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Home My WebLink About035-420-073. / r�r'ii �LO ` "o. Knoll Way, lot 70, Crestwood ` . � ' Permit #2399-80B PtE,M(new single alo� ` - ) 7in - / � . ' � � � . � ^ . � ' ' | Ott, LO 239%-80 %P,E,M PQR MIT NO. PERMIT EXPIRES. OWNER $unbeam'. Const.Co. COjYTR. owner 35-42-7'3. LOCATION (A.P. 2256 Oak Knoll Way, lot 70, Crestwood Sub#2, Oroville C A' 4 Temp. Power Pole Called PG&E - Temp. Elec. Serle . �0-/- - Called PG&E Temp. Ga Serv. Ca , ed NALED COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTI ON'RE CORD BUILDING AUI_LDING (C/ntd) PLUMBING Firewall >J, / U Soil Piping vs Parapets 1st Floor Restroom Finish 2nd Floor Windows 3rd Floor Siding 7 Roof Sheaft!nj/ Topout z4g24Z Water FA� Roofing Sewer Fdn. Vents Fixtures Garage Vents Water Htr. Insulation Z9,70,- Heaters Prov. for p sically handicappe.1 Conformance of ex. structure Appliances Gas Plp ng & Test Temp. Gas JV Patio ,�XREI?LACE Final �Z�f V �� Footings Footing 4. Ifl-beTRICAL Masanry Walls Th -f I n__� t./,k Reinf. Steel Final Fixtures Bond Beam—i FIRE SPRINKLERS Motors - Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heatino Service Brown Coolinq Temp. Pole Finish Ducts Underground Interior Lath A Ventilation-- Permanent Door Closer wmme� Final Final MOBILEHOME UTILItl ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping ZQ&6��INSTALLA&TION --------------- Support Elec. Continuity Water Piping Drainage Gas Piping DATE —REMARKS OR CORRECTIONS _2 617/ -2� (NOTE: An entry must be made on this form each time you vislt the job site.) -�j� g., M44 ��Ftg. Oepth Above Co mplate-d - C3 Except: J Date Corrections Complst,3cl Jpb Card S!�*gnecl/ F(g- Depth . �G�.. . �1. - S �t- �'F t g. '14u,Porches & Decks; �2i!a - steel - 0- Fig. Depth -&,qmyoaU;eGara(3e; Steal Slock-outs ir4laca Ftg/- SteQ6/ Test -Gas Plpp� Size � Test 'Wat--r Pipe: _TeW - Anchors - ReguWor - Service Tect _pIentims & ouct3; Clearance - Material - Supporl - Ins. �Girdsrs - S1113 - Anchor Bolts - Joists - Veozi- Crippit Above Completed - 0 Except: Job Card Signed Date Corrections CompletrA Job Card Signed I PLUMBING - ABOVE FLOOR �Ka—w H tr. - Vent - Acce-as - Combustion Air ,er Pipe - Test & Anchors - Nill Prttectfan. Geraj,)�,.Pjpe - Test - FMigs & Anchors - Nail Prot. - 42" Test TB-7� �615'awer Pan - Test, First Fk-or - Tub Access -Tesj.�Tub_& Shower, 2nd floor - Tub Access ;a�; —pipe — Siz-e & AncMrs Above Completed - 0 Except: Job Card Signed Date Corrections Completsd Job Card Signed . Date A -7z ELECTRICAL - ABOVE FLOOR Ld�qj.ncs & Insulation Pret. at Fluah Ligh,t Fixtures ki-r4—.C--R--ePtacIe9 Spacing - Lights & Switches at Doors teixe Boxes & No. of Conductors - Stapled . I g rarge,.,Cinstalled Clo" to Edgs Of Studs & CA. Leq'ujap. Ground made up w/Me,-h. Fastesers LeAppiiancs circuits In Kitchen & Conductor Size �±�-Wire Sizs1 /ga. Cu or At - A.C.-Wire Size/ /ga. Cu or AL Vikangs CIMK-ga. Cu oqy- Ove4i Circ. Oga. Cu or A], Insulated Neutral OYes ONO iS�efq - Riser Condt=tor3 & Ground Vc1o'q0,Gas & Water Pipes' b6othes CIc.39t Light - Shower Light Above Completed - 0 Except: Job Card Signed Date Corrections Complat9d Job Card Signed Dats Y04 Z/ /S - MECHANICAL - ABOVE FLOOR A.9,"Ducts - insulation Support u' WLnt Fan - VExhau abovq Insula;ion L Over r _ flo C�n d er, sa t -3A Overflow - size & Grade C. urn.3ce -nb. Air - Rtwirn Air Vent 1 15V cutiat --Co. b Acce5 Attic Access Platform it turn -:we in 4"i Above Comple-ted - 0 Except: Job Card Sign -d Date 2;::� A Z1/00, Corrections Compi9ted o Job Card Signed Date LM 3,1r.'&113 -Proper Material & Anchor3 3 . Walls - Studs - Nailing F, Spacing & Bracing - P.Iat---s z*.- Bearing Walls over Girder -i & Flc�or Nailing '44ol-Cralf Stop in Walls (rat,prool) Qe"Fire Stop3 - Furred Ceilings - Stairs - Cha3gs - Tub 49,"-H-eadef & Beam - Sizs & Bawing 4*---Hangar3 - Past Caps - Anchors'- Connectors ,��Clng. i.i3vi-Fittr. Tie-,Purli;-,�.-R'.. 8rac.-Trt;33-ShirvPg.-Rfn'..7. %�l Fireplace Ties or Typa A Flue - Firepla,�-) Thmat 41--�A-ttic Acce5s-Size & Romex ProtW ion 4&<'1�drrn. Windows or Exiting Doors - Sill Hgt. & Dimensions Garage Fire Protection Framing *0 --Area Separaticin Walls -- I hr. Fire - 2 hr. Firs. P!' -Ext; Ooom - one 3' - Check Gurage 52. Staip - Width-Headroirrt-RigD,Run-Landlrg-Fire Protection -ood on Pool Ov*rhang - Attic Vents - Raftef Outriggers -Siding - Nailing - Venw '55- Stucco Mesh. Drip Screed & Fdn. Vents & Underf.lr. Access Glass Protwtion If required 41T.�Shear Walls 11-11 Above Completed -ffl��capt: Job Card Signed Date 7.1/1 Corrections Completad Job Card Signed Dale U, 1 z FINAL 54.,Aiams 5E,01tixt. Steps. Ooor & Sidi-Aight Protection - Landings Dateear CLIP-61-11ace - Vent3-CIrr.ces-0omb. Air-Connectur- In Garagg-Mct. Mech. Protection edroarn Exiting !W-e.fl. & Bath FixturesKTub A&T�2 91 6+-7b� Thrm A S--bpana;---B7FMaw Sizes - Lab I W -Y -Stairs & Rails te- Fireplace or Stove - Clearancrs.-H earth el�.-Elec. Outl,313 at Wood Pan --I - Int. & Ext. 061,--�ixturn & Appliances in Kit. - Grndad - Air G30 Ckng. Cl.-mce Outlets & Receptacles at Kit. Counter 7(L-G-'araga Fire Dcor - Swing & Landing -Closer 44--A.C. Quct in Garage- Darnp-ie . 7g,el"Wir. Hir - Vent3-0mces-Comb. Air-PA.V.-Connector - In Garage- Hgt. & Mech Protection -;a-. FirerjaII3 & Openings - Area Saparation 'Wa113 1--c. Receptacles in Gardge (G.F.I.) Romex Pre!ec. 49. Insulation - Foam - Looked in Att;c I /Yes LI -11 - Rails & Oeck Constr-Lction 4;*--Fdn. Vents & Crawl holq door - Drainag? & Wced-2a�th Cirrices- Looked under floor / /Yes 78. Following instid: Drive ONo; Walks42,Y---s ONo; Planters ElYes I GRIT; Creating Orng. Probf�m3 OYes 9�4< fQ--&ucco; Brown - Finish A.C. Ur.it-Disconnt-ct-Clnces-Br'e(r Cond. Size- 115V Oulet 8- V-2nt3 Above R cot - P:bg.-Appliance5-Firepl. - Clmce to Op -193. 4;--W3t,- %,Vg;l - Disccnn9ct, El-ctric3l. Plumbing Exterior El2c. Trim 8, G.F.I. Rec--placl4- 841."-Ventilation throughout Hou -.5a ffi-;-G-1a. Protection M. Corrections from Przvious Inspi--tions 5�1 �G33 Te -it - Nlel�!f'3 Tacr -ad-G33 & Electric Supp!y & Sewage Conne-cted - Cleanoul to Grzee;;_1 Energy Cornpli3nce C�rtilicatq Above Comple4ed 0 Except: Job Card Signsd —Daht Corrections Comple!t-d �-?' * WI/ Job Card Signed cata RESIDENTIAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT EN. ERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS AT Lot -70 -CRESTWOODWSUBIDIVISION tNIT No. 2 (location) -7-3 BUILDING PERMIT NO. 7-3 9q— A.- P. NO. 3,S-- 11 -2 - THE FOLLOWING HAVE..BEEN INSTALLED AS PER APPROVED PLANS: (Check each item.6r write N/A if.not applicable). INSULATION: Slab Edge. NA TA Fdn. Walls Floors 14A Walls Ceiling/k�� x Ducts x Circulating Pipes RA APPROVED HEATER x APPROVED 1,TTR.HT.R. X GLAZ ING: Single Glazed NA Special (Insulated) x CERT. &LABELED WDS.- & SLIDING DRS..- x WEATHERSTRIPPED DRS. NA BACK-DAIMPERED FANS x INTERMITTENT IGNITION DEVICES x 'CERT. APPLIANCES- x I DECLARE -THAT ALL REQUIRED ITEMS AS NOTED.ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENT S, AND -AGREE TO MITTED.. THE COMPLETENESS OF THIS CERTIFICATE AS SUB1 ..,Insulation Applicator Name— SEE ATTACHED (please print) Signature of .Insulation Applicator State Contractors License No. General Contractor/Oxrner- NameSUNBEAM CONSTB TTON COMPANY (please print) Signature of General Contractor/Owne Dat UG 1-2 0.-191Q State Contractors Gregory T. V ica,Pves isti 0 License No. 153290 THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO REQUESTING F . INAL INSPECTION AND SHALL BE.POSTED IN A.CONS . PICUOUS LOCATION WITHIN THE DWELLING. Terinit# 2,3 9 5? �-70 INSULATION �CERTIF.JCATION. 'JJLI� A10, 0/2 2 -Z�z-'7 tV6mber and street City County Crestwood Sub. #2 Lot # �2A Plan 1140 Subdivision Lot Number DESCRIPTION OF INSTALLATION ROQF Material Thickness (inches) EXTERIOR WALL Material Fiberglass. Thickness (inch es) CEILING. Batt or Blanket Type Thickness (inches) LooseFil'IType Fiberglass Minimum Thickne ss (inches) 9 Area Cover ed M2 ) 1140 FLOOR.ELEVATED -Material Thickness (inches) FLOOR, SLAB Material Thickness (inches) Width (inches) FOUNDATION WALL Material Thickness (inches) - HEATING SYSTEM Gas Furnace Make Brand Name Thermal Resistarfee (R Value) Brand Name Gertaint.eed Thermal Resistance III Va lue) Brand Name Thermal Resistance (R Value) Brand Name Certainteed Number of b3gs .29 Weight per bag lb Thermal Resistance (R Value) 25 Brand Name .The.fmal Resistance -(R -Value) Brand Name Thermal Resistance III Value) Brand Name Thermal Resistance.(R Value) Model Description Rated Bonnet Capacity DECLARATION I hereby cerlify that the above insulation was installed in the building at the above location ir. conformance with the current regulations se.ting Enirgy Conservation StandE!rds for new r esidential buildings (located in Title 24 of the California Administrative Code). SUMEAM CONSTRUCTIO�q ('�D. 41'S1206 General Contractor (Builder) License Number AUG.1 P AUG 12 GREGORY -1. VI5111LA Signiture and fifle 14:�eE5_ Date Hawkins Insulation Co., Inc. 378407 Su7bcont,acto, 7(1�criatlon Applicator) License Number signature and Title Date CERTIFICATE REVIEWED BY- Date BIN -'029 7Building InspectiQn 0_fr-ice) COUNTY OF BUTTE - DEP-ARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATIOWAND PERMIT ASSESSOR: A�tjl__- LIM B E ZO I 3-57- _y13 k a BUILDING PEA� OWNER Eft- E Pi� N E ..SdAI,36� ,aI6 #4M e6WST SQ. FT. OCC. BUILDING VALUATION OWNER'S MAJ�ANG DRESS 7 LIS 14av's C4 9111;40 -,7-2,– 7,AD 6 Ito , C>O CONTRAC ITELEPHONE C) - CC) CONTRACTOR'S MAILING ADDRESS N rAW R C) 13,4Aje Ti— NKNOWN Fireplace Valuation $ 00 LENDER'S MAIL —Total rI,NG ADORES Ty C/ S4,'. C4 q-1�8'7,N-P-ermit -350 i)A)1VFJeS1 SAC. /776f.0.9 Fee s - ARCHITECT OR ENGINEER NSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ Z BUILDING ADDRESS PLUMBING PERMIT, FilingFee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO. UBDIVISION NAME PARCEL MAP Ig -3U Each qas water heater or vent 2.00 9 4D C.-3 Gas piping system I - 5 outlets 1;L -0c, USE OF STRUCTURE SF[VDuplexn MobilehomeF-1 Other ,SPECIFY Building sewer 47&,,6 L Lawn sprinkler system 2.00 I TYPE OF WORK New P" Addition [:] Remode1EJ UtilitiesEj InstallationD Other M Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT FilingFee 3.00 Main service 101V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD -L 100 AMP 2.50 NEW CONST. If OWE UP.&N OR ADDNS. 20 sq ft 0,S CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 0 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 CONSTR -OUTLET NON-RESID . . ..... I �H CIRCUITS) 2.50 ea NEW_CONSTR. (POWER APPARATUS &) NON RESID. SINGLE OUTLET CIR. 50 25C Ex. Occup(OUTLETS OR FIXTURES BA@L @ 10� (FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 j 1 Permit Fee $ g, <5 Contractor WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): F-] The permit is for $100.00 (valuation) or less. F1 I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of C6nsent 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 shal I be deemed revoked. MECHANICAL PERMIT Fi ling Fee 3.00 Heat i ng 071) 1430 Cooling 4Z401W �0 Hood 2.00 jc) 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 airl County in consequence of the granting of this permit. Date A2— Signature of Applicant — O.n,)Q Contractor F� Agent An OSHA permit is required far exca`:kofinnn over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OFCONST. kRCEL This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PEP/RfEXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt NO. 1573g WHIT,E-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROID-APPL I CANT This'set of plans and specific ntions MUST 6a kept on the i9b at all times and it is unlawful to make -�ny chaiiges'O alterations on some without L N I D..Ll* - written permission Trorn T e epaj Imento V4.j Works, County of Butte. 07- ,10.3.7 P,4 D rl b -V,4 7 -/OA/ 30' IN Q11 C pl-AIV 114110tT2 -0 611)CWA I k-' -V. C411213 it currC See Wasfer Plan on rile for 610in.d vs, plant. WA Y BUTTE COLMT� A oetback of 5 ft. from the 'BUILDING DEPARTMEN7 property lines and a setback of 50ft. f rom the road PTROVED centerlin e 'Shall be clear of structures or equipment except for a, 2 ft. eave overhang, 7- CZ(Yjrr1YOOi9 UAW N.P ?- T1, Z01 d Z IAOIMIM, 040�1' Telephone .533-2000 Utility Di tfict North Burbank Public 1960 E40n Street '101 -8o 'OkONILLE; CALIF,011,141A 95965 DISTRI ' CTAPPROVALAND, VERIFICATION OF INSPECTION BUILDINGSEWERS This veriiication form must be submitted to the Butte County Department of Public Works'- Building Department prior to issuance of a building or occupancy permit, whichever is applicable. Prior to final approval by Butte County of a Building or an Occupancy Permit, a copy of this verif ication'form,, signed off by North Burbank Public Utility District, must be submitted to Butte,County. SUNBEAM CONSTRUCTION"'CO., GREGORY-T.;,VISTICA, PRES. Applicant: HOOPER LANE 'Applicant Address:. LOS,ALTOS HILL.S, CA- 94022. A6plicant Phone No.. (4-15) 948-6482 Property Location (s): 2i�6'QAK KNOLL WAY CRESTWOOD UNIT,II2 LOT #70 A. P., No. (s): AM 035 -30 - Fees Paid - $'300.00 .§C -OR FACILITY CHARGE PAID 6/29/79 N.B.P.U.-D.-CONNECTION FEE -UNPAID A8,0F 5/15/80 - Application for service approved 4L .1 North Burbank MAY 15, 1980 Public Utility Disirict 1 8 isful test(s) observed: nspe tion (s) -made and sUcces Locaiion: Date: By: North Burbank Public -Utility District release to closd permit - Date: -BY: RESIDENTIAL �t-1 s -i 97-1129 PERMIT NO. 6/11/98 PERMIT EXPIRES OWNER ALBERT & DOLLY CUMBERLAND CONTR. OWNER ASSESSOR PARCEL 035-420-073 2256 OAK KNOLL WAY, OROVILLE LOCATION Temp. Power Pole :Called PG&E 4em'O."Elec. Service Called PG&E jemp. Gas Service Called PG&E 5FY JOB FINALEQ Ir"Ite) Signatura�� COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County . Center Drive - Oroville, California' 95965 - Telephone (916) 538-7541 PERNIT NO. APPLICATION AND PERMIT �?z (Rev. 12/96) ASSESSOR PARCEL NUMBER 35-42-073 ZONING R 1 BUILDINGPERMIT OWNER ALBERT & DOLLY CUMBERLAND TELEPHONE 534-3442 SQ. FT. Occ. BUILDING VALUATION 280 R 15,960 OWNERS MAIUNG ADDRESS 2256 OAK KNOLL WAY OROVILLE CONTR 3,000 CONTRACTORS NAME OWNER TELEPHONE CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER NONE Fireplace LENDERS MAILING ADDRESS I - Total Valuation $ 18,960 ARCHITECT OR ENGINEER NONE LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 198.00 ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ 128.70 BUILDINGADDRESS 2256 OAK KNOLL WAY Energy Plan Checking Fee $ 23.00 OROVILLE PERMIT FEE 369.70 LOT NO. SUBDIVISIONS NAME I PARCEL MAP I PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF Duplex 0 Mobilehome 0 Other SPECIFY Trap 31 7.00 21.00 -Each Solar or heat pump water heater 23.00 Water piping 15-00 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New 0 Addition (I Remodel M Utilities 0 Installation 0 Other 0 Describe Work: AD ITION OF I BEDROOM,CONVERT EXISTING CLOSET TO 'RATHROOM- piping system 1 - 5 outlets 15.00 -Gas Building sewer . 15.00 15.00 Mobile Home I S I G 920.00 PERMIT FEE 71.001 ELECTRICAL PERMIT Filing Fee 20-00 600V OR UE:�9 Main Service �..A OR . 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing �kith Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. 1 as owner of the property, am exclusively contracting with licensed contractors io construct the project. 0 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DW:LLING OCCUP- ACC. ISUDS. so 3.50FT. 11 00 _OR_ADDNS. NE CONST. NO ZRESID 13=0QUIR TS 97.50 - 'P�CINI.ELR AP=TUS E . CIR. Ex. Occup. OUTLET OR FIXTURES 20 @ 1.00 BAL @ .50 FIXED APPUNS. OR Ex. Occup. OUTLETS (RESID.) EAJ_ 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 I PERMIT FEE $ 31.00 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: 0 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 0 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date 6 Signature of Applicant - JR bw'ner 0 contractor 0 Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling - Hood 6.50 Ventilation 1 4.50 4-50 EXTEND VENT 11 5.00 PERMIT FEE $ 39.50 Mobile Home Installation Fee Is Energy Inspection Fee 1$ Occ R3 CONST. TYPE VN TOTALFEE$ 557.20 HAZ. 1 0. FEES IMP X X I FLOOD X I CDF X I PARCEL X I PD X.X HD ISSUE . XX This permit is hereby issued under of the Butte County Code and/or indic 4V qbove foJ which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid, Date 6/11/97 6/11/98 (Da to) ReceiptNo. 222129 . - WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT F-1 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, CaliforniA 95965 - Telephone (916) 538-754 PERMIT NO. (Rev. 1 2/9eY APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 3 5 0 -7' ZONING BUILDING PERMIT OWNER TELEPHONE SO. Fr. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS J ,;LP1 5 4 CONTRACTOR'S NAME TELEPHONE A CONrRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAJUNG ADDRESS Total Valuation $ -0 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee t $ 20.00 Permit Fee $ /-?F . &-0 ARCHITECT OR ENGINEEWS MAJUNG ADDRESS Plan Checking Fee $ ot 1 7D BUILDINGADDRESS 6td- Energy Plan Checking Fee $ $ rQ L) PERMIT FEE $ '3 (, 9 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fie 20.00 Each Trap 7.00 �Ll,&V USEOFSTRUCTURE SF Er�"Duplex 0 Mobilehome 13 Other -- SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 &-0 Each gas water heater or vent 15.00 EOFWORK New 0 Addition Ell �R.mdell 2,61,ties 0 Installation 0 Other 0 Describe Work: A -1,4241-e-1 114' & ) dnk-&9 -1-n /-0 5 e- -71-0— Gas piping system I - 5 outlets 15.00 Building sewer 15.00 /5, CrV Mobile Home Fg- I �GW � PERMIT FE E -7 wl ELECTRICAL PERMIT Filing Fee 20.00 600 OR LESS: ) Main Service .VA 0'. 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing %�ith Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 0 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. 0 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. 0 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. %E�LINGICCCUP. OR AD DNS. C LOS. 3.5,,so - F FT. CONST. M LTIO TLET =R R ES'.. Cy 97.50 PONI.ELR APUPARATUS E . TLET CIFI. F Ex. Occup. OUTLET OR FIXTUA S 20 @ 1.00 BAL 0 .50 UFITX.ED A NS OR Occup. PtPRLES. 6.) E.A. 5.00 _Ex. Temporary Service 23.00 - Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 3 h WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: 0 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 0 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 0 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - 0 Owner 0 Contractor 0 Agent An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT F - Et $ Mobile Home Installation Fee $ Energy Inspectioo F e $ 41 ff-5 AN, -J CO . PE V, TOTALFEE$ 'PLO ' I HAZ. I D. FEES ImP J— I FLOOD CDF P, Cy-plo��D I -�y This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do w6rk been paid. Date (Date) ReceiptNo. q7;< ;� / -:4 q - WHITE -D.D.S.-B. D. CANARY!ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT COUNTY OFBUTTE'- DEPARIMENT OF -DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PE"IT APPLICA TION DA, TA SHEET OWNER: ASSESSOR PARCEL NUMBER: 3E -q -7 3 B ti�i �1� Date: 49 :7 ition _Z - Proposed bu'ilding I Jse: uilding Inspector: I&& At time of permit appli6 1 was adlised the foHo g data must be su6mitted prior to permitprocessing and/or issuance: Date Received By El 1. All items have been submitted --------------------------------------------------------------------- ----------- E12. Plot plans, 3/4 sets, signed by the preparer of plans - -------------------------------- ---------------------------- 03. C mplete plans, 3/4 sets, signed by the preparer of plans - ----------------------------------------------------- 0 n gineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans - -------- 4eEn gineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ -------------------- iA- - — ------------------- Energy Design Compliance and supporting documentation. 6, -21. &.6 - El 7. Statement of Intent. for Non -Heated and A/C Buildings - ---- ----------------------------------------------------- 0 8. Hazardous Material Form - ------------------------------------------------------------------------ E39 anufactured Home data and installation instructions including Tie Down Specifications. U' FeesOf $ ------------------------------------------------------------------- Impact fees as shown on the attached schedule - ----------------------------------------------- 1112. California Department of Forestry plan approval/fees. El 13. Flood elevation certificate - ------------------------------------- 7 ------------------------------------------ 1114. Sanitation and plot plan approvaIA"Z Health Department - ---------------------------------- E3 15. City of Chico plumbing permit - ------------------------------------------------------------------------- 0 16. Plot plan and business license approval from the City of Biggs - ------------------------------------- 1117. Planning approval for (A) Use: (B) Parking: -------------- ----------- --- 0 18. Contact Land Development about 11 Improvements, 0 Drainage, 0 Legal Parcel - --------- 1119. Encroachment Permit for driveway (construction approval prior to occupancy) - ------------- 020. Pre -inspection for. required. Request to Building Inspector on (Date) d 2 1. Contractor's license information. (Number, Name Style, Classification) - ------------------------------------ El 22. Workers' Compensation carrier and policy number - ------------------------------------------------------------ 023. Owner -Builder Verification (Given to owner El, Mailed to owner 0) - -------------------------------------- 024. Letter of signature authorization - --------------------------------------------------------------------------------- 0 2 5. Recorded copy of Agricultural Acknowledgment Statement - -------------------------------------------------- 026. Letter of intent on building use - ----------------------------------------------------------------------------------- 0 27. Manufactured Home utility clearance - ---------------------------------------------------------------------------- 028. Existing violations and/or expired permits - ------------------------ --------------------------------------------- 029. 0433 A, DGrant Deed, 0 M.H. Title, 0 Check to H.C.D $ - --------------- 030. Other: ------- 7 Wh you issue the permit, process as follows 0 Mail to owner, OMail to contractor. n Telephone!53Y 3 Y 212- and hold' for pickup at Ore) V1, t office. 0 Deliver with inspector. Applicant: 4��k4 Date: Copy of Haz-Mat form sent 0 Health Department, 0 Fire Department, 11 Air Pollution "Date: By: Copy of plans sent 0 Health Department, 13 Fire Department, 0 Other: Date: _By: 1. Index permit application for the above items numberedK _0 Plan Check List 2. Additional item requir4: Contractor, designer, 0-,;'Z�m�e_rWas advised of the above required data by OTTione, 0 mail, 0 Building Division com' ntar, bp --3- Date:,:�-.�;�d Contractor, designbr-ovmdr, was advised of the above required data by 0 phone, 0 mail, 0 Building Division counter, by — Date: Contractor, designer, owner, was advised of the above required data by 0 phone, 0 mail, 0 Building Divis . ion counter, by — Date: Contractor, designer, owner, was advised of the above required data by 0 phone, 0 mail, 0 Building Division counter, by _ D te: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in 0 Plan Cabinet, 0 A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services,'Building Division. 41 O.B.- I 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 you r earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will.be issued until this verification is received. I . I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES 11 NO X 2. 1 HAVE;K HAVE NOT 11 signed an application for a building permit for the proposed work. 3. 1 have cont=ted with the foll person (firm) to provide the proposed construction: NAME: 77 ADDRESS: ,,V, t,41 /?,rlr CITY: 6�0 a/ PHONE._f�7�z -,r_3WW CONTRACTOR'S LICENSE NO. 4. I'plan to provide portions of this woik, but I have hire . d the following pers'on to coordinate, supervise, and provide the rn�a or work - NAME: ADDRESS: Z CITY: /, PHONE:�� CONTRACTOR'S LICENSE NO. 5. 1 will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONF TVPF nF WnPW SIGNED: PROPERTYOWNER: SOCIAL SECURITY NUMBER: DATE: NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the California.Health and Safety Code. This verfica tion must be -completed and returned to our office before we are permitted to issue the permit. OVER OWNER BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. FoJr your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible .P liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by laW to put their license number on all permits for which they apply - If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: If you employ or otherwise engage any persons other than your inunediate farnfly, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including'state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. For more specific information about your obligations under Federal'Law, contract the Internal- Revenue Service (and, if you wish, the,.U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Divisiori of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secur'e*'a'n �,owner builder" buildina permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing theirown work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. + i rely, Mic el C. Vidira, C.B.O. 9 a s Mage'rC,2uii1diirng Insnp/e�ction NOTE. This Oivner-Builder Information is required by Section 19830ofthe California Health andSafety Code. OVER Certfticate of Compliance: Residential (Page 1 of 2) CF -1 R AVP11 /-17 Project Title Date Project Address Building Permit Plan Check/ Dwile, Documentation Author Telephohe r—A K, 10 414 f �/ P I a,( ;,, 44o0t I I . Field Check/ Date Compliance Method (Package, Point System or Computer) Climate Zone Enforcement Agency Use Only GENERAL INFORMATION Total Conditioned Floor Area: ft 2 Buildin6 Type: V Single Family Addition (check one or more) Mufti -Family Existing -Plus -Addition Front Orientation: East / South / West / All Orientations 4put orientation in degrees and circle one.) Number of Dwelling Units: Floor Construction Type: 5a7b / Raised Floor (circle one or both) BUILDING SHELL INSULATION Construction Component Insulation Assembly L6cation/Comments Type R -Value LI -Value (attic, to garage, typical, etc.) Wall .............. Wall ............... Roof ............. Roof ............. Floor ............. Floor .............. Slab Edge.... FENESTRATION Shading Devices Fenestration Area Fenestration Interior Exterior Overhang Framing Type Orientation (sf) LI -Value (roller blind, etc.) (shadescreen, etc.) (yes/no) (metaltwood/vinyl) Front ..... Front ..... Left ....... (\,Y) Left ....... Rear ..... (W 1z Rear ..... Right ..... (1�11) Right ..... ( ) _ Skylight ....... Skylight ....... THERMAL MASS .OA Type/Covering' Area Thickness (slab/exposed. tile, etc.) (sf) (inches) Location/Description (lacJh%q-_kad4, -J I JV -A Revised December 1992 Cei'tificate of Compliance: Residential (Page 2 of 2) CF -1 R 1�7, U V! 12 �-A Q �2 A P �7 17- OTI Project Title Date HVAC SYSTEMS Note: Input hydronic or combined hydronic data under Water Heating Systems, except Design Heating Load. Distribution Heating Equipment Minimum Type and Duct or Heat Pump Type (furnace, heat Efficiency Location Piping Thermostat Configuration pump, etc.) (AFUEIHSPF) (ducts/attic, etc.) R -Value Type (�plit or package) Cooling Equipment Minimum Duct Type (air conditioner, Efficiency Location Duct Thermostat Configuration heat pump, evap. cooling) (SEER) (attic, etc.) R -Value Type (split or package) WATER HEATING SYSTEMS I Energy' External Rated Tank Factor or Tank Water Heater Distribution Number Input (kW Capacity Recovery Standby' Insulation Type Type in System or Btu/hr) (qallons) Efficiency Loss (%) R -Value ki 1�1-] 1. For small gas storage (rated inputs 75,000 Btu/hr), electric resistance and heat pump water heaters, list Energy Factor. For large gas storage water heaters (rated input 2, 75,000 Btu/hr), list Rated Input, Recovery Efficiency and Standby Loss. For Instantaneous gas water heaters, list Rated Input and Recovery Efficiency. SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with Title 24, Parts 1 and 6, of the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the individual with overall design responsibility. When this cenificate of compliance is submitted for a single building plan to be built in multiple orientations, any shading feature that is varied is indicated in the Special Feature s/Rem arks section. Designer or Owner (per Business & Professions Code) Name: Title/Firm: Address: Telephone: Lic. N: (signature) (date) Enforcement Agency Name: Title: Agency: Telephone: (signature/stamp) (date) Revised December 1992 Documentation Author Name: i Title/Firm: Address: L Telep�one: s igna66) (date) 15 'Aandatory Measures Checklist: Residential MF -1 R A NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (*) may be superseded by more stringent compliance requirements listed on the Certificate of Compliande. When this checklist is incorporated into the permit documents, the features noted shall be considered by �11 parties as binding minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. DESCRIPTION DESIGNER ENFORCEMENT Building Envelope Measures §1 50(a): Minimum R-1 9 ceiling insulation. §1 50(b): Loose fill insulation manufacturer's labeled R -Value. §1 50(c): Minimum R-13 wall insulation in framed walls (does not apply to exterior mass walls). *.§150(d): Minimum R-13 raised floor insula ' bon in framed floors; minimum R-8 in concrete raised floors. §1 50(l): Slab edge insulation - water absorption rate no greater than 0.3%, water vapor transmission rate no greater than 2.0 perm/inch. §118: Insulation specified or installed meets California Energy Commission quality standaros. Indicate type.and form. §116-17: Fenestration Products, Exterior Doors and Infiltration/Exfiltration Controls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Manufactured fenestration products have label with certified U -value, and infiltration certification. c. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed. § 1 50(g): Vapor barriers mandatory in Climate Zones) 4 and 16 only. §1 50(f): Special infiltration barrier installed to comply with §151 meets Commission quality standards. §1 50(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs 1. Masonry and factory -built fireplaces have: a. Closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and control 2. No continuous burning gas pilots allowed. Space Conditioning, Water Heating and Plumbing System Measures §110-13: HVAC equipment, water heaters, showerheads and faucets certified by the Commission. §1 50(i): Setback thermostat on all applicable heating systems. §1500): Pipe and Tank Insulation 1 . Indirect hot water tanks (e.g., unfired storage tanks or backup solar hot water tanks) have insulation blanket (R-1 2 or greater) or combined interiorlexterior insulation (R-1 6 or greater). 2. First 5 feet of pipes closest to water heater tank, non -recirculating systems, insulated (R-4 or greater). 3. All buried or exposed piping insulated in recirculating sections of hot water system. 4. Cooling system piping below 55'F insulated. 5. Piping insulated between heating source and indirect hot water tank. §1 50(m): Ducts and Fans 1. Ducts constructed, installed and sealed to comply with UMC Sections 1002 and 1b04; ducts insulated to a minimum installed value of R-4.2 or ducts enclosed entirely within conditioned space. 2. Exhaust fan systems have backdraft or automatic dampers 3. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers.. §114: Pool and Spa Heating Systems and Equipment 1 - System is certified with 78% thermal efficiency, on-off switch, weatherproof operating instructions, no electric resistance heating and no pilot light. 2. System is installed with: a. At least 36' pipe between filter and heater for future solar heating. b. Cover for outdoor pool� or outdoor spa. 3. Pool system has directional inlets and a circulation pump time switch. §115: Gas-fired central furnace, pool heater, spa heater or household cooking appliance have no continuously buring pilot light. (Exception: Non -electrical cooking appliance with pilot < 150 Btu/hr.) Lighting Measures §1 50(k): 40 lumens/watt or greater for general lighting in kitchens and rooms with water closets; and recessed ceiling fixtures IC (insulation cover) approved. Revised January 1992 COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE,.OROVILLE CA 9596.5 TELEPHONE (916) 538-7541 SCHEDULE OF FEES'DUE OWNER A.P. # qd= - 7 3 PROPOSED BUILDING USE DATE—: REC # DATE REC 1. BUILDING PERMIT FEES -- Balance Due ................ $ Additional Fees Due ............. $ Additional Fees Due ........... $ Revised Plan Checking Fee ........ , 2. SCHOOL DISTRICT FEE lee)" (paid at District Office) 41-1 *7 3. SHERIFF FEES (paid at Building Division) Residential ........ x $360.00 $ Units Commercial (sq.ft.)... x $0.03 $ Sq. Ft. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit) . x $ #Units Amt. Commercial (sq.ft.) . x -=$ 5. RECREATION DISTRICT FEES (paid at District Office) 6. THERMALITO DRAINAGE DISTRICT FEES $425.00 (paid at Building Division). 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division). 10. OTHER At time of permit application, I was advised the above fees are requi red to be paid prior to issuance of the building permit. These fees may be changqd.dur.ing the,plan checking process. APPLICANT DATE Original -Owner Copy -Building Div. (Rev.'12/96) ;g BUTTE COUNTY -SCHOOLS IMPACT FEE CERTIFICATION FORM �,,jOne form perBuIlding),'... School District. L/; Me- Building Department No. A.P. Number 3 5 -q;L 7 3 Jurisdiction: city County Property Owner -4-M >h0perty Location/Address A~'A Subdivision 'Lot No. Residential Development No of Living Mobile:Home Addition Units Installation Co mmercial/Ind ustrial New Addition Building (Floor Pians reviewea uy District Identification No. -3 t 3-1 versonnei) "-d I,,; //-e Sq. Footage ;2J?0 (Group R) Sq. Footage (including Exterior Roofed Areas) <0 2- 47 -7 bate School. District. certifies that (Applicant) t� w§=W 31 - 9 6',� -7 (Street Address) (Phone Number) (City) (State) (Zip Code) has complied with the requirements of.Resolution No representing 0 square feet. School District Paid by Check # Remarks; A by payment of $ MON $ Date Notfce: You may protest the imposition of the fees Identified above. by submitting a written protest to the District, in compliance with Government Code Section 660201a), within 90 days from the.date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the Imposition of the fees In,qny court action. If, subsequent to the School District Representative signing this Butte -County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this p . roject is being reviewed under the California Environmental Quality Act JCEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (2/97)d.mm I 0 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street, Chico, CA - (916) q91-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 CORRECTION NOTICE OWNEA PERMIT KO. 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 completeddf you have any questions pertaining to -this matter, 'or need additional explanation, please, n1act this office immediately. L/U Date Inspector REV insulation Certificate. J�y -7 BUILDING OWNER: L PMMT #:E Bull -DING LOCATION: �-Kj>L�)20 L""&L- tS.IWL-1— 1- 4' Description of Installation ROOF Material Brand Name Thickness (inches) Thermal Resistance (R -Value) L'�ILING Brand Name Batt or BlanketType A2, Thickness-(iriches).:- Thermal Resistance (R -Value) Loose Fill Type Brand Name. Contractor's minimum installed weight/e lb Minimum thickness inches ula 's installed weight per square foot to acheive T'hermal Resistance (R -Value) -r c�'ure -E ERIORWALL- Brand Name Material --'AM7 Thickness (inches) Thermal Resistance (R -Value) RAISED FLOOR Material - Brand Name Thickness (inches) Thermal Resistance (R -Value) SLAB FLOOR Material Thickness (inches) Width (inches) FOUNDATION WALL Material Thickness (inches) Declaration BrandName Thermal Resistance (R -Value) Brand Name Thermal Resistance (R -Value) I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the California Administrative Code. ,,Ge=al =Co Lor (Builder) License Number SignaruA and Title Date Sub -Contractor (InsulaLion InStailer) SignatureandTitle I License Number Date THIS CERTIFICATE MUST.BE PROVIDED TO THE BUILDING DEPARIMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WI THI N THE BUILDING. JANUARY. 1993 V = OK 0 = Not OK Not Applicable Not Ready MOBILE HOMES Date MOBILE HOME UTIUTIES (Plans) OK except #'s 1. Zoning Requirements - Setbacks - Easements 2. Soils; Special MH Support Sketch 3. Sewer, LocatIon-Test-FaIl_C/0,ConcretL 4. Water; Location-16st-Easement Needed (Sketch) 5. Electricity; Locabon-Clearances-Gmd-/, /Amp4Concrete 6. Gas; Location -Test -Wrap; / PLIL / /Nat. or/ /"LtL/ /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 #'a 1. Zoning Requirements� Setbacks Easements 2. Footings; SbL-Spacing-Marriage Line .3. Gas; MH 1esM)emarKWalve-Connector 4.. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test-FalWlex Connector 6. Water MHTest-Regulatc)r-Connector 7.� Water and Sewer Connected -C/0 to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Can of Occupancy 12. Permanent Foundation Only: License Decal Date Card B- 1 Date Card B-1 Date Card B-1 Date Card B-1 MItCELLANEOU8 Date DECKS, COVERS, CARPOR-Ta-, G -MAGES (Plans). OK except #'a 1: Zoning Requirements�Setbacks-Easements 2. FooliirVs; ScilsSize-Depth-Spacing-ConriectDrs-SteeI 3. Decks; Girders and/or Joists4)eckkV-Bracing-Stairs-Ratls .4. Wood Awn.; Posts-Bearns-Rfirs.-Connectors Shthg.-Rfd.-Bracing 5. Alum. Awn.; Columns-Connectims-Spfk*-Deca�Eridosures 6. Carpoft; Windows -Doors 7. Electilic 8. Fang.; Sits-Anchors-Studs-Rftrs-Trusses 9. Siding; NailingAleneer-Stucco-Mesh 10. Roof; Sh#VRoofing 111. Ext.; Steps-Doors-Landinge 12. Braced WaIlPanals Date Card B-1 Datp -Card B-1 Date Car d 8-1 Date Card B-1 Date POOCS (Plans) OK ex t #'a 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; SteeW"nectichs-Thickness Dead Men-Uhing- 4. Elec.; Receptacles and Lighting, Distance-GFI S. Elec.: Pool Ughting; 15 Volts-GFI 6. Elec., Enclosures; Conduit Entries-Terminals4isted 7. Elec.; Bonding; Metal w/6 -Circulating Equip.4*.gter. 8. Elec.; Grounding; Equip. w/V Circulating Equip. Pool Lghtg. Boxes-Enclosures-Panelboards4ns. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. TestWater Supply Test 11. Light Niche Date � Card B-1 Date Card 13-j Date Card B-1 Date Card B-1 wl = OK 0 = Not OK RESIDENTIAL (S�ngle & Duplex) - = Not Applicable * = Not Ready Date _ _ , ,MDERFLOOR (Plans) OK except #-a I Date (Continued) 2$-9bbfeedW"-SIze Main; Soils-Elec. Gmd.-///,P Ftg. Depth ,sar-R 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ /Ftg. Depth oo� 4. Ftg. Porches & Decks; Soils -Steel-/ /"Ftg. Depth ,Ue 5. Sternwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped - Card B-1 7T//_�t_ate� Card B-1 6a. Hold Downs and Special Anchors Date 7. Slab, SteeMrapped 8. Piers -Fireplace Ftg.-Steel 3�-�densate 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test Fuman6e-� �ssComb. Air-Retum AirVent 115 outlet 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Attic Access & Platform if Furna-c-e-in-7aac- 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Pienums & Ducts; Clearance-Material-Supporl-Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Dat Card B-1 Date Card B-1 DaLe Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #s 17. Water Htr.; Vent -Access -Combustion Air Baffl 18. Test & Anchor -Nail Prot. -COI -f jap:-a,11W.V; Test Fittings & Anch��rotection 20. Shower Pan; Test, Fi%�!�rTub Access 21. Test Tub & Sh?yl�second Floor -Tub Access 22. Gas Pi!!p�ixe & Anchors I --- Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date E�ECTRICAL (Permit) OK except #'s t 2p,��re & Transformer Clearance -ins. Protection 1-V-.*.'-Elec. Receptacles Spacing -Lights & Switches at Doors izej3oxes & No. of Conductors Stapled ome� Installed Close to Edge of Studs & C.J. Cj_eq-`uip. Ground ma�lech+astners, Send Gas& WateF-- _2&.-%'-ApTra-nce Circuts in Kitchen & Conductor Size GFI 2$-9bbfeedW"-SIze 1 / ga. Ca or AJ-A.C. Wire Size / /ga Cu or Al ,sar-R �elrc. �// ga cu �®r Aio�ven Circ. ga cu or A] Insulated Neutral n Yes [] No & 6round-Main Disconect 3R EQaipXleemncesflar�ptors-lylech. Epuip. ,Ue Clo0w!ftoset Light -Shower Ught-Spa Light L -,W -Smoke Detector 9 Date 2Z_24!9_2 - Card B-1 7T//_�t_ate� Card B-1 Date"/ ( Card B-1 - - ' Date Card B-1 Date =:!!§5="ANI AL (Permit) OK except ft &.K. Vent Fan, Exhaust above insulation 3�-�densate Drain & Overflow, Size & Grade 38. Fuman6e-� �ssComb. Air-Retum AirVent 115 outlet 39. Attic Access & Platform if Furna-c-e-in-7aac- Date card B-1 A ate Card B-1 4LI M2 - Date Card B-1 - \ Date Card B-1 Date FRAMING (Plans) OK except #s JA(f §�ns Proper Materials & Anchors 64'r Walls Studs -Nailing Spacing & Braces -Plates -Sound 44r.IB_earing Walls over Girders & Floor Nailing bfS--Draft Stop in Walls (rat prooQ fire Stops, Furred Ceilings -Stairs -Chasers -Tubs Headers & Beams-Si;ze & Bearing 447-lCling�'Joist-Rttr. Ties-Pudin-roff Brac.-Truss-Shting.-Fiffig. 44 -Ek Flue -Fireplace Throat clearance W3'pie�ess; Size& Romex Protection -Draft Stop -ins. Baffles k,JdVBdrm. Windows or Exiting Doors -Sill Hgt & Dimensions Sk_*fepert7tTn_e Firewall & Openings !*. JExt. I3oor&-Qae.,3Z-Check Garage 3rd Story, 2 Exits 1.1.5.-'Plywoodl on Roof Overhang -Attic Vents -Rafter Outriggers ,Fo_-$�jng-Nailing Veneer - 57,=.1ducco,Me9h-Brip-SCr99T-Fd. Vents-Underflr. Access Z5&.-13rGzing Area -Glass Protection -Skylights -Plastic 59-TTo�alls-, Railing -B Its tL-60-Brace, Interior / Exterior Wall Panels e§;e<hsuIatior)47_a30CeiIings ;7,- 7 62. Infiltration"WallsAiVindows ' Date Card Date Card B-1 Date Card B -f- Date Card B-1 Date FINAL (Plans) OK except #'s 63. E?�t�ps-Door & Sidelight Protection -Landings 1,,--64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor-Ducts-Mech. Protection Ve'a. Bedroom Exiting t --W G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs& Rails 70. Fireplace or Stove, Clearance -Hearth t,J+.-Ere-c.70_udets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 13. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-PR.V In Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.Fl.)-Romex Protection 79. Insulation-Foarn-Looked in Attic 80. Guard rails & Deck Construction -post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor n Yes 82. Following Instid./Drive 0 Yes 0 NoAfValks 0 Yes 0 No/Planters 0 Yes 0 No 113. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89,1311ass Protection Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to G e -HD Approval -X,.aT Energy Compliance Certificate -Other Certificates Date 3 Card B-1 _,;7Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: