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HomeMy WebLinkAbout027-270-014r r; C—— �- s 1``�••�T-- --- .- �_ �- Je rAP 7-27-14` yy ri`" .s} -r- `' ` a SPECIAL INSPECTION 92-55 �;. d «�:. r - Ben Terry 1 .,} .� �? LGUEST ED CONV. OF PUMP HOUSE T / 3003 Craig, Palermo +� HOUSEI Perniit• 393.1-75R ---__--- ------ ---j 2 (Repair 3 EQ -damaged fireplacUse Permit for 62/1200 27-27-14 , - NEW OWNER / I 02- - Z 7p -Opy + -- ``eJA.MES"OSHOUNDAigrAvenue, Pale .._ _ Contr: Fox Electric Oroville ' 027-270-014 t Permit#3369-82E(,e1-6,iser ch/SF) 93=122 r rads . KOUNTZ, CAROL 27-27-14 3003 CRAIG, OROVILLE MAS AGRICULTURAL EXEMPTION PERMIT t" 3003 C Avenue Palermo � - TRACTORS, PLOW, DISC, FARM EQUIP _ Contr: se ity-Homes i Permit #2458- ,E(util,iMH) 027=270=014' ELEC 00 .041ic USE PERMIT NO. � 93-35 r GAS — CAROL S. KOUNTZ =� COMPACTION TEST RE 3003 CRAIG AVE. , OROVILLE g LQ/� 8;' SUPPORT STR RE v - to allow outdoor w n services _ C i THOMAS BR 27-27-14a Contr: hico MH Spec i Pe t#2561-87MHI - sued �f�r% r L7-27-0-014 40-87 27-27-14 27-2 B, E(reroof - ;,-•= & mis epair) ht s . 9 Holida 27-27-142550-3oy Poolsn �f,B,�P;E(swi,-r in � ✓a -'7 92-3707 BPEM KOUNTZ,' Carol 3003 Craig Ave, Oro ville conv pumphouse to guesthouse / 027 27-0-014 93-557B,M KOUNTZ, CAROL 3003 CRAIG AVE, OROVILLE'�'r'`"t' • 0 i ADD MECH &VAL TO PERMIT#92-3707 6601.. jutsfhcuse. -to 6a/iaod. 0 7-270-014 r HUTTS, GLORIA OS -1950 3003 CRAIG AVE, PALERMO I } i , + CONT: FOUR SEASONS ROOFING REROOF ", "t��F jS,.,� .�. t.. I...-vL'c i. .-. .. A. _E-rP 'Y Y-♦- .-..L�+ �..lF,•r; L.�jr�'...aa�i_;.�.vw^+r4�,Y`�� hr+ __ __ _'--;r-.'-}�'�-.` "'� , .3 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 ZONING BUILDING PERMIT OWNER TELEPHONE SQA FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ . PLUMBING PERMIT 15.00 Each Trap Solar or heat pump water heaterLOT NO. SUBDIVISION NAME PARCEL MAP EnFee Water piping Each gas water heater or ventUSE OF STRUCTURE Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outletsSF❑ Building sewer Mobile Home S G W TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 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- ors. (Sec: 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO 1000AI 37.50 NEW CONST. ( DWELLING OCCUP.ik) 3.6Q sq.ft. OR ADDNS. ACC. BLDGS. NEW CON5TR MU -OUTLET NON -RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS tr (SINGLE OUTLET CIR. ) Ex. OCCup(OUTLETS OR FIXTURES 20 75d EX. Occup. OUTLETS (PRESID )LNS.OR FA I 3.00 Temporary service 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. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation - Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against .said County in consequence of the granting of this permit. X Date signature of Applicant — Owner❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ HAZ DFEES I IMP I FLOOD CDF I PARCEL PD I HO 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 DatePERMIT EXPIRES Date Receipt No. WMITC-D.P.W.. YELLOW-A3eC!lOR, PINK -INSPECTOR. GOLDENROD -APPLICANT ho 5.*... us.�>. a Vl C o 1A c r t -ri^p vyk UO -S f � 5 2 to ' oc moc 1,4 t,� /C/ ��.61 45 TO tit r v� c ►ti c—I & 6t vi /a '75S O 4e- s E cc n C TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance F.H. Usl. n� -Y 19ot Plan Attached ;e- H,mr Han Auachad ` scot to IS.U. oun9 ra �4�-f Owner` Locati AP1t Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for —L bedroom home. Other 602 —066 Hold final for: Final clearance O.K. for: NOTE Ph', I 'A /C<Z�2A - / Environmental Health Specialist 8/92 FAA= WrIf-AW-4 I PIM mi fe y Tow .,,L 0000IRT 9 a'o'xs's' APPROVED Butte County Environmental Health -o��I1g913 Date 't Af 0-6- 7 Signpture i Te Toe, 1 0 0 o SOUTH N WEST Lw Lw Bag $ SNITCH 0- `E`OICAL I & 220 Z� cMK FAN/LGHT C0" TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance F.H. usI: ONLY Plol Han Atfac ,d t/ ri.... r rri: , n, :w1wd J 30 63 � c Y-1-; Ute. g-7- z 7 - I `� Owner Location AP# Plan Approved for: Clearance for Sewage Disposal bedroom mobile home. Other Water Supply: Public 45V --"-f Private Well IRJJ' Y -40,1N ,S Od zj U/6712 DrNK 13C ISG Hold final for: Final clearance O.K. for: NOTE: Environniental Health Specialist 8/92 �o 7-7�?-- Date Q . ." ••wrrwn.�� N ioo' -•Ze �2�7F1Jif'-x�i+l ' - PoW4W .ed I. �� 1 •' ,' PRF�f'E,Yi - %✓ELL . AP 27- 27- I l .-�I%NEW . WELL To BE . DR/LLep L/,WELL / Q�nAS � ' � , �� ACE14J APPROVED Butte County Environmental f health Environmental.He�m r •: Environtnentall Health T 19 92 OCT 2,0 �1992. 1� . �� • • � 0C Date Oroville, Calitomia Signature m ,)n5 4'0• 12'1 2'0'• I 2'0' IIITTI I-, r c• V 4'0 _ 2'0' X 2'0' 10'0' 21 rEsr MOVED Butte County cnvironmental Health Environmental Health -� d)-z(2qc3\ Date OCT 2 o 1992 O� aroville, CeRornia Signature March 1, 1993 Carol Kountz 3003 Craig Avenue Oroville, CA 95966 utte ount Department of Development Services PLANNING DEPARTMENT 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7601 COUNTY OF BUTTE BUILDING PFPT MAR 0 2 W3 Re: Administrative Permit, AP 027-270-014 Dear Ms. Kountz: BUILDING DEPT MAR 0 2 1993 Enclosed is your validated Administrative Permit No. 93-10 to allow a senior citizen dwelling no larger than 1200 square feet for 1 or 2 persons 62 years or older on property zoned A-5, located at 3003 Craig Avenue, Palermo area. Every Administrative Permit expires and is automatically null and void without further action by the County if the Activity or use for which the Administrative Permit was granted has not been actively and substantially commenced within one year of the date of its final approval. Recently enacted legislation (AB 3158, Chapter 1706, Statutes of 1990, effective January 1, 1991) requires that the Department of Fish and Game impose and collect filing fees as specified to defray the cost of managing and protecting fish and wildlife trust resources. These filing fees are collected during the environmental review process and are to be paid at the time the County files a "Notice of Exemption" with the County Clerk pursuant to Section 21152 of the Public Resources Code. To increse administrative efficiency, the statute delegated the collection of filing fees to the County clerk and provided the County authority to collect a $25.00 documentary handling fee. ne fee due for your project is $25.00. A checks made payable to the Butte County Treasurer should be submitted to this department by March 4, 1993. Project -applicants should be aware Section 21089(b) of the Public Resources Code, provides that any project approved under CEQA is not operative, vested, or final until the filing fees required under Section 711.4 of the Fish and Game Code are paid. aEnclosed is the affidavit form you are required to complete, sign before a notary, record in the Office of the Butte County Recorder, and return a copy of the recorded affidavit to the Planning Division, Department - of Development Services. Should you have any questions regarding this matter, please contact this office between 10:00 a.m. and 3:00 p.m., Monday through Friday. Sincerely, B. rflcher Director of Planning BAK:lr Enc. cc: Land Development Division Building Division ✓ Environmental Health Department of Forestry ADMINISTRATIVE PERMIT BUTTE COUNTY PLANNING DEPARTMENT March 1. 1993 93-10 PERMIT NO. AP 027-270-014 ASSESSOR'S PARCEL NO. Pursuant to the provisions of the Zoning Ordinance of the County of Butte and the special . conditions set forth below: Carol Kountz is hereby granted an Administrative Permit in accordance with application filed: 10/22/92 to allow a senior citizen dwelling unit no larger than 1,200 square feet for one or two persons over 62 years of age on property zoned A-5, located at 3003 Craig Avenue, Palermo.. 1. Failure to comply with the conditions specified herein as the basis for approval of application and issuance of Permit, constitutes cause for the revocation of said permit in accordance with the procedures set forth in the Butte County Zoning Ordinance, including Butte County Code Section 24-62. 2. Unless otherwise provided for in a condition to an Administrative Permit, all conditions must be completed by the permittee within 12 months of the delivery of the countersigned permit to the permittee. 3. If any use for which an Administrative Permit has been granted is not established within one year of the date of receipt of the countersigned permit by the permittee, the permit shall be come null and void and reapplication shall be required to establish the use. 4. The terms and conditions of this permit shall run with the land and shall be binding upon and be to the benefit of the heirs, legal representatives, successors, and assigns of the Permittee. SPECIAL CONDITIONS: 1. The living area, meaning the interior habitable floor space area of a dwelling unit including habitable basements and attics, but not including a garage or any accessory structure, shall not exceed 1,200 square feet. 2. The senior citizen dwelling unit shall be for the sole occupancy of one (1) adult 62 years of age or over or two (2) adult persons, one of whom is 62 years of age or over. An affidavit of compliance with the age requirements of this section shall be recorded in the office of the Recorder prior to issuance of building permits. Said affidavit shall include the legal description of the lot or parcel and shall constitute a covenant running with the land, binding upon the original owners and their heirs, successors and assigns, limiting the occupancy of the senior citizen dwelling unit to the conditions described in this section. 3. The senior citizen dwelling unit shall not be sold as a separate unit unless a parcel containing the unit is created in compliance with the existing zoning and subdivision ordinances and the resulting density is in conformance with the General Plan. 4. Two off-street parking spaces shall be provided for the senior citizen dwelling unit in addition to the parking spaces required for the primary dwelling unit. 5. Adequate sewer and water facilities shall be provided subject to the approval of the Environmental Health Department. 6. All site development standards as required by the zoning district in which the unit is located shall be met. 7. The Senior Citizen Dwelling unit shall be a conventionally constructed building, converted from a tankhouse with permits and approvals from the Building Division. 8. Dwelling must meet fire safe regulations of Public Resources Code 4290. Year round access to dwelling must be maintained. 9. The approval of this permit constitutes approval only to the extent that the project complies with the Butte County Code and all other applicable regulations. 10. The requirements of all concerned governmental agencies having jurisdiction by law, including, but not limited to the issuance of appropriate permits, shall be met. NOTE: Issuance of this Administrative Permit does not waive requirement of obtaining Building and Health Department permits before starting construction and their approvals prior to use or occupancy, nor does it waive any other requirements. Minor changes in the above conditions may be approved administratively by the directors of Environmental Health, Planning, or Public Works only as to those conditions originally recommended by their respective departments. A minor change is a change determined by such a director to be in substantial compliance with, or to accomplish the purpose of, the condition as originally imposed. All other changes are deemed to be major and shall require a formal application for amendment. CC: Land Development Division Building Division. Health Department Department of Forestry DEVELO PMENT LAN DATE 4 "kRMlT ✓,�:;: VARIANCE ._ gY ,ts � �� � _ A • Nsd" j03 rl wl N J v 5y W ' BUILDING DIVISION - ' COUNTY OF BUTTE - D,EPAOTMENT OF DEVELOPMENT SERVICES �s 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT P RMII NO. 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. 0 0�_C2_7() v ZONING OWNER PHONE NO. OWNER'S ADDRESS LOCATION OF BUILDING USE OF BUILDING �G6XS SIZE OF STRUCTURE / �Q TYPE OF CONSTRUCTION: WOOD FRAME STEEL CONCRETE OTHER (Specify) TYPE OF SIDINGA, f 2/ ROOF COVERING FLOOR TYPE ESTIMATED COST OF CONSTRUCTION s (52 AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows: SN ' Ste, FRONT J SIDES 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. 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 comply with the requirements in effect at that time and before occupancy. Date /P� Signature of Owner 'e/ ?f Permit Fee - $60.00 The above described AG Building is exempt from a buildin mit. Receipt No. /"/�� FLOOD PA7 I P L�J ROOFING I ISS Manager Building Division By - '`--'® Date 7/2 6 93 White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant `COUNTYOF BUTTE - DEPARTMENT'OF DEVELOPMENT SERVICES - BUILDING DIVISION 7COUNTY CENTER DRIVE - OF6VILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 OWNER !�G Proposed Building Use PERMIT APPLICATION DATASHEET ;44,/9 /-- A. P. No. 0Z1' -Z76 -Q& Building Inspector Date 7/il 9.-3 At time Af permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: / DATE RECEIVED BY 1. 2. 3. .4. 5. 6. -7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. Butner _ Parcel Creation Acreage All items have been submitted. ....................................... . Plot plans, 3/4 sets, signed by preparer of plans . .......................... Complete plans, 3/4 sets, signed by preparer of plans . ...................... Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. Hazardous Material Form . .............................................. Energy Design Compliance and supporting documentation . .................. Statement of Intent for Non -Heated and A/C Buildings . ...................... Engineered truss details and layout in duplicate (required prior to plan check). ... . Mobilehome data and manufacturer's installation instructions, 2 sets. ........... Feesof $......................................... Impact fees as shown on attached schedule. ............................. . California Department of Forestry plan approval/fees......................... Flood elevation letter (100 year flood) by California Engineer . ................. . Sanitation and plot plan approval Health Department . City of Chico plumbing permit . ......................................... Plot plan and business license approval from City of Biggs/Gridley. ............. Planning approval for (A) Use: (B) Parking: . ......... Contact Land Development,about (A) Improvements (B) Drainage. .......... . Driveway permit (construction approval required prior to occupancy). . Pre -inspection for P;n -4nspection r6Qdest - P required. . . to Building Inspector (Date) Contractor's license information. (No., Name Style, Classification) . .............. Certificate of Workmans Compensation Insurance . .......................... Owner -Builder Verification (Given to owner , Mail to owner ). ........... Recorded copy of Agricultural Acknowledgement Statement . .................. Letter of signature authorization . ....................................... . Copy of recorded deed of parcel creation and 60 right of way to a public road. .... Letter of intent on building use . ........................................... Mobilehome utility clearance . .......................................... Documentation of legal access . ..................... :................. � Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... Existing violations/expired permits . ....................................... Plan check list . ..................................................... man to contractor. - office. Deliver with inspector. 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 1. Index permit for above items No. 2. Additional items required: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by - Date Contractor, designer, owner, was advised of above required data by _ phone mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works �3 ,. 6utte c BUILDING DIVISION DEPARTMENT"OF DEVELOPMENT SERVICES'. -' 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA -95965-3397 --TELEPHONE: (916) 538-7541 FAX: (916) 538-2140 November 17, 1993 Carol Kountz RE: Building Permit -# 92-3707. 3003 Craig Ave. Expiration Date 12-04-93 Oroville, CA 95966 A. P. # 027'270-014 Dear Mr. Kountz: 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: MPermit work started, but not completed. Permit may be renewed for 2 the original building permit fee (plus a $2A.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. 01 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, JFG:hla J.F. Glander. cc: Building Inspector Manager, Building Inspection Attachments: Renewal.Application Owner -Builder -Information [�X Owner-Builder.Verification Chico =- 146.9. I{umboldt Rd/891-2751 Paradise - 745 Elliott Rd/872-6307 October 18, 1993 Carol Sue Kountz 3003 Craig Avenue Oroville, CA 95966 NOUN 110 1 bFUMNE"I - A4- A'l 1/ 9-3 iu tte counN_ (' ' �i D '.1. i\I `.tV L D 3 Y ._ .A .-� iii Department of Development Services PLANNING DIVISION .DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7601 FAX: (916) 538-7785 C®uN aukaoDau ®IT 18 1993 Re: Use Permit, AP 027-270-014 Dear Ms. Kountz: Enclosed is your validated Use Permit No. 93-35 to allow outdoor wedding services and receptions as a home _occupation on property zoned A-5 located on the south side of Craig Avenue, Oroville. Should you. have any questions regarding this matter, please contact this office. Sincerely, iam Farrel Director of Development Services WF:lr Enc. cc: Land Development /Uision Building Division Environmental Health Department of Forestry USE PERMIT BUTTE COUNTY PLANNING COMMISSION OCT 18 1993 DATE: (Certified Mail Rec.) 93-35 PERMIT NO. AP 027-270-014 ASSESSOR'S PARCEL NO. Pursuant to the provisions of the Zoning Ordinance of the County of Butte and the special conditions set forth below: Carol Sue Kountz is hereby granted a Use Permit in accordance with application filed: 7/2/93 to allow outdoor wedding services and receptions as a home occupation on property zoned A-5 located on the south side of Craig Avenue, Oroville. 1. Failure to comply with the conditions specified herein as the basis for approval of application and issuance of Permit, constitutes cause for the revocation of said permit in accordance with the procedures set forth in the Butte County Zoning Ordinance, including Butte County Code Sec. 24-62. r 2. Unless otherwise provided for in a special condition to this use permit, all conditions must be completed by the Permittee within 12 months of the delivery of the countersigned permit to the Permittee. 3. If any use for which a use permit has been granted is not established within one year of the date of receipt of the countersigned permit by the Permittee; the permit shall become null and void and reapplication and a new permit shall be required to establish the use. 4. The terms and conditions of this permit shall run with the land and shall be binding upon and be to the benefit of the heirs, legal representatives, successors, and assigns of the Permittee. SPECIAL CONDITIONS: 1. Applicant shall not hire employees to assist with events. 2. Any on -premises advertising shall be limited to 1 unlighted sign with not more than 3 square feet of display area, and shall not be located in any required yard setback area. 3. Events shall conclude by 10:00 p.m. Sunday through Thursday, and 12:00 midnight Friday and Saturday nights. 4. Applicant must meet the fire safe regulations of Public Resources Code 4290. 5. Applicant must also comply with all other applicable State and local statutes, ordinances, and regulations. Minor changes may be approved administratively by the Director of Development Services upon receipt of a substantiated written request by the applicant. Prior to such ' approval, verification shall be made by each Department or Division that the modification is consistent with the application, fees paid and environmental determination as conditionally approved. Changes deemed to be major or significant in nature shall require a formal application for amendment. I hereby declare under penalty of perjury that I have read the foregoing conditions, that they are in fact the conditions which were imposed upon the granting of this use permit, and that I agree to abide fully by said conditions. Dated: Applicant NOTE: Issuance of this Use Permit does not waive requirement of obtaining Building and Health Department permits before starting construction, nor does it waive any other requirements. Butte County Planning Commission Chairman CC: Land Development Division Building Division Health Department Department of Forestry r - k O y C Er ;J qy? Or >99 CQAII 7e n (� C7 in o*� o LA w�Qc a r s o 1 � cl3 07 i w� y,Aft A I Ch Ch oe ON ^, f A RESIDENTIAL 027=27-0-014 Y92-3707 BPEM KOUNTZ, Carol 13003 Craig Ave,.Oroville conv pumphouse tolgue�thouse I r— OFFICE CORY I Address GAS spate i Meter By ELECTRIC DateA— I Meter By a ?JOB FINALED (Date Signature j. ,Y %1 OK O=Not OK Not Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete-' 6. Gas; Location -Test -Wrap: / /" L" ft. / /"Nat. or/ /"L"ft./ /"LPG t 7. Well Clearance & Disconnect 8. Utility Clearance ,� f 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 j 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 N MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card 8-1 Date Card B-1 Date Card B-1 J=OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (Single = Date UNDERFLOOR (Plans) OK except N's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth I 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth I 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwall Garage; Stee lockouts -Wrapped 6a. Hold Do s and S tial Anchors 7. Slab; Steel- ra ed 8. Piers-Firepl a Ftg.-Steel 9. D.W.V.; I- 'tting-Test-2 Way C/O -Sewer Test 10. UF. s Pipe; 'ze-Anchors - yard gas piping: size -test 11. W r Pipe; Test- nchor-Regulator-Service Test e 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 DateUMBING (Permit),OK except a's 1-ater Htr.: Vent -Access -Combustion Air -Baffle ------ - --- - ----------------------------- ater Pipe: Test & Anchor -Nail Protection --------- ------------------------------------------- V.; Test -Fittings & Anchor -Nail Protection ----------- ---- - -------------------- - -- _19. Shower Pan: Test. First Floor. -Tub Access --- -- - 20. Test Tub & Shower. Second Floor -Tub Access ('as Pipe: Size & Anchors Date Card B-1 ---- - Date -- Card B_t ---------------------- -- Date "Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except a's -22. Fixture & Transformer Clearance -ins. -Protection 21 Elec. Receptacles Spacing -Lights & Switches at Doors tie Boxes & No. of Conductors -Stapled ----------- � ------------------------------ ex Installed Close to Edge of Studs & C.J. ------------_ ------ - - - - - --- ----- ------------- ------------------------------- ip_ Ground made-up w/Meth. Fastners-Bond Water ---- - - -----------------------Gas-&---------- '- 2.�;,,^, ia_nce Circuts in Kitchen & Conductor Size/GFI -----------`------------------------------------------- Wire ------------------------ - - ----- bfeed Wire Sizer ga. Cu or AI-A.C. Wire Size / / ga. Cu or At ^9__Raaqe-irc / / ga Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral - 11 Yes ❑ No -------- ------- ------ ------ ------------- Riser Conductors & Ground -Main Disconnect -------------------- ---------------------------------------------------------- quip. Clearances Panels-Motors-Mech.-Equip. ------ --rl�.the- Closet Light -Shower Light -Spa Light Detector ---------------------------------------------------------- ----- - - -- `--- - - - - --- =- ---- -- ----- ------------------ Date - Card B-1 ate Card B-1 -------- -- -- --- - -------------------------------------- ---------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except ft's A.C. Ducts Insulatr'on & Support ------- - - ----------------------------- ent Fan Exhaust above insulation .nn_ ne ate Drain &Overflow: Size &Grade -- -- ------ - - '--------------------------------------- ---- urnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet - - - .- ---- - - - - - --------- ------------------------------------ 3" Attic Access & Platform if Furnance in Attic t -- - --�- ------------------------------------------------------------------- ----- ------------ -- - - - - - - -- - Date - Card B-1 Date Card B -t Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except ft's �� Sils. Proper Material & Anchors g walls Studs -Nailing. Spacing & Bracing -Plates -Sound -------------------------------- ------------------------ ------------------------ Y gBearing Walls over Girders & Floor Nailing ------------------------------------------------------------------------------------ Draft Stop in Walls (rat proof) ---------- - ---------- ----- -- -9--------- ----------------------------- ---------- -------------------- 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub ------------ - ------------------ 44. Headers & Beam -Size & Bearing & Duplex) Date -FRAMING (Continued) ' 45. Han ers-Post Caps -Anchors -Connectors Cing. Joist-Rftr. ties -Pu rlin-roof Brac-Truss-Shthng.-Rfng. _-IF--*re131ace Ties or Type A Flue -Fireplace Throat clearance 4d. is Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. BdBdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions e Fire Protection Framing 1 perty Line Firewall & Openings 5 Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. ai Width -Headroom -Rise -Run -Landing -Fire Protection plywood on Roof Overhang -Attic Vents -Rafter Outriggers --------- -------- - Siding -Nailing Veneer ------------ ------------- `�ucco -Mesh-Drip Screed -Fd. Vents-Underflr. Access _ 5' . Area -Glass Protection- P kylights- Plastic ------- 58.r Walls: Nailing -Bolts Fr 1 � �9. In "ulation-Walls-Ceilings / V 60. Infiltration -Walls -Windows e7 r X - 'j--( Card B-1( /aJi Dated -T_4 l�6ard B-1 � Date _AZ3KL.JPIans) OK except If's r & Sideliohl Protection- Land i o %'S"/. _ e Detector 63. F rnace: Vents -Clearance -Comb. Air -Connector - y In G age; Above Floor -Ducts -Meth. Protection -------------- ---------------- - dro-Exiting ----- --------- - 65" I_om& Bath Fixtures & Tub Access -Spa Elec Trim & S_u_b_panel: Breaker Sizes & Labels Stairs f& Rails ----------------------- ------------ ace or Stove: Clearances -Hearth `lec. Outlets at Wood Panel: Int. & Ext. ��70. t.Fixt & Appliance; Grnd -Air Gap -Cooking Clearance - - - i------------------ - 1. Elec. Outlets & Receptacles at Kit. Counter �ra' a Fire Door: Swing -Landing -Closer ------------------ D`uct in Garage -Damper 74. Ir. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. I age: Above Floor-Mech. Protection 5. b., Elec. & Mech._Equip. Listed for Location t--7f-Flet eceptactes in Garage: (G.F.1.)-Rome,)i.Protection In ulation _Foam -Looked in -Attic Yes x-78 Guard Roils & Deck -Const ruct ion -Post Caps n. Vents & Crawl Hole Door -Drainage & Wood -Earth Clear e Looked under Floor-_ _- ❑ Yes ollowing instil. Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; - Yes ❑ No oBrown-Finish Disconnect. Electrical, P-lumbingu- -- 8 nts Above Roof: Plbg -Appli ce-Fireplace.-Clearance to O e,-ings _ r--8 ater Well; Disc nett lectrical, Plumbing " ._. erior Elec. Tri F.I. eceptacle-Underground f 86. Ventilation Throughout House Glass Protection d. Correctio rom Previous Inspectio ------'----------------------- ---- � -r,�- - _ 8 G est -Meters Tad; Gas -EI tric - Water & Sewer Connected -C/O to Grade -HD Approval - ---- - - nergy Compliance Certificate -Other Certificates --- Dateand B t l��Date _ Card B-1 I _ 6,Z - -- Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final 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 027-270-014 ZONING a5 BUILDING PERMIT OICAROL KOUNTZ T7 WT -0-1473 SQ. FT. OCC. BUILDING VALUATION O J66 ttWTI AfffESS OROVILLE 95966 780 -R 15,600 C0ffl Rff OR'S NAME ELEP THONE COIIJINWWTI1RVV ACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ 142.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 71.25 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ 20.00 Penalty $ 'L�bb�GG°1ffsAVE OROVILLE Permit fee $ 248.75 PLUMBING PERMIT Filing Fee 15.00 Each Trap 45-001 90-00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each pas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other PUMP HOUSE TO R-3 SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 15 C)n Mobile Home S I G I W @ 15.00 TYPE OF WORK New❑ Addition Remodel❑ Utilities❑ Installation❑ Other Describe work: PUMP HOUSE CONVERSION TO GUEST HOUSE PER SI #92-55 AND STORAGE Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 1-12 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. (cense No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO IOODA, 37.50 OCCUP.&\ 3.64sq.ft. NEW CONST. / DWELLING OR ADONS. ACC. SLOGS. // 197 'In NEW CONSTR. ULTI.OUTLET NON•RESID BRANCH CIRC ITS @ 5•Q� (POWER APPARATUS &) SINGLE OUTLET CIF. Ex. OCcU 20 76 Occup(OUTLETS OUTLETS OR FIXTURES APPLNS. OR Ex. Occup. OUTLETS (RESID.)EA.) 1 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 60.80 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. shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating SPLIT SYSTDI q.00 Cooling .00 Hood 6.50 Ventilation 4.50 Permit Fee $ 37.50 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 Countyor Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, d expenses which may in any ay a crue against s County in cons e e of the granting of this p mit. X� Date FW $ignarure of Applicant — Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ 40.00 occ CONST TYPE TOTAL FEE $ 416.09 HAz 0FEE IMP FLOOD CDF PARCEL PD HD ISSU This permit is hereby issued under the applicable provi- sions of the Bu Cou ode and/or resolutions to do work indic b f which fees have been paid. O OF PUBLIC WORKS — By DatePE MIT EXPIRES Date Z— Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT Z r7 v�'. ••`µ }�r.....-'.. ,.�\i. '.r �. ..1'�ya'i'.!.•7 .'a'1 ay"', y. .iyel h..l z'1 CC 'VTY OF BUTTE • - -PARTMENT OF PUBLIC WOF BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER C� WlJ.7"� A. P. No.©a,' eQ-7-0-( 1 Proposed Building Use M-1 2'3�aBuilding 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 . ..........................4 3. Complete plans04 sets, signed by preparer of plans. �y 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 d t and manufacturer's installation instructions, 2 sets. . 10. Fees of $ . ............. 11. Impact fees as shown on attached schedule. .0 Or'.00 Y. ...... .. r � ..... 12. California Department of Forestry plan approval/fees. ........................ - 13. Flood elevation letter (100 year 14flooQd ��jj''alifornia Engineer. ............ . ) Sanitation and plot plan approvalyU,(o-" Health Department . ............ /0 Z 2 ►gcJ _ W. City of Chico plumbing permit . ......................................... 1.61 Plot plan and business license approval from City of Biggs/Gridley. ...... . anning appro atfc r-(A)-t�� se---� ' (-B)-P-arking sr 3rb-iS . -GU"T rfnUs _ 18. Contact Land Development about (A) Improvements (B) Drain ....... . 19. Driveway permit (construction approval required prior to occupancy). 20. Pre -inspection for re-nspednspequ required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. In Certificate of Workmans Compensation Insurance.......... . 23. Owner -Builder Verification (Given to owner , Mail to owner _). .......... . 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 . ...................................... Plan check list . ........................ When u issue the permit, process as follows: Mail to owner. Mail to contractor. ATelephone j,3.9#73 and hold for pickup at r7 U office. Deliver with inspector. Other i. Parcel Creation Acreage Applicant 0111 10, I7L/ 91 - 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. ,Sem %P -} f}- o q At- C.4.act•c - 'i 1A to (,cM6U/ 12 .y1,AAP ll 2. 9dditj 1 s required: ?I), m n� a� Stu1 Ad -j ki 10 S.A �zhI- i -ti . �� �(&7n +r I s_ .0)(AA -Uo h 1n.c a bt4_ t? A Contractor, designer, owner, waea' dvised of above required data by _ phone�maiP Counter�'Uate ( � 6_U Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date __(kt_qLL Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works !l Af *.jam , -`.'. . _ Y`71`i�%;­.:fry...:C.+tin*t dv^' -I ry vim.. wva...r,�, C;4_UNTY OF BUTTE �-'*EPARTMENT OF PUBLIC WOI ><: BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 = TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER C/ `KOLL Proposed Building Use Ue CoolU TZ DOS A. P No. 2 � _ V-1 Building Inspector Date - 9 Z-- 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 s - psigned by preparer of plans . .......................... 3. Complete pla 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 a r val from City of Biggs/Gridlgy. ............. 17. Planning approval for (A) Use: (B) Parking: 7-e:3? L>C-tVlous9V Tr9Z 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. .. ... . 20. Pre -inspection for required. .. to Bu ld°ng i�spest aur (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner ) ............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ......................................... 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . .............. . 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When y� issue the pro s as follows: Mail to owner. Mail to contractor. !/ Telephon Y and hold for pickup at office. Deliver with inspector. Other Parcel Creation _ q Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted 'prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No.. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail 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 W. 2Yt1i''"' BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District Building Department No. A.P. Number 7,270- Jurisdiction 0 City [ County Property Owner_ UA/4 i. Property Location/Address Subdivison Residential Development UeS�- 1-16056 Commercial/Industrial BuildinV Department Representative Date (Floor Plans reviewed by School District Personnel) i District Identification No. 9 30592 r } School District certifies that (Applic n ) a dQNor ,4 (Street /Address) (Phone ^=%Number) (City) (State) p has complied with the requirements of Resolution No. representing _ square feet. School District Representative f Paid by Check Number Remarks: Bank Number" Paid by Cash ob (Zip Code) by payment of $ x (� 60 ZOjc>?/9.2 Date If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this,project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeformmkf (4/92) 4 UT, 0 To Whom It May Concern; ' October 16, 1992 This letter authorizes Lowell Thomas to act on my behalf regarding signatures and payments made. Thank -You Carol Kountz 3003 Craig Huenue Orouille, Ca. 95966 Tel# 916-534-9418 C_/: e d `r P --------------------- ---------__--- -- --- � ----__ _�-�__.w_ ('+ / / �,j/ .f] � � ------•--'��L`L�-------wl.+[n__1�--l-ti"' �S� ��t-'�-1j...__..R/��rU.�^id'_..__..__..Y.____,_—._._-. � � � � /_ -----------�--.—__ -� --- a---- �P–'�,.� f — �?� .�_- IDo�C�!uy �• �, tis _ __�,"` �� %lt_ i J r ___--- ._--__--------- p-- �---- __----------T---_---------------------------._---.------------- _ -- ---.-.-------_ _.r --- ---- -.-- ---._ __ ..�---.-------- --- , �; .4:----.-- --_-----.------__ ..-- --___ _- . __.-_--------.___ _ __-------� -- - ��� ----------r-i.,_--.---.-____-__..----------.-.___ _.__---__._.___--_...__. _. __.. _..__. -- _ _ __ _ __ owl& * ( a /61,0 lk-4,x (17 P101. a,&iot 270- 37C-7 v PULP! - -um fvw V CLd gvta'o I -1� ynq v"2 W-1 p;7 clyl��2 V'2 VT -rVIA. Yrro.) c1r P?V . j4v, •��[i tfc'�::.---.. � ...-:�=:-='��%`"-.'6•+�'w+....sxac+ z^« -r- "s�+.'S�G*�"n..3,...,, � ,y=' .. .. ` .. wr7p�. COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Ceriter Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307, CORRECTION NOTICE e0U ,vvTZ_ 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 ve any questions pertaining to this matter, or need additional explanation, please contact s office immediately. *VCd_9A-,,TF0-. 14 gti vY64 014s-TAo0-s A5 04 c5 X14 14 W,4 L.k .f-4 lrvegm v" _ v IV W C04tpL1'-79 w Hgl4 ,Pv t vLw7z rni b4?Tr L M N J- Fak COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE '4_0 u PwTZ l Z -X70 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 co leted. If you have any questions pertaining to this matter, or need additional explanation, plea a contact this office immediately. J D • iz� c. ✓1—t—L- vS c.0 /,A rl oc__� �f2OJ c-Tc--C7-cr L , T s Date -1 — �- 93 Inspector REV 11/91 " ." ..- ',``,.-..-.•........-�.ti""�'".ys`�^.--Se-"��.r�-^.+L'a"2r;.-..�I..s-:,���>�--�ti-.:. �,'w.^_"�•�.rs?.v'. COUNTY OF BUTTE BUILDING DIVISION -' DEPARTMENT OF:DEVELOPMENT.SERVICES 1469 Humboldt Road, Chico, CA - (916) 89.1-2751 =f 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307• a CORRECTION NOTICE 7 7 OW R PERMIT N .'r; I ..r A routine inspection indicates that the following violations of Butte County Ordinances exist at' ' -:1 the above address and should be corrected. Please notify this office when correction of work~: -:A is completed. If you have any questions pertaining to this rpatter, or need additional explanation, I REV 10192 {COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroviller California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 027-270-014 ZONING A-5 BUILDING PERMIT OWNER Carol Kountz TELEPHONE 534-9418 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 3003Crai Ave. Oroville 95966 T Est. 3,000.00 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER Nonp UNKNOWN Total Valuation $ 3 000.00 LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE NO. Nonp Filing Fee $ 15.00 Permit Fee Plan Checking Fee $ 45.00 $ 22.50 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ 82.50 lie PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO.-- SUBDIVISIO"AME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G W 015.001 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ® Describe work: Add to permit #92-3707 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): ❑I am licensed under p provisions of Cha t. 9, Div. 3 of the BuSlnessPOWER and Professions Code and my license Is In full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200ATO1000A) 37.50 NEW CONST. / DWELLING OCCUP.& OR ADDNS. 1 ACC. SLOGS. II 3.64 sq.ft. NEW CONSTR ULTI.OUT LET NON.RESID BRANCH CIRC ITS 5.00 ( APPARATUS tr (SINGLE OUTLET CIR. I Ex. Occu P(OUTLETS OR FIXTURES 20 @ 76 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring -15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ,V/*g 1 have placed on file with the County of Butte Building Department �"---A 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 o to the W. C. laws of California. Notice to Applicant: If after making this statement, should you becomesubject 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 1 15.00 Heating Cooling Hood 1 6.50 6.50 Ventilation Permit Fee -- $21.50 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 accrueHAz x ainst sajd Count nsequQnce of she grantipg of this permit. o f_ (��/ 1 A Date �� Signature of Applicant — Owner❑ Contractor ❑ Agentth An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 104.00 OFE IMP FLOOD , CDF PARCEL PD HD Issu TAsr,it ' hereby issu d under the utt I C ty Co nd/or ork In is ted ab e o is fees C R F r PERM( EXPIRES Da eP. applicable provi- resolutions to do have been paid. O to 135724 Receipt No. WHITE-D.P.W., TELLOW-ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTYOF BUTTE - DEPARTMENTOFOEt\VEL-OPMENTSER.VI OWNER ES - BUILDING DIVISION 7 COUNTYCENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 PERMITAPRLICAT.1,QN DATA\SHEET . Proposed Building Use f' Building Inspector Date At Time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: fDATE RECENED BY 1. All items have been submitted. .. 2. lotf plans,.3/4 sets,rsigned by preparer of plans.,,—. ...::.... !.......... . '- ompleteTplans, 314 sets; signed by prepares o tans. ,._ ........... ngineered plans and calcs, 3/4 sets, witwlf et s e on plans . ............ ' aza' dous Material Form. ......... 6. Energy Design Compliance and supporting documentation. �...-. `. ...... . 7. Statement'of Intent for Non -Heated and A/C Buildings . ...................... i {8. Engineered truss details and -layout in duplicate (required prior to plan check). . . Mobilehome ata and manufacturer's installation instructions, 2 sets. 1 ees of $ ....r /��..7 e tic` 1 !'Impact fees s shown on attached schedule. ...54. 546 1 12. California Department of Forestry plan approval/fees. .....QW im Flood elevation letter (100 year flood) by California Engineer....I���4�j ......... Sanitation and plot plan approval Health Department . ............ f �* 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). 4 Pre -Inspection '�� reque- 20. Pre -inspection for :;. required. .. to Building �nspedo�sT(Date) _ 21. Contractor's license()nforma'tion. (No., Name Style, Classification). I, ............ . Certificate of Workmans Compensation'lnsurance. ...: .,....t r• 23 Owner Builder Verification (Given to owner ,Mail to.owner ...........� ~° rde Recod copy of Agricultural Acknowledgement Statement. . Lettenof signature authorization . ........................a . ` 26. opy of recorded deed of parcel creation and 60 right of way to 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 . ...................................... Plan (.,_heck list. ....... . When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone *A/, _ and hold for pickup atoffice. Deliver with inspector. Other Parcel Creation �can an _/� ( 3- Acreage GApp, / �o�ir ate. Copy of Haz'Mat form sent Health Dept. /Fire Dept.' Air Pollution Date Copy of plans -se -t Health Dept. t <Fir6'Dept. Other Date B:y The following data must be submitte or ti rmi, ' suance: (Circle new item not checked above). - 1. Index permit for above items No. 6Aga 2. Additional items required: - Contractor, designer, ow was advised of above required data by _ phon _ Counter of Contractor, designer, caner was advised of above required data by �,V$%ne _ mail Counter by _ Date 131 Z¢/93�J Plans checked by Date 3 24 9Plans approved by _&A� Date ZQ 93 i,,.. Sets of plans on hold in File cabinet AP folder vel 3'�4I93 Copy - Department of Public Works n �% G q ��% � . �:o, c��.�zl ' .�.� SOS �� �► � �`� L�-�// �J W�c, � a ���'®'t'"'��' . ��.�- �� �� ��� . t COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916 -538 -7541 - OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has. been applied for in your name -and bearing your signature. , Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. 'No building.permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have'not) _IPAAAA signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name' IMI M OA l /U AAJ -LA- Address City Phone Contractors License No. 4. I pian to provide portions of this work, but I have hired the -following pEr.son to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License,No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security Number ?( COUNTY FBUTTE Date 14ru,c,Q /. 1993 APP 0 1 1993 NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 --of the California -Health -and Safety Code-. - . M This verification must be completed and returned'to our office before we are per- mitted to issue the permit. KOUNTZ AP #27-27-14 PERMIT#93-557 Cain � Chi T � ��=cc� �� A f�� �� /moo! ��� BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES 1;1 BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: wwwbuttecountynetkdds LICENSED CONTRACTORS DECLARATION I hereby affirm undeii penalty .of perjury that I am licensed under provisions of Chapter 9 (corrimelicing with Section 7000) of Division 3 of the Business and Profession*s Code, and my license is in full force and effect: , , I License Class: C License Number: Date: 7h4k- —Contractor: 44.1c OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior; to its. issuance; -,also requires the applicant for such permit to file ' -a' signed statOmentffiat he or sh6 is licensed. pursUant td.ft prbvisons of, the itbntra'c*tors'Slaite` License Law (ChapteV 466mm`e' commencing—th"Secitiqn" 7600).'of. C I )ivision' 3 of the Business and Professions Code) orl that he or she i5lxempt therefi6m'and the basis.for.the alleged exemption;- Any., viola�ion,'6i:�S..bdtf6h,,7031.5 by any applic-aWi6ii'a I . permit . subjects . ubjects the, not more than five hundred 86lli3is:($600) owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not ­_­­,intendq..._.1Qr..saIe,($pq., 7044.,. Business and ,Professions„ Code: The: Contractors' State License:. Law; does: not apply to an ,..,.,qwner.o!.propprty who builds or improves, thereon, and who does ,..,such,work,,himself or, herself or through h" or, her, own. employees,'- is -.. ,provided th I ,.,,pro at. such,: improvements are no intended or -,offered for Ub within one sale. the uilding or ever, year of completion; the owner -builder will have the burden of 'that he or s'he did not build . or i militio,ve for the purpose of sale.). 1.., ast,.o.wner,..,.of.,the,t property..v,.am,.,exclusively,. contracting .with. licensed contractors to corfstruct ithe-pr6jedt:(Sec. 7044, Business and Professions Code- The Contractors! State License Law does not apply to an owner of propertywho; builds o.r.improves thereon, and who, contracts for such projects -with a,contractor(s): licensed pursuant to the Contractors' State License Law PERMIT NO. BPO51950 Issued Date: 07/22/2005 APN: 027-270-014-000 Site Address: 3003 CRAIG AVE PAL Map Index: Description: REROOF­W/COMP-5-T­­ Owner: HUTTS GLORIA 3003 CRAIG AVE 95965 #11 COMMERCE COURT SUITE #1 95928 530-89510418 Contractor: FOUR SEASONS'ROOFING Will 1 rr`1ftAftACDrl= COURT'"'- - -----'-`1-- "V 0 I'am -Exempt. Article 3 SUITE #1 95928fessions.Code: under of the. Business and Professions 530-895- 0418, rier: License #• 65907-'4-",`?,,, BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICA TION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** OR7- CV 4 CONTRACTOR OWNER Last Name Address 2 First Nam Addiess — e City C J h Fax State G A Zip ?(///7 Phone / Fax E-mail State License Number CONTRACTOR Name Name Address 2 CityC� , cry StateGA si Phone b g l O �(� b Fax E-mail Lic. #��v�3 ClassC APPLICANT NAME ARCHITECT/ENGINEER Name Address 1cc w Address City City Zip State Zip Phone Type Const. Fax E-mail Map Book State License Number APPLICANT NAME Name Zoning Address 1cc w Flood Zone City StateCA Zip Phone u' Fax E-mail Type Const. APPLICANT SIGNATURE X For office us nly: AP#baa G Zoning City R 2( Flood Zone WORKER'S COMPENSATION SRA I Yes I No Occ. Name Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. BIN # LOCATION AP#baa G Property Addres p City R 2( Cross Street (ti he WORKER'S COMPENSATION Policy Number �� Carrier I? I If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: Sq. Footage v ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount: Bldg SRA Receipt #: Sheriff SMIP Date: Other S30, V Total K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 REV 2-24-05 AL . SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ .12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 OFFICE COPY j t Temp. Power p FAress ! �p + M Called PGI GAS !� Meter By Date Temp. Elec. Se� ELECTRIC Meter By Date` Called PGI Temp. Gas Sen Called PGA JOB FINALED Signature PERMIT NO. �� J PERMIT EXPIRES OWNER r OWRI I 'THOMAS CONTR. TM ASSESSOR PARCEL 27=27-14 LOCATION—_=3ggzOraig—Avenue, RaIeFme OFFICE COPY j t Temp. Power p FAress ! �p + M Called PGI GAS !� Meter By Date Temp. Elec. Se� ELECTRIC Meter By Date` Called PGI Temp. Gas Sen Called PGA JOB FINALED Signature = OK 0=Not OK = Not Read�yable MOBILE HOMES, Date MgMLE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements fails; Special MH Support -Sketch (,3�01"r; Location -Test -Fall -C/O -Concrete . Water; Location -Test -Easement Needed (Sketch) ectricity; Location-Clearances-GrndS)Ob4mp- Con crete ca ion- - : / /"L"ft. / "Nat. or/ /"L"ft./ /"LPG P-Titility Clearance Card -B1 ttel Date rd -B1 Date Card -B1 . Date Card -B1 Date Date O ILEHOME INSTALLATION Plans OK except #'s ing Requirements -Setbacks -Easements F Ings; Size -Spacing -Marriage Line nd--Valve-Connector t ctricity; MH Test -Crossovers -Breakers -Clearances rein; MH, est -Fall -Flex Connector ate ; MH Test -Regulator -Connector ater and Sewer Connected C/O to Grade -HD Apprc Electricity T ed Exits; Insp.-SI Cert. of Occu Card -B1 (2gp Datgj ..5�Card-B1 Data Card -B1 k X Date Card -B1 Date t' - MISCELLANEOUS Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s . 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beam s-Rftrs.-Con nec.- Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures. 6. Carports; Windows -Doors 7. Elea 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date 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.;Ground ing; Equip. w/5' -circulating Equip. -Pool Lghtg. fBoxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date = OK o = NotOK .RESIDENTIAL' (Sinlgle and Duplex) - =Not Applicable = Not Ready, Date UNDERFLOOR (Plans) OK except #'s 1. Zoning requirements -Setbacks -Easements 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. De 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. De 5. Stemwalls, Main; Steel- Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mach. Fasteners -Bond Gas & Water 27. 2 Appliance Circuits in Kitchen & Conductor Size 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-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Date MECHANICAL (Permit) OK except #'s 33. A.C. Ducts Insulation & Support 34. Vent Fan; Exhaust above insulation 35. Condensate Drain & Overflow; Size & Grade 36. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 37. Attic Access & Platform if Furnace in Attic Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Date FRAMING (Plans) OK except #'s 38. Sills, Proper Material & Anchors 39. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 40. Bearing Walls over Girders & Floor Nailing 41. Draft Stop in Walls (rat proof) 42. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 43. Header & Beam -Size & Bearing Date FRAMING (Continued) 44. Hangers -Post Caps -Anchors -Connectors 45. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 46. Fireplace Ties or Type A Flue -Fireplace Throat 47. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 48. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 49. Garage Fire Protection Framing 50. Property Line Firewall & Openings 51. Ext. Doors -One T -Check Garage -3rd story, 2 exits 52. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 53. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 54. Siding -Nailing Veneer 55. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 56. Glazing Area -Glass Protection -Skylights -Plastic 57. Shear Walls; Nailing -Bolts 58. Insulation-Walls-Clg. 59. Infiltration-Walls-Wndws Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Date FINAL (Plans) OK except #'s 60. Ext. Steps -Door & Sidelight Protection -Landings 61. Smoke Detector 62. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 63. Bedroom Exiting 64. G.F.I. & Bath Fixtures & Tub Access -Spa 65. Elec. Trim & Subpanel; Breaker Sizes -Labels 66. Stairs & Rails 67. Fireplace or Stove; Clearances -Hearth 68. Elec. Outlets at Wood Panel; Int. & Ext. 69. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 70. Elec. Outlets & Receptacles at Kit. Counter 71. Garage Fire Door; Swing -Landing -Closer 72. A.C. Duct in Garage -Damper 73. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor -Mach. Protection 74. Plb., Elec. & Mech. Equip. Listed for Location 75. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 76. Insulation -Foam -Looked in Attic ❑ Yes 77. Guard Rails & Deck Construction -Post Caps 78. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 79. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 80. Stucco; Brown -Finish 81. A.C. Unit; Disconnect, Electrical, Plumbing 82. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. 83. Water Well; Disconnect, Electrical, Plumbing 84. Exterior Elec. Trim; G.F.I. Receptacle -Underground 85. Ventilation throughout House 86. Glass Protection 87. Corrections from Previous Inpections 88. Gas Test -Meters Tagged; Gas -Electric 89. Water & Sewer Connected -C/O to Grade -HD Approval 90. Energy Compliance Certificate -Other Certificates Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Comments at Final: (NOTE: An entry must be made each time you visit job site) t COUNTY OF BUTTE _ DEPARTMENT OF PUBLIC WORKS ' • 196 Memorial Way, Chico — Phone: 891-2151- 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE 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. C Inspector Date—T �� rl MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE f DEPARTMENT OF PUBLIC WORKS - 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA - 534-4541 1 PERMIT NO.,15Z f t R1 �7 Address or location of mobilehome Owner's name Owner's address_ I t / y Insignia or hud number -Ag 9� S1 I ci :3 7 %tD s- _ r.. Manufacturer's name I /r Js?1�-� ' Serial number of V.L.N. 9 lG tO l 13 Year of manufacture (Official Approving Installation IF THE MOBILEHOME IS MOVED70R RELOCATED, THE MOBILEHOME INSTALLATION -V ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE j MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. h. `: 5 5138 White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 9965 - Telephone: 916/538-7541 APPLICATION AND PERMIT �ERRMIT N ASS ESSORRC EL NUMBER ZONING }' BUILDING PERMIT OWNER TELEPHONEhh✓/) dt SO. FT. OCC, BUILDING VALUATION OWNER'S MAILING ADDRESS t3190 CONTRACTOR' NAME TELEPHONE CONTRAC I A D E S �(fFireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 4e.ti)- LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ - Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING JAQDRESS, Permit fee $ PLUMBING PERMIT FiIingFee 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 SF ❑ Duplex❑ MobilehomeK Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S XG, W 10.00 ea TYPE OF WORK New❑ Addition❑ Remodel❑ UtilitiesInstallation❑ Other❑ Describe work: }'f r!d���G( ! _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 10ov OR LESS 100 AMP OR LESS 10.00 la- U Main Service EA. ADD'L 100 AMP 2.50 -4.6 CONTRACTORS LICENSE LAW I declare under penaltyof perjury p i y (check.one): I am licensed under provisions of Chapt. 9, Div. 3 of the BuslneSS and Professio de a d y license is in full rc d effect. License No. Classification ❑ I, as the owner, or my employees with wages as their so(e compen- sation, will do the work,and the structure is not intended or offered � for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& , OR ADDNS. � ACC. SLOGS. 2/20sgit NE CONSTFi ULTI.OUTLET NON•R ESID BRANCH CIRC ITS 2.50 ea /POWER APPARATUS e (SINGLE OUTLET CIR. Ex. OCcu 200e0e p OUTLETS OR FIXTURES eAL030 Ex. Occup. OUTLETS FIXED P(RESID LNS.IKEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring I 1 15.00 jQa 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 Workmeri'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 liabilities, judgments, costs, and expenses which may in any way accrue against aid County in consequence of the granting of this permit. X �C,f..� 1, �/ Date %—�;�—�'r Signature of Applicant — Owner ❑ Contractor Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ o� OCCUP. CONST.TYPEJ I JFIFJPARC] PI3 ND 1 This permit is hereby issued under sion he Butte County.Code and/or wor Ind ted.,abovie for which C OR Oft PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date / Receipt No. < 6 / y WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT PAI ».�, ri'_ :� r� •:{.rr .y ��.,�."1°.�.;},,i. ,}:{.�ti,¢� ,A,ytr.�t;,�r..,yy� .,'�..y�Srf, r. li.t:�j' .� `:w g i,ri:/Y COUNTY OF BUTTE - DEPARTMENT OF�PUBLIC. WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILL.E„C�95965 -TELEPHONE: 916/538-7541 / PERMIT"APPIJCATION DATA SHEET+ r �,. Permit No. OWNER �1 �'�/GC� AI ' r A. P No.,? 7. J /V Proposed Building Use /s/���� Building Inspector �,�Date r At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . — 2. Plot plans in duplicate/triplicate, signed by preparer of plans. _ 3. Complete plans in duplicate/triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. School District "Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. . . . . ' 8. Fees of $ . . . . . . . . 9. Letter of signature authoriz tion. Q 0. Sanitation approval fromHealth-Dept. . . �3 I—VA1 Planning approval for (A) Use: (B) Parking: Certificate of Workmen's Compensation Insurance. . . . . . 43. Contractor's License Information (no., name style, classif.) Owner -Builder Verification (Given to owner❑, Mail to owner ❑) _.__-..._15. Improvements may be required. . . . . . . . . . . . .16. Mobilehome Installation Data. . . . . . . . . . Pre-Inspec.request to (Date) 17. Pre -Inspection for__ ._- _. __. _ Required. Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. — 20. Plot lana proval from city of 21. LG�GZ�� liilGlrY7`._ 22. — — — -- en you issue the permit, process as follows: Mail to owner; i Mail to contractor_ %( Telephone and hold for picku6i,�tL _/office, Deliver w/inspector. Other /7110 Appl icant Date Copy of plans sent Health Dept.; Fire Dept., Other Date The following data must be submitted pri r o permit issuance: (Circle new item.not checked above). 1. Index permit for above items No. 2. Additional items required: A ontr, r, designer, owner, was advised of above required data by—phone ai un r by dat' Contractor, designer, owner, was advised c? above required data by—phone m er by date PA” �2 Plans checked by� d./ Date2iPlans approved by Date Sets of plans on hold in File cabinet "SAP folder Copy—DPW TO Building Department FR6m: Environmental Health SUBJECT: Sanitation Clearance Owner I cation AP# Plan Approved for: Sewage Disposal _ Hold final for: Final clearance O.R. for: Clearance for -,2— bedroom mobil home. Other NOTE * * * Sanitarian Water Supply��� Water Supply I Water Supply Date AGRICULTUPUL AFFIDAVIT • I EMPLOYER/EMPLOYEE I Please read the following carefully before signing: Section 24-21.2 Agriculture Employer/Employee (Applicable only in zones A -5,.A-10, A-20, A-40 and A-1-60) An individual who verified, by personal affidavit and by affidavit of his employer, that he is, or will be, employed at least thirty- two (32) hours per week for at least sixteen (16),weeks per year,.. or•that his primary source of annual income is, or is anticipated to be, derived from, any of the following..described occupations: (a) The.preparation, care and treatment of farm land, pipelines or ditches, including leveling,.for agricultural purposes,. plowing, discing and fertilizing the soil; (b) The sowing and planting of any agricultural or horticultural commodity; (c) The care of any agricultural or horticultural.commodity. i As used in this subdivision, "care" includes,'but is not limited to, cultivation,...irrigation, weed control, thinning„ heating, pruning, or tieing, fumigating, spraying-'and•dusting; (d) _The harvesting of any agricultural or horticultural commodity ; including, but not limited to, picking, cutting, thrashing, mowing, knocking off, field chopping, bunching, baling, balling, field packing, and placing in field containers or in the ve- hicle in which the commodity will be hauled on the farm or to ; the place of first processing; ._(e) The assembly and storage -of any agricultural or horticultural cornmodity including, but not limited to, loading, roadsiding, r banking, stacking, binning and piling; �• (f) The raising, feeding and management of livestock, fur -bearing animals, fish, frogs and other aquatic animals, and bees in- .cluding, but not limited to, herding, housing, hatching, milking; shearing, handling eggs and extracting honey; .(g) The operation, conservation, improvement or maintenance of such farm and its tools and equipment. i i . i C- mp1oyer AGRICUIPLUI AL AFFIDAVIT EgPLOYER Phone J employer's Ad Al'ame of Owner Owner's Addre (>mer's Assessor's Parcel 61uilding/E T��n,�,�t �� u� al t Permit Description and Number S� Date Issued 7"�Z Vii% By Manning Department Approval: j�.ate Zone A- 5; Dwelling. on AP# 27-Z7— / 5� .8.3' lyc" � ! �A s , Bio declare, subject to the Penalty of perjury, that I am the employer of 0,ddress (present) on AP# ?j�7i 4.nd that I will be employer under Section 24-21.2 for at least a to g Lhirty-two (32) hours per week for at least sixteen (16) weeks per year on Signed Dated �����7 AGRICULTURAL AFFIDAVIT EHPLOYEE mployee STEUE Phone .Sw&Y1-Si 9oa mployee's Address (Present) 9/ R/106Ccvdy- QiPoyrccc Cn. ame of Oi-mer �/,r11ol,7gS wner's Address 3003 C'A16 4UE. opov/ccE C147. ,wner's Assessor's Parcel No. wilding/<v:i:r: onme Hea th er•mit Descrip ion and Number ate Issued "7- ZZ'�1__)3y_: 'lanning Department Approval: ate Zone /4-5 Dwelling on AP# do.declar.e, subject to the enalty of perjury, that= --I am the employee of p1. tP.,zl ddress (present)Or` t on AP#�- oZ 7ti' i r_d that I will be employed under Section 24-21.2 for at .least a to g hirty=two (32) hours per week for at least sixteen (16) weeks per year on Signed Dated 6- 7 Return, to DPW AGItICUf:CURAf STATEMrN'C 0.F ACKNOWLEDCk:MU NT iltUUHt,-0BUTTE COUNT Y FOR RESIDENTIAL DrVEMPMEM OFFICIAL atCOR,,)$ Ry Section 26-8.1 of the Butte County Code requires this acknowledgement / � ' &JJA"iJ be recorded prior to issuance of a building permit. 87_260,14 19,11 JUL (7 PM (: 54 The property described herein is adjacent to land or included FANO within an area zoned for agricultural Q`'c �•GRUDB$ g purposes, and residents of this property may be subject to inconveniences or discomfort arising from CLERK-RECORDER FEE the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited Co cultivation, plowing, spraying, pruning, and harvestinf; which occasionally generate duI�E 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 should 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: 66-11319 �— ---- WHIBIT 'A' 216 hand referred to herein is described an follows, All that certain real property situate in the County of Butte, State of California, described as follows, All that portion of Block 134 of the Palermo Citrus Tract No. 3, as shown on that certain Map entitled, 'F :p of Subdivision Number 3 of the Palermo Citrus Tract', Which Kap was tiled in the office of the Recorder'of the Count of Butte, State of California, January 2 1889, on Wall Map Nubber !s, 2= Northerly of the following described 1�„a. COIBtENC'M at the Northwest corner-bf Lot 1 in Block 134 and running thenco North ago 12 050 East, 477.35 feet, thence South 350 20' 43' Bast t 145.50 feed thence South 660 30' 25' East, 136.95 feet; thence Sout>e 690 47' 25' Last, 117.50 feet] thence North 180 39' 10' Bast, 30.01 feet; thence South 720 54' 150 East, 121.08 feet; thence North 090 11, 00' Bast, 213.07 feet; thence South 630 20' 13' East, 161.23 feetl•thence laorth 260 44' 10' East, 164.62 fasts thence South 700 30' 28' East, 46.40 'feet; thence South 200 30' 520 West, 316.65 feetl thence South 67.0 39' 43' East, 91.08 feet; thence South 250 33' 07' West, 192.75 feet; thence Worth 890 44' 17' Last, 242.47 feet; thence South 890 27' 030 East', 304'.55 feet; thence South 800 33' 160 East, 223.02 feet to;the Westerly, line of McCormick Avenue and the end of said line. TlTOGETHZR WITH anon -exclusive easement to be used in common with others for road purposes and public utility purposes over a strip of land 60.00 feet 'in width whose center line is described as follows, BDGINH1VG at the aforesaid Northwest corner of Lot 1, Block 134, said corner being the true point. of beginning of said easements thence from said true point of beginning, North 89. 12'.050 East, 477.35 feet; thence South 350 20' 43' East, 142.73 feed thence South 660 47' 230 East, 134.18 feet; thence South 690 47' 15' East, 117.50 feet to the and of said easement center line. Date: State of �� • ) SS County ofciT� ) PROPERTY OWNERS r On this the day of 71(4 Y 19 before me, the undersigned Notary Public, personally appeared. c_ e -2•P_ 1/2Or"LCI S Ll Personally known to me.' / Proved to me on the basis to be the person(s) whose of satisfactory evidence. name(s) e524 the within instrument and -,P_ acknowledged that su scr.ibed to executed the same for the purposes therein contain WITNESS WHEREOF', 7. hereunto set my hand and official, SANDRA LEE SEAMAN � seal. ^ NOTAPY PUBLIC -CALIFORNIA 0 Butte County ® My Commission Expires Jan. 8, 1988 m Present A.P. No. Nota y Public AP # 2, 7-2, T14T OWNER PERMIT MH UT IL . CLEARANCE DATE INSPECTOR 'AL V. ELECTRIC GAS Support Stzuc. Compactior. Test eq. Service Size Other Load//�� Type Pipe Size Length YES NO YES NO COUNTY OF BUTTE - DEPARTMENT OF PUBLIC 7 County Center Drive - Oroville, California 95965 - Telephone: APPLICATIONAND PERMIT WORKS PERMIT No 916/538-7541 i 7 ASSESSOR PARCEL NUMBER 7 - — O - C� ZONIN BUILDING PERMIT OWON AR, TELEPHONE SQ. FT. OCC: BUILDING VALUATION OWNER'S'MAI LI G ADDRESS CONT ACTOR'S NAME C T EPHONE C RACTO 'S MAILING A - SS _0 7 e U Fireplace O NSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ . ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Lk®13 ` /11/0- Permit fee $ 00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Q 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 UCTURE SF ❑ Duplex❑ Mob IIehome Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00 ea TYPE OF WORK New ❑ Addition ❑ ROrtyodel4 I lit, s C stala 'on Other ❑ Describe work: v``/?� !/ �I J'� O Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare er 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 fort nd effect. License No. ��� Classification [, ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ontract- ors.(Sec. 7044) ors. ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP.61 OR ACDNS. ( ACC. BLCGS. , /20sgft NEW CONSTR. U TI-OUTLE NON-RESID BRANCH CIRCUITS) 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 200sot sALeao FIXED APPLNS Ex. Occup. OUTLETS (RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �yirin 15.00 9 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under p natty of perjury (check one): ❑ T ermit is for $100.00 (valuation) or less. 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 County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree e, indemnify and keep harmless the County of Butte against all I,abents, costs, and expenses which may in any way accrue nlnst�s�Co!unt�y�onsequence of the-granT this permit. vThis 1 2Z Si nar re of A I' ant — Ownerwork g pp ❑ Contractor �Ag.nt❑ An HA permi is required for excavations over 5'0" deep and demolition or construct- ion f stn uctur over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ Occup. CONST.TYP[ FL000 PARCEL PD ND ISSUE permit is hereby issued under sions of the Butte County. Code and/or indicated above for which DIRECTO OF PUBLIC BY PIRES Date the applicable provi- resolutions to do fees have been aid. P WORKS Date '�J�D R ceipt No. WNIT[-D.P.W.. Y[LLOW-AeeCa SO R, PINK-IN9P CCTO R. GOLDENROD -APPLICANT t COUNTY OF BUTTE - DE•PARTMENT J F PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE,,rALIFORNM 95965 - TELEPHONE: 916/538-75411 PERMIT`APPLICATI01WDATA SHEET y� _ Permit No. r / OWNER 74 S ,� r(, F %,, ,.. A. P. No. � — / - Proposed Building Use /'�'/ /!Y � c Building Inspector Dat e% , At time of permit application, I was advised the following data must be submitted prior to permit processing and/or DATE RECEIVED APPROVED 7All items have been submitted. . . . . . . . . . . 2. Plot plans in duplicate/triplicate, signed by preparer of plans. . 3. Complete plans in duplicate/triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6: School District "Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. . . . . 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . 10. Sanitation approval from _ Health Dept. 11. Planning approval for (A) Use: !(B) Parking: . 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) _14. Owner -Builder Verification (Given to owner.❑, Mail to owner ❑) _.__-..._15: Improvements may be required. . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . Pre-Inspec.request to (Date) 17. Pre -Inspection for_—..-_- _ _'. _ Required. Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. — 20. Plot plan approval from city of _ 21. — -- — 22. — — --- W you issue the �yermitl� I C ss as follows: Mail to ownerV; Mail to contractor. Telephone /�' / and hold for pickup n office, Deliver w/inspector. Other _ AppIica ate ��� 54 Copy of plans sent Health Dept.; Fire De t., Other Date The following data must be. submitted prior to permi(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 ----jnaiI—coup r by date — Contractor, designer, owner, was advised c? above required data by—phone mail co er by date Plans checked by Date Plans approved by e Date Sets of plans on hold in File cabinet AP folder Copy—DPW BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS . 7 County Center. Drive,' Orovi.11e, CA PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's Name: 2. Installer's Name;�_C- 3. Is the site currently under permit? Y; pyo Lj (If yes, furnish permit number ) OR Is the site an existing site? Yes U No U (If yes, furnish two plot plans.) 4. Will -the mobilehome be located at least 5 ft, away from seprNo nk and leach fields and clear of all setbacks and easements? Yes (If no, clarify 5. What is the mobilehome electrical rating? --------------- � Amps 6. What is the mobilehome site service rating? ---- -=- % r Amps 7. What is the mobilehome site circuit breaker.rating? ---- - �f-� Amps 8. Is there any other electric load to be served by the mobilehome site service? --------------------------- -------------------- Yes No 2� (I€ yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ------- 10. What is the type of gas service? --= ------ ----------- Natural' O LPG a 11. What is the gas pipe length from meter or tank to the mobilehome?------------------__ 12, What is the mobilehome gas demand.. p6lp-/�`— (BTU) '(This information not required ifpipe length less tha 6 t. natural gas or less than 50 ft, on LPG.) GUTT9 - T BUILDING DEPARTKNI APPROV D - I w M6bilehome Mme 01-het: than i9427� __ furnish Set -.tip N11d42, Mme.1. No. Width-") idt L_2, h Box Lengt160 - - ) or Eypatido Size Jf� U t. 4- On all mobilehomes 'manufactured after October 1973, furnish manufacturer';; manual and structural set sheets (if not on fil. installatiot, 0 with the COLInLy Of BL]ttE,)-. FOOTINGS (check one) od-pre: e tr"tccl n grade. .0 OLlier. (spec i. El Concrete SUPPORTS (check one) �t rete block. Other (spe,cify) Pier Footing Sizes rind RE Main -q- I fau-AL Tal; or Tril,IL.. 1.1n4 Site -Min. ---------- r. 'x - ------------------ X Spacing -Max ---------- !"We of OpeningG From Ends-Hax -------- ji fif2 Piero ------- lIlth ilidLh Over --------- Slac-Min ------------- (Undar avarins W1,11 Only) X30- :i lzc-filo Spicing -Max ---------- - ------------------ ---- Prom Endo -Max.- - all 11fix ----------------- ------ _ Y, Endn.-Hex.------------- -- .Ljne..L_, �uIWAd�a: Site -Min. ------- ' —---`_----- Locattun (Prom Front) ' -x7 X a j_Lne _4PIerj: Sita-Min,L1!L!J.T.LU_EE- (Under Beer' Syncing—max----..—_. Size -Min ----------- From End* -Max -------- I.Jny 5 Roo 1,oadg: From r.ndc-p Site-hin ------------- N Lncatlon (Pros Front) _—__ _ - -x --- - --.. --¢ --� BUILDING DEPARTNi j�4,1 L ..._...�.. __• _ __ '•ham DOLMLE WIDE PIEigNG ,140rRStm= C PSF ROOF LOAD PLANT. 0 _Ll-- C e C - V �.� lt�o" REAR OVERHANG MAX (TYP) " SEE MATING LINE PIERING TABLE 1 1 a �.• �. .ate ® •' 9- 1 l' -O" MAX. UM: SEE PIERING PLAN DRAWING FOR MAIN RAIL SUPPORT FOMMIG SIZES. MATING LINE PIERING TABLE Rmm mm naTM P06T I =UOR 2ND ZKPF=CR 3RD nTTERIOit 4TH UTi'F2tIOR 57H nM=CM MR WALL POET tarATICM AT naC pm POST POST POST PCST POST VIER cApAdTY Dnp Lm 4030 8-ts ���E> 6�� 3484 romma size Z4)(20 3�Xs8 ��x 3� 3(0� Z8 Z4xZ yr on 33 _8�� 4�" �� Naas: • • 1. -F6:ting-zi=* based on 1000PSF soil bearing value.. If soil conditions differ see the _pkwing ,plan drawing or the Hone Technical Installation Manual for method of calcvlatior r C e C - V �.� C-3AOZldd`d �N-3WjZ Vd-3® ONIG-11M ;,IN n-Dg.--Lng COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Orovi Ile, California 95965 - Tdlephone: 534-4541 APPLICATION AND PERMIT ,6 931-7,5- au""'r rep seniatives n county of tsutte to enter u on th above ent' ned propert in ection purposes. X Date Signature of Pe ee or Agent Receipt No. 7 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date Building permit expires Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address ,5i®6_'3 Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee o2 `f, DO o2 OC Building Address 1:310-0 Jr 1� PLUMBING No.1 @ I FEE PERMIT FILING FEE $3.00 1 Each Trap 1.50 _ Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No.,/ Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 `Fe®s NkC. Sanitation Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel Approval Plans Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel 02 or less) (more than 12) — Single Fami.ly Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures y I a102 Receps., switches & fix outlets EM CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar, disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring �( P31i _ . _ , „- .=3Trr•.�1��^,rrsy �•-r•- . 1� ..•_,�•., fa:,,,�71�Y.s•.....iy.ty..-; ......,{r'n'Y�q►•eYS'^!h J•14" FyT'r'•Yi w'4__�isti'�-r�^y,�+: a.. ��.•Y �F Permit#3040-87B Lowe11 Thomas.- v E•.. i. 3003 Crai �Ae Oro. ' $$II I ' a ry w OFFI;A•ddressGASMeter ByELECTRICMeterBy —rZ 1 4 COUNTY -,OF BUTTE - DEPARTMENrT-OF-PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 - APPLICATION AND PERMIT' PERMIT NO. K 1 ASSESSOR PARCEL NUMBER /.. ;; PAR!; _ - - - ZONING A - BUILDING PERMIT OWNER{/ `�°(,- ��- TEL/E/PHONE e) iY �. ` ,SQ. FT. OCC. ,BUILDING VALUATION !!LL ✓♦ OWNER'S MAILING ADDRESS Ind„ 1 CONTRACTOR'S NAME, TELEPHONE (, , CONTRACTOR'S MAILING ADDRESS Fireplace ,. CONSTRUCTION LENDER ti S'S UNKNOWN Total Valuation $ j•.: C, J , Filing Fee $ 10,00 LENDER MAILING ADDRESS _ - Permit Fee $',C ..� ARCHITECT OR ENGINEER P eJ�Qr_- LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS _ Penalty $ BUILDING ADDRESS ii-', —_ .- r Permit fee $ }t++ 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 SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets / 5.00 Building sewer 5.00 Mobile Home S FG—FW 0.00 ea TYPE OF WORK New ❑ , Addition ❑ Remodel ❑ Utilities ❑ Installation[--] Other Q Describe work: i l Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 _ �y f �xt. %lei, ?1`Y j << 7G G c — �5 . p Sr/'� F / e00V OR LESS Main service 10.00 100 AMP OR LESS Main service EA. ADD'L too 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 BUslnes$ and Professions Code and my license is in full force and effect. - - f License No. Classification _ Qf41- 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) ' 1, ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.a) OR AODNS. ACC. BLDGS. , h2sgft NEW CONSTR. MULTI -OUTLET 2,50 ea NON.RESIO BRANCH CIRCUITS)-- POWER APPARATUS e SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES ewLO 30 FIXED Ex. Occup. OUTLETS P(RESID IREA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 �•c7i) Permit Fee $ Contractor 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. O, 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 liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. I X u �� Date � J" , Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑i An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ t I TOTAL PERMIT FEE $ �'7�G •�, ) Occup. CONST.TYPC SCHOOL FLOOD PARCEL PD ND I ISSUE This permit is hereby issued under the applicable sions of the Butte County Code and/or resolutions work indicated above for which fees DIRECTOR OF PUBLIC WORKS By PERMIT EXPIRES Date provi- to do have been paid. / Receipt No. /i �� 1 % WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR• GOLDENROD -APPLICANT 11. im Name: LIFETILE RE -ROOF DATA SHEET, Date: street: 300 3 C/'A _Q AMP City: IJt� t�i /[Il Z i p: 9 Owkc��j� /���� �� Type of Roof: Roof Covering: C�YI%z%, Pitch: 161yz Rafter Size: Z X Spacing: Rafter Span (s) �� 1 House Bracing (if req) See Attached Garage Bracing (if req) A: ❑ See Attached Referred by. �r�l � h-L�il�� Referred to: Comments ;2- "At^ trod spr_iKo4 6: MINIUM AMOVABLE RAFTER SPANS FOR INSTALLING CONCRETE TILE OVER EAISTING ROOFS Design Criteria LIVE LOAD PdcheS-- Less than 4:12-20 psf 4:12 and greater - 16 psf DEAD LOAD: (No ceiling load considered) New Concrete Tile — 95 psf Existing Roof — 3.0 psf Sheatttirg — 1.5 psf Framing — 2.0 psf TOTAL PSF — 16.0 DEFLECTION: L/240 for Live Load U180 for Live Load and Dead Load `, J7 I MODULI OF ELASTICITY. 2x4's — 1,500,000 psi 2x6's 6 up— 1,700,000 psi BENDING: Pre- 1970 Grading* 2x4 — 1000 psi (construction grade) 2x6 8 greater— 1200 psi (standard and better grade) Post- 1970 Grading* 2x4 — 1200 psi (construction grade or better D.F.) r 2x6 B greater— 1650 psi (no. 2 and better D.F.) *W.C.L.I.B. Standard Grading Pule No. 16 and U.B.C. Standard No. 25-3 25% stress increase for short time loading. Repetitive member uses. IMPORTANT NOTICE As a convenience to our customers, we offer a free framing inspection service to help determine the feasibility of installing concrete roof lite products on existing structures. Any recommendations made are based on load bearing capabilities of the existing framing system as calculated by licensed structural engineers. Any bracing method recommended has been developed by engineers and/or framing contractors and has been proven satisfactory through many years experience. As our representatives are not structural engineers, we cannot make recommendations other than those determined by measuring existing framing elements and applying values listed in published tables. As our company performs no actual labor in the bracing or tile application process, we cannot be held responsible for the workmanshid of others. ras Ir, &c. 14' ff 14' S" MAXIMUM SPANS* Lxml bw Ransil Low than 4/12 4/12 or grouter - sba Stra Pro 1070 Prost 11170 Pro 1070 Post 1070 U4 Ir, o_c 9 0" r d" 9' 1" 9' 1" 16' o.c T l fr r11" r 8" r 3- 24" o.c 6 5" 6' 6" 6' 9" ell" ras Ir, &c. 14' ff 14' S" Is, 2" 14110" I6' o.c IS fr IS e" 1510" IS 6" 24' me lo' r' I7' 4" 11' 3" 11' 9" US Ir, o.c 20 0" I r l O" 20' S" 19' 7" 16'oc IT 9" IT 1" Will" Irlo" 24" o.c 14' 6" 1 F 11" is, 6" 2210 Ir, o.c 25' S" 24' 0" —2F-4-'- 25 0" 16' o.c 2r 6" 21'10" 2510" 2r 9" 24" o c IV 4" 19' 1" 19' 6" 19' 10" *NOTE- An opens ars, measured aforg the horizontd projection of the rafter. LIFETILE Corporation ❑3511 N. Riverside Avenue Riatto, CA 92376 714/822-4407 a45111 Industrial Drive Fremont, CA 94538 415/657-0414 P.O_ Box 21516 Piease Complete and Mail to Location Indicated San Antonio, TX 78221 512Je '. S-2771 4 GENERAL NOTE: These -span tables are 111 designed for use as a guide for re -roofing work using concrete roofing tiles. Since design valves for wood vary with species and grade of material, judgement and pru- dence must be exercised by the roofing contractor. Whenever a doubt exists, have the structure checked by a qualified archi- tect or engineer. These tables are onlyt accurate for the conditions as noted. . J1 All structural reinforcement should be done by state -licensed contractors who assume responsibility for their Calculations by: Roy G. Palmer, consulting Engineer Riverside, California LIFETILE Corporation ❑3511 N. Riverside Avenue Rialto, CA 92376 714/822-4407 45111 Industrial Drive Fremont, CA 94538 415/657-0414 :d P.O. Box 21516 "✓LJJ San Antonio, TX 78221 512/626-2771 please Complete and Mail to Location Indicated Name Jk, ¢'/yIls, / kay/ 3 Number AX80 (See Attached Data Sheet) TYPICAL HOUSE SECTION 1 tjj 1 TYPICAL GARAGE SECTION" 1 pri 2aJfs}/ IAVS. *Aid &S of e arcul Ire. frTnG 'f '� d.�JC� .1 ooW S i =O tea( NOTE: Add to sections as necessary to show additional framing. Use'X' to cross out braces, purlins orties that do notexist. ^-1. Show All Dimensions 5. Specify Tie Size & Spacing t- --2. Specify Rafter Size & Spacing 6. Indicate Roof Pitch ,: Specify Purlin Size 7. Garage Door Header: Indicate Size 4. Specify Bracino P ---?e & Spacing & Bracing Requirement COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 —Telephone: 916/538-7541 - - - APPLICATION AND PERMIT PERMIT NO ' AS ESQ^ Phi-- / B R '"((// �j)'- ,- ` zON BUILDING PERMIT OWNER TEL HONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS /�,n. �� Vy,fle_-rS co 601TRACTO 'S NAM111 TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is OG , Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER - LICENSE NO. Plan Checking Fee $ Energy .Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PERMIT Filing Fee' 10.00 313PLUMBING Each Trap 1 2.00 On✓1 L Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each gas water heater or vent 5.00 USE OF STRUCTURE SFV�_ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 . Building sewer 5.00 Mobile Home S I G I W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ® Describe work: / Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP 00V OR ORSLESS 10.00 �- Main service EA. ADD'L 100 AMP 2.50 ,So 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. I. eense No. Classification S ❑ 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) 1 ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.EI , OR ADDNS. ACC. BLDGS. /20sgft NEW NON.RESID R BRANCH CIRCT S 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. o®yoe Ex. Occup z OUTLETS OR FIXTURES eAL030 FIXED REAJ .0 Ex. Occup. OUTLETS P(RESID ) 20 _ 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. �� 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 shal I be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee d $ 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 Countyof. 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 d County in con nce of the granting of this pe X �� Date Signature of Applicant — Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation. Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ L .6D occu P, CONST.T7 JSC.00LJ FLOOD PARCEL I PD I MD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR F PUBLIC �y By By—=y5i PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS at Receipt No.. WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT T COUNTY OF BUTTE - Department of Public Works 7 County Center��Dxive,.Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing,your building permit. No building permit will.be issued until this verification is received. 1. I personally plan to provide the.major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: ;Name Address City Phone Contractors License No. 4.. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work.but I have contracted (hired) the following "persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security Number Date i 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.,.,v... �;�,�•. „�,.�r: ,..,�. i�� s. e � ,.� ':s.5&�� 'isrc _ %'i/tY�v... :r'v. :`: •a.` •,� _ .i=t* COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. _ 7 County Center Drive - Orovillr, C0191ifdrnta 95965 - Telephone 916/534-4541 J APPLICATION AND PERMIT ASSESSOR/ARC! NUMBER ZONING r BUILDING PERMIT OWNER - t TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S N METELEPHONE el T SO CONTRACTOR'S MAILINGADDRESS �/'/1 CI— t j�i� 'L L. w~ Fireplace l,�`G /�-t� ✓ CONSTRUCTION LENDER q / UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 4 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILD,IrP.l�GG A•D fEss 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 Building sewer 5.00 Mobile Home S G W 10.00 e rte/ SF L� Duplex ❑ Mobi lehome ❑ Other SPECIFY TYPE OF WORK Permit Fee $ New ❑ Addition ❑ El Utilities ❑ Installation❑ Other �t Contractor _Remodel Describe work: C 7 5C/` C_ ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 rJ,�IC; Main service EA. ADD'L 100 AMP 2.50 U NEW CONST. (/ DWELLING OCCUP.& OR ADDNS, l ACC. BLDGS. t 2/20sgft CONTRACTORS LICENSE LAW " New CON-( ULT' -OUTLET .No N-RESID BRANCH CIRC ITS 2,50 ea I declare under penalty of perjury (check one): NEW CONSTR. I POWER APPARATUS &) ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business NON-RESID. %SINGLE OUTLET CIR. 1 Ex. Occup(ouTLETs OR FIXTURES aA eaoc and Professions Code and my license is in full force and effect. �%��� � r—' Ir a FIXED APPLN5. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 License No. 4 Classification ❑ I, as the owner, or my employees with wages as their sole compen- Temporary service 10.00 sation, will do the work,and the structure 1s not intended or offered Mobile Home Facilities 15.00 for sale. (Sec. 7044) Misc. Wiring 15.00!j, (%U ❑ I, as the owner, am exclusively contracting with licensed contract- ple „1 1 �� / �,�U ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code Permit Fee $ 5z.Lo for this reason Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): Heating ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department Cooling a Certificate of Workmen's Compensation Insurance or a Certificate Hood 3.00 of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject Ventilation to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject Permit Fee $ to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor 1 certify that I have read this application and state that the above information Mobile Home Installation Fee $ is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. TOTAL PERMIT FEE $ 1 also agree..to save, indemnify and keep harmless the County of Butte against OCCUP. GROUP TYPE OF CONST. PARCEL PD ND ISSUE all liabilities) judgments, costs, and expenses which may in any way accrue f/ against„said County in const'ijuence of the granting of this permit. , This permit is hereby issued under the applicable to do to do � �-- X j J •-ti` � Date sions of the Butte County Code and/or resolutions -. Signature of Applicant — Owner ❑`f Contractor ❑ Agent [---- work indicated above for which fees have been paid. An OSHA permit is required for excavations over 5'0” deep and demolition or construct- r ' DIR�CTOR OF PLIC WORKS ion of structures over 3 stories in height. By 1 j Date f -' yo r i� Receipt No. PERMIT EXPIRES Date WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEP .'f 1 .NT OF PUBLIC WORKS 7 County Center Drive - Oroville; California 95965 - Telephone 916/534-4541 APPLICATIOWAk PERMIT , PERMIT N0� ASSESSORp- CEL NUMB E G ;? - i ZONING BUILDING PERMIT 07 _ cs 0-514061,09- -5� Mn ' / 9 /'Vl/J Ul/�/iAV//t TELEPHONE SQ. FT. - OCC. BUILDING VALUAT N 00, ` OWNER'S MAILING ADDRESS Cpi+17RAC •S- N-�Z7E ?/� (/rL�� TELEPHONE c�lyzgp5* oR's�I�IL/Ir,��DR� (/ y - / Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ .1 Q,QQ LENDER'S MAILING ADDRESS Permit Fee'- $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDIf,+{Gb65ESS ✓✓��CC �`''//JJCC / /IV �r PLUMBING PERMIT , Filing Fee iO.oQ 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 ❑ Mobi lehome ❑ Other ^ SPECIFY Building sewer + 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New ❑ Addition ❑ emodel ❑ Uti, li.tti�...ie��sJ:1 Installa�t�io�nEl Other' Describe work: �'�c�'-v[ CCG�/ Permit Fee $ - --Contractor : ELECTRICAL PERMIT- Filing Fee 10.00 00V OR Main service 100 AMP ORSLESS 10.00 -,�7r00 Main service EA.'ADD'L 100 AMP 2.50 2,6 -C) NEW CONST. DWELLING OCCUP.&` OR ADDNS. ( ACC. BLDGS. I I 2/2Qsgft 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 aP_my license is in full force and effect. �Co License No. � � , Classification C' -'f CD ❑ 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 CONSTRULTI-OUTLET 2,50 ea NON-RESID. BRANCH .CIRCUITS) NEW CONSTPOWER APPARATUS &) NON- RRESID• (SINGLE OUTLET CIR. Ex. Occup(ouTLETS OR FIXTURES 20@50a 6AL®a0Q PR EX- OCCUp. OUTLETS (RESID IEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 .-� s%� �Sr�o Permit Fee $ 50 HO Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one):, ❑ The permit is for $100.00 (valuation) or less. have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance ror 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 a save, indemnify and keep harmless the County of Butte against all • Ilitie judgments, costs, and expenses which may in any way accrue rii�Countycor(09-Mm9e of thAranting of this pe it. Date Signature of Applicant — Owner❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. I PARCEL PD HD ISSUE r This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIR R O� P LIC B y— — PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Datf e Receipt No p e- WHITE-D.P.W., YELLOW -ASSES OR, PINK -INSPECTOR. GOLDENROD -APPLICANT I. Steal► 6e Nlor Good Practices _ t �IpTE:—pll i` Rech-jO%Zed in A�Qrda.nce with for t%° Specified G5� � Pg .j a quality pCesc�ihed blrig & NNechar � gild'+n�� Qlu►fi Uff'.form c ctr,cal Clard ode - lbe Nat:..�nal ! PeZSENT.SEPr/C—ten set 61 plans and specificafion3 N1S �Cept on f :e c'7 ,,ta-, 'f'^nr a and of is -unlawful '�b -- -�. make any cha;�e^y cr a? e-rtions on same wi¢lto —1� written permission, 7r,�r,7 Me ®epartmerrt of- ._ � �� lic Works, Counfy of •Butt Apermit will be s•egolred for Me ~_���� - insfallafion of fhe m0 6ilelhome. New � jo So. Fi..M{N{MuoA 10o',�7 keno UOBILES vie`ads eco , 1 _ ego - —_ Po mew o te off` h _ � • - AP a7- P-7-// - o{ 5 \t d a se'�baGk - _ L w�LL TomAS set\'ack\'�re5 ar coaa -pk IVEw WELL To ,BE -DRIL, D P ro�el off` the e c\eat eXcepi - — /6 AC ERS P 5p{t • {c s\;a\\ b ��erx of tec\ire oc ec*3'%V �a La 7 cer\ �Ces P o� l s�r\3 4t ear a G �Aq' To,the attention of Dave Purvis: " We'vaemade application for a permit on parcel #027-27-0-14. It complies with the square foot- age of less of 500 feet�' on thea bottom floor. We've 'also have make 1pplication for permit of a 62 -12 -that may be forth -coming in the 'near- future. We understand that the second floor may \1 have to be a storage space in the event the plan-',? IN -g_ ning commission does not approve the plan. We also agree to put a door blocking',the second floor. We agree not to put in a stove top or fi:-*-?ar-- ,. fixtures. Sincerely, Carol Kountz 3003 Craig Avenue Oroville, California 95966 ,a • a COUWY OF 8U9`fg BUILDING DE ocT' 22 IN I,Z-Ii •�ti •{i';.;w'v3p�.r eH:y�'T:;':.i.y+. ,r 4-.v. q.7 "`ts I�,�z I'�PF'ey iu. �t'iv^VS, . * sZaiitf?� aye Pi s� if: • .. e.• -� IM�kc,e New U Addition I_ Remodel C Utilities ❑ .Installation❑ Other 54 11 � Contractor Describe work: ' ` ,.Q � _ �E.� _-�-' 9 -_5s COUNTY OF UT -.DEPARTMENT OF PUBLIC WORKS PERMIT NO. 916538-7541 7 County Center a vllle. California 95965 - Telephone: CONTRACTORS LICENSE LAW NEW CONST. ( DWELLING OCCUP-at OR ADDNS. ACC. SLOGS. AP (CATION AND PERMIT z,� 9 POWER APPARATUS e) (POWER OUTLET CIR. and Professions Code and my license Is In full force and effect. Ex. Occup(ouTLETs OR FIXTURES SESSOR PA EL NUMBER F, XED APP LNS. OR Ex. Occup. OUTLETS IRESIO.1 EA.) ❑ I, as the owner, or my employees with wages as their sole compen- work,and the structure Is not intended or offered �++. ZONING _� (-' � U G BUILDING PERMIT sation, will do the for sale. (Sec. 7044) Mobile Home Facilities ❑ I, as the owner, am exclusively contracting with licensed contract- S0, FT. OCC. BUILDING VALUATION A54A ❑ I am exempt under Sec. , Business and Professions Code ob3 s Fee for this reason ' U q�a� YNTRACTOR'S NAME - TELEPHONE ab, � ❑ The permit is for $100.00 (valuation) or less. Heating O NSTRIJCTION LENDER ENOER'S MAILING ADDRE43 RCHITECT OR ENGINEER RCHITECT OR ENGINEER'S UILOING ADDRESS .OT NO. I SUBDIVISION N (LING ADDRESS Adi K PARCEL MAP USE OF STRUC URE iF ❑ Duplex Mobilehome❑ Others T �3 SPECI FY Fireplace Total Valuation. $ Filing Fee Permit Fee Plan Checking Fee Energy Plan Checking Fee Penalty Permit fee PLUMBING PERMIT Each Trap Solar or heat pump water heater Water piping Each qas water heater or vent Gas piping system 1 - 5 outlets Building sewer Mobile Home S I GF TYPE OF WORK �p_,nmnitFe New U Addition I_ Remodel C Utilities ❑ .Installation❑ Other 54 11 � Contractor Describe work: ' ` ,.Q � _ �E.� _-�-' 9 -_5s ELECTRICAL PERMIT - nl1 r sooVORLESS Main service 200A OR LESS Main service 20CATO t000A1 CONTRACTORS LICENSE LAW NEW CONST. ( DWELLING OCCUP-at OR ADDNS. ACC. SLOGS. I declare under penalty of perjury (check one): NEw CONSTR RANCHUTLET NON.R ES10 BRANCH CIRC ITS ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business POWER APPARATUS e) (POWER OUTLET CIR. and Professions Code and my license Is In full force and effect. Ex. Occup(ouTLETs OR FIXTURES License No. Classification F, XED APP LNS. OR Ex. Occup. OUTLETS IRESIO.1 EA.) ❑ I, as the owner, or my employees with wages as their sole compen- work,and the structure Is not intended or offered Temporary service sation, will do the for sale. (Sec. 7044) Mobile Home Facilities ❑ I, as the owner, am exclusively contracting with licensed contract- Misc. Wiring ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code Fee for this reason EPermit ctor WORKMEN'S COMPENSATION INSURANCE MECHANICAL PERMIT I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. Heating ❑ I have placed on file with the County of Butte Building Department Certificate a Certificate of Workmen's Compensation Insurance or a Cooling of Consent -to Self -Insure.. ❑1 shall not employ any person in any manner so as to become subject Hood to the W. C. laws of California. I Ventilation Notice to Applicant: If after making this statement, should you become•suDlect permit Fee to the W. C. provisions of the Labor Code, you must forthwith comply with such Contractor provisions or this permit shall be deemed revoked. 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 Aftagrep to save, indemnity and keep harmless the County of Butte against a bilities, judgments, costs, and expenses which may in a way, accrue ag st said County in consequence -of the granting of this peerlmi .d i X' Date // Signature of Applicant Owner C] Ccntroctor�❑, Agent 11 An OSHA permit is, required»for excavations over 5'0" deep and demolition or construct- " -ion of structures over#34stories.in height. $ 15.00 $ y Sd $ 7/. a $ S $ 7� Filing Fee 1 15.00 5.00 G • Gy-' 20.00 7.001700 7.00 -G;J 5.00 -5. tNor 15.001 -!. o` @ 15.00 $ /o L Filing Fee 15.00 18.50 / • S� 37.50 3.64 sq -ft -1 27 3C, Cal 5.001 Mobile Home Installation Fee Energy Inspection Fee DCC CONST TYPE TOTAL FEE This permit is herebyl sions of the Butte•Cou work indicatediabove By PERMfC E; 1 3.001 15.00 15.00 15.00 $ /50 Filing Fee 15.00 • 00 6.50 s w y = S PA..CcL- P101.HD' (SSU :the -applicable provi- d/a t- olutionsao .do F-1 Complaint-Date Other-Date BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT ZONING Owner: KowA.>`�,4 A.P. # Address • Date of Inspection Tenant: Inspector Building Location: 3 0 0 3 G CQk A'vc Type of Inspection requested: Housing / /..2. Financing 3. Change fof Occupancy to 4. Work W/O Permit / / :. Other (specify) ` Present use of, building : S-61-2.d4 s L.oc.ce -• A. Sanitation (Housing) 1. Water closet: P.JflN� 2. Lavatory: _ 3. Bathtub or shower: 4. Kitchen sink: 5. Hot and cold water to fixtures: 6. Heating facilities: Natural light and ventilation: 8 Room and space requirements: 9. Bedroom window or door for second exit: 10. Infestation of insects, vermin, or rodents: 11. Connection to sewage disposal: 12. Connection to water supply: 13. Rubbish and garbage facilities: 14. Stairs :(Rise, Run, headroom, .lHR, Tolerances, Handrails) 15. Comments: B. Structural I. Piers and footings: � 2. Floor construction: Z (o ' o C- 3. Wall construction: J U — Zi/ 4. Ceiling and roof construction: &k- - .\l ?�vr, n.a�-E ra.�-�e.-s ZA% 5. Fireplaces: 6. Comments: ='��..r.� dc6.4 tea.. ��(,�' Go�r.ci pno . :-kc L.syz It,wA S4,LAr� C. Electrical I n 1. Service and ground: No-� prQ;V" / 2. Receptacles: l-jS4CLA &e- 3. Fusing: 4. Comments: D. Plumbing 1. Fixtures connected and vented: tJ o N -e_ 2. Gas water heater: 3. Gas heating vents: R �- 4. 'Comments: E. Other , 1. Maintenance and repair: at'< -F- 2. Fire hazards: 3. Safety hazards:. 4. Weather protection: 5. Underfloor and attic ventilation: rvr.c, 6. Energy:_ r'ov..&-2 7. Comments —� F. Commercial Buildings 1. Roof covering: 2.. Distance to property lines: 3. Physically handicapped: 4. Restroom floors and walls: 5. Exits: 6. Improvements: 7. Zoning: 8. Comments: G. Field Probl.ems.or Violations 1. Problem or violation (give complete description): 2.. What action taken (give complete description): 3. What action recommended: A. Information only - file. B. Hold for ten days, then write letter. C. Write letter. / /..D. Other: xr;119rrsm+�pq�S�•p.E,„n-- COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS I— Q 7 County Center Drive;I.Oroville, California 95965 / y Telephone: 538-7541 APPLICATION FOR SPECIAL INSPECTION Owner C AIUOLL t_0V,/UTZ A.P. No. Mailing Address 003 CRAIG A UE 620 Telephone No S 31/- 9"WR Applicant k0UJEU_ 7-Ho/14/4,S Telephone No.02 2117-3 Mailing Address ICA JR W14 L/ bl? C Building Location ,1)0 _j CRA / 6 , 19 Vc— 0 /?0 I hereby request a special inspection of the following building: 1. Dwelling (if only a portion, specify) Q2. Apartment House (if only a portion, specify) 3. Commercial (specify present occupancy) [T% .4: Other (specify) P05S18t67 04-1) PUMP HDUS % I:am requesting.a special inspection for the purpose of:w �. 1.. Moving the building. 2.' Financing (specify agency) Case No. L_lGJ 3 • Change of occupancy to U/�P 801%SC ?) 0 i2 UFS T HQ US C Q 4. . Other (specify) I hereby certify that I will 'obtain the necessary permits and make any necessary correc- tions, alterations, or repairs required by the County of Butte, as.a result of this inspec- tion, to comply with building and housing code requirements. I also certify that prior to the use or occupancy of this building, I will complete the above required corrections, alterations, or repairs, or, if the building is presently occupied, I will complete the above required corrections, alterations, or repairs within 30 days. I certify that I have read this application and state the above information is correct and hereby authorize representatives of the County of .Butte to enter upon- the above- mentioned property for inspection purposes. Date Signature of Owner Fee Paid $ � , Dd Receipt No. 1st-DPW/2nd-Inspector/3rd-Applicant- f COUNTY O� BUTTE - DEPARTMENT OF PUBLIC WORKS �7 County Center Drive, Orovil'le; California 95965 Telephone: 538-7541 APPLICATION FOR+,SPECIAL INSPECTION Y Owner (fARRuz- jh.OVA)TZ. A. P. No. 27- 27-)V Mailing Address%M�. / 5 3 y �VV � CRA � l3 A VE � 620 Telephone No i Applicant IG -O0JELL. I_ H(3/P/%/q S Telephone No 0/ 2 2(173 . Mailing Address Building Location ,300__� CRR I 6, A U6, 0RO, t I herebyfreq-ueat" a special inspection of'the following building: _ 1. Dwelling (if only a portion, specify) 0 2. Apartment House (if only a portion, specify) Q 3. Commercial (specify present occupancy) 4. Other (specify) ROSS/ BL C ocn PU/I/I P HDuSc% Nj I am requesting a special inspection for the purpose of: 1. Moving the building. 2. Financing (speAfySge`•iio vc 1._L 3. Change of occupancy to 0 4. Other (specify) I hereby certify that I will obtain ,the necessary permits and make any neessary correc- tions, alterations, or repairs required by the County of Butte, as a result of this inspec- tion, to comply with building and,'holising(ccode requirements. I also certify that prior to the use or occupancy of tha'.s\building, I wit complete the above required corrections, alterations, or repairs, or, if the build�3ng- iA§"�pri'!§erftlr ccup ''&,' �I wRil (comple"t"e the above required corrections, alterations ,.,• or repairs within 30 days. �r �,;s ` ` fir' ' f . � li �� �-�' � � , �'.� •, G ���.,:� • � � � �.,_,�y� I certify that -:I• have read this application and state the above information is correct and hereby authorize representatives of the County of Butte to enter upon- the above- mentioned property for inspection purposes. l Signature of Owner Fee Paid $ 00 lst-DPW/2nd-Inspector/3rd-Applicant Date c7- 9z �r / Receipt/No. )2 Ei • S Carol F.ountz 3003 Craig Avenue Oroville, CA 95965 Dear Ms. Kountz: September 30, 1992 RE: Special Inspection 92-55 (A.P. #r027-27-0-0141 With reference to the above subject and your request for inspection of the proposed conversion of the pump house to guest house at .3003 Craig Avenue, Oroville, the inspection was made September 29, 1992. A reasonable visual inspection was made without going.on. the roof, under the building, or in the attic and found the following items which must be done or resolved: (1, Provide complete details showing compliance with Uniform Building 'Code SectionP2517, bracing requirements for the east wall where bracing has been damaged or cut. (2) Provide Environmental Health Department approval for sewage disposal and water supply. (31 Comply with all requirements determined at time of.plan check. This inspection by the County of Butte does not act as a guarantee or warranty as to the internal soundness -of said conversion. It is now in order for you to submit complete plans in triplicate with calculations to this office including plot plans, floor plans and structural details, apply for the required permits, and pay the appropriate fees. Should you have any questions concerning this matter, please contact David Purvis of this office at (916,538-7541. DP:dms Yours very truly, J.F. Glander Manager, Building Inspection cc: Building Inspector, Oroville Lowell Thomas, 55 Fairway Drive, Chico, CA 95026 �-� BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE. CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (916) 538-2140 September 30, 1992 Carol Kountz RE: Special Inspection 92-55 3003 Craig Avenue (A.P. #027-27-0-014) Oroville, CA 95965 Dear Ms. Kountz: With reference to the above subject and your request for inspection of the proposed conversion of the pump house to guest house at 3003 Craig Avenue, Oroville, the inspection was made September 29, 1992. A reasonable visual inspection was made without going on the roof, under the building, or in the attic and found the following items which must be done- orr resolved: (1) Provide complete details showing compliance with, Uniform Building Code Section 2517, bracing requirements for the east wall where bracing has been damaged or cut. (2) Provide Environmental Health Department approval for sewage disposal and water supply. (3) Comply with all requirements determined at time of plan check. This inspection by the County of Butte does not act as a guarantee or warranty as to the internal soundness of said conversion. It is now in order for you to submit complete plans in triplicate with calculations to this office including plot plans, floor plans and structural details, apply for the required permits, -and pay the appropriate fees. Should you have any questions concerning this matter, please contact David Purvis of this office at (916)538-7541. DP:dms Yours very truly, J.F. Glander Manager, Building Inspection cc: Building Inspector, Oroville CLowell Thomas, 55 Fairway Drive, Chico, CA 95926 CC-UNTY OF BUTTE - &PARTMENT OF PUBLIC WORIS - BUILDING DIVISION _°COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 OWNER L.////]/( L Proposed Building Use PERMIT APPLICATION DATA SHEET A. P. No. 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 se igned by preparer of plans. 3. Complete plan sets, signed by preparer of plans. 4. Engineered pla 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: Vs­o'y . Cv6Z'F}ovsl� 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. -Al-7/9zW When op -issue the permit roce s as follows: Mail to owner. Mail to contractor. !/Telephone and hold for pickup at office. Deliver with inspector. Other Applicant ��lfit,�-&,1,9Q _ Date el 17j 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 offee payment on permits not issued, and one yearfrom the date of permit issuance -for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan checking fees for work plan checked and other department costs are not refundable. Original - Applicant COUNTY OF BUTTE 123273 'V OFFICIAL RE EIPT A Af ('41011 /OFFICE OR DEPARTMENT ISSUING RECEIPT 19� Received from C!`7�Yi,��,7r The Sum of 1/t- fi��E For 19IRd ' . � 4G//f C -I-M1 ,V Received:. 0,77-2-7-014( Received By CASH cc Title CHECKX0- By AGLES FORMS AND MORE (916) 743.6523 i j COUNTY OF BUTTE : Department of Public Works 7 County Center Drive, Oroville, CA 95965 6#U61 9 Z 1d3Q ONIGIine Attention Property Owner: OWNER -BUILDER VERIFICATION Phone: 916-538-7541 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 propertyimprovement(yes or no) 2. I (have/have not) signed an application for a building permit for the proposed work... 3. I have contracted -with the following person (firm) to provide the proposed construction - Name ZZL W "Z Address City Phone Contractors License No. 4. 1 plan.to provide portions of this work, but I have hired the following person to coordinat supervise, a d p ov�de he 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 1 Signed: �� Property Owner 4 Social Security Number Date / 9'9 NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted t issue the permit. r.'. Rte+—�•�� .w.�'�^••'•�"^ _ ^.Frr.•+r+ _ _ _ _ �•�•;+ T"r"•'+�• � I • a _ _ a BUTTE COUNTY DEVELOPMENT SERVICES DEPARTMENT 7 County Center Drive Oroville, CA 95965-3397 (916) 538-7601 Date: 11-5-92 TO .�.0 �, RE. r Enclosed is preliminary data our uiAT40- f b -k) C-2 S%CfCfu1ec Administrative Permit review for Carol Kountz 3003 Craig Ave., Oroville 95966 AP# 027-270-014 office has received or generated concerning the following project: _Administrative Permit for a permanent 2nd residence for 1 or 2 persons over 62 yrs of age, not to exceed 1200 sq. ft. on property zoned A-5 located at the end of Craig Avenue off Palermo-Honcutt Hwy. south of Palermo. 3003 Craig Ave. The above project has been determined to be categorically exempt from environmental review under the provisions of the California Environmental Quality Act. This department is reviewing the application for compliance with applicable County and State requirements, or restrictions that your department may have for this project. Please respond within 10 days of the above date. If no response is received within the 10 days, it shall be assumed that there are no concerns or requirements from your department. We appreciate any assistance you can provide. Sincerely, arry Pa" ter Planning Technician Comments: Z- 49 DEC FD2 Wit= 1 Cl: 4 AM CAROL KOUP,TZ ! P. 1 FoH Sauer Sheet TO: i9i �a ,G J Carol Bus Komall MOS Craig Nome Grovslle, Ca_ 95966 (916) 53q -9q 18 Fade -4 (9) 6) 539 -39S) } C:5 0 0 0 0 p to r 'n r I eta 4a/ C?ID �� oma+ w 0 ®�� Nc ' V } C:5 0 0 0 0 p to r 'n r I eta 4a/ C?ID �� oma+ w 0 ®�� Nc ' cZa"toQo o ul .7 -'DEC 0'2 '92 10*50Pf'1 CAR KOUf`1T2. P.2 OL/ P.O. BOX 807: SAN FRANCISCO, CA 94101-0807 INSu;tANGL'' PUND CERTIFICATE OF VVORKERS' COMPENSATION INSURANCE POLICY NUMBER: CERTIFICATE EXPIRES: r z1.•TT- r rn, T C 4 w f S L This is to certify that we have issued a valid Workers' Cornpensation insurance policy in a form approved by the California Insurance Commissioner to the ernplo yrr named below for the,policY per=o;f indicated. - This P011Cy is not subject to cancellation by the Ft -,-d except upon ter. days' advance written notice to the employer. We will also gave {ou TEN days' advance notice should this policy be cancelled prior to its normal expiration, This certificate of insurance is not an insurance Policy and does not ,amend, extend or after the coverage afforded by the Policies listed herein, Notwithstanding any requirement, term, or condition of any contract or other document with respect to which this certificate of insurance may be issued or may pertain, the insurance afforded by the policies described herein is subject to all the terms, exclusions and conditions of such policies. PRESIDENT individual' EMPloyer.s and Husband and Wife Employers are not eligible for benefits as employees under this policy. EMPLOYER F— L L K.'`, T, V L SCIF 10262 (REV. 10-86) COPY FOR INSUREU'S FILE OLD 262A co 192 ArR "ONO 1 N F�fU X00 e- � �A�v Fo 0- SccaN o M i�' -- t ru n �e �2ovt�E,1taN o &reDCc uP- PC -?Z- c.�m�s (,L ??� 2- � SEC'RaA.I s(�gYY� tT"i '°Y� � o FtCUf- � � 1 60 2� PERMIT NO. 2550-89B,P,E, PERMIT EXPIRES i (OWNER LOWELL THOMAS tI CONTR. Holiday Pools i ASSESSOR PARCEL 27-27-14 LOCATION 3003 Craig Ave, Oroville I I i r� t I 1 Temp. Power Pole Called PG&E Temp. Elec. Service i{ Called PG&E Temp. Gas Service. Sim Called PG&E . � t JOB FINALED (Date) Signature . I = OK 0 = Not OK ' MOBILE HOMES MISCELLANEOUS = Not Readyable Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.- 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete Shthg.-Rfg.-Bracing 6. Gas; Location -Test -Wrap: / /"L"ft. 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures / /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -131 Date Card -61 Date 10. Roof; Shthg-Roofing Card -131 Date Card -131 Date 11. Ext.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s I 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 Card -131 Date Card -61 Date Card -B1 Date Card -131 Date Card -131 Date Card -81 Date Card -131 Date Card -131 Date Date POOLS (Plans) OK except #'s 1, Se ks-Easda rMs 2. S , Compa•tion-Structu Stability 31,Kool Structure; Steel -C r�ctions-Thickness- Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 811-lec.; Encl es; Conduit Entries -Terminals -Listed Tltkc.; Bon0g; g; Metal '-Circulating Equip. -Heater )3= ? 8. Elec.;Ground ing; Equip. w/5' -circulating Equip. -Po tg. < Boxes-Enclosures-Panelboards-Ins. to Main in Conduit n 10. Plumb.; Cir. Test -Water Supply Test Card -B1 /// 1/ Dater %/ O Card -131 Date Card -131 Date and -131 Date = vK 0 = NotOK RESIDENTIAL (Single and Duplex) - = Not Applicable = Not Ready IF I P Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks; -Easements -Flood -Slope 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. De 3. Ftg., Garage; Soils -Steel-/ P' Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. De 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel -Bloc kouts-Wrapped 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Card -B1 Date Card -131 Date Card -81 Date Card -131 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors Card -81 Date Card -B1 Date Card -B1 Date Card -81 Date Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 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-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light Card -B1 Date Card -81 Date Card -131 Date Card -81 Date Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnace in Attic Card -B1 Date Card -B1 Date Card -Bi Date Card -131 Date Date FRAMING (Plans) OK except #'s 39. Sills, Proper Material. & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearing Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One T -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-Clg. 60. Infiltration -Wal Is-Wndws Card -B1 Date Card -131 Date Card -81 Date Card -131 Date Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Firepl.-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 Inpections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates 92. Roofing Certificate Card -131 Date Card -131 Date . Card -131 Date Card -131 Date Card -131 Date Card -131 Date Comments at Final: (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville;CalifoYtia 95.965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR P L�NUM ERZO ' BUILDING PERMIT OWNER L0lA)45­`_�_ TELEPHON 53q_ SQ. FT. OCC. BUILDING VALUATI OWNER'S MAILING LIDDRE55 �� e Gr CONTRACTOR'S NAME TELEPHONE u CONTRACTOR'S VAAILINa ADDAle S / IC70 Fireplace STRUCTION LENDER UNKNOWN Total Valuation i $ D LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking. Fee $ �- Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 �. 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 ,�, SF ElDuplex❑ Mobilehome❑ Other �-?�--- SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home Is G W 0_00ea TYPE OF WORK New ❑ Addition ❑ Remlod�el ❑ Ut'lli^ties� ❑ Installation ❑ Other Describe work: �� �bE< POOL r rAl.e, � Z4/�✓�y>G(�>�✓I!�5TE2 O�•- 5 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service eOOV OR LESS 100 AMP OR LESS 10.00 CONTRACTORS LICENSE LAW i declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Diva 3 of the Business and Professions Code and my license is in full force and effect. License No. �, %s�� Classification C� S ❑ 1, as the owner, or my employees with wages as their sole compen-7 sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.a OR ADDNS. ACC. BLDGS. ,/Zdsgft NEW CONSTR. MULT'-OUTLET NON.RESID .BRANCH CIRC ITS 2.50 ea POWER APPARATUS 6 (SINGLE OUTLET CIR. EX OCCU. P (OUTLETS OR FIXTURES 20050C eAL030 FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.)EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 06C-- `' J / ---� Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or, less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling 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. also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and ex ch may in, any way accrue against said County in con e u e ra tin f this permit. X Date Signature pplicant — Owner ntr cror Agent ❑ An OSH ermit is required for excov on ver 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 3 �� occuP. CONST.TYPC SCHOOL PLOD % PARCEL u PD ND 39U This permit is hereby issued under cions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS p Date a 1�'7-,o Receipt No. / 4� WHIT[-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT / .' '• � _ �'Ss. ...�". $nS -a ...:.��"� y}..y3�.w•17%?.';s+l„'•.�w:..,,�,��,RF�.i._s-S":-...sa^.�•:+-".c+.. ��^-rte-, COUNTY OF BUTTE - DEPARTME , -(FjPUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CATIFORNIA 95965 - TELEPHONE: 916/538-7541 -PERMIT APPLICATION DATA SHEET Permit No. OWNER ��— 'MAS A. P/No. �??--• Proposed Building Used.. Building Inspector / Date At time of ermit 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. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) _ 8. Mobilehome installation data including manufacturer's installation instructions....................................................... _ 9. Fees of $ .......................... 10. Chico Urban Area fees paid ........................................ 11. Park fees paid ..................................................... 12. Sryh of District fees paid ................. 13. Sanitation approval from l _ Health Department ... _ 14. City of Chico plumbing. permit ...................................... _ 15. Plot plan and business license approval from City of (see City for other requirements) _ 16. Planning approval for (A) Use: (B) Parking: ......... 17. Improvements may be required. _ 18. Driveway permit (construction approval required prior to occupancy) ... Pre-Inspec. request to 19. Pre -Inspection for required ...... Building Inspector 20. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance .................... _ 22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ........ _ 23. Recorded copy of Agricultural Acknowledgment Statement ............ _ 24. Letter of signature authorization .................:................... _ .25. _ 26. Date) When you issue the permit, process as follows: Mail to owner. Mail to contractor. �C\ Telephone !n 2aand hold for pickup at _office. Deliver w/inspector. Other Applicant Copy of plans sent Health Dept., Fire Deft., Other ( / 1Z Date The following data must be submitted prior to permit issuance 1. Index permit for above items No. 2. Additional items required: N, Date (Circle nev5 item not checked above). Contractor, designer, owner, was advised of above required data by_phone_maiI—counter by • date Contractor, designer, owner, was advised of above required data by—phone —ma II—counter by date Plans checked by Date Plans approved by (L Date Sets of plans on hold in . Copy—DPW File cabinet AP folder .C✓�. "tea- A� • r..� /'/J �� " • ti • .^r � raj �, i•I�a'7b:� jZ9 — - rs1 13Y cill —77 Ae '4 . .y�>• .,.�, � - a ' _ � ' �` • � i. 1 .r . } 4 t , , r . _ _ � � � 'r . _ � '4 � - a ' _ � ' �` i. _, ._ . , , r . _ _ � 'r w J LIFETILE RE -ROOF DATA SHEET Name: Date: i treet Cl4;y 4d � City: t'�6'� ), %/ Zip: MAType of Roof: A0 Roof Covering: Pitch: %�Z Rafter Size: X Spacing: 2'5 ;,e Rafter Span (s) 4L 1 House Bracing (if req.) See Attached Garage Bracing ('If req.) See Attached Referred bye ��.,C h -[�)0�1� Comments: See- —A AC "_SPL�c 4 6:: Referred to: MOO® AILOVABLE RAFTER SPANS FOR INSTALLING CONCRETE TILE OVER EXISTING ROOFS Design Criteria BENDING: LIVE LOAD, Pre- 1970 Grading* Pitches-- Less than 4:12-20 psf 2x4 — 1000 psi (construction grade) 4:12 and greater- 16 psf 2x6 & greater— 1200 psi (standard and better grade) 8' 3" Post- 1970 Grading* DEAD LOA k (No ceiling load considered) 2x4 — 1200 psi (construction grade or better D.F) New Concrete Tile — 9.5 psf 2x6 & greater— 1650 psi (no. 2 and better D.F.) Existing Roof— 3.0 psf *W.C.L.I.B. Standard Grading Pule No. 16 and U.B.C. Standard No. 25-3 Sheathing — 1.5 psf 25% stress increase for short time loading. Framing— 2.0 psf Repetitive member uses. TOTAL PSF — 16.0 IMPORTANT NOTICE 16 o.c As a convenience to our customers, we otter a free framing inspection service to help DEFLECTION: determine the feasibility of installing concrete roof tile products on existing structures. Any L240 far Leve Load recommendations made are based on load bearing capabilities of the existing framing licensed L/180 for Live Load and Dead Load system as calculated by structural engineers. Any bracing method recommended 11' 4" has been developed by engineers and/or framing contractors and has been proven ll' 9" satisfactory through many years experience. As our representatives are not structural Ir, O.C. engineers, we cannot make recommendations other than those determined by measuring MODULI OF ELASTICITY- existing training elements and applying values listed in published tables. bws— 1,500,000 psi As our company performs no actual labor in the bracing or tile application process, we 2x&s & up— 1,700,000 psi cannot be held responsible for the workmanshid of others. MAXIMUM SPANS' (fess than 4/12 4112 or greater tumlbsr fitaltsr Ske sb o Pro 1970 Post t 970 taro 1970 Post t 070 Mad IT ac 9, or 8' 8" 9' 7" 9' 1" 16 me TIO" TIl" 8' 3" 8' 3" 2, o c B r 6' 6" 6 9" 611" 2a6 12' O.C. 14' 8" 14' 3" is, 2" 14' 10^ 16 o.c 13' Or 1s' 0" 13'10^ 13' 6" 24" mc 10' 8" 11' 4" 111 3" ll' 9" Mrd Ir, O.C. 20' 6 18'10" 20' 8" 19' 7" 16 ac 1T 9" IT 1" 18110" _ IT10^ 24 me 14 6 14'11" 1S S^ IS G X10 1Y' ac 2S 3^ 24. 0^ 2S 7i 25' 0" 16 o c 2r 6 21'10r 2310" 22' 9" 24 oc 18' 4" 19' 1" 1916, 19'10" *NWF-- An sgarrs ars measured along the horizontal projection of the rafter. Corporation OLIFETILE ❑3511 N. Riverside Avenue Riafto, CA 92376 714/8224407 45111 Industrial Drive Fremont, CA 94538 4151657-0414 GENERAL NOTE: These -span tables are 111 designed for use as a guide for re -roofing work using concrete roofing tiles. Since design valves for wood vary with species and grade of material, iudgement and pru- dence must be exercised by the roofing contractor. Whenever a doubt exists, have the structure checked by a qualified archi- tect or engineer. These tables are onlyt accurate for the conditions as noted. D All structural reinforcement should be done by state -licensed contractors who assume responsibility for their % ' Calculations by: Roy G. Palmer, Consulting Engineer Riverside, Califomia P.O. Box 21516 Please Complete and Mail to Location Indicated ❑ San Antonio, TX 78221 5121626.2771 DAVID VIANI 415/657-0414 LIFETILE° Fire -Safe Concrete Rooftile BORAL CONCRETE PRODUCTS, Inc. 45111 Industrial Drive Fremont, CA 94538 916/786-2832 LIFETILE Corporation.' ❑3511 N. Riverside Avenue Rialto, CA 92376 7141822-4407 ❑45111 Industrial Drive Fremont, CA 94538 415/657-0414 P.O. Box 21516 , San Antonio, TX 78221 512/626-2771 please Complete and Mail to Location Indicated Name l& Number AX80 (See Attached Data Sheet) D r2 I 12 Q,� Tim ftR+G O u6_0 x ` 4 t� oc►� —� 4 4� �` 8 \ ew a Ijl' 4- -gyp L4HErV QGG� 0.8;0' WA I I5 r SQA Sfp,&A r Mdb� Aq- -5&k- 5 iZe- or a W —I.' Show All Dimensions .-2. Specify Rafter Size & Spacing ,: Specify P,urlin Size 4. Specify Bracing Size & Spacing TYPICAL HOUSE SECTION I &,�W/ . I � ` NOTE: Add to sections as necessary to show additional framing. Use'X' to cross out braces, purlins orties thatdo notexist. ^ `t 1 1 TYPICAL GARAGE SECTION' `. 5. Specify Tie Size & Spacing 6. Indicate Roof Pitch . 7. Garage Door Header: Indicate Size & Bracing Requirement I LO • • 0 Name ( last rdme Address Directi ITEMS OF CONCERN: REQUEST FOR EARTH UAKE INSPECTION Date (first name) BUTTE COUNTY PUBLIC WORKS DEPT. —,Telephone Certificate of Compliance: Residential 104-30 Climate Zone 11 ('A L K�UtirZ Project Tithe qZ- 37d% C0uc,sr- fl o ue /r FtooN ` - Buad;ns Pdamit M Project Address &)c)3 C eA(6 hV 6 - Documentation Author Telephone t—� BUILDING DATA Conditioned Floor Area 400 Number of Stories - Slab/Raised Floor Number of .Units [ ] Single Family Detached ( [ ] Addition Alone [ ] Single Family Attached (SFA) [ ] Existing Building [ ] Multi-Family(MF) [ ] Existing -Plus -Addition BUII.DING SHELL INSULATION IN.tJ checked Hy / Dm 1 o 2 fi 92 Enfoaoanaat Agency Use Only Glass Area % Glass North 20 • 5 East -8 2 South I b WestI Skylight T� 4 Total _5(e Component Insulation Locatfnn/Comments Type R -Value (atdc..to garage. typical. etc-) Wall .............. e— R iF_X`r, W- AU -S Roof ............. _ e-.30 +,�Np FLWe- Ceiuti.)C ---- Roof ............. _ Floor............. Floor ............. �' G 40000 G Slab Edge..... GLAZING Shading Devices Glazing Area Orientation (sf) Glass Type Interior Exterior Overhang Framing Type (single. double) (roller blind. etc.) (Bower etc.) (yeshto) (metaWood) North ( ) 20 DUAC, North ( ) East East ( ) South ( ) I& South ( ) West ( ) LZ West ( ) Skylight....... THERMAL MASS Type/Covering Area Thickness (slab/exposed, tile. etc•) (SO (i-nches) Locadon/DCScription (kitchen. bath. etc.) ' las r, ,gR.JR01• 1 O �._e% HVAC SYSTEMS Minimum. Duct Type (furfiece, stir . -Efficiency Location Duct Output Manufacturer / Model # conditioner. heat pump) (SE. SEER.HSPF) (attic. etc.) R -Value (Btuh) (or approved equal) N tf pu imp TZ 5.7 Maximum Furnace Heating Output: 7 Btuh ! q6b HOT WATER SYSTEMS Tank Manufacturer/Model # System Type (storage gag. etc-) Capacity (or approved equal) Special Feature(s) erw. 506a_..M" . peopA-�JE SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) Mandatory Measures Checklist: Residential MF -1R NOTE: Lowrise residential buildings subioct to the Standards mom contain these taamres regardless of the compliance sed. approach uItems marked with an asterisk (•) may be superseded by more stringan compliance requirements luded on the Certificate of Compliance. When this checklist is incorporated into the permit documents. the features nosed shall be considered by all parties as binding minimum component performance specifications for the mandatory measures whether they we shown elsewhere in the documents or on this checklist only. DESCRIPTION I DESIGNER 1 ENPDRCEMENT J Building Envelope Measures • §2.5352(a): Minimum ceiling insulation R-19 weighted average. 62.5352(b)- Loose full insulation manufacturers labeled R -Value. • §2.5352(c): Minimum wall insulation in framed walls R -I I weighted average (does no apply to exterior mass walls). §2.5352(k): Slab edge insulation - water absorption rate no greater than 03%. water vapor transmission rate no greater than 2.0 permlinch. §2.5311: Insulation specified or installed meets California Energy Commission (CEC) quality standards. Indicate type and form. §2.5352((): Vapor barriers mandatory in Climate Zones 14 and 16 only. §2.5317: InfnitratiordExfmltradonControls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Doors and windows certified. c. Doors and windows wcatMrsdripped. all joints and penetrations caulked and sealed 12-5352(e): Special infiltration barrier installed to comply with 12-5351 meets CEC quality standards. §2.5352(d): Installation of Fireplaces 1. Masonry and factory -built fireplaces have: a. Tight fitting• closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and control 2. No continuous burning gas pilots allowed. HVAC and Plumbing System Measures §2-5352(8) and 2-5303: Space conditioning equipment siting: attach akuladont. §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 UNIC. 62-5316(b): Fithaust systems have damper controls. 62-5314(c): Gas-fired space heating equipment has intermittent ignition devices. 62-5314: HVAC equipment• water heaters, showenccads and faucets certified by the CEC. §2.5352(1): Water heater insulation blanket (R-12 or greater) or combined interiorkxterior insulation (R-16 or greater): fust 5 feet of pipes closest to tank insulated (R-3 or grater). 62.5312(Exception I): Pipe insulation on steam and steam condensate return k recirculating piping. §2-5319(d): Swimming Pool Heating 1. System has: a. On/off switch on heater. b. Weatherproof instruction plate on heater. c. Plumbed to allow for solar. 2. 75 percent thermal efficiency. 3. Pool cover. 4• Time clock. 5. Directional water inlet. Lighting and Appliance Measures 62-5352(1): Lighting - 25 lumens/watt or greater for general lighting in kitchens and bathrooms. 12.5314(e): Gas fired appliances equipped with intermittent ignition davit=. 12.5314(x): Refrigerators, refrigerator -freezers• freezers and fluorescent Lamp ballasts certified by the CEC. Indicate make and model number. "p.ffU-.3707 COMPLIANCE STATEMENT This certificate of compliance lists the budding fattand performance specifications needed to comply with Title 24. Chapter 2-53 and Title 20. (2laptca2. Subchapter4. Article l of the California Administrative code. 'loris certificate has been signed by the individual with overall design responsibility and the building owner. who shall retain a copy of it and transruit the oertificate to any subsequent purchaser of the building. Designer Name • Titk/Ftslm: Addy mss: Telephone t-ic. 0: (sip ature) (date) Documentation Author - Name: , . TitWFitm: Address: Building Owner Name . Tttk/Fum: Addn=: Telephone (' attue) (date) Enforcement Agency Names Agency: Tekphooe t. c,eumg aWu2�uvu Single- Single - -120 Number of stories Family R -value One Two Three R-0 -103 -49 .32 R-19 e-2 R-11 0 R-30 � R-13 -1 R-38 0 R-19 0 U -value 4 U -value 1 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 Insolation . liaised Floor Insulation Insulation In Floor Number of stories One Two Three -17 -8 -5 -3 -2 -1 0 0 0 3 1 1 -144 Single- Single - -120 -58 Family Family Multi - R -value Detached Attached Family R-0 -68 -51 -34 R-11 0 0 0 R-13 -6 2 1 R-19 8 6 4 U -value 1 10 5 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 . liaised Floor Insulation Insulation In Floor Number of stories One Two Three -17 -8 -5 -3 -2 -1 0 0 0 3 1 1 -144 .70 -46 -120 -58 38 -95 -46 30 -69 34 .22 -13 -21 -14 -17 -8 .5 -11 -6 -4 -6 -3 -2 -1 0 0 4 2 1 10 5 3 Controlled Ventilation Crawlspace -4 3 -1 Number of stories .1 R -value One Two Three R-0 -11 -7 -5 R-5 -4 -4 3 R-11 -2 -2 -2 R-19 -1 -2 -2 i. Slab Edge Insulation 4 40 -- Number of Stories -26 R -value One Two Three ' R-0 0 0 0 R-5 8 5 2 R-7 8 6 .3 F2 factor 0.90 -4 3 -1 0.80 .1 .1 0 0.70 2 2 1 0.60 6 4 2 0.50 9 6 3 0.40 12 8 4 S. Infiltration (Air Leakage) Spedfiation Points Standard 0 6. Glass Heat Loss Total Single- Family Slab Floor ERedlve Peremt Gla= . U -value %Glass 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 ' 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 .1 •17� 13 6 10 14 17 4 14 13 7 10 14 18 11 1.2 14 8 11 15 18 12 -9 6 9 12 15 19 11 3 7 10 13 16 19 10 -3 9 11 14 17 19 9 -1 10 13 15 17 20 8 2 12 14 16 18 20 7. Shading (Shade Open) ERective Percent class (Percent glass x SC) Effective Single- Family Slab Floor ERedlve Peremt Gla= Mass SEER %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 -47 3 4 2 3 5 i 2 4 2 3 4 -30. 2 1 1 3 31 -23 7 25 38 3 2 0 0 1 1 \1 3 1 -1 0 -1 1 2 0 -1 -2 -4 -2 0 na = not allowed 1B. Shading (Shade Closed) Single- Family Slab Floor ERedlve Peremt Gla= Mass SEER (Pesvot Stas x SC) Mu16 %OIau Nodi Ew Sault Webs SIWW - _ 18 -14 -48 a -64 na 16 -12 -42 -59 -55 na 14 -10 -35 -50 -46 na 12 -8 -29 -40 -37 na 11 -7 -26 -36 -33 na 10 -6 -23 -31 -29 .74 9 -5 -20 -27 -25 35 8 -5 -17 -23 -21.. -56 7 -4 -14 -19 -18 -47 6 3 -11 -15 -14 -38 5 .2 .9 -11 -10 -30. 4 1 -6 --8?8 -7l -23 7 25 38 �1 5 7 1 1 \1 1 1 -9 0 2 3 4 3 0 na - rat allowed - 9 10 4.0 9. Interior Thermal Mass Interior Single- Family Slab Floor Raised Floor Mass SEER Stories Mu16 Mass Stories Attached 1CFA 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 1.51 46 b 16 or 2 4 5 5 20 1 2 4 5 6 7 25 38 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 Single- Family single. Sum of 14 16 or SEER Family Mu16 Mass Detached Attached Family 0.00 0 0 0 0.20 3 2 1 0.40 5 4 3 0.60 8 6 4 0.80 10 8 5 1.00 13 10 7 1.20 13 12 8 1.40 12 13 9 1.60 10 13 11 1.80 10 12 12 2.00 10 11 13 11. Heating System SE or BSPF (assumes duds In attic) Zonal Control Adjustment System Type Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 12. Cooling Syst,•m SEER (assume: dads in attic) Stn of 7-10 -2S or .24 to x1410 i b Sum of 14 16 or SEER less -15 .6 -25 or -24 to -14 to -4 to +6 to 16 or SE HSPF less -15 -5 +5 - +15 more 0.72 6.60 0 0 0 0 0 0 0.75 6.88 3 3 3 2 2 1 0.80 7.33 , 8 7 6 5 4 3 0.85 7.79 13 11 10 8 7 5 0.90 8.25 17 15 13 11 9 7 0.95 8.71 __20 18_-`-15_. 9 13 11 8 20 17 14 Eff ective SE or HSPF 9 6 (SE or HSPF x duct eMdeney) 3 Effeclve -25. or -24 to -14 b i b 46 b 16 or SE HSPF lest -45 -6. +5 05 more 0.30 2.75 -73 34 -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 32 (7 9 0.70 6.42 17 15 13 11 10 7 0.80 7.33 25 22 19 16 13 10 0.90 8.25 32 28 24 20 17 13 1.00 9.17 37 32 28 24 19 15 Zonal Control Adjustment System Type Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 12. Cooling Syst,•m SEER (assume: dads in attic) Stn of 7-10 Zonal Control Adjustment 10 8 7 6 4 3 No Coolin System Installed :-Stories -2S or .24 to x1410 i b 46 to 16 or SEER less -15 .6 45 +15 more 8.0 .14 -12 .10 -8 -6 -4 8.5 -9 .7 -6 3 -4 3 8.9 -5 -4 -4 3 -2 -2 9.0 -4 3 .3 -2 -2 .1 9.5 0 0 0 0 0 0 10.0 4 3 3 2 2 1 10.5 7 6 5 4 3 2 11.0 10 9 7- 6 4 3 120 15 13 11 9 7 5 13.0 20 17 14 12 9 6 3 3 ERadve SEER 2 0.8 POU (SEER xlud efndency) 4 3 •3 Scm of 7-10 None 37 Effective -25 or ,24 to -1410 -4b 46 to /6 or SEER less -15 -5 45 +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 IG 0 0 '. 8.0 9 6 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 Coolin System Installed :-Stories SC Eff. % Glass X AM5 5 One -5 -4 -4 -3 -2 -2 Two + 3 3 .. 2 2 2 1 Single -Family !]tattled and Attached of = 2.3( O Unit Size isQ X Water = ;199 120x! 1700 2200 2700 Heater tkedit or • to to to .or. Type Type less 11699 2199 2699 more SG None -0 0 0. 0 0 or Solar 12 " 8 6 5 4. HP ' -HWR 8 5 4 3 3 05% WS8 5 3 3 2 2 0.8 POU 8 5 4 3 •3 SE None 37 -24 -18 -15 _ -12 3.8- Solar -1 -1 -1 0 0 - 53 •HWR -18 -12 -9 -7 -6 - 1.2 WSB._: -25 -16 -12 -10 -8 17 POU _-18 _=12 -9 -7_ -6 IG None . • =5 3 -2 -2 -2 .20% Solar Z 5- -4 3 2 1.6 POU 3_ 2 1 1 1 fE None 48 =19 -14 -11 '-9 4.5 Solar 8 5 14 3 3 0.5 POU -10 -6 -5 -4 •3 2 Multi -Fatally (I"vidual units) 14 16 2.8 3 (` t► 17 water 4.3 699 100ut12W 4.9 1700 2200 Node Credit or b b b or Type Type less 11_99__1099 14 2100 mora SG None 0 0 0 0 0 or Solar 14 7 5 4 3 HP HWR .__9 U 5 32 15 2 1.9 WSB 9 4 .3 2 2 14 POU 9 5 3 2 2 SE Normo 45 -23 -15 .11 .9 SS% Solar 2 1 1 0 0 22 HWR .-23' -12 -8 -6 '-5 3.7 WSB -25 -13 -8 -S 5 5.1 S.3 5.6 5.8 6 6.2 G Nolte._ -8 Solar.,;. -4 3 -3 2 172 11 POu - :8 .1 ` 0__ _. 2 0 1 . 1 . 0 E None - 30 -15 .10 -8 -6 4.8 ' Solar = 18 9 6 4 4 63 POU -8 -4 .3 -2 .2 Interior Mass/CFA Point System Summary: Climate Zone 11 SCORE CARD Measures 1. Ceiling Insulation iZ- 36 or R -value [38] U -value [0.030] 2. Wall Insulation R (9 or R -value [11) U -value [0.098] 3. Raised Floor Insulation 4. Slab Edge Insulation S. Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) a. North b. East c. South d. West e. Skylight B. Shading (Shade Closed) a.. North: b. East C. South d. West e. Skylight 9. Interior Thermal Mass 10. Exterior -Wall Mass 11. Heating System Zonal Control? ( Y / N ) 12. Cooling System Zonal Control? ( Y / N ) 13. Water Heating or R -value 119) U -value [0.037] or R -value [0) F2 faccar [0.77] Standard VOL Type [double] U -value 10.651 % Total Glass (16) Point Scores 5 0 +3 -410 Sum 1.6 % Glass SC Eff. % Glass X AM5 5 XM Duct Efficiency [0.781 3:85 [0.7216.6) z X It = 1.54 a 4 X Effective SHER [7.03) 4.08 2 3 - x of = 2.3( O 0 X It.1.Y:aC-4.21 1e.rv.t.a Slab) = _ % Glass SC Eff. % Glass % TYPE I MASS (urMC + 4.2, is: exposed slab) Z X It . -t- I 4 X Ir a 2. 4 0% 5% 10% 15% 20% 25% 30% 35% 40% 45% S0% 55% 60% 6946 70% 75% 80% 8S% 90% 05% 100% 105% 110% 115% 120% 125• 0% 0 ` 0.2 0.4 04 0.8 1.1 1.3 1.5 1.7 1.9 2t 23 15 2.7 29- 12 14 3.8 3.8- 4 4.2 4.4 4.6 4.8 5 - 53 10% 0.2 0.4 0.6 0.8 1 1.2 1.4 1.6 1.9 2.t 23 2S 17 2.9 11 13 3.S 17 4 4.2 4.4 .4.6 4.8 5 5.2 S4 .20% 0.3 0.6 0.8 1 1.2 1.4 1.6 1.0 2 12 14 27 10 3.1 3.3 3:S 17 19 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 2.2 14 16 2.8 3 3.2 3.S 17 33- 4.1 4.3 4.5 e.7 4.9 5.1 5.3 5.6 51 40% 0.7 0.9 1.1 1.3 1.5 1.7 1.9 2.2 14 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 .50% U 1.1 1.3 15 1.7 1.9 11 13 15 17 3 32 14 3.6 18 4 42 4A 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 SS% 0.9 1.1 1.4 1.0 1.8 2 22 24 2.6 28 3 32 3.5 3.7 3.0 4.1 4.3 4.5 4.7 4.9 5.1 S.3 5.6 5.8 6 6.2 60% 1 12 1.4 1.7 1.9 11 2.3 1S 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 ' 5 5.2 5.4 5.6 51 6.1 63 65% 1.1 14 1.5 1.7 1.9 2.2 14 2.6 2.8 3 3.2 3.4 3.6 3.0 4 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 6.1 64 70% 1.2 1.4 1:6, 1.8 2 Z2 1S 21 2.9 11 13 3S 3.7 3.9 4.1 4.3 4.6 4.8 5 5.2 5.4 5.6 58 6 6.2 64 75% 1.3 1.5 1.7 1.9 11 13 25 17 3 12 3.4 3.6 3.8 4 4.2 4.4 41 4.8 6.1 5.3 S.5 5.7 S.9 6.1 6.3 6.5 8021. 1.4 1.6 1.8 2 Z2 24 16 2.0 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.0 5.1 5.4 5.6 5.8 6 6.2 6 4 66 8S% 1.4 1.7 1.21 2.1 2.3 15 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.G 4.6 5 G.2 5G C.G 1,; 6.; 6.3 65 o7 90%' 1.5 1.7 2 _: 2.2 14 26 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 SS 6.2 6.4 66 68 1 0, 1.8 2 . 12 15 17 2.9 3.1 33 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 6.2 S.4 5.6 5.8 6 6.2 6.4 6.7 6.9 ooy. 1.9 11 2.3 15 2.8 3 12 3A 16 3.6 4 4.2 4.4 4.0 4.0 S.1 5.3 55 5.7 5.9 6.1 6.3 6.5 6.1 7 105% 1.8 2 2.2 2.4 2.6 28 3 3.3 3.5 3.7 99 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 68 7 110%" 1.9 2.1 2.3 25 17 19 3.1 3.3 3.6 3.8 4 4.2 4.4 4.6 4.8 S 5.2 SA 5.7 5.9 6.1 6.3 6.5 6.7 69 7.1 115% 2 2.2 2.4 2.6 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 6.2 6.4 6.6 62 7 7.2 120% 2 2.3 2.5 2.7 2.9 11 3.3 3.5 3.7 3.9 4.1 4.4 4.6 4.8 S 5.2 5.4 S.6 58 6 6.2 63 6.7 6.9 7.1 73 125% 2.1 2.3 15 1$ 3 32 3.4 3.8 3.8 4 4.2 4.4 4.6 4.0 5.1 5.3 5.5 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 iZ- 36 or R -value [38] U -value [0.030] 2. Wall Insulation R (9 or R -value [11) U -value [0.098] 3. Raised Floor Insulation 4. Slab Edge Insulation S. Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) a. North b. East c. South d. West e. Skylight B. Shading (Shade Closed) a.. North: b. East C. South d. West e. Skylight 9. Interior Thermal Mass 10. Exterior -Wall Mass 11. Heating System Zonal Control? ( Y / N ) 12. Cooling System Zonal Control? ( Y / N ) 13. Water Heating or R -value 119) U -value [0.037] or R -value [0) F2 faccar [0.77] Standard VOL Type [double] U -value 10.651 % Total Glass (16) Point Scores 5 0 +3 -410 Sum 1.6 % Glass SC Eff. % Glass X AM5 5 XM Duct Efficiency [0.781 3:85 [0.7216.6) z X It = 1.54 a 4 X Effective SHER [7.03) 4.08 2 3 - x of = 2.3( O 0 X = _ % Glass SC Eff. % Glass .6 x .46160 3.30 O Z X It = 1.3z -t- I 4 X Ir a 2. 4 -4- _X. _X It _ X TYPE 1 MASS AREA a D 8 _ Interior? ss/CFA COND. FLOOR AREA , TYPE 2 MASS AREA a%� $ 0 .� 3 - D. FLOOR AREA Exterior Wall Mus .72 X AM5 IF SE or HSPF Duct Efficiency [0.781 Effective SE or [0.7216.6) HSPF [0.56/5.151 0.9 x -7,06 SEER [9.5] Duct Efficiency [0.74) Effective SHER [7.03) Type (SG] Credit [none). Sum 7-10 t-3 Potnt Twat: Mandatory Measures Checklist: Residential MF -1 R NOTE: Lownse residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (') may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as binding minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. DESCRIPTION I DESIGNER I ENFORCEMENT I Building Envelope Measures • §150(a): Minimum R.19 ceiling insulation. §150(b): Loose fill insulation manufacturer's labeled R -Value. • §150(c): Minimum R-13 wall insulation in framed walls (does not apply to exterior mass walls). §150(d): Minimum R.13 raised floor insulation in Named floors; minimum R-8 in concrete raised floors. §150(1): Slab edoe insulation - water absorption rate no greater than 0.3%. water vapor transmission tate no greater than 20 pemvinch. §118: Insulation specified or installed meets California Energy Commission quality standards. Indicate type and form. §116-17: Fenestration Products, Exterior Doors and Infiltration/Exfiltration Controls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Manufactured fenestration products have label with certified U -value, and infiltration certification. c Exterior doors and windows weatherstripped; ail joins and penetrations caulked and sealed. §150(g): Vapor barriers mandatory in Climate Zones 14 and 16 only. §150(f): Special infiltration barrier installed to comply with §151 meets Commission quality standards. §150(e): Installation of Fireplaces. Decorative Gas Appliances and Gas Logs 1. Masonry and factory -built fireplaces have: a. Closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and control 2 No continuous burning gas pilots allowed. Space Conditioning, Water Heating and Plumbing System Measures §110.13: HVAC equipment. water heaters, showerheads and fauces certified by the Commission. §150(i): Setback thermostat on all applicable heating systems. §150(j): Pipe and Tank Insulation 1. Indirect hot water tanks (e.g., unfired storage tanks or backup solar hot water tanks) have Insulation blanket (R-12 or greater) or combined intenor/extenor insulation (R-16 or greater). 2 First 5 feet of pipes closest to water heater tank, non -recirculating systems, insulated (R-4 or greater). 3. All buried or exposed piping insulated in recirculating sections of hot water system. 4. Cooling system piping oelow 55°F insulated. S. Piping Insulated between heating source and indirect hot water tank. §150(m): Ducts and Fans 1. Ducts constructed. installed and seated to comply with UMC Sections 1002 and 1004: ducts insulated to a minimum Installed value of R-4.2 or ducts enclosed entirely within conditioned space. 2. Exhaust tan systems nave oackdraft or automatic dampers 3. Gravity venuiatino systems serving conditioned space have either automatic or readily accessible. manually operaleo Dampers... §114: Pool and Soa Heating Systems and Equipment 1. System Is certified with 78%thermal efficiency, on-off switch. weatherproof operating instructions. no eiectric resistance neaung and no pilot light. 2 System Is installed with: - a. At least 36• circ oetween filter and heater for future solar heating. b. Cover for outcoor cools or outaoor spa. 3. Pool system nas elrectionai inlets ano a circulation pump time switch. §115: Gas.fires central turnace. pool heater, spa neater or household cootdno appliance have no continuously During phot light. (Exception: Non-elearlcal cooking appliance with pilot < 150 Btwhr.) Lighting Measures §150(k): 40 lumenswar; or greater for general lighting in kitchens and rooms with water closets: and recesses cetfino fixtures IC (insuiauon coven approved. COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply -with Title 24, Parts 1 and 6, or the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the indnidual with overall design responsibility. When this certificate of compliance is submitted for a single building plan to be built in multiple orientations, any shading feature that is varied is indicated in the Special Features/Remarks section. Designer or Owner (Par ausirru & Protealons code) .Name: Tide/Firm: Address: Telephone: Li:. f: (signature) Enforcement Agency Name: Title: Agency: Telephone: (date) (signature/stamp) (date) Documentation Author. Name: Title/Firm: Telephone: (signature) (date) Certificate of Compliance: Residential Climate Zone 11 UN Z ProjectTitle Cot/ I Zoo W A,113 - T-owte cePLACle s 9 3 - s5"7 T HnUSE Building Permit 0 Project Address fAAJ 3003 cheatedBy/Due 3 24 93 DocumentsUou Author Telephone Fnforoartent Agency Use Only -BUMDING DATA Type Interior Exterior Ovetfiang Framing Type Area % ioned Floor Area 780 Number of Stories - 2 North East 30 12 4.6 1.5 .Number *Eingle of Units South 3� 4.3 Family Detached ( [ ] Addition Alone West 28 3•l0 [ ] Single Family Attached (SFA) (] Existing Building Skylight o . O [) Multi -Family (MF) [ ] Existing -Plus -Addition Total I l2 14.3 B UU,DING SHELL INSULATION THERMAL MASS Component Insulation L.ocatiorr/eomme= Type/Covering Area Thickness Type R -Value (attic, to jgtllrage. tv taL etc•) (inches) LOCadOn/Descriotion (kitchen, bath. etc.) Roof ............. -30 Lai I!1 01kin Or: —6A MTKAP%1 Roof.......... — Wall .............. Wall ..........«. Floor ............. Floor ............. Slab Edge ...... FENESTRATION Shading Devices -Eenestration Area Type Interior Exterior Ovetfiang Framing Type Orientation (SO (single, double) (Toner blind. etc.) (shade=eert. etc.) (yes/ito) (metaltwood) North C ) _ t 0AL North ( ) East 12. East ( ) South ( ) South ( ) West West ( ) Skylight....... n_ THERMAL MASS Type/Covering Area Thickness (slab/ezmsed, tile, etc.) (SO (inches) LOCadOn/Descriotion (kitchen, bath. etc.) SUM COUNlY Lai I!1 01kin Or: —6A MTKAP%1 Minimum Duct ® P RO � � ®Heat HVAC SYSTEMS Type (furnace, air Efficiency Location Duct ' `P ' Pump conditioner, heat pump) (AFUE,SE£R•HSPI) (atic cw.) R -Value Thermostat Tyne ((sRlit or nkel 44EAr gQrnP S.7 P 1cG IIOT WATER SYSTEMS Tank R Value Svstcm Type (storage gas. etc.) Capacity Number Energy Factor Ext- Tank Tns _ ni Sari brit-; um S -G • 50 GM- I SEE CompUkri,� Cle4TtFICAME SPECIAL FEATURES/REMARKS _ Point System Summary: Climate Zone 11 1. Ceiling Insulation 3,e) or 7. Fenestration Heat Gain Int Maas/CFA R -value (381 U -value (0.028) 2. Wall Insulation C i9 or East 1.5 x of R -value [191 U -value (0.0651 3. Raised Floor Insulation NA or 2.7'1 Skylight R -value 1191 U -value 10.0371 4. Slab Edge Insulation 0 or Heater Type (None) Energy Factor R -value 101 F2 factor 10.751 5. Infiltration Any Ducts in Unconditioned Space? ( Y I N) [1� 6. Fenestration Heat Loss t)UAL .65 14.3 R-13 -5 -4 Type U -value (0.651 Total % Fenes. [161 7. Fenestration Heat Gain Int Maas/CFA -76 % Fenestration SCshade opett Eft. % Fenes. North 4.8 x t-7-7 = 3 -(Ci East 1.5 x of = I. -IS South _ 4.3 x to = 3131 West 340 x rr = 2.7'1 Skylight 0- x = x 1.0 = Overhangs? ( Y / N ) SEER (10.01 S. Interior Thermal Mass O or 9. Exterior Wait Mass 10. Heating System 11. CogIln System C uat�(-- sem. p-4-56) Shade Eff. Ratio .86 to It % Exp. Slab (201 Int Maas/CFA -76 R-hralue One Two three` Ext W Maas -74 .48 System 1 5.G• 7.2 x -2 AFUE or HSPF Duct Effie. [1 story: Effective AFUE 178% or 6.81 0-83:2+ story: 0.881 or HSPF (0.0 x 1.0 = 10 SEER (10.01 Duct Effic. (1 story: Effective SEER 0.81: 2+ story: 0.871 Point Scores O d +2 -+5 Sum 1-6 -Z a +2 Zonal Control Adjustment 101 Zona&QwArd Adjustment 101 12. Water Heating Number of stones -76 R-hralue One Two three` Uie� -74 .48 System 1 5.G• 53 12 &AnCCef -2 Heater Type Energy Factor Ext Ins. R -value Auxifiary Input Distnbution (SG501 10.531 (121 [None(. (smi System 2 Sing* Single. -30 -27 Heater Type (None) Energy Factor Ext Ins. R -value Auxiliary Input Distribution 1. Ceiling Insulation R-0 -14 •9 -5 R-11 -3 -2 -1 R-19 0 0 0 R-30 2 1 4. Slab Edge Insulation Number of Stones R-0 � 0 ) 0 6 R-5 6 �� 2 R-7 7 4 2 6. Fenestration Heat Loss Total 1.31 1.21 1.11 1.01 .91 .81 Percent at to to to to to Point Total: -2 Sum 7-9 -+a- 4' +a 4' 2- 5. Infiltration (Duct Air Leakage) Dual to Unconddmned Space 0 No Duos in Unttonontoned Soave 3 Li4alue 76 .71 .66 .61 .56 .51 .46 .41 to to to f to r to to to to 504. Number of stones -76 R-hralue One Two three` R-0 -74 .48 -27 R-19 -5 . -4 -2 R-30 1 •1 0 R-38 0 0 2. Wall Insuiation -47 -41 Sing* Single. -30 -27 Family Famiy, Wihf- R-value Detached Attached Family R-0 -72 -57 -43 R-11 -7 -6 -4 R-13 -5 -4 •3 R-15 -4 -3 •2 -19 0 0 0 R• 1 1 1 3. Raised Floor Insuiation -31 -27 Iawlattlon in Floor -19 -17 Number Of stones •13 R-0 -14 •9 -5 R-11 -3 -2 -1 R-19 0 0 0 R-30 2 1 4. Slab Edge Insulation Number of Stones R-0 � 0 ) 0 6 R-5 6 �� 2 R-7 7 4 2 6. Fenestration Heat Loss Total 1.31 1.21 1.11 1.01 .91 .81 Percent at to to to to to Point Total: -2 Sum 7-9 -+a- 4' +a 4' 2- 5. Infiltration (Duct Air Leakage) Dual to Unconddmned Space 0 No Duos in Unttonontoned Soave 3 Li4alue 76 .71 .66 .61 .56 .51 .46 .41 to to to f to r to to to to 504. -100 -76 -69 32 -55 -48 -41 -38 •34 •31 , -27 -24 •20 -17 40% -77 -58 -52 -47 -41 •36 -30 -27 -25 '•22 -19 •16 •13 -11 35% -66 49 -44 -39 -34 -29 -25 -22 -20 •17 45 •12 10 •7 30Y. -54 -40 -36 -31 -27 -23 -19 -17 -15 •13 11 -0 -0 •d 281/. -50 -36 -32 -28 -25 -21 •17 -15 -13 •11 •9 •7 .5 •3 26% -45 -33 -29 -25 -22 •18 •14 -13 •11 -9 •7 .5 .t .2 24% -41 -29 •26 -22 -19 -16 -12 -11 -9 .7 -0 -4 -2 •1 2211. •36 -25 •22 -19 -16 •13 -10 -8 -7 -5 -4 -2 -t 1 20% •31 -22 -19 •16 -13 -11 -8 -6 -5 •4 •2 •1 1 2 18% •27 -18 -16 -13 -11 -8 -0 -4 -3 •2 •1 1 2 3 16% -22 •14 -12 -40 -8 -6 -3 -2 -1 d 1 2 3 4 14% -18 -11 -9 •7 -5 -3 -1 0 t -2 3 4 5 6 12% •13 -7 4i -4 .2 -1 1 2 34 M5, -1 5 6 7 1011. •8 -i -2 .1 1 2 3 4 5 0 1 6 7 8 8 811. -t 0 1 2 3 4 6 6 7 1 8 8 9 9 .36 .35 to or 40 less -13 -10 -8 -5 -5 •3 -2 0 -1 1 0 2 1 3 2 4 3 5 4 6 6 7 7 8 8 9 9 10 10 11 7. Fenestration Heat Gain (based on Shade Effectiveness Rano) Elf % For, estra- lion North .87 .6 ,S2 or to to more .86I .66 .51 or less East .87 .67 or to more .86 .52 to .66 .51 or less .87 or more Soft .67 S2 10 to 86 .66 .51 or less Watt .87 .67 S2 or j to to more I. i .66 .51 or less Skylight .67 .66 or or more lass 181. •5 -4 .3 -2 -21 -20•15 3 •12 -26 '-23 ' 16 •12 •36 /-32 23 -16 •75 •50 1611. -1 4 2 1 18 •16 •13 •10 -21 19 / -13 -9 -31 1 -27 -19 •14 465 14 14% -4 -3 .2 -1 -14 -13 -11 .-8 •16 •14-10 -7 -26 -23i •16 •11 •55 •38 12% 3 2 1 -t -11 -10 -8 3 -12 •10 -7 -4 -21 •18' -13 -8 -46 -31 11% •2 -2 -1 0 •10 -9 •7 -6 -10 -8 •5 •3 •19 , -16'1 •11 •7 -41 -28 10% -2 •2 •1 0 -8 -8 -0 •5 -8 -7 .4 •2 •16 •14 -9 -6 -37 -25 9% '-2 -1 -1 0 -7 •7 -5 -4 •6 5 -3 •1 •14 ! -12', -8 -5 -32 -22 V. 71/. -1 1 •1 1 •1 0 0 -6 5 -5 -4 -4 •4 I .4 •2 0 -11 10 ' •6 -4 -28 -19 6% -1 -1 p p 0 d -4 -4 •d 3 3 -2 3 3 -1 -2 -2 •1 0 0 70 $ -5 -8 -7 -a -3 •2 -24 •20 •17 -14 5% -1 0 o 0 -3 -3 � -2 -2 -2 i 1 � 0 0 -6 .5 •3 �.2 1 -16 -12 4% 00 9 0 0 -2 -2, •1 •1 -t I � p 1 -4 •4 0 -12 -10 3% 0 5.0 0 0 -1 -1 ' -1 0 0 0 1 -2 10 1 •9 •7 2% I% 0 1 0 1 0 1 1 1 0 1 0 0 1� 1 0 1 0 0 0' 1 0 0 • l 0 0 r 1 1 1 2 2 2 3 •3 -5 -2 0% 1 1 1 1 1 1 1 1 0 0 0 0 3 i3 3 3 0 0 8. Interior Thermal Mass Hour With Ducts (R-4.2) Extenor Method A (Slabon-grade Construction Only) Percent Wal One Family Family Two Three Examed Story 0.00 Stones Stories 0 0.20 -3 3 2 0.40 t 10 4 •2 9 - 6 -1 20 10 0 1.00 0 12 0 30 17 1 10 1 18 1 . 40 1.60 3 17 2 1.80 1 50 14 4 24 3 14 2 60 1 5 0 3 7.4 2 70 4 6 1 4 7.8 2 80 7 8 4 5 ` 3 90 8.0 9 9 6 5 3 100 100% 10 8.5 6 11 4 7 4 Method B AC Effective AFUE or HSPF Itt -15 shit F)oor (AFUE or HSPF z duct driciency) Raised Floor Mast One Story House stories 2 Sum of 1-6 Stones 1CFA One Two Three One Two Three 0.0 -11 -8 -6 -1 .1 0 0.1 -10 -7 -6 0 0 0 0.3 -9 3 -5 1 1 1 0.5 -8 -5 .a 2 2 2 1.0 -6 3 -1 4 4 5 1.5 -4 -1 1 6 6 6 20 -2 2 4 8 8 8 2.5 1 3 5 9 9 9 3.0 3 -6 - 5 11 10 10 4.0 4 6 7 13 13 13 5.0 4 6 8 14 14 14 6.0 5 7 9 15 15 15 7.0 7 8 10 16 16 16 8.0 8 9 11 18 17 17 9. Exterior WaU Thermal Mass Hour With Ducts (R-4.2) Extenor Single- smgle- Mufti Wal Family Family Family Mass Dela ed Attached •14 to 0.00 0 0 0 0.20 less 3 2 0.40 7 5 4 0.60 9 8 6 0.80 12 10 7 1.00 14 12 9 1.20 17 13 10 1.40 18 14 11 1.60 21 17 13 1.80 .23 18 14 2.00 24 19 14 10. Heating -System Hour With Ducts (R-4.2) 1000 SEER VW to Sum of 7.9 Houses With Ducts (R42) 1499 Spin Pctg -25 or •24 to •14 to -4 to +6 to Sum of 1.6 AC less Gas Spirt Pkg -25 -24 -14 .4 +6 16 AFUE HP HP or to to 10 to or - HSPF HSPF less -15 •5 .5 +15 mote 78% 6.8 6.6. 0 0 0 0 0 0 809. 7.0 6.8 1 1 1 1 0 0 85% 7.4 7.2 5 4 3(:2� 2 1 90% 7.8 6 8 7 5 4 3 1 959'6 8.3 8.0 11 9 7 5 4 2 100% 8.7 8.5 13 11 9 7 4 2 16 or AC Effective AFUE or HSPF less -15 .5 (AFUE or HSPF z duct driciency) .15 Effective One Story House an 2 Sum of 1-6 Gas Split Pkg -25 -24 -14 -4 +6 16 AFUE HP HP or to to to to or -7 HSPF KW less -15 -5 .5 +15 morn One Story House •1 0 0 0 0 0 33% Z9 2.8 -62- -53 -44 -34 -25 -16 401/6 3.5 3.4 40 -34 •28 •22 -16 -10 50% 4.4 4.2 -19 -16 -13 -10 -7 -5 60% 52 5.1 -4 -4 -3 •2 -2 -1 64% 5.6 5.4 0 0 0 0 0 0 70% 6.1 5.9. 6 5 4 3 2 1 80/6 7.0 6.8 13 11 9 7 5 3 90% 7.8 7.6 19 16 13 11 8 5 t00% 8.7 8.5 24 20 17 13 10 6 Two or Three Story House -8 -3 0 7.0 6.8 33% 29 28 39 -58 .48 -37 •26 -15 40% 3.5 3.4 -46 •39 •32 -24 -17 -10 50% 4.4 4.2 -24 -20 -16 -13 -9 -5 60% 5.2 5.1 -9 -8 •6 •5 -3 -2 69% 6.0 5.8 0 0 0 0 0 0 70% 6.1 5.9 1 1 1 1 0 0 80% 7.0 6.8 9 8 6 5 3 2 90% 7.8 7.6 15 13 10 8 6 3 100% 8.7 8.5 20 17 14 11 8 4 Zonal Contml Adjustment System Type Resistance 6 4 3 2 1 0 Other 3 3 2 1 1 0 111. Cooling System Adjustment for No Tack Imuladoo Number of Misr tiatttrs Water Neater Tvoe One Two SG50 •2 -5 SG 75 •3 •6 SE •5 -0 HP -2 .4 Zonal Contrai Adjustment All 6 -5 4 2 1 0 House Sia Adjusmoent Hose Size (112) Subtotal Hour With Ducts (R-4.2) 1000 SEER VW to Sum of 7.9 1000 1499 Spin Pctg -25 or •24 to •14 to -4 to +6 to 16 or AC AC less •15 .5 45 +15 more 10.0 9.7 0 0 0 0 0 0 11.0 10.7 4 3 2 2 1 0 12.0 11.6 8 6 5 3 1 0 13.0 12.6 11 9 6 4 2 0 14.0 13.6 13 11 8 5 2 0 15.0 14.6 16 12 9 6 2 0 Effective SEER 3 6 5 -5 -1 (SEER z duct efftdmcy) an Ell SEER 10 8 -1 3 Sum of 7.9 _ SE N Spin Pckg -25 or -24 to •td to -410 .6 to 16 or AC AC less -15 .5 +5 .15 more One Story House an 2 5 3 5.0 4.9 -29 •23 -17 -11 d 0 6.0 5.8 -16 -13 -9 -0 -2 0 7.0 6.8 -7 -0 -4 -3 •1 0 8.0 7.8 •1 0 0 0 0 0 8.1 7.9 0 0 0 0 0 0 9.0 8.7 5 4 3 2 1 0 10.0 9.7 9 7 5 3 11 0 11.0 10.7 12 10 7 4 2 0 120 11.6 15 12 9 6 2 0 13.0 126 18 14 10 6 3 0 14.0 13.6 20 16 11 7 3 0 15.0 14.6 22 17 12 8 3 0 Two or Three Ston House HP 5.0 4.9 -35 -27 -20 -13 •5 0 6.0 5.8 -21 -17 •72 -8 -3 0 7.0 6.8 -11 -9 •7 -4 .21 0 8.0 7.8 -4 -3 •2 -1 •1 --0._ 8.7 8.4 0 0 0 0 0 0 9.0 8.7 2 1 1 1 0 0 9.7 6 5 d 2> 1 0 11.0 10.7 10 8 6 4 1 0 12.0 11.6 13 10 7 5 2 0 13.0 126 16 12 9 6 2 0 14.0 13.6 18 14 10 6 3 0 15.0 14.6 20 16 11 7 3 0 Adjustment for No Tack Imuladoo Number of Misr tiatttrs Water Neater Tvoe One Two SG50 •2 -5 SG 75 •3 •6 SE •5 -0 HP -2 .4 Zonal Contrai Adjustment All 6 -5 4 2 1 0 House Sia Adjusmoent Hose Size (112) Subtotal lots 1000 Water Heamtg VW to Poen Score 1000 1499 30 -17 -5 -25 -14 -A -20 -11 -3 -15 -9 -3 -10 a -2. -5 3 -1 0 0 a 5 3 1 10 6 2 15 9 3 20 11 3 25 14 4 House Sipa Adjustment Hasa sae (tie) Sumom 15M 2000 Water hotting to or Port Smm 1999 more 30 0 3 -3 0 2 -20 0 2 •15 0 1 -10 0 1 _ 5 0 0 0 0 0 5 0 0 10 0 .1 15 0 •1 20 0 -2 25 0 •2 Ii Water Heating Ow water Hntc - No AtcdUu7 Czsdi t CWhImm Symm.2 � s�te_t Water cfimatn E=V STD HWR Pipe No TIM Damd Hearer Tvoel Lanes Farrar POU trtstn tart SGM - At 1929- 0 3 1 A -S 0 0.63 5 8 6 .4 0 S an 6 11 9 0 4 B SG73 AI 0.48 -2 1 -1 -12 7 -2 OSB 3 6 5 -5 -1 4 an 7 10 8 -1 3 7 SE N 0.87 -2D -12 -17 .41 •32 -19 0.93 -17 -9 -13 3H -28 .16 IG AI an 2 5 3 IE AI 0.93 -21 -12 HP 6.11,13.15 im 4 7 5 -5 -1 4 Two Wow Hesttas - No Azzillm? Czano' - SG50 All am -7 -4 -0 -17 •12 •7 MM 1 5 3 -0 .4 1 0.73 6 10 8 -2 2 7 SG75 At Ulf •12 -0 -11 -22 -17 -12 0.58 t 3 0 -11 •6 -1 0.68 6 9 7 -4 1 6 SE Al 0.87 -22 -14 a9 -46 •35 -22 0.93 -16 -7 -12 •39 -28 -15 iG All 0.80 •4 .1 -3 IE All 0.93 •21 •12 HP 6.11.13.15 1.80 •1 3 1 -10 -6 0 ''140A S�N1� UN�Eh' 1 SI Act, A -0V .� 1 �"4r,,-- rca a �,j tA1 AJ LEGEND —o—e— POOL SUCTION ft. of GAS METER f OOL RETURNS ft. of= x. .. - ,. .:.. � ....�,.... ✓:.nom-..., r,:... ....,T. _-- ._... .. i -., ,.... .. -,._ .. '... y, 4)-1 0- S� SPA SUCTION ft. of We* _._ti.OS SPA RETURN ft, of ry GAS LINE h^ is erm stop r�. 1R N LINE ; k -�- , „ • . , „ t N pKAIN- ;. ''140A S�N1� UN�Eh' 1 SI Act, A -0V .� 1 �"4r,,-- rca a �,j tA1 AJ LEGEND —o—e— POOL SUCTION ft. of GAS METER f OOL RETURNS ft. of= -&060-0"— SWEEP LINE ft. of _-- FILL LINE ft. of 4)-1 0- S� SPA SUCTION ft. of We* _._ti.OS SPA RETURN ft, of - - - GAS LINE h^ -----�-- ELECTRIC LINE - -- ft 1 GAS METER np ELECT. PANEL ,.:.-:... GATE VALVES LIGHT �j LIGHT JUNCTION l_1 BOX t NOSE all SKIMMER / �, G4,vr�LZVER ' ',: - >: ..-., „ •.'. - .,� _,,. ,.:.-:... A ! : _ Fvr- Gttht'+S!,::� DC T n... r� Ike ani+ from {he - VVm 1.nVLr - .- - ,. A P --�--- -� ,. , ,: :,. -.,. is erm stop r�. 1R N LINE ; k -�- , „ • . , „ t N pKAIN- ;. 1l SKIMMER —MODEL .' " 0 �KwAsH ro` A 5�,� [ANTI-SYPHON a. ITELmr-opis.. �, OF fit LINE F W� _ R 'VALVE��� y. n. � xs�At ILL , { A ! .- - ,. �913 V O vl