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027-110-041
�l 27-1 41 BRENT*.&'SHERI SIMMON ° 7249.Country'Club Rd,O i e / Permit#175-89B,P,E,M( w single fami y r 27-11-41 Permit#176-89P,E(util, MH) travel trail ELEC. GAS ' SUPPORT STRUCTURE REQ. COMPACTION TEST REQ. k. tip. "027 110.041' 4 s orf} PERMIT#95 3169.E SIMMONS`'�Brent I F. > p, psi /y r •, . 7249, Oro Country Club Rd 1, ?Oroville r4� New �Prrs Det Garage,kq r -► % .( =r� j; t t lr �I d� a. r �r R t �� '; U I� I 1 i� �� ill � �I e . '� � L_ir ��� ,r,.. , �.�� � '� t v � 175-89BPEM' PERMIT NO. PERMIT EXPIRES 2/3/90, OWNER BRENT SIMMONS �5M ert 1 Owner CONTR. ASSESSOR PARCEL 27-11-41 . LOCATION 7249 Country Club Rd, Oroville i x U �v �a �J. 4 'i (k .r Temp. Power Pole 7 Called PG&E v� "? Temp. Elec. Service Called PG&E Temp. Gas Service '% Called PG&E JOB FINALED (Date) Signature c a = OK 0 = Not OK = Not Read�yable MOBILE HOMES MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts- Beam s-Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Utility Clearance T Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -131 Date Card -81 Date 10. Roof; Shthg-Roofing Card -B1 Date Card -B1 Date + 11. Ext.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -B1 Date Card -131 Date 2. Footings; Size -Spacing -Marriage Line Card -131 Date Card -B1 Date 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s 5. Drain; MH Test -Fall -Flex Connector 1. Setbacks -Easements 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability 7. Water and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Ground! ng; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosu res -Panel boards- Ins. to Main in Conduit Card -B1 Date Card -B1 Date Card -B1 Date Card -131 Date 9. Health Department Approval i 10. Plumb.; Cir. Test -Water Supply Test Card -B1 Date Card -81 Date Card -61 Date Card -B1 Date = UK U = Not Applicable RESIDENTIAL (Single and Duplex) = Not Ready Date UN FLOOR (Plans) OK except #'s pt _ y oning-Setbacks;-Easements-Flood-Slope 3,a . Ftg., Main; Soils-Steel-Elec. Grnd.-/ P' Ftg. De �6r�_7 •T kq 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Del 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. temwalls, Garage; Steel-Blockouts-Wrapped Jig . Slab; Steel -Wrapped 8. Pi -Fireplace Ft teel Card-Blc" W.V.; Fal -Fi ' -Test-2 way C/O -Sewer Test Card -B1 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric; Underground Date 13. Plenums & Ducts; Clearance- Material -Su pprt-Ins. -Anchor Bolts -Joists -Vents -Cripples 15. Insulation . S' Boxes & No. of Conductors -Stapled Card-Blt7,k,, Date_.)_ -)2W Card -B1 Date Card -B1 Datd?egJ.f?CJ Card -B1 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle 17. Watqj, Pipe; Test & Anchors -Nail Protection �6r�_7 •T kq .V.; Test-Fttngs &Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors Card-Blc" Dates=/74�Card-B1 Date Card -B1 Date ' Card -B1 Date Date ELECTRICAL (Permit) OK except #'s 22. xture & Transformer Clearance -Ins. Protection 1,21 Elec. Receptacles Spacing -Lights & Switches at Doors . S' Boxes & No. of Conductors -Stapled Romex Installed Close to Edge of Studs & C.J. 6. Equip. Ground made up w/Mach. Fasteners -Bond Gas & Water ,V. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. �2$_Strljfeed-Whe Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al .29-Renge-Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No ervice-Riser Conductors & Ground -Main Disconnect 1. quip. Clearances Panels-Motors-Mech. Equip. 2 ffothes Closet Light -Shower Light -Spa Light Smoke Detector Card -B1 Dat - �i rd -61 Date Card -B1 Date Card -B1 Date Date MECHANICAL (Permit) OK except #'s &20 A.C. Ducts Insulation & Support aust above insulation 36. Condensate Drain & Overflow; Size & Grade 7. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnace in Attic Card-B1/rn Date -11j- and -B1 Date Card -B1 U Date Card -131 Date Date FRAMING (Plans) OK except #'s 9 ills, Proper Material & Anchors Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41 Bearing Walls over Girders & Floor Nailing i-2---D-raft Stop in Walls (rat proof) 4�2. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearing Date FRAMING (Continued) 45�:,langers-Post Caps -Anchors -Connectors 6. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. .)g�47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles s-49: Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 5&70wmge-FrM Protection Framing &4_E npsAy-ktne"Firewall & Openings -S-2. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 4& -Rise -Run -Landing -Fire Protection . Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing Veneer .466 -Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 447. Glazing Area -Glass Protection -Skylights -Plastic 8. Shear Walls; Naili -Bolts 69. Insulation -W -Clg. 60. Infiltration-Walls-Wndws Card -B1 DatCard-81 Date Card -B1 Daty, Card -81 Date Date TINAL (Plans) OK except #'s 6 - Ext. Steps -Door & Sidelight Protection -Landings 6 oke Detector 3. Furnace; Vents -Clearance -Comb. Air-Connector- ,kiGarage; Above Floor -Ducts -Mach. Protection 4. Bedroom Exiting 5. G.F.I. & Bath Fixtures & Tub Access -Spa 66: Elec. Trim & Subpanel; Breaker Sizes -Labels 6Z qtaix&4-� Clearances -Hearth AQ FlAr t Wood Panel; Int. & Ext. 11 . Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance Elec. Outlets & Receptacles at Kit. Counter Swing -Landing -Closer arage-Damper 74. tr. Htr.; Vents -Clearance -Comb. Air -Connect -P.R. - tion . Plb., Elec. & Mech. Equip. Listed for Location 7 G.F.I.)-Romex Protec. Insulation -Foam -Looked in Attic ❑ Yes 79. Guaid k Construction -Post Caos awl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Y 80. Following instld.; Drive j Yes o; Walks ❑ Yes 0-116•, Planters ❑ Yes 8 A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance t O%enings. Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground entilation throughout House L,8r'Glass Protection 8. Corrections from Previous Inpections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 9 . nergy Compliance Certificate -Other Certificates Roofing Certificate Card -B1 Date- / and -B1 Date Card -B1 DateCard-B1 Date Card -B1 Date Card -B1 Date Comments at Final: o-a!%�S.'�>time+•�.""*y�c�'7K^Y'}Y'.+ram's4,'�.��'+'4�F•es'-'�`�`5''g''�'—'�'��r�...-�,._:...s.i.�-r«�.:�+'�e»��e'tira-i�' 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 .L' [_z4 Ale -: OWNER PERMIT •NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office k when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector .� Date —J 0 00 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 3 Inspector - Date R COUNTY OF BUTTE .X DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 `= 7 County Center Drive, Oroville — Phone: 538-7541 •k 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE ,T .- I OIT A routine inspection indicates that the following violations of County Ordinance exi/coection above address and should be corrected. Please notify this office wheof work is completed. If you have any question pertaining to this mated additional explanation, please contact this office immediately. ..y C Inspector. Date 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 MI' 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 explan tion, please contact this office immediately. A t Inspector Date v/ -a7— 6 9 ;..�y.,fi..,.►� '�",^ �"ff���'fq+"a8'rir"�r`y��:it..^tiP''l�si�s�r�t�"�R 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 / 7S- 1I O NER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this �rneed�tional explanation, please contact this office immediately. F.. ♦ fl Inspector Date { R COUNTY OF BUTTE , F, 1 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 g OWNER PERMIT NO. 1 3 A routine inspection indicates that the following violations of County Ordinfance�V 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 to4this matter,—or-need additional explanation, please contact this office, immediately. F� Inspector. Date r Building Owner L Building Location ENERGY INSTALLATION CERTIFICATE Building Permit DESCRIPTION OF INSULATION ROOF Material rand N ma e Thickness (•i.nche-s)---._____. The maw EXTERIOR W L Material Thickness(inch s) CEILING Batt or Blanket Type s(inchas) _ Loose Fill ype i Minimum Thickness (In hes)- 1; int -- Area cvered(ft.2) FLOOR, ELEVATES-,,". Material Thickness(inches) FLOOR, SLAB Material Th ickness(inches) Width(inches) FOUNDATION WALL tante (R Value).- .. • - -1. Brand Name Thermal Resistance(R Value) l Brand Name _l T Thetii�l Resistance(R Value)__ Brprd Name umber of Bags Wt. per bag lb. Thermal Resistance(R Value) Brand Name - Thermal Re nce(R Value) Name mal Resistance(R Value) Material Brand Name Thickdi5s_s(inches) Thermal Resistance(R V lue)- I hereby certify that the above insulation was installed in the above building, is consistent with approved building department plans and attachments and con- fo s with re uirements of Chapter 2-53 of State of California Energy Requiremen FIRM NAME/OWNER STATE CONTRACTOR'S LICENSE NO. SIGNATURE OF INSTALLATION APPLICATOR DATE — - -- I hereby certify the required features, devices, and equipment, ab shown on the approved Building Department plans and attachments have been installed and conform to the appli- ance standards and Chapter 2-53 of the State of California Energy requirements. ,G,A 1 S _ Ownu .h ij.J+ BUILDING CONTRACTO /OWNER qPlease Print) STATE CONTRACTOR'S LICENSE NO. (FIRM NAME) A. - L Qq- 26 S NATURE OF BUILDING CON ACTOR/OWNER DATE HVAC FIRM NAME t+INE lease Print).Fe STAE CONTRACTOR'S LICENSE NO. ,112d SIGNATURE -OF HVAC CONTRACTOR 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. SEPTEMBER 1988 COUNTY OF BUTTE 'DEPARTMENT OF PUBLIC 7 County Center Drive - Oroville, California 65965 - Telephone: APPLICATION AND PERMIT WORKS PERMIT 1d0. 916/538-75 / ASSESSOf1,PAR^EL NUMBER "fJ ZONIN BUILDING PERMIT OWNER r to 9fZ2 s �rz TELEPHONE SQ. FT. OCC, BUILDING VA UATION �S�s� OWNER'S MAILING ADDRESS o S�tlTf1 Y/1/ d G ` S CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ , LENDER'S MAILING ADDRESS Filing Fee $ 10 Permit Fee $ kfiV. d ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ .� Penalty $ BUILDING ADDRESS Permit fee $ V� PLUMBING PERMIT FiIingFee 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL AP Water piping 5,00 _ Each qas water heater or v 5,00 , USE OF STRUCTURE Sf� Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 out 5.00 Building sewer 5.00 Mobile Home TS TG FW I h0-00ea TYPE OF WORK New)Q Addition❑ Remodel[] Utilities E] installation[--] Other ❑ Describe work: r ZT _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 0001 OR LESS 100 AMP OR LESS 10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ i am licensed under provisions of Chapt. 9, Div. 3 of the BUSIneSS and Professions Code and my license is in full force and effect. License No, Classification 1, as the owner, Or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADD -L 100 AMP 2.50 oR ADDNST DDWEWELLING S. LING OCC I�Y¢SQft NEW CONSTR. U TI.QUTLF_T NON.RESID .BRANCH CIRCUITS) 2.50 ea POWER APPARATUS e SINGLE OUTLET CIR. EX. OCCUp(OUTLETS OR FIXTURES 20 0 0 FIXED APPLNS. OR EX. OCCUp. OUTLETS (RESID.) EA.� 2.00 Temporary service 10.00 �— Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ 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 MEC NICAL PERMIT FiIingFee 10.00 Heating 4.0 9 Coolin D Hood 3,00 Ventilation permit Fee $ SQ e9c, 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. harmless the County of Butte against all liabi I fes, xpenses which may in any way accrue against id Cohe granting of this permit. I also ag a to tUa! X_ Date - — Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" de q�d elfl I'tion or construct- ion of structures over 3 stories in height. ct Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE occuP, CONST.TYPC SCHOOLFLOOD This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC B PE EXPIRES Date _ _— Rc LPO the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. %D 0 WNITC-D.P.W.. TCLLO W-ASet:, lOR. PINK -INSPECTOR, L CNROD-APPLICANT •-.-...,+*L•Fy'.::'r'�`1i{a��°�"7' .�,,•,�.,.,,,.,`•,l"�'4 r s' .:�: ► ' ��.t Wpr COUNTY OF BUTTE - DEPARTMENT;OFf PUBLIC WORKS - BUILDING DIVISION COUNTY CENTER DRIVE = OROVILLE, CALIFORNIA 95965 -TELEPHONE: 916/538-7541 ' PERMIT APPLICATION DATA SHEET ' Permit No. OWNER 6rer2t, �l. h'i M0 ylNo.. -11- Proposed Building Use /0(1 (,J Building Inspector (! Date ` At time of permit application, I was advised the following data must be submitted prior to permit processing and:/or issuance: DATE RECEIVED APPROVED 1. 2. 3. 4. 5. 6. 7 8. 9. 0. 11. 12. 13. 14. —15. 16. 8. 19. V2 20. . All items.have been submitted. . . . . . . . . . . . Plot plans in duplicate. /triplicate, signed by preparer of plans. , Complete plans in duplicate./triplicate, signed by preparer of plans. Complete engineered plans and calcs, with wet signature on plans. Plans with Energy Design Compliance Statement. . . . . . School District "Fees Paid" Stamp on Floor Plan. Statement of Intent for Non -Heated and AC Buildings. Fees of $ , , , , , , , , Letter of signature authorizat' n. / Sanitation approval from ��r"% ✓► /I � Health Dept.. yy V �f . . Planning approval for (A) Use: (B) Parking: Certificate of Workmen's Compensation Insurance. . . . . . Contractor's License Information (no., name style, classif.) .� Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) Improvements may be required. . . . . . . , , , , , Mobilehome Installation Data. . . . . . . . . . Pre-Inspec. request to Pre -Inspection for Required. Building Inspect r (Date) Recorded copy of Agricultural Acknowledgment Statement, c� 1 Driveway Permit.— ermit. Plot Plot plan approval from city•of_ n EngigAered trusses`in duplicate (required prior'to plan check). Wh you issue the Telephone Otherni_ as follows: Mail t� wner, Mail to coniractor.�•. ;�nd hold for pickup at!�ffice, Deliver w/inspector. Applicant 4�S_ZIJ l%MZ'Oate I P- N Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items�No. 7 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_-inail_counter by date `'& Contractor, designer, owner, was advised of above required data by—phone _mall—counter by date Plans checked by Sets of plans on hold in ILL Copy—DPW �0 Date Plans approved by File cabinet AP folder �It/4 Date S TO: Building Department 1 FROM: Encroachment Permit Section RE: Driveway Clearance el 'z7 owner location AP # Driveway permit si ature has been issued for the above property. date TO Buildinq Department FROM: Environmental Health SUBJECT: Sanitation Clearance Zs M A Uy�-S Owner. Location AP# Plan Approved for: Sewage Disposal Water Supply/± Hold final for: Water Supply Final clearance O.K. for: Water Supply Clearance for _:sbedroom mobil ome. Other$'X(io NOTE * * * f e - Sanitarian ate t- r COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION Phone: 916-538-7.541 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) h OJ -At 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 t or 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: J-,fMZ)2Q Property Owner � Qlan Social Security Number Date 1- & D 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 (S.F., DUPLEX & MISC. ONLY) OWNER GENERAL ,,---zoning requirements: (sideyards Z,,-�Valuation. 3 -,---pians signed by designer. 4:' -_Energy Design and Compliance. 54--'-E-xisting violations on property. Bldg. Permit # A.P. # . and number of permitted living units). PLOT PLAN complete parcel size and dimensions. S<'_ -Setbacks, sideyards, easements, etc. 3/.ther buildings or structures. 4 -"'-Grading, fills, drainage. Special -conditions ood hazard. on creation map or compliance document. FLOOR PLAN 7/85 ]!✓ Complete to scale plan with dimensions. 2✓R�luired windows for light and ventilation (Sec. 1205). 3C Required windows for second exit (Sec. 1204). J-skylights (Chapter 34 & Sec. 5207). / Human impact glass (Sec. 5406). C ,,Required room sizes, ceiling heights (Sec. 1207). 7✓ G.F.C.I.'s in baths, garage and exterior outlets (Article 210-8). ;�;hanical ht fixtures, switches, receptacles, and exterior receptacles for maintenance of (,, equipment. ations of water heater, heating and cooling equipment, other electrical or.gas ipment, and plumbing fixtures. -ke-.-_Garage firewall, door size, and closer (Sec. 503(d)(3)). CJ 1 3'0" exterior exit door (Sec. 3304(e)). -1 --ireplace and wood stove location. 1!/ Smoke detectors (Sec. 1210). STRUCTURAL DETAILS D,--' Foundation plan complete enough:to construct building. 2✓Floot construction details complete enough:to construct building. levations and wall construction details complete enough to construct building. Roof construction details complete enough to construct building. -T fireplace construction details and calcs if necessary. Sufficient data and details to satisfy energy requirements (State..Law) (Form 1). MISCELLANEOUS ITEMS TO LOOK OUT FOR Exposure I plywood on exposed locations and overhangs. -2--S-t-airway details: landings, rise and run, head clearance', handrails (Sec. 3306). -3—Guardrail details (Sec. 1711 & 3306(j)). -4. ick or stone veneer (Chapter 30). terior plaster - weep screeds (Sec. 4706). oper roof pitch for roof covering (Chapter 32). X Rafter ties or bearing ridge beam. RESIDENTIAL PLAN CHECKING GUIDE (CONT'D) MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONT'D) _8_.---earage door or :porch header sizes. Adequate bracing. -44-.--Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. Two exits on three-story dwellings (Sec. 3303 & see Mezannines 1716). 12 -""-Attic access and ventilation (Sec. 3205). --13. B n erfloor access and ventilation (Sec. 2516). C(___�'Weod stoves, clearances, alcoves & 1 -hour shafts. 1 Combustion air for fuel burning appliances. h6—Noise requirements on duplexes. -1-7-.---A_dobe soils - special foundation design. Retaining walls requiring design. unusual shape, size or split level house requiring lateral design. 7/85 1/C+��y o G w �[ o N C1'g W_ l-{ . ►6�"1 lew-d o FtCv-.4C0' se— S r1 tt //.4/1 W OC3 J fove- L ciiil en 6 C_' � ? COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER a -7 - --4 Z5 ZONIN BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS S�U L CONTRACTOR'S NAME C W /V) TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Flling Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER ''/7 LICENSE NO. Plan Checking Fee bf$ Energy Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDIN lypDRESS C OZOL Permit fee $ PLUMBING PERMIT Filing Fee 10.00 ORO �� L Eath Trap 2.00 Solar or heat pump water heater 20.00 ,LOT NO. SUBDIVISION NAME PARCEL MAP 0,;?- --J I Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF -Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home Is G W 0.00ea TYPE OF WORK New❑ Additionny Remodel❑ Utilities❑ Installation❑ Otheyo Describe work: s{ mitI4b 1/4L nL PCXMlT `'75 — 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 peaty of perjury Che s""�- ❑ 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 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- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for I/ reason NEW CONST. DWELLING OCCUP.. OR ADDNS. ACC. BLDGS. / yzQsgft NEW CONSTR. MUL TI -OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS /POWER APPARATUS el ISINGLEOUTLETCIR. / 00 Ex. OCCup(OUTLETS OR FIXTURES eAL0330 FIXED Ex. Occup. OUTLETS PLNS R (RESID )EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare and r Penalty of perjurye ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue ainst said County in consequence of the granting of this permit. X Date Ignature of Applicant — Owner ❑ Contractor ❑ Agenr ❑ An OSHA permit isrequired for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ occuP. C0113T.TYP! SCHOOL rLOoO PARCEL I PD 1 ND 1 ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC y _ PERMIT EXPIRES Date (� the applicable provi- resolutions to do fees have been paid. WORKS D//ate /y7 ��� / —/ Receipt No. WHIT!-D.P.W.. YELLOW-ASSE330R. PINK -INSPECTOR. GOLDENROD -APPLICANT Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDCRMENT FOR RRSTDRNTl`Al, lil,'VFJ,OPMF.NT Sec L ion 26--8. 1 of Lhe BULLe County Code ' requires Lh[s acknowledgement be recorded prior to issuance of a building permit. ]'lie property described herein is adjacent JAN 2 0 1989 to land or included within an area zoned PERTY 0 ERS: 11 p for agriculAura.l purposes, and residents % of: Lhis property may be subject Lo incon- .D VN A�; ►.� N veniences or discomfort arising from the 9`0 use of alar. iculLural chemicals, Lncl.ud-ing, but tcoL I-im.i.Led to herbicides, pesticides, and 1•erL.i.lizers; and from the pursuit of agricultural operations including, but noL limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has esLab.Lislied ;t;;rirul Lural zones which have as a priority use for productive agr:icul.Lural purposes, ,cnd ro:;idrnl:; w i.th.in said zones and on adjacent property should be prepared to accept such i iivonvrn i vtico or disconform .from normal, necessary .farm operations. All. that. real property situate in the County of Butte, State of Cal-ifornia, desc•ribcd as follows: PARCEL 1, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUN'T'Y OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 30, 1985, IN BOOK 102 OF MAPS, AT PAGE 11. nate: /—"?-0 -�, 9 �C®MP,�RED V1�'j� ORtGUgAl DpMM*t PR PERTY 0 ERS: 11 p � D �J 4 S .D VN A�; ►.� N State of On this the o?01�111 day of , 19__a, before mv, SS. the undersigned Notary PubliV personally appeared County of. 0c/rre_, ) /2i �■■rt■■a■r■■r■■■■■■■■■■■ Personally known to me. E] Proved to me on the basis of satisfactory evidence. SANDY A. STACK :to be the person(') whose name 0 _ Q0 a NOTARY PUBLIC -CALIFORNIA *subscribed to the within instrument and acknowledged 57AL MYCmnniseonExpresNov 1989 executed the same for the purposes therein conLairied. IN WITNI`titi ■■■r■■■■■r■■rr■r■■■e■■r■*WHEREOF, I hereunto set my hand and official seal.. Present A.P. No. ��f - otary ubl i c• CA COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. i / 7 County Center Drive - Oroville, California'95965 - Telephone: 916/538-7541 / 1/ J APPLICATION ANO PERMIT ASSESSORPAR=EL NUMBER ZONIN BUILDING PERMIT OWNER TELEPtIONE S�s� SO. FT. OCC. BUILDING VALUATION �-- 92 s vis OWNER'5 MAILING AODRE55 o SO�1�71 Y/11 iS S I CGNTRACTJR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace xa CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10. LENDER'S MAILING ADDRESS Permit Fee $ , d ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee Energy Plan Checking Fee $ .� ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 86- J!JLOT Solar or heat pump water heater 20.00 NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 oZ-11 Each qas water heater or ve 5.00 Gas piping system 1 - 5 outivic, 5.00 USE OF STRUCTURE 5.00 SF�Q Duplex❑ Mobilehome❑ Other Building sewer � SPECIFY Mobile Home S I G I W O.0.00ea i TYPE OF WORK / C Newx Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑ Permit Fee $ VC I Contractor Describe work: , fT 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 OCCIJt19 OR ADDNS. � ACC. BLDGS. �01/2tsqfflq f>40 1 declare under penalty of perjury (Check one): NEW CONSTR ULT' -OUTLET NO N.RESID BRANCH CIRC ITS 2.50 ea F -1I am licensed under provisions of Chapt. 9, Div. 3 of the Business (POWEROUTLETTUSCIR&I and Professions Code and my license is in full force and effect. EX. Occup(OUTLETS OR FIXTURES 2035oe SALO 30 License No. Classification 1, as the owner, or my employees with wages as their sole compen- FIXED APPLNS. OR RESIO I EA Ex. S OCCUp. OUTLET ( . . 2.00 is intended or offered Temporary service 10.00 � sation, will do the work;and the structure not for sale. (Sec. 7044) Mobile Home Facilities 15.00 ❑ I, as the owner, am exclusively contracting with licensed contract- Misc. Wiring 15.00 ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ � Contractor WORKMEN'S COMPENSATION INSURANCE MEC NICAL PERMIT Filing Fee 10.00 I declare under penalty of perjury (check one): u The permit is for 5100.00 (va(uaiion) or less. Heating ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate Cooling of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject Hood 3•� 13 f to the W. C. laws of California. Ventilation Notice to Applicant: If after making this statement, should you become subject Permit Fee $ to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor Mobile Home Installation 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 Energy Inspection Fee $i to building construction, and hereby authorize representatives of the Countyot TOTAL PERMIT FEE $OL l Butte to enter upon the above-mentioned property for inspection purposes. , J OCCUP. CON ST.TYPC SCNO FLo OD PARC L PD N, Issue 1 also ag a to save, indemnify and keep harmless the County of Butte against all liabi i ies, judgmen costs, and expenses which may in any way accrue �� against id County in sequence of the granting of this permit. _ - This permit is hereby issued under the applicable provi- Butte County Code and/or resolutions to do X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ sions of the 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 in height. � By Date Receipt No. PERMIT EXPIRES Date ' WHITE-D.P.W.. YELLOW-ASSEs30R, PINK -INSPECTOR, GOLDENROD -APPLICANT cyv -ujr RESIDENTIAL S_ 027-110-041 T PERMIT#95-3169 SIMMONS, Brent 7249 Oro Country Club Rd., Oroville New Pri Det Garage V=OK O = Not OK =Not Applicable Not Ready MOBILE HOMES = Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements - Setbacks - Easements MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES(Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Footings; Soils-Size-DepthSpacing-Connectors-Steel qaak tC • 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg: Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6 dlrports; Windows -Doors ectric L__&-Frmg.; Sils-AnchorsStuds-Rttrs-Trusses L iding; Nailing -Veneer -Stucco -Mesh v Roof; Shthg-Roofing L_--+t-Ext.; Steps -Doors -Landings Date Card B-1 ate Card B-1 Date 9- S'%(v Card B-1 _Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3; Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool LBhtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water, Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location-TesN/Vrap; / / L'ft. / /Nat. or/ PL"ft./ /LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements- Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES(Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Footings; Soils-Size-DepthSpacing-Connectors-Steel qaak tC • 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg: Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6 dlrports; Windows -Doors ectric L__&-Frmg.; Sils-AnchorsStuds-Rttrs-Trusses L iding; Nailing -Veneer -Stucco -Mesh v Roof; Shthg-Roofing L_--+t-Ext.; Steps -Doors -Landings Date Card B-1 ate Card B-1 Date 9- S'%(v Card B-1 _Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3; Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool LBhtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (; ' = Date UNDERFLOOR (Plans) OK except If's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; 'Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel -Bloc kouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except n's 16. Water Htr.: Vent -Access -Combustion Air -Baffle 17. Water Pipe: Test & Anchor -Nail Protection -------------------- 18. D.W.V : Test -Fittings & Anchor -Nail Protection 19. Shower Pan: Test. First Floor -Tub Access - ------------------------------------ 20. - Test- Tub -& -Shower.- Second - Floor -Tub Access -------- ------ - - ------------------- - -------------------------- -21. Gas Pipe: & Anchors ------------------- ------------------------------------------------------------Date Card B-1 Date Card B-1 ----------------------- -------------- --- - -- - - -- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except rr's 22. Fixture & Transformer Clearance -Ins. Protection ---------------------- ------------------------------------------------------ 23. --------------------------- --------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors ---------------------------------- ---------- 24. Size Boxes & No. of Conductors -Stapled ---------------------------------------------------- ------- --- 25. Romex Installed Close to Edge of Studs & C.J. ------------------------`--------------------------------- -- 26. Equip. Ground made up w'Mech. Fastners-Bond Gas & Water ----------------------------------...----------.-.._.. -------- --- --- -- 27. 2 Appliance Circuts in Kitchen & Conductor S1zerGFI --------------------------------------------- --- --- -- 28. Subfeed Wire Size ga. Cu or AI -A.0 Wire Size ga Cu or Al ------- ----- - - -- - - - ------- ----------- .. 29. Range Circ. r ' ga. Cu or AI -Oven Circ. r ga. Cu or Al, Insulated Neutral ❑ Yes ❑ No -------- ------------------------- ----- - - - - -- - - _... _ . .. 30. Service -Riser Conductors & Ground -Main Disconnect --------------------------------------------- ------- . ---_... ------ -- -- -- 31. Equip. Clearances Panels- Motors-Mech. Equip. ---- - --- - - . ... .---- . ----------. ....... ... .. 32 Clothes Closet Light -Shower Light -Spa Light ---------------------- ------- ------------- - ---- 33. Smoke Detector ---------------- - --- - --------- ----- --------------- --- ... ....... . Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except a's 34. A.C. Ducts Insulation & Support ----------..... _ ................... .... 35. Vent Fan: Exhaust above insulation ----------- ------ --- -.. ....... ........... 36. Condensate Drain & Overflow. Size & Grade 37 Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet --------- ...... ....... . 38 Attic Access & Platform if Furnance in Attic ------ ------ --- -- -- Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except P's 39 Sils. Proper Material & Anchors 40 Walls Studs -Nailing. Spacing & Bracing -Plates -Sound . ... . ... ... .. ..----..._.. ... 41. Bear ng Walls over Girders & Floor Nailing . - . ... . .. _ ... . . 42. Draft Stop in Walls (rat proof) - -- --- ------- -- --- -_ _... ... .-.. _ . 43. Fire Stops: Furred Ce kings -Stairs -Chases -Tub ---...----- ._.... .- -- 44. Headers & Beam -Size & Bearing 'Ingle & Duplex) Date FRAMING (Continued) 45. -Hangers -Post Caps -Anchors -Connectors _ 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. ------------------ ------ 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48 Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings ---- -- ------- 52.- Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits -------- ------------------- 53. _Stairs: Width -Headroom -Rise -Run -Landing -Fire Protection ------------ 54.. -plywood on Roof Overhang -Attic Vents -Rafter Outriggers - - 55. Siding -Nailing Veneer ------------- 56. -Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access -------------------- -- 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls: Nailin Bolls _ ___ 59. -Insulation -Walls -Ceilings ------------------------- 60. Inf iltration-Walls-Windows ---------------------------------------------- - Date Card B-1 Date Card B-1 -- ------------ ---- ---------------------- Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings ------------ 62. Smoke Detector 63. Furnace Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor-Ducts-Mech. Protection ------------------------ -------64. Bedroom Exiting 65 G.F.I.& Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel: Breaker Sizes & Labels ..--- ---------------------------- 67. Stags & Rails 68. Fireplace or Stove: Clearances -Hearth .._..------------------------------- 69 Elec. Outlets at Wood Panel: Int. & Ext. _-- ..------------------------ -- - ------ -- 70. Kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance ...... _ - - ------------------------------------- -- 71 Elec. Outlets & Receptacles at Kit. Counter . - - - - - ------- ---------------------------- 72. Garage Fire Door: Swing -Landing -Closer ------ --- ---------------------------------- --- 73. A.C. Duct in Garage -Damper .. _ ... ... ----------------------- - ------- ------- 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection .... . - . - ----------------------------- ----- 75. Plb.. Elec. & Mech. Equip. Listed for Location .. - --------------------- ------------------------------------- - 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection .. ... ....... - ------------------------------- 7, -------------- --- 7 Insulation -Foam -Looked in Attic ❑ Yes ----------------------------------------------------------- 78. Guard Rails & Deck Construction -Post Caps --- --- .---------------------------------- ------------- -- 79 Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80 Follow n instlDrive ❑ Yes ❑ No: Walks ❑ Yes ❑ No: Planters ❑ Yes ❑ No ------------------------------------------ -------------------- 81 Stucco: Brown -Finish _ - - _ --- . . ------------------------- 82 --_--------------------82 A C Unit. Disconnect. Electrical. Plumbing -- --- -- --------------------------------- -- ------ 83. Vents Above Roof. PIbg.-Appliance-Fireplace. -CI earance to Openings .. . _ . - - - - - - --- ----------------------------- 84 Water Well: Disconnect. Electrical, Plumbing ... . . - - - - - --------------------- -------------.-. 85 Exterior Elec Trim. G.F.I. Receptacle -Underground - - ---- -------------------------------- 86 Ventilation Throughout House . . . .. _--- _-- ------------------------------------- 87 Glass Protect on . . ------------ ------ -- -- ----- 88 Corrections from Previous Inspections -- ----------- --------------------------- 89 Gas Test -Meters Tagged: Gas -Electric - -------------------------------------- 90 Water & Sewer Connected-CrO to Grade -HD Approval ---.._..-- - ------------------------------ 91 Energy Compliance CertifiCale-Other Certificates - -- - -- ----------------- Date Card B-1 Date Card B-1 ----- ---- ----------- Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTYLOF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville., California 95965 - Telephone (916) 538-7541 ER IT O. '4APPLICATION AND PERMIT �t � AS9REii"-^ +1 Z° N, BUILDING PERMIT O1 NT SI1DIONS TELEPHONE SO, FT, OCC. BUILDING VALUATION Ow7`T44rMZIJ`DZ!MNTRY CLUB, OROVILLE 95966 CQMgMS NAME TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CO, ffl7C' fN LENDER UNIQJOWN Total Valuation is LENDERS MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ Afj(•,!j{ WAOR ENGINEER 1V LICENSE NO. Plan Checking Fee 76.05 $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS ARCHITECT Penalty $ BW�p�t•{ TD� COUNTRY CLUB, OROVILLE ��LL 44 ``JJ- �Jj(�J PERMITFEE $ PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDNISIONSNAME PARCEL MAP Solar or heat pump water heater 23.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other NEW PRI DET. GARAGE SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Xdddition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: (20 X 26) Mobile Home I S I GI W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20.00 Main Service a00V OR LESS ( 2000A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect, License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR ( 8 ACC. BLDS.ff- SO. },p�q.q_, 3.5Q FT. 1 V • GU CNS. NEW CONST. MULTI.OUTLET NON•RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUOUTLET SCIS. ) 8 SINGLE ZD Ex. Occup. (OUTLET OR FIXTURES ) 20 0 1.00 BAL 30 EX. Occup. OUTLEEOTS �RESID.)Ea ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Z', Z045V= Contractor WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith ply with those provisions. Date Signature of Applicant - ❑Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee Is Occ CONST. TYPE TOTAL FEE $ 251.25 5 HAZ. o D. FEES IMP FLX° D CDF ARC PD SUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMITEXPIRESON applicable provisions Resolutions to do work been paid. / Date ( S 2 J (D4.) Ri jf�Q f�(J%7p� I WHITE-D.D.S.•B. D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT .. ... ...� .., .. ..�,.-x..'-.-:Y'/L<i...�r:�,���.s.1.,`%i=•-:kr.:-•.=�iY4r y�..4cN„ir....:"r�:�`^�'�*,'C'''�^''.Y-r.,�;:,..-+Y.•.-.�... .. .-�-r�. ....-« . . COUNTYOF 6UTTE - DEPARTMENT OF; DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRI�fZ6ILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEE G T A re I, * OWNER Proposed Building Use ba . -a i m ry� p rt vl� A P No. O or � - 11©A7t Building Inspector (�26 Date 9,5y�- At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items hAe been submitted . .............................:....... . 2. Plot plans,. /4 sop, signed by preparer of plans . .......................... 3. Complete plans,U/4 sets, signed by prepawA.Gf.-ptafrs........................ j 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans. 5. Hazardous Material Form . ............................. ................. 6. Energy Design Compliance and supporting` documentation. ................ 7,, Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ .................. .................... . 11. Impact fees as shown on attached schedule. . 12. California Department of Forestry plan approval/fees. sS{'afi. !��hc............ 13. �lood elevation letter (100 year floo l by C fornia Engineer. . . 14l Sanitation and plot plan approval C yq% I � Health Department. 15. City of Chico plumbing permit . ......................................... . 16. Plot plan and business license approval from City of Biggs/Gridley. ' 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. .. .. . 20. Pre -inspection for Pia"spection requeis required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . ........................ Owner -Builder Verification (Given to owner , Mail to owner _) ............ P 9AVA 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ....................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 33. PlanJh nlaIcuyC�...©.�... E.�I+ ............................. .� 34. W n you issue thea mit, p c ss as follows: Mail to,iwrier. Mail to contractor. Telephone 0, J a d hold for pickup at V ('© V f office. Deliver with inspector. Other e h Parcel Creation Acreage Applicant rn y�,d1 Date a cA g Copy of Haz-Mat form sent Health Dept. ,Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). - 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Coprijer _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt'Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road; Paradise, CA - (916) 872-6307 CORRECTION NOTICE\ OWNER �� P MIT 00. A routine inspection indicates that the following.violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. f Date Inspecto N ��-,Z REV 10/92 :ONLY Plot Pin 1 �- No& Phm Attachd Sot to B.D.Rk TO: `? Building Department FROM: Environmental. Health SUBJECT: Sanitation Clearance i (YIyA/I0rx_S on Ccw I 1 n v " Owner LocatiAP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well. Clearance for a room mobile home. Other ,c3 —' +04—r 20. x 2 Hold final for: Final clearance O.K. for: NOTE: , nvirorimental Health Specialist Date 4 /07 i 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[$4 NO ]. 2. I HAVE[x] 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: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide'the work indicated:, NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: SOCIAL SECURITY NUMBER: � DATE: NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits forwhich they apply. _ If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sinc�brel Llis�G Micha4l C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. 17,6=89P--E-- PERMIT NO. — — PERMIT EXPIRES 2/3/90 OWNER BRENT SIMMONS- ~— ---~----------_ CONTR. Owner ASSESSOR PARCEL �- 27-1-1--4=1� LOCATION 724'9 . Country. Club d Oroville Co� I i i Temp. Pow Called Temp. Elec. Called i Temp. Gas Called JOB FINAL Signat— = OK = Not_OK = Not Readyable MOBILE HOMES MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DECKS, COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts- Beam s-Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -B1 Date Card -B1 Date 10. Roof; Shthg-Roofing Card -B1 Date Card -B1 Date 11. Ext.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -B1 Date Card -B1 Date 2. Footings; Size -Spacing -Marriage Line Card -B1 Date Card -B1 Date 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s 5. Drain; MH Test -Fall -Flex Connector 1. Setbacks -Easements 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability 7. Water and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit Card -81 Date Card -81 Date Card -B1 Date Card -B1 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date = OK 0 = NotOK - =Not Applicable RESIDENTIAL (Single and Duplex) = Not Ready Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks; -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils -Steel-/ P' Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance _ 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel- Blockouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 50. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 51. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 52. Ext. Doors -One T -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors. 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 55. Siding -Nailing Veneer 12. Electric; Underground 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance- Material -Su pprt-Ins. 57. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 58. Shear Walls; Nailing -Bolts 15. Insulation 59. Insulation-Walls-Clg. 60. Infiltration -Wal Is-Wndws Card -131 Date Card -B1 Date Card -B1. Date Card -131 Date Card -B1 Date Card -131 Date Card -131 Date Card -B1 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchors -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels Card -B1 Date Card -131 Date 67. Stairs &Rails Card -B1 Date Card -131 Date 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 23. Elec. Receptacles Spacing -Lights & Switches at Doors 71. Elec. Outlets & Receptacles at Kit. Counter 24. Size Boxes & No. of Conductors -Stapled 72. Garage Fire Door; Swing -Landing -Closer 25. Romex Installed Close to Edge of Studs & C.J. 73. A.C. Duct in Garage -Damper 2 6. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 75. Plb., Elec. & Mech. Equip. Listed for Location 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 77. Insulation -Foam -Looked in Attic ❑Yes 78. Guard Rails & Deck Construction -Post Caps 30. Service -Riser Conductors & Ground -Main Disconnect 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 80. Following instld.; Drive ❑ Yes ElNo; Walks ❑ Yes ❑ No; Planters ❑Yes ❑ No 33. Smoke Detector 8i. Stucco; Brown -Finish Card -131 Date Card -B1 Date 82. A.C. Unit; Disconnect, Electrical, Plumbing Card -131 Date Card -B1 Date 83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. Date MECHANICAL (Permit) OK except #'s 84. Water Well; Disconnect, Electrical, Plumbing 34. A.C. Ducts Insulation & Support 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 35. Vent Fan; Exhaust above insulation 86. Ventilation throughout House 36. Condensate Drain & Overflow; Size & Grade 87. Glass Protection 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet. 88. Corrections from Previous Inpections 38. Attic Access & Platform if Furnace in Attic 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 9i. Energy Compliance Certificate -Other Certificates Card -B1 Date Card -B1 Date 92• Roofing Certificate Card -B1 Date Card -B1 Date Card -B1 Date Card -131 Date Card -131 Date Card -131 Date Date FRAMING (Plans) OK except #'s 39. Sills, Proper Material & Anchors Card -B1 Date Card -B1 Date 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Comments at Final: 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearing (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS RM17 N 7 County Center Drive - Orou-ille, California 95965 - Telephone: 916/538-7541 APPIACAMN AND PERMIT OW ASSES PAR !NU EZONI N � BUILDING PERMIT C r f SO. FT. OCC. BUILDING VALUATION OW R'S M LING A ESS r ! I CCNT AC TOR'S NAME TELEPHONE CON RACTOR'S MA;LING ADDRESS I i CONS [TION LENDER Fireplace UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ Permit Fee ARC T CT OR ENGINEER LIEN SE NO. ©jj Plan Checking Fee $ 1 ARCHITECT OR ENGINEER S MAILING ADDRESS Energy Plan Checking Fee $ i BUILDING ADDR SS Penalty $ r Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap I 200 Solar or heat pump water heater LOT NO. SUBDIVISION NAME 20.00PARCEL MAP... 7 Water piping 500 Each qas water heater or vent 500 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 SF ❑ Duplex❑ Mobilehome(r Other Building sewer 5.00 Pr [[ SPECIFY Mobile Home S W TYPE OF WORK 0.00ea New ❑ Addition ❑ Remodel ❑ Utilities [7 Inst Instillation[] Ot er ❑ Permit Fee $ Describe work' 1/ y Contractor Cyi 3 ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP S LESS — ORLESS 10.00 Main se CONTRACTORS LICENSE LAW rv!ce EA. ADO'L 100 AMP 2.50 I declare under penalty of perjury (check one): NEW CONST. / DWELLING OCCUP. y\ oRZ ADDNS, l ACC, BLDGS. / � 0s Q ft ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business NON-RESID BRA R NCH CIRCUITS 2.50 ea and Professions Code and my license is in full force and effect. POWER APPARATUS e SINGLE OUTLET CUR. License No. Classification IPL as the EX. Occup(OUTLETS OR FIXTURES 20050t 30 F1 , owner, or my employees with wages as their sole compen- LA9ALO Ex. Occup. .0TE TS IIRESID )RE 2,00 sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) Temporary service 10.00 ❑ I, as the owner, am exclusively contracting with licensed contract- Mobile Home Facilities 15.00 ors. (Sec. 7044) ❑ I Misc. Wiring 15.00 am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ WORKMEN'S COMPENSATION INSURANCE Contractor I declare under penalty of perjury (check one): MECHANICAL PERMIT Filing Fee 10.00 The permit is ;or $100.00 (va!uation) or less. ❑ I have placed on file with the County of Butte Building Department Heating a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. Cooling I shall not employ any person in any manner so as to become subject Hood to the W. C. laws of California. 3.00 Notice to Applicant: If after making this statement, should you become subject Ventilation to the W. C. provisions of the Labor Code, you must forthwith comply with Permit Fee such provisions or this permit shall be deemed revoked. $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Mobile Home Installation Fee $ Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte Energy Inspection Fee $' to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte TOT TOTAL PERMIT FEE $ all liabili les, juMgmenct/costs, against s''d Co against and expenses which may in any way accrue CON eT.TTPE sONooL =Loo PAR c PD No ssu sequence of the granting of this permit. X� I 1Date I - K`f This permit is hereby issued under the applicable provi- Signature of Applicant'— Owner ❑ Contractor ❑ Agent ❑ y sions of the Butte County Code and/or resolutions to do work indicated above for An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. which fees have been paid: DIRECTOR OF PUBLIC WORKS Receipt No. By c Date WNITC-O.P.W., •[CLOW-A,e[»OR, PIVK•INBPCCTOR, GOLDENROD•APPL I CANT PEA T. FYS�1 S.^>=c rl<.♦n COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS RMI N 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICARON AND PERMIT ASSES PAR L�NU EJi j/ ZONI BUILDING PERMIT OWN , ' f� i� l I Sh TEL PH SQ. FT. OCC. BUILDING VALUATION OW R'S M LING A ESS CON ACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONS CTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $_ Permit Fee $ ARC T CT OR ENGINEER LICENSE No. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDR SS 6&, 40, fJ RZ, Permit tee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 U I Solar or heat pump water heater 20.00 LOT N SUBDIVISION NAME PARCEL MAP �4 Z' f Water piping 5,00 Each qas water heater or vent 5,00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeRr Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home tj S O.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities K Inst I lation ❑ Ot er ❑ i Describe work: s Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 , Main service 600V OR LESS 100 AMP OR LESS 10.00 1 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, Or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADO'L 100 AMP 2.50 NEW CONST. DWELLINGoCCUP. a` , OR ADDNS. ACC, BLDGS. / 2¢Sgft NEW CONSTR U LOUT LET NON.RESID .BRA CH CIRC TS 2.50 ea POWER APPARATUS &) SINGLE OUTLET CIR. Ex. o 2D0e0t p UTLETS OR FIXTURES aAL030 FIXED APPLNS. OR Ex. OCCUp. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ 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 g Hood 3,00 Ventilation Permit Fee $ Contractor I certify that I have read this applicalion 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 agreg to sadindenify and keep harmless the County of Butte against liabili'Ves, jucosts, and expenses which may in any way accrueagainst s d Counequence of the granting of this permit. Xf _ (q_ �{ 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 $ TOTAL PERMIT FEE $ OCCUP. CONST.TYPc SCHOOL PLOD PAR Eall This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC BY PE T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No.6J 0/1 WHIT[-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT .�_wY �'� 4� � 4�9Kf"4n{i,�,,y,:,y�19'a3AY W ��� !w .;/r +'�� +ti ",/},i.�,�.. � y � .. .`k , ..-+ Lava i, . �t� � .. 1 �-• . .. w„y '...• � \, ;rid.• ,t, .,..Rye COUNTY OF BUTTE - DEPART1M' Et4T•-.0F PUBLIC WORKS - BUILDING DIVISION } 7 COUNTY CENTER DRIVE- Op�;vy CALIFORNIA 95965 -TELEPHONE: 916/538-7541 / PERMIT APPLICATION DATA SHEET �. Permit No. OWNER �� S o. Proposed Building Use Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and:/or issuance: DATE RECEIVED APPROVED 1. All items.have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate./triplicate, signed by preparer of plans. . 3. Complete plans in duplicate. /triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement:.. 6. School District "Fees Paid Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Building's. 8. Fees of $ Letter of signature authorizati ! . . . . . . Sanitation approval from �✓�� t/ /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 ❑,iMa,il. to owner ❑.) _15. Improvements may be required. , 16 Mobi lehome Installation Data Pre-Inspec. request to 7. re -Inspection for Required. Building Inspector. (Date) Recorded copy of Agricultural Acknowledgment Statement. Driveway Permit. 20. Plot plan approval from city of Engirred trusses in dpPlicate (re fired prigr to plan check). QAC i A /i(s�(� �� l When„you issue thepe m'St, as follows: - —Mail to��\�""ner, Mai to contractor" 41 Telephone r AR and hold for pickup ate raffice, Deliver w/inspector. Other Ll ✓' 5135 _ /.18- A Applicant-- Copy pplicant\Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 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_c711by— date Plans checked by Date Plans approved by 06 Date :�L— 3 " 0`7 Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE - Department -of Public Works 7 County Center Drive, 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. 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 fora 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 ma'or 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; VI Property Owner Social Security Number Date 1- (G-kCi 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. ■qv • - �B�q.N■NA!■HN ■ re N7■■�l7■t1 ■N■N ���.1�i i7■3t»1■��1� ■ ® _., nfiI-7E3tITIL'i'1J _ ff m �®�■ggq.�qO:N !rte rl oil a_NOi■■■f��N■■®�NNS'�� V q ■Nq■ ■ a.�uq�■■■N■�'a11■ spm , _- �■ ■qqH■■■®� � d �■B H� 0 � �CQ1 _ Ham■■■■■ �'�► WHIlls Rr®lN■■q■Nq■■■pC7■■■q■■pp uur, ■ ®� q .41?!" ill■ SEE ■e�i�r• .t n . � • ��e.iiYl i� � r _ viii � • '! eN■� � q■■■■qp r�i/�i11=�� . ���>q�■■■N�■!■■�L�11Si'n»�r% SQL ' • CiiLj!`1LCi�F1ti■l■at�OW �- �ml ��'�—MEN �'� Yi7SuiL yJ' &Um" ��i��■ y"��� T: "�iil�liii�dil` MINIMUM low lillioNIMEN MEMO MEN IN 10 .. -i N. County , Zid- LAND O F NATURAL W E A L T H AN D BEAUTY PLANNING COMMISSION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 PHONE: 538-7601 January 25, 1989 Brent and Sheri Simmons 835 Gardella Avenue Oroville, CA 95965 RE: Temporary Trailer, AP#27-11-41 Dear Mr. and Mrs. Simmons, Please be advised that the Planning -Department has approved your request for temporary use of a mobile home during the construction of your home located at 7249 Oroville Country C1ub.Road, Oroville, at the above referenced parcel number on property zoned A-5 (Agricultural, 5 -acre parcels), pursuant to Butte County Code, Section 24-53, subject to the following conditions: 1. That the occupant has secured a building permit for a residence. 2. That the occupant has secured a sewage disposal permit from the Butte County Health Department. 3. That before six (6) months have elapsed from the date of the issuance of the building permit, the occupant shall have completed the foundation, rough plumbing, framing and the roof of the proposed residence. 4. That the house must be completed within the one (1) year period and the trailer dwelling must be abandoned. 5. That a mobile home utilities and installation permit be obtained from the Butte County Department of Public Works. If you have any questions regarding this matter, please contact this office. Sincerely, B.A. KIRCHER Director of Planning Judy ramer Planning Technician JK: fcu cc: Public Works Building Department S/rhM�►1S W' (' Project Title Wo-JectAddrem EfBuildlnP A Documentation Author By / Telephone • Mandatory Measures Checklist: Residential MF -IR NOTE: Lowrise residential buildings subject to the Standards must contain Utfse trteawres regardless approach used. Items marked with an asterisk (•) may be superseded of the compliance on the Ccriflcate of Com y 1ded by more stringent compliance requirements listed t be considered b all mance. Wften this clteeklist is incorporated into the permit documents. the features noted shaU Y ponies as binding minimum component performance spedfieations for the whether they are shown elsewhere in the documents or on this checklist only. Mandatory measures DFSIGNFR I OMRCEMENT Wail ......:....... t Wall. .. • - • ,.. �� . � 12-5352(c): Special infiltration barrier installed tocomplyPenetrationsw § caulked aDnd�seakd- quality ' �� 12.5352(4): Installation of Fireplaces Roof ............. ��OJ 11 . �� •'r I { I. Masonry and factory -built fireplaces have s I a. Tight fitting, closeable metal or glass door Roof ......... - - .... Q�P b. Outside air intake with damper c. Flue dam and contrd - � Floor.... . ��` ! per, and control Floor APp 2 No continuous bunting gas pilots allowed. HVAC and Plumbing System Measures Slab _. VED :. Edge "••• §2-535 and 2.5303: S g equipment sizing: attach calculations, .;...:� �� � pace conditioning GLAZING _ Shading i §2.5352(h) and 2-5315: Setback thermostat on all applicable heating systems, ading Devices §2-5316(a): Ducts constructed. installed and insulated " Glazing Area Glass _ systems have dam per Chapter lo, 1976 [IMC §2-s316(b): Exhaust tier controls. Orientation - Interior Overhan _ §2.5314(c): Gasfired tenor g . Framing Type app heating equipment has intermittent ignition devices. " - s sin double) offer blind. etc. shadescreen, etc. esMo ._:; ( '- §z-s31a: HVACequipment.water . NorthNo ( ) metaUlvood) l i, neaten. showerheads and faucets certified by the CEC. ' 12.5352(1): Water heater insulation blanket (R-12 or greater) or combined interior/exterior North ( ) Ila/1 r. : - insulation (R-16 or greater): fust 5 fen of pipes closest to tank insulated -3 or §2.5312 mow)' East piping . 7 (Exception q: Pipe insulation on steam and steam condensate return & recirculating 7 a :.._ East ( ) _ §2-53 18(d): Swimming Pool Heating -South ( �V 1. System a On/off switch on heater. 4 - South b. Weatherproof instruction plate on heater: West ( )_ , 1 ' : c. Plumbed to allow for solar. - West ( ) _ 2. 75 percent thermal efficiency. I 3. Pool cover. 4. Time clock. Skylight....... �_ 1 `J+ - 5. Directional water inlet. THERMAL MASS - Lighting and Appliance Measures §2-53526): Lighting - 25 lumens/wait or greater for general lighting in kitchens and bathrooms. ' Type/Covering §2-5314(c): Gas fired appliances equipped with intermittent ignition devices. (slab/ez sed, tilt etc. - - s _ inches Y - • LOCation/Deseri tion itches. bath, ell" t62.5314(a): Refrigerators, refrigerator-freeurs, freezers and fluorescent lamp ballasts certified ` L r • by the CEC. Indicate make and model number. v S COMPLIANCE STATEMENT ' This certificate of compliance lists the building features and HVAC SYSTEMS Title 24. Chapter 2-53 and Title 20. Chapter needed to comply with Minimum Duct j i certificate has been signedb Subchapter design Article 1 of the Califomia Administrative code. This Type (furnace, air Efficiency - Location -Duct Ouiput Manufacturer /Model # by � individual with Overall �'� responsibility and the building owner, who shall I retain a copy of it and tt�rlsmit the certificate to any subsequent purchaser of the building. conditioner, heat um) (SE, SEER,HSPF) (attic, etc.) R -Value tun Or approved ori ! Desi Nallmer Building Owner Addma: rti'l Address: Maximum Fumace Heating Output: t—�L4 �? Btuh 1 I Tekphone: HOT WATER SYSTEMS ` t x• a: Te ne: S stem T T� Manufacturer/Model # (store a as. etc.) Ca a -it ora roved equal) S cial Feature(s)r ds .(sipattrrc) _ �• I (dare) (signature) ' (dale) SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) Documentation Author Enforcement Agency I Nasue: Titk/Furs Name: Addmss. oflCdnent Agency use only - DESCRIMON BUILDING DATA Glass Area % Glass Building Envelope Measures Conditioned oor,4rea t 3S�Z Number of Stories i No:M • 02.5352(a): Minimum ceiling insulation R•19 weighted average. §2.5352(by. Loose Slab/$ised Floor l s�0 Number of -Units SOuti! � fill insulation manufacturer's labeled R•Valoo. • § wall insulation in framed walls R•11 1/,/ [ Single Family Detached (SFD) [ ] Addition Alone West � "�"Z— weighted average (does not apply to exteriorcmass walls). [ ]Sin a Family Attached SFA y (SFA) [ ] Multi -Family (MF) [ ] Existing Building Skylight -L->� __ §2.5352(k): Slab edge insulation - water absorption rate no rveaw than o 3w, water vapor transmission rate no greater than 2.0 pertrt(irtch. §2.5311: Insulation i ( [ ] Existing -Plus -Addition Total /� , s s specified or installed mats California Energy Commission(CF>� quality standards. Indicate type and form. i BUMDING SHELL INSULATION §2.5352(f): Vapor barriers mandatory in Climate Zoites 14 and 16 only. l Coinponent Insulation Location/Comments - §2.5317: Inrltrauon/ExrltrationControls a. Doors and windows between conditioned and unconditioned leakage, spaces designed to limit air e _ypR-Value (attic. to Barag& tYDical, etc) .. _ b. Doors and windows certified. { c. Doors and windows weatherstri ' DFSIGNFR I OMRCEMENT Wail ......:....... t Wall. .. • - • ,.. �� . � 12-5352(c): Special infiltration barrier installed tocomplyPenetrationsw § caulked aDnd�seakd- quality ' �� 12.5352(4): Installation of Fireplaces Roof ............. ��OJ 11 . �� •'r I { I. Masonry and factory -built fireplaces have s I a. Tight fitting, closeable metal or glass door Roof ......... - - .... Q�P b. Outside air intake with damper c. Flue dam and contrd - � Floor.... . ��` ! per, and control Floor APp 2 No continuous bunting gas pilots allowed. HVAC and Plumbing System Measures Slab _. VED :. Edge "••• §2-535 and 2.5303: S g equipment sizing: attach calculations, .;...:� �� � pace conditioning GLAZING _ Shading i §2.5352(h) and 2-5315: Setback thermostat on all applicable heating systems, ading Devices §2-5316(a): Ducts constructed. installed and insulated " Glazing Area Glass _ systems have dam per Chapter lo, 1976 [IMC §2-s316(b): Exhaust tier controls. Orientation - Interior Overhan _ §2.5314(c): Gasfired tenor g . Framing Type app heating equipment has intermittent ignition devices. " - s sin double) offer blind. etc. shadescreen, etc. esMo ._:; ( '- §z-s31a: HVACequipment.water . NorthNo ( ) metaUlvood) l i, neaten. showerheads and faucets certified by the CEC. ' 12.5352(1): Water heater insulation blanket (R-12 or greater) or combined interior/exterior North ( ) Ila/1 r. : - insulation (R-16 or greater): fust 5 fen of pipes closest to tank insulated -3 or §2.5312 mow)' East piping . 7 (Exception q: Pipe insulation on steam and steam condensate return & recirculating 7 a :.._ East ( ) _ §2-53 18(d): Swimming Pool Heating -South ( �V 1. System a On/off switch on heater. 4 - South b. Weatherproof instruction plate on heater: West ( )_ , 1 ' : c. Plumbed to allow for solar. - West ( ) _ 2. 75 percent thermal efficiency. I 3. Pool cover. 4. Time clock. Skylight....... �_ 1 `J+ - 5. Directional water inlet. THERMAL MASS - Lighting and Appliance Measures §2-53526): Lighting - 25 lumens/wait or greater for general lighting in kitchens and bathrooms. ' Type/Covering §2-5314(c): Gas fired appliances equipped with intermittent ignition devices. (slab/ez sed, tilt etc. - - s _ inches Y - • LOCation/Deseri tion itches. bath, ell" t62.5314(a): Refrigerators, refrigerator-freeurs, freezers and fluorescent lamp ballasts certified ` L r • by the CEC. Indicate make and model number. v S COMPLIANCE STATEMENT ' This certificate of compliance lists the building features and HVAC SYSTEMS Title 24. Chapter 2-53 and Title 20. Chapter needed to comply with Minimum Duct j i certificate has been signedb Subchapter design Article 1 of the Califomia Administrative code. This Type (furnace, air Efficiency - Location -Duct Ouiput Manufacturer /Model # by � individual with Overall �'� responsibility and the building owner, who shall I retain a copy of it and tt�rlsmit the certificate to any subsequent purchaser of the building. conditioner, heat um) (SE, SEER,HSPF) (attic, etc.) R -Value tun Or approved ori ! Desi Nallmer Building Owner Addma: rti'l Address: Maximum Fumace Heating Output: t—�L4 �? Btuh 1 I Tekphone: HOT WATER SYSTEMS ` t x• a: Te ne: S stem T T� Manufacturer/Model # (store a as. etc.) Ca a -it ora roved equal) S cial Feature(s)r ds .(sipattrrc) _ �• I (dare) (signature) ' (dale) SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) Documentation Author Enforcement Agency I Nasue: Titk/Furs Name: Addmss. 1. Ceiling Insulation -14 -48 Number of stories Number of stories 444 R -value One Two Three R-0 -103 -49 •32 R-19 -8 -4 -2 R-30 -2 -1 -1 R38 0 0 0 U -value .5 0.08 -11 0.50 -176 -84 -54 0.30 7102 -49 732 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 0.60 6 4 Single- Single - 9 6 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 2 8 15 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 -23 -1 3 8 3. Raised Floor Insulation 17 16 Insulation In Floor _ 9 . . . Number of stories 17 R -value One Two Three '- R-0 -17 __8 .5 i R-11 3 -2 -1 R-19 0 .0 - 0 R-30 3 1 1 U -value -14 -48 Number of stories _ . -.0.60 . 444 -70 -46 - 0.50 -120 -58 38 . 0.40 -95 -46 30 0.30 -69 34 -22 0.20 -43 21 -14 i 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 Crawispace -14 -48 Number of stories -64 R -value One Two Three R-0 -11 -7 -5 R-5 -4 -4 3 R-11 -2 -2 .2 R-19. -1 -2 -2 4. Slab Edge Insulation 4 _- - 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 29 -58 -20 0.90 -4 3 .1 0.80 .1 -1 0 0.70 2 2 1 0.60 6 4 2 0.50 9 6 3 0.40 12 8 4 S. Infiltration (Air Leakage) Specification Points Standard 0 6. Glass Heat Loss Total -14 -48 -69 -64 U -value 16 Percent -42 -59 .51 to .41 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) -14 -48 -69 -64 Etreetive Percent Class 16 -12 -42 -59 (percent glass x SC) na Effective -10 -35 -50 -46 %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 14 .15 10. Exterior Wall Thermal Mass & Shading (Shade Closed) Effective Pei c It Class (percent glass x SCS Effective %Glen North East 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 9 -5 -20 -27 -25 35 8 -5 -17 -23 -21.. -56 7 -4 -14 -19 -18 -47 6 3 -11 -15 -14 -38 5 .2 -9 •11 -10 -30 4 -1 -6 -8 -7 -23 ` 3 0 -4 -5 -4 -16 2 1 -1 -2 -1 -9 1 1 .1 1 1 -4 0 2 3 4 3 0 9. Interior Thermal Mass S Eff. Glass % Interior Slab Floor Raised Floor Mass Stories Stories (assumes ducts In attic) /CFA One Two Three One Two Three 0.0 -8 -5 d -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 2.3 Exterior Singki- : Single - Sum of 7-10 3.2 Wall Family Family Multi Mass Detached Attached Fam4 0.00 0 0 0 j 0.20 3 2 1 -30 0.40 5 4 3 -13 0.60 8 6 4 -11 0.80 10 8 5 -4 1.00 13 101.20 -4 .3 .. 13 12 9 7.0 1.40 12 13 5.4 G 1.60 10 13 11.. 9 1.80 10 12 12 4 ` 2.00 10 11 T 13 14 11. Heating System 9 7 5 SE or HSPF 22 19 (assumes ducts In attic) 13 10 7 Sum of 14 26 23 19 -25 or -24 to -14 to -4 to +6 to 16 or 1 SE HSPF less -15 -5 . +5 +15 more 0.72 6.60 0 0 0 0 0 0 0.75 6.88 3 13 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 Cooling Effective SE or HSPF 1.9 (SE or HSPF x duct efficiency) ' Effective •25 or -24 to -14 to 4 to +6 to 16 or SE HSPF less -15 -5 +5 +15 more 0.30 2.75 -73 -64 -56 -47 -38 -30 na 3.41 -45 -39 -34 -29 -24 -18 0.40 3.67 -34 30 .26 -22 -18 -14 0.50 4.58 -10 -9 -8 7 -5 -4 0.56 5.13 0 0 0 0 0 0.60 5.50 5 5 3 3 2 0.70 6.42 17 15 1 9 7 0.80 7.33 25 22 19 1 161 13 10 0.90 8.25 32 28 24 k 20 1 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 Systcm Point System Summary: Climate Zone 11 SCORE CARD 1. Ceiling Insulation 2. Wall Insulation 3. Raised Floor Insulation Slab Edge Insulation S. - Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) a. North b. East C. South d. West e. Skylight 8. Shading (Shade Closed) a. North b. East c. South d. West e. Skylight 9. Interior Thermal Mass 10. Exterior Wall Mass 11. Heating System Zonal Control? ( Y / N ) 12. Cooling System Zonal Control? ( Y / N ) 13. Water Heating R '21 0._ or R -value [381 U -value [0.030] M or va1R ue [ 11 J U -value [0.098) - or R -value [ 19] -- U -value 10.0371 or R -value [01 F2 factor [0.77] -. - Standard _.. .. Type [double] U -value [0.65] % Total Glass (16) % Glass _ SC Eff. % Glass �. �. x 231 �. i X p X = p % Glass S Eff. Glass % SEER X �� _ r (assumes ducts In attic) `• 7 X = a/. yzs Sum of 7-10 -25 or -24 to -14 to 410 +6 to 16 or SEER less •15 -5 +5 +15 more 8.0 -14 -12 -10 -8 -6 -4 8.5 -9 .7 -6 -5 -4 -3 8.9 -5 -4 -4 -3 -2 .2 9.0 -4 -3 -3 -2 -2 -1 9.5 0 0 0 0 0 0 10.0 4 3 3 2 2 1 10.5 7 6 5 4 3 2 11.0 10 9 7 6 4 3 12.0 15 13 11 9 7 5 13.0 20 17 14 12 9 6 0.8 0.8 Effective SEER 1.3 1.5 1.7 (SEER x dud efficiency) 2.3 2.5 2.7 Sum of 7-10 3.2 3.4 Effective -25 or -24 to -141* -4b +6 to 16 or SEER less •15 •5 +5 +15 more 5.0 -30 -25 -21 -17 -13 -9 6.0 -12 -11 -9 -7 -6 -4 6.6 -5 -4 -4 .3 .. -2 -2 7.0 0 0 5.4 0 0 0 8.0 9 8 1.4 5 4 3 9.0 16 14 12 9 7 5 10.0 22 19 16 13 10 7 11.0 26 23 19 15 12 8 12.0 30 26 22 18 14 9 13.0 33 29 24 20 15 10 i Zonal Control Adjustment 4.7 4.9 5.1 10 8 7 6 4 3 1.1 No Cooling System Installed 1.9 Stories 2.4 2.6 2.8 3 3.2 E One -5 -4 -4 3 -2 -2 Two + 3 3 2 2 2 1' Single -Family Detached and Attached ~ 1.3 1.5 1.7 Unit Size (sQ 2.1 Water 2.5 1199 1200 1700 2200 2700 Heater Credit or i to to to or _Type Type less 1699 2199 2699 more SG None 0 0 0. 0 0 or Solar 12 8 6 5. 4 HP HWR 8 5 4 3 3 5.6 WSB 5 3 3 2 2 1.4 POU _._ 8 2.1 4 3 3 SE None 37 3.5 -18 -15 -12 4.4 Solar -1 5 -1 0 0 5.9 HWR -18 -12 -9 -7 -6 1.7 WSB . -2 -16 -12 -10' -8 3.2 POU -18 3.8 -9 _7 -6 - IG None -5 5.3 -2 -2 -2 6.1 Solar 7 5 -4 3 2 2 POU 3 2 1 1 1 IE None -28 -19 -14 -11 -9 S Solar 8 5 4 3 3 64 POU -10 -6 -5 -4 -3 . 2.3 Multi -Family (Individual units) 2.7 3 3.2 3.4 nit size i6 3.8 Water 4.2 699 700 200 i 700 2200 Heater Credit or to to to or Type -Type 1.6 less 1199 1699 2199 more SG None 0 0 0 0 0 or Solar 14 7 5 4 3 HP HWR 9 5 3 2 2 1.7 WSB 9 4 3 2 2 3.1 POU 9 5 3 2 2 SE None -45 -23 -15 11 .9 6.1 Solar 2 1 1 0 0 2 HWR -23 -12 -8. -6 '-5 3.4 WSB -25 -13 -8 -6 -5 _P- U . _23 -12 -8 -6 .5 IG None -8 -4 -3 .2 J..2 2.2 Solar 6 3 2 1 1 _ POU 1_0 4.3 - 0 _ 0- 0 IE None -30 -15 -10 -8 -6 6.7 Solar 18 9 6 4 4 2.5 POU -8 -4 -q .9 13 Point System Summary: Climate Zone 11 SCORE CARD 1. Ceiling Insulation 2. Wall Insulation 3. Raised Floor Insulation Slab Edge Insulation S. - Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) a. North b. East C. South d. West e. Skylight 8. Shading (Shade Closed) a. North b. East c. South d. West e. Skylight 9. Interior Thermal Mass 10. Exterior Wall Mass 11. Heating System Zonal Control? ( Y / N ) 12. Cooling System Zonal Control? ( Y / N ) 13. Water Heating R '21 0._ or R -value [381 U -value [0.030] M or va1R ue [ 11 J U -value [0.098) - or R -value [ 19] -- U -value 10.0371 or R -value [01 F2 factor [0.77] -. - Standard _.. .. Type [double] U -value [0.65] % Total Glass (16) % Glass _ SC Eff. % Glass �. �. x 231 �. i X p X = p % Glass S Eff. Glass % s. e X �� _ r `• 7 X = a/. yzs Interior Mass/CFA TYPE 1 MASS AREA _, s 8 InteriorINnss/CFA COND. FLOOR AREA TYPE 2 MASS AREA 8 Exterior Wall Mass ND . FLOOR AREA X _ SE or HSPF Duct Efficiency 10.78] Effective SE or [0.72(6.6) HSPF (0.56/5.15] 8• � X . _ SEER [9.5] lt.p.uldc•..i� (e.cpet-d -l.bl Effective SEER 17.03) (SG] Credit [none] t TYPE I MASS (VIMC h 4.2, to: exposed slab) O% 5% 10% 15% 20% 2S% 30% 35% 40% 45% 50% 55% 60% 654. 70% 75% 80% 85Y. 90% 95% 100% 105% 110% 115% 120% 125` Oy. 0 0.2 0.4 0.8 0.8 1.1 1.3 1.5 1.7 1.9 2.1 2.3 2.5 2.7 2.9 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5 5.3 10Y. 0.2 0.4 0.6 0.8 1 1.2 1.4 1.6 1.9 2.1 2.3 2.5 2.1 2.9 3.1 3.3 3.5 3.7 4 42 4.4 4.6 4.8 5 5.2 5.4 20% 0.3 0.6 0.8 1 1.2 1.4 1.6 1.8 2 2.2 24 2.7 2.9 3.1 3.3 3.5 3.1 39 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 2.2 2.4 2.6 2.8 3 3.2 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 .58 40y. 0.7 0.9 1.1 1.3 1.5 1.7 1.9 2.2 2.4 2.6 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 50% 0.9 1.1 1.3 1.5 1.7 1.9 2.1 23 2.5 2.7 3 32 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 24 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 2.1 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 5 5.2 5.4 5.6 5.9 6.1 63 65% 1.1 1.3 1.5 1.7 1.9 2.2 2.4 2.6 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 S5 5.7 5.9 6.1 6.4 70% 1.2 1.4 1.6 1.8 2 2.2 2.5 27 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.6 4.8 S 52 5.4 5.6 58 6 6.2 64 75% 1.3 1,5 1.7 1.0 2.1 2.3 2.5 2.7 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 80'Y. 1.4 1.6 1.8 2 2.2 2.4 26 2.8 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.0 5.1 5.4 5.6 5.8 6 6.2 64 66 85% 1.4 1.7 1.9 2.1 2.3 2S 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 5 5.2 54 5.6 5.9 6.1 63 6S 6 7 90y- 1.5 1.7 2 2.2 2.4 26 2.8 3 3.2 3.4 3.8 3.8 4.1 4.3 4.5 4.7 4.9 5.1 53 5.5 5.7 5.9 6.2 6.4 66 68 95% 1.6 1.8 2 2.2 2.5 2.7 22 3.1 33 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 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 2.5 2.8 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 55 5.7 5.9 6.1 6.3 6.5 6.1 7 105% 1.8 2 2.2 2.4 2.6 2.8 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 5.6 5.8 6 6.2 6.4 6.6 66 7 110% 1.9 2.1 2.3 2.5 2.1 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 8.3 6.5 6.7 69 7.1 115% 2 2.2 2.4 2.6 2.8 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.S 3.7 3.9 4.1 4.4 4.6 4.8 S 5.2 5.4 5.6 56 6 6.2 6.5 6.7 6.9 7.1 7.3 M% 2.1 2.3 2.5 2.8 3 3.2 3A 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.7 7 7.2 7.4 Point System Summary: Climate Zone 11 SCORE CARD 1. Ceiling Insulation 2. Wall Insulation 3. Raised Floor Insulation Slab Edge Insulation S. - Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) a. North b. East C. South d. West e. Skylight 8. Shading (Shade Closed) a. North b. East c. South d. West e. Skylight 9. Interior Thermal Mass 10. Exterior Wall Mass 11. Heating System Zonal Control? ( Y / N ) 12. Cooling System Zonal Control? ( Y / N ) 13. Water Heating R '21 0._ or R -value [381 U -value [0.030] M or va1R ue [ 11 J U -value [0.098) - or R -value [ 19] -- U -value 10.0371 or R -value [01 F2 factor [0.77] -. - Standard _.. .. Type [double] U -value [0.65] % Total Glass (16) % Glass _ SC Eff. % Glass �. �. x 231 �. i X p X = p % Glass S Eff. Glass % s. e X �� _ r `• 7 X = a/. yzs TYPE 1 MASS AREA _, s 8 InteriorINnss/CFA COND. FLOOR AREA TYPE 2 MASS AREA 8 Exterior Wall Mass ND . 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