HomeMy WebLinkAbout030-211-037?' 30-211-37
Gerald Young
955 Harlan Ave., Oroville o f
' contr: Custom Exteriors Inc., Sacfo
'Permit #2112=76B(ndw vinyl siding/SF)'
` 30-211-37
NEW OWNER
PWILLIS GARDINER
--55 -Harlan- Avenue, Oroville
�Contr : MH Electric
�Permit#k1453-81E (ele ser ch & cleanC
uP)SF
30-211-37n
Contr: Jay Actkinson �� //
Permit#1051-87BP,E,M(addition &7femodel)
u Permit#14 30-211'37
ftg/SF)
-87 30-211-37
P1E,M(add'1 sq
ftg-
/SF)
f
5
r
1465-87
i
f PERMIT NO. - 2331-87B . P . E . M
• PERMIT EXPIRES
OWNER wi11i$ RnrdinPr
CONTR.' nWnar
30-211-37
ASSESSOR PARCEL
LOCATION 955 Harlan, Oroville
f
7
T'
FECTRIC
E COPY
'
I
i
GAS
Temp. Powr Meter By Date
ELECTRIC 10- 4, 7
Called I Meter By Date
Temp. Elec. Service
Called PG&E
f
Temp. Gas Service
Called PG&E
y
� JOB FINALED (Date)
Signature
i �
= OK
'0.= Not OK
= NotApplicable MOBILE HOMES
MISCELLANEOUS
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
Date
DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s .
1. Zoning Requirements -Setbacks -Easements
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Sewer; Location -Test -Fall -C/O -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-
Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
6. Gas; Location -Test -Wrap: / /"L"ft.
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
/ /"Nat. or/ /"L"ft./ /"LPG
7. Utility Clearance
7. Elec.
8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
Card -B1
Date Card -B1 Date
10. Roof; Shthg-Roofing
Card -B1
a 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 -Flex Connector
1. Setbacks -Easements
6. Water; MH Test -Regulator -Connector
.2. Soils; Compaction -Structure Stability
7. Water and Sewer Connected -C/O to Grade -HD Approval
3. Pool Structure; Steel -Connections -Thickness -
8. Gas and Electricity Tagged
Dead Men -Lining
9. Exits; Insp.-Sketch
4. Elec.; Receptacles and Lighting, Distances-GFI
10. Cert. of Occupancy
5. Elec.;. Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
Card -B1
Date Card -81 Date
8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
Card -B1
Date Card -B1 Date
9. Health Department Approval
-
10. Plumb.; Cir. Test -Water Supply Test
Card -B1
Date Card -131 Date
Card -B1
Date Card -131 Date
= OK
0 = Not
- =Not Applicable RESIDENTIAL (Single and Duplex)
_ .Not. Ready
Date UNDERFLOOR (Plans) OK except #'s
1. Zoning requirements -Setbacks -Easements
2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth
3. Fta., Garage; Soils -Steel-/ /" Ftg. Depth
4. F , Porches & Decks; Soils -Steel-/ /"Ftg. Depth
S w Is, Main; S el-Blockouts-Wrapped
St IIs, Gage; teel-Blockouts-Wrapped
I ;Ste - pped
8 Piers- rep Ftg.- feel
D. .V.; all-Fitings-Test-2 way C/O -Sewer Test
10. G P pe; Size -Anchors
1 at r Pipe; Test -Anchors -Regulator -Service Test
tLyMlectric; Underground
3. Plenums & Ducts; Clearance- Material -Supprt-I ns.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Insulation
Card -131 Dat Card -B1 Date
Card -B1 t Card -B1 Date
Date U ING (Permit) OK except #'s
ater Ht. Vent -Access -Combustion Air
1 ater Pip T,6st Anchors -Nail Protection
D.W.V.; Test-Fttngs & Anchors -Nail Protection
..19_S1;ewer Pan; Test, First Floor -Tub Access
20 Tub & Shower, 2nd Floor -Tub Access
tZf Gas Pipe; Size & Anchors
Card -B1 Card -131 Date
Card -81 a Card -B1 Date
Date JMTRICAL (Permit) OK except #'s
Fixture & Transformer Clearance -Ins. Protection
23. (ec. Receptacles pacin Lights & Switches at Doors
Size Boxes & No. o nductors-Stapled
Romex Installed Close to Edge of Studs & C.J.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
x,27'2 Appliance Circuits in Kitchen & Conductor Size
2 . / ga. Cu or AI-A.C. Wire Size / /ga.
Cu or Al
ange ' / / ga. Cu or AI -Oven Circ. / / ga. Cu or AI.
Insulated Neutral Yes No
Service -Riser Conductors & Ground -Main Disconnect
Equip. Clearances Panels-Motors-Mech. Equip.
32. Clothes Closet Liqht-Shower Light-SDa Liaht
Card-B1Dat .-� ']Card -B1 Date
Card -B1 Date Card -B1 Date
Date MECHANICAL (Permit) OK except #'s
33.,��Iation & Support
ve insulation
35,- in & Overflow; Size & Grade
6. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet
3LAR4e-Assess & Platform if Furnace in Attic
Card -B Dat Card -B1 Date
Card -B1 Date Card -131 Date
14
Date FRAMING (Plans) OK except #'s
8. Sills, Pier Material & Anchors
M all tuds-Nailing, Spacing & Bracing—Plates-Sound
0. ari alls over Girders & Floor Nailing
in Wails
ps; Furred Ceilings -S
& Beam -Size & Beari
Date FRAMING (Continued)
W. Hangers -Post Caps -Anchors -Connectors
Cing. Joist -W. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
4 Type A Flue -Fireplace Throat
14. c Access; Size & Romex Protection -Draft Stop -Ins. Baffles
C469,3drm- Windows or Exiting Doors -Sill Hgt. & Dimensions
49. e Mutection Framing
Property Line Firewall & Openings
W. Ext. Doors -One T -Check Garage -3rd story, 2 exits
5 oom-Rise-Run-Landing-Fire Protection
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
(,64. aiding -Nailing Veneer
5 . - ip creed -Fd. Vents-Underflr. Access
lazin rea-Glass Protection -Skylights -Plastic
ailing -Bolts
n ion-Walls-Clg.
2fkInfiltration-Walls-Wndws
Card -B1 C� Datet-/ J Card -81 Date
Card -B1 Datee9iiS,,�o Card -81 Date
Date FINAL (Plans) OK except #'s
& Sidelight Protection- Land i
J,-M.,Smoke Detector
Furnace; Vents -Clearance -Comb. Air-Connector-
la-Garagei_ h e Floor -Ducts -Mach. Protection
Be oro Exiting
6 . F.I. & Bath Fixtures & Tub Access -Spa
5. Elec. Trim & Subpanel; Breaker Sizes -La s
6
6Z- Eir-oplace learances-Hearth
e s a Wood Panel; Int. & Ext.
!<1�% M.. Fi&T& Appliance; Grnd. -Air Gap -Cooking Clearance
Elec. Outlets & Receptacles at Kit. Counter
wing -Landing -Closer
72 e -Damper
IffWtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
Garage; Above Floor-Mech. Protection
IL'U. Plb., Elec. & Mech. Equip. Listed for Location
7 e; (G.F.I.)-Romex Protec.
Insulation -Foam -Looked in Attic ❑ Yes
and Rails & Deck Construction -Post Caps
Fdn. Vents & Crawl Hole Door -Drainage Wood -Earth
Clearance Looked under Floor s
79. Following instld.; Drive gXes ❑ alks ❑ Yes ❑ lel
Planters ❑ Yes
qblel-
89j����
Disconnect, Ele c Plumbin
ents Above RoofP " .- ppliance-Firepl.-Clearance to
Openings.
nect, Electric robing
xterior Elec. Trim; G.F. R eptacl nderground
-5. Ventilation throughout House
I ss Protection
Corr tions from Previous Inpections
(� s Test -Meters Tagged; Gas -Electric
W er & Sewer Connected -C/O to Grade -HD Approval
nergy Compliance Certificate -Other Certificates
Card -131 Dat and -B1 Date
Card -131 Date (fes and -B1 Date
Card -61 Date Card -B1 Date
Comment at Final:
(NOTE: An entry must be made each time you visit job site)
owner: V -Z C A rd I' r— Permit No. 72.2 _ (�
ENERGY CERTIFICATION
DESCRIPTION OF INSULATION
ROOF
Material
Thickness(inches)
EXTERIOR WALL
Material
Thickness(inch s)
CEILING
Batt or Blanket Type
Thickness(inches)_
Loose Fill Type
Minimum Thickness(Inches)
Area covered(ft.?)
FLOOR, ELEVAqXD,
Material r -
Thickness(inch )
FLOOR, SLAB
Material
Thickness(inches)
Width(inches)
FOUNDATION WALL
Material
Thickness(inches)
A. P. No.
Brand Name_otfrPn"s nrn.'no Pro ctSf
Thermal Resistance (R Val e)
Brand Name (")t,_ h S l Orin rNtt " ,Ef
Thermal Resistance(R Valu
Brand Name AS r` n,.,r,
Thermal Resistance(R Valu ) ')
Brand Name
Number of Bags Wt. per bag lb.
Thermal Resistance(R Value)
Brand Name rc
Thermal Resistance(R Val e)
Brand Name
Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R Value)
I hereby certify that the above insulation was installed in the above building
in conformances with the State of California Energy Requirements.
IRM
NAME/OWNER STATE CONTRACTORS LICENSE NO.
C- 4za —a _f %
S GNATURE OF INSTALLATION APPLICATOR DATE
I hereby certify the above insulation and all required items as shown on the
Building Department approved plans and attachments have been installed as
required by the State of California Energy Requirements.
All equipment, devices and materials are of the quality prescribed or are
specifically approved by the State of California.
FIRM NAME/OWNER (Please print)
SIGNATURE OF QE., CONTRACTOR OWNER
STATE CONTRACTORS LICENSE NO.
/f%
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
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
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
A,a
DWNr=R PERMIT
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
0a'\, o/I additional explanation, plea conte/c� this off immediately.
I\Vl -`t(tL ! Jj r
Inspector \ y iy���/`� vtK Date )
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
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
OWNER P
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 correctio of work is completed. If you have any question pertaining to this
matter, or n d additional explanation, please contact this offic immediately.
Ins
1076,41"1 A ate
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751•
7 County Center Drive. Oroville -- Phone: 534A541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
Inspector Date [s
J
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 0�22= NO.
7 County Center Drive - Oroville, California 95965. Telephone: 916/538-754
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
ZONIN;^i,
/,7
BUILDING PERMIT
OWNER
TELEPHONE
3 �. ,
'
SO. O. FT. C. BUILDING VALUATION
�
U�
OWNER'S I A ess
0Q
CONTRACT 0 R'S AME&14 TTELEPHONE
C)
CONTRACTOR'S MAILING A ORES
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ Z q. QO-=—
Filing Fee 10.00
LENDER'S MAILING ADDRESS
Permit Fee 02
ARCHITECT OR ENGINEER
LICENSE. NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
BUILDING ADDRESS
Permit fee
PLUMBING PERMIT FiIingFee 10.00
Each Trap 2.00
Solar or heat pump water heater 20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping 5.00 00
Each qas water heater or vent 5.00 60
USE OF STRUCTURE
SF • Duplex[] Mobilehome❑. Other
SPECIFY
Gas piping system 1 - 5 outlets 5.00 Soo
Q
Building sewer -5.00
Mobile Home S G W O.00ea
TYPE OF WORK
New ❑ Addition Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work: 'a U
Permit Fee $-o
Contractor
ELECTRICAL PERMIT Filing Fee 10.00
Main service 100V OR LESS0010.00
100 AMP OR ESS
Main service EA. ADD'L 100 AMP 2.50 t
CONTRACTORS LICENSE LAW
I 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
[� 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
OR ACONSDDNST (ACCLBLDGScCUP. T/20sgft
NEW CONSTR.MULTI-OUTLET 2,50 ea
BRANCH CIRC ITS
POWER APPARATUS a
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES 20®50R
aALA3o
FIXED APLNS. \\
Ex. Occup. OUTLETS PIRESID IREA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $ p( r 175
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.
R' 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.
MECHANICAL PERMIT Filing Fee 10.00
Heating
Cooling
Hood t 3.00 6
11)
Ventilation
Permit Fee $
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
liabili ' judgment��,cos ,and expenses which may in any way accrue
a aid ounty in fs uence of granting of this permit.
y
X Q� Date �^ �%
Signaruro 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 heicpt.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE v
o uP.
cows Pc
FLo
�,J
P11
---
ND
ISSUEa
This permit is hereby issued under the applicable provi-
sions he Butte County. Code and/or resolutions to do
wor ind hate ab ve for which fees have been paid.
TOR OF PUBLIC WORKS
✓�
113y Date 176
PERMIT EXPIRES Date 7
Receipt No. 2('o-G4a •�
WHITE-O.P.W.. YELLOW -ASSESSOR. P K -INSPECTOR. GOLDENROD -APPLICANT
�
�`, r,;�t,.`.h �. t,. • p,t ., 1. .,� i -.l ,�f
\•sV•/�/7/'/ { V -(l 'a"E: 'v 4 _iT7 �+r .r.*fa,i k• * wvsn '�, =.S c �./ r. 11 r7I'zy�t �• fj✓ r� ,:,;
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION it
7 COUNTY CENTER DRIVE - OROVILI.�r:CALfF RMA 6965 - TELEPHONE: 916/538-7541
PERMIT,APPLICATION DATA SHEET
r ` Permit No.
�G �'/y r;
OWNER _ C(i 1G9p/i/ A. P.,No. -77
Proposed Building Use Q�/���? ��:. Building Inspector �v 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.
`A
5. Plans with Energy Design Compliance Statement.
6. School District "Fees Paid'' Stamp on Floor -Plan.
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . . . .
9. Letter of signature authorization. . . . . . . .
10. Sanitation approval from _ Health Dept.
11. Planning approval for (A) Use: (B) Parking:
12. 'Certificate of Workmen's Compensation Insurance. . . . . .
13. Contractor's License Information (no., name style, classif.)
_14. Owner -Builder Verification (Given to owner[], Mail to owner ❑)
"..._15. Improvements may be required. . . . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . . . .
17. Pre -Inspection for__ Pre-Inspec. request to (Date)
_.. _Required. Building Inspector
18. Recorded copy of Agricultural Acknowledgment Statement.
19. Driveway Permit.
20. Plot plan approval from city of _
21.
22. —
When you issue the permits process as follows: Mail to -owner, Mail to contractor_
Telephone S �J��� and hold for picku{ f!�/!�/t office, Deliver w/inspector.
c
Other _
P P I i c aX --�
Copy of plans sent Health Dept.; Fire Dept., Other Date
The following data must be submitted prior to permit issuance
1. Index permit for above items No.
2. Additional items required: B__���,,,,____„
(Circle new item not checked above).
Contractor, designer, own was advised of above required data by_kphone___nail—counter by_!e1�d_ate�—�
Contractor, designer, owner,.was advised c' above required data by—phone —ma il—counter by date
Plans checked by
Sets of plans on hold in
Copy—DPW
Date Plans approved by
File cabinet AP folder
Date
C7A RD(N�
2331-if7
L90
froc).WW
v
i -1 -7
Z140 NA
3�on N�
-7 I tol V7
I '00
4X6 124' 7'
5X4 24' 7"
3X6
5X6 124' 7"
PLATE TYPE --ALPINE
1.5X3 24' 7'
V 7" MAX
3X4 124' 7"
WEBS 2x1 i
SEE DR'
AND
LOCATE
2 EQ. BC fl
MEASURED 11
INSIDE SCI
3.580
*• " BOTTOM
CHECKS
18 PSP
LIVE L
**IMPORTANT** ALPINE SS TCONNECCTTOORSHESE FIAREIOFOLLOWEDS FOR U FWD THE WARNING TRUSSES RIEAND EXTREME CARE IN
1NUSSES QUILT IN CONFORMANCE WITH 'OURLITY CONIRUL MANUAL- OY ■1P1, (BRACING WOODS TRRECTION USSES: COMMENTARYNG. RNO RECEOMM
THERE STALL BE NO VARRIWTIES OF THIS OESICN EXPRESS OR IMPLIED. .TPI)- SEE THIS DESIGN FOR ROOITIBNRL SPECII
ALPINE CONNECTORS ARE MIWUFACTUREO FROM Y0 &1l1GE GALVANIZE.() STEEL REOUIREMENTS. UNLESS OIHERWISE REO'(), TOP Cl
UNLESS OTHERWISE SIR)WN, MEETING REOUIREMENTS OF ASTM R4V6 GRROE R. BE LATERALLY BRACED WITH PROPERLY RITRCID
RIPPLY CONNECTORS 70 $0111 FACES AT EACH JOINI RNO LOCATE AS SHOWN. SHEATHING, BOTTOM CHDRO WITH RIG10 CEILING I
"ERRING W10116 ARE 4' NOMINAL UNLESS OTHERWISE 6TOUN. DESIGN AT IIAXIMIIM OF 10 FEET 0- C. 00 NOT USE TI
STRNOHRO9 CONFORM WITH HPPLIGIBLE PROVISIONS OF .NOS -77 AND *TPI -78 WITH FIRE REIARORNT TRERTED LUMBER.
•--TPI - TRUSS PLATE INSTITUTE, NOS - M71ONRL !;ESIGN SPECIFICATION FOR WOOD CONSTRUCTION
FURNISH A COPY OF- THIS DEBIGH TO ERECTION C
COUNTY OF BUTTE - Department.of Public Works
- 7 County Center Drive,.Oroville, CA 95965
OWNER -BUILDER VERIFICATION
Attention Property Owner:
Phone: 916-538-7541
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) 1, S
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.
41. 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
P Y
Social Sec uri� ty Nb /
Date
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.
F_
FORM 7
ADDITIONS TO RESIDENTIAL BUILDINGS ENERGY SHEET
PACKAGE "A" (Mditions)
OwnerClimate Zone
Permit Floor Area 42
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.
GLAZING U-.65 (Dual) U/.65 Nual)
SHADING
SOUTH - OPTIMUM OVERHANG
or .36 Sliading Coefficient
WEST - .36 Shading Coefficient
LOOSE FILL INSULATION (Density)
INFILTRATION CONTROL (Weatherstrip doors, certified windows, caulking)
VAPOR BARRIER (Zone 16) -
DUCTS PER UNIFORM MECHANICAL CODE - Ch. 10
LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT
MAXIMUM GLAZING 16% OF -AREA PLUS .REMOVED GLAZING 45 SHOWN
NEW HEATING, VENTILATING,. AIR CONDITIONING AND HOT WATER SYSTEMS IN
CONJUNCTION WITH AN ADDITION SHALL BE INSTALLED AS SHOWN ON BACK
OF THIS SHEET.
OTHER
12/85
ZONE 11
ONE 6
APPLIES TO NEW AREA
�} CEILING
R-30
R-
WALL
R-11
R-1
(j ' FLOOR
R-11
R -
SLAB
R-7
R -
GLAZING U-.65 (Dual) U/.65 Nual)
SHADING
SOUTH - OPTIMUM OVERHANG
or .36 Sliading Coefficient
WEST - .36 Shading Coefficient
LOOSE FILL INSULATION (Density)
INFILTRATION CONTROL (Weatherstrip doors, certified windows, caulking)
VAPOR BARRIER (Zone 16) -
DUCTS PER UNIFORM MECHANICAL CODE - Ch. 10
LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT
MAXIMUM GLAZING 16% OF -AREA PLUS .REMOVED GLAZING 45 SHOWN
NEW HEATING, VENTILATING,. AIR CONDITIONING AND HOT WATER SYSTEMS IN
CONJUNCTION WITH AN ADDITION SHALL BE INSTALLED AS SHOWN ON BACK
OF THIS SHEET.
OTHER
12/85
% - • V
v
*1 HEATING. VENTILATING, AIR CONDITIONING SYSTEM
(A) Heating
❑ Central Gas Furnace %
(brand and model number), a -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
ft
model number solar fraction collector area collector•
orientation collector tilt rated y -intercept
rated slope
❑ Other
(describe)
*1' (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
(brand and model number)
Gallons
2 (tank size)
13* 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
*1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing
charts (form X64) or other approved methods, section 2-5352(g), and fill out the
following:
Heating: Winter design temperature °, elevation ', heating load BTI
elevation factor x heating load a maximum outlet capacity gas furnace
BTU
Cooling: Summer design temperature ", cooling load BTU
*2 Submit T.I.P..S.E. chart or other approved system (form #5) to document sizing of
solar panels.
® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of
Title 24, Part 2, Chapter 2-53 of the California Administration Code.
SIGNATURE OF BUILDING DESIGNER OR APPLICANT
u
PERMIT NO. ___ 1465-87B
PERMIT EXPIRES
r �
OWNER WILLIS TC Garc nPr
CON T.R.
ASSESSOR PARCELin-711-17
LOCATION 955 Harlan Ave Oroville
i .
a
sl
r
r
g�
{
i
i
Temp. Power Polo
Called PG&E
F
-T®mp. Eloc. So►vlce
Called PG&E
Temp. Gas Sorvlco
CalledPGAE
JOB FIPIALEO IJaIC
a Not Apt licable MOBILEHOMES
xs Not Ready
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plena) OK except P's
Date
DECKS. COVERS. CARPORTS. ETC. (Plans) OK except d's.
1. Zoning Requirements-Setbacks-Eaeemonte
- - —
1. Zoning Requirement s-Botbecke-Easements
2. Footings; Size-Depth-Specing-Connscto_re — - --'
3. Docks: Girdors and/(x Joists -Docking -Bracin0-Stasis-Rads
2. Salle; Special MH Suppol-SkotcA
3. Sewer: Location -Test -Fall -C/0. -Concrete
4, Water; Local ion- Test- Easement Needed (Sketch)
4. WOW Awn.: Posts-Beoma-Rltrs.-Connec.-Shthg_-Rig:-Bracing
S. Electricity; Local lon-C learancoo-Grad.-/ / Amp-Concreto
S. Alum. Awn.: Columns-Connections-Splrco-Oecel-Enclosures
l
8. Gas; Location -Tort -Wrap:/ /"L"ft./ /"NBI.or/ /"L"ft./ !"LPG
— - - ...
9, Carports; Windows-0oors
7. Utility Clearance
7. Elec. --
Card-81
Date Card -81 Date
Card -BI
Date Card -81 Delo —
Card -81
Dote Card -81 Dale
Cord -81
Dale Card -BI Date
Data
MOBILEHOWE INSTALLATION (Plans) OK except a's
Data
POOLS (Plans) OK except O's
1. Zoning Requiremente-Setbacks-Eaaomonts
1. SotbaCks-Easements
2. Footinga: Sizo-Spacing-Marriage Line
2. Soils: Compaction -Structure Stability -- -
3. Gas: MH Toot-Oomand-Volvo-Connoctor
3. Pool Structure: Stec l-Connacttons- Thickness -Dead Men -lining
4. Electricity; UN Teat-Crosaovero-Broaltere-Clearancea
4. Elac.: Receptacles and Lighting: Diotancee-GFI
S. Drain: MH Tost-Fell-Flex Connector
5. Elec.: Pool Lighting; 15 volts-GFI
8. water: MH T eat-Regule tar-Connec tar
8. Elec.; Enclosures; Conduit Entrioe-Terminate-Listed
7, water and Sewer Connected -C/0 to Grado-HD Approval
7. EIOC.: Bonding: Metal w/S'-Circulating Equipment -Heater
B. Gas and Electricity Tagged
8. Elect.: Grounding: Equip.ts/5'-Circulating Equip. -Pool Lghtg. i
9. Exite: Inap.-Sketch
Boxes- Eric losures-Parwlboards-Ins. to Main in Conduit
10. Cowl. of Occupancy
9. Healtn Department Approval
10. Plumb: Cir. Test -Canter Supply Toot
Card B -I
Date Card -81 Date
Card -BI
Data Card -BI Date
Card 8-I
Date Card -BI Date
Card -BI
Date Card -BI Date
• ' Nt eijv It'I"
♦ Not Re,Wy RESiDENT1At
-
(Sinplo
and
Duplex(
D.,I,t U ERFLOOR(Plan-1) OKe■cn la's
Date
FRAL41NG
tConimuerll
1 Zoning required>Dnll1-Selbalkl-EaMrna,U
._....-_
Fig.. Main: Solis- 09 Depth
--._..-_.2^.-- ---------•----- ----------•
-FIp„ Garmpa; Sorts-Sleet- / /" Ft , Depth
--A--FIp-Porches ft Uecks: Solis-Slost- Ftp. Depth
j - -- ---
-%�'Slomw -it -Hain, stoel _Bloc_kouls_yhappod-Slab -
�B^ Stemwalls, Garage Stool-8tockouts-Igrappod-Slab
r•q. Piers-Frreplaco Ft Sleol
Fon-Flnlnps-Test-2 way C/O-Sewer Test
Gas Pipe: S:zo-Anchors '----
-
48. Properly L1ns Fuewalt b Opening&
._..
s9. E.1. Doors-One -Chock
3' ape-3ro stay.2ouls
------50. Stairs: 171dth-_Headroom_giya-Run-l�nA�
St, Plywood on Rool Uvema - ---Fire_Prowctlon
--- - - A9-At11c Vents-Rallor Outnggerg -
52. Shing-Nailing_V_o._ - -
53. Stucco Mesh-_Drip Screed`Fdn. Vents-Underlie q
5d, Glazing Area-Glass Proteclion-Skylights-?Iasticccess
55. Shear Malls: Na111ng_Bolts
-- -�_
&r10. 1Vator Pipe. Test-Anchors-Regulaiw-Sorvico Test
e-L4 Electric. Underground
--"
-
- .312., Plenums 6 Ducts: _Cla_4rance-LIa1*rtal-Supttort-Ins:
_-Gvders-Sills-Anchor Bolts-Joists-Vents-Cripples
Gard•BI Dale ' t/ 3 Card-BI Data
- -
_---------
Card•81
Card-BI
Card-81
Date
--
Date _ Card-BI Date
Date Card-81 Delo
Dale Card-81 Oete
FINAL (Plans) OK o: t I's
Cara-BI pale Card-81 Data
Data PLUMBING (Permit) OK except a's
56.
Eat. Steps-Door tl Sidelight Protection-Landings
57.
Smoke Detector
14. Water Hl.. Vent-Access-Combustion Air
15. nater Pipe: Test 6 Anchors-Nail Projection
16. O.W.V_,: Test-Flings Q Anchors-Nan Protection
58.
Fumace; Vents-Clearance-Curb. Air-Ccnnactar-
In Garage: Above Floor-Ducts-klech Protection
59.
Bedroom Exiting
17, Shower Pan: Test. First Floor-Tub Access
60.
G.F.I. 6 Bath Fixtures b Tub Access
18. Test Tub-&, S-howar_2nd Floor-Tub Access
61.
Eloc, Trim d Subpanel: Breaker Slzes-Labels
19. Gas Plpa_:_Sizo 6 Anchors
62.
Stairs b Rails
-
63.
Fireplace or Stove: Clearances-Hear
64.
Elect Outlets at wood Panel: Int. b Ext.
Cara•BI Date Card•BI Oate
Card-BI - Date Card-81 Date
_�•
Kit. Fiat.- 8 Appliance Grnd -Air Gap-Cooking Clearance
66.
67.
Etec. Outlets b Receptacles at Kit. Counter
Garage Fire Door: Swing-Landing-Closer
Dale ELECTRICAL Pern.11 OK except u's
68.
A.C. Duct in Garage-Oamper
20. Fixture 6 Transformer Clearance-Ins. Protection
69.
wit. Htr.: Vents-Clearance-Comb. Air-Connector-P.R.V.-
21. Elec. Receptacles Spacing-Lights G Switches at Doors
In Gsrasg: Above Floor-Mech. Protection
22. Size Boxes b No. of Conductors-Slapled
70.
Plb.. Elec. 6 Uech. Equip. Listod for Location
23. Rolrex Insmilea Close to Eage of Studs b C.J.
71.
Elec. Receptacles In Garage: (G.F.I.)-Romex Protec.
25. EQulp. Ground made up wrtdeth, Fasteners-Bond Gas b Water
72•
Insutallon-Fdam_I coked in Attic i 'Yes
73. G.tard Rails b Deck Construction-Post Caps
25. 2 Appliance Circuits in Kitchen g Conductor Size
26. Subleea Vitae Size / ga. Cu a AI-A.C. Wire Size / J ga. Cu or AI
27. Flange Circ. / J a. Cu or A1- - -
C 9 Oven Clrc. / / ga. Cu a AI,
Insulated Neutral Yes No
_,
28. Service-Riser Conductors 6 Ground- --'
_. kRah. Equip. neci _ -- --
29. Equip. Clearances: Panels-lkatora_-M_secD,_Equ_ip._
'a•
-Looked
75,
76.
FCn, Vents 8 Crawl Tota Dow-Drainage 6 Woad-Earth Clearance
under Floor � Yes
Following insild.: Drive i-; Yes []NO: Walks [ Yes [ No:
Planers r Yes _j No
Stucco: Brown-Finish
-
__
10. Clothes Closet Ligm-Shower Light -
- ---- ---
__
77.
A.C. Unit. Orsconneet-Cirneos-erkr, 8 Cond. Sizo-115V Outlet
78.
Vents Above Root, Plbg: Appliance-Firept.-Clearance to Opngs.
79. Water Well. Disconnect, Electrical, Plumbing
Card 8•I bite Card-81 - - '
_ Date
Cara B-I Dale Cara•er - Dale - - ----
-
80.
-81.
^62.
Edenton Efec. Trim: G.F.I. Receptacle-Underground
Ventilation throughout House
-"g
Glass Protection
63_Corrections
_
from Previous Inspections
Dale MECHANICAL (Pern.lt) OK exccol a's
31. A.G. Ducts insulation 6 Support
. - -- -_--- -.. . _ . __ _
J2. vent Fan. Exhaust above Insulation
33• GOnCfnSate Drain 6 Overllbw, S_ize_6 Grade '
64. Gas Test-teeters Tagged: Gag-Electric
------- -
85. wa:±r A Sewer Connedad_C/O to Groae-HD Approval
-$6 Enorgy Compliance Certlticatc-Other Ceruticates
---- --- --- •
...... 34, Flunace-Vent Access-Comb. Au-Return Air Vent-115V outlet
- "_-'
-"----------- --- -'---'---_-
34. Aluf Acucar. b PtaUwm 11 Fu•nacu in Attic
-
----------
---•.. .... ____. .
Cara•OI D.,I1, Cald•RI Date
O D.u1• Carn BI Dale
Card•01
Caro•81
Carn•Bt
_
-
olnc - - catd-al ---pato - -
O.ue -- -- --_y
Care - --- Carrt•BI Dale
----_ ..--
Comn;lt<
.it Fmm
- - - . _..- ----. -. -- - -"---- - - --•
' !.1.Ile FRAMING I fll.uml OK ou'enl V's
Jh. Sella. t'luoor M.I!1.1 ,,11 6 Anchors
37. IY.111 •. l!ud•:-N-idmj, Sparin•l A--
3,11. IL• uu11( ;, 111 N nvri (iudl•1:, 6 Flnrn NJllul,;
-..
;I4, !11,11 \IUp u, 1YJ11•: (LII pulUl)
-
40. r ,1, :•IUI,\ {-Ilr'1',1 GI.11111y'...;1.111. _(:11.1 GI•', - 1 iii,
_ . _
.11 lit•.ul.., R 111•.U„ S,:I. 8 11..... ill,
.. .. -.
1,', II,I•I11, •1\-{'11.1 1,.11)-,-A11, 11111♦ ( ......., t,w\
- -
11. 1: III11, .1.1.•.1 fill,. I.e., 1',1,1111-- II,r if It,,1L. --1,1, .. \I1(11n,1.-•r1'I1,1,
•11 i •1.•1111.,• t11•, ,1, 1,111• A f 1111•_1' i.vill 1�,• IIII ILII
-
- -
-_ .._ --
1'• A!L, A. .1..11•. {'„11„ ...... (II d11 'ilio- 11 r.. Ilelllr\
•1.1 it 1111. ,:.11.1.•.v. n ( rllny lh.u> '1111 f6)1. .1 1�1n1rn\,1:11\
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ERMIT NO.
7 County Center Drive - Oroville, Caljrornia 91965 - Telephone: 916/538-7541 ��k1
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT
OW14E
TELEP ONE //
_ CO
SQ. FT. OCC. BUILDING
VALUATION
110 14_12�6
OWNER'S MAILING ADDRESS
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
26
ARCHITECT OR ENGINEER
LICENSE No.
Plan Checking Fee
$
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
Water piping
5,00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF:W Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G W
10.00 ea
TYPE OF WORK
New ❑ Addition g Remodel ❑ Utilities ❑ Installation[] Other ❑
Describe work: ��D-��t� %QST �_
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 1,100V 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):
❑ 1 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
NEW CONST. DWELLING OCCUP.y
OR ADDNS. ACC. BLDGS.
2�,20sgft
NEW CONSTR MULTI -OUTLET
NON.RESID BRANCH CIRCUITS)
2.SOea
POWER APPARATUS &)
SINGLE OUTLET CIR. I
EX. QCCUp OUTLETS OR FIXTURES
20®soe
eAL(P30
FIXED
Ex. Occup. OUTLETS P(RESID )LINIS REA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. byirin g
15.00
Permit Fee
$
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declaripunder 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.
1 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
Filing Fee 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 Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree tq save, indemnify and keep harmless the County of Butte against
�II liabil' es judgment costs, and expenses which may in any way accrue
gair� sat ounty in nsequence of the granting of this per it. r
Date s 4/
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 $
TOTAL PERMIT FEE $
occuP.CONST.TYPE
FLoo PAR'CEX
!�
PD
ND u
This permit is hereby issued under
sions of the Butte County. Code and/or
work i dicated above for which
IR CT". OF PUBLIC
By -Date
PERMIT EXPIRES Date
the applicable provi=
resolutions to do
fees have been paid.
WORKS
/'Z M/rid'
c,
Receipt No. /l 33 :2
WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
acr... - .. .. .. u ♦ .. - ... �i?' <S .. _r r `M�``�•' "v�;.. f i - r,. .moi! , 'sr�'v .
�L'e
COUNTY OF BUTTE - DEPARTMENT.OF; PUBLIC WORKS -BUILDING DIVtISIONI
7 COUNTY CENTER DRIVE = OROVILLE,-.Ck_ AFQftIA 95965 - TELEPHONE: 916/534-4541
PERMIT APPLICATION DATA SHEET
Permit No.
OWNER A. P. No.
Proposed Building Use 1912.2. %-�d?7�G �` Buildi'ng 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. Z 00
3. Complete plans in <dupl cte./triplicate, signed by preparer of plans. `
4. Complete engineered plans and calcs, with wet signature on plans.
5. Plans with Energy Design Compliance Statement. . . . . .
6. CUSD "Fees Paid'' Stamp on Floor Plan . . . . . . . •
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ • • • . • • • •
9. Letter of signature authorization. . . . . . . . . . .
10. Sanitation approval from Health Dept.
11. Pl.anni'ng approval for (A) Use: (B) Pwking:
12• Certificate of Workmen's Compensation Insurance . . . . . .
13. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ).
15. Improvements may be required.
L 16. Mobilehome Installation Data. •.� . . . . . . . .
17. Pre -Inspection for " Required- Pre-Inspen request to
p q Building Inspector
18. Recorded copy of Agricultural Acknowledgment Statement.
19. Driveway -Permit.
t
Date)
�'r�0. Plot plan approval from city of
..
22.
When you issue the permit, processasfollows: Mail to --.owner, Mail to contractor.
�TeIephone ���t 3 and hold for pickup atC rOoffice, Deliver w/inspector.
Copy of plans sent Health Dept., Fire Dept., Other Date
The following data must be submitted prior to permit issuance
1. Index permit for above itemsi No.
2. Additional items required:
(Circle new item not checked above).
Contractor, designer, owner, was advised of above required data by_phone_maiI—counter by date
Contractor, designer, owner, was advised of above required data by—phone —ma II—counter by date
Plans checked
Sets of plans on hold in
Copy—DPW
Date Plans approved by _2L'1/_Date S ► z
File cabinet AP folder `
— Flours: 10:00 a•m. -'3:00 p.m.
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 work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors License No.
4. I plan to provide portions of this work, but I have hired the following person
to coordinate, supervise, and provide the major work:
Name
Address City
Phone Contractors License No.
5. I will provide some of the work.but I have contracted (hired) the following
persons to provide the work indicated:
Name Address Phone Type of Work
Signed
Property Owners
Social Security Number
Date T7G �7
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.
eounf*
OROVILLE, CALIFORNIA
GENERAL CLAIM
CLAIMANT: Willis Gardiner
ADDRESS: 955 Harlan Ave.
CITY & STATE: Oroville, CA 95965 IMPORTANT:
July 21, 1987 SEE INSTRUCTIONS
DATE OF CLAIM: ON REVERSE SIDE
SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES
DATE
DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY)
AMOUNT
Owner has decided not to do work. (Bldg Permit Appin. #1051-87B,P,
Receipt #82842, dated 4/1/87, A.P. #30-211-37). Owner: Willis ard'ner.
,M,
Building permit fees paid -------------------------- $700.75
Retain filing fee ------------------- $ 10.00
Retain plan checking fee ------------ $225.25
Retain energy plan checking fee----- 15.00
Amount retained ----------------------------------250.25
Refund due --------------------------------------------------- $450.5
Plumbing permit fees paid--------------------------$ 52.00
Retain filing fee ----------------------------------
Refunddue ---------------------------------------------------- $ 42.0
-Retain
Electrical permit fees paid ------------------------ $ 90.60
tiling tee----------------------------------- Refund due --------------------------------------------------- $ 80.6
_
Mechanical permit fees paid ------------------------ $ 37.00
Retain filing tee ----------------------------------
Refunddue --------------------------------------------------- $ 27.0
Refund energy inspection fee--------------------------------- 30.0
TOTAL REFUND DUE --------------------------------------------- $630.1
$630.
10
TOTAL
I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delle d, end that this
claim is true and correct as stated.
i
�3
Dated thio/J day or 1 at�� /e' Calif.
G.:............ ......................................:................................................
Signature of Claimant
I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de-
livered and that there is a Budget Appropriation ❑ or Specific Board Approval ❑ (Check one) for tJ1e same.
Dated this ............... .1St.......... day or .....July............ 1987, aeOroyille ,Calif.
... C ..
Dept. //�� n//�� ...........E p f�
Code ...........44)f.-l�ff Code ............ ��.��.QSI................PAYABLE FROM .............Ql;st.....Permits...................................... FUND
DO NOT WRITE BELOW THIS LINE — AUDITOR'S USE ONLY
DEPT. & SUB. I PROJ. I SUB. OBJ. I CLAIM NO. I INV. NO. I INV. DATE ENCUMB. GROSS AMT.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, Cslifofnia-95965 - Telephone 916/534-4541
APPLICATION- AND PERMIT
PERMIT
ERMIT NO.
ASSE,Sj00 PARCELNUMBER
ZONING
P__
BUILDING PERMIT
OWNER (C /
HONE
SQ. FT. OCC. BUILDING VALUATI
1002
OW R'S MAILING ADDRESS
5.5 r
CONTRACTOR'S NAMEn''� y _ TEL PHONE
W Uri
CONTRACTO'R'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10
LENDER'S MAILING ADDRESS
Permit Fee Qr
$
ARCHITECT OR ENGI EER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$ X—T 11721,
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDR ss
Permit fee 5121
$
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
SIX Duplex❑ Mobilehome❑ Other SPECIFY
Gas piping system 1 - 5 outlets
5.00 �57.
Building sewer
5.00
Mobile Home S G W
0.00 ea
TYPE OF WORK
New❑ Additiox RemodejM Utilities❑ Installation❑ Other❑
Describe work:
Permit Fee
$ ,
Contractor
-
ELECTRICAL PERMIT
Filing Fee 10.00 ,
Main service 8001 OR LESS
100 AMP OR LESS
10.00
Main Service EA. ADD'L 10 AM.
2.50
CONTRACTORS LICENSE LAW
I declare underenalt of perjury
p y p J y (Check One):
El am licensed under provisions of Chapt. 9, Div. 3 of the Buslne$S
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)
❑ orsa (Sec owner, am exclusively contracting with licensed contract- 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING
OR AODNS. ( ACC. BLDGS.
,osgft
NEW CONSTR. ULTI.OUTLE
NON.RESID BRANCH CIRC ITS
2.50 ea
POWER APPARATUS e
(SINGLE OUTLET CIR. )
Ex. Occup(OUTLETS OR FIXTURES
20050Q
30C.
FIXED APPLNS. OR
Ex. OCCUp. OUTLETS (RESID.) EA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
71
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
ov,
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 agree to save, indemnify and keep harmless the County of Butte against
W liabili ' judgmen , costs, and expenses which may in any way accrue
a ai sa County i onsequence, of the granting of this permit.
Date✓ /—O/
Signature of Applicant — Owner tR Contractor E]a 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 $
TOTAL PERMIT FEE
OCCUP.
^�
I CONST.
FLOOD AR L
PD
D
IS9UE
This permit is hereby issued under
sionsButte County Code and/or
work indi :ted above for which
I E OR OF PUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date 4S )`W
V /�
Receipt No.
YELLOW -ASSESSOR.
WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, (r 71" ,61 NIA 95965 - TELEPHONE: 916/534-4541
PERMIT. APPLICATION DATA SHEET /
Permit No._
OWNER �if��'4/y�7. s r
k 3
A. P. No. .-
�f '
Proposed Building Use .yhi7J ��/�l�lJ �--Building lnspectorda�i Date—/4-K—/
At time of permit application, I was advised the following'data must be submitted prior to permit processing
andJor issuance: ,�.� DATE RECEIVED APPROVED
1. All items have been submitted. . . . . . . . . . .
�69�L 2. Plot plans<i.n duplicate/triplicate, s.i.grted by prepares of plans.`-
(�v 3. Com,pJ.ete plans in upli e./_friplicate�;�signed by preparer of plans,
4. Complete engineered plans and calcs, with wet signature on plans.
5. Plans with Energy Design Compliance Statement. . . . . .
6-. CUSD "Fees Paid" Stamp on Floor Plan. . . . . . .
7 Statement of Intent for Non -Heated and AC gu`ildings.
8. Fees of $ , , , ,
' 9. Letter of signature alithorization.gU
10. Sanitation approval from Health Dept.
11, Planning approval for (A) Use: (B) Parking:
12,, Certificate of Workmen's Compensation Insurance. . . . . .
13. Contractor's License Information (no., name style, classif,)
14. Owner -Builder Verification (Given to owner., Mail to owner ❑.), y
—15. Improvements may be required. , . . , , , , , , , ,
16. Mobilehome Installation Data. . . J
Pre-Inspec. request to —, j `
17. Pre -Inspection for Require( (Date)
p q Building Inspector
18. Recorded copy of Agricultural Acknowledgment Statement.
19. Driveway Permit.
20. Plot plan approval from city of
When you issue the permit pr cess as follows: Mail tg.owner, Mail to contractor.
�� Telephone�T�r and hold for pickup at�/�4 office, Deliver w/inspector.
Other
Applicant i-� ,��z�tj �� �%
Copy of plans sent Health Dept., Fire Dept., Other Date
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---naiI—counter by date
Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date
Plans checked
Date . Plans approved by
e
._.Sets of plans on hold in File cabinet AP folder
— 1 -
Fours: 0:00 a.m. 3:00 p.m.
Copy—DPW
COUNTY OF BUTTE - Depart'me'nt 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_ex ) �.
2. I (have/have—ee-tsigned an application for a building permit
for the proposed work.
3. I have contracted with the follow' person (firm) to provide the proposed
cons truc3`ior
Name
Address City
Phone Con ctors License No,
4. I plan to provide portions o this work, but I have hired the following person
to co'-oxdinate, superyand 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 S curity umber �„�-
Date �-
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.
sss�/i. �� �� �����
��� � � ���� w��
�. �� ��,
/�'��.moo
��
�.�� �/� f
�� ���
��2-���� ��� �.�
i - %'sem �S
Q � &-Y\i` l� -PERMIT NO. 1051-87B,P,E,M ;
PERMIT EXPIRES—
WILLIS
XPIRES
WILLIS GARDINER''"
OWNER
CONTR. Jay Actkinson
ASSESSOR PARCEL 30-211-37
LOCATION XXOX-21955 Harlan Ave, Oro
n
1
4A
5
{t
1:
Temp. Power Pole
Called PG&E
Temp. Elec. Service
Called PG&E
i
Temp. Gas Service
Called PG&E
;.
JOB FINALED (Date)
t
Signature
= OK
= Not OK
=Not Applicable MOBILEHOMES ". MISCELLANEOUS
= Not Ready
Date
MOBILEHOME UTILITIES (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except k's
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
_
2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/0 -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; LocatiorTest-Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except p'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
Card -BI
Date
Date Card -BI Date
POOLS (Plans) OK except N'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.Drain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected -C/0 to Grade -HD Approval
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes- Enc losures-Pane lboards- Ins. to Main in Conduit
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B-1
Date Card -BI Date
Card -BI
Date Card -BI Date
= OK
= Not OK
Not Applicable
= Not Ready RESIDENTIAL (Single and Duplex)
Date
UNDE OOR Plans OK except H's
Date
FRAMING (Continued)
ing requirements -Setbacks -Easements
48.
Property Line Firewall & Openings
Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
49.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
-3, Ftg., Garage; Soils -Steel- / /" Ftg. Depth
50.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
tFtg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
51.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
_1,.
Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
52.
Siding -Nailing -Veneer
,;�S- Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
-i-Piers-Fireplace
Ftg.-Steel
54.
Glazing Area -Glass Protection -Skylights -Plastic
8.
D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
55.
Shear Walls; Nailing -Bolts
9. Gas Pipe; Size -Anchors
0. Water Pipe; Test -Anchors -Regulator -Service Test
rl'P
Electric; Underground
Plenums & Ducts; Clearance -Material -Support -Ins.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Date Card -BI Date
Card -BI
Date j Card -BI Date
Card -BI
ate Card -BI Date
Card -BI
Date and -BI Date
Date
FIk4L
Mlans) OK except N's
Card -BI Date Card -BI Date
Date
PLUMBING (Permit) OK except q's
14. Water Ht.; Vent -Access -Combustion Air
56.
7.
5
59.
601
3.
xt. Steps -Door & Sidelight Protection -Landings
Sm a Detector
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
Bedroom Exiting
G.F.I. & Bath Fixtures & Tub Access
Elec. Trim & Subpanel; Breaker Sizes -Labels
Stairs & Rails
Fireplace or Stove; Clearances -Hearth
15.. Water Pipe; Test & Anchors -Nail Protection
_ 16._D.W.V.; Test-Fttngs & Anchors -Nail Protection
17. Shower Pan; Test, First Floor -Tub Access
18. Test Tub & Shower, 2nd Floor -Tub Access
_
19. Gas Pipe; Size & Anchors
Card -BI
Date Card -BI Date
64.
65.
Elec. Outlets at Wood Panel; Int. & Ext.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
66.
67.
68.
Elec. Outlets & Receptacles at Kit. Counter
Garage Fire Door; Swing -Landing -Closer
A.C. Duct in Garage -Damper
-
Date ELECTRICAL Permit OK except q's
-
20.
Fixture & Transformer Clearance -Ins. Protection
69.
71.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
Plb., Elec. & Mech. Equip. Listed for Location
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
21_Elec. Receptacles Spacing -Lights &Switches at DOXX NN70.
22. Size Boxes & No. of Conductors -Stapled
23. Romex Installed Close to Edge o Stu C.J.
24.
Equip. Ground made up w/Mech. astener Bond Gas & Waie
72.
Insulation -Foam -Looked in Attic E] Yes
73.
Guard Rails &Deck Construction -Post Caps
-
Card B -I
Card B -I
_
25.
26.
27.
_
28.
29.
30.
2 Appliance Circuits in Kitchen Conductor ize
Subfeed Wire Size / / ga. Cu or I-A.C. Wir Size / / ga. Cu I
Range Circ. / / ga. Cu or AI-Ov Circ. / Ana. Cu Al,
Insulated Neutral -,Yes ❑No X
Service -Riser Conductors & Ground- in Disconn t
Equip. Clearances: Panels-Motors-Mech. quip.
Clothes Closet Light -Shower Light
- -
Date _ Card -BI - Date _
Date Card -BI Date
74.
75.
Fdn. Vents & Crawl !sole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters El Yes EJ- No
76.
Stucco; Brown -Finish
7
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
78.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
79.
Water Well; Disconnect, Electrical, Plumbing
80.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
81.
Ventilation throughout House
82.
Glass Protection
Date
MECHANICAL (Permit) OK except N's
83.
_
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged; Gas -Electric
Card -BI
Card -BI
31.
32.
33.
34.
35.
A.C. Ducts_ Insulation & Support _ _-
Vent Fan: Exhaust above Insulation _ - _
_Condensate Drain & Overflow; Size & Grade
Furnace -Vent: Access -Comb. Air -Return Air Vent -_115V outlet
Attic Access & Platform if -Furnace -in Attic
-
Date Card -BI _ _Date -
Date Card -BI Date
85.
Water & Sewer Connected -C/O to Grade -HD Approval
86,
Energy Compliance Certificate -Other Certificates
--'
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FRAMING(Plans) OK except q's
Comments at Final:
36.
37.
38.
39.
40.
Sills; Proper Material & Anchors
Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound
Bearing Walls over Girders & Floor Nailing
Draft Stop in Walls (rat proof)
Fire Stops: Furred Ceilings -Stairs -Chases -Tub
_
41.
42.
43.
44.
45.
46.
47.
Header & Beam -Size & Bearing
Hangers -Post Caps -Anchors -Connectors
Cing. Joist-Rfir. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfnq.
Fireplace Ties or Type A Flue -Fireplace Throat
Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles_
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
Garage Fire Protection Framing
(NOTE:Anentrymust be.made each time youvisit jobsite)
r••
(D)
Continuous infiltration
barrier
'
FORM
(E)
Electrical outlet plate
RESIDENTIAL ENERGY FLAN
CHECK/INSPECTION-SUMMARY
❑
S
Owner���
—!d/GGI�f���iVEQ�
Climate Zone Permit No.
Floor Area
(3) GLAZING:
Compliance
path:
Package ❑ A ❑ B ❑ C ❑ Point System []Budget * Other
MIN
Location
R -VALUE DESCRIPTION
'
REQ'D
INSTALLED
ITEMS
(1) INSULATION-
Single
IN
Roof./Ceiling(�j
Total Bldg ago 1/z
im
Wall
-13
_
❑
Slab Floor Perimeter
North
Raised Floor
_
(2) INFILTRATION•
❑
(A) A vapor barrier is
required in climate zones, 1, 14 & 16.
South (oLj-
(B) All manufactured windows and sliding glass doors shall meet the
1972 ANSI Air Infiltration Standards and shall be certified and
$i
labeled.
2, to
(C) All swinging doors
and windows leading to unconditioned areas
shall be fully weatherstripped.
Tight - the above standard features plus:
❑
(D)
Continuous infiltration
barrier
❑
(E)
Electrical outlet plate
gasket
❑
(F)
Air-to-air heat exchanger
(3) GLAZING:
(A)
Location
'
Area Glazing
%,Floor Area
Single
Double Triple
®
Total Bldg ago 1/z
/O, �
_
North
_
East
South (oLj-
$i
West d/S, S'
2, to
y,►
❑
Skylights ®
0)
(B)
Shading
Shading
Coefficient Description
-
40
East �G�
(7dr4�.
GL_d_'ZilV4s
41
South
®
West
❑
'Skylights
❑
(C)
South Overhang
Length of projection
ft. Description
❑
(D)
Moveable insulation: Area
fe2
Description
(E)
Thermal mass
❑
Type
- Area
Ft.2 HC=
R=
MC= Location
_ ❑
Type
- Area
Ft.z HC=
R=
MC= Location
❑
Type
- Area
Ft. HC=
R=
MC= Location
❑
Type
- Area
Ft.2 HC=
R=
MC= Location
❑
Type
- Area
Ft.2 HC=
R=
MC= Location
❑
Type
- Area
Ft. HC=
R=
MC= Location
-
7/83
'
- .. FORK.:I
(4) MASONRY AND FACTORY -BUILT FIREPLACES shall be equipped with tight
fitting closeable metal or glass doors covering the entire opening
of the firebox; a combusibn air intake equipped with a readily
accessible, openable, and tight fitting damper to draw air from the
outside of the building; and a tight fitting flue damper with a
readily accessible control.
*1(5) HEATING, VENTILATING, AIR CONDITIONING SYSTEM
(A) Heating
Central Gas Furnace
M
❑6
(brand and model number)
Btu/hr
(heating capacity)
Heat Pump
ACOP
(brand and model number)
Btu/hr
(heating capacity at 47°F)
Active Solar
%
SE
type (liquid or air) Collector brand and
ft2
model number solar fraction collector area collector
orientation collector tilt rated y -intercept
rated slope
❑
Other
(describe)
*1
(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)
❑
(C)'A
TWO-STAGE THERMOSTAT, which controls the supplementary heat on
its second stage, shall be required for heat pumps..
(D)
AN AUTOMATIC SETBACK shall be provided for all thermostats, except
those controlling heat pumps.
(E)
AN INTERMITTENT IGNITION DEVICE shall be provided for all gas-fired
fan type central furnaces, gas-fired fan type wall furnaces and
gas cooking appliances.
'
(F)
BACKDRAFT DAMPERS shall be provided for all fan systems exhausting
air to the outside.
(G)
DUCT CONSTRUCTION & INSULATION. All transverse duct, plenum, and
fitting joints shall be sealed with pressure.sensitive tape or
mastic to prevent air loss and shall be insulated to conform to
the provisions of Section 1005 of the UMC, 1976 Edition.
7/83
2
FORM 1
(6) DOMESTIC WATER SYSTEM
] (A) Gas Only 0743 Gallons
(brand and model number) (tank size)
❑ Heat Pump w/Electric Backup
(brand and model number)
Gallons
2 (tank size)
❑ * Active Solar
(collector brand and model number)
(rated y -intercept) (rated slope) (solar fraction)
ft
2
(backup heater type, brand and model number) (collector area)
(collector orientation) (collector tilt)
❑ Location of Solar Panels
❑ Other
(Describe)
(B) TANK INSULATION. Storage type water heaters and storage and
backup tanks for solar systems shall be externally wrapped with
R-12 insulation or greater.
(C) PIPE INSULATION. The five feet of pipe closest to the water
heater and outside conditioned space shall be insulated with a
minimum of R-3. Steam and steam conditioned space shall be
insulated with a minimum of R-3. Steam and steam condensation
return piping and recirculating hot water piping outside the
building envelope shall be insulated in accordance with
T20 -1408(d).
(D) FLOW RESTRICTORS shall be provided for showerheads and faucets
as outlined in the new appliance efficiency standards and shall
be certified to the Energy Commission.
(7) LIGHTING
(A) Lamps used in luminaries for general lighting in kitchens and
w bathrooms shall have an efficacy of not less than 25 lumens' per
watt (usually florescent).
*1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing
charts (form #4) or other approved methods, section 2-5352(g), and fill out the
following:
Heating: Winter design temperature _/04-°, elevation 6;-d0 ', heating load/d/o4y9BTU
elevation factor ,p x heating load = maximum.outlet capacity gas furnace
BTU ��
Cooling: Summer design temperature '349 °, cooling load i,�,,62,ZLLBTU
(USE ONLY AS A SIZING GUIDE, COOLING MAY BE INADEQUATE)
*2 Submit T.I.P.S.E. chart or other approved system (form #5) to document sizing of
solar panels.
® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of
Title 24, Part 2, Chapter 2-53 of the California Administration Code.
7/83 SI ATURE OF BUILDING DESIGNER OR APPLICANT
I
ZONE 11
+s
OWNER POINTS
PERMIT NO. ASSIGNED
ACTUAL
1. SLAB - INSULATION
I +6 I
!
2. P.AISED FLOOR - R-19 (?
O
3. CEILING - R-30 -�- 30
0_
4. WALL - R-19
i
I +3 i
5. NORTH GLAZING 7Z--- 2.413.6% Z11
y
6. EAST GLAZING (S Ti- 2.5-3.6% 4,-3
-s
7. SOUTH GLAZING tBg'- 1.6-3.6% `$
I 0 I
S. WEST GLAZING Q^s��r 2.9-3.6%
-4
9. SKYLIGHT f/ - 0-1.3% �-
O
10. SHADING (Exclude Overhang)
I -4 ;
EAST 41 3 - .66 . foto
0
SOUTH 1 .4jV - .19-.42 , jp6
0
WEST Z `� -.13-.36 t0`O
-3
SKYLIGHT p - .37-.57 �_
p
11. HORIZONTAL SOUTH OVERHANG 2' �_
O
12. MOVABLE INSULATION - NONE
I -11 I
13. INFILTRATION (Standard=0)(Tight=+12)
-16
i4: THERMAL MASS SF
-25 I
15. GAS FURNACE (SE) 71-76%
I -15 I
-16., HEAT PU11P (EER) 7.5-7.9%
-20
17. DUAL PACK (SE, SEER) 8.0-8.3/71-76% &17 71
O
WOOD STOVE
I -17 I
�Z A--5WATER 44EATER -
O
ATTIC '9 0- '/a
+ 3
OTHER -
I -24' I
-42 I
-32
TOTAL POINTS
-46 I
Table 3-1. Slab Floor Points Table 3-2. Raised Floor Points
17n�,ils- I R -Value of Insulation I I R -Value of I
-50 I
I tion I I I Insulation I
Points
I Depth, I I II I
I I
I lncIves 1 0-2 13-4 1 5-6 I 7+ I
I Floor
I I 1 ! I I 1 below 3 1
-12
I 3-4 I
-8
t 0-itl-5 I-3 1-5 I-5 1 I 5-7 I
-6
i 12 - 15 I -5 1 -3 I -2 I -1 i 1 8 - 12 (
-41
! 16 - 19 I -5 ! -2 I -1 I 0 I 1 13 - 18 (
r2
I 20 + I -S I -1 1 0 1 +1 I I -19+ I
I I I I I I I I
0
7/7/83
0.65 1
Table 3-3a. Ceiling Insulation
Points
I R -Value of Insulation I Points
19 I -4
22 I -2
30 ( 0
38 I +2
49 I +4
Pointe
I R -Value of Insulation I Pain
1 11 1 -7
I 19 I^ 0
I24 30 I +3
I I
Glazing Type
Total I
2 of Sngl,
Floor 1 U -
At ea 10.66
11.10
0 +71-
0.1-
,0.1- 1.2 I +4
1.3- 2.3 I +1
2.4- 3.6 I -2
3.7- 4.8 I -4
4.9- 6.1 I -7
•6.2- 7.3 I -9
7.4- 8:2 I -12
8.3- 9.7 I -14
9.8-10.8 I -17
10.9-12.0 I -19
12.1-13.2 I -22
13.3-14.5 1 -24
14.6-15.3 I -27
able 3-7. South -Facing Clazina Pte
I Glazing hype I
Total I I
2 of I Sngl, I Dbl, Trpl,
Floor ' I (U - I (u - I (u . I
.Area 11.10) 10.65) 10.41)1
Ioints I oints i olntsl
0 +3 +� +3
up to 1.5 I +2 I +2 1 +2 1
1.6- 3.6 -1 1 00 1 0 I
3.7- 5.2 - -2 I -2 1
5.3- 6.5 I -6 1 -4 I -3 I
6.6- 7.7 I -9 I -6 I =5 I
7.8- 8.9 I -11 i -8 1 -7 I
9.0-10.0 I -13 I -10 .1 -9 I
10.1-11.5 1 -17 1 -13 1 -11 i
11.6-13.0 i -21 I =16 1 -14 I
13.1-14.5 I -25 1 -19 I -16 I.
14.6-16.0 1 -28 I -22 1 -19 1
Table 3-8
I T-
I I
I I Total
I 2 of
I Floor
Pte ( Area
-•r•ri
U- I U- I
0.42- i 0.41 I
0.65 I down 1
.14 +4
+4 I +4 I
-2
6
-6
-10
-12
-14
-16
-18
-20
I up to 1.3
I 1.4- 2.2
I 2-]- 2.8
1 2.9- 3.6
I 3.7- 4.2
I 4.3- 5.0
i 5.1- 5.6
I 5.7- 6.2
I 6.3- 6.9
I 7.0- 7.6
I 7.7- 8.2
I 8.3- 8.8
I 8.9- 9.5
9.6-10.1
1 10.2-11.0
! 11.1-11.8
111.9-12.7
112.8-13.5
113.6-14.3
114.4-15.2
West -Facing Clazfn Pts.
I Glazing Type
anga,I vot, 1 Trpl.l
(U- I (U- I (U - I
1.10) 1 0.65) 1 0.41)1
oints I oints I pLltsl
+s
+6
*6
+5
I +6
I +6 I
+3
I +4
I +5 I
I
I ��+2
I +3 i
� �0
I .20-.36
+1 I
-s
I -2
I 0 I
-6 I
-4
I -z I
-10 I
-6
I -4 ;
-13 I
-8
1 -6 I
-15 I
-10
I -7 i
-18 I
-12
I -9 I
-20 I
-14
I -11 I
-22 I
-16
I -13 I
-25 I
-18
I -15 I
-27 1
-20
1 -16 1
-29 I
-23
I -17 I
-35 I
-26
I -21 I
-38 1
-29
I -24' I
-42 I
-32
1 -27 I
-46 I
-35
1 -29 I
-50 I
-33
1 32 i
1 SC by
uc vests
1
I Orien-
I 2 Floor Area
tation
I
I Last
I I 3.2 I
I
10-3.1 I to 16.4 up
I
I I 6.3 i
I
I 0 -.19
I 0 I +1 I +2
I .20-.36
1 0 I 0 I 1t
I .37-.66
0 I 0 I 0
I .67-.82
0 I -1
.83 up i
0 i -1 i -2
South 1
0 1 3.2 16.4 18:0 1 9.6
I i
to I to I to I to I up
( 1 3.1 16.3 17.9 19.5 I
I
I 0 -.18 1
0 1 +1 I +2 I +2 I +3
1 .19-.42 1
0 1 0 1 0 1 0 I 0
I .43-.660' I -1 I -2 I a2 -3
I .67 up
i
,I
1 -2 1 -4 1 -4 I -6
West 1
.1 11.6 13.2 16.4 18.0
I
to I to I to I to I up
1.5 i 3.1 i 6.3 i 7.9
0-.12 i
0 1 +1 I +3 1 +6 I +7
.13-.36 i
0 1 0 1 0 I 0 1 0
.37-.57 1
0 1 -1 1 -3 I -6 I -1
.58-.82 (
I -6 I -12 I -15
.83 up
I
_1 _3
4 I -8 i -16 ! -20
I I I I
Skylight I
.1 1 .6 1 1.6 t 3.2 14.0
I
to I to I to (. to I to
1 7 1.5 1 3.1 ! 3.9 1 5.2
0-.12 1
0 1 +1 I +3 I +6 I +7
.13-.36 1
0 1 0 1 0 1 0 1 0
.37-.57 1
0 1 -1 ( -3 I -6 I --
.58-.82 .I
-1 1 -3 1 -6 I -12 I -.
.83 up 1 -2 I -4 1 -8 I -16 i -20
I I I I I
I
I
I
1
Table 3-I1. Horizontal
South
Overhane Pointe
Table 3-9. Skylight Points
I South
Glazing
Table 3-6.-
Haat-Facingdlazing Pte.
1 Length Out I Area,
2 of Floor I
I
Glazing
Type
I
I from Wall I
I
Glazing Type
I
I Total I
I
I it T
-I Total
I
1
I z of T Sngl. I
Dbl,
Trpl,
I 10-6.3
I 6.4 up I
I 2 of
I sngl, Dbl, Trpl,
1 Floor I
U- I
U- I
U- I
I I
I I
I Floor
I (U - I (U - I
(U - I
I Area 1
0.66- 1
0.42- 1
0.41 I
0 - 0.5 1 -2
1 -
I Area
1 1.10) 1 0.65).1
0.41)1
1 1
1.10 1
0.65 1
down I
( 0.6 - 1.0 1 -2
1 -3 1
I�IIoints
!points I
ointsl
1 1.1 - 1.9 1 -1
1 -2 1
I D
I+.4 .04 1
r[ 1
up to 1.3 I
-1 1
0 I
0 I
I 2.0 up 1 0
I 0 1
I up to 1.3
1 +3 I +4 1
+4 1
I 1.4- 2.2 I
-3 I
-2 I
-1 1
1 1
I 1
1 1.4- 2.4
I +1. ( +2 1
+2 1
1 2.3- 2.8 1
-6 1
-4 I
-31
Table 3-12. Movable Insulation
1 2.5- 3.6
i -2 i 0 1
0 1
I 2.9- 3.6 I
-9 i
-6 I
-5 I
Points
I 3.7-
- -2 1
-1 1
I 3.7- 4.2 I
-11 I
-8 I
-6 I
I 4. - 5.6
I -8 -4 1
-3 1
1 4.3- 5.0 1
-14 1-
-10 1
-8 1
I Moveable Insulation]
1 5.7- 6.7
I -10 i -6. 1
-5 1
1 5.1- 5.6 I
-16 I
-12 I
-10 I
I Area, I of Floor I
Points I
I 6.8- 7.7
I -13 I -8 1
-7 1
1 5.7- 6.2 I
-19 I
-14 I
-12 1
1 I
I 7.8- 8.7
I -15 I -10 1
-4 1
1 6.3- 6.9 1
-21 1
-16 1
-13 1
I 8.8- 9.7
1 -1.7 I -12 1
-10 1
1 7.0- 7.6 I
-24 1
-18 1
-15 1
1 0- 5.5 1
0 1
I 9.8-11.2
( -21 I .-15 1
-13
I 7.7- 8.2 I
-26 1
-20 1
-17 I
I 5.6 - ll.i I
+2 I
1 11.3-12.7
1 -25 I -18 •1
-15 I
I 8.3- 8.8 1
-28 1
-22 1
-19 I
I 11.6 - 17.5 I
+4 1
112.8-14.0
I
17.6 - 23.5
I
14.1-15 3
- I -24 I
1 32
-20 1
I 9.6-10.1 I
-33 1
-26 �.
=22 1
,+6
I _23.6+ I
+g I.
TOME 11
TAELE 3-14 (ADA/TED) INTERIOR THERMAL MASS POINTS
. Va44 nu r.. ..
Table 3-13. 1af!ltr3tion Control
Features Points
T---- --
I Control Features I P0111ts I
T- I I
Standard I 0 I
! I I
10.9 air changes per hr I I
I I 1
I Tight I +12 I
i I I
10.6 air changes per hr I' I
i I I
Table 3-15. Gas Furnace Without
Refrlaeration Cool!n.e Points
I Seasonal Efficiency I
Points I
I (SE), t I
I
I
I
-
T-
71
I 71-76 I
0 I
I 77 - 82 I
+2 I
I 83 - 88 I
+4 I
I 89 - 94 I
+6 I
I 95 up I
I I
+8 I
I
I 9.2 -
9.6 1
I Energy Efficleney I
I Ratio (EER) I
Pot-kts I
I
I 7.5
- 1.9 I
+3 I
S.0 -
8.3 I
+6 I
I 8.4 -
3.7 I
+9 I
1 8.8
- 9.1 I
+12 1
I 9.2 -
9.6 1
+15 I
9.7 -
10.2 I
+18
1 10.1 -
10.8 I
+21 I
I 10.9 -
11.5 I
+24 I
I 01.5 -
12.3 I
+27 I
I 12.4 -
I
13.2 I
I
+30 I
I
Table 3-17. Cas Furnace With
Refrleeration Coollna Points
1Refrigeraclonl Cas Furnace I
Cooling I SE : I
1T71 -177-i83-189-195
1 1 761 821 881 941 u I
1 8.0 - 8.3 1 0l +21 +41 +61 +8 1
1 8.4 - 8.7 1 +21 +41 +51 +91+10 1
1 9.8 - 9.2 1 *41 +61 +E1+101+12 I
1 9.2 - 9.7 1 +61 +81+101-121+14 1
I 9.8 - 10.3 1 +31+101+121+141+16 1
1 10.4 - 10.9 j+lGj+L2j+141+160+18 I
1 11.0 - 11.6 1+121+141+161+•181+20 1
1 1 1 1 1' I
7/7/83
AREA
SQ. FT.
1,000
i A 8 C
D
A
1,500
8 C
D
A
2,000
B C
51
A
2,500
B C
D
I
A
3.000
8 C
D
A
3,500
-F--C---O-T.
A
4,000
B C
D
I
A
4. SG
6 C
0
A
5,000 1
8 C
!0
2 2 2
Y
2
2
2
0 1
2
2
2
0
1 0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 0.
0
0
0
'.00•
4 4 4
2
2
2
2
2
2
2
2
2
2
2
2
0
2
2
2
0
2
2
0
0
2
2
0
0
2
2
0
01 0
0
0
0 1
ISO
6 6 6
4
4
4
4
2
2
•2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
0
2'T
2
0 2
2
2
0;
200
8 8 6
4
6
6
4
2
4
4
4
2
4
4
2
2
2
2
2
2
2.2
2
2
2
2
2
2
2
2
2
2 2
7
s!
250
l0 10 a
6
6
6
6
4
6
6
4
2
4
4
4
2
4
4
2
2
2
2
2
2
2
2
2
2
2
2
2
2 2
2
2
i!
300
12 12 10
6
8
B
6
16
6
6
4
6
6
4
2
4
4
4
2
4
4
2
2
2
2
Y
7
2
2
2
7 2.2
2
2
350
14 14 12
8
10
1G
a
6
6
6
6
4
6
6
6
2
6
4
4
2
4
4
4
2
4
4
2
2
4
4
2
7 2
2
2
s
400
14 14 12
8
10
10
8
6
8
8
6
4
6
6
4
4
6 -
6
4
2
4
4
4
2
4
4
4
2
4
4
2
2 4
4
1
2
503
18 18 16
10
12
12
10
6
10
10
8
6
R
8
6
4
6
6
6
4
6
6
6
2
6
6
4
2
4
4
4
2 4
4
4
j
600
22 20 IS
12
14
14
12
8
12
12
10
6
10
10
8
6
8
8
6
4
8
C
6
4
6
6
6
4
6
6
4
2' • 6
6
4
2 1
790
24 24 20
14
18
16
lU
10
14
14
11
8
10
10
10
6
10
10
8
6
8
B
6
4
8
6.
6
4
6
A
6
41 6
6
.
7. i
270
26 24 22
16
70
16
16
10
14
14
12
8
12
10
10
6
10
10
8
6
10
8
8
4
?
6
6
4
8
6
6
I( 6
6
6
s 1
900
28 28 74
16
22
20
18
12
16
16
14
10
14
14
12
8
12
12
10
6
10
10
0
6
0
8
18
4
B
8
6
4 1 a
8
6
t i
1,010
JO :IO 26
18
�2
20
20
14
18
18
16
10
14
14
12
8
12
12
10
6
12
10
10
6
10
To
8
6
8
8
0
a
I,;OU
.l2 37. 28
20
24
21
22
14
20
20
18
10
i6
16
14
B
1/
14
12
8
12
12
10
6
10
10
10
6
18
10
8
61 lJ
f
f
1,200
34 32 30
22
26
26
22
16
22
20
18
12
18
18
14
10
14
14
12
8
14
12
12
8
12
10
6
10
10
8
6 In
In
8
6
1.300
34 34 32
22
28
26
24
16
22
22
20
12
18
19
16
10
lu
14
11
8
14
12
12
8
(•12
12
12
10
6
li
10
IO
a 10
;0
F.
1,.00
34 34 32
24
28
28
26
18
24
24
20
It
20
20
18
12
18
16
14
10
14
14
12
8
14
14
12
8
12
12
;G
1.: 10
10
17
6
s
1,000 I
36 74 3/
21
30
30
26
18
2J
21
22
11 I22
20
18
12
18
18
16
10
16
16
14
8
14
14
12
a
17
12
10
G I ;2
12
1..
1
e
2,000
34
34
32
22
30
30
26
18
26
26
22
16
22
22
20
14 I20
20
18
12
18
18
16
10
16
16
i4
61 14
1a
11
g j
2,509
I
34
34
30
22 I30
30
26
18
26
26
24
16
24
24
22-
l4
22
22
19
:2
20
20
18
I: Is
15
It
••'
3.CG0
34
32
30
22
30
30
26
18
28
26
24
16 I24
24
22
11
22
22
20
14 , :;
:J
ib
Ii
3,500
_
32
32
30
20
30
30
26
la �26
28
24
16
26
14
27
14 1 `4
Z4
20
14
4.000
32
32
10
20
30
30
26
18
' 79
28
24
1f 16
ZS
2:
if
4.500
32
32
28
20
30
3')
26
It j ib
vt
2--
=S_QO=
5,003
32
17
2i
201 IJ
,J
.'6
IA':
AI 1. 3's• Concrete Slab: HC -8.93; R-.29; Factor -7.3
2. 3 3/4- Thick Common Brick: IICr7.125; R-.13; factor -7.3
B) 1. 54' Concrete Slab: HC•I1.106; 0•.458; Factor•7.1
C 1. 8- Solid Filled Block: HC -20.63; R-1.93; Fac
tor•6.1
2. 8- SC d Filled Block With Both Sides Exposed To Conditioned Air.
NOTE: Use all square footage directly exposed to conditioned air
for Thernal'Mass Area: HC -10.164; R -.96L; Factor -6.1
0) 1- Thick Concrete/Tile: KC-2.SS; R-.083; Factor! -3.7
Table 3-19. tonally Controlled
Electric Resistance
Space Heating Points
Points for thiscensure v!11 I Table 3-20. Solar Hater Heatinz With Cas Backun Points
I be completed after the CEC 1
I has approved an Alternative 1
Component Package for Reslstaice •I
i Beat.
Table 3-19. Active Solar Spnce
Hestina witn bas Points
I
Net Solar Fraction I Points I
I (NSF), % I I
I 0-6
I 0 l
I 7 - 14
I +2 I
I 15 - 23
I +4 I
I 24 - 30
I +6 I
1 31 - 39
I +8 I
I 40 - 47
I ; +LO I
I 48 - 55
I 4-12 I
( 56 - 63
I +14 I
I 64 - 71
I +18 I
I 72 up
I • +20 I
wood stove #33 points'(no back up)
casablanca fan + l,point
Multlfamll (per unitpoints)
Floor Area
Net Soler Fraction (NSF), Z
per unit,
ft2.
0.9
iv -ii
ZC-29
30-39
40-49
50-59
60-69
70-79
600-799
0
+3
+7
+10
+14
+17
+21
+24
800-999
0
+3
+5
+8
+11
+14
+16
+19
1,000-1,499
1,500-1,999
2X00 and up
0
0
0'
+2
+1
+1
+4
+3
+2
+6
+4
+4
+8
+6
+5
+10
+7
+6
+12
+8
+7 1
+14
+10
+9
All others ( e:
8UO-899
bu11¢inp
0
points)
+5
+10
+14
+19
+24
+29 +34
900-999
0
+4
+9
+13
+17
+�I
+26 +30
1,000-•1,199
0
+4
•1-7
+ll
+15
4.19+22
+26
1,20r,1,499
0
+3
+6
+9
+12
+15
+18 +21
1,500-1,999
2,400-=,999
0
+2
+2
+5
+3
+1
+5
+9
+7
+12
+8
+14 +le
+10 +11
•O ar.d
3,0Luo
-0
0
+1
+3
+A
+5
+•7-
+9 +10
Table 3-21. Other Water Resting Pts.
I
System Type I Points I
I I I
' I Gas Only I 0 i
I I I
I Beat P'Mp ( 0
I I I
I Solar with Electric I I
I Resistance Backup I i
I Meeting the Require- ( r
I sent• to Part 2 I 0 i
I Electric Resistance I 1
On 11 i -40 I
WITLIS GARDINER
r!: _ A.P. 30-211-37
R,..955 Harlan Avenue, Oroville
'4 Contr: MH Electric
Permit#1453-81E
®
GV
10 or¢ VA- 04
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AW PERMIT
PERMIT NO.
(9
ASSESSOR PARCEL NUjv18E;
r /
ZONING
BUILDING PERMIT
OWNE. -
8 -Lt n
TELEPHONE
3Wo I
SO. FT. OCC. BUILDING VALUATION
OWN R S MAILING A•DMD'RESS/1
/ ! / )i Ave-
CONAACVR'S NAMr I
3�p E L!
CONTRACTOR'S MAILING ADDRESS
'
Fireplace
CONSTRUCTION LEN ER UNKNOWN
h
Total Valuation $
Filing Fee
10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
.$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRE S
Permit fee
$
BUILDING ADDRESS
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Repair drainage or vent piping
5.00
Water piping
LOT NO.SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF JI�/ Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New Addition❑ f emodel❑ U -lilies Installation❑ Other[
Describe work: S C -�C
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 500v OR LESS
100 AMP OR LESS
5.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. ( DWELLING OCCUP.y)
OR ADDNS. ACC• BLDGS.
20 sq it
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business500250
and Professions Code and my license is in full force and effect.
c� /'"� ` -Al
License No. A -35 y / Classification w
❑ 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
NEWC
CONSTR T'*U LET 2.50 ea
NON-RES,.BRN H CIRC TS
NEW CONSTR. IPOWER APPARATUS pit
NON-RESID, ISINGLE OUTLET CIR. /
Ex. Occup OUTLETS OR FIXTURES BAL@1
EX. OCCU / IXED AP LHS. OR
p•\OUTLETS (RESID•) EA. 2.00
Temporary service 10.00
Mobile Home Facilities
15.00
Misc. Wiring 7.50
Permit Fee $
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
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.
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
S
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all 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, aV expenses which may in any way accrue
against id•County i cops quen of the granting of this permit.
��L ,.
X Date
Signature of pli ant - 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
$
TOTAL PERMIT FEE $
OCCUP. GROUP
I TYPE OF CONST,
PARCEL
PD
ND ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIREC�OFi OF PUBLIC
By
PE IT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date �1- 27-J^'/
14 % 7 -?Z
Receipt No. 6-0S-3 7
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
-
COUNTY OF BUTTE -'DEPARTMENT OF PUBLIC WORKS � PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4
" APPLICATION AND PERMIT n
ASSESSOR PARCEL NU BER
% ,- % ^ -3 r7
ZONING
BUILDING PERM%
OWNER -
TELEPHONE,
5.�
SO. FT. OCC. BUILDING VALUATION
OWN 'S ysMAILING AD RESS 1�
V
CONT AC R'S NAM TELEPHONE
CONTRACTOR'S MAILING ADDRESS
r,v
Fireplace
CONSTRUCTION LEN ER 10
to tl\ IQ
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS a^^
PLUMBING PERMIT
FilingFee 10.00
Each Trap
2.00
Repair drainage or vent piping
5.00
Water piping
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
' USE OF STRUCTURE
SF 1� Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
lities Installation ❑ Other
New ❑ Addition ❑ F►emodeI ❑ 71C
Describe work: CJS - S ealy), U -p
Permit Fee
$
Contractor
ELECTRICAL PERMIT
FilingFee 10.00
Main service 600V OR LESS
100 AMP OR LESS
5.00 ^
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.EI\
OR ADDNS. ACC. BLDGS. I
2Q, sq ft
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. 35-2 '. Classification - / Q
❑ 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
NNEW ON -RESIT R BRANMUE7rCH CIRCLET Ts 2.50 ea
NEW CONSTR. / POWER APPARATUS &
NON-RESID. %SINGLE OUTLET CIR.
EX. OCCUp OUTLETS OR FIXTURES ggL�j
(FIXED APPLNS. OR
EX. Occup. OUT LETS (RESID) EA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee $
Contractor
MECHANICAL PERMIT
FilingFee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
1 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.
Fgr I shall not employ any person in any manner so as to become subject
`C 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.
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
S
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to. all County Ordinances and State Laws relating
to building construction, and hereby author ze 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 ' County i ou quen of the granting of this permit.
�1 _ g r
X f Date
Signature of A pli ant - OwnerContractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures stories in height.
Mobile Home Installation Fee $ >
TOTAL PERMIT FEE $ _2
OCCUP. GROUP
I TYPE OF CONST,
PARCEL
PD
HD ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRE OR OF PUBLIC
BY
P IT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
aover
r3
Receipt No. � !LOS -3 7
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
E ,
'eIPERMIT NO. 2112-76B
PERMIT EXPIRES/
,OWNER GERALD YOUNG
CONTR. Custom Exteriors Inc.
LOCATION (A.P. 30-211-37
955 Harlan Ave., Oroville
t,
t
-Z
i
' Temp. Power Pole
Called PG&E
f Temp. Elec. Se
Called P E
Temp. G Serv.
r + t Ca ed PG&E ' +
I B
FINALED
atb
t
(Signature)
4
t
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RE?CORD
BUILDI G BUILDING (Cont'd)
Setback
'
! Firewall
soil
Forms
Parapets
1
Main Bldg.
Restroom Finish
2
Footings
Windows
3
Stemwall
Sidin / oZ
To
Slab
Roof Sheathin
oe Wat
Piers
Roofing
Sew
Garage
Fdn. Vents
Fix
Footings
Stemwa I I
Garage Vents
Insulation
Wat
Hea
Slab
Carport
Footings
Prov. for physically
handica ed
Conformance of
structure
A pF
Gas
Ten
Slab
Final �
San
Patio
FIREPLACE
Fin
Footinas
Footing r, %1
Framing
Stucco
i Mesh
Scratch
I Brown
Finish
Interior Lath
Door Closer
DATE
G •
i
I`
I ,
REMARKS OR CORRECTIONS
r
(NOTE: An entry must be made on this form each time you visit the job site.)
PLUMBING
,J,_
_ . COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive —, Orovi lie, California 95965
Telephone: 534-4541
APPLICATIOR AND PERMIT
-7(o
�. 1UV1WQcnwuvca vi ME %_,Uurlty UI butte W enter upon the
above-mentioned property for inspection purposes.
X Date
Signatu Permiteee or Agent
Receipt No. %LIZI �? 0 (n
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF BLIC WORKS
By Date
?i1ding permit expires Date 0,
BUILDIN49
OwnerSO.
.erg Ld
FT. OCC. BUILDING VALUATION
Mailing Address L.9 A/ At/
ew stat ,®o
DYE tJ t L C C.
Telephone No.
Fireplace
Contractor 7—o
Total Valuation
Mailing Address 25-,1)3^rJ,2wPlan
Permit Fee
Checking Fee&/or Penalty
Telep o e No.
A O !} / 6 ZZ
Permit Fee $ ,per
Building Address 9PLUMING
No. @ ,FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No. 0.— ."7 f —
Zoning 8 Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
F
SeFt
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EOA
Parking
Declaration
Parcel Map
60' R/W
Improvements
Lawn sprinkler system 2.00
ee=d
Parcel Approval
Plans Approval
Permit Fee $
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ®
ELECTRICAL No. @ , FEE
PERMIT FILING FEE $3.00
.y/ A!
Af % / AJ G ��I S / G �(/.��
Main service 600V OR LESS
100 AMP OR LESS 5.00
Main service EA. ADD'L 100 AMP 2.50
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Main service OVER soot/
100 AMP OR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
NEW CONST.
OR ADDNS. ( ACCLBLDGS.LING CCUP. &\ 2C Sq ft
/
NEW CONSTR. MULTI -OUTLET
NON.RESIO. ( BRANCH CIRCUITS) 2.50ea
'NEW CONSTPOWER APPARATUS &
NON_RESIR. D. (SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & ProfessionS Code under the name
le of
C OZ -Ln 1M\ rg D{ e h I['1 () ?
Ex. Occup(OUTLETS OR FIXTURES)@�
BAL@1
FIXED APPLNS ORst
EX. Occup. (OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
_ (
License No._ 90412 �
� n Classification
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
I have placed on file with the County of Butte a certificate of
4�l Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
permit is issued I shall not em
p employ y person in any manner
so as to become subject to an bject to the Workmen's Compensation Laws of
California.
MECHANICAL No.1 @ FEE
PERMIT FILING FEE J$3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
1 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
TOTAL PERMIT FEE
$
�. 1UV1WQcnwuvca vi ME %_,Uurlty UI butte W enter upon the
above-mentioned property for inspection purposes.
X Date
Signatu Permiteee or Agent
Receipt No. %LIZI �? 0 (n
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF BLIC WORKS
By Date
?i1ding permit expires Date 0,
���_�i�
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