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025-320-032
-VI JOHNSON, Nathan Mom's' Ln, Oroville s -d1 (travel' trailer. util tie.,)- ELEC GAS COMPACTION TEST REQ=— — SUPPORT STRUCT,REQ- • _ 25-32-32 25-32- Permit#j0Q3-91B,V,E,M -' (new sf) Oz5 -3 BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 AGRICULTURAL-BUIILDING EXEMPTION PERMIT PERMIT NO. Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. ZONING — 2-3Z -� OWNER av PHONE N . OWNER'S ADDRESS 2 Mon-. -/ <-- 020�iLLe LOCATION OF BUILDING USE OF BUILDI G Gd S gnu ----- SIZE SIZE OF STRUCTURE oQ � ' X SQ. FT. TYPE OF CONSTRUCTION: WOOD FRAME ✓ STEEL CONCRETE OTHER (Specify) TYPE OF SIDING ROOF COVERING FLOOR TYPE ESTIMATED COST OF CONSTRUCTION $, coo'' AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: -_ FRONT SIDES S/' REAR I AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date-/— go-- 9s Signature of Owner Permit Fee - $60.00 The above described AG Building is exempt from a buildina permit_ p /�/��� FLOG PARC VROOF G ISSUE Recei t No. Manager Building Division By White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant Date 1 �S 00 ►H�w-rocs-.�agr�f K�filrro+.�,•'��rr{y.�s.,i}�'-r..F..�4v.,1•.,ry��t„��v�a,�yyfitM4xr'c+'4aw++f'�Iih"�'p'P'Cws:.i.�r;(�i�` rp`!'t'" 'F'-"^ri . COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7COUNTY CENTERDRIVE - OROyg'LE, CAL"IFORNIA95965 - TELEPHONE (916) 538-7541 PERMITAPPLICATION DATA SHEET OWNER Proposed Building Use Building Inspector A. P. No. .q3 3Z_ Z Date 30 - At time of gdrmit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. All items have been submitted. Plot plans, 3/4 sets, signed by preparer of plans . .......................... Complete plans, 3/4 sets, signed by preparer of plans ....... . Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. Hazardous Material Form . ............................................. Energy Design Compliance and supporting documentation . .................. Statement of Intent for Non -Heated and A/C Buildings . ..................... . Engineered truss details and layout in duplicate (required prior to plan check). .... Mobilehome data and manufacturer's installation instructions, 2 sets. ........... Feesof $......................................... Impact fees as shown on attached schedule . .............................. California Department of Forestry plan approval/fees. ....................... . Flood elevation letter (100 year flood) by California Engineer . ................. . Sanitation and plot plan approval Health Department . ............ City of Chico plumbing permit . ........................................ . Plot plan and business license approval from City of Biggs/Gridley. ............. Planning approval for (A) Use: (B) Parking: . ......... Contact Land Development. bout (A) Improvements (B) Drainage. .......... . Drivewa ermit (construction a roval re wired rior to occu anc ) y P PP q P P y ... .FreansWc on requ-eV- Pre -inspection for required. .. to Building Inspector (Date) Contractor's license information. (No., Name Style, Classification) . .............. Certificate of Workmans Compensation Insurance. ...... ............... . Owner -Builder Verification (Given to owner , Mail to owner . .......... . Recorded copy of Agricultural Acknowledgement Statement . .................. Letter of signature authorization . ....................................... . Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... Letter of intent on building use . ......................................... Mobilehome utility clearance . ........................................... Documentation of legal access . ..................... :.................. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... Existing violations/expired permits . ..................................... . Plan check list . ..................................................... When you issue the permit, process as follows: �"M ail to owner. '�jMail to contractor. Telephone and hold for pickup at office. Deliver with inspector. 1 Other Parcel Creation /� Acreage Applicant alp, Date /' 30- 9--- 1 Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTYOFBUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center �Ive - Oroviller California 95965 - Telephone: 916,538-7541 7 APPLICATION AND PERMIT ASSESWR PARCEL NUMBER 025-320-032 ZONING A-5 BUILDING PERMIT OWNER 1$Nst-_hnn Johnson TELEPHONE 370-1125 SQ. FT. OCC. BUILDING VALUATION 51 R 2-60-1.00 OWNER'S MAILING ADDRESS 6192 N_ Musrat-pl, San Gabriel- 1775 ' CONTRACTOR'S NAME QWner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 2,601.00 LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ 45.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 22.50 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ $2.50 PLUMBING PERMIT Filing Fee 1 15.00 ^� t Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. 3 SUBDIVISION NAME PARCEL MAP 117-65 Water piping 7.00 Each pas water heater or vent 7.00 USE OF STRUCTURE SF ER Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other [X] Describe work: Additional Sq. Ftg. to B.p. #1003-91 51 Sq. Ft. Taken from Garage and Unfinished Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS OR LESS 18.50 Main service 200ATO1000A) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In full force and effect. License Ao. 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.&) 3.6asq.ft. OR ADDNS. ACC. BLOCS. NEW CONSTR ULTI-OUTLET @ 5 00 NON-RESID BRANCH CIRC ITS POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES ]20@75-,— FIXED APLNS.❑ Ex. QCCUp. OUTLETS P(RESID.)REA.1 I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject Ito the W. C. laws of California. Notice N Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabiliti s, judgm ts, costs, and expenses which may In any way accrue agains a' ty consequence of the granting of this permit. X Date;,o'� Signature of plicant — Owner Contractor E]Agent❑ An OSHA ion of structures toverr39storiesoin height ions over 5'0" deep and demolition or construct- Mobile Home Installation Fee S Energy Inspection Fee $ DCC CONST TYPE TOTAL FEE $ 82.50 HAZ I DFEES I IMP FL000 CDFPARCEL PD HD/ ISSUE This permit is hereby issued under 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 ate — PERMIT EXPIRES Date:4 // Receipt No.��r-i WNITE-D.P.W., TELLOW-ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 3 I I 02JOHNSON, 92-0379 So HNSON, NATHAN C CoNTR: OOWWNER 162 MOM'S LN, OROVILLE ADDL SO FTG/SF il wmw COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION t 7 COUNTY CENTER DRIVE - OROVILLE, CA11 RNIA 95965 - TELEPHONE: 916/538-7541 k } PERMIT APPLICATION DATA SHEET Permit No. OWNERAft-PV1� A U p A. P. No..ZS `32- �jZ_ Proposed Building Use%iN/.�/1� I -SC+� ;�T /Building Inspector c) Date Z IZ / Z_ At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . ................ .......... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans . . 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... , 10. Fees of $ 11. Chico Urban Area fees paid ....................................... 19. Pnrk fPes,gai................................................... 13. School District fees paid .............. 1 Sanitation approval from 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: (E Par�k`ing:• 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 4. 27. When you issue th er it, process as follows: Mail to owner. Telephonr� /dP ,0"/` d hold for pickup at office. Mail to contractor. _Deliver w/inspector. Copy of Hdz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By. The following data_must_.be-submilttedp ' r to permit issuance: (Circle new -item -not -checked, above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_-tlaiI—counter by F ..date Contractor, designer, owner, was advised of above required data by—phone —ma iI—counter by - date s Plans checked by DatePlans approved by DateI9Z Sets of plans on hold in File cabinet AP folder :F(L6 AO -C LOTH Copy—DPW '#- 100 3 /,j 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) n2. I (have/have'not) ry�.� signed an application for a building permit . for the proposed work. 3. have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4.' )I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5." I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner Social Security fiumber Date a 1-2 i-, 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. 4 cy 0i 14ouse M� 7"? To cmr—q This set of plans and specificcitions MUST bc. -kept on the io6 of all times and if is unlawful fc, make any charges or alferaf ions on so j %11.4 on from the Department of Public of Butte. —A shbl'! Be tie. Aca sAcc- Gcc 'd PracticGSrua I f -i --d u6b In Vv U :)rm Bj'* rig c Iq C3 N,o -ha i I CdiC1 a; Nat K, NOTE.—An Miterish & Workmam-hip Shall ft lb, Acoordence with Reco.cs.nixed Goad Pradiceti dim;` Of quality ty prescrib-gid for the. Specified u" I'm Un4form BuilcUng, Plumbing i,nd th.Q NAt5o>n*l et C, .�j 4. n -41 Z5-32-.32 oe� 4 01k. A N 0,; oe J�qr Ly�y 4 -11N -cit I l ;^ y I l P `ry s• I l r TJI° JOIST FLOOR DETAILS & SPAN CHARTS L TYPICAL FLOOR FRAMING FOR INSTALLATION STABILITY: Temporary strut lines (1x4 min.) 8' on center MICRO=LAM° L.V.L. header max. Fasten at each OOOOO oist with 2-8d nails or TJI joist header. Al A2 A3 A4 A5 min. (See warning, page 8) NOTE: Bridging is 4' not required. H .''. Af ' G :.k B2 MICRO=LAM° L.V.L. beam._ 11/2"knockout--_---__ holes at approx. 12" o.c. For hole sizes and—/ locations see page 14. RESIDENTIAL FLOOR SPAN CHARTS MINIMUM CRITERIA PER CODE NOTE: Based on minimum code deflection criteria of L/360 at live load. For stiffer floors, please See "Trus Joist Recommended Span" table. See page 11 for "A Word About Floor Performance." GENERAL NOTES: 1. Span charts based on residential floor load of 40 PSF live load and 10 PSF dead load. 2. Span charts assume composite action with single layer of glue -nailed plywood decking for deflection only. Spans shall be reduced 5" where sheathing panels are nailed only. 3. Spans are based on clear distance between supports. ` 4 y! H For load-bearing cantilever details see page 7. When TJI° joists are cantilevered, lateral support is required. Use TJI0 blocking for at least 4 feet on each end of cantilevered area and at least 4 feet every 25 feet of length of bearing wall. 0 TJI° joist blocking or full depth 2x4 cripple on each side required .� when supporting load-bearing wall above. TRUS JOIST RECOMMENDED SPANS NOTE: Based on L/480 live load defection. , BUILDING DEPA8T�EN�t 4. Web stiffeners (see detail '014,V ag2 6)f Ir QrYa intermediate supports where joists are continuous span, ®� bearing width is less than 5'/4", and either span is greater than: 13'-8": for 9'/2" and 117/8" TJI° joists @ 24" o.c. 17'-2": for 117/8" TJI° joists @ 19.2" o.c. 19'-2": for 14" and 16" TJI° joists @ 24" o.c. 24'-0": for 16" TJI° joists @ 19.2" o.c. JOiSTiD�P•if spaciinWIN' 12" 16'-10" 20'-0" 24'-6" 27'-1" 16" 15'-4" 18'-2" 22'-3" 24'-8" 19.2" 14'-5" 17'-1" 20'-11" 23"-2" 24" 13'-4'• 15• 1 5" NOTE: Based on L/480 live load defection. , BUILDING DEPA8T�EN�t 4. Web stiffeners (see detail '014,V ag2 6)f Ir QrYa intermediate supports where joists are continuous span, ®� bearing width is less than 5'/4", and either span is greater than: 13'-8": for 9'/2" and 117/8" TJI° joists @ 24" o.c. 17'-2": for 117/8" TJI° joists @ 19.2" o.c. 19'-2": for 14" and 16" TJI° joists @ 24" o.c. 24'-0": for 16" TJI° joists @ 19.2" o.c. . L'A IF :7 uw:. 1w. tji 4 tv Lit 0 rfL qp , AX J- Ut—i vt (33. rb TV, 77 NEI UI Yi ik� lS�eD 5rtozA 16 E, 0 2�'•0" • .. dl 9• �'--��%�"-•rte-- G POis in kite utlee—ba i�h�'oomsrg�r '' dp a --- — -- -- -- _---------- - ---- ---- -- — -�,cfs o---- age; -n_^ A is er Art, ,210-8 SEC. 5.404° It Zo�o�o Pe�p�Ti� •5 • - 60.04 i 9 / 2 Y Smoke detector per Co"a� Ir I PPO"de 1 bedro f open dimensions o WtMdow wit 6.7 aq..ft, area end 44" m431mUM.M j height, - 1 ('0C.o- . o., t � "r�vara Ll t B' 5a 'i k j1 WN Wha in closet� � lig�ts Sri — � 2'•0' 3'_�" 4' 6" i I A $ ditne�bect'ooJZ endow 6.7 ons off, with mtalia h'@a.,ltd 4,4� 20„ Wide � (A I I 3'i!'� `S.$d .'i�P,T`9•5, i,., Vii. a'iaf"".....___ - — _ ._....._--. —.��'!-- .._. _ .'— ' $UILt)ING ®EP S i '-7--\- I .—_ \ APPROVEli 10 ® + i A a.. GFi18 �: � L r�� O �. �3. �' .,.. s < O p r `� � � M Q 1 � � �� � � �: � �� r�� �. ..:� .,.. s < ... {: , �;... � `�� `r � ,. +. 4i.. r i i r • ../� f-^ RESIDENTIAL ' j G 25-32-32 IOQ3-91B,P,E,M s JOHNSON, Nathan It 1 142 Mom's Ln, Oroville (new sf) - i lcczl q 2 4t i .3 sL } OFFICE COPY Address GAS Meter By Dat ` r 1! ELECTRIC Meter By Date JI ` OFFICE COPY , I Address ti GAS - Date ,{ I Meter By ELECTRI D' Meter By '{ `� -- -Dat i t JOBFINALEDtn.t.v,% t Signature • i 9 �I RESIDENTIAL ' j G 25-32-32 IOQ3-91B,P,E,M s JOHNSON, Nathan It 1 142 Mom's Ln, Oroville (new sf) - i lcczl q 2 4t i .3 sL } OFFICE COPY Address GAS Meter By Dat ` r 1! ELECTRIC Meter By Date JI ` OFFICE COPY , I Address ti GAS - Date ,{ I Meter By ELECTRI D' Meter By '{ `� -- -Dat i t JOBFINALEDtn.t.v,% t Signature 1/ OK O = Not OKNot ` = Not Readyable MOBILE HOMES r Date MOBILE HOME (UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. - / /"Nat. or/ /" L"ft./ /"LPG 7. 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 #'s3 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water, MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 M 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-Beams-Rftrs: Coonectors Shthg: Rfg.-Bracing S. Alum. Awn.; Columns-Connectlons-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 Ws 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 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater '8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-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 t� 1 J=OK ` O = Not OK - = Not Applicable RESIDENTIAL (,Single & Duplex) = Not Ready Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope Ftg., Main; Soils-Elec. Grnd.-/ ' Ftg. Depth g., Garage; Soils-Steel-Elec. Grnd.- ' Fig. Depth 4. Fig., Porches & Decks; Soils -Steel-/ /Fig. Depth 5. Stemwalls, Main; Steel -Blockouts-Wrapped Date RAMING (Continued) 45,_Hangers- Caps -Anchors -Connector's' 4 Ing. Joist-Rftr. ties -Pu rlin-roof Brac-Truss-Shthng.-Rfng. _ fireplace Ties or Type A Flue -Fireplace Throat clearance ttic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel- Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped iers-Fireplace Ftg.-Steel 9. .W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. Gas Pipe; Size -Anchors [' 1, ater Pipe; Test -Anchor -Regulator -Service Test r ,12. Electric; Underground Pienums & Ducts; Clearance -Material -Support -Ins. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Dat/ Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLkLMBING (Permit) OK except #'s 1 Nater .; Vent -Access -Combustion Air -Baffle 17 ater PipHtre; Test & Anchor -Nail Protection 18. W.V.; Test -Fittings & Anchor -Nail Protection er Pan; Test, First Floor -Tub Access 0. Tub & Shower, Second Floo_r-Tup Access 21`Gas Pipe; Size & Anchors - Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. -' ure & Transformer Clearance -Ins. Protection ke-'23._peu. Receptacles Spacing -Lights & Switches at Doors Size Boxes & No. of Conductors -Stapled _ 2 ex Installed Close to Edge of Studs & C.J. E . Ground made up w/Mech. Fastners-Bond Gas & Water 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At P a9�Range Circ. ga. Cu or AI -Oven Circ. / / ga. Cu or Al. V Insulated Neutral - a Yes 0 No >i/30 Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. �othes Closet Light -Shower Light -Spa Light _ 'lli Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MkrHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support �35rVt?fran; Exhaust above insulation ondensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet Attic Access & Platform if Furnance in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 9. Sils. Proper Material & Anchors r C40 Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) 43. ire Stops; Furred Ceilings-Stairs-Chases-Tup Ga24e-Fire Protection Framing Broperty Line Firewall & Openings €xt. Doors -One 3' -Check Garage -3rd Story, 2 Faits irs; Width -Headroom -Rise -Run -Landing -Fire Protection plywood on Roof Overhang -Attic Vents -Rafter Outriggers L---ST-Siding-Nailing Veneer Mesh -Drip Screed -Fd. Vents-Underflr. Access zing Area -Glass Protection -Skylights -Plastic. 8. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings n filtration -Walls -Windows Dat and B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FIN Plans) OR except #'s 1. xt. Steps -Door & Sidelight Protection -Landings 2. Smoke Detector urnace; Vents -Clearance -Comb. Air -Connector - In rage; Above Floor-Ducts-Mech. Protection Itwl-B-droom Exiting 5. G.F.I. & Bath Fixtures & Tub Access -Spa El I- & Subpanel; Breaker Sizes & Labels 7. Stairs & Rails 6 fire 1ac`e :jDr Stove; Clearances -Hearth 69. lec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd: Air Gap -Cooking Clearance 71 ;Iec. Outlets & Receptacles at Kit. Counter L_--7-Z.-Garage Fire Door; Swing -Landing -Closer C-7-3-A.C. Duct in Garage -Damper tr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection §._Elb., Elec. & Mech. Equip. Listed for Location 67- lec. Receptacles in Garage' (G.F.I.)-Rome.,Protection 7. Insulation -Foam -Looked in Attic Yes Guard Rails & Deck Construction -Post Caps lie Fdn. Vents & Crawl Hole Door -Drainage ood-Earth C earance Looked under Floor JZI Yes Following instld.; Drive0 Y No; Walks Yes 0 No; Planters 0 Yes 0 o: rown-Finish 82. nit; Disconnect, Electrical, Plumbing 3. Vents Ab of; Plbg.-Appliance-Fireplace.-Clearance to _-Openings A/84. Well; Disconnect, Electrical, Plumbing erio . Trim; G.F.I. Receptacle -Underground 86. tilation Throughout House 'V t87. Glass Protection 88. Corrections from Previous inspp e<ons" _ 1Gas Test -Meters Tagg d; Ekgtdc 4/ 9 ater & Sewer Connected -C/O to Grade -HD Approval ?.)Energy Compliance Certificate -Other Certificates Date Card B Date Card B-1 - Date Card B-1 Date Card B-1 Date and B-1 Date Card B-1 Comments at Final: Headers & Beam -Size & Bearing .un . _ ...,�-,..... ..� �... ...�A. ne rah limn vnn vici� inh citral Permit No:/dl�2 - 91 Owner: - E N E R G Y C E R T I F I C A T I O N 142 Moms Lane, Palermo Ca. LOCATION A,P, No, DESCRIPTION OF INSULATION ROOF Material Thickness(inches) EXTERIOR WALL Material FIBERGLASS BATTS Thickness(inches) 3 5/8" & 6a" Brand Name Thermal Resistance (R Value)T__, Brand Name OWENS-CORNING Thermal Reeistance(R Value) R13&& R_19 CEILING Batt or Blanket Type Brand Name Thickness( t: Type 'Thermal Resistande(R Value)_^ Loose Fill 'type_ FIBERGLAS� Brand Name - CQRNTNG Minimum 'fit icknes(Inches) 12 3/4" __ Nu►nber of Bags 15 Wt. per bag lb. Area covered(ft. ) 936 Thermal Resistance(R Value) R30 _ FLOOR, ELEVATED Material F5M(t455 Thickness(inches) (oi/a FLOOR, SI.A.B Material Thickness (inches) Width(inches) Brand Name 6c.,e,,s Thermal Resistance(R Value). Q-0 Brand. Name Thermal Resistance(R Value)______^, FOUNDATION WALL Brand Name Material Thermal Reeistance(R Value)_^_T'___,,,,, Tllickneee(lnci►ea) . I hereby certify that the above insula tion Was installed in the above building in conformance with the State of C411fora14 Snergy Itpqulrementw, LOFR��!! ATTnN C'0 , TN(' "RM NAME/OWNER SIG URE OF IN TA.IA,,YfON APPLICATOR 44415n STATE CONTRACTORS LICENSE NO, May 21, 1992 DATE I hereby certify t:he above insulation and all required items as ehOWU on the Buildi►►g Department approved plans and attachments have.been installed as required by the State of California Energy Requirements, All equipment, devices and materials are of the quality prescribed or are specifically approved by,the State of California. FIRM NAME/OWNER (Please print) STATE CONTRACTORS LICENSE NO. SI IG2 RE 8RE OF (IENERAL CONTRACTOR OWNER DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL. AND A COPY SHALL BE POSTED WITHIN THE BUILDING. January 1.984 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. IF 7 Courjy Center Drive - Oroville,+ Califoriiia 95965 - Telephone: 916/538-7541 APPLIGAT, N AND PERMIT, ASSESSOR PARCEL NUMBER + 25-32-32 ZONIN A5 t BUILDING PERMIT OWNER Nathan Johnson 818 TELEPHONE 285-4894 SO. FT. OCC. BUILDING VALUATION 7� pp 1792 R 71,880 OWNER'S MAILING ADDRESS 6352 N. Muscatel San Gabriel CA 91775 1018 M 14,252 CONTRACTOR'S NAME Owner TELEPHONE 639 COV 6,390 CONTRACTOR'S MAILING ADDRESS Fireplace "A" 1,000 CONSTRUCTION LENDER None UNKNOWN Total Valuation Is 93,522 FilingFee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee$ 415.00 ARCHITECT OR ENGINEER None LICENSE NO. Plan Checking Fee $ 207.50 Ener Plan Checking Fee Energy g $ 15.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Al Mom's Lane Oroville Permit fee $ 647.50 PLUMBING PERMIT Filing Fee 10.00 Each Trap J2.00 20.00 Solar or heat pump water heater 20.00 LOT NO. ____[SUBDIVISN J NAME PARCEL MAP 11% 6 �� Water piping 5.00 5.00 Each qas water heater or vent 5.00 5.00 1 USE OF STRUCTURE SF NX Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 5,00 Building sewer 5.00 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New F3 Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: 3RR _ Permit Fee $ 50.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V 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): ❑ 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) 1, 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 O P OR ADDNS. ( ACC. BLDGS. 2h¢sgft NEW CON5TR ULTI-OUTLET 2,50 ea NON•RE51D BRANCH CIRC ITS POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex. Occ Up(OUTLETS OR FIXTURES 200501 e ALO 30 FIXED PK Ex. Occup. OUTLETS IRESID IEA.) 2.00 - Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �yirin 15.00 9 Permit Fee $ 69 125 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. 14'I 1 shall not employ any person in any manner so as to become subject 1� 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 Filing Fee 10.00 Heating 6.00 split system Cooling 6.00 Hood 3.00 3.00 Ventilation Permit Fee $ 25.00 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 CountyotCONSTT Butte to enter upon the above-mentioned property for inspection purposes.F9G 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against s id Count in consequence of the granting of this permit. CoThis X Date L11 Co - G, Signature of Applica - OwnerK 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 $ 30,00 P TOTAL FEE $ 822.35 HAz CUAPARK " -� sCH FLD PA PD HD Iss permit is nereby issued under the applicable proi- sions of the Butte County Code and/or resolutions tovio work indicated above for which fees have been paid. DIRECTO"F PUBLIC WORKS I By - PERMI XPIRES Date Receipt No. 88609-262..�5,,0/� 8 - JS • 6$ Receipt WHITE-D.P.W., YELLOW -A 30R;+Pi I 9P EC TOR, GOLDENROD -APPLICANT t-, COUNTY -OF BUTTE - DEPARTMd-_N UBLIC WORKS 7 COUNTY CENTER DR 050NVtt +FORNIA 959? TELEPH `PERMIT APPLIC IDATA SHEET f-- u OWNER Proposed Building Use 'BUILDING DIVISION N E:.916/538-7541 Permit No. Building Inspector 0116 Date ` 7 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... t 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. ".8. Engineered truss details and layout in duplicate (required prior to plan check) %'elf it -O - 9. Mobilehome installation data including manufacturer's installation instructions . , 10. Fees of S 9.�. ,�„�...................................1 " 9 -62 #---q 2® 11: Chico Urban Area fees paid ....................................... 12. Park fees paA ...... 13. e�212 U #11 o n /1 � SC�ol Distri t/fees paid .............. _a i�` GIl O 14. Sanitation approval from rdy, i (l" Health Z �� t department y �/ '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 `�--- 19. Driveway permit, (construct ion�approval required prior'to occupancy) 20. Pre-Inspection'for required 'Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classification_ 22. Certificate of Workmans Compensation Insurance ................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner❑) ..... 24. Recorded copy'of Agricultural Acknowledgment, Statement ......... 25. Letter of signature authorization ... 3........... • , • , 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold•for pickup at office. Deliver w/inspector. Oiher Applicant Copy ofa! .az-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copyiof plans sent Health Dept. Fire Dept. Other Date By r The following data must be submitted prior to permit issu nc (C' le n w itpm no c ecked above). ,f ''✓1. Index.permit for above items No. ' 2. Additional items required: z!/ Contractor, designer Wrier was advised of above required data by_phone_Y mail_counter by -5 .date Contractor, designer�er, was advised of above required data by_phone_mall_counter b date Plans checked by D - Plans approved by _Date gS Sets of plans on hold in File cabinet AP folder Copy—DPW TO Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# i Plan Approved for: Sewage Disposal OL Water Supply Hold final for: Water Supply Final clearance O.K. for: Water Supply Clearance for 3 bedroom mobile home. Other NOTE *** Sanitarian Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, California 95965 - Telephone: 916/538-7541 APPLICAT�0 RMIT PERMIT NO. ASSESSOR PARCEL NUMBER as-�� - Z 'NG �j BUILDING PERMIT Ow RtAqn til ( T 5".1? SO. FT. OCC. BUILDING VALUATION 17 OWNER -3 3 S a MAILI G ADOpES � to _q 1 Contractor GO TRAC TOR'SN AM✓/E�(/ lA9 11 & ELEPHONE to d ✓ Cooling 6 OQ Hood 3,00 Ventilation - CONTRACT -5 MAILING ADDRESS Fireolace ' ,t ©© CON TRUCT10N LENDER Ift OL UNKNOWN Total Valuation $ - -r TOTAL FEE $ - - Filin Fee g $ .0.00 LENDER'S MAILING ADDRESS perli Fae $�t5 AR I-EC`QT OR L.� .i.NEER —71 A CENSE N0. Plan Che. --King Fee $030 Energy Plan Checking Fee $ ! ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ 5UILDING ADDRESS (/\C V Perml t fee A 5O $ PLUMBING PERMIT Filing Fee 10.00 Each Trap l 2.00 1,00 Solar or heat pump water heater 20.00 LOT NO. Su BDIVISION NAME =MAP Water piping 5,00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF r7T Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets . 5.00 - Building sewer 5.00 p Mobile Home S 10.00ea TYPE OF WORK New Addition [IRemodel ❑ Utilities [IInstallation[]Other ❑ .... ... . ... _. Describe work: Permit Fee $ �j Q 0 1 Contractor ELECTRICAL PERMIT Filing Fee 10.00 - Main service j00 OR ORSLESS 10.00 Main service EA. ADD -L 100 AMP 2.50 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt._ 9,Div. 3_' of the BUSIne$S 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCC u, Q OR AOONS. ( ACC. BLOGS. h2sq ft `r NEW CON STR ULTI-OUTLET NOM•RE310 BRANCH CIRC 1T5 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES .0 0 53 a FIXED P Ex. Occup. OUTLETS (RESIO )LNS REA.) 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. 1 -have placed on "file wlth-the'Codnty'-of Butte- EulTding"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 p O .f- "- yy( Cooling 6 OQ 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, indemnity and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue - against said County -inconsequence of -the granting of this permit'--r----� -- - X Date '"-- 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 -- - -r TOTAL FEE $ - - "Az. cuA PARK - -- scHL FLO car 1.I. PAR PO -1 :- •- �--�• "O. Issue This permit is hereby issued unser the appiicaote 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 _ '- Date La Receipt No.2'9-/,By WMITC•O.P.W.. TCL LOW•A a �PI $8 C R, GaLOEM POD-APrIICAMT PERMIT EXPIRES Date Certificate of Compliance: Residential Climate Zone 11 Project Title OD3 • �l 0121" Building Permit N s A /- Checked By / Date Ertfo.ce hent Agency Use Only BUILDING DATA Location Glass Area % Grass conditioner. heat pump) (SE, SEER.HSPF) North 2 6-1/ Conditioned Floor Area 2y Number of Stories East < F 1 • ,7 Slataised FI�og_rNumber of ,Units �_ South .,H"Single Family Detached (SFD) (] AdditionAlone West /12 O [ ] Single Family Attached (SFA) [ ] Existing Building Skylight O 0 [ ] Multi -Family (MF) [ ] Existing -Plus -Addition Tom 9.,5 BUILDING SHELL INSULATION Component Insulation Locatilon/Commenits Type R -Value (attic, ems garage. rMiaai. etc.) Wall .............. Wall ............. Roof ............. Roof ............. Floor ............. i Slab Edge ..... ; GLAZING Shading Devices Glazing Area Glass Type Interior Exterior Overhang Framing Type Orientation (St) (single, double) (yoUer blind. eta.) (shadescreen. eta) (yeshto) (metaltwood) North ( ) 'Do ".1-h4p North ( ) East East South Sou Lh West ( ) 0 /t West ( ) Skylight......, 0_ err THERMAL MASS Type/Covering Area Thickness (slab/exposed. tile. etc.) (SO (inches) Location/Description (kitchei% bath, etc.) H -VAC SYSTEMS Minimum Duct Type (furnace. air Efficiency Location Duct Output conditioner. heat pump) (SE, SEER.HSPF) (attic, etc.) R -Value (Btuh) / r 5.7 /vo'5�7 , - V� Maximum Furnace Heating Output: Btuh HOT WATER SYSTEMS Tank Manufacturer/Model # Q—t— Vann /...-____ _-- -.- N /.._ --_t♦ SPECIAL FEATURESIREMARKS (Add extra sheets if necessary) Manufacturer / Model # v nQ� Mandatory Measures Checklist: Residential. MF -111 NOTE: Lowrise residential buildings subject to the Standards must contain these measures regari less of the Loom ianee - approach used. Items marked with an asterisk (•) may be superseded by more stringent compliance requirements listed , on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shag be considered by ail parties as binding minimum component performance specifications far the mandatory measures whetha they are shown elsewhere in the documents or on this 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 -I I weighted average (does not apply to exterior mass walls). §2-5352(kr Slab edge insulation - water absorption rate no greater thin 03%. water vapor transmission rate no greater than 2.0 permluxh. §2-5311: Insulation specified or installed meets California Energy Commission (CEC) quality standards Indicate type and form. 62.5352(0: Vapor barriers mandatory in Climate Zones 14 and 16 only. §2.5317: Infilttation/Exfiltration Controls L 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 12-5351 meets CEC quality standards. 12-5352(dy Installation of Fireplaces I. Masonry and factory -built fireplaces have: a. Tight fitting, closeable metal or glass door b. Outside air intake with damper and control e. Flue damper and control 2. No continuous burning gas pilots allowed. HVAC and Plumbing System Measures §2-5352(8) and 2-5303: Space conditioning equipment sizing: attach calculations §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 -rued space heating equipment has intermittent ignition devices. 12-5314: HVAC equipment. water heaters. showerheads and fau"u certified by the CEC. §2-5352(1): Water heater insulation blanket (R-12 or greater) or combined interior/exterior insulation (R-16 or greater); fust 5 feat of pipes closest to tank insulated (R-3 or greater). §2.5312(Exception 1): Pipe insulation on steam and steam condensate return 6e recirculating piping. §2-5318(d): Swimming Pool Heating 1. System has. a. On/off switch on heater. b. Weatherproof instruction plate on heater. _ e. Plumbed to allow for solar. 2. 75 percent thermal efficiency. 3. Pool cover. 4_ Time clock. 5. Directional water inlet. Lighting and Appliance pleasures 62-53520): Lighting - 25 lumenstwatt or greater for general lighting in kitchens and hathrooms. §2-5314(c): Gas fired appliances equipped with intermittent ignition devices. 12-5314(a): Refrigerators, refrigerator -freezers• freezers and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. COMPLIANCE STATEMENT This certificate of compliance lists t13* building features and performance specifications needed to comply with Title 24, Chapter 2-53 and Title 20. Cllaptirr2. SubchapW4. Article I 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 certificate to any subsequent purdiaser of the building. Designer Name: Titwunx Address: m Tekphonc tic. 8: (signature) (date) Documentation Author Name: 1 { TttkJFww Address: Building Owner Nance: Address: Tekphormc _c�_C], (signature) V (date) Enforcement Agency Name: Atenry: Tekoxme: 1. Ceiling Insulation 2. Wall Insulation Single- Number of stories Number of stories R -value One Two Three R-0 -103 -49 32 R-19 -8 al -2 R-30 .2 -1 -1 R38 0 0 0 U -value 8 6 4 0.50 -176 -84 -54 0.30 -102 -49 32 0.10 -26 -13 -8 0.08 -18 -9 -6. 0.06 -11 -5 -4 0.04 al -2 -1 0.02 4 2 1 0.00 11 5 3 2. Wall Insulation 3. Raised Floor Insulation Insulation in Floor Single- Single - Number of stories R -value Family Family Multi - Fl -value Detached Attached Family R-0 -68 -51 -34 R-11 0 0 0 R-13 2 2 1 R-19 8 6 4 U -value -144 -70 -46 0.80 -153 -114 -76 0.50 -91 -68 alb 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 Insulation in Floor Controlled Ventilation Crawlspace -4 Number of stories Number of stories 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 - .1. Slab Edge Insulation 4 40 0.60 -144 -70 -46 0.50 -120 -58 38 0.40 -95 -46 30 0.30 -69 -34 -22 0.20 -43 -21 -14 0.10 -17 -8 -5 0.08 -11 -6 al 0.06 -6 -3 -2 0.04 -1 0 0 0.02 4 2 1 0.00 10 5 3 Controlled Ventilation Crawlspace -4 3 -1 Number of stories -1 R -value One Two Three R-0 -11 -7 -5 R-5 -4 al 3 R-11 -2 -2 -2 R-19 -1 -2 -2 - .1. Slab Edge Insulation 4 40 - Number of Stories -26 R -value One Two Three R-0 0 0 0 R-5 8 5 2 R-7 8 6 3 F2 factor 0.90 -4 3 -1 0.80 -1 -1 0 0.70 2 2 1. 0.60 6 4 2 0.50 9 6 3 0.40 12 8 4 S. Infiltration (Air Leakage) . Specification Points Standard 0 6. Glass Heat Loss Total Single- Slab Floor Raised Floor ERective Pes c t class U -value East Percent .West Skylight .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 alb -14 -7 0 7 14 24 -43 -12 -5 1 8 14 23 -40 -11 al 2 8 15 22 -37 -9 3 3 9 15 21 34 -7 -2 4 10 15 20 31 -6 0 5 10 16 19 -29 -4 1 6 11 16 18 -26 3 2 7 12 16 17 -23 -1 3 8 12 17 16 -20 0 4 9 13 17 15 -17 1 6 10 14 17 14 -14 3 7 10 14 18 13 -12 4 8 11 15 18 12 -9 6 9 12 15 19 11 -6 7 10 13 16 19 10 3 9 11 14 17 19 9 -1 10 13 15 17 20 8 2 12 14 16 18 20 7. Shading (Shade Open) --Effective Percent Glass (percent glass x SC) Effective Single- Slab Floor Raised Floor ERective Pes c t class %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 1 3 2 0 0 1 0 3 1 -1 -1 -1 -1 2 0 -1 -2 -4 -2 0 na = not allowed -8 -7 -23 3 f$. Shading (Shade Closed) Single- Slab Floor Raised Floor ERective Pes c t class Wall Stories Family (percent gia= x SC) Stories Effectim /CFA One Two Three One %Glass North East South West Sky%hi 18 -14 38 -69 -64 na 16 -12 -42 -59 -55 na 14 -10 -35 -50 -46 na 12 -8 -29 -40 37 na 11 -7 -26 -36 33 na 10 -6 -23 31 -29 -74 9 -5 -20 -27 -25 -65 8 -5 -17 -23 -21. -56 7 ai -14 -19 -18 -47 -6 -3 -11 -15 -14 -38 5 -2 -9 -11 -10 .30 4 -1 5 -8 -7 -23 3 0 -4 -5 -4 -16 2 1 -1 -2 -1 -9 1 1 1 1 1 al 0 2 3 4 3 0 9. Interior Thermal Mass Interior Single- Slab Floor Raised Floor Mass Wall Stories Family MU16 Stories Detached /CFA One Two Three One Two Three 0.0 -8 -5 -4 -2 -1 .1 0.1 -8 -5 3 -1 0 0 0.3 -7 -4 -2 0 1 1 0.5 -6 3 -1 1 1 2 0.7 -5 -2 -1 1 2 2. 0.9 -5 -1 0 2 3 3 1.1 -4 -1 1 3 4 4 1.3 -3 0 2 3 4 5 1.5 -3 1 2 4 5 5 2.0 -1 2 4 5 6 7 2.5 0 3 5 7 7 8 3.0 1 4 6 8 8 9 3.5 2 5 7 9 9 10 4.0 3 6 8 9 10 10 4.5 3 7 8 10 11 11 5.0 4 7 9 it 12 12 5.5 5 8 9 11 12 12 6.0 5 8 10 12 13 13 , 6.5 6 9 10 12 13 13 7.0 6 9 11 13 13 14 7.5 6 10 11 13 14 14 8.0 7 10 11 13 14 14 8.5 7 10 12 13 14 15 10. Exterior Wall Thermal Mass Exterior Single- Single - Wall Insulation 3. Wall Family Family MU16 Mass Detached Attached Family 0.00 0 0 0 St m of 7-10 0.20 3 2 1 -25 or ,24 to p1410 0.40 5 4 3 less 0.60 8 6 4 8.0 0.80 10 8 5 -4 1.00 13 10 7 -4 1.20 13 12 8 3 1.40 12 13 9 -3 -3 1.60 10 13 11 0 1.80 10 12 12 10.0 2.00 10 11 13 1 11. Heating System 7 6 5 4 3 SE or HSPF 11.0 10 9 7 (assumes ducts In attic) 4 3 - 12.0 Sum of 1.6 13 11 9 7 -25 or -24 to -14 to -4 to +6 to 16 or SE HSPF less -15 -5 +5 +15 more 0.72 6.60 0 0 0 0 0 0 0.75 6.88 3 3 3 2 2 1 0.80 7.33 8 7 6 5 4 3 0.85 7.79 13 11 10 8 7 5 0.90 8.25 17 15 13 11 9 7 0.95 8.71 20 18 15 13 11 8 -11. .9 Effective SE or HSPF 5 (SE or HSPF x duct efficiency) 6.6 Effective -25 or -24 to -1410 -4 to +610 16 or SE HSPF less -15 -5 +5 +15 more 0 0.30 2.75 -73 -64 -56 -47 -38 -30 na 3.41 -45 -39 -34 -29 -24 -18 0.40 3.67 -34 -30 -26 -22 -18 -14 0.50 4.58 -10 -9 -8 -7 -5 -4 0.56 5.13 0 0 0 0 0 0 0.60 5.50 5 5 4 3 3 2 0.70 6.42 17 15 13 11 9 7 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 f 12. Cooling Syst:m Ceiling Insulation 2. Wall Insulation 3. Raised Floor Insulation C SEER One -5 -4 -4 3 (assumes ducts In attic) Two+ 3 3 St m of 7-10 2 2 1 Single -Family -25 or ,24 to p1410 -4110 +6 to 16 or SEER less -15 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 12 9 6 Solar -1 ERedive SEER -1 0 0 (SEER xauct efl7clency) HWR -18 -12 of 7-10 -7 -6 14 Effective -25 or -24 to -1410 -410 +6 to 16 or SEER less -15 5 +5 +15 more 5.0 30 -25 -21 -17 -13 -9 6.0 -12 -11. .9 -7 5 al 6.6 -5 -4 ai 3 -2 -2 7.0 0 0 0 0 0 0 8.0. 9 8 6 5 4 3 9.0 16 14 12 9 7 5 10.0 22 19 16 13 10 7 11.0 26 23 19 15 12 8 12.0 30 26 22 18 14 9 13.0 33 29 24 20 15 10 Zonal Control Adjustment 10 8 7 6 4 3 No Cooling, System Installed -Stories Ceiling Insulation 2. Wall Insulation 3. Raised Floor Insulation 4. One -5 -4 -4 3 -2 -2 Two+ 3 3 .. 2 2 2 1 Single -Family Iletached and Attached Ci % Glass i Unit Size (sq .1200 SC Water 5-, 099 _ 1700 2200 2700 Heater Credit or • 1 10 to to • or Type Type lessJ1699 2199 2699 more SG None 0 0 0 0 0 or Solar 12 8 6 5 4 HP HWR 8 5 4 3 3 5% WSB 5 3 3 2 2 45% POU 8 5 4 3 3 SE None -37 -24 -18 -15 -12 0.4 Solar -1 -1 -1 0 0 1.9 HWR -18 -12 -9 -7 -6 14 WSB -25 -16 -12 -10 -8 4.8 POU -18 --12 -9 -7 -6 IG None -5 -3 -2 -2 -2 13 Solar 7 . 5 4 3 2 3.7 POU 3 _ _2_ 1 1 1 IE None -28 -19 -14 -11 -9 1.2 Solar 8 • 5 4 3 3 27 POU -10 ' -6 -5 -4 -3 4.1 Multi-Famin (Individual units) 4.5 4.8 5 5.2 I Unh Size (s 56 30% Water ' 699 700 1200 1700 2200, Heater Credit or to to to , or Type Typs lass 1199 1699 2199 more SG None 0 0 0 0 0 or Solar 14 7 5 4 3 HP HWR 9 5 3 2 21- 3.8 WSB 9 4 3 2 2 5.3 POU 9 5 3 2 2 SE None -45 -23 -15 -11 -9 27 Solar 2 1 1 0 0 42 HWR -23 -12 -8 -6 -5 5.7 WSB -25 -13 -8 -6 -5 1.6 _POU _23 -12 -8---.-6 2.6 -5 IG None .8 -4 -3 -2 i -2 4.5 Solar 6 3 2 1 1 6 POU 1 • 0 - 0 0 0 IE None 30 -15 -10 -8 6 3.3 Solar 18 9 6 4 4 4.8 ' POU -8 . -4 -3 -2 -2 Point System Summary: Climate Zone 11 SCORE CARD 1. Ceiling Insulation 2. Wall Insulation 3. Raised Floor Insulation 4. 1Slab Edge Insulation S. Infiltration 6. Glass Heat Loss 7. Interior Mass/CFA o X . TM 2 PASS Ci % Glass SC Eff. % Glass 5-, x_ _ q /' 7 X x� = _ / • 1A 0. 9.5 7.'5 O X = O U x-= D TYPE 1 MASS AREA _ $ ti.T•ucwc•+.=i le•cvee.d a.el InteriorlVnss/CFA COND. FLOOR AREA ° TYPE 2 MASS t Me I K%SS , 6: osed slab) (URIC 6 f,.2, teeg Exterior Wall Mass ND. FLOOR AREA X SE or HSPF 0% 5% 10% 15% 20% 2S% 30% 35% 40% 45% 50%.55% 60% 65'i6 70% 75% 80% 85% 90% 95% 100% 105x.110% 115% 120% 125• Of* 0 0.2 0.4 0.6 0.8 1.1 1.3 1.5 1.7 1.9 11 13 2.5 2.7 29 3.2 14 3.6 3.8 4 4.2 4.4 4.8' 4.8 5 53 10% 0.2 0.4 0.6 0.8 1 1.2 IA 1.6 1.9 11 13 15 2.7 2.9 3.1 3.3 35 3.7 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 2.2 14 27 19 3.1 3.3 3S 37 3.9 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 1.6 2 22 14 IS 18 3 3.2 3.5 37 39 4.1 4.3 43 4.7 4.9 5.1 5.3 5.6 5 8 40% 0.7 0.9 1.1 1.3 1.5 1.7 1.9 22 U 16 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 50% 0.9 1.1 1.3 1.5 1.7 1.9 21 23 25 27 3 32 U 3.6 38 4 42 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 55% 0.9 1.1 1.4 1.6 1.8 2 2.2 14 2.6 28 3 32 3.5 3.7 3.9 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 13 2S 2.7 19 31 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 6 3 65% 1.1 1.3 1.5 1.7 1.9 2.2 24 2.6 2.8 3 3.2 34 3.5 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 55 5.7 5.9 6.1 6.4 70% 1.2 1.4 1.6 1.8 2 12 15 27 211 31 33 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 2.1 13 1S 17 3 32 3.4 36 3.8 4 4.2 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 WY. 1.4 1.6 1.8 2 2.2 2.4 2.6 2.8 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 62 64 66 857. 1.4 1.7 1.9 2.1 2.3 25 2.7 2.9 11 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 5 52 54 5.6 5.9 6.1 63 6S 67 90%' 1.5 1.7 2 2.2 14 16 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 53 5.5 5.7 5.9 6.2 6.4 66 69 95Y. 1.6 1.8 2 2.2 2.5 27 19 3.1 33 3.5 37 3.9 4.1 4.3 4.8 4.8 5 5.2 5.4 5.6 5.8 6 6.2 6.4 6.7 6.9 100Y. 1.7 1.9 2.1 2.3 15 18 3 3.2 3.4 3.6 38 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.1 7 105% 1.8 2 2.2 2.4 2.6 28 3 13 3.5 37 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 56 5.8 6 6.2 6.4 6.6 6 8 7 110Y. 1.9 21 2.3 2.5 27 29 31 33 3.6 3.8 4 4.2 4.4 4.6 4.8 5 5.2 5.4 5.7 5.9 6.1 6.3 6.5 6.7 69 7.1 115% 2 2.2 2.4 2.6 2.8 3 3.2 34 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 6.5 6.8 7 7.2 120% 2 2.3 2.5 2.7 2.9 3.1 3.3 35 3.7 3.9 4.1 4.4 4.6 4.8 5 5.2 5.4 5.6 58 6 6.2 6.S 6.7 6.9 7.1 7.3, 125% 21 2.3 2.5 2.8 3 3.2 34 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 6.3 6.5 6.7 7 7.2 7.4 Point System Summary: Climate Zone 11 SCORE CARD 1. Ceiling Insulation 2. Wall Insulation 3. Raised Floor Insulation 4. 1Slab Edge Insulation S. Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) a. North b. East C. South d. West e. Skylight 8. Shading (Shade Closed) a. North b. East c. South d. West e. Skylight 9. Interior Thermal Mass 10. Exterior Wall Mass ` 11. Heating System -',Zonal Control? ( Y / N ) 12. Cooling System Zonal Control? ( Y / N ) 13. Water Heating Measures -O or RR -value (381 U -value [0.030] IE I � OI -value [11] U -value [0.098] R (. OI R- value [191 U -value [0.037] OT R -value [01 0 factor [0.77] Standard Type (cfeublel U -value [0.65] • % Total Glass [ 16] % Glass SC Eff. % Glass -6-,l X 7' S X o X = Ci % Glass SC Eff. % Glass 5-, x_ _ q /' 7 X x� = _ / • 1A 0. 9.5 7.'5 O X = O U x-= D TYPE 1 MASS AREA _ $ InteriorlVnss/CFA COND. FLOOR AREA TYPE 2 MASS AREA __ B Exterior Wall Mass ND. FLOOR AREA X SE or HSPF Duct Efficiency [0.78] Effective SE or' [0.77/6.� 0, x _ � - HSPF 10.5615. 151 SEER [9S] _Qj(�- Duct Efficiency 10.741 Effective SE [7.03] Type ( J Credit [none] Point Scores �d 0 Sum lb 0 -a C Sum 7-10 d D Point Total: 4 G RESIDENTIAL PLAN CHECKING GUIDE "12/90 . (S.F:, DUPLEX &LMISC. ONLY) /f ! Bldg. Permit # 1 603 OWNER A.P. # ' GENERAL Plan Checker Vning requirements: (sideyards and number of permitted living units). luation. _ ans signed by designer. oper description of work on application. isting violations on property. ems on data sheet. (W.C., fees, Health, Developer Fees, License law, etc). corded notice of violation. P--711--&6;'(-LOT PLAN --711--&6;'(- `lam'l()fi,0&1�11ry Complete parcel size and dimensions. Setbacks, sideyards, easements, etc. Other buildings or structures. Grading, fills, drainage. Flood hazard. Special conditions on creation map, ustible, and foundations). FAU & FAS road setback. (noise, CDF, fire sprinklers, non -comb - Building or utilities across lot lines (Record form)., FLOOR PLAN Complete to scale plan with dimensions. g-equired windows for light and ventilation (Sec. 1205). Required windows for second exit (Sec. 1204). Skylights (Chapter 34 & Sec. 5207). Jiuman impact glass (Sec. 5406). .Required room sizes, ceiling heights (Sec. 1207). -FCIs in baths, garage; kitchen, and exterior outlets (Article 210-8). Light fixtures, switches, receptacles, and exterior receptacles for main- .tenance of mechanical equipment. Locations of water heater, heating and cooling equipment, other electrical r gas equipment. arage firewall, door size, and closer (Sec. 503(d)(3)). F1 - 3'0" exterior exit door (sec. 3304 (f). Fireplace and wood stove location, alcoves, and clearance. Smoke detectors (Sec. 1210). Plumbing fixtures, water closet clearances and shower size. STRUCTURAL DETAILS - Standard bracing or engineered design (Table 25V) .--: "Unusual 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. -35 — Elevations and wall construction details complete enough to construct building. oof construction details complete enough to construct building. Fireplace construction details and talcs if necessary. -.8! Rafter ties or bearing ridge beam. arage door or porch header sizes. . Stud heights. . Adobe soils - special foundation design. Retaining walls requiring design. �3r-Special Inspection required-. 12/90 RESIDENTIAL PLAN CHECKING»GUIDE 4ISCEIAIGEOUS ITEMS TO LOOK OUT FOR Stairway details: landings, rise and run, head clearance, handrails ec. 3306). Guardrail details (Sec. 1711 & 3306(j). Brick or stone veneer (Chapter 30). J ---Exterior plaster - weep screeds (Sec. 4706). VFoa er roof pitch for roof convering (Chapter 32). covering type - (fire hazard). insulation - protection. halls and stairways. ng area over garage - complete 1 -hour separation required on garage side uding supporting walls and posts, etc. exits on three-story dwellings (sec. 3303 & see Mezannines - 1716). c access and ventilation (Sec. 3205). rfloor access and ventilation (Sec. 2516). ustion air for fuel burning appliances - L.P.G. requirements. e requirements on duplexes. Energy design. . Flashing at all exterior openings. CDF responsible area requirements. 444 lq -A t 60 r/ IN C.- 7 IV l/ �17k�w; S % • i , ,� i�� ".,9 ,- ,r- � ... i'...��, .y=ti 'ti r 's .• �'..moi _ r. ,.� .� BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM 0_12, (Onve Form per.- Building) A.P. Number �"�� ' 3d-► Building Department No. School District Oro IitmjOVl /IS City ED County ' Jurisdiction Property Owner 11%af44n t/nAn Son Project Location/Address /110 hi �S F^ n Q r V r Ile, Subdivision Lot Number Residential Development: O Sq. Footage�L%L;� # of Living MHI Addition (Group R) Units Commercial/Industrial: a Sq. Footage New Addition (Including Exterior Roofed Areas) Yzg/gz Buildin /Department Representative Date ******************************************************************* (Floor Plans reviewed by School District Personnel) District Id No. 910206 41. (N-0 i.(k1 L-,0 L4 School District certifies that . 14 �( l/( R M r I �y V (Applicant Name) (Phone Number) (Street Address) CD (City) (State) (Zip Code) has complied with the requirements of Resolution No. o5-,76 by the payment of $.23317. Z6 representing C1,19-11 square feet. -fid-9/ School District Representative Date 'wr PAID BY CHECK NO. � BANK NO 9,0 '74Q40 REMARKS: PAID BY CASH white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) --,i Recor,iing Requested By: ngineer or urveyor WHEN RECORDTO FIL:: WI ..1' MP L13,1:M ;, :LOW n a j t DETt'j� U5E CERTIFICATT OF CORRECTION COUNTY OF BUTTE ) STAM OF CALIFORNIA SS R/GL/.4RD D. tS.4R.c/.y T NAkE o: ENCItiZE'it or SURVEYOR txiing duly sworn, ' deposes and says: That the following corrections or additions to the map of _ 6eAl LoRdSSSo _ as filed in Book 117 , Fage (s) 66, of _ pgacEe in the office of the Recorder are made by me in accordance with Section 6647:0-=-`0f-..:the. Subdivision Act: 32?.ZZ.— 7/1T.14 .��- 320, t 320. Go �. r Ti. t- 1 SGAGE.',��4 Go7 2 Lor / o0 o w N . - . z" 4XI _ L ;.•'� .�,�;.. iii,;,; - `r/7.75 — — sy3'd, �S"— 3Zo.57� �• �— is' ' `� �JOMS L�J.t/E L.S. 1.VC. 4202 .r I ♦� EXP. 6-30-92 IrF OF WKEN RECORD^D FIL:: NIT -H ?IAP LI311:0 LUa r,►• rj v % HEUVEDET 's ., C-ERTIFICAT2 OF CORRECTION ; COUNTY OF BUTTE ) STATE OF CALIFORNIA cS 1 R/G/1D D D. R,�/y T• being duly sworn, NArC; o: ENCINeER or SURVEYOR deposes and says: That the following corrections or additions to the map of _ 6eAl LORdSso _ as filed in Hook //7 , Fage(s) 6(0 of pgQGEG M,,03 in the office oi' the Recorder are made by me in accordance with Section 6647.0--of.,the. Subdivision Miap Act: � r- 321.2? � �-- 7/5. /4 � •�r 320. ! � 320. Go' �. - / LOT LOT ¢ 7/F0 L.S. 4202 r EXP. 6-30-92 0 C Pk F v\ � .. 'I ` op VL 71' Kecor,iing Requested.By: /w ngineer or burveyori WHLN RECCGRDE D FILi: WITH MP LIS 2'D =LU*d C_ZRTIFICA= OF COP,PSC?IOti COUNTY OF BUTTE ) STAM OF CALIFORNIA `S I Gt/Gf14RD p. 0,9 7' be+in duly (NAhM of ��Y`Tl..G.� __ �tro..r+v�.. Y sworn r deposes and says: That the following corrections or additions to the map of ZC—Al Loi7yS4o as filed in Book/_ /7 _, Fage(s) 6(0 of _office —' the Recorder are made by me in accordance with SectionG664-iD of,„the• SubdivisionMapAct: /4 320. f,9 320. Go �. • L40 � • t 11./y�.�;9/7.o�iT-- �'ld.�i'�'310.57� �� .,,\� O� � i •�O� • 13 C:3: co 0 0 3 5 :3 CL rn cl F)" 3 C) C. 311 :5 CL c(P co C) \1 dr t !ff 41 3 RESIDENTIAL ` r 2-32�~ 1002-91P , E JOHNSON, Nathan 242 Mom's Ln, Oroville (travel trailer utilities) \1' JOB Sig J=OK O = Not OK ' ' = Not Ready MOBILE ISI®BILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2 Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG 7. 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 S. Drain; MH Test -Fall -Rex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval S. 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 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (PI'ans)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-Beams-Rftrs: Coonectors 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; Steei-Connections-Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating EquiD: Heater '8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-PeneIboa rds-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 •, a 4 O O = Not OK - = Not Applicable RESIDENTIAL (Single & Duplex) ' = Not Ready • Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped 50. Garage Fire Protection Framing 6a. Hold Downs and Special Anchors 51. Property Line Firewall & Openings 7. Slab; Steel -Wrapped 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 8. Piers -Fireplace Ftg.-Steel 53. Stairs: Width -Headroom -Rise -Run -Landing -Fire Protection 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 10. Gas Pipe; Size -Anchors _ 55. Siding -Nailing Veneer 11. Water Pipe; Test -Anchor -Regulator -Service Test 56. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 12. Electric; Underground 57. Glazing Area -Glass Protection -Skylights -Plastic. 13. Pienums & Ducts; Clearance -Material -Support -ins. 58. Shear Walls; Nailing -Bolts 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 59. Insulation -Walls -Ceilings 15. Insulation 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 _ Date PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20..Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 27. 2 Appliance Circuits in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral O Yes 0 No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit; OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow: Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings. 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles.in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 80. Following instld.; Drive O Yes 0 No; Walks 0 Yes O No; Planters O Yes O No 81. Stucco; Brown -Finish 82. A.C. Unit: Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Fireplace -Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: t t A COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORDS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this offic i iately. Gu ,4LL. Fl" k.)X 1 wEn r M REV 11/91 .� !;. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORK ' = 4mMemorial Way, Chico — Phone: m,- @ • ƒ 7County C+le Drive, omwHe— Phone: »8Pkt » ' 747Elliott Road, Paradise —@hone 872-639 �© CORRECTION--NOTICE � OWNER . . PERMIT N Aroutine inspection indicates that the following violations @County Ordinance exist k the above avers and should be corrected yPlease notify this oice when correction of _r is completed. iyou have any question pertaining to this w additional epi6kion,wese entad »is oie immediately. or ;matter, /Z . � � . � . : . � / . w y Dam &/~/ / 7 } i6mtor-d)------" . . — . � Date,a �� Inspecto. ~'�' _.��-COUNTY OF BUTTE - -t DEPARTMENT OF PUBLIC WORKS -� 196 Memorial Way, Chico — Phone: 891-2751 t -7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 Al �. CORRECTIONS NOTICE -; OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need addit' al explanation, please contact this office immediately. t) don-, 464 7D rd001Z vwD 1 i T PJJ A:;�)AO ,tl A, Date,a �� Inspecto. �,`,�y�„r�.+tri"r..-1c.�.►e�'.�.`p�`^�tI^''�+..,,� -rT•'� COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE )3-V MIT 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 wor is completed. If you have any question pertaining to this matter, ;orneed additi nal explanation, please contact this office immediately. 9. Cl 111111A 10 -rte -nZ��v r 911r2JW 01VIAMMAVV ltiN "I awmkin l�>r i f��►'fir Date I �y l / Inspect 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 VNER PERMIT 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 wois completed. If you have any question pertaining -to this m r need ditional explanation, �please contact this office immediately. Date (0 ! 9/' Inspector COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. r 7 County Center Drive - Orovllle, California gaign - Telephone: 916/538.7541 f APPLICATION -AND PERMIT 8t ! 2 - - ZONING, A5 BUILDING PERMIT . OWNER Nathan Johnson 818 TELEPHONE -SO. 285-4894 FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 5652 N. Muscatel San Gabriel CA 91775 CONTRACTOR'S NAME Unknown TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 1000 Permit Fee - $ ARCHITECT OR ENGINEER Nonp LICENSE NO. Plan Checking Fee $ 15.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Mom's ane Oroville Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. JTT9TFWFF0N NAME PARCEL MAP /1 Water piping , 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeMK Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home 47DG 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities n Installation ❑ Other ❑ Describe work: travel tr.;a}lgr di -i ing const . Permit Fee $ 30.00 Contractor ELECTRICAL PERMITFiling Fee 10.00 Main service 600V OR LESS 10,00 100 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): 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. ❑ 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 Occ UP.� , OR ACDNS. ACC. BLDGS. h¢sgft NEW CONST R. U TLOUTLET NO N-RESID BRAN1.2.50 ea CH CIRC ITS POWER APPARATUS e\ (SINGLE OUTLET CIR. / Ex. OCcU OUTLETS OR FIXTURES SAL SOS p eALoao FIXED APLNS EX. OCCUp. OUTLETS P(RESID IKEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Iyirin g 15.00 Permit Fee $ '17 SO WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3,00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against s 'd Count)( in consequence of the granting of this permit. X N` –1�-� I Date Signature of Appli Vnt – Owner Z. 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 L)4S$�W/ tO,70( , Energy inspection Fee $ OCC I CONSTTYPE TOTAL FEE $ R9 sn HAz. � CUA- PARK scHL FLO _ COP PA PD ) HD. IssuE: v This permit is hereby issued unaertne applicable provi- sions of the Butte County.Code and/or resolutions to do work indicated above for which fees have been paid. D E OR ELIC WORKS y, By -k Date v PERMIT EXPIRES Date — Receipt No. 88609 WHITE-D.P.W., YELLOW R, PINK -INSPECTOR, GOLDENROD -APPLICANT r ti r}�-yyr.;y�r.�eac-rte ... .. -. -� ..r ,w�.•-..--rT�..-.. r en :li : �.c:4...�.. ... Y.�.,v h ..i.: ^- ,' F. L7 _� l ;•� ti �, F ' ' COUNTY OF BUTTE - DEPARTMENT,b JJBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE't JORNIA 95965= TELEPHONE: 916/538-7541 PERMIT APPLIC_%'fI10N DATA SHEET ,�> % w A.'/'P. No. CS No. OWNER 1� Ot 7� �l a n G1 IiSO ✓l _ S ` II // Proposed Building Use Ti'a✓P / T(a� lLIC Building Inspector 6ze Date g �l At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1 All items have been submitted. 2. Plot plans in u licat riplicate, 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. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ 11. Chico Urban Area fees paid ........................................ 12. Park fees paid .................................................... 1S ool Distri t fees paid .............. �4.' Sanitation approval from _ r^ o v t - �C2 Health Department City of'Chico plumbing permit ..................................... 16. Plot plan and business license Apar, � I-frpm City of AK(see City for other requireme�nts), 7. Planning approval for (A) Use: e"-,-613) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) r 20. Pre -Inspection for required ... Pre -Inspect request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... :�4. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26.- 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant M�9�'Date Copy of Haz-Mat form sent Health Dept. � Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: \ GiDcrJ h� ate&) je�J*_��01 & 9Ti. -wJ- Contractor, designer, owner, was advised of above required data by_phone_rnail—counter by _.date Contractor, designer, owner, was advised of above required data by—phone _mall—counter by date Plans checked by. ow DateA44%_Plans approved by 1n1 Date_Ai .15 �q1 Sets of plans on hold in Copy—DPW File cabinet AP folder TO Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewaqe Disposal Water Supply Hold final for: Water Supply Final clearance O.K. for: Water +Supply Clearance for bedroom mobile home. Other NOTE Sanitarian Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONI G PERMIT NO. S— - 3 1.11 BUILDING PERMIT OWNE TELEPHONE SO.FT. OCC. BUILDING VALUATION a f� n o KS Oki 18 a95 -W9 OWNER'S MAILING AOOR M(kel r,F�L , S4::)( YJ �ah,C'� CONTRACTOR'S MAILING ADDRESS COySITRUCTION LENDER `/ V © ✓1 LENDER'S MAILING ADDRESS AR/r17ECT OR LN .i.NEER � V D n (?'- ARCHITECT OR ENGINEER'S MAILING ADDRESS BUILDING ADORES' LOT NO. SUBDIVISION NAME (UNKNOWN LICEt,SE N PARCEL M USE OF STRUCTURE SF ❑ Duplex[] MobilehomeK Other SPECIFY TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities o Installation❑ Other ❑ Describe work: TrQ % rGF CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt.'9,'Div.'3"-of the Business and Professions Code and my license is in full force and effect. License No. Classification. ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 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 Fireplace i Total Valuation S Filing Fee Plan Che;;Ktng Fee Energy Plan Checking Fee Penalty Permit fee PLUMBING PERMIT Each Trap Solar or heat pump water heater Water piping - Each qas water heater or vent Gas piping system 1 - 5 outlets Building sewer Mobile Home A S W $ $ $$ /S $ F i I i ng Fee 2.00 20.00 5.00 5.00 5.00 5.00 0.00 ea Permit Fee ; '30 0(9 ` Contractor MECHANICAL PERMIT Filing Fee 10.00 ❑ The permit is for $100.00 (valuation) or less. ELECTRICAL PERMIT Filing Fee 10.00 Main service 8000 V OR AMP ORLESS10.000 -•- of Consent to Self -insure. --_--- -- - -••-- r - — Main service EA. ADD -L 100 AMP 2.50NEW a CONST OR A.D.S. �DACCLBLDGLING SCCUP.LI\ // '/2QSQft Notice to Applicant: If after making this statement, should you become subject NEW CONSTR ULT(.OUTLET NO+r•RE'S10 BRANCH CIRC ITS 2.50 ea enu Permit Fee — -- - - (POWER APPARATUS e (POWER OUTLET CIR. ! ' I certify that I have read this application and state that the above information Ex. Occup( OUTLETS OR FIXTURES eAL0s39e . Energy Inspection Fee $ - Ex. Occup. OUTLETS_ FIXED �RESID 1REA.) 2.00 - CONST TYPE Temporary service 10.00 __.... Mobile Home Facilities 15.00 jOn Mi,sc. Wiring 15.00 PARK Permit Fee $ all liabilities, judgments, costs, and expenses which may in_any way accrue ' Contractor HAz. cuA SCHL FLET WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): _ _ MECHANICAL PERMIT Filing Fee 10.00 ❑ The permit is for $100.00 (valuation) or less. Heating f --have placed -on fi a wltti'the'County"of ❑ Butte-Building"Department- a Certificate of Workmen's Compensation Insurance or a Certificate -•- of Consent to Self -insure. --_--- -- - -••-- r - — Cooling 9 _ ❑ I.shalI not employ any person in any manner so as to become subject Hood 3.00 to the W. C. laws of California. :-.--_-- _--• :•:-..-.._ __. _.....---- Ventilation _---- . -. 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-— enu Permit Fee — -- - - :..:.a,-. :.. provisions or this permit shallbe deemed revoked. - Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee $ is correct. I agree to comply to all County Ordinances and State Laws relating . Energy Inspection Fee $ - to building construction, and hereby authorize representatives of the CountyotocC Butte to enter upon the above-mentioned property for in. inspection purposes. - CONST TYPE _.. __.... - -• - :._..-aS - TOTAL FEES I also agree to*'save, indemnify and keep harmless the County:Butte against of PARK all liabilities, judgments, costs, and expenses which may in_any way accrue HAz. cuA SCHL FLET CDF PAR _ PD .) HD. ISSUE -against said County -inconsequence of -the granting of this permit.:--.----- - - X -_ This permit is hereby issued unser the applicable provi- Date sions of the Butte County Code and/or resolutions to do Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ work indicated above for which fees have been paid. An OSHA permit is required for excavations over 5'0" deep and damolirion.or construct- -,_— _.-.r._DIRECTOR OF PUBLIC WORKS ion of structures over 3 stories in height. Receipt No. U 0V( WHITE-D.P.W., YELLOW -ASSES PINK -INSPECTOR. GOLOENPOO-APPLICANT By Date PERMIT EXPIRES Date Return.to DPW AGRICULTURAL STATEMENT OF AMNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Section .26-8.1 of the Butte County Code requires this acknowledgement be recorded =prior to issuance of a building permit. The property described herein is adjacent 91-013631 Rec Fee 7.00 to land or included within an area zoned Cash 7.00 for agricultural purposes, and residents Recorded of this. property may be subject to incon- Official Records 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 agricultural operations including, II:17am 9 -Apr -91 X 2 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: Afadpood 4ur✓.�t,c vr,�;ry /'q"0r00srs UC2- Ma`5 Lrve/ s`tGtVA/ OA// /t 4 7 e_P/7 T //✓ 10 Q /1(Pl Pce-02AC _7n! P OF -74e, Ree-oqol Q/L o,� TSP C'av��y Q i 05v71C 2 A3 P -wk 7.3 ©J= t`^Gps 7 - Date: APRIL 9, 1991 PROPERTY OWNERS: IVA AN P. JOHNSON State of CAL ) On this the 9th day of APRIL , 1991 , before me, the ) SS. undersigned Notary Public, personally appeared County of BUTTE ) - jrrrart�n - r - - NATHAN P JOHNSON rrrrrrrtirrs�rrrre>Ir�! a STEVE SEXTON o .s NOTARY PUBLIC -CALIFORNIA ■ Butte County My Commission Expires Sept. 10, 1993 B❑ Personally known to me. ';' Proved to me on the basis ■■■■■■�■■ola■■■■■■■raareti® of satisfactory evidence. to be the person(s) whose name(s) subscribed to the within instrument and acknowledged that HE executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Present A.P. No. -3)-3� STEVE Notary , is SEXTON 0 ORDER NO. BU -118040-3 DESCRIPTION ALL .THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS: OF PARCEL I.- PARCEL :PARCEL 31 AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN OFFICE OF THE RECORDER OF THE COUNTY OF THE CALIFORNIA, ON FEBRUARY 1 65 AND 66. , 19901 IN BOOK 117 OF BMAPS, ATTPAGE(S) PARCEL II: A NON—EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES OVER MOM'S LANE, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 19, 1977, IN BOOK 62 OF MAPS, AT PAGE(S) 92. PARCEL III: A NON-EXCLUSIVE. EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES OVER MOM'S LANE AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON SEPTEMBER 13, 1979 12. , IN BOOK 73 OF MAPS, AT PAGE(S) EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS PARCEL I, DESCRIBED HEREIN. OF PARCEL IV A NON—EXCLUSIVE EASEMENT FOR INGRESS, EGRESS AND PUBLIC UTILITY PURPOSES OVER MOM'S LANE, AS SHOWN ON ARECORDED IN THE OFFICE OF THE RECORDER OF MTAIN AP RCOUNTY OFE BUTTE STATE OF CALIFORNIA, ON FEBRUARY 1, PAGE (S) 65 AND 66. 1990, IN BOOK 117 OF MAPS, AT EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. a PAGE 4 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 Nathan Johnson 5652 N. Muscatel San Gabriel, CA 91775 With reference to the above subject: / / Attached is: OTHER PHONE: 916-538-7541 DATE April 16, 1991 RE: Mobile Home Utility Permit A. P. # 25-32-32 Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced / / We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including plot plans. Plot plans in Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes marked in red. XX Sanitation approval from Butte County Health Department at: 196 Memorial Way, Chico XX 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. / X:% OTHER Plan check of your plot plan shows that the travel trailer location (and �. ur future ation) are within the 200 wide bui ding -free area. En- closed is a copy of the map of record showing the non -building area. Please revise plot plans to show that the location for the travel trailer an house aFe not located withint s area. .anning ep . approval of temporary use of travel trailer is requ re . i Should you have any questions concerning the above, please contact Barbara Wilding of this office. Yours very truly, Enclosure William Cheff Director of Public Works J.F. Glander JFG/aj Chief Building Inspector ai COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 PHONE: 916-538-7541 Net a r� Jol�h sw DATE 5Co52 N. YnuScC1 t. RE: Wbile41me ut7ldf Pevrn�f San 9a brr!�,() C'a. 9/7-75 A.P. # 25-32-32 With reference to the above subject: / / Attached is: Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced OTHER We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including plot plans. Plot plans in Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes marked in red. L/ Sanitation approval from Butte County Health Department at: 196 Memorial Way, Chico 7 County Center Dr.,_Oroville Skyway & Elliott Rd'., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. Should you have any questions concerning the above, please contact of this office. `J Yours very truly, JFG/aj William Cheff Director of Public [4orks J.F. Glander Chief Building Inspector Return_to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code I requires this acknowledgement be recorded F 3631 prior to issuance of a building permit. " All 'th=At real -propert y situate, in the County of Butte, State of California, described as follows: P&12 fX L . AA16 -d - pClus ve, EusPA..-r.0 T ,4o^ 120d 4,cral ��,�;c vrnLry Mo, -A'5 L4,v G-5 S,QcvA! �� 4� �Q/rT��✓ �Q/1rPL I�14/, cQs�le� -7n! The actc;Ce 0pc" 7 e' .42,ee-ol?d ez Q r 45u7Tt _ O� %%P CavR/1� f -1, 117/t se'/�Ter.�e2 9 O� Cuc;fia'Very on1 /3, 7 2 As Book 73 0.1= 1'^.yoi Q 7- Date: APRIL 9, 1991 PROPERTY OWNERS: Ate/,- A44. i NA AN P. JOHNSON State of CAL ) On this the 9th day of APRIL , 19 91 , before me, the ) SS. undersigned Notary Public, personally appeared County of BUTTE ) �r�iadi�e�r�ir+.rirunits rall NATHAN P. JOHNSON a STEVE SEXTON e ■ NOTARY PUBLIC -CALIFORNIA ■ D -ai Butte County u My Commission Expires Sept. 10, 1993 �❑ Personally known to me. ©Proved to me on the basis ■ of satisfactory evidence. ®■■■■■rrri�ra■■■■■arae■■■■®to be the person(s) whose name(s), subscribed to the within instrument and acknowledged that HE executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Present A.P. No. r�5 �8d STEVE Notary ,ReKic SEXTON The property described herein is adjacent 91-013631 Rec Fee 7..00 to. land or included within an area zoned Cash 7.00 for agricultural purposes, and residents + Recorded of this. property may be subject to inion- Official Records veniences or discomfort arising from the County of use of agricultural chemicals, including, Butte but not limited to herbicides, pesticides, t Candace J. Grubbs. and fertilizers; and from the pursuit Recorder of agricultural operations including, 11:17am 9 -Apr -91 X .. 2 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 'th=At real -propert y situate, in the County of Butte, State of California, described as follows: P&12 fX L . AA16 -d - pClus ve, EusPA..-r.0 T ,4o^ 120d 4,cral ��,�;c vrnLry Mo, -A'5 L4,v G-5 S,QcvA! �� 4� �Q/rT��✓ �Q/1rPL I�14/, cQs�le� -7n! The actc;Ce 0pc" 7 e' .42,ee-ol?d ez Q r 45u7Tt _ O� %%P CavR/1� f -1, 117/t se'/�Ter.�e2 9 O� Cuc;fia'Very on1 /3, 7 2 As Book 73 0.1= 1'^.yoi Q 7- Date: APRIL 9, 1991 PROPERTY OWNERS: Ate/,- A44. i NA AN P. JOHNSON State of CAL ) On this the 9th day of APRIL , 19 91 , before me, the ) SS. undersigned Notary Public, personally appeared County of BUTTE ) �r�iadi�e�r�ir+.rirunits rall NATHAN P. JOHNSON a STEVE SEXTON e ■ NOTARY PUBLIC -CALIFORNIA ■ D -ai Butte County u My Commission Expires Sept. 10, 1993 �❑ Personally known to me. ©Proved to me on the basis ■ of satisfactory evidence. ®■■■■■rrri�ra■■■■■arae■■■■®to be the person(s) whose name(s), subscribed to the within instrument and acknowledged that HE executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Present A.P. No. r�5 �8d STEVE Notary ,ReKic SEXTON DESCRIPTION 3631 ORDER NO. BU -118040-3 ALL -THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS: PARCEL I.- PARCEL : PARCEL 3, AS SHOWN ON- THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE CALIFORNIA, ON FEBRUARY 1, 1990, IN BOOK 117 OF OF 65 AND 66. MAPS, AT PAGE(S) PARCEL II• A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES 'l OVER MOM'S LANE, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 19, 1977 92. , IN BOOK 62 OF MAPS, AT PAGE (S) PARCEL III: A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES OVER MOM'S LANE AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON SEPTEMBER 13, 1979, IN BOOK 73 OF MAPS, AT PAGES 12. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL•I, DESCRIBED HEREIN. PARCEL IV: A NON-EXCLUSIVE EASEMENT FOR INGRESS, EGRESS AND PUBLIC UTILITY PURPOSES OVER MOM'S LANE, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON FEBRUARY 1, 1990, IN BOOK 117 OF MAPS A PAGE(S) 65 AND 66. T EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE PARCEL I, DESCRIBED HEREIN. BOUNDS OF PAGE 4 END OF DOCUMENT ,, :• � F • � ,rte. ,,. END OF DOCUMENT . . 'W' ,