HomeMy WebLinkAbout039-370-0760
. 41
NA ILL_ _.-
39-37-76
HARRYHARRY M R
1735 Dayton Chicci
C
Dayton
Permit
#3
.63
4-88B','P,
,E
IM(new sin
ge fam'
& garage -& apt
t7bove.
39-7-76
Permjt#960-89E(ele/3434-88_.
I(A q
39-37-76
emi't#3786--'89B(1,st:t
/343'4-'88)- -
039-370-076 PERMIT#94-2734
MILLER,'HARRY R.-
1737 DAYTON RD., CHICON " �/' 5
CONV PORT OF SHOP TO LIVING AREA
1-77 77
-039-370-076 PERIMIT#95-2341
MILLER, Harry
1735 -Rd Chico
.Add'l
'
- Ele ek'r te..'for 2nd.Dwelling/s(
-- ------------
03 8 �0
039-37-0-076
HARRY MILLER
ADMINISTRATIVE PERMIT
SENIOR CITIZEN DWELLING
9/13/94
f_v
e
r4Ad -370-076`PERMIT#952341LER, Harry` 5 Dayton Rd , Chico Ele Mete for 2nd Dwelling/SF rY``
L
. 3
i;
,r
�p
k1a.
t
X
M
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 .County Center Drive - Oroville, California 95965 - Telephone (916)538 �41 PERMIT No.
APPLICATION AND PERMIT •' ' �
ASSESSOR PARCEL NUMBER
ZONI"G
BCJILDING PERMIT
OWNER
14 R FR
TELEPHONE
A <
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
35 DAYrITIN Rn. rgTrn Q%Q28
CONTRACTOR'S NAME'
TELEPHONE
CONTRACTORS MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNIO'JOWN
Total Valuation $
Filing Fee $ 20.00
LENDERS MAIUNG ADDRESS -
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDINGADDRESS
1735 N RD,
PERMITFEE $
PLUMBING PERMIT Filing Fee 20.00
Each Trap 7.00
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
Solar or heat pump water heater 23.00 -
Water piping 15.00
USEOFSTRUCTURE
v
SF `E] Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each gas water heater or vent 15.00
Gas piping system 1- 5 outlets 15.00
P P g y
Building sewer 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other
Describe Work: ADD 100 -DISCONNECT FOR 2ND DWEUING
TO BE METERED
Mobile Home I S I GI W 1 920.00
a PERMITFEE g
Contractor
ELECTRICAL PERMIT Filing Fee 20:00
Main Service / 000v OR LESS 2 00
200A OR LESS ) 23.00 23-00
Service ( 200A TO 1000A ) 46.00
fMein
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%
1 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 t6 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 s0.
OR ADONS. ( -ACC. BLDS. ) 3.5¢ FT.
NEW CONST. MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS ) @7.50
APPARATUS )
LE OUTLET CIR.
( 8 SINGLE
Ex. Occup. ( OUTLET OR FIXTURES) 20 @ 1.00
BAL 0 .50
EX. Occup. I FIX ED APPLNS ETA (RES D.�R 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMITFEE $ 43.00
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
MECHANICAL PERMIT Filing Fee 20.00
9
Heating
Cooling
Hood 6.50
Ventilation
PERMITFEE $
Contractor
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
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'
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
foo hwith comply with those provisions.
�! q
X Date �__ " /
SigWure o pplicant - * Owner ❑ Contractor ❑ Agent
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 Is
Energy Inspection Fee $
occcoN
12.
y.�r.PE
TOTAL FEE $ 43,00
HA2. I D. FEES
I IMP FLOOD
I CDF PARCEL
PD HD
ISSUE
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.
,7� /j�
By Date
S�
PERMITEXPIRESON IF/001/96
/ (Date)
Receipt No. la� I- T 3
I
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
1►1
V
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES-BUILDINGD SION
7 County Center Drive - Oroville, Caiforni;: 95965 - Telephone (916) 53 541 �, PERMIT o.
APPLICATION AND PERMIT r�
ASSESSOR PARCEL NUMBER
039-370-076
ZONING
qP1
ILDING PERMIT
OWNER
HARRY MILLER
TELEPHONE
SO, FT, OCC. BUILDING VALUATION
_341—Q662
OWNERS MAILING ADDRESS
171ri DAYTON RD, CHT170 9599R
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
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 MAILINGNG ADDRESS
Penalty $
BUILDING ADDRESS
1719 DAYTON RT)-
PERMITFEE $
PLUMBING PERMIT Filing Fee 20.00
Each Trap 7.00
LAT NO.
SUBDIVISION'S NAME
PARCEL MAP
Solar or heat pump water heater 23.00
USEOFSTRUCTURE
SF 10 Duplex ❑ Mobilehome ❑ Other
SPECIFY
Water piping 15.00
Each gas water heater or vent 15.00
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 00
Describe Work: ADD 100 DISCONNECT FOR 2ND DWELLING
TO BE METERED
Mobile Home I S I GI W @20.00
PERMITFEE $
Contractor
ELECTRICAL PERMIT Filina Fee 20:00
Main Service ( %0AOORLLEESS ) 23.00 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 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, 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.
XI, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUP. SO.
OR ACDNS. ( 8 ACC. ) 3.5Q FT.
UTLE
NEW CONST. MULTI-OUTLEr
NON-RESID. ( BRANCH CIRCUITS ) @7.50
( POWER APPARATUS )
8 SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00
BAL 0 .50
Ex. Occup. (oFIXED uTLETSPRE IS of R 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMITFEE S 43.00
Contractor
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
O 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.
O 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
MECHANICALPERMIT Filing 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.)
1K certify that in the performance of the work for which this permit is issued, 1 shall
not employ any person in any manner so as to become subject to 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
Jo hwith comply with those rovisions.
p _
X 7- _� __ Date 91— '— /�
Signature o pplicant-E,KOwner ❑ Contractor ❑ Agent
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 Is
Energy Inspection Fee Is
c
ly'S
co
TOTAL FEE $ 43.00
HAZ. I D. FEES
I IMP I FLOOD
CDF PARCEL PD HD
ISSUE
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.
Q
By ( Date
� /�� 7 c�
PERMITEXPIRESON__
Date)
Receipt No. /�� 9.3
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
'ti
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541
APPLICATION AD PERMIT
PERMIT NO.
ASSESSID A9j 9 NU-'SBE� y ®.
(�., (�iy
ZDSI _,
BUILDING PERMIT
OWNER
TELEPHONE
3q 10(02
SO. FT. OCC. BUILDING VALUATION
OWNERI MAILING ADDR 1713 rL D g4 q 5-9 Z. 8
CONTRACTOR'S NAME
TELEPHONE
'
CONTRACTORS MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWNTotal
Valuation $
Filing Fee
$ 20.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty
$
BUILDING ADDRESSI 35
PERMITFEE
S
PLUMBING PERMIT
Fling Fee 20.00
Each Trap
7.00
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
Solar or heat pump water heater
23.00
USEOFSTRUCTURE
SF Duplex ❑ Mobilehome ❑ Other
SPECIFY
Water piping
15.00
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other )
Describe Work: add l O U_ _� _
-- - --
Mobile Home IS I GI W
@20.00
PERMITFEE
$
Contractor
ELECTRICAL PERMIT
Filina Fee 20:00
Main Service ( e00V OR LESS
200A OR LESS )
23.00�,03,oc)
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 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, 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
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
(rhe 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'
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.
X Date
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.
NEW CONST. DWELLING OCCUR so.
OR AD DNS. ( d ACC. BLDS. ) 3.50 FT.
NEW CONST. MULTI.OUTLET
NON•RESID. ( BRANCH CIRCUITS ) . 97.50
( POWER APPARATUS )
8 SINGLE OUTLET CIR.
Ex. Occup. (OUTLET OR FIXTURES) 20 Q 1.00
BAL Q .50
EX. Occup. (oFI P
ELETs LNS. OR ) 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMITFEE $ 143,00
Contractor
MECHANICAL PERMIT FilingFee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMITFEE $
Contractor
Mobile Home Installation Fee Is
Energy Inspection Fee Is
Occ
CONST. TYPE
TOTAL FEE $
HA2. 1 D. FEES I IMP I FLOOD
I CDF PARCEL PO HD
ISSUE
This permit is hereby issued under the
of the Butte County Code and/or
indicated above for which fees have
By
PERMIT EXPIRES ON
applicable provisions
Resolutions to do work
been paid.
Date
(Date)
Receipt No.
WHITE•D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
RESIDENTIAL
039=370-076 PERMIT#94-2734
" MILLER, HARRY R.
f 1737 DAYTON RD., CHICO.
CONV PORT OF S.OP TO LIVING AREA
I
{
'JOB FINALED (Date J
Signature
J=OK
O=Not OK
= Not Applicable
Not Ready RESIDENTIAL (Single & Duplex)
' =
Date UNDERFLOOR (Plans) OK except k's Date FRAMING (Continued)
1. Zoning -Setbacks -Easements Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. ties- Puri in -roof Brac-Truss-Shthng.-Rfng.
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 47. Fireplace ies or Type AFlue-Fireplace Throat clearance
4. Ftg., Porches &Decks; Soils -Steel-/ /Ftg. Depth qg, s; Size &Romex Protection -Draft Stop -Ins. Baffles
5. Stemwalls, Main; Steel-Blockouts-Wrapped 49.Far.,,
s or Exiting Doors -Sill Hgt. &Dimensions
6. Stemwalls, Garage; Steel- Blockouts-Wrapped 50. Fire ProeFl Framing
6a. Hold Downs and Special Anchors -------- ---------
--- 51. Pro e n it wall & Openings
7. Slab; Steel -Wrapped -- -
Date ELECTRICAL (Permit) OK except N's
22. Fixture & Transformer Clearance -Ins. Protection
--SSSS-- 23. Elec. Receptacles Spacing -Lights & Switches at Doors ------SSSS--
-------------------------- --SSSS--
:_ 24. Size Boxes & No. of Conductors -Stapled
--- -------------------------------------------------------
25. RomeIn,, Iled Close to Edge of Studs & C.J.
-----------------
7-
--------SSSS-- ----SSSSZ
---- -------------------------------------------
-_-26. Equip. up w!Mech. Fastners-Bond Gas &Water
27. 2 A 1au in Kitchen & Conductor Size!GFI
---------------- --- ---------------------- -----------------------
28. Sub diz ! rga. Cu or AI-A.C. Wire Size ! ! ga.
CuASSSSSS----------------------------
29. R g ga. Cu r AI -Oven Circ. / / ga. Cu or AI.
I u tal ❑ Yes- - ❑-No
- - --------------
30. S o ors & Ground -Main Disconnect
31 --------------
o
ip Cle r n anels- Motors- Mech. Equip
--------------------SSSS-- --
- -- ------------------SSSS--
32. Cloth QIA4 fight -Shower Light -Spa Light
--- ---- -------------------------SSSSSSSS--
-- 33. Smok elector
----------------------------------------------------------------------------------
Date Card B-1 Date Card B-1
----------------------------------------------------
-------------------------------
Date Card B-1 Date Card B-1
Date MECHANICA (Permit) OK except N's
34. A.C. Ducts Insulatioporl
----------------SSSS-- SSSS- SSSS -f------------------------SSSS-SSSSSSSS--
35. Vent n x st ve insulation- -
- -= )----- -
36. Conde ate Dr in v low Size & Grade
------- ---- ----
-------- - - -------------------------
37.
- -SSSSSSSS-- ---..
37. Furn `ce- nt ces Co b Air Return Air Vent -115 outlet
- - -- - ------ -----------------------------
38. A ti cess �,�s� tfor if urnance in Attic
--7 =7 -- -- ---------------------------------------
SSSS-- --------------------t--11 ------- --------------------------------------
Date Card B-1 Date Card B-1
-------------------------------------------- - ---------------------------------------
Date
----------------------------------- -------------------------------------------
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except #'s
39. Sils. Proper Material & Anchors
- - --- -- -------------------------------------------------SSSS -
40. Walls Studs _Nailing_ Spacing & Bracing -Plates -Sound
---SSSS-- --------------------------------
41. Bearing Walls over Girders &'Floor Nailing
-------------------------------------------------------------------------------
42. Draft Stop in Walls (rat proof)
-------------------------------------------------- - ---------------------------
43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub
---------------------------------------------------------------------
44. Headers & Beam -Size & Bearing
ors e3 Check Garage -3rd Story, 2 Exits
-airs- id -H droom-Rise-Run-Landing-Fire Protection
54. w d oh P/of Overhang -Attic Vents -Rafter Outriggers
55. i - ing Veneer
54 btucco-meki-Drip Screed -Fd. Vents-Underflr. Access
57. Glazing Are Glass Protection -Skylights -Plastic
58. She - alts: N ' ing-Bolts -
nsulation-Walls-C ngs
60. Infiltration -Walls -Windows
Date 4 Card B-1 Date Card B-1
------------------------------- ---
Date Card B-1 Date Card B-1
Date FINAL ns) OK except ti's
let- - Ext. S s -Door & Sidelight Protection -Landings
moke Detector
"
-n-Furnace- Vents -Clearance -Comb. Air -Connector -
In rage; Above Floor-Ducts-Mech. Protection
----SSSS---SSSS-- --------------------
04"
Bedroom Exiting
-------------
- - SSSS-.rtT- F.I & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel: Breaker Sizes & Labels
-SSSS-- - -
Stairs & Rails
---------- SSSS SSSS-- --------
.t7@8" Fireplace or Stove: Clearances-Hearth
-----------------
-^6EJ--Elec. joutlets at Wood Panel: Int. & Ext.
------------
- --- - t.F & Appliance; Grnd -Air Gap -Cooking Clearance
lec. Outlets & Receptacles at Kit. Counter
arage Fire Door: Swing -Landing -Closer
----------------------------
---
-- et-A.C. Duct in Garage -Damper
r. Htr Vents -Clearance -Comb. Air-Connector-P.R.V.
- SSSS ------
`,-In Garage: Above Floor-Mech. Protection
-74,Plb.. Elec. & Mech. Equip. Listed for Location
------------ -------------------------
--*-Elec. Receptacles in Garage; (G.F.I.)-Romex Protection
19. +rtsulation-Foam-Looked in Attic ❑ Yes
---------------------------------------SSSS-- --
��. Guard Rails & Deck Construction -Post Caps
------------------------------------
�r7EJ-Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
----------------------------------------
o40 -Following instld. Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No:
Planters ❑ Yes ❑ No
------------------------------
'Stucco: Brown -Finish
.+e�•A C_Unit: _ Disconnect_ Electrical, Plumbing
3 Above Roof: Plbg.-Appliance-Fireplace.-Clearance to
Openings
---------------
s2f--bVater Well: Disconnect, Electrical, Plumbing -- ---
-85. Exterior Elec Trim;. G.F.I. Receptacle- Underground
------------------------------
---
r wt _-qn Throughout House -
---- -------------------SSSS--
lass Protection
......SSSS-- -SSSS--SSSS--
---- ------- ----------SSSS-- SSSS--
-Et6-Corrections from Previous Inspections
--- - SSSS --- -- ---------- --------SSSS-- -- -- ----
m#Q-Las Test -Meters Tagged; Gas -Electric
- 9b-*V9T6 & Sewer Connected -C/O to Grade -HD Approval- -
nergy Compliance tificate-Other Certificates
Dated 2�) Card B-1 Date Card B-1
- -- -
----- ---------------------------- ------ ----SSSS-
Date Card -B-1 Date Card B-1
_ ------------------------------SSSSSSSS-- -
Date Card B-1 Date Card B-1
Comments at Final:
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 ft's
-----------
16. Water Htr.: Vent -Access -Combustion Air -Baffle
---
-------
---------SSSS--
--------------------
Date -
Date
-- ----------------------------
17. Water Pipe Test & Anchor -Nail Protection
18. D.W.V.; T t- ittings Anchor -Nail Protection
19. Sho; T t first Floor -Tub Access
- 20. Tes w r, Second�Floor-Tub Access
0-9-T.
-- -Seco- ------------ ------
21. Gas Pi e: Size Anchor
- - ----------SSSS-- - ---
--- --/ -------------------------SSSS--
- - -Card _1 �_Date_ _ Card B_1 - -
Card B-1 ✓ Date Card B-1
Date ELECTRICAL (Permit) OK except N's
22. Fixture & Transformer Clearance -Ins. Protection
--SSSS-- 23. Elec. Receptacles Spacing -Lights & Switches at Doors ------SSSS--
-------------------------- --SSSS--
:_ 24. Size Boxes & No. of Conductors -Stapled
--- -------------------------------------------------------
25. RomeIn,, Iled Close to Edge of Studs & C.J.
-----------------
7-
--------SSSS-- ----SSSSZ
---- -------------------------------------------
-_-26. Equip. up w!Mech. Fastners-Bond Gas &Water
27. 2 A 1au in Kitchen & Conductor Size!GFI
---------------- --- ---------------------- -----------------------
28. Sub diz ! rga. Cu or AI-A.C. Wire Size ! ! ga.
CuASSSSSS----------------------------
29. R g ga. Cu r AI -Oven Circ. / / ga. Cu or AI.
I u tal ❑ Yes- - ❑-No
- - --------------
30. S o ors & Ground -Main Disconnect
31 --------------
o
ip Cle r n anels- Motors- Mech. Equip
--------------------SSSS-- --
- -- ------------------SSSS--
32. Cloth QIA4 fight -Shower Light -Spa Light
--- ---- -------------------------SSSSSSSS--
-- 33. Smok elector
----------------------------------------------------------------------------------
Date Card B-1 Date Card B-1
----------------------------------------------------
-------------------------------
Date Card B-1 Date Card B-1
Date MECHANICA (Permit) OK except N's
34. A.C. Ducts Insulatioporl
----------------SSSS-- SSSS- SSSS -f------------------------SSSS-SSSSSSSS--
35. Vent n x st ve insulation- -
- -= )----- -
36. Conde ate Dr in v low Size & Grade
------- ---- ----
-------- - - -------------------------
37.
- -SSSSSSSS-- ---..
37. Furn `ce- nt ces Co b Air Return Air Vent -115 outlet
- - -- - ------ -----------------------------
38. A ti cess �,�s� tfor if urnance in Attic
--7 =7 -- -- ---------------------------------------
SSSS-- --------------------t--11 ------- --------------------------------------
Date Card B-1 Date Card B-1
-------------------------------------------- - ---------------------------------------
Date
----------------------------------- -------------------------------------------
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except #'s
39. Sils. Proper Material & Anchors
- - --- -- -------------------------------------------------SSSS -
40. Walls Studs _Nailing_ Spacing & Bracing -Plates -Sound
---SSSS-- --------------------------------
41. Bearing Walls over Girders &'Floor Nailing
-------------------------------------------------------------------------------
42. Draft Stop in Walls (rat proof)
-------------------------------------------------- - ---------------------------
43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub
---------------------------------------------------------------------
44. Headers & Beam -Size & Bearing
ors e3 Check Garage -3rd Story, 2 Exits
-airs- id -H droom-Rise-Run-Landing-Fire Protection
54. w d oh P/of Overhang -Attic Vents -Rafter Outriggers
55. i - ing Veneer
54 btucco-meki-Drip Screed -Fd. Vents-Underflr. Access
57. Glazing Are Glass Protection -Skylights -Plastic
58. She - alts: N ' ing-Bolts -
nsulation-Walls-C ngs
60. Infiltration -Walls -Windows
Date 4 Card B-1 Date Card B-1
------------------------------- ---
Date Card B-1 Date Card B-1
Date FINAL ns) OK except ti's
let- - Ext. S s -Door & Sidelight Protection -Landings
moke Detector
"
-n-Furnace- Vents -Clearance -Comb. Air -Connector -
In rage; Above Floor-Ducts-Mech. Protection
----SSSS---SSSS-- --------------------
04"
Bedroom Exiting
-------------
- - SSSS-.rtT- F.I & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel: Breaker Sizes & Labels
-SSSS-- - -
Stairs & Rails
---------- SSSS SSSS-- --------
.t7@8" Fireplace or Stove: Clearances-Hearth
-----------------
-^6EJ--Elec. joutlets at Wood Panel: Int. & Ext.
------------
- --- - t.F & Appliance; Grnd -Air Gap -Cooking Clearance
lec. Outlets & Receptacles at Kit. Counter
arage Fire Door: Swing -Landing -Closer
----------------------------
---
-- et-A.C. Duct in Garage -Damper
r. Htr Vents -Clearance -Comb. Air-Connector-P.R.V.
- SSSS ------
`,-In Garage: Above Floor-Mech. Protection
-74,Plb.. Elec. & Mech. Equip. Listed for Location
------------ -------------------------
--*-Elec. Receptacles in Garage; (G.F.I.)-Romex Protection
19. +rtsulation-Foam-Looked in Attic ❑ Yes
---------------------------------------SSSS-- --
��. Guard Rails & Deck Construction -Post Caps
------------------------------------
�r7EJ-Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
----------------------------------------
o40 -Following instld. Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No:
Planters ❑ Yes ❑ No
------------------------------
'Stucco: Brown -Finish
.+e�•A C_Unit: _ Disconnect_ Electrical, Plumbing
3 Above Roof: Plbg.-Appliance-Fireplace.-Clearance to
Openings
---------------
s2f--bVater Well: Disconnect, Electrical, Plumbing -- ---
-85. Exterior Elec Trim;. G.F.I. Receptacle- Underground
------------------------------
---
r wt _-qn Throughout House -
---- -------------------SSSS--
lass Protection
......SSSS-- -SSSS--SSSS--
---- ------- ----------SSSS-- SSSS--
-Et6-Corrections from Previous Inspections
--- - SSSS --- -- ---------- --------SSSS-- -- -- ----
m#Q-Las Test -Meters Tagged; Gas -Electric
- 9b-*V9T6 & Sewer Connected -C/O to Grade -HD Approval- -
nergy Compliance tificate-Other Certificates
Dated 2�) Card B-1 Date Card B-1
- -- -
----- ---------------------------- ------ ----SSSS-
Date Card -B-1 Date Card B-1
_ ------------------------------SSSSSSSS-- -
Date Card B-1 Date Card B-1
Comments at Final:
J=OK
0 = Not OK
Not Applicable
' = Not Ready' MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / /" L" ft.
/ /"Nat. or/ /" L"ft./ /"LPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/0 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.-Connectors
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-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
F
C
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California, -05965 - Telephone (916) 538-7541 PERMI O.�
APPLICATION ASI® PERMIT �- �%
ASSESSOR PARCEL NUMBER
039-370-076
ZONING
SRI
BUILDING PERMIT,
OWNER
HARRY R ILLER
TELEPHONE
343-9662
S0, FT, OCC. BUILDING VALUATIO
OWNER'S MAILING ADDRESS
1715 DAYTON RD, CHICO 95928
10,800
196 M R 3,920
CONTRACTOR'S NAME 7i�
NE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ 14.720
LENDER'S MAILING ADDRESS
Filing Fee $ 20,00
Permit Fee $ 162.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $ 105.30
Energy Plan Checking Fee $ 23.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS 1737 DAYTON RD CHICO
PERMIT FEE $ 310.30
PLUMBING PERMIT Filing Fee 20.00
Each Trap 1 7.00 7.00
Solar or heat pump water heater 23.00
Water piping 15.00 15.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Each gas water heater or vent 15.00
USE OF STRUCTURE
SF l Duplex O Mobilehome O Other
SPECIFY
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00 15.00
Mobile Home S G W @20•0C
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other �
' I
Describe Work: QONIIERZ PORTION OF SHOP TO LIVING AREA
PERMIT FEE 57.00
$
Contractor
ELECTRICAL PERMIT Filing Fee 20.00
Main ServiceBOOV OR LESS
( 2DDA OR LESS ) 23.00
Main Service ( 200A TO 1000A ) 46.00 22, 00
NEW CONST. DWELLING OCCUP. SO,
OR ADONS. ( & ACC. BLDS. ) 3.50 FT.
NEW CONST. MULTI -OUTLET
•NON RESID. ( BRANCH CIRCUITS ) @7.50
CONTRACTORS LICENSE LAW
declare under penalty of perjury (check one)
❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full force and effect.
License No. Classification
Al, as the owner, or my employees with wages as their sole compensation, 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 contractors. (Sec 7044)
❑ 1 am exempt under Sec. Business and Professions Code
forthis reason
( POWER APPARATUS )
& SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES ) BAL. @ 1.50
Ex. Occup.(OFIXED APPWS. OR
UTLETS (RESID.) EA. ) 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
WORKER'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ This permit is for $100.00 (valuation) or less.
❑ 1 have placed on file with the County of Butte Dept. of Development Services,
Building Division 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 Worker's
mpensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $'49 -001
Contractor
MECHANICAL PERMIT Filing Fee 20.00
Heating 15.0
Cooling
5.0
Hood 6.50
Ventilation
PERMIT FEE $. 56.5
Contractor
I certify that I have read this application and state that the above information is correct.
1 agree to comply to all Butte County Ordinances and California 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 a ee to save, indemnify and keep harmless the County of Butte against all
liabiliti s, judgments, costs, and expenses which may in any way accrue against said
Coun i consequence of t ranting o this permit.
X Date ^� '-
Signature of A p cantOwner ❑ Contractor Cl Agent'
An OSHA permit is r quired for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $ 46. 0
ocC
CONST. TYPE
TOTAL FEE $
511.8
HA2.
I D. FEES
I IMP
I FLOOD
I COF
PARCEL PD
I Ho
I ISSUE
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.
B Date
PERMIT EXPIRES ON41/1A�: -
ate/
Receipt No. 168819
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
E.H. IISE (),NLY
Hot Him Adtiched
Viour Him Atuic I
sent to BA).
TO: BUilding Departmcnt
FROM: Environmental Health
'SUBJECT: Sanitation Clearance
n)AP/C
Owner Location AP#
Plan Approved for: Scwaoe Disposal Water Supply: P Liblic Private Well-��
Cl arance for ;L IMOPPAL
H4jo44c-h()me. Other
Hold final for:
--0
F'nal clearance K. for:
NC)TF--
EnviTon-mental Health Specialist
8/92
t --h -(A
Date
'%" ''''r' H" Fig" • w3a.4"P,�.l,.(r:�w1�7.t-'t.�d�,'ti:q'
COUNTYOF BUTTE - DEPARTMENTOF YVELOPMENTSERVICES -BUILDING DIVISION
44
7 COUNTY CENTER DRIVE : OROVILLE, C4L-IO(AA'IA 95965 -TELEPHONE (916) 538-7541
PER IT APPLICATION DATA1.HEET .-
OWNER
�_. _ A. P. No. 6 -U
Proposed Building Use Building Inspector t 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 Compliance 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. Mobil home data and manufacturer's installation instructions, 2 sets. ...........
10, Fees of $.........................................
. Impact fees as shown on attached schedule . ..............................
12. California Department of Forestry plan approval/fees......................... .
LL Flood elevation letter (100 year flood)_by California Engineer. ........
anitation and plot plan approval C4 Health Department..N..
15. City of Chico plumbing permit. ...... .
16. Plot plan and business license approv rom City of Biggs/Gridley. .............
- 99K 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)... •Pr�4;sect1!0;r64eest—
20. Pre -inspection for required. .. to Building Inspector (Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Workmans Compensation Insurance . ..........................
23. Owner -Builder Verification (Given to owner Mail to owner .. .
e24. Recorded copy of Agricultural Acknowledgement Statement . ..................
25. Letter of signature authorization . ..........: ............................ .
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
27. Letter of intent on building use.
............
28. Mobilehome utility clearance . ............................... '...........
29. Documentation of legal access . ..................... :..................
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ..............:••.\
31. Existing violations/expired permits . ..................................... .
32. Plan check list . .....................................................
.-33. 3,
34.
When y9u issue the permi rocess as follows: Mail too ner. Mail to contractor.,
( Telephone 3- and hold for pickup at � office. Deliver with inspector.
Other
Parcel Creation
Acreage Applicant
Date f
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2: Additional items required:
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone_ mail C unter by _ Date
Plans checked by Date Plans approved by Date
s
Sets of plans on hold in File cabinet AP folder
Copv - Department of Public Works
COUNTY OF BUTTE - DEPARTMENT OF DEVELOVr EN'p SERVICES - BUILDING DIVISION
7 COUNTY CENTER . DR
OWNER I
OROVILLE CA 95963 - TELEPHONE (916) 538-7541
PROPOSED BUILDING USE _ . &�e 4_76
1. SCHOOL DISTRICT FEES < <-t:: :7->
(paid at District Office .........................
SHERIFF FM
(paid at Building Department) -'
Residential...... x rp
unit amt.
Commercial (sgft� x 7)'
.sq. rt. amt.
3. URBAN AREA FEES
(paid at Building Department)
Residential (per unit)_ x,
units amt.
/44.
mmercial (per sq. ftx =
sq. rt. amt.
CREATION DISTRICT FEES /'�.
(paid at District Office)... .
e ........
5. DRAINAGE DISTRICT FEES
(Contact Land Development Division) ..............
6. SRA FIRE INSPECTION AND PLAN CH= = $89.00......
(paid'at Building Deparrmentj
7. OTHER
8 . OTMM
A.D.' # 1939 -3 7a 76
DATE
REC. # DATE REC
.t time of permit application, I Was advised the above fees are required to be paid
rior to issuance of the permit.
DPLICANT DATE
COUNTY OF B=E
DeDar ment of Develovment Services
Building Division
Oroville: 7 County Center Dr.. Oroville CA 95965 Ph: 916-538-7541
Chico: '1469 Humboldt Rd., Chico CA 95928 Ph: 916-891-2751
OWNER -BUILDER VERIFI ATTON
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 pettonally plan to provide the major labor and materials for construction of the proposed property improvement
(yes GF-so7--
2. I (have/,have-not} signed an application for a building permit for the proposed work.
3. 1 have contracted with the following person (firm) to provide the proposed construction:
Name
Address Citv
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:
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 permitted to issue the
permit.
rY.;k-li'+.s..A�,5,.�''��r'��.'"��'€;3i+-c�"�'�Go.�'�S;.h��'+x1y[
a-
BUTTE COUNTY PARKS DEVELOPHSNT,,FBR'.CERTIFICATION FORM
CHICO AREA RECREATION"AND PARK DISTRICT
AssessorrParcel Number(s
Property.Owner
Project Location/Address
Subdivision Lot Number(s)
Re;
ntia1 Development: (check ae)
�F
Development A teration/Addition Mobilehome(s) _Non -Residential
to Residential
Total Number of -Dwelling Units /
Comment:
Building Departmen Representative
Date
ico Area Recreation and Park District(CARD) certifies that
Applic t Name) (Phone'Number)
r
(Street Address) ,r
(City) ate) (Zip Code)! l'
has complied with the requirements of Butte Co. Resolution"No. 90-140 by
payment -for / dwelling units @ $1,189,,.for total payment of
CARD resentat' a 7 Date
PAID BY CHECK NO. REMARKS:
BANK NO.
PAID BY CASH
RECEIPT NO.
Distribution: White --Applicant Yellow --Butte Co. Building Dept.
Pink --CARD Goldenrod --City of Chico Building,Dept.
park.fee (form revised 11/90)
R,.,..Wi` s'nYf+�Fivr..t„�p�,rs;`'r"im^wncTt_!,t^;Yi'`1,f.J"•5:'fy'M'n:Naaanib57.'�;{�y',"�t �,r�
t.
BUTTE COUNTY SCHOOLS IMPACT: FEE CERTIFICATION FORM
(One Form'Per Building)
School District .1F,( Building Department No.
A,R Number ,; ' —" Jurisdiction City >:L County
Property Owner dA RA,,e /V i V46e
Property Location/Address
Subdivison
Residential Development
No. of Living MHI
Units
Commercial/Industrial
New
Lot No.
,Sq. Footage
AdditionGrou
( p R)
Foo ;
ddition (Inclu ing Exterior
Roofed Areas)
ZIA7147V
Da
(Floor Plans reviewed by School District Personnel)
District Identification No. %y
(f School District certifies that
i
1 '73'7
,(Street Address)•
(City)
has complied with the requirements of ResolutiomNo.
representing square feet.
1/
School District Representative
pplicant)
(Phone Number)
95q
(State) (Zip Code)
by payment of s
F Check here if fee received represents "Full Mitigation".
Date
a Paid by Check # ti 4 Remarks:
Bank Number:`
Paid by Cash
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 A1ct (CEOA), 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 dist feeformmkl (area)
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541. PERMIT N.O.
APPLICATION AND PERMIT
ASSESSOR PARCEL UMBER /
G<7 �Ilf,: GIC 'LV-
-67-6
ZONING5/
!
BUILDING PERMIT
OWNER
TELEPHONE
SQ, FT, OCC. BUILDING VALUATION
OWNER'S MAILING AD RE n RID
CONTRACTOR'S NAIJ,
J
TPHONE
ELE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
7re
Filing Fee $�-�--
-
LENDER'S MAILING ADDRESS
__�
Permit Fee
ARCHITECT OR ENGINEER
LICENSE NO.C
$
Energy Plan Checking Fee $
2 a _ o�
ARCHITECT OR ENGI
Penalty $
,
BUILDING ADDRESS - _ / V
PERMIT FEE $
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7:00
Solar or heat pump water heater
23.00
Water piping
15.00
LOT NO.SUBDIVISION'S NAME
PARCEL MAP
Each gas water heater or vent
15.00
USE OF STRUCTURE
'
SFk1 Duplex O Mobilehome O Other
SPECIFY
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
@20.00
@
TYPE OF WORK
New O Addition O Remodel O Utilities O Installation O Other �
Describe Work: QN � / °1r �1" d' ��
PERMIT FEE $
"7,
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
` C
-
OR
Main Service ( " LESS
200A OR LESS )
23.00
Main Service ( 200A TO IOOOA )
46.00
NEW CONST. DWELLING OCC P.
OR ADONS. ( 6 ACC. BLDS. )
SO _
3.5C FT.
NEW CONST. MULTI -OUTLET
( BRANCH CIRCUITS )
@7.50
CONTRACTORS LICENSE LAW(
I declare under penalty of perjury (check one)
O I am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full force and effect.
License No. Classification
O I, as the owner, or my employees with wages as their sole compensation, will do
the work, and the structure is not intended or offered for sale. (Sec 7044)
O1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
O I am exempt under Sec. Business and Professions Code
-forthis reason
_NON.RESID.
POWERAPPARATUS )
& SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
BAS @ I.5500
Ex. Occu FIXED APPIOR
p' (OUTLETS IRESIDID.I EA. )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring .,.
23.00
WORKER'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
O This permit is for $100.00 (valuation) or less.
O 1 have placed on file with the County of Butte Dept. of Development Services,
Building Division 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 Worker's
ompensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE $
S°�j, 7)
Contractor
I certify that I have read this application and state that the above information is correct.
I agree to comply to all Butte County Ordinances and California 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
IiabiI*tie , j dgments, costs, and expenses which may in any way accrue against said
County n onsequence o the granting of this permit.
X Date ��_�9— /�
Sig ature of A icant - Owner O Contractor O Agent
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee 1$ .0-->
Dcc
CONST. TYPE
TOTAL FEE $
HAZ. D. FEES IMP FLOOD COF
PARCEL PD
HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
BY Date
PERMITEXPIRESON
(Date)
Receipt No. / Co88(q
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLD ROD -APPLICANT
Permit: No.
ENERGY CERTIFICAT ION
17-;.51!Plavtnn Rnad. 'Chico. CA.
- -- -'': I.0CA'1 ION ,
A. V. No.
DESCRIPTION
OF INSULATION
Pl:at:eri la1
Brand dame
'Thervlal Resistance (R Value)__ .�:.• ..—_.
I'lti:C'Ic,hEit�6 (LhCItE'9�� _—_
E;XTEIt.1:[)k! WALL
,
tlrrter1iA I - FIBERGLASS BATTS
—tet cr--
1'tiiitlC'17E:n►1(i.nches) 3-z & 64
,I
Brand Vame SCHULLER INT. -_ ;.._.._.._.-
Thermal Resistance(R Value') R13 C_R19
C H I "114"',7
t
.I
If�.►1.t.' v�'Ci 111anicet: '.CY1�e__ _
Brand flame _---- __ •-. _.::..._..___
Thermal Resistance(R Value:'►
')'I, knesr( inches)—__ _
-_____„t „._-.
ASS_
Brand flame —_—..�1..,�Q...��.._.__._.:.'....__.
mi'llia►itliu Thicknes�(Inches)__$,11
Number of -Bags_ Wt. per 1►ag �T
F`'
Arun;�ccl'v�►red(ft. ') 56[]
Thern►al Resistance(R
1:,1,0017- i7l,EVI TED (BROUGHT ATTIC UP
TO R30) i
11r.►t:erll
Brand flame_
L'Fri.'kuasa(lnches)__
Thermal Resistance(R Value,! - _„•_,.,._...,.
Ell 00R 11 131AB .
t' _
Brand 1Jame --- _.. _...__.............._
_
I't411:1ines:;(i.nr..-hes,!
Therr.lal Res Lstance(R Value'f__ ,___ •_-..
1
l•1 id t11nt_ l l e s
i10urn1A'f'1014 WALL
mat 'Brand
Name
Lli Ciln��ss(iuches)
Thepnal Resistance(R Value)_,•_ _—_
IWINIb!j certLfy that t:he nbove insulation
was instnlled in the above buiad Ln};
In r_t.1-6xinance with the State of California Snargy Requirements.
I IJsUI..i f ].ON CO. , INC._ _.__....._._. _
1011E/014t aril . STATE CONTRACTOR►S LICENSE NO.
It,l�lly�-64C OF INb�TAI:TATAN APPLICATOR
May 3, 1995
DATE
lit”
ctertify .the above insulation and. all required items as eho►r,n on 01e
(fu t.1.�l:�i>i - I)charl:ment approved plans and attachments have been instalted, lila
re,at.ilYe!d .'by the State of California Energy Requirements.
AI t. c!ilt>!I.Inneul, ctevlces and materials are of the quality prescribed o►- ntl� ,
specfj,c.a l.ly approved by the State of California.
,t
FIRMANAKE10UNER (Please print) - STATE LICENSE NOj
t
.fit 1 .
t fi
STGPtA'f11RI., Of' 0EN13RAL CONTRACTOR OWNER DATE—
t
7"111'S t;E`I:t'I'TI'ICA'1'E.MIIS'f. BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO iF' pl.
.l NS1't, .1. �.►N APPROVAL, AND COPY SAALL BE POSTED WITHIN THE BUILDING �I ,
January 1.984
Eu He
.tea.,. .. ..
D 3E^,'J
PLANNING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397
TELEPHONE: (916) 538-7601
FAX: (916) 538-7785
September 13, 1994
Mr. Harry Miller
1735 Dayton Road
Chico, CA 95928
Re: Administrative Permit, AP 039-370076
Dear Mr. Miller:
Enclosed is your validated Administrative Permit No. 94-06 to allow a Senior Citizen
dwelling unit on property zoned SR -1 located at 1735 Dayton Road, Chico, CA.
Every. Administrative Permit expires and is automatically null and void without further
action by the County if the Activity or use for which the Administrative Permit was granted
has not been actively and substantially commenced within one year of the date of its final
approval.
Should you have any questions regarding this matter, please contact Stephen Lucas of
this office Monday through Thursday, between the hours of 8:00 a.m. and 4:00 p.m.
Very truly,yours,
H
er
BKH:bd
Enclosure
cc: Building Division
Land Development Division
Environmental Health
Department of Forestry
ADMINISTRATIVE PERMIT
BUTTE COUNTY PLANNING DEPARTMENT September 5. 1994
94-06
PERMIT NO.
039-370-076
ASSESSOR'S PARCEL NO.
Pursuant to the provisions of the Zoning Ordinance of the County of Butte and the special
conditions set forth below: Harry Miller is hereby granted an Administrative Permit in
accordance with application filed: July 12, 1994 to allow a Senior Citizen dwelling unit on'
property zoned SR -1 (Suburban Residential -1 acre) located at 1735 Dayton Road, Chico,
CA.
Failure to comply with the conditions specified herein as the basis for
approval of application and issuance of Permit, constitutes cause for the.
revocation of said permit in accordance with the procedures set forth in the
Butte County Zoning Ordinance, including Butte County Code Section 24-
62.
2. Unless otherwise provided for in a condition to an Administrative Permit, all
conditions must be completed by the permittee within 12 months of the
delivery of the countersigned permit to the permittee.
3. If any use for which an Administrative Permit has been granted is not
established within one year of the date of receipt of the countersigned
permit by the permittee, the permit shall be come null and void and
reapplication shall be required to establish the use.
4. The terms and conditions of this permit shall run with the land and shall be binding
upon and be to the benefit of the heirs, legal representatives, successors, and
assigns of the Permittee.
SPECIAL CONDITIONS:
1. The "living area", meaning the interior habitable floor space area of a dwelling unit
including basements and attics, but not including a garage or any accessory
structure, shall not exceed 1,200 square feet.
2. The senior citizen dwelling unit is intended for the sole occupancy of one (1) adult
62 years of age or over or two (2) adult persons, one of whom is 62 years of age
or over. An affidavit of compliance with the age requirements of this section shall
be recorded in the office of the Recorder prior to issuance of building permits.
Said, affidavit shall include the legal description of the lot or parcel and shall
constitute a covenant running with the land, binding upon the original owners and
their heirs, successors and assigns, limiting the occupancy of the senior citizen
dwelling unit to the conditions described in this section.
3. The senior citizen dwelling unit shall not be sold as a separate unit unless a parcel
containing the unit is created in compliance with the existing zoning and
subdivision ordinances and the resulting density is in conformance with the
General Plan.
4. Two off-street parking spaces shall be provided for the senior citizen dwelling unit
in addition to the parking spaces required for the primary dwelling unit.
5. Provide sewage disposal facilities and a potable water supply which meet
Environmental Health requirements.
6. All site development standards as required by the zoning district in which the unit
is located shall be met.
7. The senior citizen dwelling unit shall be a conventionally constructed building or a
mobile home that complies with the National Manufactured Housing Construction
and Safety Standards Act of 1974, except that in the "A", "FR", and "TM" series of
zones a mobile home, as defined in Section 24-21.28, may be used. Travel
Trailers and recreational vehicles shall not be allowed as a senior citizen dwelling
unit.
8. The Butte County Fire Department requires that all new structures meet the Fire
Safe Regulations of PRC 4290 and provide an all weather access to the site for a
40,000 pound fire apparatus.
9. The approval of this permit constitutes approval only to the extent that the project
complies with the Butte County Code and all other applicable regulations.
10. The requirements of all concerned governmental agencies having jurisdiction by
law, including but not limited to the issuance of appropriate permits, shall be met.
Note: Minor changes may be approved administratively by the Director of Development
Services or his designee, upon receipt of a substantiated written request by the
applicant. Prior to such approval, verification must be made by each Department
or Division that the modification is consistent with the application, fees paid and
environmental determination as conditionally approved. Changes deemed to be
major or significant in nature shall require a formal application for amendment.
NOTE: Issuance of this Administrative Permit does not waive requirement of obtaining
Building and Health Department permits before starting construction and their approvals
prior to use or occupancy, nor does it waive any other requirements.
cc: Land Development Division
Building Division
Health Department
Department of Forestry
0
�.L I Iflv&4�1
DEVELOPMENT PLAN
DATE ljo -L J 9 9
U mPERMIT _rte VARIANCE
BY
✓LI /L >/�Tjrf4�% t�! P, E,M
C� f PERMIT NO.
���� DAG �ID ✓dL S /C�� sl,�,/I PERMIT EXPIRES
- OWNER HARRY MILLER
{
CONTR. owner
39-37-76
ASSESSOR PARCEL
LOCATION 1735 Duayton Rd, Chico
1/47 +
fY%A , 0, G6-1- Ae
A"
ej
441
4 .
ANG �-�-,�,._/��us£ � � •s;
-c a�
Temp. Power Pale .
ar
��
A� Elec. Service
' l YNl7
Called PG&E
. Temp. Gas Service
�* Called PG&E
JOB FINALED (Date) "7C.9-6
Signature v
R
= OK r
r
0=Not OK
#
' MOBILEMOBILE HOMES
MISCELLANEOUS' `
= Not Ready
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
Da;te
DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
�'
1. Zoning Requirements -Setbacks -Easements_ - " 1,
2. Soils; Special MH Support -Sketch
2. Footings; Soils-Siie-Depth-Spacing-Connectors!Steel c- '
`
'3. Sewer; Location-Test-Fall-C/0-Coricrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)'
4. Wood Awn.; Posts- Beam s-Rftrs.-Connec.- + `
5. Electricity; Location-Clearances-Grnd.-/ / Ainp-Concrete
Shthg.-Rfg.-Bracing
6. Gas; Location -Test -Wrap: / P'L"ft.
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
/ /"Nat. or/ /"L"ft./ /"LPG
6. Carports; Windows -Doors "!
7. Utility Clearance -
7. Elec:
_
8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses "
9. Siding; Nailing -Veneer -Stucco -Mesh '
Card -131
Date Card -131 Date -I
10. Roof; Shthg-Roofing _.
Card -131
Date Card -61 Date
11. Ext.; Steps -Doors -Landings
Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Card -B1
Date Card -131 Date
2. Footings; Size -Spacing -Marriage Line
Card -B1
Date Card -B1 Date
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test-Crossovers'Breakers-Clearances
Date
POOLS (Plans) OK except #'s !
5. Drain; MH Test -Fall -Flex Connector '
1. Setbacks -Easements
6. Water; MH Test -Regulator -Connector
2. Soils; Compaction -Structure Stability
7. Water and Sewer Connected -C/O to Grade -HD Approval
3. Pool Structure; Steel-Connections-Thickness-1-
teel-Connections-Thickness=8.
8.Gas and Electricity Tagged
Dead Men -Lining
9. Exits; Insp.-Sketch
4. Elec.; Receptacles and Lighting, Distances-GFI
10. Cert. of Occupancy
5. Elec.;•Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
4
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg.
Card -B1
Date Card -B1 Date -
Boxes -Enc losures- Panel boards- Ins. to Main in Conduit
Card -61
Date Card -81 Date
9. Health Department Approval -
_
10. Plumb.; Cir. Test -Water Supply Test
Card -B1
Date Card -B1 Date
'
Card -B1
Date Card -131 Date
•� car
I
t
l
OK #4
o Not -6J<"
Not Applicable RESIDENTIAL (Single and Duplex)
-:
= N& Ready
I
Date
UN FLOOR (Pla 'OK except #'s f
Date FRAKJWI—(Continued)
o ing-Se •s; -E
t 4
gers-Post Caps -Anchors -Connectors
I- d. -Y /" Ftg. Depth
4&."C
I n g. J- ftr. Ties- Pu' rlin-Ro ac. -Tr -Sh g.. fn
7 _
Garage; Wfs_-&oel-/ /" Ftg. Depth-
p
g., Porches & Decks; Soi -Steel-/ /"Ftg. Depthttic
Access; Size &Romex Protection raft ns. fles
I-
49/ygm..Windows
or Exiting Doors -Sill Hgt. & Dimensions
7-24>
fieSfemwalls, Garage; Steel-Blockouts-Wrapped
arage Fire Protection Framing
a teel-W d
5
r,
5
xt. Doors -One 3' -Check Garage -3rd story, 2 exits
W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test
53
tairs; Width -Headroom -Rise -Run -Lan -Fire Protec ion
10 G Pipe; Size -Anchors
ood of verhang-Atti nts-Rafte nggers
_5T
1 ater Pipe; T Anrl*eFs-Regt�leter erv'
idin - eneer
ectric; Underground `p LW. '/% � o jJ
-�b-
ucc esh-dr' creed- s
1 In
57
lazing Area -Glass Pr tection-Skylights-Plastic
- i - - rip salls;
}l n
594nsulation-Walls-Clg.
Na' -Be�Es
60
nf' ration-Walls-Wndws
Card -B1
Date Card -B1 Date
Card -81
Date _r Card -B1 Date
Card -B1
Dat Card -61 Date "/
Card -B1
Date//a; Card -B1 Date
Date
gQMBING (Permit) OK except #'s
16. ater Ht._J€nt-Access-Comby cn A�-affle
Date FI
AL (Plans) OK except #'s
17. W ipe; T c s- rote ion
xt Steps -Door & Sidelight Protection -Landings
1 . .W .; Test -F s & An ors -N ' Protection96oke
Detector
1 er Pan; Test, First Floor -Tub Access
.
Furnace; Vents -Clearance -Comb. Air-Connector-
Garage; Above Floor -Ducts -Meeh. Protection
T!2ub & Shower, 2nd Floor -Tub Access
as Pipe; Size & Anchors
W.96droom
Exiting
:F.I. & Bath Fixtures & Tub Access -Spa
c. Trim & Subpanel; Breaker Sizes -Labels
Card -B1
Datel Card -B1 Date
(V
Stairs & Rails
Card -B1
Date Card -B1 Dater
tove; Clearances -Hearth
%Voec.
IW
Outlets at Wood Panel; Int. & Ext.
Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance
Kit.
DateELEC YMCAL (Permit) OK except #'s
Clearance s. Prote
Ix on
c. Outlets &Receptacles at Kit. Counter
Receptacles Spacing- ' & Swi " es at Doors
rage Fire Door; Swing -Landing -Closer
Si Boxes & No. of Co c rs-Staple7V
A u nGarage-Damper
tr. Vents -Clearance -Comb. Air-Connector-P.R.V.-
Garage; Above Floor-Mech. Protection
omex Installed Close to dge of S ds & C.J.
2 Eq Ground made up w/Mech. Fasteners -Bond Gas & Watertf�pKVY
.
Appliance Circuts in Kitchen & Conductor Size/G.F.I.
PA., Elec. & Mech. Equip. Listed for Location
28. r - 9a•
Cu I
ec.,,Receptacles in Garage; (G.F.I.)-Romex Protec.
I ulation-Foam-Looked in Attic ❑ Yes
ange / / ga. Cu o - ven Circ. / / ga. Cu or Al.
Ins ed Neut al No
uard Rails & Deck Construction -Post Caps
ervice-Riser Conductors Ground -Main Disconnect
WFdn.
Vents & Crawl Hole Door -Drainage & Wood -Earth
learance Looked under Floor Yes
31. E92if Clearances Panels-Motors-Mech. Equip.
§/
Following instld.; Dr• e ❑ • Yes No; Walks ❑ Yes No;
lanters ❑ Yes No
Cl es Closet Light -Shower Light -Spa Light
oke Detector -
Stucco; B n -Finis C
Card -61
Vi5 Date - Card -B1 Date
C. Unit isc ne Electrical, Plumbing
Card -B1
Date Card -B1 Date
W.
Vents Above oo ; Plbg.-Appliance-Firepl.-Clearance to
penings.
Date
MECH ICAL (Permit) OK except #'s
V.,VVater
Well; Disconnect, Electrical, Plumbing
C. cts Insulation & Support
le
xterior Elec. Trim; G.F.I. Receptacle -Underground
3 n n; Exhaust above insulation
entilation throughout House
ondensate Drain & Overflow; Size & Grade
37. urna ent; Access -Comb. Air -Return Air Vent -115 outlet
V
Glass Protection
.
Corrections from Previous Inpections
c Access & Platform if Furnace in Attic
as Test -Meters Tagged; Gas -Electric
W r & Sewer Connected -C/O to Grade -HD Approval
9
nergy'Compliance Certificate -Other Certificates
e tiff ate
Card -B1 �� Date - Card -B1 Date
Card -B1
Date Card -B1 Date
Card -B1
Card -B1
Date Z Card -B1 Date
Date Card -B1 Date
Date
FRA (Plans) OK except #'s
Card -B1
Date Card -61 Date
ills, roper Material & Anchors
Comments at Final:
alls Studs -Nailing, Spacing & Bra —Pla ound
Baring Walls over Girders & Floor Nailing
42)(Oraft Stop in Walls (rat proof)
43XFire tops; Furred Ceilings -Stairs -Chase
ader & Beam -Size & Bearing
(NOTE: An entry must be made each time you visit job site)
r
Owner;
Permit No.
_�.
(DUPLICATE)' ENERGY CERTIFICATION
1735 Dayton Road Durham Ca.
LOCATION A. P. No.
DESCRIPTION OF INSULATION
ROOF
Material
Thickness(inches)
EXTERI6R WALL
Material Fiberaiass harts
Thickness(inches) 321"
Brand Name
Thermal Resistance (R Value)_,_,,_,_
Brand Name Owens -Corina
Thermal Reaistance(R Value) R11_,__r,
CEILING
Uralon
Batt or Blanket Type Fiberalass UaLl Brand Name OwQtance(R -ya R38
Thickness(inches) 12" Tbennal Resiatance(R'Value), _
Loose Fill Type Brand Name
Minimum Thickneaa(Inches) Number of Bags Wt. per bag ^lb.
Area covered(ft.22) Thermal Reaietance(R Value)
FLOOR, ELEVATED
material
Thickness(inchea)
FLOOR, SLAB
material
Thickness inches)
Width(inches)
FOUNDATION WALL
material
Thick . (inches)
Brand Name
Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R Value) _-
Brand Name
Thermal Resistance(R
I hereby certify.• that the above insula tion Was installed in the above building
in cgnforince with tike State of CalifornZe Kner6y Requirements.
w
Loerke Insulation Co.
F _NAME/OWNER j
i
IG URE OF IN TALLATION APPLICATOR
499150
STATE CONTRACTORS LICENSE NO.
_February 26, 19.90
DATE
I hereby certify the above Ilia"
Building
ent�il�aveed ibeen inststems as lledoq@thp
Building Department approved plans
required by the State of California Energy Requirements.
All equipment, devices and material@ ore.of the quality prescribed or are
specifically approved by the State of California.
;ST
NAME/OWNER " (please print) STATE CONT CTO 'S LICENSE NO.
�6 d NATUR F QFNE L CONCRACTOR OWNER RATE
THIS CERTIFICATE MUST BE ON FILE WITIJ THE BUILDING DEPARTMENT PRIOR TO FIN"
INSPECTION APPROVAL AND A COPY SHAM. BE POSTED WITHIN TIIE BUILDING,
January 1984
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville'— Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-�6307
CORRECTION NOTICE
OWNER PERMIT NO.
w
U,
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correct�*vn of work is completed. If you have any question pertaining to this
matter, ?;.4eed additional explanation, please contact this office immediately.
MAP' dw, il
Inspector Date
a
COUNTY & BUTTE
DEPARTMENT OF PUBLIC W
ORKS
196 Memorial Way, Chico — Phone: 891-2751 y
7 County Center Drive, Oroville — Phone: 538-7541
747 Elliott Road, Paradise — Phone: 8�2-6307
CORRECTION NOTICE
OWIqEO PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correct! of work is completed. If you have any question pertaining to this
0
t�
or,4eed a
matter, or dditional explariation, please contact this office immediately.
0cf) C� -1 A 0
I MX, --
P
.0
PP
Inspector. —Date 11-4)9-99
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
j96 Memorial Way, Chico -Phone: 891-2751
7 County Center Drive, Orovill� Ph6he: 538-7541
747 Elliott Road, Paradise — Phone: 872-6307
CORRECTION NOTICE
OWNER PERMIT N1
A routine nspectiopKdicates that the following violations of County Ordinance
a
exist at, the a we address and should be corrected. Please notify this office
)rr of
when corr ion work is completed. If you have any question pertaining to this
eio
r
matter r need additional explanation, please contact this office immediately.
r I
/A J
.5
oo� z / z zz
Inspector Date
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone' 538-7541
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
OWNER PERMIT NO.
77 A routine inspection dicle(tfzAe followlngg�4(s
Car, of County Ordinance
exist at the above address and seould be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
need additional explanation, please contact this office immediately.
J_C_�< /�j e -;�_"e
S"
-Z - -
.416
1�1.
Inspec42��/Xae'� Date*,,,
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Mernoria.1 : Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
z Y,7
""OWNER' PERMIT NO.
A routine inspection indicates that the foil owing violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact,this office immediately.
c�v
Inspector
Date
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 538-7541
747 Elliott Road, Paradise — Phone: 812-6307
CORRECTION NOTICE
ER
� 7 p ;;;,
PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when c rection of work is completed. If you have any question pertaining to this
or need additional explanation, please contact this office Immediately.
�Ikl /Z -5A,
Inspector Date A
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Wayi Chico — Phone -,891-2751
7 County Center Drive. Orovi Ile — Phone: 538-7541
747 Elliott Road, Paradise — Phone: 872-6307
CORRECTION NOTICE
VNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance.
exist at the above address and should be corrected. Please notify this office
when correction of work Is completed. If you have any question pertaining to this
matt -/'o7�ed additional explanation, please contact this office immediately.
Inspector Date
A// f
'C J 7'
Inspector Date
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION ANIJ PERMIT
S�77I T N`0�
ASSESSOR PARCEL NUMBER
�q
ZONING
S/?, 1 I
-
BUILDING PERMIT
OWNER
/JR L /1%ic R
TELEPH NE
133 - ��6
SQ. FT. DCC. BUILDING VALUATION
✓
OWNER'S MAILING ADDRESS
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee -30 ' "��
$ /50.
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking ree
$
Energy Plan Checking Fee
n
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
PLUMBING PERMIT
Filing Fee 10.00
I 3 /�Y-%O/J
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO. SUBDIVISION NAME
PARCEL MAP
`-2-5-7 5-7
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home Is G W
O.00ea.
TYPE OF WORK
New ❑ Addition ❑ RemonddeI ❑ Utilities ❑ Installation[] Other Of—
Describe work: 15,1— 1::
13 P 373 `1 - 9 +
Permit Fee
$
Contractor
ELECTRICAL PERMITFiling
Fee 1 10.00
Main service 100v OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ 1• am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ i, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.&),
OR ACDNS. ( ACC. BLCGS.
ft
/zQsga
NEW CONST R. UTLET
NON•RESID BRANCH CIRC ITS
2.50 ea
POWER APPARATUS )
(SINGLE OUTLET CIR. /
Ex. Occup(OUTLETS OR FIXTURES
20050Q
BAL030
FIXED APPLNS. OR
Ex. OCCup. OUTLETS IRESID.) EA.7
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
X -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
FiIingFee 10.00
Heating
Cooling
g
Hood
3.00
Ventilation.
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the 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 liabili 'es, judgments, costs, and expenses which may in any way accrue
agains s id County in consence of the granting of this permi
X Date
Signature of Appli nt — Owner Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
/ -
TOTAL FEE $ b�
HAZ
CUA
PARK
SCHL
FLD
PAR
PD
HD IssuE
This permit is hereby issued under
sions of the Butte County. Code and/or
work indicated above for which. fees
D) CTO OF PUBLIC
By
PERMIT EXPIRES Dae
the applicable provi-
resolutions to do
have been aid.
p
WORKS
/
Da
90
Receipt No. 2 S �•
WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - Department of Public.Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-538.7541
OWNER-BU.ILDER.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 pian to provide the major labor and materials for construction of
the proposed property improvement (yes ori
2. I (have/Ua-4e-_.aot) JIFL 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: t
Property Owner
/,'('J_I"WIA/a 14A&
Social Securitymb r �
Date
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, California 95965 - Telephone: 916/538-7541
APPLICATION AND .PERMIT
,PARMIT N
ASSESSOR PARCEL NUMBER
37 -- 26
ZONING
5'P- /
14
BUILDING PERMIT
OWNER
�✓ /ems -3g
TELEPHONE
3
SQ. FT. OCC, BUILDING VALUATION
OWNER'S MAILONG ADDRESS /
LOSS' /_ e..fSe.t/
CONTRACTOR'S NAME
TELEPHONE
_
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
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
/735 a"
Each Trap
2.00
v
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
s2— rJ�
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE /
SF� Duplex❑ Mobilehome❑ Other 6-4-a 't. ,54 8
%ISPE41 FY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
0.00 ea
TYPE OF WORK �,/
New E] Add ition ❑ Remodel ❑ Utilities ❑ Instal lationLJ Other ❑ ,
Describe work: �,Ns 'fa&R. Vn5 4,411 le e
�Y 3y �$' a,pyfl,rej fd✓' a60 j
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filin ee 10.00
�j4 f100
Q /'e 0-V �/ 1-hggrafi
Main service 100 OR LESS
AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50 5�
NTRACTORS 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-
ation, 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
LIN OCCUP.8i)
oR ADDNST DWELGr/z2sgft
/
NEW CONSTR.MULTI-OUTLET
NON-RESID .BRANCH CIRC ITS 2.50 ea
PS e
POWER APARATU
(SINGLE OUTLET C1R.
2 0050t
Ex. OCCUp(OUTLETS OR FIXTURES SAL9
eAL030
30
FIXED APPLNS, OR
EX. OCCUp. OUTLETS (RESID.) EA,) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee -, , $ O
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
Cooling
Hood
3.00
Ventilation
pernl4 Fee
$
Contractor
1 certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also ree to save, indemnify and keep harmless the County of Butte against
all Iia ilities, judgme , costs, and expenses which may in any way accrue
again said County in nseqa ce of the granting of this p r t.
Date L S�
Signature of plicant — 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 $ ::A
OCCUP.
CONST.TY
SCHOOL
FL000
PARCEL
PD.
ND
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicate above for which
DIRE/' F PUBLIC.
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been aid.
p
WORKS
_ x
Dat@ � 6F +"
2
Receipt No. oZ
WHITE-D.P.W., YELLOW-ASBEBBOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
/ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/536-7541
APPLICATION AND PERMIT
PERMIT 0.
ASSESSOR PARCEL NUMBER t•
'a —3 _7_
3'7_ `7< 1'�.
ZO ING '
BUILDING PERMIT
OWNER
a ��
TELEPHONE
�
SO. FT.
OCC. BUILDING
a
VALUATION
ao
OWNER'S MAI ING ADD/RESS ,p C�(�. c.o ����
1 G t!. -la.. L° n .
4
CONTRACTOR'S NAME:
Ow A �v
PHONETELEPHONE
-
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation
$
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
�---
Permit Fee
$ 00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ -0
Energy Plan Checking Fee
$ 00
�
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00 OU
L n
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MA^P�
Water piping
5.00 dv
Each qas water heater or vent
a 5.00 00
USE OF STRUCTURE
SFk' I Duplex❑ Mobilehome❑ Other -f" �v ro� Sina.a
'SPECIFY
Gas piping system 1 - 5 outlets
5.00 . ao
Building sewer
a 5.00 O
Mobile Home S G W
O.00 ea'
TYPE OF WORK
NewA Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other E]
Describe work: 0 gc.,M.ce_ Gant. abode + QD,
�ecro�aae_ / c. �crkc W, • :dCe�2(�t�nst`'
r; (� S
5. ®n
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
'
Main service 6001 OR LESS
100 AMP OR LESS
00
10. 10"00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑' I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OC P.y
OR ADONS. ACC. BLDGS.
yzQsgft
NEW CONSTR.
NON.RESIO .BRANCH CIRC 1 T5
2.50 ea
/POWER APPARATUS e)
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
200505
e ALO so
FIXED APPLNS. OR 11
Ex. Occup. OUTLETS (RESID.) EA.1
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring ,,je
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
FiIingFee 10.00
Heating
Cooling
6V J701
Hood
3.00 00
I Ventilation
/ -V10 1 3.00
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the 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 Iii ilities, judgments, costs, and expenses which may in any wqfl
agai said County in sequ n e of the granting of this per t.
X Date �v `��
Signature of Wlicant — 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
a
Energy Inspection Fee $ Q. CIO
TOTAL PERMIT FEE $ 7 06, vqp
Occup.
CONST.TYPE
CLaoD ARCE PD HD s
Is
17accrue
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECT OF PUBLIC
By
PE. T EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No. ISY �
WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD-APPL I CANT
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) Vicl
2. -I (have A ave—m6t) a 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 Security Num er
Date �6
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.
0�11;4 " "
TO: Building Department
I�P, I
'FROM: Encroachment Permit Section
RE: Driveway Clearance
17" All
owner locat�on AP #
Driveway permit (�.90 �)�5_3 4�� has been issued for the above property.
C30
si ature date
V.
TO Buildina Department*
FROM:' Environmentalkoa?'th
SUBJECT: Sanitation Clearance
MiNv-- (rj
Owner Location AP#
P
.Plan Approved for:' Sewaqe Disposal
Hold final for:
Final clearance O.K. for: Ve
Clearance for bedroom mobilO���me Other
NOTE
sanitdr--ian
R."',
Water Supply
Water Supply
Water.Supply
Date
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET
Permit No.
OWNER !1 i rH i 14e, r- A. P. No. 3 7 - 3 -7- -76,
Proposed Building Use S(WV Building Inspector- i Date lU aU �r
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.
S. Plans with Energy Design Compliance Statement.
1
C_�; C_Q School District "Fees Paid" Stamp on Floor Plan. /O
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . . . .
9. Letter of signature authorizat1i�on. . . . . . . . . . .
�10. Sanitation approval from - .IC-Cj
Health Dept. . . V Z/2-
11.
/211. 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. .. . . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . .
Pre-Inspec. request to (Date)
�7. Pre -Inspection for Required. Building Inspector A. : /�
8. Recorded copy of Agricultural Acknowledgment Statement. DX__
22
ADriveway Permit.
e0Plot plan approval from city of
.ngineered trusses in duplicate (required prior to plan check).
22, CUA FEES RECEIPT # v
When you issue the permit, process as follows: X Mail to owner, Mail to contractor.
Telephone and hold for pickup at -off ice, Deliver w/inspector.
Other
Applicant�te !f�
Copy of plans sent Health Dept., Fire Dept., Other Date
The following data must be submitted p!;k8r,torinit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was �a�d�vised of above required data by_phone�nail—counter by date
Contractor, designer, owne wa ad ised of above required data by—phone —mal l_counter by date
Plans checked by Date /IiiL Plans approved by Date
Z Sets of plans on hold in File cabinet AP folder
Copy—DPW
��.. %►�G RESIDENTIAL PLAN CHECKING GUIDE (CONT'D) 7/35
MISCELLANEOUS ITEMS TO LOOK OUT FOR '(CONT'D)
Garage door or porch header sizes.
90"" -Adequate bracing.
:1®/ Lining area over garage - complete 1 -hour separation required on garage side
including supporting walls and posts, etc.
Two exits on three-story dwellings (Sec. 3303 & see Mezannines 1716).
14 -"'-Attic access and ventilation (Sec. 3205).
%3:— Underfloor access and ventilation (Sec. 2516).
•.i -:---Wood stoves, clearances, alcoves & 1 -hour shafts.
lLoo"C-ombustion air for fuel burning appliances.
"Noise requirements on duplexes.
-1-?Pr--Adobe soils - special foundation design.
..1.€5.x --Retaining walls requiring design.
]/'-Unusual shape, size or split level house requiring lateral design.
/e...�/4. 1�� F��►�► S s 4 P��Mc.rlw$ a �F�/L- � A) 644..
Ate- p•Q s� �.,v�3�c. hiss A� cis tea. a. �T ems.
RESIDENTIAL PLAN CHECKING GUIDE
(S.F., DUPLEX & MISC. ONLY)
7/85
Bldg. Permit # 88
OWNER A.P. #
_j
GENERAL
ikaluation.
oning requirements: (sideyards and number of permitted living units).
lans signed by designer.
iergy Design and Compliance.
Existing violations on property.
PLOT PLAN
A! omplete parcel size and dimensions.
:�tbacks, sideyards, easements, etc.
,edther buildings or structures.
irl�rading, fills, drainage.
6! Flood hazard.
Special conditions on creation map or compliance document.
FLOOR PLAN
V. omplete to scale plan with dimensions.
quired windows for light and ventilation (Sec. 1205).
Required windows for second exit (Sec. 1204).
—4—ftylights (Chapter 34 & Sec. 5207).
:��man impact glass (Sec. 5406).
R&equired room sizes, ceiling heights (Sec. 1207).
F.C.I.'s in baths, garage and exterior outlets (Article 210-8).
Se"O'Light fixtures, switches, receptacles, and exterior receptacles for maintenance of
mechanical equipment.
Locations of water heater, heating and cooling equipment, other electrical or gas
uipment, and plumbing fixtures.
rage firewall, door size, and closer (Sec. 503(d)(3)).
1 1 - 3'0" exterior exit door (Sec. 3304(e)).
eplace and wood stove location.
1 Smoke detectors (Sec. 1210).
STRUCTURAL DETAILS
Foundation plan complete enough -to construct building.fO°F)w" (a eo6oswo5
Floor construction details complete enough:to construct building.
Elevations and wall construction details complete enough to construct building.
Roof construction details complete enough to construct building. 3 Pt 179"S3 TV 100—
ireplace construction details and calcs if necessary. 004Iv
sufficient data and details to satisfy energy requirements (State Law) (Form 1). DOW&Ax
MISCELLANEOUS ITEMS TO LOOK OUT FOR
ko.�Exposure I plywood on exposed locations and overhangs.
J,,<tairway details: landings, rise and run, head clearance, handrails (Sec. 3306).
le-IGuardrail details (Sec. 1711 & 3306(j)).
��rick or stone veneer (Chapter 30).
g! EE rior plaster - weep screeds (Sec. 4706).
WP oper roof pitch for roof covering (Chapter 32).
I -e Rafter ties or bearing ridge beam.
Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT
FOR RESIDENTTAL DEVELOPMENT
Section 26-8.1 of the Butte County Code NOT COMPARED WITH
requires this acknowledgement be recorded', ORIGINAL DOCUMENT
I>rior to issuance of a buildin r
• g pe mlt.
1988
OCT 2 0
The property described herein is adjacent
to land or included within an area zoned
for agricultural purposes, and residents
_.
of this property may be subject to incon-
veniences or discomfort arising from the
_-_ 56-035a10
use of agricultural chemicals, including,
but not limited to herbicides, pesticides,
and fertilizers; and from the pursuit
of agricultural operations including,
but not limited to cultivation, plowing,
spraying, pruning, and harvesting which
occasionally generate dust, smoke; noise, and odor.
Butte County has establ .i shall agr• i I-II I
Lural zones which have as a priority use for productive agricultural. purposes, and rvsideni r;
within sa i.d zones and on adjacent property should be
prepared to accept such i nc()nv(-n i rnrr•
or disconform from normal, necessary farm operations.
All that. real property situate in the County of Butte, State of California, describe(I :Is
follows:
Parcel 3, as shown on that certain parcel map, being a part of Lot 20 of Sunset Park
Subdivision No. 2, in Section 2, Township 21 North, Range 1 East, M.D.B.8M., which
Parcel Map was recorded in the office of the recorder of the County of Butte, State
of California, on March 12, 1975, in Book 52 of Maps, at page(s) 57.
Date: October 20, 1988
PRTRTY OWNERS:
0'Harry / en/�
Anna G. Miller
State of CA. ) On th1s the 20th day of October , 19 88 before me-,
) SS. the undersigned Notary Public, personally appeared
County of Butte )
Harry R. Miller and Anna G. Miller
N
••••••................ ........� Personally known to me. x0 Proved to me on the has is
OFFICIAL SEAL of satisfactory evidence.
p ( are
TANII BARLOW ;to be the person(s) whose name(s) _
1; NOTARYPUBLIC- CALIFORNIA subscribed to the within instrument and acknowledged that. eY_
%rr• ' PRINCIPAL OFFICE IN • --
i BUTTE COUNTY executed the same for the purposes therein contained. I.N WI'I'NI;tiS
■ My Commission Expires Octcber 24,
1988 VHEREOF, I hereunto set my hand and official. seal..
■
Present A.P. No. 039-37-0-076-0 Tani Barlow Notary Public
X/ BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM
(One Form per Building) t
A.P. Number Building' Department No.
rr� t
School District (I (I" Lv City 0 County [ Jurisdiction
Property Owner
Project Location/Address
Subdivision Lot Number
' Residential Development:
Sq. Footage�� 5/U
# of Living MHI Addition (Group R)
Units
Commercial/Industrial: a Sq. Footage
New Addition (Including Exterior
Roofed ,Areas )
J f� 11.
1.0
Building Departmen Representative ,r I D Ato ''
t
District Id No.
r
r , School District certifies that
iP o K r -
(Applicant Name) w (Phone -Number)
(Street Address) ;
City) 4
ate) ( Zip Code )ry- .•
has complied with the requirements of Resolution No. 3(p•oi -
t
by the payment of $ ���� 010 representing Q square feet.'
,Z�C_4p /d &0
S hool Dist ict Representative 4 Date
PAID BY CHECK NO.
BANK NO
i
PAID BY CASH
REMARKS:
I
white -applicant, yellow -building department, pink -school district
SCHOOL . FEE (5/88)
9
OWNER'S NAME:
PERMIT #:
A. P. #:
When approved, process as follows:
Mail to owner
(Address)
Mail to contractor
(Name and Address)
Call -and hold for pickup at office.
Deliver with next inspection.
RECEIVED
DATE
TIM
THE COMPLETE. ENGINEERED
ROOF SYSTEM FOR THE 805S
(916)."893 1
0 3
JOB: 10094
THIS DESIGN HAS BEEN PREPARED FROM COMPUTER- INPUT. SUBMITTED BY TRUSS FABRICATOR
TOP CHORD 2X4 FIR -LARCH .*I
BOT CHORD 2X4 FIR -LARCH #1
WEBS 2X4 FIR -LARCH STANDARD
CONNECTOR PLATES MUST BE INSTALLED IN ACCORDANCE WITH
REOUIREMENTS OF I.C.B.O. RESEARCH REPORT *2949.
z.
ALL PLATES ARE TO BE CENTERED ON THE JOINT, LEFT TO RIGHT AND
TOP TO BOTTOM, EXCEPT WHEN LOCATED BY CIRCLE OR DIMENSION.
SEE DRAWING 130 FOR "PLATE LOCATIONS ON TYPICAL JOINTS."
PLATES SHOWN ARE CONTROLLED BY TRUSS FABRICATOR PLATE
INVENTORY.
Note- 2X4_#3_hem:fir_or_better--continuous-lateral-bottom-chord bracingg
@72"max. O.C. required.. Attach w/2 -16d nails.-Bracirg.is not.required
if=a-rigid cei-ling-is"attached directly to bottom chord. Bracing:
material to be-supplied-and-attached.at=both-ends-to-a-suitable support `--
.by erection contractor —
+ Bottom chord checked for 10 PSF live load.
4X4
TC X -LOC L -R : 0.29 6.91 13.00 19.09 25.71 n
BC X -LOC L -R : 0.29 8.94 17.06-25.71 U)
SINGLE CUT WEB *-TC:1,4
N
v
TOP CHORD SHALL BE LATERALLY BRACED WITH PROPERLY CONNECTED W
PURLINS SPACED AT A MAXIMUM OF 24" O.C. v
w
IT IS THE RESPONSIBILITY OF THE BUILDING DESIGNER AND TRUSS
FABRICATOR TO REVIEW THIS DRAWING PRIOR TO CUTTING LUMBER TO CD
VERIFY THAT ALL DATA, INCLUDING DIMENSIONS AND LOADS, CONFORM
TO THE ARCHITECTURAL PLANS/SPECIFICATIONS AND FABRICATOR'S
TRUSS LAYOUT.
24" O.H.
13-0-0 _x_13-0-0'
6=0=Oa0VER-2–SU1PPORTS— a
24" O.H.
R-7BB4 W- 3.50' ` R-7BB9 W- 3.5D'
PLRTE TYPE --ALPINE SEON--153920 FURNISH R COPY OF THIS DESIGN TO ERECTION CONTRACTOR REY 13.1.5 SCALE - 0.2500
C= O C=
oATRU
C= D G o 0 0
f I M P DRT R NT SHRLLENOTGBEERESPONSIBLE FOR ERED PRODUCTS, iRNY
DEYIRTION FROM THESE SPECIFICATIONS OR ANY DEY]ATION FROM
THIS DESIGN OR ANY FAILURE TO BUILD THE TRUSS IN CDNFDRMRNCE
WITH TI£ -DUALITY CONTROL MANUAL' BY TPI. ALPINE CONNECTORS
ARE MANUFACTURED FROM 20 GRUGE GRLYRNIZED STEEL UNLESS
OTHERWISE SHOWN, MEETING REDUIREMENTS OF FSTM R446 GRADE R.
APPLY CONNECTORS TD 80TH FACES RT EACH JOINT RW LOCATE AS
BERRING WIDTHS ARE 4' NUMINFL UNLET OTHERWISE SHOWN_
DESIGN STANDARDS CONFORM WITH FPPLICRBLE PROVISIONS DF
*NOS fU•D -TPI (PCT).
(E
ii RRN I NG INHRNDLINGNC. TRUSSES IREEEXTREME FM
BRRCING.SEE -BUT-76-,IBRRCING 9000 TRUSSES
COMMENTARY FWD RECOMMENDATIONS -•TPI].. SEE
THIS DESIGN FOR ADDITIONAL SPECIAL PERMR-
KENT BRACING REOUIRE:MENTS. UNLESS OTHERWISE
SHOWN, TOP CHORD SHALL BE LRTERFLLY BRACED
WITH PROPERLY ATTACHED PLYWOOD SHEATHING,
BOTTOM CHORD WITH RIGID CEILING OR BRACING
AS SPECIFIED ON DESIGN. DD NOT USE THIS
DESIGN WITH FIRE RETRRORNT TREATED LUMBER.
, .� tR /0\
u J.
CIVI \�'
Of CRL1 �
��/ �
OES I GN CRIT
REF - - -
T(' LL . 16. Q. PSF
TC DL IO . O PSF
BC DL . + 5.0 PSF
TOT. LO. 31.O PSF
DATE 12/09/B7
-DRVG CRUSR427 87343003
CR -ENG MS
0/A LEN. 26-0-QSHOWN.
OUR. FRC. . 1.25
PITCH 4.0/12
...YPt . tRUBti PI RTE IN'"TITUTE. n515 • NhTtONRt. DE91DH IIOCCIFIrATION FOR WOAD CONSTA.4CTIGH '�
_
SPACING - 24-0"
TYPE COMN - -
JOB: 28'743 THIS OWG. PREPARED FROM COMPUTER INPUT (LOAOS E DIMENSIONS) SUBMITTED BY TRUSS MFR.
TnP r HOP) " 2X.4 F TR -1 ARCH a1
BOT CHORD 2X4 FIR -LARCH 01
WEBS 2X4 FIR -LARCH STANDARD
CONNECTOR PLATES MUST BE INSTALt£D IN ACCOROANCE WITH
REOUIR EMENTS OF I.C.B.O. RESEARCH REPORT 02949.
ALL PLATES ARE TO BE CENTERED ON THE JUTNT. LEFT TO RIGHT AND
TOP TO BOTTOM. EXCEPT WHEN LOCATED RY CTlRCLE OR 01MENSTOtl.
SEE DRAWING 131f FOR -PLATE LOCATIONS ON TYPICAL JOINTS.'
TOP CHORD SHALL BE LATERALLY BRACED WITH PROPERLY CONNECTED
PURLIRS SPACED AT A MAXIMUM OF 24' O.C.
SXII
TC X -LOC L -R: 0.29 6.91 13.Hff 18-92 25.71 C7
BC X -LOC L -R: 0.29 5.28 11.15 iS.SB 28.32 25.71 C
Cn
x
SINGtE CUT WEB *-BC:1.5 �
(U) BOTTOM CHORD CHECKED FOR 19 PSF LIVE LOAD. uo
SHIT! ALL SUPPORTS TO SOLi9 BEARING. N
w
BEARING LOCATIONS MUST BE MARKED ON TRUSS 8Y TRUSS FABRICATOR O
TO INSURE PROPER ERECTION. O
NOTE: PLATES ARE DESIGNED WITH A DURATION FACTOR OF 8.92.
- jol 11\
f T - �12 2-00 2.00 2 V
a_ 5X4 I _ -X3
,w
CL
�"s I3 -IO -n
z -p-p I3-0-0 13-0-0 2 -{D -p
b-3 -8 9-0 -8 1 10-0-0
25-D-0 OVER 3 sF pmTS--
R-2978 W- 3.50- R 7888 9- 3.50'
R 7191E li- 3.50'
-'.PUTE TYPE—ALPINE SEAN --231275 FURNSH A COPY -CIF TWS CESIG1 M ERECTIUN CONT MTOR I" 1q.0.3 SCRY -e.aao
130. lJl O p CT O d 1� ItPltw E/iS[7� lYtAltTi. iIB. TRaZES W -CU AE "161 M* . -
f�fli'05$T�1t�jXX.9su4W SE l�aa11F FN �r SdARNiM�a nl Is�lec, .p[ritae w� -" " ,, DESIGN CRIT R� i� - 11
0 9c.
_,WTdi !Inm Fw w nam !!pataTcFrKm m Own /ZElwom cmxe �1� W —ras. �s»6 SIM TRISWE: 8 is TC LL}� . Q PSF iJRTE 011/25/8$
+ o TwS M lar OR am Filo-UK M val0 "r Tial w at,Fool liQ� erupt rom n0 iQ2 loxi0016-. W II _ SFI Li�o 11E -ausa[rr WNMCIL ewaa- OF Il _ lark_ aowRols MCI acsIm rme Im owl�s�crn� www_ `-' TC OL 10_0PSF FJRSFIsCf'LJ qu8B?990D1l. c M =3 nRaslTn.REw FWM M Gli 6RIMM WM 47LE$ loft milks 116 1$®O mumps. Woo Otf4[wj!j fm t-
rr`'r O - JWISF sM04 "XIX s af®,oeEleBes OF ASIA I MS OMM B_� 9004 IV UM WML Tt. LmonA-f wltla0 , b, 40 .oc OL lu) 3- fl PSF CO -Cwu t� un
o T tolu� rags vo you was ar Ee�re �anl[ w® Lawn 1s awl PRsasaltt a[>s+o® [�nmu g�nmasi_T6DT.L[}. i . Q PSF 0/11 LEfi_ 2�-�}-]
7 SM96''". sumful 910116 UK %_ tlmot Ibl�Se oIiERYtHE 901111. w"Ill 044 win %min OFR rxG cm allmi K �iSir SINQ7:t06 LFIF0191 Y[rN 181tSLV�,£ af1DM[S1aCS OF i6 S�..SIFim O Tl5P4r'. 80um w$ MiS.'�5ei'� � �.2
•wM 170 %Tel �tCT7 . 91 :1til F (W /Ftl,i ftkl 11£MID wwra . mayp..--i - fftm 4°mv ots1SIU16. $@is - 19mcw_ 11-Ingl S[i{'tl mmn nn ImocapIll ltm SP FCINT, 2q.0. TYw SPEC--
I.j
JOB: 18050 THIS DESIGN HAS RFFN PRFPARFD 'FRnM rnmP1ITFR- TNP11T_ CIIRMTTTFn RV TRllc•c renoireTno
TOP CHORD 2X4 FIR -LARCH #1
BOT CHORD 2X4 FIR -LARCH #1
WEBS 2X4 FIR -LARCH STANDARD
CONNECTOR PLATES MUST BE INSTALLED IN ACCORDANCE WITH
REQUIREMENTS OF I.C.B.O. RESEARCH REPORT #2949.
z.
ALL PLATES ARE TO BE CENTERED ON THE JOINT, LEFT TO RIGHT AND
TOP TO BOTTOM, EXCEPT WHEN LOCATED BY CIRCLE OR DIMENSION.
SEE DRAWING 13.0' FOR "PLATE LOCATIONS ON TYPICAL JOINTS."
PLATES SHOWN ARE CONTROLLED BY TRUSS FABRICATOR PLATE
INVENTORY.
Note: 2X4 #3 hem -fir or better continuous lateral bottom chord bracing
@72" max. O.C. required. Attach w/2 -16d nails. Bracing is not required
if a rigid ceiling is attached directly to bottom chord. Bracing
material to be supplied and attached at both ends to a suitable support
by erection contractor.
+ Bottom chord checked for 10 PSF live load.
4X4
TC X -LOC L -R: 9.29 6.91 13.09 19.09 25.71 C7
BC X -LOC L -R: 0.29 8.94 17.06-25.71 �
- ;0
SINGLE CUT WEB #-TC:1,4
N
v
TOP CHORD SHALL BE LATERALLY BRACED WITH PROPERLY CONNECTED co
PURLINS SPACED AT A MAXIMUM OF 24" O.C. v
GJ
IT IS THE RESPONSIBILITY OF THE BUILDING -DESIGNER AND TRUSS W
FABRICATOR TO REVIEW THIS DRAWING PRIOR TO CUTTING LUMBER TO CD
VERIFY THAT ALL DATA, INCLUDING DIMENSIONS AND LOADS, CONFORM C'
TO THE ARCHITECTURAL PLANS/SPECIFICATIONS AND FABRICATOR'S
TRUSS LAYOUT.
13-0-0 113-0=0
24" O.H.
24"
O.H.
26-0-0 OVER 2 SUPPORTS
R-7BB# W- 3.5D-
R-7BB# W- 3.5D'
PLATE
TYPE--ALP'INE
SEON--153920 FURNISH R CDPY OF THIS DESIGN -TO ERECTION CONTRACTOR
REV 13.1.5
SCRLE - 0.2500
ALPII M P OR T R N T sHRLLENOTGBEEERED PRODUCTS, RE5PDN5IBLE FOR INC
TRUSSES WARNING INHERNDLINDIREERECTIDN
Qa ro �EDUR.FRC.
RIT
REF-
� O
�
DEVIRTION FROM THESE SPECIFICATIONS OR ANY DEVIATION FROM
RADE
BRRCING.SEE -BUT-76-,RBRRCING WOOD TRUSSES-
�!
V J.
16. p. PSF
DATE 12/D9/B7
C= O
C=
C�
THIS DESIGN OR ANY FAILURE TO BUILD THE TRUSS IN CONFORMANCE
WITH THE MURLITT CONTROL MRNURL- BY TPI. ALPINE CONNECTORS
COMTIENTRRY AND RECOMMENDRTIDNS-•TPI).. SEE
THIS DESIGN FOR RODITION"IL SPECIAL PERAR-
'�
10. O PSF
'DRWG CAUSR427 67343003
P
CR -ENG MS
0 C= O O
o
ARE MRNUFRCTURED FROM 20 GAUGE GALVANIZED STEEL UNLESS
OTHERWISE SHOWN, MEETING REDUIREMENTS OF RSTM 8446 GRADE R.
RENT BRACING REOUIRENENTS. UNLESS OTHERWISE
SHOWN, TOP CHORD SHALL BE LRTERFLLY BRACED
+ 5.O PSF
LP I N
C�
0/R LEN. 2 6 - 0 - 0
p C�
RPPLY CONNECTORS TO BOTH FACES AT EACH JOINT AND LOCATE AS
WITH PROPERLY ATTACHED PLYWOOD SHEATHING,
*
3 1 .O PSF
o
TRUSS
[=
SHOWN. BERRING WIDTHS ARE 4' NDMINRL UNLESS OTHERWISE SHOWN.
BOTTOM CHORD WITH RIGID CEILING OR BRACING
CIVI
[�
DESIGN STANDARDS CONFORM WITH APPLICABLE PROVISIONS OF
•NDS RNC -TPI IPCT).
AS SPECIFIED ON DESIGN. 00 NOT USE THIS
DESIGN WITH FIRE RETRRORNT TREATED LUMBER.
\�' -
-1.25
PITCH 4.0/12
I� o
o
OF CAL1A�
•.-TPI . TRO89 KAM. IN3TITUTC NOF - WTIONAL. OF910N ROCCIFIrATION FOR WOAD
24.0"
TYPE C O M N - -
CONSTRUCITCA
N,Ip
n36i 29743
TOP rHOP— ' 2X4 F TR -1 APCH 81
BOT'CICORD 2X4 FIR -LARGE 01
WEBS 2X4 FIR -LARCH STANDARD
THIS 061G. PREPARED FROM COMPUTER INPUT (LOADS A DIMENSIONS) SUBMITTED BY TRUSS MFR.
�COHNECTOR PLATES MUST BE INSTALLED IN ACCORDANCE WITH
REOUIRENENTS OF I.C.B.O. RESEARCM REPORT 02949.
C ALL PLATES ARE TO SE CENTERED ON TRE JOI"NT, LEFT TO RIGHT AND
TOP TO 90TTOM. EXCEPT WHEN LOCATED RY rTRCLE OR DIMENSION.
SEE DRAWING 130 FOR -PLATE LOCATIONS ON TYPICAL JOINTS.'
ITOP CHORD SHALL BE LATERALLY BRACED WITH PROPERLY CONNECTED
PURLI"S SPACED AT A MAXEMUM OF 24' O.C.
5X14
TC X -LOC L -R: 8:79 6.91
13.88
18.82 25.71
c�
3�
BC X -LOC L -R: 9.29 6.28
11.15
16.88 28.32 25.71
C
SINGLE CUT WEB #-BC:T.6
N.)
v
CU) BOTTOM CHORD CHECKED FOR
16
PSF LIVE LOAD.
SHIN ALL SLePPORTS TO SOLTO
BEARING.
icov
LO
BEARING LOCATIONS MUST BE
MARKED
ON TRUSS 8Y TRUSS FABRICATOR
CO
TO INSURE PROPER ERECTION.
C]
NOTE: PLATES ARE DESIGNED
WITH
A DURATION FACTOR OF 8.92.
2.170
12 L2
L 5X4 2.f5d X'; 1 _5X3
CL
-'#—
i
b-3 -8 -8-9 i 10-0-0 1
-D-O OVER3 SJ"PORTS - !
R-2379 Y- 3.SU- R -788B 9- 3"370'
R -719g Y- 3.50-
-•PLATE T 'I'E --ALPINE SEON - -231275 FMIGH P COPY - OF TWS M IGN TD MECTIUN CONTi FETOR
'p" tN6il�eEa fwarls. m' tansssts ft�utRE Fseair� CARE �� OESIGN CRIT Ru - -b11.�
o, o o +� o o t� *FI1FPTANT�� Sato ON OE tESPO6RLE rm sm WRRNING ttecum. omcyfm fm
o"Will" Fwff new �uwtcFT7m#; m fm aE�tt Fum F1tm vwclw.sff aT-7s-, awrtaas etas t18s9E._: TC LL
46.0 PsF ORTE 10/25/88
TyI$ MUM OR IM FROG M GIRD RE DIM tY ~01 tlIKE =MENTWf AO rt�iusrrenrs- fell _ SEI
YfiH teE 'EAlS4ItY t mmaL foollik- or rrl. aplw- VGPWCTota tests aESltir Fat toof+eowIL:SEptti rHao.- `-' TC OL 10.0 PSF iJFP3iI's CfR15R427 8Bm9DDi
:v* rrmsmitwo Fwjn 26 MEE GR -VF ZW Stili_ t2CM IMP MCIM rSFMS. itvlm 01"mitt • " .
L✓�� e, oatt Fsr s>�, etfttaas asatt>Er�es of asp,+ arays ex►a a_ UP rem t Lm�u.F ORRCM x, '40 i3C OL Cu) }.0 PSF CR -i+� ,Cems >fa
o o r eatu�Ioas rp I;on ems aT EA7r �[r1I t totaaE es aitN raomv_T fa*1 a10 R� 9ER1tt vw. 'or �� TOT.Lo_ 31 _ PSE D/A LEN_ 2im -C -{]
TRUSS L7 ''MA7. BF.RA.tN6 Nt0716 hRE �- eN mILymIS IDIIE ISE Sa�IN_ :"m CHM wilt I;min cm.l= of ®aGta6 '
MI StW"IX QW0" VIM fBftlCSatE VWVISIMW of i6 gRaWfm Co MS/9i. w a oW iNis F�4ff�� �i�_�. 1 .25
- was am WWI tFe:n . cLut" triter Ffw a.etaawtl DOME) Loom. PITCH: -412/12
o r= a c� C�
# .-IPI - Mrt f�a ueststert£. true - FUl MML Wwcm 9'Er"ummN rm wm cma-mxvjc , ISPFCING 24-0- TYPE SPEC7- -
SCALE
r
WA��.M
SPAN 2-01
WALL c K xso 32d.d.
4-'K.
M me-- 7280 (Z-0�0 I)
gbh
SCALE
D. R. ROPER
W Pio. U.,553 fir, r
ENGINEERS SURVEYORS
242.2059 1245 LONGFELLOW• CIV
9TF
OF
�0
P. O. Box 865 CHICO. CALIF. DATE , 11
C FC 1(::L- T5 r- 4tM `• "
k
V\, . p • No 88 "Z.!t 5 "L -
�r
41
GAS x 8'Y, TOA W4LL-
MIS x 13' K SI
C�ct3`
�.bL:.
-oq12��15 x 1Z 2tZ, t5(4-- .
3.
.:IG¢ l 4G -3l i n
... D�r- ��.. 145o Fb � v�3
I t.S
toy,1��- 1.co1 � o t� � �►
2bt� - qty, 41
=1z
47
Str. -b K. t 1 0 'c3T' cz o QeoFEss,o�,q�
ROPER ASSOCIATES
ENGINEERS SURVEYORS
F )F c
1346 LONGFELLOW AVENUE,- CHIC0j CALIFORNIA
916 - 342 -2059
jX'. ; Point System Summary: Climate Zone 11 P -2R
1'roJectTltle. Date
BUILDING DATA
` Conditioned Floor Area tP ��% �� Number of Stories
sYl� Slab/RaisedFloor
Check all applicable Unit Type condition(s):
pQ Single Family Detached (SFD), [ ] Addition Alone
[ ] Single Family Attached (SFA) [ ] Existing Building
[ ] Multi -Family (MF) [ ] Existing -Plus -Addition
L
Glass Area
North (p.�
Fast _2S
South .20
West
Skylight
ToW
%Glass'
ro
.�.L.2o
SCORE CARD
Measures
Point Scores
1. Ceiling Insulation
/C—,38
or
`-'
0
R-valuc[381
U -value 10.0301
_ 2. Wall Insulation
or
O
R-valuc(III
U-value(0.0981.
" 3. Raised Floor Insulation
/lr-/ 9
or
---
0
R-valuc(191
U -value [0.037]
4. Slab Edge Insulation
Nlf
or
0
R -value 101
F2 factor [0.771
5. Infiltration
Standard "
0
6. Glass Heat Loss
!0001d
Type (double)
U -value 10.651
% Total GlasF (161
7. Shading (Shade Open)
% Glass
Sc
Eff. % Glass
- a. North
9.7
x
. 77 =
7. K6
41
b. - wfisf
3.9
x
. 77
.20
c. South
3. /
x
.. 77 =
.?.JJ4
41
d. West FAST'
7./
x
77 =
�, A?
0
. e. . Skylight
—
x
_
-•
.8. Shading (Shade Closed)
Glass
Sc
Eff. % Glass
a. North
9,7
x
, YW
b. -9wA VAST
X-5?
x
. YB =
/. Py
--✓
c. South
3. /
x
Ygg
.
d. West Pw*br.#—
3. /
X
e. Skylight .
.... ,
x
9. Interior Thermal Mass
Interior Mass/CFA
D
10. Exterior Wall Mass
_�
Exterior Wall Mass
dt /MIN • if!
11. Heating System'',rf . 8r� 7. 79 x • 78 _
6 �S�
Zonal Control? ( Y / N)
SE or I ISIT
Duct Efficiency (0:781
Effective SL' or
10.72/6.61
I ISM: 10.5615.151
12. Cooling System
. b
x
7Y _
6 fezle
Zonal Control? (Y / N)
11i1?It (9.51
Duct Efficiency 10.7.11
Effective SliER 17.031
13. Water Heating
Sty-
tiow�'
Type ISG1
Credit Inonel
Point Total:
F,a n Revised March 1988
O
Sum 7-10,
O •
OWNER'S NAME: io-
PERMIT #: A. P. #:
When approved, process as follows:
,"-�Mail to owner A
(Address)
Mail to contractor
Call
(Name and. Address)
and hold for pickup at
Deliver with next.inspection.
REVISED PLAN CHECK FEES PAID:
of f ice.
RECEIVED
DATE
TIME
15
$15.00 $30.00 Additional Fees Not Required
1. Ceiling Insulation
444
-70
-46
Number of stories 1
R -value
One
Two
Three
R-0
-103
-49
32 '
R-19
-8
-4
-2
R-30
-2
-1
-1
R38
0
0
0
U -value
-6
4
0.06
0.50
-176
-84
-54
0.30
-102
-49
732
0.10
-26
-13
-8
" 0.08
-18
-9
-6 ...
0.06
-11
-5
-4
0.04
-4
-2
- -1
0.02 -
- 4
2
- 1
0.00
11
5
3
27 '
-52
-17
-9
2. Wall Insulation
6
13 1
2'-49
Single-
Single- -
-
-1
Family
Family
Mul&
R -value
- Detached
Attached
Family
R-0
-68
-51
34
R-11
0
0
0
,_ R-13
"02"o
2
1
j' R-19
8
6
, , 4
U -value
37
-9
3
0.80
-153
-114
r -76
0.50
-91
-68
-46
0.30
a7
36
; -24
- 0.10
0
0
0
0.08
4
3
2
-• 0.06
9
7
; 5
0.04
14
11
7
0.02
19
•14
10
0.00
24
18
12
12
17 j
16
3. Raised Floor Insulation
0
4
9
Insulation
In Floor
15
-
Number of stories
6
R -value
:, One
Two
-,. Three
R-0
•-17
2' -8
-5 -5
^ R-11
1-3
-2-
1 •1
�J
R-19
0
0
;: 0
R-30
:6T-
1
• 1
U -value
-- : 0.60.
444
-70
-46
0.50
-120
-58
38
0.40
-95
-46
30
0.30
-69
34
-22
0.20
-43
-21
-14
0.10
-17
-8
-5
0.08
-11
-6
4
0.06
-6
-3
-2
0.04
-1
0
011
0.02
4
2
1
0.00
10
5
3
Controlled Ventilation Crawispace
F2 factor
0.90
-4
Number of stories
0.80
R -value
One
Two
Three
R-0
-11
-7
-5
R-5
-4
-4
3
R-11
-2-2
less
-2
R-19
-1
u -2
-2
4. Slab Edge Insulation - --
-
- _
--
Number of Stories
-26
R -value
One
: Two
Three
R-0
0
0
0
R-5
8
5
2
R-7
8
6
3
F2 factor
0.90
-4
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
S. Infiltration (Air Leakage)
Specification Points
Standard 0
6. Glass Heat Loss
Total
,25 or -2410 4410
(percent glass x SC) ..r
Sum of 1-6
Raised Floor
U -value
Open)
Percent
Etat
South
.51 to
.41 to
.31 to 0.30 or
Glass
Single Double
.60
.50
.40
less
50
-121
-53
-39
-24
-10
4 i
40
-90
37
-26
-14
3
8
35
-75
-29
-19
-9
1
10
30
-61
-21
-13
-4
4
12 '
29
-58
-20
-12
3
5
12 !
28
-55
-18
-10
-2
5
13 !
27 '
-52
-17
-9
-2
6
13 1
2'-49
6
-15
-8
-1
7
14 1
25
-46
-14
-7
0
7
. 14 ;
24
-43
-12
-5
1
8
14 j
23
-40
-11
-4
2
8
15 j
22
37
-9
3
3
9
15
21
34
-7
-2
4
10
i
15
20
31
-6
0
5
10
16 !
19
-29
-4
1
6
11
16
18
-26 _
3
2
7
12
16
17
-23
-1
3
8
12
17 j
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 i
9
-1
10
13
15
17
20
8
2
12
14 -
16•
18 ,
20 (`
& Shading (Shade Closed)
%Gtive
ets
10
16
14
-12
11
10
9
8
7
6
5
4
3
2
1
0
-12
-10
-8
-7
3
-5
-5
-4
3
-2
-1
0
1
1
2
Effecdve Fes cmt Glass
North
,25 or -2410 4410
(percent glass x SC) ..r
Sum of 1-6
Raised Floor
7. Shading(Shade
Open)
Stories
Etat
South
West
Skylight
--- -48 . ,.
-69 - -
-64
na -
Effective Percent Glass
-59
-55
(percent glass X SC)
35
-50 '
Effective
% Glass
' North East" South.- West ' Skylight
18
.5....1
_ 4
1
na t
16
4
2 5
1
na I
14
4
2 5
1
nab 1
12
3
3 5
2
na -'
11
3
3 5
2
na
10
2
3 5
2
1 1
-10
-30
-6
-8
-7
8
2
3 5
2
2
7
1
3 4
2
2!
6
1
3 4
2
3_
5
1
2 4
2
3
4
0
2 3
1
3
3
0
1 2
1
3
2
0
0 1
0
3
1
-1
-1 -1
-1
2
0
-1
-2 -4
-2
0
1a = not allowed
9
9
10
& Shading (Shade Closed)
%Gtive
ets
10
16
14
-12
11
10
9
8
7
6
5
4
3
2
1
0
-12
-10
-8
-7
3
-5
-5
-4
3
-2
-1
0
1
1
2
Effecdve Fes cmt Glass
North
,25 or -2410 4410
(percent glass x SC) ..r
Sum of 1-6
Raised Floor
r
less
Stories
Etat
South
West
Skylight
--- -48 . ,.
-69 - -
-64
na -
-42
-59
-55
na
35
-50 '
-46
na
-29
-40
37
na
-26
36
33
na
-23
31
-29
-74 '
-20
-27
-25
-65
-17
-23
-21..
-56
-14
-19
-18
-47
-11
-15
-14
38
-9
-11
-10
-30
-6
-8
-7
-23
-4
-5
-4
-16
-1
-2
-1
-9
1
1
1
-4
3
1.5
3
1
9. Interior Thermal Mass
Interior
,25 or -2410 4410
Slab Floor
Sum of 1-6
Raised Floor
Mass
less
Stories
+5
-25 or -24 b -14 to
Stories
+6 to t 6or
/CFA
One
Two Three
One
Two Three
0.0
-8
3
-4
-2
-1
-1
0.1
-8
-5
3
-1
0
0
0.3
-7
-4
-2
0
1
1
0.5
-6
3
-1
1
1
2
0.7
-5
-2
-1
1
2
2
0.9
-5
-1
0
2
3
3
1.1
-4
-1
1
3
4
4
1.3
-3
0
2
3
4
5
1.5
3
1
2
4
5
5
20
-1
2
4
5
6
*7
25
0
3
5
7
7
8
3.0
1
4
6
8
8
9
3.5
2
5
7
9
9
10
4.0
3
6
8
9
10
'10
4.5
3
7
8
10
11
11
5.0
4
7
9
11
12
12 '
5.5
5
8
9
11
12
12
6.0
5
8
10
12
13
13 !
6.5
6
•9
10
12
13
13
7.0
6
9
11
13
13
14
7.5
6
10
11
13
14
14
8.0
7
10
11
13
14
14
8.5
7
10
12
13
14
15
4
10. Exterior Wall Thermal Mass
3
Exterior
Single- a
- Single-
3
3
Wall
2
Family
Family
1: Multi ..
Mass
4
Detached
Attached
SE
Family -
0.00
-24
0
-15
0
.0
Solar
-1
0.20
-1
3
0
2
1
-18
4
{
0.40
-7
5
65%
4
3
-16
-12
" 0.60
-8
8
POU -_
6
.4
-9
__7
0.80
IG
10
-5
8
5
-2
I:•
- 1.00
Solar
13
5-
10
-7
2
Al
1.20
3-2
13
1
12
8
IE
,
1.40
-19
12
-11
13
9
Solar
8
1.60
4
10
3,
13
11
-10
-6
?a- 1.80
-4
10
1.5
12 -
12
21
L4
200
699
10
1
11
13
3.8
4
11. Heating System
SE or KSPF
(assumes ducts In attic)
Zonal Control Adjustment
System Type
Resistance 10 9
Other 6 5
7..6 • 4 3 =
4 3 2 2
12. Cooling System
SEER
(assumes ducts In attic)
Sum of 7-10
,25 or -2410 4410
-4b
Sum of 1-6
16 or
SEER
less
-15 -6
+5
-25 or -24 b -14 to
-4 to
+6 to t 6or
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
J_
7
5
0.90
8:25
17
15
13
11
9
7
0.95
8.71
20
18-'
15
13
11
.8
12 -
-
6
Sum of 1.6
29
Etfedlve SEER
20
Effective -25'or -24 to -14 to -4 to +610
16 or
SE
HSPF less
-15
-5 +5
+15
more
0.30
2.75
-73
-64
-56
-47
38
30
na
3.41
-45
-39
-34
-29
-24
-18
0.40
3.67
-34
30
-26
-22
-18
-14
0.50
4.58
-10
-9
-8
-7
-5
-4
0.56
5.13
0
0
0
0
0
0
0.60
5.50
5
5
4
3
3
2
0.70
6.42
17
15
13
11
9
7 ,
0.80
7.33
25
22
19
16
13
10 .
0.90
8.25
32
28
24
20
17
13
1.00
9.17
37
32
28
24
19
15 '
Zonal Control Adjustment
System Type
Resistance 10 9
Other 6 5
7..6 • 4 3 =
4 3 2 2
12. Cooling System
SEER
(assumes ducts In attic)
Sum of 7-10
Sunt of 7-10 `
Ef(ec&*-25 or -24 to -1410 -410 +610 16 or
SEER
,25 or -2410 4410
-4b
+6 to
16 or
SEER
less
-15 -6
+5
+15
more
8.0
-14 •
-12 -10
-8
3
-4
_ 8.5
-9
-7 -6
-5
-4
3 .
8.9
-5
-4 -4
3
-2
-2
9.0
-4
3 -3
-2
-2
-1 ,
' 9.5
0
0 0
0
0
0
10.0
4
3 3
2
2
1'
s 10.5
7
6 . 5
4
3
2`
= 11.0
10
9 7
6
4
3
12.0
15
13 11
. 9
7
5
13.0 -
20
17 14
12 -
^9
6
-
29
Etfedlve SEER
20
15
_
(SEER x dud eMdency)
Zonal Control Adjustment
Sunt of 7-10 `
Ef(ec&*-25 or -24 to -1410 -410 +610 16 or
SEER
less
-15
-6
+5
+15
more
5.0
30
-25
-21
-17
-13
-9
6.0
-12
-11•
-9
-7
-6
-4
6.6
-5
-4
-4
3
-2
-2
7.0
0
0
0
0
0
0
' 8.0
9
8
6
5
4
3
9.0
16
14
12
9
7
5
: 10.0
22
19
16
13
10
7
11.0
26
23
19
15
12
8
12.0
30
26
22
18
14
9
13.0
33
29
24
20
15
10
:i
Zonal Control Adjustment
5.4
56
30%
0.5
0.7
0.9
1.1
1.4
1.6
1.8
10
8
7
6
4
3!
J
No Cooling System Installed
3.7
Stories
4.1
41
4.5
4.7
4.9
<
5.3
5.6
58
40%
0.7
0.9
1.1
One
` -5
-4
-4
3
-2
-2
-' Two +
3
3
2
2
2
1 i
••.�-:� ..-_�_
_.
_;
_+
5.1
_moi
:_. Single -Family Detached
and Attached
5.9
50%
0.9
Unit Size (sQ
1.3
' Water
1.7
1199
1200
1700
2200
2700
Heater
Credit
or
b
to
to
. or
Type.
Type
less
_1699
S.3
2699
more
SG
None
0
0
_2199
0..
0
0
or
Solar
12
8
6
5
4
HP
HWR
8
5
4
3
3
4.7
WSB
5
3
3
2
2
6.2
POU
_8_
5
4
3
3 .
SE
None
37
-24
-18
-15
-12
3.5
Solar
-1
-1
-1
0
0
S
HWR
-18
-12
-9
-7
-6 .
65%
WSB
-25
-16
-12
-10'
-8
_
POU -_
-18-12
3
-9
__7
-6 .
IG
None
-5
-3
-2
-2
-2
5.3
Solar
7
5-
4
3
2
' 1.2
POU
3-2
1
1
1
IE
None
-28
-19
-14
-11
-9
4.1
Solar
8
5
4
3
3,
5.6
POU
-10
-6
-5
-4
-3 I
1.5
Multi -Family
(individual units)
21
Water
25
699
Unit Size (s
1
3.4
3.6
3.8
4
700
1200
700
2200
Heater
Credit
or
b
to
b
a
Type
Type
less
_1199
1699
2199
2.2
SG
None
0
0
0
0
_more
0 1
or
Solar
14
7
5
4
3
HP
HWR
9.
5
3
2
2`
1.4
WSB
9
4
3
- 2
2
2.9
POU
9
5
3
2
2
SE
None
-45
-23
-15
-11
-9
5.9
Solar
2
1
1
0
0
1.7 -'2
HWR
-23
42
-8
-6
'-5
3.4
WSB
-25
-13
-8
-6
-5
POU
23 -112
-8 --..-6
5.7
IG
None
-8
-4
_ 3
-2
_-5
-2
-
Solar
6.
3
2
1
1
POU
1
0_-_o
0
0
1E
None
30
-15
-10
a
6
6.2
Solar
18
9
6
4
4
21
POU
-8
-4
-3
-2
.2
Interior Mass/CFA
.
Type ! Kwss
1i. �•utwc•..]I t TYPE I KASS WInC b 4.2, le: d slab)
tc..n.a.a .�w� exposed �_
A
0% S% 10% 15% 20% 2S% 30% 35% 40% 45% SK 55% 60% 69t AM 757E 80% 85% 90% 95% 100% 105% 110% 115% 120% 125-
0%
0
0.2
0.4
0.6
0.8
1.1
1.3
1.S
1.7
1.9
21
23
25
2.7
2.9
3.2
3.4
3.6
3.8
4
4.2
4.4
4.6
4.8
5
53
10%
0.2
0.4
0.6
0.8
1
1.2
1.4
1.6
1.9
21
23
23
2.7
2.9
3.1
3.3
3.5
3.7
4
4.2
4.4
4.6
4.0
5
5.2
5.4
20%
0.3
0.8
0.8
1
1.2
1.4
1.6
1.8
2
22
24
21
29
3.1
3.3
3.5
3.7
3.9
4.1
4.3
4.5
4.8
S
52
5.4
56
30%
0.5
0.7
0.9
1.1
1.4
1.6
1.8
2
22
24
26
28
3
3.2
3.5
3.7
3.9
4.1
41
4.5
4.7
4.9
5.1
5.3
5.6
58
40%
0.7
0.9
1.1
1.3
1.5
1.7
1.9
22
24
26
2.8
3
3.2
3.4
3.6
3.8
4
4.3
4.5
4.7
4.9
5.1
5.3
5.5
5.7
5.9
50%
0.9
1.1
1.3
13
1.7
1.9
21
23
25
27
3
32
3.4
3.5
3.8
4
42
4.4
4.6
4.8
5.1
S.3
5.5
5.7
5.9
6.1
-:, 56%
0.9
1.1
1.4
1.8
1.6
2
2.2
24
2.6
28
3
32
3.5
3.7
3.9
4.1
4.3
4.5
4.7
4.9
5.1
5.3
5.6
5.8
6
6.2
60%
1
1.2
1.4
1.7
1.9
21
23
2.S
2.7
29
3.1
3.3
3.5
3.8
4
4.2
4A
4.6
4.0
S
5.2
, 5.4
5.6
5.9
6.1
6.3
65%
1.1
1.3
.1.5
1.7
1.9
22
24
2.6
2.8
3
3.2
3.4
3.6
3.8
4
4.3
4.5
4.7
4.9
5.1
5.3
55
5.7
5.9
6.1 '
6.4
-' 70%
' 1.2
1.4
1.6
1.8
2
2.2
25
27
2.9
3.1
3.3
33
3.1
3.9
4.1
4.3
4.8
4.8
5
52
5.4
5.6
58
6
6.2
64
75%
1.3
1.5
1.7
1.9
21
23
25
27
3
3.2
3.4
3.6
3.8
4
4.2
4.4
4.6
4.8
5.1
S.3
S.S
:.5.7•.
5.9
-6.1
:6.3
63
-80%
- 1.4
1.6
-1.8
2
2.2
2.4
26
2.8
3
3.3 - 3.S .
17
3.9
4.1
4.3
4.5
4.1
4.9
5.1
- 5.4
5.6
5.8
•'6 x
6.2
-64
66
85%
1.4
1.7
1.9
2.1
2.3
25
2.7
2.9
3.1
3.3
3.5
3.8
4 -
4.2
4.4
4.6
4.8
S
5.2
54
5.6
5.9
6.1
63
65
67
" 90%
- 1.5
1.7 -'2
-2.2
24
26
2.0
3
3.2
3.4
3.6
3.8 - 4.1
4.3
'4.5
4.7
4.9
5.1
53
5.5
5.7
5.9
6.2
6.4
' 66
68
1.6
1.8
2
22
25
27
2.9
3.1
3.3
3.5
17
3.9
4.1
4.3
4.8
4.8
S
5.2
5.4
-5.6
5.8
. 6
6.2
6.4
6.7
6.9
__w95Y.
100%
- 1.7
11
21
_ 2.3
25
28
3
3.2
3.4
3.6
3.8
t
4.2
4.4
4.6
4.9
5.1
5.3
53
' 5.7
5.9
• 6.1
6.3
6.5
6.7
7
105%
1.8
2 K
22
2.4
2.6
28
3
3.3
3.5
3.7
3.9
4.1
4.3
4.5
4.7
4.9
5.1
5.4
5.6
5.8
6
- 6.2
6.4
6.6
68
7
110%
1.9
21
2.3
2.5
27
29
9.1
3.3
3.6
3.8
4
4.2
4.4
4.6
4.8
S
5.2
5.4
5.7
S.9
6.1
6.3
6.5
6.7
69
7.1
115%
2
2.2
2.4
2.6
2.83
3.2
3.4
3.6
3.8
4.1
4.3
4.5
4.7
4.9
5.1
5.3
5.5
-5.7
5.9
6.2
6.4
8.6
6.8
7
7.2
120%
2
2.3
25
2.7
29
3.1
3.3
3.5
3.7
3.9
4.1
4.4
4.6
4.8
S
S.2
5.4
5.6
50
6
6.2
6.S
6.7
6.9
7.1 s"
7.3
M%
21
23
25
2.8
3
3.2
3A
3.6
3.8
4
4.2
4A
4.6
4.9
5.1
5.3
5.5
5.7
5.9
6.1
6.3
6.5
6.1
7
7.2
7.4
Point System Summary: Climate Zone 11 J__.:
North
SCORE CARD
Measures
yor
Point Scores .......
1. Ceiling Insulation -
d.
West
_-e. -
_ R -value [38] ~
U -value [0.030] _
, -. •.-,- -
2. Wal] Insulation _ .
or
R-value[11]
U-value(0.098J
3. Raised Floor Insulation " `or
-"'-`"
U -value [0.037]
_ .:•Slab Edge Insulation , , _ """`r
or �"" 'r
,i �'" .•
'""'� _ �'~�'`' ".
_ .. R -value (0]
F2 factor [0.77]
S. -Infiltration- Standard
_...__ .�.___.�
_
_---- ..- -. -
0
_6. Glass Heat LessM
Type (double]
U -value [0.65]
% Total Glass [ 161
-� � Sum 1-6
.7. _ Shading (Shade Open)
SC __ _ _
Eff. % Glass
.
- --� - -__ a. - - North _ 9• �/
X - .77
= 7. -IL -44
-
b. --East
X-. . 77 -
_ x•39'
_ ��
_ -- -- c. South - - :2.8
X - • 77
=•/_G
�'' . , .
Y
d. West
X .77
= 3• o
e. Skylight -do-
X O
=
8. Shading (Shade Closed)
a.
North
b.
East
c.
South
d.
West
_-e. -
Skylight
9. Interior Thermal Mass
10. Exterior Wall Mass
11. Heating System
Zonal Control? ( Y / N )
12. Cooling System
Zonal Control? ( Y / N )
13. Water Heating
% Glass SC _ Eff. % Glass
9. X .did = 4.0
3.1 X . fe =
ZJr X = •
�tttr X _ •
_ TYPE 1 MASS AREA o $
-
Interior M. COND. FLOOR AREA
TYPE 2 MASS AREA $
Exterior Well Mass ND. FLOOR AREA
X =
SE or HSPF Duct Efficiency [0.78] Effective SE or
[0.72/6.6] HSPF [0.56/5.151
X -
SEER 19.51 Duct Efficiency [0.74] Effective SEER [7.031
Type ISG] Credit [none]
SS 7-10
Vn1-# n1n1• / r
Certificate of Compliance: Residential
Project Title
Project
Documentation Author Telephone
BUILDING DATA
Conditi loor Area Number of Stories
SkJO'sed Flmw Number of Units —�-
[ m e Family Detached (SFD) [ ] Addition Alone-
[ ] Single Family Attached (SFA) , (] Existing Building
[ ] Multi -Family (MF) [ ] Existing -Pius -Addition
Climate Zone 11
BuAD-L"
M
Che&ed By / Data
Enforcement Agency Use Only
Glass Area % Glass
North & 0 ,
East J00
South .24
R.7 West
Skylight •o-—
Total-72—,V—
I
2, : • . ,t
i BUILDING SHELL INSULATION
DESIGNER
Component Insulation -• Location/Comments
the building features and performance specification needed to comply with
Type R -Value (attic, to garage, typical. etc.) '" '� - •t
certificate has been signed by the individual with overall design responsibility and the building owner, who shall
Wall ........:.....-
Designer
Wall..............
Nam=
Roof ............. 8
TitkJ>rum
Addras:
Roof .............
Telephonc
Floor ............. -
t.ic. 0:
Floor .............
SIab Edge.....
(si6rtattue)
GLAZITrG Shading Devices
Documentation Author
Glazing Area Glass Type Interior Exterior Overhang
Framing Type
Orientation ---• (St) (single. double) (toUex blind. etc.) (shadescreen. etc) ' (yes(no) `
(metaltwood)
North ( ) APO OarO&A ,d t .QtA/`te!
- Nr�r� t
Nom', -
East
East (^) •
South ( ) •� �
•a.
_
South ( )
West ( ) .i N ••
West
THERMAL MASS
Type/Covering Area Thickness - - -
(slab/exposed. tile, etc.) (SO (inches) Location/Desciiption (kitchen. bath etc.)
HVAC SYSTEMS Minimum Duct
Type (furnace, air Efficiency Location Duct Output Manufacturer / Model #
conditioner, heat pump) (SE, SEER.HSPF) (attic, etc.) R -Value - (Btuh) (or approved equal)
I►rn e. s. 112�. (24:� f
'V 1
E20rA
Maximum Fumace Heating Output: ?S Btuh /�
HOT WATER SYSTEMS Tank Manufacturer/Model # APP 0 V F
System Type (storage gas, etc.) Capacity (err approved equal) Special Features !
SPECIAL FEATURES/REMARKS (Add extra sheets if necessary)
Mandatory Measures Checklist: Residential MF -111
NOTE: Low6w residential buildings subject to the Standard: must contain these menurea regardless of the compliance
approach used. Items marked with an asterisk (*)may be superseded by mort stringcntro"rlpiianoe mquucments listed
on the Cusificau of Compliance. When this checklist is incorporated into the permit documents. the features noted shall
be considered by all parties as binding minimum component performance specifications for the marxWory, measures
whether they are shown elsewhere in the documents or on this checklist only.
DESCRJP1lON
DESIGNER
ENFORCEMENT
the building features and performance specification needed to comply with
Title 24. Chapter 2-53 and Title 20. Chapter 2. Subchapter 4. Article 1 of the California Administrative code. This
certificate has been signed by the individual with overall design responsibility and the building owner, who shall
Building Envelope Measures
Designer
§2.5352(a): Minimum ceiling insulation R•19 weighted avenge.
Nam=
None, /
TitkJ>rum
Addras:
§2.5352(br Loose rill insulation manufacturer's labeled R -Value.
Telephonc
Tekphonez
t.ic. 0:
§2-5352(c): Minimum wall insulation in framed walls R-11 weighted average (does not apply to
(si6rtattue)
exterior mass walls).
Documentation Author
Enforcement Agency
Name:
§2.5752(kr Slab edge ustulation - water absorption rate no greater than 03%, water vapor
Tidc/Fum:
/�[lrrac•
Age,:
T_I�l��
transmission rate no greater than 2.0 pesm/inch.
.n §2.5311: Insulation specified or installed meets California Energy Commission (CEC) quality
standards Indicate type and form.
-
§2-5352((): Vapor barriers mandatory in Climate Zones 14 and 16 only.
12.5317: Inraltration/Exfrltration Controls
a. Doors and windows between conditioned and unconditioned spaces designed to limit air
leakage -
b. Doors and windows certified.
c. Doors and windows weatherstripped: all joints and penetrations caulked and sealed 'r
_
§2-5352(c): Special infiltration borriar installed to comply with 12-5351 mow CEC quality
standards.
`
' §2-5352(dr Installation of Fireplaces
1. Masonry and factory -built fueplaces have:
a. Tight fitting. closeable metal or glass door r
b. Outside au intake with damper and control
c. Flue damper and control
2. No continuous burning gas pilots allowed.
HVAC and Plumbing System Measures
§2-5352(g) and 2-5303: Space conditioning equipment sizing: attach calculations.
§2-5352(h) and 2-5315: Setback tlw=osat on all applicable healing systems.
• 12-5316(a): Ducts constructed, installed and insulated per Chapter 10. 1976 UMC
§2-5316(b)- Exhaust systems have damper controls.
— -
§2-5314(c): Gas-fired space heating equipment has intermittent ignition devices.
§2-5314: HVAC equipment• water heaters, showertteads and faucets cenifted by the CEC.
- §2.5352(i): Water heater insulation blanket (R• 12 or greater) or combined interior/exterior
insulation (R-16 or greater): fust 5 feet or pipes closest toLank insulated (R-3 or greater).
§2-5312(Exception I): Pipe insulation on steam and steam condensate return tit recirculating
piping-
§2-531fl(d): Swimming Pool Heating
1 + 1. System has: i
a. Woff switch on heater,
j b. Weatherproof instruction plate on heater:
e. Plumbed to allow for solar. ,
2. 75 percent thermal efficiency.
;
3. Pool cover.
4. Time clock.
5. Directional water inlet. ,
Lighting and Appliance Measures
12-5352(1): Lighting _ 25 lumens/watt or greater for general lighting in kitchens and bathrooms.
§2-5314(c): Gas fired appliances equipped with intermittent ignition devices.
12-5314(a): Refrigerators, refrigerator -freezers, freezers and nuorescent lamp ballasts certified
by the CEC. Indicate make and model number.
COMPLIANCE STATEMENT
This certificate of Compliance lists
the building features and performance specification needed to comply with
Title 24. Chapter 2-53 and Title 20. Chapter 2. Subchapter 4. Article 1 of the California Administrative code. This
certificate has been signed by the individual with overall design responsibility and the building owner, who shall
retain a copy of it and transmit the certificate to any subsequent purchaser of the building.
Designer
Building 0 er
Nam=
None, /
TitkJ>rum
Addras:
TstklFrm
Address:
Telephonc
Tekphonez
t.ic. 0:
(si6rtattue)
(date) (signal=) U (date)
Documentation Author
Enforcement Agency
Name:
Nam
Tidc/Fum:
/�[lrrac•
Age,:
T_I�l��
13P
i
Hr 1�!
1�/��I; a
4- co S,i �,"� r � ►., �r,3+MCEw�.1#'N�iiJHLc�du�::ist4�r'iikV�x.�:Aµ+�tN.�pl4k�wfFaLl"J�,4tri�,�l, 11 ("L����M "�'.*� "�'( M�+����'�:i '� { '; i�'� +�'�'a�� i�'� t'�,�.��t �1, � rq�,,
'
% r
i
Hr 1�!
1�/��I; a
4- co S,i �,"� r � ►., �r,3+MCEw�.1#'N�iiJHLc�du�::ist4�r'iikV�x.�:Aµ+�tN.�pl4k�wfFaLl"J�,4tri�,�l, 11 ("L����M "�'.*� "�'( M�+����'�:i '� { '; i�'� +�'�'a�� i�'� t'�,�.��t �1, � rq�,,
i � I 1. u,li h�Ii it � Y
n �� iG
� i p
i i r -,,
o !
�r � P
+�,. � �1*"!T.�t/�Y�M11�14iN111�R.^�,".�Mrr'"'.:^n.�',M:'i^"�^Mw1j1�1i.��"�'��k?�1�������r�IMp
��
wI f � ri
�.
R7 �� W �'.�
'
r "
4
i
w u`
i,J
Y4,11
xx
(4
ICY."x
<
� , � u
Y ►rw pp ryry
qj
®
;M
w
iak.
6IS:
of re, ca,
ik
a �
to
1- ca
xx�
ad
uorW
�Q
`
'
z
wr
czt
n ►-
O.
—� a»
N
i�
�a
'rC1�nSYl�tt n7s�lr ext�p �n�ur 1 I Yr.� tr
1 J 4
1
kd�
HSC
I
r
�Y
I'
d
I
'rC1�nSYl�tt n7s�lr ext�p �n�ur 1 I Yr.� tr
1 J 4