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Home My WebLink About027-150-0251�1 -I / / 27-15-25 Permit#14-,97A'(.A*&iCultural Bldg t;, A,/;:gl Ai -�--��__ �� EKY : � � 1 b +•L - RESIDENTIAL 27-15-25 ; 267-91B,P,E,M �'-`WRIGHT, Jack 3625 Grubbs Rd; Ofoville �T (new sf) r w i { OFFICE COPY Address i ,! GAS � �/ ��D7 Meter By ELECTRIC, Meter By _ Date f i OFFICE COPY I Address i i GAS Meter By TRI Eeter Date i Meter By By Da e� JOB FINALED (pa ) Signature _ J=dk �- O=Not OK =NotNo ReadyMOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance Date Card B-1 Date Card B-1 ' Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas: MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 r MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements l; 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures- Pane Iboards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O = Not OK - = Not Applicable ' Not Ready RESIDENTIAL (Single = Date U FLOOR (Plans) OK except #'s Date .1 Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ tg. Depth 3. Fig., Garage; Soils-Steel-Elec. Grnd.-/ /" Fig. Depth it4. tg.. Porches & Decks; Soils -Steel-/ /Ftg. Depth Stemwalls, Main; Steel- Block outs -Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Hold Downs and Special Anchors W.V.; Fall -Fitting -Test -2 Way /O -Sewer Test _'>- ti)(4_1 t' -.4e. Gas Pipe; Size-AnchorsT� „ a t- 1. Water Pipe; Test-Anchor-*jegu ator-Service to Pienums & Ducts; Cl Girders -Sills -Anchor 15. Insulation Date Card B-1 Date Card B-1 Date _ Card B-1 Date Card B-1 Date PL SING Permit OK except #'s Water Htr.; Vent-ASpess-Combustion Air -Baffle a ipe; st & Anchor -Nail Protection D.W.V.; Test -Fittings & Anchor -Nail Protection 19 hower Pan; Test. First Floor -Tub Access Tub & Shower, Second Floor -Tub Access Gas Pipe; Size & Anchors Date Card B-1 Date Card B-1 _ Date Card B-1 Date Card -B-1 Date ELECT ICAL (Permit) OK except #'s ure & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors i Boxes & No. of Conductors -Stapled Romex Installed Close to Edge of Studs & C.J. 26.tquip. Ground made up w/Mech. Fastners-Bond Gas & Water 2 Appliance Circuts in Kitchen & Conductor Size/GFI 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 0 Yes O No Ser ' -Riser Conductors & Ground -Main Disconnect ,quo.' Clearances Panels-Motors-Mech. Equip. Clothes Closet Light -Shower Light -Spa Light 3 moke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ME NICAL (Permit) OK except #'s 4 Ducts Insulation & Support 5. Ve an; Exhaust above insulation Condensate Drain & Overflow; Size & Grade 3 . F O nance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ttic Access & Platform if Furnance in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRA G (Plans) OK except #'s Proper Material & Anchors 0. s Studs -Nailing, Spacing & Bracing -Plates -Sound Baring Walls over Girders & Floor Nailing raft top in Walls (rat proof) 43 re Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing & Duplex) nued) Connectors Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng. Rfng. lace Ties or Type A Flue -Fireplace Throat clearance Access; Size & Romex Protection -Draft Stop -Ins. Baffles Windows or Exiting Doors -Sill Hgt. & Dimensions 5n c : ge Fire Protection Framing Property Line Firewall & Openings 52. Ext. Doors -One 3' -,Check Garage -3rd Story, 2 Exits Width-Headroom-Rise78un-Landing-Fire Protection 4. plywood on Roof Overhang -Attic Vents -Rafter Outriggers +' . Siding -Nailing Veneer r-66.-Siticco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic L --_,S hear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 1i6tT"InfiItration -Wal ls-Wind s Date 7- J. Card B-1 Date Card B-1 Date y Card B-1 Date Card B-1 Date FINA Plans OK except #'s Ext ps-Door & Sidelight Protection -Landings Smo a Detector urnace; Vents -Clearance -Comb. Air -Connector - In ge; Above Floor-Ducts-Mech. Protection d;f._BegXoom Exiting G.F.I. & Bath Fixtures & Tub Access -Spa lec. 1 o" Subpanel; Breaker Sizes & Labels fair ails Fireplace or Stove; Clearances -Hearth lec. Outlets at Wood Panel; Int. & Ext. _7.9Kit.Fix & Appliance; Grnd.-Air Gap -Cooking Clearance le --Outlets & Receptacles at Kit. Counter ,7�GaLage Fire Door; Swing -Landing -Closer A.C. tin Garage -Damper tr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Gar ge; Above Floor-Mech. Protection 7 . b., Elec. & Mech. Equip. Listed for Location lec. eceptacles in Garage; (G.F.I.)-Romex Protection nsu_lation-Foam-Looked in Attic O Yes u d Rails & Deck Construction -Post Caps Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor 0 Yes P-ro-flowing instld.; Drive 0 Yes 0 No; Walks 11 Yes 11 No; PI Ts 0 No co; Brown- Lnish . U >t; Disconnect, Electrical, Plumbing ents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openi s ater Well; Disconnect, Electrical, Plumbing xterior Elec. Trim; G.F.I. Receptacle -Underground en ' n Throughout House GI ss Protection aa'corrections from Previous Insp ctions 89. G T st-Meters T-%g6ed;;Gvf-EIAet<c r & Sewer Connecte -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates 117 Date Card B-1 Date Card B-1 Date/'- 1,Card B-1 Date Card B-1 Dat Card B-1 Date Card B-1 Comments at Final: (NOTE: An entry must be made each time you visit job site) rl- air r Permit No. '1 ENERGY CERTIFICATION 3625 Grubbs Road Palermo a A.P, No, LOCATION ROOF Material Thickness (incites) DESCRIPTION OF INSULATION Brand Name Thermal Resistance (R VGIVO),.,,r...,,..., EXTERIOR WALL OWENS-CORNING material FIBERGLASS BATTS BrT�letrmeNam leResistance(R Ve140 ....�,. Thickness (incites) 61 CEILING Batt or Blanket Type FTRFR(I ASS BATTS Brand Nam OWENS-CORNING TI►icknese(inchea) Thermal Resietance(R Valuo), R3T... Loose Fill Type Brand Name Minimum Thickneejl(Incilee) Number of Bage Wto per bag lb• Area covered(ft. ) Thermal Resistance(R Velue).,--,-, FLOOR, ELEVATED Material FIBERGLASS BATTS Th icknese(inchee)_ 6411 FLOOR, SLAB Material Thicknees(inches) .Width(inches) Brand Name OWENS-CORNING T1jermal Restetance(lt Value)--aI2- 1 Brand Name f Thermal Reeietance(R Value)W-- 4 FOUNpATION WAIL Brand Name Material Thermal Restatange VO W1 Thickness(incllee) i horeby certify that the above insulation was installed to the 09vn Wilding in conformance With the State of California l<norty Requirewents• 499150 LOERKE INSULATION CO.. INC. FIRM NAME OWNER STATE CONTRACTOR 8 IICEN$11 110. July 12, 1991 SIGNATURE OF INSTALLATION APPLICATOR DATE I hereby certify tits above insulation and all required itewa of ahQVQ on the Building Department approved plans and attachinents have bean insta�lOd ae required by Lite State of California Energy Requirements. All equipment, devices and materials are of the quality prescribed 9V are specifically approved by the Stats of California. FI[� NAME/OWNER (Please print) STATE CONTRACTOR Is IICEN8$.NO. SIGNATURE OF QEHERAL CONTRACTOR OWNER DATB T11I$ CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TQ FINAL. INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN TUE BUII.DTNQ� ,iAn..RY'V 1984 !.': COUNTY OF BUTTE v' DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE /A )1z_,cqr OWNtR PERMIT N0. -: A routine inspection indicates that the following violations of County Ordinance M. L .Y ti exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. ,A </) ?TT— 7-,J-/ rPc�_ s# w'. 4 • ti y �1. w DL Date /' �`i / Z Inspector COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville -• Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION vNOTICE OWNEA PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should -be corrected'* ease notify this office when correctiono work is completed. If you have -any question pertaining to this matter, or ne additional explanation, please contact this office immediately. Irate Inspect r �. y- y �\�\ �1 / COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 27-19 —25 ZONING A5 BUILDING PERMIT C7 V OWIER RWright ackoWptEg T 34PTMA SQ. FT. OCC. BUILDING VALUATION e MB�xNQgD000 RFpsalermo, CA 95968 Y V (�b Coy 3ZD CO TRACTOR'S NAME owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace COgSOne CTION LENDER UNKNOWN Total Valuation Is q $ Zo Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ y30 ARCHITECT OR ENGINEER None LICENSE No. Pian Checking Fee $ IS Energy Plan Checking Fee $ 15.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Grubbs Rd., Oroville Permit fee $ L-703625 PLUMBING PERMIT Filing Fee 10.00 Each Trap . /D . 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP p '1 0 Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF [2X Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 5-00 Mobile Home S I G I W 1 110-00e TYPE OF WORK NewM( Addition[] Remodel❑ Utilities❑ Installation❑ Other E] Describe work: 2 BR _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 60OV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ontract- ors.(Sec. 7044) ors. ❑ I am exempt under Sec. , Business and' Professions Code for this reason NEW CONST. DWELLING OCCUP.B OR ADDNS. ACC. BLDGS. 2h¢sgftqr NEW CONSTR. ULT' -OUTLET NO N.R ESID BRANCH CIRCUITS) 2,50 ea POWER APPARATUS 61 SINGLE OUTLET CIR. p OUTLETS OR FIXTURES Ex. Occup( 20@s 6AL@30 FIXED APPLNS. OR Ex. Occup. OUTLETS IRESI D.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ 80.0 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 f Consent to Self -Insure. ' I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating dual pak Cooling g Hood 3.00 Ventilation permit Fee $ 25-0 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 enses which may in any way accrue against said County in con granting of thiVpe it. all liabilities, judgments, *)Contractor X Date Signature o Applicant — ❑ Agent ❑ An OSH rmit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ 3 CONSyvcPE TOTAL FEE $ HAZ CUA PARK SCHL F0 Z>el o I su This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DI C R OF PUB By0 PERMIT EXPIRES Ode_ the applicable provi- resolutions to do have been paid. WORKS Date OQ Receipt No. 83408—$265.00 -3'? ��•6-0 p WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. OLDENROD-APPLICANT r COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION , 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 ,% PERMIT APPLICATIONPATA SHEET 0 ,v,/' �! 't Permit No. OWNER %_ A. P. No. Proposed Building Use S 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 ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9 Mohilehome installation data including manufacturer's installation n tructions . 10. ees of $ �'........................................ 1. Chico Urban Area fees paid ....................................... ark feed„paid .............. %4� paid.............. �-- 1-3. Sanitation approval from Health Department ='3 4 15. City of Chico plumbing permit ..................................... .16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec.request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance ................... 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 4. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authoriz ion . 26. L�Y?'�-EL_ �'�i>7" TCS — 27. i When y issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone S3- 110 A and hold for pickup at office. Deliver w/inspector. Other 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 submittedrior p rmit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone—nail counter by ..date Contractor, designer, owner, was advised of above required data by—phone—mall—co un e/rr biy date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW TO Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Ownef Location AP# Plan Approved for: Sewage Disposal Water Supply Hold final for: Water Supply ^incl clearance O.K. for: Water Supply Clearance for __Z bedroom home. Other NOTE * * * Date Sanitarian RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX& MISC. ONLY) OWNER GENERAL Zoning requirements: (sidey rds and number � T"p. �•z� 2 &;1�9a:'nissigne�by designer. ;�Proper description of work on application. sting violations on .property. 12/90 Bldg. Permit # A.P. # --�� Plan Checker of perm' units). ,grow • s -o Items on data sheet. (W.C., fees, Health, Developer Fees, License law, etc). -77--�ecorded notice of violation. PLOT PLAN .S�-].�omplete parcel size and dimensions. etbacks, sideyards, easements, /3 Ether buildings or structures. Grading, fills, drainage. •-5--Flood hazard. ficial conditions on creation ustible, and foundations). �& FAS road setback. adding or utilities across lot FLOOR PLAN etc. map, (noise, CDF, fire sprinklers, non -comb - lines (Record form). � Complete to scale plan with dimensions. �L�Required windows for light and ventilation (Sec. 1205). ,3-�Required windows for second exit (Sec. 1204). 1--ights (Chapter 34 & Sec. 5207). man impact glass (Sec. 5406). �uired room sizes, ceiling heights (Sec. 1207). +7: G�-Cis in baths, garage, kitchen, and exterior outlets (Article 210-8). &./ Light fixtures, switches, receptacles, aqo exterior receptacles for main- nce of mechanical equipment.. Locations of water heater, eating a d b equipmen jother electrical or gas e uipment. �6- &Fage firewall, door size, and closer (Sec. 503(d)(3)). 1 1 - 3'0_' exterior exit door (sec. 3304 (f). Fireplace and wood stove location, alcoves, and clearance. -1-3-Smoke de ectors (Sec. 1210). tum fixtures, water closet clearances and shower size. STRUCTURAL DETAILS 1. Standard ing ore-eT-ed-d srg-n (Table 25V) 1.— 'tee, ��Ze, or split level house requiring lateral design. '�undation pian complete enough to construct building. 4 Floor construction details complete enough to construct building. .-.5-.--Ere-vations and wall construction details complete enough to construct building. Roof construction details complete enough to construct building. 7r-LJS S'S Or -- construction details and calcs if necessary. l8. Rafter ties or bearing ridge beam. ;1 a'or porch header sizes. 1�-Garge don -r . Stud heights. obe oils - special foundation design. 12.-RettTin ng walls requiring design. lir peS al Inspection required. 12/90 RESIDENTIAL PLAN CHECKING GUIDE MISC ANEOUS ITEMS TO LOOK OUT FOR K -Stairway details: landings, rise and run, head clearance, handrails c. 3306). 2. Guardrail details (Sec. 1711 & 3306(j). or stone veneer (Chapter 30). �-plaster - weep screeds (Sec. 4706). 4 ---Proper roof pitch for roof convering (Chapter 32). �Cr Roof covering type - (fire hazard). cl-7 `oam insulation - protection. 13-.--36" halls and stairways. ,9g area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. exits on three-story dwellings (sec. 3303 & see Mezannines - 1716). 1 f -.-Attic access and ventilation (Sec. 3205). 1 Z' nd�e floor access and ventilation (Sec. 2516). 13.--o5bustion air for fuel burning appliances - L.P.G. requirements. ,1-1 N. -is equirements on duplexes. -�gy design. Flashing at all exterior openings. ponsible area requirements. _COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916=538-754.1 OTHER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) --\►- 2. I (have/have not) signed an application for a building permit for the proposed wore. 3. .1 have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone .Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner ° Social Security Numbe Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California.Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. ' 'R'PAY.z.,'nMr�+"rs+a�'�.i:'�+�`�;��7i*R'Grrk15"✓'i''Nv1HFF�'^'`"''—y�j'^E*�"*^'reek'.tA�.�i1'.� ji.4n.ii'4A'�;+i�;,,'�'.%s,v�'i�"tiS'i{:it«a�:'4�'�,v{S`�+Ks.?e BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One Form 'per Building) 1 A.P. ;N.umbero -/S' -_ZS Building Department No. School Districtelrejo -E City D county K] Jurisdiction l Property Owner Project,Location/Address 3�.,Z.S C j. .S RU > c Subdivision - Lot Number Residential Development: Sq. Footage # of Living MHI Addition (Group R.) Units ' I Commercial/Industrial: New Sq. Footage Addition (Including Exterior Roofed Areas), Oat (Floor Plans reviewed by School District Personnel) rict �IQdNo.- School District certifies that one Number) (City) (State) (Zip Code) has complied with the requirements of Resolution No. l©� �� / DU by the payment of $ �j (Jrepresenting 1;2-y0CJ quare feet ,r School District R resentative Date PAID BY CHECK NO. REMARKS: BANK NO PAID BY CASH do/ white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) '—(-�c-2�v►�.�_v_P r rls.I� bS ICc—J� `ice_`7-1 - 2� ic.�t9K To rn F COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBJEEL AC111111,117ZONI (2 — tea` G �14BUILDING PERMIT OWNER SO. FT. OCC. BUILDING VALUATION OWP%MAILING ADDRESS CON'TRACTOR'S �A.6ME TELEPHONE CORAC OR'S MAIL-17MG ADDRESS - Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $-� LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ICj Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS U Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 --- Each qas water heater or vent 5.00 /�� USE OF STRUCTURE "'\ Duplex❑ Mobilehome❑ Other ``'V SPECIFY Gas piping system 1 - 5 outlets 5.00 �— Building sewer 5.00 Mobile Home S I G I W 110.00e TYPE OF WORK New 0< Addition 11 Remodel[] Utilities ❑ Installation❑ Other ❑ Describe work: /S I�a� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 8000 AMP ORV OR LESS10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BUslnesS 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) ElI, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLINGoCCUP .�\ OR AODNS. ACC. BLDGS. I 2+/z�sgft 5 NEW CONSTR MULTI -OUTLET NON•R_SID BRANCH CIRC 'ITS 2.50 ea (POWER APPARATUS &) \SINGLE OUTLET CIR. EX. OCCUp(OUTLETS OR FIXTURES 20 0 50t eA 930¢ IXED AP NS Ex. Occup. OUTLETS (RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10 00 Heating Cooling 9 Hood 3,00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in heigh . Mobile Home Installation Fee $ Energy Inspection Fee occ CONST TYPE TOTAL FEE $ HAz CUA PARK SCHL PLD PAR PD HO ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By the applicable provi- resolutions to do have been paid. WORKS Date PacAint N10.R-7 _e65(�,S! Q Q / COUNTY OF BUTTE - DEPARTNN T OF PUBLIC NORKS PERMIT NO. 7 County Center Drive - Oroville, Californy, 9; 65 - Telephone: 91.6.'538-7541 6 —/7 APPLICATION Aid } ERMIT ASSESSOR PARCEL NUMBER ZONING - BUILDING PERMIT SO. FT. OCC. BUILDING VALUATION FR Wright a T5J4P1� a ?inn Q9,nnn 0-1 W.ptEg�s MBA IOLXN��4 gDR Valermo, CA 95968 �rJ UU 1J (7] 3 � CO TR ACTOR'S NAME - �wner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace ZS�� C O(ySOneUCTION LENDER 11V� UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee ; 43 D. _ ARCHINoTECT OR ENGINEER - ne LICENSE NO. Plan Checking Fee $ tJs Energy Plan Checking Fee $ 15-00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 3625 Grubbs Rd. , Oroville Permit fee $ &71? PLUMBING PERMIT Fi I!Dg Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP �1 Water piping 5.00 5-00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G I W 10.00e TYPE OF WORK New M( Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: 2 BR Permit Fee $ S0 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS Main service EA. ADD'L 100 AMP ' CON I ns.a; - LAW 1 declare under penalty of perjury (check one): )� "-`EW ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as th(Sece owner, am exclusively contracting with licensed contract- 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.S\ OR ACDNS. ACC. BLDGS. / E12.50ea CONSTRMULTI-OUTLET, trr.�-ARAN: CIRC TS51-.454 Po arT (SINGLE OUTLET aaY- ._- Ex. Occup(ouT LETS OR FIXTURES 920 a SGt AL030Q FIXED APPLNS. OR Ex. Occup. OUTLETS (RESIO.) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 80.00N 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 I Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating dual pak Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against I liabilities, judgments, costs, and expenses which may in any way accrue ainst said County in con que Of the granting of this per it. X Date Signature o Applicant — Owne Contractor ❑ Agent ❑ An OSHA rmit is required for excavations over 5'0" deep and demolition or construct. ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE AL TOTAL FEE $ ' HAZ CUA PARK FLO PA PD HD ISSUE Th;s permit is Hereby -issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC'WORKS By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. Date Receipt No. 83408—$265.00 (p) w ,_..1. .. , , .. ...,,., • _.1....1.--1_- _.. __., ...._ I IM PERMIT NO. 10i5-84PPE PERMIT EXPIRES ' OWNER JACK WRIGHT- CONTR. OWNER l ASSESSOR PARCEL 27-15-04 (Port) LOCATION N/S GrubbsRd, app 500' E of s District Center Dr, Oroville f i "OFFICE COPY j' ' }+ Address suti, i l ' E ECTR.IC �wter,By •- Date,.,- l ;err > . l ' Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E 1i 1 Temp. Gas Service B l � Cal led PG&E a 46%' z JOB FINALED (Date) { • E Signatu r � J = OK ' 0 = Not'OK - = Not Applicable MOBILEWOMES = Not Ready i MISCELLANEOUS Date MOBILEHOME UTILITIES (PJa'ns) OK except N's Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s Z9w4ng Requirements -Setbacks -Easements I 1. Zoning Requirements -Setbacks -Easements 2. Soil ; Special MH Support -Sketch ; 2. Footings; Size-Depth-Spacing-Conneclors X-11ewer: Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Ra Is Ae-liater; Location -Test -Easement Needed (Sketch) _ 4• Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rig.-B-acing__ ectr' y; Location a ces-Grnd.-/ / Amp -Concrete ! 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures A&res ovation -T -W :/ /"L"ft./ /"Nat. or /'.'L"ft./ 'LPG 6. Carports; Windows -Doors tility Clearance 7. Elec. Calod Date ,j= Card -BI Date Card -BI Date Card -BI Date Card -BI a Card -BI Date Card -BI _ Date Card -BI Date Date MOBI OME INSTALLATION (Plans) OK except ll's Date _ POOLS (Plans) OK except N's Zo equirements-Setbacks-Easements 1. Setbacks -Easements 2. Foot' gs; Size -Spacing -Marriage Line } 2. Soils; Compaction -Structure Stability H Test= emand-Valve-Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men-L.ining 4.,p ricity; MH Test -Crossovers -Breakers -Clearances 5 rain; MH Test -Fall -Flex Connector i 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed ater and Sewer Connected -C/0 to Grade=HD Approval 7, Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater foqq,bas and Electricity Tagged B. Elec.; Grounding; Equip. w/5, -Circulating Equip. -Pool Lg1ag. — Boxes -Enclosures -Panel boards -Ins. to Main in Conduit xits; Insp.-Sketch 1 ert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test L IJ Card B Date Card -BI Date Card -BI Date Card -BI Date rd B -I Dat g Card -BI Date Card -BI Date Card -BI Date S,a 5-6 q'? � I �xyS t - i f t t I J = OK 0 = Not OK , = Not Applicable = Not Ready` RESIDENTIAL (Single and Duplex) Date • UNDERFLOOR (Plans) OK except N's 1. Zoning requirements -Setbacks -Easements 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Dept 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab - 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 7. Piers -Fireplace Ftg.-Steel 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test _ 11. Electric; Underground _ 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts-Joists-Vents-CrioDles Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except q's _ _14. Water Ht.; Vent -Access -Combustion Air 15. Water Pipe; Test & Anchors -Nail Protection _ 16. _ 17. D.W.V.; Test-Fttngs & Anchors -Nail Protection Shower Pan; Test, First Floor -Tub Access _ 18. Test Tub & Shower, 2nd Floor -Tub Access 19. Gas Pipe; Size & Anchors Card -BI 48. Property Line Firewall & Openings 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits Card -BI 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Date 52. Siding -Nailing -Veneer 67., 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underfir. Access A.C. Duct in Garage -Damper 54. Glazing Area -Glass Protection -Skylights -Plastic Fixture &Transformer Clearance -Ins. Protection 55. Shear Walls; Nailing -Bolts Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection _ 21. Elec. _Receptacles Spacing -Lights & Switches at Doors 70. Plb., Elec. &Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Card -BI -- Date Card -BI Date Card -BI Card -BI Date Card -BI Date Date Card -BI Date Date FINAL (Plans) OK except H's 56. Ext. Steps -Door & Sidelight Protection -Landings 24. 57. Smoke Detector 73. 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 25. 59. Bedroom Exiting 74. 60. G.F.I. & Bath Fixtures & Tub Access - 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 75. 76. 62. 63. Stairs & Rails Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67., Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper - 20. Fixture &Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection _ 21. Elec. _Receptacles Spacing -Lights & Switches at Doors 70. Plb., Elec. &Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. -- 23. Romex Installed Close to Edge of Studs & C.J. 72. Insulation -Foam -Looked in Attic ❑Yes - - 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 73. Guard Rails &Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen &Conductor Size 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At - 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, _Insulated Neutral ; Yes DNo 28. Service -Riser Conductors & Ground -Main Disconnect 75. 76. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No Stucco; Brown -Finish _._.___29. Equip. Clearances; Panels-Motors-Mech. Equip_ 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet _ Card B -I Card B -I Date 30. Clothes Closet Light -Shower Light _Date_ _ Card -BI Date ---_- Date Card -BI Date MECHANICAL (Permit) OK except q's 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. 81. Exterior Elec. Trim; G.F.I. Receptacle -Underground Ventilation throughout House 82. Glass Protection _ 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric - 31. 32. 33. 34. 35. Card -BI Card -BI A.C. Ducts; Insulation &Support _ Vent Fail: Exhaust above Insulation - _Condensate Drain _& Overilow; Size & Grade -.Furnace-Vent; Access -Comb. Air -Return Air Vent -115V outlet Attic Access & Platform if Furnace in Attic Date _Card -BI _ Date Date Card -BI Date 85. 86, Water & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date _ FRAMING(Plans) 36. 37. 38. 39 . 40. OK except q's Sills; Proper Material & Anchors Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound_ Bearing Walls over Girders & Floor Nailing Draft Stop in_Walls _(rat proof) _ _Fire Stops; Furred Ceilings -Stairs -Chases -Tub _ -- 41. 42. 43. 44. 45. 46. 47. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing (NOTE: Anentrymust be made each time youvisit jobsite) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTEI7. DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number for the following location: ,M Owner �"","sf P i Owner's Address L �• / Mobilehome Mfg. -- Model r Year Insignia No. Serial No. ' It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works r Datel r- Y 7 By �� r THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memori?i Way, rhirn — PhnnP; 891-2751 7 County Center Drive, Orovi Ile — Phone: 5344541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 f CORRECTION NOTICE Ale- VNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. i I v Inspector_ Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 Uounty Genter Drive, Uroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE ArC— VER ,r; A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. -,!!;e ��ln��r/D t`4- �L/C fit /,_ / 1 C-7'' cy r Puvf P, c T Inspector t�' Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovillet California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT 1 w0d ASSESSOR PAR/ EL NUMBER ZONING BUILDING PERMIT OWNER LEPHONE SQ. FT. OCC. BUILDING VALUATION OW 'S M, I G ADDR SS T CON RA TO ''S NAME h� r TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER n� l� I\ UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee .$ Penalty $ ARCHITECT ORENGINEER'S MAILING ADDRESS Permit fee $ BUILDING AD RESS PLUMBING PERMIT Filing Fee 10.00 Ni t Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehom Other SPECIFY Building sewer 5.00 Mobile Home S I <W 10.00e %6Op TYPE OF WORK New F] Additiona Remodel❑ Utilitiellation❑ Other❑ Describe work: 0 Permit Fee $ 9 01Ci Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.& OR ADDNS. C ACC. BLOGS. t 220sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CON5T(MULTI-.LJT NO P- BRANCH CIRCTITS 2.50 ea NEw CONSTR. POWER APPARATUS & NON.RESID. SINGLE OUTLET CIS. Ex. Occu Zo®soa p�o OR FIXTURES BAL®30 A FIXED APP LNS. OR FIXED Ex. -Occup. OUTLETS (RESID.) EA,) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 4— Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot'n Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in cons quenc of ing of this permit. X Z icant — Owner Contractor 1:1 Agent ❑ Slgnatueermit An OSHis required for exc votions over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ V OCCOP. GROUP I TYPE OF CONST. PARCEL PD I HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which OIR OF PUBLIC _ B PERMIT EXPIRES Dae ��/�_ the applicable provi- resolutions to do fees have been paid. WORKS —/ Receipt No -___3 R6 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPA ITMENT OF PUBLIC WORKS 7 County Center Drive - Orovili"e, Cali arnia 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSE SO PARCEL NUM E r ZO NG r, —s BUILDING PERMIT O WNE@ J TELEPHONE V-1 ,SQA FT. OCC, BUILDING VALUATION OWNEMAILI DDRESS 1..- I e4-- V ►' CONTRACTOR'S NAME �r TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ Ste; BUILDING AD RESS 5 PLUMBING PERMIT Filing Fee 10.00 tS Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 L Oif o. SUBDIVISION NAME PARCEL MAP / 8--- Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome /Other SPECIFY Building sewer 5.00 Mobile Home G 10.00 e 00 TYPE OF WORK Aa -Permit New ❑ Addition ❑ Remodel ❑ Utilities Installation Other ❑ Describe work: Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. I 2/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- - sation, will do the work,and the structure is not intended or offered or sale. (Sec. 7044) as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR. ULT. -OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS NEW CONSTR. / POWER APPARATUS WI NON-RESID. \SINGLE OUTLET CIR, Ex. Occu /o 20e50C Occup(OUTLETS Ts OR FIXTURES BALD 30 APP LNS. OR EX. Occup. OUTLETS (RESID,) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 3 Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate �of Consent to Self -Insure. j I shall not employ any person in any manner so as to become subject LP` to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 I' bilities, judgments, costs and expenses which may in any way accrue again t said County in c n eque .ce of th ing of this pe it. fl'This %� DateAT4 Signa re o Applicant — Owne Contractor ❑ Agent An 0 permit is required for ex ovations over 5'0" deep and demolition or construct- ion of structures over/3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP, GROUP I TYPE OF CONST. F I I PAR7 vv/ PD HD IssO permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO OF PUBLIC BY P T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. / C-) WNITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT 94-12879 FOR REkDERHAL DEVELOPMENT OFFICIAL RECORDS Section 26-8.1 of:the Butte County Code requires this acknowledgementUTTFCOUNTY-CAPD be recorded prior to issuance of a building permit.:C+� �AIFI7Y 5a-1�VIN The property described herein is adjacent to land or included APR 19 11 13 AV,1tt 9BLI within an area zoned for agricultural purposes, and residents of th s property may be subject to inconveniences or discomfort arising fro LF. ANOi?►�.<+ �::k ERR - Rf:C(11ti1CR the use of agricultural chemicals, including, but not limited to herticides, pests, and fertilizers; and from the pursuit of agricultural operations including, but not mated to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate -dust, smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property'ehould be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Date: Parcel -.4, as shown on that certain Parcel Map being a portion of.' the Northwest,quarter of Section 12, Township 18 North, Range 4 lust, M.D.B. & M., filed in the office of the Recorder, County of Butte, State of California, on July 11, 1983, in Book 93 of Parcel Maps, at page 18. State of ) SS. County of ) 97sasnsanne b®.sevenanssssso LINDA F. VJILSON NOT,gf-t`f PIJBL.IGCgLIFOHNIq S Butto (' 10 �•, Myr"inxEx ttiss(on ounJ Gi pires an. 20, 19f3a IA Qhs®®B,'®L91®CI131®18m®®®Bt�56�1f8'ZaFII�i 8 On this me, the PROPERTY OWNERS: the day of , undersigned Notary Pub ic, personally 4 'before before appeared L/ Personally known to me. Y( Proved to me on the basis a _ of satisfactory evidence. to be the person(s) whose names) subscribed to the within instrument and acknowledged that —?-� executed the same for the purposes therein contained IN WITNESS WHEREOF, I hereugto set my hand and offical seal. Notary Public Present A.P. No. �_� 5�� 0rt oc� AC- Aset ack!of 5 ft -from the roperty !ries: setback p :n'a �etb I�ss a :Of Soft. ,f ro: rn the,road - - (0 rPL L F4 LL ceriterline sha ll'bd clear of \ j ! i . Q ho structures rstructures 6r equipment ex ce f6r -,a 2 ft. ea ye yet overNn uJol qe D . ......... V, P V, ow1b C P, -A - i ! f'/ C4 D. 0 0 0 �` � � I+ALL 1) F7f Apt Ij 27- )5 Be 11 Mater� 4-C7� Thb _ce of pbns and-spd.cificatio:ns MUST be 0— 11 Materials &.Workmanship.: Shall. Be V* and; it i� unla\;vful fo k* 6n the job 6t al] times 1 1 — -, �ac ices' and Accordancew=,Y%. Yvn witb- nizlti� any &,andc-s or alterations on salme 1 Specified use ih the -ity ro 'cri�ccl fo" , r fhe riften pearmission from' the D parimeht a� out %V u 11 d Plumbic& M6chanical Cod -.4 'Unif6rm M P�bfijic Viforks, County 9 u y of Butte.;t i �'d tke hwati� nal E16--tridal Codd,- COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PE MI N0. .A ASSESSOR PARCEL• NUMBER ZONING BUILDING PERMIT OWNERTELEPHONE L// SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS I CON RA TOR• NAME ^ TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$' Penalty $ ARCHITECT OR ENGINEER'S MAILING ADD SS Permit fee $ � BUILDING A DRESS I D PLUMBING PERMIT Filing Fee 10.00 0 S r Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USEOUCTURE SF ElDuplex ❑ Mobi lehome Other SPECIFY Building sewer 5.00 Mobile Home I S7 G FW 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel R Utilities ❑ Installation Other ❑ Describe work:_ —1i�'l") /® Sr-_ 1?—y _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e00V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 2t/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification liz I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR MULTI -OUTLET 2,50 ea NON_RESID BRANCH CIRC ITS NEW CONST(POWER APPARATUS &� NON- R RESID. SINGLE OUTLET CIR. Ex. Occu 20050c P(ourLETs OR FIXTURES 94L®300 FIXED APPLNS. OR EX. Occup. OUTLETS (RESID,) EA,) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. �I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against sa CQun in c asequence of th granting of this permit. # �, �� Date a Signature of Applicant — Owner Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 7Q , rO ' OCCNP. GROUP I TYPE OF CONST, PARCEL PD 1 HD 1 ISSUE This permit is hereby issued under lions of the Butte County Code and/or work indicated above for which DIR OR UBLIC +r BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. 0-TF(/ �/ ,c WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: CY V2 (I tj Jq L l' ja 2. Installer's name: 3. Is the site currently under permit? Yep 7,3U No i (If yes, furnish permit number ) OR. Is the site an existing site? Yes'/ / No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of.all setbacks.and easements? Yes /. No siteservice? --------------------------------------------------- (If .yes, identify the load and size: S'�.�.(� ¢�in�n.� (Load) 9. What is the mobilehome site gas pipe size? ---------------------- 10. What is the type of gas service? ----------------------------- 11. What is the gas pipe length from meter or tank to the mobileh 12. What is the mobilehome gas demand? --�-------------------- Yes 757 No Amps) LPG /L / A O. (ft.) . (BUJ): (This informaticanno required if pipe length•less than 6 ft. on natural gas . or les t�50 ft. on LPG.) (If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- nJ Amps 6. ghat is the mobilehome site service rating? --------------------- OD Amps 7.. What is the mobilehome site circuit breaker rating? ------------- �JO r As Qes.Amps 8. Is there any other electric load to be served by the mobilehome siteservice? --------------------------------------------------- (If .yes, identify the load and size: S'�.�.(� ¢�in�n.� (Load) 9. What is the mobilehome site gas pipe size? ---------------------- 10. What is the type of gas service? ----------------------------- 11. What is the gas pipe length from meter or tank to the mobileh 12. What is the mobilehome gas demand? --�-------------------- Yes 757 No Amps) LPG /L / A O. (ft.) . (BUJ): (This informaticanno required if pipe length•less than 6 ft. on natural gas . or les t�50 ft. on LPG.) MOBILEHOME SUPPORT DATA 'type If other than single wide, Mobilehome Mfr. 1/O�Ho furnish Setup Model No. )tV le: Year Width(ft.) Box Length (ft.) Tagalong -or Expando Size �� ft. x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. Footings (check one) Single 1. Wood either pressure treated or foundation grade. (in.) (in.) El 2. Other: (specify) Center support Center support locations* footing sizes Su ort (check one) (in.) 1. Concrete block. x [:]..2i Other,. (specify) (ft.)(in.) (in.) (in.) tagalong or Expando,' show support details. (ft.)(in.) (in.) (in.) *If center piers are other than drawn above, draw in -locations, spacing, and dimensions. x -- Typical Support (in.) (in.) Footing Size —x_ 7 (in.) (in.) � Max. Pier Spacing (ft.)(in.) Max. Overhang (ft.) (in.) in. Cin.) (ft.)(in.) BUTTE COUNTY ' BUILDING DEEPARTMENT APPROVE r ; *If center piers are other than drawn above, draw in -locations, spacing, and dimensions. 156-85B PERMIT NO. r` PERMIT /- EXPIRES OWNER JACK WRIGHT CONTR.. owner ASSESSOR PARCEL 27-15-25 LOCATION 3625 Grubbs Rd, Oroville Temp. Power Pole Called PG&E Temp. Elec. Service Called PI Temp. Gas Se Called PG JOB FINALEI Signature J=OK 0' = No{ OK - = Not Applicable MOBILEHOMES ` MISCELLANEOUS = Not Ready 14 Date MOBILEHOME UTILITIES (Plans) OK except #'s Date D S, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch -1,-ro-Ding Requirements -Setbacks -.Easements oo'ngs; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. ec ; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4 -.Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. lum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; LocatiorrTest-Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. 1 Elec. Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Ca -BI Card -BI Date ate ` Card -BI Date Date Card -BI Date POOLS (Plans) OK except #'s 1, Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date = OK ' = Not OK = Not Applicable RESIDENTIAL (Single and Duplex) = Not Ready Date UNDERFLOOR Plans OK exce t#'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 6. Stemwalls, Garage; Steel -B lockouts -Wrapped -S lab 52. 53. Siding -Nailing -Veneer Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 54. 55. Glazing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air Date FINAL (Plans) OK except k's 56. Ext. Steps -Door & Sidelight Protection -Landings 57. 58. 59. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection Bedroom Exiting 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth Card -BI Date Card -BI Date 64. 65. Elec. Outlets at Wood Panel; Int. & Ext. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Date Card -BI Date ELECTRICAL Permit OK except q's 66. Elec. Outlets & Receptacles at Kit. Counter 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. 71. Plb., Elec. & Mech. Equip. Listed for Location Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 22. Size Boxes & No. of Conductors -Stapled 23. Romex Installed Close to Edge of Studs & C.J. 24. 25. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 2 Appliance Circuits in Kitchen & Conductor Size 72. Insulation -Foam -Looked in Attic ❑Yes 73. Guard Rails & Deck Construction -Post Caps 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ElYes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes E3 No 75, Following instld.:Drive E) Yes E) No; Walks C] Yes E] No; Planters ❑Yes El No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. 82. Ventilation throughout House Glass Protection Card B-1 Date Date Card -BI Date MECHANICAL (Permit) OK except s's 31. A.C. Ducts; Insulation & Support 32. Vent Fan; Exhaust above Insulation 33. Condensate Drain & Overflow; Size & Grade 83. Corrections from Previous Inspections 84. 85. Gas Test -Meters Tagged; Gas -Electric Water & Sewer Connected -C/O to Grade -HD Approval 86. Energy Compliance Certificate -Other Certificates 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING Plans OK except q's Comments at Final: 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors 43. 44. Cing. Joist-Rftr. Ties-P_urlin-Roof Brac.-Truss-Shthnq_.-Rfn_q_. Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE:Anentrymust be made each time youvisit jobsite) COUNTY OF BUTTE=- DEPAR°TUENT, Oft+ PUBLIC WORKS 7 County Center Drive = Oroville, California 95965 - Telephone 916/534-4541 APPLICATION' AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER .;?;7 --/S �o?S ZONING ' BUILDING PERMIT OWNER in CK u9 F TELEPHONE -5.3q l�� SO. FT. OCC, BUILDING VA UATI a OW'#;5S MAILI G ADDRESS // C��J // �j�,y� 1 O. 00� f(J V /T C fi, '/�� O CONTRACTOR'SNAME CA2Af TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ O� Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ g) ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ =1510BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome)l Other SPECIFY Building sewer 5.00 Mobile Home S I G I W 10.00 e TYPE OF WORK New Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: 12 KI -3 CjfitJFzit." ` &-e-/C- Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1000V OR 0 AMP ORLESS10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.&1 OR ACDNS. ( ACC. BLDGS. 2/20sgft CONTRACTORS LICENSE LAWNeW I declare under penalty of perjury (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the B"IneS$ 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 CONSTR, TI -OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea NEW CONSTR POWER APPARATUS &` NON-RESID, OUTLET SINGLE CIR. / EX. OCCup(OUTLETS OR FIXTURES .290 000 and FIXED APPLNS. OR Ex. OCCUp. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 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 liab'lities, judgments, costs and expenses which may i any w y accrue against id County in c nse u ce anti of this p rmit. �� %� Date Signatuof pplicant — Owner RaContractor ❑ Agen ❑ An OS ermit is required for excavations over 5'0" deep and demolition or Construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ , OCCUP. GROUP I TYPE OF CONST, PARCE PD 550E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR O ELIC ,m BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date r Receipt No.- WHITE-D.P.W., YELLOW-ASSFSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT i COUNTY OF BUTTE - DEPARTNZ'_'NT qF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 AGRICULTURAL BUILDING EXEMPTION PERMIT Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated. or packaged, nor shall it be a place used by the public. ASS SOR PARCEL NO. ZONING OWN E PHONE N0. OW R'S ADDRES !p r w7 LOCATION OF BUILDING Ls USE F BUILDIN 01— TV_Ct G r err k,% ole n SIZE OfjbTRUCTURE O ' x qtlg 1600 SO. FT. TYPE OF CONSTRUCTION: WOOD FRAME STEEL CONCRETE OTHER (Specify) TYPE SIDING (� T - �. ROOF COV ING 7LOORT E Y, r Q J e ESTIMAATED/C SST OF CONSTRUCTION $ AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows: P �' " t FRONT .51� � SIDES REAR �� I 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. I declare under penalty of perjury that the building will be used as stated above and the proposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. /9 Date�-/lSignature,of Owner Vll , Permit Fee - $25.00 The above described AG [ding is exempt from a building permit. Receipt No. 2/✓�9 Director of Public Works By ''- Date White - DPW, Yellow - Assessor, Pink - B.I., Goldenrod - Applicant COUNTY OF BUTTE - DEPARTMENT.OF PABILT6VORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLIG TION DATA SHEET Permit No. OWNER i 1K1 - A. P. No. Proposed Building Use N�f -Building Inspector Date At time of p rmit application, I was advised the following data must be submitted prior to permit processing and:/or' is ance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate./triplicate, signed by,preparer of plans. . 3. Complete plans in duplicate./triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD''Fees Paid" Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ , . , , , , . 9. Letter of signature authorization. . . . . . . . . -0. Sanitation approval from Health Dept. . . -1. Planning approval for (A) Use: (B) Parking: . -2. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given. to owner[], Mail to owner ❑•), _15. Improvements may be required. . . . . . . . . . , , 16. Mobi lehome Installation Data. . . . . . . . . . Pre-Inspec.request to (Dare) 17. Pre -Inspection for Required. Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. r 20. Plot plan approval from city of cl. 22. When you issue the permit, process as fol lows: Mai I to owner, Mai i to contractor. --X--Telephone and hold for pickup at—off ice, Deliver w/inspector. Other Applicant Copy of plans sent Health Dept., Fire Dept., Other bate 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: r Contractor, designer, owner, was advised of above required data by—phone---mall —counter by date Contractor, designer, owner, was advised of above required data by—phone _mall—counter by date Flans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DFW — Hours: 10:00 a.m. - 3:00 p.m. 1. Ceiling Insulation 0.50 Number of stories -84 R -value One Two Three R-0 -103 -49 32 R-19 -8 •4 -2 R-30 �.�2-� -1 .1 R38• 0 0 0 0.50 -176 -84 -54 0.30 -102 -49 :-32 0.10 - -26 -13 __8 - 0.08 -18 -9 -6 . 0.06 -11 -5 -4 0.04 -4 -2 -1 0.02 -4 2 1 0.00 11 -- 5 3 One - ` 0.60. 444 2. Wall Insulation -46 - 0.50 ' ' Single- Single 0.40 -95 Family Family Multi - R -value Detached Attached Family R-0 -68 -51 34 R-11 0 0 0 R-13 -6 2 .-0.06 R-19 8 6 4 4 LWalue 0 0 0.02 Q80_,-..t,...,.153-.r..•.� -1-14 ._•_...,..-Z6_ r---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 15 21 34 3. Raised Floor Insulation -69 59 -50 - Insulation in+Floor .29 -26 -23 R -value One Number of stories Three R -value One Two Three R-0 -17 -8 •5 R-11 .2 2 -1 • R-19 -1 0 0 R-30 3 1 1 U -value -26 R -value One - ` 0.60. 444 -70 -46 - 0.50 ' -120 -58 38 0.40 -95 -46 •30 0.30 -69 34 -22 0.20 -43 -21 -14 0.10 -17 -8 -5 0.08 -11 -6 -•-4 .-0.06 -6 -3 .2 0.04 -1 0 0 0.02 4 2 1 0.00 10 5 3 Controlled Ventilation Crawispace -69 59 -50 54 -55 -46 Number of stories .29 -26 -23 R -value One Two Three R-0 -11 -7 -5 R-5 -4 -4 3 R-11 .2 -2 -2 R-19 -1 -2 .2 4. Slab Edge Insulation 4 ---- -90 .Number of Stories -26 R -value One Two Three • R-0 0 0 0 R-5 8 5 2 R-7 8 6 3 F2 factor 29 -58 -20 0.90 -4 3 .1 0.80 -1 •1 0 0.70 2 2 1 0.60 6 4 2 0.50 9 6 3 0.40 12 8 4 S. Infiltration (Air. Leakage)--_ ._- Specification Points Standard 0 Total -69 59 -50 54 -55 -46 na na na .29 -26 -23 U•value I Percent East South .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 1 35 -75 -29 -19 -9 1 10 30 -61 -21 -13 -4 4 .12 29 -58 -20 -12 3 5 12 28 -55 -18 -10 -2 5 13 27 -52 -17 -9 -2 6 13 26 -49 -15 -8 -1 7 14 25 -46 -14 -7 0 7 14 24 -43 -12 -5 1 8 14 - 23.. 40 -11 -4 - 2 8 15 22 37 -9 3 3 9 15 21 34 -7 -2 4 10 15 20 31 -6 0 5 10 16 19 -29 -4 1 6 11 16 18 -26 3 2 7 12 16 17 -23 -1 3 8 12 17 16 -20 ,0 4 9 13 17 15 -17 1 6 10 14 17 ; 14 -14 -171 7 10 14 18 13 -12 4 8 11 15 18 12 -9 6 9 12 15 19 : 11 -6 7 10 13 16 19 10 3 9 11 14 17 19 9 -1 10 13 15 17 20 8 2 12 14 161 18 20 7. Shading (Shade Open) -- -Ef rftdve Percent Glass (Paeent glass x SC) Effective -69 59 -50 54 -55 -46 na na na .29 -26 -23 _ %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 nam 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 4.0 2 2 6 1 3 10 2 3 5 1 2 4 2 3 4 0 2 -T' 1 3 3 0 1 2 1 3 2 "0� - 1 8 3 1 1 1 .1 1 2 0 -1 .2 -4 -2 0 na = not allowed 11 13 13 14 8. Shading (Shade Closed) Effective Pei eeert Glass (Percent glass x SC) Effectivs 18 -14 16 -12 14 -10 12 -8 11 -7 10 -6 9 -5 8 -5 7 -4 6 3 5 •2 4 -1 3 0 2 r_-• 1 1 0` 2 no • not allowed East Scub West SlwW -48 •42 -35 -69 59 -50 54 -55 -46 na na na .29 -26 -23 -40 36 31 37 33 -29 na na -74 -20 -17 -14 -27 -23 j9 -25 -21.. -18 -65 -56 -47 -11 -910 -6 F15j Ilk) -14 -7 38 -30 .23 -4 1 '1 -5 -2-9 1 -4 1 -16 -4 3 4 3 0 9. Interior Thermal Mass -- - - _ Interior Slab Floor Raised Floor Mass Stories Stories 1CFA One Two Three One Two Throe 0.0 -8 -5 -4 -2 -1 .1 0.1 -8 -5 -3 -1 0 0 n1 -7 A .9 n 1 1 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 20 -1 2 4 5 6 7 25 0 3 5 7 7 8 3.0 1 4 6 8 8 9 3.5 2 5 7 9 9 10 4.0 3 6 8 9 10 10 4.5 3 7 8 10 11 11 5.0 4 7 9 11 12 12 5.5 5 8 9 11 12 12 6.0 5 8 10 12 13 13 6.5 6 9 10 12 13 13 7.0 6 9 11 13 13 14 7.5 6 10 11 13 14 14 8.0 7 10 11 13 14 14 8.5 _ 7 10 12 13 14 15 10. Exterior Wall Thermal Mass Exterior Single- . Single- Wa8 Family Family Mufti Mau Detached Attached Faruk 0.00 0 0 0 -4 0.20 3 2 1 -4 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 4 200 10 11 13 2 11. Heating System 10.5 SE or HSPF 6 5 (assumes ducts In aulc) _ 2" 11.0 Sum of 1-6 9 7 -25 or -24 to .14 to :4 to +8 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 40% Effective SE or HSPF (SE or HSPF x duct efficiency) Effective -25 or -24 to -14 b -4 to +6 b 16 or SE HSPF lass -15 5 +5 +15 more 0.30 275 -73 -64 -56 -47 38 -30 na 3.41 -45 -39 -34 -29 -24 -18 0.40 3.67 -34 30 -26 -22 -18 -14 0.50 4.58 -10. -9 -8 -7 -5 -4 0.56 5.13 0 0 0 0 0 0 0.60 5.50 5 5 4 ti"_: 2 0.70 6.42 17 15 13 11 '9 7 0.80 7.33 25 22 19 16 13 10 0.90 8.25 32 28 24 20 17 13 1.00 9.17 37 32 28 24 19 15 Zonal Control Adjustment System Type Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 1 12. Cooling Systatn- SEER (assumel ducts to AMC)- - I Stm of 7-10 -25 or -24 toi14 b it b +6 b 16 or sEEa-kct _ •` i ---`1 - 8.0 -14 -12 5 -6 -4 8.5 -9 -7 -6 -5. -4 3 9.0 -4 L .3 2 U -value [0.037] 4 Slab Edge Insulation or •d3 e. Skylight -2 -1 f 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 r 120 15 13 11 9 7 5 ' `13.0 20 17 1 14 12 35% 40% 4S% 50% Effesti a SEER 60% SA 70% (SEER xduct eficlency) 80% 85% 90% Sun of 7-10 100% 105% 110% 115% 120% 125` 0% Effective -25 or -24to -14 b .4 b +6 b 16 or SEER fess -15 15 +S +15 more 5.0 30 -25 -21 -17 43 -9 6.0 -12 -11, ' -9 -7 5 4 6.6 -5 -4 -4 3 ... =2 -2 7.0 0 0 0. 0 0 8.0 9 /0, 8 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-- 12.0 120 30 26 2:? 18 14 9 13.0 33 29 24 20 15 10 A Zonal Contrc: Adjustment j10 8 7 6 4 3 i - No Cooling System Installed One -5 -4 -4 3 -2 -2 Two+ 3 3 2 2 2 1 Single -Family Lched and Attached Unit Size (sQ Water i1199 11200 1700 2200 2700 Heater Uredit or • b to to : or Type. Type less. 1699 2199 2699 more -i 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 POU 8 5 4 3 •3 SE None 37 -24 -18 -15 -12 `• Solar -1 -1 .1 0 0 HWR -18 •12 -9 -7 -6 WSB . -25 -18 -12 -10' -8 POU . -1B _-12 -9 __-7 -6 IG None --5 3 -2 -2 -2 Solar 7, 5 4 3 2 POU .3 2 _ 1 1 1 F_ None -28 -19 -14 -11 -9 Solar 8 5 4 3 3 POU -10 5 -5 -4 -3 Multi-Famlt7 (Individual units) "Size (SO Water 699 700 1200 1700 2200 Heater Ore&t or . b to b or Type Type less 11f9 1699 2199 more SG None 0 0 0 0 0 or. Solar 14 7 5 4 3 HP HWR 9 .- S 3 .2 2 WSB 9 4 3 2 2 POU 9 5 3 2 2 SE None 45 •23 -15 -11 .9 Solar . 2. 1 1 0 0 HWR -23 •12 -8 5 '-5 - QU _23 12 -8 -6 5 IG None -8 , d -3 .2 -2 Solar 6 3 2 1 1 POU 1_ r 0 0 0 0 IE None 30 -15 -10 '• -8 . - -6- Solar 18 9 6 -4 4 POU -8 4 .3 -2 -2 - -- Interior MasslCFA - .nn11K"s Wall Insulation 9-17 or Eff. % glass a. North 3, 3 x R -value [ I I I U -value [0.098] 3. Raised Floor Insulation le '� or 1 t 7 _ 9.v x R-value[191 -- U -value [0.037] 4 Slab Edge Insulation or Imo_ e. Skylight x �� R -value (01 F2 tactor [0.77] S. Infiltration Standard «•7vllc•�.tr It.rn.t.e .i.br 6. Glass Heat Loss p8L- • J - Eff. % Glass a. North & • 3 x Type [double] U -value [0.65] 4 TYPE 1 MASS (UIMC 4.2. t.t a sed slab) + 7,S205536,e x = d. West Z.5- x e. Skylight _ 0% S% 10% 1S% 20% 2S% 30% 35% 40% 4S% 50% 5S%• 60% SA 70% 75% 80% 85% 90% 95% 100% 105% 110% 115% 120% 125` 0% 0 0.2 0.4 0.6 0.8 1.1 1.3 1.S 1.7 1.9 21 M 2S t7 29 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4,L_SiS3_ - - -low- O ".4 -0.6 -O.1 -1-f.2 '1.4 76-T9 --2 r= -2Y -2S -Z7' 111 ' ST3 T'3.3'3 -- -- - - .6 4X-= 5- -5.2 - 5.4 20% 0.3 0.6 0.8 1 1.2 1.4 1.8 1.8 2 22 24 27 211 3.1 33 3S 3.7 3A 4.1 4.3 4.5 4.8 5 5.2 5.4 56 30% 0.5 0.7 0.9 1.1 1.4 1.6 1.8 2 22 24 26 28 3 32 3.5 3.7 39 4.1 4.3 4.S 4.1 4.9 S.1 5.3 5.6 5.6 __40% 0.7 0.9 1.1 1.3 1.5 1.7 1.9 22 24 26 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 5.5 S.7 5.9 SO% 0.9 1.1 1.3 1.5 1.7 1.9 21 23 25 27 3 32 3.4 3.6 3:6 4 42 4.4 4.6 4.8 5.1 5.3 5.5 S.7 5.9 6.1 SS% 0.9 1.1 1.4 1.8 1.8 2 2.2 24 2.6 28 3 32 3.5 3.7 3.9 4.1 4.3 4.S 4.7 4.9 S.1 5.3 5.6 5.8 6 6.2 60% 1 1.2 1.4 1.7 1.9 21 23 2S 2.7 29 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 5 5.2 5.4 5.6 5.9 6.1 63 65% 1.1 1.3 1.5 1.7 1.9 22 24 26 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 6.1 6.4 70% 1.2 1.4 1.6 1.8 2 22 25 27 2A 3.1 33 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 5.2 5.4 5.6 SO 6 6.2 64 75% 1.3 1.5 1.7 1.9 21 23 25 27 3 3.2 3.4 3.6 3.8 4 42 4.4 4.6 4.8 5.1 5.3 S.S 5.7 5.9 6.1 6.3 6.5 60% 1.4 1.6 1.6 2 22 2.4 26 2.8 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.0 5.1 5.4 S.6 5.8 6 6.2 64 66 85% 1.4 1.7 1.9 2.1 2.3 2S 2.7 2.9 3.1 3.3 3.S 3.8 4 4.2 4.4 4.6 4.6 S 5.2 54 5.6 S.9 6.1 63 SS 67 90% _ 1.5 1.7 2 2.2 24 26 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 S3 S.S 5.7 5.9 6.2 6.4 66 6 8 95% 1.5 1.8 2 22 25 27 29 3.1 3.3 3.S 3.7 3.9 4.1 4.3 4.6 4.8 S 5.2 5.4 S.6 5.8 6 6.2 6.4 6.7 6.9 100% 1.7 1.9 21 2.3 2S 28 3 3.2 3A 3.6 ae 4 4.2 4.4 Cl 4.9 5.1 5.3 53 5.7 5.9 6.1 6.3 6.5 6.1 7 105% 1.8 2 22 2.4 26 28 3 3.3 3.5 3.7 3.9 4.1 4.3 4S 4.7 4.9 5.1 3.4 5.6 5.8 6 6.2 6.4 6.6 68 7 110% 1.9 21 2.3 25 27 29 3.1 3.3 3.6 3.8 4 4.2 4.4 4.6 4.8 5 6.2 5.4 5.7 5.9 6.1 6.3 6.S 6.7 69 7.1 115% 2 2.2 24 2828 3 3.2 3.4 3.6 3.8 4.1 4.3 4.S 4.7 4.9 S.1 5.3 5.5 5.7 5.9 6.2 6.4 6.6 6.8 7 7.2 120% 2 2.3 2.S 2.7 29 3.1 3.3 3.5 3.7 3.9 4.1 4.4 4.6 4.8 S 5.2 5.4 5.6 58 6 6.2 6.S 6.7 6.9 7.1 7.3 125% 21 2.3 25 2.8 3 3.2 8.4 3.6 3.8 4 4.2 4.4 4.6 4.9 S.1 S.3 53 5.7 5.9 6.1 6.3 6.S 6.7 7 7.2 7.4 Point System Summary: Climate Zone 11 SCORE CARD -- - - Measures -- - --- - - _ 1. Ceiling Insulation or - - value 81 U -value [0.030] 2. Wall Insulation 9-17 or Eff. % glass a. North 3, 3 x R -value [ I I I U -value [0.098] 3. Raised Floor Insulation le '� or 1 t 7 _ 9.v x R-value[191 -- U -value [0.037] 4 Slab Edge Insulation or Imo_ e. Skylight x �� R -value (01 F2 tactor [0.77] S. Infiltration Standard - 6. Glass Heat Loss p8L- • J - Eff. % Glass a. North & • 3 x Type [double] U -value [0.65] 7. Shading (Shade Open) = I t S 96 To7� (16] Point Scores : 0 0 Sum 15 1 O Sum 7-10 Poi ...;i. % Glass SC Eff. % glass a. North 3, 3 x . 7-7 7. 5 b. East x = 1 t 7 - c. South 9.v x = 4M 7 .1% d. West 2 r x = Imo_ e. Skylight x = O 8. Shading (Shade Closed) % Glass SC Eff. % Glass a. North & • 3 x . C4 = Z ry b. East Z• Z x = I t S c. South 7,S205536,e x = d. West Z.5- x e. Skylight x 9. Interior Thermal Mass -- - TYPE 1 MASS AREA $ Interior IV'naa/CFA COND. FLOOR AREA 10. Exterior Wall Mass TYPE 2 MASS AREA . Exterior Wall Mass ND. L R AREA 11. Heating System0" x Al, = '(00 Zonal Control? ( Y / N) SE or HSPF Duct Efficiency [0.78] Effective SE or 12. Cooling System 10.72/6.61 _ -_.. HSPF 10.5615. 151 - - - - -=-x = , �D �► a Zonal Control? ( Y / N) SEER [9.51 "Duct Efficiency [0.74] Effective SEER [7.03] 13. Water Heating Type [SG]. _ __`- Credit [none] Point Scores : 0 0 Sum 15 1 O Sum 7-10 Poi ...;i. Certificate of Compliance: Residential ..-Climate. Zone 11 I - Mandatory Measures Checklist: Residential MF -1R J14C;eProject Title NOTE: Lowrise residential buildings subject to the Standards must contain these measures mgardkss of the compliance gPZ' p / ' / approach used Items marked with an asterisk (•) may be superseded by more stringent compliance requirements fitted PD, Buildin Permit N on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features toted shall Project Address rL. be considered by all panics as binding minimum component performance specifications for the mandatory measures sew m documents or on u — — — _.�heUur-theyareshownd neve' the this cl+ecklistonly:•_. Checiced By/ Date Documentation Author Telephone Enforcement Agency Use Only DESCRIPnON DESIGNER ENFORCEMENT iBuilding Envelope Measures B UELDING DATA Glass Area % Glass • §2.5352(a): Minimum ceiling insulation R-19 weighted average. North --76.5 3 _3 §2.5352(bY Loose fill insulation manufacturer's labeled R -Value. Conditioned Floor Areaz Number of Stories East s� Z / 'L • 42.5352(c): Minimum wall insulation in framed walls R-11 weighted average (does not apply to Number of Units South 21Z _� Z exterior mass Malls). Slab/Raised Floor §2.5352(kY Slab edge insulation -water absorption rate no greater than 03%. water vapor [ Single Family Detached (SFD) [ ] Addition Alone West sG • transmission rate no greater than 2.0 perm/inch. [ Single Family Attached (SFA) [ ] Existing Building Skylight O d ! §2-5311: Insulation specified or installed mats California Energy Commission (CEC) quality [ ] Multi -Family (MF)[ ]Existing -Plus -Addition Total _i3_ 17,1 standards. Indicate type and forth. .. 42.5352(1): Vapor barriers mandatory in Climate Zones 14 and 16 only. §2.5317: Infiltration/Exfiltration Controls B UII.DING SHELL INSULATION • a Doors and windows between conditioned and unconditioned spate designed to limit air leakage. .. /sem,. b. Doors and windows certified. Component Insulation Lee don/Comrnents c. Doors and windows weatherstrippcd: all joints and penetrations caulked and sealed Type R -Value (tulle:. to garage, ripic4 etc-) §2-5352(e): special infiltration barrier installed to comply with §2.5351 mew CEC quality standards Wall .............. §2.5352(dy, Installation of Fireplaces Wall .............. 1. Masonry and factory -built rueplaces have: a Tight fitting, closeable metal or glass door Roof ............. a b Flux ide air intake err a with damper and coma Roof ............. ! 2. No continuous burning gas pilots allowed Floor ............. HVAC and Plumbing System Measures Floor ............. ! §2-5352(8) and 2.5303: Space conditioning equipment sizing: attach akulatiom Slab Edge..... §2.5352(h) and 2-5315: Setback thermostat on all applicable heating systemL GLAZING Shading Devices • §2-5316 by Exhauua): Ductsetsystteems havnstalled and insulated pere a damper controLt. Chapter 10. 1976 UMC Glazing Area Glass Type Interior Exterior §2-5314(c): Gas -ford space hating equipment has intermittent ignition devices Overhang Framing Type §2-5314: HVAC equipment, water heaters, showerheads and faucets certified by the CEC. Orientation $O (single, double) olles blind. Etc. (ehadescreen, etc.) es/no) (metaltwood) t §2.5352(1): Water heater insulation blanket (R-12 or greater) or combined interior/emerior No ( ) r fl$ insulation (R-16 or greater); fust S fw of pips closest to tank insulated (R-3 or greater). North ( ) I', t 42-5312(Excepdon 1): Pipe insulation on steam and steam condensate return & recirculating i piping. East /( ) l §2-5318(d): -5Systcm has: Swimming Pool Heating East \ ) 1 a On/off switch on hater. SouCh b. Weatherproof instructionplate onhater: c. Plumbed to allow for solar. Sou t.h ( ) 2. 75 percent thermal efficiency. West 3. Pool cover. ( ) 4, Time clock. West ( ) 5. Directional water inlet Skylight....... �— Lighting and Appliance Measures �`— 42.5352(1): Lighting . 25 lumcns/watt or grater for general lighting in kitchens and bathrooms. THERMAL MASS 42-5314(c): Gas fired appliances equipped with intermittent ignition devices. Type/Covering Area Thickness §2.5314(a): Refrigerators, refrigerator -freezers• freezers and fluorescent lamp ballasts certified (slablex22sed, tile, etc.L_ (Sf) (inches) Location/Description (kitchen, bath etc.) by the CEC. Indicate make and model number. COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with Title 24. Chapter 2-53 and Title 20. Chaptcr2. Subchapter 4. Article 1 of the California Administrative code- This certificate has been signed by the individual with overall design responsibility and the building owner. who shall HVAC SYSTEMS Minimum Duct retain a copy of it and transmit the cerfficate to any ser ear pun:ltaser of the building. Type (furnace, air Efficiency Location Duct Output Manufacturer / Model # conditioner, hent pump) (SE, SEER.HSPF) (attic etc.) R -Value (Btuh) (or approved equal) Amer wilding weer Name: —— ""� Ttk/Fum - Tid4ffiunx- Address: Address: A Telephone: Telephone Maximum Furnace Heating Output: % ZZ Btuh tic. 0: HOT WATER SYSTEMS Tank Manufacturer/Model # Systern Type (storage gas, etc.) Capacity (or approved equal) Special Feature(s) (signatum) (date) (signature) (date) Documentation Author = Enforcement Agency a- - - - - - - SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) Nan1 : Name: Tide/Firrn: Ac«xr• Address: - Tekphonc