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027-060-071
3 027-06= � 2 BPEM ozl-- 0 0-0% FREEMAN,. John Patty ,027 06=0-042(P,) r 93=15 G>�/3�Upper Palerm: d, Oroville FREEMAN;- JOHN', cont_t: Steve Orsillo new sf X6935.. UPPER, PALERMO RD, OROULLE { AG EXEMPTION_P_ERMIT. U27 -O- 92-3900 B EQ IU PMENT, TRACTOR, ..pISC` HAY, ] T_._ FREEMAN, John` 6935 Upper.P ermo, Orovill. contr Fox o fires nklers/sf r 027-06-0-071 93-1810 � FREEMAN, JOHN C. by CONTR: OWNER 6935 UPPER.PPALERMO. ADD DECK/SF--, ,qY h7 `Y9 027-060-071 MUDIUCK IRl -;ERA40VLIDIN 6-0742 6935 UPPER A� Cont: p WNE A'SV �'N�;O_ I 027-060-071 i 06-0742 1 Sutte,LMUDRICK ':.a`,1 N O T E S 7 CoVs.6935 UPPER PALERMO RD, PALERMO (sso) .,Cont:'OWNE.: • r'.' ' VINYL SIDING RE.SIDENTIAL APN: 4 a Permit No. �T Owner - Sit e wnerSite Address: Contractor. Type of Permit: • 4 w` f � " a 1_ 6 t r Y t A: i C l � u r J s 3E. I -7 S SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUBSTANDARD HOUSING LETTER " ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV'HLTH CLEARANCE `s a ,S ft'DATE JOB FINAL -ED: _ �i SIGNATURE: CHECKED BY OK NOE UA MANUFACTURED HOMES MIS.C.ELLANEOUS DATE Lj PERMANENT FOUNDATION SOFT -SET DATE D E C K S'C O V E R S'C A R P O R T S *G.A R A G E S 1 Zoning -Setbacks -Easements 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 2 Ftg§; Soils-Sz-DpihSpacing-Spacing 3 Sewer; Loctn-Test;• FaIUC/O-Concrete 3 Decks, Girders/Joists-Dcking-Brcing 4 Wtr; Loctn-Test-Easement Needed -Regulator Stairs-Guard/Handrails 5 Elec Loctn-Clrrics-Grnd Amp -Concrete 4 Wood Awn; Posts -Beams-Rftrs-Cnnctrs-Shthg 6 Yard Gas; Loctn-Test-Wrap . Nat O or LPO Frmg-Brcng Inch Sz Ft Lngth 5 Alum Awn; Columns-CnnctnsSplice-Decal-Encisrs 7 Blckng; Sz-Spacing-Marriage Line 6 Carports; Wndws-Doors 8 Gas; MH Test-Demand-Valve-Cnnctr 7 Electric 9 Elec MH Cntnty Test-Crossovers-Breakers-Cirncs 8 Frmg; Sills-Anchrs-Studs-Rftrs-Trusses 10 Drain; MH Test -Fall -Flex Cnnctr 9 Siding; Nailing -Veneer -Stucco -Lath - 11 Wtr 8. Sewer Connected -C/O to Grade 10 Roof-, Shthg-Roofing 12 Gas and Electricity Tagged " 11 Ext; Steps-Doors4-andings 13 Tie Downs O Foundation a,l2 Braced Wall pnls 14 Exits 15 Cert of Occupancy 16 HUD LabeUlnsignia Numbers Serial Numbers DATE POOLS 1 Setbacks -Easements , 2 Soils; CompactionStructure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -lining 4 Elec Rcptcls/Lting; Distance-GF1 ` 5 Elec Pool Lting; 15 volts-GFI 6 Elec Enclsrs; Conduit Entries Terminals -listed 7 Elec Bonding; Metal w/5'-Crcltng Eqp-Htr 8 Elec Grndng; Eqp w15' Crcttng Eqp-Pool Ightg Bones-EndsrsTrilboards4risultn to Main Conduit 9 Health Dept Apprvl , 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Enclsr, Fencing -Alarms 13 Bonding, Diving board or Slide �c Pool Drawing ' s y - OK = Not OK RE"SIDENTIAL (Single & Duplex') DATE JUNDERFLOOR DATE PLUMBING 1 Zoning -Setbacks -Easements -Flood -Slope 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 2 Ftg Main; Soils-Elec Grnd Ftg Dpth 54 Wtr Pipe; Test & Anchr-Nail Prtctn 3 Ftg Garage; Soiis-Steel-Elec Grnd Ftg Opth. 55 DWV; Test Fittings & Anchr Nail Prtctn 4 Ftg Porches/Decks; Soils -Steel Ftg Opth 56 Shwr Pan; Test, First flr-Tub Acc 5 Stemwalls Main; Steel-Blockouts-Wrapped 57 Test Tub & Shwr, 2nd flr - Tub-Acc 6 Stemwalls Garage; Steel-Blockouts-Wrapped 58 Gas Pipe; Sz & Anchrs 63 Hold Downs and Special Anchrs 59 Fire Sprinkler; Test 7 Slab, Steel Wrapped 60 Yard Gas Piping 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test ° ° Ise tt Wtr Pipe; Test-Anchrs-Rgltr-Service Test 12 Elec Undrgrnd DATE IMECHANICAL 13 Plenums & Ducts; Clrnc-MaterialSupport4nsultn 61 AC Ducts Insultn & Support 14 Girders-Sills-Anchr BoltsJoists-Vnts-Cripples 62 Vent Fan, Exhaust abv Insultn 15 Acc & Vntltn 63 Condensate Drain & Ovrflw, Sz & Grade 16_ Insulation 64 Furnace -Vent Acc-Comb Air Rtrn[Vent 115 Outlet 65 Attic Acc & Pltfrm if Furnace in attic c t 41 DATE FRAM I N G 17 Sills Proper Materials & Anchrs DATE IFINAL 18 Walls Studs -Nailing Spacing & Braces-PlatesSound 66 Ext Steps -Door & SideLt Prtctn-Landings 19 Bearing Walls over Girders & fir Nailing 67 Smoke Detector 20 Draft Stop in Walls (rat proof) 68 Furnace Vnts-Clrnc-Comb, Air-Cnnctr 21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs In Garage; abv-flr-Ducts-Mech Prtctn 22 Headers & Beams-Sz & Bearing 69 Bedroom Exiting 23 Hangers -Post Caps-Anchrs-Cnnctns 70 GFl & Bath Fxtrs & Tub Acc-Spa 24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac TrussShthg 71 GFI Arc Fault 25 Frplc Ties or Type A Flue-Frplc Throat Clmc 72 Elec Tun & Subpnl, Breaker Sts & Labels 26 Attic Acc; Sz & Rmx Prtctn-Dr-aft Stop4ns Baffles 73 Stairs, Guard/Handrails 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 74 Frplc or Stove, Clmc-Hearth 28 Garage Fire Prtctn Framing -RC Channel 75 Elec Outlets at Wood Pnl, Int & Ext 29 Prprty Line Firewall & Opngs 76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Clrnc 30 Ext Doors -One T -Check Garage 3rd Story, 2 Exits 77 Elec Outlets & Rcptcls at Ktchn Counter 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 78 Garage Fire Door, Swing -Landing -Closure 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 79 AC Duct in Garage -Damper 33 Siding -Nailing Veneer 80 Wtr Htr; Vnts-Clmc-Com Air Cnnctr-PRV; abv fir 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc Mech Prtctn; LPG Appince Undr House 3- drain 35 Glazing Area -Glass Prtctn-SkyLts-Plastic 81 Plmb; Elec & Mech Eqp Listed for Lottn 36 Shear Walls; Nailing -Bolts 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 37 Brace Int/Ext Wall pnls 83 Insultn-Foam-Looked in Attic 38 Insultn-Walls-Ceilings 84 Guard Rails & Deck Cnstrctn-Post Caps 39 Infiltration-Walls-Wndws 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Clrnc Drnge Planters OYes QNo s87 Stucco Brown -Finish o'er 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof. Plmb-Appinc-Frplc-CIrnc to Opngs DATE JE L E CTR I C A L 90 Wtr Well, Dscnnct, Elec, Plmb 40 Fxtr & Tmsfrmr Clmc4ns Prtctn 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd 41 Elec Rcptcls Spacing-Lts & Switches at Doors 92 Vntltn thru House 42 Sz Boxes & No Of Cndctrs Stapled 93 Glass Prtctn 43 Romex Installed Close to Edge of Studs & CJ 94 Corrections from previous Inspctns 44 Eqp Grnd made up w/Mech Fstnrs 95 Gas Test -Meters Tagged, Gas-Elec 45 Grndng Electrode Bond Gas & Wtr 96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprv1 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 97 Energy Cmpinc Cert -Other Certs 47 Subfeed Wire Sz 9 ❑ CU or DAL . 98 Address Posted AC Wire Sz ga ❑ CU or ❑AL 99. Fire Sprinkler 48 Range Circ ga ❑CU or,QAL 'Oven Circ ga ❑ CU or ❑AL Insulated Neutral EjYes F-1 No o` e`er ° • e 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Clrncs pnls-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP060742 B. C. Building Permit 01-16-04 pg 1 . LICENSED CONTRACTORS DECLARATION ' I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 04/03/2006 APN: 027-060-071-000 the Business and Professions Code, and my license is in full force and effect. Site Address: 6935 UPPER PALERMO RD PAL License Class: License Number: Map Index: Date: Contractor: Description: VINYL SIDING 18 SQ'S OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: MUDRICK LEROY & BONNIE permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 6935 UPPER PALERMO RD signed statement that he or she is licensed pursuant to the provisions of OROVILLE, CA the Contractor's State License Law (Chapter 9 commencing with Section 95965 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any (530) 524-6544 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): LY I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: MUDRICK LEROY & BONNIE Code: The Contractors' State License Law does not apply to an 6935 UPPER PALERMO RD owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, OROVILLE, CA provided that such improvements are not intended or offered for 95965 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ lam Exempt under Article 3 of the Business and Profe on ode 3� d� Date: Owner: License #: WORKERS' COMPENSATI N DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. Engineer: ❑ I haveand will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Valuation: $0.00 Census Code: Policy #: �/ I certify that in the performance of the work for which this permit is LY issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith coom. ply with those provisions. Date: �7 r ✓ "— Applicant: WARNING: Failure secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under !,fte, applicable provisions of the Butte County Code and/or - I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Resolutions to work indicated aboyt for which fees have been paid. By: // Date: V CJ(� Name: 1/7 _ 3 CJ PERMIT EXPIRES Address: ON: (Date) ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purpos Print Name://�� &"20%x. Signature' Date: ey 7, — O ! Ql.0 ner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 . BUTTE COUNTY . DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION ANTI SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE 9: (530) 538-7541 A FEE I-VILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY** APPLICANT SIGNATURE X For office use ohy: OWNER INFORMATION Last Name / First Name Address S u Pd /.l/•elite v J2 �- city v ✓�,/ State � Zip fo Phone Phone Fax E-mail E-mail APPLICANT SIGNATURE X For office use ohy: CONTRACTOR Name Flood Zone Address Addre s City n / State Zip Phone Z'p �9 9 Fax E-mail Fax L'ic. # Class APPLICANT SIGNATURE X For office use ohy: ARCHITECT/ENGINEER Name Flood Zone Address Addre s City n / State Zip Phone Z'p �9 9 Fax E-mail Fax State License Number APPLICANT SIGNATURE X For office use ohy: APPLICANT INFORMATION Name Flood Zone Addre s I Yes n / Cityo r Type Const. State C� Z'p �9 9 Phogg_ Fax Date Approved: E-mail APPLICANT SIGNATURE X For office use ohy: Zoning Flood Zone SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMITNO 7' / Q� G BP : - BIN 9 lPROJECTLOCATION / AP# S - m Propert Address C' v &r sW P� Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address i Description or Scope of Work: Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: -/`1 ' Amount: ` V Bldg g SRA Receipt #:� ` Sheriff SMIP DateOther :%— y 13 _�� l �� Total SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A1C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form . ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan'approval from the Environmental Health Department. . If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the.person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMSWILDING F0RMS\81dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 ;,400 FINALE Signature V=OK , O = Not OK Not ' = Not Ready MOBILE MOBILE HOMES Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fell -C/O Concrete 4. Water; Location -Teat -Easement Needed (Sketch) 5.' Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Teat -Wrap: / /" L" ft. / /"Net. or/ /" L"ft./ P'LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3.. Gas; MH Teat -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances S. Drain; MH Test -Fell -Flex Connector 6. Water; MH Teat -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy MISCELLANEOUS Date/Initial DECKS: COVERS. CARPORTS. GARAGES. (Plans)OK except #'s /p. ` ootin fs-Size-Depth-Spacing-Connectors-Steel 3 cks; riders and/or Joists -Decking -Bracing -Stairs -Rails _ 4. Wood Awn.; Posts-Beams-Rftrs :Connectors Rfg: Bracing lu . Awn.; Columns -Connections -Splice -Decal -Enclosures a 6. Car rts; Windows -Doors _N,_BiFrmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Lendings Date/Initials POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Pane lboards- Ins. to Mein in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V=OK O = Not OK - = Not Applicable Not Ready RESIDENTIAL = Date/Initials UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ • P' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd. / /" Ftg. Depth, 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6s. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fell -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -teat 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Material -Support -Ina. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nall Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/initials ELECTRICAL (Permit) OK except #'a 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled . 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels -Motors -Mach. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size -& Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date/Initials FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Wells (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing (Single & Duplex) Date/Initials FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin=roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mash -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Wal Is -Ceilings 60. Infiltration -Walls -Windows Date/Initials FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door, Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Mach. Protection 75. Plb., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg -Appliance-Fireplace: Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County.Center Drive - Oroville, Californib 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT ERMIT N0. X/40 ASSESSOR PARCEL NUMBER 027-060-071 ZONING ARMH 22 BUILDING PERMIT OWN EMhn. C. Freeman TELEPHONE 534-6228 SO. FT. OCC. BUILDING VALUATION 224 0 1568.00 OWNER'S MAILING ADDRESS 6935 Upper Palermo Rd., Palermo 95968 CONTRACTOR'SNAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 1t568. UU Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 31.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 20.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 51.50 PLUMBING PERMIT FilingFee 15.00 6935 Upper Palermo Rd. Palermo Each Trap 1 5.00 Solar or heat pump water heater 20.00 LOT-N7O.76,�Ii�ONAME t7�— PARCCELSMj,P 2O — / Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF Ei Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW 1 @ 15.00 TYPE OF WORK New ❑ Addition� Remodel E] Utilities ❑ Installation[ Other ❑ Describe work: Add Deck Permit Fee $ Contractor ELECTRICAL PERMIT FilingFee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 20CATO1000A1 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License .Jo. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCLP.& OR ACDNS. (ACC. BLDGS. 3.64sq.ft. NEW TLET NON•RESIO. BRANCH CIRCU ITS^ 5.00 POWER APPARATUS &) (SINGLE OUTLET CIR. ) Ex. OCCup(OUTLETS OR FIXTURES AO 76d FIXED APPLNS. OR Ex. Occup. OUTLETS (RESIO.) EA.� I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring _ '15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 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 FilingFee 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agai t said County in c nsequence of the granting of this permit. % / y _ 9 Siure of Applicant — Owner V Contractor ❑ Agent ❑ ;n4OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 51.50 RAz DFEES I IMP I FLOOD J.CDF PARCEL I PO HD I This permit is hereby issued under the sions sions of the Butte Coun ode and/or work indic a v or which fees R OF PUBLIC By PERMIT EXPIRES Date applicable provi- � resolutions to do have been paid. WORKS ate44i� Receipt No. 143248 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT r•nr' r. '.- +�. r c. .��.. .r.1,.Y...'r.�+.rJ"ny�1�.��r��..T�t'MW«�irr7'?'t'ri v'r��6r"�,A• .lc"'(nrn.r4jrry.vyNf��i'���ri ^I�vT ^'"'sof.. 'N..,.i ♦_C.� Y .. '..*�` d COUNTY OF BUTTE - DEPARTMENT OF DEVECOPM ENT SERVICES BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CAUFQRW-A95965 -TELEPHONE (916) 538-7541 3 PERMIT APPLICATION DATASHEET t OWNER A. P. No. &;t7- - 060- O Proposed Building Use 5E) DECD . Building Inspector I(' - Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY All items have been submitted . ................... _-_-Z4��Plot plans, 3/4 sets, signed by preparer of plans. ........................... 3.. Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans. ... ........ . 5.. Hazardous Material Form . ......... .......................... .�........ . 6. Energy Design Compliance and supporting documentation. ........ .... 7. Statement of Intent for Non -Heated and A/C Buildings . .............. ....... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ .......................................... 11. Impact fees as shown on attached schedule. ............................. . 12. California Department of Forestry plan approval/fees. ....................... . Flood elevation letter (100 year flood) by California Engineer. . . 4_ . Sanitation and plot plan approval 6ROU�Aealth Department. ........... 15. City of Chico plumbing permit . .................... :... ............... .. . 16. Plot plan and business license approval from City of Biggs/Gridley. ............ . 17. Planning approval for (A) Use: (B) Parking: . ......... 18. Contact Land Development about (A) Improvements (B) Drainage. ........... 19. Driveway permit (construction approval required prior to occupancy). . . Pre4nspecion request 20. Pre -inspection for required. . to Bu;;d;ng Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner . .......... . 24. Recorded copy of Agricultural Acknowledgement Statement . ................... 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. 'Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . ..................:. . 29. Documentation of legal access. ........' .............:................. . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ..................................... . 32. Plan check list . ..................................................... . 33. 34. / When you issue the permit, process as follows: '-� Mail to owner. Mail to contractor. Telephone 534 622.9 and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire DeAir Pollution Date Ot Copy of plans sent Health Dept. Fire Dept. her Date By The following data must be submitted prior to permit issuance: (Circle new item not checked 1. Index permit for above ite No.�-z�� '� �K as;ve Gds 2. Additional items required:y ff Com 7a/ �5.IA i r 71-c f` r� Cdc 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 _ mai Counter by _ Date Plans checked by Date Plans approved byDat Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works Hold final for: Final clearance O.K. for: _ NOTE: Environmental Health Specialist Date 8/92 1 ' J. I r r r•.Il u,r I,.l • y • , i•'I7 f ^ 1%11 Plan Allildled t. • • - . Hoof Him Aluielivil soil III 1I.D. ✓,— / 'y 7 TO: Building Department FROM: Environmental Health _ SUBJECT: _ Sanitation Clearancer", , r X7 a Owner Loc i n AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance -for bedroom mobile home. Othcr -14 . J)� Hold final for: Final clearance O.K. for: _ NOTE: Environmental Health Specialist Date 8/92 1 ' J. I COUNTY OF BUTTE - Department,of Public Works 7.County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention -Proper.ty - 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)' /have not) z�_ signed an application for a building permit J/ foero osed work. P P 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 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. ;. ` Nr , # ',, ♦z '.NOTE:—�►n Mater lN.E. o rn2�d CoO P lar specicabons MOST, Accordance with•. ac- c+g . ` y.? w, This set o.p i, of a quality prescribed forthe Spea�i�c1 t3se + bL d kept on me pb at all times znd it is unlarftl to UniformBuilding, Pl rtib-ing & M n same �+itttout make rations -2.-- --- _ Nal wri>ten permission from the Department of Public - f Butte. Works, County o ` f; V jo�,4 '� ATirclC psL 77 i, X9.35 p Pc �� �� �.,,-,� t I ' � f �: t'� iia. j •>� � a. ALL STRAND :QUIPM�NT INCLUDING OVERHANBE CLEAR OF EASEMENTS. ET, BAIC /a --FT. FRCIl�1 E Ii SND 4.1, E RbkR PRGPIE LINES AND I I 4 4 - THE E ROAD=LjWtHALL 8E Q—NORES�AMENT EXOEP F I K .r. J �.,� � I ;45 h'Pf , ,r�� i trt`lia.: i�2RMiT.MY ..Der-. wig j ^ APPROVED I eC' �SButte County 4{ '} Environmental Health • t, 4.t � � ' ---------------- D t —------------Dat•r,� ��n', +f e: ------- ---------------- �1 /jJn Signature r / �N BU E COUNTY .AO BUILDING DEPARTMENT ot,� k� r (/!/�'{���t" '.F� _ ,,� t k�♦ � C ,'� �"�Li� 4 / V !{, •y cif` 1'7 ra:�f 1, M1 . I o— �1 _°� 1 V..'- TL 0 DI vl.tnnn or, CVT fi 'MAX. DECKIIJC) PI\L-GAST _� \ -PIER •,••;�� Cl 1 Iii � MIN. ► Oc T11\16 GIRDER 4.,x V FPMN G. CI:IP_- � 2° x 12" STAIR STRIIJGER. 4$'a:�. NIAX. -TDP VIEW HAKMAIL NOT SHDW14 FOK CLARITY.. l 3�8 BOLT MOBILE HOME w OR M J a i MAX. MTL. FRK16 --- = s CLIP.(EA. SIPE) 'V" (Y 4"x4" POST- — 211Y 12, SULTS w M J a . s 1"<ri l r t: Al ` i COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 HurrPboldTRoad, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 f CORRECTION"NOTICE law ---3 7 PERMIT A�routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work , is completed. If you have any questions pertaining to this matter, or need additional explanation, to 1/j f N16 ,44LTivrV , 44n,1l. lard Weal A -- r tieDate aO- q3 Ins REV 10/92 L. COUNTY OP BUTTE DEPARTMENT OF PUBLIC WORKS ,. 1469 Humboldt Road, Chico, CA - (916) 891-2751. 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (9161872 -6307 CORRECTION NOTICE O' NER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, - please contact this office immediately. Date Inspe REV 11/&1 e�" � T�`� +�e'.�...�w.e ..:cis'C+its v�hL vrRlY.•w-.-•e-�.r ,«. ..ter_, ._.n.r.. , t. , ,,,rv�+•t••., -,+^.0^w5 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS' a 1469 Humboldt Road, Chico, CA - 1916) 891-2751 7 County CenterPrive, Oroville, CA - (916) 538-7541 ' 747 Ellidit Road, Paradise, CA - (916) 872-6307 •4 CORRECTION NOTICE:. PERMIT No. OWNER A routine inspection indicates that the following violations of Butte County Ordinances exisf at, the above address and should be corrected. Please notify this office when correction of work 4 is completed. If you have any questions pertaining to this matter, or need additional explanation, please contactlthip office immediately. ii <r4 :r F. C 1' Date ,.� l/`/ Z_ Inspector--� -• REV 11/91 .ii V OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (Single & Duplex) =- , Date UNDERFLOOR {Plans) OK except #'s 1. Z nin;Setbacks-Easements-Flo -Slope F .;Main; Soils-Elec. Grnd.-/ tg'Depth - Ftg., Garage; Soils-Steel-Ele . Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. S134 Steel -Wrapped 8. iers-Fireplace Ftg.-Steel W.V.; Fall -fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test t,1. ater Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 0!5irders-Sills-Anchor Bolts -Joists -Vents -Cripples `Access & Ventilation 16. Insulation Date and B 11 Date Card B-1 Date rd B-1 Date Card B-1 Date PLUMBING (Permit),OK except #'s . W ter Htr.: Vent -Access -Combustion Air -Baffle ------- - ----- ------ -------- -------------j6--- _ Pipe; Test &Anchor -Nail Protection R.�ter .V est- tings'& Anchor -Nail Protection - 19r3�w'er Pan: Test, First Floor -Tub Access - - - -- --- - 20. T t'Tub & Shower. Second Floor -Tub Access - -- - ------ ------- - Gas Pipe: Size & Anchors ---------- - - -- -Date---- - - - Date G/LCard B-1 Date Card B-1 Date J` -Mrd B-1 p?�� Date Card B-1 Date ELECTRICAL (Permit) OK except #'s _ _ 22. F' ure & Transformer Clearance -Ins. Protection -- ----- 'Elec. Receptacles Spacing -Lights & Switches at Doors ------------ Boxes & No. of Conductors -Stapled _ - - - Romex Installed Close to Edge of Studs& CJ _ 2 p. Ground madeLp w!Mech. Fastners-Bond Gas &Water --- ----- 2_. 2 Appliance Circuts in Kitchen &-Conductor Size!GFII - ---- 28. Subfeed Wire Size r r ga. Cu or AI -A.0 Wire Size ! / ga. Cu or AI 29. Range Circ !�i ga Cu or ven Circ. / / ga. Cu or Al. Insulated NeTitral Des - ❑ No Service -Riser Conductors & Ground -Main Disconnect ---------- --------`------------------------------------------------- ..... 31. Equip. Clearances Panels -Motors -Meth. Equip. ---------------------------------------------- Light-Shower --- - -- - -- -----------Light-Shower Light -Spa Light ------------------ - -- Smoke Detector --- -------- ------------------ ---- Date 2,6ard 6-t 1// Date Card B-1 Date Card B-1 Date -Card B-1 Date MEC ANICAL (Permit) OK except #'s A.C. Ducts Insulation & Support ---------------- --------------------------------------------------- - Vent Fan: Exhaust above insulation ---------- ----- -- ---- - ----------------------------------------- 36. Condensate Drain & Overflow: Size & Grade --------------------------------------------------------------- -------------------- 37. F nance-Vent: Access -Comb. Air -Return Air Vent -115 outlet -- - ------------------------------------------- - Attic Access & Platform if Furnance in Attic Date crd 8-1 Date Card B-1 --- - -Z- I/ ----------- 4,0 --------- --- - -------------------- - ------------------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s Sils. Proper Material & Anchors ------ ---- ---- - - - -- Wa Studs -Nailing. Spacing & Bracing -Plates -Sound ------------ - -- ----------- - - - - ---------- ing.S --- ---- ------- -- Bearing Walls over Girders & Floor Nailing --- --- -- -- - - - ---- -- - ----- ------------------------------------------------------- 42. Draft Slop in Walls (rat proof) .-------------------------- ---------------------------------------------------- ire Stops: Furred Ceilings -Stairs -Chases -Tub ----------- ----- ------------------------------ ------ ---------------- p 4 eaders & Beam -Size & Bearing Date AMING (Continued) Hangers -Post Caps -Anchors -Connectors _Cing. Joist-Rftr. t+es-Purlin-roof Brac-Truss-Shthng.-Ring. --_ - 47 - fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles _ Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing Z € ---- ------ - - _perty Line Firewall & Openings -------------------- (�52!Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 3. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection ---------------- --------- e SA ,plywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing _ Veneer ucco Mesh -Drip Screed -Fd. Vents-Underflr. Access lazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailinq-Bolls 59. Insulation -Walls -Ceilings 60, Infiltration -Walls -Windows Date/��?iCard B-1 Date Card B-1 Date // Card B-1 Date Card B-1 Date kS6L (Plans) OK except #'s Ext. Steps -Door & Sidelight Protection -Landings --- --- -------------- --- t--67-Smoke Detector - ..------------ L_-fia-F-l7Pnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. Protection ---------------- Bedroom Exiting A:':7 --�-------------- 65. G. -& Bath Fixtures &Tub Access -Spa Trim & Subpanel: Breaker Sizes & Labels -----------_---�---------- air% & Rails replace or Stove: Clearances -Hearth �Elec. Outlets at Wood Panel. Int. & Ext. t.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance (/7'r-Elec. Outlets & Receptacles at Kit. Counter -- __ 7 arage Fire Door. Swing -Landing -Closer -- -- 73. A.C. Duct in Garage -Damper Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. q �n Garage: Above Floor -Meth. Protection `" 75. Plb. Elec. & M_ech_Equip. Listed for Location ___ _ Elec. Receptacles in Garage: (G.F.I.)-Romex. rotection ` ion -Foam -Looked in Attic 2 -Yes --- -'fi----------------------- uard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ YYess�- Following instld.: Drive ❑ .Yes L-laoC1�; Walks Yes No: -------�'-/-- - --------------------- Planters ❑ Yes --r;a--Stucco: Brown -Finish -- - f---------------------------- _ 82. A.C. Unit: Disconnect. Electrical, Plumbing dents Above Roof: Plbg -Appliance-Fireplace.-Clearance to Openings - 84. ater Well: Disconnect. Electrical, Plumbing _- ��--------- - 85. Exterior---Elec.------Trim;----G.F.I. Receptacle -Underground Ventilation Throughout House v6TGlass Protection ------------------------ /. Cr�rrecuons m Previous Inspections -- ✓89. Ga' st-Meters Tagged: Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval - 1�91.._.Energy Compliance Certificate -Other Certificates -- ------------- --------- ----------- -------------- Date� �B- Date Card B-1 Date 1, Card B -t Date - Card B-1 Date { `f Card B- Date Card B-1 Comments at Final: J=OK O = Not OK Applic NNototReadyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 0 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged t 9. Exits; Insp.-Sketch , 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card 8-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements' 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed T Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J Owner: 1� ©QS/CC /) LOCATION ENERGY CERTIFICATION DESCRIPTION OF INSULATION ROOF MATERIAL THICKNESS EXTERIOR WALL MATERIAL Fiberglass -.- THICKNESS 6 �2 tRAND NAME THERMAL RES. Permitit U,47 yrc� A.P.1 BRAND NAME Certineed THERMAL RES. e2 J :._.:. CEILING _ BATT OR BLANKET TYPE -FIBERGLASS 11RAND NAME Certineed THICKNESS - -- -THERMAL RES. -_- -_LOOSE FILL INSULSAFE III BRAND NAME CERTAINTEED _ --- - THICKNESS - /.S �R w .'A'HERMAL RES MATERIAL Fiberglass BRAND NAME Certineed THICKNESS i 1A` THERMAL RES. g � -FLOOR-SLAB INTERIOR WALL -- MATERIAL Fiberglass BRAND NAME Certineed THICKNESS 'THERMAL RES. I HEREBY'CERTIFY THAT THE ABOVE INSULATION WAS INSTALLED IN THE ABOVE BUILDING IN CONFORMANCE WITH THE STATE OF CALIF. ENERGY REQUIREMENTS. HAWKINS IaD.INC!dba SHASTA INSULATION LIC.€650722 1� i /5--/ 93 = Ihereby certify the above insulation and all required items as shown -- - on the building department al+pru%-t-(1 plans, and attachments ha%i• been `installed as required by the State of California Energy Requirements. -_-All equipment.devices an att•r;:•,> ,:;c Of the quality or __...-- are specifically appro• d t th ,t,ttt. of Calii. FI RM NAME/OWNER P PR ATL C !►' SIGNATURE OF GENERAL CONT .(t 'NEk 11ATE This cert if icate must be on f i ] e wi t h ; hr }+ - ! c : r:r l•t•r; . 1•: _ : t. E i n:. , COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. 92-3789 ASSESSOR PARCEL NUMBER 027-060-042 TONING ARMH-2? BUILDING PERMIT OWNERJohn TELEPHONE S0. FT. OCC. BUILDING VALUATI N OWNER'S MAILING ADDR SSFreeMan 2715 Bohemia Ave., Oroville 95966 1,524 R 82,296.00 420 M 7,560.00 CONTRACTOR'S NAME TELEPHONE 32-1131 110 C 1,430.00 CONTRACTOR'S MAILING ADDRESS 3022 Olive y. r ville 95966 Fireplace A 1,500 CONSTRUCTION LENDER UNKNOWN Total Valuation $ 92 786.00 LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 15,00 Permit Fee Plan Checking Fee $ 566.00 $ 283.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ _ 20.00 Penalty $ BUILDING ADDRESS Permit fee $ 884.00 6935 Upper Palermo Rd- PLUMBING PERMIT Filing Fee 15.00 Each Trap 9 15-0015.00 Solar or heat pump water heater 1 20.00 LOT NO. 2 SUBDIVISION NAME PARCEL MAP Water piping 7.00 7.00 Each qas water heater or vent 7.007.00 USE OF STRUCTURE SF W Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW @ 15.00 TYPE OF WORK New El Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: __ New 2 BEdroom Single FAmily Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AOORLESS j 18.50 18.50 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (Check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Busines$ and Professio s Code and my license is in full force and effect. License No. d 13 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 Main service 200ATO1000AI. 37.50 NEW CONST. DWELLING occld Qr&y, OR ADDNS. ( ACC. BLDGS. 174�F p 3.64 sq.ft. 60.00 NEW CONSTR ULT LOUT LET NON 'RE SID, BRANCH CIRC ITS @ 5.00 /POWER APPARATUS e) \SINGLE OUTLET CIR. Ex. Occ Up(OUTLETS OR FIXTURES20 @ 76 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESIO.I EA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring -15.00 Permit Fee $ 101.50 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 FiIingFee 15.00 Heating 1 9.00 9,00 Split System Cooling 1 9.00 9.00 Hood 1 6.50 6.50 Ventilation 2 4.50 9__.0__ 0_ Permit Fee _ $ 48.50 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Cou y Ordinances and State Laws relating to building construction, and he h rize representatives of the Countyot Butte to enter upon the abve enti ed roperty for inspection purposes. I also agree to sa i y an kee harmless the County of Butte against all liabilities, ' d n , sts, a d penses which may in any way accrue against -said co que c o the granting of this permit. X Date 'Z Signatur Applic nt - Owner Contract Agent An OSHA permit is required for excavations over 5'0" eep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $40.00 occ R-3 CONST TYPE VN TO AL EE $ 168.00 HAz - I DFEES IMP 1 FL76 I COF[=P0 I HD ISSUE This permit is hereby issued under t1w1applicable sions of the Butte County Code and/or bo` for which fees wo�21 VR P LIC By PERMIT EXPIR ate provi- resolutions to do have been paid. WORKS Date 1%"`� Receipt No. 196300 $363.00//129566 $805.00 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916!538-7541 APPLICATION AND PERMIT PERMIT NO. z - j AS O PARCEL UMBER (� _ d -- o � p�� pj�ING � �� ff BUILDING PERMIT D ER I +a /"1,ee-rn ll TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAI NG.A RESS � - a rr� Q -1& e4 �rs6 CO ALTO 'S NAM TELEPHONE s toe I5 00 M ' CONTRACTOR'S ING ADDR '^� V ^ ��)(([ I l III COON T, UCTION LENDER UNKNOWN Fireplace Total Valuation is V LENDER'S MAILING ADDRESS ARCHI��0ECT OR ENGINEER LICENSE NO. I n� Filing Fee $ 15.00 Permit Fee Plan Checking Fee $ $ �' g i ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ o7:9r (90 Penalty $ BUILDIy ADDRESS wl L)Ile Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.001 t Solar or heat pump water heater 20.00 1 y v//// C� . SU SDI VISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE 1 SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 1 15.001 / `00 Mobile Home S G W I@ 15.00 TYPE OF WORK ! NewE AdditionF-1 Remodel ❑I Utl ities 1 I Installation[! Other E] i Describe work: f�� _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service soovoRLESS 200A OR LESS 18.50 - CONTRACTORS LICENSE LAW I declare under penalty of p y perjury Jur y (check one): 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ] ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO 1Oo0A) NEW CONST.( DWELLING OCCUP.& OR ADONS. ACC. BLDGS. _37.50 3.60 sq.tt. 6 NEW CONSTR.ULT'-OUTLET NON.R ESI D. BRANCH CIRC ITS @ 5.00 POWER APPARATUS e (SINGLE OUTLET C'R. Ex. Occup( OUTLETS OR FIXTURES 20 76d e FIXED Ex. OCCUp. OUTLETS PRESIO )REA.� I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ ' WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for 5100.00 (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 I to the W. C. laws of California. Notice to Aoolicant: If after making this Staternent should you become subjcc; to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling3. Hood 6.50 VentilationL Permit Fee .__1 -SO 9E p $ 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 per it. X C'uNTV OF BUTTE Date BUILDING DEPT Signature of Applicant — Owner Contractor ❑ Agent r� 2 1992 An OSHA permit is required for excavations over 5'0" deep and d I ,.Z construct- Ion of structures over 3 stories in height. Mobile Home Installation Fee 5 Energy Inspection Fee $ Q 00 o© CON,$YPE ITOTAL FEE 11 O FEES I IMP FLOO CDF P RCEL D I D ISSUE This permit is hereby issued under the Bions of the Butte Count Code and/or y 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. �© < �o�. �� CnD =UNITE-D.P.W., TELLOYCA R, PI ��CT R GOLDENROD -APPLICANT ': S •r `'' 4 r. , �, r frrep COUNTY OF BUTTE 'PARTMENT OF PUBLIC WOR 'BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916).538-7541 OWNER Proposed Building Use PERMIT APPLICATION DATA SHEET C� PQ�_v "t"e2l�Yl a r? P. o. 0.-) Building Inspector 6k Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1, All items have been submitted. ....................................... . 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ..................... . 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . ................. . 7. Statement of Intent for Non -Heated and A/C Buildings. . 8. Engineered truss details and layout..in-duplicate (required prior to plan check). .... ZQ- 7Y`E g. Mobilehome �a.,IVnuf cturer's nstallation instructions, 2 sets. .......... -�- 10. Fees of $ C��%% PFi.11) ... /.Z9566 ....................../1 11. Impact fees as shown on attached schedule. /. ?�! S F .................... 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year floby C ifornia Engineer. . ; 14. Sanitation and plot plan approval rp✓� R - Health Department . ............Z� 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18.. Contact Land Development about (A) Improvements (B) Drainage. ...; ...... . riveway permit (construction approval required prior to occupancy'�Z /1-a.- Pre -ins ection for �aW t��`e�/- m��a� ( p e-rJdingIin! ue p � Oe.M�O� r�71 eU. . to B_flding Inspedor0� (Date) 2 Contractor's license information. (No., Name Style, lassification).a+�o!�! �!v_ 22. Certificate of Workmans Compensation Insurance .......... 23. Owner -Builder Verification (Given to owner Mail to owner ). . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. [�-Z 25. Letter of signature authorization . ......................................... 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ........................................ . 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ........................................ 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits. ........... �2 Pla check li t. .....Pit / 34. When you issue the pe mit, roc ss as follows: Mail �Qowner. M to con , Telephone J ' 'I /%.3 � and hold for pickup at V r0 v i - i Deliver with inspector. Other Parcel Creation Acreage Applican Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior pe is uance � .n i check d ove 1. Index permit for above items No. .$ 2. Additional items required: J Contracto esigner, owner, was advised of above required data by phone _ mail Counter byr,-"6 Date i- on ractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date _ Sets of plan's on hold in File cabinet AP folder Copy - Department of Public Works TO:- Building Department FROM: Encroachment Permit Section RE: Driveway Clearance _ Pt-se- �'�_ �le e dti .c 2- `7 ", owner location AP # f Driveway permit Z l� y has been issued for the above property. nu b sign re date 5. Drainage District Fees (Contact Land Development). 6. Other 7. Other At time of permit application, �I was advised the above fees are. required to be paid prior- to rior to issuance of the permit! __.I APPLICANT DATE/2-2-Z� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE', CALIFORNIA 95965 - TELEPHONE (916)5387541 VNER Ij ife-e- M Q,0 A P. -NO. ©..� i `06 ?ROPOSED BUILDING USE ll/Ca W DATE0�- REC. 4 DATE_.REC School Distric Fees o n N S mrd (:c h , ... ( paid at District Office) , , , , , , , , , , , Sheriff Fees (paid 'at' Building Department) Residential ...... l X3�- 0 _$ 4 unit amt. Commercial(per sq.ft.) X =$ sq.ft.. amt. 3. Urban Area -Fees .(paid at Building. Department - Residential (per unit) % _$ units amt. Commerical( per . sq . f t.) X = sq.ft. amt. 4. Recreation.District Fees (paid at District Office) ........................ 5. Drainage District Fees (Contact Land Development). 6. Other 7. Other At time of permit application, �I was advised the above fees are. required to be paid prior- to rior to issuance of the permit! __.I APPLICANT DATE/2-2-Z� �:,�"''�'"`��t`+`''"'�"�"`•""f+`.�wli-�-•-�-'�'�i...wrM -.�. ,�r ;it3ti+arc r�y..t.�,^s;.:.r.��.�..�.�;,�..;:-.-:•:•ri 5ir•.r�r . r''yik•a-.+;;..v,'�•�v+ BUTTE COUNTY.SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) -(- R a 0 g D- b% a_ �,,/ Building School District likil-041- HIS 9 Deartment No. P A.P. Number M /2'' _04 - - oy11 Jurisdiction F-1Citjl 1XI County Property Owner V +71 7V 11 I, t? 2 kno ri_ Property Location/Address Subdivison Residential Development Commercial/Industrial No. df Living MHI Units 0 'New M roV i// -- Sq. Footage Addition (Group R) 0 Sq. Footage Addition (Including Exterior Roofed Areas) COUNTY OF BUTTE BUILDING DEPT NOV 0 9 692 Building Depart presentative Date (Floor Plans reviewed by School District Personnel),,- f/ _ District Identification No. 930599 (Street Address) School District certifies that IN 53 J - (Phone Number) (Cify) (State) (Zip Code) has complied with the requirements of Resolution No. �U S� �(� by payment of,$/,J. �„ a i representing 5 square,feet. !" C 21 School Diptd t epresentative� . (/ Remarks: Bank Number / / t Paid by Cash If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeformmkl (4/92) 8/91 RESIDEINTIAL PLAN CHECKING GUIDE t MISCELLANEOUS ITEMS TO -LOOK OVT FOR n . ,Stairway details: landings, 'rise and run' head clearance,_handrails (Sec. 3306). Guardrail details }(Sec. 11711 & 3306(j). Brick or stone veneer (Chapter 30). rerior-plaster - weep screeds.(Sec. 4706) roper.toof pitch for roof convering (Chapter'32). Roof covering type' - (fire hazard) Foam insulation-- protection. ' # 36" halls and stairways. Living area over garage - complete'l-hour separation, required,on}garage'side -including supporting walls and posts, etc. wo _exits' on three-story dwellings ' (sec. 3303 &'see 'Mezannines' '1716). ttic access'and ventilation (Sec..3205) • derfloo�.access and ventilation (Sec. 2516). V*En Cmbustiori`air for fuel burning appliances - L.P.G. requirements. ise requirements on duplexes.ergy design.ashing at all exterior openings. F responsible area"requirements. ... fi T j- a ' - • 4, 0 RESIDENTIAL PLAN CHECKING GUIDE 8/91 (S.F., DUPLEX & MISC. ONLY) Bldg. Permit # a —3 i-, OWNER F '' _� A.P. # .Plan Checker GENERAL 4tY oning requirements: (sideyards and number of permitted living units). Valuation. ans signed by designer. Proper description of work on application. Existing violations on property. Items on data sheet. (W.C., fees, Health, Developer Fees, License law, etc). Recorded notice of violation. PLOT PLAN t omplete parcel size and dimensions. etbacks, sideyards, easements, etc. therbuildings or structures. rading; fills, drainage. lood hazard. pecial conditions on creation map, stible, and foundations). AU & FAS road setback. (noise, CDF, fire sprinklers, non -comb - Building or utilities across lot lines (Record form). FLOOR PLAN Complete to'scale plan wi:th�dimensions. I Required windows for 'Light and ventilation (Sect. 1205). e --Required windows for second exit (Sec. 1204). kylights (Chapter 34 & Sec. 5207). Human impact glass (Sec. 5406). � Required room sizes, ceiling heights. (Sec. 1207):' 'Ilk � FCIS in baths, garage, kitchen, and exterior outlets (Article 210-8). Light fixtures, switches, receptacles, and exterior receptacles for main- tenance of mechanical equipment. Locations of water heater, heating and cooling equipment, other electrical or gas equipment. 9 -Garage firewall, door size, and closer (Sec. 503(d)(3)). i'1 - 3'0" exterior exit door (sec. 3304 (f). fireplace and wood stove location, alcoves, and clearance. •Smoke detectors (Sec. 1210). .Plumbing fixtures, water closet clearances and shower size. STRUCTURAL DETAILS tandard' bracing or engineered design (Table 25V) • Unusual shape, size, or split level house requiring lateral design. Clerestory requiring balloon framing and/or engineering. �: ��hee story building requiring engineered calculations and plans. undation plan complete enough to construct building. Floor construction details complete enough to construct building. Elevations and wall construction details complete enough to construct !90'Roof construction details complete enough to construct building. Fireplace construction details and talcs if necessary. . Rafter ties or bearing ridge beam. Garage door or porch header sizes. Stud heights. Adobe soils - special foundation design. Retaining walls requiring design. Special Inspection required. building F.H. USE 0X1.Y Hot rig„ n each,, �— TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance a14 C� Owner Location AP# Plan Approved for: Sewage Disposal; Water Supply: Public Private Well Clearance for bedroom .home. Other Hold final for: Final clearance O.K. for: NOTF,� Environmental Health Specialist 8/92 �r qa 1318 '�� �a- If �:,r. .. • .. v 'Return to DPW AGRICULTURAL STATEMENT OF AC;O`10WLEDG rE�yT 9 2 - 5 13 2 6 FOR RESIDENTIAL DEVELOPMENT / Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building pgrmit. The property described herein is adjacent to land or included within an area zoned 92-051326'1 Rec Fee 5.00 for agricultural purposes, and residents I Check 5.00 of this property may be subject to incon- Recorded I veniences or discomfort arising from the Official Records I use of agricultural chemicals, including, County of I but not limited to herbicides, pesticides,, Butte I and fertilizers,; and from the pursuit Candace J. Grubbs I of agricultural operations including, Recorder I but not limited to cultivation, plowing, 10:36am 9 -Nov -92 I PUBL XX 1 spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real. property situate in .the County of Butte, State of California, described as - follows: The land referred to herein is described as follows: All that certain real property situate in the County of Butte, State of California, described as follows: Parcels 1 and 2, as"shown on Parcel Map of Lot 1 Block 85, of Addition to Palermo Citrus Tract Subdivision No. 1, which Map was filed in the office of the Recorder of the County of Butte, State of California, on October�I„ 1992 in 'Book "�!" of Maps, at Page ',O �r�� SS d"(� Date:- Oct 26 1992 - Jonn M Freeman PROPERTY OWNERS: a ricia E. Freeman State of Californi4 On -this the - 26th day of October. 19 92 before.me, the SS. undersigned Notary Public,. personally-appeared- County ersonally-appeared-County of Butte * * John C. Freeman and Patricia L. Freeman e e°eeA G��� °°°eee�Ee���©S ®' ❑ Personally known to me.Proved to me on the basis of satisfactory evidence. to abe the person(s) whose name(s) are subscribed. to the within instrument and acknowledged that they ° executed the same for the purposes therein contained. IN WITNESS #moe° WHEREOF, I hereunto set my hand and official seal. Present A.P.-No`O-�- ��® OF ��uMT i o ry ub is :,, ..,, 3 �� 1 N 1„ T -_ , 4 • ' T �f` '- � f i 4 i � 1 J � { ' I t ` � ' j 1. .� � .. �., �y ,ala � BUILDING DIVISION IC,,OUNTY OF.BU1TfE - DEPARTMENT OF DEVELOPMENT SERVICES �- 7 COUNTY CENTER DRIVE ® OROVILLE, CALIFORNIA 06006 o TELEPHONE: (010) 538.7641 AGRICULTURAL BUILDING 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 horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. PZONING FLO OWNER P.D. PHONE NO. ISSUE C� OWNER'S ADDRESS C) -PPC,(- PlVeLAJO KD 0Avd1'1-259"- LOCATION OF BUILDING &!M's Omer P4101 -A40 USE OF BUILDING cS10 f SIZE OF STRUCTURE 36 �� 1 DSOSO. X _ FT. TYPE OF CONSTRUCTI N: WOOD FRAME � STEEL CONCRETE OTHER (Specify) TYPE OF SIDING ROOF COVERING FLOOR TYPE r, C ESTIMATED COST OF QO4STRUCTION $ 0 AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows: FRONT Sib r'"p-" -9L SIDES /oC REAR ZW AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. I declare under penalty of perjury that the building will be used as stated above and the purposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date Z 1 Z I � 5 Signature of Ownere�lle ;4��a'zv -�� c— Permit Fee – $50.00 The above describ AG Building is exempt from a building permit. Receipt No. GA9 Manager Building Divi ' n By Date White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant FLO PA�EEL P.D. ROOFING ISSUE C� (� Manager Building Divi ' n By Date White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant COUNTYQF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE ;AROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATAS EET OWNERA_{ r VfPlVif�l� �"; A. P. NO. 62? - OGO -OyZ Proposed Building Use &: -c:X c X1,0 r Building Inspector E7,<2 Date 7-1 2 �3 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: / DATE RECEIVED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3, Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5.. Hazardous Material Form . .............................................. 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ ....................... .................. . 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ........................ . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ......................................... . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development.a bout (A) Improvements (B) Drainage. ........... a 19. Driveway permit (construction approval required prior to occupancy:)•. .. .. .. . 20. Pre -inspection for Freans Building Ins re for ) required. .. � Bu;;d;ny;nspeaor (Date) 21. Contractor's license information. (No., Name Style, Classification). ............. . 22. Certificate of Workmans Compensation Insurance . ............... . ......... . 23. Owner -Builder Verification (Given to owner , Mail to owner _ ). .......... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . .......................... . ............... 28. Mobilehome utility clearance. 29. Documentation of legal access . ....................................... . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . .............. ................. ................... . 33. 34. When you issue the permit, process as follows:Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation ZlZ/g 3 Acreage Applicant_ ate Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Otter Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by Date Contractor, designer, owner, was advised of above required data by phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works RESIDENTIAL . -- -� 92-3900 B —027 06-0-0 ohn t FREEMAN+er Palermo, Oroville 6935 UPP contr Fox Co fire sprinklers/s-�f TJ t . 5 a ' { JOB FINALE Signature V OK O=Not OK = Not Applicable Not Ready RESIDENTIAL (Single & Duplex) = Date UNDERFLOOR (Plans) OK except k's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except h's 16. Water Htr.: Vent-Access-Combu tion Air-Baffl --- -�Water Pipe: Test & or -Nail r -- n- ---- ---- --- 18. D.W.V.: Test -Fittings & Anchor -Nail Protection -- -------- ----- ----------------- _ 19. Shower Pan: Test. First Floor -Tub Access 20. Test -Tub & Shower. --- Second Floor -Tub Access ------- --------------- ---- --- --------- 21. Gas Pipe: Size & Anchors Date - - - - -Card B_1 ---- - Date - Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except u's 22. Fixture & Transformer Clearance -Ins. Protection -------------- --------- ----------- ------- ----- ------------------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors ---------- ------------------------------------------------------ 24. Size Boxes & No. of Conductors-Stapled ------------------------------------------------------------- ---------- 25. Romex Installed Close to Edge of Studs & C.J. ----------------------------------------------------------------- 26. Equip. Ground made `up w!Mech. Fastners-Bond Gas & Water --------------- ----------------------- -------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI ---------------------------------------------- 28. Subfeed Wire Size r r ga. Cu or AI-A.C. Wire Size ! / ga. - _Cu or AI 29. Range Circ ! ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No -- --- ------------ - ------- ---------------------- 30. - ----------- - - --- -- - 30. Service -Riser Conductors & Ground -Main Disconnect ---------- - - - ----- ------------------------------ 31. Equip Clearances Panels -Motors -Meth. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector --------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 -------------- --- ---------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except ti's 34. A.C. Ducts Insulation & Support -------------------------------------------------------------------------------- 35. Vent Fan: Exhaust above insulation ----------------------------------------- - -- - - - -------------- ------------------ 36. Condensate Drain & Overflow: Size & Grade ------------ --------------- ----- ------------------------------- - ----- ----. -_ -------. _ 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet --- ------------------------------------------------------------- --- 38. Attic -Access-&- Platform if Furnance in Attic ------------ -------------------------------------- Date ------------------------------------Date Card B -t Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except a's 39. Sils. Proper Material & Anchors ------- ------- ----------------------------------------------------------------- -------- 40. Walls Studs _Nailing_ Spacing & Bracing -Plates -Sound -------------------------------------------- 41 Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) ------------------------------------------------ - 43. Fire Stops: Ceilings -Stairs -Chases -Tub ------- ---------------- --------------- 44. Headers & Beam -Size & Bearing Date FRAMING (Continued) J 45. Hangers -Host Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions _ 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings _ 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits _ 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers ----------------- -- 55. Siding -Nailing Veneer ____________ 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows - -- - ------------------------ Date _ Card B-1 Date Card B-1 Date - Card B-1 Date Card B-1 Date FINAL (Plans) OK except k's 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector ------------------------ - - 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. Protection ---------------------- 64. Bedroom Exiting - ----- 65. G F.I. & Bath Fixtures & Tub Access -Spa 66. E1VC_ Trim & Subpanel; Breaker Sizes & Labels ------------ ---------------- 67. Stairs & Rails ------------- 68. Fireplace or Stove: Clearances -Hearth 69Elec. Outlets at Wood Panel: Int. & Ext. ---------------- 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door: Swing -Landing -Closer ---------------------------------- --- 73. A.C. Duct in Garage -Damper 74. Wt r. Htr Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Meth. Protection _ Elec. & Mech. Equi ._,.,Listed for -Location 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection ----------------------------------- - 77. Insulation -Foam -Looked in Attic ❑ Yes -------------------------------------- - 78. Guard Rails & Deck Construction -Post Caps _ 79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No: Planters ❑ Yes ❑ No ----------------- 81. Stucco: Brown -Finish 82. A.C. Unit: Disconnect. Electrical, Plumbing ----------------------------------------- -- 83. Vents Above Roof: PIbg.-Appliance-Firep lace. -Clearance to O� enings W ter Well: Disconnect. Elect ' Plum 85. xterior Elec. Trim; G.F.I. Receptacle -Underground -- ------------------------------- ---- 86. Ventilation Throughout House --------- ----- ------------------- ------------ 87. Glass Protection -, - - ----- ------------------------------- 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged: Gas -Electric ----------------------------------- 90. --- --------------------90. Water & Sewer Connected -C/O to Grade -HD Approval --------------------------------- 91. Energy Compliance Certificate -Other Certificates Datejj 2� ----------------------- rd B-1 Date Card B-1 - -- --------- -- - Date _ Card B-1 - Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: d,= OK O = Not OK .= N t Readyot MOBILE MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / P1 ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card 6-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 -# MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures: Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS % 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 "'APPLICATION AND PERMIT PERMIT NO. j 92-3900 717 f ASSESSOR PARCEL NUMBER 027-060-042 _ ZONING ARMH2 5 BUILDING PERMI - OWNER- JOHN FREEMAN , TELEPHONE S0. FT. OCC. BUILDING VALUATIQW OWNER'S MAILING ADDRESS 2715 BOHEMIA AVE OROVILLE 95966 1524 @ 16 2,438.40 CONTRACTOR'S NAME FOX CO TELEPHONE CONTRACTOR'S MAILING ADDRESS 3995 OLIVE MN OROVILLE 95966 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ 45.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 22.50 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 6935 UPPER PALERMO RD OROVILLE Permit f66 $ 82.50 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 SF U Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New Addition❑ Remodel❑ Utilities❑ Installation❑ Other Describe work: FIRE SPRINKLERS FOR BP 92-3789 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury p y p l y (check one): ❑I am licensed under p provisions of Cha t. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered \ for sale. (Sec. 7044) [� I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason Main service 200ATO tOOOA, 37.50 NEW CONST. ( DWELLING OCCUP.N) OR ACDNS. ACC. BLDGS. 3.6Q sq.ft. NEW CONSTR U TI.OUTLET NON-RESID BRANCH CIRC ITS @ 5.00 ( POWER APPARATUS Q) SINGLE OUTLET CIR. Ex. OCcup(OUTLETS OR FIXTURES 2075 FIXED APLISISI, EX. OCCup. OUTLETS P(RESID )REA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring -15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling 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 nst� County in consequ n e of the granting of this permit. X �( ate �� y—� Si. not a 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 S Energy Inspection Fee $ OCC -' CONST TYPE TOTAL FEE $ 82.50 HAz FEES 1.D IMP FLOD D CDF PARCEL PD HD S This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees IR CTO OF PUBLIC BY PE T XPIRES Date applicable provi- resolutions to do have been paid. WORKS Date✓ �� ` - Receipt No. 129634 WNITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT i COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916."538-7541 APPLICATION AND PERMIT i PERMIT NO A'3.,ESSOR PARCEL NUMBER 027- %- 4 - z ` ZO INC /' Z,S BUILDING PERMIT OWNER hnl �eeM�� ELEPHONE SO. FT. CC. BUILDING VALUATION OWNER'S MAI LI ADDRESS i S h eAi & C o CONTRACTOR'S NAME Fox- M fMxku TELEPHONE CONTRACTOR'S MAI ING ESS 3995 (91(ve , , Fireplace CONSTRUCTION LENDER I UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 15.00 Permit Fee Plan Checking Fee $ L ,00 $ZR Co iJ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS /��� 7 �e v Permit fee g o $ 50 U� PLUMBING PERMIT FiIingFee 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 SFP Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK New ❑ Addition( Remodel ❑ Utilities ❑ Installation[] Otherp-9 Describe work: Y' t �C C5 nr�tAllId'C5 -�Qr % 3769 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury p y p I y (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, Of 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 Main service 200A TO 10o0A1 .37.50 NEW CONST. DWELLING OCCUP.&` OR ADONS. ( ACC. BLDGS. I 3.6s sq.ft. NEW CONSTFL ULTI.OUTLET NON -R ESID BRANCH CIRCUITS) @ 5.00 POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20@ 76d FIXED APPL NS.OR EX. OCCUp. OUTLETS (RESID.) EA.) j .3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring '15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling 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 permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ ]occ J CONST TYPE TOTAL FEE $ :: HAz DFEES IMP FLOOD I I CDF PARCEL PD HD ssuE 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. f 0967 WHITE-D.P.W., TELLOW-A5SC550R, PINK -INSPECTOR. GOLDENROD -APPLICANT .. 'ryl. .. 1'l 1..� ti 01 'y yf+M .r rn 't�irw r�..,.liMYr..m x'ar ��'.'� "1�'.x• �"" v ry V'i,r.... .. . r yam`: .�.� xy', r � tr'--rr;-yi:.r�r'�.ja. �•-ter•. . COUNTY OF BUTTE. -F; -PARTMENT OF PUBLIC WO�I ''; BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER Z®hni f(*eem 1 P. No. 0;0"060 C)(17- Proposed (1ZProposed Building Use "OE 5Df-iiA1,0,S Building Inspector DateAt time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . ......................... . 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... •4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . ................. . 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of$ .......................................... 11. Impact fees as shown on attached schedule . ............................. . 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............. 15. City of Chico plumbing permit. ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. 20. Pre -inspection for to Busing Ins request required. . . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner _)............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28, Mobilehome utility clearance . ......................................... . 29. Documentation of legal access . ........................................ 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . .............. . 33. ¢WNe% -r0 GA1/ 3o Z When yo'u issue the permit, process as follows: Mail to owner. M lto c �r ct r. !/ TelephoneS32 -1/91 and hold for pickup at Vi offi e. Deliver with inspector. Other ,. Parcel Creation �� �, L Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail - ; n r by _ Date Plans checked by Date Plans approved by Date 12-17 1 12 - Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works t • - d�[�Z/�JirJ /�C3.G � " PGN/l�C7LY? - I . 1 7�RR! N '. ;4iJ/N6 .'7a1 GA7� 1'Rz a ibi✓IE�TIC.,.. SCJ -PP I ' ,.�"'+. . /.pCHE�K YRLVE • , .. M ` I `C�i�c VR<✓E �.2 • �FiPO/yI M0,4 !0/i✓ -Y-A,< / �2 "-i.-Pc - _ _ cow . '. • SUILryNG DEPARTMENT . PRO v Jg� ,z1� Y . RESIDENTIAL FIRE SPF:INKLER SYSTEM DESIGN BY FOX COMPANY I-16 LIC # 305365 COUNTY OF SUrrLe -PER RECU I REMENTS OF NFPA 13R, 19e9 EDITION BUILDING DEPT U L 0 4 199 .' •r i , --------------------------------------=----------------------------------------- STEVE ORSILLO I=:ONST.. FREEMAN HOME 3022 OLIVE HWY. 6935 UPPER PALERMO R.D.. ' OROV I LLE CA. 959SIS f PALERMO CA. 1'/4/'x' - WATER SOURCE PRESSURE 40 e DEDUCT PRESSURE LOSS FROM N SOURCE 1 TO SPRINKLER CONTROL VALVE MAIN SECTION EDUIV. F T. 0-1/2'' F'IF'E = 100 FT. 1 GATE VALVE _2 FT. • , 1 CHECK VALVE _ 6 FT. ELBOWS = 18 FT. 5 1= OUPL I N13S = 5 FT. 0 TEES (RUN1 = 0 FT. 0 TEES (BRANCH) = 0 FT. TOTALS = 131 FT! X 40178 - 2.33 37.67 DEDUCT HEAD LOSS FOR ELEVATION F 10 : FT. X' 0.434 - 4.34 33.33 DEDUCT PRESSURE LOSS FOR PIPING FROM CONTROL VALVE TO FARTHEST SF'R I NKLER . OLIT'%'e C � _ �e�� F'IF'E SECT ION ONE --------------- EL?U I V . FT .S£ . --------- . DE 1'' F'IF'E = 85 FT., APpI16 sA 4 ELBOWS = 38 FT. VED 1 I_:OUPL I NGS = 1 FT. 5 TEES (RUN) = 5 FT. 0 TEES (BRANCH) = 0 FT. TOTALS = 119 FT. X .1067 -1.70 20.E3 BRAND-OF HEADS = AQUARIUS #F991 ;' G.P.M. - P.S.I. CONVERSION FORMULA: K: FACTOR OF HEADS USED = 4.2 (G.P.M./ K FAI=TOR)2 EQUIVALENT FEET CALCULATED @ 2 HEADS HEADS 26 G.P.M. FLOW I: 13 G.P.M. EA. 7 , FRICTION LOSS 'C' FACTOR = 150 MINIMUM PRESSURE REQUIRED = 9.58 P.S.I. PRESSURE AVAILABLE IN SYSTEM = 20.63 P.S.I. FLUSH PENDENT SPRINKLERS, RESIDENTIAL MODEL F991 AQUARIUS@, 4.2 K -FACTOR PUSH -ON PLATE WITH EXTENSION PUSH -ON PLATE 21j41. (57.2mm) 1/2° NPT TWO WRENCH LUGS (SHOWN 90° OUT OF POSITION) 11 GENERAL DESCRIPTION The 4.2 K -factor, Model F991 Aquarius Residential Pendent Sprinklers (Ref. Figure A) are automatic sprinklers of the fusible solder type. They are low profile, flush mounting sprinklers which are intended to be used in • wet pipe residential sprinkler sys- tems for one- and two-family dwell- ings and mobile homes per NFPA 13D, • wet pipe residential sprinkler sys- tems for residential occupancies up to four stories in height per NFPA 13R, and • wet pipe sprinkler systems for the residential portions of any occupan- cy per NFPA 13. Small and attractive, the F991 Sprinklers are installed with either a Push -on or Clamp -on Escutcheon Plate and feature a smooth, low profile, flush -style design with an aes- thetically pleasing appearance that blends in with all types of surround- ings. The Push -on Escutcheon Plates, as described in the Technical Data sec- tion, are intended primarily for use with steel pipe or copper tubing. The 1/4 inch adjustment provided by the Push - on Escutcheon Plate and the addition- al 1/4 inch of adjustment that can be obtained by use of the Extension reduces the accuracy to which the sprinklers must be positioned. The 3 inch outside diameter of the Push -on Plate also contributes to the ease of in- stallation by covering offset clearance holes. Clamp -on Escutcheon Plates, which are designed for use with plastic pipe fire protection systems, are described in Technical Data Sheet TD810. The F991 Sprinklers have been designed to operate with a particular fusible element temperature rating and heat sensitivity characteristic' as well as to discharge water in a specific pat- tern and quantity per square foot relationship. The combination of the performance characteristics which are associated with the F991 Sprinklers have been proven to help in the con- trol of residential type fires and, there- fore, to improve the chance for oc- cupants to escape or be evacuated. Fire sprinkler systems are not a sub- stitute for intelligent fire safety -aware- ness or construction materials and practices required by building codes. APPROVALS AND STANDARDS The 4.2 K -factor, Model F991 Aquarius Residential Pendent Sprinklers are listed by Underwriters Laboratories Inc. and Underwriters' Laboratories of Canada. The listings only apply to the service conditions indicated in the General Technical Data and Installa- tion/Usage sections. Printed in U.S.A. 6-90 TD586 // MODEL NO., TEMPERATURE COMPONENTS: J/L RATING, 8� YEAR OF 1 -Dust Cap 6 Heat 9 - Loading 10 13 MANUFACTURE 2 - Arms Collectors Screw 3 - Body 4 - Gasketed 7 - Inner Loading 10 - Solder Element NOTE: Button- Plate12 11 - Disc Spring -Insulating The Fusible Element Assembly (consisting of Components 5 through 13) Deflector 8 - Outer Washer falls out of he Body upon sprinkler operation. 5 - Retaining Loading 13 - Tamper Ring Plate FIGURE A 4.2 K -FACTOR MODEL F991 AQUARIUS RESIDENTIAL PENDENT SPRINKLERS GENERAL DESCRIPTION The 4.2 K -factor, Model F991 Aquarius Residential Pendent Sprinklers (Ref. Figure A) are automatic sprinklers of the fusible solder type. They are low profile, flush mounting sprinklers which are intended to be used in • wet pipe residential sprinkler sys- tems for one- and two-family dwell- ings and mobile homes per NFPA 13D, • wet pipe residential sprinkler sys- tems for residential occupancies up to four stories in height per NFPA 13R, and • wet pipe sprinkler systems for the residential portions of any occupan- cy per NFPA 13. Small and attractive, the F991 Sprinklers are installed with either a Push -on or Clamp -on Escutcheon Plate and feature a smooth, low profile, flush -style design with an aes- thetically pleasing appearance that blends in with all types of surround- ings. The Push -on Escutcheon Plates, as described in the Technical Data sec- tion, are intended primarily for use with steel pipe or copper tubing. The 1/4 inch adjustment provided by the Push - on Escutcheon Plate and the addition- al 1/4 inch of adjustment that can be obtained by use of the Extension reduces the accuracy to which the sprinklers must be positioned. The 3 inch outside diameter of the Push -on Plate also contributes to the ease of in- stallation by covering offset clearance holes. Clamp -on Escutcheon Plates, which are designed for use with plastic pipe fire protection systems, are described in Technical Data Sheet TD810. The F991 Sprinklers have been designed to operate with a particular fusible element temperature rating and heat sensitivity characteristic' as well as to discharge water in a specific pat- tern and quantity per square foot relationship. The combination of the performance characteristics which are associated with the F991 Sprinklers have been proven to help in the con- trol of residential type fires and, there- fore, to improve the chance for oc- cupants to escape or be evacuated. Fire sprinkler systems are not a sub- stitute for intelligent fire safety -aware- ness or construction materials and practices required by building codes. APPROVALS AND STANDARDS The 4.2 K -factor, Model F991 Aquarius Residential Pendent Sprinklers are listed by Underwriters Laboratories Inc. and Underwriters' Laboratories of Canada. The listings only apply to the service conditions indicated in the General Technical Data and Installa- tion/Usage sections. Printed in U.S.A. 6-90 TD586 --=o 1— 1 r M t 1 800 854-1015 ��.-r-�■ T��111It.Lll1��_ cnr�� d. . FIRE . SPRINKLER'PRESSURE.CALIGES i U.S. GUAG E, AMETEK • Use on- wet or 'dry sprinkler systems! • Solld brass backed! • '/4 ANTP•LM brass fitting; 3112 diameter • 300 lb./sq. In. Oapacity NOW wvw 22S \ so iso ZS . . 175 300 SoSTED M APPROVEC 41 Figure No. 3010 125# Bronze Gate Valve 1/4"-311 Figure No. 3010. SJ 1:25# Bronze Gate Valve V-31" 12t PSI Salturated Stedm,- 260 PSI Non -Shock Cold Water, 011, or Gas - Rif ing Stem, open I tirirh-hell r rigure rdo. jutu I — . . I Threaded Figure No. 3010SJ Cohforrns to �ederal Specification: WW -V-54 Class A, Type 11 81 MSS -SP -60 C . opper to Copper 2. Idenlifl,7allon Plate Screwed $teq-i If"t 1"/16 45/9 S61id Wdd 0 1..� 3. Han wheel Aluminum ASTM "S K• A.: 14/16 .6 M1 teAa I ust h i liltVs tic. 4'/e 4 to 3/e .7 .6 11 Part Specification -14, .%I Nominal Size Dimension AWpro x. et M. A rox. ITept VA. Vi 1. Han heal Nut Zinc Plated Steel with �lloy C69400 or B-99 214 Via, 4 C Z rr r rT Cf. Clear Chromate 2. Idenlifl,7allon Plate XlUminum If"t 1"/16 45/9 3. Han wheel Aluminum ASTM "S '/at 1" h0 46,10 14/16 .6 .6 Alloy A03800 liltVs tic. 4'/e 4 to 3/e .7 .6 4. Steni Silicon Bronze ASTM B-371 t �lloy C69400 or B-99 214 Via, is 7/0 .1.0 .9 Alloy 065100 H04 1 21/10 1 1.7 1.5 5. Packing Nut BronzeJi Bronze ASTM B-62 or 2.1 ASTM 8-584 Alloy C84400 1114 25/0 81/a 13/16 2.4 S. PacOng G1.1nd bronze ASTM 8-62 or 1% 27/o 3.3 3.1 ASTM 8-684 Alloy 084400, 41. or ASTM 8-282 or B-16 2 31hr, 119/i6 16/,6 5.0 4.7 T. Pac&g Non-AsbP4tos/Graphltel Aramid Fiber 2112 41/e 1481i0. 1131,0 j0.5' 9.4 8, Bonnet Bronze ASTM 8-82 3 41/2 `161/a 116/16 15.0 13.3 9. Body, Bronze ASTM 8-62 f wp4dino-..-pSc0,d &N lOh' 10. Wedge Bronze ASTM B-62 J 4 C Z rr r rT Cf. Grinnell CO W Q N Z 0 m 25 Bronze Spring Loaded Check Valve %"-2" Figure No. 3600 w/Tefion Disc. Figure No. 3600SJ w/Teflon Disc Figure No. 3615 w/Bunn-N Disc Figure No. 3615SJ w/Bunn-N Disc 125 PSI Saturated Steam, with TFE Disc Buna-N Disc Rated at 250 PSI 250 PSI Non -Shock Cold Water, Oil, or Gas Fluid Pressure, Non -Shock W.O.G. lure No. 3600 lure No. 3615 Threaded Grinnell check valves may be installed in vertical lines with upward flow or in any intermediate position. Do Not Use For Reciprocating Air Compressor Service. Do Not Use as a Footvalve. Figure No. 3600SJ 6�1 Figure No. 3615SJ Copper to Copper ins Welght§ Nominal Size DimensionsApprox. A-561 Alloy 530300 3. Spring 316 Stainless Steel 4. Disc Holder Stainless Steel Type 301 5. Disc Teflon, Fig. 3600 5A. Disc Buna-N, Fig. 3615 6. Seat Ring Teflon 7. 8. Seat Screw Body End Stainless Steel ASTM A-276 Alloy S43000 Bronze ASTM B-584 Alloy C84400 Figure No. 3600SJ 6�1 Figure No. 3615SJ Copper to Copper ins Welght§ Nominal Size DimensionsApprox. 2e Pt Wt. Fig. 3600 Approx. et Wt. Fig.3600SJ A B C 3/6 2 13/6 17/16 .4 .4 1/2 21/16 13/6 13/16 .4 .4 3/4 21/4 15/e 15/16 .5 .5 1 LIN. 2 11/2 .8 .9 11/4 215/16 23/e 111/16 1.2 1.3 11/2 35/16 23/4 2 1.6 1.9 2 33/4 3% 25/16 2.4 2.7 Bells Switches & Alarm Valves sect.° _ Zo Bells & Switches PFS Mfg. Description Pack Number Number P POTTER ALARM BELLS `. Steel gong, aluminum casing. U.L. Listed. _ 6" ;Bells 78 d6 0 9 meters distance. 521116 PB -6-12P 6"POLARIZED W/4 LEADS 24 VOLTS DIRECT CURRENT 1 521106. ° PB -6-120A 6" AC BELL W/4 LEADS 120 VOLTS ALTERNATING CURRENT 1 e • ee HEADS.= 26 G.P.M. FLOW ( 13 G.P.M. EA.) FRICTION LOSS IC! FACTOR 150 MINIMUM PRESSURE REQUIRED 9.58 P.S.I. PRESSURE AVAILABLE IN SYSTEM = 37.13 P.S.I. • RESIDENTIAL.FIRE SPRINKLER • SYSTEM DESIGN BY'FOX COMPANY C-16 LIC.. # 30t365 05365PER'REQUIREMENTS - PER REQUIREMENTSOF NFPA 13R, 1989 EDITION 1 STEVE ORSILLO CONST. FREEMAN HOME' 3022 OLIVE HWY. UPPER PALERMO Q< BOHEMIA OROVILLE CA. 95966 PALERMO 11/3/92 WATER PRESSURE IN•STREET 55 DEDUCT METER LOSS FOR SIZE - 0 55 DEDUCT PRESSURE LOSS FROM CITY MAIN TO SPRINKLER. CONTROL VALVE MAIN SECTION •EQUIV.FT. 2 " PIPE = 100 FT. 1 GATE VALVE _ , . 2 FT. 1 CHECK VALVE = 8 FT. 2 ELBOWS = 22 FT. 5 COUPLINGS = 5 FT. , 1' TEES (RUN) = 1 FT. 0 TEES (BRANCH) = 0 FT. TOTALS. = 138 FT. X ..006 - 0.83 54. 17 DEDUCT HEAD LOSS FOR ELEVATION (.10 FT. X 0.434 ) - 4.34 .49.83 DEDUCT PRESSURE LOSS FOR PIPING FROM CONTROL VALVE TO FARTHEST SPRINKLER` PIPE SECTION ONE EQUIV.FT. ---------------- v -------- -------1.11 PIPE = 85 FT. 1.11 _ 4 ELBOWS = 28 FT. F 1 COUPLINGS = 1 FT. 5 TEES (RUN) = 5 FT. 0 TEES (BRANCH) = 0 FT. TOTALS = 119 'FT. X .1067 -1,2.70 37..13' BRAND OF HEADS = AQUARIUS #F991 G.P.M. - P..S'.I. CONVERSION FORMULA: K FACTOR. OF HEADS USED = • 4.2 (G. P. M. / K FACTOR.) 2 = ,P. S. I EQUIVALENT FEET.CALCULATED @ 2 HEADS , . HEADS.= 26 G.P.M. FLOW ( 13 G.P.M. EA.) FRICTION LOSS IC! FACTOR 150 MINIMUM PRESSURE REQUIRED 9.58 P.S.I. PRESSURE AVAILABLE IN SYSTEM = 37.13 P.S.I. Grinnell CO W �.i Q W N Z O IM CO 25 Bronze Spring Loaded Check Valve V-2" Figure No. 3600 w/Teflon Disc. Figure No. 3600SJ w/Teflon Disc Figure No. 3615 w/Buna-N Disc Figure No. 3615SJ w/Buns-N Disc 125 PSI Saturated Steam, with TFE Disc Buna-N Disc Rated at 250'PSl 250 PSI Non -Shock Cold Water, Oil, or Gas Fluid Pressure, Non -Shock W.O.G. lure No. 3600 lure No. 3615 Threaded Grinnell check valves may be installed in vertical lines with upward flow or in any intermediate position. Do Not Use For Reciprocating Air Compressor Service. Do Not Use as a Footvalve. Us4 Q) Figure No. 3600SJ Figure No. 3615SJ Copper to Copper L 13 -gad riy Aidita�ed. � r ( biFnen§Ions —Weights Nominal Size Part Specification 1. Body . Bronze ASTM B•584 Alloy C84400 2. Stem Stainless Steel ASTM A-582 Alloy S30300 3. Spring 316 Stainless Steel 4. Disc Holder Stainless Steel Type 301 5. Disc Teflon, Fig. 3600 5A. Disc Buna-N, Fig. 3615 6. Seat Ring Teflon 7. 8. Seat Screw Body End Stainless Steel ASTM A-276 Alloy S43000 Bronze ASTM B-584 Alloy C84400 Nominal Size Dimensionsprox. et Wt. Fig. 3600 Approx. Net Wt. Fig. 3600SJ A B C /e. 2 13/8 11he .4 .4 1/2 2'/16 13/8 13/16 .4 .4 3/4 21/4 15/6 15/16 .5 .5 1 25/e 2 1'/z .8 .9 11/4 215/16 23/6 1"/16 1.2 1.3 11/2 35h 23/4 2 1.6 1.9 2 3314 3316 25/16 2.4 2.7 Figure No. 3010 125# Bronze Gate Valve 1/4".311 Figure No. 3010 SJ 125# Bronze Gate Valve 1/2'1-31F 12t , PSI Saturated ;Stedm,'260 PSI Non -Shock Cold Water, Oil, or Gas Ftif'Ing Stem' open I Threaded Cohforrns to �ederal Specification: WW -V-54 Class A, Type 11 & MSS -SP -80 Grinnell Figure No. 3010SJ Copper to Copper Rising.Stem Wedge. D - Screwed tJ!:: "I'. Solid Materia,,. kt: I L 01 ensi W, I! h ons 6 M A- : �1- — . Part Specificallon 1. Han&heel Nut Zinc Plated Steel with Clear Ch?omate a 2. Idenjiff(.-allon Plate Xluminjim 3. Han wheel Aluminum ASTM B-86 A' Alloy AO3800- 4. SterA Silicon Bronze ASTM B-371 FIQ,.10 Alloy C69400 or B-99 Alloy 065100 H134 5. Packing Nut Bronze ASTM B-62 or ASTM B -SM Alloy 004400 S. Pac&q Gland Bronze ASTM B-62 or 3162 ASTM B-684 Alloy C84400 ill/If, 21116 or ASTM B-292 or B-16 j 7. Pac&g Non-Asbestos/Graphite/ I Aramid Fiber 8, Bonnet Bronze ASTM B-82 Body Bronze ASTM B-62 Wedge Bronze ASTM B-62 913/16 119/16 146h6. v.ej. 4 C Z N rr CfU, Nominal Dimensions A ro'x- ;rept ". Prox. At Wt. A' B — C Size FIQ,.10 1% 3010SJ I "h6 111/16 45/a 4% 1/4t .6 J .7 .6 1.5 2.1 3162 flat ill/If, 21116 4r/9 6"As 31. 7/0 2/4 I 2"he 21/9 71/42 81/0 1 13/18 1.7 2.4 i//4 11/2 271e Vis 41/2 913/16 119/16 146h6. If/,, 161.6 Italie 3.3 6.0 10.5 3.1 4.7 9.4 2 2112 r4113 3 1 161/2 1 116/16 150 133 -j I 4 C Z N rr CfU, M �r-n ''1f11WaLINAE. writ` do 1 800.854-1015 FIRE SPRINKLER PRESSURE GAUGE' 1 U.S. GUAGE, AMETEK Use on wet or.dty sprinkler systems! Ow Solid brass backed! • '/, II A .NTP -LM brass fitting; 3112diameter i ,3OQ lb./sq. In. capacity YS psi ?7S so .250 ,a 17s 300 elite v &OST'ED IM APPROVE e 4 4 { Bells, Sectio Switches & Zo Bells & Switches PFS Mfg. Description Pack Number Number (kPOTTE.JR ALARM BELLS Steel gong, aluminum casing. U.L. Listed. 6" Bells 78 dB ® 9 meters distance. 521116 PB-6-12P _ 6" POLARIZED W/4 LEADS 24 VOLTS DIRECT CURRENT 1 521106 PB-6-120A 6" AC BELL W/4 LEADS 120 VOLTS ALTERNATING CURRENT 1 i FLUSH PENDENT SPRINKLERS, RESIDENTIAL MODEL F991 AQUARIUS®, 4.2 K -FACTOR PUSH -ON PLATE WITH EXTENSION PUSH -ON PLATE 21/4 , (57.2mm) 1/2" NPT I 7 . 5- 9- 8- 12 - 98•12 TWO WRENCH LUGS (SHOWN 90° OUT OF POSITION) 11 GENERAL DESCRIPTION The 4.2 K -factor, Model F991 Aquarius Residential Pendent Sprinklers (Ref. Figure A) are automatic sprinklers of the fusible solder type. They are low profile, flush mounting sprinklers which are intended to be used in • wet pipe residential sprinkler sys- tems for one- and two-family dwell- ings and mobile homes per NFPA 13D, • wet pipe residential sprinkler sys- tems for residential occupancies up to four stories in height per NFPA 13R, and • wet pipe sprinkler systems for the residential portions of any occupan- cy per NFPA 13. Small and attractive, the F991 Sprinklers are installed with either a Push -on or Clamp -on Escutcheon Plate and feature a smooth, low profile, flush -style design with an aes- thetically pleasing appearance that blends in with all types of surround- ings. The Push -on Escutcheon Plates, as described in the Technical Data sec- tion, are intended primarily for use with steel pipe or copper tubing. The 1/4 inch adjustment provided by the Push - on Escutcheon Plate and the addition- al 1/4 inch of adjustment that can be obtained by use of the Extension reduces the accuracy to which the sprinklers must be positioned. The 3 inch outside diameter of the Push -on Plate also contributes to the ease of in- stallation by covering offset clearance holes. Clamp -on Escutcheon Plates, which are designed for use with plastic pipe fire protection systems, are described in Technical Data Sheet TD810. The F991 Sprinklers have been designed to operate with a particular fusible element temperature rating and heat sensitivity characteristic; as well as to discharge water in a specific pat- tern and quantity per square foot relationship. The combination of the performance characteristics which are associated with the F991 Sprinklers have been proven to help in the con- trol of residential type fires and, there- fore, to improve the chance for oc- cupants to escape or be evacuated. Fire sprinkler systems are not a sub- stitute for intelligent fire safety aware- ness or construction materials and practices required by building codes. APPROVALS AND STANDARDS The 4.2 K -factor, Model F991 Aquarius Residential Pendent Sprinklers are listed by Underwriters' Laboratories Inc. and Underwriters' Laboratories of Canada. The listings only apply to the service conditions indicated in the General Technical Data and Installa- tion/Usage sections. Printed in U.S.A. 6-90 TD586 // MODEL NO., TEMPERATURE COMPONENTS: J/L RATING, a YEAR OF 1 Dust Cap 6 - Heat 9 - Loading I O I3 MANUFACTURE 2 - Arms Collectors Screw 3 - Body 7 - Inner 10 - Solder Element NOTE: 4 - Gasketed Button- Loading Plate12 11 - Disc Spring The Fusible Element Assembly (consisting of Components 5 through 13) Deflector 8 - Outer Insulating Washer falls out of he Body upon sprinkler operation. 5 - Retaining Loading 13 - Tamper Ring Plate FIGURE A 4.2 K -FACTOR MODEL F991 AQUARIUS RESIDENTIAL PENDENT SPRINKLERS GENERAL DESCRIPTION The 4.2 K -factor, Model F991 Aquarius Residential Pendent Sprinklers (Ref. Figure A) are automatic sprinklers of the fusible solder type. They are low profile, flush mounting sprinklers which are intended to be used in • wet pipe residential sprinkler sys- tems for one- and two-family dwell- ings and mobile homes per NFPA 13D, • wet pipe residential sprinkler sys- tems for residential occupancies up to four stories in height per NFPA 13R, and • wet pipe sprinkler systems for the residential portions of any occupan- cy per NFPA 13. Small and attractive, the F991 Sprinklers are installed with either a Push -on or Clamp -on Escutcheon Plate and feature a smooth, low profile, flush -style design with an aes- thetically pleasing appearance that blends in with all types of surround- ings. The Push -on Escutcheon Plates, as described in the Technical Data sec- tion, are intended primarily for use with steel pipe or copper tubing. The 1/4 inch adjustment provided by the Push - on Escutcheon Plate and the addition- al 1/4 inch of adjustment that can be obtained by use of the Extension reduces the accuracy to which the sprinklers must be positioned. The 3 inch outside diameter of the Push -on Plate also contributes to the ease of in- stallation by covering offset clearance holes. Clamp -on Escutcheon Plates, which are designed for use with plastic pipe fire protection systems, are described in Technical Data Sheet TD810. The F991 Sprinklers have been designed to operate with a particular fusible element temperature rating and heat sensitivity characteristic; as well as to discharge water in a specific pat- tern and quantity per square foot relationship. The combination of the performance characteristics which are associated with the F991 Sprinklers have been proven to help in the con- trol of residential type fires and, there- fore, to improve the chance for oc- cupants to escape or be evacuated. Fire sprinkler systems are not a sub- stitute for intelligent fire safety aware- ness or construction materials and practices required by building codes. APPROVALS AND STANDARDS The 4.2 K -factor, Model F991 Aquarius Residential Pendent Sprinklers are listed by Underwriters' Laboratories Inc. and Underwriters' Laboratories of Canada. The listings only apply to the service conditions indicated in the General Technical Data and Installa- tion/Usage sections. Printed in U.S.A. 6-90 TD586 . ' } •C7 : i I Y .Y•. • - - -"ems : ., s� yTi.,.: p -, - _ - a 4 !!11 " • J~ Y 1 u -��T y, t 'y'.. ti,•Ss' * f "" �j" .•�_ r ,. � ".-.r . T -_ _. I ft, • ,} , I 1. t '- _".,._.. to •, ' �F•' - a,: ! I �;_ r -' . -, . (I.- ".. , r Z { . .y + .', 1'«. Lid:`.. `j 4 ; Y ,l .v �. 4. n +Y ! / t ww I l' .I : ,Y; j a. ,. "- . ", .; .. �+ . S `,,, t t` b •l v, to 'r• ^ -;�, - • . .r\-� + , • tl •.J .w +,,,> �'�.. Sf a ett •R' rr k 3 I y iiii`� kir . r •�^, •'Ai. 1=., � . ,jy y-' •'y r , ,-" r '1. : T Fc i y.v. 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QG• •cd • f. s :i n ,• - I . , - - ' . J, ,�f n `'' J Nl.; JJJJ ♦' y am. "' j \ t ,`#.• T ri • •. .r a .. "' 'r' . , Fjl I �' , . , - l , / i , ' r - - I �Y , t . `• F� J• ' . , ! V •l'or" v -•1 • L + ; _ T. Ju � LSA . + . JJJ Q� r R -L, ' i t .f.. r r , r-'' �> ' sI r rr.t_ n '� I, 1. ...- ^' r�+ rr7-y.c,.;„ .�,.,rvti Nra,,,�.'--L �., - ,: ter •_ a a 1 f - .4' a• • 4 . " • .•..ter . ` • , ' ` ....y.. - F+ ', • r ,. . f . , ? , �.�..�e . • r r t M�,„'*,n•:•..t>+�•f'► ± ^-r ---------•<,--- +-�-Y-.--r-,a;-- ,. I r I . Ceiling Insulation 1. Raised Floor Insulation Insulation in Floor Number of stories .46 R•value One Two Three R-0 -103 -49 32 R-19 -8 -4 .2 R-30 -2 -1 .1 R38 0 0 0 U -value -1 0 0 0.50 -176 -84 -54 0.30 -102 -49 32 0.10 -26 -13 -8 0.08 -18 -9 -6 . 0.06 -11 -5 -4 0.04 -4 .2 .1 0.02 4 2 1 0.00 11 5 3 28 -55 -18 -10 t. Nall Insulation 5 13 27 - Single- Single - -9' -2 Family Family Multi - R -value Detached Attached Family R-0 -68 -51 34 R-11 0 0 0 R-13 2 2 1 R-19 8 6 4 U -value -11 -4 2 0.80 -153 -114 -76 0.50 -91 -68 -46 0.30 -47 -36 -24 0.10 0 0 0 0.08 4 3 2 0.06 9 7 5 0.04 14 11 7 0.02 19 14 10 0.00 24 /8 12 1. Raised Floor Insulation Insulation in Floor -70 .46 Number of stories -58 One Two Three -17 -8 -5 -3 .2 -1 0 0 0 3 1 1 -144 -70 .46 -120 -58 38 -95 -46 30 -69 -34 .22 -43 -21 -14 -17 -8 -5 -11 -6 -4 -6 -3 -2 -1 0 0 4 2 _ 1 10 5 3 Controlled Ventilation Crawlspace -4 3 .1 Number of stories -1 R -value -One Two Three R-0 -11 -7 -5 R-5 -4 -4 3 R-11 -2' 2 .2 R-19 -.1 -2 -2 . Slab Edge Insulation -53 -39 _ Number of Stories 4- R -value One Two Three R-0 0 0 0 R-5 8 5 2 R-7 8 6 .3 F2 factor 0.90 -4 3 .1 0.80 -1 -1 0 0.70 2 2 1 0.60 6 4 2 0.50 9 6 3 0.40 12 8 4 S. Inriltration (Air Leakage) Specification Points .Standard 0 -6. Glass Heat Loss -69 -64 ria - Total Effective PereestI Glass -55 na 35 U -value (Peremt Sian x SC) Percent Effective -40 .51 to .41 to .31 to 0.30 or Glass Single Double .60 .50 .40 leas. 50 -121 -53 -39 -24 -10 4- 40 -90 37 -26 -14 3 8 35 -75 -29 -19 -9 1 10 30 -61 -21 -13 -4 4 12 29 -58 -20 -12 -3 5 12 28 -55 -18 -10 -2 5 13 27 - -52 -17 -9' -2 - 6 _- 13 26 -49 -15 -8 .1 7 14 25 -46 -14 -7 0 7 14 24 -43 -12 -5 1 8 14 23 -40 -11 -4 2 8 15 22 -37 -9 -3 3 9 15 21 34 -7 -2 4 10. 15 20 31 -6 0 5 10 16 19 -29 -4 1 6 11 16 18 -26 3 2 7 12 16 17 -23 -1 3 8 12 17 16 -20 0 4 9 13 17 15 -17 1 6 10 14 17 14 -14 3 7 10 14 18 13 -12 4 8 11 15 18 12 .9 6 9 12 15 19 11 -6 7 10 13 16 19 10 -3 9 it 14 17 19 9 -1 10 13 15 17 20 8 2 12 14 16 18 20 7. Shading (Shade Open) -69 -64 ria -42 Effective PereestI Glass -55 na 35 .50 (Peremt Sian x SC) na Effective -40 -37 no -26 %Glass North East South West Skylight 18 5 1 4 1 na 16 4 2 5 1 na 14 4 2 5 1 na._ 12 3 3 5 2 na 11 3 3 5 2 na 10 2 3 5 2 1 9 2 3 5 2 2 8 2 3. 5 2 2 7 1 3 4 2 2 6 1 3 4 2 3 5 1 2 4 2 3 4 0 2 3 1 3 3 0 1 2 1 3 2 0 0 1 0 3 .. 1 -1 -1 -1 -1 2 ' 0 -1 -2 -4 -2 0 na = not allowed 3.5 2 5 7 9 9 10 lB. Shading (Shade Closed) Effective Pei c it Glass OWMt Shm x SC) 18 -14 16 -12 14 -10 12 -8 11 .7 10 -6 9 -5 i g -5 7 -4 6 3 5 .2 4 .1 3 0 2 1 1 1 0 2 na • not allowed East Soufli West SlW%M •48 -69 -64 ria -42 -59 -55 na 35 .50 -46 na .29 -40 -37 no -26 36 -33 na .23 31 -29 -74 -20 -27 -25 -65 -17 -23 -21.. -56 -14 -19 -18 d7 -11 -15 -14 -9 .9 -11 -10 -30. -6 -8 .7 -23 -4 -5 -4 -16 .1 .2 -1 -9 1 1 1 -4 3 4 3 0 9. Interior Thermal Mass Interior Exterior Slab Floor -8 Raised Floor Mass Mule Series Detached Attached Family Stories 0 0 /CFA One Two Three One Two Three 0.0 -8 -5 -4 -2 -1 .1 0.1 -8 -5 -3 .1 0 0 0.3 -7 -4 .2 0 1 1 0.5 -6 -3 .1 1 1 2 0.7 -5 .2 -1 1 2 2 0.9 -5 .1 0 2 3 3 1.1 -4 .1 1 3 4 4 1.3 -3 0 2 3 4 5 1.5 -3 1 2 4 5 5 ZO -1 2 4 5 6, 7 Z5 0 3 5 7 7 8 3.0 1 4 6 8 8 9 3.5 2 5 7 9 9 10 4.0 3 6 8 9 10 10 -4.5- -3 -7 8" ` '10 111 11 ' 5.0 4 7 9 11 12 12 5.5 5 8 9 11 12 12 6.0 5 8 10 12 13 13 6.5 6 9 10 12 13 13 7.0 6 9 11 13 13 14 7.5 6 10 11 13 14 14 8.0 7 10 11 13 14 14 8.5 7 10 12 13 14 15 10. Exterior Wall Thermal Mass Exterior Single- Single. -8 Wall Family Famif Mule Mass Detached Attached Family 0.00 0 0 0 0.20 3 2 1 0.40. 5 4 3 0.60 8 6 .4 0.80 10 8 5 1.00 13 10 7 1.20 13 12 8 .1.40 12 13 9 1.60 10 13 11. 1.80 10 12 12 200 10 11 13 11. Heating System 9 7 6 SE or HSPF 3 120 (assumes ducts In attic) 13 11 9 Sum of 13 5 13.0 -25 or -24 to .14 to -4 to +6 to /6 or SE HSPF less -15 -5 a5 +15 more 0.72 6.60 0 0 0 0 0 0 0.75 6.88 3 3 3 2 2 1 0.80 7.33. 8 7 6 5 4 3 0.85 7.79 13 11 10 8 7 5 0.90 8.25 17 15 13 11 9 ..7 0.95 8.71 __20 . 14--15 ___ 13 11 8 16 or Effecdve SE or HSPF (SE or HSPF x dud eMdency) Elfecive -25.or -24 b -14 b 4 to 46 to 16 or SE HSPF less AS 3 .5 AS more 0.30 Z75 -73 -U -56 -47 38 -30- na 3.41 -45 . •39 -34 -29 -24 -18 0.40 3.67 -34 -30 -26 -22- -18 -14 0.50 4.58 .10 -9 -8 -7 -5 -4 0.56 5.13 0 0 0 0 0 0 0.60 5.50 5 5 4 3 3 2 0.70 6.42 17 15 13 11 9 7 0.80 7.33 25 22 19 16 13 10 0.90 8.25 32 28 24 20 17 13 1.00 9.17 37 32 28 24 19 15 Zonal Control Adjustment System Type Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 12. Cooling System SEER (assume, duets In attic) Sun of 7-10 -25 or -24 b 0410 -4 b +6 to 16 or SEER less 45 ; .6 45 ♦15 more 8.0 -14 -12 .10 -8 .6 -4 8.5 -9 -7 -6 3 -4 -3 8.9 -5 •4 -4 3 -2 .2 9.0 -4 3 -3 -2 -2 -1 9.5 0 0 0 0 0 0 10.0 4 3 3 2 2 1 10.5 7 6 5 4 3 2 11.0 10 9 7 6 4 3 120 15 13 11 9 7 5 13.0 20 17 14 12.- 9 6 4 - _HP HP Effective SEER 8 5 4 (SEER xdud efficiency) 00% WSB 5 S+zn of 7-10 3 2 Effective -25 or ,24 to -1410 .410 +6b 16 or SEER less -15 -5 +5 4.15 more 5.0 -30 -25 -21 -17 -13 -9 6.0 -12 -11 .9 -7 -6 4 6.6 -5 -4 -4 3 -2 -2 7.0 0 0 0 0 0 0 8.0 9 8 6 5 4 3 9.0 16 14 12 9 7 5 10.0 22 19 16 13 10 7 j 11.0 26 23 19 15 12 8 12.0 30 26 22 18 14 . 9 13.0 33 29 24 20 15 10 Zonal Control Adjustment 10 8 7 6 4 3 No Cooling, System Installed =_Stories . X ' J SE or HSPF One -5 -4 -4 -3 -2 -2 Two t 3 3 .. 2 2 2 1 Single -Family Detached and Attached Unit Size (sq �:. Hutlt•..:: I O.v.U.e ".n� Water ;199 1 W.' 1700 2200 2700 Heater Credit , or .1 to to to or. Type Type less. 1699 2199 2699 more SG None "0 0 0. 0 0 or Solar 12 " 8 6 5 4 - _HP HP -HWR 8 5 4 3 3 00% WSB 5 3 3 2 2 0.6 POU 8 5 4 3 _ •3 _ SE None 37 -24 -18 -15 -12 3.6 Solar -1 •1 -1 0 0 5 -HWR -18 -12 -9 -7 -6- - 1 WSB_: WSB._: -25 -16 -12 -10' 3 2.5 . ZI .I_ __12 9 7- 6 IG None . :-S 3 -2 -2 -2 20% Solar Z : 5- -4 3 2 1.6 POU .3.__ 2 1 1 1 IE None -28 -19 -14 -11 -9 4.5 Solar 8 5 :4 3 3 0.5 POU -10 " -6 -5 -4 -3 2 Multi-Foolfy (individual units) 14 26 - 3 32 3.5 3.7 Water 4.1 699 7W 12W 17M 2200 HaawCreat 5.6 or b b b or Type Type 1.068 11.99_ 1690 2199 more SG None 0 0 0 0 0 or Solar 14 7 5 4 3 HP HWR .50% 5 3 2 2 1.7 ,__9 WSB 9 4 3 2' 2 32 POU 9 5 3 2 2 SE None 45 -23 -15 -11 .9 6.1 Solar 2 1 1 0 0 2 HWR 23 -12 -8 3 '-S 3.5 WSB -25 -13 -8 -6 '-5 4.9 5.1 -6 -5 IG None.: -8 Solactk 6 -4 3. -3 2 -2 _ POU - 1 0 .... 2 0 1 0 1 E None ; 30 -IS -10 '- -8 -6 4A Solar = 18 9 6 4 4 5.9 POU -8 -4 -3 •2 -2 Interior Mass/CFA • "P9 2 K"s . X ' J SE or HSPF Duct Efficiency [0.78] Effective SE or [0.76 .6 p HSPF 10.5615. 151 - X •,1 � � SEER [9.5] Met Efficiency [0.74] Effective SEER [7.03] �G Type [SG] Cmdit [none] �:. Hutlt•..:: I O.v.U.e ".n� I TYPE t R US (OIMC + 4.2. to: exposed aleb) 0% 5% 10% 15% 20% 25% 30% 35% 40%.45% 50% 55% 60% 6tifc 70% 75% 60% OS% 00% 05% 100% 105% 110% 11S% 120% 125- 0% 0 0.2 0.4 0.6 0.0 1.1 1.3 1.5 1.7 1.9 21- '2.3 2.5 2.7 29 32 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5 53 10% 0.2 .0.4 0.6 0.0 1 1.2 1.4 1.6 1.9 21 23 2.5 . ZI 2.9 3.1,; 3.3 3.S 3.7 4 4.2` 4.4 '4.6 4.0 5 5.2 5.4 20% 0.3 0.6 0.8 1 1.2 1.4 1.6 1.8 2 22 24 2.7 Z9. 3.1 3.3 3.S 3.7 3.9 4.1 4.3 4.5 4.8 S 5.2 5.4 56 30% 0.5 0.7 0.9 1.1 1.4 1.6 1.8 2 22 14 26 18 3 32 3.5 3.7 3,9 4.1 4.3 4.S 4.7 4.9 5.1 5.3 5.6 58 40% 0.7 0.9 1.1 1.3 1.5 1.7 1.9 22 Z4 Z6 2.8 3 3.2 3.4 3.8 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 59 .50% 0.9 1.1 1.3 1.5 1.7 1.9 21 23 2S 17 3 32 3.4 3.6 3.0 4 42 4.4 4.6 4.8 S.1 5.3 5.5 5.7 5.9 6.1 55% 0.9 1.1 1.4 1.6 1.8 2 2.2 2.4 2.6 ZO 3 32 3.5 3.7 9.0 4.1 4.3 4.5 4.7 4.9 5.1 S.3 5.6 5.8 6 6.2 60% 1 12 1.4 1.7 1.9 11 2.3 15 2.7 2.9 3.t 3.3 3.5 3.8 4 4.2 4A 4.6 4.8 S 5.2 5.4 5.6 5.9 6.1 63 65% 1.1 1.3 1.5 1.1 1.9 Z2 2.4 2.6 2.0 3 3.2 3.4 3.6 3.0 4 4.3 4.5 4.7 42 5.1 5.3 5.5 5.7 S.9 6.1 64 70% 1.2 1.4 1.6 1.0 2 Z2 2.5 27 2.9 3.1 3.3 15 3.7 3.9 4.1 4.3 4.6 4.8 5 5.2 5.4 5.6 58 6 6.2 64 75% 1.3 1.5 /.7 1.0 Zt Z3 2.5 Z7 3 3.2 3.4 3.6 3.6 4 4.2 4.4 44 4.8' 5.1 5.3 5.5 5.1 S.9 6.1 6.3 6.5 801/. 1.4 1.6 1.8 2 12 2.4 26 2.8 3 3.3 3.5 3.1 3.0 4.1 4.3 4.5 4.7 4.9 5.1 5.4 5.6 S.8 6 6.2 64 66 85% 1.4 1.7 1.9 2.1 2.3 15 2.7 2.9'" 3.1 -3.3 3.5 3.6 4 4.2 4.4 4.0' 4.0" 5 3.2 54 S.0 5.9 G.i 6.s 65 67 90%' 1.5 1.7 -2 2.2 24 26 2.8 3 3.2 3.4 3.6 9.6 4.1 4.3 4.5 4.7 4.9 5.1 53 5.5 5.7 5.9 6.2 6.4 66 6 8 06% 1.6 1.8 2 Z2 ZS Z7 2.9 3.1 33 3.5 17 3.9 '4.1 4.3 4.6 4.0 5 5.2 5.4 5.6 5.8 6 6.2 6.4 6.7 6.9 100'x. 1.7 1.9 21 2.3 2.5 28 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.7 7 105% 1.8 2 22 . 2.4 2.6 26 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 SO 5.8 6 6.2 6.4 6.6 68 7 110% 1.0 2.1 2.3 2.5 27 29 9.1 3.3 9.8 3.8 4 4.2 4.4 4.6 4.8 5 52 5.4 5.7 5.9 6.1 6.3 6.5 6.7 6.9 7.1 115% 2 22 2.4 2.6 28 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 S.3 5.5 5.7 5.0 6.2 6.4 6.6 6.8 7 7.2 120% 2 2.3 2.5 2.7 Z9 9.1 3.3 3.5 3.7 3.9 4.1 4.4 4.6 4.8 S 5.2 5.4 5.6 68 6 6.2 6.S 6.1 6.9 7.1 73 125% 2.1 2.3 2.5 2.8 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.1 7 7.2 7.4 Point System Summary: Climate Zone 11 SCORE CARD 1. Ceiling Insulation 2. Wall Insulation 3. Raised Floor Insulation 4. Slab Edge Insulation S.. Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) a. North b. East c. South d. West e. Skylight 8. Shading (Shade Closed) a.. North, b. East c. South d. West e. Skylight 9. Interior Thermal Mass 10. Exterior -Wall Mass 11. Heating System Zonal Control? ( Y / N ) 12. Cooling System Zonal Control? ( Y / N ) 13. Water Heating Measures R__W - or R -value [38] U -value [0.030] Or /4'alue 1111) U -value [0.098] TC ( or R -value [ 191 U -value [0.037] or R -value (01 F2 factor [0.77] Standard Type [double] U -value [0.651 % Total Glass [ 16] % G SC Eff. % Glass X 77 3 �s X = x = .3 x fj x = % Glass Sc Eff. % Glass X = O X = _� TYPE 1 MASS AREA a 8 Nrnu/CFA COND. FLOOR AREA Interior TYPE 2 MASS AREA a 8 ND. R A A Exterior Wall Mus . X ' J SE or HSPF Duct Efficiency [0.78] Effective SE or [0.76 .6 p HSPF 10.5615. 151 - X •,1 � � SEER [9.5] Met Efficiency [0.74] Effective SEER [7.03] �G Type [SG] Cmdit [none] Point Scores i -0- -t-17 - Sum 1.6 0 Point Total: �%�, Certificate of Compliance: Residential Climate Zone 11 Project Title 9 2 Building Pitt # Project Address ,t?f y- P17 /� �' /%1U C f Checked By / Due Documentation Author Telephone Ettolomma Agency Use 0* Glass Area % Glass BUILDING DATA North �_ �5 • ;,� Conditioned Floor Area = Number of Stories / East Slab Floor Number of.Units •�_ South 42, 6 G. [�n a amity Detached (SED) [ ]Addition'Alone West -�J [ ] Single Fatnily Attached (SFA) [ ] Existing Building Skylight . [ ] Multi-Family(MF) [ ] Existing -Plus -Addition Total / S 7 l o• :Z B UII.DING SHELL INSULATION Component Insulation Locatiorr/Cotnments Type R -Value (tulic..to garage, r pitai. etc.) Wall .............. Roof ............ 797-97 Roof ............. Floor ............. - 7 Floor ............. _ Slab Edge..... GLAZING Shading Devices Glaring Area Glass Type Interior Exterior Overhang Framing Type Orientation S0 (single. double) olla blind. etc.) (dwlestrem etc.) mtxal(wood) North ( ) 0 North ( ) East ( )_ East ( ) South South ( ) West ( ) West ( ) Skylight....... THERMAL MASS Type/Covering Area Thickness (slab/exposed, tile. etc.) (SO (inches) Location/Description, (kitchenu bath. etc.) " I IV A 4`3 HVAC SYSTEMS Minimum. Duct ('�r:-,,.:• Type (furfiece. air -Efficiency Location Duca Output Manufacturer / N o .ir#z' conditioner, heat tett) (SE. SEER.HSPF) (attic. etc.) R -Value tuh or approved al t~ :•' 5 h'1 r Maximum Furnace Heating Output: Btuh HOT WATER SYSTEMS Tank Manufacturer/Model # System Type (storage gas. etc.) Capacity (or approved equal) Special Feature(s) SPECIAL FEATURESIREMARKS (Add extra sheets if necessary) Mandatory Measures Checklist: Residential MF -1R NOTE: Lowricc residential buildings subject go the Standards must contain these anrisurea regardless of the compliance approach used. Ivens marked with an asterisk (-) may be superseded Aed by mo -- -_ rat complurxce requuem-m listed on the Certificate of Compliar=. When this checklist is incorporued into the permit doeumeltO. the features noted shall be considered by all parties as binding minimum component performance specific -Lion- for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. ' DESCRJMON DESIGNER ENFORCEMENT Building Envelope Measures ' §2.5352(a): Minimum ceiling insulation R-19 weighted avenge. §2-5352(b): Loose roll insulation manufacturer's labeled R -value. §2-5352(c): Minimum wall insulation in framed walls R-11 weighted average (does not apply to exterior mass walls). 12.5352(k): Slab edge insulation - water absorption rate no greater than 03%. water vapor transmission rate no V=zr than 2.0 perm/anch. §2-5311: Insulation specified or installed meets California Energy Commission (CEC) quality standards Indicate type and form. 62.5352((): vapor barriers mandatory in Climate Zones 14 and 16 only. §2.5317: Infiltration/Exfiltration Controls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Doors and windows certified. G Doors and windows weatherscipped: all joints and penetrations caulked and soled. 62-5352(e): Special infiltration barrier installed to comply with §2-5351 Mau CEC quality standards. 12.5352(d): Installation of Fireplaces 1. Masonry and factory -built fireplaces have: L Tight Gating, closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and conuol 2. No continuous burning gas pilots allowed. HVAC and Plumbing System Measures §2-5352(8) and 2-5303: Space conditioning equipment siring: attach calculations. §2-5352(h) and 2-5315: Setback thermostat on all applicable heating systems. ' 12-5316(a): Ducts consuucted. installed and insulated per Chapter 10, 1976 UMC. 62-5316(b): Exhaust systems have damper controls. 12-5314(c): Gas-fired space heating equipment has intermittent ignition devices. §2-5314: HVAC equipment. water heaters. showerheads and faucets certified by the CEC. §2.5352(i)-. Water heater insulation blanket (R-12 or great-) orcombined interior/exterior insulation (R-16 or greater): fust 5 feet of pipes closest to tank insulated (R-3 or greater). 12-5312(Exception 0: Pipe insulation on steam and steam condensate return & recirculating piping. §2-531R(d): Swimming Pool Heating 1. System has: a. On/off switch on heater. b. Weatherproof instruction plate on heater. c. Plumbed to allow for solar. 2. 75 percent thermal efficiency. 3. Pool cover. 4• Time clock. ' 5. Directional water inlet. Lighting and Appliance Measures 62-5352(j): Lighting - 25 lumens/watt or greater for general lighting in kitchens and bathrooms. §2.5314(c): Gas feed appliances equipped with intermittent ignition devices. §2-5314(x): Refrigerators, refrigerator -freezers, freezers and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. COMPLIANCE STATEMENT This certificate of compliance lists the thudding feast» and performance specifications needed to comply with Title 24. Chapter 2-53 and Title 20. (2laptrr2. SubdtWtet4. Article 1 of the California Administrative code. This certificate has been signed by the individual with overall design responsibility and the budding owner. who shall retain a copy of it and transmit the owditcate to any subsequent purchaser of the building, j Designer Building Owner Name: Noelle rkww t 7111CIFum. Address: Address: Telephone Tekomc Lie. 1: (sips (dig.) (signatue) (date) Documentation Author Enforcement Agency Name: Namc Titk/Fim1 Agency: Address: Tekolorw