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026-230-058
26-23-f( t 0- L. Rasmusson_ �`' 2291 S. Villa, Palermo , Permlt �- 5 .0-76P(utl: ;MH ° ELEC . GAS (Q % d SUPP RT RUCTURE HQ. ;V - - f COMPACTIONTEST REQ. A/Q { 26-23 ' -Contr a---Oroville- Pump—&-- ric- - . -Permit #2.754-7bE-(ch--el -ser -o - - SF & suP. MH fac) SF 2,6-23-q�,y e Permit #2511-76M11I vn°� 'Issued CGD /,0 - 26-23 3W RUTH RASMUSSON 2291 South Villa, Palermo -2` I t,antR:'---Amer'ican°,Tradition -Home-s----- Permit#460-89B(demolish/SF) CofttR: American Tradition H mffs Permit#729-89P,E(util, MH) ELEC. � �� GAS J rSUPPORT STRUCTURE REQ. COMPACT! ON -TEST, RE&: '6� 26-23-6-im vim'. ' Abandment application for a port. of hewitt ave right-of-way 7 026-230-058 , =62/1,'200 Administrative , Permit # 93-18 It a Ave.,,Palermo 3 ContR: american Tradi 'on Ho e,.` Pe Tmit#461-89B,P,E,M(new ng � _41 26-23 - t ContR: Americem Tradition ome 1� 'ermit#.1.636989B(add.-deck)S 026-23-0-08 " 93-1979 RASMUSSON, RUTI�� 2293 S VILLA, PALERMO CONTR: FEATHER RIVER MH MHI 62=1200 B08-0820 026-230-063 J MISCELLANEOUS ', Re -Roof l RE -ROOF SF (25 SQ) 2291 SOUTH VILLA AVE r� GERALD GEORGE E & SHARON' .� INS set of plans and spec fications MUST bie kept on the job at all times and It is unlawful to make any changes or afterations on same witlwut NOTE:—All ArWeri'" 8 Workm�ip Shall Be in Accordance with.R"nized Good Practices and of a quality orescribm r.,: thm c%..,._tL._, vvima"IVU111115 rl ►rom me Lmp==en;.Of FUDDC Uniform Buil---'—v— uw in meding, Plsrrbfg& Mechanical Codes and 4.0 - }�6u - J - -- --- w- 7 - La 70 .' . • . ' ALL STRUCTURES AND EQUIPIME OVE INCLUDING APPROVED u e --- E S�L�°: AND environmental Health, f u xt ;- z -A SETBACK OF S-'! FT. FROM ---�-- . 0 „FT. FROM THE ROAD CEiJ'iER itJE SHF,:_ . CyE -- - -- A D EQUIP FOR A 2 PT. SAVE OVERHAND. WENT E3(0EPT ---- t. BUTTE COUNTY r. BUItDING DEPARTMENT -�4 P -P Q ^ v/ --- % S nk v"i�%,.Sir L �fi i �x��L NpI4 v' l F ;� 3l. tis ti ! ♦ e „♦ , 1 ql`.)4t'i?rTocs pie<tti i?�it,;�(,:t'.:�.3..N b1-$ fR.rgn.li 1;3 i t+t,< Z •••' if °<is.`; r—r.,. •r �P;# :�� ;.�i.".tRJ�`3ti<.. ar i�-t?n rK.- �er £03 'J nl',-A ", mow; a * of gxuXV',W SI'itze 2r.�'izkitfs'r4,' ja jet�tit' <s�:��'t �'R'.�''".`�..r. �l�t •i LJ �:��,,,.f� .�.e40 .w e.lr ki�I � .�7iML�`;5'}�,,.^V•,,. ;q� !'� ^tet •r «o v, <.v :6+t r• ,R`. 311T M P;!�i f • -1 ri t<� i+<.'�`�wb #+•L.! A i a^ t 1 t 2 + pr.7i +(1 =<°'iY •sr-qyy y 'yy y iq � � �� `�. �;i+.'.•L. �i .: il�l�.:r!... �;�r S L.��'gid i l.Mi1i t L' '�� Vit+ :a..� in 0a f BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541 MOBILEHOME INSTALLATION SHEET 1. Owner's Name: ✓ Ll�/ �lj s li SS D/L,/ 2. Installer's Name: 3. Is the site currently under permit? Yes �. No (If yes, furnish permit number ) OR Is the site an existing site? Yes No (If yes, furnish two plot plans.) 4. W111 the mobilehome be --located at least.5 ft. away from septic tank and leach fields and clear of all setbacks. and easements? Yes X No F-1 (If no, clarify 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- — *�12. What is the mobilehome gas demand? ---------------------- (BTU) *(This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) NEXT PAGE MUST BE COMPLETED TO PROCESS PERMIT APPLICATION. ,What 5. is the mobilehome electrical rating? --------------- g . �� � Amps 6. What is the mobilehome site service rating? ------------- /0 C) Amps 7. What is the mobilehome site circuit breaker rating? ----- O C) Amps 8. Is there any other electric load to be served by the -------------------------------- mobilehome site service? Yes No ( If es identify the load and size: Y Y (Load) ._= (Amps / 9. What is the mobilehome site -gas pipe size? -------------- (in.) 10., is.,.the type - _-= Naturaj '_ _ _ LPG _.What .of'gas .service? ------- _. 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- — *�12. What is the mobilehome gas demand? ---------------------- (BTU) *(This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) NEXT PAGE MUST BE COMPLETED TO PROCESS PERMIT APPLICATION. MOBILEHOME SUPPORT DATA If other than single wide Mob ilehome Mfr. /'1£_7Gr/1�0� furnish Setup Model No.5��- 3� . Year Width_,� _(ft.) Box Length_,s (ft.) Tagalong or Expando Size ft. x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of•.Butte). FOOTINGS (check one) 1. Wood -pressure treated. or foundation grade. 2. Other (specify) SUPPORTS (check one) 7X 1. Concrete block.a 2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE Main Beams _ — — — — Main Beams Tag or Triple _ MULTI -WIDE Line 1 Line 2 Line 1 Piers: Line 1 Openings: Size -Min- ------------ ,k „ Size -Min. ------------------ „„ 1 Spacing -Max. --------- ,- Each Side of Openings From Ends -Max.------- '_ With Width Over --------- Line'2"Piers: Line 3 Piers: (Under Bearing Wall Only) Size -Min.------ ------ Size -Min ------------- ------ SpaciSpacing-Max ---------- ng-Max---------- S �- " Spacing -Max .--------------- From Ends -Max.------- '- From Ends -Max .------------- (Line.-:3..Root Loads:) e� Size -Min. ------------36'k Zy" 1 l x �O „ ,k „ x k u u Location (From Front) / Line 4. Piers: - -. Line 5 -Piers:. (Under Bearing Walls Only Size -Min.------------ , „ Size -Min .------------------ Spacing -Max.--------- , ., Spacing -Max ---------------- ' From Ends -Max .-------,_ n From Ends -Max.- ------ Line 5 Roof Loads: Size -Min ------------- "x "x "x "x 'k "x " "x "x " A. Location (From Front) x.s.t2s t,tc • i i DOUBLE WIDE PIERING WORKSHEET L i PSF ROOF= LOAD PLANt• SEE PERIMETER PIERING SEE ';OTE REQUIREMENTS TABLE SEE MATING LINE PIERING TABLE . 'i fPONT OF SEE PERIMETER UNIT PIERING REQUIREMENTS TABLE NOTE: SEE PIERING PLAN AND PIER LOAD CAPACITY DRAWINGS FOR REOUIREMENT$ OF MAIN F,41L SUPPORT CAPACITY AND FOOTING SIZE. MATING LINE PIERING TABLE• P, OGE ' INITIAL POST IST INTERV 2ND INTERIOR 3RD 1141ERIOR 4TH INTERIOR STH INTERIOR PEAR WALL' oOST LOCATIONS AT FRONT POST POST PDS? POST POST POST PIER LOAD CAPACITY IN LES. "% -72(-Q 7/-01t{ Q VWIM�JN CNE PIECE FG7TIf:v^ :i,2E 2�In I (�•a V;N'IML)M FOOTING • V,':Trs 1E' X t[' tI,DS ��� Z.— 1 i �� �S �1.�/-1Q d.�►o�E' . Film-�1�a►�1'X -" „_ ,�.i— �---- , a_ i. t-cas� ,� ,_— ,�_ _ �� 140TE: Footir� sizes based on 1000PSF soi; to-aring value. It soil conditions differ see the Prier Load Ccpacity dray.irr or the Home Techniml Installation 11,Enual for method of calculation. PERIMETER PIERING REQUIREMENTS TABLE 1 P -ERS REOL11RED DOORSIDE %''A.LL• ROADSIDE WALL' JAMB 61, UDS Al C�00R OFEN".1:35 AND AND OVER 4F., FIREPLACES Ire :. 0 EF.r-:AN, C'F FLOOR FORCH POSTS AT RE. CEE£ED !:rV.'t.LL \VHSN' C'F FLC•7-7; ' Dlt.'.Et S:C)1:£ A PX FROW. FRONT OF UNIT. x.s.t2s t,tc J Ruth Rasmusson 2291 S. Villa Palermo, CA 95968 Dear Ms. Rasmusson: COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 PHONE: 916-538-7541 DATE July 2, 1993 _ — RE: Building Permit App. #93-1979 With reference to the above subject: / / Attached is: OTHER A.P. #026-230-058 Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement.* Complete plans in including plot plans. Plot plans in Structural details in Complete,plans.and.calcs in --by registered engineer.or architect. Energy design including Street and drainage improvement plan approval from Land Development Section (DPW). — ..sets of.plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: _. .1469 Humboldt.Road,...Chico 7 County Center Dr:, Oroville_ - _ - Skyway 4,�Elli6tt-Rd., Paradise Planning -approval from Butte County Planning Department, 7 County Center Drive, Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement.statement. . OTHER__ `_ = Submit complete plot plans hsowing lot lines and their lengths, all hni 1 rii no's R"'striirtiirac nn nrnnart'v iicn�c of hni 1 rii'noc nnri ci 17ac'" ' Should you have any questions concerning the above, please contact of this office., between 3:00 and 5:00 PM weekdays. Tom May Yours very truly, William Cheff -Director of Public Works n I J.F. Glander JFG/aj 0 A 9 93-27365 '-9s3-0273651 Rec Fee 8.00 REQUESTED 9Y.- I Cash uD Recorded 1 8.00' Official Records I vv County of Butte Candace J. Grubbs Recorder 10:48am 29 -Jun -93 I PUBL XX 2 AFFIDAVIT BU= COUNTY CODE SECTION 24-202 SENIOR CITIZEN RESIDENCE TO BE RECORDED BY OWNER COUNTY OF BUTTE Property Owner BUILDIIN` , DE;�T Owner's Address Administrative Permit Number Property :Address.. ����/��/� �/� Property Description Attached as Exhibit "A" ko)q do declare, subject to the penalty of perjury, (Property Owner's name) that the Senior Citizen Residence is occupied by one (1) adult sixty-two (62) years of age or-over.or two (2) *adults, one of whom is - sixty-two -(U' years of age or over. Signed( - Dated Ay.— 90 Notarized by: ST, CO On pei Names) of Signer(s) ersonally known to me OR ❑ proved to me on the basis of satisfactory evidence I AZEVED0 COMM. #990044 9 LLJ NOTARY PUBLIC -CALIFORNIA Q BUTTE COUNTY My Comm. Expires March 31 1997 (This area for official notarial seal) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. L official seal. of Notary Mame (Typed or Printed) Capacity Claimed by Signer: ❑ Individual(s) ❑ Corporate Officers) Title(s) - ❑ Partner(s) ❑ Attorney -in -Fact ❑ Trustee(s) ❑ Subscribing Witness ❑ Guardian/Conservator ❑ Other: Signer is Representing: Name of person(s) or Entity(ies) ATTENTION NOTARY: Although the information requested bel iso it could event fraudufb t attachment of this certificate to another document. THIS CERTIFICATE Title or Type of Docume t MUST BE ATTACHED TO THE DOCUMENT Number of Pages Date of Document DESCRIBED AT THE RIGHT: Signer(s) Other Than Named Above -t, N SAV -191 (11/91) 93-27365 89-009240 4 jacent Rec Fee 5.00 Check an, area 5.00 i" w� jr., L. "r,4 ell! zoned Recorded s Of V _e and residents Records Y' be subject to incon- NCounty of , discomfort arising from the Butte agricultural chemicals, including, Candace J. Grubbs not limited to herbicides, pesticides, Recorder and fertilizers; and from the pursuit of agricultural operations including, RB but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has esLablished agriciii Lural zones which have as a priority use for productive agricultural purposes, and resideni.,. within sai.d zones and on adjacent property should be prepared to accept such illconvelliceliac or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of Californi'a, described o.s follows: All of Block 57 of Subdivision No. 1 of the Palermo Citrus Tract, according to the Official Map theEof, filed.in the office of the Recorder of the County of Butte, State of California.. EK P Date: 3-15-89 State of On this the J_S day of March l9jLq--, before me, SS• the undersigned Notary Public, personally appeared County of 'gate > Ruth A. Rasmusson Personally known to me. F1 Proved to me on the basis of satisfactory evidence. 'to be the person(s) whose name(s) is ;.,.Subscribed to the within instrument and acknowledged shat She :.'executed the same for*the 'purposes therein contained. IN WITNI,'SS 'VIVHEREOF, I hereunto set my hand and official. seal.. Present A.P. No. 0 Notary Public END OF DOCUMENT END OF DOCUMEWT aqj" ov 71'74 Q G Q 4 O r APPROVED Butte County AT c"6'� Environmental ealth to ll 7�,r 5 (,' v 55 Si ature Be.turn to -BPW �ic� ld i n�o AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT v i S ® fl, FOR RESIDENTIAL DEVELOPMENT '4.4Sectiv'n 26-8,.1 'of the Butte, County Code (LV `e. .requires .this acknowledgement be recorded prior to issuance of a building permit.. Iu * ••= ; ' NOTARY PUBLIC -CALIFORNIA Fjo be the person(s) whose The property described herein is adjacen to land, or included within an area zoned I 93-0269231 for agricultural purposei, and residents I of this property may be subject to incon- Recorded I veniences or discomfort arising from the! + Official Records 1 use of agricultural chemicals, including; County of 1 but not limited to herbicides, pesticides, Butte I and fertilizers; and from the pursuit Candace J. Grubbs I of agricultural operations including, Recorder I but not limited to cultivation, plowing, 11:27am 25 -Jun -93 I spraying, pruning, and harvesting which .93-26923 Rec Fee 8.00 Cash 8.00 COUNTY OF BUTTE BUILDING DEPT JUL 0 8 19,93 PUBL XX 2 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: t _ - r� Date: �/ 3 • I �. PROPERTY OWNERS: State of ) On this the day of _r_ , 19- 3 before me, the SS. undersignedyTotary Public personally appeared County of ) Qom ' p� n S h _ f 1� i ' T.AZEVEDO Personally known to me. E] Proved to me on the basis (LV `e. COMM. #990044 of satisfactoryevidence. Iu * ••= ; ' NOTARY PUBLIC -CALIFORNIA Fjo be the person(s) whose name(s) P BUTTE COUNTY My Comm. Exp resMafch31,1997 -subscribed to the within instrument and acknowledged that .- ecuted the same for the purposes therein contained. IN WITNESS EREOF, I hereunto set my hand and official seal. Present A.P. No. No&Ary Public a Z9 1. REAL PROPERTY '. A. All .of Block 57 of Subdivision No. 1 of the Palermo -Citrus Tract,. according to the Official Map thereo£.,•filed in the Office of the Recorder of the County of Butte, State of California, February•28, 1888. 93-26923 2. rote in the principal sum of $25,000.00 dated ,July 31, 1986, Payors - Tony R. Mason and Kathleen A. Mason, Payees - Oscar Rasmusson and Ruth Rasmusson. Secured by Deed of Trust of even date on following described real property: All that certain real property situate in the County of Butte, State of California, described as follows: A portion of the Southwest quarter of the North- east quarter of Section 11, Township 13 North, Range 3 East, M.D.B. & M., more particularly described as follows: BEGINNING at a point in the Easterly line of the Oroville-Marysville State Highway, which point is North 000 32' East, a distance of 790.0 feet from the Southwest corner of the Northeast quarter of said Section 11; thance South 89° 28' East, 417.42 feet to a point; thence South 00° 32' West 208.71 feet to a point; thence North 890 28' West, 417.42 feet to a point in the Easterly line of the Orroville-Marysville State Highway; thence North 000 32 East 208.71 feet to the point of beginning. EXCEPTING THEREFROM the following described parcel: at page 290. y' - 'END OF DOCUMENT COMMENCING.at a 3/4 inch iron pipe marking the Northwest lot -the corner of Lot 6 of OAK GROVE SUBDIVISION UNIT NO. 7., according to the Official Map thereof, filed in the office of the Recorder of the County Butte, of State of California, February 21, 1949; thence North 0° 32' East, along the - Nest boundary line of .said OAK GROVE SUBDIVISION which line is identical with the East boundary line of the 50.0 foot right of way of the Oroville= Marysville State Highway, 100.0 feet to the true point of beginning for this description; thence continuing North 00-32''East, along the said East line of the Oroville-Marysville State Highway, 70.0 feet; thence South 89° 28' East, along the :. North face of an existing fence line, 163.67 feet; thence South 0° 32' West, along the East face -an of° existing.fence line, 70.0 feet to the North,line of Lot 4 of said Subdivision; thence Rb rth 89° 28' West,_along the said North lot line :of.Lo't 4; 163.67 feet to the true point of beginning. ALSO EXCEP'T'ING THEREFROM that portion thereof described in the Deed from Golda G. Grove, et mar, to the State of California, recorded April 3, 1956 in Book 822 of Official Records of Butte Count at page 290. y' - 'END OF DOCUMENT STATE OF COUNTY On personally appeared ry Public in and for said State Names) of Signer(s) fg/personally known to me OR ❑ proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized ca aci his/her/their I AZEVEDO signature(s)p �(les and that b )person(s),y COMM. i4990044 on the instrument the or the NOTARY PUBLIC -CALIFORNIA entity upon behalf of which the person(s) acted, ' BUTTE COUNTY L executed the instrument. n 6iy Comm. Expres March 31, 1997 Witness^mv ha dl d nd of,)icial seal, (This area for official notarial seal) ' tature of Notary fi k uPC Name (Typed or Printed) Capa ty Claimed by Signer: Individual(s) ❑ Corporate Officer(s) Title(s) ❑ Partner(s) ❑ Attorney -in -Fact ❑ Trustee(s) ❑ Subscribing Witness ❑ Guardian/Conservator ❑ Other: Signer is Representing: Name of person(s) or Entity(ies) ATTENTION NOTARY: Although the information requested Alow is optional,' could prevent fraudulent attachment of this certificate to other document. THIS CERTIFICATE Title or Type of Docume t N[ MUST BE ATTACHED TO THE DOCUMENT Number of Pages Date of Document DESCRIBED AT THE RIGHT: Signer(s) Other Than Named Above SAV -191 (11/91) RE SIDENTIAL.. 026-23-0-058 93-1979 MHI RASMUSSON, RUTH 2293 S VILLA, PALERMO CONTR: FEATHER RIVER MH MHI 62-1200 V=OK O=Not OK -=NotApplicable,. Ready;MOBILE HOMES Not Ready Date/Initials MOBILE HOME UTILITIES (Plana) OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fell -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L" ft. / /"Net. or/ NL"ft./ P'LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date/Initials YIO8[,LHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Nags; Size -Spacing -Marriage Line 3.. Gas; MH Test -Demand -Valve -Connector ectricity; MH.Teat-Crossovers-Breakers-Clearances 5. Drain; MH Test -Fall -Flex Connector / rJ__W%006n1 Sewer Connected -C/O to Grade -HD Approval QI MISCELLANEOUS Date/initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftm. Connectors Shthg -Rfg: Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/Initials POOLS (Plana) OK except #'a 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 Equlp -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 Not Ready RESIDENTIAL (Single & Duplex) ' = Date/Initials UNDERFLOOR (Plans) OK except #a 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ P' Fig. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.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 -Materiel -Support -Ina. 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-Combustlon Air -Baffle 17. Water Pipe; Test & Anchor -Neil Protection 18. D.W.V.; Test -Fittings & Anchor-Naii 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 except M's 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/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 -Mach. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except N'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 k'a 39. Sils, Proper Material & Anchors 40. Wells Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (ret proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Date/Initials FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin=roof Brac-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-Underfir. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Wal Is -Windows Date/Initials FINAL (Plans) OK except #'a 61. Ext. Steps -Door & Sidelight Protection-Landinga 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd -Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door, Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Meth. 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 O 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; PIbg-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: MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 - TELEPHONE: (916) 538-7541 PERMIT N0. ?3 -177 c Address or location of mobilehome ��^ �3 Owner's name U T4 414310 �J •S `� Owner's address Insignia or hud number PAD -7as'4 4 " Manufacturer's name /y)d©,0y) Serial nber o I.N. Year of manufacture fficial Approving Installation) Dote) _ IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE SED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 64 .513131 Whie' nerYello-;Intll Ow,7w saer ... _ . t _..S_;.. .. _.. _. _r..,.. -:: _ .. wive:'-. �•c t,_i,in.Y.. l!_"'Gr.�-.._.`d, .t...,2_..��''�• COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916,538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER - 026-230-058 ZIT NTNG ARMH-1 BUILDING PERMIT OWNER I Ruth Rasmusson TELEPHONE 534-3517 S0. FT. OCC. BUILDING VALUATION , OWNER'S MAILING ADDRESS 2291 S. Villa Ave. Palermo 95968 CONTRACTOR'S NAME Feather River Mobile Homes TELEPHONE 673-3614 - CONTRACTOR'S MAILING ADDRESS 880 Onstott Road Yuba City 95991 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 20.00 ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 35.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome[2 Other SPECIFY Gas piping system 1 - 5 outlets 1 5.00 Building sewer 15.00 Mobile Home I S I G JW I @ 15.00 TYPE OF WORK iitS�s New [[]Addition ',—IRemodel ❑ Utilities [:]Installationrl Other ❑ Describe work: MHI (62/1,200) Use Permit _ 4( _,>-hjjj;SL revious B.P. #2511-76 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 �--�� --' Main service 600A OR LESS 18.50 Main service 200A TO IOOOA) 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 No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.&\ OR ADDNS. ACC. BLDGS. I 3.60 sq.ft. NEW CONSTFL ULTI.OUTLET NON-RESIO BRANCH CIRC ITS @ 5.00 POWER APPARATUS IN) (SINGLE OUTLET CSR. / Ex. Occup(OUTLETS OR FIXTURES @ 76d 200 46 FIXED EX. Occup. OUTLETS PRESID IREA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 +_ Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or. less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate _ of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g Hood 6.50 ` Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information: is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte Iagainst all liabilities, judgments, costs, and expenses which may in any way accrueHAz against s4aid County in conseeq/uue�nce of the granting of this it. q permit �X- ✓ Date Z /-j �' azure of Applicant — Owner ElContractorElAgant An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height.@ Mobile Home Installation Fee S 70.00 Energy Inspection Fee $ OCC CONST TYPE I TOTAL FEE $105.00 DFEES P FLOOD I CDF — I PARCEL - PD F^ Issu This is hereby issued under the sions of the Butte County Code and/or Work indicated above for which fees D ECT BY PERMI EXPIRES Dat applicable provi- resolutions to do,� i ' have been paid. D e L / Receipt No. 143417 A`1 @@ WHITE-O.P.W.. YELLOW•ASS[SSOR, PINK -INSPECTOR. GOLDEN ROD-APPLIC .;. 1 •amt - ! I ...-.�.ty Y.y.w.'vS�.�`N ,it. J4I' O ji ` ' •-. t, two - COUNTY -OF o-COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7COUNTYCENTERDRIVE -OROVILI;, ORNIA95965. TELEPHONE(916)538-7541 PERMIT APPLICATION DATA SHEET OWNER x 5AI 0S5 0/. A. P. No. AZ45 �3d • G�5 a Proposed Building Use f�,�/-�' Building Inspector 4?c�. Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY All items have been submitted . ........................................ Plot plans signed by preparer of plans . .......................... 3_ Complete plans, 3/4 sets, signed by preparer of plans . ...................... ! .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. ' 5. Hazardous Material Form . ............................................. 6. Energy Design Compliance and supporting documentation . ................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ......... �10. Fees of $ . ................ ............. . 11. Impact fees as shown on attached schedule. 12. California Department of Forestry plan approval/fees. ..... . Flood elevation letter (100 year flood) by California Engineer....... ...... Eii�14. Sanitation and plot plan approval O/ly41��ic Health Departmentz�-.iJi. Mrt....; 15. City of Chico plumbing permit . ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 1 Planning approval for (A) Use: 4/ (B) Parking: Sic c• �e, Contact Land Development about (A) Improvements (B) Drainage. �'✓��i?v . (,�� 19. Driveway permit (construction approval required prior to occupancy). . . 20. Pre -inspection for required. ..est s�i,� a nsaedo- (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 . ..................� 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 . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements. ....... F-...... . 31. Existing violations/expired permits . ...................................... .4 When you issue the permit, process as follows: Mail to owner. Mail to contractor. !/ Telephone 5.35/- 3, 5/7 and hold for pickup at O 20 office. Deliver with inspector. Other Parcel Creation Acreage Applicaht �� G(Xit.� 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 prerm' ' ance: Circleem no ed above). 1. Index permit for above items I V. 2. Additional items required:�� 7 Z%y� Contra4o6 designer, off, was advised of above required data by c phone d/mail Counter by Date Conttor, designer, order, was advised of above required data by _✓phone -mail Counter by & Date 77-7 "3 Plans checked by ( • (4 f ai Date Z - Plans approved by hti1 Date 7,/ Y, �3 Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works Plot Plan Attached " o nflan Amichd Seentt to to I1: U. / T0: +l '----Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance 5:) C, V a3-�� Owner Location AP// Plan Approved for: Sewa,e Disposal i,--' Water Supply: Public Private Well w Clearance for _,;3_ bedroom mobile home. Other Hold final for: Final clearance O.K. for: NOTE: Environment Health Specialist Date 8/92 COUNTY OF BUTTE - DEPARTMEi4T OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916 538-7541 APPLICATION AND PERMIT PERMIT NO. . ASSESSOR PARCEL NUMBER J�2( -.230 - 0 n55 L/'" ZD" y /� BUILDING PERMIT ! OWNER S D TELEPHONE 53z- 5.1 SO. FT. OCC.1 BUILDING VALUATION 7 OWNES MA LING A R SS O �o'nnCC S & , /y' A LI! 9 / LSIJ `(TT CONTRACTOR'S NAME Ca�l�er a6•/� vt� s LEPH ONE �3'36/ CONTRACTOR'S MAILI G ADDRE BO 9 Fireplace CONSTRUCTMN LEN ER UNKNOWN ` Total Valuation is Filing Fee $ 15,00 LENDER'S MAILING ADDRESS Permit Fee $ D - ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ i ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ j BUILDING ADDRESS o Z2 3f e�"M Permit tee $ - PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF[]Duplex❑ Mobilehomef�q Other � ` SPECIFY Gas piping system 1 - 5 outlets 5.00 I Building sewer 15.00 Mobile Home S I G I W @ 15.00 i TYPE OF WORK New ` Addition i_ RemodelEl Utilities ❑ InstallationK Other ❑ Describe work: ,Q�%j�` _ — Flo �" 12 - Permit Fee $ _f Contractor I ELECTRICAL PERMIT Filing Fee 15.00 P Z5�I•_ .74 Main service 200AORLESS 200A OR LESS 18.50 Main service 20CATO1000AI 37.501 CONTRACTORS LICENSE LAW I declare under penaltyof perjury (check one): P I Y ) ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business_NON and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contact- ors. (Sec. 7044) FlI am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUPM DR ACDNS. 1 ACC. BLOCS. 3.64sq.ft. NEW RESID, BRANCH NO N•R ESI D, BRANCH CIRC ITS @ 5.00 POWER APPARATUS tr SINGLE OUTLET C.R. Ex. Occup(OUTLETS OR FIXTURES 20 764 460. FIXED APPLES, OR Ex. Occup. OUTLETS IRESID.! EA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00r Misc. Wirin g 15.00 I 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 �F to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 1 15.00 Heating Cooling 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 accrue ag said unty i onsequenc f the granting of this permit. p X 1 c A� _ Date h 3 .. % Si nature of Applicant — Owner g pp ❑ Contractor ❑ Agent ❑ An OSHA permit is required For excavations over 5'0" deep and demolition or construct - ion of structures over 3 stories in height. Mobile Home Installation Fee S�"- Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ /OSS HAz 1 0FEES I IMP I FLOOD I COF I PARCELPD H0 IsSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date U3 L/ / 7 [Receipt No. !! ! HITE-O.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COMPLAINANT: ADDRESS: PHONE NUMBER: OTHER COMMENTS r[ � N S l/V/44 s' 10SON r r ��'a`tl� �� r ��'a`tl� �� r y� FHO,66 ! 1103116 Id Hone. GgR� t= Planning Department APR 0 1 1993 �I y� FHO,66 ! 1103116 Id Hone. GgR� t= Planning Department APR 0 1 1993 � 26-23-f k0. L: Rasmusson_ 2291 S. Villa, Palermo , Perm- 5 0-76P(util'.MH , ELEC. 0 ' G O �m - /O GAS SUPPORT SCRUCTURE- COMPACTIONTEST REQ. N 3 , • f' 26-23 `,Contr 0rovil-le-Pump & etric -Permit. #2 754---76E:(ch * el. -ser- SP ser -SP & sup. MH-'-fac) SF ;Permit. #2511-7§M- Issued f -Z //1707; 26-23 58• RUTH RASMUSSON 2291 South Villa, Palermo ► ContR1--- American" Tradition- -Homes- - Permit#460-89B(demolish/SF) .""CoAtR: American Tradition H mas Permit#729-89P,E(util, MH) ELEC. � p� GAS Q SUPPORT STRUCTURE REQ. `COMPACTION -TEST --RE ---- --. ------ ContR: american.Tradi 'on Hoes Permit#461-89B,P,E,M(new ng ,€ ly) 26-23-58 ContR: American 3'radition ome 1 permit#1.636-89B(add•.dec1 - -- 026-23-0-058 93-1979 MHI RASMUSSON, RUTH 2293 S VILLA, PALERMO CONTR: FEATHER RIVER MH MHI 62-1200 26-23-614e,-4-9 Abandment application for a port. hewitt ave right-of-way 026-230-C Ruth Rasmusson - Administrative Permit # 93-18 62/1,200 @ Melvina Ave., Palermo COUNTY OF BUE EPARTMENT OF PUBLIC WORKS 7 County Center DriveIL11TION rov, California 95965 - Telephone: 916.'538-7541 AAND PERMIT PERMIT NO. a:3=LE-79 ASSESSOR PARCEL NUMBER NING 026-230-058ARMH-1 BUILDING PERMIT OWNER LEPHONE uth Rasmusson534-3517 S0. FT. OCC. BUILDING VALUATION .R'S MAILING ADDRESS 2291 S. Villa Ave. PaleCONTRACTOR'SNAME A95968 LEPHONE Feather River Mobile Hom73-3614 CONTRACTOR'S MAILING ADDRESS 880 Onstott Road Yuba City 95991 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ 20.00 ARCHITECT OR ENGINEER - LICENSE NO. Plan Checking Fee ,$ Energy Plan Checking Fee $ - ARCHITECT OR ENGINEER'S MAILING ADDREss - - Penalty $ BUILDING ADDRESS Permit tee $ 35.00 PLUMBING PERMIT Filing Fee 15.00 9993 q- Villq Each Trap ._ 5.00 - ' =' 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 ❑ Duplex ❑ Mobilehome[I Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK New ❑ Addition j__I Remodel ❑ Utilities ❑ installation Other ❑ Describe work: �}�, HI' _(62/1,200). Use Permit Gi ,417.f L l�"rekious B.P. #2511-76 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AOORLESS 18.50 Main service 2orATO 1000A1 37.501. CONTRACTORS LICENSE LAW • I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is In full force and effect. License No. Classification ❑ 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 OCCUPM OR AODNS. l AGC. SLOGS. / 3.60sq.ft. NEW CONSTR MULTI -OUTLET NON-RESID BRANCH CIRC ITS @ 5.00 (POWER APPARATUS trt SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURES 20 @ 76 nAL CM 4r Ex. Occup. OUED P TLETS (RESID )LISIS REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. IYirin 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 shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue J..nt said County iconsequenceofthegrantingof this permit. /,This re of Applicant - Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee s70.00 Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ 105.00 HAz OFEES IMP FLOOD COF PARCEL -Date PD HD ISSUE --- permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. . WORKS Date 143417 Receipt No. WNIT[-D.P.W., Y[LLOW-A3e1,33011, PINK-IN9P[CTOR, COLO [N ROD -APPLICANT ArS..q... J ffa Ere roun l DEPARTMENT OF PUBLIC WORKS WILLIAM (Bill) CHEFF, Director 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 Telephone: (916) 538-7681 March 2 1988 RONALD D. McELROY t Deputy Director Ruth Rasmusson RE: Right of Way Abandonment - 2291 South Villa Ave. Portion of Hewitt Avenue Palermo, CA 95968 A.P. 26-23-6, 7 & 9 Dear Ms. Rasmusson: Pursuant to your letter of January -20, 1988, concerning the above -noted abandonment, please complete the following on the attached petition for abandonment.: 1. Obtain signatures and addresses of adjoining property owners who may have an interest in said public easement, plus other property owners.in the .7, area, totaling ten or more. 2. Date petition. We need letters from all utility companies stating they no longer need said easement. Submit a check to this office in the sum of One Hundred & Sixty Dollars ($160.00) made out to the Butte County Treasurer. If we can be of further assistance, please notify this office. Very truly yours, William Cheff Director of Public Works Original signed by Ronald D McElroy Ronald D. McElroy RDM:dd Deputy Director Encl. erp cc: Mapping w/o encl. bldg Dep y/o" enc1 .. �z(�� Y� �`�;_-� . T; J N BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District Building Department No. A.P. Number - ,7G• 236, b5f" Jurisdiction City County Property Owner/ I Property Location/Address Subdivison3 ' s7-5-3; -5. Residentiaa-Mevelopment 0 No. of Living MHI Units 12 /4o6l Commercial/industrial Td B, Lot No. Sq. Footage /Z a'7. Addition � `l (Group R) 0 Sq. Footage To lrlw4G xA/SD o - New Addition (Including Exterior Roofed Areas) r � 4/ 41� L Building Depavrtment Representative Date 'z (Floor Plans reviewed by School District Personnel) District Identification No,, s _ CL AA U'1-1.1 1r_^J 01 ' School District certifies that (Applicant) .t (Street Address) ` a. (Phone,Number)� (City) (State) (Zip Code),,. has complied with the requirements of Resolution.No ' 5 - q () by payment of $ representing 0 0 square feet. y District Representative Paid byRCheck Number Bank Number Paid by Cash , Date , `-Remarks: If, subsequent to the School District Representative signing this Butte County Schools -impact Fee Certification Form, the School District is notified by thwapplicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this 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) COUNTY OF BUTTE - DFPAE'�MENT OF PUBLIC WORKS PERMIT NO J 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 9 Y APPLICATION AND PERMIT ; ��fJJJ ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWN L4A TELEPHONE SQ. FT. OCC. BUILDING VALUATION MAILING ADDRESS --- DDRESS -5 -5- lod4 CO TOR'S NAM E ELEPHONE 7 CO RACTOR'S M ILIN DRESS / le Fireplace CONSTUC ION LENDER U NOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT O. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00 ea la TYPE OF WORK New ❑ Additions�❑ Remodel ❑ Utilities ❑ Installation El Other ❑ Describe work:d4�;/1 � ���-r- S7 K/� 72 -I CAS Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury check one): P Y P I Y( ) m I am licensed under provisions of Chapt. 9, Div. 3 of the BUSlnes$ and Professions Code and my license is in fu force and effect. License No. % Z,�'j Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.8J , OR ACDNS. � ACC. BLDGS. /20sgft ' NEW CONSTR MULTI -OUTLET 2.50 ea NON.RESID BRANCH CIRCUITS) POWER APPARATUS e SINGLE OUTLET CIR. ) Ex. OCCUp(OUTLETS OR FIXTURES 5AL030 DAL030 Ex. DCCUp. OUTLETS FIXED P(RESID IKEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00, Misc. IYirin 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 shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 1 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, judg nts, ts, and expenses which may in any way accrue ag!aVil i c equence of the granting of this permit. �'—/ X Date � L. 1gn tune of App icant — Owner ❑ Contractor Agent ❑ An OSHA permit is required for excav tions over 5'0" deep and demolition or construct- ion of structures over 3 stories in Neigh Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCuP, CONST.T77 SCHOOL FLOOD PARCEL I PD I No s ! This permit is hereby issued under sions of the Butte County Code and/or work i i ed above for which DIRE C F PUB B P IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. ORKS D to Receipt No. WHITE-D.P.W.. ALLOW-AseCe 011, INK -INSPECTOR. GOLDENROD-APPL I CANT i r 's . �� "t ��p COUNTY OF BUTTE - DEPYRTMENT OF 7 County Center Drive - Oroville, California 95965 - T PUBLIC`W',ORKS e I ephone: '916/53'-7541 APPLICATION AND PERMIT PERMIT 0. b ASSESSIR PARCEL NUMBER ZONI"U .BUILDING PERMIT ow.- qR tiil�GG~' ysson TELEPHONE S FT. OCC. BUILDING VALUATION OVAJ�R'S MAI I ,GNADO E S � - r 9 C�CO//)KTRACTOR'S NAME �,.-- 0 1 J4 TEL HONE R' M l NTRACTO(LING AbD ESS ' Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee ' . $ Q ©[ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDY i Permit fee 1,01 $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 1 �✓ Y, e2 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE I SFXDuplex❑ Mobilehome❑ Other // �� SPECIFY LL. Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G W 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities[:] Installation ❑ ; Other] Describe work: 1 1 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e00V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): F -1I am licensed under provisions of Chapt. 9, Div. 3 of the Bushes$ and Professi s Code and my license is in full force and effect. License No. Classification i�7 ❑ 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended,tor 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.N . �20sgIt OR ADDNSACC. SLOGS. , NEW CONSTR U TI.OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS POWER APPARATUS e (SINGLE OUTLET CIR. z0es0e EX. Occup( OR FIXTURES eAL030 FIXED APP LNS. OR EX. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ 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 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee Contractor � I certify that I have read this applicafiori and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, Judggients, costs, and expenses which may in any way accrue agains sal%�oun `n consequence of .the granting of this permit. X ��� �s`7 � Date `1 �/%l" Signatiure Of Applicant — Owner El Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home.=installation Fee $ A l Energy Inspection Fee $ ` , TOTAL PERMIT FEE $ OCCUP. CONST.TYPC ISCHOOLIFLOODIPARCELI PD ND 59UE This permit is hereby issued under sions ofahe;Butte County Code and/or ed above for which work/i`ndicJDiREC"APUBILI f Bye rt ERMIT EXPIRES Date the applicable provi- resolutions to do //fee have been paid. WORKS &a t� ° i. Receipt No. G WHITE-O.P.W., YELLOW-A359OSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPAR ,MENT OF P W T PUBLIC C 0 RK S 7 County Center Drive - Oroville; California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT mmmmmmtu-=Uu� 1 14 M � Le IWAI ram .1 A5S:yr PARCEL NUMBER i ZONIN BUILDING PERMIT OWVW ® TELEPHONE S FT. OCC. BUILDING VALUATION S OW MAI I DD 5 CO RAC OR'S NAME \ T LE NON CON7R C?OR ILi G A D 55 t r® Vr' Fireplace �_ONSTRIJCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ $ BUILDING AD R S Permit tee PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 ylmn Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5,00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00ea TYPE OF WORK New ❑ Addition ❑ Remo ❑ Util' ies q Installation[] Other Describe work: o in ©�j t ©✓L Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 10OV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Profess i s ode nd my license is in full orce and effect. License No. Classification �] as the owner, or my employees with wages as their sole compen- sat ion, 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.m` , OR ADDNS. 1 ACC. BLDGS. / /Z P.sq ft NEW CONSTR TI -OUTLET NON.RESID BRANCH CIRCUITS2.50 ea /POWER APPARATUS 6 (SINGLE OUTLET CIR. ) 0 0 50t Ex. Occup�OUTLETS OR FIXTURES 2AL@30 eAL990 FIXED A Ex. Occup. OUTLETSP(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 9 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 shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee = Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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, judgrp0ts, costs, and expenses which may in any way accrue agains sai oun ' consequence of the granting of this permit. 1This X Date Sig re of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures ov 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCcUP. CONST*TYPEJ SCHOOL FLOOD PARCEL P11 I HD I ISSUE permit is hereby issued under sions of Butte County Code and/or work 'ndica d above for hich IREC PUB BY MIT EXPIRES Date the applicable provi- resolutions to do fee have been paid. C ORKS a Receipt No. WHIT[-D.P.W.. YELLOW-ASDEe SOR. PINK -INSPECTOR, GOLDENROD -APPLICANT AFFIDAVIT OF COMPLIANCE WITH COUNTY ORDINANCE 2277 (ADDITIONAL DWELLING IN SINGLE FAMILY RESIDENTIAL ZONES) Applicant ga[4 Date 3 —/5 U Zone AP �� - Building Permit # I,1/( 1 A �/VjV/T(�til , do declare, that the dwelling (Building Permit # ) at address (present) 21gl SmWpt V1114 on AP # is intended for the sole occupancy of one adult or two adult persons who are 60 years of age or over, and the area of floor space of the dwelling unit does not exceed 640 square feet. I also understand that violations of these provisions are subject to the penalties provided in Section 24-63.1 of the Butte County Code. I /�rp 3011 M !W �_ 0 Ea tto County Department of Development Services PLANNING DEPARTMENT 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7601 June 28, 1993. 000N - 8U1�0rv�D �rTE X95V3 Ruth Rasmusson _ 2291 S. Villa Avenue Palermo, CA 95968 Re: Administrative Permit, AP 026-230-058 Dear Ms. Rasmusson: Enclosed is your validated Administrative Permit No. 93-18 to allow a senior citizen dwelling no larger than 1200 square feet for 1 or 2 persons 62 years or older on property zoned AR -MH -1 located east of Melvina Avenue, Palermo. Every Administrative Permit expires and is automatically null and void without further action by the County if the Activity or use for which the Administrative Permit was granted has not been actively and substantially commenced within one year of the date of its final approval. Should you have any questions regarding this matter, please contact this office. Sincerely, n � Paula Leasure Assistant Director of Planning PSL:lr Enc. cc: Land Development sion Building Division Environmental Health Department of Forestry ADMINISTRATIVE PERMIT BUTTE COUNTY PLANNING DEPARTMENT June 28. 1993 i 93-18 PERMIT NO. AP 026-230-058 ASSESSOR'S PARCEL NO. Pursuant to the provisions of the Zoning Ordinance of the County of Butte and the special conditions set forth below: Ruth Rasmusson is hereby granted an Administrative Permit in accordance with application filed: 4/1/93 to allow a senior citizen dwelling no,larger than 1200 sq. ft. for 1 or 2 persons over the age of 62 years on property zoned AR -MH -1 located east of Melvina Avenue, between South Villa Avenue and Melisa Avenue, Palermo. 1. Failure to comply with the conditions specified herein as the basis for approval of application and issuance of Permit, constitutes cause for the revocation of said permit in accordance with the procedures set forth in the Butte County Zoning Ordinance, including Butte County Code Section 24-62. 2. Unless otherwise provided for in a condition to an Administrative Permit, all conditions must be completed by the permittee within 12 months of the delivery of the countersigned permit to the permittee. 3. If any use for which an Administrative Permit has been granted is not established within one year of the date of receipt of the countersigned permit by the permittee, the permit shall be come null and void and reapplication shall be required to establish the use. 4. The terms and conditions of this permit shall run with the land and shall be binding upon and be to the benefit of the heirs, legal representatives, successors, and assigns of the Permittee. SPECIAL CONDITIONS: 1. The "living area'!, meaning the interior habitable floor space area of a dwelling unit including habitable basements and attics, but not including a garage or any accessory structure, shall not exceed 1,200 square feet. 2. The senior citizen dwelling unit shall be for the sole occupancy of one (1) adult 62 years of age or over or two (2) adult persons, one of whom is 62 years of age or over. An affidavit of compliance with the age requirements of this section shall be recorded in the office of the Recorder prior to issuance of building permits. Said affidavit shall include the legal description of the lot or parcel and shall constitute a covenant running with the land, binding upon the original owners and their heirs, successors and assigns, limiting the occupancy of the senior citizen dwelling unit to the conditions described in this section. it 3. The senior citizen dwelling unit shall not be sold as a separate unit unless a parcel containing the unit is created in compliance with the existing zoning and subdivision ordinances and the resulting density is in conformance with the General Plan. 4. Two off-street parking spaces shall be provided for the senior citizen dwelling unit in { addition to the parking spaces required for the primary dwelling unit. 5. Adequate sewer and water facilities shall be provided subject to the approval of the Environmental Health Department. 6. All site development standards as required by the zoning district in which the unit is located shall be met. 7. The Senior Citizen Dwelling unit shall be a conventionally constructed building or a mobile home that complies with the National Manufactured Housing Construction and Safety Standards Act of 1974, except that in the "A", "FR", and "TM" series of zones a mobile home, as defined in Section 24-21.28, may be used. Travel trailers and recreational vehicles shall not be allowed as a Senior Citizen Dwelling Unit. 8. The approval of this permit constitutes approval only to the extent that the project complies with the Butte County Code and all other applicable regulations. 9. The requirements of all concerned governmental agencies having jurisdiction by law, including, but not limited to the issuance of appropriate permits, shall be met. 10. Minor changes may be approved administratively by the Director of Development Services upon receipt of a substantiated written request by the applicant. Prior to such approval, verification shall be made by each Department or Division that the modification is consistent with the application, fees paid and environmental determination as conditionally approved. Changes deemed to be major or significant in nature shall require a formal application for amendment. NOTE: Issuance of this Administrative Permit does not waive requirement of obtaining Building and Health Department permits before starting construction and their approvals prior to use or occupancy, nor does it waive any other requirements. Butte County Assistant Planning Director CC: Land Development Division Building Division Health Department Department of Forestry —COE N M� V fb z 4. a *LEAC-4 E o CA C a _c Q 19 .rs,�+w�rron l..,7'yrift�M W'�b,M:9►wAtIY�w•At4M, i 71 c 1� Lir, a� 1 rr N 1„ � f T ti util. ,MH _ . 2510-76P �. PERMIT NO. PERMIT EXPIRES 1 OWNER •0.- L. Rasmusson CONTR. owner . � LOCATION (A.P. 26-23-6 ) 2291 S. Vilja, Palermo �r Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED - D (Date) (Signature) M1 t Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED - D (Date) (Signature) M1 MOBIL EHOME INSTALLATION INSPECTION CHECK LIST 1 Is the mobilehome located giyh required separation from lot lines and buildings and generally conform to.plot plan? YesA. No 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes No 3. Are footings and supports properly sized, spaced, and braced as pr approved plans?' plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) YesNo 4. .Is the mobilehome level? (Sec. 5088) Yes No 5. If an a single unit, are cros er connections properly installed? (Sec, 5088) Yes No 6. Water A. Is, �1/p xible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes -Xi No B. Test - Does water piping withstand working pressure or.50 lbs, air test? Yes X; No C. - a e of California approved, does station have backflow device and pressure -relief valve? Yes_ No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes o B. Does it have minimum 4' per foot slope and is it properly supported? YesNo -Y, C. Are any leaks detected in drainage system after running 3 -gallons of water,through each fixture including washing machine standpipe? Yes No:,X r D. is not State of.Ca i ornia app does station have required trap and vent? Yes No 8. Gas Piping and Gas Vents A. Connector - Is mobilefhome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft, long? Note: All 'piping is to be at least as large as the mobilehome gas line inlet without reductions other than the mobilehome onnector. YesX— B.' No est OK as per following procedure? Yes_ No Open,all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are 411 appliance vents properly installed?-Y'es No. 9. Electrical A. Is service large enough to provide adequate amperage to mobilehome (must equal rating of mobilehome with a minimumf 100 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes No B. Is there proper clearances around panels? YeskNo C. Is power supply cord or feeder assembly properly fused? Yes No D. Is continuity test satisfactory as per the following procedure? Yes No 1. De -energize electrical wiring system of the mobilehome at the pe estal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test.instrument to the mobilehome grounding conductor and apply the other lead to each m.obileilorne supply conductor, including neutral. 5. All non-current., carrying metal parts of the mobilehome (aluminum siding, gas line, water line) ,• including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon .'completion of the above procedure, the power supply cord or feeder.assembly conductors. shall be connected to the site service equipment. .A further continuity test "e.hall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle Length-4�0/ Width Vehicle Serial No. fa 2 �% State Identification No. Additional.Informati.on or Comments: COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE _ OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number for for the follow r/ g,location: Owner Owner's Address -r ---71;Z �� - -tC 1/� Mobilehome Mfg.-, Model Year Insignia No.'- 7 Serial No. O It is hereby certified for occupancy at the above described location and may be occupied. Director %off Public Works Date /// $y rY° THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTIONAECORD BUILDING BUILDING ;(Cont'd) Setback Firewall Forms Parapets Main Bldg. Restroom Finish Footings Windows StemwaI I Siding Slab Roof Sheathing Piers Roofing Garage Fdn. Vents Footings Stemwa I I Garage Vents Insulation Slab Carport Footings Prov. for physically handica ed' r Conformance of ex. structure { Slab Final Patio FIREPLACE. . Footings Footing Masonry Walls Throat 'Relnf. Steel Final r - z PLUMBING Soil Piping 1st Floor 2nd Floor 3rd Floor To out Water PI In Sewer p i Fixtures Water Htr. Heaters Appliances Gas Piping & Test /D ' Temp. Gas Sanitation Final 1A W/ -`%' . RICAL 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 / DATE REMARKS OR CORRECTIONS 114 7J/ 01 (NOTE: An entry must be made on this form each time you visit the job site.) 1R.(_L,At(A I 1Uf i KLUMOJ L I` U Wi.) U,' o, ner of the- propecty ocquLred'by deed in I certify that as o, V 0 1 Lin, e Page 0` ficial icial Peco,rds of .13utte County, )I I @amre westing permissiontobuild or install' -I �00 - �_40 an additional livinc- unit on this woperty. I will not divide the afore- z,,antioned property for sale, lease, rent, or financing unless 'all --req4ire-in, ents -are -complied _with. applicable- -land -diyision am conversant with the present zoning. regulations affect. --'ng the emen ioned property, and decla're that I shall not violate same, aforementioned I •represent that the proposed use of the additional living unit is and, -that further- I -shall -no-,-change -this -proposed- use -of -the--additional living unit unless and until receive w-ritten,approval therefor oz- from - the 'County of Butte. I fully understand that pursuant .to Chapter 20. of the Butte- County seq of the Bus Pro' Code and §115,35 et iness and Professions Codethat if I, future, to said,. in the fu sell, lease, or finance the area or adjacent -aithout fully complying with the applicable. laws* a'nd- ent L_ I C� ordinances, that I shall be im -guilty of a -msdeeanor and therefore.- subject. :tet..:. to the aEoresa i a penalties .and3MprisonnezL pursuant, to law. Furth er lis statement- shall - b e- --Dro p erly.:-a cknowl edged and -recorded- at the request 0 -1 _Z11 e -Co uhty-p 'J. -Butt e, -r-895 Owner RDS QFFICIAL RECO NTH COU.NTY-:CALIF 01r, 1).. _STED BY ____Address 25 448 L LOUISE-RUENOER COUNTY RECORDER FEE -e Da —SARBARA-M-GRimm -f V, NOTARY PUBLIC — CAUFORNJA. PRINCIPAt; OFFICE IN S TA OF CALIFORNIA BU7FTE COUNTY ss. CVL 0 F Butte cli �TN My Commission Expires September 9, 1�" On this 25th day of September 1975 Derore rli eJV Nrol.. J_ and f* the undersigned a 1, -ary Public n a, Lor the Ccu_nz,�', or Butte S LC o: California, residing t h e e in 01 COITsslo.ned and sworn, personally appeared Oscar L. Rasmusson to ime to be 'L1)-_ person A; No S e nZI.-. CD C—r- d E 0 1.li:2 -.1-7 4L th, i n and OC-kni( -,i 1 e c i z7 ea t o _nn c r- ',-,a 7.- A.i? ezccuLcd the s a rn. e' IS, d a n -11 0.L -d-17 an6 year `cies - S sn-J..;L in co,,�,my of.—Butte ha CM ir,!t above writtcn-. EMD OF -DOCUMENT COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive—..Orovilie, California 95965 Telephone: 534-4541 /�// %6 APPLICATION AND PERMIT �/ X Date Signature o Permiitteeee or Agent Receipt No. // y �� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIREC_,TOR OF PUBLIC WORKS By pj Date �� Building permit expires Date BUILDINJgfJ Owner SQ. FT. OCC. BUILDING VALUATION jj Mailing Addressa.S41Z A); c! -(i (/ e-- `, ` U 6 177- Tel honeNNo ,. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee Building Address 2 c PLUMBING No.1 @ FEE PERMIT FILING FEE "$3.00 oz / Each Trap 1.50 l Repair drainage or vent piping 1.50 Water piping _I. w Gbit j Each gas water heater or vent 1.50 A. P. No. ,- � 3 •- � °" Gas piping system 1 - 5 outlets 1 — Each additional outlet .30 Fes W.C. Sa Fire Dept. Fire Zone Use Permit Building sewer EQA Parking Plans Par Dec r i n Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg. Plans Recd 11116rcel Approval Plans Approval Permit Fee $ s J j NEWADDITION ❑ ❑ UTI LITIES,� OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 600V OR Main service 100 AMP ORSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service C ER 6 oR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST ( ADWECC`BLDGS.LING CCUP. &) 2�sgft NEW CONSTR MULTI.OUT LET NON-RESID. BRANCH CIRCUITS) 12.50ea NEWCONSTR. POWER APPARATUS E NON .RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES) P 259 BAL1 @1 Ex. Occup. (OUT LETS ((RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.Classification Misc. Wiring 6:25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 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. I certify that in the performance of the work for which this L�kpermit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ I FEEPERMIT FILING FEE J$3.00 Heating - Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioneri nronarty fnr inc—tion n—nooc TOTAL PERMIT FEEisJ l�'L This permit is hereby issued under the applicable provisions of X Date Signature o Permiitteeee or Agent Receipt No. // y �� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIREC_,TOR OF PUBLIC WORKS By pj Date �� Building permit expires Date V11//q Ave! t " This set of plans iiang MUST be kept on the jn':� at all times and it is unlawful to- m4e any chances or altfrations on same -without . written permission from the Department of P b a ,. Works, County of Butte. A p� c� igst of •F NOTE:, All Materials & Workmanship Shall Be in s and Accordance with Rec^^ni�e`f $ecif ed uses in the of a quality prescribe 'for he Uniform Buildinq, Plumbing & Machanical Codes and the National Electrical Code• • fh® Setback- shall Y be S ft. from the side property lire and SO ft. from ! - the centerline of the -road, permitti.rg o maximum of a 2 ft.'reave overhehq Septic system and location V/ to be as per Butte County Health Dept. Re- quirements. ion f he e9vi�cd . Neu► /hob;/ehoor the M/�: tee•: /Q-76 AN utility c'onnections shall located within 4 {t, be third section of theutmobilee rear- home on the left (road) side o home, f the. mobile ` BUM COUNTY BUILDING DEPAMA'l' , AP -PROVED A lle 0 r f r I . •�1 "+ 1 ryi CP- -14 flIA ir,: is -�� � - �_ '• .rte ,� r'f�•: p� r _.r4 I • .Vic I� _ f _ .r f� Y_ 1 1 C,3 �c� 1��� Y�1 �`•�n MOBILEHOME SUPPORT DATA - S Mobilehome Mfr Setup Model No. Year Width i (ft.) Length .. (ft) •:.Expando Size ft.x ft. ` (Draw support details below) . On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets :(if: not .on file with the County of Butte) . S.in le '. Footings --(check.one) 1. Wood:either , A& a1 pressure treated or Centerenter C:grade.:" Support .:� .. . ;fdn: Support ooting Sizes Locations• ' (in.).2.:Concrete pad. x / / 3. .Other,'specify zn . in. in _ Supports (check one) % 1. Concrete block 2. Concrete piers tin.)..... ...... .............. . 3. Steel piers .:,....... ................... 4. c Other, specify 1 ...� .... .......... iTypical Pin3-An. Support Footing Size x „ .. Max. Pier. Spacing •' in.. .). :, . .. :......: ft. in.) x din.) ( .) D Max. } _ Overhang kin.) *If center piers are other than drawn above, { BUTTE COUNTY - draw in.locat.ions, spacing, and dimensions. BUILDING DEPARTMENT APPROVED BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville,.CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1 Owner's name: 2. Installer's name: GcN�) s 3. Is the site currently under permit? Ye' a�„ N (If yes, furnish permit number ) OR Is the site an existing site? Ye No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes / / No (If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- C-0 Amps 6. What is the mobilehome site service rating? --------------------- /00 Amps 7. What is the mobilehome site circuit breaker rating? ------------- `�D. Amps 8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- Yes No / �I (If yes, identify the load and size: (s oad) (Amps) 9. What is the m b lehome site gas pipe size? ----------------------/ 10. What is,the type of gas service? ----------------------------- Natural !�- LPG/ ./ 11. What is the gas pipe length from meter or tank to.the mobilehome? 190 �(ft.) 12. .What is the mobilehome gas demand? ----------------------------- , r (BTU) `b (0/006 (This information not required if pipe length less t,an 6 ft. on natural gas or less than 50 ft. on tPG.) /% 0 --.- %v PERMIT NO. 729-89P,E(MH) PERMIT EXPIRES 3/15/90 OWNER RUTH RASMUSSON CONTR. American Tradition Homes ASSESSOR PARCEL 26-23-58 LOCATION 2291 S. Villa Palermo + } Temp. Power Pole Called PG&E Temp. Elec. Service i Called PG&E —� ? Temp. Gas Service UCIP Called PG& + JOB FINALED (Date) — Signature t 1 TO Buildino Department' ',FROM*-. Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal Water Supply Water Supply Hold final for: Final clearance O.K. for: Water SUPPlY Clearance !or bedroom mobile home. Other = UK 0 = Not OK - = Not Applicable = Not Ready =RESIDENTIA&(Single and Duplex)" Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks; -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors ..2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ P Ftg. Depth 46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng:-Rfng. 3. Fig., Garage; Soils -Steel-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance ;. 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles - 15. Stemwalls, Main; Steel-Blockouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt: & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 50. Garage Fire Protection. Framing 7. Slab; Steel -Wrapped r 51. Property Line Firewall &-Openings _ ..B..Piers-Fireplace Ftg.-Steel 52. Ext. Doors -One T -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 55. Siding -Nailing Veneer '112. Electric; Underground 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 57. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 58. Shear Walls; Nailing -Bolts 15. Insulation 59. Insulation-Walls-Clg. 60. Infiltration-Walls-Wndws Card -131 Date Card -131 Date Card -131 Date Card -131 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors Card -131 Date Card -B1 Date Card -131 Date Card -131 Date Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 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-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light Card -81 Date Card -131 Date Card -B1 Date Card -131 Date Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access &Platform if Furnace in Attic Card -131 Date Card -B1 Date Card -B1 Date Card -131 Date Date FRAMING (Plans) OK except #'s 39. Sills, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41• Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearing Card -B1 Date Card -131 Date Card -131 Date Card -B1 Date Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 99. Fdn. Vents & Crawl Hole Door -Drainage & 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-Firepl.-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 Inpections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates 92. Roofing Certificate Card -131 Date Card -131 Date Card -131 Date Card -81 Date Card -81 Date Card -131 Date Comments at Final: fi c = OK 0 = Not OK = Not Readyable MOBILE HOMES MISCELLANEOUS Date MO LE HOME UTILITIES (Plans) OK except #'s Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s Hing Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 44.'Soils;. Special MH Support -Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel ewer; Location -Test -Fall -C/O -Concrete . Water; Location -Test -Easement Needed (Sketch) 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beam s-Rftrs.-Con nec.- Shthg.-Rfg.-Bracing Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete as; Location-Tesy,Wrap• / /"L"ft. / /"Nat. or/1�!"L"ft./6$/"LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7-btttty-@Isarance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -B1 (',p Dat ,r jCard-B1 Date 10. Roof; Shthg-Roofing Card -B1 Date Card -B1 Date i 11. Ext.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -B1 Date Card -B1 Date 2. Footings; Size -Spacing -Marriage Line Card -B1 Date Card -B1 Date 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s 5. Drain; MH Test -Fall -Flex Connector 1. Setbacks -Easements - 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability 7. Water and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit Card -Bt Date Card -B1 Date Card -B1 Date Card -B1 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date CgUCK" Md - (Y" / l / 000 &o 4D - 3Tw -�Of jmz�* r I' COUNTY OF BUTTE — DEPART MENT OF PUBLIC WORKS 7 County Center Drive — 0rovif'14, California 95965 Telephone: 634-4541 APPLICAT,IPN AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. exe,o ate 7G Signature of ermitee or Ag nt Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid� DIRECTOR OF PIIBIIC WORKS BY Date—lo "% wilding permit expires Date �"l°' 77 BUILDING Owner ^L D 1�/ SQ. FT. OCC. BUILDING VALUATION Mailing Address©/Of;jg�AEAll f tJ 1Z� t ! Tele hon/�. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee 'PLUMBING Building Address CPa 9 No.1 @ I FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. 6Z oning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees /`` W. C. •S taKm Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans el ecl ration parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel royal • ns Approval Permit Fee $ NEW' rzil ADDITION ❑ UTILITIES ❑ OTHER L`7 ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 r/� �i j 2ta` /0-7% Main service sooV OR LESS +00 AMP OR LESS 5.00 • -4 Duplex Ingle Family ❑ ElMobil Home E— Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 25.00 +oo AMP OR LESS Main service EA, ADD'L too AMP 1.00 NEW CONST. DWELLING OCCUP. & OR ADONS. ACC. BLQGS. ) 20sq ft NEW CONSTR MULTI.OUTLET NON•RESID, BRANCH CIRCUITS) '2.50ea NEW CONSTR. POWER APPARATUS &) NON.RESI D. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES) aAL@+ Ex. Occu // FIXED APPLNS. OR P•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 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. Elhave placed on file with the County of Butte a certificate of 'workmen's Compensation Insurance. 14 I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 1 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 MECHANICAL No.1 @ FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ A7 $ TOTAL PERMIT FEE $ �• authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. exe,o ate 7G Signature of ermitee or Ag nt Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid� DIRECTOR OF PIIBIIC WORKS BY Date—lo "% wilding permit expires Date �"l°' 77 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Uro4e, California 95965 Telephone: 534-4541 c 76 7 APPLICATION AND PERMIT - -••-• •-- •--r•----"• ••-•� •�� • . ,.. v -1-Y — -.It. lv .11 V1 UflUII tilt;above-mentioned property for inspection purposes. Signature of of Permittee Agent � Receipt N"o. ��y ✓ J `� 4 577 White-D.P.W. _ Il'yC tS i{7- Pink-Inspe41k;2946 od -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY � � Date. C B> ibeg permit expires Date���� BUILDING Owner P SQ. FT. OCC. BUILDING VALUATION .101 Mailing Address Telephone No. Fireplace Contractor <7 Total Valuation Mailing Address Z Permit Fee Plan Checking Fee &/or Penalty 4 Telephone No. a, Permit Fee Building Address ' PLUMBING No.1 @ FEE PERMIT FILING FEE J$3.00 Each Trap 1.50 Repair drainage or vent piping 1,50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 es S ' 'on ire Dept. Fire Zone Use Permit Building sewer 5.00 EQA PPlanarkins Plans 4 n Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 ��g. Plans Rec'd Parcel A val ans Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE _ $3.00 Main service 600v OR LESS 5.00 100 AMP OR LESS �r _ Main service ' EA, ADD•L 100 AMP r 2.50 `rU Sin e F y Duplex ❑ Mobil Home Others ❑ OVER OAM600VP OR LESS 25.00 Main service Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELLING OCCUP. 8, OR ADDNS. ACC. BLDGS. ) 20sgft NEW CONSTR. MULTI -OUTLET NON-RESID, BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS &) NON.RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business Professions C90q under the name style of:x. �� • 0250 Ex. Occup(OUTLETS OR FIXTURES) @@1 BAL T E Occu FIXED APPLNS. OR p•(OUTLETS (RESID•) EA) 2.00 Temporary service 10.00 Mobile Home Facilities v 15.00 License No. 2 7�1�o(JJClassification �'���% Misc. Wiring ci 6.25 z, ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 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. I certify that in the performance of the work for which this permit is issued I shall not em p to an employ y person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 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 TOTAL PERMIT FEE �7 $ J� /s - -••-• •-- •--r•----"• ••-•� •�� • . ,.. v -1-Y — -.It. lv .11 V1 UflUII tilt;above-mentioned property for inspection purposes. Signature of of Permittee Agent � Receipt N"o. ��y ✓ J `� 4 577 White-D.P.W. _ Il'yC tS i{7- Pink-Inspe41k;2946 od -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY � � Date. C B> ibeg permit expires Date���� } 1460-8a n , L PERMIT NO. 461-89B, P, E,M PERMIT EXPIRES OWNER RUTH RASMUSSON CONTR. American Tradition Homes ' •. 26-23-6 ASSESSOR PARCEL � r LOCATION 2291 S Villa, PAklermo 4 t6 Ak ry • . 4 3 - Temp. Power Pole J ' E Called PG&E Temp. Elec. Service � Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) Signature 4 i Owner:1i9i: atiR n ate. n N�f DESCRIMON CF INS �'LA'ITCIN r -j 'Lass as"cd��;;•.�'Ss>k�±.GR�i4.i>.f.....�,.>..�a:�..,��.:�er,.. n..r,,:M. ?,XTL NG G ;:+A, rn a c t a'rie`. x. eia, (L.$' z, .•..r.. d.W+.�:.�wr�w•'�.+�..v..n.., a,.� W .Uth y in, ,e Yes. ts.r, aaE�ac Matorial (R Value" 4exd�3,"';EXi:,'1�, %i:';•:,,'S:hi5�i::°i;� 'tyai�ii'f.:�.,.,» Ifnand T�6�lij4 Qo iia a4 °. .. ?Rta,Y`per �i-,tg Vi O.Lt`�-,,), �.di`«»asu a. Bra nd Nam's Ch? nlu ifaL•ueh a �FF k X hereby a: i:: t... L?' ,<hvi{t. f 4::' x.M;C aV� rou, w.'n %, o.,i.. da z z , Y•, • to "s +� s: in ::•oz$.ovSTia"b.F:c a Y tti? "Ohm ;s i;.'ftc C.Y'd: Fmtmt 7h ° •9`txt?ct-a1 : A C%O3,.,RxV—' 0:i`:a� ,.`'.i.d.ea�°i2�,.?:3at,�'. i�w��:yYS.t.,?i.e.s!',�;�.�.�`�' e�.�C`?'�.?.sa.-�6�5�.�$�•sy `La�`;13;N S: 7 .. ;q :E£.: �:'k�::i.> R1:"E. r'Sf.3,# Yz :fid. �'Rd.�t..;,I•d?::; :!`�`� =x� �17aESi ''•� :';t.". +. °�:g:X'�i�`�+ d:<8"S�S, M1t a:.:GL' 'i�` ice!? �iY9: .Fw r. kif �!` M4 C.` )1 �`..':e a: ti'.`_ k i f4;✓i: i'. (•i ''1 rx "_$?i '� ", r'a. i„a a-att,'t;S • r, r. t..�'! •c •nn' M � __ a '�. � �. � `� r.�`ika.s ,y;i.�; dFi<�>., 3}:'i 3�: �•��'r,3 �,0...+5.,t.�.� .w 61.E A`�.'�'�,i3>�E'?� •�:�° i.R�f:' ld�":i:.' ;?i f.,:a; {;,`s`v' s.b �•�lf.'�:.t�i�'?�'�er �«�:7'u,'.�;� y ' Yi•.M I 411co.5 and vvt':t0-*..AfS, i?i"a' C '-,he gt.;:3lz.: f.kal'.I lc'pptn ci'taA t°,Y '1`,he S:_.:st 6fS T:sh.; to,s;Pda mw a ! �i' i j. C a'v a' 11 •t J4 p H b 7 ^t1 ��i� �,.3•>~��ar�, •:<.�'� 3 E?a:ab' Rt�'�`5�:� :A�,ssi,.t,r„ �tkd;'�rx.F,;,, iAC ' 6 rs-m, yni Qm-nr»,.x�._� �:wM..Gr..•:a/• . , - • wa.o i ,f sr' ~ ppp �6,'7'yzy��,� :c `�.� �y,�<x`� t.`k C's yL.9 '•','6�W'�.'�.•tu _ y'� b�,..,.•.m.•.r..,..�:'..,_.r,..».., 4i Iet• a .i, PRE ID '1DK a.En3a�5. �3•�..@hr,A ���41:•'o. �Y,O w�'�EY.ruR _ ,tP R�,a• _ - .. -'NF CC S,y� ,pK c ` - ?a�A;'ar_1,u,1 Y!tM JN3 art A-' '$ al" . x iay.,,• . K y.. 5.. _ A!+r, Sr;l. Y.ia•._;a._ e.0 A-,�L,n. �.:JP f �' COUNTY OF BUTTE r DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NON ICE 7a OWN A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter ,E need additional explanation, please contact this office immediately. \ 4 n t sa r Date Inspector i ��V �/ COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-271 • 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE ,&,— $,-9 mom A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector. I Date r ?� COUNTY OF BUTTE :f DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phohd: 538-7541 747 Elliott Road, Paradise— Phone: 872.-6307 `F' u CORRECTION NOTICE ER � - -y 4 PERMIT NO. A routine inspection indicates that the following violations of County Ordinance *: exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this zs' matter, or need additional explanation, please contact this office immediately. '?' Inspector// // Date—. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-271 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. •���Date f i I>.ra , �.� - ,.,,,�*.41a t v-e-y,,.q;'.. , tq -;y 7. MYt ; .. '�' ,i': is-^ ,:'.'�.� rw`F'.l..r� 1'�ii�,%�. "�F`F�•��' "� `vK'%,,j: rCOUNTY OF BUTTE _DEPARTMENT OF PUBLIC WORKS 196`Memorial Way, Chico — Phone: 891.2751 7 County, Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE OWN T NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. . , _ i Al .4--- n i Inspector V Date Vk = VK U = Not Applicable RESIDENTIAL (Si'ngle and Duplex) = Not Roady Date UNDERFLOOR (Plans) OK except #'s Date FRAL*NG (Continued) mooning -Setbacks; -Easements -Flood -Slope . t ., Main; Soils-Steel-Elec. Grnd.-/ /" F g., Garage; Soils -Steel-/ P' Ftg. Dept F g., Porches & Decks; Soils -Steel-/ P, St walls, Main; Steel-Blockouts-Wrappe tC-Sternwalls, Garage; Steel- Bloc kouts-Wraps I, ✓8. Pie fireplace Ftg.-Steel Fall -Fittings -Test -2 way C/O -Sewer Test e; Size -Anchors ipe: Test-Anchors-Requlator-Service Test 01 -Plenums & Duc nce-Material-Supprt-Ins. 14. Girders -Sills- nchor Bolts oists-Vents-Cripples 15. Insulation Card -131 Date Card -B1 Date Card -131 Date _ Card -B1 Date Date UMBING (Permit) OK except #'s 1 Water Ht. Vent -Access -Combustion Air -Baffle Water Pipe; Test & Anchors -Nail Protection 1 . D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 2 Test Tub & Shower, 2 oor-Tub Access Gas Pipe; Size & ncho Card -B1 Date —/ Card -B1 Date Card -B1 ate Card -131 Date Date ELE TRICAL (Permit) OK except #'s FJxtGre A Transformer Clearance -Ins. Protection EI c. Receptacles Spacing -Lights & Switches at Doors Si ` Boxes & No. of Conductors -Stapled max Installed Close to Edge of Studs & C.J. E�'p. Ground made up w/Mech. Fasteners -Bond Gas & Water 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 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. Irwdlated Neutral Yes No S ice -Riser Conductors & Ground -Main Disconnect al-olEquip. Clearances Panels-Motors-Mech. Equip. 32. CIPKes Closet Light -Shower Light -Spa Light Card -81 Dates l and -131 Date Card -Bt Date Card -B1 Date Date MECHANICAL (Permit) OK except #'s 34A.C. Ducts Insula ent Fan; bove insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnace in Attic Card-B1j�J Date S l and -131 Date Card -B1 Date Card -131 Date Date FR!MTG (Plans) OK except #'s Material & Anchors 4". al s -Studs -Nailing, Spacing & Bracing -Plates -Sound 1• ring Walls over Girders & Floor Nailing 4raft Stop in Walls (rat proof) Wire Stops; Furred Ceilings -Stairs -Chases -Tub Bader & Beam -Size gaeallng Joist-Rftr. Ties- Puri in -Root Brac.- replace Ties or Type A Flue -Fireplace Throat Clearance jAerAttic Access; Size & Romex Protection -Draft Stop -Ins. Baffles r- . Windows or Exiting Doors -Sill Hgt. & Dimensions 1561G#rage Fire Protection Framing erty Line Firewall & Openings jqrrExt. Doors -One 3' -Check Garage -3rd story, 2 exits 53. St ' ; Width -Headroom -Rise -Run -Landing -Fire Protection JSW.-Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailin - olt _ 59. Insulation -W -Clg. 60. Infiltration-Walls-Wndws Card -131 Date1 - and -81 Date Card -131 Date Card -131 Date Date FINAL (Plans) OK except #'s t*i,,Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - !_n Garage; Above Floor-Ducts-Mech. Protection Bedroom Exiting 4-6C F.I. & Bath Fixtures & Tub Access -Spa 6. Elec. Trim & Subpanel; Breaker Sizes -Labels 67. Stairs& Rails e; Clearances -Hearth 69: -Files. Outlets at Wood Panel; Int. & Ext. it Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance A . E ec. Outlets & Receptacles at Kit. Counter a -2 -Garage Fire Door; Swing -Landing -Closer 72. A-G-0uctmGarage-Damper 4. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- 1 Garage; Above Floor-Mech. Protection Ib., Elec. & Mech. Equip. Listed for Location Aer6jJ6c. Receptacles in Garage; (G.F.I.)-Romex Protec. Insulation -Foam -Looked in Attic ❑ Yes Gu d Rails & Deck Construction -Post Caps L-79-kn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive Yes o; Walks ❑ Yes o; Planters ❑ Yes co: rown-Finish 82. A. it; Disconnect, Electrical, Plumbing O-OrVents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Water Well; Disconnect, Electrical, Plumbing terior Elec. Trim; G.F.I. Receptacle -Underground Ventilation throuahout House t8 lass Protection 88�:orrections from Previous Inpections 9. Gas Test -Meters Tagged; Gas -Electric L,9Dater & Sewer Connected -C/O to Grade -HD Approval W Energy Compliance Certificate -Other Certificates 92. Roofing Certificate Card-131(',�-1 Date'l�� Card -81 Date Card -131 Date Card -131 Date Card -81 Date Card -131 Date Comments at Final: 0 = Not OK ' MOBILE HOMES MISCELLANEOUS = Not Readyable Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing - 5. Electric ity;'Location-Cl earances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap: / /"L"ft. 6. Carports; Windows -Doors / /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance T Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -131 Date Card -B1 Date 10. Roof; Shthg-Roofing Card -Bt Date - - Card -131 Date 11. Ext.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -131 Date Card -61 Date 2. Footings; Size -Spacing -Marriage Line Card -131 Date Card -131 Date 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s 5. Drain; MH Test -Fall -Flex Connector 1. Setbacks -Easements 6. Water; MH Test -Regulator -Connector '2. Soils; Compaction -Structure Stability 7. Water and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - 8. Gas and Electricity Tagged Dead Men -Lining 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Card -B1 Date Card -B1 Date Boxes-Enclosures-Panelboards-Ins. to Main in Conduit Card -81 Date Card -B1 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -B1 Date Card -81 Date r _ Card -B1 Date Card -B1 Date COUNTY OF BUTTE - DEIPARTMENT OF PUBLIC WORKS PERMI N0. 7 County Center Drive - Oroville, Cdlifornia,95965 - Telephone: 916/538-7541 APPLICATION'ANDIVERMIT. Y ASS S R P N MB ZONI G BUILDING PERMIT OW -TELEPHONE SQ. FT. 0're C. BUILDING VALUATION 11 OW S A IN ' DDR S L* arpno 9,./ CAGTOR'S AME r ` a TELEPHONE CO ©ACTOR'S NG ADD 5 1 ou.�`(^J Fireplace _-- CONSTRUCTION I ENDER UNKNO_ Total Valuation 1 $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 110- 190 ARCHI E T OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHIT C OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS w Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 12.00 ernic Solar or heat pump water heater 20.00 LOT IOW. SUBDIVISION NAME PARCEL MAP Water piping 5.00 S, Each qas water heater or vent 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S, G W 0.00 ea TYPE OF WORK New Addition ❑ Rem od ❑ tV ies ❑ Installation❑ Other ❑ Describe work: ad \ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service DooV OR LESS 100 AMP OR LESS 10,00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): lk I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions� �Code and my license is in full force and effect. License No. Classification t2 ❑ 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 contra ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OC , A h2Sgft New _DN5TR� UC'TB OVTL T NON-RESID .BRA CH CIRCUITS) 2.50 ea /POWER APPARATUS a) (SINGLE OUTLET CIR. EX. OCCUp(OUTLET3 OR FIXTURES 5AL030 eAL9 30 FIXED APLNS. Ex. OCCUp. OUTLETS P(RESIO.)REA.) 2.00 Temporary service 1 Mobile Home Facilities 15.00ct- 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. 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Q 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 osts, and expenses which may in any way accrue agains ai Co ty in sequence of the granting of this permit. X Date Signature of Applicant — Owner El Contractor; Agent ❑ An OSHA permit is required for excavations over 0' deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE oee�. 3 1A� I CON L SCHOOL _. FLo PARCEL PD ND SSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which IRECTOR F PUBLIC By PER EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt -a G WNITL-D. P. W., YlLLO -A9e PI P OLD EN ROD-APPLICAN FWA '�yi""t'�7�'�rty�+Qtf+�.'+�+4.':-�-,�.�,:4'''T•,;'��.,,�F``_'��,.G'"����t�`n`j+.F'vK.+,D+�t�°''w y�7cY�+�•'�'fTth%f"t"'�.'';1K }.�t.ar, y+;..{*n •"ri+�T+i�f... "F. �.w:,.y�f<,. Ki,�."4,�' COUNTY OF BUTTE - DEPARTMENT -OF P4BLIC VtORKS - BUILDING DIVISION V a! 7 COUNTY CENTER DRIVE - OROVILLE, CPd..LF06N.'.I,F�+;95965,7 ^Tt tEPHONE: 916/538-7541 PERMIT APPLICATION*DATA SHEET OWNEF. Proposed Building Use ►'/ A. P. No. { Building Inspector At timE of permit application, I was advised thefollowing data must be submitted priorto permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . ................ .................. 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Energy Design Compliance and supporting documentation ......... R. Statement of Intent for Non -Heated and AC Buildings .............. X�. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation "instructions Gi /........... .. �f ........................ �.�ees of $ —p�� .. 10. Chico Urban Area fees paid ........................................ 11. Park fees paid ...................................................... 12. S hoot District fees paid ........... . 3 Sanitation approval from Health Department ... 14. City of Chico plumbing. permit ........................................... 15. Plot plan and business license approval from City of (see City for other requireme s) X16. Planning approval for (A) Use��kit�%d..'. 17. Improvements may be required. 18. Driveway permit (construction approval required, prior to occupancy) ... 7,, 19. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 20. Contractor's license information (No., Name Style, Classification) ....... , 21. Certificate of Workmans Compensation Insurance .................... k 22. Owner -Builder Verification (Given to owner ❑; Mail to owner ❑) ........ L .Q Recorded copy of Agricultural Acknowledgment Statement ............ S 24. Letter of signature authorization ..................................... - 26. .. When you issue the permit, process as follows: Ma",I–to owner. Mail to contractor. Telephone and hold for pickup at _office. Deliver w/inspector. Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. �t -:�o � 2. Additional items required,: / OTC i .21 �uc �]�2�vV c.c,c 1 /t.Q ,eI/ '' // ��, a .. ;�ntm�cto,deslgner, owner, was advised of above required data by phone__naiI—counter by 59date CDntractor, designer, owner, was advised of above required data by—phone _maII—spunter by , date Plans checked by Date Plans approved by 2 Sets of plans on hold in File cabinet AP folder .,K Date 3`l7- M Copy—DPW a TO Buildinv Department FROM: Environmental Health SUBJECT: Sanitation Clearance IcIl. kla � fill GL9s,0-VLI/ C a,_(0 Owner. Location #� AP# Plan Approved for: Sewage Disposal',- Water Supply Hold final for: Water Supply Final clearance O.R. for: Clearance for bedroom mobil home.. Other NOTE - Sanitarian Water Supply O Date ��� � I � ���� ��� � � ��� - i - __ _ -._ ----- i -- -- ) RESIDENTIAL PLAN CHECKING GUIDE (S.F. , DUPLEX I-&,MISC.' ONLY) Bldg. Permit # 4 6 I - 8"S' OWNER �cxS /1�k S S o ,✓ A.P. # 2 b - 2 -5 - <--, GENERAL !L! Zoning requirements: (sideyards 2 --"'-Valuation . B� lans signed by designer. 4 Energy Design and Compliance. _`E.. Existing violations on property. PLOT PLAN and number of permitted living units). Complete parcel size and dimensions. ,Setbacks, sideyards, easements, etc. Other buildings or structures. 4, Grading, fills, drainage. Flood hazard. -6:--Special conditions on creation map or compliance document. FLOOR PLAN ,'�Ccomplete to scale plan with dimensions. required windows for light and ventilation (Sec. 1205). 3,-'�Required windows for second exit (Sec. 1204). --4--&kylights (Chapter 34 & Sec. 5207). %-/ uman impact glass (Sec. 5406). -6-.---Required room sizes, ceiling heights (Sec. 1207) . 71.,'�G.F.C.I.'s in baths, garage and exterior outlets (Article 210-8). 8,, Light fixtures, switches, receptacles, and exterior receptacles for mechanical equipment. 7/85 maintenance of 9 --"'Locations of water heater, heating and cooling equipment, other electrical or gas /equipment, and plumbing fixtures. 1arage firewall, door size, and closer (Sec. 503(d)(3)). 0! g 1 - 3'0" exterior exit door (Sec. 3304(e)). 11-' Fireplace and wood stove location. 13-.-' Smoke detectors (Sec. 1210). STRUCTURAL DETAILS Foundation plan complete enough:to construct building. 2u -"-Floor construction details complete enough:to construct building. 3,-"-E-levations and wall construction details complete enough to construct building. 4,, ----Roof construction details complete enough to construct building. -5--F`ireplace construction details and calcs i`f necessary. 6--'.-, Sufficient data and details to satisfy energy requirements (State Law) (Form 1). MISCELLANEOUS ITEMS TO LOOK OUT FOR 1,.,"' -Exposure I plywood on exposed locations and overhangs. Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306). VGuardrail details (Sec. 1711 & 3306(j)). --4— Brick or stone veneer (Chapter 30). --5—.Exterior plaster - weep screeds (Sec. 4706). 6/ 'roper roof pitch for roof covering (Chapter 32). 7. Rafter ties or bearing ridge beam. RESIDENTIAL PLAN CHECKING GUIDE (CONT'D) MISCELLANEOT`S ITEMS TO LOOK OUT FOR (CONT'D) Garage coor or porch header sizes. Adequate bracing. __1�8-. Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. ---371'.Two exits on three-story dwellings (Sec. 3303 & see Mezannines 1716). 12 -'Attic access and ventilation (Sec. 3205). 18 --Underfloor access and ventilation (Sec. 2516). -+4F-.Woclearances, alcoves & 1 -hour shafts. l5-."'_6ombust=on air for fuel burning appliances. i6.___�oise requirements on duplexes. '?7 -.—Adobe soils - special foundation design. fB-�Retaining walls requiring design. -��.Unusual shape, size or split level house requiring lateral design. 7/85 P C)/P - Return to DPW A CULTURAL STATEMENT OF ACKNOWLE ENT FOR RESIDENTIAL DEVELOPMENT ;2±ction 26-8. 1. of the Butte County, Code requires this acknowledgement be recorded prior to issuance of a building permit. _ ; 89-009240 ; R e c F e The property described herein is adjacent e 5.0 0 Check to land or included within an area zoned Recorded 5.00: .for agricultural purposes, and residents Official Records of this property may be subject to incon- County of C WIV, � veniences or discomfort arising from the use of agricultural chemicals, including, Butte Candace J . Grubbs but not limited to herbicides, pesticides, Recorder and fertilizers; and from the pursuit ll:2 0,4.m lb-Ma.r -ljq of agricultural operations including, -- - RE4• 1 but not limited to cultivation, plowing,;a� spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has establ:is'hed iigricul ._ural. zones which have as a priority use for productive agricultural. purposes, rind re sidew ; within said zones and on adjacent property should be prepared to accept such incf�nvenic.nce �•' or discornf:orm from normal, necessary farm operations. ��' All. that. real property situate in the County of Butte, State of. California, 'described ;is follows: All of Block 57 of Subdivision No. 1 of the Palermo Citrus Tract, according to the Official Map theeof, fi1ed.in the office of the Recorder of the County of Butte, State of California.. Date: 3-15-89 State of On this theda of �..�_ Y Myrrh 9 19_8_q_, before nicr, SS. the undersigned Notary Public, personally appeared County of 'g`ltte ) Ruth A. Rasmusson Personally known to me. E] Proved to me on the hasis of satisfactory evidence. .�•.c:�_-ar.•!=.er:.n:.csc•_mnm..o .w>:a..e.,vc.•.r.-�..•_.{ a to`be the person(s) whose name(s) is DENlivE A. GIBSO f,'�subscribed to the within instrument and acknowledged t:haL. She P1oT�;i .� ?Ui;LIC-CALIFORih , g MITE n t?xecuted the same for the purposes therein contained. LNOUNPI WI'I'Nl;ti� a;Yf.•=.'.'.!:ilSSiDtI X:PIRESJULY17,1992 HEREOF, I hereunto set my hand and official. seal.. ' n ^ (fJ Present A.P.- No. Notary Public . END OF DOCUMENT 0 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Ta4lfornV!ii35965 - Telephone: 916/538-7541 " APPLICATION AND PERMIT PERMIT NO. /&/, Z(/, } ASSESSOR PARCELU ER — 3 — z0 G BUILDING PERMI wN TELEPHONE SQ. FT. OCC. BUILDING VALUATION p OWNER a5 ' MAILS. AD E SrPNTRAC TOR'S NA T LEPHONE C NTRACTO 'S MAILI G A RESS DyniFire ` t Le p lace CONSTRUCTION LENDER f UNKNOW Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee ,$ 1000 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. , Plan Checking Fee $ I Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS 44 Penalty $ BUILDING ADDRESS \� v,L Permit fee a U19 _VV PLUMBING PERMIT Filing Fee 1 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5,00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF NLI Duplex[] Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00ea TYPE OF WORK New ❑ Addition Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: q I, i( C(,, Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I decl re under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Profession ode and my license is in full force and effect. License No. Classification ❑ 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 GOCCUP 81 S. OR ADDNST CONACCST '/z¢sgft NEW CONSTR TI*OUTLET NON-RESID .BRA CH CIRG ITS 2.50 ea POWER APPARATUS 6 (SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES 20@090 Ex. OCCup. OUTLETS fRESFIXED ID )REAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �yirin 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ 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 FiIingFee 10.00 Heating Cooling 9 Hood 3,00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabi ' ies, judgments, cos and expenses which may in any way accrue agai a' C i s nce of the granting of this permit. Date Ignature 0f,4plicant — Owner ❑ ContractoAgent ❑ An OSHA permit is required for excavations over deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE OCCUP. CONST.TYPE SCHOOL FLOODI PARCEL PD ND Is uE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PER EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date / Receipt No. ` WHITE-D.P.W.. YELLOW-ASSE330 . PINK -INSPECTOR. GOLDENROD-APPL I CANT M J kr te: a411,! i : i1 : .: 4-1.0 .-.' 1 "•'r s....�r'f�w ..re�, 'iY :i.'_• .. ,<•T f4i`'. k.L t..+.+v%r-'61...+S'r�+'"-•.�=�.-..a..i-v"...:�. COUNTY OF BUTTE - DEPARTMENT QFC "LIC WORKS - BUILDING DIVISION 4- -.t r • -7 COUNTY CENTER DRIVE - OROVILLE, CALIFO4NIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION �DATA SHEET Permit No. OWNEF A P. No. _ Proposed Building Use Building Inspector/ Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . ....................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans . . 5. Energy Design Compliance and supporting documentation .......... 6. Statement of Intent for Non -Heated and AC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions....................................................... 9. Fees of $ ....................... 10. Chico Urban Area fees paid ........................................ 11. Park fees paid...................................................... X12. School strict fees paid ................. 13. Sanitation approval from Health Department ... 14. City�of Chico plumbing. permit ..................................... . 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: ......... 17. Improvements may be required. 18. Driveway permit (construction approval required prior to occupancy) ... 19.. Pre -Ins ection for re Ulred • , , , Pre-Inspec. request to , p q • Building Inspector _(Date) 20. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance .................... 22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ........ 23. Recorded copy of Agricultural Acknowledgment Statement ............ 24. Letter, of signature authorization ..................................... . 25. L 26. ` When ou issue the permit, process as follows: Mail to owner. Mail to contractoo . Telephone=— I 27and hold for pickup at office. Deliver w/inspector. Other _ ____, i Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. t 2. Additional items required: CSntractor, designer, owner, was advised of above required data by_phone---nail—counter by date CSntractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Date Plans approved by Date 5—a!� Copy—DPW Sets of plans on hold in File cabinet AP folder N LW L rZo rIRN �z6-z3 0 -ash P ORLL r l l rL#ly v S' C661 10 ddd ;umijudoo 6uluuuld OV9 3 �bb� 8wop t°Z 971 9014 fb j �sooy fh X0801 A P PR O V E D--\, DEVELOPMENT PLAN DEE ✓ VARIANCE ISE PERMIT � VA BY h 2 C- = - U J° r � � h h + OF 1' TTE • h JUS 1 A 1993 Land Devetopmert'Sec._ y� 1 - W • ' w r • • �r��' - iY� - . W rel -. 1 c u m OI( Ys �.✓��j �,, f c� 0!53 -5i;i On 4e 7-7 914 jetUqLLjuojjAUa. 4uncrj 944nS GgAo2lddv :so oxo 4ueuidlinbe to SQJnPn.4s 10 4126P Gq Illey Gul13 J8a pew 044 UJOJI *440q 40 wpe S -ullApadoid *NPS u 'A 7 A 'A A 4. 0"o J42 4 A-0 iV- - Certificate of Compliance: Res-dential as M tksso -V Project t -lire s. '22t( S' V.II46 Project Address Documentation Author Telephone Climate Zone 11 Gt- 8g Building Permit # ,/J 3— 7— Oiedted By / Date Enforcement AJtencv Use Only BUILDING DATA Area Glass Type Interior Exterior Overhang Framing Type Glass Area % Glass (singK double) oiler blind. etc. shadescreen, etc.) es/no) (metallwood) North North 4(o— :) • i Conditioned Floor Area/:sob Number of Stories I East /o, 5 . S Slab/Raised Floor rets Number of -Units South South ( ) '2, [ Single Family Detached (SFD) [ ] Addition Alone West �(U _ West ( ) [ ] Single Family Attached (SFA) [ ] Existing Building Skylight D O [ ] Multi -Family (MF) [ ] Existing -Plus -Addition Total -t 1 fl• S Q ( BUILDING SHELL INSULATION Component Insulation Location/Comments Type R -Value (attic, to garage, typical, etc.) Wall .............. Wall .............. U Roof .............30 UN ly Floor ............. 1JI1 ' D Floor ............. �,��E Slab Edge ..... a - "� /30 GLAZING Shading Devices Glazing Area Glass Type Interior Exterior Overhang Framing Type Orientation s (singK double) oiler blind. etc. shadescreen, etc.) es/no) (metallwood) North Location Duct North conditioner, heat pump) (SE, SEER,HSPF) East R -Value (Btuh) East 7-2e, South ( ) r Sou th ( ) %• _ West ( ) West ( ) Skylight....... THERMAL MASS Type/Covering Area Thickness (slab/exposed, tile, etc.) (So (inches) LOCadon/Dcsctiption (kitchen. bath etc.) N0�n1'C� ti V AU N Yb 1 LMS Minimum Duct Type (furnace, air Efficiency Location Duct output. conditioner, heat pump) (SE, SEER,HSPF) (attic, etc.) R -Value (Btuh) FwrN4` C 7-2e, 9937#( %• ,r � Manufacturer / Model # Maximum Fumace Heating Output: 4/A7YG BNh HOT WATER SYSTEMS Tank Manufacturer/Model # System Type (storage gas, etc.) Capacity (or approved equal) SDecial Feature(s) �-iora.�e �a5 SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) i I Mandatory Measures Checklist: Residential MF -1R NOTE: L.owrise residential buildings subject to the Standards must contain tl=c rrtsasuAs regardless of the compliance approach used. Items marked with an asterisk(*) may be superseded by more stringent compliance requuemenu listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the fetuums noted shall m be considered by all parties as binding minimucomponent performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. DESCRJPIION Building Envelope Measures §2-5352(a): Minimum ceiling insulation R-19 weighted average. §2.5352(b): Loose fill insulation manufactur is labeled R -Value. §2.5352(c): Minimum wall insulation in framed walls R- I I weighted average (does not apply to exterior mass walls). §2.5352(k): Slab edge insulation - water absorption rate no greater that 03%. water vapor transmission rate no greater Oran 2.0 permlutch. 12.5311: Insulation specified or installed meets California Energy Commission (CEC) quality standards. Indicate type and form. §2.5352((): Vapor barriers mandatory in Climate Zones 14 and 16 only. §2.5317: Infilindon/Exfilaation Controls a. Doors and windows between conditioned and unconditioned spaces designed to Emit au leakage. b. Doors and windows certified. c. Doors and windows weatherstripped: all joints and pencuations caulked and staled. §2.5352(e): Special infiltration barrier installed to comply with 62.5351 mmu CEC quality standards. §2.5352(d): Installation of Fireplaces I. Masonry and factory -built fireplaces have: a. Tight fitting, closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and control 2. No continuous burning gas pilots allowed. HVAC and Plumbing System Measures §2-5352(8) and 2-5303: Space conditioning equipment siring: attach calculations. §2.5352(h) and 2-5315: Setback thermostat on all applicable heating systems. • 12-5316(a): Ducts constructed, installed and insulated per Chapter 10, 1976 UMC. §2.5316(b): Exhaust systems have damper controls. §2-5314(c): Gas -feted space heating equipment has intermittent ignition devices. §2-5314: HVAC equipment, water heaters, showerheads and faucets certified by the CEC. §2-5352(1): Water heater insulation blanket (R-12 or greater) or combined interior/exterior insulation (R.16 or greater)-. first 5 feet of pipes closest to tank insulated (R-3 or greater). §2.5312(Excepdon 1): Pipe insulation on steam and steam condensate return & recirculating piping. §2.5318(d): Swimming Pool Heating 1. System has: a. Onloff switch on heater. b. Weatherproof instruction plate on heater. c. Plumbed to allow for solar. 2. 75 percent thermal cfficiency. 3. Pool cover. 4. Time clock. 5. Directional water inlet. Lighting and Appliance Measures 62-5352(1): Lighting - 25 lumcns/wait or greater for general lighting in kitchens and bathrooms. 12-5314(c): Gas fired appliances equipped with intermittent ignition devices. §2.5314(a): Refrigerators, refrigerator -freezers, froesers and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. DESIGNER I ENFORCEMENT COMPLIANCE STATEM NT This certificate of compliance lists the building features and performance specifications needed to comply with Title 24, Chapter 2-53 and Title 20, Chapter 2. Subchapter 4. Article I of the California Administrative code. This certificate has been signed by the individual with overall design responsibility and the building owner. who shall retain a copy of it and transmit the certificate to any subsequent purchaser of the building. Designer Nance: ruk/Fum: Address: Tekphonc (signature) (& I Documentation Author Name: TitwFwn: Address: Building Owner Name: ritkJFirm: Address: Telephone: (signature) (date) Enforcement Agency Name: Agency: Tekphone. 1. Ceiling Insulation 2. Wall Insulation Single- Number of stories -46 R -value One Two Three R-0 -103 -49 -32 R-19 -8 -4 -2 R-30 -2 -1 .1 R-38 0 0 0 y U -value 8 6 1 0.50 -176 -84 -54 0.30 -102 -49 -02 0.10 -26 -13 -8 1 0.08 -18 -9 -6 0.06 -11 -5 -4 0.04 -4 -2 .1 0.02 4 2 1 0.00 11 5 3 2. Wall Insulation 3. ]Raised Floor Insulation Single- Single - -46 Number of stories Family Family Multi - R -value Detached Attached Family R-0 -68 -51 -34 R-11 0 0 0 R-13 2 2 1 R-19 8 6 4 U -value -6 -3 -2 0.80 -153 -114 -76 0.50 -91 -68 -46 0.30 -47 -36 -24 0.10 0 0 0 0.08 4 3 2 0.06 9 7 5 0.04 14 11 7 0.02 19 14 10 0.00 24 18 12 3. ]Raised Floor Insulation U -value 0.60 Insulation in Floor -70 -46 Number of stories -120 R -value One Two Three R-0 -17 -8 -5 R-11 -3 -2 -1 R-19 0 0 0 R-30 3 1 1 U -value 0.60 -144 -70 -46 0.50 -120 -58 -38 0.40 -95 -46 -30 0.30 -69 -34 -22 0.20 -43 -21 -14 0.10 -17 -8 -5 0.08 -11 -6 4 0.06 -6 -3 -2 0.04 .1 0 0 0.02 4 2 1 0.00 10 5 3 Controlled Ventilation Crawlspace 4. Slab Edge Insulation Number of Stories R -value One Two Three R-0 0 0 0 R-5 8 5 2 R-7 8 6 3 F2 factor 0.90 -4 Number of stories 0.80 R -value One Two Three R-0 -11 -7 -5 R-5 -4 -4 3 R-11 -2 -2 -2 R-19 -1 -2 -2 4. Slab Edge Insulation Number of Stories R -value One Two Three R-0 0 0 0 R-5 8 5 2 R-7 8 6 3 F2 factor 0.90 -4 -3 -1 0.80 -1 -1 0 0.70 2 2 1 0.60 6 4 2 0.50 9 6 3 0.40 12 8 4 5. Infiltration (Air Leakage) Specification Points - Standard 0 6. Glass Heat Loss Total Single- Slab Floor Effective Pace t Class Mass U -value Percent Multi Effective .51 to .41 to .31 to 0.3 Glass Single Double .60 .50 .40 le 50 -121 -53 -39 -24 -10 t 40 -90 -37 -26 -14 -3 1 35 -75 -29 -19 -9 1 1 30 -61 -21 -13 -4 4 1 29 -58 -20 -12 -3 5 1 28 -55 -18 -10 -2 5 1 27 -52 -17 -9 -2 6 1 26 -49 -15 -8 -1 7 1 25 46 -14 -7 0 7 1 24 43 -12 -5 1 8 1 23 40 -11 -4 2 8 1 22 -37 -9 -3 3 9 1 21 -34 -7 -2 4 10 1 20 -31 -6 0 5 10 1 19 -29 -4 1 6 11 1 18 -26 -3 2 7 12 1 .17 -23 -1 3 8 12 1 16 -20 0 4 9 13 1 15 -17 1 6 10 14 1 14 -14 3 7 10 14 1 13 -12 4 8 11 15 1 12 -9 6 9 12 15 1 11 -6 7 10 13 16 1 10 -3 9 11 14 17 1 9 -1 10 13 15 17 2 8 2 12 14 16 18 2 ) or is I 0 2 2 3 3 a 4 4 5 5 5 5 5 5 7 7 7 9 B 3 B B 0 7..Sbading (Shade Open) Single- Slab Floor Effective Pace t Class Mass Effective Percent Class (percent ittass x SC) Multi Effective (percent glass x SC) Attached Effective One Two %less Norf1 %Glass North East South West Skylight 18 5 1 4 1 na 16 4 2 5 1 na 14 4 2 5 1 na 12 3 3 5 2 na 11 3 3 5 2 na 10 2 3 5 2 1 9 2 3 5 2 2 8 2 3 5 2 2 7 1 3 4 2 2 6 1 3 4 2 3 5 1 2 4 2 3 4 0 2 3 1. 3 3 0 1 2 1 3 2 0 0 1 0 3 1 -1 -1 -1 -1 2 0 -1 -2 -4 -2 0 na = not allowed -2 -1 .9 lB. Shading (Shade Closed) Single- Slab Floor Effective Pace t Class Mass Family (percent ittass x SC) Multi Effective Stories Attached /CFA One Two %less Norf1 East Sotto West SlAht 18 -14 -48 -69 -64 na 16 -12 -42 -59 -55 na 14 -10 -35 -50 -46 na 12 -8 -29 -40 -37 na 11 -7 -26 -36 .33 na 10 -6 -23 -31 .29 -74 9 -5 -20 -27 -25 -65 8 -5 -17 -23 -21 -56 7 -4 -14 -19 -18 -47 6 -3 -11 -15 -14 -38 5 .2 -9 -11 -10 -30 4 -1 -6 -8 -7 -23 3 0 -4 -5 -4 -16 2 1 -1 -2 -1 .9 1 1 1 1 1 -4 0 2 3 4 3 0 ,b - -d.nm 3 7 8 10 9. Interior Thermal Mass Interior Single- Slab Floor Raised Floor Mass Family Stories Multi Mass Stories Attached /CFA One Two Three One Two Three 0.0 -8 -5 -4 -2 -1 -1 0.1 -8 -5 -3 -1 0 0 0.3 -7 -4 -2 0 1 1 0.5 -6 -3 -1 1 1 2 0.7 -5 -2 -1 1 2 2 0.9 -5 .1 0 2 3 3 1.1 -4 -1 1 3 4 4 1.3 -3 0 2 3 4 5 1.5 -3 1 2 4 5 5 2.0 -1 2 4 5 6 7 2.5 0 3 5 7 7 8 3.0 1 4 6 8 8 9 3.5 2 5 7 9 9 10 4.0 3 6 8 9 10 10 4.5 3 7 8 10 11 11 5.0 4 7 9 11 12 12 5.5 5 8 9 11 12 12 6.0 5 8 10 12 13 13 6.5 6 9 10 12 13 13 7.0 6 9 11 13 13 14 7.5 6 10 11 13 14 14 8.0 7 10 11 13 14 14 8.5 7 10 12 13 14 15 10. Exterior Wall Thermal Mass Exterior Single- Single - Sum of 1-6 Wall Family Family Multi Mass Detached Attached Family 0.00 0 0 0 0.20 0.40 3 5 2 4 1 3 0.60 8 6 4 0.80 1.00 10 13 8 10 5 7 1.20 13 12 8 1.40 12 13 9 1.60 1.80 10 10 13 12 11 12 2.00 10 11 13 t 11. Heating System SE or 13SPF (assumes ducts In attic) Zonal Control Adjustment System Type , Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 12. Cooling System SEER (assumes ducts In attic) Sum of 7-10 -25 or -24 to -14 to -4 to Sum of 1-6 16 or SEER less .15 -5 -25 or -24 to -14 to -4 to +6 to 16 or SE HSPF less -15 -5 +5 +15 more 0.72 6.60 0 0 0 0 0 0 0.75 6.88 3 3 3 2 2 1 0.80 7.33 8 7 6 5 4 3 0.85 7.79 13 11 10 8 7 5 0.90 8.25 17 15 13 11 9 7 0.95 8.71 20 18 15 13 11 8 9 6 Effective SE or HSPF Effective SEER 0 (SE or HSPF x duct efficiency) (SEER xduct efliclency) -9 Effective -25 or -24 to -14 b -4 to +610 16 or SE HSPF less -15 -5 +5 +15 more 0.30 2.75 -73 -64 -56 -47 -38 -30 na 3.41 -45 -39 -34 -29 -24 -18 0.40 3.67 -34 -30 -26 -22 -18 -14 0.50 4.58 -10 -9 -8 -7 -5 -4 0.56 5.13 0 0 0 0 0 0 0.60 5.50 5 5 4 3 3 7 0.70 6.42 17 15 13 11 9 30 0.80 7.33 25 22 19 16 13 10 0.90 8.25 32 28 24 20 17 13 1.00 9.17 37 32 28 24 19 15 Zonal Control Adjustment System Type , Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 12. Cooling System SEER (assumes ducts In attic) Sum of 7-10 Zonal Control Adjustment 10 P 7 6 4 3 No Cooling System Installed Stories One -5 -i -4 -3 -2 -2 Two + 3 3 2 2 2 1 Single-Fam6-ly Detached and Attached -25 or -24 to -14 to -4 to +6 to 16 or SEER less .15 -5 +5 +15 more 8.0 -14 -12 -10 -8 -6 -4 8.5 -9 -7 -6 -5 -4 -3 8.9 -5 -4 -4 -3 -2 -2 9.0 -4 -3 -3 -2 -2 -1 9.5 0 0 0 0 0 0 10.0 4 3 3 2 2 1 10.5 , 7 6 5 4 3 2 11.0 10 9 7 6 4 3 12.0 15 13 11 9 7 5 13.0 20 17 14 12 9 6 -1 -1 Effective SEER 0 b. East HWR -18 (SEER xduct efliclency) -9 -7 -6 Sum of 7-10 WSB -25 Effective -25 or -24 to -14 to -410 +610 16 or SEER less -15 -5 +5 +15 more 5.0 -30 -25 -21 -17 -13 -9 6.0 -12 -11. -9 -7 -6 4 6.6 -5 -4 -4 -3 -2 -2 7.0 0 0 0 0 0 0 8.0 9 e 6 5 4 3 9.0 16 14 12 9 7 5 10.0 22 19 16 13 10 7 11.0 26 23 19 15 12 8 12.0 30 26 22 18 14 9 13.0 33 23 24 20 15 10 Zonal Control Adjustment 10 P 7 6 4 3 No Cooling System Installed Stories One -5 -i -4 -3 -2 -2 Two + 3 3 2 2 2 1 Single-Fam6-ly Detached and Attached i Interior Mass/CFA Type i PASS (t.yvtna..7t 4 TYPE'1 MASS (UII4C b 4.2, le: ex slab) �c.�r ecw •t.et - exposed � - o1/. 5% 1095 15% 20Y. 25% 30Y. ,35% 40%45% 50Y. 55% 60% 65'1. 70% 75% 80% 85% 90% 95% 1001/. 105% 110Y. 115% 120% 125•. OY. 0 0.2 0.4 0.6 0.8 1.1 1.3 1.5 1.7 1.9 2.1 2.3 2.S 2.7 2.9 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5 5.3 10Y. 0.2 0.4 0.6 0.8 1 1.2 1.4 1.6 1.9 2.1 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.7 4 4.2 4.4 4.6 4.8 5 5.2 5.4 20% 0.3 0.6 0.8 1 1.2 1.4 1.6 1.8 2 2.2 24 27 29 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.8 5 52 5.4 56 30% 0.5 0.7 0.9 1.1 1.4 1.6 1.6 2 2.2 24 2.6 2.8 3 3.2 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 56 58 40Y. 0.7 0.9 1.1 1.3 1.5 1.7 1.9 2.2 24 2.6 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 59 WY* 0.9 1.1 1.3 1.5 1.7 1.9 21 23 2S Z7 3 3.2 3.4 3.5 3.8 4 4.2 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 55% 0.9 1.1 1.4 1.6 1.8 2 2.2 24 2.6 2.8 3 3.2 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 5.8 6 62 60% 1 1.2 1.4 1.7 1.9 21 2.3 2.S 2.7 2.9 3.1 3.3 3.S 3.8 4 4.2 4.4 4.6 4.8 S 5.2 5.4 5.6 5.9 6.1 63 65% 1.1 1.3 1.5 1.7 1.9 2.2 2.4 2.6 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 53 55 5.7 5.9 6.1 64 701/. 1.2 1.4 1.6 1.8 2 2.2 2.5 2.7 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 52 5.4 5.6 58 6 62 64 75% 1.3 1.5 1.7 1.9 21 2.3 25 2.7 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 BOY. 1.4 1.6 1.8 2 2.2 2.4 26 2.8 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 54 56 5.8 6 62 64 66 85% 1.4 1.7 1.9 2.1 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 5 52 54 56 5.9 6.1 63 65 67 901/. 1.5 1.7 2 2.2 2.4 26 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 53 55 5.7 5.9 6.2 6.4 66 68 95% 1.6 1.8 2 2.2 2.5 2T 2.9 3.1 33 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 S.2 5.4 5.6 5.8 6 6.2 6.4 6.7 69 100% 1.7 1.9 21 2.3 2.5 26 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5.S 5.7 S.9 6.1 6.3 6.5 6.7 7 105% 1.8 2 2.2 2.4 2.6 2.8 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 56 5.8 6 6.2 6.4 6.6 68 7 110% 1.9 2.1 2.3 2.5 2.7 2.9 3.1 3.3 3.6 3.8 4 4.2 4.4 4.6 4.8 5 5.2 5.4 5.7 5.9 6.1 6.3 6.5 6.7 69 7.1 115% 2 2.2 2.4 2.62 .8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 6.2 6.4 6.6 6.8 7 72 j 120% 2 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.4 4.6 4.8 5 5.2 5.4 5.6 58 6 6.2 6.5 6.7 6.9 7.1 73 125% 2.1 2.3 2.5 2.8 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.7 7 7.2 7.4 Point System Summary: Climate Zone 11 SCORE CARD Measures 1. Ceiling Insulation _ o or R -value [381 U -value [0.030] 2. Wall Insulation /- or R-value[11) U-value[0.0981 3. Raised Floor Insulation or R -value [19J U -value [0.037] 4. Slab Edge Insulation or Unit Size (sQ Water R -value (0] 1199 12M 1700 2200 2700 Heater Credit or 10 to to or Type Type leas 1699 2199 2699 more SG None 0 0 0 0 0 or Solar 12 8 6 5 4 HP HWR 6 5 4 3 3 x WSB 5 3 3 2 2 2. ,10 POU 8 5 4 3 3 SE None 37 -24 -18 -15 -12 SC Solar .1 -1 -1 0 0 b. East HWR -18 -12 -9 -7 -6 x WSB -25 -16 -12 -10 -8 = Z.OV(a POU -18 -12 -9 -7 -6 IG None -5 -3 -2 -2 -2 AREA Solar 7 5 4 3 2 Exterior Wall Mass POU 3- 2 1 1 1 IE None -28 -19 -14 -11 -9 [0.72/6.6] Solar 8 5 4 3 3 . $1 POU -10 -6 -5 -4 -3 13. Water Heating Multi -Family (Individual units) Type [SG] Credit [none] Unit Size (sQ Water 699 700 1200 1700 2200 Heater Credit or lo to to or Type Type less 1199 1699 2199 more SG None 0 0 0 0 0 or Solar 14 7 5 4 3 HP HWR 9 5 3 2 2 WSB 9 4 3 2 2 POU 9 5 3 2 2 SE None -45 -23 -15 -11 -9 Solar 2 1 1 0 0 HWR -23 -12 -8 -6 -5 WSB -25 -13 -8 -6 -5 _ POU X12 -8 -6 -5 IG None _-23 -8 -4 3 -2 i -2 Solar 6 3 2 1 1 POU 1 0 - 0 0 0 IE None -30 -15 -10 -8 -6 Solar 18 9 6 4 4 POU -8 -4 -3 -2 -2 i Interior Mass/CFA Type i PASS (t.yvtna..7t 4 TYPE'1 MASS (UII4C b 4.2, le: ex slab) �c.�r ecw •t.et - exposed � - o1/. 5% 1095 15% 20Y. 25% 30Y. ,35% 40%45% 50Y. 55% 60% 65'1. 70% 75% 80% 85% 90% 95% 1001/. 105% 110Y. 115% 120% 125•. OY. 0 0.2 0.4 0.6 0.8 1.1 1.3 1.5 1.7 1.9 2.1 2.3 2.S 2.7 2.9 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5 5.3 10Y. 0.2 0.4 0.6 0.8 1 1.2 1.4 1.6 1.9 2.1 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.7 4 4.2 4.4 4.6 4.8 5 5.2 5.4 20% 0.3 0.6 0.8 1 1.2 1.4 1.6 1.8 2 2.2 24 27 29 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.8 5 52 5.4 56 30% 0.5 0.7 0.9 1.1 1.4 1.6 1.6 2 2.2 24 2.6 2.8 3 3.2 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 56 58 40Y. 0.7 0.9 1.1 1.3 1.5 1.7 1.9 2.2 24 2.6 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 59 WY* 0.9 1.1 1.3 1.5 1.7 1.9 21 23 2S Z7 3 3.2 3.4 3.5 3.8 4 4.2 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 55% 0.9 1.1 1.4 1.6 1.8 2 2.2 24 2.6 2.8 3 3.2 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 5.8 6 62 60% 1 1.2 1.4 1.7 1.9 21 2.3 2.S 2.7 2.9 3.1 3.3 3.S 3.8 4 4.2 4.4 4.6 4.8 S 5.2 5.4 5.6 5.9 6.1 63 65% 1.1 1.3 1.5 1.7 1.9 2.2 2.4 2.6 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 53 55 5.7 5.9 6.1 64 701/. 1.2 1.4 1.6 1.8 2 2.2 2.5 2.7 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 52 5.4 5.6 58 6 62 64 75% 1.3 1.5 1.7 1.9 21 2.3 25 2.7 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 BOY. 1.4 1.6 1.8 2 2.2 2.4 26 2.8 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 54 56 5.8 6 62 64 66 85% 1.4 1.7 1.9 2.1 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 5 52 54 56 5.9 6.1 63 65 67 901/. 1.5 1.7 2 2.2 2.4 26 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 53 55 5.7 5.9 6.2 6.4 66 68 95% 1.6 1.8 2 2.2 2.5 2T 2.9 3.1 33 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 S.2 5.4 5.6 5.8 6 6.2 6.4 6.7 69 100% 1.7 1.9 21 2.3 2.5 26 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5.S 5.7 S.9 6.1 6.3 6.5 6.7 7 105% 1.8 2 2.2 2.4 2.6 2.8 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 56 5.8 6 6.2 6.4 6.6 68 7 110% 1.9 2.1 2.3 2.5 2.7 2.9 3.1 3.3 3.6 3.8 4 4.2 4.4 4.6 4.8 5 5.2 5.4 5.7 5.9 6.1 6.3 6.5 6.7 69 7.1 115% 2 2.2 2.4 2.62 .8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 6.2 6.4 6.6 6.8 7 72 j 120% 2 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.4 4.6 4.8 5 5.2 5.4 5.6 58 6 6.2 6.5 6.7 6.9 7.1 73 125% 2.1 2.3 2.5 2.8 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.7 7 7.2 7.4 Point System Summary: Climate Zone 11 SCORE CARD Measures 1. Ceiling Insulation _ o or R -value [381 U -value [0.030] 2. Wall Insulation /- or R-value[11) U-value[0.0981 3. Raised Floor Insulation or R -value [19J U -value [0.037] 4. Slab Edge Insulation or R -value (0] F2 factor [0.771 S. Infiltration Standard 6. Glass Heat Loss Idbublel U -value 10.65) % Total Glass [ 161 7. Shading (Shade Open) % Glass SC Eff. % Glass a. North Z.) x 7 -7 = -� .2.3V7 b. East , g x _ U6 c. South 2.2 x (.ft d. West 3.1 x = 2. ,10 e. Skylight p X, = 40 8. Shading (Shade Closed) % Glass SC Eff. % Glass a. North 3. J x 640 = '2• d qL b. East . g x = 4,26 c. South 2• i x 1 • dfT2 d. West ?• / x = Z.OV(a e. Skylight a x = o 9. Interior Thermal Mass TYPE 1 MASS AREA = $ InteriorW.-ss/CFA COND. FLOOR AREA 10. Exterior Wall Mass TYPE 2 MASS AREA = % Exterior Wall Mass ND. L OR AREA 11. Heating System 171- x = 514.7L Zonal Control? ( Y / N) SE or HSPF Duct Efficiency [0.781 Effective SE or [0.72/6.6] HSPF 10.5615.151 12. Cooling System $. of x . $1 = 7. 241V Zonal Control? ( Y / N) SEER [9.51 Duct Efficiency [0.741 Effective SEER [7.03] 13. Water Heating SC. Type [SG] Credit [none] Point Scores •L d 0 *,LO +J (0 Sum 1.6 0 Point Total: mss "I'll, iT- . � I - ,,l - It,, '�' "'*" -p.�-' '-. vy" v ", � - - � --1 7�, 'N", ' ' ",-J'--, "'I-,? - . I,- - ". '.� �'' T". - ' 'r��'f-:- ." - VVk--,- 'A'jor, -'�".:7 , il I ";�'"Al I � 1-1111 � 7", . -."Alq '� � I , r , i� ,. I - -- - - !'�" I;- 'Ir �" ' . , � . .� - - I - -�' '�'Y""��' 1, :,.,l 4, ,� �4:"�"'��""�'.'�N �' ,� " "�'j, M. . ,� �� . - -F- -r - , "� _� - -_r'.- I " 1- ""' - , ', , .' " , J�v �- �O - , ��" =Tr,-, "� , " � , l�iiii'llill'i�ilil � , I I I I I' , � I , , .' , , �� �" �' �� � 7 7 . , , , "I 11 " , , � ! . I 1� . , I 7,;, ot-� ;"� '' '' m, " V, 11 11 ; " '17`��:;' �;fld-'�111` ", " ,� 111 , . , . ?, � : "; I : I , 'i '�'�' � 7 V 1 , , . .. 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