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HomeMy WebLinkAbout028-170-108�y!!1T�Tfr'.yy!"�y�Fr}�!"1-:y�•y. •.�+"'fi/""�m'`��7Y^'r�i,!. wr++�.�T.� .r.-. rr _ .v �--wr ..:.�.yi,^M,�2�.+w .•..�.,.1..iK,y�..� ..,..�n� :/arya`n::'�.�,•�.. f ,w E 02 2762� �?,t•S, BANGORAIR�. r' f�Q�v,, , s� � y .J 1 , • IAA, ti COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT, SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 �,�� _PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NO BER 028-170-108 ZONING BUILDING PERMIT OWNER Ramirez Sara TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 195 Stonev Oak Banizor CA 95915 CONTRACTOR'S NAME Waibel Ali �1► TELEPHONE 533-8128 CONTRACTORS MAILING ADDRESS River Alvd. Orosdlle CA 96965 CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BLIIL1 G DDstonef► Oals Bangor i Energy Plan Checking Fee $ $ PERMIT FEE S LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY —Each 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 ❑ Other ❑ ( Describe Work: new HVAC Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service *ov.R Z: 23.00 LICENSED CONTRACTOR'S DECLARATION 1 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 i i full force a. d effect. License Class ^^ �^ 1't I L'IC. No. � •L �? � lr' i OWNER -BUILDER DECLARATION = 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason 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'a mpensn insurggice carrier and policy number are: Carrier ��� n/t2 Policy Number / U N -- (The above sections need not be completed if the permit is–for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person- in any manner so as to become subject to workers' compensation laws of California, and agree that 4 1 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith com ly with those provisions. ' '' `` X Date V�� Signature of Applicant - ❑ wner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. a Main Service TO 46.00 CCUOOOA NEW CONST. DWELLING OCCUP. SO W: OR ADDNS. ( a Acc. sLDs. 3.5QFr; NEW WON-RESID. MULTI.OUTLET 97.50 PGWE+ APUTLATCI SINGLE OUTLET CIS. 20 p 1.00 Ex. Occup. oFIXEDAUTLET R REs BAL@ .sa NS Ex. Occup. OUTLETS FIXED AEsID.ceA 5.00 • 00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S 25.00 MECHANICAL PERMIT Filing Fee 20.00 Heating • 00 Coolin ' 15.00 Hood 6.50 Ventilation PERMIT FEL: S 50.00 Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 110.00 HAZ.D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicat d ab ve or which fees have been paid. / By Date r c' PERMIT EXPIRES�ON / Date Receipt No. 5 Ko 57737 ,I 73/ WHITE-D.D.S.-B.D. CANARY-OSSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT t A COUNTY OF BUTTE Oroville, California GENERAL CLAIM CLAIMANT: SARA RAMIREZ ADDRESS: 195 STONEY OAK CITY & STATE: BANGOR, CA 95914 DATE OF CLAIM:12-13-02 IMPORTANT.• SEE INSTRUCTIONS SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES ON REVERSE SIDE %ATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT DOWNER ECIDED_N0T.T0_BUILD: AP# 028-170-108,LBP# 02-2762,,RECEIPT# 363893. DA : 10-04=02 TOTAL AMOUNT PATD* 110 00 DTTr'ATN DrrTThTn DD0r CCTATr T:rr. 7S nn RETAIN PLUMBING FILING FEE: RETAIN ELECTRICAL PERMIT FILING FEE: 2C.00 RETAIN MECHANICAL PERMIT FILING FEE: 2C.00 TOTAL AMOUNT TO BE RETAINED; rrfYrAT AMnTTTTm mn DV DL'I:fTT\1TlL'Tl. TOTAL 25. 0 - he undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true J correct as stated. i ted this, day of 121.. 19--, at,l f 0 _ . Calif. Sign of Claimant the undersigned, hereby -certify that, to the best of my knowledge, the services or articles specified ha a been performed or de8vered and it there is a Budget Appropriation [ I or Specific Board Approval ( ] (Check one) am ited this 13TH day of DEC. , teat OROVIT T.F. , Calif.�� Department Head or Authorized Deputy 'pt. Code 440-001 Exp. Code 4210500 PAYABLII FRoM BUILDING PERMITS FUND ept. Code Exp. Code PAYABLE FROM FU spt Code Exp. Code PAYABLE FROM DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY GROSS AMT. DEPT. & SUB. PROD. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. FOR BUILDING DIVISION USE: Receipt Information: Number. [ q� - o c �-- Date: to ' /Y' 02 Issued To: L' Amount: d (J Fees Retained: processing Fee: l Bldg Filing Fee: $ Ibg Filing Fee: $ aL� ✓Elec Filing Fee: $ t/4ech Filing Fee:. $ Energy P/C Fee: $ Plan Check Fee: $ Inspection Fee: $ SRA Fee: $ Total Amount Retained $ 0`Sr 00 TOTAL REFUND DUE $ 0- C�;- QE) I � REFUND CLAIM APPLICATION CLAIMANT -'S -NAME MAILINGADDRESS ASSESSOR PARC -EL -#:2 �' 170 `Q RECEIPT NUMBER(S) Request a refund of fees paid on the above receipt number(s) for the following reasons: Please refund any applicable fees in the following categories: (Check those.categories which you wish to have refunded.) ( ) Building Permit Fees ( ) Sheriff Fees ( ) SRA Fees (CDF Fire Planning) ( ) Urban Area Fees [Disposition of Plans: ( ) Plans returned to me at counter ( ) Please mail plans to me at above address. ( ) Please dispose of plans. S1-GNATURE / DATE v PLEASE DATE AND SIGN THE ATTACHED COUNTY OF BUTTE GENERAL CLAIM FORM. DO NOT COMPLETE ANY OTHER INFORMATION ON THAT FORM. REFUND CLAIM APPLICATION CLAIMANT -'S -NAME MAILINGADDRESS ASSESSOR PARC -EL -#:2 �' 170 `Q RECEIPT NUMBER(S) Request a refund of fees paid on the above receipt number(s) for the following reasons: Please refund any applicable fees in the following categories: (Check those.categories which you wish to have refunded.) ( ) Building Permit Fees ( ) Sheriff Fees ( ) SRA Fees (CDF Fire Planning) ( ) Urban Area Fees [Disposition of Plans: ( ) Plans returned to me at counter ( ) Please mail plans to me at above address. ( ) Please dispose of plans. S1-GNATURE / DATE v PLEASE DATE AND SIGN THE ATTACHED COUNTY OF BUTTE GENERAL CLAIM FORM. DO NOT COMPLETE ANY OTHER INFORMATION ON THAT FORM. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION c ' 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 02 �e ASSESSOR PARCEL NUMBER - 028-170-108 ZONING MR. BUILDING PERMIT OWNER Ramirez Sara TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 195 Stone Oak Bangor CA 95914 CONTRACTOR'S NAME Waibel AC TELEPHONE 533-8128 CONTRACTORS MAILING ADDRESS 1690 Fpqther River Blvd- Ornvillp- CA 96965 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filen Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUIL I G D ESSLoTs Bangor �� � � ney Oar Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDNISIOWS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY 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 ❑ Ulilities ❑ Installation ❑ Other ❑ Describe Work: new HVAC Gas piping system 1 - 5 outlets 15.00 15-00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ 35.00 ELECTRICAL PERMIT Filing Fee 20.00 Main Service A OR LESS 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 ' i II force a d effect. l License Class µ I Lic. No. r% t C� OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ I 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' omppeensaon/insurr ce carrjer and policy number are: Carrier (\//? Policy Number Q -r,) ^ (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith cc m ly with those provisions. X Date / Signature of pplicant - ❑ 6wner ❑ 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. DWELLING OCCUP. OR AXIONS. ( & ACC. BLD S. SO 3.5¢FT. NEW CONST. MULTI.OUTLET NON-RESID. 97.50 FOWER APPARATUS 8 SINGLE OUTLET CIR. 20 @ 100 Ex. Occup. OUTLET OR FIXTURES BAIL O .50 Ex. Occup. OFIXEDTS Aa . oR� 5.00 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 25.00 MECHANICAL PERMIT Filing Fee 20.00 Heating 9-5.00 Cooling 15.00 Hood 6.50 Ventilation PERMIT FEES Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 110.00 HAZ. I D. FEES IMP FLOOD COF I PARCEL I PO HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicatep above for which fees have P EXPI S N applicable provisions Resolutions to do work been paid. ids Date 6` y l Date Receipt No. �� WHITE-D.D.S.-B.D. CANARY- SESS R PINK -INSPECTOR GOLDENROD -APPLICANT ` . ;;� COMPLAINANT ADDRESS: PHONE NUMBER: OTHER COMMENTS: �--• _ .. _... F - .. �.�.' '.r�r:=�k�I''r' �'1�iric.;th'ht�d.r�=r �tiC�91,J.'saF'a1�*+�,..+ry,•iV•�"`r. .�s..=�, ��w4.,�y.y.[r+F.+an �E4.��E y., / 028=170-108. 02-3025 �t r+ . _ RAMIREZ, SARA�3 195 STONEY OAK, BANGOR;� x; OPEN DECK'S Do UY .. ti t i �. R� COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION T, 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 _PERMIT,, (Rev. 12/96) APPLICATION AND PERMIT�"� ASSESSOR PARCE4 NUMBER ZONING - BUILDING PERMIT ti NER RA TELEPHONE 679-2539162 SQ. FT. OCC. BUILDING VALUATION 1134.00 I � N M,01LING ADDR S 11 % 4MOM CA - RA TELEPHONE O - TO U ADDRESS ' TRU CT DER Fireplace LENDER'S uADDRESS Total Valuation $ �4 ARCHITECT OR ENGINEER LICENSE NO. Film Fee $ 20.00 Permit Fee $29.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $23.00 BUILDINGADDRESS' 195 SIONEY OUPR t, Energy Plan Checking Fee $ $ PERMIT FEE $ 72,00 LOT NO. SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 1 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY 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 ❑ Other ❑ .Describe Work: OPEN DEM 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 Main Service 2001 OR LESS 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. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License elL w for the following reason: /p I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, 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 permitis 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.) 0 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'HA2 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 - Date 0 _�� AnnatureOSHA of At is Applicant - ❑Owner io Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 2001 To ,000A 46.00 NEW CONST. DWELLING UP. OR ADDNS. a Acc. eros. SO 3.5QFT: N CONS MULTI.O UTLET No1FRESID. C @7.50 FON1E. APPARATUS 8 SINGLE OUTLEr CIR. 20 Q 100 Ex. Occup. OUTLET OR FIXTURES BAL Q .50 FlXED APPLNS. OR 5.00 Ex. Occup. OUTLETS RES10. Ea Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ CONST. TYPE TOTAL FEE $ 72,00 FThispermit D. FEES IMP FLOODS ✓ OBF' PARCaFL t/ PD HD 1Ss is hereby issued under the applicable provisions utte County Code and/or Resolutions to do work indicated above for which fees have been paid. / By Date 2 �1 � � l Zi/ i �4IV f PERMIT EXPIRES ON b U ReceiptNo.3641Z8 72.00 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 (530) 538-7541 (Rev. Tj�9. (Rev.12/96) APPLICATION AND PERMIT ASSESSOR PARCEL. NUMBER 028m 10n ZONING BUILDING PERMIT OWNER ^PMT71 ' L q L TELEPHONE Ce 522 SO. FT. OCC. BUILDING VALUATION `r� 162 open 1134.00 OWNERS MAILING ADDRESS 19' !c,701 ,' KA i oSc:7 , ' CONTRACTOR'S NAME r, TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $29.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $23.00 BUILDING ADDRESS w C. 4 rr, n / iv. '1 4LTr`GR Energy Plan Checking Fee $ $ PERMIT FEE $ 72,00 LOT NO. SUBDNISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY 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 ❑ Other ❑ Describe Work: 02711 DEM 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 Main Service 2o0A OR LESS 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. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License L.aw for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. 1 am exempt under Sec. Business and Professions Code for this reasonWORKERS' COMPENSATION DECLARATION eby affirm under penalty of perjury one of the following declarations: k1 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.) I 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 f I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthw' h comply ' h those provisions. D X _ � Date J -61 Signature of Applicant- ❑- Owner M Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service TO I 46.00so W:LI200A NEW CONST. DWEWNG OCCUP. SO U OR ADDNS. ( a Acc. BLDs. 3.5QFT; NONN.EW ReSID. MULTI.OUTLETl. 97.50 8 SINGLE OUTLET CIR. R APPARATUS Ex. Occup. OUTLET OR FIXTURES BAL p 1:w Ex. Occup. OFlxurLEEDrsA OR R s�S 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOT FE $ 7 .00 HAZ. D. FEES IMP FLOG PARC Po D S This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ONITE-D.D.S.-B. the applicable provisions Resolutions to do work been paid. Date O� Dete rReceiptNo.3'4_128 72.Oil D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT .. r-�r P..•ti1•y�'1e'�iT`^aPS�"'N�°1ts�r.yj��fY+7r+i+r.Qi�.. Fa',•M-('i!'t�y,'ri COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7.County Center Drive, Oroville,'CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL NUM .E ��� I / 1-6 Proposed Building Use: AA (� Counter Technician: Date: ' I Items required in order to apply for a permit. All boxes MUST be checked �O marked NA in order to apply. 6wPlot plans, 3 or 4 sets, signed,�y the preparer of the plans. qWComplete plans, 3 or 4 sets, signed by the preparer of the plans. L3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. 0 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the en igineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The.permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings....................................................... ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... _ ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the followinj items.) ❑ 18. ❑ 19. ❑ 20. ❑ 21. ❑ 22. ❑ 23. ❑ 24. ❑ 25. ❑ 26. ❑ 27 ❑ 28 ❑ 29 ❑ 30 Fees as shown on the attached Schedule of Fees Due Sheet ....................................... Statement of Intent for Non -heated and A/C Buildings .............................. .. ..... .. . * ,I y Sanitation and plot plan approval from the Environmental Health Department in �DO City of Chico Plumbing permit........................................................................ California Department of Forestry plan approval ❑ paid. Sent by: ...................... Planning approval for (A) Use: _K(B)Parking: . (C) Parcel Check: ) p _ 22,_ 0,_Z Contact Land Development about ❑ Improvements, ❑ Drainage .............................. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). Pre -Inspection for required ................ Contractor's license information. (Number, Name Style, Classification) ...................... Worker's Compensation Carrier and Policy Number ..............:.............................. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... Letter of Signature authorization..................................................................... Recorded copy of Agricultural Acknowledgment Statement .................................... Manufactured home utility clearance............................................................... Existing violations and/or expired permits......................................................... ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D ❑ 31. Other: When issued Telephone - and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: i Date: 1. Index permit application for the above items numbered: Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised cfthe above data by ❑ phone, ❑ 'mail, ❑ counter, by Date: _ Contractor, designer, owner, was advised of the above data by ❑ phone, 0 mail, ❑ counter Date: Plans reviewed by: Date: Plans approved by:Date: Structural reviewed by: Date: Structural'approved by: I Date. Note transfer by:,'..: Date: Yellow: Buildine Division EAa USE ONLY Plot Plan Anachad Ran Man Anachad Sam, to G.D. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance M (ZqM cf=-z 95 S-M6&!az Owner Locatl6n AP#. Plan Aporoved for: Sewage Disposal Water Supply: Public Private Well Clearance for dwelling. Other 1-7/ cjc_ Hold final for: Final clearance O.K. for: NOTE: &"!- N�nd� - / EHY- X - Environmental Health Spet'51-alist 8/96 .............. . Date O`VNER-BUILDER VERIFICATION Aaencion Property Owner: Aa "owner -builder" building permit has been applied for in your name and bearing your SUVA . Please complete and return this information at your earliest opportunity to avoid uooepes�gr in processing and issuing your building permit. No building permit will be issued nil 8ds verification is received. I personally plan to providea major labor and materials for construction of the proposed P im vement : YES NO 0 HAVE HAVE NOT 0 signed an application for a building permit for the pt+opased wadi. ;. I have contracted with the following person (firm) to provide the proposed eonsonrcda®: NAME: ADDRESS: PH0NE: COIN-MkCTOR'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: ' NA CE: ADDRESS: CITY: PHO`i-E: CONTR4CTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAti1E ADDRESS PHONE TYPE OF WORK SIG OPERTYO A*OTE: This Owner -Builder Verification is required by Section 198.31 and 198314VAW California Health and Safety Code. This verification must be tonVIAW and returned to our office before we are permitted to issue the permit OVER I OWNER BUILDER INFORMATION ,ries.- ?rote-., Cµ-- Aa application for a building permit has been submitted in your name listing yourself as the builder ofproperty improvements specified For your protection, you should be aware that as "owner -builder" you aro the responsible petty oftem ousuch a permit. Building permits are not required to be signed by property owners unless they are personally perfo` 15eir own work. If your work is being performed by someone other than yourself, you may protect yourself Pram possible liability if that person applies for the proper permit in his or her name. Contactors 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: If you employ or otherwise engage any persons other than your immediate family. and the work (including materials and other toss) is S300 or more for the entire project, and such persons are not licensed as contractors or subcoecactors. 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 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 scecitic information about your obligations under Federal Law, contract the Internal Revenue Service (and, I f You wish. the U.S. Small Business Administration). For more specific information about your obligations under Stare Law. cortac::he Department of Benefit Payments and the Division of Industrial Accidents. 1, the mucrure is intended for sale. property owners who are not licensed contractors are allowed to perform their work personally or trroug;h their own employees, without a licensed contactor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building pernic, erroneously implying that the property owner is providing his or her own labor and material personally. But 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 corununiry or at 1020 N SQeet, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confines that you are aware of these matters. The building permit will not be issued until the verification is returned. I11NMrely. el C. Vi iia. C.B.O. ger, Building Inspection NOTE: Tit :x Owner -Builder Information is required by Section 198.10 of the California Hea/rh and Safsry Coda. OVER VARIES -r� 0 N ::kL . ' --a' A rn m Z � 7a v 0 3N G1 T N" 1 3(0'• LJ 10 n -P 9 34" t J,�NEWURAII HEIGHT 17 r G y c k� 5 f-64) e� k, 3 — 6.5 u 3N MAX. c� �o �3 7 1 ll W y I p N a3 � � Z C,I L N = m I I on � N !q 11, f - , -- 4 �o c a,% 36"MIN. s TA(R 17 r G y c k� 5 f-64) e� k, 3 — 6.5 9S .s -t j 0/7 �- 7° �V� 46 P,ved-z ,. 7/ A1870191s-/h'� ,,Aj89°/7,5-9Z rC"4 p`>4y. �Pv�g 0/7 io? P�IRGEL �- 7.2 o cc �. 2 m J 0 z� z a x g► a SL COO, L Itti. A/o0o 0 p, APPROVED Butte County Environmental Health r ate Signature SL q7/,,Y0 � 0 _ 1 : R NOTES RESIDENTIAL ? PERMIT NO..028-170-108 - - _02-2528 RAMIREZ, SARA 1195 STONEY OAKS, BANGOR ► CONVERT GARAGE TO BEDROOM Fsc SEWING ROOM O� f r a G i Z i a - - {i - d — xt i /Vf C3 SPECIAL CONDITIONS SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED Signature i CHECKED 'BY J=OK 0 = Not OK . = NotReadyabte ' MOBILE HOMES. Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. 1. Zoning Requirements-Setbacks-Easements Footings; Size -Spacing -Marriage Line 2. Soils; Special MH Support Sketch 4. 3. Sewer; Location-Test-Fall-C/O-Concrete Drain; MH Test -Fall -Flex Connector 4. Water; Location-Test-Easement Needed (Sketch) 7. 5. Electricity; Location-Clearances-Grnd-/ /Amp-Concrete Gas and Electricity Tagged 6. Gas; Location-Test-Wrap;-/ /" L'ft. /. /' Nat. or / /" L "ft./ P LPG 10. 7. Well Clearance & Disconnect Cert. of Occupancy 8. Utility Clearance 10. Roof; Shthg-Roofing Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6: Water; MH Test - 7. Water and Sewer Connected 8. Gas and Electricity'Tagged 9. Exits 10. License Decals 11. Verify #'s with Office MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Date _ Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except Ws. 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-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- Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 = OK = Not OK Re RESIDENTIAL (Single & Duplex) = Not Applicable = Not Ready Date UN FLOOR (Plans) OK except #'s v . Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 7 5. Stemwalls, Main; Steel-Blockouts-Wrapped 26. 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7� 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 7 fiW-1 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground _ _iFFollowing 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 86"Vents 16. Insulation Electrical, Plumbing Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s orrecti m Previous Inspections A7. Water Htr.; Vent -Access -Combustion Air Baffle as Test -Meters Tagged, Gas -Electric 1 t3. Water Pipe; Test & Anchor -Nail Protection cted-C/O to Grade -HD Approval Certificate -Other Certificates ddress Posted Fire Sprinkler Card B-1 Date Card B-1 1t. D.W.V.; Test Fittings & Anchor -Nail Protection Card B-1 Date Card B-1 2 . Shower Pan; Test, First Floor -Tub Access Card B-1 Date Card B-1 21 Test Tub & Shower, Second Floor -Tub Access 221 Gas Pipe; Sixe & Anchors 231 Fire Sprinkler; Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Ele Receptacles Spacing -Lights & Switches at Doors JSize Boxes & No. of Conductors Stapled 27. Ro x Installed Close to Edge of Studs & C.J. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral ❑ Yes O No 32. Service Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. Date 34. Clothes Closet Light -Shower Light -Spa Light 35 oke Detector Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAM (Permit) OK except #'s 4 Sill Proper Materials & Anchors Waft Studs -Nailing Spacing & Braces:Plates-Sound �Btsaring Walls over Girders & Floor Nailing 44y6ra-ft Stop in Walls (rat proof) 5. Fir tops, Furred Ceilings -Stairs -Chasers -Tubs Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Ha s -Post Caps -Anchors -Connectors Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 48-Fireplace_I s or Type A Flue -Fireplace Throat Clearance 5 is cess; Size & Romex Protection -Draft Stop -Ins. Baffles drm. Windows or Exiting Doors -Sill Ht. & Dimensions b%-G-dTage-Fire-Protection Framing -RC Channel 5 ro Line Firewall & Openings Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits •?5) StjjcsrWidtTi-Headroom-Rise-Run- Landing- Fire Protection Plywoo oof Overhang -Attic Vents -Rafter Outriggers 57 -Si -ding -Nailing Veneer 58-Sie-A4®ah-Drip Screed -Fd. Vents-Underflr. Access lazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Int for/Exterior Wall Panels rv- 62 -Walls -Ceilings �( Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s xt. Stps-Door & Sidelight Protection -Landings 6 oke Detector nace Vents -clearance -Comb, Air -Connector - In Gara-Above Floor-Ducts-Mech. Protection edro xiting P8-S.F.I. &_Palh Fixtures & Tub Access -Spa 'ec. Trim & Subpanel, Breaker Sizes & Labels 7-0. Stairs & Rails 7 e Clearance -Heart ood Panel, Int. & Ext. ix . pp lance; Ground -Air -Gap -Cooking Clearance 7 tacles at Kit. Counter 26. ege-Raa.®oor; Swing -Landing -Closure amper 7� . r. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in e; Above Floor-Mech. Protection Ib.; Elec. & Mech. Equip. Listed for Location 7 fiW-1 Garage (F.F.I.)-Romex Protection on -Foam -Looked in Attic uard s & Deck Construction -Post Caps n. VBents & Crawl Hole Door Drainage & Wood -Earth CItgrame Looked under Floor O Yes _ _iFFollowing Instld./Drive O Yes O No/Walks es O No/Planters 0 Yes [d' o Finish disconnect, Electrical -Plumbing 86"Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Electrical, Plumbing xt ' r Elec. Trim, G.F.I. Receptacle -Underground Aw'Venliouerilh-roughout House lass Prote ' n orrecti m Previous Inspections as Test -Meters Tagged, Gas -Electric -L&*-1nergy.G1mpliance 96. Date cted-C/O to Grade -HD Approval Certificate -Other Certificates ddress Posted Fire Sprinkler Card B-1 Date Card B-1 Date IF Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ' 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754 E M T (Rev.1?/96) APPLICATION AND PERMIT ��-' ASSESSOR PARCEL NUMBER 028-170-10A ZONING IM -P BUILDING PERMIT OWNER RA SABA T91LEEFFRONE _ SO. FT. OCC. BUILDING VALUATION 413 U --R 8260.00 . OWNER'S MAILING ADDRE S 199 STONEY OAKS B1,VD CA 9591A CONTRACTOR'S NAME QWNFR LEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 8260.00 ARCHITECT OR ENGINEER UCENSE NO. Filing Fee $ 20.00 Permit Fee $ 108.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 70.20 BUILDING ADDRESS Energy Plan Checking Fee 23.00 PERMIT FEE $221.20 LOT NO. SUBDNIS IONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: (`,( WBI r�E '�fl-j�E�lj BEDROOM 9e SEUTNS 'ROOM Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 "OOVOR UE Main Service zo.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 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. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License ,Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, k 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\0 I am exempt under Sec. , Business and Professions Code for this reason Main Service 200A TO iOOOA 46.00 NEW CONST. DWELLINGOCCUP. OR ADDNS. ( 8 ACC. BIDS. 3.5,,s"-FT14.45 NC.REOSIU MULTI.OUTLET IATS @7,50 POWGERLE APPARATUS 8 SINOIlilE7 CIR. EX. Occu OUTLET OR FIXTURES �0 @':50 LNS. Ex. Occup.ourlErsFlXED APPRESID. OER A 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 34.45 WORKERS' COMPENSATION DECLARATION I 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.) I 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 se provisions. Date •-� gnature of Applicant - tTOwner ❑ Contractor ❑ Agerft An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating 15.00 Cooling 15.00 Hood 6.50 Ventilation PERMIT FEt $ 50. 00 Mobile Home Installation Fee $ Energy Inspection Fee $ 40'. QQ OCC R3 CONST. TYPE VNI TOTAL FEE $ 361.55 HAZ. D. FEES IMP FLOOD HD SSUE This permit is hereby issued under the of the Butte County Code and/or Resolutions indicated above for which fees have ByAjC��� JV PERMIT EXPIRES ON applicable provisions to do work been paid. to 10102 7 �7 eta Receipt No. t ) WHITE-D.D.S.-EF CA S OR PINK -INSPECTOR GOLDENROD -APPLICANT r _ .-. ,.. [Y�a1-s .: r».i••��5"`�"^s°,.»'F�..,,.��+�i. .. ,,�t�-e.,, . ,,,�..3-�.. ..ti..irl.rrr_.r�+'LV.�'"^r• '♦'1'+,.• .1�a, ' COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: [�� , r - ASSESSOR PARCEL NUMBER 0 Ong' � � � O � C)y Proposed Building Use: OnA Counter Technician. Date: Items required in order to ap ly fora permit. All boxes MUST be checked OR marked NA in order to apply- __ .. Plot plans, 3 or 4 sets, signed,�y the preparer of the plans. - 1�4. Complete plans, 3 or 4 sets, signed by the preparer of the plans. -9-3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. -R-,4-. Engineered truss details and layouts in duplicate. No faxes! 945. Energy compliance design and supporting documentation in duplicate. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. _; ,-7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet-si ned by the en ineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The.permit will be indexed and returned to the plan review line-up when required items are received. t. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings....................................................... ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... _ ❑ 13. Other Rema* 'ng items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... ❑ 15. Statement of Intent for Non -heated and A/C Buildings ............................................. 16. Sanitation and plot plan approval from the Environmental Health Department in ❑ 17. City of Chico Plumbing permit....................................................:..................: ❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ...................... ❑ 19. Planning approval for (A) Use: OK, (B)Parking: (C) Parcel Check: ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization.................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits......................................................... ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: When issued Telephone and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: 1. Index permit application for the above items numbered: 2. Additional items required Contractor, designer, owner, was advised cf the above data by Contractor, designer, owner, was advised of the above data by Plans reviewed by: Date: Structural reviewed by: Date: Note transfer by: Date: ❑■ g- i.;?- - o -7 - Plan Check Letter phone, ❑ mail, ,❑ counter, by Date: phone, ❑ mail, ❑ counter, b Date: Plans approved by: Oate: Z _Structural approved by: Date: Yellow: Buildine Division x: r.� ;3 E.H. USE ONLY Plot Plan Attached y1a Floor Plan Attac ad Sent to B.O. (0/ TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance A Ka /25 PIV'J, QY-:j 7 -16 jr Owner Lo4tion AP# Plan Approved for: Sewage Disposal 1-� Water Supply: Public Private Well e_--, Clearance for . Other Dc�tc-kp� gcxrck,-%o C--kVQy-,510-,, Hold final for: Final clearance O.K. for: 2 L6 Environmenol Health Specialist Date 8/96 OWNER COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE VP -1 PROPOSED BUILDING USE 1. BUILDING PERMIT FEES Balance Due ....................... $ Additional Fees Due ................. $ Additional Fees Due .......... :...... $ �14 Revised Plan Checking Fee .............$ SCHOOL DISTRICT FEES �U�'� (paid at District Office) (Available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential ...................... x $360.00 = $ Units Commercial (sq. ft.) ............... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES (paid at Building Division) Residential ................... -x-=$ # Units Amt. Commercial (sq. ft.) ............ -x-=$ Sq. ft. Amt. 5.. RECREATIONAL DISTRICT FEES (paid at District Office) (Available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER A.P. # DATE ' RECEIPT # DATE REC. og— At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT DATE Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner ' (Rev. 6/00) School District A.P. Number Property Owner Property Location/Address BUTTE: COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) Ur � G�. a Building Department No! k Jurisdiction: City �(/ County Subdivision Lot No. ................................................................................................; Residential Development �✓ Sq. Footage No of Living Mobile Home Addition . `Supplemental to (Group R) Units Installation Conversion Permit # '(No foundation inspection;: ................................................................................................................... Commercial/Industrial Sq. Footage (Including Exterior R ofedA S) Date (Floor Plans revieed by School District Personnel) District Identification No. 030032 (6f 11 V I'A School District certifies that ` (Applicant) igs�- (Street Addr6i4l ; (Phone Number) f��n '154 14-- (6ty) IIJ (State) (Zip Code) has complied with the requirements of Resolution No. ' -110M by payment of $ representing square feet. 11AB 2926 $ FULL MITIGATION $ Sch istrict Representative Date Paid by Check # r.. Remarks: `bY1 ,i Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 660201a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, 1he 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 (budding department), Pink (school district) ' feeform.xls (10/98)dmm ONVNER-BUILDER VERIFICATION AZencion Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your sigoa-UNe. Please complete and return this information at your earliest opportunity to avoid uonP.oessetydday in processing. and issuing your building permit. No building permit will be issued unW this verification is received. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES R NO O 2 I HAVE C1 HAVE NOT R signed an application for a building permit for the proposed VVO& I have contracted with the following person (firm) to provide the proposed c--truedow 0 NAME: ADDRESS: PHONE: CITY: CONTRkCTOR'S LICENSE NO., I plan to provide portions of this work, supervise, and provide the major work: NAtitE: ° ADDRESS: but I have hired the following person to coordinate, 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: DATE: NOTE: This Owner -Builder Verification is required by Section 198.31 and 19832 oVdd California Health and Safety Code. This verification must be compk&d std returned to our office before we are permitted to issue the permit OVER OWNER BUILDER INFORMATION , Cea: P-ocer ,, Ow-" An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection. you should be aware that as "owner -builder" you are the responsible party ofteeord onsuch a permit. Building permits are not required to be signed by proper, owners unless they are personally pertirming their own work. If your work is being performed by someone other than yourself, you may protect yourself from poasr'ble 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: ♦ 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 not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an emp lover, 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 r_speit 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 G.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 Mcture 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 profess in- to be contractors is to secure an "owner builder" building pemmtr, erroneously implying that the property owner is providing his or her own labor and materia! 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 101-0 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. t rely, htic el C. Vidim C.B.O. hf ger, Building Inspection NOTE: Tit Zr Owner -Builder Information is required by Section 19810 of rhe Californla Health and Safely Code - OVER Insulation Certificate ., BUILDING OWNER: - BUILDING LOCATION: 5', dZ` Description of Installation BUILDING PERMIT #:G 8-- z ROOF Material - ..e;" Brand Name t� Thickness (inches) l Z_ Thermal Resistance (R -Value) CEILING Bau or Blanket Type Brand Name Thickness (inches) Thermal Resistance.(R-Value) Loose Fill Type Brand Name Contractor's minimum installed weight/ft lb Minimum thickness inches Manufacturer's installed weight per square foot to acheive Thermal Resistance (R -Value) EXTERIOR -WALL Material ` Brand Name Thickness (inches) Aefo I .c,— Thermal Resistance (R -Value) f — J , r RAISED FLOOR Material. Thickness (inches) (� SLAB FLOOR Material Thickness (inches) Width (inches) FOUNDATION WALL Material Thickness (inches) Declaration l/ Brand Name Thermal Resistance (R -Value) Brand Name Thermal Resistance (R -Value) Brand Name 'In.ermal Resistance (R -Value) I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the California Administrative Code. rat Cddcractor (Builder) License Number --® Z Signature and Title . Date Sub -Contractor (Insulation InstaUer) Signature and Tide License Number Date THIS CERTIFICATE MUST -BE PROVIDED TO THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. JANUARY 1993 TABLE OF CONTENTS TOC - ------------------------------------------------------ Project Title.......... SARA RAMIREZ Date..09/04/02 18:18:20 Project Address........ 195 STONY OAKS BLVD. ******* --------------------- OROVILLE, CA. *v6.01* Documentation Author... Barry Rubanof.f ******* Building Permit # Barry Rubanof f P.O. Box 1123 Plan Check / Date .Berry Creek, CA 95916 530-589-4102 Field Check/ Date Climate Zone........... 11 ------.--------------- Compliance Method...... MICROPAS6 v6.01 for 2001 Standards by Enercomp, Inc. MICROPAS6 v6.01 File-RAMIREZ Wth-CTZ11S92 Program -TOC User#-MP2246 User -Barry Rubanoff Run-RAMIREZ ------------------------------------------------------------------------------- TABLE OF CONTENTS ----------------- Report . Page FORM CF -1R ................ 1 FORM MF -1R ................ 4 FORM C -2R ................. 7 HVAC SIZING ............... 10 CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 1 CF -1R ------------------------------------------------- Project Title.......... SARA RAMIREZ Date..09/04/02 18:18:20 Project Address........ 195 STONY OAKS BLVD. *******-------------------- OROVILLE, CA. *v6.01* Documentation Author... Barry Rubanoff ******* Building Permit # Barry Rubanoff P.O. Box 1123 Plan Check / Date Berry Creek, CA. 95916 530-589-4102 Field Check/ Date Climate Zone........... 11 --------------------- Compliance Method...... MICR0PAS6 v6.01 for 2001 Standards by Enercomp, Inc. MICROPAS6 v6.01 File-RAMIREZ Wth-CTZ11S92 Program -FORM CF -1R User#-MP2246 User -Barry Rubanoff Run-RAMIREZ ------------------------------------------------------------------------------- GENERAL INFORMATION ------------------- Conditioned Floor Area..... Building Type .............. Construction Type ......... Building.Front Orientation. Number of Dwelling Units... Number of Stories.......... Floor Construction Type.... Glazing Percentage......... Average Glazing U -factor... Average Glazing SHGC....... Average Ceiling Height..... 413 sf Single Family Detached Addition Alone Front Facing 270 deg (W) 0.21 1 Raised Floor 19.4 0 of floor area 0.35 Btu/hr-sf-F 0.32 8 ft BUILDING SHELL INSULATION Component Frame ------------------------- Cavity Sheathing Total Assembly Type Type R -value R -value R -value U -factor Location/Comments ------------ Wall ------- Wood -------- R-15 -------- R-0 ------- R-15 ------- ------------------------ 0.081 Roof Wood R-11 R-27 R-38 0.025 Attic Floor Wood R-19 R-0 R-19 0.037 CRAWL FENESTRATION ------------ Over- U- Exterior hang/ Factor SHGC Shading Fins Location/Comments ------ -------------- ----- -------------------------- 0.350 0.320 Standard Yes VINYL%Slider/LOWE/SC=0.88 0.350 0.320 Standard Yes VINYL/Slider/LOWE/SC=0.88 0.350 0.320 Standard None VINYL/SLIDER/LOWE/SC=0.88 Area Orientation (sf) ---------------- Wind Left (N) ----- 20.0 Wind Left (N) 20.0 Door Back (E) 40.0 FENESTRATION ------------ Over- U- Exterior hang/ Factor SHGC Shading Fins Location/Comments ------ -------------- ----- -------------------------- 0.350 0.320 Standard Yes VINYL%Slider/LOWE/SC=0.88 0.350 0.320 Standard Yes VINYL/Slider/LOWE/SC=0.88 0.350 0.320 Standard None VINYL/SLIDER/LOWE/SC=0.88 CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 2 CF -1R ---------------------------------------- Project Title.......... SARA RAMIREZ Date..09/04/02 18:18:20 MICROPAS6 v6.01 File-RAMIREZ Wth-CTZ11S92 Program -FORM CF -1R User#-MP2246 User -Barry Rubanoff Run-RAMIREZ ------------------------------------------------------------------------------- HVAC SYSTEMS Refrigerant Tested ACOA Equipment Minimum Charge and Duct Duct Duct Manual Thermostat Type ------------ Efficiency ------------ Airflow Location ------------------ R -value ------- Leakage D Type Furnace 0.780 AFUE n/a Attic R-4.2 ------- No ------ No ---------- Setback ACPackage 10.00 SEER No Attic R-4.2 No No Setback REMARKS CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 3 CF -1R - - -- ---------- --- Project Title.......... SARA RAMIREZ Date..09/04/02 18:18:20 -------------------------------------------------------- MICROPAS6 v6.01 File-RAMIREZ Wth-CTZ11S92 Program -FORM CF -1R I User#-MP2246 User -Barry Rubanoff Run-RAMIREZ I ------------------------------------------------------------------------------- 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 Modeling Assumptions section. DESIGNER or OWNER Name.... SARA RAMIREZ Company. OWNER/BUILDER Address. Phone... License. Signed.. (date) ENFORCEMENT AGENCY Name.... Title... Agency.. Phone... Signed.. (date) e DOCUMENTATION AUTHOR Name.... Barry Rubanoff Company. Barry Rubanoff Address. P.O. Box 1123 Berry Creek, CA 95916 Phone... 530-589-4102 Signed.. �• lj -v te) MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 4 MF -1R - -------------------- Project Title.......... SARA RAMIREZ Date..09/04/02 18:18:20 Project Address........ 195 STONY OAKS BLVD. *******--------------------- OROVILLE, CA. *v6.01* Documentation Author... Barry Rubanoff ******* Barry Rubanoff P.O. Box 1123 Berry Creek, CA 95916 530-589-4102 I Field Check/ Date Climate Zone.. ......... 11 --------------------- Compliance Method...... MICROPAS6 v6.01 for 2001 Standards by Enercomp, Inc. ------------------------------------------------------------------------------- MICROPAS6 v6.01 File-RAMIREZ Wth-CTZ11S92 Program -FORM MF -1R User#-MP2246 User -Barry Rubanoff Run-RAMIREZ I ------------------------------=------------------------------------------------- Building Permit # Plan Check / Date Note: 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 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- er ment *150(a): Minimum R-19 ceiling insulation. 150(b): Loose fill insulation manufacturer's labeled R -Value. *150(c): Minimum R-13 wall insulation in wood framed walls or equivalent U -factor in metal frame walls (does not apply to exterior mass walls). *150(d): Minimum R-13 raised floor insulation in framed floors. 150(1): Slab edge insulation - water absorption rate no greater than 0.35, water vapor transmission rate no greater than 2.0 perm/inch. 118: Insulation specified or installed meets insulation quality standards. Indicate type and form. 116-17: Fenestration Products, Exterior Doors and Infiltration/ Exfiltration Controls 1. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. 2. Fenestration products (except field fabricated) have label with certified U -factor, -certified Solar Heat Gain Coefficient (SHGC), and infiltration certification. 3. 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 Commission quality standards. 150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas.Logs 1. Masonry and factory -built fireplaces have: a. Closeable metal or glass door '�� 0 MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 5 MF -1R ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- Project Title.......... SARA RAMIREZ Date..09/04/02 18:18:20 MICROPAS6 v6.01 File-RAMIREZ Wth-CTZ11S92 Program -FORM MF -1R User#-MP2246 User -Barry Rubanoff Run-RAMIREZ ------------------------------------------------------------------------------- b. Outside air intake with damper and control c. Flue damper and control 2. No continuous burning gas pilots allowed. SPACE CONDITIONING, WATER HEATING AND PLUMBING SYSTEM MEASURES -------------------------------------------------------------- Design-.Enforce- er ment 110-113: HVAC equipment, water heaters, showerheads and faucets certified by the Commission. 150(h): Heating and/or cooling loads calculated in accordance _ with ASHRAE, SMACNA or ACOA. `J�L 150(i): Setback thermostat on all applicable heating and/or . cooling systems. 150(j): Pipe and Tank insulation 1. Storage gas water heaters rated with an Energy Factor less than 0.58 must be externally wrapped with insulation having an installed thermal resistance of R-12 or greater. 2. First 5 feet of pipes closest to water heater tank, non - recirculating systems, insulated (R-4 or greater). 3. Back-up tanks for solar system, unfired storage tanks, or other indirect hot water tanks have R-12 external insulation or R-16 combined internal/external insulation. 4. All buried or exposed piping insulated in recirculating sections of hot water system. 5. Cooling system piping below 55 degrees insulated. 6. Piping insulated between heating source and indirect hot water tank. *150(m): Ducts and Fans 1. All ducts and plenums installed, sealed and in- sulated, to meet the requirements of the 1998 CMC sectons 601, 603, and 604, and standard 6-3; ducts insulated to a minimum installed level of R-4.2 or enclosed entirely in conditioned space. Openings shall be sealed with mastic, tape, aerosol sealant, or other duct -closure system that meets the applicable requirements of UL181, UL181A, or UL181B. If mastic or tape is used to seal openings greater than 1/4 inch, the combination of mastic and either mesh or tape shall be used. Building cavities shall not be used for conveying conditioned air. Joints and seams of duct systems and their components shall not be sealed with cloth back rubber addhesive duct tapes unless such tape is used in combination with mastic and drawbands. 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 MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 6 MF -1R ----------------------------------------------------- Project Title.......... SARA RAMIREZ• Date..09/04/02 18:18:20 MICROPAS6 v6.01 File-RAMIREZ Wth-CTZ11S92 Program -FORM MF -1R User#-MP2246 User -Barry Rubanoff Run-RAMIREZ ------------------------------------------------------------------------------- resistance heating and no pilot light. 2. System is installed with: a. At least 36 inches of pipe between filter and heater . for future solar heating. b. Cover for outdoor pools or outdoor spas. 3. Pool system has directional inlets and a circulation pump time switch. 115: Gas-fired central furnaces, pool heaters, spa heaters or household cooking appliances have no continuously burning pilot light (Exception: Non -electrical cooking appliances with pilot < 150 Btu/hr). LIGHTING MEASURES ----------------- Design- Enforce- er ment 150(k)1: Luminaires for general lighting in kitchens shall have lamps with an efficacy of 40 lumens/watt or greater for general lighting in kitchens. This general lighting shall be controlled by a switch on a readily accessible T lighting control panel at an entrance to the kitchen. 150(k)2: Rooms with a shower or bathtub must have either at least one luminaire with lamps with an efficacy of 40 lumens/watt or greater switched at the entrance to the room or one of the alternatives to this requirement allowed in Sec. 150(k)2.; and recessed ceiling fixtures are IC (insulation cover) approved.' COMPUTER METHOD SUMMARY Page 7 C -2R ------------------------------------------------------- Project Title.......... SARA RAMIREZ Date..09/04/02 18:18.20 Project Address........ 195 STONY OAKS BLVD. ******* --------------------- OROVILLE, CA. *v6.01* Documentation Author... Barry Rubanoff ******* Building Permit # Barry Rubanoff P.O. Box 1123 Plan Check / Date Berry Creek, CA 95916 530-589-4102 Field Check/ Date Climate Zone........... 11 --------------------- Compliance Method...... MICROPAS6 v6.01 for 2001 Standards by Enercomp, Inc. MICROPAS6 v6.01 File-RAMIREZ Wth-CTZ11S92 Program -FORM C -2R User#-MP2246 User -Barry Rubanoff Run-RAMIREZ ------------------------------------------------------------------------------- MICROPAS6 ENERGY USE SUMMARY = Energy Use Standard Proposed Compliance = _ (kBtu/sf-yr) _----------------------- Design ---------- Design Margin = = Space Heating.......... 19.74 ---------- 19.38 ---------- - 0.36 = _ Space Cooling.......... 17.14 16.93 0.21 = = Total 36.88 36.31 0.57 = _ *** Water Heating not calculated GENERAL INFORMATION ------------------- Conditioned Floor Area..... 413 sf Building Type .............. Single Family Detached Construction Type ......... Addition Alone Building Front Orientation. Front Facing 270 deg (W) Number of Dwelling Units... 0.21 Number of Building Stories. 1 Weather Data Type.......... ReducedYear 'Floor Construction Type.... Number of Building Zones... •Conditioned Volume......... Slab -On -Grade Area......... Glazing Percentage......... Average Glazing U -factor... •Average Glazing SHGC....... Average Ceiling Height..... Raised Floor 1 3304 cf 0 sf 19.4 0 of floor area 0.35 Btu/hr-sf-F 0.32 8 ft COMPUTER METHOD SUMMARY Page 8 C -2R Project Title.......... -------------------------------------------------- SARA RAMIREZ Date..09/04/02 18:18:20 MICROPAS6 v6.01 File-RAMIREZ Wth-CTZ11S92 Program -FORM C -2R ------------------------------------------------------------------------------- User#-MP2246 User -Barry Rubanoff Run-RAMIREZ BUILDING ZONE INFORMATION ------------------------- Floor # of Vent Vent Air Area Volume Dwell Cond- Thermostat Height Area Leakage Zone Type -------------- (sf) (cf) Units itioned Type (ft) (sf) Credit ----- HOUSE ------- ----------------------- ----- -------- --------- Residence 413 3304 0.21 Yes Setback 2.0 Standard No OPAQUE SURFACES --------------- Area U- Insul Act Solar Form 3 Location/ Surface -------------- (sf) factor R-val Azm Tilt Gains Reference Comments ------ HOUSE - New ----- ----- --- ---- ----------------- ---------------- 1 Wall 157 0.081 15 270 90 Yes W.15.2X4.16 2 Wall 128 0.081 15 0 90 Yes W.15.2X4.16 3 Wall 117 0.081 15 90 90 Yes W.15.2X4.16 4 Wall 168 0.081 15 180 90 Yes W.15.2X4.16 5 Roof 413 0.025 38 n/a 0 Yes R.38.2X4.24 Attic 6 Floor 413 0.037 19 n/a 0 No FC.19.2X6.16 CRAWL FENESTRATION SURFACES --------------------- Exterior Area U- Act Shade Orientation ------------------ (sf) factor SHGC Azm Tilt Type Location/Comments ----- ----- ----- HOUSE - New --- ------------ ------------------------ 1 Wind Left (N) 20.0 0.350 0.320 0 90 Standard VINYL/Slider/LOWE/SC=0.8 2 Wind Left (N) 20.0 0.350 0.320 0 90 Standard VINYL/Slider/LOWE/SC=0.8 3 Door Back (E) 40.0 0.350 0.320 90 90 Standard VINYL/SLIDER/LOWE/SC=0.8 . OVERHANGS AND SIDE FINS ----------------------- ---Window-- ------Overhang----- ---Left Fin--- ---Right Fin -- Area Left Rght Surface ----------- ----- (sf) Wdth Hgth Dpth Hght Ext Ext Ext Dpth Hght Ext Dpth Hght HOUSE - New ----- ----- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- 1 Window 20.0 5.0 4.0 2.0 0:58 n/a n/a n/a n/a n/a -n/a n/a n/a 2 Window 20.0 5.0 4.0 2.0 0.58 n/a n/a n/a n/a n/a n/a n/a n/a COMPUTER METHOD SUMMARY Page 9 C -2R ----------------------------------------------------- Project Title.......... SARA RAMIREZ Date..09/04/02 18:18:20 MICROPAS6 v6.01 File-RAMIREZ Wth-CTZ11S92 Program -FORM C -2R User#-MP2246 User -Barry Rubanoff Run-RAMIREZ ------------------------------------------------------------------------------- HVAC SYSTEMS REMARKS Refrigerant Tested ACCA System Minimum Charge and Duct Duct Duct Manual Duct Type ------------- Efficiency Airflow Location ----------- R -value Leakage D Eff HOUSE -------------------- ------- --------- -------- ---- Furnace 0.780 AFUE n/a Attic R-4.2 No No 0.737 ACPackage 10.00 SEER No Attic R-4.2 No No 0.645 REMARKS HVAC SIZING Page 10 HVAC ---------------------------------------------------- Project Title.......... SARA RAMIREZ Date.:09/04/02 18:18:20 Project Address........ 195 STONY OAKS BLVD. ******* --------------------- OROVILLE, CA. *v6.01* Documentation Author..: Barry Rubanoff ******* Building Permit # Barry Rubanoff P.O. Box 1123 Plan Check / Date Berry Creek, CA 95916 530-589-4102 Field Check/ Date Climate Zone........... 11 --------------------- Compliance Method...... MICROPAS6 v6.01 for 2001 Standards by Enercomp, Inc. MICROPAS6 v6.01 File-RAMIREZ Wth-CTZ11S92 Program -HVAC SIZING User#-MP2246 User -Barry Rubanoff Run-RAMIREZ ------------------------------------------------------------------------------- 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....... 413 sf 3304 cf Front Facing OROVILLE RS 39.5 degrees 30 F 70 F 104 F 78 F 37 F Yes No . Yes 0.20 270 deg (W) HEATING AND COOLING LOAD SUMMARY -------------------------------- Heating Cooling Description (Btuh) (Btuh) -------------------------------------------- Opaque Conduction and Solar...... 2881 ----------- 1600 Glazing Conduction ............... 1120 728 Glazing Solar .................... n/a 1270 Infiltration ..................... 1879 772 Internal Gain ..................... n/a 441 Ducts ............................ 588 481 Sensible Load .................... 6468 5292 Latent Load ...................... n/a 1058 ----------- Minimum Total Load 6468 ----------- 6350 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, outside air, outdoor design temperatures, coil sizing, availability of equipment, oversizing safety margin, etc., must also be considered. It is the HVAC designers responsibility to consider all factors when selecting the HVAC equipment. NOTES RESIDENTIAL 028-170-108 - t PERMIT NO. —. 02-2090 ..� , ...._.�..--.-- RAMIREZ, SARA- . t 195 STONEY OAK BLVD., BANGOR GARAGE ' II SPECIAL CONDITIONS �I SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER ISLE JOB FINALED (Date) Signature CHECKED BY ,/ = OK 0 = Not OK - = Not Applicable MOBILE HOMES = Not Ready Date MOBILE HOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location- Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /"L"ft./ /'LPG 7. Well Clearance & Disconnect 8. Utility Clearance Ca!ports; Windows -Doors 9. I c Frmg.; Sills-Anchors-Studs-Rftrs-Trusses Siding; Nailing -Veneer -Stucco -Mesh 10. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except ti's 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricitv Taaaed 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Onlv: License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, QARPORTS GARAGES (Plans) OK except ti's 1. onin -Requirements-Setbacks-Easements .. 3. ootings; Soils -Size -Depth -Spacing -Connectors -Steel Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails Wood Awn.; Posts- Beams- Rftrs.-Connectors Shthg.•Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Ca!ports; Windows -Doors 9. I c Frmg.; Sills-Anchors-Studs-Rftrs-Trusses Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except ti's 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Pane lboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V= OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (: Date 46. Underfloor (Plans) OK except #'s Date 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Ea. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped Date 8. Piers -Fireplace Ftg.-Steel Date 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Date 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 63. PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 1E. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 70. Fireplace or Stove, Clearance -Hearth Date 71. Card B-1 Date Card B-1 Date 72. Card B-1 Date Card B-1 Date 73. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor -Mach. Protection 26. Romex Installed Close to Edge of Studs & C.J. Plb., Elec. & Mech. Equip. Listed for Location 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Elec. Receptacles in Garage (F.F.I.)-Romex Protection 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI Insulation -Foam -Looked in Attic 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al Guard Rails & Deck Construction -Post Caps 30. Range Circle / / ga Cu or AI -Oven Circ: / / ga Cu or At Insulated Neutral Q Yes ❑ No Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 31. Service -Riser Conductors & Ground Main Disconnect Clearance Looked under Floor Q Yes 32. Equip. Clearances Panels-Motors-Mech. Equip. Following Insild./Drive ] Yes ] No/Walks ] Yes ] No/Planters ] Yes ] No 33. Clothes Closet Light -Shower Light -Spa Light Stucco Brown -Finish 34. Smoke Detector Date Card B-1 Date Card B-1 Date 46. Card B-1 Date Card B-1 Date 47. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection Date 55. Card B-1 Date Card B-1 Date 56. Card B-1 Date Card B-1 Date 57. FRAMING (Permit) OK except #'s 40. Sits Proper Materials & Anchors 41. 'halls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing jingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor -Mach. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor Q Yes 82. Following Insild./Drive ] Yes ] No/Walks ] Yes ] No/Planters ] Yes ] No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive i Oroville, California 95965 • Telephone (530) 538-7541 PXRMIT NO. (Rev.12/96)x:,-• APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 0 w Q-1 88 ZONING ZONING BUILDING PERMIT OWNER y1*1 ca�. TM ONE a_�s�a SO. FT. OCC. BUILDING VALUATION 576 8 10,368-00 .OWNERS MAILING ADDRESS 95 Vn RANMR OgQI CONTRACTORS NAME owm TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER - Fireplace LENDERS MAIUNG ADDRESS Total Valuation $ 10.W.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee L ry\ $ 126.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 81.90 BUILDINGADDRESS 9 OAX BIM*AAk Energy Plan Checking Fee $ $ _ PERMIT FEE $227.90 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.0023.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome M Other SPECIFY Solar or heat um water heater Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑R Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: MW GARAGE Gas piping system 1 - 5 outlets 15.00 Buildin sewer 15.00 Mobile Home I S I G I W F 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 MainService 20pA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 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. -"_,f._. License Class Lic. No. i r OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law or the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. I 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: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service To 46.00 WEE200A CCU000A NEW CONST. DWELLING OCCUP. OR ACDNS. ( a ACC. BIDS. SO 3.5¢FT• =RE IDT RANCHO TLERCUI 97,50 POWER APPARATUS a SINGLE OUTLET CTR. Ex. Occup. OUTLET OR FIXTURES 20 @ 1.00 SAL @ .50 Ex. Occup. OUTLFIXETS RQ ) ES EEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23.00 PERMIT FEE $ 3.16 MECHANICAL PERMIT Filing Fee, 20..00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ 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.) I 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. 2 _ Cite 01 0 � Slgnature of Applicant - Owner ❑ 'Con tractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 291906 HAZ. D. FEES IMP I FLOOD I CDF I PARCEL I PO 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 d the applicable provisions Resolutions to do work been paid. j / V ;7o to Receipt No. !1 s �/ 7 4 WHITE-D.D.S.-B.D. CANARY -ASSESSOR' i 1'NK-INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California - 95965 • Telephone (530) 541 P �qIT �3- APPLICATION AND PERMIT U ASSESSORn^ARCEL NUMBER 098-170-108 ZONING M -'D UILDING PERMIT OWNER TIECEP14bNE SO. FT. OCC. BUILDING VALUATION 576 19 10,368-00 . OWNER'S MAIUING ADDR SS CONTRACTOR'S NAME QWNFR TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $10 368.00 ARCHITECT OR ENGINEER LICENSE NO. $ 20.00 -FilingFBe Permit Fee $ 126.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 81.90 BUILDINGADDRESS 1_95 STONEY OAK BLVD. BAN(;QR 7 Energy Plan Checking Fee $ $ PERMIT FEE $227.90 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.0023.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome 10 Other SPECIFY Soler or heat um water heater Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New CK Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: NEW GARAGE Gas piping syste!n 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I G 1 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service *.Av OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 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.P License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law Ir 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. I 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: I 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.) I 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 omply wit ose provisions. �te Signature of Applicant - Owner ❑ ontractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or constructionof structures over 3 stories in hei ht. Main Service TG 46.00 NEW CONST. DWEW EE NG OCCUCUP. SO 20.16 OR ( & ACC. BUDS. 3.5QFT: CNS. N N-ROSIID MULTI. NCTI 97.50 OWER APPARATUS 8 SINGLE OUTLET CIR. 20 Q 100 EX. Occup. OUTLET OR FD(TURES SAL @ .SO Ex. Occup. OvT,Et°rs Ao .GEE 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23,00 PERMIT FEE $ 63.16 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEPE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAZ. I D. FEES IMP I FLOOD I CDF I PARCEL I PO HD ISSUE This permit is hereb issued under the applicable provisions of utte Coun Code and/or Resolutions to do work inW"ifch fees have been paid. Bt 3 D 3 PERMIT EXPIRES ON SlDa Dafe ReceiptNo. 3 WHITE-D.D.S.-B.D. CANARY- S ESSO K -INSPECTOR GOLDENROD -APPLICANT rA ♦ � .7iT' r j �OUNTY OF BUTTE -DEPARTMENT OF D VELO,PMENT SERVICES -BUIL , {DIVISION 7 County Center Drive, Oroville, CA 9596-5 Phone (530)538-7541 Fax 40 PERMIT APPLICATION DATA SIIEE� OWNER: ASSESSOR PARCEL NUMBER Proposed Building Use: ^ G Counter Technician: Date: Items required in order to apply for a permit. All blies MUST be checked OR marked NA in order to apply. IV/l.. Plot plans, 3 or 4 sets, signed,,ty the preparer of the plans. 9��3t. Complete plans, 3 or 4 sets signed by the preparer of the plans.. Engineered plans, 3 or 4 st is, with wet signature on plans AND 2 sets of stamped and signed calculations. tVIA-V4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ' ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans intriplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review.cannot proceed. The permit will be indexed and returned to the plan rev'iew­line p`%v ien'requ.ired'item`are received. �" f ! f L Date Received By ❑ 8. Flood Elevation Certificate ,ewmd-a`i-na......1/1..�. i'- ❑ 9. Plot plan and business license approval from the City gf Biggs .................................... V ❑ 0. Letter of intent for non-residential buildings......................................................... , 1. Detached Accessory Building Form filled out by the owner ..................................... A ❑ 12. Hazardous Material Form............................................................................... _ ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... W❑ 1 Statement of Intent for Non -heated and A/C Buildings ......................................... . Sanitation and plot plan approval from the Environmental Health De ent in i X0 ('11c, ❑ 17. City of Chico Plumbing permit ........................................... '�W 18. California Department of Forestry plan approvalCSQpaid. Sent. by: Al ...................... ❑ 19. Planning approval for (A) Use: O K (B)Park,(ng: (C) Parcel Check: _OrZ ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage .............................. ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ -, ❑ 23. Contractor's license information. (Number, Name Style, Classification).....,,., .............. 24. Worker's Compensation Carrier and Policy Number.::':.... i .:,:.......'... ...,r''..........+`.�- 25. Owner -Builder Verification (❑�ven to owner, ❑ Mailed to owner)...;. :.. ..:.....:....r E._.M �, . ❑ 26. Letter of Signature authorization.................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits......................................................... ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 41. Other: When issued Telephone % 9 --L 3 and hold for pickup. - ok � `J I have been informed of the above items and requirements for obtaining a building permit. ep licant:te: D 1. Index permit application for the above items numbered: Plan Check Letter 2. Additional items re Contractor, design , owner, as advised cf the above data by pone, ❑ ail, ❑ counter, by Date: Contractor, designer, er, was advised of the above data by phone, ❑ mail, ❑ counter, b Date: Plans reviewed by: Date: Plans approved by: Ir Structural reviewed by: Date: Structural approved by: Date: Note transfer by: ate:&,q. O ZO Z Yellow Ruildina Divisinn Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX DETACHED ACCESSORY BUILDING OWNER'S STATEMENT OF USE Plan review will not be started until this form is completed, signed by the property owner, and returned to the Butte County Building Division. Attached Accessory Buildings and Additions will be checked for residential use. Exception: Garages and Carports. Owner: X47" 47 ( 2,A= /h (/IZ PhonezS3 d,to -eZCSa. r Mailing -Address P 6 /`'-G, e. tkCh- , `% 2-, 0 Site Address '41V'qd' te- Assessor's Parcel Number: Zone: Please answer questions 1-16, and explain any yes answers for questions 2-14 in the space provided on page 2 of this form GENERAL INFOR�ti1ATION: 1. * s there a primary dwelling on the property? Yes No 2. Is the structure already built, under construction, or,under notice of code violation? Yes No 3. Will items produced in this building be offered for sale? Yes No 4. Will the public have access to this building? Yes ❑ No [] 5. Will any advertising, on or off site, be associated with the use of this building? Yes ❑ No � SITE CONDITIONS: 6. Is the structure foundation within 5' of septic tank or 10' of leach lines? Y No 7. Is any portion of the structure located closer than 20' to your front property line? Y ❑ No S. Do. you plan to add a driveway or modify existing access to a county maintained road? Yes ❑ No 9. Will the proposed structure encroach within any recorded easement? Yes ❑ No,. CONSTRUCTION FEATURES: 10. Will this building have insulated floor, walls, or ceiling? Yes ❑ No 10 11. Will this building be heated or cooled? Yes ❑ No 12. Will this building have a water closet/toilet? Yes ❑ No 13. Will this building have a sink? Yes ❑ No El 14. Will this building have a water heater? Yes ❑ No R 13. What type of floor covering will the building have? 16. What type of wall covering will the building have? OVER I of 2 r' N PROPOSED USE: (check only one box) 1. ❑ Residential Storage Shed — I will be storing in this building and it will not be used for any other purpose (no bathroom and no heating or cooling). . 2. Ei4rivate Garage — ••A building or a portion of a building not more that 1,000 square feet (3,000 by exception) in area in which only motor vehicles used by tenants of the building or buildings on the premises are stored or kept." A garage door is required. • 3. ❑ Residential Carport — A covered structure intended for parking of vehicles. Two or more sides must be entirely open. 4. ❑ Residential Occupancy — Structures meant to be occupied, as opposed to a storage shed, garage, or carport. If you checked #4, please check the uses below which best fit this building. ElGuestHouse ,- ❑ Pool House ❑ Studio Apartment ❑ In-law quarters ❑ Recreatiortgoom ❑ Game Room ❑ Study ❑ Library ❑ Bonus Room ❑ Playroom ❑ Den ❑ Studio nn ❑ Artist Studio ❑ Hobby Room ❑ Craft Room ❑ Sewing Room /1 ❑ Canning Kitchen ❑ Music Room ❑ Family Room ❑ Sun Room ❑ Private Office ❑ Workshop' ❑ Home Occupancy' ❑ Other — Use = Describe type of Workshop 2. Must be approved by the Buse County Placating Division Explanations: This area is for explanation of any "yes" answers on questions 2-14. Please indicate the question number before the explanation. .n 1-4 A � Additional Information: Plan review will not be started until this form is completed and received. A Plans Examiner will contact the owner with specific requirements per the use indicated. I hearby affirm under penalty of perjury that the above information is true and correct. I understand that any changes to the use, or character of use, of this building will require permits from the permitting authority. I understand that Real Estate Disclosure laws require disclosure of this information icor when the property is offered for sale. Owner's Name: Please Print � � �i/� � %�-hl / /2 � Owner's Signature: Date: 2of2 X3 O`VNER-BUILDER VERIFICATION A;tencion Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signamm Please complete and return this information at your earliest opportunity to avoid uoaeoe=Mp delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed 2 property im vement : YES 41 NO E3 a I HAVE HAVE NOT E3 signed an application for a building permit for the proposed WO& I have contracted with the following person (firm) to provide the proposed eonatrncdow NAIME: 4t I ADDRESS: CITY: PH0NE: 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: NA�NIE: A) 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 NUMMER: //DATE: NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 alis California Health and Safety Code. This verification must be comptWed ad returned to our office before we are permitted to issue the permit M"7 F- OWNER BUILDER INFORMATION _ Cea: Prose; v Gw---: An applicarion for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your 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 dreir 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: ♦ 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 not licensed as contractors or subcontractors, then you may be an employer. ♦ -'I- you are an emp!over, 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 eontnburtions. ♦ There may to 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, i, You wish, the U.S. Small Business Administration). For more specific information about your obligations under Sate Law, ccntac, the Department of Benefit Payments and the Division of Industrial Accidents. I `the sa-ucn;re 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 communicy 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 art aware of these matters. The building permit will not be issued until the verification is returned. I rely, 1 laic el C. Vi iia, C.B.O. M ger, 8uilding Inspection NOTE:: Tris 0wner-8ui/der Information is required by Section !9810 of the Calijornla Health and Sajery Code - OVER Cd y 4. oq, J'.� -- 3 3SS� RESIDENTIAL 92-2bUf ti, 028-170---108: RAMIREZ, Arturo 195 Stoney Oaks Blvd, Oroville addition/sf pel 0441to F �OFFICE COPY Address GAS U MeterBY I T -. Date ELECTRIC Meter By —_�� ��!�%„ �__ 9 Date JOB FINALED tdate) Signature, V'/ V It Jj= OK O = Not OK ' = Not Applicable ' = Not Ready ' MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch t 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / P1 ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date _ Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card -B-1 Date Card B-1 Date Card B-1 Date Card B-1 t' -1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s. 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7.Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 I ti , t MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s. 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7.Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 I ,i t J=OK i O=Not OK = Not ybl/ Not Ready a ReadRESIDENTIAL .(Single & Duplex) ' = Date XINDERFLOOB (Plans) OK except h's 9 f VL__- Fig., Main; Soils -Elea Grnd.-/JjjM`§7-15epth ' .1 3. Ftg.,'Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Fig., Porches & Decks; Soils -Steel-/ /Fig. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel- Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Date PLUMBING (Permit),OK except h's 16. Water Htr.: Vent -Access -Combustion Air -Baffle 17. WateN pe: Test & Anc wNTTI-'Protection ---------------- ------------------------- 18. D.W.est-F' gs &Anchor -Nail Protection ------- - --- ----------------- 19. Show an: Test. First Floor -Tub Access ------------------------------- ------ 20. Test Tub Shower, -- Second Floor -Tub Access ------- ----------------- ---------------- 21. Gas Pipe: ize & Anchors Date Card B-1 -------------------------- Date Card B-1 Date Card B-1 ------------ -------------- ---- Date Card B-1 Date ELECTRICAL (Permit) OK except h's - -22. Fixture & Transformer Clearance -Ins. Protection - ----------------------------------- ec_Receptacles Spacing -Lights & Switches at -Doors ------------- X --- ¢e Boxes & No of Conductors -Stapled - ---- -------- ----------------------------------- ---------- - - omex Installed Close to Edge of Studs & C.J. uip. Ground made 'up w!Mech. Fastners-Bond Gas & Water -- 1- - --- - - nce Circuts in Kitchen & Conductor Size!GFI - - - ---------------------------------------- ------------- 2>;'^-S�ire Sizer r ga. Cu or AI-A.C. Wire Size ! / ga. Cu or At 29.-+4 �e-&rc / / ga Cu or AI -Oven Circ. / / ga. Cu or Al. I lated Neutral ❑ _Yes______ ❑-No ---------------- ---- --------- -Riser Conductors & Ground -Main Disconnect ---------------------------------- - uip. Clearances Panels -Motors -Meth. Equip. S?­GFet#ees-efDset Light -Shower Light -Spa Light ----- --- ---- -- - 3 . Smoke Detector ------------ �.--------------------------------------------------------------- ------ -- - - - -c------------------------- ------------- -- Date ✓ d 6-1 Date Card B-1 ----- -- ----`P------ ------------------------------------------------ Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except h's 34. A.C. Duct Insulation & Support ---------------- - -- ---- ------------------------------------------------------ 35. Vent Fan_ xh yt above insulation - 36 Conden at rain & Overflow Size & Grade - --- - - --- -- -- -- 37 Furnance t. Access Comb Air Return Air Vent -115 outlet ------------------------------------------ -- -- -- ----- -------------------- 38. Attic cess latform if Furnance in Attic ---------------------- --------- --- - --- --- -------------------------- -- -- -------- - Date Card B_f Date Card B_1 ------------- ----------------- ----- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except h's 3W''S, .Proper. Material & Anchors - g-=46. Walls Studs -Nailing Spacing & Bracing -Sound - - -------------- -------- ---oor Nailing -------------------- 4°I. t7e----- Walls over Girders & Floor 42. raft Stop in Walls (rat proof) - - - -- ---- -- -------------------------------------------- re Stops: Furred Ceilings -Stairs -Chases -Tub Headers & Beam -Size & Bearing Date FRAMING (Continued) 4&.-1trn_gers-Post Caps -Anchors -Connectors Ing. Joist-Rftr. ties-Purlin-roof Bra c-Truss-Shthng.-Rfng. replace Ties or Type A Flue -Fireplace Throat clearance 44 AWe-Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4Q-Bd"P-Windows or Exiting Doors -Sill Hgt. & Dimensions S() Garage Fire Protection Framing 51 PLapa4l*-Line Firewall & Openings - --------- rs-One 3' -Check Garage -3rd Story, 2 Exits _ _Stair idth-Headroom-Rise-Run-Landing-Fire Protection plywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing Veneer 58--9taeee-IotESTi-Drip Screed -Fd. Vents-Underflr. Access ----------------- --- azing- a -Glass Protection -Skylights -Plastic -- ells; Nailing -Bolts Insulation -Walls -Ceilings 60. -Infiltration -Walls -Windows Dat Card B-1 f Date Card B-1 Daterd B-1 Date Card B-1 Date 1,44AL (Plans) OK except 4's xt. Steps -Door & Sidelight Protection -Landings 6 moke Detector ---------- ---- ----------------- G 63. F , ents-Clearance-Comb. Air -Connector - In Garage Above Floor -Ducts -Meth. Protection room Exiting ------------------ 3 Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels ---- Rails a. FireFirept ce or Stove: Clearances -Hearth �J. Elec. utlets at Wood Panel: Int & Ext. Kit.Fixt. Appliance; Grnd.-Air Gap -Cooking Clearance fec_ Outlets & Receptacles at Kit. Counter -------- . araoe Fire Door Swing -Landing -Closer ct in Garage -Damper --------------------------------- --- - `„ZA-Wtr• Trr-vents-Clearance-Comb. Air-Connector-P.R.V. In Garage: Above Floor -Meeh. Protection Flet. & Mech._Equip. Listed for Location -------------------------- ..----- --- Receptacles in Garage; (G.F.I.)-Romex Protection 7 Insulatio -Foam-Looked in Attic ❑ Yes a. Guard s & Deck Construction -Post Caps 7 n. Vents & Crawl Hole Door -Drainage- & VypddEarth Clearance Looked under Floor es o lowing �Ye oekinstDrive ❑ 115:01 �o Planters ❑ Yes ------------------------ 7 ucco: Brown -Finish --------------- Disconnect. Electrical, Plumbing --------- -- ents Above Roof; Pfbg.-Apptiance-Fireplace.-Clearance to Openings a er Well; Disconnect, Electrical, Plumbing E r Elec. Trim; G.F.I. Receptacle -Underground n Throughout House Gla ection Correctio s from Previous Inspections - - -- - - ------------------------------------------ a es - ters Tagged; Gas -Electric - 9 a r & Sewer Connected -C/O to Grade -HD Approval - 9i ergy Compliance Certificate -Other Certificates Dat `f 6 B- Date Card B-1 Date rd B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test {� 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. irders-Sills-Anchor Bolts -Joists -Vents -Cripples Access & Ventilation 16. Insulation Date Date rd B- G Date Card B-1 and B-1 V Date Card B-1 Date PLUMBING (Permit),OK except h's 16. Water Htr.: Vent -Access -Combustion Air -Baffle 17. WateN pe: Test & Anc wNTTI-'Protection ---------------- ------------------------- 18. D.W.est-F' gs &Anchor -Nail Protection ------- - --- ----------------- 19. Show an: Test. First Floor -Tub Access ------------------------------- ------ 20. Test Tub Shower, -- Second Floor -Tub Access ------- ----------------- ---------------- 21. Gas Pipe: ize & Anchors Date Card B-1 -------------------------- Date Card B-1 Date Card B-1 ------------ -------------- ---- Date Card B-1 Date ELECTRICAL (Permit) OK except h's - -22. Fixture & Transformer Clearance -Ins. Protection - ----------------------------------- ec_Receptacles Spacing -Lights & Switches at -Doors ------------- X --- ¢e Boxes & No of Conductors -Stapled - ---- -------- ----------------------------------- ---------- - - omex Installed Close to Edge of Studs & C.J. uip. Ground made 'up w!Mech. Fastners-Bond Gas & Water -- 1- - --- - - nce Circuts in Kitchen & Conductor Size!GFI - - - ---------------------------------------- ------------- 2>;'^-S�ire Sizer r ga. Cu or AI-A.C. Wire Size ! / ga. Cu or At 29.-+4 �e-&rc / / ga Cu or AI -Oven Circ. / / ga. Cu or Al. I lated Neutral ❑ _Yes______ ❑-No ---------------- ---- --------- -Riser Conductors & Ground -Main Disconnect ---------------------------------- - uip. Clearances Panels -Motors -Meth. Equip. S?­GFet#ees-efDset Light -Shower Light -Spa Light ----- --- ---- -- - 3 . Smoke Detector ------------ �.--------------------------------------------------------------- ------ -- - - - -c------------------------- ------------- -- Date ✓ d 6-1 Date Card B-1 ----- -- ----`P------ ------------------------------------------------ Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except h's 34. A.C. Duct Insulation & Support ---------------- - -- ---- ------------------------------------------------------ 35. Vent Fan_ xh yt above insulation - 36 Conden at rain & Overflow Size & Grade - --- - - --- -- -- -- 37 Furnance t. Access Comb Air Return Air Vent -115 outlet ------------------------------------------ -- -- -- ----- -------------------- 38. Attic cess latform if Furnance in Attic ---------------------- --------- --- - --- --- -------------------------- -- -- -------- - Date Card B_f Date Card B_1 ------------- ----------------- ----- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except h's 3W''S, .Proper. Material & Anchors - g-=46. Walls Studs -Nailing Spacing & Bracing -Sound - - -------------- -------- ---oor Nailing -------------------- 4°I. t7e----- Walls over Girders & Floor 42. raft Stop in Walls (rat proof) - - - -- ---- -- -------------------------------------------- re Stops: Furred Ceilings -Stairs -Chases -Tub Headers & Beam -Size & Bearing Date FRAMING (Continued) 4&.-1trn_gers-Post Caps -Anchors -Connectors Ing. Joist-Rftr. ties-Purlin-roof Bra c-Truss-Shthng.-Rfng. replace Ties or Type A Flue -Fireplace Throat clearance 44 AWe-Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4Q-Bd"P-Windows or Exiting Doors -Sill Hgt. & Dimensions S() Garage Fire Protection Framing 51 PLapa4l*-Line Firewall & Openings - --------- rs-One 3' -Check Garage -3rd Story, 2 Exits _ _Stair idth-Headroom-Rise-Run-Landing-Fire Protection plywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing Veneer 58--9taeee-IotESTi-Drip Screed -Fd. Vents-Underflr. Access ----------------- --- azing- a -Glass Protection -Skylights -Plastic -- ells; Nailing -Bolts Insulation -Walls -Ceilings 60. -Infiltration -Walls -Windows Dat Card B-1 f Date Card B-1 Daterd B-1 Date Card B-1 Date 1,44AL (Plans) OK except 4's xt. Steps -Door & Sidelight Protection -Landings 6 moke Detector ---------- ---- ----------------- G 63. F , ents-Clearance-Comb. Air -Connector - In Garage Above Floor -Ducts -Meth. Protection room Exiting ------------------ 3 Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels ---- Rails a. FireFirept ce or Stove: Clearances -Hearth �J. Elec. utlets at Wood Panel: Int & Ext. Kit.Fixt. Appliance; Grnd.-Air Gap -Cooking Clearance fec_ Outlets & Receptacles at Kit. Counter -------- . araoe Fire Door Swing -Landing -Closer ct in Garage -Damper --------------------------------- --- - `„ZA-Wtr• Trr-vents-Clearance-Comb. Air-Connector-P.R.V. In Garage: Above Floor -Meeh. Protection Flet. & Mech._Equip. Listed for Location -------------------------- ..----- --- Receptacles in Garage; (G.F.I.)-Romex Protection 7 Insulatio -Foam-Looked in Attic ❑ Yes a. Guard s & Deck Construction -Post Caps 7 n. Vents & Crawl Hole Door -Drainage- & VypddEarth Clearance Looked under Floor es o lowing �Ye oekinstDrive ❑ 115:01 �o Planters ❑ Yes ------------------------ 7 ucco: Brown -Finish --------------- Disconnect. Electrical, Plumbing --------- -- ents Above Roof; Pfbg.-Apptiance-Fireplace.-Clearance to Openings a er Well; Disconnect, Electrical, Plumbing E r Elec. Trim; G.F.I. Receptacle -Underground n Throughout House Gla ection Correctio s from Previous Inspections - - -- - - ------------------------------------------ a es - ters Tagged; Gas -Electric - 9 a r & Sewer Connected -C/O to Grade -HD Approval - 9i ergy Compliance Certificate -Other Certificates Dat `f 6 B- Date Card B-1 Date rd B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final 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 ER � - j ) -) PERMIT N A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation,' please contoal-tfiis office immediately. le—_ C - :-C IIIIIIIIIIIIIIEM" Date 711YIK Inspector REV 10/92 / '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 k, EF 3 -3 315 OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, pl�ase contact this office immediately. Date Y _/ r/ —/I,,- Inspector t REV 10/92 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville. California 95965 - Telephone: 916/538-7541 APPLICATION AND PERmir PERMIT NO. ASSESSOR PARCEL NUMBER 028-170-108 ZONING M R BUILDING PERMIT OWNER ARTURO RAMIREZ 510 TELEPHONE 233-9950 SO. FT. OCC. BUILDING VALUATION 538 R 29 052 OWNER'S MAILING ADDRESS 2029 SUTTER AVE SAN PABLO 94806 132 C 1,716 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is 30,768 LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ 249.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 124.50 Energy Plan Checking Fee $ 20,00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 195 STONEY OAKS BLVD OROVILLE 95966 Permit fee $ 408,50 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G W @ 15.00 TYPE OF WORK New ❑ Addition ® Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: FAMILY ROWN ADDITION _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600v OR LESS 200A OR LESS 18.50 Main service 200A To 1000AI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): r_11 am licensed under provisions of Chapt. 9, Div. 3 of the BusinesS and Professions Code and my license Is In full force and effect. License .JO. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.N OR ACDNS. ACC. BLDGS. 3.64sq.ft. NEW CONST R. MUOUTLET NON•R ESID BRANCH CIRCUITS @ 5.00 POWER APPARATUS e SINGLE OUTLET CIR. EX. Occu Occup(OUTLETS OR FIXTURES 20 76 FIXED EX. OCCUp. OUTLETS P(RESID IREA.� I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ 33.85 — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate �--, �of Consent to Self -Insure. ' shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 1 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all tNgments, costs, and expenses which may in any way accrue agaiy " ons uencerof the granting of this permit. X Date 7^ °�3— 9P of Applicant — Owner Canr.actar ❑ Agent ❑ An OSHA permit is required for excavations over 5'0"e and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 40.00 occ CONST TYPE TOTAL FEE HAz DFEES IMP FLo RCEL PD H Is E This permit is hereby issued under the sions sions of the Butte Cou y Code and/or work indicated ov r w ' h fees DI C, OF UB C By C/2e� PERMIT EXPIRES ate applicable provi- resolutions to do have been paid. WORKS Dat G Receipt No. 117751�' �, 00.00 WHITE-D.P.W., YELLOW-ASSrSSOR. PINK-INSPE R. GOLDS R D CANT X A X 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 C1 -33 ASSESSOR PARCEL NUMBER � 09R-170-108 ZONING MR BUILDING PERMIT I ,^ D AM 'k OWNER 14 4_f C4(c TELEPHONE SQ. FT. OCC. BUILDING VALUATION EST 15 000.00 OWNER' SINAI NG , ;ESS 190 CONTRACTOR'S AME TELE ONE CONTRACTOR'S MAILING ADDRESS Fireplace CONST; 1 LEN ER UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 162.00 ARCHITECT OR GINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESSV/VCLoh- /� / 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 NAMEPARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF EX 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 New ❑ Addition ❑ Remodel ❑ Utilities ElInstallation ❑ Other Describework: COMPLETION OF 14ORK STARTED UNDER #92-2601 PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 2ODAORLESS ) 23.00 UL ' Main Service ( 200A TO 1000A ) 46.00 (RELOCATE ELECTRIC) NEW OR AODNS.T ( DWELLING 8, ACCBLD. ) 3.5C F°: CONTRACTORS LICENSE LAW I 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 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) ❑ I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET •NON.RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 0 BAD @ 1.000 Ex. Occu FIXED APPWS. OR p• ( OUTLETS (RESID.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. 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 $ 43.00 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. 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 i co segue of a granting of this permit. X Date /© /O — Signature of Applicant - ❑ Owner 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 $ occ CONST. TYPE TOTAL FEE $ X72 HAZ- I D. FEES IMP I FLOOD I CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work Indic d bove for whic fees ha a en paid. DIR O F PU I ORKS B Date PERMIT EXPIRES ON (Date) Receipt 151134 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 11� J'A-7At z4f7 (V 0 Ef 0 kv -,I 185% Aid Code Chart 200 Aid Code Chart (Worker No.) 1, (Date) BfJ'1-95/200 (1/90) 11 oil # an Mkiz's Z. I # -*00- oil k I I Ilf- 4 0) if .0 lorze zi oil (Worker No.) 1, (Date) BfJ'1-95/200 (1/90) `I. 1b COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNI 95965x- TELEPHONE (916) 538-7�X I 1 PER IT APPLICATION DATA SHEET OWNER AAllao Z A. P. No. ia28- 1-70- ta9 Proposed Building Use &Aj, Building Inspector Date 1 2 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)� byyC lifornia Engineer. . 14:, Sanitation and plot plan approval�Ne ���' Health Department . ............ Z3 2 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 approva�requir� to oc ��1 y). .t• . "'�• •Pre -Inspection r. .20. Pre -inspection for 7 ,^ wired. .. to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . ......................... . 23. Owner -Builder Verification (Given to owner , Mail to owner _)...... ..... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . .......................................... 28. Mobilehome utility clearance ........................... . 29. Documentation of legal access . ........................................ 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... Plan check list, ............................... . - Whery you issue the pr c� as follows: Mail to owner. Mail�to contractor. (/ Telephone XIP nd hold for pickup at office; Deliver with inspector. Other C:1 Parcel Creation"] 2 Acreage Applicant Date / v 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 itemsNo. 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 _ mall Coidnter by _ Date Plans checked by Date Plans approved by Date MUM t v Sets oflans on hold -in ile cabinets AP folder Copy - Department Public s `y A 0) I'll '.. "v" Buildinq Department TO FROM: Environmental Health SUtJECT: Sanitation Clearance ��;r dQ, A, r-Q� 7-- / 7 s", 5 __ � e— /Z Owner Locatton AP# Plan Approved for: Sevaqe Disposal Water Supply Hold final for: Water Supply Final clearance O.K. for: clearance for . bedroom mobile home. NOTE Water Supply Other sanitarian Date I 4 i. ASS w t? �:'� •. �. ".'. �01M D- f BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District A.P. Number (}oZ8' �' �Oc� Jurisdiction Property Owner Property Location/Address —__l q 5-. L- SOA/f-V--,d 4 Building Department No. City [PC/ County COUNTY 01: BUTT6 BUILDING DEPT AN 2 7 1992 h Subdivison Lot No. Residential Development No.*of Living MHi Units Commercial/Industrial New 4? "4d �, - - --- --- Building Department Representative Sq. Footage edition r= (Group R) Sq. Footage Addition (Including Exterior Roofed Areas) Z � 3 - x 4'e - Dat (Floor Plans reviewed by School District Personnel) District Identification No. « School District certifies that V (Applicant) (Street Address) ` `,V. ~•'_(Phone Number) (City) "! _ __' (State). ;. .(Zip.Code) . has complied with the requirements of Resolution No. ��by payment of $ j representing square feet. School District Representative . Date Paid by Check Number Remarks: Bank Number "- 46) Paid by Cash Q 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 Ja4Wlyplifi gate its impact on the school district's schools. White (applicant), ello�(build�ing partment) Pink (school district) feeform.wkl (4/92) 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 wily be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) s 2. I (have/have not) �% d�� signed an application for a.building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan'to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner Social Security Number Dater'�/-?. 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. COUNTY OF BUTTE - Departmentof Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION k Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. _. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and -issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) Y2. I (have/have not) h4,ti e' signed an application for a building permit for the proposed work. 3. I have contracted with the following person construction: Name' Address (firm) to provide the proposed Phone Contractors License No. City 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: 3s Property Owner Social Security Number � { - J( Date /0 /d %& 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. SERRAO CONSTRUCTION GENERAL CONTRACTORS •. ENERGY COMPLIANCE ANALYST 1051 Four Acres Court • Chico, California 95926 rct (916) 895-0608 A. Ram eriz July 17, 1992, 2029 Sutter Ave. San Pablo, CA 94806 Dear Mrs. Rameriz: The energy calculations for your house in Oroville have been sent to the Butte County Building Department as per our phone conversation on July 17th. In order to comply with Title 24 Energy Requirements, you must have a ceiling with R-30 insulation, exterior walls with R-19 insulation, decrease the size of the west facing win- dow from 8040 to 6040, and delete the skylight. These are only recommendations; there may be other, more costly ways, ie. using high efficiency windows, but the easiest solution seems to be what I have outlined above. I certainly hope you can accept these changes. Unfortunately, you have a very high percentage of glazing for the size of the addition. If I can be of further service to you, please call. Th k you, aures V. Serrao II Statement of Services: Run Energy Calculations for Addition at 19.5 Stoney Oaks Blvd. Oroville, CA................$75.00 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA -95965 DATE PHONE: 916-538-7541 8-3-92 ARTURO RAMIREZ RE: B.P. # 92-2601 2029 SUTTER AVE SAN PABLO, CA 94806 A.P. # 028-170-108 With reference to the above subject: / / Attached is: Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced ,�� We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate'of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including plot plans.. Plot plans in Structural details in Complete plans and calcs in by registered.engineer or architect. Energy design including .Street and drainage improvement plan approval from Land Development.Section (DPW). sets'of.plans in accordance with'the changes marked in red. Sanitation approval_from Butte County Health Department at: 1469 Humboldt Road, Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise _. Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. OTHER ENGINEERED TRUSS DETAIL Should you have any questions concerning the above, please contact DAVE WASNEY of this office. - BETWEEN 3 & 5 P.M. Yours very truly, William Chuff Director of Public Works J F. Glander JFG/aj � /. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA, 95965 PHONE: 916-538-7541 DATE RE: 4P IZ Z601 A. P. # With reference to the above subject: LL Attached is: Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. CaIcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced OTHER �l We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including plot plans. Plot plans in • Structural details in Complete plans and talcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way,' Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. OTHER Should you have any questions concerning the above, please contact // of this office. 1�7_ Yours very truly, William Cheff Director of Public Works .F. Glander JFG/aj Chief Building Inspector Insulation Certificate BUILDING OWNER: r) 127 BUILDING PERMIT #: BUILDING LOCATION: Description of Installation ROOF Material Thickness (inches) CEILING Brand Name Thermal Resistance (R -Value) Batt or Blanket Type Brand Name ' rl� < A F /— Thickness (inches) Thermal Resistance (R -Value) Loose Fill Type Brand Name Contractor's minimum installed weight/ft lb Minimum thickness inches Manufacturer's installed weight per square foot to acheive Thermal Resistance (R -Value) EXTERIOR WALL Material Thickness (inches) RAISED FLOOR Material Thickness (inches) SLAB FLOOR Material Thickness (inches) Width (inches) FOUNDATION WALL Material Thickness (inches) Brand Name �C Thermal Resistance (R -Value) Brand Name Thermal Resistance (R -Value) 4 Brand Name Thermal Resistance (R -Value) Brand Name Thermal Resistance (R -Value) Declaration I hereby certify that the above insulation was installed in the building at the above location irf conformance with the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the California Administrative Code. y ral ntractor (Builder) License Number Signature and TitW Date Sub -Contractor (Insulation Installer) License Number r Signature and Title Date THIS CERTIFICATE MUST.BE PROVIDED TO THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED.WITHIN THE BUILDING. JANUARY 1993 CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 1 CF -1R Project Title.......... 195 STONEY OAKS BLVD Date....:... 07/16/92 Project Address..... _____________________ Documentation Author... JAMES V. SERRAO II ; Building Permit # ;I Company ................ SERRAO CONSTRUCTION Telephone .............. 916 895-0608 Plan Check / Date Compliance Method...... MICROCHECK ; Field Check/ Date Climate Zone........... 11 MICROCHECK v1.00 File-RAMIREZ Program --FORM CF -1R User--SERRAO CONSTRUCTION Run-RAMIREZ ------------------------------------ GENERAL_ INFORMATION Conditioned Floor Area..... Building Type... ...... ... Building Front Orientation. Number of Dwelling Units... Number of Stories.......... Floor Construction Type.... Infiltration Control....... 538 sf Single Family Detached Front Facing 270 deg (W) .26 1 Raised Floor Standard BUILDING SHELL INSULATION Component Insul Type R -value Location/Comments --------- -------- ---------------------------------------- Wal 1 ---------------------------------------Wall R-19 Door R-0 FR DR., CVR TO EXISTING Floor R--19 TO CRAWLSPACE Roof R-30 VAULTED GLAZING Glazing Area # of Interior Exterior Overhangs/ Framing Orientation (sf) Panes Shading Shading Side Fins Type ------------------- ------ --------------- -------------- ---------- _--_-__- Window Front (W) 24 2 drapes bugscreen Yes Metal Window Right.(S) 52 2 Drapes None None Metal Window Back (E) 40 2 Drapes None None Metal THERMAL MASS Area Thickness Hard Surfaced/ Avre COMP Type (sf) (in) Exposed Location- ------------ ---------------------.----------- �,flJP InteriorHorz 538 1.0 Yes TILE j ASSUMED HVAC SYSTEMS Assumed Duct Duct ` -0601 Assumed System Efficiency Location R-value�� ----------------------------------------------- Gas 0.760 SE Crawlspace R-•5.7 A/C 8.90 SEER Crawlspace R-5.7 CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 2 CF -.1R Project Title.......... 195 STONEY OAKS BLVD Date........ 07/16/92 MICROCHECK v1.00 File-RAMIREZ Program -FORM CF -1R User-SERRAO CONSTRUCTION Run-RAMIREZ ------------------------------------------------------------------------------- ACTUAL HVAC SYSTEMS Actual Output Manufacturer and Model # Actual System Efficiency (Btuh) (or approved'equal) -------------------------- -------- --------------------------------- H e a t i n g --------------------------------Heating _ Cooling Cooling Coil CEC Maximum Output for Gas Central Furnaces: Btuh WATER HEATING SYSTEMS Tank Capacity Manufacturer and Model # Energy System Type (gal) (or approved equal) Credits -------------------- --------- -------------------------------- -_--__----_ Meets CEC Minimum None SPECIAL FEATURES/REMARKS CJ CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 3 CF -1R Project Title.......... 195 STONEY OAKS BLVD Date........ 07/16/92 MICROCHECK v1.00 File-RAMIREZ Program -FORM CF -1R, User-SERRAO CONSTRUCTION Run-RAMIREZ COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with Title 24, Chapter 2-53 and Title 20, Chapter 2, Subchapter 4, Article 1 of the California Administrative code. This certificate has been signed by the individual with overall design responsibility and the building owner, who shall retain a copy of it and transmit the certificate to any subsequent purchaser of the building. When this certificate of compliance is submitted for a single building plan to be built in multiple orientations, all building conservation features which vary are indicated in the Special Features/Remarks section. Name.... Company. Address. Phone... License. Signed DESIGNER (date) DOCUMENTATION AUTHOR Name.... JAMES V. SERRAO II Company. SERRAO CONSTRUCTION Address. 1051 FOUR ACRES CT. CHICO, CA 95926 Phone... 916 895-0608 S i fined -7-19 - %- ( d a t e ) 916 -%- (date) OWNER Name.... Company. Address. Phone... Signed (date) ENFORCEMENT AGENCY Name.... Title... Agency.. Phone... Signed (date) COMPUTER METHOD.SUMMARY Page 1 C -2R Project Title.......... 195 STONEY OAKS BLVD Date........ 07/16/92 Project Address........ -----------------_._-_ Documentation Author... JAMES V. SERRAO II ; Building Permit # Company ................ SERRAO CONSTRUCTION Telephone .............. 916 895-0608 Plan Check / Date Compliance Method...... MICROCHECK ; Field Check/ Date Climate Zone........... 11 MICROCHECK v1.00 File-RAMIREZ Program --FORM C -2R User-SERRAO CONSTRUCTION Run-RAMIREZ --------------------------------------- = MICROCHECK ENERGY USE SUMMARY = = Energy Use (kBtu/sf-yr) = Space Heating.......... = Space Cooling.......... - Water Heating.......... Total GENERAL INFORMATION Standard Proposed Compliance - Design Design Margin = 29.83 21.69 8.14 = 22.38 30.03 -7.65 9.86 9.86 0.00 = -- 62.07 -- 61.58 Building complies Conditioned Floor Area..... 538 sf Building Type .............. Single Family Building Front Orientation. Front Facing Number of Dwelling Units... .26 Number of Building Stories. 1 Weather Data Type.......... FullYear Floor Construction Type.... Raised Floor Number of Building Zones... 1 Conditioned Volume......... 5096 cf Footprint Area............ 538 sf Slab -On --Grade Area......... 0 sf Glazing Percentage......... 21.6 % of FA Average Ceiling Height..... 9.5 ft BUILDING ZONE INFORMATION Detached 270 deg (W) Floor Vent Special Cond- Area Volume # of Thermostat Height Vent Area Zone Type itioned (sf) (cf) Units Type (ft) (sf) HOUSE Residence Yes 538 5096 0.26 Setback 2.0 n/a COMPUTER METHOD SUMMARY Page 2 C -2R Project Title.......... 195 STONEY OAKS BLVD Date........ 07/16/92 MICROCHECK v1.00 File-RAMIREZ Program -FORM C -2R User--SERRAO CONSTRUCTION Run-RAMIREZ ------------------------------------------------------------------------------- OPAQUE SURFACES GLAZING SURFACES Area U-- Insul Act (sf) Solar Location/ Form 3R Surface ____________ (sf) ______ value _____ R--val _____ Azmth _____ Tilt ____ Gains _____ Comments ---------------- Reference ___---__-___ HOUSE Glass Shade Gls+ Surface (sf) Panes Type Type 1 Wall 100 0.065 R-19 270 90 Yes 2 Wall 140 0.065 R-19 180 90 Yes 1 Window 3 Wall 136 0.065 R--19 90 90 Yes 0.77 drapes 4 Door 36 0.330 R-0 270 90 Yes FR DR. 90 5 Floor 538 0.037 R-19 0 0 No TO CRAWLSPACE None 6 Door 36 0.330 R-0 0 90 No CVR TO EXISTING None 7 Roof 264 0.035 R-30 270 18 Yes VAULTED None 8 Roof 264 0.035 R-30 90 18 Yes VAULTED None GLAZING SURFACES OVERHANGS AND SIDE FINS ----Window-- ------ Overhang ------ - ----Left Fin---- ---Right Fin— Area Left Rght Surface (sf) Hght Wdth Dpth Hght Ext Ext Ext Dpth Hght Ext Dpth Hght HOUSE 1 Window 24 4 6 6 .5 31 2 0 0 0 0 0 0 EXTERIOR SHADING Area Shading SC of Vent (sf) Type Ext Shade Sc Interior Sc Area # of Frame Open U- Act bugscreen Glass Shade Gls+ Surface (sf) Panes Type Type value Azmth Tilt Only Type Shade HOUSE 1 Window 24 2 Metal Slider 0.65 270 90 0.77 drapes 0.66 2 Window 20 2 Metal Slider 0.65 180 90 0.77 Drapes 0.66 3 Window 20 2 Metal Slider 0.65 180 90 0.77 Drapes 0.66 4 Window 12 2 Metal Fixed 0.65 180 90 0.77 Drapes 0.66 5 Window 40 2 Metal Slider 0.65 90 90 0.77 Drapes 0.66 OVERHANGS AND SIDE FINS ----Window-- ------ Overhang ------ - ----Left Fin---- ---Right Fin— Area Left Rght Surface (sf) Hght Wdth Dpth Hght Ext Ext Ext Dpth Hght Ext Dpth Hght HOUSE 1 Window 24 4 6 6 .5 31 2 0 0 0 0 0 0 EXTERIOR SHADING Area Shading SC of Surface (sf) Type Ext Shade HOUSE 1 Window 24 bugscreen 0.84 2 Window 20 bugscreen 0.84 3 Window 20 BUGSCREEN 0.84 5 Window 40 BUGSCREEN 0.84 0 COMPUTER METHOD SUMMARY Page 3 C -2R Project Title.......... 195 STONEY OAKS BLVD Date........ 07/16/92 MICROCHECK v1.00 File-RAMIREZ Program -FORM C -2R User-SERRAO CONSTRUCTION Run-RAMIREZ ------------------------------------------------------------------------------- THERMAL MASS Area Thick Heat Conduct- Surface Mass Type (sf) (in) Cap ivity R -value Location/Comments HOUSE 1 InteriorHorz 538 1.0 24.0 0.67 R-0 TILE HVAC SYSTEMS WATER HEATING SYSTEMS. Water Heater to meet minimum CEC Standards SPECIAL FEATURES/REMARKS Minimum Duct Duct Duct System Type ---------------- Efficiency ------------ Location ------------- R -value ------- Efficiency , ---------- HOUSE Gas 0.760 SE Crawlspace R-5.7 0.834 A/C 8.90 SEER Crawlspace R-5.7 0.867 WATER HEATING SYSTEMS. Water Heater to meet minimum CEC Standards SPECIAL FEATURES/REMARKS FORMATTED INPUT Page 1 FORMAT MICROCHECK v1.00 File-RAMIREZ Program -FORMAT Run-RAMIREZ Project -195 STONEY OAKS BLVD Date -07/16/92 Input file °RAMIREZ` last edited on 07/16/92 GENERAL INFORMATION ------------------- RUN FEATURES RUN 1> RUN TITLE (25 char) ............................. RAMIREZ 2> PROJECT TITLE (25 char).... 195 STONEY OAKS BLVD 3> DOCUMENTATION AUTHOR (25 char) .................. JAMES V. SERRAO II BUILDING 4> BUILDING TYPE ........ ... Single 5> ACTUAL FRONT ORIENTATION (deg,�Q=N,90=E,180=S) .. 270 6> AZIMUTH TYPE............Actual 7> NUMBER OF STORIES (1 or more) ................... 1 8> DESIGN HEAT LOSS (Btuh) ......................... None 9> CEC CLIMATE ZONE ................................ 11 CALCULATIONS AND REPORTS 1> COMPLIANCE CALCULATIONS ......................... Yes 2> STANDARD DESIGN INPUT DATA ...................... NoSave 3> SPACE CONDITIONING CALCULATIONS ................. Yes 4> WATER HEATING CALCULATIONS ...................... Yes 6> PRINT CF -•1R COMPLIANCE REPORT Yes 7> PRINT C -2R COMPLIANCE REPORT .................... Yes 8> PRINT FORM 3R COMPLIANCE REPORT No 9> PRINT INPUT DATA ................................ Yes BUILDING ZONES -------------- ZONE INFORMATION #> NUMBER OF ZONES (5 maximum) ..................... 1 HEATING SYSTEMS HEATING SEASONAL FLOOR HEATING # OF ZONE ZONE ZONE COND- AREA VOLUME DWELL THERMOSTAT NAME TYPE ITIONED (sf) (cuft) UNITS TYPE --•-1------ ---__2------ ---3--- ----4---- ----5---- --6-- -----7------ 1> HOUSE Residence Yes 538 5096 .26 Setback HEATING SYSTEMS COOLING SYSTEMS HEATING SEASONAL HEAT HEATING DUCT ZONE SYSTEM EFFIC- PUMP DUCT INSUL NAME TYPE IENCY HSPF LOCATION R -VALUE ---1---- ----2---- ---3---- ---4---- ------5------ ---6---- 1> HOUSE Gas .76 0 Crawlspace 5.7 COOLING SYSTEMS FORMATTED INPUT ------Page -2----_`-_-FORMAT MICROCHECK v1.00 File-RAMIREZ Program -FORMAT Run-RAMIREZ Project -195 STONEY OAKS BLVD Date-07/16/92 ____________________________________________________________.___-_--_-___-__--__ COOLING COOLING DUCT ZONE SYSTEM SEASONAL DUCT INSUL NAME TYPE EER LOCATION R -VALUE ----1 ---- ---- 2---- ---- 3---- ------ 4------ --- 5_-_- 1> HOUSE A/C 8.90 Crawlspace 5.7 NATURAL VENTILATION SYSTEMS OPAQUE SURFACES --------------- _______________ #> NUMBER OF SURFACES (50 maximum) ................. 8 WIND INLET HEIGHT ZONE VENTILATION AREA DIFF NAME TYPE PER ZONE (ft) ----1 ---- ----- 2------- ---- 3---- --- 4_-_ 1> HOUSE Standard 0 2.0 OPAQUE SURFACES --------------- _______________ #> NUMBER OF SURFACES (50 maximum) ................. 8 GLAZINGS GLAZING SURFACES #> NUMBER OF SURFACES (50 maximum) ................. 5 WIND WIND OVERH OVERH VENT RGHT FIN FIN FORM 3R INTERIOR Sc SURFACE AREA U- INSUL # OF FRAME SLR LOCATION/ ASSEMBLY ZONE GLS TYPE (sf) VALUE R -UAL AZM TILT GAIN COMMENTS REFERENCE NAME AZM _ -1•---- --2--- --3-- --4-- -5- -6-- -7-- ------8------ -----9-----•- -10-- 1> Wall 100 0.065 19 270 Vert Yes 1> Window HOUSE 2> Wald 140_ 0.065 19 180 Vert Yes 0.66 HOUSE HOUSE 3> Wal1 136 0.065 19 90 Vert Yes 0.77 Drapes HOUSE 4> Door 36 0.330 0 270 Vert Yes FR DR. Vert HOUSE 5> Floor 538 0.037 19 0 0 No TO CRAWLSPACE.None 0.65 HOUSE 6> Door 36 0.330 0 0 Vert No CVR TO EXISTI None HOUSE 7> Roof 264 0.035 30 270 18 Yes VAULTED None HOUSE 8> Roof 264 0.035 30 90 18 Yes VAULTED None HOUSE GLAZINGS GLAZING SURFACES #> NUMBER OF SURFACES (50 maximum) ................. 5 OVERHANGS AND SIDE FINS OVERH OVERH LEFT LEFT LEFT RGHT RGHT RGHT GLAZING WIND WIND OVERH OVERH VENT RGHT FIN FIN Sc INTERIOR Sc FIN TYPE GLAZING AREA # OF FRAME OPEN U- EXT DPTH GLS SHADE GLS+ ZONE ----1 ---- TYPE (sf) PANE TYPE TYPE VAL AZM TILT ONLY DESCRIP SHDE NAME 1> Window --- 1---- -- 2-- _3__ _._4___ __5___ -6-- _7_ _8__ -9 -- ---- 1Q---- -11- -12--- 1> Window 24 2 Metal Slider 0.65 270 Vert 0.77 drapes 0.66 HOUSE 2> Window 20 2 Metal Slider 0.65 180 Vert 0.77 Drapes 0.66 HOUSE 3> Window 20 2 Metal Slider 0.65 180 Vert 0.77 Drapes 0.66 HOUSE 4> Window 12 2 Metal Fixed 0.65 180 Vert 0.77 Drapes 0.66 HOUSE 5> Window 40 2 Metal Slider 0.65 90 Vert 0.77 Drapes 0.66 HOUSE OVERHANGS AND SIDE FINS OVERH OVERH LEFT LEFT LEFT RGHT RGHT RGHT GLAZING WIND WIND OVERH OVERH LEFT RGHT FIN FIN FIN FIN FIN FIN TYPE HGHT WDTH DPTH HGHT EXT EXT EXT DPTH HGHT EXT DPTH HGHT ----1 ---- --2-- --3-- --4-- --5-- --6-- --7-- --8-- -9-- -10- -11- -12- -13-- 1> Window 4 6 6 .5 31 2 0 0 0 0 0 0 2> Window 0 0 0 0 0 0 0 0 0 0 0 0 FORMATTED INPUT Page 3 FORMAT. MICROCHECK v1.00 File-RAMIREZ Program -FORMAT Run-RAMIREZ Project -195 STONEY OAKS BLVD Date-07/16/92 _______________________________________________________________________________ 3> Window 0 0 0 0 0 0 0 0 0 0 0 0 4> Window 0 0 0 0 0 0 0 0 0 0 0 0 5> Window 0 0 0 0 0 0 0 0 0 0 0 0 EXTERIOR SHADING EXTERIOR SC GLAZING SHADE EXT TYPE DESCRIPTION SHADE --- 1---- ------- 2------- --3__ 0 Window bugscreen 0.84 2> Window bugscreen 0.84 3> Window BUGSCREEN 0.84 4> Window NONE 1.00 5> Window BUGSCREEN 0.84 THERMAL MASS #> NUMBER OF SURFACES (10 maximum) ................. 9. CON- SUR - AREA THICK HEAT DUCT-- FACE LOCATION/ ZONE MASS TYPE (sf) (in) CAP IVITY R-VAL COMMENTS NAME ----- 1------ __2__ -_3__ _4__ __5__ __6__ --------- 7---------- -- 8-- > InteriorHorz 538 1.0 24 0.67 0 TILE HOUSE WATER HEATING WATER HEATER SYSTEM #> NUMBER OF SYSTEMS (1 maximum) ................... 1 SYSTEM TYPE 1____ 0 Standard UNFORMATTED INPUT Page 1 FORMAT MICROCHECK v1.00 File-RAMIREZ Program -FORMAT Run-•RAMIREZ Project -195 STONEY OAKS BLVD Date-07/16/92 ------------------------------_.------------------------------------------------ Input file 'RAMIREZ' last edited on 07/16/92 ----- COPY OF INPUT DATA ------ #RUN#, ----- RUN FEATURES ---•-- RAMIREZ, 195 STONEY OAKS BLVD, JAMES V. SERRAO II, Single, 270, Actual, 1 TR PY ' TI }Y ' 4T f4 9 fR rr 9 TT TT 9 4P TY 9 TP 7T 9 rr rr None, 11, ---- #HVAC#, _ -- HVAC SIZING ----- 01 09 01 0 #REPORT#, ----- CALCULATIONS AND REPORTS ----- Yes, NoSave, Yes, Yes, No, Yes, Yes, No, Yes, No #ZONE#, ----- ZONE INFORMATION ----- 1 HOUSE, Residence, Yes, 538, 5096, .26, Setback #HEAT#, ----- HEATING SYSTEMS ----- HOUSE, Gas, .76, 0, Crawlspace, 5.7, UnLimited #COOL#, ------ COOLING SYSTEMS ------ HOUSE, A/C, 8.90, Crawlspace, 5.7, UnLimited #VENT#, ----- NATURAL VENTILATION SYSTEMS ----- HOUSE, Standard, 0, 2.0, 0, 0, 0, 0 #SIZE#, ----- HVAC SIZING ASSUMPTIONS ----- HOUSE, 4, 1200, Medium #THERMOSTAT#, ------ THERMOSTATS ------ 0 #ZONETYPE#, ----- ZONE TYPES ----- 0 #OPAQUE#, ----- OPAQUE SURFACES --- - 8 Wall, 100, 0.065, 19, 2Q70, Vert, Yes, iPRT9 TT/R' HOUSE Wall, 140, 0.065, 19, 180, Vert, Yes, r4 TP' rRTT' HOUSE Wall, 136, 0.065, 19, 90, Vert, Yes, "", "", HOUSE Door, 36, 0.330, 0, 270, Vert, Yes, FR DR., "", HOUSE Floor, 538, 0.037, 19, 0, 0, No, TO CRAWLSPACE, None, HOUSE Door, 36, 0.330, 0, 0, Vert, No, CVR TO EXISTING, None, HOUSE Roof, 2644 0.035, 30, 270, 18, Yes, VAULTED, None, HOUSE Roof, 264, 0.035, 30, 90, 18, Yes, VAULTED, None, HOUSE #PERIM.ETER#, -_ -- PERIMETER LOSSES •----- 0 #GLAZING#, ----- GLAZING SURFACES ------- 5 Window, 24, 2, Metal, Slider, 0.65, 270, Vert, 0.77, drapes, 0.66, HOUSE Window, 20, 2, Metal, Slider, 0.65, 180, Vert, 0.77, Drapes, 0.66, HOUSE Window, 20, 2, Metal, Slider, 0.65, 180, Vert, 0.77, Drapes, 0.66, HOUSE Window, 12, 2, Metal, Fixed, 0.65, 180, Vert, 0.77, Drapes, 0.66, HOUSE Window, 40, 2, Metal, Slider, 0.65, 90, Vert, 0.77, Drapes, 0.66, HOUSE #OVERHANG#, ----- OVERHANGS AND SIDE FINS ----- Window, 4, 6, 6, .5, 31, 2, 0, 0, 0, 0, 0, 0 Window, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 Window, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 Window, 0, 0, 0; 0, 0, 0, 0, 0, 0, 0, 0, 0 Window, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0, 0 #SHADE#, ----- EXTERIOR SHADING ----- Window, bugscreen, 0.84, 0, 0, None, 0, 0, None Window, bugscreen, 0.84, 0, 0, None, 0, 0, None windnw RHWrPPPm n Q4 n n ni„ n n ni„-„ UNFORMATTED INPUT Page 2 FORMAT MICROCHECK v1.00 File-RAMIREZ Program -FORMAT Run-RAMIREZ Project -195 STONEY.OAKS BLVD Date-07/16/92 -----------------------------------------------------------------------------•-- Window, NONE, 1.00, 0, 0, None, 0, 0, None Window, BUGSCREEN, 0.84, 0, 0, None, 0, 0, None #AIF#, ----- ABSORBED INSOLATION FRACTIONS ----- 0 #IZVENT#, -.--- INTER -ZONE VENTILATION SYSTEMS ----- 0 #IZSURFACE#,- ---- INTER -ZONE SURFACES ----- 0 #MASS#, ------ THERMAL MASS SURFACES - - 1 InteriorHorz, 538, 1.0, 24, 0.67, 0, TILE, HOUSE, Default #DHW#, ----- WATER HEATER SYSTEM ----- 1 Standard, Storage, Gas, 1, 0, 0, 0, 0, 0, 0, 1000, None #HYDRONIC#, ----- HYDRONIC SPACE HEATING ----- FanCoil, 0, Calc, 0, Conditioned, No, 0, 0, 0, 0 #SOLAR#, ----- SOLAR WATER HEATING ----- 0, 0, None #DHWELEC#, ----- WATER HEATING ELECTRICAL ----- 01 01 0, 01 0, 01 0, 0, 0, 01 01 0 #ADDRESS#, ----- ADDRESSES AND PHONES ------ N O T9 }+ !T IT Tr Tr TT TT TT TT Tr TT 9T TT TT Tr TT T9 TT TT T4 Tr rT TT TT Tr f ! 7 ! 9 ! ! f f f 9 9 9 #HVACEQUIP# ----- HVAC EQUIPMENT NOTES ----- , j�� f+ TT 4T rr rT rT Tr T+ rr T+ T1 TT 94 rP N o f #DHWEQUIP#, ----- WATER HEATING EQUIPMENT TT T4 T+ TT TT TT No, , #COMPNOTE#, ----- SPECIAL FEATURE NOTES -- 0 #DAILY#, ----- DAILY SCHEDULES ----- 0 #HOURLY#! ----- HOURLY SCHEDULES ----- 0 #HOLIDAY#, ----- HOLIDAY SCHEDULES ----- 0 #TABLE#, ------ TABLES ----- 7 Source, Yearly, None, None Ambient, Period, None, None Load, Period, None, None Energy, Period, None, None HeatFlow, Period, None, None Mass, Period, None, None Temperature, Period, None, None #CONTROL#, ----- SIMULATION CONTROL ----- 12 January, Yes February, Yes March, Yes April, Yes May, Yes June, Yes Jul y, Yes August, Yes September, Yes October. Yes NOTES - - - -- UNFORMATTED INPUT Page 3 FORMAT MICROCHECK'v1.00 File-RAMIREZ Program -FORMAT Run•-RAMIREZ Project -195 STONEY OAKS BLVD Date-07/16/92 -------------------------------------------------------------------------------- November, Yes December, Yes #OPTION#, --- TT IT TT TT TT Y9 TT TT IT IT IT IT TT If IT TT 7 ! 9 9 OPTIONS TT IT TT TT IT TT T4 TV TT IT IT TT TT TT IT TT R TT TT IT TT IT IT IT TP TT TT IT ! ! ! ! ! r 2052-89B,P,E,M PERMIT NO. d r Y f PERMIT EXPIRES I ARTURO RAMIREZ OWNER " Bestline Builders CONTR. 28-17-108- 8-17-108 •LOCATION ASSESSOR PARCEL LOCATION195 Stoney Oaks Blvd, 0 ovill t ' i; ► r Temp. Power Pole r� Called PG&E r Temp. Elec\rvice r Called PGaE Temp. Gas Service Called PG&E JOB FINALED (Date) Signature = 011( - .'0 = Not OK - = Not Applicable = Not Ready MOBILE HOMES MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 2..Soils; Special MH Support -Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.- Shthg.=Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -131 Date Card -131 Date 10. Roof; Shthg-Roofing Card -B1 Date Card -B1 Date 11. Ext.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -131 Date Card -B1 Date 2. Footings; Size -Spacing -Marriage Line Card -B1 Date Card -131 Date 3. Gas; MH Test -Demand -Valve -Connector .� 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s 5. Drain; MH Test -Fall -Flex Connector 1. Setbacks -Easements 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability 7. Water and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 4. Elec.;. Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 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-Panelboards-Ins. to Main in Conduit Card -B1 Date Card -81 Date Card -B1 Date Card -B1 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -B1 Date Card -B1 Date Card -B1 Date Card -131 Date a = UK 0 = Not - =Not Applicable RESIDENTIAL (Single and Duplex) = Not•Ready Date UNDOR (Plans) OK except #'s oni�etbacks;-Easements-Flood-Slope g. ; Soils-Steel-Elec. Grnd.-/ 4 u'=Ftg. Depth g., Garage; Soils -Steel-/ g. Depth 4. Ft , orches & Decks; Soils -Steel-/ /"Ftg. Depth 15*�temwalls, Main teal-Blockouts-Wrapped 6. Stemwall arage; Steel-Blockouts-Wrapped 7. Sla • teel-Wrapped ie Fireplace Ftg.-Steel W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 10. Ga pe; Size -Anchors IiAlater Pipe; Test -Anchors -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance-Material-Supdrt-Ins. gAedirders-Sills-Anchor Bolts -Joists -Vents -Cripples 15. Insulation Card- Date ' Card -B1 Date Card -BT Dat Card -81 Date Date P MING (Permit) OK except #'s 16 ater Ht. Vent -Access -Combustion Air -Baffle 7. ater Pipe; Test & Anchors -Nail Protection 8. D.W.V.; Test-Fttngs & Anchors -Nail Protection _1_q_Zh er an; st, First Floor -Tub Access 2P,'-rM7Tuu_ & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors Card -81 Date - Card -81 Date Card -81 �T__ Date Card -131 Date Date ELECTRICAL (Permit) OK except #'s 22.,Flxture & Transformer Clearance -Ins. Protection 3eElec. Receptacles Spacing -Lights & Switches at Doors 1j24 ize Boxes & No. of Conductors -Stapled omex Installed Close to Edge of Studs & C.J. 6. quip. Ground made up w/Mech. Fasteners -Bond Gas & Water (/27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. e / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al ­29-fra­nge Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 4e_Service-Riser Conductors & Ground -Main Disconnect y 1`Equ1p. Clearances Panels-Motors-Mech. Equip. t32 Clothes Closet Light -Shower Light -Spa Light 3. Smoke Detector Card -B1 Datelb-)? and -B1 Date Card -B1 Date Card -61 Date Date MECHANICAL (Permit) OK except #'s .C. Ducts Insulation & Support Vent Fan; Exhaust above insulation rqjn & OverflowAize & Grade 1i17. Furnace -V ; Ac s -Co . Air -Return Air Vent -115 outlet ccess & Platform if Furnace in Attic Date FRAMING (Continued) Hangers -Post Caps -Anchors -Connectors Ging. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. v4i. F,oplace Ties or Type A Flue -Fireplace Throat Clearance 1.413. tic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 9 drm. Windows or Exiting Doors -Sill Hgt. & Dimensions 0. Parage Fire Protection Framing ioperty Line Firewall & Openings 52. Ext. Doors -One T -Check Garage -3rd story, 2 exits droom-Rise-Run-Landing-Fire Protection 4. P ood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing Veneer uc d -Fd. Vents-Underflr. Access Glazing Area -Glass Protection -Skylights -Plastic olts 19 59, Insulation-Wa -Clg. 60. Infiltration-Walls-Wndws Card-B1¢v Dat!V6,and-B1 Date Card -B1 V Date Card -B1 Date Date FI L (Plans) OK except #'s 1�F�xt. Steps -Door & Sidelight Protection -Landings 6P,8moke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - Garage; Above Floor -Ducts -Mach. Protection 4. droom Exiting S_QrF.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels Stairs & Rails fireplace or Stove; Clearances -Hearth 9.EJec. Outlets at Wood Panel; Int. & Ext. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance moo. Outlets & Receptacles at Kit. Counter 2. Garage Fire Door; Swing -Landing -Closer uct m arage-!Tamper 1 -72f. -Mr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 5. I Elec. & Mech. Equip. Listed for Location Elec. Receptacles in Garage; (G. F.I.)-Romex Protec. . nsulation-Foam-Looked in Attic ❑ Yes G rd Rails & Deck Construction -Post Caps Fdn. Vents & Crawl Hole Door-DrainageWood-Earth Clearance Looked under Floor 80. Following instld.; Drives ❑ No; Walks ❑ Yes X o; Planters o Yes o - inis 2. A.C. Unit; Disconnect, Electrical, Plumbing ents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground T-KVentilation throughout H use 1�17 Glass Protection .. Lt _;;o ­U 1JMnQaabeTeAWeters Tagged; Gas -Electric c-9 . Water & Sewer Connected -C/O to Grade -HD Approval Card -B `?Xj Date j��7 Card -81 Date 0i. Energy Compliance Certificate -Other Certificates [..l 92. Roofing Certificate Card -B1 Date Card -131 Date Card -131 Date Card -B1 Date Card -B1 Date Card -81 Date Date FRAMING (Plans) OK except #'s Card -81 Q Date Card -131 Date 9.,Sills, Proper Material & Anchors �9,-Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Comments at Final: X41. gearing Walls over Girders & Floor Nailing -is ;-1 Draft Stop in Walls (rat proof) 4 ire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearing (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 E I I iott Road, Parad I se — Phone:. 872-6307 CORRECTION NOTICIE 7 A routine inspection indicates. that the. foilowing violations of County Ordinance exist at -the above address and should be corrected. Please notify this office when correction of work is - completed. If you have any question pertaining to this matter,. or need additional explanation, please contact this office Immediately. Inspector- Date OWN 171 6 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive. Orovi Ile — Phone: 538-7541 W 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE PERMIT NO. A routine inspection Indicates that the following violations of County. Ordinance exist at the above address and should be corrected. Please notify this office when correction of work Is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office Immediately. Inspector. Date ' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS r 7 County Center Drive - Oroville. California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER Q ZO ,/ BUILDING PERMI OWNER CZJ'1-5-3�� TELEPHONE �p SO. FT. OCC. BUILDING V LUATION O 90 OWNER'S MAILING ADDR 5 ,,/ z.cv 0A, 4."8.06 -'141D A c 6o CONTRACTOR'S NAME - ft -a L _ TELEPHONE SW -6 06 k. q t. CONTRACTOR'S MAILING AOD2� S 1-56 Vie- 2!/ %� 146 Cj Ow. J Fireplace ()d---� CONSTRUCTION LENDER UNKNOWN Total Valuation j $ 6110 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ g Energy Plan Checking Fee $ 5 —�— ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS v fee Permit $ '— PLUMBING PERMIT Filing Fee 10.00 - Each Trap 7 2.00 / C� Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PAP -GEL MAPS f 3— �l Water piping 5.00 S Each qas water heater or vent 5.00 USE OF STRUCTURE SFDuplex❑ Mobilehome❑ Other IV SPECIFY Gas piping system 1 - 5 outlets 5.00 5 Building sewer 5.00 Mobile Home S I G I WO.00ea TYPE OF WORK NewAddition❑ Remodel❑ Utilities❑ Installation[] Other Describe work: 3 a2 Permit Fee $ -- Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service GOOV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50-�-'�y_ CONTRACTORS LICENSE LAW I declare u der penalty of perjury (Check one): am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. '��%��SI� Classification FII, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OC; P m , OR ADDNS. ACC. BLDGS.� /20SQ ft NEW CONSTR TI.OUTLET 2,50 ea NON-RESID BRANCH CIRCUITS) POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex. OCCU OUTLETS OR FIXTURES 200501 P eAL990 FIXED Ex. OCCUp. OUTLETSP(RESID )REA.) 1 2.00 Temporary service 10.00 / Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. [Zj,et`have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating 60,000 30 Cooling dl� Hood 3.00 Ventilation 44Ec4ji l 300 3 I permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save,'indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. J_11 %� tzT,_�(„ �� Date &Z_c2�O—�� Signature 6 Applicant — Owner ❑ Contractor GEJ/*29ent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures overG3 In height. Mobile Home Installation Fee $ Energy Inspection Fee $ .._---- TOTAL P RMIT FEE $�� O CUP. CONST. PE Ll SCNOOL FLo PARCEL PD ND 59U This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By -Date PEFJArT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS ���� n stories / Receipt No. 7 (o % `�� WNITK-D.P.W.. YELLOW -ASS( SOR, PINK -INSPECTOR. GOLDENROD -APPLICANT I / i COUNTY OF BUTTE - DEPARTMENT"OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 a PERMIT APPLICATION DATA SHEET Permit No. Az OWNER %+F2c A. P, o. _ �1r !�O Proposed Building Use' NeA Se Building Inspector ✓ Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have,been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions....�.�l............................................ . Fees of $ 10. Chico Urban Area fees paid ........................................ kl'1. Par fes paid................................p.................... 1 School District fees aid ................. 3. Sad ation approval from clezx11' t Health Department ... 14. City of Chico plumbing permit ...................................... 15. Plot plan and business license approval from City of / (see City for other requirements.) Z16. Planning approval for (A) Use: (B) Parking: ......... 7. Improvements may be required. 18. Driveway permit (construction approval required prior to occupancy) ... o� f 19. Pre -Inspection for required . , , , Pre-Inspen req r o t id `. p q •Building Inspector (Date) 20. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance .................... 2. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ........ — 23. Recorded copy of Agricultural Acknowledgment Statement ............ 4. Letter of aturethorization.................................. 74W25. 26. When you issue the permit, process as follows: Mail'to owner. Mail to contractor. Telephore 0 and hold for pickup at office. Deliver w/inspector. Other ° Applicant `�%��a���- 41 4fG..:– Date f Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance* (Cir le new i em Inc ecked 4bove). 1. Index permit for above items No. 2. Additional items required: ' ontract , designer, owner, was advised of above required data by -4 phone�naiI—counter by� date �0 actor, designer, owner, was advised of above required data by—phone —ma II—counter by date Plans checked by Date Plans approved by— Date Sets of plans on hold in File cabinet AP folder Copy—DPW TO Buildina Department FROM: Environmental Health SUBJECT: Sanitation Clearance r Owner Lqcation AP# Plan Approved for: Sewage Disposal Water S pply., U Hold final for: Final clearance,O.*K. for: Clearance for 3 bedroom mobil4�)- NOTE * * * Sanitarian Water Supply Water Supply Other TO: Building Department FROM: Encroachment Permit Section .RE: Driveway Clearance owner ealuone/ locktion AP # m ' A/e, ,,X��' has b n issued for the above property. Driveway per it — -4 e date si ature Ri�tur n to DPW H AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Ser,tion 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. The property described herein is adjacent Q Personally known to me. - to land or included within an area zoned of satisfactory evidence. for agricultural purposes, and- residents e9-029730 Rec Fee 7.00 of this property may be subject to incon- - Check 7.00 veniences or discomfort arising from the Recorded . ; NELLIE N WRALSTAD use of agricultural chemicals, including, but not limited to herbicides, Of f i cia 1 Records County of ; . NOTARY PUBLIC - CALIFORNIA pesticides, and- . fertilizers; and from the pursuit CandaceuJ to CONTRA COsrA Cnt;NTY of agricultural operations including, Grubbs' Re corder ; My comm. expires 1`113 4, 1991 but not limited to cultivation plowing, 10:38am 8 -Aug -89 ; ; spraying, pruning, and harvesting which 2 occasionally generate dust, smoke, noise, and odor. Butte County -has, established agricul- tural zones which have as a priority use for within said zones and on adjacent property productive agricultural should be prepared to purposes, and residents or disconform from normal, necessary farm operations. accept such inconvenience All that real property situate in the County follows: of Butte, State of California, described as Date: July 17, 1989 State of CALIF. ) SS. County of CONTRA COSTA PROPERTY WNERS: On this the 17th day of JULY , 1989 before me, the undersigned Notary Public, personally appeared ARTURO P RAMIREZ AND SARA P RAMIREZ Q Personally known to me. �] Proved to me on the basis of satisfactory evidence. to be the person(s) whose name(s) ARE ✓`"�"""'" - subscribed to the within instrument and acknowledged that THEY -^ = xecuted the same for the OFFir ; n 1. �1 Ai EREOF, I hereunto purposes therein contained. IN WTTNLSS NELLIE N WRALSTAD set my hand and official seal. NOTARY PUBLIC - CALIFORNIA CONTRA COsrA Cnt;NTY My comm. expires 1`113 4, 1991 Present A. P. No. Notary Public _ . ...,..T .,v ArYNOWLEDGEMENT Parcel 2,.. a s shown on that certain Parcel Map being a Section 11, Township 18 North, Range 5 East, M.D.B. & the office of the Recorder, County of Butte, State of September 25, 1975 in Book 53 of Parcel Maps, at pages portion of the M., filed in California, on 53 and 54. TOGETHER WITH AND RESERVING THEREFROM a 60.00 foot easement for road and public utility purposes located in Sections 2 and 11, Township 18 Nvx-i4a, slangy zi r-_ u 2 A.I.D*Do c7. 1:., uu%'%. r-- ticularly described as follows: A strip of land 60.00 feet. in width lying 30.00 feet on each side of the following described centerline: BEGINNING at a point in the centerline of Swede's Flat Road (County Road) that bears South 30 50' 27" East, 688.68 feet frog the center of, said Section 2; thence from said point,. the following courses: South 19c, 40' 49" East, 172.61 feet; South 320 23' 53" West, 206.42 feet; South 5Q 41' 50" East, 325.51 feet; South 11 05' 22" East, 1348.46 feet; South 0� 36' 18" West, 1323.87 feet; thence North 890 17' 59" East,. 1109.37 feet to a point; thence, the following courses: North 190 211-2211 East, 119.88 feet; North 51� 17' 13" East, 118.32 feet; North 00 25' 35" East, 1150.11 feet to a point in the North line of said Section 11 • thence on. and along said North line, North, 88i, 45' 03" East, 1193.60 feet; thence leaving said North line, North 43.. 45' 03" East, 62.10 feet to a point in the East line of said Section 2, being the point of termination of this line. ALSO TOGETHER WITH AND RESERVING THEREFROM an easement for road and public utility purposes, lying 30 feet on each side of the following described centerline: Beginning at the Northwest corner of the above described parcel of land; thence North 88- 45' 30" East,. along the Northerly boundary line of said Northwest quarter of the Northeast quarter of said Section 11,1236.22 feet to the Northeast corner and the end of said line. T 0 N O _J 5/89 RESIDENTIAL PLAN CHECKING.GU.IDE -(S F.,', DUPLEX & MISC. ONLY) Bldg. Permit # o�S. OWNER Z /f e A.P. # /% —/D GENE L o 'ng requirements: .(sideyar.ds and number..of permitted living units). luation. 941.ans signed b designer. g Y g nergy Design and Compliance:. Existing violations -on -property. 6'. Items on data sheet. PLOT PLAN Complete parcel size and dimensions. t. Setbacks, sideyards, easements, etc. ther buildings or structures. Grading, fills, drainage. ::-�_`Sspecial lood hazard. conditions on creation map or compliance document. FAU & FAS road setback. FLOOR PLAN .d . Complete to scale plan with dimensions. On<kequired windows for light and ventilation (Sec. 1205). C`3: Required windows for second exit (Sec. 1204). �:' skylights (Chapter 34 & Sec. 5207). Z. --Human impact glass (Seca 5406). `6. Required room sizes, ceiling heights (Sec. 1207). CIs in baths, garage., and exterior outlets (Article 210=8). , t Light fixtures, switches, receptacles, and exterior receptacles for maintenance mechanical equipment. Locations of water heater, heating and cooling equipment, other electrical or as equipment, and plumbing fixtures. rage firewall, door size, and closer (Sec. 503(d)(3)). - - 3'0" exterior exit,door (Sec. 3304(e)). (Y2: Fireplace and wood stove location, alcoves, and clearance. Smoke detectors (Sec. 1210). STRUCTURAL DETAILS Foundation plan -complete enough to construct building. L21�' Floor construction details complete enough to construct building. 1g! Elevations and wall construction details complete enough to construct building. L4 --Roof construction details complete enough to construct building, ,5-.-- Fireplace construction details and talcs if necessary. MISCELLANEOUS ITEMS TO LOOK OUT FOR tairway details: landings, rise and run, head clearance, handrails (Sec. 3306). Guardrail details (Sec. 1711 & 3306(j)). —Brick or stone veneer (Chapter 30)*. w 5/89 RESIDENTIAL PLAN CHECKING'GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONY D) --+�-Exterior plaster - weep screeds (Sec. 4706). b5r"� Proper roof pitch for Chapter 32). (,� oof covering type -7�after ties or bearing ridge beam. �. Garage door or porch header sizes. (Adequate bracing. -It Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. _kT__1Wo exits on three-story dwellings (Sec. 3303 & see Mezannines - 1716). LIS."ic access and ventilation (Sec. 3205). �'� erfloor access and .ventilation (Sec. 2516). L4. Combustion air for fuel burning appliances. --17a-. Noise requirements on duplexes. A -Cf Adobe soils - special foundation design. 1-wI7�Retaining walls requiring design. �'Gnusual shape, size, or split level house requiring lateral design. 49 -'Flashing at all exterior openings. W. „E Owner Permit No. ENERGY CERT IF ICAT ION 195 Stoney Oaks Blvd., Oroville, Ca. LOCATION 1 A.P. No. 'DESCRIPTION OF INSULATION ROOF Material Thicknees(inches) EXTERIOR WALL Material Fiberglass batts Thickness(inches) 6" CEILING Batt or Blanket Type Thickness(inches) Loose Fill- Typit F i hp-nI as-, Minimum Thickneal(Inclies) 12 3/4" Area covered(ft. ) "1520 FLOOR, ELEVATED Material Fiberglass batts Thickness(inches)_ 6a" FLOOR, SLAB Material Thickness(inches) Width(inches) FOUNDATION WALL Material Thickness(inches) Brand Name Thermal Resistance (R Value) Brand Name Owens-Corning Thermal Resistance(R Value) R19 Brand Name Thermal Resistance(R Value) Brand Name_ ntmpnc-Cnrning Number of Bags 22 Wt. per bag 31.5 lb. Thermal Resistance(R Value) R30 Brand Name Owens-Corning Thermal Resistance(R Value) R19 Brand Name Thermal Resistance(R Value) Brand Name Thermal Reeistance(R Value) I hereby certify that the above insulation was installed in the above"building in conformance with the State of California Energy Requirements. Loerke'Insulation Co. 499150 FIRM NAME/OWNER STATE CONTRACTORS LICENSE NO. eZY3 November 15, "1989 Sli(itkTURE OF INST LA.TION APPLICATOR DATE I hereby certify --the above insulation and all required items as shown on the Building"Department approved plans and attachments have been installed as - required by the State of California Energy Requirements. All equipment, devices and materials are of the quality prescribed or are specifically approved by the State of California. FIRM NAME/OWNER (Please print) STATE CONTRACTORS LICENSE NO. / �--7 *IT+1ZF GENERAL CONT CTOR OWNER DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FIN" INSPECTION APPROVAL. AND A COPY SHALL BE POSTED WITHIN TUE BUILDING. '�> January.,,t1984 i 1. Ceiling Insulation 4� Single - -46 Number of stories Family R -value One Two Three R-0 -103 -49 32 R-19 -8 -4 .2 R-30 .2 -1 .1 R-38 0 0 0 U -value U -value -6 -3 0.50 -176 -84 -54 0.30 -102 -49 32 0.10 -26 -13 -8 0.08 -18 -9 -6 0.06 -11 -54 3 0.04 -4 -2 �1 0.02 4 2 1 0.00 11 5 3 2. Wall Insulation 3. Raised Floor Insulation Insulation in Floor Single- Single - -46 R -value Family Family Multi - R -value Detached Attached Family R-0 -68 -51 -34 R-11 0 0 0 R-13 2 2 1 R-19 8 6 4 U -value -6 -3 .2 -0.80 -153 -114 -76 0.50 -91 -68 -46 0.30 -47 -36 -24 0.10 0 0 0 0.08 4 3 2 0.06 9 7 5 0.04 14 11 7 0.02 19 14 10 0.00 24 18 12 3. Raised Floor Insulation Insulation in Floor 0.60 -144 Number of stories -46 R -value One Two Three R-0 -17 -8 -5 R-11 3 -2 -1 R-19 0 0 0 R-30 3 1 1 U -value -11 -6- -4 0.60 -144 -70 -46 0.50 -120 -58 38' 0.40 -95 -46 30 0.30 ' -69 34 .22 0.20, -43 -21 -14 0.10 -17 -8 -5, 0.08 -11 -6- -4 0.06 -6 -3 .2 0.04 ' .1 0 0 0.02 4 2 1 0.00 10 5 3 Controlled Ventilation Crawlspace -4 3 -1 Number of stories .1 R -value One Two Three R-0 -11 -7 -5. R-5 -4 -4 3 R-11 .2 -2 -2 R-19 .1 4 .2 4. Slab Edge Insulation 4 40 -90 Number of Stories -26 R -value One . Two Three R-0 0 0 0 R-5 8 5 2 R-7 8 6 3 F2 factor 0.90 -4 3 -1 0.80 .1 =1 0 0.70 2 2 1 . 0.60 6 4 2 0.50 9 6 3 0.40. 12 8 4 5. Infiltration (Air Leakage) Spedfieation Points Stu, d 0 6. Glass Heat Loss Total F1reWYe Percent Clay. Slab Floor Raised Floor Efrective Percent Gliisv U -value . Percent Masa (percent Qla= x SC) .51 to .41 to .31 to 0.30 or Glass Single Double .60 .50 .40 less 50 -121 -53 -39 -24 -10 4 40 -90 37 -26 -14 3 8 35 -75 -29 -19 -9 1 - 10 30 -61 -21 -13 -4 4 12 29 -58 -20 -12 3 5 12 28 -55 -18 -10 -2 5 13 27 -52 -17 -9 -2 6 13 26 -49 -15 -8 .1 7 14 25 -46 -14 -7 0 7 14 24 43 -12 -5 1 8 14 23 -40 -11 -4 2 8 15 22 37 -9 3 3 9 15 21 34 -7 .2 4 10 15 20 31 -6 0 5 10 16 19 -29 -4 1 6 11 16 18 -26 3 2 7 12 16 17 -23 -1 3 8 .12 17 16 -20 0 4 9 13 17 15 -17 1 6 10 14 17 14 -14 3 7 10 14 18 13 -12 4 8 11 15 18 12 -9 6 9 12 15 19 it -6 7 10 13 16 19 10 3 9 11 14 17 19 9 -1 10 13 15 . 17 20 8 2 12 14 16 18 20 7. Shading (Shade Open) F1reWYe Percent Clay. Slab Floor Raised Floor Efrective Percent Gliisv Stan x SC) Stories Effect Masa (percent Qla= x SC) Attached Effective One %Glass North Ess %Glass North East South . West Skylight 18 5 1 4 1 na 16 4 2 5 1 na 14 4 2 5 1 na 12 3 3 5 2 na 11 3 3 5 2 na 10 2 3 5 2- 1 9 2 3 5 2 2 8 2 3 5 2 2 7 1 3 4 2 2 6 1 3 4 2 3 5 1 2 4 2 3 4 0 2 3 1 3 3 0 1 2 1 3 2 0 0 1 0 3 1 -1 -1 -1 -1 2 0 -1 -2 -4 -2 0 na = not allowed -1 -9 1 & Shading (Shade Closed) 9. Interior Thermal Mass" Interior F1reWYe Percent Clay. Slab Floor Raised Floor _(peet-mt Stan x SC) Stories Effect Masa Stories Attached ICFA One %Glass North Ess Sttuth West Sky & 18 -14 .48 -69 -64 na 16 -12 .42 -59 -55 na 14 -10 35 -50 -46 na 12 -6 -29. -40 37 na 11 -7 -26 36 33 na 10 -6 -23 31 -29 -74 9 -5 -20 . -27 -25 -65 8 -5 -17 -23 -21.. -56 7 -4 -14 -19 -18 -47 6 3 -11 -15 .14 38 5 -2 -9, -11 -10 -30 4 -1 -6 -8 -7 -23 3 0 4 . -5 -4 -16 2 1 -1. 72 -1 -9 1 1 1 1 1 -4 0 2 3 4 3 0 9. Interior Thermal Mass" Interior Single- Slab Floor Raised Floor Mass Family Stories Multi Masa Stories Attached ICFA One Two Three One Two Three 0.0 -8 -5 -4 -2 -1 .1 0.1 -8 -5 3 -1 0 0 0.3 -7 -4 .2 0 1 1 0.5 -6 3 -1 1 1 2 0.7 -5 -2 -1 1 2 2 0.9 -5 -1 0 2 3 3 1.1 -4 -1 ' 1 3 4 4 1.3 -3 0 2 3 4 5 1.5 -3 1 .2 4 5 5 20 -1 2 4 5 6 7 25 0 3 5 7 7 8 3.0 1 4 6 8 8 9 3.5 2 5' 7 9 9 10 4.0 3 6 8 9 10 10 4.5 3 7 8 10 11 11 5.0 4 7 9 it .12 12 5.5 5 8 9 11 12 12 6.0 5 8 10 12 13 13 6.5 6 9 10 12 13 13 7.0 6 9 11 13 13 14 7.5 6 10 11 13 14 14 8.0 7 10 11 13 .. 14 14 8.5 7 10 12 13 14 15 10. Exterior Wall Thermal Mass Exterior Single- Single - Sum of 1-6 Wall Family Family Multi Masa Detached Attached Family 0.00 0 0 0 0.20 0.40 3 5 2 4 1 3 0.60 8' 6 4 0.80 1.00 10 13 8 10 5 7 1.20 13 12 8 1.40 12 13 9 1.60 10 13 11 1.80 10 12 12 200 10 11 13 i 11. Heating System SE or KSPF (assumes ducts In attic) Zonal Control Adjustment System Type Resistance 10 9 7 6 4 3 Other .- 6 5 4 3 2 2 Sum of 1-6 _ .25 or -24 to -14 to -4 to +6 to 16 or SE HSPF less -15 -5 +5 +15 more 0.72 6.60 0 0 0 0 0 0 0.75 6.88 3 3 3 2 2 1 0.80 7.33 8 7 6 5 4 3 0.85 7.79 13 11 10. 8 7 5 0.90 8.25 17 15 13 11 9 7 0.95 8.71' 20 18 15 13 11 8 Effective SE or HSPF (SE or HSPF x duct.efiiciency) Effective -25 or -24 to -14 b -4 to +610 16 or SE HSPF iess -15 -5 +5 +15 more 0.30 275 -73 -64 -56 -47 -38 -30 na 3.41 -45 -39 -34 -29 -24 -18 0.40 3.67 -34 30 -26 -22 -18 -14 0.50 4.58 -10 -9 -8 -7 -5 -4 0.56 5.13 0 0 0 0 0 0 0.60 5.50 5 5 4 3 3 ,. 2 0.70 6.42 17 15 13 11.. 9 7 0.80 7.33 25 22 19 16 13 10 0.90 8.25 32 28 24 20 17 13 1.00 9.17 37 32 28 24 19 15 Zonal Control Adjustment System Type Resistance 10 9 7 6 4 3 Other .- 6 5 4 3 2 2 yt 1116 Mandatory Measures Checklist: Residential MF•111 NOTE: L.owrise residential buildings subject to the Standards must contain these tneaswes regrdless of the compiiutct approach used. Items marked with an asterisk (') may be superseded by more stringent compliance rc 6rPments fitted on the Certificate of Compliance- Wben this checklist is incorporated into the permit documents, the features 006011 shall be considered by all parties as binding minimum component perfomuarrce specifr+tims for the mandatory measures - whether they are shown elsewhere in the documents or on this checklist only. DESCR1Pf10H I DESIGNER I ENMRCEAtn Building Envelope Measures §2-5352(x): Minimum ceiling insulation R-19 weighted avenge. §2.5352(b): Loose fill insulation manufacturer's labeled R -Value - §2.5352(c): Minimum wall insulation in framed walls R-11 weighted average (does not apply to exterior mass walls). §2.5352(k): Slab edge insulation - water absorption rate no greater than 03%. water vapor transmission rate no greatex than 2.0 perrn/mch- §2-5311: Insulation specified or installed meets California Energy Commission (=quality standards. Indicate type and form. §2.5352((): Vapor barriers mandatory in Climate Zones 14 and 16 only. §2-5317: Infiltration/Exfrltration Controls a. Doors and windows buween conditioned and unconditioned spaces designed to limit air leakage. b. Doors and windows cuufied. c. Doors and windows weatherstripped; all joints and penetrations caulked and sealed §2.5352(e): Special infiltration barrier installed to comply with 12-5351 masts CEC quality standards. §2.5352(d): Installation of Fireplaces 1. Masonry and factory -built fireplaces have a Tight fitting, closeable metal or glass door b. Outside air intake with damper and control c flue damper and control 2. No continuous burning gas pilots allows& HVAC and Plumbing System Measures 62-5352(g) and 2-5303: Space conditioning equipment siring: attach calculations. §2.5352(h) and 2-5315: Setback thermostat on all applicable heating systerns- §2-5316(x): Ducts constructed, installed and insulated per Chapter 10. 1976 UMC. §2.5316(b),- Exhaust systems have damper controls. 12.5314(e): Gas-fired space heating equipment has intenninent ignition devices. §2-5314: HVAC equipment. water heaters. showerbeads and faucets certified by the CEC. 12-5352(1): Water heater insulation blanket (R-12 or greater) orcombined interior/exterior insulation (R-16 or greater); first 5 fees of pipes closest to tank insulated (R-3 or greater). §2-5312(Exception 1): Pipe insulation on steam and steam condensate return & recirculating piping. §2-5318(d): Swimming Pool Heating 1. System has: a. On/off switch on heater. b. Weatherproof instruction plate on heater. e. Plumbed to allow for solar. 2. 75 percent thermal efficiency. 3. Pool cover. .4 * 4, Time clock. 5- Directional water inlet. Lighting and Appliance Measures §2.5352(j): Lighting - 25 lumens/watt or greater for general lighting in kitchens and bathrooms. §2.5314(e): Gas fired appliances equipped with intermittent ignition devices. 12-5314(a): Refrigerators, refrigerator -freezers, freezers and fluorescent lamp ballasts certified by the CEC- Indicate make and model number. COMPLIANCE STATEMENT This certificate of rmpliance lists the building featmres and performance specifications needed to comply with Title 24; Chapter 2-53 and Title 20. Chapter 2. iapter 4. Article 1 of the California Administrative code- This certificate has been signed by the individual with overall design responsibility and the building owner. who shall retain a copy of it and transmit the certificate to any subsequent purchaser of the building. . Designer Nano TakJFum- Address: Telephone J M (sign dam). Documentatlon Author Building Owner Name: TitkJFrm: Telephone: (signature) (date) Enforcement Agency Name: Nuns Titte/Firm, Agenry: Certificate of Compliance: Residential Climate Zone 11 Project Title AIX Building Permit # Pro Address �/ .5412tv O (�5 ��+C ,p Checked By I Date Documentation Author Telephone Enforcement Agency Use Only Gl BUILDING DATA ass ea 9b Glass _ North �- Condid Area - Number of Stories % Feast Slab sed Floor Number of ,Units South C� . jn El Sl amily Detached ( (] Addition Alone West '3 ( ] Single Family Attached (SFA) [ ] Existing Building Skylight �_ [ ] Multi -Family (MF) [ ] Existing -Plus -Addition Total �T ,� BUILDING SHELL INSULATION Component Insulation Location/Comments Type R -Value (attic. to garage, typical. eta.) Wall .............. Wall .............. Roof .............. A2 ?Ar-,_ Roof ............. Floor ............. Iq Floor ............. Slab Edge ..... GLAZING Shading Devices Glazing Area Glass Type Interior Exterior Overhang Framing Type Orientation (SO (single. double) (roller blind. etc.) (shadewreen. etc.) (yeshto) (metal/wood) North ( ) North ( ) East ( )� East < ) South ( ) d _ South ( ) West ( ) West ( ) Skylight....... THERMAL MASS Type/Covering Area Thickness (stab/exposed, tile, etc.) (SO (inches) Location/Description(kitchen. bath, etc.) HVAC SYSTEMS Minimum Duct Type (furnace, air Efficiency Location Duct Output Manufacturer / Model # conditioner, heat tem) (SE, SEER.HSPF) (attic. etc.) R -Value tuh or approvedequal) %;R u C!7 V " Maximum Fumace Heating Output: Btuh HOT WATER SYSTEMS Tank Manufacturer/Model # Svstem Tvoe (storaee eas. etc.) CaDacity (or avoroved equal) Soecia] kure(s) ni Mandatory Measures Checklist: Residential MF -IR 1 NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the comPliar- approach used. Items marked with an asterisk (•) may be superseded by more stringent compllarce mquuUitnti fisted 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. DESCR MON Building Envelope Measures • §2-5352(a): Minimum ceiling insulation R.19 weighted avenge. §2.5352(by Loose fill insulation manufacturer's labeled R -Value. 42-5352(c): Minimum wall insulation in framed walls R-11 weighted average (does not apply to catch or mass walls). §2-5352(k),. slab edge insulation - water absorption rate no greater than 03%. water vapor transmission rate no greater than 2.0 perm/inch. §2.5311: Insulation specified or installed mats California Energy Commission (CEC) quality standards Indicate type and form. §2-5352(f): Vapor barriers mandatory in Climate bones 14 and 16 only. 12.5317: Infiltration/Eafiltration Controls a Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Doors and windows certified. c. Doors and windows weatherstripped. all joints and peactrations caulked and sealed §2-5352(e): Special infiltration barrier installed to comply with 12-5351 meets CEC quality standards. §2.5352(d): Installation of Fireplaces 1. Masonry and factory -built fueplacts have: a Tight fitting, closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and control 2. No continuous burning gas pilots allowed. HVAC and Plumbing System Measure §2-5352(8) and 2-5303: Space conditioning equipment siring: attach calcuhtions §2.5352(h) and 2-5315: Setback thermostat on all applicable Dealing systems. 12-5316(a): Ducts constructed, installed and insulated per Chapter -10. 1976 UMC. §2-5316(b): Exhaust systems have damper controls §2-5314(c): Gas-fired space heating equipment has intermittent ignition devices. el §2-5314: HVAC equipment, water heaters. showerheads and faucets certified by the CEC. 12.5352(1): Water heater insulation blanket (R-12 or greater) or combined interior/exterior insulation (R-16 or greater): fust 5 fat of pipes closest to tank insulated (R-3 or greater). L §2-5312(Exception I): Pipe insulation on steam and steam condensate return dt recirculating piping. §2-5318(dy. Swimming Pool Heating 1. System bas. t a. On/off switch on heater. t b. Weatherproof instruction plate on heater: t c. Plumbed to allow for solar. 2 75 percent thermal efficiency. 3. Pool cover. 1 4. Time clock. S. Directional water inlet. Lighting and Appliance Measure 12-53526): Lighting - 25 lumcns/wait or greater for general lighting in kitchens and bathrooms. §2.5314(c): Gas fired appliances equipped with intermittent ignition devices. §2.5314(a): Refrigerators. refrigerator -freezers, freezers and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. COMPLIANCE STATEMENT DESIGNER I ENFORCEMENT This certificate of compliance lists the building features and performance specifications needed to comply with Title 24. Chapter 2-53 and Title 20. Chapter 2. Subchapter 4. Article I of the California Administrative code. This certificate has been signed by the individual with overall design responsibility and the building owner. who shall retain a copy of it and transmit the certificate to any subsequent purchaser of the building. Designer Nath Addrem- Telephone: tic. #: (signature) (date) Building Owner Name: TidclFrm: Address: Telephone: (signature) (date) V Documentation Author Enforcement Agency SPECIAL FEATURESIREMARKS (Add extra sheets if necessary) ; A ,. 1. Ceiling Insulation SC Eff. % Glass X Number of stories U -value R -value One Two Three R-0 -103 -49 32 R-19 -8 _ d -2 R-30 -2 -1 -1 R-38 0 0 0 U -value -26 -14 3 1 0.50 -176 -84 -54 0.30 -102 -49 32 0.10 -26 -13 -8 0.08 -18 -9 -6. 0.06 -11 -5 -4 0.04 -4 -2 -1 0.02 4 2 1 0.00 11 5 3 -15 -8 -1 2. Wall Insulation 25 , -14 Single- Single - 7 1 24 Family Family Multi - R -value Detached Attached Family R-0 -68 -51 -34 R-11 0 0 0 R-13 2 2 1 R-19 8 6 4 U -value 20 31 -6 0:80 -153 -114 -76 0.50 -91 -68 -46 0.30 -47 -36 -24 0.10 0 0 0 0.08 4 3 2 0.06 9 7 5 0.04 14 11 7 0.02 19 14 10 0.00 24 18 12 7 10 14 1 3. Raised Floor Insulation -12 4 Insulation in Floor 11 15 1 12 Number of stories 6 R -value One Two Three R-0 -17 -8 -5 R-11 3 -2 -1 R-19 0 0 0 R-30 3 1 1 U -value 8 2 12 -- - 0.60. 144 -70 46 0.50 -120 -58 38 0.40 -95 -46 30 0.30 -69 34 .22 0.20 -43 -21 -14: 0.10 -17 -8 -5 0.08 -11 -6 -4 0.06 -6 -3 -2 0.04 -1 0 0 0.02 4 2 1 0.00 10 5 3 Controlled Ventilation Crawlspace 1 1 Number of stories 1 R -value One Two Three R-0 -11 -7 -5 R-5 -4 -4 3 R-11 -2 •2 -2 R-19 -1 ? -2 -2 4. Slab Edge Insulation 7.33 ' 'Number of Stories T R -value One Two . Three R-0 0 0 0 R-5 8 5 2 R-7 8 6 3 F2 factor 21 Solar (SE or HSPF x duct efftdency) 0.90 -4 3 -1 0.80 -1 -1 0 0.70 2 2 1 0.60 6 4 2 0.50 9 6 3 0.40 12 8 4 5. Infiltration (Air Leakage)- Specifimbon Points Standard 0 6. Glass Heat Loss Total SC Eff. % Glass X Unit Size (SO U -value Percent North East .51 to .41 to .31 to 0.31 Glass Single Double .60 .50 .40 le 50 -121 -53 -39 -24 -10 1 40 -90 37 -26 -14 3 1 35 -75 -29 -19 -9 1 - 1 30 -61 -21 -13 -0 4 1 29 -58 '-20 -12 -3 5 1 28 -55 -18 -10 -2 5 1 27 -52 -17 -9 -2 6 1 26 -49 -15 -8 -1 7 1 25 -46 -14 -7 0 7 1 24 -43 -12 .5 1 8 1 23 -40 -11 -4 2 8 1 22 -37 -9 -3 3 9 1 21 34 -7 -2 4 10 1 20 31 -6 0 5 10 1 19 -29 -4 1 6 11 1 18 -26 3 2 7 12 1 17 -23 -1 3 8 12 1 16 -20 0 4 9 13 1 15 -17 1 6 10 14 .1 14 -14 3 7 10 14 1 13 -12 4 8 11 15 1 12 -9 6 9 12 15 1 11 -6 7 10 13 16 1 10 3 9 11 14 17 1 9 -1 10 13 15 17 2 8 2 12 14 16 18 2 7. Shading (Shade Open) Effective Percent Glass (percent Stan x SC) ) or 1s I 3 2 2 3 3 t 4 4 5 i 5 5 i i 7 7 7 3 3 3 3 3 Effective SC Eff. % Glass X Unit Size (SO 9. Interior Thermal Mass' ' %Glass North East South West Skylight 18 5 1 4 1 na 16 .4 2 5 1 na 14 4 2 5 1 na 12 3 3 5 2 na 11 3 3 5 2 na 10 2 3 5 2 1 9 2 3 5 2 2 8 2 3 5 2 2 7 1 3 4 2, 2 6 1 3 4 .2 3 5 1 2 4 2 3 4 0 2 3 1 3 3 0 1 2 1 3 2 0 0 1 0 3 1 -1 -1 -1 -1 2 0 -1 -2 -4 -2 0 na = not allowed 13 6.5 6 9 10 12 f6. Shading (Shade Closed) 13 7.0 6 Efradve Peremt Glass 13 14 7.5 owmit fit+/ x SC) 14 14 8.0 7 10 11 13 14 %Glass North Elul South West M760 18 -14 -48 -69 -64 na 16 -12 -42 -59 -55 na 14 -10 35 -50 -46 na 12 -8 -29 -40 37 na 11 -7. -26 36 -33 na 10 -6 -23 31 -29 -74 9 -5 -20 -27 -25 35 8 -5 -17 -23 -21•. -56 7 -4 -14 -19 -18 -47 6, 3 -11 -15 -14 38 .5 -2 . -9 -11 -10 -30 4 -1 3 -8 -7 -23 3 0 -4 -5 -4 -16 2 1 -1 -2 -1 -9 • 1 1 1 1 1 -4 0 2 3 4 3 0 12. Cooling Systam SC Eff. % Glass X Unit Size (SO 9. Interior Thermal Mass' ' SEER = �24 Interior 12M Slab Floor Raised Floor Mass In attic) Stories Stories Credit /CFA One Two Three One Two Three 0.0 -8 -5 -4 -2 -1 -1 0.1 -8 -5 3 .1 0 0 0.3 -7 . -4 -2 0 1 1 0.5 -6 -3 -1 1 1 2 . 0.7 -5 -2 -1 1 2 2 0.9 -5 -1 0 2 3 3 1.1 -4 -1 1 3 4 4 1.3 -3 0 2 3 4 5 1.5 -3 1 2 4 . 5 5 20 -1 2 4 5 6 7 25 0 3 5 7 7 8 3.0 1 4 6 8 8 9 3.5 2 5 7 9 9 10 4.0 3 6 8 9 10 10 4.5 3 7 8 10 11 11 5.0 4 7 9 11 12 12 5.5 5 8 9 11 12 12 6.0 5 8 10 12 13 13 6.5 6 9 10 12 13 13 7.0 6 9 11 13 13 14 7.5 6 10 11 13 14 14 8.0 7 10 11 13 14 14 8.5 7 10 12 13 14 15 10. Exterior Wall Thermal Mass -2 Exterior Single- Single - 0 0 0 Wall 0 Family Family Mule 8 6 Mass 4 Detached Attached Family 0.00 14 12 0 0 0 5 0.20 22 3 2 1 10 0.40 11.0 5 4 3 15 0.60 8 8 6 4 26 22 0.80 14 10 8 5 .33 1.00 20 13 10 7 14 1.20 5 13 12 8 8 7 1.40 4 12 13 9 No Cooling System Installed 1.60 3.3 10 13 11 4 1.80 2 10 12 12 POU 200 5 10 11 13 2 11. Heating System None -45 -23 -15 SE or HSPF -9'' 7-2 Solar (assumes ducts In attic) 1 1 0 0 Sum of 1-6 HWR .23 -12 -8 _ -25 or -24 to -14 to -4 to +6 to 16 or SE HSPF less -15 -5 +5 +15 more 0.72 6.60 0 0 0 0 0 0 0.75 6.88 3 3 3 2 2 1 0.80 7.33 8 7 6 5 4 3 0.85 7.79 13 11 10 8 7 5 0.90 8.25 17 15 13 11 9 7 0.95 8.71 20 18 15 13 11 8 -10 -8 Effective SE or HSPF 21 Solar (SE or HSPF x duct efftdency) 9 Effective -25 or -24 to -1410 -4 to +610 16 or SE HSPF less 45 3 +5 +15 more 0.30 275 -73 -64 -56 -47 -38 -30 na 3.41 -45 -39 -34 -29 -24 .18 0.40 3.67 -34 -30 -26 -22 -18 -14 0.50 4.58 -10 -9 -8 -7 -5 -4 0.56 5.13 0 0 0 0 0 0 0.60 5.50 5 5 4 3 3 2 0.70 6:42 17 15 13 11 9 7 0.80 7.33 25 22 19 16 13 10 0.90 8.25 32 28 24 20 17 13 1.00 9.17 37 32 28 24 19 15 3.1 Zonal Control Adjustment 3.5 System Type 4.2 4.4 4.6 Resistance 10 9 7 6 4 3 Other 5.9 6 5 4 3 2 2 12. Cooling Systam SC Eff. % Glass X Unit Size (SO t. d SEER = �24 1109 12M 1700 (assume. ducts In attic) Heater Credit or Sum of 7-10 to to or - Type -25 or -24 to -14 In -4 in +6 to 16 or SEER less -15 -6 +5 +15 more 8.0 -14 -12 -10 -8 -6 -4 8.5 -9 -7 -6 -5 -4 -3 8.9 -5 -4 -4 -3 -2 -2 9.0 -4 3 -3 -2 -2 -1 9.5 9 0 0 0 0 0 10.0' 4 3 3 2 2 1 10.5 7 6 5 4 3 2 11.0 10 9 7 6 4 3 120 15' 13 11 9 7 5 13.0 20 17 14 12 9 6 -13 -12 Effective SEER -7 -6 IG (SEER x dud efficiency) -3 -2 -2 Sum of 7-10 20Y. Solar 7 Effective -25 or -24 to -1410 -4b +610 16 or SEER less -15 -6 +5 +15 more 5.0 30 -25 -21 -17 43 .9 6.0 -12 -11. -9 -7 -6 -4 6.6 -5 -4 -4 3 -2 -2 7.0 0 0 0 0 0 0 8.0 9 8 6 5 4 3 9.0 16 14 12 9 7 5 10.0 22 19 16 13' 10 7 11.0 26 25 19 15 12 8 12.0 30 26 22 18 14 9 13.0 .33 29 24 20 15 10 14 Zonal Control Adjustment 5 4 10 8 7 6 4 3 3 No Cooling System Installed 2 3.3 Stories One -5 -1 -4 3 -2 -2 Two + 3 3 2 2 2 1 Single -Family Detached and Attached SC Eff. % Glass X Unit Size (SO t. d Water = �24 1109 12M 1700 2200 2700 Heater Credit or In to to or - Type Type less 1699 2199 2699 more SG None 0 0 0. 0 0 or Solar 12 8 6 5 4 HP -HWR 8 .5 4 3' 3 WSB 5 3 3 2 2 POU 8_ 5 4 3 3 SE None -37 -24 -18 -15 -12 Solar -1 -1 -1 0 0 HWR -13 -12 -9 -7 -6 WSB -25 -16 -12 -10' -8 POU -13 -12 -9 -7 -6 IG None -5 -3 -2 -2 -2 20Y. Solar 7 5 4 3 2 55% POU 3 2 1 1 1 IE None -2e -19 -14 -11 -9 0.6 Solar 8 5 4 3 3 21 POU -10 -6 -5 -4 -3 ; 3.6 Muld-Family (individual units) 4 4.2 4.4 4.6 . Unit Size (sQ 5 5.3 Water 0.2 699 700 1200 1700 2200 Heater Ore& or b b b or Type Type less 1198 1699 2189 more SG None 0 0 0 0 0 i or Solar 14 7 5 4 3 ` HP HWR 9 5 3 2 2 3.3 WSB 9 4 3 2 2 4.8 POU 9 5 3 2 2 SE None -45 -23 -15 -11 -9'' 7-2 Solar 2 1 1 0 0 17 HWR .23 -12 -8 -6 '-5 5.1 WSB -25 -13 -8 -6 -5 _pQU _23 -12 -8 -6 -5 IG None 48 -4 -3 .2 1-.2 3.2 Solar 6 3 2 1 1 4.7 POU 1 0 0 0 0 IE None -30 15 -10 -8 -6 21 Solar 18 9 6 4 4 3.6 0011 _n -4 -o .9 .1 Point System Summary: Climate Zone 11 SCORE CARD Measures 1. Ceiling Insulation -A ao- or R -value 138 U -value [0.030] 2. Wall Insulation or R -v ue- I 1 f ] U -value (0.098] 3. Raised Floor Insulation R r or R- value (191 U -value [0.037] 4. Slab Edge Insulation 5. Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) a. North b. East c. South d. West e. Skylight 8. Shading (Shade Closed) a. North b. East c. South d. West e. Skylight 9.1'Ihteri8r4Therma1 Mass +. 10'. Exterlo ,Wall Mass 11.+Heat ngSystetm ,tr,-. Zonal,&ntrol? ( Y/ N ) 12. Cooling System Zonal Control? ( Y / N ) 13. Water Heating or R -value (0] F2 factor 10.771 Standard � &4. Ti;[double] U -value [0.65] % Total Glass (16] % Glass SC Eff. % Glass /. x _ 77 .?• X =_ fE a X =� % Glass SC Eff. % Glass X 4 L t. d 3 X = �24 '- -3 X Interior Mass/CFA X _ AMTYPE 1 MASS AREA /II T InteiiorM,� . n►x 2 PWS = � AREA � ' TYPE 2 MASS AREA = % Exterior Wall Maas COND. OR AREA (/3L �p SE or HSPF Duct Efficiency [0.78] Effective SE or [0.72/6.6] HSPF 10.5615. 151 SI (9.5] X Y� Duct Efficiency [0.74] Z�i Effective SEER [7.031 I1.7.ulme-4.214 • TYPE 1 MASS (UM 4.2• !e: exposed slab) Ic.tyet.a .UD) -�- - 0% 6% 10% 15% 20Y. 25% 30% 35% 40% 45Y. 50% 55% 60% "A 70% 75% 80% W. 90% 95% 10D% 105Y. 110Y. l lS% 120% 125' OY. 0 0.2 0.4 0.6 0.8 1.1 1.3 1.5 1.7 1.9 21 23 25 2.7 2.9 3.2 14 3.6 3.8 4 4.2 4.4 4.6 4.8 5 5.3 10Y. 0.2 0.4 0.6 0.8 1 1.2 1.4 1.6 1.9 21 23 25 Z7 2.9 3.1 3.3 3.5 3.7 4 4.2 4.4 4.6 4.8 5 5.2 5.4 20% 0.3 0.6 0.8 1 1.2 1.4 1.6 1.8 2 2.2 24 27 29 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.8 5 5.2 5.4 56 30% 0.5 0.7 0.9 1.1 1.4 1.6 1.8 2 7-2 24 28 2.8 3 3.2 3.5 17 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 5.8 40% 0.7 0.9 1.1 1.3 1.5 1.7 1.9 2.2 24 26 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 50% 0.9 1.1 1.3 1.5 1.7 1.9 21 23 2.5 27 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 55% 0.9 1.1 1.4 1.6 1.8 2 2.2 24 2.6 28 3 3.2 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 5.8 6 ' 6.2 60% 1 1.2 '1.4 1.7 1.9 21 23 2S 2.7 29 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 5 5.2 5.4 5.6 5.9 6.1 6.3 65% 1.1 1.3 1.5 1.7 1.9 22 24 2.6 28 3 3.2 3.4 3.5 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.4 707. 1.2 1.4 1.6 1.8 2 2.2 25 27 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 5.2 5.4 5.6 58 6 6.2 64 75% 1.3 1.5 1.7 1.9 21 2.3 25 2.1 3 3.2 34 3.6 3.8 4 4.2 4.4 4.6 4.8 5.1 5.3 15 5.7 5.9 6.1 6.3 6.5 MY. 1.4 1.6 1.8 2 2.2 2.4 26 2.8 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.0 5.1 5.4 5.6 5.8 6 6.2 64 66 657 1.4 1.7 1.9 2.1 2.3 25 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.6 5 5.2 54 5.6 5.9 6.1 6.3 65 67 901. 1.5 1.7 2 2.2 24 26 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 53 5.5 5.7 5.9 6.2 6.4 66 68 95Y. 1.6 1.8 2 2.2 25 27 2.9 3.1 3.3 3.5 17 3.9 4.1 4.3 4.6 4.8 5 5.2 5.4 5.6 5.8 6 6.2 6.4 6.7 6.9 100Y. 1.7 1.9 21 2.3 2S 28 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 SS 5.7 5.9 6.1 6.3 6.5 6.7 7 105% 1.8 2 2.2 2.4 2.6 28 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 5.6 5.8 6 6.2 6.4 6.6 6.8 7 110Y. 1.9 21 2.3 2.5 27 29 It 3.3 3.6 3.8 4 4.2 4.4 4.6 4.8 5 5.2 S.4 5.7 5.9 6.1 6.3 6.5 6.7 6.9 7.1 115% 2 2.2 2.4 2.62.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.0 5.1 5.3 5.5 5.7 5.9 6.2 6.4 6.6 6.8 7 7.2 120% 2 2.3 2.5 2.7 29 It 3.3 3.5 3.7 3.9 4.1 4.4 4.6 4.6 5 5.2 5.4 5.6 58 6 6.2 6.5 6.7 6.9 7.1 7.3 125% 21 2.3 25 2.8 3 3.2 3A 3.6 3.8 4 4.2 4.4 4.6 4.9 S.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 &1 7 7.2 7.4 Point System Summary: Climate Zone 11 SCORE CARD Measures 1. Ceiling Insulation -A ao- or R -value 138 U -value [0.030] 2. Wall Insulation or R -v ue- I 1 f ] U -value (0.098] 3. Raised Floor Insulation R r or R- value (191 U -value [0.037] 4. Slab Edge Insulation 5. Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) a. North b. East c. South d. West e. Skylight 8. Shading (Shade Closed) a. North b. East c. South d. West e. Skylight 9.1'Ihteri8r4Therma1 Mass +. 10'. Exterlo ,Wall Mass 11.+Heat ngSystetm ,tr,-. Zonal,&ntrol? ( Y/ N ) 12. Cooling System Zonal Control? ( Y / N ) 13. Water Heating or R -value (0] F2 factor 10.771 Standard � &4. Ti;[double] U -value [0.65] % Total Glass (16] % Glass SC Eff. % Glass /. x _ 77 .?• X =_ fE a X =� % Glass SC Eff. % Glass X 4 L t. d 3 X = �24 '- -3 X Wo X _ AMTYPE 1 MASS AREA /II T InteiiorM,� COND. FLOOR = � AREA � TYPE 2 MASS AREA = % Exterior Wall Maas COND. OR AREA (/3L �p SE or HSPF Duct Efficiency [0.78] Effective SE or [0.72/6.6] HSPF 10.5615. 151 SI (9.5] X Y� Duct Efficiency [0.74] Z�i Effective SEER [7.031 Type (SG] Credit [none] Point Scores -12 -t-,f O 0 Sum lb 0 0 ^� ✓� IoM N CnV�{z�=J N.O 0 2f 7. :•.avar . 75�—_+ 3 IL ..fir>'�`_-�� _ _ r� �• � '� � & V J?� Ot+^�� { o� r. G .. 1 1 " a APPROVED Butte County Environmental Health _Z---- te ------ ------- Signature ' zz v- 10.06 [ olNr. of lD.;, +u N:II:n oN Ll•,.. „ arky` rl,. �` J .-•'. �?: �'r ror CNOVO tri nA-u•cN .Y, .:• •a I. J1 1 vi .(••.'sJ�✓lt% � i . r.y .✓ l/ I V ✓ I � IOT [vaD !.. 111 -tM[N .i •^`lt,•t •, 0(`, •f i•Ur.f♦ ,.11 11.1• r1..I )• n )r,q ' VVV • ,•aS V161 III I1.•l•. [• SI•.DY1 L• 1 _ _ N A9' JA'/B'f [( a•t OC l•.� • :I r. ,I }I..t r1.11 .I.:, ,Y 110. 1s:/B'E' •_ _ ., �:,if.� :7tJDf%" '' CaNICIa rl.11t Muff •( I.fTAII[0 IN ACCOlO•NCC VITN I / Rlyulet.1 rt Or I. C. Y.O. .CfI0IN Alr.I ..... fINLI! CO, We ••,(rl,l aC.• N 1--„ --- ✓ ' ITSAll r0 IOT A4/ \0 11 [YT1.(D On TN[ JOINT, lIr' TO •IGw, Aro •ll to CxOtO lr. Ir[f O([V.•t,4 •l rYl l• • r Ta TOOTION, [NCCITC VN[N 10CATtD .v C: •CIt or DIKx1IDN. •N(^ r0.rrf ••I IU e, IM•x11 •, •• T•IN•:tl. `-.p/,), Qom•..___- - •1• ttt ouvuc 110 rar T • lA [ aa.r 164.1 oY nrlal JolRn.• :NnmD wm o((u• .,,,, s•Nrrn ,o r. 1. o - O wa•:r:ca°oN�l ., i-o•sl 'r r.o,,...N, •.,r r.,u. 1 . baaw mord -.d to olrsr IC'. I— .n,w 1 ,.• •• r•. •••. .r r , `. I , •�I p• X 0. b% 0,Nt 416 5X5 I .SXv � 2.5%v /� \� 5X6 1.514 -, � P(N - � l,' .. :.•(. •.m�� 1 �%h �Ii 219\\ -_. I "r,arl�ft ;t''. T'.li •'IbJ. y, .1IrC'i"'}.fi(•'.i.•,.'A�:�C.?.:r°,,�;.r''�.i.!:�,N7�.',rf+" �,/-\X9 �.._.'-+3V(w�o„+n.r, rya,.,.. , L',.. : A� ii'JF"' �(• •t; 7.514 SXv 11i a.J 't..1'ai: j;�r•..I �S��X r'/--• vyA,'r, (1 \ �.� .5J1 �i r•.` _ Y Y 1� . (o i I • 0 YT ad ) 1'0.0.0 )t- u,M. 1q .vt.»• . n.. •; �:; }1114' d' p� . .0.0-o a z slrYwTs ----�� •` I. / �7 ar TYPE-•ALPI"Eon DursE01-•160116 rlRNl94 A COP[ Oc THIS 0rsla To ECfcrICY CartmCra o m ,�ca scoIII 1;a_T lw , Y[WIN6ir r�.•• / / 4 IC Ll Is.o Psr __/ ';:, t'�,• \ I)Q art ti 0 o ID a ID.O rsr no:lan it'>' •i INC OL S•O Kr I' +1�_.. r�• ti i •_..� o IN 81760 -r; :?owr' .. ( .'t: • 0 4 w V w TDTLO,0 rSr 0/R 4 '0 ."�.• H/1 Y,",••' a ^ y It m m m . rr r UN.FIC.IPITGH 4.0/11 EPIC INC H.0• tYP[ N• - . `• . Jh!. F ' ��r.i.'. \\1 1 !t Q �• r f%••r... --_. _ n. .+•IMT �a Y'wi� -- �•� N,AIWW 0C 24M L -t 0.0E C 07 10.00 11.10 11.71 � .• �CIa qAI ry[r 0L IK IIII[0 IR •Ltjxlpy� RIM - wlgqoEt[ltls 2 (COMPLETE THUS6ES iEOUIRED I�r1l► IOA rOf0�l0�1 l�Lk°It�r(.tLK�IDn OrJC IRR[L�IOI,OEIN6114p. ND rtop s[ �Oii 1188 YI IN:--:1�: ;s ^E[ to, 130 FOR '/LAI[ LOCA Ir.S 0. IVPI[4L JOlhls. - ,g:_ 0 31a[i[T[0 V ror : --"....;._.... �• D.f: •i SFallf LVI 110 --m 1 ;a fam: I., 'all: (II 1/(' of A. r.#U SOL q1 Q %RftIM[D TOR 1[I •1640 _ILO ER ElorrO• Cr00 Oltr, ALL Eonor ppp NL ICSs OCCUF`w BErREEN °'/1'AE,lVro1r0E AIS ro Q[ LanrO I .wnm,l,,. TEL, nr0 0] R wt REEK 10641(0 to LUPIOIr• 1.111 LE+OM raw Il ,•O,Yr ,.: rrrlN tI'I •r.l FRM Slls. t0• Dr ppr•. ,=I- f0 IK 001 U.71AD rqT OCC%" IR 164+813 K41 10 A PA,fy WIRE SRIC(. [IYr (rr0 �I CSL4W'0 a ODf°/LI Ep 0� LyD OM ADS MI w YL NAILS I•ECIPIID US COw:O1 WIFE He ILS. r01 tYw(C TEN Ralf O(lIV.O 14 rF1C+ 1tN,Or9 64[0 MDS ' TWAII K LC11RLllt �YL C�O •(1M _qLV C"MCICO, foti O, U. F%!L JattO of L WAS Aln. r y x•• O.C. - e•eY1llw fw 1.•O.O VwAw .l H• O.C. 4 r( ►riW tt•+., alw•w LM. Sla w1•!q C•wFl ler Wly .Sw1llu11wr. J VAM 6Xd - wr 3x6 33%9 7_%B .. •�' �� 7116 , •.a 7x6 2%8 7X6 9xB MOR axe •��� ' ---:10-D-O OYERt •� G� a.ml. w 1. roe 7 SII'Pp110- •• '-T• IA..AIIJ,! 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O.C. - - ', It 1.9 At SPORSISILIIY of 1+C It IF_AY 61516.14 an ?Ross aI41C.Ip 10 69Y1fV YNIf SA.YI •G Pala 10 (.f T IN/ tl4 TS 114111 l-1 .11 I.M. IKCYSI.0 Rlrr.tlMt "N' 16401. ipCalaR8 TO TNC NACNITICI04AL PLASf1SFCCIFICA110./ Amp I.IAICAIa•s ' I..&% tA10Yt. /I w �:dI 4xn /V,' � 13! I OD L W z.sxn 2.5x4 I, I.r• -20-CM OWER x m o o m m m ..IIIPONrRnt.•:;;' 0 om o � 00 �i o 0 �0008om TC ll CC CL MI: OL G Y1.•1L•iTA1- - �.� 17 CROPS INC, IIa.LNCY .I • ,r CRISIS INC /la•tNCN fTNWO sc t•La L -S. 1.1E 1.441 14.46 17.19 - - �• 164CCI0. PLAM MST of INSTALLED .1. ACCSWKI PITY IoulaL.[As Or I.C.S.O. SISCAACN at raT �tt10. TAVtY SIf ICAsO VIT. {OY.L I..11l NTuace Iasi" IN" a sCIA CPIs YRLI{s OT.(aVISC No let. '7 3'etai(I Net 10 at C(.11a(o O. lot 401.T, Fill TO 614.7 640 , 0 TO 0071M. 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FURNISH a COPT Or n41i1Rs101''fSlfllrctl/1 t'artaR(lu • ay.•.iw ♦N AgE TIWT64 rAW _• t K IQ.p r� n1'.Ao.1. - w � m sractR[ z..r a ( s I w 7Se co, -1,,q oll�l Al - APPROVED Butte County lmenta Meath lite C) 1 C7 10i���!` ;7A - /7 US/ ae r-7 -11, � JZ S' 57',0 -l -'Y i Al - APPROVED Butte County lmenta Meath lite C) 1 C7 10i���!` ;7A - /7 US/ ae r-7 -11, � JZ S' 57',0 -l -'Y �1 w I 0 I I - - --- x I f V - I cts CD 459 I—E =3 gg® 0 I