HomeMy WebLinkAbout025-100-0429
/00 4;p4
25-10-42 o
TOM REY�ROUQ
W
E687Watson Rd.
P; . gs
rml t #3J P' ' new S_
2 25-1
0 43
PErmit#3147-87'B,P, Y new single famil
- Y)
5-1 -43
f j(
PErmit#38.8-3- B add- foundation.for garagE
SF
r'17 �71
25-10-42
Contr: L &.K Const
Permit#25�3-88B(woodstove)SF
25-10-42
tR: I, & KP&nst, YC
it3044-88B,E(add attached- garage/SF)
Ni
4
6
3147787
PERMIT NO. 'IRRl -R7R
PERMIT EXPIRES
OWNER, TOM REYNOLDS
CONTR.
ASSESSOR PARCEL -2-5 10-42
LOCATION 687 Watson Rd, Biggs
Temp. Power Pole
Called
Temp. Elec
Called
Temp. Gas
Called I
JOB FINAL
Signatu
= OK
0 = Not OK
- = Not Applicable RESIDENTIAL (Single and Duplex)
= Not Ready I . I
Date'.
UNDERFLOOR (Plans) OK except #'s
Date
FRAMING (Continued)
1.2oning requirements -Setbacks -Easements
44. Hangers -Post Caps -Anchors -Connectors
2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
45. Clng. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth
46. Fireplace Ties or Type A Flue -Fireplace Throat
4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth
47. Attic Access; Size & Romex Protecti on- Draft Stop -Ins. Baffles
5. Sternwalls, Main; Steel-Blockouts-Wrapped
48. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
6. Sternwalls, Garage; Steel- BI ockouts-Wrapped
49. Garage Fire Protection Framing
7. Slab; Steel -Wrapped
50. Property Line Firewall & Openings
8. Piers -Fireplace Ftg.-Steel
51. Ext. Doors -One T -Check Garage -3rd story, 2 exits
9. D.W.V.; Fall -Fittings -Test -2 way C/0 -Sewer Test
52. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
10. Gas Pipe; Size -Anchors
53. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
11. Water Pipe; Test -Anchors -Regulator -Service Test
54. Siding -Nailing Veneer
12. Electric; Underground
55. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access
13. Plenums & Ducts; Clearance- Material -Su pprt- Ins.
56. Glazing Area -Glass Protection -Skylights -Plastic
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
57. Shear Walls; Nailing -Bolts
15. Insulation
58. Insulation-Walls-Cig.
59. Infiltration-Walls-Wndws
Card -131
Date Card -Bl Date
Card -Bl
Date Card -131 Date
Card -131
Date Card -Bl Date
Card -Bl
Date Card -131 Date
Date
PLUMBING (Permit) OK except #'s
16. Water Ht. Vent-Access-Cdmbustion Air
Date
FINAL (Plans) OK except #'s
17. Water Pipe; Test & Anchors -Nail Protection
60. Ext. Steps -Door & Sidelight Protection -Land I ngs_
18. D.W.V.; Test-Fttngs & Anchors -Nail Protection
61. Smoke Detector
19. Shower Pan; Test, First Floor -Tub Access
62. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
20. Test Tub & Shower, 2nd Floor -Tub Access
21. Gas Pipe; Size & Anchors
63. Bedroom Exiting
64. G.F.I. & Bath Fixtures & Tub Access -Spa
65. Elec. Trim & Subpanel; Breaker Sizes -Labels
Card -Bl
Date Card -Bl Date
66. Stairs & Rails
Card -Bl
Date Card -Bl Date
67. Fireplace or Stove; Clearances -Hearth
Date
ELECTRICAL (Permit) OK except #'s
68. Elec. Outlets at Wood Panel; Int. & Ext.
22. Fixture & Transformer Clearance -Ins. Protection
69. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance
23. Elec. Receptacles Spacing -Lights-& Switches at Doors
70. Elec. Outlets & Receptacles at Kit. Counter
24. Size Boxes & No. of Conductors -Stapled
71. Garage Fire Door; Swing-Lancling-Closer
25. Romex Installed Close to Edge of Studs & C.J.
72. A.C. Duct in Garage -Damper
26. Equip. Ground madeupw/Mech. Fasteners -Bond Gas&Water
-
73. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
27. 2 Appliance Circuits in Kitchen & Conductor Size
74. Plb., Elec. & Mach. Equip. Listed for Location
28. Subfeed Wire Size ga. Cu or Al-A.C. Wire Size / /ga.
Cu or Al
75. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
29. Range Circ. ga. Cu or Al -Oven Circ. ga. Cu or Al.
Insulated Neutral Yes No
76. Insulation -Foam -Looked in Attic 0 Yes
77. Guard Rails & Deck Construction -Post Caps
30. Service -Riser Conductors & Ground -Main Disconnect
78. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor (3 Yes
31. Equip. Clearances Panels-Motors-Mech. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
79. Following instld.; Drive 0 Yes 0 No; Walks 0 Yes 0 No;
Planters C3 Yes 13 No
80. Stucco; Brown -Finish
Card -Bl
Date Card -B1 Date
81. A.C. Unit; Disconnect, Electrical, Plumbing
Card -131
Date Card -131 Date
82. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to
Openings.
Date
MECHANICAL (Permit) OK except #'s
83. Water Well; Disconnect, Electrical, Plumbing
33. A.C. Ducts Insulation & Support
84. Exterior Elec. Trim; G.F.I. Receptacle -Underground
34. Vent Fan; Exhaust above insulation
85. Ventilation throughout House
35. Condensate Drain & Overflow; Size & Grade
86. Glass Protection
36. Furnace -Vent; Access -Comb. Air -Return Air Vent -1 15 outlet
87. Corrections from Previous Inpections
37. Attic Access & Platform if Furnace in Attic
88. Gas Test -Meters Tagged; Gas -Electric
89. Water & Sewer Connected -C/O to Grade -HD Approval
90. Energy Compliance Certificate -Other Certificates
Card -Bl
Date Card -Bl Date
Card -131
Date Card -Bl Date
Card -Bl
Date Card -B1 Date
Date
FRAMING (Plans) OK except #'s
Card -131
Date Card -BI Date
38. Sills, Proper Material & Anchors
Card -Bl
Date Card -BI Date
39. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
Comments at Final:
40. Bearing Walls over Girders & Floor Nailing
41. Draft Stop in Walls (rht proof)
42. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
43. Header & Beam -Size & Bearing
(NOTE: An entry must be made each time you visit job site)
OK
Not'OK
Not Applicable
Not Ready MOBILE HOMES MISCELLANEOUS
Dale
MOBILE HOME UTILITIES (Plans) OK except #'s
Date
DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
WZoning Requirements -Easements,
,7Setbacks
2. Soils; Special MH Support -Sketch
zgf-o-otings; e�-Dgp-th-spaei-ng-Cio�n-nectors4fteeI
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
6. Gas; Location -Test -Wrap: / P11t.
P'Nat. or/ PV'ft./ P'LPG
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Utility.Clearance
7. Elec.
8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
Card -B1
Date Card -B1 Date
10. Roof; Shthg-Roofing
Card -BI
Date Card -B1 Date
11. Ext.; Steps -Doors -Landings
Date
MOSILEMOME INSTALLATION (Plans) OK except Vs
1. Zoning Req u i rements-Setbac ks- Easements
Card -B1
a;tN Date M_/_C-_,0,7Card-B1 Date
2. Footings; Size -Spacing -Marriage Line
Card -131
Date Card -B1 Date
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
Date
POOLS (Plans) OK except #'s
5. Drain; MH Test -Fall -Flex Connector
1. Setbacks- Easements
6. Water; MH Test -Regulator -Connector
2. Soils; Compactidn-Structure Stability
7. Water and Sewer Connected -C/0 to Grade -HD Approval
3. Pool Structure; Steel -Connections -Thickness -
Dead Men -Lining
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
4. Elec.; Receptacles and Lighting, Distances-GFI
10. Cart. of Occupancy
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg.
Boxes- Encl osu res- Panel boards- Ins. to Main in Conduit
Card -131 Date Card -131 Date
Card -B1
Date Card -131 Date
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Card -131
Date Card -B1 Date
Card -B1
Date Card -131 Date
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS GE gPR!t1N0,
7 County Center Drive - Oroville, Zalifornia 95965 - Telephone: 916/538-7541
APPLICATION -AND PERMIT
AS�&SOR PARC L NU R
1 —10 — I
ZONI��
BUILDING PERMIT V
OWNER L/1)
7 /) m ^e v no NA
e)
=0
SQ. FT. _PCC. I BUILDING VALUATION
O11PRVAIL �DDRE!§S - - 9,
I . A611 g Alj�9 9
CO;�71AC 1 -5 —M. V
. U)nt*%- V—
TELEPHOWE
CONTRACTOR'S MAILING ADDRESS
I
Fireplace
ONSTFqCTION LENDER
C A149#1 67
KNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
A R CX; nT 01,R ENGINEER
ICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$
PLUMBING PERMIT
FillngFee 10.00
Each Trap
2.00
)'c 0
Solar or heat pump water heater
20-00
LOT NO.
SUBDIVISION NAME
PAFWV MAP
Water piping
5.00
Each qas water heater or vent
5.00 1
USE OF STRUCTURE
SF% Duple,[] MobilehomeFj Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
10-00 e�
TYPE OF WORK
NewF_J Additiorig Remodel[ UW
t* ities Installation[ Other E:1
Describe work:
rdi,
Permit Fee
$
Contractor
ELECTRICAL PERMIT—
FilingFee 10.00
600V OR LESS
Main service 100 AMP OR LESS
10.00
Main service EA. ADD -L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
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)
El 1, as the owner, am exclusively contracting with licensed L;UIILI11C;L-
ors. (Sec. 7044)
I am exempt under Sec.—, Business and Professions Code
for this reason
NEW CONST. (DWELLING OCCUP.61)
OR ADDNS. ACC.BLDGS.
21/20scift
NEW CONSTR_ MULTIeOUTLET
B RANCH CIRCUITS)
2.50 ea I
__b!O..RES'..
POWER APPARATUS &I
(SINGLE OUTLET CIR. I
Ex. Occup(OUTLETS OR FIXTURES
1.20@50t
ALO 30#
FIXED APPLNS. OR I
Ex. Occup. OUTLETS (RESID.) EA.Y
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
I I
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
F] The permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Fi I i rig Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County ot
,Butte to enter upon the above-mentioned property for inspection purposes.
1
I also a t ave, indemnify and keep harmles . the County of Butte against
K en I e
all lial?i,,,ti( udgmevr-eq M e
%ee ts, gg expense ich ay in any way accru
agains!7brotinty in , o�s `ue de f the gra 9 Of this permit.
gr g
X 6-tLgo,7� Am� �7_
J
0;7 Date
V r--,/' -
Signature of Applicant Owner 40 Contractor [] Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
'on f structures over 3 stories in height.
of
Mobile Home Installation Fee $
Energy Inspection Fee
TOTAL PERMIT FEE $ 1/0
oc CUP
-1
CONST.TYPEJ
ISCHOOL
I FWJ
I SUE
U.
N
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTIO F PUBLIC
By-
PE EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date LIE --
C
L�e eipt No. -34/_ 2
N, Tr -D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD-APPLI CANT
A
Fit-, V�_ .4qp4- -__ iri4
V
lei
COUNTY OF BUTTE DEPARTM�NT,jOF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVIyt_[2!7��AEik_RNIA 95965 - TELEPHONE: 916/538-7541
f
PERMIT APPLICATION DATA SHEET
Permit No.
OWNER— /70 A. P. No. AS /0 LX C�9–
Proposed Building Use GO Building Inspector—YZM— Date Zzz_lazg�t,
At time of permit application, I was advised the following data must be submitted prior to permit processing
and/or issuance: DATE RECEIVED APPROVED
All items have befD—s_ubmitted . . . . \ ........ __T_ - -
Plot plans (� �uplicat /)/triplicate, signed by preparer of plans. Ji tR-
Complete plans i /triplicate, signed by prepareir of elans.?
4. Complete engineered plans and calcs, with wet signature on plans. -
5. Plan� with Energy Design Compliance Statement . . . . . .
L 6. � School District "Fees Paid" Stamp on Floor Plan.
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . . . . .
,.19. Letter of signature authorizatifimi . . . . . . .
AW -10. Sanitation approval from— Health- Dept.
11. Planning approval for (A) Use: (B) Parking:-
-12. Certificate of Workmen's Compensation Insurance . . . . . .
13. Contractor's License Information (no., name style, classif.)
__14. Owner -Builder Verification (Given to ownerD, Mail to owner F�
_._15. improvements may be required . . . . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . . . . . .
P,e-Inspec. request to (D;-te)
17. Pre -Inspection for—_-_-_, Required- Building In s pector
18. Recorded copy of Agricultural Acknowledgment Statement.
19. Driveway Permit.
__20. Plot plan approval from city of
21.
22.
en you issue thWp it, process as follows: —Mail to owner. Mail to contractor.
Telephone_O(N_15,9L�0 and hold for pickup a0kraof,f ice, —Deliver w/inspector.
Other
7//
App I icant )ate
Copy of plans sent Health Dept., — Fire Dept., — Other— Date
The following data must be submitted prior t ermit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional,�Iltems required:
A
Contractor, designer, owner, was advised of above required data by—phone---mai [—counter by— date -
Contractor, designer, owner, was advised c! above required data by—phone—mail—co r by date
Plans checked by Date—Plans approved by-
-Sets of plans on hold in —File cabinet _AP folder
Copy—DPW
TO Buildincy Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Z
J1 0
Owner c�2-S--e 0
Location AP#
Plan Approved for: Sewage Disposal Water Supply
Hold final for:
Water Supply
Final clearance O.K. for: Water Supply
Clearance for - bedroom mobile home. other
NOTE * * *
A
COUNTY OF BUTTE - DepLtmen"t of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in pro ' cessing and issuing your building permit. No building permit
will be issued until this verification is received.
1. 1 personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no) y e5
2. 1 (have/have not) Lnn_ signed an application for a building permit
for the proposed work.
3.
I have contracted with the following person (firm) to provide the proposed
c onstruct
Name
Address City
Phone Contractors License No.
4. 1 plan to provide portions of this work, but I. have hired the following person
,to coordinre
,� s ry and provide the major work:
Name C � r�-
Address City
Phone Contractors License No.
5.- 1 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 Securit
Number
Date a - lf_�
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.
RESIDENTIAL PLAN CHECKING GUIDE
(S.F., DUPLEX7&'MISC. ONLY)
"� .' , I
OWNER
GENERAL
1-1.1 Zoning requirements: (sideyards
0_,,) luation.
��Pians signed by designer.
--4-.—E-nergy Design and Compliance.
R_---E-x4s-ting violations on property.
Bldg. Permit #
A.P. #
and number of permitted living units).
PLOT RUNN
complete parcel size and dimensions.
Setbacks, sideyards, easements, etc.
3/" Other buildings or structures.
-4',Grading, fills, drainage.
--5---Flood hazard.
0-`_§pecial conditions on creation map or compliance document.
FLOOR PLAN
1. Co�"lete to scale plan with dimensions.
,_,%�quired windows for.light and ventilation (Sec. 1205).
Required-w-Indxnn for second exit (Sec. 1204).
4.—Sky-1-ights (Chapter 34 & Se4z:--.. 5207).
4.—Human impact glass (Sec. 5406).
-6,---Required room sizes, ceiling heights (Sec. 1207).
-?-.___GF.C.I.'s in baths, garage and exterior outlets (Article 210-8).
8. Light fixtures, switches, receptacles, and exterior receptacles for
mechanical equipment.
7/85
maintenance of
,9---+,ocations of water heater, heating and cooling equipment, other electrical or gas
equipment, and plumbing fixtures.
-44-.�arage firewall, door size, and closer (Sec. 503(d)(3)).
3'0" exterior exit door (Sec. 3304(e)).
-M—Firieplace and wood stove location.
11-.—Smo'ke detectors (Sec. 1210).
STRUCTURAL DETAILS
1'-�Foundation plan complete enough -;..-to construct building.
':�:I"6or construction details complete enough:ito construct building.
inilevations and wall construction details complete enough to construct building.
�4. of construction details complete enough to construct building.
-5. F*replace construction details and calcs if necessary.
_4-v-�ftcient data and details to satisfy energy requirements (State Law) (Form 1).
MISCELLANEOUS ITEMS TO LOOK OUT FOR
-1-7-Exposure I plywood on exposed locations and overhangs.
T.—Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306).
Guiardrail details (Sec. 1711 & 3306(j))_
-4—.Brick or stone -veneer (Chapter 30).
--5
Y -.—Exterior plaster - weep 'screeds (Sec. 4706).
-6-7-Proper roof pitch for roof covering (Chapter 32).
-7-.--Rafter ties or bearing ridge beam.
RESIDENTIAL PLAN,CHV-CKING GUIDE'(CONT'D) 7/85
MISCELIANEOUS ITEMS TO LOOK OUT FOR (CONT'D)
.8'�'_Garage door or porch header sizes.
9. --Adequate bracing.
-M—Living area over garage - complete 1 -hour separation required on garage side
including supporting walls and posts, etc.
11 -,Two exits on three-story dwellings (Sec. 3303 & see Mezannines 1716).
1-2—.Attic access and ventilation (Sec. 3205).
-1-3—.Underfloor access and ventilation (Sec. 2516).
Wood stoves, clearances, alcoves & 1 -hour shafts.
Combustion air for fuel burning appliances.
Noise requirements on duplexes.
1-7-.— Adobe soils - special foundation design.
1-8—. Retaining walls requiring design.
19—. Unusual shape, size or split level house requiring lateral design.
Tom ael n
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
V 7 County Center Drive - Oroville, California 95965 - Telephone: R16/538-7541
APPLICATION AND FERMIT
PERMIT NO.
ASSESSOR PARCEL NUMMER. I
%7-
Z N)NG
BUILDING PERMIT
0 WN -E
__T_r V�2 k1 1) [ (J's
TELEPHONE
to -15 1? q C
SQ. F T. OCC. BUILDING VALUATION
OWNER'S,M.AILING ADDRESS
CONTRACTOR'S NAME
T LEPHONE
73-
C,ONTRACTDR'S MAILING ADDRESS
- o L C,
Fireplace A EL 1,
7)(7 o
.k
CONSTRUCTION LENDER
uIll OWN
Total Valuation Is
IT ?) 0 -
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER I,
SE NO.
Plan-Cfiec'king Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING., ADDRESS-
"v,
Permit fee
s,
PLUMBING PERMIT
F i I i ng Fee 10.00
'7
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIIVISION NAME
ARCEL MAP
r
Water piping
5. 00
Each qas water heater or vent
5.00.
t
USE OF �,TRUCTUR - E
SF El DuplexF� Mobi'�ehomeF_J bther—
SPECIFY
Gas piping §9stem 1 - 5 6titlets-,
_'5. 00
Building sewer
5.00
Mobile Home S G W
50-00 ea
,TYPE OF WORK
A�diiionfj liernod�61�E] 'Utilitiie��sD,;�Ini' 1!' 1 n !Other�
New F �ta laiio' El
Descr!,P,e work:
4.
40_�
trim T -V - 7
PennItfF6e
Contractor
T MIT I I i ng Fee 10.00
ELEC'RICALIPtR
main service e10V'OR LESS
100 AMP ON LESS 11
10.00
-Main service�EA..ADD'Ll'.�1.00-Amp-,J
- 2.60
��6N' R46T 540�E�SE LAVr
T 0
I -declare und�r,,Penalty:.ot pe'rjury (check one):'\
I am '6censed ;under of Chapt. 9, Div. 3 j,of the�Business
F I provisj.ons I
land Prof essi on!�-Cdde :,andN �Iicense -is in-f6flJorce and effect.
11,7 Ty -T� i
.6Licpngq,-No.IJ 905�- Classification
f-1-1, as the owner, or my employees with wa�e,s as their sole compen-
sation, will do the work,and the structure is , not intended or offered
for sale. (Sec. 7044) . I
I, as the owner, am exclusively contracting with licensed cullLlaut-
ors. (Sec. 7044)
I am exempt under Sec.—, Business and Professions Code
for this reason
NEW CONST.�/ DWELLING.00CUP.
OR ADONS. A ACC. BLOGS. ' 9 21/20sqft
NEW.CONSTR. MULTI -OUTLET,
NON RESID, BRALIC Ht CIRCU TS)r 2.5'0 ea
POWER APPARATUS IN
0 UTLET,CIR.'.J)
_(SINGLE, 1
.
Ex. Occup(OUTLETS 64 FIXTU`RI�S 20050t
SAL@ 300
0 - 2.00- -
OCCUP. FIXED APP.LN5. R
Ex. OUTL ETS( RESID.) EA.)
' . —
Temporary service 10.00
Mobile -Home Facilities 15.00
Misc. Wiring 15.60
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
F-1 The permit is for $100.00 (valuation) or less.
NL 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.
F] 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
Fi I ing Fee 10.00
Heating
Cooling
Hood
3.00
Venti lation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agre e to save, indemnify and keep harmless the County of Butte against
all liabirl* its,�-Judgments, costs, and expenses which may in any way accrue
againsst aidlCouhty in c ce of the granting of this permit.
X KsegVen
� 14 Date
Signature of Applont - Owner E] Contractor [3 Agent
An OSHA permit ts required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee
TOTAL PERMIT,FEE $
occup.1
CONST.TyPrl
JSCN00LJFL1D0.JP..CrLJ
ID J 140
ISSUE
This permit is here8bo issued under
sions of the But e unty Code and/or
work indicated above for which
DIRECT 8
0,, /OF PUBLIC
By
RMIT EXPIRES Date
I ,
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date Z1
70 - Kq
I
Receipt No. _7
WHITM-C.P.W., TELLOW-ASSES30R.fptNt-i"sprCTOR. rOLDENROO-APPL I CANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS AA PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
ASXgSOR PARCEL N ILER
Z40- WNG
BUILDING PERMIT
irn Yin Vo-vil rdds
TELEPHONE
SO. FT. OCC. BUILDING VAL
ROWN
ER'SknLING A.113RESS 17 S91
.0. a & I C) C9, R'l
CONTRACTOR'SPI*ME I - V
Q1/_A
TELEPHO
PNTRACE'S MAILING ADDRESS
'n - nc_ ��L,, I? 5q
Fireplace! kAf
CONSTRUCTION LENDER
UNKNOWN
Total Valuation
LENDER'S MAILING ADDRESS
ARCHITECT OR ENGINEER LICENSE NO.
Filing Fee
$ 10.00
Permit Fee
Plan Checking Fee
$
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty
$
BUILDING ADDRESS
Permit fee
$
PLUMBING PERMIT
FilingFee 10.00
Each Trap
2.00
Solar or heat pump water heater
_p
0.00
20.00
#2
LOT NO. SUBDIVISION NAME II rARCEL MAI
11
Water pi i ng
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SFfO DuplexR Mobilehome[-] Other
SPECIFY
Gas piping system 1 5 outlets
5.00
Building sewer
5.00
I
Mobile Home W�
IS
10.00pa
TYPE OF WORK
NewF] AdditionEl RemodelE] UtilitiesD Installation[] Otheln
Describe work:
_0
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Fi I ing Fee 10.00.
main service 6001 OR LESS
100 AMP OR LESS
10.00
CONTRACTORS LICENSE LAW
I qeclare under penalty of perjury (check one):
F-1 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.�J oq;?-7 7 Classification I I
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)
1, as the owner, am exclusively contracting with licensed C011LICut-
ors. (Sec. 7044)
I am exempt under Sec.-, Business and Professions Code
for this reason
Main service EA. ADD -L 1 00 AMP
2.50
NEW CONST. (DWELLING OCCUP.aJ)
OR ADDNS. ACC.BLDGS. Oiosqft
NEW NSTR. OUT LET
. CO SIC. "' U Lr',, CU, 12.50 ea,
14ON RE .RAIC CIR TS)
(POWER APPARATUS.8r)
SINGLE -OUTLET CIR
Ex. OCCUP(OUTLETS OR FIXTURES .20050t
AL0300
OCCUP. FIXED APPLNS. OR
Ex. OUTLETS ( RES I D.) E A.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I d,eclare under penalty of perjury (check one):
The permit is for $100-00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
--
Fi ing Fee 10.00
Heating
Cooling
Hood
3.00
Venti lation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above informai;on
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County ot
Butte to enter upon the above-mentioned property for inspection purposes.
I al a, indemnify and keep harmless the County of Butte against
all ments, costs, and expenses which may in any way accrue
aga in c seqvpnce of the granting of this permit.
Date
Signature of Appl nt - Owner 0 Contractor El Agent
An OSHA permit 6
is ryuired for excavations over 5'0" deep and demolition or construct-
ion of structure- over stories in height.
Mmobbile Home Installation Fee $
Energy Inspection Fee
TOTAL PERMIT FEE $ 'P 07
occup.
co NST.TY1
ISCHOOL
I FLOODI
PARCEL
I PD
J
-
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIR TOFF PUBLIC
B A709,
I /
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Da
Receipt No
WHIT9-0.P.W., TELLOW-A38t33OR.(PINK-INsprCTOR. GOLDr.MROD-APPLI CANT
COUNTY OF BUTTE - DEPARTMENT OF'PUBLIC WORKS - BUILDING DIViSION
7 COUNTY CENTER D91VE - OROVILLE, CALrFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPK0ArT'VN DATA SHEET
Permit No.
OWNER A
_)ector�L,4 P* No,
Proposed Building Use=od!��Id_ Building Inspector Date -
At time of permit application, I was advised the following data must be submitted prior -to permit processing
and/or issuance: DATE RECEIVED APPROVED
2. Plot plans in duplicate/triplicate, signed by preparer of plans.
3. Complete plans in duplicate/triplicate, signed by preparer of plans.
4. Complete engineered plans and calcs, with wet signature on plans.
5. Plans with Energy Design Compliance Statement . . . . . .
8. School District ''Fees Paid'` Stamp on Floor Plan. �
^
7 Statement -_— of Intent_for Non -Heated _- A_ Buildings._
10. Sanitatilon approval from Health Dept.
-
1. r.mom�y�ypuvu/ for (A) use\o/ ru/m/v]:
�dK_m Certificate of Workmen's Compensation Insurance . . . . . .
'- _. Contractor's License_Information..(no.,...~ ~`y.~ ~..~~.. /
^~, -_��--__/^. Owner -Builder ve/n/u*um/ \G/vvo ,umwne/Dwm// `nmwne,LJ>
15. Improvementsmay be required. . . . . . . . . . .
� -__-- m Mno//onnme Installation Data.
�.....�.~.~"
^
Building In pecor
'
lU M o/ged .'oxAgricultural Acknowledgment Sttt
-----.19. Driveway
of—
_ -20. Plot plan approval'
2/
--___^^
When you issue -- permit, ,r------- follows:—Mail .-_ Other\
—Telephone and hold for pickup at--/ office, Deliver w/inspector.
�
^
^
'
�
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
`
� 1. Index permit for above items No. '
y
2. Additional items required:
.
�
ovntmotox, designer, v=ne,, was advised mabove required data uv---nmone_--ma//—counter by— date
cvotocm,, ueo/one,, ow"e,, was nuv/xeo c, above mnu/,eu data uv—phone —ma //—counter by— date
^
)"
Plans checked by Date Plans approved by Osge
�
--__-Sets ofplans onhold in—File cabinet _AP folder
/0,
*Ua�* _.;_ crzr�-�� -,�,
a -It
c,,o-z A4,
4
1- PE
RMIT NO. 3147-R7R P F M
PERMIT EXPIRES
OWNER TUM REYNOLDS
f; CONTR. owner
ASSESSOR PARCEL 25-10-42
LOCATION 687 Watson Rd, Biggs
-7
-------------
OFFICE COPY
Address Q-Z�-So -v-,
GAS
Meter By
ELECTRIC
-;o
Meter By oq�� —1 ate—
Tomp.PoweL__
Called PG&E
Temp. Elic. Service
Called PG4
Temp. Gas Ser
Called PGI
i JOB FINALED
Signature
= OK
0 = Not OK
- = Not Applicable RESIDENTIAL (Single and Duplex)
=.Not Reapy
Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued)
VFtg.., Main; Soils-Steel-Elec. Grnd.-/ /" Fig. Depth
j1,d./W[*,'Clng/Joist-Rftr.
Ties-Purlin-Roof Brac(Tr&'S1--0thng.-Rfng.
ta'Ftg., Garage; Soils -Steel-/ Ftg. Depth
t
-;T
§,ZWe'place Ties or Type A Flue -Fireplace Tffr-oat
4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth
ents Above Roof; Plb3agm-yKnc learance to
Openings. Clp'_�c
(#7�At Fic Access; Size & Romex Protection -Draft Stop -ins. Baff les
5. Sternwalls, Main; Steel-Blockouts-Wrapped
WCHANICAL &ffg LRLOK except #'s
1136rm. Windows or Exiting Doors -Sill Hgt. & Dimensions
6.,Stemwalls, Garage; Steel- Blockouts-Wrapped
�-,SXQ(!��arage
Fire Protection Framing
if Slab; Steel -Wrapped
-9. Condensat-e-D-ra-in--&-O-ve-r-fro-w; Size & Grade
W0._Rroperty Line Firewall & Openings
8. Piors-Fireplace Ftg.-Steel
4��urnace-Vent; Access -Comb. Air -Return Air Vent -115 outlet
W1 1-t nnnrq-One T -Check Garage -3rd story, 2 exits
t�<D.W.V.; Fall -Fittings -Test -2 way C/0 -Sewer Test
37.,Attic Access & Platform if Furnace in Attic
-\52-,3tatr97Wifffff--Fre-aTroom -Ri se- Ru n- Land I ng- Fire Protection
10. Gas Pipe; Size -Anchors
Le63. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
11. Water Pipe; Test -Anchors -Regulator -Service Test
Card -B1
L,5'4. Siding -Nailing Veneer
12. Electric; Underground
Card -B1
S. Atucco Mesh -Drip Screed -Fd. Vents-Underf Ir. Access
13. Plenums & Ducts; Clearance -Material -Supprt- Ins.
L�o
�Iazing Area -Glass Protection -Skylights -Plastic
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
PS*6.,Walls Studs -Nailing, Spacing & Bracing -Plates-Sound
hear Walls; Nailing -Bolts
15. Insulation
jj�__?Z2W"8
Inqidatinn-Walls-CIg.
59. Infiltration-Walls-Wndws
Card-B1W Date/ t-43 4?Xard-B 1 Date
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
Card -B Date//- /7-leard-131 Date
rA6
Card -B1
Dat ard-B1 4;; Date
W Z -
. -
11- ====I
Card-Bildh
DatK_-_vW Card -B1 "J_ Date
Date *,PLUMBING (Permit) OK except #'s
:Dfi�4.2ftter Ht. Vent -Access -Combustion Air Date �FllbllAll. (Plans) OK except #'s
��er Pipe; Test & Anchors -Nail Protection 100,taxt. Steps -Door & Sidelight Protecti on- Land I ngs
W( JWb.W.V.CTe_sattngs & Anchors -Nail Protection 61 mgWDetector
19. Shower -P -a -n; Test, First Floor -Tub Access
�rnace; Vents-Clearano(-Comb. -Connector-
in uZM_Meg1
20. Test Tub & Shower, 2nd Floor -Tub Access In Garage; Above Floort . Protection
4-M. Gas Pipe; Size & Anchors r t1f3. Bedroom Exiting -Spa
t4. G.F.I. & Bath Fixtures & Tub Access
D 4�.�'M Elec. Trim & Suboanel: Breaker Sizes -Labels
Card-BlCa) Dat!�L,27,KrCard-Bll Date
Card -B1 k A Date Card -B1 Date
Date ELECTRICAL (Permit) OK except #'s
22. Fixture & Transformer Clearance -ins. Protection
L,2S. Elec* Receptacles Spacing -Lights & Switches at Doors
A,24' Size Boxes & No. of Conductors -Stapled I
1;195. Romex Installed Close to Edge of Studs & C.J.
"26 -Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
&-'Zf 2 Appliance Circuits in Kitchen & Conductor Size
28. Subfeed Wire Size /_'� ga. Cu o(�>-.C. Wire Size / /ga.
Cu or Al I
29. Range Circ. / / ga. Cu or Al -Oven Circ. / / ga. Cu or Al.
Insulated Neutral Yes No
t -M. Service -Riser Conductors & Ground -Main Disconnect
31. Equip. Clearances Panels-Motors-Mech.
32. Clothes Closet Light -Shower Light -Spa
ht
ace or Stove; Clearances -Hearth
Outlets at Wood Panel; Int & Fx
7CA;4jef outlets & Receptacles a�Co�nter,,-'
LK-tiaraae Fire Door: Swina-Landincf-Clo&075
rM,V�. Htr.; Vents -Clearance -Comb. Air-Connectl(��
V_.-av=w'Garage; Above Floor-Mech. Protection
b., Elec. & Mech. Equip. Li aft �C�
C'76_JflAc. Receptacles in Garagefe.F.g-Aomex Prot�e�
&TW'Insulation-Foarn-Looked In A_t0c--"t"6s§-
7r.-GDard-Raos-&-DoorC-onstruction-Post Caps
-76.-Xda_VenL%A_CxawL Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
79. Following instld.; Drive _AWe-s ONo;Walks 0Yes 011111ir
01 * r1l V
(NOTE: An entry must be made each time you visit job site)
Unit; DisconnecfftlectrfcallhuT�"
Card -131 Date Card -B1 Date
Card -B1
Date Card -131 Date
ents Above Roof; Plb3agm-yKnc learance to
Openings. Clp'_�c
Date /
WCHANICAL &ffg LRLOK except #'s
Water Well; Disconnect, Electrical, Plumbing
L -KA' ;:XtArinr Elec. Trim; G.F.I. Receptacle -Underground
X
,"Q.,
A.C. Duct!Q'nsulation,& Support
jVent Far( h
- Exf-a-u-§Mbove insul-a-56>
85. Ventilation throughout House
-9. Condensat-e-D-ra-in--&-O-ve-r-fro-w; Size & Grade
86. Glass Protection
4��urnace-Vent; Access -Comb. Air -Return Air Vent -115 outlet
1,W. Corrections from Previous Inpections
tl(
37.,Attic Access & Platform if Furnace in Attic
(��_as Test -Meters Tagged; Gas -Electric
C.M.'Water & Sewer Connected -C/0 to Gracle-HD Approval
(05-2711knergy Compliance Certificate -Other Certificates
90.
Card -B1
C4�21)ate Card -B1 Date
Card -B1
k1 Date Card -B1 Date
Card -B1 DaW I AffCarcl-B 1 Date
Card -B1 Date Card -B1 Date
Card -B1 Date Card -B1 Date
Date FRAMING (Plans) OK except #'s
kl&_Sills, Proper Material & Anchors
PS*6.,Walls Studs -Nailing, Spacing & Bracing -Plates-Sound
Comments at Final:
,,Erearing Walls over Girders & Floor Nailing
Draft Sto in Walls (rat proof)
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
43. Header & Beam -Size & Bearing
(NOTE: An entry must be made each time you visit job site)
= OK
0 = Not �015
- = Not Applicable
= Not Ready MOBILE HOMES
MISCELLANEOUS
Date'
MOBILE HOME UTILITIES (Plans) OK except #'s
Date
DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
2. Footings; Soils-Size-Depth-Spacing-Connectors-SteeI
3. Sewer; Locati on -Test- Fal I -C/0-Conc rete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs- Rails
4. Water; Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-
Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
6. Gas; Location -Test -Wrap: / /"L"ft.
/ P'Nat. or/ /"L"ft./ P'LPG
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
Card -B1
Date Card -131 Date
10.. Roof; Shthg-Roofing
Card -1311
Date Card -131 Date
11. Ext.; Steps -Doors -Landings
Date
MOSILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Card -B1
Date Card -131 Date
2. Footings; Size -Spacing -Marriage Line
Card -131
Date Card -B1 Date
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
Date
POOLS (Plans) OK except #'s
5. Drain; MH Test -Fall -Flex Connector
1. Setbacks -Easements
6. Water; MH Test -Regulator -Connector
2. Soils; Compaction -Structure Stability
7. Water and Sewer Connected -C/0 to Grade -HD Approval
3. Pool Structure; Steel -Connections -Thickness -
Dead Men -Lining
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
4. Elec.; Receptacles and Lighting, Distances-GFI
10. Cart. of Occupancy
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg.
Boxes-Enclosu res -Panel boards- Ins. to Main in Conduit
Card -131 Date Card -131 Date
Card -131
Date Card -131 Date
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Card -131
Date Card -131 Date
Card -131
Date Card -131 Date
TIVIS IS AN OFFICIAL DOCUMENT..IT MUST BE FILED WITH THE BUILDING INSPECTOR.
--I—
Ids
INSULATION CERTIFICATION
" Ntmit,er
Counly
SubdNlslon
Lot Nu ... t,er
DESCRIPTION OF Ms-rALLA-rioN
ROOF
Material
Brand Name
Thickness finches)
Thermal nes;sfance in Value)
EXTERIOF1 VVAILL
Material FIBERGLASS
Brand Name CERTA NTEED
Thickness 5nches)
Thermal nesistance (R Value)
CEILING
Batt or Blanket Type-----F—LU�.R-Q.L.A-S-S—
Brand Name —C-ER-TA-LAIL
Thickness '.'inches) __ zo___
Tfiermal Flesistaticr (n v:lltje)
Loose Fill Type FIBERGLASS
Brand Name CERTAINTEED
Minimum Thickness finches)
Numbt"r*of W,!;ght per hAq
Area Coveted lfl2
Ttie'rmal nesistance (n vilwiue)
FLOon.ELEVATED
Material F I B E R Q L�LS S—__
Brand Name ___. C E.R!-A-LN-T ED
Thickness (inchesl
T . !termal Resistance IFI Value)
FLOOFI. SLA13
Material
Thickness (incties)
Tl--eirnai nesistatice lit vallie,
Width finches)
FOUNDAT 1014 WALL
Material
Brand Name
Thickness finches)
Thermal nesistaitce (11 vnilipj
HEATING SYSTEM Gai Furnaco
Make
llatCd Bonnet Capaity
DECLARATION
I twirby certify that the ;)bove insulatiot, VvRS installrd in the huj1cj;r,q 11 he :01ove loc ;o
C%o rent "gtil,"li0l's letflng Eiiergy Conservation in conformance
. vvill, the
Calilori,ia Adminisirntive Code). St-'Irld-wols �.'or new re0deritial buildisia's flocaled in Title 74 of Ille
General Contractor (Eluilder)
(el'se I-lurnber
S19"Alure 8,,d
INSULATION CO INC 3 7 84 0 7
o"11,10111 111.1111,111on Appficalo,l -
Lloenie i�ttmher
Sec..
.9.1 a we atiri Title
Date
CEIRTIHICATE REIVIEWED BY Pate---
BIN-029 rpC, (--Fi---(---j-
.0j) )f
ce
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive. Oroville — Phone: 538-7541
747 Elliott Road, Paradise — Phone: 872-6307
CORRECTION NOTICE
A routing inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
I
Inspector C! Date
N
I
Inspector C! Date
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751,
7 County Center Drive, Oroville — Phone: 538-7541
747 Elliott Road, Paradise — Phone: 872-6307
CORRECTION NOTI CE
NER PERMIT NO.
A routine Inspection Indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
tt
lv,/�qLieed additional explanation, please contact this office Immedlate1j.
I -
Inspector. Date
COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS PERMIT
a 6
7 County Center Drive - Orovillei Califor,,.)ia 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
ASSES.J,9R_7P_ARCEL NUMBER
/0 0 -d '0
L42!SN
ZONINXe
BUILDING PERMIT
0K,
OWNER
T LEP 0
SO. FT. OPP - BUILDING VA.UAR-rON
Y_
ZMO:
OWNER'S MAILING:' OR SV
Z -00'y 4�K--.Z5 9,z:5,?t12
G;2.4:2(9
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LEM .
Ka
UNKNOWN
Total Valuation Is C1
aoya
Filing Fee
$ 10.00
LENDER'S WAFLING ADDRESS
Permit Fee
$ 2&6 611?
ARCHITECT
LICENSE NO.
Plan Checking Fee
$ 91)360
Energy Plan Checking Fee
$ -
ARCHITEC'r-OR ENGINIEER'S MAILING ADDRESS i
Penalty
$
BUILDING ADDR I ESS
Permit fee
$ 17-3/41
PLUMBING PERMIT
FilingFee 10.00
Each Trap
2.00
Solar or heat pump water heater
20-00
LOT
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00 6; &0
Each gas water heater or vent
5.00
USE OF STRUCTURE
SF DuplexF� Mobilehomef-I Other
y SPECIFY
Gas piping system 1 - 5 outlets
5.00 C,1, f)7)
Building sewer
5.00
Mobile Home S I G I W
0.00 ea
TYPE OF WORK
New K Addition [] Remodelo Utilities[] InstallationD Other[]
Describe work:
i I
Permit Fee
$ &D
Co tractor
ELECTRICAL PERMIT
FilingFee 10.00,
Main service 600V OR LESS
100 AMP OR LESS
10.00 46 . flo
Main service EA. ADO -L 100 AMP
2.50 17-50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
El 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)
O1, as the owner, am exclusively contracting with licensed UVIII.1aUt-
ors. (Sec. 7044) -�r
F] I am exempt under Sec.—, Business and Professions Code
for this reason
NEW CONST. I DWELLING OCCUP.ad
OR ADDNS. %_ACC. BLDGS. 21A Osq ft
NEW CONSTR. MU LT"OUTLET 2.50 ea
_NON-RESID, BRAIC. CIRCUITS)
POWER APPARATUS &J
(SINGLE OUTLET CIR. I
20050t
Ex. Occup(OUTLETS OR FIXTURE S 15AL0 30t
.
OCCUP. FIXED APPLNS. OR
Ex. OUTLETS_(RESIDe) EA.) 1 2.00
Temporary service 10.00
Mobile -Home Facilities
15.00
Misc. Wiring 15.00
Permit Fee
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
[—] The permit is for $100.00 (valuation) or less.
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 shal I be deemed revoked.
Contractor
MECHANICAL PERMIT
Fi I ing Fee 10.00
Heating
Cooling
ft
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application, and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the 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 liabiliyes, Judgmen S, cost! �c:nd exee which may in any way accrue
e of rs as is Mi.
agaipg,v ;#d Count o ranting of thi p t
X Date 7_67
Signature of Applicant — VO4narKl Contractor 0 Agent
An OSHA permit is required for excavations over 5'0" d molition or construct-
ion of structures over 3 stories in height. 0 4:71."
Mobile Home Installation Fee $
Energy Inspection Fee
TOTAL PERMIT FEE S340, K_
occUP-ICOR
)!Z
/
OSCH610A
T L
F�
PARCEL
6
PU NX6 ISSUE
i V
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTQFt OF PUBLIC
--
Bv
PE t EXPIRES
Of T Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
LnET
Receipt Now 60gr 9,
WHITE-D.P.W.. YELLOW-AS;C3301t, PINK-INSPEC;OR. GOLDENROD-APPL I CANT
COUNTY OF BUTTE DEPARTMENT OF -PUBLIC WORKS BUILDING DIVISION
'LE
7 COUNTY CENTER DRIVE - OROVIC 7 ALtORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICAT]ON DATA SHEET
Permit No.
OWNER P. N o. _7�1
Proposed Building Use "s Building lnspie�t6r_ Date.,
At time of permit application, I was advised the following data must be submitted prior to permit process ing
and/or issuance: , :, f k. DATE RECEIVED 'APPROVED
1' All items have been submitted . . . . . . . . . . /I I —
�2 .. Plot plans in duplicate/triplicati sign d by preparer of plans.
Complete plans in duplicate/tripli':siP
3 1 i c:a� ne by preparer of plans. C?
4. Complete engineered plans and ca �,S!tiM signature on plans.
5 Pla s with Energy Design Compliance Statement . . . . . . .
2 School District ''Fees Paid" Stamp on Floor Plan
,,6 6 .1
7 Statement of Intent for Non -Heated and AC Buildings . . . . .
_42KB. Fees of $ ........ 7-
9. Letter of signature authorization
. . . . . . . . . .
0. Sanitation approval from Health Dept. 17
d�b V
11. P lann i ng appYova I f or (A) Use: — (B.) Park i ng:
12. Certificate of Workmen's Compensation Insurance . . . . . .
�_13. Contractor's License Information (no., narre style, classif.)
-14. Owner -Builder Verification (Given to ownerEl, Mai I to ownerE])
15. Improvements may be -required . . . . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . . . . . .
Pre-Inspec. reque t t
17. Pre -Inspection for--.-,-- Required- Building In pec to S�
_QN8 - Recorded copy of Agricultural Acknowledgment Statement. e-,)
-1-9. Driv'eyvay Permit, 7 /cP
__20. Plot plan appr6,val from city of -
21.
22.
Whe'n yoD issue the permit process as follows: —Mail to owner,
Telephonesb P__-POV — and hold for pickup a -M— office,
Other
Mail to contractor. 11
—Deliver w/inspector4
ate
Cqpy of plans sent — Health Dept., —Fire Dept., — Other—Date
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required: .1",
Contractor, designer, owner, was advised of above required data by —phone ---Mai I —counter by— date
Contractor, designer, owner, was advised c? above required data by —phone —ma i I —counter by— date
Plans checked by Date Plans approved by -7:7 Date /6 -12 - �9Z
Sets of plans on hold in —File cabinet _AP folder
I
Copy—DPW
TO: Building Department
FROM: Encroachment Permit Sec ion
RE: Driveway Clearance
owner location
/0- "(-Z-
AP #
Driveway permit 970 Z'(Y has been issued for the above property.
signa re date
TO Buildinq Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
�OneO Location AP#
Plan Approved for: Sewage Disposal
Hold final for:
Final clearance O.K. for:
Clearance for bedroom mobile Other
NOTE
Sanitarian
Water Supply
Water Supply
Water Supply
Date
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive,.Oroville, CA 95965 Phone: 916-538-7541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing
your signature.
.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. 1 personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no) yec;
2. 1 (have/have not) kekY C_ signed an application for a building permit
for the proposed work.
3. 1 have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors License No.
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. 1 will provide some of the work' but I have contracted (hired) the fol lowing
persons to provide the work indicated:
Name Address Phone Type of Work.
Signed:
Property Owner �� /Ztw�
Social Security Number
Date 7 -
NOTE: This Owner -Builder Verification is sent to you as required by Sect4,ons 19831 and
.19832 of the California Health and Safety Code.
This verification must be complet ed and returned to our office before we are per-
mitted to issue the permit.
Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT
FOR. RESIDENTIAL DEVELOPMENT qiCORQED BUTTE COUNTY
V
OFFICIAL RECOPOS 8
Section 26-8.1 of the Butte County Code requires th-is acknowledgement
be recorded prior to issu.ance of a building permit. PARW SHOWN
87-340'18
The property described herein is adjacent to land, or included 281 SEP 2 1 PM 4: 0
within an area zoned for agricultural purposes, and residents of this
property may be subject to inconveniences or discomfort arising from CANDACE J. GRUBBS
the use of agricultural chemicals, including, but not limited to herb ic iffiJRK-PEURDER(ME �CJ
and fertilizers; and from the pursuit of agricultural operation including, but not limite
to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dusPages
smoke, noise, and odor. Butte County has established agricultural zones which have as a
priority use for productive agricultural purposes, and residents within said zones and on
adjacent property should be prepared to accept such inconvenience or disc6nform from normal,
necessary farm operations.
All that real property situate in the County of Butte, State of California, described
an follows:
Lot 6 in Block 6 as 5hown on that certain Map entiti-rd "Rio
Bonito Colonyq Butte County, Cala.", which Map wasrecori'ded
in the crfice of the Recorder of the County Of Buttev State
of California, February 1, 1892 in Book 5 of Maps, at Page 31.
Date: -,27-C.-e
PROP Y OWNERS:
State of ',�Ir
) / On this- the day o fk 19y ---Z, before
le�l ) SS. me, the undersigned Notary P�—ublic�-�jpe—rsonall; appeared
County of . ' 4L--�# 1#51
dt
Personally known to me. /;?<roved to me on the basis
of satisfactory evidence.
to be the person(s) whose hame(s) f-� su0scribed to
the Within instrument and acknowledged that -C�
0 0 0 G 0 NOD On 0 0 8 0 13 DuOmm'0060 10 executed the same for the purposes therein contained.
BARE11hRA EDGAR 00 IN WITNESS WHEREOF, I hereunto set my hand and official seal.
a
NOTARY PVBUC-C.�XORNIA
81 BLOO CWrAy
My CommiWon Exph" MaTch 8, 1991
Notary PublA&:�,/
Present A.P. No.,-?;,.� -/0, <,�
RESIDENTIAL ENERGY PLAN CHECK/INSPECTION SUMMARY FOR 14.
Owner Climate Zone Permit No. gle,17-97
Floor Area
Compliance path: Package OA EIB OC OPoint System []Budget 00ther
MIN R -VALUE DESCRIPTION
REQ'D
INSTALLED ITEMS (1) INSULATION:
Roof/Ceiling
WaJJ
Sla Floor Perimeter
El (Ziipsed Floor
(2) INFILTRATION:
Cl (A) A vapor barrier is required in climate zones, 1, 14 & 16.
(B) All manufactured windows and sliding.glass doors shall meet the
1972 ANSI Air Infiltration Standards and shall be certified and
labeled.
(C) All swinging doors and windows leading to unconditioned areas
shall be fully weatherstripped.
C1
11
11
7/83
Tight - the above standard features plus:
(D) Continuous infiltration barrier
E) �Electrica 1�e�ate gasket.
' out t
Jr_ t�o-ica r4Ea exchatte
—�FF7) ir- o air t exchanger
(3) GLAZING:
(A) Location
Area Glazing %Floor Area Single Double Triple
Total Bldg -7
North -.3-7
East
South
West
Skylights
(B) Shading
Shading
Coefficient Description
East
South
West
Skylights
(C) South Overhang
Length of projection ft. Description
(D) Moveable insulation: Area ftZ Description*
(E) Thermal mass
Type - Area Ft.2 HC= R=
MC= Location
Type - Area Ft.z HC- R=
MC= Location
Type - Area Ft.2 HC:�- R=
MC= Location
Type - Area -Ft.Z HC= R=
MC= Location
Type - Area Ft.Z HC= R=—
MC= Location
Type Area Ft.�' HC= R=
MC= Location
I
FOR M I
(4) MASONRY AND FACTORY -BUILT FIREPLACES shall be equipped.with tight
fitting closeable metal or glass doors covering the entire opening
of the firebox; a combusion air intake equipped with a readily
accessible, op�nable, and tight fitting damBer to draw air from the
outside of the building; and a tight fiteing flue damper with a
readily accessible control.
*1(5) HEATING, VENTILATING, AIR CONDITIONING SYSTEM
(A) Heating
Central Gas Furnace %
(brand and model number) SE
Btu/hr
(heating capacity)
Heat Pump
(brand and model number) ACOP
Btu/hr
(heating capacity at 47'F)
Active Solar
type (liquid or air) Collector brand and
ft2
*1
i�l
0
model number
orientation
rated slope
Other
solar fraction collector area collector
collector tilt rated y -intercept
I
(describe)
(B) Cooling
Electric Air Conditioner
(brand and model number) (seasonal EER)
Btu/hr
(cooling capacity at 95'F)
Electric Heat Pump
EER
Btu/hr
(cooling capacity at 95*F)
other
(describe) I
(C) A TWO-STAGE THERMOSTAT, which control�'the supplementary heat on
its second stage, shall be required for heat pumps.
(D) AN AUTOMATIC SETBACK shall be provided for all thermostats, except
those controlling heat pumps.
(E) AN INTERMITTENr IGNITION DEVICE shall be provided for all gas-fired
fan type central furnaces, gas-fired fan type wall furnaces and
gas cooking appliances.
(F) BACKDRAFT DAMPERS shall be provided foIr all fan systems exhausting
air to the outside. 1.
(G) DUCT CONSTRUCTION & INSULATION. All transverse duct, plenum, and
fitting joints shall be sealed with pressure sensitive tape or
mastic to prevent air loss and shall �e i.nsulated to conform to
the provisions of Section 1005 of the -UMC, 1976 Edition.
7/83 2
C] *2
FORM I
(6) DOMESTIC WATER SYSTEM
(A) Gas Only Gallons
(brand and model nu�ber) (tank size)
Heat Pump w/ElectrieBackup
(brand and model number)
Gallons
(tank size)
Active Solar
(collector brand and model number)
(rated y -intercept) (rated slope)' (solar fraction)
ft 2
(backup heater type, brand and model number) (collector area)
(collector orientation) (collector tilt)
Location of Solar Panels
other
(Describe)
(B) TANK INSULATION. Storage type water heaters and storage and
backup tanks for solar systems shall be externally wrappedwith
R-12 insulation or greater.
(C) PIPE INSUIATION. The five feet of pipe closest to the water
heater and outside conditioned space shall be insulated with a
minimum of R-3. Steam and steam conditioned space shall be
insulated with a minimum of R-3. Steam and steam condensation
return piping and recirculating hot water piping outside the
building envelope shall be insulated in accordance with
T20 -1408(d).
(D) FLOW RESTRICTORS shall be provided for showerheads' and faucets
as outlined in the new appliance efficiency,standards and shall
be certified to the Energy Commission.
(7) LIGHTING
(A) Lamps used in luminaries for general,lighting'in kitchens and
bathrooms shall have an efficacy of not less than 25 lumens per
watt (usually florescent).
*1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing
charts (form #4) or other approved methods, section 2-5352(g), and fill out the
following:
Heating: Winter design temperature 30 *, elevation Z-00 heating load 3Zd
LZBTU
elevation factor x heating load = maximum outlet capacity gas furnace
:30
BTU
Cooling: Summer design temperature /0# -, cooling load-�V-400 BTU
*2 (USE ONLY AS A SIZING GUIDE, COOLING MAY BE INADEQUATE)
Submit T.I.P.S.E. chart or other approved system (form #5) to document sizing of
solar panels.
IM DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of
Title 24, Part 2, Chapter 2-53 of the California Administration Code.
7/83
SIGNATURE OF -iR APPLICANT
3
(k.F. , DurLLA Miz'. UNIij
Bldg. Permit 0
A. P. #
OWNER
GENERAL
or -**—'Zoning requir�cments: (:;Ideyards and number of permitted living units).
.;-�Valuation.
_3' -- lans signed by designer.
�'iEoergy Design and Compliance.
�A- Existing violations on property.
PLOr PLAN
1. Complete arcel size and dimcns'
&K ,-;:i�etb.ck. . �sid.y�ad. . �as.m.n Is �,.tc!
,1�.,ther buildings or structures.
,4�_'rLrading, fills, drainage.
<�F-lood hazard.
. Special conditions on creation map or compliance document.
FLDOR PLAN
Complete to scale plan with d i mensione.
2. Required windows for light and ventilation (Sec. 1205).
.a**' Required windows for second exit: (Sec. 1204).
,4-' Skylights (Chapter 34 & Sec. 5207).
,5� Human impact glass (Sec. 5406).
- 1207).
.6. Req,tired room sizes, ceiling heights (Sec.
-I-' G.F.C.I.'s in baths, garage and exterior outlets (Article 210-8).
,4-- Light fixtures. switches, receptacles, and exterior receptacles for maintenance of
mechanical equipment.
9 c . :tJ o ng an
equipment, ard �plutnbing fixtUrcs.
.c
size, and closer TSec. 503(d;;L:
.wkt. 1 - 3'0" exterior exit door (Sec. 3304(c)).
�4� Fireplace and wood stove location. VUA/F_
Smoke detectors (Sec. 1210).
STRUCrURAL DETAILS
,-----Foundation plan complete (.-nough to conZLruct building. 45/~ 4"0
,2-' Floor construction details ------ -- —.1dipc AA;'
IrrL'77C-r0TrS--J-n0 W3LL cons t
cti. dcta�ls comDlete enouph to construct bull
6%�.A-.—Ttbof construclion details complete enOLIgh to construct bu-iTd-.,-nT-.PMV
o6-.- Fireplace con::r.rurtion dCL.IiI5 .1fict C;11('S if IICCCSSar�'-
.4� Sufficient dat.a and dr.L.Iils Lo sati.,:fy viiergy requirements (State Law) (Form 1).
,A� Mo CA�CR 4r PCO04 rCe&i�d IA -1 Oo- 04e 7V�oe V.� Og,�06 /�CpL Z 15-/6 C J-.)
MISCELLAI;EOUS ITEMS TO IA)OK OUT FOR
&"�_Exposure I plywood (in exposed location-, and overhangs.
�tairway details: landings, rise and run, head clearance, handrails (Sec. 3306).
Guardrail det.ails (Sec. 1711 & 3306(j)).
Brick or store veneer (Chapter 30).
Exterior plaster - weep screcds (Sec. 4706).
Proper roof pitch for roof covering (Chapter 32).
e,7-- Rafter ties or bearing ridge beam.
,Ar.- Garage door or porch header sizes.
eol- Adequate bracingpee 2.q 7(�-j
/K Living area over garage complete 1-huur separation required on garage side
including supporting walls and posts, ctc.
-kl'- Two exits on three-story dwellings (Sec. 3303 & see Mezannincs 1716).
X. Attic access and ventilation (Sec. 3205).
J-3--. U nde r f loo r ac c c s a a nd v e n t i 1 a t i o n (Sec . 2 516 P-1.4 16-0 SF e4l A:. 4& e�4 /V,, x24)
Wood s to ve s , c 1 ea r an c c 9 , a I c ove 9 & I - hou r s ha f t s . IrA F41A6 dw
Combustion air for fuel burning appliances.
Noise requirements on duplexes.
,Jef- Adobe soils - special foundation design.
Retaining walls requiring eesign.
Unusual shape, size or split level house requiring lateral design.
Aw"e'vml, o --,,,c-- 100.3, apc-
'ex-r 4'0c-� e.? /".r ^tz% ^Mn
-7;z4t,;.s: ae. cy�e/,Im C-2 6�4, 6 Aft 2 6;-/ WA
4r. eo -4,/ V4&e
C 16 tV 7- C. - se o -O 0'-e- OA4f�-
--CO,21 ae,- /'
WF1h7W.,r . e ;V 7
e'1yv--vr*,t
Z
plellvo A,,z 6Zc- !Z13,
t'-0-7 A
:30' AMC-
ZONE 11
OWNER rvks, g�jneJL,&/0&_ POINTS
PERMIT NO. 79-/4"- 7_ ASSIGNED ACTUAL
1. SLAB - INSULATION
2. RAISED FLOOR - R-19
3. CEILING - R-30.
4. WALL - R-19 �7
5. NORTH GLAZING - 2.413.6% 3-7 -
6. EAST GLAZING - 2.5-:3.6% 6 -
7. SOUTH'GLAZING - 1.6-3.6% -41
8. WEST GLAZING - 2.9-3.6% 34
9. SKYLIGHT - 0-1.3% 0 -
10. SHADING (Exclude Overhang)
EAST 0.7.66
SOUTH 4,1 .19-.42
WEST S -t .13-.36 -.3
.SKYLIGHT *'?-.3-7-.57-
11. HORIZO14TAL SOUTH OVERHANG 2'
12. MOVABLE INSULATION - NONE
'he AMC
13. INFILTRATION (Standard=0)(Tiqht=+12) WNW
14, THERMAL MASS SF
15. GAS FURNACE (SE). 71-76%
16. HEAT PUITP (EER) 7.5-7.9%
17. DUAL PACK (SE, SEER) 8.0-8.3/71-76%
WOOD STOVE
WATER 411EATER
ATTIC -710% 3
OTHER
TOTAL POINTS
Table 3-1.
Slab
Floor
Points
22
Table 3-2. Raised
Floor Points
I I
Tn�qla-
R -Value of
I
Insulstion
I I
&-Value of
+4
t wn
Pts.
24
0 0 it
37-.66
Insulation
Points
De pth.
.83 up
1
30
0 3.2 6.4 8.'* 9.6
Table 3-9. Skylight
+3 1
Inches
0-2
3-4
5-6
7+
.43-.66
0 -2 T2 -3
Total
0 -4 -4 -6
Vest
1 1.6 3.2 6.4 1 3.0
1
1 below 3 1
-12
1 1
1
1
7-7
0 0 0 0
3 - 4 1
-8
0 It
-5
-5
-5
-5
5 7
-6
12 15
-5
-3
-2
-1
8 12
-4,
16 19
-5
-2
-1
0
13 18
T2
20 +
-3
-1
0
+1
.191+
0
7/7/83
Table 3-3s. Ceiling Insulation
- Points
R-Valuo of Insulation I Points
rable 3-4s. Wall Insulation Points
I _T_
I R -Value GE Insulation I Points
Table 3-7: South -Facing Glatt Pt Table 3-10. Shading Coefficient Points
T -----.T ____T
Glazing Type
Total
I of Sngl, I Dbl, Trplj
Floor (tJ - I (U ;) (U . I
Area 1.10) 1 0.6 0-41)1
Ivoints ipSints 1pointsi
0 1 13 ,.1 1 4 3 1
up to 1.5 1 +2 1 +2 1 +2 1
1.6- 3.6 1 -1 0 1 o
3.7- S.2 1 --4 _=2_ 1 -2
5.3- 6.5 1 -6 -4 -3
6.6- 7.7 1 -9 -6 1 �-5
7.8- 8.9 1 -11 -8 1 -7
9.0-10.0 -13 -10 -9
10.1-11.5 -17 -13 -11
11.6-13.0 -21 ;-.16 -14
13.1-14.5 -25 -19 -16
14.6-16.0 -23 -22 -19
19
-4
22
-2
30
0
38
+2
49
+4
Weal -Facing Glazing
Pts.
rable 3-4s. Wall Insulation Points
I _T_
I R -Value GE Insulation I Points
Table 3-7: South -Facing Glatt Pt Table 3-10. Shading Coefficient Points
T -----.T ____T
Glazing Type
Total
I of Sngl, I Dbl, Trplj
Floor (tJ - I (U ;) (U . I
Area 1.10) 1 0.6 0-41)1
Ivoints ipSints 1pointsi
0 1 13 ,.1 1 4 3 1
up to 1.5 1 +2 1 +2 1 +2 1
1.6- 3.6 1 -1 0 1 o
3.7- S.2 1 --4 _=2_ 1 -2
5.3- 6.5 1 -6 -4 -3
6.6- 7.7 1 -9 -6 1 �-5
7.8- 8.9 1 -11 -8 1 -7
9.0-10.0 -13 -10 -9
10.1-11.5 -17 -13 -11
11.6-13.0 -21 ;-.16 -14
13.1-14.5 -25 -19 -16
14.6-16.0 -23 -22 -19
T ----.---T
SC by
Orten-
Z Floor Area
tation
zest
r
3.2
_T9__
0-3.1 to 6.4 up
I
Table 3-8.
Weal -Facing Glazing
Pts.
24
0 0 it
37-.66
+2 1
1
1
.83 up
1
30
0 3.2 6.4 8.'* 9.6
Table 3-9. Skylight
+3 1
3.1 6.3 7.9 9.5
- Glazing Type
0 +1 +2 +2 +3
.19-.42
0 0 0 0 0
.43-.66
0 -2 T2 -3
Total
0 -4 -4 -6
Vest
1 1.6 3.2 6.4 1 3.0
Z of Floor
to I to I.to I to I up
T +
1.5 3.1 6.3 7.9
Z of
Sngl,
I Dbl, __r_Tr_P1_.7
0 0 0 0
Table 3-5. North-FactnS Glazing Pti
T_ T
Floor
Ares
1"10)
(U - I
1 0.65) 1
(U -
0.41)1
-2 -4 1 -8 -16 -20
Skylight
.1 .8 1.6'1 3.2 1 4.6
to I to to I. to I to
1polats
I
it t I
Pi S,
.13-36
Glazing
Type I
T -----C,----7
.58-82
jFoLnts
.6 1
+i
Total
I of
-
I
_T_r _p
I up to 1.3
+5
+6
+6
X of
sn!l.
1 1) b I-.-
r 1-.7
1 1.4- 2.2
+3
+4
+5
Floor
1 0 - 0.5 1 -2
U .
I U -
1 2.1- 2.8
0
+2
+3
Axe&
0.66
0.42-
0.41
2.9- 3.6
1 -3 f
1
+1
1.10
0.65
dovn
1.1- 4.2
-5
_�L
-2
0
0
4
4 4
+4
4.3- 5.0
-8
-4
-2
0.1- 1.2
+4
+4
+4
5.1- 5.6
-10
-6
-4 1
1.3- 2.3
+1
+2
+2
5.7- 6.2
-13
-8
-6
2.4- 3.6
-2
0
+1
6.3- 6.9
-15
-10
-7
3.7- 4.8
.9_ 6.1 T
4
_7
-4
-3
7.0- 7.6
-18
-12
9
6.2- 7.3
-9
-6
-5
1 7.7- 8.2
-20
-14
_T
7.4- 8.2
-12
-8
-7
8.3- 8.8
-22
-16
-13
8.3- 9.7
-14
-10
-8
8.9- 9.5
-25
-18
-15
-12 1
-10
Area, 2 of Floor
Points
9.6-10.1
-27
-20
-16
9-8-10-8
-17
-12
-10
10.2-11.0
-29
�-23
-17
10.9-12.0
-19
-14
-12
11.1-11.8
-35
-26 1
-21
12.1-13.2
-22
-16
-13
11.9-12.7
-38
-29
-24'
13.3-14.5
-24
-18
-15
12.8-13.5
-42
-32
-27
14.6-15.3
-27
-20
-17
13.6-14.3
-46
-35
-29
8.3- 0.8
-28
-22
-19
14.4-15.2
-50
-33
�32
T ----.---T
SC by
Orten-
Z Floor Area
tation
zest
r
3.2
Table 3-11. Horizontal
0-3.1 to 6.4 up
6.3
0 -.19
0 +1 +2
.20-.36
0 0 it
37-.66
0 0' 0
67-.82
0 0 -1
.83 up
0 -1 -2
South
0 3.2 6.4 8.'* 9.6
Table 3-9. Skylight
to to to to up
3.1 6.3 7.9 9.5
0 --18
0 +1 +2 +2 +3
.19-.42
0 0 0 0 0
.43-.66
0 -2 T2 -3
up
0 -4 -4 -6
Vest
1 1.6 3.2 6.4 1 3.0
Z of Floor
to I to I.to I to I up
T +
1.5 3.1 6.3 7.9
0-12
0 +1 +3 +6 +7
.13-36
0 0 0 0
.37-.57
0 -1 -3� 6 -7
.58-82
-1 -zj_1 -6 -12 -15
.83 up
-2 -4 1 -8 -16 -20
Skylight
.1 .8 1.6'1 3.2 1 4.6
to I to to I. to I to
.7 1 1.5 1 3.1 f 3.9 1 5.2
0-12 1
0 +1 +3 +6 1 +7
.13-36
0 0 0 0 0
.37-57
0 -1 -3 -6
.58-82
-1 -3 -6 -12
-2 -4 -6 -16 -23
Table 3-11. Horizontal
South
Overhane Points
Table 3-9. Skylight
Points
I south
cla-i-i-ni7
Table 3-6.
Eagt-Faclnq
Glazing Pts
T_ T.
Length Out I Area.
Z of Floor
T +
i
I I
Glazing Type
from Wall I
I ' Glazing
Type
I Total I
ft T_
-1 Total
I
I % of T S.g 1, 1
Dbl. I
Trpl.T
1 0-6.3
1 6.4 up
I of
Sngl, I Dbl, I Trpl,J
I Floor
U -
U -
U ' I
I
I .
Floor
(11 - I
(U - I
(U - I
I Area
0.66-
0.42-
0.41 1
1 0 - 0.5 1 -2
1 __r__T
I Area
1 1.10) 1
0.65).1
0.41)1
1 1
1.10 1
0.65 1
don 1
1 0.6 - 1.0 1 -2
_�3
1p2;1 ts 1points
a_
1pointsl
I I
1
1.1 - 1.9 -1
-2
T-0
..
4
4 4 1
t4 I
up to 1.3 1
-1
0
0 1
2.0 up 0
0 1
up to 1.3
+3
+4
+4
-r.T-771-r
-3
--T-
-1 1
1
+1
;2-
+2
2.3- 2.8
-6
-4
-3
Table 3-12. Movable Insulation
2.5- 3.6
-2
0
0
2.9- 3.6
-9
_6
_5
pal n t a
3.7- 4.6
-5
-2
-1
3.7- 4.2
-11
-8
-6
T- I
_T
4.7- 5.6
-8
-4
-3
4.3- 5.0
-14
-10 1
-8
Moveable Insulation]
5.7- 6.7
-10
-6-
-5
5.1- 5.6
-16
-12 1
-10
Area, 2 of Floor
Points
6.8- 7.7
-13
-8
-7
5.7- 6.2
-19
-14
-12
7.8- 8.7
-15
-10
-4
6.3- 6.9
-21
-16
-13
8.8- 9.7
-17
-12
-10- 1
7.0- 7.6
-24
-13
-15
0 - 5.5
0
9.8-11.2
-21
.-IS
-13 so
7.7- 8.2
-26
-20
-17
5.6 - il.5
-+2
11.3-12.7
-25
-18
-15 1
8.3- 0.8
-28
-22
-19
11.6 - 17.5
+4
12.8-14.0
-23
- -21
-18
8.9- 9.5
-31
�24
-21
17.6 - 23.5
+6
14.1-15.3
-32
-24
-20
9.6-10.1
-33
-26
-22
�,23.6+
+8
Table 3-13- Infilti3tion Control
FeAtvres Points
Coz:col Feature$ I Points
Standard 0
0.9 air changes per hr
Tight +12
0.6 air changes per hr
Table 3-15. Cas Furn4ce Withouc
T- Refrigeration Ciollng Pointi
Seasonal Efficiency Palate
(SE), Z
71 - 76
77 - 62 +2
63 - 88 +4
89 - 94 +6
95 up +8
f
Table 3-U. V'eat Pumv Points
Energy �,Cfic!edcy Points I
Eatlo,(FER)
--7
7.5 - M +3
3.0 - 8.3 +6
3.4 3.7 +9
8.8 9.1 +12
9.2 9.6 +13
9.7 10.2 +L8
10.3 lo.,3 +21
10.9 - 11.5 +24
LI.6 - 12.3 +27
12.4 - 13.2 +30
4
Table 3-17. Gas Furnace With
I , Refrigirstion Cooling P
!RefvIS*racLon1 Gas Furnace
4. Cooling I SE '. -
1 761 821 881 941 u
1 8.0 - 8.3 1 01 +21 +41 +61 +8 1
1 8.4 - 8.7 1 +21 +41 +61 +31+10 1
1 11.3 - .9.2 1 *41 +61 *81 4101 +1-2 1
1 9.- - 9.7 1. +61 +81+101�121+14 1
1 9.8 - 10.3 1 +31 f-'01+121+141+16 1
1 !0.4 - 10.9 1 +10: +1.2i-�-1 41+161+18 1
1 11.0 - 11.6 1+' 21-+141+1614-131420 1
7/7/83
ZONE 11
TABLE 3-14 (iDAPTEO)
INTERJOR THERMAL KASS POINTS
4ASS DWELLING AREA_HUARE FOOT
AREA I.OPO 1.600 2.000 2.500 3,000 3.SOO 4.000 4.500
SQ. FT. 'A 5 C D A 11 C D" B C U is r V� A 8 C 0 A 5 C 0 A 8 C 0 A 6 C t -0-O C
50 2 2 2 2 2 2 2 0 2 2 2 0 ---+
i0o. 4 4 4 0 0 0 0 0 0 .0 0 a 0 0 0 0 0 : 0 0 0 a 01 0. a 0 0
2 2 2 2 2 2 2 '2 2 2. 2 2 0 2 2.2 0 2' 2 0 0 2 2 0 2 2 0 0.0 0 0 of
150 4 4 ' 4 4 4 2 2 '2 2 2 2 2 2 2 2 2 2 i 2 2 2 2 2 2 2 9 2 - :t 2 0 ' ? 2 2 0 :
a a 6 4 6 6 4 2 J� 4 4 2 A. 4 2 2 2 2 2 2 2.2 2 2 2 2 2 2 2 2 2 2 2 2 c!
2
253 10 10 8 6 6 .6 6 4 6 6 4 2 4 .4 4 2 4 4 2 7 2 2 2 2 2 2 2 2 Z 2 2 2 2
300 12 12 10 6 8 8 6 4 6 6 6 4 6 6 4 2 4 4 4 2 4 4 2 2 2 2 2 7 2 2 2 7. 2 2 2 1
350 14 14 12 8 10 10 6 6 6 6 6 4 6 6 6 2 6 4 4. 2 4 4 4 2 4 4 2 2 4 4 2 7 2 2 2 2
400 14 14 12 6 4 6 6 4 4 6 6 4 2 4 4 4 2 4 4 4 2 4 4 2 2 4 4 2 2
Sol .11 11 16 1 20 112, 10, 16 160 180 8 6 R 8 6 4 6 '6 6 4 6 "' 6 6 2 6 6 4 2 4 4 4 2 A 4 4
603 22 20 18 12 14 14 +12 8 12 12 10 G 10 .10 9 6 8 8 6 4 8 C 6 4 -6 6 6 4 6 6 4 2 .6 6 4
Igo 24 24 20 14 18 16 11 10 14 14 12 8 10 10 10 6 10 10 8 6 4 6 A 6 4 6 6
22 16 70 16 16 10 14 14 12 8 12 10 10 6 10 10 8 6 Is : : I :
Z30 Z 6 24 4 6 4 8 6 6 4 6 6 6,
903 28 28 74 16 22 2 20 18 12 16 14 12 8 12 12 10 6 10 10 3 a a 13 4 S' 8 6 4 a a 6
1 20 1 1 ; :
1.010 30 tIO 26 8 ?Z 20 4 8 8 6 0 4 14 12 12 1 , 1 0 1 : 2 10 0 111 1 0 1 a a 0 4 ^3 a C 4
3 32 28 20 24 24 22 14 20 �o 18 10 16 16 14 4 4 2 8 2 , I : .
1.1.00 : I I I 1 12 10 1 C !a e I! I
1.200 34 3Z 30 22 26 26 22 16 22 20 18 12 IS 18 14 0 14 14 12 8 14 2 2 '12 12 10 6 a 6 in ]a a
I . 300 34 34 32 22 28 26 24 16 22 22 20 12 18 18 1 e 10 14 14 14 S 14 12 2 8 12 12 10 . 6 2
1 10 1 111, 1100
I I , 0 10 C 10 " o F. 6
1.400 34 34 32 24 28 28 26 18 24 24 20 1 20 20 1 12 18 16 14 10 14 14 12 8 14 14 12 8 1 2 1 C. 10 lo 13 t
1.500 36 34 34 24 30 30 26 18 i4 24 22 1 22 20 1 1 2 1 8 18 16 1
10 16 16 14 8 14 14 12 0 17 12 10 6 Iz I:
2.000 34 34 32 22 30 30 Z6 18 26 26 22 16 22 22 20 14 20 20 18 12 18 18 16 10 1
'(. ;6 1. r 14 14 12
2,S09 34 34 30 22 .10 30 26 IS 26 26 24 16 1 24 24 22. 14 22 22 13 :2 0 t, is I.- Is is 16 ! o
J,'�00 34 32 30 21 30 30 Zfi 28 " 6 14 6 24 224 22 .14 22 22 20 14 ZJ
3.500 '0 0
32 32 30 30 3 E6 a 26 28 14 16 26 2 2? 14 1 ?4 Z4 14
4.,joO 32 32 30 20 30 30 26 ;8 73 24 1 f 25 2i 2Z If
4.500 32 32 26 0 30 3-3 26 U io z --
5 OP- I , . . Z3 13 76 14
A) 1. 3'** Concrete Slab: HC,8.93; R-.29; Factor -7.3
2. 3 3/4' Thick Common Brick: IfC-7.125; R -.l.'*. Factor -7.3
31 1: SIs',Concrete Slab: HC -I ?-.40; Factor ';!6.1
C I I '4E!011;63 93; Fac;. wood stove #33 poin�s-(no back up)
8: so Id Filled Block: H 2 . ; A-1.
2. Olt a ':ck With Both Sides Exposed To Conditioned Air. casablanca fan + 1
: '14.:. re footage directly exposed to conditioned air
NOTE Mill point
for Thermal'Mass Area: HC -10.164; lt-.M; Factor -6.1
D) I' Thick Concrete/Tile: KC -2.55; R-.083; Factor?3.7
Table 3-19. Zonally Controlled
Electric Rest5tance
Space Heating Points
Points for i able 3-,n. Solar Wa,,-r Heatinz With Gas Backun Palvits
a ma3urc wilL
be comp!eted after the CEC
has approved an U ternative
Component Package for Resistance
Beat.
Table 3 -IS. Active Solar Space
Heating witn (as Point
T --
Vet Solar Friction Points
--7
0 6 0
7 14 .+2
15 23 M
24 10 +6
31 �9 +8
40 - 47 +10
49 - 55 4-12
56 - 63 +14
64 - 71 +18
72 up +20
Multlfamil� (Pir unit
points)
Floor Area
Set Solar Fraction (NSF). z
per untt,
f tz
0.9
iC-i9
ZC-29
30-39
40-49
50-59
60-69
70-79
600-799
0
+3
+7
+10
+14
+17
+21
+24
800-999
0
+3
+5
+8
+11
+14 '
+16
+19
1,000�-1,499
0
+2
+4
+6
+8
+10
+12
+14
1,500-1.999
'. 0
+1
+3
+4
+6
+7
+8
+10
2,C00 and up.
0
+1
+2
+4
&S
+6 1
+7
+9
--
All others (pe bu Id ng points)
8UO-e,99
900-999
0
6,
+5
+4
+10
.+9
+14
+13
+Lq
+17
+24-
+ii
+29 +34
+26 +30
l.k)oo-.l , 199
0
+1
+15
+19
22 +26
+*S
1.20c,,1,499
0
+3
+6
+0
+12
+15
418 +21
1,500-1,999
- 0
---.F2
+5
+7
1
+9
+ I ?
1
+14 +16
2, 0)()0- --, , 9 99
0
42
+3
+5
-t 7
+8
+10 +11
3,060 ar.d up
0
+1
+3
+A
+5
4-7_
+10
Table 3-21. Cthtr Water I!eatlnR Pts;
T
System Type points I.,
T -
Gas Only 0
Vast pump 0
Solar with Electric
Re%I$tQnCft BAckup
heetine the Require- I
ments lu Fact 2 0
Electric Restatenc'a
0-IY -40
i:%" A ".. ;_�P%- " ;�k " " - � , .. ,4-' - - ; , , . , -V" "
t 77' "t, I
%7
TRANE CAC,
4
i TY won
3A Z- use, KSHEET.
RESIDENT L.VVHOL Ho
Acultomer's Name
Addr639
Zip Telephone Number
State
WINTER: Invift 0*WV TeM 1*01p ;"re�ce
F — Putswe 00SIgn Tolinp *F
1-1 4 t' -
*F -i hAWO Design Two V as Coolift,
,SUMMER: 0vtwde
�F
-IDAYASECTICIN 7777177, z3o'cru-0
'CWMON
TAkiLEA--HUTNffi--*OOQ* &WOOD FRAMEWINDOWS (PETMO n
I'YINDOW & DOOR TYPis
FACTOR -,SUBJECT
-,So. �t
9 UH LOSS
C.
1`01PLE GLASS I
31ROSS�'WALL
r
Doubb HMO (ctmm)
9mil, it duct work is embedded in slab
.10
X - GAIN
Sm9le Glass
L 0
5� NE
T -WALL
Factors �SAJI�a �IihdOW3 have InWe *Mdir)g by dfapenes or venalmn blinds
DoutAe Glass
11.28
R12
A-0
S�vle w1storm,
7.48
.6.93
(CEILING
Oni,hlp w/storm
582
_77F
�112
Mod frfm/11)
tAfts t193TUH
P9 7 1 75
35
10.20
30-
-VOLUME Ux4NGjC6—ft.) X LT INFILTRA f
X "007333 STUMR.
35
24
N, X
E & IN
55
SUB -TOTAL BTUH LOSS (pier.106F)
'Withou? storm 3&
50
X3.
36
ADJUSTMENT FACTOR (Table Q
T13
SE & SW
7
40diiiiia Doom 4CImM) 1.0 .50
TOTAL'BTUH LOSS
40
Shoe Glass lj� 64 13.76
3D
32 34
OPEOPLE j52 X 300 BTUH GAIN'
1b 0
i
APPLIANCES BTUH
Dow Ic"41)
1200
M
_S�Yliqhta
W060 Only
10.101
\7.13
143
SUB -TOTAL BTUH GAIN (room sensible only)
Wwd YdStorm
Z :0
x
n—
DUCT LOSS/GAIN FACIPR�0-1
109
x 1.15
44 L13 66
-SUB-TOTAL BTUH (�e,41t:,Giiin)
R -S *fSt"
'MOISTURE REMOVAL (sub N, x 1.3)
1 S) 1�
3-
X 1.3
TOTAV\PTUH LOSS/GAN, - ___
3�q49_ 3, j
TAkiLEA--HUTNffi--*OOQ* &WOOD FRAMEWINDOWS (PETMO n
I'YINDOW & DOOR TYPis
SMOU GLASS
AREA
9 UH LOSS
C.
1`01PLE GLASS I
@ For'crawi 4ace oi� bas emitnt uate 1 05 multiplier in COOLING
r
Doubb HMO (ctmm)
9mil, it duct work is embedded in slab
.10
X - GAIN
Sm9le Glass
1S.05
12,0
Factors �SAJI�a �IihdOW3 have InWe *Mdir)g by dfapenes or venalmn blinds
DoutAe Glass
11.28
R12
A-0
S�vle w1storm,
7.48
.6.93
25 36T
Oni,hlp w/storm
582
it 7p
�112
Mod frfm/11)
tAfts t193TUH
Single
35
10.20
30-
Double
35
24
26 2S
E & IN
55
55 00
'Withou? storm 3&
50
50
36
W/Storm 17.21
T13
SE & SW
45
40diiiiia Doom 4CImM) 1.0 .50
40
40
Shoe Glass lj� 64 13.76
3D
32 34
1b 0
i
2-5
Dow Ic"41)
to
M
_S�Yliqhta
W060 Only
10.101
\7.13
143
Wwd YdStorm
&9D
4.T
n—
109
4 43
44 L13 66
'00.4*06
R -S *fSt"
4. 41
1 S) 1�
3-
IN
0, A;Z-Ue �'persons per bedroom
SMOU GLASS
00UOU
(D Calculatezon':Iv it duc-t is,located in an unconditioned space
C.
1`01PLE GLASS I
@ For'crawi 4ace oi� bas emitnt uate 1 05 multiplier in COOLING
r
TEMP. DIPF.
9mil, it duct work is embedded in slab
Tamp.
X - GAIN
TABLE 0 — COOLING — DOORS. A WWDOWS
I;*
eA
Factors �SAJI�a �IihdOW3 have InWe *Mdir)g by dfapenes or venalmn blinds
2D*
-74
�j:"s ciL,,.a5 arU ',featW as windows
A-0
I,
_J% 1
TABLE C ADJUSTiMMT F%CTOM 1,t%ATKta�
Twvisrahito W_ .40 1 Tw__
T A
SMOU GLASS
00UOU
GLASS
1`01PLE GLASS I
TEMP. DIPF.
TC*P OWF
Tamp.
X - GAIN
Dirprtt>)n
I;*
'Y.I* 25-
IS'
2D*
2.5-
'1 51
20' 25-
N
2 �1__
25 36T
15,
20
20
�112
14 16
tAfts t193TUH
NE & NW
35
40 45
30-
35
35
24
26 2S
E & IN
55
55 00
45
50
50
36
.18 40--
T13
SE & SW
45
50 55
40
40
45
3D
32 34
2-5
22
_S�Yliqhta
1145
143
140
n—
109
1321
44 L13 66
TABLE C ADJUSTiMMT F%CTOM 1,t%ATKta�
Twvisrahito W_ .40 1 Tw__
T A
ON
1-5 3(9
0
COUNTY OF BUTTE DEPAR-TIVIENT OF PUBLIC WOR'KS OPERMIT '0.
7 County Center Drive - Oroville, California 95965 - Telephone: 9.16/538-7541
APPLICAMN AWD PERMIT
ASS PARCEL NUMBER
S50 R
_1D__qA
ZO G
71,5—
BUILDING PERM.IT
wro I -el fie k/ n n Ids
TEL �qONE
SQ. FT. OCC. BUILDING VA�UATION
OrER'S MAILIAAIDDRCSS
0 (9 y
'T
__2�0 R A C
VV
HONE
7 TRACTOR S MAILING ADDRESS
0 , Wo, X- S -;?., a
Fireplace
CbNSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ tqAl� I
ARCHITECT OR ENGINEER,
S E NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS Wa f8o n
Permit fee
$
PLUMBING PERMIT
FilingFee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
eJVC_EL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF;4 Duple,F-1 MobilehomeF� Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
TYPE OF WORK
NewK� AdditionX Rem InstallationD Other
Describe work: 1% 00 Xil
r g a PCZ 19 Ld
V
—10.00ea'
Permit Fee
$
Contractor
ELECTRICAL PERMIT
FilingFee 10.00
600V OR LESS
Main service 100 AMP OR LESS
10.00
Main service EA. ADO'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full rce and effect.
License Nor��0117.�7 7 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)
EJ 1, as the owner, am exclusively contracting with licensed CUIRIOUL-
ors. (Sec. 7044)
I am exempt under Sec.—, Business and Professions Code
for this reasQn
NEW CONST (D W ELLING cc
OR ADONS. ACC. BLDGS.
NE MULT"OUTLET
';U"T" 12.50 ea
NON-RESIO, BRANCH CIRCUITS)
(POWER APPARATUS &)
-SINGLE OUTLET CIR.
1.20050t i
Ex. Occup(OUTLETS OR FIXTUREL AL030C
FIXED APPLNS OR
Ex. Occup. OUTLETS (RESI'D.) EA.) 1 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
F� The permit is for $100.00 (valuation) or less.
1;71 1 have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
Not Ito the W. C. laws of California.
eNto 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
Fi I ing Fee 10.00
Heating
Cooling
Hood
3.00
Vent! lation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County ot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agr 0 e, indemnity and keep harmless the County of Butte against
all liabi iti ju - gmen;s. costs, and expenses which may in any way accrue
against i Ty co quence of the granting of this permit.
XW_CV
/ ;Z= — Date '7-14 0 0 —
Signature of Applicant - Owner F1 Contractor CUT Agent
L1141
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee
—
TOTAL PE�MIT FEE $ I
70CCUP-1
CONST.TY El
JSCk��L[i��OOJPARCELJ\Z
I �/J
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By
PER4!yEX"PIRES Date=��,__
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date/o_)-�-?p
Receipt No. J�6
WHITE-C.P.W.. YELLOW-ASSr3SOV_P INK -IN SPECTOR. GOLDENROD-APPLI CANT
40-36-17
.tr: Hill (,I-o�nst E - DEPARTMENT OF PUBLIC WORKS RM1 0
E 0
mit#2656-88B,P,E(add'l sq ftg/SF) Iroville, California 95965 - Telephone: 916/538-7541
t-'LICATION AND PERMIT
SS MS P A E jZQN;q BUILDING PERMIT
TEL!�PHONF
W)IJR L L I C>,,) � _ J—qj SO. FT. [ OC�' - BUILDING VALU,,T���
,'Omj/?Ij . ;ur C11 'e -d)
yon - elia -v - -
r V �- U h Ir
C)
Fireplace
-�d -
ONSTRUCTION LENfER
UNKNOWN
Total Valuation s.
Filing Fee $
10.00
ENDER*S MAILING ADDRESS
Permit Fee
RCHITECT OR ENGINEER
LICENSE NO.
Plan Chec ing Fee
k
$
Energy Plan Checking Fee $
RcHiTECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
,UILDING ADDRESS 3&- rk/
Permit fee
$
(5-0,
661 1
PLUMBING PERMIT
FilingFee
10.00
Each Trap
2.00
j.jq0
Solar or heat pump water heater
20-00
.OT NO.
SUBDIVISION NAME
I
PARCEL MAP
I
Water piping
5.00
Each qas water heater or vent 5.(yj
USE OF STRUCTURE
;F Duplex F� MobilehomeF-1 Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer 5.00
Mobile Home S I G�q �0.00 eA
TYPE OF WORK
nlit
14ew F-1 Addition ies[:]
3escri be work: ,,Telp
V-1
Install ationEl Other I
Permit Fe e $
Contractor '�v
ELECTRICAL PER
I-
6001 OR LESS
main service AMP
0.00.
-------------
A-4 kos���
/�/;z ilk
I�Z.ec-let I VC -D q/a-7/W
,A;,o �a
'COUNTY OF BUTTE DEPARTMENT OF;PUBLIC WORKS - BUILDINGfDIVISION
7 COUNTY CENTER DRIVE - OROVILL%,��,)AANIA 95965 - TELEPHONE: 916/538-75411
OWNER
Proposed Building Use
§.,04
rtKMI I ArrLIL;A I IUN UA I A SHEET
A Permit No.
OR -5
A. P. N /10///0_
Build'ing Inspector- Date
At time of permit application, I was advised the following data must be submitted prior to permit processing
andJor issuance: DATE RECEIVED- APPROVED
03'
All items.have been submitted . . . . . . . . . . . .
Plot plans duplica .�tr
iplicate, signed by preparer of plans.
b
Complete plans in_�
icaie
�Gpliplicate, signed by preparer of plans.
0
14.
Complete engineered plans and calCs, with wet signature on plans,
5.
Plans with Energy Design -Compliance Statement . . . . . .
6.
School District "Fees Paid" Stamp on Floor Plan.
7
Statement of Intent for Non -Heated and AC Buildings.
8.
Fees of $ . . . . . . . .
09:
4t, 109
SLetter of signature authorization. . . . . . . . .
anitation approval from -0 ro Health Dept.
44�_
Planning approval for (A) Use: — (B) Parking:—
— —
Certificate of Workmen's Compensation Insurance . . . . . .
13.
Contractor's License Information (no., name style, classif.)
14.
Owner -Builder Verification (Given to owner[], Mail to owner F]
—15.
Improvements may be required . . . . . . . . . . . .
16.
Mobilehome Installation Data. . . . . . . . . . . .
17.
Pre -Inspection for 4 Pre-Inspec. request to
Required- Buildin Ins ector (Date)
18.
19*
:�i4_1.
-
22.
Recorded copy of Agricultural Acknowledgment Statement. IS
Driveway Permit.
Plot plan approval from city of
Engineered trusses in duplicate (required prior to plan check).— _C�
W�7eyou issue the perm I t, process as follows: —Mail t
- c� Ll 0`7
_,A_Telephone 6,93 9 7 Z and hold for pickup atj
— Other
Applicant
ner, —Mail to contractor.
23ffice, —Deliver w/inspector.
Copy of plans sent — Health Dept., —Fire Dept., Other — Date
— f-16 -? V_
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: CACRRiFt
Contractor, designer, owner, was advised of above required d �"b�phone___rnai I —counter by@4?2A
ata ate
Contractor, designer, owner, was advised of above required data *b`�phone —mal I —counter b94247datA
Plans checked by-caev—M Date *A� 6-ePlans approved
—Sets of plans on hold in —File cabinet _AP folder
Copy—DPW
TO Buildinq Department
FROM: Environmerital'Health
SUBJECT: Sanitation Clearance
Owner L o c a il-o —n AP#
Plan Approved for:
Sewaqe Disposal Water Supply I) -
Hold final for: Water Supply
Final clearance O.K. for:'
Water Supply
C I e a
�bedr�oom Other 7-y'-/-zo a
0
NOTE
Sanitarl n
Date
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