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030-102-038
�� -- ` -- --' ' | . " ,- � J�� `^ PAUL BAKER7 36-102- 1700 16th St, lot,*4, Oroville Uli ^^^~�` �� ^30 102 -ft 988-91B IjIVEY, Bill1700 16th St, OrovilleCo'nt: Don Scribner30-102-38 1677-91EIVEY, Bill1700 16th St, Orovilie 0�0(elec for030-102-038 PERMI'*'T#95-0951SCOTT, Ro-nald.- Cont; WaterworksNew Pri Swimmin Pool � | / | '�: f a a� TIM SNELLINGS, DIRECTOR ll PETE CALARCO, ASSISTANT DIRECTOR 7 County. Center Drive Please Note: Conies of Wilding plans are not covered by the Public Records Act but instead are under California Health and Safety. Code Section 19851-19853 and require written authorization from the property owner and the Registered Design Professional before being duplicated and a separate fee of S127.00 is required.. Oroville, CA 95965 CONTY (530) 538-7601 Telephone J,21 Zkolll (630).538-2140 Facsimile JUL 2 2 2011 www.buttecountv.neVdds www.buttegeneralplan.net DEVELOPMENT SERVICES ADMINISTRATION * BUILDING * PLANNING REQUEST FOR COPIES Please furnish me with copies of the building file 'documents I have indicated for the assessor's parcel number(i) and address(s) I have listed below. 4 - ' tun erstand there will be a copyfee 6 S. - or ie-�page-and-$ 06 for each additional page thereafter payable iff the, time the copies are picked up. I further understand that Butte County has up to 10 days to respond to this request based on the Public Records Act. Assessor's Parcel Number 0�0 • X09' �� Address Name of document(s) requested Assessor's Parcel Number Name of document(s) requested Assessor's Parcel. Number Name of document(s) requested Assessor's Parcel Number Name of document(s) requested Address Address Address Assessor's Parcel Number Name of document(s) requested Address Please Note: Conies of Wilding plans are not covered by the Public Records Act but instead are under California Health and Safety. Code Section 19851-19853 and require written authorization from the property owner and the Registered Design Professional before being duplicated and a separate fee of S127.00 is required.. J,21 Zkolll Printed Name Signature ( Da Contact Phone Number/Email Address *When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. 3-1-IOJ:\2010 Handouts and Policies for approvahApproved Handouts and Website formsWequest For Copies 3 3 10.doc COUNTY,O,F BUTTE DEPARTMENT OF PUBLIC WORKS �+ 196 Memorial Way, Chico — Phone:. 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or nged additional explanation, please contact this office immediately. 5 Date�%i=17—JD Ins COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS r 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541' ' 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE �4 ve I/ 477-�Tl OWNER f 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 mnttor nr naarl ndditinnni PYninnntinn nloaco rnntart this nffiro immPrtiotPly Date:^-� / I Inspecto4&11 FORM 7 ADDITIONS TO RESIDENTIAL. BUILDINGS ENERGY SHEET PACKAGE "A" (Additions) Owner �� —� Climate Zone Permit # Floor Area The following data showing mandatory and required features of Package "A" shall be installed for additions to dwellings. Additions to dwellings include room additions, converting garages and patios to living areas, house moves that add footage and attic conversions, and any space that is existing non -conditioned space that is converted to conditioned space. Remodeling of existing conditioned space is not included. ZONE 11 APPLIES TO NEW AREA • CEILING R-30 • WALL R-11 FLOOR R-11 SLAB R-7 • GLAZING U-.65 (Dual) SHADING SOUTH - OPTIMUM OVERHANG or .36 Shading Coefficient WEST - .36 Shading Coefficient LOOSE FILL INSULATION (Density) ZONE 16 R-38 R-19 R-19 R-7 U-.65 (Dual) • INFILTRATION CONTROL (Weatherstrip doors, certified windows, caulking) VAPOR BARRIER (Zone 16) DUCTS PER UNIFORM MECHANICAL CODE - Ch. 10 LIGHTING KITCHEN & BATH NOT LESS THAN 25VLUMEDTcw • MAXIMUM GLAZING 16% OF -AREA PLUS REMOVED QEPAR NEW HEATING, VENTILATING, AIR CONDITION�NG�� ER MS IN CONJUNCTION WITH AN ADDITION SHALL BE NSTAL E M N BACK OF THIS SHEET. OTHER 12/85 *I HEATING, VENTIIATING, AIR CONDITIONING SYSTEM (A) Heating ❑ Central Gas Furnace (brand and model number) SE Btu/hr (heating capacity) ❑ Heat Pump (brand and model number) ACOP Btu/hr (heating capacity at 47°F) ❑ Active Solar type (liquid or air) Collector brand and ft2 model number solar fraction collector area collector orientation collector tilt rated y -intercept -.e- . � '- ❑ Other (describe) *I (B) Cooling ❑ Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr (cooling capacity at 95°F) ❑ Electric Heat Pump EER Btu/hr (cooling capacity at 95°F) ❑ Other (describe) DOMESTIC WATER SYSTEM ❑ (A) Gas Only Gallons (brand and model number) (tank size) •❑ Heat Pump W/Electric Backup r� (brand and model number) Gallons 2 (tank size) ❑ * Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) ❑ Location of Solar Panels ❑ Other (Describe) *I Submit documentation of sizing heating and cooling equipment by Manual J, sizing his charts (form #4) or other approved methods, section 2-5352(8), and fill out the following: _ Heating: Winter design temperature °, elevation ', heating load BTU elevation factor x heating load maximum outlet capacity gas furnace BTU Cool,ing:,,--S�u6ier design temperature ", cooling load BTU Submit T DI.P,S.E. chart'or other approved system (form #5) to document sizing of solar pane;li' ' j(t DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of 1 Title'24'7Part',2-'Chapter 2-53 of the California inistration Code. SIGNAT RE OF BUILDING DESIG R APPLICANT T 0 2771-89B,P,E,M PERMIT NO. / PERMIT EXPIRES PAUL BAKER OWNER CONTR. owner ASSESSOR PARCEL LOCATION 1700 16th St, lot 4, Oroville r i t i • Temp. Power Pole t i F Called PG&E Temp. Elec. Service f Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) — Signature — \,—§rm"�t ry = O = Not OK e - Not Readyable 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 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap: / P' ft. / /"Nat. or/ /"L"ft./ P'LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 _" 'Date 11. Ext.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements, Card -B1 Date Card -B1 Date 2. Footings; Size -Spacing -Marriage Line ' , Card -B1 Date Card -B1 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-Flei'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 4. Elec.; Receptacles and Lighting, Distances-GFI 9. Exits; Insp.-Sketch 5. Elec.; Pool Lighting; 15 volts-GFI 10. Cert. of Occupancy 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 -B1 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 -B1 Date . - _t •/= UK 0=Not OK - = Nat Applicable = Not Rgady RESIDENTIAL _(Single -and Duplex) Date UNDERFLOOR (Plans) OK except #'s Date FR G ontinued) 7_y f- 0. Zoning -Setbacks; -Easements -Flood -Slope 4 . H rs-Post Caps -Anchors -Connectors . Ftg., Main; Soils-Steel-Elec. .-/ /" Ftg. Depth . Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-T s-SSht�hng.-ung. • ' 12-Ftg:, Garage; Soils -Steep . Depth ies ur Type A Flue -Fireplace Throat Clearance q . Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 4<Atlic Access; Size & Romex Protection -Draft Stop -Ins. Baffles amain; Steel-Blockouts-Wrapped drm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6_.6te=wa4s-Garage; Steel-Blockouts-Wrapped 40. GtPase XiFa P41otection Framing Slab; Steel -Wrapped giro erty Line Firewall & Openings �=� �a"_F- 62Ext. Doors -One 3' -Check Garage -3rd story, 2 exits Y4'D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test2th-Headroom-Rise-Run-Landing-Fire Protection 10: Gas Pipe; Size -Anchors ly ood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test iding-Nailing Veneer 12. Electric; Underground ip Screed -Fd. Vents-Underflr. Access 13. Clearance-Material-Supprt-Ins. 5 lazing Area -Glass Protection -Skylights -Plastic 14-aw4er"iNs-Anehar Bolts -Joists -Vents -Cripples 15. Insulation r ar alls; Nailing -Bolts 9. Insulation-Walls-Clg. 60. Infiltration -Wal Is-Wndws Card -131 Date and -131 Date Card -131. Dateand-B1 Date Card -81 Dat Card -B1 Date Card -131 ate Card -81 Date Date PLUMBING (Permitjo0K except #'s 16. W ter Ht. VA -Access -Combustion AB -Rs Date FINAL(Plans) OK except #'s *'.`WW Pipe; Test & Anchors -Nail Protection xt. Steps -Door & Sidelight Protection -Landings 1*!6W.V.;•Test-Fttngs & Anchors -Nail Protection . Smoke Detector an; Test, First Floor -Tub Access ace; Vents -Clearance -Comb. Air-Connector- I arage; Above Floor-Ducts-Mech. Protection ub & Shower, 2nd Floor -Tub Access 44�—Gas Pipe; Size & Anchors 4.j3adroom Exiting & G.�,J_& Bath Fixtures & Tub Access -Spa pec. Trim & Subpanel; Breaker Sizes -Labels Card-B)(Z 14" Date / -f rd -B1 Date ails Card -81 Date Card -131 Date fireplace or Stove; Clearances -Hearth Date I;LEgiTRICAL (Permit) OK except #'s Outlets at Wood Panel; Int. & Ext. 11- Fie & Transformer Clearance -Ins. Protection . Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 2 . EIgp�-Receptacles Spacing -Lights & Switches at Doors %_74 -Sec. Outlets & Receptacles at Kit. Counter e Boxes & No. of Conductors -Stapled 2. Garage Fire Door; Swing -Landing -Closer • 2 . R ex Installed Close to Edge of Studs & C.J. 3. A.C. Duct in Garage -Damper Eq .Ground made up w/Mech. Fasteners -Bond s &Water 7�%kttr-Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection Appliance Circuts in Kitchen & Conductor Size/G.F.I. 5. Plb. Elec. & Mech. Equip. Listed for Location n3 Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. u m Elec. Receptacles in Garage; (G.F.I.)-Rox Protec. PT-Rsagexuc. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. lated Neutral Yes No . Insulation -Foam -Looked in Attic Yes 78. Guar ails &Deck Construction -Post Caps 3 . Sa ice -Riser Conductors & Ground -Main Disconnect dn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes E uip. Clearances Panels-Motors-Mech. Equip. .fl6thes Closet Light -Shower light -Spa Light + 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes 13No Smoke Detector Card -131 Date -/7 and -B1 Date v8+.-5t=co; Brown -Finish 'it; Disconnect, Electrical, Plumbing Card -B1 Date Card -131 Date N-VeMIT-Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. Date MECHANICAL (Permit) OK except #'s ;—c:Z_ gtgr Wr ell; Disconnect, Electrical, Plumbing `34-fef-B�sulation & Support)4tElior Elec. Trim; G.F.I. Receptacle -Underground 36,-Veint Fan; Exhaust above insulation 1,8b�V�AtiJation throughout House Drain & Overflow; Size & Grade . Glass Protection . Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 8. Corrections from Prey' us InjActions 39-Witic Access & Platform if Furnace in Attic . Gas Test -Meters ged; as -Electric 9 Water & Sewer Connected -C/O to Grade -HD Approval Card -B1 Date and -B1 Date 91. Energy Compliance Certificate -Other Certificates 92 Roofing ertificat Card -131 Date Card -131 Date Card -B , at Card -B1 Date Date FRAMING (Plans) OK except #'s Card -B1 Date Card -131 Date 39. ills, Proper Material & Anchors Card -131 Date Card -131 Date 4 Is tuds-Nailing, Spacing & Bracing—Plates- ound Comments at Final: UeZefring Walls over Girders & Floor Nailing 7 4 Draft Stop in Walls (rat proof) 141L, Fir tops; Furred Ceilings -Stairs -Chase 4 eader & Beam -Size & Bearing (NOTE: An entry must be made each time you visit iob sitel ZA Paul Baker 1720 16th St. Oroville, CA 95965 ,butte C LAND "OF NATURAL WEALTH AND BEAUTY DEPARTMENT OF PUBLIC WORKS WILLIAM (Bill) CHEFF, Director 7 COUNTY CENTER DRIVE t OROVILLE, CALIFORNIA 95965 Telephone: (916) 538-7541 . August 30, 1990 RONALD D. McELROY Deputy Director RE:.Building Permit No. 2771 -89 - Expiration Date 9-19-90 (A.P. No. 30-102-38 ) With reference to the above subject, our records indicate that your Building Permit expires on the above date. Building permits are valid for one year anb should construction be started but not completed by the expiration date of the permit, the permit shall be renewed for 2 the original Building Permit Fee (plus a $10.00 "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 thirty days of the expiration date, it cannot be renewed and all work must cease until a new building permit is issued. If your construction is completed or should you have any.questions concerning this matter, please contact the Oroville office. 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. Thank you for your prompt attention concerning this matter. JFG:aam Attachments: Permit Application Owner -Builder Information Owner -Builder Verification cc: Building Inspector - Yours very truly, William Cheff Director of Public Works Glander ief Building Inspector Chico - 196 Memorial Wav/891-2751. Paradise - 745 Elliot Rd./87?-6307 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS P R IT 0 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSO�g APARCEL NU BER SCJ ZI ✓/Op��QQ�liiiiiiG BUILDING PERMIT ovpyE^ h-LEPHONE }}��J'�v�. f �� SQ. FT. OCC. BUILDING ALUATION OWNER'S MAILING ADR 53 �� �G tAA C NTRACTOR'S NAME J/ 0W-- TELEPHONE �} 1/ l 10 L•Jry /'� (,/ CONTRACTTOR''SS MAI LING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ I ✓ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Q 5� Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee s:56&.. 5r3 PLUMBING PERMIT Filing Fee 10.00 Each Trap jj 2.00 Solar or heat pump water heater LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF TTTT � Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 Pa TYPE OF WORK New AdditionlDRemodel[]Utilities ❑ Installation❑ Other ❑ Describe work: � Permit Fee $ — Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Na ACDNSCONST.DWEACCLLIN GOCC '/2¢sgft TLECT Ts NoN-Roes DN- BRANCH 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. Ex. OCCUp(OUTLET3 OR FIXTURES 20050t DAL030 FIXED APPLNS, OR EX. Occup. OUTLETS (RESID,) EA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ —7 .3 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. Iq1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating n CooI ng . Hood 3.00 -� Ventilation 3 -- 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. also a e to save, indemnify and keep harmless the County of Butte against all li I' ies, j me , costs, and expenses which may in any way accrue again id o n i o equence of the granting of this permit. %� Date � , —f7 Signature of Applicant — Ownerg Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Q TOTAL PERMIT FEE $ oec.JSCVJFPrARCELfWJCONST.TYPc Tl`� 1390E This permit is hereby issued under sions of the Butte County Code and/or work indicated abo e r which IR TO F PUBLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Da Receipt No. 4-4 4 WHITE-D.P.W.. YELLOW-A3e E330R. PINK -INSPECTOR. GOLDENROD-AP►LI CANT i • COUNTY OF BUTTE - DEPARTMENT„ OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILhE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 1 ��. PERMIT APPLICATION DATA SHEET \��3 _ Permit No.7X�Lr� OWNER �9irL L�/ccc� A. P No./7-Jd5�—CiQ� Proposed Building Use_vs!� c�/tG Building lnspector2;?/ % Date N® 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 ......... -�TStatement 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....................................................... 9. Fees of $ .......................... 10. Chico Urban Area fees paid ........................................ 11. Parl f e aid................................p.................... 12. School District fees aid ................ . Sanita ion approval from Health Department .. . IF 154. City of Chico plumbing permit ...................................... 15. Plot plan and business license approval from City of . (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: ......... 17. Improvements may be required. 18. Driveway permit (construction approval required prior to occupancy) ... 19. Pre -inspection for / required . , , , Pre-Inspen request to ld P q • •Building Inspector (Date) 20. Contractor's license information (No., Name Style, Classification) ....... t' 21. Certificate of Workmans Compensation Insurance .......... t ......... 22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ........ 23. Recorded copy of Agricultural Acknowledgment Statement ..... stile, .�� /SIS 7C-A4/.4A r 24. Letter of signature authorization ..................................... 25. 26. Whefa•you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone'�37 - 92 01/ and hold for pickup at office. \ Deliver w/inspector. Other APP licant =� -- Date —2-/_,P Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permll issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer owner was advised of above required data by_phone�nail—counter b -date ` — s� 65L Contractor, designer, owner, was advised of above required data by—phone—mall-coy�ter /. by / / date Plans checked Copy -DPW Date Plans approved by Sets of plans on hold in File cabinet AP folder Date TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance D,' %i/,I- eevm 1700 - / 6 � Sr. 30- /0 2 - G y owner location AP # Driveway permit �l y — ?i �' has been issued for the above property. nu b 60- sign/re 0-sign re date COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER-BUILDER.VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in. your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have.not) signed an application for a building permit for the proposed wo k. 3.. I have contracted with the following person (firm) to provide the ,proposed construction: /VA �` 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, s pervise, 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 Sec�.},r,ity Num 40 Date �F — Z� AO 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. THERMAL.ITO :IRRIGATION DISTRICT ' 410 GRAND -AVENUE 01ROVILLE,'CALIF0R14IA;95965 ' • TELEPHONE 533-0740 CSA 26'SEWER SERVICE APPLICATION AND CONNECTION PERM_ IT• ' Service Address: �`/i14 '-"? •" �`'`'' Owner's Name: pz,,ui i jkue Date: I'r `* , Address: Acct. No: , J 5,1 lt.i•J;.,L`( 41.1 r-.-, WLl, ' P. A.P.'.No.: Phone: !;,;.:*-y,::yr, No. Units:' , Applicant/Agent: Agents Proof: ' Address: , Fees: ' .. Phone: Application Arrearage Preliminary Review By: Date: CSA 26 Remarks: c-;#,«Lc-'OnIketc,- _ i I:C r� '1; 011 ia,1 SC -OR F_pj7::.C:tdl+:leY i. 'w.»,r c. ox t, 11:., A t. c; , �.isG L 0��=ay 1st mo. S.C. Other Total Fees I W.-` 14VI A Collected By: Date- - l: f Field Review By: Date:' Remarks: - i. MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON:. 0 .Date of TI approval'of completed building sewer, (early connection). E . 30 days after,date above, or on date of D.P.W. approval of completed building sewer, which ever, comes ,, " first ("existing construction", prior to-Mar.,5,• 1974). y 0 180 days after date above, or on date of D.P.W. approval of completed�'building sewer, which ever comes_ ' first ("new construction", after Mar. 5, 1974): ,I y DISTRIBUTION:. WHITE - TIO, 'YELLOW-- APPLICANT, PINK - DPW, GOLDENROD'- DPW to TID 5/89 RESIDENTIAU!PLAN CHECKING GUIDE_ (S.F., DUPLEX & MISC. ONLY) Bldg. Permit OWNER y tA.P. GENERAL oning requirements:. (sideyards and number of permitted living units).. Y Valuation. lans. signed by designer. !!+: Energy Design and Compliance. xisting violations on property. Items on data sheet. PLOT PLAN 4�Complete parcel size and dimensions. ,Setbacks, sideyards, easements, etc. Other buildings or structures. i� Grading, fills, drainage. Flood hazard.. Special conditions on creation map or compliance document. a� FAU & FAS road setback. FLOOR PLAN &, Complete to scale .plan with dimensions.. �equired windows for light and ventilation (Sec. 1205). 0/Required windows for second exit (Sec..1204). Skylights (Chapter 34 & Sec. 5207). g/ man impact glass (Sec. 5406). quired room sizes, ceiling heights.(Sec. 1207). r. Is in baths, garage, and exterior outlets (Article 210-8). Light fixtures, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. 9e,Locations of water heater, heating and cooling equipment, other electrical or ps-equipment, and plumbing fixtures. page firewall, door size, and closer (Sec. 503(d)(3)). 13'0'•' exterior .exit door (Sec. 3304(e)). -replace and wood stove location, alcoves, and clearance. �3! Smoke detectors (Sec. 1210). STRUCTURAL DETAILS 'r. oundation plan complete enough to construct building. /Ioor construction details complete enough to construct building. .evations and wall construction details complete enough to construct building. 4! Roof construction details complete enough to construct building. Fireplace construction details and talcs if necessary. MISCELLANEOUS ITEMS TO LOOK OUT FOR 1 -/ airway details: landings, rise and run, head clearance, handrails (Sec. 3306). ardrail details (Sec. 1711 & 3306(j)). Brick or stone veneer (Chapter 30). 5/89' RESIDENTIAL PLAN.CHECKING.GUIDE MISCELLANEOUS_ITEMS TO LOOK OUT FOR (CONT'D) xterior plaster - weep screeds (Sec. 4706). / oper roof pitch for roof covering (Chapter 32). f covering type - (fire hazard). JR-aefter ties or -bearing ridge beam. &` age door or porch .header sizes. Adequate bracing. wing area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. f].1!T_ exits on three-story dwellings (Sec. 3303 & see Mezannines - 1716). IV, -. Attic access and ventilation (Sec. 3205). erfloor access and ventilation (Sec. 2516). 14-11-cp-mbustion air.for fuel burning appliances. oise requirements on duplexes. dobe soils - special foundation design. ining.walls requiring design. 1Z. nysual shape, size, or split level house requiring lateral design. I lashing at .all exterior openings. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - 4rov,ilig, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 30-102-38 ZONING AR - BUILDING PERMIT OWNER Paul Baker TELEPHONE 532-9201 S0. FT. OCC.1 BUILDING VALUATION 1st renewal OWNER'S MAILING ADDRESS 1720 16th St. Oroville 95965 CONTRACTOR'S NAME owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee @ 1 FEE $ 180.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee Energy Plan Checking Fee A$ $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1700 16th St. Permit fee $ 190.50 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Oroville Solar or heat pump water heater 20.00 LOT NO. 4 SUBDIVISION NAME PARCEL MAP 115-87 Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF 9 Duplex❑ Mobilehome❑ Other—Building SPECIFYMobile Gas piping system 1 - 5 outlets 5.00 sewer 5.00 Home I S I G JW I 10.00e TYPE OF WORK Newn Addition ❑ Remodel[] Utilities InstallationOther Describe work: 1St renewal of BP# ❑ El2771-89 _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD -L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect.SINGLE License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason S. OCCUP.&) oR CONSTWELBLDG/ ADDNS 2'/2¢sgft NEW CONSTR ULTI-OUTLET NON•RESID BRANCH CRC" 2,50 ea POWER APPARATUSh OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES 20@50C eAL@30 FIXED Ex. Occup. OUTLETS PRESID IREA.� 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin 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. ❑ 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. 14I I shall not employ any person in any manner so as to become subject y� 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 FiIingFee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agre to save, indemnify and keep harmless the County of Butte against all liabil' i s, judgments, costs, and expenses which may in any way accrue against ai up y jn c seuence of the granting of this permit.? [,// r`'"-� Date �/ — %� Ckcsions Signature of Applicant — Ownerg Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- in height. ion of structures over 3 st-_ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE FEE TOTAL $ 190.50 AL HAZ CUA PARK EE PAR P. HD ISSUE This permit is nereby issued under of the Butte County Code and/or work i 'cated above for which f OI OF P PERMIT EXPIRES Date 9-19-91 the applicable provi- resolutions to do es have been paid. WORKS Date Receipt No. 2;36ories WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - D6partment of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER_ -BUILDER VERIFICATION Attention Property Owner: . An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) e. 2. I (have/have not) signed an application for a building permit for the proposed work. 3. 1 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 N6mbend Date 0i --.j a 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. RESIDENTIAL 030-102-038 PERMIT#95-0951 SCOTT, Ronald i 1700 16th -St.; Oroville Cont; Waterworks New Pri Swimming Pool JOB FINALED (Date) ) — Signature J=OK O = Not OK = Not Readyable 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 -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L" ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card 8-1 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 Connei for 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 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 POP-LS4PIans) OK except #'s v 1. S tbacks-Easements Soil ; Compaction -Structure Stability 4,3�col Structure; Steel -Connections -Thickness Dead -Men -Lining Alec.; eptacles and Lighting, Distances-GFI ec., Pool Lighting; 15 volts-GFI Iec. Enclosures; Conduit Entries -Terminals -Listed lec ding; Metal w/5' -Circulating Equip. -Heater lec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Bo nclosures-Panel boards -Ins. to Main in Conduit 9'He partment Approval lumb.; Cir. Test -Water Supply Test Dates GL'r—Card B- Date Card B-1 Date/ Card BT� Date Card B-1 ✓=OK O=Not OK = Not Applicable Not Ready RESIDENTIAL (Single. & Duplex) = Date UNDERFLOOR (Plans) OK except #'s' Date FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. ties -Pu rlin-roof Brac-Truss-Shthng.-Ring. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped----------- ---- 6a. Hold Downs and Special Anchors ---- ----- -50. Garage Fire Protection Framing ---------- 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except #'s 16. Water Htr.: Vent -Access -Combustion Air -Baffle 17. Water Pipe: Test & Anchor -Nail Protection --------- ------ ----------------------------- 18. D.W.V.: Test -Fittings & Anchor -Nail Protection ------------ --- - ------------------ 19. Shower Pan: Test, First Floor -Tub Access 20. Test Tub & Shower. Second Floor -Tub Access 21. Gas Pipe: Size & Anchors Date - - _ -Card B_1 -- Date Card B-1 ------------------- --------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection ------------------------------- 23. E-lec. Receptacles Spacing -Lights & Switches at Doors - --------- - ------------------------------------------- 24. Size Boxes & No. of Conductors-Stapled ------------------------------------------------------------- ----- 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w!Mech. Fastners-Bond Gas & Water --------- ----------------------------------------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size!GFI --------- ----------------------------------------------------------- 28. Subfeed Wire Size r r ga. Cu or AI-A.C. Wire Size ! / ga. Cu or AI --------------------------------------------------------- 29. -------------------------------------------- 29. Range Circ. ! / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No -------------------------------------------------- - -- - ---- - ------------- -- --- -- - 30. Service -Riser Conductors & Ground -Main Disconnect --------- - - -- -- ------------------------------ ------------- 31. Equip. Clearances Panels-Motors-Mech. Equip. - -------------------------------------------------- 32. Clothes Closet Light -Shower Light -Spa Light -------------------------------------------------------------------- ---------------- 33.- Smoke Detector ---------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 -------------- --------------------------------------------------------------- Date -- ----------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support ---------------------------------------- 35. Vent Fan Exhaust above insulation ----------------------------------------- - -- - - - -- - -------------- --------- 36. Condensate Drain & Overflow: Size & Grade --- -------------------------------------- 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ---- - ------------------------------------------------------------------ - 38. Attic Access & Platform if Furnance in Attic ---------------------------------------------------------------------------------- ------------------------------------ --- --- -------------- ------------ ---- -------- - Date Card B-1 Date Card B -1 1 -1------------------------------------------------------------- ----------------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 39. Sils. Proper Material & Anchors - - -- ----- - -------------- ------------------------------------------- ---------- 40. Walls Studs -Nailing. - Spacing -&-Bracing-Plates-Sound------------------------------------------------------ 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) --------------------------------- ------------------------------------------------- 43. --- ---- ---------------------------------------------------------------- 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub -------------------------------------------------------------------------- 44. Headers & Beam -Size & Bearing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. _Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers ----------------- --- _ 55. Siding -Nailing Veneer _ 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic _ 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows ------------� ------------------ Date _ Card B-1_ Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings ----------------------- _______ 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor-Ducts-Mech. Protection ------------------- 64. ------- 64. Bedroom Exiting 65. G F.I & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel: Breaker Sizes & Labels ----------------- -------------- 67. Stairs & Rails ------------ 68 Fireplace or Stove: Clearances -Hearth - -- - --- -- ---- - ----- --------------------- 69. Elec. Outlets at Wood Panel: Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance -- ---- --... ---------------------------- - 71. Elec. Outlets & Receptacles at Kit. Counter "----------- ------------------ ---- ---- 72. Garage Fire Door: Swing -Landing -Closer ----------------------------------- -- - 73. A.C. Duct in Garage -Damper ------------------------ 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection ---------------------------------------- 75. Plb__Elec_ & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection ---------------------------------------- 7`. Insulation -Foam -Looked in Attic ❑ Yes ------------ 78--Guard-Rails & Deck Construction -Post Caps 79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth --- - ------ Clearance Looked under Floor ❑ Yes ------------------------ 80. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco: Brown -Finish _ --- -- 82. A.C. Unit: Disconnect. Electrical, Plumbing .. - -- - ---- -------------------------- - ----- ____ -- 83. Vents Above Roof; Plbg.-Appliance-Firep lace. -Clearance to - Openings -------------------------------------------- --- 84. Water Well: Disconnect, Electrical, Plumbing ------------------ 85 Exterior Elec. Trim: G.F.I. Receptacle -Underground ---------------------- - -- 86. Ventilation Throughout House - - -- - - - - ------------------- --------------- - 87. Glass Protection - .---------------------------------------------- 88. Corrections from Previous Inspections ...... ---------------------- 89. Gas Test -Meters Tagged: Gas -Electric ---------------------------------- 90. ----------- -----------------90. Water & Sewer Connected -C/O to Grade -HD Approval --------------------------------------- 91. -------- - - 91. Energy Compliance Certificate -Other Certificates --------------------------------- •------------------------------------------------- -- 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 DIV ION 7 County Center Drive - Oroville;- California 95965 - Telephone (916) 538-75 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 030-102-038 ZONING AR BUILDr PERMIT OWNER RONAID SCOTT TELEPHONE 534-5498 SQ. FT. OCC. BUILDING VALUATION CONT. 3,500 OWNERS MAILING ADDRESS 1700 i6TH ST, OROV.Tup CONTRACTOR'S NAME WATERWORKS TELEPHONE 893-4563 CONTRACTORS MAILING ADDRESS 25 12HI120 Fireplace CONSTRUCTIONLENDER UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 63.00 ARCHITECT OR ENGINEER UCENS ENO. Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1700 IN 16TH ST, OROVILLE PERMITFEE $ 106.00 PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO.SUBDNISDNS NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ OtherOK- Describe Work: METER 91-507 Mobile Home S G W 920.00 PERMITFEE g Contractor ELECTRICAL PERMIT Filinq Fee 20:00 Main Service OOOV OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A To I000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is In II for c effect. ,�,y� '3 License Class es � Lic. No. � 9 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR SO. OR ( &ACC. ) 3.5¢ Fr. CNS. NEW CONST. MULTI-OUUTLETLE T NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES) B20 @ 1.000 APLNS. 08 Ex. Occup. (OUTLETS(RES D.) EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 15.00 PERMITFEE $ 35.00 Contractor WORKERS' COMPENSATION DECLARATION I e by affirm under penalty of perjury one of the following declarations: 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. 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 carri rqn policy number are: Carrier 'N Policy Number &o (The above sections need not e c mpleted 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 forthw'th cwith t ose provisions. W, q X _ ___ Date !- ? L� Signatui of pplicant - ❑ Owner XContractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 141.00 HAZ. I D. FEES I IMP I FLOOD COF PARCEL Po H ISS This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated abov for which fees ave been paid. ' By Date ON (D e) Receipt No. P9IPERMITEXPIRES WHITE-D.D.S.- CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 0 ',.. ,..�v?-at.+y.�'��r+t�• r.''�r--yi�d�tif,�i�r-•..^n+'•z.r...�r�-....�.vw. �.,..�r*+S+S7�t+++i+w+�. tri...kj7�rMrt:.�,{�..,...y.r.r. 7�, .�7r.,-r.yv,v��v`: COUNTYOF BUTTE - DEPARTMENT OE.D:1/EOPMENTSERVICES - BUIL 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (911 OWNER ULA Proposed Building Use PERMIT APPLICATION DATA SHE NG DIVISION -7541 ' £ i A. P. No. Building Inspector Date At timeof permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: � DATE RECEIVED BY 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. All items have been submitted. Plot plans, 3/4 sets, signed by preparer of plans . .......................... Complete plans, 3/4 sets, signed by preparer of plans . ...................... Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. Hazardous Material Form . ............................................ Energy Design Compliance and supporting documentation . ................. . Statement of Intent for Non -Heated and A/C Buildings . ......................... Engineered truss details and layout in duplicate (required prior to plan check). .... Mobilehome data and manufacturer's installation instructions, 2 sets. ........... Feesof $ .......................................... Impact fees as shown on attached schedule . ............................. . California Department of Forestry plan approval/fees. ....................... . Flood elevation letter (100 year flood) by California Engineer. ... . Sanitation and plot plan approval Health Department. 3±�/i/. City of Chico plumbing permit . ......................................... Plot plan and business license approval from City of Biggs/Gridley. ............. Planning approval for (A) Use: (B) Parking: Contact Land Development about (A) Improvements (B) Drainage. .......... . Driveway permit (construction approval required prior to occupancy)....Pre�I�sp*ectio; requestPre-inspection for required. . to Building Inspector (Date) Contractor's license information. (No., Name Style, Classification) . .............. Certificate of Workmans Compensation Insurance . ......................... . Owner -Builder Verification (Given to owner , Mail to owner . .......... . Recorded copy of Agricultural Acknowledgement Statement . .................. Letter of signature authorization . ....................................... . Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... Letter of intent on building use . ........................................ . Mobilehome utility clearance . .......................................... Documentation of legal access . ..................... :.................. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... Existing violations/expired permits . ...................................... Plancheck list . ..................................................... When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at offjete. Deliver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works erPecmit No. -'RGY CERrIF'[('A'ri0N 1,0C.AI'N A . NO. )1-:' R [f'r[ON OF LN`, LA'C[(1.4 ROUE' PIATER(AL BRAND NAME. THICKNESS THERMAL RES. EXTERIOR !BALL MATERIAL FIBERGLASS THICKNESS CEILING BRAND NAME CERTAINTEED THF,RMAL RES. r 9 - BATT OR F:.A`!KE'i TYPE BRAND NAME CERTAINTEED. THICKNESS THERMAL RES. LOOSE FILLTYPE INSUL-SAFE.IIIBRAND NAME CERTAINTEED THICKNESS 1�-12'1 THERMAL RES. 3� FLOOR,ELEVATED .MATERIAL FIBERGLASS BRAND NAME. C.ERTAINTEED THICKNESS THERMAL RES. FLOOR, SLAB MATERIAL BRAND NAME THICKNESS THERMAL RES. WIDTH FOUNDATION WALL ^ MATERIAL BRAND NAME THICKNESS THERMAL RES. I HEREBY CERTIFY THAT THE -ABOVE INSULATION WAS INSTALLED IN THE ABOVE BUILDING IN CONFORMANCE WITH THE STATE OF. CALIF. -ENERGY REQUIREPIENTS. SHASTA INSULATION INC. #53023.5 FIRM NAiM IV, STATE CONTR. LICENSE NO. I hereby certify the above ..i.nsulation and all required items as shown on the .Building Depart. 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 Calif. =---=----aQ �- ------------------------------- FIRP NAM /OWNER�(PLEASE PRINT) STATE CONTRACTOR'S LICENSE N0. _ 0 Z -L- . . 3 F GENERAL CONTRACTO DATE This certificate must be on file with the BUILDING DEPARTMENT prior to final inspection approval and a copy shall be posted within the building. JANUARY 1984 LAND OF NATURAL WEALTH AND BEAUTY BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 January 17, 2001. FAX: (530) 538-2140 N� Ronald C. Scott,&V li Ito��.` 1700 16`h St. I l� Ik, Oroville, CA 95965 ( o� It RE: Formal Warning Notice Building Code Violation/ 1� ��a o l 1700 16`h St., Orovi lie A.P. #030-102-038 Dear Mr. Scott: �G This is a formal warning notice. Pursuant to Butte County Code (BCC) Section 41-2, we sent you a courtesy notice dated December 14, 2000, notifying you that you are in violation of the BCC, and 1998 California Building Code (CBC), at the above -referenced location. As of this date, the following violations still exist: Failure to obtain the required permits, inspections and approvals from this office for the construction of a carport is in violation of the 1998 California Building Code adopted by Section 26-1 of the Butte County Code as f6llows: (a) . Section 106.1 Permits Required (b) Section 108.1 Inspections Required (c) Section 108.4 Inspection Approval Required Before Use or Occupancy (d) Section 3405 Change in Use Requires Conformance to Code The above violations(s) shall be corrected or abated by you by submitting three (3) complete sets of plans, applying for the required permits, and paying the appropriate fees, including penalties. After permit issuance and field authorization to proceed, the work must be completed and approved by this office within the permit specified time. This is your final warnin . Unless you contact this office and make the proper arrangements to correct or abate the violation(s) voluntarily, within ten (LO) days from the date of this letter, enforcement shall be pursued through the issuance of a citation (ordering you to appear in court) for said violation(s) and for failing to comply with this warning letter. I Ronald C. Scott January 17, 2001 Page 2 Upon conviction of said violations) or of failing to comply with this letter, the court shall impose penalties (fines) and a Notice of Violation shall be recorded in accordance with Butte County Code Section 41-7. The Notice of. Violation shall .include a description of the premises the violation concerns, a description of the violation, the date of your conviction and the action necessary to correct or, abate the violation(s). Should you have any questions concerning this matter, please contact Scott Rutherford or Michael. C. Vieira in this office at the address or telephone number listed above. Si+Micael l eira Manager, Building Inspection MCV:pa 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 221 23 1 24 25 26 27 281 PROOF OF SERVICE BY MAIL I am a citizen of the United States and employed in the County of Butte; I am, and was at the time of the service hereinafter mentioned, over the age of eighteen years and not a party to the within action. My business address is Department of Development Services, Building Division, .7 County Center Drive, Oroville, California 95965. 1 am readily familiar with the County's practice for collection and processing of correspondence/documents for mailing with the United States Postal Service and that said correspondence/documents are deposited with the United States Postal Service in the ordinary course of business on the same day. On January 17, 2001, 1 served the foregoing 10 -Day Letter on the person(s) named below by placing a true copy thereof in a sealed envelope, with first class postage thereon fully paid, addressed as indicated below, and by placing said envelope In the appropriate place within the Department of Development Services where mail is collected for mailing with the United States Postal Services, on the same day. X In the United States Postal Service Mail in Oroville, California. Ronald C. Scott 170016 1h St. Oroville, CA 95965 I declare under penalty of perjury under the laws of the State 2001, at Oroville, California. nuary 17, L A N D O F N A T U R A L W E A L T H A N D B E A U T Y BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES .December 14, 2000 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530) 538-2140 Ronald C. Scott 1700 16`h St. Oroville, CA 95965 RE: Building Code Violation 1700 16`h St., Oroville A.P. #030-102-038 Dear Mr. Scott: This is a courtesy notice to notify you that you are in violation of the Butte County Code, as follows, at the above -referenced location. Failure to obtain the required permits, inspections and approvals from this office for the construction of a carport. Since permits and inspections are required for -the above work, please submit three (3) complete sets of plans, apply for the required permits, and pay the appropriate fees. All work must stop until these permits are issued and you are authorized by our field inspector to proceed. The field authorization cannot be made until the existing work is inspected and approved. It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should be advised that Butte County has an active Code Enforcement Program which provides an effective means of enforcement if voluntary compliance is not obtained. Enforcement may be pursued through the issuance of citations, fines and the recording of a Notice of Violation including a description of the action necessary to abate the violation. You have thirty (30) days to voluntarily comply with the above directions or to present an acceptable plan for abatement or corrective actions to be taken by you. Should you have any questions concerning this matter, please contact Scott Rutherford or Michael Vieira in this office at the address or telephone number listed above. Sincerely, Of Michael Vieira Manager, Building Inspection MCV:pa cc: Assessor e AssessorDec000 01:29 am' Name SCOTT RONALD C �1 — - - -- — - Asmt # : : ::: I Fee # 030.102.038.000 I Status ACTIVE Status Date 07!17!1989 Addrl 1170016TH ST_ _ _ �� Tax M01 I JTRA 104 010 Addr2 10ROVILLE CA 95965 Situs 1700 16TH ST ORO Addr3L Base Dt Addr4 �� Land 29,507 QJJ AgPres Structure 109,28 Comments .WAS 030102 009 PM 115-87 7!17!89 J Etal fixtures J Notes Growing 0 Creating D oc#1 1989RP115-87 = Date 07!17!1989 J Bonds Total L&I 138,791 Current Doc# 1994848420 Date 1113011994 J Multi Situs Fix. RP 0, Killing Doc# Datel Asmt Desc 170016TH ST i SuplCnt 0 j J-jl Flag1 MH PP 0, r FIag2 PP 0, ,Zoning �� Dwell 1 t 0, J Asmt PP Pen Exempt Acres 2.59 N/C 030 ,, J Tax PP Pen Net c138,791 R./C# J Appeal Pending T!R Dt J Split Pending. R!C Stat `^t'OWN EXP TAX ATT HON SIT APR. PCL �N' ►� 2;FindIl�if11 — 2000 sa, 08!08!2000.6:17:48 PM COUNTY OF BUTTE - DEPARTI )MENT OF PUBLIC WORKS PERMIT N0. t 7 County Center Drive - Orovllle, California 95985 - Telephone: 918/538.7541 2 APPLICATION AND-PtRMIT / —K-33RISOR PARCEL NUMBER 030-10-2-038 ZONING AR' BUILDING PERMIT OWNER BILL IVEY TELEPHONE 532-0829 SO, FT. OCL`, BUILDING VALUATION OWNER'S MAILING ADDRESS 1700 16th St., Oroville, CA 95965 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace C01V_STRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1700 16th St., Oroville Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other Garage SPECIFY f Gas piping 'system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00ea TYPE OF WORK New F-1 Addition Remodel❑ UtilitiesU Installation❑ Other Describe work: E-leetrie Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 Main service EA. AOD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ) !' ❑ I am licensed under provisions Of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. i 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) E]I am exempt under Sec. , Business and Professions Code for this reason OCCUP.61\� 2 '/zQsgft 16.80 NEW CONST. DWELLING OR ADDNS. ACC. SLOGS. A/ NEW CONSTR U TI.OUTLET 2.50 ea NO N.RESID BRANCH CIRC ITS POWER APPARATUS &) SINGLE OUTLET CIR. j20 0 Ex. Occup( OUTLETS OR FIXTURES eAL0330 FIXED APLNS.© Ex. Occup, OUTLETS P(RESID )REAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.%.80 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate I Consent to Self -Insure. LrJ ' shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in onsequence of the granting of this permit. / _ 2 �_.�j X ?� �-�/ Date _,7 Signature of App t' rhe'❑ ❑ ❑ /4 cent — OW r Contractor Agent An OSHA permrt is required For excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 26.80 HAz. I CUA PARK I SCHL I FLO cDF PAR PD I HD. ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County. Code and/or resolutions to do work i icated above for which f have been aid. ! p ORKS T OF PUB r,Daqt PERMIT EXPIRES Date 5/24/92 Receipt No. 3 %e5/24/91 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovllle, Californla.959� - Telephone: 916/538-7541 APPLICATION`AgD PERMIT ASSESSOR PARCEL NUMBER 030-10-2-038 ZONING AR BUILDING PERMIT OWNER BILL IVEY TELEPHONE 532-0829 SQ. FT. OCC, BUILDING VALUATION OWNER'S MAILING ADDRESS 1700 16th St., Oroville. CA 9.5965 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ Ener PlanChecking Fee Energy ecg $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1700 16th St., Oroville Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE ❑ Duplex❑ Mobilehome❑ Other Garage s CI FY Gas piping system 1 - 5 outlets Building sewer *5.0SF Mobile Home S G W TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities XX Installation❑ Other ❑ Describe work: Electric Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main Service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): ❑NON.RESID i am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. 19 I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.Id OR ADDNS. (ACC. BLDGS. , 2 h¢sgft 16.80 NEW CONSTR U TI.OUT LET BRANCH CIRC ITS 2.50 ea POWER APPARATUS tr (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 200500 eALO 30 FIXED APPLNS. R Ex. Occup. OUTLETS (RESID )EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ 26.80 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 mf 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 FiIingFee 10.00 Heating Cooling g Hood 3.00 Ventilation penult 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 Count in nsequence of the granting of this permit. / %� Date �'7 — oZ �� Signature of ApP/0 ant – OW Contractor ❑ Agent ❑ An OSHA permi is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ oc c CONST TYPE 6 .80 TOTAL FEE $ 26 E HAz. cuA PARC SCHL LLD PAR I HD. ISSUE. This permit is hereby issued under the applicable provi- sions of the Butte County. Code and/or resolutions to do work i 'cated above or which ee have been paid. D T OF PUB I ORKS Date5/24/91 PERMIT EXPIRES Date 5/24/92 Receipt No. 1 WHITE-D.P.W., YELLOW-ASSE330R, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Canter Drive - Orovlllg, CaUfoanle 95965 - Telephone: 916/536.7541 APPLICATION AND PERMIT As3SOR PARCEL NUMBER 30 - /o - 0 - 0-3 ZD" '" BUILDING PERMIT TELEPHONE o�� S0.FT. OCC. BUILDING VALU- ATIONow/R/! '6019 OWNER-3MAILING /jES 100 ✓ 0 V `2,e7S94s CO RACTOR•S NAME f w C PHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONS, RUCTION LENDER UNKNOWN Total Valuation Is FilingFee S 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCH TECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee gy g $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUVING�^DDRE$s, r 1 V � � L) -1 Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other 9a r0( Q � SPECIFY V Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00 ea TYPE OF WORK New ❑ Addition ❑ RerG�'od%el ❑ Utilities(2 Installation❑ Other ❑ Describe work: ( _ 1_ C C� 1" C� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6100001AMP OR LESS 100 OR LESS 10.00 Main service EA. AOD•L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason oa ADONST ( OACC`BLDGOS.CCUi�. �_¢sq0 !� _t-EW-C.ONSTR ULTI.OUTLET(p NO Mi?E'SIO BRANCH CIRC ITS 12.50 ea POWER APPARATUS Q (SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES 2ALOt e�o30t FIXED APLNS Ex. Occup. OUTLETS (RESIO IRE A.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ (o, WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee _ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct. ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEES HAZ. CUA I PARK scHL I PLO I coF i PAR I Po ; ,o. IssuE This permit is hereby issued unser sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By l2c PkJfT FYPtGFC r1.ta the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. - -- -. ------- _.- .__ ._ _ COUNTY OF BUTTE f f1e'partment of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. e 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name 311z L � e D yy /y e/2 Address / 70 /h -T-r- City Phone _,3,2 _ o cl 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 ico /V =V o nr h 3 a- o S a 9 Signed: Property Owner -A Social Security Number Date — _-2 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. a 0 RESIDENTIAL 30— 02-fO 39 IVEY, Bill 1700 16th St, OrOville Cont: Don Scribner garage) JOB FINALE Signature J=OK O = Not.OK = Not Readyable 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 -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete MISCELLANEOUS Date DECXS, COVERS, CARPORTS, GARAGES, Plans OK except #'s t mg Requirements -Setbacks -Easements _,,1-2 Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg.-Rfg -Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. F ; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mash 0. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date- Card 8-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except $rs 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-Panelboards-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 .N 6. Gas; Location -Test -Wrap: / /"L"ft. / P'Na(. or/ /"L"ft./ /"LPG 7. 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 MISCELLANEOUS Date DECXS, COVERS, CARPORTS, GARAGES, Plans OK except #'s t mg Requirements -Setbacks -Easements _,,1-2 Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg.-Rfg -Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. F ; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mash 0. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date- Card 8-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except $rs 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-Panelboards-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 .N l=OK O = Not OK = Not Applicable RESIDENTIAL (Bungle & Duplex) = Not Ready Date UNDERFLOOR (Plans) OK except #'s L,, -'l. Zoning -Setbacks -Easements -Flo d -Slope Fig., Main; Soils-Elec. Grnd.-/ tg. Depth 3. Fig., Garage; Soils-Steel-Ele6-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 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchor -Regulator -Service Test LX lectric; Underground -�� Pienums & Ducts; Clearance -Material -Support -ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Date Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow: Size & Grade 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access -& Platform if Furnance in Attic Date Card 8-1 Date Card 8-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 39. Sils. Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties -Pu rlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Battles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 57. Glazing Area -Glass Protection -Skylights -Plastic. 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card 8-1 Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit: Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates 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 PUBLIC WORKS 7 County Center Drive - Oroville, Callfornla 95965 - Telephone: 916/538-7541 APPLICATION,AND PERMIT PERMIT No- A ASSESSOR PARCEL NUMBER 30-102- IZO MING AR BUILDING PERMIT OWNER BillIve TELEPHONE 532-082 S0. FT. DCC. BUILDING VALUATION 672 OWNER'S MAILING ADDRESS 1700 16th St., Oroville 95965 CONTRACTOR'S NAME Don Scribner 1695-3038 TELEPHONE CONTRACTOR'S MAILING ADDRESS 9755 0 St.,Live Oak 95953 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ 80.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 40.25 Energy Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP 87 Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other_aaraae SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W I J O.00ea TYPE OF WORK New Zy Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: det garage Permit Fee $ Contractor ELECTRICAL PERMIT ling Fee 10.00 Main service SS 10000 AMP OV OR R LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 r CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. P7 ❑ 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.e1 OR ADDNS. ( ACC. BLDGS. 21bitsqft NEW CONSTR. MULTI -OUTLET NON .RES'D BRANCH CIRC ITS 2,50 ea POWER APPARATUS e (SINGLE OUTLET CIR. I Ex. Occup(OUTLETS OR FIXTURES 00 eLO 2ALI3 C 30 FIXED Ex. Occup. OUTLETS P(RESID,)LNS REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation penult 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 Cou in consequence of the granting of this permit. X 7 �� Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 130.75 HAL. EUA PARK r SCHL _ FLD _ EDF PAR PD j HD. ISSUE, This permit is hereby issued unser the sions of the Butte County. Code and/or work indicated above for which fees I TOR OF PILIC BY ^Dat�ej PERMIT EXPIRES ate —J applicable provi- resolutions to do have been paid. WORKS [P Receipt No. 88463 WHITE-D.P.W.. YELLOW-ASSE330R. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 4 . 7 COUNTY CENTER DRIVE - OROV.ILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION TA SHEET Permit No. OWNER 1/_ L �L� 7 A. P. _ Proposed Building Use 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. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ . 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 1 S I D' tr' fees paid .............. Off`'' Sanitation approval from _ � ��Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ..... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector 21. Contractor's license information (No., Name Style, Classifications .. 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner o) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... • 26. 27. =elephone issue the permit, process as follows: Mai t °j er. Mail to contractor. d CM25 and hold for pickup at � �'Voffice. Deliver w/inspector. Other / Applicant; Date 4y Copy of ! laz-Mat form sent Health Dept. Fire Dept. air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---jnail—counter by Contractor, designer, owner, was advised of above required data by—phone —ma ll—counter by Plans checked by W Date 4�IS 19 1 Plans approved by Sets of plans on hold in Copy—DPW File cabinet AP folder date date Date ` ^ � u -,7 , --- - - � ` ^ ' Q� "" 30-102m-38 3801-90B,E,M | ' . � | BAKER, Paul ' � . 1700 lOtb St, OrovilIe � ' (garage couv to living)/ ` / / Z,771 , / -3 ------- OFFICE Cop __mFF/osooPy ~ r uu�uuGFAS Meter By_ D a 7 C ELECTRIC DatA Meter By t Date OFFICE COPY Address Me—W By Date_ ELECTRIC Meter By Date Signature 'J OK O = Not OK - = Not Applicable Not Ready RESIDENTIAL (Single & Duplex) = Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Fig., Main; Soils-Elec. Grnd.-/ /" Fig. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Fig. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalis, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel -Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -In . 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippl s 15. Insulation Date Card B-1 Dat I Car Date Card B-1to Card B - Date PLUMBING Permit OK ex #' ,/ 16. Water Htr.; Vent -Acca -C ustionAV- affle 17. Water Pipe; Te Abhor ail Prot n 18. D.W.V.; TesN!&Z& Anchor -N61 ction 19. Shower Pan; %n rst FloorZqAKess 20. Test Tub & Sho4ar, Se94 Flo Tub Access 21. Gas Pipe; Sjop & Anc ors Date Car B- Date Card B-1 Date Car B-1 I Date Card --B-1 Date ELECTRIC ermit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Eye. -Re eptacles Spacing -Lights & Switches at Doors 24. ize Bots & No. of Conductors -Stapled 25. Vo1 talled Close to Edge of Studs & C.J. 26. tquip. G and made up w/Mech. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date Card 3-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearino (NOTE: An entry must be mad( iDate FRAMING (Continued) 1 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings each time you visit job site) 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical,,Plumbing 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 69• Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates 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: each time you visit job site) v=dK O = Not OK - =Not Applicable = Not Ready MOBILE HOMES ' ' Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 2. Soils; Special MH Support Sketch 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 3. Sewer; Location -Test -Fall -C/O Concrete 4. Wood Awn.; Posts-Beams-Rftrs: Coonectors Shthg.-Rfg.-Bracing 4. Water; Location -Test -Easement Needed (Sketch) 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Carports; Windows -Doors 6. Gas; Location -Test -Wrap: / /" L" ft. / /"Nat. or/ /" L"ft./ /"LPG 7. Electric 7. Utility Clearance 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 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 Card B-1 Date Card B-1 1. Zoning Requirements -Setbacks Easements Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line POOLS (Plans) OK except #'s 3. Gas; MH Test -Demand -Valve -Connector 1. Setbacks -Easements 4. Electricity; MH Test -Crossovers -Breakers -Clearances 2. Soils; Compaction -Structure Stability 5. Drain; MH Test -Fall -Flex Connector 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 6. Water; MH Test -Regulator -Connector 4. Elec.; Receptacles and Lighting, Distances-GFI 7. Water and Sewer Connected -C/O to Grade -HD Approval 5. Elec.; Pool Lighting; 15 volts-GFI 8. Gas and Electricity Tagged 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 9. Exits; Insp.-Sketch 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 10. Cert. of Occupancy '8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs: Coonectors 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-Panelboards-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 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 74,Coartty tenter Drive-.OroviIIe, CaIifornie,95965 - Telephone: 916/538-7541 APPLICATI69 ANB PERMIT PERMIT NO. ATES OPARCEL NUMBER 0 R —X02-38 ZONING AR BUILDING PERMIT OWNER 7� MAILII ANG eADDRESS TELEPHONE 532-9201 SQ. FT. OCC. BUILDING VALUATION 441 R 4 410.00 OWNER' S 1720 16th St, Oro 95965 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN S Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 50.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee 25.25 Energy Plan Checking Fee A$. $ 15.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1700 16th St, Oro Permit fee $ 100.75 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex Mobilehome❑ Other image conversion SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.006 TYPE OF WORK New❑ Addition❑ Remodel❑ Utilities❑ Installation[] Other EJ Describe work: 441 sq ft garage ronverGi on to R _ (note Permit #3229-90) Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6101 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑NO I am licensed under provisions Of Chapt. 9, Div. 3 Of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.tr OR ACDNS. ( ACC. BLDGS. 2/2¢sgft NEW CONSRES'. ULTI.OU LET N•R ESID BRANCH CIRC ITS CIRCUITS) 2,50 ea POWER APPARATUS .&) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES eL930 2AL@ FIXED APLNS. OR Ex. OCCup. OUTLETS P(RESID.I EA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin 9 15.00 15.00 Permit Fee $ 25.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating 25,000 BTU 6.00 Cooling 9 Hood 3.00 Ventilation 1 3.001 3.00 Permit Fee $ 19.00 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 ree to save, indemnify and keep harmless the County of Butte against a61 li i ities, judgments, costs, and expenses which may in any way accrue agai st aid Counq in n quence of the granting of this permit. X,� %t �_ G Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ A;, OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE E TOTAL FEE $ .7 HAz CUA PARK SCHL PAR E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees OF"U`/ IC G By DIR CT ZED PERMIT EXPIRES CWte L the applicable provi- resolutions to do have been paid. WORKS to G 2& Receipt No. 84243 — $144.75 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT /lr•..%+�rit�^r,��."'A,�',,,.+::t�.ry,,•,ryrfi.'�»`jM�•.• ti'`{:•r��..->•. ; L+:..;`vi'; R�.A-�� ` '� 3� ,.+X�::� , .. .. - r COUNTY OF BUTTE - DEPA LTME,NLT OF P(IBLIC WORKS - BUILDING DIVISION Z/ .. 4 7 COUNTY CENTER DRIVE - ORQrVILLE; 6 lPOI& 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET AN Permit No. OWNER u-%' �ti A. A. P. No. 0 ^ JUZ tON �c .Q S/a n) Proposed Building Use �r Building Inspetctor SSS 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. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid 13. ��� — i.i19�� School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone �3a and hold for pickup at office. Deliver w./inspector. Other Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item of checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required dada by' phone--naiI—counter by date Contractor, designer, owner, was advised of above re uired d'ta by_phone_mal11_�jcouu er by date Plans checked D -- '�/y heck by ate tans approved by Date ,2 Sets of plans on hold in File cabinet AP folder Copy—DPW 'r ti COUNTY OF BUTTE —Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-.538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no)�_. 2� I have have not) , 1 -e.. signed an application for a building permit for the proposed work. 3. 1 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 VC.-. 0 - ef�l_ Social Security Numb r Date I,-- C 2a 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: •BUTTE COUNTY SCHOOLS' DEVELOPMENT FEE CERTIFICATION FORM (One Form per Building) A.P. Number 30 _ /62 —3 g Building Department No. School District �eo_ `j/,'M,4L/i0 City = County r1V1 Jurisdiction Property Owner Project Location/Address /7D O //71 S; 04 Subdivision Lot Number Residential Development: Sq. Footage 7 7 # of Living ',MHI Addition (Group R) Units Commercial/Industrial: O Sq. Footage ' New Addition (Including Exterior Roofed Areas) BuildingrDepartment Representative Date (Floor Plans reviewed by School District Personnel) 'Di'strict No. 7 1 0 1 0 7 - YlLi.454 'l-Al'i-) School District certifies that 'A (Applicant] N/am/�e) (Phone Number) Not/)r?�?, (Street Address) � (City) (State) V, J(Zip Code) has. complied with the requirements of Res o'lution No. .by the payment of $ representing square feet. School District Representative /Date' PAID BY CHECK NO. REMARKS: BANK NO ----T C,i c> 1.0 4h ! �19 6/0 —4"-X C / PAID BY CASH 7 liyarr�/�, r� �l_lt�r Q 4._P white -applicant, yellow -building department, ink schoofdistrict SCHOOL.FEE (8/88) E 1 `6W 16 sf 0ov`GLn PZP-Ilq /7' n Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile www.buttecounty. net/dds www.buttegeneralplan.net BUILDING*PLANNING*ADMINISTRATION AFFIDAVIT REQUESTING DUPLICATE PLANS (California Health and Safety Code Section 19851 -19853) The official copy of the building plans may not be duplicated without written permission from the certified, licensed, or registered professional, if any, who signed the plans and the building owner I hereby request duplicate copies of the building plans on file with the Butte County Department of Development Services, Building Division for: Assessor's Parcel Number: 62,73C7 Permit Number(s): Located at: _ _z/_20, �� i� � ��yi/� �� (Address) (City) (Zip Code)'y I am aware of the following three provisions of the California Health and Safety Code as follows: 1. That the copy of the plans shall only be used for the maintenance, operation, and use of the, building. 2. That the drawings are instruments of professional service and are incomplete without the interpretation of the certified, licensed or registered professional of record. 3. That subdivision (a) of Section 5536.25 of the Business and Professions Code states that a licensed architect who signs plans, specifications, reports, or documents shall not be responsible for damage caused by subsequent changes to, or use of, those plans, specifications, reports, or documents where the subsequent changes or uses, including changes or uses made by state or local government agencies, 'are not authorized or approved in writing by the licensed architect who originally signed the plans, specifications, reports, or documents, provided that the written authorization or approval was not unreasonably withheld by the architect and the architectural service rendered by the architect who signed and stamped the plans, specifications, reports, or documents was not also a proximate cause of the damage. Current Building Owner �_Z Design Profession of Record Signature of person requesting copies: /L Printed name of person requesting copies:p� Sco7T Date: ���� �� Contact Phone Number: Address: ����b �G> Ski 7� Reason for requesting duplicate set of plans: ❑ Owner Permission- Date Sent: _ ❑ Professional Permission- Date Sent: FOR BUILDING DIVISION USE ONLY Date Received Date Received Rol California Health and Safety Code 19851. (a) The official copy of the plans maintained by the building department of the city or county provided for under Section 19850 shall be open for inspection only on the premises of the building department as a public record. The copy may not be duplicated in whole or in part except (1) with the written permission, which permission shall not be unreasonably withheld as specified in subdivision (f) of the certified, licensed or registered professional or his or her successor, if any, who signed the original documents and the written permission of the original or current owner of the building, or, if the building is part of a common interest development, with the written permission of the board of directors or governing body of the association established to manage the common interest development, or (2) by order of a proper court or upon the request of any state agency. (b) Any building department of a city or county, which is requested to duplicate the official copy of the plans maintained by the building department, shall request written permission to do so from the certified, licensed, or registered professional, or his or her successor, if any, who signed the original documents and from (1) the original or current owner of the building or (2), if the building is part of a common interest development, from the board of directors or other governing body of the association established to manage the common interest development. (c) The building department shall also furnish the form of an affidavit to be completed and signed by the person requesting to duplicate the official copy of the plans, which contains provisions stating all of the following: (1) That the copy of the plans shall only be used for the maintenance, operation, and use of the building. (2) That drawings are instruments of professional service and are incomplete without the interpretation of the certified, licensed, or registered professional of record. (3) That subdivision (a) of Section 5536.25 of the Business and Professions Code states that a licensed architect who signs plans, specifications, reports, or documents shall not be responsible for damage caused by subsequent changes to, or use of, those plans, specifications, reports, or documents where the subsequent changes or uses, including changes or uses made by state or local governmental agencies, are not authorized or approved by the licensed architect who originally signed the plans, specifications, reports, or documents, provided that the architectural service rendered by the architect who signed the plans, specifications, reports, or documents was not also a proximate cause of the damage. (d) The request by the building department to a licensed, registered, or certified professional may be made by the building department sending a registered or certified letter to the licensed, registered, or certified professional requesting his or her permission to duplicate the official copy of the plans and sending with the registered or certified letter, a copy of the affidavit furnished by the building department . which has been completed and signed by the person requesting to duplicate the official copy of the plans. The registered or certified letters shall be sent by the building department to the most recent address of the licensed, registered, or certified professional available from the California State Board of Architectural Examiners. (e) The governing body of the city or county may establish a fee to be paid by any person who requests the building department of the city or county to duplicate the official copy of any plans pursuant to this section, in an amount which it determines is reasonably necessary to cover the costs of the building department pursuant to this section. (f) The certified, licensed, or registered professional's refusal to permit the duplication of the plans is unreasonable if, upon request from the building department, the professional does either of the following: (1) Fails to respond to the local building department within 30 days of receipt by the professional of the request. However, if the building department determines that professional is unavailable to respond within 30 days of receipt of the request due to serious illness, travel, or other extenuating circumstances, the time period shall be extended by the building department to allow the professional adequate time to respond, as determined to be appropriate to the individual circumstance, but not to exceed 60 days. (2) Refuses to give his or her permission for the duplication of the plans after receiving the signed affidavit and registered or certified letter specified in subdivisions (c) and (d). 19852. The governing body of a county or city, including a charter city, may prescribe such fees as will pay the expenses incurred by the building department of such city or county in maintaining the official copy of the plans of buildings for which it has issued a building permit, but the fees shall not exceed the amount reasonably required by the building department in maintaining the official copy of the plans of buildings for which it has issued a building permit. The fees shall be imposed pursuant to Section 66016 of the Government Code. 19853. This chapter shall not apply to any building containing a bank, other financial institution, or public utility 2/7/07 1. Ceiling Insulation -4 -3 -1 Number of stories -1 R -value One Two Three R-0 -103 -49 -02 *R-19 -8 -4 -2 R-30 -2 -1 -1 R-38 0 0 0 U -value -10 4 40 0.50 -176 -84 -54 0.30 -102 -49 -32 -29 -26 -13 -8 .0.10 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 2. Wall Insulation 13 27 -52 Single- Single - -2 6 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 -11 -4 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 1 0.06 9 7 5 •, 0.04 14 11 7 ' 0.02 19 14 10 0.00 24 18 12 3. Raised Floor Insulation 1 17 -23 Insulation in Floor 3 8 12 Number of stories 16 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 -12 _ 8 0.60 . -144 -70 -46 0.50 -120 -58 -38 0.40 -95 -46 -00 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 Solar Number of stories +610 16 or 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 0 0 .. Number of Stories 3 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 S. Inriltration (Air Leakage) - Spedfication ,Points Standard 0 6. Glass Heat Loss Total -14 -48 -69 %Glass U -value East South West Percent 18 - 5 .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 1 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 i 11 -6 7 10 13 16 19 10_ -3 .. 9 ii 14 17 19 9 -1 10 13 15 17 20 8 2 12 14 i6 18 20 7. Shading (Shade Open) Effective Percent Glass (percent glass x SC) Elective -14 -48 -69 %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 0 -4 $. Shading (Shade Closed) -4 -16 2 Effective Pei c t Glass -1 -2 -1 (percent glass x SC) 1 %G1e66 Noll► Et16t South West S117W 18 -14 -48 -69 -64 na 16 -12 -42 -59 -55 na 14 -10 -35 -50 -46 na 12 -8 -29 -40 -37 na it -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 -2 -1 -9 1 1 1 1 1 -4 0 2 3 4 3 0 na . not allowed 10 11 13 14 14 8.5 7 9. Interior Thermal Mass U -value [0.037] or - R -value (0) Interior Slab Floor Raised Floor Water Mass Stories Stories 12M ICFA One Two. Three one Two Three 0.0 -8 -5 -4 -2 -1 .1 0.1 -8 -5 -0 -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 2.5 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 5 Exlerior Single- Single - +6 lo 16 or Wall_ Family Family Muhl +5 Mass [)etadW Attached Family . 0.00 0 0 0 -13 0.20 3 2 1 -11. -9 0.40 5 4 3 6.6 0.60 8 6 4 -2 0.80 10 8 5 0 0 1.00 13 10 7 8.0 -1.20 13 - 12 8 4 1.40 12 13 9 14 12 1.60- 10 13 11. 10.0 1.80 10 - - 12. 12 10 2.00- 10 11 13 23 19 11. Heating System ~ 12 - 12.0 SE or 13SPF 26 22 18 14 (assumes ducts In attic) 13.0 33 29 24 Sum of 1.6 15 10 14 _ -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 2 Effective SE or HSPF 1 (SE or HSPF x duct etTidency) Solar Effective -25 or -24 to -14 to 4 to +610 16 or SE HSPF less -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 0 Zonal Control Adjustment IE None System Type -15 -10 Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 12. Cooling System U -value [0.037] or - R -value (0) Unit Size (sQ Standard Water SEER 1199 12M 1700 2200 2700 (assume; ducts In attic) to to to Sum of 7-10 Type Type less_' 1699 -25 or -24 to 44 In -4 b +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 0 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 -- 12.0 15 13 11 9 -7 5 13.0 20 17 14 12 9 6 -9 -7 Effective SEER IG None -5 -3 (SEER xduct efficiency) -2 -2 Sum of 7-10 7 5 Effective -25 or -24 to -1410 -411D +6 lo 16 or SEER less -15 S +5 +15 more 5.0 -30 -25 -21 -17 -13 .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 23 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 3 10 8 7 6 4 3 No Cooling System Installed WS5 Stories 4 3 2 2 One -5 -4 -4 -3 -2 -2 Two + 3 3 2 2 2 1 Single -Family Detached and Attached Interior Mass/CFA . Ty"! PASS ct.i-UTW-4.21 % TYPE 1 MASS (UMC + 4.2+ lexposed Slab)_ 0% 5% 10% 1S% 20% 25% 30% 35% 40% 45% 50% 56% 60% 6616 70% 75% 80% 85%. 90% 95% 100% 105% 1101: 115% 120% 125- 0% 0 0.2 04 0.8 0.8 1.1 1.3 1.5 1.7 1.9 2.1 23 2.5 2.7 2.9 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5 53 10% 0.2 0.4 0.6 0.8 1. 1.2 IA 1.6 1.9 21 13 25 2.7 2.9 11 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 11 1.8 2 . 2.2 14 2.7 19 3.1 3.9 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 12 14 l6 2.8 3 3.2 3.5 3.7 32 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 58 40% 0.7 0.9 1.1 1.3 1.5 1.7 1.9 2.2 14 2.6 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 11 13 25 17 3 32 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5.1 5.3 5.5 5.1 5.9 6.1 65% 0.9 i.1 1.4 1.6 1.8 2 2.2 24 2.6 28 3 3.2 3.5 3.7 3.0 4.1 4.9 4.5 4.7 4.9 S.i 5.3 5.6 5.8 6 6.2 60% 1 1.2 1.4 1.7 1.0 21 2.3 2.S 2.7 2.9 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 2.2 2.4 2.6 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 6.1 64 70% 1.2 1.4 1.6 1.8 2 2.2 2.5 2.7 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 11 2.3 25 2.7 3 3.2 14 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 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 3.0 4.1 4.3 4.5 4.7 4.9 5.1 5.4 5.6 5.8 6 6.2 64 66 851: 1.4 1.7 1.9 2.1 2.3 15 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 6S 67 90%' 1.5 1.7 2 2.2 24 16 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 66 95% 1.6 1.8 2 2.2 2.5 17 2A 3.1 33 3.5 3.7 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 11 2.3 2.5 28 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.1 7 105% 1.8 2 2.2 2.4 2.6 18 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 68 7 110Y. 1.9 2.1 2.3 2.5 27 2.9 3.1 3.3 3.6 3.8 4 4.2 4.4 4.6 4.8 5 5.2 5.4 5.7 5.9 6.1 6.3 6.5 6.7 69 7.1 115% 2 2.2 24 2.6 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 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 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.4 4.6 4.8 S 5.2 5.4 5.6 50 6 6.2 6.5 6.7 6.9 7.1 7.3 125% 21 2.3 25 2.8 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.0 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.7 7 7.2 7.4 Point System Summary: Climate Zone 11 SCORE CARD Measures 1. Ceiling Insulation R 3-0 or Ip -value 1381 U -value 2. Wall Insulation or R -value [ l lj U -value [0.0981 3. Raised Floor Insulation 4. Slab Edge Insulation S. 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. Interior Thermal Mass 10. Exterior Wall Mass 11. Heating System Zonal Control? ( Y / N ) 12. Cooling System Zonal Control? ( Y / N ) 13. Water Heating or R -value [ 191 $- U -value [0.037] or - R -value (0) Unit Size (sQ Standard Water 1199 12M 1700 2200 2700 Heater Credit or , to to to or Type Type less_' 1699 2199 2699 more SG None 0 0 0.. 0 0 or Solar 12 8 6 5 4 1 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 a HWR -18 -12 -9 -7 -6 WSB.. .25 -16 -12 -10' -8 _0 POU _-18 -12 -9 -7 -6 IG None -5 -3 .2 -2 -2 Solar 7 5 4 3 2 ND . L OR AREA POU 3_ 2 1 1 1 IE None -28 -19 -14 -11 -9 Duct Efficiency [0.78] Solar 8 5 4 3 3 POU -10 -6 -5 4 -3 Duct Efficiency [0.74] Multi -Family (individual units) Unit Size (sq Water :599 700 1200 1700 2200 Healer Creditt or b to lo or Type Type less 1199 1699 2199 more SG None 0 0 0 0 0 or Solar 14 7 5 4 3 WS5 9 4 3 2 2 POU 9 5 3 2 2 SE None 45 -23 -15 -11 .9 Solar 2 1 1 0 0 HWR --23 -12- -8 -6 '-5 WSB -25 -13 -8 -6 -5 __YQU. _23 -12_8 -6 -5 IG None �8 -4' -3 -2 1 -2 Solar 6 3 2 1 1 POU 1•- _ 0 0 0 0 IE None -30 -15 -10 -8 -6 Solar 18 9 6 4 4 POU -8 -4 -3 -2 .2 Interior Mass/CFA . Ty"! PASS ct.i-UTW-4.21 % TYPE 1 MASS (UMC + 4.2+ lexposed Slab)_ 0% 5% 10% 1S% 20% 25% 30% 35% 40% 45% 50% 56% 60% 6616 70% 75% 80% 85%. 90% 95% 100% 105% 1101: 115% 120% 125- 0% 0 0.2 04 0.8 0.8 1.1 1.3 1.5 1.7 1.9 2.1 23 2.5 2.7 2.9 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5 53 10% 0.2 0.4 0.6 0.8 1. 1.2 IA 1.6 1.9 21 13 25 2.7 2.9 11 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 11 1.8 2 . 2.2 14 2.7 19 3.1 3.9 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 12 14 l6 2.8 3 3.2 3.5 3.7 32 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 58 40% 0.7 0.9 1.1 1.3 1.5 1.7 1.9 2.2 14 2.6 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 11 13 25 17 3 32 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5.1 5.3 5.5 5.1 5.9 6.1 65% 0.9 i.1 1.4 1.6 1.8 2 2.2 24 2.6 28 3 3.2 3.5 3.7 3.0 4.1 4.9 4.5 4.7 4.9 S.i 5.3 5.6 5.8 6 6.2 60% 1 1.2 1.4 1.7 1.0 21 2.3 2.S 2.7 2.9 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 2.2 2.4 2.6 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 6.1 64 70% 1.2 1.4 1.6 1.8 2 2.2 2.5 2.7 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 11 2.3 25 2.7 3 3.2 14 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 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 3.0 4.1 4.3 4.5 4.7 4.9 5.1 5.4 5.6 5.8 6 6.2 64 66 851: 1.4 1.7 1.9 2.1 2.3 15 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 6S 67 90%' 1.5 1.7 2 2.2 24 16 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 66 95% 1.6 1.8 2 2.2 2.5 17 2A 3.1 33 3.5 3.7 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 11 2.3 2.5 28 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.1 7 105% 1.8 2 2.2 2.4 2.6 18 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 68 7 110Y. 1.9 2.1 2.3 2.5 27 2.9 3.1 3.3 3.6 3.8 4 4.2 4.4 4.6 4.8 5 5.2 5.4 5.7 5.9 6.1 6.3 6.5 6.7 69 7.1 115% 2 2.2 24 2.6 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 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 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.4 4.6 4.8 S 5.2 5.4 5.6 50 6 6.2 6.5 6.7 6.9 7.1 7.3 125% 21 2.3 25 2.8 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.0 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.7 7 7.2 7.4 Point System Summary: Climate Zone 11 SCORE CARD Measures 1. Ceiling Insulation R 3-0 or Ip -value 1381 U -value 2. Wall Insulation or R -value [ l lj U -value [0.0981 3. Raised Floor Insulation 4. Slab Edge Insulation S. 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. Interior Thermal Mass 10. Exterior Wall Mass 11. Heating System Zonal Control? ( Y / N ) 12. Cooling System Zonal Control? ( Y / N ) 13. Water Heating or R -value [ 191 $- U -value [0.037] or - R -value (0) F2 factor [0.771 Standard - 1.9 Type [double] 11 -value [0.65] 7 Point Scores 0 �1• fid=1 % Total Glass [ 161 Sum 1-6 d . % Glass SC Eff. % Glass - - 1.9 X ,72_ 2, X 4-)-7 X /1 X 77 % Glass SC Eff. % Glass /. y X 1. G X fi 4 _ /.8 �► $ x .A-- TYPE 1 MASS AREA =--�8 _0 InteriorN�ss/CFA COND. FLOOR TYPE 2 MASS AREA • AREA a x Exterior Wall Mass ND . L OR AREA Sum 7.10 y 7 7--- x SE or HSPF Duct Efficiency [0.78] Effective SE or ` [0.72/6.6] - r ' X HSPF [0.56J5.151 � E SEER ['9-S] Duct Efficiency [0.74] Effective SEER [7.03] Type [SGj Credit [none] Point Total. Certificate of Compliance: Residential Climate Zone 11 Documentation Author Telephone BUILDING DATA oned Floor Area Sla 'sed Floor ss&& Single Family Detached (SFD) [ ] Single Family Attached (SFA) [ ] Multi -Family (Nil•') Number of Stories i Number of -Units [ ] Addition Alone [ ] Existing Building [ ] Existing -Plus -Addition North East South West Skylight Total . Fnfotoanent Agency Use Only Glass Area % Glass -,Jk- I.9 v_ a. �- /5-/-& ... 7. BUILDING SHELL INSULATION DESIGNER ENFORCEMENT Component Insulation Locaffon/Comments Building Envelope Measures - Type R -Value (attic, to garage, rpical. etc.) wau.............. *§2-5352(a): Minimum ceiling insulation R-19 weighted average. wall .............. Roof............. Roof ............. _ • §2.5352(c): Minimum wall insulation in Gamed walls R-11 weighted average (does not apply to - Floor ............. _ Floor ............. Slab Edge..... �— transmission rate no greater than 2.0 permiutch. GLAZING Shading Devices - Glazing Area Glass Type Interior Exterior - Overhang Framing Type Orientation (Sf) (single, double) (1olla blind, etc.) (shadescreen, etc.) (yes/no) (mew/wood) North ( )?_BcJ! ira.PA► �— North ( ) _ §2.5352((): Vapor barriers mandatory in Climate Zones 14 and 16 only. East ( )_ _ �• East ( ) leakage. b. Doors and windows certified. e. Doors and windows wratherstripped: all joints and penetrations caulked and sealed South South ( ) 12-5352(e): Special infiltration barrier installed to comply with §2-5351 meets CEC quality West ( ) '' '• West ( ) Skylight....... _ �— 1. Masonry and factory -built fireplaces have: L Tight fitting, closable metal or glass door . THERMAL MASS Type/Covering Area Thickness (slab/exposed tile. etc.)r - (SO (inches) Locadon/DCSCription (kitchen, bath, etc.) HVAC SYSTEMS Miramum Duct Type (furnace, air Efficiency Location Duct Output Manufacturer / Model # conditioner, heat pump) (SF. SEER,HSPF) (attic, etc.) R -Value (Btuh) (or approved equal) Maximum Furnace Heating Output: T�40 � Btuh HOT WATER SYSTEMS Tank Manufacturer/Model# System Type (storage gas, etc.) Capacity (or approved equal) Special Feature(s) SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) Mandatory Measures Checklist: Residential MF -1R NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardleii of the compliance approach used Items marked with an asterisk (•) may be superseded by more stringent complia= requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents. the features noted SMU be considered by all parties as binding minimum component performance specifications for the mandatory measures whether they arc shown elsewhere in the documents or on this checklist only. DESCRIPTION DESIGNER ENFORCEMENT Building Envelope Measures - *§2-5352(a): Minimum ceiling insulation R-19 weighted average. §2.5352(br Loose fall insulation manufacturer's labeled R -Value. • §2.5352(c): Minimum wall insulation in Gamed walls R-11 weighted average (does not apply to exterior mast walls). §2.5352(k): Slab edge insulation - water absorption rate no greater than 0.3%. water vapor transmission rate no greater than 2.0 permiutch. §2.5311: Insulation specified or installed meets California Energy Commission (CEC) quality standards. Indicate type and form. _ §2.5352((): Vapor barriers mandatory in Climate Zones 14 and 16 only. §2.5317: Infiltration/Exfiltration Controls a Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Doors and windows certified. e. Doors and windows wratherstripped: all joints and penetrations caulked and sealed 12-5352(e): Special infiltration barrier installed to comply with §2-5351 meets CEC quality standards. 12-5352(d): Installation or Fireplaces 1. Masonry and factory -built fireplaces have: L Tight fitting, closable metal or glass door . b. Outside air intake with damper and control _- e. Flue damper and control 2. No continuous bursting rias pilots allowed — _ — -- - - HVAC and Plumbing System Measures -- -- s §2-5352(8) and 2-5303: Space conditioning equipment sizing: attach akuladons - -.— §2-5352(h) and 2-5315: Setback thcrmostat on all applicable healing systems §2-5316(a): Ducts constructed, installed and insulated per Chapter 10. 1976 UMC - - 12.5316(b): Exhaust systems have damper controls. - 62 -5314(c): Gas -rued space hating equipment has intermittent ignition devices - §2-5314: HVAC equipment• water haters. showerheads and faucets certified by the CEC §2.5352(1): Water heater insulation blanket (R-12 or greater) or combined interim/exterior insulation (R-16 or greater): fust 5 feet of pipes closest to tank insulated (R-3 or greater). - 62.5312(Eiception 1): Pipe insulation on steam and steam condensate return do recirculating - piping. - - §2.5318(d): Swimming Pool Hating 1. System has a On/off switch on hater. b. Weatherproof instruction plate on hater: c. Plumbed w allow for solar. _ 2. 75 percent thermal efficiency.. 3. Pool cover. - 4. Time clock. 5. Directional water inlet.-. _. . Lighting and Appliance Measures §2-5352(1): Lighting - 25 lumens/watt or greater for general fighting 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 STAT .bMT This certificate of compliance lists the building features and performance specifications needed to comply with Title 24. Chapter 2-53 and Mtle 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 purdtaser of the building. Designer Name: TitwF•trm: Address: Tekphonc Lic. R: (sig atom) Documentation Author Name: Tttk/F'um: Addr=: (date) Building Owner Name TrtwFum: Address: Tekphon^ �titnatum) (date) Enforcement Agency Name: Atertcy: Tekphonc SC P� L S.. L �r het bf plans and sp6cificatid(A MLW be kept -on the job at all times and it is unlawful to make.any changes or alterations on same with- out written permission from the Department of Public Works, County of Butte. NC�'�. Faaterials �i Wor���nship S�� � �►"ir► Accordance with Recognized Good Prestives bnd a quality PrSpecified use in the Uniform Building. lumbing& MechanicalCo-des the National Electrical C.sade, 240 _d WAJ ko t-) SCUlr""' 7B0 16 "'-Vii. o,eov/ t-c.� CQ' X34 s¢9s SE�61� L1106", See Master Wan all Ax - alari4. .� 3-0 ALL STRUCTURE$ AND EQUIPMENT MCUJDING- OVERHANGS SHALL BE CLEAR OF ALL EASEMENT& A SET BACK OF Fr. FT. FROM THE SIDE AND ,5'� Fr. FROM THE REAR psROPERTY LINES AND. SJ__ Fr. FROM HE ROAD CENTERLINE SHALL BE CLEAR OF STRUCTURES AND EQUIPMENT' EXCEPT FORA 2 FT. SAVE OVERHANG. �QoPas�. Pio! • �• e � " it ►, i i J IPA tCS C � elA q��24 2 1 9r) o� 50w Atm: L")t4'n1 e4l Roje ! _*691 3