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HomeMy WebLinkAbout039-540-03401 039-54-0. 91-4360 BLACK, J I;M CONTR: SAME 9420 .DWY_ ER CT, DUR M Z -0e131 NEW 'SF _ I 039-540-034 92 contr: Pierce C st. (Fire Sprinkle s for 91-4360)l0��s_gZ 039-540-034 05- 64- ARBUCKLE, HARVEY & MY ELED 9420 DWYER CT, DURHAM Cont: BAIRD ROOFING CO RE- ROOF -3y "5r4iQ- :n l . PI NOTES RESIDENTIAL x PERMIT NO. !_039-540-034 05-1%4_ ARBUCKLE, HARVEY & MYRTLE 9420 DWYER CT, DURHAM j Cont: BAIRD ROOFING CO RE- ROOF i SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER 'V %j(/R 01 -le JOB FINAL ED (D - Signature J=OK 0 = Not OK bte . = Applicable NotReady MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer, Location -Test -Fall -C/0 -Concrete 4. Water; Location -Test -Easement Needed (Sketch) S. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat or/ /" L "ftJ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Date 1. Zoning Requirements -Setbacks -Easements Date 2. Footings; Size -Spacing -Marriage Une 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water, MH Test -Regulator -Connector 7. Water and Sewer Connected -C/0 to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) Date 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water, MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg- Frg- Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance -GA 5. Elec.; Pool Lighting; 15 Volts-GF1 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8: Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 = OK = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Gmd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Gmd.-/ /" Ftg. Depth 4. Fig., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall-Frtting-Test-2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler, Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI -AC. Wire Size/ /ga Cu or AI 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral 0 Yes 0 No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Aft -Return Air Vent 115 Outlet 40. Attic Access & Platform 'rf Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Trvss-Shting.-Rtng. 49. Fireplace Ties or Type AFlue-Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrrn. Windows or Exiting Doors -Sill Ht & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infittration-Walls-Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door, Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htc; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor -Meth. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 83. Following InsUdJDrive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Ciearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: BUTTES COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.netldds LICENSED CONTRACTORS 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 : 1� : 1�7 License Number: Date: // 1171 V 0 Contractor: PERMIT NO. BPO51764 Issued Date: 07/06/2005 APN: 039-540-034-000 Site Address: 9420 DWYER CT DUR Map Index: OWNER43UILDER DECLARATION Description: re roof 5 sq I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: ARBUCKLE HARVEY R & MYRTLE. D REV......::.. permit to construct, alter, improve, demolish, or repair any structure, prior to its issuence,•also requires the applicant for such permit to file a` •� - - TRUST signed statement that he or she is licensed pursuant to the provisions of;, ::ARBUCKL'EHARVEY R & MYRTLE D the Contractor's State License Law (Chapter 9 commencing with Section TRUSTEES 7000) of Division 3 oi•Ihe Business and Professions Code) or that he or ' she is exempt therefrom and the basis for the alleged exemption. Any9420 DWYER. T violation of Sectiori:7031.5 by any applicant for a permit subjects the DURHAM, CA 95938 applicant to`a civil penalty of not more than five hundred dollars ($500).): ❑ 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.offereA,.focsale.,(.S,ec,.7044„B.usines;,and,Frofess ions.. ......... ::_,:._....,....,:,....-.....•.......:,....:,,...:.:4_..:..._>.,.:....:.. Code: The Contractors' State' License Law does not apply to an owner. of property who.builds or. improves. thereon, and who does such work himself or, herself or through his or her own,employees, Applicant: BAIRD ROOFING CO provided that such improvements are not intended or offered for sale. If howeve'r,:the building or improvements are sold within one 11025 MIDWAY year of completion, the owner -builder will have the burden of proving that he or she did not build or`improve for the purpose of CHICO, CA 95928 sale.). 530-342-1631 ❑ :.1, as..owner>..ot:.the.:property,...am.._exclusively-contracting..with.: licensed contractdrs'to,constructthe:.prdject (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds orimproves thereon, and who contracts for such projects, with a contractor(s) licensed pursuant to the Contractors' State License Law.): ❑ I am Exempt.under Article 3 of the Business and'Professions. Code Date: Owner: WORKERS.' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: O 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. l I have and will maintain workers' compensation insurance, as required by Section ..3700 the Labor Code, for. the performance of .the work for which this permit -is issued.: My workers' compensation insurance carrier and .policy •nu /be/r.arre/� Carrier: '��fJ'/v'✓ Policy #: r�C .Y ❑ 1 certify thaFin'the:performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject'to the. -workers' compensation laws of California, and agree that if A should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, 1 shall forthwith co p y with osse�ppisions. Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest,. and attorney's fees. CONSTRUCTION LENDING AGENCY' I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Address Contractor: BAIRD ROOFING CO 1`1025 MIDWAY CHICO, CA 95928 530-342-1631 License #:'631460 Architect: Engineer: Total Square Ft: Valuation: Census Code: 0 S. F. $0.00 I Z; �V This permit -is her iss ed -u der the pplicable provisions of the Butte County Coda enrUOr Resolutions to w� indi ted abov for ich fees have been paid. ° J By: Date: r C� O r•_- PERMIT EXPIRES ON: l� o6 O 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the Califomia Health and Safety Code, which regulate the storage, handling and use of, hazardous materials. Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. O Attached are copies of.the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the du y authorized agent of the owner. I agree to comPA with all county and state laws relating to building construction. I acknowe it is unlawful to alter the substance of any ficial form or document of Butte C t . I hereby authorize representatives of Butte County to enter upon thq abontioned property for inspection purposes. Print Name: / Signature: - Date: ❑ Owner ❑ Contractor ❑ Agent for Owner gent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.netldds LICENSED CONTRACTORS 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: License Number: Date: / / l 17 / UU Contractor: PERMIT NO. BPO51764 Issued Date: 07/06/2005 APN: 039-540-034-000 Site Address: 9420 DWYER CT DUR Map Index: OWNER -BUILDER DECLARATION Description: re roof 5 sq I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: ARBUCKLE HARVEY R & MYRTLE D REV,-„..-,. permit to construct, alter, improve, demolish, or repair any structure, prior, to its issuance,•also requires the applicant for such permit to file a TRUST Y`” u i signed statement that he or she is licensed'00sUant td the provisions of; . .; a ,; p�• 4x k..;,:?,ARBUCKL'E;HARVEY R &MYRTLE D the Contractor's State License Law (Chapter 9 commencing with Section 7060) of Division 3 oi,the•Business and Professions Code) or that he br"' >f ' -^ i.: i "' TRUSTEES 1 she is exempt therefromand the basis for the -alleged exemption. Any 9420 DWYER-CT -j violation of Section:7031.5 by any applicant for a permit subjects the DURHAM, CA 95938 applicant to'a civilxperialty of not more than five hundred dollars ($500).): ❑ I, as -owner -of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not Code: The Contractors' State'License Law does not apply to an -,.,.owner,of,property who -,builds or;nimproves. thereon, and who does such work himself or,herself or, through his or her ow,employees, _ provided.that such improvements, are,not intended or. offered for sale. If'hov, ver, -the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or -she did not build or'improve for the purpose of sale.). ❑-.,I, as..owner:ofuthe.,proper.ty,-.am..-exclusively>.contracting-with.,, licensed contractors'td:coristrucCthe:project (Sec. 7044, Business -.and Professions Code. The Contractors' State License Law does not apply to an owner,of propertymho:builds or.improves thereon, and who contracts for such projects,with-a contractor(s) licensed pursuant to the Contractors' State License Law.), ❑ I am Exempt under Article 3 of the Business and' Professions: Code) Date: Owner: WORKERS'. COMPENSATION DECLARATION I hereby affirm under' penalty of penury one of the following declarations: ❑ I 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 I have -and will maintain, workers' compensation insurance, as required by Section3700 the Labor Code, for the performance. of :the work for which this permit -is issued.: My workers' compensation insurance carrier'and.policy;nu b/er/,are: Carrier: policy Policy ❑ 1 certify that'in•the°performance of'the work for which this permit is issued, I shalt -not" employ any -'person in any manner so as to become subject'to'the.'workers' compensation laws of California. and agree that if 'I should 'become' subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comp y with p isions. Date: �/ I/ Applicant. WARNING: Failure o secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest,.and attorney's fees. L Applicant: BAIRD ROOFING CO 11,025 MIDWAY CHICO, CA 95928 530-342-1631 Contractor: BAIRD ROOFING CO 1"1025 MIDWAY "i CHICO, CA 95928 530-342-1631 - s License #:631460 .. .. Architect: .. __... �.......,�"..._<...� s. ,,...,�._.,,,........ Engineer: Total Square Ft: 0 S. F. Valuation: $0.00 Census Code: I 10 CONSTRUCTION LENDING AGENCY This permit is her�ly is�d.0 de the pplicable provisions of the Bortte Cnunty Cods anWor I hereby affirm that there is a construction lending agency for the Resolutions to wo nidi ed abov for ich fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) °%— Name: By: �--7 Date: r V PERMIT EXPIRES ON: / " 6 "o 6 Address: Date ❑ 1 hereby certify that -the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of. hazardous materials. Notification in accordance -with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that l am the owner or the du y authorized agent of the owner. 1 agree to comp)x with all county and state laws relating to building construction. I acknowl a it is unlawful to alter the substance of any ficial form or document of Butte ty. I hereby authorize representatives of Butte County to enter upon thq abov ntioned property for inspection purposes. Print Name: / Signature: t7lluDate: ❑ Owner ❑ Contractor ❑ Agent for Owner llgent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buffecounty.net/dds **PLEASE PRINT CLEARLY** OWNER Last Name First N j Address City Vate Zip Phone Fax E-mail For off ic se only: CONTRACTOR Name Name Address / Address Zip State City Phone State Fa Zip J Phone State Li se Number Fax E-mail LENDING AGENCY Lic. # / C/ For off ic se only: ARCHITECT/ENGINEER Name —6) Address I Yes City Zip State Zip Phone E-mail Fa E-mail Date Approved: State Li se Number For off ic se only: APPLICANT NAME Name C�A_ Address —6) City I Yes State Zip Phone Subdivision Name Fax E-mail Lot # For off ic se only: Zoning AP# Flood Zone SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO. o5'/`76 BIN # Page 1 of 2 Descrip ion or Scope of Work: a. 7126 Y Sq. Footage ❑ Structure Built wifhout Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount: Bldg Vv /, SRA Receipt #:% Sheriff SMIP Date: Other � f ��� �j Total REV 2-24-05 LOCATION AP# Property dress C"' (� Cross Street WORKER'S COMPENSATION Policy Number Carrier cz;ZI J If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Page 1 of 2 Descrip ion or Scope of Work: a. 7126 Y Sq. Footage ❑ Structure Built wifhout Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount: Bldg Vv /, SRA Receipt #:% Sheriff SMIP Date: Other � f ��� �j Total REV 2-24-05 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530)538.7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 r--- �3�-��-oma 37 f. Pierce Construction • License #283917 1331 W. 8th Avenue LOWELL PIERCE Chico, CA 95926 (916) 895-1113 C0,0 A/ BUTTE COUNTY BUILDING DEPARTMENT Ap P R®V E® .�� 2j�f9� J206112d e 6e - a 0. A MAXIMUM MINIMUM REQUIRED FLOW COVERAGE _ (MINIMUM RESIDUAL PRESSURE) AREA FT. x FT. ONE SPRINKLER MULTIPLE SPRINKLERS FLOWING,GPM FLOWING,GPM* 14 x 14 18 ( 18.4) 13 (9.6) 16 x 16 22 (27.4) 16 (14.5) Refer to different Hydraulic Uesign Criterla for wet pipe fire sprinkler systems in lire residential portions of any occupancy per NEPA 13 and, one- and two-family dwellings and mobile homes per NFPA 13D. TABLE A HYDRAULIC DESIGN CRITERIA FOR 4.2 K -FACTOR MODEL C-991 SPIIINKLERS Individual loss Net total A. Water pressure/ H. Pipe size —//Z/ C. Water Meter v D. Elevation (0.11311) So. E. City main to 1st sprinkler ._ pipe / ft valves i ft _ elbows 6 ft tee ft Total aa� ft( .a,Y) F. Control valve to farthest sprinkler pipe, 7� (.��) 2 3/y " pipe., �y ( 7 ) J �_ jelbol+s '/d2 1h 1 -7 tee Ls Total `b APPROVED.- -217 t alculat Lon N2 r]t 26 U & C RUWWI '. � &Ui�DING DEOANT T. APP V;. . t►rcllvl�luttl loss fist tUtq� • A. Water pressure U. Pipe size C. Water !deter JU Elevation (o 3SDS �tS�7 City 'nail] to 1st sprinkler 1lq pipe 1) ft valves / �t 2 elbows e5l ft tee C;P- ft ! Total 11A rt(.p7) F. Control valve to furthest sprinkler pipe: elbows.Za) , y� 1 tee Total 7, y RUWWI '. � &Ui�DING DEOANT T. APP V;. . RESIDENTIAL FIRE SPRINKLER, FLUSH PENDENT MODEL F991 AQUARIUS TM 4.2 K -FACTOR GENERAL DESCRIPTION The 4.2 K -factor Model F991 Aqua- rius Pendent Residential Fire Sprink- lers (Rei. Figure A) are automatic sprinklers of the fusible solder type. They are low profile, flush sprinklers which are intended to be used in *wet pipe residential fire sprinkler systems for one- and two-family dwellings and mobile homes. per NFPA 13D. and *wet pipe fire sprinkler systems for the residential portions of any occupancy per NFPA 13. Small in size and attractive in appear- ance, the F991 Aquarius Sprinklers blend in with their surroundings. The F991 Sprinklers produce a hemispher- ical water discharge pattern below the deflector. Both a Push -on Escutcheon Plate as illustrated in Figure A and a Clamp -on Escutcheon Plate as described in Tech- nical Data Sheet TD810 are available for use with the Aquarius Sprinkler Unit. The Push -on Escutcheon Plate is intended for use with steel pipe or copper tubing and the Clamp -on Escutcheon Plate was designed for use with plastic piping. The F991 Sprinklers have been de. signed to operate with a particular fusible element temperature rating and heat sensitivity characteristic, as well as to discharge water in a specific pattern and quantity per square foot relationship. The com. bination of the performance charac- teristics which are associated with the F991 Sprinklers have been proven to help in the control of residential type fires and, therefore, to improve the chance for occupants to escape or be evacuated. Fire sprinkler systems are not a sub. stitute for intelligent fire safety awareness or construction materials and practices required by building codes. APPROVALS AND STANDARDS The Model F991 Aquarius Pendent Printed in U.S.A. 9-87 Dim. Inches MM A— 2-1/4 57.2 B— 2-1/2 63.5 C—Min. 5/8 15.9 C—Nom. 3/4 19.1 C—Max. 7/8 22.2 D—Nom. 1.1/16 27.0 E— 2 50.8 F— 1-1/2 38.1 7/16" 111.1 mm) MAKE -IN --I L. FACE OF 1/2 NPT SPRINKLER /? FITTING jt 9 0 ` 14 TWO WRENCH LUGS (SHOWN 90' OUT OF POSITION I MODEL NO., TEMPERATURE RATING, B YEAR OF MANUFACTURE NOTES: aB (DIA.) — 1. The Sprinkler Unit consists of Components 2 thru 14. 2. The Fusible Element Assembly consists of Components 6 thru 14. 1 -Push -on Components: E scutcheon Plate 10 -Loading Screw 2 -Dust Cap 6 -Retaining 8 -Inner Loading 11 -Solder Element 3 -Arms Ring Plate 12 -Disc Spring 4 -Body 7 -Heat 9 -Outer Loading 13 -Insulating Washer 5-Gasketed Collectors Plate 14 -Tamper Button- Resistant Deflector FIGURE A Plug MODEL F991 AQUARIUS PENDENT RESIDENTIAL FIRE SPRINKLER A Residential Fire Sprinklers are listed The Model F991 Aquarius Pendent by Underwriters Laboratories Inc. and Residential Fire Sprinklers are ap- Underwriters' Laboratories of Canada. proved by UI,�e++ New York City Board The listings only apply to the sSo��ii'ifand Appeals under Cal - conditions and installation/usa rI- en ar umber 33.4-79—SA. teria indicated in the Tech•n'cal. �'"�`•pT'p• ��••'p°� section. �L��Q ��gsttidr4tJrt`ohce•rning an interprets �PPROWn TD586 / Z i •�BCO, -' class 125 bronze check Horizontal Swing • Regrinding Type • Y Pattern • Renewable Discs 125 PSI Steam to 4066F or 207°C 200 PSI Non -Shock Cold Water, Oil, or Gas t Conforms to Federal Specification: WW -V-51 Class A, Type IV & MSS SP -80 MATERIAL LIST T -413-B F.S.P.S. to F.S.P.S. T -413-Y F.S.P.S. to F.S.P.S. S -413•W Copper to Copper NIBCO check valves may be installed in both horizontal and vertical lines with upward flow or in any intermediate posi- tion They will operate sahsfaaorily in a declining plane (no more than 15`). WARNING - Do Not Use For ReciD- rocaung Air Compres- sor Service. PART 6PECInCAnoN 1. Bonnet Bronze ASTM B-62 2. Body Bronze ASTM B-62 3. Hinge Pin Bronze ASTM B-140 Alloy C31400 or B-134 Alloy C23000 4. Disc Hanger Bronze ASTM 8-62 5. Hanger Nut Bronze ASTM B-97 Alloy C65500 6. Disc Holder Bronze ASTM B-62 7. Seat Disc Water, Oil or Gas (Buna-N) (W) Steam (TFE) (Y) Bronze ASTM B-62 (B) Screw Driver Slot for Regrind 8. Seat Disc Nut Bronze ASTM B-16 or B-62, or B-97 Alloy C65500 9. Hinge Pin Plug (Not shown( Bronze ASTM B-140 Alloy C32000 '10. Seat Disc Washer ASTM B-124 Alloy C65500 'Silts 1.% 1'. IV.% and I%' only. ,,DIMENSIONS - WEIGHTS - QUANTITIES Nominal Dimensions ADOros. Net VA Master Gno Sire A ! C 7•413 E -I13 Ouanlinry '/. 21/. 1';. 1'!. .5 .5 50 '!. 21h V/4 1'n. .5 .5 50 '/. 2"/,. 1'/. 1'/. 1.0 .8 50 1 3';r. 2'!,. 2'/, 1.5 1.2 30 1'/. 4'/.. -10 2"A. 2':. 2.2 1.8 20 l 1'/, 41/2 2111,. 3'/. 2.9 2.5 10 2 51/. 3",,,. 3';. 5.0 4.2 10 21/, 8 5'/.. 5','.. 12.0 10.5 5 3 9'/. 6'/. 6'i. 16.2 15.5 4 T-413 threaded ORDERIN;. Tcel3and Slt -,in man, tears teci Disc ero a U01011", 114 a-01). (t 13 TTE Stearn Disc (190 (6. (1 -r13 -W(. (5-aI3-W) i`j �'�j ww,,^dd�g}EA �j�+p bill It NIBCO INC., ELKHART, 11PPROVD S-413 solder -5/733 Ae WATERFLOW DETECTOR - 19 11/4, or 11/2 INCH MODEL VS -SP COVER TAMPER SWITCH (OPTIONAL) SPOT SWITCH RESET SPRING 1/2" CONDUIT HOLE MOUNTING HOLE 43/4.. ?0.7mm) KEY WRENCH CLASS 125 OR 250 CAST BRONZE THREADED TEE PER ANSI STANDARD B16.15*- * 16.15- * NOTE TEE IS SEPARATELY ORDERED PER FOLLOWING TABLE: Pipe NPT Size Tee Size I I xI'x1 11j4.. 0/4% 11/4 • x I" 11/2.. 11/z..x 11/2.. x I.. WATER FLOW GENERAL DESCRIPTION The Model VS -SP Waterflow Detector (Ref. Figure A) is designed for use with small wet pipe automatic sprink- ler systems. It has a vane -type sensor to actuate a single pole double throw snap -action Switch when water flows at a sustained rate 'of 10 GPM or more. The flow may be caused by the dis- charge from a sprinkler, opening of an Inspector's Test Connection, or by other factors such as accidental mech- aniral rlamanp rpcultinn in nintnrp of a 21/4" (57.2 mm) ACTUATOR LEVER COVER COVER51/4" SCREW (133.4 mm) BODY WASHERS VANE GASKET 1" NPT 1.. 11j4.. or 11/2" NPT* SCREWS & LOCKWASHERS VANE (EACH DETECTOR IS SHIPPEC WITH VANES FOR 1', 11/4", and 11/2" SIZE PIPE. UNITS ARE SHIPPED WITH THE 1" SIZE VANE INSTALLED AND OTHER SIZES ARE FIELD INSTALLED, AS APPLICABLE.) FIGURE A MODEL VS -SP WATERFLOW DETECTOR electrical alarms in residential and, other small automatic sprinkler sys. tems where alarm valves are not in- stalled. It is also commonly used where sectional waterflow signals are required. The Switch may be wired for either normally open or normally closed operation. A retard device for delay- ing actuation of the Switch is not pro- vided with the VS -SP since prompt APPROVALS AND $TANDARDS The Model VS -SP Waterf low Detector is listed by Underwriters Laboratories I nc. The Model VS -SP Waterf low Detector is approved by the New York City Board of Standards and Appeals under Calendar Number 1033-83—SA. The listing and approval are under the name of P-ittpr Pl.nrtrir Cinnal rnm_ 13D-10 INSTALLATION OF SPRINKLER SYSTEMS IN ONE- AND TWO-FAMILY DWELLINGS AND MOBILE HOMES Table 44.3 (b) Pressure Losses (psi/ft) Copper Tubing - Types K, L & M. C = 150 ^ Flow Rale - GPM Tubing Type • Site in. 10 12 14 16 18 20 25 30 35 40 45 50 yj M 0.08 0.12 0.16 0.20. 0.25 0.30 0.46 0.64 0.85 - - - L 0.10 0.14 0.18 0.23 0.29 0.35 0.53 0.75 1.00 - - K 0.13 0.18 0.24 0.30 0.38 0.46 0.69 0.97 1.28 - - - • 1 M 0.02 0.03 0.04 0.06 0.07 0.08 0.13 0.18 0.24 0.30 0.38 0.46 L 0.03 0.04 0.05 0.06 0.08 0.10 0.15 0.20 0.27 0.35 0.43 0.53 K 0.03 0.04 0.06 0.07 0.09 0.11 0.17 0.24 0.31 0.40 0.50 0.61 I Y4 M 0.01 0.01 0.02 0.02 0.03 0.03 0.05 0.07 0.09 0.11 0.14 0.17 L 0.01 0.01 0.02 0.02 0.03 0.03 0.05 0.07 0.10 0.12 0.16 0.19 K 0.01 0.01 0.02 0.02 0.03 0.04 0.06 0.08 0.11 0.13 0.17 0.20 144 M - 0.01 0.01 0.01 0.01 0.01 0.02 0.03 0.04 0.05 0.06 0.08 L - 0.01 0.01 0.01 0.01 0.01 0.02 0.03 0.04 0.05 0.07 0.08 K. - 0A1 0.01 0.01 0.01 0.02 0.02 0.03 0.05 0.06 0.07 0.09 2 M - - - - - - 0.01 0.01 0.01 0.01 0.02 0.02 L _ _ _ _ _ .- 0.01 0.01 0.01 0.01 0.02 0.02 K _ _ _ _ _ - 0.01 0.01 0.01 0.01 0.02 0.02 For S1 Units: I gal. = 3.785 L: 1 psi = 0.0689 bar: 1 ft = 0.3048 m. Table 44.3 (c) Equivalent Length of Pipe in Feet for Steel and Copper Fittings and Valves Tees Valves Fitting/Valve Elbows Flow Flow Globe Diameter 45 90 Long Thru Thru In. Degrees Degrees Radius Branch Run Gate Angle Globe Pattern Cock Check 3/ 1 2 1 4 1 1 10 21 11 3 3 1 1 1 3 2 5 2 1 12 28 15 4 4 1 2 3 2 6 2 2 15 35 18 5 5 1 th 2 4 3 8 3 2 18 43 22 6 6 2 3 5 3 10 3 2 24 57 28 7 8 Based on Crane Technical Paper No. 410. For SI Units: 1 ft = 0.3048 in. Table 4-4.3 (d) Pressure Losses in Water Meters Pressure Loss (psi) Meter Flow (gpm) (Inches) 18 23 26 31 39 52 4-5 Piping Configurations. Piping configurations may be looped, gridded, straight run, or combinations thereof. 4-6 Location of Sprinklers. Sprinklers shall be in- stalled in all areas. 5/8 9 14 18 26 Exception No. 1: Sprinklers may be omitted from 3/4 4 8 9 13 bathrooms not exceeding 55 sq ft (5.1 m2) with noncom - 1 2 3 3 4 6 10 bustible plumbing fixtures. 1.1/2 •• 1 2 2 4 7 2 •• •• •• 1 2 3 Exception No. 2: Sprinklers may be omitted from small closets where the least dimension does not exceed 3 ft (0.9 NOTE: Lower pressure losses may be used when supporting m) and the area does not exceed 24 sq ft (2.2 m2) and the data is provided by the meter manufacturer. g are surfaced faced with noncombustible d llceiling �s and Above maximum rated flow of commonly available meters. wa Less than 1 psi. materials. For SI Units: 1 gpm = 3.785L/min; 1 in. = 25.4 mm Exception No. 3: Sprinklers may be omitted from open attached porches, garages, carports and similar struc- 4-4.4 To size piping for systems with an elevated tank, tures. pump or pump -tank combination, determine . the Exception No. 4: Sprinklers may be omitted fiom attics pressure at the water supply outlet and proceed through and crawl spaces which are not used or intended for lirnng steps (c), (e), (g), (h), (i), 0) and (k) of 4-4.3. ptyrpog to a A.PPR"OVE Y,7 RE I N IAL 039-540-034 92-0131 BLACK, JIM CONTR: PIERCE CONST. 9420 DWYER CT., DURH (FIRE SPRINKLERS FO 91-4360) /1/93 JOB FINALE Signature J=OK O = Not OK =Not Applicable Not Ready MOBILE HOMES = Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date _ Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card 6=1 Date Card B-1 V OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (; = Date UNDERFLOOR (Plans) OK except ti's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except ti's 16. Water Htr.: Vent -Access -Combustion Air -Baffle 17. Water Pipe: Test & Anchor -Nail Protection ----------------- ------------------------ 18. D.W.V.; Test -Fittings & Anchor -Nail Protection -------- -------- -- - ----------------- _ 19. Shower Pan; Test. First Floor -Tub Access _ 20. Test Tub & Shower, Second Floor -Tub Access ------- ------------- -------------- 21. Gas Pipe: & Anchors Date - - -Card B_1 ---- Date - -- Card B1 ------------ Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ti's 22. Fixture & Transformer Clearance -Ins. Protection --------------------------------------------------------------------- -- - - 23. Elec. Receptacles Spacing -Lights & Switches at Doors ------------ ------------------------------------------- -- - 24. Size Boxes & No. of Conductors -Stapled ------------------------------------------------------ ---- 25. Romex Installed Close to Edge of Studs & C.J. -------------------------------------------------- ---------------- 26. Equip. Ground made up w!Mech. Fastners-Bond Gas & Water ----------- --------------------------------------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI --------------- --------------------------------------------------------- -------- 28. ------------------------------------------------- 28. Subfeed Wire Size / r ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI --------------- -------------------------------------- 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No ---------- ------------------------------------------------- 30. Service -Riser Conductors & Ground -Main Disconnect -------- ----- - ----------------------------------------- 31. Equip Clearances Panels -Motors -Meth. Equip. - ----------- ------------------------------- - -- - -- - - 32. Clothes Closet Light -Shower Light -Spa Light ------------- - ------------------------------ ----- --------------- 33. Smoke Detector --------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 ---------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except ti's 34. A.C. Ducts Insulation & Support ------------------------------------------------ 7 --------------------------------- 35. ------- ---------------------------------------------------------------- 35. Vent Fan; Exhaust above insulation ------------- ------------------------------------------------------------------ 36 _Condensate Drain & Overflow: Size & Grade 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet -------------- Attic Access & Platform if Furnance in Attic ----------------------------------- ----------------------------------- ------ ------------ ------------- ------------ - Date Card B-1 Date Card B-1 ------------------------------------------------------------------------------ Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except ti's 39. Sils. Proper Material & Anchors --- ----------------------------------- ------------------ --- --- 40. Walls Studs -Nailing Spacing & Bracing -Plates -Sound -------- ------------------- - --- --- --------- -- - - - - - 41. Bearing Walls over Girders & Floor Nailing --------------------------------------------------------------------------------- 42. Draft Stop in Walls (rat proof) ---------------------------------------------------------------- ------------- 43.. Fire -Stops: Furred Ceilings -Stairs -Chases -Tub ------ ------------- -------------------------------------- 44. Headers & Beam -Size & Bearing tingle & Duplex) %Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50.. Garage Fire Protection Framing _ 51. Property Line Firewall & Openings T 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits ------------------------- 53. _Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers -------------- -- _ 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access _ 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date _ _Card B-1 _ _ Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except ti's 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meeh. Protection ------- -------------- 64. Bedroom Exiting ------------------ - - 65. G.F.I.& Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel: Breaker Sizes & Labels --------- ---------------------------- 67. Stairs & Rails ----------------------------------- - 68. Fireplace or Stove: Clearances -Hearth 69. Elec. Outlets at Wood Panel: Int. & Ext. ---------------- 70. Kit Fixt_& Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer -------------------------------------- 73. A.C. Duct in Garage -Damper --------------------------------------- -- 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor -Meth. Protection ----------------------------------- 75. Plb.. Elec. & M_ech._Equip. Listed for Location 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection 7;'. -Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps --------------------------------------- 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco: Brown -Finish 82. A_C_Unit: Disconnect. Electrical, Plumbing ------------------------ ---- 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well: Disconnect, Electrical, Plumbing -------------- -------------------- - 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House .- -.- .-------------------------------------- 87. Glass Protection - .. ---------------------------- 88. Corrections from Previous Inspections - - -- - ----------------------- 89. Gas Test -Meters Tagged, Gas -Electric --------------------------------- ------ ------------- 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates - ------ ------------------------------------- ------- Date Card -B-1 Date Card B-1 _Date _ _________ Card -B- 1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: 4� - ©1'31 was 1 osfi _ &) Y, m was COUNTY OF BUTTE —DEPARTMENT OF PUBLIC WORKS 7 County Center Drlve - Oroville, Cal!fornla 95965 - Telephone: 916.'538.7541 APPLICATION AND PERMIT PERMIT NO. 2-0131 ASSESSOR PARCEL NUMBER 039-540-034 ZONING SR1 BUILDING PERMIT OWNER JIM BLACK TELEPHONE SO. FT. OCC. BUILDING VALUATION 2213 1.60 3540 OWNER'S MAILING ADDRESS P.O. BOX 636, DURHAM, CA 95938 CONTRACTOR'S NAME TELEPHONE PIERCE CONST. 895-1113 CONTRACTOR'S MAILING ADDRESS 2314 TURNTREE CT., DURHAM, CA 95938 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ NONE Filin Fee g $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 52.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 26.25 NONE Energy g Fee Ener Plan Checking $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit tee $ 93.75 9420 DWYER CT. DURHAM 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 Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 SF ® Duplex❑ Mobilehome❑ Other Mobile Home I S I G JW @ 15.00 SPECIFY TYPE OF WORK New❑ Addition❑ Remodel❑ Utilities❑ Installation❑ Other'] Permit Fee $ Describe work: FIRE SPRINKLERS FOR 91-4360 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200ATO1000A1 37.50 CONTRACTORS LICENSE LAW NEW .& CONST. DWELLING OCCUP ( 3.64 sq.ft. I dEc under penalty of perjury (check one): OR ADONS. ACC. BLDGS. NEw CONSTR ULTI.OUTLET @ 5.00 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business _NON ESID BRANCH CIRC ITS POWER APPARATUS e and Professions Code andmymy license is in full orce and effect. (SINGLE OUTLET CIR. License No. �rrr- �/ Classification l� Ex. Occup(oUTLETS OR FIXTURES 20 76 El 1. as the owner, or my employees with wages as their sole compen- FIXED APPLNS, Ex. OCCUp. OUTLETS IRESID )REA.� I 3.00 sation, will do the work,and the structure is not intended or offered Temporary service 15.00 for sale. (Sec. 7044) ❑ I, the licensed Mobile Home Facilities 15.00 as owner, am exclusively contracting with contract- ors. (Sec. 7044) Misc. IYirin g 15.00 ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ — Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT Filirig Fee 15.00 n Tire permit is for $100.00 (valuation) or less. Heating 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. Cooling g ❑ I shall not employ any person in any manner so as to become subject Hood 6.50 to the W. C. laws of California. Ventilation 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 Permit Fee $ provisions or this permit shall be deemed revoked. Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee S is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Ener Inspection Fee Energy P $ Butte to enter upon the above-mentioned property for inspection purposes. Occ CONST TYPE I also agree to save, indemnify and keep harmless the County of Butte against TOTAL FEE $ 93.75 all liabilities, judgments, costs, and expenses which may in any way accrue HAz DFEES IMP FLDOD CDF L PARCEL PD HDISS E against Id County in conse nce of the granting of this permit. — — — I I I I �- — --- j I I Date �'f•` This permit is hereby issued under the applicable provi- 5i nature of Applicant - owner g pp ❑ Contractor Agent ❑ sions of the Butte County Code and/or resolutions to do An OSHA permit is required for excavations over 5'0" deep and demolition or construct- work indicated abo for which fees have been paid. ion of structures over 3 stories in height. OF PUBLIC ��AV WORKS By Date [FRecelpt No. 103440-67.50//103459-26.25 PE IT EXPIRES Date f�s NI TE-D.P.W.. YELLOW-ASS[SSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT " COUNTY OF BUTTE - .DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovlller California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT • 'PERMIT NO. A33E33 R PARCEL NUMBER _ ZONING =S .... BUILDING PERMIT-.-,! ;:g_a - OWNER 1611_ TELEPHONE BUILDING VALUAjIONSO.FT. OCC. i O W F0 . Ly�lO >e E3$ �� rowl ^ ^ 9 (/O //L,f . CO RACTOR*33 NA/M` & � f TELEPHONE '9 CO TRACTOR'S MAILING AOORE33%) /� k y, fr lJ`t Cly/` G'Lff? `;g1J Fireplace CONSTRUCTION LENDER - UNKNOWN Total Valuation Is - - Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ✓ , 5, ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ - _ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 60 n Cf Y, a Permit fee $ C? PLUMBING PERMIT Filing Fee - 15.00 Each Trap 1 5.00 Solar or heat pump water heater 20.00 LOT NO. 3UBOIVISION NAME PARCEL MAP Water piping _ 7.00 Each Qas water heater or vent 7.00 USE OF STRUCTURE SF[2 Duplex❑ Mobilehome❑ Other SPECI FY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK NewE] Addition ❑ Remodel ❑ Utilities ❑ Instlation❑ Other[n Describe work: /- i f r' {�of-Contractor Permit Fee $ ELECTRICAL PERMIT Filing Fee 15.00 Main service 620OR LESS 2000AA OR LESS 18.50 Main service 200A TO 1000A1 37.50 CONTRACTORS LICENSE LAW I declare under penalty perjury p y of p er i y (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work, and the structure is not intended or offered for sale. (Sec. 7044) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONST. / DWELLING OCCUPM OR ADONS. l ACC. BLDGs. 3.64 sq.h. NEW CONSTRU I -OUTLET NON-RESIO BRANCH CIRCUITS @ 5.00 (POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 20 764 JAL NS EX. Occup. OUTLFIXEETS APPIRESIO IREA.) 1 3.00 Temporary service 15.00 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. ❑ 1 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. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against . all liabilities, judgments, costs, and expenses which may in any Way accrue against said County in -consequence of the granting of this permit. X Date signature of Applicant -- Owner ❑ Contractor ❑ Agent ❑ An OSHA Permit is required For excavations over 5'0" deep and demolition or�� "t�,ot- ion of structures over 3 stories in height. MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor Mobile Home Installation Fee S Ener Inspection Fee $ Energy P occ CONST TYPE TOTAL FEE $ 9� HAZ 1 0FEES IMP I FLOOD I CDF I PARCEL J.PO I HD I ISSUi This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS. Date �- Receipt No. �D 'CJ S D �D wNITC•O. P. W., TCLLOW-A9eC33on. PINx-mave -ran. GOLD[N110a-APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville. California,.95965 - Telephone: 916/538-7541 Q Ze l S APPLICATION AND PERMIT / LL ASSESSOR PARCEL NUMBER 039-54-034 ZONING SR -1 BUILDING PERMIT OWNER Jim Black TELEPHONE 342-2169 SO. FT. OCC. 'BUILDING VALUATION 2213 160 3,540.00 OWNER'S MAILING ADDRESS P.O. Box 636 Durham 95938 CONTRACTOR'SNAMETELEPHONE z CONTRA OR'S MAILING ADDRESS 3 Fi.rep'Iace CONSTRUCTION L N EAR [UAKNOWN Total Valuation 3 Filing Fee .$ 15..00 LENDER'S MAILING ADDRESS Permit fee„ ' $ 52.50 ARCHITECT OR ENGINEER LICENSE No. Plan Checkiing'.Fee $ " Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee` �$= 3 PLU,I bI;I G,,PERMIT Filing Fee 1.5.00 Each Trap ./,t "'5.00 SolA or heat pwater heater AI ✓20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Wate��piping"y �' 7 00 Each Qias,"water heat& -or vents �' I%7.00• USE OF STRUCTURE Gaslpipii g system 1-�5�ou31.ets�, 5.00 SF © Duplex❑ Mobilehome❑ Other SPECIFY to Bui•ld'ing sewer it 15.061 Mobile Home I S GW @15.00 TYPE OF WORK �� New ❑ Addition ❑ Rgmodel❑ Utilities ❑ Installation❑ Other ®_ Describe work: S rin de ,S►, AL X 10ernit Fee Contractor ELECTRIC,A►L PERMIT FilingFee 15.00 - I ' V " 600VOR LESS id I\le A Maln servl•Fe 00A ORLESS\ M4);n sQfVice�zocATO 1 OOOA, CONTRACTORS 6I6ENSE/LAW N W CONST. 1 'DWELLING OCCUP.� I de la under penalty of perjury M rr \\ '� OR DD,tJSF-1,AC C. BLDGS. p y p I y (check One): I� NEWJC ONST R" UlT LOUT LET / NON.RESID M' BRANCH CIRC ITS �I am licensed under provisions OfChapt. 9, Dlv. 3 Of"t'he BUSIneSs� +i�_1%� POWER APPARATUS Q\ and Profess' s ode and my lic eMse IS In full(lQrce and effect. SINGLE OUTLET CIR. / License ,Jo.� CI sification �^�/6� Ex. OcgUp\OUTLETS OR FIXTURES FM+ FIXED APPLNS. OR ❑ I, as the owner, or my employees wit wages as their sole compen- )Ex. OCCUp. OUTLETS (RESID.) EA.1 sation, will do the work,and the structure is not intended or offered \Temporary service for sale. (Sec. 7044) v Mobile Home Facilities ❑ I, as the owner, am exclusively contracting with licensed contract- Misc. Wiring ors. (Sec. 7044) g 1$•50 37.50 3.64 sq.ft. ^ 5 00 20 79 I 3.00 15.00 15.00 -15.00 ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ — Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT FiIingFee 15.00 ❑ The permit is for $100.00 (valuation) or less. Heating nZl have placed on file with the County of Butte Building Department , 4 a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. Coolie g ❑ I shall not employ any person in any manner so as to become subject Hood 6.50 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. 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, costs, and expenses which may in any way accrue against id County in consequ ce of the granting of this permit. %L ate 7-92 Signature pp ❑ Contractor Agent An OSHA ion of structures -over 39 stories in height.Ions ove • 0" deep and demolition or construe- Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE S / % HAz 1 DFEES I IMP I FLOOD I CDF I PARCEL I PD I HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date Receipt NO. 103440 —6a _5V PERMIT EXPIRES Date WHITE-D.P.W., TELLOW-ASSESSOR, PINK -INSPECT . GOLDENROD -APPLICANT E ID NTIAL 039-54-0-034 91-4360• BLACK,�-JIM CONTR: SAME 9420 DWYER CT, DURHAM ���� NEW SF W• OW 'SvR��dG [hack On INV OFFICE COPY �J Address GAS i Meter By Datelh� ELECTRIC Meter By Date OFFICE COPY AddressCK i GAS Meter By Date -----I ELECTRIC Meter By Date T' JOB FINALED (Date) L Signature ` J=OK O = Not OK = Not Applicable Not Deady MOBILE HOMES ' = Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5.' Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L" ft. / /"Nat. or/ /"L"ft./ /"LPG t 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card''B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK exiut #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric ' 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements' - 2. Soils; Compaction -Structure Stability =7 ` 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI ' 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed ,f•' 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 9. Health Department Approval _ . t 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card 13-1 t - I= OK O=Not OK Not Applicable Not Ready RESIDENTIAL (Single & Duplex) = Date . UNDE LOOR (Plans) OK except #'s ning-Setbacks-Easements-Flood-Slope rztg., Main; Soils-Elec. t nTrf /1&Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. G dAZ/" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth k, Stemwalls, Main; Steel-Blockouts-Wrapped f-Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Fle4d Downs and Special Anchors Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date -Z � -q$ Card B-1 GG Date Card B-1 Date 1 _Z 2;, ?-card B-1 GG Date Card B-1 Date PLUMBING (Permil),OK except n's Y ater Htr.: Vent- ess-Combustion Air -Baffle -- - -- Water Pipe st & Anchor -Nail Protection -- --- --- ----- ----_ t.%! .W.V.: Test -Fittings & Anchor -Nail Protection — —9. Shower Pan; Test. First Floor -Tub Access ---- --- ----- 2&, -Fest Tub & Shower. Second Floor -Tub Access ----------------------- ----------------- 2,1,.,"'G as Pipe: Size & Anchors Datekf.0 G asa B_1 �-- - Date - Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except p's - -- - — 22. Fixture & Transformer Clearance_Ins. Protection - - ----------- 2Xpec. Receptacles Spacing -Lights & Switches at Doors ---------------------------------------------------- - 7/% Size Boxes & No. of Conductors -stapled - ---------- 2e Romex Installed Close to Edge of Studs & C.J. -------------------------- ---------------------------------------------- .2&. Equip GroL#Kd made up w!Mech. Fastners-Bond Ge6 & Vomer ------------------------------ --------------------------------------------------- 29 2 Appliance Circuts in Kitchen & Conductor SizerGFI ----- --------------------------- _ ________ 2� Subfeed Wire Size a/ ga. Cu or®A.C. Wire Size 14! ga. Cu or4v ?ji' Range Circ. !(Q' ga. Cu<�Oven Circ. /61 ga. Cu orZ Insulated Neutral ❑ Yes No -------------------------------------------------------------------------------- W. Service --Riser Conductors & Ground -Main Disconnect -------------------------------------------------------------------------------- 3 Equip Clearances Panels-Motors-Mech. Equip. -------------- 3Clothes Closet Light -Shower Light -Spa Light --- - ----- - 3Z Smoke Detector --------------��Card------/-�------- --Date ------------- ------------------- - Date ---GG----- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except a's 3[✓A.C. Ducts Insulation & Support --------------------------------------------------- ------------------------------- 3$ Vent F n: Exhaust above insulation -------------------- -----------------------=-----------------------=------- 26r densate Drain & O rflow: Size & Grade -------------- Furnance-Vent: s omb. Air -Return Air Vent -115 outlet ---------------- - ---------------------------------------------- 3i�Attic Access & Platf rm if Furnance in Attic ------------------------------------ ------ ------------------------------------- B1�G Date Card - Date Card B-1 ---��- Viz------ - - - --- -------------------------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except a's Sits. Proper Material & Anchors ------- ------------------ +, A6 Walls Studs -Nailing. Spacing & Bracing -Plates -Sound - ------ - - ------------------------ -------------- *C Bearing Walls over Girders & Floor Nailing -- - - - -- ----- - - - ---------------------------------- g2' Draft Stop in Walls (rat proof) -------------------------------------- ------- -------- — ----------------------- ------------- y6 Fire Stops Fur -red. Ceilings -Stairs -Chases -Tub --- ------------------------------------------------------- gt� Headers & Beam -Size & Bearing Date FRAMING (Continued) 4SHangers-Post Caps -Anchors -Connectors - ng. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 4*7' Fireplace Ties or Type A Flue -Fireplace Throat clearance _ 43 Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Windows or Exiting Doors -Sill Hgt. & Dimensions 3_ Garage Fire Protection Framing CTG' S Property Line Firewall & Openings --- 5'!Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits _ 55 -Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54!plywood on Roof Overhang -Attic Vents -Rafter Outriggers SK S g -Nailing Veneer ----------- Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access-baa-� _ 4W --Glazing Area -Glass Protection -Skylights -Plastic _ 58. Shear Walls; Nailing -Bolts --------- 5 suL4ion-Watts-Cei4Wgs 6 fit rion-W;ZWitvddd'ws ------------------ -Date .��LCard B-1 &6 -- Date Card B-1 Date 11:aZCard B-1 Date Card B-1 Date FINAL (Plans) OK except k's ' 6�xt_steps-Door & Sidelight Protection -Landings Smoke Detector urnace: Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection -------------- edro_om Exiting ------------ 6/�G F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels ---------- - -------------- 63.--149irs & Rails --------------------- P ---- ------------ — /Fire lace or Stove: Clearances -Hearth 6X/Elit.ec. Outlets at Wood Panel; Int. & Ext. --- - 7O' Fixt & Appliance; Grnd.-Air Gap -Cooking Clearance Elec. Outlets & Receptacles at Kit. Counter ------------ 7.1!Garage-Fire Door; Swing -Landing -Closer ------------------------ - 73AG. Duct in -Garage -Damper 7i!Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In arage. Above Floor-Mech. Protection Elec. & Mech. Equip. Listed for cation Elec. Receptacles in Garage. G. Romex Protection 7 Insulation -Foam -Looked in Attic ❑ Yes 7q._Guard Rails & Deck Construction -Post Caps 7W. -FUM -Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes ollowin instld.; Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No; Planters _ ❑ Yes _❑ No Stucco: Brown -Finish A.C. Unit_ Disconnect_ Electrical, Plumbing 83/,Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings a4—ater Well: Disconnect, Electrical, Plumbing i Exterior Elec. Trim; G.F.I. Receptacle -Under round ----------- ------or Elle .Trim 80.-Ventilation -n----on Throughout House --- - ----------------- 'Glass tilati n hro 8 Glass Protection -r- -------------------------------------- ___ ______�-- Correctio--- 1.3t, ns-from Previous Inspections _ 89. Gas T�nneter Tagged G�lectric 3 3ti -U- -- -- ---- GG a er S e Connected -C/O to Grade -HD Approval - --------- -- ---------- nergy Compliance Certificate -Other Certificates ------ --------------------------------- --- DateB.-I.Z✓Card B-1 Date -_ _Card B-1 - ------------ - --- _Date Oi(5 q&, Card B_t _G�G---- Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS • 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE y ; 511 36 . 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 A is completed. If you have any questions pertaining to this matter, or need additional explanation, >i �pleasbntact this office immediately. x ;.I r= c"r Act fcrei,'Pr(cc 5 Qf L ti 2 e A r k l T e 1 4 o u A, T r A M A y NT G C 4 LvCP` cr/tT-i FIC A,—rte r �'2Mtnnlr�1r A 5 w�� /\T 1z hi ARrIA 'T ^y 'i i.Z +Iti Lo 7 2.G r ^.1 1 �S1 X11 Date Inspector �--� REV 11/91 ...k COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 89172751 ' r 7 County Center Drive, Oroville, CA - (916) 538-7541 7 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE LAI k 9/-el3/SCJ OWNER PERMrf 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 hen correction of work is completed. If you have any questions pert ainin this matter, or eed additional g�lana wla please contact this office immediately. / Y w 9 R f3 /2 n a; s T -F' / j I I �4TT Y�y 1, a=.r Fray. J^i'zoVI�1i' AP�fZod�1 1-2i„S5 h4(Z-8,, L /iRavz ►Lt>-�'t F.�z_ r 17 x � n rC�7-- l n• �Ili.i ��LL Com( 7( !.� \�� 0, K, -bo cmatQak Date ; - I 1 - Z Inspector REV 11/91 Owner: Permit No. E N E R G Y `C E R T I F ICAT ION 9420 Dwyer Court Durham Ca. LOCATION A.P. No. DESCRIPTION OF INSULATION ROOF Material _ Thickness(inches) EXTERIOR WALL Material FIBERGLASS BATTS Thickness(inches)_ 3 5/8" Brand Name 'Thermal Resistance (R Value) I.frand Name OWENS-CORNING Thermal Resistanc,e(R Value) R13 CEILING Batt or Blanket Type FIBE:RGLA5S BATTS Brand Name OWNS -CORNING Thickness(inches)_ 9li" Thermal Resistance(R Value) R30 Loose Fill Type FIBERGLASS Brand Name OWENS-CORNING Minimum Th icknesg(Inches)1� 3/4" ` Number of Bags 26 Wt. per bag 35 lb. Area covered(ft. ) 1647 Thermal Resistance(R Value) R30 FLOOR, ELEVATED Material Thickness(inches) FLOOR, SLAB Material Thickness(inches) W idth(inches) FOUNDATION WALL Material Thickness(inches) Brand Name Thermal Resistance(R Value),__, Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) I hereby certify that the above insulation was installed in the above building in conformance with the State .of California Energy Requirements. LOERKE: INSULATION CO., INC. 499150 FI NAME /OW R STATE CONTRACTORS LICENSE NO. May 27, 2992 SIG URE OF INS LI T APPLICATOR 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 materials are of the quality prescribed or are specifically approved by the State of California. FI NAME/OWNER (Please print) STATE CONTRACTOR'S LICENSE NO. SIGNATURE OF (IFNERAL COITfRACTOR OW DA' THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SIIALL BE POSTED WITHIN THE BUILDING. January 1984 J COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovill&, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER -39-54-34 ZO BUILDING PERMIT OWNER ,Jim Black TELEPHONE SO. FT. OCC. BUILDING VALUATION 2213 R 112,863 OWNER'S MAILING ADDRESS P.O. Box 636 Durham 95938 1582 M 28,476 CONTRACTOR'S NAME Owner TELEPHONE 1139 C 14,807 CONTRACTOR'S MAILING ADDRESS Fireplace 1 "A" 1,500 CONSTRUCTION LENDER UNKNOWN Total Valuation I $ 157,646 Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 800.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 400.25 Energy Plan Checking Fee $ 20.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 1235.75 PLUMBING PERMIT Filing Fee 15.00 9420 Dwypr Ct.. Durham Each Trap 5.00 60.00 Solar or heat pump water heater 20.00 LOT NO. - SUBDIVISION NAME Turner's 3rd Subdivision PARCEL MAP Water piping 7.00 7.00 Each pas water heater or vent 7.00 USE OF STRUCTURE SF [2 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 5.00 Building sewer 15.00 15.0 Mobile Home S G W @ 15.00 TYPE OF WORK New 13 Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: House/Garage/Shop _ (3 BEdroom) Permit Fee $ 109.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 18- 50 Main service 200A TO 1000A) 37.50 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 fu1J, force and effect. License No.'3 1369971, Classification �S El 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUPM OR ACDNS. ACC. 3BLDGS..64sq.ft. 132.80 '_OUT NEW CONST R. ULTI.OULET NON•RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 @ 76 Ex. Occup. OUED P TLETS (RESID )REA.� I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. byirin g 15.00 Permit Fee $ 166.30 - WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. �j 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating 9.00 SPLIT ATTIC Cooling 4 TON 16.50 Hood 6.50 6.50 Ventilation 1 4.50 4.50 Permit Fee $ 51.50 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue again said County in consequence of a granting of this permit. X Date X7 Signature of Applicant - Owner Contractor Agent ❑ /6 3f�a An OSHA permit is required for excavations over 5' deep and demo 't' or con ruct- ion of structures over 3 stories in height. �� Mobile Home Installation Fee $ Energy Inspection fee $ 40-00 cV'IV TOTAL FEES 1602.55 I HAz 0FEES I IMP LOOj� !/ C0F ARCEY PD Issul This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOF PUBLIC By PE XPIRES Date applicable provi resolutions to do have been paid. WORKS Date f / 7- QL ^� ,, 3 Receipt No. (X WHITE-D.P.W.. YELLOW-ASSCSSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT l COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Califoka 95965 - Telephone: 916.538-7541 . , APPLICATION AND PERMIT PERMIT NO. 9/ - y�� v ASSES PARCICL NUMBER :j- q . ZONI ;9R I BUILDING PERMIT OWNER `Nn 5 L T o7'� OC BUILDING VALUATION 7SO.FT.. `7— .J 112 _> OWNER'S MAILING ADDRESS f) 0x 3 C2U/L1 .&T�i3 /5-7_ CONTRACTOR'S NAM TELEPHONE /Z O CONTR TOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation I $ Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee g Ener Plan Checking Fee 9Y 9 $ O 0 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADD Ens � G w 1�- Permit fee $ PLUMBING PERMIT FilingFee 15.00 Each Trap 5.00 , Q Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME .�(//7 /�/ �C / �//t�'/tet/'/L._ .J PARCEL MAP 17— Sr"YY) Water piping 7.00 Each pas water heater or vent 7.00 O USE OF STRUCTURE SF (�(J Duplex❑ Mobilehome❑ Other /llll����\ SPECIFY Gas piping system 1 - 5 outlets 5.00 ,0-0 Building sewer 15.00 Q Mobile Home S G W @ 15.00 TYPE OF WORK New Addition/❑ Remodel❑ Utilities/ ]Installllation❑ Other ❑ Describe work: /fS� ���i/ sir _ Permit Fee $ Q Contractor ELECTRICAL PERMIT FilingFee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200A TO 1000A, 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 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.81 OR ADONS. 1 ACC. BLDGS. / 3.64 sq.ft. , NEW CONSTR ULTI.OUTLET NON.RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES RAO 76d L- 4594 OFIXED APPLNS, R EX. Occup. OUTLETS (RE SID I 3.00 Temporary service 1 15.00 Mobile Home Facilities 15.00 Misc.lVirin 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 FilingFee 15.00 Heatin , Coolin g 15�f_ • S Hood 6.50 la,5V Ventilation yS 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. 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 Si nature of Applicant - Owner g pp ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'" deep d demolition or construct- ion of structures over 3 stories in height. 0 Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE L FEE TOT 1&02, ,$ HAz 1 0FEES I IMXFLOOg4COF PARCE PD I ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. WHITE-O.P.W.. YELLOW -ASSESSOR. PINK.INSPECTOR, .OLDE OO -APPLICANT ' l OWNER COUNTY OF BUTTE - DEPARTMENT 0Ft PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET � t 1\N a Proposed Building Use Permit No. A. P o. _ Building Inspector Date Z �`W /l 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) Z 3D 9 obilehome installation data including manufacturer's installation instructions. 10 Fees of $ . Z LZ .Z .,.'3 (5-c(7- f?J 11. Chico Urban Area fees paid ....................................... 1 Park fee paid ............... 3. School District fees paid .............. — -`�Z 14. Sanitation approval from 7 Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 1 . 'provements may be required. Contact Land Development Section DPW Driveway permit (construction approval required prior to occupancy) 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 .................. wner-Builder Verification (Given to owner ❑, Mail to owner °) MR.74 Recorded copy of Agricultural Acknowledgment Statement .. ... . . een Letter of signature authorization . .............................. you issue the permit, proce . as follows: Mai(to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver. w'/inspector. Other Applicant r Date 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,.sub.mitted prior rm' uan it i checked above). 1. Index permit for above items No. O 2. Additional items required: / Contractor, designer, owner, was advised of above required data by_phone_maiI—counter by .date Contractor, designer, owner, was advised of above required data by —phone _maII—counter by date Plans checked by Date/ jrL_ Tans approved by Date " Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916)5387541 OWNER PROPOSED BUILDING USE A. P. NO. DATE / Z Z � � J REC. # DATE REC 1• School Distric Fees 0 6, 5 (paid at District Office) Sheriff Fees (paid at Building Department.) / Residential .......... / X-560 =$ 3(c9 z) unit amt. Commercial(per sq.ft.) X =$ sq.ft. amt. 3. Urban Area Fees (paid at Building Department Residential (per unit) X =$ -T—units amt. Commerical(per sq.ft.)—x =$ sq.ft. amt. 4. Recreation District Fees (paid at District Office) .......................... 5. Drainage District Fees (Contact Land Development) ......................... 6. Other 7. Other At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT —.� DATE �/ Z TO Buildina Department FROM: Environmental Health SUBJECT: Sanitation Clearance �10 - xner Locatio AP# Plan Approved for: Sewaqe Disposal Water Supply 4 -- Water Supply Hold final for: Final clearance O.R. for: Water Supply RZ Clearance for—.L- bedroom home- of er NOTE Date Sanita an c .r . ,..,s•""r-_�.. Rrt'nr'...Is,Y.+..••..•_.r.•-n-"•`r--'^z-«.r•:!"f=+4r. f.....s.. ^.'Y•�✓..•Y.. .h::rw.�,-•gin<.-....r-�.w :��aa-.i^.' .,1 �•... r.. z B'UTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM t-'/ (One Form per Building) A.P. Number 39-7 y " �L"�' Building Department No. School District. City 0 County Q Jurisdiction Property Owner Project Location/Address 7- 67 Subdivision/F_1 ' _L.) Lot Number ' Residential Development: a �, 1d.3©'9 iQll 8 C omme r.c�.q4�g al: Sq. Footage .Z /3 # of Living MHI Addition (Group R) Units New Builj(ing Department Representative aSq. Footage , Addition (,Including Exterior Roofed Areas) Date ******************************************************************* (Floor Plans reviewed by School District Personnel) District Id No. X90 ..LJ U &f ,, aw, School District certifi, that � J//Y! '91.4 pplicant Name) 0 wa" ti' C,1,4 ur � 'treet Address) ity) (State Phone Number). (Zip Code) has complied with the requirements of Resolution No. by the payment of representing square feet. /school District Representative Date (/ r PAID BY CHECK NO. BANK NO %G -JD'/- PAID BY CASH REMARKS: white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) r �- RESIDENTIAL PLAN,CHECKING GUIDE 8/91 (S.F., DUPLEX & MISC. ONLY) a Bldg. Permit # ��- 1Z aD OWNER+ A.P. # � 4 -. GENERAL Plan Checkers /Zoning requirements: (sideyards and number of permitted living units). �1. Valuation. i-� Plans signed by designer. (4�Proper description of work on application. Existing violations on property. Items on data sheet. (W.C., fees, Health, Developer Fees, License law, etc). a ---Recorded notice of violation. PLOT PLAN r Complete parcel size and dimensions. Setbacks, sideyards, easements, etc. �i� ther buildings or structures. Grading, fills, drainage. 45�'5�Flood hazard. Special conditions on creation map, ��tible, and foundations). AU & FAS road setback. (noise, CDF, fire sprinklers, non -comb - 1. Building or utilities across lot lines (Record form). FLOOR PLAN Complete to scale plan with dimensions. �equired windows for light and ventilation (Sec. 1205). /Required windows for second exit (Sec. 1204). /Skylights (Chapter 34 & Sec. 5207). Human impact glass (Sec. 5406). Required room sizes, ceiling heights (Sec. 1207). GFCIs in baths, garage, kitchen, and exterior outlets (Article 210-8). Light fixtures,,switches, receptacles, and exterior receptacles for main- tenance of irechanical equipment. Locations of water heater, heating and cooling equipment, other electrical or gas equipment. Or—Garage firewall, door size, and closer (Sec. 503(d)(3)). - 3'0" exterior exit door (sec. 3304 (f). 5, -Fireplace and wood stove location, alcoves, and clearance. . moke detectors (Sec. 1210). Plumbing fixtures, water closet clearances and shower size. r DETAILS (Standard bracing or engineered design (Table 25V) �27� Unusual shape, size, or split level house requiring lateral design. ,-3." Clerestory requiring balloon framing and/or engineering. -�/Three story building requiring engineered calculations and plans. KFoundation 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. iX. Fireplace construction details and talcs if necessary. t,10 -.—Rafter ties or bearing ridge beam. �Y Garage door or porch header sizes. L12 --Stud heights. Adobe soils - special foundation design. )*. Retaining walls requiring design. 1-5—Special Inspection required. 8/91 RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306). Guardrail details (Sec. 1711 & 3306(j). %Brick or stone veneer (Chapter 30). ,Exterior plaster - weep screeds (Sec. 4706). Proper roof pitch for roof convering (Chapter 32). Roof covering type - (fire hazard). Foam insulation - protection. r -i6" halls and stairways. 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). 1 -.--Attic access and ventilation (Sec. 3205). 2': -Underfloor access and ventilation (Sec. 2516). 3 -.*--Combustion air for fuel burning appliances - L.P.G. requirements. 14 -;-Noise requirements on duplexes. 5.'Energy design. �_-riashing at all exterior openings. 7: CDF responsible area requirements. J 'Reco -ding ,requested by: Mid Valley Title Co. #124469DP Return to DPW -.92-0 1 713 I 92-001713 1 Rec Fee 8.00 1 Check 8.00 Recorded I Official Records I County of 1 Butte I Candace J. Grubbs I Recorder I 8:00am 15 -Jan -92 I MVTC JJ 2 AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires -this acknowledgement be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, -and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: SEE ATTACHED LEGAL DESCRIPTION Date: �.a �`� ! ��7i PROPERTY OWNERS: JAMES R. BLACK State of California ) On this the 13th day of January 1992 , before Butte ) SS. me, the undersigned Notary Public, personally appeared County of ) James R. Black .L OF y OFFICIAL SEAL /MJ Personally known to me. / / Proved to me on the basis Q�"4 •`'JpEx •••�� DEE PALMER of satisfactory evidence. NOTARY PUBLIC -CALIFORNIA to be the person(s) whose tame(s) is subscribed to BUTTE COUNTY CgQFOV1 my Comm. Expires April 26. 1994 the within instrument and acknowledged that he executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Notary Public Present A.P. No. 13_9_-54--3-41 11 ORDER NO. BU -124469 DMP DESCRIPTION: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS: ? PARCEL I• LOT 7, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "TURNER'S 3RD SUBDIVISION", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JULY 25, 1990, IN BOOK 118 OF MAPS, AT PAGE(S) 57, 58 AND 59. RESERVING THEREFROM A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES OVER DWYER COURT, AS SHOWN ON THE ABOVE MAP. SUBJECT TO COVENANTS, CONDITIONS AND RESTRICTIONS, RECORDED JULY• 25, 1990, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 90-31406, AND AMENDMENT THEREOF RECORDED SEPTEMBER 16, 1991, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 91-38182. PARCEL II: A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES OVER DWYER COURT, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "TURNER'S 3RD SUBDIVISION", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JULY 25, 1990, IN BOOK 118 OF MAPS, AT PAGE(S) 57, 58 AND 59. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. EN® OF DOCUMENT r� WO N Cf) coU 00, Om CQ LL DO Oa W O I. Ceiling Inst• .: •: Floor Insulation Three -5 3 -2 Single. Numoer or s=nes Famtty R -varus One Two Twee R-0 -103 -49 32 R -t9 -a -4 .2 Rao -2 -1 .1 R38 0 0 0 U -Value r16 -- - 0_50 •;1 �a 0.S0 -176 -ea -S4 0.30 -102 .4 32 0.10 -26 -13 -8 j US -18 .3 -6. US -11 •5 .4 0.124 -t •2 .1 O.C2 4 2 1 O.CO it 5 3 2. Wall Insulation Floor Insulation Three -5 3 -2 Single. Single. ad Famtty Family Mull. Fl -value Oeta=ed A==.ed Family R-0 -08 -51 .114 R-111 a o 0 R-113 2 2 1 R-19.._ _.....8 .__._.r 6._..._-.4 _ . U -value 0.10 -17 �! •0.80 - - '-153 ... -= ----1114 r16 -- - 0_50 •;1 �a -4 0-:0 =' 36 -24 0.10 0 3 0 0.08 4 1 2 O.C6 9 7 5 0.04 14 10 7 0.02 3 s 10 O.CA _S 3 12 -.3. Raised Floor Insulation Three -5 3 -2 4. SIab Fdge Insulation bmiation in Floor ad Number of Stones Number of smiles 0.50 R•vaiue One Two Three R-0 .47 -8 -5 R-11 3 .2 .1 R-19 0 0 0 R•30 3 1 _.._..1.: 14 U-vaius Number of swries TWO .7 _4 .2 Three -5 3 -2 4. SIab Fdge Insulation Mass ad Number of Stones 6. Glass Heat Lass 0.50 420 -5@. 38 0 .95 -t6 -M O. A 38 4A .22 \ F2 :ac=s .51 b -21 14 0.10 -17 a •5 0.08 -11 -6 -4 0.06 -6 3 -2 O.Gt .1 a 0 0.02 a 2 1 0.00 10 5 3 Controlled Ventilation Crawispace I S.Inriltracioa (Air Leakage) speo;ation Points S14tr+eard .. 0 I Number of swries TWO .7 _4 .2 Three -5 3 -2 4. SIab Fdge Insulation Mass Demoted Number of Stones 6. Glass Heat Lass R•value One TWO Three Toll 0 a R-5 8 5 11•valus R-7 '..8 Percent 3 \ F2 :ac=s .51 b .41 to 91 b 0.30 or Grass Single Double .60 SO .40 less 50 -121 -53 0.9 -24 •10 4 40 -90 37 -26 -il 3 8 35 -75 •Z9 .19 -9 1 10 30 91 •21 -13 1 4 12 29 -58 -20 42 3 5 12 28 •55 -18 -10 -2 5 13 27 -52 -17 -9 •2 6 13 25 -t9 -15 :4 .1 7 14 25 -46 -14 •7 0 7 14 24 -43 -12 •5 1 8 14 23 -4 -11 .4 2 8 15 22 -37 -9 3 3 9 15 21 44 .7 •2 a 10 15 20 31 -6 0 5 10 16 19 -29 .4 1 6 11 16 _18•.:•46 12 3 • 1 - 7 12 16 17 -23 .1 3 8 12 17 16 -20 0 4 9 13 17 7•15 -17 1 6 10 14 17 14 -14 3 7 10 14 18 13 -12 4 8 11 15 18 12 a 6 9 12 15 19 11 10 -6 3 7 9 10 11 13 14 16 17 19 19 9 .1 10 13 15 17 20 8 2 12 14 16 _18 20 R -value One R-0 -11 R-5 -4 R-11 -2 R-19 Number of swries TWO .7 _4 .2 Three -5 3 -2 4. SIab Fdge Insulation Mass Demoted Number of Stones Norm R•value One TWO Three ' R-0 0 0 a R-5 8 5 1 R-7 '..8 6 3 \ F2 :ac=s 1 ., . na , - -- 4 2 0.90 1 na 0.80 3 3 0.70 2 2 1 0.60 6 4 2 0.:0 g _ na 0.40 12 8 4 7..Shading (Shade Open) Erreedyt Percent Clan (?erernt giav x SCM 3e� rta Faammii�y Stab Floor Raised Floor Mass Demoted IS Grass Norm East South : West Skyftgilt 18 5 1 . 4 1 na 16 4-2. 5 ._. 1 ., . na 114 4 2 5 1 na 12 3 3 5 2 na -' 11 3 3 5 2 na 10 2 3 5 2 1 9 2 3 5 2 2 8 2 3 5 2 2 7 1 3 4 2 2 6 1 3 d 2 3 5 _ 1 2 4 2 3 d 0 2 3 1 3 3 0 1 2 1 3 2 0 0 1 0 3 1 .1 -1 .1 -i 2 a .1 -Z 4 -2 0 = not allowed 10 4.0 3 6 �!. Shading (Shade Closed) ESealve Peremt Clava . (taavmt triam xSC) Edac eft 7.Gase Nom 18 •14 16 •12 14 .10 12 a 11 •7 10 4 9. .5" 8 5 7 1 6 a 5 •2 4 1 3 0 2 1 0 East South _48 -68 -42 •59 as •50 -Z9 j.0 -26 -36 .23 -31 .Zp -.27 -;7 Z3 -11 t5 •3 •11 ' a i •5 •1 -a - Wen *yfight 64 na 55 na _16 na ' .37 na .113 na -29 -74 -25 0.5 .21 •56 .18 .47 -10. 0.8 .7 •23 1 .16 .1 -9 1 1 3 0 9. Interior Thermal Mass Intanor Faammii�y Stab Floor Raised Floor Mass Demoted sfones Family 0.00 Series 0 iCFA One Two Twee One Two Three 0.0 -8 •5 .4 .2 -1 .1 0.1 -a •5 3 .1 0 0 0.3 -7 -4 .2 0 1 'I OS -6 3 .1 1 1 2 0.7 -5 •2 .1 1 2 2 0.9 -5 -i 0 2 3 3 1.1 .4 •1 1 3 4 4 1.3 -3 0 2 3 4. 5 1.5 -3 1 2 4 5 5 20 -1 2 4 5 6 7 25 0 3 5 7 7 8 3.0 1 4 6 a 8 9 35 2 5 7 9 9 10 4.0 3 6 8 9 10 10 A.5 3 7 8 10 11 11 5.0 4 7 9 11 12 12 SS 5 8 9 11 12 12 6.0 5 8 10 12 13 13 65 6 9 10 12 13 13 7.0 6 9 11 13 13 14 75 6 10 11 13 14 14 8.0 7 10 11 13 14 14 8S 7 10 12 13 14 15 10. Exterior Wall Thermal Mass Ewrior a Faammii�y Famiy Mule U2U Demoted Attae hed Family 0.00 0 0 0 a220 0.40 ' 3 5 2 4 1 3 0.60 8 6 . 4 0.80 1.00 10 13 8 10 5 7 1.220 13 12 8' 1.40 1.60 12 10 13 13 9 11.. . 1.60 10 12 12 ZC0 10 11 13 1L Heating System SE or 13SPF (assumes ducts to &elle) Zonal Control Adjustment System Type Resismnce 10 9 7 6 a 3 Omer 6 5 4 3 2 2 1_. Cooulig Syst•:m SCORE CARD b. Sum oft c. __ SEER - -115 or -24 m -14 to 1 to +a to 16 or SE HSPF less 15 •5 +5 +15 more 0.72 6.60 0 0 0 0 0 0 0.75 Ull 3 3 3 2 2 1 0.80 7.'...11'• a 7 6 5 4 3 0.85 7.79 13 11 10 8 7 5 0.90 8.25 17 15 13 it 9 7 095 8.71 20 18 15 13 11 8 7 6 5 Effective SE or HSPF 3 2 (SE or HSPF x duct etTicienc7) 10 ENectve -25 or -24 to -14 In .4 to +6 to 16 or SE HSPF less .15 a +5 +15 more 0= 2.75 •73 0.4 -56 -47 48 .0 na 3.41 -1S •39 •34 .29 .24 .18 0.40 3.67 •34 0.0 -26 -22 .18 .14 0.50 4.58 -10 9 a -7 -5 -A 0.56 5.13 a 0 0 a 0 0 0.60 5:0 5 5 4 3 3 2 0.70 6.42 17 15 13 11 9 7 0.60 7.33 25 22 19 �i6 13 10 0.90 8.25 32 28 24 Z0 17 13 1.00 9.17 37 32 Z8 24 19 15 Zonal Control Adjustment System Type Resismnce 10 9 7 6 a 3 Omer 6 5 4 3 2 2 1_. Cooulig Syst•:m SCORE CARD b. East c. Measures SEER One •5 _4 .4 3 ("samet duces to attic) Two + 3 3 Stat of 7.10 2 2 1 �15 -4 lox+15 to 6 or SEER �� 114 .6b +5 Water man 8.0 .1( -12 •10 a -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 a 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 3 120 15 13 11 9 7 5 13.0 23 17 1 14 11 9 6 42 - ERadre SEZR .1 .11 .1 a (SEER x -"d a leicacy) HWR .118 %u of 7-10 9 .7 Edemm.25 or -24 b -14 b -4 to . 46 b 16 or SEER less -is S 45 +15 mom 5.0 a0 .25 -21 •17 -13 •9 6.0 -12 -11, 9 -7 -6 .4 6.6 .5. -4 .4 3 -2 -2 . 7.0 0 a 0 0 0 0 8.0 9 8 6 5 a 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 MO M 26 22 18 14 9 13.0 33 29 24 20 15 10 Zonal Control Adjustment 10. 8 7 6 4 3 No Cook!! System Installed -Stories SCORE CARD b. East c. Measures d. One •5 _4 .4 3 -2 .2 Two + 3 3 ., 2 2 2 1 Single -Family Detached and Attached U -value cum 4. Slab Edge Insulation or I Unit Size (30 ' Water F2 faaa (0.771 :139 120•.'' 1700 2200 2700 Heater Vet5t or • 11 to to or Type Typo' ` less 1699 2199 2699 mon SG N13M a~% a 0. 0 0 or Solar 12 ' i 8 6 5 4 - HP HVIR . 8 5 •4 3 3 2Sx WSd 5 3 3 2 2 40% POU 8 5 4 3 3 SE None 0.7 -24 -18 AS 42 - Saiar . .1 .11 .1 a 0 HWR .118 -12 9 .7 4 visa"',..zS .;s -12 -10' -a 1213 s. PQU_ -to :12 •9 -7 -6 (G None .5 -3 .2 .2 •2 IS Solar 7 : 5 •4 3 2 4 POU 44 .4.6 .t.6 5 ICT. • IE None -28 79-.; 4 11 9 1.6 Solar . a . 5 a 3 3 POU .IO . • -a 5 i a 48 MuIU.FaaaQy (Individual units)Lim -. 20% 43 46 Size (s11700 .� Water Heater Cre* 699 700 1200 22 24 Type TOO or tela b 1199 to 1699 to 2190 or mors SG None. 0• a 0 0 0 or So* 14 7 5 i 3 HP HWR. wsa 9 5 3 2 2 12 PaU 9 9 4 5 3 3 2 2 2 2 SE None Soff -AS .23 -1S .11 .9 03 W58 2 •23 1 -12 1 a 0 9 0 •5 24 P_2U ZS 13 8 6 •5 11 -None -23 -a _=z a 9 •5 IG Sc=ar S.7 1 -3 .2 ; -2 i.5 POU 6 3 2 1 1 IE a 1 :,3 a -;S 0 -;o 0 a 0 -i 44 FOU 8 9 5 1 s IS .° 5576 0.9 1.1 1.4 1.6 1.6 Point System Summary: Climate Zane 11 SCORE CARD b. East c. Measures d. 1. Ceiling Insulation or Skyii ght R-vailoe (381 U-vttilte (omol Interior MawCFA Ror R-valuo (111 u -value (0.0.90.1 3. Raised Floor Insulation or . errs r w►as R-vaiae J 19 U -value cum 4. Slab Edge Insulation or R-vahte (01 F2 faaa (0.771 5. Infiltration S=ndard - - - ., ... _ _ -- u.r-..c-..n I T"t t PA= SUW 6 4.2. LOS 620000d •t&bl 07. Ss 10% 13% 2011: 2Sx W% 3S% 407. AST. 50% SS% 40% OK 70% 7516 1016 IM 00% 95% 1007.„ tosre110% 115. � 1213 s. 010 0 02 0.4 0.6 ere 1.1 1.3 t.5 11 1.9' 21 23 IS 17 29 •32 14 16 11 4 4.2 44 .4.6 .t.6 5 ICT. • 02 114 46 0.t 1 _ 1.2 . 1.4 1.6 1.9 Zt V 25 27 29 .11, 13 . 15 27 4 42 t4 48 1.L S 52 20% 43 46 a$ 1 1.2 1.4 1.2 1.8 2 22 24 27 29 It 13 15 17 It !.1 13 ; 4s ; 4.8 - S 52 5.4 X% 03 41 49 U 1.4 1.6 1.1 2 22 24 26 2t 3 12 3S 17 33 41 _ 43 43 11.7 .4 9Sat .: ,. S.3 _ 54 '. 40n: 47 03 1.1 13 1.5 1.7 1.1 22 24 26 21 3 12 14 16 11 4 L3 4.3 47 49I t 3 3 SS S.7 50% 149 Ll U i.5 1.7 19 2.1 23 ZS 27 3 32 14 31 11 4 42 44 4.6 41 St 53 i3 Si IS .° 5576 0.9 1.1 1.4 1.6 1.6 2 22 24 26 21 3 12 13 17 39 41 42 4.5 4.7 4.9 ii 52 SS $.1 6 60% 1 12 1.4 1.7 1.9 21 23 2S Z7 29 11 13 1s 11 4 42 44 4.6 4.8 ' S 112 5.4 5.6 S9 el 65% 1.1 U 1.5 1.7 1.9 22 24 26 26 3 11 14 34 22 4 U 4S 47 4.9 111 33 5 3 117 5.9 6 1 70% 1.2 11.4 1.6 1.1 2 22 25 27 21 11 13 13 17 19 41 43 46 41 5 112 114 5.6 So 6 62 -i: 75% U U it i.2 21 2.3 25 27 3 22 3A 16 11 4 42 44 41 43 5.1 S3 IS 17 L2 LI 6.3 C 011e. 1.4 1.8 1.1 2 22 24 26 21 3 13 1S 17 19 41 43 45 41 49 5.1 54 56 5.6 6 62 54 ,. 95% 1.4 1.7 1-1 21 23 25 L7 29 It 13 33 It 4 4.2 44 AS 48 S 32 54 56 39 Ri 6.3 65 ;:1 10%' 1.5 17 2 22 24 2e 2t 3 32 14 16 18 41 U 4.5 47 49 it 53 . 3.5 17 19 &Z 1'4 66 i:1 25% 1.6 L 2 22 2S 27 29 1t 33 13 17 19 41 43 4.6 411 S 12 5.4 116 St 6 6.2 6.4 6.7 is 1007. iJ Lt 21 23 23 26 3 12 3A 16 3.t 4 42 l4 " 49 It 113 53 51 19 St 6.3 63 6.7 , 105% i.8 2 22 2.4 26 21 3 13 25 17 19 4.1 4.3 43 47 if It 3.4 56 it 6 6.2 114 89 $a 1110!. 1.9 21 23 Z5 27 29 11 13 36 11 4 42 44 46 411 S 112 S.4 5.7 119 6.1 6.3 6S 6.7 62 115% 2 U 24 26 2e 3 12 14 16 36 41 43&S 41 49 it 13 11S 5.7 119 t.2 6.4 Q6 6.8 7 1271: 2 U ZS 27 29 11 13 15 31 19 41 44 4.6 4.1 S 112 SA 16 SO 6 62 6.S [7 6.9 7.1 " 125% 21 v 23 21 3 22 14 16 18 4 42 44 4.6 41 V U 53 V 5.9 111 63 65 6.7 7 7.2 ^, Point System Summary: Climate Zane 11 SCORE CARD b. East c. Measures d. 1. Ceiling Insulation or Skyii ght R-vailoe (381 U-vttilte (omol I Wall Insulation . ' Ror R-valuo (111 u -value (0.0.90.1 3. Raised Floor Insulation or R-vaiae J 19 U -value cum 4. Slab Edge Insulation or R-vahte (01 F2 faaa (0.771 5. Infiltration S=ndard 6. GIass Heat Loss 7. Shading (Shade Open) a. North b. East c. South d. West e. Skyii ght S. Shading (Shade Closed) a. North b. East C. South d. • West . e. Skylight 9. Interior Thermal Mass 10. Exterior Wall Mass 11. Heating System Zonal Control? ( Y / N ) 12. Cooling System Zonal Control? ( Y / N ) 13. Water Heating 3. Type idols i U-Vaiue (0.651 % Toil Glass (161 ?01 Glas SC Eff. °5 Glass „2 0 x 177 =- �S x = 3 x = i X IS Glass SC Eff.170 Glass x j • 5 x -5 X x 0Z_ x 7 = TYPE 1 riASS AREA Vu- _Ur_- COND. FLOOR AREA TYPE 2 4ASS AREA , Eztenor Wad'vl&4s SND. c�L OR .>RE.� • %� x X;l SE or iiSPF Duct Eff,cimry (0.781 Effective SE or (0.7716.6] HSPF 10.5615.151 x2 - SUR 19.511 Duct Efrtc,etscy (0.141 Effo=vaSEEP. (7.031 ype iSGI Credu (om ci Point Scores 0 Sumi i Pnint Tectal: O protect Title protect Address / ��aD�l�? Documentation Author TeAcphone BUILDING DATA r=ditioned Floor Area o2 Zl Number of Stories S� /Raised floor Number of Unit's [Single Family Detached ( [ l Addition Alone C l Single Family Attached (SFA) [ ] Existing Building ( l Monti -Family (NM _ [ ] Existing -Plus -Addition BLU.DLNG SHELL INSULATION Component Insolation Location/Crt33==m Tvve R -Value (side, ca gtltag% c,Mi=r ere-) Wall .......... ... Wall....»..».... - Roof ....»»».» Roof..»»..».» Floor....»..»... Floor ............. Slab F ge..... .._ GLAZING Shading DeviC= Building Peemit I ' / L . taeoced By /.Dale Ealoeaemelt Agency use 0* i Glass Area % Gla= ..,...... r North .j • 5 � . Fast Location Duct Output Manufacm=r /Model # South West j 7 R -Value Br hi (or ar)roved al) Skylight <� _ p, ' ' Total 3aP" /3'- ' Gia: it g Area Glass Type Intezor Exterior Overhang Framing Type Orientation (St) (sin� double) (roller blind, etc.) (shadeserem etc.) (yeslno) (mex>J/a►ood) Nosh Norah ( ) r East ( ) East ( ) Sou _h Souh ( ) I West ( ) West ( Skylight.;.._ —4 (� ?HERMAL MASS Type/Covering Area Thickness (slab/cmvesesd, fila etc-) (sn . (inches) Lo=don/Destr•ietion eltimhett_ bath- etc_) HVAC SYSTEMS Jq-mimum Duct Type (P =1Ce. air Efficiency Location Duct Output Manufacm=r /Model # conditioner. heat Durno) (SE SEER.HSPF) (a dr. eetcc..) R -Value Br hi (or ar)roved al) ' Maximum Furnace nearing Output: WATER SYSTEMS Btuh Q�HOT TankManufacturer/Modei # % P Svstem Tvpe (storage g. etc.) C3oacity (or approved equal) �cecial Fea eQ'S SPECI.aL FEATURES/REMARKS (Add extra sheers if necessary) ry[anuaw�) n+C.LI [kip L{{CLX{Ll[: at3sucnuar +-+•'••• NoTr- Lownie reada+aal bwLdrtgs snebm= m the Sonmtda mtm ua+[am dsae a cases= Rtdim of the mmdix= appoaca usa4 liana mullco wtm an aavJsst (-) may be wowmdrd by ),.ere mina-+ eoa+ouarax mo% uma fid on we Cou6orc of Canauanoc Whm on chwAbst u ueorvaarcd ine u+e puma aoeumeKa. Wer fcat u s nowd a & be constoacd by ill prucs at buadint mauuaom eompawN paforosutm sprsfaornau for rb asrmatory rr�ao - wrsena Vey ane sho a elawnae m um oaaaeaua or m lois —%!I' -only. t)Esc7umow cESicNEx FJrfCt�attiM auadint En -loge Measures • 12•5352(a): Minn -n calla),% wmim n R.19 rotnvd a-uste 1 ;2.5352(br I — ri116[auat marrfaet-et'a (abclaJ R.Value. • 12.5352(c), Minrnm vrahl inantaoon u (amm vn14 A-11 werthted aO'aate (don not apply n eatator mass vraus). ;2.5352(kr Slab adsc in uiumn - -ma abaorOuon me no Vcma Oman 0.3%. Tara rapoi I Wans,n[fs100 MC no tsota than 2.0 90TW n" 12.5311: ham"Um sponaLed or ins skis naeea Cali ams Ertaa came skin (CFS afoul I sunwards. Inotcann type sad form. 12.5352((): Vapor brrtas mantdatory in Cl+-ame Zan= Is and 16 ottly. ;2.5317: InreloauonrEariloaom Conrols L Doors and wuwmn bowma conmuoned and unconditioned spaces desapsed to unfit air lesiattt . b. Doers Una vmroo.s Canned. e Doors am .wwo.s worttersatpsa *m snrd pa+caaeioeu autked and sakb 12.5352(et Speoal sddaaaon but ummalkawcoinglywuh;2-5331 neeuaCECquaiiry sttn+mrdl ;2-5352(d): lnaallaaon of Ry==es I..Masoav and faoary-bw![ ruwia= lave L ittrtt fortis, elpsable meal or Hasa door b. ouuade a r make vnth dampor ano clamed C Flue camow and caned 2. Nle emaououa aenmt tm pdas aLkwod. HVAC and Pt=biot Syas Meaarts 12-5732(6) and 2-53((5: So— eaditionmt egtipmmt sbdnv ameb olodsdorts. � ;2.5352(b) sad 2.531 S: Sonet vwmwnmm or au app(-ioblo hcuint sysen u. --12-5316(1), Ducts inslalkli and irtanlawd per Chap r 14 1976 UTAC 12-5316(b): r abaua sy%rmz nave damper cools f2•5314(e), Gas -rues spa= Acting cauivw=ha inuas =u itaidoo devira 12-5314: HVAC canipncm. water hcams. showaheads and (auras eertirud by die CEG � 12.53520): Watt boner insulationbkanta (R-12 or peaner) or combined intnsiorma&crior insulaum (R-16 or Vca=r first 5 fm of pias ,-caw lank instelawd (R-3 or pane). 12-5312(Fsception (): Not: uumLamm on srnm and anesn eondatcue rtaam A tedneulaint I proms. iz•531R(d) S-irntrtmt Pool H-,* g 1 1. Systan tta= L OPM(f swatch on hate. - ' b. Wotnowed innrttlron platen hcata. - e Numoed to alio- for sour. 75 pemm tnernw e(raoaaey. ' 3. Pool cover. a. Trine clocs. 5. Dsroetsosoi .rate sales. t 1.ithtint and Applonee Measures ' 12.53520 Lithunt - ZS bu umaNrau or tsesta for twaal US" in kinehm and bathrooms. � i 12•5314(ct Gas rum apptiaeees cgwvpm with ina:noiaaa itnWoo devcm 12•S314(a), Refrigaam rs rdritaator-recces. frt= s and auortesatt lamp bauaw ccrdrbod I by the CTC lad a mate and mase( mtm*= C0I2LIANCE STATEA1a1T : This =--af cwt of compliance lila tb- building f=t uta and perfor== spccafiadoasneeded to comply with Title 24, C3apmr 2-53 and Title 20. Chot;tr; 2- SubCha;= 4. Article 1 of the California Administrative code- This =:a.fic= has bees signed by the individual with Overall design rCsP=sibsl'uy'and the building owner. who shall msain A Copy of it and transmit the oaf ease ID say sabsequmt purdm= of the budding. Designer Name: TuklFtt� Tckp",, lic. A: (siCnaosre) (due) Building 0 Name . 'r k/Firttt- s KL Anda=: Com- ere -zSr Tc kphortC (s i gn anae) , (dam) Davmenusion Author Enforetment Agency Nang Name: T,[k-,F,,u AL�'tm Addr=- T.1...•,.... - ��_A ��,� ^f 'V � �f'+rev. r. _ - _ _ _ _ - Yp��! ..... 1..._..__._.. .... ��..�.V.,..�� �... �_ E, „ � , r 1' � , � t a � PRINT DEC 2 3 1991