HomeMy WebLinkAbout039-270-111�
{LARRY 39-27-111
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ermit#3005-86B.P ew singvq-ej/te�
9-27-1Perm' B(add covered patio/SF)�
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3005-86B P E M
PERMIT NO. / > > >
A0L4W r d PERMIT EXPIRES /(
OWNER LARRY LAMBERT
CONTR. Larry Lambert
ASSESSOR PARCEL
39-27-111
LOCATION 3953 Front St, Daytoh
a
• � � OFFICE COPY
f Address
j I
I
GAS
+I Meter By Date
ELECTRIC
Meter By Date
Temp. Power Pole
Called PG&E
Temp. Elec. Service %
Called PG&E
Temp. Gas Sei
Called PG
JOB FINALE[
Signature
s
J=OK
O = Not OK
= Not Applicable MOBILEHOMES MISCELLANEOUS
* = Not Ready
Date
MOBILEHOME UTILITIES (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except H's
1. Zoning Requirements -Setbacks -Easements _
2. Soils; Special MH Support -Sketch
2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/0 -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4, Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
_
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG
6. Carports; Windows -Doors
7. Utility Clearance
_
7. Elec.
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
Card -BI
Date
Date Card -BI Date
POOLS (Plans) OK except (l's
1. Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4. Electricity; MH Test -Crossovers -Breakers -Clearances
4. Elec.; Receptacles and Lighting; Distances-GFI
5. Drain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected -C/0 to Grade -HD Approval
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes -Enc losures-Panelboards- Ins. to Main in Conduit
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B -I
Date Card -BI Date
Card -BI
Date Card -B( Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
J = OK
0 = Not OK
= Not Applicable Nbt Ready RESIDENTIAL (Single and Duplex)
Date UND LOOK Plans OK except N's
Date FRAMING Continued
-- Zywifig requirements -Se cks-E
_ Property Line Firewall & Openings
Ftg._Main: Soils -S 64w►ertitl.- L /'' Ftg. Depth
N9. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
_ 3
., Garage; Soils -Steel- //Z_/" Ftg. Depth
5g.-Sfairs-Widt11"-14mdroom-Rise- Run-Land ing�Fire-Protection
Ig. Porches &Decks; Soils -Steel- / /" Ftg,Depth
_
51. Plywood on Roof Overhang -Attic Vents after Outrigge�s� -
S'
emwalls, Main; Steel-Biockouts-Wrapped-Sl4b'�
'-Q. Siding -Nailing -Veneer `�—
6GS4ertlwalls, Garage; Steel-Blockouts-Wrapped-Slab
53. Stucc9-Wggh Qjip Screed-Fdn. Vents-Underflr. Access
7.
Ftg.-Steel
_
Glazing Area -Glass Protection -Skylights -Plastic
zPiers-Fireplace
^EBSU.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
I 55;theef-Wa,l-I�lailing-Bolts -
_ 9.
10.
Gas Pipe; Size -Anchors
Water Te -Anchors-Regulator-Service Test
11.
12.
Electric; Underground
Plenums & Ducts; Clearance -Material -Support -Ins.
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI Dated- BI Date
Card -BI Date Card -BI Date
_
Card -BI Date Card -BI Date
Card -B
Date Card -BI Date
Date FINAL -(Plans) OK except N's
Card -BI Date Qard-BI Date
Date PLUMBING (Permit) OK except q's
Ex_t Ceps -Door & Sidelight Protection -Landings
\. oke Detector
" . Water Ht.: Vent- Access -Combustion Air
Water Pipe; Test .& Anchors -Nail Protection
D.W.V.: Test-Fttngs & Anchors -Nail Protection
-Shower Pan:_ Test, First Floor -Tub Access
Test Tub & Shower, 2nd Floor -Tub Access
''�
Card-1314:7;-77,?�.yIJ71 Date Card -BI Date
Card -BI Date Card -BI Date
urnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Meth. Protection
oom Exiting
F.I. &Bath Fixtures &Tub Access
" Elec. Trim & Subpanel; Breaker Size La Pj
St 'rs & Rails
3 ireplace or Stove; Clearances -Hearth
lec. Outlets at Wood Panel; Int. & Ext.
- Kit. FW- P. Appliance; Grnd.-Air Gap -Cooking Clearance
16 lec. Outlets & Receptacles at Kit. Counter
Date ELECTRICAL Permit OK except q's
garage Fire'Door; Swing -Landing -Closer
_Alt. Duct in Garage -Damper
20. F+xxnre-&-Traq&tor~ Clearance -Ins. Protection
'**'24. Elec. Receptacles Spacing -Lights & S_witches at Doors
"'1,2.e. Size Boxes & No. of Conductors -Stapled
�. Romex Installed Clos to Edge of Studs & C.J.
.7 24. Equip. Groun ma a up _ c Fasteners -Bond GR &- Water �
��. 2 Appliance Cir in Kitchen &Conductor Size
26. -3abteed-VYrre-64e i / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al
Range Circ. /6/ ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
Insulated Neutral Yes �►No
Service -Riser Conductors & Ground -Main Disconnect - -
Equip. Clearances: Panels-Motors-Mech. Equip. — _
30. awELLiBbt_ _
Card B -I Date Card -Bl- Date
Card B-1 Date Card -BI Date
Mr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
I Garage; Above Floor-Mech. Protection
b., Elec. &Mech. Equip. Listed for Location
c. Receptacles in Garage; (G.F.I.)-Romex Protec.
- f�sulet ion- Foam- Looked in Attic ❑ Yes
fivard Rails &Deck Construction -Post Caps
Fdn. Vents & Crawl !-tole Door -Drainage & Wood -Earth Clearance
Loo),ed under Floor ❑ Yes
7ollow'ng instld.: Driv s ❑ No: Walks es []No;
Pla ers ❑Yes o
7 cco; Brown -Finish
A.C. U it; Disconnect-Clrn es-Brkr. & Cond. Size -115V Outlet
Ve Above Roof P I ba,4 I'ance- rept.-Clearance to Opngs.
Dis c lumbing
xterior Elec. Trim; G.F.I. Receptacle -Underground
Ventilation throughout House
lass Protection
Date MECHANICAL (Permit) OK except N's
_
orrections from Previous Inspections
Test -Meters Tagged; Gas -Electric
'-ga.
333.
a,34.
�y6.
Cartl-BI
Card -Bl
A.C. Ducts. Insulation & Support
Vent Fan; Exhaust above Insulation _
Condensate Drain & Overflow: Size _& Grade
Furnace -Vent: Access -Comb, Air -Return Air Vent -115V outlet
Attic Access - ---
Date Card -BI Date -
Date Card -BI Date
_--SA--Gas
W r & Sewer Connected -C/O to Grade -HD Approval
nergy Compliance Certificate -Other Certificates
-- ---- -
" -" — -
Card -BI Date Card -BI Date
Card -BI Date Card -BI Date
Card -BI Date Card -BI Date
Date FRAMING(Plans) OK except M's
Com lents at Final:
Sills; Proper Material & Anchors
�. Walls: Studs -Nailing, Spacing & Bracing-Plates-Sound--
�. Bearing Walls over Girders & Floor Nailing
-�9) Draft Stop in Walls (rat proof)
F e Stops: Furred Ceilin -St ' s -Chases - Tub
Header &Beam -Size e`B&Rng
\`angers -Post Caps -Anchors -Connectors
-Ging. Joist-Rfir. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfnq.
Fireplace Ties or Type A Flue -Fireplace Throat
Attic Access: Size & Romex Protection -Draft Slop -Ins. Baffles
�. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
�. Garage Fire Protection Framing
_
_— --___- -- _a -
-- — ---- - - - - — _ — —
—
(NOTE An entry must be made each time you visit job site)
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
C RRECTI N. NOTICE
OWNER
ERMIT 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'rteed additional explanation, please contact this office immediately.
Inspector
1
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone:.891-2751 _-
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
l
CORRECTION NOTICE
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.
A r t
dA-)�v5so
s
Inspector___ Date
Owner: L.-rry Lambert Permit No.
ENERGY C ERT IFICAT ION
3953 Front St. Dayton, Ca.
LOCATION A.Y. No.
DESCRIPTION OF INSULATION
ROOF
Material
Thickness(inches)
EXTERIOR WALL
Material
Thickness (inches)
CEILING
Batt or Blanket Type
Thickness(inches)
Loose Fill Type Fiberglass
Minimum Thickness(Inches) 11"
Area covered(ft.2) 940 sa.ft.
FLOOR, ELEVATED
Material
Thickness(inches)
FLOOR, SLAB
Material
Thickness(inches)
Width(inclies)
FOUNDATION WALL
Material
Thi ckness(i.ncl►cs) _
Brand Name
Thermal Resistance (R Value)
Brand Name
Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R Value)
Brand Name Certainteed
Number of Bags 20 Wt. per bag 24 lb.
Thermal Resistance(R Value) R-30
Brand Name
Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R Value)
I hereby certify that the above insulation was installed in the above building
in conformance with the State of California Energy Requirements.
Shasta Insulation #272941
FIRM NAME/OWNER STATE CONTRACTOR'S LICENSE NO.
SIGNATURE OF INSTALLATION APPLICATOR
4-14-87
DATE
I hereby certify Lite above insulation and*all required items as shown on the
Building Departrient approved nlaus and attachments have been installed as
required by the State of California Energy Requirements.
All equipment, devices and materials are of the quality prescribed or are
specifically approved by the Alifornia.
FIRM / '}:R (P ase print) STATE CONTRACTOR'S LICENSE N0.
SIGNATURE OF Gh:1: CONTRACTOR OWNCR DATE
THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL
INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING.
January 1983
_ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville,.Califon>is 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PE MIT N� V/d — 49
ASSESSOR PARCEL NUMBER
_, I
7.114,G
#/o
BUILDING PERMIT
OWN
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
® p
OWNER'S MAILIN ADDRESS
�
f -0 0/�
0 . T>
CONT ACTOR'S NAME
,rr
TELEPHONE
CONTRACTORIS MAILING ADDRESS ,
�((eRgQ
Fireplace
O 00. vA
CONSSTRRU I N LENDER
UNKNOWN
Total Valuation $
Q 7
, 00A
Filing Fee
$
1Q,QQ
LENDER'S MAILING ADDRESS
Permit Fee
$
(o , rJ7
ARCHITECT OR ENGINEER
fvb"¢—
LICENSE NO.
Plan Checking Fee
$
!9— - &
Energy Plan Checking Fee
$
I S. 00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADM t—p N l
Permit fee
$
ct OS
PLUMBING PERMIT
Filing Fee
10.00
S'W ....:,.r F,�-o.,�- S }- �,
Each Trap
g' 2.00
. �• 0o
�
Solar or heat pump water heater
20.00
20,oa
LOT NO.
p 1
SUBDIVISION NAME
1
PARCEL MAP
1
Water piping
5.00
o0
Each qas water heater or vent 5.00
USE OF STRUCTURE
SF C4 Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer 5.00 ,S; C7rJ
Mobile Home S I G I W 10.00 ea
TYPE OF WORK
Newe�_ Addition ❑ Remodell ❑ Utilities ❑ Installation ❑ Other ❑
Describe work: 3 CSGlf'"\ _
(�� �er �,� ee_
Permit Fee $ 0
Contractor
ELECTRICAL PERMIT Filing Fee 10.00
B� 4 ��
B00V OR LESS
Main service 100 AMP OR LESS
10.00
��,Q�
Main service EA. AOD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
1 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. - 5y6�?� Classification 8 _�
❑ 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 CONS LI G OCCUP.&) '/zQsgft
OR ADDN A DGS. I ,QD
NEW CON TR.MULTI-OUTLET
NON-RESID BRANCH CIRC ITS 2.50 ea
POWER APPARATUS &)
(SINGLE OUTLET CIR.
EX. Occup( OUTLETS OR FIXTURES 5AL@32
9000 30
Ex. Occup. OUTLETS PIRESID,IFIXED APLNS. REA.1 2.00
Temporary service 10.00 n/pwG
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $ 4c.410
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
�I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Filing Fee 1 10.00
Heating So ppv 13 i ck
Cooling y
Hood 3.00 3, e-
Ventilation ,0p
Permit Fee $ ,00
I
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against s Count y ' con quence f the granting of this permit.
X Date /0--7 —pG
Signature of plicant — Owner [V Contractor Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in heigh .
Mobile Home Installation Fee $
Energy Inspection Fee $ 30.CxD
TOTAL PERMIT FEE $ (o r
occuP.
�„
coNST.TYPE
��
FLooD
ARc
PD
ND ssu
This permit is hereby issued under
sions of the Butte County Code and/or
wor dicated above for which
DI ECfOR OF PUBLIC
By
PERMIT EXPIRES DateWNITC-O.P.W..
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date SA/0✓d'f0
Receipt Na.
YELLOW -ASSESSOR, PI K NPCTOR. -APPLICANT
COUNTY OF BUTTE - DEPARTMENT,.OF PUBLIC FORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE��ALAFORNIA 95965 - TELEPHONE: 916/5'-AA541
PERMIT APPLICATION DATA SHEET
Permit No.
OWNER '���� ��w.►-j��'} A. P. No. 3�–aZ7–I/1
Proposed Building Use S 3 ���✓v
Permit Fee Based Upon: Complete Contract Price DPW Valuation
Other (Explain)
Building Inspector�✓'Date 104-r'lb:t
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. . . . . . . . . .
,3. Complete plans in duplicate/triplicate. . . . . . . . .
4. Complete engineered plans and calcs. . . . . . . . . .
5. Plans with Energy Design Compliance Statement. . . . . .
6. CUSD "Fees Paid" Stamp on Floor Plan . . . . . . .
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . . . .
9. Letter of signature authorization. . . . . . . .
10. Sanitation approval from S— Health Dept.
����-1. Planning approval for (A) Use: (B) Parking:
2. Certificate of Workmen's Compensation Insurance. %
13. .Contractor's License Information (no., name style, classif.) t
t 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ )
15. Improvements may be required. . . . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . . .
Pre -17. Pre -Inspection for Required- Bu, -I ',,g I .request to (Date)
(� q Building In 0ctor
__�__��1 8. Recorded copy of Agricultural Acknowle(kg State ent. Ori.`( �,a. f�ti�
4 � 19. Other Q�^`� ` f `
When you issue the permit, process as follows: Mail to owner. Mai ._ o orrtracta.._
Telephone and hold for pickup at Dg () office. Deliver w/inspector.
Other /
Applicant - Date 46
Copy of plans sent Health Dept., Fire Dept., Other Date
During the plan checking process, the following data must be su mitted prior to permit issuance:
(For required items not checked above at time of a'p4icajign,circle, item.)
1. Index permit for above Items No.
2. Additional items required:
(Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other
By Date
Plans checked by / - 1 Date
Plans approved by , Date
Other
Copy—DPW
Inter-Departmental Memorandum
To: ) (.YL Gt.�-� �Qft pli�l �G�(G c/r /
FROM:
//jj
SUBJECTT/yt�/,4; to ,/vi'/
( T��` `� 9-2
DATE: 10-- 7 ��
AINIV* /pace
SMall efl� �"�ZQ , i�c�i�'t2��� tw/'// n7l- Ce5UfrI G?
i . 10,41*RESIDENTIAL
ENERGY PLAN CHECK/INSPECTION SUMMARY FORM
Ownerpr
Climate Zone �L— Permit No.. o�OO.S-�7
Floor Area
Compliance
Package ❑ A ❑ B ❑ C "t System ❑ Budget &O-'ther
path:
MIN
R-VALUE DESCRIPTION
REQ'D
INSTALLED
ITEMS
(1)
INSULATION•
Roof/Ceiling
Wall
❑
Slab Floor Perimeter
❑
Raised Floor
(2)
INFILTRATION:
❑
(A) A vapor barrier is required in climate zones, 1, 14 & 16.
C�
(B) All manufactured windows and sliding glass doors shall meet the
1972 ANSI Air Infiltration Standards and shall be certified and
— /
labeled.
tri
(C) All swinging doors and windows leading to unconditioned areas
shall be fully weatherstripped.
Tight - the above standard features plus:
❑
(D) Continuous infiltration barrier
❑
(E) Electrical outlet plate gasket
❑
(F) Air-to-air heat exchanger
(3)
GLAZING:
(A) Location
Area Glazing %Floor Area Single Double Triple
Total Bldg
North S_ Q
["
East
L9"j
South 3
E
West
❑
Skylights
(B) Shading
Shading
Coefficient cri ion
(�
East . 1-6a,�l
�2424';�'/e'QZ_9
South '066 N -� H
[�
West
❑
Skylights
(C) South Overhang
Length of projection ft. Description
❑
(D) Moveable insulation: Area _ftZ Description
(E) Thermal mass
❑
Type - Area Ft.2 HC= R=
MC= Location
❑
Type - Area Ft.Z HC= R=
MC= Location
❑
Type - Area Ft.2 HC= R=
MC= Location
❑
Type - Area Ft. HC= R=
MC= Location
❑
Type - Area Ft.2 HC= R=
MC= Location
❑
Type - Area Ft.Z HC= R=
MC= Location
7/83
= 0 FOR M 1
❑ (4) MASONRY AND FACTORY -BUILT FIREPLACES shall be equipped with tight
fitting closeable metal or glass doors covering the entire opening
of the firebox; a combusion air intake equipped with a readily
accessible, openable, and tight fitting damper to draw air from the
outside of the building; and a tight fitting flue damper with a
readily accessible control.
*1(5) HEATING, VENTILATING; AIR CONDITIONING SYSTEM
(A) 'Heating
❑ Central Gas Furnace %
(brand and model number) SE
Btu/hr
(heating capacity)
Heat Pump.
0
(brand and model number)
Btu/hr
(heating capacity at 47°F)
Active Solar
model number
orientation
rated slope
other Q„
type (liquid or air)
solar fraction
collector tilt
*1 (B) Cooling
❑ Electric Air Conditioner
19
d
& Y,
ACOP
Collector brand and
ft2
collector area collector
rated y -intercept
/ (describe)
(brand and model number) (seasonal EER)
Btu/hr
(cooling capacity at 95°F)
Electric Heat Pump
EER
Btu/hr
(cooling capac'ty at 95°F)
(y� Other o o .
(describe)
(C) A TWO-STAGE THERMOSTAT, which controls the supplementary heat on
its second stage, shall be required for heat pumps.
❑ (D) AN AUTOMATIC SETBACK shall be provided for all thermostats, except
those controlling heat pumps.
❑ (E) AN INTERMITTENT IGNITION DEVICE shall be provided for all gas-fired
fan type central furnaces, gas-fired fan type wall furnaces and
gas cooking appliances.
(F) BACKDRAFT DAMPERS shall be provided for all fan systems exhausting
air to the outside.
(G) DUCT CONSTRUCTION & INSULATION. All transverse duct, plenum, and
fitting joints shall be sealed with pressure sensitive tape or
mastic to prevent air loss and shall be insulated to conform to
the provisions of Section 1005 of the UMC, 1976 Edition.
7/83 2
(6) 'DOMESTIC WATER SYSTEM
(A) Gas Only
(brand and model number) (tank size)
Heat Pump w/Electri,cBackup
Gallons
FORK 1
Gallons
(brand and model number)
2 (tank size)
13* Active Solar
(collector brand and model number)
(rated y -intercept) (rated slope) (solar fraction)
ft
(backup heater type, brand and model number) (collector area)
(collector orientation) (collector tilt)
❑ Location of Solar Panels
❑ Other
(Describe)
(G]� -(B) TANK INSULATION. Storage type water heaters and storage and
backup tanks for solar systems shall be externally wrapped with
R-12 insulation or greater.
(C) PIPE INSULATION. The five feet of pipe closest to the water
heater and outside conditioned space shall be insulated with a
minimum of R-3. Steam and steam conditioned space shall be
insulated with a minimum of R-3. Steam and steam condensation
return piping and recirculating hot water piping outside the
building envelope shall.be insulated in accordance with
T20 -1408(d).
(D) FLOW RESTRICTORS shall be provided for showerheads and faucets
as outlined in the new appliance efficiency standards and shall
be certified to the Energy Commission.
�(7) LIGHTING
(A) Lamps used in luminaries for general lighting in kitchens and
bathrooms shall have an efficacy of not less than 25 lumens per
watt (usually florescent).
1
* Submit documentation of sizing heating and cooling equipment by Manual J,.sizing
charts (form #4) or other approved methods, section 2-5352(g), and fill out the
following:
Heating: Winter design temperature -12?1-0, elevation 7'�"S?/V ', heating loadz59a, BTU
elevation factor/ro--0 x heating load.= maximum outlet capacity gas furnace
� ?&V BTU
Cooling: Summer design temperature /0 0, cooling load BTU
(USE ONLY AS A SIZING GUIDE, COOLING MAY BE.INADEQUATE)
*2 Submit T.I.P.S.E. chart or other approved system (form #5) to document sizing of
solar panels.
® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of
Title 24, Part 2, Chapter 2-53 of the California Administration Code.
7/83 SIGNATURE F 2XILDING DESIGNER OR APPLICANT
3
11
OWNER .=,' ONE POINTS
PERMIT - _ ASSIGNED ACTUAL
1. SLAB - INSULATION
2.
3.
4.
1 5.
RAISED FLOOR - R-19
CEILING - R-30
WALL - R-19
NORTH GLAZING
6. EAST GLAZING
7. SOUTH GLAZING
S. WEST GLAZING
9. SKYLIGHT
-eY1s /Lj
- 2.4-3.6%n
- 2.5-3.6% 1_
1.6-3.6% y� 9
-
2.9-3.6%
0-1.3%
10. `
10. SHADING (Exclude Overhang)
EAST -
.66
SOUTH -
.19-.42
WEST -
.13-.36 / L
SKYLIGHT -63 -
.37-.57
11. HORIZONTAL SOUTH OVERHANG 2'
12. :fOVABLE INSULATI017 - •"10NE
13. INFILTRATION (Standard=0)(Tight=+12)
14. THERMAL MASS
15. GAS FURNACE (SE)
-SF
71-76%
16. 4EAT PUI1P (EER) 7.5-7.9%
17. DUAL PACK (SE, SEER) 8,0-8.3/71-76%
WOOD STOVE
WATER •:-IEATER
ATTIC %
C���
OTHHE�__
r �99
Di
TOTAL POINTS =
i/
'able 3-1. Slab Floor Points
I In=•ria- I R -Value aluIns
e of - v:stfon
I tion I !
I Oepch, ---
I inches 1 0-2 1 3-4 ! 5-6 I 7+
I I I I I I
0 - -S I -5 I -5 '
I 12 - 15 I -5 1 -3 1 -2 1 -1 I
I 16 - 19 I -5 I -2 1 -1 1 0 1
1 20 + I -5 I -1 1 0 1 +1 I
I I I I I 1
7/7/83
e 3-2. Raised Floor Points
R -Value of I
Insulation I Points
I below 3
I 3-4
I 5-7
i 8 - 12
I 13 - 18
I •19+
I �
Table 3-3a. Ceiling Insulation
Points
i
i R -Value of Insulation I
I I
Points 1
1
I 19 I
-4 ' I
I 22 I
-230 I
-2y1
-1 I
I 38 I
2 I
49 I
+4 I
le 3-4a. Wall Insulation Points
ft -Value of Insulation I Points I
11 I
19 6F
I
24 I +2
30 I +3
Table 3-5. North-Facinq Clazina Pts
I I Glazing Type I
I Total I
I Z of Sngl, Dbl, Trpl,l
I Floor I U- I U- I U- I
Area 1 0.66 10.42- 10.41 I
I 1 1.10 10.65 I down I
o 1 + 4 1 4 +4
i 0.1- 1. +4 ! +4 I +4 I
I _ - I +2 +2
I - 3.6 1 -2 I a l +1 I
3.7- 4.8 I -4 I -2 I -1 1
I 4.9- 6.1 I -7 1 -4 I -3 1
I 6.2- 7.3 i -9 I -6 I -5 I
1 7.4- 8.2 1 -12 1 -8 I -7 I
I 8.3- 9.7 I -14 1 -10 I -8 I
I 9.8-10.8 I -17 I -12 I -lo 1
110.9-12.0 I -19 1 -14 I -12 I
112.1-13.2 1 -22 I -16 I -13 i
113.3-14.5 I -24 I -18 I -15 I
14.6-15.3 I -27 I -20 I -17 I
Table 3-6• East -Facing Glazing Pts.
I Glazing Type l
-'--1 Total I I
%-of I Sngl, I Dbl, Trpl,
I Floor I (U - I (U - I (U - I
7 I Area 1 1.10) 1 0.65).1 0.41)1
I I�1points I oints I ointsl
4 + tt
I 1 up to 1.3 1 +3 I I +4 I
-T 1 1.4- 2.4 I +1 1 I +2 1
I I 2.5- 3.6 I -2 I 0 1 0 1
I 3.7- 4.6 I -5 I -2 I -1 I
I I 4.7- 5.6 I -8 ( -4 1 -3 1
I I 5.7- 6.7 I -10 I -6 i -5 i
I 6.8- 7.7 I -13 I -8 I -7 I
I I 7.8- 8.7 I -15 1 -10 I -8 I
I 8.8- 9.7 I -1.7 1 -12 I -10 I
1 9.8-11.2 I -21 1 -15 I -13 ;
111.3-12.7 i -25 1 -18 •I -15 I
112.8-14.0 I -28 1 -21 I -18 I
114.1-15.3 I -32 I -24 I -20 I
I
TTable 3-7. South -Facing Glazing Pte Tablr a 3-10. ShadingCoefficient Points
I Glazing Type I
I Total I I
1 Z of I Sngl, I Dbl, r TzpI,
I Floor I (U - I (U - I (U - I
Area 11.10) 10.65) 10.41)1
II oints I oints I ointsl
C
+s +3 +3
1 up to 1.5 I +2 1 +2 I +2 I
1 1.6- 3.6 I -1 1 0 I 0 1
-•411 I -2
I S I -6 I? i -3 I
I 6.6- 7.7 I -9 1 -6 I -5 1
I 7.8- 8.9 I -11 I -8 I -7 I
I 9.0-10.0 1 -13 I -10 .I -9 1
110.1-11.5 I -17 ( -13 I -11 I
111.6-13.0 I -21 i =16 1 -14 I
113.1-14.5 I -25 I -19 1
114.6-16.0 1 -28 I -22 I -19 1
I I I I I
Table 3-8. West -Facing Glazing Pts.
I I Glazing Type I
I Total I I
I Z of I Sngl, I Dbl, I Trpl,
I Floor I (U - I (U - I (u - I
I Area 1'1.10) 1 0.65) 1 0.41)1
I I oints I otnts I ointsl
+s +e
I p to i. +5 1 1 + 1
1--F- 2.2 I +3 I`--- I +s5 I
1 2.7- 2.8 1 0 1 +2 1 +3 1
1 2.9- 3.6 1 -3 1 0 1 +1 1
1 3.7- 4.1 1 -5 1 -2 1 0 1
1 4.3- 5.0 I -8 1 1 -2 I
1 5.1 1 -l0 1 6 1 -4
1 5.7- I -13 I -8 i -6 1
I 6.3- 6.9 I -15 1 -10 1 -7 I
I 7.0- 7.6 I -18 I -12
I 7.7- 8.2 1 •-20 I -14 I -11 I
I 8.3- 8.8 I -22 I -16 I -13 I
1 8.9- 9.5 I -25 I -18 1 -15 I
I 9.6-10.1 1 -27 -20 I -16 I
110.2-11.0 I -29 i -23 I -17 i
111.1-11.8 I -35 I -26 I -21 I
111.9-12.7 I -38 I -29 I -24' I
112.8-13.5 I -42 I -32 I -27 I
113.6-14.3 I -46 I -35 I -29 I
114.4-15.2 1 -50 I -33 I -32 I
I SC by
i
-10
I +2 1
1 0 1
I 1.4-
I Orien-
I : Floor Area
-2y1
-1 I
tation
2.8 (
-6
I -4
I -3 i
I 2.9-
I East
I
I
3.2 I
'
4.2 I
-11
0-3.1
to
6.4 up
5.0 I
-14 i
I
3
I 5.1-
5.6 I
I 0 -.19
1 0
I
+1 I
+2
-19 I-
.20-.36
0I
I 6.3-
6.9 I
-21 I-
I
I
I 7.0-
0 I
0
-1
I
I
I
0 I
-1
-17 I
i .83 up
I
I o
I
I
I
-1 I
I
-2
1 8.9-
South
1 0 1
3.2
16.4 18.0
(
9.6
I
I toI
-22 I
to I
to I
up
i
I
13.1
6.
7.9 1
9.5 1
1 0 -.18
I o 1
+1
I +2 I
+2T
3
1 .19-.42
1 0 1I
0 1
0 1
0
I .43-.66
10 1
j
1 -2 I
-2
-3
1 .67 up
1 0 1
-2
1 -4 I
.I
-4 1
-6
i
West
( .1 11.6
13.2 16.4
i
9.0
I I
to
I I
to i
up
1.5 1
I
3. 1
I� 17.9
I I
I
i
0-.12
I 0 1
+1
I +3 I
+6 I
+7
.13-.36
I 0 1
0
1 0 1
0 1
0
.37-.57
I 0 1
-1
I I
-6 I
-7
.58-.82
i 1
-3
I
-1.2 I
-15
83 up
I
-6
I -8 I
-16 1
-10
Skylight
I .1 I
.811.6
13.2
14.0
I to I
to
( to I
to 1
to
I .7 11.5
13.1 13.9
15.2
0-.12
1 0 1
+1
I +3 I
+6 I
+7
.13-.36
1 0 1
0
1 0 1
0 1
0
.37-.57
1 0 1
-1
I -3 I
-6 l
.58-.82
I -1 1
-3
I -6 I
-12 I
-.
.83 up
I -2 1
I I
-4
I -8 I
I I
-16 1
I
-20
I I I I I Table 3-11. Horizontal South
Table 3-9. Skylipht Points
I Glazing Type I
I To a I I
Z f Sngl, Dbl, Trpl,
I Flo I u- I U- I U- I
Area 10.66- 1 0.42- 10.41 1
I .10 10.65 I down I
I up to
1.3 I
-10
I +2 1
1 0 1
I 1.4-
2.2 I
-3
-2y1
-1 I
I 2.3-
2.8 (
-6
I -4
I -3 i
I 2.9-
3.6 I
-9
1 -6
I -5 i
I 3.7-
4.2 I
-11
1 -8
1 -6 I
1 4.3-
5.0 I
-14 i
10
I -8 i
I 5.1-
5.6 I
-16 I
2
1 -10 I
I 5.7-
6.2 I
-19 I-
4
I -12 I
I 6.3-
6.9 I
-21 I-
I
-13 I
I 7.0-
7.6 I
-24 I
-1
I -15 I
I 7.7-
8.2 1
-26 I
-20 I
-17 I
8.3-
8.8 I
-28 I
-22 I
-19 I
1 8.9-
9.5 1
-31 i
-24 i
-21 I
1 9.6-10.1
1
-33 I
-26 I
-22 I
f
Overhane Points
South Glazing
i Length Out I Area, Z of Floor i
I from Wall ( i
i
it r
I 1 0-6.3 I 6.4 up I
I I I I
0 - 0.5 -2
10.6 - 1.0 I -2 I -3 I
1 1.1 - 1.9 I -1 1 -2 1
1 .2.0 up I 0 I 0 I
Table 3-12. Movable Insulation
Points
Moveable Insulation],
nsulation l I
1 Area, Z of Floor I Points I
0 - 5.5
1 0 1
5.6 - 11.5
I +2 1
11.6 - 17.5
( +4
17.6 - 23.3
I +6 I
`23.6+
( +8 I
Table 13. Infiltration Control
Ftervres Points
14 Com-rol Features I Pointe
T- I I
I Standard 1 0 I
1 I f
1.9 a nges per hr I I
I Tight f +12 I
I f I
10.6 air changes per hr I
i I I
Tible 3-15. Cas Furnace ;;ithouc
Refrigeration Coo1!r. PoLn:5
r� 1
I SeasoQSE
fficiency I Points
I , I I I
I I I
I 71 -76 1 0 1
1 77 - 82 +2 f
I 83 - a8 I +4 I
I 89-9: ! +6• I
I 95 up I +8 I
I I I
Table 3-16. Heat Pumo Points
r -
I `Iftergy Efficiency I
Points
I Ratio
(EER)
I
I +2 1
I 15 - 23
+3 I
I S.0
- 8.3
+6 f
I 3.4 -
8.7 I
+9 I
I 8.6 -
9.1 f
+12 f
I 9.2 -
9.,6 1
+15 I
I 9.7 -
10.2 I
+18 1
1 10,3 -
10.8 I
+21 I
( 10.9 -
11.5 I
+24 I'
I 11.6 -
12.3 (
+27 I
I 12.4 -
I
13.2 f
1
+30 I
I
Table 3-17. Cas Furnace With
T- Retr1�'ration Cooling Points
!Ref ri,,€geraciod Cas Furnace I
I 1 Co3!lta� 1 SE : I
76
1 8.0 - 8.3 10l +21 1 +61 +8 I
1 8.4 - 8.7 1 +21 4�1 + I +31+10 1
I
8.8 - 9.2 1 +41 +61 +81+101+12 1
1 9.1 - 9.7 1 +61 +81+10 121+14 1
I 9.8 - 10.3 1 +a1+101+12141+16 f
1 !0.4 - 10.9 1+101+L2i+141+ 6f+13 I
1 11.0 - 11.6 I+121+141+1614.181+20 1
1 7/7/83
ZONE 11
TABLE 3-14 (ADAPTED) INTERIOR THERMAL MASS POINTS
MASS _ DWELLING AREA SQUARE FOOT
AREA 1,000 1,500 1 2,000 2.500 I 3,000 3,S00 4,000 I 4.SOO 5,000 1
SQ. FT. 1 A B C D A 8 C D A B C D A 8 C D A B C 0 A B C 0 A 8 C D A 6 C G I A B C -�
50 2 2 2 2 2 2 2 0 1 2 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 C 0 C� a3
0 0
'.03- 4 4 4 2 2 2 2 2 2 2 2 2 2 2 2 0 2 2 2 0 2 2 0 0 2 2 0 0 2 2 0 0. 0 0 0 0 1
iSO 6 i 6 4 4 4 4 2 2 *2 2 2 2 1 2 2 2 2 2 2 2 2 2 2 2 2 2 0 2 ? 2 OI 2 2 2 0
200 8 8 6 4 6 6 4 2 4 4 4 2 4 4 2 2 2 2 2 2 2 2 2 2 2 2 2 2 I 2 2 2 2I 2 2 , I
253 10 10 B 6 6 6 6 4 6 6 4 2 4 4 4 2 4 4 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 ' 2 :
300 12 12 10 6 8 8 6 4 6 6 6 4 6 6 4 2 4 4 4 2 4 4 2 2 2 2 2 2 2 22 2' 2. 2 2 2
350 14 14 12 8 10 1G 8 6 6 6 6 4 6 6 6 2 6 4 4 2 4 4 4 2 4 4 2 2 4 4 2 7 2 2 7 2
400 14 14 12 8 10 10 8 6 8 8 6 4 6 6 4 4 6• 6 4 2 4 4 4 2 4 4 4 2 I 4 4 2 2 I 3 4 2 2
509 18 18 16 10 12 12 10 6 10 10 8 6 R -8 6 4 6 6 ,6, 4 6 6 6 2 6 5 4 4 4 4 2 4 4. 4 j
600 22 20 18 12 14 14 12 8 12 12 10 6 10 10 8 6 8 8 6 4 B C 6 4 6 6 6 4 1 6 5 4 2 I• 6 6 4 Z 1
T90 ' 24 24 20 14 18 16 11f 10 14 14 12 a 10 10 10 6 10 10 8 6 8 8 6 4 8 6. 6 4 I 6 A 5 41 6 6 R 2 1.
230 26 24 22 16 70 16 16 10 14 14 12 8 12 10 10 6 10 10 a 6 10 R 8 4 ? 6 6 4 I a 6 6 4� 6 6 6
900 128 28 74 16 2 20 18 12 16 16 14 10 14 14 12 8 12 12 10 6 10 10 3 6 s 8 '8 4 8 8 6 41 B 8 6 r i
1,000 30 70 25 18 ?2 20 20 14 10 18 16 10 11 11 12 8 17. 10 6 12 10 10 6 10 10a6 88 0 41 8 C 41.100 32 32 28 2O 24 24 22 14 20 20 18 10 16 16 14 8 14 14 12 8 12 12 10 6 10 10 10 6 1In 10 8 61 io e e
1,200 34 32 30 22 26 26 22 16 22 20 l8 12 1B 18 14 10 112
14 14 12 8 14 12 12 8 •12 12 10 6 10 10 B 6I 1!1 10 8 6
I
1,l00 34 34 32 22 28 26 24 16 22 22 20 12 18 19 It 10 13 14 14 8 14 '.2 12 8 12 12 10 6 112 10 10 GI 10 ;n. P. 6 i
1,400 34 34 32 24 28 28 26 18 24 24 20 14 20 20 18 12 18 16 14 10 14 14 12 8 14 14 12 8 I 1 12 -.G E: 10 19 13 '.
1.500 136 34 34 24 30 30 26 18 24 24 22 14 I22 20 18 12 18 18 16 10 16 lE 14 8 14 14 12 @ 117 12 10 61 ;2 12 1; o
2,3011 34 34 32 22 30 30 26 18 26 26 22 16 22 22 20 14 120 20 18 12 18 18 16 10 1 I 16 is L1 14 la 12 3 i
2.500 I 34 34 30 22 I30 30 26 18 26 26 24 16 24 24 22. 14 22 22 i3 :2 20 20 18 !: 1 is 16 '(1
• J,000 34 32 30 22 30 30 26 18 28 26 24 16 124 24 22 14 122 27 20 14
3,500 I 32 32 30 20 30 30 26 ld 128 28 24 16 26 24 27 l4i +3 :4 20 14
4 :
,900 32 32 30 20 130 30 26 18 � n9 Zb 24 if .'6 2.3 2: if
4,500 I32 32 28 20 1 3U 3J 26 ;f j is .. ?= ;6
_ 5_00 _ _ 32 17 ,e 29 j IJ 76 12
--- --- 1- _ - - 1-
-A A) - - - -- ._
A) 1. 3'y' Concrete Slab: HC•0.93; R-.29; Factor -7.3
2. 3 3/4' Thick Common Brick: IIC=1.125; R-.13; Factor -7.3
• a) 1. 5h' Concrete Slab: HC -14.106; a -.45B; Vactor-7-I wood stove 4k33 mints' no back u '
C 1. 8" Solid Filled Block: 'HC -20.63; R -1.9J; Factor -6.1 P ( P)
2. 8" Solid Filled Block With Both Sides Exposed To Conditioned Air. casablanca fan + 1 point
NOTE: Use all square footage directly exposed to conditioned air
for Thermal'Mass Area: HC -10.164; R-.961; Factor -6.1
01 1' Thick Concrete/Tile: HC -2.55; R-.083; Factor�-3.7
Table 3-19. Zonally Controlled
Electric Resistance
Space Heating Points
Points for this measure will I Table 3-20. Solar Yater Heating With Cas Rackuo Paints '
be completed after the CEC )
I has approved an Alternative I
I Component Package for Resistance I
I neat.
Table 3-15. Active Solar Space
Heatine with Cas Points
Net Solar Fraction I Points
(NSF), It I
I
Vultifamll (per unitpoints)
I 0-6
I 0 t
I 7-14
I +2 1
I 15 - 23
f +4 I
1 24 - 30
I +6 I
I 31 - 39
I +8 I
I 40-47
I : +10 I
I 48 - 55
I +12 I
I 56 - 63
i +14 I
I 64 - 71
I +18 I
i 72 up
I +20 I
Vultifamll (per unitpoints)
Floor Ar
Net Solar Fraction (NSF), Z
per unit,
ft2.
0.9
10-
20-29
30-39
40-49
50-59
60-69
70-79 ,
600-799
0
+3
+7+14
+17
+21
+24
800-999
0
+3
+5
_ +8
+11
+14
+16
+19
1,000-1,499
0
4.2
+4
+6
+8
+l0
+12
+14
1.500-1,999
0
+1
+3
+4
+7
+8
+10
2.1109 and up
0'
+l
+2
+4
+5
+6
+7
+9
All others (pe building points)
'-
800-9.99
900-999
0
0
+5
+4
+10
+9
+14
+13
+19
+17
+ '
+11
+29 +34
+26 +3:.
10OP•1.199
0
+4
+7
+11
+15
4.19
2 +26
1,20ri-1,499
0
+3
+6
+9
+12
+15
+1 +21
1,500-1,999
0
+2
+5
+7
1
+9
+12
+14 +16
2,000-'_,999
0
42
+3
+5
+7
+8
+10 +11 1
3,0C•O at.d up
-0
+1
+3
+S
+5
4-7
+S +10
i
Table 3-21. Other Water Heating Pts.
T-
I System Type 1 Points 1
( Gas 1 ) 0
I
It I
I I I
I Solar with Electric i 1
I Resistance Backup 1 I
I meeting the Require- ( I
I menu is Part 2 1 0 I
1 I I
f Electric Reststanca I I
I cir. -40 f
RESIDENTIAL PLAN CHECKING GUIDE 7/85
_(S.E., DUPLEX & MISC. ONLY)
% arm Bldg. Permit # C70 '0
OWNER �V����tY 1 A.P. # w —. Ps/
GENERAL
yf�oning requirements: (sideyards and number of permitted living units).
.0 aluation.
ns signed by designer.
Energy Design and Compliance.
Existing violations on property.
PLOT PLAN
Complete parcel size and dimensions.
�! Setbacks, sideyards, easements, etc.
. Other buildings or structures.
0 Grading, fills, drainage.
Flood hazard.
Special conditions on creation map or compliance document.
FLOOR PLAN
Complete to scale plan with dimensions.
Required windows for light and ventilation (Sec. 1205).
Required windows for second exit (Sec. 1204).
^ Skylights (Chapter 34 & Sec. 5207).
.& Human impact glass (Sec. 5406).
6wo4Required room sizes, ceiling heights (Sec. 1207).
;Xo-09.F.C.I.'s in baths, garage and exterior outlets (Article 210-8).
Light fixtures, switches, receptacles, and exterior receptacles for maintenance of
mechanical equipment.
1100 Locations of water heater, heating and cooling equipment, other electrical or gas
equipment, and plumbing fixtures.
..W. Garage firewall, door size, and closer (Sec. 503(d)(3)).
3'0" exterior exit door (Sec. 3304(e)).
�!replace and wood stove location.
Smoke detectors (Sec. 1210).
STRUCTURAL DETAILS
.,I -Foundation plan complete enough.to construct building.
YFloor construction details complete enough.to construct building.
;o1r01 Elevations and wall construction details complete enough to construct building.
,I. Roof construction details complete enough to construct building.
replace construction details and calcs if necessary.
Sufficient data and details to satisfy energy requirements (State Law) (Form 1).
MISCELLANEOUS ITEMS TO LOOK OUT FOR
1. Exposure I plywood on exposed locations and overhangs.
Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306).
Guardrail details (Sec. 1711 & 3306(j)).
Brick or stone veneer (Chapter 30).
Exterior plaster - weep screeds (Sec. 4706).
Proper roof pitch for roof covering (Chapter 32).
Rafter ties or bearing ridge beam. f V /J S �0 — —
Garage door or porch header sizes.
Adequate bracing.
J.9!— 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).
Underfloor access and ventilation (Sec. 2516).
. 14! Wood stoves, clearances, alcoves & 1 -hour shafts.
Combustion air for fuel burning appliances.
,*&1V Noise requirements on duplexes.
Adobe soils - special foundation design.
Retaining walls requiring design.
Unusual shape, size or split level house requiring lateral design.
- 8350,•
ri
fF1.6,i6.4: RE`9,)0,
Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT
FOR RESIDENTIAL DEVELOPMENT
Section 26-8.1 of the Butte County Code requires this acknowledgement
be recorded prior to issuance of a building permit.
The property described herein is adjacent to land or included
within an area zoned for agricultural purposes, and residents of this
property may be subject to inconveniences or discomfort arising from
the use of agricultural chemicals, including, but not limited to herbicides, pesticides,
and fertilizers; and from the pursuit of agricultural operations including, but not limited
to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust,
smoke, noise, and odor. Butte County has established agricultural zones which have as a
priority use for productive agricultural purposes, and residents within said zones and on
adjacent property should be prepared to accept such inconvenience or disconform from normal,
necessary farm operations.
All that real property situate in the County of Butte, State of California, described
as follows:
—027 �o � •
�y--�7-i�3 •
Date: March 21, 1984 74&Z�
TY OWNERS
.
State of California ) On this the 21st day of March , 1984 , before
County of
Butte ) SS. me, the undersigned Notary Public, personally appeared
)
LARRY J. LAMBERT - - - - - - - - - - - - - - - - -
°°°°i°■■m■■s■esi■oo®■°°°® Personally known to me. /X/ Proved to me on the basis
° LUCY A. PERSHALL a of satisfactory evidence. •
■ NOTARYPUgLrCALIFORPNIA o to be the person(s) whose names) is subscribed to
■ eUate County
° My commission Expires Jan. 2,19M 9 the within instrument and acknowledged that he
_
,■ - executed -the -same for -the purposes therein contained.
■ IN WITNESS WHEREOF, I hereunto set my hand and official seal
■■■■■■■■o■■a■■■■■■■os®
■°®
Notary Public
Present A.P. No.
LUCY A. PERSHALL
. ........
JP
�4
3 $J
4Q
rl V F tj r
po ui
.Ia
"'DESCRI'PTION:;
All that certain real
California, described
. -PARCEL . I :
property situate in the County of Butte, State of
as follows:
Lot 106,.107in Block 19, of DAYTON, as the same appears on the Official Map i
on file in the Office of the Recorder of the County of Butte, State of
California.
EXCEPTING THEREFROM all oil, gas, minerals and other hydrocarbon substances
as reserved in the Deed from Darrell C. McEnespy, et ux, recorded December
7, 1978,
in -Book 2351 of Official Records, at Page 138.
The surface rights have been released and surrendered for a distance of 300
feet in dep'th.as contained in Deed recorded May 179 1979, in Book 2400 of
Official Records, at .Page 452, and released to a depth of 500 feet in Deed
reco-rd-ed— Novemb-er 23
312. , 1979, in Book 2.465 of Official Records, at ;Page
DESCRIPTION:
All that certain real property situate in the County of Butte, State of
California, described as follows:
PARCEL I:
Lot10131.. Un Block 18 of DAYTON, as the same appears on the Official Map
on file in the Office of the. .Reco.rder of the County of Butte, State of
California.
EXCEPTING THEREFROM -all oil, gas, minerals and other hydrocarbon substances
as reserved in the Deed from Darrell C.. McEnespy, et ux, recorded December
79'1978, in Book 2351 of Official Records, at Page 138.
T -he surface rights have been released and surrendered for a distance of 300
feet in depth as contained in Deed recorded May 17, 1979, in Book 2400 of
Official Records, at Page 452; and rele4s'ed.to' a depth of 500 feet in Deed
recorded ,November 23, 19799. in Book. -2465
31'2. of Official Records=.,_ at Page
_ r.
DESCRIPTION:
All that certain real property situate in the County of Butte, State of w
California, described as follows: ti o
•PARCEL I:
C8
82 & 83
Lot80,8.1,/in Block 14, of DAYTON, as the same appears on the Official Kap
on file in the Office of the Recorder of the County of Butte, State of m
California. F�
CD
EXCEPTING THEREFROM all oil, gas, minerals and other hydrocarbon substances
as reserved in the Deed from Darrell C. McEnespy, et ux,, recorded December'
79'1978, in Book 2351 of Official Records, at Page 138.
The surface rights have been released and surrendered for a distance of 300
feet in depth as contained in Deed recorded -May -17, 1979, in Book 2400 of
Official Records, at Page 452, and released to a depth of 500 feet"in Deed
recorded November 23, 1979, in Book 2465 of Official Records at Page
312. a g
_. �. END OF DOCUMENT
r
,
property situate in the County of Butte, State of
as follows:
Lot 106,.107in Block 19, of DAYTON, as the same appears on the Official Map i
on file in the Office of the Recorder of the County of Butte, State of
California.
EXCEPTING THEREFROM all oil, gas, minerals and other hydrocarbon substances
as reserved in the Deed from Darrell C. McEnespy, et ux, recorded December
7, 1978,
in -Book 2351 of Official Records, at Page 138.
The surface rights have been released and surrendered for a distance of 300
feet in dep'th.as contained in Deed recorded May 179 1979, in Book 2400 of
Official Records, at .Page 452, and released to a depth of 500 feet in Deed
reco-rd-ed— Novemb-er 23
312. , 1979, in Book 2.465 of Official Records, at ;Page
DESCRIPTION:
All that certain real property situate in the County of Butte, State of
California, described as follows:
PARCEL I:
Lot10131.. Un Block 18 of DAYTON, as the same appears on the Official Map
on file in the Office of the. .Reco.rder of the County of Butte, State of
California.
EXCEPTING THEREFROM -all oil, gas, minerals and other hydrocarbon substances
as reserved in the Deed from Darrell C.. McEnespy, et ux, recorded December
79'1978, in Book 2351 of Official Records, at Page 138.
T -he surface rights have been released and surrendered for a distance of 300
feet in depth as contained in Deed recorded May 17, 1979, in Book 2400 of
Official Records, at Page 452; and rele4s'ed.to' a depth of 500 feet in Deed
recorded ,November 23, 19799. in Book. -2465
31'2. of Official Records=.,_ at Page
_ r.
DESCRIPTION:
All that certain real property situate in the County of Butte, State of w
California, described as follows: ti o
•PARCEL I:
C8
82 & 83
Lot80,8.1,/in Block 14, of DAYTON, as the same appears on the Official Kap
on file in the Office of the Recorder of the County of Butte, State of m
California. F�
CD
EXCEPTING THEREFROM all oil, gas, minerals and other hydrocarbon substances
as reserved in the Deed from Darrell C. McEnespy, et ux,, recorded December'
79'1978, in Book 2351 of Official Records, at Page 138.
The surface rights have been released and surrendered for a distance of 300
feet in depth as contained in Deed recorded -May -17, 1979, in Book 2400 of
Official Records, at Page 452, and released to a depth of 500 feet"in Deed
recorded November 23, 1979, in Book 2465 of Official Records at Page
312. a g
_. �. END OF DOCUMENT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA 95965
Larry Lambert
12522 Centerville Rd.
Chico, CA 95928
With reference to the above subject:
" Attached is:
OTHER
PHONE: 538-7541
DATE Jan. 8. 1987
RE: Permit #3005-86
A.P.
4
Application for permit Mobilehome Utilities Installation Sheet
Building Plans Mobilehome Installation Information Sheet
Engr. Calcs Typical Plan Sheet
Owner -Builder Verification Form List of Codes Enforced
" We need the following information:
Permit application signed and completed where indicated with all copies returned.
Fees of $ payable to Butte County Treasurer.
Certificate of Workmen's Compensation Insurance or check exemption statement.
Contractor's License Law information or check exemption statement.
Complete plans in including plot plans.
Plot plans in
Structural details in
Complete plans and calcs in by registered engineer or architect.
Energy design including
Street and drainage improvement plan approval from Land Development Section (DPW).
sets of plans in accordance with the changes marked in red.
Sanitation approval from Butte County Health Department at:
196 Memorial Way, Chico
7 County Center Dr., Oroville
Skyway & Elliott Rd., Paradise
Planning approval from Butte County Planning Department, 7 County Center Drive,-
Oroville, for
Completed Owner -Builder Verification form.
Recorded copy of deed showing
Recorded copy of agricultural acknowledgement statement.
�L OTHER TRIi4SR, S
Should you have any questions concerning the above, please contact this office.
Yours very truly,
William Cheff
Director of Public Works
.F. Glander
JFG/aj Chief Building Inspector
TJ
M05�
PERMIT NO. 40-87B----_..
PERMIT EXPIRES-
OWNER
XPIRES OWNER LARRY LAMBERT
CONTR. owner
ASSESSOR PARCEL 39-27-111
L LOCATION 3953 Front St, Dayton
i
Temp. Power Pole
Called PG&E
Temp. Elec. S
Called PI
Temp. Gas Se
Called PC
JOB FINALEI
Signature
-J TIK'.
O = Not OK
Not Applicable MOBILEHOMES
= Not Ready
,v
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except N's
Date
DECKS, COVERS, CARPORTS, ETC, (Plans). OK except'N:s
1. Zoning Requirements -Setbacks -Easements
1. Zoning Requirements -Setbacks -Easements _
2. Soils; Special MH Support -Sketch
2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/O -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4, Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rig.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG
6. Carports; Windows -Doors
7. Utility Clearance
_
7. Elec.
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
Card -BI
Date
Date Card -BI Date
POOLS (Plans) OK except N's
1, Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
3. Pool Structure; Steel -Connections -Thickness- Dead- Men -,Lining'.:_::_'
4. Electricity; MH Test -Crossovers -Breakers -Clearances
4. Elec.; Receptacles and Lighting; Distances-GFI
5. Drain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI' - -..... -----.-
6. Water; MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected -C/0 to Grade -HD Approval
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main'in Conduit
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
V = OK
Q = Not OK
Not Applicable
Not Ready RESIDENTIAL (Single and Duplex)
� =
Date
UNDERFLOOR Plans OK except #'s
Date
FRAMING (Continued)
- 1.
Zoning requirements -Setbacks -Easements
48.
Property Line Firewall & Openings
2.
Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
49.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
-
3.
Ftg., Garage: Soils -Steel- / /" Ftg. Depth
50.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
4.
Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
51.
_
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
5.
Stemwalls, Main; Steel -Blackouts -Wrapped -Slab
52.
_
Siding -Nailing -Veneer
6.
Stemwalls, Garage: Steel-Blockouts-Wrapped-Slab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-underflr. Access
7.
- 8.
Piers -Fireplace Ftg.-Steel
D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
54.
_
Glazing .Area -Glass Protection -Skylights -Plastic
55.
Shear Walls; Nailing -Bolts
9.
Gas Pipe; Size -Anchors
_
10.
Water Pipe: Test -Anchors -Regulator -Service Test
11.
Electric; Underground
12.
Plenums & Ducts; Clearance -Material -Support -Ins.
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Date Card -BI Date
Card -BI
'Date Card -BI Date
_ _
Card -BI
_
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
FINAL (Plans) OK except #'s
Card -BI Date Card -BI Date
Date
Card -81
Card -BI
PLUMBING (Permit) OK except #'s
14. Water Ht.: Vent -Access -Combustion Air
15. Water Pipe; Test & Anchors -Nail Protection
16. D.W.V. Test-Fttngs & Anchors -Nail Protection
17: Shower Pan: Test, First Floor -Tub Access
18. Test Tub & Shower, 2nd Floor -Tub Access
19. Gas Pipe: Size & Anchors
Date _ Card -BI Date
Date Card -BI Date
56.
Ext. Steps -Door & Sidelight Protection -Landings
57.
58.
Smoke Detector
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
59.
Bedroom Exiting
60.
G.F.I. & Bath Fixtures & Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
62.
63.
Stairs & Rails
Fireplace or Stove; Clearances -Hearth
64.
Elec. Outlets at Wood Panel; Int. & Ext.
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
66.
Elec. Outlets & Receptacles.at Kit. Counter
Date
ELECTRICAL Permit OK except #'s
67,
Garage Fire Door; Swing -Landing -Closer
68.
A.C. Duct in Garage -Damper
Card B•1
Card B -I
20.
21.
22.
23.
24.
25.
26.
27.
28.
29.
30.
_
Fixture & Transformer Clearance -Ins. Protection
Elec. Receptacles Spacing-Lights _& Switches at Doors
Size Boxes & No. of Conductors -Stapled
Romex Installed Close to Edge of Studs & C.J.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
2 Appliance Circuits in Kitchen &Conductor Size I74.
Subfeed Wire Size /- / ga. Cu or AI-A.C. Wire Size / /
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. C or
Insulated Neutral Yes _�No
Service -Riser Conductors & Ground Main Disco he
Equip. Clearances: Panels-Motors=Mech. Equi . _-
Clothes Closet Light -Shower Light
--- - -
- - - - ---
Date Card -BI Date
Date Card -BI Date
or AI
--
_-
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
70.
Plb., Elec. & Mech. Equip. Listed for Location
71.
Elec. Receptacles in Garag (G.F.I.)-Romex Protec.
72.
-
Insulation -Foam -Lo d 'n Attic ❑Yes
73.
Guard Rails &Deck tru iPost Caps
Fdn. Vents & Cra I ! I Door rainage & Wood -Earth Clearance
Looked u der F or Yes
75.
Follo ' g instld.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No;
Pla ers ❑Yes ❑No
76
Stucc , Brown -Finish
7
7g,
9.
80.
C. nit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
ents Above Roof; Plbg.-Appliance_Firepl.-Clearance to Opngs.
Water Well; Disconnect, Electrical, Plumbing
Exterior Elec. Trim; G.F.I. Receptacle -Underground
81.
82.
Ventilation throughout House
Glass Protection
Date
MECHANICAL (Permit) OK except #'s
83.
_
Corrections from Previous Inspections
84.
_
Gas Test -Meters Tagged; Gas -Electric
Card -BI
Card -Bt
31.
32.
3,3.
34.
35.
A.C. Ducts. Insulation & Support _ -
Vent Fan: Exhaust above Insulation
Condensate Drain & Overflow: Size _& Grade
Furnace -Vent: Access -Comb. Air -Return Air Vent -115V outlet
Attic Access & Platform if Furnace in Attic
Date Card -BI Date
Date Card -BI Date
-
_
_
_
--
85.
86,
Water & Sewer Connected -C/O to Grade -HD Approval
Energy Compliance Certificate -Other Certificates
--
- -`
- -
---
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date _
Card -BI
Date Card -BI Date
Date
FRAMING(Plans) OK except #'s
36. Sills: Proper Material & Anchors
37. Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound
38. Bearing Walls over Girders & Floor Nailing
39. Draft Stop in Walls (rat proof)
40. Fire Stops: Furred Ceilings -Stairs_ -Chases -Tub
41 Header & Beam -Size & Bearing
42. Hangers -Post Caps -Anchors -Connectors
43. Cing. Joist-Rftr. Ties-Purlin-Root Brac.-Truss-Shthnq.-Rfng.
44. Fireplace Ties or Type A Flue -Fireplace Throat
45. Attic Access. Size & Romex Protection -Draft Stop -Ins. Baffles
46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
47. Garage Fire Protection Framing
_
Com: lents at Final:
(NOTE An entry must be made each time you visiI.jobs ite)
COUNTY OF BUTTE - DEPART,UfENT-OF PUBLIC WORKS PERMIT O.
7 County Center Drive - Oroville, California 95965 - Telephone 916/AXIO(M 4
APPLICATION AND PERMIT 538-7541
ASSESSOR PARCEL NUMBERzONING
A die)
BUILDING PERMIT
OWN
TELEPHONE-
y — 9
SQ. FT. OCC. BUILDING VALUATION
u,J
7& 0
OWN'ER'S MAI NG ADDRESS
CONTRACTOR' NAME
"i rte./
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
U(�
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 0�y
J�l
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
-Ckv
Solar or heat pump water heater
20.00
LOT NO.SUBDIVISION
NAME
PARCEL MAP
Water piping
5,00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF;& Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home JSFG W
10.00ea
TYPE OF WORK
New ❑ Addition ❑ Remodel E] Utilities ❑ Installation ❑ Other ❑
Describe work:- -CC►✓ Y�iyT�� _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
r ^^600V
OR LESS
Main service 100 AMP OR LESS
10.00
Main service EA. ADO'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare nder 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..3'y6�Classification
�
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ i, as the owner, am exclusively contracting with licensed contract-
ors.(Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.N
OR ADDNS. ( ACC. BLDGS. , /20Sgft
NEW CONSTR. U TI -OUTLET
NON-RESID BRANCH CIRC ITS 2.50 ea
I POWER APPARATUS 111
%SINGLE OUTLET CIR.
EX. Occup( OR FIXTURES AL030 20®300 1
e
EX. Occup. FIXED OUTLETS P(RESID.)R\
EA./ 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. �Yirin 15.00
9
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
FIK(have placed on file with the County of Butte Building Department
LL�� 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 liabilities, judgments, costs, and expenses which may in any way accrue
against sai County i on ce the granting of this permit.
X Date 4=7-82
Signature of lic t — Owner P Contractor R Agent El
An OSHA pe mit is required for excavations over S'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
?
TOTAL PERMIT FEE $ 1r? 9
OCCUP,
CONST*TYPIJ
FL
l/
PARCEL
PD
N
S9U
This permit is hereby issued under
sion f the Butte County Code and/or
i icated ove for which
R VOR OF PUBLIC
BY
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date 9OfA/
••
Receipt No.
WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD-APPL I CANT
1 w// 3 '9}'^jt ,�. `..�.• �%+'sa },.le '1"', .. ... ?l: .. .r , moi... -,r: Z.. .-. , _
ti }
COUNTY OF BUTTE - DEPARTMENT, OF'PUBLX WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE,.CALIFMK A 95965 - TELEPHONE: 916/534-454y1
PERMIT APPLICATION. DATA SHEET IF
// Permit No.
OWNERA. No. _ 21-2-L-111
Proposed Building Use SE U �`�'v ��'"- 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. Plans with Energy Design Compliance Statement. . . . . .
6. CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . .
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . .. . .
Lette_.of signature authorization
Sanitation approval from C �.I�� Healt ept.
11. Planning approval for (A) Use: (B) Park' g: �"���►' d' 1.v�s�
12. Certificate of Workmen's Compensation Insuranc -
13. Contractor's License Information (no., name style, e:
14. Owner -Builder Verification (Given to owner0, Mail to ownf
—15. Improvements may be required. . . . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . . . .
Pre-Inspec.request to (Date)
17. Pre -Inspection for Required- Building Inspector
18. Recorded copy of Agricultural Acknowledgment Statement.
19. Driveway Permit.
20- Plot plan approval from city of
21.
22.:
When you issue the permit, process as fol lows: alai I to owner, Mai i to contractor.
Telephone and hold for pickup at—off ice, Deliver w/inspector.
Other
to ! 7--Z7
Copy of plans sent Health Dept., Fire Dept., v 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--nail—counter by
Contractor, designer, owner, was advised of above required Idata by—phone —ma ll—counter by
Plans checked by
Copy—DPW
Date Plans approved by
Sets of plans on hold in File cabinet AP folder
_ date
— date
Date " 9
— Flours:`1000 a.m. - 3:00 p.m.
TO: Building Department
FROM: Environmental Health, Chico
SUBJECT: Sanitation Clearance
Plan approved for:
Hold final for:
74 0
Locafic
39- 2 7-///
AP#
sewage disposal — water supply 4 ---
Final clearance O.K. for:
Clearance for bedroom mobi home. Other
Note***
/A
Sanitarian
water supply
water supply
Date
u 1�
i
w �ih
rte-
.
H
:, h [ r ,r