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HomeMy WebLinkAbout030-080-022030-080-022 P MIT#97-2147 OLRY, Scott i; -/I O -P / 11'p19F 1682 Sweem St., Oroville Add 2 Bedrooms & Conv Laundry to Bath/SF y � a RESIDENTIAL ' 030-080-022 PERMIT#97-2147 OLRY, Scott ! PERMIT NC.— { 1682`Sweem'St.; Oroville -i 1 Add 2 Bedrooms & Conv Laundry to PERMIT EX;1 •a',— _ I r.f �BatYi:/dSF- � �+ OWNER ONTR. ASSESSOR PARCEL LOCATION. / //Vi' 1 ii +t A OFFICE COPY r t } Temp. Power Pole ; > i Called PG&E r Temp. Elec. Service Celled PG&E ,. Temp. Gas Service / t; Called PG&E / j JOB FINALED (Date) Signature �i 4 R t. � V=OK , w 0 = Not OK _NottApplicable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements - Setbacks - Easements 2. Soils; Special MH Support Sketch 3. Sewer, Location-Test-Fall­C)O Concrete 4. Water, Location -Test -Easement Needed (Sketch) . 5. Electricity; Location-ClearancesSmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap; / ttft / /Nat or/ /VfL/ /LPG 7. Well Clearance & Disconnect 8. Utility Clearance 'MISCELLANEOUS Date DECKS, CQVERSi CARPORTS, GARAGES (Plans) OK except #'s t. Zoning RequirgmentsSetbacks-Easements 2. Footings; Soits-Size-Dep"pacng-ConnectorsSteel 3. Docks; Girders and/orJoists-DeckirTg-BracingStairs-Rails .-4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-R!B,Bracing - ' 5. Alum. Awn.;.Columns-ConnectionsSplice-0ecal-Enclosures 6. Carports; Windows -Doors 7. Electric 8. Fnng.;Sils-AnciwrsS.tuds-Rffrs-Trusses Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK ZMt #'s 1. Zoning Requirements- Setbacks Easements 2. Footings; SizeSpacng-Marriage Line Date 3. Gas; MH Test )emand-Value-Connector Date 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/0 to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert of Occupancy 12. Permanent Foundation Only: License Decal 8. Elec.;•Grounding; Equip. w/S Circulating Equip.-Pool•Lghtg. Boxes-Enclosures-Panelboards4ns. to Main in Conduit Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 'MISCELLANEOUS Date DECKS, CQVERSi CARPORTS, GARAGES (Plans) OK except #'s t. Zoning RequirgmentsSetbacks-Easements 2. Footings; Soits-Size-Dep"pacng-ConnectorsSteel 3. Docks; Girders and/orJoists-DeckirTg-BracingStairs-Rails .-4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-R!B,Bracing - ' 5. Alum. Awn.;.Columns-ConnectionsSplice-0ecal-Enclosures 6. Carports; Windows -Doors 7. Electric 8. Fnng.;Sils-AnciwrsS.tuds-Rffrs-Trusses 9. Sidirtg; Miling-VenewStucco-Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Lendings 12. Braced Wall,Panels Date Card B-1 Date Card B-1 Date -Card B-1 Date Card B-1 Date POOLS-(PIan 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, Distance-GFI 5. Elec.; Pool'Lighting; 15Vohs-GFl 6. Elec.; Enclosures; Conduit Entries-Terminals-Usted 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;•Grounding; Equip. w/S Circulating Equip.-Pool•Lghtg. Boxes-Enclosures-Panelboards4ns. 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 ✓ = OK 0 NotbK- RESIDENTIAL - = Not Applicable = Not Ready Date D FLOOR (Plans) OK except #'s gSetbacks-Easments-FloodSlope Ftg., Main; Soils-Elec. Gmd.-/• Ftg. Depth 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ p Ftg. Depth 4. Ftgq. P rches & Decks; SoilsSteel-/ N Fig. Depth emwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors . . Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel g -Test -2 Way C/0 -Sewer Test iie Anchors - Yard Gas Piping; Size Test Test-Anchors-RegulatorService Test 12. Electric Underground --1a-Bierwms & 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's -r Card B-1 Date Card B-1 Date PLUMBING Permit OK except #'s 1 . ter Htr.; V -A ombustion Ai B 1 ater P!M, ch all Pro o WV. e n chor ail ProtecU 20. Shower Pan; est, First oor--Tub ccess 21. Test ub & Shower, Second Floor -Tub Access as Pipe; Sixe & Anchors Date Card B-1 _ Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s g" Transformer Clearance -Ins. Protection ..,Receptacles Spacing -Lights & Switches at Doors oxes & No. of Conductors Stapled mex Installed Close to Edge of Studs & C.J. quip. Ground made up w/Mech Fastners-Bond Gas & Water pliance Circuts in Kitchen & Conductor Size GFI ❑e Size / / ga. Cu or AI-A.C!Wire Size / / ga Cu or AI ! ga Cu or AI -Ovens uc. / / ga Cu or AI Neutral I] Yes IIX Wme-32: Eauip. Clearances Panels -Motors -Meeh. EDuio. Z!Clothes Closet Light -Shower Light -Spa Light gPlm-le Detector Date i Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.0 cts'lnsulation & Support ent dn, Exhaust above insulation V. C ndensate Drain & Overflow, Size & Grade )OFFurnance-Vent Access -Comb. Air -Return Air Vent 115 outlet Attic Access & Platform if Furnace in Attic Date -X6 --q S Card B-1 ifJ5 Date Card B-1 Date Card B-1 X&7 Date Card B-1 Date ^AMING (Plans) OK except #'s .sits Proper Materials & Anchors s Studs -Nailing Spacing & Braces -Plates -Sound Bearing Walls over Girders & Floor Nailing 43 D op in Walls (rat proof) "r ps, Furred Ceilings -Stairs -Chasers -Tubs iC eaders & Beams -Size & Bearing (Single & Duplex) Date FRAMING (Continued) 46. gers-Post Caps -Anchors -Connectors Cling. Joist Rftr Ties-Purlin-roll Brac.-Truss-Shting.-Rfng. at clearance EPJ i -; HAss; ss; Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 5 a penings - t . Ext. rs-One 3 -Check Garage 3rd Story, 2 Exits Plywood on Roof Overhang -Attic Vents -Rafter Outriggers jOeSiding-Nailing Veneer en s- s Glazing Area -Glass Protection -Skylights -Plastic ce Interior / Exterior Wall Panels 1. Insul ' n -Walls -Ceilings " nfiltration-Walls-Windows Date ).� Card B-�Jj Date - Card B-1 Date 1,1YO Card B-1 90 Date Card B-1 Date FINAL (Plans) OK except #'s -. xt Steps -Door & Sidelight Protection -Landings moke Detector clearance -Comb, Air-Conector- I arage; Above Floor -Ducts -Meeh. Protection _tfiC Bee reom Exiting WI-G.F.I. & Bath Fixtures & Tub Access -Spa nel, Breaker Sizes & Labels ai s - Clearance -Hearth 44 -•frets at Wood Panel, Int. & Ext. . pliance; Ground. -Air Gap -Cooking Clearance u s e ticales at Kit. Counter e Fire Door; Swing -Landing -Closure A.C. Duct in Garage -Damper :Clearance -Comb. Air Connector-P.R.V. In­gamg2-AS�ve Floor -Meth. Protection Iff-Plb., Elec. & Mech. Equip. Listed for Location -7&-f1§U.-RFM1pbcles in Garage (G.F.I.)-Romex Protection nsulation Foam -Looked in Attic rai FrDeck Construction -Post Caps &Uefdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under FloorY s 82� Following Instld./Drive 0 Yes @,Ko/Walks 0 Yes 0 No/Planters Q Yes 0 No ow - finish Bissermect, Electrical -Plumbing Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings nnect, Electrical, Plumbing „87-'Ex"r Elec. Trim, G.F.I. Receptacle -Underground 4B"entilation Throuaht House -8T JGKss Protection . Corrections from Previous Inspections • 0+. G TTemtot2t€rs Tamed, Gas -Electric Connected -C/0 to Grade -HD Approval Compliance Certificate -Other Date and 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: a., -- —,.. COUNTY OF BUTTE _ BUILDING DIVISION DEPARTMENT OF DEVELOPMENT_SERVICES =_ 411 Main Stil •Chico, CA • (530i8'91-2751 7 County. Center Drive • Oro v.Ile, CA • (530) 538-7541 rt` f w CORRECTION NOTICE 7 II � � ,• � 7 57 OWNER PERMIT NO. i A routine in ection indicates that the following violations of butte county Ordinances exist at the above a ress and should be corrected. Please` notice this office when correction of work is comp ed. If you have any questions pertaining to this matter, or need additional explanation, pie" econtact this office immediately, HtV 10/V2 COUNTY OF BUTTE BUILDING DIVISION T 'DEPARTMENT OF DEVELOPMENT SERVICES 4401, Main Street, Chico, CA - (916) 891-2751. 7 Cofunty Center Drive, Oroville, CA - (916) 538-7541 fA OWNER PERMIT NO. J. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and C6uld 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, Date REV 10/92 Inspector ' .. .� Date REV 10/92 Inspector L. ,...i • .... ...xJ`L. -tip: tincr�+'�`5�'f4a't."`�:j �;-s�.;:;.�3•.: i,;,rip�3�m `t COUNTY OF BUTTE BUILDING DIVISION DESARTMENT OF DEVELOPMENT SERVICES 411 Main Street, Chico, CA - (916) 891-2751• 7 County Center Drive, Oroville, CA - (916) 538-7541 r r CORRECTION NOTICE mrarA AVANUM OWNER f PERMIT Nd. :E 1�- 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, F please contact this office immediately. er t, a d Date Inspector REV 10/94/- A _ COUNTY OF BUTTE 11�11 ' BUILDINGDIVISION �66A' RTMENT OF DEVELOPMENT SERVICES 411 Main Street, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 CORRECTION NOTICE r VGrq OWNER PERMIT NO. A routine inspectio .ndicates that the following violations of Butte County Ordinances exist at the above addre and should be corrected. Please notify this office when correction of work is completed. you have any questions pertaining to this matter, or need additional explanation, please cc ct this office immediately. 11.01 7f Date REV 10/92 Inspector �r ..�-':r�a.'r.r::,._':"�..��,.�.ii'..r�x�'�fio�a.-,s v'a� �.��,,..v. ��:,.�.:'Ke-^-.,,.cam..-V -��,r•.. �r...w w^'.,,,�u4,',� COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES g "411 Main Street, Chico, CA - (916) 891-2751• 7 County Center Drive, Oroville, CA - (916) 538-7541 a CORRECTION NOTICE S 7� -7 ;a OWNER PERMIT NO. p<x A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, g please contact this office immediately. i^ 4'X w r LL it • �' �x L yr 'T 'Sa TI, t! i ay m.' k:. §� Date �D f� 9 Inspector C REV 10!92 Insulation Certificate BUILDING OWNER: 7 C 07-rl C'�' ` BUILDING LOCATION • [ (0 Description of Installation BUILDING PERMIT ROOFc—� Material Brand Name Thickness (inches) Thermal Resistance (R -Value) CEILING Batt or Blanket Type�� �A T 1"7 S Brand Name Thickness (inches)a— Thermal Resistance. (R -Value) R Loose Fill Type Brand Name Contractor's minimum installed weight/& lb Minimum thickness inches Manufacturer's installed weight per square foot to acheive Thermal Resistance (R -Value) EXTERIOR WALL rc 'IN Material Brand NameC Thickness (inches) Thermal Resistance (R -Value) RAISED FLOOR Material Brand Name Thickness (inches) Thermal Resistance (R -Value) C�SLAB FLOOR Material Brand Name Thickness (inches) Thermal Resistance (R -Value) Width (inches) r FOUNDATION WALL Ilrand Name Material Thickness (inches) ^",ermal Resistance (R -Value) Declaration I hereby ce ' y that the above insulation was installed in the building at the above location in conformance with the cutrep't�ilding Energy Effi 'ency :der) dards for new residential buildings contained in Title 24 of the California A inistrative Co e. f License Number General Con actor (B , // %/ �/ ' i Y S ignantre and Title Date Sub Contractor (Insulation Installer) Signature and Title License Number Date THIS CERTIFICATE MUST -BE PROVIDED TO THE BUILDING DEPAR'T'MENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. JANUARY 1993 COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION " • 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMITNo. (Rev.12/96) APPLICATION AND PERMIT 07— Q J ASSESSOR PARCEL NUMBER 030-080-022 � ZONING AR BUILDING PERMIT OWNER SCOTT OLRY TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 171 NORTH KAREN AVE CLOVIS, 93612 FqT 1,000.00 CONTRACTOR'S NAME OWNER TELEPHONE ' ^a 's CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS ' Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ 258.50 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 168-00 BUILDING ADDRESS 1682 SWEEM ST Energy Plan Checking Fee $ 0 OROVILLE $ PERMIT FEE $ 469.50 LOT NO. SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF R Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 31 7.00 21.00 Solar or heat pump water heater 1 23.00 Water piping 1 15.00 Each as water heater or vent 15.00 15.00 TYPE OF WORK New ❑ Addition III Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 2 BEDROOM & CONV LAUNDRY TO BATH Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 920.00 PERMIT FEE $56.0 ELECTRICAL PERMIT Fling Fee 20.00 Main Service 20.AORLE. 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.P License Class Llc. 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, Will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service TO 46.00 ccu000A NEW CONST. DWELLING OCCUP. SO DWE200ALLING OR ADD S. ( a ACc. sLs. 3.50F . NON•RES DT NEW CONS.MULCTI-OCU MM LET @7.50 OWER APPARATUS 8 SINGLE OUTLET CIR. 20 00 Ex. Occup. OUTLET OR FIXTURES BAS @';50 Ex. Occup. ouTLEEDTs RESIo.OEn 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirin 23.00 PERMIT FEE _ rR 71; 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. ❑ 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 Policy Number (The above sections need not be completed if the permit is for work of a valuation )� f one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall of employ any person in any manner so as to become subject to workers' compensation laws of California, and'agree that if 1 should become subject to the wor �§, compens 'on pro ' ions of section 3700 of the Labor Code, I shall f hwlth comply w t hose r 'ions. X _ Date la�—�L_ Sig tur p ica t - 0 er ❑ Contr ctor ❑ Agent An OSHA permit is required for excavations ova 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating 60,tie 0 --lay. Cooling1'16 , Hood 6.50 Ventilation 4.50 PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ 46.00 5 CONST. PE TOTAL F $ HAZ. D. E IMP F CDF — PARCEL y Po D ISS This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. e ,(� Date �1- PERMIT EXPIRES ON Da ReceiptNo. 224686 — 271.00 — — WHITE-D.D.S.-B.D. CANARY -ASSESSOR PI 1<4 SP T e GOLDENROD -APPLICANT L7 �_,, , ,� ���:.,�.,�.�„�,�, •rr�'m,.ys�.3r.�; -Za\i. �a—,rwa,ficLi.,,a�„`•�;,iu.y�t„�,�>rN....,,�atr•n.r�=�re�;:,:..r.,�;,�er�t;�;ti•xr�r���x:tai;r!:�A.�>1;1+r+^°ro,.-t� . ""x"�'""!*°•a�:ti,��"i,:�.i, �;*, .''3,11IJ 4 ��..•yt .,ya H.1 , I _.. .. ��/. � .r - ..•. ,. w.... .r .. ..a._.+11oK..�rvt�dl�rr...w� . . .. .. . .aw - s .w.� .. ... .. ...M� ria. 0.. . i t. ._-J.�.._i ,,r�" 1�•J�f�F �wi .L -7•Y,} .. ,r .. T .. _. ! fit Aw 1 Ru fw gar—J ' i 1 � ,•''�"� ;' t•I r Si'\i 'jl �.trj.! j ' .+ r � r -3i: .. i ; t , ,rW Low _ 1 n. int Yp* t '• r v}�E.: 1h c y � •1,. y, .� •. ill . `.>� I - ., L �r K � ,e 1 � � qi. °[+, \' � 5 �- / i ��. di . • a � � J`: U�, , {rJv •I i j • -i,) w fir(;.,_. . "Ea . �� t. �1'�•1". s .., s1j. r nh.. �.),Ci; .. ,• } i ,\�, t}�•�./� a ` / ,, • .i}'w7 i..{ fin,. ^, `I , TA E. ELOPMENTSERVICES - BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT.0,T\D 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 0 PERMIT APPLICATION DATA SHEET OWNERI ✓A. No... a`� Proposed Building Use Building Inspector Date ' O� i 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,pq been submitted . ................... ................. . Plot plansW4 s s, signed by preparer of plans. ...........................//1 -PS-9-7 3. Complete plans, 4 sets, signed by preparer of plans . ..................... ��°7 C= 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. Mobilehom d a d nufa turer',stallation instructions, 2 sets. .......... . 10. Fees of $ p�..•....... _ I. _ 11: Impact fees as shown on attached schedule.`` .... O .ZO ..............A. 12.` California Department of Forestry plan approval/fees....................... 13. Flood elevation letter (100 year floo�alifornia Engineer. . . 14. Sanitation and plot plan approval �I II�� Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. 17. Planning approval for (A) Use: (B) Parking: ....... 1:., 18. Contact Land Development.about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). ... . 20. Pre -inspection for required. .. o e�i,d e'.1. spector (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. X......................................... 28. Mobilehome utility clearance. ......................................... . 29. Documentation of legal access . ...................... 30. Documentation of 50% subdivision developed or (A) Road. improvements -completed and (B) Parcel meets zoning area and frontage requirements : .............. . 31: Existing violations/expired permits . ....................................... 32. Plan check list . .............................................. . 33. 34. Whery�ou issue the permit, process as follows: Mai to ow!l Mail to contractor. W _ Telephon o _ anted Tor pickup at BVI offd Deliver with inspector. Other Parcel Creation 534 2 7 1 r � Acreage ` Applicant Date V V Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution D .• Copy of plans sent Health Dept. Fire Dept. Other L e ,r By The following data must be submitted prior to per i 'ssuance., (Qircje new item not checked ab v 1. Index permit for above items No. 2. Additional items required: Contractor, design r, owner, as advised of above required data byp hone _ ail"' Count r by _'Da Contractor, designe , er, was advised of above required data by _phone _,mail Counte y _ D to Plans checked by Date Plans approved by o�\ ate /%- 7 Sets of plans on hold in File cabinet 9 AP folder Copy - Department of Public Works V { n a BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District. Building Department No. A.P. Number l ,` In _ o7o—�(� jurisdiction: City 6Z County Property Owner dentific treet Address) (City) has complied with the (Floor Plans reviewed 980048 School JD' rict l 1.. representing ' School District Representative School District certifies Ro fed Areas) /V Date \ (Phone Nu (State) (Zip Code) of -Resolution No. D by payment of $ Osquare feet. 11AB 2926 �1 Paid by Check # Remarks: 1IFULL MITIGATION S Notice: You may protest the imposition of the fees identified above by submitti 'g a written protest to the District, in compliance with Government Code Section 66020(a), 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, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (2/97)dmm Property Location/Address (- Subdivision Lot No. Residential Development �Sq. Footage -No of Living Mobile Home Addition (Group R) Units Installation Commercial/Industrial L Sq. Footage New Addition (Including Exterior dentific treet Address) (City) has complied with the (Floor Plans reviewed 980048 School JD' rict l 1.. representing ' School District Representative School District certifies Ro fed Areas) /V Date \ (Phone Nu (State) (Zip Code) of -Resolution No. D by payment of $ Osquare feet. 11AB 2926 �1 Paid by Check # Remarks: 1IFULL MITIGATION S Notice: You may protest the imposition of the fees identified above by submitti 'g a written protest to the District, in compliance with Government Code Section 66020(a), 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, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (2/97)dmm RESIDENTIAL PLAN CHECKING GUIDE SINGLE FAMILY, DUPLEX AND MISCELLANEOUS ONLY OWNER: BUILDINGPERNUTNUMBER: PLAN CHECKER. e��W 10 A. P. NUMBER: GENERAL: Zoning requirements: (side yards and number of permitted living units). Valuation. Plans signed by designer. Proper description of work on application. Existing violations on property. Items on data sheet, (Impact Fees, Environmental Health, Developer Fees, etc.). Recorded notice of violation. PLOT PLAN: r.Flood omplete parcel size and dimensions. etbacks, side yards, easements, etc. ther buildings or structures. rading, fills and/or drainage. hazard. pecial conditions on creation map (Noise, SA.A., Fire Sp iriklers, Water Tender, Trees, etc.). .A.U. & F.A.S. road setback. uilding or utilities across lot lines (Record form). Complete to scale plan with dimensions. Required windows for light and ventilation (Section 1203). Required windows for second exit (Section 316.4). Skylights (Section 2409 & 2603.7). Glazing in Hazardous Locations (Section 2406). Required room sizes, ceiling heights (Section 310.6). G.F.C.I. in baths, garage, kitchen, wet bar and exterior outlets (N.E.C. 210). Lights, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. Location of water heaters, heating and cooling equipment, other electrical or gas equipment. Garage firewall, door size and closer (Section 302.4). Minimum of one TO" exterior door (Section 1004.6). Fireplace and wood stove location, alcoves and clearance. Smoke detectors (Section 310.9.1). Plumbing fixtures, water closet clearances and shower size. 7URAL DETAILS: Conventional Construction - Unusually Shaped Buildings (Section 2326.5.4). Standard bracing or engineered design (Section 2326.11.3). Clerestory requiring balloon framing and/or engineering. Three story building requiring engineered calculations and plans. Foundation plan complete enough to construct building. Floor construction details complete enough to construct building. Elevations and wall construction details complete enough to construct building. Roof construction details complete enough to construct building. Rafter ties or bearing ridge beam. Fireplace construction details and calc. if necessary. Garage door and/or porch header sizes. Stud heights. Adobe soils - special foundation design. Retaining wails requiring design. Special Inspection requirements. Header size. June 1997 3.2 Stairway details: landings, rise and run, head clearance, handrails (Section 1006). Guardrail details (Section 509). Brick or stone veneer (Section 1403). Exterior plaster - weep screeds (Section 2506). Proper roof pitch for roof covering (Section 1501). Roof.covering type - (fire hazard). Foam insulation - protection. 36" halls and stairways. Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts. Two exits on three - story dwellings (Section 1003). Under: oor access and ventilation (Section 2317.7). Attic access and ventilation (Section 1505). Combustion air for fuel burning appliances - L.P.G. requirements. Noise requirements on duplexes. Energy design. Flashing at all exterior openings.' C.D.F. responsible. area requirements. Automatic Fire Sprinkler Systems (Section 310.10) For Inspection Jacket: -- Flood Hazard/Elevation Certificate SRA Requirements Special Inspection Requirements Automatic Fire Sprinklers . June 1997 3.2 t - 9A TABLE OF CONTENTS TOC Project Title.......... Addition for Olry Date........ 10/10/97 Project Address........ 1682 Sweem St. ******* Oroville *v4.51* 17 - 4R / Documentation Author... Neal Kuopus ******* Building Permit Calctech GAS 1835 South Villa Ave Plan Check Date Palermo, CA 95968 916-534-5066 Field Check Date Climate Zone. ..... 11 Compliance Method...... MICROPAS4 v4.51 for 1995 Standards by Enercomp,•Inc. MICROPAS4 x4.51 File-OLRY3EAD Wth7CTZ11S92 Program -TOC User#-MP1320 User-Calctech Run -Existing & Addition TABLE OF CONTENTS Report Page FORM CF -1R................ 1 FORM MF -1R ................ 4 FORM C -2R ................ 6 FORM•C-3R ................. 9 HVAC SIZING ............... 13 COUNTY �4 BUIG- I a de'EPA! +T ECH, CERTIFICATE OF COMPLIANCE: RESIDENTIAL • Page 1 CF -1R Project Title.......... Addition for Olry Date........ 10/10/97 ******* Project Address........ 1682 Sweem St. Oroville *v4.51* Documentation Author... Neal Kuopus ******* Building Permit Calctech 1835 South Villa Ave Plan Check Date Palermo, CA 95968 916-534-5066 Field Check/ Date Climate Zone.. ..... 11 Compliance Method...... MICROPAS4 v4.51 for 1995 Standards by Enercomp, Inc,. MICROPAS4 v4.51 File-OLRY3EAD Wth-CTZ11S92 Program -FORM CF -1R User#-MP1320 User-Calctech Run -Existing & Addition GENERAL INFORMATION Conditioned Floor Area..... 1041 sf Building Type .............. Single Family Detached Construction Type ......... Existing Plus Addition Building Front Orientation. Front Facing 270 deg (W) Number of Dwelling Units... 1 Number of Stories.......... 1 Floor Construction Type.... Raised Floor Glazing Percentage......... 9 % of floor area Average Glazing U -value.... 0.75 Btu/hr-sf-F BUILDING SHELL INSULATION Component Frame Cavity Sheathing Insul Assembly Type Type R -value R -value R -value U -value Location/Comments Floor Wood R-0 R-0 R-0 0.096 TO CRAWLSPACE Wall Wood R-13 R-0 R-13 0.077 FRONT, RIGHT, BACK LEFT Door n/a R-0 R-n/a R-0 0.330 FRONT ENTRY LEFT DOOR Wall Wood R-13 R-0 R-13 0.085 TO HWH CLOS. Roof Wood R-19 R-19 R-38 0.025 FLAT CEILING S1abEdge n/a R-0 R-n/a R-0 0.550 SLAB EDGE SlabEdge n/a R-0 R-n/a R-0 0.720 SLAB EDGE FENESTRATION # of Interior Over - Area U- Pan- Shading/ Exterior hang/ Framing Orientation (sf) Value es Description Shading Fins Type Window Front (W) 32.0 0.750 2 Drapes.Std None Yes Metal Window Right (S) 25.0 0.750 2 Drapes.Std None None Metal Window Back (E) 16.0 0.750 2 Drapes.Std None None Metal Window Left (N) 16.0 0.750 2 Drapes.Std None Yes Metal Window Left (N) 4.5 0.750 2 Drapes.Std None .None Metal CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 2 CF -1R Project Title.......... Addition for Olry Date........ 10/10/97 MICROPAS4 v4.51 File-OLRY3EAD Wth-CTZllS92 Program -FORM CF -1R User#-MP1320 User-Calctech Run -Existing & Addition THERMAL MASS Area Thickness Type Exposed (sf) (in) Location/Comments S1abOnGrade Yes 18 3.5 Exposed S1abOnGrade No 423 3.5 Covered HVAC SYSTEMS Minimum Duct Duct Thermostat Equipment Type Efficiency Location R -value Type Furnace 0.730 AFUE None R-0 Setback Evaporative 11.00 SEER None R-0 Setback WATER HEATING SYSTEMS Number Tank External in Energy Size Insulation Tank Type Heater Type Distribution Type System Factor (gal) R -value Storage Gas Standard 1 0.62 EF 40 R-0 SPECIAL FEATURES/REMARKS No ductwork at Existing & Addition R-0 Existing floor insulation per Form 3 Slab -on -Grade Addition floor construction R-13 Existing & Addition wall insulation per Form 3s R-38 Existing & Addition ceiling insulation per Form 3 Glazing U -values per MFR'S. NFRC Testing & Certification Alum. frame dual -pane clear glazing req'd. at Existing & Addition FAN.WALL.73: 0.73 AFUE wall furnace to replace existing unit EVAP.00OL: 3.2 x 1041=3331.2 cfm. min. cooler req'd. EVAP.COOL: provide continuous ridge/gable vents per CEC req'ts. HWH: A.O.SMITH FGR -40 or equal req'd. CERTIFICATE OF COMPLIANCE: RESIDENTIAL • Page 3 CF -1R Project Title.......... Addition for Olry Date........ 10/10/97 MICROPAS4 v4.51 File-OLRY3EAD Wth-CTZ11S92 Program -FORM CF -1R User#-MP1320 User-Calctech Run -Existing & Addition COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with Title -24, Parts 1 and 6 of the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the individual with overall design responsibility. When this certificate of compliance is submitted for a single building plan to be built in multiple orientations, any shading feature that is varied is indicated in the Special Features/ Remarks section. DESIGNER or OWNER Name.... Scott Olry Company. Owner Address. 839 Thermolito Ave. Oroville, CA 95965 Phone... (916) 589-1909 License. Signed.. (date) ENFORCEMENT AGENCY Name.... Title... Agency.. Phone... Signed.. (date) DOCUMENTATION AUTHOR Name.... Neal Kuopus Company. Calctech Address. 1835 South Villa Ave Palermo, CA 95968 Phone... 916-534-5066 Signed.. -Idk .Q, T (dam MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 4 MF -1R Project Title.......... Addition for Olry Date........ 10/10/97 Proiect Address........ 1682 Sweem St. ******* Documentation Author... Climate Zone. ..... Compliance Method...... Oroville *v4.51* Neal Kuopus ******* Calctech 1835 South Villa Ave Palermo, CA 95968 916-534-5066 11 Building Permit Plan Check Date Field Check Date MICROPAS4 v4.51 for 1995 Standards by Enercomp, Inc. MICROPAS4 v4.51 File-OLRY3EAD Wth-CTZ11S92 Program -FORM MF -1R User#-MP1320 User-Calctech Run -Existing & Addition Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (*) may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as binding minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. BUILDING ENVELOPE MEASURES Design- Enforce- er ment *150(a): Minimum R-19 ceiling insulation. 150(b): Loose fill insulation manufacturers labeled R -Value. *150(c): Minimum R-13 wall insulation in framed walls (does not apply to exterior mass walls). R-13 *150(d): Minimum R-13 raised floor insulation in framed floors; minimum R-8 in concrete raised floors. 150(i): Slab edge insulation - water absorption rate no greater than 0.3%, water vapor transmission rate no greater than 2.0 -0b perm/inch. 118: Insulation specified or installed meets CEC quality standards. Indicate type and form. IK - 116 -17: Fenestration Products, Exterior Doors and Infiltration/ exfiltration controls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Manufactured fenestration products have label with certified U -value, and infiltration certification. c. Exterior doors and windows weatherstripped; all joints . and penetrations caulked and sealed 1500-ng): Vapor barriers mandatory in Climate Zones 14 and 16 Y• �A 150(f): Special infiltration'barrier installed to comply with Sec. 151 meets CEC quality standards. 150(e): Installation of Fireplaces, Decorative Gas Appliances and gas logs 1. Masonry and factory -built fireplaces have: a. Closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and control 2. No.continuous burning gas pilots allowed. ��� MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 5 MF -1R Project Title.......... Addition for Olry Date........ 10/10/97 MICROPAS4 v4.51 File-OLRY3EAD Wth-CTZ11S92 Program -FORM MF -1R User#-MP1320 User-Calctech Run -Existing & Addition SPACE CONDITIONING, WATER HEATING AND PLUMBING SYSTEM MEASURES Design- Enforce- er ment 110-13: HVAC equipment, water heaters, showerheads and faucets certified by the CEC. WIL 150(h): Heating and/or cooling loads calculated in accordance ^^^ with ASHRAE, SMACNA or ACCA. 150(1): Setback thermostat on all applicable heating systems.l� 150(j): Pipe and Tank insulation 1. Indirect hot water tanks (e.g., unfired storage tanks or backup solar hot water tanks) have insulation blanket (R-12 or greater) or combined interior/exterior insulation (R-16 or greater). 2. First 5 feet of pipes closest to water heater tank, non - recirculating systems, insulated (R-4 or greater). 3. All buried or exposed piping insulated in recirculating sections of hot water system. 4. Cooling system piping below 55 degrees insulated. 5. Piping insulated between heating source and indirect hot water tank. l'I�IL *150(m): Ducts and Fans 1. Ducts constructed, installed and sealed to comply with UMC sections 601 and 603; ducts insulated to a minimum installed value of R-4.2 or ducts enclosed entirely within conditioned space. 2. Exhaust fan systems have backdraft or automatic dampers. 3. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated.dampers.� 114: Pool and Spa Heating Systems and Equipment 1. System is certified with 78% thermal efficiency, on-off switch, weatherproof operating instructions, no electric resistance heating and no pilot light. 2. System installed with: a. At least 36 inches pipe between filter and heater for future solar heating. b. Cover for outdoor pools or outdoor spa. 3. Pool system has directional inlets and a circulation �^1 pump time switch.J� 115: Gas-fired central furnace, pool heater, spa heater or household cooking appliance have no continuously burning pilot light (Exception: Non -electrical cooking appliance with pilot < 150 Btu/hr.) . LIGHTING MEASURES Design- Enforce- er ment 150(k): 40 lumens/watt or greater for general lighting in kitchens and rooms with water closets; and recessed ceiling fixtures IC (insulation cover) approved. COMPUTER METHOD SUMMARY Page 6 C -2R Project Title.......... Addition for Olry Date........ 10/10/97 Project Address........ 1682 Sweem St. Oroville *v4.51* Documentation Author... Neal Kuopus ******* Building Permit Calctech 1835 South Villa Ave Plan Check Date Palermo, CA 95968 916-534-5066 Field Check/ Date Climate Zone. ..... 11 Compliance Method...... MICROPAS4 v4.51 for 1995 Standards by Enercomp, Inc. MICROPAS4 v4.51 File-OLRY3EAD Wth-CTZ11S92 Program -FORM C -2R User#-MP1320 User-Calctech Run -Existing & Addition MICROPAS4 ENERGY USE SUMMARY Special Energy Use Standard Proposed Compliance (kBtu/sf-yr) Design Design Margin Space Heating.......... 14.96 13.27 1.69 Space Cooling.......... 16.00 10.19 5.81 Water Heating.......... 18.30 16.97 1.33 Total 49.26 40.43 8.83 *** Building complies with Computer Performance *** GENERAL INFORMATION Conditioned Floor Area..... Building Type .............. Construction Type ......... Building Front Orientation. Number of Dwelling Units... Number of Building Stories. Weather Data Type.......... Floor Construction Type.... Number of Building Zones... Conditioned Volume......... Footprint Area ............. Ground Floor Area.......... Slab -On -Grade Area......... Glazing Percentage......... Average Glazing U -value.... Average Ceiling Height..... 1041 sf Single Family Detached Existing Plus Addition Front Facing 270 deg (W) 1 1 ReducedYear Raised Floor 1 8328 cf 1041 sf 1041 sf 441 sf 9 % of floor area 0.75 Btu/hr-sf-F 8 ft BUILDING ZONE INFORMATION Floor # of Vent Special Area Volume Dwell Cond- Thermostat Height Vent Area Zone Type (sf) (cf) Units itioned Type (ft) (sf) HOUSE Residence 1041 8328 1.00 Yes Setback 2.0 n/a COMPUTER METHOD SUMMARY Page 7 C -2R Project Title.......... Addition for Olry Date........ 10/10/97 MICROPAS4 v4.51 File-OLRY3EAD Wth-CTZllS92 Program -FORM C -2R User#-MP1320 User-Calctech Run -Existing & Addition Surface OPAQUE SURFACES Area U- Insul Act Solar Form 3 Location/ (sf) value R-val Azm Tilt Gains Reference Comments HOUSE - Existing 0 1 Floor 600 HOUSE - New TO CRAWLSPACE 2 Wall 188 3 Door 20 4 Wall 231 5 Wall 72 6 Wall 224 7 Wall 242 8 Door 18 9 Roof 1041 Surface HOUSE - New 10 S1abEdge 11 S1abEdge Surface HOUSE - New 1 Window 2 Window 3 Window 4 Window 5 Window Surface HOUSE - New 1. Window 4 Window 0.096 0 n/a 0 No FC.0.2X6.16 TO CRAWLSPACE 0.077 13 270 90 Yes DWS13.2X4.16 FRONT 0.330 0 270 90 Yes None FRONT ENTRY 0.077 13 180 90 Yes DWS13.2X4.16 RIGHT 0.085 13 180 90 No GW.13.2X4.16 TO HWH CLOS. 0.077 13 90 90 Yes DWS13.2X4.16 BACK 0.077 13 0 90 Yes DWS13.2X4.16 LEFT 0.330 0 0 90 Yes None LEFT DOOR 0.025 38 n/a 0 Yes R.38.2X6.24 FLAT CEILING PERIMETER LOSSES Left Fin Length F2 Insul Solar (ft) Factor R-val Gains Location/Comments 4 0.550 R-0 No SLAB EDGE 62 0.720 R-0 No SLAB EDGE FENESTRATION SURFACES # of Vent Area Pan- Frame Open (sf) es Type Type SC SC Interior U- Act Glass Int Shading/ value Azm Tlt Only Shade Description 32.0 2 Metal Slider 0.750 270 90 0.88 0.78 Drapes.Std 25.0 2 Metal Slider 0.750 180 90 0.88 0.78 Drapes.Std 16.0 2 Metal Slider 0.750 90 90 0.88 0.78 Drapes.Std 16.0 2 Metal Slider 0.750 0 90 0.88 0.78 Drapes.Std 4.5 2 Metal Slider 0.750 0 90 0.88 0.78 Drapes.Std OVERHANGS AND SIDE FINS Window— Overhang Left Fin Right Fin— Area Left Rght (sf) Hght Wdth Dpth Hght Ext Ext Ext Dpth Hght Ext Dpth Hght 32.0 4 4 1.2 0.9 n/a n/a n/a n/a n/a n/a n/a n/a 16.0 4 4 1.2 0.9 n/a n/a n/a n/a n/a n/a n/a n/a COMPUTER METHOD SUMMARY Page 8 C -2R Project Title.......... Addition for Olry Date........ 10/10/97 MICROPAS4 v4".51 File-OLRY3EAD Wth-CTZllS92 Program -FORM C -2R User#-MP1320 User-Calctech Run -Existing & Addition THERMAL MASS Area Thick Heat Conduct- Surface Mass Type (sf) (in) Cap ivity R -value HOUSE - New Location/Comments 1 S1abOnGrade 18 3.5 28.0 0.98 R-0.0 Exposed 2 S1abOnGrade 423 3.5 28.0 0.98 R-2.0 Covered HVAC SYSTEMS System Type Minimum Duct Duct Duct Efficiency Location R -value Efficiency HOUSE Furnace 0.730 AFUE None R-0 1.000 Evaporative 11.00 SEER None R-0 1.000 WATER HEATING SYSTEMS Number Tank External in Energy Size Insulation Tank Type Heater Type Distribution Type System Factor (gal) R -value 1 Storage Gas Standard 1 0.62 40 R-0 SPECIAL FEATURES/REMARKS No ductwork at Existing & Addition R-0 Existing floor insulation per Form 3 Slab -on -Grade Addition floor construction R-13 Existing & Addition wall insulation per Form 3s R-38 Existing & Addition ceiling insulation per Form 3 Glazing U -values per MFR'S. NFRC Testing & Certification Alum. frame dual -pane clear glazing req'd. at Existing & Addition FAN.WALL.73: 0.73 AFUE wall furnace to replace existing unit EVAP.COOL: 3.2 x 1041=3331.2 cfm. min. cooler req'd.* EVAP.COOL: provide continuous ridge/gable vents per CEC req'ts. HWH: A.O.SMITH FGR -40 or equal req'd. CONSTRUCTION ASSEMBLY Page 9 3R Project Title.......... Addition for Olry Date........ 10/10/97 MICROPAS4 v4.51 File-OLRY3EAD Wth-CTZllS92 Program -FORM 3R User#-MP1320 User-Calctech Run -Existing & Addition e Sketch of Construction Assembly Parallel Path Method Reference Name FC.0.2X6.16 Description .... Floor Crwl R-0 2x6 16oc Type Floor R -Value ........ 0 Hr-sf-F/Btu Framing Material ..... FIR.2X6 Type ......... Wood Description .. 2x6 fir Spacing .... 16 inches on center Framing Frac.. 0.10 LIST OF CONSTRUCTION COMPONENTS Material Name Description 0. FILM.EX Exterior air film: winter value 1. CRAWLSPACE Effective R -value of vented crawlspace 2c. RO.PLACEHOLD R-0 Place Holder 2f. FIR.2X6 2x6 fir 3. PLY.0.75 0.75 in plywood 4. CARPET Carpet & pad I. FILM.IN.FLR Inside air film: heat flow down Total Unadjusted R -Values FRAMING ADJUSTMENT CALCULATION Cavity Framing Cavity Frame R -Value R -Value 0.17 0.17 6.00 6.00 0.00 -- -- 5.45 0.93 0.93 2.08 2.08 0.92 0.92 10.10 15.55 Total U -Value: (1 / 10.10�x 0.90) + (1 / 15.55 x 0.10) = 0.096 Btu/hr-sf-F Total R -Value: 1 / 0.096* = 10.47 hr-sf-F/Btu CONSTRUCTION ASSEMBLY Page 10 3R Project Title.......... Addition for Olry Date........ 10/10/97 MICROPAS4 v4.51 File-OLRY3EAD Wth-CTZ11S92 Program=FORM 3R User#-MP1320 User-Calctech Run -Existing &Addition Parallel Path Method Reference Name . DWS13.2X4.16 Description .... Wall R-13 2x4 16oc Type ........... Wall R -Value ........ 13 Hr-sf-F/Btu Framing Material ..... FIR.2X4 Type ......... Wood Description .. 2x4 fir Spacing ...... 16 inches on center Framing Frac... 0.15 Sketch of Construction Assembly LIST OF CONSTRUCTION COMPONENTS Material Cavity Frame Name Description R -Value R -Value 0. FILM.EX Exterior air film: winter value 0.17 0.17 1. PLY.0.63 0.625 in plywood 0.78 0.78 2. BLDG.PAPER Building paper (felt) 0.06 0.06 3. 0.75PINE 0.75 in T&G Pine wall veneer 0.71 0.71 4c. BATT.R13 R-13 batt insul (cavity = 3.5 in) 13.00 -- 4f. FIR.2X4 2x4 fir -- 3.46 5. GYP.0.50 0.50 in gypsum or plaster board 0.45 0.45 I. FILM.IN.WLL Inside air film: heat sideways 0.68 0.68 Total Unadjusted R -Values 15.85 6.31 FRAMING ADJUSTMENT CALCULATION Cavity Framing Total U -Value: (1 / 15.85 x 0.85) + (1 / 6.31 x 0.15) = 0.077 Btu/hr-sf-F Total R -Value: 1 / 0.077 = 12.92 hr-sf-F/Btu F CONSTRUCTION ASSEMBLY Page 11 3R mifln Addition for Olry Date........ 10/10/97 MICROPAS4 v4.51 File-OLRY3EAD Wth-CTZllS92 Program -FORM 3R User#-MP1320 User-Calctech Run -Existing & Addition Parallel Path Method Reference Name . GW.13.2X4.16 Description .... Wall R-13 2x4 16oc Type ........... Wall R -Value ........ 13 Hr-sf-F/Btu Framing Material ..... FIR.2X4 Type ......... Wood Description .. 2x4 fir Spacing ...... 16 inches on center Framing Frac.. 0.15 Sketch of Construction Assembly LIST OF CONSTRUCTION COMPONENTS Material Cavity Frame Name Description R -Value R -Value 0. FILM.EX Exterior air film: winter value 0.17 0.17 1. GYP.0.63 0.625 in gypsum or plaster board 0.56 0.56 2. BLDG.PAPER Building paper (felt) 0.06 0.06 3c. BATT.R13 R-13 batt insul (cavity = 3.5 in) 13.00 -- 3f. FIR.2X4 2x4 fir -- 3.46 4. GYP.0.50 0.50 in gypsum or plaster board 0.45 0.45 I. FILM.IN.WLL Inside air film: heat sideways 0.68 0.68 Total Unadjusted R -Values 14.92 5.38. FRAMING ADJUSTMENT CALCULATION Cavity Framing Total U -Value: (1 / 14.92 x 0.85) + (1 / 5.38 x 0.15) = 0.085 Btu/hr-sf-F Total R -Value: 1 / 0.085 = 11.79 hr-sf-F/Btu CONSTRUCTION ASSEMBLY Page 12 3R Project Title.......... Addition for Olry Date........ 10/10/97 MICROPAS4 v4.51 File-OLRY3EAD Wth-CTZ11S92 Program -FORM 3R User#-MP1320 User-Calctech Run -Existing & Addition Parallel Path Method Reference Name . R.38.2X6.24 Description .... Roof R-38 2x6 24oc Type ........... Roof R -Value ........ 38 Hr-sf-F/Btu Framing Material ..... FIR.2X6 Type ......... Wood Description .. 2x6 fir Spacing ...... 24 inches on center Framing Frac.. 0.07 Sketch of Construction Assembly LIST OF CONSTRUCTION COMPONENTS Material Cavity Frame Name Description R -Value R -Value 0. FILM.EX Exterior air film: winter value 0.17 0.17 1,. SHNGL.ASPHLT Asphalt shingle roofing 0.44 0.44 2. BLDG.PAPER Building paper (felt) 0.06 0.06 3. PLY.0.50 0.50 in plywood 0.62 0.62 4. AIR.RF.3.50 3.5 in & greater air space: heat flow up 0.80 0.80 5. BATT.RI9.0 R-19 batt insul (cavity > 5.5 in) 19.00 19.00 6c. BATT.RI9.0 R-19 batt insul (cavity > 5.5 in) 19.00 -- 6f. FIR.2X6 2x6 fir -- 5.45 7. GYP.0.50 0.50 in gypsum or plaster board 0.45 0.45 I. FILM.IN.RF Inside air film: heat flow straight up 0.61 0.61 Total Unadjusted R -Values 41.15 27.60 FRAMING ADJUSTMENT CALCULATION Cavity Framing Total U -Value: (1-/ 41.15 x 0.93) + (1 / 27.60 x 0.07) = 0.025 Btu/hr-sf-F Total R -Value: 1 / 0.025 = 39.78 hr-sf-F/Btu HVAC SIZING Page 13 HVAC Project Title.......... Addition for Olry Date........ 10/10/97 ******* Project Address........ 1682 Sweem St. Oroville *v4.51* Documentation Author... Neal Kuopus ******* Building Permit Calctech 1835 South Villa Ave Plan Check Date Palermo, CA 95968 916-534-5066 Field Check Date Climate Zone. ..... 11 Compliance Method...... MICROPAS4 v4.51 for 1995 Standards by Enercomp, Inc. MICROPAS4 v4.51 File-OLRY3EAD Wth-CTZ11S92 Program -HVAC SIZING User#-MP1320 User-Calctech Run -Existing & Addition GENERAL INFORMATION FloorArea. ................ Volume.. ..... ............ Front Orientation.......... Sizing Location............ Latitude .......... ........ Winter Outside Design...... Winter Inside Design....... Summer Outside Design...... Summer Inside Design....... SummerRange ............... Interior Shading Used...... Exterior Shading Used...... Overhang Shading Used...... Latent Load Fraction....... Description 1041 sf 8328 cf Front Facing OROVILLE RS 39.5 degrees 30 F 70 F 104 F 78 F 37 F No No No 0.20 HEATING AND COOLING LOAD SUMMARY 270 deg (W) Heating Cooling (Btuh) (Btuh) Opaque Conduction and Solar...... 8695 3266 Glazing Conduction ............... 2805 1823 Glazing Solar .................... n/a 3534 Infiltration............ ....... 4737 1945 Internal Gain.................... n/a 2100 Ducts............................ 0 0 Sensible Load .................... 16237 12668 Latent Load ...................... n/a 2534 Minimum Total Load 16237 15202 Note: The loads shown are only one of the criteria affecting the selection of HVAC equipment. Other relevant design factors such as air flow requirements, outdoor design temperatures, coil sizing, availability of equipment, oversizing safety margin, etc., must also be -considered. .It is the HVAC designer's responsibility to consider all factors when selecting the HVAC equipment. TABLE OF CONTENTS TOC Project Title.......... Addition for Olry Date........ 10/10/97 ******* Pro3ect Address........ 1682 Sweem St. Oroville *v4.51* Documentation Author... Neal Kuopus ******* Building Permit Calctech 1835 South Villa Ave Plan Check Date Palermo, CA 95968 916-534-5066 Field Check Date Climate Zone.. .... 11 Compliance Method...... MICROPAS4 v4.51 for 1995 Standards by Enercomp, Inc. MICROPAS4 v4.51 File-OLRY3EXI Wth-CTZ11S92 Program -TOC User#-MP1320 User-Calctech Run -Existing Residence TABLE OF CONTENTS Report Page FORM C -2R ................. 1 FORM C -3R ................. 4 ADDITIONS ................. 7 COMPUTER METHOD SUMMARY Page 1 C -2R Project Title.......... Addition for Olry Date........ 10/10/97 ******* Project Address........ 1682 Sweem St. Oroville *v4.51* Documentation Author... Neal Kuopus ******* Building Permit Calctech 1835 South Villa Ave Plan Check Date Palermo, CA 95968 916-534-5066 Field Check Date Climate Zone. ..... 11 Compliance Method...... MICROPAS4 v4.51 for 1995 Standards by Enercomp, Inc. MICROPAS4 v4.51 File-OLRY3EXI Wth-CTZ11S92 Program -FORM C -2R User#-MP1320 User'Calctech Run -Existing Residence MICROPAS4 ENERGY USE SUMMARY Energy Use (kBtu/sf-yr) Space Heating.......... Space Cooling.......... Water Heating........ Total Standard Proposed Compliance Design Design Margin 11.98 73.14 -61.16 19.23 90.62 -71.39 28.18 31.73 -3.55 59.39 195.49 -136.10 *** Building does not comply with Computer Performance *** GENERAL INFORMATION Conditioned Floor Area..... Building Type .............. Construction Type ......... Building Front Orientation. Number of Dwelling Units... Number of Building Stories. Weather Data Type.......... Floor Construction Type.... Number of Building Zones... Conditioned Volume......... Footprint Area ............. Ground Floor Area.......... Slab -On -Grade Area......... Glazing Percentage......... Average Glazing'U-value.... Average Ceiling Height..... 600 sf Single Family Detached Existing Front Facing 270 deg (W) 1 1 ReducedYear Raised Floor 1 4800 cf 600 sf 600 sf 0 sf 8.5 % of floor area 1.19 Btu/hr-sf-F 8 ft BUILDING ZONE INFORMATION Floor # of Vent Special Area Volume Dwell Cond- Thermostat Height Vent Area Zone Type (sf) (cf) Units.itioned Type (ft) (sf) HOUSE Residence 600 4800 1.00 Yes NoSetback 2.0 n/a COMPUTER METHOD SUMMARY Page 2 C -2R Project Title.......... Addition for Olry Date........ 10/10/97 MICROPAS4 v4.51 File-OLRY3EXI Wth-CTZllS92 Program -FORM C -2R User#-MP1320 User-Calctech Run -Existing Residence Surface OPAQUE SURFACES Area U-. Insul Act Solar Form 3 Location/ (sf) value R-val Azm Tilt Gains Reference Comments HOUSE - Existing 0 1 Wall 194 2 Door 18 3 Wall 137 4 Wall 240 5 Wall 160 6 Floor 600 7 Roof 600 0.323 0 270 90 Yes WS.0.2X4.24 FRONT 0.330 0 270 90 Yes None FRONT ENTRY 0.323 0 180 90 Yes WS.0.2X4.24 RIGHT 0.323 0 90 90 Yes WS.0.2X4.24 BACK 0.323 0 0 90 Yes WS.0.2X4.24 LEFT 0.096 0 n/a 0 No FC.0.2X6.16 TO CRAWLSPACE 0.304 0 n/a 0 Yes R.0.2X6.24 FLAT CEILING FENESTRATION SURFACES # of Area Pan- Frame Surface (sf) es Type HOUSE - Existing .1 Window 28.0 1 Wood 2 Window 23.0 1 Wood Vent Open Type Sc Sc Interior U- Act Glass Int Shading/ value Azm Tlt Only Shade Description Slider 1.190 270 90 1.00 0.88 Drapes.Std Slider 1.190 180 90 1.00 0.88 Drapes.Std 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 - Existing 1 Window 28.0 4 3.5 1.2 0.9 n/a n/a n/a n/a_ n/a n/a n/a n/a HVAC SYSTEMS Minimum Duct Duct Duct System Type Efficiency Location R -value Efficiency HOUSE Furnace 0.630 AFUE None R-2.1 1.000 ACSplit 8.00 SEER Attic R-2.1 0.740 WATER HEATING SYSTEMS Number Tank External in Energy Size Insulation Tank Type Heater Type Distribution Type System Factor (gal) R -value 1 Storage Gas Standard 1 0.53 30 R-0 SPECIAL FEATURES/REMARKS R-2.1 Existing duct insulation R-0 Existing floor insulation per Form 3 R-0 Existing wall insulation per Form 3 R-0 Existing ceiling insulation per Form 3 r COMPUTER METHOD SUMMARY Page 3 C -2R Project Title.......... Addition for Olry Date........ 10/10/97 MICROPAS4 v4.51 File-OLRY3EXI Wth-CTZ11S92 Program -FORM C -2R User#-MP1320 User-Calctech Run -Existing Residence SPECIAL FEATURES/REMARKS Glazing U -values per CEC TABLE 7-2 for pre -1978 construction Existing wood frame single -pane clear glazing WALL.FURN.63: 0.63 AFUE Existing wall furnace E.AC.8.0: CEC MIN. REQUIREMENT EX.HWH: EF value per CEC TABLE 3-2 for pre -1978 construction R • CONSTRUCTION ASSEMBLY Page 4 3R Project Title.......... Addition for Olry Date........ 10/10/97 MICROPAS4 v4.51 File-OLRY3EXI Wth-CTZ11S92 Program -FORM 3R User#-MP1320 User-Calctech Run -Existing Residence Parallel Path Method Reference Name . WS.0.2X4.24 Description .... Wall R-0 2x4 24oc Type ........... Wall R -Value ........ 0 Hr-sf-F/Btu Framing Material ..... FIR.2X4 Type ......... Wood Description .. 2x4 fir Spacing ...... 24 inches on center Framing Frac.. 0.12 Sketch of Construction Assembly LIST OF CONSTRUCTION COMPONENTS Total R -Value: 1 / 0.323 = 3.10 hr-sf-F/Btu Material Cavity Frame. Name Description R -Value R -Value 0. FILM.EX Exterior air film: winter value 0.17 0.17 1. 0.75PINE 0.75 in T&G Pine wall veneer 0.71 0.71 2. BLDG.PAPER Building paper (felt) 0.06 0.06 3c. AIR.WLL.3.50 3.5 in & greater air space: heat sidewys 0.85 -- 3f. FIR.2X4 2x4 fir -- 3.46 4. GYP.0.50 0.50 in gypsum or plaster board 0.45 0.45 I. FILM.IN.WLL Inside air film: heat sideways 0.68 0.68 Total Unadjusted R -Values 2.92 5.53 FRAMING ADJUSTMENT CALCULATION Cavity Framing Total U -Value: (1 / 2.92 x 0.88) + (1 / 5.53 x 0.12) = 0.323 Btu/hr-sf-F Total R -Value: 1 / 0.323 = 3.10 hr-sf-F/Btu CONSTRUCTION ASSEMBLY Page 5 3R Project Title.......... Addition for Olry Date........ 10/10/97 MICROPAS4 v4.51 File-OLRY3EXI Wth-CTZ11S92 Program -FORM 3R User#-MP1320 User-Calctech Run -Existing Residence Parallel Path Method Reference Name . FC.0.2X6.16 Description .... Floor Crwl R-0 2x6 16oc Type ........... Floor R -Value ........ 0 Hr=sf-F/Btu Framing . Material ..... FIR.2X6 Type ......... Wood Description .. 2x6 fir Spacing ...... 16 inches on center Framing Frac.. 0.10 Sketch of Construction Assembly LIST OF CONSTRUCTION COMPONENTS Material Name Description 0. FILM.EX Exterior air film: winter value , 1. CRAWLSPACE Effective R -value of vented crawlspace 2c. RO.PLACEHOLD R-0 Place Holder 2f. FIR.2X6 2x6 fir 3. PLY.0.75 0.75 in plywood 4. CARPET Carpet & pad I. FILM.IN.FLR Inside air film: heat flow down Total Unadjusted R -Values Cavity R -Value 0.17 6.00 0.00 0.93 2.08 0.92 Frame R -Value 0.17 6.00 5.45 0.93 2.08 0.92 10.10 15.55 FRAMING ADJUSTMENT CALCULATION Cavity Framing Total U -Value: -(1 / 10.10 x 0.90) + (1 / Total R -Value: 15.55 x 0.10) = 0.096 Btu/hr-sf-F 1 / 0.096 = 10.47 hr-sf-F/Btu I CONSTRUCTION ASSEMBLY Page 6 3R Project Title.......... Addition for Olry Date........ 10/10/97 MICROPAS4 v4.51 File-OLRY3EXI Wth-CTZ11S92 Program -FORM 3R User#-MP1320 User-Calctech Run -Existing Residence Parallel Path Method Reference Name . R.0.2X6.24 Description .... Roof R-0. 2x6 24oc Type Roof R -Value ........ 0 Hr-sf-F/Btu Framing Material ..... FIR.2X6 Type ......... Wood Description .. 2x6 fir' Spacing ...... 24 inches on center Framing Frac.. 0.07 Sketch of Construction Assembly LIST OF CONSTRUCTION COMPONENTS U -Value: (1 / 3.15 x 0.93) + (1 / 7.80 x 0.07) = 0.304 Btu/hr-sf-F Total R -Value: 1 / 0.304 = 3.29 hr-sf-F/Btu Material Cavity Frame Name Description R -Value R -Value 0. FILM.EX Exterior air film: winter value 0.17- 0.17 1. SHNGL.ASPHLT Asphalt shingle roofing 0.44 0.44 2. BLDG.PAPER Building paper (felt) 0.06 0.06 3. PLY.0.50 0.50 in plywood 0.62 0.62 4c. AIR.RF.3.50 3.5 in & greater air space: heat flow up 0.80 -- 4f. FIR.2X6 2x6 fir -- 5.45 6. GYP.0.50 0.50 in gypsum or plaster board - 0.45 0.45 I. FILM.IN.RF Inside air film: heat flow straight up 0.61 0.61 Total Unadjusted R -Values 3.15 7.80 FRAMING ADJUSTMENT CALCULATION Cavity Framing Total U -Value: (1 / 3.15 x 0.93) + (1 / 7.80 x 0.07) = 0.304 Btu/hr-sf-F Total R -Value: 1 / 0.304 = 3.29 hr-sf-F/Btu ADDITION WORKSHEET Page 7 ADD Project Title.......... Addition for Olry Date........ 10/10/97 ******* Project Address........ 1682 Sweem St. Oroville *v4.51* Documentation Author... Neal Kuopus ******* Building Permit Calctech 1835 South Villa Ave Plan Check Date Palermo, CA 95968 916-534-5066 Field Check/ Date Climate Zone. / ..... 11 Compliance Method...... MICROPAS4 v4.51 for 1995 Standards by Enercomp, Inc. MICROPAS4 v4.51 File-OLRY3EXI Program -ADDITIONS User#-MP1320 User-Calctech Run -Existing & Addition ADDITION WORKSHEET - COMPUTER PERFORMANCE EXISTING File Name .................. OLRY3EXI Run Title. .............. Existing Residence Conditioned Floor Area..... 600 sf Standard Design Energy Use. 59.39 kBtu/sf-yr Proposed Design Energy Use. 195.49 kBtu/sf-yr NEW (EXISTING PLUS ADDITION) File Name .................. OLRY3EAD Run Title. ............... Existing & Addition Conditioned Floor Area..... 1041 sf Standard Design Energy Use. 49.26 kBtu/sf-yr Proposed Design Energy Use. 40.43 kBtu/sf-yr FLOOR AREA RATIO Floor Existing New Area Floor Area Floor Area Ratio 600 / 1041 = 0.576 ADDITION DESIGN ENERGY USE FOR NEW (EXISTING PLUS ADDITION) Floor New Area Existing Existing Addition Standard Ratio Proposed Standard Design 49.26 + 0.576 x ( 195.49 - 59.39) = 127.70 Note: If (Existing Proposed - Existing Standard) is negative, this difference is set to zero. Energy Use (kBtu/sf-yr) ADDITION ENERGY USE SUMMARY Addition- Proposed Compliance Design Design Margin New .................... 127.70 40.43 87.27 *** Addition complies with Computer Performance *** October 14, 1998 0 LAND, OF NATURAL WEALTH AND. BEAUTY BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530) 538-2140 Scott Olry RE: Building Permit # 97-2147 171 North Karen Avenue Expiration Date: 10/20/98 Clovis, CA 93612 A.p.# 030-080-022 With reference to the above subject, our records indicate that your building permit expires on the above date and your permit falls into one of the categories marked below:. , [� Permit work started, but not completed. Permit may be renewed for 1/2 the original building permit fee (plus a $20.00 filing fee). The renewal permit will extend the building permit for an additional year from the original expiration date. Should you not renew your permit within 30 days of the expiration date, all work must cease until a new building permit has been issued. For your convenience, we are enclosing a renewal application form and owner -builder form to be completed and signed by you where indicated and returned .to this office together with the fee shown. Please return all copies of the application form. [ ] No inspections have been made on permit work.. Inspections are required to verify code compliance. We are unable to renew a permit where the work has not been started and inspected prior to permit expiration. After expiration of your permit, no work may be started until anew permit has been issued. [ ] A final inspection has not been made on permit work. Final inspection approval is required before occupancy. Our field inspector has verified that the building is occupied. Occupancy must cease until a final inspection can be made and final approval given. You have 30 days to voluntarily cease occupancy or to present an acceptable plan for abatement or corrective actions to be taken by you. If our records are in error or should you have any questions concerning this matter, please contact the Oroville office. . Thank you for your prompt attention concerning this matter. MCV:ahb Attachments Yours very truly, L —Mic el C. Vleira, C.B.O. Manager, Building Inspection Chico Office - 1469 Humboldt Rd/891-2751 Paradise Office - 747 Elliott Rd/872-6307 0 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 NUMBER O3O-OHO-O22 ZONIN°AR BUILDING PERMIT OWNER OLRY. Scott TELEPHONE SQ, FT, OCC. BUILDING VALUATION . OWNER'S MAILING ADDRESS 171 North Karen .Ave., Clovis, CA. 93612 _ CONTRACTOR'S NAME Owner TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S Ma UNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee 1 Original $ 129.25 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 162 Sweem_'-Street, Oroville Energy Plan Checking Fee $ S PERMIT FEE $ 1 .25. LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF 6 Duplex ❑ Mobilehome ❑ Other SPEC" Each Tra 7.00 . Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: 2 'edroom & Conv..Laundry to path Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service s'. v� °oa 'r. s' 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 affirm undo 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 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 IPerformance 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.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent HA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mein Service YOGA TO 1000A 46.00 NEW CONST. DW{31llJfi OCCUP. S° OR ADONS. ( a Acc, OCS. 3.5QFr; RE°SID T. MULTI OUTLET ca 7.50 POwEA APPAMTUS a SINGLE OUTLET C"L 20 ®t•L>D Ex. Occup.OUTLET OR FDTTURES sAt o .50[hereby Ex. Occup. O �°� �D°R 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEL: S Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST TYPE TOTAL FEES 149.25 HAz. D FEES IMP I FlAOD COF PARCEL I PD I HO ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By Date PERMIT EXPIRES ON provisions to do work paid. to ReceiptNo. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT