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HomeMy WebLinkAbout025-060-031A p '-7 25-06-31 2209E LEO LEO GWARTNEY ARTNEY,7;o --1712P 689 Lattin Rd, Biggs '5 219 E Per-mit#3242-81B (4ero cF) r% E of Dos 1 s DWI" 025-06-0-:031, 93-2159 BPE n/s below Lattin Rd. 200t T Y M E. Biggs ARTN GW9: EY, MABEL I � CONTR: Arinda Construction, 689 Oro Dam B:Lvd- 689 LATTIN,RD, BIGGS ADD BATH TO GARAGE (new, single family), Orovilb 025-060-031 06-1986 MELTON, EDWARD 689 LATTIN RD,"BIGGS Cont: OWNER ELEC(NEW'P'ANEL)-. A LM BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP061986 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. I LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter T(commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license Is In full force and effect. License Class : License Number: Date: Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Stale License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): Rr I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the Bess anted Professions Code Date:. d-�7-Wl Owner: —�G WORKERS' COMPENSATION DECLARATION I 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 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Issued Date: 08/17/2006 APN: 025-060-031-000 Site Address: 689 LATTIN RD BIG Map Index: Description: ELECTRICAL SERVICE UP GRADE (NEW PANEL) Owner: MELTON EDWARD S JR & DEBBIE K 689 LATTIN RD BIGGS, CA 95917 (530) 868-1760 Applicant: MELTON EDWARD S JR & DEBBIE K Contractor: License #: Architect: Engineer: 689 LATTIN RD BIGGS, CA 95917 Policy #: IdII-7 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to otal Square Ft: 0 S.F. become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' Valuation: $0.00 compensation provisions of Section 3700 of the Labor Code, I shall Census Code: forthwith comply with those provisions. Date: Applicant: WARNING:- Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. �-� c.t) CONSTRUCTION LENDING AGENCY This permit is hereby, issued under the ap cabl provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolu ' ns to do rk indicated above or w ' h fees have been paid. / /) performance of the work for which this permit is issued (Sec 3097 Civ.) Date: Name: By. _ n PERMIT EXPIRES ON: / Address: Date ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the 9wner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document utte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: Signature: Date: \Owner 0 Contractor 0 Agent for Owner 0 Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION 1 AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Name Q ` irst Narim Address City <g .t State CA Zip 9S Co.-) Phone `, O Fax E-mail __APPLIC4flTS19NATURE X For office use only: CONTRACTOR Name &I CJCs d H— Address n {-► h R6. City Subdivision Name Map State Zip Phone t-ICoo Fax E-mail' Lic. # Class __APPLIC4flTS19NATURE X For office use only: ARCHITECT/ENGINEER Name &I CJCs d H— Address n {-► h R6. City Subdivision Name Map State Zip Phone t-ICoo Fax E-mail State License Number __APPLIC4flTS19NATURE X For office use only: APPLICANT INFORMATION Name &I CJCs d H— Address n {-► h R6. City Subdivision Name Map Stated ZipgSg Phong t-ICoo Fax E-mail __APPLIC4flTS19NATURE X For office use only: Zoning Flood Zone SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERNUT � N/9 aa� r j BP BIN # PROJECT LOCATION API Prop Addr ss (?If ��-�,,1, FIA Ci Cross Street -Dos 9 iO WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Page 1 of 2 Description or Scope of Work: ? `/D Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. GU Received by: Amount: Bldg SRA Receipt #:i r/ Sheriff V / SMIP Q�� / �J� Other Date: Total REV 8-12-05 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxesl '❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer.. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioners office (if required). O 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538.7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION K1FORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 ! l OWNER -BUILDER VERIFICATION l 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 material for construction of this proposed property improvement: YES �:,q NO [ ]. 2. I HAVE [Z] 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: PHONE: CONTRACTOR'S LICENSE NO: 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: _ ADDRESS: 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: NAME ' ADDRESS PHONE TYPE OF WORK SIGNED: . PROPERTY OWNER: 'e��e/An/ DATE: 7— 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. Rev'd 11/4/2004 Butte County Department of Development Services TIM SNELLINGS, DIRECTOR l PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile www.buttecounty.netldds OWNER -BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they, apply. If you plan to do your own work, with the exception of various trades that your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers' compensation insurance, disability insurance costs, and unemployment compensation contributions. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner-builder"=building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321-CSLB (2752) or by accessing their website at www.CSLB.ca.gov. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerely, Scott Rutherford Manager, Building Divi NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BPO50610 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION _ I hereby affirm under penalty of perjury that I am licensed under Issued Date: 06/03/2005 APN: 025-060-031-000 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. Site Address: 689 LATTIN RD BIG,. License Class License Number: : Map Index: Date: • Contractor: Description: SF ADDITION 420 SQ.FT./GARAGE 900 SQ OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the FT/COV. P.11F SQ. FT. Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: MELTON EDWARD S JR & DEBBIE K to its issuance, also requires the applicant for .such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's Slate License Law (Chapter 9 commencing with Section 689 LATTIN RD 7000) of Division 3 of the Business and Professions Code) or that he or BIGGS, CA she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the 95917 applicant to a civil penalty of not more than five hundred dollars ($500).): I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and -the- structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' Stale License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: MELTON EDWARD S JR &DEBBIE K such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one 689 LATTIN RD year of completion, the owner -builder will have the burden of BIGGS, CA proving that he or she did not build or Improve for the purpose of sale.). 95917 ❑ 1, as owner of the property, am excluslvely contracting 'with licensed contractors. to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: ❑ I am Exempt under Article 33oof thefesssions Code Business and Professions -� 05 � "" - w8i Date: Owner: _ty WORKERS' COMPENSATION DECLARATION I 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 License #: Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of Architect: the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Engineer: Carrier: Policy #: 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, Total Square Ft: 1432 S.F. "IZ Valuation: $50,692.00 and agree that if I should become subject to the workers' Census Code: compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply withthose provisions. Date: Lp 1.3 Applicant: WARNING: Failure to secure workers' compensation coverage Is i unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of i compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. I CONSTRUCTION LENDING AGENCY This permit is hgreby Issued,15ndeff the applica pr sions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the of the work for which this is Issued (Sec 3097 Clv.) above for Ic shave been paid. Resolutions t do wor ndi715-5-6,5— performance permit By: D`a�te: Name: Address: PERMIT EXPIRES ON: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, f handling and use of hazardous materials. ❑ Notification in accordance with Section 18827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. i ❑ Attached are copies of the required E.P.A. notification forms. duly the I to with I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the authorized agent of owner. agree comply ,all county and state taws relating to building construction. I acknowledge It is unlawful to alter the substance of any official form or document of Butte County. I hereby 'authorize representatives of Butte County to enter upon the above mentioned property for Inspection purp `L ni-14t14, Print Name: -.-,1 1 { le -1 Signature: c I Date:-L����� jJ�Ener C3 Contractor C3 Agent for Owner ❑ Agent for Contractor li BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.net/dds 3S **PLEASE PRINT CLEARLY" OWNER Last Name lie irst Name r Address City l Stlt Zip 1;�/7 Phone g-� Fax E-mail APPLICANT NAME CONTRACTOR. Name City Address Zip City -K6 Ul State Zip Phone Page Fax E-mail Date Approved: Lic. # Class APPLICANT NAME ARCHITECT/ENGINEER Name City Address Zip City -K6 Ul State C?g- Zip Phone Page Fax E-mail Date Approved: Stale License Number APPLICANT NAME Name Address City State Zip Phone Fax E-mail APPLICANTIGNATURE X For office usp, only: Zoning Flood Zone SRA Yes o Occ. Type Const. 04 lo Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. 66� BP BIN # _ld LOCATION Property AddressCity O ten/ oC.fl Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Y. MI M'0= q4—Bldg Received b : Amount: Bld SRA Receipt #� Sheriff SMIP 644 A67h 1q Other Date., ^ 0 _.1 �„ / �/ 1 Total KAFORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 REV 2-24-05 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable: OVER FOR BUILDING PERMIT APPLICATION KAFORMSWILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 ,r...:?...,�..-.�-.-.. ... �v--+---y--- �--�r.......:,�-..-._.4-.,t�y.._.�-.r�+'..•«. �..^�y` n ^,-••.o-�„-".z„r,,.w�-'�r+tij.,�..��•�....�w���/�%�(iJ ` �t COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES-BUILDING61-VISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: 10 _ ASSESSOR PARCEL NUMBER ( s� Proposed Building Use: )• At T (/ Counter Technician: ' I Date: J -/4 --)5 • F Items required in order to apply fbr a permit. II boxes MUST a checked OR marked NA in order to apply. 11 1. Site plans, 3 or 4 sets, signed by the preparer of the plans.. .� 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. J- 0 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. 4. Engineered truss details and layouts in duplicate. No faxes! 0 5. Letter from Engineer or Architect for truss design review. " .t©l 6. Energy compliance design and supporting *'documentation in duplicate. �❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst. (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form rJn ' Sanitation and site plan approval from the Environmental Health Department in ❑ Chico DAroville, as applicable.3/� �� I ❑ S6. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following. items.) ❑ 17. Fire Sprinklers............................................................................................ )1 j ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by_.. ❑ 19. Soils R6port and/or Engineered. Foundation required..........................................rv=-f ��' ........ 20. Erosion Control Plan Required.......................................................................11 ........ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ' 22. City of Chico Plumbing permit........................................................................ N At •' r:� ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: 24. Planning approval (A) Use: �(B)Parking: (C) Parcel Check:_ ❑ 25. Contact Land Development about _ Improvements, _ Drainage .................. 26. NPDES Form.......................................................... ............................ ❑ 27. Encroachment Permit for driveway from the Public Works Dept.; .................. r� - ❑ 28. Pre -Inspection for required ❑ 29. Contractor's license information. (Number, Name Style, Classification)...........' - .t 30. Worker's Compensation Carrier and Policy.Number.................`.................. 31. Owner -Builder Verification (40ven to owner, _Mailed to Signatureowner)...............' , ' • L� �art- (• ❑ 33. Recorded co of Agricultural al Acknowled ment Statement ...............} ..........� ��� Py 9 9 - ❑ 34. Manufactured. home utility clearance...... - 7-q ❑ '35. Existing violations and/or expired permits ................................................... 11 ❑ 36. Deed Restriction.............................................................................. I.....'- ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal,Owner, ❑ Check to H.C.D. $ i ❑ 38. Other: - ❑ 39. Other-.- When ther:When issued Telephone Leo ar and hold for pickup. t I I have been informed of the above items and requirements for obtaining a building permit. Applicant: Date: 1. Index per I p icat on o�/ ve items numbered: ._ f 3 Plan Check Letter 2. Additional items requ' Contractor, designer owner, as advised of the above data by pho , ❑ mail, ❑ counter, by Date: ani Contractor, design was advised of the above data y one, ❑ mail, ❑ counter, by ate: Plans reviewed by. Date: u Plans approved by: Date Structural reviewed by: Date: tructural approved by: Date: Note transfer by: Date: d tj Yellow: Building Division IN TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner ` Location Plan Approved for: Sewage Disposal. Water Supply: Clearance16- for dwelling. Other 1; ,tJ I �1 Hold final for: Final clearance O.K. for: NOTE: E.H. USE ONLY Fiat Plan Attached--- Floof Plan Attachad Sant to S.D. �— AP# Private We Environmental Health Specialist Date 8/96 COUNTY OF BUTTE 0� DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 OF FEES DUE OWNER. I I FL,I ILA ( ut PROPOSED BUILDING USE A4f Y 1. BUILDING PERMIT FEES --Balance Due ........................................................ $ . �Y --Additional Fees Due ............................................ $ --Additional Fees Due ............................................ $ --Revised Plan Checking Fee .................................. $ 2. SCHOOL DISTRICT FEES C4fl (paid at District Office) '3. SHERIFF FEES (paid at Building Division) Residential .................................... x $360.00 = $ Units Commercial (sq. ft.) ...................... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES Residential ............................. ........................... x = $ # Units Amt. Commercial (Sq. ft.) ............. x = $ Sq. ft. Amt. 5. RECREATION DISTRICT FEES 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) ���� �V v�� 7 SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) A.P. # 0d5_ 0--631 31 DATE -�— 10-05 RECEIPT # DATE REC. y506 `i1 G_-�-6 6�3-OF 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT DATE Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00) 01, p < o < Ac�UN�yS AUC WORD . Department .0 ® u n t J. Michael Crump, Director ®f Public Works LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville, CA 95965 (5.30) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm dilater Permit and Storm Nater Pollution Prevention Plan (SWPPP) Acknowledgement LLESS THAN 1 ACRE Project Description: s-6&46 Project Location and/or Parcel Number: 11&0 �[J� By signing below, I, the project owner/owner's agent, certif that this project WPI, NOT DISTURB 1 acre -or more.of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that, submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: —o Date: Less than I Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 Butte County Department of Development Services o��rrFo 7 County Center Drive o o o y o =' Oroville, CA 95965 0 -Y*- -- o (530) 538-7601 Telephone ° "'' ° (530) 538-7785 Facsimile c00R BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize the Building Division to process this building permit application through the plans examination process WITHOUT first obtaining all necessary, related permits and clearances from other regulatory entities, including but not limited to, Planning, Environmental Health, Land Development, County Fire, and Agriculture. I hereby acknowledge: • I need to submit applications for septic and/or well to Butte County Environmental Health immediately. • I am required to bring the approved Environmental Health site plan and approved sanitation clearance to the Building Division as soon as clearance is obtained • I am responsible for notifying Development Services, in writing, to stop processing of the application and to arrange for disposition of plans. The Building Division will process the application through the plans examination process, as submitted, without input from other regulatory entities that could prohibit issuance of the building permit or re uire submission of amended building -plans to the Building Division. Once the plans examination process begins, there will be no refund of plans examination fees. Any changes requiring submission of amended plans to the Building Division will incur additional fees. Within one year from the date of application for a building permit, all other required permits and clearances from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances will void the application. Typically other required permits/clearances include, but are not limited to, verification the parcel was legally created, adherence to all mitigations and conditions imposed on the parcel at time of creation, as well as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture buffer zones, and habitat/species). Please print: Applicant Name: 426/ Z26f Z2�Z2 12 5/5— APN: Building site address: �g���i�/ Permit No.: I have read, understood and accept the terms and conditions as expressed herein as indicated by my submission of the above- efere ed building permit application and my signature below: 3-10--5 SIGNA kE O APPLICANT DATE Copy to Applicant/EH/File _ K:Fonms/BldgPennitwithoutClearances 020705 S ►1�t-� Y C acs . (!X5 00 Nov Mo V4 k- 1 oc-% -" Vc— S LA!S 65»G 15- t N PON AAE-M- 'Z LO s S eS, AFVJc t+CAT A t , cb n to No ve"C&A 1 is n 10oU12 St Z i!5' AW OEP CERTIFICATE OF COMPLIANCE (Part l'of 3) 'LTG -ii PROJECT NAME I DATE I Und PRINCIPAL DESIGNER -LIGHTING TELEPHONE DOCUMENTATION AUTHOR TELEPHONE En, 5 me -t nG GENERAL INFORMATION DATE OF PLANS BUILDING CONDITIONED FLOOR AREA CLIMATE .ZONE BUILDING TYPE 13 NONRESIDENTIAL ❑ HIGH RISE RESIDENTIAL ❑ HOTELIMOTEL GUEST ROOM PHASE OF CONSTRUCTION ❑ NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION ❑ UNCONDITIONED (file affidavit) 1:1 COMPLETE BLDG. 0 AREA CATEGORY E]TAILORED 11 PERFORMANCE STATEMENT OF COMPLIAKCE DOCUMENTATION AUTHOR SIGNANURE DATE The b"-,'- `rt 6`s,_�' t ign:- )resente%,..jh`_;jh ',!'of.'.Con construction. documents i is' consistent �P P9 Plh hereby ce I I the ?bpb96 Designer with the bother" the'specifications, and vvith; any other .calculations submittetl With this permit applica_:M designed e righting 'jana "A stq q In a I r' -,equirernep,,t' t'- d"' 'Ithe i,-600 -MJ16�',Oaft'si�V` qd. t i 6 6 f 'U5 i t 16 jj , n Vi Q 'N. e --un er.- e,provi§jpp!�, to §@h this doeurnent as 16 "' :i..::licensed, '.the . State engineer' or electrical h prsonfresponspej. p ,rppara io.;h­ a a arn , _engineer, ior I am licensed arcI eq. Professions Code 1511. C.' -2'br eligibI6."' hd&h ',"D ;"'40iVisidn:73� f , _t V isions, this -a- icer e n .�as�.. .-:,Person;responsible'--fdr. its 'p' r" ;1h";af 67,37 3 t -e ,jam ...-perfiorming 1h4S"-'w_'­6;rk- - ;J, 1 affirm that I am eligible under Ivisron 3 ofthe Business Professions ode:: t.-rsign this document - K Use it pertains `stfy'ct6r'6.'b rjy e. .0,.Js..;exempt ;pursUan 6s§ - and; ­ tons. 5537,5538 and 6737 1 iThese 3 E USI, t and S ibn ;d6d Iq.qn,rQsid., Phy I.:. . PRINCIPAL LIGHTING DESIGNERS NAME qIrZI`xIATI IRF' nAT9= I ir. ft LIGHTING MANDATORY MEASURES K Indicate 'p"i6h on plans -&, Ni6to"Bloc'.'K for Mandatory Measure INSTRUCTIONS TO APPLICANT For detailed instructions on the use of this and all Energy Efficiency Standards compliance forms, please refer to the or detailed Nonresidential s onresidential Manual published by the California Energy Commission. 0 i L L _ I -1: Required on plans for all submittals. Part 2 and 3 maybe incorporated in schedules on plans. LTG -1: Rea LTG -2: Required for all submittals. !LTG -3: Optional. Uses only if lighting control credit's are taken." I" LTG -4: Optional. Part 2 and 3 and I T(;-5 am nntinnni if Tnilnrnfil•AA=fhnr1;F­­4 Nonresidential Compliance Forms August 2001 BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District 1 <;�7 . A.P. Number b --or 5 6too , Jurisdiction: City roperty Property I-= Subdivision Residential Building Department No. County Commercial/Industrial New Addition Building Department Sq. Footage v (Group R) .....................................................................:.... ....... _........... ..... Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Sq. Footage (Including Exterior Roofed Areas) lan Date District Identification No. �l�V l'� C J �� �Y lie. School District certifies- that (Street Address) (City) has complied with the requirements of Resolution No. representing 2 square feet School District Representative (State) 6I MmGATION (Applicant) (Phone Number) (Zip Code) by payment of $ N $ k t Date Paid by Check 8 Remarks: Notloe: You may protest the Imposition of the fees Identified above by submitting a written protest to the District, In compliance with Government Cods Section 66020(x), wfiMn 90 days from the date hes are paid. Failure to submit a timely written protest wlll'prohibit you from ehalierging the Inposltlon of the hes In any court action. if, subsequent to the School Dhrbid Representative signing this Butte County Schools Impact Fee Certification Form, tie School District Is I ' notified by the applicable Local Planning Agency that this project Is being revlewed under the California Emdronrrental Quality Act (CEQAh tits project may be*~ to additional school-fees,to,fuly midgete.its Impact on the school distrieft schools. White (applicant), Yellow (building department), Pink (school district) feeform.xds 00i031dmm k 3�ILiIxChT ..^4 k. .._�. O Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return flus infonnation 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 material for construction of this proposed property improvement: YES Vi NO [ ). 2. I HAVE LO") 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: PHONE: CONTRACTOR'S LICENSE NO: 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: 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: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: DATE: (0 f.3) C� 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. Rev'd 11/4/2004 Butte County Department of Development Services ADMINISTRATION ° BUILDING' GIS `PLANNING 7 County Center 'Drive Oroville, CA 95965 (530) 538-7541 Telephone (530) 538-2140 Facsimile Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements Specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Buildi_ig 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 Califomia 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 your plan to subcontract, you should be aware of the fo'.1owing information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200 or more for the entire project and such persons'are not licensed as contractors or subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers' compensation insurance, disability insurance costs, and unemployment compensation contributions. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under state l -w, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. MicVael C. Viei-I C.B.O. Mailager, Building Inspection I NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. CERTIFICATE OF COMPLIANCE: Residential Page 1 CF -1R Project Title: Melton Addition Run: 252 14 -May -05 Project Address: 689 Lattin Rd. Melton Additon Biggs, Ca 95917 Building Title: Melton Addition Building Permit # Document Author: Jake Finlay Telephone: 530-533-0487 Plan Check / Date Compliance Method: CALRES2 1.4.02 Field Check / Date Climate Zone: 11 GENERAL INFORMATION Conditioned Floor Area: 465 ft2 Average Ceiling Height: 8'0" ft -in Building Type: SFD Single Family Detached Building Front Orientation: 180 deg (South) Glazing Area, % of Floor Area: 23.8% Average Fenestration U-Value:0.40 13.5 Average Fenestration SHGC: 0.27 Number of Stories: 1 Number of Dwelling Units: 0.20 Floor Construction Type: Slab on grade BUILDING SHELL INSULATION FLOOR TYPES AND AREAS Construction Type Area (ft2) Conditioned? Exterior Conditions/Descripti --------------------------------------------- ------------------------- Slab 465 Yes Grade FENESTRATION Area Fenestration Fenestration Type/Orientation Cavity Sheathing SHGC ----------------- Window South Component Insul Insul Total Assembly 13.5 Type --------------- R -value -------- R -value R -value U -value Location/Comments Door 0 -------- -- -------- 3.03 -------- 0.330 ----------------------- Outside Wall 13 0 11.36 0.088 Outside Wall 13 0 11.36 0.088 Outside Wall 13 0 11.36 0.088 Outside Wall 13 0 11.36 0.088 Outside Wall 13 0 11.36 0.088 Unconditioned Wall 13 0 11.36 0.088 Outside Ceiling 38 0 41.67 0.024 Attic Floor 0 0 3.38 0.295 Grade FLOOR TYPES AND AREAS Construction Type Area (ft2) Conditioned? Exterior Conditions/Descripti --------------------------------------------- ------------------------- Slab 465 Yes Grade FENESTRATION Area Fenestration Fenestration Type/Orientation (ft2) U -factor SHGC ----------------- Window South ----- ------------ 43.5 ------------ 0.40 0.26 Window West 13.5 0.40 0.26 Window North 13.5 0.40 0.26 Window East 13.3 0.42 0.42 Window East 27.0 0.40 0.26 Exterior Overhang Shading and Fins BugScrn None BugScrn None BugScrn None BugScrn None BugScrn None 8c-rn� e�►°Y CERTIFICATE OF COMPLIANCE: Residential Page 2 CF -1R Project Title: Melton Addition Run: 252 14 -May -05 THERMAL MASS Area Thick Type Cover (ft2) (in) Location/Comments ----------------------- ----- ----- ----- --------------------------------- None HVAC SYSTEMS Refrigerant Distribution System Charge and Location Type Efficiency Airflow TXV and R -value -------------------------- ---------- ----------- ------------------- Furnace 0.92 AFUE N/A Attic R-4.2 Air cond. - central split 12.00 SEER Yes Attic R-4.2 HVAC DISTRIBUTION EFFICIENCY DETAILS Duct Leakage Supply Target Duct Surface ACCA Manual D (leakage cfm/ System Name Area Design % of fan cfm) Fan CFM -------------------------------------------------------------- CEC 100%R4.2 126 No n/a 326 WATER HEATING SYSTEMS Distrib Water Water #.of Energy Volume System Name Type ------------ Heater Name Heater Type Htrs Factor (gal) -------- Gas.70EF Standard ------------ Gas.70EF ----------------- Storage gas ---- 0 ------ 0.70 ------ 50 SPECIAL WATER HEATING SYSTEM CREDITS Solar savings Wood stove Wood stove System Name fraction boiler? boiler pump? ------------------------------------------------ Gas.70EF -- No No SPECIAL WATER HEATER/BOILER DETAILS Rated Pilot Water Recovery Input Standby Tank Light Heater Name Efficiency AFUE (kBtuh) Loss R -value (Btuh) -------------------- -- -------------------------- ------ Gas.70EF 76% -- 36.00 -- -- -- HYDRONIC DISTRIBUTION AND TERMINALS Pipe Pipe Insul Insul System/Name Type Number run (ft) diam (in) thck (in) R -value -------------- --=---------- ------ -------- --------- --------- ------- None CERTIFICATE OF COMPLIANCE: Residential Page 3 CF -1R Project Title: Melton Addition SPECIAL FEATURES, REMARKS, AND NOTES 1. Heating duct register location: Ceiling. 2. Cooling duct register location: Ceiling. Run: 252 14 -May -05 3. A Thermostatic Expansion Valve must be installed in the cooling equipment. COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with the Energy Standards in Title 24, Parts 1 and 6, of the California Code of Regulations, and the Administrative regulations to implement them. This certificate has been signed by the individual with overall design responsibility. When this certificate of compliance is submitted for a single building plan to be built in multiple orientations, any shading feature that is varied is indicated in the Special Features, Remarks, and Notes section. DESIGNER OR OWNER Jake Finlay Monte J. -Pratt Design 1935 Campbell Ave Oroville, Ca 95966 (530)533-0487 Cer 'fication #: S' ned Date ENFORCEMENT AGENCY Name: Title: Agency: Telephone: Signed Date DOCUMENTATION AUTHOR Jake Finlay Jake Finlay Design 1935 Campbell Ave. Oroville, Ca 959566 530-533-0487 7'd Date COMPUTER METHOD SUMMARY --------------------------------------------------- Project Title: Melton Addition Project Address: 689 Lattin Rd. Water Biggs, Ca 95917 Building Title: Melton Addition Document Author: Jake Finlay Telephone: 530-533-0487 Compliance Method: CALRES2 1.4.02 Climate Zone: 11 ENERGY USE SUMMARY (kBtu/ft2-yr) Energy Use Standard Design Space Heating 17.63 Space Cooling 12.57 Water Heating 11.89 Total Type ---------- ------ 42.09 GENERAL INFORMATION Conditioned Floor Area: Average Ceiling Height: Building Type: Building Front Orientation: Glazing Area, % of Floor Area: Average Fenestration U -Value: Average Fenestration SHGC: Number of Dwelling Units: Number of Stories: Floor Construction Type: Number of Conditioned Zones: Total Conditioned Volume: BUILDING ZONE INFORMATION Page 1 C -2R --------------------------- Run: 252 14 -May -05 Melton Additon Building Permit # Plan Check / Date Field Check / Date Proposed Design --------------- 16.40 12.30 8.99 -------- Complies 37.69 Yes 465 ft2 8'0" ft -in SFD Single Family Detached 180 deg (South) 23.8% 0.40 0.27 0.20 1 Slab on grade 1 3720 ft3 Floor Vent Zone Area Volume Thermostat Height Name (ft2) (ft3) Type Type (ft) ------------ ------- -------- ------------- ------------ ------ HOUSE 465. 3720 Conditioned CEC Standard 210" OPAQUE SURFACES Surface Area U- Insl Total Tru Slr Construction Type ---------- ------ (ft2) factor ------ Rval ---- Rval ----- Azm --- Tlt --- Gns --- Type ------------ Location/Comments ------------------- Zone = HOUSE Door 20.0 0.330 0 3 270 90 Yes CEC_30-Wood Outside Wall 244.5 0.088 13 11 180 90 Yes W13.2x4.16 Outside Wall 20.1 0.088 13 11 315 90 Yes W13.2x4.16 Outside Wall 20.5 0.088 13 11 45 90 Yes W13.2x4.16 Outside Wall 4.0 0.088 13 11 270 90 Yes W13.2x4.16 Outside Wall 176.0 0.088 13 11 270 90 No W13.2x4.16 Unconditioned COMPUTER METHOD SUMMARY Page 2 C -2R Project Title: Melton Addition Run: 252 14 -May -05 -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- OPAQUE SURFACES continued Surface Area U- Insl Total Tru Slr Construction Over - Type ---------- (ft2) ------ factor ------ Rval ---- Rval ----- Azm Tlt --- --- Gns --- Type ------------ Location/Comments ------------------- Wall 135.7 0.088 13 11 90 90 Yes W13.2x4.16 Outside Ceiling 465.0 0.024 38 42 -- 0 Yes R38.2x4.24 Attic Floor 465.0 -- 0 -- -- 180 No Slabl40C Grade PERIMETER LOSSES Perimeter Length F2 Insul Type (ft) Factor R-val ------------------- ------ ----- None FENESTRATION SURFACES Insul Depth (in) Location/Comments ----- ---------------------------------- OVERHANGS Fenestration -=------------------------ Length Height Left Right Name Width Height 'H' 'V' Extension Extension ------------ ------ ------ ------ --------- --------- --------- None FINS Left Fin Right Fin Fenestration Dist Dist -------------------------- Fin Fin Ht from Fin Fin Ht from Name Height Width Depth Height 'V' fenes Depth Height 'V' fenes ------------ ------ ------ ------ ------ ----- ------ ------ ------ ----- ------ None Fenestration Exterior Shade Over - Fenestration Area --------------- Tru --=-------------- hang Name -------------- Type ------ (ft2) ----- U -factor --------- SHGC Azm Tilt Type SHGC /Fins Zone = HOUSE ------ --- ---- ---------- ------ ------ LIVING Window 30.0 0.40 0.25 180 90 BugScrn 0.76 None OFF -FRONT Window 13.5 0.40 0.25 180 90 BugScrn 0.76 None OFF -FLT Window 13.5 0.40 0.25 315 90 BugScrn 0.76 None OFF -RT Window 13.5 0.40 0.25 45 90 BugScrn 0.76 None SLITE-LFT Window 6.7 0.42 0.41 90 90 BugScrn 0.76 None SLITE-RT Window 6.7 0.42 0.41 90 90 BugScrn 0.76 None LIVING -RT Window 27.0 0.40 0.25 90 90 BugScrn 0.76 None OVERHANGS Fenestration -=------------------------ Length Height Left Right Name Width Height 'H' 'V' Extension Extension ------------ ------ ------ ------ --------- --------- --------- None FINS Left Fin Right Fin Fenestration Dist Dist -------------------------- Fin Fin Ht from Fin Fin Ht from Name Height Width Depth Height 'V' fenes Depth Height 'V' fenes ------------ ------ ------ ------ ------ ----- ------ ------ ------ ----- ------ None COMPUTER METHOD SUMMARY Page 3 C -2R Project Title: Melton Addition Run: 252 14 -May -05 THERMAL MASS Vol Cond- Area Thck Heat duct- Construction Insd Mass Name (ft2) (in). Cap ivity Type Rval Location/Comments -------------- ----- ---- ---- ----------------- ---- ------------------------- None SOLAR GAIN DISTRIBUTION / Fenestration Winter Summer Targetted Name Fraction Fraction Thermal Mass Comments None HVAC SYSTEMS Refrigerant Minimum # of Energy Charge and Equipment Duct Location System Name System Type ------------ Airflow TXV Efficiency and R-value -------------------------- Zone = HOUSE ----------- ---------- ------------- GasFur.92 Furnace N/A 0.92 AFUE Attic R-4.2 Acsplit12 Air cond. - central split Yes 12.00 SEER Attic R-4.2 HVAC DISTRIBUTION EFFICIENCY DETAILS Duct Leakage Supply Target Duct Surface ACCA Manual D (leakage.cfm/ System Name Area Design % of fan cfm) Fan CFM ------------------------------------------------------------- CEC 100%R4.2 126 No n/a .326 WATER HEATING SYSTEMS Distrib Water Water # of Energy Volume System Name Type ------------ Heater Name Heater Type Htrs Factor (gal) -------- Gas.70EF Standard ------------ Gas.70EF ----------------- Storage gas ---- 0 ------ 0.70 ------ 50 SPECIAL WATER HEATING SYSTEM CREDITS Solar savings Wood stove Wood stove System Name fraction boiler? boiler pump? Gas.70EF -- No No COMPUTER METHOD SUMMARY Page 4 C -2R Project Title: Melton Addition Run: 252 14 -May -05 SPECIAL WATER HEATER/BOILER DETAILS Rated Pilot Water Recovery Input Standby Tank Light Heater Name Efficiency AFUE (kBtuh). Loss R -value (Btuh) --------------------- ------------------------- ------ Gas..70EF 76% -- 36.00 -- -- -- HYDRONIC DISTRIBUTION AND TERMINALS Pipe Pipe Insul Insul System/Name, Type Number run (ft) diam (in) thck (in) R -value, -------------- ---------- --- ------ -------- --------- --------- ------- None SPECIAL FEATURES, REMARKS, AND NOTES 1. Heating duct register location: Ceiling. 2. Cooling duct register location: Ceiling. 3. A Thermostatic Expansion Valve must be installed in the cooling equipment. SITE PLAN REVIEW APPLICATION Date: ! 2 6)05- AP# 6S — 4- 0/ Permit Number (if applicable) _- 04!!�q6 Bin Number APPLICANT INFORMATION Owners Name: Owners Address: Telephone No.: Situs Address: Proposed Use: 68� Residential ❑ New Single Family Residential 19 Single Family Addition ❑ Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary -Travel -Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other ❑ Septic ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): Parcel Size: ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well ❑ Agricultural Buffer Form ❑ Applicable ❑ -N/A DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) In Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval g StampeA Approved By Date Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required) ❑ SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) Flood Zone: • Flood Panel No.: Index Date: ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance -------- : Detached Building,Use- Form ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning:�6 FIE - Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. CDF approval needed for encroachments into SRA setbacks. Page 2of5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front zo Side`g Side Street Rear ` Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. CDF approval needed for encroachments into SRA setbacks. Page 2of5 Applicable Development Fees: Standard Fees ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Drainage Area ❑ Thermalito Urban Area ❑ Other Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) Amount Formula * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By Date of Creation: Deed of Reference: Parcel Frontage on Publicly Maintained Road: Complies with County Standards or Deed re Comments: Ip�ir��P�PP�r�'O ❑ Parcel Deemed to be legal Legal Access Provided: ❑ No ❑ Yes Legal Access Required ❑ No ❑ Yes ❑ No ❑ Yes, Road Name: No ❑ Yes- F-1 es_ ❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Page 3 of 5 ❑ Subdivision Map/Parcel Map: Map Date of Recording: Lot: Book: ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: Page: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for road maintenance, and stop sign maintenance. ❑ , ❑■ Page 4of5 CERTIFICATE OF COMPLIANCE: Residential Project Title: Melton Addition Project Address: 689 Lattin Rd. Biggs, Ca 95917 Building Title: Melton Addition Document Author: Jake Finlay Telephone: 530-533-0487 Compliance Method: CALRES2 1.4.02 Climate Zone: 11 ---------------------------------- ---------------------------------- GENERAL INFORMATION Page11R ------------CF_ - - Run: 214 19 -Feb -05 Melton Additon Building Permit # Plan Check / Date Field Check / Date Conditioned Floor Area: 420 ft2 4 & S SF Average Ceiling Height: -in Building Type: SFD Single Famil Detached AVt>lTi ct-4 Building Front Orientation: 180 deg (South) Glazing Area, % of Floor Area: 26.4% Average Fenestration U-Value:0.40 Average Fenestration SHGC: 0.27 Number of Stories: 1 Number of Dwelling Units: 0.20 Floor Construction Type: Slab on grade BUILDING SHELL INSULATION FLOOR TYPES AND AREAS Construction Type Area (ft2) Conditioned? Exterior Conditions/Descripti --------------------------------------------- ------------------------- Slab 420 Yes Grade FENESTRATION Area Fenestration Fenestration Exterior Overhang Type/Orientation (ft2) U -factor SHGC Shading and Fins ----------------- ---------------------------------------------- (n Window North 57.0 0.40 0.26 BugScrn None V / Window West 40.5 0.40 0.26 BugScrn None Window West 13.3 0.42 0.42 BugScrn None •e p � 1q)EPT, Copy ►yv' e', Ems. . Cavity Sheathing Component Insul Insul Total Assembly Type --------------- R -value R -value R -value U -value Location/Comments Door -------- 0 -------- -- -------- 3.03 -------- 0.330 --------------------- Outside Wall 13 0 11.36 0.088 Outside Wall 13 0 11.36 0.088 Outside Wall 13 0 11.36 0.088 Outside Wall 13 0 11.36 0.088 Outside Wall 13 0 11.36 0.088 Unconditioned Wall 13 0 11.36 0.•088 Outside Ceiling 38 0 41.67 0.024 Attic Floor 0 0 3.38 0.295 Grade FLOOR TYPES AND AREAS Construction Type Area (ft2) Conditioned? Exterior Conditions/Descripti --------------------------------------------- ------------------------- Slab 420 Yes Grade FENESTRATION Area Fenestration Fenestration Exterior Overhang Type/Orientation (ft2) U -factor SHGC Shading and Fins ----------------- ---------------------------------------------- (n Window North 57.0 0.40 0.26 BugScrn None V / Window West 40.5 0.40 0.26 BugScrn None Window West 13.3 0.42 0.42 BugScrn None •e p � 1q)EPT, Copy ►yv' e', Ems. . CERTIFICATE OF COMPLIANCE: Residential Page 2 CF -1R Project Title: Melton Addition Run: 214 19 -Feb -05 THERMAL MASS Area Thick Type Cover (ft2) (in) Location/Comments ----------------------- ----- ----- --------------------------------------- None HVAC SYSTEMS Refrigerant Distribution System Charge and Location Type Efficiency Airflow TXV and R -value Furnace 0.92 AFUE Attic R-4.2 Air cond. - central split 12.00 SEER Yes Attic R-4.2 HE1ZS VEFY2-tF iCAT1(30 HVAC DISTRIBUTION EFFICIENCY DETAILS t2E7Q'9 a? Duct Leakag4-E�R S Supply Target Duct Surface ACCA Manual D (leakage cfm/ System Name Area Design % of fan cfm) Fan CFM CEC 100%R4.2 113 No n/a 294 WATER HEATING SYSTEMS Distrib Water Water # of Energy Volume System Name Type Heater Name Heater Type Htrs Factor (gal) -------- ------------ ----------------- ---- --r--- ------ Gas.70EF Standard Gas.70EF Storage gas 0 (0.70 50 k t64 SPECIAL WATER HEATING SYSTEM CREDITS Solar savings Wood stove Wood stove System Name fraction boiler? boiler pump? ------------------------------------------------ Gas.70EF -- No No SPECIAL WATER HEATER/BOILER DETAILS Rated Pilot Water Recovery Input Standby Tank Light Heater Name Efficiency AFUE (kBtuh) Loss R -value (Btuh) ---------------------- ------------------------- ------ Gas.70EF 76% -- 36.00 -- -- -- HYDRONIC DISTRIBUTION AND TERMINALS Pipe Pipe Insul Insul System/Name Type Number run (ft) diam (in) thck (in) R -value -------------- ------------- ------ -------- --------- --------- ------- None CERTIFICATE OF COMPLIANCE: Residential Page 3 CF -1R Project Title: -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- Melton Addition Run: 214 19 -Feb -05 SPECIAL FEATURES, REMARKS, AND NOTES 1. Heating duct register location: Ceiling. 2. Cooling duct register location: Ceiling. 3. A Thermostatic Expansion Valve must be installed in the cooling equipment. COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with the Energy Standards in Title 24, Parts 1 and 6, of the California Code of Regulations, and the Administrative regulations to implement them. This certificate has been signed by the individual with overall design responsibility. When this certificate of compliance is submitted for a single building plan to be built in multiple orientations, any shading feature that is varied is indicated in the Special Features, Remarks, and Notes section. DESIGNER OR OWNER Jake Finlay Monte J. Pratt Design 1935 Campbell Ave Oroville, Ca 95966 (530)533-0487 DOCUMENTATION AUTHOR Jake Finlay Jake Finlay Design 1935 Campbell Ave. Oroville, Ca 959566 530-533-0487 Ce r 'f tion #: -/ -r) S Si ed Date Si Date ENFORCEMENT AGENCY Name: Title. Agency: Telephone: Signed Date A COMPUTER METHOD SUMMARY Page 1 C -2R Project Title: Melton Addition Run: 214 19 -Feb -05 Project Address: 689 Lattin Rd. Melton Additon Biggs, Ca 95917 Building Title: Melton Addition Building Permit # Document Author: Jake Finlay Telephone: 530-533-0487 Plan Check / Date Compliance Method: CALRES2 1.4.02 Climate Zone: 11 ---------------------------------- ---------------------------------- ENERGY USE SUMMARY (kBtu/ft2-yr) Energy Use Standard Design --------------- --------------- Space Heating 18.48 Sina 13.38 Water Heating 12.65 Total 44.50 GENERAL INFORMATION Conditioned Floor Area: Average Ceiling Height: Building Type: Building Front Orientation: Glazing Area, % of Floor Area: Average Fenestration U -Value: Average Fenestration SHGC: Number of Dwelling Units: Number of Stories: Floor Construction Type: Number of Conditioned Zones: Total Conditioned Volume: BUILDING ZONE INFORMATION Field Check / Date Proposed Design --------------- 21.02 13.07 9.50 CAO ONLY t(oV0- -------- Complies - 43.58 Yes V/P1-Te - 1v= r01�1(, C'XISTINV + pq✓.)01 rtotj 420 ft2 �, ApP� f, 8'0" ft -in Ape 'X Single Family Detached RN VA L 2ov 1 �• 180 deg (South) 26.4% 0.40 0.27 0.20 1 Slab on grade 1 3360 ft3 Floor Vent Zone Area Volume Thermostat Height Name (ft2) (ft3) Type Type (ft) ------------ ------- -------- ------------- ------------ ------ HOUSE 420 3360 Conditioned CEC Standard 210" OPAQUE SURFACES Surface Area U- Insl Total Tru Slr Construction Type (ft2) factor Rval Rval Azm Tlt Gns Type Location/Comments ---------- ------ ------ ---- ----- --- --- --------------- ------------------- Zone = HOUSE Door 20.0 0.330 0 3 270 90 Yes CEC30-Wood Outside Wall 244.5 0.088 13 11 0 90 Yes W13_2x4.16 Outside Wall 20.1 0.088 13 11 315 90 Yes W13.2x4.16 Outside Wall 20.5 0.088 13 11 45 90 Yes W13.2x4.16 Outside Wall 24.0 0.088 13 11 90 90 Yes W13.2x4.16 Outside Wall 176.0 0.088 13 11 90 90 No W13.2x4.16 Unconditioned COMPUTER METHOD SUMMARY Page 2 C -2R Project Title: Melton Addition Run: 214 19 -Feb -05 -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- OPAQUE SURFACES continued Surface Area U- Insl Total Tru Slr Construction Over - Type ---------- (ft2) ------ factor ------ Rval ---- Rval ----- Azm Tlt --- --- Gns --- Type ------------ Location/Comments ------------------- Wall 115.7 0.088 13 11 270 90 Yes W13.2x4.16 Outside Ceiling 420.0 0.024 38 42 -- 0 Yes R38.2x4.24 Attic Floor 420.0 -- 0 -- -- 180 No Slabl40C Grade PERIMETER LOSSES Insul Perimeter Length F2 Insul Depth Type (ft) Factor R-val (in) Location/Comments ------------------- ------ ----- ------ ---------------------------------- `' Sl. AV, EV&E FENESTRATION SURFACES OVERHANGS Fenestration -------------------------- Length Height Left Right Name Width Height 'H' 'V' Extension Extension ------------ ------ ------ ------ --------- --------- --------- None FINS Left Fin Right Fin Fenestration Dist Dist -------------------------- Fin Fin Ht from Fin Fin Ht from Name Height Width Depth Height 'V' fenes Depth Height 'V' fenes ------------ ------ ------ ------ ------ ----- ------ ------ ------ ----- ------ None Fenestration Exterior Shade Over - Fenestration Area --------------- Tru ----------------- hang Name -------------- Type ------ (ft2) ----- U -factor --------- SHGC ------ Azm --- Tilt ---- Type ---------- SHGC ------ /Fins ------ Zone = HOUSE LIVING Window 30.0 0.40 0.25 0 90 BugScrn 0.76 None OFF -FRONT Window 13.5 0.40 0.25 0 90 BugScrn 0.76 None OFF -FLT Window 13.5 0.40 0.25 315 90 BugScrn 0.76 None OFF -RT Window 13.5 0.40 0.25 45 90 BugScrn 0.76 None SLITE-LFT Window 6.7 0.42 0.41 270 90 BugScrn 0.76 None SLITE-RT Window 6.7 0.42 0.41 270 90 BugScrn 0.76 None LIVING -RT Window 27.0 0.40 0.25 270 90 BugScrn 0.76 None OVERHANGS Fenestration -------------------------- Length Height Left Right Name Width Height 'H' 'V' Extension Extension ------------ ------ ------ ------ --------- --------- --------- None FINS Left Fin Right Fin Fenestration Dist Dist -------------------------- Fin Fin Ht from Fin Fin Ht from Name Height Width Depth Height 'V' fenes Depth Height 'V' fenes ------------ ------ ------ ------ ------ ----- ------ ------ ------ ----- ------ None COMPUTER METHOD SUMMARY Page 3 C -2R Project Title: Melton Addition Run: 214 19 -Feb -05 -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- THERMAL MASS Vol Cond- Area Thck Heat duct- Construction Insd Mass Name (ft2) (in) Cap ivity Type Rval Location/Comments -------------- ----/1 -- ---- ---- ---------------,--- � --- ------------------------- None Sl. ��! A N t 10 r7� S�T%3w l �G SOLAR GAIN DISTRIBUTION Fenestration Winter Summer Targetted Name Fraction Fraction Thermal Mass Comments ------------ -------- -------- ------------ -------------------------------- None HVAC SYSTEMS Refrigerant Minimum Charge and Equipment Duct Location System Name System Type Airflow TXV Efficiency and R-value ------------------------------------------------------------------------ Zone = HOUSE GasFur.92 Furnace N/A 0.92 AFUE Attic R-4.2 Acsplit12 Air cond. - central split Yes 12.00 SEER Attic R-4.2 HVAC DISTRIBUTION EFFICIENCY DETAILS Supply Duct Surface ACCA Manual D System Name Area Design ---------------------------------------- CEC 100%R4.2 113 No WATER HEATING SYSTEMS Duct Leakage Target (leakage cfm/ % of fan cfm) Fan CFM n/a 294 Distrib Water Water # of Energy Volume System Name Type Heater Name Heater Type Htrs Factor (gal) ------------ -------- Gas.70EF Standard ------------ Gas.70EF ----------------- Storage gas ---- 0 ------ 0.70 ------ 50 SPECIAL WATER HEATING SYSTEM CREDITS Solar savings Wood stove Wood stove System Name fraction boiler? boiler pump? ------------------------------------------------ Gas.70EF -- No No COMPUTER METHOD SUMMARY Page 4 C -2R Project Title: Melton Addition Run: 214 19 -Feb -05 ----------=--------------------------------------------------------------------- -------------------------------------------------------------------------------- SPECIAL WATER HEATER/BOILER DETAILS Rated Pilot Water Recovery Input Standby Tank Light Heater Name Efficiency AFUE (kBtuh) Loss R -value (Btuh) ---------------------- _----------- --------------------- ------ Gas.70EF 76% -- 36.00 -- -- -- HYDRONIC DISTRIBUTION AND TERMINALS Pipe Pipe Insul Insul System/Name Type Number run (ft) diam (in) thck (in) R -value -------------- ------------- ------ -------- --------- --------- ------- None SPECIAL FEATURES, REMARKS, AND NOTES 1. Heating duct register location: Ceiling. 2. Cooling duct register location: Ceiling. 3. A Thermostatic Expansion Valve must be installed in the cooling equipment. . M i � F N �r. ��r.a � Lmµ i• r . M i • •• S' t�-r �'9`'4'P.. �/ ilii' '.G�, • : }_ . } _ _ ;.,,..:,� ..•.:a Y . ..: , r . 'i 025-066--- 31 93-2159 BPE 689 LATTIN RD, BIGGS ADD. BATH T0, GARAGE - I I tkf jp 1 y S • 1 i COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT 0. t 7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT 7 /✓ ASSESSOR PARCEL NUMBER 025-060-031 ZONING A-5 BUILDING PERMIT OWNER Mabel Gvertne TELEPHONE 673-2939 SO. FT. OCC. BUILDING VALUATION pp__ �/y� Est. 500 00 OWNER'S MAILING ADDRESS 735 Taber Ave. Yuba City 95991 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S NAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 500.00 Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 30.W ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 45•D0 PLUMBING PERMIT Filing Fee 15.00 689 lattin Rd.,i Each Trap 3 5.00 15.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 1 7.o0 7.00 Each qas water heater or vent 7.00: USE OF STRUCTURE SF UX Duplex❑ Mobilehome❑ Other SPECIFY t Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 1S, Mobile Home S I G I W 615.00 TYPE OF WORK New1" Add itiDni Remodel❑ UtilitiesInstallation ❑ Other EX Describe work: Bath in Garage _ Built w/o Permit t' Permit Fee $ 52.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Ir I, Main service 600V OR LESS 200A OR LESS 18.50 Main service 200A TO 1000AI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force cyan. effect. License No. Classification iEx. (� I, as the owner, or my employees with wages as their sol compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as we owner, am exclusively contracting with licensed contract- ors. (Seg. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.al OR AODNS. ACC. BLOGS. / 3.64 sq.ft. NEW CONSTR. MULTI -OUTLET NON -R ESID BRANCH CIRC ITS @5.00 POWER APPARATUS &) (SINGLE OUTLET CIR. Occup(OUTLETS OR FIXTURES 20 764 FIXED Ex. Occup. OUTLETS PLNS IRESID.YREA.) f ! 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 1 15.00 15• 00 Permit Fee $ 30,00 Contractor - WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have Dlaced on file with the County of Butte Building Department a Certilicate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall iot employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 I 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 const-uction, 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 offButte against all liabilities, jLdgments, costs, and expenses which may -,in any way accrue against said County in consequence of the granting of this permit... X � Date signature of Applicant — Own i, Contractor ❑ Agent An OSHAwork permit ie required for excavations over 5'0"deep and demolition or onsiruct- ion of structures ova 3 stories in'height. Mobile Home Installation Fee S Ener Inspection Fee $ 9Y P occ CONST TYPE TOTAL FEES 127• OO HAz 1 11FEES I IMP I FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or indicated above for which fees DIRE O OF ELIC By �< , PERMIT EXPIRES Date applicable provi- resolutions to do j have been paid. WORKS /�, �� Date 7// r j ' Receipt No. WHITE-D.P.W., TELLCW-ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 <3 7 City Cerner Drive, Oroville, CA - (916) 538-7541 747 E fion Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE CEi PERMIT N�. ;. Acacrt%e- that the following violations of Butte County Ordinances exist at the aham and shadd be corrected. Please notify this officewhen correction. of work s 11youlm any questions pertaining to this matter, orneed �additional explanation, '- th-6 a15oe enmediately. a. [J m s4 ft, Owner: %LC7 ��"�f Permit No..� LOCATION ROOF Material- Thickness(inches) EXTERIOR WALL !� Materjal. Thickness(inches)- ENERGY C E.RT.IF ICAT ION A. P. No. DESCRIPTION OF INSULATION Brand Name Thermal Resistance (R Value) Brand Name, Al Thermal Resistance(R Value) el_ C NG Bad or Blanket Type 0 -a"-,Brand Name hickness(inehes) `1 Thermal Resistance(R Value) Loose Fill Type Brand Name Minimum Thicknesl(Inches) Number of -Bags Wt. per bag lb. Area covered(ft. ) Thermal Resistance(R Value) FLOOR, ELEVATED -Material Brand Name C-6 Th ickness(inches) -�— Thermal Resistance(R Value) FLOOR, SLAB Material Brand Name Thickness(inches) Thermal Resistance(R Value) Width(inches) F 0119DAT I ON WALL Material ;r Brand Name• .....Thickness(inches)_ �� Thermal'Resistanc;e(R Value) I hereby certify that -the above insulation was installed in -the above building in conformance with the State of California Energy Requirements. A,/O �_&942AJ FIRM NAME/OWNER j STATE CONTRACTORS LICENSE NO. r• SIGNATURE OF INSTALLATION APPLICATOR - DATE I hereby certify the above insulation and all required items as shown on the Building Department approved plans and attachments have been insta-lled as required by the State of California Energy Requirements. t f` 'All equipment, devices and materials are of the quality prescribed or are specifically approved by the State of California... **�f_ FIRM NAME/OWNER (Please print) STATE CONTRACTORS LICENSE NO. 1 15-73 SIGNATURE OF GENMAL CONT R OWNER DATE ; THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING=DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. January 1934 :;y COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT r0. 7 County Center Drive Orovil;e, California 95965 - Telepho 6.538-7541 APPLICATION ANO PERMIT J ASSESSOR PARCEL NUMBER 025-060-031 ZONING A-5 BUILDING PERMIT OWNER Mabel Gwartne TELEPHONE 673-2939 SO. FT. OCC. BUILDING VALUATION Est. 500.00 OWNER'S MAILING ADDRESS 735 Taber Ave., Yuba City 95991 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 500.00 Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 30,00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$' Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 45.00 PLUMBING PERMIT Filing Fee 15.00 689 LatLin Rd., Biggs Each Trap 31 5.00 15.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 1 7.00 7,00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF D Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 1 15.00 15.00 Mobile Home S T G TW @ 15.00 TYPE OF WORK New t; Addition tJ Remodel ❑ Utilities ❑ Installation❑ Other a Describe work: Bath in Garage _ Built w/o Permit Permit Fee $ 52.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600v OR LESS 200A OR LESS 18.50 Main service 200A TO 1000A) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 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 OR ADONIS.. ACC. BLDGS. OCCUP.Bi) ( 3.64 sq.ft. NEW CONSTR ULTI.OUT LET NON-RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS &) (SINGLE OUTLET CIR. ) Ex. Occup(ouT LETS OR FIXTURES 2076 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. byirin g 15.00 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. E] 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 15.00 Heating Cooling Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Own Contractor ElAgent ❑ 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 $ occ CONST TYPE TOTAL FEE $ 127.00 HAz I DFEES I IMP I FLOOD I CDF PARCEL I Po I HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRE 0 OF IC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS to % t 143499 Receipt No. i" WHITE-D.P.W.. FELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT �y+.r� -;^'1.N`^•�.�^1ry��ai`�.('�"tyf}^}r�-v�t.�-.r+h�..�,�'1�'v *A. A ;� ' �i•7,�1»'-w�7r�../'.+'�`�i1.:!^.'`-' ..-.,. � .. T COUNTYOFBUTTE - DEPARTMgNTOF DEVELOPMENT SER ' ES - BUILDING DIVISION 7 COUNTYCENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TE�HONE (916)538-7541 PERMIT APPLICATION DATA SHEET OWNER A. P. No. Proposed Building Use /A.) /� -Building Inspector Date ,7//, / - 11 f At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3_ Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . .............................................. 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . 15. City of Chico plumbing permit. ........................................ . �r 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). .. .. .. . Preanspedion -quest 20. Pre -inspection for required. .. to Bu;;d;ng Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner-Builder'Verification (Given to owner , Mail to owner ). ........... 24. Recorded copy of Agricultural Acknowledgement Statement . ........... ........ 25. Letter of signature authorization . .............................. . `' ....... 26. Copy of recorded deed of parcel creation and 60 right of way to a: public road. ..... 27. Letter of intent on building use. ../ I C '` 28. Mobilehome utility clearance...................:.....)2............... . 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. -34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone 7-3 --7�i35and hold for pickup at office. -___L,,-O�Iiv with inspector. Other = G 4 1 - Parcel Creation Z!(�4 � =�061�5 Acreage Applicant Date 7 9.3 Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by = Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORK -S 7 County Center Drive - Oroville, California 95965 - Teiechone 916 538-7541 APPLICATION AND PERMIT ERMIT NO. ASSESSOR PARCEL N MBER'_ -� ZONING' BUILDING PERMIT 0WNCR -/� I , TELE HONE SO. FT. OCC. BUILDING VALUATION OWNER'AI ING ADDRESS 69— ���/� t ��-L♦ CON RACTOf}'S NiA�tE� TELEPHONE ' CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 15.00 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 ` 44 0 41A ZUxs/ Permit fee !$ $ O PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME _ PARCEL MAP Water piping 7.00 0 Each qas water heater or vent 7.00 USE OF STRUCTURE SF Duplex[] Mobilehome❑ Other -SPECIFY Gas piping system 1 - 5 outlets 1 5.00 Building sewer 15.00 Mobile Home ISI G W @ 15.00 TYPE OF WORK New J AdditionL-iRemodelj! Utilities❑ InstallaattionC Other Describe work: A- 17 9 F A, 6 d-11 A6 d 6E,&& 1 � Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AA 00OR LESS 2OR LESS 18.50 Main service 20CATO t000AI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License .�0. Classification ❑ I, as the owner, or my employees with wages as their sole compen- will do the work,and the structure is not intended or offered for sale. (Sec. 7044)Mobile ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.6i) OR ADONS. 1 ACG. BLDGS. 3.64sq.ft. NEW CONSTRMULTI-OUTLET NON-RESID BRANCH CIRCUITS) @ 5.00 S e POWER APPARATUcI (SINGLE OUTLET R. Ex. Occup(OUTLETS OR FIXTURESq13.00 Ex. OCCUp. OUTLETS IPRESID. IRE A.�sation, Temporary service Home Facilities Misc. Wiring Permit Fee $ 30.4 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 after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of B tte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this ermit X Date Si nature of Applicant - Owner g pp ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and XIition or construct- ion of structures over 3stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ .�-, o d HA2 OFEES IMP I FLOOD I COF I PAR EL I Fro I Ho I 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. 3 WHITE-O.P.W.. YELLOW-A38E33OR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7.County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 T Attention Property Owner: OWNER -BUILDER VERIFICATION 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 mr labor and materials for construction of the proposed property improvement a 'r no) 2. I av ave not) signed an application -for a building permit for a proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone 'Contractors License No. 4: I plan to provide portions.of this work,.but I have hired -the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License�No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide .the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security Number Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. PERMIT N0. 3242-81B PERMIT EXPIRES 8/25/82 OWNER LEO GWARTNEY -CONTR. owner E ASSESSOR PARCEL 25-06-31 LOCATION 689 Lattin Rd, Biggs rJ t Y i I 1 r i i Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service .iY w Cal led PG& E JOB FINALED (Date) i Signature AD _ J = OK 0 = Not OK ;��` .t, �,�. ,+•."?.-��rat _ Not Applicable MOBILEHOMES t,•. ;� y Yf1 MISCELLANEOUS r = Not Ready Date MOBI.LEHOME UTILITIES (Plans)'OK except N's •" 1. Zoning Requirements-Setbacks=Easements:..' `.' ' Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support=Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3: Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.;,Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd:-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas;Location-Test-Wrap:/ /"L"ft./, ,/"Nat.or/ .•/"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date' MOBILEHOME INSTALLATION (Plans) OK except p's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date _ POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4• Elec.; Receptacles and.Lighting; Distances-GFI. 5. Drain; MH'Test-Fall-Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed ' 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8: Elec.; Grounding; Equip.w/5'-Circulating Equip. -Pool Lghtg. Boxes -Enclosures- Pane lboards-Ins. to, Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card=B1 Date . Card B -I Date Card -BI Date Card -BI Date Card -BI Date = OK = Not OK = Not Applicable = Not Ready RESIDENTIAL! (Single and Duplex) Date UNDERFLOOR Plans OK exce try's Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 54. 55. Glazing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Card -BI Date Card -BI Date Date Card -81 Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except N's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector 14. Water Ht.; Vent -Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. 16. 17. Water Pipe; Test & Anchors -Nail Protection D.W.V.; Test-Fttngs & Anchors -Nail Protection Shower Pan; Test, First Floor -Tub Access 59. 60. Bedroom Exiting G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth Card -BI Date Card -BI Date 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Date Card -BI Date ELECTRICAL Permit OK except N's 66. Elec. Outlets & Receptacles at Kit. Counter 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. 71. Plb., Elec. & Mech. Equip. Listed for Location Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 22. Size Boxes & No. of Conductors -Stapled 23. Romex Installed Close to Edge of Studs & C.J. 24. 25. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 2 Appliance Circuits in Kitchen &Conductor Size 72. Insulation -Foam -Looked in Attic ❑ Yes 73. Guard Rails & Deck Construction -Post Caps _ 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes El No 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters Dyes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. 79. 80. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B I Date Card BI Date 81. 82. Ventilation throughout House Glass Protection Card B -I Date Card -BI Date Date MECHANICAL (Permit) OK except a's 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/O to Grade -HD Approval _ 32. 33. Vent Fan; Exhaust above Insulation Condensate Drain & Overflow; Size & Grade 86, Energy Compliance Certificate -Other Certificates 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI - Card -BI Date Card -BI Date Card -BI Date Card -BI Card -BI Date Card -BI Date Date Card -BI Date Comments at Final: _Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except p's 36. Sills; Proper Material & Anchors 37. 38. 39. 40. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing 71 Draft Stop in Walls (rat proof) AfP Fire Ste s; Furred Ceilings -Stairs -Chases -Tub _ 41. 42. 43. 44. Header S Beam -Size & Bearing "fy Hangers -Post Caps -Anchors -Connectors Vi_ Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-R g. Fireplace Ties or Type A Flue -Fireplace Throat 7Z 45. 46. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE:Anentrymust be made each time youvisit jobsite) COUNTY OF BUTTE _DE.P_ARTMENT OF PUBLIC WORKSPER IT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-45418 APPLICATION AND PERMIT ASSESSOR PA L NUMBER ZONING BUILDING PERMIT O WN�R_0 GL+' TEL PHO SO. FT. OCC.. BUILDINP VALUATION / OW 'S MAILING ADDRES L47WV CONTRACTOR'S NAME ® I ,� TELEPHONE CONTRACTOR'S MAILING A/DW/D/R ESS CONSTRUCTION LENDER iY UNKNOWN Fireplace Total Valuation $0 O Filing Fee $ 10.00 LENDER'S MAILING ADDRt.SS Permit Fee $ a. O ARCHITECT OR ENGINEE LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ Q- o BUIL I DDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Ejr Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each gas water heater or vent 5,00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti ties ❑ Instal la ion ❑ Other Describe work: — DF p �`%' G Yermit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service eooV OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST OR ADDNS. (ACCLBLDGS.LING CCUP.y) 20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. se No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST(MULT -OUT L NON.RESID R BRANCH CIRCT ITS2.50 ea NEW CONSTR POWER APPARATUS e NON-RESID. SINGLE OUTLET CIR. EX. OCCUp OUTLETS OR FIXTURES BAL@1 00 FIXED APPLNS, OR Ex. Occup.(OUTLETS (RESID,) EA, 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of onsent to Self -insure. 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 S Contractor I certify that I have read this application and state that the above information is correct. 1 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 any way accrue again s Count in consequence of the granting of this permit. � ��-� X Date (1 L Signature of Applicant — Owner ❑ C tractor ❑ Agent ❑ An OSHA permit is required for excav ions over 5'0" deep and demolition or construct- ion of structures over 3 storie-s,in iog Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 3 Occup. GROUP I TYPE OF CONST. [-IPARCELI PD ND 99DE This permit is hereby issued under sions the Butte County Code and/or wor in icated a ove for which R CTOR OF PUBLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date O X7 _ W CJ` Receipt No. LI WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT NOTES PERMIT NO. /�/`�� -� �✓� s�y /tom � � �,. Afe', Frqs z 1, r ./Vb X- RESIDENTIAL X12_5—:060-031-1--_ 05- -MELTON, EDWARD 689 LATTIN RD, BIGGS Cont: OWNER %ffYGARAGE/COV PCH _d ill SPECIAL CONDITIONS SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER - -1 - 13/3 ql' 6A C' A 'em-\ Doo U-) oro, 4JOB FINALED (D Signature CHECKED `BY J=OK 0 = Not OK . = Not Ready ble 7. MOBILE HOMES. Date MOBILE HOME UTILITIES (Plans) OK except #'s Utility Clearance 1. Zoning Requirements -Setbacks -Easements Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 2. Soils; Special MH Support Sketch 7. 3. Sewer; Location -Test -Fall -C/O -Concrete Card B-1 Date Card B-1 4. Water; Location -Test -Easement Needed (Sketch) Card B-1 Date Card B-1 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Ext.; Steps -Doors -Landings 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or/ /" L "ft./ P LPG MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 7. Well Clearance & Disconnect 2. 8. Utility Clearance 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Date 8. Card B-1 Date Card B-1 Date Siding; Nailing -Veneer -Stucco -Mesh Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans).OK except #'s Ext.; Steps -Doors -Landings 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector . 7. Water and Sewer Connected -C/O to Grade -HD Approval . 8. Gas and Electricity -Tagged. 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test:Demand-Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals •11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date - Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance -GF] 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panel boards -Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDEF(FLOOR (Plans) OK except #'s / 2. F , Main; Soils-Elec. Grnd-/ v/" Ftg. Depth o Jf . Ftg., Garage; Soils-Steel-Elec. Grnd.-//Z.-/" Ftg. Depth .. 1 4. Ftq., Porches & Decks; Soils -Steel-/ P' Ftp. Depth \6a. H91d Downs and Special Anchors 2�, -biers-Fireplace Ftg.-Steel -S--D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date l y -0, Card B-1 t Date Card B-1 Date !41A_,.Card B-1 � Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. 1pec. Receptacles Spacing -Lights & Switches at Doors ize Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. (3�21!Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or AI Insulated Neutral O Yes O No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light *35. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MEC NICAL (Permit) OK except #'s A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date and B-1 Date Card B-1 Date ""MING (Permit) OK except #'s Sills Proper Material nchori 4 -9 --Walls Studs -Nailing Spacing & Braces -Plates -Sound Wpearing Walls over Girders & Floor Nailing 4 Praft Stop in Walls (rat proof) Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. ngers-Post Caps -Anchors -Connector ...../ C4r Cling. Joist-Rftr. Ties- Purlin-Roll Brac -Yrt! Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace TFFroat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. Dimensions 1 Garage Fire Protection Framing -RC Vannel rqperty Line Firewall & Openings 59-Eyt. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Sirs; Width -Headroom -Rise -Run -Landing -Fire Protection lywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing Veneer 58. St co Mesh -Drip Screed -Fd. Vents-Underflr. Access lazing Area -Glass Protection -Skylights -Plastic 60. ear Walls; Nailing -Bolts Br erior/Exterior Wall Panels nsulation-Walls-Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date 1 S ( Card B-1 Dat Card , Date Card B-1 Date N Plans OK except #'s 4. E ps-Door & Sidelight Protection -Landings moector 66. urnace Vents -clearance -Comb, Air -Connector - In Ga e; Above Floor-Ducts-Mech. Protection 6 e m Exiting Gam& Bath Fixtures & Tub Access -Spa E . rim & Subpanel, Breaker Sizes & Labels 711r -SU -m& Rails FirepjgE22t`Stove, Clearance -Hearth 7 c. Outlets at Wood Panel, Int. & Ext. 7 Appliance; Ground -Air -Gap -Cooking Clearance 74. EI ut 7 Fire D w' -Lan-' g -Closure 76'-A C Duct in Garage -Damper 7 . r; Vents -Clearance -Comb. Air ConneQoP4vR V. it rage; Above Floor-Mech. Protection 7&.1 Pib Elec. & Mech. Equip. Listed for Location �9e. eceptacles in Garage (F.F.I.)-Romex Protection ;Pod`ation-Foam-Looked in Attic G ails & Deck Construction -Post Caps Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth _ Clearance Looked under Floor ❑ Yes in Instld./Drive O Yes O No/Walks O Yes O No/Planters D Yes O No 847 St Brown -Finish ns .� Cr. Unit Disconnect, Electrical -Plumbing 86,Ve11f's`Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 8 j- Water well, Disconnect, Electrical, Plumbing 88'' erior Elec. Trim, G.F.I. Receptacle -Underground 89--Vg-ntilation Throughout House 9 a lass Protection 9 erections from Previous Inspections 91est-Meters Tagged, Gas -Electric 9 Sewer Connected -C/O to Grade -HD Approval nergy,pliance Certificate -Other Certificates ress Posted ^96-firoSR•i�kla - Date -30- card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: Insulation Certificate ntm mm OWNER: Yv % /�+P� ` �" BUILDING PERP # BUILDING LOCATION: 0 Description of Installation i ROOF Material Thickness (inches) Brand Name Thermal Resistance (R -Value) CEILING �,/ Batt or Blanket Type �4 Brand Name Thickness (inches) Thermal Resistance. -(R -Value) R — 3 Brand Name Loose Fill Type Contractor's minimum installed weight/ft lb Minimum thickness inches Manufacturer's installed weight per square foot to acheive Thermal Resistance (R -Value) EXTERIOR -WALL Material Brand Name j�J !tiA C"l'r Thickness (inches) Thermal Resistance (R -Value) /1 / RAISED FLOOR Material Thickness (inches) SLAB FLOOR Material Thickness (inches) Width (inches) Brand Name Thermal Resistance (R -Value) Brand Name Thermal Resistance (R -Value) FOUNDATION WALL Material Brand Name Thickness (inches) "� ermal Resistance (R -Value) Declaration I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the California Administrative Code. General Contractor (Builder) License Number Sienature and Title Date License Number 1-3�( Date THIS CERTIFICATE MUST .BE PROVIDED TO THE BUILDING DEPARTMENT APPROVAL AND A COPY SHALL BE POSTED AWITHINUARY THE BUILDING. PRIOR TO FINAL INSPECTION