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
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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
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OFFICE COPY
1
Address
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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
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,�
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ir_ itF.! "a-� {j. .•1 -t±e. �•f.
s'• p . r 1. x r�,� t . .'r. r.S h r T•.ju` 1•.y
�°
1 . t �k��� in � '+1 ; r, :w " ; tit> ��' �,;-�r,�., rays s..
�iL _ . -LL l '- - -...+v :.t. a .l i ..h. c _...
.. ' ti., t ' _j -.. _
.._ t. ...:� �.. _ . , to • _ S. 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.