HomeMy WebLinkAbout026-135-004A.P. 26-135-4
�MEL�VIMN'-'O-."-FOWLEI�-',171P:,-
--------------- ----
.� 2454 Esperanza.Ave., Palermo
Permit 116`2-73B E
i26-135-4
�P6
ermit #547-7.7B(freestanding wood
/S __-
i )
eater F ,
26-135-4
Permit ��3197-78B,P,E(add family room
& utility room/SF)� _ _ A�
FOWLER, MELVIN
2454 ESPERANZA, PALERM6
Cont: OWNER r
;: f1�1
ADD OFFICE &PORCH/SF
9
Mr
d3R, M21vin
?74-74M( ea ;
-135-J
2454 Esperanaa Ave., Palermo
(r exhodel)cr� �- / 0-'7 j/ �e Q. I - 7y
I �
CERTIFICATE OF MERGER
AP 026-135-004 LOTS 17, 18, 19
& 20
MELVIN.FOWLER
13.
J=OK
0 = Not OK
. = Not Readyable
1.
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
3.
1.
Zoning Requirements -Setbacks -Easements ,
Wood Awn.; Posts- Beams- Rftrs-Connectors
Shthg-Frg-Bracing,
2.
Soils; Special MH Support Sketch
6.
3.
Sewer; Location -Test -Fall -C/O -Concrete '
Electric'
4.
Water; Location -Test -Easement Needed (Sketch)
9.
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
Roof; Shthg-Roofing
6.
Gas; Location -Test -Wrap;'/ P' L.'ft.
/ P Nat. or/ P'. L"`ft./ P LPG
12.
7.
Well Clearance & Disconnect
8.
Utility'Clearance
8.
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosures- Panelboards-Ins. to Main Conduit
9.
Health Department Approval
Date
10.
Card B-1 Date Card B-1
Date
11.
Card B-1 Date Card B-1
Date
MOBILE'HOME INSTALLATION (Plans) OK except #'s
Enclosure; Fencing -Alarms
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Size -Spacing -Marriage Line
Card B-1 Date Card B-1
3.
Gas; MH Test -Demand -Valve -Connector.
Card B-1 Date Card B-1
4.
Electricity; MH Test -Crossovers -Breakers -Clearances
5.
Drain; MH Test -Fall -Flex Connector
6.
Water; MH Test -Regulator -Connector
7.
Water and Sewer Connected -C/O to Grade -HD Approval
8.
Gas and Electricity Tagged
9.
Tie Downs -Type -Installation Cert.
10.
Exits; Insp.-Sketch
11.
Cert. of Occupancy -
Date
Card B-1 Date Card B-1
Date
Card B=1 Date Card B-1
Date
PERMANENT END SYSTEM (ONLY)
1.
Zoning Requirements -Setbacks -Easements'
2.
Footings; Size -Spacing -Marriage Line
3.
Blocking
4.
Gas; MH Test -Demand -Valve
5.
Electricity; MH Test
6.
Water; MH Test
7.
Water and Sewer Connected
8.
Gas and Electricity Tagged
9.
Exits.
10.
License Decals
11.
Verify #'s with Office
Date
Card B-1 Date Card B-1
Date
Card B-1 Date. Card B-1
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS; GARAGES (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3.
Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails'
4.
Wood Awn.; Posts- Beams- Rftrs-Connectors
Shthg-Frg-Bracing,
5.
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6.
Carports; Windows -Doors
7.
Electric'
8.
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9.
Siding; Nailing -Veneer -Stucco -Mesh
10.
Roof; Shthg-Roofing
11.
Ext.; Steps -Doors -Landings
12.
Braced Wall Panels
Date
Card B-1 Date' -Card B-1
Date
Card B-1 Date Card'B-1
Date
POOLS (Plans) OK except #'s
1.
Setbacks -Easements
2.
Soils; Compaction -Structure Stability
3.
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4.
Elec.; Receptacles and Lighting, Distance-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 Conduit
9.
Health Department Approval
10.
Plumb.;. Cir. Test -Water Supply Test
11.
Light Niche
12.
Enclosure; Fencing -Alarms
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
J=OK
0 = Not OK
- = Not Applicable
. = Not Ready
RESIDENTIAL (Single & Duplex)
Date
U
D LOOR (Plans) OK except #'s
Zoni -Setbacks-Easements-Flood-Slope
Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
47.
3.
4.
5.
Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth
Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
Stemwalls, Main; Steel -Blockouts-Wrapped
48.
6.
Stemwalls, Garage; Steel-Blockouts-Wrapped
49.
6a.
Hold Downs and Special Anchors
50.
7.
Slab, Steel -Wrapped
51.
8.
Piers -Fireplace Ftg.-Steel
52.
9.
D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
53.
10.
UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
54.
11.
Water Pipe; Test -Anchors -Regulator -Service Test
55.
12.
Electric Underground
56.
13.
Plenums & Ducts; Clearance -Material -Support -Ins.
57.
14.
Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
58.
15.
Access & Ventilation
59.
16.
Insulation
60.
Shear Walls; Nailing -Bolts
Date
Brace Interior/Exterior Wall Panels
Card B-1 Date Card B-1
Date
Insulation -Walls -Ceilings
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
Date
17.
Water Htr.; Vent -Access -Combustion Air Baffle
Date
18.
Water Pipe; Test & Anchor -Nail Protection
Date
19.
D.W.V.; Test Fittings & Anchor -Nail Protection
64.
20.
Shower Pan; Test, First Floor -Tub Access
65.
21.
Test Tub & Shower, Second Floor -Tub Access
66.
22.
Gas Pipe; Sixe & Anchors
67.
23.
Fire Sprinkler; Test
68.
G.F.I. & Bath Fixtures & Tub Access -Spa
Date
Elec. Trim & Subpanel, Breaker Sizes & Labels
Card B-1 Date Card B-1
Date
Stairs & Rails
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
24.
Fixture & Transformer Clearance -Ins. Protection
25.
Elec. Receptacles Spacing -Lights & Switches at Doors
26.
Size Boxes & No. of Conductors Stapled
27.
Romex Installed Close to Edge of Studs & C.J.
28.
Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
29.
2 Appliance Circuits in Kitchen & Conductor Size GFI
30.
Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al
31.
Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al
Insulated Neutral ❑ Yes ❑ No
32.
Service -Riser Conductors & Ground Main Disconnect
33.
Equip. Clearances Panels-Motors-Mech. Equip.
34.
Clothes Closet Light -Shower Light -Spa Light
_
35.
Smoke Detector
83.
Following Instld./Drive O Yes ❑ No/Walks O Yes 0 No/Planters ❑ Yes ❑ No
Date
84.
Card B-1 Date Card B-1
Date
85.
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
36.
A.C. Ducts Insulation & Support
Water Well, Disconnect, Electrical, Plumbing
37.
Vent Fan, Exhaust above insulation
Exterior Elec. Trim, G.F.I. Receptacle -Underground
38.
Condensate Drain & Overflow, Size & Grade
Ventilation Throughout House
39.
Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
Glass Protection
40.
Attic Access & Platform if Furnace in Attic
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
94.
41.
Sills Proper Materials & Anchors
95.
42.
Walls Studs -Nailing Spacing & Braces -Plates -Sound
96.
43.
Bearing Walls over Girders & Floor Nailing
44.
Draft Stop in Walls (rat proof)
45.
Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
46.
Headers & Beams -Size & Bearing
Date
FRAMING (Continued)
47.
Hangers -Post Caps -Anchors -Connectors
48.
Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng.
49.
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
50.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
51.
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
52.
Garage Fire Protection Framing -RC Channel
53.
Property Line Firewall & Openings
54.
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
55.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
56.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
57.
Siding -Nailing Veneer
58.
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
59.
Glazing Area -Glass Protection -Skylights -Plastic
60.
Shear Walls; Nailing -Bolts
61.
Brace Interior/Exterior Wall Panels
62.
Insulation -Walls -Ceilings
63.
Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
64.
Ext. Steps -Door & Sidelight Protection -Landings
65.
Smoke Detector
66.
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
67.
Bedroom Exiting
68.
G.F.I. & Bath Fixtures & Tub Access -Spa
69.
Elec. Trim & Subpanel, Breaker Sizes & Labels
70.
Stairs & Rails
71.
Fireplace or Stove, Clearance -Hearth
72.
Elec. Outlets at Wood Panel, Int. & Ext.
73.
Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
74.
Elec. Outlets & Receptacles at Kit. Counter
75.
Garage Fire Door; Swing -Landing -Closure
76.
A.C. Duct in Garage -Damper
77.
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
78.
Plb.; Elec. & Mech. Equip. Listed for Location
79.
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
80.
Insulation -Foam -Looked in Attic
81.
Guard Rails & Deck Construction -Post Caps
82.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
_
Clearance Looked under Floor ❑ Yes
83.
Following Instld./Drive O Yes ❑ No/Walks O Yes 0 No/Planters ❑ Yes ❑ No
84.
Stucco Brown -Finish
85.
A.C. Unit Disconnect, Electrical -Plumbing
86.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87.
Water Well, Disconnect, Electrical, Plumbing
88.
Exterior Elec. Trim, G.F.I. Receptacle -Underground
89.
Ventilation Throughout House
90.
Glass Protection
91.
Corrections from Previous Inspections
92.
Gas Test -Meters Tagged, Gas -Electric
93.
Water & Sewer Connected -C/O to Grade -HD Approval
94.
Energy Compliance Certificate -Other Certificates
95.
Address Posted
96.
Fire Sprinkler
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:
BUTTE COUNTY.`
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #:. (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541 FAX#: (530)538-2140
WEBSITE: www.buttecounty.netldds
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penally 'of perjury that I am licensed under
provisions of Chapter•9 (commencing with Section 7000) of Division 3 of
the Business and Professions. Code; and my license is in full force and
effect.
License Class:' License Number:
Date: Contractor:.
OWNER43UILDER DECLARATION
I Pereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions. Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior
to its issuance, also requires .the applicant for such permit to file a
signed statement that he or she is licensed pursuant to the provisions of
the Contractor's State License Law (Chapter 9 commencing with Section
7000) of Division 3 of the Business and Professions. Code) or that he or
she is exempt therefrom and the basis for the alleged exemption. Any
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of nofmore than five hundred dollars ($500).):
Ell I, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
-Code: The Contractors' State License Law does not apply to an
owner of property who builds or improves thereon, and who does
such work himself or herself or through his or her own employees,
provided that such improvements are not intended or offered for
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
proving that he or did not build or improve for the purpose of
sale.).
❑ 1, as owner of the property, am exclusively contracting with
licensed contractors to.construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License'Law does
not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
❑ I am Exempt under Article'3 of
ffftthe Business and Professions Code
Date:
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a•certificate of consent to self -insure for
workers' compensation,_ as provided for by Section 3700 of the
.Labor Code, for the performance of the work for which this permit
is issued.
❑ I have and will maintain workers' compensation insurance, as
required by -Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier.
Policy #:
I
certify that in the performance of the work for which this permit is
issued, I shall not employ any person in any manner so as to
become subject to the workers' compensation laws of California,
and agree that if I should become subject to the workers'
1 compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Date:
Applicant: X/ .
WARNING: Failure to secure workers' compensation coverage is'
unlawful, and shall subject an employer to criminal penalties and one
PERMIT NO., -
BP041982
Issued Date: 11/22/2004 APN: 026-135-004-000
Site Address: 2454 ESPERANZA AVE PAL
Map Index:
Description: ADD OFFICE(168)COV(150)
Owner: FOWLER, MELVIN
2454 ESPERANZA
PALERMO, CA
95968
Applicant: COLEMAN, TOM.
530-873-0118
Contractor:.
License #:
Architect:
Engineer:
Total Square Ft: 318 S. F.
Valuation: $13,320.00
Census Code:
hundred. thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section. 3706 of the Labor
code, interest, and attorney's fees.
• 4-t���53 � �5�, 35 %%/0(04
CONSTRUCTION'LENDING AGENCY This permit Is hereby issued under the applicable provisions of the Butte County Coda ?nrvor
I hereby affirm that there is a construction lending agency for the Resolutions )o do work indicated above for which fees have been paid.
performance of the work for which this permit is issued (Sec 3097 Civ:) _ : k�
Name: By Data:
PER �TE PIRES ON: (( d 5
Address: Date
❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safely Code, which regulate the storage,
-handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.'
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is'correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte,County: I hereby.
authorize representatives of Butte County to enter upon tfie above mentioned property for inspection pu0e `
Print Name: / Signaturef
Date::
ner EJ Contractor ❑Agent for Owner - ' 0 Agent for Contractor
.a
A
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541 FAX#: (530)538-2140
WEBSITE: www.buttecounty.netWils
PERMIT NO.
BP041982
-LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty. of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
Issued Date• 11/22/2004 APN: 026-135-004-000
the Business and Professions Code, and my license is in full force and
effect.
License Class: License Number:
Site Address: 2454 ESPERANZA AVE PAL _
Date: Contractor.
Map Index: -
Description: ADD OFFICE(168)COV(150)
OWNER -BUILDER DECLARATION
I pereby affirm under penalty of perjury that I. am exempt from the
Contractors' State. License Law for the following reason (Sec. 7031.5
Business and Professions. Code: Any city or county which requires a
permit to construct, after, improve, demolish, or repair any structure, prior
Owner: FOWLER, MELVIN
to its issuance, also requires the applicant for such permit to file a
2454 ESPERANZA
signed statement that he or she is licensed pursuant to the provisions of
the Contractor's State License Law (Chapter 9 commencing with Section ,
PALERMO, CA
7000) of Division.3 of the Business and Professions Code) or that he or
95968
she is exempt therefrom and the basis for the alleged exemption. Any
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
01/11--s , owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Applicant: TOM
Code:' The Contractors' State License Law does not apply to an
.COLEMAN,
owner of property who builds or improves. thereon, and who does
such work,himself or herself or through his or, her own employees,
provided that such improvements are not intended or offered for
sale. If however, the building or improvements. are sold within one
year of completion, the owner -builder will have the burden of
rJ30-8%3-0118
proving that he or she did not build or improve for the purpose of
.
sale.).
❑ 1, as' owner ofthe property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code..,The Contractors' State License Law does
Contractor:.
not apply to an owner of�property who builds or improves thereon,
and who contracts for such projects" with a contractors) licensed
-pursuant to the Contractors' State License Law.).
❑ I am Exempt under Article 3 of the Business and Professions Code
Date: Owner:
License #-
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to self -insure for
workers' compensation, as provided for by Section 3700 of the
Labor Code, for the performance of the work for which this permit
Architect:
is issued.
❑ 1 have and will maintain workers' compensation insurance, as
Engineer:
required by -Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carer:
Total Square Ft: 318 S. F.
Policy #:
Valuation: $13,320.00
Census Code:
I rtify that in the performance of the work for which this permit is
issued, 1 shall not employ any person in any manner so as to
become subject to the workers' compensation laws of California,
and agree that if. I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Date: -
Applicant:
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorneys fees.
4`0:2,753 35 7/ro�o4
CONSTRUCTION LENDING AGENCY
This permit is hereby issued under the applicable provisions of the Butte County Code 'arnUor .
I hereby affirm that there is a construction•"lending agency for the
Resolutions o do work indicated above for which fees have been paid. ,
performance of the work for which this permit is issued (Sec 3097 Civ.)
By Date:
Name:
PER IRES ON: l (• ❑ � • b 5
Address:
Date
❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application; that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspection pu e
/. r
Print Name: Signatur t
Date:
er ❑ Contractor O ,Agent for Owner ❑ Agent for Contractor
.BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT,SERVICES
BUILDING PERMIT APPLICATION
° AND SUBMITTAL REQUIREMENTS
o ' 24 HOUR. INSPECTION#: OROVILLE- (530) 538-7636 • CHICO: (530) 891=2834:
,.. OFFICE #: (53.0) 538-7541
A, FEE WILL, BE REQUIRED AT TIME OF APPLICATION
LOCATION .
-Property Addr ss r
4154,
�s e�
Cross Street r
WORKER'S COMPENSATION
Policy Number
Carrier
If hiring anyone other than license contractors, a certificate of worker's, -
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
APPLICANT SIGNATURE
X
For office use only.,
OVER FOR: SUBMITTAL REQUIREMENTS
K:\FORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 1 of 2 REV 4-30-04
Descrip
"Zoning.
Flood'Zone Yes
Occ.,
T e Const.
Subdivision, Name>
,Map Book,'.
Page
Lot #
Planner
REQUEST FOR REFUNDS
Date Approved:
OVER FOR: SUBMITTAL REQUIREMENTS
K:\FORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 1 of 2 REV 4-30-04
Descrip
'on or cope of rl�
Sq. Footage
5b
9—Structure Built with ut Permits
❑ Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
required.
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid'the fee. The request must be made prior to -the expiration of the,
permit and no construction work has been done. Filing fees, plan.
check fees. for work plan checked and other department costs.are not
refundable.
Received byAmount O-�`•�� Bldg
SRA .
Receipt #: l`ls Sheriff
• SMIP
Other
Date:
�S J -IDU Total
SUBMITTAL REQUIREMENTS
The.following drawings and specifications must be submitted to the Building Division in order to apply
for a:permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE
LEGIBLE AND IN INK.
Residential, New, Remodels, Additions, and Accessory Structures:
❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER!
❑ 2. 3 Complete sets of plans,; signed by the preparer. NO GRAPH PAPER!
o 3. 3 Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed
calculations.. ,
❑ 4. 2 Engineered truss details and layouts (if required) (NO FAXES!). '
❑ 5. Letter from Engineer or Architect for truss design review..
❑ 6. 2' Energy compliance design and supporting documentation. (Note: Not required for additions to
mobile or modular homes.)
❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required).
❑ 8. Detached Accessory Building Form, filled out by the property owner (if required).
❑ 9. Sanitation and site plan approval from the Environmental Health Department.
❑ 10. Metal Buildings: (A) Metal Bldg Plans,, (B) Fnd plans and calcs in triplicate, (C) Elevations in
triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed b tengineer.
Mobile, Manufactured, or Modular Homes:
❑ 1. 3 Site Plans, signed by the preparer. NO .GRAPHPAPER!
❑ 2. 2 Data sheets and installation mi struction,manual.
❑ 3. 2 Marriage line.information.
❑ 4. 2 -Floor -plans.
❑ 5. 2 Engineered Tie Downs or Foundation plans;
❑ 6. Sanitation and site, plan approval from.the Environmental Health Department.
1:17. 2 Flood Elevation Certificate, wet -stamped. and. signed (if required).
Commercial, New, Additions and Remodels:
❑ 1. 4 Site Plans, signed by the preparer. NO: GRAPHPAPER!
❑ 2. 4 Engineered plans with wet signature ori plans AND.2 sets of stamped and signed calculations,
with code analysis.
❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!).
❑ 4. Letter from Engineer or Architect for truss design review.
❑ 5. 2 Energy compliance design and supporting documentation (if required).
❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required).
❑ 7. Statement of Intent for Non -heated and A/C (if required).
❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in
triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer.
❑ 9. Letter of intent.
❑ 10. Hazardous Material Form.
❑ 11. Sanitation and site plan approval from the Environmental Health Department.
If you have questions or would like additional information regarding this process, contact a Permit
Application Assistant at (530) 538-7541.
OVER FOR BUILDING PERMIT APPLICATION
KAFORMSWILDING F0RMS\BIdgApp1SubRgmts.doc Page 2 of 2 REV 4-30-04
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140
(Q/ PERMIT APPLICATION DATA SHEET /�ll
OWNER: �`'� ASSESSOR PARCEL NUMBER�
Proposed Building Use: Counter Technician. Date: &
Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply.
p� T-
1. Site plans, 3 or 4 sets, signed by the preparer of the plans.
2. Complete plans, 3 or 4 sets, signed by the preparer.of the plans.
❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ z4. Engineered truss details and layouts in duplicate. No faxesl ,
5. Letter from Engineer or Architect for truss design review.
6. Energy compliance design and supporting documentation in duplicate. %.lu�
7. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. 'J
❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or find plans, all in
duplicate.
❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these
must be stamped and wet -signed by the engineer.
❑, 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate
_01-11. Site plan and business license approval from the City of Biggs
❑ 12. Letter of intent for non-residential buildings
❑ 13. Detached Accessory Building Form filled out by the owner
❑ 14. Hazardous Material Form
15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico La'crroville, as applicable.
16. Other
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
❑ ':1.7. Fire Sprinklers............................................................................................
❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by
❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........
❑ / 20. Erosion Control Plan Required........................................................................ ........
21. Fees as shown on the attached Schedule of Fees Due Sheet ..............................
❑ 22. City of Chico Plumbing permit........................................................................
❑ // 23. California Department of Forestry plan approval ❑ paid. Sent by:
-�� 24. Planning approval (A) Use: __,-�B)Parking: -(C) Parcel Check:
❑ 25. Contact Land Development about _ Improvements, _ Drainage .........................
26. NPDES Form.............................................................................................
❑ 27. Encroachment Permit for driveway from the Public Works Dept ...........................
❑ 28. Pre -Inspection for required.......
❑ 29. Contractor's license information. (Number, Name Style, Classification) ...................
o -/ 30. Worker's Compensation Carrier and Policy Number ..........................................
31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) .....................
❑ 32. Letter of Signature authorization....................................................................
❑ 33. Recorded copy of Agricultural Acknowledgment Statement .................................
❑ 34. Manufactured home utility clearance...............................................................
❑ 35. Existing violations and/or expired permits ....................................... I.................
Cl36. Deed Restriction.........................................................................................
❑ 37. 13Grant Deed, ElM.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $
❑ 38. Other: Mpg
❑ 39. Other:
When issued Telephone - and hold for pickup.
I have been informed of the above item and requirements for obtaining a building permit.
1. Index
2. Additi
Plans reviewed by:
Structural reviewed by:
Note transfer by:
for the above items
Date: ;7, �^ a 4
Plan Check Letter
was advised of the above data by one, ❑ mail, ❑ counter, by Date: o
�as advised of the ove to �y t� phone, ❑ mail, ❑ coun r y ate: J
(_Date C3 Plans approved by: Date
Date: Structural approved by: Date:
Yellow: Building Division
�c � or
TO: Building Department
FROM: Environmental Health
.SUBJECT: Sanitation Clearance
0LAj1j 2q�L)
Owner Location AP#
Plan Approvedfor: Sewage Disposal` Water Supply:- P b1i� Private Well
Clearance for � dwelling. Other%Q rA U/IC it)(
Hold final for:
Final clearance O.K. for:
NOTE:
J 2
Adl Health Specialist Date
8196
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541
SCHEDULE OF RECEIPT OF FEES
OWNER ,f;
PROPROSED BUILDING USE
1. BUILDING PERMIT FEES
--- Balance Due ..................... $
--- Additional Fees Due........... $
--- Revised Plan Checking Fee.... $
2. SCHOOL DISTRICT FEES I LP
(paid at School District Office) (form available after Plan heck
3. SHERIFF FEES (paid at Building Division)
Residential............ X $360.00 =$
Units
Commercial (sq. ftg.)..... X $0.03 = $
Sq.Ftg.
4. URBAN AREA FEES
Residential (per unit)..... X .
# Units Amt.'
Commercial (Sq. Ftg.).... X
A.P. # O
DATE
RECEIPT # DATE REC.
(paid at Building Division)
=e
=0.
5. RECREATION DISTRICT FEES
(paid at Recreation District Office) (form available after Plan Check)
6. THERMALITO DRAINAGE DISTRICT FEES
$510.00 (paid at Building Division)
7. SRA FIRE INSPECTION AND PLAN CHECK FEE
$89.00 (paid at Building Division)
8. WATER TENDER FEES BATTALION #
$200.00 (paid at Building Division)
9. NORTH CHICO SPECIFIC PLAN (paid at Building Division)
Residential Zone X = $
Zone # Units Amt.
Commercial (sq. ftg.) ......... X = $
Sq. Ftg. Amt.
10. OTHER
At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees
may be changed during the plan checking process.
DATE /
Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You
have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a
protest are specified in Government Code Section 66020(a).
Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003)
School District
A.P. Number
Property Owner
BUTTE COUNTY SCHOOLS IMPACT FEE:CERTIFICATION FORM
(Orae forir -Per Building)
)e:partment of Pub lc_Works
C.ounty of B.Utte -
iael Crurnp, Director LAND DEVELOPMENT DIVISION
Storm Water Management Program
7 County Center Drive
Oroville, CA 95965
National Pollutant Dli
ischarge. Elimination System (NPDES)' Phase' II
Construction, Storm Mater Permit and Storm Water Pollution' Prevention
Plan (SWPPP) 'Acknowledgement . [LESS THAN I ACREI
Pro jeet.Description: ,?
Project Location and/or Parcel Number:
By signing below, I; the project owner/owner's agent, certify that this project WILL NOT DISTURB -
1 acre or more of land and that I; therefore, do not need to apply for a Construction Storm Water Permit "
from the State, of California Regional Water Quality Control Board. Phased projects 'that contain'
multiple site build -outs of less than, one acre but when combined with subsequent phases total more
thanone acre of disturbed: soil will require a Construction Storm Water Pen7iit .from' the State of
California Regional Water Quality Control Board: -
I am..aware that submitting false and/or inaccurate information or failure to applyfor a Construction
Storm. Water .Permit -from- the State of California Regional Water Quality Control .Board for a project
that disturbs one sere. or more of land may result in revocation, of grading and/or other permits or other. '
sanctions provided by law.
Signed: �.
Title:
Dater-- �- -��-f
Less than LAcre NPDES & SWPPP Compliance, Certification
Butte County Storm Water Management Program
,Revised 5/34/04
O"ER-BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your signature.
Please complete and returnthis 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' NO ❑
2. I HAVE_&:"'iIAVE NOT ❑ signed an application for a building permit for the proposed work.
3.1 I have contracted with the following person (firm) to provide the proposed construction:
NAME
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
4. I'plan to provide portions of this work, but I have hired the following person to coordinate,
supervises and'provide the major work:
NAME:
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
5. I will provide some of the work but I have contracted (hired) the following persons to provide
the work indicated:
NAME'. ADDRESS PHONE TYPE OF WORK
..OP ER SOCIAL SECURITY N��ER-
i•
NOTE: This Owner -Builder Verification is required by, Section 19831 and 19832 of the
California Health and Safety Code. This verification must be completed and
returned to our office before we are permitted to issue the permit
OVER
OWNER BUILDER INFORMATION
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of property
improvements specified.
For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such
a permit. Building permits are not required to be signed by property owners unless they are personally performing their
own work. If your work is being performed by someone other than yourself, you may protect yourself from possible
liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business
license from the city or county. They are also required by law to put their license number on all permits for which they
apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should
be aware of the following information for your benefit and protection:
♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials
and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or
subcontractors, then you may be an employer.
0 If you are an employer, you must register with the State and Federal Governments as an employer and you are
subject to several obligations including state and federal income tax withholding, federal social security taxes,
workers compensation insurance, disability insurance costs, and unemployment compensation contributions.
♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious
with respect to worker's compensation insurance.
♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and,
if you wish, the U.S. Small Business Administration). For more specific information about your obligations under
State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their
work personally or through their own employees, without a licensed contractor or subcontractor, only under limited
conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building
permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building
permits are not required to be signed by property owners unless they are performing their own work personally.
Information about licensed contractors may be obtained by contracting the Contractors State License Board in your
community or at 1020 N Street, Sacramento, CA. 95814.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you
are aware of these matters. The building permit will not be issued until the verification is returned.
rely,
Mic el C. Vi ira, C.B.O.
M ger, Building Inspection
NOTE. This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code.
OVER
flub.
C;L� 6c 1 N G �
6 �i
Aoxia.
Fot-Q 0t
BUTTE
COUNTY
JUL 0 7 M
SERWCFS
�y
CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 1 CF -1R -
Project Title........... Fowler EXIST.+,ADDITION Date -08/30/04-17:0.3:16
Project Address........ 2454 Esperanza *******
Palermo, California *v6.01*
Documentation Author.... Donna Wallace *******
Climate Zone:.........
Compliance Method.....
399 East 9th Avenue.
Chico, CA 95926
530-893-4982
11'
MICROPAS6 v6.01 for 2001 Standards by Enercomp, Inc.
MICROPAS6 v6.01 File-FOWLER2 Wth-CTZ11S92 Program -FORM CF -1R
User#-MP0995 User- Run -Fowler EXIST.+ ADDITION
GENERAL INFORMATION
Conditioned Floor
Area..... 1393 sf
Building.
Permit -
P an
C ec
Date
Fie
C ec
Date
MICROPAS6 v6.01 File-FOWLER2 Wth-CTZ11S92 Program -FORM CF -1R
User#-MP0995 User- Run -Fowler EXIST.+ ADDITION
GENERAL INFORMATION
Conditioned Floor
Area..... 1393 sf
Building
Type ..............
Single Family Detached
;
Construction
Type
.........
•Existing Plus Addition
'
Building
Front Orientation.
Front Facing 180 deg (S)
Number of..Dwelling
Units...
1
Number of
Stories.......
.. 1
Floor Construction
Type`....
Raised Floor
Glazing
Percentage.........
15.7 % of'.floor area
Average
Glazing U -factor....
0.58 Btu/hr-sf-F
Average
Glazing SHGC.......
0.65
Average
Ceiling Height...:..
8 ft
BUILDING
SHELL.INSULATION
Component
Frame
Cavity
Sheathing Total. Assembly
Type
Type
R -value
R -value
R -value U -factor Location/Comments
Wall
Wood
R-13
R-0
R-13 0.088 Existing, Addition
Door
n/a
R-0
R-n/a
R-0 0.330 Entry
Roof
Wood
R-11
R-8
R-19 0.047 Existing,
Roof
Wood'
R-11
R=27
R-38 0.025 Addition -
Floor
Wood
R-0
R-0
R-0 . 0.097 Existing
$labEdge'
n/a
R-0
R-n/a
F2=0.760 to Outside
S1abEdge
n/a
R=0
-R-n/&
F2=0.510 to Crawlspace
FENESTRATION
over -
Area
U-
Interior Exterior
hang/
Orientation
(sf)
Factor
SHGC Shading Shading
Fins
Window
Front (S)
24.0
0.600
0.650 Standard Standard
None
Window
Front (S)
16.0
0.60 0
0.650 Standard Standard
None
Door
Left (W)
40.0
0.550
0.650 Standard Standard
None
.Window
Left (W)
12.0
0.600
0.650 Standard Standard
None
Window
Left (W)
15.0
0.600
0.650 Standard Standard
None
Door
Back (N)
40.0
0.550
0.650 Standard Standard
None
Window
Right,.:(E)
24.0
0.600
0.650 Standard Standard
None
Window
Right '(E)
32.0.0.600
0.650 Standard Standard
None
Window
Right (E)
16.0
0:6.00
0.650 Standarrhm
None
D1 DEPARTM
APPROVED
CERTIFICATE OF
COMPLIANCE: RESIDENTIAL'
Page 2-
CF -1R
Project Tit.le:,.......... Fowler EXIST.+ ADDITION
Date..08/30/04
17:03:16
MICROPAS6 v6.0.1 File-FOWLER2. Wth-CTZ11S92 Program-FORM'CF-1R
User#-MP0995 User'- Run -Fowler EXIST.+ ADDITION -
SLAB SURFACES
Area.
Slab Type (sf)
Standard Slab 596
HVAC SYSTEMS
Refrigerant Tested ACCA
Equipment Minimum Charge and Duct Duct Duct Manual Thermostat
Type Efficiency Airflow Location R -value Leakage D Type,
Furnace 0.650 AFUE n/a None R-n/a n/a n/a NoSetback
NoCooling 10.00 SEER No Attic R-4:.2 No No NoSetback
WATER HEATING SYSTEMS
Number Tank External
in Energy Size Insulation
Tank Type Heater Type Distribution Type System Factor (gal) R -value
Water Heater to meet minimum CEC Standards
SPECIAL FEATURES AND MODELING ASSUMPTIONS
***' Items in this section should be documented on the plans, ***
*** installed to manufacturer and CEC specifications, and ***
*** verified during plan check and field inspection. ***
Thi's building.does'not have a cooling system installed.
REMARKS
The existing house was built in 1923.
Existing building assumptions are .based on'Table 7-6 of the
Residential Manual, P400 -01 -002, -and information provided by -the
Owner.
CEC default U -factors and default SHGC-values were used for all.
fenestration.
Improvements to existing house:
1) Exterior walls were insulated with R-13.
2) Roof insulation was increased to a minimum of R-19.
CERTIFICATE OF
COMPLIANCE: RESIDENTIAL
Page 3
CF -1R
Project Title.......... Fowler EXIST.+ ADDITION
Date..08/30/04
17:03:16
MICROPAS6 v6.01 File-FOWLER2 Wth-CTZ11S92 Program -FORM CF -1R
User#-MP0995 User- Run -Fowler EXIST.+ ADDITION
COMPLIANCE STATEMENT
This"certificate of,compliance lists the building features and performance.
specifications needed to comply with Title -24; Parts 1 and 6 of the
California Code of Regulations, and the administrative regulations to
implement them. This certificate has been signed by the individual with
overall design responsibility. When this certificate of compliance is
submitted for a single building plan to be built in multiple orientations,
any shading feature that is varied is indicated'in the Special Features
Modeling Assumptions section.
DESIGNER or OWNER DOCUMENTATION AUTHOR
Name.... Melvin Fowler Name.... Donna Wallace
Company. Company.
Address. 2454 Esperanza Address. 399 East 9th Avenue
Palermo, California Chico, CA 95926
Phone.. 530-533-2001 Phone... 5307893-4982
License
Signed.. C p Signed.. 0<00nAA_A-X_a�_ 8f/30/�
ate ate
ENFORCEMENT AGENCY
Name. ..
Title...
Agency...
Phone...
'Signed..
ate
kzfi=ATORY.MEASURES'CHECKLIST: RESIDENTIAL Page 1 MF -1R
Project Title.......... Fowler EXIST.+ ADDITION Date..08/30/04 17:03:16
Project Address........ 2454 Esperanza *******
Palermo, California *v6.01*
Documentation Author.— Donna Wallace *******
Building Permit
399 East 9th Avenue
Chico, CA 95926
530-893-4982
Climate Zone ........... 11
Compliance Method....... MICROPAS6 v6.01 for
2001 Standards by Enercomp, Inc.
MICROPAS6 v6.01 File-FOWLER2 Wth-CTZ11S92 Program -FORM MF -1R
User#-MP0995 User- Run -Fowler EXIST.+ADDITION
Note: Lowrise residential buildings subject to the Standards must contain these
measures regardless of the compliance approach used. Items marked with an
asterisk (*).may be'superseded 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
minimum component performance specifications for the mandatory measures whether
they are shown elsewhere in,the documents or on this checklist only.
BUILDING ENVELOPE MEASURES
Design- Enforce-
er ment
*150(a): Minimum R-19 ceiling insulation. R-38
150(b): Loose fill,insulation manufacturer's labeled R -Value. N/A
*150(c): Minimum R-13 wall insulation in wood framed walls or
.equivalent U -factor in metal frame walls (does not apply
to. exterior .mass walls) .
*150(d): Minimum R-13 raised floor insulation in framed floors.
150(1): Slab edge insulation - water absorption rate no greater
than 0.3%,water vapor transmission rate no greater than 2.0
.perm/inch.
118 Insulation.specified or installed meets insulation quality
standards. Indicate type and form. FIBERGLASS
116-17: Fenestration Products, Exterior Doors and Infiltration/
Exfiltration Controls
1. Doors and windows between conditioned and unconditioned .
spaces designed to limit air leakage.
2. Fenestration products (except field fabricated) have
label with certified U -factor, certified Solar Heat Gain
Coefficient'(SHGC), and infiltration certification.
3. Exterior doors and windows weatherstripped• all joints
R-13
N/A
N/A
BATTS
and penetrations caulked and sealed. BY CONTRACTOR
150(8): Vapor barriers mandatory in Climate Zones 14 and 16
-only.
150(f): Special infiltration barrier installed to comply with
Sec. 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 or glass door
b. Outside air intake with damper and control
c. Flue damper and control
2. No continuous burning gas pilots allowed.
N/A
N/A
N/A'
Plan
Check Date
Field
Check/ Date
2001 Standards by Enercomp, Inc.
MICROPAS6 v6.01 File-FOWLER2 Wth-CTZ11S92 Program -FORM MF -1R
User#-MP0995 User- Run -Fowler EXIST.+ADDITION
Note: Lowrise residential buildings subject to the Standards must contain these
measures regardless of the compliance approach used. Items marked with an
asterisk (*).may be'superseded 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
minimum component performance specifications for the mandatory measures whether
they are shown elsewhere in,the documents or on this checklist only.
BUILDING ENVELOPE MEASURES
Design- Enforce-
er ment
*150(a): Minimum R-19 ceiling insulation. R-38
150(b): Loose fill,insulation manufacturer's labeled R -Value. N/A
*150(c): Minimum R-13 wall insulation in wood framed walls or
.equivalent U -factor in metal frame walls (does not apply
to. exterior .mass walls) .
*150(d): Minimum R-13 raised floor insulation in framed floors.
150(1): Slab edge insulation - water absorption rate no greater
than 0.3%,water vapor transmission rate no greater than 2.0
.perm/inch.
118 Insulation.specified or installed meets insulation quality
standards. Indicate type and form. FIBERGLASS
116-17: Fenestration Products, Exterior Doors and Infiltration/
Exfiltration Controls
1. Doors and windows between conditioned and unconditioned .
spaces designed to limit air leakage.
2. Fenestration products (except field fabricated) have
label with certified U -factor, certified Solar Heat Gain
Coefficient'(SHGC), and infiltration certification.
3. Exterior doors and windows weatherstripped• all joints
R-13
N/A
N/A
BATTS
and penetrations caulked and sealed. BY CONTRACTOR
150(8): Vapor barriers mandatory in Climate Zones 14 and 16
-only.
150(f): Special infiltration barrier installed to comply with
Sec. 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 or glass door
b. Outside air intake with damper and control
c. Flue damper and control
2. No continuous burning gas pilots allowed.
N/A
N/A
N/A'
MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 2 MF -1R
Project_Title.......... Fowler EXIST.+ ADDITION Date..0:8/30/04 17:03:16
MICROPAS6 v6.01 File-FOWLER2, Wth-CTZ11S92 Program -FORM MF -1R
User#-MP0995. User- •Run -Fowler EXIST.+ ADDITION
SPACE CONDITIONING,"WATER HEATING AND PLUMBING SYSTEM'MEASURES
Design- Enforce-
er ment
110-113: HVAC equipment, water heaters, showerheads and
faucets certified by the Commission. N/A,
150(h).: Heating acid/or cooling loads.calculated.in accordance
with'ASHRAE, SMACNA or ACOA. ATTACHED
150(i): Setback -thermostat .on all applicable heating and/or
cooling systems. N/A
150(.j): Pipe and Tank insulation
1."Storage gas -.water heaters rated with an Energy Factor
less than 0..58.must be externally wrapped with insulation
having an dnstalled thermal resistance of R-12 or greater.
2. First 5".feet`of.pipes closest .to water heater tank, non-
recirculating"systems, insulated (R-4 or greater).
3. Back-up tanks for solar system, unfired storage tanks, or"
other indirect hot water tanks have R-12 external
insulation'or R-16 combined internal/external insulation.
4. A11 buried or exposed piping insulated in recirculating
sections of.hot water system.
5. Cooling system piping below 55 degrees insulated.
6. Piping insulated between heating source and indirect
hot water tank. N/A
*150(m): Ducts and Fans
1. All ducts and plenums -installed; sealed and in-
to' -meet the requirements of,the 1998 CMC sectons
601, 603, and 604,. and. standard 6-3; ducts insulated to a
minimum installed level of R-4.2 or enclosed entirely
'in conditioned space`. Openings shall be sealed
with mastic., tape, aerosol sealant, or other duct -closure
system that meets the applicable requirements of UL181,
UL181A, or UL181B. If mastic or tape is used to seal openings
greater than 1/4 inch, the combination of mastic and either mesh
or tape shall be used. Building cavities shall not be used for
conveying conditioned air. Joints and seams of duct systems and
their components shall not be sealed with cloth back rubber
.addhesive duct.tapes.unless such tape is used in combination with
mastic and•drawbands:
2. Exhaust fan•_systems have backdraft or automatic dampers.
3 Gravity ventilating systems serving conditioned space have
either automatic or readily accessible, manually
operated dampers. N/A
114: Pool and Spa Heating Systems and Equipment
1. System is certified with 78% thermal efficiency., on-off
switch, weatherproof operating instructions,'no electric
resistance heating and no pilot light.
2. System is installed with:
a. At least 36 inches of pipe between filter and heater-,
for future solar heating.
b. Cover for outdoor pools or outdoor spas.
3. Pool system`has.directional inlets and a circulation
pump time switch: N/A
1,15: Gas-fired central furnaces, -pool heaters, spa heaters -or
MANDATORY.MEASURES
CHECKLIST: RESIDENTIAL
Page 3
MF -1R
Project Title.......... Fowler EXIST.+ ADDITION
Date..08/30/04
17:03:16
MICROPAS6 v6.01
File-FOWLER2
" pilot light (Exception: Non -electrical cooking appliances
Wth-CTZllS92
Program -FORM MF -1R
User#-MP0995
' LIGHTING MEASURES
User-
Run
-Fowler EXIST.+..ADDITION
household cooking appliances have no continuously burning
" pilot light (Exception: Non -electrical cooking appliances
with pilot < 150 Btu/hr)
N/A
' LIGHTING MEASURES
Design- Enforce-
er ment
150(k)l: Luminaires for general lighting in kitchens shall
have lamps with.an efficacy of 40 lumens/watt. or greater
for general lighting in kitchens. This general lighting
shall be_controlled by:a switch on a readily accessible
lighting control panel at an entrance to the kitchen.
N/A
150(k)2: Rooms with a shower or bathtub must have either at
least one luminaire with lamps with an efficacy of 40
lumens/watt or greater switched at the entrance to the
room.or.one of the alternatives to this requirement
allowed -in Sec. 150(k)2.; and recessed ceiling fixtures
are IC (insulation cover) approved.
N/A
ADI)ITION WORKSHEET Page 1 ADD
Project.Title ........... Fowler EXIST.+ ADDITION Date..08/30/04 17:03:16
P�rA2
dd *******
o�ect res. ....... 454 Esperanza
Palermo, California *v6.01*•
Documentation'Author.'.. Donna Wallace-'-
399
allace`399 .East 9th Avenue
Chico, CA 95926
530-893-4982
Climate Zone 11
Compliance Method ...... .MICROPAS6 v6.-01 �by Enercomp, Inc.
MICROPAS6 v6.01 File-FOWLERI Program -ADDITIONS.
User#7MP0995 User- Run -Fowler EXIST.`+ ADDITION
'-ADDITION/ALTERATION WORKSHEET - COMPUTER PERFORMANCE
EXISTING
File Name......... FOWLERI Fowler EXISTING
Conditioned Floor Area..... 1225 sf
Standard Design Energy Use 48.55 kBtu/sf-yr
Proposed Design Energy Use. 111.35 kBtu/sf-yr
NEW (EXISTING PLUS ADDITION/ALTERATION)
.File Name .................. 1. FOWLER2 - Fowler EXIST.+ ADDITION
Conditioned Floor Area..... 1393 sf
-Standard Design Energy Use. 48.72 kBtu/sf-yr
Proposed Design Energy Use. 69.15 kBtu/sf-yr
FLOOR AREA RATIO Floor
Existing New Area
Floor Area Floor Area Ratio
1225 / 1393 = 0.879
DESIGN ENERGY USE FOR NEW .(EXISTING PLUS ADDITION/ALTERATION)
Floor Addition/
New. Area ..Existing Existing Alteration
Standard, Ratio Proposed Standard Design
48 . 72 + 0.879 *x ( 111.35 - 4.8.55). = 103.95
Note:, If .(Existing Proposed - Existing Standard) is
negative:, this difference is set to zero.
ADDITION/ALTERATION-ENERGY USE SUMMARY
Addition/
Energy Use Alteration Proposed Compliance
(kBtu/'sf-yr) Design Design Margin
New .................... 103.95 69.15 34.80
*** Addition/Alteration complies with Computer Performance ***
Bui
ing Permit if -
.,Plan
C ec Date
Field
Check/ -Date
MICROPAS6 v6.01 File-FOWLERI Program -ADDITIONS.
User#7MP0995 User- Run -Fowler EXIST.`+ ADDITION
'-ADDITION/ALTERATION WORKSHEET - COMPUTER PERFORMANCE
EXISTING
File Name......... FOWLERI Fowler EXISTING
Conditioned Floor Area..... 1225 sf
Standard Design Energy Use 48.55 kBtu/sf-yr
Proposed Design Energy Use. 111.35 kBtu/sf-yr
NEW (EXISTING PLUS ADDITION/ALTERATION)
.File Name .................. 1. FOWLER2 - Fowler EXIST.+ ADDITION
Conditioned Floor Area..... 1393 sf
-Standard Design Energy Use. 48.72 kBtu/sf-yr
Proposed Design Energy Use. 69.15 kBtu/sf-yr
FLOOR AREA RATIO Floor
Existing New Area
Floor Area Floor Area Ratio
1225 / 1393 = 0.879
DESIGN ENERGY USE FOR NEW .(EXISTING PLUS ADDITION/ALTERATION)
Floor Addition/
New. Area ..Existing Existing Alteration
Standard, Ratio Proposed Standard Design
48 . 72 + 0.879 *x ( 111.35 - 4.8.55). = 103.95
Note:, If .(Existing Proposed - Existing Standard) is
negative:, this difference is set to zero.
ADDITION/ALTERATION-ENERGY USE SUMMARY
Addition/
Energy Use Alteration Proposed Compliance
(kBtu/'sf-yr) Design Design Margin
New .................... 103.95 69.15 34.80
*** Addition/Alteration complies with Computer Performance ***
COMPUTER -METHOD SUMMARY ..Page 1 7C72R
Project Title.......... Fowler EXISTING Date,..08/30/04 17:00:37.
Project Address......... 2454 EsperCl" za *******
Palermo, California *v6.01* -
Documentation Author.... Donna Wallace *******
399.East 9th Avenue
Chico, CA 95926
530-893-4982
Clirriate Zone 11
Compliance Method...... MICROPAS6 v6.01 for 2001 Standards by Enercomp, Inc.
MICROPAS6.-v6.01. File-FOWLERI Wth-'CTZ11S92 Program-FORM.0-2R
User#-MP0995. User- Run -Fowler EXISTING
MICROPAS6 ENERGY USE
-Building
Permit
Plan -Check
Date
Fie
C ec Date
Compliance Method...... MICROPAS6 v6.01 for 2001 Standards by Enercomp, Inc.
MICROPAS6.-v6.01. File-FOWLERI Wth-'CTZ11S92 Program-FORM.0-2R
User#-MP0995. User- Run -Fowler EXISTING
GENERAL INFORMATION
Conditioned Floor Area... 1225 sf .
Building Type. ... Single Family Detached
Construction Type Existing,
Building Front Orientation. Front Facing 18.0`deg (S)
Number_of Dwelling Units. 1
Number'of Building Stories. 1
..Weather -Data Type.......... ReducedYear
Floor Construction Type..... Raised Floor
Number of Building Zones... 1
Conditioned Volume......... 9800 cf'
Slab -On -Grade Area......... 428 sf
Glazing: Percentage......... 15.3 % of floor area ,.
Average Glazing U -factor... 0.58 Btu/hr-sf-F
Average Glazing SHGC.... 0.65
Average Ceiling Height..... 8 ft
BUILDING ZONE INFORMATION
Floor # of Vent Vent, Air.
'Area Volume Dwell 'Cond- Thermostat Height Area Leakage
Zone -Type (sf) (cf) Units itioned Type (ft) (sf) Credit
HOUSE
Residence '1225 980.0 .1.00 Yes NoSetback 2.0 Standard No
MICROPAS6 ENERGY USE
SUMMARY
Energy Use
Standard
Proposed
Compliance
(kBtu/sf-yr)
Design
Design
Margin.
Space Heating..........
17.93
44.28
-26.35
Space Cooling..........
. 12.41
48.86
-36.45
Water Heating..........
18.21
18.21
0.00
Total 48.55
111.35
-62.80
*** Building
does not comply with Computer Performance ***
GENERAL INFORMATION
Conditioned Floor Area... 1225 sf .
Building Type. ... Single Family Detached
Construction Type Existing,
Building Front Orientation. Front Facing 18.0`deg (S)
Number_of Dwelling Units. 1
Number'of Building Stories. 1
..Weather -Data Type.......... ReducedYear
Floor Construction Type..... Raised Floor
Number of Building Zones... 1
Conditioned Volume......... 9800 cf'
Slab -On -Grade Area......... 428 sf
Glazing: Percentage......... 15.3 % of floor area ,.
Average Glazing U -factor... 0.58 Btu/hr-sf-F
Average Glazing SHGC.... 0.65
Average Ceiling Height..... 8 ft
BUILDING ZONE INFORMATION
Floor # of Vent Vent, Air.
'Area Volume Dwell 'Cond- Thermostat Height Area Leakage
Zone -Type (sf) (cf) Units itioned Type (ft) (sf) Credit
HOUSE
Residence '1225 980.0 .1.00 Yes NoSetback 2.0 Standard No
COMPUTER METHOD SUMMARY Page 2 C -2R
Project Title........... Fowler EXISTING Date..08/30/04 17':00:37
MICROPAS6 v6.01 File-FOWLERI Wth-CTZ11S92 Program -FORM C -2R
User#-MP0,,995 User Run -Fowler EXISTING
OPAQUE SURFACES
Area
U-
Insul Act Solar
,. Form 3
Location/
Surface
(sf)
factor
R-val Azm Tilt Gains
Reference
Comments
HOUSE - Existing
1 Wall
236
0.386
0 180 90 Yes
W.' 0.2X4.16, Existing
2 Door
20
0.330
0 180 90 Yes
None Entry
3 Wall
213
0.386
0 270 90 Yes
W.0.2X4.16
4 Wall
240
0.386
0 0 90 Yes
W'.0.2X4.16
5 Wall
224
0.386
0 90 .90 Yes
W.0.2_X4.16
6 Roof.
1225
0:076
11 n/a 0 Yes
R'.11.2X4.24 Existing
7 Floor
797.
0.097
0 n/a 0 No
FC.0.2X6.16 Existing
PERIMETER LOSSES
Length
F2 Insul Solar
Surface (ft) Factor.
R-val Gains-Location/Comments
HOUSE=
Existing
8 SlabEdge
59
0.760 R-0 No
to Outside
9 SlabEdge
41
0.510 R-0 No
to Crawlspace
FENESTRATION SURFACES
Area
U- Act
Exterior Shade
Interior Shade
Orientation
(sf)
factor SHGC Azm Tilt
Type/SHGC
Type/SHGC'.
HOUSE - Existing
1 Window
Front (S)
24.0
0.600 0.650 180' 90
Standard/0.76
Standard/0.68
2 Door -.Left
(W)
40.0
0.550 0.650 270 90
Standard/0.76
Standard/0.68
3 Window
Left (W)
12.0
0.600 0.650 270 90
Standard/0.76
Standard/0.68
4 Window
Left (W)
15.0
0.600 0.650 270 90
Standard/0.76
Standard/0.68
.5 Door ...Back
(N)
40.0
0.550 0.650 0 90
Standard/0.76
Standard/0.68.
6 Window.. -_.Right
(E)
24.0
0.600 0.650 90 90
•Standard/0,,.76
Standard/0.68
7 Window
Right (E)
32.0
0.600 0.650 90 90
Standard/'0.76
Standard/0.68
SLAB SURFACES
Area
Slab.Type (sf).
HOUSE
Standard Slab
428
HVAC SYSTEMS
Refrigerant
Tested
ACCA
System
Minimum Charge
and Duct
Duct Duct
Manual Duct
Type.., -
.Efficiency Airflow
Location
R -value Leakage
D. Eff
HOUSE
Furnace
0.650
AFUE
n/a None
R-n/a n/a
n/a 1.000
NoCooling
10..00
SEER
No Attic
;.R-4.2 No
No 0-.645
COMPUTER METHOD SUMMARY Page 3 C -2R
Project Title.......... Fowler.EXISTING Date -08/30/04 17:00:37
MICROPAS6 v6.01 File-FOWLERI Wth-CTZ11S92 Program -FORM C -2R
User#-MP0995 User- Run= Fowler EXISTING
WATER HEATING SYSTEMS
Number Tank External
in Energy. Size Insulation
Tank Type Heater Type Distribution Type System Factor (gal) R -value,
..Water Heater to meet minimum CEC Standards
SPECIAL FEATURES AND MODELING ASSUMPTIONS
*** Items in this section should be documented on the plans, ***
*** installed'to manufacturer and CEC specifications, and ***
*** verified during plan check and field inspection. ***
This building does'not have a cooling system installed.
REMARKS
'The existing house was built in 1923.
Existing building assumptions are based on Table 7-6 of the
Residential Manual',.P400-01-002, and information provided by the.
Owner.
CEC default U-f'actors.and default SHGC-values were used for all
fenestration..
4,
.COMPUTER METHOD.SUMMARY Page 1 C -2R.'
Prbject_-Title........... Fowler EXIST.,+ ADDITION Date..08/30/04 17:03:16
dd *******
Project A ress........ 2.454 Esperanza
Palermo, California *v6.01*
Documentation Author... Donna Wallace *******
399 East 9th.Avenue
Chico, CA -95926
530-893-4982
Climate Zone 11
Compliance Method.'..... MICROPAS6 v6.01 for 2001 Standards by Enercomp, Inc.
MICROPAS6 v6.01 File-FOWLER2 Wth-CTZ11S92 Program -FORM C -2R.
User#-MP0995 User- Run -Fowler EXIST.+ ADDITION
MICROPAS6 ENERGY USE
Bui
-79
ling Permit
Plan
Check-/ Date
Field
C ec Date
Compliance Method.'..... MICROPAS6 v6.01 for 2001 Standards by Enercomp, Inc.
MICROPAS6 v6.01 File-FOWLER2 Wth-CTZ11S92 Program -FORM C -2R.
User#-MP0995 User- Run -Fowler EXIST.+ ADDITION
Zone .Type
HOUSE
Residence
GENERAL INFORMATION
Conditioned Floor Area...... 1393 sf,
Building Type...., ........ Single Family Detached
Construction Type ......... Existing Plus Addition
Building Front Orientation. Front Facing 180 deg (S)
Number of Dwelling Units... 1
Number of Building Stories. 1
.Weather Data Type.......... ReducedYear
Floor Construction Type.... Raised Floor
Number of Building Zones... 1
Conditioned Volume..:...... 11144 cf
Slab -,On -Grade Area.......... 596 sf
Glazing Percentage......... 15.7 % of floor area
Average Glazing U -factor... 0.58 Btu/hr-sf-F
Average Glazing SHGC....... 0.65
Average Ceiling Height..... 8 ft
BUILDING ZONE INFORMATION
Floor
MICROPAS6 ENERGY USE
SUMMARY
Vent
Energy'Use'
Standard
Proposed
Compliance
,(kBtu/sf-yr),
Design
Design
Margin
Space Heating........'..
19.97
24.66
-4.69
Space,Cooling
............ 12.15
27.89
-15.74
Water Heating..........
16.60
16.60
0.00
Total 48.72
69.15
-20.43
** Building
does not comply with Computer Performance ***
Zone .Type
HOUSE
Residence
GENERAL INFORMATION
Conditioned Floor Area...... 1393 sf,
Building Type...., ........ Single Family Detached
Construction Type ......... Existing Plus Addition
Building Front Orientation. Front Facing 180 deg (S)
Number of Dwelling Units... 1
Number of Building Stories. 1
.Weather Data Type.......... ReducedYear
Floor Construction Type.... Raised Floor
Number of Building Zones... 1
Conditioned Volume..:...... 11144 cf
Slab -,On -Grade Area.......... 596 sf
Glazing Percentage......... 15.7 % of floor area
Average Glazing U -factor... 0.58 Btu/hr-sf-F
Average Glazing SHGC....... 0.65
Average Ceiling Height..... 8 ft
BUILDING ZONE INFORMATION
Floor
# of
Vent
Vent
Air
Area Volume
Dwell Cond- Thermostat
Height
Area.
Leakage
(sf) (cf)
Units itioned Type
(ft)
(sf)
Credit
1393 11144
1.00 Yes NoSetback
2.0
Standard
No
COMPUTER METHOD SUMMARY Page 2 C -2R
Project Title.: Fowler EXIST.+ ADDITION Date..08/30/04 17:03:16'
MICROPAS6 x6.01 File-FOWLER2 Wth-CTZ11S92 Program -FORM C -2R.
User#-MP0995 User- Run -Fowler EXIST.+ ADDITION
PERIMETER LOSSES
Length
F2
Surface. (ft)
Factor
OPAQUE
SURFACES
12 SlabEdge, 59
0.160
14 SlabEdge 41
0:510
Area
U-
Insul
Act
0..510
Solar
Form 3
Location/
Surface
(sf)
factor
R-va-1
Azm
Tilt
Gains
Reference
.Comments
HOUSE - Existing
Area
U-
1
Wall
144
0.088
13
180
90
Yes
W.13.2X4.16
Existing
3
Wall
213
0.088
13
270
90
Yes
W.13.2X4.16
6
Wall
240
0.088
13
0
90'
Yes
W.13.2X4.16
0.650
7
Wall
224
0.0.88
13
90
90
Yes
W.13.2X4.16
0.550
9
Roof .1225
90
0.047
19
n/a
O.Yes
Left`
R'.19.2X4.24
Existing
11
Floor
.A7.9.7
'0.'097
0
n/a
0
No
FC.0:2X6.16 -
Existing
HOUSE -'New
0.600
0.650
270
90
Standard/0.76
Standard/0.68.
.6
Door
2
Wall
96
0.088
13
.180
90
Yes
W1.13.2X4.16.
Addition
4
Wall
-76
0.088
13
270
90
Yes
W'.13.2X4.16
Standard/0.68
5
Door
20
0.330
0
270
90
Yes
None
Entry
8
Wall
80
0.088
13
90
90
Yes
W.13.2X4.16
10
Roof
168
0.025
38
n/a.
0
Yes
R,.38.2X4.24
..Addition
PERIMETER LOSSES
Length
F2
Surface. (ft)
Factor
HOUSE - Existing
R-0
12 SlabEdge, 59
0.160
14 SlabEdge 41
0:510
HOUSE - New.
15. SlabEdge•:
Insul Solar
R-val Gains Location/Comments
R-0 No to.Outside
R-0 No to Crawlspace
13 SlabEdge:
38
0.760
R-0
No
to Outside
15. SlabEdge•:
14
0..510
R-0
No
to Crawlspace
FENESTRATION
SURFACES
Area
U-
Act
Exterior Shade
Interior Shade
Orientation
(sf)
factor
SHGC
Azm
Tilt
Type/SHGC
Type/SHGC
HOUSE - Existing
1
Window
Front
(S)
24.0
0.600
0.650
180
90
Standard/0.76
Standard/0.68
3
Door
Left:
'(W)
40.0
0.550
0.650
270
90
Standard/0.76
Standard/0.68
4
Window
Left`
(W)
12.0
0.600
0.650
270
90
Standard/0.76
Standard/0.68
5
Window
Left.
(W)
15.0
0.600
0.650
270
90
Standard/0.76
Standard/0.68.
.6
Door
Back
(N)
40.0
0.550
0.650
,0
90
`Standard/0.76
Standard/0.68
7
Window
Right
(E)
24.0
0.600
0.650
90
90
Standard/0.76
Standard/0.68
8
Window
Right
(E)
32.0
0.600
0.650
90
90
Standard/0.76
Standard/0.68
HOUSE - New
2
Window
Front
(S)
16.0
0.600
0.650
180,
90
Standard/0.76
Standard/0.68
9
Window
Right
'(E)
16.0
0.600
0.650
90
90
Standard/0.76
Standard/0.68
COMPUTER METHOD SUMMARY Page 3 C -2R
Project Title.......... Fowler EXIST.+ ADDITION Date..08/30/04 17:03:16
MICROPAS6 v6.01 File-FOWLER2 Wth-CTZ11S92 Program -FORM C -2R
User#-MP0995 User Run -Fowler EXIST.+ ADDITION
Number Tank External
in Energy Size Insulation
Tank -Type Heater. Type: Distribution Type System Factor .(gal) R -value
Water Heater to meet minimum CEC Standards
SPECIAL FEATURES AND MODELING ASSUMPTIONS
*** Items.in this section should be documented on the plans, ***
***installed to manufacturer and CEC specifications, and ***
*** verified during plan check and field inspection. ***
This building does'not have a_ cooling system installed.
REMARKS
The'exist'ing house was built in 1923.
Existing.building assumptions are based on Table 7-6 of the
Residential Manual, P400-01-002, and information provided by the
Owner.
CEC default U -factors and default SHGC-values were used for all
fenestration.
Improvements to existing house:
1) Exterior walls were insulated with R -1j.
2) Roof insulation was increased to a minimum of 'R-19
SLAB SURFACES
Area
Slab Type
(sf)
HOUSE
Standard Slab
596
HVAC SYSTEMS
Refrigerant
Tested
ACCA
.System
Minimum_ Charge and Duct
Duct
Duct
Manual
Duct
Type
Efficiency. Airflow Location
R -value
Leakage
D
Eff.
HOUSE
Furnace
0.650 AFUE n/a None
R-n/a
n/a
n/a
1.000
NoCooling
10.00 SEER No Attic
R-4.2
No
No
0.645
WATER HEATING SYSTEMS
Number Tank External
in Energy Size Insulation
Tank -Type Heater. Type: Distribution Type System Factor .(gal) R -value
Water Heater to meet minimum CEC Standards
SPECIAL FEATURES AND MODELING ASSUMPTIONS
*** Items.in this section should be documented on the plans, ***
***installed to manufacturer and CEC specifications, and ***
*** verified during plan check and field inspection. ***
This building does'not have a_ cooling system installed.
REMARKS
The'exist'ing house was built in 1923.
Existing.building assumptions are based on Table 7-6 of the
Residential Manual, P400-01-002, and information provided by the
Owner.
CEC default U -factors and default SHGC-values were used for all
fenestration.
Improvements to existing house:
1) Exterior walls were insulated with R -1j.
2) Roof insulation was increased to a minimum of 'R-19
HVAC SIZING Page 1 HVAC
Project Title.......... Fowler EXIST.+ ADDITION Date..08/30/04 17:03:16
Project Address........ 2454 Esperanza *******
Palermo, California *v6.01*
Documentation Author... Donna Wallace ******* Building Permit
Climate Zone. .......
Compliance Method.--....
399 East 9th Avenue
Chico, CA 95.926
530-893-4982
11
Plan Check Date
Field Check/ Date
MICROPAS6 v6.01 for 2001 Standards by Enercomp, Inc.
MICROPAS6 v6.01 File-FOWLER2 Wth-CTZ11S92 Program -HVAC SIZING
User#-MP0995 User- Run -Fowler EXIST.+ ADDITION
GENERAL INFORMATION
Floor Area .................
1393 sf
Volume ...................
11144 cf
Front Orientation..........
Front Facing
180 deg (S)
Sizing Location............
OROVILLE RS
Latitude.. .................
39.5 degrees
Winter Outside Design......
30 F
Winter Inside Design.......
70.F
Summer Outside Design......
104 F
Summer Inside Design.......
78 F
Summer Range ...............
37 F
Interior Shading Used......
No
Exterior Shading Used......
No
Overhang Shading Used......
No
"Latent Load Fraction.......
0.20
HEATING AND COOLING
LOAD SUMMARY
Heating
Cooling
Description
(Btuh)
(Btuh)
-Opaque Conduction and Solar......
13681
5263
Glazing Conduction...............
5096
3312
Glazing Solar ....................
n/a
9323
in"filtration.....................
6339
2602
Internal Gain ....................
n/a
2100
Ducts.. ............ .........
0
2260
Sensible "Load ... ...................
25116
24861
Latent Load ......................
n/a'
4972
Minimum Total Load
25116,
29833
Note: The loads shown are only one'of the criteria affecting the selection
of HVAC equipment. Other relevant design factors such as air flow
requirements, outside air, outdoor design temperatures, coil sizing,
availability of equipment, oversizing safety margin, etc., must also be
considered. It is the HVAC designer's responsibility to consider all
factors when.selecting the HVAC equipment.
SITE PLAN REVIEW APPLICATION
Date:,, :3 5'crrY° �� AP# Oo26 — /3S-
Permit Number (if applicable) (f — a- Bin Number
77.
APPLICANT INFORIIIATION Parcel Size;
Owners Name: i'I'Icr-Gv(�+/ �oty<-�c�Q•
Owners Address: qst/ Ll SPL" ��A l�'`�G���'"'D' _9f��$
Telephone No'.:`
:Situs'Address:
Proposed Use `rY �,�. disc s reP
Residential
❑' New Simle Family Residential p�Y gu6a•, D dOA&�tf-;d ^U`^.6''
". <. Single Family Addition g ❑ Single Family Remodel
❑ Mobile Home, rsw�
su coec D�'1'
❑, Residential Accessory '
❑ Permanent Second Dwelling
❑ Temporary Mobile Home (Aunt Minnie)
❑ Temporary Travel Trailer.
❑ Multi-family "
Non-residential
F New Commercials
❑ Commercial Addition ❑ Commercial Remodel'
New Industrial.
ro❑'Industrial Addition ❑ Industrial Remodel
Other:
❑, Septic ❑ Well
Agricultural Exempt Building ❑ Agricultural-Buffer For m.❑ Applicable ❑ ,N/A
❑ Other:
Brief Explanation (if necessary):
DO NOT WRITE BELOW THIS LINE
DEVELOPMENT SERVICES INFORMATION (For Staff Use)
Approved ❑ Conditionally Approved , ❑ Resolve Problems Prior to Approval
Site Plan. Stamped Approved
By Date
Page 1 of 5
1
ALL ITEMS CHECKED APPLY TO THE PROPERTY
Parcel Is In:
❑ Snow Load Area:
❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract
❑ Nitrate Action Plan (See Environmental Health for standards)
❑ Watershed Protection Overlay Zone (See attached standards and requirements)
❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required)
❑ SRA - (CDF to determine specific requirements)
❑ 100 -Year Flood Plain: (See attached)
• Flood Zone:
• Flood Panel No.: Index Date:
❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board)
❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board)
❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements)
❑ Chapman/Mulberry (See attached standards and requirements)
❑ Cohasset Area (See attached standards and requirements)
❑ Grading Zone (See attached handout)
Use Requires:
❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit
❑ Minor Variance ❑ Variance
------------------------------------------ ----------------------------------------------------------------- ----
❑ Detached Building Use Form ❑ ,Encroachment Permit
❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement
Zoning:
Applicable Building Setbacks:
❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks.
Page 2 of 5
Zoning Code
Streets & Highways
Fire Prevention
Subdivision Map
Front
a l
_-
Side
Side Street
Rear
5�
Height
Waterway
N/A
N/A
N/A
❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks.
Page 2 of 5
Applicable Development Fees:
Standard Fees 'Amount Formula
❑ Fire :..
❑ 'School*
❑ Parks/Recreation ;
❑ Roads
. Sheriff
❑ Drainage
❑ NCSP/CSA 87
❑ Chico Urban Area — Road
❑ Tlermalito Drainage Area
❑ Thermalito, Urban Area
❑ Other
Subdivision Map Special Fees
❑ 'Water Tender
❑ Road'Improvement
❑ North•Oroville Area
❑ Other (per. map)
* Check -with school district to verify actual fee if pre -application review. `A final determination will be made at the'time of
_ the building permit.
.Parcel Created By ;
EJ Deeds:
Date ofCreation: Legal Access Provided: ❑ No ❑ Yes
-Deed of Reference: Legal Access Required ❑ No
El Yes
Parcel Frontage on Publicly Maintained Road: ❑ No ❑Yes, Road Name:
Com, plies County' Standards -for Deed .Creation:❑ No ❑ Yes
Comments:
Parcel Deemed to be legal.
Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Deed of Creation
❑ Obtain a Certificate of Compliance
❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment
Comply with Old Subdivision Lot Ordinance (Maps recorded prionto Book 17 of Maps Page 23).-
Construct road to: ❑ Meet Parcel size required by zone
❑ Meet current Environmental Health Department requirements
Page 3 of 5.
❑ Subdivision ME/Parcel Map: J1/(t-WC--'�2
Map Date of Recording: a 0 Ay(/- ci,aOl
Lot: Book:
❑ Use Permit/Minor Use Permit
Permit Number:
Date of Approval:
Page:
Parcel Map/Subdivision Map/Use Permit Conditions
❑ Comply with the following Conditions of Approval:
❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290
❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the
National Fire Protection Association Standard for installation of sprinkler systems in one
and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized
community water system, with hydrants that meet the Fire Department specifications, serves
the parcel.
❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission
requirements of the California Clean Air Act of 1988, as amended.
❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan
must be prepared by a registered civil engineer or other qualified professional and be
submitted to and approved by the Department of Public Works.
❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate
Battalion Water Tender Fund may be required.
❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil
construction associated with residential development. Approved dust control measures are
found in the fugitive dust control plan for the site approved by the Butte County Air Quality
'Management District, a copy of which can be obtained from the Butte County Department
of Development Services, Building Division."
❑ Engineered foundations are required.
❑ Class A roofs are required.
❑ Property owners responsible for road maintenance, and stop sign maintenance.
Page 4 of 5
1
t I :EXI9�ING; 1
LOCATION MAP..
I
' i EXITING
NOT M sc
SCALE
i �.
' - I .. - I SE IT1C
5.' _
..
�- I 1 I TAN. K
ri ,
1
LJ
EX�TING
i ZOto
f- -
I USE`
i
13
I
( .34' ACS 1
`250__
25' ' i 25 i 25'' i
25'
150'
-ti-.
100", EAST
ESPERANZA.AVE.
LANDS OF FOWLER
• MERGER OF
LOTS 1'7, 18, 19 AND 20 IN BLOCK 41 OF THE
'
TOWN AF PALERMO, WHICH MAP WAS`FILED...
IN THE OFFICE OF THE RECORDER OF BUTTE
COUNTY, CALIFORNIA, FEBRUARY 17; 1891
IN MAP BOOK 5, AT PAGE 4.
Job.# 01=055.' 4�\.ZP�O L G,99G9m
APN 026435-004'.-
COUNTY OF BUTTE :- DEPARTMENT OF PUBLIC WORKS:
BUILDING INSPECTION RECORD
BUILD BUILDING (Cont'd) P MBING
Setback I Firewall Soil Piping/
Forms Parapets 1st Floor
Main Bidy. Restroom Finish 2nd Floor
Footings Windows 3rd Floor
Stemwall Sidin To out/Z�
Slab "• Roof Sheathing Water Piping 3 — 2'
Piers RoofingSewer
Garage Fdn. Vents Fixtures
Footinos Garage Vents Water Htr.
StemwaI l Insulation Heaters
" Prov, for ph sicallySlab Appliances
Carport handica ed '
Gas Piping& Test
Conformance of eY -
Footings_structure Temp. Gas
Slab Final Sanitation v
Patio FIREPLACE Final 2
Footings Footin ELECTRICAL
Masonry Walls Throat Rough
Reinf. Steel Final Fixtures
Bond Beam FIRE SPRINKLERS Motors
Framing Test Water Htr.
Stucco Final Sub anels
Mesh MECHANICAL Gird. Fault Prot.
Scratch Heatin" Service 1-7
Brown cooling Temp. Pole
Finish DuctsUnder round
Interlor Lath *-� Ventilation ermanent
Door"Closer Final. Final S�Z
MOBILEHOME UTILITIES Elec_ Service Elec, Pedestal
Water Piping Sewer Gas Piping
�OBILEH ENTA -------------Support Elec.Continui
�.4�. 4 � 44��J1.�! - Iv
I
'.Water Piping Drainage Gas Piping
DATE ' REMARKS OR CORRECTIONS
6t
e
(NOTE: An entry must:be made on this form each time you visit the job site.)
COUNTY. OF'BUTT-E: DEPARTMENT OF;PUBLIC WORKS
.7 County Center Drive -. Orovi Ile, California 95965 "
Telephone: 534-454Y / ��U
APPLICATION -AND PERMIT ..f
BUILDING
7.
:_Owner
SQ. FT. OCC:, BUILDING.VALUATION `
{-Mailing Address -:�I
• Telephone No.
'
Contractor-,
<Mailing`Address r `
". .
.-Fireplace
Total.Valuation ,
Telephone No. -
Permit Fee
:.
•. Building Address "
Plan Checking Fee&/or Penalty
Permit Fee'
'
PLUMBING No: @ . P: FEE
P,ERMIT'FILING;FEE. ,..'$3.60,
Each Trap :1.50'. . S J
Repair drainage:or vent piping r 1.50
1
Zonis &,Planriing
Water:piping 1.50 % jS
'
"+
.
Each gas water heater orvent
F. s
i
'Fire Dept.
FireZ.one
Use Permit
Gas"iping system'1-.5outlets 1.50::jESQ •
EQA
• 'Parking-
Plans-
Parcel
Declaration
:.Rarcel.Ma P
60' R/W,
Improvement-
P
Each addltional',outlet _ .- .3bl.
BbIIding. sewer..' 5:00
Id c'd
'ParceLA -rovaL
Pia Appro.vdl ••
Lawn s Yinkler s stem 2.00
P y
NEW -0 ADDITION'•UTILITIES:❑. OTHER ❑
Permit Fee' $
w
ELECTRICAL'-' No -1 FEE:.
.. •- �,
PERMIT FILING"FEE:;,
'Main Serv.ICe 600V OR 100 AMP OR SL.ESS_.. ... 5.00' xp
-,
,-
Single Family ; Duplex ❑ Mobil Home ❑ :.Others ❑ ':
Main. service', EA.'AbD L 16 AMP 2.50 '-
-'
.. -
- -
Main.service . OVER e00v 25.00
100 'AMR OR LESS
- .
'
Main service' F.A. ADD'L 100 AMP 1;00
NEW,CONST. / DWELLING OC COIR' 20 sq ft .•�
OR A DNS - ACC; drd
- 'CONTRACTORS LICENSE LAW ''.--.
- - -
am licensed "under the p�ovisions'of'Chapter 9, 'D.i v: 3, of the
State of California Business, Professions' Code. under the name• �'
styleOf: - - - _
MUL�BLDGS.
"EW.C.°N9TR BRA CHI-OT
NON-RESID�BRANCH CIRCUITS -' 2.50ea
.NEW CONST R POWER 'APPARATUS
NON.RESID.,- SINGLE OUTLET CIR.
Ex.,QdCU13 TLETS.0R':FIXTIIRES BALI
EX. OCCU FIXED APP-LNS. OR
Occup. (REBID.) EA)': 2.00 '
Temporary service 10.00
Mobile Home Facilities 15.00
License No. -, Classification
Mi sc: Wiring 6.25
IS -1 am exempt 'from the -Contractors License Laws of the State of California,
Permit Fee'-; . - ' . $' ,
$ �f.1
' WORKMEN'SCOMPENSATION INSUtRANCE
I-am,aware of the provisions of Section3700.of the California Labor
Code which.requires every employer, to be insured.against liability',
for Workmen's Compensation.
I have placed on file with the County of Butte a.certificate of
' Workmen's.Compensation Insurance.
'. F`certify ttiat'in the performance of the work for' which this _
_permit is ;issued l shall not ,employ any person in-'any;,manner
so as to become;.subject to;the Workmen's: Compensation Laws -of >
- Cali'fornia
L Nol' ; • FEE
MECHA'N'ICA @
PERMIT FILING.FEE : $3.00
Heating "
-Cooling
Ventilation
, Hood, 2'i00:
Permit Fee- $
I cerfi.fy that,l have read'.this application' and state that the. above
information is :correct.' I.agree.to..comply:to all' County that,
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
. '.
016 ate —
ignature of:P rmi'tee or'Agent
ReceiptNo.
White-D.P.W. — Yellow -Assessor-- Pmk)n*s- ector,— Goldenrod -Applicant
Land. Development Fee
$
' TOTAL' PERMIT FEE:.:
$
.-This permit- is hereby' issuedu'nder the applicable provisions of
the Butte County Code: and/or resolutions -to-do work indicated .
'above for which fees -have been paid. '
R 0 .. BLIC WORKS
DIRECTO.
ey- Date b-7
Building permit.expires Date
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�.. 5 !Y< -.Y:
. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC ':WORKS
BUILDING INSPECTIOWR•ECORD
BUILDING BUILDING (Cont'd)
PLUMBING
Setback
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish.
2nd Floor,.
Footings
Windows
3rd, Floor
StemwalI.
Siding
To out
Slab
Roof Sheathing
Water Piping
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Stemwa l l
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
Footings
Prov. for physically
handica ed
Conformance of ex.
structure
Appliances
Gas Piping 8. Test
Temp. Gas
Slab
Final
Sanitation
Patio
FIREPLACE
Final
Footings
Footing
ELECTRICAL
Masonry Walls
Throat
Rough,
Relnf. Steel
Final
Fixtures
Bond' Beam
FIRE SPRINKLERS
Motors '
Framing
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
MECHANICAL
Grd. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish'
Ducts'
Underground
Interior Lath
Ventilation
Permanent
Door Closer
Final
Final
MOBILEHOME UTILITIES
-------- ----------- Elec. Service
Elec. "Pedestal -
.Water Piping
Sewer
Gas Piping
A
I --------------Support
Elec. Continuity
Water Piping -
Drainage
Gas Piping
DATE
7
REMARKS OR CORRECTIONS
(NOTE: An entry must be made on this form each time you vi'sit,the job site.)
authorize representatives of the' County of Butte. to enter upon the This permit is hereby issued.under'the;applicable provisions of.
above-mentione property.for-inspectiompurposes. the Butte County Code and/or •resolutions to do work' indicated '
above for which fees.have be aid. .
ate;= `: DIRECTOR F UBLIC.WORKS
. ` 7—l—; ?
$Ignatiire ofP rmitee or .Agent - :B _ Date 1
'Receipt No. .y
- B/Idn ermit'ex' IIeS DateWhite-D.P. W: =Yellow -Assessor= Pink -Inspector —Goldenrod-Applicant9 P p
BU ILDING
Owner
SQ: FT. ACC.BUILDING VALUATION
Mai I ing Address
Telephone No. `
`
t
;'F i rep l ace
Contractor.
Total, Val uatio ,
..
Mailing Address
Permit Fee
PlanChecking�Fee 8i/or Penalty
._
Telephone No
Permit Fee $t
. ;.,
Building Address_ t -
= -PLUMBINGNo. ;r.. @, :.' .FEE
'.
•-,
'PERMIT ,FILING FEE $3.06
Each Trap 1.50 '
Repair drainage or'vent piping 1.50
Heater piping -1_50
Each gas water heater or vent' '1.50'
A. P. No.
Zoning &Planning
Gaspiping system 1. - 5 outlets. 1.5U
Each additional, outlet ` :..30
F es
W.C.
SaaJ-laierx
Fire Dept,
Fire Zone
Use Permit:
Building sewer 5.00 `
Parking
EQA; Plans
Parcel
Declaration
,P•arcel Map=
' 60' R/W,
Improvements .
Lawn sprinkler' system. 2.00
Rec'.d
Parcel Approval",Plans
•Approval
Permit,Fee
,,Bldg.Plans
NEW Q ADDITION'Q" UTILITIES
ELECTRICAL-,,.. No @ .. FEE
PERMIT FILING FEE $3.00
Main service soov OR LESS 5,00
-100 AMP OR LESS
,. ,
Single Family_®. Duplex Q Mobil Home Q Others Q
Main service 4EA, ADD•L'100 AMP -. 2.50
..
OVER'800v
Main service 1.00 AMP OR .LESS 25.00.,
Main servlce 'EA. ADD -L 100 AMP 1.00
' .•(-MULTI-OUTLET,
NEW CONST. DWELLING
OR ADONS. ( ACC. BLDGS.CCUP.. @� 2�Sgft -
'4
`.
-
,
NEW- CONST R. -
NON D. BRANCH CIRCUTS) - 2,50ea''
- _
-REST
NEW CONST R POWER APPARATUS.&)
'NON -R ESID, (USING LE. OUTLET CI R.
CONTRACTORS -LICENSE LAW, Y
am licensed. under the' provisions of Chapter 9; Div. 3, of the'
State of California Business & .Professions. Code under the name.
style of`.
50
Ex..Occup(OUT'LET,s OR.F.IXTURES). BAL@;
FIXED APPLNS. OR.
Ex.:Occup.(OUTLETS cRESID.) EA)', 2:00 '
Temporary service' 10.00
.
%M obi le Nome Facilities 15,00'-
License No ' 'Classification '
Misa.'Wiri'ng 6:25
�'I am exempt.frorn the Contractors License Lawsof the State of California.
Permit Fee $ '''
$
t ' MECHANICAL No: ; '@' , ` : FEE
;.
WORKMEN'S+COMPENSATION INSURANCE
'I am aware of the provisions of sectio63700 o'f the California Labor" .
Code which requires every employer to be;insured against'liability'
,for Workmen's Compensation:
0 I have placed on'file with, thetounty.of'Butte'a certificate of
Workmen's Compensation Insurance.
®I: certify that'ir: the performance of ,the work'.for which this _
permit ,is issued I.shall not employ any- persoo'in' any manner;
so as to become"subject •to fh -Workmen's Compensation Laws of-
California:.
pERMrT I=I LING FEE. $3.00
Heating
Cooling" r
Ventilation '
Hood t" 2.00
Permit Fee $.
$
I certify that I have read this application and state that the above
information -is .correct: I agree,to.comply1o'all County Ordinances_
and State. Laws' relatina-to�-.buildinq construction;" and hereby .
TOTAL yPERMLT FEE
$.-
authorize representatives of the' County of Butte. to enter upon the This permit is hereby issued.under'the;applicable provisions of.
above-mentione property.for-inspectiompurposes. the Butte County Code and/or •resolutions to do work' indicated '
above for which fees.have be aid. .
ate;= `: DIRECTOR F UBLIC.WORKS
. ` 7—l—; ?
$Ignatiire ofP rmitee or .Agent - :B _ Date 1
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k�
COUNTY OF BUTTE
Department.;of Public Works.
BUILDING INSPECTION RECORD
Zoning
Setback
Forms "
Foundation
Piers & Girders
Fireplace
Rgh. Plumbing
Bond Beam
Lath & Plaster
Rein. Steel
Gas Piping & Test.
Found. Vents
Framing — .?''1
Plmg. Topout
Rough Elec. d!:� �
Wir. Htr.
Furnace
Kitchen Vent
Firewall
Garage Vents
Sanitation & Water
ELECTRIC
GAS
BUILDING
Temporary
Temporary
Cert. of Occup.
Final
Final
Final
DATE.'
REMARKS OR CORRECTIONS"
- 'i:. ... 'rte .. - ..•
,COUNTYOF"BUTTE DEPARTMENT OF PUBLIC WORKS
r,7 County Center Drive Oroville, California 95965
Telepho6e:'534-4541
;APPLICATION AND -PEWIT
pu UfUrr Ll7 Lt7PrC5Cr6lGUVCJ Ul urc.wuu iy ui -,quuc•w..eir er. uNun U!t, . -" .;This permit is:hereby-issuedunder the applicable provisions'of:.''
above mentioned: property for -;inspection purposes the Butte County Code and/or resolutions to do -work indicated_
- above for which fees have been paid:
X' ..
Dat
DIRECTOR,O.F^. UBLIC'WORKS -
Signature of Per'mitee or'Ag t•
:By _ Date
Receipt No. - .; F Bwlding permit expires Dae .Y'
White-D.P.W. '— Yellow -Assessor —, P nkan;pector — Goldenrod.Applicant
►7
BUILDING
Owner '. -
SO. FT: OCG BUILDING VALUATLON .
Mai l ing -Address ; +1, •
_
Telephone -No.
-Fireplace
Contractor ' ,ems
Total Valuation
Mailing Address
-Permit Fee
Plan Checking Fee &/or Penalty
Telephone No
Permit•;Fee $
$' -
1-471 X
Building Address' -°
PLUMBING- No @ FEE
PERMLT,FILING FEE.. $2.00
Each Trap -1:50
Repair drainage or vent piping :.1:50`
Water piping-. 1.50'
ti
-.'E ach gas wafer heater or vent `. ;.1;50
A. P -o. �- "" - ~,. �'
_ Zoning•&. Planning
-das'piping'sysfem 1• 5 outlets 1.50'
-'
Each additional outlet'.',' ;.30
Fees
Nub.,
Sanitation
:Fire Dept.
Fire Zone'
Use Permit'>.'
"Building sewer 5.00.
EOA'
Parking
Pfans
Parcel `•
Declaration
Parcel.:Map�
: 60'. R/W;
`,Improvements:•'
Lawn spr,inkler system . •2.00 •'
Bldg. `Fla`ns ReLr
Parcel .Approval
Plans APPSoval;
Permit Fee $.
$
.-..NEW ❑ '. ADDITfON ❑ UT'ILITIES'❑' 'iHER•
ELECTRICAL,,- ; No @. FEE'
;
PERMIT FI;LING�FEE ` - $3.00
Main service incl:
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77,
COUNTY OF BUTTE DEPARTMENT OF, PUB;LIC WORKS''
7' County Center Drive , . Orovi l l`e Cal i'fornIia 95965
Tel eP 5 hone. 534 4541. '
t
'APPLICATION' AND •PERMIT,
BUILDING,:-
Owner
•SQ. T. ; OCC.. :BUILDING VALUATION
Mai l i ng,Ad'd Iss, k
t' elephon6 No
.a . Fireplace,.
Contractor• :> Total Valuation -
Maiing Address. Permit Fee
f "
Plan CheckingFeed&/or Penalty
Telephone. No
Permit Tee $
Building Address ' -"PLUMBING" No. @ FEE- "
RERMIT FILING, FEE. - ''' $2.00
Each, Trap - 1:50.
Repair -drainage or, vent piping 1.50
Water piping. E 1.:50
Each gas•`water heater or vent -1.50 -
:ACP Nor � -T Gas piping system 1 5 outlets 1.50
= 9 e ' ti Each'additibna 30
Inoutlet
Fps Saaattatran -Fire Dept Fire zone, Use Permit. Buiadmg sewer 5.00
IEQA
Parking .ParcelLawn, sprinkler system 2.00'
Plans" . Declaration; ^Parcel1Map 60'. R/W . Improvements' , -., 4
Y
ans -ec -'Parcel Approval -Plans Appaval Permit Fee 'r'. - :•$ $ .
IN EW, ;ADDITION,❑1 UTILITIES❑.." OTHER® ELECTRICAL _ No @: FEE
PERMIT_Fl LING -FEE
t Maim•servi'ce in`cl.A meter
Additional meters, each 1`.00
Sub -panel (12 of less) (more than 12)
Single Family ®:, Duplex ❑' Mobil -Home.❑ Others ❑_ Range,,Cook-top or Oven1.00
Water Heater or, space Heater 1,00
Light fixtures
_ bal d10
Receps.,'swi tches& -f i x,outl ets .
CONTRACTORS LICENSE LAW'.Hood, Ex. Fan or F.A. Furn. Motor'; 1.00
I am' licensed under'the provisions of Chapter 9, Div:.3, of the Evap. cooler, gar: disp. or D.W. .1.00
State of California Business & Professions Code under>the name Air,conditidher or heat pump
style of: Water pump..
Mobil Home Facilities 5.00
Temp.Power Pole, • 5.00
Misc:wi.ring
License No. Classification
T.
I am exempt from the Contractors License Laws of'the State of California.. ' Permit Fee $ $ .
MECHANICAL No. @ FEE-
WORKMEN',S COMPENSATION -INSURANCE PERMIT FILING. FEE $3;00
I'am aware of the provisions of. Section370Tbf the California Labor :Heating.
Code•which ,requires every employer to be'insured against, liability; ._ 0
for Workmen's Compensation, r
I, have''placed on. file'with the County of Butte a certificate of Cooling
Workmen's Compensation Insurance: ,
L',certify:that in,,the; performance :of :the work,.for which this Ventilation:.
�f`��y,'t� permit is••issued I`shall-not employ any' person 'in any•manner
so as to'become subject to the Workmen's 'Compensation Laws'of .Hood ff2O
California.
Permit Fee. $ 6 $, 0
:I certify, that•.I.have :read this application and state that the•above:r
information is correct: I'agree-•to,comply to all County Ordinances•:•. $ 00
=•and 'State,`Laws' rebating to. building. construction', and :hereby TOTAL PERMlT'FEE':
-authorize representatives, of, the County' of`Butte to:enter upon the. This perm•i.t is' hereby issued under the applicable provisions of, -
=alio4e mentioned properfy for inspection purposes;' :r:.jh'e,Butte County Code and/or•resolutions to do: work indicated .
above for wtiich;feeshave;been�paid:
X ' Date' — DMET0, OF. PUBLIC WORKS.
Signature of Fermitee or -Agent
r gy. : V�J Date _
ReceiP t No: //� C� • x
.Build'
:White-R.R.W: — Yellow -Assessor — Rink -Inspector Goldenrod -Applicant_ m"lrml xptres:, to .. _
_
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FOR OFFICE USE ONLY
Assessor's Parcel Number. F /I F3 Scale: I
ADJACENT PARCELS
.. qj
mho ro "11
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Site Location Size, Acres GEN PLAN:
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