HomeMy WebLinkAbout027-310-031r'~
- - - ----- -
nnis Valdez ~- - --
S/W corner of Pal Honcut Hwy & Louis
Avenue, Palermo
2625 Louis Avenue, P lermo
Permit 47- B,P, ,M(n w s'amily}
27-313/
CUURE�IS FNGEN
SW co�•�ouis,.A,Ve & Pal Hon Hwy, Palermo
Permit#37.93-84P,E(util, MH)
,LEC �.
SUPPORT STRUCTUREJREn A
COMPACTION TEST R,EQ�
27-31
Contr; Tom's Mobile &Motor
Perm3855-84MHI
Ij0ed / aZ�,/—tY'�
27-31-13I
ontr. Toms Mobile & Motorex
Permit#11-85B(new awning & cov decks)MH
Permitkf1158-85B,P,E,M(new single family)
027-310-031 PERMIT#96-062
ENGEN, Curtis
2625 -Louis Ave.,, Palermo
Cont; BI Country Pools 31y
New Pri Swimming Poon' I
r--
0
CV2
RESIDENTIAL
027-310-031 PERMIT#96-'0628
ENGEN, Curtis
2625 Louis Ave., Palermo
Cont; BI Country Pools
New Pri Swimming Pool y4 -02 -97
V=OK
O = Not OK
=Nott ReadApply' ' , , MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
Card B-1
1. Zoning Requirements - Setbacks - Easements
Card B-1
2. Soils; Special MH Support Sketch
Card B-1
3. Sewer; Location -Test Fall -C/0 -Concrete
4. Water, Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap; / /"L'ft.
/ /Nat. or/ / L"ft./ /LPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Tie Downs -Type -Installation Cert.
10. Exits; Insp.-Sketch
11. Cert of Occupancy
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; SoilsSize-DepthSpacing-Connectors-Steel
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg.; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing Veneer-Stutxo-Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date Card B-1 Date Card B-1
Date Qard B-1 Date Card B-1
Date P S Plans O cet #'s\
1, etback asements
2. Sos, Compaction -Structure Stability
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4.�FIae., eeceptacles and Lighting, Distance-GFI
, 5. Elec.; Pool Lighting; 15 Volts-GFI
6. lec.; Enclosures; Conduit Entries -Terminals -Listed
, 0 7. Elec.; Bonding; Metal w/6 -Circulating Equip: Heater (5-
8 ,Elec.; Grou in9� Equip. w/5Circulating Equip. -Pool L9ht9
•
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
9. Health Department Approval
Plumb.; Cir. Test -Water SuppWest-�
Date
Card B-1
Date
Card B-1
Date&V--5
Card B-1
Date
Card B-1
'J OK
O = Not OK
Not Readyab'e RESIDENTIAL (Single & Duplex)
Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued)
1. Zoning -Setbacks -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors _
2. Ftg., Main:'Soils-Elea Grnd.-/ P' Ftg. Depth - 46. Cing. Joist-Rftr. ties -Pu rlin-roof Brac-Truss-Shthng.-Rfng.
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Pienums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. Insulation
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit),OK except ft's
16. Water Htr.: Vent -Access -Combustion Air -Baffle
17. Water Pipe: Test & Anchor -Nail Prctection
------------------- -- -----------------------
18. D.W.V : Test -Fittings & Anchor -Nail Protection
19. Shower Pan: Test. First Floor -Tub Access
------- --------------------------- -------------------------
20. Test Tub & Shower. Second Floor -Tub Access
--------------
21. Gas Pipe: Size & Anchors
--------------
------ --------------------------------------------------------------------------
Date Card B-1 Date Card B-1
------------------------------------------------ -------- -----------------
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except ft'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 8 C.J.
--------------- -- ---- -- - ---------- --------------------- ----------_----
26. Equip. Ground made up w/Mech. Fastners-Bond Ga's & Water
-------------------------------- -------------------- ---- -.. ---- ----- --- .-. - ..-
27. 2 Appliance Circuts in Kitchen & Conductor SizerGFI
---------------------........ .......... ..
28. Subfeed Wire Sizer r ga. Cu or AI-A.C. Wire Size •� r ga...
Cu or At
----------------------------------------
29.
---- -----------_.._.-- -- ----- - - -
29. Range Circ. / , ga. Cu or AI -Oven Circ. r r ga. Cu or Al. '•
Insulated Neutral O. Yes ❑ No
------------------------------- --------------- ..
30. Service -Riser Conductors & Ground -Main Disconnect
--------.....__....---..._.. .... ....... ..
31. Equip. Clearances Panels-Motors-Mech. Equip.
--------------------------------- --- ------- - ......... ....... ....... ....... ..
32. Clothes Closet Light -Shower Light -Spa Light
33. Smoke Detector
--------------- --------...... .--------- --------..._ ------- . .... ..
Date Card B-1 Date Card B-1
--------------- ------- -------........ ................. _. .. ....... ... ... ..
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except a'=-
34. A.C. Ducts Insulation & Support
........................................... _ ... ... ..- .. ._ ..
35. Vent Fan: Exhaust above insulation
--------- --
-------- __1 .._.... _ ..._......... .. . . .
36. CondenFate Drain & Overflow: Size & Grade
------------ -- ---------------- ._ ........ ... _...... ..
37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet
38 Attic Access & Platform if Furnan:e in Attic
------ --- - -- --- --------- - ---
-- - -
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except rr's
39. Sils. 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 Ceil ngs-Stairs-Chases-Tub
--------------- ....... ........ - .-.. .- ..
44. Headers & Beam -Size & Bearing
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
------------------ --
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50. Garage Fire Protection Framing
51. Property Line Firewall & Openings
-----------------
52. Ext. Doors -One 3 -Check Garage -3rd Story, 2 Exits
---- --------- -----------------------------
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
------------------
55. Siding -Nailing Veneer
-----------------
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
57. Glazing Area -Glass Protection -Skylights -Plastic
58. Shear WalIs:-Nailing- Bolts
59. Insulation -Walls -Ceilings
60. Infiltration -Walls -Windows
---------•------------------------------------ --
Date Card B-1 Date Card B-1
- - --- ---- -----------------------
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except a's
61. Ext. Steps -Door & Sidelight Protection -Landings
- - ---- -- -------------------
62 Smoke Detector
---------•----------------------------- - -
63. Furnace: Vents -Clearance -Comb. Air -Connector -
In Garage: Above Floor -Ducts -Meth. Protection
------------------------
64. Bedroom Exiting
65. G.F.I. & Bath Fixtures & Tub Access -Spa
_. -. _-------------- ------
66. Elec. Trim & SubP anel: 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.
.- ----------------72. Garage Fire Door: Swing -Landing -Closer
... ---...................... ------ --------
-- -
73. A.C. Duct in Garage -Damper
..... .....--------------------- -------
---- ----
74. Wtr. Hir.: Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage: Above Floor -Meeh. Protection
75. Plb.. Elec. & Mech.Equip Listed for Location
------ ------- - - - --------------------------------------- -
76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection
---- --------------------------- --------------
7, Insulation -Foam -Looked in Attic ❑ Yes
----------------------------------------------------------
78. Guard Rails & Deck Construction -Post Caps
. --- ------------------------------------------------- --
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
---------------- --
80. Following
instld.; Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No:
Planters ❑ Yes ❑ No
-------------------------------------------------------------------
81. Stucco: Brown -Finish
.. ..................... --------------------------- ---------
82 A C Unit: Disconnect. Electrical. Plumbing
... ... ... ... ........ I--------------------------- ---------
83. Vents Above Roof. Plbg.-Appliance-Fireplace.-Clearance to
Openings
.. - . ------------------------------ - - - - - - - - --- ------------------------------
84 Water Well: Disconnect, Electrical. Plumbing
- - --- ----------------------- ---.-
85 Exterior Elec. Trim. G.F.I. Receptacle -Underground
- - - - - -- - -- --------------------------
86
------------------------86 Vent lat on Throughout House
87 Glass Protection
.. ....... ------------------ -- ---------
Bis. Corrections'rom Previous Inspections
89 Gas Test -Meters Tagged: Gas -Electric
. ..... . .. ....... ...-----------------------------------
90 Water & Sewer Connected-CrO to Grade -HD Approval
-- .._.......------------------------------
91 Energy Compliance Certificate -Other Certificates
-- -- --
- -------------------
Date Card B-1 Date Card B-1
-------------------------------------
Date
---------------------------------Date Card B-1 Dale Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
1.
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 PERMIT NO.
APPLICATION AND PERMIT' 0h1ag
As$�jSQRP/�RFELJ+(UM 1
�ENGEN
I ,1 _5
MIN
BUILDING PERMIT
° '/RT,I}S
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
°"NNtMY1ROOg9 2625 LOUIS AVENUE, OROVILLE 95966
cOff7f TbMTRY POOLS
T "+E 0405
c'MlST?AD YUEA CITY 95991
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
20,000
Filing Fee
$ 20.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 207.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 114-99
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
�I�ooy�rvI
'YeffL UIS AVENUE, PALERMO
PERMITFEE
$ 361,55
PLUMBINGPERMIT
Fling Fee 20.00
Each Trap
7.00
LAT NO.
SUBDIVISIONS NAME
PARCEL MAP
Solar Or heat pump water heater
23.00
Water piping
15.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other PRI SWD)IMING POOL
SPECIFY
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New CX Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: - MASTERIM-
— �
Mobile Home IS I GI W1
920.00
PERMITFEE
t
Contractor
ELECTRICAL PERMIT
Filina Fee 20:00
Main Service800V OR LESS
( 200A OR LESS )
23.00
Main Service ( 200A TO 1000A )
46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect. /
License Class ��—� � Lic. NO. �a Lf
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCURSO.
OR ADONS. ( & ACC. BLDS.
3.5¢ FT.
ST. MULTI -OUTLET \)
NEW NON•R SrIBRANCH CIRCUITS 1..7.50
D. ( J
POWER APPARATUS
( & SINGLE OUrLET CIR. )
Ex. Occup. (OUTLET OR FIXTURES INAL 0 1.00
FIXED APPLNS. OR
Ex. Occup. ( OUTLETS (RESID.) EA) 5.00
Temporary Service
23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
POOL ELECTRIC 115.00
PERMITFEE $ 35.00
Contractor
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
I have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier �%�Lt ���%l/1'1'�
MECHANICAL PERMIT
Filing Fee 20.00
9
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE
$
Contractor
Policy Number W/2/ ,F'— 1'Xij, —/— G
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
hwith co those provisions.
Date a- rr�—�� —
Applicant - wner ❑ Contractor ❑ Agent
VSH?Armit is required for excavations over 5'0" deep and demolition or constructionBy
es over 3 stories in height.
Mobile Home Installation Fee
Is
Energy Inspection Fee Is
occ
CONST. TYPE
TOTAL FEE $ 431.55
HAZ.
1 D. FEES
I IMP
I FLOOD
CDF PARCEL PD I HD
I ISSUE
This permit is hereby issued under the
of the Butte County Code and/or
indicated above for which fees have
PERMITEXPIRESON
applicable provisions
Resolutions to do work
been paid.
Dat
OateJ
ReceiptNo. 194692
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
n-.. . y, �. , -i•• {, _.. �..+'f'J�n,-.-.,�-ii`,,•r..4.%. �r.,.���jr�:-1c�.'$--r' .'li�;�",tjy'Rr�:.'J�It� L.-.., .. . --.F.-. � .. � r
v
COUNTYOF BUTTE - DEPARTMENTS,F�DEVELOPMENTSERVICES -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541
4
OWNER t::ri
Proposed Building Use_
PERMIT APPLICATION DATA SHEET
n _ A.P. No. D
Building Inspector
Date
�lil-o3
At time of permit application, I was advised -tire following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
1. All items have been submitted . .........................................
2. Plot plans, 3/4 sets, signed by preparer of plans . ....... :..................
3. Complete plans, 3/4 sets, signed by preparer of plans . ..................... .
4. Engineered plans and calcs, 3/4 sets, with wet signature on Iplans. .............
5. Hazardous Material Form . ............................. ................ .
6.t 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. .. 0 ........
10. Fees of $.........................................
11. Impact fees as shown on attached schedule. ............................. .
12. California Department of Forestry plan approval/fees.............
A3 Flood elevation letter (100 year flo ) by jali ornia Engineer. . .
✓ V 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 (Use: (B) Parking: .........
18. Cofttr" IT -and Developraent about (A) Improvements (B) Drainage. .......... .
19. Drivew �crrr��(cgn &t,,,6n approval required prior to occupancy). .. .. .. .
20. Pre -in on or Preanspection reque�s
required. . . to Building Inspector (Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Workmans Compensation Insurance . ..........................
23. Owner -Builder Verification (Given to owner , Mail to owner . .......... .
24. Recorded copy of Agricultural Acknowledgement Statement . ................. .
25. Letter of signature authorization . ....................................... .
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ....'.
27. Letter of intent on building use . ........................................ .
28. Mobilehome utility clearance . ......................................... .
29. Documentation of legal access . ..................... :..................
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits . ......................................
32. Plan check list . .....................................................
33.
34.
When you issue the yf it_6rocess-as follows: Mail t wner. Mail to contractor.
t/ Telephone (� /`i `0� and hold for pickup at office. Deliver with inspector.
Other 42
Parcel Creation`
Acreage Applicantl;� Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. V 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
1. Index permit for above items No.
2. Additional items required:
.)k
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 VC Date
i
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
Curtis Engen
c/o B-1 County Pools
675 Sutter St.
Yuba City, CA 95991
DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397
TELEPHONE: (916) 538-7541
FAX: (916) 530-2140
Re: Private Swimming Pool
A.P. No. 027-310-031
With reference to the above subject, attached is:
[x] Plan Check List
[ ] Red Marked Calculations
[x] Red Marked Plans (Structural & Site Plans)
[x] Other: Guide for Acceptance of Engineered Pool Plans
Action Required:
[x] Comply with plan check list
[x] Resubmit plans with revisions as requested
[x] Submit calculations as requested
[x] Return originally :submitted material
Date: 4/8/96
Permit #96-0628
Should you have any questions, don't hesitate to contact me at (916) 538-7541 Monday
through Thursday.
Sincerely,
George R. Kellogg
Plan Check Ene'
1
PLAN CHECK LIST
Permit Applicant: Curtis Engen
Permit #96-0628
Date: 4/8/96
Plans for the above referenced project were reviewed by this office. Please provide
additional information and/or make revisions to plans, specifications, or calculations as
follows:
1. Provide required revisions or information as indicated on the red marked plans.
Provide information requested on attached Guide for Acceptance of Engineered Pool
Plans.
2
Minimum Requirements:
1. POOL MASTER PLANS:
Pofrovide written agreement from the design engineer (licensed Civil or Structural in the State
California) that the plan can be mastered. The engineer shall state any limitations as to
where the design maybe used.
rovide original stamped and wet signed structural calculations and pool structural plans.
s shall show all configurations in which the pool can be used.
2. .4 PLANS, SPECIFIC PROJECTS:
or plans not already master planned, provide original stamped and wet signed structural
calculations and plans.
dd� site specific hazards such as expansive soils, high ground water, steep slopes, etc.
,f�rovide site soil type.
-
°' ovi" de pool plan showing pool dimensions and depths.
'Provide site plan that shows ground slopes in the vicinity of the pool.
(Rev. Feb. 1996)
rovide all other information required of typical permit submittal.
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SCALE: 1/8" = 1' 0"
BI -COUNTY POOLS
Cont Lic. No. 555564
S
75 78' 80'
�1"
i
.�
4 Y A
�.�_
,!.�+� Mme-'.
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SCALE: 1/8" = 1' 0"
BI -COUNTY POOLS
Cont Lic. No. 555564
S
75 78' 80'
�1"
TO: Building Department
FROM: Environmental Health
ir
SUBJECT: Sanitation Clearance
E.H. USE ONLY
Plot Plan Attachod
Floor Plop Att=W
Seat to B.D. _�,7/
Irl 1 0, _ lnu '\S At Ke- lull nm ,ern z a31
by�ner Location AP#
Plan Approved for: Sewage Disposal X Water Supply: Public Private Well_
Clearance for . Other A i inn Ann Inn �Y1v
Hold final for:
Final clearance O.K. for:
NOTE:
MIA
Environmental Aealth Speciaiist Evil!—
8/92
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MI
r a a.^r -
SCALE: 1/8" = 1' 0"
r
r
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't'�a� f °";lk„'}�<(ea r f t u�3 r t f 3!�'�laZz,�,� t aw'� 1'•e¢Ra'�•. ,fie �,t n� Environmental Health
, a slx�d �Aa.,{ Nir iu �•� �a"W � -atle.n,= J��. rp art: s�, prr� � '�}"Cy.' e
." ✓ "I i � fXX i��y {{ �'."1�1 4 ! ��' � k 41 R :."E 't 1 �I ",k•Ft 'L 'I� �F �(� J i29��» �'/Je
d?Ir f e S i ' r .as.�r as i iinr i t` LPt }y tR7 M1f.'�. t3 ®ate
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BI -COUNTY POOLS
Cont Lic. No. 555564
5ignature U
75 78 80
PERMIT NO.
PERMIT EXPIRES
OWNER CURTIS & CYNTHIA ENGEN
CONTR. owner
av
1158-85B,P,E,M
ASSESSOR PARCEL 27'31-20
LOCATION 2625 Leuis Ave, Oroville
ov
Temp. Power Pole
Called PG&E
Temp. Elec. Service
Called PG&E
Temp. Gas S
Called F
JOB FINALI
Signatur
V = 'OK
0 = Not OK
- = Not Applicable
* = Not Ready
MOBILEHOMES
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s
1. Zoning Requirements -Setbacks -.Easements
2. Soils; Special MH Support -Sketch
2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/0 -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.-Shthg.-Rfg.-Bracing
5. Electricity; Local ion-Clearances-Grnd.-/ / Amp -Concrete
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; LocatiorrTest-Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Card -BI
Date
Date Card -BI Date
POOLS (Plans) OK except #'s
1, Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4. Electricity; MH Test -Crossovers -Breakers -Clearances
4. Elec.; Receptacles and Lighting; Distances-GFI
5.Drain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected -C/O to Grade -HD Approval
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater t
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
r
J =OK
0 = Not OK
Not Applicable RESIDENTIAL (Single and Duplex)
�E = Not Ready
Date UNDE LOOK Plans OK exce t#'s
Date FRA G •Continued
ng requirements -Setbacks -Ease fl -s
8
r erty Line Firewall & Openings
2'
t :, Main; Soils-61419F--Elec. - / Z/" Ftg. Depth
4
xt. Doors -One 3' -Check Garage -3rd story, 2 exits
t ., Garage; Soils -Steel- / /" Ftg. Depths;
Width-Headroom-Rise-Run-Landing-Fire Protection
4.
tg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
bbd on Roof Overhang -Attic Vents -Rafter Outriggers
S mwalls, Main; Steel-Blockouts-Wrapped-Slab
Q,Atemwalls,
Garage; Steel-Blockouts-Wrapped-Slab
co Mesh -Drip Screed-Fdn. Vents-Underflr. Access
DelVers-Fireplace
Ftg.-Steel
54;—"Glazing
Area -Glass Protection -Skylights -Plastic
D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
ear Walls; Nailing -Bolts
9. Gas Pipe; Size -Anchors
10.
Water Pipe; Test -Anchors -Regulator -Service Test
11.
Electric; Underground
12.
Plenums & Ducts; Clearance -Material -Support -Ins.
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Date •? Card -BI Date
Card -BI
Card -BI
Date Card -BI Date
Date Card -BI Date
Card -BI
Date Card -BI Date
Date FIN
(Plans) OK except q's
Card -BI Date j�ZL and -BI Date
Date PL
`
BING (Permit) OK except q's
.
Ext. Steps -Door & Sidelight Protection -Landings
Smoke Detector
11K.
15.
Water Ht.; Vent -Access -Combustion Air
W-Uer Pip es Anchors -Nail Protection
58.
Furnace; Vents -Clearance -Comb. Air -Connector -
141 Garage; Above Floor -Ducts -Meth. Protection
Joe-D..W.V.;
Test-Fttngs & Anchors -Nail Protection
A<
Bedroom Exiting
1
howe Pan; Test, 'rst Floor -Tub Access
G.F.I. & Bath Fixtures & Tub Access
est Tub 'J�Stvb%lar, 2nd Floor -Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
Size & Anchors
67.7-tteirs-&--Rei�
tkk2§EIM
Fireplace or Stove; Clearances -Hearth
*t!Ef Outlets at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
Kit. Fixt. P. Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date / - y Card -BI Date
Ija,-tTgc.
Outlets & Receptacles at Kit. Counter
Date EL
R .CAL Permit OK except q's
Garage Fire Door; Swing -Landing -Closer
C. Duct in -Garage -D er
F' e & Transformer Clearance -Ins. Protection
t T
tr. Htr.; Vents-CIdarance-C4wbr,4i _ nne r-P.R.V
Ina e; Above - ec tion
ec Receptacles Spacing -Lights & Switches at Doors
70.
Plb., Elec. &Mech. Equip. Listed for Location
e ones & No. of Conductors -Stapled
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
2 R ex stalled Close to Edge of Studs & C.J.
24
p. Ground made up w./Mech. Fasteners -Bond Gas & Water
7
su ion -Foam -Looked in Attic es
re—s
7
uard Rails &Deck Construction -Post
2 Appliance Circuits in Kitchen &Conductor Size
tl Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al
74•
Dag & Earth Clearance
Looked under Floor ❑Yes // �V -_
2
ange Circ. /G / qa. C.. ven Circ. / / ga. Cu or Al,
Insulated Neutral es ❑No
75.
Following instld.: Dr�ivees E] No; Walks El Yes o;
Planters ❑Yes IfGN0
28.
Service -Riser Conductors & Ground -Main Disconnect
76
nis
29uip. Clearances; Panels-Motors-Mech. Equip.
77,
C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
3
lothes Closet Light -Shower Light
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
7
ater Well; Disconnect, Electrical, Plumbing
80.
Igxterior Elec. Trim; G.F.I. Receptacle -Underground
Card B-1
Date Card -BI Date
V-QA41ation throughout House
Card B -I
Date Card -BI Date
ss Protection
Date MECHANICAL (Permit) OK except q's
8
Corrections from Previous Inspections
84.
ged; Gas -Electric
Ducts; Insulation & u
ater & Sewer Connected -C/O to Grade -HD Approval
3
t -Fan; Exhaust above Insu at'ion
86.
Energy Compliance Certificate -Other Certificates
3
ondensate Drain & Overflow; Size & Grade
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
35.
Altic Access & Platform if Furnace in Attic
Card -BI
Date -.i. Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Card -BI
Date Card -BI Date
Date Card -BI Date
Card -BI Date Card -BI Date
Dale FRW
G lans OK except q's
Corpments at Final:
roper Material & Anchors
3
alls•,Studs-Nailing, Spacing & Bracing -Plates -Sound
3 .
B in Walls over Girders & Floor Nailing
a Stop in Walls (rat proof)
r
Z49L're
Stops; Furred Ceilings—Stairs—Chases—Tub
,AjkZHeader
& Beam—Size & Bearing
11 VZ4
Hangers—Post Caps—Anchors—Connectors
Cing. Joist—Rftr. Ties—Purlin_—Roof Brac.—Truss—Shthng.—Rfrq.
^ Fi place Ties or Type A Flue—Fireplace Throat
Cl' ' ccess; Size & Romex Protection—Draft Stop—Ins. Baffles
4
rm. Windows or Exiting Doors—Sill Hgt. & Dimensions
4V
Garage Fire Protection Framing
(NOTE: An entry must be made each time youvisit jobsite)
ff
• COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
A routMe 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
rr,Latter, or need additional explanation, please contact this office Immediately.
BM
Ll
Inspector_. Date r 1 y ' T
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
I
CORRECTION NOTICE
E
&N-
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.
) V r6C&-r�
Inspector —Q�__Je� Date /U -,, `& <—
_ .
r
' COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 53411541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
r.)" C-r'J ,//s -s- -- ;? t_"
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
,(1 f C+,.. n-� e- [�' tel,,.! fr•' J i Al �.
X-10 —rY nom+ ( I 'I"� t t G.C. moi..)
I_(S�i • Ir r . �' •L �'r�. n�Y J /14 +r.�� .a �.Ac e7d
r
Inspector Date
I COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway andrElliott Road, Paradise — Phone: 872-2961, Ext. 57
1
CORRECTION NOTICE
T t'j ga2z'i I / S8 — !?
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
1. o�C_ �S(uvc ( cala a.iatw%ll
InspectorDate ____
cl/
Owner: Permit No.
E N E R G Y CERT IF ICATION
6a 5-
LOCATION
DESCRIPTION OF INSULATION
ROOF
Material
Thickness(inches)
EXTERIOR WALL_/
Material 7"=ds S
Thickness(inches)
CEILING
Batt or Blanket Type
Thickness(inches) 2 °'
Loose Fill Type
Minimum Thickness(Inches)
Area covered(ft.2)
FLOOR, ELEVATED
Material'
Thickness(inches)
FLOOR, SLAB
Material
Thickness(inches)
Width(inches)
FOUNDATION WALL
Material
Thickness(inches)
f
A.P. No.
Brand Name
Thermal Resistance (R Value)
Brand Name r° T
Thermal Resistance(R Value)
Brand Name ®
Thermal Resistance(R Value)
Brand Name
Number of Bags Wt. per bag lb.
Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R Value)
I hereby certify that -the above insulation was installed in -the above building
in conformance with the State of Calif Energy. Requirements.
041,5 7-e
----FI NAME/0—MR STATE CONTRACTOR'S LICENSE NO.
DATE
I hereby certify the above insulation and all required items as shown on the
Building Department approved plans and attachments have been installed as
required by the State of California Energy Requirements.
All equipment, devices and materials are of the quality prescribed or are
specifically approved by the State of California.
NYI-4,'k,
FIRM /OWNER (Please print) STATE CONTRACTOR'S LICENSE NO.
0 � " 1 2! � - La f, " . I t- (D. —,z S—
SIG OF QBRAL CO RACTOR O.W'R DATE
THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL
INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING.
January 1984
' r
`COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS P�E�RMIT�Io.
7 County Center Drive - Oroville, Califomioa 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT „
ASSE SOR PA
CEL UMBER
n
ZONI Gn r
�J
BUILDING PERMIT
OW �—
Lo i t- �h e
TEL PHONE
0 S
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING A DRESS
rU AS— o 1,16a
CONT CTOR'S NAME
TELEPHONE
e Q /
� V
CONTRACTOR'S MAILING ADDRESS
Fireplace
11000
CONSTRUCTION LENDER
UNKNOW
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS -
Permit Fee
$
ARCH 1 ECT OR ENGINEER
LICENSE No.
Plan Checking Fee
$ 01040100
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS Le) L4
PLUMBING PERMIT
Filin Fee 10.00
g
Each Trap
2.00 8%00
Solar Water Heater
20.00
VQ ll
Water piping
5.00 16-100
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 X Duplex ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer
5.00 QQ
Mobile Home S I G I W I
110-00e
TYPE OF WORK
New VT Addition 1:1R model ❑ Utilities ❑ Installation ❑ Other ❑
Describe work: c.
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Mai v5 0 V ° R
Mai service'Ek-48'e.L o 0 A MP
FYI 10.00
2.50
NEW CONST. DWELING 0
OR ADDNS. ACCLBLDGS
V/20sgft . 7
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
'
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW NON -RESIT H_ BRANCH CIRCTITS 2.50 ea
NEWCONSTIRPOWER APPARATUS &\
NON -RESID. SINGLE OUTLET CIR. /
Ex. OCCuP 20®50t
OR FIXTURES aAL030
FIXED
Ex. OCCUp. FIXED APPLNS
OR OUTLETS (RESI.D.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities
15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
❑ a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Filing Fee 10.00
Heating 410 M�Q
Cooling
,
Hood
3.00
Ventilation
permit Fee
$ Q
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
agait said Count ' consequence of the granting of this permit.
X n Date �ay'��
Signature of Applc nt — ner Z 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 $
Ltie.P riD Yt 30.00
TOTAL PERMIT EE $
OCCu P. GROUP
_3
I TYPE OF CONST.
e/
-�!
PARC
PD ND
ISSu
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTF PUBLIC
By
PER EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
_Datery
Receipt No. W / %
WHITE-D.P.W.. YELLOW -ASSESSOR. PINK-INSPE R, GOLDENROD -APPLICANT
?able 3-1. Slab Floor Points
17r n=•ria- I � slA-Vue o[ Ins- ula- t10
I ttun I
I Depth, �l
I inches 1 0-2 1 3-4 1 5-6 I 7+ 1
I I I I I I
1 0- 11 1 -5 I -5 1 -5 I -5 1
I 12 - 15 I -5 I -3 I -2 I -1 1
1 16 - 19 1 -5 j -2 I -1 i 0 1
I 20 + I -5 1 -1 1 0 1 +1 I
I I 1
7/7/83
Table 3-7. South -Facing Glazing Pte 'fable 3-10. Shading Coefficient Points
T
I I Glazing Type
I • Total I I
I Z of I Sngl, I Dbl, f Trpl,
I Floor I (U - I (U - I (U • I
Area 1 1.10) 10.65) 10.41)1
I I oints I oints 19 I tsl
o +� +3t 3
I up to 1.5 1 +2 I +2 I +2 I
I 1.6- 3.6 1 -1 I 0 I 0 1
1 3S'T1,�'1 -6 1 I -3 I
i 6.6- 7.7 1 -9 i -6 I -5 I
i 7.8- 8.9 I -I1 i -8 1 -7 I
I 9.0-10.0 1 -13 1 -10 .1 -9 i
1 10.1-11.5 I -17 i -13 I -11 I
111.6-13.0 I -21 I =16 I -14 I
113.1-14.5 I -25 I -19 I -16 I
14.6-16.0 I -28 I -22' I -'.9 I
I 1 I I I
Table 3-8. West -Facing Glazing Pts.
I Glazing Type I
I Total I
Z of I Sngl, I Dbl, Trpl,l
I Floor I (U - I (u - I (u - I
I Area 11.10) 1 0.65) 1 0.41)1
I I oints I oints I oincsl
O1 +6 1 +6 1 +6
I up to 1.3 I +5 i +6 I +6 I
I 1.4- 2.2 I +3 I +4 I +5 I
I I 0 1 T?I +3 I
I 2.9- 3.6 I -3 I 0 1 +1 1
I 3.7- 4.2 I -5 I -2 i 0 1
I 4.3- 5.0 I -8 I -4 I -2 I
I 5.1- 5.6 I -10 I -6 I -4
I 5.7- 6.2 1 -13 1 -8 I -6 I
1 6.3- 6.9 I -15 I -10 1 -7 I
I 7.0- 7.6 I -18 I -12 I -9 I
I 7.7- 8.2 1 -20 1 -14 I -11 I
I 8.3- 8.8 1 -22 I -16 1 -13 1
I 8.9- 9.5 I -25 I -18 1 -15 I
I 9.6-10.1 1 -27 ( -20 I -16 1
110.2-11.0 I -29 I -23 I -17 I
111.1-11.8 1 -35 I -26 I -21 I
111.9-12.7 1 -38 I -29 1 -24' I
12.8-13.5 I -42 I -32 i -27 1
113.6-14.3 I -46 I -35 1'-29 I
114.4-15.2 I -50 1 -38 1 -32 I
I 5� cby
ZONE 11
I Orten-
I Z Floor Area
POINTS
OWNER S�K_ / C3Awl
Table 3-3a. Ceiling Insulation
PERMIT NO. f% tj -gs ASSIGNED
ACTUAL
Points
10-3.1 I to 16.4 up
I
i A -Value of Insulation ; Points
1.
SLAB - INSULATION
0 I 0 I i1
I 37-:66 I
�q_ I 0 I 0
I -%T .82
0 I 0 I -1
.83 up i
2.
RAISED FLOOR - R-19
0 1 3.2 1 6.4 18.0 19.6
1 19 I -4 I
to I to 1 -to I to I up
j13.1 16.3 17.91 9.5 I
I 0--18 1
0 1 +1 I +2 1 +2 +3
3.
CEILING - R -30Q
V
I 30 I 0
4.
WALL - R-19
West I
1 49 1 +4
5.
NORTH GLAZING - 2.4-3.6%
4
1.5 i 3.1 j 6.3 i 7.9
6.
EAST GLAZING - 2.5-3.6%
.13-.36 i
0 1 0 1 0 1 0 1 0
7.
SOUTH GLAZING - 1.6-3.6% 3_ g
-2
Table 3-4a. Wall Insulation Points
3.
WEST GLAZING - 2.9-3.6% �. r
rT
I R -Value of Insulation I Points
I I I
9.
SKYLIGHT - 0-1.3%
1 7 1 1.5 13.1 1 3.9 15.2
0-.12 10
I +1 I +3 I +6 I +7
.13-.36 1
0 1 0 1 0 1 0 1 0
.37-.57 1
10.
SHADING (Exclude Overhang)
-1 I -3 I -6 I -12 I -�
I 19 I 0 I
-2 I -4 i -8 I -16 i -20
I t I I
EAST - 21. 66 �
I below 3 I
I 24 i +2 I
i 30 i +3
1 I 2.5 -II -2
SOUTH - =.e.19-.42
�
I 2.9- 3.6 I
-9 I
WEST - Z./ .13-.36
_
Table 3-5. North -Facing Glazing Pts
-8
.SKYLIGHT - .37-.57
1 -5
I I
-1 I
I 3.7- 4.2 I
-11 I
I I Glazing Type 1
I
11.
HORIZONTAL SOUTH OVERHANG 2'
-6
)
;
12.
MOVABLE INSULATION - NONE 0
-3 1
ofl ST, Db1, Trp_,
I Floor I U- I U- I U- I
-14 1
-10 (
-8
Area 10.66 10.42- 1 0.41 I
13.
� T"
INFILTRATION (Standard=0)(Tight=+12)i�
40
�L_
I 11.10 1 0.65 I down 1
-5 1
I 5.1- 5.6 (
-16 I
O +q a 4 +4
14.
THERMAL MASS SF
T2
I 0.1- 1.2 I +4 1 +4 I +4 1
I 1.3- 2.3 I +1 I +2 I +2 i
15.
GAS FURNACE (SE) 71-767,
-7 1
I 2.4- 3.6 I -2 I 0 1 +1 I
I 3.7- 4.8 I -4 1 -2 I -1 I
16.
7.5-7.9%
!TEAT PUI1P (EER)_
1 4.9- 6.1 I -7 1 -4 1 -3 I
I 6.2- 7.3 I -91 -6 I -5 I
17.
DUAL PACK (SE, SEER) 8.0-8.3/71-76%
I -15
I 7.4- 8.2 I -12 I -8 I -7 I
1 8.3- 9.7 I -14 I -10 I -8 I
-8 1
WOOD STOVEI
-21 I
9.8-10.8 I -17 1 -12 I -10 I
110.9-12.0 I -19 I -14 ( -12 1
-13
WATER HEATER112.1-13.2
I -22 I -16 I -13 I
113.3-14.5
I -1.7 1
-12 I
-10 1
I -24 I -18 I -15 I
-24 I
ATTIC 10e> %
-15
i 14.6-15.3 i -27 i =20 i -17
OTHER -
I -21 I
.-15 I
-13 1
TOTAL POINTS
-26 I
Table 3-6. E.., -Facing Glazing Pts.
-17
Glazing Type
1 -25 I
-18 I
-15 1
Total I I
?able 3-1. Slab Floor Points
17r n=•ria- I � slA-Vue o[ Ins- ula- t10
I ttun I
I Depth, �l
I inches 1 0-2 1 3-4 1 5-6 I 7+ 1
I I I I I I
1 0- 11 1 -5 I -5 1 -5 I -5 1
I 12 - 15 I -5 I -3 I -2 I -1 1
1 16 - 19 1 -5 j -2 I -1 i 0 1
I 20 + I -5 1 -1 1 0 1 +1 I
I I 1
7/7/83
Table 3-7. South -Facing Glazing Pte 'fable 3-10. Shading Coefficient Points
T
I I Glazing Type
I • Total I I
I Z of I Sngl, I Dbl, f Trpl,
I Floor I (U - I (U - I (U • I
Area 1 1.10) 10.65) 10.41)1
I I oints I oints 19 I tsl
o +� +3t 3
I up to 1.5 1 +2 I +2 I +2 I
I 1.6- 3.6 1 -1 I 0 I 0 1
1 3S'T1,�'1 -6 1 I -3 I
i 6.6- 7.7 1 -9 i -6 I -5 I
i 7.8- 8.9 I -I1 i -8 1 -7 I
I 9.0-10.0 1 -13 1 -10 .1 -9 i
1 10.1-11.5 I -17 i -13 I -11 I
111.6-13.0 I -21 I =16 I -14 I
113.1-14.5 I -25 I -19 I -16 I
14.6-16.0 I -28 I -22' I -'.9 I
I 1 I I I
Table 3-8. West -Facing Glazing Pts.
I Glazing Type I
I Total I
Z of I Sngl, I Dbl, Trpl,l
I Floor I (U - I (u - I (u - I
I Area 11.10) 1 0.65) 1 0.41)1
I I oints I oints I oincsl
O1 +6 1 +6 1 +6
I up to 1.3 I +5 i +6 I +6 I
I 1.4- 2.2 I +3 I +4 I +5 I
I I 0 1 T?I +3 I
I 2.9- 3.6 I -3 I 0 1 +1 1
I 3.7- 4.2 I -5 I -2 i 0 1
I 4.3- 5.0 I -8 I -4 I -2 I
I 5.1- 5.6 I -10 I -6 I -4
I 5.7- 6.2 1 -13 1 -8 I -6 I
1 6.3- 6.9 I -15 I -10 1 -7 I
I 7.0- 7.6 I -18 I -12 I -9 I
I 7.7- 8.2 1 -20 1 -14 I -11 I
I 8.3- 8.8 1 -22 I -16 1 -13 1
I 8.9- 9.5 I -25 I -18 1 -15 I
I 9.6-10.1 1 -27 ( -20 I -16 1
110.2-11.0 I -29 I -23 I -17 I
111.1-11.8 1 -35 I -26 I -21 I
111.9-12.7 1 -38 I -29 1 -24' I
12.8-13.5 I -42 I -32 i -27 1
113.6-14.3 I -46 I -35 1'-29 I
114.4-15.2 I -50 1 -38 1 -32 I
I 5� cby
T
I Orten-
I Z Floor Area
tation
U- I
I East
I I 3.2-7-
I
10-3.1 I to 16.4 up
I
6.3
1 0 -.19 1
0 I +1 1 +2
1 .20-.36 I
0 I 0 I i1
I 37-:66 I
�q_ I 0 I 0
I -%T .82
0 I 0 I -1
.83 up i
0 i -1 i -2
I South 1
0 1 3.2 1 6.4 18.0 19.6
I I
to I to 1 -to I to I up
j13.1 16.3 17.91 9.5 I
I 0--18 1
0 1 +1 I +2 1 +2 +3
I .19-.42 1
0 1 0 1 0 1 0 1 0
I 43-.66 1
0 1 -1 I -2 1 v2 -3
I .6�up 1
'
.t
0 I 0!--2 I -4 1 -4 t -6
West I
.1 11.6 13.2 16.4 18.0
I
to I to I to I to I up
1 7 0-1
1.5 i 3.1 j 6.3 i 7.9
0-.12 i
0 1 +1 1 +3 I +6 I +7
.13-.36 i
0 1 0 1 0 1 0 1 0
.37-.57 1
0 1 -1 1 -3 I -6 1 -7
.58-.82 I
-1 I -3 1 -6 I' -12 1 -15
'0.7-r up
I
-2 1 -4' 1 -8 I -16 I -•20
I I I I
Skylight 1
.1 1 .8 11.6 I. 3.2 14.0
1
to I to I to I to I to
1 7 1 1.5 13.1 1 3.9 15.2
0-.12 10
I +1 I +3 I +6 I +7
.13-.36 1
0 1 0 1 0 1 0 1 0
.37-.57 1
0 1 -1 I -) I -6 1
.58-.82 I
-1 I -3 I -6 I -12 I -�
.83 up 1
I
-2 I -4 i -8 I -16 i -20
I t I I
1 I I 1 Table 3-11. Horizontal South
Overhanv. Points
Table 3-9. Skylight Points T --T SauCh Glaring
Length Out I Area, Z of Floor I
I I Glazing Type I I from Wall I I
Total
Z of
I ft
T
1 Z of
I Sn, Dbl, Trpl,
gl
1 Floor I
U- I
U--, I
U -�,
Table 3-2. Raised
Floor Points
I Floor
I (U -
I (U - i
(U - I
I Area 10.66-
1
0.42- 10.41
I u I
I
T
Movable Insulation
I Area
1 1.10)
1 0.65).1
0.41)1
1 i
1.10 10.65
I
dove
I R -Value of I
I I
Il Points
I oints I ointsl
I Insulation I
Points
1 7 0-1
+ 7
+ 7
*4-T
I up to 1.3 I
-1 1
0 I
0
I I
I i up to 1.3
1 +3
I +4 1
+4 1
I 1.4- 2.2 I
-3 I
-2 I
-1
I 1.4- 2.4
I +1
( +2 1
+2 1
1 2.3- 2.8 i
-6 I
-4 I
-3
I below 3 I
-12
1 I 2.5 -II -2
I 0
0 1
I 2.9- 3.6 I
-9 I
-6 I
-5
I 3- 4 1
-8
1 I T�' 4•b
1 -5
I I
-1 I
I 3.7- 4.2 I
-11 I
-8 I
-6
I S- 7 1
-6
I 1 4.7- 5.5
I -8
I -4 1
-3 1
I 4.3- 5.0 I
-14 1
-10 (
-8
I 8 - 12 I
-4,
I I 5.7- 6.7
I -10
i -6 1
-5 1
I 5.1- 5.6 (
-16 I
-12 (
-10
I 13 - 18 I
T2
I I 6.8- 7.7
1 -13
I -8 1
-7 1
I 5.7- 6.2 I
-19 1
-14 I
-12
I -19+ I
0
i I 7.8- 8.7
I -15
i -10 1
-8 1
I 6.3- 6.9 I
-21 I
-16 I
-13
I I
I I 8.8- 9.7
I -1.7 1
-12 I
-10 1
I 7.0- 7.6 i
-24 I
-13 1
-15
I 9.8-11.2
I -21 I
.-15 I
-13 1
( 7.7- 8.2 I
-26 I
-20 1
-17
111.3-12.7
1 -25 I
-18 I
-15 1
I 8.3- 8.8 I
-28 I
-22 I
-19
112.8-14.0
I -28 I
-21 I
-18 I
1 8.9- 9.5 I
-31 I
-24 I
-21
1 14.1-15.3
I -32 I
-24 I
-20 I
I 9.6-10.1 I
-33 1
-26
-22
•
i--- ---- -
�-- - �..
-- -
----�
---
- -- A_
-- �
I ft
T
5.6 - 11.5
I
I
1 0-6.3
I
1 6.4 up 1
I I
0 - 0.5
1 -2
>23.6+
10.6 - 1.0
I -2
I -3 I
11.1 - 1.9
I -1
1 -2 I
I 2.0 up
I
I 0
i
I u I
I
Table 3-12.
Movable Insulation
Points
I Moveable Insulation',
I
Area, Z of
Floor I
Points I
0 - 5.5
I 0 I
5.6 - 11.5
I +2 I
11.6 - 17.5
4
I 44-
17.6
17.6 - 23.3
1 +6 I
>23.6+
1 +8 I
r
Table 3-113. Infiltration Control
Fisetures Points
T_ --
I Control Features I Points I
T-- I I
I Standard I 0 i
! I I
I .1.9 air changes per hr I 1
T_ I I
I Tight 1 +12 1
! I I
10.6 air changes per hr I' I
1 I I
Table 3-15. Cas Furnnce Without
_ Refrigeration Coollr.. Points
T__
Seasonal Efficiency 1 Points 1
! (SE)..S I
T_ ! I
I 71 - 76 I - 0 1
! 77 - 82 I +2 I
I 83 - 88 1
I 89 - 94 I 6
I 95 up 1 +8 I
I I I
Table 3-16. Peat Pump Points
T
I Energy Efficiency
I Points I
1 Patio
T---`
(EER)
I
! I
1
I 7.5
- 7.9
I +3 I
I 3.0
- 8.3
I +6 1
I 8.4
- 3.7
I +9 1
1 8.8
- 9.1
1 +12 1
I 9.2
- 9.6 I
+15 1
I 9.7
- 10.2 I
+18 I
I 10.3
- 10.8 I
+21 I
i 10.9
- 11.5 I
+24 I
11.6
- 12.3 I
+27 1
I 12.4
I
- 13.2 I
I
+30 I
I
Table 3-17. Cas Furnace With
Refriveration Coolina Points
:Refrigerationl Cas Furnace. I
I Cooling I SE I I
I 17 7-183- 99-79-5-7
i 1 761 8:1 881 941 uo I
1 8.0 - 8.3 1 01 +21 +•41 +61 +8 1
1 8.4 - 8.7 1 +21 +41 +61 +91+10 1
I 9.8 - 9.2 1 +41 +61 +81+1n1+12 1
I 9.3 - 9.7 1 +61 +81+101'121+14 I
I 9.8 - 10.3 1 +31+101+121+141+16 1
1 10.4 - 10.9 I+1G;+L2i N -1+161+13 I
1 11.0 - 11.5 1+121+141+161+'181+20 1
I I ! I I I
7/7/83
TALE 3-14 (ADAPTED)
MASS
DUELLING AREA SQUARE FOOT
ZONE 11
INTERIOR THERMAL MASS POINTS
AREA
1,000
I 7 - 14
1,500
I 15 - 23
I +4 I
2,000
I +6 I
I 31 - 39
2.500
I 40 - 47
I
3.000
I +12 I
1
3,50D
1 64 - 71
I +18 I
1,000
I +20 I
I I
I,SGO
I
I
I Only ;
5,000
1
SQ. FT.
I A
8
C
0 A
8
C
0
A
6
C
D�
A
8
C
0
A
8
C
0
A
8
C
D A
8
C
D A
6
C
+16
:.
8
C
a
+4
+6
+8
+10
+12
+14
1,500-1,999
0
+1
+3
+4
+6
1
+8
+10
2 (:00 and up
0
+1
+2
+4
+5 1
+6
0
0r
All others (per. b_utlding pnints)
_
-+34-
BUO-8.99
0
+5
+lU
`G
+19
+2' +29 i
900-999
1.00D -l-, 199
0
0
50
2
2
2
2 2
2
2
0 1
2
2
2
0
0
0
0
0
0
0
0
0
0
0
2,000-3,9:9
0
o
0
a0
0
0
0
Cl
o.
Q
0
+.
1.00.
4
4
4
2 2
2
2
2
2
2
2
2
I 2
2
2
0
2
2
2
0
2
2
0
0
2
2
0
0 2
2
0
O
150
6
6
6
1 /
4
4
2
2
.2
2
2
i
2
2
2
2
7
2
2
2
2
2
2
2
2
2
0 2
?
t
01
I 0.
2
0
2
0
2
0 I
0 1
200
0
8
6
/ 6
6
4
2
4
4
/
2
4
4
2
2
2
2
2
2
2
2
2
2
2
2
2
2 2
2
2
2I
2
7
s
253
10
10
8
6 6
6
6
4
6
6
4
2
4
4
4
2
4
4
2
2
2
2
2
2
2
2
2
2 2
2
2
2
2
Z
2
390
12
12
10
6 B
8
6
4
6
6
6
4
6
6
4
2
4
4
4
2
4
1
2
2
2
2
2
2 2
t
2
T'
2.7
2
t
350
14
14
12
8 10
10
8
6
6
6
6
4
6
6
6
2
6
4
4
2
4
4
4
2
4
4
2
2 4
4
2
7I
2
2
7
?
400
14
14
12
8 10
10
8
6
8
8
6
4
6
6
4
4
6•
6
4
2
4
4
4
2
4
4
/
2 I 4
1
2
2
I 3
4
2
2
SOD
18
18
16
10 12
12
10
6
10
10
8
6
R
8
6
4
6
6
6
4
6
6
6
2
6
6
4
4
4
1
2
4
600
22
20
18
12 14
14
12
8
12
12
10
6
10
10
8
6
8
8
6
4
8
C
6
4
6
6
6
4 1 6
6
C
i
f 6
6
4
r
2 1
170
24
24
20
14 18
16
In
10
14
14
12
8
10
10
10
6
10
10
8
6
8
8
6
4
8
6.
6
4 1 6
6
5
41
6
6
6
7 I
i
230
26
14
22
16 70
16
16
10
14
14
12
8
12
10
10
6
10
10
8
6
10
R
6
4
?
6
6
4 ' 8
6
6
4I
6
6
o
s !
900
28
28
74
16 22
20
18
12
I6
16
14
10
14
14
12
8
12
12
10
6
10
10
3
6
I 3
8
'a
4 8
8
6
41
8
B
6
r.
I,0.0
30
JO
25
18 ?Z
124
20
20
14
18
18
16
10
14
14
12
8
12
17
10
6
12
10
10
6
10
10
8
6 8
B
0
4j
^,
8
6
4 i
1.;OU
3?
32
28
2D
24
22
14
20
20
18
10
16
16
14
8
14
114
14
12
8
12
12
10
6
IO
10
10
6 11
10
8
(
'.0
e
e
. !
1.200
34
32
30
22 26
26
22
16
22
20
18
12
18
18
14
10
14
12
8
14
12
12
8
•12
(
12
10
11
63
10
8
E !
In
In
8
6 1
1 300
34
34
32
22 28
26
24'
16
22
1
1
,
22
20
12
18
18
16
10
14
14
14
8
14
12
12
6
12
12
10
6 12
�IZ
10
10
6
10
10
r.
6
1
1,400
34
34
32
24 28
28
26
18
24
24
20
1420
ZO
18
12
18
16
14
10
14
14
12
8
14
14
12
8
12
;G
t:
;0
10
17
S
1,500
36
34
34
24 30
30
26
18
24
24
22
14 122
20
18
12
18
18
16
10
16
16
14
8
14
14
12
w 117
1?
10
f.l
;'
12
I...
6
2,000
34
34
32
22
30
30
26
18
26
26
22
16
22
22
20
14 120
20
18
12
18
18
16
10 ,lb
16
1:
G1
14
14
12
5 I
2,509
34
34
30
22 130
30
26
18
26
26
24
16
24
24
22.
14
22
22
13
:2 20
20
18
!:•I
ly
1t
!0
J,C00
34
32
30
22
30
30
26
18
28
:6
24
16
124
24
22
14 22
22
20
11:2
:3
1
12 i
3,500
4.090
32
32
30
20
30
32
30
32
26
30
ld
20
128
30
28
30
24
26
I6 26
18 ! 78
14
28
22
24
W±4
it
25
:4
2S
20
22
14 '
if i
0,500
5.00=
_�
_--
132
---____--
32
28
_-_--'
20 130
32
30
l?
26
2i
7t j
23
iti
1J
n
.G
?-*
2b
;E
1=
A) 1. 3's` Concrete Slab: HC -8.93; R-.29; Factor -7.3
2. 3 3/4` Thick Comnon Brick: IIC=7.125; R-.13; Factor -7.3
81 1. 5§' Concrete Slab: HC -14.106: R-.458: Fat!or•7.1
C) 1. 8• Solid Filled Block:
'HC -20.63; R-1.93; F. or•6.1
2. 8` Solt Filled Block Hlth Both Sides Exposed To Condlttaned Afr.
NOTE: Use all square footage directly exposed to conditioned air
for Thermal'Hass Area: IIC-10.164; R-.96�; Factor -6.1
DI I- Thick Concrete/Tile: MC -2.55; R-.083; Factor�-3.7
Table 3-19. Zonally Controlled
Electric Reslatanee
Space Heating Points
Points for this measure will I
I be completed after the CEC I
i has approved an Alternative 1
! Component Package for Reslstaace i
I Beat.
Table 3-18, Active Solar Space
Heating with Cas Points
I Net Solar Fraceton
I (NSF), Z
I
I 0-6
I 0 1
I 7 - 14
I +2 i
I 15 - 23
I +4 I
( 24 - 30
I +6 I
I 31 - 39
I +8 I
I 40 - 47
1 : +10 I
I 48 - 55
I +12 I
I 56 - 63
I +14 I
1 64 - 71
I +18 I
I 72 up
I +20 I
I I
Table 3-2n. Solar Water Heatinz With Cas Rarkun Paints
wood stove 433 poines'(no back up)
casablanca fan + 1 point
Multifamil (per unitpoints)
Ceatinq Pts.
1
I System Type
I Points I
!
Floor Area
I Caa Only
I
( 0 I
I I
Net Solar Fraction (NSF). Z
I 0 I
per unto,
i I
( I
Resistance Backup
( i
Meeting the Require- I
I
I ments in Part 2
I
I 0 i
ft2.
I
I
I Only ;
-40 I
0.9
10-19
20-29
30-39
40-49
50-59
60-69
70-79
600-799
0
+3
+7
+10
+14
+17
+21
+24
800-999
0
+3
+5
+8
+11
+14
+16
+19
1,000-1.499
0
+2
+4
+6
+8
+10
+12
+14
1,500-1,999
0
+1
+3
+4
+6
+7
+8
+10
2 (:00 and up
0
+1
+2
+4
+5 1
+6
+7
+9
All others (per. b_utlding pnints)
_
-+34-
BUO-8.99
0
+5
+lU
+14
+19
+2' +29 i
900-999
1.00D -l-, 199
0
0
+4
+4
+9
+7
tl3
ill
+17
+15
+�l
+-19
+26 +3G
+22+2h
1,20rr1,499
n
+3
+6
+9
+12
+15
+18 +21
1,500-1,999
0
+?
+5
+7
+9
+12
+!4 +lc
2,000-3,9:9
0
+2
+3
+S
+7
+8
+IU +11 I
3,nC.0 .• ,.d uo
_0
+!
+3-
+.
+5
4.7�
+D +10 1
Table 3-21. Other Water
Ceatinq Pts.
1
I System Type
I Points I
!
I I
I Caa Only
I
( 0 I
I I
i Beat Pump
t
I 0 I
( Solar with Electric
i I
( I
Resistance Backup
( i
Meeting the Require- I
I
I ments in Part 2
I
I 0 i
I
I Eleccric Resistance I
I
I
I Only ;
-40 I
FORM]f ..: RESIDENTIAL ENERGY PLAN CHECK/INSPECTION SUMMARY
Owner _� G( g/(/�jj6jy Climate Zone Permit No..
Floor Area !q/2
Compliance path: Package ❑ A ❑ B ❑ C M Point System ❑ Budget 6? Other /¢W �� 3
MIN R -VALUE DESCRIPTION
REQ' D
INSTALLED ITEMS (1) INSULATION:
go Roof/Ceiling
J-
® la loor Perimeter
❑ aised Floor
,(2) INFILTRATION:
❑ (A) A vapor barrier is required in climate zones, 1, 14 & 16.
(B) All manufactured windows and sliding glass doors shall meet the
1972 ANSI Air Infiltration Standards and shall be certified and
labeled.
® (C) All swinging doors and windows leading to unconditioned areas
shall be fully weatherstripped.
Tight -the above standard features plus:
❑ (D) Continuous infiltration barrier
❑ (E) Electrical outlet plate gasket
❑ (F) Air-to-air heat exchanger
(3) GLAZING:
(A) Location
M
13
13
13
13
13
13
7/83
Total Bldg
North
East
South
West
Skylights
(B) Shading
Area Glazing %Floor Area Single
3.
S': s
Z. 9'
Double Triple
k
;_
Shading
Coefficient Description
East
South
West
Skylights
(C) South Overhang
Length of projection Z %L ft. Description
(D) Moveable insulation: Area ft2 Description
(E) Thermal
mass 0&,
�I7— C*,C f
Type
- Area
Ft.
HC=
R=
MC=
Location
Type
- Area
Ft.
'HC=
R=
MC=
Location
Type
- Area
Ft.2
HC=
R=
MC=
Location
Type
- Area
Ft.Z
HC=
R=
MC=
Location
Type
- Area
Ft.2
HC=
R=
MC=
Location
Type
- Area
Ft.Z
HC=
R=
MC=
Location
FORM 1
(4) MASONRY AND FACTORY -BUILT FIREPLACES shall be equipped with tight
fitting closeable metal or glass doors covering the entire opening
of the firebox; a combusion air intake equipped with a readily
accessible, openable, and tight fitting damper to draw air from the
outside of the building; and a tight fitting flue damper with a
readily accessible control.
*1(5) HEATING. VENTILATING; AIR CONDITIONING SYSTEM
(A) Heating
Central Gas Furnace %
(brand and model number)
Btu/hr
(heating capacity)
Heat Pump.
(brand and model number)
Btu/hr
(heating capacity at 47°F)
Active Solar
•type (liquid or air)
model number solar fraction
orientation
rated slope
❑ Other
SE
ACOP
Collector brand and
ft2
collector area collector
collector tilt rated y -intercept
*1 (B) Cooling
❑ Electric Air Conditioner,
z
(describe)
(brand and model number)
Btu/hr
(cooling capacity at 95°F)
Electric Heat Pump
Btu/hr
(seasonal EER)
EER
(cooling capacity at 95°F)
❑ Other
(describe)
(C) A TWO-STAGE THERMOSTAT, which controls the supplementary heat on
its second stage, shall be required for heat pumps.
® (D) AN AUTOMATIC SETBACK shall be provided for all thermostats, except
those controlling heat pumps.
(E) AN INTERMITTENT IGNITION DEVICE shall be provided for all gas-fired-
fan type central furnaces, gas-fired fan type wall furnaces and
gas cooking appliances.
(F) BACKDRAFT DAMPERS shall be provided for all fan systems exhausting
air to the outside.
(G) DUCT CONSTRUCTION & INSULATION. All transverse duct,. plenum, and
fitting. joints shall be sealed with pressure sensitive tape or
mastic to prevent air loss and shall be insulated to conform to
the provisions of Section 1005 of the UMC, 1976 Edition.
7/83 2
r j.
FORK 1
(6) DOMESTIC WATER SYSTEM
® (A) Gas Only Gallons
(brand and model number) (tank size)
❑ Heat Pump w/Electric Backup
(brand and model number)
Gallons
(tank size)
13 Active Active Solar
(collector brand and model number)
(rated y -intercept) (rated slope) (solar fraction)
(backup heater type, brand and model number) (collector area)
(collector.orientation)
❑ Location of Solar Panels
❑ Other
(collector tilt)
ft
(Describe)
:(B) TANK INSULATION. Storage type water heaters and storage and
backup tanks for solar systems shall be externally wrapped with
R-12 insulation or greater.
Q (C) PIPE INSULATION. The five feet of pipe closest to the water
he and outside conditioned space shall be insulated with a
minimum of R-3. Steam .and steam conditioned space shall be
insulated with a minimum of R-3. Steam and steam condensation
return piping and recirculating hot water piping outside the
building envelope shall be insulated in accordance with
T20 -1408(d).
(D) FLOW RESTRICTORS shall be provided for showerheads and faucets
as outlined in the new appliance efficiency standards and shall
be certified to the Energy Commission.
(7) LIGHTING
(A) Lamps used in luminaries for general lighting in kitchens and
bathrooms shall have an efficacy of not less than 25 lumens per
watt (usually florescent).
*1 SubmiCdocumentation of sizing heating and cooling equipment by Manual J, sizing
charts (form #4) or other approved methods, section 2-5352(g), and fill out the
following:
Heating: Winter design temperature HE>°, elevation ', heating load 29.L BTU
elevation factor ..o x heating load = maximum outlet capacity gas furnace
BTU
Cooling: Summer design temperature 1V°, cooling load 26 3 DBTU
(USE ONLY AS A SIZING GUIDE, COOLING MAY BE,INADEQUATE)
*2 Submit T.I.P.S.E. chart or other approved system (form #5) to document sizing .of
solar panels.
® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of
Title 24, Part 2, Chapter 2-53 of the California Administration Code.
7/832d 4
SIGNATURE OFdBUILDING DESIGNER OR APPLICANT
3
RESIDF;N'.r_SdL l'lM4, CHEICKING GUIDE
(S.F., DUPLEX, & MISC. ONLY)
Bldg. Permit #
A. P. - —j
WNER G(A %%S A16 6V
GENERAL
zoning requirements (sideyards and parking).
020- Valuation.
Signature by R.C.E. or Architect (if required).
PLOT PLAN
—r'__ Complete parcel size and dimensions.
0�Setbacks, sideyards, easements, etc.
Other buildings or structures.
Grading, fills, drainage.
FLOOR PLAN
Complete to scale plan with dimensions.
.e Required windows for light and ventilation (Sec. 1405).
Required windows for second exit (Sec. 1404).
Allowable glazing for energy requirements (2.0% max. per State law).
Human.impact glass (Sec. 5406).
o6l." Required room sizes, ceiling heights (Sec. 1407).
G.F.C.I.'s in baths and exterior outlets (Sec. 210-8).
Light fixtures, switches, receptacles, and exterior receptacles for maintenance of
mechanical equipment.
**9: Locations of water heater, heating & cooling equipment, other electrical or gas
equipment, and plumbing fixtures.
Garage firewall, door size,, and closer (Sec. 503(d)(4)).
1 - 3'0" exterior exit door (Sec. 3303d).
JZ'. Fireplace location.
Smoke detectors (Sec. 1413).
STRUCTURAL DETAILS
Foundation plan complete enough to construct building.
�^/ Floor construction details complete enough to construct building.
,3-- Elevations and wall construction details complete enough to construct
% Roof construction details complete enough to construct building.
Fireplace construction details and calcs if over one-story in height.
Sufficient data and details to satisfy energy insulation requirements
MISCELLANEOUS ITEMS TO LOOK OUT FOR
CCX plywood on exposed locations and overhangs.
Stairway details (Sec. 3305).
Guardrail details (Sec. 1716).
$rick or stone veneer (Chapter 30).
Exterior plaster - weep screeds (Sec. 4706 & 4708).
e6! Proper roof pitch for roof covering (Chapter 32).
Rafter ties or bearing ridge beam.
Garage door or porch header sizes.
X. Adequate bracing.
building.
(State law).
Living area over garage - complete 1 -hour separation required including supporting
walls and posts, etc.
Two (2) exits on three-story dwellings (Sec. 3302).
d1,93 -Ry
PERMIT NO. 11-85B
PERMIT EXPIRES & Wo
OWNER CURTIS ENGEN
CONTR., Tomes Mobile & Motor, Oroville
ASSESSOR PARCEL 27-31-20
LOCATION SW cor Pal-Honcut Hwy & Louis Ave,
Palermo
Temp. Power Pole
Called PG&E
Temp. Elec. Service
Called PG&E
Temp. Gas Servici
Cal led PG& E
JOB FINALED (Da i
Signatur
V = OK ' -
0 = Not OK
= Not Applicable MOBILEHOMES
YE = Not Ready
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except N's
Date
DECKS COVERS, CARPORTS, ETC. (P s) OK except q's
1. Zoning Requirements—Setbacks—Easements
o 'ng Requirements—Setbacks—.Easements
2. Soils; Special MH Support—Sketch
oo ' gs; Size—Depth—Spacing—Connectors
3. Sewer; Location—Test—Fall-C/0—Concrete
ecks; Girders and/or Joists—Decking—Bracing—Stairs—Rails
4. Water; Location—Test—Easement Needed (Sketch)
4,%Wo Awn.; Posts—Beams—Rftrs.—Con nec.—Shthg.—Rfg.—Bracing
5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete
5lum. Awn.; Columns—Connections—Splice—Decal—Enclosures
6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG
6.
Carports; Windows—Doors
7. Utility Clearance
7.
fElec.
Card -BI
Date Card -BI Date
Care -Bi
Datel Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except N's
1. Zoning Requirements—Setbacks—Easements
Card -BI
Date
Date Card -BI Date
POOLS (Plans) OK except q's
1. Setbacks—Easements
2. Footings; Size—Spacing—Marriage Line
2. Soils; Compaction—Structure Stability
3. Gas; MH Test—Demand—Valve—Connector
4. Electricity; MH Test—Crossovers—Breakers—Clearances
3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining
4. Elec.; Receptacles and Lighting; Distances—GFI
5. Drain; MH Test—Fall—Flex Connector
5. Elec.; Pool Lighting; 15 volts—GFI
6. Water; MH Test—Regulator—Connector
6. Elec.; Enclosures; Conduit Entries—Terminals—Listed
7. Water and Sewer Connected—C/O to Grade—HD Approval
7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater
B. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg.
Boxes—Enclosures—Panel boards—Ins. to Main in Conduit
9. Exits; Insp.—Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test—Water Supply Test
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
V = OK
0 = Not OK
- = Not Applicable RESIDENTIAL' (Single and Duplex)
* = Not Ready
Date
UNDERFLOOR Plans OK exce t#'s
Date
FRAMING (Continued)
1.
Zoning requirements -Setbacks -Easements
48.
Property Line Firewall & Openings
2.
Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
49.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
5. Stemwalls, Main; Steel -B lockouts -Wrapped -S lab
50.
51.
52.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
Siding -Nailing -Veneer
6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7. Piers -Fireplace Ftg.-Steel
8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
9. Gas Pipe; Size -Anchors
10. Water Pipe; Test -Anchors -Regulator -Service Test
54.
55.
Glazing Area -Glass Protection -Skylights -Plastic
Shear Walls; Nailing -Bolts
11.
Electric; Underground
12.
Plenums & Ducts; Clearance -Material -Support -Ins.
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Card -BI
Date Card -BI Date
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
FINAL (Plans) OK except q's
Card -BI Date Card -BI Date
Date
PLUMBING (Permit) OK except q's
14. Water Ht.; Vent -Access -Combustion Air
15. Water Pipe; Test & Anchors -Nail Protection
56.
Ext. Steps -Door & Sidelight Protection -Landings
57.
58.
Smoke Detector
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
16.
D.W.V.; Test-Fttngs & Anchors -Nail Protection
59.
60.
Bedroom Exiting
G.F.I. & Bath Fixtures & Tub Access
17. Shower Pan; Test, First Floor -Tub Access
18.
Test Tub & Shower, 2nd Floor -Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
19.
Gas Pipe; Size & Anchors
62.
Stairs & Rails
63.
Fireplace or Stove; Clearances -Hearth
64.
Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
66.
67.
Elec. Outlets & Receptacles at Kit. Counter
Garage Fire Door; Swing -Landing -Closer
Date
ELECTRICAL Permit OK except #'a
68.
A.C. Duct in Garage -Damper
20.
Fixture & Transformer Clearance -Ins. Protection
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
21.
Elec. Receptacles Spacing -Lights & Switches at Doors
70.
Plb., Elec. & Mech. Equip. Listed for Location
22.
Size Boxes & No. of Conductors -Stapled
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
23. Romex Installed Close to Edge of Studs & C.J.
24.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
72.
Insulation -Foam -Looked in Attic C] Yes
25.
2 Appliance Circuits in Kitchen & Conductor Size
73.
Guard Rails & Deck Construction -Post Caps
26.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
27.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
Insulated Neutral ❑Yes E) No
75.
Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑Yes ❑No
28.
Service -Riser Conductors & Ground -Main Disconnect
76.
Stucco; Brown -Finish
29.
Equip. Clearances; Panels-Motors-Mech. Equip.
77.
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
30.
Clothes Closet Light -Shower Light
78.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opn s.
79.
Water Well; Disconnect, Electrical, Plumbing
80.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
Card B -I
Date Card -BI Date
81.
82.
Ventilation throughout House
Glass Protection
Card B -I Date Card -BI Date
Date
MECHANICAL (Permit) OK except N's
31. A.C. Ducts; Insulation & Support
83.
84.
Corrections from Previous Inspections
Gas Test -Meters Tagged; Gas -Electric
85.
Water & Sewer Connected -C/O to Grade -HD Approval
32.
Vent Fan; Exhaust above Insulation
86,
Energy Compliance Certificate -Other Certificates
33.
Condensate Drain & Overflow; Size & Grade
34.
35.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
Attic Access & Platform if Furnace in Attic
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Comments at Final:
Date FRAMING Plans OK except q's
36.
Sills; Proper Material & Anchors
37.
38.
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
Bearing Walls over Girders & Floor Nailing
39.
Draft Stop in Walls (rat proof)
40.
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
41.
Header & Beam -Size & Bearing
42.
Hangers -Post Caps -Anchors -Connectors
43.
44.
Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Sh_thng_.-Rfng. _
Fireplace Ties or Type A Flue -Fireplace Throat
45.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
46.
47.
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
Garage Fire Protection Framing
(NOTE:Anentrymust be made each time youvisit jobsite)
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
tl; 7 County Center Drive - Oroville, Califorgia 95965 - Telephone 916/534-4541
APPLICATION AND"PERMIT
0 IT NP
77-
ASS ESSO PA RCE IN IMB ER
ZONIQIG_
�///-X717'"'
BUILDING PERMIT
OWNE�J
r Is �h
TELEPHONE
SQ. FT. OCC.1 BUILDING V ATION
aa-
a
OWNER'S MAILING ADDRE S ^
o
O AC,TOR' A E
rc
ELEPHONE
CO TRACTOR'S AILING D RE
3 IP
Fireplace
CONSTRUCTION LEN6tV LEN
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ SM
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ r
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING A9fDRESS
rn f,.r Pal
PLUMBING PERMIT
Filing Fee 10.00
e
Each Trap
2.00
Solar Water Heater
20.00
IY1�
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 Remodel ❑ Util' ies ❑ Installati n ❑ Other ❑
Describe work: 1� V —
Q
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service sooV OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.&
OR ADDNS. ( ACC. BLDGS.
2t 0sgft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
Aland Professions Code ind license is in f� forcend effect.
License No. Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTRMULTI-OUTLET 2,50 ea
NON-RESID BRANCH CIRCUITS)
NEW CONSTR.POWER APPARATUS &
NON-RESID. (SINGLE OUTLET CIR.
20050e
Ex. Occup(ouTLErs OR FIXTURE; BAL930
Ex. Occup. OUTLETS P(RESID IFIXED ALNS REA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring
15.00
Permit Fee $
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
The permit is for $100.00 (valuation) or less.
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.
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
1 certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
agai saidCo my in co que a of the granting of this permit.
�-7 (—
Date J
Signature �p App (cant IM `eLerflo' 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.
PAR L
P
HD
s
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRE R OF BLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
'�
Receipt No. C?� ��
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
i _2703 a��! E(NH)
PERMIT NO.
I `
PERMIT EXPIRES `
CURTIS ENGEN
OWNER
owner
CONTR.
27-31-20 ,
ASSESSOR PARCEL
LOCATION SW cor Louis-Ave & Palermo Honcut Hwy
• _ a'" F*N y 'OFFICECOPY
��3 ✓ 1>
'yrsAddYess.r*�.+x
P
bate
'EL CTRIC�5
c ri + Date
r`Meter'By
A
1
�1
i
Temp. Power Pole
i
L" Called PG&E _
ITemp. Elec. Service l�
f d
i
Called PG&E
f '
I ,
� Temp. Gas Service
l Called PG&E
JOB FINALED (Date) 4 ��
Signature
F"
4
J•=-OK
0 = Not OK
– = Not Applicable MOBILEHOMES
* = Not Ready
MISCELLANEOUS .,
Date
MOBILE UTILITIES (Plans) OK except N's
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's
on' equirements–Setbacks– Easement s
1. Zoning Requirements–Setbacks–.Easements
oils; Spe ial MH Support–Sketch
2. Footings; Size–Depth–Spacing–Connectors
er; Loc –Test–Fall-C/0–Concrete
3. Decks; Girders and/or Joists–Decking–Bracing–Stairs–Rails
r; Location–Test–Easement Needed (Sketch)
4, Wood Awn.; Posts–Beams–Rftrs.–Connec.–Shthg.–Rfg.–Bracing
c riclty; L cation–Clearances–Grnd.–PAOID/ Amp–Concrete
5. Alum. Awn.; Columns–Connections–Splice–Decal–Enclosures
r
Gas; L rrT –W :/ /"L"ft./ /"Nat. or/a/ /"L"ft./ /"LPG
6. Carports; Windows–Doors
7 ility Clearance
7. Elec.
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
MOBILkHOME INSTALLATION (PI OK except N's
Date
POOLS (Plans) OK except N's
1 Zoning Requirements–Setbacks–Easements
1. Setbacks–Easements
Footings; Size–Spacing–Marriage Line
2. Soils; Compaction–Structure Stability
Gas; MH Test–Demand–Valve–Connector
3. Pool Structure; Steel–Connections–Thickness–Dead Men–Lining
lectricity; MH Test–Crossovers–Breakers–Clearances
4. Elec.; Receptacles and Lighting; Distances–GFI
in; MH Test–Fall–Flex Connector
5. Elec.; Pool Lighting; 15 volts–GFI
ater; MH Test–Regulator–Connector
6. Elec.; Enclosures; Conduit Entries–Terminals–Listed
)LIater and Sewer Connected–C/0 to Grade–HD Approval
7. Elec.; Bonding; Metal w/5'–Circulating Equipment–Heater
Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5'–Circulating Equip.–Pool Lghig.
Boxes–Enclosures–Panel boards–Ins. to Main in Conduit
x'ts; Insp.–Sketch
ert. of Occupancy
g. Health Department Approval
10. Plumb; Cir. Test–Water Supply Test
CUfCB-1Date/-2–
Card -BI Date
Card -BI
Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
ass3��
= OK
= Not OK
= Not Applicable RESIDENTIAL (Single and Duplex)
= Not Rea y
Date
UNDERFLOOR Plans OK exce tq's
Date
FRAMING (Continued)
1. Zoning requirements -Setbacks -Easements
48.
Property Line Firewall & Openings
2.
Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
49.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
3.
Ftg., Garage; Soils -Steel- / /" Ftg. Depth
50.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
51.
52.
53.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
Siding -Nailing -Veneer
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7. Piers -Fireplace Ftg.-Steel
8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
54. Glazing Area -Glass Protection -Skylights -Plastic
55. Shear Walls; Nailing -Bolts
9. Gas Pipe; Size -Anchors
10.
Water Pipe; Test-Anchors-Regulator-Seryice Test
11.
Electric; Underground
12.
Plenums & Ducts; Clearance -Material -Support -Ins.
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Card -BI
Date Card -BI Date
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
FINAL (Plans) OK except N's
Card -BI Date Card -BI Date
Date
PLUMBING (Permit) OK except q's
14. Water Ht.; Vent -Access -Combustion Air
15. Water Pipe; Test & Anchors -Nail Protection
56.
57.
58.
Ext. Steps -Door & Sidelight Protection -Landings
Smoke Detector
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
16.
D.W.V.; Test-Fttngs & Anchors -Nail Protection
59.
Bedroom Exiting
17.
Shower Pan; Test, First Floor -Tub Access
60.
G.F.I. & Bath Fixtures & Tub Access
18.
Test Tub & Shower, 2nd Floor -Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
19.
Gas Pipe; Size & Anchors
62.
Stairs & Rails
63.
Fireplace or Stove; Clearances -Hearth
64.
Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
66.
Elec. Outlets & Receptacles at Kit. Counter
Date
ELECTRICAL Permit OK except q's
67.
Garage Fire Door; Swing -Landing -Closer
68.
A.C. Duct in Garage -Damper
20.
Fixture & Transformer Clearance -Ins. Protection
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
21.
Elec. Receptacles Spacing -Lights &Switches at Doors
70.
Plb., Elec. &Mech. Equip. Listed for Location
22.
Size Boxes & No. of Conductors -Stapled
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
23.
24.
25.
Romex Installed Close to Edge of Studs & C.J.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
2 Appliance Circuits in Kitchen &Conductor Size
72.
Insulation -Foam -Looked in Attic ❑Yes73.
74.
Guard Rails & Deck Construction -Post Caps
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At
27.
Range Circ. / / ga. Cu or AI -Oven Circ. / ga. Cu or Al,
Insulated Neutral ❑Yes El No
75,
Following instld.: Drive ❑ Yes E) No: Walks ❑ Yes E] No;
Planters ❑Yes ❑No
28.
Service -Riser Conductors & Ground -Main Disconnect
76.
Stucco; Brown -Finish
29.
Equip. Clearances; Panels-Motors-Mech. Equip.
77.
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
30.
Clothes Closet Light -Shower Light
78.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
79.
Water Well; Disconnect, Electrical, Plumbing
80.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
Card B -I
Date Card -BI Date
81.
82.
Ventilation throughout House
Glass Protection
Card B -I
Date
Date Card -BI Date
MECHANICAL (Permit) OK except N's
83.
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged; Gas -Electric
31.
A.C. Ducts; Insulation & Support
85.
Water & Sewer Connected -C/O to Grade -HD Approval
32.
33.
Vent Fan; Exhaust above Insulation
Condensate Drain & Overflow; Size & Grade
86.
Energy Compliance Certificate -Other Certificates
34.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
35.
Attic Access & Platform if Furnace in Attic
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Comments at Final:
Date FRAMING(Plans) OK except q's
36.
Sills; Proper Material & Anchors
37.
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
38.
Bearing Walls over Girders & Floor Nailing
39.
Draft Stop in Walls (rat proof)
40.
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
41.
Header & Beam -Size & Bearing
42.
Hangers -Post Caps -Anchors -Connectors
43.
44.
Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfnp._ _
Fireplace Ties or Type A Flue -Fireplace Throat
45.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
46.
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
47.
Garage Fire Protection Framing
(NOTE: An entry must be made each time you visit jobsite)
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE
OROVILLE, CALIF. - 534-4541
CERTIFICATE OF OCCUPANCY
This mobilehome has been installed in accordance with the requirements
of the California Administrative Code, Title 25, Chapter 5, under permit
number for the following location:
Owner
Owner's Address
Mobilehome Mfg. Model - Year
Insignia No. < ` r7 Serial No. ?
It is hereby certified for occupancy at the above described location and
may be occupied.
Director of Public Works
Date � L
By
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED
White - Owner, Yellow - Installer, Pink - D.P.W.
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
` 196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
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. It you have any question pertaining to this
matter, or needdlditional expAanation, please contact this office immediately:
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California $5965 - Telephone 916/534-4541
APPLICATION•AND PERMIT
PERMIT NO.
ASSESSOR PARC L NUMBER
A 7-- r �-
ZO ING
BUILDING PERMIT
OWNE
TELEPHONE
SO. FT. OCC.1 BUILDING VAL ION
OWNER'S MAILING ADDR
S
CONTRACTOR'S NAME
vi to.r
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ -4e;ee'+
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
.$• nO
t
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING A DRESS
S
PLUMBING PERMIT
Filing Fee 10.00
WAA
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome Other
SPECIFY
Building sewer
5.00
Mobile Home
r0
l.00ea
TYPE OF WORK
�-�/
New ❑ Addition [:1Remodel ❑ Utilities L Installation ❑ Other ❑
Describe work: —
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00'
Main service sDDV OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.&
OR ADDNS. ( ACC. BLDGS.
2/20sgft '
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and m license is in full force and effect.
Y
License No. Classification
8 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
J/ for sale. (Sec. 7044)
1, 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 CON5TR U TI.OUTLET 2.50 ea
NON.RESID. BRANCH CIRCUITS)
NEWCONSTR. POWER APPARATUS &
NON .RESID. (SINGLE OUTLET CIR.
Ex. Occu zD®s0C
P�o OR FIXTURES 1.030
FIXED APPLNS. OR
FIXED
Ex. OCCUp. OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $ J
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
1 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.
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County ' consequence of the granting of this permit.
X Date a-� a�-y
Signature of Appl (C). t — alner P 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.
PARC
PD
HD
155u
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRE R OF PUBLIC
BY
PE IEXPIRES XPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
/Q�,`s
` Z _�Lf— _
Receipt No. ll q 3
WHITE-D.P.W.• YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
_ COUNTY OF BUTTE - IJEPATMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICA=ION'AND PERMIT
ASSESSOR PARCEL NUMBER ZONING
027-31-0-020-0
I'
BUILDING PERMIT
OWNER TELEPHO E
CURTIS Do ENGEN 33-02 3
SO. FT. OCC, BUILDING VALU 1ON
OWNER'S MAILING ADDRESS
1111 NELSON AVE OROVILLE, CA 95965
CONTRACTOR'S NAME TELEPHONE
TOM IS MOBILE & MOTOR A-9111?
CONTRACTOR'S MAILING ADDRESS
6 66' L I NCOLN OROV 1 LLE' CA 95965
Fireplace
CONSTRUCTION LENDER
NA
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
N/A
Permit Fee
$
ARCHITECT OR ENGINEER
N A
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
N/A
Permit fee
$
BUILDING ADDRESS"kr f
262 9Y1 -6eg7 S AVE OROV I LLE
PLUMBING PERMIT
Filing Fee 10.00
-51A)
lit% t�o �/s A'/C. Ai4L %�A1
V
Each Trap
2.00
Solar Water Heater
20.00
/4 P/gLC�e/I-lam
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 N Other
SPECIFY
Building sewer
5.00
Mobile Home S G W
10.00 e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation [X� Other ❑
Describe work: INSTALL S I NGL E—w I of MOR I L ENOME
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST.// DWELLING OCCUP.&
OR ADDNS. l ACC. BLOGS.
2/20SgIt
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 m license is in full force and effect.
Y n
License No. 3?7<7��Classification (:6'I
❑ 1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR.ULTI-OUTLET 2,50 ea
NON.RESID BRANCH CIRC ITS
NEW CONSTR. // POWER APPARATUS &'
NON -R ESID, ISINGLE OUTLET CIR,
Ex. Occu / 2A@50t
p\OUTLETS OR FIXTURES BL®30
FIXED
Ex. OCCUp. OUTLETSP(RESID )REAJ 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ 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.
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, judgme ts, c�in nses which may in any way accrue
against said Count i consgranting of this permit.
X Date 12/21 /84
Sign ure o 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 $ _0-5
TOTAL PERMIT FEE $ 70. ov
OCCUP, GROUP
I TYPE OF CONST,
PARCEL D D SDE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for whi h
DIREC OF LIC
BY
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
[Receipt No. .3Z,?
AIT E-D.P.W., YELLOW -ASS SSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
M
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA,
PHONE: 534-4541
MOBILEHOME INSTALLATION SHEET
1. Owner's name: CURTIS D. ENGEN
2. Installer's name: TOM' S MOB 1 LE Qc MOTOR
3. Is the site currently under permit? Yet / / No /X /
(If yes, furnish permit number ) OR.
Is the site an existing site? Yes /X / No'/ /
(If yes, furnish two (2) plot plans.)
4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and
clear of all setbacks.and easements? Yes /X / No
( If no, clarify )
5. What is the mobilehome electrical rating? -------------------- 100 Amps
6. What is the mobilehome site service rating? --------------------- 200 Amps
7.. What is the mobilehome site circuit breaker rating? ------------- '2&0 Amps
8. Is there any other electric load to be served by the mobilehome
siteservice? -------------------------------------------------.- Yes No
(If yes, identify the load and size: W ATE R PUMP (Load) 20 (Amps)
9. What is the mobilehome site gas pipe size? ------------- , A" (in•
10. What is the type of gas service? ----------------------------- tural /% LPG / X /
11. What is the gas pipe length from meter or tank to the mobilehome? t•)
12. What is the mobilehome gas demand? ------------------------------ (BTU)
(This information not required if pipe length less than 6 ft. on natural gas..
or less than 50 ft. on LPG.) f
OPCOUNTY
BUILDING DEPARTMENT
APPROVED �y
MOBILEHOME SUPPORT DATA
If other than single wide,
Mobilehome Mfr. S K Y L I.IV E furnish' Setup Model No. Year 197 5
Width 12 (ft.) Box Length 60 (ft.) Tagalong or Expando Size ft. x ft.
(SHOW SUPPORT DETAILS BELOW)
On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation
manual and structural setup sheets (if not on file with the County of Butte).
All center supports measured from front of
mobilehome unless otherwise specified.
< Footings (check one)
Single
(f .)(in.)
Lente support
loc tions*
(f .)(in.)
(ft.)tin.)
(ft.y(in.)
n 1'. Wood either
pressure treated or
foundation grade.
Other: (specify)
Supports (check one)
: Concrete block.
Other (specify)
*If center piers are other than drawn above,
A raw in -locations, spacing, and dimensions.
agalong or Expando,'
how support details.
pport
ze
Spac ing
.ang
Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT S'1-`1llio:CIG
7 � FOR RESIDENTIAL DEVELOPMENT 08�l�;at
'� • t��/erP �,.��q EL'4f , g
Section 26-8.1 of the Butte County Code requires this acknowledgement 'tfro `bks s f
bei recorded prior to issuance of a building permit.I'£CPiPi�Ty 8HQ
U
The property described herein is adjacent to land or included1:4/.N;14,<�.
within an area zoned for agricultural purposes, and residents of th:k-(-- t! ,.— J;
property may be subject to inconveniences or discomfort arising from
the use of agricultural chemicals, including, but not limited to herbicides, pectic s,
and fertilizers; and from the pursuit of agricultural operations including, but not limited
to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust,
smoke, noise, and odor. Butte County has established agricultural zones which have as a
priority use for productive agricultural purposes, and residents within said zones and on
adjacent property should be prepared to accept such inconvenience or disconform from normal,
necessary farm operations.
All that real property situa a in -the County of Butte, State of Palifornia, described
as follows:
5�.
Date:
a
e
State of Calif : )
County of Butte )
PROPERTY OWNERS:
On this the 13th day of December , 198!_, befor6
SS. me, the undersigned Notary Public, personally appeared
' ., ..
MARJORP5 L BAKER
NOTARY PUBLIC
r f•
:.�, •,,-�„ Butte County
state of California
nAy Commission Expires June 15, 1985
Present A.P. No. �p' ("3/"
Curtis D. Engen and Cynthia G. Engen
L/ Personally known to me. 1g/ Proved to me on the basis
of satisfactory evidence.
to be the person(s) whose hame(s) are subscribed to
the within instrument and acknowledged that they
executed the same for the purposes therein contained.
IN WITNESS WHEREOF, I hereunto set my hand and official seal.
N
I'J.
taryP1is
or MarjBak r
Ordaz No.
Ewow Na 73353-3
'' Loan No.
WHEN RECORDED MAIL.TO:
Mr. and Mrs. Curtis D. Engen
1111 Nelson Avenue
Oroville, CA 95963
�[ CDUNTy-C%ta�
�"Ii` 12 2? PMIl�3
K�fCRER
RE-11ECpItBER
8661
SPACa ADOVII THIS LIN[ FOR Ott
MAIL TAX STATEMENTS TO: 1
OOQJitBVi TS 3X00
same as above tarory. d o m« '� t11 p1O"r`ya'r"'1"t OR
dlb Sat of 0 w Mw Manz w
AP #w7 -31-U-016-0 Mid Valley Ti arlol.rararlor
f9Md (Sac. 4EJ R i T Ilrrle
Coda) alit b mo 4n0 e
oddru4 on duc.r.w.l.
Title do Escrow Company
►`
GRANT DEED
FOR A VALUABLE CONSIDERATION, receipt of whkh is hereby acknowledoed, Mp
MMA VAI=, a widow
hereby GRANT(S) to
CUItRrIS D. ENGEN and CYNTHIA G. ENGEN, husband and wife, as Joint Tenants
Ow red propaty In tM QtRW unincorporated area of the
Couray o1 Butte , State of California, docr;bad as
Lot 6, in Block 55 of Subdivision No. 1 of the Palermo Citrus Tract,
.as shown on that certain Map filed in the office of the Recorder of the
County of Butte, State of California, February 28, 1888.
mt,L September 7. 1983
Kena-Valdez
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tubes.rA h Yd.rMpw4 a Net.rY rldk M.n01or Wd •tttA fr.r•
Kena Valdez - - -
--- ---- — — OFFICIAL SEAL
T VALLIAM P HECK
peraauy Y1e..1 IF M l.r roved to rM on tete t1..b of e.albCaMy 1107W NKrC • MWORNIA
wMNw.l b M rl. Oareerllll MqN rWrwfy tLhre alA.pbd b t7u
%WM ImeWi.ent Wd aabnWdp.d b w Wind 6.9008d 11
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M � NM IfYtMa Rhe hwW4 CA 6"
wtrNtsO wp trrla.nd olaatr...L
ITMt .nmi ter eRMWd n.t.rttr WWI
10020/34
MAIL TAX STATEMENTS AS DIRECTED
DIiREC�>fECTEDA�BOVEENOFD000MENT
rA-_ Wa�_��N'
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eta
Ke
18
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g
2
f
..
mt,L September 7. 1983
Kena-Valdez
•TATE 0/
tubes.rA h Yd.rMpw4 a Net.rY rldk M.n01or Wd •tttA fr.r•
Kena Valdez - - -
--- ---- — — OFFICIAL SEAL
T VALLIAM P HECK
peraauy Y1e..1 IF M l.r roved to rM on tete t1..b of e.albCaMy 1107W NKrC • MWORNIA
wMNw.l b M rl. Oareerllll MqN rWrwfy tLhre alA.pbd b t7u
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M � NM IfYtMa Rhe hwW4 CA 6"
wtrNtsO wp trrla.nd olaatr...L
ITMt .nmi ter eRMWd n.t.rttr WWI
10020/34
MAIL TAX STATEMENTS AS DIRECTED
DIiREC�>fECTEDA�BOVEENOFD000MENT
rA-_ Wa�_��N'
_.
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eta
Ke
18
Ha
This set of plans and specifications MUST be
kept on the job at all times and it is unlawful to
make any changes or alterations on same without'
writrhen permission from the Depatmertt-of��Pb-
lic Works, County of Buttes
NOTE:—AIPMaterials &,.Vv"orkr�onship Shall Be in
Acco{clancekEleical
Reco ` 'zealA;iZod
ractices_�rnd)
of a �uality!bed o h. uso"in 'th
Uni rm builu g Meckracal Co and' na
the Natio%� ....
i A setback of 5 ft. from the
property lines and a setback
of 50ff from the road- �'
centerline shall be clear of
structures or equipment except
f Sr a 2 ft: eave o erhang.
f50 i'1 PAI F.Amo
lioNcuT !*W
Y1 S; Pti G
fz6-2es- '20't-t,s X !�
J
Utility connections shall be wirh:ar
4 ft. of themobilehome%e�it
•� directly b� /Iin i i i*
half a roadside (left) ofd
%" mobilehome.
I r� G�C-2
A permitwill be required for the:
installation bf the mobilehom%
BUTTE COUNTY
;60 i LDI NG DERARTMENT
APPR-OVED
OROVILLE, CALIFORNIA
GENERAL CLAIM
CLAIMANT: Dennis Valdez c/o Tad Tweedle
ADDRESS: 7430 Palermo-Honcut Hwy
CITY & STATE: Oroville, CA 95965' IMPORTANT:
SEE INSTRUCTIONS
1953
DATE OF CLAIM: June 27, ON REVERSE SIDE
SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES
DATE
' DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY)
AMOUNT
Owner had decided not to do work. (Bldg Permit Appin. #1947-82B,P,
Receipt fits 68483, dated 7/9/82 and 71415, dated 8/3/82, AP #27-31-1
,M
(Port).
Building permit fees paid --------------------- $400.00
Retain filing fee---------------- $10.00
Retain plan check fee ------------ L_30.00
Amount retained----------------------------- $140.00
Refund due ------------------------------------------------ $260.00
Plumbing permit fee paid --------------- =------$ 36.00
--
Ret.-ain- i ing ee------------ =---------------- �u.
Refund due ----------------------------_----=--------------- $ 26.00
Electrical permit fees paid--------------------$ 84.10
Retain filing fee-------------------------- - :.10 00
Refund due ------------------------------------------------- $ 74.10
Mechanical .permit fees paid ------------------- $ 25.00
_
Retain filing fee----------------------------- 10.00
Refund due------------------------------------------------ •15.00
TOTAL REFUND DUE ------------------------------------------ $375.10
$375.10
x
TOTAL
$375
10
I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this
claim is true and correct as stated. of
Dated this f 1,:ay of 1v .•.,G,1.�...... 19 Vi=i at :iA% L :.t Calif. ......... LYi�iai .....�i J�ei.`F:� ........................... —
�'- Sig nature of Claimant
1, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de-
livered and that there is a Budget Appropriation ❑ or Specific Board Approval[] (Check one) fof th sore .
Dated this 27th June 19 83, at ..• Orovil l e„• Calif. ...,.,.,. ... .. ,.......
................................... day of ...................... +... �.... 1 ...l.1.................. ......
apartment Head–o'r-Authorized Deputy
Dept. Exp. - ' • ��
Code Code PAYABLE FROM FUND
DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY
VENDOR
CODE
DEPT.
& SUB.
PROJ'.
SUB.
0BJ.
CLAIM
NO.
INVOICE
NO.
INVOICE
DATE
DISC.
GROSS
AMOUNT
ENCUMB.
SUB -DIST.
' COUNTY OF BUTTE - DEPAR-I*MENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 -Telephone 916/534-45 1 i Ci L/ Q
27— /— j �'�p�� APPLICATION ANO PERMIT —J f '1O
ASSES R PARC L UMBER ^�
i °
ZONING
BUILDING PERMI
O
/r
TELEPHONE
/ 'Q
SQ. FT. OCC. BUILDING VALUATION
OW ER'S MAILING ADDRES-
/ 2--_
6
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace °
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ lop
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ tat) 1 06
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING A RESS
Y.
r
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00 r
Repair drainage or vent piping
5.00
6 21 J Z ov1 5' v-
Water piping
LOT O.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
,,,� USE OF STRUCTURE
SF [J DuplPx❑ Mobilehome❑ Other
SPECIFY
Building sewer
Lawn sprinkler syste 525.00
TYPE OF WORK
New Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work:
Permit Fee
$ 1�3 61 DO
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service DODV OR LESS
100 AMP OR LESS
00
f
Main service EA. ADD'L 100 AMP
2;50
NEW CONST. (DW I UP. a,
OR ADDNS. AC
2�Sgft
CONTRACTORS LICENSE LAW
I declare under penalty"of perjury (check One):
ElNON
I am licensed under provisions of Chapt. 9, Div. 3 of the eus)ness
and Professions Code and my license is in full force and effect.
License No. Classification
(L] 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, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR -OU E 2.50 ea
NON.RESID BRANCH CIRC ITS
NEW -CONSTR (POWER APPARATUS 61
RESID. SINGLE OUTLET CIR. / •
Ex. Occup OUTLETS OR FIXTURES BAL@1
(.FIXED APPLN5. OR
Ex. Occup. UTLE TS (RESID•) EA. 2.00
Temporary service 10.00 t�
Mobile Home Facilities
15.00
Misc. Wiring 7.50
Permit Fee $
Contractor
MECHANICAL PERMIT
FiIirig Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a CertificateHood
ti of Consent to Self -Insure.
I shal I not employ any piprson 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.
Heating%M,®U
Cooling
3.00
Venti lation
Permit Fee
S ,
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.
lall labs) . s, j dgavementsemc indemnify
nandeexpenseis which may iess the n any way of Butte aacc accrue
again a' County in c seq ence of the granting of this permit.
7._ j_ F�
X Date
Signature of Applicant — Ow r o- Contractor ❑ Agent ❑
An OSHA permit is required for excavtions over 5'0" deep and demolition or construct-
ion of structures over 3 stories in hei
Mobile Home Installation Fee
$
TOTAL PERMIT FEE $
occuP, GROUP
9
TYPE of CONST.
PA
Pb
Nq/J
•Y/
159uE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRErTnR OF PUBLIC
By
P041T EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
v
Receipt Nn-
f
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE.- OROVILLE,,CALI,FORNIA 95965 - TELEPHONE: 916/534-4541
-� PERMIT APPLICATION DATA SHEET
1 Permit No.�
OWNER �./Vl/b1.C� V0A. P. No. 2 r7,aD.�
Proposed Building Use—
Permit
Permit Fee Based Upon: C mplete Contract Price DPW Valuation
Other (Explain)
Building Inspector Dates/ 9_(�.
At time of permit application, I ways`advised the following data must be submitted prior to permit processing
and/or issuance: V DATE RECEIVED APPROVED
1. All items have been submitted. . . . . . . . . . . .
2. Plot plans in duplicate/triplicate. . . . . . . . . . .
3. Complete plans in duplicate./triplicate. . . . . . . . .
4. Complete engineered plans and calcs. . . . . . . . . .
5. Plans with Energy Design Compliance Statement. . . . . .
6. State Energy Forms No.
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . . . .
elel,_9
Letter of signature authorization.0. Sanitation approval from ��i 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. . . . . .
•� •Pr Inspec. request to
17-'Preion for equired. By Iding Inspect (Lhote
�18. Other \ h�
When y ei issue the permit, process as fol ows: Mail to owner. Mail to contractor.
Telephone d\hold for pickup at irt) office. Deliver w/inspector.
Other
Applicant
Date 7_,9P –,? 7—
Copy of plans sent Health Dept., - Fire Dept., Other Date
During the plan checking process, the following data must be submitted prior to permit issuance.
(For required items not checked above at time of applica •ion, circle item.)
1. Index permit for above Items No.
2. Additional items required:
(Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other
By
Plans checked by.
Plans approved by
Other:
Copy—DPW
Date
Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT 82-23784
FOR RESIDENTIAL D$VELOPMENT OFFICIAL RE00RDS
• BUTTF coulITY- � �: !F
Section 26-8a of the Butte County Code requires this acknowledgemenpPpS RF�tr::i7 ElY
be recorded prior to issuance of a building permit.i
The property described herein is adjacent to land or included
G . 3 Pi" 19a2
2 28
within an area zoned for agricultural purposes, and residents of ELEANOR M.EECKER
this property may be subject to inconveniences or discomfort arisingCLERK-RECORDER
from the use of agricultural chemicals, including, but not limited to herbicides, FEE
pesticides, and fertilizers; and from the pursuit of agricultural operations including,
but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa-
sionally generate dust, smoke, noise; and odor. Butte County has established.agricul-
tural zones which have as a priority use for productive agricultural purposes, and,
residents within said zones and on adjacent property should be prepared to accept such
inconvenience or discomfort from normal, necessary farm operations.
All that real property situate in the County of Butte, State of California,
described as follows:
Block 55, Lot 6, Palermo Citrus Tract Subdivision, No. 1
Date: — F Z
APROPWNERS:
State of f )
On this the .!?A_,e1 day of , 19
SS. before me,
the undersigned Not ry P lic, personally
County of )
appeared
Dennis Valdez,
proved to
me on the basis of satisfactory evidence
OFFICIAL SEAL
DOROTHY A. WISE
vacxxK3ve
to be the person(l) whose name(Y) is
NOTARYPUBLIC-CALIFORNIA
w BUTTE COUNTY
subscribed
to the within instrument and acknowledged
My Comm. Expires Aug. 6, 1984
that he executed the same for the purposes
therein contained.
IN WITNESS
WHEREOF, I hereunto set my hand and official
seal.
r
No ary Public
Present A.P. NO. �Z�--�
`% n--(90 Lb)
END OF DOCUMENT}-
RESIDENTIAL PLAN CHECKING GUIDE
(S.F., DUPLEX, & MISC. ONLY)
OWNER
A. GENERAL
1. Zoning requirements (sideyards and parking).
2. Valuation.
3. Signature by R.C.E'. or'Architect (if required).
B.' PLOT PLAN
1. Complete parcel size and dimensions.
2. Setbakkq, sideyards, easements, etc.
3. Other buildings or structures. v_
4.* Grading, fills, drainage, jk
C. FLOOR PLAN
-_-1! Complete to scale plan with dimensions.
Required windows for light and ventilation (Sec. 1405).
Required windows for second exit -(Sec. 1404).
Allowable glazing for energy requirements (20% max. per.State 1
�5! Human impact glass (Sec. 5406).
,r. Required room sizes, ceiling heights (Sec. 1407).
y. G.F.C.I.'s in baths and exterior outlets (Sec. 210-8).
Light fixtures, switches, receptacles, and exterior receptacles
mechanical equipment.
Bldg. Permit #
A.P. #
T
W)
e/
for maintenance of
�.� Locations•of water heater, heating & cooling equipment, other electric
equipment, and plumbing'fixtures.
_181 Garage firewall, door size, and -closer (Sec. 503(d)(4)).
.4-t- 1 - 3'0" exterior exit door (Sec. 3303d).
1-2.* Fireplace location.'
13! Smoke detectors (Sec. 1413).
D. SIRUCTURAL DETAILS
Foundation plan complete enough to construct building.
Floor construction details complete enough to construct building.
Elevations and wall construction details complete enough to construct
1 --'—Roof construction details complete enough to construct -building.
Fireplace construction details and calcs if over one-story in height.
..6! Sufficient data and details to satisfy energy insulation requirements
E. MISCELLANEOUS ITEMS TO LOOK OUT FOR
.,,CCX plywood on exposed locations and overhangs.
Guairway details (Sec. 3305).
rdrail details (Sec. 1716).
1+/ Brick or stone veneer (Chapter 30).
C Exterior plaster - weep screeds (Sec. 4706 & 4708).
Proper roof pitch for roof covering (Chapter 32).
7.1 Rafter ties or bearing ridge beam.
0/Garage door or porch header sizes.
Adequate bracing.
building.
(State law).
Living area over garage - complete 1 -hour separation required including supporting
walls and posts, etc.
Two (2) exits on three-story dwellings (Sec. 3302).
. . ,
P
1
t '
"'-
LAND
OF NATURAL WEALTH AND BEAUTY
DEPARTMENT OF PUBLIC WORKS
=` a ,.-A
CLAY CASTLEBERRY, Director
'e
7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965
e
Teleohone: (916) 534-4541
H. W. McDONALD
DATE Deputy Director
RE: Workmen's Compensation Insurance
,A review of our -records indicates that you do not have on file in this office a
CERTIFICATE of Workmen's Compensation Insurance in a form approved by the State
of California Insurance Commissioner.
The data required on this document is:
1. CERTIFICATE OF INSURANCE heading or Title and approved form.
2. Expiration date of policy.
3. Designation of Butte County Public Works Department, #7 County Center
Drive, Oroville, CA., 95965, as the Certificate holder.
4. A statement that the "insurer shall give.the County at least 10 days
advance written notice of the cancellation of the policy..,
-5. A staterdent or'designation that named insured has Workmen's Compensa-
tion and/or 'Employer's Liability -for the statutory limits prescribed
by California Law- (if °limits are` shown).
6. Certificate of Workmen's Compensation Insurance on file has expired.
Please be notified that your permit(s) are deemed to be null and void until the
above required Certificate is on file in this office.
Do not send or bring in theop licy. Section 3800 of the State of California Labor
Code requires that the CERTIFICATE of Workmen's Compensation be on file in this
office.
Should you have any questions concerning this matter, please contact this office.
Yours very truly,
Clay Castleberry
Direct,6>; of Public Works
.F. Glan er
JFG:dd Chief Building Inspector
"IF
e, r COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS s.
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
4B,,,D,1'1PROPERTY ADDRESS
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
—attar_ or need additional explanation, please contact this office immediately.
Inspecto Date
t
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