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HomeMy WebLinkAbout025-200-049t 25-20-49 R. B. Chambers d SIS Prather R, app. -- miW.of Larkin Rd A _ Gridley, 0/ Permit #1957-78B,E(add bP' -)S), 1560-91B,P,E,M, CHAMBERS, Mike & Cathy 500 Prather Rd, Gridley cont: Cary Ryan (new sf) ------------ 25-20-49 187.2-91B CHAMBERS..•,MirhAel 494 , Prather Rd., Gridley SCJ Z (demo%sf,) ..�- 3 (L—T c' RESIDENTIAL - 25 -20-49. 1560-Q!-B,P,E,M CHAMBERS, Mike & Cathy 500 Prather Rd, Gridley cont: Cary Ryan I (new sf) all OFFICE Copy Address GAS Meter B Da ELECTRIC Meter By ----------- Da t6 �z� IT — OFFICE COPY Address Sod GAS Meter,.By ELE CTR Date 9 Meter By L Da 2 JOB FINALE D 113atp Signature N7—D-7,14 d=OK O=Not OK =No Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) ` 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / P11t. -.. / /"Nat. or/ /" L"ft./ P'LPG -- 7. Well Clearance & Disconnect - 8. Utility Clearance Date Card B-1 Date Card B-1 , Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line ! 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HO Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 0 4 MISCELLANEOUS' Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI t • 6A Elec' ;Enclosures; Conduit Entries -Terminals -Listed, ' 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 I J=OK O = Not OK = Not Replicable Noet Ready RESIDENTIAL (Single ' = Date UNDERFLOOR (Plans) OK except It's 1 0 ng -Setbacks -Easements -Flood -Slope Ftg.,.Main; Soils-Elec. Grnd.-JL' Ftg. Depth (I 3`Ftg., Garage; Soils-Steel-Elec. GrndjZ:�Ftg. Depth 4. Ftia, Porches & Decks; Soils -Steel-/ /Ftg. Depth temwalls, Main; steel -Bloc kouts-Wrapped Ste .walls, Garage; Steel-Blockouts-Wrapped Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel V.; Fall -Fitting -Test -2 Way C/O -Sewer Test s 0. UF. Gas Pipe; Size -Anchors - yard gas piping: size-® j _� Water Pipe, st-Anchor-Regulator-Service T@st 12. lectric; Underground 13. Pi nums & Ducts; Clearance -Material -Support -Ins. L,-14'79,jtiers-Sills-Anchor Bolts -Joists -Vents -Cripples Access & Ventilation 16. Insulation Datdq If�%Card B-1A:Z Dat - Card B - Date - Card B-1 Date Card B-1 Date UMBING (Permit),OK except ti's �,Q ater Htr.: Vent -Access -Combustion Air -Baffle -------- ----- ---------------------------- ater Pipe: Test & Anchor -Nail Protection -- - 18, .W.V.; Test -Fittings & Anchor -Nail Protection hoover Pan: Test, First Floor -Tub Access Test Tub & Shower, Second Floor -Tub Access ----------------- Gas Pipe: Size &Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date EIECTRICAL (Permit) OK except ti's ---- _ 22. Fixture & Transformer Clearance -Ins. Protection ------- -------------------------------------------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors ------------- - ---------------------------------------------- -- 4. Size Boxes & No. of Conductors -Stapled - - omex Installed Close to Edge of_Studs & C.J. -- uip. Ground made up w/Mech Fastners-Bond Gas & Water ---- - -------------------------------------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI ---------------------------- -'--- ------------------ 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. - Cu or AI - ------------------------------------------------ 29. Range Circ / r ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No - ---------------------------------------- 30. Service -Riser Conductors & Ground -Main Disconnect ------------------------------ -------------------------------- 1. Equip. Clearances Panels-Motors-Mech. Equip. ____ _______________._____._________ Clothes Closet Light -Shower Light -Spa Light _____.__________ 33 Smoke Detector ---------- -- r----------------------------------------------------------------- ------------------------------------------------------------------------------ ---- Date Card B-1 Date Card B-1 ------------------------------------------------------------------------------------ Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except ti's 34_A_C_Ducts Insulation & Support ----- k---9-5 Vent Fan: Exhaust above insulation _ 36. Condensate Drain & Overflow: Size & Grade ---_�37-Furnance-Vent: Access -Comb Air -Return Air Vent -1 15 -outlet --- ` ----------------------------------------------- 38. Attic -Access-&- Platform if Furnance in Attic _----------------------------------------------------------------------- Date Card B-1 Date Card B-1 -------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date EJ3AMING (Plans) OK except 1r's 39. Sils. Proper Material & Anchors ------ - -------- ---------------------------------------------------------- 4 ails Studs -Nailing, Spacing & Bracing -Plates -Sound --------_-Iucl------------------------------------------------------ 41. Bearing Walls over Girders & Floor Nailing -- - - ----------------- 42. raft Stop in Walls (rat proof) - - -- ---- ------ - --- - ---------------------------- -------- ---- ire Stops: Furred Ceilings -Stairs Chases -Tub ------------- ------_--o : Furre --------------------------------- 44. Headers & Beam -Size & Bearing & Duplex) Date i= FRAMING (Continued) V If' 45) Hangers -Post Caps -Anchors -Connectors \/r-40Cing. Joist-Rftr. ties -Perlin -roof Brac-Truss-Shthng.-Rfng. -`Fireplace Ties or Type A Flue -Fireplace Throat clearance 4 ttic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions ---- 1/r6 Garage Fire Protection Framing 1. Property Line Firewall & Openings t. Doors -One 3' -Check Garage -3rd Story, 2 Exits lairs; Width -Headroom -Rise -Run -Landing -Fire Protection ---- �50tywood on Roof Overhang -Attic Vents -Rafter Outriggers fl 55. Siding -Nailing Veneer -I Vr.-Sru-cco Mesh -Drip Screed -Fd. Vents-Underflr. Access \„-`JTGlazi g Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing-Bolts ----y/SJ Insulation -Walls -Ceilings Infiltration -Walls -Windows All -Date] ]�Card B- _ Date Card B-1 Date _ Card B-1 Date Card B-1 Date FI L (Plans) OK except ti's X61 I. Steps -Door &Sidelight Protection -Landings --- --------- ---- ------ ----� -_-- oke Detector � Furnace: Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection - ----___64. Be_droom_Exiting F.I_& Bath Fixtures & Tub Access -Spa 66.E c. Trim & Subpanel; Breaker Sizes & Labels -- -- -- ----airs & Rails ---- 68. Fireplace_or Stove: Clearances -Hearth � lec. Outlets at Wood Panel: Int. & Ext. ati/70. Kit.Fixt & Appliance; Grnd.-Air Gap -Cooking Clearance ------ --- - - --------------- - - 1. lec. Outlets & Receptacles at Kit. Counter _ - --- 72 arage-Fire Door_Swing-Landing-Closer -- A.C.-Duct in Garage -Damper -- 74. Ir. Htr.; Vents -Clearance -Comb. Air -Connect - .R. " In Garage: Above Floor-Mech. Protection fib. Elec. &Mech. Equip. Listed for Location Gooil----------------- -_ Elec_ Receptacles -in Garage: (G_F.I.)-Romex Protection Insulation -Foam -Looked in Attic -------- ------- ---------- -78-'Suard Rails & Deck Construction -Post Caps /�dn Vents & Crawl Hole Door-Draina e,& -Wood -Earth V Clearance Looked under Floor Yes - -------------------- ------------------- ---- Followinginstld.: Drive Yes No; Walks ❑ Yes o; Planters ❑ Yes I No _ ucco: Brown- - C. Unit: Disconnect. Electrical, Plumbing Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to --- - -Openings - Uo ter Well; Disconnect, Electrical, Plumbing erior Elec. Trim; G F.I. Receptacle -Underground TI -T 6. Ventilation Throughout House ---------------- GI -Protection d. Corrections from Previous Inspections _ - ---- ---r-- -- ----------------------- - 89. Gas Test -Meters l (jed: Gas-EVSkric ei �� j V (i -_ - 9 . Water & Sewer Connected -C/O to Grade -HD Approval-- `� 91. Energy -Compliance -Certificate -Other Certificates Date- rd B 1 ate- -Card B_1 -- - - - -- --- - Date �=-� rd B-1 61 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: --------------------------------------- EN z COUNTY OF BUTTE ~ .4 DEPARTMENT OF PUBLIC WORKS �.h 196 MemorialWay, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE I'WNER 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 VV avc �.t Date4g--\ Inspecto el . i A S,l Sant) I:Z+4 jw, .+ .+ I A11 r t.Y.I.'1,IT rl -t IhI T Gjp f .P i r� A lei .q,SH 4{^n,, ... ".. n�rr, YYli ..�...e ..........r,►�r.r. nr.,,�0„O,la..,.�. BERRY, INCORPORATED PLUMBING HEATING COOLING CONTRACTOR LIC. #103958 P. 0. Box 115 10410 North Larkin Road LIVE OAK, CALIFORNIA 95953 Vernon Berry, Pres. Telephone 695-2851 R. E. Berry, Vice Pres. (916) 846-3414 (916)695-2851 May 14, 1992 Carl,Ryan Building Contractor 4332'Pennington Road Live Oak, CA 95953 Re:' Residence of Mike & Kathy.Chambers Dear Carl:. This letter is to notify you that as a licensed plumbing, heating and air conditioning contractor, I have tested and approved the zero. clearance fireplace installation in the home of Mike and Kathy Chambers.. Sincerely, v Vernon Berry President COUNTY OF BUTTE ` DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER PERMIT A routine inspection indicates that the following violations of Butte County Ordinances exist at the,above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please�/gyp"�1\76is/office immediately. Vi \ / _ I M, i T C i .w !1 It ii � f — A re A4 /� l 7 N I NIJMIIFR AND STREET SUBDIVISION ROOF f ENERGY CERTIFICATION CITY bFSCRIPTION OF INSULATION .COUNTY LOT NUMBER MATERIAL, BRAND NAME THICKNESS (INCITES) THERMAL RES. EXTERIOR WALL MATERIAL TYPE Fiberglass BRAND NAME CertainTeed THICKNESS (INCHES) THERMAL RES. Pi CEILING BATT OR BLANKET TYPE Fiberglass BRAND NAME CertainTeed THICKNESS (INCHES) l0 THERMAL RES. 30 LOOSE FILL TYPE Fiberglass BRAND NAME InsulSafe III THICKNESS (INCHES) THERMAL RES. --_ FLOOR, ELEVATED MATERIAL. Fiberglass:: BRAND NAME CertainTeed THICKNESS (INCHES) �— THERMAL RES. l 9 FLOOR, SLAB MATERIAL __t BRAND NAME THICKNESSINCITES) THERMAL RES. WIDTH FOUNDATION WALL MATERIAL. _ BRAND NAME THICKNESS (INCHES) THERMAL RES. HEATING SYSTEM ;I A Kfi MODEL RATED BONNET CAPACITY DECLARATION I HEREBY CERTIFY THAT THE ABOVE.INSULATION WAS INSTALLED IN THE BUILDING AT THE ABOVE LOCATION IN CONFORMANCE WITH THE CURRENT REGULATIONS SETTING ENERGY CONSERVATION STANDARDS FOR NEW RESIDENTIAL BUILDINGS (LOCATED IN TITLE 24 OF THE CALXFORNIA ADMINISTRATIVE CODE). fl dl Cf,44IL4,, �zz� 32S' GENERAL TRACTOR / OWNER SIUMATURE HAWKINS INDUSTRIES INC. FIR11 NAME SIGNATURE STATE CONTRACTOR'S LICENSE # DATE 622184 STATE CONTRACTOR'S LICENSE N &/12��Z _ DATE COUNTY OF BUTTE - DEPARTMENT- OF PUBLIC WORKS PERMIT N0. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT, ASSESSOR PARCEL NUMBER 25-20-49 ZONING A40 BUILDING PERMIT OWNER Mke & CaChambers TELEPHONE 846-3230 ,SQA FT. OCC. BUILDING VALUATION 3232 R 164,832 OWNER'S MAILING ADDRESS 503 Prather Road, Gridley 95948 849 M 15,282 CarlCONTRAWRyanNAME T695-3721 EPHONE 770 COV 10,010 CONTRACTOR'S MAILING ADDRESS 4332 Pennington Road, Live Oak 95953 Fireplace 2 "O'i &f "A" 4,500 CONSTRUCTION LENDER None UNKNOWN Total Valuation is 194,624 Filing Fee $ ;0,00 LENDER'S MAILING. ADDRESS Permit Fee $ 670.50 ARCHITECT OR LN7,1 1EER None LICENSE NO. Plan Checking Fee $ 335.25 Energy g Ener Plan Checking Fee 15.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS ® Prather Road, Gridley10 Permit fee $ .7 PLUMBING PERMIT Filing Fee 10.00 Each Trap IF 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water. piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFU Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 oo Building sewer 5.00 00 Mobile Home S I G I W 10.00ea ' TYPE OF WORK Newn Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: IRR _ Permit Fee $ 54 00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e00v OR LESS 10.00 10.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 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 andmy license is in full force and effect. License No 3 j ,` 3 Com- Classification. 614 << ❑ 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 Na ADDNST ( DWELING DWELSCONSLINGS. &b &) I/20sgft 102.00 NEWCONST R. UITI.OUTLET NON .R ESI D. BRANCH CIRC ITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. ) 20®500 Ex. Occup(OUTLETS OR FIXTURES 90@ 0 FIXED LNS Ex. Occup. OUTLETSP(RESID )REA.) 2.00 • Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Ivirin g 15.00 Permit Fee $ 59 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed.revoked. Contractor ' MECHANICAL PERMIT Filing Fee 10.00 Heating lit system Cooling g 31 T 2 11.od 22.00 Hood 3,00 1 3.00 Ventilation pit F Permit Fee $ 47.00 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 againstHq2. all liabilities, judgments, costs, and expenses which may in any way accrue again s id C=ty onsequence of the granting of this permit. X Date _7 Signature of Applicant - Owner❑ Contractor Agent An OSHA permit is required for excavationsv r eep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $0.00 o c rry E TOTAL FEE $ 1286.2 CUA• PARK scH FYI CDF Pq PD I HD ISS This permit is hereby issued unaer the appiicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been aid. p DIREC 0 OF PUBLIC WORKS ' By Date - -t PE IT EXPIRES Date '- Receipt No. 89165-390.25// . 6%40 WHITE-D.P.W., YELLO - $ •INSPECTOR. GOLDENROD -APPLICANT 4�..-.y`eti(`7�.C'y!t�.4+'Pv'^,iVt�"�Tw+""7['X.. ,-r3y� �'"_.T�;� � ' nr'ry},�,TR•'�•?i!!1� � Y COUNTY OF BUTTE - DEPARTN _OFF PUBLIC WORKS - BUILDING DIVISION ' 7 COUNTY CENTER DRIVE - OROVILL", CAL'I`FORNIA 95965 -TELEPHONE: 916/538-7541 '+_PERMIT APPLICATION DATA SHEET nPermit No. OWNER X40 a im N !J A. P. No. Proposed Building Use /I/a I.tJ r`i�- 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 Y 1. All items have been submitted. E62-P+et ans in8 ply, tri licate, signed by preparer of plans........ plete plans in ZCpli�te triplicate, signed by pre arer. o 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ........... _ -Mineered truss details and layout in duplicate (required prior to plan check) / r" 9. Mobilehome installation data including manufacturer's installation instructions. .. �o.,t7 10. Fees of $fir n r- ....... 11. Chico Urban Area fees paid ....................................... 12. Park fees aid ................................................. — 13. r el 114 le S� ool Distri fees paid . ......... . 14. Sanitation approval rom /�O V i �� Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW eway permit (construction approval required prior to occupancy) is- 20. Pre -Inspection for required Pre-inspec. request to Building Inspector (Date) IF 21. Contractor's license information (No., Name Style, Classifications ... — 22. Certificate of Workmans Compensatibn-Insurance .................. 6- /k V 23. Owner -Builder Verification (Given to owner e•';` Mail to owner ❑) ..... -R-ftorded copy of Agricultural Acknowledgment Statement .......... 25. Lette of signature26. authorizati �m _t o e.•r: T i .�.... 27. r When you issue the permit, process as follows: Mail to owner. Mail to contractor. _ Telephone d I and holcLfor pickup at office. Deliver w. /inspector. Other Applicant 0 Acee Date` Copy of Hdz-Mat form sentHealth Dept. Fire Dept` Air Pollution Date Copy of plans sent Health Dept. ' Fire Dept. Other Date By The following data must be submitted prior Itp pe it issua ce (Ci cle n w i not checked above). 1. Index permit for above items No. ts 2. Additional items required: Contractor, designer, owner, as advised of above required data byphone_Jnall—counter by 15 date �—¢� Contractor, designer, owner, was advised of above required data by—phone _mall—counter /bbyy 1/ date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance C&4t4l� owner location AP �k i Driveway permit �( -d2- has been issued for the above propIrty. 'la-�/� 'TO Buildina Department FROM: Environmental Health SUBJECT:- Sanitation Clearance A Omer Location AP# Pian Approved for: Sewage Disposal C Water Supply Hold final for: Water Supply Final clearance O.K. for: Water Supply Clearance for 3 bedroom mobile home. Other NOTE * * * ate Sanitarian COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 -County Center Drive - Oroviller California 95965 - Telephone: 916/538-7541 - APPLICATION AND PERMIT - PERMIT NO. ASSESSOR PARCELNUMBE C � 30— 1 ZON, G BUILDING PERMIT OWN _ 'fie - . �a4Ei TELEPHONE ff 3a30X%.FT�.OCC. BUILDING VALUATION M OWNER'S AI NG AD RS 5 0�3 bra r � r � C 9�5�� `� $� / J COa CT R'S N E NEE•MO1V /NTRAC^TOR'S EL/ 6 . FireDlace "O'' -1 / rl (D. - (�/GJ?p/n C AI NG ADDR SS P1 D✓1 t-� ✓C' �Qe �� 7J 1 CON TRUCTION LENDER -- UNKNOWN - Total Valuation $ Filing Fee $ 6.00 LENDER'S MAILING ADDRESS - - Permit Fee $ ,SO AR H TECT OR GN ,1NEER LICENSE NO. Plan Che�king Fee $3 r�5 Energy Plan Checking Fee $ .' !�.d ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRE en 0P- Permit fee ` PLUMBING PERMIT FiIingFee 10.00 Each Trap / 2.00 a 19,0 O Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Y. O Each qas water heater or vent 5.00 00 USE OF STRUCTURE SF Duplex[] Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 6969 Mobile Home S G W 10.00 ea TYPE OF WORK New Addition ❑ Remodel tilities Q_ Installation[] Other ❑ Describe work: - Permit Fee $ S QQ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 10.00 /'d 00 Main service EA. ADD'L 100 AMP 2.50 d S CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): . F -1I 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 OCCu��¢Sgft OR ADONS. ACC. SLOGS. 00 NEW CONSTR. MULTI LET NON I -S10 BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) SINGLE OUTLET CIR. Ex. Occup(OUT LETS OR FIXTURES BALO30 ALeo Ex. Occup. OUTLETSED P(RESID )LNS REA.) 2.00 .Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department of ConsenttoSelf--Insurete of n's Compensation Insurance or a Certificate ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating ,� -0o a talk ooling 3% T .:Z 0,00 69� Hood 3,003,040 Ventilation Permit Fee $ 00 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. 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. Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $0— � occ CONST TYPE TOTAL FEE $ HAZ. CUA PARK SCHL Fro cDF PAR PD ) HD. ISSUE This permit is hereby issued unaer sions of the Butte County. Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date /3 Receipt No. l � S WHIT!-D.P.W.. TELLOW-ASSC33001. PINK -INSPECT GOLDENROD-AP►LICANT �r /t-- L-,rlIY/ ''h•" (ft �J j`Q C1`S,:@"��r , +L!�'�'Tfi�'iT+ l*v`r,'!5'f'"`•"�nT�«;agr. ;y; ,.rte. .,K Tai..•s'�'.��Wh►"�."�1'�`Kt��'�i'�Y�"N'�"-m''�`.ps`-vr..'y=v'Pr-•.r.y -r:..: BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM ?: (One Form per Building) A.P. Number �a "(4 Building Department No. School District r �l �F V City D County EX Jurisdiction Property Owner be Project Location/Address�P�'f� ✓C� i �" tF S,i .1"' Subdivision Lot Number Residential Development: ` Sq. Footage CrA # of Living MHI Addition (Group R) Units Commercial/Industrial: Building Departure Sq. Footage New Addition (Including Exterior Roofed Areas) 5-43A/ Date (FloorPlans reviewed by School District Personnel) District Id No. r School District certifies that I(Applicant Name) (Phone Number) (Street Address) (City) (State) (Zip Code) thas complied with the requirements of Resolution No. by the payment of $"� representing ,School District Representative, 0?5/70 square feet. Date• o � PAID BY CHECK NO. REMARKS: BANK NO PAID BY CASH A. white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) Vi �1�\..1P.r�'�r•:.:''v+i4.i'ri°f,�%+LF3i:c�;�Lti�(,�'l�ii+Y.�1�Y"���Y'�.ir:.�•L,��=aNry"^•'4�/'^q:�*► f"'�p`i' `+'9'"""�,._-_ ..`;nFi'.v:-.t"'y,.•�.-os BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM ( One Form `per' Building) A.P. Number ^" Building Department No. School District(��/d�ey city '= County Jurisdiction Property Owner Project Location/Address '1 Subdivision Lot Number Residential Development: F7S . q. Footage # of Living MHI Addition (Group R) Units Commercial/Industrial: S ./Footage New Addi'io (Including Exterior �� -Roofed Areas) 4 Building Department Representative I Date District Id'"*No. School District certifies that 30 (Applicant Name) .(Phone Number) lled r ; ... (Street Address) (City) (State) (Zip Code) 4 has complied with the requirements of Resolution No. by the payment of $ o�� 1�6�,(4 representing oN70 Sch Ol District Representative PAID BY CHECK NO. REMARKS: BANK NO 16 PAID BY CASH square feet. Date white -applicant, yellow -building department, pink -school district SCHOOL . FEE (5/88) V a X70 RESIDENTIAL PLAN CHECKING GUIDE 12/90 (S.F., DUPLEX & MISC. ONLY) Bldg. Permit # OWNER A.P. # zS-Zo-4i9 Plan Checker�� GENERAL 1. Zoning requirements: (sideyards an(number �ofpe�rmitt�edli�vingunits" ation. 3uns signed by designer. 4l/ Proper description of work on application. 15--�x4st-ing violations on property. © Items on data sheet. (W.C., fees, Health, Developer Fees, License law, etc). 7--�Rec-orded notice of violation. PLOT PLAN Y/. omplete parcel size and dimensions. �Setbacks, sideyards, easements, etc. 31 -/Other buildings or structures. ading, fills, drainage. Flood hazard. 6, ---Special conditions on creation map, usti le, and foundations). 7-.--+WU—& FAS road setback. (noise, CDF, fire sprinklers, non -comb - 8_ Rti!-1ding or utilities across lot lines (Record form). FLOOR PLAN I'-mplete.to scale -plan with dimensions. ' �equired,wirdows for', light and;- ventilation (Sec. 1205). 3� Required windows for second exit (Sec.' 1204). fights (Chapter 34 & Sec. 5207). 5 Human impact glass (Sec. 5406). a,'-fiquired room sizes, ceiling heights (Sec. 1207). 7 "FCI �'ln baths, garage, kitchen,,and exterior outlets (Article 210-8). 8. 'ght fixtures, switches, receptacles, and exterior receptacles for main- ance of mechanical equipment. 9 Locations of water heater, heating and cooling equipment, other electrical " gas equipment. IV. G ge firewall, door size, and closer (Sec. 503(d)(3)). 1 - 3'0" exterior exit door (sec. 3304 (f). ireplace and wood stove location, alcoves, and clearance. I SM detectors (Sec. 1210). 1 lumbing fixtures, water closet clearances and shower size. STRUCTURAL DETAILS 1 Standard bracing or engineered design (Table 25V) 2--U-nu-s-5-51-shape, size, or split level house requiring lateral design. Foundation plan complete enough to construct building. 4. Floor construction details complete enough to construct building. r. Elevations and wall construction details complete enough to construct building. �.. 6. Roof construction details complete enough to construct building. 7. Fireplace construction details and talcs if necessary. 8. Rafter ties or bearing ridge beam. 9rage door or porch header sizes. ud heights. li t Adobe soils - special foundation design. -n•_-ring walls requiring design. 1-3—Speeia1I-n-spection required. 12/90 RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO. -LOOK OUT FOR 1!/ELStairway details: landings, rise and run, head clearance, handrails (Sec. 3306). �Exte Fal details (Sec. 1711 & 3306(j). or stone veneer (Chapter 30). rior plaster - weep screeds (Sec. 4706). Proper roof pitch for roof convering (Chapter 32). oo covering type - (fire hazard). oam insulation - protection. 8. 36" halls and stairways. ing area over garage - complete 1 -hour separation required on garage side inclu ing supporting walls and posts, etc. xe exits on three-story dwellings (sec. 3303 & see Mezannines - 1716). 1 Att'c access and ventilation (Sec. 3205). 1 derfloor access and ventilation (Sec. 2516). 1 Combustion air for fuel burning appliances - L.P.G. requirements. }- requirements on duplexes. lnergy design. P6-.-FTa"shing at all exterior openings. ,t-7-.-C-D= responsible area requirements. E Xj'dTED T -TU 1L Y= a N 'PL+Aq Return.to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT . f. FOR RESIDENTIAL DEVELOPMENT Section ;�-18.1 of the Butte requires "'this acknowledgement prior to issuance of a building County Code be recorded permit. The property described . herein is adjacent 91-019609 to. land or included within an area zoned for agricultural purposes, and residents Recorded Official Records of this'. property may be subject to incon- veniences or discomfort arising from the County of use of agricultural chemicals, including, Butte but not limited to herbicides, pesticides, Candace J. Grubbs and fertilizers; and from the pursuit Recorder of a ricultural o =rations incl di 8:01am 20 -May -91 91~19609 a I Rec Fee I Cash 1 i I I I i I 7.00 7.00 CD 2 g p u ng, but not limited to cultivation, plowing, _ spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural 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 discomfort from normal., necessary farm operations. All 'that real :property: -.'situate in the County of Butte, State of California, described as follows: Date: State of California ) SS. County of Butte ) On this the 13th undersigned Notary PROPERTY OWNERS: n vJ. day of Hay 1991 , before me, the Public, personally appeared Michael R. & Kathy J. Chambers ®e®a®a®o■®■■o©aeon®■m®®®®�� Personally known to me. 1:1 Proved to me on the basis ® B691A1t9 LANCE BENSON 0 of satisfactory evidence. NOTARY PUBLIC -CALIFORNIA "to be the person (s) whose name (s) were A , Butte County Wsubscribed to the within instrument and acknowledged that they ■ My Commission Expires Sept. 6,1994 13 ■ ®executed the same for the purposes therein contained. IN WITNESS �a®eP■A®■�®t3®MORON ®® SON ■®pWHEREOF, I hereunto set my hand and official seal. Present A.P. No. J 5 J a 0- 1i g y Pyb 1-19600 Lot 9, according to that certain map entitled, "Official Map of the Ord Rancho and the Boyles Ranch," which map was filed in the office of the Recorder of the County of Butte, State of California, March 22, 1928, in Book 8 of Maps, at page 24A, containing 16.767 acres, more or less. . EXCEPTING HOWEVER, a string of land 20 feet in width along the North and West boundaries thereof for road purposes. ALSO EXCEPTING THEREFROM that portion of said Lot -9, more particularly described as follows: BEGINNING AT THE Southeast corner of said Lot 9; thence North 89° 59' West, along the South line of said Lot 9, a distance of 281.0 feet to a point; thence North 000 03' West, 775.0 feet to a point on the North line of said Lot 9; thence South 890 59' East along the Northerly line of said Lot 9, a distance of 281.0 feet to the Northeast corner therrof; thence South 000 03' East, along the East line of said Lot 9, a distance of 775.0 feet to the point of beginning. (A.P. No. 025-20-0-049-0) EN® OF DOCUMENT 4J v 1 1. Ceiling Insulation U -value 0.50 -176 Number of stories -54 R -value One Two Three R-0 -103 -49 32 R-19 -8 -4 .2 R-30 -2 .1 .1 R38 0 0 0 U -value 0.50 -176 -84 -54 0.30 -102 -49 32 0.10 -26 -13 -8 0.08 -18 -9 -6 . 0.06 -11 -5 -4 0.04 -4 -2 -1 0.02 4 2 1 0.00 11 5 3 2. Wall Insulation Single- Slab Floor Insulation in Floor Single- Single - Number of stories Two Family Family Multi - R -value Detached Attached Family R-0 -68 -51 34 R -ti 0 0 0 .R-13 2 2 1 R-19 8 6 4 U -value 0.40 -95 -46 -30 0.80 -153 -114 -76 0.50 -91 -68 -46 0.30 -47 36 -24 0.10 0 0 0 0.08 4 3 2 0.06 9 7 5 0.04 14 11 7 0.02 19 14 10 0.00 24 18 12 3. Raised Floor Insulation Single- Slab Floor Insulation in Floor Total R -value Number of stories Two R -value One Two Three R-0 -17 -8 -5 R-11 -3 .2 -1 R-19 0 0 0 R-30 3 1 1 U -value -2 4. Slab Edge Insulation -- -- • 0.60 . -144 -70 -46 0.50 -120 -58 38 0.40 -95 -46 -30 0.30 -69 -34 -22 0.20 -13 -21 -14 0.10 -17 -8 -5 0.08 -11 -6 -4 -0.06 -6 -3 -2 0.04 .1 0 0 0.02 4 2 1 0.00 10 5 3 Controlled Ventilation Crawlspace Single- Slab Floor Number of stories Total R -value One Two Three R-0 -11 -7 -5 R-5 -4 -4 3 R-11 -2 .2 -2 R-19 .1 -2 -2 4. Slab Edge Insulation -53 -39 -24 Number of Stories 4 R -value One Two Three R-0 0 0 0 R-5 8 5 2 R-7 8 6 3 F2 factor -13 -4 4 0.90 -4 3 .1 0.80 -1 .1 0 0.70 2 2 1 0.60 6 4 2 0.50 9 6 3 0.40 12 8 4 S. Infiltration (Air Leakage) Spedfia tiolh ' , Points Standard 0 6. Glass Heat Lass Single- Slab Floor Effective Pes c Glass Total %Glass North East South :West LI -value 18 5 Percent 4 1 .51 to .41 to :31 to 0.30 or Glass Single Double .60 .50 .40 less 50 -121 -53 -39 -24 -10 4 40 -90 37 -26 -14 3 8 35 -75 -29 -19 -9 1 10 30 -61 -21 -13 -4 4 12 29 -58 -20 -12 3 5 12 28 -55 -18 -10 .2 5 13 27 -52 -17 -9 -2 6 13 26 -49 -15 ,-8 -1 7 14 25 -46 -14 -7 0 7 14 24 -43 -12 -5 1 8 14 23 -40 -11 -4 2 8 15 22 37 -9 3 3 9 15 21 34 -7 -2 4 10 15 20 31 3 0 5 10 16 19 -29 -4 1 6 11 16 18 -26 3 2 7 12 16 17 -23 -1 3 8 12 17 16 -20 0 4 9 13 17 15 -17 1 6 10 14 17 14 -14 3 7 10 14 18 13 -12 4 8 11 15 18 12 -9 6 9 12 15 . 19 11 -6 7 10 13 16 19 10 3 9 11 14 17 19 9 -1 10 13 15 17 20 8 2 12 14 16 18 20 7. Shading (Shade Open) Effective Pereent Glass (Patent glass x SC) Effective Single- Slab Floor Effective Pes c Glass Mass %Glass North East South :West Skylight 18 5 1 4 1 na 16 4 2 5 1 na 14 4 2 5 1 na_ 12 3 3 5 2 na 11 3 3 5 2 na 10 2 3 5 2 1 9 2 3 5 2 2 8 2 3 5 2 2 7 1 3 4 2 2 6 1 3 4 2 3 5 1 2, 4 2 3 4 0 2 /3 1 3 3 0 1 2 rf 3 20" 4- 1 0 3' 1 /-1 -1 -1 -1 2 0 -1 -2 -4 -2 0 na = not allowed -23 3 0 -4 16. Shading (Shade Closed) Single- Slab Floor Effective Pes c Glass Mass Family (Percent glass x SC) Multi Effective Stories Attached /CFA One Two %Glass North East Swlh West SWOT 18 -14 •18 -69 -64 na 16 -12 -42 -59 -55 na 14 -10 35 -50 -46 na 12 -8 -29 30 37 na 11 -7 -26 36 33 na 10' -6 -23 31 -29 -74 9 -5 -20 -27 -25 -65 8 -5 •-17 -23 -21.. -56 7 -4 -14 -19 -18 -47 6 3 -11 -15 -14 38 5 -2 -9 -11 -10 -30 4 -1 -6 A -7 -23 3 0 -4 .5 -4 -16 2 r1 8 2 -1 -9 1 1 1 1 1 -4 0 2 3 4 3 0 no . not allowed 3 7 8 10 9. Interior Thermal Mass Interior Single- Slab Floor Raised Floor Mass Family Stories Multi Mass Stories Attached /CFA One Two Three One Two Three 0.0 -8 -5 -4 -2 -1 -1 0.1 -8 -5 3 -1 0 0 0.3 -7 -4 .2 0 1 1 0.5 -6 3 -1 1 1 2 0.7 -5 -2 -1 1 2 2 0.9 -5 -1 0 2 3 - 3 1.1 -4 -1 1 3 4 4 1.3 -3 0 2 3 4 5 1.5 -3 1 2 4 5 5 2.0 -1 2 4 5 6 7 25 0 3 5 7 7 8 3.0 1 4 6 8 8 9 3.5 2 5 7 9 9 10 4.0 3 6 8 9 10 10 4.5 3 7 8 10 11 11 5.0 4 7 9 11 12 12 5.5 5 8 9 11 12 12 6.0 5 8 10 12 13 13 i 6.5 6 9 10 12 13 13 7.0 6 9 11 13 13 14 7.5 6 10 11 13 14 14 8.0 7 10 11 13 14 14 8.5 7 10 12 13 . 14 15 10. Exterior Wall Thermal Mass Exterior Wall Single- Single. Sum of 14 Family Family Multi Mass Detached Attached Family 0.00 0 0 0 r 0.20 3 2 1 0.40 5 4 3 0.60 8 6 4 0.80 10 8 5 1.00 13 10 7 1.20 13 12 8 1.40 12 13 9 1.60 10 13 11.. . 1.80 10 12 12 200 10 11 13 11. Heating System SE or HSPF (assumes ducts In attic) Zonal Control Adjustment System Type Resistance 10 9 7 6 4 3 Other 6 5 .4 3 2 2 rig. CooUng Syst.!m R -value [0] Sum of 14 _ 4. Slab Edge Insulation One -5 -25 or -24 to -14 to -4to +6 to 16 or SE HSPF less -15 -5 _ +5 ' +15 more 0.72 6.60 0 0 0 0 0 0 0.75 6.88 3 3 3 2 2 1 0.80 7.33 8 7 6 5 4 3 0.85 7.79 13 11 10 8 7 5 0.90 8.25 17 15 13 11 9 '7 0.95 8.71 20 18 15 13 11 8 11.0 10 9 7 Effective SE or HSPF 4 3 (SE or HSPF x duct efficiency) 9 Effective -25 or -24 to -1410 :4 to +610 16 or SE HSPF less -15 -5 +5 +15 more 0.30 275 -73 34 -56 -47 -38 30 na 3.41 -45 -39 -34 -29 -24 -18 0.40 3.67 -34 30 -26 -22 -18 -14 0.50 4.58 -10 -9 -8 .7 -5 .4 0.56 5.13 0 00 3 .. 0 -2 i 0 0.60 5.50 5 5 4 3 5 2 0.70 6.42 17 15 13 ti 10.0 7 0.80 7.33 25 22 19 16 13 10 0.90 8.25 32 28 24 20 17 13 1.00 9.17 37 32 28 24 19 15 Zonal Control Adjustment System Type Resistance 10 9 7 6 4 3 Other 6 5 .4 3 2 2 rig. CooUng Syst.!m R -value [0] F2 factor [0.77] , 4. Slab Edge Insulation One -5 •4 -4 SEER .2 -2 Interior Mass/CFA Two + 3 (assumes ducts In attic) 2 2 Sim of 7-10 , 310 X .rr►a s Puss -25 or -24 to (1410 -410 +6 to 16 or SEER less AS 1 -6 +5 +15 more 8.0 -14 -12 -10 -8 -6 -4 . 8.5 -9 -7 -6 .5 -4 3 8.9 -5 -4 -4 3 -2 -2 9.0 -4 3 -3 -2 -2 -1 9.5 0 0 0 0 0 0 10.0 4 3 3 2 2 1 10.5 7 6 5 4 3 2 11.0 10 9 7 6 4 3 12-0 15 13 11 9 7 5 13.0 20_ 17 14 1.2 9 6 ' 45% 50% 55% 60% SS46 _ 75% 80%85Y. ERedlve SEER 90% 95% 1001: 105% 110% 1151: 120% 125` (SEER xduct efficiency) 0 0.2 Stan of 7-10 0.6 O.B. 1.1 Effective -25 or -24 to -1410 -4b 46b 16 or SEER less -15 5 +5 +15 more 5.0 -30 -25 -21 -17 43 -9 , 6.0 -12 -11, -9 j -7 3 -4 6.6 -5 -4 4 I 3 .. -2 -2 i 7.0 0 0 0 0 0 8.0 9 8 5 4 3 1 9.0 16 14 12 9 7 5 10.0 ' 22 19 16 13 10 7 11.0 26 23 19 15 12 8 12.0 30 26 22 18 14 9 13.0 33 29 24 20 15 10 Zonal Control Adjustment 10 8 7 6 4 3 No Cooling System Installed i Point system summary: Climate Gone 11 SCORE CARD 1. Ceiling Insulation 2. Wall Insulation 3. Raised Floor Insulation Ss R -value [0] F2 factor [0.77] Standard 4. Slab Edge Insulation One -5 •4 -4 3 .2 -2 Interior Mass/CFA Two + 3 3 ., 2 2 2 1 , 310 X .rr►a s Puss _ (0 X 5. Infiltration Sin to-Famit g y Lached and Attached 6. Glass Heat Loss O ; t Unit Size (sQ Eff. o Glass �t 9 x Water Heater Credit 19912(X' or 1700 22M 2700 7. Shading (Shade Open) _Type Type -1 kr s b j1699 to 2199 to 2699 or more tl.7.11stab te.ryeewd w .i.t,) SG None , 0 0 0. 0 0 a. North or Solar HP HWR 1 TYPE t MLSS WIMC + 1.2, Se: exposed Blab) WSB 5 3 3 2 2 C. South POU 8 0% 6% 10% 15% 20Y. 25% 30% 3S% 40% 45% 50% 55% 60% SS46 70% 75% 80%85Y. -1 90% 95% 1001: 105% 110% 1151: 120% 125` OY. 0 0.2 0.4 0.6 O.B. 1.1 1.3 1.5 1.7 1.9 21 23 2S 2.7 2.9 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5 5.3 10Y. 0.2 0.4 0.6 0.8 1 1.2 1.4 1.6 12 21 23 25 27 2.9 at 3.3 3.5 al 4 4.2 4.4 4.6 4.8 5 5.2 5.4 20% 0.3 0.6 0.8 1 1.2 1.4 1.6 1.8 2 22 24 21 29 &1 3.3 15 17 39 4.1 4.3 4.5 4.8 5 5.2 5.4 56 30% 0.5 0.7 0.9 1.1 1.4 1.6 1.8 2 22 24 26 28 3 32 3.5 11 19 4.1 4.3 4.S 4.1 4.9 5.1 5.3 5.6 S.8 40Y. 0.7 0.9 1.1 1.3 i.S 1.7 1.9 22 24 26 2.8 3 12 3.4 3.8 3.8 4 4.3 4.5 4.7 4A 5.1 5.3 S.5 5.1 5.9 50% 0.9 1.1 1.3 1.5 1.7 1.9 21 23 25 27 3 32 14 3.6 18 4 42 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 5S% 0.9 1.1 1.4 1.8 1.8 2 2.2 24 2.6 28 3 8.2 3.5 3.7 19 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 5.8 6 6.2 60% 1 1.2 1.4 1.7 1.9 21 2.3 2.5 2.7 29 11 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 ' 5 5.2 5.4 5.6 5.9 6.1 63 65% 1.1 1.3 1.5 1.7 1.9 2.2 2.4 2.6 28 3 3.2 14 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.4 70% 1.2 1.4 1.6 1.8 2 2.2 2.5 27 29 11 13 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 5.2 5.4 5.6 58 6 6.2 64 75% 1.3 1.5 1.7 1.9 21 23 25 27 3 12 14 15 3.8 4 4.2 4.4 4.8 4.8 5.1 5.3 SS 5.7 5.9 6.1 6.3 6.5 80%. 1.4 1.6 1.8 2 2.2 2.4 26 2.8 3 3.3 3.5 11 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 5.6 S.8 6 62 64 66 85% 1.4 1.7 1.9 2.1 2.3 25 2.7 29 3.1 3.3 3.5 18 4 4.2 4.4 4.6 4.6 5 5.2 54 5.6 5.9 6.1 63 6S 67 90%' 1.5 1.7 2 2.2 24 26 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 53 S.5 5.7 5.9 6.2 6.4 6 6 6 6 95Y. 1.8 1.8 2 22 2.5 27 2.9 3.1 33 3.5 3.7 &9 4.1 4.3 4.6 4.8 S 5.2 5.4 5.6 5.8 6 6.2 6.4 6.7 6.9 100% 1.7 1.9 21 2.3 25 28 3 3.2 3.4 16 18 4 4.2 4.4 4.6 4.9 5.1 5.3 53 5.7 5.9 &1 8.3 6.5 6.1 7 105% 1.8 2 22 2.4 2.6 28 3 3.3 3.S 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 5.6 5.8 6 6.2 6.4 6.6 68 7 110Y. 1.9 2.1 2.3 2.5 27 29 3.1 3.3 3.6 3.8 4 4.2 4.4 4.6 4.8 5 5.2 5.4 5.7 5.9 &1 6.3 6.5 6.7 69 7.1 115% 2 2.2 24 2.6 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.S 4.7 4.9 5.1 5.3 5.5 5.7 5.9 6.2 6.4 '6.6 6.8 7 7.2 120% 2 2.3 2.5 2.1 29 3.1 3.3 3.5 3.7 3.9 4.1 4.4 4.6 4.8 5 5.2 5.4 5.6 58 6 &2 6.5 6.7 6.9 7.1 7.3 125% 21 2.3 25 2.8 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 &3 &5 &7 7 7.2 7.'4 Point system summary: Climate Gone 11 SCORE CARD 1. Ceiling Insulation 2. Wall Insulation 3. Raised Floor Insulation Ss R -value [0] F2 factor [0.77] Standard 4. Slab Edge Insulation One -5 •4 -4 3 .2 -2 % Total Glass [ 161 Two + 3 3 ., 2 2 2 1 , 310 X _ (0 X 5. Infiltration Sin to-Famit g y Lached and Attached 6. Glass Heat Loss O % Glass 3, tf t Unit Size (sQ Eff. o Glass �t 9 x Water Heater Credit 19912(X' or 1700 22M 2700 7. Shading (Shade Open) _Type Type -1 kr s b j1699 to 2199 to 2699 or more SG None , 0 0 0. 0 0 a. North or Solar HP HWR 12 8 8 5 6 4 5 3 4 3 1). East WSB 5 3 3 2 2 C. South POU 8 5 4 3 3 Duct Efficiency [0.74] SE None -37 -24 -18 -15 -12 d. West - Solar -1 -1 -1 0 0 e. Skylight .HWR -18 -12 -9 -7 -6 WSB POU -25 -18 , -16 _-12 -12 -9 -10' -7 -8 -6 8. Shading (Shade Closed) IG None =5 .3 -2 -2 -2 Solar POU 7' 3_ : 5 2 .4 1 3 1 2 1 a. North IE None -28 -19 14 -11 .9 b. East Solar POU 8'. -10 5 -6 4 -5 3 -4 3 .3 , C. South Multi -Family (individual units) d. West Water . Heater 699 1 Unit Size (sQ 700 12M 17M 2200 .. e. _Skylight t �'f,' '(tl�.. ' ' # V Type less .1108 169 2109 mom c 9. Interior Thermal Mass SG None 0 0 0 0 40 Ji IWA( TJ ((JJs or Solar HP HWR 14 9 7 -.. 5 5 3 4 2 3 2 '10. Exterior Wall Mass POU 9 5 3. `-15 2 2J) A !' ;411. SE None -45 -23 -11 '-g Heating System'1 Solar f 1 0 S Zonal Control? ( Y / NHWR ) -23 12 WS8 P-QU -25 _23 . -13 -12 -8 •8 -6. - -5 -5 12. Cooling System IG None -8 -4 -3 -2 ; -2 Zonal Control? ( Y / N ) Solar 6 3 2 1' 1 _ POU_ IE None i 30 0 -15 0 0 -10 Q- 13. Water Heating Solar 18 9 6 -8 . 4 -6 4 M POU -8 -4 -3 -2 -2 Measures �;o or R -value 138] U -value [0.030] %L-1 °j or R -value 111 ] U -value [0.098] PI9or R-value[19] U -value [0.0371 or R -value [0] F2 factor [0.77] Standard , t4 3 - - g�t W- R". / 7r Type [double] U -value [0:651..- % Total Glass [ 161 % Glass SC Eff. % Glass 34 x i U7 = Zr3 , 310 X _ (0 X 3.y t� X -- O % Glass 3, tf SC 4 57 Eff. o Glass �t 9 x = r ,!;7-X = X1'0 X = 2r(p O X TYPE 1 MASS AREA d Inter,orllflEs/CFA _ B COND. FLOOR AREA TYPE 2 MASS AREA 8 Exterior Wall Mass ND. L OR AREA 17v X r 3 = Oreo SE or HSPF Duct Efficiency [0.78) Effective SE or [0.% , 61 ' � .SS.151 HSP W� X r - - SEER [9.5] ; Duct Efficiency [0.74] Effective SEER [7.03] Type [SG] Credit [none] Point Scores Z b do 19 O Sum i-6 Sum 7-10 Point Total: + I l Certificate of Compliance: Residential Climate Zone 11 Project Title _ Lll�p �?�� �r��}T>•i�2� • Build t# Project Address K 7_ Checked B y / Date Documentation Author Telephone Fnforee ent Agency Use Only BUILDING SHELL INSULATION' Component Insulation Location/Comments Type R -Value (atlnc, .ca garage. r'Micel, etc.) Wall .............. 9 Wall .............. Roof ............. 30 Roof ............. Floor ............. _ r Floor ............. Slab Edge ..... GLAZING Shading Devices Glazing Area Glass Type Interior Exterior Overhang Framing Type Orientation (SO (single, double) (jolly blind. etc.) (shadescreen. etc.) (yes/no) (metallwood) NorthNorth East ( ) East ( ) South Sou th ( ) West ( ) West ( ) Skylight....... THERMAL MASS Type/Covering Area Thickness (slab/exposed, cite, etc.) (SO (inches) Locadon/Dcscription (kitchenu bath. etc.) HVAC SYSTEMS Minimum Duct Type (furnace, air Efficiency Location Duct Output Manufacturer / Model # cundltluner, hent pump) (SE, SEER.HSPF) (attic, etc.) R -Value (Brut) (0f A00r6vedW4Q ,tea t4l G '917 U ' F — 111 DING DUARTMENI Maximum Furnace Heating Output: /47`7 9 Btuh HOT WATER SYSTEMS Tank Manufacturer/Model # System Type (storage gas, etc.) Capacity (or approved equal) Special Feature(s) SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) Mandatory Measures Checklist: Residential _ MF -111 NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used Items marked with an asterisk (•) may be superseded bey more stringent compliance requirements fisted on the Certificate of compliance. When this checklist is incorporated into the permit documents• the features noted shall be considered by all parties as binding minimum component performance specifications for the mandatory measure; whether they are shown elsewhere in the documents or on Wis checklist only. DESCRIPTION DESIGNER ENFORCEMENT Building Envelope Measures • §2.5352(a): Minimum ceiling insulation R-19 weighted avenge. §2.5352(b): Loose fill insulation manufacturer's labeled R -Value. • §2-5352(c): Minimum wall insulation in framed walls R-11 weighted average (does not apply to exterior mass walls). §2.5352(k): Slab edge insulation - water absorption rate no greater than 0.3%. water vapor transmission rate no greater than 2.0 pumfinch. §2-5311: Insulation specified or installed mats California Energy Commission (CEC) quality standards. Indicate type and form. §2-5352(p: Vapor barriers mandatory in Climate Zones 14 and 16 only. §2.5317: Infiltration/Exfiltration Controls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Doors and windows certified. c. Doors and windows weatherstripped; all joints and penetrations caulked and sealed §2-5352(e): Special infiltration barrier installed to comply with §2-5351 meets CEC quality standards. §2.5352(d): Installation of Fireplaces 1. Masonry and factory -built fireplaces have a. Tight fitting, closeable metal or glass door b. Outside au intake with damper and control e. Flue damper and control 2. No continuous burning gas pilots allowed HVAC and Plumbing System Measure 1 62-5352(8) and 2-5303: Space conditioning equipment siring: attach calculations. j §2-5352(h) and 2.5315: Setback thermostat on all applicable heating systems. • §2.5316(a): Ducts constructed, installed and insulated per Chapter 10, 1976 UMC. §2.5316(b): Exhaust systems have damper controls. §2-5314(c): Gas -lura space heating equipment has intermittent ignition devices. §2-5314: HVAC equipment, water heaters, showerheads and fauces certified by the CEC. i §2-5352 : Water heater insulation blanks () (R-12 or greats) or combined interior/exterior insulation (R-16 or greater); fust 5 feet of pipes closest to tank insulated (R-3 or greater). ! §2.5312(Excep6on 1): Pipe insulation on steam and steam condensate return At recirculating piping, 't §2-5318(d): Swimming Pool Heating p 1. System has: a. OnPoff switch on heater. j' b. Weatherproof instruction plate on heater. c. Plumbed to allow for solar. 2. 75 percent thermal efficiency. 3. Pool cover. 4. Time clock. 5. Directional water inlet. Lighting and Appliance Measures J 62.5352(1): Lighting - 25 lumens/wait or greater for general lighting in kitchens and bathrooms. §2.5314(c): Gas fired appliances equipped with intermittent ignition devices. §2.5314(a): Refrigerators, refrigerator-freex rs• freezers and fluorescent tamp ballasts certified l by the CEC. Indicate make and model number. i i COMPLIANCE STAIMUENr This certificate of compliance lists th-, building featum and performance specifications needed to comply with Title 24. Chapter 2-53 and Title 20. Chaptrr2. Subchapter4. Article 1 of the California Administrative code. This certificate has been signed by the individual with overall design responsibility and the building owner. who shall retain a copy of it and transmit the owificate to any subsequent purdhaser of the building. Dtiguer building Owner Name: Name: , i Title/Flsrrc Titk/Futn j Address: Address: l Telephone: Tekphonc I tic. N: 0�0 p a/V`, sibnatttre) (date) (signature) (date) i Documentation Author Enforcement Agency Name: Name: (. Tttk/Futn: Agency: Address: Tekoumc: Glass Area % Glass BUILDING DATA North /09 3. Conditioned Floor Area_ Number of Stories f East S :3,0 Slab/Raised Floor 2R(si D Number of Units South ZOO [ Single Family Detached (SFD) [ ] Addition Alone West t g zy, 4, . [ ] Single Family Attached (SFA) (] Existing Building Skylight O a (] Multi -Family (MF) () Existing -Plus -Addition Total "- • o 17. BUILDING SHELL INSULATION' Component Insulation Location/Comments Type R -Value (atlnc, .ca garage. r'Micel, etc.) Wall .............. 9 Wall .............. Roof ............. 30 Roof ............. Floor ............. _ r Floor ............. Slab Edge ..... GLAZING Shading Devices Glazing Area Glass Type Interior Exterior Overhang Framing Type Orientation (SO (single, double) (jolly blind. etc.) (shadescreen. etc.) (yes/no) (metallwood) NorthNorth East ( ) East ( ) South Sou th ( ) West ( ) West ( ) Skylight....... THERMAL MASS Type/Covering Area Thickness (slab/exposed, cite, etc.) (SO (inches) Locadon/Dcscription (kitchenu bath. etc.) HVAC SYSTEMS Minimum Duct Type (furnace, air Efficiency Location Duct Output Manufacturer / Model # cundltluner, hent pump) (SE, SEER.HSPF) (attic, etc.) R -Value (Brut) (0f A00r6vedW4Q ,tea t4l G '917 U ' F — 111 DING DUARTMENI Maximum Furnace Heating Output: /47`7 9 Btuh HOT WATER SYSTEMS Tank Manufacturer/Model # System Type (storage gas, etc.) Capacity (or approved equal) Special Feature(s) SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) Mandatory Measures Checklist: Residential _ MF -111 NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used Items marked with an asterisk (•) may be superseded bey more stringent compliance requirements fisted on the Certificate of compliance. When this checklist is incorporated into the permit documents• the features noted shall be considered by all parties as binding minimum component performance specifications for the mandatory measure; whether they are shown elsewhere in the documents or on Wis checklist only. DESCRIPTION DESIGNER ENFORCEMENT Building Envelope Measures • §2.5352(a): Minimum ceiling insulation R-19 weighted avenge. §2.5352(b): Loose fill insulation manufacturer's labeled R -Value. • §2-5352(c): Minimum wall insulation in framed walls R-11 weighted average (does not apply to exterior mass walls). §2.5352(k): Slab edge insulation - water absorption rate no greater than 0.3%. water vapor transmission rate no greater than 2.0 pumfinch. §2-5311: Insulation specified or installed mats California Energy Commission (CEC) quality standards. Indicate type and form. §2-5352(p: Vapor barriers mandatory in Climate Zones 14 and 16 only. §2.5317: Infiltration/Exfiltration Controls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Doors and windows certified. c. Doors and windows weatherstripped; all joints and penetrations caulked and sealed §2-5352(e): Special infiltration barrier installed to comply with §2-5351 meets CEC quality standards. §2.5352(d): Installation of Fireplaces 1. Masonry and factory -built fireplaces have a. Tight fitting, closeable metal or glass door b. Outside au intake with damper and control e. Flue damper and control 2. No continuous burning gas pilots allowed HVAC and Plumbing System Measure 1 62-5352(8) and 2-5303: Space conditioning equipment siring: attach calculations. j §2-5352(h) and 2.5315: Setback thermostat on all applicable heating systems. • §2.5316(a): Ducts constructed, installed and insulated per Chapter 10, 1976 UMC. §2.5316(b): Exhaust systems have damper controls. §2-5314(c): Gas -lura space heating equipment has intermittent ignition devices. §2-5314: HVAC equipment, water heaters, showerheads and fauces certified by the CEC. i §2-5352 : Water heater insulation blanks () (R-12 or greats) or combined interior/exterior insulation (R-16 or greater); fust 5 feet of pipes closest to tank insulated (R-3 or greater). ! §2.5312(Excep6on 1): Pipe insulation on steam and steam condensate return At recirculating piping, 't §2-5318(d): Swimming Pool Heating p 1. System has: a. OnPoff switch on heater. j' b. Weatherproof instruction plate on heater. c. Plumbed to allow for solar. 2. 75 percent thermal efficiency. 3. Pool cover. 4. Time clock. 5. Directional water inlet. Lighting and Appliance Measures J 62.5352(1): Lighting - 25 lumens/wait or greater for general lighting in kitchens and bathrooms. §2.5314(c): Gas fired appliances equipped with intermittent ignition devices. §2.5314(a): Refrigerators, refrigerator-freex rs• freezers and fluorescent tamp ballasts certified l by the CEC. Indicate make and model number. i i COMPLIANCE STAIMUENr This certificate of compliance lists th-, building featum and performance specifications needed to comply with Title 24. Chapter 2-53 and Title 20. Chaptrr2. Subchapter4. Article 1 of the California Administrative code. This certificate has been signed by the individual with overall design responsibility and the building owner. who shall retain a copy of it and transmit the owificate to any subsequent purdhaser of the building. Dtiguer building Owner Name: Name: , i Title/Flsrrc Titk/Futn j Address: Address: l Telephone: Tekphonc I tic. N: 0�0 p a/V`, sibnatttre) (date) (signature) (date) i Documentation Author Enforcement Agency Name: Name: (. Tttk/Futn: Agency: Address: Tekoumc: 4 PEIRMIT-NO. 1957-78B,E PERMIT EXPIRES tlkhq DOWNER R. B. Chambers i CONTR. owner 25-20-49 LOCATION (A.P. ) S/S Prather Rd.,app.'k mi-W.of Larkin Rd., Gridley Ir it 1� .n yT yl i i i` Temp. Power Pole Called PG&E . Temp. Elec. Serv. Called PG&E fI Temp/Gas Serv. ' C51 led PG&E g FINALED (Date)OF (Signature) i COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ' BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback �� Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall SidIn g To out Slab V Roof SheathingWater Pi in Piers % RoofingSewer Garage Fdn. Vents Fixtures Footings Stemwa l l Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for phsically handicaped Conformance of ex. structure Appliances Gas Piping & Te t Temp. Gas Slab Final �� Sanitation Patio IREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough �'— Reinf. Steel Final Fixtures Bond Beam FlRg�*PRINKLERS Motors Framing Test N Water Htr. Stucco Final Subpanels Mesh MEC NICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish '� Ducts Underground Interior Lath fl VnntilaNn A // A7 uoor cioser I Final Final MOBILEHOME UTILITIES ------------------ Elec- Service Elec. Pedestal Water Piping Sewer Gas Piping MO§16EHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS !x%27, 7e �03+wc� c �.o� %��4ti-�� �'��✓ Z,✓s�'-0c?.oma wAs .� Q ' 1� �m�S koT 0(0Peso V !`�»rc. p[te.SSstr� :feb��✓Gg 6, edB /ygve /2'° GSC f»! -.r ).iGo 2p4i Co) Y dem S \Tod" ��jj 1 /anS• b�� �eeS A/oi Wa)v'e- A.14rLe.e� aLeLIC .6 A, Q9'2.w &t4- (NOTE: An entry must be made on this form each ti e you visit the job site.) - - COUNTY OF BUTTE —. DEPARTMENT OF PUBLIC WORKS - 7 County Center Drive — O.roville, California 95965 • - Telephone: 534.-4541 APPLICATION AND PERMIT above-mentioned property for inspection purposes. X��7,J / ,II Date Signature of Permitee or Agent Receipt No. HT1 2 White-D.P.W. — Yerlow-Assessor — Pink -Inspector — Goldenrod -Applicant i nis permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR,p PUBLIC WORKS BY Date Ui lding permit expires Date 4— 76 — 7 BUILDING Owner SO. FT. OCC. BUILDING VALUATION �,�//( Mai I i ng Address 3 ®✓ '3S-76 I one o 6 Contractor , Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address Plan Checking Fee &/or Penalty Permit Fee $ 10 {'Irk PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. Zoning &Planning Water piping 1.50 Each gas water heater or vent 1.50 F - W Saton Fire Dept. Fire Zone Use Permit Gas piping. system 1 - 5 outlets 1.50 EOA Parking Parcel plans Declaration Parcel Map 60' R/W Improvements Each additional outlet 30 Building sewer 5.00 Bldg. PI ec'd Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION UTILITIES ❑ OTHER permit Fee $ $ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 o Single Family Duplex 1:1 Mobil Home 1:1 Others ❑ Main service 600V OR LESS 10o AMP LESS 5.00 -L Main service E4. ADD100 AMP 2.50 OVER 600V Main service 1100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONSOR ADDNST Ar -l:. 4) 20sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONSTR (MULTI T NON-RESID, l BRANCH CIRCUITS) 2.50ea NEW CONSTR (POWER APPARATUS&J NON-RESID. SINGLE OUTLET CIR. EX. OCCUO(OUTLETS OR FIXTISRES I B)@25t Ex. OCCUP•(FIXED APPLNS. OR 0 'TLETS (RESID,) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 taI am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE t am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ro I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of Cal i forni a. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 Land Development Fee $ TOTAL PERMIT FEE above-mentioned property for inspection purposes. X��7,J / ,II Date Signature of Permitee or Agent Receipt No. HT1 2 White-D.P.W. — Yerlow-Assessor — Pink -Inspector — Goldenrod -Applicant i nis permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR,p PUBLIC WORKS BY Date Ui lding permit expires Date 4— 76 — 7 N0TE.='A1 Shall Be In. . 6:6rdsance w'',,$ . ;,. �•;� `rte, i 7;.y,Ca}i C4 a quali t •, n� t,'...,'•.. .., t,� r, .-:e. ; f;p., use iand Uniform BuilrJ;rg, =.lay ; l.,,zachanica, l Codes and the National Electrical Code. fhis tet of plans ncl specifications MUST be S� y rept on the job at all timis and it is unlvsw4ul to make any c',anges or �.;r. r on saris* wi',aou, written pennisson fro the i7epariment of Publit Wgrks, County of •Bu e. . 1 The Bldg. Sefback sl, 11 be 5 ft. from the side proper -h/ line al ti r7 f .from the .. centeraine of at:G a nwxi- inu;oi of a 2 ; i. ecave o erhajig bui• entirely Out of all easempnl. location of bu'i'ld- ing be as per Q Butte County H alth Dept. Re- quirements. �l u N rA Te- IF R,,O BUTTE COUNTY BUILDING DEPARTMENT APPROVED r BIJTTIrlsf �EL4V� q01"',oke de tecfor Per codX f 5 7 �' �'%t� p Q e. 00 00 ?ie 7 o,c c�' 'lt GeNr� B� a /x'06 m i 2 '0th ` d,�►'ate Ib � yG f Y�, . I I ?, 1"y - J]4 Y - 'Loa s ` v► p '+.S,�i :1r', �� :�Rd„',•�.}^� �YL?'R�`��,�C''."i�,�x'`1�,..�,.:: ;,nry.",�.`y.'. T:�'. 'y5�.;� r'n`�xcfi�\ iTi' '(�'g'w�r+T g1� COUNTY OF OF( BUTTE -,DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 025-20-0-049 ZONING BUILDING PERMIT OWNER MICHAEL R. CHAMBERS , TELEPHONE SO. FT. OCC, BUILDING VALUATION OWNER'S MAILING ADDRESS 503 Prather Rd., Gridley, CA 9-5948 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER None UNKNOWN Total Valuation is Filing Fee g $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 11.50 ARCHITECT OR ENGINEER None LICENSE NO. Plan Checking Fee $ Ener Plan Checking Fee 9y ec9 $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 494 Prather Rd. Gridley•J Permit fee $ 27.50 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF X Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W O.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other Describe work: Demo Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 8001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 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. 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. / DWELLING OCCUP.6J\ OR ACDNS. \ ACC. BLDGS. I yzQsgft NEW CONSTRESID. U NCH C LET NON•R ESI D. BRANCH CIRC ITS 2,50 ea POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occu Occup(OUTLETS OR FIXTURES 20050t eAL030 FIXED APLNS. Ex. OCCup. OUTLETS P(RESID.)REAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate �of Consent to Self -Insure. E:r 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 FiIingFee 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 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, co s, and expenses which may in any way accrue against said County in con q nce of the -granting of this permit. - 6„��� 7 f Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ E - 27.50 HAz CUA PARK SCHL FLD PAR PD I HD. ISSU This permit is hereby issued under the applicable provi- sions of the Butte County -Code andor resolutions to do work indkated above for which fees have been paid. DIBR OF P WOR KS Date 6/10/91 PE IT EXPIRES - Date Receipt NO. WHITE-D.r.W.,.•ELLOW-ASSESSOR; PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovlller California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 025-20-0-04 ZONING - BUILDING PERMIT OWNER MICHAEL RCHAMBERS ELEPHONE SQ. FT. OCC, BUILDING VALUATION OWNER'S MAILING ADDRESS 503 Prather Rd., Gridley, CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER None UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER Ncme LICENSE NO. Plan Checking Fee ,$' Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 494 Prather Rd.. Gridley Permit fee $ 27,50 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF Qk Duplex❑ Mobilehome❑ Other SPECIFY--TiMobile Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Home SG WO.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lilies ❑ Installation[] Other Describe work: Demo Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 OR LESS 100 OROR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. (cense 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.( DWELLING OCCUP.51 LDG S. ) A ULTC. " NEW , CONSTR.OUTLET NON.RESID BRANCH CIRC ITS .50 ea 2SO r/POWER APPARATUS 6 (SINGLE OUTLET CIR. Occup(OUTLETS OR FIXTURES Ex. Occu 200e0e DAL@30 FIXED APLNS OR Ex. Occup. OUTLETS P(RESI D.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �yirin 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate 'of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. J�I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed,revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ LContractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, co s, and expenses which may in any way accrue against said County in conscof the granting of this permit. X "i tti .�+� Date b "/d'" �, Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct-DIR ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE E E TOTAL FE $ 27.50 HHALcuA PABX scHL Fro PAR PD i Ho. Issu ; This permit is hereby issued unser the applicable provi- sions or the Butte County. Code and/ r resolutions to do wor;in* ed above for whichf s have been paid. OF P L WORKS B Date 6�10�91 PEPIRES Date 6/10/()2 ily 'A Receipt NO. WHITE-D.P.W., YELLOW-ASSCSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION ;AND PERMIT �SSESSOR,.,PARC ED UMBER ^� O'2 `(J 0 'ZON1N° BUILDING PERMIT '- DWNER a at v brs (oke, C" TELEPHONE SO. FT. OCC. BUILDING VALUATION DyIN/y� ER•S MAIL G oDO 33 I ` ]/p�J r l el CO RACTOR'3 NAME TELEPHONE I CONTRACTOR'S MAILING AODRE33 Fireplace CON3j R1UCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LE,N/DERR'3 MAILING ADDRESS Permit Fee $ SO ARCHt ECT OR ENGINEER LICENSE NO. Plan Checking Fee $ . Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING AODRES - raft r r ' c- Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each gas water heater or vent 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECI FY Gas piping system 1.- 5 outlets 5.00 Building sewer' 5.00 Mobile Home S G W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel Utilities ❑ Installation❑ Other Describe work: �i�V1� I'VL[� ' Permit Fee $ Contractor' ELECTRICAL PERMIT Filing Fee 10.00' 1 Main service 500V OR LESS 10.00 100 AMP OR LESS Main service EA..ADO'L.100:--AMP - 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury check one): P Y P J Y ( ) ❑ 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. ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended gr 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 OCCUP.a , OR AooNs. ACC. BI_Ocs. ) /:¢sgft NEW'C'ONSTR. MULTI -OUTLET N91V:t?ESl BRANCH CIRC TS 2.50 ea POWER APPARATUS a POPPA SINGLE OUTLET CIR. ) Ex. OCCup(OUTL£TS OR FIXTURES 2AL03t eA�o3o F1111 APNS Ex. OCCUp. OUTLETS IPRESID IKEA.) 2.00 Temporary service 10.00 . Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee S WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. C] 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. 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 — Owner ❑ Contractor l_: Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Receipt No. Contractor ___.------ —_.-.' -- MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Venti lation Permit Fee $ Contractor Mobile Home Installation Fee $ Energy Inspection Fee $ OCC I CONST TYPE TOTAL FEE S MAL. I CUA I PARK I SCHI I FAD I CDF I PAR PD 1 H This permit is hereby issued urger the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By 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. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 40�v yes-. 2. I (have/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: n Name COP- L Address City Ljue, Oc,k 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: n Property Owner (/(. Social Security Number c9l Date /, -)6 " 7% 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. Demolition Permits Asbestos Notification Statement Date AP# Pursuant to section 19827.5 of the California Health and Safety Code, all demolition permit applicants are required to fill out this form. "19827.5. A.demolition permit shall not be issued by any city, county, city and county, or state and local agency which is authorized to issue demolition permits as to any building or structure except upon the receipt from the permit applicant of a copy of each written asbestos notification regarding the building that has been required to be submitted to the United States Environmental Protection Agency or to a designated state agency, or both, pursuant to Part 61 of Title 40 of the Code of Federal Regulations, or the -successor to that part. The .permit may be issued without the applicant submitting a copy of the written notification if the applicant declares that the notification is not applicable to the scheduled demolition project. The permitting agency may require the applicant to make the declaration in writing, or it may incorporate the applicant's response on the demolition permit appli- cation." -Attached is a copy of my written asbestos notification to the United States Environmental Protection Agency for the demolition project located at OR I hereby declare that a written asbestos notification to the United States Environmental Protection Agency is not applicable to this demolit 'Onproject. Signature of Tpplicant 2/19/91 pi /Tc - MAIL TO ASBESTOS NOTIFICATION EPA/NESHAPS Region IX 1235 Mission St. A-3-3 San Francisco, Ca. 94103 DATE: PROJECT JOB ## (Please see reverse side Agencies LTZQ Notified: ❑ TMS 1 0 ca 1 horn is Air liosouxzas Boaxd ❑ cal OSML ❑ a,; i ding Departm+nt ASBESTOS DEMOLITION/RENOVATION . NOTIFICATION Please check one: Renovation Demolition requiring 10 day notice Demolition requiring 20 day notice Revision of Original (Form on reverse side) SIDE—PLEASE READ BEFORE USING TEis EPA USE ONLY DateRec Pstmrk School Del/ND ADQUTE? Code#: Doc#: FORM 1. OPERATOR: 3. FACILITY NAME: (Contractor) ADDRESS STREET ADDRESS CITY STATE CITY STATE ZIP PHONE( ) COUNTY ZIP 2. OWNER 4. FACILITY DESCRIPTION ADDRESS AGE - SZZE CITY STATF� ZIP PHONE( ) PRIOR USE 5. Project Start Date: Completion Date: 6. Estimate of Friable Asbestos: ON PIPE: Linear Feet SURFACE OF OTHER COMPONENTS: Square Feet Nature of Materials: 7. DESCRIBE METHODS OF REMOVAL: 8. PROCEDURES USED TO COMPLY WITH 40 CFR 61.147 6 152: 9. NAME i LOCATION OF DISPOSAL SITE: ANY FURTHER PERTINENT INFO CAN BE INCLUDED BY ATTACHING ADDITIONAL SHEETS QUESTIONS??? FOR FURTHER INFORMATION CALL (415) 556-6415 8am/4pm M -F -INSTRUCTIONS FOR USF. OF ASRFRTOS nEMQT TTI()N/RENOV TT()NNOTIFTnw...TO+' FORM RENOVATION: means altering in any way. one*ar more facility components. NOTICE MUST BE POSTMARKED AS EARLY AS POSSIBLEBEFORE PROJECT DEMOLITION: means the wrecking or taking out -of load -supporting structural members of a facility tcaeth r with any related handling operations 10 Day notice for MORE than 160 sq.ft.or 260 linear ft. asbestos 20 Day notice for LESS than 160 sq.ft.or 260 linear ft. asbestos, includes facilities which contain no asbestos. FACILITY: means any institutional, commercial -or industrial structure, installation; or building. Renovations on single family residences and apartment buildings with 4 units or fewer are exempt from notification to EPA. PROJECT JOB #: Your OWN TN-HoUsEJ D for a specific jobsite. Optional, but expedites communication -concerning notifications. LOCAL AGENCY: Most areas in Region 9.have local NESHAP delegated agencies. In these areas notice must be provided to both EPA and the local agency. 1. OPERATOR/CONTRACTOR: Full.information concerning person doing the work. 2. PROPERTY OWNER: Complete in full. 3. FACILITY NAME: Must have complete address OR directions to the jobsite. 4. FACILITY DESCRIPTION: Current use of building. Project location in the facility. Other descriptive information as necessary. 5. START AND COMPLETION DATE: Provide month, day and year. Must be revised if dates change. (see revision form below) 6. Estimate of amount to be removed (must be in square or linear feet). Revisions(see form below) must be made for additional amounts uncovered. 7. Examples of methods: glovebag, scrape, remove in sections, etc. 8. Examples: Adequate wetting prior to and during work, double bag, etc. DRY REMOVAL MUST RECEIVE PRIOR WRITTEN APPROVAL FROM EPA OR THE LOCAL DELEGATED AGENCY IF MORE SPACE IS NEEDED THAN PROVIDED, ADDITIONAL SHEETS SHOULD BE ATTACHED TO REVISE A NOTIFICATION ALREADY ON FILE WITH EPA, USE FORM PROVIDED BELOW PROJECT NAME PROJECT JOB I ORIGINAL NOTIFICATION DATE Revision Notice #1 2 3 4 5 please circle This is to advise that the above referenced notification presently on file has been revised. Please note the revised portion listed. CHANGES FOR THIS REVISION: 1. NEW Location 2. NEW Scope of Work 3. ADDITIONAL Quantity of Asbestos 4. -NEW Start Date 5. NEW Completion Date 6. NEW Disposal Site PROJECT ( ) CANCELLATION