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HomeMy WebLinkAbout031-282-034i J 'a 31-282-34 92-2.244BPF =� MARPLE, Bill ' 1590 7th ST, Thermalito contr: Woodward Const addition/sf 34 /,/, M RESIDENTIAL 31-282-34 92-2244BPE MARPLE, Bill 1590 7th ST, Thermalito 11 contr: Woodward Const r1, addition/sf x/93 -- JOB FINALE Signature -/=OK O = Not OK Not = Not Ready MOBILE MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L" ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 00 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms-Rftrs.-Con nectors Shthg.-Rfg.-Bracing } 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh' 10. Roof; Shthg-Roofing 11, Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O=Not OK -=Nocable I�lotReady RESIDENTIAL (Single & Duplex) = Date UND RFLOOR (Plans) OK except q's . Zoning -Setbacks -Easements -Flood -SI e L9.,<g., Main; Soils-Elec. Grnd.-/ tg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth temwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel- Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped e ;replace Ftg.-Steel W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. r3as Pipe; Size -Anchors - yard gas piping: size -test u> -'Rater Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. P'enums & Ducts; Clearance -Material -Support -Ins. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date IH Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except ti's 1 Water Htr.: Vent -Access -Combustion Air -Baffle Woer Pipe: Test & Anchor -Nail Protection -- - ---- ----- D.W.V.; Test -Fittings & Anchor -Nail Protection ---------------------- ------------------ .19. Shower Pan: Test, First Floor -Tub Access 20. Test Tub & Shower. Second Floor -Tub Access ----------------------- Pipe- ize & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Dale ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection Ele . Receptacles Spacing -Lights ghts & Switches at Doors -------- - ---------- -- ------------- -- -- ----- ------------------- --------------- -- - - -- - - --- - -- --- --------------- -- ----------- ----- - _ Si Boxes & No. of Conductors -Stapled -- - ---. Rom stalled Close to Edge of Studs & C.J. quip Ground made up w/Mech. Fastners-Bond Gas & Water ----------- ---- ---------------------------------------------------------------- nce Circuts in Kitchen & Conductor Size/GFI ------------------ ---------------------------------------------------------- 6Wire Size i ga. Cu or AI-A.C. Wire Size ! / ga. Cu or Al nge,Circ. ! ga Cu or AI -Oven Circ. / / ga. Cu or Al. ---------------- ---u-l-ated Neutral --------- ❑-- -Yes --N-o- ------------------- ----Service-Riser Conductors & Ground -Main Disconnect ---------- --—---- ------------- 31. Equip_Clearances Panels-Motors_Mech_ Equip_ ------------ 5-Closet Light -Shower Light -Spa Light --- - ------------------------------------ Smoke-Detector ----------- - ----- ------ -- -- -------------------- - 33. Smoke Detector --------------------------------------- — ----------------------------------------- Date Card -B- 1 Date Card -B- 1 ----------------------------- ----------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except a's 34. -A. -C. -Ducts Insulation & Support ------------------------------------------------------------------------------ 35. Vent Fan: Exhaust above insulation -------------- ----------------------------------------------------------------- 36. Condensate Drain & Overflow: Size & Grade --------------------------------- 37. ---------------- 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ----------------------------------------------------------------------- 38. ------------------------------------------------------ 3a. Attic Access & Platform if Furnance in Attic ------------------------------------------------- ------------------------------------------ - ------------------------------------- Date Card B-1 Date Card B-1 ------------------------_---------- -- ------------------------------------------- Date Card 1 Date Card B-1 Date FRA G,(•Plans) OK except ft's -Si Proper Material & Anchors ------------- - - - - -------- ---- -- -- --- - - Is Studs -Nailing. Spacing & Bracing -Plates -Sound --------- --------- ------------------------------------------------------- Bearing Walls over Girders & Floor Nailing -- ------------------------------------------------------------------- Draft Stop in Walls (rat proof) -- -- -- ------ ----------------------------- ----------------------- V'2. 3 ire Stops: Furred Ceilings -Stairs -Chases -Tub --- ---- --- - ----------------------------------------------------- 4. Headers & Beam -Size & Bearing Date FRAMING (Continued) --- Han ers-Post Caps -Anchors -Connectors Joist-Rftr. ties -Pu rlin-root Brac-Truss-Shthng.-Rfng. ies o _ ype A Flue -Fireplace Throat clearance ccess: Size & Romex Protection -Draft Stop -Ins. Baffles Lwe-ffdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions r -n -g= Gare -Protection Framing 51. Property Line Firewall & Openings . Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits Width -Headroom -Rise -Run -Landing -Fire Protection lywood on Roof Overhang -Attic Vents -Rafter Outriggers ----------- - -- — __------ _ 5. iding-Nailing Veneer _co Mesh -Drip Screed -Fd. Vents-Underflr. Access 7 lazing Area -Glass Protection -Skylights -Plastic 58. S ar Walls: Nailing -Bolts % L,61 -Ceilings -L= H 60. Infiltration -Walls -Windows ----- ------------------------------- -Date ------------------------------ Date ______ ___Card B-1 Date _ Card B-1 Date Card B-1 Date Card B-1 Date FINAL Plans) OK except If's xt. Steps -Door & Sidelight Protection -Landings ------------------ - Smoke Detector I&T-r.-rnace; Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor-Ducts-Mech. Protection e_droom Exiting --------- - - - - ------------ F.I. & Bath Fixtures & Tub Access -Spa ------------------- J54-_ ---- ----6Ff__Elec. T '.m & Subpanel; Breaker Sizes & Labels --------------- fairs & Rails - r Stove: Clearances -Hearth - - - lec. Outlets at Wood Panel; Int. & Ext. / it.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance -- -- -? EIec. Outlets & Receptacles at Kit. Counter-------------- - -- arra re Door Swing -Landing -Closer JA.C. Duct in _Damper ----------------------- — 74_11"r Hir \rants -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection ------------------ ---------------- Plb.. Elec. & Mech. Equip. Listed for Location c- eceptacles in Garage: (G.F.I.)-Romex Protection AZ;�_ svMa on -Foam -Looked in Attic ❑ Yes - ----------- 7A R, -- .--Qa—' R & ck Construction -Post Caps ----------------------- - -- . Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor - ❑ Yes - -- ------------- a@-- - a wing instld. Drive ❑ Yes 5 -4T -Walks ❑ Yes Q o - Planters -❑ Yes ❑ No a1 -------------- --- -------------------------------------- -- -- A.C. Unit: Disconnect. Electrical, Plumbing i33�`nts Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings - ------ ----------------- a4. Wafer-WvIT'171sconnect. Electrical, Plumbing - - - - - - - - - - - - ------------------------- -- -Underground -- rim; G.F.I. Receptacle enton Throughout House -- - - - - - -- - - - -- --- - ---------------------------------------- la a lion d. Corrections from Previous Inspections ------ --------------- ----------- rs Tagged: Gas -Electric --- -- --- - - ----- --------- ---------------- ------------ y a er nected-C/O to_Grade-HD Approval 91. Energy Compliance Certificate -Other Certificates - ------ - - - ----- -- - - -------------------------- ---- Date Card B-1 Date Card B-1 -------------------------------------------- -- -- Date Card B-1 Date Card B-1 ------------------------------------ ----- --- Date Card B-1 Date Card B-1 Comments at Final: owner: Permit No. LOCATION E N E R G Y C R T I F I C A T I 0 N' S- I DESCRIPTION OF INSULATION ROOF Material Thickness(inches) EXTERIOR WALL Material Thickness(inches) Vff P47__ CEILING Batt or Blanket Type Thickness(inches) Loose Fill Type Minimum ThicknesWnches) Area covered(ft. ) FLOOR, ELEVATED Material Thickness(inches) FLOOR, SLAB Material Thickness(inches) Width(inches) FOUNDATION WALL Material Thickness(inches) A.P. No. Brand Name Thermal Resistance (R Value) Brand Name Thermal Resistance(R Value")) - Brand Name �i/•c�l✓1 ! �/ (� Thermal Resistance(R Value) Brand Name Number of Bags Wt. per bag lb. Thermal Resistance(R Value) Brand Name 1i Thermal Resistance(R Value) —( 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 conformance with the State of California Energy. Requirements. 4-1.53 5-3 oc> F NAME/OWNE STATE CONTRACTOR'S LICENSE NO. S NATURE 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) STATE CONTRACTOR'S LICENSE NO. SIGNATURE OF GENERAL CONTRACTOR OWNER 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 -'i;�..-�r�J�',=:�r1...c: �.. _ � t.sz.....q....-c,+-�. ; ... ,nr==...•\,..-. ..... �,-o�,;._KwS..�[�,r.� COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 -- CORRECTION NOTICE z_zz �`. O NER PERMI NO.. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Date gllo 9 �- Inspector REV 11/91 ' l COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS • 7 County Center Drive - Oroville,,California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT PERMIT N ASSESSOR PA CEL NUMBER 1-282-034 ZONING A R BUILDING PERMI ` OWNER BILL MARP TELEPHONE SQ.FT. OCC. BUILDING A UATION OWNER'S MAILING ADDRESS 1590 7TH STREET THERMALITO 380 R 20,520 36 C 468 CONTRACTOR'S NAME WOODWARD CONST TELEPHONE 533-3562 CONTRACTOR'S MAILING ADDRESS 1810 6TH STREET OROVILLE Fireplace CONSTRUCTION LENDER UNKNOWN 1 Total Valuation $ 20,988 LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ 180.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 90,00 Energy Plan Checking Fee $ 20.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1590 7TH STREET THERMOLITO 95965 Permit fee $ 305.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 3 5.00 15.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP I IPn WaterP9 7.00 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF [� Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 1 15.00 Mobile Home I S G W 015.001 TYPE OF WORK New Addition [k Remodel Utilities❑ Installation❑ Other F] Describe work: BEDROOM, DINNING, BATH & COVERED PQRC Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service R LESS 200A OR LESS 18.50 Main service 200ATO1000AI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions od an my license IS In full f ce and effect. License ,Jo. �� Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) L1 I, I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST./ DWELLING OCCUP.&\ OR ADDNS. ( ACC. BLDGS. I 3.6d sq.ft. NEW CONSTR. ULT' -OUTLET NO BRANCH CIRC ITS ^ 5 00 (POWER APPARATUS R) SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 760 AL AF;J4 Ex. Occup. OUTLETS FIXED PIRESID ILNS REA.) I 3.00 Temporary service 15.00 Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ 28.30 — 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. cK(� 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 FiIingFee 15.00 Heating Cooling g Hood 6.50 Ventilation penult Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes.CONSQYPE 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 agains id Co t ����anting of this permit. Date ! —14— Signature of Applicant — Owner ❑ Contractor Agent ❑ An OSHA permit is required fore v tions er e� a demolition or construct- ion of structures over 3 stories in g Mobile Home Installation Fee $ Ener Inspection Fee $ Energy P —� V'V TOTAL FEE 425.30 HAz 0FEES IMP I FLOOD cDF PARCEL P D 'ssu This permit is hereby issued under the applicable provi- sions of the But County Code and/or resolutions to do j W, indicat above r which fees have been aid. P OF PUBLIC WORKS BY Date ? 7—i PERMI EXPIR S Date -7 —17-93WHITE-D.P.W.. Receipt No. 117223-rZZs YELLOW-ASStSSOR. PINK-INSPEC R. GOLDENROD -APPLICANT COUNTY OF BUTTE PARTMEWT-W PUBLIC WO F# BUILDING DIVISION s 7 COUNTY CENTER DRIVE - OROVILLErOCALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER Azo Proposed Building Use �Vt b 0. Building Inspector Date 2 7 - At At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1, All items have been submitted. 2. Plot plans, 3/4 sets, signed by preparer of plans. .... . .................... . 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, wi1h'wet signature on plans . ............. 5. Hazardous Material Form . .......:................................... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . .............. . 8. Engineered truss details and layout in duplicate (required prior to plan check).. 9. Mobilehom g data�nd anufacturer's installation instructions, 2 sets. . 10. Fees of $ 3 . ......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ...................... . . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . G14. Sanitation and plot plan approval Ti% Health Department. ............ 15. City of Chico plumbing permit . ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17.', Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. ... , .. . 20. Pre -inspection for to Building Ins req, est . . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner ) ............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization ....................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. , , , . . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ........................................ 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... fisting violations/expired permits . ...................................... 0FPlan cI� lisp* ......... . 33.sCholr�ol r�P_s Oto FLE�tn -! 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. _Telephone 5-3-3-3-%Und hold for pickup at OAD office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date C� Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted- ri tq per i uance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was Ised of above required dzfta by _ phone _ mail Counter Date Plans checked by Date Plans approved by V Date� Z Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works BUTTE COUNTY SCHOOLS IMPACT.FEE CERTIFICATION FORM O3/- a fo?. D 3 Ll (One Form Per Building) f U V D� School District /W)q fr Building Department No. _ A.P. Number f - ZvZf Jurisdiction (—J City] County Property Owner ( Property Location/Address /s q Subdivison Lot No. i�� }}g'C'rttiawgyelopment BOILDWG DEPT No. of Living MHI JUN. 2 6 1992 Units Commercial/Industrial Building Dep rtment Representativ Sq. Footage -380 Ad ition (Group R) Sq. Footage New Addition (Floor Plans reviewed by School District Personnel) (Including Exterior Roofed Areas) District Identification No. 920499 —,�L School District certifies that s (ApplicanIT --��------- ------------ 53y 91a (Street Address) (Phone Number) (State) has complied with the requirements of Resolution No representing V _ _ square feet. School iis epresentative LIT (Zip Code 9 U by payment of $ � 2 Date Paid by Check Number Remarks: L�✓��''`1 \ Bank Number Paid by Cash -------------------- . If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeformmkl (4/92) �Tr 00 3� COUNTY OF BUTTE - DEPARTM OF PUBLIC WORKS 7 County Center Drive - Oroville. California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBE ti �� EONI // i'� BUILDING PERMIT OWNER Q 1.v - g TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER MAILING ADORE CON-TRACTOR'SCTELEEPHONE ,�V, ♦ J-3/ CO ACTOR'S MAILING ADDRESS w �.e Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee r—` Permit Fee Plan Checking Fee Energy Plan Checking Fee $ 15.00 r 0o0 $ Q(i $ p o© LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE No. ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty Permit fee PLUMBING PERMIT $ $J?- Filing Fee 15.00 BUILDING ADDRESS 0 ko 9 5 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF M Duplex❑ Mobilehome❑ Other T` SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 111 -aa Mobile Home S G W1 ., @ 15.00 TYPE OF WORK New ❑ Addition Remodel❑ Utilities❑ Install tion [j Other ❑ Describe work. _. E/%� a,L, !/�,I��t/.vl/c, /� �/� /�,►�� Permit Fee $ 00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 vL G Main service 600V OR 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason Main service 200A' TO 1000AI 37.50 NEW CONST.( DWELLING OCCUPM OR AODNS. ACG. BLDGS. // 3.64 sq.ft. NEW CONSTR. r ULTI-OUTLET NON-RESI BRANCH CIRCUITS @ 5.00 POWER APPARATUS R (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 @ 76d Ex. Occup. OUTLETS IIRESID )REAJ j .3.00 Temporary service 15.00 Mobile Home Facilities 15.00Misc. IlYirin g 15.00 Permit Fee $ Z — 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 becomesubject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor ME ANICAL PERMIT FiIingFee 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — OwnerElContractor [IAgent ❑ 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 S Energy Inspection Fee $ f occ CONST TYPE TOTAL FEE $ JS3 HAz DFEES IMP FLOoo CDF PARCEL HD ISSUE 1 This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 1172-' WMITC•O. P. W., •ELLO W-A33[930R, PINK—INSPECTOR. GOLDENROD -APPLICANT t �1- z53 z- o r 0 1 + N c coo w S- o S �p W ( T7-4 P96. A o Q Go M P v-se�t 1 LOFT ulootw)-%e0s m -s PR iz�-- C G 10 (06 . , . | / i / . . Certificate of Compliance: Residential Climate Zone 11 ProjectTltle Project Addreo Butdins Permit # •edwd By/ Due Fafamanmu Aseacy Use Only BUILDING DATA °IJ G ea AN 96 r rdt 20 / as Conditioned Floor Area ✓fig Slab/Raised Floor Rd Number of Stories Number of Units East � South S () Single Family Detached (SFD) [ ] Addition -Alone West .�._ 4:7 (] Single Family Attached (SFA) [ Buildin Skylight 4 [ ] Multi-Family(IAT) Fasting -Plus- diaon Total BUH,DING SHELL INSULATION C 4DD Component Insulation Loeaffon/Comments Type R -Value (attic, to garage, Dx c:aL etc.) Wall .............. ' Wall .............. Roof ............. Roof............. Floor ............. - Floor ............. Slab Edge..... GLAZING ming Devices Glazing Area Glass Type interior Exterior Overhang Framing Type Orientation (sf) (single, double) (roller blind etc) (shodesween, etc) (1°es/tto) (metal/wood) North ( )S, 0 01z wamo r DI?a4 S �VITL . North ( ) East ( )_ South Sou th ( ) West ( ) West ( ) �— Skylight....... THERMAL MASS Type/Covering Area Thickness (slab/exposed, tile, etc.) (Sf) (inches) LOcation/Description(kitchm bath. etc..) HVAC SYSTEMS Minimum Duct Type (furnace, air Efficiency Location Duct Output Manufa ode conditioner, hest pump) (SZ SEER.HSPF) (attic. etc.) R -Value (Btuh) (Or aDntnved t l 'Px Maximum Furnace Heating Output: Btuh HOT WATER SYSTEMS Tank Manufacturer/Model # etc. SPECIAL FEA (Add extra sheets if necessary) SOUTH - OPTIMUM OVERHANG or .36 Shading 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 NEW HEATING, VENTILATING, AIR CONDITIONING AND HOT WATER SYSTEMS IN CONJUNCTION WITH AN ADDITION SHALL BE INSTALLED AS SHOWN ON BACK OF THIS SHEET. 1610VU 12/85 FO R M 7 ADDITIONS TO RESIDP'�'TLA BUILDINGS ENERGY SHEET PACKAGE-"All (Additions) Owner Climate Zone Permit . # Floor Area The following data showing mandatory and required features of Package "A" shall'.. be installed for additions to dwellings. Additions to dwellings include room additions, converting garages and patios to living areas, house moves that add footage and attic conversions, and any.space that is existing non -conditioned space that is converted to conditioned space. Remodeling of existing conditioned space is not included. ZONE 11 ZONE 16 f REA APPLIES TO -NEW AREA.- CEILING CEILING R-30 R-38� WALL R-11 R-19 FLOOR R-11 R-19 SLAB R-7 R-7 GLAZING. U-.65 (Dual) U-.65 (Dual) SHADING SOUTH - OPTIMUM OVERHANG or .36 Shading 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 NEW HEATING, VENTILATING, AIR CONDITIONING AND HOT WATER SYSTEMS IN CONJUNCTION WITH AN ADDITION SHALL BE INSTALLED AS SHOWN ON BACK OF THIS SHEET. 1610VU 12/85 ❑ ❑ *1 HEATING, VENTILATING. AIR'CONDITIJONING SYSTEM (A) Heating Central Gas Furnace % (brand and model number) SE Btu/hr (heating capacity) Heat Pump (brand and model cumber) ACOP Btu/hr (heating capacity At 47°F) Active Solar type (liquid or air) Collectr brand and 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 (8) Gas Only Gallons (brand and model number) (tank size) Heat Pump w/Electric Backup (brand and model number) Gallons (tank size) Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) Location of Solar Panels Other (Describe) *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 °, elevation ', heating load BTU elevation factor x heating'load - 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 ❑ j ❑ ❑ *1 HEATING, VENTILATING. AIR'CONDITIJONING SYSTEM (A) Heating Central Gas Furnace % (brand and model number) SE Btu/hr (heating capacity) Heat Pump (brand and model cumber) ACOP Btu/hr (heating capacity At 47°F) Active Solar type (liquid or air) Collectr brand and 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 (8) Gas Only Gallons (brand and model number) (tank size) Heat Pump w/Electric Backup (brand and model number) Gallons (tank size) Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) Location of Solar Panels Other (Describe) *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 °, elevation ', heating load BTU elevation factor x heating'load - 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 Point System Summary: Climate Zone 11- P -2R BUILDING DATA Glass Area % Glass Conditioned Floor Area _ I a Number of Stories North st I` Slab/Raised Floor ✓ South. /. Check all applicable Unit Type condition(sy West . 0 0 (1 [ ] Single Family Detached (SFD) [ ] Addition Alone Skylight b [ ] Single Family Attached (SFA)[ ] xisting Building Total /� [ ] Multi -Family (MF) (SFA)Existing SCORE CARD Measures ,7 Z s j 7 '= ' 'Point Scores 1. Ceiling Insulation 38 or, R-value [38] U -value [0.030] 2. Wall Insulation �� or r R -value [ll] U -v ue [0.098] Q 3. Raised Floor Insulation I,I . or Z� � 0 t2 I/ R -value [ 19] U -value [0.0371 XL 4. Slab Edge Insulation / or R -value [O] F2 factor (0.77] S. Infiltration Standard 0 all S1 6. Glass Heat.Loss ,L �L�> - O [double U -value. 0.65] 4b oT tat Glass (16] Sum 1 7. Shading (Shade Open) %•Glass S Eff. %Glass a. North �/, c X b. East x c. South 0//.30 x d. West `. x .. _ A e. Skylight b x— r 8. Shading (Shade Closed) % Glass "S" Eff. % Glass a. North v l L x •SS ... = D. LI b. East ''"'3f64 x c. South =° x d. West / /o x e. Skylight — b x 9. Interior Thermal Mass Interior s/CFA 10. Exterior Wall Mass C Exterior Wall Mass Sum 7-10 11. Heating System • 7,ti- x- el,,1% = 72 Zonal Control? ( Y / N) SB or HSPF Duct Efficiency [0.78] Effective SE or [0.7/2/HSPF [0.56/5.15] /661 12. Cooling System x . _ J R� Zonal Control? ( Y / N) SB (9S] Duct Efficiency [0.74] Effective SEER [7.03] 13. Water Heating Type [SG] Credit [none] Point Total: l Fort Ravised March 1988 eo Point System Summary: Climate Zone 11 i�:�G�iT( VIM ,.. P -2R BUELDING DATA glass Area "i0 Glass Conditioned Floor Area I Q� Number of stories N� — Slab/Raised Floor V South - Check all applicable.Unit Type condition(s): West [ ] Single Family Detached (SFD) [ ]� Addition Alone Skylight [ ] Single Family Attached (SFA) [t.YExisting Building Total [ ] Multi -Family (MF) [ l Existing -Plus -Addition SCORE CARD Measures Point Scores 1. Ceiling Insulation or -t 1.0. Exterior Wall Mass Interior Mass/CFA R -value [38] U -value [0.030] 11. Heating System Exterior Wall Mass .12 2. Wall Insulation ( I or Zonal Control?(Y / N ) SE or HSPF d Effective SE or R -value [ 11 ] U -value [0.0981 HSPF [0.56/5.15] 3. Raised Floor Insulation or x = Zonal Control? (Y / N) SEM 19.51 R -value [ 19] U -value [0.037] 13. Water Heating 4. Slab Edge Insulation or Type [SG] Credit [none] R-val a [0] F2 factor [0.77] S. Infiltration Standard 0 6. Glass Heat Loss (,:.1(�l% Type [double] U -value [0.65] _- %Total Glass [16] 7. Shading (Shade Open) Glass SC Eff. % Glass a. North x oO = b. East. x c: South 4- X& = d.' West [..4 — x _ t:5.� �L e. Skylight x = O 8. Shading (Shade Closed) - % Glass SC Eff. % Glass a. North 4:P- x .,fro b. East IL . �- x c. South ls� x d. West !—� x e. Skylight- x = O 9. Interior Thermal Mass .05;L- -t 1.0. Exterior Wall Mass Interior Mass/CFA 11. Heating System Exterior Wall Mass .12 x Zonal Control?(Y / N ) SE or HSPF Duct Eff&ciency [0.78] Effective SE or [0.72/6.6] : J/16 HSPF [0.56/5.15] 12. Cooling System f x = Zonal Control? (Y / N) SEM 19.51 Duct Efficiency [0.74] Effective SEER [7.031 13. Water Heating d Type [SG] Credit [none] Point Total: Form Revised March 1988 Sum 1.6 -1<2 Sum 7-10 C% Interpolation, Weighted Average & Addition Worksheet WS -2R Project Title Date a The use of interpolation is illustrated in Section 4.3 of the Energy Conservation Manual (ECM). Evaluate the expression between the vertical brackets, make it positive (+) whether negative or positive and add the value to the "Low Points" to obtain the Point Score. b Mixed raised floor/slab-on-grade-construction and,Glass Heat Loss are area -weighted according to point scores not U -values. Other measures are weighted according to their respective values (e.g., U -value, shading coefficient, HVAC efficiency) as explained in Section 4.2 of the ECM. Insulation may be weighted by point scores or U -values. c 'Different slab edge types and duct conditions (duct insulation and location) are weighted by length. All other measures are area -weighted as explained in Section 4.2 of the ECM. d Compliance of additions with the point system is described in Section 4.4 of the ECM. INTERPOLATIONa WEIGHTED AVERAGE Existing Value Existing -Plus Building Value Value Low. Type 1 Type 2 for Low Actual High Low Type 3 Total Avera%e for Low for High Item Points Area Points Value Points Points Points Points Point No. (A) (B) (C) (D) (A) )x( (B) (E) Score )+(-)X(-)]/ _ [( )x( )+( )x( )+( )x( +-)X( [(--)x(-)+( - )x( )+( )x( )] + _ + ( )x(` - )x( - ) + [( )x( )+/l )x( + _ [( )x( )+( --)+(-)x(.-)] )x( -')+(-)x(-)] + ( - )x( - ) + WEIGHTED AVERAGE POINT GOAL OF EXISTING- PLUS-ADDITIONd Existing Existing Existing -Plus Building Weighted. Item Type Addition Type 1 Type 2 Type 2 Type 3 Point Goal Area Type 3 Total Avera%e No. Value Area` Value Area Value Area Area° Value K )x( )+( )x( )+(-)X(-)]/ _ [( )x( )+( )x( )+( )x( [(--)x(-)+( )x( )+( )x( )] + _ [( )x( )+/( . )x(` )+( )x( )] -3- _ [( )x( )+/l )x( + _ [( )x( )+( --)+(-)x(.-)] )x( -')+(-)x(-)] POINT GOAL OF EXISTING- PLUS-ADDITIONd Existing Existing Existing -Plus Building Building Addition Addition Addition Point Point Total Area Point Goal Area Area oal' S Form Revised March 1988