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HomeMy WebLinkAbout039-180-03939-180-39 3944-89B,�1' ti COTTINGHAM, Bill & Nell Contr : Douglas Imhoff .��// 800' East of Elk Ave on Dayt�cn Rd,N Si (shop) Per t#3930-89E(elec ser) 39-18-39 Permit #147-89 (AG Permit) 3(Y-18-39 a 10-90 COTTINGHAM, William ,3544 Elk -Ave, Chico- (AG hico-AG ermit 39 -3 Permit#440-90B ,E;M r/ /� 9 v new sf 6 39-18-39' 2058-90B P,E PERFECTION.POOLS 2608 Dayton Rd, Chic (swimming pool/sf) 039-180-039- PERMIT#98-74AG COTTINGHAM, Bill 2608 Dayton Rd., Chico Ag Ex Permit -Ag Equip Stg 039-180-039 PERMIT#98-75AG' COTTINGHAM, Bill 2608 Dayton Rd., Chico Ag Ex Permit -Livestock " 39 znl cn I VOWN mrmmmm"-" E.H. USE ONLY Plot Plan Attache Floor Plan Attached —� Sent to B.D7- TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance rn Owne Loca on AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for dwelling. Other Hold final for: Final clearance O.K. for: NOTE: ILI onmental Health Specialist 8/96 Date Llwa -- �— y� = APPRO D _.._— EmIronmental lealth ni Ew!ronrftental Health Date 1998 CCallfom+a Ago Lo A. ' / T –�- - - Acne,, clew ,b 1 37. ' ~ --.......... . - -- APPRUVE Butte count' _ (� ErMronmenta! He-lt- 0,A OC� BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT MIT NO. T_"-7 Agricultural building is defined as follows: Agricultural building is a structure designed anoonstructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure s, all 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 O6 3 /60 ZONING39 lO OWNER LL C o 7- 1W6 PHONE NO. - 1993 -M Cl OWNER'S ADDRESS Q o 'o LOCATION OF BUILDING o�� Ci8 9/1 ' o /N oXii•t /9C CCL USE OF BUILDING SZ -� cGos�o L/✓ S��GlG ��' /✓Y SJ' vC7ZJ.�� SIZE OF STRUCTURE X SQ. FT. TYPE OF CONSTRUCTION: /Vle'7 'L S/O�is�G 9� �Pc oYE� WOOD FRAME STEEL CONCRETE OTHER (Specify) moo O �.e.�,� TYPE OF SIDING ROOF COVERING FLOOR TYPE L ESTIMATED COST OF CONSTRUCTION $ AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: -, - r r r - ao -h FRONT IM40' SIDES A --y REAR ?-' 0 Aq4'-' 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 co, p ith the req ' e ents ffect at that time and before occu a cy. ' Date � J 7r iqi��Signature of Owner Permit Fee - 560.00 The above described AG Building is ex e t from a buil ng pe it. Receipt No. 91? / /:3 FLOOD PARC P.D ROOF G ISSU Manager Building Division By �"" Date White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT T NO. Agricultural building is defined as follows: Agricultural building is a structure designed aXd constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structur,6 shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall ft be a place used by the public. ASSESSO P RCEL NO. ZONING 03 ,Q OWNER PHONE NO. OWNER'S ADIaE S 0W LOCATION OF BUILDING adv Po/,A/�- �po USE OF BUILDING SIZE OF STRUCTURE / vZ X -Z1SO. FT. TYPE OF CONSTRUCTION: WOOD FRAME —X-�- STEEL CONCRETE OTHER(Specify) TYPE OF SIDING ROOF COVERING FLOOR TYPE woo /�'I�i L co�YGC��T� ESTIMATED COST OF CONSTRUCTION $_4, 060 AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: r FRONT �5� V-0 2U SIDES REAR 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 com ith the re r ents i ct at that time and before occu ncy. c Date ! Signature of Owner Per It Fee - $60.00 The above described AG Building is exe qt from a buildina omit_ Receipt No. ;-� 3 2/ /23 FLOOD7 1 _ I PARC 17. ROOFI I ISSUE Manager Building Division By White — DPW, Yellow — Assessor, Pink — B. I.. Goldenrod — Applicant Date Z �Q COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: ASSESSORPARCPNUMBER: Building Proposed Use: Building Inspector: �-- _ Date: At time Jgermit application was a ed the following data must be submitted prior to permit processing and/or issuance: Date Received By . All it ems have been submitted -------------------------------------------------------------------------------------- 02. Plot plans, 3/4 sets, signed by the preparer of plans.---------------------------------------------------- 113. --------------------------------------------------- ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. --------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! --------- ❑ 6. Energy Design Compliance and supporting documentation. ------------------------------------------- 0 7. Statement of Intent for Non -Heated and A/C Buildings. ------------------------------------------------ ❑ 8. Hazardous Material Form.--------------------------------------------------------------------------------- ❑9. Manufactured Home data and installation instructions including Tie Down Specifications ---------- 0 10. Fees of $ ---------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule.------------------------------------------------------- 1112. ------------------------------------------------------ ❑12. California Department of Forestry plan approval/fees. Ell 3. Flood elevation certificate. ------------------------------ ❑ 14. Sanitation and plot plan approval Health Department. ❑ 15. City of Chico plumbing permit. --------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ❑ 17. Planning approval for (A) Use: (B) Parking: ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). ---. ❑ 20. Pre -inspection for required Request to Building Inspector on 112 1. Contractor's license information. (Number, Name Style, Classification). ---------------------- =------------- ❑22. Workers' Compensation carrier and policy number. ----------------------------------------------------------- El 23. Owner -Builder Verification (Given to owner ❑, Mailed to owner EI) - -------------------------------------- 024. Letter of signature authorization. -------------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- ❑ 26. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. --------------------------------------------------------------------------- ❑28. Existing violations and/or expired permits. ---------------------------------------------------------------------- ❑29. ❑433 A, 11 Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .--------------- E130. -------------- ❑30. Other: ------- When you issue the permit, process as follows Mail to owner, ❑Mail to contractor (Date) ❑Telephone and hold for pic p at office.W th inspector. Applicant: Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Poll ion By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: B.. 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. PA Oct RESIDENTIAL . . IN SiD&SS�-90 39-180-39 /3�89B,P,9 COTTINGHAM, Bill & Nell Contr: Douglas Imhoff 800' of A-Ik Ave on Dayton Rd,&Sid( (shop)No� �... t `./ Wv o� �P 0 P- 6,A y7- 6 i0 r [ �M� G A5 — 5-17-50 JOB FINALE Signature J=OK ^ O = Not OK Not Not Readyable MOSILE'HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /% "ft. / /"Nat. or/ /" L"ft./ /"LPG 7. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch -- 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 14 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg: Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Si -ding -,'Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.,-Steps-Doors.6aadings Date Card.13-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater '8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 r V OK, O = Not OK N Readyab'e RESIDENTIAL -.,;Siegle & Duplex) Date UND OOR Plan K except #'s /L oning-Set ks- e Aert-g., Main; S -Ele rnd.-//4" Ftg. Depth epth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth WT Ikz Min'Stem EWQG:ek"-Wrf47 ed .��^ ^ga• S}PPI RI 4 • 1nl 8!D.W.V.; F,01-Fttbag-treST- Wa C/O -Sewer Tes 10fiGaa Pipe; Size -Anchors 14!Water Pipe; Jrst`Aq0;,tfbr:FeeJel r ice Te - 12.�lectric; Underground m ort=tns. 1 - ' les 16-k+9nle+ivrr- Date 1)4 � Card B7f_7--.'4_ .fGj Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK ater Htr.; Vent -Access- bus ' nAir-Baffle _. Water Pipe; Test & c r -N tecti Test, First Fldor-Tub Access 22046t TiX & Shower, Sec_qntrFloor-Tub Access 24, Gas Pipe; Size & An ors Date l g Card B -11Z Q%8 Date Card B-1 Date Card 8-1 Date Card B-1 Date f. Fi ure,& Transformer Clea nce- s. Prote on 2 EI . Receptacles Spac' i s & Swit6hes at Doors 2 e Boxes & No. of Cplid915iors-Stapled 21f ex Installed Close to Edge of Studs & C. 2 . Equip. Ground made up w/Meth. Fastners Bond Ga r 27. FI 28. a. 29. Ra r AI -Oven Circ. / / ga. Cu or Al. I S ice -Riser Conductors & Ground -Main Disconnect Equip. Clearances Panels -Motors -Meth. Equip. 32. pa 609h! 33. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANI L (Permit) OK except #'s 3 c s nsu ation & up r Vent Fan; Exhaust above insulation 36. ra e 37. r- a urn n -ITTtrutlet 38. A is Date (` Card B-1 JZ -_2-7! pate Card B-1 Date Card B-1 Date Card B-1 Date FRAIRING (Plans) OK except #'s Material & Anchors Plates -Sound . ear'ng Walls over Girders & Floor Nailing 4 raft top in Walls (rat proof) 4 F' a Stops; Furred Ceilings -Stairs -Chases -Tub 4 Headers & Beam -Size & Bearinq Date AMING (Pontin_406') a gers-Po C -An ro rs-Conrjectors 6. ng. Jo' -Rftr. tie urlin—ro Brac-Tr s- ng.-Rfng. F' a Ties or Type A F -Fireplace TV15at clearance AX�Atfir_ Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4 ors -Sill Hgt. & Dimen ions 50. mirrg� 51. P &_Opemingr xt. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. 54. p er ang- 55. eer Stucco M -Drip Screed -Fd. Vents-Underflr. Access 57. Gla ' rea-Glass Protection - Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date Card B-1 %� 7j� Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s Ext. Steps -Door & Sidelight Protection -Landings 62r9rrloke Detector 63 -+""face; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection e4.-Bedreem Exiting C G.F.I. & Bath Fixtures & Tub Access -Spa §f� Elec. Trim & Subpanel; Breaker Sizes & Labels 67.;81sirs & Rails Fireplace or Stove; Clearances -Hearth 69EL*tec. Outlets at Wood Panel; Int. & Ext. 72!!d t)Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71-notec. Outlets 8& Receptacles at Kit. Counter 7P.weercage Fire Door; Swing -Landing -Closer 73. x& Duct in Garage -Damper 7/% Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Meth. Protection 7 Plb., Elec. & Mech. Equip. Listed for Location Elec. Receptacles in Garage; (G.e.)-Romex Protection '71,44*ulation-Foam-Looked in Attic ❑ Yes 78 -•®card Rails & Deck Construction -Post Caps 79f:dn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; ante ❑ Ye ❑ o Stu o; Bro Fi 80.6!C7 Unit; Disconnect, Electrical, Plumbing 5' Vents Above Roof; PIbg.-Appliance-Firep lace. -Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground 86ft"ntilation Throughout House 4A Glass Protection Corrections from Previous Inspections Gas Test -Meters Tagged; Gas -Electric to G, GAS f, fw& O K OV Water & Sewer Connected -C/O to Grade -HD Approval 911"ergy Compliance Certificate -Other Certificates Date -�,Zt -CID Card B-1 Ca Date-7nuZ,qqCard B-1 6(5 Date j $ -9J Card B-1 /yt, CG Date Card B-1 Date,6,17 G'p Card B-1 Date Card B-1 Comments at Final: (NOTE: An entry must be mace each time you visit job site) N 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 C0' T tNG NAry\ 3,144-89 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 matter, or need additional explanation, please contact this office immediately. G=C.k QRoIli cr(o,^► )�,LAQ- To 0 C e PA14Cy. 6o-J'N Fi 1> To WA i r (L o.✓ C y �iV721Ftr N'rnoJ �� P,e-4�wG n GAS �1tPlnlc. 1'�� P12oJ�p�;: �S�tlL�YICAt�o� 0� G A s t145t 6c�o„Jar Col\T N -)T t'jSP�crr,'h, 0CC,APRnlc y ? s- 8- re fell 14 of r %e "L 1'e dr Inspector /JLW1 A Date 3-21--76 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS x :. 196 Memorial Way, Chico — Phone: 691-2751 n t 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872=6307 CORRECTION NOTICE WNER 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, or�need additional explanation, please contact this office immediately. Inspector Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville —Pyrone: 538-7541'. 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE OWN E T9 - A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Date 6-11 70 Inspector COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541' 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE C&-Vtl-lG IAAm �i�144-85 OWNERE�RMIT 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, or need additional explanation, please contact this office immediately. �Qos�ii� SF(' ZrNT i2M%�jALS UR 4far4> G i200'j I'm A c C .-,"A a c A r eNr�(tL t,.SPr.rJ6Z ?- Vrj">�t2.GfList.Ni �tl'tt(TI? IC 2Ct.d_i-t R,iS inISr*3FicrIorJ- Date S- I- 'ClO Inspector CERJIFICAT"EOF ,SAI. .m_ CON FORMANCE. 1HE UNDERSIGNED MANUFACTURER HEREBY. CERTIFIES that the products identified below and on attached sheets Nos. - aie marked with the Collective Mark of the AMERICAN INSTITUTE OF TIMBI=R CONS-rhUCtION (AITC) and were manufactured in conformance with iGapplicable provisions of American National Staridard ANSI/AITC A190.1-1983, Structural Glued; Laminated Timber, and that such manufacture has been at our plant in Drain, OR , which plant has a clAhty control system approved by the Inspection Bureau of the AMERICAN INSTITUTE 01= TIMBER CONSTRUCTION and inspected periodically by such Bureau. The manufacture of these members complies with the manufacturing and fabricating provisions of Chapter 25 of the Uniform Building Code. ,OB NAME: Keller Lumber Sales for Stock JOB LOCATION: Redding, CA CUSTOMER'S ORDER NO. PO#4258 DATE 8-31-89 MFGR'S ORDER NO. - - 6576-D Arch ADD. Indv Wr SIGNATURE COMPANY Duco-Lam TITLE Quality Control ADDRESS POB 297, Drain; OR DAtE% =12-89 ' AITC HEREBY CERTIFIES that the said compahy.at its said-PWt i§ licg-H§ed by the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION to use the AITC C811e8A Milk in respect of products which c61mply with applicable pr&Nibns of'said Standard, tHat t4 Ije Lay tit the dgality control system in effect at said plant is periodically inspected and verifif'd by,fl a I,N>;pb6 on 6ur�aU of the AMERICAN INSTITUTE OF TIMB"t h CONSthU&IoN, ancii that, in the,�Udg'meht of AITC, said company is capable of complying Witfi'aaplicabld manufactueind'and testiri� Oi W§ions of said Standard in respect of products manufactured ei said plant. 6nforri•ibc'16 with!!th6'.Stgfidard in f6spect of any specific or particular product is the sole responsibility of the mall-Ifacturer; AITC's g(larantee hereunder being that the said company is ou2lified to Produce a product i�gbtlfig th6­461d Standard and that its plant is periodically inspected and verified by the AITC Inspection Bureau. AITC FORM IBCA AITC Certificate No. 56721 A AMERICAN, INSTITUTE OF TIMBER CONSTRUCTION RFTEIVED . sEp 1 41969 KELLER LBR. SALES 8 1983 AMERICAN INSTITUTE OF TIMBER CONSTRUCTION Z V �o C ITI CERTIFICATE OF QUA� .z CONFORMANCE /HE UNDERSIGNED MA NUFA C TURER HEREB Y CER TIF/ES that the products identified below and on attached sheets Nos. are.marked with the Collective Mark of the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION (AITC) and were manufactured in conformance with applicable provisions of American National Standard ANSI/AITC A190.1-1983, S�rucxuraldued Laminated Timber, and that such manufacture has been at our plant in ain9 , which plant has a quality control system approved by the Inspection Bureau of the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION and inspected periodically by such Bureau' The manufacture of these members complies with the manufacturing and fabricating provisions of Chapter 25 of the Uniform Building Code. JOB NAME Keller Lumber Sales JOB LOCATION: Qiiw9 CA CUSTOMER'S ORDER NO PO#4154-A 24F -V8, WP Glue, Arch Anv, Indy SIGNATURE DATE 9-23-89 MFGR'S ORDER NO COMPANY 1117 6528-D TITLE ` Uallty Control ADDRESS FOU 297, Main, OR DATE 7-7-89 AI TC HEREB Y CERTIFIES that the said company at its said plant is licensed by the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION to use the AITC Collective Mark in respect of products which comply with applicable provisions of said Standard, that the adequacy of the quality control system in effect at said plant is periodically inspected and verified by the Inspection Bureau of the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION, and that, in the judgment of AITC, said company is capable of complying with applicable manufacturing and testing provisions of said Standard in respect of products manufactured at said plant. Conformance with the Standard in respect of any specific or particular product is the sole responsibility of the manufacturer; AITC's guarantee hereunder being that the said company is qualified to produce a product meeting the said Standard and that its plant is periodically inspected and verified by the AITC Inspection Bureau. AITC FORM IBCA p AITC Certificate No. 57081 A AMERICAN INSTITUTE OF TIMBER CONSTRUCTION ,EcEivED ��.� ► '� 1989 K'ELLUI LgR• SALES © 1983 AMERICAN INSTITUTE OF TIM13ER CONSTRUCTION The glulam members of the job covered by this certificate are stamped with one of the following type quality marks- Each qualified plant has an individual qualification designation. The designation "P-143" shown on' -the micat G,lality marks below is not assigned to any plant and is used only for the purpose of illustration. A TYPICAL CUSTOM PRODUCT QUALITY MARK P-143 AITC designation of qualified licensed plant QUA4111=LITY p ANS I/AITC INSPECTED A190.1-1983 Indicates that the designated licensed plant has met all requirements for qualification and maintains an acceptable quality control system which is periodically inspected by AITC Indicates conformance to ANSI/AITC A190.1-1983, Structural Glued Lamin- ated Timber A TYPICAL NON -CUSTOM PRODUCT QUALITY MARK UvL_ Identification of structural use, desig- nated by symbols: B—simple span bending member; C— compre3sion member; T—tension mem- ber: CB—continuous or cantilever span bending member Designates appearance grade. IND— P-143 Industrial. ARCH—Architectural. PREM—Premium SPECIES AITC designation of qualified licensed plant and wet -use adhesives. When dry -use adhesives are used, the letter QUALITY ® 000-00 00 F-Xx D is added INSPECTED lJ /� Name of wood species used ANSI/AITC A190.1-1983 Designates applicable AITC laminating specification and combination symbol; for example: "117-85, 24F -V3". Indicates that the designated licensed plant has met all requirements for qualification and maintains an acceptable quality control system which is periodically inspected by AITC Indicates conformance to ANSI/AITC A190.1-1983, Structural Glued Lamin- ated Timber For custom products, the details covering the product are included in applicable documents. 00 For non -custom products, essential details are included on'the stamp. c t. � +-F.... .. rte: . ,.+'�"'�e{PK.(���,�p1�w� �ij,=-•, _:r :.; ---•�� - � -- COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS + PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 �f APPL'ICA'TION AND PERMITVe . ASSESSOR PARCEL NUMBER -- p -© - 000 O "k-Gil) NG BUILDING PERMIT OWNER Br<< >�i✓r'�L co>-TiivG,S/�9�'7' TELEPHONE S-/ 0 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 13.syy A ,�Q CONTRACTOR'S NAME � T�E[L/EPH'Oy�N/yE� CONcTRR—ACTOR'S MAILING ADDRESS / % 41001i��/v� /�% ✓�eggFireplace iw gat /000— CONSTRUCTION LEND 1 NON UN NOWN Total Valuation $ Q ro 14 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ uy rtj ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 2C Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ eulL�G,ADDRESS� � ✓ GIG^J .� G�'✓ ,�J %22jt� �Q Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap :11 2.00 Solar or heat pump water heater 20.00 LOT NJ. I SUBDIVISION NAME pgCE�M C"`VVVJLLL'^i`/ �' Water piping �" 5.00 V Each qas water heater or vent X 5.00 S "' USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other p,41 V474. TIAC17 Iqit1 SPECIFY Gas piping system 1 - 5 outlets 5.00 17 Building sewer 5.00 `� Mobile Home is G W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uttiilities ❑ Installation ❑ Other ❑ Describe work: I JAf/% t`1 7oVr1-' _ wc*o SrDoe Permit Fee $ 3 Contractor ELECTRICAL PERMIT Filing Fee 10.00 OV OR L Main service 61O00AMPORSLESS 10.00 Main service EA. ADD -1- 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 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 j c�3 ❑ I, as the o �, or iy mployees 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- ontract- ors. ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.4y OR ADDNS. ACC. BLDGS. o"J__1L4 'z ¢sq ft NEW CONSTR. ULTI-OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS POWER APPARATUS e SINGLE OUTLET CIR. x. ccupOUTLETS OR FIXTURES EO20 0 505 SALO 30 FIXED Ex. Occup. OUTLETS PIRESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 i Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comp:y with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling 9 Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all I' ities, jud ments, sts, and expenses which may in any way accrue against aid Cou in co equ ce the granting of this permi X D �'/ �� j � Signat0 of Applicant — 2h ❑ 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 TYPE TOTAL FEE Z ��+ 7.r HAZ CUA PARK scH� F P 17ZJ HD : Is JL E' ✓ This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By. I / Date PERMIT EXPIRES Date ! ,/ 7 .10 Receipt No.� WMITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT R SI ENTIAL o-�o 39-18-39 2058-90B,P,E PERFECTION POOLS 2608 Dayton Rd, Chico (swimming pool/sf) JOB FINALED (Date) _ Signature Al V=OK i n 0 = Not OK Not • = Not Readyalile MOBILE HOMES MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L" ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test-Demand-Valve—Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports: Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s JC Setbacks -Easements �! Soils; Compaction -Structure Stability ool Structure; Steel -Connections -Thickness Dead Men -Lining lec.; Receptacles and Lighting, Distances-GFI Pool Lighting; 15 volts-GFI Iec.;Enclosu ; Conduit Entries -Terminals -Listed lec.; m Metal w/5' -Circulating Equip. -Heater ec.; ng; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes -Enc osures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date rl r,, ji ,,) Card B-1 G Q Date Card B-1 Date vt_j10- JJ6Card B-1 CT r2 Date Card B-1 Lome, 'd OK '• O=Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except ff's Date FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel -Blockouts-Wrapped 50. Garage Fire Protection Framing 6a. Hold Downs and Special Anchors 51. Property Line Firewall & Openings 7. Slab; Steel -Wrapped 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 8. Piers -Fireplace Ftg.-Steel 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 10. Gas Pipe; Size -Anchors 55. Siding -Nailing Veneer 11. Water Pipe; Test -Anchor -Regulator -Service Test 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 12. Electric; Underground 57. Glazing Area -Glass Protection -Skylights -Plastic, 13. Pienums & Ducts; Clearance -Material -Support -Ins. 58. Shear Walls; Nailing -Bolts 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 59. Insulation -Walls -Ceilings 15. Insulation 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except k's Date Card B-1 Date Card B-1 16. Water Htr.; Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except ff's 17. Water Pipe; Test & Anchor -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access. 63. Furnace; Vents -Clearance -Comb. Air -Connector - - In Garage; Above Floor-Ducts-Mech. Protection 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors �' 64. Bedroom Exiting - 65. G.F.I. & Bath Fixtures & Tub Access -Spa Date Card B-1 Date Card B-1 66. Elec. Trim & Subpanel; Breaker Sizes & Labels Date Card B-1 Date Card B-1 67. Stairs & Rails Date ELECTRICAL (Permit) OK except #'s 68. Fireplace or Stove; Clearances -Hearth 22. Fixture & Transformer Clearance -Ins. Protection 69. Elec. Outlets at Wood Panel; Int. & Ext. 23. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 24. Size Boxes & No. of Conductors -Stapled 71. Elec. Outlets & Receptacles at Kit. Counter 25. Romex Installed Close to Edge of Studs & C.J. 72. Garage Fire Door; Swing -Landing -Closer 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 73. A.C. Duct in Garage -Damper 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 75. Plb., Elec. & Mech. Equip. Listed for Location 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral 0 Yes 0 No 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic 0 Yes 30. Service -Riser Conductors & Ground -Main Disconnect 78. Guard Rails & Deck Construction -Post Caps 31. Equip. Clearances Panels-Motors-Mech. Equip. 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector 80. Following instld.; Drive 0 Yes 0 No; Walks 0 Yes 0 No; Planters 0 Yes 0 No 81. Stucco; Brown -Finish Date Card B-1 Date Card B-1 82. A.C. Unit; Disconnect, Electrical, Plumbing Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except tf's 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 34. A.C. Ducts Insulation & Support 84. Water Well; Disconnect, Electrical, Plumbing 35. Vent Fan; Exhaust above insulation 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 36. Condensate Drain & Overflow; Size & Grade 86. Ventilation Throughout House 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 87. Glass Protection 38. Attic Access & Platform if Furnance in Attic 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval Date Card B-1 Date Card B-1 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except ff's Date Card B-1 Date Card 8-1- 39. Sils, Proper Material & Anchors Date Card B-1 Date Card B-1 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Date Card B-1 Date Card B-1 41. Bearing Walls over Girders & Floor Nailing Comments at Final: 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing each time you visit job site) (NOTE: An entry must be made —..s.+ra `:—_� . .'^�,.y,c ,Si_J+..rsc .r .r q. r .-, � v .. .. - .... - '_ `• _ � ,a�....__Ll _.,r• COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 .. 7 County Center Drive, Orovi Ile — Phone: 538-7541 l 747 Elliott Road, Paradise — Phone: 872-6307 _ CORRECTION NOTICE .-1%1 OWNER MIT 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,"W,need additional explanation, please contact this office immediately. roill/e ProTrc6dH o� �rou•.c+�/�o.,d roe a/u�fo•' c 2 S -92.(,- /917- IV6C , i Date X / / Inspector_1 �...,r--'r-� . vey`S, ;:.�..,_ f..,+�'.'s-�.r.�^s.:�,�,-,-•.� -.: �.,.�..r�rw.t..�r- - - �- .,-"`�{`- `.a''`{'s"�i'���.r�^�..tL,. COUNTY OF BUTTE 1-�'- DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovil'le — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872.-6307 CORRECTION NOTICE ��t2�'�.fTla,J QJOI,S ZC�CR-�.a 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 matter, or need additional explanation, please contact this office immediately. / PGi lZ K t—c , (o 4' i7 Inspector Cl :1..io—. n Date_ 7 "3o"e7O A- COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovill'6 — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE T)F(LFcrC 1:1 e)^1 POVLG 2058-96 OWOW E 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, or need additional explanation, please contact this office immediately. &0y(�ti A- pepo%)'b !Yl 45 riig I:5GAly 5,0 7 -fT� r 10/ Inspector /,.►,��.�.e Date 7 '3— C) 0 r COUNTY OF BUTTE - DE TMENT OF PUBLIC WORKS 7 County Center Drive - Oroville,, nia 9565 - Telephone: 916/538-7541 APPLICA' NO PERMIT PERMIT NO. ASSES OR PARCEL NUMBER ZON (JG BUILDING PERMIT 039-18-39 A-10 OWNER TELEPHONE SO. FT. OCC. BUILDING VALUA 'ION Perfection Pools 895-0437 Pool Est 91900.00 OWNER'S MAILING ADDRESS 1408 Dayton Rd. Chico 95928 CONTRACTOR'S NAME TELEPHONE Owner CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation 1$9.900.00 Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ 80.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 15.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee _ $ 105.50 PLUMBING PERMIT Filing Fee 10.00 2608 Dayton Rd., CHico Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 nn Each pas water heater or vent 5.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 SF[J Duplex❑ Mobilehome❑ Other Pool Building sewer 5.00 SPECIFY Mobile Home S I G I W 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other K] ; Permit Fee $ 15.00 Describe work: Swimming Pool _ Contractor Master #507-88 ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD•L 100 AMP 2.50 'CONTRACTORS LICENSE LAW NEW CONST. DWELLING OCCUP.ai ( 2l20spft I declare nder penalty of perjury (check one): OR ADDNS. ACC. BLOGS. NEW CONSTR.ULTI-OUTLET 2.50 ea I am licensed under provisions Of Chapt. 9, Div. 3 of the Business NON-RESID BRANCH CIRC ITS POWER APPARATUS D (SINGLE and Professions C./odg �1 my license is in full force and effect. OUTLET CIR. License No. 56 i Classification C� �S� Ex. Occup(OUTLETS OR FIXTURES 20@50t SAL@ 30 Fl 1, as the owner, or my employees with wages as their sole compen- FIXED Ex. OCCUp. OUTLETS (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) Mobile Home Facilities 15.00 ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) Misc. Wiring g Pool Electric 15.00 1 15.00 ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $25,00 Contractor WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): MECHANICAL PERMIT Filing Fee 10.00 ❑ The permit is for $100.00 (valuation) or less. Heating have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a CertificateCoolin of Consent to Self -Insure. g ❑ I shall not employ any person in any manner so as to become subject 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 $ is correct. I 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 :)Cc CONST TYPE Butte to enter upon the above-mentioned property for inspection purposes. TOTAL FEE ALL E $145.50 I also agree to save, indemnify and keep harmless the County of Butte against all liabilitie judgments, costs, d expenses which may in any way accrue AZ CUA PARK PAR PD IssuE against ounty in s of this permit. X ��g b ( This permit is hereby issued under the applicable provi- Date sions or the Butte County Code and/or resolutions to do Signature of A rant — OWner ❑ Contractor Agent ❑ work indicated above for which fees have been paid. An OSHA permit is required for excavations over 5'0" deep and demolition or construct- CT OF P BLIC WORKS ion of structures over 3 stories in height. ZDI /Z/_� Receipt No. 7� Bv Dat WHITE-D.P.W.. YELLOW -ASSESSOR. PI K -INSPECTOR. GOLDENROD -APPLICANT (PERMIT EXPIRES D e - ..,.�///f ,, •�•'3 a `..A��df'4'`r+f. Y � ' � �. COUNTY OF BUTTE - DEPART�AENT AF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE- OROVIC6 CA IFORNIA 95965 -TELEPHONE: 916/538-7541 PERMIT APPLIGATION DATA SHEET Permit No. OWNERG-��I /J L S A. No. Proposed Building Use A�o f✓ 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 . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with\wet signature on plans �.. 5. HazardousMaterial Form .................................... ..... . 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid .............. �. Sanitation approval from Health Department -a41, ^moi 0 a 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) _ 17. Planning approval for (A) Use: (B) Parking: 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephonegq� __7 and hold for pickup at office. Deliver w/inspector. 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: (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---jnail—counter by ..date Contractor, designer, owner, was advised of above required data by—phone _map__-_-4_couqQ9r by date Plans checked bj Sets of plans Copy—DPW Date Plans approved by hold in File cabinet AP folder Date TO Buildinq Department FROM: , Environmental Health SUBJECT: Sanitation Clearance . ownerU - - - I�o-cati—on APO y . Plan Approved for: Sewage Disposal `L Water'Supply Hold final for: Water Supply i Final clearance O.R. for: Water Supply Clearance for bedroom mobile home. othe���''. i E , NOTE f Date San arian �n COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS %n Y' 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 v APPLICATION ),ND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBERZON IN ,�.. BUILDING PERMIT OWNER I ELEPD NE 43-7 SO. FT. OCC. BUILDING VAL ATION R' OWN ��NG A RNS /` CO CJ`q, l-111 ' CON ACTOR'S N,AMF TELEPHONH CON AC OR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ej, ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,s /27 IOU Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILD�J a?Rr ^ „ ` ,2„/ GG l(/lp/. `�J �D/ v�-�f �5 Permit fee s-119'—'. PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 O Each qas water heater or vent 5.00 USE OF STRUCTUR_ E �.D� SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home 0.00ea TYPE OF WORK New❑ Addition❑ Remodel❑ Utilities❑ Installation[] Other[] Describe work: #V� -S M -7 O Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 t Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed Contract- ors. (Sec. 7044) ❑ I am exempt under Sec. . Business and Professions Code for this reason NEW CONST. / DWELLING oCCUP.8i OR ADDNS. \ACC. BLDGS. , /a¢sgft NEW RESID,CONSTULTI.O Cl CU NON•R ESID BRANCH CIRCA ITS 2,50 ea (POWER APPARATUS e ISINGLE OUTLET CIR. ( Ex. OCCUp\OUTLETS OR FIXTURES 20@sOt eAL@30 FIXED Ex. OCCUp. OUTLETS PK RESID IEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 (J Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California.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 provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyor 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, judg nts, costs, and expe ses which may in any way accrue against said Cou In consequence of th ranting of this permit. X Z � yU Signature of Applicant Owner El Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct. over 3 storiesin height. ion of structures/ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE J TOTAL FEE �/Y HAZ CUA PARK SCHL FLD PAR PD HD ISSUE Th;s permit is Hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date r Receipt No. 6i6Q 7 T WRITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT 0 . I nr,.x _ . _- .:a. „r ... _ �,,...-s`3'�+�ru; + c �:.•, we;rr: i;z.� •3 y � ,.',�'�... h'; COUNTY OF BUTTE- DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 3 APPLICATION AND PERMIT _ ASSESSOR PARCEL NUMBER •. /go' 0 9 ZON X/ 0 BUILDING PERMIT OWNER TELEPHONE g5,— - 1,w SQ. FT. OCC. BUILDING VALUATION OWNER'S MAIL; G ADDRESS Syyc�; �� C CONTRACTOR'SN ME . a�J .+� TELEPHONE - -373 CONTRA R'S MAILING ADDRESS 77 Uoop4,ia,4a -0 ��2� Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ . LENDER'S MAILING ADDRESS Filing Fee $ 10 .00 Permit Fee $ ARCHITECT OR ENGINEER f LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS — Penalty $ BUILDING ADDRESS Cave eS C � r � oAc � n,� ,Q,o r� i,l Permit fee $ PLUMBING PERMIT Filing Fee 10.00 /r'' C` `✓� Each Trap 2.00 3.,M � N�� owe. -19X10, Solar or heat pump water heater 20.00 LOT NO. --J-SUBDIVISION NAME PARCEL. MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE fF1S 6, �v,,J, f SF ❑ Duplex❑ Mobilehome❑ Other WP -(.L ► SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G JW I 10.00e TYPE OF WORK New Addition Remodel❑ Utilities❑ Installation❑ Other, Describe work: ae-A)c .5exvfeo 'FQr- %� QCT`' ,otr/C We h � r Te Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6OOV OR LESS 100 AMP OR LESS 10.00 tKI Main service EA. ADD'L 100 AMP 2,50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): 21-'1 am licensed under provisions of Chapt. 9, Div. 3 of.the Business and Professions Code and my license is in full ,force and effect. License No. y.7fl Y3 % Classification !�- ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed Contract- ors jSec. 7044) ❑ I'am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUR.d I OR ADONS. ( ACC. BLDGS. �20sgft , NEW CONSTR ULTI-OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex. Occup(ourLETs OR FIXTURES e20 @w A30 FIXED APLNS. Ex. Occup. OUTLETS IPRESID IKEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 /T v0 s r C I" Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the -above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 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�ifi conse5tifenc�anting of this permit. �� X^ • ✓ ��-►� ,/, Date ��l' �'�• Signature of -Applicant - Own Contractor Q 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 TYPE S�- TOTAL FEE $ �2 HAz I GUA PARK rL I FLD I PAR PD HD ISSU This permit is hereby issued under sions of the Butte Cou ty Code and/or work IZicalqd�ove�for7hich fees IRE£GTOA OFPI�BLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date I,- n r t// Receipt No. WHITE-D.P.W.. YELLOW-A33[33OR, PINK -INSPECTOR. GOLDENROD-APPLI CANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville;`C-aliforpia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. 32 3 0 -/ ASSESSOR PARCEL NUMBER Iy1190�3 -.N,/ BUILDING PERMIT OWNER 41/1 C�oV/,�y/,ii� TELEPHONE 5� — )quos S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 5_yV C i -i CONTRA�,CTOR'SN ME ��.� � o�F TELEPHONE .35! —IJ CONTRA R'S MAILING ADDRESS �j 7-2 f✓o-at, 9,J � ld- C-/,, G J 493 6 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS /' C...O�.14"'�yt � /VOCG ii✓'I �LJ�B TO /�I Permit fee $ PLUMBING PERMIT Filing Fee 10.00 .00 F _ �L� ^r �� C)0 �iasr of '_ `D Each Trap 2.00 3 -� /4 0 Q,j�[yg�C(J� 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 -J USE OF STRUCTURE/a5l�O��o,,�� SF ❑ Duplex❑ Mobilehome❑ Other A LL OTLAe 1f:- SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New Addition Remodel❑ Utilities❑ Installation❑ Other Describe work: urc /C. ✓`E ✓/L fc�(t- _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 0VOR S Main service 1,10AMP OR LESS 10.00 Main service EA. ADD'L too AMP 2.50 2 CONTRACTORS LICENSE LAW I declare r penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license IS In full force and effect. ���rY3 License No. Classification /�— I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ontract- ors. ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.&` OR ADDNS. ( ACC. BLDGS. / , 2/20sgft NEW CONSTR ULTI.OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &\ (SINGLE OUTLET CIR. / Ex. Occup(ouTLETs OR FIXTURES 20030Q eAL030 FIXED APPNS.❑ Ex. DCCUp. OUTLETS (RESID )REAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 o0 RFS -/,4S cCi'/off Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabil' s, judgments, costs. and xpenses which may in any way accrue agains ai County copse ence th anti ng of this permit. X Date T 21p�cl a� Signature o pplicant — Own 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 TYPE AL TOTAL FEE $ 31 � HAZ CUA PARK FLD PAR PD HD Issu This permit is hereby issued under sions or the Butte Cou ity Code and/or work indicat bov for hich fees R O P BLIC - BY PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date '� '-9 •�f/ Receipt No.�9'6� WNITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT u4•..,rrs. ` W".'?'F_ "eGF,-s�f`',�'f w3°t'4R.''';F.`�.`Yi..' _'1,', 1�� .�`+i �.'''. '�. `:;• ar' ,��.. ' COUNTY OF BUTTE - DEPARTMENT.OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILL"A1:IF6RNIA 95965 - TELEPHONE: 916/538-7541 •�� w .t 1 PERMIT APP'LICFITJONDATA SHEET, r Permit No. OWNER B, P C J�"rT/../51, A. P. No. Proposed Building UseBuilding Inspector CS/✓ Date / z9_&c At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: ` DATE RECEIVED APPROVED 1. All items have been submitted. .......' ..:......................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans . . 4. Complete engineered plans and calcs, with wet signature on plans . . 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicaje (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................:.. 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18 Improvements may be required. Contact Land Development Section DPW 4210. Driveway permit (construction approval required prior to occupancy) Pre -Inspection for :f t ff co—ate required ... aeldisyic. rdost to(Date) Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Appl icant Date17 Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above).-'., 1. Index permit for above items No. ' 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---nall—counter by .date Contractor, designer, owner, was advised of above required data by—phone —ma ll—counter by date Plans checked by Copy—DPW Date Plans approved by Sets of plans on hold in . File cabinet AP folder Date rkz u� th . COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS. PERMIT NO. 7 County Center Drive - Orov:Hia,'California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONI OWNER 1 %Std 0 3 /0 BUILDING PERMIT C��'/���� TELEPHONE S0. FT. OCC. BUILDING VALUATION 5S- J30 k OWNER'S MAILING ADDRESS SyL/ & C 5'TL 6 CONTRACTOR'SN ME TELEPHONE 10 CON1 HACWUWSS MAILING ADDRESS $ 10.00 S i $ a Filing Fee 10.00 10.00 /o , CONTRACTORS LICENSE LAW Ice EA. ADD'L too AMP CONSTRUCTION LENDER UNKNOWN I declare r penalty of perjury (check one): Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee ARCHITECT OR ENGINEER Permit Fee and Professions Code and my license Is In full force and effect. License No. y —7 Classification LICENSE NO. Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee BUILDING ADDRESS 91 �� Qn�?0�l Penalty Permit fee Cb3t✓ F �/�Sr p� rL� ��� PLUMBING PERMIT 'jamc+ .-� 1�� Each Trap / cm�'�C'��� Solar or heat pump water heater LOT NO. SUBDIVISION NAME PARCEL MAP Water piping ❑ I am exempt under Sec. , Business and Professions Code Each qas water heater or vent USE OF STRUCTURE�S Q✓L0,,,,� Gas piping system 1 - 5 outlets SF ❑ Duplex[] Mobilehome❑ Other ALL /L�cISCT`R )C Building sewer SPECIFY Mobile Home S I G I W TYPE OF WORK Remodel[]Utilities[]Installation[]Other Permit Fee New❑ AddiJLX4 Describe work: /L SER�iL f!L Contractor �t%l� .:Tj�c� #a.�e - ELECTRICAL PERMIT Main service 600V OR LESS 100 AMP OR LESS Main sery $ 10.00 S i $ a Filing Fee 10.00 10.00 /o , CONTRACTORS LICENSE LAW Ice EA. ADD'L too AMP 2.50 . I declare r penalty of perjury (check one): NEW CONST. DWELLING OCCUP.BI) OR ADDNS. ( ACC. BLDGS. �ZQS ft q 1 am licensed under provisions Of Chapt. 9, Div. 3 of the Business NEW CONST R. ULTI.OUTLET NON•RESID BRANCH CIRC ITS 2.50 ea and Professions Code and my license Is In full force and effect. License No. y —7 Classification (POWER APPARATUS .tr� SINGLE OUTLET CIR Ex. Occup(ouTLETS OR FIXTURES Z0050t ❑ 1, as the owner, or my employees with wages as their sole compen- EX. Occup. OUT ETS IFIXED PRESID 1REA.) BALM 30t 2.00 sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) Temporary service 10.00 ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) Mobile Home Facilities 15.00 ❑ I am exempt under Sec. , Business and Professions Code Misc. Wiring 15.00 N6 - /,rC cC/- / <� v� for this reason Permit Fee $ Z WORKMEN'S COMPENSATION INSURANCE Contractor I declare under penalty of perjury (check one): MECHANICAL PERMIT ❑ The permit is for $100.00 (valuation) or less. FiIingFee 10.00 ❑ I have placed on file with the County of Butte Building Department Heating a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. Cooling I shall not employ any person in any manner so as to become subject Hood to the W. C. laws of California. 3.00 Notice to Applicant: If after making this statement, should you become subject Ventilation to the W. C. provisions of the Labor Code, you must forthwith comply with Permit Fee such provisions or this permit shall be deemed revoked. ; Contractor I certify that I have read this application and state that the aboveinformation is correct. 1 agree to comply to Mobile Home Installation Fee $ all County Ordinances and State Laws relating to building construction, and hereby authorize representatives Energy Inspection Fee $ of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to Occ CONSTFq 5-a save, indemnify and keep harmless the County of Butte against all liabil s, judgments, costs, and xpenses which may in any way HAzPARK TOTAL FEE $ � accrue agains ai County conse ence fth anting of this permit. scHL FLD PAR PD HD ISSUE X `� Mate —070 /�,�5; This permit is hereby issued unser the applicable provi- Signarure oft pplicant _ / Own • Contractor C�Agent ❑ sions of the Butte County Code and/or resolutions to do work indicated above for An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. which fees have been paid. DIRECTOR OF PUBLIC WORKS Receipt No. I^ �—C By WHITE-O.P.W., YELLOW ASSESSOR, PINK -INSPECTOR, GOLDENROD•APPLICANT Date PERMIT EXPIRES Date _ I TI 10 yt _ RESIDENTIAL a a JOB FINALE Signature 39-18-39 `440-90B,,,P,,E, M., COTTINGHAM, William & Nell Dayton 9d, Chico Contr: Douglas Imhoff (new sf) I J=OK O=Not OK -=Not Applicable Not Ready MOBILE HOMES ' = Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ P L" ft./ /"LPG 7. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plafis)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Pdsts-Beams-Rftrs.-Coonectors Shthg: Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sits-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater '8. Elec.; Grounding; Equip, w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panel boards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb;; -Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 tc ' 'r=SOK IF O=Not OK = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFMOR (Plans) OK except #'s f✓Zoning-Setbacks- Ease men ts-Flood -Slope ,X. Ftg., Main; Soils-Elec. Gy46.-4E�/" Ftg. Depth 3.449., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Porches & Decks; X Stemwalls, Main; Steel-Blockouts-Wrapped 6T4*mwalls, Garage; Steel- Blockouts-Wrapped 6e-1lohPtY0Wn's is d' Special Anchors 7. Slab; Steel -Wrapped B. Piers -Fireplace Ftg.-Steel D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 1VQas Pipe; Size -Anchors Water Pipe; Test -Anchor -Regulator -Service Test 12.E ctric; Underground P'enums & Ducts; Clearance -Material -Support -Ins. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Date 3'e,:A Card B-1 4GG Date Card B-1 Date Card B-1 911� Date -076 Card B-1 Date PLUMBING Permit OK except #'s Water Htr.; Vent -Access -Combustion Air -Baffle 1 Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; W.Atings & Anchor -Nail Protection 1e- Shower-Vn; T#ft, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access Gas Pipe; Size & Anchors Date Card B-1 Date Card B-1 GG Date -\-I gpCard B-1 G 6 Date Card B-1 Date ELECTRICAL Permit OK e 22. Fixture & Transformer ra a -I Protection 21. Elec. Receptacles Spaci - ig is & Switches at Doors A. Size Boxes & No. of Conductors -Stapled 2r Romex Installed Close to Edge of Studs & C.J. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 2 Appliance Circuts in Kitchen & Conductor Size/GFI ubfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / ga. Cu 0-40D Range Circ. / ga. Cu or I ven Circ. a. Cu or Al. Insulated Neutral Yes o Riser Conductors & Ground -Main Disconnect Equip. Clearances Panels-Motors-Mech. Equip. Clothes Closet Light -Shower Light -Spa Light . Smoke Detector Date -go Card B-1 rno Date 76 Card B-1 Cy -G Date pto Card B-1 Date Card B-1 Date M CHANICAL (Permit) OK except #'s 4. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation Condensate Drain & Overflow; Size & Grade Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date 'S - 8 -r10 Card B-1 M p Date Card B-1 Date :5 t 1rIOCard B-1 T G Date Card B-1 Date FRAMING (Plans) OK except #'s Sils, Proper Material & Anchors Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 1. Bearing Walls over Girders & Floor Nailing ,eV 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings- hases-Tub 44. Headers & Beam -Size Bearin Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties -Pu rlin —roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type AfJjueEiLQpIace Throat cle nc 48. Attic Access; Size & R mex Protection- aft Stop -Ins. Baffles . Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions E�ge Fire Protection Framing -6"_RCepeky Line Firewall & Openings t. Doors -One T -Check Garage -3rd Story, 2 Exits <59. it, idth-Headroom-Rise-Run-Landing-Fire Protection plywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing Veneer Stucco M h -Drip ScreFd. Vents-Underflr. Access 5/1 Glazing Area -Glass Protection -Skylights -Plastic s 5 np4ron-WaNF-CeilifMs 6 . Infill ion -W s-Wind6ws ��t�ii^�Ft 1�Q1>,M 5� 2A( f' (A•C3S Date qR q a Card B-1 G6 Date 5,( -7' -JV Card B-1 G Dates ,J -9d Card B-1 &2, 0. Date c; Card B-1 i Date FINAL (Plans) OK except #'s 6 xt. Steps -Door & Sidelight Protection -Landings Smoke Detector 6"1" Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection I�KBbdroom Exiting 6Y.'-G.F.I. & Bath Fixtures & Tub Access --Spa . Elec. Trim & Subpanel; Breaker Sizes & Labels fiirS[eirs & Rails qK'Firepiace or Stove; Clearances -Hearth 6*-&ec. Outlets at Wood Panel; Int. & Ext. 7,V'Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance jel' Elec. Outlets & Receptacles at Kit. Counter 72-0erage Fire Door; Swing -Landing -Closer 7T 'AC. Duct in Garage -Damper 74VWtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 7 Ib., Elec. & Mech. Equip. Listed for Location 7 Elec. Receptacles in Garage; (G.F.I.)-Romex Protection . Insulation -Foam -Looked in Attic 0 Yes 7 rd Rails & Deck Construction -Post Caps Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth J Clearance Looked under Floor ❑ Yes 8,P. -"Fol lowing instld.; Drive ❑ Yes ❑ No; Walks 0 Yes ❑ No; Planters 13 Yes 0 No tucco; Bran-Fi AT A.C. Unit; Disconnect, Electrical, Plumbing Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings Water Well; Disconnect, Electrical, Plumbing Wf Exterior Elec. Trim; G.F.I. Receptacle -Underground 8 . Ventilation Throughout House 8 Glass Protection 8rectioDe from Previous Inspections Gas eters Tagged; Gas -Electric i 98.�Water & Sey4r Connected -C/O to Grade -HD Approval . Energy Compliance Certificate -Other Certificates Date -46 Card B-1 Date Card B-1 Datey&,4�oCard B-1 (_-eg Date Card B-1 Date Card B-1 r.G Date Card B-1 Comments at Final: (NOTE: An entry must be made each time you visit job site) INSULATION CERTIFICATION NUMBER AND STREET CITY COUNTY ------------------------------------------------- SUBDIVISION LOT NUMBER DESCRIP"PION OF INSTALLATION DECLARATION I hereby certify that,,the above insulation was installed in the bL�ilding at the above location in conformance with the current regulations setting Enery Conservation Standards for new residential buildings (located in Title 24 of the California Administrative Code). T4C Zi9 X SE -NERAL fG` .""T 2?CT0V / B.� ),-y rir '� /O LICENSE NUMBER HAWK I NS INSULATION _ u794.07 _ �~__ (owner ) �SIGNnTURED�TITLE DATE -I- MATERIAL MATERIAL BRAND NAME (INCHES) THERMAL RESISTANCE EXTERIOR WALL M@TERIAL FIBERGLASS _BRAND NAME.,.' CERTAINTEED THICKNESS (INCHES) — `1 THERMAL,-RESI,STANCE CEILING BATT OR BLANKET TYPE_ FIBERGLASS _BRAND'NAME CERTAINTEED THICKNESS V THERMAL RESISTANCE LOOSE FILL TYPE _FIBERGLASS _ BRAND NAME CERTAINi'EED MINIMUM THICKNESS NUMBER OF BAGS WEIGHT PER BAG 25LB AREA COVERED __THERMAL RESISTANCE FLOOR ELEVATED MATERIAL —FIBERGLASS _BRAND NAME_ THICKNESS � _CERTAINTEED THERMAL RES I STANCE �q FLOOR SLAB -' _ i1 ^n TER TA AL J BRAND NAME THICKNESS THERMAL RESISTANCE WIDTH ( INCHES) FOUNDATION WALL MATERIAL BRAND NAME THICKNESS THERMAL RESISTANCE HEATING SYSTEM gas furnace i - MAKE MODEL DESCRIPTION RATED BONNET CAPACITY DECLARATION I hereby certify that,,the above insulation was installed in the bL�ilding at the above location in conformance with the current regulations setting Enery Conservation Standards for new residential buildings (located in Title 24 of the California Administrative Code). T4C Zi9 X SE -NERAL fG` .""T 2?CT0V / B.� ),-y rir '� /O LICENSE NUMBER HAWK I NS INSULATION _ u794.07 _ �~__ (owner ) �SIGNnTURED�TITLE DATE -I- COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico.— phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE 0 -;7tU=- '67- --f 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, or need additional explanation, please contact this office immediately. 1�cov�c,Q>• Tor �% n1 L��'•� bvJ ►a�.� all w�c�Gl o�c Cal( rG3 ! 9,1.70 S G* -0-'- _:t:7 r_:t- PI S !s /r Date �— Inspector,'`rt e lr" A� - COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE Co c f 14C L4%i An .3 944-- &q 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 matter, or need additional explanation, please contact this office immediately. Inspector ?q : �( �� Date 1 —2 6 —9 Q 1 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orgville, California 95965 - Telephone: 916/538-7541 APPLICAvON AND PERMIT PERMIT N(O�. �J o ASSESSOR PARCEL NUMBER S ZONIN f /C� BUILDING PERMIT OW ER t Wlyn 4 N6'1 -L Ca 1d ;yA TELEPHONE $%S Jbo ,SQ, FT. DCC. BUILDING VALUATION Lr33 R, 0. OWNER'S MAILING ADDRESS syy �1—k - c��,� A 9.s-�z� Coo. co✓ CONT ACTOR'S NAME oq6iLt4s /M®1-3113- TELEPHONE IN %® CONTRACTOR'S MAI PING ADDRE S /' L/fl A ✓ cwl[., 51Si2.6 Fireplace /4 2-6-0O, CONSTRUCTION LENDER UNKNOWN Total Valuation Ec E5 Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$' -7t Energy Plan Checking Fee $ 15:010 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 ®� /Q,D�S Oi L� �"� Each Trap 2.00 16.oo ,DIV f 0.,V Rm C nw /ip2r/-/ g1,0 e, Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PAR EL MAP 7- Zi Water piping I 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ;9 Duplex ❑ Mobi lehome ❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 �. Building sewer S 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK&W, New Addition❑ Remodel[] Utilities❑ Installation❑ Other ❑ Describe work: I R - Z.Bi9�f� s l,4Cile sr -CM'. k3 fLaw tA.J J i Soo Permit Fee $ C PU Contractor ELECTRICAL PERMIT Filing Fee 10.00, Main service 100 AMP ORV OR LESS10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare u der penalty of perjury (Check One): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. �/ Z3 License No. �! �CIdSSIfICatlOn ❑ 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 NEW CONST. DWELLING OR ADDNS. ACC. SLOGSOCCUP.& . p ,�21tSq ft NEW CONSTR.MULTI-OUT LET NON.RESID BRANCH CIRC ITS 2.50 ea T POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occu p OUTLETS OR FIXTURES e20 ® 50t AL®30 Ex. Occup. OUT LETS FIXED PLNS IRESID )RE A.) • 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g U d P��t o 15.00 Permit Fee $ �. WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Ce ate of Workmen's Compensation Insurance or a Certificate ,okConsent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating X<_ I pop I I 6 UD 6,clrl Ti/4L 104 /t Cooling 3 9'DPJ Hood 3.00 mac' Ventilation,pa 6� Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County ofCONST 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 li I ties, judgme ts, cos s, and expenses which may in any way accrue agai st s id County ' copse ence th anting of this permit. X Da Signature of A plicant - Owner Contractor Agent ❑ An OSHA permit is required for excavations over 5'0" deep andli 'ory or cnastruct- ion of structures over 3 stories in h ight. (O Mobile Home Installation Fee $ Energy Inspection Fee 3o� TYPE A TOTAL FEE $ HAZ "� CUA —I— PARK V FE AR PD _J� Is This permit is hereby is ed under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC BY PE T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. D WHITE-D.P.W., TEL LOW-ASSES30 R, NK -INSPECTOR, GOLDENR• APPLICANT a COUNTY -OF BUTTE - DEPARTMENT 0'F PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OR6VT'Ct;FALI7ORNIA 95965 -TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER 1LLli4/Yl #fLC_ Ca rr,dc-!;4,q onr7 A. P. No. 39"%15–.39 Proposed Building Usert -Sic Bui[ding Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form ........................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. obilehome installation data including manufacturer's installation instructions..... .................................... 0 Fees of $ �. .�_ ....................... 1.hico Urban Area fees paid ....................................... 1 Park fees paid .................................................... GNl e o School District fees paid .............. Sanitation approval from r- A41 10 Health Department ]�_*_l City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to w" 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement PI✓. F./.4 � 25. Letter of signature authorization ................................... 26. 27. When u issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone 3V3– Y370 and hold for pickup at CH119office. Deliver w/inspector. Other Applicant Date /97c, d` Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted arii 1. Index'permit for above items No. 2. Additional items required: — 3 Contractor, design Contractor, design Plans checked b, mj!,Vissua 9e: (Circle new item not checked above). was advised of above required data byi4phone_mail—counter bA!!=date er, was advised of above required data by —phone _maII—counter by date D� Plans approved by Date 4- 2B–� I Sets of plans on hold in Copy—DPW File cabinet AP folder Environmental Health JECT: San tatYon Clearance ,; j Owner Location AP# �ti,,-lOn �YG�Tc r . �• �i�t l � �� \a -.Plan Approved for: Sewage Disposal Water Supply "Hold final for: Water Supply "Final clearance O.R. for:.Water Supply ..Clearance for Z bedroom moble home. Other NOTE *:* .Sanitarian 3 7S' ek1STlNG' N,q TvRA4 r, -AS Ear/STING /-" G Date 5/89 RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX & MISC. ONLY) Bldg. Permit # OWNER Av--X A.P. # GENERAL tT oning requirements: (sideyards aluation. lans signed by designer. nergy Design and Compliance. xisting violations on property. .tems on data sheet. and number of permitted living units). PLOT PLAN Complete parcel size and dimensions. Setbacks, sideyards, easements, etc. Other buildings or structures. Grading, fills, drainage. Flood hazard. �6 Special conditions on creation map or compliance document. FAU & FAS road setback. FT.nop PT.AN Complete to scale plan with dimensions. Required windows for light and ventilation (Sec. 1205). equired windows for second exit (Sec. 1204). kylights (Chapter 34 & Sec. 5207). Human impact glass (Sec. 5406). IG equired room sizes, ceiling heights (Sec. 1207). FCIs in baths, garage, and exterior outlets (Article 210-8). ight fixtures, switches, receptacles, and exterior receptacles for maintenance f mechanical equipment.. ocations of water heater, heating and cooling equipment, other electrical or as equipment, and plumbing fixtures. arage firewall, door size, and closer (Sec. 503(d)(3)). - 3'0" exterior exit door (Sec. 3304(e)). fireplace and wood stove location, alcoves, and clearance. moke detectors (Sec. 1210). STR CTURAL DETAILS 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.. Roof construction details complete enough to construct building. Fireplace construction details and talcs if necessary. MISCELLANEOUS ITEMS TO LOOK OUT FOR Stairway details: landings, rise and run, Guardrail details (Sec. 1711 & 3306(j)). Brick or stone veneer (Chapter 30). head clearance, handrails (Sec. 3306). 5/89 RESIDENTIAL -PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONT'D) Exterior plaster - weep screeds (Sec. 4706). Proper roof pitch for roof covering (Chapter 32). oof covering type - (fire hazard). after ties or bearing ridge beam. • Garage door or porch header sizes. • Adequate bracing. . Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. Two exits on three-story dwellings (Sec. 3303 & see Mezannines - 1716). Attic access and ventilation (Sec. 3205). nderfloor access and ventilation (Sec. 2516). - Combustion air for fuel burning appliances. Noise requirements on duplexes. Adobe soils - special foundation design. . Retaining walls requiring design. . Unusual shape, size, or split level house requiring lateral design. . Flashing at all exterior openings. C.?� i t�TkaJ(:"f l..lF:Fil._ C AL.C.IJL.AT I C:!h. S 1="C!F,: C:ottAric.!i-iam residence I(utte Cua_lnt ., C-A Q�pEESSION,q� �0-0 6 3 01= GA`�F��. I l' t..l r-.0 to n d I•"! a i w k::i. n r 1; r•• _ v 1. A. C tl ]. l: o •, C a .l :i. f o r- n i is 959`26 13tai5-'-1l :1.25 i Lb —�dL2 ®Q�pEESSl0�,,� �. qy693 � �/ n --- ------ - --- 0 CA RE61S6-1 Tf�F O G l. CC,r j �o H>it �i� �" & < 'I -- o° t . cU 60 sl— oi° � Ul �) S ° N 6! d j nt-1OJ2S� Os)(601,7 05 1 a /Jx - aZo 37q zS 21 - e TL " Z3 .� �o1x►0� 1�3`10�3 .357 / Q�,oFEss►o,��t CP t �l4rF Of CA`\�pQ 4_ ?. �,-) 0�-- **Wood`column** *Col: 1 - #89142 P= 4.74 kips ht=_ 10.25 ft*. dmin= Ke1.00 Le/d= '35.14 <ok> Fc= 1050 psi E� 1700000 psi ' K=^671(E/Fc)^1/2= 27.00 *try: x= 3.5 in. y= 7.25 P allow= *use: 8 x 4 df#1 wood'column 1/23/90 , �I' o I S (���. _ 5(2DS�1�1o� �ol►s� os �D I s 1 QROFH -0 8693 3oOr Zoj' �� 5os� .} 2oS(��,I 3'ool lFpFCAO o�� lez o I ,r7 2 , F 4 o -74-C2) cl F -3 -7 Q- W, o s/� ^ **Point footings** *Ftg:F-2 ' ' #89146 1/23/90 ___ --�~ [ *one-way action* P net= 1.378 ksf Vu=(P net)(effective area)= 3.545 kips Vn=Vc=2(f'c)^.5*bw*d= 27.906 kips m Vn= 25.116 kips <ok> / *two-way action* Vu=(P net)(effective area)= 10.725 kips Vn=Vc=4(f'c)^.5*bo*d= 114.487 kips m Vn= 103.038 kips <ok> *Bending moment strength 617 Mu=(P net)bl^2/2= .872 ft-kips/ft req. Rn=(Mu/m)bd^2= 15.136 psi Required p= .0004 min p(g)=.002 . Required As= .0365 in^2/ft= .119 in^2 controls! Min. req. As= .1920 in^2/ft= .624 in^2 **try:, 4 no. 4 bars e.w. As= .80 in^2 <ok> *Minimum development length min. l db=0.04(Ab)fy/(f'c)^.5= 7 6 Actual embedment length= in. <ok> ~�- � / 12 U A�/,^^ . P= 9.48 kips 45.00 % LL <ok> �v= kips/ft^ .176 Pftg= 11584 kips 1'' total= 11.064 kips **try: 3.25 ft sn. t= 12.00 in. d= 8'00 in. Column size: 12.00 in. sq. *data: Fy= 40.00 ksi f'c= 2.00 ksi m= 23.53 Allowable soil pressure: 1.20 ksf m= .90 p total: 1.048 ksf <ok> p net: .898 ksf P net (factored)= 1.378 ksf *Check diao. tension (factored loads) _��=� ___ --�~ [ *one-way action* P net= 1.378 ksf Vu=(P net)(effective area)= 3.545 kips Vn=Vc=2(f'c)^.5*bw*d= 27.906 kips m Vn= 25.116 kips <ok> / *two-way action* Vu=(P net)(effective area)= 10.725 kips Vn=Vc=4(f'c)^.5*bo*d= 114.487 kips m Vn= 103.038 kips <ok> *Bending moment strength 617 Mu=(P net)bl^2/2= .872 ft-kips/ft req. Rn=(Mu/m)bd^2= 15.136 psi Required p= .0004 min p(g)=.002 . Required As= .0365 in^2/ft= .119 in^2 controls! Min. req. As= .1920 in^2/ft= .624 in^2 **try:, 4 no. 4 bars e.w. As= .80 in^2 <ok> *Minimum development length min. l db=0.04(Ab)fy/(f'c)^.5= 7 6 Actual embedment length= in. <ok> ~�- � / 12 U A�/,^^ . **Point footings** ' ^ ' #89146 1/23/90 *Ftg:F-3 ! ' P= 4.74 kips 45.00 % LL w= kips/ft. \ � Pftg= .759 kips P total= 5.499 kips **try t= 12.00 in. d= 8.00 in. Column size: 12.00 in. sq. *data: Fy= 40.60 ksi f'c= 2.00 ksi m= 23.53 Allowable soil pressure: 1.20 ksf m= .90 p total: 1.086 ksf <ok> p net: .936 ksf P net (factored)= 1.437 ksf *Check diao. tension (factored loads) - *one-way action* P net= 1.437 ksf Vu=(P net)(effective area)= .943 kips Vn=Vc=2(f'c>^.5*bw*d= 19.320 kips m Vn= 17.388 kips *two-way action* ` Vu=(P net)(effective area)= 3.284 kips Vn=Vc=4(f'c)^.5*bo*d= 114.487 kips m Vn= 103.038 kips *Bendinq moment strenpth <ok> .168 HA LQ 01 <ok CA <ok> Mu=(P net)bl^2/2= .281 ft-kips/ft req. Rn=(Mu/m)bd^2= 4.873 psi Required p= .0001 min p(g)=.002 Required As= .0117 in^2/ft= .026 in^2 controls! Min. req. As= .1920 in^2/ft= .432 in^2 **try .60 in^2 --- <ok> /mv *Minimum development length min. l db=0.04(Ab)fy/(f'c)^.5= 7.16 in. Actual embedment length= 5.50 in. ' » BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One Form per Building) pM %-I:x A.P. Number g - �" 39 Building Department No. 446-176) School District 01N City D County ® Jurisdiction `:.,-Property Owner %� � � � I � �1 -��2J) r 1 � �-� I I/10 Project Location/Address Subdivision Lot Number Residential Development: Sq. Footage # of 'Living MHI Addition (Group R) Units Commercial/Industrial: a Sq. Footage New Addition (Including Exterior Roofed Areas) Building Department Representative Date (Floor Plans reviewed by School District Personnel) District Id No. (�t.eyi ��hw C(� School District certifies that (Applicant Name) f (Phone Number) ?541 F--LI% (Street Address) (City) (State) (Zip_.CCodde) has complied with the requirements of Resolution No. g Cp / by the payment of $ �5 �. 46 representing square -feet. School District Representative Date PAID BY CHECK NO. / BANK NO PAID BY CASH REMARKS: white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC W RKS 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 16) 538-7541 AGRICULTURAL BUILD[Na EXEMPTIO PER IT PERMIT NO. Agricultural building is defined as follows: Agricultural building is a structure desired and constructed to house farm implements, hay, grain, poultry, livestock, or other horticulutral 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. ASSEM PAR L NO. ZONING /) 10 OWNER & PHONE NO. / cl�- /) L ISSUE OWN'SS ADD ESS o C G LOCATIO 0 BUILDI Q 500 I C% W l� V USE OF BUIL ING SIZEOFOF STRUCTURE 040 SO. FT. c�o x c_ = TYPE OF CONSTRUCTION: Cl1aV^-0L I I� op IF K WOOD FRAME STEEL CONCRETE OTHER (Specify) TYPE OF SI INCA „� -FO / ROOF C I G �a FLOOROP€ I� / 479W en ESTIMATED COST OF CONSTRUCTION /15-.00 $ AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows: FRONT. ! S[ �1 SIDES REAR 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. I declare under penalty of perjury that the building will be used as stated above and the proposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. ^ /) Date I^ ;� )— I D Permit Fee - $25.00 Receipt No. 6 -g -5q _/' Signature of Owner The above described AG Building is exemptyrom a building permit. White - DPW, Yellow - Assessor, Pink - B.I., Goldenrod - Applicant Director of Public Works By l Date v?�/ FLOOD PARCEL P.D. ROOFING ISSUE Director of Public Works By l Date v?�/ -OWNER i COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROV.IL= F,. CALIFORNIA 95965 - TELEPHONE: 916/538-741 PERMIT APPLICATION DATA SHEET mit�No. 1 1"411 Or3 I k1 /1 L'i 141__l P. No. Proposed Building Use a (D jJP Vni Building Inspector Date 7 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 411 items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner 0) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. DoliVer w/inspector. Other Applicant_ �W!% 4` - Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---jnaiI—counter by date Contractor, designer, owner, was advised of above required data by—phone —mai I—counter by date Plans checked Copy—DPW Date Plans approved by Sets of plans on hold in . File cabinet AP folder Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (916) 538-751 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticulutral 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. FLOOD ZONING A - ROOFING I OWNER PHONE NO. Wt��1Rv�l. C IIIA����Sr I OWNER'S ADDRESS C-4-1< 411 LOCATION OF BUILDING 'Tn+1. i2o l USE OF BUILDIN SIZE OF STRUCTURE v �j 3 x < = SQ. FT. TYPE OF CONSTRUCTION: WOOD FRAMEy STEEL CONCRETE OTHER (Specify) TYPE S)DING ROOF CO IN FLO YPE ESTIM`AD COST OF COIJ�TRUCTION $✓D� ,(=� AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows -C1 '� , !� FRONT a`"- SIDESREAR 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. I declare under penalty of perjury that the building will be used as stated above and the proposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Department of Public Works and will obtain any necessary pe ections, and approvals to comply with the requirements in effect at that time and before up cy. Date y `� Signature of Owner Permit Fee - $25.00 The above described AG Build' g is exempt from a building permit. Receipt No. 52/ -7 57 White - DPW, Yellow - Assessor, Pink - B. I., Goldenrod - Applicant Director of Public Works By Date FLOOD PARCEL P.D. ROOFING ISSUE I Director of Public Works By Date n '\ (L-- COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION XND PERMIT ASSESSOR PARCEL NUMBER -.O ® - ppm ZO NG BUILDING PERMIT OWNER 8/L� �-/✓e�L Co%%�//✓G/��/�r TELEPHONE s � � SO. FT. OCC. BUILDING VALUATIO 610 1 b 1-1 OWNER'S MAILING ADDRESS 3_5"V Y ee--t A so o Q. CONTRACTOR'S NAME vG /�IoF� d/ TELEPHONE CONTT�RAA,CTOR'S MAILING ADDRESS //7 C✓oozn441v/o Fireplace („moo f o0 o w CONSTRUCTION LEND R ��� U KNOWN 1 Total Valuation $ �{ _N Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ , ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee$ 5 2.�� Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING DDDDRRESS_ ,S +�' goo f�JJ5� carte �� � ✓� Permit fee $ PLUMBING PERMIT Filing Fee 10.00 L Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NQ. / SUBDIVISION NAME P CEL MAP '— Z Water piping 5.00 Each qas water heater or vent K 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other pR'(44-G19CK 9/h-- SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer L 5.00 Mobile Home S G W 0.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utticilities ❑ Installation❑ Other ❑ Describe work: AfIV1201' SX/Psi c -' _ Wo -0a s Permit Fee $ 36 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 10.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (Check one): Er—I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 3 ❑ I, as the o �, orttrTiy mployees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ElI, as the owner, am exclusively contracting with licensed contract -Mobile ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCc P. t OR ADONS. ( ACC, BLDGS. ,%0sgft / NEW CONSTR ULTI.OUTLET 2.50 ea NON-RESID BRANCH CIRC ITS POWER APPARATUS &) (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES j20 @ 50C 9ALO 30 FIXED APPLNS. 2.00 Ex. Occup. OUTLETS ((RESID ) EA R.) Temporary service 10.00 Home Facilities 15.00 Misc. byirin g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all l ities, judgments, osts, and expenses which may in any way accrue aga' st aid Cou yin co equ ce o the granting of this permi X Signatu of Applicant— er ❑ 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 $ CONST TYPE y j p. TOTAL FEE 2 //+�0 F HAZ I CUA I PARK �--� I SCHL I F I PA PD HD Iss This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. D R TO F PUBLIC WORKS 7� BY Date a! PERMIT EXPIRES Date Receipt No. Z'2b01 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT OWNER COUNTY OF BUTTE - DEPARTMENT OF)P�JBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVIL'LE; CtLIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. A. P. No. C)— /A:;11 �) Date I L 27!0 69 Proposed Building Use Building Inspector At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... School District fees paid .............. . Sanitation approval from C—R/ ,- a Health Department J 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: 18. Improvements may be required. Contact Land Development Section DPW S�Driveway permit (construction approval required prior to occupancy)����^�S 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 4. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other /1 , Applicant Copy of plans sent Health Dept., Fire Dept., Other Date Date The following data must be submitted r� r to permit issuance: (Circle new item not checked above)., 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by—phone---mai [—counter by .date Contractor, designer, owner, was advised of above required data by—phone —ma ll—counter by date Plans checked by Date Plans approved by AZ Date Sets of plans on hold in . File cabinet AP folder Copy—DPW TO BuildinaIDepartment FROM: Environmental Health SUBJECT:. Sanitation Clearance h6f #I saner Location AP# Plan Approved for: Sewage DisposalWater Supply Hold final for: Water Supply Final clearance O.K..for:- Water Supply Clearance for Z bedroom meb44-e home. Other NOTE ** Sanifarian Date Certificate of Compliance: Residential Climate Zone 11 GOTRAVV% Project Tide 440-410 C: inn OA Documentation Author '--r Telephone Buadjpg Permit N AL Z— 26 -ch Checked By/ Date Enforcement ARencv Use Onlv BUILDING DATA Glass Area % Glass North ConditiodFloor Area �3 Number of Stories East SlFloor Number of .Units South I 4a Single Family Detached (SFD) [ ] Addition Alone West 42 it — _ [ ]�ingle Family Attached (SFA) [ ] Existing Building Skylight (2 Total 2 (]Multi -Family (MF) Total �►S ��•S BUILDING SHELL INSULATION. Component Insulation Locatilon/Camments Type R -Value (atdc, to aaraae, c/piceL Wall .............. Wall .............. Roof............. Roof .... :........ Floor ............. Floor.......: Slab Edge..... GLAZING Glazing - Orientation K-13 EXT• l�yA�S � - • Area Glass Type North '70 - ( ) 70North Building Owner North(.) Duct Output Manufacturer / Model # East R -Value (Btuh) (or approved equal) East ( ) S•i S South s•i .-; South ( ) West ( ) 2 Btuh { West ( ) # Skylight....... equal) Special Feature(s) I THERMAL MASS Type/Covering r Area " (slab/IIexR2sed, tile, etc.) Of) Shadiizg Devices Interior Exterior Overhang Framing Type koll r blind, etc.) (shadewreem etc.) (yes/no) (metal/wood) All or IJ Ar A1Q 1 1 Thickness HVAC SYSTEMS Minimum Duct Building Owner Type (furnace, air Efficiency Location Duct Output Manufacturer / Model # conditioner, heat pump) (SE, SEER,HSPF) (attic, etc.) R -Value (Btuh) (or approved equal) —Ur2 � .72 T'TiC S•i S G 19.9 Ic. s•i Maximum Fumace Heating Output: Btuh { HOT WATER SYSTE S Tank Manufacturer/Model # System Type (storage gas,.> Capacity (or approved equal) Special Feature(s) SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) Mandatory Measures Checklist: Residential MF -111 NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardlem of the compliance approach used. Items marked with an asterisk (•) may be superseded by more stringent compliance rtquutments listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as binding minimum component performance specifications for the mandatory measures whether they art shown elsewhere in the documents or on this checklist only. DESCRIPTION DESIGNER ENFORCEMENT Building Envelope Measures §2.5352(a): Minimum ceiling insulation R-19 weighted average. §2.5352(b): Loose fill insulation manufacturer's labeled R -Value. §2.5352(c): Minimum wall insulation in framed walls R-1 l weighted average (does not apply to exterior mass walls). 62.5352(k): Slab edge insulation - water absorption rate no greater than 03%, water vapor transmission rate no greater than 2.0 perm inch. §2-5311: Insulation specified or installed meets California Energy Commission (CEC) quality standards. Indicate type and form. §2.5352(f): Vapor barriers mandatory in Climate Zones 14 and 16 only. §2.5317: Infiltration/Exfiltration Controls a. Doors and windows between conditioned and unconditioned space designed to limit air leakage. b. Doors and windows certified. c. Doors and windows watherstripped: all joins and penuntions caulked and scaled. §2-5352(e): Speeial.infiltration barrier installed to comply with 12.5351 meets CEC quality standards §2.5352(d): Installation of Fvtplaces I. Masonry and factory -built ftreplaas have: a Tight riding, closable metal 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 §2-5352(8) and 2-5303: Space conditioning equipment sizing: attach calculations. §2-5352(h) and 2.5315: Setback thermostat on all applicable heating systems. §2-5316(a): Ducts constructed, installed and insulated per Chapter 10, 1976 UMC. §2-5316(b): Exhaust systems have damper controls - §2 -5314(c): Gas-fired space hating equipment has intermittent ignition devices. §2-5314: HVAC equipment, water heaters, showerheads and fauces certified by the CEC. §2.5352(1): Water heater insulation blanket (R-12 or gieatu) or combined interior/exteriot insulation (R-16 or greater): fust 5 feet of pipe closest to tank insulated (R-3 or greater). , §2-5312(Exccpdon 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: c. Plumbed to allow for solar. 2. 75 percent thermal efficiency. 3. Pool cover. 4. Time clock. 5. Direeuorul water inlet. Lighting and Appliance Measures §2.53526): Lighting - 25 lumens/watt or greater for general lighting in kitchens and bathrooms. §2-5314(c): Gas fired appliances equipped with intermittent ignition devices. §2.5314(a): Refrigerators, refrigerator -freezer;, freezers and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. COMPLIANCE STATEMENT This certificate of compliance lists ft building features and performance specifications needed to comply with Title 24, Chapter 2-53 and Title 20, Mptcar2, Subchapte". Article 1 of the California 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 purdlaser of the building. Designer Building Owner Name: Name: TitkJFirm: Address: TitWFum Address: Telephona Telephone: Lie (si6rua (date) (signature) Documentation Author Enforcement Agency Name: Name: TidelFtrm: Agency: Address: Telephone. (date) F2 factor 0.90 1. Ceiling Insulation 3 .1 0.80 Number of stories -i 0 0.70 R -value One Two Three 0.60 R-0 -103 -49 32 0.50 R-19 -8 -4 .2 0.40 R-30 -2 -1 -1 .40 R38 0 0 0 -121 U -value -39 -24 0.50 -176 -84 -54 40 0.30 -102 49 32 -26 0.10 -26 -13 • -8 8 0.08 -18 -9 -6 . -29 0.06 -11 -5 -4 1 0.04 -4 -2 .1 -61 0.02 4 2 1 -4 0.00 11 5 3 29 2. Wall Insulation -20 -12 Single- Single - 5 12 Family Family Multi - -18 R -value Detached Attached Family 5 R-0 -68 -51 -34 -52 R-11 0 0 0 -2 R-13 2 2 1 26 R-19 8 6 4 _8 U -value 7 14 0:80 -153 -114 -76 -14 0.50 -91 -68 -46 7 _0.30 -47 -36 -24 -43 0.10 0 0 0 1 0.08 4 3 2 23 0.06 9 7 5 -4 0.04 14 11 7 15 0.02 19 14 10 -9 0.00 24 18 12 9 3. Raised Floor Insulation 21 i Insulation In Floor .2 4 Number of stories 15 20 R -value One Two Three 0 R-0 -17 -8 -5 16 R-11 -3 -2 -1 -4 R-19 0 0 0 11 R-30 3 1 1 1 U -value 2 -- .---0.60 . -144 -70 46 17 0.50 -120 -58 38 f 0.40 -95 -46 30 17 0.30 -69 -34 -22 0 0.20 -43 -21 -14 13 0.10 -17 -8 -5 -17 0.08 -11 -6 4 i -0.06 -6 .3 .2 14 0.04 -1 0 0 7 0.02 4 2 1 18 0.00 10 5 3 4 Controlled Ventilation Crawlspace 11 Number of stories 18 12 R -value One Two Three 9 R-0 -11 -7 -5 19 R-5 -4 4 3 7 R-11 -2 .2 .2 16 R-19 -1 -2 .2 • 4. Slab Edge Insulation 11 14 - Number of Stories 19 9 R -value One Two Three 13 R-0 0 0 0 20 R-5 8 5 2 12 R-7 8 6 3 F2 factor 0.90 -4 3 .1 0.80 -1 -i 0 0.70 2 2 1 0.60 6 4 2 0.50 9 6 3 0.40 12 8 4 5. Infiltration (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 _8 -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 34 -7 .2 4 10 15 20 31 -6 0 5 10 16 19 -29 -4 1 6 11 16 18 -26 -3 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 -3 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 Class (percent Shea 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 f6. Shading (Shade Closed) ElTeWve Pei cc Class (Percent glass X SC) Etfecd" %Gins Norlh Etat Sotrtil West Skylight 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 . not allowed 9. Interior Thermal Mass SCORE CARD SC Interior Slab Floor Raised Floor Measures Mass SIMOS Stories -4 /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 25 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 it 13 14 14 8.5 7 10 12 13 14 15 10. Exterior Wall Thermal Mass 16 or Exterior Single- Single - -15 -5 +5 Wall Family Family Multi Mass DetedW Attached Family 0.00 0 0 0 -12 0.20 3 2 1 -4 0.40 5 4 3 3 0.60 8 6 4 0 0.80 10 8 5 0 1.00 13 10 7 5 1.20 13 12 8 16 1.40 12 13 9 5 1.60 10 13 11 . - 1.80 10 12 12 26 200 10 11 _ 13 8 11.. Heating System 30 26 22 18 SE or RSPF 9 13.0 (assumes ducts In attic) 29 24 20 Sum of 1.6 10 699 _ -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 4 Effective SE or HSPF HP HWR (SE or HSPF x duct efficiency) 3 Effective .25 or -24 to .14 b 4 to +610 16 or SE HSPF less -15 -5 +5 +15 more 0.30 2.75 -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 11 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 P-QU _23 System Type -8 -6 .5 Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 12. Cooling System SCORE CARD SC Eff. % Glass , Measures SEER One -5 -4 -4 -3 (assume'. ducts In attic) Two + 3 3 Sim of 7-10 2 2 1 -25 or •24 to 44 to -4 b +6 to 16 or SEER less -15 -6 +5 +15 more 8.0 -14 -12 -10 -8 -6 -4 8.5 -9 -7 -6 -5 -4 -3 8.9 -5 -4 -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 3 120 15 13 11 9 7 5 ' 13.0 20 17 14 12 9 6 4.2 Solar Effective SEER -1 .1 0 (SEER xduet efllclency) 0.2 HWR -18 Sum of 7-10 -9 -7 Effective -25 or -24 to -14to -410 +6 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 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 10 699 Zonal Control Adjustment 1700 2200 Heater 10 8 7 6 4 3 or No Cooling System Installed TYPO less -.Stories SCORE CARD SC Eff. % Glass , Measures 4 (S One -5 -4 -4 -3 -2 -2 Two + 3 3 2 2 2 1 Single -Family Detached and Attached U -value [0.037] 4. Slab Edge Insulation "W__' or j Unit Size (sQ Water F2 factor [0.77] i199 + 12M 1700 2200 2700 Heater C49dit or . b to to or Type Type less 1699 2199 2699 more SG None 0 i. 0 0 0 0 or Solar 12 8 6 5 4 - HP HWR 8 5 4 3 3 ey. WSB 5 3 3 2 2 1.3 POU 8 5 4 3 3 SE None -37 -24 -18 -15 -12 4.2 Solar -1 -1 .1 0 0 0.2 HWR -18 -12 -9 -7 -6 1.6 WSB . -25 -16 -12 -10' -8 3.1 POU -18 _ -12 -9 _7_ -6 IG None 15 -3 -2 -2 -2 0.6 Solar 7 5 4 3 2 2 POU 3._ _2 1 1 1 IE - None -28 -19 -14 -11 -9 5 Solar 8 5 4 3 3 0.9 POU -10 -6 -5 -4 -3 2.4 Multi -Family (Individual units) 3.2 3.5 3.7 3.9 Unh Size (s 4.3 4.5 Water 4.9 699 700 1200 1700 2200 Heater Credit or b to In or TYPO TYPO less 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 2S WSB 9 4 3 2 2 4 POU 9 5 3 2 2 SE None -45 -23 -15 -11 -9 1.4 Solar 2 1 1 0 0 28 HWR .23 -12 -8 -6 -5 4.3 WSB -25 -13 -8 -6 -5 _ P-QU _23 =12 -8 -6 .5 IG None ..8 4 -3 .2 f .2 3.1 Solar 6 3 2 1 1 4.6 POU 1_ 0 0 0 0 E None 30 -15 -10 - -8 76 1.9 Solar 18 9 6 4 4 - POU -8 -4 -3 -2 -2 Interior MasslCFA \ TTTL t Ml55 SCORE CARD SC Eff. % Glass , Measures 4 (S 1. Ceiling Insulation k -,-3o_ or X R- ue 1381 U -value [0.030] 2. Wall Insulation or -7-2.7 -s' R -value [ 11 U -value [0.098] 3. Raised Floor Insulation P.. or X R -value 91 U -value [0.037] 4. Slab Edge Insulation "W__' or Il. i•ulsC•..21 Ic•tvet.d .1•bl R -value [01 F2 factor [0.77] S. Infiltration Standard , ND. L OR AREA 4 TYPE 1 M1�SS (UIMC >t 4.2, Se: exposed slab) _p ' 01/. 5% tOY. 15% 20% 2S% 30% 35% 40% 45% 50% 55% 60% 659. 70% 75% 00% 85% 90% 95% 100% 105% 110Y. 115% 120% 125• ey. 0 0.2 0.4 0.8 0.8 1.1 1.3 1.5 1.7 1.9 2.1 23 , 2.5 2.7 2.9 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5 53 10Y. 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 54 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 2.4 2.6 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 58 40% 0.7 0.9 1.1 1.3 1.5 1.7 1.9 2.2 24 2.6 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 59 SOY. 0.9 1.1 1.3 1.5 1.7 1.9 21 ' 23 2S 27 3 3.2 3.4 3.6 3.8 4 42 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 2.5 2.7 2.9 3.1 3.3 3.S 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 3.8 4 4.3 4.5 4.7 4.9 5.1 53 55 5.7 5.9 6.1 64 701/. 1.2 1.4 1.6 1.8 2 2.2 25 27 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 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 6.3 6.5 801/6 1.4 1.6 1.8 2 2.2 2.4 26 2.8 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 54 56 5.8 6 62 64 66 85% 1.4 1.7 1.9 2.1 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 56 59 6.1 63 65 67 90% 1.5 1.7 2 2.2 2.4 26 2.8 33.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 53 55 5.7 5.9 62 64 66 68 95% 1.6 1.8 2 2.2 25 27 2.9 3.1 33 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 5.2 5.4 5.6 5.8 6 6.2 6.4 6.7 69 100% 1:1 1.9 21 2.3 2.5 28 3 3.2 3.4 3.6 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 7 105%' 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 5.6 5.8 6 6.2 6.4 66 68 7 110% 1.9 2.1 2.3 2.5 2.7 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 72 120% 2 2.3 2.5 2.7 29 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% 2.1 2.3 25 2.8 3 3.2 3.4 3.6 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 Point System Summary: Climate Zone 11. SCORE CARD SC Eff. % Glass , Measures 4 (S 1. Ceiling Insulation k -,-3o_ or X R- ue 1381 U -value [0.030] 2. Wall Insulation or -7-2.7 -s' R -value [ 11 U -value [0.098] 3. Raised Floor Insulation P.. or X R -value 91 U -value [0.037] 4. Slab Edge Insulation "W__' or Interio nss/CFA R -value [01 F2 factor [0.77] S. Infiltration Standard , ND. L OR 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 Type [double] U -value [0.65] Point +Scores s. 0 %Total Glass [16] Sum 1•6 % Glass SC Eff. % Glass 1.'3 X .77 = 1600 x = IG.4sZ \2 x. X• X = '� o Glass .72 X SC Eff. % Glass , x 4 (S = h'S Co X HSPF 10.56155.151 12. Cooling System X wez = -7-2.7 -s' X Duct Efficiency 10.741 Effective SEER [7.03] �p X D TYPE 1 MASS AREA =C) % Interio nss/CFA COND. FLOOR TYPE 2 MASS AREA AREA = �� Exterior Wall Mass ND. L OR AREA 11. Heating System .72 X 1 X33 = A W-10 Zonal Control? ( Y / N) SE or HSPF Duct Efficiency [0.78] Effective SE or [0.72/6.6] HSPF 10.56155.151 12. Cooling System a. X wez = -7-2.7 Zonal Control? ( Y / N) SEER 19.51 Duct Efficiency 10.741 Effective SEER [7.03] 13. Water Heating Type [SG] Credit [none] 4 _t 0' 6666 2 Sum 7-10 -f 2 1_ Point Total: �-7 I„ T '1 z' f rf 1 t � i � 1 r < 1 � 5 a f 1 .l ��:� 47 s, s �l�R '� 1;? r5 Ards 1 � � ,, . � , . c ;. N � ,. ,�.. :. ,, t . ,, ,, ¢,rte Y y .. �,. ,:: .. �.� �' �` ,', � , ,� ,;; ,, ��„ 1 q _ 1 . I. _. . I , y � i .. r 1,, r <. y , 1 � I � s �' , n. ,. t , _.,..... ,. _ ,.�.. ._ .. ..:: .:.: �.w S - r i.. ., ,.. .,.:. �. .. ..� ...��.. .. ., ,.... � �,... ., .,. �.,.:�: rt +�n+Y 5f4-wMt,Y y, i% 1 . :. t: (I 1r Y r i 1 , d f7 4 ,r 5 k J I t : a •r'r . 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