HomeMy WebLinkAbout039-360-036`
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OWNBY, James M. 5677B
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l224 Orchard Way) Chico
(patio cover) Z�F� 3 - f
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DAVID GRIMES' 39-36-36
1224 Orchard Way, Chico
0397360-66 01 29
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COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 5 7 41MIT NO.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
(_29_,1 i
ZONING
UILDING PERMIT
OWNER"6NE
i
SQ. FT. OCC. BUILDING VALUATION
-OWNERS MAILING DRESS w7,776.00
11'1 A Tr V(P-11201
CONTRACTORS NOME `
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $ 7. 771A
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$ no
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS
Energy Plan Checking Fee
$
$
PERMIT FEE
$ 1$3.35
LOT NO.
SUBDNtS IONS NAME
PARCEL MAP
PLUMBING PERMIT
20.00
Each Trap
21.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
sPECIFv
Solar or heat um water heater
Water piping
Each as water heater or ventTYPE
Eilin
OF WORK
❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: =UJaA {s_R M DEN
(WO-RIKSPR, 19 �= 1973)
Gas i in stem 1 - 5 outletsNew
Buildin sewer
Mobile Home S G W
PERMIT FEE
$ 11)
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service zo.A OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. NO.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
I, asowner 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
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
(The above sections need not be completed If the permit is for work of a valuation
of one hundred dollars ($100) or less.)
EY I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'HA2.
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.
y
X ,;_ s � /.�° 3 7( .1/� Date �' ' " =
Signature of Applicant - Er Owner ❑ Contractor. ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
Main Service 200A TO 1000A 46.00
NEW CONST. DWELLING OCCUP. so
OR ADDNS. ( a ACC. SLDS. 3.5QFT:
"NMR SIDONST. MULTI -OUTLET @7.50
POWER APPARATUS
iG SINGLE OUTLET CSI R.
EX. OCCU OUTLET OR FDRURES 820 O 1.00
Ex. Occup., ORxU R� OR5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring23.00
PERMIT FEE $ t,
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEP $
Mobile Home Installation Fee $
Energy Inspection Fee $
CONST PE
TOTAL FEE $ 101
Vla
D. FEES IMP
..
FLD
CEDF
`pgpcELPO
X
r0
Jt
Ist�E
]ti
it is hereby issued under
oeutte County Code and/or
indicated above for which fees have
By
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
Date
Date
ReceiptNo. .�
WHITE-D.D.S.-B.D. CAN R -"A'SS SOR PINK -INSPECTOR GOLDENROD -APPLICANT
EM
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDIN (VISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) �i1 gMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
039-360-036
ZONING -
BUILDING PERMIT
OWNER
" E
SO. OCC. BUILDING VALUATION
. OWNERS MAIUNG ADDRESS
T
1-31-7 MC24R CA
CONTRACTOR'S NAME > >
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
64.35
Energy Plan Checking Fee $
$
PERMIT FEE S
LOT NO.
S UBDNIS IONS NAME
PARCEL MAP
PLUMBING PERMIT Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap 7.00 21.00
Solar or heat pump water heater 23.00
Water piping 15.00
Each as water heater or vent 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: �RAGE� Tera
(WORK QOWALE;P�PRIOR TG 1 ,7 3)
Gas piping system 1 - 5 outlets 15.00
Buildin !sewer 15.00
Mobile Home S G W @20.00
PERMIT FEE S
ELECTRICAL PERMIT Filin-g-reeT 20.00
Main Service 2o0A OR LESS 23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.P
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law fob' 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.
❑ I am exempt under Sec. Business and Professions Code for this
reason
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
he above sections need not be completed If the permit is for work of a valuation
of one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'MAZ.
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
with comply w' those provisions.
X Date / A/ ?-0/ _
Signature of Applicant - Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Main Service 200A TO 1000A 46.00NEW
CONST. DWELLING OCCUR So
OR ADONS. ( a AM. BUDS. 3.50FT;
raµaE°sD � MULTI.OUTLET @7,50
OWER APPARATUS
6 SINGLE OUTLET CIR.
Ex. Occu OUTLET OR FIXTURES 20 0'.00
BAL 0 .SO
Ex. Occup., DU7IEETS REESIDD E. 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE S
MECHANICAL PERMIT Filing Fee 20.00
Heating
cooling
Hood 6.50
Ventilation
PERMIT FEt $
Mobile Home Installation Fee $
Energy Inspection Fee $
GCC
r R3
CONST. TYPE
, .VN TOTAL FEE $
D FEES IMP
FLOOD
X
I CDF
X.
Q
X
D
X
HD
X
ISSUE
X
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 Date f/ O
PERMIT EXPIRES ON
Date
Receipt No.
WHITE-D.D.S.-B.D. CANA
Y- SS SSOR PINK -INSPECTOR GOLDENROD -APPLICANT I
t ,: - w •/i� �'.'• "'}YtY.•n7 µ�rl...�;. -
COUNTY OF BUTTE - DEPARTMENT OF DEVE, -&MENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CAL"NIA `95965 -TELEPHONE (530) 538-7541
PERMIT APPLICATioN, ,DATA SHEET
vrD ci��l
OWNER: ASSESSORr PARCEL NUMBER: -7e` ? �
Proposed Building Use: 141 A-14 Building Inspector: ./1 Date:
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
Date Received
❑ 1. All items have been submitted.......................................................:.....................................................
❑ 2. Plot plans,, 3/4 sets, signed by the prepares of plans . ................................................ :..........................
❑ 3. Complete plans, 3/4 sets, signed by the preparer of plans...................................................................
❑ 4. Engineered plans and calculations, 3/4 sets, with wet signature on plans.
All engineering must be shown on plans.............................................................................................
❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ...............
❑ 6: Energy Design Compliance and supporting documentation.................................................................
❑ 7. Statement of Intent for Non -Heated and A/C Buildings......................................................................
❑ 8. Hazardous Material Form....................................................................................................................
❑ 9. Manufactured Home Data and Installation Instructions including Tie Down Specifications ..............
❑ 10. Fees of $..........................................................................................................
❑ 11. Impact Fees as shown on the attached schedule..................................................................................
❑ 12. California Department of Forestry Plan Approval/Fees......................................................................
13. Flood Elevation Certificate.........................................:........................................................................
►14. Sanitation and Plot Plan Approval Environmental Health Department..........
❑ 15. City of Chico Plumbing Permit............................................................................................................
❑ 16. Plot Plan and Business License Approval from the City of Biggs .......................................................
❑ 17. Planning Approval for (A) Use: (B) Parking:
❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel ...........................
❑ 19. Encroachment Permit for Driveway (construction approval prior to occupancy) ...............................
❑ 20. Pre -Inspection for required. Request to Building Inspector
❑ 21. Contractor's License Information (Number, Name Style, Classification) ...........................................
❑ 22. Workers' Compensation carrier and policy number..............................................................................
❑ 23. Owner -Builder Verification (❑ Given to Owner, ❑ Mailed to Owner) .............................................
❑ 24. Letter of Signature Authorization........................................................................................................
❑ 25. Recorded Copy of Agricultural Acknowledgment Statement..............................................................
❑ 26. Letter of Intent on Building Use/Detached Accessory Building Form ................................................
❑ 27. Manufactured Home Utility Clearance................................................................................................
❑ 28. Existing violations and/or expired permits..........................................................................................
❑ 29. ❑ 433 A, ❑ Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D. $ .....................
❑ 30. Other ....................
When you issue the permit, process as follows: ❑ Mail to Owner, ❑ Mail to Contractor.
❑ Telephone and hold for pickup at office. ❑ Deliver with Inspector.
By
(Date)
Applicant: Date:
Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By:
Copy of Plans sent ❑ Health Department, ❑ Fire Department, ❑ Other Date: By:
1. Index permit Application for the above items numbered: ❑ Plan Check List,.
2. Additional items required:
Contractor, designer, owner, was advised of the above required data by: ❑ phone, ❑ mail, ❑ Building Division counter, By: D
Contractor, designer, owner, was advised of the above required data by: ❑ phone, ❑ mail, ❑ Building Division counter, By: Date:
Contractor, designer, owner, was advised of the above required data by: Ll phone, Ll mail, ❑Building Division counterr Date:
Contractor, designer, owner, was advised of the above required data by: Ll phone, Ll mail, ❑ Buildin Div'sion cou trier, By: Date: It
Plans reviewed by: Date: Plans reviewed by: Date:
Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date:
Yellow Co Department of Development Services - Building Division
r
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your signature.
Please complete and return this information at your earliest opportunity to avoid unnecessary delay
in processing and issuing your building permit. No building permit will be issued until this
verification is received.
1. I personally plan to provide thg/major labor and materials for construction of the proposed
property im rovement : YES �r NO 0
2. I HAVE HAVE NOT O signed an application for a building permit for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed construction:
NAME:
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
4. I plan to provide portions of this work, but I have hired the following person to coordinate,
supervise, and provide the major work:
NAME:
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
5. I will provide some of the work but I have contracted (hired) the following persons to provide
the -work indicated:
NAME ADDRESS PHONE TYPE OF WORK
SIGNED: _
PROPERTYOWNER:
SOCIAL SECURITY
DATE:
NOTE. Thu Owner -Builder Verification is required by. Section 19831.and 19832 of the
California Health and Safety Code. This verification must be completed and
returned to our office before we are permitted to issue the permit,
OVER
OWNER BUILDER INFORMATION I
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of property
improvements specified.
For your protection, you should be aware that as "owner -builder" you are the responsible parry of record on such
a permit. Building permits are not required to be signed by property owners unless they are personally performing their
own work. If your work is being performed by someone other than yourself, you may protect yourself from possible
liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business
license from the city or county. They are also required by law to put their license number on all permits for which they
apply.
If you pian to do your own work, with the exception of various trades that you plan to subcontract, you should
be aware of the following information for your benefit and protection:
♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials
and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or
subcontractors, then you may be an employer.
♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are
subject to several obligations including state and federal income tax withholding, federal social security taxes,
workers compensation insurance, disability insurance costs, and unemployment compensation contributions.
♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious
with respect to worker's compensation insurance.
♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and,
if you wish, the U.S. Small Business Administration). For more specific information about your obligations under
State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their
work personally or through their own employees, without a licensed contractor or subcontractor, only under limited
conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building
permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building
permits are not required to be signed by property owners unless they are performing their own work personally.
Information about licensed contractors may be obtained by contracting the Contractors State License Board in your
community or at 1020 N Street, Sacramento, CA. 95814.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you
are aware of these matters. The building permit will not be issued until the verification is returned.
IIMicrely,
el C. Vi ira, C.B.O.
ger, Building Inspection
NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code
OVER
A n C'h�� �44 nq - or
SMOOL Fee 4�(Pl
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California, 95965 • Tele ho 530
(Rev. 12/96)
APPLICATION AND PERMIT &,ERMIT NO.
CVS
ASSESSOR PARCEL NUkIMn
LENDER'S MAILWO AOOREBs
ZO~"a
BUILDING
OWNER
Fire lace
PERMIT
OWNER'S ADORtst
S
Total Valuation $
TEL<a�oNe ?
� SO. FT.
OCC. BUILDINGOWNER'SOWNER'SMAa1N0 DATION
LICENSE NO.
ARCrfTECT OR ENO✓NEEA9 ►aa�I+o ADORES9
Filin Fee
S
20.00
CONTRACTORS MAW
Permit Fee
S
CONSTRUCTION LENCER
LENDER'S MAILWO AOOREBs
,
Fire lace
ARCHITECT OR ENOINEEA
Total Valuation $
LICENSE NO.
ARCrfTECT OR ENO✓NEEA9 ►aa�I+o ADORES9
Filin Fee
S
20.00
Permit Fee
S
SUILONO ADORESS
Plan Ch ckina Fee
S
3
Energy Plan Checking Fee
$
S
,OTNO SLOWISIONINA 1E vARCEL wAP
PERMIT FEE
$ / 3
PLUMBING PERMIT
Fling Fee
20.00
USEOFSTRUCTURE
Each Trap
7.00
SF ❑ Duplex ❑ Mobilehome ❑ Other
Solar or heat um venter heater
23.00
sPEcsv
Wnter ieing
15.00
TYPE OF WORK
Each gas water heater or vent
15.00
New E3 Addition ❑ Remodel ❑ UtiGtiea ❑ Installation O Other ❑
Gas i in stem 1 - 5 outlets
15.00
Describe Work: /
UGZ7 �A6G �� J,�$jt✓
Buildin sewer
Mobile Home S G W
15.00
Q20.00
PERMIT FEE
S
6�
ELECTRICAL PERMIT
Filin Fee
20.00
OR LESS
Main Service
200A
200A OR LESS
23.00
Main Service 200A TO t000A
46.00
NEW CONST. pW�yE,q OCCUP.
*PERMIT FEE PAIb
SRA
SHERIFF
OTHER
AMOVNT RECEIVED
* - " NV
* TO if! " =NTO COIYIPUTER
Ex. Occup. ( OUrLV OR FOnURES
Ex. Occu iWDAPPLNB' OR
P' (OVTLEM (REBID EA
temporary Service
Mobile Home Facilities
Misc. Wirina
PERMIT FEE t
MECHANICAL PERMIT
Heatin
Coolina
PERMIT FEt: I S
5.00
23.00
20.00
23.00
Fee 1 20.00
13.50
Mobile Home Installation Fee $
Energy Inspection Fee $
/Z E.,
3c " ITOTAL FEES 2gZ
w� P�
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 Date
PERMIT EXPIRES ON
BUTTE. COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One form per Building)
School District ���CO Building Department No.
A.P. Number 4M-39"36 Jurisdiction: City County
Property Owner 1-2k///,9
Property LocatioNAddress /2ZY ORC2 .(2)p 4/Ax e2oci/
Subdivision
Lot No.
.................................................................................................................. L
Residential Development € Sq. Footage 216
Nobf Living Mobile Home Addition/ 'Supplemental to (Group R)
Units Installation Conversion Permit #
'(No foundation inspection):
Commercial/Industrial
New Addition
Irioor rians reviewea oy scnooi uistnct
District Identification Nod z: •�
School District certifies that
Sq. Footage
(Including Exterior
Roofed Areas)
Date
riYK
(ADDlicant)
(Street Address) '
� (Phone Number)
(City) (State) (Zip Code)
has complied with the requirements of Resolution No.
representing / (.p square feet.
School District
Paid by Check #
Remarks:
1
/4F7-0-0
2926
L MITIGATION
by payment of $
I /oI
Date
Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with
Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit
you from challenging the imposition of the fees in any court action. a
If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is
notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA),
this project may be subject to additional school fees to fully mitigate its impact on the school district's schools.
White (applicant), Yellow (building department), Pink (school district) feeform.xis (10/98)dmm
Department of Development Services
Building Division
7 County Center Drive
Oroville, CA 95965
(530) 538-7541 (530) 538-2140 FAX
ADDITIONS TO RESIDENTIAL BUILDINGS
ENERGY COMPLIANCE PACKAGE
CLIMATE ZONE 11
Owner_ /A.' L FS Permit Number
z/6
Address1ZZ# ja%1G/ " 141AV. (flW4W Floor Area
The following data showing mandatory and required features shall be installed for additions to dwellings. Additions shall not include
conversion of non -conditioned space to conditioned space. Remodeling of existing conditioned space is not included.
COMPONENT
<=100SQ.FT
101-499SQ.FT
500-999SQ.FT
1000>SQ.FT
Ceiling Insulation
R-19
R-38
R-38
R-38
Wa 11 Insulation
R-13
R-13
R-13
R-19
Floor Insulation
R-19
R-19
R-19
R-19
Radiant Barrier
Required
Required
Required
Required
Glass U -factor
.75
.75
.65
.65
Max.area of glass
50 sq.ft
16% plus removed
16% plus removed
16%
Solar heat gain
NSEW:
.40
.40
.40
.40
Heat, Electric
resistance
Not allowed
Not allowed
Not allowed
Not allowed
Heat, Gas
AFUE 78%
AFUE 78%
AFUE 78%
AFUE 78%
Heat Pump -Split
HSPF 6.8
HSPF 6.8
HSPF 6.8
HSPF 6.8
Heat Pump Package
HSPF 6.6
HSPF 6.6
HSPF 6.6
HSPF 6.6
Cooling - Split
SEER 10
SEER 10
SEER 10
SEER 10
Cooling Package
SEER 9.7
SEER 9.7
SEER 9.7
SEER 9.7
Thermostatic
expansion valve'
Required on new
split A/C systems
Required on new
split AIC systems
Required on new
split AIC systems
Required on new
split AIC systems
Duct Insulation
Duct Sealing*
R-4.2
Required
R-4.2
Required
R4.2
Required
R4.2
Required
Additional water
heater:
Any which meets
budget
Any which meets
budget
Any which meets
budget
Any which meets
budget
- AN AL 1 CrVVA I WE, GLAZING WITH H A MAXIMUM 0.40 U -FACTOR AND A MAXIMUM 0.35 SOLAR HEAT GAIN COEFFICIENT, AND A
11.0 SEER SPACE COOLING SYSTEM CAN BE SUBSTITUTED FOR DUCT SEALING AND THERMOSTIC EXPANSION VALVE. SEALED DUCTS
AND THERMOSTATIC VALVE REQUIRES SPECIAL INSPECTION BY A HERS RATER.
PROVIDE INFILTRATION CONTROL - WEATHERSTRIP DOORS, CERTIFIED WINDOWS, CAULKING. 6UTTIE
LIGHTING KITCHEN AND BATH NOT LESS THAN 40 LUMENS/WATT CC)� `"�' a"a
DUCTS TO MEET REQUIREMENTS OF UNIFORM MECHANICAL CODE -CHAPTER 6.'dUftA,�j,�'� �,t�,R-
DESIGN COMPLIANCE STATEMENT: THE ABOVE BUILDING SIGN MEETS THE REQUIREMENTS OF TITLE 24; PA�tRrl9;4; 444 GOOF'
THE CALIFORNIA CODE OF REGULATIONS.
,PO
PROPERTY OWNER OR CONTRATOR (6/1/01
Department of Development Services
Building Division
7 County Center Drive
Oroville, CA 95965
(530) 538-7541 (530) 538-2140 FAX
ADDITIONS TO RESIDENTIAL BUILDINGS
ENERGY COMPLIANCE PACKAGE
CLIMATE ZONE 11
Owner_-/d'/�� �?�M E� Permit Number
Address naCMU G✓4y (fWAW Floor Area Z�b
The following data showing mandatory and required features shall be installed for additions to dwellings. Additions shall not include
conversion of non -conditioned space to conditioned space. Remodeling of existing conditioned space is not included.
COMPONENT
<=100SQ.FT
,101 Q FT --1
500-999SQ.FT
1000>SQ.FT
Ceiling Insulation
R-19
-----------
R-38
R-38
R-38
Wall Insulation
R-13
R-13
R-13
R-19
Floor Insulation
R-19
R-19
R-19
R-19
Radiant Barrier
Required
Required
Required
Required
Glass U -factor
.75
.75
.65
.65
Max.area of glass
50 sq.ft
16% plus removed
16% plus removed
16%
Solar heat gain
NSEW:
.40
.40
.40
.40
Heat, Electric
resistance
Not allowed
Not allowed
Not allowed
Not allowed
Heat, Gas
AFUE 78%
AFUE 78%
AFUE 78%
AFUE 78%
Heat Pump -Split
HSPF 6.8
HSPF 6.8
HSPF 6.8
HSPF 6.8
Heat Pump Package
HSPF 6.6
HSPF 6.6
HSPF 6.6
HSPF 6.6
Cooling - Split
SEER 10
SEER 10
SEER 10
SEER 10
Cooling Package
SEER 9.7
SEER 9.7
SEER 9.7
SEER 9.7
Thermostatic
expansion valve"
Required on new
split A/C systems
Required on new
split A/C systems
Required on new
split AIC systems
Required on new
split AIC systems
Duct Insulation
Duct Sealing*
R-4.2
Required
R-4.2
Required
R-4.2
Required
R-4.2
Required
Additional water
heater:
AO w1 r
Any which meets
budget
Any which meets
budget
Any which meets
budget
Any which meets
budget
r+V _ ML 1 r-mulm I Iv C, VL/4.L114b VVI I n H MAMMUM 0.40 U-PAUTOR AND A MAXIMUM 0.35 SOLAR HEAT GAIN COEFFICIENT, AND A
11.0 SEER SPACE COOLING SYSTEM CAN BE SUBSTITUTED FOR DUCT SEALING AND THERMOSTIC EXPANSION VALVE. SEALED DUCTS
AND THERMOSTATIC VALVE REQUIRES SPECIAL INSPECTION BY A HERS RATER.
PROVIDE INFILTRATION CONTROL - WEATHERSTRIP DOORS, CERTIFIED WINDOWS, CAULKING.LIGHTING KITCHEN AND BATH NOT LESS THAN 40 LUMENSIWATT
/�
DUCTS O MEET REQUIREMENTS OF UNIFORM MECHANICAL � C CAL CODE -CHAPTER 6. V1 ,q
DESIGN COMPLIANCE STATEMENT: THE ABOVE BUILDING SIGN MEETS THE REQUIREMENTSLUr4ITKfi44gok jWND�6 OF,
THE CALIFORNIA CODE OF REGULATIONS. I��l1t l� f7 R � illf
PROPERTY OWNER OR CONTRATOR (6/C/P,'3S0VFr
• o
t
• i k �
t a
• .a
4q-
-f 'WIV
5
) ': OFFICE COPY
Address` t
GAS
Meter By
—
ELECTRIC Date—
Meter By
Date
F
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, Califorrga 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.1f/
ASSESSOR PARCEL NUMBER
.%
I
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER I 'S MAILING ADDRESS
CONTRACTOR'S NAME /
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKT10ylN'
V
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each gas water heater or vent
5.00
USE OF STRUCTURE
SF Q Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S G W
O.00ea
TYPE OF WORK
New Addition❑ Remodel❑ UtilitiesO Installation❑ Other❑
Describe work: _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
/
Main service 100V OR LESS
100 AMP OR LESS
10.00 G —
Maln service EA. ADD'L 100 AMP
2.50 �?
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ 1, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.ad
OR ADDNS. ACC. BLDGS.
, �20sgft
NEW CONSTR. ULTI.OUTLET
NON.RESID BRANCH CIRC ITS
2,50 ea
POWER APPARATUS e\
SINGLE OUTLET CIR.
EX. Occup(OUTLETS OR FIXTURES
e20®50e
AL@30
FIXED PR
EX. QCCUp. OUTLETS (RESIO.)EA.1
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
/� x r • Vis—'/"
/'+
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.
0 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
FiIingFee 10.00
Heating
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 Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against'saId County i' consequence of the granting of this permit.
1 t ,�
X `- f / / Date _'� '"�/! + S/- 7
`
Signature of Applicant — Owner � Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $
TOTAL PERMIT FEE $
occuP.
CONST.TYPE
I
JFL00.JP.FkrF1J
PD
I ND
IS3uE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTQ♦;f OF PUBLIC
By ���
EXPIRES Date
the applicable provi-
resolutions to do
have been aid.
p
WORKS
r�-3'�
Date 7
l�
Receipt No. ,
WHITE-D.P.W.. YELLOW-A33E330R. PINK -INSPECTOR. GOLDENROD-APPLICANTPERMIT
%r
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT N
7 County Center Drive - Oroville, C&lifornia 95965 - Telephone: 916/538-754 a5'/
APPLICATION AWPERMIT !
ASSESSOR PARCEL NUMBER
_ _ p — p _
ZONING
BUILDING PERMIT
O WNE i
TELEPHONE
�3 I�23 s
S0. FT. OCC. BUILDING VALUATION
OWN 'SLING ADDRESS C/^^
G*Szz
CONTRACTOR'5NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNK O
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
/
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF 9J- Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
10.00 ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Uti lities4 Installation❑ Other ❑
Describe work: _
�17r`-e G��� ���
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service BOOV OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50 5— c,
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check -one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business/POWER
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.N , �z�sgft
New CONSTR.� A
ULTII.OUTLET
NO N.RESID BRANCH CIRC ITS 2.50 ea
APPARATUS a
(SINGLE OUTLET CIR.
EX. Occup(OUTLETS OR FIXTURES e20050t
AL030
FIXED APLNS.
Ex. OCCUp. OUTLETS PIRESID 1REAJ 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
_
Misc. Wiring 15.00
5
Permit Fee 14F $ �`(J
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
I Consent to Self -Insure.
II 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
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 Countyot
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
osts, and expenses which may in any way accrue
all liabilities, judgmehn�'equen
agains id County i a of the granting of this permit.
f
X Date a
Sig afore of Applicant — Owner Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $
Occup.
CONST.TYPE
I
I FLOOD
PARCEL
PD
ND
199UE
This permit is hereby issued under
sions of, the But County. Code and/or
work indicated above for which
DIRECTO OF PUBLIC
By
PE, IT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date '�
�
Receipt No. )
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
* A 1�' '. 1►1c inti R�y"%MiL t1 s'J� i!
+y
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE,, AL EORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET
Permit No.—
OWNER
o. OWNER ��CY �/�LI�L�S' A. P. No. C) (�
Proposed Building Use Building Inspector
At time of permit application, I was advised the following data must be submitted prior to permit processing
and/or Issuance: DATE RECEIVED APPROVED
1, wAll 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. School District ''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 _ Health Dept.
11. Planning approval for (A) Use: (B) Parking:
12. Certificate of Workmen's Compensation Insurance.
13. Contractor's License Information (no., name style, classif.)
_14., Owner -Builder Verification (Given to owner❑, Mail to owner ❑ )
_..__15. Improvements may be required. . . . . . . . . . . .
1 o ' ehome Installation Data. . . . . . . . . . . .
Pre-Inspec. request to (Datel
1 re-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 follows: Mail to owner; Mail to contractor.
'•'' "Telephone J��3r�� and hold for pickula,�office, Deliver w/inspector.
Other
Applican /Date �= '6
Copy of plans sent Health Dept., Fire Dept., Other z� Date
The following data must be submitted prior to permit issuance: (,G�'ircle new item not checked above).
1. Index permit for above items No.
2. Additional items required: —__—
Contractor, designer, owner, was advised of above required data by—phone—mail counter by date
Contractor, designer, owner, was advised c? above required data by—phone —mai l—counter by date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy—DPW
r
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An '.;owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction of
the proposed property improvement (.yes or no)YA_.
2. I (have/have not) �X4*d'- signed an application for a building permit
for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors License No,
4. I plan to provide portions of this work, but I have hired the following person
to coordinate, supervise, and provide the major work:
Name
Address City
Phone Contractors License No.
5. I will provide some of the work. but I have contracted (hired) the following
persons to provide the work indicated:
Name Address . Phone Type of Work
Signed:
Property Owner
Social Securit Num er �'�
Date l S ) z z ge6!,7
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, Califo.rnip 95965 - Telephone: 916/538-7541
APPLICATIONAND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
_3 4 ._ C
ZONING
BUILDING PERMIT
OWNER )
TELEPHONE
—I..2- s
SO. FT. OCC. BUILDING
VALUATION
OWN '2S MAILING ADDRESS
CONTRACTOR'5 NA ME
!�.
TELEPHONE
CONTRACTOR'S,MAIL NG ADDRESS
Fireplace
CONSTRUCTION LENDER
UNK O
Total is
$
Filing Fee
$ itbb
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
.$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
�� ��� G 2c•
Each Trap;`" ` f..
2.00
Solar of freaf1pi mp water heater
20.00
LOT NO.
SUBDIVISION NAME
'
PARCEL MAP
Water`'{iping
5,00
Each gas water heater. or vent
5.00
* - -USE OF STRUCTURE. _'
SF [, Duplex❑ Mobilehome❑ Other
SPECIFY
Gas pi Ping,systic f'= 5 outlets
5,qq
Bu)Iding'sewcl�`
5,00
Mob IIcH°oKo' S I G W
110.00ea
TYPE OF WORK
New❑ Addition❑ RemodeIE] Utilities Installation❑ Other❑
Describe work:
, �j �� l' >_!� �_�;� —c
1
Permit 96
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
R Main service 100V oLESS
100 OR
OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
_CONTRACTORS LICENSE LAW
I declare'.under penalty of perjury :(check.one):
❑ •I' m'licensed under 'provisions of Chapt. 9, Div. 3 of the'BusinesS
' 46dlPtblessions Code and my license Is In full force and effect.
`'L•icdUse'No. Classification
S: ?
-i, as lhe'owner, 6rmy employees with wages as their sole compen-
sation, willRdo-tbe 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 Codes
for this reason
NEW CONST. // DWELLING OCCUP.p
OR ADONS, l ACC. SLOGS.
2/20sgit
NEW CONST R. r"ULTI.OUTLET 2,50 ea
NON-RESID BRANCH CIRC ITS
POWER APPARATUS.5)
SINGLE OUTLET CIR.
Ex, Occup(OUTLETS OR FIXTURES 20®502
300
__8^1.0
Ex. Occup. OUTLETS RESID IKEA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00 S
`i _
Permit Fee $ r61
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
f Consent to Self-Insure.
II 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
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 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, judgmen , costs, and expenses which may in any way accrue
agains id County iMe of the granting of this permit.
t
1t Date
Sip ature of Applicant - Owner Contractor ❑ Agent ❑
An OSHA permit is* required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL. PERMIT FEE $
OCCUP.
CONST.TYPEJ
I
IFI-0,001PARCEL.1
PD
ND
SSUE
This permit is hereby issued under the applicable provi-
sions of the Butte County. Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
r'ece'ipt No.
WNITE-D.P.W.. YELLOW-ASSE350R, PINK -INSPECTOR, GOLOENROO-APPLICANT
By
PERMIT EXPIRES Date
Date I
d /c
I
s
SCiIE: i/ APPROVED by: DRAWN I
L� f J it W 7
1l G QEPARTM DAYS: ,,�. REVISE[
APPROVEI)
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4
s
SCiIE: i/ APPROVED by: DRAWN I
L� f J it W 7
1l G QEPARTM DAYS: ,,�. REVISE[
APPROVEI)
,...
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