HomeMy WebLinkAbout039-560-017FAILURE TO OBTAIN FINAL
2/26/92
j
2909-90B,P, ,M0 01 -7-..91-164"
O-S�dJ-01-7 r
TERRELL, Kenneth
• TERRILL, Kenneth �
2544 Chico River Rd, Chico:- ,�'?' _ Mxem!1onAla Ln Chico +�
Contr: R & C Homes mag, ,� hermit(new sf) ' i ragfor almond or
r.
`O3CI -rJCoO -O l_7
Permit#3816-90B
(demo/sf)-
039-560-017 9-2-92
o -9/
USE PERMIT
TERRILL , K E 91
-3 37 THOMAS & BEVERLY KNUDSEN
CONTR: OWNER TH
• 2544 CHA CO RIVER R
f
COVERED DECK/SF C
9- -1 T " 2-1799B
TERRELL, Ken-ag_C�Z
2544 Chico River Chico
_ complete/90-290
39-56-17 92-1838BPEM
KNUDSEN, Tom & Bev
2544 Chico River Rd, Chico
contr: Steve Lane
addition & garage,conv to living
039-S60-017 92-2.558 M
KNUDSEN, Tom &.'Bev ��
2544 Chico.River Rd, Chico ,
contr: J & M Enterprises
evaporative cooler/sf
039-56=0=017 _ 92-4189 B,P,E
KNUDSEN, Tom & Bev
2544 Chico River Rd, Chico
contr: Care -Free Pools
swimming pool
/I"-- l 71
N Ard LVIEN MISM ME
w mor- Mom
ow
Y—.
y
• DENTIAL .
X039=56=0=017 92-4189 B,P,E
KNUDSEN, Tom & Bev
2544 Chico River Rd,.Chico
contr: Care -Free Pools
swimming pool
JOB FINALED (Date)
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: / P L" ft.
/ /"Nat. or/ /"L"ft./ /"LPG
7. Well Clearance 8 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 If'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 tf'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 PO S (Plans) OK except N's
tbacks-Easements
oils; Compaction -S cture Stability
ool Structure; onnections-Thickness
Dead'Men-Lining
4"61c.; Receptacles and Lighting, Distances-GFI
Alec.; Pool Lighting; 15 volts-GFI
Iec.;Enclosures; Conduit Entries -Terminals -Listed
.Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
lec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
_ Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
a th Department Approval
1V Plumb.; Cir. Test -Water Supply Test
�f-�ayt3 L�G�r nt�«j�
Date Card B-1 S Date Card B-1
Date �, Z.Card 8-1 Date Card B-1
da ►(92 SR—/►�e.� 07� c� av,w
'J OK
O=Not OK
=
Not Applicable
Not Ready RESIDENTIAL (Single & Duplex)
=
Date UNDERFLOOR (Plans) OK except ti's Date FRAMING (Continued) ,
1. Zoning -Setbacks -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors
2. Ftg., Main; Soils -EIEC. Grnd.-/ Depth 46. Cing. Joist-Rftr. ties-Purlin-root Brac-Truss-Shthng.-Rfng.
3. Ftg., Garage; Soils -Steel -Flet. Grnd.d.-/ -/ /" Ftg. Depth 47. Fireplace Ties or
__ _ _p Type A Flue -Fireplace Throat clearance
4. Ftg., Porches Decks; Soils -Steel-/ / Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
5. Stemwalls, Main; Steel-Blockouts-Wrapped 49Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
6. Stemwalls, Garage; Steel-Blockouts-Wrapped 50. Garage Fire Protection Framing
6a. Hold Downs and Special Anchors 51. Property Line Firewall &Openings
7. Slab; Steel -Wrapped 52 Ext Doors -One 3' -Check Garage -3rd StorY2 Exits
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: Size & Anchors
Date _ _ _ _Card B_1 ---- - Date .......... Card -B-1
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. Subfeed Wire Size r / ga. Cu or AI-A.C. Wire Size / / ga.
Cu or AI
29. Range Circ. / i 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-Mech. Equip
------------ --------
32. Clothes Closet Light -Shower Light -Spa Light
---------- - -----------------------------------------------------------------
33. Smoke Detector
-------------------------------------------------------------------------------
Date Card B-1Date Card B-1
--------------------------------------------------------------------------------
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except n's
34. A.C. Ducts Insulation & Support
------------
35. Vent Fan: Exhaust above insulation
----------------------------------------- - --- ---------- - ---------
36. Condensate Drain & Overflow: Size & Grade
--------------------- -- --- -- -- --- - ---
37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet
----------------------------------------------------------------- - -
38. Attic -Access-&- Platform if Furnance in Attic
------------------------------------ ----------------------------------------------
Date 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
---- _--------- ____ _ ,
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 _ v' 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-Mech. Protection
-------------------
64. Bedroom Exiting
---------------
65. G F.I & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel; Breaker Sizes & Labels
_
____________ 67.Stairs -&-Rai-Is __
-------------- 68_Fireplace or Stove: Clearances -Hearth
69. Elec. Outlets at Wood Panel: Int. & Ext.
----------------
70. ---------------- -
70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
----------------------------- -
------- ------ -
71. Elec. -Outlets & Receptacles at Kit. Counter
---- - - -
72. Garage Fire Door Swing -Landing -Closer
---------------------------------- -- p - -
73. A.C. Duct in Gara9 a-Damer
------------- ---------------------------------
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage; Above Floor-Mech. Protection
75. Plb. Elec. & Mech. Equip. Listed for Location
------------------------
76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection
------------------------------- --
77. 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 Q No;
Planters ❑ Yes ❑ No
81. Stucco: Brown -Finish T
--------- - --- -
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.
---------------------------89. Gas Test -Meters Tagged; Gas -Electric
------------------------------------
------------- 90.
--------------------------------____________90. Water -& -Sewer Connected -C/O to Grade -HO 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:
COUNTY OF BUTTE
s DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 538-7541
747 Elliott Road, Paradise — Phone: 872-6307
ER
CORRECTION NOTICE
9z -489
PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
whdn correction of work is completed. If you have any question pertaining to this
ma ter, or need additional explanation, please contact this office immediately.
Date /2— '?- 1 9z Inspector , 1
COUNTY,OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 Co6nty Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO. D
r7
�a
ASSESSOR PARCEL NUMBER
039-560-017
ZONING
A-10
BUILDING PERMIT
OWNER
Tom Knudsen
TELEPHOWESO.
895-32-3254
FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS y
2544 Chico River Rd., Chico 95926
Contr. Est. 15,000.00
CONTRACTOR'S NAME
Care -Free Pools
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ ,
LENDER'S MAILING ADDRESS%
Filing Fee
$ 15.00
Permit Fee
;
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 20.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty
$
BUILDING ADDRESS
Permit fee
$170.00
PLUMBING PERMIT
FiIingFee 15.00
2544 Chico River Rd. Chico
Each Trap
1 5.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
1 7.00 7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other Pool
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home S I G I W
@ 15.00
TYPE OF WORK
New® Addition❑ Remodel❑ Utilities❑ Installation❑ Other❑
Describe work: Gunite Pool _
Master #501-91
Permit Fee
$22.00
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 200A OR LESS
18.50
CONTRACTORS LICENSE LAW
I declare er penalty of perjury (check one):
El'I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force nd effect.
^
License No. J?0 8 2% Classification ��
El 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)
❑ 1 am exempt under Sec. , Business and Professions Code
for this reason
Main service 200A TO 1000AI
37.50
NEW CONST. / DWELLING OCCUP -s�)
OR ADDNS. ACC. SLOGS. //
\
3.64 sq.ft.
NEW CONSTR. MULTI -OUT LET
U TI.OUTLET
NON-RESID BRANCH CIRC ITS
@ 5.00
POWER APPARATUS &)
SINGLE OUTLET CIR.
Ex. OCCUp�OUTLETS OR FIXTURES
dAll 20 76
FIXED
Ex. DCCUp. OUTTS 1PRESID.IREA.1
3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
1 15.00 15.00
Permit Fee
$ 30.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
LJ have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 15.00
Heating
Cooling
Hood
6.50
Ventilation
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
againstlaid Count n consequence of the granting of this permit.
X 4 1 Date f�^3
Signature of Applicant — Owner❑ Contractor CJ py Agent Elsions
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee S
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $222.00
Az OFEES IMP FLOOD CDF PARCEL PD
H
ICI E
This permit is hereby issued under
of the Butte Coun Code and/or
work indicat ab which fees
F PUBLIC
By _,; PE I X IRE Date z_
the applicable provi-
resolutions to do
have been paid.
WORKS
Date
Receipt No. 130009
WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
"U''� �-K`.'"v-�.''`+.v..-�^�"ti%t'"�.'r+r�r'.<".^^�.�,.,.,vr'.'*^'k�;'.-inl!""'`j�iYr`•a-..,'�,"`r�,'ti^1r�Y-''�YrYi"n r. -'"*if
COUNTYOF BUTTE - DEPARTMENTOFDEVELOPMENTSERVICES -BUILDING DIVISION*
.01
7COUNTYCENTERDRIVE - OROVILLE, CALIFORNIA95965 - TELEPHONE -(916) 538-7541
-. V
PERMIT PPLICAON D
� SHEET
IV ,. AT
/
OWNER 37-7-/7
d A. P No.
G �/ ""
Proposed Building Use Building Inspector Date
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
1. All items have been submitted.........................................
2. Plot plans, 3/4 sets, signed by preparer of plans . ..........................
3. Complete plans, 3/4 sets, signed by preparer of plans . ......................
.4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form . .......................................... .
6. Energy Design Compliance and supporting documentation . ..................
7. Statement of Intent for Non -Heated and A/C Buildings . ......................
8. Engineered truss details and layout in duplicate (required prior to plan check). ....
9. Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
10. Fees of $ ......................................... .
11. Impact fees as shown on attached schedule. ............................. .
12. California Department of Forestry plan approval/fees. ....................... .
13. Flood elevation letter (100 year floo ) by California Engineer. . .
14. Sanitation and plot plan approva /f i W Health Department . ............ _1079i
15. City of Chico plumbing permit. ..... .................................... .
16. Plot plan and business license approval from City of Biggs/Gridley. .............
17. Planning approval for (A) Use: (B) Parking: . ........
18. Contact Land Development about (A) Improvements (B) Drainage. .......... .
19. Driveway permit (construction approval required prior to occupancy). ..re. .
Pre -Inspection quest
20. Pre -inspection for required. .. to Building inspector (Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Workmans Compensation Insurance . ..........................
23. Owner -Builder Verification (Given to owner , Mail to owner . .......... .
24. Recorded copy of Agricultural Acknowledgement Statement . ..................
25. Letter of signature authorization . ........................................
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... •'
27. Letter of intent on building use . .........................................
28. Mobilehome utility clearance . ..........................................
29. Documentation of legal access . ..................... :..................
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31.' -Existing violations/expired permits . ......................................
32. Plan checklist ......................................................
33.-
-34.
When y issue the permit, process as follows: Mail to owner. Mail to contractor.
,/ Telephone 2 and hold for pickup at C'iS/( office. Deliver with inspector.
Other
Parcel Creation `
Acreage Applicant Date 4�
Copy of Haz-Mat form sent Health Dept. Fire Dept. lAir Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other ' Date By
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone_ mail unter by _ Date
Plans checked by Date Plans approved by Date?2
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
F.H. USE ONLY
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Kti u sem.. 2 rzry A.." Z.D 29—J -L-1 2!
Owner Location AP#
Plan Approved for: Sewage Disposal
Clearance for bedroom mobile home. Other
Hold final for:
Final clearance O.K. for:
NOTE
Environmental Health Specialist
8/92
Water Supply: Public Private Well
IF
Date
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 G'ounty Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
S — �j �-
ZONING
(
4
'BUILDING PERMIT
OWNER
TELE HONE
S0. FT. OCC. BUILDING VALUATION
O WNE 'S MA NG I ADOR SS
V
CONTRACTOR'S NAM TELEPHONE
L
T AC O 'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $� Q
LENDER'S MAILING ADDRESS
Filing Fee
$ 15,00
Permit Fee
$13
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 2d
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$ 7 19�--
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
5.00
r—
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
ARCEL MAP
Water piping
7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE
SF [I Duplex❑ Mobilehome❑ Other /"�5—
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home S G W
015.001
TYPE OF WORK
New Ay Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe work:_�5�I_ AO'OL
S����
Permit Fee
$ Zz�
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 200A OR LESS
18.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
Z?11'I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professi s Codpe and my license is in ful force and effect.
License No. X0 e- to 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
Main service 200A TO 1000A1
37.50
NEW CONST./ DWELLING OCCUP.a!\
OR AODNS. l ACC. BLDGS. I
3.6Q sq.ft.
NEW CONSTR. .41.11 -711 -OUTLET
NO N.RESID BRANCH CIRCUITS)
@ 5.00
/ POWER APPARATUS &)
l SINGLE OUTLET CIR.
Ex. Occup OUTLETS OR FIXTURES
20 76d
FIXED APPLNS.
Ex. Occup. OUTLETS IIRESID IREA.)
j 3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. IYirin g
15.00 t
Permit Fee
s
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
FiIIng Fee 15.00
Heating
Coolin 9
Hood
6.50
Ventilation
Permit Fee
s
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 Countyof
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 aid Coun In consequence of the granting of this permit.
X ��Date 3
Signature of Applicant — Owner❑ Contractor [P-'/ Agent ❑
An OSHA
ion of structures toverr 39stories oinehe ghr Ions over S'0" deep and demolition or construct.
Mobile Home Installation Fee $
Energy Inspection Fee $
DCC
CONST TYPE
TOTAL FEE ZZ:='70,
HAz
1 DFEES I
=F
CDF
PARCEL I PO SUE
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
d�
Receipt No./?
WHITE -O. P,W„ YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
- R SI EN IAL
_ _-56____
_ 39-17
> KNUDSEN , Tom & Beer
2544 Chico Rizer Rd, Chico
contr: Steve Lane
addition & garage conv to living
o -3a -ate
No Gns Tur R-Z . -- tt.� ix?
JOB FINALE
Signature
J=OK
0 = Not OK
=NotAay ble MOBILE HOMES
' = Not,Ready
Date MOBILE HOME UTILITIES (Plans)'OK except #'s
1. Zoning Requirements -Setbacks -Easements
t
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- Bea ms- RItrs.-Connectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; SiIs-Anchors-Stu ds- Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date
2. Soils; Special MH Support Sketch
Date
3. Sewer; Location -Test -Fall -C/O Concrete
Date
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 8 Disconnect
8. Utility Clearance
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
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
Date
6. Water; MH Test -Regulator -Connector
Date
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
t
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- Bea ms- RItrs.-Connectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; SiIs-Anchors-Stu ds- 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 B-1 Date Card B-1
✓=0K
Of= Not OK
. = Not Applicable
RESIDENTIAL'(Not Ready
' =
Date UNDERFLOOR (Plans) OK except #'s
zoning -Setbacks -Easements -Flood -Slope
Ftg., Main; Soils -Flet. G -/jZ(" Ftg. Depth
,2' Ftg., Garage; Soils-Steel-Elec i!S".-/�?/" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Stemwalls, Main; Steel -Bloc kouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
Hold Downs and Special Anchors
Slab;�teel-Wrapped „
-r
8. rs-Fireplace Ftg.-Steel
—�' 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.
1VGirders-Sills-Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. Insulation
Date 4Ja,t Card B-1 Date Card B-1 CC'S
Date` -/3-- Card B-1 Date Card B-1
Date PL GING (Permit) OK except #'s
Water Htr.: Vent -Access -Combustion Air -Baffle
Water Pipe: Test & Anchor -Nail Protection
-- --- /D.W.V.: Test -Fittings & Anchor -Nail Protection
---------------- -----------------
1�-3h0wer Pan: Test. First Floor -Tub Access
--- — 20,4 -est - Tub & Shower. -Second Floor -Tub Access
--
— — -- - - — ----------
----- ----- -- — -- ----
--_ Gas Pipe: Size & Anchors
--- ----------------------------------------------------------------------
Date Q " Card B-1 Date Card B_1 -
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except #'s
Fixture & Transformer Clearance -Ins. Protection
El
-----------=--//----------- ------------------------------------------------
23: ec. Receptacles Spacing -Lights & Switches at Doors
-------------- -
----------------------------------------------------------- -
Size Boxes & No. of Conductors -Stapled
------------ --
r -------------- ----- Co
-ors -St ple--------------- ----- ----
omex Installed Close to Edge of Studs & C.J.
------------ ---------------------------------------------------------------
Equip. Ground made up wrMech. Fastners-Bond Gas & Water
------------ -------------------------------------- ------------------
. 2 Appliance Circuts in Kitchen_ & Conductor Size/GFI
�bfeed Wire Size /?, ga. Cu o0A.0 Wire Size rO / ga.
or AI
Range Circ. �, ga. ®or AI -Oven Circ. / / ga. Cu or Al.
f Insulated Neutral f<Yes- - ❑-No
- ------ .30. Service -Riser Conductors & Ground -Main Disconnect ---- - -
------ -----------------------------------------------------
1. Equip_Clearances -Panels-Motors-Mech. Equip.
---------------------------------------------
Clothes Closet Light -Shower Light -Spa Light
------------ - ------- --- -
3� Smoke Detector
------------------------------- --------------------------------------------------
-Date- o Z and B-1 , Date Card B-1
------�Z --------- (.T ----------------------------------------------
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except #'s
X34. A.C. Ducts Insulation & Support
------------- --------------------------------------- ---------- ---
Vent Fan: Exhaust above insulation
-------------------------------------------
_!. Condensate Drain & Overflow: Size & Grade
F ante -Vent: Access -_Comb Air -Return Air Vent _t 15 -outlet
Attic Access
-------------- ---------------------------- -------------------------------------
Date LC)r?i2.C,2 Card B_1 GG Date Card B-1
---------------------------------
Date ID- e,-Aj_Card B-1 r(:, Date Card B-1
Date FRAMING (Plans) OK except #'s
3ge'Sils. Proper Material & Anchors
- - - _j ....._.. -- - ----- ------------------------ -- - --
4(�. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound
-------------------------------------------- ------------------
4. . Bearing Walls over Girders & Floor Nailing
-------------------------------------------------------------------------------
Draft Stop in Walls (rat proof)
- - -----------------------------
Fire Stops: Furred Ceilings -Stairs -Chases -Tub
--- - - - -------------------
Headers & Beam -Size & Bearing
Single & Duplex) -
iDate FRAMING (Continued( -
I4 tang ens -Post Caps -Anchors -Connectors
SFrICing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring.
44 -Fireplace Ties or Type A Flue -Fireplace Throat clearance
W. . Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
4,9Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
5K Garage Fire Protection Framing
.e Property Line Firewall & Openings
--------------------------
--- P1 Ext_Doors_One 3' -Check Garage -3rd Story, 2 Exits
5a -Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
plywood on Roof Overhang -Attic Vents -Rafter Outriggers
---- ---- 55--Siding-Nailing Veneer
- --- 5i Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access Z of -
5e Glazing Area -Glass Protection -Skylights -Plastic
6B-94ear 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 FIN (Plans) a except #'s
- E ps Door &Sidelight Protection -Landings
Smoke Detector
----------- ---------------
67. Furnace: Vents -Clearance -Comb. Air -Connector -
in Garage: Above Floor-Ducts-Mech. Protection
-------------
BedroomExiting ------
_59'! G.F.I. & Bath Fixtures & Tub Access -Spa
Elec Trim-& Subpanel; Breaker Sizes &Labels
------------------(Y5.
6r-Mirs & Rails _
&e: fireplace or Stove: Clearances -Hearth
69:--E1ec. Outlets at Wood Panel: Int. & Ext.
- -- - 7/ K Fixt & Appliance; Grnd -Air Gap -Cooking Clearance
Elec. Outlets & Receptacles at Kit. Counter
-----------
-------------7;!!'Garage Fire_Door Swing -Landing -Closer
75--A-C.-Duct in Garage -Damper
Wtr. Htr_Vents-Clearance-Comb Air-Connector-P.R.V.
In Garage: Above Floor-Mech. Protection
---- -
lr7/ Plb. Elec. & Mech. Equip. Listed for Location
11.7 Elec. Receptacles in Garage: (G.F.I.)-Romex Protection
;e Insulation -Foam -Looked in Attic ❑ Yes
----------------------------------------- ---
F8-=rd Rails & Deck Construction -Post Caps
------------------------------------- -
79;--Fd,I Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor--- ❑ Yes-
---...--------
Following instld.: Drive ❑ Yes El No: Walks ❑ Yes ❑ No:
Planters ❑ Yes ❑ No
---------- - - ------
�z2�i2 Stucco_B wn- ' ish
G -G- �. A.C. Unit: Disconnect. Electrical, Plumbing
8j -..Vents Above Roof: Plb A liance-fire lace. -Clearance to
Openings
8*. -Water Well: Disconnect, Electrical, Plumbing
----- ------- --- - - ---
xterior Elec. Trim: G.F.I. Receptacle -Underground
... _ .. .... - . -------------
--------------------- —
a6. Ventilation Throughout House
V.7 Glass Protection
8y!Corrections from Previous
-!-t -_-, Zd�Gas T�Meters Tagged
yB�-&,
ewer on
Water &SCnected
9 Energy Compliance Certificate -Other Certificates
----- .----<---------------------------
--------------------------------------- --
Inspections
Gas -Electric ----
_ _ _-C/O to Grade -HD Approval
-----------------
Date-Jl. h Card B-1 Date Card B-1
Date ' 2,' yZCard _B- 1 �� ---- Date _ Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
i COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico - Phone: 891-2751
7 County Center Drive, Oroville - Phone: 538-7541
747 Elliott Road, Paradise- Phone: 872-6307
CORRECTION NOTICE
Ku1ADSa.tt1 5z -183T
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
'K rnN,<- 1 '/z �Z,\5VL- -5 'v 6.P 'C-lLorti GA9-RGI T -o
Mx Y nF RwckP�tct, s RT
V -y T C kA' .'N Conn; -r \t 2 g N Q,
\N11n1
X 9 Atngi FA rJ 9,,to n t R'Q, \t> 1 N L A to g; (z
Date 12 , 10- q ?-- Inspector /oJ n�l.-1— " '
-. t;x�.:Ys.'..w.�.TLa=s�".a:r�+.►*w�.a-:-+:�..,,.w.- .,L"1.�^�.^.rw.-^v.�,-..+rte--+-"„��+t:
7
i
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
N ��� IF - /a I g
OWNER PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
� a
�J
C — A
Date Inspector A 1-A
REV 11/91
y
O.wner: �/ �v
ENERGY CERTIFICATION
LOCA"
-,v
DESCRiPT.O`f OF INSULATION
131DIa
Pit I
fU.
- - - �A
A. P.
MATERIAL BRAND NAME
THICKNESS THERMAL RES.
EXTERIOR WALL
MATERIAL Fiberglass BRAND NAME Certineed
THICKNESS 3tot ` THERMAL RES.
CEILING
BATT OR BLANKET TYPE -FIBERGLASS BRAND NAME Certineed
THICKNESS Ioz THERMAL' RES. .341—
LOOSE
34LOOSE FILL INSULSAFE III BRAND NAME CERTAINTEED
THICKNESS S^�.t ' THERMAL RES. 3�
FLOOR -ELEVATED
MATERIAL Fiberglass
THICKNESS
FLOOR -SLAB
INTERIOR WALL
MATERIAL Fiberglass
THICKNESS
BRAND NAME Certineed
THERMAL RES.
BRAND-NAME Certineed
THERMAL RES.
I HEREBY CERTIFY THAT THE ABOVE INSULATION WAS INSTALLED IN THE ABOVE
BUILDING, IN CONFORMANCE WITH THE STATE OF CALIF. ENERGY REQUIREMENTS.
HAWKINS IND.IN /dba SHASTA INSULATION LIC.#650722
AlV 3c) /90?
Ihereby 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 Calif.
C
------------------------ G----- --------------=--------------
FIRM /0 NER (PLEASE PRINT) STATE CONT,._J_rC•i
SIGNATURE OF GENERAL CONY OWNER DATE .
This certificate must be on file with the Building Dept. prior to Final
and posted within the building.
��
��
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COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Orovllle, Callforgla 95965 - Telephone: 918,'538.7541 838
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
039-560-017
ZONING
A 10
BUILDING PER
T '
OWNER
TOM & BEV KNUPSEN
TELEPHONE
895-3254
SO. FT. OCC. BUILDING VALUATION
933 R 50,382
OWNER'S MAILING ADDRESS
2544 CHICO RIVER RD CHICO
1196 M 21,528
CONTRACTOR'S NAME
STEVE LANE CONST INC.
TELEPHONE
612 - 20 12,240
g4 C 1 O92
CONTRACTOR'S MAILING ADDRESS
3330 A WY 32 CHICO
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
85,242
Filing Fee
$ 15.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 534.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 267.00
Energy Plan Checking Fee
$ 20.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING AD 2544 CHICO RIVER ROAD CHICO 95926 ESS
Permit tee
$ 836.00
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
6 5.00 30.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
7.00 7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE
SF KI Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.001 9_00
Building sewer
15.00
Mobile Home S I G I W
@ 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑
Describe work: CONVERT GARAGE TO GAME ROOM, Ann GARAGE
&-LIVINC AREA
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
0V OR LSS
Main service 200A OR LESS
18.50 18.50
Main service 200A TO 1000AI
CONTRACTORS LICENSE LAW
I declar under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professio Code and my license is in full force and effect.
L Pj
License .JO. Classification 11
❑ 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 OCCUPM
OR ADDNS. l ACC. BLDIT //
_37.50
3.64 sq 7(},50
NEW CONSTR. ULTI-OULET
NON.RESID BRANCH CIRC ITS
@ 5.00
POWER APPARATUS e
(SINGLE OUTLET CIR.
Ex. OCCUp(OUTLETS OR FIXTURES
20 76d
FIXED APPLNS, OR
Ex. Occup. OUTLETS (RESID.) EAJ
I 3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. INirin g
15.00 15.00
Permit Fee
$ 123.00
-
WORKMEN'S COMPENSATION INSURANCE
I declare u er penalty of perjury (check one):
❑ he permit is for $100.00 (valuation) or less.
IV I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
FiIingFee 15.00
Heating
9,00
SPLIT DUCT
.00
Cooling
9.00
Hood
6.50 6,50
Ventilation
4.50
Permit Fee
$ 53.00
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 a above-mentioned property for inspection purposes.
I also a ree to s e, indemnify and keep harmless the County of Butte against
all li b li es, � dg ents, costs, and expenses which ay in any way accrue
again d C n in consequence of the granting of is/permit.
X ate (I� ��y
Signa PP ❑ Contractor Agent ❑
5i nature of Applicant - owner
An OSHA permit is required for excavations over 5'0" deep and demolition or construct.
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $ 40.00 .
cpys YPE TOTAL FEE $
�/ 1
HAz
r
DF IMP
----
FLO
CDF
P
HD
This permit is hereby issued under the
sions of the Butte County Code and/or
work Indic abo which fees
D R F PUBLIC
By
PERM XPIR S Date
applicable provi-
resolutions to do
have been paid.
WORKS
Date,?_,z-QZ
Receipt No. 116248 347.00 /22 37' 7"71,00
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK-1SPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT
7 County Cantor Drlva - Orovllla, California 98008 - Tulaphon9: g1t3.'538.7641
APPLICATION AND PERMIT
�'�
BUILDING PERMIT
" Ai %?
MOS .1t
SO. FT. OCC. BUILDING VALUATION
(/
OWNS 'S MAILING ADDRESS
fvt a
Sa
CONTRACTOR'SNA E
b• „af r G
TELEPHONE
611
CONTRACTOR'S MAILING DRESS ^)
33:96
Fireplac
CONSTRUCTION END R
UNKNOWN
Total Valuation $
Filing Fee
$ 15.00
LENDER'S MAILING ADDRESS
Permit Fee
$ p
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ t
Energy Plan Checking Fee
$ O.Q�
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILo
Permit fee
PLUMBING PERMIT
Filing Fee 15.00
G
Each Trap
6,1 5-00i-30,0 0
aSolar
or heat pump water heater
1 20.00
LOT NO.SU
DIVISION NAME
PARCEL MAP
Water piping
7.00 '7r 0 0
Each pas water heater or vent
7.00 a
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00 0-0
Building sewer
15.00
Mobile Home S G W I
@ 15.00
TYPE OF WORK -y
New ❑ AdditionARemodel [� Utilities ❑ Installation❑ Other Lt"I
Describe work: MV V/ (f%/IT�� TV (�g11-M %2-M
DP
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 600VORLESS
200A OR LESS
18.50
Main service 20CATO1000AI
37.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license Is In full force and effect.
License No. Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ 1 am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST./ DWELLING OCCUP.&)
OR ADONIS. ( ACC. BLDGS. //
3.6Q sq.(t.
NE w CONSTR ULTI.OUT LET
NO N.RESID BRANCH CIRC ITS
@ 5.00
POWER APPARATUS &)
(SINGLE OUTLET CIR.
Ex. OCCUp(OUTLETS OR FIXTURES
20 764
A
FIXED APLNS.
Ex. Occup. OUTLETS PIRESIO.IREA.1
1 3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$ , Q
—
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.
Contractor
MECHANICAL PERMIT
Filing Fee 15.00
Heating
.O
Cooling
, (�
Hood
6.50 e
Ventilation
permit Fee
$
LContractor
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 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 '0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee S
Energy Inspection Fee $
OCC
CONST TYPE
TOTAL FEE $ f�-
,Vo
HAz
DFEES
IMP
FLOOD
CDF
PARCEL
I Pb
I Ho
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. /6 �
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER � M
Proposed Building Use ding Inspector Date
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
All items have been submitted . ........................................
Plot plans, 3/4 sets, signed by preparer of plans. ............
.......... .......
Complete plans, 3/4 sets, signed by preparer of plans . 9 -$..................... .
Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. -
5. Hazardous Material Form . ............................................
6. Energy Design Compliance and supporting documentation . ..................
7. Statement of Intent for Non -Heated and A/C Buildings. .... % .................
�. t/ -f 8. Engineered truss details and layout in duplicate (required prior to plan ck). ....
_ 9. Mobilehom data and manufacturer's installation instructions, 2 sets ......
.ees of $ 74 /.DD ................ �.;.. .�
Impact fees as shown on attached schedul��.4 /im_./ AW*r- - , ...........
12. alifornia Department of Forestry plan approval/fees. ....................... .
Flood elevation letter (100 year flood) by California Engineer . ................. .
14. Sanitation and plot plan approval Health Department . .....:...... l 2
15. ity of Chico plumbing permit .....
.
Plot plan and business license approval from City of Biggs/Gridley. .
17. Planning approval for (A) Use: 4- iagp (B) Parking: ........
18. Contact Land Development about (A) Improvements (B) Drainage. ...........
19.Driveway permit (construction approval required prior to occupancy). ..
Pre -Inspection reque�s T
20. Pre -inspection for required. . . to Building Inspector (Date)
f 21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Workmans Compensation Insurance . ..........................
Owner -Builder Verification (Given to owner Mail to owner —
Recorded copy of Agricultural Acknowledgement Statement. ...t.le)
. Lin ,.. .
5. Letter of signature authorization . ........................................
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
27. Letter of intent on building use . ..................................' ..... .
28. Mobilehome utility clearance . ..........................................
29. Documentation of legal access . ........................................
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements. ........
3.1—E-cisting violationso,?�pirej g9rmits. . „ . ,. ............................... .
—.... .. ... .. .. .. .. ..................... ......
.
-ti
34. y
b
When yWissue the er it roc ss as follows: Ma' t� p�yner. Mail to contractor.
Telephon '" and hold for pickup at f'1"/ offi e. Deliver with inspector.
Other
Parcel Creation
Acreage Applicant Date
Copy of Haz-Mat form sen Health Dept. Fire Dept. '" Air Pollution Date
Copy of`plans sent ��althDept. Fire Dept. Other Date � � _By
:•►, The following data must bsubmitted
,,'11: Index permit for above Orns No. _
Z. Add�al items required:
Contractor, designer, owner; was advised of above required data by _ phone —mail Counter 5y _ Date
Contractor, designer, ow 7rrs advised of above required data by _ phone _ mail Cour2_�_
Date.Plans checked by Date�i/6FZ Plans approved by Date 7`43-7 v
_sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
TO ... Building Department
FROM: Environmental Health
E
SUBJECT: Sanitation Clearance
Owner Location AP#
Plan Approved for: Sewaqe Disposal )/ Water Supply
Hold final for:
Final clearance O.R. for:
Clearance for _Q— bedroom bl4re-home.
Water Supply
Water Supply
Other hjb.,gT)0C6—�
NOTE
Sa tarian Date
I �
i
�tJ�w C eF'I ,
! TANK.
i
• NCS, iC��LY (t '/�•�,'�
r>aRo•lea
�x I e.,71 pi (o
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COUNTY OF BUTTE—DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE,•CALIFORNIA 95965 - TELEPHONE (916)5387541
OWNER A. P. NO. % - S - D / 7
PROPOSED BUILDING USE
REC. # DATE REC
�1. School Distri& Fees C V S
(paid at District Office) .......................... Z'
2. Sheriff Fees
(paid at Building Department) //
Residential .......... / X 36 c?
unit amt.
Commercial(per sq.ft.) X =$
sq.ft. amt.
3. Urban Area Fees
(paid at Building Department
Residential (per unit) X =$
# 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
RESIDENTIAL PLAN CHECKING GUIDE 8/91
(S.F., DUPLEX & MISC. ONLY)
Bldg. Permit #
OWNER A. P. # 39-
Plan Checker 1Z�_
GENERAL
1. /zoning requirements: (sideyards and num er of permitter living units).
7l Valu tion.
3�! ans s3.gned by designer.
Pro description of work on application.
fisting violations on property.
Items on data sheet. (W.C., fees, Health' Developer Fees, License law, etc).
_7, -notice of violation.
Complete parcel size and dimensions.
t>_*'Setbacks, sideyards, easements, etc.
V
buildings or structures.
ng, fills, drainage.
hazard.
Special conditions on creation map, (noise, CDF, fire sprinklers, non-comb-
ustible, and foundations).
7. XAU & FAS road setback.
8. B 'lding or utilities across lot lines (Record form).
FLOOR PLAN
omplete to scale plan with dimensions.
e wired windows for light and ventilation (Sec.1205).equired windows for second exit (Sec. 1204).
�2�
� ylights (Chapter -34 & `Sec..5207).
5. uman impact glass (Sec. 5406).
equ'red room sizes, ceiling heights (Sec. 1207).
Is in baths, garage, kitchen, and exterior outlets (Article 210-8).
Lia .t fixtures, switches, receptacles,- and exterior receptacles for•main-1
,Leenance of mechanical equipment.
L ations of water heater, heating and cooling equipment, other electrical
or as equipment.
1 arage fire'wall,.door size, and closer (Sec. 503(d)(3))._
1 1 - 3' exterior exit door (sec'. 3304 (f).
p ace and wood stove location, alcoves, and clearance.
1 oke detectors (Sec. 1210).
1 Plumbing fixtures, -water closet clearances and shower size.
STRUCTURAL DETAILS
Y Standard bracing or engineered design (Table 25V)
Visual shape, size, or split level house requiring lateral design.
3—. erestory requiring balloon framing and/or engineering.
!� e story building requiring engineered calculations and plans.
Found' =ion plan complete enough to construct building.
or construction details complete'enough to construct building.
t/,. Elevations and wall construction details complete enough to construct building
9�Roof construction details complete enough to construct building.
ep ace construction details and talcs if necessary.
1.. fter ties or bearing ridge beam.
i arage door or porch header sizes.
1 _Eud heights.
Adobe soils - special foundation design.
1 Retaining walls requiring design.
1 Special Inspection required.
8/91
RESIDENTIAL PLAN CHECKING GUIDE
MISCELLANEOUS"ITEMS TO LOOK OUT FOR
way etails: landings, rise and run, head clearance, handrails
(Sec. 3306).
rail details (Sec. 1711 & 3306(j).
�- rick or stone veneer (Chapter 30).
terior plaster - weep screeds (Sec. 4706).
Pro er roof pitch for roof convering (Chapter 32).
covering type - (fire hazard).
oam insulation - protection.
36" halls and stairways.
4—. -,Living area over garage - complete 1 -hour separation required on garage side
inc supporting walls and posts, etc.
jTW—eR1-'es on three-story dwellings (sec. 3303 & see Mezannines - 1716).
1 . Attic cess and ventilation (Sec. 3205).
erf loor access and ventilation (Sec. 2516).
1 Combustion air for fuel burning appliances - L.P.G. requirements.
�N—�s requirements on duplexes.
1.Yergy design.
16 Flashing at all exterior openings.
17:-eDDF` responsible area requirements.
10 - R Z
�� �E �r -- � �✓ �w SLP �` s .
(IP
/� P PR0 V -L
Fd IZ
Gp�tl't�►9 'TO tz- SIV
O'dOTf NVE titJ F't 4
w'"o-'�rt,� ► �L> 64L 1� A�C _"x.117 L. /�C� ��-�6i.
• ADDITIONS TO RESIDE11TIIAL .BUILDINGS ENERGY SHEET
PACKAGE "A" (Additions)
Owner V D r-C747-C-,F-
PCoNVEC4C).
Climate Zone '
Permit # 92 /a3g3 Floor. Area �/ 2 . •
The following data showing mandatory and required features of Package "A" shall
be installed for additions to dwellings. Additions to dwellings include room
additions, converting garages and patios to living areas, house moves that add
footage and attic conversions, and any space that is existing non -conditioned
space that is converted to conditioned space. Remodeling of existing conditioned
space is not included.
ZONE 11 ZONE 16
APPLIES TO NEW AREA
CEILING R- _ -R-38
WALL R-11 R-19
FLOOR R-11 R-19
SLAB
GLAZING
SHADING
SOUTH - OPTIMUM OVERHANG
R-7
U-.65 (Dual)
or .36 Shading'Coefficient
WEST - .36 Shading Coefficient
LOOSE FILL INSULATION (Density)
R-7
U-.65 (Dual)
iju rrL COUNT1
duILDiNG DEPARTMEN?
APPROVE D
INFILTRATION CONTROL (Weatherstrip doors, certified windows, caulking)
VAPOR BARRIER (Zone 16)
DUCTS PER UNIFORM MECHANICAL CODE - Ch. 10
LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT
MAXIMUM GLAZING 16% OF AREA PLUS REMOVED GLAZING 9 9
-7-7, S_
NEW HEATING, VENTILATING,'.AIR CONDITIONING AND HOT WATER SYSTEMS IN
CONJUNCTION WITH AN ADDITION SHALL BE INSTALLED AS SHOWN ON BACK
OF THIS SHEET.
OTHER
12/85
*l HEATING, VENTIIATING_—AIR CONDITIONING SYSTEM
*l Submit documentation of sizing heating and cooling equipment by Manual J, sizing
charts (form 44) or other approved machods, section 2-5352(g), and fill out the
following:
Heating: Winter design temperature °, elevation ', heating load BTU
elevation factor x heating load - maximum outlet capacity gas furnace
BTU
Cooling: Summer design temperature ', cooling load BTU
*Z Submit T.I.P.S.E. chart or other approved system (form #5) to document sizing of
solar panels.
® DESIGN COMPLIANCE STATE.IMi : The above buil in. esi2ration
eets the requirements of
Title 24, Part 2, Chapter 2-53 of the Calif dm Code.
(A) Heating
❑
Central Gas Furnace %
(brand and model aumber) SE
Bcu/hr "
(heating'capacity)
❑
Heat Pump
^ACOP
(brand and model number) '
Btu/hr
(heating capacity at 47"F)
❑
Active Solar
type (liquid or air) Collectir brand and
ft
modal number solar fraction collector area collector
orientation collector Cilt raced y-intercepc
rated slope
❑
Other'
(describe)
*1
(B) Cooling
❑
Electric Air Conditioner
(brand and model number) (seasonal EER)
Btu/hr
(cooling capacity ac 9507)
❑
Electric Heat Pump
'
EER
Btu/hr
(cooling capacity at 95'7)
❑
Other
(describe)
DMMSTIC WATER SYSTEK
❑
(A) Gas Only Gallons
(brand and model number) (tank size)
❑
Heat Pump w/Electric Backup
(brand and model number)
Gallons
(tank size)
I d*`Z ). )
__ •Active Solar
(collector brand and modal number)
1.1;;x': -�',b; •.� »�4� `��• ,.i ^�; •,� :..
_ (rateii)=incercepc) (raced slope) (solar fraction)
_
ft
"(backn_p heater type, brand and model number) (collector area)
(collector orientation) (collector tilt)
❑
Location of Solar Panels
❑
Other
(Describe)
*l Submit documentation of sizing heating and cooling equipment by Manual J, sizing
charts (form 44) or other approved machods, section 2-5352(g), and fill out the
following:
Heating: Winter design temperature °, elevation ', heating load BTU
elevation factor x heating load - maximum outlet capacity gas furnace
BTU
Cooling: Summer design temperature ', cooling load BTU
*Z Submit T.I.P.S.E. chart or other approved system (form #5) to document sizing of
solar panels.
® DESIGN COMPLIANCE STATE.IMi : The above buil in. esi2ration
eets the requirements of
Title 24, Part 2, Chapter 2-53 of the Calif dm Code.
•c'
CERTIFICATE OF COMPLIANCE: Residential Page 1 CF -1R
--------------------------------------------------------------------------------
Project Title: TOM & BEV KNUDSEN Run: 262 21 -May -92
Project Address: CHICO, CALIFORNIA TOM & BEV KNUDSEN
Building Title: TOM & BEV'KNUDSEN Building Permit #
Document Author: JIM PETERSON
Telephone: Plan Check / Date
Compliance Method: CEC CALRES, Version 1.10 Field Check / Date
Climate Zone: 11
GENERAL INFORMATION "
Conditioned Floor Area:
Building Type:
Building Front Orientation:
Number of Dwelling Units:
Floor Construction Type:
In€iltration Control:
BUILDING SHELL INSULATION
933 ft2 '
SFD Single Family.Detached`
18'0 deg ( S'outh) "J-,
Slab on grade t
CEC Standard '
Component Insul '
Type R -value Location/Comments
-----------------_------ ------------------------------
Door Outside
Wall 19 Outside
Ceiling Attic "
Floor 0 Grade ,
Slab Perimeter--,, 0 Outside
GLAZING
Glaz' ¢ \ Ar a
Glass
Interior
Exterior
Overhang
Frame
Or n ation
(ft
) Panes
Type
Shading
Shading
and Fins
Type
- -- -----------
----
-----
-------
----------
--------
--------
---------
'ind w
Saiz NoRTr+
24.
2 Clear
None
None
None
Metal
ind/ow
West err
35.
2 Clear
None
None
None
Metal
i ndow
Ike Sowrr1
12.0
2 Clear
None
None
None
Metal
indow
East'
8 0
2 Clear
None
None
None
Metal
tea n,dow
Ea �. we r
3 . 9
2 Clear
None
None
None
Wood
S light
.0
2 Clear
None
None
None
Metal
THERMAL
MASS
Area-
Thic::
Type
---------
Exposed?
--------
(ft2)
-----
(in) Location/Description
----- ----------=--------------
Floor
Yes
933.0
3.5
C
:1?VAC SYSTEMS
Duct Location Output-
Type
utputType Efficiency and R -value (Btuh)
-----------------------------------=-------------
Manufacturer/Model #
(or approved equal)
----------------------
k
Air Conditioner 9.50 SEER A.tic R-5.6
M <imum furnace heating o-utpL=: 73000 Btuh
47000
Zonally controlled HVAC? No
CERTIFICATE OF COMPLIANCE: Residential Page 2 CF -1R
Project Title: TOM & BEV KNUDSEN Run: 262 21 -May -92
W TER HEATING SYSTEMS
Tank Special
Capacity Manufacturer/Model # Features/
System Type (gal) (or approved equal) Credits
-----------------------------------------------------------
Storage Gas 50
REMARKS, NOTES, AND EXCEPTIONAL FEATURES
None
---------- --r
COMPLIANCE STATEMENT
This certificate of compliance lists the building features and performance
specifications needed to comply with Title 24, Chapter 2-53 and Title 20,
Chapter 2, Subchapter 4, Article.1 of the California Administrative Code. This
certificate has been signed by the individual with overall design responsibility
and the building owner, who shall retain a copy of it and transmit the
certificate to any subsequent purchaser of the building. When this certificate
of compliance is submitted for a single building plan to be.built in multiple
orientations, all building conservation features which vary Iare indicated in the
Remarks, Notes, and Exceptional Features section.
DESIGNER OWNER
JIM PETERSON
341 BROADWAY #207
CHICO, CALIFORNIA
916-343-7250 OR 342-9688
Lic #
Si n eY Date
DOCUMENTAT±ON AUTHOR
JIM PETERSON
igned
ENFORCEMENT
Name:
Title:
Agency:
Telephone:
_4__
AGENCY
Date
Date
COMPUTER METHOD SUMMARY . Page 1 C -2R
--------------------------------------------------------------------------------
Project Title: TOM & BEV KNUDSEN Run: 262 21 -May -92
Project Address: CHICO, CALIFORNIA TOM & BEV KNUDSEN
Building Title: TOM & BEV KNUDSEN Building Permit #
Document Author: JIM PETERSON
Telephone: Plan Check / Date
Compliance Method: CEC CALRES, Version 1.10 Field Check / Date
Climate Zone: 11
ENERGY USE SUMMARY (kBtu/ft2-yr)
Energy Use Standard Design Proposed Design
--------------- --------------- ---------------
Space Heating .28.53
Space Cooling '22.30 ,., `2.3.-32
Water Heating -21.86 2,1.86 r
------ ------ Complies
Total 72.70
-64.11 Yes..,,^ ;
y
GENERAL INFORMATION
Conditioned Floor Area: 933 ft2
Building Type: SFD Single Family Detached
Building Front Orientation: 180 deg (South)
Number of Dwelling Units: 1
Number of Stories: 1.
Floor Construction Type: Slab on grade
Number of Conditioned Zones: 1 `
Total Conditioned Volume: 7464 ft3
Conditioned Footprint Area: 933 ft2
Ground Floor Area: 933 ft2
BUILDING ZONE INFORMATION
Floor Infiltration
Zone Area Volume Control
Name (ft2) (ft3) Type Type
-------------------------------------------------------
STANDARD 933 7464 Conditioned CEC Standard
- OPAQUE SURFACES
Surface
Area
Insul
True
Solar
Form 3
Location/
Type
----------=
(ft2)
-------
U -value
-------
R-val
-----
Azm
----
Tilt
----
Gains
-----
Reference
------------
Comments
-------------
.Zone =
STANDARD
Door
14.2
0.330
0
270
90
Yes
3068-1/2L
Outside
Door
20.0
0.330
q
360
90
Yes
3068Wood
Outside
Wall
139.0
0.065
19
180
90
Yes
CEC_R19-16oc
Outside
- Wall
230.8
0.065
19
270
90
Yes
CEC_R19-16oc
Outside
Wall
101.0
0.065
19
360
90
Yes
CEC Rig-16oc
Outside
Ceiling 924.0 0.030 38 180 0 Yes CEC_R38-16oc Attic
Floor 933.0 -- 0 190 190 No S1ab1a0E Grade
COMPUTER METHOD SUMMARY Page 2 C -2R
Project Title: TOM & BEV KNUDSEN Run: 262 21 -May -92
PERIMETER LOSSES
Perimeter
Length
F2
Insul
Irsul
Location/
Type
-----------
(ft)
--------
Factor
------
R-val
-----
Depth
----------
(in)
Comments
-------------
Zone = STANDARD
Exposed
3810"
0.90
0
0
Outside
Covered
6010"
0.72
0
0
Outside
GLAZING SURFACES
y
��"'
-SC Waith. FMF'
Glazing
Area True
Operi::
Frame
;Yr �,Charactr a..
Shades Shades
Name
Type ,(f
t2) Azm
Tilt
Tyge "
Type, ..
'" Na°ne. ,
Open ; � CPosed '
-------------- ---- -----
Zone = STANDARD
--
----
- -
--------
f
W1 -N1
Wind
24.0 180
90
S l ides
.Metal;.
`DBLw%NObRF:
i.'0.. 77,f }4..66
W1 -E1
Wind
12.0 270
90
S1ider.
.Metal
DBLwr/NOI PA j
0.77 0.66,
W2 -`E1
Wind
14..0 • 270
�90
Slider
Metal-
DBLw/NODRP,.
0.77 0.:66
W3 -E1
Wind
9.0 270
90
Slider
Metal
DBLw/NODRP
0.77•:->:0.66
W1 -S2
Wind
12.0- 360
.-90-Slider
Metal
DBLw/NODRP
0.77 0.66
W1 -W1
Wind
8.0 90
90
Slider
Metal
DBLw/NODRP
0.77 .0.66
W2 -W1
Wind',
16.4 90
90
Fixed
Wood
- DBLw/NODRP
0.67 0.57
W3 -W1 -
Wind
1.6.4 90
90
Fixed
Wood
DBLw/NODRP
0.67 0.57
SL1-C1
"Skyl
9.0; 180
0
Slider
Metal
DBLW/NODRP
0.77 0.66
GLAZING CHARACTERISTICS
SC w/o
FMF
Glazing
-------------
Interior SC
Exterior
Charactr
Glazing
# of
Glass
w/Int
Shade Ext
Shade
Name
Type
Panes U-val
Only
------
Shades
------
Type Shade
---------- ------
Type
----------
------------
DBLw/NODRP
---------
Clear
----- -----
2
0.65
0.88
0.75
None - 1.00
None
OVERHANGS
Glazing
Name
None
FINS
Glazing
-------------
Height Width
----- ------ ------
Glazing
Name
--------------
Above Left Right
Depth Glazing Extension Extension
------ --------- --------- ---------
Left Fin Right Fin
-------------------------- --------------------------
Glazing Exten Dist Exten Dist
------------- Fin Fin above to Fin Fin above to
Height Width Depth Height glzng glzing Depth Height glzng..glzing
------ ------ ------ ------ ---=- ------ ------ ----=- ----- ------
COMPUTER
METHOD
SUMMARY
Page
3
C -2R
Project
Title:
TON: & BEV KNUDSEN
Run:
262
21 -May -92
THERMAL MASS
Vol Cord=
Area Thick Heat duct- Form 3 Inside Location/
bass Name Type (ft -2.1 (in) Cap ivity Reference R-val Description.
-------------- --------- ----- ----- ---- ---------------- ------ -----
Zone = STANDARD
F.LR-S1 Floor 933.0 3'.5 28 0.98 Slab140E 0
SOLAR GAIN DISTRIBUTION
Glazing Winter Summer Targetted `.
Name Fraction Fraction Thermal. Mass Location/Description
-=--- ------------ ----------------------------------------------
� --
None-- •i
HVAC SYSTEMS
Duct ,Lo:cation
System Name System Type Efficiency and R -value Credits
------------ ------------------- ------- -- ---------------------------
Zone = STANDARD
GasFurn.75 Furnace 0.75 SE Attic R-5.6 f
AC9.5 Air Conditioner 9.50 SEER Attic R-5.6
WATER HEATING SYSTEMS
Tank Rated Pilot Special
n of Capacity Fated Standby Input Size Features/
System Type Heaters (gal) Efficiency Loss (Btuh) (Btuh) Credits
----------------- ------- -------- ---------- ----- -- ------ ------ ------=-----
Storage Gas 1 40 0.76 RE 3.64- 28000 --
REMARKS, NOTES, AND EXCEPTIONAL FEATURES
„one
ut County
..... to
- ^r L A N D O F N A T U R A L W E A L T H A N D BEAUTY
Department of Development Services
PLANNING DEPARTMENT
i 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397
TELEPHONE: (916) 538-7601
September 1, 1992
dl
Thomas & Beverly Knudsen
2544 Chico River Road
Chico, CA 95926
Re: Administrative Permit, AP 039-560-017
Dear Mr. and Mrs. Knudsen:
Enclosed is your validated Administrative Permit No. 92-06 to allow a permanent
dwelling no larger than 1,200 square feet for one or two persons over 62 years old or
older on property zoned A-10 located at 2544 Chico River Road, Chico.
Every Administrative Permit expires and is automatically null and void without further
action by the County if the Activity or use for which the Administrative Permit was
granted has not been actively and substantially commenced within one year of the date
of its final approval.
Should you have any questions regarding this matter, please contact this office between
10:00 a.m. and 3:00 p.m.
Sincerely,
A. cher
Director of Planning
BAK:lr
Enc.
cc: Land Development Division CouNTY of BUTTE
Building Division BUILDING DEPT
Environmental Health SEP 0 2 1592
Department of Forestry
ADMINISTRATIVE PERMIT
BUTTE COUNTY PLANNING DEPARTMENT September 2, 1992
92-06
PERMIT NO.
AP 039-560-017
ASSESSOR'S PARCEL NO.
Pursuant to the provisions of the Zoning Ordinance of the County of Butte and the special
conditions set forth below: Thomas and Beverly Knudsen is hereby granted an Administrative
Permit in accordance with application filed: June 26, 1992 to allow a permanent dwelling no
larger than 1,200 square foot for one or two persons over 62 years of age on property zoned
A-10 located at 2544 Chico River Road, Chico.
1. Failure to comply with the conditions specified herein as the basis for approval
of application and issuance of Permit, constitutes cause for the revocation of said
permit in accordance with the procedures set forth in the Butte County Zoning
Ordinance, including Butte County Code Section 24-62.
2. Unless otherwise provided for in a condition to an Administrative Permit, all
conditions must be completed by the permittee within 12 months of the delivery
of the countersigned permit to the permittee.
3. If any use for which an Administrative Permit has been granted is not established
within one year of the date of - receipt of the countersigned permit by the
permittee, the permit shall be come null and void and reapplication shall be
required to establish the use.
4. The terms and conditions of this permit shall run with the land and shall be binding
upon and be to the benefit of the heirs, legal representatives, successors, and assigns of
the Permittee.
SPECIAL CONDITIONS:
1. The living area, meaning the interior habitable floor space area of a dwelling unit
-including habitable basements and attics, but not including a garage or any accessory
structure, shall not exceed 1,200 square feet.
2. The senior citizen dwelling unit shall be for the sole occupancy of one (1) adult 62 years
of age or over or two (2) adult persons, one of whom is 62 years of age or over. An
affidavit of compliance with the age requirements of this section shall be recorded in the
office of the Recorder prior to issuance of building permits. Said affidavit shall include
the legal description of the lot or parcel and shall cong, � VGVg nant running with
the land, binding upon the original owners and their heirs,_
ei s,Es�u �essggnd assigns, limiting
the occupancy of the senior citizen dwelling unit to the conditions described in this
section.
3. The senior citizen dwelling unit shall not be sold as a separate unit unless a parcel
containing the unit is created in compliance with the existing zoning and subdivision
ordinances and the resulting density is in conformance with the General Plan.
4. Two off-street parking spaces shall be provided for the senior citizen dwelling unit in
addition to the parking spaces required for the primary dwelling unit.
5. Adequate sewer and water facilities shall be provided subject to the approval of the
Environmental Health Department.
6. All site development standards as required by the zoning district in which the unit is
located shall be met.
7. The Senior Citizen Dwelling unit shall, be a conventionally constructed building or a
mobile home that complies with the National Manufactured Housing Construction and
Safety Standards Act of 1974, except that in the "A", "FR", and "TM" series of zones a
mobile home, as defined in Section 24-21.28, may be used. Travel trailers and
recreational vehicles shall not be allowed as a Senior Citizen Dwelling Unit.
8. The approval of this permit constitutes approval only to the extent that the project
complies with the Butte County Code and all other applicable regulations.
9. The requirements of all concerned governmental agencies having jurisdiction by law,
including, but not limited to the issuance of appropriate permits, shall be met.
NOTE: Issuance of this Administrative Permit does not waive requirement of obtaining
Building and Health Department permits before starting construction, nor does it waive any
other requirements. /f� j/ /�
CC: Land Development Division
Building Division
Health Department
Department of Forestry
County Planning Director
COUNTY of auTm
BUILDING DEPT
SEP 0 2 1992
♦� � }f } � �. �'�� yi� h _ r } }� .yam••. ���� �+y„�J} �, 1* �� � �' �� � -�y� ` � 1 A - � �1..�� "�4'_ �'�
µ ;f fh Y ''tk }► �'rt � .:.r*���C4� 7^.ry 'Nr /s �� �1F� ��`' ri..�� � '1t v' � i f .. 4.� �;��•h�.
ore I ea -n
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�N
h r ,
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One Form Per Building)
School District Building Dep ,,1: ent'No. E: "
A.P. Number �'U _ /J risdiction (_ J City County
pp
Property Owner �'1� Z _ D _ _ kl. P S
Property Location/Address--.257-z�/ -_
Subdivison Lot No.
Residential Development U�%Sq. Footage 933
No. of Living MHI Addition (Group R)
Units
y
Commercial/Industrial [� 0 Sq. Footage ,
New Addition (Including Exterior
Roofed Areas)
Building Department Representative Date
z iL
(Floor Plans reviewed by School District Personnel)
District Identification No.���i5
School District certifies that
A..
333o A JVK/Y M-5/10
(Street Address) (Phone Number)
6"- - --- - - - --- - --9sga-6
(City) (State) (Zip Code)
has complied with the requirements of Resolution No. #W -"q%- —_ by payment of $
representing �3 _ square feet.
O
School Districil3epresenAtive if Date
Paid by Check Number Remarks: �Q �Q �J
Bank Number
Paid by Cash
If, subsequent to the School District Representative signing this Butte County Schools Impact Fee
Certification Form, the School District is notified by the applicable Local Planning Agency that this project
is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to
additional school fees to fully mitigate its impact on the school district's schools.
White (applicant), Yellow (building department), Pink (school district) feeformmkl (4/92)
BUTTE COUNTY SCHOOLS'IM_PACT FEE CERTIFICATION FORM
(Qne FormsP_er.Building)
o s ;.
School District- Building Department No.
A.P. Number `���'"��� Jurisdiction CityCounty
Property Owner e V �r'7/
Property Location/Address GHle— 0 IV -4'-2.
Subdivison Lot No.
C-O.v4�-rr- - c i 1771V&
Residential Development 0 0 Sq. Footage 61,2 .4A/ CI A
No. of Living MHI Addition (Group R)
Units
Commercial/Industrial 0 = N Sq. Footage
New Addition (Including Exterior
r
Roofed Areas)
4i
t
Buil ina Deoartme egresen ative Date
(Floor Plans reviewed by School District Personnel)
District Identification No. 90006./
'33-30 ,
(Street Address)
A l% r
(City)
School District certifies that
(State)
r
(Applicant)
Ff/, 5,-
(Phone Numbe
(Zip Code)
has complied with the requirements of Resolution No. _ ��9�} by payment of $ � 00 9. FO
representing 6/9 square feet.
School
�9
Date
Paid by Check Number . Remarks: 44engn!&e CVS -4 -#(?30v -r,2
• I��� ,►1�A`/!..i�� vim! • • .� t 1
Paid by Cash
If, subsequent to the School District Representative signing this Butte County Schools Impact Fee
Certification Form, the School District is notified by the applicable Local Planning Agency that this project
is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to
additional school fees to fully mitigate its impact on the school district's schools.
White (applicant), Yellow (building department), Pink (school district) feeformmkl (4/92)
�'"'ldC.-1:"ti,v`tio.,.<•s,::..Y�.kr,:.. k.. • "`�*'o� _,}'-..Tt. , �..t s-+�..."-ti'i �, r �,1,•+�••y, ^. .• •t• -. - �..� ".'��J..x. >;.Y� ` t•, .`:4 :p,�+� - .
f 42-22-17 3816-90B
°. TERRELL, Ken & Kathleen
2544 Chico River' Rd, Chico -
(demo/sf)
i
3� . ASPS COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS.
y 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION hND- PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
42-22-17
ZONING
A-10
BUILDING PERMIT
OWNER
Ren & Kathleen Terrell
TELEPHONE
893-0991
SQ. FT. OCC. BUILDING VALUATION
,
1,600-00
OWNER'S MAILING ADDRESS
3179 Aloha Ln . " tWito 95926
CONTRACTOR'S NAME
Owner
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ 00
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 19,00
ARCHITECT OR ENGINEER
LICENSE NO.
i
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
0
Penalty
$
BUILDING ADDRESS
Permit fee _
$29.00
- PLUMBING -PERMIT
Filing Fee 10.00
M44 Ch1co River Rd..
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
..Each
Water piping
5.00
pas water heater or vent
5.00
USE OF STRUCTURE
SF N . -Duplex ❑, 'Mobilehome❑ Other
W� SPECIFY
Gas piping system 1 - 5 outlets
1 5.00
Building sewer
5.00
Mobile Home Is G W
10.00e
TYPE OF WORK
New❑r.,.Addition❑ Remodel❑ Utilities[] Installation❑ Other]
Describe work: ? T)R-W _
`
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 10OV OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
El am licensed under provisions Of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is -in full force and effect.
License No. Classification r -R
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)
Flo
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.e
OR ACDNS. ACC, BLDGS.
2/z¢sgft
NEW LET
NON.RES D CONSTR. §RANCHO CTRCTITS
2.50 ea
POWER APPARATUS a
(SINGLE OUTLET CIR.
Ex. Occu p( OUTLETS OR FIXTURES
Zoetsoa
eAL030
ED APPLNS.
Ex. Occup. OUTLETS (RESID) EA.)
1 2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. 9
15.00
Permit Fee
$
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
g
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify thaa"have read this application and state that the above information
is correct. agree to comply to all County Ordinances and State Laws relating
to buildingonstruction, and hereby authorize representatives of the County of
Butte to en er upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against aid County ' consequence of the granting of this permit.
X Date
Signature of Applicant — Own.rr Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy,lnspection Fee $
occ
CONST TYPE
TOTAL FEE $29-00
HAz
cuA
PARK
SCHL
FLD
PAR
PD
HD
Ise E
This permit is nereby issued under
sions of the Butte County Code and/or
work indicated above for which fees
DIRECT ii10F PUBLIWORKS
/ /
�} i
By _ fry a �
PERMIT EXPIRES Date _
the applicable provi-
resolutions to do
have been paid.
Dat /o �� v
/ Z /p„1
Receipt No. 8
WHITE-O.P.W., YELLOW-ASSE330R, PINK -INSPECTOR, GOLDENROD -APPLICANT •
i -COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
/ 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 7 Q'�_ (1
APPLICATI.ON ANCP PERMIT J o �7
ASSESSOR PARCEL NUMBER
42-22-17
ZONING
A-10
BUILDING PERMIT
OWNER
Ken & Kathleen Terrell
TELEPHONE
893-0991
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
3179 Aloha Ln., Chico 95926
CONTRACTOR'S NAME
Owner
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
'
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 19.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
Energy Plan Checking Fee
E$. $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit tee
$29.00
PLUMBING PERMIT
Filing Fee 10.00
2544 Chico River Rd.. Chico
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SFK] Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home I S I G JW
10.00 e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities [I Installation❑ Other []
Describe work: 1)F.M0 _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ 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
�QEx.
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.&
OR ADDNS. (ACC. BLDGS.
r
20sgft
NE w CONSTR ULTI.OUTLET
NON•RESID BRANCH CIRC ITS
2.50 ea
/POWER APPARATUS a
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
B20®50¢
ALO 30
Occup. OUIXED AP TLETS PRESID )REA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring15.00
Permit Fee
$
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Cooling
g
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
agains aid County consequence of the granting of this permit.
'!)) Q V
X Date V
Signature of Applicant — Owner Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-DIR=OFWORKS
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE` 9.00
HAz
CUA
PARK I
SCHL
I FLD
I PAR
I PD
HD
Iss E
This permit is nereby issued under
sions of the Butte County Code and/or
woanded above for which fees
Byate
PEIRES Date
the applicable provi-
resolutions to do
have been paid.
FO
Receipt No.84011
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
1/
'`. .ms's^:.- ">�' .:";?•,,ii'�n ,'D'" ".;:fit. r
COUNTY,OF BUTTE - DEPARTMENT-°OF�PUBLIC WORKS - BUILDING DIVISION
. 7 COUNTY CENTER�DRIVE - OROVJELE,YbALIIFFO%4jA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION SHEET
" Permit No.
OWNER A. P a — 2 —Z
Proposed Building Use Building Inspector Date
76D
At time of�permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
V/ DATE RECEIVED APPROVED
1. All items have been submitted . ............. ....................
2. Plot plans in duplicate/triplicate, signed 15y' preparer of plans........
3. Complete plans in duplicate/triplicate, signed by preparer of plans ..
4. Complete engineered plans and calcs, with wet signature on plans ..
5. Hazardous Material Form ...:....................... �............. .
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC Buildings ..............
8. Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturer's installation
instructions.......................................................
10. Fees of $ ........................
11. Chico Urban Area fees paid .......... . ..........................
12. Park fees paid ....................... !.............................
13. School District fees paid ..............
14. Sanitation approval from Health Department
15. City of Chico plumbing permit .....................................
16. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A) Use: (B) Parking: ......
18. Improvements may be required. Contact Land Development Section DPW
19. Driveway permit (construction approval required prior to occupancy)
20. Pre -Inspection for required Pre-Inspec. request to
Building Inspector (Date)
21. Contractor's license information (No., Name Style, Classifications ...
22. Certificate of Workmans Compensation Insurance ..................
23. Owner -Builder Verification (Given to owner o, Mail to owner o) .....
24. Recorded copy of Agricultural Acknowledgment Statement .........
25. Letter of signature authorization ...................................
26.
27.
When yIssue the permit, pr cess s follows: Mail to owner. Mail to contractor.
telephone and hold for pickup at , 1!!�� /office. Deliver w/inspector.
Other
Applicant Date
Copy of plans sent Health Dept., Fire Dept., Other Date
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by_phone---- rnail—counter by .date
Contractor, designer, owner, was advised of above required data by—phone —mal l_counter by date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy—DPW
i
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATILOM AND PERMIT
PERMIT NO.
ASSESSOR PARCELJyU1.fR
42 �iJ G —
ZONI
BUILDING PERMIT
OWNER'1 ��� L�
L
TEL HO
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING AD KESS
A LIZIC lCa
CONTRA- O 'S NA /�
TELEPHONE
CONTRACTOR'S MAIL4NG ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE No.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADORE s C ^�
Permit fee
$ r
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO. SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
5.00
Mobile Home S G W
TYPE OF WORK
New ❑ Addition ❑ Remodel-�❑ Utilities ❑ Installation❑ Other ❑
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 VAMP OROR LE LESS10.00
Main service EA. ADD'L too AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
ElI, 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 OCCUR
OR ADDNS. (ACC. BLDGS.
/2¢sgft
NEW CONSTR ULTI.OUT LET
NON.RESID BRANCH CIRCITS
2.50 ea
POWER APPARATUS e
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
2003ot
e ALO 30C
FIXED
EX. Occup. OUTLETS IPRESIO.IAPLNS.REA.1
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
9
15.00
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one): -
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Coolin g
Hood
3.00 !'
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
cc
I
CONST TYPE
TOTAL FEE $
HAZ
CUA
PARK
SCHL
FLD
PAR
PD
HD
Issu=
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
Date
Receipt No.
WHITE-D.P.W.. YELLOW-A56_93OR. PINK -INSPECTOR. GOLDENROD -APPLICANT.
7
COUNTY OF BUTTE ''-'Depar ment of Public Works
7 -,County Center Drive, Oroville, CA 95965
OWNER -BUILDER VERIFICATION
Attention -Property Owner:
Phone: 916 -538 -7541 -
An 'owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
/1. I personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no) Y t S
2. I (have/have not) ��,qv� signed an application for a building permit
for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors License No.
4. ,I plan to provide portions of this work, but I have hired the following person
to coordinate, supervise, and provide the major work:
Name
Address City
Phone Contractors License No.
5. I will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name Address . . Phone Type of Work
igned :
Property Owner j
Social Security Number
Date 1/z/ 92
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
May 6, 1992
Kenneth R. & Kathleen M. Terrell
3179 Aloha Lane
Chico, CA 95926
RE: Building Code Violation A.P. #39-56-17
2544 Chico River Road, Chico
Dear Mr. & Mrs. Terrell:
We sent you a warning letter dated February 28, 1992 notifying you that
you are in violation of the Butte County Code at the above referenced loca-
tion. As of this date, the following violations still exist.
Failure to obtain the final inspections and approvals from this office
for residence and deck prior to expiration of- the permit in violation
of the 1988 Uniform Building Code adopted by Section 26-1 of the Butte
County Code as follows:
(a) Section 301(a) Permits Required
(b) Section 305(a) Inspections Required
(c) Section 305(d) Inspection Approval Required before Use or Occupancy
The above violation shall be corrected or abated by you applying for a permit
to complete the work and paying the appropriate fees, including penalties,
within thirty (30) days of the date of this letter. After permit issuance
and field authorization to proceed, the corrections must be completed and
approved by this office within the permit -specified time.
Unless the violation(s) is (are) so corrected or. abated, a citation shall
be issued to you to appear in court for said violation(s) and for failing
to comply with this notice. Upon conviction of- said violation(s) or for
failing to comply with this notice, penalties shall be imposed and a Notice
of Violation recorded in accordance with Section 41-7 of the Butte County
Code.
Should you have any questions concerning this matter, please contact Rod
Taylor or Jim Glander of this office at -(916)538-7541.,
JFG: dms
cc: Building Inspector, Chico
Yours very truly,
William Cheff
Director -of Public Works
..�`vid.:.Purvis
Supervisor, Building Inspection
Y�
1�
2
3
4
5
8
7
s,
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
23
26
PROOF OF SERVICE BY t -.AIL
I am over the ace of 18 and nota party to this cause.
I am a resident of and employed in the county where the mailing
occurred. My business address'is Butte County Department of Public Works
#7 County Center Drive
California. Oroville , CA .9.596-5
I served the foregoing 307Day Violation Letter
by enclosing a true copy
in a sealed envelope and depositing said envelope in the United
States mail with postage fully prepaid on 6th. of May
?? 92, and addressed as follows:
Kenneth R. & Kathleen M. Terrell
3179 Aloha Lane
Chico, CA 95926 -
i declare under penalty of perjury under the laws of
Q S tate of Cai== —__ �w.t =_`.e `-=: r -o- -c Js !--7—= =d cor: ect
and that this declaration was executed on 5/6/92
at Oroville , California.
*nneth R. & Kathleen M. Terrell
3179 Aloha Lane
Chico, CA 95926
RE: Building Code Violation
2544 Chico River Road, Chico
Dear Mr. & Mrs. Terrell:
Ul(3 C v d
V w if
<I -
February 28, 1992
A.P. #: 39-56-17
This is a warning letter to notify you that you are in violation of the
Butte County Code at the above referenced location as follows:
+. Failure to obtain the final inspections and approvals from this office
for residence and deck prior to expiration of the permit. Failure
to comply with correction notice dated 10/16/91..
Since permits and inspections are required for the above work, please contact
this office within ten days of the date of this letter, apply for the re-
quired permits to make corrections and complete project, and pay the appro-
priate fees.
All work must stop until these permits are issued and you are authorized
by our field inspector to proceed. This field authorization cannot be made
until the existing work is inspected and approved.
Please be aware that Butte County has entered into a Code Enforcement Program
that seeks voluntary compliance with the Butte County Code but provides
an effective means of enforcement if such compliance is not obtained. If
voluntary compliance is not obtained, enforcement will be pursued through
the issuance of citations, fines, and the recording of a Notice of Violation.
Your cooperation in resolving this matter would be appreciated. Should
you have any questions concerning this matter, please contact Rod Taylor
or Jim Glander of this office.
RT:dms
cc: Assessor
Building Inspector
Yours very truly,
William Cheff
Director of Public Works
i/
David Purvis
Supervisor, Building Inspector
February 28, 1992
R & C Homes
1605 Bidwell Avenue
Chico, CA 95926
RE: Building Code Violation A.P. #: 39-56-17
2544 Chico River Rd, Chico (K. Terrell)
Gentlemen:
This is a warning letter to notify you that you are in violation of the
Butte County Code at the above referenced location as follows:
Failure to obtain the required final inspections and approvals for
new single family residence prior to expiration of the permit. Failure
to comply with correction notice dated 10/16/91.
Since permits and inspections are required for the above work, please contact
this office within ten days of the date of this letter, apply -for the re-
quired permits to make corrections and complete project., and pay the appro-
priate fees.
All work must stop until these permits are issued and you are authorized
by our field inspector to proceed. This field authorization cannot be made
until the existing work is inspected and approved,
Please be aware that Butte County has entered into a Code Enforcement Program
that seeks voluntary compliance with the Butte County Code but provides
an effective means of enforcement if such compliance is not obtained. If
voluntary compliance is not obtained, enforcement will be pursued through
the issuance of citations, fines, and the recording of a Notice of Violation.
Your cooperation in resolving this matter would be appreciated. Should
you have any questions concerning this matter, please contact Rod Taylor
or Jim Glander of this office.
Yours very truly,
William Cheff
Director of Public Works
RT:dms_401 7� .
David Purvis
Supervisor, Building Inspector
cc: Assessor
Building Inspector
I
I- `
File No.
BUTTE COUNTY (For Action b, 2, 3)
Public Works Dept. (For Information of )
Director
Dep. Dir.
Sec.
Rd. & Br. Mtce.
Shop & Yards
Bldg. Insp. Admin.
Design Engr.
Bridge Engr.
Constr. Engr.
Surveys
Mapping
Tronsp.
Land Dev.
Drng. /S.I.
Sub. & Pc I. Maps
Permits
Addr.
n
Butte Co. Dept. of Public Works
7 County Center Dr.
Orouille, Co. 95965
David Purvis : Supervisor, Bldg. Inspector
Re: Notice of Building Code Violation
25 ver Rd., Chico, Co.
fl.P. # 39-56-17
aP
Dave:
This is a follow up of our phone conversation today.
6 Mar., 1992
R 0, C Homes was requested to contract a new single family residence
after designing the home for Ken Terrell. Ken Terrell has been a friend
as well as a business associate for many years. Prior- to a final
agreement, R D C Homes was requested to obtain a Building Permit for
the construction by Ken. This was done because it was understood that
we would be building the home.
The Best l eid Mite ofP/ens bl AXPn.... !Jr
So as the time of construction approached, Ken realized he could not
afford a contractor. He decided to be an Owner- Builder, knowing this
choice would be less expensive ( as it turned out, he was wrong.).
As I understand Ken took out an additional Building Permit in his name
for this same parcel. Three times I have received notices from Butte
Co. concerning this project. Each time I have spoken with Ken and
gained his assurance that he would take care of it.
Please be advised that R P C Homes at no time was the Contractor for
any construction on this parcel ( A.P. # 39-56-17 ).
Thank You,
R. R. Robinet- Gen. Partner
1605 Bidwell Ave. • Chico, CA 95926 • 916 • 894-3955 / 893-8812 • License #589256
COUNTY OF BUT -1E.
DEPT. OF PUBLIC WORKS
MAR 0 91992
t
�S X11 rrrV r�lrr++•r�r � Ir��Or�r.�r �rnC N►'w.�+•*r.+....+�.. ....v •. .Y+.M�R.+�,. r�e+.i.r.r ...wy.
4
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (916) 538-7541
AGRICULTURAL BUILDING EXEMPTION PERMIT
PERMIT O.
Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to
house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure shall not
be a place of human habitation or a place of employment where agricultural products are processed, treated,
or packaged, nor shall it be a place used by the public.
ASSESSOR PARCEL NO.
Z -7--/7
ZONING
14
OWNER
PHONE NO.
OWNER'SAD � ESS n LQ t+/ n / �H
�'r L�,V
LOCATION OF BUILDING
2-5-441 C, -H GV
lt/�,*/L
USE OF BUILDING
STv aA-& 0 po a-
SIZE OF STRUCTURE Z
'X � /
_ SQ. FT.
TYPE OF CONSTRUCTION:
WOOD FRAME--Le!!�fSTEEL CONCRETE OTHER (Specify)
TYPE OF SIDING
VV DDD
ROOF COVERING FLOOR TYPE
ESTIMATED ST OF CONSTRUCTION
$ 00
AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County
Ordinances as follows: I if
FRONT �0- SIDES 16 REAR
AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields.
AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet
from a mobilehome, and 23 feet from a commercial building.
AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and
a mobilehome, and 40 feet from a commercial building.
I declare under penalty of perjury that the building will be used as stated above and the proposed use
conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will
contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to
comply with the requirements in effect at that time and before occupancy.
Date jj� Signature of Owner
Permit Fee -$25-.00- Sv • Uv
Receipt No.
The above described AG Building is exempt from a building permit.
White - DPW, Yellow - Assessor, Pink - B.I., Goldenrod - Applicant
FLOOD PARCEL P.D. I ROOFING IS/SUE
Director of Public Wo s
By `'�— Date
-
CO XOF BUTTE - DEPARTMENT OF, Pu13QC-WORKS - BUILDING DIVISION
7eCOUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -„TELEPHONE- 916/538-7541
PERMIT APPLICATION DATA SHEET
k t ,
OWNER
Proposed Building Use
102 l Z, e_1,__
Permit No.
At time >ofperpt 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 6y preparer of plans . .
4. Complete engineered plans and calcs, with wet signature on plans ..
5. Hazardous Material Form ..........................................
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC Buildings ..............
8. Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturer's installation
instructions.......................................................
10. Fees of $ ........................
11. Chico Urban Area fees paid .......................................
12. Park fees paid .................................................... ,
13. School District fees paid .............. '
14. Sanitation approval from Health Department
15. City of Chico plumbing permit .....................................
16. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A) Use: (B) Parking: ......
18. Improvements may be required. Contact Land Development Section DPW
19. Driveway permit (construction approval required prior to occupancy)
20. Pre -Inspection for required Pre-Inspec. request to
Building Inspector (Date)
21. Contractor's license information (No., Name Style, Classifications ...
22. Certificate of Workmans Compensation Insurance ..................
23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .....
24. Recorded copy of Agricultural Acknowledgment Statement ......... V
25. Letter of signature authorization ...................................
26.
27.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver w/inspector.
Copy of Haz-Mat form sent Health Dept. Fire Dept. air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by—phone---mail —counter by .date
Contractor, designer, owner, was advised of above required data by—phone _mall—counter by date
r. Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder t
Copy—DPW
9.
October 24, 1991
Kenneth R. & Kathleen M. Terrell
3179 Aloha Lane
Chico, CA 95926
RE: Building Code Violation A.P. #42-22-17
2544 Chico River Road, Chico
Dear Mr. & Mrs. Terrell:
We sent you a warning letter dated July 22, 1991 notifying you that
you are in violation of the Butte County Code at the above referenced loca-
tion. As of this date, the following violations still exist..
Failur'e to obtain the required permits, inspections and approvals of
construction of an approximate 40' X 30' building in violation of the
1988 Uniform Building Code adopted by Section 26-1 of the Butte County
Code as follows:
(a) Section 301(a) Permits Required
(b) Section 305(a) Inspections Required
(c) Section 305(d) Inspection Approval Required before Use -or Occupancy
The above violation(s) shall be corrected or abated by you by submitting
two complete sets of plans, applying for the required permits, and paying
the appropriate fees including penalties within 30 days of the date of this
letter. After permit issuance and field authorization to proceed, the work
must be completed and approved by this office within the permit specified
time.
Unless the violation(s) is(are) so corrected or abated, a citation shall
be issued to you to appear in court for said violation(s) and for failing
to comply with this notice. Upon conviction of said violation(s) or for
failing to comply with this notice, penalties shall be imposed and a Notice
of Violation recorded in accordance with Section 41-7 of the Butte County
Code.
Should you have any questions concerning this matter, please contact Rod
Taylor or Jim Glander of this office at (916)538-7.541.
Yours very truly,
William Cheff
Director of Public Works
o :[:el signod CO
JFG:dms J. F. Glander
cc: Building Inspector Manager, Building Insnectinn
0
File No.
VSec.
Y (For Action 1, 2, 3i
ept, (For InFormation ✓
Rd. & Br. Mtce.
Shop
Bldg. Insp. Admin.
Design Engr.
Bridge Engr.
Constr. Engr.
Surveys
Mapping
Train! p.
Land Dev.
Drng. /S.I.
Sub. & P.I. Maps
Permits
Addr.
01
1
2
3
4
5
6
8
9
10
11
12
13
14.
15
16
17
18
19
20
21
22
23
24
25
26
PROOF OF SERVICE BY MAIL
I am over the age of 18 and not a party to this cause.
I am a resident of and employed in the county where the mailing
occurred. My business address is Butte County Department of Public Works
#7 County Center Drive .
California. Oroville, CA 95965
I served the foregoing 30 -Day Violation Letter
by enclosing a true copy
in a sealed envelope and depositing said envelope in the United
States mail.with postage fully prepaid on 9Gth nf QCtGLeg
19 cel, and addressed as follows:
Kenneth R. & Kathleen M. Terrell
3179 Aloha Lane
Chico, CA 95926
I declare under penalty of perjury under the laws of
the State of California that the foregoing is true and correct
and that this declaration was executed on 10/24/91
at Oroville California.
July 22, 1991
Kenneth R. & Kathleen M. Terrell
3179 Aloha Lane
Chico, CA 95926
RE: Building Code Violation A.P. #: 42-22-17
2544 Chico River Road, Chico
Dear Mr. & Mrs. Terrell:
This is a warning letter to notify you that you are in violation of the
Butte County Code at the above referenced location as follows:
Failure to obtain permits, inspections and approval for construction
of an approximate.40' X 30' building.
Since permits and inspections are required for the above work, please contact
this office within ten days of the date of this letter, submit two complete
sets of plans, apply for the required permits, and pay the appropriate fees.
All work must stop until these permits are issued and you are authorized
by our field inspector to proceed. This field authorization cannot be made
until the existing work is inspected and approved.
Please be aware that Butte County has entered into a Code Enforcement Program
that seeks voluntary compliance with the Butte County Code but provides
an effective means of enforcement if such compliance is not obtained. If
voluntary compliance is not obtained, enforcement will be pursued through
the issuance of citations, fines, and the recording of a Notice of Violation.
Your cooperation in resolving this matter would be appreciated. Should
you have any questions concerning this matter, please contact Rod Taylor
or Jim Glander of this office.
Yours very truly,
William Cheff
Director of Public Works
r% e4wndw
JFG:dms J.F. Glander
Manager, Building Inspection
cc: Assessor
Building Inspector
File No.
BUTTE COUNTY (For Action 1, 2, 3)
Public Works Dept. (For Information If )
Director
Dep. Dir.
Sec.
Rd. & Br. Mtce.
Shop & Yards
Bldg. Insp. Admin.
Design Engr.
Bridge Engr.
Constr. Engr.
Surveys
Mapping
Tronsp.
Land Dev.
Drng. /S.I.
Sub. & Pcl. Maps
Permits
Addr.
r
Q
.
a
I a► �� oto �t
_ � �o ,tiff
COUNTY OF BUTTE
• DEPARTMENT OF PUBLIC WORKS
1a6 Memor4al Way, Chico — Phone: 891-2751 i
7 County Center Drive, Oroville — Phone: 538-7541 '
747,Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office -i
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
OfA
Po rd F
((�/PYiJr C��HTGt� �Ct r \\ 2
04-� fGRT C— � -.,,I��� I )O JS
e �
(,)No7 Lipa 7Pi^rYf1,4S F -C2
�k
Date `� ��—�j Inspector
Eu ite, coun y
q j\! 01- ^I A i 111 ii A i n/ E A H f\! D 3 a U
Department
o DEDeve opmN nt Services
PLANNM
ET
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397
TELEPHONE: (916) 538-7601
September 1, 1992
Thomas & Beverly Knudsen
2544 Chico River Road
Chico, CA 95926
Re: Administrative Permit, AP 039-560-017
Dear Mr. and Mrs. Knudsen:
Enclosed is your validated Administrative Permit No. 92-06 to allow a permanent
dwelling no larger than 1,200 square feet for one or two persons over 62 years old or
older on property zoned A-10 located at 2544 Chico River Road, Chico.
Every Administrative Permit expires and is automatically null and void without further
action by the County if the Activity or use for which the Administrative Permit was
granted has not been actively and substantially commenced within one year. of the date
of its final approval.
Should you have any questions regarding this matter, please contact this office between
10:00 a.m. and 3:00 p.m.
Sincerely,
A. rcher
Director of Planning
BAK:lr
Enc.
cc: Land DevelopmentD' 'sion
Building Division
Environmental Health
Department of Forestry
ADMINISTRATIVE PERMIT
BUTTE COUNTY PLANNING DEPARTMENT September 2, 1992
92-06
PERMIT NO.
AP 039-560-017
ASSESSOR'S PARCEL NO.
Pursuant to the provisions of the Zoning Ordinance of the County of Butte and the special
conditions set forth below: Thomas and Beverly Knudsen is hereby granted an Administrative
Permit in accordance with application filed: 'June 26, 1992 to allow a permanent dwelling no
larger than 1,200 square foot for one or two persons over 62 years of age on property zoned
A-10 located at 2544 Chico River Road, Chico.
1. Failure to comply with the conditions specified herein as the basis for approval
of application and issuance of Permit, constitutes cause for the revocation of said
permit in accordance with the procedures set forth in the Butte County Zoning
Ordinance, including Butte County Code Section 24-62.
2. Unless otherwise provided for in a condition to an Administrative Permit, all
conditions must be completed by the permittee within 12 months of the delivery
of the countersigned permit to the permittee.
3. If any use for which an Administrative Permit has been granted is not established
within one year of the date of receipt of the countersigned permit by the
permittee, the permit shall be come null and void and reapplication shall be
required to establish the use.
4. The terms and conditions of this permit shall run with the land and shall be binding
upon and be to the benefit of the heirs, legal representatives, 'successors, and assigns of
the Permittee.
SPECIAL CONDITIONS:
1. The living area, meaning the interior habitable floor space area of a dwelling unit
including habitable basements and attics, but not including a garage or any accessory
structure, shall not exceed 1,200 square feet.
2. The senior citizen dwelling unit shall be for the sole occupancy of one (1) adult 62 years
of age or over or two (2) adult persons, one of whom is 62 years of age or over. An
affidavit of compliance with the age requirements of this section shall be recorded in the
office of the Recorder prior to issuance of building permits. Said affidavit shall include
the legal description of the lot or parcel and shall constitute a covenant running with
the land, binding upon the original owners and their heirs, successors and assigns, limiting
%°
the occupancy of the senior citizen dwelling unit to the conditions described in this
section.
3. The senior citizen dwelling unit shall not be sold as a separate unit unless a parcel
containing the unit is created in compliance with the existing zoning and subdivision
ordinances and the resulting density is in conformance with the General Plan. -
4. Two off-street parldng spaces shall be provided for the senior citizen dwelling unit in
addition to the parldng spaces required for the primary dwelling unit.
5. Adequate sewer and water facilities shall be provided subject to the approval of the
Environmental Health Department.
6. All site development standards as required by the zoning district in which the unit is
located shall be met.
7. The Senior Citizen Dwelling unit shall, be a conventionally constructed building or a
mobile home that complies with the National Manufactured Housing Construction and
Safety Standards Act of 1974, except that in the "A", "FR", and "TM" series of zones a
mobile home, as defined in Section 24-21.28, may be used. Travel trailers and
recreational vehicles shall not be allowed as a Senior Citizen Dwelling Unit.
8. The approval of this permit constitutes approval only to the extent that the project
complies with the Butte County Code and all other applicable regulations.
9. The requirements of all concerned governmental agencies having jurisdiction by law,
including, but not limited to the issuance of appropriate permits, shall be met.
NOTE: Issuance of this Administrative Permit does not waive requirement of obtaining
Building and Health Department permits before starting construction, nor does it waive any
other requirements.
CC: Land Development Division
Building Division
Health Department
Department of Forestry
County Planning Director
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042-22-0-017
TERR I LL, KENNETH 91-3937
CONTR: OWNER
2544 CHICO RIVER RD, CHICO
COVERED DECK/SF
a I
I
S� G,./ 0 F F
JOB FINALED (Date)
Signature
V=OK
O = Not OK
=Not Applicable MOBILE HOMES
' =!Vot Ready
'
Date
MOBILE HOME UTILITIES (Plans) OK except N'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 q'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 #'a
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 B-1 Date Card B-1
J=OK
O=Not OK
= Not Applicable
= Not Ready
RESIDENTIAL (Single & Duplex)
Date UNDERFLOOR (Plans) OK except ft's
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Stemwalls, Main; Steel -Bloc kouts-Wra pped
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: Size & Anchors
--------- ------------------------------------------------------------
Date Card B-1 Date Card B-1
------------------- ------------------------------------------------
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/Meth. Fastners-Bond Gas & Water
----------------------- --------------------------------------------
27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI
-------------------------------------------------------------
28. Subfeed Wire Size r r ga. Cu or AI-A.C. Wire Size r / 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
-----------------------------------------------------------------------------------
35. Vent Fan; Exhaust above insulation
---------------------------------------------------------------
36. Condensate Drain & Overflow: Size & Grade
37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet
-- ---------------------------------- ---------------------------------------------
38. Attic -Access-&. Platform if Furnance in Attic
-----------------------------------------------------------------------------------
Date 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.
------- - -------------------------------------------------
42. Draft Stop in Walls (rat proof)
-... ---- -----------------------------------------------------------------
43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub
44. Headers & Beam -Size & Bearing
Date FRAMING (Continued)
45. Ha'gers-Post Caps -Anchors -Connectors
46. Clna. Joist-Rftr. ties-Purlin-roof Bra c-Truss-ShthnQ.-Rfna.
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
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
t--------------- -------
59. Insulation -Walls -Ceilings
60. Infiltration -Walls -Windows
--------------
t-------------------------------
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. Stags & 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-Const ruct ion- 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.
---------------------------------83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to
Openings
84. Water Well; Disconnect, Electrical, Plumbing
--------------- --- ------------- ------------ --
85. Exterior Elec. Trim; G.F.I. Receptacle- Under9 round
- ------------------------------ ----
86. Ventilation Throughout House
..------.... .----•-------------------------------------
87. Glass Protection
--------------------- - ----- -
88
-------------------------88. Corrections from Previous Inspections
-
------------------------------
89.
---- ------------------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:
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 CountyCentef Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT'
PERMIZ ' 7
ASSESSOR PARCEL NUMBER
ZON G/42-22-17
BUILDING PERMIT
OWNER ,
Kenneth Terrill
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
198 C 2,574.00
.893-0991
OWNER'S MAILING ADDRESS
3179 Aloha Lane. Chico
CONTRACTOR'S NAME
Ownpr
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ 2 0
LENDER'S MAILING ADDRESS
Filing Fee
$ 15.00
Permit Fee
$45.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 22.50
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$82 .50
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
SFU Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home I S TGTW
015.00
TYPE OF WORK
New ❑ Addition ® Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work: Deck _
(SSE Xr2,?09-Ro>
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 600V OR LESS
200A OR LESS
18.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am�licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license IS In full force and effect.
License No. Classification
1, as the owner, or my employees with wages as their Sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contra
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
Main service 200ATO1000AI
37.50
NEW CONST. ( DWELLING OCCUP. NI
OR ADDNS. ACC. BLDGS. I/
3.6Q sq.f[.
NO N•R E, NEW R BRANCH CIRCUITS
@ 5.00
(POWER APPARATUS s�
-SINGLE OUTLET CIR,
Ex. Occup(OUTLETS OR FIXTURES
2076
FIXED APPLNS. OR
EX. OCCUp. OUTLETS (RESID.I EA.)
3.00
Temporary service
15.00
Mobile Home Facilities
15.00ct-
Misc. Wiring
g
-15.00
Permit Fee
$
—
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
FiIingFee 15.00
Heating
Cooling
g
Hood
6.50
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against s Id County in c segue a of the granting of this permit. Q
X Date l�' l 1
Signature pp ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct -
ion of structures over 3 stories in height.
Mobile Home Installation Fee S
Energy Inspection Fee
$
OCC
CONST TYPE
TOTAL FEE $82,50
L
I I
HAz DFEES
IMP FLOOD
!�
I COI
I PAR
PD
_
S
I
This permit is hereby issued under the
sions of the Butte County Code and/or
work indica ab v r which fees
I O OF PUBLIC
By
PEANW EXPI A ES Date LZ
applicable provi-
resolutions to do
have been paid.
WORKS
Date /Z
^ /_T- 9 Z�
Receipt No. 103923
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
,�.,.Vzi r r ,'-Iti.. r'ti .. -�'ti-vl'1.._Yi,w..1r �+vi"� `♦ h_'.�YJ ��.`r. .v ice' ♦i� _.. ti's. v r ( • r 1 "1.
COUNTY OF. BUTTS-'DI;PARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DPeIVjE - OROVIL'YE, CALIFORNIA,95965 - TELEPHONE: 916/538-7541
'
PER MIT`'AP`PLICATION DATA SHEET
Permit No.
–
OWNER 7�r� !�--�� A. P- No. �Z ^�
Proposed Building Use �� G�� Building Inspector Date
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
1. All items have been submitted . ....................................
2. Plot plans in duplicate/triplicate, signed by preparer of plans. . --
3. Complete plans in duplicate/triplicate, signed by preparer of plans .. �'•
4. Complete engineered plans and calcs, with wet signature on plans ..
5. Hazardous Material Form ..........................................
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC Buildings ..............
8. Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturer's installation
instructions.......................................................
10. Fees of $ ........................
11. Chico Urban Area fees paid .......................................
12. Park fees paid ....................................................
13/ School District fees paid ..............
14. Sanitation approval from ef,A' Health Department
15. City of Chico plumbing permit .....................................
16. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A) Use: (B) Parking: ......
18. Improvements may be required. Contact Land Development Section DPW'
19. Driveway permit (construction approval required prior to occupancy)
T— 20. Pre -Inspection for required Pre-Inspec. request to l
Building Inspector (Date)
21. Contractor's license information (No., Name Style, Classifications ...
22. Certificate of Workmans Compensation Insurance ..................
23.. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .....
24. Recorded copy of Agricultural Acknowledgment Statement .........
25. Letter of signature authorization ...................................
26.
27.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver w/inspector.
Other
Appl ican
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 submitted prior permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
V
Contractor, designer, owner, was advised of above required data by_phone---nail—counter by "date
Contractor, designer, owner, was advised of above required data by—phone —ma ll—counter b date
Plans checked by Date Plans approved by Date —
Sets of plans on hold in File cabinet AP folder
Copy—DPW
{
'TO Buildina Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Owner Location AP#
Plan Approved for: Sewage Disposal Water Supply.
Hold final for:
Final clearance O.R. for:
Clearance for bedroom mobile home.
NOTE * * *
Water Supply
Water Supply
Sa i arian Date
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 959e5 - Telephone: 916.'538-7541
APPLICATION AND PERMIT
ASSESSOR Pa� CEL U R ZONING
G�G —
BUILDING PERMIT
OWNER T LE PH ONE
m3-0
SO. FT. OCC. BUILDING VALUATION
OWNER'�AI LI G DRESS
CONTRACTELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 15.00
LENDER'S MAILING ADDRESS
Permit Fee
$ aci
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ r
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
I 5.00
Solar or heat pump water heater
1 2O.P01
LOT NO.SUBDIVISION
NAME
PARCEL MAP
Water piping
.00
Each qas water heater or vent
7.00
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets,, -"5.00
Building sewer
15.00
Mobile Home I S I XW I
@ 15.00
TYPE OF WORK
New ❑ Additiok_Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work: \\� _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 600V OR LESS
200A OR LESS
18.50
Main service 200A TO t000AI
37.5
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.SINGLE
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)
Elo 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
DWELLING oCCUP.&)
NEW CONST./ ACC. BLOGS. I
OR ADDNS. `
PIE w CONSTR ULTI.OUTLET
NON-RESIO BRANCH CIRC ITS
5 00
POWER APPARATUS e
OUTLET CIR.
EX. OCCup(OUTLETS OR FIXTUR S
20 76d
R
EX. Occup. OUTLETS PRESID EA.)
I 3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. H 9
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
iIingFee 15.00
Heating
Cooling
rHood
6.50
I 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 said County in consequence of the granting of this permit.
X Date
Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑
An OSHA
ion of structures tover139storriesoin height. ons over 5'Q" deep and demolition or construct-
Mobile Home Installation Fee S
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $ '�6ar S�
HAz
1 0FEES I
IMP
I FLOOD
I CDF
I PARCEL
FO
HD
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
PERMIT EXPIRES Date
applicable provi-
resolutions to do
have been paid.
WORKS
Date
Receipt No. ILI)
.-...-
COUNTY OF BUTTE - Deoartment of Public Works
7 County Center D=ive, Oroville, CA 95965
OWNER -BUILDER VERIFICATION
Attention Property Owner:
Phone: 916-538-7541
An 'owner -builder" building permit has. been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no) YkgC .
2. I (have/have not) ,Qlit signed an application for a building permit
for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors License No.
4. I plan oto provide portions -of this work, but I have hired the following person
to coordinate, supervise, and provide the major work:
Name
Address City
Phone Contractors License No.
5. I will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name Address Phone Type of Work
Signed:
Property Owner
Social Security Number
Date
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code. -
r
This verification must be completed and returned to'our office before we are per-
mitted to issue the permit.
In
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RS E IAL�`7-1
JV 2909-90B,P,E,M
TERRELL, Kenneth
2544 Chico River,Rd, Chico
j-15-2- $93-09/ Contr: R & C Homes
ke- w/o Wn'e,
E>cF �erm�iS (new sf)
I ,l,�pn-1� 3e.�iy - �o�.��a��o�.— •
EXP 1t --8-2`I
Wl •Q�SC A .-
��-„�..-�--fes
4z, sZ-13-g2 - Locico,n,T - vJ�T Ahm” wir1}
Nore e a F FxP112 6a P fIZAN IT- i s a Q T"J If
1 �E21h I r N� F(nIR w I rl+ jnl I.o hA ys,
v -6C7 z7
Emery.
OFFICE COPY `
1� +III Address GAS � 4 C1u 4Ca
GAS
Meter By. Date's -48
ELECTRIC
Meter By Date
OZ%L'G'• OFFICE COPY
��L✓r�-ce- d �\ nn //--,^, Address- SQ9 Ck4tco ?jVjE2
v�
GAS
Meter By Date
ELECTRIC
_ +
Meter By Date
� J
JOB FINAL (D�te)
Signature
• _ � "�� . til
J=OK
O = Not OK
=Not lldabl4MOBILE HOMES
' =Not Reaeadyy
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. 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 f
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances 4
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
i
N
MISCELLANEOUS w
Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors
Shthg.-Rig.-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 -Pane Iboa rds-Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
J=OK V
O=r'4otOK
= NoRalisable
Not
Ready RESIDENTIAL (Single & Duplex)
' =
Date UN ERFLOOR Plans OK except #'s
. Z ning-Setbacks-Easements-Flood-Slope
F g., Main; Soils -EI rnd.-/J2- Ftg. Depth
Ftg., Garage; Soils -Steel- /Z" Ftg. Depth
4. pg., , Porches & Decks; Soils -Steel-/ /Ftg. Depth
emwalls, Main; Steel -Blockouts-Wrapped
. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. lab; Steel -Wrapped
Ie rs-PifepIaca-Gtg.-Steel
O.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
s
. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
4.3 eara -Material-Support-Ins.
. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Insulation
Date and B-1 5� Date Card B-1
Date Card B-1 IR Date Card B-1
Date I 1PLU3WNG Permit OK except #'s
Water Htr.; Vent- ccess-Combustion Air -Baffle QN ,
11T._Water Pipelyst & Anchor -Nail Protection
iels D. .V., s ittin Anchor -Nail Protection
ffiKhower Pan; TO First Floor -Tub Access
20. Test T & Shower, Second Floor -Tub Access
VO—Gas Pipe; Size & Anchors
Date -1 -A 1 Card B-1 Date Card B -i
Date ). si Card B-1�_ Date Card B-1
0
Date ELECTRICAL Permit OK except #'s
22 Fixture & Transformer Clearanc ns prdleection
,CEEIec Receptacles Spacing ights & Switches at Doors
7t4.Z-,ie Boxes & No.,of Conductors -Stapled
22 o ex Install d Close to Edge of Studs & C.J.
5Equip. Gr nd made up w/Mech. Fastner B .. d Gas & r
. 2 Appliance Circuts in Kitchen & Conductor Size/GFI
2�. Subfeed Wire Size /2/ ga. Cu or(EX C. Wire Sizes /Q/ ga.
Cu or 1
2 . Range Circ. / / ga. Cu or AI -Oven Circ. ga. Cu o AI
Insulated Neutral 0 Yes No
ervice iser Conductors &_Giound-Main Disconnect
quip. Clearances ! Motors-Mech. Equip.
32"Clothes Closet Light -Shower Light -Spa Light
Smoke Detector
Date - Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date M ANICAL ermit OK except #'s
A.C. ctsf sulation & Support \
w"Vent Fan; Exhaust above insulation
W -Condensate Drain & Overflow; Size & Grade
3z,,rurnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet
3 Attic Access & Platform if Furnance in Attic
Date - Card B-1 CTG Date Card B-1
Date to r 4,Card B-1 ky Date Card B-1
Date FRAMING (Plans) OK except #'s
3 . Sils, Proper Material & Anchors
40! Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
41/ Bearing Walls'over Girders & Floor Nailing
4?."Draft Stop in Walls (rat proof)
4e Fire Stops; Furred Ceilings -Stairs -Chases -Tub
Headers & Beam -Size & Bearing
Date FRAMING (Continued)
45.,Hang ers- Post Caps -Anchors -Connectors
4A ng. Joist-Rftr. ties-Purlin-roo rac-Truss-Shthng.-Ring.
�4 Fireplace Ties o Flueireplace Throat clearance
48-,Mtic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
4"drm. Windows or Exiting Doors -Sill Hgt. & Dimensions
Garage Fire Protection Framing
54-Irroperty Line Firewall & Openings
52!Ext. Doors -One T -Check Garage -3rd Story, 2 Exits
59 -Mfrs; Width -Headroom -Rise -Run -Landing -Fire Protection
%-`pywood on Roof Overhang -Attic Vents -Rafter Outriggers
5b -Biding -Nailing Veneer
(Drstucco Medi Drip Scr -Fd. Vents-Underflr. Access
Glazing Area -Glass Protection -Skylights -Plastic.
58. Shear s; N g -Bolts -\
i 5 sulation-Walls-Ceilings
60. Infiltration -Wal -VVIh80Ws^
Date Card B-1 6 Dat , - . a Card B-1
Date) Card B-1 e/ Date Card B-1
Date FINA fans OK except #'s
elVExt. Steps -Door & Sidelight Protection -Landings
Smoke Detector
FlFurnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
QC Bedroom Exiting
G.F.I. & Bath Fixtures & Tub Access -Spa
615 Elec. Trim & Subpanel; Breaker Sizes & Labels
64 -Stabs & Rails
Fireplace o t e ear - earth
Ct3�r2 Outlets at Wood Panel; Int. & Ext.
70.-I-it.Fixt. & Appliance; Grnd.-Air Gap-Cooking'Clearance
EI . Outlets & Receptacles at Kit. CounterGFC
tiy'Garage Fire Door; Swing -Landing I
,fig n r• Duct in Garage -Damper
i4'Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage; Above Floor-Mech. Protection
7 . Plb., Elec. & Mech. Equip. Listed for Location
Elec. Receptacles i0QG es(G. Romex Protection
ation-Foam- ked in Attic 0 Yes
Guard Railsonstructio ost Caps
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
Following instld.; Drive 0 Yes 0 No; Walks 0 Yes 0 No;
Planters 0 Yes 0 No
J tucco; a n -Finish 2•�;S.C10 CG
Unit; Di connect, Electrical, Plumbing
Vents ove Roo - Ibg.-Appliance-Fireplace.-Clearance to
pe mgs
Water Well; Disconnect, Electrical, Plumbing
Exterior Elec. Trim; G.F.I. Receptacle -Underground
a@ -Ventilation Throughout House
,7'. Glass Protection
Corrections from Previous Inspections
t -Meters Tagged; Gas -Electric
Wr7 &ewer Connected -C/O to Grade -HD Approval
Energy Compliance Certificate -Other Certificates
Date and B- ' Date Card B-1
Date to Card B-1 Date Card B-1
Date 7A, ZCard B-1 Gr& Date Card B-1
Comments at Final:
(NOTE: An entry must be made each time you visit job site)
Owner
2
L(iCAT ION
f � �-'. ( �
_. Permit No.
ENERCY CER'FfF'[CA'r[ON
L-40
A.P. N0.
ROOF
DESCRIPTION OF IN-SULATLON
MATERIAL BRAND NAME
THICKNESS THERMAL RES,
EXTERIOR WALL
MATERIAL FIBERGLASS
THICKNESS +
BRAND NAME
CERTAINTEED
++
THERMAL
CEILING
BATT OR BLbt
ANKET UP t(Re"j
THICKNESS <<
BRAND NAME
CERTAINTEED
LOOSE FILLTYPE INSUL-SAFE
THERMAL RES.
IIIBRAND NAME
zao
CERTAINTEED
THICKNESS �,� •+
THERMAL RES.
FLOOR,ELEVATED
MATERIAL FIBERGLASS
THICKNESS •
BRAND !FAME
CERTAINTEED
•+
THERMAL RES.
FLOOR, SLAB
MATERIAL_
THICKNESS
WIDTH
BRAND NAME -
THERMAL RES.
FOUNDATION WALL,
MATERIAL BRAND NAME
THICKNESS THERMAL RES. �—
I HEREBY CERTIFY THAT THE ABOVE INSULATION WAS INSTALLED IN THE ABOVE
BUILDING IN CONFORMANCE WITH THE STATE OF CALIF. ENERGY REQUIREMENTS.
SHASTA INSULATION INC. #530235
FIRM N OWNER STATE CONTR. LICENSE N0.
Y ce ti y the a ave insu ati q and
all required items as shown
on the Building Depart, approved plans and attachments have been installed
as required by the State of California Energy Requirements.
All equipment, devices and materials are of the quality prescribed or
�are specifically approved by the State of Calif.,
- �:i� ---%1G90 -------- --® - Y _---__-
FIRM NAME/OWWER (PLEASE PRINT) STATE CONTRACTOR'S LICENSE NO.
r -
This certificate must be on file with the BUILDING DEPARTMENT prior to
final inspeetion.approval and a copy shall be posted within the building,
JANUARY � 1984
I
0 0 1
• r: COUNTY OF BUTTE /
d DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico - Phone: 891-2751
7 County Center Drive, Orovi Ile =- Phone: 538-75,41
747 Elliott Road, Paradise- Phone: 872-6307 1
CORRECTION NOTICE
TE2CI07- q0
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when co tion of work is completed. If you have any question pertaining to this
matter'411or need additional explanation, please contact this office immediately.
!'o 5T r6RmA1v gvT S ,
rnlrL 8 Qj Com PC(Ave C 2rlFIC/4 r_
C I f Q-1- IT c f 1-C Cn/ ISLA^I& gccrlIrlej(F
'S -V% - 2, 14 1r2.iL A DNts 1 17-(gd c1{, Pc G A2A i�sLt.
�MfA/. " CL(iA 2A4C 2 /N F(-'oA/T o ,c SHFc F
onn 1,1 G r /N r -t-05 5-
I'. - �K0OjIbCt._ JCrZ-t,FIeATIa,J OF GFci wN If- (-i000L
TInV' - MST- 2�'!kT14 ,
t - Su YPofit' 7\I 9C `A " f c,(t C A r y S "A -
R c- � ►c.0 K .
LAN(, r. A Y AT w 0o2 ,
off 6ACIL rtolV 1I L-. 1 65r/-' t;►es.
\�r - •O g '�- A ► Al i C- ,I NN r-,)12 0-0 V C 2e� i� E C K
loos r S �cAM C o„r,✓ 1;: c r ��„/S �) P,A-�16
Date 6' �jP'r11 Inspector a...l.a. -j"-
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
N, 7 County Center Drive, Oroville — Phone: 538-7541
747 E l l iott Road, Parad i sd — Phone: 872-6307
CORRECTION NOTICE
ra,22a� zRag_��
OWNER P R� M NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
— irAI l4-�,- TV P C_ A n
Date �� �— ai + Inspector
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Orovllle, Callfornle 95885 - Telephone: 918,'538.7541
APPLICATION AND PERMIT
PERMIT NO.
92-1799
^/I
--ASSESSOR PARCEL NUMBER
39-56-17
ZONING
A 10
BUILDING PERMIT
OWNER
KEN TERRELL
TELEPHONE
342-0081
SQ. FT. OCC. BUILDING VALUA ION
EST
1 000
OWNER'S MAILING ADDRESS
3179 ALOHA LANE 95927
CONTRACTOR'S NAME
OWNER
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation is
1 000
Filing Fee
$ 15.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 22.50
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$ 42.50
BUILDING ADDRESS2CHICO RIVER ROAD CHICO 5 26
544
Permit tee
$ 80.00
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
5.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME PARCEL MAP
Water piping
7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home S FEW_
615.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work: PERMIT TO COMPLETE #99O9-90 _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 600V OR LESS
200A OR LESS
18.50
Main service 200ATO1000A)
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license Is In full force and effect.
License No. Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec.—, -Business and Professions Code
for this reason
NEW CONST. ( DWELLING OCCUP.N)
OR ADONS. l ACC. BLDGS.
_37.50
3.64 sq.ft.
NEW CONSTR ULT' -OUTLET
NON.RESID, BRANCH CIRC ITS
@ 5.00
POWER APPARATUS 6
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
20 760
FIXED
Ex. Occup. OUTLETS PR
RESI C.)EA,�
I 3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. �yirin 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 becomesubject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
FiIingFee 15.00
Heating
Cooling
LHood
6.50
I 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 liabilit.es, judgments, costs, and expenses which may in any way accrue
against Id County in consequence of the granting of this permit.
X — Date Z �.
Signature of Applicant — OwnerIN Contractor ❑ Agent ❑
(1 ``
An OSHA permit is required For excavations over 5'0" deep and demolition or construct -
ion of structures over 3 stories in height.
Mobile Home Installation Fee S
Ener Inspection Fee $
9Y P
DCC
CONST TYPE
TOTAL FEE $ 80.00
HAz
DFEES
IMP
FLOOD
COF
PARCEL
PD
HD
ISSUE
This permit is hereby issued under the
sions of the Butte County Code and/or
work indicated above for which fees
DI CT PUBLIC
By
PEEXPIRES Date
applicable provi
resolutions to do
have been paid.
WORKS
Dateg-1-9 Z_
Go—/.�'3
Receipt No. 116226
WNITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT,PF PUBLIC WORKS .- BUILDING DIVISION:
7 COUNTY CENTER DRIVE - µOROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541
PERk4;I APPLICATION DATA SHEET
OWNER !/ N� P. o. -2 -17
Proposed Building Use /T %� G��/% L-- Building Inspector6 Date
At timeof permi application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
1. All items have been submitted. ........................................
2. Plot plans, 3/4 sets, signed by preparer of plans . ..........................
3. Complete plans, 3/4 sets, signed by preparer of plans. .......
4. Engineered plans and calcs, 3/4 sets, with wet signature on plans. ...... ..... 1
5. Hazardous Material Form . ............................................
6. Energy Design Compliance and supporting documentation . ..................
.7. Statement of Intent for Non -Heated and A/C Buildings . ......................
8. Engineered truss details and layout in duplicate (required prior to plan check). ... .
9. Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
10. Fees of$ ..........................................
11. Impact fees as shown on attached schedule . ...............................
12. California Department of Forestry plan approval/fees. ....................... .
13. Flood elevation letter (100 year flood) by California Engineer . ................. .
14. Sanitation and plot plan approval Health Department . ............
15. City of Chico plumbing permit . .........................................
16. Plot plan and business license approval from City of Biggs/Gridley. .............
17. Planning approval for (A) Use: (B) Parking: . ........
18. Contact Land Development about (A) Improvements (B) Drainage. .......... .
19. Driveway permit (construction approval required prior to occupancy). . .
Pre -Inspection r6q'uest
20. Pre -inspection for required. . to Building Inspector (Date)
21. Contractor's license information. (No., Name Style, Classification)' ..... .
22. Certificate of Workmans Compensation Insurance . ...........................
23. Owner -Builder Verification (Given to owner , Mail to owner ) ............
24. Recorded copy of Agricultural Acknowledgement Statement . ..................
25. Letter of signature authorization ......................................... r
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .....
27. Letter of intent on building use . ........................................ .
28. Mobilehome utility clearance . ........................ _._ ............... .
29. Documentation of legal access . .........................................
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits. .......... ............................ .
32. Plan check list . .....................................................
33.
34.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver with inspector.
Other
Parcel Creation
Acreage
ApplicantX.- ` 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 submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
'Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet - AP folder
Copy - Department of Public Works
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Cantor Drivo - Oroulllat-Callfornla 06005 - Tulaphonn: Uio,'530.7541
APPLICATION AND PERMIT
PERMI NO.
9 Z77- 71-7 9
BUILDING PERMIT
" / ����(jL�
39 `Z H G
0
OCC. BU VALUATION
AIILDING
OWNER'! LING ADDR/E33
CONTR TORATS /
TELEPH NE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
C
Total Valuation $
Filing Fee
$ 15.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEERLICENSE
NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILC/_�
Permit fee
$ aGJ
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
SFV Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.001
Mobile Home S G W
@ 15.00
TYPE OF WORK
New Addition❑RemodeI Utilities [I Installllation�[�,!-yOther
Describe work: t' f���� NAI ID Q0 W7 (.-r I,i
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 600V OR LESS
200A OR LESS
18.50
Main service 20GATO1000A)
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
F-1FIXEI, 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.tk\
OR AOONS. ACC. BLOGS. II
3.64 sq.1t.
NEW CONSTR ULTI.OUTLET
NON.RESID BRANCH CIRC ITS
S.00
POWER APPARATUS &)
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
A2076d
ski
Temporary service
15.00
Mobile Home Facilities
1 15.00
Misc. Wiring15.00
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 becomesubject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
FiIingFee 15.00
Heating
Cooling
Hood
6.50
Ventilation
permit Fee
$
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.DCC
I also agree to save, indemnify and keep harmless the County of Butte against ,
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X Date
Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑
An OSHA permit is required For excavations over 5'0" deep and demolition or construct-
ion of structures over 3 to ies in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
CONST TYPE
TOTAL FEES
6 a
HAz
I DFEES I
IMP
I FLOOD
CDF
I PARCEL
I PD
HD
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.
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An 'owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information. at your earliest opportunity to avoid
.unnecessary delay in processing and issuing your building permit. No building permit
will..be issued.until.this verification is.received.
1. I personally plan to _provide the major labor and materials for construction of.
.the proposed property improvement (yes or no) g�
2. 1- (have/have- not) signed an application for a building permit
for the proposed work.
3. I have contracted with the following person.(firm) to provide the proposed
construction:
Name
Address City
_.Phone- -Contractors License-No.-
4.
icenseNo.
4. I plan to provide portions of'this:work, but I have hired the fallowing person
to coordinate, supervise, and provide the major work:
Name I- - - -
Address City
Phone Contractors License No.
5._ I will. -provide some of the work but I have.contracted (hired) the following
persons to provide the work indicated.:
Name Address Phone Type of Work
Signed: c�
Property Owner.
Social Security Number
Date '' y
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code..
This verification must be completed and returned to our office before we are.per-
mitted to issue the permit.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
r'
i r�11 7 County Center Dri p - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AN PERMIT
r
PERMIT NO.
manq on
ASSESSOR PARCIZL NUMBER
497 1-22-1
ZONING
_
BUILDING PERMIT
OWNER
TELEPHONE
SO. FT. OCC.1 BUILDING VALUATION
21 R 128 760.00
OWNER'S MAILING ADDRESS
6`98 M 9,772.00
'S N M
CONTRACTORAE
TELEPHONE
Rq_EP
161 C1,610.00
CONTRACTOR'S M 1 ING ADDRESS
ChicoQ592.6
Fireplace A 2 000.00
A
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ 142 142.00
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 540.50
ARCHITEC OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 270.25
Energy Plan Checking Fee
$ 15.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
t
Penalty
$
BUILDING ADDRESS
Permit fee
$835.75
PLUMBING PERMIT
Filing Fee 10.00
2.544 Chico River Rd Chica
Each Trap
2.00
,
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF X❑ Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
'Mobile Home S G W
10.00e
TYPE OF WORK
New[3 Addition❑ Remodel❑ Utilities❑ Installation[] Other❑
Describe work: 3 Bedroom _
Permit Fee
$60-00
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service V OR LE
1000 AMP ORSLESS
10.00
10,00
Main service EA. ADD'L too AMP
1 2.50 9-50
CONTRACTORS LICENSE LAW
1 declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions C de anp my license is in fullforce and effect.
(o
License No. S 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
LIN OCCUP.&\
OR ADDNST ( DWELLING
WELG S./
97.90
NEW CONSTR ULT'.OUTLET
NO N.RESID BRANCH CIRC ITS
2.50 ea
POWER APPARATUS &)
SINGLE OUTLET CIR.
Ex. Occu
Occup(OUTLETS OR FIXTURES
20®50e
SAL@30
FIXED APLINIS
Ex. Occup. OUTLETS P(RESID )REA.)
2.00
Temporary service
10.00 10.00
Mobile Home Facilities
15.00
Misc. Wiring
9
15.00
Permit Fee
$130.40
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ ThepLerPA4-is-fer-$100.00 (valuation) or less.
I have placed,Gn-file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
1 6.00 6.00
Dual Pack
lin
Cooling 3 Ton
1 11.00 11.00
Hood
1 3.00 3.00
Ventilation
2 3.00 1 6.00
Permit Fee
$ 36.00
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
liabilities, jud>ments, costs, and expenses which may in any way accrue
ag said n once ence of the granting of this permit. �1X ' w�✓c4- Date �� AVS �ll
Signature of Applicant - Owner ❑ Contractor Agent ❑ fil 7Q
An OSHA permit is required for excavations over 5'A" deep and demolit n or�cK s
ion of structures over 3 stories in height. �.
Mobile Home Installation Fee $
Energy Inspection Fee $ 30.00
CONST v E
U
TOTAL FEE $Y, 092. 5
A
. 5all
HAZ
�v
[_tA
PARK
FE
PAR
,
Th;s permit is nereby issued under
sions of the Butte County Code and/or
work indicated abov for which fees
DI CT OF UBLIC
By
PERM T EXPIRES Ckte
the applicable provi-
resolutions to do
have been paid.
WORKS
ate
Receipt No. 70736 PC 325-25//�yZ7 6/,
WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT
8
COUNTY OF BUTTE -DEPARTMENT OF PU' BLIC' WORKS -BUILDING DIVISION
TER
7 COUNTY &&DRO
IVE ROV?L•LE; CAi�[F6RMA'� ttI5965 - TELEPHONE: 916/538-7541 M
PERMIT' 'A APPLICATION DATA SHEET '
Permit No.
OWNER kfSAIW E%7-1 7_2E—_, 1564- A. P. No.
Proposed Building Use Building Inspector Date 914)
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) e' -IJ P
A. Mobilehome installation data including manufacturer's installation
instructions.
V�2_4 0., Fees of $.
, - (_ % y ........................
11. Chico Urban Area fees paid .......................................
12. Park fees paid
I/� %� School District fees paid ..............
( 4. Sanitation approval from ��� < —Health Department / /-�-� a
15. City of Chico plumbing permit .....................................
16. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A) Use: (B) Parking: ......
18. Improvements may be required. Contact Land Development Section DPW
DDriveway permit (construction approval required prior to occupancy)
20. Pre -Inspection for required Pre-Inspec. req est to
Building Inspector
21-16ontractor's license information (No., Name Style, Classification) ...
22. Certificate of Workmans Compensation Insurance ..................
21 Owner -Builder Verification (Given to owner ❑, Mail to owner ❑). Recorded copy of Agricultural Acknowledgment Statement .. .. _
4... ..
25. Letter of signature authorization .................................
26.
27.
When
yob issue the permit, process as follows: Mail to owner. Mail to contractor.
1�Telephone/-Z--and hold for pickup at office. Deliver w/inspector.
Other`s
Applicant < _ Date L�
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted prior to permit i
1. Index permit for above items No.
2. Additional items required:
chec
Contracto esigner, owner, was advised of above required data by_phone_Jnail—counter byr�.date y
ctor designer, owner, was advised of above required data by phone_mall_counter by_JS6L date 11)
Plans checked by Date / - l7 Plans approved by ��'- Date
Sets of plans on hold in File cabinet k� flat D
�f
Copy—DPW
TO Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance.
_. O er Location AP#
Plan Approved for:
Hold final for:
Sewage Disposal _1C Water Supply 4 ----
Final clearance O.R. for:
clearance for <-� bedroom Thome. Other
Water Supply
Water Supply
TO: Building Department
FROM: Encroachment Permit Section
RE: 'Driveway Clearance'
�eyr�e- jr D`2 -
owner location AP #
Driveway permit go & 3 d has been issued for the above property.
n b L
sign re date
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Canter Drive - Oroville. Cali.tornia 9 %5 - Telephone: 916/538-7541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
a Z_ ZZ o/ '
ZONING
/9 -Aa
BUILDING PERMIT
OWNER
N ice c��
TELEPHONE
3yZ - e//i
$O. FT. OCC. BUILDING VALUATION
OWNER' ILI NG AD,O�j{�-E s¢ L �� G/�
-ONE
CONTRA TO S NAME/G�''/V)
TIyELEP7H
�J
CONTRACTOR'S MAILING AODR SS
O, c'-
Fireplace L70rJ
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
C
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $ 27d, 2—
Energy Plan Checking Fee $ 0
ARCHITEC OR ENGINEER'S MAILING ADDRESS
AR HI EC
Penalty $
BUILDING ADDRESS
/C() >'vcfZ
Permit fee $
PLUMBING PERMITFill n9 Fee 10.00
Cry/Cv 9.5 15
Each Trap
2.00 30,
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00 0l0
Each qas water heater or vent
5.00 '
USE OF STRUCTURE
SFCK Duplex[] Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00 !JO
Building sewer
5.00 0
Mobile Home S G I IN
.00 ea
TYPE OF WORK
New g Addition ❑ Remmodjell ❑ �Uttiilllities ❑ Installation❑ Other j]
Describe work:_
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP OR
10.00 /0,00j
Main service EA. AOD'L 100 AMP
2.50 2 1
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Busines$POWER
and Professions Code and my license IS In full force and effect.
License No. 589 ZSR 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..
OR ADONS. AGC. BLDGS. /
Yz¢sgft
NEW CONSTR ULTI-OUTLET
NON.RESID BRANCH CIRC ITS
2.SOea
APPARATUS 6
(SINGLE OUTLET CIR.
Ex. OCcup(OUTLETS OR FIXTURES
901030
BALI20 1 30
FIXED APP LNS. OR
EX. OCCUp. OUTLETS IR ESID.I EA.
2.00 i
Temporary service
10.00 0 j
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$ 1 3a, L�Q
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
r0
TI) V (�
Cooling %j
„C7(�
Hood
3.00
Ventilation
001 614M
Permit Fee
$ ,0
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X Date
Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct.
ion of structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $
p� t
HAz
CUA
PARK
scHL
FLD
PAR
PD
Ho Issue
This permit is Hereby issued under
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By
scout r cvotocc n.,.,,
the applicable provi-
resolutions to do
have been paid.
WORKS
Date
Receipt No.
., ::..•it'.:*.. .. ♦ .,.;t ...w• 'i, ..,�...:n, � kt:..i .,k ,s . r'+sR:,.-y:.J„�.�1Nj•F'�'..�:�,..,_•.r•;�y...----r��•.r-,...r+,:w�...�,� �..-.;,•....�;�s ...,.s...,,. ,rz�:
BUTTE COUNTY SCHOOLS TPEVELOPMENT FEE CERTIFICATION FORM
(One Form per Building)
A.P. Number -42 -,?Z-/_7 Building Department No.
School DistrictG '✓S L� City Q County Jurisdiction /
Property Owner �1��AZAI � 1`4 �� � -�`- ri/V � ) M l LL
��� C tf / �U �� t/is/t
Project Location/Address 9� mac/
Subdivision Lot Number
Residential Development:
Sq. Footage 32-1
# of Living MHI Addition (Group R)
Units
Commercial/Industrial: D
New
Building Department Representative
aSq. Footage
Addition (Including Exterior -
Roofed Areas)
// 10
Da e
,(FloorzPlans reviewed by School District Personnel)
District Id No._� lna�F�
School District certifies that
L A Q L'-.
(Street Address
City) (State) (Zip Code
has complied with the requirements of Resolution No. 4yq —C)
by the payment of $ �i0�'� representing 3 ) square feet.
10b) 9 d
School District Representa ive Date
PAID
BY CHECK NO.
BANK
NO go-by
PAID BY CASH
REMARKS:
white -applicant, yellow -building department, pink -school district
SCHOOL.FEE (8/88)
f;.
RESIDENTIAL PLAN CHECKING GUIDE
'(S.F.', DUPLEX & MISC. ONLY)
Bldg. Permit #
OWNER �P�d'�lfLf lL�i A.P. # S/� •
GENERAL
Zoning requirements: (sideyards
Valuation.
Plans signed by designer.
4. Energy Design and Compliance.
Existing violations on property.
Items on data sheet.
and number of permitted living units).
PLOT PLAN
Complete parcel size and dimensions.
Setbacks, sideyards, easements, etc.
Other buildings or structures.
Grading, fills, drainage.
Flood hazard.
Special conditions on.creation map or compliance document.
FAU & FAS road setback.
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, and exterior outlets (Article 210-8).
17. Light fixtures, switches, receptacles, and exterior receptacles for maintenance
of mechanical equipment.
Locations of water heater, heating and cooling equipment, other electrical or
gas equipment, and plumbing fixtures.
forage firewall, door size, and closer (Sec. 503(d)(3)).
T 1 - 3'0" exterior exit door (Sec. 3304(e)).
Fireplace and wood stove location, alcoves, and clearance.
Vf"Smoke detectors (Sec. 1210).
STRUCTURAL DETAILS
oundation plan complete enough to construct building.
Floor construction details complete enough to construct building.
Elevations and wall construction details complete enough to construct
Roof construction details complete enough to construct building.
Fireplace construction details and calcs if necessary.
MISCELLANEOUS ITEMS TO LOOK OUT FOR
f
Stairway details: landings, rise and run, head clearance, handrails
Guardrail details (Sec. 1711 & 3306(j)).
Brick or stone veneer (Chapter 30).
building.
(Sec. 3306).
5/89
RESIDENTIAL PLAN CHECKING GUIDE
MISCELLANEOUS ITEMS TO LOOKOUT FOR (CONY D)
jExterior plaster = weep screeds (Sec. 4706).
roper roof pitch for roof covering (Chapter 32).
/Roof covering type - (fire hazard).
Rafter ties or bearing ridge beam.
Garage door or porch header .sizes.
'Adequate bracing.
O'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).
ttic access and ventilation (Sec. 3205).
Underfloor access and ventilation (Sec. 2516).
I' Combustion air for fuel burning appliances.
�. Noise requirements on duplexes.
6- Adobe soils - special foundation design.
'f Retaining walls requiring design.
$. Unusual shape, size, or split level house requiring lateral design.
P—. Flashing at all exterior openings.
i
Return to DPW AGRICULTURAL STATEMENT.OF ACKNOWLEDGEMENT 90-43863
1 FOR RESIDENTIAL DEVELOPMENT
Section 26-8.1 of the Butte County Code
requires this acknowledgement be recorded
prior to issuance of a building'permit.
;
90-043863 ; R e c F e e
`L'he
pr.opert.y described herein is adjacent
Check
Recorded '
to
Land or included within an area coned
Official Records ;
far
agr.i.cul.t..ur.al purposes, and residents
County of '
of
this property m,.q be subject to incon-
Butte '
ven:i_ences
or discomfort arising from the
Candace J. Grubbs ;
ui:e
of agrJ caul t..ural chemicals, 'including,
Recorder '
but
not .Limited to herbicides, pesticides,
8:00am 12 -Qct -90 ;
and
fert:il.irers; and from the pursuit
of,
agr.i.cu.lturaI operations including,
but
not: li.m:il:cd to cultivation, plowing,
spraying, pruning, and harvesting which
5.00
.5.00
CD 1
occasionally generate dust, smoke, noise, and odor.. Butte County has established <agric.u.l-
tur.al zones which have as a priority use for productive agricultural purposes, <and r.es.i.deuts
within said zones and on adjacent property should be prepared to accept such inconven-i.c:ncc-
or discomfort from normal, necessary farm operations.
All that real property situate in the County of Butte, State of California, do sc r i_bed as
f 01.1ows :
East half of Lot 73 of the Second Subdivision of the Morehead Ranch according
to the Official Map thereof filed as of record in the Office of the Recorder
of the County of Butte, State of California.
Date: 101111qD PROPERTY OWNERS:
State of On this tl:�day of 19 before me,
SS. the undersigned Notary Public, personally appeared
County o.f
muuunmunnnuune�numuumututngN11t1NNN11N � personally known to me. 0 Proved to me on the bits i s
o F F i C t A L 8 9 A�� of satikf-actory ev.idc>uce.
'��• C. WILLIAMS to be the person(s) whose name(s) GSL _
.' .. -`7 NOTARY PUBIC CALIFORNIA � subscribed to the within instrument and acknowledged tha t
COUNTY OF BUTT€
0 ° executed the same .for the purposes therein contained. TN W]"rNES'S
MyCommission Erpci®§E@@; is ioo;a =WHEREOF, I hereunto set my hand and official seal.
nuun�nnnwu�u�nafubnnnrpfttNMuptIIH/NNlIIIINJJJIIii►
Present A.P. No. `T 2 - y 7 - /7 Notary Publi c
END OF DOCUMENT
m
0
eou&*'4L
i"'ButtZ
OROVILLE, CALIFORNIA
GENERAL CLAIM
CLAIMANT: J & M Enterprises
ADDRESS: 2260 A Park Ave.
CITY & STATE: Chico, CA 95926 IMPORTANT:
August 5, 1992 SEE INSTRUCTIONS
DATE OF CLAIM: ON REVERSE SIDE
SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES
/I
DATE
DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY)
AMOUNT
Refund due to clerical error. Permit #92-2558M
AP#039-560-017, Receipt #117739, dated 7/21/92.
Total Permit Fees Paid --------------------------- $25.00
Retain Mechanical Permit Filing Fee-------------- 15.00
TOTAL REFUND DUE --------------------------------- $10.00
TOTAL I
$10.00
I, the undersigned. Jeclare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this
claim is true and correct as stated.
Dated this �5L de o[ , 19, , at 0 oville Cali[ ,• `',-�-- ? � ...
.......... Y ............................ ..... ........ ..... ..........................
Signature of CiAirinant
I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de-
livered and that there is a Budget Appropriation pproprietion ❑ or Specific Board Approval ^J (Check one) for the �Head
Dated this ................. day of 1992 tOroville Cellt.............................. ............... .. ................................................. ...
•D e m nt or Authorized Deputy
Dept. Exp.
Code 440-002 Code 4210500 PAYABLE FROM ........Const.,...e.r.mits ........................................... FUND
DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY
DEPT. & SUB. PROJ. SUB. OBJ# CLAIM NO.
INV. NO. INV. DATE ENCUMB. GROSS AMT.
V
V � Y
t
6 (2-
Gtn� (r4 G*
�ef G)e„A
/ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Orovlller Callfornla 95965 - Telephone: 916/536-7541
APPLUTION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
039-560-017
ZONING
A 10
BUILDING PERMIT ✓
OWNER
TOM KNUDSEN
TELEPHONE
895-3254
SO, FT, OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
2544 CHICO RIVER ROAD CHICO 95926
CONTRACTOR'S NAME
J & M ENTERPRISES
TELEPHONE
345-1879
CONTRACTOR'S MAILING ADDRESS
2260 A PARK AVE CHICO 95926
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation is
Filing Fee
$ 15.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS Permit
544 CHICO RIVER ROAD CHICO
fee
$
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
5.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE
SFEZ Duplex❑ Mobilehome❑ Other
SPECT FY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home S G W
@ 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[i Other ❑
Describe work: EVAPORATIVE rnoT FR _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 600V OR LESS
200A OR LESS
18.50
Main service 200A TO IOOOAI
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 Professio s Code and my license is in full rce and effect.
License No. Classification 1219
❑ 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 contrac
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST.( DWELLING OCCUPM
OR ADONS. ACC. BL°GS. //
3.6asq.ft.
NEWC -OU
CONSTR ULT' TLET
NON-RESID BRANCH CIRC ITS
@ 5.00
(POWER APPARATUS a)
SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
20 76
FIXED
Ex. OUTLETS (RESID )REA.1
I 3.00
-Occup.
Temporary service
15.00
Mobile Home Facilities
15.00t-
Misc. Wiring
g
'15.00
Permit Fee
$
—
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
Q,The permit is for $100.00 (valuation) or less.
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.
gjI—shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 15.00
Heating
Cooling
g EVAP
10.00
Hood
6.50
Ventilation
Permit Fee
$ 25.00
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County I o eque ce of the granting of this permit.
X-��G`�G Date �� G 2—
Signature pp ❑ Contractor Agent
Si nature of Applicant - Owner [ ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Ener Inspection Fee $
Energy P
occ
CONST TYPE
TOTAL FEE
$ 25.00
HAz
I DFEES I
IMP
I FLOOD
I CDF
PARCEL
I PD
I HD
ISSU
This permit is hereby issued under the
slops of t utte County Code and/or
wor(kipr die ed abo o hicWfee
DIRE PUBKS
By
PER X IBES Date
applicable provi-
re olutions to do
ve been paid.
Date l 191
//d`l
241J /0
Receipt No. 1 ] 77RA95no
WHITE-D.P.W.• YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
1. Ceiling Insulation
+
Number of stories
Raised Floor
R -value
One
Two
Three
R -b
-103
-49
32
R-19
-8
-4
.2
9-30
-2
-1
.1
R-38
0
0
0
U -value
3
1
1
0.50
-176
-84
-54
0.30
-102
-49
732
0.10
-26
-13
-8
0.08
-18
-9
-6
0.06
-11
-5
-4
0.04
-4
-2
-1
0.02
4
2
1
0.00
11
5
3
2. Wall Insulation
-6
-3
-2
Single-
Single -
0
0
Family
Family
Multi -
R -value
Detached
Attached
Family
R-0
-68
-51
-34
R-11
0
0
0
R-13
2
2
1
R-19
8
6
4
U -value
3
R-11
-2.
0.80
-153
-114
-76
0.50
-91
-68
-46
0.30
-47
-36
-24
0.10
0
0
0
0.08
4
3
2
0.06
9
7
5
0.04
14
11
7
0.02
19
14
10
0.00
24
18
12
3. Raised Floor Insulation
S. Inriltration (Air Leakage)
Specification Points
Standard 0
6. Glass Heat Loss
Insulation in Floor
Raised Floor
Effective Peremt Glass
Total
Number of stories
East
R -value
One
Two
Three
R-0
-17
-8
-5
R-11
-3
-2
-1
R-19
0
0
0
R-30
3
1
1
U -value
-24
-10
4
0.60
-144
-70
-46
0.50
-120
-58
38
0.40 _
-95
-46
30
0.30
-69
-34
-22
0.20
-43
-21
-14
0.10-
-17
-8
-5
0.08
-11
-6
-4
0.06
-6
-3
-2
- 0.04"
-1
0
0
0.02 =
4
2
1
..0.00-.
10
_ 5
3
Controlled, Ventilation Crawlspace
-
-1
Number of stories
14
R -value
One
Two
Three
R-0
-11
-7
-5
R-5
-4
-4
3
R-11
-2.
-2
-2
R-19
-1
- -2
-2
4. Slab Edge Insulation
22
-
"
Number of Stones
3
R -value
One
Two
Three
R-0
0
0
0
R-5
8
5 -
2
R-7
8
- 6
3
F2 factor
-29
-4
1
0.90
-4
"-3
.1
0.80
-1
-1
0
0.70
2
2
1
0.60
6
4
2
0.50
9
6
3
0.40
12
8
4
S. Inriltration (Air Leakage)
Specification Points
Standard 0
6. Glass Heat Loss
Slab Floor
Raised Floor
Effective Peremt Glass
Total
%Glass North
East
South
• West
U -value
18 5
Percent
4
1
.51 to
.41 to
.31 to 0.30 or
Glass
Single
Double
.60
.50
.40
less
50
-121
-53
-39
-24
-10
4
40
-90
-37
-26
-14
-3
8
35
-75
-29
-19
-9
1
10
30
-61
-21
-13
-4
4
12
29
-58
-20
-12
-3
5
12
28
-55
-18
-10
-2
5
13
27
-52
-17
-9
-2
6
13
26
-49
-15
-8
-1
7
14
25
-46
-14
-7
0
7
14
24
-43
-12
-5
1
8
14
23
-40
-11
-4
2
8
15
22
-37
-9
-3
3
9
15
21
-34
-7
-2
4
10
15
20
-31
-6
0
5
10
16
19
-29
-4
1
6
11
16
18
-26
-3
2
7
12
16
17
-23
-1
3
8
12
17
16
-20
0
4
9
13
17
15
-17
1
6
10
14
17
14
-14
3
7
10
14
18
13
-12
-4
8
11
15
18
12
-9
6
9
12
15
19
11
-6
7
10
13
16
19
10
-3
9
11
14
17
19
9
-1
10
13
15
17
20
8
2
12
14
16
18
20
7..Shading (Shade Open)
Efred ve Phes t Glass
(Percent glass x SC)
Effective
Slab Floor
Raised Floor
Effective Peremt Glass
Wall
%Glass North
East
South
• West
Skylight
18 5
1
4
1
na
16 4
2
5
1
na
14 4
2
5
1
na
12 3
3
5
2
na
11 3
3
5
2
na
10 2
3
5
2
1
9 2
3
5
2
2
8 2
3
5
2
2
7 1
3
4
2
2
6 1
3
4
2
3
5 1
2
4
2
3
4 0
2
3
1
3
3 0
1
2
1
3
2 0-
0
1
0
3
1 -1
-1
-1
-1
2
0 -1
-2
-4
-2
0
na = not allowed
-23
3
0
-4
-5
-4
-16
2
1
lB. Shading (Shade Closed)
Slab Floor
Raised Floor
Effective Peremt Glass
Wall
Stories
(pelrcent glass x SC)
Mass
Stories
Family
/CFA
One
Two
Three
%Glass
Nati
East
Sotto
West
Slq)4pht
18
-14
-48
-69
-64 i
na
16
-12
-42
-59
-55
na
14
-10
-35
.50
-46
na
12
-8
-29
-40
-37
na
11
-7
-26
-36
-33
na
10
-6
-23
-31
-29
-74
9
-5
-20
-27
-25
-65
8
-5
-17
-23
-21•.
-56.
7
-4
-14
-19
-18
-47
6
-3
-11
.15
-14
-38
5
-2
-9
--11
-10
-30.
4
-1
3
-8
-7
-23
3
0
-4
-5
-4
-16
2
1
-1
-2 -
-1
-9
1
1
1
1
1
-4
0
2
3
4
3
0
na • not allowed
7
8
10
- 11
9. Interior Thermal Mass
Interior
Slab Floor
Raised Floor
Mass
Wall
Stories
Multi
Mass
Stories
Family
/CFA
One
Two
Three
One
Two
Three
0.0
-8/
-5
-4
-2
.1
.1
0.1
4
-5
3
.1
0
0
0.3
-7
-4
-2
0
1
1
0.5
-6
-3
-1
1
1
2
0.7
-5
-2
-1
1
2
2
0.9
-5
-1
0
2
3
• 3
1.1
-4
-1
1
3
4
4
1.3
-3
0
2
3
4
5
1.5
-3
1
2
4
5
5
20
-1
2
4
5
6
7
2.5
0
3
5
7
7
8
3.0
1
4
6
8
8
9
3.5
2
5
7
9
9
10
4.0
3
6
8
9
10
10
4.5
3
7
8
10
- 11
11
5.0
4
7
9
11
12
12
5.5
5
8
9
11
12
12
6.0
5
8
10
12
'13
13
6.5
6
9
10
12
13
13
7.0
6
9
11
13
13
14
7.5
6
10
11
13
14
14
8.0
7
10
11
13
14
14
8.5
7
10
12
13
- 14
15
10. Exterior Wall Thermal Mass
Exterior
SUMO- Single -
► ZI
Wall
Family Family
Multi
Mass
Detached Attedred
Family
0.00
0 0
0
0.20
3 2
1
0.40
5 4
3
0.60
8 6
4
0.80
10 8
5
1.00
13 10
7
1.20
13 12
8
1.40
12 13
9
1.60
10 13
11 . .
1.80
10 12
12
200
10 11
13
11. Heating System
-2
-2
SE or HSPF
-4
3 -3
(assumes ducts In attie)
-2
-1
Sum of 14
0
0 0
-25 or -24 to -14 to -4 to
+6 to 16 or
SE HSPF
less -15 - -5 . +5
, +15 more
0.72- 6.60
0 0- 0 0
0 0
0.75 6.88
3 3 3 2
2 1
0.80 .7.33
8 7 6 5
4 3
0.85 7.79
13 11 10 8
7 5
0.90. 8.25
-
17 •15 -13 11_
9 - 7
0.95 8.71
_-20 -18`_ 15_ __ 13
11 . 8
13 11
- Effective SE or HSPF
(SE or HSPF x duct efficiency)
'
Effective -25 or -24 to =1410 4 to +6 b 16 or
SE HSPF
less_ -15 - -5 +5
+15 more
0.30 2.75
-73 -64 -56 -47
-38 -30
na 3.41
-45 -39 -.-34 -29
-24 -18
0.40 3.67
-34 -30 -26 -22
-18 .-14
0.50 4.58
-10 -9 -8 -7
-5 -4
0.56. 5.13
0 0 0. 0
0- 0
0.60 5.50
5 5 4- 32
-7
0.70 6.42
17 15. 13 11
9 7
0.80 7.33 25 22 19 16 13 10
0.90 8.25 32 28 24 20 17 13
1.00 9.17 37 32 28 24 19 15
Zonal Control Adjustment
System Type -
Resistance 10 9 7. 6 - 4 3
Other 6 5 4 3 2 2
12. Cooling Syst.,m
Zonal Control Adjustment
10 8 7 6 4 3
No Cooling System Installed
Stories
Climate Zone 11
SEER
► ZI
Type [double]
Measures
One
(assume; ducts
In attic)
4
-3
-2
Sum of 7-10
Two +
3
3
•. 2
-25 or -24tu 0410
Jto
+6to
16 or
SEER
less
-15 i L
+5
+15
more
8.0
-14
-12 -10
-8
-6
.4
8.5
-9
-7 -6
-5
-4
-3
®
• 18.9
-5
-4 -4
-3
-2
-2
9.0
-4
3 -3
-2
-2
-1
9.5
0
0 0
0
0
0
10.0
4
3 3
2
2
1
1 10.5
7
6 5
4
3
2
11.0
10
9 7
6
4
3
== ' 120
15
13 11
9
7
5
•3
20
17.1 14
12
9
6
-13.0
-12
Type [SG]
Solar
-1
-1
-1 .
0 -
Effeltive SEER
0%
HWR
-18
(SEER xdud efficiency)
.-9
-7
-6
Sc:11 of 7-10
WSB.
.25
-16
Effective -25 or -24 to -1410
.410
+610
16 or
SEER
less
-15 -5
+5
+15
more
5.0
-30
-25 -21
-17
-13
.9
6.0
-12
-11. -9
-7
-6
4
6.6
-5
-4 -4
-3
-2
-2
7.0
0
0 0
0
0
0
8.0
9
8 6
5
4
3
9.0
16
14 12
9
7
5
10.0
22
19 16
13
10
7
11.0
26
23 19
15
12
8
12.0
30
26 22
18
14
9
13.0
33
29 24
20
15
10
Zonal Control Adjustment
10 8 7 6 4 3
No Cooling System Installed
Stories
Climate Zone 11
SCORE CARD
► ZI
Type [double]
Measures
One
-5
-4
4
-3
-2
-2
Two +
3
3
•. 2
2
2
1
Single -Family
Detached and Attached
R-value[191
U -value [0.037)
k
Unit Size (sQ
Water
x
;499
120m''1700
S. Infiltration
2200
2700
Heater
Uedil
or =� b
to
to
-or
Type
Type
less.
,11699
2199
2699
more
None
0(
0
0
0
0_
ISG
or
Solar
12
` 8
6
5
4
HP'-HWR
COND. FLOOR
TYPE 2 MASS
8
5
4
3
3
WS8
5
3
3
2
2
11•"utMC"•I)
(carpet" slab)
POU
8_
5
4
3
•3
SE
None
-37
-24
-18
15.
-12
Type [SG]
Solar
-1
-1
-1 .
0 -
0
0%
HWR
-18
-12
.-9
-7
-6
35%
WSB.
.25
-16
-12
-10
-8
j
POU
-18
_-12
-9
-7.
.6
IG
None
'-5
-3
-2
-2
-2 r
1
Solar
7
: 5
4
3
2
I
POU
.3_
_ 2
1
1-
1
j IE
None
-28
-19
114
-11
- -9 .
10%
Solar
8
5
4
3
3
IA
POU
-10
-6
-5
-4
-3
2.9
Multi-Famlty
3.3
(individual units)
3.7
4
4.2
4.4
Unit Size (sp
4.8
5 .
Water
.699
20%
700
1200
1700.2200
1
Heater
Credit
or
10
to
to
-
27
Type
less
1199
1699
2199
mo
.'re
more
SG
None
0
0
0
0
0
or
Solar
14
7
5
.4
3
HP
HWR
9
5
3
2
2-
3
WSB
9
4
3 '
2
_2
4.5
POU
9
5
3
22
5.8
SE
None
-45
-23
-15
-11
-9
1.9
Solar
2
1
1
0
0
'
HWR
--23
-12
-8
3.
'-5
4.9
WSB
-25
-13
-8
=.6
-5
_EQU
1.1
-12
-8 ,
_.6 ..
-5
IG
None
_-3
-8
-4
.3
.21
.2
3.6
Solar..'
6
3
2
1
j" 1'
'Solar
POU
1
0.
0
0
0
' IE
None
-30
-15"
_
-10
-8
-6
24
2.6
18
9
6
4
4
3.9
POU
-8
-4
-3
-2
-2
Point System Summary:
Climate Zone 11
SCORE CARD
► ZI
Type [double]
Measures
% Total Glaa [ 16]
1. Ceiling Insulation
D�k
or
Eff. % Glass
R -value [38]
Interior MasslCFA
2. Wall Insulation
L3
or
x
J
U -value [0.0981
3. Raised Floor Insulation
X
or
R-value[191
U -value [0.037)
4. Slab Edge Insulation
or
x
R -value 10]
F2 factor [0.771
S. Infiltration
Standard
SC
Eff. % Glass
2,
x
. L -C, _
/, �7
3•�
x
S�
x
t rr►e : a+�ss
x
2t R
/,0
-
x 7 -7
TYPE 1 MASS
AREA �.
Interio ass/CFA
COND. FLOOR
TYPE 2 MASS
AREA --
AREA
Exterior Wall Mass
$
ND . L OR AREA
X
SE or HSPFDuct
11•"utMC"•I)
(carpet" slab)
Effective SE or
[03W6.61�
r
X
, y=
[O.Sr--
-
-' � ►
SEER [9.S1
Duct Efficiency [0.74]
t TYPE 1 MASS
(UIMC • 4.2,
le: exposed slab)
--�- --
Type [SG]
Credit [none]
0%
5%
10%
15%
20%
2S%
30%
35%
40%
45Y.
50%
55%
60%
6546
70%
75%
80%
Me
90%
95%
100% 105% 110%
115%.120%125',
OY.
0
0.2
0.4
0.6
0.8
1.1
1.3
1.5.
1.7.
1.9
It
2.3
2.5
2.1
2.9
9.2
3.43.6
3.8
4
4.2
4.4
4.6
4.8
5
5.3
10%
0.2
0.4
0.6
0.8
1
1.2
IA
1.6
1.9
2.1
23
25
2.7
2.9
3.1
3.3
3.5
3.7
4
4.2
4.4
4.6
4.8
5 .
5.2
5.4
20%
0.3
0.6
0.8
1
1.2
1.4
IS
1.8
2
2.2
24
27
2.9
3.1
3.3
3.5
3.7
3.9
4.1
4.3
4.5
4.8
5
5.2
5.4
56
30%
0.5
0.7
0.9
1.1
1.4
1.6
1.8
2
2.2
24
26
2.8
3
3.2
3.5
3.7
39
4.1
4.3
4.5
4.7
4.9
5.1
5.3
5.6
5.8
40%
0.7
0.9
1.1
1.3
1.5
1.7
1.9
2.2
24
2.6
2.8
3
3.2
3.4
3.6
3.8
4
4.3
4.S
4.7
4.9
5.1
5.3
5.5
5.7
5.9
50%
0.9
1.1
1.3
1.5
1.7
1.9
21
23
25
27
3
32
3.4
3.6
3.8
4
4.2
4.4
4.6
4.8
5.1
5.3
5.5
5.7
5.9
6.1
55%
0.9
1.1
1.4
1.6
1.8
2
2.2
24
2.6
2.8
3
3.2
3.5
3.7
3.9
4.1
4.3
4.5
4.7
4.9
5.1
5.3
5.6
5.8
6
6.2
60%
1
1.2
1.4
1.7
1.9
21
23
2.5
2.7
2.9
3.1
3.3
3.5
3.8
4
4.2
4.4
4.6
4.8 '
5
5.2
5.4
5.6
5.9
6.1
6 3
65%
1.1
1.3
1.5
1.7
1.9
2.2
2.4
2.6
2.8
3
3.2
3.4
3.6
3.8
4
4.3
4.5
4.7
4.9
5.1
5.3
5.5
5.7
5.9
6.1
6,4
70%
1.2
1.4
1.6
1.6
2
22
2.5
27
2.9
3.1
3.3
3.5
3.7
3.9
4.1
4.3
4.6
4.6
5
5.2
5.4
5.6
5 8
6
6.2
64
7S%
1.3
1.5
1.7
1.9
21
2.3
25
2.7
3
3.2
3.4
3.6
3.8
4
4.2
4.4
4.6
4.8
5.1
5.3
5.5
5.7
5.9
6.1
6.3
6.5
80Y.
1.4
1.6
1.8
2
2.2
2.4
26
2.8
3
3.3
3.5
3.7
3.9
4.1
4.3
4.5
4.7
4.9
5.1
5.4
5.6
5.8
6
6.2
6 4
66
85%
1.4
1.7
1.9
2.1
2.3
25
2.7
2.9
3.1
3.3
9.5
3.8
4
4.2
4.4
4.6
4.8
5
5.2
54
5.6
5.9
6.1
6.3
65
67
90%'
1.5
1.7
2
2.2
24
26
2.8
3
3.2
3.4
3.6
3.8
4.1
4.3
4.5
4.7
4.9
5.1
53
5.5
5.7
5.9
6.2
6.4
66
68
95%
1.6
1.8
2
2.2
2.5
27
2.9
3.1
3.3
3.5
3.7
3.9
4.1
4.3
4.6
4.11
5
5.2
5.4
5.6
5.8
6
6.2
6.4
6.7
6.9
t00Y.
1.7
1.9
21
2.3
25
28
3
3.2
3.4
3.6
3.8
4
4.2
4.4
4.6
4.9
S.1
5.3
5.5
5.7
5.9
6.1
6.3
6.5
6.1
7 '
105%
1.8
2
2.2
2.4
2.6
28
3
3.3
3.5
3.7
3.9
4.1
4.3
4.5
4.7
4.9
5.1
5.4
5.6
5.8
6
6.2
6.4
6.6
68
7
110%
1.9
2.1
2.3
2.5
27
29
3.1
3.3
3.6
3.8
4
4.2
4.4
4.6
4.8
5
5.2
5.4
5.7
5.9
6.1
6.3
6.5
6.7
6.9
7.1
115%
2
2.2
2.4
2.6
2.8
3
3.2
3.4
3.6
3.8
4.1
4.3
4.S
4.7
4.9
5.1
5.3
5.5
S.7
5.9
6.2
6.4
'6.8
6.8
7
7.2
120%
2
2.3
2.5
2.7
2.9
3.1
3.3
3.5
3.7
3.9
4.1
4.4
4.6
4.8
5
5.2
5.4
5.6
58
6
6.2
6.5
6.7
6.9
7.1
7.3
125%
2.1
2.3
25
2.8
3
3.2
3.4
3.6
3.8
4
4.2
4.4
4.6
4A
5.1
5.3
5.5
5.7
5.9
6.1
6.3
6.5
6.7
7
7.2
7.4
Point System Summary:
Climate Zone 11
SCORE CARD
► ZI
Type [double]
Measures
% Total Glaa [ 16]
1. Ceiling Insulation
D�k
or
Eff. % Glass
R -value [38]
U -value [0.030]
2. Wall Insulation
L3
or
x
R -value [ 11)
U -value [0.0981
3. Raised Floor Insulation
X
or
R-value[191
U -value [0.037)
4. Slab Edge Insulation
or
x
R -value 10]
F2 factor [0.771
S. Infiltration
Standard
6. Glass Heat Loss
7. Shading (Shade Open)
a. North
b. East
c. South
d. West
e. - Skylight
81 Shading (Shade Closed)
_ i
a. North /g
b East !
`c. South
d. West
e. Skylight
9. Interior Thermal Mass
10. Exterior Wall Mass
11. Heating System
Zonal Control? ( Y IN )
12. Cooling System
Zonal Control? ( Y / N )
13. Water Heating
ngL-.
► ZI
Type [double]
U -value [0.65]
% Total Glaa [ 16]
% Glass
SC
Eff. % Glass
91(,1-
x
t 77 =
z14
3. g
x
X
.3
x
l . o
x
=
O,
% Glass
SC
Eff. % Glass
2,
x
. L -C, _
/, �7
3•�
x
S�
x
+3
x
2t R
/,0
X
x 7 -7
TYPE 1 MASS
AREA �.
Interio ass/CFA
COND. FLOOR
TYPE 2 MASS
AREA --
AREA
Exterior Wall Mass
$
ND . L OR AREA
X
SE or HSPFDuct
Efficiency [0.78]
Effective SE or
[03W6.61�
r
X
, y=
[O.Sr--
-
-' � ►
SEER [9.S1
Duct Efficiency [0.74]
Effectivo SEER 17.03]
Type [SG]
Credit [none]
Point Scores
Q
0
4
Sum 1.6
_ �'4-
Sum 7-10 -
3
Point Total:
Certificate of Compliance: Residential Climate Zone 11
• 1�i�vD�E ry
Project Tide
2 ✓�� CL�1 IZ1 VF {� �Zb . Buildint Permit #
Project,Addreas
93�
SF , Checked By / Date
Documentation Author Telephone Etforcanenten
AS cY Use only
BUII.DING DATANorth Glass 0la�
t
Conditioned Floor Area 9 3-3 Number of Stories „�_ East - �tv,W
Stab/Raised Floor st-9_ Number of . Units South 2 �-
Single Family Detached (SFD) ( I Addition Alone West
Single Family Attached (SFA) [ ] Existing Building Skylight , O
(] Multi -Family (MF) [ I Existing -Plus -Addition Total 771
BUH,DING SHELL INSULATION
Component Insulation Locafinn/Comments
Type R -Value (atdc, to Atiraga typical. etc.)
wall .............. (Z I3 F�RNT TOIL
Roof 9Z 38 ,
Roof .............
Floor ............. —
Floor .............
Slab Edge ..... ---
GLAZING Shading Devices
Glaring
Area
Glass Type Interior Exterior Overhang Framing Type
Orientation
(sf)
(single. double) (rolls blind. etc.) (shW acreen, etc) (yetl/no) (met46Wood)
North ( )
2A--
North ( )
East ( )
East ( )
South
Sou its ( )
West ( )
West ( )
-
Skylight.......
THERMAL MASS
Type/Covering
Area Thickness
(slab/exposed, tile:, etc.)
(SO (inches) Location/DCSCription (kitchen, .T ). COUN Ti
r-
X1313M WE:
HVAC SYSTEMS Minimum Duct -
Type (furnace, air Efficiency Location Duct Output Manufacturer / Model #
conditioner, heat pump) (SE, SEER,HSPF) -(attic. etc.) R -Value (Btuh) (or approved equal)
ICU P -N•-77- A'TS'i _ 5-%
C' r3,5 Aery, 5th
Maximum Furnace Heating Output: 33 9R Btuh
HOT WATER SYSTEMS Tank Manufacturer/Model #
System Type (storage gas, etc.) Capacity - (or approved equal) Special Feature(s)
SPECIAL FEATURES/REMARKS (Add extra sheets if necessary)
Mandatory Measures Checklist: Residential MF -1R
NOTE: l owrise residential buildings subject to the Standards must contain these measures regardless of the compliance
approach used. Items marked with an asterisk (•) may be superseded by more stringent compliance iequuemenu listed
on the Certificate of Compliance. When this checklist is incorporated into the permit documents. the features rested shall
be considered by all parties as binding minimum component performance specifications far the mandatory measures
whether they are shown elsewhere in the documents or on this checklist only.
DESCRIMON I DESIGNER I ENFORCEMENT I
Building Envelope Measures
' S2.5352(a): Minimum ceiling insulation R-19weighted average.
§2.5352(b): Loose fill insulation manufacturers labeled R -value.
' §2.5352(c): Minimum wall insulation in framed walls R.1 I weighted avenge (does not apply to
exterior mass walls).
§2.5352(k): Slab edge insulation - water absorption rate no greater than 03%. water vapor
transmission rate no greater than 2.0 perm/itch.
§2-5311: Insulation specified or installed meets California Energy Commission (CEC) quality
standards. Indicate type and form.
§2.5352(1): vapor barriers mandatory in Climate Zones 14 and 16 only.
§2.5317: Infiltration/Exfiltration Controls
a. Doors and windows between conditioned and unconditioned spaces designed to limit air
leakage.
b. Doors and windows certified.
e. Doors and windows weatherstripped. all joints and penetrations caulked and scaled
12-5352(e): Special infiltration barrier installed to comply with 12-5351 meets CEC quality
standards.
§2-5352(d): Installation of Fireplaces
1. Masonry and factory -built fireplaces have:
a. Tight fitting, closeable metal or glass door
b. Outside air intake with damper and control
c. Flue damper and control
2. No continuous burning gas pilots allowed.
HVAC and Plumbing System Measures
62-5352(8) and 2-5303: Space conditioning equipment siring: attach calculations.
62-5352(h) and 2-5315: Setback thermostat on all applicable heating systems.
• 12-5316(x): Ducts constructed, installed and insulated per Chapter 10, 1976 UMC.
52.5316(b): Exhaust systems have damper controls.
62.5314(c): Gat -fired spare heating equipment has intermittent ignition devices.
§2-5314: HVAC equipment, water heaters, showerheads and faucets certified by the CEC.
52.5352(i): Water heater insulation blanket (R-12 or greater) or combined interiortexterior
insulation (R-16 or greater); fust 5 feet of pipes closest to Lank insulated (R-3 or greater).
§2-5312(Exception 1): Pipe insulation on steam and steam condensate rearm cit recirculating
piping.
§2-5319(d): Swimming Pool Heating
1. System has:
a. On/off switch on heater.
b. Weatherproof instruction plate on heater.
C. Plumbed to allow for solar.
2. 75 percent thenal efficiency.
3. Pool cover.
4. Time clock.
5. Directional water inlet.
Lighting and Appliance Measures
§2.5352(j): Lighting =25 lumens/watt or greater for general lighting in kitchens and bathrooms.
§2.5314(c): Gas fired appliances equipped with intermittent ignition devices.
02.5314(a): Refrigerators, refrigerator -freezers, freezer and fluorescent lamp ballasts certified
by the CEC. Indicate make and model number.
CO?"LIANCE STATEMENT = _
This certificate of eompliantxlists the bualding feah= no performance specifications needed to comply with -
Title 24, Chapter 2-53 and Title 20. ChapterZ Subdaapter4. Article 1 of the California Administrative code, This
certificate has bout signed by the individual with overall design responsibility and the building owner, who shall
retain a copy of it and transmit the certificate to any subsequent purchaser of the building.
Designer
Name: -
rkwum:
Address:
Telephone
Lac. N:
(sitnattut) (dale)
Documentation Author
Name:
ritWFum:
Address:
Building Owner
Name:
Enforcement Agency
Name:
Atency:
Telephone
1. Ceiling Insulation
r
Single-
Number of stories
Number of stories
R -value
One
Two
Three
R-0
-103
-49
-32
R-19
-8
A
-2
R-30
-2
-1
-1
R-38
0
0
0
U -value
8
6
4
0.50
-176
-84
-54
0.30
-102
-19
32
0.10
-26
-13
-8
0.08
-18
-9
-6 •
0.06
-11
-5-1
0
0.04
-4
-2
2
0.02
4
2
1
0.00
11
5
3
2. Wall Insulation
3. Raised Floor Insulation
Insulation In Floor
Single-
Single -
Number of stories
R -value
Family
Family
Multi -
R -value
Detached
Attached
Family
R-0
-68
-51
-34
R-11
0
0
0
R-13
2
2
1
R-19
8
6
4
U -value
-144
-70
-46
0.80
-153
-114
-76
0.50
-91
-68
-46
0.30
-47
-36
-24
0.10
0
0
0
0.08
4
3
2
0.06
9
7
5
0.04
14
11
7
0.02
19
14
10
0.00
24
18
12
3. Raised Floor Insulation
Insulation In Floor
Controlled Ventilation Crawlspace
-14
Number of stories
Number of stories
R -value
One
Two
Three
iR-0
-17
-8
-5
R-11
-3
-2
.1
R-19
0
0
0
R-30
3
1
1
U -value
0
0.70 2
2
-.-.0.60 •
-144
-70
-46
0.50
-120
-58
-38
0.40
-95
.46
-30
0.30
-69
-34
-22
0.20
-43
-21
-14
0.10
-17
-8
-5
0.08
-11
-6
-4
0.06
-6
.3
-2
0.04
-1
0
0
0.02
4
2
1
0.00
10
5
3
Controlled Ventilation Crawlspace
-14
-48
Number of stories
-64
R -value
One
Two
Three
R-0
-11
-7
-5
R-5
-4
-4
3
R-11
-2
-2
-2
R-19
-1
.2
-2
4. Slab Edge Insulation
-14
-48
- -- `•- .. 'Numi:Z of Stories
-64
R -value One
Two
Three
R-0 0
0
0
R-5 8
5
2
R-7 8
6
3
F2 factor
.40
less
0.90 -4
•3
A
0.80 -1
-1
0
0.70 2
2
1
0.60 6
4
2
0.50 9
6
3
0.40 12
8
4
S. Inriltration (Air Leakage)
Spea7tietion Points -
Stawd 0
" 6. Glass Heat Loss
Total
-14
-48
-69
-64
1.1 -value
East
Percent
:West
Skylight
.51 to
.41 to
.31 to 0.30 or
Glass
Single
Double
.60
.50
.40
less
50
-121
-53
-39
-24
-10
4
40
-90
-37
-26
-14
-3
8
35
-75
-29
-19
-9
1
10
30
-61
-21
-13
-4
4
12
29
-58
-20
-12
-3
5.
12
28
-55
-18
-10
-2
5
13
27
-52
-17
-9
-2
6
13
26
-49
-15
-8
-1
7
14
25
-46
-14
-7
0
7
14
24
-43
-12
-5
1
8
14
23 .
-40
-11
-4
2
8
15
22
-37
-9
-3
3
9
15
21
-34
-7
-2
4
10
15
20
-31
-6
0
5
10
16
19
-29
-4
1
6
11
16
18
-26
-3
2
7
12
16
17
-23
-1
3:
8
12
17
16
-20
0
4
9
13
17
15
-17
1
6
10
14
17
14
-14
3
7
10
14
18
13
-12
4
8
11
15
18
12
-9
6
9
12
15
19
11
-6
7
10
13
16
19
10
-3
9
11
14
17
19
9
-1
10
13
15
17
20
8�-
2
12
14
16
18
20
7. Shading (Shade Open)
__& -ye Percent Glass
(percent Stan x SC)
Effective
-14
-48
-69
-64
%Glass North
East
South
:West
Skylight
18 5
1
4
1
na
16 4
2
5
1
na
14 4
2
5
1
na _-
12 3
3
5
2
na -
11 3
3
5
2
na
10 2
3
5
2
1
9 2
3
5
2
2
8 2
3
5
2
2
7 1
3
4
2
2
6 1
3
4
2
3
5 1
2
4
2
3
4 0
2
3
1
3
3 0
1
2
1
3
2 0
0
1
0
3
1 -1
-1
1
-1
2
r 0 -1
-2
-4
-2
0
na = not allowed
2
3
4
3
fB. Shading (Shade Closed)
Effective Percent Glass
o cent Hass X SC)
%Gclin
lass K%M E29 South West Sigr6pflt
18
-14
-48
-69
-64
na
16
-12
-42
-59
-55
na
14
-10
-35
-50
-46
na
12
-8
-29
-40
-37na
-1
11
-7
-26
-36
-33
na
10
-6
-23
-31
-29
-74
9
-5
-20
-27
-25
-65
8
-5
-17
-23
-21..
-56
7
-4
-14
-19
-18
-47
6
-3
-11
-15
-14
-38
5
-2
-9
-it
-10
-30
4
-1
-6
-8
-7
-23
3
0
-4
-5
-4
-16
2
1
-1
-2
-1
-9
1
1
1
1..
'1
-4
.
0
2
3
4
3
0
no s nr1 nll-CWnd
4
6
8
8
1. Interior Thermal Mass
nterior
Single -
Stab Floor
Unit Size (sQ
Raised Floor
Mass
Family
Stories
Sm of 7-10
Mass
Stories
Attached
/CFA
One
Two Three
One
Two
Three
0.0
-8
-5
-4
-2
-1
-1
0.1
-8
-5
-3
-1
0
0
0.3
-7
-4
-2
0
1
1
0.5
-6
-3
.1
1
1
2
0.7
-5
.2
-1
1
2
2
0.9
-5
-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
2.0
-1
2
4
5
6
7
25
0
3
5
7
7
8
3.0
1
4
6
8
8
9
3.5
2
5
7
9
9
10
4.0
3
6
8
9
10
10
4.5
3
7
8
10
11
11
5.0
4
7
9
11
12
12
5.5
5
8
9
11
12
12
6.0
5
8
10
12
. 13
13
6.5
6
9
10
12
13
13
7.0
6
9
11
13
13
14
7.5
6
10
11
13
14
14
8.0
7
10
11
13
14
14
8.5
7
10
12
13
14
15
10. Exterior Wall Thermal Mass
Exterior Single-
Single -
2.
Unit Size (sQ
Wall
Family
Family
Multi
Sm of 7-10
Mass
Detached
Attached
Family
16 or
0.00
0
0
0
8.0
0.20
0.40
3
5
2
46
1
4
-9 -7 -6 -5
-5 -4 -4 -3
-2
8
' 9.0
0.60
-2
0.80
1.00
10
13
6
10
5
7
0
1.20
13
12
8
i 10.5
11.0
1.40
1 1.60
12
10
13
13
9
11..
15 13 11 9
1.80
10'
12
12
9
200
10
11
13
5
11. Heating System
(SEER xduct efficlency)
2
2
Se,n of 740
SE or HSPF
POU
Effective
-25 or -24 to -14lo 410
(assumes ducts in attic)
16 or
SEER
less -15 -5 +5
Sum of l•6
more
5.0
-30 -25 -21 -17
-25 or .24 to
-14 to -4 to
+6 to 16 or
SE HSPF less -15 ..
-5 +5
+15
more
0.72
6.60 0 0
0 0
0
0
1
0.75
6.88 3 3
7.33 8 7
3 2
6 5
2
4
3
I0.60
0.85
7.79 13 11'
10 8
7
5
"7
0.90
0.95
8.25 17 15
8.71 20 18'-
13 11
- 15 13
9
11
8
26 23 19 15
Effective SE or HSPF
8
12.0
(SE or HSPF
x duct efficiency)
9
13.0
EBec'We -25 or -24 to -141 :4 to
+6 b 16 or
SE HSPF less -15
-5 +5
+15 more
Solar
0.30
2.75 -73 -64
-56 . '-47
-38
-30
na
3.41 -45 -39
-34 -29
-24
-18
0.40
3.67 -34 -30
-26 -22
-18
-14
0.50
4.58 -10 -9
-8 -7
-5
-4
0.56
5.13 0 0
0 0
0
0
0.60
5.50 5 5
4 3
3
2
0.70
6.42 17 15
13 11
9
7
0.80 7.33 25 22 19 16 13 10
0.90 8.25 32 28 24 20 17 13
1.00 9.17 37 32 28 24 19 15
Zonal Control Adjustment
System Type -
Resistance 10 9 7 6 4 3
Other 6 5 4 3 2 2
r
12. Cooling Syst,Im
Single -Family Detached and Attached
SEER
2.
Unit Size (sQ
3.
(assumes ducts In attic)
4.
Ii99
Sm of 7-10
'1700
2200
-25 or ,24 to r-14 b -4 b
+6 to
16 or
SEER
less -15 16 +5
+15
more
8.0
-14 -12 •10 .8
'6
-4
-4
-3
8.5
8.9
-9 -7 -6 -5
-5 -4 -4 -3
-2
-2
' 9.0
-4 -3 -3 -2
-2
-1
9.5
0 0 0 0
0
0
' 10.0
4 3 3 2
4
2
3
1
2
i 10.5
11.0
7 6 5
10 9 7 6
4
3
12.0
15 13 11 9
7
5
_13.0
20 17 ,. 14 12
9
_ 6
Effedive SEER
WSB
5
3
(SEER xduct efficlency)
2
2
Se,n of 740
6514
POU
Effective
-25 or -24 to -14lo 410
+6 b
16 or
SEER
less -15 -5 +5
+15
more
5.0
-30 -25 -21 -17
-13
.9
6.0
-12 -11. -9 -7
-6
-4
6.6
-5 -4 -4 -3
-2
-2
7.0
0 0 0 0
1 0
0
8.0
9 8 6 5
4
3
9.0
16 14 12 9
7
5
10.0
22 19 16 13
10
7
11.0
26 23 19 15
12
8
12.0
30 26 22 18
14
9
13.0
33 -29 24 20
15
10
-2
Zonal Control Adjustment
Solar
7' .•
10' 8 7 6
4
3
2
No Cooling System Installed
POU
-Stories
2
1
1
One
-5 -4 -4 -3
-2
-2
Two +
3 3. 2 2
2
1
Single -Family Detached and Attached
Interior Mass/CFA
TYPE 2 K"s
11.ia.1Mc•..,,
Ceiling Insulation
2.
Unit Size (sQ
3.
Water
4.
Ii99
1200
'1700
2200
2700
Heater
l.redd
or
b
to
to
: or.
Type
Type
less :.1699
r SE or HSPF
i
2199
2699
more
-
SG
None
0 1 i.
0
0..,
0
0
or
Solar
12 : `
8
6
5
4
j HP
-HWR
8
5
4
3
3
WSB
5
3
3
2
2
60%
6514
POU
8
5
4
3
•3
100%
SE
None
-37
.24
.18
-15
-12
1
20%
Solar
-1
-1
-1
0
0
HWR
.18
-12
-9
-7
-6
WSB..
.25
-16
-12
-10'
-8
I
POU
18 _•_ 12
-9
_7
-6
IG
None
-5
.3
.2
-2
-2
2.5
Solar
7' .•
5
.4
3
2
i
POU
.3
2
1
1
1
IE
None
-28
-19
-14
-11
-9
1.4
Solar
8
5
4
3
3
__..
POU
-10
-6
-5
-4
-3
4.4
Multi -Family (individual units)
4.8
5
5.2
5.4
I Unit Size (sp
0.3
0.6
Water
.
699
700
1200
1700
2200
Heater Dred l
or
b
to
b
or
Type
Type
less
1199
1699
2199
more_
SG
None
6_
0-
0
0
_
0
or
Solar
14
7
5
4
3
HP
HWR
9
5
3
2
2
3.9
WSB
9
4
3
2
2
5.3
POU
9
5
3
2
2
SE
None
-45
-23
-15
.11
-9
2.8
Solar
2
1
1
0
0
4.3
HWR
--23'
-12
-8
-6
'-5
5.7
WSB
-25
-13'
-8
-6
-5
1.7
1.9
-23
-12
-8
-6
3
IG
None
-8
-4
-3
.2
_-5
{ -2
4.6
Solar
. 6
3
2
1!
1_
-_
POU
-
0
0
0
0
IE
None
_1 _
30
-15
-10
T -8
6
3.5
Solar
' 18
.9
6
4
4
4.9
POU
-8
-4
-3
-2
-2
Interior Mass/CFA
TYPE 2 K"s
11.ia.1Mc•..,,
Ceiling Insulation
2.
Wall Insulation
3.
Raised Floor Insulation
4.
Slab Edge Insulation
S.
% TYPE I xASS (UINC & 4.2, !e: exposed slab)
6.
Glass Heat Loss
7.
Shading (Shade Open)
rcacxt.d or.
x
_
'.V '' 7 '
"' Zonal Control . ( Y / N ) I
r SE or HSPF
i
Duct Efficiency [0.78] Effective SE or
HSPF [0.56/5.151
k
J, f
�112. Cooling System;/
[0:77)6.6)
-
Zonal Control? ( Y,`/ N)
SEER 19.51
Duct Efficiency [0.741 Effective SEER [7.031
35%
40%
45Y.
50%
55%
60%
6514
70%
75%
80%
My.
90%
95%
100%
105% 110Y.
115%
120% 125•
0%
5%
10%
15%
20%
25%
30%
OY.
0
0.2
0.4
0.6
0.8
1.1
1.3
1.5
1.7
1.9
2.1
23
2.5
2.7
2.9
3.2
3.4
'3.6
3.8
4
4.2
4.4
4.6
4.8
5
53
MY.
0.2
O.4
0.6
0.8
1
1.2
1.4
1.6
1.9
2.1
23
2.5
2.7
2.9
3.1
.3.3
3.5
3.7
4
4.2
4.4
4.6
4.8
5
5.2
5.4
20%
0.3
0.6
0.8
1
1.2
1.4
1.6
1.8
2
2.2
24
21
29
3.1
3.3
3.5
3.7
3.9
4.1
4.3
4.5
4.8
5
5.2
5.4
56
30%
0.5
0.7
0.9
1.1
1.4
1.6
1.6
2
2.2
24
26
2.8
3
32
9.5
3.7
3.9
4.1
4.3
4.5
4.7
4.9
5.1
5.3
5.6
58
40%
0.7
0.9
1.1
1.3
1.5
1.7
1.9
2.2
24
26
2.8
3
3.2
3.4
3.6
3.8
4 ,
4.3
4.5
4.7
4.9
5.1
5.3
55
5.7
5.9
50%
0.9
1.1
1.3
1S
1.7
1.9
21
23
25
27
3
32
3.4
3.6
3.8
4
42
4.4
4.6
4.8
5.1
5.3
5.5
5.7
5.9
6.1
55%
0.9
1.1
1.4
1.6
1.8
2
2.2
24
2.6.
26
9
3.2
3.5
3.7
3.0
4.1
4.3
4.5
4.7
4.9
5.1
5.3
5.6
5.8
6
6.2
1.1
1.3
1.5
1.7
1.9
2.2
2.4
2.6'
2.8
39
3.2
3.4
3.6
3.8
4
4.3
4.5
4.7
49
5.1
5.3
55
5.7
59
6.1
64
65�%
70%
1.2
1.4
1.6
1.6
2
2.2
25
27
2.9
3.1
3.3
3.5
3.7
3.9
4.1
4.3
4.6
4.6
5
5.2
5.4
5.6
58
6
6.2
64
75%
1.3
1.5
1.7
1.9
21
2.3
25
2.7
3
3.2
3.4
3.6
3.8
4
4.2
4.4
4.6
4.8
5.1
5.3
5.5
5.75.9
6.1
6.3
6.5
e0%.
1.4
1.6
1.8
2
2.2
2.4
26
2.8
3
3.3
3.S
3.7
3.9
4.1
4.3
4.5
4.7
4.0
5.1
5.4
5.6
5.8/6
6.2
64
66
85%
1.4
1.7
1.9
2.1
2.3
25
2.7
2.9
3.1
3.3
3.5
3.8
'4
4.2
4.4
4.6
4.8
5
5.2
53
54
5.5
5.6
5.7
5.9
5.9
6.1
6.2
63
6.4
65
66
67
68
90Y."
1.5
1.7
2
2.2
2.4
26
2.8
3
3.2
3.4
3.6
3.7
3.8
3.9
4.1
4.1
4.3
4.3
4.5
4.6
4.7
4.6
4.9
5
5.1
5.2
5.4
5.6
5.8
6
6.2
6.4
6.7
6.9
95%.
1.6
1.8
2
2.2
2.5
27
2.9
3.1
3.2
33
3.4
3.5
3.6
3.8
4
4.2
4.4
4.6
4.9
5.1
5.3
5,5
5.7
5.9
6.1
6.3
6.5
6.7
7
100%.
1.7
1.9
21
2.3
2.5
28
3
105%
1.8
2
2.2
2.4
2.6
28
3
3.3
3.5
3.7
3.9
4.1
4.3
4.5.
4.7
4.9
5.1
5.4
5.6
5.8
6
6.2
6.4
6.6
so
7
110%.
1.9
2.1
2.3
2.5
2.7
29
3.1
3.3
3.6
3.6
4
4.2
4.4
4.6
4.8
5
5.2
5.4
5.7
5.9
6.1
6.3
6.5
'6.6
6.7
69
7
7.1
7.2
115%
2
2.2
2.4
2.6
2.8
3
3.2
3.4
3.6
3.8
4.1
4.3
4.5
4.7
4.8
4.9
5
5.1
5.2
5.3
5.4
5.5
5.6
5.7
560
5.9
6.2
6.2
6.4
6.5
6.7
6.e
6.9
7.1
7.3
120%
2
2.3
2.5
2.7
29
3.1
3.3
3.5
3.7
3.9
4.1
4.4
4.6
4.6
4.9
5.1
5.3
5.5
5.7
5.9
i6a 6.3
6.5
6.7
7
7.2
7.4
125%
2.1
2.3
2.5
2.8
3
3.2
9.4
3.6
3.8
4
4.2
4.4
Point System Summary: Climate Zone 11
SCORE CARD
1.
Ceiling Insulation
2.
Wall Insulation
3.
Raised Floor Insulation
4.
Slab Edge Insulation
S.
Infiltration
6.
Glass Heat Loss
7.
Shading (Shade Open)
a. North
b. East
c. South
d. West
e. Skylight
8. Shading (Shade Closed)
a. North
b. East
c. South
d. West
e. Skylight
Measures
O Or
ue [38)38) U -value [0.030)
1[3 or
R -value [ 1I1 U -value [0.0981
`\2 or
R -value 1191 U -value 10.0371
or
R -value [0) F2 factor 10.771
Standard-
Type
tandard
T pe [double] U -value [0.651
U
9c Total Glass [16)
o
GI ss SC Eff. % Glass
X 77 V.
X
-�-- X
r;y X =
O •;7 x -� _ • 5
SC Eff. % Glass
4/03
E JE
P 1 MASS AREA
Point Scores
-a
,9. Inte"rior,Thermal Mass
COND. FLOOR AREA
� -f� a - r if f lr _
InteriorMsss/CFA
__
!
101: EWerlor WallMass
TYPE 2 MASS AREA _
ND. FLOOR AREA g
r /
Exterior Wall Mass
11°Heating System ; �, ,
x
_
'.V '' 7 '
"' Zonal Control . ( Y / N ) I
r SE or HSPF
i
Duct Efficiency [0.78] Effective SE or
HSPF [0.56/5.151
k
J, f
�112. Cooling System;/
[0:77)6.6)
-
Zonal Control? ( Y,`/ N)
SEER 19.51
Duct Efficiency [0.741 Effective SEER [7.031
Sum 1
T
O
-a
-Sum7-10
__1.----
13. Water Heating 01 �--
Type [SG] Credit [none] �,
Point Total: =OW
<.Cl 1111'.;4LV Ul <.ULL1P11iW4;:; JMCMUr1111d1
Timate Gone 1-L
a
-- -
Mandatory Measures Checklist: Residential MF -1R
Project Title0�
;2 /
'mayPermit
t NOTE: Lowrise residential buildings subject to the Standards must contain these mcaswes regardkss of the complimoc
approach used. Items marked with m asterisk (•) may be superseded by more stringent compliant requirements listed
71z -/t
Project Address �
-
Buildingw
� ..
Checked By / Date
on the Certificate of Compliance. Wben this checklist is incorporated into the permit documents. the features noted shall
be considered by all ponies w binding minimum component performance specifications for the rtuutdatory measures
re
— whether they ashown elsewhtie in the documents Droit this checklist
Documentation Author Telephone
Enforcement Agency Use Only
DESCRIPTION DESIGNER ENFORCEMENT
BUII.DING DATA
G1ass14rea
% Glass
Building Envelope Measures
• §2.5352(a): Minimum ceiling insulation R-19 weighted average.
Condi r Area - / Number of Stories
North
East
�
33, a S
G • /
/-7
62.5352(b): Loose fill insulation manufactum's labeled R -Value.
' §2-5352(c): Minimum wall insulation in framed waits R.I 1 weighted average (does not apply to
S1 /Raised F1 Number of ,Units
wS—Imily
South
West
��
/ g� s
exterior mass walls).
§2.5352(k): Slab edge insulation - water absorption rate no greater than 03%, water vapor
n a a Detached (SFD) [ ] Addition�Alone
t
transmission rate no greater than 2.0 perm/tach.
[ ] Single Family Attached (SFA) [ ] Existing Building
Skylight
Total
§2-5311: Insulation specified or installed meets Cali(omia Energy Commission (CECT quality
standards. Indicate type and form.
[ ] Multi -Family (NM [ ] Existing -Plus -Addison
§2.5352(0: Vapor barriers mandatory in Climate Zones 14 and 16 only.
§2.5317: Inftltration/Eafiltration Controls
BUII.,DINGSHELL IN$ULATIC*N.
Doors ors and windows between conditioned and unconditioned spaces designed to limit air- a.
leakage
.�/
Component Insulation L.oeati>iorl/Comme;xts
b. Doors and windows certified.
c. Doors and windows weatherwipped; all joints and penetrations caulked and sealed
Type R -Value (attic�araga. raical. etc.)
62-5352(e): Special infiltration barrier installed to comply with §2.5351 meets CEC quality
Wall ..............
standards.
62-5352(d): Installation of Fireplaces
Wall ..............
1. Masonry and factory -built ftrcplaces have:
Roof ............. �
a. Tight fitting, closeable metal or glass door
cFltp�� and control
a
Roof .............
. Fueona
2. No continuous buming gas pilots allowed.
Floor .............
t HVAC and Plumbing System Measurer
Floor .............
= ..
§2-5352(8) and 2.5303: Space conditioning equipment sizing: attach calculations.
Slab Edge .....
§2-5352(h) and 2-5315: Setback themostal on all applicable heating systems.
GLAZING Shading Devices
• 12-5316(a): Ducts constructed, installed and insulated per Chapter 10, 1976 UMC.
§2-5316(b): Exhaust systems have damper controls.
Glazing Area Glass Type interior Exterior
Exterior
Overhang
g
Framing �(�
g
§2-5314(c): Gas -feed space heating equipment has intermittent ignition devices.
§2.5314: HVAC
Orientation s sin double) oiler blind. etc. reen, etc.
e$/n0)
" -
(metal/wood)
equipment, water heaters, showerheads and faucets certified by the CEC.
Water heater insulation
§2-5352(1): blanket (R-12 or greater) or combined interiorkatuior
No ( ) `
��
insulation (R-16 or greater); fust 5 feu of pipes closest to tank insulated (R-3 or greater).
North ( )
§2-5312(Exccpdon 1): Pipe insulation on steam and sicarn condensate return & recirculating
_
East ( ) �' E f r
f r
piping_
§2-5318(d): Swimming Pool Heating
East ( )
(
SOUth ) a —� /f
�instructione.
1. System has:
a. On/off switch on heater.
b. Weatherproof instruction plate on heater;
.Sou Lh ( )
Plumbed to allow for solar.
2..75 percent thermal efficiency.
Westrt
3. Pool cover.
4.Timteclock.
West ( )
5. Directional water inlet.
Skylight....... r�
rn
Lighting and Appliance Measures
THERMAL MASS
§2-5352(1): Lighting - 25 lumens/watt or greater for general lighting in kitchens and bathrooms.
Type/Covering Area Thickness
§2-5314(c): Gas rued appliances equipped with intermittent ignition devices.
(slab/exposed, tile, etc.) (SO (inches) LOcadon/DCScription (kitchen, bath etc.)
§2-5314(a): Refrigerators• refrigerator -freezers, finezcm and fluorescent lamp ballasts certified
by the CEC. Indicate make and model number.
HVAC SYSTEMS Minimum Duct
Type (furnace, air Efficiency Location Duct Output
conditioner, heat pump) (SE, SEER,HSPF) (attic, etc.) R -Value (Btuh)
Maximum Furnace Heating Output: _
HOT WATER SYSTEMS Tank
Manufacturer/ Model #
T
Btuh by OjQ
Manufacturer/Model # ���G . tt'_n
SPECIAL FEATURES/REMARKS (Add extra sheets if necessary)
COMPLIANCE STATEMENT
This certificate of comphanoe lists the building feahn-a and performance specifications needed to comply with
Title 24. Chapter 2-53 and Title 20, Chapin.r2, Subchapter4. Article 1 of the California Administrative code. This
certificate has been signed by the individual with overall design responsibility and the building owner, who shall
retain a copy of it and transmit the certificate to any subsequent purchaser of the building.
Designer
Name:
Title/Fant
Addm=
Tekphone:
t,ic. 4:
A`' 2 C7
(sigtattue)U te)
Documentation Author
Namc:
Tide/Firm:
Building Owner
Name:
TilkT-tem: .
Address:
Telephonic
(signature) (date)
Enforcement Agency
Name:
Agulcy:
Telephone:
j � A
v