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027-150-002
1 027-15-0-002 92-0163' LEVITA, MARTIN & WANDA'-------+ ONTR : 'SIMS,. JAY 5,iI GRUBBS RD, OROV I LLE -93 NEW 3F 027-15-0-002 93-1611 B ') LEVITA, MARTIN& WANDA 3557 GRUBBS RM,OROVILLE 3 CONTR : JAY SIS DECK/SF 027715-0-002`: ` �. r;.: 9376 I LEVITA, MARTIN& WANDA` 3557 GRUBBS RD, OROVILLE- AGRICULTURAL• EXEMPTION PERMIT } HORSE BARN 027-15-0-002 96-0056A LEVITA, Martin t' Q 3557 Grubbs Rd, Oroville AG Exem for ha stg) 3- w RESIDENTIAL ' 027-15-0-002 92-0162 LEVITA, MARTIN &-WANDA CONTR: SIMS, JAY , �GRUBBS RD,� OROV I LLE NEW SF ' r 1 4 q. r ;0k i i OFFICE COPY Address GAS C Meter By_vv Date fig ELECTRIC '�'� Meter By-' bate Address f GAS Meter By Dattr` ELECTRI Meter By Dat��7L%2f i p y JOB FINALED (Date) 2-. 3 Signature ENERCT CERTIFICATION LOCA a.P. D;._SCR:?T:ON OF INSULATIOs ROOF MATERIAL BRAND NAME THICKNESS THERMAL RES. EXTERIOR WALL MATERIAL Fiberglass BRAND NAME Certineed THICKNESS X THERMAL RES. / CEILING BATT OR BLANKET TYPE—FIBERGLASS BRAND NAME Certineed THICKNESS /p THERMAL RES. 3 y LOOSE FILL INSULSAFE III BRAND NAME CERTAINTEED THICKNESS %p1 `A a THERMAL RES. d _ FLOOR -ELEVATED MATERIAL Fiberglass BRAND NAME Certineed ' THICKNESS �4 THERMAL RES. / aj FLOOR -SLAB INTERIOR WALL MATERIAL Fiberglass BRAND NAME Ce.rtineed THICKNESS THERMAL RES. I HEREBY CERTIFY THAT THE ABOVE INSULATION WAS INSTALLED IN THE ABOVE BUILD!%G IN CONFORMANCE WITH THE STATE OF CALIF. ENERGY. REQUIREMENTS. HAWKINS IND.INC/dba SHASTA INSULATION LIC.#650723 616ra"IC.1-6-0 '-z /•z y /9.2 Ihereby certify the above insulation and all required items as shown on the building department approved plans and attachments have been installed as required by the State of California Energy Requirements. All equipment. devices and materials are of the quality prescribed or are specifically approved by the State of Calif. --------------------------------- ------------------------------- FIRM NAME/OWNER (PLEASE PRINT) STATE CONT. LICE SIGNATURE OF GENERAL CONT/OWNER DATE . This certificate must be on file with the Building Dept. prior to Final and posted within the buildine. DEC -11-92 FRI 10:31 MOSS LUMBER '. 147[ 9F nrtr� � 4 1 T � C---- ER I F ICA�"E OFA FAX NO. 916 P. 02 CONFORMANCE /HE UNDERSIGNED MANUFACTURER HEREBY CERTIFIES that the products identified below and on attached sheets Nos_ are marked with the Collective Mark of the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION (AITC) and were manufactured in conformance with applicable provisions of American National Standard ANSf/AITC A190.1-1983 Structural Glued Laminated Timber,'and that such manufacture has been at our plant in S�wi.sshome OR , which plant has a quality control system approved by the Inspection Bureau of the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION and inspected periodically by such Bureau. The manufacture of these members complies with,'the manufacturing and fabricating provisions of Chapter 25 of the Uniform Building Code. )08 NAME: Keller Lumber Sales, Inc. for Stock ,09 LOCATION Redding, CA CUSTOMERS OnVen No PO#4533 3-16-92 1472-A DATE __ MFGR'S 0{1GER NO 24F -V40 IJP Glue, Arch App, Indv Wrap SIGNATURE✓1 COMPANY American Laminators �1 �y T:r1E Quality Control AOORESS POB 99, Swi,sshome, 01�,ATe 4/6/92 AITC HEREB Y CERTIFIES that the said company at its said plant is licensed by the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION to use the AITC Collective Mark in respect of products which comply with applicable provisions of said Standard, that the adequacy of the quality control system in effect at said plant is periodically inspected and verified by the Inspection Bureau of the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION, and that, in the judgment of AITC, said company is capable of complying with applicable manufacturing and testing provisions of sold Standard in respect of.products manufactured at said plant. Conformance with the Standard in respect of any specific or particular product is the sole responsibility of the manufacturer; Al Ws guarantee hereunder being that the said company Is qualified to produce a product meeting the said Standard and that its plant is periodically inspected and verified by the AITC Inspection Bureau. AITP rnnu Inra a AITC Certificate No. 7 Fj 5 2 7 A AMERICAN INSTITUTE OF TIMBER CONSTRUCTION FCEIVEL LER LBS. SALES 41 1983 11MGnoCAN INSTITUTE or TIM13en CONSTRUCT10N SHIPPING ORDER - FNdGMI HILL )ATE 12/8192 CARRIER CUS70HER ORDER NO. 7389 m-DR[GIN F REDDING POINT REDOING DESTINATION ,,,PPE,KELLER LUMBER SALES, INC. iDDRESS P. G. B®x 4005 .,i,, REDDING, CALIF. 96099 CONSIGNEE MOSS LBR ADDRESS 0 LT- rn C3 LXJ o k!p SEE REVERSE SIDE FOR TERMS OF SALE t I Ire,; t iv- or'� 14, t Ail JOS, j.Y DEC- 3-92 THU 8:43 MOSS LUMBER CERiIFICATE OF FAX NO. 916 } SAI . =CONFORMANCE 1l -1E UNDERSIGNED MANUFACTURER HEREOY CERTIFIES that the products identified below and on attached sheets Nos. are marked with -the Collective Mark of the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION (AITC) and were manufactured in conformance with applicable provisions of American National Standard ANSI/AITC A190.1-1993, Struelural Glued Laminated Timber, and that such manufacture has been at our plant which plant has a quality control system approved by the inspection Bureau of the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION -and inspected periodically by such Bureau. The manufacture of these members complies with the manufacturing and fabricating provisions of Chapter 25 of the Uniform Building Code. jOu NAME Keller Lumber _4zajo-s-;,_Inc __ J000CATION _..Redding, C ----- --- ----._�.,..,,,..,..�^�__. .__._..�.. CU5TOMER'5 ORDER NO1?0#3+ 9Z � -_ UAT¢ 12-1 _91 MP6R'S QnOEn NO , <W5 -D 24F -V4, WP Glue. Arch_ _ A,pg j . r,0rjV SIGNATUn - ,_-_-� ..4C�7,/l�Sd`t�( COMrANv TITLE ;SeY�Yg� ..,...,-- . AUUI115S.�1CW 2� f , brant, OR GATE i? -27-91 AITC HEREB Y.,CF 7lF/f_-�S that the sald company at its said plant is licensed by the s AMERICAN INSTITUTE OF TIMBFn CONSTRUCTION to use the AITC Collective Mark In respect of products which comply with alirilicable provisions of said Standard, that the adequacy of the quality control system in effect at said plant is periodically inspected and verified by the Inspection Bureau of the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION, and that, in the Judgment of AITC, said company is capable of complying with applicable manufacturing and testing provisions of said Standard in respect of products manufactured at said plant. Conformance with the Standard in respect of any specific or particular product is the sole responsibility of the manufacturer; AITC's guarantee hereunder being that the said cunipany is qualified to produce a product meeting the said Standard. and that its plant is periodically inspected and verified by the AITC Inspection Bureau, AITC FORM IGCA AiTC Certifrcare No. 75990 A AMERICAN INSTITUTE OF TIMBER CONSTRUCTION j1:F: t4.1 V E I Q -4-L (Z - -SAy S t %M S — LAW 1I J10 1 ;ELL -ail L13R. SAi r9l 1907 AMERICAN INSTITUTE OF TIMBr.R CON5TRUCTit)N 0 KELLER LUMBER ars"A.0's E - 2J25/92 - CARRIER CUSTOM ER ORM No. 4411 of REDQIAIG - PolNrof GI XMID33M. IGtN OI SiINATION PPER KELLER LUMBER SALES, INC. CONSIGNEE 'MUSS LBR DRESS ' P. O. BOX 4005 - - : ADDRESS REDDING, CALIF. 96099 r" QTY. WIDTH . OEPTH LENGTH DESCRIPTION OF 44MMODITIES _ STOCK LABS - _K F FO 04,-691 _ VA KELLER LUMBER SALES, INC. ;aMR By CUSTOM A OrtIVEQ a1SIGNEE uecFivRa coon c mons ex�Vl ws NotED -'- NOSS LM r YMENT RIVED: I SES REVE:iSE SIDE FOR TERMS OF SAI � - -- _----- •— _ V c'i .., 3 O cn ul r co m 0 .., 3 O cn ul r co m 0 ti = OK O = Not OK, - Not = Not Readyable R MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK excegt tt's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /" L"ft./ /"LPG 7. 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 N'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 f 7. Water and Sewer Connected -C/O to Grade -HD Approval ' 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGEk(Plans)OK except tt's 1. Zoning Requirements-Setbacks-Easerren?s 2. Footings; Soils-Size-Depth-Spacing-Connectos-Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 J Date Card B-1 Date Card B-1 .1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining' 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures: Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes- Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 I r J=OK O = Not OK = Not Applicable Not Ready RESIDENTIAL = Date JJNDERFLOOR (Plans) OK except ti's 1. Zoning-Setuacks-Easements-Flood-Slope 2. :g lain; Soils -Elea Grnd. ' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/J" g. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wra pped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. rs-Fireplace Ftg.-Steel II6-�. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test-- L. 9. UF. Gas Pipe; Size -Anchors - ya�r ga piping: siz -tes er Pipe; Test -Anchor -Regula or -Service Test 12. Electric; Underground r----�� 13. Pienums & Ducts; Clea rance- Mate ria l-Suppoo-m-S Girders-Sills-AnchorBolts-Joists-Vents-Criaples (l(U-L/reli'l & Ventilation 16. Insulation 112 Date - and B-1 to Card B-1 Date -72-C and B- It Date Card B-1 Date P G (Permit),OK except ti's 16. W ter Htr.: Vent -Access -Combustion Air -Baffle 17. Wate 6: Test & Anchor -Nail Protection W.V.: Test -Fittings & Anchor -Nail Protection - -- --ower Pan: Test, First Floor -Tub Access -- --- ---- - -- 20. TP st Tub &Shower. Second Floor -Tub Access -- ---------- ----- - ----------------------- - ----1. Gas -Pipe: Size & Anchors ------ - --- - --- - Date T (3 -card B-1Date Card B-1 -�-- -- ----- --- ------------ ----- ------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ti's 22. F' ure & Transformer_ Clearance -Ins. Protection -- -� Receptacles Spacing -Lights & Switches at Doors ----- ----- - -- 24. Size Boxes & No. of Conductors -Stapled Ro ex Installed Close to Edge of Studs & C.J. --- - --------------------------- --------------------------------- Equip. Ground made up w/Meeh. Fastners-Bond Gas & Water ------- ----- -------- ---------------------------- -- - - - - 7. 2 Appliance Circuts in Kitchen & Conductor SizerGFI 28. Subfeed Wire Sizer ga. Cu or AI-A.C. Wire Size ga. Cu or At ------------ -------------------------------------------------------------- 29. Ran•! ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No ----------- ---------------------------------------------- t/3�Service-Riser Conductors & Ground -Main Disconnect 3 quip. Clearances Panels-Motors-Mech. Equip. - - - - -------------------------- Motors-Mech. - - - - -- --------Clea-- - --- -- -- --------------------------------------- 32. Clothes Closet Light -Shower Light -Spa Light ----- -- - -- - - -- 33. Smoke Detector - --- - - ----------- ------------- ---------------- Date/-_1,__rd-B-� -- ---Date---------- --Card B-1------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except a's J 4. Ducts --- Insulation & Support --------------- ----- -------------------------------------------------- 5. Vent Fan: Exhaust above insulation 6�GendenFate Dram &Overflow Size &Grade ------ / - ! . - -- flow : Size -------- _ .. - -- ✓ 37. F . ance-Vent: Access -Comb. Air -Return Air Vent -115 outlet 8 Attic Access & Platform if Furnance in Attic Date'r. ----- - Card . B- - - Date -- ------ ----- Card ----- B- 1 1 - -- - ------- -- Date Card B-1 Date Card B-1 ING (Plans) OK except ti's (Single & Duplex) V Sits. Proper Material &Anchors - oper ----- ----c- ------- ----- --- 0. alls Studs -Nailing. Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing -ft ---- -------------------------------------------- -- Stop i -Walls (rat proof) -- - --- ---------------------------------- -- ---------------------- 4 e Stops: Furred Ceilings -Stairs -Chases -Tub ------------------------------------------------------ ---------- 44. Headers & Beam -Size & Bearina Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46 g. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng.- .Fireplace Ties or Type A Flue -Fireplace Throat clearance ted. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles drm. Windows or Exiting Doors -Sill Hgt. & Dimensions r arage Fire Protection Framing roperty Line Firewall & Openings Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits ------- s; Width -Headroom -Rise -Run -Landing -Fire Protection 4. plywood on Roof Overhang -Attic Vents -Rafter Outriggers ---------- ���.,� �ng• Nailing Veneer .1.1`` --'----- -- =..56r3tGcco Mesh -Drip Screed Fd. Vents-Underilr. Access -------j,,-5T'ZGTazing Area -Glass Protection -Skylights -Plastic _y ear Walls; -Nailing -Bolts 59. Ins lation-Walls-Ceilings Infiltration -Walls -Windows -------------- Date -� -rd B_1- Date Card B-1 Dat- _ Card B-1 �7 Date Card B-1 Date FINAL(Plans) OK except ti's E Steps Door & Sidelight Protection -Landings Smoke Detector ------ ----- - -- urnace: Vents -Clearance -Comb. Air -Connector - In Gar ge; Above Floor -Ducts -Meeh. Protection --- - -- Bedroom Exiling F.I & Bath Fixtures & Tub Access -Spa - - ---- ------------ . & Subpanel: Breaker Sizes & Labels Stairs & Rails _ ------- -- - ---------1 -------------------- place or Stove: Clearances -Hearth re v,6*t.-Etec. Outlets at Wood Panel; Int. & Ext. - e --- Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 7 inlets & Receptacles at Kit. Counter arage Fire Door: Swing -Landing -Closer Duct in Garage -Damper tr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection ----- Elec. & Mech. Equip. Listed for Location ---- ec. Receptacles in Garage; (G.F.I.)-Romex Protection ----------- Insulation -Foam -Looked in Attic Yes Guard Rails & Deck Construction -Post Caps 7�Fdrr-Vents & Crawl Hole Door -Drainage & Earth , 1Clearance Looked under Floor &Yes ------ ------------------------------------- L,--,ST -Following instld.; Drive ❑ Yes MIleo; Walks ❑ Yes Planters . ❑ Yes Q- lqo --------------------------------- - ,�3T.-3TQCCo: Brown -Finish - - - - - - -- - --- -- -------------------------- --- - 7)/ic . A.C. Unit: Disconnect. Electrical. Plumbing ents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings _ a ell; Disconnect, Electrical, Plumbing Exterior Elec. Trim: G.F.I. Receptacle- Underground - Ventilation Throughout House - - - - Glass Protection _ Corrections from Previous Inspections 89. ------- - - - -- - - - ----- est-MeterGas --s T - - - --- - rWa Sewer Connected -C/O to Grade -HD Approval- - 'Energy Compliance Certificate -Other Certificates ...... V-- _ ...-_-- - --- ----- ------ --- ------ ------ ------------ --------- --- - Date _ and B -t Date Card B-1 Dat Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final_ 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 X747 Elliott Road, Paradise, 2A - (916) 872-6307 CORRECTION NOTICE 9'A OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Date Inspector REV 10/92 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 / e L/r T 9z -&3 OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Date Inspector 4e f- REV 10/92 COUNTY OF BUTTE ` 1 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 - (9 16) 872-6307 CORRECTION..NOTICE Y OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, .. please co3;EIJI&O, s office immediately. �) 01Z4d 17W/V10 Q14i1- ZA) G /4 Date Inspector REV 10/92 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 op. 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE Li� v IT4 PEo��o OWNER 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 co eted. If you have any question pertaining to this matter, or need additio explanation, please contact this office immediately. Date 3- -� a 3 Inspec COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 f' 7 County Center Drive, Oroville, CA - (916) 538-7541 ,.. 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, �E'atefi-13-0 g"' sp REV 11 91 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive • Orovllle, California 95965 - Telephone: 916,'538-7541 92-163 APPLICATION AND PERMIT i ASSESSOR PARCEL NUMBER 027-150-002 ZONING A 5 BUILDING PERMIT OWNER MARTIN & WANDA LEVITA TELEPHONE $O, FT. OCC, BUILDING VALUATION 2438 R 124 338.00 OWNER'S MAILING ADDRESS 13862 ALMETZ STREET SYLMAR 91342 561 M 19 926.00 CON7TRACTOR'S NAME CONST TELEPHONE 534-5285 147 C 11911.00 CON RACTOOAY R'S NGADDRESS 2573 BROWN AVE OROVILLE 467 0 3,269.00 - Fireplace 21"A" 3,000.00 CONSTRUCTION LENDER NONE UNKNOWN Total Valuation $ 152.4 4.00 LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ 783.00 ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ 391.50 Ener Plan Checking Fee Energy g 20.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 3557 GRUBBS ROAD OROVILLE Permit fee $ 1209.50 PLUMBING PERMIT Filing Fee 15.00 Each Trap 111 5.001 55.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 7.00 7.00 Each flas water heater or vent 7.00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 1 15.00 is nc) Mobile Home S G W @ 15.00 TYPE OF WORK New EN Addition ❑ Remodel❑ UtilitiesInstallation❑ Other Describe work: 2 RnRM _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 18.50 CONTRACTORS LICENSE LAW I declare der penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the BUSIneSS and ProfessiQr�� a and my license is in full orce and effect. License .Jo. '> Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO 1000A, 37.50 NEW CONST. ( DWELLING OCCUPM 3.50 sq.ft. OR ADDNS. ACC. BLDGS. / NEW CONSTR ULT' -OUTLET NON-RESID BRANCH CIRC ITS @ 5.00 (POWER APPARATUS S) (SINGLE OUTLET CIR. Ex. Occup(oUTLETS OR FIXTURES 20 75d Ex. Occup. OUTLETS ((RESID IFIXED APPLNS. REA.� I 3.00 Temporary service 1 15.001 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ - WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. F2/ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject F-]�] to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating 9.00 Cooling 9 3 TON 16.50 Hood 6.50 6.50 Ventilation 2 4.5 9..00 it Fee ee $ 56.00 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue st said Count consequence of the granting of this permit. /� X ��--� Date ` �_�`''�! 7 Si nature of Signature 1Aicant Owner Contractor Agent❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Ener Inspection Fee Energy P $ 0 occ CONST TYPE Viq TOTAL FEE $ HAz 1 DFEE�S (/ '� FLO COF PARCEL IPO - This permit is hereby issued under sions of the Butte County Code work indicated above for which REC F PUBLIC BY PE I EXPIRES Date the applicable provi- and/or resolutions to do fees have been paid. WORKS Datq.7-Z!'� 7- Zf - 1 "3 Receipt No. ��t//�i�'!CG SO #�� .z WHITE•O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT k,, . _ . n 4Y. S� tt r COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISIO 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT AP ICATION DATA SHEET Permit No. .�-. +' " r 1 v_ OWNER l lzV n Q�C� L 1 �CL A. P. No. Proposed Building Use 4)&,4j �%'' 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. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... t 7. Statement of Intent for Non -Heated and AC Buildings .. f 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation r~ pstructions ...... ees of $ �Z �— I ic1. Chico Urban Area fees paid ....................................... 1 12. Park fees pai ... . f 3• (`)rn U h i d N chool Di t ict fees paid .............. 14. Sanitation approval from roy I Health Department 2- 120 l°I Z- 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: 18. Improvements may be required. Contact Land Development Section DPW . Driveway permit (construction approval required prior to occupancy) Z— 2 20. Pre -Inspection for required ... Pre-inspec. request to ti Building Inspector (Datei 21. Contractor's license information (No., Name Style, Classification) ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ....... Z D 05. Letter of signature authoriz t, 27. r - 9 When ou issue the permit, rocess as Vlows:,� Mail to owner. Mail to contractor. Telephone Al 5a sand holdrfor pickup at Q (10office. Deliver w/inspector. Other 1.41 ::� -Applicant .Da�_L_ l u Copy of Hdz-Mat form sent Health Dept. Fir p . Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date ___:�. By r The following data must be submitted p for opermit 'ssuance: (Circle new item not checked above). 1. Index permit for above items No. • '" 2. Additional items required: f PL.ETE P�h{i71 N /-1 D Colitractor, designer, owner, was advised of above required data by_phone---nail—counter by .date Co•itractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by IL Date Z-14. 90— Plans approved by �- �L— Date Sets of plans on hold in File cabinet AP folder Copy—DPW } TO: Building Department FROM: Encroactnient'Permit Section RE: Driveway Clearance owner location Z 7 O z_ AP # Driveway permit h Dr1e- 11Q 46 has been issued for the above property. date si ature J FROM: SUBJECT: Building Department Environmental Health Sanitation Clearance COUWV Of BUTTE BUILOM DEPT FED 19 1991 9 fc r az �3SS� �rl� bhs DJ Aa- Owner Location AP# .� Plan Approved for: Sewage Disposal _ Water Supplyvld;�/ Hold final for: 7inal clearance O.K. for:., �),-w Clearance Wr- QS2_ bedroom home. �r NOTE *** Water Supply Water Supply rA qq on, San arian Date COU1.5v C,r ctMG WID= EMPT wk y l c r,. 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T iw.. a {• t` f; «r%� � •S. .. � r a 45t �•^ 0. � �,, yYA �- t + 1 i ♦ s :� r 5tl ; 4 y4i 11' i r It`. as } rt_ia7 jet s k y.T i ab.. �,y`•�t �,y3. y. �� � s a► g � �+ � s '- .y �.yti. rrr � °' � ,� �� \ �r .,. ,r } • x � TI s, ri tri ^t>z+v '� t t � i ,�:a `y"•z%'�CIT .� �rA � ..' , '':G ` Z -�1 � i i :�'Y � � x � +»ar se t`4 �,:✓ rrp. 9'S � j ti: ; moi; i qr oil ,^�, .:? _ }.. r r :' a 3 X a. �•� �* r �� 3 £ g � '� { �','•'�+, a r� nv- AN LU C .�� • td- � +. •'�•-•AiSi1 �:_ ..� ._ .it. ....I.� 'W`. `. ?I tom:'. ~ t'Y• _ .. /`• .., I ;•. 1, r" r� �•f `` r r Y ,5 � �«� � he � + •��>'. T iw.. a {• t` f; «r%� � •S. .. � r a 45t �•^ 0. � �,, yYA �- t + 1 i ♦ s :� r 5tl ; 4 y4i 11' i r It`. as } rt_ia7 jet s k y.T i ab.. �,y`•�t �,y3. y. �� � s a► g � �+ � s '- .y �.yti. rrr � °' � ,� �� \ �r .,. ,r } • x � TI s, ri tri ^t>z+v '� t t � i ,�:a `y"•z%'�CIT .� �rA � ..' , '':G ` Z -�1 � i i :�'Y � � x � +»ar se t`4 �,:✓ rrp. 9'S � j ti: ; moi; i qr oil ,^�, .:? _ }.. r r :' a 3 X a. �•� �* r �� 3 £ g � '� { �','•'�+, a r� nv- AN LU C .�� • td- � +. •'�•-•AiSi1 �:_ ..� ._ .it. ....I.� 'W`. `. ?I tom:'. ~ t'Y• _ .. /`• .., I ;•. 1, f COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT . PERMIT NO.. n 2 Z _/ ASSESSOR PARCEL NUMBERQ T r j`�/1 ZONI � BUILDING PERMIT 0w7 TELEPHONE SO. FT. OCC. BUILDING VALUATION OWN R'S MAILING ESS m �, 913 I— S 1 �- M /9926 CO ALTO ,SNAME ©nst TELEPHONE /A CONTR TOR'S MAI ING ADDRESS /� _ ��Y` ll ✓F©r,0L,i.� CON RUCTION LENDER I n UNKNOWN c !pI rF,ce " Total Valuation LENDER'S MAILING ADDRESS Filing Fee $ � 15.00 Permit Fee g ' ARCIPIECT OR ENGINEER _/U0Plan LICENSE NO. Checking Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty g BUIL ING ADDRESS Permit fee PLUMBING PERMIT Filing Fee 15.00 Each Trap ( 5.00 Solar or heat pump water heater 20.00 LOT NO. [SUBDIVISION NAME PARCEL MAP Water piping 7.001 Each qas water heater or vent 7.00 USE OF STRUCTURE SF 0 Duplex❑ Mobilehome❑ SPECIFY Gas piping system 1 - 5 outlets 5.00 Building g sewer 1 15.00 Mob le Home S I G I W 015.00 TYPE OF WORK New Addition ❑ Remodel2 tries ❑ Installation ❑ Other ❑ Describe work:— 1 Permit Fee $ 16 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR 00V OR LESS I 18.50 �S, CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 1 am licensed under provisions of Chapt. 9, Div. 3 Of the Business and Professions Code and 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 MaESS in Main service 200ATO1000AI I 37,501 NEW CONST. / DWELLING OCCUaq ,,3.5Csq.ft. OR ADDNS. 1 ACC. BLDGS. IM. Cl s NEW CONSTR. ••IULTI.OUTLET j �@ 5.00 NON.RESID. BRANCH CIRC ITS (POWER APPARATUS &) 1 l SINGLE OUTLET CIR.I 1 / Ex. Occup(OUTLETS OR FIXTURES RI A20 �5c FIXED APPLNS. Of- Ex. Occup. OUTLETS IRESID,I EA.) I 3.001 PI, Temporary service 15.00 J Mobile Home Facilities 15.00 Misc. Wiring I 9 15.00 1 Permit Fee — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating < 00 CooHna Hood 6.50 Ventilation lit 50 191, permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant – Owner[] Contractor ❑ Agent ❑ An OSHA ion of structures over r 39storiesoin he excavations over 5'0" deep and demolition or construct- Mobile Home Installation Fee S Energy Inspection Fee SJ0 00 c CONST TYPE V TOTAL FEET wAz I DF s — I IMP F1 OnA I cCDFPARCE PD HI_> ISSUE -► This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By DateAp_ __ I PERMIT EXPIRES Date 1 1 7�ID r'1 ` S a Receipt No. l� •C 'NNITE-D.P.W., TELLO W-AgSCRSOR, INR -INSPECTOR, GOL CENROO-APPLICANT sic),I NiBfY` iCf dIP r i Gc�e(C /s900 COUNTY OF BUTTE - DEPARTMENT; OF PUBLIC WORKS — BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916)5387541 OWNER �'lQ �`� i YI wQ 4 a �C�y �Gl A.P. NO. / - `.� -d a PROPOSED BUILDING USE X%-. I a.> 5- DATE Zg� l ! 9 REC. # 'DATE REC 1: ct School DistriFees d v► HS (paid at District Office) _ 2. Sheriff Fees (paid at.Building Department) Residential ......... l X � 0 =$�yo 0 unit amt. Commercial(per sq.ft.) X =$ sq.ft. amt. 3. Urban Area Fees (paid at Building Department Residential (per unit) X =$ # units amt. Commerical(per sq.ft.) X =$_ sq.ft. amt. 4. Recreation District Fees (paid at District Office) .......................... 5. Drainage District Fees (Contact Land Development) ......................... 6. Other 7. Other �o9S/ S 12jIlga- At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT DATE 8/91 RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS'TO LOOK OUT FOR l�rway details: landings, rise and run, head clearance, handrails ec. 3306). 2 Guardrail details (Sec. 1711 & 3306(j). or one veneer (Chapter 30). Ateftax plaster - weep screeds (Sec. 4706). 5/--" _i per roof pitch for roof convering (Chapter 32). 6—Roof covering type - (fire hazard). 7: Foam insulation - protection. &-.---3-'6" halls and stairways. iving area over garage - complete 1 -hour separation required on garage side inc u ng supporting walls and posts, etc. 1 xits on three-story dwellings (sec. 3303 & see Mezannines - 1716)._ 12c access and ventilation (Sec. 3205). 1 Un oor access and ventilation (Sec. 2516). 13ion air for fuel burning appliances - L.P.G. requirements. requirements on duplexes. 1 Energy design. 1"lashing at all exterior openings. ' 1jyC-DF responsible area requirements. 01r_ -Z 3:-5 Pz lk2 SJL[. _-vm4t16w_ Z- 14<j 2 +1! a�TA �r ��� '�•�+��yc [.. l p G Lt'c'f CK 7 1Z� c� —T^E-� bl. ��--�'ir $��_ OWNER L -a\11 TA GEN RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX & MISC. ONLY) 8/91 Bldg. Permit # 50;2-/63 A.P. # 27—r5 -o2 Plan Checker 2K. ning requirements: (sideyards and number of permitted living units). 2. Valuation. �rt> lans igned by designer. Pro er description of work on application. fisting violations on property. Items on data sheet. (W.C., fees, Health, Developer Fees, License law, etc). q—R,cVrded notice of violation. PLOT PLAN 1�Complete parcel size and dimensions. 2�Setbacks, sideyards, easements, etc. 3�ther buildings or structures. 4r--@rading, fills, drainage. 54"'Flood hazard. Special conditions on creation.map, (noise, CDF, fire sprinklers, non-comb- ustible, and foundations). 7. M & FAS road setback. 8. BuillUng or utilities across lot lines (Record form). FLOOR PLAN Complete to scale plan with dimensions. r� uired windows for,light and ventilation (Sec. 1205). .Squired windows for second exit (Sec 1204). 4V SS ylights (Chapter 34 & Sec. 5207). V man impact glass (Sec. 5406). quired room sizes, ceiling heights (Sec. 1207). CIs in baths,garage, kitchen, and exterior outlets (Article 210-8). §j---L±7gtt fixtures, switches, receptacles, and exterior receptacles for main- / tenance of mechanical equipment. 9% Locations of water heater, heating and cooling equipment, other electrical X" gas equipment. 10' rage firewall, door size, and closer (Sec. 503(d)(3)). L .,1/ 3'0" exterior exit door (sec. 3304 (f). 12.�Fireplace and wood stow -e location, alcoves, and clearance. 1-- oke detectors (Sec. 1210). 1 Plumbing fixtures, water closet clearances and shower size. STRUCTURAL DETAILS 1"Standard bracing or engineered design (Table 25V) a----tffusual shape, size, or split level house requiring lateral design. ere tory requiring balloon framing and/or engineering. merge -story building requiring engineered calculations and plans. 5. F ndation plan complete enough to construct building. -- Fioor construction details complete enough to construct building. 74--ftevations and wall construction details complete enough to construct building 8'Roof construction details complete enough to construct building. replace construction details and talcs if necessary. 1 after ties or bearing ridge beam. 1 V Garage door or porch header sizes. 1Z/�—tud heights. dobe soils - special foundation design. -14. Retaining walls requiring design. -1.5 -ial Inspection required. /1.-..t'.�-../F'•.<.•..-.v�r7n.-.. rr+.^-... -r-..r .... ....y��... ••.-^'l.. ._ ...-,r,r.r•n•.r.. nt}�f.'a.itn,..-N`-"�' �-.,nr,s. T..,w:.r'.. .«. �,. �..� •.„..at..,....: .. •.�'�..,n._.�..-.....„..a _ .. r ... - _, ' -15U BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One Form per Building,) A.P. Number 04 •--80-0egBuilding Department No. �~ School Districtorp 41001 ks City [::] County � Jurisdiction Property Owner s �t't j rl Cf --W 4 Yl4 4k t e V t (C4 Project Location/Address 3-076rkbbs Pd, Or©ville., Sumdivision Lot Number Residential Development: Sq. Footage P13 (30” # of Living MHI Addition (Group R) Units Commercial/Industrial: a Sq. Footage f New Addition (Including Exterior Roofed Areas) Building De -ailment Representative Date • (Floor Plans reviewed by School District Personnel) District Id No. 68001/140, VnION iql&a School District certifies that of I- NI��7iry W4A,)DP 1,0,V1 tq lz:04-549900 (Applicant Name) (Phone Number) 6 rubbs Aq&o . (Street Address) oko Ville X5965_ (City) (State) (Zip Code) has complied with the requirements of Resolution No. 10J'90 by the payment of $ 364: ` 0" representing o��,3 square feet. chool District Representative /-a/,9cq� Date PAID BY CHECK NO . / % REMARKS : RANK NO / � � h �5 /.5 ano'h NQ/?d s FAID BY CASH white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) -:_ J92_05523 PROPERTY OWNERS: Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code On this the requires this acknowledgement be recorded 1 ' prior to issuance of a building permit. • 92-005523 I Rec Fee 8.00 The property described herein is adjacent I Cash 8.00. to land or included within an area zoned Recorded for agricultural purposes, and residents Official Records of this property may be subject to incon- County of veniences or discomfort arising from the Butte use of agricultural chemicals, including, Candace J. Grubbs but not limited to herbicides, pesticides, Recorder and fertilizers; and from the pursuit 8:35am 10 -Feb -92 I PUBL XX 2 of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that .real property situate in the County of Butte, State of California, described as follows: Date: • �Qq 2 PROPERTY OWNERS: State of(r ) On this the i day of �e �j�✓ pr.� 19 f Z before me, the County ofla,v ey ) SS. undersigned Notary Public, personally appeared M Wr4 ; F,-K,,)k i, F, v , c�AWd P J C- A -a I K C Nd P BIZ Ll► -� Personally known to me. 17,'l Proved to me on the basis OFFICIAL HENRYRROMMEERO of satisfactory evidence. NOTARTPUBIICCALIFORNIA to be the person(s) whose name(s) �Q LOS .EXPIESOCT.2Y subscribed to the �•;ithin instrument and acknowled ed that _ r a , MY COMM. EXPIRES OCT. 28,199/ g -�:-- executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Present A.P. No./=L,j Q Notary Public Y QV2-05523 21 S C H E D U L E C The land referred to herein is described as follows: All that certain real property situate in the County of Butte, State of California, described as follows: A portion of Sections 11 and 12, Township 18 North, Range 4 East, M. D. B. 8 M., more particularly described as follows: Commencing at a point in the Section line between said Secitons 11 and 12, and South 1° 231 2011 East, a distance of 203.09 feet measured along said Section line from the Section corner common to Sections 1, 2, 11 and 12, said Township and Range; thence South 840 151 West, a distance of 207.04 feet; thence South 720 23' West, 220.50 feet; thence South 80° 24' West, 250.10 feet; thence North 850 51' West, 418.0 feet; thence South 50° 581 West, 337.70 feet; thence South 48° 48' West, 269.80 feet; thence South 590 241 West, 318.30 feet; thence South 470 45, East, 225.10 feet; thence South 88° 44' East, 151.50 feet; thence South 590 53' East, 320.20 feet; thence South 610 481 East, 207.40 feet; thence South 68° 57' East, 141.80 feet; thence North 81° 23' East, 152.30 feet; thence South 760 53' East, 88.10 feet; thence North 74° 25' East, 329.73 feet; thence North 610 40' East, 167.80 feet; thence East a distance of 137.90 feet; thence North 690 001 East, 256.0 feet; thence South 450 371 East, 389.40 feet; thence South 61° 41, East, 270.50 feet; thence South 75° 101 East, 248.0 feet; thence South a distance of 244.70 feet to the centerline of the Palermo and Wyandotte County Road; thence along the centerline of said Road, South 750 101 East, 48.65 feet; thence leaving said Road, North 360 571 East, 284.89 feet; thence North 660 30, West, 221.00 feet; thence North 75° 10' West, 240.91 feet; thence North 60° 41' West, 254.94 feet; thence North 45° 37' West, 314.49 feet; thence North 680 07' East, 499.37 feet; thence South 780 091 East, 65.0 feet; thence North 860 34, East, 262.,80,: feet; thence South 840 391 East, 228.0 feet; thence North 80 431 West, 809.10' feet; thence South 800 491 West, 217.20 feet; thence North 88° 35' West, 186:`80 feet; thence South 750 14' West, 147.40 feet; thence South 890 57' West, 231;.60 feet; thence South 820 021 West, 135.90 feet; thence South 840 15' West, 244.46 feet to the point of beginning. END OF DOCUMENT .. J Y AGRICULTURAL AFFIDAVIT E iPLO Y= Employee �i �;tE2E1� Phone I� S3�_ &40 2, Employee's Address (Present) 3SS5- GiZub6S Tv C>RouiL-LS CsF 9SR(o6 Name of Ovner irf) Lv t-4 13ew- A Loren Sr 35.19-7 GZOW RD Owner's Address,5 AR CA- Qiav- 4,16rt-AAAt65 :0 R SL Ow-ner's Assessor's Parcel No. IS -02 Building/Environmental Health - �. Permit Descri ption and Number ltddb�'l u8 Date Issued X12: By. Planning Department Approval: Date Z'=) i .� 9.2 Zone a4 Dwelling on A_ 022`% 150- OZ� 2 By rza:::n-__� .... , I,' Ay 1 ;L PM It_a =do ..,declar.e , subject to the L penalty of perjury, that Ml am the employee of TA address (present) .13W- 4,LASr- SYS.. CA `l�3`FZ on APS ' and that I will be employed under Section 24-21.2 Zi C' for at least a g) thirty-two (32) hours per week for at least sixteen (16) weeks per year on 15-02. Signed , Datedl-d' J IffE, Pvi LOBVIV Employer M-4RTM) � i ,y ..DEMs`.ZkE� .i Phone $19l 340 ` - 91 ' I Employer's Address (pPresent) /3$102 �}c�qi; 7"z� r ST. S1�M4,2 CA g13�2 Name of Owner MAPM P' I Vin- Ria s R DRov�u� Cry 5's1 (0 1" Owner's Addr.es-s % ate_ ;:�. Owner's Assessor's Parcel l%o: -- Building/Environmental Health -- 1 Permit Description and Number — y I"do- YLacas Date -:-Issued Planning Department Approval:. Date 2-1 J - 9' 2Z Zone /a-- Dwelling on AP, -0O T 17 I,— APni i'T14 '-do..-declare-,'...subject -to the penalty of .perjury,- that.I am the -employer of RAY 30L-1-f(UcK� address (present) 3SS.S 6P %16 RD • b/tovau� CA 9 GG . % on .AP# and that I will be employer under Section 24-21.2 a C for at least a to g thirty-two (32) hours per week for at least sixteen (16) ,reeks per year on AP# 2 Z - I 57-0 Signed Dated Z-z3/4Z -VINmojnV3'3111ACIO iN3WiSVd3a JNINNVldt:Ol311118 BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PE N0, Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure sj all not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSES R RCEL NO _ © ZONING OWNER PHONE NO. OWNER'S ADDRESS3S S , , , V C 6ROU' ' LOCATION OF BUILDING Z57 � .. O U' USE OF BUILDINGS o l SIZE OF STRUCTURE ''� �� v 1' X -3 SO. FT. TYPE OF CONSTRUCTION: WOOD FRAME 2L STEEL CONCRETE OTHER (Specify) TYPE OF SANG T e ROOF C VERINNG FLOOR TYPE OI,STRU CTION ESTI MATE D,CQ,S�TOO�C- $ `,C(f AGBuildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as followq w 4 FRONT SIDES 20 /REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. U. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to c. mply with the q 're n e ect at that time and before occupancy. x Date 142 Signature of Owner _ Permit Fee - $60.00G%+ . The above described AG Building is exempt from a building permit Receipt No. FL D I PARC I P RODFj14G 11 ISSU Manager Building Division 9 By / Date �9 %,/ White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTYCENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER A. P. No. Proposed Building Use Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: 1. All items have been submitted. 2. Plot plans, 3/4 sets, signed by preparer of plans. 3. Complete plans, 3/4 sets, signed by preparer of plans. 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans. 5. Hazardous Material Form. 6. Energy Design Compliance and supporting documentation. 7. Statement of Intent for Non -Heated and A/C Buildings. 8. Engineered truss details and layout in duplicate (required prior to plan check). 9. Mobilehome data and manufacturer's installation instructions, 2 sets. 10. Fees of $ 11. Impact fees as shown on attached schedule. 12. California Department of Forestry plan approval/fees. 13. Flood elevation letter (100 year flood) by California Engineer. 14. Sanitation and plot plan approval Health Department. 15. City of Chico plumbing permit. 16. Plot plan and business license approval from City of Biggs/Gridley. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. 19. Driveway permit (construction approval required prior to occupancy). 20. Pre -inspection for required. 21. Contractor's license information. (No., Name Style, Classification). 22. Certificate of Workmans Compensation Insurance. 23. Owner -Builder Verification (Given to owner , Mail to owner 24. Recorded copy of Agricultural Acknowledgement Statement. 25. Letter of signature authorization. 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. 27. Letter of intent on building use. 28. Mobilehome utility clearance. 29. Documentation of legal access. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements. 31. Existing violations/expired permits. 32. Plan check list. 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for q ku at office. Deliver with inspector - Other / Applicant Date EXPIRATION OF APPLICATION Applications for which a permit has not been issued, will expire by limitation one year after date of application. In order to renew action on an application after expiration, a new application; plans and fees will be required. FEE REFUNDS Refunds can only be made upon writtten request by the person who paid the fee. The request must be made within one year from the date of fee payment on permits not issued, and one yearfrom the date of permit issuancefor permits issued; however, on isaued permits refunds can only be made if no construction work has been done. Filing fees, plan checking fees for work plan che;ked and other department costs are not refundable. Original - Applicant > -. . .- 'M.,. .n'+^rFt-.r.•..+-......•�. r--• ...-- ,..- .. ,.- ..�.....1' l.f-� -Y-r{�'yj�.l-}�, r'v�7-.,�fg .-�'•-rr,..-.,. rm,: �•-•; .-... �.•\n. n.ti�.-.� ,� . t COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER 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 BY 1 • All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . ......................... . 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ ........................................... 11. Impact fees as shown on attached schedule ............................ . 12. California Department of Forestry plan approval/fees......................... 13. Flood elevation letter (100 year flood) by California Engineer . ............r...-:. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. .............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. 20. Pre -inspection for to Bui Building required. . . to Building Inspector •D�te) actor 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner _)............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ................................... * * , . . 26. Copy ofreeordded,.deed of parcel creation and 60 right of way to a public'road. 27. Letter of intent ori building use. .............. ...................... "�.... 28. . . Mobilehome utility clearance . ......................................... . 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ..................................... . 32. Plan check list . ..................................................... 33. k: 34.`- When you issue the permit, process as follows: Mail to owner. Mail to contractor. F -elephone and hold for rj cku at office. Deliver with inspector. Other i r" Parcel C-eation yr Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of clans sent Health Dept. Fire Dept. Other Date By The follo=wing 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 _ Datei Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date , Plans„approved'by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works V=OK O=Not OK NotNo Ready b1e MOBILE HOMES Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3: Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Teat -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L" ft. / /"Nat. or/ PV ft./ /"LPG ' 7. Well Clearance & Disconnect 8. Utility Clearance Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3.. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy MISCELLANEOUS Date/Initial pECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a 1. Zonin equirements-Setbacks-Easements ootings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posta-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Elec .ic Frmg; Sits-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; -Roofing xt.; Step o -Landings Date/Initials POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Pane lboards-Ins. to Main in Conduit ' 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V=OK O = Not OK - = Not Applicable Not Reedy RESIDENTIAL ' = Date/Initials UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Fig., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Fig. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Fig. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING (Permit) OK except #'a 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Neil Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/initials ELECTRICAL (Permit) OK except #'a 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24.Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels -Motors -Mach. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date/Initials FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Wells Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Wells (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing (Single & Duplex) Date/Initials FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-RftOties-Purlin=roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date/Initials FINAL (Plans) OK except #'a 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. KIt.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door, Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Mach. Protection 75. Plb., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door-Drainagge & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg: Appliance -Fireplace: Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Comments at Final: MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF`BUTTE DEPARTMENT OF PUBLIC WORKS— 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 PERMIT NO. Address or location of mobi lehome1� 112U- Owner's name 55 OVF?_-4 -6— Z-/—.% S0 yy Owner's address Insignia or hud number Manufacturer's name IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. N -t�a7-1'd 5138 White - Owner, Yellow - Installer, Pink - D.P.W. L -At A COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville. CalifGrnia 95965 - Telephone: 916.'538-7541 APPLICAtIall AND PERMIT PERMIT NO. ` 1' y ASSESSOR PARCEL NUMBER 027-150-002 ZONING A-5 BUILDING PERMI OWNER Martin & Wanda LeVita TELEPHONE SQ. FT. OCC. BUILDING VALUA ION 3,458.00 OWNER'S MAILING ADDRESS 3557 Grubbs Rd., Oroville 95966 CONTRACTOR'S NAME Jav SimsConstruction TELEPHONE 534-5285 CONTRACTOR'S MAILING ADDRESS 2573 Brown Ave. Oroville 95966 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 3,458.00 LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ 52.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 26.25 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit tee $ 93.75 PLUMBING PERMIT Filing Fee 1500 1597 Grubbs Rd-, Ornville Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF [I Duplex❑ Mobilehome❑ Other SPECI FY , Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New u Addition XJ Remodel C Uti lities ❑ Installation[] Other ❑ Describe work: Build Deck P Back of House off of Existing ng Piers (Inspected 3-2-92) Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professi nd my license is in full ce 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) E:1I, as the owner, am exclusively contracting with licensed contract -Mobile ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO 1000AI 37.50 NEW CONST. OR ADDNS. l ( DWELLING OCCUPACC. BLDGS. .&\ 3.64 sq.ft. NEW CON5TR ULTI.OUT LET @ 5 00 NON.RESID BRANCH CIRC ITS POWER APPARATUS y (SINGLE OUTLET CIR. Ex.00cup(OUTLETSORFIXTURES\ 20 764 Ex. OCCUp. OUTLETS IIRESID IKEA.) I 3.00 Temporary service 15.00 Home Facilities 15.00 Misc. bVirin g 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.100 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue aga' said County�onsequence of the granting of this permit. X Date signature f pplic nt owner ❑ Contractor ❑ Agent An OSHA r it is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 7 HAz DFEES IMP FLOOD COF PARCEL PD HD E This permit is hereby issue nder the applicable prcvi- sions of the B C ode and/or resolutions to do work Indic e a r which fees have been paid. OF PUBLIC WORKS / / J By Da 6",f PE IT EXPIRES Date ! Receipt No. 143172 WHITE-D.P.W.. 7ELLOW-A55F9SOR, PINK -INSPECTOR, GOLDENROD -APPLICANT � i/- � 3 �� 1��'cL�' S Nv � C/��y�- £c� b y �, D� T II / �� ��� � E `/ i � r�_ S�ii ���� G/�c� �,�� �o �s.� 'T c�P�a2 T �� � . �jrG(, �ssc �OJq . r`. .�7. �r^ ,. ..�^.:r ,..�L,: r.. tr, t .; fir . _. ,r ,.,,. ��,. ,,... ,+1t \i-. .•+i•wr sk��,t •� •. .. COUNTY OF BUTTE - DEPARTMENT OF D.E�}if_ESLOPMENTSERVICES - BUILDING DIVISION 7 COUNTYCENTER DRIVE - OROVILLE, CALIFdRNIA 95965 -TELEPHONE (916)538-7541" V_ OWNER Proposed Building Use PERMIT APPLICATION DATA SHEET Building Inspector Q � _/yo Date G At time o ermit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ......................................... 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3_ Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . .................................:.......... . 6. Energy Design Compliance and supporting documentation. .................. ............ 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... �. 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ .......................................... 11. Impact fees as shown on attached schedule. ............................. . 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer. . . Sanitation and plot plan approval Healt�i Department.. . 15. City of Chico plumbing permit. . ..e r Q.. rO.K ow.... . ars l ha,� �4 16. Plot plan and business license ap F rova rom i y of Biggs n ey .. ©v 17. Planning approval for (A) Use: (B) Parking: ......y. 18. Contact Land Development about (A) Improvements (B) Drainage. / 19. Driveway permit (construction approval required prior to occupancy). ...P���eao�;�q�---- 20. Pre -inspection for esT required. .. to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner ). ........... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ........................................ . 28. Mobilehome utility clearance . .....................................:... . 29. Documentation of legal access . ..................... 1 .................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. W e you issue theermit, process as follows: Mai to owner.% Mail to contractor. Telephone S, hand hold for pickup at Urtn y i / office. Deliver with inspector. Other _ Parcel Creation �_ I Acreage Applican Date Copy of Haz-Mat form sent Health Dept. Fire Dept. r Pkidrin Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prio tr, opermit issuance: (Circle new item not checked above). 1. Index permit for above items No. 9W 2. Additional items required: Contme or, designer, owner, was advised of above required data by phone _ mail Counter by Date - 7 Contractor, designer, o ner, was advised of above required data by _ phone _ mai Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works TO: FROM: SUBJECT: :_ Building Department Environmental Health Sanitation Clearance E.11 li Ixl.v Plot Plan Attached _ Floor Ilan Attmched _ lent In U.U. Owner Location AP# Plan Approved for: Sewage Disposal Supply: I'ublic Private Well � t (/re ear o be )m Cher zt—)o-�k It o� x50 Hold final for: Final clearance O.K. for: NOTE: Environmental 8/92 th Specialist i Date r 99.4-- 245 9.4_24 14 I 2 3.95AC. 41; 2 0 Q X69 56.30AC. r\1 `S 399 t Sil O / S�� // �L 4/6 152.3 \8 2.44 AC �°� 3.09AC /O 2 11 12 1462.24 N O 324 ; 3114 1354 231,6 141Q 186.8 217.2 0 220' 5 207.04 244.47 n 250.1 a ``� eC CEJ l SE IC- 1 �� :.3.694C. �. \ 1 h 6\3 262.8 228 \r � 8 15 ,r 32 11.334C. 1379 50 I 5 AC 494 10.34 AC. / � 3 ' i� 40,91 PM76-452 Zg4• ��,���/ � r l 7 5 (8) 16 of / 2 I I b 9-99,4c 6 ti N PM 9 6 9. .4 .4 �75 ,4c. 5.00AC 42 0R 500AC PM93-18 F14 I� Eatte Counig Mk BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE. CALIFORNIA 95965-3397 TELEPHONE: 19161 538.7541 FAX: (916) 538-2140 May 9, 1994 Jay Sims Construction RE: Building Permit # 93-1611 2573 Brown Avenue Expiration Date: 6/14/94 Oroville, CA 95966 A. P. # 027-15-0-002 ���t/'M bst9d, Oroville With reference to the above subject, our records indicate that your building permit expires on the above date and your permit falls into the category marked below: [ ] Permit work started, but not completed. Permit may be renewed for 1/2 the original building permit fee (plus a $20.00 filing fee). The renewal permit will extend the building permit for an additional year from the original expiration date. - Should you not renew your permit within 30 days of the expiration date, all work must cease until a new building permit has been issued. For your convenience, we are enclosing a renewal application form and owner -builder form to be completed and signed by you where indicated and returned to this office together,with the fee shown. Please return all copies of the application form. [X$XXXX No inspections have been made on permit work. Inspections are required to verify code compliance. We are unable to renew a permit where the work has not been started and inspected prior to permit expiration. After expiration of your permit, no work may be started until a new permit has been issued. If our records are in error or should you have any questions concerning this matter, please contact the Oroville office. Thank you for'your prompt attention concerning this matter. Yours very truly, Eichfael C. Vieira, C.B.O. MCV:ahb Manager, Building Inspection Attachments Chico Office - 1469 Humboldt Rd/891-2751 Paradise Office - 747 Elliott Rd/872-6307 BUILDING DIVISION I COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES / 7 COUNTY CENTER DRIVE — OROVILLE.:C;'1 IFO;9NIA 95965 —TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT ERMIT N076 Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. b2�_ Sd — DO ZONING A ^� I OWNER MAR'Tla � WAwoA L EV11A PHONE NO. 53 - 2ro3 OWNER'S ADDRESS 3S5-- Ca Ru s D 0 RoV I C-4 9 S` C -C LOCATION OF BUILDING �` SAME USE OF BUILDING SIZE OF STRUCTURE 8' 2 .3% X = So. FT. TYPE OF CONSTRUCTION: WOOD FRAME � STEEL CONCRETE OTHER(Specify) TYPE OF SIDING ROOF COVERING FLOOR TYPE DI ESTIMATED COST OF CONSTRUCTION °. ° $ ,DDc�f—. AG Buildings shall comply with the building front, side, a, d rear yard requirements of the applicable County Ordinances as follows: //0 l� / lr � v� SIDES tiY REAR LILA FRONT AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. I declare under penalty of perjury that the building will be used as stated above and the purposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, ana approvals to comply w Date 3 / A3 Permit Fee — 0.00% Receipt No. ` 1_/,� ) � ( L Signature of Owner The above described AG Building is exempt from a building permit. FL PARCELI P. RCO G ISSU ,'Manager Bulldlnq Division p 3v Date ,.vmt,! - :?rw '!snow - .:i5aof,Or, r.�y - ,? I . C:jwenrrx; - :.oamn:a . . i .t�COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE,.CALIFi3RNIA95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET (,. OWNER A, � I %"� � Q da�fa �- A. P No' e9015 Proposed Building Use Building Inspector Date . Ig i application, I was advised the following data must be submitted prior to permit processing At time71. and/or issuance: DATE RECEIVED BY All items have been submitted......................................... 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3_ Complete plans, 3/4 sets, signed by preparer of plans . ..................... . .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form. ..................... ......................... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $......................................... 11. Impact fees as shown on attached schedule . ............................... 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. ......... . 19. Driveway permit (construction approval required prior to occupancy). .. . . 20. Pre -inspection for required. .. o Build 9 �spedo Pate 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner ). ........... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ...... ..:............................... 26. Copy of recorded deed of parcel creation a Wright of way to a public roads t . 27. Letter of in er tUn building use. ....... . 28. Mobilehome utility clearance. .......'.'.................................. 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ....................................... 32. Plan check list . ..................................................... 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ n"tail Counter by Date �- Contractor, designer, owner, was advised of above required data by _phone _mail Counter by _Date Plans chec<ed by Date Plans appro�yed by Date' Sets of plans on hold in File cabinet Copy - Department of Public Works 1. Ceiling Insulation -4 Number of stories Number of stories Number of stories I 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 R-19 8 6 0.50 -176 -84 -54 0.30 -102 49 -32 0.10 -26 -13 -8 0.08 -18 -9 -6. 0.06 -11 -5 -4 0.04 -4 .2 -1 0.02 4 2 1 0.00 11 5 3 2. Wall Insulation -4 Number of stories Number of stories Single- Single - Two Three _ 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 0.50 -120 -58 0.80 -153 -114 -76 0.50 -91 -68 -46 0.30 -47 36 -24 0.10 0 0 0 0.08 4 3 2 0.06 9 7 5 0.04 14 11 7 0.02 19 14 10 0.00 24 18 12 3. Raised Floor Insulation Insulation InYloor Controlled Ventilation Crawlspace -4 Number of stories Number of stories R -value One Two Three R-0 -17 -8 -5 R-11 -3 -2 -1 R-19 0 0 0 R-30 3 1 1 U -value 4. Slab Edge Insulation! -39 -24 0.60 , -144 -70 -46 0.50 -120 -58 38 0.40 -95 -46 30 0.30 -69 -34 .22 0.20 -13 -21 -14 0.10 -17 -8 -5 0.08 -11 -6 -4 0.06 -6 -3 -2 0.04 -1 0 0 0.02 4 2 1 . 0.00 10 5 3 Controlled Ventilation Crawlspace -4 3 .1 Number of stories -1 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! -39 -24 - Number of Stories 40 R -value One Two Three R-0 0 0 0 R-5 8 5 2. R-7 8 6 3 F2 factor 0.90 -4 3 .1 0.80 -1 -1 0 0.70 2 2 1 0.60 6 4 2 0.50 9 6 3 0.40 12 8 4 S. Infiltration (Air Leakage) Spec f bon Points Standard 0 2' 6. Glass Heat Lms -14 -48 -69 Total %Glass North East South. :West U -value 18 5 Percent 4 1 .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 -2 613 1 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 14 14 �7 7 10 12 13 11 -6 18 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) ERecdve Pes Class (pereent Slaw x SC) Effective -14 -48 -69 -64 %Glass North East South. :West Skylight 18 5 1 4 1 na 16 4 2 5 1 na 14 4 2 5 1 na_ 12 3 3 5 2 na 11 3 3 5 2 na 10 2 3 5 2 1 9 2 3 5 2 2 8 2 3 5 2 2 7 1 3 4 2 2 6 1 3 4 2 3 5 1 2 4 2 3 4 0 2 3 1 3 3 0 1 2 1 3 2 0 0 1 0 3 1 -1 -1 -1 .1 2 0 -1 -2 -4 -2 0 na = not allowed 2 3 4 3 16. Shading (Shade Closed) Effective Peremt Glass (Peres" Shft"o_ Effective %Glees North Eld South, Wed SITW 18 -14 -48 -69 -64 na 16 -12 -42 -59 -55 na 14 -10 -35 -50 -46 na 12. -8 -29 -40 37 na 11 -7 -26 -36 -33 na 10 -6 -23 31 -29 -74 9 -5 -20 -27 -25 -65 8 -5 -17 -23 -21. -56 7 -4 -14 -19 -18 -47 6' 3 -11 -15 -14 -38 5' -2 -9 -11 -10 -30 4 -1 -6 -8 -7 -23 3 0 -4 -5 -4 -16 2 1 -1 -2 -1 -9 1 1 1 . 1 1 al 0 2 3 4 3 0 na . not allowed 9. Interior Thermal Mass Interior Siuple- . Slab Floor Raised Floor Mass Family Stories Multi Masa Stories Attached /CFA One Two Three One Two Three .0.0 ' -8 -5 -4 -2 -1 -1 0.1 -8 -5 -3 -1 0 0 0.3 -7 -4 -2 0 1 1 0.5 -6 -3 .1 1 1 2 0.7 -5 .2 -1 1 2 2 0.9 -5 -1 0 2 3 • 3 1.1 -4 .1 1 3 4 4 1.3 -3 0 2 3 4 5 1.5 -3 1 2 4 5 5 2.0 -1 2 4 5 6 7 2.5 0 3 5 7 7 8 3.0 1 4 6 8 8 9 3.5 2 5 7 9 9 10 4.0 3 6 8 9 10 10 4.5 3 7 8 10 11 11 5.0 4 7 9 11 12 12 5.5 5 8 9 11 12 12 '. 6.0 5 8 10 12 13 13 6.5 6 9 10 12 13 13 7.0 6 9 11 13 13 14 7.5 6 10 11 13 14 14 8.0 7 10 11 13 14 14 8.5 7 10 12 13 14 15 10. Exterior Wall Thermal Mass Exterior Wall Siuple- . Sirlgle- Sum of 14 3. Family Family Multi Masa Detattted Attached Fame 0.00 0 0 0 1 0.20 3 2 1 0.40 5 4 3 0.60 8 6 4 0.80 10 8 5 1.00 13 10 7 1.20 13 12 8' 1.40 12 13 9 1.60 10 13 11. 1.80 10 12 12 2.00 10 11 13 11. Heating System SE or HSPF (assumes ducts In attic) Zonal Control Adjustment System Type Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 12. Cooling 1 Systim 2. Sum of 14 3. Raised Floor Insulation 4. One -25 or -24 to -14 to -4 to +6 to 16 or SE HSPF less -15 -5 +5 ' +15 more 0.72 6.60 0 0 0 0 0 0 0.75 6.88 3 3 3 2 2 1 0.80 7.33 8 7 6 5 4 3 0.85 7.79 13 11 10 8 7 5 0.90 8.25 17 15 13 11 9 7 0.95 8.71 20 18 15 13 11 8 0' 10.0 Effective SE or HSPF 3 3 2 (SE or HSPF x duct efficiency) 1 Effective -25 or -24 to -1410 :4 to +610 16 or SE HSPF less -15 -5 +5 +15 more 0.30 2.75 -73 -64 -56 -47 -38 -30 na 3.41 -45 -39 -34 -29 -24 -18 0.40 3.67 -34 30 -26 -22 -18 -14 n cn A�a -in -n -10' .7 .5 .a. 0.56 5.13 0 0 0 0 0 0 0.60 5.50 5 5 4- 3 5.0 2. 0:70 6'.42- 1T 15 13 11 9 J 7- 0.80 7.33 25 22 1.9 16- 13 10 0.90 8.25 32 28 24 20 17 13 .1.00 9:17 37 32 28 24 19 15 Zonal Control Adjustment System Type Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 12. Cooling 1 Systim 2. Wall Insulation 3. Raised Floor Insulation 4. One PEER -4 -4 -3 -2 (assume ducts In attic) 3 9 2 2 Stn of 7-10 Single -Family ched and Attached e. Skylight -25 a ,24 b 14 to -4 to +6 to 16 or SEER lest -15 .6 1-10 +5 +15 more 8.0 -14 -12 to -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 _ HWR -18 -12 -9 -7 -6 Efflve SEER WSB. -25 -16 (SEER x(Juct effidency) -10' -8 -' 4 Sm of 7-10 -18 _-12 -9 Effwtive•25 or -,24 to -14b -410 +6 to 16 or SEER less -15 •6 +S +15 more 5.0 30 -25 -21 -17 -13 -9 6.0 -12 -11 -9 -7 3 4 6.6 -5 -4 4 -3 .-2 -2 7.0 0 0 0 0 0 8.0 9 8 6• 5 4 3 9.0 16 14 12 9 7 5 10.0 22 19 16 13 10 7 11.0 26 23 19 15 12 8 12.0 30 26 22 18 14 9 13.0 33 29 24 20 15 10 Zonal Control Adjustment 10 8 7 6 4 3 No Cooling System Installed _Stories Ceiling Insulation 2. Wall Insulation 3. Raised Floor Insulation 4. One .5 -4 -4 -3 -2 -2 Two + 3 3 9 2 2 2 1 Single -Family ched and Attached e. Skylight 8. Shading (Shade Closed) unit size (sQ x- Water ©• 5 ;09 120 4' 1700 2200 2700 Heater Uedit or b 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 WSB 5 '3 3 2 2 25'/6 POU 8„ 5 4 3 3 SE None -37 -24 .18 -15 -12 95% 100% 105% 110% 115% 120% 125` Solar -1 -1 -1 0 0 1.1 HWR -18 -12 -9 -7 -6 2.S WSB. -25 -16 -12 -10' -8 -' 4 POU -18 _-12 -9 -7_ -6 n None =5 -3 -2 .2 -2 1.4 Solar 7' 5 '4 3 2 2.9 POU 3_ 2_ 1 1 1 IE None -28 -19 -14 -11 -9 0.3 Solar 8 5 4 3 3 1.8 POU -10 -6 -5 -4 -3 3.3 Multl-FamlW (Individual units) • 3.1 3.9 4.1 4.3 A Unit Size (s 4.8 5 Water 5.4 699 1700 1200 1700 2200 Heater Credit or b to In or Type Type less ^1199 1699 2109 more SG None 0 0 0 0 0 or. Solar 14 7 5 4 3 HP HWR 9 5 3 2' 2 3 WSB 9 4 3 2 2 4.S POU 9 5 3 2 2 SE None 45 -23 -15 -11 -9 1.9 Solar 2. 1 1 0 0 3.4 HWR -23' -12 -8 3 '-5 4.8 WSB .25 -13 -8 -6 -5 56% EQU. 0 __12 1.4 -8 -6 -5' IG None -8- -4 -3 .2 ; -2 3.7 Solar 6 3 2 1 1 _ POU 1_-'_0 5.8 0 0 0 IE None 30 -15 -10 -8 -6 2S Solar 18 9 6 4 4 4 POU -8 „ J 4 3 -2 -2 Point System Summary: Climate Zone 11 SCORE CARD 1. Ceiling Insulation 2. Wall Insulation 3. Raised Floor Insulation 4. -Slab Edge Insulation S. `' Infiltration 6. Glass Heat Loss 7. Interior Mass/CFA 3. a. North 0.9 b. East = c. South d. West d. West ."PC 2 MASS e. Skylight 8. Shading (Shade Closed) 0.47 x- 77 = ©• 5 7 .=3 . SEER 19.51 Duct Efficiency [0.74] Effective SEER [7.03] 13. Water Heating C✓ 07 . Type [SG] Credit (none] ' 41.74UINC-4.21 (carpeted slab) > 1 TYPE I MUSS (UIMC 4.2, tet exposed e slab) 0% 5% 10% 15% 20% 25'/6 30% 35% 40% 45% 50% 55% 60% "'t 70% 75% 80% 85Y. 90% 95% 100% 105% 110% 115% 120% 125` OYa 0 0.2 0.4 04 0.8 1.1 1.3 1.5 1.7 1.9 2.1 23 2.S 2.7 Z9, 3.2 3.4 3.6 3.8 -' 4 . 4.2 4.4 4.6 4.8 5 5.3 10fe 0.2 0.4 0.6 0.8 1 1.2 1.4 1.8 1.9 2.1 2.3 2S -21 2.9 9.1 3.3 3.S 3.7 4 4.2 4.4 4.6 4.8 5 5.2 5.4 20% 0.3 0.6 0.8 1 1.2 1.4 1.6 1.8 2 2.2 24 21 29 3.1 3.3 3.S • 3.1 3.9 4.1 4.3 4.5 4.8 5 5.2 5.4 56 30% O.S 0.7 0.9 1.1 1.4 1.6 1.8 2 2.2 2.4 2.6 28 3 3.2 3.5 9.7 89 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 5.8 40% 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.S 4.7 4.9 5.1 5.3 5.5 5.7 5.9 ,50% 0.9 1.1 1.3 i.S 1.7 1.9 21 2.3 23 2.7 3 32 3.4 3.6 3.8 4 42 4.4 4.6 4.8 S.1 5.3 5.5 5.7 5.9 6.1 56% 0.9 1.1 1.4 1.6 1.8 2 2.2 2.4 2.6 2.8 3 9.2 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 2S 2.7 29 3.1 3.3 3.S 3.8 4 4.2 4.4 4.6 4.8 ' 5 5.2 S.4 5.6 5.9 6.1 6.3 65% 1.1 1.3 1.5 1.7 - 1.9 2.2 24 2.8 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.S 4.7 4.9 5.1 5.3 S.5 5.7 5.9 6.1 6.4 70% • 1.2 1.4 1.6. 1.8 2 2.2 25 2.7 2.9 3.1 3.3 35 3.7 3.9 4.1 4.3 4.6 4.8 S 5.2 5.4 5.6 58 6 6.2 64 75% 1.3 1.5 1.7- 1.9 2.1 2.3 2.S 2.7 3 3.2 3.4 3.8 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 80Y.. 1.4 1.6 1.8 2 22 2.4 26 2.8 3 3.3 3.S 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 66 85Y.' 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 54 S.6 5.9 6.1 6.3 65 67 90Y.': 1.5 1.7 2 -2.2 2.4 28 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 53 5.5 5.7 5.9 6.2 6.4 66 68 95Y. 1.6 1.8 2 .Z2 2.5 2.7 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 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 3A 9.8 9.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.1 7 105%- 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 6.8 7 110% 1.9 2.1 2.3 2.5 2.7 2.9 3.1 3.3 9.8 3.8 4 4.2 4.4 4.6 4.6 5 5.2 5.4 5.7 5.9 6.1 6.3 6.5 6.7 6.9 7.1 115% 2 2.2 2.4 2.62.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 S.9 6.2 6.4 '8.6 6.8 7 7.2 120% 2 2.3 2.5 2.7 2.9 3.1 3.3 9.5 3.7 3.9 4.1 4.4 4.6 4.8 5 5.2 S.4 5.6 58 6 6.2 6.5 6.7 6.9 7.1 7.3 125% 2.1 2.3 2.5 2.8 3 3.2 3A 3.6 3.8 4 4.2 4A 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.7 7 7.2 7.4 Point System Summary: Climate Zone 11 SCORE CARD 1. Ceiling Insulation 2. Wall Insulation 3. Raised Floor Insulation 4. -Slab Edge Insulation S. `' Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) 3. a. North 0.9 b. East = c. South d. West d. West x e. Skylight 8. Shading (Shade Closed) Measures .�e7 or R -value [38] U -value [0.030] /9 Or R-value[II) U-value(0.098] /9 Or R-value(191 U -value [0.037] .4 Point Scores - Z Or R -value [0] F2 factor [0.77) Standard 0 DBL• //� � � ! Z Type [double] U -value [0.65). % Total Glass (16) Sum 1-6 % Glass SC Eff. % Glass /-5 x t'77 = 1.7- 5.9 x = 4.5 2. 0.9 x = o t "7 x d•rj X�- SS REA % Glass TYPE A. MA A = $ COND. FLOOR AREA Sc Eff. % Glass a. North I'S x .(0(., = 1 o b. East 5.9 X = 3. c. South 0.9 x = �. d. West 3.0 x = .o e. Skylight 0.47 x- 77 = ©• 5 7 .=3 Zonal Control? ( Y / N) 9. Interior Thermal Mass TYPE A. MA A = $ COND. FLOOR AREA •r R a: s ^ ^ -ytnl' 10. Exterior,Wall,Mass Ut$ 9terior W- ss/CFA TYPE 2 MASS AREA e _= Exterior Wall Mass ND 7-T L R AREA 111.WFeatilig:S.y9tem qty 421 1 . ;72 x Zonal Control? ( Y / N) SE or HSPF Duct Efficiency [0.78] Effective SE or I A [0.7216.6] HSPF [0.5615.15) 12. Cdoling,System �'� S.9 x 7 .=3 Zonal Control? ( Y / N) SEER 19.51 Duct Efficiency [0.74] Effective SEER [7.03] 13. Water Heating C✓ 07 . Type [SG] Credit (none] 2- - Z Sum 7-10 Point Total. ®� Certificate of Compliance: Residential Climate Zone 11 c��.v r -rp• ProjectTille 357 5 Building Permit # Project Address R K . 2-13- Checked By / Date Documentation Author Telephone Enforcement Agency Use only Glass Area % Glass BUILDING DATA North 35. 15 /1 tF Conditioned Floor Area 04-3e Number of Stories_ East Slatl/Raised Floor --- Number of .Units South 2� ©19 Single Family Detached (SFD) [ ] Addition Alone West Skylight 1174- 3.0 /!� D- ] Single Family Attached (SFA) [ ] Existing Building [ ] Multi -Family (MF) [ l Existing -Plus -Addition Total -Z go,5 /A 15P BUU,DING SHELL INSULATION. Component Insulation Locationi'Comments Type R -Value (Suie..to garages &Tical, etc.) Wall .............. R- 19 .............O FFF;e!�->04Wall Roof............. Roof ............. Floor ............. _ r9 Floor ............. Slab Edge..... GLAZING Shading Devices Glazing Area Glass Type Interior Exterior Overhang Framing Type Orientation (Sf) (singlet double) Lollar blind. etc.) (ahadeweem de.) (Y -e -WI o)(mood) North ( ) 35.5 0131-.. N)-fL . North ( ) East ( ) East ( ) South Sou th ( ) West ( ) West ( ) Skylight....... THERMAL MASS Type/Covering Area Thickness (slab/exposed, tile. etc.) (SO (inches) Location/DCScription (kitchen, bath. etc.) HVAC SYSTEMS Type (furnace, air Efficiency Location Duct Output Manufacturer / Model # conditioner. heat pump) (SE. SEER.ASM (attic, rte:) R -Value (Btuh) (orapproyef-equal) F [-/QMANC-a- r 72 d ,-Me- l•% A/C- 8.9 A -r -r -t S -7 BUM eadmff Maximum Furnace Heating Output: 79_ Z 7¢ Btuh SUILIDIMG t RMY HOT WATER SYSTEMS Tank Manufacturer/Model #r &RaPF=Y- System Type (storage gas, etc) Capacity (or approved equal) S..C7, 519 MAX , SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) Mandatory Measures Checklist: Residential MF -IR NOTE: Lowrie residential buildings subject to the Standards nuu contain these meaAtra regardless of the comPliu m approach used. Items marked with an asterisk (•) may be sulocnO d by mote stringent complo:noe requirements listed on the Certificate of Compliance. When this checklist is incorporated into the Permit documents. the features rated shall be considered by all parties as binding minimum component performance specifications for the marodatorZ measures - whether they arc shown elsewhere in the documents or on this checklist only. DESCIUMON I DESIGNER I ;;RCEMENr , Building Envelope Measures • §2.5352(a): Minimum ceiling insulation R-19 weighted average. §2.5352(by. Loose fill insulation manufacture's labeled R -Value. • §2.5352(c): Minimum wall insulation in framed walls R-11 weighted average (does not apply to exterior mass walls). 62.5352(k): Slab edge insulation - water absorption rate no grestu than 0.3%. water vapor transmission rate no greater than 2.0 perrrt/onch. §2.5311: Insulation specified or installed meets California Energy Commission (CEC) quality standards. Indicate type and form. §2.5352(f): Vapor barriers mandatory in Climate Tones 14 and 16 only. §2.5317: Infiltration/Exfiltration Controls a Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Doors and windows certified. c. Doors and windows weatherstripped: all joints and penetrations caulked and scale 62-5352(e): Special infiltration barrier installed tocomply with 12.5351 Mau CEC quality standards. §2.5352(dy Installation of Fireplaces 1. Masonry and factory -built fireplaces have: a. Tight rotting. closeable mmol or glass door b. Outside au intake with damper and control c. Flue damper and control 2. No continuous burning gas pilots allowed. HVAC and Plumbing System Measures 52-5352(8) and 2-5303: Space conditioning equipment siring: attach calculations. §2-5352(h) and 2-5315: Setback thermostat on all applicable heating systems. • 12-5316(a): Ducts constructed. installed and insulated per Chapter 10. 1976 UMC. 12.5316(b): Exhaust systems have damps controls. 42.5314(c): Gas-fired space heating equipment has intermittent ignition devices. §2-5314: HVAC equipment, water heaters. showuheads and faucets certified by the CEC. 12-5352(i): Water heater insulation blanket (R.12 or greater) or combined intedor/exterior insulation (R-16 or greater): fust 5 feet of pipes closest to tank insulated (R-3 or greater). §2.5312(Exception 1): Pipe insulation on steam and steam condensate return tit recirculating piping. §2.5318(d): Swimming Pool Heating 1. System has. a. On/off switch on heater. b. Weatherproof instruction plate on heater. c. Plumbed to allow for solar. 2. 75 percent thermal efficiency. 3. Pool cover. 4. Time clock. 5. Directional water inlet. Lighting and Appliance Measures §2-5352(j): Lighting - 25 lumens/watt or greater for general lighting in kitchens and bathrooms. §2.5314(c): Gas fired appliances equipped with intermittent ignition devices. 12.5314(a): Refrigerators, refrigerator-dramrs. freezers and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. COMPLIANCE STATEN MMT This certificate of compliance lists the building features and performance specifications needed to comply with Title 24. Chapter 2-53 and Title 20. Chaptcr2. Subchapter4. Article I of the California Administrative code. This certificate has bow signed by the individual with overall design mspcnsibility and the building owner. who shall retain a copy of it and transmit the certificate to any subsequent purdtaser of the building. Designer Name: ratkJ um: Address: Telephone (signs (date) Documentation Author Name: TtkJFurn Address: Building -Owner Name: rttk/Futn: Address: Telephone: (signature) (date) Enforcement Agency Name: Agency: Tekphone