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027-090-035
LOLA B27-09-35 .EEL .. ` 1 2731 Louis Permit# 92z 75B, ' , E,M. ew SF), At- P a 2 - -,35 /�-2-75� DERMIT ##6023=75.P,E (u elec . 7..'" I. % +: GAS SUPPORT STRUCTURE REQ, v i COMPACTION TEST REQ. �7j 27-09-35, 1 Permit- ##625-75MHI oZy Issued27-09-35 Permit #k5110-77B,E(new cabana/MH) � A j 2,7.-09-35 Permit #6145C77B(wood stove/MH) ' •t A I v 127-09-35 FLOYD COOPER We 2731 Louis Avenue, Oroville *//`Iq-3 p? Permi01424-86B,P E(repair fire dpmage/ 27-09-35 Permit#142-86MHIi, istCisngsit-�� Issued - b� ,,.,�• ' ff 27-09-35 755-91B,P,E,M aC COOPER, Bill & Carolyn ° 2731 Louis Ave, Oroville (new sf) I i a tet'` r� -, ® C"l RESIDENTIAL 27-09-35 755-91B,P;E,M COOPER., Bill & Carolyn 2731 Louis Ave, Orovil1e (new sf) 1 11 e d, . 33 o 2� g " OFFICE COPY i Address Da GAS Meter BY ELECTR►C Date �J Meter BY ,w OFFICE COPY Address GAS Meter Bye "Date ELECTRI� DaL, Meter By �R JOB FINALE& (Date Signature d=OK O=Not OK Not = Not Readyable 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: / /" L" ft. / /"Nat. or/ /"L"ft./ /"LPG 7. 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 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 , Date Card B-1 Date Card B-1 • � 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.-Coonectors 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 -En closures-Pane Iboards- 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 V OK O=Not OK Not dY�'1e•Not RESIDENTIAL (Single & Duplex) Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel- Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped (/BfPiers-Fireplace Ftg.-Steel V Fall -Fitting -Test -2 Way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 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. Insulation Dat Card B-1 Date Card B-1 Date - 0 and B-1 Date Card B-1 Date MBING Permit OK except #'s ater Htr.; Vent -Access -Combustion Air -Baffle ater Pipe; Test & Anchor -Nail Protection /A,AE-D_.W.V.; Test -Fittings & Anchor -Nail Protection t -43-51:0 -Wer Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access as Pipe: Size & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL Permit OK except #'s Fixture & Transformer Clearance -Ins. Protection V&S-fiec. Receptacles Spacing -Lights & Switches at Doors 4. Boxes & No. of Conductors -Stapled omex Installed Close to Edge of Stud§"i C.J. uip. Ground made up w/Meth. Fastriers-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. C r AI Range Circ. X7_9a. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Ne tral ❑ Yes O No 0.Service-Riser Conductors & Ground -Main Disconnect 31 ip. Clearances Panels -Motors -Meth. Equip. 32. gLathes Closet Light -Shower Light -Spa Light Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MfiGHANICAL (Permit) OK except #'s C. Ducts Insulation & Support 5 nt Fan; Exhaust above insulation L_--36r-eondensate Drain & Overflow; Size & Grade urn nce-Vent; Access -Comb. Air -Return Air Vent -115 outlet L_Ot.Attic Access & Platform if Furnance in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 9. Sls, Proper Material & Anchors 0. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound '- 9 Bearing Walls over Girders & Floor Nailing 42. t Stop in Walls (rat proof) A -49k, Stops; Furred Ceilings -Stairs -Chases -Tub 4' aders & Beam -Size & Bearing ties-Purlin-roof Brac- eplace Ties or Type A Flue -Fireplace Throat clearance jc Access; Size & Romex Protection -Draft Stop -Ins. Baffles rm. Windows or Exitino Doors -Sill Hat. & Dimensions Fire Protection party Linefirewall & Openings xt. Doors -One 3' -Check Garage -3rd Story, 2 Exits jr , Width -Headroom -Rise -Run -Landing -Fire Protection 4. ood on Roof Overhang-Attic_Vents-Rafter Outriggers �1 5. Siding -Nailing Veneer _--- _,66-Stacco Mesh- Drip•Screed-Fd. Vents-Underflr. Access /L7: Glazing Are Protection -Skylights -Plastic 58. Shear Ways; Nailing -Bolts 59. I sulat' n- ails -Ceilings i ation-Walls-Windows " Dat Card B- Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL Plans OK except #'s E ps-Door & Sidelight Protection -Landings Smoke Detector 6rna, Vents -Clearance -Comb. Air -Connector - In, ra e; Above Floor -Ducts -Meeh. Protection edroom Exiting F & Bath Fixtures & Tub Access -Spa 66. Elec. Trim-&- Subpanel; Breaker Sizes & Labels tairs & Rails ireplace or Stove; Clearances -Hearth c. Outlets at Wood Panel; Int. & Ext. Kit.Fixt. & liance; Grnd.-Air Gap -Cooking Clearance utlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 1`__73-_7�C'Duct in Garaae-Damper r. tr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Meth. Protection 8 Mach. Equip. Listed for Location in Garage; (G.F.I.)-Romex PrWction fwY57. Insulation-Foam-Looked'in Attic W-Tes 78. Guard -Bails & Deck Construction -Post Caps dn. Vents & Crawl Hole Door -Drainage & Wood -Earth ClmgPLA Looked under Floor 0 Yes Following instld.; Drjve10�� o; Walks 0 Yes o; Planters 0 Yes a'No rown-Finish 2. A.C. U ' isconnect, Electrical, Plumbing 8 -lents Above Roof; PIbg.-Appliance-Firep lace.-Clearan ce to Openings j 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Correction m evidus Inspe 'ons .,"89. Gas eters 7%0d; ric ater & Sewer Connected -C/O to Grade -HD Approval ner y Compliance Certificate -Other Certificates F -Y a S 9 Date Card B- Date Card B -1 - Date Card B-1 ate Card B-1 Date Card B-1 V Date Card B-1 Comments at Final: (NOTE: An entry must be made each time you visit job site) t t` COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE OWN PERMIT O A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need aOdi ' I explanation, please contact this office immediately. ►,ZW�.' MMIGEAM C r Dat Inspecto c COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE -)' OWNER PERM T NO. A routine inspection indicates that th fe ollowing violations of County Ordinance exist at the above address and should be corrected. Please notify this office when come n of work is completed. If you have any question pertaining to this ed additional explanation, please contact this office immediately. f'. - y L -?On A,,,, Z - FIR IN I ,s+I - A V1,4311 "M IVA J. MIA 4 Dafe 7—,&J "t Inspector ;fes. :.:Ea"k'�..r..�#:�`7G.•.r' :._.�__�.,.J _r=`• - -- --` - - - �'-".�`E COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541' ! 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE NIT A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional ;plana,.,o lease contact this office immediately. L --fl- r2/ Date ,�5-- 7 Inspector r 4 - .4. i 1 Date ,�5-- 7 Inspector `\\)TE OF ilAq�� s, < cz} a %7C Un F C 0 IN11 F In R M A .Jt.=..:awY::aa.w.l="-1.r73'F1Ic.'•'�'.L:fsRu'C'L'7^�'•IS.L�^fL;,;:,•ra•.r.,y.,R.r�.�.r .• :1��3_ . 1HE'UNDERSIGIVED MANUFACTURER HEREBY CERTIFIES that the products. identified below and on attached sheets Nos. are marked with the Collective Mark df the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION (AITC) and were manufactured f in con ormance with applicable provisions of American National Standard ANSI/AITC A190.1-1983, Structural Glued Laminated Timber, and that such manufacture has been at our plant in Sw; ssham�,—pR which plant has a quality control system approved by the Inspection Bureau of the At-Y1ERICAN INSTITUTE OF TIMBER CONSTRUCTION and inspected periodically by such Bureau. The manufacture of these members complies with the manufacturing and fabricating provisions of Chapter 25 of the Uniform Building Code. JOB NAME: Floyd --W Cooper JOB LOCATION 2'T31 Louis Ave Oroville Ca 95965- P0,F'685 4-18-91 8864—D CUSTOMER'S ORDER NO. DATE MFGR'S ORDER NO. 8864-� 24F -V4, WP Clue, Arch ADD, Indv WraD SIGNATURE ` G 'C'� -� ( 7 COMPANY Am arYl _2f_an amina S T TITLE_ Quali tv Co_1_0l nDORESS5 - L'0�2,--541? s5itotTle,_4BoA'rE --- -3-91 A/ TC HEREBY CERTIFIES that the said company at its said plant is licensed by the. AMERICAN INSTITUTE OF TIMBER CONSTRUCTION to use the AITC Collective Mark in respect of products which comply with applicable provisions of said Standard, that the adequacy of the..quality control system in effect at said plant is periodically inspected and verified by the Inspection Bureau of r¢ the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION, and that, in the judgment of AITC, said company is capable of complying with applicable manufacturing and testing provisions of said Standard in respect of products manufactured at said plant. Conformance with the Standard in respect' of any specific or particular product is the sole responsibility of the manufacturer; AITC's guarantee hereunder being that the said company is qualified to produce a product meeting.the said Standard and, that its plant is periodically inspected and verified by the AITC Inspection Bureau. WIN" ftL. AITC Cel"Idica(e No. 7 4 2 5 7 AMERICAN INSTITUTE OF -TIMBER CONSTRUCTION- RE ONSTRUCTIONR t CEIVE <� MAY 0 7.19 9 KEL © 1983°AMEF2I;�AN INSTITUTE OF TIM a AITC FORM IBCA t .. -.:; - •- Vit`.: Y' � J Owner: Bill Coo er _ Permit No. ENERGY CERT IF ICAT I O N 2731 LouisAAve. Oroville ,CCa. LOCATION A.P. No. DESCRIPTION OF INSULATION ROOF Material Thickness(inches) EXTERIOR WALL Material FIBERGLASS BATTS Thickness(inches) 6 1" Brand Name Thermal Resistance (R Value) Brand Name OWENS-CQRNING Thermal Resistance(R Value) R19 CEILIN¢ Batt or Blanket Type FIBERGLASS BATTS Brand Name OWENS-CORNING Thickness(inches) 91,11Thermal Resistance(R Value) R30 Loose Fill Type grand Name Minimum Thicknesi(Inches) 'Number of Bags Wt. per bag lb. ..�•.- 'I 'thermal Resistance(R Value)^ Area coverea(L. i FLOOR, ELEVATED Material Thickness(inches) FLOOR, SLAB Material Thickness(inches) Width(inches)* FOUNDATION WALL Material Thicknesa(inches) Brand Name. Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value)___,___ I hereby certify that the above insulation Nae installed in the above building In conformance with the State of Califorbla Energy Requirements. _ LOERKE INSULATION CO., INC. 499150 FIRM NAME/OWNER STATE CONTRACTORS LICENSE NO. SIG -TURF OF INSTALLATION APPLICATOR 9-6-91 DATE I hereby certify the above insulation and all required items as shown Gn the Building Department approved plane and attachments have been installed as required by the State of California Energy Requirements. All equipment, devices and materials are -of the quality prescribed or are specifically approved by the State of California. FIRM NAME/OWNER lease prim ) STATE CONTRACTORS LICENSE NO. SIGNATURE 0 )ENERAL CONT R OWNER DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. January 1984 1 COUNTY OF BUTTE - DEPARTNENT OF PUBLIC WORKS 7 County Center Drive - Orovlller California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO, �1 ASSESSOR PARCEL NUMBER 27-090-035 ZONING 1 BUILDING PERMIT OWNER Bill and Carol n Cooper TELEPHONE 534-3468 SO. FT. OCC, BUILDING VALUATION OWNER'S MAILING A.DD ESS 2731 Louis Ave. Oroville 95965 667 M 9,338 CONTRACTOR'S NAME Owner TELEPHONE 216 C 2,16P ..2.® V CONTRACTOR'S MAILING ADDRESS Fireplace "All1 000 CONSTRUCTION LENDER Nonp UNKNOWN Total Valuation $ 84.818 Filing Fee $ X0,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR EN ;INEERNone L+CENSE NO. Plan Checking Fee $ 0. Energy Plan Checking Fee 15.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each pas water heater or vent 5.00 USE OF STRUCTURE SFXA Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W L10.00 ea TYPE OF WORK New Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: 3BR _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 10.00 Main service EA. ADD'L 100 AMP 2.50 2.50 CONTRACTORS LICENSE LAW 1 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, Or my employees with wages as their SOIe COmpen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP.e\ OR 1 ACC. BLDGS. I +/zQsgft 61.$5 .CONS. NEw corJSTR ULTI'D UTLET NON•RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES eLe 2ALO 30 FIXED APPLES. OR EX. Occup. OUTLETS (REST D.) EA.� 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �Virin 9 15.00 Permit Fee $ Contractor ' WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed.revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating 6.00 Cooling g swam C 10.00 Hood 3.00 1 3.00 Ventilation 1 3.00 1 __.3.00 Permit Fee $ 32.00 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, ju gments, costs, and expenses which may in any way accrue against sat ty in onsequ� of the granting of this permit. X 3�/��r�/ Date Signature of Ap rant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and de olition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ `� C co sr E TOTAL FtE $ F —�— CUA PARK SCHL F CDF PAR Po I H ssu This mit � hereb iss a under the applicable provi- sign o the utte C unt ode and/or resolutions to do wor in is d a r which fees have been paid. D R T PUBLIC WORK BY Date PERMIT EXPIRES Date Receipt No. — -LM WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD-APPE ICANT faa �� Arv'.�, t �,:':� r � �y�,�. . ./...�44 ;'' 1. '�y � �rif t d�T.: '• . A! �� y' � -fie.+ ' -r% . !»�,'. t•h-_ -^�,. r. ,yf� ti.�� ,-�.,n%I�,Jra%`:.;Y'�5.!'V i��f('r" ���C��'�'�y'9'r_.�,r,A"w���.;r � r COUNTY OF BUTTE - DEPARTMEN'tOF,PUBLIC-WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95985 - TELEPHONE: 918/538-7541 PERMIT APBLICAflON DATA SHEET Permit No. OWNER LS/LL (�I /ZIi?� C �A. P No. _ Proposed Building Use !!-5,E Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED All items have been submitted. 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) (. 44 46&_ Drt/L -r�S1% t 9. Mobilehome installation data including manufacturer's installation instructions. 10. Fees of $ _ . (.a5 ........................ 11. Chico Urban Area fees paid ....................................... 1 Park fees paid .................................................... %q/l iJ /cif/ �� School District fees paid .............. /—�L 4. Sanitation approval from 4n 2 p Health Department 9! 0 City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec.request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 2 Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 4. Recorded copy of Agricultural Acknowledgment Statement ......... Letter of signature authorization ............... ... .. ....... . 27. en yo Issue the permit, process as follows: Mail to owner. Mail to con ac' Telephoneand hold for pickup at office. Deliver w/inspector. Other /I Appl ican Date 3 / 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 is nc : (CirQ.1 i 74 n checked above). i 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone__nail—counter by ..date Contractor, designer, owner, was advised of above required data by—phone _mall—counter by date Plans checked by Date Plans approved by S2�' Date Sets of plans on hold in File cabinet AP folder Copy—DPW �. TO Buildinc Department FROM: Environmental Health SUBJECT: Sanitation Clearance �5 Owner Location AP# Plan Approved for: Sewaqe Disposal Water Supply Hold final for: Water Supply ^incl clearance O.K. for: Water Supply Clearance for bedroom mgikft home. Other NOTE * * * Sanitaria vats w • .:g ...f �. x''il +'-"""`"��'i ny .,, ,,�-.��1;w T .,V.. _�.+,�....�.C"'i��1'�i_^Y4`�M., v , - -,-- BUTTE , BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM D 0 a Form per -Building) 0 9�z A:P. Number % -i9q 030' Building Department No. School District 0A City D County. Jurisdiction Property Owner &L L C'.._-4�(>A� /"— Project Location/Address % % f �y V /s //�QQV;C—� e/ Subdivision Lot Number Residential Development:' El Sq. Footage # of Living MHI Addition (Group R) Units H Commercial/Industrial: a a Sq. Footage New Addition (Including Exterior Roofed Areas) i 'Building uilding D artme •t Representative ^ Date.,. , (Floor Platers�-r'jffvvieewed by School District Personnel) r Di-st`r\Id No. 0191 (Applicant Name) A,�` reet Ad �s s ) School District certi+fiesf that (Phone Number) &_1 TC"ity ) (State) (LLZ ip Code) has complied with the requirements of Resolution No., by the pay ent of $ W A_6 representingg� bg square feet. School District Renrese tative Date PAID BY CHECK NO. / BANK NO 11-6-7 PAID BY CASE white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) AD vc o v, / /-f S COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovllle, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESS PARCEL N�� R �Q 3 ZONIN BUILDING PERMIT OWNER ALL L1A TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MA LI G ADDRESS 3 )1001 S ._ v 0 0 &0O LLQ 3 3 CONT ACTOR'S ME TELEPHONE CONTRA TOR' MAILING ADDRESS Fireplace !'All CONSTRUCTION LENDER UNKNOWN C Total Valuation $ Filing Fee $0,� LENDER'S MAILING ADDRESS Per -lit F,e $ ARCH17ECT OR L,':INEEP. LICENSE r,o. Plan Che- tang Fee - $ r00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS /� OV/',l/ / Permit fee $ L PLUMBING PERMIT Filing Fee 10.00 Each Trap ZL2.00 , Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 5.00 O 0 Each qas water heater or vent 5.00 Q USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 � l Q 0 Mobile Home S G W 10.00 ea TYPE OF WORK NeWA Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: �/%// Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 8000 AMP ORSLESS 10.00 �Q Main service EA. ADD'L 100 AMP 2.50 , CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F1 am licensed under provisions of Chapt. 9, Div. 3 of the BUSIne$s and Professions Code and my license is in full force and effect. License No. Classification. El 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ontract- ors.(Sec. 7044) ors. ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.ai OR ADDNS. ( ACC. BLDGS. , /z¢sgft , NEW CONSTRU TI.OUTLET NRN-RES 10 aRANCH CIRCITS 2.50 ea POWER APPARATUS &) (SINGLE OUTLET C1R. Ex. Occup(OUTLETS OR FIXTURES 20®50S BALD 30S FIXED PR Ex. Occup. OUTLETS (RESID IEA.� 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling 5 C— O.O Hood 3.00 (� Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. XThis 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 CONST TYPE TOTAL FEE $ HAL CUA PARK scHL FLD cOF PAR PD 1 HD• ISSUE permit is hereby issued unser the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No. `7 WHITED. r. W.. YELLOW -ASSESSOR. PINK -INSPECTOR. G LDENROD-APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Dive, Oroville,.CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing. your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. I personally plan to provide the major labor and materials for construction of �. the proposed property improvement (yes or no)12. �O I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License.No. 9 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work'indicated: Name Address . Phone Type of Work Signed: Property Owner Social Security Number Date 2 -/,e-9/ 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. RESIDENTIAL PLAN.CHECKING GUIDE 12/90 (S.F., DUPLEX & MISC. ONLY) Bldg. Permit # OWNER A.P. # a T 09- 3.5 Plan Checker �S GENERAL Zoning requirements: (sideyards and number of permitted living units). Valuation. T6Items Plans signed by designer. Proper description of work on application. Existing violations on property. on,data sheet. (W.C., fees, Health, Recorded notice of violation. PLOT PLAN Complete parcel size and dimensions. Setbacks, sideyards, easements, etc. Other buildings or structures. Grading, fills, drainage. Flood hazard. Special conditions on creation map, ustible, and foundations). FAU & FAS road setback. Developer Fees, License law, etc). (noise, CDF, fire sprinklers, non -comb - Building or utilities across lot lines (Record form). FLOOR PLAN Comple"te to scale plan with dimensions. Required windows for light and ventilation (Sec. 1205). Required windows for second exit (Sec. 1204). Skylights (Chapter 34-& Seca 5207). Human impact glass (Sec. 5406). Required room sizes, ceiling heights (Sec.. 1207). GFCIs 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 t�-Garage r gas equipment. firewall, door size, and closer (Sec. 503(d)(3)). 3'0" exterior exit door (sec. 3304 (f). ireplace.and wood stove.location, alcoves, and clearance. moke detectors (Sec. 1210). lumbing fixtures, water closet clearances and shower size. STRUCTURAL DETAILS --l-�Standard bracing or engineered design (Table 25V) FFU usual shape, size, or split level house requiring lateral design. undation plan complete enough to construct building. oor construction details complete enough to construct building. evations and wall construction details complete enough to construct —6� Roof construction details complete enough to construct building. Fireplace construction details and calcs if necessary. -,8- Rafter ties or bearing ridge beam. -9r Garage door or porch header sizes. dB—Stud heights. -It—.Adobe soils - special foundation design. Retaining walls requiring design. 33—Special Inspection required. building. RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR Stairway details: landings, rise and run, head clearance, handrails Sec. 3306). Guardrail details (Sec. 1711-& 3306(j). Brick or stone veneer (Chapter 30). Exterior plaster - weep screeds (Sec. 4706). Proper roof pitch for roof convering (Chapter 32). Roof covering type - (fire hazard). tFo' m insulation - protection. 6" halls and stairways. iving area over garage - complete 1 -hour separation required ncluding supporting walls and posts, etc. wo exits on three-story dwellings (sec. 3303 & see Mezannines ttic accessand ventilation (Sec. 3205). nderfloor access and ventilation (Sec. 2516). 12/90 on garage side - 1716). . ombustion air for fuel burning appliances - L.P.G. requirements. . oise requirements on duplexes. �S-.—Energy design. Flashing at all exterior openings. 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'7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ' ZONING - BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION 1G( (. OWNER'S MAILING ADDRESS/,' CONTRACTOR'S NAME] HONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ // .I Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee b ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS r►"- �/ 1 Permit fee PLUMBING PERMIT y I Each Trap Solar or heat pump water h3eater20.00 $ Filing Fee 10.00 2.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 F 1 Each qas water heater or v5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome0 Other SPECIFY Gas piping system 1 - 5 ou5.00 Building sewer5.00 Mobile Home S GO.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ® Describe work: /� 1 t/ to I 0 rti.1 n to _ r r r. /`r� r S I,iI'F ► �^ ! `1 t C� i+r ��' Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD -L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El am licensed under provisions of Chapt. 9, Div. 3 of the BuSlnesS and Professions Code and my license is in full force and effect. License No. Classification ® 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure Is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.pd C. BLDGS. , New CONSTR.(A ) hQsgft MULTI -OUTLET NON•RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 30 DAL9 2000 30 FIXED APPLNS. OR Ex. Occup. UTLETS IRESID.) EA.) O 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 At Jr (.t V1,1 A Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. •� ' I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-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 ElAgent EJwork 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 $ Jl S r TOTAL PERMIT FEE $ "71 OccUP, CONST.TYPEJ FLOOD PARCEL PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or indicated above for which / /61RECTORfOF PUBLIC % ` By - PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. p WORKS Date t _j Receipt No. �' • WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMI.NT OF PUBLIC WORKS PERMIT NO. Al � f •-r �' 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 _ APPLICATION AND PERMIT ASSES O PARCEL NUMBER _ 7 ZON G — BUdLDING PERMIT OwRa / TE EPHol, Ex cf SO. FT. OCC. BUILDING VAL ATION OWNER'SIMAI NG AD RESS oco h Oro COACTNAME NAME rl TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTFqUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCH CT OR ENGINEER LICENSE NO. ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee Energy Plan Checking Fee Penalty $ $ $ BUILDING ADDRESS c2 /7J ^,3 ' WI/ r` Permit fee PLUMBING PERMIT Each Trap Solar or heat pump water heater $ a ' 1,519 FiIingFee 10.00 2.00 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping Each qas water heater or vent 5.00 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome( Other 1�' SPECIFY Gas piping system 1 - 5 outlets Building sewer Mobile Home S G W 5.00 5.00 O.00ea TYPE OF WORK New ❑ Addition Remodel ❑ tilities ❑ tallation❑ Other t De sc 'be ork: N i^ CV f ac` le' Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 .^ V Man service 600V OR LESS Main 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ ( 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- ontract- ors. ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.. , A )CC. BLDGS. �22sgft New CONSTR. ULTI OUTLET NO N.R ESID BRANCH CIRC ITS 2.50 ea /POWER APPARATUS &) I SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES ez00a0t AL030 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Mi c. V 'rin g 15.00 A 1.1 yA iQa (� Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agai st County i consequence f the granting of this permit. X .5 �—�� Date Signature ofpplicant — Owner ontractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over3stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CONST.TYPEJ FLOOD PARCEL PD I ND I ISsuE This permit is hereby issued under Bions of the Butte County Code and/or work indi ed above for which IRE F PU BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS O� Date v✓ Receipt NO. �) (� 33 5 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive; Oroville, CA 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major'labor and materials for construction of the proposed property improvement (yes or no). 2. I (have/have not) signed an application for a building permit. for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address 'City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name i. Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address .Phone Type of Work Signed: Property Owner L Social Security Num er Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. - This verification must be completed and returned to our office before we are per- mitted to issue the permit. E3 Complaint -Date _ ❑ Other -Date BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT ZONING Owner: A.P. # Address: Date of Inspection Tenant: Inspector Building Location: Type of Inspection requested: 1. Housing / / 2. Financing 4. Work W/O Permit Present use of building: A. Sanitation (Housing) 1. Water closet: 2. Lavatory: 3. Bathtub or shower: 4. Kitchen sink: 5. Hot and cold water to fixtures: 6. Heating facilities: 7. Natural light and ventilation: 8. Room and space requirements: 9. Bedroom window or door for second exit: 10. Infestation of insects, vermin, or rodents: 11. Connection,to sewage disposal: 12. Connection to water supply: 13. Rubbish and garbage facilities: 14. Stairs:(Rise, Run, Headroom, 1HR, Toliranceg, 15. Comments: � / / 3. Change of Occupancy to B. Structural 1. Piers and footings: 2. Floor construction: ; 3. Wall construction: 4. Ceiling and roof construction: 5. Fireplaces: ' 6. Comments: C. Electrical 1. Service and ground: 2. Receptacles: 3. Fusing: 4. Comments: ails D. Plumbing ' 1. Fixtures'connected and vented: 2. Gas water heater: 3. Gas heating vents: _ 4. Comments: E. Other 1. Maintenance and repair: 2. Fire hazards: 3. Safety hazards: 4. Weather protection: 5. Underfloor and attic ventilation: 6. Energy:. 7. Comments: F. Commercial Buildings 1. Roof covering: 2. Distance to property lines: 3. Physically handicapped: 4. Restroom floors and walls: 5. Exits: 6. Improvements: 7. Zoning: 8. Comments: G. Field Problems or Violations 1. Problem or violation (give complete description): 2. Wha�/-action t�aL—n (give complete descriptio 3.What ction recommended: U / A. Information only - file. % / B. Hold for ten days, then write letter. 7-7 C. Write letter. / /'D. Other: 1 ORDER NUMBER LREG. R.U. INCIDENT NO. Y START MO. DATE YEAR V � _{ _ - p UMBER FIRE NAME: ra ■ ® Rp` I R.U. NO. — �N FC -18(1 /M /_1 ORIGIN ' LOCATION SEC. TOWNSHIPON RANGE 1oE NATIONAL_ FOREST, FIRE DIST., CITY_ 8 STREET NO., ❑S �' .❑W "f�� MILES DIRECTION ❑FROMIN. NATIONAL_ FOREST, FIRE DIST., CITY_ 8 STREET NO., CDF ETC. f P�FIREj NDENT TYPE ❑ FALSE ALARM --GO TO BLOCK 10 RESPONSIBILITY 4A 46 STATE ZONE STATUTORY 1 WILDLAND BURNED OR THREATENED RESPONSIBILITY O0 .❑ CDF LOCAL GovT. coNTRAa (t0 AT ORIGIN) 3p UNPROTECTED - E] STATE ' ❑ ASSIST OTHER AGENCY ,(Not City) Cl U.S.FS: LOCAL 'ZONE ❑ B.L.M. ©ClDF LOCAL GOVT. CONTRACT B.I.A. . 6 v p ASSIST OTHER AGENCY Not City) O OTHER FEDERAL 8 ❑ t FEDERAL ZONE ❑ OTHER © ❑ ASSIST FED. AGENCY (Not Mil) ` 0 ❑ CDF LOCAL GOVT. CONTRACT _ MISC. AND OTHER 9 - , ASSIST CITY CONTRACT CO.,AML, OTHER 5 CAUSE (STARTS IN 0 0 © OR 0 ONLY) ❑ LIGHTNING ❑ DEBRIS ❑ PLAY,W/FIRE ❑ CAMPFIRE❑ ON - ❑ C OTHER/MIS -0 SMOKING "" EQUIPMENT r , b LAND USE '(STARTS IN t 2 5 OR 8 ONLY) DOMESTIC ❑ "FOREST INDUSTRY ❑ RANCH -FARM ❑ RECREATION DUMP U OTHER INDUSTRY{OMRCI. ROAD WILDLAND ' ❑ UTILITY RAILROAD NON-WILDLAND UTILITY ELECTRIC OTHER DAMAGE" r(17 (17 nv riwvt ACRES OF VEGETATION BURNED -,- 8A - DIRECT AGENCY PROTECTION ?? ACRES BURNED :>..... ACRES BURNED VEG. TYPE CDF 0 <: TIMBER . S WOOD LAND ' OTHER BRUSH .: :s TOTAL 8 B• ...............:.::: SIZE CLASS GRASS AGRIC. PROD. CDF TOTAL 8D ...............:...:......................,. xx- :.; ;? A .25 ACRE OR LESS B .26- ACRES " ❑ C 10-99 ACRES, ❑ D100-299 ACRES ❑ E 300-999 ACRES ❑ F 1000-4999 ACRES G 5000 ACRES OR MORE : 3TATUT.;;::;:;:;< RESPON. OF Oj ACRES BURNED 3 E STATE U.S.F.S. `: B.I.A. B.O.R. OTHER FED. E ::::<:: '.i:\:j:''':::}+}•il{:iii:li2::::?'vi:iil:isi::::::^:::v}iy::C:'r'.��:• OTHER 1 TOTAL' . - D ON ARRIVAL (QVEGETATION FIRES ONLY) E DISTANCE (Origin to heod) ACRES FEET WEATHER ESTIMATE AT SCENE) WIND SPEED (M.P.H.) DIRECTION (FROM) TEMPERATURE (°F� 10 OVER PLEASE CDF 7540-130-01 1 B 9 1 oePHSE 9-63 1 oom o5V ORDER NUMBER I� 4 R�U. INCICEN; 1�,0. f f� EAR� OUTSIDE (>>) ( ORIQ\ FIRE STARTED Enter 1ST. CD Dispatch INSIDE Ol 2005 OR 8 j 2 3 FIRE DISCOVERED t 1 TIME } GO TO 1© 1435 - LOOKOUT: (if 1ST. or 2ND. reoort made by Lookoufl FIRST REPORT FIRE CONTAINED 117- ✓ 1 1 ` j SITE ORGAN- PERSON AIRCRAFT CDF STATE 8 LOCAL GOVT. CONTRACT NAME: SECOND REPORT AIRCRAFT CREW NAME SITE HOURS FLT. HRS. CREW NAME IZATION NAME: FIRST ATTACK BY CDF I L�i�jf f �� FIRE CONTAINED 117- ✓ 1 1 CREW OVERHEAD RECORD 12 CDF STATE & LOCAL GOVT. CONTRACT ORGAN- PERSON AIRCRAFT CDF STATE 8 LOCAL GOVT. CONTRACT ORGAN- PERSON AIRCRAFT CREW NAME IZATION HOURS FLT. HRS. CREW NAME IZATION HOURS FLT. HRS. 1ST. ATE CDF CREW ORIGINAL REPORT BY: SIGNATURE I sts MAP IS: NEON ❑ FOUR SECTIONS ❑ MAP ATTACHED APPROVED BY: TITLE DATE INTL. nDATE 13 coo "Yo \0 ? b� .01 0 uti1.,MH 6023-75P,E d. PERMIT NO. P E M MH UTIL. PERMIT NO. - PERMIT EXPIRES OWNER Lola Beel CON TR. owner 'LOCATION (A.P. 27-09-35 ) {2731 Louis Ave.,.Palermo Temp. Power --- O �! Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. -Called PG&E JOB fi FINALED L �' (Da r; (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION'RECORD BUILDI G BUILDING (Cont'd) PLUMBING Setbac firewall Soil Piping Formse, Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor ' Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping7 Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough k— Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service f Brown Cooling Temp. Pole f Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS R CORRECTIONS r DW UM. CL eRM comm DATE . i� � o _ C. :. MOBILEHOME INSTALL T�`1N - INSPECTION CHECK.L IST % - ." . 1. Is the mobilehome located -with required separation from lot lines and buildings and generally conform to plot plan? Yes 2. Does the'mobilehome have required clearances above ground? (Sec.5085) Yes _✓ No (OAre footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes No Lo*", 4. Is the mobilehome level? (Sec. 5088)•Yes ��o ! 5. Lf m re than a single nit, are crossover connections properly installed? (Sec. 5088) YesZ/No 6. Water A. Is fle ble connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes No B. Test - Does water piping withstand working pressure or 50 lbs. air test? Ye�-- No C. Backflow - If coach is not&tate Q �,£Qr,�r a.approved, does station have backflow device and pressure -relief valve? Yes N 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each -end/?Yes_ No B. Does it have minimum �" 4 per foot slope and is it properly supported? Yes No C. Are any leaks detected in drainage system after running 3 -gall s of water through each fixture including washing machine standpipe? Yes No D. If �oac inot State o lifornia aroved, does station have required trap and vent? Yes' No s 8. Gas Piping and Gas Vents A. Co nector - Is mobilehome connected to the gas supply with an approved 3/4" minimum obilehome connector of more than 6 ft, long? Note: All piping is to be at least as V large as the mobil ome gas line inlet without reductions other than the mobilehome connector. Yes. X B. Test OK as per following procedure? Yes " 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test.for 10 min. without drop. 4. Connect• gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes�ZNo_ 9. Electrical f �- f✓ . �� „ . A. Is service large enough to prov" e'adeq'uate amperage. to mobilehome (must equal rating of mobilehome with .a minimum ofXO amp) and other facilities, on lot, i.e., water. pumps, garage, cabana, etc.? Yes V No B. Is there proper clearances around panels? Yes No C. Is power supply cord or feeder assembly I properly fused? Yes No_� D. Is continuity test satisfactory as per the following procedure? Yes— �No 1. De -energize electrical wiring system of the mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected, 3. Switch all breakers and snitches in the mobilehome to the "on" position. 4. Connect one lead of a test. instrument to the mobilehome grounding conductor and apply the other 'Lead to each mobilehome supply conductor, including neutral, 5. All non-current., carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder.assembly conductors. shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or NamestyleA?&di"I Length Width Vehicle Serial No. 1 -50 - State Identification No. Additional,Information or Comments: COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Dr,i`ve —. UroviIle, California 95965 Telephone: 534-4541 F APPLICATION AND PERMIT / BY Date �Z —7-71 Receipt .W. l(O Ol— 2 _,716 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant ilding permit expires Date BUILDING Owner ,eu &2z SQ. FT. OCC. BUILDING VALUATION Mailing Address w Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 21j9 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping Each gas water heater or vent 1.50 / A. P. No. �„— zoni ii'g„ Gas piping system 1 - 5 outlets—1.FiQ. , Q Each additional outlet .30 F J�G-� San FireDept. Fire Zone Use Permit Building sewer8 Q,00 EQA Parking Parcel Plans Declaration Parce Ma P 60' R/W Im r p o ements Lawn sprinkler system 2.00 la 141 ec'd Parc Approval jP* Plans Approval Permit Fee $ -- NEW ❑ ADDITION ❑ UTILITIES• OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 5, O Main service 100 AMP OR00V OR LESS5.00 (L/ Main service EA. ADD'L too AMP 2.50 Single Family ❑ Duplex ❑ Mobil Homepa Others ❑ OVR 600V Main service 100E EAMP OR LESS 25.00 Main service EA. ADD'L too AMP 1.00 w / !� NEW CONST. // DWELLING OCCUP. Il OR ADDNS. % ACC. BLDGS. ) 20sgft ?N -R ESID R (BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS &) NON.RESID. (SINGLE OUTLET LIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES) �@1 BAL Ex. QCCU P'(FIXED APPLNS. OR OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 JZ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ -- $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentio property for inspection purposes. X Date /11g,"/ 1-71 � $ig ature of Permitee or Agent TOTAL PERMIT FEE $ C This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been SECTOR OF tULIC WORKS - / BY Date �Z —7-71 Receipt .W. l(O Ol— 2 _,716 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant ilding permit expires Date NOTE:—All Accordance of a quality Uniform Buili the National ;etqff�piJ6 & WnAmanship Shall Be`` i ith Recognized Good Practices aril rescribed for the Specified use in the q, Plumbing & Machanical Codes and lectrical Code. C642111 pe *f will be r instali tion of the BUTTE COUNTY BUILDING DEPART "^ IT APPROVF:v- This set of plans MUST be ke -on the io I ' ful to make any changes or alterations on some wifliout written permission from the Department of Public Works, County of Butte. fgkS Septic system and location to be as per Butte County Health Dept. Re= quirements. red for tSj; t';14ome. All utility connections shall be located within 4 foe. outside the rear third section of the mobile home on the left (road) side of the mobile home. e The 4W. Setback shall be 5 ft. from the side property line and 50 ft. from the centerline of the road, permitting a maximum of a 2 ft. eave overhang. 4P4,# 7 • • � ���� off_ � ✓� l� 'COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center DriVe' — .Oroville, California 95965 Tel ephdne: ✓5 534 4541 �, v� / APPLICATION AND PERMIT BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. 3 ��`� Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE J$3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No.Gas Zoning a Planning piping system 1 - 5 outlets 1.50 Each additional outlet .30 F Santatron- Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking plans I ParcelLawn I Declaration FParcel Map 60' R/W I Improvements sprinkler system 2.00 Bldg. ans Recd Parcel Afproval Pla - pproval Permit Fee $ NEW [__JADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Jul A Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) — Single Family ❑ Duplex ❑ Mobil Home Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures 'bo X25 10 Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor . 1.00 Evap. cooler, gar. disp. or D.W. 1_00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this rmit .is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permittee _ _ _ $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. ,-7, & Q Aa— k_�7 Date h ignature of4sermitee or Agent Receipt No.d White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenro -Applicant TOTAL PERMIT FEE 1$ 3Q1 This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF V* BLIC WORKS By - natc�Z���'%J ildina permit expires Date 1. Owner's BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville,.CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 2. Installer's name: 3. Is the site currently under permit? Yes tk-1 No T-7 (If yes, furnish permit number �� ) OR Is the site an existing site? Yes / / No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft.,away from septic tank and leach fields and clear of all setbacks and easements? Yes / No 12. What is the mobilehome gas demand? ------------------------------ (This information not required if pipe length less than 6 ft. on natural gas or less thani50 ft. on LPG.) (BTU) (If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- S Amps 6. What is the mobilehome site'service rating? --------------------- ,L SAmps 7. What is the mobilehome site circuit breaker rating? ------------- C Amps 8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- Yes / / No (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? -----------=---------- (in.) 10. What is the type of gas service. ------ Natural / / LPG / J 11. What is the gas pipe length from meter or tank to the mobilehome? (ft.) 12. What is the mobilehome gas demand? ------------------------------ (This information not required if pipe length less than 6 ft. on natural gas or less thani50 ft. on LPG.) (BTU) MOBILEHONE SUPeOKY '11KIA Mobilehome Mfr. jiSetup Model No. Year '��7/ IA - Width (ft.) Length, 7ft.) -Expando Size ft.x — ft. (Draw support details below) . On all mobilehomes manufactured after October 7, 1973, furnish manufacturer`s installation manual and structural setup sheets (if. not .on .fila with the County of Butte). Sin le 1. Wood either pressure treated or Center Center Support ... fdn.`grade.:" Support Footing Sizes Locations (in.) 2. -Concrete pad. x / / 3. Other,' -specify in. in. in. -7_ Supports (check one) 1. Concrete block C- ...... 1.Concrete piers (f��in1 .(in:). 'n.) 3. Steel piers . . ........ . . 4. Other, specify :i Typical Support �-� P3. Footing Size in.kin. Max. Pier. in. Spacing ft. in.) (in.)(in.) p. I ; ' - Overhang - -°�--- ( —rr.lo kin.) Footings --(check . one) *If center piers are other than drawn above, draw in locations, spacing, and dimensions. BUTTE COUNTY BUILDING DEPARTMENT APPROVED f r ,0iZRMIT NO. 6145-77B K, PERMIT EXPIRES �IV OWNER Lola Beel CONTR. owner LOCATION (A.P. 27-09-35 2731 Louis Ave., Oroville I I Temp. Power Pole Called PG&E _ Temp. Elec. Serv.. Called PG&E _ Tbmp. Gas Serv. _ Called PG&E _ JOB. FINALED COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTIOW RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov, for ph sically handicaped Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final ELECTRICAL isonry Walls Reinf. Steel stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec_ Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity .Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS -C, err �r ® cp.o o� (NOTE: An entry must be made on this form each time you visit the job site.) i P.f-RMIT NO. 5110-77B,E r • PERMIT EXPIRES OWNER Lola Beel CONTR. owner LOCATION (A.P. 27-09-35 2731 Louis Ave., Palermo Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB Irl/ h FINALED � COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor StemwalI Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handicaped Conformance of ex. structure Appliances Gas Piping &Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Gird. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MUt3ILEHUMEUTILITIES------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping SAOBILEH WE INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ' 7 County Center Drive — Uroville, California 95965� Telephone: E,34-4541 / APPLICATION AND PERMIT • •"••"' Y IV Q1 VI - GLHIly 01 DULLU ru e111e1 uNuh the above-mentione property for inspection purposes. X DateAll $' nature of Permitee r Agent Receipt No. /7QQ White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR 0 Pl LIC WORKS By Date ��� 7,r-, —7�% eilding/permit expires Date L ?J? BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address a sea 141 r r epho= a No. Q Fireplace l uj Mz Contractor AJ Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee 16,L0 Building Address /. ��►�/ f v�•S v PLUMIBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. N — © Z Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fes W. &,Mtrtt,:rff I Fire Dept. FireZone Use Permit Building sewer 5.00 EQA Parking PlansParcel DePa a ion Parcel Map 60' R/W Improvements— Lawn sprinkler system 2.00 Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 6 V [� Main service 100 LESS5.00 AMP OR Main service EA. ADD•L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home �Others ❑ Main service °o0EAMP OR LESS 25.00 Main service EA. ADD'L too AMP 1.00 n y I i/ NEW CONST. DWELLING OCCUP. & OR ADDNS. ( ACC. BLDGS. ) 120 sq ft NEW CONSTR. MULTI -OUTLET NON-RESID. BRANCH CIRCUITS) 2.50ea NEW CONSTR (POWER APPARATUS &) NON -RES,D. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES)50 @25C BAL@104 Ex. Occu / FIXED APPLNS. OR p•\OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. 'have placed on file with the County of Butte a certificate of ❑ Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ I FEEPERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood J 2.00 Permit Fee $ $ 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 n tifnr;� { ♦I TOTAL PERMIT FEE $ • •"••"' Y IV Q1 VI - GLHIly 01 DULLU ru e111e1 uNuh the above-mentione property for inspection purposes. X DateAll $' nature of Permitee r Agent Receipt No. /7QQ White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR 0 Pl LIC WORKS By Date ��� 7,r-, —7�% eilding/permit expires Date L ?J? COI-NTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — 5 le, California 95965 X34 -434-45 /D Telephone: 41 APPLICATION AND PERMIT AA 11�/? F'1 c".oa Q v. me %,vunty ul Dube to enrer upon me above-mentio d property for inspection purposes. XZ5.134 to gnature�offPermitee o Agent j Receipt No. _�[ E7013 O White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OKPUBLIC WORKS By Date /()-6 —17 BuZing permit expires Date BUILDING V 11 Owner SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address , 6 ( f `� / tte� V b ell ph on Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Tlephone No. e Permit Fee D-00 Building Address u �l 6,3 tS i PLUM-BING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 RJi1�i1�ZTch gas water heater or vent 1.50 •—C7 A. P. No.Zoni ng & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fes Sani Ion Fire Dept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Im proveme Lawn sprinkler system 2.00 Bldg. PI ns Recd Parcel A ovol Plans proval Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE 1 $3.00 t8� Main service 100 AMP ORV OR LESS5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service R 600V 1100EAMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DW LLpp��J COUP. & OR ADDNS. ACC M7 5. ) 22sgft ff. Q NEW CON TFL MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS) 2.50ea _ NEW CONSTR. (POWER APPARATUS & NON.RESID. %SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW'" I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES) 50 BAL@1 Ex. Occu FIXED APPLNS. OR P•(OUTLETS (RESID.I EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring :4:6.25 ,,P U I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 11.60 $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. Elhave placed on file with the County of Butte a certificate of 'workmen's Compensation Insurance. v I certify that in the performance of the work for which this r� permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ I FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ F'1 c".oa Q v. me %,vunty ul Dube to enrer upon me above-mentio d property for inspection purposes. XZ5.134 to gnature�offPermitee o Agent j Receipt No. _�[ E7013 O White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OKPUBLIC WORKS By Date /()-6 —17 BuZing permit expires Date f� r '- 'rte -yds--- r DEPT OF b,. OC Oaks a °ar- - - M 9196 91lUilliLa 1 •1, 1. � 1 ati� .'.i• �+ & ,� a • - ` � .. r .. .ism .Y i .n - � 'r, •:.• �,'r ` r e ' • - 4 / � �, •t A .r 4 I /J q • � j 10 �)'�_a—a-•V�.,�+�+� � i • .. • ` t . r , ' 2� ^ �, �' 1. ` • 17 • /�`' •f'�4.�fr i��,f,�iA/ 1`••=�I - . I ' . it ! � � . 1 4 � - �/y � r ._.�—�S�r,il�Jv ,��� �1 r • r , ...r. .,,. . r IS - i. �' - - • t t. /q ' 1. ,r .r' �, r_-- . ' . 0 0 � �1 14-6 - 2t aas� �...� ate. --CP a7-o9_as - 1 L,F��• �t v-. • Wv SWM Onand do '1d90 9un8 do A1Nnoo 0 i 3 , } Wd 9L6Lq- 0 1 U SNdoM 01196d d0 °1d9C aLne_�o A lNnoo t - i Lola Beel 2731 Louis Ave. Palermo, CA. 95968 Dear Ms. Beel: September 24, 1976 RE: Construction at 2731 Louis Avenue, Palermo (AP 27-09-35) With reference to the above subject, our field inspector, Dennis Aunt, has informed this office that you are in the process of constructing a screen room or cabana next to your mobilehome at the above-mentioned address. Please be advised that a permit is required for this work; therefore, we ask that you submit plot plans and building plans in duplicate to this office and apply for the necessary permits within ten (10) days of the date of this letter. Should you have any questions concerning this matter, please contact us. LDS:dd cc: Dennis Hunt, Building Inspector Yours very truly, Clay Castleberry Director of Public Works L.D. Sweet Supervising Building Inspector FILE NO BUTTE COUNTY (For Action 1, 2, 3) Public Works Dept. (For Information r/) Director Dep. Dir, Sec. Rd. & Br. Mtce. Shop Equip. & Yards Ref. Disp. I i Bldgs. & Grds. Bldg Insp. Admin. D C/T ffic Const. Rd. Des. Br. Des. Sur. & Loc. Mopping Drng./Permits Sub. Checking Right of Woy i BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT Owner: Address: o97 7-25V Tenant: T4 A.P. Date of, I pe tion r Inspector Building Location: o;I- Type of Inspection requested: 1. Housing / / 2. Financing 3. Change of Occupancy to 4 4. Other (specify) F Present use -of building: A. Sanitation (Housing) 1. Water closet: 2.- Lavatory: 3. Bathtub or shower: 4. Kitchen sink: 5. Hot and cold watereto-fixtures: 6. Heating facilities: 7. Natural light and ventilation: .8. Room and space requirements: 9. Bedroom window or doo for second exit: 10. Infestation of insects, vermin, or rodents: 11. Connection to sewage disposal: " 12. Connection to water supply: 13. Rubbish and garbage facilities: 14. Comments: B. Structural `\ .1. Piers and footings: 2. Floor construction: 3. Wall construction: 4. Ceiling and roof construction:. 5. Fireplaces: 6. Comments C. Electrical 4 . 1. Service and'ground: 2. Receptacles:3. Fusing 4. Comments • D.' - Plumbing 1. Fixtures connected and vented: 2.- Gas water heater: 3. 4. Gas heating -vents Comments: * (continued on back) E. 0*lier .1►•� 1� Maintenance and repair: 2. Fire hazards: 3. Safety hazards: 0, 4. Weather protection: 5. Underfloor and attic ventilation: 6. Comments: Commercial Buildings I. Roof covering: 2. Distance to property lines: 3. Physically handicapped: 4. Restroom floors and walls: 5. Exits: ' 6. Improvements: 7. Zoning: 8. Comments• ald Problems or Violations Problem lem or violation (give complete desc I tion): 2. What action taken (give complete descript 3. What action recommended: A. Information only - file. B. Hold for ten (10) days, then write letter. -// C. Write letter. /% D. Other: 10 10A � Vo-S...M.2 Ail 111.i ! 1k7� �V.(/�'�__v�/+.V �rV�-���/'_�M. Y II /_//�ff�,',/^/) I ,4/j . /L/.- �V.�--+'fir _ - �ct 0?zd o-dv�-_Qte-. • . - -�- a n8 :i0 .l -QNnoodiv • 0 iPERMIT NO. 922-75B,P.E,M P E M 'MH UTIL. jPERMIT NO. PERMIT EXPIRES—�� OWNER Lola Beel t CONTR. I4LOCATION (A.P. 27-09-35 ' 2731 Louis,Ave., .0 Palermo r -3 - 7'r (TT.ower Pol & E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED (Date (Signature) d ,V - COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING I BUILDING (Cont'd) I PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pe4&_ Finish Ducts Underground Interior Lath Ventilation Permanent 'Door Closer Final Final DATE REMARKS OR CORRECTIONS �t esun4 of, J9 OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: Lola Beel ADDRESS: 2731 Louis Ave. CITY & STATE: Oroville, 'CA. 95965 IMPORTANT: December 2' 1975 SEE INSTRUCTIONS DATE OF CLAIM: ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE i DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) ( AMOUNT Applicant decided not to build residence. Permit #922-75 B,P,E,M - eceip sft 27174 QLC Building permit fee ----- $84.00 - - Amount of refund due ----------- $ 56.00 Is /00 Sr.>- Plumbing permit fee ------$13.5041,22 _Retatn't/3-------28.00 Amount of refund due ----------- $ 10.50' Licks Electrical permit fee --- $20.90 Retain filing fee 3. 00 Amount of refund due ----------- $ 17.901, Mechanical permit fee --- $ 6.00 ` filing fee— -3-.00 -00Amount of refund due ----------- 3.00, Amount TOTAL REFUND DUE --------------- $ 87.40 $87.40 TOTAL $87. 10 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. 2nd Dec. 75 Orville Datedthis .................................. day of ............................. 19....... at....... .Calif r�j,G........ ...,l.... ... .......................... ignature of Cla mart I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de- livered and that there is a Budget Appropriation ❑ or Specific Board Approval F__J (Check one) for the same. Dated this 2nd de of Dec. 1975 al Oroville Calif. .................... ............... Y ............................. ....... .............................. ...... ............. ......... ........ ... ................ Department Head or Authorized Deputy Dept. Exp. . Code............................................ Code ................................................PAYABLE FROM ............................................................................................ FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY VENDOR CODE DEPT. & SUB. PROD• SUB. OBJ. CLAIM NO. INVOICE NO. I INVOICE DATE DISC. GROSS AMOUNT ENCUMB. SUB -DIST. Owner f Mai I ing Address Contractor Mallina Arlriraac Building Address /1V S °Carr/ 7. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC W 7 County Center Qrive. == Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT BUILDING Q. FT_ OCC. BUILDING VALUATION e/epnone No 3_3 n-' Telephone No. I Ile— A. P. No. 7 36 Zoning & Planning F Sa i ' n Fire Dept. Fire Zone Use Permit EQA Parking Parcel Plans Declaration 60' R/W Improve nts Bldg. arts Rec'd arcel ppro al Plans pproval NEW � ADDITION ❑ UTILITIES ❑ OTHER n Single Family Duplex ❑ Mobil Home ❑ Others ❑ CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Fireplace Total Valuation — Permit Fee Plan Checking Fee&/orPenalt, Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee ELECTRICAL PERMIT FILING FEE Main service incl. 1 meter Additional meters, ash Sub -par -WI (12 ess (mor Ra e, Cook -top or Oven Wat eater or Space Heater Light fixtures /D Re sytc s & fix outl j Hood, Ex. Fan or F.A. Furn. Motor Evap. * oIer, gar, disp. or D.W. Air conditioner or heat pump Water pump Mobil Home Facilities Temp. Power Pole License No. Classifi�Z_: ion Misc. wiring I am exempt from the Contractors License Latate of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE MECHANICAL I am aware of the provisions of Section3700 of the California Labor PERMIT FILING FEE Code which requires every employer to be insured against liability Heating for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Cooling Workmen's Compensation Insurance. c I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner Ventilation so as to become subject to the Workmen's Compensation Laws of Hood California. 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 authorize e rep esentativesLaws gofttthe County of Butte to enter upon o building construction, and rthe above-mentioned property for inspection purposes. XDate Si nature of Permiitee or Ag t Receipt No. ` % ee1.*93 U �o White-D.P.W. _ y@IJOW_A«e sor Pink•Inspector — Goldenrod -Applicant / jLo, t� S C4 1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 IFEE 3.0 Q 3- 00 1.00 1,490 1.00 .06 alAio 1.6-0 � s 1.00 1.00 s OU 5.00 5.00 Permit Fee$ U off- TOTAL PERMIT FEE ' This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been id. DIRECTOR OF P BIC WORKS By Date B Ildinn narmit n_._ U PERMIT NO. 1423=86NHI PERMIT EXPIRES. OWNER FLOYD COOPER CONTR. owner -k ASSESSOR PARCEL 27-09-35 LOCATION 2731 Louis Avenue, oroville — ---------- OFFICE COPY Address -------------- GAS Date Temp. Power -_Meter By ELECTRIC DaIL--" Meter By Called PI 41 Temp. Elec. Service Called PG&E— Temp. Gas Service Called PG&E— JOB FINALED (Date) 6 - -P,!9W -- Signature 'N J OK 1 O = Not OK — = Not Applicable MOBILEHOMES = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except a's 1. Zoning Requirements—Setbacks—Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except H's 1. Zoning Requirements—Setbacks—Easements _ • 4 2. Soils; Special MH Support—Sketch 1 4. f 2. Footings, Size—Depth—Spacing—Connectors i 3. Sewer; Location—Test—Fall-C/O—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails i 4. Water; Location—Test—Easement Needed (Sketch) t 4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors 7. Utility Clearance 7. Elec. Card -BI Card -BI Date Date Card -BI Date 0 a t_9,1 Card -BI Date MOBI OME INSTALLATION (Plans) OK except N's Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date POOLS (Plans) OK except k's Hing Requirements—Setbacks—Easements 1. Setbacks—Easements F otings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability as; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining. le icity; MH Test—Crossovers—Breakers—Clearances 5ja-MH Test—Fall—Flex Connector 4. Elec.; Receptacles and Lighting; Distances—GFI 5. Elec.; Pool Lighting; 15 volts—GFI Water; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed ter and Sewer Connected—C/O to Grade—HD Approval 7, Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater Gas nd Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit h 2$ie Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B-1 Date -_ and -BI Date Card -BI Date Card -BI Date Card B -I Date � V% Card -BI Date Card -BI Date Card -BI Date V f • 4 3 1 f • 4 1 4. f i t= r i t V = OK 0 = Not OK - = Not Applicable + = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR Plans OK except H's Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /'' Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 51. 52. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except #'s 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 57. Smoke Detector 14. Water Ht.; Vent -Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. 16. Water Pipe; Test & Anchors -Nail Protection D.W.V.: Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting _ 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth Card -BI Date Card -BI Date 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except N's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection - _ 21. 22. Elec. Receptacles Spacing -Lights &Switches at Doors Size Boxes & No. of Conductors -Stapled 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. - - 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic ❑Yes 73. Guard Rails &Deck Construction -Post Caps 25. 26. 2 Appliance Circuits in Kitchen & Conductor Size Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 74. Fdn. Vents & Crawl !-tole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes v_ 27. 28. 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated_ Neutral _;Yes :1 No Service -Riser Conductors -& Ground -Main Disconnect Equip. Clearances: Panels-Motors-Mech. Equip. 75. Following instid.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters El Yes 0J No 76. 77, Stucco; Brown -Finish A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet Card B -I Card B -I - 30. - Clothes Closet Light -Shower Light - - - - - - . Date - Card -BI Date Date Card -BI Date 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. 81. 82. Exterior Elec. Trim; G.F.I. Receptacle -Underground Ventilation throughout House Glass Protection Date MECHANICAL (Perrr•it) OK except q's 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric _ Card -BI Card -BI 31. 32. 33, 34. 35. A.C. Ducts_ Insulation & Support -_ _ Vent Fan: Exhaust above Insulation _ ` _ Condensate Drain & Overflow: Size & Grade Furnace -Vent Access -Comb. Air -Return Air Vent_ -_115V outlet Attic Access & Platform if Furnace in Attic Date Card -Bl- Date Date Card -BI Date 85. 86. Water & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except H's Comments at Final: _ 36. 37. 38. 39. 40. Sills; Proper Material & Anchors Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing_ _ Draft Stop in Walls (rat proof) Fire Stops: Furred Ceilings -Stairs -Chases -Tub 41. 42. 43. 44. 45. 46. 47. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rfir. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat Atlic Access: Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions _ Garage Fire Protection Framing _ _ (NOTE: Anentrymusl be made each time youvisit lobsrle) MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE ,�.. OROVILLE, CALIFORNIA — 534-4541 PERMIT NO. i Address or location of mobilehome �2�U!� A1'2 Owner's name i Owner's address CQ V CIAA7 r1 �* Insignia or hud number AA � '. Manufacturer's name /v\ V\ s 7 Avx' I t^ ►- Serial number f V.I.N. Year of manufacture (Official'Approvingl%Instal lotion S — I -� (Date) r IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION `ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE pk MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 51313 White - Owner, Yellow - Installer, Pink - D.P.W. MOBILEHOME INSTALLATION ACCEPTANCE r ` COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS - 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA - 534-4541 ' 1 PERMIT N0. Address or location of mobilehome 9 1 L n(J t c A,,) � Owner's name 1% i ,Cl n lw - I\ I Owner's address C ,.i o,, .-I - r-- T1 r Insignia or hud number Manufacturer's name_- Serial number Of V.I.N. �S Year of manufactureI �- (Official`Approvingjlnstollotion) (Date) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 5138 White - Owner, Yellow - Installer, Pink - D.P.W. s t COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise -- Phone: 872-2961, Ext. 57 CORRECTION NOTICE - r6 A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matt or need. additional explanation, pp� ease c tact this office igmm_ediately. Inspector_ \nl 1 Date a' "�•__ rr _ o COUNTY OF BUTTE— DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 9590 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSES O PA CSL N MBE (/� ZONI BUILDING PERMIT OWNJoe TELEPHONE - SO. FT. OCC.1 BUILDING VALUATION �- d OW M I I G D ESS CO ACTOR'S NAM TELEPHONE CONTRAC OR'S MAILING ADDRESS Fireplace CONST CTION LENDER UNKNOWN Total ValUatlOn is 19 1/7 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITE T OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 14 re L/ Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 SF ❑ Duplex❑ MobilehomeNA Other Building sewer 5.00 SPECIFY Mobile Home Is G W 10.00ea TYPE OF WORK , New ❑ Addition ❑Remodel ❑ Utilities ❑ nstallationXl Other ❑ Permit Fee $ Describe 1, - 6 Contractor ,T 4`e&u 6 C 7t, ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS , 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW NEW CONST. ( DWELLING OCCUPM ADDNS. , 2 ,0sgft I declare under penalty of perjury (check One): OR ACC. BLDGS. NEW CONSTR. ULTI.OUTLET 2,50 ea ❑ I am licensed under provisions of Chapt. 9, Div. 3 of•the Business NON-RESID BRANCH CIRC ITS /POWER APPARATUS 01 and Professions Code and my license Is In full force and effect. SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES I License No. Classification �( /]LXyi 1, as the owner, or my employees With wages as their sole compen- FIXED APPLNS. OR EX. Occup. OUTLETS (RESID•) EAJ 30 8AL0 30 SAL0 2.00 sation, will do the work,and the structure is not intended or offered Temporary service 10.00 for sale. (Sec. 7044) Mobile Home Facilities 15.00 ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) Misc. Wiring 15.00 ❑ 1 am exempt under Sec. ,'Business and Professions Code for this reason Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT Filing Fee 10.00 ❑ The permit is for $100.00 (valuation) or less. Heating ❑ 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. f Cooling gip( I shall not employ any person in any manner so as to become subject Hood 3.00 to the W. C. laws of California. I Ventilation Notice to Applicant: If after making this statement, should you become subject "Permit to the W. C. provisions of the Labor Code, you must forthwith comply with such Fee $ provisions or this permit shall be deemed revoked. Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee $ is correct. I agree to comply to all County Ordinances and State Laws relating Energy Inspection Fee $ to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. TOTAL PERMIT FEE $ 00, 00 I also agree to save, indemnify and keep harmless the County of Butte against occuP. CONST.TYPE P11 HD seu all liabilities, judgments, costs, and expenses which may in any way accrue I 7PARrEL I againat sai ounty i consequent of the granting of this permit. X �e— �.' This permit is hereby issued under the applicable provi- Date sions of the Butte County Code and/or resolutions to do Signature of Applicant — OwnerAT Contractor ❑ Agent ❑ work indicated above for which fees have been paid. An OSHA permit is required for excavations over 5'0" deep and demolition or construct. DIRECTOR OF PUBLIC WORKS ion of structures over 3 stories height. ^ in2in % By Date�� Receipt No. 7 WHITE-D.P.W., YELLOW-ASSCSSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT PE IT EXPIRES Date v COUNTY OF BUTTE - DEPARTMENT O1= PiJ&iIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CR LI'FCRFIIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET \ �' fPermit No.—/�._._..� OWNER IO Ct �00 0 � A. P. No. 0oh-0 -g5— Proposed Building Use X 1,si; 1,1Si /,C— V Permit Fee Based Upon: Complete Contract Price DPW Valuation Other ,(.E�xpla' Building Inspector C///l c Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED All items have been submitted. . . . . . . . . . . . 2., Plot plans in �uplicat /triplicate. . . . . . . . . . . 3. Complete plans in duplicate/triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid'' Stamp on Floor Plan .. . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . Letter of signature authorizat'.-. . . . . . Sanitation approval from ►��V 0)C' Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) Improvements may be required. .. ...... . Mobilehome Installation Data. . • . . . . . .• . Pre -Inspection for Required- .Pre-Inspec. request to (Date) p q Building Inspector —glr8N Recordemfi AfficG,turncnae 19. Other ostrutsapprov�requ3red prior to occupancy Whenou issue the a It, o s as follows: Mai o owner. Mail to contractor. Y P_. D,r g .�_ Telephone and hold for pickup at V'Q office. Deliver w/inspectors Other AppIicantG..�! jr' Date Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by Date Plans approved by 1&0 Date Other: _ Copy—DPW Subject: Sanitation Cleiranco Owner Locat.ion PIoo Approved io"^ Final clearance. cInura000 O.K. Dr�� Clear,�mce for 'be(Jx,oc.-i!,, ii( 0t11or i-.;,iLcr supply ' T"..OITE. �** . Sanitarian Return to DPW AGRICULTURAL STATEMENT' OF' A`CKNOWLEDGEMENT FOR RESIDENTIAL D8VELOPMENT RECGROEED Ii! OFFICIAL RECORDS D, 9UTTE COUNTY!' , ALIFOR\!A Section 26-8.1 of the Butte County Code requires this acknowledgement II-" �IJF i�c be recorded prior to issuance of a building permit. The property described herein is adjacent to land or inc deSG"d5776 1.986 AUG I ( AM 8: 21 within an area zoned for agricultural purposes, and residents of this ELEANOR m.BECKER property may be subject to inconveniences or discomfort arising from CLERK -RECORDER the use of agricultural chemicals, including, but not limited to herbicides, pesticides,E-,r and fertilizers; and -from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and onLTI ' adjacent property should be prepared to accept such inconvenience or disconform from normalnecessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: !l(�i`C.�1_ .� f1S tlCwn pial 111F�"Il GFtiT!-1�n1 .MAP EN1 1T"LEP, t'FipC61- AMP 1,3EINCt A j)v (Z-1 IcrJ cr Lo7S ? F1„»(3t o (L3fALCRN,U CtTRLtS 7-2HCT St:�Fi>I�11Stvn; (`x�. I; vuHtCtl SAID � , NIAP v�lf{S (ZECv/<Occ� 1!V T}1t. �F-FILE Cw: -I-HL a�-- f�u1TL) SATE Of- ('-AttF02n)t1a Oc.TcBEo. 301 IG f /Vl>kpS F}7 PACtL 26, Date: � -� ��' �� PROPERTY OWNERS: State of ✓ ) On this the 28th `Jul day of y 19 86, before SS. me, the undersigned Notary Public, personall County of -� ) y appeared Floyd W. Cooper and Carolyn S. Cooper - - - - - - Present A.P. No. /X1 Personally known to me. Ll Proved to me on. the basis to be the persons) whose name s of satisfactory sfactory evidence. re the within instrument and acknowledged that subscribed to executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. �ane¢e¢ene®aeia�T. ®anassta a �) JANE ANDOE ca+ e1 NOTARY PUBLIC -CALIFORNIA q ,S{�/: Butte County m 0 �u� My Commission Expires July 11, 1989 g C8 nx BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's Name: 2. Installer's Name: S/.7/nle� 3. Is the site currently under permit? Yes F] No F] (If yes, furnish permit number ) OR Is the site an existing site? Yes No (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic. tank and leach fields and clear of all setbacks and easements? Yes No (If no, clarify BUTTE COUNTY BUILDING DEPARTMEW APPROVED �� 5. What is the mobilehome electrical rating? --------------- Amps 6. What is the mobilehome site service rating? --------------- �OAmps 7. What is the mobilehome site circuit breaker rating? -.---- SO Amps 8. Is there any other electric load to be served by the -- ------- ------- -------'--------- Yes T;71No'. mobilehome site service? (If yes, identify the load and size: (Load) .3r 0 (Amps) 9. What is the mobilehome site gas pipe size? -------------- (in.) 10. What is the t. a of as service. v '• •Natural F] LPG 11. What is the gas pipe length from meter or tank to the ` mobilehome? --------------------------------- 6 * 12. What is the mobilehome gas demand? ---------------------- (BTU) *(This information not required if pipe•length less than 6 ft. on .natural gas or less than.50 ft. on LPG.-) BUTTE COUNTY BUILDING DEPARTMEW APPROVED �� MOBILEHOME SUPPORT DATA (�, If other than single wide, Mobilehome Mfr. 1`� C�r�p� e� furnish Setup Model No. Year / d_ Width (ft.) Box Length 6O (ft.) Tagalong or Expando Size ft. x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS'(check oneT711. Wood -pressure treated or foundation grade . 2. Other (specify) SUPPORTS (check one)m1. Concrete block.2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE Line 1 Piers: Size-Min.------------ Spacing-Max - -----------Spacing-Max. --------- From Ends -Max- ------- Line 2 Piers: Size-Min.------------K-4 Spacing-Max----------From Ends -Max.------- Line 3 Roof Loads: Size -Min .---------- Location (From Front) i.ina e Line 1 Line 1 Openings: Size -Min. ------------------ Each Side of Openings With Width Over --------- Line 3 Piers: (Under Bearing Wall Only) Size -Min .------------------ , n Spacing -Max-_---------_---- From Ends -Max .------------- e 4 Ylers: Size -Min .------------ ,k „ Spacing -Max---------- , « From Ends -Max .------- Size -Min------------------- Spacing -Max ----------------- From ------ ------From Ends -Max .------------- Line 5 Roof Loads: Size -Min .------------ , x ux N a nx a ,k. „ Ix „x „ ux Location (From Front) YT te .rjNiTcl'7.1 �,� ✓...i 3 � ����� I Certificate of Compliance: Residential Climate Zone 11 Project Title ro at/2 lJA tot c Building Permit # Project Address ac^T /I S a 731 X d -W /,.i 12 de, Own Checked By/ Date Documentation Author Telephone Enforcement Agency Use Only BUILDING DATA gCnditioned Floor Area �� /Raised Floor [Single Family Detached (SFD) [ ] Single Family Attached (SFA) [ ] Multi -Family (MF) Number of Stories 3_ Number of .Units / [ ] Addition.Alone [ ] Existing Building (] Existing -Plus -Addition Glass Area % Glass North 5 Fast South ,]%�% • S West �— Skylight O Total o't 5S - / 5�• / BUILDING SHELL INSULATION. Component Insulation Locatilon/Commenits Type R -Value (attic, to garage, rMiaal, etc.) Wall .............. East Wall ............. Manufacturer / Model # Roof ............. conditioner, hent pump) (SF. SEER,HSPF) Roos' ............. South Floor ............. _ Floor ............. ( ) Slab Edge ..... West GLAZING Shading Devices Glazing Area Glass Type Interior . Exterior Orientation (sf) (sinele, double) (roller blind ete_1 fnhwL~-rnrn otr It THERMAL MASS Type/Covering (slab/exposed. tile, etc.) North ( ) Area Thickness Overhang Framing Type A h, etc.) 171.5 ` North ( ) Duct East Location Duct Output Manufacturer / Model # conditioner, hent pump) (SF. SEER,HSPF) (attic, etc.) R -Value (Btuh) South . s Sou th ( ) West West ( ) Skylight....... p THERMAL MASS Type/Covering (slab/exposed. tile, etc.) North ( ) Area Thickness Overhang Framing Type A h, etc.) r`'y� SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) Mandatory Measures Checklist: Residential MF -1R j NOTE: Lowrise residential buildings subject to the Standard: must contain these measures regardless of the cont lance approach used Items marked with an asterisk (•) may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit docur knM the features toted shall ! be considered by all parties as binding minimum component performance specifications for the mandatory measures whether they we shown elsewhere in the documents or on this checklist only. DESCUPf10N DESIGNER ENFORCEMENT j Building Envelope Measures ' §2.5352(a): Minimum ceiling insulation R-19 weighted avenge. §2.5352(b): Loose fill insulation manufacturer's labeled R -Value. *§2-5352(c): Minimum wall insulation in framed walls R -I 1 weighted average (does rat apply to exterior mass walls). §2-5352(k): Slab edge insulation -water absorption rate no greater than 0.3%. water vapor transmission rate no greater than 2.0 pernifuich. §2.5311: Insulation specified or installed meets California Energy Commission (CEC) quality standards Indicate type and form. §2.5352(f): Vapor barriers mandatory in Ctinute Zones 14 and 16 only. 1 §2.5317: Infiltration/ExfultrationControls a. Doors and windows between conditioned and unconditioned spaces designed to limit au leakage. b. Doors and windows certified. c. Doors and windows weatherstripped. all joints and penetrations caulked and sealed §2-5352(e): Special infiltration barrier installed to comply with 02-5351 mar CEC quality standards. §2-5352(d): Installation of Fireplaces 1. Masonry and factory -built fireplaces have: a. Tight fitting, closeable metal or glass door b. Outside au intake with damper and control r e. Flue damper and control 2. No continuous bunting gas pilots allowed. HVAC and Plumbing System Measures §2-5352(8) and 2-5303: Space conditioning equipment sizing: attach calculations. i 2 4 -5352(h) and 2-531 S: Setback Ihermoatat en all applicable heating systems. §2-5316(a): Ducts constructed. installed and insulated per Chapter 10. 1976 UMC. i j §2-5316(b): Exhaust systems have damper controls. +1 §2-5314(c): Gas -rued span heating equipment has intermittent ignition devices. ` §2-5314: HVAC equipment, water heaters, showerheads and faucets certified by the CEC. §2-5352(1): Water heater insulation blanket (R-12 or greater) or combined interiorkxterior insulation (R-16 or greater): fust 5 feet of pipes closest to tank insulated (R-3 or gnaw). I! §2.5312(Exccption p: Pipe insulation on steam and steam condensate return tit recirculating piping. §2-531R(d):. Swimming Pool Heating t I. System has a. Ort/off switch on heater. b. Weatherproof instruction plate on heater. e. Plumbed to allow for solar. 2. 75 percent thermal efficiency. 3. Pool cover. 1 4. Time clock. 5. Directional water inlet Lighting and Appliance Measures j §2-53520): Lighting - 25 lumens/watt or greater for general lighting in kitchens and bathrooms. - §2-5314(c): Gas fired appliances equipped with intermittent ignition devices. §2-5314(a): Refrigerators, nefrigeraor-freezers, freezers and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. 1 (, COMPLIANCE STATEMENT This certificate of compliance lists tihc building features and performance specifications needed to comply with Title 24, Chapter 2-53 and Title 20, CltapirrZ Subchapter4, Article 1 of the California Administrative code. This certificate has been signed by the individual with overall design responsibility and the building owner, who shall retain a copy of it and transmit the certificate to any subsequent putdtaser of the building. Designer Building Owner f Name: Nuns raWFum: 7itWFrm- Addrea: Address: ' Telephoner Telephone: f Inc. N: / �/� �/• (signature) (date) (signature) V / (date) Documentation Author Enforcement Agency Name: Name: TiEWHum: Agcy. i Address: Telephone HVAC SYSTEMS Minimum Duct Type (furnace, air Efficiency Location Duct Output Manufacturer / Model # conditioner, hent pump) (SF. SEER,HSPF) (attic, etc.) R -Value (Btuh) (or approved equal) . s y"00 Maximum Furnace Heating Output: HOT WATER SYSTEMS Btuh ^ T ^Tank Manufacturer/Model # w _ \NG V r`'y� SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) Mandatory Measures Checklist: Residential MF -1R j NOTE: Lowrise residential buildings subject to the Standard: must contain these measures regardless of the cont lance approach used Items marked with an asterisk (•) may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit docur knM the features toted shall ! be considered by all parties as binding minimum component performance specifications for the mandatory measures whether they we shown elsewhere in the documents or on this checklist only. DESCUPf10N DESIGNER ENFORCEMENT j Building Envelope Measures ' §2.5352(a): Minimum ceiling insulation R-19 weighted avenge. §2.5352(b): Loose fill insulation manufacturer's labeled R -Value. *§2-5352(c): Minimum wall insulation in framed walls R -I 1 weighted average (does rat apply to exterior mass walls). §2-5352(k): Slab edge insulation -water absorption rate no greater than 0.3%. water vapor transmission rate no greater than 2.0 pernifuich. §2.5311: Insulation specified or installed meets California Energy Commission (CEC) quality standards Indicate type and form. §2.5352(f): Vapor barriers mandatory in Ctinute Zones 14 and 16 only. 1 §2.5317: Infiltration/ExfultrationControls a. Doors and windows between conditioned and unconditioned spaces designed to limit au leakage. b. Doors and windows certified. c. Doors and windows weatherstripped. all joints and penetrations caulked and sealed §2-5352(e): Special infiltration barrier installed to comply with 02-5351 mar CEC quality standards. §2-5352(d): Installation of Fireplaces 1. Masonry and factory -built fireplaces have: a. Tight fitting, closeable metal or glass door b. Outside au intake with damper and control r e. Flue damper and control 2. No continuous bunting gas pilots allowed. HVAC and Plumbing System Measures §2-5352(8) and 2-5303: Space conditioning equipment sizing: attach calculations. i 2 4 -5352(h) and 2-531 S: Setback Ihermoatat en all applicable heating systems. §2-5316(a): Ducts constructed. installed and insulated per Chapter 10. 1976 UMC. i j §2-5316(b): Exhaust systems have damper controls. +1 §2-5314(c): Gas -rued span heating equipment has intermittent ignition devices. ` §2-5314: HVAC equipment, water heaters, showerheads and faucets certified by the CEC. §2-5352(1): Water heater insulation blanket (R-12 or greater) or combined interiorkxterior insulation (R-16 or greater): fust 5 feet of pipes closest to tank insulated (R-3 or gnaw). I! §2.5312(Exccption p: Pipe insulation on steam and steam condensate return tit recirculating piping. §2-531R(d):. Swimming Pool Heating t I. System has a. Ort/off switch on heater. b. Weatherproof instruction plate on heater. e. Plumbed to allow for solar. 2. 75 percent thermal efficiency. 3. Pool cover. 1 4. Time clock. 5. Directional water inlet Lighting and Appliance Measures j §2-53520): Lighting - 25 lumens/watt or greater for general lighting in kitchens and bathrooms. - §2-5314(c): Gas fired appliances equipped with intermittent ignition devices. §2-5314(a): Refrigerators, nefrigeraor-freezers, freezers and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. 1 (, COMPLIANCE STATEMENT This certificate of compliance lists tihc building features and performance specifications needed to comply with Title 24, Chapter 2-53 and Title 20, CltapirrZ Subchapter4, Article 1 of the California Administrative code. This certificate has been signed by the individual with overall design responsibility and the building owner, who shall retain a copy of it and transmit the certificate to any subsequent putdtaser of the building. Designer Building Owner f Name: Nuns raWFum: 7itWFrm- Addrea: Address: ' Telephoner Telephone: f Inc. N: / �/� �/• (signature) (date) (signature) V / (date) Documentation Author Enforcement Agency Name: Name: TiEWHum: Agcy. i Address: Telephone 1. Ceiling Insulation 2. Wall Insulation Single- Number of stories Number of stories R -value -One Two Three R-0 -103 -49 32 R-19 -8 -4 -2 R-30 -2 -1 .1 R-38 0 0 0 U -value 8 6 4 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 2. Wall Insulation 3. Raised Floor Insulation Insulation In Floor Single- Single - Number of stories R -value 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 -144 -70 -46 0.80 -153 -114 -76 0.50 -91 -68 -46 0.30 -47 -36 -24 0.10 0 0 0 0.08 4 3 2 0.06 9 7 5 0.04 14 11 7 0.02 19 14 10 0.00 24 18 12 3. Raised Floor Insulation Insulation In Floor Controlled Ventilation Crawlspace -4 Number of stories Number of stories R -value One Two Three R-0 -17 -8 -5 R-11 -3 -2 -1 R-19 0 • -. 0 .0 R-30 3 1 1 U -value 4. Slab Edge Insulation 4 40 -- 0.60 . -144 -70 -46 0.50 -120 -58 38 0.40 -95 -46 30 0.30 -69 -34 .22 0.20 -13 -21 14 0.10 -17 -8 -5 0.08 -11 -6 =4 0.06 -6 -3 -2 0.04 -1 0 0 0.02 4 2 1 0.00 10 5 3 Controlled Ventilation Crawlspace -4 3 .1 Number of stories -1 Fl -value One Two Three R-0 -11 -7 -5 R-5 -4 -4 3 R-11 -2 .2 -2 R-19 -1 -2 .2 4. Slab Edge Insulation 4 40 -90 Number of Stories -26 R -value One Two Three R-0 0 0 0 R-5 8 5 2 R-7 8 6. 3 F2 factor 0.90 -4 3 .1 0.80 -1 -1 0 0.70 2 2 1 0.60 6 4 2 0.50 9 6 3 0.40 12 8 4 5. Infiltration (Air Leakage) Specification Points Standard 0 6. Glass Heat Loss Total -14 -48 -69 -64 U -value East Percent .West Skylight .51 to At to .31 to 0.30 or Glass Single Double .60 .50 .40 less 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 11 14 17 19 9 -1 10 13 15 17 20 8 2 12 14 16 18 20 7..Shading (Shade Open) Effective Percent Glass (Percent glass x SC) Effective -14 -48 -69 -64 %Glass North East South .West Skylight 18 5 1 4 1 na 16 4 2 5 1 na 14 4 2 5 1 na_ 12 3 3 5 2 na 11 3 3 5 2 na 10 2 3 5 2 1 9 2 3 5 2 2 8 2 3 5 2 2 7 1 3 4 2 2 6 1 3 4 2 3 5 1 2 4 2 3 4 0 2 3 1 3 3 0 1 2 1 3 2 0 0 1 0 3 1 -1 -1 -1 -1 2 0 -1 -2 -4 -2 0 na = not allowed 2 3 4 3 1B. Shading (Shade Closed) Etfeetive Pereestt Glass (Percent glans x SC) Effective %Giess North Est South West Skylight 18 -14 -48 -69 -64 na 16 -12 -42 -59 -55 na 14 -10 -35 -50 -46 na 12 -8 -29 40 37 na 11 -7 -26 -36 -33 na 10 -6 .23 31 -29.74 -2 9 -5 -20 -27 -25 * -65 8 -5 -17 -23 -21•. -56 7 -4 -14 -19 -18 -47 6 3 -11 -15 -14 -38 5 -2 -9 -11 -10 -30 4 -1 3 -8 -7 -23 3 0 -4 -5 -4 -16 2 1 -1 -2 -1 -9 1 1 1 1 1 -4 0 2 3 4 3 0 r+a = trot ft"' -d 9. Interior Thermal Mass Interior Single- - Slab Floor Raised Floor Mass Famiy Sb6e6 Multi Mass Stories Atmched ICFA One Two Three One Two Three 0.0 -8 -5 -4 -2 .1 .1 0.1 -8 -5 3 -1 0 0 0.3 -7 -4 -2 0 1 1 0.5 -6 -3 -1 1 1 2 0.7 -5 -2 -1 1 2 2 0.9 -5 .1 0 2 3 3 1.1 -4 -1 1 3 4 4 1.3 -3 0 2 3 4 5 1.5 -3 1 2 4 5 5 2.0 -1 2 4 5 6 7 2.5 0 3 5 7 7 8 3.0 1 4 6 8 8 9 3.5 2 5 7 9 9 10 4.0 3 6 8 9 10 10 4.5 3 7 8 10 11 11 5.0 4 7 9 11 12 12 5.5 5 8 9 11 12 12 6.0 5 8 10 12 13 13 6.5 6 9 10 12 13 13 7.0 6 9 11 13 13 14 7.5 6 10 11 13 14 14 8.0 7 10 11 13 14 14 8.5 7 10 12 13 14 15 10. Exterior Wall Thermal Mass Exterior Single- - Single - _ Sum of l-6 Wall Famiy Family Multi Mass Detached Atmched Family 0.00 0 0 0 1 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 SE or HSPF (assumes ducts In attic) Zonal Control Adjustment System Type Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 - 12. Cooling Syst.!m SEER (assumes ducts In attic) Sim of 7-10 -25 or -24 to r1410 -410 _ Sum of l-6 16 or SEER less -15 1 -6 -25 or -24 to -14 to -4 to +6 to 16 or SE HSPF less -15 -5 +5 +15 more 0.72 6.60 0 0 0 0 0 0 0.75 6.88 3. 3 3 2 2 1 0.80 7.33 8 7 6 5 4 3 0.85 7.79 13 11 10 . 8 7 5 0.90 8.25 17 15 13 11 9 7 0.95 8.71 20 18 15 13 11 8 12 9_ Effective SE or HSPF 0% WSB (SE or HSPF x duct efficiency) 2 Effective .25 or -24 to -14 to .4 to +610 16 or SE HSPF less -15 -5 +5 +15 more 0.30 2.75 -73 -64 -56 -47 -38 -30 ' na 3.41 -45 -39 -34 -29 -24 -18 0.40 3.67 -34 -30 -26 -22 -18 -14 0.50 4.58 -10 -9 -8 -7 .5 -0 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 Syst.!m SEER (assumes ducts In attic) Sim of 7-10 Zonal Coatrol Adjustment 10 8 7 6 4 3 No Cooling System Installed -Stories -25 or -24 to r1410 -410 +610 16 or SEER less -15 1 -6 +5 +15 more 8.0 -14 -12 -10 -8 -6- -4 . 8.5 -9 -7 -6 -5 -4 3 8.9 -5 -4 -4 3 -2 -2 9.0 -4 3 -3 -2 -2 -1 9.5 0 0 0 0 0 0 10.0 4 3 3 2 2 1 10.5 7 6 5 4 3 2 11.0 10 9 7 6 4 3 120 15 13 11 9 7 5 13.0 20_ 17 14 12 9_ 6 0% WSB 5 3 3 2 2 35% ERedlve SEER 8 _ 5 4 3 (SEER xluet efficiency) SE None -37 Sun of 7-10 -18 -15 Effective -25 or -24 to -1410 -410 +610 16 or SEER less -15 •5 +5 +15 more 5.0 -30 -25 -21 -17 -13 -9 6.0 -12 -11. -9 -7 3 -4 I 6.6 -5 -4 -4 3 .. -2 2 7.0 0 0 0 0 0 0 i 8.0 9 8 6 5 4 3 i 9.0 16 14 12 9 7 5 10.0 22 19 16 13 10 7 11.0 26 23 19 15 12 8 12.0 - 30 26 22 18 14 9 13.0 33 29 24 20 15 10 Zonal Coatrol Adjustment 10 8 7 6 4 3 No Cooling System Installed -Stories % Glass SC Eff % Glass a. North q.-.9 One -5 -4 -4 -3 -2 -2 Two + 3 3 :. 2 2 2 1 Single -Family Jletached and Attached = D G Unit Size (sQ Water i i99 12C\; 1700 2200 2700 Heater Credit or b to to or Type Type less1699 SEER [9.5] 2199 2699 more SG None 0; C. 0 0. 0 0 or Solar 12 ' 8 6 5 4 HP -HWR 8 5 4 3 3 0% WSB 5 3 3 2 2 35% POU 8 _ 5 4 3 3 SE None -37 -24 -18 -15 -12 OY. Solar -1 -1 .1 0 0 1.3 HWR -18 -12 -9 -7 -6 2.7 WSB -25 -16 -12 -10 -8 4.2 POU. -18 _.-12 -9 -7 -6 IG . None -5 -3 -2 .2 -2 1.6 Solar 7 5 4 3 2 3.1 POU 3 _ _2_ 1 1 1 IE None -28 -19 -14 -11 .9 0.6 Solar 8 5 4 3 3 2 POU -10 3 -5 -4 -3 3.5 Multi -F=4 (Individual units) 4.1 4.3 4.5 4.8 Unit Size (sQ 5.2 Water 56 699 700 1200 1700 2200 Heater Gedit or b to b or Type Type less 1199 1699 2199 more SG None 0 0 00,0 #5 0 _• 0 or Solar 14 7 OA f y 4. 3 HP HWR 9 5 3 2'. 1.2 2.8 WSB 9 4 3 2 ` 12 ' 4.3 POU 9 5 r 3J , 2 2 SE None -45 .23 +-15 -11 9 1.5 Solar 2 1 1 0,+' ..0 17 HWR .23 -12 -8 3 5' t '-=!i 42 WSB -25 -13 -8 -6 5.5 5.7 _ PQU _23 _12 -8 -6 -5- 5-IG IG None -8 -4 -3 -2 ; .2 3 Solar 6 3 2 1 1 4.5 POU 1___0 5.1 . 0_ 0 0 IE None 30 -15 -10 -8 -6 1.9 Solar 18 9 6 4 4 3.3 POU -8 . -4 -3 -2 -2 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) Measures e 30 or R -value [38] U -value [0.030] R i 4 or R -value I I II U -value [0.098] -'� or R-value[191 U -value [0.037] or R -value (0] F2 factor (0.77] Standard Type [double] U -value [0.65] 90 Total Chas [16] % Glass SC Eff % Glass a. North q.-.9 x 7 = b. East D -- X = 2. 77 c. South Interior Mass/CFA x = 3 , 7 d. West 1. "� x InteriorNiss/CFA e. Skylight O TT" 2 PASS = D TYPE 2 MASSAREA $ Exterior Wall Mass ND. L OR AREA .7a X - SE or HSPF ' Duct Efficiency [0.78] Effective SE or [0.72/6.6] HSPF [0.5615.15] X - SEER [9.5] Duct Efficiency [0.74] Effective SEER [7.03] (rpated slob) � �tN .I�bl Credit [none] Type [SG] t TYPE I MASS WI11C b 4.2, ie: exposed slab) �_ ' .s 0% 5% 10Y. 15% 20Y. 25% 30% 35% 40% 43% 50% S5% 60% 69t 70% 75% 80% 857. 90% 95% 100% 105y. 110% 115Y. 120% 125`. OY. 0 0.2 0.4 0.6 0.8 1.1 1.3 1.S 1.7 1.9 21 23 2.S 2.7 2.9 3.2 34 3.6 3.8 4 4.2 4.4 1.6 4.8 5 53 10Y. 0.2 0.4 0.6 0.8 1 1.2 1.4 1.6 1.9 2.1 13 2.5 2.7 2.9 3.1 3.3 3.5 3.7 4 4.2 4.4 4.6 4.8 5 5.2 5.4 20% 0.3 0.6 0.8 1 1.2 1.4 1.6 1.8 2 2.2 14 2.1 2.9 3.1 13 3.5 17 3.9 4.1 4.3 4.5 4.8 5 5.2 5.4 56 30% 0.5 0.7 0.9 1.1 1.4 1.6 1.6 2 12 14 16 2.8 3 3.2 3.5 3.7 19 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 58 40Y. 0.7 OA 1.1 1.3 1.5 1.7 1.9 2.2 14 16 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 50% 0.9 1.1 1.3 1.5 1.7 1.9 11 13 2.5 17 3 3.2 3.4 3.6 3.8 4 42 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 55% 0.9 1.1 1.4 1.6 1.8 2 2.2 14 2.6 28 3 3.2 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 5.8 6 6.2 60% 1 1.2 1.4 1.7 1.9 11 13 2.5 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 S 5.2 5.4 5.6 5.9 6.1 63 65% 1.1 1.3 1.5 1.7 1.9 2.2 2.4 2.6 18 3 3.2 3.4 3.5 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 55 5.7 5.9 6.1 6.4 70% 1.2 1.4 1.6 1.8 2 12 2S 11 29 3.1 3.3 3.S 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 iS 1.7 1.9 11 2.3 15 2.7 3 3.2 94 3.8 3.6 4 4.2 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 BOY. 1.4 1.6 1.8 2 2.2 2.4 16 2.8 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 56 5.8 6 62 64 66 85% 1.4 1.7 1.9 2.1 2.3 25 2.7 2.9 11 3.3 3.5 3.8 4 4.2 4.4 4.6 4.9 5 52 54 5.6 5.9 6.1 63 65 67 90%' 1.5 1.7 2 2.2 24 16 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 53 5.5 5.7 5.9 6.2 64 66 68 95% 1.6 1.8 2 2.2 2.5 2.7 2.9 3.1 33 3.5 3.7 3.9 4.1 4.3 4.6 4.8 S 5.2 5.4 5.6 5.8 6 6.2 6.4 6.7 6.9 100% 1.7 1.9 2.1 2.3 2.S 18 3 3.2 3.4 3.6 9.8 4 4.2 4.4 4.6 4.9 5.1 5.3 53 5.7 5.9 6.1 6.3 6.5 6.1 7 105% 1.8 2 2.2 2.4 2.6 18 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 5.6 5.8 8 6.2 6.4 6.6 68 7 110*/. 1.9 2i 2.3 2.5 2.7 2.9 3.1 3.3 3.6 3.8 4 4.2 4.4 4.6 4.8 5 5.2 5.4 5.7 5.9 6.1 6.3 6.5 6.7 69 7.1 115% 2 2.2 2.4 2.62.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 6.2 6.4 '6.6 6.8 7 7.2 120% 2 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.4 4.6 4.8 5 5.2 5.4 5.6 58 6 6.2 6.S 6.7 6.9 7.1 J.3 125% It 13 2.S 2.8 3 3.2 3.4 3.8 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.7 7 7.2 7.4 Point System Summary: Climate Zone 11 SCORE CARD 1. Ceiling Insulation 2. Wall Insulation 3. Raised Floor Insulation 4. Slab Edge Insulation S. Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) Measures e 30 or R -value [38] U -value [0.030] R i 4 or R -value I I II U -value [0.098] -'� or R-value[191 U -value [0.037] or R -value (0] F2 factor (0.77] Standard Type [double] U -value [0.65] 90 Total Chas [16] 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 � i..' -Zonal Control? ( Y / N ) ' 12. •Cooling System ..t Zonal Control? ( Y / N ) 13. Water Heating % Glass 3 % Glass SC Eff % Glass a. North q.-.9 x 7 = b. East D -- X = 2. 77 c. South 4/. x = 3 , 7 d. West 1. "� x InteriorNiss/CFA e. Skylight O x = D 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 � i..' -Zonal Control? ( Y / N ) ' 12. •Cooling System ..t Zonal Control? ( Y / N ) 13. Water Heating % Glass 3 SC X Eff. % GI ss _ d-. Y _ 17 - -- =f X _ 17 �. a _ X = 2. 77 D x •77 = 0 TYPE 1 MASS AREA COND. �i-F--- InteriorNiss/CFA FLOOR AREA TYPE 2 MASSAREA $ Exterior Wall Mass ND. L OR AREA .7a X - SE or HSPF ' Duct Efficiency [0.78] Effective SE or [0.72/6.6] HSPF [0.5615.15] X - SEER [9.5] Duct Efficiency [0.74] Effective SEER [7.03] Credit [none] Type [SG] Point Scores fi' d 0 t la Sum 1.6 WE Point Total: Sum 7.10 -�-3 I