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027-011-048
IFJ E- 27'11-alpft 448 WILLIAM BROLLIER �,ew Rdalermo e WILLIAMBROLLI 27-48 lermit #584-86B,P,SF) 1 11p Silverbar ER 11- - Permit#�12, f Drive—Orov 27-11-48 t -� �,/ for horse barn; Agrlculturai Bl'd� 3 Permit #959-87B(lst re a /584-86)'�/�� _ Ex m e �.-7-11-48 Permit #958 -'-open decks/SF) h 027=11 0-048` �, 91 435+1. s QU 1,.NN , S,JOE rf' '` , r, .J-CONTR : ARTd C .;A I RE > 3 !- 1 10' SILVER'-BAR RD, ' OROV I x HVAC/-SF�': L el i I { I COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS RMIT t4O. 7 County Center Drive - Orovllle, CAllforgla 95965 4 Telephone: 916/538.7541 APPLICATION AND PERMIT ASSESSOR PARC96 NUMBER 27-11-048 ZONING/ PERMIT W"H" JOW QUINN TRLIEPBUILDING 534-9752 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 110 SILVER BAR DRIVE ORMUZ CONTRACTOR'S NAME MAMTELEPHONE AUIC CONTRACTOR'S MAILING ADDRESS 2838 HWY 32 CHICO 95926 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 110SILVER BAR DRIVE OROVILLE Permit tee $ PLUMBING PERMIT FilingFee 15.00 Each Trap 1 5.00 i 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❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 5.00 Building sewer 15.00 Mobile Home I S I G JW I @ 15.00 ' TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation❑+Other ❑ Describe work: NEW DUAL PACK UNIT, GAS PIPING, 741 Ej,E,`jRjC Permit Fee $ 20.00 Contractor ELECTRICAL PERMIT FilingFee 15.00 p Main service 600V OR LESS 18.50 200A OR LESS _ Main service 200ATO1000A, 37.50 CONTRACTORS LICENSE LAW I declare under p_e�alty o_f perjury (check One): ,-�+ .,- - `. i I I- LYJ 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 ;do.. 3` a/ 3 Classification C-ZQ Fl 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 jcontract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUPM 3.Sd sq.ft. OR ADONS. ACC• BLDGS. I NEW CONSTR.MULTI-OUTLET NON•RESID BRANCH CIRC ITS _F�@ 5•�� POWER APPARATUS 6' (SINGLE OUTLET CIR. ) Ex. Occup( OR FIXTURES 20 754 AAL_ 4F;A Ex. Occup. OUTLETS FIXED P(RESID IRE A.) I .3.00 Temporary service 15.00 . Mobile Home Facilities 15.00 Misc. Wiring g 15.00 15.00 Permit Fee $ 30.00 — 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 FilingFee 15.00 Heating DUAL PACK 9.0() Cooling 4 IVIN 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 against said County inconsequence of the granting of this permit. - A I X.7ti,' Date / 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 Ener Inspection Fee $ 9Y P OCC CONST TYPE i TOTAL FEE $ 90.50 L HAz I DFEES I IMP I FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. {£ IRECTb OF PUBLIC WORKS , BY E/.,��eDate, Z%23- i PERMIT EXPIRES Date /2 - 2 3 -9'L.._ Receipt No . 103633 P WHITE-D.P.W.• YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKSRM00- . 7 County Center Drive - Orovllle, �allfcYnla 95965 - Telephone: 916,'538.7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 27-11-048 ZONING BUILDING PERMIT OWNER JOHN QUINN TELEPHONE �{ 534-9752 Q. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS `- 110 SILVER BAR DRIVE OROVILLE CONTRACTOR'S NAME ARTIC AIRE TELEPHONE CONTRACTOR'S MAILING ADDRESS 2838 HWY 32 CHICO 95926 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 110SILVER BAR DRIVE OROVILLE Permit fee $ PLUMBING PERMIT Filing Fee 15.00 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 SFU Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 5.00 Building sewer 15.00 Mobile Home S I G I W 1 615.001 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: NEW DUAL PACK UNIT, GAS PIPING. WITH _ FLEC:TRIC; Permit Fee $ 20.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 Main service 20CATo t000A, 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 Buslnes$ and Professions Code and my license is in full }force and effect. se 'Jo.1 Classification C-20 Licen�3� ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason OCCUP.&\ NEW CONST. / DWELLING OR ADDNS. % ACC. BLDGS. / 3.60 sq.ft. NEW CONSTR ULT' -OUTLET NON..ESID BRANCH CIRC ITS @ 5.00 l: POWER APPARATUS h SINGLE OUTLET CIR. EX. OCCup(OUTLETS OR FIXTURES 20 @ 76 FIXED APLNS. Ex. Occup. OUTLETS PIRESID IRE A.� I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring '15.00 15.00 Permit Fee $ in nn — 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 Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating DUAL PACK 9.00 Cooling 4 TON 16.50 LHood 6.50 Ventilation permit Fee $ 40.50 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 agains ounty in consequence of the granting of this permit. X ` n Date /� '� 3 Si nature DFA Applicant - Owner 9 PP ❑ Contractor Agent ❑ An OSHA ion of structures tover 39stories oinehe ght ions over 5'0" deep and demolition or construct- Mobile Home Installation Fee S Energy Inspection Fee $ occ co's" PE TOTAL FEE $ 90.50 I HAz DFEES IMP I FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indica d abov r which fees I OF PUBLIC By �-r PERMIT EXPI. S Date applicable provi- resolutions to do have been paid. WORKS Date /Z - 23-91 Receipt No. 103633 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovlllef.Calftrnia 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TE-L/EPHO-7NE S0. FT. OCC. BUILDING VALUATION i OWNER'S MAILING ADDRE S .910 -Sdufe 138[ DE iQKO. CONTRACTR•S AME r -c TELE HONE CONTRACTOR'S MAILING ADDRESS /' Q I act2 ,jl�' (,/� /SlQ y 6 Fireplace ICONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 1.5AG I L.-NDER'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/1 � V I U � C, � /''1 Permit fee $ PLUMBING PERMIT Filing Fee 15.00 O CD Each Trap 5.00 Solar or heat pump water heater 1 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP 771 Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 C> --,SF Building sewer 15.00 Mobile Home S G I W @ 15.00 TYPE OF WORK ii�� New_] Addition El RemodelF—! Utilitiiees u Installation[ Other Describe work: /VeW 0U !� l �IrC--7- :r'Nc10ale Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 �— Main service 600VORLESS 18.50 Main service 200ATO1Oo0A> 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 17 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 17 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST./ DWELLING OCCUP. h\ OR ACDNS. l ACC. BLDGS. II 3.64 Sq.ft. TLET NEW RESID,CONSTUL CH CIRCU NON.RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 9 760 FIXED APPLNS. OR Ex. Occup. ouTLETs IRESID.1 EA.) 1 3.00 Temporary service 1 15.00 Mobile Home Facilities 1 15.00 Wiring Misc. 9 15.00 1500 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 CertificateCooling 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 PER IT Filing Fee 1 15.00 Heating PUA < GN SO 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 against said County in consequence of the granting of this permit. X Date Signature of Applicant - Owner'[:] Contractor ❑ Agent ❑ An OSHA ion of structures toverr3Qstoriesoineheight ons over S'0" deep and demolition or construct- Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 90 I I HAz 1 0FEE$ I IMP I FLOOD I CDF I PARCEL I PD I HD 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 Receipt No. 3(93S WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT 584-86 0i5Q -8-1 • rf" - 6I aPERMIT NO. 958-87tf` PERMIT EXPIRES OWNER WM BROLLIERlry Q �;- CONTR. owner ; r ASSESSOR PARCEL 27-11-48 e LOCATION 110 Silverbar Dr, Oroville `A rLr Y. 1I i �i k' G Y- 1 1; Temp. Power Pole Called P Temp. Elec. `t Called P Temp. Gas Si Called P JOB FINALE Signatun OK y. 0 = Not OK _ =Not ApplicableMOBILEHOMES- MISCELLANEOUS. � = Not Ready - Date MOBILEHOME UTILITIES (Plans) OK except N's Date DEC S, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements bning Requirements—Setbacks—Easements - 2. Soils; Special MH Support—Sketch _ otings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/0—Concrete Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete 5. o u ns—Connections—Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG ows—Doors 7. Utility Clearance 7. Card -BI Date Card -BI Date Card -BI Q Date Card -BI Date Card -BI Date Card -BI Date Card -BI - Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except k's Date LS (Plans) OK except It's 1. Zoning Requirements—Setbacks—Easements 1. Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Electricity; MH Test-Crossovers—Breakers—Clearances 4, Elec.; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/0 to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. Exits; Insp.—Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card.B-I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date , e = OK = Not OKE = N°''"pplittbie RESIDENTIAL 'Sin I�e and Duplex) = Not Ready �' 9 P I Date UNDERFLOOR (Plans) OK except H's Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /'' Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /'' Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access ' 7. Piers -Fireplace Ftg.-Steel -- 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground . - 12. Plenums & Ducts; Clearance -Material -Support -Ins. _ 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples - Card -BI DateCard-BI Date -- Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI' Date Card -BI Date Date FINAL (Plans) OK except #'s 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI . Date Date •• Card -BI Date PLUMBING (Permit) OK except H's 14. Water Ht.; Vent -Access -Combustion Air 57, Smoke Detector 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection _ 15., -,Water Pipe; Test & Anchors -Nail Protection 16.' D.W.V.: Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. &Bath Fixtures &Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. 62. Elec. Trim & Subpanel; Breaker Sizes -Labels Stairs & Rails 19. Gas Pipe; Size & Anchors - 63. Fireplace or Stove; Clearances -Hearth Card -BI Date Card -BI Date 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except N's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper - 20. _Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection _ 21. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location 22. Size Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. - Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 72. Insulation -Foam -Looked in Attic F1 Yes 73. Guard Rails &Deck Construction -Post Caps _24. 25. 2 Appliance Circuits in Kitchen &Conductor Size 74. Fdn. Vents & Crawl !-tole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al __Insulated 27 28. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, _ Neutral _,Yes ❑No Service -Riser Conductors & Ground -Main Disconnect 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters El Yes 1J_ No 76. Stucco; Brown -Finish - 29. Equip. Clearances: Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet - _30. - - Card B -I Card B -I _ - Clothes Closet Light -Shower Light . . _ _ .. Date- _ Card -BI Date Date Card -BI Date 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. 81. Exterior Elec. Trim; G.F.I. Receptacle -Underground Ventilation throughout House 82. Glass Protection Date MECHANICAL (Permit) OK except N's 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric _ 31. 32. 33• A.C. Ducts_ Insulation & Support Vent Fan: Exhaust above Insulation _ Condensate Drain & Overflow; Size & Grade 85. Water & Sewer Connected -C/O to Grade -HD Approval 86, Energy Compliance Certificate -Other Certificates _ Card -BI _ Card -BI 34. 35. Furnace -Vent: Access -Comb. Air -Return Air Vent -_115V outlet Attic Access & Platform if Furnace in Attic Date Card -131 Date Date Card -BI Date Card -BI Date • Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except N's Comments at Final: 36. 37 38. 39. 40. Sills; Proper Material &_Anchors__ Walls: Studs -Nailing, Spacing _& Bracing -Plates -Sound Bearing Walls over Girders & F_Ioor Nailing Draft Stop in Walls (rat proof) Fir_e_Stops: Furred Ceilings -Stairs -Chases -Tub _ 41 42. 43. 44. Z. 46. 47. Header & Beam -Size & Bearing _ Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rfir. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access: Size _& Rome. 'Protect ion -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing _ (NOTE: Anentrymust be made each time youvisit jobsite) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS - -� �► 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection Indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector—� Date �� A -setback of 5 ft from the p�erty lines and a setback .. . 4V ©� c�ft. from the road • - Wftlfne shaft be clear of OWtires or equipment except tx�?'ft Save overhand, Max RIM 6) Mtn. tun Run n a e to toa. - o -T h� Md GA o6Ll 4 � �` tnax; tot�utce B Teen _ . iow &MR be ow o is ljawM +b ' _ . 111 � � OA f®IIe 1�y�jr� • . .. .. - . W614aepmtmentarfP, ; OTPR BUILDINGE T A� �_'1 TA K-0 -_fa � — F s f •tfi. r a• a • - • •M - 51'1 5 _. _may` NVb-116 I _ .c' s- �� .. � ��' J '� � j —+--�yv Vie[} � '.K� III � S � _ T�...�� A� 1 � � Y,� f� d.f --f _ �+�►�� - �� �.rI by .JI' •` . � � ,^ " � � . .r. � ' - ` _ .� .� I. ,� • � � j � ' - V I . + !V. - ... � _ .. - �K - �T T . F . _ _ ,( .. �.� � • r . V . �f ' _ kl 1i �r COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 27 County Center Drive - Orovillv,..Califocnia 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PER. IT N0. ASS65 OR P RCE L N M ER ZONA BUILDING PERM T OWNN l,I'(,ELEre 1A k,OWf 7 SO. FT. OCC. BUILDING VALUATION V R'S eI LIN IDDR 55(� ,_ /L CONT,)ACTOR'S NAME C[%) V1__ tTELEP.ON1_ CONTRACTOR'S MAILING ADDRESS Fireplace CONST UCTION LENDER Yi VNKNOWN Total Valuation $ c Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee .$ ARCHI 0ECT OR ENGINEER LICENSE NO. Plan Checking Fee 35 $ Energy Plan Checking Fee $ ARCHITECTOR ENGINEER'S MAILING ADDRESSe V r r Penalty $ BUILDING ADDRESS hin, 4n 11 .^ ( Q C Permit fee $ • PLUMBING PERMIT Filing Fee 10.00 D� Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5,00 Each pas water heater or vent 5.00 USE OF STRUCTURE SFX 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 Z Rem el ❑ Utiliti s ❑ Instal tion Other ❑ Describe work: _ eKr►l mqq�lo OKA Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORV OR LESS10.00 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 Bushes$ 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- ontract- ors. ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.&) , OR ACDNS. C ACC. BLOGs. /zQsgft TLET NEW CONSTRESID. RANCH CIRCUITS)2,50 ea NON.R ESID BRANCH CIRC ITS (POWER APPARATUS e) SINGLE OUTLET CIR. Ex.p(OUTLETS OR FIXTURES e20®50C Occu / AL@30 FIXED APPLNS Ex. Occup. OUTLETS IIRESID.)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. lyirin 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 Coolin g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 aga t sai ty in consequence of the granting of this payer 't. Date �1 15 Signature of Applicant — Ownern Contractor Agent An OSHA permit is required f r excavatio over 5'0" deep a demolition or construct- ion of structures ov r 3 storieViin/ heght. Mobile Home Installation Fee $ Energy Inspection Fee $ � TOTAL PERMIT FEE /D3.7 -5 -s- OCCuP, CONST.T7 I I PLoop PARCEL Y PD ND Is This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date/Z-- 74 PE IT EXPIRES Date /� / Receipt N i 1 `�O• !S rr ! WHITE-D.P. W.. •ELLOW-ASS 90R, PINK -1 PEC TOR, GOLDEN D -APPLICANT • , .- -,._ ......Y,r . n,.. ry r ' . - ry T- r.. �. •'.i •• t R�i ,* , s.' t; . '•t , p- , r ', COUNTY�OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILL, C LIFORNIA 95965 - TELEPHONE: 916/5"3'4'-4'541 PERMIT APPLONO'N DATA SHEET Permit No. OWNER %vl ►� )11,e ✓- V A. P. No. C) Proposed Building Use /; CSC Building Inspector Date At time ofper it application, I was advised the following data must be submitted prior to permit processing and:/or issUa Ce: s DATE RECEIVED APPROVED 1,! II items have been_s-ubbmitted. . . . . . . . . . . . Plot plans inld p icat /triplicate, signed by preparer of plans. . 3. Complete plans inplidt� ate/iplicate, signed by preparer of plans. /46""L 4. Complete engineered' plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. A. Fees of $ , , , , , , , , d K 9: Letter of signature authorization.. . . . . . . . 1 7 0. Sanitation approval from !� ✓� ✓/ 1 / r Health Dept. �S 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . Contractor's License Information (no., name style, classif.) Q _14. Owner -Builder Verification (Given to owner, Mail to owner _15. Improvements may be required. , . . . , , , , , , /, 1 16. Mobi lehome Installation Data. Pre-Inspec. request to (Date s 17. Pre -Inspection for Required, Building Inspector " 18. Recorded copy of Agricultural Acknowledgment Statement, 19. Driveway Permit. = --" 20. Plot plan approval from city of E 21. 1 22.ll�U/ iy'f a i^ When you issue the permit, process as follows: X Mail to owner, Mail to contractor. Telephone and hold for pickup at—off ice, Deliver w/inspector,. Other Applicant Copy of plans sent Health Dept., Fire/Dept., Other Date The following data must be submitted 1. Index permit for above items No._ 2. Additional items required: it issuance: (Circle new item not checked above). D/% 1 )kAA! . Contractor, designer, owner, was advised of above required.data by—phone _-nail Llounter by Contractor, designer, owner, was advised of above required data by_phone —mal l—counter by Plans checked Sets:;of plans on hold in Copy—DPW Date Plans approved by File cabinet AP folder date date /-Date _ — Flours: 10:00 a.m. - 3:00 p.m. ��: �G�. . t P � \.. / -. I y , 3=3G �7. i U � i i 3=3G �7. i U � i i T � s TO Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal Water Supply Hold, final for: Water Supply Final clearance O.K. for: a /Water Supply Clearance for _ _ bedroom mobile home. Other NOTE** c COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of - the proposed property improvement (yes or no) S 2. I (have/have not) Avg signed an application for a building permit for the proposed work. 3. have contracted with the following person (firm) to provide the proposed construct- o.n.�_ Name Address City Phone Contractor`S—License No 4. I plan to--prp_v_ide portions of this work, but I have hire to coordinate, suptrvi.s.e_,rand provide the rc ^� Name - Address City Phone Contractors License Now 5. I will `prdv°ide-so.mp, of the Work but I have con awe persons to providethe worts n.d_ica Name Ad-dx.e-es--"" '----�._ Phone Signed: Property Owner, Social Security Number - Date 1- 3 - 3 C.;I IF person ired) the following Type of Work NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of.the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. o? 7- i/_ St b� r STP-acl-4RAC CALLS *SU -------- 67•BJECT ------------------------------------------------------- ATE— - ----- �et� RL C."KD. E;Y./��?7, ----------------- ----------- 8W7-Te eOi4M7' ------------------------------------------------ - ---------- -------------------- ------------------------- -- 0� d SHEET NO.._/ Jos r' -O. ----- --------- - F--L..T ........ ENGINKEVRING 5790 CLARK RD. PARADISE, CA 95969 .(916) 872-0254 7-71C- See6,j6r--r OF 7-W6--lES ,q,0,01 rl o Al 7Z> 771Yi5 61-Jc--6 - cooge — /'? oz a. B.G. Lo,,qD1,-v6: R DL = /Cl> /11>sF LL = 40 T -Z-= 3,10 5T1405 8047 X A -roe Al-pD.F. N"o./3o0 f s I 6e -',V- 0 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive,.Oroville, CA 95965 PHONE: 916-538-7.541 William Brollier 1956 Fred • r DATE October 19, 1987 Semi Valley, CA 93065 RE: Permit application #958-87 for Dear Mr. Brollier: covered & open decks dated 3/25/87. A.P. # 27-11-48 With reference to the above subject: LJ Attached is: Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs, Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced OTHER We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's, Compensation Insurance or check exemption statement. Contractor's License Law information or. check exemption statement. XXX _Complete plans in duplicated including, slot plane signed by preparer. 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: 196 Memorial Way,' Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7.County Center Drive, Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. L L OTHER Should you. have any questions concerning the above, please contact this office. Yours very truly, William Cheff Director,of Public Works F. Glander JFG/aj Chief Building Inspector COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS William Brollier 7 County Center Drive, Oroville, CA 95965 PHONE: 916-538-7541 1956 Fred Semi Valley, CA 93065 DATE October 19, 1987 Dear Mr. Brollier• _ RE: Permit application #958-87 for covered & open decks dated 3/25/87. A.P. # 27-11-48 With reference to the above subject: Attached is: Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced OTHER ,( LU We need the following information: T 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. XXX Complete plans in duplicated including plot plans signed by preparer. 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: 196 Memorial Way, Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department,. 7 County Center Drive, Orovi.11e, for Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. L L OTHER. Should you have any questions concerning the above, please contact this office. JFG/aj Yours very truly, William Cheff Director of Public Works l .F. Glander Chief Building Inspector COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive,_Oroville, CA 95965 PHONE: 916-538-7.541 William Brollier 1956 Fred Simi Valley, CA 93065 With reference to the above subject: Attached is: Application for permit Building Plans Engr. Calcs Owner -Builder Verification Form OTHER DATE 'RE: Permit Application #958-87 A.P. # 27-11-48 Mobilehome Utilities Installation Sheet Mobilehome Installation Information Sheet Typical Plan Sheet List of Codes Enforced 1YJ 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. XX Plot,plans• in DUPLICATE 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: 196 Memorial Way,'Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval'from.Butte County Planning Department, 7.County Center Drive, Oroville,.for Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. OTHER Y Should you.have•any questions concerning the above, please contact this office. JFG/aj AHB Yours very truly, William Cheff Director. of Public Works .F. Glander Chief Building Inspector COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive,.Oroville, CA 95965 PHONE: 916-538-7541 William Brollier DATE_ Nnv. 19, 19£7 1956 Fred Simi Valley, CA 93065 RE:Building Permit Application #958-87 A.P. # 27-11-48 With reference to the above subject: Attached is: Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced OTHER LL We need the following information: Permit application signed and completed_wher.e_indicated_with-all-co-piesreturned.- 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: 196 Memorial Way,' Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville,,for Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. 1 OTMER__�uilding Permit aDDliration for 240 sq ft open deck &.24-0 sq ft covered deck. Plans_ recei veil . No.,, 16 19a7_was for 480 sq. ft. enclosed- area - In addition nn tot plans regu ste please sand $27.50 for additional_ fees, Also 1) the rafters are over - SD ned. 2) roof supporting Dost must be contin;ous to footings 3) rafter attachment to exi cti nn h,,41,14— --4- .t,,....... L \ _ _ r I _ Should youhave any questions concerning the above, please contact this office. tX- C-?,) z, (a 0, z Pp 4x4- w/Cz) 5k h3 . JFG RK Yours very truly, William Cheff Director,of Public Works i .F. Glander Chief Building Inspector - I.. 4..1 COUNTY OF BUTTE - ,DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (916) 538-7541 AGRICULTURAL 1U&DING EXEMPTION PERMIT Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASS S OR PARCEL —// — ?I y— FLOOD PARCEL ZONING A5PHONE OWNER - NO. I I 1© 1� r -� OWNER'S ADDRE y/�• r/,1 y� f 1 I V LOCA N OF BUILDING USE 0,FPUILDING SIZE OF STRUCTURE X If SQ. FT. _ TYPE OF CONSTRUCT ON: WOOD FRAMESTEEL CONCRETE OTHER (Specify) TYPE OF S DING ROOF C ER G FLOOR TY oo I'r� ESTIMATED OF/�CONSTRUCTION 1t Ci .ter S ti /COoS�T Uo AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows: J ! COUNTY OF BUTTE - DEPARTMENT, -.01F PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE= OROVILLE,, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET % Permit No. OWNER 1 . , C( &©.�( 1 ��� A. P �� l Proposed Building Use O Building Inspector. Date =11 mit application, I was advised the following data must be submitted prior`to permit processing and/or issuance: DATE RECEIVED APPROVED items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate,- signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form ................................ 6. Energy Design Compliance and supporting documentation ........ . 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions........................................................ 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid ............. . 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec.request to ' Building Inspector (Date) . 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. , 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................. . 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w. /inspectors Other G �) AppI ican Date O /7 �v Copy of,Haz-Mat form sent Health Dept. Fire Dept. _Air Pollution Date Copy of plans sent Health Dept. _Fire Dept. Other Date By.. The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_mail—counter by ..date Contractor, designer, owner, was advised of above required data by—phone —mal l_counter by date Plans checked by Date Flans approved by Date Sets of plans on hold in File cabinet AP folder, - Copy—DPW _ V_ 95J- 97 . PERMIT NO. 584-868, P, 9-, R PERMIT EXPIRES f' OWNER WILLIAM BROLLIER CONTR. OWNER ASSESSOR PARCEL 27-11-3 �(J V LOCATION Palermo INC W .( C E summa:. OFFICE COPY Address ;; ;.-y• GASDate y Meter By t t t r Temp. Power PI ELECTRIC Meter By Dat9f4-0 ✓ ' Called PG4, Temp. Elec. Service Called PG&E Temp. Gas Service Cal led PG& E JOB FINALED (Date) • � Signature V o OK 0 Not 'Oi - = Not Applicable MOBILEHOMES = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except Us 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 1� 2. Footings; Size -Depth -Spacing -Connectors t 3. Sewer; Location -Test -Fall -C/0 -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.-Rig.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance r 7. Elec. Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans);OK except q's 1. Zoning Requirements -Setbacks -Easements Card -BI Card -BI Date Date Card -BI Date Date Card-BIDate POOLS (Plans) OK except q's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability. 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining' 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector - 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7, Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8, Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B-1 Date . Card -BI Date Card -BI Date Card -BI Date Card B-1 Date - : Card -BI Date Card -BI Date Card -BI Date • h 1� t r i V = OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) Date UNDE OOR Plans OK except#'s Date FR ING Continued Zoning requirements -Setbacks -Easements yl . roperty Line Firewall & Openings ain; Soils-Steel-Elec. Grnd.- / " Ftg. Depth 0V Ext. Doors -One 3' -Check Garage -3rd story, 2 exits Garage; Soils -Steel- /-X4"-Ftg. Depth Width -Headroom -Rise -Run -Landing -Fire Protection 4. F orches &Decks; Soils -Steel- / /" Ftg. DepthPI l;nrs; wood on Roof Overhang -Attic Vents -Rafter Outriggers em s, Main; Steel-Blockouts-Wrapped-Slab iding-Nailing-Veneer Lg-t ails, Garage; Steel-Blockouts-Wrapped-Slab 5a. cco -Drip Screed-Fdn. Vents-Underflr. Access ers-Fireplace Fig. -Steel 54..Gla.LW Area -Glass Protection -Skylights -Plastic . D.W.V.: Fall -Fittings -Test -2 way C/O -Sew est"• 55-.5h9ar Walls; Nailing -Bolts 9. Gas Pip ize-Anchors CO 10. Wale ipe; T -Anch egulator-Servicd Test 11. w--LLa"rground 12pla gym= II ^- ts; Clearance -Material -Support -Ins. 13 Girder Sills -Anchor Bolts -Joists -Vents -Cripples Card-BICie Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date C BI Date �6- Card -BI Qn Date / - Date FINAL (Plans) OK except #'s Card -BI Date ' r Card -BI Date Date PLUM G (Permit) OK except #'s 56. Ext. Steps -Door & Sidelight Protection -Landings Smoke Detector _ tter.Ht.; Vent -Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meeh. Protection ter Pipe; Test & Anchors -Nail Protection 16. D.W.V Test flogs & Anchors -Nail Protection LSTBedroom Exiting lZ. S4ewef-Px ; Test, First Floor -Tub Access 6 .I. & Bath Fixtures & Tub Access 18.^fiesYrU6S$hower, 2nd Floor -Tub Access 1'L c. Trim Subpanel; Breaker Sizes -Labels 39.-_Gac_24po:-94ze & Anchors >'L Stairs Rail 3,12:ff,63. Fireplace or Stove; Clearances -Hearth Card -BI Datea-!-g and -BI Date 64. Elec. Outlets at Wood Panel; Int. & Ext. %, Fixt. & Appliance; Grnd.-Air Ga-Cocikinq Clearance Card -BI Date Card -BI Date 6 lec. Outlets & Receptacles t Kit. Counter Date ELECTRICAL Permit OK except'#'s Garage Fire Door; Swing L" Closer ge-Dampe 20. Fixture & Transformer Clearance -Ins. Protection l,169• Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- Garage; Above Floor-Mech. Protection • 21. Elec. Receptacles Spacing -Lights & Switches at Doors 22. Size B9Aes & No. of Conductors -Stapled 0, Plb., Elec. & Mech. Equip. Listed for Location -7-r.-Elec. Receptacles in Garage; (G. F.I.)-Romex Protec. 23• Ro x Installed Close to Edge of Studs & C.J. - - quip. Ground made up w/Mech. Fasteners -Bond Gas W -uard Insulation -Foam -Looked in Attic E:) Yes R . & Deck Construction -Post Caps 2 AppliFrInnp Circuits in Kitchen & Conductor Size 26.__S_ eed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or AI, _ Insulated_ Neutral _,Yes ❑No; 28. Service -Riser Conductors & Ground -Main Disconnect 74. Fdn. Vents & Crawl !dole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 75. Following instld.: Dr�ive/ ❑ Yes o; Walks E) Yes No; Planters ❑Yeslo 76---&tacuu- row�n-Finish Card B I Card B -I 29. Equip. Clearances: Panels-Motors-Mech. Equip. 30. Clothes Closet Light -Shower Light _ 5 "� "" �2V - - - ------ Date — Card BI _ Date _ Date Card -BI Date ect-C es-Brkr. & C d. Size -115V Outlet Vents Above Roof P Applianc Fi pl. Clearance to Opngs. X79- Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec Trim'' G.F.I. Receptacle -Underground 1. Ventilation throughout House psf.ss Protection Date ECHANICAL (Permit) OK except #'s •� ' _ orrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric Card -BI Card -BI 31. A.C. Ducts_ Insulation & Support _ _ _ —-Wer Vent n; Exhau 32. Fa _ _. _st above Insulation 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent: Access -Comb. Air -Return Air Vent_ -_115V outlet 35. Attic Access & Platform if Furnace in Attic -- - - - Date Card -BI _ Date _ Date Card -BI Date &Sewer Connected -C/O to Grade -HD Approval 'L Energy Compliance Certificate -Other Certificates - Card -BI Date - Card -BI Date Card ?k Dat L Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRA ING(Plans) OK except #'s _ iC S' s; Proper Material & Anchors,�.. al s Studs -Nailing, Spacing & Bracing -PI ales -Sound Baring Walls over Girders & Flt8r Nailing Draft Stop in Walls (rat proof), e_Stops: Furred Ceilings -Stairs -Chases -Tub der & Beam -Size & Bearing 42�} ngers-Post Caps -Anchors -Connectors - 49 Joist Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfnp. Fireplace Tiesies or Type AFlue-Fireplace Throat 45: t "c Access: Size & Romex Protection -Draft -Stop-Ins. Baffles - drm. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing_ �I s ??f... -_ -- -- (NOTE: An entry must be made each time youvisit jobsite) 3 COUNTY OF BUTTE - DEPARTMENT. OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER 7 1SO. f TELEPHONE FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'SNAME TELEPHONE Cs Fl 1 7 CONTRACTOR'S MAILING Fireplace 4) CONSTRUCTION LENDER S� 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 $ BU I L D I ttG-_A D D�R Ej!�!� Permit fee $ PLUMBING PERMIT FilingFee 10.00 S, Each Trap 2.00 Solarobr heat pump water heater 20.00 LOT NO*SU ] BD IVISION NAME PAR' L MAP E ' Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑Duplex❑ MobilehomeF—1 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 nV Addition ❑ Remodel [I Utilities [I InstallationEl Other [I Describe work: Permit Fee Contractor ELECTRICAL PERMIT Filing Fee 10.00 LOESS Main service GOOAMP 100 AMP R LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 1, as the owner, am exclusively contracting with licensed t;UIILICILJ- ors. (Sec. 7044) F -I I am exempt under Sec.—, Business and Professions Code for this reason NEW CONST. (DWELLING 0 C OR ADCNS. ACC. BLDGS 4fi9 21/24tsq tt NEW _ w F0N5TP mULT'_OUTLET 2.50 ea N.N-RES.D. BRANCH CIRCUITS (POWER APPARATUS &) _SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 1.20 0 50c ALO 300 FIXED APPLNS. OR Ex. Occup. I OUTLETS (RESIO.) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00- Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): F-1 The permit is for $100.00 (valuation) or less. E:] 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 Fi I ing 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 County ot Butte to enter upon the above-mentioned property for inspection purposes. I the Countof any way aButte agccrue ainst all also iabilagritees e to judgmentse,costsave, indmnify s, anandd keexep penses harmless which may in l, n against said County in consequence of the granting of this permit. X Z r'%'' I Signature of Applicant Owner El' Contractor El Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee TOTAL PERMIT FEE $ 'a CUP - I CONST,TYPEJ I IFLOOD IPARCELI PD I II ISSUE This permit is hereby issued under sions sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By "z;r, zT PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. WMITE-O.P.W., YELLOW-ASSC3SOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE a 7 OWNER PERMIT N . 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 e . ^t• n —VAP J, 9-19P 10 Uff :r a { y S Inspector _ Date i�`"= COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 CORRECTION NOTICE A; routine inspection indicates that the following violations of County Ordinance exist at thk 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 Date � I i i , -T j x IG/,eAEiL �uPpo/LT t We Provide 4 -*4 vertical steei bars continuous from footing to cap w/*2 steal hoops @ 18'° o/c and steel anchor straps per code. I • �rZ¢y /�oSiS 0UE2 1.- 7- —, f Run;mea ........._.------•---�-----._..-----_L..__._ ... _ '"-max t& t Owner: k) 1M Erb r Permit No. 6_7 __E L ENERGY C E R T'I F ICAT ION DESCRIPTION OF INSULATION ROOF Material Thickness(inches) EXTERIOR WALL Material Thickness(inches) CEILING (__ armor Blanket Type 'r Thickness(inches). M_ -Loose Fill Type Minimum Thickness(Inches) Area covered(ft.2) FLOOR, ELEVATE Material Thickness(inches) \ FLOOR, SLAB Material Thickness(inches) Width(inches) FOUNDATION WALL Material Thickness(inches) C11- V/ -//— A. P. /-//A.P. No. Brand Name Thermal Resistance (R Value) Brand Name W EN i -- �-,b rZ N' 1" lilt Thermal Resistance(R Value) Brand Name - N Thermal Resistance(R Value Brand Name Numl'er of Bags Wt .. per bag lb. Thermal Resistance(R Value) Brand Name EJVS` � 0 P'I&"l N Thermal Resistance(R ValueAkAER Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) I hereby certify that the above insulation was installed in the above building in conformance with the State of California Energy Requirements. FIRM NAME/OWNER STATE CONTRACTORS LICENSE NO. SIGNATURE OF INSTALLATION APPLICATOR DATE I hereby certify the above insulation and all required items as shown on the Building Department approved plans and attachments have been installed as required by the State of California Energy Requirements. All equipment, devices and materials are of the quality prescribed or are specifically approved by the State of California. 67 FIRM NAME/ R (Plepr"n STATE CONTRACTORS LICENSE NO. SIGNAYMJVOP IMMAL C RACT'OR OWNER DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. January 1984 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICAT10k, ANNFERMIT PERMIT to ASSESS R PA7CEL�N MBER ZONIN + / BUILDING PERMIT OWN'.Rf / TEL PHONE SQ. FT. OCC. BUILDING V LUATION OWNER'S MAIL DO ESS CON RACTOR'S NAME TELEPHONE - I (D CONTR CTOR'S MAILING ADDRESS Ol' e n C S Fireplace CON5T7UCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 14101111 (, ARHI ECT OR ENGINEER LICENSE No. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILIN AD ES Permit fee $ 001 BUILDING ADDRESS PLUMBING PERMIT9 Filin Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF [� Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00E TYPE OF WORK New Addition Remo el ❑ Utiliti s ❑ installation JOther ❑ Describe work: is IA IAI�� J # ���� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 21/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and m license is in full force and effect. y License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed Contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULTI-OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS NEW CONST(POWER APPARATUS &I NON- R RESID. SINGLE OUTLET CIR. OR FIXTURES BAL®30 Ex. Occu 8AL030 P�o FIXED APPLNS, OR FIXED Ex. OCCUp- OUTLETS (RESID,) EA.� 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 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. 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 County Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against s id County in consequenc of the ranting of this permit. X� Date Signature of Applicant — OwnerL4J Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures oov¢veer/fi�r 3 storries in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ :; occOP. GROUP I TYPE OF CONST. PARCEL PD HD SSUE This permit is hereby issued under sions of the Butte County Code and/or work n icated -above for which E TOR QF PUBLIC By3a PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date /0�2 �/J /0 •�/ W Receipt No. Uc�/�( -� WHITE-D.P,W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT ...grrr ..• _ `"s!"" .a.: -,-r ,_„�� :�; r. 'r}7,7 8 w ' ' . r F.Y f _ — . . •.i � a ... , f w F'M'r v4 •r ^n/,r • .,.-...r. .—a •- .. t COUNTY OF BUTTE - DEPARTMENT OF.'PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CA;�IFOR.NIA'95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET - J Permit No. OWNER 1 F C A. P. No. %/ Proposed g Use - Building Inspector -ed Date - At time of permit application, I was advised -,the `follow i,nd'a'ta must be submitted prior to permit processing P P P 9 ,9.�,�, � andJor 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. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid'' Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. r. 81. Fees of $ , . , 0 it 9. Letter of signature authorization. . . . . . . . . . . Ila 10. Sanitation approval from Health Dept. . 11. Planning approval for (A) Use: (B) Parking:- arking: 12. 12. Certificate of Workmen's Compensation Insurance. . . . . . 1 _' Contractor's License Information (no., name style, classif,) �14. Owner -Builder Verification (Given to owner0, Mail to owner _15. Improvements may be required. . . . . . . . . . , (, 16. Mobi lehome Installation Data. . . . . . . . . . 17. Pre-Inspec. request to (Date) Pre -Inspection for Required. Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of 21. When you issue the permit, process as follows:.Mail to owner, Mail to contractor. Telephone and hold for pickup at office, Deliver w/inspector., Other_ ,x< Applicant -A,N 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). a” 1. Index permit for above items No. 2. Additional items required: V Contractor, designer, owner, was advised of above required data by—phone----Mail counter by date Contractor, designer, owner, was advised of above required data by—phone —ma II—counter by date Plans checked by Date r . Plans approved by Date Sets of plans on hold in Copy—DPW File cabinet AP folder — Flours: 10:00 a.m. - 3:00 p.m. To: Building Department From:T;,.�Ivironmental Health Subject: Sanitation Clearance hA. 73 A' ter- Cd tl n-�-,, Gl,,h Dr - Owner Location AP1j Plan Approved for: - Sewage disposal Hold final for: water supply viater supply Final clearance O.K. for: eater supply Clearance for bedroom mobile ome. Other A'0%;, unit arian Date COUNTY OF BUTTE - Dep'artmedt of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your. signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your buildingpermit. No building permit will be issued until.this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) AVE signed an application for a building permit for the proposed work. 3. const -nu Name _ Address Phone racted with the following person (firm) to provide the proposed tion: 4. I plan to provide portions of to coordinate, supervise, and Name Address Phone Cit Contractors License Ne: but I have hired the following person ne major work: Contractors License No" City 5. I w9 -1 -1 -provide some of the work but I have contracted (hir YR�fsons to provide the work indicated: Name Address Phone Signed: Property Owner ��� .... Social Security Number Date 3 3:.�> - z5z- ] , following Type of Work NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832'of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. a COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT O. 7 County Center Drive - Oroville, California„95965 - Telephone 916/534-4541 _ APPLICATION ANQ PERMIT ASSESSOR PA CEL NUMBER ZONI 7_ _ G _ BUILDING PERMIT OWN RL TELEPHONE }12 SO. FT. OCL`. BUILDING VALUATION lr Z O OWNER'S MAILING AD RESS �Orimp 1— fv41 M r Z CONTRACTOR'S NAME ITELEPHONE n 1 P< 50 0 CONTRACTOR'S MAILING ADDRESS F i replace 0 0 a CONSTRUCTION LENDER _ UNKNOWN Total Valuation I $ 977 Filing Fee - $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ %Z ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty, $ B U I L D I ADDRESS - Permit fee uF $ 6,q3p-- PLUMBING PERMIT Filing Fee 10.00 /llS C�V�g$ ��� Each Trap 2.00 q= L"j62La,01or heat pump water heater 20,00 GC-- LOT NQ. SUBDIVISION NAME PA EL MAP Water piping 5.00 Each gas 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 I S I G JWF 10-00ea TYPE OF WORK New RY/Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 O Main service EA. ADO'L 100 AMP 2.50 L5� CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): ❑ I am licensed under provisions of, Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWc P ELLING OC. c. , New OCONS.A ) h�� ¢sgft o ULTI OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATS e (USINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20060Q eAL03o FIXED APLNS Ex. Occup. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ ,q p 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. \® 1 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 (i(J Cooling Hood 3.00 Ventilation Permit Fee $ o� 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 against said County in cons uence of the granting of this permit. ' Signature of Applicant — Owner Contractor ❑ Agent` An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ QO OCCUP, R-- CONST. TYPE /•VI// __[_FLO o PARC PD ND ss This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF UBLIC v By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Dat l Receipt No. SZ WNIT!-D.P.W., TELLOW-A58[$SOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 0 COUNTY OF BUTTE - DEPARTMENT &F PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE,1M_t1'Ff1RNIA 95965 - TELEPHONE: 916%4-4541 PERMIT APPLICATION DATA SHEET �, Permit No. OW ER �j�4. b CALL f A. P. No. 7--( Proposed Building Use s; Permit Fee Based Upon: Complete Contract Price _,DPW Valuation Ovthen �E-x.plai ) I Building Inspector " Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: - DATE RECEIVED APPROVED 1. All items have beeri submitted. . . . . . . . . . . . Plot plans ink ica�;�t�iplicate. . . . . . . . . . . /!/XG/ Complete plans in duplicate/triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . s n 6. CU SD "Fees Paid" Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . 9. Letter of signature authorization. . . . . . . . 10. Sanitation approval from Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: . 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . . Pre-Inspec. request to (pole) W.Recorde� Pre-Inspection for L Required. Building I spec or Other- the-Rci�ftJ�YAf �1 reConstruetioneapprovale require p or to occupancy 19. Other When you issue the Telephones Other it, process as follows: MailA owner. Mail to contractor. %Z- d hold for pickup at office. Deliver w/inspector.Veow 2�Zl . AppIicant�_tU,� 4"_ Date %%qI4441' Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above a"imy/of application, circle item.) 1. Index -permit for above Items No!' 2. Additional items required: (Contractor, Designer Owner) was advised of above requiredy Telephone Mail Other G - Did 28 �lRlLd6 By—*) Date Plans checked by Date Plans approved by Date 3 M Other: Copy—DPW COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA '95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1: I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not)`ti,= - signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm)•to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: - Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work -indicated: Name. _ Address_, Phone Type of Work Signed: Property Owner Social -Security Number Date - — NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. kv 11 Return to DPW AGRICULTURAL STATEMENT OF.ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT ',D Section 26-8.1 of the Butte County Code requires this acknowledgement IN OFFICIAL RECORDS BII7TE000NTY,CALIFORNlA be recorded prior to issuance of a building permit. %T THEREOUESTOF The property described herein is adjacent to land or included PARTY SHO'4N within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort arising from iR �)Z AM 10: 3 S the. use of agricultural chemicals, including, but not limited to herbicid�{t�� c�es�,. and fertilizers; and from the pursuit of agricultural operations includinT -R��R _,.,t spraying, to cultivation, plowing, spraying, pruning, and harvesting which occasions y genera a dus smoke, noise, and odor. Butte County has established agricultural 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 disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: ILI Pages 4 -31.x, T,1 � . � �,LI F_, , M,D,t3 �. `�3 ? o -� Date. 9 - /7J- Y(�2. State of 01V, rC1e J, .1 ) 11 // ) .SS County of �/e,✓`ruK ,i ) PROPERTY OWNERS: On this the 0l, day of �Icr�L�i 19before me,� the undersigned Notary Public, personally appeared /9 All Personally known to me. / / Proved to me on the basis of satisfactory evidence. to be the person(s) whose name(s) Alce, subscribed to the within instrument and acknowledged that - e executed the same for the purposes therein conta' ed.' IN WITNESS WHEREOF, I hereunto set my hand and official seal. Notary Public Present A.P. No. Oa -)-1 -0 _60-0 //--o OFFICIAL SEAL JEAN F. KINGSLEY NOTARY PUBLIC-CALIFORNIA �• VENTURA COUNTY !Ay Commission Expires Sept. 16, 1989 .v���-.=tee c�r.::;��� ��?�-�;• PROPERTY OWNERS: On this the 0l, day of �Icr�L�i 19before me,� the undersigned Notary Public, personally appeared /9 All Personally known to me. / / Proved to me on the basis of satisfactory evidence. to be the person(s) whose name(s) Alce, subscribed to the within instrument and acknowledged that - e executed the same for the purposes therein conta' ed.' IN WITNESS WHEREOF, I hereunto set my hand and official seal. Notary Public Present A.P. No. Oa -)-1 -0 _60-0 ZONE VD OWNER allLL/Aq&latl p POINTS PERMIT NO. 5944&p ASSIGNED ACTUAL 1. SLAB - INSULATION I -6 I 8-12 2. RAISED FLOOR - R-19 Q •19+ 3. CEILING - R-30 30. 00 D 4. WALL - R-19 A O D - 5. NORTH GLAZING. - 2.4-3.6% 3'8 2 - ?- 6. 6. EAST GLAZING - 2.5-3.6% 1.73 f 2 7. SOUTH GLAZING - 1.6-3.6% 548 �•' S. WEST GLAZING - 2.9-3.6% I 43-.66 1 0 1 -1 -2 1 v2 -3 9. SKYLIGHT - 0-1.3% WestI .1 1 6 1 3.2 1 6.4 1 9.0 10. SHADING (Exclude Overhang) ( 1.5 3.1 6.3.1 7.9 i 1 I I I I 0-.12 EAST - .66 4 (� .37-.57 SOUTH - .19-:42 +fo -/ .82 up WEST - .13-.36 •(k6 -3 Trplj .SKYLIGHT - .37-.57 I Sngl, I Dbl, I Trpl, 1 7 1 1.5 13.1 13.9 15.2 11. HORIZONTAL SOUTH OVERHANG 2' Q 1 0 1 0 1 0 1 0 1 0 12. MOVABLE INSULATION - NONE .58-.82 1 -1 I.-3 1 -6 1 -12 I -. 13. INFILTRATION (Standard=0)(Tight=+12) i 1.10) 1 0.65).1 14.. THERMAL MASS SF 11.10 1 0.65 1 15. GAS FURNACE (SE) 71-76% 1points 16. , HEAT PUlrP (EER) 7.5=7.9% 17. DUAL PACK (SE, SEER) 8,0-8.3/71-76% 11.1 - 1.9 I -1 I -2 1 I O 1+ 4 WOOD STOVE yE(j' IL 33 -1 I SM4 0 I I 2.0 up I 0 1 U I I up to 1.3 ECECPATER :EATER 1 +4 I U I 1.4- 2.2 i ATTIC /ov % -2 1 r'17 I I I OTHER.. 1 +1-1 TOTAL ' POINTS -able 3-1. Slab Floor Points I In ula- I R -Value of Insulstfon 1 tion I I Depth, -T- inches 1 0-2 1 3-4 ! 5-6 1' 7+ l 0- 11 1 -s I -5 1 -5 1 -s I 1 12 - 15 1 -5 1 -3 1 -2 1 -1 I 1 16 - 19 1 -5 j -2 I -1 1 0 1 -�I 20 + I -5 I -1 10 I +1 1 ,7/7/83 Table 3-2. Raised Floor Po T ' R -Value of Insulation I I Points I I I below 3 I -12 I 3-4 ( -8 I 5 - 7 I -6 I 8-12 I -4' I 13 - 18 i 72 I •19+ I 0 I I I 6.3 I 1 1 Table 3-3a. Ceiling Insulation I R -Value of Insulation Wall Insulation Points R -Value of Insulation I Points 11 -7 19 I 0 I4 I +2 30 I +3 Table 3-5. North -Facing Glazing Pts I Tatal I Glazing Type I I I I I Z of I ST. Dbl, Irpl, I Floor I U- I U- I U- I Azea 10.66 10.42- 1 0.41 1 I 11.10 10.65 1 down I O +4 +4 +4 1 0.1- 1.2 1 +4 ! +4 I +4 I 1 1.3- 2.3 1 +1 1 +2 I +2 I 1 2.4- 3.6 1 -2 3.7- 4 -4 I -1 1 .9- 6.1 -7 Pj -3 I 1 6.2- 7.3 1 -9 1 -6 I -5 1 1 7.4- 8.2 1 -12 1 -8 1 -7 1 1 8.3- 9.7 1 -14 1 -10 1 -8 I I 9.8-10.8 1 -17 1 -12 1 -10 1 110.9-12.0 1 -19 1 -14 1 -12 1 112.t-13.2 1 -22 1 -16 1 -13 1 113.3-14.5 1 -24 1 -18 1 -15 1 14.6-15.3 1 -27 1 -20 1 -17 Table 3-7. South -Facing Clazin Pte I I Glazing Type I I • Total I I I Z of I Sngl, Dbl, 1 Trpl, 1 Floor I (U - I (u - I (U - I I Area 1 1.10) 1 0.65) 1 0.41)1 1 0 1 +3 1 +3i-+3 T I up to 1.5 1 +2 1 +2 1 +2 1 I 1.6- 3.6 1 -1 1 0 1 0 1 I 3.7•- 5.2 1 -4I - 1 -2 i I 5.3- 6.5 1 -6 1 -4 1 -3 I -6 1 -5 I I 1.8- 8.9 1 -11 1 -8 1 -7 I I 9.0-10.0 I -13 I -10 .1 -9 I 110.1-11.5 I -17 ( -13 I -11 I 1 11.6-13.0 I -21 1 =16 1 -14 I 113.1-14.5 I -25 ( -19 I -16 1 114.6-16.0 I -23 I -22 I -19 I I I I I I Table 3-8. West-FacinR Glazing Pts. I I Glazing Type 1 I Total I I Z of I Sngl,Dbl, Trpl, I Floor I (u - I (u - I (U - I I Area 1 1.10) 1 0.65) 1 0.41)1 I i oints i oints I ointsl o +B •6 1 +6 I up to 1.3 1 +5 1 +6 1 +6 1 I 1.4- 2.2 1 +3 1 ® 1 +5 1 I I +3 I I 2.9- 3.6 1 -3 1 0 1 +1 i I 3.7- 4.2 1 -5 1 -2 1 0 1 1 4.3- 5.0 1 -8 1 -4 i -2 I I 5.1- 5.6 1 -10 1 -6 I -4 I 5.7- 6.2 1 -13. 1 -8 1 -6 I 1 6.3- 6.9 1 -15 1 -10 1 -7 I I 7.0-'7.6 1 -18 1 -12 1 -9 •I I 7.7- 8.2 1•-20 1 -14 1 -11 1 I 8.3- 8.8 1 -22 1 -I6 1 -13 I I 8.9- 9.5 1 -25 1 -18 1 -15 1 I 9.6-0.1 I -27 1 -20 1 -16 I 1 10.2-11.0 1 -29 1 -23 1 -17 I 1 11.1-11.8 1 -35 1 -26 1 -21 I 1 11.9-11.7 1 -38 1 -29 1 -24' I 112.8-13.5 1 -42 1 -32 1 -27 I 113.6-14.3 1 -46 1 -.35 1 -29 I 1 14.4-15.2 1 -50 1 -33 1 -32 1 Yable 3-10. Shadin Coefficient Points 19 I -4 ' I 1 I Orten- 30 I 0 38 I +2 I 49 1 +4 Wall Insulation Points R -Value of Insulation I Points 11 -7 19 I 0 I4 I +2 30 I +3 Table 3-5. North -Facing Glazing Pts I Tatal I Glazing Type I I I I I Z of I ST. Dbl, Irpl, I Floor I U- I U- I U- I Azea 10.66 10.42- 1 0.41 1 I 11.10 10.65 1 down I O +4 +4 +4 1 0.1- 1.2 1 +4 ! +4 I +4 I 1 1.3- 2.3 1 +1 1 +2 I +2 I 1 2.4- 3.6 1 -2 3.7- 4 -4 I -1 1 .9- 6.1 -7 Pj -3 I 1 6.2- 7.3 1 -9 1 -6 I -5 1 1 7.4- 8.2 1 -12 1 -8 1 -7 1 1 8.3- 9.7 1 -14 1 -10 1 -8 I I 9.8-10.8 1 -17 1 -12 1 -10 1 110.9-12.0 1 -19 1 -14 1 -12 1 112.t-13.2 1 -22 1 -16 1 -13 1 113.3-14.5 1 -24 1 -18 1 -15 1 14.6-15.3 1 -27 1 -20 1 -17 Table 3-7. South -Facing Clazin Pte I I Glazing Type I I • Total I I I Z of I Sngl, Dbl, 1 Trpl, 1 Floor I (U - I (u - I (U - I I Area 1 1.10) 1 0.65) 1 0.41)1 1 0 1 +3 1 +3i-+3 T I up to 1.5 1 +2 1 +2 1 +2 1 I 1.6- 3.6 1 -1 1 0 1 0 1 I 3.7•- 5.2 1 -4I - 1 -2 i I 5.3- 6.5 1 -6 1 -4 1 -3 I -6 1 -5 I I 1.8- 8.9 1 -11 1 -8 1 -7 I I 9.0-10.0 I -13 I -10 .1 -9 I 110.1-11.5 I -17 ( -13 I -11 I 1 11.6-13.0 I -21 1 =16 1 -14 I 113.1-14.5 I -25 ( -19 I -16 1 114.6-16.0 I -23 I -22 I -19 I I I I I I Table 3-8. West-FacinR Glazing Pts. I I Glazing Type 1 I Total I I Z of I Sngl,Dbl, Trpl, I Floor I (u - I (u - I (U - I I Area 1 1.10) 1 0.65) 1 0.41)1 I i oints i oints I ointsl o +B •6 1 +6 I up to 1.3 1 +5 1 +6 1 +6 1 I 1.4- 2.2 1 +3 1 ® 1 +5 1 I I +3 I I 2.9- 3.6 1 -3 1 0 1 +1 i I 3.7- 4.2 1 -5 1 -2 1 0 1 1 4.3- 5.0 1 -8 1 -4 i -2 I I 5.1- 5.6 1 -10 1 -6 I -4 I 5.7- 6.2 1 -13. 1 -8 1 -6 I 1 6.3- 6.9 1 -15 1 -10 1 -7 I I 7.0-'7.6 1 -18 1 -12 1 -9 •I I 7.7- 8.2 1•-20 1 -14 1 -11 1 I 8.3- 8.8 1 -22 1 -I6 1 -13 I I 8.9- 9.5 1 -25 1 -18 1 -15 1 I 9.6-0.1 I -27 1 -20 1 -16 I 1 10.2-11.0 1 -29 1 -23 1 -17 I 1 11.1-11.8 1 -35 1 -26 1 -21 I 1 11.9-11.7 1 -38 1 -29 1 -24' I 112.8-13.5 1 -42 1 -32 1 -27 I 113.6-14.3 1 -46 1 -.35 1 -29 I 1 14.4-15.2 1 -50 1 -33 1 -32 1 Yable 3-10. Shadin Coefficient Points I SC by 1 I Orten- 1 : Floor Area cation Table 3-11. Horizontal South I east I I 3.2 I I 10-3.1 1 to 16.4 up I I I 6.3 I I 0 -.19 1 0 i +1 I +2 I .20-.36 I 0 i 0 I 41 I .37-.66 I 0 I 0 1 0 I .67-.82 I 0 I 0 I -1 .83 up i 0 i -1 1 -2 I I South 1 0 1 6,4 1 8.0 1 9.f I I to I o, to I to I up 13.1 1 6. 1 7.9 19.5 I I 0 -.18 1 0 1 +1 1 +2 I +2 I +3 1 .19-.42 1 0 1 1 0 1 0 1 0 I 43-.66 1 0 1 -1 -2 1 v2 -3 I 1ST u t ,( I -4 I -4 I -6 WestI .1 1 6 1 3.2 1 6.4 1 9.0 I I to I to I to I to I up ( 1.5 3.1 6.3.1 7.9 i 1 I I I I 0-.12 1 01 +1 I +3 1 +6 I +7 .13-.36 I 0 1 0 I 0 1 0 1 0 .37-.57 1 0 1 I -3 1 -6 I -7 .58-.82 �-1 1 -1 1 .-6 1 -12 1 -15 CD .82 up 1 -2 I ---4 1 -8 1 -16 1 -.20 I I I I I Skylight i .1 1 .8 1 1.6 1 3.2 1 4.0 Trplj I to I to I to I to I to I Sngl, I Dbl, I Trpl, 1 7 1 1.5 13.1 13.9 15.2 0-.12 1 0 1 +1 I +3 I +6 I +7 .13-.36 1 0 1 0 1 0 1 0 1 0 .37-.57 I 0 I. -1 1 -3 I -6 I - .58-.82 1 -1 I.-3 1 -6 1 -12 I -. .83 up 1 -2 1 -4 1 -8 1 -16 1 -20 I I I I I I ( I I I I Table 3-11. Horizontal South Overhane Point? Table 3-9. Skylight PointsSouth Glazing Table 3-6. East -Facing Glazln Pts. I Length Out I. Area, 2 of Floor I I Glazing Type I I from Wall I I I Glazing Type I 1 Total I - I I ft r -'--I Total Z -of 1 1 I Z of I Floor T Sngl, I U- I Dbl, I I Trplj 1 1 0-6.3 I 6.4 up I I Sngl, I Dbl, I Trpl, Floor I (U - I (U - I (U - I I Area 10.66- 10.42- U- 1 U- I 0.41 1 I I I' I 0 - 0.5 1 -2 _4 I Area i 1.10) 1 0.65).1 0.41)1 1 11.10 1 0.65 1 down 1 10.6 - 1.0 1 -2 1 -3 1 1points I olnts I ointsl 11.1 - 1.9 I -1 I -2 1 I O 1+ 4 + 4 ♦< I up to 1.3 I -1 I 0" I 0 I I 2.0 up I 0 1 U I I up to 1.3 1 +3 1 +4 I +4 I I 1.4- 2.2 i -3 I -2 1 -1 1 I I I I 1.6- 2.4 1 +1-1 +2 1 1 2.3- 2.8 1 -6 ( -4 1 -3 1 Table 3-12. Movable Insulation 1 .�2 11 0 1 1 2.9- 3.6 1 -9 I -6 1 -5 1 Points I 3.7- 4.6 1 -5 1 . -2 I -1 1 1 3.7- 4.2 I -11 I -8 1 -6 I 1 4.7- 5.6 1 -8 1 -4 I -3 1 1 4.3- 5.0 I -14 1 -10 1 -8 1 1 Moveable Insulation'l I I 5.1- 6.7 1 -10 1 -6 I -5 1 e 1 5.1- 5.6 I -16 I -12 1 -10 1 I Area, Z of Floor I Points I 1 6.8- 7.7 1 -13 1 -8 I -7 1 1 5.7- 6.2 I -19 1 -14 1 -12 1 1 1 7.8- 8.7 1 -15 1 -10 I -8 1 1 6.3- 6.9 l -21 I -16 1 -13 1 I 8.8- 9.7 1 -1.7 1 -12 1 -10 1 1 7.0- 7.6 I -24 I -13 1 -15 I I 0- 5.5 I 0 I I 9.8-11.2 1 -21 1.-15 1 -13 I I 7.7- 8.2 i -26 I -20 1 -17 I I 5.6 - 11.5 I +2 I 111.3-12.7 1 -25 1 -18 -1 -15 I I 8.3- 8.8 I -28 i -22 1 -19 I I 11.6 - 17.5 I +4 I 112.8-14.0 I -23 1 -21 1 -18 I I 8.9- 9.5 i -31 I -24 1 -21 I 1 17.6 - 23.5 I +6 14.1-15.3 I -32 I -24 1 -20 I I 9.6-10.1 I -33 I -26 1 -22 I I I +8 I -+----- --- I- .----I----I �----J--A- ----1---. �. _23.6+ 1- =----- . - - -... I . i Table 3-1.3. InVIttation Control F!ervres Points -- I Control Features I Points I T- I 1 I Standard I 0 I I I I 10.9 air changes per hr I I T-- I I Tight 1 +12 I � I I I (1.6 air changes per hr I I ! I I Table 3-15. Gas Fur -ince Githouc RefriReratIon Cool_nR Points I Heat Pumo I Seasonal Efficiency I Points 1 i (SE), z I 1- I I I I 71-76 I 0 1 I 77 - 82 I +2 1 83 - 88 I +4 I I 89 - 94 I +6 . I I 95 up I I I +8 I I I +6 I I 3.4 Table 3-16. Heat Pumo Points r I 15 - 23 i +4 I I Energy Efficiency I Points i I Ratio (EER) I 40 - 47 I 7.5 - 7.9 I +3 I i S.0 - 8.3 I +6 I I 3.4 - 3.7 I +9 I I 8.8 - 9.1 I +12 i I 9.2 - 9.6 I +15 I I 9.7 - 10.2 I +18 I i 10.3 - 10.8 1 +21 I I 10.9 - 11.5 I +24 I 11.6 - 12.3 I +27 I 1 12.4 - I 13.2 I +30 I I 1 +7 +10 Table 3-17. Gas Furnace With Refriveration Coollna Points ;Refetgeraciod Gas Furnace I Cooling I SE I s9 - i 1 761 821 881 941 I 8.0 - 8.3 1 01 +21 +41 +61 +8 1 1 8.4 - 8.7 1 +21 +41 +61 +41+10 1 1 8.8 - 9.2 1 +41 +61 +01+101+12 1 I 9.3 - 9.7 1 +61 +81+101+121+14 1 1 9.8 - 10.3 1 +a1+101+121+141+16 1 1 10.4 - 10.9 1+1Gi+L2i+I41+16l+18 I 1 11.0 - 11.6 1+121+141+1614.181+20 I 7/7/83 ZONE 11 TABLE 3-14 (ADAPTED) INTERIOR THERMAL MASS POINTS MASS _ DWELLING ARFA HUARE FOOT I r _ AREA 1,000 1,500 2,000 4 2,500 1 3,000 � 3,500 t 4,000 I I,SGO 5_.000 I S(1. FT. I A 8 C D A 6 C A D A 6 C D 8 C 0 A 8 C D A 8 t 0 A 8 C 1) A 6 CG A B C 50 2 2 2 2 2 2 2 0 1 2 z 2 0 0 0 0 0 0 0 0 0 0 a 0-0 D 0 0 0 0 a 0 o J U a ?03. 4 4 4 2 2 2 2 2 2 2 2 2 2 2 2 0 2 2 2 0 2 2 0 0 I 2 0 0 2 2 0 01 0 0 0 0 1 150 6 6 6 4 4 4 4 2 2 *2 2 2 ? 2 2 2 2 2 2 2 2 2 2 2 2 2 2 0 2-? 2 0 2 1 2 0j 200 8 8 6 4 6 6 4 2 4 4 4 2 4 4 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 1 2 ? 0 250 1010 8 6 6 6 6 4 6 6 4 2 2 4 4 2 4 4 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 i 300 12 12 10 6 8 8 6 4 6 6 6 4 6 6 4 2 4 4 4 2 4 4 2 2 2 2 2 2 2 2 I 7' 2. 7 22 350 14 14 12 8 10 10 8 6 6 6 6 4 6 6 6 2 6 4 4 2 4 4 4 2 4 4 2 1 4 4 2 7 2 2 2 2 400 14 14 12 8 10 10 8 6 8 8 6 4 6 6 4 4 6• 6 4 2 4 4 4 2 4 4 4 2 I 4 4 2 2 I 4 4 7 2 503 18 18 16 10 12 12 10 6 10 10 8 6 R .8 6 4 6 6 6 4 6 6 6 2 6 5 •1 4 4 4 2 4 4 4 j 603 22 20 18 12 14 14 12 8 12 12 10 G 10 10 8 6 8 8 6 4 8 G 6 4 6 6 6 4 1 6 5 4 2 1. 6 6 4 2 I 790 ' 24 24 20 14 18 16 15 10 14 14 12 0 10 )0 10 6 10 10 8 6 8 85 4 8 6. 6 4 1 6 5 41 6 6 R Z30 f 26 24 22 16 70 16 16 10 14 14 12 8 12 10 10 6 10 10 8 6 10 R 8 4 I 6 P. 4 6 6 4 I 8 6 6 4I 6 5 G _ 500 I i8 28 74 16 22 20 18 12 16 16 14 10 14 14 12 8 12 12 10 6 10 10 3 6 I a 8 '8 4 i B 8 6 41 8 8 6 c i 11000 30 30 25 18 22 20 20 14 18 18 16 10 14 14 12 8 12 12 13 6 12 10 10 6 10 10 8 6 I 8 a a 41 8 G 4 i I.; OU .12 37. 28 2O 124 24 22 14 20 20 18 10 16 16 14 8 14 14 12 8 12 12 10 6 10 10 10 6 113 10 8 (I ?s� f f , 1,200 34 32 30 22 26 26 22 16 22 20 18 12 18 18 14 10 114 14 12 8 14 12 12 8 '1Z 12 10 E 10 10 8 61 10 In 8 6 i G1 1.130 74 34 32 22 28 26 24 16 22 22 20 12 18 19 If 10 1,;14 14 8 14 12 12 8 12 12 10 6 12 10 10 GI 10 ;0, F. u 1,:00 34 34 32 24 28 28 26 18 24 24 20 14 20 20 18 12 18 16 14 10 14 14 12 8 14 14 12 8 12 12 :G t. 10 13 13 5 1,500 136 34 34 24 30 30 26 18 24 24 22 14 122 20 18 12 18 18 16 10 16 IE, 14 8 14 14 12 a 17 12 10 L1 ;7 12 1C c i 2,000 34 34 32 22 30 30 26 1826 26 22 16 22 22 20 14 20 20 18 12 18 18 16 10 16 lE i4 GI 14 1- 1? 9 i 2,500 I 34 34 30 22 130 30 26 18 26 26 24 16 24 24 22. 14 22 22 i9 !2 20 20 18 !.Is Is 1; It :v J.000 34 32 30 22 30 30 26 18 28 26 24 16 124 24 22 14 22 27 2U 14� li i 3,500 32 32 70 20 30 30 26la �28 28 24 l0 26 24 22 1{i ±i i4 20 14 1,030 I 32 32 30 20 30 30 16 18 i 79 2b 24 if 1 ?5 2i 22 If 4,500 132 32 2B 2U 130 30 26 11 j le in 3= Ie 5.003 1e 231 IJ 1 76 18 •' A) 1. 3's- Concrete Slab: HC•8.93; R-.29; Factor -7.3 - 2. 3 3/4• Thick Common Brick: IIC=1.125; R-.13; Factor -7.3 a) 1. 51s• Concrete Slab: Mc -14.106; a-.458; Faror-1.t wood stove x%33 points*(no back u C) 1. 8" Solid Filled Block: HL -20.63; R-1.90; Factor•6.1 P ( p) 2. 8` Solid Filled Block With Both Sides Exposed To Conditioned Air. Casablanca fan + 1 point NOTE: Use all square footage directly exposed to conditioned air for Thermal Mass Area: itC-10.164; R-.96:; factor -6.) D) 1• Thick Concrete/Ti-le: HC -2.55; R-.083; Factor2-3.7 Table 3-19. Zonally Controlled Electric Resistance Space Heating Points ' I Points or Chia measure will ? Table 3-20. Solar Water Heating With Cas Backup Points , I be completed after theCEC 1 I has approved an Alternative I Component Package for Resistance I I Beat. Table 3-19. Active Solar Spnee Heating with Gas Points Net Solar Fraction I Points (NSF), % I I 0-6 I 0 l I 7 - 14 1 +2 I I 15 - 23 i +4 I i 24 - 30 I +6 I I 31 - 39 I +8 1 I 40 - 47 I : +10 I I 48-55 I +12 I I 56 - 63 I +14 I ( 64 - 71 i +18 1 I 72 up I +20 I I: I Multifamil (er unitpoints) Floor Area Net Solar Fraction (NSF), Z per un}.t, it2. 0.9 10-19 20-29 30-39 40-49 50•-59 60-69 70-79 , 600-799 0 +3 +7 +10 +14 +17 +21 +24 800-999 0 +3 +5 +8 +11 +14 +16 +19 1,000-1,499 0 +2 +4 +6 +8 +10 +12 +14 1,500-1,999 0 +1 +3 +4 +6 +7 +8 +10 2,(100 and up 0 1 +1 1 +2 +4 +5 +5 +7 +9 All others (pe build Tip points) _ 800-899 0 +5 +10 +14 +19 T +24 +?9 +34 900-999 0 +4 +9 +13 +17 +i1 +26 +30 l,OOo--1,199 0 +4 •1.7 +11 +15 +•19L+2 +26 1,20(,-1,499 n +3 +6 +9 +12 +15 +21 1,500-1.999 0 +2 +5 +7 +9 +12 +11: 2.000-2,'199 0 42 +3 +5 +7 +8 +ll 3,060 n:.d uo 0 +1 +3 +A +5 +7- +in i Table 3-21. Other Water BeatlnR Pts. I System Type 1 Points I i I I ( Gas Only I 0 i I I i I Beat Pump 1 0 I I I I I Solar with Electric I I I Re4lstance DAckup I I I Meeting the Require- ( I I menu la Part 2 i 0 I I I Electric Resistance I i Rely i -:0 I I ' RESIDENTIAL ENERGY.PLAN CHECK/INSPECTION SUMMARY FORM .Owner A//W#A,/ Oiep/( lce— - Climate Zone // Permit No. 55444 Floor Area 9#V SF = r"' Compliance path: Package 13A ❑ B ❑ C IAoint System ❑ Budget 9'6ther MIN R -VALUE DESCRIPTION REQ'D INSTALLED ITEMS (1) INSULATION: (� Roof/Ceiling 3o•ov ( Wall //• 00 ❑ Slab Floor Perimeter Raised Floor (2) INFILTRATION: ❑ (A) A vapor barrier is required in climate zones, 1, 14 & 16. (B) All manufactured windows and sliding glass doors shall meet the 1972 ANSI Air Infiltration Standards and shall be certified and labeled. L8' (C) All swinging doors and windows leading to unconditioned areas shall be fully weatherstripped. Tight - the above standard features plus: ❑ (D) Continuous infiltration barrier ❑ (E) Electrical outlet plate gasket ❑ (F) Air-to-air heat exchanger. (3) GLAZING• (A) Location Area Glazing %,Floor Area Single Double Triple Total Bldg 2St. to /3•G B ✓ [)' North 9/.00 S-Irz East 96.6 /. 73 v 0� South West .Up 2•/T y ❑ Skylights (B) Shading Shading Coefficient Description _ East P_ [l South.&(o West •(oG Skylights Q� (C) South Overhang Length of projection 2 ft. DescriptionAy� ❑ (D) Moveable insulation: Area ftZ Description ' (E) Thermal mass ❑ Type - Area Ft.2 HC= R= • MC= Location ❑ Type - Area Ft. HC= R= MC= Location Type - Area Ft.2 HC= R= MC= Location ❑ Type - Area Ft.Z HC= R= MC= Location ❑ Type - Area Ft.2 HC= R= MC= Location ❑ Type - Area Ft.Z HC= R= MC= Location 7/83 CORM ❑ (4) MASONRY AND FACTORY -BUILT- FIREPLACES shall be equipped with tight fitting closeable metal or`glass doors'covering the entire opening of the firebox; a combusion air intake equipped with a readily accessible, openable, and tight fitting damper to draw air from the outside of the building; and a tight fitting flue damper with a readily accessible control. *1 (5) HEATING. VENTILATING; AIR CONDITIONING.SYSTEM (A). °Heating ❑ Central Gas Furnace % (brand and model number) SE Btu/hr (heating capacity) ❑, Heat Pump. (brand and model number) ACOP Btu/hr (heating capacity at 47°F) ❑` Active Solar* ;type (liquid or air) Collector. brand and ft2 model number solar fraction collector area, collector orientation collector.tilt. rated y -intercept rated slope�oDD BUI�i(�/I✓S7 S% dL� Other (B) Cooling 13 Electric Air Conditioner (describe) (brand and model number) Btu/hr (seasonal EER) Awviing capaciLY aL 7J F) ❑` Electric Heat Pump EER Btu/hr (cooling capacity at 95°F) ❑ Other (describe) ❑ (C) A TWO-STAGE THERMOSTAT, which controls the supplementary heat on its second stage, shall be required for heat pumps. ❑ (D) AN AUTOMATIC SETBACK shall be provided for all thermostats, except those controlling heat pumps. ❑ (E) AN INTERMITTENT IGNITION DEVICE shall be provided'for all gas-fired fan type central furnaces, gas-fired fan type wall furnaces and gas cooking appliances'. (� (F) BACKDRAFT DAMPERS shall be provided for all fan systems exhausting air to the outside. (� (G) DUCT CONSTRUCTION & INSULATION. All transverse duct; plenum, and fitting joints shall be sealed with pressure sensitive tape or mastic to prevent air loss and shall be insulated to conform to the provisions of Section 1005 of the UMC, 1976 Edition. 2 FORK (6) DOMESTIC WATER SYSTEM Q -('A) Gas Only Gallons (brand and model number) (tank size) 13 Heat Pump w/Electric Backup (brand and model number) Gallons (tank size) Active Solar (collector brand and model number) �o (rated y -intercept) (rated slope) (solar fraction) ft :(backup heater type,'brand and model number) (collector area) (collector orientation) (collector tilt) — El Location of Solar Panels L Other EGECTk /C �./ (Describe) is :(B) TANK INSULATION. Storage type water heaters and storage and backup tanks for solar systems shall be externally wrapped with R-12 insulation or greater. (C) PIPE INSULATION.- The five feet rof pipe closest to the water heater and outside conditioned.space shall.be insulated with a minimum of R-3. Steam and steam conditioned space shall be insulated with a minimum of R-3. Steam and steam.condensation return piping and recirculating hot water piping outside the building envelope shall be insulated in accordance with T20 -1408(d). (D) FLOW RESTRICTORS shall be provided'for showerheads and faucets as outlined in the new appliance efficiency standards and shall be certified to the.Energy Commission.. (7) LIGHTING (� (A) Lamps used in luminaries for general lighting in kitchens and . bahhrooms shall have an efficacy of not less than 25 lumens per watt (usually florescent). *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form IN) or other approved methods, section 2-5352(g), and fill out the following. Heating: Winter design temperature 30 °, elevation ', heating load BTU elevation factor x heating load = maximum outlet capacity gas furnace BTU A/wiTN l�JaoD Cooling: Summer design temperature �� °, cooling load BTU �o (USE ONLY AS A SIZING GUIDE, COOLING MAY BE INADEQUATE) *2 Submit T.I.P.S.E. chart.or other approved system (form #5) to document sizing of solar panels. T - ®, DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24,.Part 2, Chapter 2-53 of the California Administration Code. 7/83 SIGNATURE OF B ING DESIGNER OR APPLICANT 91