HomeMy WebLinkAbout039-270-12639-'27-126 191-91B,P,E,M
GAUER, Larr.y
-9462 GerkeSt,,5Dayton
—(2,ew sf
39-27-126 92=1961B
GAUER,-'Larry
9462 Gerke St,' Dayton
woodstove/sf 1z
-,--039-270-1260 YPERMIT#96- 719
HOVEY ' MIke
9462 Gerke'St;,
Cont: Wilson & German
New',Pri Det Garage/Shop- �'��_ /
039-270-126 PERMIT# 96'-2 5 2-3'-
HOVEY,.Mike &,Heidi'
9462 -Gerke Dayto'
Cont: Watts'Plbg.-
Wate:� Line/SF
fR
J
k1l
039-270-126 PER91T#9 6-25 23
HOVEY,,Mikb & keidl'
9462 Gerke St., Dayto'.n
Cont: Watts I Plbg
Water Line I /SF, IDPIIqZj
COUNTY OF BUTTE - DEPARTMENT OF DL`VELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541ERMIT NO.
APPLICATION AND PERMIT q� ^ cis pa
ASSESSOR PARCEL NUMBER„��®�
'J1
ZONING _ y
0
BUILDING PERMIT
ve/'TELEPHONEESO.
OWNER/ Lpe H/'*� o
ffo:
FT. OCC. BUILDING VALUATION
!
OWNER'S ,A�I"I,l NG ADDRESaS. G I� `L �/ ! • fir. )I l C Cr 3
`(n;'Ie
CONTRACTOR'S NLME
TELEPHONE
5'2 t�
CONTRACTOR'S MAID ADDRESS 1 q
4111`0 e. r- L,r H1 f (;> / 7,1
Fireplace
CONSTRUCTION LENDER
UNIWOWN
Total Valuation $
Filing Fee $
20.00
LENDER'S MAIUNG ADDRESS
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDINGADDRESS 91/61 ( e v k4 J,9 r�,4
PERMITFEE $
PLUMBING PERMIT Filing Fee 20.00
Each Trap
7.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Solar or heat pump water heater
23.00
Water piping
15.00
i
USE OF STRUCTURE
SF,0�Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: 'Af& LIE �py� HT�f
Mobile Home IS I GI W1
920.00
PERMITFEE $
Contractor
ELECTRICAL PERMIT Filing Fee 20:00
Main Service 000V OR LESS
( 200A OR LESS )
23.00
Main Service ( 200A TO 1000A )
46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and Pffect. `,
License Class C. ',�1'� C�tl Lic. No. �YL i ; �) i
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project,
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUR
OR )
N ( a ACC.T.
SO.
3.5¢ Fr.
MULTI.OUTLETLEBLOS
NEW CCONSS T
NON-RESIO. ( BRANCH CIRCUITS /
97.50
POWER APPARATUS
(a SINGLE OUTLET CIR. )
Ex. Occup. ( OUTLET OR FIXTURES )
20 @ 1.00
�L
Ex. Occup. (OUTLETSPREIso.°EA)
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE $
Contractor
WORKERS'” COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensatiop insurance carrier and policy number are:
`l
Carrier ¢4 1';�-d� est v s
�-? �� � �'% �� -
MECHANICAL PERMIT
MFiling
g Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMITFEE $
Contractor
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, 1 shall
forthwith comply with those provisions.
j 3
X :� �, ��r�'i Datei%t_�—_
Signature'N f Applicant - ❑ Owner ''Contractor ❑ Agent s
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee Is
G c
CONST, TYPE 1 iyi
fir./ TOTAL FEE $� �-
HA DrFee
–iM I.Fto
c
PD HD ISS E
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By "b't Date t'
PERRMITEXPIRESON
I (Date)
Receipt No. *10 (a,5/
WHITE-D.D.S.-B. D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIV ION
7 County Center Drive - Oroville, California 95965 -Telephone (916) 538-7 V �1ERMIT
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
ZONING u /
BUIL ING PERMIT
OWNER u `� Q
SQ. FT. OCC. BUILDING VALUATION
OWNG�TELEPHONE
Q�
'S,I.�AI.�ING ADDRES-$,�I��I rf c4
v 7
CONTRACT ORS, NA41Errs PLV /h�f//�I
�
(MAAIVU
TELEPHONE
34/2,5-2160
CONTRACTORS ADDRESS � �q V 7:
qo e,� V /
Fireplace
CONSTRUCTION LENDER
UNI(NOWN
Total Valuation $
Filing Fee $ 20.00
LENDER'S MAIUNG ADDRESS
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEERS MAIUNG ADDRESS
on
Penalty $
BUILDING ADDRESS 4116 `'f e_n �lI_e S'` D lo��
PERMITFEE S
PLUMBING PERMIT Filing Fee 20.00
64
Each Trap 7.00
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
Solar Or heat pump water heater 23.00
Water piping 15.00
USEOFSTRUCTURE
SF;a"*`Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each gas water heater or vent 15.00
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
�1 "
Describe Work: _ 'ltc tp,�ii^ ti 7P p U G '� �1
co C. 10.4 C ,
Mobile Home I S I GI W I @20.00
PERMITFEE $ 3 �—
Contractor
ELECTRICAL PERMIT Filinci Fee 20:00
Main ServiceOODV OR LESS
( 200A OR LESS ) 23.00
Main Service ( 200A TO 1000A ) 46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in, full force and ffect. ./f/� �}
License Class Cry.50
(D �7 Llc. NO. / aO �%
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ 1, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUP. SO.
O( 8 ACC. ) 3.50 FT.
NEW CR CONST. MULTI.OUTLENS.
TLE T
NON-RESID. ( BRANCH CIRCUITS ) @7.50
WER
(a STING EOUfLETT CS
IR. )
Ex. Occup. ( OUTLET OR FIXTURES ) 2U @ 1.00
�`
FIXED APP S. OR
Ex. Occup. ( OUTLETS (RESID.) EA) 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMITFEE $
Contractor
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' comiDenwtiox Insurance carrier and poipolicynumber are:
Carrier %� � �.Q(C/Y%s1/y1 a/; -J9.
MECHANICAL PERMIT Filing
9 Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMITFEE $
Contractor
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
orkers' compensati provisions of section 3700 of the Labor Code, I shall
I rthwith con wit those provisions.
Date � /
Si at re f Applicant - ❑Owner Contractor ❑ Agent --
An O HA p rmit is required for excavations over 60" deep and demolition or construction
ofuctures over 3 stories in height.
Mobile Home Installation Fee Is
Energy Inspection Fee Is
o c
_ 3
CONST TYP
��/
1000
TOTAL FEE $ 3`j
HA HD SSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/Or Resolutions to do work
indicated above for which fees have been paid.
BY r e Date 4 3
PER TEXPIRESON /�/Z
(Date)
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
RESIDENTIAL
039-270-126 PERMIT#96-0719;,
HOVEY, Mlke
9462 Gerke St., Dayton
Cont: Wilson & German
New Pri Det Garage/Shop
JOB FINALED (Date) 1 46,
Signature
V=OK -
O = Not OK
Not
`=Not Readyble 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-Clearances-Gmd-/ /Amp -Concrete
MISCELLANEOUS UdM64�
Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
P-Z,5ning Requirements -Setbacks -Easements
afft-rng_s; Soils-Size-Dep"pacing-Connectors-Steel
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rttrs.-Connectors
Shth : Rf : Bracin
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. EI c
eclj)
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Dat(jr{i-j(p
6. Gas; Location-TestMrap; / P12ft.
/ /Nat. or/ t'L'ft./ /LPG
Date
7. Well Clearance & Disconnect
Date
8. Utility Clearance
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
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
Date
9. Tie Downs -Type -Installation Cert.
Date
10. Exits; Insp.-Sketch
11. Cert of Occupancy
Date
Card B-1 Date ! Card B-1
Date
Card B-1 Date Card B-1
MISCELLANEOUS UdM64�
Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
P-Z,5ning Requirements -Setbacks -Easements
afft-rng_s; Soils-Size-Dep"pacing-Connectors-Steel
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rttrs.-Connectors
Shth : Rf : Bracin
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. EI c
eclj)
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Dat(jr{i-j(p
Card B-1 [[,y, Date Card B-1
Date
Card B-1 Date Card B-1
Date
POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distance-GFI
5. Elec.; Pool Lighting; 15 Volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater
S. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool L,ghtg.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
'J OK
O=Not OK
= Not Applicable
Not Ready RESI DENYiAL (Single
=
Date UNDERFLOOR (Plans) OK except If's
& Duplex)
Date FRAMING (Continued)
1. Zoning -Setbacks -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors
2. Ftg., Main;'Soils-Elec. Grnd.-/ /" Ftg. Depth 46. Clnq. Joist-Rffr. ties- Purlin-roof Brac-Truss-Shthng.-Rfnq.
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth -----
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth ------
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Pienums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. Insulation
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit),OK except n's
16. Water Htr.: Vent -Access -Combustion Air -Baffle
-------------------------------------------------------------------
17. Water Pipe: Test & Anchor -Nail Protection
--------- --------- -- - -
----- --------------------------
- - 18. D.W.V.; Test -Fittings & Anchor-Nai-1-Protection-
---------------------------------------------- ---
19. Shower Pan: Test. First Floor -Tub Access
-------------- ---------- - - - -- - -- -- - 20. -Test Tub & Shower. Second Floor -Tub Access
21. Gas Pipe: Size & Anchors
------------------------------------------------------------------------------
Date Card B-1 DateCard B-1
-
-----------------------------------------------------------------_-----
Date
--------------- ------
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except n's
22. Fixture & Transformer Clearance -Ins. Protection
------------- --------- ---------------------------------------------
_ _ 23. Elec. Receptacles Spacing -Lights & Switches at Doors
------------------------------------ ------- ----------
2a. Size Boxes & No. of Conductors -Stapled
--------------------------------------------------------- - -
25. Romex Installed Close to Edge of Studs & C.J.
------------ - ---I-------------------------------._. ..
26. Equip Ground made up wrMech. Fastners-Bond Gas & Water
----- - --
---------------------------------
27. 2 Appliance Circuts in Kitchen & Conductor S1ze,GFI
-------------------------------------- - ----- --- --- ..
28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Sze ga.
Cu or At
----------- ..
29. Range Circ. r , ga. Cu or AI -Oven Circ. 1 1 ga. Cu or Al.
Insulated Neutral ❑ Yes ❑ No
--- ------------------------------------------ ..
30. Service -Riser Conductors & Gr ...............
31. Equip Clearances Panels-Motors-Mech. Equip.
------------- - - - -- -------- ----------- ------- ..--- ... ..
32. Clothes Closet Light -Shower Light -Spa Light
-------------
33. Smoke Detector
----------------------- ............................. ... ..-- - ----- -. ..-- -
Date Card B-1 Date Card B-1
---------------- ---------- --- --- -- I -----------
Date
--------- Date Card B-1 Date Card B-1
Date MECHANICAL(Permit) OK except O's
34. A.C. Ducts Insulation & Support
--------------- - - - ---......... ............... .
35. Vent Fan: Exhaust above insulation
---------- ------------- --- ..
36. Condensate Dram & Overflow:.Size-&. Grade
- - . ....... ... .... ... ... ... ....... .
37 Furnance-Vent: Access -Comb Air -Return Air Vent -115 outlet
---- ----
38 Attic Access & Platform if Furnance in Attic
------ -- ---- --- --- -
Date
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except P
39 Sils. Proper Material & Anchors
40 Walls Studs -Nailing. Spacing & Bracmg-Plates-Sound
....... ... ... .. .. .
41. Bearing Walls over Girders & Floor Nailing
42 D ... ...
43. Fire Stops. Furred Ceilings- Stairs -Chases -Tub
------------.. ...... _..... _.
44. Headers & Beam -Size & Bearing
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50. Garage Fire Protection Framing
51. Property Line Firewall & Openings
52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits
------------ ----------------------------
_____________ 53. _Stairs: Width -Headroom -Rise -Run -Landing Fire Protection
_ _____ 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
55. Siding -Nailing Veneer
---------------- --------------------
__ ___ 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
57. Glazing Area -Glass Protection -Skylights -Plastic _
58. Shear Walls: Nailing -Bolts
----------------
59. Insulation -Walls -Ceilings
----------------------------------------- -
60. Infiltration -Walls -Windows
--------------------
------------------------------------------------- --
Date Card B-1 Date Card B-1
--------------
Date
------------Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except a's
61. Ext. Steps -Door & Sidelight Protection -Landings
....------------------------- -
62. Smoke Detector
- - -- ---------------------------- -
63. Furnace: Vents -Clearance -Comb. Air -Connector -
In Garage: Above Floor -Ducts -Meth. Protection
.....------- ------------------------------
64. Bedroom Exiting
--
65. G.F.I. & Bath Fixtures & Tub Access -Spa
...... --
66. Elec. Trim & Subpanel: Breaker Sizes & Labels.
..-- ---------------------------
67. Stairs & Rails
68. Fireplace or Stove: Clearances -Hearth
... .._..-------------------------------
69. Elec. Outlets at Wood Panel: Int. & Ext.
.. ... ....... ------------------ ------------------- -
70. Kit.Fixt. & Appliance: Grnd.-Air Gap Cooking Clearance
.._.....------------------------------------ --
71 Elec. Outlets & Receptacles at Kit. Counter
_. - - - - _ --- ------------------------- -------
72. Garage Fire Door: Swing -Landing -Closer
------------------- -
73. A.C. Duct in Garage -Damper
..... ......-------------------------------- ----
74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage: Above Floor -Meeh. Protection
--- ------------------------------ ---
75. Plb.. Elec. & Mech. Equip. Listed for Location
------------- - ---------------------
76.
------------------76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection
-
---- ---------------------------
7, Insulation -Foam -Looked in Attic ❑ Yes
-------------------- ---------------------------------------
78. Guard Rails & Deck Construction -Post Caps
. --- --------------------------------------
79
-----------------------------------79 Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
.. ... .. ... ..........._._--' ---------------------------
80. Following mstld.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No:
Planters ❑ Yes ❑ No
----- -----------------------------------------
81. Stucco: Brown -Finish
... ... .......------------------------ ---------
82 A C Unit: Disconnect. Electrical. Plumbing
.. ... ... ... ._ ... -- .---------------------------- -- -----
83. Vents Above Roof. PIbg.-Appliance-Fireplace. -Clearance to
Openings
. ............. ------------------------ - - ---- -- ---------------: Disconn-------------
84 Water Wellect. Electrical, Plumbing
.. -
.--------------------- --------- -----
85 Exterior Elec. Trim: G.F.I. Receptacle -Underground
- - ------------------------------
86 Ventilation Throughout House
.. ... . . ....... ..-- ----------------- ---------------
87
---------- --------------------87 Glass Protection
----- - ------------------------------
88. Corrections from Previous Inspections
89 Gas Test -Meters Tagged: Gas -Electric
- --------------------------------------
90 Water & Sewer Connected-CrO to Grade -HD Approval
91 Energy Compliance Certificate -Other Certificates
------------------------------------------
-- ----------- ---------------
Date Card B-1Date Card B-1
.._ . ----------------------- ----------
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
COUNTY OF BUTTE- DEPARTMENT OF b VELOPM'ENT SERVICES -BUILDING DIVISIO
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-75 PERMIT NO.
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
039-270-126
ZONING
SR1
B U I LD I N G P ER M IT
OWNER
MKHOVEY
TELEPHOE
O91 N 7777
O7
SQ. FT. OCC. BUILDING VALUATION
O
1260 22 680
OWNERMAILING ADDRESS
'S
9469 GERKE, LN, CHICO 95998
CONTRACTOR'S NAME
WILSON & GERMAN
TELEPHONE
343-2190
CONTRACTORS MAILING ADDRESS
JRHA_M 95938
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation is
Filing Fee $
20.00
LENDER'S MAILING ADDRESS
Permit Fee $
234.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
152.00
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
2 GERKE DAYTON
PERMITFEE $
406.00
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Solar Or heat pump water heater
23.00
Water piping
15.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other GARAGE/SHOP
SPECIFY
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New M Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: —
Mobile Home S G W
I @20.00
PERMITFEE S
Contractor
ELECTRICAL PERMIT
Filina Fee 1 20:00
Main Service o00V OR LESS
( z00 OR LESS )
23.00
Main Service ( 200A TO 1000A )
46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full forceffect. a
License Class Lic. No. T 113 G e a 6
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ 1, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( & ACC. BLDS. )
3.50 FTSO. . 44.10
NEW CONST. MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS )
97.50
( POWER APPARATUS
8 SINGLE OUTLET CIR. /
Ex. Occup. ( OUTLET OR FIXTURES)
sAL 20 Q 1.0050
Ex. Occup. (OUTLETSFIXED (RESD.)EA)
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE s
64.10
Contractor
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number `Z `�
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Date l`4' 7 --
Signature of Applicant - ❑ Owner contractor ❑ Agent
An OSHA permit is required for excavations over 50" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT
Filing
9 Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMITFEE $
Contractor
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FE,"'470.1
HAZ. D. FEES I
FLO CDF FARCES
/
PD HD SU
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated ab . e for w -ch fe have been paid.
B Date
PERMITEXPIRESON
(Data)
Receipt No. �J {��
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
.•yr ,
COUNTY OF BUTTE - DEPARTMENT& I*,'0' /E�O`04ENTSERVICES - BUIL,D NG DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541
PERMIT APPLICATION
DATA
OWNER A�e_ h�L)&,C-7 A. P. No.27c)-)?,6
Proposed
Proposed Building Use 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 BY
1. All items have been submitted . ........................................
2. Plot plans, 3/4 sets, signed by preparer of plans. ......................... .
3. Complete plans, 3/4 sets, signed by preparer of plans . ......................
4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form . ............................................
6. Energy Design ConTpliance and supporting documentation . ..................
7. Statement of Intent for Non -Heated and A/C Buildings . ......................
8. Engineered truss details and layout in duplicate (required prior to plan check). ....
9. Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
10. Fees of $ ..........................................
Impact fees as shown on attached schedule. ............................. .
faiifornia Department of Forestry plan approval/fees. . .
13. Flood elevation letter (100 year flood) b California Engineer . ................. .
14. Sanitation and plot plan approval 2�✓/ Clf Health Department . ........... .
15. City of Chico plumbing permit . ............ I.............................
16. Plot plan and business license approval from City of Biggs/Gridley. .............
17. Planning approval for (A) Use: (B) Parking: . .........
18. Contact Land Development.about (A) Improvements (B) Drainage. .......... .
19. Driveway permit (construction approval required prior to occupancy). ... .
Fre-Inspection requissT__ �
20. Pre -inspection for required. . to Building Inspector (Date)
2 Contractor's license information. (No., Name Style, Classification). ........ .
Certificate of Workmans Compensation Insurance. .. ��lP' 1-I-: . ��✓� ......... .
23. Owner -Builder Verification (Given to owner , Mail to owner . ...........
24. Recorded copy of Agricultural Acknowledgement Statement. - .........:...... .
t 25. Letter of.signature authorization . .......................°................ .
26. Copy of recorded deed of parcel creation and 60 right of way to a public road..... .
27. Letter of intent on building use . .................................... ' .
28. Mottlghome utility clearance . .......................................... .
29. Dqc entation of legal access . .....................:..................
30. Documentation of 50% subdivision developed or (A) Road improvements completed
--and (B)1Parcel,meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits . ......................................
32. Plan,checkaist............................................... ..........
33. y
34
When yo ssue the permit, process as follows' Mail to owner. Mail to contractor.
elephone 3Y3 -21K` and hold ®r pickup at office. Deliver with inspector.
Other '\,
Parcel Creation ®
Acreage Applicant Date 7 .10
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).
J.- Index -permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by _ phone _ mail Cou ter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone -mail C nter by _ Date
Plans checked by Date Plans approved by Date /
Sets of plans on hold in File cabinet 0 AP folder
Copy - Department of Public Works
E.H. USE ONLY
Plot V= AWwW V
Floor F= Aft&a
Sect to B.D.
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Avad cM --1.-7 j2h
Owner Location AP#
Plan Approved for: Sewage Disposal Water Supply: Public Private Well
Clearance for bedroom mobile home. Other ]6) arc. U.0
Hold final for:
Final clearance O.K. for:
NOTE:
vironmental Health Specialist
8/92
COUNTY OF BUTTE
BUIEDINt DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
OWNER
PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
wk(L *c if xl��i��r ouf�hf 5
Fo hp rg FF GZv7 �I�r�l
r
x�Ds% C &uvz3 Co
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r 5� t koo /- C, AT 6 xv-07id(C Q)002s
GI
Date ( Inspector
REV 10/92
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
9G-671
OWNER / PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
y.the above address and should be corrected. Please notify this office when correction of work
• is completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
Date �0J "Inspector
REV 10/92
0
G.
Date �0J "Inspector
REV 10/92
�Y ^i-� asi�6' `• _ 'yv%•, ,'."�,.,*�?jwti3?'.�ry4di,'� .: T:c .l` - ?` .a.y',;F sdu• r�
' { 39-27-126 92-1961B
#+ GAUER, Larry
9462 Gerke St, Dayton
1 woodstove/sf
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Orovllle, California 85965 - Telephone: 916/538.7541,,_
APPLICATION AND PERMIT
A39E 8039-270-126
JQ
"
BUILDING PERMIT
OWNER
Larry Gauer
TELEPHONE
342-0563
SQ. FT. OCC. BUILDING VALUATION
'
OWNER'S MAILING ADDRESS
3856 Cosby Ave., Chico 95928
CONTRACTOR'S NAME
Larry Quer
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
3856 Cosby Ave., Chico 95928
Fireplace i "A" 11500.00
CONSTRUCTION LENDER
UNKNOWN
Total Valuation is
LENDER'S MAILING ADDRESS
Filing Fee $ 15.00
Permit Fee $ 0.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
Permit fee $ 45.00-1
PLUMBING PERMIT Filing Fee 15.00
9462 Gerke St. , Dayton
Each Trap 5.00
Solar or heat pump water heater 20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping 7.00
Each qas water heater or vent 7.00
USE OF STRUCTURE
SF [n Duplex[] Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets 5.00
Building sewer 15.00
Mobile Home S I G W @ 15.00
TYPE OF WORK
New Addition E] Remodel❑ Utilities❑ Installation El Other®
Describe work: "pellet Stave" _
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 15.00
Main service 600V OR LESS 18.50
200A OR LESS _
Main service 200A TO IOOOAI
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
1 am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Profession�s,. Code and my license is in full rce and effect.
a
License No. i 19 2.""i1" Zlassification
El 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
_37.50
NEW CONST. ( DWELLING OCCUP.9 3.6asq.ft.
OR ADONS. l ACC. BLDGS. I
NEW CONSTR ULTI.OUTLET @ 5.00
NO N•RESIO BRANCH CIRC ITS
POWER APPARATUS e
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES 20 76
Ex. Occup. OUTLETS IR ESID IRE A.) 3.00
Temporary service 15.00
Mobile Home Facilities 15.00
Misc. byirin g '15.00
Et I 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 shal I not employ any person in any manner so as to become (subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT FiIingFee 15.00
Heating
Cooling
Hood 6.50
Ventilation
permit Fee $
L 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 tosave, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against -said -County in cos quence of the granting of this perm .
�X /"-�* ���% -�
Date --
Signature of Applicant — Owner �f Ccntracrar Agent Ll
An OSHA permit is required for excavations aver S'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee S
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $4S ' 00
HAz
1 11 F11 I
IMP
I FLOOD
I CDF
PARCEL
I PD
HD
ISSUE
This permit is hereby issued under the applicable provi-
cions of the BµFte County Code and/or resolutions to do j
Ze
work indicd�agovc�for which fees have been paid.
DIBiiICTOR OF PUBLIC WORKS
By > Date (-/V• 9z
PERMIT EXPIRES Date
116278
Receipt No.
WHITE-D.P.W.. YELLOW-ASSE330R. PINK -INSPECTOR. GOLDENROD -APPLICANT
/ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
l/ 7 County Center Drive - Orovllle, Californli 95965 - Telephone: 916,"538.7541
APPLICATIN AND PERMIT
PERMIT NO.
AA
ASSESSOR PARCEL NUMBER
039-270-126
ZONING/
BUILDING PERMIT Ir I
OWNER
Larry Gauer
TELEPHONE
342-0563
S0. FT. OCC, BUILDING VALUAT
OWNER'S MAILING ADDRESS
3856 Cosby Ave., Chico 95928
CONTRACTOR'S NAME
Larry GAuer
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
3856 Cosby AV,-., Chico 95928
Fireplace "A" 1.500.00
CONSTRUCTION LENDER
UNKNOWN
1
Total Valuation is
Filing Fee $ 15.00
LENDER'S MAILING ADDRESS
Permit Fee $ 30.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
Permit fee $ 45.00
PLUMBING PERMIT Filing Fee 15.00
9462 Gerke St., Dayton
Each Trap 5.00
Solar or heat pump water heater 20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping 7.00
Each qas water heater or vent 7.00
rr�� USE OF STRUCTURE
SF 11 Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets 5.00
Building sewer 15.00
Mobile Home S G W @ 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ®
Describe work: "P-1 l at Stnvo"
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 15.00
Main service 200A OR LESS 18.50
Main service 200A TO IOOOA) 37.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
VIIJ,I am licensed under provisions of Chapt. 9, Div. 3 of the BUSIneSS
and Professions Code and my license Is In full rce and effect.SINGLE
License No. T15 " 2. 7� classification
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.&\ 3.64 sq.ft.
OR ADDNS. 1 ACG. BLDGS. //
N OEw CONSTR ULTI.OUT LET
NN.R ESID BRANCH CIRC ITS @ 5.00
POWER APPARATUS &)
OUTLET CIR.
Ex. OCcU OUTLETS OR FIXTURES 20 76ei
Occup(OUTLETS
Ex. Occup. OUTLETS FIXED P(RESID )REA.) f 3.00
Temporary service 15.00
Mobile Home Facilities 15.00
Misc. Wiring 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 15.00
Heating
Cooling
g
Hood 6.50
Ventilation
permit Fee $
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabiliti judgments, costs, and expenses which may in any way accrue
a County in s uence of the granting of this perm' .
Date Z
Signature of Applicant — Owner Contractor Agent
An OSHA permit is required for excavations over 5' " d ep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee S
Ener Inspection Fee $
Energy P
occ
CONST TYPE
TOTAL FEE $45.00
HAz
DFEES
IMP
FLOOD
CDF
PARCEL
PD
HD
ISSUE
This permit is hereby issued under the applicable provi-
1
sions of the B to Co ty Code and/or resolutions to do j
work indi for which fees have been paid.
OR OF PUBLIC WORKS
By Date /a -9L.
PERMIT EXPIRES Date /U —93
Receipt No. 116278
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
t
+a,�lGih�l.vr if�k.FLal��k,'�}..�:}""'r"'►�.J``'L"'..i.?.,l'>ty„rt,:._"Fy�f1�F�+'i�Fir>'./u'�s'Y.^�C�I''y;���`-^'''.{�....;�^"`1-- ��..
� R t
� N s
GO-UNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION,
7 COUNTY CENTER DRIVE - OROV2l-LE-MIFORNIA 95965 - TELEPHONE (916) 538-754
PERMIT APPLICATION DATA SHEET
OWNER Vi (J fu - A.yr- :;36'"a
Proposed Buildingt
p Use t i + 5 (!j Building Inspector Date
At time of permapplication, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
1. All items have been submitted . ....................................... .
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
26.
27.
28.
29.
30.
31.
32.
33.
34.
Plot plans, 3/4 sets, signed by preparer of plans . ..........................
Complete plans, 3/4 sets, signed by preparer of plans. A .....................
Engineered plans and calcs, 3/4 sets, with wet signature -on plans . ............ .
Hazardous Material Form . ....................... I.....................
Energy Design Compliance and supporting documentatiori. ..................
Statement of Intent for Non -Heated and A/C Buildings . ......................
Engineered truss details and layout in duplicate (required prior to plan check). ....
Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
Feesof$ ..........................................
Impact fees as shown on attached schedule . ............................. .
California Department of Forestry plan approval/fees. ....................... .
Flood elevation letter (100 year flood) by California Engineer . ................. .
Sanitation and plot plan approval Health Department . .............
City of Chico plumbing permit . ........................................ .
Plot plan and business license approval from City of Biggs/Gridley. .............
Planning approval for (A) Use: (B) Parking: . ........
Contact Land Development about (A) Improvements (B) Drainage. .......... .
Driveway permit (construction approval required prior to occupancy). .. ... .
Preanspedion requ�-
Pre -inspection for .,require_ d. .. to Building Inspector (Date)
Contractor's license information. (No., Name Style, Classification) . ............. .
Certificate ofWorkmans Compensation Insurance . ..........................
Owner -Builder Verification (Given to owner , Mail to owner_) ........... .
Recorded copy of Agricultural Acknowledgement Statement . ..................
Letter of signature authorization . ........................................
Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
Letter of intent on building use . .........................................
Mobilehome utility clearance . .............................. `........... .
Documentation of legal access . ........................................
Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
Existing violations/expired permits . ......................................
Plan check list . .....................................................
When you issue the permit, process as follows: Mail to owner
Telephone and hold for pickup at
Other
Parcel Creation
Acreage �p:lic
Mail to contractor.: N
_ office. Deliver with in
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 check4above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data.by _ phone -mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
92�-
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Orovllle. California 95965 - Telephone: 916.`538-7541
APPLICATION AND PERMIT
ASSESSO A L tJ )Jjv1B - ZONING
O</ r Z
BUILDING PERMIT
OWNER� pL/^4 � ^ 1�1J. J C'^ � TELEPHONE
v
SQ. FT. OCC. BUILDING VALUATION
OWNER' . M ILINIGADDRESS
CONTRA T;? S AM �.
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
LI:Z2 52 Cl
Fireplace lion
CONSTRUCTION ENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 15.00
LENDER'S MAILING ADDRESS
Permit Fee
$ a
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRIESS ^
Permit tee
$
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
5.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME PARCEL MAP
Water piping
7.00
Each qas water heater or vent
7.00
_ USE OF STRUCTURE
SF;�( Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home S I G I W
@ 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other
Describe work: ffyc_C�—r S7y(/ ��
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 600VORLESS
200A OR LESS
1$,5O
Main service 200ATO1000A1
37.50
CONTRACTORS LICENSE LAW
declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the,structure is not intended or offered
for sale. (Sec. 7044):
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. ( DWELLING OCCUP.ad)
AODNS. ACC. BLDGS.I
3.64sq.ft.OR
NEW CONSTR. U TI.OUTLET
NON-RESIO BRANCH CIRCUITS)
@ 5.00
POWER APPARATUS &)
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
20 @ 76d
FIXED APLNS
Ex. OCCUp. OUTLETS tRESID )REA.�
j 3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
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 15.00
Heating
Cooling
Hood
6.50
Ventilation
penult Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any wa accrueHAz
against said County in consequence of the granting of this p rm
X Date
Signature of Applicant — Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0", deep and demolition or construct -
ion of structures over 3 stories in height.
Mobile Home Installation Fee S
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $
1 0FEES
IMP
FLOOD
COF
I PARCEL
I PO
HO ISSUE
This permit is hereby issued under the
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
applicable provi-
resolutions to do
have been paid.
WORKS
Date
Receipt No.
WNITE-D.P.W.. T L W-A5SC»OR. PINK -INSPECTOR, GOLDENROD -APPLICANT
a
,4�aw•tn. , aGz✓
GLo ,
R S61 ENTIAL
191-91B,P,E,M
39-27-126
GAUER, Larry
9462 Gerke St, Dayton
(new sf )
OFFICE COPY
Address
1
GAS
+ Meter Date
ELECTRIC/
Meter B Date 3.
JOB FINALED (Date) —
Signature
v=OK
O = Not OK
Not =Not Ready. I MOBILE HOMES
Date MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch '
3. Sewer; Location -Test -Fall -C/O Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / /" L"ft.
/ /"Nat. or/ /" L"ft./ /"LPG
7. Utilitv Clearance
Date Card 8-1 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. Electricitv: 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, (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
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 boa rds-Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
'J =-OK
O=Not OK
,-*=Not Applicable Not Ready RESIDENTIAL
=
Date UND RFLOOR PIaRs OK except #'s
1. g -Setbacks- Ease men(s od=Slope
g., Main; Soils-Elec. .-/ F . Depth
. Fig., Garage; Soils-Steel-Elec. " Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Ste%411s, Garage; Steel- Bloc kouts-Wrapped
ftellcld Downs and Special Anchors
7. Slab• teel-Wrapped
8. P' rs-Fireplace Ftg.-Steel
AP/D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. GAPipe; Size -Anchors
,` ater Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Pienums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Insulation
Date 122 Card B-1 /J Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING Permit OK except #'s
ater Htr.; Vent -Access -Combustion Air -Baffle
Voter Pipe; Test & Anchor -Nail Protection
D.W.V.; Test -Fittings & Anchor -Nail Protection
ow an First Floor -Tub Access
29._.Iest Tub & Shower, Second Floor -Tub Access
2.4 -Gas Pipe; Size & Anchors
Date ['.� 2 Card B71 (-re Date (A_Qk -R j_ Card B-1
Date #4 -Ot 2 Card B-1 « Date Card B-1
Date ELECTRICAL (Permit) OK except #'s
22' -Fixture & Transformer Clearance -Ins. Protection
Elec. s ing- ights & Switches at Doors
tesize Boxes & No. of Conductors -Stapled
2 Romex Installed Close to Edge of Studs & C.J.
29.'Equip. Gro made up w/Mech. Fastners-Bond CdC& Wer
2 Appliance Circuts in Kitchen & Conductor Size/GFI
Wire Size / / ga. Cu or AI-A.C. Wire Size /(Q/ ga.
or At
Range -Circ. / / ga. Cu or AI -Oven Circ./ ga. ® or Al.
Insulated Neutral ik Yes 1 No
Service -Riser Conductors & Ground -Main Disconnect
quip. Clearances Panels-Motors-Mech. Equip.
32--Elothes Closet Light -Shower Light -Spa Light
Y,r Smoke Detector
Date _ Card B-1 Date Card B-1
DateL/ 3 -61 Z Card B-1 .„r7 Date Card B-1
Date MECHANICAL Permit OK except #'s
A.C. Ducts Insulation & Support
5. Vent Fan; Exhaust above insulation
36. Condensate Drain & Overflow; Size & Grade
37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet
38. Attic Access & Platform if Furnance in Attic
Date Q -Z_A1. Card B-1 C, Date Card B-1
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except #'s
�y!Sits, Proper Material & Anchors
Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
J4 Bearing Walls over Girders & Floor Nailing
�2 Draft Stop in Walls (rat proof)
46! Fire Stops; Furred Ceilings -Stairs -Chases -Tub
4y. Headers & Beam -Size & Bearing
No=v
(Single & Duplex)
Date FRAMING (Continued)
45. ger.-Post Caps -Anchors -Connectors
. Cing. Joist-Rftr. ties-Purlin—roof Bra c-Truss-Shthng.-Rfng.
44"'Fireplace Ties or Type A Flue -Fireplace Throat clearance
4eAttic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
Garage Fire Protection Framing
V, (Property Line Firewall & Openings
534xt. Doors -One T -Check Garage -3rd Story, 2 Exits
53 Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
plywood on Roof Overhang -Attic Vents -Rafter Outriggers
5�r Siding -Nailing Veneer
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
59/Glazing Area -Glass Protection -Skylights -Plastic
58. Shear Walls; Nailing -Bolts
591 sumo -Waifs-Cei�s
6 . Infill ation-W -Wi . ows
Date Card B-1 �,(� Date �Card B-1
Date C 1,f�Z Card B-1 [G Date Card B-1
Date FINAL (Plans) OK except #'s
Wll�t. Steps -Door & Sidelight Protection -Landings
S oke Detector
. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
Bedroom Exiting
G.F.I. & Bath Fixtures & Tub Access -Spa
6ft.'Elec. Trim & Subpanel; Breaker Sizes & Labels
67-8taws & Rails
Fireplace or Stove; Clearances -Hearth
6Q -Etat:. Outlets at Wood Panel; Int. & Ext.
7 K)t.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
7 . Elec. Outlets & Receptacles at Kit. Counter
7 . Garage Fire Door; Swing -Landing -Closer
73riCr- Duct in Garage -Damper
Ze`wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage; Above Floor-Mech. Protection
?5- Plb., Elec. & Mech. Equip. Listed for Location
X. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection
Insulation -Foam -Looked in Attic 0 Yes
To.-GOard Rails & Deck Construction -Post Caps
79-Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
K. -Following instld.; Drive ❑ Yes ❑ No; Walks O Yes 0 No;
Planters 11,Xes 0 No
a1 tucco; B n- ish
A.C. Unit; Disconnect, Electrical, Plumbing
3. Vents Above Roof; PIbg.-Appliance-Firep lace. -Clearance to
Openings
Water Well; Disconnect, Electrical, Plumbing
8'' Exterior Elec. Trim; G.F.I. Receptacle -Underground
.-Ventilation Throughout House
lass Protection
Corrections from Previous Inspections
Gas T Meters Tagged; Gas -Electric
GGr oewater & Sewer Connected -C/O to Grade -HD Approval
Energy Compliance Cer' Cate -Other Certificates
Date pv tZ Card B-1 (;e,' Date Card B -1 -
Date -,cZ Card B-1 . Date Card B-1
Date (4 -me_ Card B-1 CCs Date Card B-1
Comments at Final:
(NOTE: An entry must be made each time you visit job site)
P• .
COUNTY OF BUTTE L
DEPARTMENT OF PUBLIC WORKS
1469 Humboldt Road, Chico, -CA - (916) 891-2751 ,
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
C3k\AS22 I -9J
OWNER PERNUT NO -
A routine inspection indicates that the following violations of Butte County Ordinances east at
the above address and should be corrected. Please notify this office when correction of wast
is completed. If you have any questions pertaining to this matter, or need additionalexpLxwtk=i6 .
please contact this office immediately.
x '(L i_ cL 1
Date — Z -tel Z Inspector
REV 11/81
C)/( ,
Own e r ���%� %
Permit No.
ENERGY'CERTIFICATION
LOCATION A.P. N0.
DESCRIPTION OF INSULATION 7
ROOF-
.MATERIAL
OOF.MATERIAL BRAND NAME +„
THICKNESS THERMAL RES.`,
EXTERIOR WALL
MATERIAL FIBER LASS BRAND NAME CERTAINTEED
.THICKNESS 34 •. THERMAL RES. /9
CEILING
BATT OR BLANK -ET TYPE-FiberglasBRAND NAME CERTAINTEED
THICKNESS /0", THERMAL RES.
LOOSE FILLTYPE INSUL-SAFE.IIIBRAND NAME CERTAINTEED
THICKNESS THERMAL RES.
FLOOR,ELEVATED
MATERIAL
THICKNESS
FLOOR, SLAB
FIBERGLASS
BRAND NAME CERTAINTEED
THERMAL RES.
MATERIAL BRAND NAME
THICKNESS THERMAL RES.
WIDTH
FOUNDATION WALL
MATERIAL BRAND NAME
THICKNESS THERMAL RES.
I HEREBY CERTIFY THAT THE ABOVE INSULATION WAS INSTALLED IN THE ABOVE
BUILDING IN CONFORMANCE WITH THE STATE OF CALIF. ENERGY REQUIREMENTS.
HAWKINS INDUSTRIES INC. # 62.2184 ,
4F RpG IJ/�fhlE R STATE CONTR. LICENSE N0.
I ereby certify the above insulation and all required items as shown
on the Building Depart. approved plans and attachments have been installed
as required by the State of California Energy Requirements.
All equipment, devices and materials are of the quality prescribed or
are specifically approved by the State of Calif.
-j
-- --------------- -------------------------------
FIRM AME/OWNER (P -EASE PRINT) STATE CONTRACTOR'S LICENSE NO.
ATU E OF GENERAL CONTRACTOR/OWNER
DATE
This certificate must be on file with the BUILDING DEPARTMENT prior to
final inspection approval and a copy shall be posted within the building.
JANUARY 1984
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO,
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 1
APPLICATION AND PrRMIT n,
ASSESSOR PARCEL NUMBER
39-27-126
ZONING
A-i4nBUILDING
PERMIT
OWNER
Larr Gauer
TELEPHONE
342-0963
SQ. FT. OCC. BUILDING VALUATION
1 372R 54,880.00
OWNER'S MAILIN ADDRESS
3856 Cosb Ave
506 M 7,084.00
CONTRACTOR'S NAME
Ow
TELEPHONE
7 l�
39 C 3 0.00
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation 1$62,354.00
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$322.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
Energy Plan Checking Fee
$ 15.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
.00
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
8 1 2.00 16.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
1 5.00 5.00
Each qas water heater or vent
5.00 5.00
USE OF STRUCTURE
SF[X1 Duplex❑ Mobilehome❑ Other
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 [3 Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe work: 3 Bedroom _
Permit Fee
$ 46.00
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP ORV OR LESS1
10.00 10.00
Main service EA. ADD'L 100 AMP
1 2.50 2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I�
I„7C-CI 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. 66z / Z Classification
El 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.s
OR ADDNS. � ACC. BLDGS. )
,
X /20sgft 46.95
NEW CONSTR. ULTI.OUT LET
NO N•RESID BRANCH CIRC ITS
2.50 ea
POWER APPARATUS &)
SINGLE OUTLET CIR.
EX. OCcU OUTLETS OR FIXTURES
P
20®DOC
DAL030
Ex. Occup. ou LETS ED PRESID ILINIS REA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
g
15.00
Permit Fee
$ 69.44
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
1 have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ 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
Split
Cooling
g 3 Ton
1 .00 6.00
Hood
1 3.00 3.00
Ventilation
Permit Fee
$ 25.00
Contractor
I certify that I have read this application and state that the above information
1s 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 liabiliti.ps judgments, costs, and expenses which may in any way accrue
Ofd County i on quence of the granting of this per it.
3 /
- Date 2 9
Signature of Applicant - Owner Contractor ❑ Agent ❑ 10 ��
An OSHA permit is required for exc vions over 5'0" deep and deolitionXpts ruct-
ion of structures over 3 stories in gatm///CCCCCC LL��
Mobile Home Installation Fee $
Energy Inspection Fee $
,10.00
C
CONST TYPE
TOTAL FEE $678.45
H z
CUA I PARK
.-_ _
%c
✓✓
FLD
Pnq�
t/
PD
H Ise
Thpermit is hereby issued under
sions of the Butte County. Code and/or
work indicated above for which fees
IR TOR F IC
B /�%
PERMIT EXPIRES ate ✓ `�-15--q.
the applicable provi-
resolutions to do
have been paid.
WORKS
Date
Receipt No.16. 00 % 0 33> 7Z 2
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
a
7 COUNTY CENTER DRIVE - OROVILLE, CALIFO�RNLk95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET
,,1? Permit No.
//
OWNER
Proposed Building Use
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. Hazardous Material Form ...........................................
6. Energy Design Compliance and supporting documentation .........
�8Statement of Intent for Non -Heated and AC Buildings . .
_„-Engineered truss details and layout in duplicate (required prior to plan check) _1621 19 S27
Mobilehome installation data including manufacturer's installation
instructions.... .7.;,s ...............................
4 1
0. Fees of $ -7 -
11. Chico Urban Area fees paid .......................................
2. Par fees -paid ...............................................
Scl�iopI D' t ict fees paid .............. Z
��l. Sanitation approval from ��ll`f 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
TztDriveway permit (construction approval required prior to occupancy) 2
20. Pre -Inspection for required Pre-inspec. request to
Building Inspector (Date)
Contractor's license information (No., Name Style, Classification) ...
22. Certificate of Workmans Compensation Insurance ..................
23 wner-Builder Verification (Given to owner ❑, Mail to owner ❑) .....
4. Recorded copy of Agricultural Acknowledgment Statement .. 2ZM
25. Letter of signature authorization ...................................
26.
27.
Wheno�ssue the %e7m�it, process as follows: Mail to ner. Mail to contractor.
Telephone3nd hold for pickup at '�6Toffice. Deliver w/inspector.
`. Other �^J]
Ap IDate
Copy
Copy of Haz- Mat form sent Health Dept. Fire Dept. Air Pollution Date r -
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_—naiI—counter by ..date
Contractor, ' owner, was advised of above required data by—phone—mail—counter by date /
Plans check4d by �`^� Da � �' Pans approved by Date �02 S 9l
ao.00
Sets of plans on hold in File cabinetfolder
Copy—DPW
TO Buildinc Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Ill. � a�.• �
'owner
Plan Approved for: Sewage Disposal Water Supply
Hold final for: Water Supply
Final clearance O.R. for: Water Supply
Clearance for _�_ bedroom - home. Other
NOTE * * *
Date
San: rian
zq
TO: Building Department
FROM: Encroachment Permit Section
RE: Driveway Clearance
6
LA/1/Ly iia i//rYL AP #
owner location
Driveway permit % �- 4 has been issued for the above property.
date
si ature
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PE=RMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
zJ
zONIN
BUILDING PERMIT
OWNER
rope j GA vE�
TELEPHON
o�
. FT. OCC. BUILDING VALUATION
SOz
OWNER'S MAILING ADDRESS
C/
J
CONT 'S
TELEPHONE
3fZ3�i
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
IF
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
67
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
Energy Plan Checking Fee
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
BUILDING ADDRESS'
Permit fee
PLUMBING PERMIT
Filing Fee 10.00
7
Each Trap
2.00 „
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00 , 0459
Each pas water heater or vent
5.00 , o
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00 ,Q
Building sewer
5.00
Mobile Home I S I G W
O.00e
New Addition ❑ Remodel ❑ Utilities ❑ InstallatioInstallation[]Other ❑
1,TYPE OF WORK
Describ work: 9fy
Permit Fee
$
'
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 8001 OR LESS
100 AMP OR LESS
00
10.1,6?,00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Check One):
F1 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
F-1 1, as the owner, or my employees with wages as their sole climpen-
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.al
OR ADDNS. l ACC. BLDGS. /
y22sgft
NEW CONSTR MULTI -OUTLET
NO N.RESID BRANCH CIRC ITS
2,50 ea
(POWER APPARATUS e1
SINGLE OUTLET CIR. /
ExOCCUp�OUTLETS OR FIXTURES
.
20030e
°ALssoa
FIXED
Ex. OCCUp. OUTLETS (PRESID )REA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
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.
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
A
Cooling
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.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X Date
Signature of Applicant — Owner ❑ Contractor ❑ .Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures ov�erl3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee r
occ
CONST TYPE
T T FE
HAz
I CUA I
PARK
I SCHL
1 1111
1 PAR I PO 1 HD 1 ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
BY
the applicable provi-
resolutions to do
have been paid.
WORKS
Date
Receipt No. `� ���� z
//
RESIDENTIAL PLAN CHECKING GUIDE
(S.F., DUPLEX & MISC. ONLY)
12/90
Bldg. Permit #
OWNER A'Zztp�.A.P. # 3Cl 1
Plan Checker
GENERAL
oning requirements: (sideyards and number of permitted living units).
luation.
KPlans signed by designer.
Proper description of work on application.
Existing violations on .property.
Items on data sheet. (W.C., fees, Health, Developer Fees, License law, etc).
T?--�Recorded notice of violation.
PLOT PLAN
mplete parcel size and dimensions.
Setbacks, sideyards, easements, etc.
Other buildings or structures.
Grading, fills, drainage.
lood hazard.
Special conditions on creation map, (noise, CDF, fire sprinklers, non-comb-
ustible, and foundations).
+___JAU & FAS road setback.
Building or utilities across lot lines (Record form).
FT.nnp PT.AN
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).
Required room sizes, ceiling heights (Sec. 1207).
GFCIs in baths, garage, kitchen, and exterior outlet's (Article 210-8).
Light fixtures, switches, receptacles, and exterior receptacles for main-
tenance of mechanical equipment.
Locations of water" heater, heating and cooling equipment, other electrical
ar gas equipment.
Gage firewall, door size, and closer (Sec. 503(d)(3)).
1 - 3'0" exterior exit door (sec. 3304 (f).
Fireplace and wood stove location, alcoves, and clearance.
Smoke detectors (Sec. 1210).
Plumbing fixtures, water closet clearances and shower size.
STRUCTURAL DETAILS
LY Standard bracing or engineered design (Table 25V)
_-2!1Unusual shape, size, or split level house requiring lateral design.
Foundation plan complete enough to construct building.
Floor construction details complete enough to construct building.
tRetaining-walls
levations and wall construction details complete enough to construct building.
oof construction details complete enough to construct building.
ireplace construction details and calcs if necessary.
after ties or bearing ridge beam.
arage door or porch header sizes.
tud heights.
dobe soils - special foundation design.
Elevations
requiring design.
pecial Inspection required.
12/90
RESIDENTIAL PLAN CHECKING GUIDE
MISCELLANEOUS ITEMS TO LOOK OUT FOR
Stairway details: landings, rise and run, head clearance, handrails
Sec. 3306).
Guardrail details (Sec. 1711 & 3306(j). ._
Erick or stone veneer (Chapter 30).
-A-.---Exterior plaster - weep screeds (Sec. 4706).
!Proper roof pitch for roof convering (Chapter 32).
z -6 --__—Roof covering type - (fire hazard).
7—Foaminsulation - protection.
L8!36" halls and stairways.
-9-.— Living area over garage - complete 1 -hour separation required on garage side
including supporting walls and posts, etc.
-4 -6 -Two exits on three-story dwellings (sec. 3303 & see Mezannines - 1716).
L14.. ttic access and ventilation (Sec. 3205).
-4-2—.-Underfloor access and ventilation (Sec. 2516).
49—Combustion air for fuel burning appliances - L.P.G. requirements.
fir.—Noise requirements on duplexes.
Energy design.
-1-6s Flashing at all exterior openings.
OF responsible area requirements.
-..rn^sy...ok-;�'.EM�iiX!�iy �lYq{`i't��i'-�'ttM!'►�Y iT'•'F'`wr"Fk"3�.�'�ii''t��"'�rw�tfr.r.Z[',�{.�.: �A � � Y
BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM
(One Form per'Building)
A. P. Number ;5q— 7,--�.Z �p Building Department No:
School District �2t City n County ®Jurisdiction
Property Owner %L'7 �/ ice-/
1
Pro"ect Location/Address 5�%�
Subdivision
Lot Number
Residential Development:
Sq. Footage /37z,
# of Living MHI Addition (Group R)
Units
Commercial/Industrial: a
New
Sq. Footage
Addition (Including Exterior
Roofed Areas)
./? 3
If Dafe
*******************************************************************
(Floor Plans reviewed by School District Personnel)
District Id No. .�
School District certifies that
(Applicant Name) (Phone Number)
(Street Address)
(City) (State) (Zip Code)
has complied with the requirements of Resolution No. jF
by the payment of $ representing /47,,�.square feet.
Sc of District Representative Date
PAID BY CHECK NO. REMARKS:
OouAi R //-,,2 174
`BUILDIN DEpPT�y
� ESC U A,I 19S CASH
white -applicant, yellow -building department, pink -school district
N
.
SCHOOL.FEE (8/88) i
lZetur:n'J:,OPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT 9 1-49803
., 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
pr.opert:v d.esc.ri.bed here -in is adjacent
91-049803 1 Rec Fee
7.00
to
Land or included within an area zoned
I STF
1.00
for
ragr.i.cul.I..ur.al purposes, and residents
Recorded I Check
8.00
of
this property may he subject to incon-
Official Records
ve,n.i.encrs
or di-scomfort arising from the
County of
use
of agr:ic:uJ.t.ural chemicals, 'including,
Butte I
buL'
not l.i.mit.ed to herbicides, pesticides,
Candace J. Grubbs
and
fert.:i 1.irers; and from the pursuit
Recorder
of
agr.i.c.u.] tural operations including, .
8:01am 3 -Dec -91 I
CD 2
but
not. J im:i I:cd to cultivation, plowing,
spraying,
pr•unIng, and harvesting which
_
occasionally
generate dust, smoke, noise, and odor. Butte County has establ.ishcd
ag,ricu.l-
Lur.alzones
which- have as a priority use for
productive agricultural. purposes, rind
r.esi.denl s
within
said zones and on adjacent property
should be prepared to accept such i nronven
i.ence.
or
discomfort from normal, necessary farm operations.
All that reaa property situate in the COUnL y of Butte, State of California, (lc': -;c r iJ)ed Lis
fol.Lows:
Date: /2/2,L7
State of
County of Qj —)
^r77- dam_ 5 -:-,
PROPER OWNERS:
On this the ftA day of kuun w- 19RI , I)eforc me,
SS. the undersigned Notary Public, personally appeared
E] Personally known to me.N-il Proved to me on the b�isis
of satisfactory ev:ideii(.�c.
�P�° ti OFFICIAL SEAL to be the person(s) whose name(s) l
LAURIE HILTON
subscribed to the within instrument and acknowledged that.
® �m
NOTARY PUBLIC executed the same for the purposes therein contained. 7N WITNESS
* BUTTE COUNTY
4 iFON My Comm. Expires May 23,1995 WHEREOF, I hereunto set my hand and o:Ef ficial sea]..
Present A.P. No.11
� � t4 e—
1 \
Notary Pu bl'i c
Mi
I
-49803 z
r er o. 2-146352
.SCHEDULE C
The land referred to herein is described as follows:
All that certain real property situate in the County of Butte, State of
California,.described as follows:
Being a portion of Parcel 1, as shown on that certain Map recorded in the
Office of the Recorder of the County of Butte, State of California, on
March 29, 1976, in Book 55 of Maps, at page 84, and more particularly
described as follows:
Parcel 3, as shown on that certain Map recorded in the Office of the
Recorder of the County of Butte, State of California, on December 26,
1985, in Book 102 of Maps, at page 54.
AP No. 039-270-126
k
END OF buy:-ummENT C END OFDOCUMENT
-Certificate of Compliance: Residential - Climate Zone Il
pro ectTltle _
--
-- -- -•-------Ti--� • :.... ,.:i tel_ .. �' L.. �i . /�-rs /1
Author
BUILDING DATA
Condidoned Floor Area
afiZaised Floor
Single Family Detached (SFD)
[ ] Single Family Attached (SFA)
[ J Multi -Family (Irff-) .
Number of Stories
Number of Units
[ ]
Addition -Alone
[ J Existing Building
[ ] Existing -Plus -Addition
BUILDINGSHELL INSULATION -
Component Insulation LacaHotr/Gomme.-tts
Type R -Value (tea, :a ganga =i_CL etc:-)
-Roof ....:........
...........»
'Floor ...........»
_-Slab Edge.....
North
East
South
West
Skylight
Total
Checked By / Data
Enforcement Agency Use only
Glass Area
°b
/
Glass _
O.�
Glas3 Type .:. ;: Interior Exterior Overhang Framing Type .
3•�
(singbe, double) (oller blind, eta.) (shadcscreen, etc.) (yes/no) (metaliwood)
orEh
7 !
Mandatory Measures Checklist: Residential MF -IR -
NOTE Lo.Tisc residential lsauldings subj rot m that S anmrrds must contain that nice mast ttgardkss of the mmpiiarce
�approaeh.atse�_llems.marked.with an astessk.(-) may be suparded by mote stnngeru compliance requirements fisted—
• on the Cwfacate of Compliarnct When Nis ch-•-tiim isutorpQated into U+e penult Oocurtw+a% V+e fotw ooted NaU
'-cmasidered by -211 parties as binning mWmm" component parfamanee speafiatiom roe the mandatory m4stirei
_...._•_w��.�yaeshwwsrdsewhereindmcdotsoaentsorotsdbisctxr*h�omh)G'.—'-:"�—,:.�:-:..,..;_ ....^---:-:- ... _-- ., ._. _... _
:...:.GLAZING.
_ - Shading Devices
Glazing -
""Area `•-
Area
Glas3 Type .:. ;: Interior Exterior Overhang Framing Type .
' Orientatibn(Sf)
(singbe, double) (oller blind, eta.) (shadcscreen, etc.) (yes/no) (metaliwood)
orEh
No rthC
". East (
)
)
----� --
--�---
'. East (
South
)
South (
)
West ( ) _2Q
West ( )
Skyli ght.......
THERMAL MASS
Type/Covering Area Thickness
(slab/exposed, tile, etc.) (sf) (inches) Locaddon/Description (kitchen, bath, etc.)
-F/ le/ IV 7 &say I _TiILI�
HVAC SYSTEMS Minimum Duct
Type (fumacc, air Efficiency Location Duct Output Manufacturer / Model #
conditioner, hest pump) (SE, SEER,HSPF) (attic, etc.) R -Value (Btuh) (or approved equal)
-• 7 �'� S. � �F9°ate
ok-
CD W
Maximum Furnace Heating Output: Btuh vILD y
HOT WATER SYSTEMS B
Tank Manufacrurer/Model # 0 v E Dr
System T (storage Sas. etc.) Capacity or approved equal) Soeci
6 .
SPECIAL FEATURES/REMARKS (Add extra sheets if necessary)
DESCRIPTION DESIGNER ENF'ORCEstFM
Buildint Envelope Measures .
•
12.5352(3)- Minimum coling insulation R-19 weighted aver3M
§2.5352fbk Leese fall insulation manufacturer's labeled R-Vehma
' §2.5352(ck Minimum wall insulation in framed walls R-1 l weighted average (des no apply w =
cstenor mass welts).
12.5352(k): Stab edge insulation - wvu absorption rate no greater than 0.3%. water vapor
transrnmuon rase no grow than 2.0 perm/mch .
12.5311: Insulatiat spcafted or installed meets California EnerEy Commission (CEQ quality
standards. Indicate type and lorm,
j2.5352(1k vapor barriers mandatory in Clim u: pones 14 and 16 only.
12.5317: Infiltration/Es fil moon Cone ohs
a Doors and windows between conditioned and uncondit"xd spoors desillyW to limit air
leakage_
b. Doors and wirdovrs ccrtifncd_
c Doors and windows wothcr=pped; all joints and penetrations auLked and saktt
12.5352(e): Special infiltration barrier installed to comply with 12.5351 moctsCFC quality
sundarat ... ... - .
12.5352(d): tnmllation of Replaces
1. Masonry and factory -built fireplaces have
a Tight feting• closable meal or glass door
b. Outside air intake with damper and control
e Flue damper and coned
2. No continuous burning gas pilots allowed.
HVAC and Plumbing System Measures
§2-5352(g) and 2.5303: Space conditioning equipment sizing: attach akuladonr.
§2.5352(h) and 2.5315: Setback thermostat cn all applicable beating systerus.
•
12-5316(a): Duets constructed. installed and insulated per Chapter 10. 1976 UMC --
§2.53I6(bk Exhaust systems have damper controls.
§2-5314(c): Gas-fired space heating equipment has intermittent ignition dericet
§2-5314: HVAC equipmen4 water h e2ters, sJwwertseads and (aucas certified by the CEC _
42.53520: Water Is=w ituWadon blanket (R•I2 oc guru) oe canbimd intesiorlrsterior
insWation (R-16 of gaster): fust 5 feet of pipes closest to tank inAdatcd (R-3 or greater).
52.5312(Exccption 1): Pipe insulation on steam and steam condensate ccwm dt recirculating
piping
§2.53I8(d): Swimming Pool Heating
I. System las:-
a Om/o(f switch on hater. .
b. We3ttserproo( instruction plate on hater.
c. Plumbed to allow for solar.
L 75 percent thermal cffieicney.
3. Pool cover.
4. Time clock.
5. Directional water inlcL
Lithtint and Appliance Meaaure3
a
12.5352(j): Lighting • 25 lumens/watt or graver for gcneraJ lighting in kitchens and bathrooms.
§2.5314(ek Gas Cared appliances equipped with intermiaent ignition devices•
12.5314(1): Refrigerators- refrigcntoe-freezers- freezers and tluoreaccat tamp ballasts ccnificd
by the CEC- Indicate make and model number. _ ... _.......... _. _: ..
CONOLIANCE STATEMIENT
This crrtif cyte of compliance lists the building feamres and perform== specifications nccded to comply with
Title 24, Chapter 2-53 and Title 20, Chaptcr2. Subtdupter 4. Article 1 of the California Administrative code. This
mx flcat:e has been signed by the individual with overall design respcnsibility and the building owner, who shall
retain a copy of it and transmit the mrdficate to my subsequent purdtaser of thebuilding
Designer Building (�wnerf -
/
i Narnc �,_
TAddscR: - rAtd&c=: —
TetepFnorte -Tclephone
lie. g •
(si6stacure) (date)
Documentation Author Enforcement Agency
Name Name
TiticlFutn - Agetcy .
__,.•v_ -
(dale)
I
-
.40
----"'"-
•51
3a
S. Intittrauon (Air. Leakage),_ - ...
__.
:.._.. _
Number of stories
a
R-0
R-13
2
2
1
Rwalue
One
Two
Three
4
3 1
U -value
Pants
-8
R-0
-103
-49
32
Standesd
-76
3
0
_91.
R-19
-8
-4
.2
-47
-36
-24
1
0.10
Rao
-2
-1
.1
0.08
4
3
2
16
OXIS
9
7
5
13
0.04
14
11
7
6
0.02
6. Gists Heat Lass-
14
10
-14
-
-
18
• ..._. .--. 0.50-....--
-176•:
•: - .�. , _:-._5
..
..Total`._._...._._......_-..
8
_-•...
U -value_.._...
18
0.30
-102
�
32
Percent
.51 to
.41 to
.31 to 0.30
or
0.10
-26
-13
-8
Glass Single Double
.60
.50
.40 less
0.08
O.C6
-18
11
•9
-5
3 '
'4
SO 121 53
39
24
10
4
. 2
20
2
2
'1
1
40 -90 37
35 •75 -29
.26
•19
-14
.9
3
1
8
10
0.002
l 0
O.CO
4
4
11
5
3
30 31 -21
.13
-t
4
12
I
20
•1
2
29 -58 -20
.12
3
5
12
4 3 3 2
2
1
25
28 -55 .18
.10
.2
5
13
8
10.5
7 6 5 4
3
27 -52 -17
.9
.2
6
13
2. Wall Insulation
8
9
11,0
- -8
4
7
3.5
2
Singh-
Single-
9
226 .ore :15
14
10
a
15 13 11 9
is
5
Family
Family
Muld-
24 -43 .12
23
-5
1
8
/4
R -value Detached Attached Family
R-0
-68
•51
3a
Number of stories
R-11
0
0
a
R-0
R-13
2
2
1
-1
R•19
8
6
4
3 1
U -value
U -value
-8
-5
0.08
0.80
-153
-114
-76
3
0.50
_91.
-68
-46
0
0.30
-47
-36
-24
1
0.10
0
0
0
8
0.08
4
3
2
16
OXIS
9
7
5
13
0.04
14
11
7
6
0.02
19
14
10
-14
0.00
24
18
12
18
13-
-12
4
8
11
3. Raised Floor Insulation
0.60.
Insulation in Floor
-70
-46
Number of stories
-120
R -value
One Two
Three
R-0
-17 -8
-5
R-11
3 •2
-1
R-19
0 0
0
R-30
3 1
1
U -value
-8
-5
0.60.
144
-70
-46
0.50
-120
-58
38
0.40
-95
-46
30
0.30
39
-34
.22
0.20
-i3
-21
14
0.10
-17
-8
-5
0.08
-11
3
-4
0.06
3
-3
.2
0.04
-1
0
0
0.02
A.
2
1
O.CO
10
5
3
Controlled Ventilation Crawispace
-1
3 .1
Number of stories
-1
R -value
One
Two
Three
R-0
-11
-7
-5
R-5
-t
-1
3
R-11
-2
-2
-2
R•19
.1
-2
•2
•i. Slab Edge Insulation
10
16
•.
Number of Stories
-,
R -value
One
Two
Three
R-0
0
o
a
R-5
8
5
2
R-7
8
6.
a
F2 factor
0.90
-1
3 .1
0.80
-1
.1 0
0.70
2
2 1
0.60
6
4 2
0.50
9
6 3
0.40
12
8 4
7..Shading (Shade Open)
Single-
-11
-t
2
8
15
22
37
-9
3
3
9
15
21
-34
.7
.2
4
10
15
20
31
3
0
5
10
16
19
-29
-,
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)
Single-
Single.
12. Cooling Syst•tm
---Etiective
Percent Glass
Interior
will
(percent (ttatat x SC)
(percent &Ian x SC)
Effecs+v
Family
Effective
0
Mass
0
'XGlau
a Glass
Nardi
East South :West
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
a
0 .1
0
3
1
.1
-1 -1
-1
2
0
•1
.2 -t
.2
0
na - not allowed
-2
•1
-9
a3. Shading (Shade Closed)
Single-
Single.
12. Cooling Syst•tm
wec lye Percent Glass
Family
Interior
will
(percent (ttatat x SC)
Raised Hoar
Effecs+v
Family
0.00
0
Mass
0
'XGlau
North
East
Sor(h
West
Skylight
18
-I4
-48
39
-64
na
16
.12
-12
-59
-55
m
14
•10
-35
-50
-16
ru
12
-3
-29
-t0
-37
m
11
-7
-26
-36
-33
na
10
3
.23
31
.29
-74
9
-5
-20
-27
-25
-65
8
-5
-17
-23
-21
-56
7
-t
.14
-19
-18
-41
6
-3
-11
-15
-I4
•38
5
-2
-9
-11
-10
-30
4
.1
-6
3
-7
.23
3
0
.4
-5
-4
-16
2
1
-1
-2
•1
-9
1
1
1
1
1
-1
0
2
3
4
3
0
M _ ml v!4•••rai
a 0 0 0
'
0
20
•1
9. Interior Thermal Mass
Single-
Single.
12. Cooling Syst•tm
Wall
Family
Interior
will
Slab Floor
Raised Hoar
Attached
Family
0.00
0
Mass
0
Sbries
3
2
Stories
0.40
5
SEER
3
0.60
]CFA
One
Tvo
Three
One
Two
Three
1.00
(usumet ducts In tittle)
10
7
0.0
-8
-5
-4
.2
, -1
-1
9
Sim of 7-10
10
13
3 , .- 0
_ p._.
_ - -
:25 or .24 In i-14 b - •4 b"i6 to --16
ef'-
_0:3�7__4
_ '2 - 4-_..
A
1_---.leu--.15'_.;.:3
17
-+5�.+,s-_mare
13
11
--0.5 -.�- �---
.�-:-1�:..1
0.95
..-
2.-.._..
18
15
13
11
8
3
3
FITective
SE or HSPF
5
14 .12 -10 -8
3
.4
0.9
-5
.1
0
2
3
3
85
-9 -7 -6 .5.
-4
3
1.1
-t
•1
1
3
4
4
_
8.9
-5 .4 -4 3
•2
-2
1.3
-3
0
2
3
4
5
9.0
d 3 3 -2
-2
.1
1.5
-3
1
2
4
5
5
9.5
a 0 0 0
0
0
20
•1
2
4
5
6
7
10.0
4 3 3 2
2
1
25
0
3
5
7
7
8
10.5
7 6 5 4
3
2
3.0
1
4
6
8
8
9
11,0
10 9 7 6
4
3
3.5
2
5
7
9
9
10
_. 120
15 13 11 9
7
5
4.0
3
6
8
9
10
10
13.0
23 17 14 12
9
6
4.5
3
7
8
10
11
11
to
-
Type
- -
5.0
4
7
9
11
12
12
a
Elreelre SEER
0
a
5.5
5
8
9
11
12
12
3
(SEER xduct eMclency)
HWR
6.0
5
8
10
12
13
13
9
. 4
3
2
6.5
6
9
10
12
13
13
2
Sim of 7-10
None
-45
7.0
6
9
11
13
13
14
Elfectirm-25 or -24 to -1410 -4 b
+6 b
16 or
7.5
6
10
11
13
14
14
SEER
fess .15 4 +S
+15
more
8.0
7
10
11
13
14
14
-12..
_8
3
•5
8.5
7
10
12
13
14
15
5.0
30 .25 -21 •17
-13
.9
2
1
1
11
POU
1
0
6.0
•12 -11 -9 -7
-6
-4
None
30
-t5
-to
a
-6
5.9
6.6
-5 -4 .4 3 ..
-2
.2
4
4
-POU
-8
• .4
•3
7.0
0 0 0 0
0
0
10. Exterior Wall Thermal Mass
Exterior
Single-
Single.
Sum of 1-6
Wall
Family
Family
will
Masa
Detached
Attached
Family
0.00
0
0
0
0.20
3
2
1
0.40
5
4
3
0.60
8
6
4
0.80
10
8
5
1.00
13
10
7
1.20
13
12
8
1.40
12
13
9
1.60
10
13
11
1.80
10
12
12
200
10
11
13 1
11. Heating System
SE or RSPF
(assumes ducts In attic)
Zonal Control Adjustment
System Type
Resistance 10 9 7 6 4 3
Other 6 5 4 3 2 2
8.0
9
_
Sum of 1-6
5
4
3
9.0
-25 or
-24 to
.14 to
o 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
3
3
FITective
SE or HSPF
5
3
(SE or
HSPF x duct eincieney)
2
Effective -25
or -24 to -14 b
-4 to
+6 b 16 or
SE
HSPF
ass
-15
•5
+5
+15 more
0.30
275
•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
-1
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
System Type
Resistance 10 9 7 6 4 3
Other 6 5 4 3 2 2
8.0
9
8
6
5
4
3
9.0
16
14
12
9
7
5
10.0
1 22
19
16
13
10
7
11.0
26
23
19
15
12
8
120
30
26
22
18
14
9
13.0
33
29
24
20
15
10
Zonal Control Adjustment
10 8 7 6 4 3
Interior MassICFA
rrrr 7 ws
it .7w IFC•..1
te•ep..•.a .w7 t TYPE 1 XASS (UhtAC a 4.2. tat e: sed at_b)
o% 5% 10% is% 2i7% -2S% 30% 3S% 40% 4S% 5(7% 53% 60% 65X M% 7S% 60% &Sy. gM 95% ttx)Y 105_Y. 110% I15Y._IZQx 12s
-- .-_o."0.4"'.t. 0.8. ad L1._tl_1.5:...t7..1.�
--':--10%;- :0.2" 0.4 6 0.8 - . 1.S
No Cooling System Installed
..2]-..25 =it_29-12_
-Stories
,0.S,
-,7
1'
_.1:2
1.2
.-'1:4
1.4
1.6
One
•5
_t
-,
3
-2
-2
Two+
3
3
2
2
2
1
S(ngle-Family Detached and
Attached
30X
OLS
al
1 Unit Size (sQ
,12M
1.1
Water
1.6
1139
2
1700
2200
2700
Heater
Credit
or -1 to
to
to
or
Typo.
Type
less
,1699
2199
2699
more
SG
None
0
0
0
0
0
or
Solar
12
8
6
5
4
HP
HWR
8
5
4
3
3
4.5
WS3
5
3
3
2
2
s 6
POU
8
5
4
3
3
SE
None
37
-24
-18
•15
•12
14
Solar
t
1
1
0
0
4.6
HWR
.;8
-12
•9
-7
-6
SS%
EQ%
WSS
-25
-16
-12
-10"
-8
22
21
POU_
-18
_ •12
-9
-7
-6
IG
None
-5
-3
-2
•2
-2
51
Solar
7
5
4
3
2
1.1
POU
3
2
1
1
1
IE
None
•28
19
14
-I1
.9
4
4
Solar
8
5
4
3
3
5.4
POU
-10
3
•5
-t
.3
1.4
Muld-Famlty, (individual
units)
2
22
2S
27
Unit Size (sq
11
Wattx
15
699
700
1200
1700
2200
Heater
Credit
or
b
to
to
or
Type
Type
less
1199
1699
2199
more
SG
None
a
0
0
a
0
or
Solar
14
7
5
4
3
HP
HWR
.9
5
3
2
2
4
6S t
WS8
9
. 4
3
2
2
24
POU
9
5
3
2
2
SE
None
-45
-23
.15
-11
.9
54
Solar
2
1
1
0
0
65%
90r.'
HWR
-23
-12
-8
3
-5
27
26
W58
-25
-13
-8
-6
-5
42
ECU
•23
-12..
_8
3
•5
KG
None
-8
.4
.3
-2
-2
1.5
Sciar
6
3
2
1
1
11
POU
1
0
0
0
0
IE
None
30
-t5
-to
a
-6
5.9
Solar
18
9
6
4
4
-POU
-8
• .4
•3
.2
-2
Interior MassICFA
rrrr 7 ws
it .7w IFC•..1
te•ep..•.a .w7 t TYPE 1 XASS (UhtAC a 4.2. tat e: sed at_b)
o% 5% 10% is% 2i7% -2S% 30% 3S% 40% 4S% 5(7% 53% 60% 65X M% 7S% 60% &Sy. gM 95% ttx)Y 105_Y. 110% I15Y._IZQx 12s
-- .-_o."0.4"'.t. 0.8. ad L1._tl_1.5:...t7..1.�
--':--10%;- :0.2" 0.4 6 0.8 - . 1.S
. t
21:_.23'
..2]-..25 =it_29-12_
:- _..__a3"'0.$
,0.S,
-,7
1'
_.1:2
1.2
.-'1:4
1.4
1.6
•, :„1.9
1.6
2
..
22
it
27
29
3.1
1t..:
13
13...15_:
17 •
4_..-'4 .2 : 4.4:-
4 6
t 6
- 5 -
- -
30X
OLS
al
0.9
1.1
1.4
1.6
1.6
2
22
24
26
21
]
32
3.S
15
17
17
39
19
4.1
t.1
4.3
4.3
4.5
t.5
!.7
4.6
4.9
s
52
5.1
56
40%
07
a9
1.1
1.3
1.5
1.7
1.9
22
24
26
26
3
12
14
16
IS
t
!-1
4.5
4.7
4.9
5.1
S.1
S]
5.3
5 6
s 6
50%
0.9
1.1
1.3
1.5
1.7
1.9
21
23
2S
2.7
3
12
14
16
IS
4
42
4.4
4.5
4.6
5.1
5.3
IS
5.5
57
59
SS%
EQ%
0.9
1
1.1
1.2
1.4
1.4
1.6
1.7
1.8
1.9
2
21
22
21
24
25
26
2T
IS
29
3
11
]2
15
3.7
19
/.t
4.3
t.5
t.7
/.9
51
S 3
S 6
5.7
5 d
5.9
6
6.1
6 2
65%
1.1
1.3
1.5
1.7
1.9
22
24
26
26
3
12
13
3.4
15
39
It
It
4
4
4.2
4.3
4.4
4.5
4.6
4.1
4.6
4.9
S
52
5.4
55
S.9
6 1
63
70%
1.2
1.4
1.6
1.8
2
22
2S
27
29
11
13
15
17
19
4.1
4.3
4.5
4.6
5
5.1
52
53
5.4
55
56
5.7
5.9
6.1
64
7S%
1.3
13
1.1
1.9
21
23
2.5
27
3
12
14
16
19
4
42
t.!
lb
ld
S.1
5 3
SS
T
56
S 9
6
61
62
4
6S t
MY.
1.4
1.6
1.3
2
22
24
26
26
3
13
15
17
19
4.1
4.3
4.S
4.1
4.9
5.1
54
56
S.d
6
6.3
6
65%
90r.'
1.4
1.5
1.7
1.7
1.9
2
21
22
23
24
23
26
27
26
29
3
11
3.2
13
14
IS
16
11
4
42
4.4
4.6
4.1
S
S 2
S 4
S.6
5-3
6. t
62
63
64
66
MY.
1.5
1.6
2
21
25
27
29
11
33
15
17
It
19
11
4.1
4.3
4.3
4.5
4.6
4.7
4.6
4.9
S
5.1
53
SS
5.7
5.9
62
64
6 5
66
6 7
66
100%
1.7
19
21
2.3
25
26
3
12
3.4
15
18
4
42
4.4
4.6
4.9
S.1
52
5.3
5.4
SS
3.6
5.7
S.d
5.9
6
6.1
6.2
6.4
67
69
63
6.S
6.1
7
105%
1107.
1.1
1.9
2
21
22
23
2.4
2.5
26
27
26
29
3
it •
13
13
3.5
16
17
19
4.1
4.3
4.5
4.7
4.9
S.1
5.4
SS
S.6
6
5.2
6.4
6 6
6 6
7
115Y.
2
22
24
26
IS
1
12
14
3.6
3.6
3.8
4
4.1
4.2
4.3
4.4
4.5
1.6
4.7
c.6
4.9
5
S.1
S.2
5.3
s.t
S.5
S.7
5.7
S.9
6 1
6.3
6 S
6.7
6 9
7.1
120%
1
23
25
2.7
29
3.1
1.3
IS
1T
7.9
4,11
4.4
4.6
4.6
S
5.2
5.4
5.6
56
5.9
6
6.2
6.2
6.4
6.5
6.5
6.7
6.6
V.
71
125%
21
21
2.5
26
3
3.2
14
16
16
4
4.2
4.4
l6
4.9
5.1
S.]
5.3
5.7
5.9
6.1
43
6.S
6.7
6.9
7
7.1
73
7.2 .'
74
Point System Summary: Climate Zone 11
SCORE CARD
Measures
1. Ceiling Insulation or
_ . R -value 1381 U -value (0.0301
2. Wall Insulation or
R•value [11] U -value 10.0981
3. Raised Floor Insulation or
R -value (191 U -value (0.0371
Point Scores
4. Slab Edge Insulation or
R -value [01 F2 factor (0.771
5. Infiltration Standard
6. Glass Heat Loss 3
- Type (doublet U -value (0.651 9. Total Ghia (161
7. Shading (Shade Open)
% Glass SC` Eff. % Glass
a. North---` �: x • 77 =
b. East x
C. South X
Wes=
d. West x = ��
e. Skylight 0 x = (�
8. Shading (ShadeCIosed)
% Glass SC Eff. % Glass
a. North f• S( x , v 44 = V
b. East _0 ' x =--L��=�--
c. South 3 • a x - a• �l
d. West /' X
e. Skylight 4 x
9. Interior Thermal Mass TYPE I MASS AREA
Interior Nlaa/CFA COND. FLOOR AREA
10. Exterior Wall Mass TYPE 2 MASS AREA 9
r Exterior Wall Mass ND. rL OR AREA
11. Heating System s %a x =
Zonal Control? ( Y / N) SE or HSPF Duct Efficiency (0.781 Effective SE or
(0.7216.6]- HSPF (0.56/5.151
12. Cooling System Yof '7 X _
Zonal Control? ( Y / N) SEER [9 51 Dua Efficiency(0.741 Effective SEER (7.031
13. Water Heating ,,,� -..
i3�i_.•.,_ 1.
_7;e_( sGI Credit (none] .
0
�,/
-13 ! -_
Sum 1-6
-3
-r a
0
SZ5'7- 10
, I