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038-180-031
P ¢ . 38-18-$p aQ aKermit Pope � ,,f� 3 SIS White Ave., app.800( .o i ay, lots 34 & 35 port., Hanlon Tract#2, Durham Permit 42-78P . ,MH) (,Uw ELEC. GA 1 �- 3 SUPPOR STRUCTURE REQ. COMPACTIJT TEST HQ. AID t 06-r`�G��7�' 387-18-4* Contr: C ons -Davis MH Sales _Permit ##2866-78 I ssued 6 / ��%Y < 38-18- NHORN kt of w �U 2167167 W White Ave Permit#231-89B,P,E;M(ncw ngfaiiilly) 038-180-031 PERMIT#96-1 Ei HORN,,Nathan 9- -D, 2167 White Dr., Durham New Pri Swimming Pool", � 31 038-18-0-0. _ �" _�� ' 93 1'8+1 HORN,',NATHAN & KATHERINE 2167 WHITE DR, DURHAM " AGRICULTURAL EXEMPTION.'PERMIT TRACTORS, AG EQUIP REPAIR Q CERTIFICATE OF MERGER 038-180-031 CERTIFICATE OF MERGER AP 038-180-027 ` AP 038-180-031 w Po - It& D�6 I RES�ENTIAL �. - , fid r hi j 038-180-031 PERMIT#96-1281 HORN, Nathan 2167 .White Dr., Durham New -Pri Swimming Pool 1'- Ar a' it r i1 I JOB FINALE :Signature .!"" V=OK :- I O = Not OK _ '=Notble t Ready NoMOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 1. Zoning Requirements - Setbacks - Easements 6. Carports; Windows -Doors 2. Soils; Special MH Support Sketch 7. Electric 3. Sewer, Location -Test -Fall -C/O -Concrete 8. Frmg.; Sils-AnchorsStuds-Rftrs-Trusses 4. Water; Location -Test -Easement Needed (Sketch) 9. Siding; Nailing -Veneer -Stucco -Mesh 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 10. Roof; Shthg-Roofing 6. Gas; Location-Test0rap; / /"L'ft. / /Nat. or/ PL°ft./ /LPG 11. Ext.; Steps -Doors -Landings 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 2. Soils; Compaction -Structure Stability 1. Zoning Requirements- Setbacks Easements 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 2. Footings; Sine -Spacing -Marriage Line 4. Elec.; Receptacles and Lighting, Distance-GFI 3. Gas; MH Test -Demand -Valve -Connector 5. Elec.; Pool Lighting; 15 Volts-GFl 4. Electricity; MH Test -Crossovers -Breakers -Clearances 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 5. Drain; MH Test -Fall -Flex Connector 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 6. Water; MH Test -Regulator -Connector 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 7. Water and Sewer Connected -C/O to Grade -HD Approval 9. Health Department Approval 8. Gas and Electricity Tagged 10. Plumb.; Cir. Test -Water Supply Test 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert of Occupancy Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS 1. Zoning Requirements -Setbacks -Easements 2. Footings; SoilsSize-Dep"pacing-Connectors-Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rttrs.-Connectors Shthg: Rfg: Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sils-AnchorsStuds-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, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFl 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (Single & Duplex) ' = Date UNDERFLOOR (Plans) OK except it's Date FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel - Bloc kouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 _Date PLUMBING (Permit),OK except h's 16. Water Hir.: Vent -Access -Combustion Air -Baffle ----------------------------------- ------------ - ---- - - - - - ----- 17. Water Pipe: Test & Anchor -Nail Protection -------------------------------- 18. D.W.V ; Test -Fittings & Anchor -Nail Protection ----------------------------------------------------- 19. Shower Pan: Test. First Floor -Tub Access ---- -------------------------------------------------------- 20. Test Tub & Shower. -Second Floor -Tub Access ---------------------------------------------------------------------- 21. Gas Pipe: Size & Anchors ------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 ------------------------ ---------------------------------------------•------ Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except tt's 22. Fixture & Transformer Clearance -Ins. Protection ----------------------------------------------- 23 Elec. Receptacles Spacing -Lights & Switches at Doors ------ - - ------ -------------------------------- ------- 24. Size Boxes & No. of Conductors-Stapled --------------------------------------------------------------- ---....... 25. Romex Installed Close to Edge of Studs & C.J. ------------------------------------------------------------- ---------------_---- 26. Equip. Ground made up w/Mech. Fasiners-Bond Gas & Water -------------------------------------------- ........ ....... _. 27. 2 Appliance Circuts in Kitchen & Conductor Sze/GFI ---------------------------------------------------..._....... -- 28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size ga. Cu or At ------------------------- - ---- ---`------------------------------------ - 29. Range Circ. ga. Cu or Al -Oven Circ. r / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No ------------------------------------------------------------------- .. 30. Service -Riser Conductors & Ground -Main Disconnect --------------------------------------------------- . .-.._... ....... ....... .. 31. Equip Clearances Panels-Motors-Mech. Equip. - ... .... . .......--------._. ....... ....... .. 32. Clothes Closet Light -Shower Light -Spa Light -------------------------------------------------- ----- 33. Smoke Detector -------------------------------- - .. ............... .. Date Card B-tDate Card B-1 - --------------I._ ..... ......... ... . ............... -- ... ... .. Date Card B-1 Date Card B-1 Date MECHANICAL.(Permit) OK except P's 34. A.C. Ducts Insulation & Support ---------------_...-- --- ----------- - ............................. 35. Vent Fan: Exhaust above insulation --------------------------------------- 36. -------- ------•---------._....36. C ... ._..... ................_...... ..... . . 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet - ........................... ... ...----... ... ... .. 38 Attic Access & Platform if Furnance in Attic ------- -- ---- -- -- -- ._.. .. ... Date Card B-1Date Card B-1 - .... ............. .. ... . Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except ft's 39. S Is. Proper Material & Anchors ....... ... ... ... ... ............ ... ... ... .. ds u 40. Walls Stu -Nailing. Spacing & Bracing .. --- .. .- -------- ... 41. Bearing Walls over Girders & Floor Nailing .... _ ... ... ......... ...._.._.._...... ....... ... ._ . . 42. Draft Stop in Walls (rat proof) ...... ... ... 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing 45. Hangers -Post Caps -Anchors -Connectors ----------------------- - 46. Cing. Joist-Rftr. ties- Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing ---------------------------------- 51. Property Line Firewall & Openings----------------- _ 52. Ext. Doors -One 3 -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection ------------- 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers - ------- 55. Siding -Nailing Veneer ---------------------------- ---- 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls: Nailing -Bolts _ 59. Insulation -Walls -Ceilings ------------------------ 60. Infiltration -Walls -Windows ------------------------------------------------ - Date ----Card B-1 Date Card B-1 - - - -- ----------------------- Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except a's 61. Ext. Steps -Door &_Sidelight Protection -Landings 62. Smoke Detector --------------- ---------------- ----------- --- - - 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor-Ducts-Mech. Protection .....------- -------------------------- 64. Bedroom Exiting ---------------------------------- 65. - ------- ----- ---65. G.F.I. & Bath Fixtures & Tub Access -Spa .... -- --- . -- -- -- - ------ 66. Elec. Trim & SubP anel: Breaker Sizes & Labels ---------------------------------- 67. --- ------------------67. Stags & Rails ........--- - 68. Fireplace or Stove: Clearances -Hearth ------------------------------------- 69 Elec. Outlets at Wood Panel: Int. & Ext. ...... ----------------------------- ---------- 70. Kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance ------ _.....----------------------------------- -- 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door: Swing -Landing -Closer 73. A.C. Duct in Garage -Damper . _ ........................................ ------------- ------ 74. Wir. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection ....... --------------------------- ---- 75. Plb.. Elec. & Mech. Equip. quipListed for Location ......._..---------------------------------- -------- - 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection . _.--------------------------------------------------- 7,. Insulation -Foam -Looked in Attic ❑ Yes ---------------------------------------------------------- 78. Guard Rails & Deck Construction -Post Caps --------------------------------------------------- -- 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following-- instld�: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No: Planters ❑ Yes ❑ No --- ----- -- ------------------------------------- dl. Stucco: Brown -Finish . _ ._ .... - - - _- - _ ...------------------------------------- 62. A C. Unit: Disconnect. Electrical, Plumbing ... ... .................. ------------------------ -- ----- 83. Vents Above Roof: PIbg.-Appliance-Fireplace. -Clearance to Openings ---------------------------- 84 -------- -----------------84 Water Well:D sconnect, Electrical. Plumbing ..... - -------------------------- --------------- 85 Exterior Elec. Trim: G.F.I. Receptacle -Underground - --- ------------------------------- 86 Ventilation Throughout House -- - - ----- a7 Glass Protection ----------- - ------- ----------------- -------- 88. Corrections from Previous Inspections 89 Gas Test -Meters Tagged: Gas -Electric _.. ... ........... -------------------------------------- 90. Water & Sewer Connected-CrO to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Date Card 8-1 Date----Card.e_1__ Date Card 8- 1' -- - -Date-._----------Card B-1 Date Card B-1 Date Card B-1 Comments. at Final: COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO, APPLICATION AND PERMIT �6 �-/ ASSESSOR PARCEL NUMBER ZONING PaoBUILDING PERMIT Iz- OWNER NATHAN HORN TELEPHONE a93=9010 SO. FT. OCC. BUILDING VALUATIO FST 15,000 OWNER'S MAIUNG ADDRESS 2167 WHITE DR DURHAM D� CONTRACTOR'S OWNER TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNIWOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 162.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 105.30 Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS ^ I ` —� PERMITFEE S 287.30 PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDNISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: FOOT, Mobile Home I S I G W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filinq Fee 20:00 Main Service e00V OR LESS ( 200A OR LESS ) 1 23.00 Main Service ( 200A TO I000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereb affirm under penalty of perjury that I am exempt from the Contractors License p ty p J ry p Law r the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. SO. OR ADDNS. ( 8 ACC. BLDS. ) 3.50 FT. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUTLETUS ) 8 SINGLE OCIR. Ex. Occup. (OUTLET OR FIXTURES) 20 @ I.00 BAL .50 Ex. Occup. (OUTLETSFIXAPPLN . OR ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 [TO __00 PERMITFEE $ 50,001 Contractor WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 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. ❑ 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 MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation ,a4 -one hundred dollars ($100) or less.) f>z( 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 provi ' Date 71_tJ1r\1I?1 � Signature�Applic.nter ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or constructionAA of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 337 . HAZ. FEES IMP FLOOD CDF PARCEL PO D SSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/OF Resolutions to do work indicated above for which fees have been paid. BYat PERMITEXPIRESON 7H (ate) Receipt No. WHITE-D.D.S.- CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT �," N .•�^rq�w.'�,ig1�'7rryj5Y15 j11�'�t'R"�V1P^'`a._.., ., �...�.. -, .. a� .,,-.r � . -....w.-•..�i._.RFw'FA++rV.iTf,R{�i1hi:C::���.. F COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION ` 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 - TELEPHONE (916)538-7,-41 PERMIT APPLICATION DATA SHEET I '1111 OWNER Proposed Building Use Building, Inspector /V No. 30, -%e - Date ce�-,Z At time of permit application, I was advised the following data must be,submitted prior to permit processing and/or issuance: 1, DATE RECEIVED BY 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, with wet signature on plans . ............. 5. Hazardous Material Form . ................ ............ 6. . Energy Design Compliance and supporting documentation . .................... Statement of Intent for Non -Heated and A/C Buildings. ..................... . _7. 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions;,2,sets . ........... 10. Fees of $ ....................................... . 11. Impact fees as shown on attached schedule ...................:........... . 12. California Department of Forestry plan approval/fees. ....................... . t%- Flood elevation letter (100 year floQd>rbvc,C8lifornia Engineer. ....... . Sanitation and plot plan approval 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: 1 18. Contact Land Development about (A) Improvements (B) Drainage. ........... 19. Driveway permit (construction approval required prior to occupancy). ... ' 20. Pre -inspection for required. .. oe i�ae; Inspector Date) ' (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. r 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 Old - and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ........................................ 32. Plan check list . .................................: . 33. 34. Whe ou issue the permit, Process as follows: Mail tQ goner. Mail to contractor. Telephone 7 - 2d3� and hold for at «'d Deliver pickup office. with inspector. Other Parcel Creation . ! `"Bate (0-1 Acreage Applica Copy of.Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date . Copy of plans sent Health Dept. Fire- Dept. Other Date By The following data must be submitted prior to a it issuance: (Circle new item not checked above). 1. Index;permit for above items No. 2. Additional items required: Contractor, designer, -owner, was advised of above required data by _ phone -mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone -mail ICounter by _ Date Plans checked by % Date Plans approved by 1 J1 a45 Date Sets of plans on hold in File cabinet AP folder. Copy - Department of Public Works TO: FROM: Building Department Environmental Health E.H. USE ONLY Plot Phn Attadwd 17- Floor PLn Attached Ai %9 Seat to B.D. `7-02-f SUBJECT: Sanitation Clearance em Owner Location AP# Plan Approved for: Sewage Disposal Water Su ply: Public Private Well Clearance for bedroom mobile home. Othe Hold final for: Final clearance O.K. for: NOTE: A Health R/91) 2 (4 Date N O.B.-1 •M•:• ....; :? 4..;:�.....:i�+�{c,.;ax:..':£�3?....:.7�;�{}..:..ak.::>:;.:!{{;::•::!•:::;:k,•>;:�:';c::i:•;?::2:;.;.';::.�>:k..a....•:�\���.�•:,cn'Y••:,;.: #-iv `•!i+°,s.�}, •' •'f" \�� :::�' ..f (2<k `:� .M k ;� c� is k ;c.}ti: :`�>.:;s � !�;! :< �; • :.: ^•::: `:.: �:. �::::::::::.v: 4:: •.�:: •. �::::::::::: v�. �: �:::::::: nv. �:::: v: v:::::: v:.�:.�:::::::::::::nom::::::::•:{•i\::•iw:: v:::: �... ........................................ J' :'nv. .....v ...... •...v...n...... n.v....., v..v .............. n....n..::::: ....... .......:v. �.�n•.......:::::::::v.....::. �:::::. �::: {�ff,..v:hvn•: Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. . Please complete and return ' this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed pr perty improvement: YESV] NO[ ]. 2. I HAVE] HAVE NOT[ ] signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide'the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNS 5 SOCIAL SECURITY NUMBER: DATE: L)U • . V� a NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified For 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 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: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 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. 0 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. 0 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 Division 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 secure an "ownerbuilder" building 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 their own 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. Sin^cerel r, ` 1 Michail C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER fO�Q i1MEly7 Q& o��r.T'0 Department of Public Works 0 0 County of Butte 0 0 J. Michael Crump, Director LAND DEVELOPMENT DIVISION O O 7 County Center Drive UN yWarner C. Phillips, ArSiftant Director Oroville. CA 95965 t/C,�e (530) 538-7266 (FAX) 538-7683 May 24, 2000 Terry Alldredge P.O. Box 57 Richvale, CA 95974 Re: Certificate of Merger, AP 038-180-027 & 031 Dear Mr. Alldredge: Enclosed please find a certified copy_ of the Certificate of Merger that was issued by the Butte County Department of Public Works and recorded on April 21, 2000, under Serial Number 2000-0014474, in the office of the Butte County Recorder. If you have any questions concerning this matter, please contact this office at (530) 538-7266, Monday through Friday, 8:00 a.m. to 4:00 P.M. Sincerely, Stuart Edell Manager, Land Development Division SE/kp Enclosure cc: Building Division Environmental Health Dept. Feeney Engineering A CERTIFICATE OF MERGER LANDS BEING MERGED: , AP NUMBER(S) SUBDMSION / PARCEL, MAP: � A to fLovI - R ACT SOB Q 1 V I S 1,03 Q®a BOOK QE hAd PAGE BLOCK-LOT(S) POP,-rtoM 01F Lan 34 X1- 35 BOOK PAGE BLOCK-LOT(S) As of the date_ of. recordation, _ - . a ; those lands noted above are merged to create o2 parcel(s) of land as described in Exhibit(s) A'& B attached hereto. MIKE CRUMP Director of Public Works APRIL 19, 2000 DATE OWNERS' CONSENT TO MERGER NATHAN P. HORN and KATHERINE E. HORN, husband and wife as joint tenants as owners of all that real property to be merged, do hereby consent and agree to the merger of such lands into that / those parcel(s) as described in Exhibit(s) A & B attached hereto. ALL SIGNATIR, SMUS TBENOTARIZEL)- S NATURE A11? r ,q,,1 P, f-loi2,✓ SIGNATURE fC�rHc�ac� Ls. N�2�✓ LD 1530 (1/98) /— Zy-- Qc) DATE l - DATE • .. .. IIII"III"IIII�III"III'I�III"�I AFTER RECORDING RETURN TO: { ! 2000-00 1 4474 Recorded I REC FEE 16.00 Butte County Public Works Official Records I CONFORM .00 LAND DEVELOPMENT DIVISION CoBUTy Of 7 County Center Drive CANDACEJ. GRUBBS I Oroville, CA 95965 Recorder ROSEMARY DICKSON I I i Assistant I Fay 12:02PM 21 -Apr -2000 I Page 1 of 4 CERTIFICATE OF MERGER LANDS BEING MERGED: , AP NUMBER(S) SUBDMSION / PARCEL, MAP: � A to fLovI - R ACT SOB Q 1 V I S 1,03 Q®a BOOK QE hAd PAGE BLOCK-LOT(S) POP,-rtoM 01F Lan 34 X1- 35 BOOK PAGE BLOCK-LOT(S) As of the date_ of. recordation, _ - . a ; those lands noted above are merged to create o2 parcel(s) of land as described in Exhibit(s) A'& B attached hereto. MIKE CRUMP Director of Public Works APRIL 19, 2000 DATE OWNERS' CONSENT TO MERGER NATHAN P. HORN and KATHERINE E. HORN, husband and wife as joint tenants as owners of all that real property to be merged, do hereby consent and agree to the merger of such lands into that / those parcel(s) as described in Exhibit(s) A & B attached hereto. ALL SIGNATIR, SMUS TBENOTARIZEL)- S NATURE A11? r ,q,,1 P, f-loi2,✓ SIGNATURE fC�rHc�ac� Ls. N�2�✓ LD 1530 (1/98) /— Zy-- Qc) DATE l - DATE CALIFORNIA ALL-PURPOR ACKNOWLEDGMENT State of County of On ;A I personally ORIAr ni C. Names) of signers) &rsonally known to me – OR – ❑ proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) i are bscribed to the ' hin instrument and acknowledge to me that be/ he xecuted the same in�Ity heir uthorized capacity les), and that by hist/he tnature(s) on the instrument the person(s), LESLIE A. FORTIER or the epon behalf of which the person(s) acted, Commission # 1170803 Z executed the instrument. zamycomm.Expires Notary Public- CalifxxrHa > Butte county WITNES m hand and official seal. Jan 2�, 20D2 y e UL Signature of Nota OPTIONAL Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached D°ment 1j6u�-I Title or Type of Document: Document Date: lac>d Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: 0 Individual Corporate Officer Title(s): Partner — ❑ Limited ❑ General Attorney -in -Fact Trustee - Guardian or Conservator Other: Signer Is Representing: RIGHT THUMBPRINT OF SIGNER of thumb here Signer's Name: e i Individual Corporate Officer Title(s): Partner — ❑ Limited ❑ General Attorney -in -Fact Trustee . Guardian or Conservator Other: Signer Is Representing RIGHT THUMBPRINT OF SIGNER 0 1994 National Notary Association • 8236 Remmet Ave., P.O. Box 7184 • Canoga Park, CA 91309.7184 Prod. No. 5907 Reorder: Call Toll -Free 1-800-876-6827 i DESCRIPTION PARCEL 1 Portions of Lots 34 and 35 as shown on that certain map entitled, "MAP OF HANLON TRACT, Subdivision No. 2", which map was recorded in the office of the Recorder of the County of Butte, State of California, on February 5, 1915, in Book 8 of Maps, at page 1, more particularly described as follows: COMMENCING at the Northwest corner of said Lot 34 and running thence South a distance of 25.00 feet to a point on the Southerly right of way line of White Drive and the TRUE POINT OF BEGINNING of the herein described parcel of land; Thence North 89°57'54" East, along said said Southerly right of way line, a distance of 936.21 feet; Thence, leaving said Southerly right of way line, South 15121'15" East a distance of 20.08 feet; Thence South 0'19'55" West a distance of 888.65 feet to a point on the Southerly line of said Lot 34; Thence South 89°5754" West, along said Southerly line, a distance of 936.38 feet to the Southwest corner of said Lot 34, being also the Southeast corner of said Lot 35; Thence continuing South 89°57'54" West, along the Southerly line of said Lot 35, a distance of 642.76 feet; Thence, leaving said Southerly line, North a distance of 690.20 feet, Thence North 8915754" East a distance of 300.00 feet; Thence North a distance of 217.80 feet to a point on said Southerly right of way line of White Drive; Thence North 89°5754" East, along said Southerly right of way line, a distance of 342.76 feet to the true point of beginning and containing 31.47 acres, more or less. I EXHIBIT A DESCRIPTION PARCEL 2 a A portions of Lot 35 as shown on that certain map entitled, "MAP OF HANLON TRACT, Subdivision No. 2", which reap was recorded in the office of the Recorder of the County of Butte, State of California, on February 5, 1915, in Book 8 of Maps, at page 1, more particularly described as•follows:" COMMENCING at the Northeast corner of said Lot 35 and running thence South a distance of 25.00 feet to a point on the Southerly right of way line of White Drive; Thence South 89°5754" West, along said Southerly right of way line, a distance of 242.76 feet to the TRUE POINT OF BEGINNING of the herein described parcel of land; Thence continuing South 89°5754" West, along said Southerly right of way line, a distance of 400.00 feet; Thence, leaving said Southerly right of way line, South a distance of 165.00 feet; Thence North 89°57'54" East a distance of 400.00 feet; Thence North a distance of 165.00 feet to the true point of beginning and containing 1.52 acres, more or less. Note: No residential development allowed on the westerly three hundred feet of this property. .)ATE MAY 18 2000 This is to certify that if bearing the purple seal of this office, this is a true copy of the document filed with the Butte County Recorder's Office Candace J. Grubbs Butte County Clerk -Recorder 0 I END OF DOCUMENT DESCRIPTION PARCEL 2 A portions of Lot 35 as shown on that certain map entitled, "MAP OF HANLON TRACT, Subdivision No. 2", which map was recorded in the office of the Recorder of the County of Butte, State of California, on February 5, 1915, in Book 8 of Maps, at page 1, more particularly described as follows: COMMENCING at the Northeast corner of said Lot 35 and running thence South a distance of 25.00 feet to a point on the Southerly right of way line of White Drive; Thence South 89°57'54" West, along said Southerly right of way line, a distance of 242.76 feet to the TRUE POINT OF BEGINNING of the herein described parcel of land; Thence continuing South 89°57'54" West, along said Southerly right of way line, a distance of 400.00 feet; Thence, leaving said Southerly right of way line, South a distance of 165.00 feet; Thence North 89°57'54" East a distance of 400.00 feet; Thence North a distance of 165.00 feet to the true point of beginning and containing 1.52 acres, more or less. Note: No residential development allowed on the westerly three hundred feet of this property. EXHIBIT B END OF DOCUMENT DESCRIPTION PARCEL l oo„its�`t' -s ,::,� Portions of Lots 34 and 35 as shown on that certain map entitled, "MAP OF HANLON TRACT, Subdivision No. 2", which map was recorded in the office of the Recorder of the County of Butte, State of California, on February 5, 1915, in Book 8 of Maps, at page 1, more particularly described as follows: COMMENCING at the Northwest comer of said Lot 34 and running thence South a distance of 25.00 feet to a point on the Southerly right of way line of White Drive and the TRUE POINT OF BEGINNING of the herein described parcel of land; Thence North 89°5754" East, along said said Southerly right of way line, a distance of 936.21 feet; Thence, leaving said Southerly right of way line, South 15°21'15" East a distance of 20.08 feet; 11 Thence South 0019'55" West a distance of 888.65 feet to a point on the Southerly line of said Lot 34; Thence South 8905754" West, along said Southerly line, a distance of 936.38 feet to the Southwest corner of said Lot 34, being also the Southeast comer of said Lot 35; Thence continuing South 89°5754" West, along the Southerly line of said Lot 35, a distance of 642.76 feet; Thence, leaving said Southerly line, North a distance of 690.20 feet; Thence North 89°5754" East a distance of 300.00 feet; Thence North a distance of 217.80 feet to a point on said Southerly right of way line of White Drive; , Thence North 89°5754" East, along said Southerly right of way line, a distance of 342.76 feet to the true point of beginning and containing 31.47 acres, more or less. Pz�;3 1101 EXHIBIT A CALIFORNIA ALL-PURPOSI ACKNOWLEDGMENT State of l LII 4-,r 111 CA_ County of :.tA 2 On before me, F v r* W*641(�, Date Name and Title of Ot%er (e.g..'Jane Doe, Notary Pubile. personally appeared U h tnrt fl O 1994 National Notary Association - 8238 Remmel Ave., P.O. Box 7184 • Canoga Park, CA 91309.7184 Prod. No. 5907 Reorder. Call TdLFree 1.800.878.6827 Name(s) of Signer(s) -�— �&rsonally known to me – OR – ❑ proved to me on the basis of satisfactory evidence to be the person(s) �� __ whose name(s) is ire bscribed to the - in instrument and acknowledge to me that ire/ hey xecuted the same in . her heir uthorized capacity les), and that by hisfk�e their ignature(s) on the instrument the person(s), LESLIE A. fORTIER 1 Commission;} 1170803 = or the a )ty upon behalf of which the person(s) acted, executed the instrument. -� Notary Pubfic -Calif Orr9C1 f Butte county MY Comm. Expires Jan 24,2002 WITNESS m hand and official seal. r 1 Y \ SipnaNre o1 Not OPTIONAL Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached D ument Title or Type of Document:'' I ► 7 �CG� �C �7 ��k' i Document Date: 11'__A:> 1100 Number of Pages: Signer(s) Other Than Named Above: Capacity(les) Claimed by Signer Signer(s) � C, RK, c� o Signer's Name: Signer's Name: u ❑ Individual ❑ Individual L G� ❑Corporate Officer ❑Corporate Officer Title(s): Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Partner — 0 Limited n General ❑ Attomey-in-Fact ❑ Attomey-in-Fact ❑ Trustee ❑ Trustee ❑ Guardian or,Conservator7thumb U Guardian or Conservator ❑ Other: ❑ Other: Top of thumb here Signer Is Representing: Signer Is Representing: O 1994 National Notary Association - 8238 Remmel Ave., P.O. Box 7184 • Canoga Park, CA 91309.7184 Prod. No. 5907 Reorder. Call TdLFree 1.800.878.6827 v Lf Mnllvl Glvl yr VLv ��vrv�i.v�.v �.+ 7 COUNTY CENTER DRIVE - OROVILLE. CALIFORNIA 95965.3397 TELEPHONE: 19161 538-7541 FAX: (916) 538-2140 6/16/97 NATHAN HORN RE: Building Permit #96-1281 2167 WHITE DR Expiration Date: 7/9/97 DURHAM, CA 95938 A. P. # 038-180-031 With reference to the above subject, our records indicate that your building permit expires on the above date and your permit falls into the category marked below: [ ] Permit work started, but not completed. Permit may be renewed for 1/2 the original building permit fee (plus a $20.00 filing fee). The renewal permit will extend the building permit for an additional year from the original expiration date. Should you not renew your permit within 30 days of the expiration date, all work must cease until a new building permit has been issued. For your convenience, we are enclosing a renewal application form and owner -builder form to be completed and signed by you where indicated and returned to this office together with the fee shown. Please return all copies of the application form. LCX] No inspections have been made on permit work. Inspections are required to verify code compliance. We are unable to renew a permit where the work has not been started and inspected prior to permit expiration. After expiration of your permit, no work may be started until a new permit has been issued. If our records are in error or should you have any questions concerning this matter, please contact theC�TC0 office. Thank you -for your prompt attention concerning this matter. Yours very truly, Michlael C.f Vieira, C.B.O. MCV:ahb Manager, Building Inspection Attachments Chico office - 1469 Humboldt Rd/891-2,751.._ BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMEN SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT r PERMIT NO. 93-/,ff3 Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. _ _ ,r1 Z . ZONING OWNER n H A 1114 J: I A / PHONE No, g 2— D OWNER'S ADDRESS � LOCATION OF BUILDING f Z){L Z) (,PL- N /4 I/M WHITE IZOX aS �� o USE OF BUILDIN ?A,•-� p,5 fi n f fA t A/ bou -� I (/ 1�(�Y1 (D P SIZE OF STRUCTURE -Z--( ' X O. FT. TYPE OF CONSTRUCT N: WOOD FRAME STEEL CONCRETE OTHER(Specify) TYPE OF SIDING ��� / ROOF COVERINA � _ FLOOR TYPE.,, ESTIMAOST F CONSTRUCTION RUCTION '_�t AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows:i FRONT SIDES 2 1 REAR 2 s AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date jC� -) - q3 Signature of Permit Fee - $60.00 .p Receipt No. The above described AG Building is exempt from a building permit. Manager Building Division By Date 16k 9S White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant FLOG PARCEL P.D. R F G rlSSUE r Manager Building Division By Date 16k 9S White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant 4 COUNTYOF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICE$- UI DING DIVISION -7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 r PERMITAPPLICATION DATA SHEET OWNER Proposed Building Use 42 J4V o y. Building Inspector Date 119�1 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, with wet signature on plans . ............. 5. Hazardous Material Form . .......................... 1!, 6. Energy Design Compliance and supporting documentation. ................ . 7. Statement of Intent for Non -Heated and A/C Buildings. ..... r ................ 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ .................... ................... . 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 . ................. . 14. Sanitation and plot plan approval 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). .......e�;o�,�qu---- 20. Pre -inspection for required. . 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 . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33._- 34. When you issue the permit, process as follows: G® Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Ap ica Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance 1. Index permit for above items No. 2. Additional items required: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works -J -2D -k% 744 v //0 1/1C PERMIT NO. .231-89B,P,E,M -2 Z20 PERMIT EXPIRES OWNER' NATHAN HORN JU�tl 1 k CONTR owner PAJ /,rZO., ASSESSOR PARCEL 38-18-24port LOCATION 2167 White Ave, Chico 4/ C. Temp. Power Pole Called PG&E V Elec. Service :2 Called PG&E Gas Service Called PG&E JOB FINALED (Date) Signature r s 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: 8i2-6307 CORRECTION. NOTICE 9 3) -`KC' OWNER PERMIT N0. A rou`ine 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 inatter, or need additional explanation, please contact this office immediately. "at_ bis GitM Vis...: �► f _ � N. WIN nr�f' ei3�� c s f. r;c a , Inspector I /.1CJ�' �' ✓ t Date 1� COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 871-6307 ' CORRECTION NOTICE OWN 3j' 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 Tatter, or need additional explanation, please contact this office immediately. ✓ �Q n� Inspector I /,(%M Date I COUNTY OF BUTTE + DEPARTMENT OF PUBLIC WORKS ; 196 Morial Way, Chico — Phone: 891-2751 - 7 -County Cementer Drive, Oroville -- Phone: 538-7541 - 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE VNER PERMIT NC 4 A routine inspection indicates that the following violations ��t{,,�0��ounty, Ordinance exist a the above address and should be corrected. Pleas�riotify this office when orrection of work is completed. If you have any gj*stion pertaining to this m er, or need additional explanation, please colect this office immediately.; Inspector Date ? Gn+'V"-x'rrJ-r.M{/:V.��Y...=...w..s..._..�K.w�.-�-.�.-.t.�r.1•Vti-r;.. ��,'vr.. 1 .. t. -. �, ...-rP-+v4 ^t,• . COUNTY OF BUTTE `�. DEPARTMENT OF PUBLIC WORKS 196 Memorial Way?Chico — Phone: 891-2751 ,✓ 7 County Center Drive, Oroville - Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE T NO. A routine inspection indicates that the following violations of County Ordinance exist at a above address and should be corrected. Please notify this office when orrection of work is completed. If you have any question pertaining to this mat r, or need /additional explanation, please contact this office immediately. ' �J r L Z;01 W '/-� if// 7- s nor Inspector Date .--y.-.--•--a. v.r—r...-n-.-....+� _ r.�^r.r-.s.--w. r•.v-q„n/•,ra •.., �-H.,�,��'- •,�(,,..., ..,�.r -s.r-iYf•sr-y �...,,r. .:.�' ` COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 / 7 County Center Drive, OroviIle Phone: 538-754& -� 747 Elliott Road, Paradise— Phone: 872-6307 Z CORRECTION NOTICE 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 corr ion of work is completed. If you have any question pertaining to this matter r need additional explanation, please contact this office immediately. • h k Inspector f Date_ COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico —Phone: 891-2751 f• 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE VNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, r need additional explanation, please contact this office immediately. eJ O� 10, ' U ` c%D "'— / C" v'l _z C_ is r . Ins C= Date_'.,yl� r COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS ti. 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, OroviIle— Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 r CORRECTION NOTICE op OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this ma ter, or need additional explanation, please contact this office immediately. rizz At « f ; Inspector Da Owner: NATHAN HORN Permit No. ENERGY CERT I F I C A T I 0 N 2167 White Drive -Durham LOCATION A.P. No. DESCRIPTION OF INSULATION ROOF Material Thickness(inches). EXTERIOR WAIL Material Fiberglass Thickness (inches)_ a � CEILING Batt or Blanket Type RATTR Thickness(inches) 12" Loose Fill Type FIBERGLASS Minimum Thicknesl(Inches) i Area covered(ft. ) FLOOR, ELEVATED Material Fiberglass Thickness(inches) FLOOR, SLAB Material Thickness(inches) Width(inches) FOUNDATION WALL Material Thickness (inclies) Brand Name Thermal Resistance (R Value)___. Brand Name r Certainteed Thermal Resistance(R Value)1 Brand Name Certainteed Thermal Resistance(R Value)38 Brand Name Certainteed Number of Bags Wt. per bag _lb. Thermal Resistance(R Value) 38 _ Brand Name Certainteed 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 wita.the State of California Energy Requirements. Shasta Insulation FIRM '/(XIhER SIGNATURE OF INSTALLATION APPLICATOR # 530235 STATE CONTRACTOR'S LICENSE NO. DATE I hereby certify the above insulation and all required items as shown on the Building Department approved Plaits and attachments have been installed as required by the State of California Energy Requirements. All equipment, devices and materials arc of tlu duality prescribed or are specifically approved I,y the State of California. FIRM NAME/OWKER (Please print) SIGNATURE OF GENERAL CONTRACTOR 04= STATE CONTRACTOR'S LICENSE NO. THIS CERTIMATE MUST BE ON FILE WITH THE BUILDING DEPArnawr tQtna Tn e.ra• IA Nathan Horn 9353 Holland Avenue Durham, CA 95938 Dear Mr. Horn: lutte countq�✓ J { ' .. L A N D O F N A T U R A L W E A L T H A N D B E A U T Y DEPARTMENT OF PUBLIC WORKS WILLIAM (Bill) CHEFF, Director 7 COUNTY CENTER DRIVE ; OROVILLE, CALIFORNIA 95965 Telephone: (916) 538-7541 January 19, 1990 RONALD D. McELROY Deputy Director RE: Building Permit No. 231-89 Expiration Date: 2-22-90 (A.P. No. 38-18-26 ) With reference to the above subject, our records indicate that your Building Permit expires on the above date. Building permits are valid for one year and should construction be started but not completed by the expiration date of the permit, the permit shall be renewed for 1/2 the original Building. Permit fee (plus a $10.00 -"Filing Fee"). The renewal permit will extend the Building Permit for an additional year from the original expiration date. Should you not renew your permit in a timely manner, it cannot be renewed and all work must cease until a new building permit is issued. If your construction is completed or should you have any questions concerning this matter, please contact the Chico office. For your convenience we are enclosing a renewal application form and an owner -builder form to be completed and signed by.you where indicated and returned to this office together with the fee shown. Please return all copies of the application form. Thank you for your prompt attention concerning this matter. JFG:ahb Attachments: Permit Application Owner -Builder Information Owner=Builder Verification cc: Building Inspector - Chico Yours very truly, William Cheff Director of Public Work J.F. Glander Chief Building Inspector Chico - 196 Memorial Way/891-2751 Paradise -*747 Elliott Road/872-6307 t - = OK .A = Not OK =otReaable NdyMOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch ,3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / P'L"ft. / /"Nat. or/ /"L"ft./ P'LPG 7. Utility Clearance Card -131 Date Card -61 Date Card -131 Date Card -B1 Date BILEHOME INSTALLATION PI OK t #' 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; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date MO ( ans) excep s 1. Zoning Requirements -Setbacks -Easements Card -131 Date Card -131 Date 2. Footings; Size -Spacing -Marriage Line Card -131 Date Card -61 Date 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s 5. Drain; MH Test -Fall -Flex Connector 1. Setbacks -Easements 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability 7. Water and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - 8. Gas and Electricity Tagged Dead Men -Lining 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater Card -B1 Date Card -61 Date 8. Elec.; Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit Card -81 Date Card -131 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -131 Date Card -131 Date Card -131 Date Card -61 Date OKE:. 0=Not& - Not Appiitable Not Ready RESIDENTIAL (Single and Duplex) Date UNP (PI s) OK except #'s 66�,d 4- 6 Date FRAMING (Continued) .2FLOOR oning-S -c - - ' angers -Post Caps -Anchors -Connectors . Ftg., Main; s- el-Ele rnd.-//g /" Ftg. Depth C4Ing.J&959_ftr!-4#44ss-S g. Rfn L -Ft -g., Garage; Ftg. Depth 4,7 . ireplace Ties ora -Fireplace Throat CI nce _ 4 tg., Porches & Decks; Soils -Steel- /"Ftg. Depth j!LgAtji ccess; Size & Romex Protection -Draft Stop- s. ieSfemwalls, Main; -Bio s-WFepMd dr indows or Exiting Doors -Sill Hgt. & Dimensions em ails, Garage; SXerelBlo s-VdrapVred arage Fire Protection Framing lab; 6teei-Vlfreryrye�- o�c ings . Piers -F' x . Doors -One T -Check Garage -3rd story, 2 exits Fall-Fittings-Test-2 way C/O-S�Te �( tair ; Width -Headroom -Rise -Run -Landing- e n /p Pipe; Size -Anchors ywood on Roof Overhang -Attic Vents -Rafter Outriggers ater W, Tesf-AVI;Krs-Reg4iatoE!��di e 12 lectric; Underground A 7- L -F -Uncle cess 40��[ d I'qR6ms & Ducts; Clearance-Material-Supprt-Ins. lazing Area -Glass P tection-Skylights-Plastic Cts// irders- -An - ORK_�_ Ales ((� her Walls; -Bolts 15AOsulation nsulation-Watts-etg--' .L i tration- I a"s Card -B1 Dat Card -131 Date 7 Card -131 Da Card -131 Date Card -131 Dat and -B1 Dae , ' Card -131 Da Card -131 Date Date P ' ater Ht. Access-CombusgawAi B Date L Plans) OK except #'s ater Pipe; Test & Anchors -Nail Protection. Ext ep oor & Sidelight Protection -Landings %1 - Test-Fttngs & Anchors -Nail Protection etector 7— 1 ower; T , 'rst Floor -Tub Accessgrnace; Vents-Clearangpe`r-omb. Air -Co ctor- In rage; Above Fle6r-Ducts-Mech. Ffotection est Tub & hower, 2nd Floor -Tub Access 21.Ges-15ipe; Size & Anchors a om Exiting 6 . F.I-&-Bath Fi res & Tu ccess-Spa ec. Trim & Subpanel; Breaker Sizes -Labels Card -B1 Dat/ ,,i/_?,61!Carcl-131 Date 7. Stai Card -81 Datp(_77,4Card-B1 Date ireplace or Sto leara -Hea 6 c. Outlets at W nel; Int. & Ext. Date ELE RICAL (Permit) OK except #'s 22'. Fixture & Transformer Clearance -Ins. Protection 7 it. Fixt. & Appliance; Gr - it Gap -C learance lec. Outlets & Recep at Kit. nt 6o—tom% ec. Receptacles Spacing -Lights & Switches at Doors 2. Gar!ire Door; Swing- Land in r e Boxes & No. of Conductors -Stapled 7 . Duct in Garage -Damper omex Installed Close to Edge of Studs & C.J. 2 Equi. Ground made up w/Mech. Fasteners -Bond Gas &Water Wtr. Htr.; Vents -Clearance- -Connector-P.R.V.- In Garage,; Above Flo - Pr c i S-} A pliance Circuts in Kitchen & Conductor Size/G.F.I. 75 ec. &Mech. Equip. Li or Location ub Wire Size / ' / ga. 9w 0r Wire Size /ga. I Cu orr AAl 7 . Receptacles in G e; (G.F.I.)-Romex Protec. ange Circ. / 61 ga.u�r-Ad-Oven Circ. / / ga. Cu or Al. Insulated Neutral Yps____ No 7. Insular Foam- Looked in Attic gfe_ 78. G rd Rails & Deck Construction-PoerCaps 30. S rvice-Riser Cond ctors & Go;�nrrd-Main Disconnect 79. Fdn. Vents & Crawl Hole Door -Drainage ood-Earth Cle ce Looked under Floor es quip. lear s anels- Motors- Mech. Equip. olioWng instld.; Drive es ❑ No; Walks o Yes U-Nep- P ers D Yes o I - ht ;2.�noke Detector Stucco'. Brown -Finish Card -81 Date f_ . arcl-B1 Date 8 . Unit Disconnect, Ele lumbing Card -B1 ,�, Dat L7� �ard-B1 Date is A e Roo Pj� .-Appliance-Firepl.-Clearance to pe s. I i I/e +' Date MECH ICAL (Permit) OK except #'s We4ater Well; Disconnect, Electrical, Plumbing Ducts Insulation & Support 85. Ext ' Elec. Trim; G. ceptacle-Underground ent Fan; Exhaust above insulation 66-1rentqAtidn throughout House densate Drain & Overflow; Size & Gr de 8 as otection L7 Furnace -Vent; Access -Comb. Air a it Vent -115 outlet orrectiom from Previous Inpections tti Platform ace in Attic 1 89. es -Meters Tagged; Gas -Electric 0� . W & Sewer Connected -C/O to Grade -HD Approval nergy Compliance Certificate -Other Certificates Card -131 DateCard-81 Date Card -131 Datg!_ J1f Card -B1 Date Card -81 U13 Date /a Card -131 Date Date FRAMING (Plans) OK except #'s Card -81 (,-C,Dateq-a),grj Card -B1 Date s, Proper Material &Anchors Card -B1 Date Card -B1 .Date 44 -'Walls Studs -Nailing, Spacing & Bracing—Plates-Sound Comments at Final: aring Walls over Girders & Floor Nailing 4 . raft Stop in Walls (rat proof) . Fire Stops; Furred Ceilings-Stai Chases -Tub lip eader & E -3ft%& eakft (NOTE: An entry must be made each time you visit job site) i J COUNTY OF BUTTE - DEPAATMfNT OF PUBLIC WORKS MIT N 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-754 /q� . APPLICATION AND PERMIT ASSESSOR P=v,REEL NUMBER _ �� ,^ ZOj2'1 (1r'. Y /PHHONNE BUILDING PERMIT OWNERp�f SO. FT. OCC. BUILDING VA UATION OWN 'S MAILING ADD S Q� �1 V CONTRACTO 'SNA ETELEPHONE CONTRACTOR'S MAILING ADDRESS / �J Fireplace 40r CONS UCTION LENDER G UNKNOWN J Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee ; � PLUMBING PERMIT FilingFee 10.00 1197/ Each Trap 2.00 Solar or heat pump water heater 20.00 - LOT NO. SUBDIVISION NAME PARCEL MAP Water piping ,5,00 Each qas water heater or vent 5,00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 SFK Duplex❑ Mobilehome❑ Other Building sewer 5.00 ,�j SPECIFY Mobile Home S G W O.00ea TYPE OF WORK NeWA Addition[] Remodel❑ tiIities❑ Installation[] Other ❑ Permit Fee $ Describe work: i_!� ! Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100v OR LESS 100 AMP OR LESS 10•00 O Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW NEW CONST. DWELLING OCCUP.y` OR ADDNS. / , /Z0sgft I declare under penalty of perjury (check one): ACC. BLDGS. NEWCONSTR U TI.OUTLE ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Buslnes$ NON.R ESID .BRA CH CIRC POWER APPARATUS tr 2.50 ea and Professions Code and my license is in full force and effect. SINGLE OUTLET CIR. - License No. Classification Ex. OCcU OUTLETS OR FIXTURES P 200506 eALOSo as the owner, or my employees with wages as their sole compen- FIXED ALISIS Ex. Occup. OUTLETS P(RESID.)REA.) 2.00 sation, will do the work,and the structure is not intended or offered Temporary service 10.00 for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ontract- Mobile Home Facilities 15.00 ' ors. ors.(Sec. 7044) Misc. Wiring 9 15.00 ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT Filing Fee 10.00 ❑ The permit is for $100.00 (valuation) or less. Heating1&00",0 - ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. Cooling g (—LI-Iishali not employ any person in any manner so as to become subject k Hood 3,00 to the W. C. laws of California. Ventilation 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 Permit Fee ; provisions or this permit shall be deemed revoked. Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee $ N. is correct. 1 agree to comply to all County Ordinances and State Laws relating Energy Inspection Fee $ to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. TOTAL PERMIT FEE , 1 also agree to save, indemnify and keep harmless the County of Butte against ocCUP, CON 9T.TYPC FLo qS PARCEL PD N 39 all liabilities, judgments, costs, and expenses which may in any way accrue Jsc�� (\—"jJV/ against said County in co�quence of the granting of this permit. Date �� , This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do Signature of Applicant — Owner Contractor ❑ Agent ❑ work indicated above for which fees have been paid. An OSHA permit is required for exca a Ions over 5'0" deep and demolition o o r t ion of structures over 3 stories in he DIRECTOR OF PUBLIC WORKS Receipt No. �.S ti By ate 41z WHITE-D.P.W.. YELLOW -ASSESSOR, R -INSPECTOR• aOL ENROD-AP L CALQ CHI PER EXPIRES Date 'Z -'L-- 'O _J .. a r ar fay TO Buildinv Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal Hold final for: Final clearance O.R. for: Clearance for _ bedroom mobil ho Other NOTE * * * Water Supply Water Supply Water Supply ,/2 '� Sanitarian Date e6ilding Department FROM: Encroachment Permit Section RE: 'Dii:veway Clearance AR owner location AP # Driveway permit V 9 DDy/ 67 nu b �Lad�n sign re has been issued for the above property. date - +'.'r- o�:mn*+�visti"•W,.3 'f •' • i'-,. 1",p1�^ If 1 COUNTY OF BUTTE - DEPARTMENT?,OF—PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 r, PERMIT APPUCATIQN DATA SHEET -- Permit __,. ---� - . r - Permit No. �I OWNER A. P. No. Proposed Building Use /1�'S- Sdo Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... j 2. Plot plans in duplicate/triplicate, sign preparer of plans........ - 3. Complete plans In upIicate/tripl1Cate, signed by preparer of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Energy Design Compliance and supporting documentation.......... 6. Statement of Intent for Non -Heated and AC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions....................................................... 9. Fees of $ .......................... 10. Chico Urban Area fees paid ........................................ 11. Park fees aid 2�V�P - School District fees paid ................. �3. Sanitation approval from��e Health Department 14. City of Chico plumbing.. permit ..................................... . 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: ......... �17. Improvements may be required. 18. Driveway permit (construction approval required prior to occupancy) ... 19. Pre -Ins ection for re Ulred .. , , Pre-Inspec. r quest to p q . • Building Inspector Date) 20. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance .................... 22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ........ 23. Recorded copy of Agricultural Acknowledgment Statement ..,........... �24. Letter of signature authorization ..................................... 25. 7- 26. you issue theer pit, proses as follows: Mail to owner. Mail to contractor. Telephone and hold for picku at �Qoffice. Deliver w/inspector., M Other 1�% M" Applicarit'��//f/�fi Date 11� Copy of plans sent Health Dept., Fire Dept,, Other Date The following data must be submitted 1. Index permit for above items N 2. Additional items required: it issuance: (Circle new item not checked above). J. :+ oe designer, owner, was advised of above required data b y_ph 9 q one�nall counter by date 2' Contractor, desl Contractor, designer, owner, Plans checked by Copy—DPW advised of above required data by—phone—mall)P—Date r by date Date Plans approved by 2 s'of plans on h'ol in k�__File cabinet , r P folder BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One Form per Building) A.P. Number Building Department No.��� School District City Q County QrJurisdiction Property Owner 11944 j t,,n 4k,-.4 Project Location/Address W/jij� Subdivision Lot Number 0013112.0 Residential Development: [�fr Sq. Footage # of Living MHI Addition (Group R) Units Commercial/Industrial: Sq. Footage New Addition (Including Exterior Roofed Areas) Building Department Rem esentative Date ******************************************************************* District Id No. / V70 School District certifies that /%i,1h1il? Alar1) X13 (Applicant Name) (Phone Number) Az(Street Address) Ll,o 9�-y�do' (City) (State) (Zip Code) has complied with the requirements of Resolution No. ,P%a_� by the payment of $ representing 3oAD square feet. School District Representative PAID BY CHECK NO._ / BANK NO 90 PAID BY CASH REMARKS: Date i white -applicant, yellow -building department, pink -school district SCHOOL . FEE (5/88) COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: . An 'owner -builder" building permit has been applied for.in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no)_. 2. I (have/have not) ��, ¢� signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction:' Name lig%. vin IA.h Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name 1 / r LG vin 1A, r-\ Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address \ \\ Phone Type of Work tY�rarl�. I�.nran P_c �.�cA- (2X l -:Iq -)-) 0ay7 VraminC� Signed: Property Owner Social Security Number Date 1- � o -2'q NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. _1 �, � j � � �Y A 1��2\ � ra �, -e � Lv � � � _ � �- V � �e � � �� i n C,Q V�s� r � c�; � �n � Lv e� � e_ � e yr � � ed Vv��. r inti �,-� � � �' o r�, �� �e,��e c� . '�� .-. -� t /URrfiAN. f1o�QN . ail Exp. � �CIV11. _ate/ /(o, O. �s� sum 219 o y(�eAppitl to r �/© �� •---_ _ �rii = �•` G �� = �2� - /� 5 (4.4 o.5� -- - -- - /yf4M i -- -- - __ S z��• q .� o) 214(/,728„ / y3os _964 5 Zj" 7. 7va-� aS`y� 2 oc 2 I•. .S ���/� 2 � ¢�, ,728 _ - .� as .T OWNER #0 r Q GENERAL RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX & MISC. ONLY) Bldg. Permit # A.P. # oning requirements: (sideyards and number of permitted living units). �aluation. 3 Plans signed by designer.. Q Energy Design and Compliance. 5. Existing violations on property. PLOT PLAN Complete parcel size and dimensions. ssetbacks, sideyards, easements, etc. Other buildings or structures. 41 ---Grading, fills, drainage. %. lood hazard. 6-1 Special conditions on creation map or compliance document. 7/85 FLOOR PLAN 1✓. Complete to scale plan with dimensions. "quired windows for light and ventilation (Sec. 1205). lel Required windows for second exit (Sec. 1204). �S'Fyy'lights (Chapter 34 & Sec . 5207) . �uman impact glass (Sec. 5406). 6'. Required room sizes, ceiling heights (Sec. 1207). V/ G.F.C.I.'s in baths, garage and exterior outlets (Article 210-8). Light fixtures, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. Locations of water he3eer, heating and cooling equipment, other electrical or gas equipment, and plumbing fixtures. ,,/equipment, firewall, door size, and closer (Sec. 503(d)(3)). fireplace 3'0" exterior exit door (Sec. 3304(e)). and wood stove location. 1$ Smoke detectors (Sec. 1210). STRUCTURAL DETAILS Y. Foundation plan complete enough:to construct building. Floor construction details complete enough.to construct building. Elevations and wall construction details complete enough to construct building. 4. Roof construction details complete enough to construct building. ��'ireplace construction details and calcs if necessary. Sufficient data and details to satisfy energy requirements (State Law) (Form 1). MISCELLANEOUS ITEMS TO LOOK OUT FOR V- Exposure I plywood on exposed locations and overhangs. Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306). ;! Guardrail details (Sec. 1711 & 3306(j)). 4.e*"'Brick or stone veneer (Chapter 30). -5 Exterior plaster - weep screeds (Sec. 4706). 6� Proper roof pitch for roof covering (Chapter 32). CD Rafter ties or bearing ridge beam. RESIDENTIAL PLAN CHECKING GUIDE (CONT'D) MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONT'D) 3 /Garage door or porch header sizes. livindequate bracing. g area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. --H----Two exits on three-story dwellings (Sec. 3303 & see Mezannines 1716). 1B� Attic access and ventilation (Sec. 3205). 19! Underfloor access and ventilation (Sec. 2516). 14V' --Wood stoves, clearances, alcoves & 1 -hour shafts. 11/� Combustion air for fuel burning appliances. 16 -,--Noise requirements on duplexes. L�--�rdobe soils - special foundation design. +d ---'Retaining walls requiring design. '19 Unusual shape, size or split level house requiring lateral design. I►1H . &wvaa 7 G �4 for s 1 —le v t nro Z '�-�--��v-- c..w, CAA ro so� 7/85 c_ A- L a •o A'�' tui N, Return t.o DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTTAL DEVELOPMENT 9. set/i.on 26-8. L of: the Butte County Code requires Lhis acknowledgement be recorded prior to issuance of a building permit. The property described herein is adjacent JAN 3 � 1999 to land or included within an area zoned for agricul.Lura.l purposes, and residents of this property may be subject to :incon- veniences or discomfort aris-ing from the USC of ;:igriculLUral chemicals, including, 89-00344 I but not. Limited to herbicides, pesticides, ;anti Cert. i.l. i vers; and from the pursuit of'agricultural- operations including, but. not. limi Led to cultivation, plowing, NOTCOMPAR'EbMH spraying, pruning, and harvesting which 0R4G4NALD0CUMW1_T occasionally generate dust, smoke, noise, and odor. Butte County has estah.lishrd ;igricfnl Lural zones which have as a priority use for productive agriculLural purposes, .Ind rrsidc,ii:; within said zones and on adjacent property should be prepared to accept such i nc-unVe•u i (,1Icc• or disconform .from normal, necessary .farm operations. AL1 that real property situate in the County of Butte, State of: California, dcs-crihcd ;Is follows: ZJ_R� G�a41,11 GENERAL ACKNOWLEDGMENT i State of California 1 SS. County of Butte OFFICIAL stAL I YNDA CLINE NOTARY PUILIC — rj UMMa i Covirm of BYT:e Conm Esp. Fob. 18, 1990 7110122 PROPERTY OWNERS: NO. 201 On this the 27th day of January 1989 , before me, Lynda Cline the undersigned Notary Public, personally appeared Nathan P. Horn and Katherine E. Horn , 6d personally known to me ❑ proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) are subscribed to the within instrument, and acknowledged that they executed it. WITNESS my hand and official seal. Notary's Signature r NATIONAL NOTARY ASSOCIATION • 23012 Ventura Blvd. • P.O. Sm 4826 • Woodland Hills, CA 91384 The land referred to herein is described as follows All that certain real property situate in the County of Butte, State of California, described as follows: Lots 34 and 35, as shown on that certain Map entitled, "MAP OF HANLON TRACT, SUBDIVISION NO. 21', which Map was recorded in the Office of the Recorder of the County of Butte, State of California, on February 5, 1915 in Book 8 of Maps, at page 1. EXCEPTING FROM said Lot 35 that portion thereof particularly described as follows: BEFNNING �at the Northwest corner of the said Lot 35, running thence North 89 09' East along the North line of said Lot, 266 feet; running thence South 0° 51' East parallel to the West line of said Lot, 933 feet; running thence South 89° 09' West along the South line of the said Lot, 266 feet to the Southwest corner thereof; running thence North 0 51' West .along the West line of the saidLot to the point of beginning. ALSO EXCEPTING a right of way for public road over the North 25 feet of said Lot 34 and the North 25 feet of that portion of said Lot 35 as herein described. ALSO EXCEPTING FROM said Lot 34 that portion thereof, particularly described as follows: BEGINNING at the point of intersection of the centerline of White Drive and the Southwesterly edge line of U.S. Highway 99E; thence Westerly and parallel with the centerline of White Drive, a distance of 140.00 feet; thence Southeasterly parallel with the Southwesterly edge line of said U.S. Highway 99E a distance of 273.98 feet; thence Easterly parallel with the centerline of White Drive, a distance of 140.00 feet to a point in the Southwest edge line of said Highway 99E; thence Northwesterly along the Southwesterly edge line of said Highway 99E a distance of 273.98 feet to the point of beginning. ALSO EXCEPTING THEREFROM all minerals, oil, gas, asphaltum and other hydrocarbon substances, with the provision that any and all mining operations shall be done from orifices outside the surface area'of the land described herein, and that no damage shall be done to the surface of said land, as excepted in deed from Kermit E. Pope, et ux, to Kenneth E. Lane, et ux, recorded August 26, 1983 in Book 2859 of Butte County Official Records, at page 249. } ,f Certificate of,Compliance: Residential e 1 of 2)'.' r (fig' CF -IR •' N Project Title Date ti � • `. •'•• i u Project Address Building permit 0 Documentation Author Telephone I I Checked By / Date Compliance Method (Pack ge, Point System or Computer) Climate Zone Enforcement Agency Use Only GENERAL INFORMATION Total Conditioned Floor Area: 23 2 Co ft2 Building Type: Single Family Hotel/Motel (check one or more) Multi -Family (less than 4 stories) Addition Multi -Family (4 or more stories) Existing -Plus -Addition Front Entry Orientation: NortEast /South /West /.All . Orientations (circle one or more) Numbcr of Dwelling Unihts: I Floor Construction Type: Slab Raised Floo (circle one or both) Infiltration Control: Standar fight (circle one) BUILDING SHELL INSULATION - Component Insulation Location/Comments -TR-Value (attic, to garage, typical, etc.) Wall .............. • - I l `Wall .............. Roof - ............. o Roof ............. Floor ............. Floor ............. Slab Edge ..... GLAZING Shading Devices Glazing Arca Glass Type Interior Exterior Overhang Framing Type Orientation (SO (singledouble)�er m ) (shadescreen etc) (ye /no) (metal/wooer Front.... �OLL52 IyQ �Ti4t_ Front.... ( ) Left...... (E) 4 biC L 1ZO L t: Vk, Left...... ( ) Rear..... (S) 1 ND •'D T3 L oL (_Ert-- 'L M e rat_ Rear..... (5) �j I D13 13 �` d � L E � 21-0 n MG-cAt_. Right.... ( ) W Right.... () 1 I _ I Q i�L tr c. �t � ► c0 Skylight....... Skylight....... THERMAL MASS Typc/Covering Area Thickness (slab/exposed.tile, etc.) (so (inches) Location/Dcscription(kitchen bath etc.) _•Certificate of Compliance: Residential (Page 2 of 2) CF -IR Project Title a•: Date i :HVAC SYSTEMS j .. _ ....�.- Minimum Duct • Type (furnace, air Efficiency Location Duct Output Manufacturer/ Model # conditioner, heat pump) (SE, SEER,HSPF) (attic, etc.) R -Value (Btuh) (or approved equal) Maximum Furnace Heating Output: Btuh HOT WATER SYSTEMS Tank Manufacturer/Model # System Type (storage gas, etc.) Capacity (or approved equal) Special Feature(s) STv2�G q O 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; Chapter 2-53 and Title 20, Chapter 2, Subchapter 4, Article 1 of the Califoimia`Administrative code. This certificate has been signed by the individual with overall design responsibility and the building owner, who shall retain a copy of it and transmit the certificate to any subsequent purchaser of the building. When this certificate of compliance is submitted for a single building plan to be built in multiple orientations, all building conservation features which vary are indicated in the Special Features/Remarks section. DesignerBuilding Owner Name: r� 1' Name: jv1, Q, � f�[, d7 S 44 L1i-U►L N Title/Firm: Title/Firm- Address: Address: q S 99'?i U o L L Au h AVG • DUOL J•AM . CA Telephone: Telephone: Lic. #: (signature) (date) (signature) (date) Documentation Author Enforcement Agency Name: �. �. 4 , `>� jz IT2e Name: Titic/Finm• Agency: Address: R g Q G C B 7 't- LIN Tcicphoni:: A- 2 �* p LC OF CIA.- 61 Telephone: 1 41 - ) ' (signature) (date) (signature or stamp) (date) Form Revised March 1999 I .y BUILDING DATA Conditioned Floor Area z57 -c p Number of Stories '2_ Sla ised�Fioo�r ��a 1 L e r-.> f t..00nL Check all applicable Unit Type condition(s): (] Single Family Detached (SFD) [ ] Addition Alone [ ] Single Family Attached (SFA) [ J Existing Building [ J Multi -Family (MF) [ ] Existing -Plus -Addition SCORE CARD 1. Ceiling Insulation 2. Wail Insulation 3. Raised Floor Insulation 4. Slab Edge Insulation 5. Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) a. North b. East c. South d. West e. Skylight 8. Shading (Shade Closed) Measures Glass Area % Glass North S;3 2�2 East 4q 2.1 South 2'1I 11,5 West l l 0-q 7 Skylight _ r x Total = 7, 9-4, U -value Measures Sc Eff. % Glass .S O or 1 75 R -value x 0,77 11 -value ll or 8 97 R -value x 0,17- = U -value 1. or x R -value = 7, 9-4, U -value p. y 1 or y, L7— Ze. _ R -value. c. Skylight F2 factor Standard _01_ Type U -value % Total Glass % Glass Sc Eff. % Glass 2. Z7 x D. 77 = 1 75 z. 1 o x 0,77 0 , Z-2 I I•�S x 0.`17 = 8 97 6"41 x 0,17- = O 3 c. South 1 t• 4 j' x 9. Interior Thermal Mass 10. Exterior Wall Mass 11. Heating System Zonal Control? ( Y / N ) �A Interior 14cass/CFA HA Exterior Wall }lass $y x SE or 11SPF Duct Efficiency Effective SE or HSPF 12. Cooling System 41-S x = Zonal Control? ( Y / N) 'SEER Duct Efficiency Effective SEER 13. Water Heating S� Type Credit roan Revised March 1988 Point Scores +�5 -10 Point Total: —4 Sum I.6 +e' — Co. + Z Sum 7.10 S r% S % Glass SC Eff. % Glass a. Notch . Z. -0 x 0 , Z-2 = O , q01 - b. East 2. 10 x 6, ZZ- = O • `t 40 c. South 1 t• 4 j' x 0 L -L = 7, 9-4, d. West p. y 1 x y, L7— Ze. c. Skylight x _01_ 9. Interior Thermal Mass 10. Exterior Wall Mass 11. Heating System Zonal Control? ( Y / N ) �A Interior 14cass/CFA HA Exterior Wall }lass $y x SE or 11SPF Duct Efficiency Effective SE or HSPF 12. Cooling System 41-S x = Zonal Control? ( Y / N) 'SEER Duct Efficiency Effective SEER 13. Water Heating S� Type Credit roan Revised March 1988 Point Scores +�5 -10 Point Total: —4 Sum I.6 +e' — Co. + Z Sum 7.10 S r% S COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL N -U ER �i " L—mT- �'—�-�' P,3 s/'/ Ir -,ZI ZONING BUILDING PERMIT OWNER TELEPHONE $Q, FT. OCC.1 BUILDING VALUATION WN MAILIN q DRESS C NTRACTOR' NAME ' TELE HONE �. CO TRAC R'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Flling Fee $ 10.00 Permit Fee �� $ ARCHITECT OR ENGINEER LICENSE NO. Plan Check Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee § `, L PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 ,PARCEL Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME AP Water piping 5,00 Each qas water heater or vent 5,00 USE OF STRUCTURE SFX Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile. Home S 7GFW 10.00e TYPE OF WORK New Addition❑ Remodel[] Utilities❑ Installation❑ Other[] Describe work: 15 DGflf ' LQ% !"P✓(df/ — L Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 �T Main service000 OR LESS100 OR 10.00 ONTRACTORS LICENSE LAW I declare under pe I y of perjury (check one : El 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 El 1, i, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADD'L 100 AMP 2.50 NEW CONST. t DWELLING OCCUP. OR ADDNS. ( ACC. BLDGS. / , h2sgft NEW CONSTR. nULT "OUTLET NO N.R E SID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20050C 9 AL@ 30 APPLNS. OR EX. Occup. OUTLETS (RESIO.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ RKMEN'S COMPENSATION INSURANCE I declare under natty 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 oe'this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling r Hood 3,00 Ventilation permit Fee § Contractor I certify that I have read this application and state that the above information is correct. 1 agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. XThis Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST YPE TOTAL FEE $ v � HAZ CUA PARK SCHL FLD PAR PO Ho ISSUE permit is hereby issued under sions of the Butte County. Code and/or work indicated above for which fees DIRECTOR OF PUBLIC BY.....- - - --- - the applicable provi- resolutions to do have been paid. WORKS Date - Receipt No.I I Ken and Robin Lane RE: AP 38-18-24 P. 0. Box 494' Application for Determination Durham, CA 95938 Dear Mr. and Mrs. Lane: At the regulaf meeting of the Butte County Subdivision Violation Committee meeting held on December 21, 1988,.the committee granted Certificates of Compliance for two parcels on the above -referenced property.There are no,conditions. '*_�—� There is a fifteen -day appeal period before the certificates can be recorded but since you have already signed and returned the waiver waiving your right to appeal the committee's decision, we will go ahead and record your Certificates of Compliance. If you have any questions regarding this matter, please contact this office. Very truly yours, William Cheff Director of'Public Works JoMendonsa As istant Director JM/ds attachment cc: Planning Department Environmental Health Department Building Department x 6utte, oun g LAND OF NATURAL W E A L T H AND BEAUTY DEPARTMENT OF PUBLfC WQRKS WILLIAM (Bill) CHEFF, Director 7 COUNTY CENTER DRIVE - OROVILLE CALIFORNIA 95965 Telephone: (916) 536'7266 RONALD D. McELROY Deputy Director December 21, 1988 Ken and Robin Lane RE: AP 38-18-24 P. 0. Box 494' Application for Determination Durham, CA 95938 Dear Mr. and Mrs. Lane: At the regulaf meeting of the Butte County Subdivision Violation Committee meeting held on December 21, 1988,.the committee granted Certificates of Compliance for two parcels on the above -referenced property.There are no,conditions. '*_�—� There is a fifteen -day appeal period before the certificates can be recorded but since you have already signed and returned the waiver waiving your right to appeal the committee's decision, we will go ahead and record your Certificates of Compliance. If you have any questions regarding this matter, please contact this office. Very truly yours, William Cheff Director of'Public Works JoMendonsa As istant Director JM/ds attachment cc: Planning Department Environmental Health Department Building Department x 7y COUNTY OF BUTTE�-- DEPARTMENT OF PUBLIC WORKS } 7 COUNTY,,CENTER DRIVE t , PROVILLE, CALIF. - 534-4541/1. CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative. Code, Title 25, Chapter 5 under permit number 2!;:�4li % ff for the following location: 5-Z- ZtIX AffYox ,Fdo,4j of: A,d axy _Owners ✓ T /�� %� 2.. Owner's Address i Mobilehome Mfg. -P a A L .2R1 VC- -'-✓Model Year 70 Insignia No. 1193 VV-"' d 9J 4/49 Serial No.,04 4- L? 13 %U 47 i It is hereby certified for occupancy at the above described location and may be. occupied. Director of Public Works Date .6/1 /15' By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow • Installer, Pink - D.P.W. a A PERMIT NOF 2042-78P,E PERMIT EXPIRES OWNER Kermit Pope i iCONTR. owner 38-18-24 t LOCATION (A.P. ) c SIS White Ave., app.800'W.of Midway, lots 34 & 35 port., Hanlon Tract#2,Durham Temp. Power Pole 4_ Called PG&E "j 7 F2fii13. Elec. Serv. i •—) � � .!�'� Called PG&E 6- F lo- -.7 FSS► Temp. Gas Serv.8— Called PG&E JOB FINALED % 6 (Date) { (Signature) 1 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ` BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING S back FI wall SA Piping FoAvs Parlpets 1 t Floor Ma\n Bldg. Restr om Finish 2n Floor F otin s WIndo4 loor Ste wall Siding To out Slab Roof She Ina Water PI Piers Roofing Sewer Garage Fdn. Vents Fixtures Footin Garage Vents Water Htr. StemwaI I Insulation Heaters Slab Prov. for ph sic ly Appliances handlca ed Carport Conformance of ex.Gas Piping & Test Footings structure s TemD. Gas Slab Final Sanitation Patio X FIR LACE Final Footings Footing LECTRI AL Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLORS Motors Framing Test Water Htr Stucco Final Sub ane s Mesh MECHANICAL Grd. F uit Prot. Scraj4h Heat/no Servi e B n Co ing mp. Pole nlsh D cis nder round Iriterlor Lath ientilation Permanent oor Closer Final Final MOBILEHOME UTILITIES Elec. Service Cj S Elec. Pedestal Water Piping 4 —/2 —,7g',Sewer ., _ Gas Piping MOBILEHOME INSTALLATION - - - - - - - - - - - - - - Support S Elec. Continuity .�� Watet Piping 4-11--) Drainage � �� Gas Piping DATE KS OR CORREIONS C o W Are r6 /nro u , d / Z A r✓ t O k/ cV 0o b— (NOTE: An entry must be made on this form each time you visit the job site.) c� p� ��\� � `�� \ N C:� O v `� r ,� k b • ® �� ��� v •'., L v MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located.with r uired separation from lot lines and buildings and generally es :— conform to plot plan? Y , 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes-L�,JNo 3. Are•footings and supports properly sized, spaced, and braced as per,apprbved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes o 4. Is the mobilehome level? (Sec. 5088) Yes-•�No- 5. If more a single unit, are crossover connections properly installed? (Sec. 5088) Yes No 6. Water 11 A. Is flele connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes No B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes v No— Backflow - If coach is not State of California approved, does station have backflow device and pressure -relief valve? Yes— No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end/? Yes, B. Does it have minimum '" per foot slope and is it properly supported? Yes v No— C. Are any leaks detected in drainage system after running 3-ga lons of water through each fixture including washing machine standpipe? Yes No A If coach is not State of California approved, does station have required trap and vent? Yes No 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as large as the mobilehome gas line inlet without reductions other than the mobilehome connector. Yes/ No B. Test OK as per following procedure? Yes(,/No--- 1. es(/ No_1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min, without drop. 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance vents 'properly installed? Yes to No 9. Electrical A. Is service large enough to provide adequate Amperage -to mobilehome (must "equal rating of mobilehome with a minimum of 100 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes L—__N_o B. Is there proper clearances around panels?• Yes trl-o C.• Is power supply cord•or feeder assembly properly fused? Yes No D. Is continuity test satisfactory as per the following procedure? YeS41 � 1. De -energize electrical wiring system of the mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches.in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. H MOBILEHOME DATA Manufacturer and/or Namestyle /r&yo Length Width Vehicle Serial No. 0C CyAV -0 0 9 3 �1 State Identification No. f% !.� �0 `� 1376 Additional Information or Comments: 'ti U T M o CLEA OSPECTOR Support l Compact ion Ail V� ! Owner P � SO. FT. OCC. BUILDING VALUATION Mailing Address gyp' Ll I , SCG/V/ /V % .� Te7%�/ o V �1� y O. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 ,� Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the county Butte to enter upon the above -me ioned property for inspecti pu )os S. X X Signature of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have bee p 'd. DIRECTOR -OP PU13LIC WORKS BY Data 5-- 7Hd=nQgDper=tex�ppires Date ��/— BUILDING Owner P � SO. FT. OCC. BUILDING VALUATION Mailing Address gyp' Ll I , SCG/V/ /V % .� Te7%�/ o V �1� y O. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address .5 ®UPlan k Checking Fee&/or Penalty Permit Fee A6,1WzJa PLUMBING No. @ FEE PERMIT FILING FEE $3.00 fEach Trap 1.50 Repair drainage or vent piping 1.50 A. P. — 00 Water piping Each gas water heater or vent 1.50 es tion Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 4,,W EQA Par ing Plans Parcel Declaration Parcel p 60' R/W Improvements Each additional outlet .30 Building sewer .5190 /' oris e'd Porce A royal PI� pproval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ Permit Fee $ $ D� ELECTRICAL No.1 @ I FEE PERMIT FILING FEE 1 $3.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service 600V OR LESS 100 AMP LESS 5.00 Main service EA. ADD -L 100 AMP 2.50 Main service OVER 600V 25.00 . 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW LING O, OR ADDNST %ACCLBLDGS.CCUP. Y) 20sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONSTR MULTI.OUTL T ID BRANCH CIRCUITS 2.50ea NEW NEW CONSTR O PARATUS 8 CO NON.RESID. I UTLET CIR, fly Ex. Occup{OUTLETS OR FIXT11PES BAL2; Ex. Occu FIXED APPLNS. OR P•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. 11 I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 1 Z)I certify that in the performance of the work for which this permit is issued 1 shall not employ any person in any manner . so as to become subject to the Workmen's Compensation Laws of California. No. @ MECHANICAL FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 Land Development Fee $ 4 TOTAL PERMIT FEE authorize representatives of the county Butte to enter upon the above -me ioned property for inspecti pu )os S. X X Signature of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have bee p 'd. DIRECTOR -OP PU13LIC WORKS BY Data 5-- 7Hd=nQgDper=tex�ppires Date ��/— J COUNTY OF BUTTE' — DEPARTMENT OF PUBLIC WORKS x r.7 % . Co • mfy Center Drive - Orovi Ile, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authunce reNresenratives of the County of Butte to enter upon the above-mentione pproperY for inspection purposes. �S GL<Jl2/Z�!/ dltJ X Date il:: Signature of Peerrmitee or Q Receipt No. ,/f of/�`J White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR O"UBLIC WORKS ell lding permit expires Date (o 2 -�7,2_ BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address Telephone No. Contractor Mai ling Address 2 Fireplace Total Valuation elope fl Permit Fee Building Address PI an Checking Fee &/or Penalty Permit Fee / Lt • DD Q� PLUMBING No. @ FEE !N PERMIT FILING FEE $3.00 Each TraD 1.50 Repair drainage or vent piping 1.50 A. P. No /��� Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F" -W-•fr Sawa-e4en Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W Improvements- Each additional outlet .30 Building sewer 5.00 gf-dg. Plans Rec'd Parc royal PI s Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER,g permit Fee $ $ S .o.✓ !' #aZD Z - ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Single Family ❑ Duplex ❑ Mobil HomeZ Others ❑ Main service 600V OR LESS 100 AMP OR LESS 5•�� Main service EA. ADD'L 100 AMP 2.50 Main service 1100EAMP OR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 NEW CONST DWELING OR A.D.S. ACCLBL GS.CCUP, S) 22sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: , I C'e_yI,,0to — I i g NEW CONSTR BRANCH CI T NOW CON D (MULTI-OUT BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS 11 NON•RESID, SINGLE OUTLET CIR, Ex. Occur){OUTLETS OR FIXTIIRES B L ,® FIXED APPLNS, OR EX. Occup. (OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 r Mobile Home Facilities 15.00 License No. 3Classification �.- Misc. Wiring 6.25530210 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. pcertify that in the performance of the work for which this ermit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby / opt/ $ Q E TOTAL PERMIT FEE $ f� authunce reNresenratives of the County of Butte to enter upon the above-mentione pproperY for inspection purposes. �S GL<Jl2/Z�!/ dltJ X Date il:: Signature of Peerrmitee or Q Receipt No. ,/f of/�`J White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR O"UBLIC WORKS ell lding permit expires Date (o 2 -�7,2_ a PEAIT APPLICATION WORK SHEET Zoning Use Proposed Permit fee.based upon: �1.. 3. Complete contract price. Partial contract price (explain). DPW Valuation (show): Permit No. A. P. No.L y Approved Not approved At time of permit application, the applicant was advised the following data or information must be submitted prior to permit processing and/or issuance: ----------- Date received 1. All items have been submitted. --------------- 2. Plot plans in duplicate/triplicate. --------------------- 3. Complete plans in duplicate/triplicate. ----------------- 4. Complete engineered'plans and calcs. -------------------- 5. .Fees of $ -------------------- 6. Letter of signature authorization. -7 ------------------- 7. Sanitation approval. ------------------------------------ 8. Planning approval for -- 9. Workmen's Compensation Insurance Certificate. ----------- 10. Contractors license information. ------------------------ 11. Parcel declaration, recorded copy. ---------------------- 12. Access declaration. ------------- Aunt Minnie information. -------------------------------- 14. Deed df access, recorded copy. -------------------------- 15. Deed of parcel creation, recorded copy. ----------------- 16. Parcel map, recording data. ----------------------------- 17. Pre -inspection request for -- 18. Improvements - plans required & DPW approval. ----------- 19. 0th ------ - By Date Bldg. Inspector During plan checking process, the or information must be submitted issuance: 1. Index permit for items above and in addition the following: following data prior to permit 2. Applicant advised by Telephone Mail Other 3. Plans checked by IQ a Date 4. Plans approved by Dat When permit is issued, process as follows: 1. Mail to owner. 2. Mail to contractor. Deliver with inspection. 4. Telephone and hold for pickup @ G C office. 5. Other Before permit issuance, all of the following items must be signed or marked NA: 1. Zoning use 2. Legal parcel 3. Envir.Health - Date Plans Sent A. Sanitation B. Restaurant C. Other 4. Public Works - Date Not ice Sent A. Street -Imp. B. Drainage C. Permits & Fees D. Other 5. Planning A. Use Permit B. Variance C. Other 6. Other Agencies - Date Plans Sent A. Fire Dept. B. Other MOBILEHOME SUPPORT DATA If other than single wide, Mobilehome Mfr. 1--lLl VI�C'� furnish Setup Model No. Year Width P-4 (ft.) Box Length 10q (ft.) Tagalong or Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation manual and structural setup sheets (if not on file.with the County of Butte). All center supports measured from front -of mobilehome unless otherwise specified. Single "_y1d n ,.,. 1 ' r,^ (ft.) (in.) (in.) (in.) T I Center support . locations* (ft.) (in.) Center support footing sizes (in.) (in.) (in.) (in.) (in.) (in.) (in.) [Eim *If center piers are other than drawn above, draw in locations, spacing, and dimensions. Footings (check one) 1. Wood either pressure treated of foundation grade. F] 2. Other (specify) Supports (check one) 1. Concrete block. 2. Other (s ec ify)? yLEI_ b�,ag <--Tagalong or Expando, show support details. /c2 x3U -- Typical Support in.) (in.) Footing Size (a" I -- Max. Pier Spacing (ft.)(in.) a D " -- Max. Overhang (ft.)(in.) BUTTE COUNTY BUILDING DEPARTMENT APPROVED �� BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS T 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: 2. Installer's name: G0v�1S —u�S YVIOIo���. OyY.� �i�S 3. Is the site currently under permit? Yes—/ No (If yes, furnish permit number ) OR Is the site an existing site? Yes / / No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic.tank and leach fields and clear of all setbacks and easements? Yes 7Z—/ No / / (If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- Amps 6. What is the mobilehome site service rating? -----=------------=-- CS1, Amps 7. What is the mobilehome site circuit breaker rating? ------------- i So Amps 8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- Ye 'M No (If yes, identify the load and size: (Load) 2,0 (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- 10. What is the type of gas service? --------------------------= -,'Natural / / 'LPG / • l 11. What is the gas pipe length from meter or tank to the mobilehome? (ft.) 12. What is the mobilehome gas demand? ------------------------------ (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) ' Y V (BTU) Certificate of Compliance: Residential Climate Zone 11 Mandatory Measures Checklist: Residential MF -1R Address Documentation Author Telephone BUILDING DATA Conditioned Floor Area 23A14 Number of Stories I , Slab/Raisi Number of .Units [Single Family Detached (SFD) [ ] Addition Alone [ ] Single Family Attached (SFA) [ ] Existing Building (] Multi -Family (Mn [ ] Existing -Plus -Addition BUILDING SHELL INSULATION Component Insulation Location/Comments Type R -Value (AWA, to garage, typical, etc.) Wall .............. Wall .............. -- Roof ............. Roof ............. Floor ............. Floor ............. Slab Edge..... GLAZING Shading Devices 2 3 /— 8q Building Permit 0 — 2 - 8- S1 Checked By / Date Etforoement Agency Use Only Total BUTTE COUNTY BUILDING DL-PAR`'�t", �E N Glazing Area Glass Type Interior Exterior Overhang Framing Type North ( )_ Glass Area % Glass North T 1_ East 7/ 13-/ South Al & a. q• V West 77, s A& Skylight D D Total BUTTE COUNTY BUILDING DL-PAR`'�t", �E N Glazing Area Glass Type Interior Exterior Overhang Framing Type North ( )_ '�'mD/ 1y1t►�`�e rellrl IMe' North - East ( ) _?_L_. — East South ( ) 2 1A.L _ Sou 01 ( ) — West ( ) - 7, S' West ( ) Skylight....... , 2 THERMAL MASS Type/Covering Area Thickness (slab/exposed tile, etc) (sf) (inches) LOcation/DCscription (kitchen, bath, etc.) o ty %—', HVAC SYSTEMS Minimum Duct Type (furnace, air Efficiency Location Duct Output Manufacturer / Model # conditioner, heat pump) (SE. SEER HSPF) (attic, etc.) R -Value (Btuh) (or approved equal) - •-c..fe. gU �_ S•7 831e� p. �g. s' �� �• � r l � l Maximum Fumace Heating Output: 83 Btuh HOT WATER SYSTEMS Tank Manufacturer/Model # CvcrPrn TamP fetnraort one_ etc_1 Canacity (or approved equal) Special Feature(s) SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) 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 Compliance. When this checklist is incorporated into the pgmit documents. the features noted shag be considered by all parties as binding minimum component performance specifications for the mandatory measures whether they ase shown elsewhere in the documents or on this checklist only. DESCIUMON I DESIGNER I FNFORCEMFM Building Envelope Measures • §2.5352(a): Minimum ceiling insulation R-19 weighted average. §2.5352(b): Loose rill insulation manufactwer•s labeled R -Value. • §2.5352(c): Minimum wall insulation in framed walls R-11 weighted average (does not apply to exterior mass walls). §2.5352(k): Slab edge insulation - water absorption rate no greater than 0.3%. watts vapor transmission rate no grow than 2.0 permluxh. §2-5311: Insulation specified or installed mats California Energy Commission (CEC) quality standards. Indicate type and form. §2.5352(1): Vapor barriers mandatory in Climate Zones 14 and 16 only. §2.5317: Infultration/Exfiltration Controls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Doors and windows certified. c. Doors and windows weatherstripped; all joints and penetrations caulked and sealed. 62-5352(e): Special infiltration barrier installed to comply with 12.5351 mats CEC quality standards. §2-5352(d): Installation of Fireplaces 1. Masonry and factory -built fireplaces have: L Tight rating. closable meal or glass door b. Outside air intake with damper and control c. Flue damper and control 2. No continuous burning gas pilots allowed. HVAC and Plumbing System Measures 62-5352(8) and 2.5303: Space conditioning equipment siring: attach calculations. §2-5352(h) and 2-5315: Setback thermostat on all applicable heating systems. • 12-5316(a): Ducts constructed. installed and insulated per Chapter 10. 1976 UMC. 12-5316(b), Exhaust systems have damper controls. §2.5314(c): Gas-fued space heating equipment has intermittent ignition devices. §2-5314: HVAC equipment. water heaters. showerheads and faucets certified by the CEC. §2.5352(1): Water heater insolation blanket (R-12 or greater) or combined interior/exterior insulation (R-16 or greater); rust 5 feet of pipes closest to tank insulated (R-3 or greater). §2.5312(Exception 1): Pipe insulation on steam and steam condensate return & recirculating piping, §2-5318(d): Swimming Pool Heating 1. System has: a On/off switch on heater. b. Weatherproof instruction plate on heater. e. Plumbed to allow for solar. 2. 75 percent thermal efficiency. 3. Pool cover. 4. Time clock. 5. Directional water inlet. Lighting and Appliance Measures §2-5352(1): Lighting - 25 lumcns/watt or greater for general lighting in kitchens and bathrooms. §2-5314(c): Gas rued appliances equipped with intermittent ignition devices. 12-5314(a): Refrigerators. refrigerator -freezers. freezers and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. COMPLIANCE STATEMENT 'This certificate of compliance lists the building features and performance specifications needed to comply with Title 24, Chapter 2-53 and Title 20. Chapter 2. Subchapter 4. Article 1 of the California Administrative code. This oe&ficate has been signed by the individual with overall design responsibility and the building owner. who shall retain a copy of it and transmit the ce&ficate to any subsequent purchaser of the building. Designer Name: rAddr Address: Telephones Lic. tl: (signature) (date) Documentation Author Name: Address: Building Telephone: %- 0_ (signal=) (date) Enforcement Agency Name: Agency: Telephone 1. Ceiling Insulation F2 factor 0.90 Number of stories -0 -1 R -value One Two Three R-0 -103 49 -02 R-19 -8 -4 -2 R-30 -2 -1 -1 R-38 0 0 0 U -value -24 -10 4 0.50 -176 -84 -54 0.30 -102 -49 -02 0.10 -26 -13 -8 0.08 -18 -9 -6 0.06 -11 -5 -4 0.04 -4 -2 -1 0.02 4 2 1 0.00 11 5 3 2. Wall Insulation 5 13 27 Single- Single - -9 .2 Family Family Multi - R -value Detached Attached Family R-0 -68 -51 -34 R-11 0 0 0 R-13 2 2 1 R-19 8 6 4 U -value -40 -11 -4 0.80 •153 -114 -76 0.50 - -91 -68 -46 0.30 -47 -36 -24 0.10 0 0 0 0.08 4 3 2 0.06 9 7 5 0.04 14 11 7 0.02 19 14 10 0.00 24 18 12 12 16 17 -23 3. Raised Floor Insulation 3 8 Insulation in Floor 17 16 Number of stories 4 R -value One Two Three R-0 -17 -8 -5 R-11 -3 .2 .1 R-19 0 0 0 R-30 3 1 1 U -value 11 15 18 0.60 -144 -70 -46 0.50 -120 -58 -38 0.40 -95 -46 -30 0.30 -69 -34 .22 0.20 -43 -21 -14 0.10 -17 -8 -5 0.08 -11 -6 -4 0.06 -6 -3 .2 0.04 -1 0 0 0.02 4 2 1 0.00 10 5 3 Controlled Ventilation Crawlspace Solar Number of stories 1 R -value One Two Three R-0 -11 -7 -5 R-5 -4 -4 3 R-11 -2 -2 -2 R-19 -1 .2 -2 4. Slab Edge Insulation 0.80 7.33 8 7 6 5 '- Number of Stories 3 R -value One Two Three R-0 0 0 0 R-5 8 5 2 R-7 8 6 3 F2 factor 0.90 -4 -0 -1 0.80 -1 -1 0 0.70 2 2 1 0.60 6 4 2 0.50 9 6 3 0.40 12 8 4 5. Inriltration (Air Leakage) Specification Points Standard 0 6. Glass Heat loss Total -14 -48 -69 -64 U -value East Percent West Skylight .51 to .41 to .31 to 0.30 or Glass Single Double .60 .50 .40 less 50 -121 -53 -39 -24 -10 4 40 -90 -37 -26 -14 -3 8 35 -75 -29 .19 .9 1 10 30 -61 -21 -13 -4 4 12 29 -58 -20 -12 -3 5 12 28 -55 -18 -10 .2 5 13 27 -52 -17 -9 .2 6 13 26 -49 -15 .-a -1 7 14 25 -46 -14 -7 0 7 14 24 -43 -12 -5 1 8 14 23 -40 -11 -4 2 8 15 22 -37 -9 -3 3 9 15 21 -04 -7 .2 4 10 15 20 -31 -6 0 5 10 16 19 -29 -4 1 6 11 16 18 -26 -0 2 7 12 16 17 -23 -1 3 8 12 17 16 -20 0 4 9 13 17 15 -17 1 6 10 14 17 14 -14 3 7 10 14 18 13 -12 4 8 11 15 18 12 -9 6 9 12 15 19 11 -6 7 10 13 16 19 10 -0 9 11 14 17 19 9 -1 10 13 15 17 20 8 2 12 14 16 18 20 7. Shading (Shade Open) Effective Percent Glass (percent glass x SC) Effective -14 -48 -69 -64 %Glass North East South West Skylight 18 5 1 4 1 na 16 4 2 5 1 ,. na 14 4 2 5 1 na 12 3 3 5 2 na 11 3 3 5 2 na 10 2 3 5 2 1 9 2 3 5 2 2 8 2 3 5 2 2 7 1 3 4 2 2 6 1 3 4 2 3 5 1 2 4 2 3 4 0 2 3 1 3 3 0 1 2 1 3 2 0 0 1 0 3 1 -1 -1 -1 -1 2 0 -1 -2 -4 -2 0 na = not allowed 2 3 4 3 t3. Shading (Shade Closed) Effective Percent Glass (percent glass k SC) Effective %GIa66 Nwill East $Otttln- West %*hl 18 -14 -48 -69 -64 na 16 -12 -42 -59 -55 na 14 -10 -35 -50 -46 na 12 -8 -29 -40 -37 na 11 -7 -26 -36 -33 na 10 -6 -23 -31 -29 -74 9 -5 -20 -27 -25 -65 8 .5 -17 -23 -21. -56 7 -4 -14 -19 -18 -47 6 -3 -11 -15 •14 -38 5 .2 -9 -11 -10 -30 4 -1 -6 -8 -7 -23 3 0 -4 -5 -4 -16 2 1 -1 .2 -1 .9 1 1 1 1 1 -4 0 2 3 4 3 0 na s nM albwad 9. Interior Thermal Mass Interior Slab Floor Raised Floor SEER Mass Stories 1700 Stories 2700 /CFA One Two Three One Two Three 0.0 -8 -5 -4 -2 .1 -1 0.1 -8 -5 -3 .1 0 0 0.3 -7 -4 -2 0 1 1 0.5 -6 -3 -1 1 1 2 0.7 -5 -2 -1 1 2 2 0.9 -5 -1 0 2 3 3 1.1 -4 -1 1 3 4 4 1.3 -3 0 2 3 4 5 1.5 -3 1 2 4 5 5 2.0 -1 2 4 5 6 7 2.5 0 3 5 7 7 8 3.0 1 4 6 8 8 9 3.5 2 5 7 9 9 10 4.0 3 6 8 9 10 10 4.5 3 7 8 10 11 11 5.0 4 7 9 11 12 12 5.5 5 8 9 11 12 12 6.0 5 8 10 12 13 13 6.5 6 9 10 12 13 13 7.0 6 9 11 13 13 14 7.5 6 10 11 13 14 14 8.0 7 10 11 13 14 14 8.5 7 10 12 13 14 15 10. Exterior Wall Thermal Mass -4 -4 Exterior Single- Single - 7.0 0 Wall Family Family Multi Mase Detached Attached Family 0.00 0 0 0 14 12 0.20 3 2 1 22 0.40 5 4 3 11.0 0.60 8 6 4 8 0.80 10 8 5 14 1.00 13 10 7 20 1.20 13 12 8 7 1.40 12 13 9 4 1.60 10 13 11 2 1.80 10 12 12 3 2.00 10 11 13 -3 11. Heating System -2 Two + 3 3 2 SE or HSPF 1 -15 (assumes ducts In attic) -9 25 Solar Sum of 15 1 1 -25 or -24 to -14 to -4 to +6 to 16 or SE HSPF less -15 -5 +5 " +15 more 0.72 6.60 0 0 0 0 0 0 0.75 6.88 3 3 3 2 2 1 0.80 7.33 8 7 6 5 4 3 0.85 7.79 13 11 10 8 7 5 0.90 8.25 17 15 13 11 9 7 0.95 8.71 20 18 15 13 11 8 0 Effective SE or HSPF 0 (SE or HSPF x duct efficiency) IE Effective -25 or -24 to -14 b d to +610 16 or SE HSPF less -15 5 +5 +15 more 0.30 Z75 -73 -64 -56 -47 -38 -30 na 3.41 -45 -39 -34 -29 -24 -18 0.40 3.67 -34 -30 -26 .22 .18 -14 0.50 4.58 -10 -9 -8 -7 -5 .4 0.56 5.13 0 0 0 -0 0 0 0.60 5.50 5 5 4 "'3 3 2 0.70 6.42 17 15 13 1r 9 7 0.80 7.33 25 22 19 16 13 10 0.90 8.25 32 28 24 20 17 13 1.00 9.17 37 32 28 24 19 15 Zonal Control Adjustment 2.7 System Type 3.1 3.3 3.5 3.7 Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 12. Cooling System Unit Size (sq Water SEER 1199 1200 1700 2200 2700 (assumes ducts In attic) or b to Sim of 7-10 or Type Type less -25 or -24 to -14 to -4b +6 to 16 or SEER lest -15 -5 +5 +15 more 8.0 -14 -12 -10 5 -6 -4 8.5 -9 -7 -6 -5 -4 -3 8.9 -5 d 4 -3 -2 .2 9.0 -4 -3 -3 -2 -2 -1 9.5 0 0 0 0 0 0 10.0 4 3 3 2 2 1 10.5 7 6 5 4 3 2 11.0 10 9 7 6 4 3 12.0 15 13 11 9 7 5 13.0 20 17 14 12 9 6 _ .12 -9 Effective SEER -6 IG None (SEER xduct efficlency) -3 .2 -2 Sum of 7-10 1.6 Solar 7 Effective -25 or •24 to -1410 -410 46 b 16 or SEER less -15 5 +5 +15 more 5.0 -30 -25 -21 -17 -13 -9 6.0 •12 -11. 9 7 6 -4 6.6 -5 -4 -4 3 -2 ..2 7.0 0 0 0 0 0 0 8.0 9 8 6 5 4 3 9.0 16 14 12 9 7 5 10.0 22 19 16 13 1 10 7 11.0 26 23 19 15 12 8 12.0 30 26 22 18 14 9 13.0 33 29 24 20 15 10 Solar Zonal Control Adjustment 7 5 10 8 7 6 4 3 5 No Cooling System Installed 2 Stories WSB 9 .4 3 2 One -5 4 4 -3 .2 -2 Two + 3 3 2 2 2 1 Single -Family Detached and Attached Interior Mass/CFA . True x loss Unit Size (sq Water 1199 1200 1700 2200 2700 Heater Credit or b to to or Type Type less 1699 2199 2699 more SG None 0 0 0 0 0 or Solar 12 8 6 5 4 HP HWR 8 5 4 3 3 WSB 5 3 3 2 2 20% POU 8 5_ _4 3 3 SE None -37 .24 -18 -15 -12 0% Solar -1 -1 .1 0 0 1.3 HWR -18 -12 -9 -7 -6 2.1 WSB -25 -16 -12 -10 -8 4.2 POU -18 _ .12 -9 -7 -6 IG None -5 -3 .2 -2 -2 1.6 Solar 7 5 4 3 2 3.1 POU 3_ 2 1 1 1 IE None -28 -19 -14 -11 -9 0.6 Solar 8 5 4 3 3 2 POU -10 -6 -5 -4 -3 3.5 Muitidramily (Individual 4.1 units) 4.5 4.8 5 ' 52 Unit Size (sQ 56 Water 0.5 699 700 1200 1700 2200 Heater Credit or b to to or Type Type loss 1199 1699 2199 more SG None 0 0 0 0 0 or Solar 14 7 5 4 3 HP HWR 9 5 3 2 2 3.6 WSB 9 .4 3 2 2 5.1 POU 9 5 3 2 2 SE None -45 -23 -15 -11 -9 25 Solar 2 1 1 0 0 4 HWR -23 -12 -8 -6 .5 5.5 WSB -25 -13 -8 -6 -5 1.4 e0U _23 -12 -8 -6 -5 n None -8 -4 -3 -2 i -2 4.3 Solar 6 3 2 1 1 5.8 POU 1_ 0 0 0 0 IE None -30 -15 -10 .8 -6 31 Solar 18 9 6 4 4 4.6 POU .8 -4 -3 .2 -2 Interior Mass/CFA . True x loss . n.r•uxwc•..x� .e w ._.� 4 rYre 1 fuss lutue a 4.2, ie: exposed slab) 0% 5% 10% 15% 20% 25% 30%.35% 40%:45% 50% 55% W% 65x 70% 75% 90% 85Y. 90X 95% 100Y. 105% itOY. 115Y. 1201/.125, 0% 0 0.2 0.4 0.6 0.8 1.1 1.3 1.5 1.7 1.9 2.1 23 2.5 2.1 2.9 3.2 9.4 9.6 3.8 4 4.2 4.4 4.6 4.8 5 53 10% 0.2 0.4 0.6 0.8 1 1.2 1.4 1.6 1.9 2.1 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.7 4 4.2 4.4 4.6 4.8 5 5.2 5.4 20% 0.3 0.6 0.8 1 1.2 1.4 1.6 1.8 2 2.2 24 27 29 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.8 5 ' 52 5.4 56 30% 0.5 0.7 0.9 1.1 1.4 1.6 1.8 2 2.2 24 26 2.8 3 3.2 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 so 40Y. 0.7 0.9 1.1 1.3 1.5 1.7 1.9 2.2 24 26 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 5.55.7 5 9 509E0.9 1.1 1.3 1.5 1.7 1.9 21 23 25 27 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 55% 0.9 1.1 1.4 1.6 1.8 2 2.2 24 2.6 28 3 3.2 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 5.8 6 62 60% 1 1.2 1.4 1.7 1.9 21 2.3 2.S 2.7 2.9 31 3.3 3.5 3.8. 4 4.2 4.4 4.6 4.8 5 5.2 5.4 5.6 '5.9 6.1 63 65% 1.1 1.3 1.5 1.7 1.9 2.2 2.4 2.6 2.8 3 3.2 3.4 36 3.6 4 4.3 4.5 4.7 4.9 5.1 53 55 5.7 5.9 6.1 64 70% 1.2 1.4 1.6 1.8 2 2.2 2.5 2.7 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 52 5.4 5.6 58 6 62 64 75% 1.3 1.5 1.7 1.9 21 2.3 25 2.7 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5.1 •5.3 5.5 5.7 5.9 6.1 6.3 6.5 80Y. 1.4 1.6 1.8 2 2.2 2.4 26 2.8 3 3.3 3.5 3.1 3.0 4.1 4.3 4.5 4.7 4.0 5.1 5.4 56 5.8 6 6.2 64 66 65% 90% 1.4 1.5 1.7 1.7 1.9 2 2.1 2.2 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 5 52 54 5.6 59 6.1 63 6S 67 95% 1.6 1.8 2 2.2 24 25 26 27 2.8 2.9 3 3.1 3.2 33 3.4 3.5 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 53 55 5.7 5.9 6.2 6.4 66 68 100% 1.7 1.9 21 2.3 25 28 3 3.2 3.4 3.6 3.7 3.8 3.9 4 4.1 4.2 4.3 4.4 4.6 4.6 4.8 4.9 5 5.2 5.4 5.6 5.8 6 6.2 6.4 6.7 69 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.7 7 105% 1.8 2 2.2 2.4 2.6 28 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 56 5.6 6 6.2 6.4 6.6 68 7 110% 1.9 11 2.3 2.5 27 29 3.1 3.3 3.6 3.8 4 4.2 4.4 4.6 4.8 5 5.2 5.4 5.7 5.9 6.1 6.3 6.5 6.7 69 7.1 115% 2 2.2 2.4 2.6 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 6.2 6.4 6.6 6.8 7 7.2 120% 2 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.4 4.6 4.8 5 5.2 5.4 5.6 58 6 6.2 6.5 6.7 6.9 7.1 7.3 125% 21 2.3 25 2.8 3 3.2 3.4 3.8 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.7 7 7.2 7.4 rolnt system Summary: unmate Gone n SCORE CARD Measures 1. Ceiling Insulation 03P or - R -value 381 U -value 10.0351- 2. Wall Insulation 13 or - R -value 111J U -value [0.098] 3. Raised Floor Insulation P? or RR -v ueue [ 191 U -value [0.0371 4. Slab Edge Insulation S. Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) a. North b. East c.' South d. West e. Skylight 8. Shading (Shade Closed) a. North b. East C. South d. West e. Skylight 9. Interior Thermal Mass 10. Exterior Wall Mass 11. Heating System Zonal Control? ( Y / N ) 12. Cooling System Zonal Control? ( Y / N ) 13. Water Heating or R -value [0] F2 factor [0.771 Standard Type double] U -value [0.65]o Tog tat Glass [ 161 % Glass SC Eff. % Glass 3.7 x 77 = �•SY� x J q• y x = 7.236 0 x = p % Glass SC Eff. % Glass 3.7 x # 911 3•! x = 41eg2 g•y x = 2.D68 1.6 x O x = p TYPE 1 MASS AREA = �$ Interior Nass/CFA COND. FLOOR AREA TYPE 2 MASS AREA 8 Exterior Wall Mass ND . L OR AREA SE or HSPF Duct Efficiency [0.78] Effective SE or [0.72/6.6] HSPF 10.5615. 15] Q,. S x 7.7°1 SEER [9.5] Duct Efficiency [0.74] Effective SEER [7.03] S Type [SG1 Credit [none] Point Scores 0 , 0 Sum 15 Sum 7.10 4 +y T ?t j7j 3 _i !T! ! tj ,_ 3I, T 0 •-' li,i' :! LL - IT) H H r• 1- CO ii1 ai -# S it t lii _ i7i . t_i i r'•i !-+ Y Y — •- if 11 if EII I-•'. CO.. i 3 1�1 f•-! !_! 1-4 ,.r 1-; •_ --! LL l.!. L1. CO 0 -0.5 7 i i i_i E Z .:? = 3 0 iii T--, i 2 E - '-i 't 3.t1 E i! tU iij ,i, fn F. (:� if. . 11 If 3_'' ••� !! ..111 [I 3 I! fl ,TJ I, i�'3 �•.'3D -q Y i-•+• !� ,J J r• iT ':.i"i f .!T! iI; • if !! it it if !T3 Ci CI ii 6i if T it ii iE 3 i! ,- Ii;s;j n i, ri1 !! `:f 1! ii !! r•. :- v x l�l s CO 11 ,{7 - { ! 1 CO i �I - � 1�1 F - m 41- ' i n i l i 0- t1{ -•.} �1 •T — 1`i'( I 1 _ 3-i ...s ,�E ,Ii u : !Ji iii IT, i i t, F•� • ;'t C. y i�� � 110, 1� i ri li3 • j !_n = i . i = , ! . -_ J _ ,_, r -•.I r'•). E 3 i-I If it 11 If M :-� rt r•. t t: i 1 �' - M Y Y •• [c if, -TI ! r w 3l3 it i�j i ri % tl ,T, Ll c i 1 � ! 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