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HomeMy WebLinkAbout025-380-057vY IDD -5- 7390 CC e e J r� Ili 8 7 4 NMI 6�'.. M Y I. RESIDENTIAL 57 i 036-52-0-057 93-2103 BPEM ANDOE, DARWIN 5079 PACIFIC HEIGHTS, OROVILLE NEW SF DARWIN L. ANDOE 14871 MASTERSON WAY MAGALIA, CA 95954 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: 1916) 538-7541 FAX: 1916) 538-2140 6/16/95 RE: Building Permit # 93-2103 Expiration Date: 6/27/95 A.P. # 036-520-057 With reference to the above subject, our records indicate that your building permit expires on the above date and your permit falls into the category marked below: [ ] Permit work started, but not completed. Permit may be renewed for 1/2 the original building permit fee (plus a $20.00 filing fee): The renewal permit will extend the building permit for an additional year from the original expiration date. Should you not renew your permit within 30 days of the expiration date, all work must cease until a new building permit has been issued. For your convenience, we are enclosing a renewal application form and owner -builder form to be completed and signed by you where indicated and returned to this office together with the fee shown. Please return all copies of the -application form. [XX] No inspections have been made on permit work. Inspections are required to verify code compliance. We are unable to renew a permit where the work has not been started and inspected prior to permit expiration. After'expiration of your permit, no work may be started until a new permit has been issued. If our records are in error or should you have any questions concerning this matter, please contact the OROVILLE office. Thank you for your prompt attention concerning this matter. Yours very truly, Mic el C. Vieira, C.B.O. MCV:ahb Manager, Building Inspection Attachments Chico Office - 1469 Humboldt Rd/891-2751 Paradise Office - 747 Elliott Rd/872-6307 4 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS �/' • 7 County Center Drive - Orovill..e, California 95965 - Telephone: 916,538-7541 APPLICATION AND PERMIT PERMIT NO. 93-2103 ASSESSOR PARCEL NUMBER ri-,gn_n ZONING APMV 1 BUILDING PERMIT OWNER T) I? TN T ANTYIR TELEPHONE- R74_!Rt r1! 'SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS - T mcgwvRnm wAy, M f.AT A l' Q5Q f1 M 14.004 CONTRACTOR'S NAME TTNA. AiN TELEPHONE R CONTRACTOR'S MAILING ADDRESS Fireplace VAY CONSTRUCTION LENDER UNKNOWN Total Valuation Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 5 .OL) Energy Plan Checking Fee $ 20. ) ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ B LSblf.1G�p[?,�is` HEIGHTS ROAD Permit fee $803.00 PLUMBING PERMIT FjlingFee 15.00 OROVILI�E, C(A� 95965 Each Trap 8 5.00 00.00 Solar or heat pump water heater 20.00 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 7.00 Each gas water heater or vent 7.00 USE OF STRUCTURE SF%1 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 -,5 outlets 5.00 Building sewer 15.00 15.00 Mobile Home S I G I W 615.00 TYPE OF WORK NewAddition (_j Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: %?1GLF, FAMILY; 1 BEDROOM. _ Permit Fee $ 97.E Contractor ELECTRICAL PERMIT Filing Fee 15.00-, Main service 60ovORLESS 18.50 IA SO 200A OR LESS Main service 200ATO1000Al 37.50 . CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): " ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business aid Professions Code and my ,license is in full force and effect. ,� Z+cense.Jo. Classification [Q 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) .. Y I .am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP.&) 3.64 aq.f[. 69 ZS OR ACDNS. \ ACC. BLOGS. // NEW CONSTR. ULTI-OUTLET 5 00 NON•RESID BRANCH CIRC ITS POWER APPARATUS e (SINGLE OUTLET CIR. ) - Ex. Occup(OUTLETS OR FIXTURES20 76d ' FIXED APLNS. Ex. Occup. OUTLETS P(RESID )REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 T Permit Fee $ A 142.75 Contractor - WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. © I shall not employ any person in any manner so aseto become subject to the W. C. laws of California. • Notice to Applicant: If after making this statement, should you become.- to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 15.00 Heating ea pump 9.01 Cooling fir: •(N1 Hood ,` 6.50 b • �t f >yen hationl >Pennit Ftee $ 9.50 LContractor I certify that I have read this application and state that the above information is correct. I agree to comply to`all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date i' Signature of Applicant - Owner ❑ Contractor ❑ Agent ❑ �. An OSHA permit is required for excavations over 5'0" deep and demolltioy or construct - ion of structures over 3 stories in height / . '"Y 9 '"Mobile Home Installation Fee $ Ener'gy'lnspection Fee $ 40.00 occ R-3 CONST TYPE VN TOTAL,F E $ 1,0$2.25 HAz DFEE 'IMP I F CDF PARC L� PO ' HD ✓ 'ISSU6�i i This permit is hereby issutdlunder the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. % EC-TOR-OF-PUBLIC,WORKS BY --0 �M/��.si.�'' Date . PERMIT EXPIRES Date % . ' Receipt No. 14357..6-' 336.00// /%7o,7 k, 21 �. ') < WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT V=OK O=Not OK -= Not Appikable Read Not Ready MOBILE HOMES MISCELLANEOUS ' = Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Teat -Fall -C/O Concrete 4. Water; Location -Teat -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Teat -Wrap: / /"L"ft. / /"Nat. or/ /" L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date/initials MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3.. Gas; MH Test -Demand -Valve -Connector 4. Electricity;, MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg: Rfg.-Bracing 5. Alum. Awn.; Columna -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/Initials POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 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 Mein in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V=OK O = Not OK - = Not Applicable RESIDENTIAL = Not Reedy Date/Initials UNDERFLOOR (Plans) OK except #'a 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Mein; Soils-Elec. Grnd.-/ P' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd -/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. O.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING (Permit) OK except #'a 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. O.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/initials ELECTRICAL(Permit) OK t #'a ( ) except 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/Mach. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels -Motors -Meth. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials 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/Initials 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 Wells (ret proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Single & Duplex) Date/Initials FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin=roof Brec-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Wells; Nailing -Bolts 59. Insulation -Wells -Ceilings 60. Infiltration -Walls -Windows Date/Initials FINAL (Plans) OK except #'a 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. 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. Mr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Mach. Protection 75. Plb., Elec. & Mach. 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-Drainagge & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ 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 Comments at Final: DARWIN L. ANDOE 14871 MASTERSON WAY MAGALIA, CA 95954 Eatte Count BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538.7541 FAX: (916) 538-2140 6/16/95 RE: Building Permit # 93-2103 Expiration Date: 6/27/95 A.P. # 036-520-057 With reference to the above subject, our records indicate that your building permit expires on the above date and your permit falls into the category marked below: [ ] Permit work started, but not completed. Permit may be renewed for 1/2 the original building permit fee (plus a $20.00 filing fee). The renewal permit will extend the building permit for an additional year from the original expiration date. Should you not renew your permit within 30 days of the expiration date, all work must cease until a new building permit has been issued. For your convenience, we are enclosing a renewal application form and owner -builder form to be completed and signed by you where indicated and returned to this office together with the fee shown. Please return all copies of the application. form. [XX] No inspections have been made on permit work. Inspections are required to verify code compliance. We are unable to renew a permit where the work has not been started and inspected prior to permit expiration. After expiration of your permit, no work may be started until a new permit has been issued. If our records are in error or should you have any questions concerning this matter, please contact the OROVILLE office. Thank you for your prompt attention concerning this matter. Yours very truly, Michlael C.1 Vieira, C.B.O. MCV:ahb Manager, Building Inspection Attachments Chico Office - 1469 Humboldt Rd/891-2751 Paradise Office - 747 Elliott Rd/872-6307 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916.538-7541 APPLICATION AND PERMIT PERMIT NO. 93-2103 ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT owN R T o 3-651 SO. FT. OCC. BUILDING VALUATIO , 800 OWNE 'S AI N AD ESS CA 95954 772 N 14,904 CONTRACTOR' N UNTYNTOTAINT TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace ftAll CONSTRUCTION LENDER UNKNOWN Total Valuation $ 20-928 Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 512.UU ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee Energy Plan Checking Fee A$ $256.00 20.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ Bu�079GPACIFIC HEIGHTS ROAD Permit tee $ 803.00 PLUMBING PERMIT Filing Fee 15.00 OROVILLE, CA 95965 Each Trap $ 5.00 40.00 Solar or heat pump water heater 20.00 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ba Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK NewXX, Addition LJ Remodel❑ Utilities❑ Installation Cl Other EJ Describe work: SINGLE FAMILY; 1 BEDROOM. _ Permit Fee $ 97,00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 18.50 Main service 20GATO 1000A) 37.50 CONTRACTORS LICENSE LAW I declare under penalty p I y (check one): of perjury ❑ 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 .Jo. 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 OR ADONIS.OCCUP.� ( ACC. SLOGS. ) 3.6Q sq.ft. 69.25 NEW CONSTR ULTI.OUTLET N ON.RESID BRANCH CRC" TS @ 5.00 POWER APPARATUS &) ( SINGLE OUTLET CIR. ) Ex. Occup( OUTLETS OR FIXTURES 2L.0 76 Ex. Occup. our ETS (RESIDA EA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring *15.00 Permit Fee $ 102-79 Contractor - WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. tx I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 15.00 Heating heat pump 9.00 Cooling 2 1 2 9.00 Hood 6.50 Ventilation permit Fee Contractor $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrueHAz against said County in consequence of the granting of this permit. X 222 Date 6 - O - Signature of Applicant - Owner ® Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and de it'o Tor construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Ener Inspection Fee $ Energy P 40.00 occ CONSTTVPE VN,'1.082,25 TOTAL F E $ D EE IMP jjjr CDF PARC P HD SS This permit is hereby iss nder the sions of the Butte County Code and/or work indicated above for which fees LLE By PERMIT EXPIRES Date applicable provi- resolutions to do have been p id. WORKS � n Dat 7 Receipt No. 14 52.6-$T16 _ n WHITE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT F1M1 L V. < COUNTY OF BUTTE 0 ovillDeECalRornila 5965ENT 0FTele hone: 91UBLIC O'53s 7541 7 County Center D ,== _; '►` �7 APPLICATION AND PERMIT MIT ASS g ... IS S OWNER'S MAILING RES CONTRACTOR'5 N M CONTRACTOR'S MAILING AODRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS . ARCHITECT OR ENGINEER ENGINEER'S MAILING ADDRESS I,JILornu JrC/ LOT NO. SUBDIVISION NAM USE OF STRUCTURE °NTNG BUILDING PER SQ, FT. OCC. /j' 205 BUILDING VALUATION LEPHONE �r1f1 o - TELEPHONE Fireplace ►� rl I Soa UNKNOWN Total Valuation$ ICJ 00 Filing Fee $ $ Permit Fee Plan Checking Fee S LICENSE NO. r=n .rnv Plan Checking Fee ARCEL M SFA Duplex ❑ Mobilehome[]. Other SPECIFY r TYPE OF WORK l• I stall nC Other ❑ New: Addition" RemodelC �Utilities� , — Desc_ibe work: CONTRACTORS LICENSE LAW Penalty Permit fee PLUMBING PERMIT Each Trap Solar or I eat pump water heate Water piping Each qas water heater or vent Gas piping system 1 - 5 outlets Building sewer Mobile Home S G W I -declare under penalty of perjury (check one): n I am licensed under provisions °icense ti s9inCtfull foeha du effect, and Professions Code and my Classification License No. 0 I, as the owner, or my employees with wages as their sole co ered sation, will do the work,and the structure is not intende for sale. (Sec. 7044) with licensed contract- [] I, as the owner, am exclusively co ors. (Sec. 7044) Business and Professions Code C] I am exempt un Permit Fee Contractor ELECTRICAL PERMIT Main service TOOA OR LESS Main service 20GATO1000A1 NEW CONST. ACCLBLDGS COUP OR ADONS. ,�„r, ET UTLETS OR FIXTURES FIXED APPLNS. OR OCCUp. OUTLETS 1RE510.1 EA• Temporary service Mobile Home Facilities Misc. Wiring 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 with the County of Butte Building Department Cl a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. C] I shall.not employ any person in any manner so as to become subject to the W. C. laws of California. it Notice to Applicant: If after making this state must forthwiuld th comp�mwithbsuch to the W. C. provisions of the'L e d Code, y Y provisions or this permit shall be deemed revoked. nd state that the above information I certify that I have read this application a is correct. I agree to comply to all County Ordinances and State Laws relating County of l� hrepresentatives authorize purpose t-mentioned propertyor specBua foateupon the above I also agree to save,. indemnify and keep harmless the County a y Butte against all liabilities; judgments, costs, and expenses which may Y against said `County in consequence of the granting of this permit:. ` Date ` X Owner❑ Contractor ❑ Agent ❑ Signature of Applicant— p and demolition or construct - An OSHA permit is required For excavations o "r Se ion of structures over 3 stories In height. ; Receipt No. PINK• INSPECTOR. GO EMROD-APPLICANT WMITE•O.P.W.. YELLOW -ASSES -ASSESSOR- Permit Fee . Contractor. MECHANICAL PERMIT Heating Cooling /:�:7— !r Hood - Ventilation Permit Fee r'nntractor Filing Fee 15.00 18.50 b- 37.50 ,F Mobile Home Installation Fee - Ener gy yInspection Fee � � . `°ySTjjY9E TOTAL ��'r VN , This permit is hereb.y issued under the applicable prc sions of the Butte County Code and/or resolutions to work indicated for which fees have been pai F PUBLIC WORKS RECTORO Date By PERMIT EXPIRES Date �mw •• UTLETS OR FIXTURES FIXED APPLNS. OR OCCUp. OUTLETS 1RE510.1 EA• Temporary service Mobile Home Facilities Misc. Wiring 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 with the County of Butte Building Department Cl a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. C] I shall.not employ any person in any manner so as to become subject to the W. C. laws of California. it Notice to Applicant: If after making this state must forthwiuld th comp�mwithbsuch to the W. C. provisions of the'L e d Code, y Y provisions or this permit shall be deemed revoked. nd state that the above information I certify that I have read this application a is correct. I agree to comply to all County Ordinances and State Laws relating County of l� hrepresentatives authorize purpose t-mentioned propertyor specBua foateupon the above I also agree to save,. indemnify and keep harmless the County a y Butte against all liabilities; judgments, costs, and expenses which may Y against said `County in consequence of the granting of this permit:. ` Date ` X Owner❑ Contractor ❑ Agent ❑ Signature of Applicant— p and demolition or construct - An OSHA permit is required For excavations o "r Se ion of structures over 3 stories In height. ; Receipt No. PINK• INSPECTOR. GO EMROD-APPLICANT WMITE•O.P.W.. YELLOW -ASSES -ASSESSOR- Permit Fee . Contractor. MECHANICAL PERMIT Heating Cooling /:�:7— !r Hood - Ventilation Permit Fee r'nntractor Filing Fee 15.00 18.50 b- 37.50 ,F Mobile Home Installation Fee - Ener gy yInspection Fee � � . `°ySTjjY9E TOTAL ��'r VN , This permit is hereb.y issued under the applicable prc sions of the Butte County Code and/or resolutions to work indicated for which fees have been pai F PUBLIC WORKS RECTORO Date By PERMIT EXPIRES Date i COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. County Center Drive - Oroville, California 95965 -Telephone: 916 '538-7541 APPLICATION AND PERMIT A53 S PA ZONING 63(0 -SZ Z.5 BUILDING PERMIT 0111VNEIR4Z LE PHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING RES '-� 9 A0 CONTRACTOR'S N M _ TELEPHONE /+ CONTRACTOR'S MAILING ADDRESS Fireplace I � fr � .SD d CONSTRUCTION. LENDER UNKNOWN Total Valuation $ Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee Energy Plan Checking Fee E $$. , OQ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS f UAC"CIC_ ni-j , Permit fee $ �O3 Q PLUMBING PERMIT Filing Fee 15.00 �-^ Each Trap eyl 5.00 49, Co' Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF�k 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: Additioni_j Remodel❑ Utilities1 stallat- n❑ Other ❑ Desc ibe work: _ G_t7,1 Permit Fee $ (j Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600VORLESS 200A OR LESS 18.50 g, D Main service 200A TO 1000A) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License ;Jo. Classification 17I, 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.L! OR ADONS. (ACC. BLDG S. 3.66 sq.ft. .,� NEW RESID, RANUL T'CHUTLET NO N•R ESID BRANCH CIRC ITS @ 5•00 POWER APPARATUS e ( SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 76d A Ex. Occup. OUTLETS (RESID )FIXED APLNS. REAJ 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 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 15.00 Heating OU Cooling % Q� Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any7wa accru against saidCounty in consequence of the granting of this permit.X Date Si nature of Applicant - Owner Signature pp ❑ Contractor ❑ Agent ❑ An OSHA a /117 ion of structures tover 3gstories oinehe excavations o r 5' "1d/`ep and demolition or construct- Mobile Home Installation Fee $ Energy Inspection Fee $ ffo occ CONST TYPE TOTAL F $ Q,' HAz DFEES IMP F CDF PA cPO H ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. I WHITC-D.P.W.. YELLOW -ASSES soft. PINK -INSPECTOR. GO [NROD-APPLICANT 4OUNTY017 BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET' OWNER LtD 1 L_. A. P. No. Proposed Building Use Building Inspector C , Date (o - 3e) 12 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECENED BY 1. All items have been submitted. ........ ............... 0 ........... Plot plans, 3/4 se s,�signed by preparecof plans: ' ........................ . Complete plahs;U4 sets, °signed by preparer of plans. .................... Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............ . 5. Hazardous Material Form. ................... 0 ................. 6. Energy Design Compliance and supporting documentation, ................... -7. Statement of Intent for Non -Heated and A/C Buildings. ........ 0 ............. O1-8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome a anufa turer's installation instructions, 2 sets. • .......... . 10.', Fees of $ 11. Impact fees as.shown on attached �schedule ............................... ` 12. California Department of Forestry` plan approval/fees. .. Ye 13. Flood elevation letter (100 year flood) by California Engineer. .4.y. Ae..Ir- ... , , , , , /3 s� �14. Sanitation and plot plan approvHealth Department . ............ 6 4 15. City of Chico plumbing permit . ........................................ 16. Plot plan and business license approval from City of Biggs/Gridley. ...... 0 ...... 17. Planning approval for (A) Use: (B) Parking: . ....... . 18. Contact Land Development about (A) Improvements (B) Drainage. ........... Driveway permit (construction approval required prior to occupancy). aBanspe'ctic� �qe�3 20. Pre -inspection for required. . . tc Building �nepector(Date) 21. Contractor's license information. (No., Name Style, Classification) . ............... 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner . . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. QS 25. Letter of signature authorization . ....................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a.public road. ..... 27. Letter of intent on building use . ............................... 0 ......... 28. Mobilehome utility clearance . ......................................... . 29. Documentation of legal access . ..................... :............. .... . { 30. Documentation,of50% subdivision developed or (A) Road improvements completed and (B)�'Parcel meets zoning area and frontage requirements . ............... 'Al Rxisting violations/expired permits . ............................ 0 ......... Pn check list . ............................................ 0 ........ 34. W you issue the per ppr cess as follows: Mail to owner. Mail to contractor. Telephone (O b and hold for pickup at 642 l� office. Deliver !1th inspector. Other Parcel Creation Acreage Applicant Date ` Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health.Dept. Fire Dept. Other Date By ►� The following data must be submitted prior to permiiss ance: (Cir le a tem 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 b ate Contractor, designer, owner, w,j� adlvised of above required data by _ phone _ mail u ter by _ Date Plans checked by K �` Date _2� Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works l TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance Z_s AP # owner location Z� has-been issued for the above property. Driveway permit f 2-L, date 7siature E'll, I ISE* TO: Building Dc-15artmollt. FROM: Environmental Health SUBJECT: Sanitation Clelrat!Ce Owner Location AP# Plan Approved for: Sewae Disposal Water SLII)I)ly: I'Liblic Private Well Z-1 Clearance for —Lbedroom t home. Other Hold final for: Final clearance O.K. for: NOTE: �F 7041 1 mt,�Fmmv, Environmental Mealth Specialist 8/92 ZP" Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916)5387541 OWNER PROPOSED BUILDING USE �< < �2. A. P. NO. DATE REC. # DATE REC School District Fees 0ez>Vt!f (paid at District Office) Q Sheriff Fees (paid at Building Department) Residential .......... I x $ O t>O unit amt. Commercial(per sq.ft.) X. _$ sq.ft. amt. 3. Urban Area Fees (paid at Building Department Residential (per unit) X =$ # units amt. Commerical(per sq.ft.) % _$ sq.ft.. amt. 4. Recreation District Fees (paid at District Office) ....................... 5. Drainage District Fees (Contact Land Development) ......... 6. Other 7. Other At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT DATE la `3.d - 5, 3 r� u 93-028351 93-028351 93-020351' .7021135 t 1 Roc Fee '� - 1 Check Recorded 1 Official Records U County of Butte 1 Candace J. Grubbs 1 Recorder 1 9:14am 6 -Jul -93 1 PUBL *'I 5:00 f 5.00 9 y ,h}Q�:S Y""•�.''L74^�S?.41 1?: pow J+F�y �•4}} +� .�. v4r 4,, }._ qtr s.. ti T D'�_f BUTTE COUNTY SCHOOLS IMPACT, FEE CERTIFICATION FORM (One Form Per Building) School District �J,Building Department No. A.P. Number Jurisdiction 0 , . City � County Property Owner ��: r ~� �� Property Location/Address. f «?~ _ �~ ' 45 a. T) ; Subdivison '�- Lot o. ` No. of Living ? MHI z Units Sq. Footage 3• Addition , (Group R) ^: Addition (Including Exterior Roofed'Areas) Date Commercial/Industrial 0 0 Sq. Footage / Ir Building,Department Representative:. New v (Floor Plans reviewed by School District Personnel) District Identification No. 9000, 0 n 14, G ? School District certifies that �CLAAAa c.►. a • �,,.�0�-Q Q (Applicant) (Street dAt dress) (Phone Number) (City) (State) \ (Zip Code) { has complied with the requirements of Resolution No. 9 U by payment of $ jevaoso representing 'L 0 0 square feet. 136123 School biisitiict Aepresehtative Date ` w Paid by Check Number Remarks: Bank Number Paid by Cash If, subsequent to the School District Representative signing this Butte County�Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA)f,*11ihis project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeformmkf (4/92) �t RESIDENTIAL PLAN CHECKING GUIDE 8/91 (S.F., DUPLEX & MISC. ONLY) p Bldg. Permit # % :?5-- 2,10 3 OWNER �(ypd� A.P. # 3Ca- SZ-. <�*-7 Plan Checker Q• A<' • -7 .2- 3 CF.NF.RAT. ��Va ing requirements: (sideyards and number of permitted living units). luation. 6PV-(Z9CT6D 1-5-5Kans signed by designer. Proper description of work on application. sting violations on property. 6 Items on data sheet. (W.C., fees, Health, Developer Fees, License law, etc). corded notice of violation. PLOT PLAN l��omplete parcel size and dimensions. 24-* Setbacks, sideyards, easements, etc. Zrher buildings or structures. ;_Grading, fills, drainage. 5/ Flood, hazard. Special conditions on creation map, ustible, and foundations). 7"--FAU & FAS road setback. (noise, CDF, fire sprinklers, non-comb- �ilding or utilities across lot lines (Record form). FLOOR PLAN plete to scale plan with dimensions. e'quired windows for'light and ventilation (Sec. 1205). Required windows for second exit (Sec. 1204).. lights (Chapter 34 & Sec. 5207). �uman impact glass (Sec. 5406). 6!Rhe fired room sizes, ceiling heights (Sec. 1207). -�� GFCIs in baths, garage, kitchen, and exterior outlets (Article 210-8). -8--L ght fixtures, switches, receptacles, and exterior receptacles for main- t�e of mechanical equipment. 91— Locations of water heater, heating and cooling equipment, ..,e' gars, egpipment. 1 , � nage firewall, door size;' and closer (Set.' 1Y 1-A3':0,",',:xt.rior exit; door (sec. -3304 (f). eplace and..wood stov,'e• location," aij'coves,-. :and ;.clearance. 1 S d S 21 other electrical e etectgrs, ( ec. 1_ V 144 -Plumbing fixtures, water closet' clear`anc`es"and s4b'Oe:�, size,,%z STRUCTURAL DETAILS Y. Standard bracing or engineered design (Table 25V) mal shape, size, or split level house requiring lateral design. Clerestory requiring balloon framing and/or engineering. e s ory building requiring engineered calculations and plans. F undation plan complete enough to construct building. Fl construction details complete enough to construct building. 04 7 : evations'Ind wall' cbnstruction.details, cbmpleOe enough .,to,,construct' building Roof construction details complete enough to construct building., ' Fr" aceconstr'uction details and•calcs if necessary. � es'` dr '60aring= riA ge * l earr�.� door or porch header sizes. 1 Stud heights. ep dobe soils - special foundation design. 1%-Tetawalls requiring design. 1 . pecial Inspection required. 8/91 M,IISSCELLANEOUS• ITEMS TO LOOK OUT FOR r. S�pairway details: landings, rise and run, head clearance, handrails Sec. 3306). uardrail details (Sec. 1711 & 3306(j). . ,,BT -i -c -k or stone veneer (Chapter 30). .4' for plaster — weep screeds (Sec. 4706). Proper roof pitch for roof convering (Chapter 32). 6-.---R_o_6T covering type - (fire hazard). ��/m insulation - protection. ,� 36" halls and stairways. ��iving area over garage — complete 1—hour separation required on garage side including supporting walls and posts, etc. 1O -.Two exits on three—story dwellings (sec. 3303 & see Mezannines - 1716). ltic access and ventilation (Sec. 3205). 1 Underfloor access and ventilation (Sec. 2516). 1 ombustion air.for fuel burning appliances — L.P.G. requirements. l�requirements on duplexes. 1 ergy design. 1 Flashing at all exterior openings. 1W_--G4)9responsible area requirements. tj DT a4tA AMA-" Q �l IIIVVV _4� (p1 l a Lt — � i, R= �r lost i o i n r c-1 V �� (916) 534.9587 eR GIN EER! L„ I dIn n uminQ lURVEYOPO � associa es - - P.O. BOX 986 — OROVI LLE, CA'959659AOAlNf1Q,i 100 GOLD DREDGER DRIVE Sc4,ie ©L—'�c- o� Srlooc� oo& July 7, 1993 p�-7113/t3 Butte County Public Works Building Dept. 7 County Center Dr. Oroville, CA 95965 re: Vida Andoe A.P.;, #36-5272-0- - In reference to the above referenced parcel I submit the following: The flood zone in this area is A as shown on the F.E.M.A. map, Community - Panel Number 060017-0480-B. This area encompasses the Feather River and adjacent land along Pacific Heights Road. The Andoe property is on top of the hill overlooking the flood zone. I did'riot run bench levels, but I do have personal knowledge of this property as we performed percolation tests for the health department. This property is approximately as high as Highway 70 in this area. My best estimate would put the property about 80 to 90 feet above the flood plane. Sin erely, v Ronald L. Graves, P.L.S. Ron Graves and Associates RLG:dks \�Np,L LANA S (gam• .O •C'Rq p0C '•OP GAN : 4 .� n No. 4085 •• Expires 6-30-96 •' �Q �9TF OFC A0F.�a SURVEYING - _ SOIL TESTING ENGINEERING xeturn tolt'6tl V t ' n .� Al3Kll1l 11 U S ,` Sect io_p,=X26-8.1 of the Butte req, res this acknoWl-edgement prior,to issuance of a building rL1UMU, J1A1ZA'M11 Vi' AUAI1VA1•r• FOR RESIDENTIAL DEVELOPMENT County Code be recorded permit. The property described herein is adjacent ��� o to land or included within an area zoned s 19 for agricultural purposes, and residents of this property may be subject to incon- veniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, NOTC00.4'ARED and fertilizers; and from the pursuit 0WMNAt N of agricultural operations including, 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: Z2 21o. X)o� �6-�a- ao Date: I— S'_!5!3 CALIFORNIA ALL•PURPOSE ACI4NOWLEDGMENT State of ra 7 i fns- 4 p - County of Butte PROPERTY OWNERS-, �3 On � �-� before re, LGtSy L. _Carter, ?rotary Public , DATE NAJ.. _, 7fSLE OF OFF GER • E.G.,'JAWE DOE, NOTARY PUBLIC personally appeared , OF ` personally.kno,,,n to me - OR -,proved to me on the basis of satisfactory evidence to be the person(g) \,;hose name(b,) is!are subscribed to the within instrument and ac- kno\,Jedoed to me that k,-_/sheAb=j executed the same in b4e/her/ter authorizEd capacity(.i*e), and that by i4/her/'rne•ir — PATSY L.CARfER sionaiure(g) on the instrument the person(4), way aaftiff" or the entity upon behalf of \,; hich the BUTTE COUNTY ,600" MAY T7.199d person( acted, EXECUied the instrument. 1h'I i NllE y hand and official seal. (( NO. .C: ® OPTIONAL SECTION CAPACITY CLAIMED BY SIGNER a:v:e does no; re.ai:e the Worry to fill in :he ca:a below, dcing so m.ay prove iwal;;2_NE to persons reh•ia; an the dxu.menL lND!VIDUAL C0R.P0=.ATE OFFICER(S) .r t.E,$) FARTNER(S) [] LlMJTED GENERAL ATTORNEY- IN- FACT TRUSTEE(S) GUARDIAN/CONSERVATOR OT=En: SIGNER IS REPRESENTING: NkLI..E c- FERION-lc) o=. EnnT1II_s) COUNTY OF BUTTE - DEP`ARTN[ENT O -F 'D VhLUr,VM111 OGAraa.r.�, �� ••••• ••• • ••:••••• 7 County center Drive, oroville CA 95965 7 T Phone: .916-53'8-7541 DARWIN ANDOE PO BOX 2426 OROVILLE, CA 95965-2426 RE: BUILDING PERMIT APPLICATION #93-2103 DATE: 6/20/94 A.P. * 036-520-057. With reference to* the above subject: Attached is: Mobilehome Utilities Installation Sheet Application for permit Mobilehome Installation Information Sheet Building Plans -Typical Plan Sheet Engineered Calculations tof Codes Enforced Owner -Builder Verification Fm We need the following information prior to permit processing and/or issuance: Permit application signed and completed where indicated with all copies returned. Plot plans, 3/4 sets, signed by prepareraof plans Complete plans, 3/4 sets, signed by p p 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. Mobilehome data and manufacturer's installation instructions, 2 sets. XX Fees of $ 74 2ci__, payable to Butte County Treasurer. Impact fees paid. 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 ' (b) Drainage. Land Development (a) Improvements -Driveway permit (approval of construction required prior to occupancy). Contractor's license information•(No. Name Style, Class) or exemption statement. Certificate of Workmans Compensation Insurance. Owner -Builder Verification Form. 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°s subdivision developed or (a) Road improvements completed and (b) Parcel meets zoning area and frontage requirements. Existing violations/expired permits resolved. Plan check list data and revisions. sets of plans in accordance with changes marked in red. —X-STERRIFF FEES OF $360.00 Other: YOUR PERMIT APPLICATI BEFORE ME YOUR PERMIT CAN Should you have any questions concerning the above, please contact of.this office. Y rs very tr ly, Midael C. Beira, C.B.O. MCV:ahb Man ger, Building Inspection Point System Summary: Climate Zone 11 1. Ceiling Insulation 70 or x i ' AFUE or HSPF R-value,LVI U -value [0.028] 2. Wall Insulation or ' .27 x i - R-val ] u -value [0.0651 3. Raised Floor Insulation or 0 0 2. Wall Insulation R -varus (9J Uwalue 10.0371 4. Slab Edge Insulation or [None( Energy Factor R -value r0l F2 fat:ax [0.75] S. Infiltration Any Ducts in Unconditioned Space? ( Y N) (YJ 6. Fenestration Heat Loss ��i D • G s� �• ?� 2 1 -2 Type U -value (0.65] Total % Fenes. 1161 7. 'Fenestration Heat Gain: 0 -16 0 % Fenestration SCshade open Eff. % Fenes. Shade Elf. Ratio 5. Infiltration (Duct North (_ r x t%7 V t R-5 East_ x • is = t, ` !� 4 South _�_ x 2 p Ducts to Unoonddtoned West 'S x ' 72 _ •J I TAP -7 Skylight 0 x R-7 .18 7 Overhangs? ( Y / N 4 .31 8. Interior Thermal Mass or in Untondatoned Sam 0 -10 % Exp. Slab (201 Int Mass/CFA 9. Exterior Wall Mass 10. Heating System 11. Cooling System 12. Water Heating H"P' System'1 Heater Ty (scs01 System 2 Heater Type (Nonei Y r . Ext. Wall Mass & `% -72 -57 -43 1. Ceiling Insulation x i ' AFUE or HSPF Duct Etfic. (1 story: Effective AFUE (76.81 19•0 0.83: 2+ smog 0.881 � f_�. or HSPF ' .27 x i - SEER (10.0] Duct Effic. [1 story: _ Effective SEER 0 0 0.81: 2+ story: 0.871 0 0 2. Wall Insulation more .86 .66 less more .86- .66 Less Energy Factor Ext Ins. R -value Aux,iiary Input [0.531 1121 [None( Energy Factor Ext Ins. R -value Auxttiary input R-11 -3 .2 -1 R-0 -72 -57 -43 1. Ceiling Insulation -7 -6 ' Number of stones , - R -value One Two ' wTTiiee R-0 •741, - 48 ' .27 R-19 - R-21 R-30 1 •11 0 0 R-38 0 0 2. Wall Insulation more .86 .66 less more .86- .66 Less more lass Singh- Single - R -value Family Family mulki- R-0 -72 -57 -43 R-11 -7 -6 .4 R-13 -5 -4 -3 R-15 -4 -3 .2 R•19 0 0 0 R-21 1 1 1 3. Raised Floor Insulation a ra- more .86 .66 less Inwiation in Floor more .86 .66 less more .86- .66 Less more lass Number of stones .13 R -value One Two Three R-0 -14 -9 -5 R-11 -3 .2 -1 R-19 0 0 0 R-30 2 1 -2 Point Scores 9 9 Zonal Control Adjusurient (01 O ZonaaConttd Adjustment 101 '4.`81ab Edge Insulation -5 Distribution ISTD1 4 - Distribution En North East Point. Total: SIryBpM '4.`81ab Edge Insulation -5 -4 .3 -2 En North East South west SIryBpM •23 .87 .67 .52 St 87 .67 .52 .51 3 .67 .66 Fern Number of Stones or to to or or to to or or to to or or or a ra- more .86 .66 less more .86 , .66 less more .86 .66 less more .86- .66 Less more lass -16 .13 •10 R -value .19 One .9 Two -27 Three -14 -65 -44 14% -4 -3 -2 -1 -14 R-0 -11 0 -16 0 •10 0 .26 5. Infiltration (Duct Air Leakage) -55 R-5 12% 6 -2 4 -1 2 -10 Ducts to Unoonddtoned Space -12 -10 -7 0 R-7 .18 7 -8 4 .31 2 -2 No Du= in Untondatoned Sam 0 -10 3 6. Fenestration Heat Loss -6 •5 -3 -19 -16 -11 -7 -41 •28 10Y. -2 -2 -1 0 -8 -8 .6 -5 .8 U-Vajue .4 .2 .16 -14 -9 -6 -37 Total 1.31 1.21 1.11 1.01 .91 .81 .76 .71 .66 .61 56 .51 .46 .41 .36 .35 Pen:em or to to to to to to to to to to to to to to or Fenestration more 130 1.20 1.10 1.00 .90 .80 .75 70 65 .60 55 .50 45 40 less 50% -100 -76 -69 -62 -55 -48 -41 -38 -34 •31 -27 -24 -m -17 -13 -10 407. -77 -58 -52 -47 •41 -36. -30 -27 -25 -22 -19 -16 -13 -11 -8 .5 35% -66 49 -44 -39 -34 -29 -25 -22 -20 -17 -15 •12 -10 -7 .5 •3 30% -54 -40 -36 -31 .27 -23 .19 -17 -15 -13 -11 4 •6 4 -2 0 My. •50 -36 -32 -28 -25 -21 -17 -15 -13 -11 .9 -7 -5 •3 -1 1 26% -45 -33 •29 -25 -22 -18 .14 .13 .11 -9 .7 -5 -4 -2 0 2 24% 41 -29 -26 -22 -19 -16 -12 -11 � -9 •7 -6 -t -2 .1 1 3 M. -36 -a -22 -19 -16 -13 -10 -8 -7 -5 -4 -2 -1 1 2 4 20% -31 -22 .19 -16 .13 -11 -8 -6 -5 .4 -2 •1 1 2 3 5 18% -27 -18 -16 -13 -11 -8 -6 ' -t -3 -2 -1 1 2 3 4 6 16% -22 -14 -12 -40 -8 •6 -3 •2 -1 - 0 1 2 3 4 6 7 14% -18 -11 -9 -7 -5 .3 -1 0 1 3 4 5 6 7 8 12% -A -7 -6 .4 -2 .1 1 2 3 d 4 5 6 7 8 9 107. .8 4 -2 -1 1 2 3 4 5 5 6 7 8 8 9 10 8%4 0 1 2 3 4 6 6 7 7 8 8 9 9 10 11 7. Fenestration Heat Gain (based on Shade Eftecuveness Rano) 18% -5 -4 .3 -2 En North East South west SIryBpM •23 .87 .67 .52 St 87 .67 .52 .51 .87 .67 S2 .51 .87 .67 .52 .51 .67 .66 Fern or to, to- or or to to or or to to or or to to or or or a ra- more .86 .66 less more .86 , .66 less more .86 .66 less more .86- .66 Less more lass 18% -5 -4 .3 -2 •21 -20 •15 •12 •26 •23 •16 .12 -36 -32 -23 •16 -75 •50 16% -4 -4 .2 -1 •18 -16 .13 •10 .21 .19 .13 .9 -31 -27 -19 -14 -65 -44 14% -4 -3 -2 -1 -14 -13 -11 -8 -16 •14 •10 -7 .26 -23 -16 -11 -55 -38 12% -3 -2 •1 -1 •11 -10 -8 -6 -12 -10 -7 -4 •21 .18 -13 -8 -46 .31 11% -2 -2 •1 0 -10 -9 -7 .6 •10 -6 •5 -3 -19 -16 -11 -7 -41 •28 10Y. -2 -2 -1 0 -8 -8 .6 -5 .8 •7 .4 .2 .16 -14 -9 -6 -37 .25 9% =2 -1 -1 0 -7 -7 -5 -4 -6 .5 .3 -1 •14 -12 -8 -5 -32 •22 8% -1 -1 -1 0 -6 -5 -4 -4 '.4 .4 .2 0 -11 -10 -6 -4 •28 -19 lY. 1 -1 0 0 •5 -4 -4 -3 -3 -3 -1 0 -10 -8 -5 -3 -24 -17 6% •1 -1 0 0 -4 -4 -3 -2 -2 -2 -1 0 -8 -7 -4 -2 -20 -14 5% -1 16 0 0 -3 -3 -2 -2 -2 •1 0 0 .6 •5 -3 •1 -16 •12 4% 0 0 0 ' 0 •2 2 -1 •1 i •1 0 1 -4 -4 •2 0 -12 -10 3%0000-1-1-100001-2.01-9-7 69% 6.0 5.8 0 0 0 .0 0 0 70%, 6.1 5.9 1 1 1 1 0 0 2% 0 0 0 1 0 0 0 0 0 0 1 1 0 10 1 2 4 •5 1% 1 1 1 1 1 1 1 1 0 0 0 0 1 1 1 2 2 -3 -2 0% 1 t 1 1 1 1 1 1 0 0 0 0 3 3 3 3. 0 0 S. Interior Thermal Mass Method A (Slab -on -grade Construction Only) Pmeet One Two Three Eirm4n Story Stones Stones 0 0.00 -3 0 •2 0.20 1 10 2 -2 7 -1 4 •1 20 8 0 0.80 0 10 0 30 14 1 9 1 17 1 . 40 1.40 3 14 2 1.60 1 50 13 4 23 3 14 2 60 19 5 4 3 100% 2 70 13 6 9 4 4 2 8o (SEER x duct efficiency) 6 .5 5 -22 3 90 Effective 9 Sain 6 Sum of 1-6 3 100 Gas 10 Pkg 6 -24 4 -4 +6 Method B HP HP Ica to Slab Floor to Raised Floor Mass 4.9 Stories less -15 Stones +5 /CFA One Two Three One Two Three 0.0 -11 -8 .6 Z8 •1 0 0.1 -10 -7 .6 0 0 0 0.3 -9 -6 -5 1 1 1 0.5 -8 -5 .4 2 2 2. 1.0 -6 -3 .1 4 4 5 1.5 -4 -1 1 6 6 6 ZO -2 2 4 8 8 8 Z5 1 3 5 9 9 9 3.0 3 '6 5 11 10 10 4.0 4 6 7 13 13 13 5.0 4 6 8 14 14 14 6.0 5 7 9 15 15 15 7.0 7 8 10 16 16 16 8.0 8 9 11 18 17 17 9. Exterior Wall Thermal Mass Exterior Single- Single- Wall Family Family Mass Detached Attached Muni Family 0.00 0 0 0 0.20 3 3 2 0.40 7 5 4 0.60 9 8 6 0.80 12 10 7 1.00 14 12 9 1.20 17 13 10 1.40 18 14 11 1.60 21 17 13 1.80 23 18 14 2.00 24 19 14 10. Heating -System Houses With Ducts (R4.2) Sum of 1.6 Gas Split Pkg -25 •24 -14 -4 AFUE HP HP or to to to HSPF wsPF less -15 •5 +5 +6 to +15 16 or more 78Y. 6.8 6.6 0 0 0 0 0 0 BOY. 7.0 6.8 1 1 1 1. 0 0 85% 7.4 7.2, 5 4 3 2 2 1 90% 7.8 7.6 8 7 5 4 3 1 950% 8.3 8.0 11 9 7 5 4 2 100% 8.7 8.5 13 11 9 7 4 2 0 (SEER x duct efficiency) Effective AFUE or HSPF .5 Eh SEER -22 (AFUE or HSPF x duet efficiency) Sum of 7.9 Effective 8 6 Sain PcKg Sum of 1-6 -24 to .14 to Gas Spin Pkg -25 -24 -14 -4 +6 16 AFUE HP HP or to to to to or 4.9 KW KW less -15 •5 +5 +15 more One Story House 5.8 •16 -13 •9 -6 -2 33% Z9 Z8 -62- '-S3 -6 44 -34 -25 -16 4011. 3.5 3.4 -40 -34 -28 -22 -16 -10 5011. 4.4 4.2 -19 -16 -13 -10 -7 -5 60% 5.2 5.1 -4 -4 -3 •2 •2 -1 64% 5.6 5.4 0 0 0 0 0. 0 70% 6.1 5.9 6 5 4 3 2 1 BOY. 7.0 6.8 13 11 9 7 5 3 90% 7.8 7.6 19 16 13 11 8 5 10e% 8.7 8.5 24 20 17 13 10 6 Two or Three story House 5.0 4.9 33% Z9 ZS -69 -S8 48 -37 -26 -15 40% 3.5 3.4 -46 •39 -32 -24 •17 -10 50% 4.4 4.2 -24 -20 -16 •13 -9 -5 60% 5.2 5.1 -9 -8 -6 -5 -3 .2 69% 6.0 5.8 0 0 0 .0 0 0 70%, 6.1 5.9 1 1 1 1 0 0 80% 7.0 6.8 9 8 6 .5 3 2 901. 7.8 7.6 ' 15 13 10 8 6 '3 100% 8.7 8.5 20 17 14 11 8 4 14 10 Zonal Control Ad)ustmem 3 0 System Type 14.6 20 16 11 7 3 0 Resmance 6 4 3 2 1 0 Other 3 3 2 1 1 0 11. Cooling System Houses With Ducts (R4.2) SEER Sum of 7.9 Son Patg -25 or •24 to -14 to -410 AC AC less -15 -5 +5 +6 to .15 16 or more 10.0 9.7 0 0 0 0 0 0 11.0 10.7 4 3 2 2 1 0 1ZO 11.6 8 6 5 3 1 0 13.0 1Z6 11 9 6 4 2 0 14.0 13.6 ' 13 11 8 5 2 0 15.0 14.6 16 12 9 6 2 0 tan 1 Effective SEER sG5a Al am 0 (SEER x duct efficiency) -9 .5 Eh SEER -22 Sum of 7.9 5 8 6 Sain PcKg -25 or -24 to .14 to -4 to +6 to 16 or AC AC toss -15 -5 .5 .15 more One Story House -7 .2 1158 5.0 4.9 -29 -23 -17 -11 -4 0 6.0 5.8 •16 -13 •9 -6 -2 0 7.0 6.8 -7 -6 -d .3 -1 0 8.0 7.8 -1 0 0 0 0 0 8.1 7.9 0 0 0 0 0 0 9.0 8.7 5 4 3 2 1 0 10.0 9.7 9 7 5 3 1 0 11.0 10.7 12 10 7 4 2 0 1ZO 11.6 15 12 9 6 2 0 13.0 1Z6 18 14 10 6 3 0 14.0 13.6 20 16 11 7 3 0 15.0 14.6 22 17 12 8 3 0 Two or Throe Story House 5.0 4.9 •35 -27 -20 -13 -5 0 6.0 5.8 -21 -17 -12 -8 •3 0 7.0 6.8 -11 A -7 .4 .2 0 8.0 7.8 -4 -3 •2 -1 .1 0 8.7 6.4 0 0 0 0 0 0 9.0 8.7 2 1 1 1 0 0 10.0 9.7 6 5 4 2 1 0 11.0 10.7 10 8 6 4 1 0 1ZO 11.6 13 10 7 5 2 0 13.0 1Z6 16 12 9 6 2 0 14.0 13.6 18 14 10 6 3 0 15.0 14.6 20 16 11 7 3 0 Have Sete Adjustment Nage Size (R2) Subtotal Water Hem Pam Scare lags aw+ 1000 1000 to 1499 .70 •17 .5 .25 •14 1 -ZD -11 •3 -15 -9 .3 -10 a .2 • •5 -3 .1 0 0 0 5 3 1 10 6 2 15 9 3 20 11 3 25 14 4 House She Adjustment House sae (ft] Stmtotal 15M mail Wow Halt g to or Pard Sews 1999 more 30 0 3 -3 0 2 .m 0 2 -15 0 1 -10 0 1 .5 0 0 0 0 0 5 0 0 10 0 1 15 0 1 m 0 •2 25 0 •2 Zonal Control Adjustment Al am .7 -4 -6 All 6 5 4 2 1 0 am 1 5 U. Water Heating -8 .4 1 0.73 6 One Water Heater - No Aum Credlti 2 7 SG75 Al 0.48 -12 Dhntatetin Syu=2 -11 -22 -17 :12 Rami systems water Crtman BMW STD MR Pipe No Titrusr Oeetid Heater Tvoet Zones Faabr 9 POU Irw tan 1 6 sG5a Al am 0 3 1 -9 .5 0 -22 0.63 5 8 6 l 0 5 -3 -15 0.73 8 11 9 0 4 8 SG75 All 0.48 -2 .1 -1 -12 -7 .2 1158 3 6 5 3 -1 4 3 1 am 7 10 8 -1 3 7 SE M 0.87 -2D •12 -17 -41 32 -19 0.83 -17 -0 -13 38 -26 .16 IGS Al am 2 5 3 IE Al 03312 HP 611,13,15 180.7 S .c Adjustment for No Tante landanoo Number ci wam Messrs Water Heater Nos One Two SG50 .2 .5 SG75 .3 -6 SE -5 4 HP .2 .4 Two Water Hemm - No AuzMary Csedlts SG50 Al am .7 -4 -6 -17 -12 -7 am 1 5 3 -8 .4 1 0.73 6 10 8 -2 2 7 SG75 Al 0.48 -12 -0 -11 -22 -17 :12 058 -1 3 0 -11 -6 -1 0.68 6 9 7 -4 1 6 SE Al 0.87 •22 -14 -19. 46 -35 -22 0.93 •16 -7 -12 •39 -3 -15 IG Al am .4 -1 -3 1E Al 0.93 -21 -12 HP 6-11.13.15 .1.80 .1 3 1 -10 4 0 Mandatory Measures Checklist: Residential MF -1R NOTE: Lownse residential buildings subject to the Standards must contain these measures regardless of the compliance 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 shall be considered by all parties as binding minimum component performance specifications for the mandatory measures whether they are shown elsewhere to the documents or on this cheddist only. DESCRIPTION Building Envelope Measures • §150(a): Minimum R-19 ceiling insulation. §150(b): Loose fill insulation manutacturer's labeled R -Value. • §150(c): Minimum R-13 wall insulation in framed walls (does not apply to exterior mass wails). • §150(d): Minimum R-13 raised floor insulation in framed floors: minimum R-8 in concrete raised floors. §150(l): Slab edoe insulation - water absorption rate no greater than 0.3%. water vapor transmission rate no greater than 2.0 pernvinch. §118: Insulation specified or installed meets California Energy Commission Quality standards. indicate type and form. §116-17: Fenestration Products, Exterior Doors and Infiltration/Exfiltration Controls a. Doors and vnncows between conditioned and unconditioned spaces designed to limit air leakage. b. Manufactured fenestration products have label with certified U -value. and infiltration certfieauon. c. Exterior doors ana windows weatherstnpped: all joints and penetrations caulked and seated. §1S0(g): Vapor barriers mandatory in Climate Zones 14 and 16 only. §150(0: Special infiltration barrier installed to comply with §151 meets Commission Quality standards. §150(e): Installation of Fireplaces. Decorative Gas Appliances and Gas Logs 1. Masonry and factory -built fireplaces have: a Closeable metal at glass door b. Outside air intake with damper and control c. Flue damper and control 2. No continuous burning gas pilots allowed. Space Conditioning, Water Heating and Plumbing System Measures §110.13: HVAC eautpment, water heaters. showerheads and faucets certified by the Commission. §150(i): Setback thermostat on all applicable healing systems. §1500): Pipe and Tank Insulation 1. Indirect hot water tanks (e.g., unfired storage tanks or backup solar hot water tanks) have insulation blanket (R-12 or greater) or combined intenoriextenor insuiauon (R-16 or greater). 2. First 5 feet of pipes closest to water heater tank, non -recirculating systems, insulated (R4 or greater). 3. All buried or exposed Piping insulated in recirculating sections of hot water system. 4. Cooling system piping oetow 55OF insulated. S. Piping insulated between heating source and indirect hot water tank. • §150(m): Ducts and Fans 1. Ducts concocted, installed and seated to comply with UMC Sections 1002 and 1004: duan insulated to a minimum installed value of R-4.2 or outs enrioseo entirely within conditioned space. 2. Exhaust tan systems nave oackdrah or automatic dampers 3. Gravity ventilating systems servino conditioneo space have either automitic or feadily accessible. manually operated campers.. §114: Pool and Spa Heating Systems and Equipment 1. System is certifies with 78% thermal efficiency, on-off switch, weatherproof operating instructions. no electric resistance heating and no Pilot light. 2. System is instaileo with: a. At least 36' Pipe oetween filter and heater for future solar heating. b. Cover for outcoor pools or outdoor spa. 3. Pool system nas arectionai inlets and a circulation pump time switch. §115: Gas- fireo contra, furnace, pool neater, spa neater or housenold cooking appliance have no continuously curing pilot light. ( Exception: Non-etearical cooking appliance with pilot < 150 Btwhr.) Lighting Measures §I50(k): 40 lumenswar, or greater for general lighting in kitchens and rooms with water doses: and recessed ceinno fixtures iC (insuiavon coven approved. DESIGNER I ENFORCEMENT COMPUANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to compy-with Title 24, Parts 1 and 6, of the California Code of Regulations, and the administrative regulations to implement them. This certificate teas been signed by the individual with overall design responsibility. When this certificate of compliance is submitted for a single building plan to be built in multiple orientations, arty shading feature that is varied is indicated in the Special Features/Remarks section Designer or Owner (per Btusineaa a Professions code) Name: Title/Firm: Address: Telephone: Lie. e: (Signature) (date) Enforcement Agency Name: Tide: Agency: Telephone: isignaturerstamp) (gate) Documentation Author. Title/Firm: Address: Telephone: �A 1-7-3-0-93 (signature) It (dam) Certificate of Compliance: Resi4entixl TIUe Address Documentation Author Telephone Climate Zone 11 93-Z ( 03 Build' Z Permit it P IL 7-12--58 Checked By/ Date Enforcentent AfteacY Use ONv BUILDING DATA Area Type Interior Area % Conditioned Floor Area Do 9 Number of Stories Number North Z [_r ST&W 4#7 Slab/Raised FloorEast Of .Units South Mat.. Single Family Detached (SFD) Single Family Attached (SFA) [ ] Addition Alone L J Nzisting Building West Z 2.7 East41T/.• Skylight 0 [ ] Multi -Family (MF) [ ] Existing -Plus -Addition Total J 72__ B MIXING SHELL INSULATION Component Insulation LocatrioNComraerits Type R -Value (attle, to &waage, tvpi2aL ete.j FENESTRATION Shading Devices -Eenestration Area Type Interior Exterior Overhang Framing Type Orientation (SO (single, double) (roller blind, etc.) (shade=vm etc.) (yes/tto) (metaVwood) North ( ) $Z De ti Mat.. North ( ) /O - - East41T/.• East ( ) South South ( ) West ( ) West ( ) tatll"iF Crxjmw ' Skylight....... dip ^� THERMAL MASS WILDING DEpARTIMIENNI Type/Covering Area Thickness HVAC SYSTEMS Minimum Duct Type (furnace. air Efficiency Location conditioner.heetvntnn) (AFUE,SEER.HSPF) (attic -etc.) L /O - Duct R -Value 1I� Thermostat Tyne SIETalfGIL Heat Pump (sRlit or kg) PILI IIOT NATER SYSTEMS Tank R Value Svstem T (storage gas. etc.) Capacity Number Energy Factor Ext- Tank Tris _ T)i qtr; hr,r; g,., 1 D� _� � a D 'Z.ir � �► SPECIAL FEATURES/REMARKS