Post Caps 30. Service -Riser Conductors & Ground -Main Disconnect 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth 31. Equip. Clearances Panels-Motors-Mech. Equip. Clearance Looked under Floor O Yes 32. Clothes Closet Light -Shower Light -Spa Light 80. Following instid.; Drive -0 Yes O No; Walks O Yes O No Planters 0 Yes 0 No 33. Smoke Detector Si. Stucco; Brown -Finish Card -131 Date Card -131 Date 82. A.C. Unit; Disconnect, Electrical, Plumbing Card -B1 Date Card -131 Date 83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. Date MECHANICAL (Permit) OK except #'s 84. Water Well; Disconnect, Electrical, Plumbing 34. A.C. Ducts Insulation & Support 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 35. Vent Fan; Exhaust above insulation 86. Ventilation throughout House 36. Condensate Drain & Overflow; Size & Grade 87. Glass Protection 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 88. Corrections from Previous Inpections 38. Attic Access & Platform if Furnace in Attic 89. Gas Test -Meters Tagged; Gas -Electric 90.Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Card -131 Date Card, -B1 Date 92. Roofing Certificate Card -B1 Date Card -B1 Date Card -61 Date Card -B1 Date Card -61 Date Card -131 Date Date FRAMING (Plans) OK except #'s 39. Sills, Proper Material & Anchors Card -81 Date Card -B1 Date 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Comments at Final: 41• Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearing (NOTE- An.entry must be made each timevori v s'it iob site) MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — -7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 PERMIT NO. 7-�f711<11- W 1 • t P �. Address or location of mobilehome. 4 1, Owner's name Owner's address (-5 Insignia or hud numSao ber / %� r t — ' Manufacturer's name f Serial number of V.I. (Official Approving Installation U-- " Year of manufacture - -;;z/�/- S.� �/ (Date) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. t 51313 White - Owner, Yellow - Installer, Pink - D.P.W. a _ j -. _ �� _,•..,, a.�.....� ..yam:-p��''�" _ _ � _ ., . _ ..�_.� �-_...--...-�...,..�ez COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS z 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 'y 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE OWNER ! PERMIT NO. A routine inspection• indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. ti .. $F ,<.'. y 11I y V1 '3 f' �9 n \+ riInspector. Date iM COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 ` 747 Elliott Road, Paradise— Phone: 872-6307Zi; CORRECTION NOTICE E PrZRIVIIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. if you have any question pertaining to this matter, or need additional explanation, please contact this office Immediately - Inspector Date_. 4 -•�-�s--r.ro......�..,�.crrn..,r�..rwsa+r•.ws�•�„ ....._._ .._..,.�.�-_, ., �,..-..•-+.•-,e.•,, f COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE �c • fir X tM e 1 U Z-- '; z, `tr - e;r :1 OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining10 this matter, or need additional explanation, please contact this office immediately. If Inspector. Date l COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO,./ / 7 County Center Drive - Oroville. California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ✓ 0 �1 ASffj*PR RAA qL{L NU ER �� V.0 ZONIN BUILDING PERMI OW TELE NE SO. FT. OCC. BUILDING VALUATION OWNER'S MAIL ESS DDR9 L J D ��qv_, CONTRA TO NAME TELEPHONE CO ACTOR'S MAILING ADDRESS Fireplace Fs CONSTRUCTION LENDER UNKNOWN Total .Valuation -- Filing Fee $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. J SUBDIVISION NAME PARCEL MAP c7�� �l Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeK Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home SX G 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities [Z Installation❑ Other ❑ Describe work: Permit Fee Z Contractor ELECTRICAL PERMIT Filing Fee 10.00 00V OR Main service 100 AMP ORSLESS 10.00 p CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the BusinesS and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) \E1 orsa the owner, am exclusively contracting with licensed contract- ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING oCCUP.e , OR ADDNS. ACC. BLDGS. h¢sgft NEW CONSTR. -OUTLET NON-RESIO BRANCH CIRC 5 2.50 ea POWER APPARATUS e\ SINGLE OUTLET CIR. / EOccu z0 ® soa Ex. Occup(OUTLETS OR FIXTURESeAL930 FIXED APLNS. Ex. Occup. OUTLETS PIRESID IREA.) 2.00 Temporary service 10.00 Home Facilities 15.00 Mobile 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 Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue Inst s County in onsequ e o he gr t'ng of this permit. / �i %� Date N—� G!'p nature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ oCCUP, CONST.TYPE ISCHOOLI%ODIPARC—ILI PD SSUE This permit is hereby Issued under sions of the Butte County Code and/or work Indicated above fo which RE' R PUBLIC By PER IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS � Date _ * �� Receipt No. WHITE -0:P. W.. YELLOW-ASe9330R. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF"`0116LIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE,.;.,OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER— 1T1 YY� I - x y P. No4—') "< Proposed Building Use ' I x 'Building Inspecto�W. Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions....................................................... 9. Fees of $ .......................... 10. Chico Urban Area fees paid ........................................ 11. Park fees paid ..................................................... 12. School District fees paid ................. 13. Sanitation approval from Health Department ... 14. City of Chico plumbing permit ...................................... 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: ......... 17. Improvements may be required. -r'1*8. Driveway permit (construction approval required prior to occupancy) ... 19. Pre -Ins ection for re ulred ... , , Pre-Insperequest to P q •Building Inspector (Date) 20. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance .................... 22. Owner -Builder Verification (Given to owner o, Mail to owner ❑) ........' 23. Recorded copy of Agricultural Acknowledgment Statement ............ 24. Letter of signature authorization ..................................... s 25. 26. t When you issue the permit, process as follows: Mail to owner. k Mail to contractor. Telephonehold for pickup at office. Deliver w/inspector. Other Applicant �������� �,,T� f���DateG�—��/—� Copy of plans sent Health Dept., Fire Dept., Other Date i 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---naiI—count er by *'date { Contractor, designer, owner, was advised of above required data by—phone—mall, counter by! date Plans checked by Date Plans approved b Date Sets of plans on hold in File cabinet AP folder Copy—DPW TO Buildinv Department FROM: Environmental Health SUBJECT: Sanitation Clearance �3 Owner. Location AP# Plan Approved for: Sewage Disposal _ Water Supply Hold final for: Water Supply Final clearance O.R. for: Water Supply Clearance for bedroo mobile home. Other NOTE *** -� Sanitarian Date COUNTY OF BUTTE - Department.of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-754l.- OWNER-BUILDER 16-538-7541:OWNER-BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building .permit. No building permit will be .issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement ye or no) 2. I (0/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. .I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: :Name Address . Phone Type of Work Signed: Property Owner, Social Security Number /� Date U(,-? qV�7iv1 NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. _ g9 -.Q4346 Ret. i, -*no DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8.I of the Butte County, Code requires this acknowledgement be recorded prior to issuance of a building permit. The 'property .described herein is adjacent to land or included within an area zoned ,for agricultural purposes, and residents of this property may be subject to incon- veniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and f-ert_ili-zers; and • from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which 7.00 7.00 occasionally generate dust, smoke, noise, and odor. Butte County has established ;igricul Lural zones which have as a priority use. for productive agricultural. purposes, and rvtiiden•I:; within said zones and on adjacent property should be prepared to accept such hic,nlv�rnic�nc-(• or. disconform from normal, necessary farm operations. All that. real •property situate in the County of Butte, State of. Cali.f.or. n:i a , described ;is follows: y m Date: PROPERTVOWNERS: State of. , 40n this Ae : �5r, day of UA1V1AA1ZV ' 19.02-, before mo, ) SS. the undersigned Notary Public, personally appeared County of &r7Z5- -) / ` v�JIVE vv -V ® CYNTHIA A. COLDER Personally known to me. rrre-on--Che-b<n `i . NOTARY PUBLI"ALIFORNIA a of satisfactory evidence.® Butte County Go be the person(s) whose name(s) Aae- ® MyCommisslonExplresoct.30,1992 gubscribed to the within instrument and acknowledged 01x1. -(_-ice ®®a®®eea®©■a®aaaanmur000nMxecuted the same for the purposes therein contained. I. WI'I'N ;S1, WHEREOF, I hereunto set my hand and off.ici.91 seal.. Present A.P. No. 625-:-63-0-o(oy-v Notary Public 4 -'1 89._36 V js t• 81-01863 S EXHIBIT "A" DESCRIPTION: All that certain real property situate in the County of Butte, State of California, described as follows: PARCEL I: Parcels 1, 2, 3, and 4, as shown on that certain Parcel Map entitled, "Section 11, T.18N., R.3E., M.D.M.", said Parcel Map was filed in the Office o:: the Recorder of the County of Butte, State of California, on February 26,- 1986, in Book 102 of Parcel Maps, at Page 94. PARCEL M L A right of way for road, utilities and Pacific Gas and Electric Company, over the Northerly 30 feet of Parcel 4, as shown on that. certain Parcel Map entitled, "being a portion of the West half of Section, Trwnship 18 North, Range 3 East, M.D.B. & M.", filed in the Office of the Recorder, County of Butte, State of California, on July 10, 1979, in Book 71 of Parcel Maps, at Page 58. PARCEL III: A right of way for road and public utility purposes over the Southerly 30. feet of Parcels 1 and 4, as shown on that certain 4 Parcel Map entitled, "Section 11, T.18N., R A E., M.D.M.", said Parcel .Map was filed in the Office of the Recorder, County of Butte, State of California, on .December 24, 1980, in Book 81 of Parcel Maps, at Page 19. 7ENDTDOC:UME:U71�) END OF DOCUMENT COUNTY OF BUTTE - 6EPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Cal i torn! 095965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSO P RCE N B R - �O (p ZONI BUILDING PERMIT O �"ER e V �wwL��l TELEP oNE 53 —3 3 0.S SQ. FT. OCC. BUILDING VALUAT ON OWNER'S MA16 �DDREt I /� 8 © 2 C� l_Ct i CONTRACTOR'S NA ,r RfttfARo VAW A✓C4aj A/f., �QV/Kf TELEPHONE CONTRACTOR'S MAILING ADDRESS 14-10 cAeRoLl- (_JV PAR#O/SCa. -15fof Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ /,S,.00 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ ,511 D BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. 3 SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome s' Other SPECIFY Building sewer 5.00 Mobile Home S I G I W 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodei ❑ Utilities ❑ Installationb6 Other ❑ Describe work: l Jlt.� IZ-ZD -g9 — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 8001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. / DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. 21/20Sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): [� I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and m license is in full force and effect. I y tj,f� License No. 7 `F7� Classification C— �-( ❑ 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 NON .R ESID BRANCH CIRC TS NEW CONSTR POWER APPARATUS &) NON-RESID. (SINGLE OUTLET CIR. 20050a Ex. Occup(o OR FIXTURES SAL®So FIXED A Ex. Occup. OUTLETS P(RESID.)LNS REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 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 Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 1 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 KdG (&,— dt"Ae2j gL_ Date 5-2S•'99 Signature -of Applicant — Owner E] Contractor,' Agent F1work 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 $ �/ ,OD TOTAL PERMIT FEE $ OV OCCUP. GROUPTYPE oP CONST. PARCEL PD XD -..e Issu This permit is hereby issued under sions of the Butte County Code and/or indicated above for which DIRECTOR OF PUBLIC By PERJK EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date ` _311 3-- 9y Receipt No. y/yA a- WHITE-D.P.W.• YELLOW-ASSFSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT _r �.rvrtr'.,r�yt,1,.vnt%K'•ti''i t+3..�w 4�.:+�!+iw+L.,.. A!.,.. ...,.;`;r x�'A.,l.i.�g..t �:«F`7.•T'1. 1.1 !�+ . n''•'='�tiJ tip. �. �`'r•r•�t S :�' ..... 4� COUNTY OF BUTTE - DEPARTMENT' `'OF'PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 I PERMIT APPLICATION DATA SHEET Permit No. / �n1 � OWNER :�•O . r A. P. No. - O3 Proposed Building Use Building Inspector Date At time of permit application, I was advised the following data must be submitted priorto permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .......................... • . • ...... . 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans . . 5. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions........................................................ 9. Fees of $ ...................... 10. Chico Urban Area fees paid ........................................ 11. Park fees paid ..................................................... 12. School District fees paid ................. 13. Sanitation approval from Health Department ... 14. City of Chico plumbing,permit...................................... 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: .......... 17. Improvements may be required. 18: Driveway permit (construction approval required prior to occupancy) ... 19. Pre -Ins ection for re ulred . , , , Pre-Insperequest to p q � Building inspector (Date) 20. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance .................... 22. Owner -Builder Verification (Given to owner 0, Mail to owner 0) ........ 23. Recorded copy of Agricultural Acknowledgment Statement ............ 4. Letter of signature authorization ..................................... 25. /t/(• H . (�). (' `/ OCIA nA,1ej2 26. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone _ 17 - 6 (qt and hold for pickup at office. Deliver w/inspector. Other Applicant t g Date Copy of plans sent. Health Dept., Fire Dept., Other Date The following data must.be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above Items No. 2. Additional items required: Contractor, designer, owner, was advised of above req ed data by_phone_-nail counter by date Contractor, designer, owner, was advised of above require&data by_phone_mall_couryter by date Plans checked by Date Plans approved by S Date Sets of plans on hold in File cabinet AP folder Copy—DPW AP # OWNER S'�' � <° im PERMIT MH UTIL.CLEARANCE DATE L INSPECTOR ELECTRIC GAS Support Struc. Compaction Test Re . Service S��izeQQoL.o�ad� Other Type Pipe Size Length YESI NO YES NO ._--�'-----' 0�0 onced -e I Specifi6 �se for Mie'PEEpe In the AL66 mHl"1740�4-AAA YJ MO8LE8OMESDPPDRT DATA �~ If.other than single wide, Mobilebome Mifr. furnish Setup Model No. Year ' Width 240 (ft.) Box Length(ft') 'Tagalong or Dxpaodo Size. ` ^ On all mobilebumeo manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte).. ]FOOTINGS (check one) 7 1. Wood -pressure treated.oz foundation grade' 2. Other '(spe'c'ify) SUPPORTS (check one) Coucrate�Tb`l` o�o1~' Or� (er~^^�^y)Ell . Pier Footing Sizes and Lccations SINGLE-WIDE MULTI -WIDE Line 2 Line I Line 2 Main Beams Tag or Triple Line 1 -Piers' Line 1 uuenuess' --' Spacing -Max - --------- Each Side of Openings From Ends -Max. ith Width over ----' Line 2 Piers From Ends -Max Line 3 Roof Lo�ds: Location (From Front) Line 5 Roof Loads: Size -Min .------ bocacion (From Front) ~ Line 3 Piers: (Under Bearing Wall Only) oiz"-M^.'--------' Spacing -Max '-------' rro"Ends-Max '------' a �, Piers. (Under Bearing Walls m,*) Size -Min .-------- upa"mo-M=^---�---- rro=Ends-Max .-----'— �� BUTTE COUNTY DEPARTMENT OF,P(JBLIC WORKS 7 County Center Drive, Oro'ville, CA PHONE: 538-7541 MOBILEHOME INSTALLATION SHEET 1. Owner's Name: is the mobilehome electrical rating? --------------- 60 Amps,. 6. What �n ('' 2. Installer's Name: jC �F FL0 A,OJ S5rhVE/Qt (V ,(. c�ERvic� is the mobilehome site No m Amps, 3. Is the site currently under permit? Yes (If yes, furnish permit number [-6 Z Z O 8 cj ) OR El Yes No mobilehome site service? -------------------------------- Yes Is the site an existing site? (If yes, identify the load acid size:: (Load) (If yes, furnish two plot plans.) (Amps) 9. What 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach Yes No Natural fields and clear of all setbacks and easements? LPG 10. What is the (If no, clarify ------------------- 5. What is the mobilehome electrical rating? --------------- 60 Amps,. 6. What is the mobilehome site service rating? ------------- Amps, 7. What is the mobilehome site circuit breaker rating? ----- m Amps, 8. Is there any other electric load to be served by the El mobilehome site service? -------------------------------- Yes No (If yes, identify the load acid size:: (Load) O (Amps) 9. What is the mobilehome site gas pipe size? -------------- �y2 �! (in.) Natural LPG 10. What is the type of gas service? ------------------- 11. What is the gas pipe length from meter or tank to the mobilehome? ------------------------ --------------------- g� (ft.) * 12. What is the mobilehome gas demand? ----------------------- L (BTU) *(This information not required if pipe length less than 6 ft. on - natural gas or less than 50 ft. -on LPG.) ho a Certificate of Compliance: Residential Climate Zone 11 Project Title BUDdip it# reaf C - Project Add w Checked By / Due Documentation Author Telephone &ttvrcern nt AWcy Use Only BUILDING DATA Glass �' --),7 _� North Condition ea ���'/'��a� Number of Stories � East O Slab 'sed Number of Units South106 'S- H'ISingle Family Detached (SFD) [ ] Addition Alone West [ ] Single Family Attached (SFA) [ ] Existing Building Skylight [ ] Multi -Family (MF) [ ] Existing -Plus -Addition Total f BUH,DING SHELL INSULATION Component Insulation Location/Comments Wall..............f�— Wall... Roof ............. Roof ............. Floor ............. Floor ............. Slab Edge ..... GLAZING Glaring Area Glass Type North ( ) L East ( ) East South ( ) South ( ) West ( ) West ( ) Skylight....... - - THERMAL MASS Interior Type/Covering Area Thickness (slab/exposed, tile, etc.) 6 (inches) HVAC SYSTEMS Minimum Duct Type (furnace. air Efficiency Location Shading Devices Exterior Overhang Framing Type Duct Output Manufacturer / Model # Maximum Furnace Heating Output: Btuh HOT WATER SYSTEMS Tank Manufacturer/Model # " y SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) Mandatory Measures Checklist: Residential MF -1R NOTE: Lowrise residential buildings subject to the Standards must contain Uwe mcasttrrs regardless of the compliance - approach used. Items marked with an asterisk (')may be superseded by mac stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit do urians, the features noted shall be considered by all parties as binding minimum component performance spearkAdo • for the mandatory measures whether they are shown elsewhere in the documents or on this checklist qtly. DESCUP ION DESIGNER ENFORCEMENT Building Envelope Measures 62.5352(x): Minimum ceiling insulation R-19 weighted average. §2.5352(b). Loose fill insulation manufacturer's labeled R -Value. *12-5352(c): Minimum wall insulation in framed walls R-11 weighted average (does not apply to exterior mass walls). §2.5352(kr Slab edge insulation - water absorption rate no greater than 03%, water vapor transmission rate no greater than 2.0 perm/inch. §2.531 l: Insulation specified or installed mects California Energy Commission (CEC) quality standards. Indicate type and form. §2.5352((): Vapor barriers mandatory in Climate inner 14 and 16 only. §2.5317: Infiltration/ExfratrationControls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Doors and windows certified. c. Doors and windows weatherstripped: all joints and penetrations caulked and sealed. 12-5352(e): Special infiltration barrier installed to comply with §2-5351 meets CEC quality standards. 12-5352(d): Installation of Fuoplaces 1. Masonry and factory -built fireplaces have: L Tight fitting, closeable metal or glass door b. Outside air intake with damper and control e. Flue damper and control 2. No continuous burning gas pilots allowed. HVAC and Plumbing System Measures 12-5352(g) and 2-5303: Space conditioning equipment sizing: attach calcuLdons. 112.5352(h) and 2.5315: Setback themastat on all applicable hating systems. 12-5316(a): Ducts conurtcted, installed and insulated per Chapter 10, 1976 UMC. 12-5316(b). Exhaust systems have damper controls. 12-5314(e): Gas -fuel space heating equipment has intermittent ignition devices. 12-5314: HVAC equipment. water heaters, showerhads and fauces, certified by the CEC, 12.5352(1): Water heater insulation blanket (R-12 or greater) or combined interiorkxterior insulation (R-16 or greater): fust 5 feet of pipes closest to tank insulated (R-3 or greater). 12.5312(Exception 1): Pipe insulation on steam and steam condensate return k recirculating piping. §2-5318(d): Swimming Pool Hating 1. System has: a. On/off switch on hater. b. Weatherproof inaction plate on hater. e. Plumbed to allow for solar. 2. 75 percent thermal efficiency. 3. Pool cover. 4. Time clock. 5. Directional water inlet. Lighting and Appliance Measures I — 12=5352(i): Lighting - 25 lumens/watt or greater for general lighting in kitchens and bathrooms. - §2.5314(c): Gas fired appliances equipped with intermittent ignition devices.. : 92.5314(a): Refrigerators, refrigerator -freezers, frer=ets and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. COMPLIANCE STATEMENT - This eatificue of compliance lists the Wdit><g features and De fl. ape ifications needed to comply with Title 24. Chapter 2-53 and Title 20. C 1Xpttx2. Subchapter4. Article 1 of the California Administrative code. This _ - certifcate has been signed by the individual with overall design responst-btlity, and thebutlding owner. who shall retain a copy of it and transmit the certificate to any subsequent purdiaser of the building. Designer Building Owner Name - Name — -- Tatk/Frrm Thu: - Address: Address: Telephoner Telephone: - tic. 0: ( azure) (date) (signature) (date) Documentation Author Enforcement Agency Nom: Name: TttkJF., Ater -y. Address: 'S els i. Ceiling Insulation :. Wall Insulation Single- Number of stones 0.80 R -value One Two Three R-0 -703 -49 32 R-19 .8 -4 .2 R-30 -2 -1 .1 R-38 0 0 0 U -value 8 6 4 0.50 -176 -84 -54 0.30 -102 -49 32 0.10 -26 -13 -8 0.08 -18 -9 -6. 0.06 -11 -5 -4 0.04 -4 -2 .1 0.02 4 2 1 0.00 11 5 3 :. Wall Insulation . Raised Floor Insulation Single- Single - 0.80 -1 Family Family Multi - R -value Detached Attached Family R-0 -68 -51 -34 R-11 0 0 0 R-13 2 2 1 R-19 8 6 4 U -value -90 -37 0.60 0.80 -153 -114 -76 0.50 -91 -68 -46 0.30 -47 -36 -24 0.10 0 0 0 0.08 4 3 2 0.06 9 7 5 0.04 14 11 7 0.02 19 14 10 0.00 24 18 12 . Raised Floor Insulation F2 factor 0.90 Insulation In.Floor 3 .1 0.80 -1 Number of stories 0.70 R -value One Two Three R-0 -17 -8 -5 R-11 -3 -2 -1 R-19 0 0 0 R-30 3 1 1• U -value 40 -90 -37 0.60 -144 -70 -46 0.50 -120 -58 38 0.40 _ -95. -46 .. 30 0.30 -69 -34 -22 0.20 -43 -21 -14 0.10 -17 -8 .5 0.08 -11 -6 -4 0.06 -6 -3 -2 0.04 -1 .0 0 0.02 4 2 1 0.00 10 5 3 Controlled Ventilation Crawispace 14 25 Number of stories -14 R -value One Two Three R-0 -11 -7 -5 R-5 -4 '-4 3 R-11 -2 -2 -2 R-19 -1 .2 - -2 Slab Edge Insulation 3 3 .. Number of Stories 21 R -value One Two Three ' R-0 0 0 0 R-5 .. 8 5, 2 R-7 8 6 3 F2 factor 0.90 -4 3 .1 0.80 -1 -1 0 0.70 2 2 1 0.60 6 4 2 0.50 9 6 3 0.40 12 8 4 5.Inriltration (Air Leakage) SPedfm6on Points Standwd 0 6. Giass Heat Loss Total Exterior Slab Floor Raised Floor Mass ' L) -value Stxies Percent 0 0 0 Stories .51 to AI to .31 to 0.30 or Glass Single Double .60 .50 .40 less 50 -121 -53 -39 -24 .10 4 40 -90 -37 -26 -14 -3 8 35 -75 -29 -19 -9 1 10 30 -61 -21 -13 -4 4 -12 29 -58 -20 -12 -3 5 12 28 -55 -18 -10 .2 5 13 27 -52 -17 -9 -2 6 13 26 -49 -15 -8 -1 7 14 25 -46 -14 -7 0 7 14 24 -43 -12 .5 1 8 14 23 -40 -11 -4 2 8 15 22 -37 -9 3 3 9 15 21 -34 -7 -2 4 10 15 20 31 -6 0 5 10 16 19 -29 -4 1 6 11 16 18 -26 -3 2 7 12 16 17 -23 -1 3 8 12 17 16 -20 0 4 9 13 17 15 -17 1 6 10 14 17 14 -14 3 7 10 14 18 13 -12 4 8 11 15 18 12 -9 6 9 12 15 19 11 -6 7 10 13 16 19 10 3 9 11 14 17 19 9 -1 10 13 15 17 20 8 2 12 14 16 18 20 7. Shading (Shade Open) Effadve Pet t claw (percent S1aa9 x SC) Effective %Glass North East South West Skylight 9. Interior Thermal Mass Interior Exterior Slab Floor Raised Floor Mass Mass Stxies 0.00 0 0 0 Stories 3 2 1 /CFA One Two Three One Two Three 0.0 -8 -5 -4 -2 -1 .1 0.1 -8 -5 3 -1 0 0 0.3 -7 -4 -2 0 1 1 0.5 -6 -3 -1 1 1 2 0.7 -5 -2 -1 1 2. 2 0.9 -5 -1 0 2 3 3 1.1 -4 -1 1 3 4 4 1.3 -3 0 2 3 4 5 1.5 -3 1 2 4 5 5 2.0 -1 2 4 5 6 7 2.5 0 3 5 7 7 8 3.0 1 4 6 8 8 9 3.5 2 5 7 9 9 10 4.0 3 6 8 9 10 10 4.5 3 7 8 10 - 11 11 5.0 4 7 9 11 12 12 5.5 5 8 9 11 12 12 6.0 5 8 10 12 '13 13 6.5 6 9 10 12 13 13 7.0 6 9 11 13 13 14 7.5 6 10 11 13 14 14 8.0 7 10 11 13 14 14 8.5 7 10 12 13 14 15 10. Exterior Wall Thermal Mass Exterior Simple- Single - Wall Femur Family Multi Mass Detached Attached Family 0.00 0 0 0 0.20 3 2 1 0.40 5 4 3 0.60 8 6 4 0.80 10 8 5 1.00 13 10 7 1.20 13 12 8 1.40 12 13 9 1.60 10 13 11.. 1.80 10 12 12 200 10 11 13 11. Heating System 10 SE or HSPF 3 (assumes ducts in attic) 2 Sum of 1.6 9 -25 or -24 m .14 to 4 to +6 to 16 or -SE HSPF less -15 -5 +5 +15 more 0.72 6.60 0 0 0 0 0 0 0.75 6.88 3 3 3 2 2 1 0.80 7.33 8 7 6 5 4 3 0.85 7.79 13 11 10 8 7_ 5 0.90 8.25. 17 15 13 11 9 7. 0.95 8.71 20 _ _ 18:--: 15._ 13 11 8 4 Effective SE or HSPF (SE or HSPF x duct efficiency) Effective -25 or -24 to 44 to4 to +6 to 16 or SE HSPF less -15 -6 +5 +15 more 0.30 275 -73 -64 -56 -47 -38 -30 na 3.41 -45 -39 -34 -29 -24 -18 0.40 3.67 .-34 -30 -26 -22 -18 -14 0.50 4.58 -10 -9 -8 -7 -5 -4 0.56 5.13 0 0 0 0 0, 0 0.60 5.50 5 5 4 3 3 2 0.70 6.42 17 15 13 11 9 7 18 5 1 4 1 na 16 4 2 5 1 na 14 4 2 5 1 na_ 12 3 3 5 2 na 11 3 3 5 2 na 10 2 3 5 2 1 9 2 3 5 2 2 8 2 3 5 2 2' . 7 1 3 4 2 2. 6 1 3 4 2 3 5 1 2 4 2 3 4- 0 2 3 1 3 3, 0 1 2 1 .3 2 0 0 1 0 3 1 .1 -1 -1 -1 2 - 0 -1 .2 -4 -2 -18- 1a = not allowed Effective -25 or ,24 to .141D lB. Shading (Shade Closed) 461D 16 or Effective Pereatt Glass less .15 •6 (percent alas x SC) _ more 5.0 -30 -25 -21 -17 %Glass Nab East South west OWlight 18 -14 -48 -69- -64 -na 16 -12 -42 -59 -55 - na 14 -10 -35 -50 -46 na 12 -8 -29 -40 -37 na 11 -7 -26 -36 .33 na 10 -6 -23 31 -29 -74 9 -5 -20 -27 -25 -65 8 -5 -17 -23 -21.. -56. 7 -4 -14 -19 -18 -47 6 -3 -11 -15 -14 .38 5 .2 .9 -11 -10 -30 4 -1 -6 -8 -7 -23 3 0 -4 -5 -4 -16 2 1 .1 -2 -1 -9 1 1 1 1 1 -4 0 2 3 4 3 0 na . not allowed 6 -5 IG None .. -8 0.80 7.33 25 22 19 16 13 10 0.90 8.25 32 28 24 20 17 13 1.00 9.17 37 32 28 24 19 15 Zonal Control Adjustment System Type Resistance 10 9 7 6 4 3 Other 6. 5 4 3 2 2 12. Cooling Syst•,m SEER (assume; ducts In attic) Sten of 7-10 Zonal Control Adjustment 10 8 7 6 4 3 No Cooling System Installed -Stories -25 or -24 to r14 to -4 to +6 to 16 or SEER lest -15 I -6 45 +15 more 8.0 -14 -12 .10 -8 -6 -4 8.5 -9 -7 -6 -5 •4 -3 8.9 -5 -4 -4 -3 -2 -2 9.0 -4 -3 -3 -2 .2 -1 9.5 0 0 0 0 0 0 10.0 4 3 3 2 2 1 10.5 7 6 5 4 3 2 11.0 10 9 7 6 4 3 12.0 15 13 11 9 7 5 13.0 20 17 14 12 9 6 -18 -12 ERettive SEER -7 -6- WSB.. (SEER )fduct efficiency) •-16 -12 -10' Sim of 7-10 -18- _-12 Effective -25 or ,24 to .141D -410 461D 16 or SEER less .15 •6 +5 415 more 5.0 -30 -25 -21 -17 -13 .9 6.0 -12 -11 -9 -7 3 -4 6.6 -5 -4 -4 3 -2 -2 7.0 0 0 0 0 0 0 8.0 9 8 6 5 4 3 9.0 16 14 12 9 7 5 10.0 22 19 • 16 13 10 7 11.0 26 23 19 15 12 8 12.0 30 26 22 18 14 9 13.0 33 29 24 20 15 10 Zonal Control Adjustment 10 8 7 6 4 3 No Cooling System Installed -Stories North b. East c. South One -5 -4 -4 -3 -2 -2 Two + 3 3 .: 2 2 2 1' Single -Faintly odaehed and Attached Skylight 9. , Interior Thermal Mass I Unit Size [sq Water :199 12M' '1700 2200. 2700 Heater Credit or q w to . to or. Type Type less 1699 2199 2699 more .I SG None 0 0 0.. 0 0 . or Solar 12 " 8 . 6 5 .. 4 HP ' HWR 8 5 4 3 _.3 WSB 5• 3 3 2 2 POU 8 5 4 3 •3_ SE None 37 -24 -18 -15 -12 Solar -1 .1 -1 0 0 HWR -18 -12 -9 -7 -6- WSB.. -25 •-16 -12 -10' -8 - POU -18- _-12 -9 _ -7 .6 IG None' .5 -3 -2 -2 -2 Solar 7. 5 4 3 2. POU 3, 2 1_ 1 1 IE None -28 -19. -14 -11 -9 Solar 8 5 - 4 3 3 POU -10 ' .A -5 -4 -3 Multi-Famib (Individual units) - &3 IS' l6 3.9 4.1 water 699 700�1� 5 i 700 2200 Heater Credl Or to to 1111 Or Tree Type. less 1199 1699 2199 more SG None 0 0 0 0 0 or Solar 14 7 5 4 3 HP HWR 9 5 3 2 2 WSB 9 4 3 2 2 POU 9 5 3 2 2 SE None 45 -23 -_15 -11 -9 Solar 2 1 1 0 0 HWR -23' -12 -8 -6 .5 WSB -25 -13 .8 :6 -5 LL- 32 :.-fie :. 6 -5 IG None .. -8 -4 -3 -2 `-2 Solar... 6 3 2 1 1 - POU_._. - -0 0. 0 0 IE None 30 -15 -10 - .g . 3 Solar 18 9 6 4 4 OU -8 5.1 -3 -2 -2 - Interior MasslCFA T"z 2 MAss North b. East c. South d. West _ .. e. Skylight 8: _.Shading (Shade Closed) a. North b. East c. South d. West _ e. Skylight 9. , Interior Thermal Mass . Point Total: 77.1•ut11C•6.71 Ic_rpa.O •l�bl i � I TYPE 1 MASS (UIMC & 4.2, le: eu sod slab) _ Oi 5% 10% 15% 20% 25% 30% 35% 40% 45% 50% 55% 60% Otic 70% 75%, 80% a5% 90% 05% 100% 105% 110% 115% 120% 125` 0% 0 0.2 0.4 0.6 0.8 1.1 1.3 1.5 1.7 1.9 21 2.3 2.5 2.7 2.9 3.2 3.4 9.6 3.8 4 4.2 4.4 4.6 4.8 5 5.3 to% 0.2 0.4 0.6 0.8 1 1.2 1A 1.6 1.9 2.1 23 25 27 2A 9.1 •3.3 3.5, 3.7 4 4.2 4.4 4.6 4.6 5 5.2 5.4 20% 0.3 0.6 0.8 1 1.2 1.4 1.6 1.8 2 2.2 -24 27 29 3.1 &3 IS' 3.7' 3.9 4.1 4.3' 4.5 4.8 5 5.2 &4 56 30% 0.5 0.7 0.9 1.1 1.4 1.6 1.6 2 22 2.4 26 28 3 32 3.5 3.7 39 4.1 4.3 4.5 4.7 4.9 5.1 S.3 5.6 So 40% 0.7 0.9 1.1 1.3 1.5 1.7 1.9 2.2 2.4 26 2.6 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 50% 0.9 1.1 1.3 15 1.7 1.9 21 23 25 27 3 32 3.4 3.6 ae 4 42 4.4 4.6 4.8 5.1 S.3 5.5 5.7 5.9 6.1 5S% 0.9 1.1 1.4 1.6 1.8 2 2.2 24 2.6 26 3 32 3.5 3.7 9.9 4.1 4S 4.5 4.7 4.9 5.1 5.3 5.6 5.8 6 6.2 60% 1 12 1.4 1.7 1.9 21 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4A 4.6 4.8 ' 5 5.2 5.4 5.6 52 6.1 63 65% 1.1 1.3 1.5 1.7 1.9 22 2A 2.6 2.8 3 3.2 94 3.6 3.8 4 4.3 4.5 4.7 4.9 • 5.1 5.3 55 5.7 5.9 6.1 64 70% 1.2 1.4 1.6 1.8 2 22 25 27 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.3 '4.6_ 4.8 5 , -5.2 5.4 5.6 58 6 6.2 64 75% 1.3 15 1.7 1.9 21 23 25 2.7 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5.1 '5.3 5.5 5.7 5A 6.1 6.3 6.5 80% ' 1.4 1.6' 1.8 2 2.2 2.4 26 2.8 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.0 5.1 5.4 5.6 5.8 6 6.2 64 66 65% 1.4 1.7, 1.9 2.1 2.3 25 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.6 5 5.2 54 5.6 5.9 6.1 6.3 65 67 90% • 1.5 1.7 2 2.2 24 26 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 53 5.5 5.7 5.9 6.2 6.4 66 6a 95% 1.6 . 1.6 2 2.2 25 27 22 3.1 33 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 5.2 5.4 5.6 5.8 6 6.2 6.4 6.7 6.9 10D% 1.7 1.9 21 2.3 2.5 28 3 3.2 3.4 3.6 9.8 4 4.2 4.4 4.6 4.9 5.1 5.3 55 5.7 5.9 6.1 6.3 6.5 6.7 7 105% 1.6 2 2.2 2.4 2.6 28 3 3.3 3.5 3.7 3.9 4.1 4.3 45 4.7 4.9 5.1 5.4 5.6 5.8 6 6.2 6.4 6.6 6.8 7 110% 1.9 2.1 2.3 25 27 29 9.1 3.3 3.6 3.8 4 42 4.4 4.6 4.8 5 52 5.4 5.7 5.9 6.1 6.3 6.5 6.7 6.9 7.1 115% 2 22 2.4 2.6 2.8 9 9.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 62 6.4 '8.8 6.8 7 7.2 120% 2 2.3 2.5 2.7 29 3.1 3.3 3.5 3.7 3.9 4.1 4.4 4.6 4.8 5 5.2 SA 5.6 50 6 6.2 6.5 6.7 6.9 7.1 T.3 ' 125% 2.1 2.3 2.5 2.8 3 32 3A 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 55 5.7 5.9 6.1 6.3 6.5 6.7 7 7.2 7.4 Point System Summary: Climate Zone 11 SCORE CARD 1. Ceiling Insulation 2. Wall Insulation 3. Raised Floor Insulation 4. Slab Edge Insulation S. Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) a. - North b. East c. South d. West _ .. e. Skylight 8: _.Shading (Shade Closed) a. North b. East c. South d. West _ e. Skylight 9. , Interior Thermal Mass 10. Exterior Wall Mass 11. Heating System'! 4, . Zonal Control? ( Y / N ) 12. Cooling System Zonal Control? ( Y / N ) 13. Water Heating Measures le -')0 OT -value//[38) U -value [0.030) Je Or v e [ lj U -value [0.098] �y to R -value [ 19) U -value [0.037) Or R -value [0] F2 factor [0.77] Standard Type [double] U -value 10.65] % Total GLe [ 161 % Glass SC Eff. % Glass �_ X--- _ 11.5 X 3• V7 ,2-7 X = X = % Glass SC Eff. % Glass 5 x•G� - ,'j� � S X _ Cz- �•,L X O X TYPE 1 MASS AREA 8 Interior W- s1CFA COND . FLOOR AREA a TYPE 2 MASSR AREA AREA ND _ M $ Exterior Wail Masa . L Point Scores s 0 VL GO Sum 1.6 0 -a . Sum 7-10 • X o SE or HSPF Duct Efficiency 10.781 Effective SE or [0.72/6.6) HSPF (O.Sb/5.151 - X SEER [9.51 Duct Efficiency [0.74] Effective SEER [7.031 Type [SGJ Credit [none] . Point Total: