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HomeMy WebLinkAbout039-470-034i 1 I. i i S - ' 1 ' I 74, 39-47-39 BARDWELL/LINKEVITCH 3725 Cosby Ave, Chico - Permit#30324 B,P,E,M4temp residence above garage) `' Permit#3033F;t',M(new'sifigl� family) 39-47-39., Permit 3668-90 3 CI Ys'`r (1st renewal/3032-89) ;;,. t�•aZ ` 39-47-39 ' Permit#3669-90B _% 4 (1st renewal/3033-89) � 1-61 1,4 039;47 -039 3-1460 B �� BARDWELL, B Nx- 3725 COSBY AVE, HICO� COMPLETE 89= �. .. / 3033 k 039- 470-039 PERMIT#9 -1701 BARDWELL, BRIAN 3725 COSBY AVE., CHICO COMPLETE BP#89-3033 039-470-03" PERMIT#95- 587 I BARDWELL, Bria I• �; 3725 Cosby Ave., C o p 1st Renewal 'of BP#94-1 l•a� 039-4 39PERMIT#96-1849 BARDWELL, . ,n , t 3725 Cosby Ave:., ico 2nd° Renewal B1494717 039-39 ' --- -PERMIT#97-148 BARDWELL;- -an f 1 3725 Cosby'Ave. hico 3rd. Renewal-BP#94=1 - 039-4 PERMIT#98' 499 BARDWELL, Br 3725 Cosby Ave. co , 4th Renewal BP #94-17 w ' 1039247=0-03 -1577 B BARDWELL, , an 3725`Cosby.Aven is �5th'#renewal/94" 701)SF t} "Ilk V Y�/ t� �.� . � �I � C �• ���, ��i _._��..4r;.-,,.,.I^xwsv-'.�i..r��s.ns,..r-� -�^s.. ,.. R -v .. ,..�i`s.,c :y�3y�. »-•-. s COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION i, I 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT5` ASSESSOR PARCEL NUMBER ZONING BUILDING PEF(MIT OWNER BRIAN BARDM1, TELEPHONE = . SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER ' Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee �. BUILDING ADDRESS 3725 COSBY AVE Energy Plan Checking Fee $ $ rHICO PERMIT FEE $207.50 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑, Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work; 11 th RENE'WALL OF 94-1701 ST RENEWAL 97-14 1 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 600VOR UES Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereb"ffirm%Vndet. penalty o�pTjury tat. I am license�f under provisions of Chapter 9 (commen&in tht . on 7000) of DiJis'16N &of tie Bp Iriess and Professions Code, and my license a`Prr full rce pr?d �effact. j License Class v Uic. No. OWNER -BUILDER DECLARATION I hereby affirm`Lnder penalty of perjury that I am exempt from the Contractors License *Law for the.followigg reason:- i 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 Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BUDS. so 3.5¢FT; NON RESIpONS. MULTI OUTLET @7.50 POWER APPARATUS a SINGLE oUTLEf CIR. Ex. OCCU OUTLET OR FIXTURES 20 O 100 aAL @ .so Ex. Occup. OuT1EE'AAES -.OF.A 5.00 TemporaryService 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 12 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensatiory pr isions of section 3700 of the Labor Code, I shall forthwith comply with os Irovisions. X :� Date _ Signature of Applicant -'V O r ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occs»TY� �AL TOTAL FEE $ 207.50 HA2. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions the Butte County Code and/or Resolutions to do work dicate above for which fees have been paid. indica ? By " ' &JA Date PERMIT EXPIRES ON t Date Receipt No. ; WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT .r IN, i COUNTY OF BUTTE- DEPARTMENT OE DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754PERMIT No. (Rev. 12/96) APPLICATION AND PERMIT A If '9P1 �- ASSESSOR PARCEL NUMBER 039--470-039 ZONING BUILDINGPERMIT OWNER BRIAN BARDWELL.345-7259 TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 3725 COSBY AVE CHICO 95928 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS . Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $.187.50 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checkin Fee $ BUILDING ADDRESS 3725 COSBY AVE Energy Plan Checking Fee $ $ atwo PERMIT FEE $. 907.51711 LOT NO. SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 1[itM- M- #� Z RDyr.11w-Al OF 494- �7n+ (21NID B.P.#9601849) Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service oon oa mss 23.00 LICENSED CONTRACTOR'S DECLARATION _ I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing h Section 7000) of Division 3 of the Business and Professions Code, wit and my license is in full force and effect.a 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 Ondei Sec. `BL sin6ss-and P�ofdissions-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 Main Service 200A TO I000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BLOB. S O 3.50'7. NON -RE DT MULTI -OUTLET @7,50 SPOINGLE OUTLET CIR.WER APPARATUS Ex. Occup. OUTLET OR FIXTURES 20 0 1•00 BAL @ .50 Ex. Occup. ouTEiFrs RES o.DEE 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ 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 protusion of section 3700 of the Labor Code, I shall forthwith comply with those fprovi ons. J4of / � X .` �n _/� ___ Date _ —IV Signature of Applicant, - $� Owner Q 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 $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 207,50 __ _ ^ HAZ. �— D, FEES _IMP_ _FLOOD COF — PARCEL PD -_._ _ HD 5 E This permit is hereby issued under the applicable provisions the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. B -� .f Date y 6/15/98 PERMIT EXPIRES ON Dele Receipt No. �Z Z f? WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT - r -i �--�!�� r+. _ .�...�.. _,t .?r ,;.`�:v.> .-. r ....50-*��� �::Fly�1�3�'19+:y., .tT•:2Fw'.fi�'G'.cm+spHiwe!•sa� �arO. '-x%...:o'.. ... •. .. _. ai.•se .-...-..,� 039-470-039 PERMI096`L, BARDWELL, Brian, ti • - 3725 Cosby Ave., Chico 2nd Renewa1.BP#94-1701°'' -,f -8q r 3p33 q`t� �-7 Q c • t t, 4 w� + i ' I} ' e'k• 11 > ♦ � r �I' , i I COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 Telephone (916) 538-7541 ERMIT NO. APPLICATION AND PERMIT ��'- /914 C/ ASSESSOR PARCEL NUMBER 0", 70-039 .7., ZONING BUILDING PERMIT oWi TAN I*,1,�,,,; f Y' '— �I ' ` j.� 7345-7259 SO. FT. OCC. BUILDING VALUATION OW31uBY725COSY AVE. y 4kOD.,) SAI 8 CONTRACTOR'S NAME 0V4L\l�Li TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNMOWN Total Valuation $ Fling Fee $ 20.00 LENDER'S MMUNG ADDRESS Permit Fee $ In 187, ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS _ _ _ _ Penalty $ BUILDING ADDRESS 3725 COPY AVE. CW00 PERMITFEE $ 207.50 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 SF M Duplex ❑ Mobilehome ❑ Other SFECIFY 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 ❑, Others Describe Work: 2ND RENEWAL BP#94-1701 (1ST RENEWAL M954587) Mobile Home I S I G W I @20.00 PERMITFEEF$ Contractor ELECTRICAL PERMIT20.00 Filin Fee Main Service EOOV OR LESS ( 2ooA OR LESS ) 23.00 Main Service ( 200A TO I000A ) 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 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: >! 1, as owner of the property, or my employees with wages as heir sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR NS. ( a ACC. BUDS. ) So. 3.50 FT. NEW CONST.MULTI.OUTLET C NON-RESID. ( BRANCH CIRCUITS ) 97.50 POWER APPARATUS (a SINGLE OUTLET CIR. ) Ex. Occup. (OUTLET OR FD(TURES) BAL 0° I:50 EX. Occup. (oFFIXED ELETs (RES D.OR ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE _ Contractor WORKERS', COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 g 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 pe son in any manner so as to becorce subject to workers' laws f California, and agree that if I should become subject to the workers' compens ion provisions of section 3700 of the Labor Code, I shall forthwith comply th t e provisions. X / _____ Date _ Signature of Applicant - caner ❑ 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 $ Energy Inspection Fee is occ CONST. TYPE TOTAL FEE $ 207.50 HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD IS;* 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. ByDate y 6� I 1 PERMITEXPIRESON &—�5— I (Date) Receipt No. 202310 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Ell I y COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) ` y APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 039-470-039 ZONING BUILDING PERMIT OWNER BRIAN -BARDWET.T. TELEPHONE 145-7259 SO. FT. OCC. BUILDING VALUATION .OWNERS MAILING ADDRESS 3725 COSBY AVE CHICO 95999 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation is ARCHITECT OR ENGINEER LICENSE NO. Filing Fee 20.00 Permit Fee $ 187.50 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 3725 COSBY AVE Energy Plan Checking Fee $ $ CHICO PERMIT FEE $ 207.50 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Ublities ❑ Installation ❑ Other ❑ Describe Work: 4th RENEWALL OF 94-1701 T.A4T RFNRWAT. 97-1681 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 600VOR LESS Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER 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 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 Main Service 200A TO lOooA 46.00 NEW CONST. DW NO OCCUP. SO OR ADONS. ( 8 ACC. S.3.5¢FT. NON-R°SID. T. "ITSMULTI-OUTLET 97.50 APPARATUS 8 SINGLE OUTLET CIR. 20 Q 1.00 Ex. Occup. OUTLET OR FIXTURES BAL @ .so Ex. Occup. AaID.°� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensatio pr isions of section 3700 of the Labor Code, I shall forthw' h comply w' h osIrovisions. //fof X '/� Date Signature of Applicant. - Ow ❑Contractor ❑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 $ occ 2 _� -C.WDW TYPE TOTAL FEE $ 207.50 HAZ. I D. FEES IMP I FLOOD COF PARCEL I PO HD ISSUE This permit is hereby issued under the applicable provisions the Butte County Code and/or Resolutions to do work indicate above for which fees have been paid. By rr Date-�- S PERMIT EXPIRES ON �' `I - 1 I Date Receipt No. 244217/ WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES-BUILDINGDIVIS N 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-75 P IT No. (Rev.12/96) ` i APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 039-470-039 ' ZONING BUIL GPERM IT OWNER BRIAN BARDWELL TELEPHONE 345-7259 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 3725 COSBY AVE CHICO , 95928 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER [Fireplace LENDER'S MAILING ADDRESS ' Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ p 187 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 3725 COSBY AVEEnergy Plan Checking Fee $ $ CHICO PERMIT FEE $ LAT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heatpump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Add -Rion ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: RWXX R T OF n 1701 �-m,�-3��1-�LEi'�6�A�vr—#7� r,-v-� 2ND B.P.#9601849) Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 2°°A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full fo be 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: 5( 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 (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 Califor la, and agree that if I should become subject to the workers' compensation pro isionP of section 3700 of the Labor Code, I shall forthwith comply with those rovis ons. — /`' X — Date _ 7 %'1 � 1Sig ature of Applicant - wrier Contractor ❑Agent \\An SHA permit is required for excavations over 5'0" deep and demolition or construction o structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BLAS. SO 3.5¢FT: TL NON -R SNEW LID. MULTANC ST.1 CI, CUTITS @7.50 & SINPowGLEER APOUPTLEARATUST CIR. Ex. Occup. OUTLET OR FIXTURES 20 @'-0° BAL. 9 .s° ED Ex. Occup. ourrs RES o.oEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 207.50 HA2. OOD CDF PARCEL Pp HD 5 E This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON 6/15/98 Dale Receipt No. 3 9 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD •APPLICANT i I /� 2 COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 .County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 / RM O. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 039-470-039 ZONING BUILDING PERMIT OWBRIAN BARDWELL 345DN 7259 SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 3725 COSBY AVE., CHICO, CA 95928 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAIUNG ADDRESS Fireplace CONSTRUCTION LENDER UNMOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAIUNG ADDRESS Permit Fee $ 12H 187 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 3725 COSBY AVE. CHICO PERMITFEE $ 207.50 PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF OX Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other )(X Describe Work: 2ND RENEWAL BP#94-1701 (1ST RENEWAL BP#95-1587) Mobile Home I S I GI W I @20.00 PERMITFEE g Contractor ELECTRICAL PERMIT:00 Filin Fee 20 Main Service eoov OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and 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 the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCURSO. OR ADONS. ( &ACC. ) 3.S¢ FT. NEW CONST. MULTI-OUTLEUTLE T NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS (a SINGLE OUTLET CIR. ) Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL a .50 Ex. Occup. (OUFIXED APPLNS TLETS (R S DJOR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE g Contractor WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' 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 pe son in any manner so as to become subject to workers' compensation laws f California, and agree that if I should become subject to the workers' compensdtion. Ibrovisions of section 3700 of the Labor Code, I shall forthwith comply th t e provisions. X Date f/�, — ----- —� A — Signature of Applicant -, Owner ❑ Contractor ❑Agent An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ coNsr. TYPE TOTAL FEE $ 207.90 HAZ. D. FEES IMP FLOOD COF PARCEL PO HD ISSU This permit is hereby issued under the applicable provisions in the Butte County Code and/or beentp id to do work indicated above for which fees have been aid. ` BY Date PERMITEXPIRESON — — I (Date) Receipt No. 202310 WHITE-O.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 50 I r3 COUTYOFBUTTE - DEPARTMENTOF.DEVELOPMENTSERVICES -BUILDING DIVISION. 7 COUNTY CENTER DRIVE - OROVILLE, C1 11 ALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER r �,ov�'� P. No.� Proposed Building Use Building Inspector Date -/ 3 10 At time of per it-application,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. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. . Prey"DeIns `.�Q°� 20. Pre -inspection for required. .. to BuildingInspector (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 . .......... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 1 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. 34. When you issue the permit, process as follows: Mail to owner. Mail toontractor. Telephone and hold for pickup at office Deliver with inspector. Other 4 A7 Parcel Creation P � a6/1 Acreage Applicant Date O J 7t� 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 Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWN'R En1AAI BAUWELL TELEPHONE 345-7250, SO. FT. OCC. BUILDING VALUATION xSS L U �� 775 �c.1SErREAVE , C- 5:28 CONTRACTOR'S NAME 0-14 NF P, TELEPHONE IST 7� T lv FIl'�1tPi.l CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee @ rGF $ 187.54, ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 3725 0*1 AVP., CHICO PERMITFEE S 207.5 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUSDNISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF EI Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: IST RENEWAL/94-1701 — Mobile Home IS I GI W1 920.00 PERMITFEE g Contractor ELECTRICAL PERMIT Filino Fee 20.00 Main Service EOOV OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and 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, army 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 i reason ' WORKERS' COMPENSATION DECLARATION 1ri I hereby affirm under penalty of perjury one of the following declATetio%: �-rV� ❑ 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, performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' comperrsatiinsurance, as required by Section 3700 of the Labor Code, for the perfomrlancef worms which this permit is issued. My workers' compensation insuranC.Ir iAOolicy number are: Carrier // NEW CONST. DWELLING OCCUR OR ACDNS. ( 6 ACC. BLDS. ) SO. 3.5¢ F7. NEW CONST.ULTI-OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) 8 SINGLE OUTLET S Ex. Occup. (OUTLET OR FIXTURES) BAL Q K:.' tic. Occup.FIXED APPLNS. OR ( OUTLETS (RESID.) EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ o tractor MECHANICAL PERMIT Filing Fee 20.00 ating Cookn , o� 6.50 Ventilation PERMITFEE $ Contractor 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' compenstion provisions of section 3700 of the Labor Code, I shall forthwith comply w7h t se provisions. X X -✓A Date _ /I �!_ Signature of Applicant - 25 bwner ❑ 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 $ Energy Inspection Fee Is occ CONST. TYPE TOTAL FEE $ 207.50 HAZ. I D. FEES I IMP I 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. _ By�Tu'�� / - ? L-, ' ._ = (-Date PERMITEXPIRESON 6-1S-�cr (Date) Receipt No._ ' I;OCP�S/o WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISI 7 County Center Drive - Oroville, Gelifornla 95965 - Telephone (916) 538-754 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 039-470-039 ZONING A5 BUIIJV4G PERMIT OWNER BRIAN BARDWELL TELEPHONE 345-7259 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 3725 COSBY AVE, CHICO 95928 COMPACTOR'S NAME OWNER TELEPHONE 1ST RENEWAL CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UN -OWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee -,%' FER $ 187.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR* ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS 3725 COSBY AVE CHICO PERMITFEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF §J 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: 1ST RENEWAL/94-1701 Mobile Home I S I GI W 1 @20.00 EE. PERMITFEE $ Contractor ELECTRICAL PERMIT Filinq Fee 20.'00 Main Service OOOV OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO I000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION 1 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 the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.SO. OR ADONS. ( 8 ACC. ) 3.5Q FT. NEW CONST. MULTI.OUTLEUTLE T NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) ^ a SINGLE OUTLET CIA. Ex. Occup. (OUTLET OR FD(TURES) 20 @ 1.50 BAL 0 .SO Ex. Occup. (OFIXED UTLETS (RESID.OR ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing 9 Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 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' compens ion provisions of section 3700 of the Labor Code, I shall forthwith comply w h t se provisions. X Date _ /� f_ Signature of Applicant - Ind bwner ❑Contractor ❑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 Is Energy Inspection Fee is Occ CONST. TYPE TOTAL FEE $ 207.50 HAZ I D. FEES I IMP I FLOOD I CDF PARCEL PD I HD 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. --e B FM"ate y PERMITEXPIRESON 6-15-96 I (Date) Receipt No. [4%!�4 % 7 WHITE-D.D.S.-B.D. C NA Y- SSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Attention Property Owner. . An "owner -builder" building permit hat 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 No ]. 2. I HAVEM HAVE NOT[ ] sigried an application for a building permit for the proposed work- 3. ork3. I have contracted with .the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAIL: ADDRESS: Com: 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: PROPERTY OWNER: Ana 4JA SOCIAL SESER: DATE: 7-77iX7s NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER Dear Property Owner: An application for' a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself; you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. . If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under Iimited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerer , Michael C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. O VE R w COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMITNO _ „ _ ___.• 7 County Center Drive - Oroville, California. 95965 - Telephone: 916/538-7541. APPLICATION -AND PERMIT ASSESSOR PAR L NUMBE �—�6 ZON NG BUILDING PERMIT OWNAR TELEPHONE —" SQ. FT. OCC. BUILDING VALUATION OWN R'S MAILING ADDR 5 -r/ C N C OR' AM TEL PHONE CONT CTOR'S M-A+LrNQ ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 7s- Permit fee $ � ®� PLUMBING PERMIT Filing Fee '40.00 Each Trap 2.00 Solar or heat pump water heater 20.00 • LOT NO. SUBDIVISION NAME V PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFA Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 --_ Building sewer 5.00 Mobile Home Is G W 10.00e TYPE OF WORK New -k Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: - 1 _ Permit Fee Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V DR 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 ❑ i, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.d OR ACDNS. el_MULTI-OUTLET , NEW CONSCONSTR.(ACC, NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20050Q OALO 30 FIXED PR EX. Occup. OUTLETS (RESID )EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 3 --✓ Ventilation. permit Fee $ r 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 aU liabilities, judgments, costs, and expenses which may in any way accrue against said County in copse ue a of the granting of this permit X Date ! %�_ Signature of Applicant — Owner M 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 $` �---- �`3 �•r+1 "ITMPE l A E TOTAL FEE $� L In I,qZ cuA � PARK PAR PD o Issue This permit is hereby issued under sions of the Butte County. Code and/or work indicated above for which DI CTOR OF PUBLIC By PER T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date _II - Receipt No.- � WHITE-D.P.W.. YELLOW-ASS[SS . PINK -INSPECTOR. GOLDENROD- APPLICANT t TO Huildina Department FROM : . SUBJECT: Environmental Health.. Sanitation Clearance Plan -Approved for: Location Sewage Disposal f� Hold final f.or: Final clearance O.R. for: Clearance for bedroom m�lwhome. — av A 1�SIbohoD n ;COTE � * •. dC( (�YJ.1 Y`e��,j - ' ��G 1Loa 7 AP# Water Supply Water Supply Water Supply Other Ghh►C4 401 _L _ _ .. 1_ .� .. k - — Date '': Sani arian --COUNTY OF BUTTE - DEPARTMENT OF`PUBLIC WoFRKS - BUILDING DIVISION a 7 COUNTY CENTER DRIVE - OROV�L,LE,;CA+LI�ORNIA.95965 -TELEPHONE: 916/538-7541 PERMIT APPLICAION DATA.rSHEET Permit No. OWNER �•� —CG 7't • A. P. o. Proposed Building Use�Building Inspector Date (� At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate%triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions........................................................ 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... �. Park- fees paid ....................................... �C' n School Dis ct fees paid .............. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of ( Be City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... I/Improvements may be required. Contact Land Development Section DPW _4W71kDriveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date)+1 21. Contractor's license information (No., Name Style, Classifications ... 22..Certificate of Workmans Compensation Insurance .................. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 'Recorded copy of Agricultural Acknowledgment Statement ......... 25. Le ter o ign ture authorization ... 2 - 2 060- ,] G d- T A -L L Wen you issue the permit, process as follows: MIito owner. Mail to contractor. Tele hone S and hold for p pickup at �office. Deliver w/inspector. Other Applicant Date % Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issua ce- (Circle new item ed above). 1. Index permit for above items No h 2. Additional items required: / Contractor deslgner,cEiiz�was advised of above required data by—Cli5hone_ snail_counter by date JCD_2 �$9 Contractor, designer, owner, was advised of above required data by—phone _mail—counter by date �t I"a - 2-.0¢ 2 Plans checked by l� Date Plans approved bV Date Sets of plans on hold in File &inet AP folder Copy—DPW COUNTY OF BUTTE - Department of Public..W.orks 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) 2. I (have/have not) BAV�g 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 coor"dinate, 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 um e ' Date `�/ 1 �e q 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. r, BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM w (One Form per.' Building) A.P. Number uilding Department No. School Districte)qa7_0 City r-71 CountyJurisdiction Property Owner - - r Project Location/Address `f t"7ri_,s-o Jug• 0A6Z:0 Subdivision Lot Number Residential Development: /� Q a Sq. Footage �V # of 'Living MHI Addition (Group R)ISNAO Units Commercial/Industrial: + a .Sq. Footage New Addition (Including Exterior Roofed Areas) Building Department Rep e' en ative Date .(Floor- Plans reviewed by-School.District Personnel) District Id No. tr' lt_lr' f�� l.c.r l�'�✓ School District' certifies that �� t �1�AAJ ����wP1%�/�re►�f �yQ ��v ��n/�,�rii�l��i ...���5'" �� .�` `� (Applicant.Name) r (Phone Number) Pr) (Street Address) (City) .'(State) (Zip Code) has complied with the requirements of Resolution No., -f16? by the payment of $/� representing '79square feet. School District Representative Date PAID BY CHECK NO. N� BANK NO PAID BY CASH REMARKS: _ _CJ,cP sx.,•Q 1� ,/� •rte. , � �r/� � Ae white -applicant, yellow -building department, pink -school district t SCHOOL.FEE (8/88) RESIDENTIAL.PLAN.CHECKING GUIDE (S.F., DUPLEX•& MISC. ONLY) Bldg. Permit # 33` e / OWNER L KEF vI Tc.s -k A.P. # 39 -4-7 - 3 GENERAL Zoning requirements: (sideyards Valuation. 3 Plans signed by designer. Energy Design and Compliance. Existing violations on property. Items on data sheet. and number of permitted living .units).. 5/89 PLOT PLAN l Complete parcel..size and dimensions. • Setbacks, sideyards, easements, etc. • Other buildings or structures. • Grading, fills., drainage.. Flood hazard. Special conditions on .creation map or compliance document. FAU & FAS road setback. F OOR PLAN Complete to scale plan with dimensions. Required windows for light and ventilation (Sec. 1205). Required windows for second exit (Sec. 1204). Skylights (Chapter 34 & Sec. 5207). ,:Human impact glass (Seca 5406). K. Required room sizes, ceiling heights (Sec. 1207).` /7"' GFCIs in baths; .garage, and exterior outlets (Article 210-8). e8: Light fixtures, switches, receptacles, and exterior receptacles for.maintenance of mechanical equipment.' 9K' Locations of water heater, heating and cooling equipment, other electrical or �� .gas equipment, and plumbing fixtures. 30. Garage firewall, door size, and closer (Sec. 503(d)(3)). dr' 3'0" exterior exit door (Sec. 3304(e)). 12 J fireplace and wood stove location, alcoves, and clearance. 1 .Smoke detectors (Sec. 1210). STRUCTURAL DETAILS Foundation plan complete enough to construct building. Floor construction details complete enough to construct building. Elevations and wall construction details complete enough to construct building. /� Roof construction details complete enough to construct building. Fireplace construction details and talcs if necessary. MISCELLANEOUS ITEMS TO LOOK OUT FOR iI-.- Stairway�details: landings, rise and run, head clearance, handrails (Sec. 3306). i2'--Guardrail!details (Sec. 1711 & 3306(j)): �3! Brick or stone veneer (Chapter 30). 5/89 RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS.TO LOOK OUT FOR (CONY D) 'Exterior plaster - weep screeds (Sec. 4706). Proper roof pitch for roof covering (Chapter 32). &'-Roof covering type - (fire hazard). 7' Rafter ties or bearing ridge beam. -Garage door or porch header sizes. ®Adequate bracing. k6_. -living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. ',T.�_Two exits on three-story dwellings (Sec. 330.3 & see Mezannines - 1716). Attic access and ventilation (Sec. 3205). d -S -.—Underfloor access.and ventilation (Sec. 2516). 1e---�ombustion air for fuel burning appliances. 15. Noise requirements on duplexes. 16 ----Adobe soils - special foundation design. 1'7'Retaining walls requiring design. 1-8' Unusual shape, size, or.split level house requiring lateral design. 19 --Flashing at all exterior openings. ALL. ©r- ALL PLAAVIls wVvsT 3. MAVSi S:gr-i Enakly "OX. FoR HOW%&. � ` .1 LG(t��� r � c�_�� c /1.� ., � . � , div' C OD _tc%G► � (4P'�cry L\ Certificate of Compliance: Residential SHEET 'k Pro ectTitle Project Address Bob Metzger - O.D.S. 8659688 or 342-9688 Documentation Author Telephone Point system 11 Compliance Method (Package, Point System or Computer) CUmate Zone (Page 1 of 2) CF -1R Date Building Permit M Checked By / Date Enforcement Agency Use Only GENERAL INFORMATION Total Conditioned Floor Area: V1 al ft2 Building Type: . Single Family Hotel/Motel (check one or more) Multi -Family (less than 4 stories) Addition Multi -Family (4 or more stories) Existing -Plus -Addition Front Entry Orientation: East / South / West / All Orientations (circle one or more) Number of Dwelling Units: I - Floor Construction Type: Slab sed Floor • cle one or both) Infiltration Control: Stand tght (Circle one) `` BUILDING SHELL INSULATION `Component Insulation Location/Comments Type R -Value (attic, to garage, typical, Wall .............. Wall .............. Roof ............. Roof ............. Floor ............. Floor ............. Slab Edge..... GLAZING Glazing Orientation Front.... (a) Front.... ( ) Left...... (+� Left...... ( ) Rear....: (Gy) Rear:.... ( ) Right... (Ul Right.... ( ) Skylight....... Skylight....... Area Glass Type THERMAL MASS Type/Covering Area wffl Shading Devices Interior Exterior (roller blind, etc.) (shadescreen, etc.) Thickness Overhang Framing Type bath. Certificate of Compliance: Residential SHEET 1 £Lj r (page 2 of 2) CF -IR HVAC SYSTEMS Type (furnace, air conditioner, heat nu: Minimum Duct O.D.S. Efficiency Location Duct Output E, SEER,HSPF) (attic, etc.) R -Value tuh 1215 Mangrove � �t Orland Ca. Ste.0 Chico Ca. Telephone: 865-968.8 Manufacturer/ Model # Maximum Furnace Heating Output: Btuh HOT WATER SYSTEMS Tank Manufacturer/Model # System T (storage gas, etc.) Capacity (or approved equal) Special Feature(s) SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications 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. When this certificate of compliance is submitted for a single building plan to be built in multiple orientations, all building conservation features which vary are indicated in the Special Features/Remarks section. Designer Building Owner Name: Bob Metzger O.D.S. Name: Title/Firm: Drafting Service Owner Title/Firm: Address: 717 5th St . er_ 1215 Mangrove Address: Orland Ca. Ste.0 Chico Ca. Telephone: 865-968.8 342-9688 Telephone: Lic. #: N A (signamm) 000, (date) (signature) (date) Documentation Author Enforcement Agency Name: Same as Designer Name: Title/Firm: Agency: Address: Telephone: Telephone: (signature) (date) (signature or stamp) (date) form Revised March 1988 io 5/89 RESIDENTIAL PLAN CHECKING.,GUIDE MISCELLANEOUS'ITEMS TO :LOOK OUT FOR (CONT'D) exterior plaster - weep screeds (Sec. 4706). r5. Proper roof pitch for roof covering (Chapter 32). .(- Roof covering type - (fire hazard). Y Rafter ties or bearing ridge beam. ,qr'Garage door or porch header sizes. �Adequate bracing. .Living area:over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. ,"Two exits on three-story dwellings (Sec. 3303 & see Mezannines - 1716). Attic access and ventilation (Sec. 3205). ] e3 -.--Underfloor access and ventilation (Sec. 2516).. i� Combustion air for.fuel burning appliances. 1j�Noise requirements on duplexes. �A obe soils - special foundation design. taining walls requiring design. -r8. Unusual shape, size, or split level house requiring lateral design. 1� /1/QC/j1//y�yg at all exterior openings. G v2 1 P- as PIL.4N i j C0vvL V1 Pe: P_ y1/l0 hITY RESIDENTIAL FLAN CHECKING.GUIDE (S.F., DUPLEX & MISC. ONLY) 5/89 4 .. Bldg. Permit # OWNER L IN KEV 1_r-Ct-1- A. P. # GENERAL • Zoning requirements: (sideyards and • Valuation. Plans signed by designer. Energy Design and Compliance. isting violations on property. Items on data sheet. PLOT PLAN 9Complete parcel size and dimensions. Setbacks, sideyards, easements, etc. ,3 Other buildings or structures. Grading, 'fills, drainage. . Flood hazard. number of permitted living units). Special conditions on creation map or compliance document. FAU & FAS road setback., , FLOOR PLAN Complete to'scale plan with dimensions. ` . Required windows for light and ventilation (Sec. 1205). Required windows for second exit (Sec. 1204). Skylights (Chapter 34 & Sec. 5207). Human impact glass (Sec. 5406). Required room sizes, ceiling heights (Sec. 1207). GFCIs in baths, garage, and exterior outlets (Article 210-8). Light fixtures, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. Locations of water heater, heating and cooling equipment, other electrical or gas equipment, and plumbing fixtures. -Garage firewall, door size, and closer (Sec. 503(d)(3)). -1 - 3'0" exterior exit door (Sec. 3304(e)). Fireplace and wood stove location, alcoves, and clearance. Smoke detectors (Sec. 1210). STRUCTURAL DETAILS ,-I----Foundation plan complete enough to construct building. 2/Floor construction details complete enough to construct building. Elevations and wall construction details complete enough to construct building. Roof construction details complete enough to construct building. Fireplace construction details and calcs if necessary. MISCELLANEOUS ITEMS TO LOOK OUT FOR Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306). uardrail details (Sec. 1711 & 3306(j)). Brick or stone veneer (Chapter 30). To -rliE QtI1'f& co. DEP��'MENT AUC* 3i , ►'89 6uud�A+G 4)* Ara 4*A4oVt THE KirclifAi 4"A" TH* OPPIC</,fT(Ad y A.�OI/f TlYF 6AA4&4 ti1NEN THE MAIN Nov irif (AMAr< ANA li VA44tife BR�A� jrj it fWALLE� v s•: MOA W2 LA) l o x f 0® Td� app � 27cf 2�r Certificate.of Compliance �'f Y s.I MPt_ I F I E'D Nonresidential Prescriotive rOGD ^ WEDESf 6LOVEn LOTSPEICH �f(/�Gl♦ ?rolect ride 6)e uN0 . _- t 6,V Al Project ArctutscvEngtnee.r PH, r n nGLP"..'' d SQU�_n G l' Chute lane Protect tocaoon � � — ZGi — � �f Ciry/Town Prineioal 0ee19ner The Pr000sw t AWA represented on rhe armomad piang his been dapnad a meet.the Califon+ oud&q energy etAoency star"ds under M cornou ranaoproarr Fated. To dN oast Of my htno«tedge and bawl Ne design a owned aired o ngal once s:gea ca osard stsraaru. II any ponan of ens tuldvq CS. uncond Cyforrua oui&V energy alk wncY'smndards, trot Porson s so vgiated on ra dans. 8-7-8? are rgnature t_EN RUNG Name (Print) 4Ln/l1 //t(S P- Q/ ompany r 4177 d.� �iL., Q . 2O c.onlsn` ,ry, rata, p G ! iv 8 csnae a. e on Owner T1w wneray conservation features and Wonnance saec:rcaiors Mia:ed on ins document and an the artacned PIAM shzi aody to future atera:ans a :+a budding. unfess smdianee for Me buddinq a demonstrated anew :order a d"s apt a� Bun wnich -neets Ore energy elWency sundards own n odea n wncn ase a new Gnka:e Of Ccm9rarxe wig be submitted to ND wnlacament ataxy Toe bLAWrq ..ret sraA tatam a COPY of V s Cendxate, and snaA varnsmd :t a ary suoaea ant at;::ssw of re twdding; d dvs c4W1cxte u wL n may be reauved tut a raw ututxau ;e areaared Debre du bwldin0 may be aitered The urnronarooned Borons of tree raiding, as indicated on Lu Pwu• are admwtedged. and d s tnderW0d iter, d any d in ere (a -croon of Tem becomes COMM" rase oorbons may rave n a altered a canaY wrtn me appirade energy stancards a w+ in enact. vau ,gesture +int! 1 rtnt nuet�ompany ante Ador ass ,ty, use p Enforcement Agency t)weto, wW comory .eve fie Ca6bms The orocoud buddng. and kM" +nerttti s fie noraud Canorunos i;wuuemena bider vWgy loaxads wmY s� measures. as long u the o¢uo+ncY Yt>• nmam Ow meat V4 al aotytade marbatoy ynrJunged. ate ,gnaturo ame trent) u gancy ocess ,ryrauw, p For Enforcement Agency Use Only un ng. round Numoer PLIA heuteo y ate Fpsid Uate PProveo t5y _ ate Compliance Requirements GENERAL I UBC OCCUPANCYLOVY- EIS OFFaCEC OCCUPANCY b-2 2 PACKAGE SELECTED 3 GROSS CONDITIONED FLOOR AREA'91951 MAX. LIGHTING POWER DENSITY ALLOWED PROPOSED 4 LIGHT FIITURES LPO- L5 1,-317. 2� 04-ruf3E EWEWIENER (VS-IS,line 14) 1Q @ -15sya-1 tgar S ENERGY SAVING LAMPS REQUIRED es r'No?)�(ES 6 DAYl16HTING CONTROLS REGUIRED 11ti or No,-nN 6 PROPOSED ENVELOPE _KIN ! 7 ROOF/CEILING R(WS I59 l Z 18 0 r t9l 8 INSULATION AT T-SAR l•Fes-or No?) NO 9 FLOOR R(t)= R,5 �- Iq 1'_AIS ED FLDO�L (WS-IS,line 211 10 WAILS HC= I 2 .S-1S..Ine 23) R1t1= -4. 54 Lf ,4 uXgItj�//'—r�� (15-IS,line 24) W - i?' I� MAI. ALLOWED PROPOSED Ila G AZING SC= , AREA= AOR 282 0 1-1 3 L- : (WS-IS,line 27) 11b WEST GLAZING I AREA:// 3 70 IWS-1S,line 29) 12 SKYLIGHTS SC: A� AA1, SIZE .OF SKYLIGHT= }•, (VS-IS,line 30) HVAC l3 HVAC SIZING (KSTUH) 'OWER SET SELECTED 14 OPTION I (WS-1S,line 331en OPTION A2LOWEDIPROPOSE •GAS INPU1 361 HEATING ALLOWED P ,PO -c ED 53 FWI HP OUTPUT NPI COOLING OUTPUT Q / CPI 15 HVAC EOUIPMENT TYPE MFG./MODEL4 CAPACITY EFFICIENCY SFI ; ; '��'S LGAIN/JX 3�6B-pa8o36 Furzr`►rcG ' 7�°�"SE`' SFLI.ri.tL IG►Iti na 0, 60AID6A/t:I N UK1T 16 ECONOMIZERS lyes oco oif no, indicate exception ❑PERIMETER ZONE ❑OTHER ADDITIONAL REOUIREMENIS Blank Forms IV -2 -rcR f6 CSO 5vll�16 A2 6 TAILORED LPD SUMMARY AHD WORKSHEET WS -5C Project Title: Warehouse Morton Comm. Bldg, Por Enforcement Agency Use Only Documentation Author: Donna Wallace Firm: Bachman 6 Associates Date: 05/30/89 Plan Checked By: Date: ---------------- TAILORED LPD SUMMARY 1 Watts for Illuminance Categories: A-Efrom below) ............................. 2564 Watts 2 Watts for Illuminance Categories: F -I (WS -5D)... 0 Watts 3 Total Allowed Watts (Lines 1 + 2) .............................................. 2564 Watts 4 Conditioned Floor Area .......................... 2849 sf 5 Maximum Allowed LPD (Line 3/Line 4) .............................. 0.90 Watts/sf ILLUMINANCE CATEGORIES A THROUGH E WORKSHEET Note: Illuminance Category B may not be used for tasks where visual quality can readily be improved (Sec, 2-5342(d)2.a(1)). A ----------------------------------------------------------------------------------------------------------------------------- B C, D E F G IES Room Allowed Watts Room Ta§k( Illum. Cavity Floor Allowed (Col E x Number ----------------------------------------------------------------------------------------------------------------------------- Activity Category Ratio Area LPD Col F) 1 Active Storage/Bulky Items C min. 481 0.6 289 Active Storage/Small Items 0 min. 481 1.2 577 2 Active Storage/Bulky Items C min. 450 0.6 270 Active Storage/Small Items D min. 449 1.2 539 3 Active Storage/Bulky Items C min. 494 0.6 296 Active Storage/Small Items D min. 494 1.2 593 ----------------------------------------------------------------------------------------------------------------------------- The Illuminance Category E tasks listed on this form are Page Total 2849 2564 required for the function of my business and are not 'intermittent' or 'poor quality' tasks per the standards. Building Total 2899 2564 ..................................... ....------------------- Tenant Signature .Type of Business Page 1 Z of 16 �a40- 114 - - - --- - - _.- GAIZ ����� • iso �_,� /_ - �_---- - .. - _ _--- .. Ajr � � V L w 9 4L-- ft:._... ... __ 1 . .. .......__ _ - . s-� _-�,� �.�o yrs �/�%�P��{� 197 -/Z C12A C -O 7eA��.QICF3C:WE __......_. -- - -- ..---.__--- = /3�% ��8 _ �8 =_ X4._3 9 _ _._. ��,�,,�._ ��`s�sT... _._.. .-- 7-'7% �sE % ��,4,C� G� 32 ,� zis i 1.JAL 5 D _ _ USO -Ax Oro 05-rs u//��1,�'T� ►Ta ✓ -�71�4PZ, Z7 '�^ a 06 � f !o % _--_ �s .. ------ moi_--11s� � „ _ � ✓�, 2 � `% ���� _. . �2 I---__ ---- __.___ ---- .. - W. x'727- Zz 7 4615 -Is-77zz14,r COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. / 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 /' �(1 _ APPLICANONIAN- D SERMIT 6� `"11 ASSESSOR PARCEL NUMBER 39-47-39 ZONING A-5 BUILDING PERMIT OWNER TELEPHONE 345-7529 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS P.O. Box 1614, Chico 95927 1st Renewal CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 1000 LENDER'S MAILING ADDRESS Permit Fee @ i Fee $185.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $195.00 PLUMBING PERMIT Filing Fee 10.00 3725 Cosby Ave Chico Each Trap 2.00 , Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each pas water heater or vent 5.00 USE OF STRUCTURFE SF ER Duplex❑ Mobilehome❑ Other OSE 1 2 SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other [] Describe work: 1st Renewal of B.P. #3033-89 _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service ;000 AMP ORS 0LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under p na y of perjury (check one): ❑ I am I censed 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 I, as the owner, or my employees With wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ontract- ors.(Sec. 7044) ors. ❑ I m exempt under Sec. , Business and Professions Code f ` reason NEW CONST. / DWELLING OCCUP.& OR ADDNS. C ACC, BLDGS. I , 2/z¢sgft NEW CONSTRESID. BRANCH NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES 20@ 30 ewL030 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESI D.) EA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ ORKMEN'S COMPENSATION INSURANCE I declare un a enalty of perjury (check one):— ❑ T 'e pe it is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs an expenses which may in any way accrue against said County in conse ue ce the granting of this permit. %� Date �v �' ignature of Applicant — Owner Canrroctor ❑ Agenr ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures ver 3 stories in hejot. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $195.00 HAZ CLIA PARK SC HL I FLo I PAR 17D ISSUE Th's permit is nereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work i ca d above r which fee have been paid. DI OF PUB ORKS y Date PERMIT EXPIRES Date 1 /6 91 G Receipt No. / 3 0 ������ �� WHITE-D.P.W., YELLOW -ASSESSOR, I x•INSP ECTOR. GOLDENROD -AP A COUNTY OF BUTTE -. D(4partment' of Public Works 7 County Cerate ' brNe' 0rovilvle;•.•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) �l 2. I (have/have not)�A-J-tg signed an application for a building permit for the proposed work. - .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 T Social Security Number .Date /V /712 C, 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. � � N Jab: IN IML--eRIA" eARONELL) / Ti 14' COM TOP CHORD 2x4 FL #1 OOT CHORD 2x4 FL #1 WEBS 2x4 FL Standard CONNECTOR PLATES DESIGNED FOR GREEN LUMBER PER NDS -91 TABLE A RIGID CEILING OR CONTINUOUS LATERAL BRACING AT 72.00' D.C. MUST BE PROPERLY ATTACHED TO THE BOTTOM CHORD, —2X. 4, THIS OVU. FREYAREU IMM U$Wul ER IRFUI ILUAUS 6 UIFIEHSIURS) SUBMITTEU BY TRUSS RFR IOP CHORD TO BE BRACED BY PROPERLY ATTACHED PURLINS @24.00' OC.n c TRUSSES TO BE SPACED AT 36,00. O.C. MAXIMUM. N b CONNECTOR PLATES MUST 8E INSTALLED IN ACCORDANCE WITH THE REQUIREMENTS OF I.C.B.O. RESEARCH REPORT #2949, fu 10 PSF BOTTOM CHORD LIVE LOAD CHECKED PER UBC CRITERIA. to REFER TO DRAWINGS A103 AND A104R FOR OVERHANG DETAILS. In to In IU LA 7-0-0 7-0-0 -0- 14-0-0 -0- R=7290 W-518 Rw729# W -5"B 81179 COUNTY -WILDING DF—PARTKiN APPRvEffo-1n T. P - ALPINE DESIGN CRIT UBCA104z-ev 17.2 S- Z 0. 0 0 C� o Ca i3 0ATRUSS Q1EAl G 0 0 0 d O ' c= G p o G )E*IMPS]RTANT*N9 II�IOT`EERISvob aq OE4[At o" rpot TBIS acsiss rA bibs mcirICA110NS. CR Aur FAILLSCi 1J BUILD JUL ZUSU W CCUFON UIZE OHN OSTtIO Olt 1PI. 4Ptli CG9UEEIMS ANC VJAZ OF 2004 QALY. stM ICETDA ASIX &a46 OR D [KEPT AS IDIE9. WIT COGUECIM 90 EA1H FADE Or IRO91 PM OOLE`SS OIUEAPOSE LOCATED ON Tits 09404 P03113011 PER ONUIIWT M 170 4- 1601-F. DESIGN STAMAROS CN w, mor, APpjES CIO T11i �CCMVIEUI CEP S f TPI. JUA CTEO E V1 GEY. A= SW4L BUT LE FCL1[O UvQU IN AUt UFl*A W. 11 7 WARNINGPassW.I4'"U'" PE3ou 'u OFACIID. ME Rlb-st a tpl. $ec TNIb DEsI,D FOP ADOITIR+O. W.E(AL Ifcui)E4T EFCCt1Y1 LE OWIEWATS. LIA.ESS STRA413E titO Aus. Top CODPC VULL BE LAICDALLP SPAM EITM PDTAEI LT WACHM FLTUM0 E[EANIUGq e02tCD1 CHORL MITA PR7oEFLY ATTA:OEO P1"DTOT.LO. TE ONtIDII 11C4itQl ,fliRlbM lAlCppC CfTHISI%' m16tl 10 Ili Inns IFEC13cl1 caupACTPR.n�``tOP� SPECIFICATION rev =0 0323tROCT[Ct1 OQ40 1� �' f ^y A Ay 4 OK �N� El�` p� Sr a TC LL TC OL BC OL BC LL 16.0 10.0 5. 0 5-0 O.O 31.0 PSF PSF PSF PSF PSFCOUWA REF R427--37781 DATE 06/08/94 ORW CAUSR427 tat 5525 V CA—ENGND�OOW&CICOS j DUR .FAC. 1.25 .-101 - TrVA PLATE IrWIFUIE. LES • IS91941MIAL LESION SPACING 36.0' Job: (BROWEL--BRIAR BARONELL) 7 TOP CHORD 2x4 FL 41 BOT CHORD 2x4 FL 41 WEBS 2x4 FL Standard CONNECTOR PLATES DESIGNED FOR GREEN LUMBER PER NOS -91 TABLE 7.3.3.` REFER TO DRAWINGS A103 AND A104R FOR OVERHANG DETAILS. 77 2 THIS OHG. PREPARED FROH C011PUTER INPUT (LOADS C DIHENSIONSI SUMMED 8Y TRUSS NF TOP CHORD TO BE BRACED BY PROPERLY ATTACHED PURLINS 024.00" OC.a C: TRUSSES TO BE SPACED AT 36,00" O.C. MAXIMUM. N a CONNECTOR PLATES MUST BE INSTALLED IN ACCORDANCE WITH THE A)REQUIREMENTS OF I.C.B.O. RESEARCH REPORT 42949. v A RIGID CEILING OR CONTINUOUS LATERAL BRACING AT 72.00' O.C. MUST BE PROPERLY ATTACHED TO THE BOTTOM CHORD, a In to in IL 211 OVER 2 SUPPORTS R=4500 W-598 R-4509 Wa5"6 r.- ALF 194t n v If.di C7 [= * IMPORTANT**SJUL oi`CE 4SP2N F01:N1 CME 1ARNING;nU/UERL.1.19, C Cm t= O 16.0 VIEC[104 N A [� C= C G O CETMEGH FPOH 7WS OESIRI 08 TIEST SFEOIFICAl10111. O't 6111 31uCtlo. EEE Al"I OY IP1. SEE THIS DESIBN [� 1= C= O FARU24 10 80110 VIE 7OUS3 IU CWFOO101LE NTFH OSTOB Bi IPI. NOR ADDInC116l SPECIAL FEAULS111 BPACII'C PE C� G C C= ALPIIX C044EC104 APE 0W OF QOOA 04LV. 3ILLL HLCIItO 451H GUMMIT7. UJLUS OTAEFXISE 91WtA1FA. IW C= C= C=3 C= "40 SO 6 EsCEPI AS HO1EL_ APPLT CMECICRS 14 E402 FAKE OF CHOW 5141 Ek" LN IER4LT OOACEO KITH AROPER AOW LP IN TW on 0130 `PSEE o tCl�i6STOP3 PLv m4rL 0. C Y� P9 O[S[01 tfNO4o0i MIiNTFapERY�411 cwo RI010 C81UI.E [= CG•fOiR C//PP_ICIBIL MOVISIONS OF M3 C TP). All OIGIIEFR'S THIS ALFIIE 1LUE11C41 LFaLTS fill/RA FOR FIiOPEA GTRUSS � SAL 09 MA11 i APPLIES TO IIE C014R4WT CVICTEO SLOE O9Itl4L ASRWAINC FA14VI L COPY OF was C= t� a o o C= IN 01LT. 111) $OIL INt17 PRIV LEON IU Atli OTHtA NAY. 0[72011 10 iK XOCli FfEC11OR CR1104CiOR. 4__Ia( . :RASS PLATE IMMIC. 9: • IY01 UT71( Ri OES10H PECIFECURN FCR X000 OONSTFLCTICII tSUTTE COUNT'l aUILDING DEPARTMEW APPROVE( - n v If.di bkoftt d QROf TC LL 16.0 PSF REF 8427--37 W. C TC OL 10.0 PSF DATE 06/Of ORW CAUSR427 .B• .o C OL 5.0 PSF CA -ENS MD Na C04384S C LL Q•. 0 PSF [Iµ 6IU92 * OT.LO. 31.0 PSF 1Vi,��OUR.FAC. .c 1.25 11111pippill or cAL`l�� SPACING 36.0" 4 JOW (BROKEL--BRIAN 8AA0'dELU / 13 Z9" UIR11 FOP CHORD 2x4 FL $i $OT CHORD 2xB FL #I ytEBS 2x4 FL Standard :114 2x4 FL YI: CONNECTOR PLATES DESIGNED FOR GREEN LUMBER PER NOS -91 TABLE 7.3.3. A RIGID CEILING OR CONTINUOUS LATERAL BRACING AT 72.00" O.C. MUST BE PROPERLY ATTACHED TO THE BOTTOM CHORD. RECO14MENDED-CONNECT--ION F0R_14'O" TRUSSES 24" Q.C. TO BOTT014 jCHORD: SIMPS0N_LU26.j SEE CATALOG C-PT94-1 FOR'NAILIiJG SPECIFICATIONS. (UNLESS OTHERWISE SPECIFIED, SUPPORTED MBBERS HAVE IDENTICAL LUMBER SPECIES. THE MINIRW4 HEEL HEIGHT OF SUPPORTING TRUSSES.) 4x1 m lots UTtb. FKV-AML) fRUAT L4JNrU1t:,1 lnrul ELUAL)b t. ULMC1451UNbi SU1Tn1114:4.1 UY IFWbb MPH TOP CHORD TO BE BRACED BY PROPERLY ATTACHED PURLINS @24.00' OC.a TRUSSES TO BE SPACEO AT 36.00' O.C. MAXIMUM. N THIS GIRDER DESIGNED TO CARRY 14-00-00 TRUSSES FRAMING TO c BOTTOM CHORD FROM ONE SIDE AND 03-00-00 FRAMING TC/BC SPLIT u FROM OTHER SIDE. 14 CONNECTOR PLATES MUS] BE INSTALLED IN ACCORDANCE WITH THE REQUIREMENTS OF I.C.B.O. RESEARCH REPORT #2949. .- REFER TO DRAWINGS A103 AND A104R FOR OVERHANG DE]AILS. m r� fU m [OVER-2-SUPP0RTS R=3056# W=5"B R=30560 W=5"8 s� BU I I C013NTY a OVILDING DEPARTME i PLT. T - A U' 'N 11 A - Nev 1/.e n A - v cauu o . o o a O O O O OATRUSS Q C O C3 C= O O **IMP06TANT**ALP11:E EIr,,AFEP.[D °' 'E, 1OC. 5HAU 101 BE FES99:.9IEi£ FOR AVY DEVEA1IDU FR1L TNIS PESICD 01 IuM SPE"F1CATWEL OR A41 141LL E TO BUIL* TK MAW D! CD1&CRUMS 113111 GSTS0 If/ 101. R_0t1E COAIECTDRS APE H1AE CF 100A OLLV. 31M ICE:104 2310 A440 GR D EFCEDT LS AtllED. AFP:T CNhUfCPS 10 Elpl FACE Of AOO ULESS OTHERHISE LCCATED °n TNIS OESC6t1 FDSE11011 PCA OPAN[,Fd .30. 15D IF 160 CIO. Ott STA100105 00'IFCRt 7f/APFLICIBLE t7UJJ3[O 11 °F t07 C :P7. W! E:L:JtfE71'S 1N6CiLY1. 1, TilA SNAIL IA7 8OLS, 030114 C FNl[DES F43 EW0�ig O1HGCf �ENiOGC�PRIC�EO ,k -BE WARNINGI"Ls'E° °Ew1aE EztaEVF uin lU WTOLILC% EFECTInti AND ODLC[HG. SEE H1B-St DF TF[. SEE 1H75 CES10O FOR AC01T10HIl. SPECUL OEFd .A 2 DUCEM AI 9UIPEIEMS. UA.E13 01HERSESE EADICCTM TOP CHEFD SHA1L BE L6TEPA LT PALM I[11D1q� LT ATIAWED RM04D S,E41H111G. BO1lUl CHORD��� A -LK E Emu % AT1ACHEDVul 010[0 CEIpli RM —SEE ALPfIE IEUu1ECLL 1,PL1L1E 17/1/Pf! FOB W.CPEB OCS[6d 10 THE iR1us1 E3611. QCiltbl [C AWCTFAESH & CON OF FH75 Q�4 ,� Q C A * �' 6u ff0�•��� 11p p Vr y� TC LL 16.0 PSF ,! TC OL 10.0 PSF C DL 5.0 PSF Ci LL 0•Q PSF OT.LD. 3 i.0 PSFG REF 8427--37784 DATE 06/08 /94 DRW CLUSR427 94/59528 CA -ENG MDODO'lFCfH031 OUR. FAC i .25 t--IP1 - TRUSS PLATE 115flUATE. dos • 1901 tRTfOtW_ DISK" SPECIFTCLTICI FCR HOOD CO11S1COC1100 SPACING SEE ABOVE i z A 3 n M z m 4 G) H .0 H z 0 In D q O w u JUU: WMWCL--UNAAN DAKLIML .) / 14 [j- UUNN TOP CHORD 2x4 FL 01 BOT CHORD 2x4 FL #1 WEBS 2x4 FL Standard CONNECTOR PLATES DESIGNED FOR GREEN LUMBER PER NOS -91 TABLE 7.3.3. A RIGID CEILING OR CONTINUOUS LATERAL BRACING AT 72.00" O.C. MUST BE PROPERLY ATTACHED TO THE BOTTOM CHORD. •T 4XA X2 i I)1I3 U7115. rNtrANtl/ rNUN rUNFU1tN INPUT LLUALI, 6 Ul tfibLUNS1 SUBMITTED BY TRUSSITS TOP CHORD TO BE BRACED BY PROPERLY ATTACHED PURLINS 024.00" OC.a c TRUSSES TO BE SPACED AT 36.00" O,C. MAXIMUM. Ln CONNECTOR PLATES MUST BE INSTALLED IN ACCORDANCE WITH THE N REQUIREMENTS OF I.C.B.O. RESEARCH REPORT #2949. 14 10 PSF BOTTOM CHORD LIVE LOAD CHECKED PER UBC CRITERIA. to b. REFER TO DRAWINGS A103 AND A104A FOR OVERHANG DETAILS. En in ru ' V 14=11470 W=5"8 23'_ -- ;.SUPPORTS tea/ /ED r } BUTTE COUNT' BUILDING DEPARTM N ,/ APPR®%! rI R=11470 W=5"8 �. PLT. T P.- ALPINEDESIGN CRI I UBC CA 0 - f Rev 7 SCA E22OB 500 o L= cl c 0 0 o a c 0 0 0 o C= C= O C' C� G C=3O G ALPINE C! C= TRUSS Cm [� C� •[� C� [� [� *X'IMPORTANTK1C."'t" E'1�1'cm'J P"mucf% " b"LLL NDT De rdsowsw rc41 AHr DEVIVIDN FMP THIS CESISIt lq TFEEE S"ECIF]CAl1C4b. On AHf rALlU11E TO EABLO loll TRUSS IN CDIFCii1UYE 931M OST08 10 TPI. ALPIIE CSHEC-DOS 0.0E 1419E CF 2060. GA:Y. STEM KET11Sr AST" 4446 m 8 UMPT 15 NOTED. APPLT CCILA�CTCOS 10 EAM rACE OF T=tW AM U"SS 001ECHISE LOCUED O" THIS MINH F09111DU MFGZZN IV PEA FL DQAfICIS.E PF 13* 150 C 5FlI G T .. [C" STAIVER'S DOF.FCaI 1VAPFC)C49:E PRJ1151Q14 CP tG! E TPI. Atl EIt917EER'! AL ONE�y Un ; lnT BEI IPFIl EDills "bu "MES TOTFX CaOC OIKA TEDRLYHUE WARN ING""�9�k°°"Er1""cE cAu s" PAtw"r.. E?Ecl)oD A)1D 8FACIM. SEE 1x8-81 at IPl. SEE TIQS CE9AM rCP ALMM M. SPaCFAI Kant,. fiPACI"- AE OUIPE4NTS. J•CESS OT14PP41EL 1110TCAIED. TLV 000 SHALL OS LAIEPALI'1 BPACED ELT" P40PEA CT A17141-EDRYHFF.O SFEATAIM MINH C11COD ALP E TEC1LY Alfmcmiz MAT PI:1D.I) LOG -- EEE ALPME TECH1k'll MATE IT/I/9ll rOR P.IOFER Cw This 0939(,4 TO LICTPSSS "C13,311A CUT Q�OF O W. C �, ,o � � pwE Y 7O * �• ��9} * '�r./ rIY1� �Q( C TC LL 16.0 PSF TC OL 10.0 PSF 5 5.0 SC OL . 0 PSF BC LL 0 . O PSF TOT. LD. 31.0 PSF REF 8427--37783 DATE 06/08/94 ORW CALISR427 94]68927 CArrr-�EEI�IENIGI MD II IIDI� '111f7U'' ''13Ip�H�� �I�IIIIIII�I'II��I�I1I �I� 77H9 DUR. FAC. 1.25III <--IF] - TOM RATE IIH]TIIUTE. ?109_ 9891 NATIONAL 0[5110. SPECirICAf)OU TCA YOOB WHSTp1CT1O" SPACING 36. D" A Ln A CS) m i7 3 rD H Z ITl 4 N Z N Z 0 Lf) 33n 0 e SS - Y") 3 S �3 -/v,6,z, 13A,t /tv e, 19611 Ifevill C- f,�--9C/ TYP. h'OTCII a 24" O.C. 3.5" Hax� Max. 5YM Cn109 Detail lu8n Roof 1 . liateria�_ -- Outlooker - -� (C) {T) DETAIL "B' i Gable end .- j� 2X6 171,02 Gable r better (G) Gable end design based on 75 MPH Detail "A"—_ / 45� (14) Fnd wind load, exposure "BY at 0-25 rt. �4{ ABOUT mean height. 1 IV 2X Ledger I 2411 (Cl 1X9 continuous lateral bracing for Max. 12" Hin. Outlooker brace (strongback) member longer than 72". Attach of each brace _ trongback (P1) 24" t4ax. at midpoint p nail to ledger12" -- --�_ 13-6-0 -- STUD6-7-0 83 .. ---- 0 C.) VA35 OU?LOOKER LedgerCRIB(nail (0) Option to web plating: -use (3)-2 " BRACING to vert.) pitched H.C. also. (S1) F/2 -10d nails) Gable - OETAIL 'At Cn109 Detail lu8n Roof 1 . liateria�_ -- Outlooker - -� (C) {T) DETAIL "B' i Gable end .- j� 2X6 171,02 Gable r better (G) Gable end design based on 75 MPH Detail "A"—_ / 45� (14) Fnd wind load, exposure "BY at 0-25 rt. �4{ ABOUT mean height. 1 IV 2X Ledger I 2411 (Cl 1X9 continuous lateral bracing for Max. 12" Hin. Outlooker brace (strongback) member longer than 72". Attach of each brace _ \ (P1) 24" t4ax. at midpoint p Strongback -- --�_ 13-6-0 -- STUD6-7-0 83 .. ---- N/2 -8d common nails. braced at 55" O.C. TRUSSES Peak plate to (0) Option to web plating: -use (3)-2 " BRACING DETAIL 2X4 F. L, 82 or BTR wire staples (0.072 Dia./15 GA, ) toe- Strongback brace nailed thru chord into web & thru web I into chord on one face for a total of Varies 6 staples. (P1), (S1), & (Hl) must (0) be plated. \ 1 (T) Refer to Simpson Catalog C -94H-1 for Ledger product attachment specification (attach 1, A35 in F1 direction). • M 1110 " P1atC —\ (S1) \ \ \ \ \ (til) I -- --�_ 13-6-0 -- STUD6-7-0 83 .. ---- CONTINUOUS SUPPORT NOTE: This detail may be used for (PI) Peak plate to match common trusses. REV 1"5,.6:5 A'IP, SC -ALE a trusses with pitched H.C. also. (S1) Splice plate to match common trusses. - 81 6 Better 7-9-- (H1) Heel plate to match common trusses. (K) Spacing for 114 = 56,0" o.c, OAT£ 05/06/92 a o Span to match common trusses c19IATlfN ►P0N 11419 Cl31rA1 DO 1)4SY 2a1c1flcAaar. o2 List vumm. s[c ilm-OS 9r IPI. s:c Tinss)09 J " P1atC Hax. Heb Length 1X3* 2-8-0 —88-1-0- 2X4'1- 5-I1-0 3X4 -- --�_ 13-6-0 -- -2X4 F.L. lumber grades Max. Length without braclnq (t1) CHORDS TO BE 2X4 FIR -LARCH 12 14IN, Max, Length N/strongback. brace (S) STANDARD 5-I1-0 (2) I1-10-0 STUD6-7-0 83 .. ---- 6-7-0 13-2-0 13-2-0 82_ 7-9-0 REV 1"5,.6:5 A'IP, SC -ALE a 15.-6-0 _ 81 7-,9„,0„_--__— 01st imma Pewini: [E1`7 - 81 6 Better 7-9-- C= e X15-6-0�p SS _ 7 -9-0 R �Ne R1a� . QIOFES .1�-6-0 f2) IIEY 12/17/93 - FM .)M 7 W,I� NOTE: CHORDS TO BE 2X4 FIR -LARCH 12 14IN, U1 Rev. 6/19/92 F.M. (mise, de ails &Mn tea.) (2) (M) 2X4 HF 92 MAY BE SUBSTITUTED./ yJ 0_:5000 Sf:ON-- 50006 REV 1"5,.6:5 A'IP, SC -ALE a IIa LIE WOISECFI9 raacucrs. Ile. 01st imma Pewini: [E1`7 - DESIGN CRri Tft k6bf ri $EFJ 465322-, 4.27 C= e e o 1= r� iEN IHPORTANTMIE L1Au wT 2e aeSr0A6lfal row un WARNING lm Kvicutc, EneAeq QIOFES 30. 0 ASF OAT£ 05/06/92 a o 0 o c19IATlfN ►P0N 11419 Cl31rA1 DO 1)4SY 2a1c1flcAaar. o2 List vumm. s[c ilm-OS 9r IPI. s:c Tinss)09 COQ TO LL G C� o C fA1LLN 10 BUILD let IHAS Its COIf096AUC0 ■ et 00102 Of T►1 rCA UOITIMAL 2PICYAL ►fNw4vif a re 1JULISS O919M)se 1101ICV r.A .� C DL 15 .0 PSF ORHG"CD109C p C G Plaut CO44CICM 1F0 WOe or 2001 0M. S11EL WAII11[ ASTM OUIOEWAIS. � p p AN2 w A erupt AS WED. )Pair COWCTM 10 0101 ♦1911 Of 0000 S"IL 20 LALWALLY 2A"ccD Y—w" pL (U) 5. 0 PSF CA-ENGALPINE c MAI Ae1O IAnAss DN4PYltt LOCA1E0 OY INIS [ES1GL S-OSS19ON m1a4C104 an 0arlNcs no. ISO t ISM -r. MICN STANOAP01 Lf AITAr"10 PLT9000 LEUNuei 20BOM 2119 PNDPcal9 Ar1A04MI REGIO CCILset 140. 91192815 ` T.LD. 50 . 0 PSF 0/A LEN. VARIES o G CowCM Y/APKICASIE vW9%rOPS Co rot 1 TPI. AN [NSIKEN•S S2K aN Mn w,allq APPLIIt TO EK COmOLENI O9PICi[D 1ESt AVINC Wri"MAL 1iW1[ 11/1/911 PEA* TnnAu APPLrculw flAN1y12 cOn/u (�, 6m91TRUSS R.FAC. . 15 PITCH VARIES G d C IN CMIF. Y0 SMALL WI K MLIe0 LC09 IN 114/ 011C4 YAC. OCS16N TO DC IBM 1RGIICN CWITA.G CIyIL �� PAC ING — —. — — — •— TYPE GABLE END 710`1 - EWAS PIAT[ Liar NIC_ 10% • 149) 1"i DML CIS1a1 VUlfIC03011 r09 IMOD W-51PUC�l7 D v X N r u; A m A ai LD 0 3 rD H Z m 4 H z H Z Gl CDS T A rtr,. Y _ Co _•I 4 7 re i 39-47-39 a- 89B;P,E,M p% o I PEI r BARDWELL & LINKEVITCH 8y- 7{KP hem Ar -1, a PEI 3725 Cosby AVe, Chico- (/tF DO— /1 g v /�a✓ a fCO...:. �� ASSESSOR PARCEL ' I t LOCATION 2P? • '- • . , .�.�. �s+ r ramal e,�cpl'res -< <- � �"4ay 1IX16P f j Temp. Power Po e 4 Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service f' Called PG&E 0 JOB FINALED (Date) w ` .30 \ !A V _ Signature =OK 0 = Not OK t = Not;Readyable MOBILE HOMES ...� i. MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s ` 1. Zoning Requirements -Setbacks -Easements, 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts- Beam s-Rftrs.-Con neo.% Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /'Nat. or/ P'L"ft./ /"LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -B1 Date Card -B1 Date 10. Roof; Shthg-Roofing Card -B1 Date Card -B1 Date 11. Ext.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -B1 Date Card -B1 Date 2. Footings; Size -Spacing -Marriage Line r 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 - Dead Men -Lining 8. Gas and Electricity Tagged 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 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panel boards- Ins. to Main in Conduit Card -B1 Date Card -B1 Date Card -B1 Date - Card -B1 Date • 9. Health Department Approval 4 10. Plumb.; Cir. Test -Water Supply Test Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date • • = VK 0 e Not OK - = Not Applicable = Not Ffeady Date UN RESIDENTIAL (Single and Duplex) AFLOOR (Plans) OK except #'s yng-Setbacks;-Easements-Flood-Slope .; Main; Soils-Steel-Elec. Grnd.-/W' Garage; Soils -Steel-/ 6Q; /" Ftg. Dept Porches & Decks; Soils -Steel-/ %jL Main; Steel-Blockouts-Wraaoed walls, Garage; Steel-Blockouts- 7. Slab; Steel -Wrapped 8. Pi s -Fireplace Ftg.-Steel D.W.V.; Fall -Fittings -Test -2 way C/' . ewer Test as Pipe; Size -Anchors ClKWater Pipe;ems- nchors-Regulator-Service Test 12 --Electric; Underground enums & Ducts; Clea nce-Material-Su rt -Ins. Girders -Sills- nchor Bolt gists •r� ents pples� 15. Insulation Card -61 C - Date Lt J Card-B1R yn Date Card -81 C*G Date �Z.g3Car� Date Date PLUMBING (Permit) OK except #'s 1 Wa.&LatHt. Vent -Access -Combustion Air -Baffle 1' ate Pipe; Test & Anchors -Nail Protection W.V.; Test-Fttngs & Anchors -Nail Protection —i"- er Pan; Test, First Floor -Tub Access es Tub & Shower, 2nd Floor -Tub Access as Pipe; Size & Anchors Card -B , Date Card -B1 Date Card -B1 Date Card -131 Date Date . ELECTRICAL (Permit) OK except #'s ,2fi`-FIr Transformer Clearance -Ins. Protection 2 Receptacles Spacing -Lights & Switches at Doors Size Boxes & No. of Conductors -Stapled Romex installed Close to Edge of Studs & C.J. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water pliance Circuts in Kitchen & C nductor Size/G.F.I. bfeed Wire Size / I / ga. Cu or AI- .C. Wire Size JUga. or Al .--29 Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No --90-Service-Riser Conductors & Ground -Main Disconnect Equip. learances Panels-Motors-Mech. Equip. 32. C es Closet Light -Shower Light -Spa Light moke Deterjor Card -B ate Card -81 Date Card -B1 Date Card -131 Date Date MEC ICAL (Permit) OK except #'s cts Insulation & Support e n; Exhaust above insulation . on_aonsate Drain & Overflow; Size & Grade �tfurnace-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38? ttic AccessA Platform if Furnace in Attic Card -B ate Card -131 Date Card -131 Date Card -131 Date Date FRAMING (Plans) OK except #'s 3 s, Proper Material & Anchors ¢ . a Is Studs -Nailing, Spacing & Bracing—Plates-Sound .,wing Walls over Girders & Floor Nailing *2"IDEAU Stop in Walls (rat proof) 44—'Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearing Date_ fBAMING (Continued) 45 angers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.- s-Shthng.-Rfng. I► Fireplace Ties or Type A Flue -Fireplace Throat Clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4&.9drrfi. Windows or Exiting Doors -Sill Hgt. & Dimensions .w -5A Garage Fire Protection Framing •-.yY. Prq�poerty Line Firewall & Openings xt. o s -One 3' -Check Garage -3rd story, 2 exits a' , Width -Headroom -Rise -Run -Landing -Fire Protection kl!liwood on Roof Overhang -Attic Vents -Rafter Outriggers iding-Nailing Veneer Stucco Mesh -Drip Screed -Fd. Vents-UnderfIr. Access _j7,43razinb Area -Glass Protection -Skylights -Plastic . hear Walls; Nailing -Bolts �- I .ksulation-Walls-Clg. f' )r .Infiltration-Walls-Wndws i Card-BlK&. / DateaFjt ?-Z Card -B1 Date Card -131 Date Card-B1'bete Date FI (Plans) OK except #'s EW. Steps -Door & Sidelight),Protection-Landings moke Detector 3.rn ; Vents -Clearance -Comb. Air -Connector - In ge; Above Floor-Ducts-Mech. Protection fiegelld"room Exiting K. G.F.I. & Bath Fi tures'& Tub Access -Spa 66. EI Trim & Subpa er izes- e tairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69.LWc.,dutlets at Wood Panel; Int. Ext. - 7Z.,KiFi& Appl' d. -'ir' p -Cooking Clearance 71. Ele . Outle & Ree tact it. Counter 7 arage Fire Door; Swing -Landing -Closer 73. A.C. Du in Garage -Damper Wtrr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- age; Above Floor-Mech.' Protection 7t5,_yt6., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 77. Ipeulation- Foam- Looked in Attic ❑ Yes . Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes ollowing instld.; Drivel s ❑ No; Walks es ❑ No; Planters ❑ Yes two 81. Stucco; Brown -Finish 82. AZ. Unit; Disconnec , Ele lumbing llllklft]ts Above Roof; Plbg.- pp nce-Firep1.-Clearance to WWate Well; Disconnect Electric lumbing 85. E r Elec. Tri G.F.I. cle- derground tilation throughout House GI s Protection rrections from Previous Inpections s Test -Meters Tagged; Gas -Electric Wa r & Sewer Connected -C/O to Grade -HD Approval 91. Vergy Compliance Certificate -Other Certificates Card -611-5- Date Card -B1 Date Card -B1"7- ate Card -B1 Date Card -131 Date Card -131 Date Comments at FinaJ: (NOTE: An entry must be made each time you visit job site) BRIAN BARDWELL �-- - 3725 COSBY AVENUE CHICO CA 95928 ite, County BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE. CALIFORNIA 95965.3397 TELEPHONE: (916153&7541 FAX: 1916) 538-2140 r CHICO OFFICE - 1469 HUMBOLDT RD, CHICO 95928` TELEPHONE: 891-2751 RE:-- Building Permit # 94-1701 Expiration Date: 6-157-95 A. P. # 039-470-039 DEAR MR BARDWELL: With reference to the above subject, our records indicate that your building permit expires on the above date and your' permit falls into the category marked below: [ X] Permit -work started, but not completed. Permit may be renewed for 1/2 the original building permit fee (plus a $20.00 filing' fee). The renewal permit will extend the building permit for an additional year from the original expiration date. Should you not renew your permit within 30 days of the expiration date, all work must cease until a new building permit has been issued. For your convenience, we are enclosing.a renewal application form and owner -builder form to be -,completed and signed by you where indicated and returned to tliis'office together with the fee shown. Please return all copies of the application form. [ ] No inspections have been made on permit work. Inspections -are required to verify code compliance. We are. unable to renew a permit where the work has not been started and inspected prior to permit expiration. After expiration of your permit, no work may be started until a new permit has been issued. If our records are in error or shouldyou have any questions concerning this matter, please contact the CHICO office. Thank you for your prompt attention concerning this matter. Yours very truly, J"4 Mic e1.C. Vieira, C.B.O. MCV:ahb Manager, Building Inspection Attachments Chico Office - 1469 Humboldt Rd/891-2751 Paradise Office - 747 Elliott Rd/872-6307 f:t •, r-•�csurs..-�,.—.:=i!:Y_=�T`.'.:F"rt3^'.. . ane .,, `�'; "' c COUNTY OF BUTTE- DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 PERMIT NO. APPLICATION -AND PERMIT ASS ESS_OR P AR L NUMB oWN BUILDINGPERMIT AZON NE WNEtR'SMAILING AODR 5i Sq.FT, OCC.BUILDING VALUATION /C N AC OR• AMNE P 11!111 CONT CTOR'S A+L ADDRESS CONSTRUCTION LENDER - Fireplace UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee ARCHITECT OR ENGINEER Permit Fee $ 10.00 $ LICENSE NO.. Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS$ Energy Plan Checking Fee $ BUILDING ADDRESS Penalty Permit fee $ $ �O PLUMBING- PERMIT Filing.Fee 10.00 _ Each Trap 2.00 LOT NO. SUBDIVISION NA ME Solar or heat pump water heater 20.00 _" - •„ -.ir. PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets. `SF Duplex[]Mobilehome❑ "Other Building sewer 5.00 / SPECIFY TYPE.OF WORKS Mobile Home G W 5.00 O.00e New Addition Q Remodel ❑ Utilities ❑ Installation❑ Other ❑ Pennit Fee s Describe work: —G Contractor ELECTRICAL. PERMIT Filing Fee 10.00 Main service "1 oR LESS 100 AMP OR LESS 10.00 CONTRACTORS LICENSE LAW` Main service EA. ADD'L 100 AMP 2.50 I declare under penalty of perjury. p Y P) y (check one): NEW CONST. /DWELLING OCC OR ADONS. 1 ACC. BLDGS. I h2s ft Q ❑ULTLE I am licensed under provisions of Chapt. 9, Div. 3 of the Buslnes$ and Professions Code NON.RESID R BRANCO CTRCT TS 2.50 ea and my license is in full force and effect. License No. (POWER APPARATUS d SINGLE OUTLET CIR. / Classification I, Ex. Occup (OUTLETS OR FIXTURES eAL030 i30 as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is FIXED APPLNS. OR Ex. Occup. OUTLETS IRESID.) Eq•� 'Z,QQ not intended or offered for sale. (Sec. 7044) Temporary service 10.00 I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) Mobile Home Facilities 15.00 ❑ I am exempt. under Sec.15.00 Business and Professions Code Misc. Wiring --f— for this reason Permit Fee $ WORKMEN'S COMPENSATION INSURANCE Contractor I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) less. MECHANICAL PERMIT FiIirig Fee 10.00 or ❑ 1 have placed on file with the County of Butte Building Department Heating a Certificate of Workmen's Compensation Insurance or a Certificate �`FA of Consent to Self -Insure. I shall not Cooling Lei employ any person in any manner so as to become subject to the We C.. laws of California. Hood 3,00 Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, Ventilation. you must forthwith comply with such provisions or this permit shall be deemed revoked. 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 Moblle Home Installation Fee $ relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned Energy Inspection Fee $ property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against a,W liabilities, cc P5 -214 I` TOTAL FEE $� judgments, costs, and.expenses which may in any way accrue against said County in conse "AZ CUA PARK SCH FLD ue a of the granting of this permi �� 1- PAR PD D ISSUE X Date / Si nature of Applicant _ Signature PP Owner Contractor ❑ Agent ❑ This permit is Hereby issued under sions of the Butte County. Code and/or the applicable pro,i- resolutions to do ' i n OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 st�o7ri-e's�in (,eight. work indicated above for which fees have been paid. I . ���E — _!,RECTOR CT R OF PUBLIC WORKS - Receipt, No. ���� ! By e'_/1LL�r71y�I ,�- � 'fit'" _��"-"`rl _ w- •- • • ..Y.rti•�: . . a-:+'ws.:TZw:r�''r COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA (916) 872-6307 CORRECTION NOTICE OWNER �i3-ly�o PERMIT NO. •iy A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is co pleted. If you have any questions pertaining to this matter, or need additional explanation, ple a contact this office immediately. 'y r?,ctio(L N\\A� StcL W IT A PPv,) o 6-I A n, CI1tN(-IS- LT S S LTS 2 � I AR M s •z �o Sc V\gFPLAas i',�E12 StoAN A/v� Date -2 3, 'J ?j Inspector REV 10192 r x COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial-Wayj4Chico — Phone: 891-2751 7 County Center':Drive, Orovi Ile — Phone: 538-7541 r... 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Date -' 2- Inspector k " ��_ 3 034 2 �l ✓2'L.vFDti �Ql�' 303Zv89B,P,E,M PERMIT NO. A PERMIT EXPIRES BARDWELL & LINKEVITCH OWNER owner CONTR. ti 39-47-39 ASSESSOR PARCEL 3725 Cosby Ave, Chico LOCATION c e407 1 Ge_ �YSeu)a( r- Ore S � l0 -CD -(31 a J Temp. Power Pole Called PG&E 4110 GAfLAGC %\ Temp. Elec. Service Called PG&E \ Temp. Gas Service Called PG&E -JOB FINALED (Date) AL3 e►' Signature • x OK 0 = Not OK • = Not Readyable - MOBILE NOIRES MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning.Requirements-Setbacks-Easements 2. Soils; Special MH Support -Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 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 -B1 Date 10. Roof; Shthg-Roofing Card -B1 Date Card -131 Date 11. Ext.; Steps -Doors -Landings Date MOBILEHOME, INSTALLATION (Plans) OK'except #'s 1. Zoning Requirements -Setbacks -Easements ' Card -B1 Date Card -B1 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 - Dead Men -Lining B. Gas and Electricity Tagged 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 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Ground ing; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit Card -131 Date Card -B1 Date Card -137 Date Card -131 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -B1 Date Card -131 Date Card -131 Date Card -131 Date = VK 'O=Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) Date UND FLOOR (Plans) OK except #'s w ning-Setbacks;-Easements-Floo - pe tg., Main; Soils-Steel-Elec. d.-/' " Fig. Depth . tg., Garage; Soils -Steel-/ /" Ftg. Depth . tg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 6. Stemwalls, Main; Steel-Blockouts-Wrapped Stemwalls, Garage; Steel-Blockouts-Wrapped 7. SFAb; Steel -Wrapped . Piers -Fireplace Ftg.-Steel .W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Card -B1 CSFJ Date f 2 (Card -B1 Date Card -131 Date Card -81 Date Date PLUMBING (Permit) OK except #'s ater Ht. Vent c ss- ombustion Air -Baffle 1 2* er Pipe; Test & Anchors -Nail Protection D.W.V.; , ttngs & Anchors 'I PwT&ctio 19. Shower Pan; Test, First Floor -Tub Access MTest Tub & Shower, 2nd Floor -Tub Access 2Y. Cas Pipe; Size & Anchors Card -Bl(" -,G Datet&J& L) Card -131 Date Card -81 ('..,C, Date\i S In Card -B1 Date Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection Elec. Receptacles Spacing -Lights & Switches at Doors . Size Boxes & No. of Conductors -Stapled omex Installed Close to Edge of Stu s & C.J. uip. Gro made up ech.staner o s (27 2 Appliance Circuts in Kitc en onductor Size/G.F.I. Subfeed Wire Size / / ga. Cu or(l A.C. Wire Size / /ga. Cu or AI )Ck3,*W ge Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No Service -Riser Conductors & Ground -Main Disconnect Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light Smoke Detector Card -B1 (,(, Dateyo,j&, -p Card -B1 Date Card -B1 C.1 -G Date\k.yCi0 Card -B1 Date Date MECHANICAL (Permit) OK except #'s 3 . A.C. Ducts Insulation & Support Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade urnace-Veprf'Access-Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnace in Attic Card -B1 GG Date t0-)(40Card-B1 Date Card -131 Date r Card -B1 Date Date FRAMING (Plans) OK except #'s 9 ills, Proper Material & Anchors Walls Studs -Nailing, Spacing & Bracing—Plates-Sound 4 • Bearing Walls over Girders & Floor Nailing 4 aft Stop in Walls (rat proof) Fire Stops; Furred Ceilings -Stairs -Chases -Tub Header & Beam -Size & Bearing Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors MC Ing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Ring. place Ties or Type A Flue -Fireplace Throat Clearance ttic Access; Size & Romex Protection -Draft Stop -Ins. Baffles . Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing 6T -Property Line Firewall & Openings . Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 5�rSStairs; Width -Headroom -Rise -Run -Landing -Fire Protection lywood on Roof Overhang -Attic Vents -Rafter Outriggers iding-Nailing Veneer 5t6-8taoco Mesh -Drip Screed -Fd. Vents-Underflr. Access gazing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts r4C]Wa- 59. Insulation-Walls-Clg. 60. Infiltration -Wal Is-Wndws Card -131 GC Date6_�3 CIO Card -B1 G. r Date I (-�. Card -131 CSF, Date yo.I(,,,54Card-B1 Date Date FINAL (Plans) OK except #'s 61. E t. Steps -Door & Sidelight Protection -Landings 02,"Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 64-8edro m Exiting _ & Bath Fixtures & Tub Access -Spa lec. Trim & Subpanel; Breaker Sizes -Labels Stairs s 68-9+replace or Stove; Clearances -Hearth 60,E1ec. Outlets at Wood Panel; Int. & Ext. 70 -Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance Elec. Outlets & Receptacles at Kit. Counter 72-6arage Fire Door; Swing -Landing -Closer 737A -C. Duct in Garage -Damper / Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection ?57-Plb., Elec. & Mech. Equip. Listed for Location 6. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. Insulation -Foam -Looked in Attic ❑ Yes 7"6ard Rails & Deck Construction -Post Caps 7-9-Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 9105 -Following instld.; Drive -❑ Yes ❑ No; Walks O Yes ❑ No; Planters ❑ Yes ❑ No 84 -Stucco; Brown -Finish BP-�C. Unit; Disconnect, Electrical, Plumbing 8X -Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. 8$-Wa-ter Well; Disconnect, Electrical, Plumbing W. Exterior Elec. Trim; G.F.I. Receptacle -Underground 8 . Ventilation throughout House 81. Glass Protection 88._crrections from Previous Inpections (2123ge:1sl Meters Tagged; Gas -Electric Water & Sewer Connected -C/O to Grade -HD Approval 91, Energy Compliance Certificate -Other Certificates 92. Roofing Certificate Card-B1a Date !Q41 -A t Card -B1 Date Card -131(? Date q. f Card -81 Date Card -Bt Date Card -131 Date Comments at Final: (NOTE: An entry must be made each time you visit iob site) . _.�._�_.. .�. .... __.. _ _.....—........__µ....sq....:.... ..ter....,.... ,......_.....�..r«...a........�...._.......,....w...__..._._ ..-�. ...,a �. � .� ,........._ � i ..� f �y uENERGY CERTIFICATION LOCATION A. P. N0. MATERIAL BRANT) NAME_ THICKNESS THERMAL RESISTANCE (R VALUE) EXTERIOR WALL —'-' MATERIAL _FIREGLASS BRAND NAME —CERTAINTEED THICKNESS (INCHES) THERMAL RESISTANCE (R VALUE) n� CEILING BATT OR BLANKET TYPE FIBERGLASS— BRAND NAME—_CERTAINTEF..D _ THICKNESS `—VY - ' THERMAL RESISTANCE (R VALUE) LOOSE FILL TYPE —FIBERGLASS BRAND NAME CERTAINTEED MINIMUM THICKNESS (INCHES) NUMBER OF BAGS WT PER BAG 25 LB AREA COVERED (SO FT) THERMAL RESISTANCE (R VALUE)_ FLOOR, ELEVATED MATERIAL __FIBERGLASS THICKNESS (INCHES) FLOOR, SLAB MATERIAL THICKNESS (INCHES) FOUNDATION WALL MATERIAL_ THICKNESS (INCHES) BRAND NAME CERTAINTEED THERMAL RESISTANCE (R VALUE) BRAND NAME__ THERMAL RESISTANCE (R VALUE) BRAND NAME THERMAL RESISTANCE (R VALUE) I HEREBY CERTIFY THAT THE ABOVE INSULATION WAS INSTALLED IN THE ABOVE BUILDING IN CONFORMANCE WITH THE STATE_ OF CALIFORNIA ENERGY REQUIREMENTS. HAWKINS INSULATION 379407 FIRM-NAME/OWNER STATE CONTRACTOR'S LICENSE NO. SIGNATURE DATE I HEREBY CERTIFY THE ABOVE INSULATION AND ALL REQUIRED ITEMS AS SHOWN ON THE BUILDING DEPARTMENT APPROVED PLANS AND ATTACHMENTS HAVE BEEN INSTALLED, AS REQUIRED BY THE STATE OF CALIFORNIA ENERGY REQUIREMENTS. ALL EQUIPMENT, DEVICES AND MERTIALS ARE . OF THE QUALITY PRESCRIBED OR ARE SPECIFICALLY APPROVED BY THE STATE OF CALIFORNIA. FIRM NAME/OWNER SIGNATURE GEN. CO TRACTOR/OWNER STATE CONTRACTOR'S LICENSE NO. DATE —1— COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise —Phone: 872-6307 { CORRECTION NOTICE fov -9 OWNER PERMIT � A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. / A+X ; ze- J ',_- 2 a� Date—//Z9 196 Inspector�0 ' COUNTY OF BUTTE ... DEPARTMENT OF PUBLIC WORKS ♦, 196 Memorial Way, Chico - Phone: 891-2751 7 County Center Drive, Oroville - Phone: 538-7541 z 747 Elliott Road, Paradise- Phone: 872-6307 CORRECTION NOTICE '1;?,Nfzn�A1-1 t �_ 3n ct OWNER PIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter_—er need additional explanation, please contact this office immediately. 4\D5- TG sr C-ir1 p,w,U �K—rr2M-\^JArif 15--r,fer2i«tc. t'j1 cc . .7K r L Cc rrtt CA L L g- tJ or r1.157(Ar_t As A01m)u8!, .'I Cn��No� - hlo A ei�s� TC RC-"Vrfg N�hl L rLC) -TA ISs I+An/ Gwc r< S Tc) To I5r- f �o�r�r �l2tc S Cl'15(2Fl T/ten/ f5RC) /1 Ll Uin&v-, A99 A TO G:A RAG STA IRs Mbi s* 9k1 -r- 70 n to rs l b r w / TM o I4 f Go) /VG T 112,3L,r, fl (,-A2AGE d;�5'i1vsrAtl z4 / SS lNG tn/i/V �1r✓S, 7�M1.J, ICIrcll(fT/ C'I 2et',Irs wlr1 Iva n-1.1' ✓r �U-"-- ni) j- 5--7- SQ r - r- 1 r-_ (,-2Fss Fez,3m 1 e-- () 1'i f 14 1 /y (I! -/1/C.,14 k. lk 2 /n/(2 Y o (L N K / L //VCS Ttzt'i5S f,v5 rcin•. CV1L)2g., Mtnl 3n " SC- _ 8 - TIC' Accit5s ��2 /v�ilnl�NT t fa�A 72 rc, ATrlc 4.JAisic N �Tkt2, Date I" -1(,-6I 0 Inspector /fZ;t . — --s. i..ti. — .r•, r y — r4. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS c'a F ' 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise,— Phone: 872-6307 CORRECTION NOTICE R�14(k-IL. 3�3z/8g OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matt , or need additional explanation, please contact this office immediately. J t`iG iA T i e..O 1 Is -- Date I a ` /6-'i b Inspector ITS a L_ --.- t 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 N'NV l) ac c 30 '�2 R OWNER PERMIT N0. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. 61) 114- A ��o s V.1�, c.fk/I-,( � NIS'eiLCTI'A Date 14 - IS -'76 Inspector /- I �Llr _ COUNTY OF BUTTE • . • DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, OroviIle — Phone: 538-7541 747 Elliott Road, Paradise—„Phone: 872-6307 , CORRECTION NOTICE N (Z\D Ec t. 3 v -33- 81 OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this mar, or need additional, explanation, please contact this office immediately. Fj,,0t2�SCr (n/ CLosfi~T'. 1'4A /b 2A , L i T 5 r Ite 5. Date 15 9 t Inspector COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - O:oville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. 0Z ASSESSOR PARCEL NUMBER I ZONIN 'g— BUILDING PERMIT OWNERtiV _ � .€�H� SQ. FT. OCC. BUILDING VA ATION OWN 14,AILNGk DRE ^^ LLcQ�7Q(CJJpp -7 l- CONTRAC OFj'S IyAME 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 141 Permit fee $ PLUMBING PERMIT FiIingFee 10.00 Each Trap 2.00 (� Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF Lk Duplex[-] Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW I 10.00ea.___ TYPE OF WORK New,] Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: ��/�� ek?-SaZ2 ✓6 ' A0dL1 GARA6rit Permit Fee $- Contractor ELECTRICAL PERMIT Filing Fee 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.SINGLE 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 fors. (Sec. 7044) or sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ❑ I am exempt under Sec. , Business and Professions Code for this reason OR ADDNSCONST. DWEACC LLING OC '�z�sgft 26 NEW CONSTH U TI.OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS tr OUTLET CIR. „ Ex. Occup OUTLETS OR FIXTURES 20 ® 50Q eAL@30 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 ' Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 dab Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating ot 000 Cooling g Hood 3.00 r7,j Ventilation. permit Fee $ a/ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes.] 1 also agree to save, indemnif and keep harmless the County of Butte against all liabilities, judgments, co ts, nd expenses which may in any way accrue against said County in c se en of the granting of this permit. hp,�;This X Date Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit isrequired for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories height. Mobile Home Installation Fee $ Energy Inspection Fee $ C ST TYPE _-%� TOTAL FEE $ HAz CUA PARK SCH FLD PAR PD D SSUE (/ permit is hereby issued under sions of the Butte County. Code and/or work indicated above for which fees DIRECTOR OF PUBLIC BY P IT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date) ZZ, /� "� -ten Receipt No. q� 1 / WHIT[-D.P.W.. YELLOW -ASSESSOR PINK -INSPECTOR. GOLDENROD -APPLICANT I TO Build.ina Department `•FROM: Environmental Health StUBJECT: Sanitation Clearance Owner Location' AP# Plan -.Approved for: Hold final for: Sewage Disposal . Final clearance O.K. for: Clearance for bedroom i+we ome. Other NOTE *: t Water Supply Z✓ Water Supply Water Supply Sar,I to an Date i'• COUNTY OF BUTTE - DEPARTMENT, OF PUBLIC WORKS - BUILDING 7 COUNTY CENTER DRIVE - O'ROVILLES CALIFORNIA 95965 - TELEPHONE: 916/538-7541 DIVISION At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. azardous Material Form .......................................... Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 4 1_ 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11 Chico Urban Area fees paid ....................................... 1 Park fees paid .................................................... School District fees paid .............. _ CQ 14. Sanitation approval from <24L22--6 Health Department Z 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... Improvements may be required. Contact Land Development Section DPW _4� ,,Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25 Letter of signature authorization ................................... C en you issue the pe mit, process as follows: Ma' to owner. Mail to contractor. Telephone 4�-?-7��1 and hold for pickup at ��co office. Deliver w/inspector. Other / 1 .7 Applicant Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted 1. Index permit for above items No. - 2. o._2. Additional items required: permit issuance: (Circle new Date Contractor designer, owner, was advised of above required data by_phone�naiI—counter byD '.date _1 �29�g Con ractor, designer, owner, was advised of above required data by —phone _maiI—counter by date Plans checked by_,�) Date Plans approved by ue" Date/I 2-46,9--- Sets 6r Sets of plans on hold in �le cabinet AP folder Copy—DPW 4 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)_. 2. I (have/have not) 14/11* 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 SecurityNj�mbe - Date i/ I1 7-s 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. it 4 RetuRi 't'o "1)PW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8.1. of. the Butte County Code requires Lhis acknowledgement be recorded prior to issuance of a building permit. f 89_.34912 The property described herein is adjacent. ., 89-034912 ; Rec Fee .. 7._00 to land or included within an area zones for agricultural and resident. ;. "�« Check 7•00• purposes, of Lhis property may be subject 'to incon1 Recorded � Official Records ; veniences or discomfort arising from thf County of ' use of agricultural chemicals, including) Butte ; PARTY PARTY SHOWN but not limited to herbicides, pesticides Candace J. Grubbs r and fertilizers; and from the pursue ; . Recorder 1 of agricultural operations including 8:01 -am. 13 -Se 89 ' P but not limited to cultivation, plowing „ _ .9J 2 spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has esLabl:ished .1grir•ul• Lural. zones which have as a priority use for productive agricultural. purposes, .incl residew ; within said zones and on adjacent property should be prepared to accept such i nc-onveu i cnc.(, or disconf:orm from normal, necessary farm operations. All. that real property situate in the County of Butte, State of: California, described ns f ol. lows: Date: f.- / J89 State of. �) SS. County of ) On this the da.y of19eF before me., the undersigned Notary Public, pe sonally appeared 16Q_ C �!SwbwELLL C_�Ecv_-���E- LI "K)�cVt"C— — E] Personally known to me. D<Proved to me on the basis of satisfactory evidence. to be the person so whose name ubscribed to the within instrument and acknowledged ChaL. _ :`•::.. OFFICIAL xecuted the same for the purposes therein contained. I.N WI'I'NI;tiS .� VICKIE BLUNT HEREOF, I hereunto set my hand and official. seal.. NOTARY PUBLIC CALIFORNIA BU TE COUNTY MY COMMI ION EXPIRES FEB. 10, 1992 Present ,A.P. No. 6157 -� 17- 0 - oi3 - a Notary Public r �� ORDER NO. BU -104627 TB DESCRIPTION ALL THAT CERTAIN REAL PROPERTY_ SITUATE IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS: LOT 8, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "MAP OF CAMPER TRACT, NEAR CHICO, BUTTE COUNTY, CALIFORNIA", WHICH MAP WAS RECORDED IN THE OFFICE OF THE'RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MAY 19, 1890, IN BOOK 1 OF MAPS, AT PAGES) 28. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE FOLLOWING DESCRIBED PARCEL: BEGINNING AT THE SOUTHWEST CORNER OF LOT 9 OF SAID SUBDIVISION; THENCE NORTH 1 DEG. 15' EAST, 279.82 FEET ALONG THE WESTERLY LINE OF SAID LOT 9, THENCE NORTH 71 DEG. 45' EAST, 827.00 FEET PARALLEL WITH THE SOUTHERLY LINE OF LOTS 8 AND 9 ACROSS SAID LOT 8 AND 9'TO A POINT IN THE EASTERLY LINE OF SAID LOT 8; THENCE SOUTH 1 DEG. 15' WEST, 279.82 FEET ALONG THE EASTERLY LINE OF SAID LOT 8 TO A POINT IN THE SOUTHERLY LINE OF SAID LOT 8.AND THE NORTHERLY LINE OF ROGERS AVENUE; THENCE SOUTH 71 DEG'. 45' WEST, 827.00 FEET ALONG THE SOUTHERLY LINE OF SAID LOTS 8 AND 9 AND THE NORTHERLY LINE OF SAID ROGERS AVENUE TO POINT OF BEGINNING. m PAGE 4 END OF DOCUMENT BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One Form per Building) A.P. Number_ Building Department No. School District(( �%%' City = County Jurisdiction i Property Owner �_ �', - -fe Project Location/Address Subdivision Lot Number Residential Development: Sq. Footage # of Living MHI Addition (Group R) Units Commercial/Industrial: a New r Building'Department Representative aSq. Footage Addition (Including Exterior Roofed Areas) �Date<' ******************************************************************* (Floor Plans reviewed by School District Personnel) District Id No. A".� -?� School District certifies that (Applicant Name) J d(Phone Number) (Street Address) (City) (State) (Zip Code) has complied with the requirements of Resolution No.,��%���� by the payment of $ � representing �� square feet. School District Representative Date PAID BY CHECK NO. BANK NO PAID BY CASH REMARKS: white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) .. ,f+ :.•..---�--:••.-�.+...o.r. +.- _ � - .. ,,,, r e . � . - � s._ i .. . .. M . 'w . + -.,. � .. �'S;Q• t7G•e(��r .�. ,� e:! ^" y� . t .. --+•, .. -•., +r `�.,^ i .^., • •^r r i- ::'y� r..." + yam"{- -. Jam: 257 - T>�I. T� PREPA €? FROM CUN 1T H I#�!! Lg & flI f N5 NS _ k TTEO BY. T 5 MFR_ -TOP °''ORD .2X4 FIR -LARGO f4 _ TC .X -LOC C=OI. U.�l .5.x"0 44.4E! 14.80,19.'71 8nT IE OPD 2X4 F tR-LARCH 01, WEBS 2X4 FIR -LARCH S'TA kRD 8C X -LOC L. -R' 0.29 6.80 :3.20 19.71 D" . CGHNEC T OP PLATES 14US-, T B i NS i AL�_F-O Cid ACCORDANCE W I T!i F ti6[ E CUT WEB b-1 C: 4. A � 'lEGUlAEWNTS OF I . C . B . 0 . WSEARCM REPORT 02949. ^' (U) BOTTOM CHORU CHECKED F®P 10 .{'SF, LIVE LOAD14 _. N Q:U PLATES Am TO 6€ CENIEREG 00 THE JOINT_ LEFT TO RE69T AND , FOP TO BUTTON. ERCEPT wIEN LOCATEC BY CIMLC OR 01NENSION, TOP CHORD SHALL. BE LATERALLY BRACED 41TH PRWERLY CONNECTED.. 0 •SEF GRQWIW t3O FOR "PLATE L.GCAtfM-S/ ON TYPICAk JOINTS. PURLINS SPACED Al A NAXIlKLP OF 24' O.C. 0 "NOTE: 2.X1 OQ "Ew-FIR OR BETTER CONTINUOUS LATEPAL 13GTTC04 CONNECTOR P.-ATES DESIGNED f;GQ GREEN LUMBEA P01 MUS v, CHORD 9F7ACIt*- @ 72` MAX. D.C. REOLIIRED. ATTACH W(TH TABLE 8.16. O ?� 2-164 NAILS. MACING iS NO; PE OUTIRF-D IF A PTGID CEILING IS ATTACHED DIRECTLY TO BOTTOM C40tl90. BAACI.NOG MATERIAL � ITtv-k vu TO BE SUPPLIED AND ATTACHED AT 8WH &405 TO A SUITABLE SUrPORI BY ERECTION CONTRACTOR, t 2 a X r t X 3 1`40, C043F45 { `- �� R ixa. 6.30-43 0 �•,.. PX4 2X 12 'l 8.0 fJ r 8.00 t x L ttt •�€,t .5X4 2..5x4— — W 3X4 c _6-0 _ . 0-0--0 10-0-0 OPLT . TYP.--ALPIW SEIUN-- 50952 FURNJISM A COPY OF 7HIS T)ESXCN TO EREC41ON J;WtPAC'T& AEV 15.1-2 SCALE 0_PPweOwmww �XT_� .,w TOOKSM WIROi. UrFW34E C� nEsiGm COtiT: UBC REF 8.4277�3185 e ra res r� I�ORT ART Jt# sra•a lot eE ge a Fan rrs ARMING :ses s msixe - t"mrima On 4W-V[ArWM alw r*'U& ,—XaTCATTM0i.'tA MY aero -rale AM -A sr -E '/pT-ns-. mare r® mes�R TL: � L 1e) . � PSF f1A TE O�!f ®� � �1 �l mm wIlzmr; *41.44" Pf111K ju AISW -fw. tam m cwsviMMLi C.IE�SS� wv no r%L9NfirlUTl66-�IOTI . ilfC ctit11f tbt pppltlYe StllUlii 91 m, em m. w-mr ai .tlm ms Wsisw t;m +mml� ­Ecm s TIC UL 10 . D DAWG rusWKfi?20to8;. 77—A Ali[ ,aM�s/LYL1Hi 1�1 N 6MICF FM.YaEli.e� Cil�1 mmv w.%c 6rmwei'. m twm;--7"*Mm t{ . c--ALAL PT uxart a ilEETfM Irl a 49Th 44M OMW a_ �.� Ton o aD �t ae L.7wu: afamav CA 8w Dl. �� � P� i �-EedG C ,srr, meaTtans m llQil a ps At fa.� A W! ealp SIIG7G -A .s+►, P418Mell r ? rt a Or71 w Q«w�-4aE+rmuc TOT -LC- 3 1.. 10 PSP O/A LEN. ' 24� _ p_0 �zn=Jlaln. aiu.'C�. wioMC .aE r %00 RA a�e£Ss eT6�tl 3lmial. a6rasl ew�o real as i.1.rAc A. wi�etlfi• asrae �+ vwwr" "T#. ew_aaaf l�anwaa eR as s�esseu� a acral. m ru► leer slr>s: m t _FAC . 1. 25, P1 T CH 8--0112 o� uw art: atn _ sfstfst y7awEtA1; ecEru¢iAlt 1fi'A7'fL! sudsy e :-I Ce o r SPACING 24 . 1 •--acs _sees oca,e PeS►.etslC x�c - «.ntw.a aeslalessrotsmr/ wrs acorn eorsewlcvww COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 39-47-39 ZONING' _ BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS P-0. Box 1614, Chirn 95927 1st Renewal CONTRACTOR'S NAME Ownpr TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee @i Fee $116.75 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $126.75 PLUMBING PERMIT Filing Fee 10.00 3725 Cosby Ave., CHico Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF B Duplex❑ Mobilehome❑ Other Temp RPR" denr'e SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New❑ Addition❑ Remodel❑ Utilities [I Installation❑ Other [X] Describe work: 1st Renewal of R.P. #3039-89 _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 ONTRACTORS LICENSE LAW I declare under pe ty of perjury (che` c� nae) ❑ I am lic nsed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contrijict- s (Sec. 7044) empt under Sec. , Business and Professions Code ❑ I a71s, reason oR ADDNST (DACCLBLDGS.CCUP.tY) 2'h¢sgft NEw CONST ULTI.OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20@50¢ DALaso FIXED Ex. Occup. OUTLETS P(RESID )REA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare n r enalty of perjury (check onel — ❑ he 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. TM I shall not employ any person in any manner so as to become subject yO'm to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the abo e -mentioned property for inspection purposes. 1 also agree to save, inde ify and keep harmless the County of Butte against all liabilities, judgments, os , and expenses which may in any way accrue f against said County in c eq ftnce of the granting of this permit. X Date Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 st ries in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 126.75 HAz CUA PARK SCHL FLD PAR PD HD ISSUE This permit is nereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work i i ated above for which f s have been paid. DIR O OF PU L WORKS q Date y 11/6/91! MIT EXPIRES Date Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT '' �• COUNTY OF BUTTE - Department of Public Works 7 County Center Drive,,; rovtlle, 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 matprials for construction of the proposed property improvement (yes or no 2. I (have,/have not)— �j�y�_ aigred-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 someof the work but I have contracted (hired) the following persons to -provide the work indicated: Name Address Phone Type of Work Signed: Property Owner d4ii" Social Security Number .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. WG4'„T �t :.� `.�JV}Z`�•��i•'rf:C�S. ••i-:�',"yr,4 �',��., �,{•l"_-lt'�+.?•1'T CA�T;�!_�<i�g.�:�y [t - �°Ii,M-.t�:�J•rF LN•'»��ai�`�w"�'2_a ,FaiEN�7.3iY�.wit�:�*r+�, �,t �S•�}tii�t�r'•°.+svY.i�7�.�4.y+'�W;�'F'tO+1.F'�. ''�_ �t Ak'' 039-470-039,.' �'"tPERMIT#94,-17.01; ,; M BARDWELL BRIAN," 3725 COSBY AVE:`;;,CHIICO_ - ' ., _ � - ;�.' '•,COMPLETE SBP#893033' � .. /� ��� r s � L } t t R '�.� S1 k,• e 7f' 4. .^cif SavFLM• _ -I.,v. { i i COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT �� _ �� ASSESSOR PARCELNUMBER 039-470 ZONING AS PERMIT OWNER - ` TELEPHONE Q SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS '11795 MqRY CONTRACTOR'S NAME Owm TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation I $ 44 000 Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $' 375.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS PERMIT FEE $ 395.00 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 NAMEPARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SFJ] Duplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK ss New ❑ Addition El Remodel ❑ Utilities ❑ Installation ❑ Other It Describework: PERMIT TO COMPLETE WMI STARTED UNDER X89-3033 PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 600vORLESS ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADONIS. ( & ACC. BLDS. ) 3.50 FSTO.. CONTRACTORS LICENSE LAW( I 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 Y"'' 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) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BA20 @ 1.00 Ex. Occup.UT ED (RESIO OR (OUTLETS IRESID.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20,00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 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. Yl shall not employ any person in any manner so as to become subject to the Worker's Compensation 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 $ 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, indemnif and keep harmless the County of Butte against all liabilities, judgments, costs, a e enses which may in any way accrue against said County in consequence of th gra ing of this permit. X Date / Signature of Applic t - Vown ❑ Contractor ❑ 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 $ CONSI. TYPJ TOTAL FEE $ 395.00 HAZ. D. FEES IMP FLOOD CDF PARCEL PD I Ho I ISSU�C V This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By /i s.ia�"'� ; PERMIT EXPIRES ON �• ��'� I/ (Date) provisions to do work paid. Date 6 - A 5411 j Receipt No. 97 L WHITE-D.D.S.-B.O. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DFVELOPMENT SERVICES - BUILDING DIVISION V 7 County Center Drive - Oroville, California 9965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 039-470 ZONING AS RLIUDN40PERMIT OWNER BRIAN RART)WRIJ. TELEPHONE _345-7259 SQ, FT, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS -179S rnSBy AVENUE, CHIC0 95998 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is 44.000 LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ 375.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADORES Penalty $ BUILDING ADDRESS 1795 COSBY AVENUE, CHICO PERMIT FEE $ 395.00 PLUMBING PERMIT Filing Fe—el 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 SF1 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 ❑ Addition ❑ Remodel C)Utilities 1:1Installation ❑ Other C Describe Work: PERMIT TO COMPLETE WORK STARTED UNDER PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 #89-3033 Main Service ( 600V OR LESS OR LES ) 23.00 Main Service ( 200A To 1000A ) 46.00 NEW CONST. DWELLING OCCUP. ORADONS. ( & ACC. BLDS. ) So. 3.5C FT_ CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O 1 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 Vi, 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) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ lam exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET .NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIN. Ex. Occup. ( OUTLET OR FIXTURES ) B20AL. @ 1.000 Ex. Occup.FIXED APPWS. OR (OUTLETS IRESID.1 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. 1XI shall not employ any person in any manner so as to become subject to the Worker's Compensation 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 $ Contractor 1 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. I also agree to save, indemnif and keep harmless the County of Butte against all liabilities, judgments, costs, a e enses which may in any way accrue against said County in consequence of th gra ing of this permit. XDate / Signature of Applic t - woWnLI Contractor ❑ Agent e An OSHA permit is required for excavations over 5"0" deep and demolition or An construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ `ONSF. TY TOTAL FEE $ 395.00 HA2- D. FEES IMP FLOOD CDF PARCEL I PD I HD ISSU This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work above for which fees have been paid. /r By IG%�✓ Date fo ' ��5.� n ^ / �. 77 P RMITEXP SON C. (De rel /�j G- , / I Receipt .D. WHITE •D.D.S.•B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE Department of.D&elopnient 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 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) �s 2. I (have/have not). HAV e - signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractor's License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractor's License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security Number 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 permitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95''965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE - CONTRACTOR'S MAILING ADDRESS ' Fireplace CONSTRUCTION LENOER UNKNOWN Total Valuation $ / /V O -0 LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee g 7d ARCHITECT OR ENGINEER ucENSE No. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SFDuplex O Mobilehome O Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New ❑ Addition O Remodel O Utilities O Installation ❑ Other. Describe Work: �/Q/►r !fes Qf� �ig/7�o 1G% PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main ServiceIV OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLDS. ) 3.5C FT. 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) O 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI.OUTLET •NON-RES10. ( BRANCH CIRCUITS ) @7.50 ( POWINGLE OUTLET ER APPARATUS ) 6 SCIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. 50 Ex. Occup.FIXED APPLNS. OR ( OUTLETS IRESID.1 :A. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): O 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. O I shall not employ any person in any manner so as to become subject to the Worker's Compensation 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 $ 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. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant - ❑ Owner O Contractor ❑ 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 $ OCC CONST. TYPE TOTAL FEE $ HAZ- I D. FEES IMP I F100D COF I PARCEL PO HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have BY PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date IDerel Receipt No. WHITE-D.D.S.-8.0. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 039-47-0-039: -99-1577,B: ,"^"ai ,: r•.. r BARDWE ,.;.• ' '. -*V LL, Brian `; 3725,Cosby Avenue,Chico , A _ 5th renewal/.94_1701)SF'<r Y M1. ' - 1 f a j + a A* . .CQUNTY OF BUTTE - DEPARTMENT E ELOPMENT SERVICES - BUILDIT7541 �'DIV1SION 7 County Center Drive Oroville, ornia95965 • Telephone.PERrMIT Nb. (Rev. 12/96) APPLICATION. AND PERMIT `,'- ASSESSO P C0. Nu �3) ZONING BUILDING PERMIT A , OWNER " PTIAN rARDI..<1FLL TELEPHONE 345-7259 SO. FT. OCC.'°' "�� BUILDING VALUATION OWNERS MAILING ADDRESS 3525 r0S13Y AVENiTP, rT TrO 95928 CONTRACTTOORSSt NAMEME V`Y1\ER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee 0R r(7'1_NAL $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS- 3725 Q.05PY AVE'�IT?E CPICS` Energy Plan Checking Fee PERMIT FEE $ 207.50 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF EK Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK y New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Others❑ Describe Work: 51H RE n-TAL194 -1701 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service 2o.A OR LESS 23.00 •' LICENSED CONTRACTOR'S DECLARATION #= I hereby affirm under penalty of perjury that I am licensed under provisions oVChapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force And effebt. , License Class LIC. No. OWNER -BUILDER DECLARATION J I hereby affirm under penalty of perjury that I am exempt from the Contractors -License Law for the following reason: ), as owner of the property, or my employees with wages as their sole compensation, .will 06 the work, and the structure is notbintended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. I am exempt under Sec. Busies_s and Professions Code for this reason `+� r +i WORKERS' COMPENSATION' DtC[ARATION 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 Main Service zooA To I000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( So T. NONpESID. MULTI.OtmET @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. .LmET OR FIXTUREs SAL ° +: o FDCED APPLNS. OR Ex. Occup. ouTLErs RESID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S 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.) '9 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 workeg4`', open tion provisions of section 3700 of the Labor Code, I shall \forthwi Fico p1 , ith se provisions. - yG X Date ILI? Sign u e of App r> Owner ❑ Contractor ❑ Agent An OSHA permit is required forexcavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 207.50 FEES IMP I FLOOD CDF PARCEL PD I HD I ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have ' B PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date 7/9/2000 Date Receipt No. " '? WHITE-D.D.S.-B.D. CANAR -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT A COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION Ji- � r County Center Drive • Oroville, California 95965 • Telephone (530) 538-754 PE ry�IT, rho (Rev.12/96) APPLICATION AND PERMIT �'/'T ASSESSO PARCEL NUMBER X39-47-0-039 ZONING BUILDING PERMIT OWNER BRIAN BARDI4ELL TELEPHONE 345-7259 SO. FT. OCC. BUILDING VALUATION . OWNER'S MAILING ADDRESS 32125 COSBY AVENUE CHICO 95928 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Flin Fee $ 20.00 Permit Fee ORIGINAL $ 187.50 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 72 COSBY AVENUE, CHICO Energy Plan Checking Fee $ $ PERMIT FEE $ 207.50 LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑X Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ OthJ� Describe Work: 5TH RENEWAL/94-1701 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service '..A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 'Pf 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 Main Service TO , 46.00 NEW CONST. DWELLING OCCUP. DWE200ALLING U OR ADDNS. ( d ACC. BLDS. SO 3.5¢FT, NOt+AESID. MULTI -OUTLET @7,50 POWER APPARATUS E SINGLE OIfTLET CIR. EX. OCCU OUTLET OR FIXTURES BA0 @ 1,50 Ex. Occup. O�iE1s PE81p.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) IR 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' compen tion provisions of section 3700 of the Labor Code, I shall forthwith comply h th se provisions. X Date _1//3/77 Sign ure of App Icant _-_ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 207.50 IHA D. FEES IMP I FLOOD I CDF PARCEL PD I HD I ISSUE This permit is hereby issued under of the Butte Cou Code and/or indic d ab a for which fees have ` By "'� PERMIT EXPIRES ON I the applicable provisions Resolutions to do work been paid. Date �s �q 7/9/2000 Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ��.,YsrrY.�''.�•''tvMt�^���r��kf�'�..r.�L4.h��'��}�`iy'�fj�*�d''�:•+�'�A-�"La �,� .�•i'. ley .+.�" � .ln w • u 'i { UNT Q BUTTE -DEPARTMENT OF DEi�ELOPMENT'SERVICES - BUILDING DIVISION C "''COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 f ✓tel PE"IT APPLICA TION DA TA SHEET 6wNER-ASSESSOR PARCEL NUMBER: Prop B ding Use: Building Inspector: (/ Date: '� / t/ -9 At time o pgrmit application, I was advised the following data must be submitted prior to permit processing and/or issuance: Date Received By .All items have been submitted -------------------------------------------------------------------------------------- 02. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ 03. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 06. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications ------------------- 0 10. Fees of $ ------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ----------------------------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees. --------------------------------------------------------- ❑ 13. Flood elevation certificate.---------------------------------------------------------------------------------------- ❑ 14. Sanitation and plot plan approval Health Department. ------------------------------------------- ❑ 15. City of Chico plumbing permit. ---------------- ------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: -------------------------- ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- 1119. ---------------------- ❑19. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- ❑20. Pre -inspection for required. Request to Building Inspector on (Date) 021. Contractor's license information. (Number, Name Style, Classification). ------------------------------------ El 22. Workers' Compensation carrier and policy number. ----------------------------------------------------------- ❑23. Owner -Builder Verification (Given to owner ❑, Mailed to owner 11) - ----------------------------------=--- ❑24. Letter of signature authorization. -------------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- 026. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑ 27. Manufactured Home utility clearance. --------------------------------------------------------------------------- ❑28. Existing violations and/or expired permits. ---------------------------------------------------------------------- ❑29. ❑433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ . --------------- ❑30. Other: 7 /S fl Pne Reuss: pR,vJCOMP E Oto E,2 A245 PAM4r1Al&, tUS S 6J(PC-CrS When you issue t ib r t, pib�ssa s oll - Malrlp X997, a for ❑Telephone and hold for pickup at office. ❑ D 1i er ith inspector. 4 -Applicant: Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: Index permit application for the above items numbered: 2. Additional items required ❑ Plan Check List Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: ; . Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P: folder.' Note transfer by: Date: .P ^sT-.wsa•,Mv'r .v-:...,r•.:•.�,�`�'�,,Wyk::.x5ror,TM-n'G-dv,L,iF,ra-._.,+..� y .,�„ .,_-�•-_ aa'•:_rr,:a�iit+l•NrM.1T wRLi.'Rl?.,vu�#�rf7:noK' ' �` j_x'•--.a..�,,.-ti,J•.r.,-ti,�•�isl / -039-47-0-03900-1836 BARDWELL, BRAIN 3725 COSBY AVE., CHICO CONTR: OWNER " RENEWAL OF BP#99-1577 fa t+ ; i:. t i ;IFA4 — COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 039-470--039 ZONING BUILDING PERMIT OWNER BRIAN BAREITELL T34H5-7259 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 3725 COSBY AVE, CHICO 95928 CONTRACTOR'S NAME OYY YER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filen Fee $ 20.00 Permit Fee $ 187.50 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS SAIME Energy Plan Checking Fee $ $ - -PERMIT FEE $ LOT NO. SUBDNISION'SNAME PARCEL MAP' PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.0023.00 USEOFSTRUCTURE - SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat um water heater Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Add-Oifp Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: nT RVEWAL PERMIT 99-1$77 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I WF_ Ca20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service zDOA OR LESS 23.00 .._ LICENSED CONTRACTOR'S DECLARATIONMain 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, arTd my license is in full force and effect.P License Class LIC. No. OWNER -BUILDER DECLARATION + I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law 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. Busitless 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 tF�o f performance of the work for which this permit is issued. ;� ? i 1 ❑ 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 issue My workers' compensation insurance carrier and policy number are: Carrier Policy Number .. Isf,fo .work of a valuation of one hundred dollars ($100) or less.) (The above sections need not be completed ' pgrr7is 1 certify that in the performance of the work f r which , permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of Ca ifornia, and agree that if I should become subject to the worke((s' compensation provisions of section 3700 of the Labor Code, I shall �torthwitlTJcbgly�wi th Be rovisions. i / r Date Q� Sig`nat re of AppGc$ Owner ❑Contractor ❑ Agent An OSHA permit is required fo excavations over 5'0"deep and demolition or construction of structures over 3 stories in height. Service 200A TO 1000A 46.00 NEW CONST. DWEWNG OCCUP. OR ADDNS. 6 ACC. BLDS. SO 3.50F,. OUET CIRCUITS @7.50 NON-pEOSID. MULTRANCI- TL OWER APPARATUS 6 SINGLE OUTLET CIR. 2191 .00 EX. OCCU . OUTLET OR FIXTURESBAL @ .50 LNS Ex. Occup. GFIuiLEF°rs R D.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ _ 1AECHANICAL PERMIT Filing Fee 20.00 -Heating Conlin gfl 6.50 Ventilati n M► ..,, PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE0)3 7(�7, C/1 TOTAL FEE $ �.•v0 50 HAZ. -.. D. FE IMP FLOOD CDF '- PARCEL _ Po HD ISSU This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date 7-.15—()1 Dere Receipt No. ;0194();_41 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT M COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center DriveOroville, California 95965 • Telephone (530) 538-7541 PER IT NO. (Rev. 12/96) APPLICATION AND PERMIT dD-"i8r� ASSESSOR PARCEL NUMBER 039-470-039 ZONING BUILDING PERMIT OWNER BRIAN BARDWELL TELEPHONE 345-7259 SO. FT. OCC. BUILDING VALUATION .OWNERS MAILING ADDRESS 3725 COSBY AVE, CHICO 95928 CONTRACTOR'S NAMEOWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 187.50 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ SUILDINGADDRESS SAME Energy Plan Checking Fee $ PERMIT FEE $207.50 IAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addl6hp Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 191 RENWAL PERMIT 99-1577 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWERA License Class Lic. No. OWNER -BUILDER DECLARATION her by affirm under penalty of perjury that I am exempt from the Contractors License L w r 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 erformance of the work for which this permit is issued. ave and will maintain workers' compensation Insurance, as required by Section X3700ofthe Labor Code, for the performance of work for which this permit is issued. y workers' compensation insurance carrier and policy number are: arrier Main Service TO 46.00 CCU000A WEE200A NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. SLDS. SO 3.5¢FT: NOOIFR6IUT. MULTI.OUTLET 97,50 PPARATUS a SINGLE ounEr cIR. EX. OCCU OUTLET OR FIXTURES 20 Q 100 SAL p .50 Ex. Occup. OFIxLInFrs Aa OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ olicy Number he above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of Ca fornia, and agree that if I should become subject to the ' compensation provisions of section 3700 of the Labor Code, I shall focomply wi th se rovisions. X Date Y� �6 SignaturApplicant - Owner ❑ Contractor ❑ Agent wiof An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 207.50 HAZ. 1 D. FEES P FLOOD CDF PARCEL PO HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date _3 .)01 Receipt No. WHITE-D.D.S.-E.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Attention Property Owner: An "owner -builder" building permit has' been applied for in your name and be" aringyour 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 be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of; the proposed. roerty.i. .r oyement :. YESW .NO[ ]. 2. I HAVEN HAVE NOT[ . _ ] :signed an application for a :buflding permit_ for: the proposediv or a. 3. I have contracted with the -following "person (firm) to provide the , proposed construction: .- NAME: ADDRESS:.:- _ CI'T'Y: -:-CONTRACTOR'S. LICENSE NO.-. 4. I plan: io-proiide-portions of this work ;--but I have hired the following persod 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 folio*&-peisons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK PROPERTY OWNER: SOCL-kL SECURITY NUMBER: DATE: 7191166 NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Mav 1995 2.26 Dear Property Owner: An application for a, building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself you may protect yourself from possible liability if that person applies for the proper permit in his or her name.. . Contractors are required by law to be licensed and bonded by the State of California and to have . a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with, the exception of various trades that you -plan to subcontract, yon' - :. - ..... should be aware of the foIIowing information for your benefit and protection: - -. 0 If you employ or otherwise engage any persons other than your immediate family, ai d tlie`work (including- -: ' materials and other costs) is' $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you, are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance; disability in. su. nce. costs, and unemployi ient compensation con: n tions. _ ... _ . 0 There may be financial risks•for you if you do not carry out these obligations,"and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are, allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their owii work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerely, Michael C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. Mav 1995 2.27 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE 3� , s: OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at. '•: the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please conta this office immediately. }r (1) P vv(O(Z. j SUSS L�t� t' d rovait ,5i(O^k /vvffc/7 YJ hD fq--Z9..c16 i Date Inspector REV 10/92 COUNTY OF BUTTE ` BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 _ CORRECTION NOTICE wD cvific e b -i L kilIt-Ea G -/6y OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, pleas c`onttact this office immediately. // /� 2 7 l�! i 0�%�U✓Jll/r �� /Adlx/ / M QbuivO M67A& 0oxi C_,010owfDk G L kAaAwG(L IZry D r-, e, i 2 K-- l2Lc x )e If_6 �MW- s r -r to s r �Ql)yi l0 h '! /Alu vat l) t e u j2� 6LoG� VjiPL AT- 5V�Iew laouiba &gg -C-a--' '-T AtIk N 5y"dz& lfrTk/o2 swo #/ '( . V'I oNO �Q,S WA -7•4 (lout p Co m �vs- %� � 2 CUr{6��� r�"/ w tt Cr✓a�r�fi GP � (:���� oU� VL/N(7 s r �v�U `w n_ u c Date -Zq- I(a Inspector REV 10/92 _'^' -„ �,c"a?'S` :tn r•::1;'•..F �.�:• .e'17 a:: "b(3r-•7Y;-- . r SACRAMENTO INSULATION E] P.O. Box 854 West Sacramento, CA 95691 • (916) 371-7591 CONTRACTORS ❑ P.O. Box 4146 • Stockton, -CA 95204 • (209) 466-8991 Insulation & Fireplaces ❑ P.O. Box 1631 • Reno, Nevada 89505 • (702) 331-5600 ❑ P.O. Box 9651 • Fresno, CA 93793-9651 (209) 275-6951 ❑ 6470 B South Procyon Ave.' • Las Vegas, NV 89118 • (702) 361-6200 Ch co TO: ` .✓ /` STREET: CITY:' PHONE: We propose to supply all equipment, labor and material to: JOB NAME & LOCATION: '—I•nstdaate-aeeessiMe-at-time-a �oting-afeas-ya' Di s icon. Insulate inaccessible ceiling areas over living areas with R -i _ Nim faced batt insulation. ✓.sG Insulate exterior walls and knee walls with R-19 ',� faced batt insulation. The-aUacA3.--d-garage_ AaLLar *' _ exec ' . -faced-ipsuJalion. I I•nsu•late floor ar .a with B� - 'aeed.battr�asuJnn,-F�, before the sub -floor is layed. _I_nsulate at living area above, with R - faced batt insulation. nsualate-i_nterra�ediate-ceilings aratu�g_laidng.areafaced., batt insulation.. ,y Insulate interior walls Au14,r withtR - L_ ",►✓faced batt insulation. Install foam sealant at all.cracks around doors, windows, and pipe penetrations in exterior walls to comply with Title 24. BASE BI,®. -1:2 ALTER'NATE' No. -l' PRICE FIRM THROUGH: ALTERNATE No. 2 f SAACRAA ENTO insulation contractors ACCEPTED By By: Est mi ator� �6::;z";5� 4ezz2;�2 4 Title: Date: Date: THIS BID IS BASED ON CURRENT PRICES, IF NOT ACCEPTED WITHIN 10 DAYS FROM DATE HEREON, THE RIGHT IS RESERVED TO SUBMIT A NEW BID. The Customer agrees to pay SACRAMENTO INSULATION CONTRACTORS in full within 10 days from the date of billing. If not paid within 10 days, interest thereon at the rate of 18%per annum (1 h%per month) will accrue from the date of billing until paid. In the event it becomes necessary to employ counsel to enforce collection of the balance due, the customer agrees to pay reasonable attorney's fees and costs. 1! FORM NO. 1624 California State Contractors License No. 202026 Nevada State Contractors License No. 10675 Suite Count 1 A N D O F N A T U R A L W E A L T H A N D B E A U T Y - ";��:;;r� �' :•..res; �: _ � p BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 JUNE 23, 1999 TELEPHONE: (530) 538-7541 FAX: (530) 538-2140 BRIAN BARDWELL RE: Building Permit # 98-1499 3725 COSBY AVENUE Expiration Date: 7/8/99 CHICO CA 95928 A.P.N 039-47-0-039 With reference to the above subject, our records indicate that your building permit expires on the above date and your permit falls into one of the categories marked below: [) Permit work started, but not completed. Permit may be renewed for 1/2 the original building permit fee (plus a $20.00 filing fee). The renewal permit will extend the building permit for an additional year from the original expiration date. Should you not renew your permit within 30 days of the expiration date, all work must cease until a new building permit has been issued. For your convenience, we are enclosing a renewal application form and owner -builder form to be completed and signed by you where inclicated and returned to this office together with the fee shown. Please return all copies of the application form. [) No inspections have been made on permit work. Inspections are required to verify code compliance. We are unable to renew a permit where the work has not been started and inspected prior to permit expiration. After expiration of your permit, no work may be started until a new !. permit has been issued. 1 KJXXX A final inspection has not been made on permit work. Final inspection approval is required =� before occupancy. Our field inspector has verified that the building is occupied. Occupancy \` must cease until a final inspection can be made and .final approval given. You have 30 days to voluntarily cease occupancy or to present an acceptable plan for abatement or corrective actions to be taken by you. If our records are in error or should you have any questions concerning this matter, please contact the CHICO office. Thank you for your prompt attention concerning this matter. P• . t b MCV:ahb `Attachments Chico Office - 1469 Humboldt Rd/891 2751 Yours very truly, 4MicelC. V ira, C.B.O. Manager, Building Inspection Paradise Office - 747 Elliott Rd/872-6307 1 • s � •d� C'7 't Ufa a ;� � t i ��� , � `• ,ry • � _ ` '� �, '. fes: W m o. 7701 Ile �Ml'._ i I ` 1) I- I ' 1 i • 1 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916)'538-7541 ' 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER PERMIT NO. T A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please con�j ct this office immediately. -7 11101,7 olue'lxcl� G Ktv IU/ZIL t COUNTY OF BUTTE , , , , ... . u BUILDING°DIVISION ...... DEPARTMENT OF DEVELOPMENT SERVICES iz 411 Main Street, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 , CORRECTION NOTICE 13Agg tvc� OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work r is completed. If you have any -questions pertaining to this matter, or need additional explanation, please contact this office immediately. ZMETa�= Spy A. 1 0 i Kr -v ,uroc COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT PERMIT NO. /^ ASSESSOR PARCEL NUMBER ' 039-470-039 ZONING A-5 +' ' BUILDING PERMIT OWNER Brian Bardwell TELEPHONE 345-7259 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 3725 Cosby Ave.,Chico 95928 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 51,796.00 Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 381.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit tee $ 396.50 PLUMBING PERMIT Filing Fee 15.00 3725 Cosby Ave., Chico Each Trap 1 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF © Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW 1 1 @ 15.00 TYPE OF WORK New ❑ Addition l,_j Remodel ❑ Utilities ❑ installation[] Other ® Describe work: Permit to Complete B.P. #3033-89 _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 18.50 200A OR LESS Main service 200A TO 1000A) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El 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 .Jo. Classification I, as the owner, Or my employees with wages as their SOIe 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 M CONST. ( DWELLING OCCUP3.60 sq.ft. OR ACDNS. l ACC. BLDGS. I NEW CONSTR. MULTI.OUT LET NON•RESID BRANCH CIRCUITS5.00 POWER APPARATUS e\ (SINGLE OUTLET CIR. / —E_ Ex. Occup(OUTLETS OR FIXTURES 20 76d 1@ 460 FIXED APP LHS, OR EX. Occup. OUTLETS IRESID.1 EA./ I .3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, sts and expenses which may in any way accrue against said County in con equ a of the granting of this permi X Date L Signature of Applicant — Owner Contractor ElAgentBions An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE 396.50 HAz DFEES IMP FLOOD �--� CDF PARCEL PD HD ISSUE This permit is hereby issued undthe under e applicable prov of the Be Count de and/or resolutions to do work Indic a abo o which fees have been paid. IRE F PUBLIC WORK BY ate PEOWT155PIRES Date ! Receipt No. C>' WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT I •`YJ"`'�`r`"'^"k^Y•'1�"0'`�~'`�`t-�?"'"nY"`.a':'Ct�.r.=r+.tiie`1'►'t'�.:�.^'r�s" �i s��,j�,tl�y.....•.y„F"�C'^ii"vl~l."r'�+r�.-.r--�.'" `` `-y•` ,�.. COUNTYOF BUTTE - DEPARTMENTOF DEVE7 LOPMENTSERVICES - BUILDING DIVISION �7COUNTY CENTER DRIVE - OROVILLE CALIFORNIA 95. - -T-gLEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER 6AA A wfi 1 l A. P. No. Proposed Building Use Building Inspector Date At time of per it application, I was advised the following data must be.submitted prior to permit processing and/or issuance: `V� DATE RECENED 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. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ .......................................... 11. Impact fees as shown on attached schedule. ............................. . 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .... .. . 20. Pre -inspection for t. B.nsDeCf°n'e"'� 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 ............ 24. 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. 34. .� When you issue the permit, process as follows: to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation »» Acreage Applicant Date y� 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 Counter by _ Date Plans checked by Date Plans approved by Date `- Sets of plans on hord An `ffl / Pile dabiriet- ' AP folder Copy - Department of Public Works COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovllle, California 95965 - Telephone: 916.538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMB gg,, Tj , 'V , i ZONING ,�-l� BUILDING PERMIT OWNER TELEPHONE„ SQ.FT. OCC. BUILDING VALUATION OWNER'S MAILING, ADDRESS r) Gas AVE < b - 533219 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF�Duplex[]Mobilehome❑ Other ✓✓✓✓����` SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home ISI G W @ 15.00 TYPE OF WORK NeA.�Addition❑ Remodel❑ Utilities❑ Installation[i Other ❑ Describe work: &/ZA? /7 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 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) EDI, as the owner, am exclusively contracting with licensed con ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO 10o0A1 37.50 NEW CONST. / DWELLING OCCUP.�) OR AOONS. ACC. BLDGS. / l 3.6A sq.ft. NEW CONSTR MULTI -OUTLET NON-RE.,0. BRANCH CIRC ITS @ 5 00 POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 20 76d FIXED APP LNS. OR EX. OCCUp. OUTLETS IRESID.) EA.) 1 3.00 Temporary service 15.00 Mobile Home Facilities 15.00tract- Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. Ishall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 Ventilation Penult Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, inde nify and keep harmless the County of Butte against all liabilities, judgments cot , and expenses which may in any way accrue against s id County i c se u nce of the granting of this permit. J a Date a/ 43 $ignature of Applicant — Ow er ® Contractor ❑ Agent ❑ An OSHA over 5'0" deep and demolition or construct- ion of structures toverr33 storiesin height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ HAz 0FEES IMP FLS- COF PARCEL PD HO ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR DIRECTOR OF PUBLIC PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. l Gll%�! COUNTY OF BUTTE - Department ofr•Public Works 7 County Center Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916-538-7541 .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) S 2. I (have/have not) :� AV4 signed an application for a building permit forthe 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 Numberh72 — Date '�' 17-;4 A T .J 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. I Certificate of Compliance: Residential . - Lee I �4, Protect Title 3-72 Project Address _ CA Documentation Author Telephone BUILDING DATA Condliti2W Floor Area Sls Floor (] Single Family Detached (SFD) (] Single Family Attached (SFA) [ ] Multi -Family (Iv11;7 Number of Stories 2 - Number of .Units / (] Addition Alone [ ] Existing Building [ ] Existing -Plus -Addition BUILDING SHELL INSULATION Component Insulation Location/Comments Type R -Value (attic, to garage, typical, EXT. IMALi...s C-E fU1 Ma A t, SEb FLcoR Wall.............. -19 Wall .............. Roof ............. Roof ............. Floor ............. 1� Floor....* ......... 4. Slab Edge ..... GLAZING Shading Devices Glazing Area Glass Type - _ Interior Exterior - Orientation (sf) (: - North - No rth East 0_ - East - Sou t.h ( ) West (+� .%— West -- -.,.::..THERMAL MASS Type/Covering (slab/exR2sed, tile, etc.) 0 tAL' Climate Zone 11 -3 31Z-�9 Building Permit fl is it. W- Checked By if Date Enforcement Agency Use Only OFF WI TE NOr 5 - Area Thickness (sf) . (inches) Location/De! -Overhang. - Framing.Type -(yes/no) (metaWwood) i Mandatory Measures Checklist: Residential MF -IR NOTE:Lgwr(se residential buildings subject to the Standards must contain Ouse measures regardless of the eomoianee approach asci. Items marked with an asterisk (•) maybe superseded by more stringent compliance requuunents listed on the Certificate of Compliance- When Nis checkBst is incorporated into the permit documents. the featuresnoted shall be considered by all parties as binding minimum component performance spcaficasions for the muadatory measures whether they are shown elsewhere in the documents kr on this checklist only. DESCRJPIION DESIGNER ENFORCEMENT Building Envelope Measures ' §2.5352(a): Minimum ceiling insulation R•19 weighted iverage. §2.5352(b): Loose fill insulation manufacturer's labeled R -Value. ' §2.5352(c): Minimum wall insulation in framed walls R -I 1 weighted average (does not apply to extenor mass walls). i §2.5352(k): Slab edge insulation - water absorption rate no greater than 0.396. water vapor transmission rate no greater than 2.0 perm/inch. §2.5311: Insuladon specified or installed meets California Energy Commission (CEQ quality standards. Indicate type and form. §2.5352((): Vapor barriers mandatory in Climate Zones 14 and 16 only. - r §2.5317: Infiltration/Exfili ation Controls r a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Doors and windows certified. i c. Doors and windows weathirstrippcd: all joints and penctr-ations caulked and sea)ed. §2.5352(c): Special infiltration barrier installed to comply with §2-5351 meets CEC quality standards. §2.5352(d): Installation of Futplaces 1. Masonry and factory -built fireplaces have a. Tight fitting, closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and control 2. No continuous burning gas pilots allowed HVAC and Plumbing System Measures h §2-5352(g) and 2-5303: Space pace conditioning equipment sizing: attach caletdatiaru. §2.5352(h) and 2-5315: Setback thermostat on all applicable heating systems.- • §2-5316(a): Ducts constructed, installed and insulated per Chapter 10, 1976 UMC-' §2-5316(b): Exhaust systems have damper controls. _ - §2-5314(c): Gas -hued space heating equipment has intermittent ignition devices. _ §2-5314: HVAC equipment• water heaters, showerheads and faucets certified by the CEC " §2.5352(1): Water heater insulation blanket (R-12 or greater) or combined interior/exteriac insulation (R-16 or greater): fust 5 feu of pipes closest to tank insulated (R-3 or greater). - . §2.5312(Exception 1): Pipe insulation on steam and steam condensate return & recirculating piping: §2-531 g(d): Swimming Pool Hewing 1. System has: t - a. On/off switch on Anter. b. Weatherproof instruction plate on heater. c. Plumbed to allow for solar. . '- -2. 75 percent thermal efrieieney..- , 3. Pool cover. - - 4.Timeclock. - 5. Directional water inlet " i.. .... Lighting and Appliance Measures §2.53520): Lighting - 25 Iumenstwan or greater for general lighting in kitchens and bathrooms. ; §2.5314(c): Gas fired appliances equipped with intermittent ignition devices. - §2.5314(a): Refrigerators, refrigerator -freezers, freezers and fluorescent lamp ballasts certified by the CEC. Indicate make and model number, 1 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) ) vtt'ae►t - 72 'iiia. 5a7 2-7 2 i Mo Ale Maximum Furnace Heating Output: Btuh HOT WATER SYSTEMS Tank-, Manufacturer/Model # v System T (storage gas, etc.) Capacity or approved equal) Special Feature(s) Top q `SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) COMPLIANCE STATEMENT This ic=ficate of compliance lists the building features and performance speaficadons 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 Owner Name Name: 7Iide/Fim: Tit)eJEirm Address: Address: Tckphonc Telephone / t-ic. 0: (signature) (date) (signattue) (fate) Documentation Author Enforcement Agency Name: Name: Tttic/Firm: : Age. Address: Tekpisone: Glass Area % Glass North East U 0 South West 30 _ 4.7 - ,2West 4T(0-03 Skylight ate_ Total 1 C OFF WI TE NOr 5 - Area Thickness (sf) . (inches) Location/De! -Overhang. - Framing.Type -(yes/no) (metaWwood) i Mandatory Measures Checklist: Residential MF -IR NOTE:Lgwr(se residential buildings subject to the Standards must contain Ouse measures regardless of the eomoianee approach asci. Items marked with an asterisk (•) maybe superseded by more stringent compliance requuunents listed on the Certificate of Compliance- When Nis checkBst is incorporated into the permit documents. the featuresnoted shall be considered by all parties as binding minimum component performance spcaficasions for the muadatory measures whether they are shown elsewhere in the documents kr on this checklist only. DESCRJPIION DESIGNER ENFORCEMENT Building Envelope Measures ' §2.5352(a): Minimum ceiling insulation R•19 weighted iverage. §2.5352(b): Loose fill insulation manufacturer's labeled R -Value. ' §2.5352(c): Minimum wall insulation in framed walls R -I 1 weighted average (does not apply to extenor mass walls). i §2.5352(k): Slab edge insulation - water absorption rate no greater than 0.396. water vapor transmission rate no greater than 2.0 perm/inch. §2.5311: Insuladon specified or installed meets California Energy Commission (CEQ quality standards. Indicate type and form. §2.5352((): Vapor barriers mandatory in Climate Zones 14 and 16 only. - r §2.5317: Infiltration/Exfili ation Controls r a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Doors and windows certified. i c. Doors and windows weathirstrippcd: all joints and penctr-ations caulked and sea)ed. §2.5352(c): Special infiltration barrier installed to comply with §2-5351 meets CEC quality standards. §2.5352(d): Installation of Futplaces 1. Masonry and factory -built fireplaces have a. Tight fitting, closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and control 2. No continuous burning gas pilots allowed HVAC and Plumbing System Measures h §2-5352(g) and 2-5303: Space pace conditioning equipment sizing: attach caletdatiaru. §2.5352(h) and 2-5315: Setback thermostat on all applicable heating systems.- • §2-5316(a): Ducts constructed, installed and insulated per Chapter 10, 1976 UMC-' §2-5316(b): Exhaust systems have damper controls. _ - §2-5314(c): Gas -hued space heating equipment has intermittent ignition devices. _ §2-5314: HVAC equipment• water heaters, showerheads and faucets certified by the CEC " §2.5352(1): Water heater insulation blanket (R-12 or greater) or combined interior/exteriac insulation (R-16 or greater): fust 5 feu of pipes closest to tank insulated (R-3 or greater). - . §2.5312(Exception 1): Pipe insulation on steam and steam condensate return & recirculating piping: §2-531 g(d): Swimming Pool Hewing 1. System has: t - a. On/off switch on Anter. b. Weatherproof instruction plate on heater. c. Plumbed to allow for solar. . '- -2. 75 percent thermal efrieieney..- , 3. Pool cover. - - 4.Timeclock. - 5. Directional water inlet " i.. .... Lighting and Appliance Measures §2.53520): Lighting - 25 Iumenstwan or greater for general lighting in kitchens and bathrooms. ; §2.5314(c): Gas fired appliances equipped with intermittent ignition devices. - §2.5314(a): Refrigerators, refrigerator -freezers, freezers and fluorescent lamp ballasts certified by the CEC. Indicate make and model number, 1 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) ) vtt'ae►t - 72 'iiia. 5a7 2-7 2 i Mo Ale Maximum Furnace Heating Output: Btuh HOT WATER SYSTEMS Tank-, Manufacturer/Model # v System T (storage gas, etc.) Capacity or approved equal) Special Feature(s) Top q `SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) COMPLIANCE STATEMENT This ic=ficate of compliance lists the building features and performance speaficadons 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 Owner Name Name: 7Iide/Fim: Tit)eJEirm Address: Address: Tckphonc Telephone / t-ic. 0: (signature) (date) (signattue) (fate) Documentation Author Enforcement Agency Name: Name: Tttic/Firm: : Age. Address: Tekpisone: 1. Ceiling Insulation Controlled Ventilation Crawlspace 2. Wall Insulation Number ofstorie6 Number of stories R -value One Two Thceg , R-0 -103 • -49 -32 R-19 -8 -4 -2 R-30 .2 -1 -1 R-38 0 0 0 U -value R-11 0 0 0.50 -176 -84 -54 0.30 -102 -49 -32 0.10 -26 -13 -8 0.08 -18 -9 -6 0.106 -11 -5 .4 0.04 -4 -2 -1 0.02 4 2 1 0.00 11 5 3 Controlled Ventilation Crawlspace 2. Wall Insulation 3 -1 Number of stories -1 R -value Single- Single - Three R-0 -11 Family Family Multi - -4 R -value Detached Attached Family -2 R-0 -68 -51 -34 -2 R-11 0 0 0 Number of Stories R-13 2 2 1 Three ® R-19 8 6 4 R-5 .Y U -value 5 2 R-7 8 I 0.80 -153 91- -114 -76 -20 _:.0.50 _ - 0.30 .. ___._ _._ -47 ._ _-68 36 .24 28 0.10 0 0 0 5 -0.08 -4 3 2 .9 0.06 9 7 5 -49 0.04 _114 14 11 7 14 0.02 19 ••14 10 0 0.00 24 18 12 -12 3. Raised Floor Insulation 8 14 : .. -40 Insulation in Floor -4 2 8 Number of stories 22 R -value- One Two Three 9 R-0 -17 -8 -5 -2 - - R-11 __3 -2 :.. -1 - R-19 0 0 0 16 R-30 3 1 1 6 11 16 18 -26 -3 0.60 -144 -70 -46 - - 0.50 -120 -58" 38 12 0.40 -95 -46 30 : 0.30 -69 -34 .22 -17 C.20 -43 -21 14 17 _14 - ...-14 -17- -8 _ -5 10 0.08 -11 -6 -4 4 0.06 6 3 .2 12 0.04 -1 0 0 15 0.02 4 2 1 10 0.00 10 5 3 Controlled Ventilation Crawlspace -4 3 -1 Number of stories -1 R -value One Two Three R-0 -11 -7 -5 R-5 -4 -4 3 R-11 -2 -2 -2 R -t 9 1 -2 -2 4. Slab Edge Insulation 40 -90 37 Number of Stories .14 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 5. Infiltration (Air Leakage) Specification Points Standard 0 6. Glass Heat Loss Total Exterior Slab Floor ErrecOve Percent Class Mass U -value East Percent West Skylight .51 to .41 to .31 to 0.30 or Glass Single Double .60 .50 .40 less 50 -121 -53 .39 .24 .10 4 40 -90 37 -26 .14 -3 8 35 -75 -29 -19 -9 1 10 .30 -61 -21 -13 -4 4 12 29 -58 -20 -12 .3 5 12 28 -55 .18 -10 .2 5 13 27 -52 -17 .9 -2 6 13 26 -49 -15 -8 -1 7 14 25 -46 .14 .7 0 7 14 24 -43 -12 .5 1 8 14 23 -40 -11 -4 2 8 15 22 -37 .9 -3 3 9 15 21 -34 -7 -2 4 10 15 20 -31 -6 0 5 10 16 19 -29 -4 1 6 11 16 18 -26 -3 2 7 12 16 17 -23 -1. 3 8 12 17 16 -20 0 4 9 13 17 .15 -17 1 6 10 14 17 _14 - ...-14 --3 11 7 - 10 '--14 -18 13 -12 4 8 11 15 18 12 -9 6 9 12 15 19 11 -6 7 10 13 16 19 10 -3 9 11 14 17 19 9 -1 10. 13 15 17 20 8 2 12 14 16 18 - 20 7..Shading (Shade Open) Efrective Percent Claes (percent lilaea x SC) Effective Exterior Slab Floor ErrecOve Percent Class Mass %Glass North East South West Skylight 18 5 1 4 1 na 16 4 25 South 1 na 14 --._4-.._.._2 -14 ..5 _1..-. - - -na 12 3 3 5 2 na 11 3 3 5 2 na 10 2 3 5 2 1 9 2 .3 5 2- 2 8 2 3 5 2 2 7 1 3 4 2 2 -74 9 -5 -20 -27 5 1 2 4 2 3 4 0 2 3 1 3 3 0 1 2 1 3 2 0 0 1 0 3 1 -1 -1 -1 -1 2 0 -1 -2 -4 -2 0 na = not allowed a3. Shading (Shade Closed) Exterior Slab Floor ErrecOve Percent Class Mass Mass (percent Stas x SC) 0.00 Effective Stories 3 2 1 /CFA One Two x Glass North Eau South West Skyfight 18 -14 48 -69 -64 na 16 -12 -42 -59 -55 na 14 -10 -35 -50 -46 na 12 -8 -29 -40 -37 na . 11 -7 -26 -36 -33 na 10 -6 -23 -31 -29 -74 9 -5 -20 -27 -25 -65 8 -5 -17 .23 -21 -56 7 -4 -14 -19 -18 -47 6 -3 -11 -15 -14 -38 5 -2 -9 -11 -10 -30 4 -1 -6 -8 -7 .23 3 0 4 -5 4 -16 2 1 .1 -2 -1 -9 1 1 1 1 1 -4 0 2 3 4 3 0 na . not allowed 3 7 8 10 9. Interior Thermal Mass Interior Exterior Slab Floor Raised Floor Mass Mass Stories 0.00 0 0 0 Stories 3 2 1 /CFA One Two Three One Two Three 0.0 -8 -5 -4 -2 -1 -1 0.1 .8 -5 -3 -1 0 0 0.3 -7 -4 -2 0 1 1 0.5 -6 -3 -1 1 1 2 0.7 -5 -2 -1 1 2 2 0.9 -5 -1 0 2 3 3 1.1 -4 -1 1 3 4 4 1.3 -3 0 2 3 4 5 1.5 -3 1 2 4 5 5 2.0 -1 2 4 5 6 7 2.5 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 10. Exterior Wall Thermal Mass -- Exterior Single- Single - Wall Family Family Multi Mass Detached Attached Family 0.00 0 0 0 0.20 3 2 1 0.40 5 4 3 0.60 8. 6 4 0.80 10 8 5 1.00 13 10 7 1.20 13 12 8 1.40 12 13 9 1.60 10 13 11 1.80 10 12 12 2.00. 10 -11 13 11. Heating System +5 SE or ASPF more (assumes ducts In attic) .14 Sum of 1-6 - -8 -25 or -24 to .14 to -410 +6 to 16 or SE HSPF less -15 -5 +5 +15 more 0.72 6.60 0 0 0 0 0 0 0.75 6.88 3 3 3 2 2 1 0.80 7.33 8 7 6 5 4 3 0.85 7.79 13 11 10 8 7 5 0.90 8.25 17 15 13 11 9 7 0.95 8.71 20 18 15 13 it 8 -4 Efrective SE or HSPF (SE or HSPF x duct eMciency) Effective -25 or -24 to -14 to -4 to +6 b 16 or SE HSPF less -15 -5 +5 +15 more 0.30 275 -73 -64 -56 -47 38 -30 na 3.41 -45 -39 -34 .29 -24 -18 0.40 3.67 -34 .30 -26 -22 -18 -14 0.50 4.58 -10 -9 -6 .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 7 6 4 3 Other 6 5 4 3 2 2 12. Cooling Syst,:m R-36 or Unit Size (sQ Kl -- Water SEER 1199 1200 1700 2200 2700 (assume.: ducts In attic) or to to to Stm of 7-10 Type TYPj .less 16W -25 or -24 to -14 to -4 b +6 to 16 or SEER lest -15 -5 +5 +15 more 8.0 .14 -12 -10 -8 -6 -4 8.5 -9 -7 -6 -5 -4 -3 8.9 -5 -4 -4 -3 -2 -2 9.0 -4 -3 -3 -2 -2 -1 9.5 0 0 0 0 0 0 10.0 4 3 3 2 2 1 10.5 7 6 5 4 3 2 11.0 10 9 7 6 4 3 12.0 15 13 11 9 7 5 13.0 20 17 14 • 12 9 6 -9 -7 Efrecllve SEER IG ' -5 (SEER xduct efllclency) .2 -2 -2 Sum of 7-10 Soiar 7 5 Effective -25 Or -24 to -1410 -4 b. +610 16 or SEER less -15 -5 +5 +15 more 5.0 -30 -25 -21 -17 -13 -9 6.0 -12 -11 .9 -7 -6 -4 6.6 -5 -4 -4 -3 -2 . -2 7.0 0 0 0 0 0 0 8.0 9 8 6 5 4 3 9.0 16 14 12 9 7 5 10.0 22 19 16 13 10 7 11.0 26 23 19 15 12 8 12.0 30 26 22 18 14 9 13.0 33 29 24 20 15 10 Zonal Control Adjustment 10 8 7 6 4 3 No Cooling System Installed Stories One -5 -4 •1 -3 -2 -2 Two + 3 3 2 2 2 1 Single -Family Detached and Attached Interior MasslCFA R-36 or Unit Size (sQ R -value Water T] " 1199 1200 1700 2200 2700 Heater Credit or to to to or Type TYPj .less 16W _• 2199 2699 more SG None 0 0 0 0 0 or Solar 12 8 6 5 4 HP HWR -8 - '5 4" 3. 3 WSII 5 3 3 2 2 25% 30% POU 8 5... 4 _ 3 3 SE None -37 -24 -18 -15 -12 100% 105: 1101. 115% Solar -1 -1 .1 0 0 0.8 1 HWR -18 -12 -9 -7 -6 2.3 2.5 WS2 -25 -16 -12 -10 -8 3.8 POU -18 -12 -9 -7 -6 IG None -5 -3 .2 -2 -2 1.6 Soiar 7 5 4 3 2 3.1 POU 3 2 1 1 1 IE None -28 -19 -14 -11 -9 0.7 0.9 Solar 8 5 4 3 3 2.2 24 POU -10 -6 -5 -4 -3 3.7 Multi -Family (Individual 4.3 units) 4.7 4.9 5.1 5.3 nit Size (sQ 50% Water 1.1 699 70o 12to00 17to 2200 Heater Credit or to 3 32 3.2 3.4 3.4 3.6 Type Type less 1199 1699 2199 more SG None 0 0 0 0 0 or Solar 14 7 5 4 3 HP HWR 9 5 3 2 2 WS8 9 4 3 2 2 5.7 POU 9 5 3 2 . 2 SE None -45 -23 -15 -11 -9 3.2 Solar 2 1 1 0 0 4.7 HWR -23 -12 -8 -6 -5 60% 65% WSS .25 -13 -8 -6 -5 2.3 2.4 EOU .23 -12 .8 -6 -5 IG Nona -8 -4 .3 .2 I 2 52 Solar 6 3 2 1 1 1.4 POU 1 0 0 0 0 IE None 30 15 .10 -8 -6 4.3 4.3 Solar 18 9 6 4 4 5.7 POU -8 -4 .3 -2 .2 Interior MasslCFA Point System Summary: Climate Zone 11 SCORE CARD _ .. 1. Ceiling Insulation 2... Wall Insulation 3. Raised Floor Insulation 4. Slab Edge Insulation -5. Infiltration Measures R-36 or R -value U -value (0.030] T] " ! or R -value (I I] U -value (0.0981 i . or R -value (19] U -value 10.0371 "- or R -value (01 F2 factor [0.77] Standard ,,., .,_„ t 71111E 1 MJ�S.1 WIRC 11 4.2, Le: es osed slab► 0% 5% 1011. 15% 20% 25% 30% 35% 40%.45% 50% 55% 60% 6676 70% 75% 80% 8511. 90% 95% 100% 105: 1101. 115% 120% 011. 101. 0 0.2 0.2 0.4 0.4 0.6 0.6 0.8 0.8 1 1.1 1.2 1.3 1.4 1.5 1.6 1.7 1.9 1.9 2.1 2.1 2.3 2.3 2.5 2.5 2.7 2.7 2.9 2.9 3.1 3.2 3.4 36 3.8 4 4.2 4.4 4.6 4.8- 5 S 20% 0.3 0.6 0.8 1 1.2 1.4 1.6 1.8 2 2.2 24 21 29 3.1 3.3 3.3 3.5 3.5 3.7 37 3.9 4 4.1 4.2 4 3 4.4 4.5 46 4.8 4.6 5 5 52 52 s 5.4 30% 40% 0.5 0.7 0.7 0.9 0.9 1.1 1.1 1.3 1.4 1.5 1.6 1.7 1.8 1.9 2 2.2 2.2 24 24 26 2.6 2.8 2.8 3 3.2 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 56 50% 0.9 1.1 1.3 1.5 1.7 1.9 21 23 25 27 3 3 32 3.2 3.4 3.4 3.6 3.6 3.8 3.8 4 4 42 4.3 4.4 4.5 4.7 4.9 5.1 53 5.5 57 4.6 4.8 5.1 5.3 5.5 5.7 59 E S5% 0.9 1.1 1.4 1.6 1.8 2 2.2 24 2.6 28 3 3.2 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 53 56 S8 6 E. 60% 65% 1 1.1 1.2 1.3 1.4 1.5 1.7 1.7 1.9 1.9 21 2.2 2.3 2.4 2.5 26 2.7 2.8 2.9 3 3.1 3.2 3.3 3.4 35 3.8 4 4.2 4.4 4.6 4.8 5 52 5.4 56 5.9 el 6 70% 1.2 1.4 1.6 •1.7 1.8 2 2.2 2.5 27 29 3.1 3.3 3.5 36 3.7 3.8 3.9 4 4.1 4.3 4.3 4.5 4.6 4.7 4.8 4.9 5 5.1 52 53 5.4 55 56 5.7 5.9 61 64 75% 1.3 1.5 1.9 21 2.3 25 2.7 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5.1 5.3 5.5 5.7 58 5.9 6 6.1 62 E4 63 6 MY. 851. 1.4 1.4 1.6 1.7 1.8 1.9 2 2.1 2.2 2.3 24 2.5 26 2.7 28 2.9 3 3.1 3.3 33 3.5 3.5 3.7 3.8 3.9 4.1 4.3 4.5 4.7 l9 5.1 S4 56 5.8 6 62 6/ 6 90% 95% 1.5 1.6 1.7 2 2.2 2.4 26 28 3 32 3.4 3.8 3.8 4 4.1 42 4.3 4.4 4.5 4.6 4.7 4.8 4.9 5 11 52 53 54 55 56 5.7 59 59 6.163 62 64 65 6 66 100% 1.7 1.8 1.9 2 21 2.2 2.3 2.5 2.5 27 28 2.9 3 3.1 3.2 33 3.4 3.5 3.6 3.7 3.8 3.9 4 4.1 4.2 4.3 4.6 4.8 5 5.2 5.4 56 5.8 6 6.2 6.4 6' 67 6S 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.7 7 105% 1107. 1.8 1.9 2 2.1 2.2 23 2.4 2.5 2.6 2.7 2.8 2.9 3 3.1 3.3 3.3 3.5 36 3.7 38 3.9 4 4.1 4.3 4.5 4.7 4.9 5.1 5.4 56 5.8 6 6.2 6.4 66 68 7 115% 2 22 24 2.6 2.8 3 32 3.4 3.6 3.8 4.1 4.2 4.3 4.4 4.5 4.6 4.7 4.8 4.9 5 5.1 5.2 5.3 14 5.5 5.7 5.7 5.9 59 6.1 6.2.6.4 6.3 6.5 6.8 6.7 69 71 120% 1257. 2 21 23 2.3 2.5 25 2.7 2.8 2.9 3 3.1 3.2 3.3 3.4 3.5 3.6 3.7 3.9 4.1 4.4 4.6 4.8 S 5.2 5.4 16 S8 6 62 6.5 6.7 6.8 6.9 7 72 7.1 7 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 17 5.9 6.1 6.3 6.5 6.7 7 7.2 7.4 Point System Summary: Climate Zone 11 SCORE CARD _ .. 1. Ceiling Insulation 2... Wall Insulation 3. Raised Floor Insulation 4. Slab Edge Insulation -5. Infiltration Measures R-36 or R -value U -value (0.030] T] " ! or R -value (I I] U -value (0.0981 i . or R -value (19] U -value 10.0371 "- or R -value (01 F2 factor [0.77] Standard 6.- - Glass Heat Loss __•---_.L__� - - - --___-_._-- Type [double] U -value [0.651 Point Scores 0 V 0 9'o Total Glass 1161 Sum 1-6 7. Shading (Shade .Open) - -- % Glass SC - Eff. % Glass a. North . O x ► 7 = `7 7 -� _-..._._ b. East _ x = .. .. c. South 4.Z x d. West (o �3 x = ,5 e. Skylight 3.3 x = 2,5.,+ {. 8. Shading (Shade Closed) - %Glass SC Eff. %Glass a. North 1.0 x t (� jo = , (0 6 b. East 0-� x i = .i» C. South Zs Z- x _ 2,-7 74 d. West (�, - x , _ 3A02_ e. Skylight 3.3 x ,'�') = 2, 5' [ 3 9. Interior Thermal Mass ' TYPE 1 MASS AREA = Interior W.-wss/CFA COND. FLOOR AREA 10. Exterior Wall Mass 0_ TYPE 2 MASS AREA ND = G 6 Exterior Wall Mass . FLOOR AREA Sum 7-10 11. Heating System 1172- x . _ O -i•3 Zonal Control? ( Y / N )� SE or HSPF )Duct Efficiency [0.781 Effective SE or (0.72/6.6] HSPF 10.5615.151 12. Cooling System QN "+"2. Zonal Control? ( Y / N) SEER -[9.5] Dna Efficiency 10.741 Effective SEER (7.031 13. Water HeatingSo-- Type ISG1 Credit [none] Point Tntal: Certificate of Compliance: Residential Climate Zone 11 Duct Output Manufacturer / Model # conditioner, heat pump) (SE, SEER,HSPF) (attic, etc.) R -Value (Btuh) (or approved equal) ProJectTltle A l` 5•� ♦ 37 GA . 5 VOs Fe IV /�d AVE HOT WATER SYSTEMS Tank Manufacturer/Model # Building Permit N Project Address _ C-441 G_ O C-#4 armed By/ Date Documentation Author Telephone Enforcement Agency Use Only BUII.DING DATA - � North Glass Area % Glass CondiLi red FIoor Area /7137 Number of Stories Z Number of East South 12 Sla s Floor -Units _� Sin e Family Detached (SFD) [ ] Addition Alone West 112 C I Single Family Attached (SFA) [ ] Existing Building Skylight I -IS [ ] Multi -Family (NM [ ] Existing -Plus -Addition TOW 3 24.$ BUILDING SHELL INSULATION Component Insulation LocationirComments Type R -Value (attic, to garage, typical, etc.) Wall .............. W-14 e -*KT• INALL Wall .............. Roof ............. Roof ............. s Floor ............. Floor ............. SIab Edge ...... -`— - - - GLAZING - Shadin Devices " -Area .._::Glass - - g Type .. Interior Exterior .Overhang Framing Type _ _ Orientation- s (sin double) - (roller blind, etc. (shadescreen, etc.) es/no) (metallwood) North _ $OUCh. ( 12.1 South ( ) West II - West ( ) Skylight.......AIM -- THERMAL MASS Type/Covering Area Thickness (slab/exposed, tile, etc.) 00 (inches) Location/Description (kitchen, bath, etc.) P oN E -- 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) A l` 5•� Maximum Furnace Heating Output: Btuh HOT WATER SYSTEMS Tank Manufacturer/Model # System Type (storage pas, etc.) Capacity (or approved eoual) Soecial Feature(s) .S`CotRA! A4, SPECIAL FEATURESIREMARKS (Add extra sheets if necessary) Mandatory Measures Checklist: Residential MF -1R NOTE: LowTise residential buildings subject to the Standards must cousin these nleasurcts regatdkss of the eomoianoe approach used. Items marked with an ast"isk (•) may be superseded by more stringent compliance requutments listed on the Certificate of Compliance_ When this checklist is incorporated into the permit documents, the fewucs noted shall be considered by all panics as binding minimum component performance specifications for the mandatory measures whether they arc shown elsewhere in the documents or on this chocklist only. DESCRJPT10N Building Envelope Measures • §2.5352(a): Minimum ceiling insulation R-19 weighted average. §2.5352(b): Loose fill insulation manufacturer's labeled R -Value. §2-5352(c): Minimum wall insulation in framed walls R -I I weighted average (docs not apply to cxtcnor mass walls). §2.5352(k): Slab edge insulation - water absorption rate no gseatu thin 03%, water vapor transmission rate no great" than 2.0 pemViinch. §2-5311: Insulation specified or installedmeets California Energy Commission (CEC) quality standards. Indicate type and form. §2.5352((): Vapor barriers mandatory in Climate Zones 14 and 16 only. §2.5317: Infiltration/Exftltntion Controls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage_ b. Doors and windows certified. c. Doors and windows weath>drstripped: all joints and penctntions caulked and sealed §2.5352(e): Special infdtratioo barrier installed to comply with §2.5351 mats CEC quality standards. §2.5352(d): Installation o(Fueplaces 1. Masonry and factory -bunt rueplaees have: a. Tight fitting. closeable metal or glass door b. Outside air intake with damper and Control c. Flue damper and control 2. No continuous burning gas Pilots allowed-_ HVAC and Plumbing System Measures §2-5352(8) and 2-5303: Space conditioning equipment sizing: attach alculations- §2-5352(h) and 2-5315: Setback thcmrostat on all applicable heating system. • §2-5316(a): Ducts constructed, installed and insulated per Chapter 10, 1976 UMC. §2-5316(br Exhaust systems have damper controls. §2-5314(c): Gas-rurd space beating equipment has intermittent ignition devic.= §2-5314: HVAC equipment, water heaters, showerbeads and faucets cenifted by the CEC. §2.5352(1): Water heata.insulation blanket (R.12 or graver) or combined interior/extenor insulation (R-16 or greats): fust 5 feet o(pipcs closest to tank insulated (R-3 or greater). §2.5312(Exccpdon 1): Pipe insulation on steam and steam condensate return k recirculating piping. §2-5318(d): Swimming Pool Heating 1. System has.. a. On/off switch on heater. - b. Wcatherproo( instruction plate on heat". C. Plumbed to allow for solar.-•-,__. 2.-75 percent thermal efficiency._ _.. _.. ....._ i - - - 3. Pool cover. 4. Time clock. 5. Directional water inlet Lighting and Appliance Measures , §2-53520): Lighting - 25 lumens/watt or greats for general lighting in kitchens and bathrooms. §2-5314(c): Gas fired appliances equipped with intermittent ignition devices. §2-5314(a): Refrigerators• refrigerator-rcesers, freezers and nuomscent lamp ballasts certified by the CEC. Indicate make and model number. DESIGNER 1 V41FORCEMEW17 COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications r=ded to comply with 'IStic 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 Owner Name: Names TuleJFum ' itklFum: Addmu: Address: Tekphorsc Telephone Lic. M: (si6ttantrc) (date) (sibnattce) (fate) Documentation Author Enforcement Agency Name: Name. .7iitwFtrrrt -- - A`ertcy: - Addn=: Telephone: 0 1. Ceiling Insulation 2. Wall Insulation Floor Insulation Number of stories Number of stories R -value One Two ThtP$,,,- R-0 -103 -49 -32 R-19 -8 -4 -2 R-30 -2 -1 -1 R-38 0 0 0 U -value 2 1 R-19 0.50 -176 -84 -54 0.30 -102 -49 -02 0.10 -26 -13 -8 O.C8 -18 -9 -6 0.06 -11 -5 -4 0.04 -4 -2 -1 0.02 4 2 1 0.00 11 5 3 2. Wall Insulation Floor Insulation -3 -1 Number of stories Single- ,Single - One Number of stories Family Family Multi - R -value Detached Attached Family R-0 -68 -51 -34 R-11 0 0 0 R-13 2 2 1 R-19 8 6 4 .y U -value -38 0.40 -95 -46 i 0.80 -153 -114 -76 _�••.__ - _x..0.50___-�-•-.91.�.�.._._.-b8 �..�.-...46,_. -14 0.30 -47 -36 .24 -11 -6 _ 0 0 _6666 0 -2 4 3 .. 2 0.06 9 7 5 - 0.04 _-_ _ •- .14 11 7- . 0.02 19 14 10 0.00 24 18 12 24 -43 -12 -5 3. Raised Floor Insulation -3 -1 Number of stories Insulation In Floor R -value One Number of stories Three R -value One Two Three R-0 _--- •17 _. -8 S- - . - -R-11 -3 -2 =1 • R-19 0 0 0 ' R-30 3 1 1 U -value 4. Slab Edge Insulation -3 0.60 -144 -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 0 0.02 4 2 1 0.00 10 5 3 Controlled Ventilation Crawlspace -4 -3 -1 Number of stories -1 R -value One Two Three R-0 -11 -7 -5 R-5 4 -4 3 R-11 -2 -2 -2 R-19 -1 -2 -2 4. Slab Edge Insulation -3 8 • Number of Stories -19 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 5. Infiltration (Air Leakage) Specification Points Standard _ 0 6. Glass Heat Loss Total 0 Slab Floor Raised Floor Ll -value %Glass North Percent South .51 to :' :3 .31 to 0.30 or Glass Single Double .60 0 .40 less 50 -121 -53 .39 South -10 4 40 -90 -37 -26 12 3 -3 8 35 -75 -29 -19 3 1 10 ,30 -61 -21 -13 -t 4 12 29 -58 -20 -12 -3 5 12 28 -55 -18 -10 -2 5 13 27 -52 -17 -9 -2 6 13 26 -49 -15 -8 -1 2 14 25 46 -14 -7 0 7 14 24 -43 -12 -5 1 8 14 23 -40 -11 -4 2 8 15 22 -37 -9 -3 3 9 15 21 -34 -7 -2 4 10 15 20 -31 -6 0 5 10 16 19 -29 4 1 6 11 16 18 -26 -3 2 7 12 16 17 -23 -1. 3 8 12 17 16 -20 0 4 9 13 17 15 -17 1 6 10 14 17 14 - -14--- 3 -7 10 14 - -18 13 _. A 2 4 8 11 15 18 12 -9 6 9 12 15 19 11 -6 - 7 10 13 16 19 10 -3 9 11 14 17 19 9 = -110 10 13 15 17 20 8 2 _7- 12 14 16 18 20 7. Shading (Shade Open) Effective Percent Class (percent flaw x SC) Effective 0 Slab Floor Raised Floor Effective Pei cerlt Class %Glass North East South West Skylight 18 5 1 4 1 na --16---4--- %Giass 5 1 South 14 4 -2.------ 2 5 __--na 1 na 12 3 3 5 2 na 11 3 3 5 2 na 10 2 3 5 2 1 9 2 3 5 2" 2 8 2 3 5 2 2 7 1 3 4 2 2 6. : ._1... - 3 -'4 _.:_.2 _.. ..3 :.. . 5 1 2 4 2 3 4 0 2 3 1 3 3 0 1 2 1 3 2 0 0 1 0 3 1 -1 -1 -1 -1 2 0 -1 -2 -4 -2 0 na = not allowed �3. Shading (Shade Closed) 0 Slab Floor Raised Floor Effective Pei cerlt Class Mass 2 Stories (percent flus x SC) 5 Effective 3 /CFA One Two Three %Giass North East South We61 Skylight 18 -14 -48 -69 -64 na 16 -12 -42 -59 -55 na 14 -10 -35 -50 -46 na 12 -8 -29 , -40 -37 na 11 -7 -26 -36 -33 na 10 -6 -23 -31 -29 -74 9 -5 -20 '-27 -25 -65 8 -5 -17 -23 -21 -56 7 -4 -14 -19 -18 .47 6 -3 -11 -15 -14 -38 5• -2 -9 -11 -10 -30 4 -1 -6 -8 -7 -23 3 0 -4 -5 4 -16 2 1 -1 -2 -1 -9 1 1 1 1 1 -4 0 2 3 4 3 0 na . not albwed 8 10 11 11 9. Interior Thermal Mass Interior 0 Slab Floor Raised Floor 0.20.. Mass 2 Stories 0.40 5 Stories 3 /CFA One Two Three One Two - `Three 0.0 -8 -5 -4 -2 -1 -1 0.1 -8 •5 -3 -1 0 0 0.3 -7 -4 -2 0 1 1 0.5 -6 -3 -1 1 1 2 0.7 -5 -2 -1 1 2 2 0.9 -5 .1 0 2 3 3 1.1 -4 -1 1 3 4 4 1.3 -3 0 2 3 4 5 1.5 -3 1 2 4 5 5 2.0 -1 2 4 5 6 7 2.5 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 1.1 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 10. Exterior Wall Thermal Mass Exterior Single- Single - Wall Family Family Muffi Mass Detached Attached Family 0.00 0 0 0 - 0.20.. 3 6666. 2 1 0.40 5 4 3 0.60 8 6 -4 0.80 id 8 5 1.00 13 10 7 1.20 13 12 8 - 1.40 12 13 9 1.60 10 13 11 1.80 10 12 12 200 10 11 13 i 11. Heating System Zonal Control Adjustment System Type Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 12. Cooling Syst;:m - --- - SE or HSPF --- -- SEER One (assumes ducts in attic) -4 -4 -3 (assumes ducts In tattle) Sum of 1-6 3 - 2 Stm of 7.10 -25 or -24 to -14 to. -4 to. +6 -to 16 or SE HSPF less -15 -5 +5 +15 more 0.72 6.60 0 0 0 . 0 , . 0. 0 . . 0.75 6.88 3 3 3 2 2 1 0.80 7.33 8 7 6 5 4 3 0.85 7.79 13 11 10 8 7 5 0.90 8.25 17 15 13 11 9 7 0.95 8.71 20 18 15 13 11 8 10.0 4 Effective SE or HSPF 2 2 (SE or HSPF x duct efficiency) 10.5 Effective -25 or -24 to -14 b .4 to +6 b 16 or SE HSPF less -15 -5 +5 +15 more 4 0.30 2.75 -73 -64 -56 -47 -38 -30 na 3.41 -415 -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 7 6 4 3 Other 6 5 4 3 2 2 12. Cooling Syst;:m Climate Zone 11 -. b.. SCORE CARD - c. South SEER One -5 -4 -4 -3 (assumes ducts In tattle) Two+ 3 3 2 Stm of 7.10 2 1 , Tl.0 2 PASS .7.0 71 .Lel Detached -25 or -24 to -14 to -4 b +610 16 Or SEER less -15 -5 +5 +15 more 8.0 -14 -12 -10 -8 -6 -4 8.5 -9 -7 -6 -5 -4 -3 8.9 -5 -4 4 -3 -2 -2 9.0 -4 .3 .3 -2 -2 -1 9.5 0 0 0 0 0 0 10.0 4 3 3 2 2 1 10.5 7 6 5 4 3 2 11.0 10 9 7 6 4 3 12.0 15 13 11 9 7 5 13.0 20 17 14 - 12 9 6 Solar -1 Effective SEER -1 0 0 (SEER x dud efnclency) - HWR -18 -12 Sum of 7-10 -7 -6 3.3 Effective -25 or -24 to -14 to 4 b +6 b 16 or SEER less -15 -5 +5 +15 more 5.0 -30 -25 -21 -17 -13 -9 6.0 -12 -11 -9 -7 -6 -d 6.6 -5 -4 -4 -3 -2 2 7.0 0 0 0 0 0 0 8.0 ..9. None ..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 8 120 30 26 22 18 14 9 13.0 33 29 24 20 15 10 700 Zonal Control Adjustment Credt or 10 8 7 6 4 3 No Cooling System Installed Stories Climate Zone 11 -. b.. SCORE CARD - c. South d. One -5 -4 -4 -3 -2 -2 Two+ 3 3 2 2 2 1 , Tl.0 2 PASS .7.0 71 .Lel Detached and.Attached - -Single-Family U -value (0.098] TYPE 1 MASS AREA = 0 A Unit Size (sQ R� 19 or Water i 'htE 1139 1200 1700 2200 2700 Healer (.(edit or b ' to to or Type Type tats 1699 2199 2699 more SG None 0 0 0 0 0 or Solar 12 8 6 5 4 HP HWR " 8 5- 4 3 3 1.3 WSB 5 3 3 2 2 2.7 POU 8. _ 5- 4 3 3 SE None -37 -24 -18 -15 -12 0.4 Solar -1 -1 -1 0 0 1.9 HWR -18 -12 -9 -7 -6 3.3 WS8 -25 -16 -12 -10 -8 4.8 PQU -18 -12 -9 -7 •6 IG None -5 -3 -2 -2 -2 24 Soiar 7 5 4 3 2 3.9 POU 3- 2 1 1 1 IE None -28 - -19 -14 -11 -9 1.6 Solar 8 5 4- 3 3 3 POU -10 -6 -5 -4 _3 4.5 Multl-Famlty (Individual 4.9 units) 5.3 56 5 40Y. 0.7 nit120Z00 (sq 1.1 Water 1.5 699 700 2.2 700 2200 Heater Credt or b to to Or Type Type less 1199 1699 2199 more SG None 0 0 0 0 0 or Solar 14 7 5 4 3 HP HWR 9 5 3 2 2 4.8 WSB 9 4 3 2 2 0.9 POU 9 5 3 2 2 SE None -45 -23 -15 -11 -9 3.9 Solar 2 1 1 0. 0 53 HWR -23 -12 -8 -6 _5 1.4 WSB -25 -13 -8 -6 .5 2.9 PQU _-23 -12 -8 -6 -5 IG None -8 -4 -3 -2 i -2 5.9 Solar 6 3 2 1 1 1.9 POU 1 0 0 0 0 IE None -30 -15 -10 -8 -b 4.9 Solar 18 9 6 4 4 70% POU -8 -4 -3 -2 -2 Point System Summary: Climate Zone 11 -. b.. SCORE CARD - c. South d. West 'Measures Skylight Point Scores 1. Ceiling Insulation or Interior MasslCFA = - R -value 1381 U -value (0.030] ,z 2. Wall Insulation R-19 or , Tl.0 2 PASS .7.0 71 .Lel 1,00 R -value (I1] U -value (0.098] TYPE 1 MASS AREA = 0 A 3. Raised Floor Insulation R� 19 or ' i 'htE 1 MASS (UIMC • 4.2, le: ea osed slabl 4. Slab Edge Insulation or Ezurior WalllNass R-valur. [t1] , 0Y. 5% 10% 15% 201/. 25% 301/. 35% 40%.45-1. . Type (double] 5O% 55% 60% 657. 70% 75% 80% 65% 911% 95% 100% 105% 1107, 115% 1201. 1; 0Y. 0 0.2 04 0.6 0.8 1.1 1.3 1.5 1.7 1.9 21 23 2.5 2.7 2.9 3.2 3.4 36 3.8 4 4.2 4.4 4.6 4.8 5 5' 10Y. 0.2 0.4 0.6 0.8 1 1.2 1.4 1.6 1.9 21 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.7 4 4.2 4.4 46 4.8 5 5.2 5: 20% 0.3 0.6 0.8 1 1.2 1.4 1.6 1.8 2 2.2 24 27 29 3.1 3.3 3.5 3.1 3.9 4.1 43 4.S 4.8 5 52 5.4 5 30% 0.5 0.7 0.9 1.1 1.4 1.6 1.8 2 2.2 24 2.6 2.8 3 3.2 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 56 5 40Y. 0.7 0.9 1.1 1.3 1.5 1.7 1.9 2.2 24 2.6 2.8 3 3.2 3.4 3.6 3.8 4 l3 4.5 4.7 4.9 5.1 53 5.5 57 5 '. 5076 0.9 1.1 1.3 1.5 1.7 1.9 21 23 25 27 3 3.2 3.4 3.6 3.8 4 42 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6 SS% 0.9 1.1 1.4 1.6 1.8 2 2.2 24 2.6 28 3 3.1 3.5 37 3.9 4.1 4.3 4.5 4.7 4.9 5.1 53 56 58 6 6; W. 1 1.2 1.4 1.7 1.9 21 2.3 2.5 2.7 2.9 3.1 3.3 35 3.8 4 4.2 4.4 4.6 4.8 5 52 5.4 56 5.9 61 6: 65% 1.11.3 1.5 1.7 1.9 2.2 2.4 2.6 2.8 3 3.2 3.4 36 3.8 4 4.3 4.5 4.7 4.9 5.1 53 55 5.7 5.9 6.1 61 70% 1.2 1.4 1.6 1.8 2 2.2 2.5 2.7 29 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 52 5.4 56 58 6 62 64 75% 1.3 1.5 1.7 1.9 21 2.3 25 2.7 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 63 6.! 80% 1.4 1.6 1.8 2 2.2 24 26 28 3 3.3 3.S 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 54 56 5.8 6 62 64 6f 85% 1.4 1.7 1.9 2.1 2.3 2.5 2.7 2.9 3.1 33 3.5 3.8 4 4.2 4.4 4.6 4.6 5 5 2 54 5 6 59 6.1 6 3 6 5 6 907. 1.5 1.7 2 2.2 2.4 26 28 3 32 3.4 3.5 3.8 4.1 4.3 4.5 4.7 4.9 it 53 55 5.7 59 64 66 66 95% 1.6 1.8 2 2.2 .2.5 21 .2.9 3.1..33--3.5-3.7 3.9 4.1 4.3 4.6 4.8 "5 5.2 5.4 56 58 6 .62 6.2 6.4 67 69 100% 1.7 1.9 21 2.3 2.5 28 3 3.2 3.4 3.5 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.7 7 105% 1.8 2 2.2 2.4 2.6 2.8 3 3.3 3.S 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 S.4 56 58 6 6.2 6.4 66 68 7 110% 1.9 2.1 23 2.5 2.7 2.9 3.1 3.3 36 38 4 4.2 4.4 4.6 4.8 5 5.2 54 5,7 59 6.1 6.3 65 6.7 69 71 115% 2 22 2.4 2.6 2.8 3 32 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 59 6.2 6.4 6.6 6.8 7 72 120% 2 23 2.5 2.7 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.4 4.6 4.6 5 5.2 5.4 5.6 58 6 62 6.5 6.7 6.9 7.1 7? 1257. 21 2.3 2.5 2.8 3 3.T 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 S7 5.9 6.1 6.3 6.5 6.7 7 7.2 7.4 Point System Summary: Climate Zone 11 -. b.. SCORE CARD - c. South d. West 'Measures Skylight Point Scores 1. Ceiling Insulation or X = - R -value 1381 U -value (0.030] ,z 2. Wall Insulation R-19 or X 1,00 R -value (I1] U -value (0.098] TYPE 1 MASS AREA = 0 A 3. Raised Floor Insulation R� 19 or C> AREA R -value 1191 U -value [0.0371 4. Slab Edge Insulation or Ezurior WalllNass R-valur. [t1] F2 factor [0.77] 5. Infiltration Standard ,e3 = 0 6. Glass Heat Loss ---- - Duct Efficiency [0.78] Effective SE or - --- -- ^- . Type (double] U -value [0.65] % Total Glass,[ 16] Sum 1.6 7.-- Shading (Shade Open) a. North -. b.. East - c. South d. West e. Skylight 8. Shading (Shade Closed) a. North -_ b. East --- c. South --- .- d. West -- e. Skylight 9. Interior Thermal Mass 10. Exterior Wail Mass 11. Heating System Zonal Control? ( Y / N ) 12. Cooling System Zonal Control? ( Y / N ) 13. Water Heating - % Glass - SC Eff_ % Glass X _ 5,92 X = 5,Z3 3 x = 's, B S !.3 X = ).00 , % Glass SC Eff. % Glass X X X = 1 N-7 - 3 X ,z 12 e2 �3. X 1,00 O TYPE 1 MASS AREA = 0 A InuriorYass/CFA COND. FLOOR AREA � TYPE 2 MASS AREA U Ezurior WalllNass ND. FL -60- R = AREA X ,e3 = SE or HSPF Duct Efficiency [0.78] Effective SE or (0.72/6.6] HSPF 10.56/5.151 J Q X .VFX _ 7,e.I4 SEER (9.5] Duct Efficiency [0.74] Effectivo SEER [7.03] i -56- _ C) Type [SG] -- Credit [none] +(c 4- Z � O Sum 7.1C 1- 4?_ t3 0 Pnint Tntnt - + I