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Home My WebLink About030-461-02930-461-29 SAM S Y W 2033 Plumy v enue, Oroville•, fI+ Permit#812-87E,. ,M(new single" -family) `'•' t .30-461-29 7I.2 I 0 U h� 4 P �C076-87;B(add covered deck) j t _ i f ' � f Y i 0 . t r, f, C i • j r PERMIT NO. ff 812-87B _P E PERMIT EXPIRES r OWNER -SAM SMILEY CONTR. owner ASSESSOR PARCEL 30-461-29 LOCATION 2033 Plumes Ave, Oroville 7 St Temp. Power Pole Called PG&E Temp. Elec. Service / i / Called PG&E ' Temp. Gas Service R Called PG&E 1 JOB FINALED (Date) Signature ---- COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS r _ 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534=4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 Cj,QRRECTION NOTICE IFR nen 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 additionalexpanation, please contact this office immediately. Inspector_ _ 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 VNER PERMIT NO. A routine inspectiVn 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. I Inspector. Date P,1��!� •FAA Inspector. Date J = OK D = Not OK - = Not Applicable RESIDENTIAL (Single and Duplex) Reacry Date UN RFLOOR (Plans) OK except N's Date FRAMING (Continued) - - --1. Zoning requirements -Setbacks -Easements y t 48. Property Line Firewall & Openings Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors-Oner3'-Check Garage -3rd story, 2 exits _ 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection _ 4. FLg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. _ Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Stemwalls, Main: Steel-Blo s=Wrapped-Slab 52. _ Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab _s_ 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access - 11 7. 8. P -Fireplace Ftg.-Steel D.W.V. Fall -Fittings -Test -2 way C/O -Sewer Test 54: 55. _ Glazing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts _ 9. Gas Pipe; Size -Anchors 10. Water Pipe: Test -Anchors -Regulator -Service Test - 11. Electric: Underground 12. Plen_um_s & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date _ Card -BI_ Card-BI T Date3•�\ Card -BI Date Date Card -BI Date Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except H's Date PLUMBING (Permit) OK except #'s 56. Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector Card -BI Card -BI 14. 15. 16. 17. 18. 19. Water Ht.: Vent -Access -Combustion Air Water Pipe: Test & Anchors -Nail Protection D.W.V.: Test-Fttngs & Anchors -Nail Protection Shower Pan: Test, First Floor -Tub Access Test Tub -& Shower, 2nd Floor -Tub Access Gas Pipe: Size & Anchors Date _ Card -BI Date Date Card -BI Date 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 59. Bedroom Exiting 60. G.F.I. & Bath Fixtures & Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. 67. Elec. Outlets & Receptacles at Kit. Counter Garage Fire Door; Swing -Landing -Closer Date ELECTRICAL (Permit) OK except #'a 68. A.C. Duct in Garage -Damper Gard B -I Card B -I 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. Fixture & Transformer Clearance -Ins. Protection Elec. Receptacles Spacing -Lights & Switches at Doors Size Boxes & No. of Conductors -Stapled Romex Installed Close to Edge of Studs & C.J.72. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 2 Appliance Circuits in Kitchen & Conductor Size Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral Yes ,No - _ Service -Riser Conductors & Ground -Main Disconnect_ Equip. Clearances: Panels-Motors-Mech. Equip. - Clothes Closet Light -Shower Light --- __-__-_ Date Card -BI Date - _ Date Card -BI Date 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. Insulation -Foam -Looked in Attic E) Yes 73. Guard Rails 8 Deck Construction -Post Caps 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 75. 76. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No Stucco; Brown -Finish 77, 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 -81 Card -BI 31. 32. 33. 34. 35. A.G. 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 Y's Com rents at Final: 36• 37. 38. 39. 40. 41 42. 43. 44. 45. 46. 47. 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_ _ Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Ring. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access: Size & Romex Protection -Draft Stop -Ins. Ba_ff_les Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing i - (NOTE Anentrymust be made each time youvisit jobsite) = OK = Not OK = Not Applicable MO B I LEHOM ES = Not Ready MISCELLANEOUS . Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N'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.-Con nec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -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 N's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 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-Enclosures-Panelboards-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-1 Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ERMIT NO� 7 County Center Drive - Oroville, C,a UDmia.95965 - Telephone 916/534-4541 C/ APPLICATION AND PERMIT !l ASSESSOR PARCEL NUMBER -� L%(o/ --� ZONI G BUILDING PER IT OWNS NG TELEPHONE '9�6 SO. FT. OCC. BUILDING VALUATION OWNER'S AIADD ESS v� O� CONTRACTOR'S NAME �yvYl �L TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ o bO Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 63 2> S fie- it fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap LJ 1 2.00 10g v ' Ilk Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 ,I�v Each qas water heater or vent 5.00 0 USE OF STRUCTURE SF9 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 5,0n Building sewer 5.00 dc> Mobile Home S I G I W 10.00 ea TYPE OF WORK Newt/ Addition❑ Remodel❑ U ili 'es Installation❑ Other ❑ Describe work: Permit Fee $ (Xy Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORV OR LESS10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I decl a under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professi s Coe d my license is in f II for a and effect. License No. Classification ,\a as the owner, 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 Dc uP•� , OR ADDNS. l ACC. BLDGS, 6 �2dsq ft NE WNON•RESID R. BRANCH CIRCTITS 2.50 ea POWER APPARATUS .&) SINGLE OUTLET CIR. Ex. Occu aALO0 G 30 Occup(OUTLETS OR FIXTURES eAL030 FIXED ALNS. Ex. --- OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �yirin 15.00 9 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 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. MECHANICAL PERMIT Filirig Fee 10.00 Heating (oQQOb Cooling L,f� Hood 3.00 , a� 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 agre sav ,indemnify and keep harmless the County of Butte against all ud-me ts, costs, and expenses which may in ny ay accrue ag consequence of the granting of this er i X ate Sig�App Owner Contractor A An red for excavations over 5'0" deep and demolition or construct- ion ories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ ap TOTAL PERMIT FEE o up. co,NsdypE v��YA F D PARCEL PD N 149U This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC By. PE IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date --L-0 »^yam J— " % I /f Receipt No.O' WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT TO: Building Department FROM: Encroachment Permit Section RE: Dkj:veway Clearance Sai'n .S'I"le „ ZU ) 3 'yC/ ' -jD— a-( —Z % owner location AP # Driveway permit Aly4c Ne / has been issued for the above property, num signa re date v. . _ . Tf . � _ ...,. :�, � r..n.... .w ,o.. .. .t,...Y'C .... s. �, ni: :..,•,,.•fes.+t .. ,w rJz ... COUNTY OF BUTTE - DEPARTMENT -'OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY,CENTER DRIVE - OROVILLE,'C�A'Lj A' hNIA 95965 - TELEPHONE: 916/5'34-4541 PERMIT APPLICATION DATA SHEET Permit No. OWNER �� cSm�L A. P. No. Proposed Building Use g p c3— �'Buildin Inspector Date At time of permit application, I was advised the foll"ing 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. 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. 04,Z/1e! Sanitation approval from %/ �. Health Dept. . . J— ✓�- �� 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. Pyre -Inspection for Required. Pre-Inspec. request to (Date)Building Inspector 5�1BRecorded copy of Agricultural Acknowledgment Statement. 11z"Driveway Permit. INd420. Plot plan approval from city off 21. �� %/ � -a _ //ice =. 1 ' 3 2. When you issue the permit, process follows: Mail to owner, Mail to contractor. Telephone J�3`sand hold for pickup at office, Deliver w/inspector. Other. lica Date Copy of plans sent Health Dept., Fire Dept., _ Other Date The following data must be submitted prior to p rmit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Y° - Contractor, designer, owner, was advised of above required data by—phone--Mail Contractor, designer, owner, was advised of above required data by—phone—mal) Plans checked Copy—DPW Date Plans approved by 11 date date a Date Sets of plans on hold ipo�i cabinet AP folder ,fi U — Flours./10:00 a.m. - 3:00 p.m. _,,, THERMALITO IRRIGATION DISTRICT 410 GRAND AVENUE -c+ OROVILLE, CALIFORNIA 95965 TELEPHONE 533-0740 CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: Owner's Name: Date: Address: Acct. No: A.P. No.: lo. n •, 1 J.i4 o7U.J . Phone: No. Units: Applicant/Agent: Agents Proof: Address: Fees: Phone: Application $ �u Arrearage Preliminary Review By: Date: CSA 26 J!3li Remarks: SC -0 R t _0i cuta..(! ,It: -c• Yc' 1.L 1St mo. S.C. .t,, >:..I Z ,` G 'c' Othe'r' - , .... � .i _ .:�� tit►, � �an.,�'~tir. �, �� +.c r: Total Fees Collected By: / 11 Date: .� Field Review By: Date: Remarks: C� `l•fL'�Y MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON: ❑ Date of TID approval of completed building sewer (early connection). ❑ 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).. ❑ 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). DISTRIBUTION: WHITE - TID, YELLOW -APPLICANT, PINk -DPW, GOLDENROD -DPW to TID I F Return to DPW CpN\p OCVi�CULTURAL STATEMENTj� OF ACKNOWLEDGEMENT UFF! ,i UCOFtDS C01 to\N\-00 FOR RESIDENTIAL DEVELOPMENT BY Section 26-8.1 of the Butte County Code requires this acknowledgement,,.. be recorded prior to issuance of a building permit. 1987 MAR 1.1 PM 3. .30 8'7-..9338 The property described herein is adjacent to .land or included CANDACE J.GRUBBS within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort arising from -RECORDER FEE::.;_ the use of agricultural chemicals, including, but not limited to herbicides, pesticides., and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: �,l,C rff,¢l C�/Zra/ev ,eFi�� iGo�EfLTy /SiT�s4TE i �Y CiovAvTy n/c Pll S* 44 _EEi /v G ,� �t°�t T/oy Jam" �-a T %Oc •� /Z/ , % /f�2rn.� L/To c&14-16 7'= / V V Sil /Q i�/z C_ FC i�1if� WA 5 ,QEcOf2 dE� Q7/ 74E C60A- rr ON ,g0C'vsr/ 9�9 IA -1 Date: i o� ,00 13oolc 73 State of County of Butte SS. PROPERTY OWNERS: On this the 11th day of March 19 87 , before me, the undersigned Notary Public, personally appeared SAM w. SMILEY and MARY L. SMMEY------------------ / / Personally known to me. LY(Proved to me on the basis of satisfactory evidence. saaassajgsag to be the person(s) whose name(s)are subscribed to ®!■■asssasssass s the within instrument and acknowledged that theY PENNIL.CATES executed the same for the purposes therein contained. a N07AAY PU8LIC-CALIFOFN 1A ! a B�tteCcunh •IN WITNESS WHEREOF, I to set my hand a official seal. ■ My conmiwon DOM OCL 19, �ssapsssssassass>•sas�sas Notary Public Present A.P. No. f"`✓ �,, Ar' �; -1, t. P: x { 4 _ _' *"^�ryt.T57i'jy"..-7 'Cy.F`.. Ti? ?gry:Z r i. .' c qcc.." TOTAL Zsa°0 .m S„,fle DATE NO. TENTATIVE RECEIVED MAPS CHECH Q ERIS STREET PUBLIC COMP• FIRE INSPECT SIGNS DOCUMENTS LIANCEOTHER HYDRANT APPLICANT RECEIPT O C OFFICIAL RECEIPT COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS LAND DEVELOPMENT SECTION ISS D Y FORM e RESIDENTIAL ENERGY PLAN CHECK/INSPECTION.,SUMMARY Owner Climate Zone IZ Permit No. d Floor Area y Compliance path: Package ❑ A ❑ B ❑ C Point System []Budget they MIN R -VALUE DESCRIPTION REQ'D INSTALLED ITEMS 1) INSULATION: L� Roof/Ceiling ^.3C� • .r Wall ❑lam Slab Floor Perimeter Raised Floor (2) INFILTRATION: . D (A) A vapor barrier is required in climate zones, 1, 14 & 16. f� (B) All manufactured windows and sliding glass doors shall meet the 1972 ANSI Air Infiltration Standards and shall be certified and — / labeled. L�C) All swinging ; ( ging doors and windows leading to unconditioned areas shall be fully weatherstripped. Tight - the above standard features plus: BUTTI OUNT ❑ (D) Continuous infiltration barrier _ D (E) Electrical outlet. plate gasket BUILDING ®EPARTMEN ❑ (F) Air-to-air heat exchanger (3) GLAZING: PROVED (A) Location Area Glazing %Floor Area Single Double Triple Total Bldg Z-5/7 /1/,3 ❑ North Cl East ❑ SouthX_ ❑ West /. ❑ Skylights _ (B) Shading 7/83 u D Shading Coefficient De crip 'on East_ South_ t7 cf West FLG `i Skylights - (C) South Overhang Length of projection ft. Description (D) Moveable insulation: Area ft 2 Description (E) Thermal mass Type = Area Ft.2 HC= R= HC= MC= Location R= HC= ❑ Type R= - Area Ft. MC= Location ❑ Type - Area _ Ft. MC= Location " ❑ Type - Area Ft. MC= Location ' E7 Type - Area Ft. MC= Location c ❑ Type - Area = Ft. MC= Location R= HC= R= HC= R= HC= R= HC= R= HC= R= ORM 1. ❑ (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 combusion 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 •-r (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 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 Jor 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. Q/ (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 lie insulated to conform to the provisions of Section 1005 of the UMC, 1976 Edition. 7/83 2 t r r FORM /(6).DOMESTIC WATER SYSTEM,, �/ (A) Gas Only Gallons (brand and model number) (tank size) ❑ Heat Pump w/ElectricBackup (brand and model number) Gallons 2 (tank size) ❑ * Active Solar f • (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) 13�" (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. p' (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'. LIGHTING (A) Lamps used in luminaries for general lighting in kitchens and bathrooms shall have an efficacy of not less than 25 lumeas 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 30°, elevation— --S" ', heating load 13'z BTU elevation factor 1,,o -o x heating load = maximum outlet capacity gas furnace .3�o-1f BTU Cooling: Summer"design temperature- kfV *, cooling load -Al A BTU (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 CSIGN Oi NG DESIGNER OR APPLICANT 3 Zolp 11 OWNER / POINTS 7,� PERMIT NO. ASSIGNED ACTUAL 1. SLAB - INSULATION 2. RAISED FLOOR - R-19 3. CEILING - R-30- D 4. WALL - R-19[� 5. NORTH GLAZING 2.40-3.6% 6. EAST GLAZING amu' 2.5-3.6% 7. SOUTH GLAZING 41; ' 1.6-3.6% 1 y - `L S. WEST GLAZING l - Cv 2.9-3.6% 6�o 9. SKYLIGHT - 0-1.3% 10. SHADING (Exclude Overhang) EAST - .66 SOUTH - .19-.42 "6 C WEST - .13-.36 .SKYLIGHT - .37-.57 x,11. HORIZONTAL SOUTH OVERHANG 2' O oL 1Z. MOVABLE INSULATION - NONE 13. i -INFILTRATION (Standard=O)(Tight-+12) O 14. THERMAL MASS SF 15. GAS FURNACE (SE) 71-76% 16. 11EAT PU11P (EER) 7.5-7.9% 17. DUAL PACK (SE, SEER) 8,0-8.3/71-76% WOOD STOVE WATER IMATER Q ATTIC o & 11.5 OTHER - lv TOTAII POINTS = - Table 3-1. Slab Floor Points Table 3-2. Raised Floor Points 1Incrls- 1. R -Value of Insulation 1 ( 'R -Value of I I tion I I I Insulation• I Points I Depth, T I I I1 I I inches 10-2 13-4 1 5-4 I' 7+ I i I I 1 I I 1 below 3 I -12 1 3-4 1 -8 1 0- 11 1 -5 I -5 I -5 I -5 I I 5- 7 1 -6 112 - 15 I -5 I -3 I -2 1 -1 1 1 6 - 12 116 - 19 I -5 1 -2 I -1 .1 0 1 1 13 - 18 1 72 I 20 + 1 -5 I -1 l 0 1 +1 I I -19+ I 0 7/7/83 Table 3-3a. Ceiling Insulation Points I R -Value of Insulation Points I R -Value of Insulation I Points I4 30 -7 ' +3 T.M. 1-C. w...•�-r.-a-., c, --a-- n. - I 19 I -4 �1� 22 1 -2 I 2 of 38 72 Trill, 49 1 +4 I R -Value of Insulation I Points I4 30 -7 ' +3 T.M. 1-C. w...•�-r.-a-., c, --a-- n. - I I Glazing Type I Total I tation I I I 2 of I ST. Dbl. Trill, I Floor I V- I U- l U.I Area 10.66 1 0.42- 10.41 1 I 11.10 10.65 I down I 0 •4 a +1 I 0.1- 1.2 ( +4 ! +4 I +4 1.3_ 2.3 1 +1 I +0 ( I I oints -2 I +1 I I -1 I -4 1 4.9= 6.1 I -7 I -4 -3 1 I 6.2- 7.3 I -9 I -6 I -5 1 7.4- 8.2 i -12 1 -8 I -7 1 8.3- 9.7 i -14 I -10 I -8 I 9.8-10.8 1 -17 ) -12 I -10 I 110.9-12.0 I -19 I -14 I -12 I 112.1-13.2 I -22 I -16 1 -13 I 113.3-14.5 I -24 I -18 I -15 I 14.6-15.3 i -27 i -20 i -17 Table 3-7- South-FacingGlazing Pte Table 3-10. Shading Coefficient Felats I Glazing Type I I • Total 1 I I I of I Sngl, I Dbl, Trpl, I Floor I (U - I (U I (U - I I Area 11.10) 1 0.65) 10.41)1 I I oints I oints I ointsl 0 +s +3 +3 ( up to 1.5 I +2 I +2 1 +2 I I 1.6- 3.6 I -1 I 0 I 0 1 J-3.7- 1.2 1 -4 2 -2 1 1 3.3- 6.5 I -6 -4 -3 I I 6.6- 7.7 I -9 1 -6 I =5 I I 7.8- 8.9 I -11 i -8 i -7 i 1 9.0-10.0 I -13 1 -10 .1 -9 i ( 10.1-11.3 I -17 I -13 I -11 I 111.6-13.0 I -21 I =16 1 -14 i 113.1-14.5 i -25 I -19 I -16 114.6-16.0 I -28 I -22 I -19 1 I I I I I Table 3-8. West -Facing GlazinPts. I. I Glazing Type 1 I Total I I 2 of I Sngl,Dbl, Trp(u - Il, I Floor I (U - 'I (U - 1 I Area 11.10) 10.65) 1 0.41)1 II oints I olnts I ointsl o a46 •_ +i 21 l.j2 1.3 1 +S I +b 1. +6 I -1- 2.2 +3 +4 +5 1 I 2.]- 2.8 I 0 1 +21 +3 i I 2.9- 3.6 1 -3 I 0 1 +1 1 1 3.7- 4.2 i -5, 1 -2 1 0 1 I 4.3- 5.0 I -8 I -4 i -2 I I 5.1- 5.6 I -10 I -6 1 -4 ' I 5.7- 6.2 I -13 1 -8 i -6 I I 6.3- 6.9 I -15 I -10 ( -7 I I 17.0- 7.6 i -18 I -12 ( -9 I 7.7- 8.2 ( -20 I -14 I -11 I I 8.3- 8.8 1 -22 I -16 I -13 I I 8.9- 9.5 I -25 I -18 1 -15 1 1 9.6-10.1 I -27 I -20 I -16 I i 10.2-11.0 I -29 I -23 I -17 I 111.1-11.8 1 -35 I -26 I -21 I 111.9-12.7 I -38 I -29 I -24' I 112.8-13.5 1 -42 I -32 1 -27 1 13.6-14.3 1 -46 I -35 I -29 I 114.4-15.2 -50 I -38 I =32 I SC by Table 3-6. East -Facing GlazingPte. I : Floor Area tation I I +, I ' I East I I 3.2 I I 1 0-3.1 I to 1 6.4 up I I Glazing Type i I 0 -.19 I Total of I Floor I' Glazing Type I I ( I I Tots I Z of I Floor I At a0.66- I I --'- Sngl. Dbl, I U- 1 U- 0 10.42- Trpl, I 0- 10.41 I I Sngl, I (U - Dbl, I (U - Tzpl, I (U - T 1 Area 1 1.10) 1 0.65).1 0.41)1 I .19-.42 1 1 I -10 1 0.65 1 down I ( I I oints I oints I ointsl I to I to I to i to- I up I I T I I 1 up to 1.3 I 1.4- 2.2 I 2.3- 2.8 1 I 0 I -7 1 -2 I -6 -4 1 0 I I -1� I -3 I 0 I up to 1.3 I 1.4- 2.4 ( +3 I +1 . +t I +4 I +z V4 I +4 I +2 1 1 2.5- 3.6 i -2 I 0 1 0 1 I 2.9- 3.6 1 -9 -6 1 -5 1 1 3.7- 4.6 I -5 I -2 1 -1 ) I 3.7- 4.2 I -11 1 -8 1 -6 I 1 1 4.7- 5.6 I -8 i -4 1 -3 1 I 4.3- 5.0 1 -14 i- 0 I -8 I -S 1 1 5.1- 5.6 I -16 I =1 i -10 1 -7 i I 5.7- 6.2 I -19 I -14 1 -12 i I I 7.8- 8.7 I -15 1 -10 1 -E I I 6.3- 6.9 I -21 I -16 -1] I 1 I 8.8- 9.1 1 -17 I -12 I -10 1 1 1.0- 7.6 I -24 I -18 1 -15 I I 9.8-11.2 I -21 I• -1S 1 -13 I 7.7- 8.2 I -26 I -20 1 7 1 111.3-12.7 I -25 1 -18 •1 -13 I I 8.3- 8.8 I -28 I -22 1- I 112.8-14.0 I -28 1 -21 1 -18 1 1 8.9- 9.5 1 -31 1 -24 1 -21 1 14.1-15.3 I -32.1 -24 1 -20 1 1 9.6-10.1 1 -33 1 -26 (: =22 SC by 1 1 Orien- I : Floor Area tation I I +, I ' I East I I 3.2 I I 1 0-3.1 I to 1 6.4 up I I I 6.3 I I 0 -.19 1 0 i +1 I +2 ( .20-.36 I 0 1 0 1 41 I .37-.66 I 0 I n I -67-.82 0 I -1 .83 up i 0 i -1 i -2 I South 1 0 1 3.2 16.4 1 8:0 1'9.6 I I to I to I to I to I up 13.1 16.3 1 7.9 1 9.5 I 0 -.18 10 I +1 I +2 I +2 I +3 I .19-.42 1 0 I 0 1 0 1 0 1 0 1 At- ca I n l _J 1 -2 1 T2 -3 I -67 up 1 .1 0 1 -2 i -4 1 -4 1-4 -6-6 West I .1 1 1.6 13.2 it 6.4 9.0 I to I to I to i to- I up 1.5 i 3.1 i 6.3 i 7.9 0--12 1 0 1 +1 I +3 1 +6 1 +7 .13-.36 I 0 1 0 1 0 1 0•.1. - 0 .37-.57 I 0 1 -1 I J 1 .-6 1 -1 -1 1 -3 1 -6 I -12 1 -15 .83 up 1 I -2 1 -4 1 -8 I 1 -A 1 X16,:1 -20 - 1• Skylight I .1 1 .8 11.6 1.1.2 1 4.0 I to I to I to ( to I to I .7 11.5 0-.12 I +1 I +3 I +6 I .+7 .13-.36 I 0 I' 0 10 1 0 .37-.57 1 0 1 -1 -3 I -6 I '•'. .58-.82 .I -1-12 t - -12 1 -� .83 up I -2 1 -4 I -8 t - -20 I t I I I Table 3-11. Horizontal South Overhane Poing South Glazing I Length Out I Area, i of floor I from Wall I _ I it T T- 0-6.3 i 6.4 up 0 - 0.5 1 -2 1 0.6 - 1..0 I -2 I -3 11.1 - 1.9 I -1 I -2 I 2.0 uv I 0 1 0 Table 3-12. Movable Insulation ftwMble Insulatlon•I Area, t lloor. I Points 0 - S.3 0 5.6 - 11,5 I 11.6 - 17.3 I +i 17.6 - 23.5 I 46 X23.6+ ( +6 r Tab/a!3-13. Inf!ltration Control yeeatures Points 1 Control Features i Points I I Standard I 0 I 10.9 air changes per hr ( I I I I Tight i +12 10.6 air changes per ht I' I I I ( Table 3-15. Cas Furnace Without RefrlReration Cool!ra Points I Seasonal Efficiency I Points I I (SE), .L I I I I I71 - 76o I I 77 - 82 +z I I 83 - 88 I +4 I I 89 - 94 I +6 I 95 up i +8 I 8.4 - 3.7 Table 3-16. Feat Pumo Points I Enemy EfYicleacy 1 Points I I Ratio (EER) I I' I 7.5 - :.9 I +3 I t e.0 - 8.3 I +6 I I 8.4 - 3.7 I +9 I I 8.8 - 9.1 I +12 I 1 9.2 - 9.6 I +13 1 I 9.7 - 10.2 I +18 I 10.3 - 10.8 I +21 I I 10.9 - 11.5 I +24 I I 11.6 - 12.3 1 +27 I I 12.4 - I 13.2 I +30 I I I Table 3-17. Gas Furnace With T- Refri oration Cooling Points Mefelgeraclad Gas Furnace I I Cooling I SE % I I B.O.- 8.3 1 01 +21 +41 +61 +8 1 1 8.4 - 8.7 1 +21 +41 +61 +91+10 1 I 8.8 - 9.2 1 +41 +61 +81+101+12 I 1 9.1 - 9.7 1 +61 +81+101+121+1'+ 1 1 9.8 - 10.3 1 +311101+121+141+16 1 1 10.4 - 10.9 I+1Gi+L2i+141+161+18 I 1 11.0 - 11.6 1+121+141+1614.181420 1 7/7/83 LONE 11 TABLE 3-14 (ADAPTED) INTERIOR THERMAL MASS POINTS "Act AREA 1.000 7 - 14 1 +2 1.500 ( +4 24 - 30 2,000 31 - 39 I +8 2,500 1 +10 I 3,000 0.9 10-19 3.500 30-39 40-49 4,000 60-69 I 1,500 0 +3 5,000 I ff!. ft. A 8 C D A B C D A B C D A 8 C D A 8 C D 1 A 8 CA +l +3 8 C D I A B L 01 A 8 C^^ Y 5o 2 2 2 2 2 2 2 0 1 2 2 2 0 0 0 0 0 0 0 0 0.0 +26 0 0 0 0 0 0 0 o a o 0o. 0 0 a 1 '.00. 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 O 2 2 0 OI 0 0 0 o iSO 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 2-1! 2 0 2 2 2 01 200 8 8 6 { 6 1 2 1 4 { 2 4 4 2 2 2 2 2 2 2 .2 2 2 2 2 2 2 2 2 2 2 2 Z 2 0 250 10 to 8 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 2 300 12 12 10 6 8 8 4 6 6 6 4 6 6 4 2 4 4 4 2 4 4 2 2 2 2 2 7. 2 2 2 7 2. 7 2 2 350 14 14 12 8 10 10 8 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 7 2 /OO 14 14 12 8 10 10 86 6 8 4 6 6 4 4 6.6 4 2 4 4 4 2 4 4 / 2 4 4 2 2 4 4 2 2 Sol 18 18 16 10 12 12 10 6 10 10 8 R 8 6 4 6 6 6 4 6 6 6 2 6 6 1 2 4 4 4 2 4 4 4 j 600 22 20 18 12 14 14 12 8 12 12 10 6 1 0 8 6 8 8 6 4 8 C 6 4 6 6 6 4 6 6. 4 2 1 6 6 4 2 1 190 1 24 21 20 11 18 16 lr 10 14 1/ 12 8 10 10 6 10 10 6 6 e e 6 4 8 6. 6 1 6 R 5 11 6 6 R 1 ). � 230 26 24 22 16 70 16 16 10 14 14 12 8 12 10 10 10 10 8 6 10 R 8 1 I ! 6 6 < 8 6 6 II 6 6 6 a 900 28 28 74 16 22 20 iB 12 16 16 14 10 14 11 12 8 12 10 6 10 10 J 6I 8 8 'B 1 8 8 6 11 e e 6 c i 1,000 30 70 26 18 ?2 20 20 14 18 16 16 10 14 14 12 8 12 17. 6 12 10 10 6 1I,,0 10 e 6 e 8 a 4{ 3 8 6 4 i 1,:00 .12 32 28 20 24 24 22 14 20 20 18 10 16 16 14 8 (1/ 11 12 2 12 10 6 0 lO 10 6 10 10 8 F 1J e e 1.200 34 32 30 22 26 26 22 16 22 20 18 12 18 18 14 10 14 14 12 8 14 12 B 1120 112 12 10 6 10 10 8 E in In 8 6 ; 1,300 34 34 32 22 28 26 24 16 22 22 20 12 18 18 16 10 lu 14 14 8 14 12 B 12 10 6 12 10 10 1; to 10 f• 6 1,400 34 '34 32 24 28 28 26 18 24 24 20 It 20 20 18 12 18 16 14 10 11 11 12 4 14 12 8 12 12 :0 Ei 10 to 13 1,500 36 34 34 21 30 30 26 18 21 24 22 11 21 20 18 12 IB 18 16 10 16 16 1/ 0 14 12 8 17 12 10 61 :2 17 1: 1 I 2.000 34 34 32 22 30 30 26 18 26 26 22 16 22 22 20 1/ 120 20 18 12 IB 18 1 0 16 16 13 6I 1/ 14 1 e I 2,500 34 34 30 22 30 30 26 16 26 26 24 16 24 24 22• l4 22 22 19 :2 20 IB !. 1S 15 lE :•1 i J,OOa 34 32 30 22 30 30 26 18 28 26 24 16 12/ 24 22 14 22 20 i4! :2 2J 1 ti i 3,500 32 32 30 20 30 30 26 )6 26 28 7/ 16 16 24 27 t i ?4 ;4 20 14 ' 4.000 32 32 30 20 30 30 26 18 ' 11 78 28 24 1 E 26 72 if i 4,500 32 32 26 20 j? 3U 30 26 1E'j jb V 201 IJ 3v 76 A) 1. 31s' Concrete Slab: HC•8.93; R•.29; Factor -7.3 2. 3 3/4' Thick Common Brick: IIC-7.125; R-.13; Factor -7.3 8) 1. Sh' Concrete Slab: HC -14.106; d-.458; Factor -7.1 C 1. 8' Solid Filled Block: HL -20.63; R•1.93; Factor•6.1 2. 8' Soltd Filled Bioci W1th Both Sides E4pased To Conditioned Air. NOTE: Use all square footage directly expo. -ed to conditioned air for Thereal'Hass Area: HC -10.164; R-.965; Factor -6.1 0) 1' Thick Concrete/Tile: HC -2.55; R-.083; Factor?3.7 Table 3-19. Zonally Controlled Electric Resistance Space Hearing Points I Points for this measure will I 1 be completed after the CEC I I has approved an Alternative I I Component Package for Resistance I I Beat. Table 3-15. Active Solar Space Heatine with Gas Points Net Solar Fraction I Points 1 (NSF), Z I I 0-6 1 0 7 - 14 1 +2 15 - 23 ( +4 24 - 30 I +6 31 - 39 I +8 40 - 47 1 +10 I 48-55 I +I2 I I 56 - 63 I +14 1 I 64 - 71 I +18 I I 72 up I 1 +20 1 I• I -Ll- -A _. -- u wood stove #33 poinfs'(no back up) Casablanca fan + l.point Multifamil (er unitpoints) Floor Area Net Solar Fraction (NSF), ; per unit. ft. 2. 0.9 10-19 20-29 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 0 +2 +4 +6 +8 +10 +12 +14 1,500-1,949 0 +l +3 +4 +6 +7 +8 +10 2 X00 and u 0' +1 +2 +4 +5 +6 +7 +9 All others (pe building points) 800-899 0 +5 +10 +14 +19 +24 � -+W- 900-999 0 +4 +9 +13 +17 +i1 +26 +30 1,000-•1,199 0 +4 +7 +11 +15 +19+22 +26 1,2k,1.4990 +3 +6 +9 +12 +IS +18 +21 1,500-1,999 0 +2 +5 +7 1 +9 +12 +14 +le 2,1)00-3,999 0 +2 +3 +5 +7 +8 +10 +11 3,060 ar.d uo -0 +l +3 +S +5 +7 +S +10 Table 3-21. System Type Water Heati Points I I Gas Only I Leat P.rap I 0 i ( Solar With Eleetrlc i I ( Resistance Backup I 1 I Meeting the Require- 1 I I sent• to Part 2 I 0 i I I i I Electric Resistance 1 I -40 ; t I 1 W THERMALITO IRRIGATION DISTRICT "r' t 410 GRAND AVENUE OROVILLE, CALIFORNIA 95965 TELEPHONE 533-0740 CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: J' " •T luri•.- Struut Owner's Name: S i. ;Milt"y Date: 3/11/87 Address: 1. .:,r. 2ij- i ;rr, of-. Acct. No: Gra.•ille, CA ''S !6A A . No Phone: N0. U n i Applicant/Agent: Agents Proof: Address: F ees: Phone: Application $ 2 - Arrearage Preliminary Review By: Date: CSA 26 55U 3C Remarks: SC -0 R C, L3.:-1 out tU -ti 3t ,.rb rc- ] in-, 1st mo. S.C. 1-1 0 1 �: t 11 E--r-c; .e _-r.: yam' ice,r tf da _ �1 Otht� r 11 4J7 er tiIil-. r� ' Cnr..�. r --tion *0 'vk -tCI1. r' Total Fees Collected By: '� 1/7' 4L Date: Field Review By::.ls� 'F/�C'_ if%, s.,,,, Date: �'� -` '- t' �1�/� 4 7 Remarks: C/ rIz-H. Al A," 'r '� • ��' Iv. _ r1 � MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON: ❑ Date of TID approval of completed building sewer (early connection). ❑ 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). ❑ 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). r DISTRIBUTION: WHITE - TID, YELLOW - APPLICANT, PINK - DPW, GOLDENROD - DPW to TID . O m ,� r� �. � _ �� ,t) -.;L -V OFFICE COPY Address �Zd Temp. P Call M—et3,, By-, Date — ELECTR IC Temp. E Meter By Date Sw Temp. Gas Service — Called PG&E -JOB FINALED (Date) Signature PERMIT NO. 76 -it 1 n R7R ifiw PERMIT EXPIRES— SN OWNER AN SM11 M4 CONTR. owner_ ASSESSOR PARCEL 30-461-24 LOCATION 9n'l'l P111mq-, Aui-, nrnuilli, OFFICE COPY Address �Zd Temp. P Call M—et3,, By-, Date — ELECTR IC Temp. E Meter By Date Sw Temp. Gas Service — Called PG&E -JOB FINALED (Date) Signature i/ = OK 0 = Not OK — = Not Applicable * = Not Ready MOBIL.EHOMES MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's 1• Zoning Requirements—Setbacks—Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'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; Location-Test—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'N's 1• Zoning Requirements—Setbacks—Easeme6ts Card -BI Date Date Card -BI Date POOLS (Plans) OK except q's 1. Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness=Dead Men—Lining 4. Electricity; MH Test—Crossovers—Breakers—Clearances 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 7. Water and Sewer Connected—C/O to Grade—HD Approval r 6. Elec.; Enclosures: Conduit Entries—Terminals—Listed 7• Elk.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged z !8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghig. T Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. Exits; Insp.—Sketch 10. Cert. of Occupancy t ( 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 -I Date Card -BI Date Card -BI Date Card -BI Date t V = OK 0 = Not OK — = Not Applicable = Not Ready RESIDENTIAL Single and Duplex) Date UND FLOOR Plans OK except #'s Date F MING Continued Hing requirements -Setbacks -Easements 8. roperty Line Firewall & Openings 2. Ftg. ain; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. 5K., Garage; Soils -Steel- / /" Ftg. Depth 50. om-Rise-Run-Landing-Fire Protection Porches & Decks; Soils -Steel- / /" Ftg. Depth 1.�lywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab . Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. - creed-Fdn. Vents-Underflr. Access 7. ers-Fireplace Ft .- teel 5 lass Protection -Skylights -Plastic VD. i s est -2 way C/O -Sewer Test 55,_SteariMatis, Nailin -Bolt Gas Pipe; - rs t I ( j+ 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. . Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date r Card -BI Date Card -BI Card -BI Date and -BI Date Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except H's Card -BI obca Date _ r Card -BI Date Date PLUMBING (Permit) excep s '756. _Ext. Steps -Door & Sidelight Protection -Landings Smoke Detector 1j , -Water Ht.; V Ac -Combu Air 58. Furnace; Vents -Clearance -Comb. Air -Connector- In Garage; Above Floor-Ducts-Mech. Protection _ _ Card -BI __. ater Pipe; Test & Anchors -Nail Protection . D.W.V.: Test-Fttngs & Anchors -Nail Protectio 17..StioweK Ran; Test, First Floor -Tub Accessk A 188.. 2nd Floor -Tub Acce Gas Pipe; Size & Anchors Date .- Card -BI a e Bedroom Exiting G.F.I. & Bath Fixtures & Tub Access iElec. Trim & Subpanel; Breaker Sizes -Labels 2. Stairs & Rails earances-Hearth 4. ec. Outlets at Wood Panel; Int. & Ext. �5• it. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI a 6. Elec. Outlets & Receptacles at Kit. Counter anding-Closer r Date E TRICAL(Permit) OK except q's _ 0. xture & Transformer Clearance -Ins. o ctir. c. Receptacles Spacing -Lights & Swit o sat s e Boxes & No. of Conductors -Stapled %�(mex Installed Close to Edge of Studs & C.J. Htr.; Vents -Clearance -Comb. Air -Connector -P .- In Garage; Above Floor-Mech. Protection Plb., Elec. & Mech. Equip. Listed for Location n Garage; (G.F.I.)-Romex Protec. _ E ip. Ground made up w/Mech. Fasteners -Bond Gas & Water 2 Appliance Circuits in Kitchen &Conductor Size 2 _'_ a_Cu or AI-A.C. Wire Size / / ga. Cu or At Ci 27. Range rc. _k / g— Cu 6-rAI-Oven Circ. / / ga. Cu or AI, � Insulated Neutra_I s ❑No _(/2$ Service -Riser -Conductors & Ground -Main Disconnect '29. Equip. Clearances: Panels-Motors-Mech. Equip. Insulation -Foam -Looked in Attic ❑Yes 4. eck Construction -Post Caps Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 75. Following instld.: D,ri es ❑ No; Walks ❑ Yes Planters ❑Yes l(�IQo Irnces-Brkr. & Cond. Size -115V Outlet Card B -I Card B -I 30•t,��' fight -Shower Light ------------ � Date and -BI - Date _ Date Card -BI Date Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. Ortxterior onnect, Electrical, Plumbing Elec. Trim; G.F.I. Receptacle -Underground . Ventilation throughout House liE'£. Glass Protection Date MECHANICAL (Permit) OK except N's _ Correction m e ions Inspections 84. as T -Meters Tagged; Gas -Electric Card -BI Card -BI 3A--A,6c-Batts_Insulation & Support - - -- 32 U ^' �^� exhaust above Insulation- _L 33__C4P4trtsate1Drain & Overflow; Size & Grade 2^ E •-& Vent: Access -Comb. Air-Return—Air—Vent-11-5V outlet 3L Attic Access & Platform if Furnace in Attic Date Card -BI Date _ — _ Date Card -BI Date ater & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates - --- Card -BIC 41D Card -B Card -BI Date C rd -BI Date Date Card -BI Date _ Date Card -BI Date Date FR NG(Plans) OK except q's Comments at Final: �s; Proper Material & Anchors �alls: Studs -Nailing, Spacing & Bracing -Plates -Sound earing Walls over Girders & Floor Nailing 38/ Draft Stop in Walls (rat_proof)-- 40 ire Stops: Ceilings-Stairs-Cha_se_s-Tub /41. Header & Beam -Size & Bearing 2. HangersosI Caps Anchors -Connectors - Cing. Joist- tr. Ties-Purlin-Roof Brac.-Truss-Shlhng.-Rfng. Type A Flue -Fireplace Throat Attic Access: Size Romex Protectio raft Stop -Ins. Baffles 46. Btlrm. Windows or Exiling - & Dimensions 47__-QaczgQ_��ction Framing - _ - —_ (NOTE: Anentrymust (NOTE:Anentrymust be made each time youvisit jobsite) -I- - - COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PE MIT O 7 County Center Drive - Oroville, CalifQrnia.95955 - Telephone 916/534-4541 APPLICATION AND PERMIT ASS OR PAR E NUM ZO �' BUILDING PERMIT OWN C C- TELEPHONE 5'3Y �7 SO. FT. OCC. BUILDING VALUATION' v OWNtR' 1=1NG DR E55 0/10 CONTRACTOR'SNAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ br�S 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 0A Solar or heat pump water heater 20.00 LOT O. SUBDIVISION NAME PARCEL MAP 73— Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF [4 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S FGTWT 0.00ea TYPE OF WORK New Addition 1� Remodel/❑ Utilities ❑ Installation[]Other ❑ Describe work: \ cG I�" ,Qo.0 AC Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service UOOV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I decl re under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professjp s -Code and my license is in full a nd effect. License No. , Classification ❑ I, as the owner, r 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 OCCP.EI , New �onNisrRAMULTI-OUTLET U ) �z¢sgft NO N•RESID BRANCH CIRC ITS 2.50 ea /POWER APPARATUS 6\ (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES SA 030 Ex. OCCUp. OUTLETS P(RESID )REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �yirin 15.00 g 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 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. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation —perrnit 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 udgments, costs, and expenses which may in any wafy accrue in consequence of the granting of this per I'�` Date /J v *"Alp Signant — Owner Canrracror� Agenr An OSHA permit is required for excavations over 5'0" deep anddemolition or construct- ion of structures 3 sttoories iin�height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP, CONST.T7 I Foo q� ",agairity P e PD ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work ' dicated above for which IR TOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS G Date a /^{P�'%e8 //• •�f Q/over Receipt No. Nam 0 T WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT .. .. ..�^ .r .. t. s'..� 7 Y., .. �. •; .. -yc• ;;,fl., - ..w 7n!r�y�iw�•""°'4.� �rs."'��'�"KCr �`4;,� K, r ..� ,tiS s+. ., `, " '"q' COUNTY OF' BUTTE - DEPARTMENT_OF. 1PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CAL4iEORN'I�A 95965 - TELEPHONE: 916/�(53�4-4%41 PERMIT APPLIC&TION DATA SHEET Permit No. r h OWNER ti. A. P. No. .2 y 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:4.+ 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. 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. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no.,. -.n alfie style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ), —15. Improvements may be required. . . . . . . . . . . . 16. Mobi lehome 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 permit, process as follows: Mail to owner, Mail to contractor. __X_Telephone SZ a—!j 76f—and hold for pickup-at�2'61- off ice, Deliver w/inspector. Other A'pplica t Date Copy of plans sent Health Dept., Fire Dept., Other Date g 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---nail—counter by date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Date Plans approved by Dategd-Z-92 Sets of plans on hold in File cabinet AP folder — Flours: 10:00 a.m. - 3:00 p.m. Copy—DPW b � 'Pr GO -6w c 0 a I 7(7- C! > s- m QQ �L T 0 ro LN E L; WI- 0 0 d L4 C: 0 4D 0 C4 Cv 13 E E 0-0 NA 011- 0 cn M t 0 00-U > 'o 0 CL E 'Pr tw- -6w c 0 a I C! > s- m QQ (D ro A 0 ro 1p , d 0 C4 Cv C3 tw- =to g o" E -a > s- m 0 o 0 0 0 C c d C4 Cv C3 0-0 0 cn M > 'o 0 t ab) Ctj "X AID 00 14— , C lo 2 7iZ> DC7 o > tn 0 O a) tn (D LO Z- 4 a 'o tw- Oil <5 0 C c d Cv C3 0 cn ti 0 C c d 0 C3 0 a) 0 ZZ7 m , o x > 'o 0