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HomeMy WebLinkAbout028-063-00702 6-3-007 93-3338 B SIMPSON, KEN -& PAT 71 SCHOOL ST,. OROVILLE DEMOLISH BURNED SF 028-06-3-007 93-3611 BPEM SIMPSON, KEN & PATRICIA 1 71 SCHOOL ST, OROVILLE 4 CONTR: QUALITY CONST REBUILD BURNED SF 028-063-007 93-4011 SIMPSON, KEN CONT: QUALITY CONSTRUCTION 71 SCHOOL ST. OROVILLE WALL FURNACE/SF 028-063-007 PEiMIT#97-1341' SIMPSON, Kenneth & Patricia 71 School St., Honcut Repair Ele Ser/SF I 1k i�l I �--7 OFFICE COPY Address1,4 I� —� GA& Meter Bv ELECTRIC ate Meter By Dat 7 COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev. 12/96)97- ANDPERMIT ��'1. � AS SESSOR PARCEL NUMBER 028-063-007 ZONING ARMI BUILDING PERMIT OWNER KENNETH AND PATRICIA SIMPSON TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 71 SCHOOL ST., OROVILLE CA 95966 CONTRACTOR OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER NONE Fireplace LENDER'S MAIUNG ADDRESS ' Total Valuation $ ARCHITECT OR ENGINEER NONE LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 7 S B00 5 ON Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ;tom Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Othe%O Describe work: REPAIR MAIN ELECT SERVICE PANEL Gas piping system 1- 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 @20:017 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service zoos oa'ss 23.0073 • UJ 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. DECLARATION f• I hereb"y' r.m under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 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 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. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) —9/1 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 forthwith comply with those provisions. X s1�,�,[.__ ____ Date �i S�_� _ Signature of Appticant-4-PYOwner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service ( 200A To I000A 46.00 NEW CONST. DWE ING !JP. sO OR ADDNS. ( a ACC. BLnS. 3.5¢FT; T. NON-RESID. MULTH, CRR UT 97.50 POWER APPARATUS 8 SINGLE OUTLET CIR. 20 @ 1.00OWNER-BUILDER Ex. Occup. OUTLET OR FIXTURES BAL @ .50 FIXED APPLNS. OR Ex. Occup. our�TS RESID. EA 5.00 Tem Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 L±:: PERMIT FEE S 43.00 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ HAZ. I D. FEES IMP I FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date - a5 -D97 Defe ReceiptNo. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELQPMENT SERVICES -BUILDING DIV ION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-75 1 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT �� ASSESSOR PARCELNUMBER 028-063-007 ZONING ARMlil BUI D G PERMIT OWNER KENNETH AND PATRICIA SIMPSON TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 71 SCHOOL ST., OROVILLE CA 95966 CONTRACTOR'S NAME OWNER TELEPHONE ' CONTRACTOR'S MAIUNG ADDRESS CONSTRUCTION LENDER NONE LENDER'S MAIUNG ADDRESS ' Fireplace Total Valuation Is ARCHITECT OR ENGINEER NONE UCENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS 71 SCHOOL ST. HONCUT Energy Plan Checking Fee $ $ PERMIT FEE S LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF )Q( Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Othe%O Describe Work: REPAIR MAIN ELECT SERVICE PANEL Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I s I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 000OR LESS Main Service 200AORUESS 23.00 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.PSINGLE License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law f r the following reason: _-121, 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 Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( 6 ACC. BUDS. SO 3.5¢FT. SHOT MULTI• CUTLET NO.NEW-RES.. IR 11 @7,50 6 OUTLET OWER APPARATUOIR.S Ex. Occup. OUTLET OR FocruREs 20 ° 1•00 SAL o .50 OR Ex. Occup. OFIXUTLEFDTSPR o) Ek 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirinci 23.00 PERMIT FEE S 43.00 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. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation I one hundred dollars ($100) or less.) 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, 1 shall forthwith comply with those provisions. X L Date 6f� _ S• nature of App Ica - Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction's of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEP S Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAZ. I D. FES IMP I FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By K' v „ PERMIT EXPIRES N".� the applicable provisions Resolutions to do work been paid. Date 9 % 5' ?97 Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK-INSPEC-OR GOLDENROD•APPLICANT OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay r in processing and issuing your building., permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YESq NO ❑ --.2. I HAVE 4\ HAVE NOT ❑ signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: l ��� ��� :. C:ITY' J Jr PHONE: 1 " CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: SOCIAL SECURITY NUMBER: DATE: NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER OWNER BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted iny our name listing yourself as the builder of property improvements specified. Foryour protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: t If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is 5300 or more for the. entire project, and such persons are ant. !icens�d..as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on -the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not. be issued until the verification is returned. I rely, Mic el C. Vi lira , C.B.O. Ma ger, Building Inspection NOTE: This 0 1 on er-B u ilder Info rmatioir is required by Section 19830 of the California Health and Safety Code OVER r , I /1 .it RESIDENTIAL 028-06-3-007 -93-3611 BPEM SIMPSON, KEN & PATRICIA I 71 SCHOOL ST, OROVILLE REEBUILD4BURNED CONST JJZ 3 -yam f} h J OFFICE COPY 1 Address I GAS j Meter By 1� ELECTRIC D Meter By rt Date OFF CE copy— — —_—� Address t , GAS Meter By ELECTRIC Date= Meter By Date JOB FINALED (Da&3 Signature _ V=OK " O= Not OK = Not Readyable MOBILE HOMES Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fell -C/O Concrete ` - 4. Water; Locatlon-Teat-Easement Needed, (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Teat -Wrap: / /"L"ft. / /"Nat. or/ P'L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance ! Date/Initials MOBILE NOME 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 -Fell -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel . 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftm.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Lendings Date/Initials POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboa rds-Ins. to Mein in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V=OK O = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date/IPjtIals UNDERFLOOR Plans OK except #'a Ir -Setbacks -Easements -Flood -Slope ItMain; Soils-Elec. Grnd.-/ 5-ftg. Depth Ftg., Garage; Soils-Steel-Elec. Grnd.-/ 'r_Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalis, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Be. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers place Ftg.-Steel V.; Fall -Fitting -Test -2 Way C/O -Sewer Test UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Material -Support -Ina. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUM G Permit OK except #'s qtr.; Vent -Access -Combustion Air -Baffle L�1 . Wade; Test & Anchor -Nail Protection lL_--l'_D.W.V.; Test -Fittings & Anchor-Naii Protection 1 n; Test, First Floor -Tub Access ab & Shower, Second Floor -Tub Access 2 as Pipe; Size & Anchors Date/initials ELECTRICAL. Permit OK except #'a 22. Fi & Transformer Clearance -Ins. Protection Elec. Receptacles Spacing -Lights & Switches at Doors 4. No. of Conductors -Stapled 25. Romq&jasta4led Close to Edge of Studs & C.J. ip. Ground made up w/Meth. Fastners-Bond Gas & Water 7. 2 Appliance Circuts in Kitchen & Conductor Size/GFI x/29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. or Al 29. Range Circ. 41 a. Cu or AI -Oven Circ. / / ga. Cu or Al. In lated Ne al ❑ Yes ❑ No OfSewice-Riser Conductors & Ground -Mein Disconnect 31. Equip. Clearances Panels -Motors -Mach. Equip. rhes Closet Light -Shower Light -Spa Light Smoke Detector Date/Initials MECHANICAL (Permit) OK except #'s • _id, -&C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet ttic Access & Platform if Furnance in Attic Date/Initials FRAMING Plana OK except #'s ils �Material & Anchors Wal s -Nailing, Spacing & Bracing -Plates -Sound . B Walls over Girders & Floor Nailing 2. Draft Stop in Wells (ret proof) rre�topa; Furred Ceilings -Stairs -Chases -Tub 1 -,43r.-Headers & Beam -Size & Bearing Date/Initials FRAMING (Continued) an -Post Caps -Anchors -Connectors Cing. Joist-Rftr. ties- Purl in -roof Brec-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles bis. BdrmNladows or Exiting Doors -Sill Hgt. & Dimensions LbOarag9FJre Protection Framing L-er"Trr-operty Line Firewall & Openings t. Doors -One 3' -Check Garage -3rd Story, 2 Exits 03 airs; wldtn-Headroom-Rise-Run-Landing-Fire Protection 4. plywood on Roof Overhang -Attic Vents -Rafter Outriggers L,SgSiding-Nailing Veneer ash -Drip Screed -Fd. Vents-Underflr. Access X41 Glazin ea -Glass Protection -Skylights -Plastic ear Walls; Nailing -Bolts 59. tion -Walls -Ceilings 60. Infiltration -Walls- ndows Date/Initials _ FINAL (Plans) OK except #'a ✓61. �E,&L.Sterps-Door & Sidelight Protection -Landings -0.- Smoke Detector 63. FF rn ce; Vents -Clearance -Comb. Air-Connector- �� Ine; Above Floor-Ducts-Mech. Protection e ting 65. G.F.I. & ath Fixtures & Tub Access -Spa ec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & 6 place or Stove; Clearances -Hearth 69. Elec. O sat Wood Panel; Int. & Ext. 7 i .Fixt. llance; Grnd: Air Gap -Cooking Clearance 7 ec. Outlets & Receptacles at Kit. Counter 72. Garag_Fire Door, Swing -Landing -Closer /�r. Htr9 nts-Clearance-Comb. Air-Connector-P.R.V. I e; Above Floor -Mach. Protection _z ,-T5.-Plb., EIqp-&"Mech. Equip. Listed for Location 76 c. Receptacles in Garage; (G.F.I.)-Romex Protection 77. InsuLss Jeri' oam-Looked in Attic ❑ Yes IS!C`uard Rails & Deck Construction -Post Caps c� 79. Fdn. Ve Crawl Hole Door -Drainage & Wood -Earth 91,9ance Looked under Floor ❑ Yes Follow nstld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; -Damars ❑ Ygg--❑ No 89,4CC. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof- bg: Appliance -Fireplace :Clearance to Openings 84. ell; Discgom t, Electrical, Plumbing 5. Exterio c. Trim; G.F.I. Receptacle -Underground 8 ntilation T out House 87. G rotection Corrects om Previous Inspections f' 90. Waterer Connected -C/O to Grade -HD Approval COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - OroAle, California 95965 - Telephone (916) 38-7541 PERMIT NO. APPLICATION AND PERMIT 3 __CD L, ASSESSOR PARCEL NUMBER 028-063-007 ZONING ARMH-1 BUILDING PERMIT OWNERKen &Patricia S Sal TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 71 School St., Oroville 95966 1 476 R 79 704.00 484 M 8,712.00 CONTRACTOR'S NAME QualityConstruction TELEPHONE 534-6489 168 C 2 18 /- . 00 LJ �F CONTRACTOR'S MAILING ADDRESS 59 akvale Oroville 95966 Fireplace 1 A 1,.500.00 CONSTRUCTION LENDER UNKNOWN Total Valuation $ 92 ,100.00 LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ 608.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 395.20 Energy Plan Checking Fee $ 23.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUROwc ADDRESS PERMIT FEE $ 1 46.20 71 School St., Oroville PLUMBING PERMIT Filing Fee 20.00 Each Trap 8 1 7.00 56.00 Solar or heat pump water heater 23.00 Water piping 1 15.00 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent L 15.00 15.00 USE OF STRUCTURE SF Xl Duplex O Mobilehome O Other SPECIFY Gas piping system 1 5 outlets 1 15.00 15.00 Building sewer 15.00 15.00 Mobile Home S G W 20.00 TYPE OF WORK New X Addition O Remodel ElUtilities ❑ Installation O Other O Describe Work: Rebuild Burned Single Family Home PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 (2 Bedroom) Main Service ( III OR 1111 00AORLESS 1 11 23.00 23.00 Main Service ( 200A TO 1000A 46.00 NEW CONS.OCCUR OR ADDNST ( D LLIN&EACCGBLDS. X 3.50 F°: 68.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and 1 I- ense is in full force �Qd effect. License No. S Classification [fj O I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O I am exempt under Sec. Business and Professions Code forthis reason NEW CONST.MULTI-OUTLET .NON-RESID. ( BRANCH CIRCUITS @7.50 ( POW ER APPARATUS 1 &SINGLE OUTLETCIR. I Ex. Occup. ( OUTLET OR FIXTURES 1 B20 @ 1.000 Ex. Occup. FIXED APPWS. OR p (OUTLETS IRESID.) EA. 1 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): C�„This permit is for $100.00 (valuation) or less. have placed on file with the County of Butte Dept. of Development Services, /2 -Building Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. O 1 shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 111.00 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Wood Ht. Only Cooling ' OO 15.0 Hood 6.50 #4,50 6.50 Ventilation.00 1 9 PERMIT FEE $ 90_90 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, co ts, and expenses which may in any way accrue against said County i con equenc f the granting of this permit. X Date // L7 Sig at re of Applicant - O Owner Contractor O Agent An OSHA permit is required for excavations over 5"0" deep and demolitioJor construction of structures over 3 storiesciinn height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $1,389.70 HAZ- D. FEES IMP FLOOD CDF PARCEL PD HD ISSU This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do ndica bfor ich fees have been paid. EC OR OF PUBLIC WORKS By DateReceipt EXPIRES ON (De to work i� Sl:a7 PC�� .�j 3 No. 5 LWHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLD NROD-APPLIPERMIT ".v;tom •�' w'.kf COUNTY OF BUTTE - DEPARTMEI4T. I-DEVELOP— IIENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMJT. ►PPHCATION DATASHEET OWNER K l� Al Pf4Ti0rctA sl(� e�oti P-063'-00 Proposed Building Use F777.14— Building Inspector Date // At time of permit application, I vias advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY j�!fll items have been submitted. 2. Plot plans, 3/4 sets, signed by_preparer of plans . .......................... ----_ 3. Complete plans, 3/4 sets, signed by preparer of plans . ........................ .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. - 5. Hazardous Material Form . ........................................... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent fo'r Non -H, eated�and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . Mobilehome d to nd Wnufacturer's installation instructions, 2 sets. .......... . >ees of $ ifs .......................... ct fees as shown on attached schedule. alifornia Departmedof Forestry plan approval 3 Flood elevation letter (100 year flood) by alifoF-nqineer........... . 14. Sanitation and plot plan approval - ---5 - .Health Department... .............. ; -ler S 5. City of Chico plumbing permit. . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. . . 20. Pre-inspfi - dtion or Fre Inspection requ — `1�> 1 A required. , to Building Inspector (Date) 21. Contra to s lic se iriform io . (No., Name Style„Classification). .............. . 22. Certificate of Workmans Compensation Insurance. N ........................... wner-Builder Verification (Given to owner , Mail to owner �. . P-01, .......... ecorded copy of Agricultural Acknowledgement Statement . .................. .tter of signature authorization . .......................................... f_ 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 qand (B) Parcel meets zoning area frontage req )remeat . 3 . isting violations/expired permits. . Plan check list . .................................................... . 33.- -34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone 3'30-4 y fr!! and hold for pickup at, office. Deliver with inspector. Other e i . Parcel Creation Acreage Applicant Date 11” 3 / 3 Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to p r 't issuance: (Circle new item not checked abglce). 1. Index permit for above items No. /0 < 2. Additional items required: Contractor, designer, owner, was advised of above eegt*ed data by _ phone _ mail Counter by_ Date Contractor, designer, owner, was ad sed of above required data by _ phone _ mail Cou7p�- _ Date. Plans checked by ��ate �4 j Plans approved by Date ySets of plans on hold in File cabinet AP folder -^y Copy - Department of Public Works �M t- I'lol I'I:m Attached Hwor I'I:m /Uwchcd 1.•111 to I1.U.-- TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance :��L 5 C, L --� � I & 0, - - Owner Location Plan Approved for: Sewage Disposal _� Water Supply: I'ublic Clearance for bedroom <u F, home. Othcr Hold final for: C e-g-rCL n C- Final clearance O.K. for: NOTF- Environnierol. Health Specialist 8/92 egg -63-0% AP// Private Well 7 ,b , , Date COUNTY OF -BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County. Cegter Drive - Orovilie, California 95965 - &2lephrfie (916) 538-7541 JRNT/V0/_ e�) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 5, _ / / / ^ �]��J ZONI G � / BUILDING PERMIT OWNER AA Fv�O AJ/ TELEPHryOYIN/r►E SO, FT, OCC. BUILDING VAL TION OWNER'S MAI ING ADDRESS a.. TELEPHONE C I��NG ADD ESS Fireplace SQ CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ 610 S ARCHITECT OR ENGINEER LICENSE N0. Plan Checking Fee $ ,ryq Energy Plan Checking Fee $ V ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS :71L PERMIT FEE $ 3 �•7 02 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7,00 U Solar or heat pump water heater 23.00 Water piping 15,00 Q LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 uo USE OF STRUCTURE SF'X Duplex O Mobilehome O Other Gas piping system 1 5 outlets 15.00 p 0 Building sewer 15.00 0 Mobile Home S G I W @20.00 20'C0 TYPE OF WORK New Addition O Remodel O��Utilities O Installation Other O Describe Work: 'G �/ ICD D bog/r' r PERMIT FEE $ 0 , Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( OR ) 200A 2001 OR LESS 23.00 OQ Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLDS. ) 3.50 FT$O., D CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification O 1, as the owner, or my employees with wages as their sole compensation, 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 contractors. (Sec 7044) O I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET •NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWERAPPARATUS ) & SINGLE OUTLET Clfl. Ex. Occup. ( OUTLET OR FIXTURES ) BALO. @ 1.50 Ex. Occup.FIXED APPWS. OR (OUTLETS IRESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. O 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. O I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE S Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating �--� Cooling QQ Hood 6.50 Ventilation S 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 Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue again t said County in consequence of the granting of this permit. X Date Signature of Applicant - O Owner ❑ Contractor O Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ C OCC CONST. TYPE TOTAL.FEE $ HAZ• I D. FEES IMP F CDF PARCEL PD HD I E This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have DIRECTOR OF PUBLIC By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. WORKS Date !De rel Receipt No. WHITE-D.D.S. .D CANARY -ASSESSOR PINK-INSPEC OR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF`DEVELOPMENT.SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 - TELEPHONE (916)-538-7541 OWNER PROPOSED BUILDING USE' A.P. #,:::,- � , � 1 (a' '3;`_D�/ DATE REC. # DATE REC 1. SCHOOL DISTRICT FEES 1 I (paid at District f is ) . .... q '�o ( v� /2. SHERIFF FEESi �� (paid at Building Deparf"mnt' 6 �2 Residential...... x =$ unit amt. Commercial.( sqft) x -$ sq.ft. amt. �3. URBAN AREA FEES (paid at Building Department) Residential (per unit) x =$ # units amt. Commercial (per sq.ft) x -$ sq.ft. amt. /! 4. RECREATION DISTRICT FEES (paid at District Office).. ..................... 5. DRAINAGE DISTRICT FEES (Contact Land Development Division) .............. 6. SRA FIRE INSPECTION AND PLAN CHECK = $89.00...... Ir (paid at Building Department) 7. OTHER 8. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT DATE' Return -to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT Section 26-8.1 of the Butte requires this acknowledgement prior to issuance of a building FOR RESIDENTIAL DEVEJAPMENT County Code be recorded permit. g3_ ♦ The property described herein is adjacent �� 1 ���I to land or included within an area zoned I for agricultural purposes, and residents Recorded I of this property may be subject to incon- Official Records I veniences or discomfort arising from the County of I use of agricultural chemicals, including, Butte I but not limited to herbicides, pesticides, Candace J. Grubbs I and fertilizers; and from the pursuit Recorder I of agricultural operations including, 2:25pm 18 -Nov -93 I but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. tural zones which have as a priority use for productive within said zones and on adjacent property should be or discomfort from normal, necessary farm operations. Rec Fee Cash PUBL 5.00 5.00 X 1 Butte County has established agricul- agricultural purposes, and residents prepared to accept such inconvenience All that real property situate in the County of Butte, State of California, described as follows: Oa V' + 06,3 00 Iho rollox ing described real pn,perty in the County or Butte State of Cnlifornia. All that certain real property situate in the County of Butte, State of California, described as follows: Lot 82, as shown on that certain Map entitled, "Official Map of I1oncut, Butte County Cal. which Map was filed in'the office of the Recorder, of the County of Butte, State of Calfiornia, on March 13, 1899, in Book 7 of Maps, at page 85. 1 Date: 42 s o iN CALIFORNIA ALL-PURPOSE ACKNOWLEDQMENT PROPERTY OWNERS: No 5193 State of California County of Butte On _ " 5 before me,Patsy L Carter. Notary Pul DATE NAME, TITLE OF OF ICER • E.G., *JANE DOE. NCTARY personally appeared `� NAME(S) OF SI NER(S / ❑ personally known to me - OR - proved to me on the ba is of satisfactory evidence to be the person(s) whose name(s) A/are subscribed to the within instrument and ac- I knowledged to me that-►efshe/they executed the same, in h4eA+er/their authorized r; PAWLCAMR capacity(, and that by h4;4+er/their g _ W���d� signature(s) on the instrument the person(s), Cs smcouxry or the entity upon behalf of which the .; M1► coram e*k« MAY 17.1096 person(s) acted, executed the instrument. fae� OPTIONAL SECTION ltttttttt�s CAPACITY CLAIMED BY SIGNER Though statute does not require the Notary to fill in the data below, doing so may prove invaluable to persons relying on the document. INDIVIDUAL CORPORATE OFFICER(S) TITLE(S) PARTNER(S) ,D LIMITED GENERAL EJ ATTORNEY-IN-FACT n TRUSTEE(S) E] GUARDIAN/CONSERVATOR OTHER: c 7 SIGNER IS REPRESENTING: WITNE:SJ ►I ly hand and official seal. NAME OF PERSON(S) OR ENTire(IES) �6CG SIGNATURE OF.NOTARY noTln�lnr nrnr�n.r �„ �.. r,. -�'� '°P�i`t�'F,�'+�-t'S�"'a t}?���k yi�'�t1'!F+�Kvsnr ^s�;r�T^�.•�,��'1J'x�rf��'?�tfi�Yi`lr�--n�u�fsK'uv{�pT+� : `�"� BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM ' (One Form Per Building) School District Building Department No. A.P. Number -Ou-7 Jurisdiction City County Property Owner ,�>_ n 7 i i✓1 DSS Property Location/Address 7/ Fr o u 5 Subdivison Lot No. Residential Development /� 0 No. of Living MHI Units Commercial/Industrial New 0 Sq. Footage /4/1&0 Addition (Group R) ci?'ai 1cE5 J RiI,T POM£) 0 Sq. Footage Addition (Including Exterior Roofed Areas) Building Department Repfesentative Date (Floor Plans reviewed by School District Personnel) 3 9 4. District Identification No. NN l' Ahim School District certifies that �l j (Applicant) (Street Address) - (Phone Number) (City) (State) (Zip Code) has complied with the requirements of Resolution No. YbS r by payment of $ representing square feet. School District Representative`" \1 " Paid by Check Number Bank Number Paid by Cash 11 lilt Date 1n.. & �UMA� ._ , 15311 If, subsequent to the School District,Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.wkl (4/92) Insulation Certificate Number aurid Street County Subdivision Description of Installation ROOF Material Thickness (inches) City Brand Name Thermal Resistance (R -Value) CEILING Bau or Blanket Type Fiberglass Brand Name Certainteed Thicimess (inches) 10 Tb=W Redstarim (R -Value) i,00seFdlType Ultratherm Brand Name Certainteed Contractor's minimum installed weight/ft lb Knimuzzi thic1mes:sA?L25_=h= Manufacturer's installed weight per square foot to acbeive Thermal Resistance (R -Value) EXTERIOR WALL Fiberglass Thicimess (inches) 3 71j RAISED FLOOR Material , FibergAss 'ThiclMess (inches) SLAB 'FLOOR Material Thicimess (inches) Width (inches) Brand Name C6rtainteed' Thermal Resistaxim (R -Value) Brand Name Certainteed Thermal Resistance (R -Value) Brand Name Thermal Resistance (R-Valur) FOUNDATION WALL Material Fiberglass Brand Name Certainteed Thicimess (inches) Thermal Resistance (R•Value) Declaration Lot Number , I hereby certify that the above insulation was installed in the budding at the above location in confonnance with the current Building Energy Efficiency Standards for new residential buildings contained in 'Title 249f the California Administrative Code. I General Contractor (Buada) Sesnazure adrak SHASTA INSULATION Liceme Number Dam 272941 LimuNurnbcr Dan COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION `•AN D PERMIT !?3 - ASSESSOR PARCEL NUMBER 028-06-1-907 ZONIN10 ARM14-1 U R BUILDING PEpILDINI, MI OWNER KEN umpqm TELEPHONE SQ. FT. OCC. BUILDINC41VALUATION OWNER'S MAILING ADDRESS 71 qrhnnl Strppt, Oroville 95966 CONTRACTOR'S NAME Qii,glity Con -,t TELEPHONE 534-6489 CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDI ��DD�cE�1oo1 Street, Oroville PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑X Duplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK XX New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: wall furnace PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 RE: 93-3611 Main Service ( 200V OR LESS 0AOflLESS ) 23.00 Main Service ( 200A TO tOOOA ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. BLDS. ) So. 3.50 FT. CONTRACTORS LICENSE LAW I dec under penalty of perjury (check one) I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Co a and my license is in full force an ffact. License No. 6� Classification // O I, as the owner, or my empPbyees with wages as their sole compensation, 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 contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) B2 @'.00 Ex. Occup.FIXED APPWS. OR (OUTLETS IflES10.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): s permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Dept. of Development Services, Building Division 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 Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating wall furnace 15.00 Cooling Hood 6.50 Ventilation PERMIT FEE $ 3s nn Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, I dgmentS, cos , and expenses which may in any way accrue against said County i onse ue e t e granting of this permit. X A Date % "71C7 Signature of A licant - ❑ Owner Contractor ❑ Agent I An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 35.00 HAZ. 1 D. FEES IMP I FLOOD I CDF PARCEL PD I HD I ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indic d abov for which fees have been paid. RECTOR OF PUBLIC WORKS Date 3 1/-23 _ '94-S.-B.D. PERMIT EXPIRES ON 7r (Date) Receipt 154044 WHITE-D.D.S.-B.D. CANARY•ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT �".',_"_.�,��1{'ti;,'�.""".Y'•/�-�I��1+"��'r'���.r.t..^r�r^'L,rlly"�,,1��!/`1 Nl� T _."_ ��. J�'�..yi.�f�`("7,5�1•f'�r'�{'`7�1f�r�'+.'�,r`..'.'r`T^+`-�`y'--•"�,j''.,,�+"`ti�._�.-!..}+.�,lY�..�,�.:.�r COUNTYOF BUTTE - DEPARTMENT,OFDEVELOPMENT.SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILL�ALIFORNIA 95965 -TELEPHONE (916) 538-7541 i PERMIT APPLICATION DATASHEET OWNER �feA) A) A. P. No. Q2-8 _ oe.- _-,K . o o -7 Proposed Building Use Building Inspector e_X:1 Date i2/2Z5_3 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3, Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . .......................................... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $......................................... 11. Impact fees as shown on attached schedule. ............................. . 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer ................... 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . .......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy)... .P�4�'eclo� reQu�- 20. Pre -inspection for required. . to Bu;ld;ng;nspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans ComRensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner Mail to owner _ )............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature'authorization......................................... 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . ......................................... . 29. Documentation of legal access . ..................... :............ ..... . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ....................................... 32. Plan check list . ..................................................... 33. -34. When you issue the permit, process as follows: Mail to owner.Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works • t COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 028 pO/_3 a 007 «.,_ZONING 101, Ka llD� / BUILDING PERMIT OWNER S' TELEPHONE SO, FT, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S N E TELEPHONE CONTRACTOR'S AILING ADO SS �P�+ui<l� CS�I�G Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS _ / OO / PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SFIA Duplex ❑ Mobilehome O Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 20.00 TYPE OF WORK New O Addition EIRemodel O Utilities O Installation O Other Describe Work:/ ?S�/ /V fF Gc /jam B 93 �. s� PERMIT FEE $ Contractor Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 20OV OR LESS I 200A OR LESS 23.00 Main Service ( 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLDS. I 3.5CS0 FT; CONTRACTORS LICENSE LAW declare under penalty of perjury (check one) O I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification O I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS I s SINGLUE OTLFT cIR. Ex. Occup. ( OUTLET OR FIXTURES ) BA20 @ 1.00 Ex. Occup.FIXED APPLNS. OR (OUTLETS IRESID.I EA. I 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. O I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. O [shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Q 1 certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all✓ liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant - O Owner O Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Contractor Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. T TOTAL FEE $ HA2. I D. FEES IMP I FLOOD I CDF I PA;9 PO HD I ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY Date PERMIT EXPIRES ON IDatel Receipt No. !J~ WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF.DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California.95965 - Telephone (916) 538-7541 PERMIT NO APPLICATOIV AND PERMIT ASSESSOR PARCEL NUMBER 028-063-007 ; a ZONING BUILDING PERMIT OWNER Ken &Pat Simpson TELEPHONE SQ. FT, OCC. BUILDING VALUATI OWNER'S MAILING ADDRESS 961 Robinson St., Oroville 95965 Fqt 1,000.00 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $1,000.00 LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ 25.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS PERMIT FEE $ 45.00 71 Orbonl Street, normillp PLUMBING PERMIT Filing Fee 20.00 Each Trap 1 7.00 Solar or heat pump water heater 1 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF CXDuplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other [ Describe Work: Demo and Clean Up PERMIT FEE 1 $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 (House Burned Down) Main Service ( BOOV OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( a ACC. BLDS. ) 3.5C FSTO,, CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification )x1 I, as the owner, or my employees with wages as their sole compensation, 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 contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET .NON RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) B20AL. @ 1.00 Ex. Occup' (OFIXED APPWS. OR UTLETS IRESID.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): - ❑ This permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. fig I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE S Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County' c nsequence of the granting of this permit. X �. Date L Signature of Applicant - 91 OwnerW Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Dcc CONST. TYPE TOTAL FEE $ 45.00 HAZ. I D. FEES I IMP I FLOOD I CDF I PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated o e for which fees have IREC PUBLI BY PERMIT EXPIRES ON the applicable provisions Resolutions to do work ee paid. RKS,,�I Date In i '7- lDetel ReceipO.O. 153117 WHITE-O.O.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNERr0 lC,� TELEPHONE SQ, FT, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS -4 Ph g 0 CONTRACTOR',S N D , I TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS - Filing Fee $ 20.00 Permit Fee $ 06 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS fiPERMIT FEE $ S G G PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PAIICEL MAP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF O Duplex O Mobilehome O Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New O Addition O Remodel O Utilities O Installation O Other O n j Describe Work: �Ck�o�i7 z0� Alit C'l��t C14 y� e /J u d h C d O ccJl.� 1 PERMIT FEE 1 $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service BOOV OR LESS I 200A OR LESS ) 3.00 _ll_DlJS Main Service I 200A TO 1000A ) 6.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLOS. ) g0• F3.5, soNEWCONST. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification O I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code forthis reason ' MULTI -OUTLET NON-RESID. BRANCH CIRCUITS7.50 ( POWER APPARAT) & SUS INGLE OUTLET US Ex. Occup. ( OUTLET OR FIXTURES ) B 20 @ 1:00 Ex. Occup.FIXED APPLNS. OR I OUTLETS IRESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. O 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. O 1 shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date XrA Signature of Applicant - O Owner O Contractor O Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures.over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE S HAZ• 1 D. FEES IMP I FLOOD I COF I PARCEL PO HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY Date PERMIT EXPIRES ON (Date) Receipt No. .J 7 WHITE-D.D.S.-9.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DepArtment of Public Works 7,County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. l. --I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (ham /have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name' Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: /y Property Owner Social Sr y Number Date y % 1293 NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be -completed and,returned.to our office before we are per- mitted to issue the permit. Demolition Permits Asbestos Notification Statement Date AP# Pursuant to section 19827.5 of the California Health and Safety Code, all demolition permit applicants are required to fill out this form. "19827.5. A demolition -permit shall not be issued by any city, county, city and county, or state and local agency which is authorized to issue demolition permits'as to any building or structure except upon the receipt from the permit applicant of a copy of each written asbestos notification regarding the building that has been required to be submitted to the United States Environmental Protection Agency or to a designated state agency, or both, pursuant to Part 61 of Title 40 of the Code of Federal Regulations, or the successor to that part. The permit may be issued without the applicant submitting a -copy of the written notification if the applicant declares that the notification is not applicable to the scheduled demolition project. The permitting agency may require the applicant to make the declaration in writing, or it..may incorporate the applicant's response on the demolition permit appli- cation." Attached is a copy' -of my written asbestos notification to the United States Environmental Protection Agency for the demolition project located at Signature of Applicant OR I hereby declare that a written asbestos notification to the United States Environmental Protection Agency is not -applicable to this demolition project. f � Signature of pplic nt 2/19/91 MAIL TO ASBESTOS NOTIFICATION EPA/NESHAPS Region IX 1235 Mission St. A-3-3 San Francisco, Ca. 94103 DATE: PROJECT JOB # (Please see reverse side Agoncios 8:54 Not,ifiod: O Iccs1 ❑ r i;foraia Air Aosouroos Board ❑ G1 OSM► ❑ BuiI &img Dapartmant INSTRUCTIONS ON REVERSE ; ASBESTOS DEMOLITION/RENOVATION NOTIFICATION EPA USE ONLY Please check on DateRec 3. FACILITY NAME: Pstmrk Renovation STREET ADDRESS School Demolition requiring 10 day notice Del/ND Demolition requiring ADQUTE? 20 day notice ADDRESS Code#: Revision of Original (Form on reverse side) Doc#: SIDE—PLEASE READ BEFORE 'USING TATS rnuM 1. OPERATOR: (Contractor) 3. FACILITY NAME: ADDRESS STREET ADDRESS CITY STATE CITY STATE ZIP PHONE( ) COUNTY ZIP 2. OWNER 4. FACILITY DESCRIPTION ADDRESS AGE SIZE CITY STAT_ ZIP PHONE( ) PRIOR USE 5. Project Start Date: Completion Date: 6. Estimate of Friable Asbestos:.ON PIPE: Linear Feet SURFACE OF OTHER COMPONENTS: Square Feet Nature of Materials: 7. DESCRIBE METHODS OF REMOVAL: 8. PROCEDURES USED TO COMPLY WITH 40 CFR 61.147 b 152: 9. NAME & LOCATION OF DISPOSAL SITE: ANY FURTHER PERTINENT INFO CAN BE INCLUDED BY ATTACHING ADDITIONAL SHEETS QUESTIONS??? FOR FURTHER INFORMATION CALL (415) 556-6415 8am/4pm M -F ' L INSTRUCT TONS FOR USE OF AspERTOS DEZAO 1TSON/RF'NOVATTON NOTTFTCATTON FORM RENOVATION: means altering in any way one or more facility components. NOTICE MUST BE POSTMARKED AS EARLY AS POSSIBLFBEFORE PROJECT DEMOLITION: means the wrecking or taking out -of load -supporting structural members of a facility together with any related handling' operation. - 10 Day notice for MORE than 160 sq.ft.or 260 linear ft. asbestos 20 Day notice for LESS than 160 sq.ft.or 260 linear ft. asbestos, includes facilities which contain no asbestos. FACILITY: means any institutional, commercial -or industrial structure, installation, or building. Renovations on single family residence! and apartment buildings with 4 units or fewer are exempt from notification to EPA. - PROJECT JOB #: Your OWN IN-HOUSE T. . for a specific jobsite. Optional, but expedites communication -concerning notifications. LOCAL AGENCY: Most areas in Region 9 -have local NESHAP delegated agencies. In these areas notice must be provided to both EPA and the local agency. 1. OPERATOR/CONTRACTOR: Full information concerning person doing the work. 2. PROPERTY OWNER: Complete in full. 3. FACILITY NAME: Must have complete address OR directions to the jobsite. 4. FACILITY DESCRIPTION: Current use of building. Project location in the facility. Other descriptive information as necessary. 5. START AND COMPLETION DATE: Provide month, day and year. Must be revised if dates change. -(see revision form below) 6. Estimate of amount to be removed (must be in square or linear feet). Revisions(see form below) must be made for additional amounts uncovered. 7. Examples of methods: glovebag, scrape, remove in sections, etc. B. Examples: Adequate wetting prior to and during work, double bag, etc. DRY REMOVAL MUST RECEIVE PRIOR WRITTEN APPROVAL FROM EPA OR THE LOCAL DELEGATED AGENCY IF MORE SPACE IS NEEDED THAN PROVIDED, ADDITIONAL SHEETS SHOULD BE ATTACHED TO REVISE A NOTIFICATION ALREADY ON FILE WITH EPA, USE FORM PROVIDED BELOW PROJECT NAME PROJECT JOB -4 ORIGINAL NOTIFICATION DATE Revision Notice #1 2 3 4 5 please circle This is to advise that the above referenced notification presently on file has been revised. Please note the revised portion listed. CRANGES FOR THIS REVISION: 1. NEW Location 2. NEW Scope of Work 3. ADDITIONAL Quantity of Asbestos 4 -.NEW Start Date 5. NEW Completion Date 6. NEW Disposal Site PROJECT ( ) CANCELLATION qcur cr- 169.50 0 ;r, L) O m i36 y �` 6.56 AC AC:t Y �DOSy 646.10 64 /? -• `� - 120 ch '116c c _ /ootid !� 9t I = 200' 14 go o �, 9.20AC _ 90 /3 612.40 j j.2� T00 90 i� IIT po6/� 99 m _ 2 ' o tie30 - 1.9 aC i ~ got i! It9 -' - 119 200 r� 15c), �' 2 IAC► L- " .116 i/91 IaT 80. Q 1002q� o 2 �+ � i a0 ^r kD8.64AC O3 Q /B. 43 AC6 113 a 1_3 14�oo�M '! • �O `a 178 A— _ 210 9 /00 - Q 3 200 [ 3 A 86 - 2 76.30 ; • O 060 BLocK O 104 ra t` 83 1 /.33Ar- Q 1. s3 AC 1901571_ - — ITO 1 0 los 12 I 340 Q - - - 1901 213 �+ 190' ,, 0 4 Ac OA 84 0 U5 0 106 �- i 7 0 1 60 200. 10 m - J 200' - - ,. 1 la ( 13 II Itl ``ioN� 138 1 I5 14 v P� uo O Q 213 H 109 97 M - V N 7144 1 0 la c 2U0_. 140 X60 89YO-0 0 Z a 1.03,�+`� N 150 130 - r 9-- 300 too 00 •�0 $ 10 0 to ars. O6 q I 100 PT• LO 9T II ao 028-03-0 i _ O` e0 -044-0 10p ,. � PT. LOT 200 W < i 3 , 82 O i� #�� ^ so too Z� a .r , ioo I Z -SCHOOL 20 ." 07 Ass s is Map No 6 Count;l.Of t e Calif N OF HON_ CUT_. M. Or -R -BK 7 PG. 85 V M4 95/ +^+a...` _ ,:.a".x.;i�..a,'�=.+'•'+r.'" �.rw."`s ±};,•�.-.•.,---"•..-.---•.... _...,-...,..-__.-...,,..-.-...,_.,,,_.,,....__�. 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R:r tw '19;t n.. 17 COMPLAINANT: _ ADDRESS: PHONE NUMBER: OTHER COMMENTS• m 9 i m 9 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE m o nJ OWNER PERMIT NOS . • X A routine inspection indicates that the following violations of Butte County Ordinances exist at ;. the above address and should be corrected. Please notify this office when correction of work. {7 is completed. If you have any questions pertaining to this matter, or need additional explanation,. _ please contact this office immediately. ` K .. rte' ,%JZ--,PT`S , PJ/,EA -. �''s 4 j,oL`/ . r . ,a 4 7/ i! Date , 'f C� Inspector r• REV 10192 8/91 RESIDENTIAL PLAN CHECKING GUIDE �•� (S.F., DUPLEX & MISC. ONLY) p p Bldg. Permit #_ 014NER A.P. # Plan Checker GENERAL 1�! ning requirements: (sideyards and number of permitted living units). lua t ion .e,vg-mE L CL's i� ns signed by designer. Proper description of work on application. Existing violations on property. T,T", W/o Items on data sheet. (W.C., fees, Health, Developer Fees, License law, etc). --4---R-ecorded notice of violation. PLOT PLAN, Rtm pete parcel size and dimensions..backs, sideyards, easements, etc. ):/Other buildings or structures. V!Gyading, fills, drainage. Flood hazard. Special conditions on creation map, (noise, CDF, fire sprinklers, non-comb- ustible, and foundations). FAU & FAS road setback. Building or utilities across lot lines (Record form). FLOOR PLAN �1' Tete to scale plan with dimensions. ed windows for light land ventilation '(Sec. 1205). Re u'red windows for second exit (Sec. 1204). ylights (Chapter 34 & Sec. 5207). ' n impact glass (Sec'..' 5406). quired room sizes, ceiling heights (Sec. 1207). . s ,baths, garage, kitchen, and exterior outlets (Article 210-8). Ligh ixtures, switches, receptacles, and exterior receptacles for main- ance of mechanical equipment. /.���'�ee •cations of water heater, heating and cooling equipment, other electrical as equipment. 1rage firewall, door size, and closer (Sec. 503(d)(3)). 1 -,31011 exterior exit door (sec. 3304 M. 1and wood stove location, alcoves, and clearance. 1 ectors (Sec. 1210). 1 Plumbing fixtures, water closet clearances and shower size. STRUCTURAL DETAILS ? Standard bracing or engineered design (Table 25V) usual shape, size, or split level house requiring lateral design. -37--t-Ee—restory requiring balloon framing and/or engineering. ee story building requiring engineered calculations and plans. Foundation plan complete enough to construct building. ttm*r construction details complete enough to construct building. 7 1evations and wall construction details complete enough to construct 88tt// Roof construction details complete enough to construct building. 9---Ft7-e-place construction details and talcs if necessary. lOr/�after ties or bearing ridge beam. 1 Garage door or porch header sizes. 1.4'*' -Stud heights. 1. Adobe soils - special foundation design. 1 . Retaining walls requiring design. 1 . Special Inspection required.' building RESIDENTIAL PLAN CHECKING GUIDE V91 MISCELLANEOUS ITEMS TO -LOOK OUT FOR 1. Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306.). Guardrail details (Sec. 1711 & 3306(j). wick or stone veneer (Chapter 30). , -4-. -exterior plaster - weep screeds (Sec. 4706). ,5­1:1"roper roof pitch for roof convering (Chapter 32). 6: Ro-Of covering type - (fire hazard) - insulation - protection. 36" halls and stairways. ving area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. e�cits on three-story dwellings (sec. 3303 & see Mezannines - 1716). 'T! Attic access and ventilation (Sec. 3205). 1.2--. er loor access and ventilation (Sec. 2516). 1V Combustion air for fuel burning appliances - L.P.G. requirements. oise r quirements on duplexes. 1 En -r design. ing at all exterior openings. . CD responsible area requirements. 2> �M o &/E '�-- T d Z- o437A rk) PGz7M IT_ CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 1 CF -1R Project Title.......... The Simpson Residence Date........ 11/01/93 Project Address........ School St. Butte County Documentation Author... Marty Runnells Building Permit Company ................ Energy Calculation Svcs. EKG //,.179 Telephone .............. (916) 894-8466 / 246-9522 Plan C ec Date Compliance Method...... MICROPAS4 by Enercomp, Inc. I Field Check Date Climate Zone..........: 11 MICROPAS4 v4.02 File -933255 Wth-CTZllS92 Program -FORM CF -1R User#-MP1333 User -Energy Calculation Svcs. Run -1476 S.F Res.' Submittal GENERAL INFORMATION ` Conditioned Floor Area..... 1476 sf Building Type.............. Single Family Detached Construction Type ......... New Building Front Orientation. Front Facing 160 deg (S) Number of Dwelling Units... 1 Number of Stories.. ...... 1 Floor Construction Type.... Slab On Grade (Package D) BUILDING SHELL INSULATION Component Insulation Assembly . Type R -value U -Value Location/Comments Wall R-13 0.089 FRONT, LEFT, KNEE WALL, BACK, RIGHT TO GARAGE Door R-0: 0.330 FRONT, TO GARAGE Roof R-30 0.031 ATTIC, VAULT oUTTE COUNTY S1abEdge R-0 0.550 TO GARAGE SlabEdge R-0 0.500 TO GARAGE 6UILDING DEPARTKNI S1abEdge R-01 0.720 TO -EXTERIOR SlabEdge R-0' 0.900 TO EXTERIOR APPROVED FENESTRATION # of Interior Over - Area U- Pan- Shading/ Exterior hang/ Framing Orientation (sf) Value es Description Shading Fins Type Window Front (S) 30.0 0.750 2 Drapes.Std None Yes Metal Window Front (S) 7.5 0.670 2 Drapes.Std None Yes Metal Window. Front (S) 36.0 0:750 2 Drapes.Std None None Metal Window Back (N) 31.0 0.750 .2 Drapes.Std None None Metal Door Back (N) 18.0 0.570 2 Drapes.Std None Yes Glz<50% Window Back (N) 12.0 0.750 2 Drapes.Std None Yes Metal Window Left (NW) 8.4 0.750 2 Drapes.Std None None Metal Door Back (N) 20.0 0.570 2 Drapes.Std None None Wood Window Back (NE) 8.4 0.750 2 Drapes.Std None None Metal CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 2 CF -1R Project Title.......... The Simpson Residence Date........ 11/01/93 .MICROPAS4 v4.02 File -933255 Wth-CTZllS92 Program -FORM CF -1R User#-MP1333 User -Energy Calculation Svcs. Run -1476 S.F Res. Submittal Tank Type Storage WATER HEATING SYSTEMS Number Tank External in Energy Size Insulation Heater Type Distribution Type System Factor (gal) R -value Gas Standard 1 .54 EF 40 R-12 SPECIAL FEATURES/REMARKS THERMAL MASS Area Thickness Type Exposed (sf) (in) Location/Comments S1abOnGrade Yes 333 4.0 KIT./BATHS/ENTRY/UTIL. S1abOnGrade No 1143 4.0 TYPICAL HVAC SYSTEMS Minimum Duct Duct Thermostat Equipment Type Efficiency Location R -value Type Gas 0.780 AFUE Attic R-4.2 Setback Evaporative 11.00 SEER Attic R-4.2 Setback Tank Type Storage WATER HEATING SYSTEMS Number Tank External in Energy Size Insulation Heater Type Distribution Type System Factor (gal) R -value Gas Standard 1 .54 EF 40 R-12 SPECIAL FEATURES/REMARKS CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 3 CF -1R Project Title.......... The Simpson Residence Date........ 11/01/93 MICROPAS4 v4.02 File -933255 Wth-CTZllS92 Program -FORM CF -1R User#-MP1333 User -Energy Calculation Svcs. Run -1476 S.F Res. Submittal COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with Title -24, Parts 1 and 6 of the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the individual with overall design responsibility. When this certificate of compliance is submitted for a single building plan to be built in multiple orientations, any shading feature that is varied is indicated in the Special Features/ Remarks section. DESIGNER or OWNER Name.... Company. Address. Phone... License. Signed.. date ENFORCEMENT AGENCY Name.... Title... Agency.. Phone... Signed.. date DOCUMENTATION AUTHOR Name.... Marty Runnells Company. Energy Calculation Svcs. Address. 1907 Mangrove Ave. Ste D Chico, California 95926 Phone... (916) 894-8466 / 246-9522 Signed.._ (date-)— MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 1 MF -1R Project Title.......... The Simpson Residence Date........ 11/01/93 Project Address........ School R+- Butte t Butte County Documentation Author... Marty Runnells Company ................ Energy Calculation Svcs. Telephone .............. (916) 894-8466 / 246-9522 Compliance Method...... MICROPAS4 by Enercomp, Inc. Climate Zone........... 11 Field Check Date MICROPAS4 v4.02 File -933255 Wth-CTZllS92 Program -FORM MF -1R User#-MP1333 User -Energy Calculation Svcs. Run -1476 S.F Res. Submittal Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (*) may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as binding minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. BUILDING ENVELOPE MEASURES Design- Enforce - *150(a): Minimum R-19 ceiling insulation. er / ment 150(b): Loose fill insulation manufacturers labeled R -Value. *150(c): Minimum R-13 wall insulation in framed walls (does not apply to exterior mass walls). *150(d): Minimum R-13 raised floor insulation in framed floors; minimum R-8 in concrete raised floors. 150(1): Slab edge insulation - water absorption rate no greater than 0.3%, water vapor transmission rate no greater than 2.0 perm/inch. 118: Insulation specified or installed meets CEC quality standards. Indicate type and form. 116-17: Fenestration Products, Exterior Doors and Infiltration/ exfiltration controls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Manufactured fenestration products have label with certified U -value, and infiltration certification. c. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed. 150(g): Vapor barriers mandatory in Climate Zones 14 and 16 only. 150(f): Special infiltration barrier installed to comply with Sec. 151 meets CEC quality standards. 150(e): Installation of Fireplaces, Decorative Gas Appliances and gas logs 1. Masonry and factory -built fireplaces have: a. Closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and control 2. No continuous burning gas pilots allowed. �� MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 2 MF-iR Project Title.......... The Simpson Residence Date........ 11/01/93 MICROPAS4 v4.02 File -93325S Wth-CTZ11S92 Program -FORM MF -1R User#-MP1333 User -Energy Calculation Svcs. Run -1476 S.F Res. Submittal SPACE CONDITIONING, WATER HEATING AND PLUMBING SYSTEM MEASURES Design- Enforce- er meet 110-13: HVAC equipment, water`heaters, showerheads and faucets / certified by the CEC. V 150(1): Setback thermostat on all applicable heating systems. V 150(j): Pipe and Tank insulation 1. Indirect hot water tanks (e.g., unfired storage tanks or backup solar hot water tanks) have insulation blanket (R-12 or greater) or combined interior/exterior insulation (R-16 or greater). 2 . First 5 feet of pipes closest to water heater tank, non - recirculating systems, insulated (R-4 or greater). 3.. All buried or exposed. piping insulated in recirculating sections of hot water system. 4. Cooling system piping below 55 degrees insulated. 5. Piping insulated between heating source and indirect hot water tank. *150(m): Ducts and Fans 1. Ducts constructed, installed and sealed to comply with UMC sections 1002 and 1004; ducts insulated to a minimum installed value of R-4.2. or, ducts enclosed. entirely °within"" conditioned space. 2. Exhaust fan systems have backdraft or automatic dampers. 3. Gravity., ventilating systems serving conditioned space have -- either automatic or readily accessible, manually operated dampers. 114: Pool and Spa Heating Systems and Equipment 1. System is certified with 78% thermal efficiency, on-off switch, weatherproof operating instructions, no electric resistance heating and no pilot light. 2. System installed with: a. At least 36 inches pipe between filter and heater for future solar heating. b. Cover for outdoor pools or outdoor spa. 3. Pool system has directional inlets and a circulation pump time switch. ,v /f 115: Gas-fired central furnace, pool heater,. spa heater or household cooking appliance have no continuously burning pilot light (Exception: Non -electrical cooking appliance with pilot < 150 Btu/hr.).. LIGHTING MEASURES Design- Enforce - 150(k): 40 lumens/watt or greater for general lighting in er ment kitchens and rooms with water closets; and recessed ceiling fixtures IC (insulation cover) approved. COMPUTER METHOD SUMMARY Page 1 C -2R Project Title.......... The Simpson Residence Date........ 11/01/93 Project Address School St Butte County Documentation Author... Marty Runnells Company ................ Energy Calculation Svcs. Telephone .............. (916) 894-8466 / 246-9522 Compliance Method...... MICROPAS4 by Enercomp, Inc. Climate Zone........... 11 Field Check Date MICROPAS4 v4.02 File -933255 14th-CTZllS92 Program -FORM C -2R User#-MP1333 User -Energy Calculation Svcs. Run -1476 S.F Res. Submittal Zone Type HOUSE Residence MICROPAS4 ENERGY USE SUMMARY Energy Use (kBtu/sf-yr) Space Heating.......... Space Cooling.......... Water Heating.......... Total Standard Design 14.58 11.63 14.34 40.55 Proposed Compliance Design Margin 15.96 -1.38 8.24 3.39 .14.20 0.14 38.40 2.15 *** Building complies with Computer. Performance:*** GENERAL INFORMATION Conditioned Floor Area..... Building Type .............. Construction Type .. Building Front Orientation. Number of Dwelling Units... Number of Building Stories. Weather Data Type.......... Floor Construction Type.... Number of Building Zones... Conditioned Volume......... Footprint Area ............. Ground Floor Area.......... Slab -On -Grade Area......... Glazing Percentage......... Average Ceiling Height..... 1476 sf Single Family Detached New Front Facing 160 deg (S) 1 1 ReducedYear Slab On Grade 1 12128 cf 1476 sf 1476 sf 1476 sf 11.6 % of FA 8.2 ft (Package D) Vent Special Height Vent Area (ft) (sf) 2.0 n/a BUILDING ZONE INFORMATION Floor # of Area Volume Dwell Cond- Thermostat (sf) (cf) Units itioned Type 1476 12128 1.00 Yes Setback Vent Special Height Vent Area (ft) (sf) 2.0 n/a COMPUTER METHOD SUMMARY Page 2 C -2R Project Title.......... The Simpson Residence Date........ 11/01/93 MICROPAS4 v4.02 File -93325S Wth-CTZ11S92 Program -FORM C -2R User#-MP1333 User -Energy Calculation Svcs. Run -1476 S.F Res. Submittal Surface HOUSE 1 Wall 2 Door 3 Wall 4 Wall 5 Wall 6 Wall 7 Wall 8 Wall 9 Wall 10 Door 11 Roof 12 Roof 13 Roof Surface OPAQUE SURFACES Area . U- Insul Act Solar (sf) value R-val Azm Tilt Gains Form 3 Location/ Reference Comments 159 0.089 R-13 160 90 Yes None FRONT 20 0.330 R-0 160 90 Yes None FRONT 304 0.089 R-13 250 90 Yes None LEFT 16 0.089 R-13 250 90 Yes None KNEE WALL 303 0.089 R-13 340 90 Yes None BACK 12 0.089 R-13 295 90 Yes None BACK 12 0.089 R-13 25 90 Yes None BACK 96 0.089 R-13 70 90 Yes None RIGHT 158 0.089.8-13 90 70 90 No None TO GARAGE 18 0.330 R-0 70 90 No None TO GARAGE 1203 0.031-R-30 Glz<50% 0 0 Yes None ATTIC 144 0.031 R-30 160 14 Yes None VAULT 144 0.031 R-30 160 14 Yes None VAULT 0.750 295 PERIMETER LOSSES 0.78 Drapes.Std HOUSE 14 S1abEdge 15 S1abEdge 16 S1abEdge 17 S1abEdge Length F2 Insul (ft) Factor R-val Solar . Gains Location/Comments 11 0.550 R-0 No TO GARAGE 11 0.500 R-0 No TO GARAGE 127 0.720 R-0 No TO EXTERIOR 23 0.900 R-0 No TO EXTERIOR 0.670 FENESTRATION SURFACES 0.88 0.78 # of Area Pan - Surface (sf) es HOUSE 1 Window 2 Window 3 Window 4 Window 5 Window 6 Window 7 Window 8 Window 9 Door 10 Window 11 Window 12 Door 13 Window Vent Sc Frame Open U- Act Glass Type Type value Azm Tlt Only Sc Interior Int Shading/ Shade Description 15.0 2 Metal Slider 0.750 160 90 0.88 0.78 Drapes.Std 15.0 2 Metal Slider 0.750 160 90 0.88 0.78 Drapes.Std 7.5 2 Metal Fixed 0.670 160 90 0.88 0.78 Drapes.Std 16.0 2 Metal Slider 0.750 160 90 0.88 0.78 Drapes.Std 20.0 2 Metal Slider 0.750 160 90 0.88 0.78 Drapes.Std 12.5 2 Metal Slider 0.750 340 90 0.88 0.78 Drapes.Std 12.5 2 Metal Slider 0.750 340 90 0.88 0.78 Drapes.Std 6.0 2 Metal Slider 0.750 340 90 0.88 0.78 Drapes.Std 18.0 2 Glz<50% Hinged 0.570 340 90 0.88 0.78 Drapes.Std 12.0 2 Metal Slider 0.750 340' 90 0.88 0.78 Drapes.Std 8.4 2 Metal Slider 0.750 295 90 0.88 0.78 Drapes.Std 20.0 2 Wood Hinged 0.570 340 90 0.88 0.78 Drapes.Std 8.4 2 Metal Slider 0.750 25 90 0.88 0.78 Drapes.Std C w COMPUTER METHOD SUMMARY Page 3 C -2R Proiect Title... _ _ _ _ _ _ _ Tho Cimnc_-nr► 10 c4Ae--- MICROPAS4 v4.02 File -93325S Wth-CTZ11S92 Program -FORM C -2R User#-MP1333 User -Energy Calculation Svcs. Run -1476 S.F Res. Submittal Surface HOUSE 1 Window 2 Window 3 Window 9 Door 10 Window Mass Type OVERHANGS AND SIDE FINS Window— Overhang, Left Fin Right Fin— AreaLeft Rght (sf) Hght Wdth Dpth Hght Ext Ext 'Ext Dpth Hght Ext Dpth Hght 15.0 5 n/a 15.0 5 n/a 7.5 5 n/a 18.0 3 n/a 12.0 3 n/a HOUSE 1 SlabOnGrade 2 S1abOnGrade Area Thick (sf) (in) 8 .5 n/a n/a n/a 8 .5 n/a n/a n/a 8 .5 n/a n/a n/a 2 .5 n/a n/a n/a 2 .67 n/a n/a n/a THERMAL MASS Heat Conduct- Surface Cap ivity R -value n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a Location/Comments 333 4.0 28.0 0.98 R-0.0 KIT./BATHS/ENTRY/UTIL. 1143 4.0 28.0 0.98 R-2.0 TYPICAL System Type HOUSE Gas Evaporative Tank Type Heater Type 1 Storage Gas HVAC SYSTEMS Minimum Duct Efficiency Location 0.780 AFUE Attic 11.00 SEER Attic WATER HEATING SYSTEMS Number in Distribution Type System Standard 1 SPECIAL FEATURES/REMARKS Duct Duct R -value Efficiency R-4.2 0.830 R-4.2 0.810 Tank External Energy Size Insulation Factor (gal) R -value .54 40 R-12 HVAC SIZING Page 1 HVAC Project Title.......... The Simpson Residence Project Address........ School St. Date........ 11/01/93 Documentation Author... Butte County Marty Runnells Company.. Energy.Calculation Svcs. Telephone .............. (916) 894-8466 / 246-9522 Compliance Method....... MICROPAS4 by Enercomp, Inc. Climate Zone........... 11 Field Chec Date v4.02 9C C SIZING User#-MP1333.User-EnergyCalculationSvcs. Run-1476mSHFARes. Submittal GENERAL INFORMATION Floor'Area..... Volume.. .. . Front Orientation.......... Sizing Location............ Latitude... Winter Outside �Design ...... .... Winter Inside Design....... Summer Outside Design...... Summer Inside Design....... Summer Range..... Interior Shading Used ...... .... Exterior Shading Used.. Overhang Shading Used...... Latent Load Fraction....... 1476 sf 12128 cf Front Facing OROVILLE RS 39.5 degrees 30 F 70 F 104 F 78 F 37 F Yes Yes Yes 0.20 HEATING AND COOLING LOAD SUMMARY Description Heating (Btuh) Opaque Conduction and Solar...... 11067 Glazing Conduction....... 4841 Glazing Solar........... n/a Infiltration 6898 Internal Gain......... n98 Ducts ............................ 2281 Sensible Load .................... Latent Load ...................... Minimum Total Load n/a 160 deg (S) Cooling (Btuh) 4534 3147 2351 2832 2100 1496 16461 3292 25088 19754 Note: The loads shown are only one of the criteria affecting the selection of HVAC equipment. Other relevant design factors such as air flow requirements, outdoor design temperatures, coil sizing, availability of equipment, oversiming safety margin, etc., must also be considered. It is the HVAC designer's responsibility to consider all factors when selecting the HVAC equipment.