HomeMy WebLinkAbout040-150-029cpo-maf- sola✓
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40-15-29
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RANDY BOWERSOyi w �
9552 squon Rd, Durham C Qy
Contr Joe Smith y��
RANDY &DEBRA BOWERSON 48-90A
9552 Esquon Road, Durham
:
47/ U /
s
(equipment
4
Permit#2860-86B,P,E,M(new single family)
_
storage , shop)' `"
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040-15-0-029 93-466 BPEM
BO[aERSOX, RANDY &DEBRA ,�
9552 ESQUON RD, DURHAM("' 3 1s /y�
Y.,
REMODEL KITCHEN/SF
40-150-029 - 0 -1064
*`
`� k
OWERSOX, RICK , ��,40
1541 KOYO LN. •,DURHA
',lj�
A.
CONT: ADONIS POOLS
EW POOL MASTER 507-97
e14. 100
1'
cpo-maf- sola✓
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LO
,NOTES
RESIDENTIAL
;040-150-029 01-1064
BOWERSOX, RICK
1541 KOYO LN. DURHAM
CONT: ADONIS POOLS
;NEW POOL MASTER 507-97
0-ff{ CsyL&oh
SPECIAL CONDITIONS
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING.LETTER
JOB FINALED (D t
Signatur
'✓"= OK.
0 = Not OK
- = Not Applicable
• = Not Ready
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
Zoning Requirements -Setbacks -Easements
1.
Zoning Requirements -Setbacks -Easements
3.
2.
Soils; Special MH Support Sketch
Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg.-Frg-Bracing
3.
Sewer; Location -Test -Fall -C/O -Concrete
6.
4.
Water; Location -Test -Easement Needed (Sketch)
Electric
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
9.
6.
Gas; Location -Test -Wrap;-/ /" L'ft.
/ /'Nat. or/ /"L"ft./ PLPG
Roof; Shthg-Roofing
7.
Well Clearance & Disconnect
12.
8.
Utility Clearance
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Date
Card B-1 Date Card B-1
Date
oilslS�-mpaction-Structure Stability
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
, Receptacles and Lighting, Distance-GFI
1.
Zoning Requirements -Setbacks -Easements
6.
2.
Footings; Size -Spacing -Marriage Line
lec.; Bonding; Metal w/5' -Circulating Equip. -Heater
3.
Gas; MH Test -Demand -Valve -Connector
9.
4.
Electricity; MH Test -Crossovers -Breakers -Clearances
P mb.; Cir. Test -Water Supply Test
5.
Drain; MH Test -Fall -Flex Connector
6.
Water; MH Test -Regulator -Connector
7.
Water and Sewer Connected -C/O to Grade -HD Approval
Date
8.
Gas and Electricity Tagged
9.
Tie Downs -Type -Installation Can.
10.
Exits; Insp.-Sketch
11.
Cert. of Occupancy
12.
Permanent Foundation Only: License Decal
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
7
�� I'hov3,?
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3.
Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4.
Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg.-Frg-Bracing
5.
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6.
Carports; Windows -Doors
7.
Electric
8.
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9.
Siding; Nailing -Veneer -Stucco -Mesh
10.
Roof; Shthg-Roofing
11.
Ext.; Steps -Doors -Landings
12.
Braced Wall Panels
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
Set s -Easements
oilslS�-mpaction-Structure Stability
a_4-6oi
Structure; Steel -Connections -Thickness
Dec# Men -Lining
Vrflec
, Receptacles and Lighting, Distance-GFI
rec.; Pgol Lighting; 15 Volts-GFI
6.
Ele ., Enclosures; Conduit Entries -Terminals -Listed
lec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8.
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosures- Panelboards-Ins. to Main in Conduit
9.
Health Department Approval
10.
P mb.; Cir. Test -Water Supply Test
20 N Z
Light Niche
Date
Card B-1 Pate Card B-1
Date
Card B-1Date Card 8-1
�� I'hov3,?
./ = OK
0 = Not OK
- = Not Applicable RESIDENTIAL (Single & Duplex)
= Not Ready
Date
80.
Underfloor (Plans) OK except #'s
1.
Zoning -Setbacks -Easements -Flood -Slope
2.
Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3.
Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth
4.
Ftg., Porches & Decks; Soils -Steel-/ P' Ftg. Depth
5.
Stemwalls, Main; Steel- Blockouts-Wrapped
6.
Stemwalls, Garage; Steel-Blockouts-Wrapped
t
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 -Anchors -Regulator -Service Test
12.
Electric Underground
13.
Plenums & Ducts; Clearance -Material -Support -Ins.
14.
Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
15.
Access & Ventilation
Date
16.
Insulation
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card 6-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
17.
Water Htr.; Vent -Access -Combustion Air Baffle
18.
Water Pipe; Test & Anchor -Nail Protection
19
D.W.V.; Test Fittings & Anchor -Nail Protection
20.
Shower Pan; Test, First Floor -Tub Access
21.
Test Tub & Shower, Second Floor -Tub Access
22.
Gas Pipe; Sixe & Anchors
69.
Stairs & Rails
Date
70.
Card B-1 Date Card B-1
Date
71.
Card B-1 Date Card B-1
Date
72.
ELECTRICAL (Permit) OK except #'s
23.
Fixture & Transformer Clearance -Ins. Protection
24.
Elec. Receptacles Spacing -Lights & Switches at Doors
25.
Size Boxes & No. of Conductors Stapled
26.
Romex Installed Close to Edge of Studs & C.J.
27.
Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
28.
2 Appliance Circuits in Kitchen & Conductor Size GFI
29.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI
30.
Range Circle / / ga Cu or Al -Oven Circ. / / ga Cu or At
Insulated Neutral Q Yes Q No
31.
Service -Riser Conductors & Ground Main Disconnect
32.
Equip. Clearances Panels-Motors-Mech. Equip.
33.
Clothes Closet Light -Shower Light -Spa Light
34.
Smoke Detector
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
35.
A.C. Ducts Insulation & Support
36.
Vent Fan, Exhaust above insulation
37.
Condensate Drain & Overflow, Size & Grade
38.
Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet
39.
Attic Access & Platform if Furnace in Attic
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
40.
Sills Proper Materials & Anchors
41.
Walls Studs -Nailing Spacing & Braces -Plates -Sound
42.
Bearing Walls over Girders & Floor Nailing
43.
Draft Stop in Walls (rat proof)
44.
Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
45.
Headers & Beams -Size & Bearinq
•
Date
80.
FRAMING (Continued)
46.
Hangers -Post Caps -Anchors -Connectors
47.
Cling. Joist-Rftr. Ties-Purlin-Rott Brac.-Truss-Shting.-Rfng.
48.
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
49.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
50.
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
51.
Garage Fire Protection Framing
t
52.
Property Line Firewall & Openings
53.
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
54.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
55.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
56.
Siding -Nailing Veneer
57.
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
58.
Glazing Area -Glass Protection -Skylights -Plastic
59.
Shear Walls; Nailing -Bolts
60.
Brace Interior/Exterior Wall Panels
6'.
. Insulation -Walls -Ceilings
Date
62.
Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
63.
Ext. Steps -Door & Sidelight Protection -Landings
64.
Smoke Detector
65.
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
66.
Bedroom Exiting
67.
G.F.I. & Bath Fixtures & Tub Access -Spa
68.
Elec. Trim & Subpanel, Breaker Sizes & Labels
69.
Stairs & Rails
70.
Fireplace or Stove, Clearance -Hearth
71.
Elec. Outlets at Wood Panel, Int. & Ext.
72.
Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance
73.
Elec. Outlets & Receptacles at Kit. Counter
74.
Garage Fire Door; Swing -Landing -Closure
75.
A.C. Duct in Garage -Damper
76.
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
77.
Plb., Elec. & Mech. Equip. Listed for Location
78.
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
79.
Insulation -Foam -Looked in Attic
80.
Guard Rails & Deck Construction -Post Caps
81.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor Q Yes
82.
Following Instld./Drive J Yes J No/Walks J Yes J No/Planters J Yes J No
83.
Stucco Brown -Finish
84.
A.C. Unit Disconnect, Electrical -Plumbing
85.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
t
86.
Water Well, Disconnect, Electrical, Plumbing
87.
Exterior Elec. Trim, G.F.I. Receptacle -Underground
88.
Ventilation Throughout House
89.
Glass Protection
90.
Corrections from Previous Inspections
91.
Gas Test -Meters Tagged, Gas -Electric
92.
Water & Sewer Connected -C/O to Grade -HD Approval
93.
Energy Compliance Certificate -Other Certificates
94.
Address Posted
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:
a
? COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7.Qounty Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 E MIIT/NO.
(Rev. 12/96) APPLICATION AND PERMIT - Q� � `
ASSESSOR PARCEL NUMBER
040-150-0-29
ZONING
Ain
BUILDING PERMIT
OWNER
BOWERSOX RICK
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
. OWNERS MAILING ADDRESS
1541 KOYO LN. DURHA�, CA 95938
' uu
CONTRACTOR'S NAME
ADONIS POOLS
TELEPHONE
CONTRACTORS "UNG ADDRESS
CHTCO
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuatlon $
20,000.00
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$ 207.00
ARCHITECT OR ENGINEERS MAIUNG ADDRESS
Plan Checking Fee
$ 23.00
BUILDINGADDRESS
1541 KOYO IN. DURHAM CA
Energy Plan Checking Fee
$
1
$
PERMIT FEE
$ 250.00
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF IN Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00 15.00
Each gas water heater or vent
15.00,
TYPE OF WORK
New ❑ Addition ❑ Remodel 13 Utilities ❑ Installation ❑ Other
Describe Work: POOL MASTER 507-97
Gas i in stem 1 - 5 outlets
15.00
Buildin sewer
15.00
Mobile Home ISIG W
@20.00
PERMIT FEE
$ 35.0
ELECTRICAL PERMIT
Fling Feel 20.00
Main Service 000V OR LESS
zooA oR LEss
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class "'- L 3 Lic. No. Ai��
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ I have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
workers' � �nc p icy number are:
Carrier
Policy Number� �..
(The above sections not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that If I should become subject to the
workers' compo on provisions of section 3700 of the Labor Code, I shall
forth itF c ¢Lrt sie
ate _
ftTfaiture of Applicant - Owner 11 ArContractor ❑ Agent
An OSHA permit is required for excavatio s over 60" deep and demolition or construction
of structures over 3 stories in height.
Main Service 200A TO 1000A 46.00
NEW CONST. DWELLING OCCUR SO
( 3.5¢FT:
ORNEW
CONS.
MUACCQa�
NOIµRESID. C
@7.50
POWER APPARATUS
8 SINGLE OtlILET CIR.
EX. OCCU OUTLET OR FIXTURES 200 1.00
SAL @ .so
Ex. Occup.. ounETs REM.OEA.
5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
P00 30.00
PERMIT FEE $ 50.00
MECHANICAL PERMIT Fling Fee 1 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FETE $
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $ 335.00
HAZ.
D FEES IMP
FLOOD
cDF PARCEL
PD
HD
ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
kate (Q [
ks6
ate
Receipt No. -Q
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
-;. lz-• •.r "Q,n^•yar .: s. ;•��... f �••:.� -1��: '`A:�•"`-5•'-ci;�'�F�'r��„s!c•r�,.. ;'7�.r :3 -
COUNTY OF_.BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES -.BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530y 538-7541
k
PERMIT APPLICATION DATA SHEET
OWNER: _ A., 4 &✓64-.�,or ASSESSOR PARCEL NUMBER: Y'0 '-' Ifo - Z-7 '
Proposed Building Use: hs,* l . 5-C> 7 - j Building Inspector: �✓ Date: 6F a -9, -
At time of permit application -1was advised the following data must be submitted prior to permit processing and/or issuance:
Date Received By
❑ 1. All items have been submitted --------------------------------------------------------------------------------------
02. Plot plans, 3/4 sets, signed by the preparer of plans. ------
03. Complete plans, 3/4 sets, signed by the preparer of plans.
❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------
❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------
❑ 6. Energy Design Compliance and supporting documentation. ----------------------------------1 _-------------
❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ------ ---------------------------------------------------
❑ 8. Hazardous Material Form. ----- -------------------------------------------------------------------
El 9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------
❑ 10. Fees of $-------------------------------------------------------------------------------------
❑ 1 . :pact fees as shown on the attached schedule. ---------------------
fornia Department of Forestry plan approval/fees---------`-----
Fl elevation certificate. ---------------------------------------------
tion and plot plan approval Health Department.
r ' � 15. City of Chico plumbing permit. ---------------------------------------
t ❑ 16.'Plot plan and business license approval from the City of Biggs. ---
1117.
--
❑17. Planning approval for (A) Use: C31l!cF;;, (B) Parking: _
❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainag� egal Parcel.
1119. Encroachment Permit for driveway (construction approval prior to occupancy). --
020. Pre -inspection for
required. Request to Building Inspector on
❑21. Contractor's license information. (Number, Name Style, Classification).
022. Workers' Compensation carrier and policy number. -----------------------
023. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). --
❑24. Letter of signature authorization. ------------------------------
025. Recorded copy of Agricultural Acknowledgment Statement.
026. Letter of intent on building use. ------------------------1.1' -
027. Manufactured Home utility clearance. -------------------------
1128. Existing violations and/or expired permits. -------------------
❑29. 11433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D
❑30. Other:
rekyou issue the ermitas follows 11 Mail to owner, OM.4* to contractor.
8TTelephone K1 //77 and hold for pickup at C!// GG off
Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire
Copy of plans sent ❑ Health Department, ❑ Fire Departrr.
i
Pollution Date: By:
Date: By:
1. Index permit application for the above items numbered: ❑ Plan Check List
2 al items required:
4:
Contrac , designer, owner, was advised of the above required data by�Gphone, ❑ mail, ❑ Building Division counter, bN�4 Dater/ -O
ntractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building.Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was sed of the above. data by ❑ phone, ❑ mail, ❑ Building D' i ion counter, by Date:
Plans reviewed by: Date: Plans approved by: Date:
Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. old Note transfer by: Date:
von,,.,, r,..... r�e..........,,..� ,.on,._._,__-__• �---=--- + . :+: ,�
D
(Date)
Q
E.H. USE ONLY
Plot Plan Attached
' Floor Plan Attached
Sant to B.O. /
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
- l
Owner Location AP#
Plan Approved for: Sewage Disposal Water Supply: Public Private Well
Clearance for dwelling. Other
Hold final for:
Final clearance O.K. for:
NOTE:
r
Environmental Health Specialist
8/96.
-5�
tv,�e
Date
d ,
FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077
NATIONAL:FLOOD INSURANCE PROGRAM Expires July 31, 2002
ELEVATION CERTIFICATE
{' Important: Read the instructions on pages 1 - 7.
SECTION A -PROPERTY OWNER INFORMATION L "
" E'orfnsurance:.ComPany_Us................ [
8 .DING OWNER'S NAME Policy Number
'136whf .s�i
BUILDING T ET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. :CompaiiyNAIC Number:::: »>;':;;
oYe L4" e
CITY STATE ZIP CODE
PROPERTY e
Lot and Block N
OESCRI TION umbrs, Tax Parcel Number, Legal Description, etc.)
o�o� �5f oz� "
BUILDING USE (e.g.,^^R,^esidential, Nan -residential Addition, Accessory, etc. Use Comments section if necessary.)
ht�C _Z5:_2. 0C
LATITUDE/LONGITUOE (OPTIONAL) HORIZONTAL DATUM. SOURCE: LJ GPS (Type):
NAD 1927 : Lf NAD 1983 LJ USG Quad Map Li Other.
SECTION B —FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP COMMUNITY NAME 8 COMMUNITY NUMBER 82. COUNTY NAME B3. STATE
B4. MAP AND PANEL
85. SUFFIX
86. FIRM INDEX
67. FIRM PANEL
88. FLOOD •_
.89. BASE FLOOD ELEVATIONS)
NUMBER
0060
2,�
ATE
EF E TIV REVISED DATE
��
ONE(Sj
(Zone AO, use depth of flooding)
��1,'
r.
B10. Indicate the source of the Base Flood Elevation (BFE:) data or base. flood depth entered in 89.
LJ FIS Profile IYQ FIRM Lj CommuniDetermined J Other (Describe):
B11. Indicate the elevatio datum used for the BFE in B9. -t ' („NGVD 1929 'I 1 NAVD 1988 1 1 Othar (Describe):
.7..
- 812 l t e-buiiding-located in a'Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? �� Yes No -�<I
Designation Date:
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on: Construction Drawings' UBuilding Under Construction- �lFinished Construction
'A new Elevation Certificate will arequired when construction of the building is complete.
C2. Building Diagram Number TS elect the building diagram most similar to the building for which this certificate is being completed - see
pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.)
C3. Elevations — Zones Al -A30,44 AH, A (with BFE), VE, V1430, V (with BFE), AR, AR/A, AR/AE, AR/A1-A30, AR/AH, AR/AO
Complete Items C3a-i below according to the building diagram specified in Item C2. State the datum used. If the datum is different from
the datum used for the BFE in Section B, convert the datum to that used forthe BFE. Show field measurements and datum conversion
a calculation. Use the space provided or the Comments area of Section D or Section G, as appropriate, to document the datum conversion.
i Datum �il`90 Conversion/Comments
Elevation reference mark used Does the elevation reference mark used appear on the.FIRM?-; d - Yes L_I No
r r;- . .
Q a) Top of bottom floor (including basement or enclosure) _ ft.(m), a QQ`�yr ►-u�l��/
0 b) Top•of next higher floor _ ft,(m)
Q c) Bottom of lowest horizontal structural member (V Tones only) _ ft.(m)
Q d) Attached garage (top of slab) _ ft.(m) Exp.f
€ �' ' 3
elevation of machinery and/or equipment W °
0 e) Lowest 53c Z
servicing the building �2. 7— ft.(m) u: �� rm
NO- �^ ,3
Q f) Lowest adjacent grade (LAG)•• / 8 ft -(m) z !i
r, 0 g) Highest adjacent grade (HAG) _ ft.(m)
0 h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade+Vtt �►�
T
0 i) Total area of all permanent openings (flood vents) in C3h sq. in. (sq. cm) (7fi
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify, elevation information.
=1 certify that the information in Sections A, 8, and C on this certificate represents my best efforts to interpret the data available.
i understand that anv false statement may be punishable by fine or imrrisonment un^ , g r r S C^^s Sectio^ ,00.
�rti iricrt rvhmc� 1 s ������ LIC cNSc NUMBF-H � / ,ppv..2
TITLE//'a�l�L C�AG,f'7r�f�� � !�S•�++p�--+ .�
ADDRESS '.��%/Nv l°S/J TE C? �9 Q7
• SIGNATURE 9 j2 l JG / 3�HQfV,/�+�
�,tA Fnnn A1_'31 At IIr. QQQ CSF PPS/FRCP .ginP Gr)P r nNNTINI IATInNJ RGPI AAr.P.q Al I PPPr-vlrlt IC F:nITIONC
'RE.. I N AL
40O 93-466 BPEM
- -i5-6-029
BOWERSOX, RANDY & DEBRA
9552 ESQUON RD., DURHAM
REMODEL KITCHEN/
3 - Z-
i.
0,J 4&'-C S---)
tv
JOB FINALED (Date)
Signature
A/
_
V=OK(%
O = Not OK
-
-=Not Applicable,
' _ Readyeady'
MOBILE HOMES
` of
Date/Initials
MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
r'
2. Soils; Special MH Support Sketch
��✓
3. Sewer; Location -Test -Fall -C/O Concrete
4. Water; Location -Teat -Easement Needed (Sketch)
S. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Teat -Wrap: / /"L"ft.
/ /"Net. or/ P'L"ft./ /'LPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date/Initials MOBILE NOME 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 -Fell -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
MM
MISCELLANEOUS
Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists-Decking-Bracing-Stalrs-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; Siis-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date/Initials POOLS (Plane) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.;Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards- Ins. to Mein in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
`1 t
V=OK
O=Not OK
= Not Applicable
= Not Ready
I
RESIDENTIAL
Date/Initials UNDERFLOOR (Plans) OK except #'s
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils-Elec. Grnd.-/ P' 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-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Plenums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. Insulation
Date/Initials PLUMBING (Permit) OK except #'s
46. Weis 4 tr.; Vent -Access -Combustion Air -Baffle
1r. meter Pipe; Test & Anchor -Neil Protection
10, D.W.V.; Test -Fittings & Anchor-Naii Protection
ower an; Test, First Floor -Tub Access
'- 10 TR Tub & Shower, Second Floor -Tub Access
-�rii&S'*ipe; Size & Anchors
Date/initials ELECTRICAL (Permit) OK except #'s
mature & Transformer Clearance -Ins. Protection
-.13-Elec. Receptacles Spacing -Lights & Switches at Doors
AWSize Boxes & No. of Conductors -Stapled
12t1-Romex Installed Close to Edge of Studs & C.J.
-26 -Equip. Ground made up w/Meth. Fastners-Bond Gas & Water
2, &Appliance Circuts in Kitchen & Conductor Size/GFI
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga.
Cu r Al
7y; ya� nge Circ. / / ga. Cu orBAI-oven Circ. / ga. Cu or AI.
Insulated Neutral *ges ❑ No
rSO."9erviee-Riser Conductors & Ground -Main Disconnect
-Equip. Clearances Panels -Motors -Meth. Equip.
-22 -Clothes Closet Light -Shower Light -Spa Light
r�
3 . Smoke Detector
A'_ c
Ddlefinifiiiii MECHANICAL (Permit) OK except #'s
34. A. . Ducts Insulation & Support
ent Fan; Exhaust above insulation 2
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
uaiennmais FRAMING (Plans) OK except #'s
"99. -SM, Proper Material & Anchors
140 -Wells Studs -Nailing, Spacing & Bracing -Plates -Sound
4 -(taring Walls over Girders & Floor Nailing
49 -graft Stop in Wells (rat proof)
WFire Stops; Furred Ceilings -Stairs -Chases -Tub
t'.Mders & Beam -Size & Bearing
- o lL
Single & Duplex) �`. 4)
Date/Initials FRAMING (Continued)
45. gers-Post Caps -Anchors -Connectors
Cing. Joist-Rftr. ties-Purlin-roof Bac-Tr s-Shthng.-Rfng.
replace Ties or Type A Flue -Fireplace Throat clearance
A& -Attie Access; Size & Romex Protection -Draft Stop -Ins. Baffles
--49. Berm. Windows or Exiting Doors -Sill Hgt. & Dimensions
�5411.-�rage Fire Protection Framing
51-PrCro'erty Line Firewall & Openings
-62--M. Doors -One 3' -Check Garage -3rd Story, 2 Exits
--- 52rStairs; Width -Headroom -Rise -Run -Landing -Fire Protection
t33""ptWmod on Roof Overhang -Attic Vents -Rafter Outriggers
--Siding-Nailing Veneer
' 56-5� Mesh -Drip Screed -Fd. Vents-Underflr. Access
a ing Area -Glass Protection -Skylights -Plastic
. 5tv Shear Walls; Nailing-Bolts
-6t.-Thsulation-Walls-Ceilings
Infiltration -Walls -Windows
Date/Initials FINAL (Plans) OK except #'s
X61 -E9* Steps -Door & S!delight Protection -Landings
b 1 n CO. Smoke Detector
'Vj--uur-nace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Mach. Protection
--64"t38ttroom Exiting
-65, -C -EJ_& Bath Fixtures & Tub Access -Spa
66.-EWc_Zrim & Subpanel; Breaker Sizes & Labels
-ZZ-6ta frg-rRai Is
WFireplace or Stove; Clearances -Hearth
. PC. Outlets at Wood Panel; Int & Ext
70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
JJ-..,Elec. Outlets & Receptacles at Kit. Counter
7? Garage Fire Door; Swing -Landing -Closer
73-'4-C. Duct in Garage -Damper
-7-J&L_Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage; Above Floor -Mach. Protection
7lec. & Mach. Equip Listed for Location
70,41ec. Receptacles in Garage; (G.F.I.)-Romex Protection
-?7:-insulation-Foam-Looked in Attic ❑ Yes
76 --Guard Rails & Deck Construction -Post Caps
7,9-Rdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
9& -Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ No
-&I--Stucco; Brown -Finish
A.C. Unit; Disconnect, Electrical, Plumbing
_)P -Vents Above Roof; Plbg -Appliance-Fireplace.-Clearance to
Openings
as Water Well; Disconnect, Electrical, Plumbing
.86 -Exterior Elec. Trim; G.F.I. Receptacle -Underground
@6!Gentilation Throughout House
-81<-el- Protection
46'Corrections from Previous Inspections
l 69. G s Test -Meters Tagged; Gas -Electric
-*G.- later & Sewer Connected -C/O to Grade -HD Approval
-v9t-P_nergy Compliance Certificate -Other Certificates
Comments at Final:
U r z♦
- n n
In L
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
• 7 County Center Drive - Oroville,'California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT n6
ASSESSOR PARCEL NUMBER
040-150-029
ZONING
A-10
BUILDING PERMIT
OWNER
ebra Bowersox
Rand�ING
TELEPHONE
343-4058
SQ.FT. OCC. BUILDING VALUATION
OWNER'S MAI S
ADDRES
9552 uon Rd. Durham 95938
Est. 3,000.00
•Ss
CONTRACTORN ME
Owner
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ ,
LENDER'S MAILING ADDRESS
Filing Fee
$ 15.00
Permit Fee
$ 45.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 22.50
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty
$
BUILDING ADDRESS
Permit fee
$ 82.50
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
1 5.00 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❑ Mob ilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
1 1 5.001 5,00
Building sewer
15.00
Mobile Home S I G I W
@ 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel EJ Utilities ❑ Installation❑ Other ❑
Describe work: New Valted Truss over Kitchen and
New Gas Range and Sink
Permit Fee
$ 25.00
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 200AORLESS
18.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under p
prOVISIOnS Of Cha t. 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-
A(sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
El 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 IOOOAI
37.50
NEW CONST. ( DWELLING OCCUP.�\
DR ACDNS. ACC. BLDGS. I
3.66 sq.ft.
NEW CONSTRESID. U NCH TLET
NO N•R ESIO BRANCH CIRC ITS
CIRCUITS)
1 @ 5.001 5.00
POWER APPARATUS &)
SINGLE OUTLET CIR.
Ex. OCcup(OUTLETS OR FIXTURES
20 76
FIXED A
LNS Ex. OCCUp. OUTLETS PIRESID•IREA.)
1 3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
-15.00
[, I
Permit Fee
$ 20.00
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.
jp( I shall not employ any person in any manner so as to become subject
AYE\' 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
1 6.50 6.50
Ventilation
Permit Fee
$ 21.50
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in con equence of the granting of this permit.
X Date�r'�, —
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 S
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $ 149.00
HAz
11 FEES
`
IMP
FLOOD
CDF
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
EC OR PUBLIC
By PERMIT EXPIRES Date _
applicable provi-
resolutions to do
have been paid.
WORKS
Date 3
3— -J .g
Receipt No. 1351477
SFSS
WHITE-O.P.W.. YELLOW-AS8[930R, PINK -INSPECTOR, GOLDENROD -APPLICANT
kj-r:S.•'moi.„_T�vr+'`...,-�Y.,i'+�-'��'�`tib'r'v.`�`y"W`'F.i'i��'y�;Tii.y�v.,a-...���.'SQA:.-:�IV�-'.�,,,'�:V`4"°'�, •'^
COUNTY OF BUTTE
BUILDING DIVISION
DEPAR TIENT OF DEVEL60hfENT SERVICES
i.
1469 Humboldt Road, Chico, CA - (916) 891-2751 {
7 CaantV Center Drive, 6oville, CA - (916) 538-7541
747 Mott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
71 W4
PERMIT NO. -
WnmAir®iim ma3finnimllicates that the following violations of Butte County Ordinances exist at
tfmalbmQa3sdbH amds3hovad he corrected. Please notify this office when correction of work
iisenmgihl MIMI aseasryquestions pertaining to this matter, or need additional explanation,
gihame Wn aM knrtrediately.
t LO WA (:1 t't4 .
j
+r
DamInspector /ot 2l•
Tr '
RFK/ 112M
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Croville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
ORRECTION NOTICE
OWNER PERMIT NO.
A routine inspe�ndicates that the following violations of Butte County Ordinances exist at
the above a9fess and should be corrected. Please notify this office when correction of work
is comple . If you have any questions pertaining to this matter, or need additional explanation, a
pleas.. ntact this off ce immedia y.
�cta � e .� 3^ -4kG V 4S . '
e''
,1
4k*— C!I
• �r .0 - O_ / i A
Date L11 ( Inspector
REV 10/92
SMOKE DETECTOR INSTALLATION CERTIFICATE
BUILDING OWNER_ 190w�£AJ-D r PERMIT# 93- q+ 6
BUILDING LOCATION 9-5-372— h S Q V ow
Qyo- Ku- azo
When the valuation of an addition, alteration or repair to a Group R Occupancy(dwelling
units, hotels and apartment houses,) exceeds $1,000 and a permit is required, or when one or
more sleeping rooms are added or created in.existing Group R Occupancies, smoke detectors
shall be installed in accordance with the 1991 Uniform Building Code, section 1210 (a).
In general, section 1210 (a) specifies that -in new construction a smoke detector be installed
in:
(1) Each sleeping room, and at a point centrally located in the corridor or area giving
access to each separate sleeping area. Where the ceiling height of a room open
to the hallway serving the bedrooms exceeds that of the hallway by twenty-four
(24) inches or more, smoke detectors shall be installed in the hallway and in the
adjacent room.
(2) In each story and in basements, and on each level containing a sleeping area. .
Such detector(s) shall receive their primary power from the building wiring and be equipped
with a battery backup.
When the valuation of an addition, alteration or repair to a residence exceeds $1000 and a
permit is required, smoke detectors shall be installed in each existing sleeping room, and
centrally located within each sleeping area if one is not currently installed. Such detectors
may be solely battery operated. k,
A repair, alteration or addition applies to a deck addition, wood stove installation, re -roof,
vinyl or aluminum siding, and remodel or' additional square footage to an existing residence.
6
Declaration
I hereby certify that the above smoke detector (s) were installed in the building at the above
location in conformance with the 1991 Uniform Building Code, section 1210 (a).
. 1
Building C ntractor/Owner (Please Print) ; State Contractors License No.
This completed certificate must be provided to,the building department prior to final.
t^� .. . -. �e+v+�-'*rr +.ajiv�+-� �r 'K- -r.w •- ' - • - � - � _�,�r,- %� i';���r.'-9'7't°.n�"Y"""
_--
i p
COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 TELEPHONE (916) 538-7541
1 C,
PERMIT APPLICATION DATA SHEET
OWNER A. P. No. - 0, OZ
Proposed Building Use i Giv lle� a •.. Building Inspector (ec'7 Date _ gg S
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 flood) by California Engineer . .:................ .
14. Sanitation and plot plan approval Health Department . ............
15. City of Chico plumbing permit . .........................................
16. Plot plan and business license approval from City of Biggs/Gridley. .............
17. Planning approval for (A) Use: (B) Parking:
18. Contact Land Development about (A) Improvements (B) Drainage. .......... .
19. Driveway permit (construction approval required prior to occupancy). .. . .
20. Pre -inspection for wea Building i°" re 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 check list . .................................................... .
33.
34.
Wh "ou issue the permit, process as follows: Mail to owner. Mail to contractor.
,/ Telephone - 61(? and hold for pickup at C A office. Deliver with inspector.
Other
Parcel Creation
Acreage Applicant Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Dat
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 CAO- Date 017f 7f Plans approved by C L Date Y-2/0
0
Sets of plans on hold in File cabinet ✓ AP folder N� re tray,,.. s 0"r,L C44 3 Z X3
- Copy - Department of Public Works
COUNTY OF BUTTE - Department 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)
2. I (have/have.not)' A signed an application for a building permit
for the proposed work."
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address _ City
Phone Contractors License No.
4. I plan to provide portions of this work, but I have hired the following person
to coordinate, supervise, and provide the major work:
Name
Address City
Phone .. Contractors License No.
5. I will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name Address . Phone Type of .Work
Signed:��
Property Owner
r Social Security Number
Date
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
--- 19832 -of the California Health and -Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
i7
.iii ' • '
FLOOD PLAIN DECLARATION
I declare the actual value of the proposed construction work under build-
ing permit application at 9552 �0 UdAJ XD DU �1��%✓'?
A.P. # OgO-156-029 for
4e�t oal/e
not equal or exceed the definition of "Substantial Improvement."*
does
I am aware the building site is.in a flood -plain area, even though I
am not4 required to comply with the flood plain management criteria.
PROPERTY OWNER )I&A -1
ADDRESS P
PHONE NO.
DATE
*Substantial improvement is defined as follows: Any repair, reconstruc-
tion, or improvement of a structure, the cost of which equals or exceeds
50% of the market value of the structure either, (a) before the improvement
or repair is started, or (b) if the structure has been damaged, and is being
restored, before the damage occurred.
NOTE: Documentation may be required to substantiate costs.
This -set of plana and speciSoatioae MUST tie dUTTE COUNTY
kVt On the job at all times and It is unlawful to
Mbsks MW Ohanges or alteration on same without Pubno BUILDING DEPARTMENT1R'ltttm Permission mom tU D of
Warm, County of Butte. NOM: All Materials 8? Workmanship Shan Be In f1 P P TC � V'
Aawrdance with Recognized Good Practices and
i of a QueliV Prescribed for the Specified use C/
in. the Uniform Building, Plumbing & Mechanicaj C A A t.
Godes andthe Kational Electrisrgl Cpsie, F% LF
Pt• Cgs'
N
i
wEct
I
P1PvPetED Dw�ct
.� SeK�c
SSIW#
1
I
J
TI±
Iv
O,
I
I
I
I �
�
This -set of plana and speciSoatioae MUST tie dUTTE COUNTY
kVt On the job at all times and It is unlawful to
Mbsks MW Ohanges or alteration on same without Pubno BUILDING DEPARTMENT1R'ltttm Permission mom tU D of
Warm, County of Butte. NOM: All Materials 8? Workmanship Shan Be In f1 P P TC � V'
Aawrdance with Recognized Good Practices and
i of a QueliV Prescribed for the Specified use C/
in. the Uniform Building, Plumbing & Mechanicaj C A A t.
Godes andthe Kational Electrisrgl Cpsie, F% LF
IONGIFEILLOW LUMBER COo ENCO
o Quality Truss design
o Roof & ]Floor Systems
89 Loren Avenue
Chico, CA 95928-7434
(916) 893-0112 FAX (916) 893-0140
Customer:
Address:
AP#:
Job No:
Alpine Engineered Products, Inc.
Christian Chappel
8351 Rovana Circle
Sacramento, CA 95828-2522
(916) 387-0116
111UUNOILTAaoil 101601UmeIIGL®:
TOP CHORD 2X4 FIR -LARCH #1
BOT CHORD 2X4 FIR -LARCH E1
N NESS 2X4 FIR -LARCH Standard
a CONNECTOR PLATES MUST BE INSTALLED IN ACCORDANCE WITH
REQUIREMENTS OF I.C.B.O. RESEARCH REPORT #2949.
ALL TOP CHORD SPLICES OCCURRING BETWEEN
PANEL POINTS ARE TO BE LOCATED AT APPROXIMATELY
1/4 OF PANEL LENGTH FROM PANEL POINT (WITHIN 121 AND
SHOULD NOT OCCUR IN PANELS NEXT TO A PANEL POINT SPLICE.
A RIGID CEILING OR CONTINUOUS LATERAL BRACING AT 72' O.C.
MUST BE PROPERLY ATTACHED TO THE BOTTOM CHORD.
ua3
m
T= C G G
= C
o c
o 0
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11 AFHCED PLTf000 VILUXP1% 810777# ppg��
@!6706 PER O UMM 130. 1950 I IIOA-i. 0631101 S74061OQ
o
WTRUSS
0 0 o I= c o
2.5X4 (Al)
R-2671 N- 3.50-
L -R: 0.29 6.23 12.00 18.00 20.25
BC X -LOC L -R: 0.29 6.23 12.00 18.00 20.25
(U) BOTTOM CHORD CHECKED FOR 10 PSF LIVE LOAD.
SHIM ALL SUPPORTS TO SOLID BEARING.
TOP CHORD SHALL BE LATERALLY BRACED WITH PROPERLY CONNECTED
PURLINS SPACED AT A MAXIMM OF 24' O.C.
CONNECTOR PLATES OESIGNEO FOR GREEN LUMBER PER NOS
TABLE 9.18.
2.5X4 3X4 3X4
4.00L/
2X4
04
3X4
14-3-
18-0-0
20-6-8 OVER 3
8-6601 110 5.50'
*X IMPORTANTIM �i N'soa:ls
103M CKTRM
WARNING u L no
C09 M FPM ME OESIOI 0! IW=03190M TC03190M N N1
:
DMWDC. AEE MA -91 81 IDI. SR IID IESM
FAC.I31610 "fl Rf 731777 III tOIEQRYSCE f[1M 067fN M 1012
FOR AIDTTIONII Of67AL F6E1mm d1A0TM R
ALDU! COIa:CmR4 AIQ an of 200A ski. UM MEI DO ASM
SAVE1BQi MISS 0111MIM ILICATEL FOP
NAC 01 A CO: PI AS MOTtO. RAL1 COMECUM TO EACH FACE 0l
COW OWL W LAWOUV NACI! RTf MOEM
FERE"%man aWrALM TDCITEN ON TMS OISIOL F09"(W
11 AFHCED PLTf000 VILUXP1% 810777# ppg��
@!6706 PER O UMM 130. 1950 I IIOA-i. 0631101 S74061OQ
4101 POWEILT ALIU04M 017070 Colli —
C&I'm R/RPLmme w0I73706 or WN I IN. All UGOM'S
ANN T6 UM& upoic cyllp" m own
UAL OR TICS 0=311 {PKIEs TO Tit COli01[Nt OEFIOIlD 1EA[
grea 1 RPL ICU 101 fof173M A CI►Y K TRIS
In 611. AM WILL SOT U BCLRO W08 1H AM 07101 q1_ I
OE9511111 TD TrE 96212 bm Im lafut"Im.
w...m ..-m nix -a rtertr. wM . If9I knmuL 01110
SPIMMIUTION FM #000 CN6fACnC1
2-6-8
5-5-12
R-4229 W- 3.50'
REV 15.6.5 SCALE - 0.
S
a
NaBp�J6sS
Exp. 630.93 t
_r
DESIGN CRIT: USC
REF R427-
TC LL 16.0 PSF
C DL 10.0 PSF
OL (U) 5.O,,PSF
T.LD. 31.0 PSF
DATE 01/0
DRW5 CAU0427
CA -Em FSD.
0/A LEN. 20,
OUR.FAC. 1.25
SPACING 24.0' ITYPE
SPEC
90006002
R1 bGiL4119—P F.7nVf1ry�V1�._�rr�.
l-1'1'1 CUTTIN8 6ACK THE �ii6INAt MEMBERS -AND -INSERTING NEW
(NEMBEAS ATTACHED--W-ITH- P_t.YNO_OD GUSSETS ON £ACH FE ACA'
PE
n. SCIFIEO.J
(MI NEN NBSER 2X4 02 FIR -LARCH.
(P)5/e' PLYNOOD GUSSETS. PP Yw000'IS`TO"8E-APA-SPAN`
$FlOVP'.3`CLASSIFICATION POSURE 11. FASTEN ONE
TO EACH -PACE OF TRUSS WITH EQUALLY SPACED 60 COM
NAILS IN CHS AND `WEB MEMBERS. CIRCLED NUMBERS
THE-MIHIK8IM.NUMQER_OF NAILS REQUIRED_WHERE SH01fN
EDGE DISTANCES. END DISTANCES AND SPACIN55 FUH NPLiiS
SHALL. BE SUF_F.ICIENT TO PREVENT SPLITTING -OF THE-KODD.
(A) 1X4 13 Hee-Fir or better continuous lateral bracing to be
equally spaced. Attach with 2-8d nails. Bracing material to be
supplied and attached at both. ends to. a. suitable support
erection Contractor.
3.045.679
NOTE: SEE ORAWING°CAUSR427-93006002 FOR LUMBER. PLATES AND
OTHER DATA NOT SHMM HERE -
(P) 12X12'
.. TRIM
(P) 12°X18"
0
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i
5 5
3
5�1
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12X16°
(M)
6
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(P)
12 12 5
TRIM
5
TAIMX16•
2
5-6-8
2-8-8
510-0
+----
REV f8.6.5 SCALE - 0.
C= 0 0 o C= o
SEON-- 14423
aviw aturatmU RUMV, aQ
*IMPORTANT*Lf ottu war ac acveaamm F m aalr
Dtsyss MAIM pTaE1e cmcf
WARNING Ts saaau>At nccram no
OESIBN CRIT: UBC
REF 8427--91
16.0 PSF
DATE 01 /0
aYuuca .Dot nae Cara �+ TttpE Yacsss:nreaa m wr
MUSE W arca be vv" m eunanaeE Wx tasTsa er Ml
vo=te. s>c 1 m -m er t°i. act r� °�T°' y
rOR 1WtnacrL wLGj1I Pr/llYtr6 ro1ecm s S"i
TC LL
C 10.0 PSF
�iYl$ 3445.
Z
xrnE oosrsaoas meaocau uu. sT� NW10 AM
awe w A taut 1, Mt= MKTselurraas »taw Hoot v
W910"M alua Dneurst
Cao aaa is uruluY iatoco urs
No. COMO
� �(U) 5.0 PSF
CA-EN6� P.3
ATRUSS
Nun oe ram Gomm uura o MM MUM rD57tta1
mrcran gogmaealas UR taa a nn -r. a:sTo1 sma+an
tY uumm OLMM NNATnaa 10""
snw MPOM AT== Ram CEUZW - act
.. 6 3P93
OT LO. 31.0 PSF
0/A LEN. 20'
oa, a" w,0,UMC mWnMa s tsa c TM. as wanml's
sm si M, eWXM _ T. _ att W— pc I— WK
1111.
n.ac Tottarul. 0"16 vist=a rat novo=
olmena. 1na:nnm. rwma A acr a T1s=
arsla to 04 Tsuaa ORttm W991ACTdtSPACING
'
DUR.fAC. 1.25
REPAIR
°
p our AM saga 10T 8E WUtf smt nt 1ta CDA
I
24.0
TYPE
t= O O O O Q
_. _ .�........�...... - toN w1Ttflaa MHU
j94Mf=AX1 M Pon SMCOblalLftal
TTP COUNTY
NG DEPARTMEI
yADPROVEIC q66
I� .49" �:�'r
AR
..GPM. in lc[Whbn, bathroome, garage, and
exteflor auae.ts per Art. 210-8 NEC. rfp.
No r 101A. ✓ c1.1.6cKrj
61141-C. co/,so/Y,
Li IF-,-/ /d. 4 - C. /90 e j, .
I
040-1 TO 144fu l- 0
bolo . D
,g�T�6�47Z
PERMIT NO. 2860-86B,P,E2M
PERMIT EXPIRES 19 A�
"^ I
OWNER
RANDY BOWERSOX
CONTR. Joe Smith
ASSESSOR PARCEL 40-15-29
LOCATION 9552 Esquon Rd, Durham
OFFICE COPY
Address
Y
Meter By Date
ELECTRI /�
Meter By Dates i
V,
rr
Temp. Power Pole
• Called PG&E
i
f Temp. Elec. Service
i
Called PG&E
' Temp. Gas Service
Cal led PG&E
f
JOB FINALED (Date)
�) Signature
l
I
JOK
0 = Not OK
= Not Applicable
* = Not Ready
MOBILEHOMES
e
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
lig
2. Soils; Special MH Support -Sketch
3. Sewer; Location -Test -Fall -C/0 -Concrete
_
2. Footings; Size -Depth -Spacing -Connectors _
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
.a
4. Water; Location -Test -Easement Needed (Sketch)
2
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rf,g.-Bracing
Y+
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat.or/ /"L" ft./ /"LPG
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Card -BI
Date
Date Card -BI Date
POOLS (Plans) OK except #'s
1, Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
3. Pool Structure; Steel -Connections -Thickness -Dead' Men -Lining
4, Elec.; Receptacles and Lighting; Distances-GFI
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected -C/0 to Grade -HD Approval
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
B. Gas and Electricity Tagged
6. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
I
C_
A
lig
.a
2
Y+
'
I
C_
C_
V = OK
0 =+Not OK ,
Not Applicable RESIDENTIAV(Single and Duplex)
= Not Ready
Date
UN RFLOOR Plans OK exce tq's
Date FRAMContinued)
7eoning requirements -Setbacks -Easements
. Pr rty Line Firewall & Openings
F g., Main; Soils-Steel-*4wc Qw4iGL- //'z,/" Ftg. Depth
46,,<xt. Doors -One 3' -Check Garage -3rd story, 2 exits
Ftg., Garage; Soils -Steel- / 121" Ftg. Depth
.50. 6 ' s; Width -Headroom -Rise -Run -Landing -Fire Protection
Porches & Decks; Soils -Steel- / /" Ftg. Depth
PI)twood on Roof Overhang -Attic Vents -Rafter Outriggers
q C mwalls, Main; Steel-Blockouts-Wrapped-Slab
g -Na iling-veneer
temwalls, Garage; Steel-Blockouts-Wrapped-Slab
e� . Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
Piers_
-F'
lazing Area -Glass Protection -Skylights -Plastic r
8. D:W.V. Fall F' In Test -2 way C/0 ewer Test
Shear Walls; Nailing -Bolts
9. Gas Pipe; Size- nchors
10. Water Pipe; Test -Anchors -Regulator -Service Test
11. Electric; Underground
12. Plenums & Ducts; Clearance -Material -Support -Ins.
13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI Date tCard-BI Date
_
-
Card -BI Date Card -BI Date
Card -BI Date ` ` Card -BI Date
Card -BI
_ Date ID S Card -BI Date
Date FIN (Plans) OK except q's
Card -BI Date 42,1jrjy, Card -BI Date
Date
PLUMBING (Permit) OK exce 's
EM. Steps -Door & Sidelight Protection -Landings +'
. §jpoke Detector
Card -BI
Card -BI
14. Water Ht.: Vent -Acte- b
15. Water Pipe; Test Anchors-
16. D.W.V.: Test tt & Anchors -N Rn
4ti- SR6wer Pan: Test, First Floor -Tub Access
-fa-Tryst Tub & Shower, 2nd Floor -Tub Access
&--Gas Pipe: Size & Anchors
Date _ Card -BI Date
Date Card -BI Date
. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Meeh. Protection
697 -bedroom Exiting
G.F.I. & Bath'Fixtures & Tub Access
. Elec. Trim & Subpanel; Breaker Sizes- bels
stairs & Rails
63. Fireplace or Stove; Clearances -Hearth
ec. Outlets at Wood Panel; Int. & Ext.
• Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Elec. Outlets & Receptacles at Kit. Counter
Date
ELECTRICAL Permit OK except q's
Garage Fire Door; Swing -Landing -Closer
55-A.C. Duct in Garage -Damper
$
'
Card B•I
Card B -I
20. xture & Transformer Clearance -Ins. Protection
Elec. Receptacles Spacing -Lights & Switches at Doors
22. Size Boxes & No. of Conductors -Stapled
23. Romex Installed Close to Edge of Studs & C.J.
24. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water
v 25. 2 Appliance Circuits in Kitchen & Conductor Size
26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al4 _ _._
27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or AI,
-
Insulated Neutral Yes �No
28. Service -Riser Conductors & Ground -Main Disconnect -
29. Equip. Clearances: Panets-Motors-Mech. Equip. —_ _
30. Clothes Closet Light -Shower Light -
------ ---
Date Card BI Date
- Dale Card -BI Date
69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor -Meth. Protection
70. Plb., Elec. & Mech. Equip. Listed for Location
p ec. Receptacles in Garage; F.I.)-Romex Protec.
Insulation -Foam -Looked in Attic ❑Yes
-
-?3-Guard Rails & Deck Construction -Post Caps
. Fdn. Vents & Crawl !-tole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
ollowin tnstld.: Dr.'ve
g ' - C Yes ; Walks C Yes o;
_Planters ❑ 0
Stucco; B" n-Fi h 2
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
Venis Above Roof; Plbg.-Appliance Fir Clearance to Opngs.
79. jtater Well; Disconnect, Electrical, Plumbing
exterior Elec. Trim; G.F.I. Receptacle -Underground
81. Ventilation throughout House
Glass Pro tion
Date
EC NICAL (Permit) OK except H's
8 rrecti ns from Previous Inspections
as � st-Meters Tagged; Gas -Electric ?
Card -BI
Card -Bl
C. Ducts. Insulation & Support _ -
Vent Fan: Exhaust above Insulation _
-�3q,!3-Condensate Drain & Overflow: Size'& Grade
3Furnace-Vent: Access -Comb. Air -Return Air_ _Vent -115V outlet_ ___
-5�Altic Access & Platform if Furnace in Attic
_
Date Card -BI Date _
'Date Card -BI Date
$ W r & Sewer Connected -C/O to Grade -HD Approval
�nergy Compliance Certificate -Other Certificates
- ---'---_--- - --- -
- -" --- ---------
Card -BI Date Card -BI Date
Card -BI Date Card -BI Date
Card -BI Date Card -BI Date
Com tents at Final:
Date FRA G(Plans) OK except p'
Sills; Proper Material & nchors
j7.-<alls: Studs -Nailing, Spacing & Bracing -Plates -Sound
38. Bearing Walls over Girders & Floor Nailing
-32--grafi Stop in Walls (rat proof) -
ire Slops. Furred Ceilings -Stairs -Chases -Tub
- ---- -- - -- - -- - --- — --
&Beam-Size &Bearing
s -Post Caps -Anchors -Connectors
4oist-Rftr. Ties-Purlin-Root Brac.-Truss-Shthng.-Rfng.
ce Ties or Type A Flue -Fireplace Throat
ccess. Size & Romex Protection -Draft Stop -Ins. Baffles
(Bal.indows or Exiling Doors -Sill Hgl. & Dimensions
4 Fire Protection Framing
_
- -- ---- --
--- - — -
(NOTE Anentrymust be madeeach time youvisit jobsite)
Owner: rNuA..�P r'� C>' -t- Permit No.
if • p ENERGY C ERT IF ICAT ION
GS52 R C] .\ )Uf4l [-
LOCATION A. P. No.
DESCRIPTION OF INSULATION
ROOF
Material �.' Brand Name hon S u =e-
Thickness(inches) 101, Thermal Resistance (R Value) 3c
r
EXTERIOR WALL
Material T), , Brand Name hC-A Sy i (e
Thickness(inches) S Thermal Resistance(R Value) OR
CEILING
Batt or Blanket Type
Thickness(inches)
Loose Fill Type
Minimum Thicknesis(Inches)
Area covered(ft. )
FLOOR, ELEVATED
Material
Thickness(inches)
FLOOR, SLAB
Material
Thickness(inches)
Width(inches)
FOUNDATION WALL
Material
Thickness(inches)
Brand Name
Thermal Resistance(R Value)
Brand Name
Number of Bags Wt. per bag lb.
Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R Value)
I hereby certify that -the above insulation was installed in the.above building
in conformance with the State of California Energy Requirements.
Gp—/dpio Ibrr' > Z Joe sr),? L(1 Co 7 7 S
FIRM NAME/OWNER STATE CONTRACTORS LICENSE NO.
SIGNAV9 OF INSTALLATION APPLICATOR DATE
I hereby certify the above insulation and all required items as shown on the
Building Department approved plans and attachments have been installed as
required by the State of California Energy Requirements.
All equipment, devices and materials are of the quality prescribed or are
specifically approved by the State of California.
FIRM NAME/OWNER (Please print) STATE CONTRACTORS LICENSE NO.
SIG OF G. ;NE RACTOR OWNIER DATE
THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL
INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING.
January 1984
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise -- Phone: 872-2961, Ext. 57
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
rna,t4er, or need a ditional explanation, please contact this office immediately.
�C' \AA r, -A --I , , _ - r1 0 --n_
u
Inspector__ Date_
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise -- Phone: 872-2961, Ext. 57
CORRECTION NOTICE
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 Contac) this office immediately.
Inspector_._., Da
` COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott'Road, Paradise— Phone: '872-296 1, Ext. 57
CORRECTION NOTICE
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.
Inspector Date
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS -
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
•,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.
Inspector`"'� Date / IZ _ J/, g',t7
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 5344541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
Inspector__ Date_
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
Em
Inspector--- Date
RIM
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need.ad itional explanation, ple se contact this office immediately.
Z) J\4� +vkA.A �,V-657-W
Inspector-- Da
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 53411541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additi nal explanation, pl ase 9ontact this o.fice immediately.
Inspector Date_
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
'�)d � 0- k
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.
i
v
Inspector Date _.
1'
COUNTY OF BUTTE ,
DEPARTMENT OF PUBLIC WORKS'
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately
Inspector_-_ Date
J COUNTY OF BUTTE - DEPARTMENT OIF= PUBLIC WORKS PE MIT N r /
7 County Center Drive - Oroville, California 95965 -Telephone 916/534-454
APPLICATION AND PERMIT o00
ASSESSOR PARCEL NUMBER
--'JO —
ZON G
BUILDING PERMIT
OWNER
W
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
0 U(3
OWNER'S MAILING fODRESS
CONTRACTOR'S NAMEI
TELEPHONE
gyy� /3S
g° �`/
8 vv. Op
CONTRACTOR'S MAILING ADDRESS
�K®s /� �, G *cam �s�1
Fireplace 11A 1
000. do
CONSTRUCTION LENDER
� S
r—LENDER'S
UNKNOWN
Total Valuation $
ry
I s p(i
Filing Fee
$ 10.00
MAILING ADDRE
Permit Fee
$ &3, 00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 31•So
Energy Plan Checking Fee
$ c -00
IS
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
f
Permit fee
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00 , 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 S, Oa
USE OF STRUCTURE
SF A— Duplex F1 Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00 0v
Building sewer
5.00 S, OBJ
Mobile Home JSFG W
0.00 ea
TYPE OF WORK
New M_ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work: :�/4 ��r-:� _
Permit Fee
$ Ot)
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main servi EA. AD 'L 100 AMP
2.50 ,<--%7
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)
El I,
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. G OCCUR.&) 2yzQsgft
OR ADDNS. AC . B DGS. I �r S
NEW CONSTR ULTI.OUTLET 2,50 ea
NON.RESID BRANCH CIRC ITS
/POWER APPARATUS 6\
\SINGLE OUTLET CIR.
Ex. Occu 20090e
Occup(OUTLETS OR FIXTURES 9AL®30
FIXED
Ex. Occup. OUTLETS P(RESID )REA.1 2.00
Temporary service 10.00 AlaNG
Home Facilities 15.00
Misc. IlYirin g 15.00
Permit Fee $ 114. OS
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
1;C6_ a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
Heating @
_(0.40
lin � T
Cooling . ,,,j
Hood
3.00 1. U�
Ventilation
Permit Fee
$ , VO
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
aga' t s id Cou ty in conse ence of the granting of this permit.
%� Date 23 L�
Sign t e of Applicant — Owner Contractor Agent ❑ //) nl p
An OSHA permit is required for excavations over 5'0" dee o ition(oJr/�cy�rf
of structures over 3 stories in height. (�
Mobile Home Installation Fee $
Energy Inspection Fee
TOTAL PERMIT FEE $ qya,-fs
Occup.
(�_
CONST.TYPC
I
I FLoJ
PARn
PD HD 99
se is hereby issued under
( n$ ql Butte County Code a
K/r�jt�t �ate�d jabo�e j� ��chC
Q C�(�iR�CTT OF PUBLI
ByDate
PE T XPIRES Date
the applicable provi-
/ resolutions to do
s have been paid.
RKS
_/0- 9 -,PTC-D.P.W..
—
� v
LReceipt No. (� %
YELLOW-A58C990 PINx-INSPECTOR, GOLD 8 'SCA T
n
A/ "i ,COU,NT_Y OF''BUTTE - DEPARTMENT= O1F,PU,B_�4C WORKS - BUILDING DIVISION -
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE:F(916/`534-4541
•Iii/i ,j �
.: •ty OWNER` 25 0- 4
'�' /'Oropos`ed Building Use.
Permit Fee 'Based Upon
PERMIT APPLICATION DATA SHEET
a.'
Complete Contract Price
J�
Permit No.
A. P. No.
�PW Valuation
Other (Explain)
Building Inspector �"" Date
Atftime of permiti 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. . . . . . . . . . . .
021S—Lff 2.. Plot plans in d plicate- rrpli-tate.. . .
. as -4 ,
Complete plans in d _Lica - r_ip.Li.cate. S, yae�
4. Complete engineered plans and calcs. . . . . . . . . .
5. Plans with Energy Design Compliance Statement. . . . . .
6. CUSD "Fees Paid'' Stamp on Floor Plan . . . . . . . .
,-7 Statement of Intent for Non -Heated and AC Buildings.
. Fees of $ '? 11 , OS . . . . . . , . , l0
J9.Letter of signature authorizatiop. . . . . . . . . . .
J!!�4f% Sanitation approval from 6ktL- Health Dept.
11. Planning approval for (A) Use: (B) Parking:
12. Certificate of Workmen's Compensation Insurance. . . . . .
13. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑) `
15. Improvements may be required. . . . . . . . . . . . t
C
16. Mobilehome Installation Data. . . . . . . . .
. . j
Pre-Inspec.'request to -(Date)
_7 Pre -Inspection for Required, Building Inspector
Record& copy of Agricultural Ack owledgment Statement. �
Other r��t .,. �,... �d�rc-5 ,►,o,I,.: \JAW.
ou a rm "10(ws�ua 011 Mai I to oyvner. to contr
Telephone and hold for pickup at office. Deliver w/inspector.
Other
Applicant Date q12 >
Copy of plans sent Health Dept., Fire Dept., " Other Date
During the plan checking process, the following data must be submitted prior to permit issuance:
(For required items not checked above at time of application, circle item.)
1. Index permit for above Items No.
2. Additional items required:
ontract , Designer Owner) was advised of above required data by
/ � I I I() By
phone
-Mail Other
Date
Ie / .r
Plans checked by ate "
Plans approved by ' Date
Other: n 4
RE p'Q : 7... t ��+ fl/Y,tcGV
. Copy—DPW / Aq 1 1.0" /a.-.,.,
a .
opt
TO: Building Department
FROM: Encroachment Permit Section
RE: 'Dtj:ueway Clearance
�
e owevro x f SL � X( �p
owner location AP #
Driveway permit ACiY,-e ne.e�e-/ _ has been issued for the above property.
number "
�!<< f7� �y
Z16114AAI
signavdre date
TO:' Building Department
FROM: Environmental Health, Chico Office
r
�UBJECT:' Sanitation Clearance
Owner Location pp#
Plan approved for: Sewage disposal 6 -----'Water Supply 1/
Hold final for: Water supply
Final clearance O.K. for: Water supply
Clearance for bedroom Mobile home House Other
S Note`"
Sanitarian
7 &1,
Date
Joe Smith
2805 Morseman
Chico, CA 95926
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA 95965 PHONE: 916-534-4541
k• 7!
With reference to the above subject:
" Attached is:
OTHER'
DATE Sept. 25, 1986
RE: Building Permit Application for Randy
Bowesson #2860-86
A.P. # 40-15-29
Application for permit Mobilehome Utilities Installation Sheet
Building Plans _ Mobilehome Installation Information Sheet
Engr. Calcs Typical Plan Sheet
Owner -Builder Verification Form List of Codes Enforced
1_,% We need the following information:
Permit application signed and completed where indicated with all copies returned.
X Fees of $ 711.05payable to Butte County Treasurer.
Certificate of Workmen's Compensation Insurance or check exemption statement.
Contractor's License Law information or check exemption statement.
X Complete plans in duplicate including plot plans.
Plot plans in
Structural details in
Complete plans and calcs in by registered engineer or architect.
Energy design including
Street and drainage improvement plan approval from Land Development Section (DPW).
sets of'plans in accordance with the changes marked in red.
X' Sanitation approval from Butte County Health Department at:
X 196 Memorial Way, Chico
7 County Center Dr., Oroville
Skyway & Elliott Rd., Paradise '
Planning approval from Butte County Planning Department, 7 County Center Drive,
Oroville, for
Completed Owner -Builder Verification form.
X Recorded copy of deed showing a 60 foot right-of-way
X Recorded copy of agricultural acknowledgement statement.
XX OTHER 1) Our records indicate the above parcel was created in August. -1968 at a time. -
When Rurtp rnrnnty vomiivori n An fnno- o-- � -U1.1- -.a
Should you have any questions concerning the above, please contact this office.
Yours very truly,
William Cheff
Director of Public Works
.F. Glander
JFG/aj Chief Building Inspector
}
LS
�� rvnu4u.i o urrIGIAL RECORDS
Retj:-n—to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT �'LBUT TECrIJ111TY.CALIFORNIA
FOR RESIDENTIAL DEVELOPMENT "' �'' R�OUEST U1
Sectiot+f 26-8.1 of the Butte County Code requires this acknowledgement
be recorded prior to issuance of a building permit. 19,6-33880 1986 OCT -7 AN 10: 15
The property described herein is adjacent to land or included ELEANOR M.BECKER
within an area zoned for agricultural purposes, and residents of this CLERK -RECORDER FEE
4
property may be subject to inconveniences or discomfort arising from
the use of agricultural chemicals, including, but not limited to herbicides, pesticides,
and fertilizers; and from the pursuit of agricultural operations including, but not limited
to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, --�-
smoke, noise, and odor. Butte County has established agricultural zones which have as a
priority use for productive agricultural purposes, and residents within said zones and on
-•-
adjacent property should be prepared to accept such inconvenience or disconform from normal,''"( �
necessary farm operations.
All that real property situate in the County of Butte, State of California, described
as follows:
E' E' /q ) ,q c He D
Date: �Q CSP
State of eK.
SS
County of )
11
`,. OrF ICiA L SEAL _
f� yam, a E Personally known to me. / / Proved to me on the basis
i Is��, s r I„ NOTARY PUBLIC CALIFORNIA
i�Q� eurTECOUNTY of satisfactory evidence.
M Comm.' be the person(s) whose name s subscribed to
Y Expires Febf � ) � )
the within instrument and acknowledged that
executed the same for the purposes therein
IN WITNESS WHEREOF, I hereunto set my hand
Present A. P. No.
q � C LEE
PROPERTY OWNERS:
On this the b�� day of -O , 19 0_(P , before
me, the undersigned,Notary Public, personally appeared
contained.
and official seal.
F eb. 9 1990
contained.
and official seal.
AMENDED
SCHEDULE C
The land referred to herein is described as follows:
All that certain -real property situate in the County of Butte, State of
California, described as follows:
PARCEL 1:
A portion of the South 645.0 feet of Farm Allotment No -79 as the same is
designated and delineated on that certain Map entitled, "SUBDIVISIONAL
PLAN OF THIE* DURHAM STATE LAND SETTLEMENT, being Lot Number Four of the
R.W. Durham Estate, including the C.F. Lott Ranch both being a portion of
the ESQUON RANCHO, situated near. Durham, Butte County, California", which
Map was filed in the office of the Recorder of the County of Butte, State
of California, February 13, 1919 in Book 8 of Maps, at pages 23 and 24,
and more particularly described as follows:
BEGINNING at the Southeast corner of said Farm Allotment No...79; thence
Westerly along the South line of said Farm Allotment No. 29, a distance of
638.3 feet; thence Northerlyand
parallel to the East line of said Farm
Allotment No. 79, a distance of 610.0 feet; thence Westerly' and paralle-1
to said South line a distance of 682.0 feet more or less; to the West line
of said Farm Allotment No. 79; thence Northerly along said -West line a
distance of 35.0 feet; thence Easterly and parallel to said South line, a
distance of 1320.3 feet, more or less, to the ,East line of said Farm
Allotment No. .79; thence Southerly along said East line, a distance of
645.0 feet to the point of'beginning..
PARCEL 2:
1 f:
A right of way for road purposes over a strip of land 25 feet wide lying
North of and adjacent to the Northerly line of Parcel 1 above described.
See Legal Description attached
AP#040-15-0-029-0
7 -
Dated _�
U. BUIWERS
STATE OF CALIFORNIAIso
COUNTY OF-- BUTTE
On ---
before me, the undersigned. a Notary Public In and for said State, per-
sonally appeared- -
ROY O. BOWERSOX
"J') 6 j personally known to me (or proved to me on the basis of satisfactory
F C'
'e �I to be the P01160n(S) whose name(s) Is/are subscribed to the
-1h.In71k-WnJm9nt and acknowledged to me that he/sho/they executed
Me same•
me
p
W
ITNESS 4myhan4dd official seal.
ses�
(This area for offiI&I notarial seal)
1002 (6/82)
V MAIL TAX -STATEMENTS �S DIRECTED ABOVE
4
86 0
•2V
No..
t i'L
,Order
Esebw No'
R�.)OE51 OF
Loin No.
PARTY SHOWN
1`1851 JUL 15 ?V, i 48
WHEN RECORDED MAIL TO:
4
Latimer & Kenkel
ELMO H.UER 17EE-2
-RECO
Post Office Box 3970
CLERK
Chico, 0A 95927
85-20860
SPACE ABOVE THIS LINE FOR RECORDER'S USE PaQQ.Q
MAIL TAX STATEMENTS TO:
DDIDUMENTARY TRANSFER TAX &_=Qr_.V=LtA1.-7rAWfer
Maxine Bowersox
Computed on the consideration or value of property cxwgvod; OR
Post Office Box 2014
Chico, CA 95927
Ciplo" on the coroidererlon vat a Iws tiem or encumb,nonces
/fifflaigine at time
Lates!11-nir
10 e A t dererminine Ax Firm Name
Ski
GRANT DEED
FOR
A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
ROY 0. BOWERSOX, an unmarried man
fe
hereby GRANT(S) to
MAXIMS R. BOWERSOX, an unmarried woman
the real property in the City of
Chico
County of Butte
State of California, described as
See Legal Description attached
AP#040-15-0-029-0
7 -
Dated _�
U. BUIWERS
STATE OF CALIFORNIAIso
COUNTY OF-- BUTTE
On ---
before me, the undersigned. a Notary Public In and for said State, per-
sonally appeared- -
ROY O. BOWERSOX
"J') 6 j personally known to me (or proved to me on the basis of satisfactory
F C'
'e �I to be the P01160n(S) whose name(s) Is/are subscribed to the
-1h.In71k-WnJm9nt and acknowledged to me that he/sho/they executed
Me same•
me
p
W
ITNESS 4myhan4dd official seal.
ses�
(This area for offiI&I notarial seal)
1002 (6/82)
V MAIL TAX -STATEMENTS �S DIRECTED ABOVE
F3
33..4_ r'�_ �._ ` • _ X�K
85-'10860
A �crtien of the South 645.0 feet of Fare Allotment No. 79 an the
ram. in deairnated and delineated en that certain wan entitled,
"'ubdivisional plan of the 0urham State 7ind Setdement. being' Let
Number Four of trot R. V. Durham Estate. including the C. F. Lott
Ranch, both Seina portion of the Esquan Rancho. citwtei near
Durham. Butte Co'unty, California". which nap was filed In the office
of the Recorder of the Cninty of Butte, State of California, February
13, 1919 in Book 3 Of Mops. at pares 23 and 24, and more particularly
described as follows:
besinninF at the Southeiar corner of said -Farm Allotment Ne. 79;
t% -ace westerly'along the South U.ne of maid Fars Allotment No. 19
distance of 638.3 feet; thence lortherly and parallel to the East '
1i line of mail Farr Allotment No. 7'1. a distance of 610
Y'atsrlY and aarallel .0 feet; thence
to amid Sa�th linea distance of 682.0 feet,
more er y ss
al to the west line of said Farm Allotment No. 79; thence
Northerly along mail west line a di-tance of 35.0 feet; thence Eash-
a- re or lespars
to
t, said South line. a distance of 1320.3 feet,
wore or less to the Fist line of said Fara allotment No. 79; thence
of
rly •loot said ist line. a distance of 643.0 feet to the odnt ►r I
rf berinnlnr.
C1�
TOGE.TuER w7Tl1 a right of way for readu OBD
25 feet vide lyine North of and adjaceIt cc Or `vNNortherlyrtri�line of lof
the above described property: Said right of -,raj is for the benefit .si
of ani annurtena.,t to ttie abrve described prrn.Yy. and shall Lnure '93%,
tr the benefit of and esy be u.ed by all person who way h.rea`ter CM
become the omera of mid anourtenant n
tivrecf. rcyerty or any mart- or prrtlrnr
UCEPnNC T:;MEFROM a t • t of way frr irrlratYon �t•..enro rues a
atri.n r[ Imo! 13 feet V,.e jr,nt; 7.5 feet on eithtr ridr of the
frllv.tnr described centerline;
Serinnlno at a orint on the East line of said Farm Allotment No.
79. a distance of 595.0 feet free the Southeast thereof; thence
Westerly 0-1 parallel to the South line of said Tarn Allotment No.
79, a distance of 638.3 feet; more or less to the westerly line of
the above described -)roperty.•
CND OF 30CU&,E.\rT
jf4
'tls
r
fable 3-1. ST1ab Floor Points T table 3-2. Raised Floor Point
Inc.ila- I R -Value of Insulstion 1 I R -Value of 1
I tiun I I I Insulation I Points
I Derth, _r I I
( inches 1 0-2 1 3-4 I 5-6 1 7+ 1
I I
ZONE 11
I I below 3
I -12 I
OWNER tVADY ff6,WC-R-Sax
POINTS
PERMIT NO. --Z*D -,FG
ASSIGNED
ACTUAL
1.
SLAB - INSULATION
I -6
' S
- A
V1
1 i 8- 12
1 -4' I
I t6 - 19 I -5
2,
PAISED FLOOR - R-19
1 72 I
1 20 + I -5
1 I
3.
-30
CEILING - R-30-
i 0 i.
7 / 7 / 8 32�
4.
4.
WALL - R-19
f• 7•D�a
(7
LE 5.
NORTH GLAZING - 2.4-3.67
Q/.�17
t�
6.
EAST GLAZING - 2.5-3.6 a
•7�.j�
-�
7.
SOUTH GLAZING - 1.6-3.6%
Ifo
1. 6J
D
8.
WEST GLAZING - 2.9-3.6%
9.
SKYLIGHT - 0-1.37
40A0
O
10.
SHADING (Exclude Overhang)
•
EAST - • 66
SOUTH - .19-.42
b
Q
WEST - .13-.36
•6 !0
_(p
.SKYLIGHT - .37-57
11.
HORIZO14TAL SOUTH OVERHANG 2'
-�-��T
12.
1IOVABLE INSULATION - NONE
13'
INFILTRATION (Standard=0)(Tight=+12)
Srb
p
14.
THERMAL MASS SF
15•.
GAS FURNACE (SE) 71-767
d
16.
?TEAT PUtIP (EER) 7.5-7.9%
17.
DUAL PACK(SE, SEER) 8.0-8.3/71-767
�'v 7�
WOOD STOVE
S
f- ZO
605 WATER HEATER
-p
ATTIC fit) %
•efZ
OTHER C*5A MANCA rl'4)' 2 a,17,
f 2
TOTAL POINTS = '
f 7
fable 3-1. ST1ab Floor Points T table 3-2. Raised Floor Point
Inc.ila- I R -Value of Insulstion 1 I R -Value of 1
I tiun I I I Insulation I Points
I Derth, _r I I
( inches 1 0-2 1 3-4 I 5-6 1 7+ 1
I I
I I I
I I below 3
I -12 I
3 - 4
I -8 1
I D- l t l -s
! -5 I -5 I -5
I I s- 7
I -6
I 12 - 15 I -5
1 -3 I -2 I -1
1 i 8- 12
1 -4' I
I t6 - 19 I -5
1 -2 I -1 10
1 I 13 - 18
1 72 I
1 20 + I -5
1 I
I -1 1 0 1 +1
I I I
I i •19+
1
i 0 i.
7 / 7 / 8 32�
av-15o
:pen/x.23
10
C - 30 06
;
Iable 3-3a. Ceiling Insulation Table 3-7. South -Facing Glazing Pts Table 3-10. Shading Coefficient Points
-
Points -I-
I I Glazing Type 1 1 SC by I
I R -Value of Insulation I Points I 1• Total I I I Orten- I Z Floor Area
I I I I 2 of I Sngl.-T-Db1-,-7 Trpl,j tation I
I Floor I (V - I (U - I (U - I I I
I 19 I -4' I I Area 11.10) 10.65) 10.41)1
1 22 1 -2 1 1 1 -Points I oints I ointsl I East 1 1 3.2 1
1 30 1 0 1 1 O 1 +! 1 +3 1 &3- 1 1 0-3.1 I to 1 6.4 up
1 38 1 +2 I I up to 1.5 I +2 I +2 I +2 1 I I I 6.3 I
I 49 1 +4 I I 1.6- 3.6 I -1 I 0 I 0 1 1 I I I
I I I 3.7-• 5.2 I -4 I -2 I -2
I 5.3-.6.5 1 -6 1 -4 I -3 I I 0 -.19 I 0 1 +1 I +2
I 6.6- 7.7 I -9 I -6 1 -5 1 1 .20-.36 I 0 I 0 I it
I 7.8- 8.9 I -11 1 -8 1 -7 I I .37-.66 i 0 I 0 1 0
I 9.0-10.0 I -13 1 -10 .1 -9 i t .67-.82 I 0 I 0 I -1
Table 3-4a. Wall Insulation Pointe 110.1-11.5 I -17 ( -13 I -11 I I .83 up I 0 I -1 I -2
111.6-13.0 I -21 I =16 I -I4 1 1 I I I
I R -Value of Insulation I Points I 113.1-14.5 I -25 1 -19 I -16 I
I ( I 114.6-16.0 I -23 ( -22 I'-19 1 1 South 1 0 1 3.2 16.4 19.0 t 9.6
I 11 I -7 I I I I I I I to I to. I' to I to i up
19 1 0 1 Table 3-8. West-FacingGlazin Pts. I 1 3.1 16.3 17.9 19.5 I
1 24 1 +2 1 I 0 -.18 1 0 1 +1 I +2 I +2 I +3
i 30 ( +3 1 I 1 Glazing Type I I .19-.42 10 1 0 1 0 1 0 1 0
I I I I Total 1 I I .43-.66 10 I -1 I -2 I -2 .I -3
1 Z of I Sngl, I Dbl, Trpl, I .67 up 1 0 I -2 I -4 t -4 I -6
Table 3-5. North-Facin Glazing Pts I Floor 11. - 10. - 10. - 1
T--- I Area 11.10) 1 0.65) 10.41)1
I oints I oints I ointsl West I .1 1 1.6 I .2 6.4 13.0
I 1 Glazing Type I O + 6 #6 + 6 1 to 1 to I to to I up
I Total I I up to 1.3 I +5 I +6 I +6 I i 1.5 i 3.1 t 6.3 7.9 I
I Z of ST, Dbl, Trp1,1 1 1.4- 2.2 1 +3 1 +4 1 +5 I I I I I I
I Floor l u- I U- I U- 1 1 2.1- 2.8 I 0 1 +2 I +3 I
I Area 1 0.66 1 0.42- 1 0.41 1 1 2.9- 3.6 i -3 1 /--0I +1 1 0-.12 I 0 1 +1 I +3 I +6 I +7
1 11.10 10.65 ( down 1 I 3.7- 4.2 1 -5 I I 0 1 .13-.36 1 0 1 O I 0 1 0 1 0
II1 I+ i I .37-57 0 -1O +q +4 a -6 -70.1- 1.2 +4 1 +4 +4 5.1- 5.6 -10 -6 1 -4 .58-82 -1 -3 l2 1 -151.3-2.3 +1 +2 +2
2.4 5.7- 6.2 -13 -8 -6 .83 up -2 -4 1 I -16 1 -70
6.3- 6.9 I -15 I -10 i -7 I I I I I I
I 3.7- 4.8 I -4 I -2 1 -1 I I 7.0-'7.6 1 -18 1--121 -9 I
1 4.9- 6.1 1 -7 I -4 I -3 I 1 7.7- 8.2 I •-2J i -14 I -11 1 Skylight 1 .8 1 1.6 1 3.2 14.0
1 6.2- 7.3 I -9 I -6 I -5 I 1 8.3- 3.8 1 -22 1 -16 ( -13 I 1 to to I to I to I to
1 7.4- 8.2 i -12 I -8 I -7 1 I 8.9- 9.5 I -25 I -18 1 -15 I 1 .7 11.5 13.1 1 3.9 15.2
I 8.3- 9.7 I -14 I -10 ( -8 1 I 9.6-0.1 1 -27 1 -20 1 -16 1 T -1----T--
1 9.8-10.8 I -17 I -12 1 -10 1 110.2-11.0 I -29 I -23 1 -17 I 0-.12 1 0 1 +1 I +3 I r6 1 +7
1 10.9-12.0 i -19 I -14 I -12 1 111.1-11.8 1 -35 i -26 I -21 I •13-.36 1 0 I 0 I 0 I 0 1 0
112.1-13.2 I -22 I -16 I -13 1 1 11.9-12.7 I -33 I -29 1 -24' 1 .37-.57 10 1 -1 I -3 I -6 I
i 13.3-14.5 1 -24 1 -18 I -15 I 112.8-13.5 I -42 I -32 I -27 I .58-.82 I I -3 I -6 I -12 I -,
j14.6-15.3 i -27 i -20 i -17 i ( 13.6-14.3 I -46 1 -35 1 -29 I .83 up I -2� I -4 1 -8 I -16 1 -20
114.4-15.2 I -50 I -33 I -32 I I I I i 1
I I I t I Table 3-11. Horizontal South
' OverhanC Point!
Table 3-9. Skylipht Points I South Glaring
Table 3-6. East-Factng Glazing Pts. I Length Out t Arca. S of Floor I
I I Glazing Type I I from Wall t I
I I Glazing Type 1 I Total I- I I ft T
-I Total I I 1 Z of T Sngl, I Dbl, Trpl, 1 1 0-6.3 I 6.4 up I
I Z -of I sngl, Dbl, Trpl, I Floor I U- l U- I U - I I I I I
1 Floor I (U - I (U - I (U - I I Area 10.66- 10.42- i 0.41 1 0- 0.5 1 -2
Area 11.10) 1 0.65).1 0.41)1 1 1 1.10 10.65 I down I 10.6 - 1.0 1 -2 i -3 1
I
I oints (points I ointsl 11.1 - 1.9 1 -1 I -2 I
� + + t .4 1 I up to 1.3 I -1 I 0 t 0 1 1 .2.0 up 1 0 I 0 I
I up to 1.3 I +3 1 +4 1 +4 1 I 1.4- 2.2 I -3 I -2 I -1 I I 1 I I
I 1.4- 2.4 I +1 1 +2 I +2 1 1 2.3- 2.8 1 -6 1 -4 1 -3 1 Table 3-12. Movable Insulation i
I 2.5- 3.6 1 -2 I 0 1 0 1 I 2.9- 3.6 I -9 1 -6 1 -5 1 Points
I 3.7- 4.6 1 -5 1 -2 I -1 1 i 3.7- 4.2 1 -11 I -8 1 -6 I
I 4.7- 5.5 I -8 1 -4 1 -3 I 1 4.3- 5.0 I -14 I' -10 I -8 i I Moveable Insulation] I
5.7- 6.7 I -10 I -6 1 -5 1 I 5.1- 5.6 I -16 1 -12 I -10 I I Area, Z of Floor 1 Points I
I 6.8- 7.7 I -13 I -8 I -7 I I 5.7- 6.2 I -19 I -14 1 -12
1 7.8- 8.7 1 -15 1 -10 I -8 1 1 6.3- 6.9 I -21 I -16 1 -13 I I
I 8.8- 9.7 I -1.7 i -12 I -10 1 1 7.0- 7.6 1 -24 1 -13.1 -15 I I 0- 5.5 I 0 1
1 9.8-11.2 I -21 I -15 I -13 1 I 7.7- 8.2 1 -26 I -20 I--17 t I 5.6 - 11.5 I +2 I
11.3-12.7 I -25 I -18 I -15 1 1 8.3- 8.8 I -28 I -22 I -19 I I 11.6 - 17.5 I +4 1,
i 12.8-14.0 I -23 I -21 1 -18 I I. 8.9- 9.5 1 -31 I -24 I -21 I I 17.6 - 23.5 1 +6 1
14.1-15.3 1 -32 I -24 1 -20 I 1 9.6-10.1 I -33 I -26 I -22 ( I `23.6+ 1 +8 I
r
Table 13• I-%VIttation Control
Fer.rvres Points
r--- --
! Control Features I Points i
1_--_ I I
I Standard I 0 I
I I I
{ 1.9 air changes per hr I I
T-
I Tight I +12 I
I I I
10.6 air changes per hr I 1
i 1 I
Table 3-15. Cas Furnace without
Refrleeration Coo1_r.e Points
T- t
I Seasonal Efficiency I Points I
I (SE), Z I I
I 1 I
I 71 - 76
1 0 1
i 77 - 82
I +2 I
I 83 - 88
I +4 I
I 89 =-94
I +6 . I
I 95 up
I
I +8 1
I I
9.1
I +12 i
Table 3-16. Neat Puma Points
r
I Energy Efficiency 1 Points I
I Ratio (EER) ! I
I 7.5
- 7.9
I +3 I
I S.0
- 8.3
I +6 1
I 8.4 -
3.7
I +9 I
I 8.8 -
9.1
I +12 i
I 9.2 -
9..6
I +13 I
I 9.7 -
10.2
I +18 I
I 10,3 -
10.8
I +21 I
10.9 -
11.5
I +24 1
I 11.6 -
12.3
I +27 I
I 12.4 -
i
13.2
I +30 I
I I
Table 3-17. Cas Furnace With
Refrlveration Cooline Points
IRefrigeracionl Gas Furnace I
i Cooling 1 SE : I
I 1- 7-i a3- 89- 95
I 1 761 821 881 941 u I
1 8.0 - 8.3 1- of +21 +41 +61 +8 1
1 8.4 - 8.7 1 +21 +41 +61 +91+10 1
1 9.8 - 9.2 1 +41 +61 +EI+101+12 1
1 9.: - 9.7 1 +61 +81+101+121+1'4 1
i 9.8 - 10.3 1 +a1+101+121+141+16 1
110.4 - 10.9 I+101+L2j+1:1+16i+19 1
111.0 - 11.6 1+121+141+161+•181+20 I
I I ! 1 I I
7/7/83
TABLE 3-14 (ADAPTED)
MASS
DWELLING AREA SQUARE FOOT
ZONE 11
INTERIOR THERMAL MASS POINTS
AREA
1,000
1,500
1
I System Type I
1 !
2,000I
Floor Area
2,500
0 i
I
3,000
per unIt,
(
3,500
{
I lieering the ReQuiro- i
4,000
I
I,SGO
It2.
h
5,000
1
sq. FT.
1 A 8 C D A
a
C
0
A
6
C
D
A
6
C
D
A
8
C
D
A
8
C'
0 A
8
C
D A
6
C
C
_
B
C�
+16
+19
1,000-1,499
0
4.2
+4
+6
+8
+10
+12
+14
1,500-1,999
0
+1
+3
+4
+6
+7
+8
+10
4
0'
+1
+2
+4
+5
+6
+7
+9
All others ( er
builaing
Eo
2 2 2 2 2
2
2
0 1
2
2
2
0
0
0
0
0
0
0
0
0
0
J
0
0
0
0
0
0 0
0
0
0
o
G
0
0
100.
4 4 4 2 2
2
2
2
2
2
2
2
2
2
2
0
2
2
2
0
2
2
0
0
2
2
0
0 2
2
0
0
0
J
0
0
ISO
6 6 6 4 4
4
4
2
2
2
2
2
2
1
2
2
2
2
2
2
2
2
2
2
2
2
2
0 2
?
2
OI
2
2
2
0{
200
8 a 6 4 6
6
4
2
4
4
4
2
4
4
2
2
2
2
2
2
2
2
2
2
2
2
2
2 2
2
2
2)
2
2
0
253
10 10 8 6 6
6
6
4
6
6
4
2
4
4
4
2
4
4
2
2
2
2
2
2
2
2
2
2 2
I
2
2
2
2
2
i{
300
12 12 10 6 8
8
6
4
6
6
6
4
6
6
4
2
4
4
4
2
4
4
2
2
2
2
2
2 2
2
2
2
2.
7
2
2
350
14 14 12 8 10
IG
8
6
6
6
6
4
6
6
6
2
6
4
4
2
4
4
4
2
4
4
2
2 4
I
4
2
7)
2
2
7
2
400
14 14 12 8 10
10
8
6
8
8
6
4
6
6
4
4
6
6
4
2
4
4
4
2
4
4
4
2 I 4
4
2
2
I 4
4
2
2
$09
18 18 16 10 12
12
10
6
10
10
8
6
R
.8
6
4
6
6
6
4
6
6
6
2
6
5
4
4
4
4
2
4
4
603
22 20 18 12 14
14
12
8
12
12
10
6
10
10
8
6
8
8
6
4
8
C
6
4
6
6
6
4 1 6
5
4
2
16
6
4
2{
703
' 24 24 20 14 18
16
11
10
14
14
12
3
10
10
10
6
10
10
8
6
8
8
ti
8
6.
6
4 I A
A
6
41
6
6
5
7. 1
i
230
26 24 22 16 70
16
16
10
14
14
12
8
12
10
10
6
10
10
a
6
10
R
8
4
?
6
6
4 I a
6
6
4I
6
6
u
500
28 28 74 16 22
20
18
12
16
16
14
10
14
34
12
8
12
12
10
6
10
10
0
6 13
8
'8
4 8
$
5
4!!,
8
a
6
t i
1, L'00
30 JO 25 18 i27
20
20
14
18
18
16
10
14
14
12
8
12
12
13
6
12
10
10
6
10
10
B
6 I 8
8
0
4 j
^,
8
£
4 i
1,;OU
.32 37. 28 20 I24
24
22
14
20
20
18
10
16
16
14
8
14
(14
'14
12
8
12
12
10
6
10
10
10
6 1 10
10
1,200
34 32 30 22 26
26
22
16
22
20
18
12
18
18
14
l0
14
12
8
14
12
12
B
'12
12
10
6 1J
10
B
F i
10
IP
8
6 j
1.iC0
J4 J4 J2 22
i
28
26
24
16
22
22
20
12
IB
19
lE
10
lu
14
14
8
14
12
12
6
12
12
1J
6 12
l0
f0
LI
10
;0
F.
v 1
1,00
34 34 32 24 28
28
26
18
24
24
20
14
20
20
18
12
18
16
14
10
14
14
12
a
14
14
12
8 ` 72
12
;G
t;
10
13
17
S
1,ioa 136
34 34 24 30
30
26
18
24
24
22
14 I22
20
18
12
18
18
16
10
16
16
14
8
14
14
12
N 117
1:
10
LI
1'
12
1:
1
o i
2,000
34
34
32
22
30
30
26
18
26
26
22
16
22
22
20
14 `
20
20
18
12
18
18
16
10 lt•
16
14
&1
14
14
1'
S I
2,500 I
34
34
30
22 I30
30
26
18
26
26
24
16
14
24
22.
14
22
22
33
!2 20
20
18
!: 1
13
1=
16
:n
J,000
3,500
34
32
30
22
30
32
30
32
26
30
18
20
28
30
:6
30
24
26
16 124
ld �2d
24
28
22
24
14 22
16 26
22
24
20
22
14�
14 i
::
^q
i3
i4
3t
20 •
It i
14 '
4.330
I
_
32
32
30
20 I30
30
26
18 79
28
24
It
:b
2i
2-•
"
if
4,503
132
32
28
20 130
30
26
;1 j
i 1
Z.
?.
it ;
5,003
--
---__---
_
132
17
2i
201
13
.b
•,1=
A) 1. 3'1' Concrete Slab: HC�8.93; R-.29; Factor -7.3
2. 3 3/4" Thick Common Brick: IfC-7.125; R-.13; Factor -7.3
a) 1, Sk- Concrete Slab: HC -14.106; ?�-.4S8; Factor -7.1
C 1. B" Solid Filled Block: HC -20.63; R^1.9]; Factor -6.1
2. 8" Solid Filled Block With Both Sides Exposed To Conditioned Air.
NOTE: Use all square footage directly exposed to conditioned air
for Thermal'Hass Area: IiC-iO.164; R-.965; Factor -6.1
0) 1" Thick Concrete/Ti.le: HC -2.55; R-.083; Factor?3.7
Table 3-19. Zonally Controlled
Zleetric Reslotunce
T Space Heating Points
I Points for this measure will I
be completed after the Cz-C )
I has approved an Alternative 1
Component Package for Resistance I
I Beat.
Table 3-19. Active Solar Space
He8tIn3 with Cas Points
I :let Solar Fraction I Points 1
I (NSF), 2 I I
I I I
I o-6 I 0 l
1 7 - 14 I +2 1
I 15 - 23 I +4 1
I 24 - 30 I +6 I
I 31 - 39 I +8 I
1 40 - 47 I : +10 1
I 48 - 55 I +12 I
I 56 - 63 ( +14 I
I 64 - 71 I +18 1
I 72 up I +20 1
Table 3-2n. Snlar Water Heating With Can Rarlcnn Painrw
wood stove X1`33 points -(no back up)
casablanca fan + 1 point
Multifamil (per unitpoints)
Heating Pts.
T-
1
I System Type I
1 !
Points I
Floor Area
I Gas Only I
I
0 i
Net Solar Fraction (NSF), Z
1
0 I
per unIt,
I
i
I Resistance Backup I
i
I lieering the ReQuiro- i
1
I meats is Part 2 I
0 i
It2.
h
Eltetrlc Resistenca I
I
I • or -!y
-40
0.9
10-19
20-29
30-39
40-49
50-59
60-69
79-79 ,
600-799
0
+3
+7
+10
+14
+17
+21
+24
800-999
0
+3
+5
+8
+11
+14
+16
+19
1,000-1,499
0
4.2
+4
+6
+8
+10
+12
+14
1,500-1,999
0
+1
+3
+4
+6
+7
+8
+10
2,000 and up
0'
+1
+2
+4
+5
+6
+7
+9
All others ( er
builaing
pnints)
�
8U0-8.99
900-999
0
0
+5
+4
+10
+9
+14
+13
+19
+17
+24
+il
+?g +34
+26 +30
1,00D•1.199
0
+4
+7
+11
+15
4d9
+22 +26
1.20(-1.499
0
+3
+6
+9
+12
+15
+18 +21
1,500-1,999
0
+2
+5
+7
+9
+12
+14 +le
2,600-2.999
0
+2
+3
+5
+7
+8-
+10 +11
3.060 n:.d tit)
0
+1
+3
+4
+5
+7
+S +10
Table 3-21. Othtr Water
Heating Pts.
T-
1
I System Type I
1 !
Points I
1
---T
I Gas Only I
I
0 i
I
I Beat Pump I
1
0 I
1
I Solar with Electric (
I
i
I Resistance Backup I
i
I lieering the ReQuiro- i
1
I meats is Part 2 I
0 i
I I
h
Eltetrlc Resistenca I
I
I • or -!y
-40
RESIDENTIAL ENERGY PLAN CHECK/INSPECTION SUMMARY FORM '
.Owner R"by
80a1c-l2SOx Climate Zone /! Permit No. 2960-31f
Floor Area
VP60
Compliance
path:
Package ❑ A ❑ B ❑ C of oint System ❑ Budget 2 -Other /¢f3/63
MIN
R -VALUE DESCRIPTION
REQ'D
INSTALLED
ITEMS
(1) INSULATION:
[r"
Roof/Ceiling �OoO
[,
Wall !9- Do
❑
Slab Floor Perimeter
❑
Raised Floor
(2) INFILTRATION•
❑
(A) A vapor barrier is required in climate zones, 1, 14 & 16.
LLQ
(B) All manufactured windows and sliding glass doors shall meet the
1972 ANSI Air Infiltration Standards and shall be certified and
labeled.
All doors
(C) swinging and windows leading to unconditioned areas
shall be.fully weatherstripped.
Tight - the above standard features plus:
❑
(D) Continuous infiltration barrier
❑
(E) Electrical outlet plate gasket
❑
(F) Air-to-air heat exchanger
(3) GLAZING:
(A) Location
y .
Area Glazing %Floor Area Single Double Triple
all-
Total Bldg 3:75. y4 /3.23
(]� .
North Z/ -to Q. S
[l
East /7/• 30
C�
South 0 .-oo 463 ✓"
Qi
West /V� 3. foz ✓
Q/
Skylights . oo 4-1& ✓'-
(B) Shading
Shading
Coefficient Description
[�
East o�
0/
South
West Gb
L�
Skylights • 8-
0�
(C) South Overhang /
Length of projection 3' 3 ft. Description L�� V e-
13
❑
(D) Moveable insulation: Area ftz Description
(E) Thermal mass
❑
Type - Area Ft.2 HC= R=
MC= Location
❑
Type - Area Ft. HC= R=
MC= Location
❑
Type - Area Ft.2 HC= R=
MC= Location
❑
Type -Area Ft.z HC= R=
MC= Location
❑
Type - Area Ft. HC= R=
MC= Location
❑
Type - Area Ft.z HC= R=
MC= Location
7/83
7/83 2
FORM
❑ (4)
MASONRY AND FACTORY -BUILT FIREPLACES shall be equipped with tight
fitting closeable metal or glass doors covering the entire opening
of the firebox; a combusion air intake equipped with a readily
accessible, openable, and'tight fitting damper to draw air from the
outside of the building; and a tight fitting flue damper with a
readily accessible control.
*1(5)
HEATING, VENTILATING; AIR CONDITIONING SYSTEM
/
(A):::Heating
Central Gas Furnace %/
(brand and model number) SE
Btu/hr
(heating capacity)
❑
Heat Pump.
(brand and model number) ACOP
Btu/hr
(heating capacity at 47°F)
❑
Active Solar
type (liquid or air) Collector brand and
ft2
model number solar fraction collector area collector
orientation collector tilt rated y -intercept
rated slope
OtherA/000 ,aC RVOA4 _ 'royE
�tJJ
�
(describe)
_
*1
(B) Cooling
8• U
[v]'
Electric Air Conditioner
(brand and model number) (seasonal EER)
Btu/hr
(cooling capacity at 95°F)
❑
Electric Heat Pump
EER
Btu/hr
(cooling capacity at 95°F)
❑
Other
(describe)
❑
(C) A TWO-STAGE THERMOSTAT, which .controls the supplementary heat on
its second stage, shall be required for heat pumps.
(D) AN AUTOMATIC SETBACK shall be provided for all thermostats, except
those controlling heat pumps.
(E) AN INTERMITTENT IGNITION DEVICE shall be provided for all gas-fired
fan type central furnaces, gas-fired fan type wall furnaces and
gas cooking appliances.
(F) BACKDRAFT DAMPERS.shall be provided for all fan systems exhausting
air to"the outside.
(�
(G) DUCT CONSTRUCTION & INSULATION. All transverse duct, plenum, and
fitting joints shall be sealed with pressure sensitive tape or
mastic to prevent air loss and shall be insulated to conform to
the provisions of Section 1005 of the UMC, 1976 Edition.
7/83 2
u
(6) DOMESTIC WATER ,SYSTEM
-f,)-- Gas Only
(brand and model number)
Heat Pump w/Electric Backup
FORK 1
Gallons
(tank size)
(brand and model number)
Gallons
2 (tank size)
❑ * Active Solar
(collector brand and model number)
(rated y -intercept) (rated slope) (solar fraction)
ft2
:(backup heater type, brand and model number) (collector area)
(collector orientation) (collector tilt)
❑ Location of Solar Panels
❑ Other
(Describe)
:(B) TANK INSULATION. Storage type water heaters and storage and
backup tanks for solar systems shall be externally wrapped with
R-12 insulation or greater.
Cl (C) PIPE INSULATION. The five feet of pipe closest to the water
heater and outside conditioned space shall be insulated with a
minimum of R-3. Steam.and steam conditioned space shall be
insulated with a minimum of R-3. Steam and steam condensation
return piping and recirculating hot water piping outside the
building envelope shall be insulated in accordance with
T2O-14O8(d).
(D) FLOW RESTRICTORS shall be provided for showerheads and faucets
as outlined in the new appliance efficiency standards and shall
be certified to the Energy Commission.
/ (7) LIGHTING
�J (A) Lamps used in luminaries for general lighting in kitchens and
bathrooms shall have an efficacy of not less than 25 lumens per
watt (usually florescent).
*1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing
charts (form #4) or other approved methods, section 2-5352(8), and fill out*the
following:
Heating: Winter design temperature 27 0, elevation N % Cy ', heating load 8//150 BTU
elevation factor' x heating load = maximum outlet capacity gas furnace
V /SD BTU
Cooling: Summer design temperature %� Z , cooling load ,3070 BTU
(USE ONLY AS A SIZING GUIDE, COOLING MAY BE INADEQUATE)
*2 Submit T.I.P.S.E. chart or other approved system (form #5) to document sizing of
solar panels.
® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of
Title 24, Part 2, Chapter 2-53 of the California Administration Code.
7/83 S URE OF BU G DESIGNER OR APPLICANT
3
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 COUNTY CENTER DRIVE - OROVILLE, CALIF019PJIA 95965 - TELEPHONE: (916) 538-7541
AGRICULTURAL BUILDING EXEMPTION PERMIT
PERMIT N0.0
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.
ZONING
Q o - e)-
MAINER
PHONE NO.
OWNER'S ADDRESS
Z e--', S QL)ol CZ�.
LOCATION OF BUILDI G
"Z ESin�Z D2H
USE OF BUILDING
LC' -
SIZE Oft STRUCTURE
�y 7
g X—' -�L� SQ. FT.
TYPE OF CONSTRUCTION:
WOOD FRAME STEEL CONCRETE OTHER (Specify)
TYPE OF SIDING
ROOF COVERING
FLOOR TYPE
A G tv t-
Z3A aA b4 L
M cJCP-7
ESTI ATED COST OF CONSTRUCTION
AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County
Ordinances as follows: i
`�' �--
FRONT-'5SIDES 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.
Dater ?�� Signature of Owner Q'A
Permit Fee - $25.00
The above described AG Buildi exempt from a building permit.
LOOD PARCEL P.D. ROOFING ISSUE
Receipt No. LST!0,
Director of Public,Arks
By Date 'q -
White - DPW, Yellow - Assessor, Pink - B.I., Goldenrod - Applicant
NorthStar
ENGINEERING
Civil Engineers • Planners • Surveyors
April 25, 1990
County of Butte
Building Department
7 County Center Drive
Oroville, CA. 95965
Re: Structure for Randy Bowersox
Esquon Road, Durham, CA.
AP No. 40-15-29
Gentlemen:
At the request of. Mr. Bowersox;'I have investigated the flooding
potential of the above referenced building site. The recently
adopted flood insurance rate•map indicates that this site lies
within a special flood hazard area inundated by 100 -year flood from
Butte Creek. The base flood elevation has been approximated for
this particular area based on field review of the site and on an
analysis prepared by the F.E.M.A., consultant and provided to us by
the Butte County Department of Public Works. It should be noted
that the consultant's analysis.was based upon "the best available
information at this time" which included the U.S.G.S. quad sheets
and is not a final design. Because the analysis ignored the
existing levee system it is very conservative and is acceptable as
a reference until a more complete study is prepared.
A temporary benchmark (nail in an Almond tree at the northwest
corner of the proposed building) has been set at the building site.
The elevation of the temporary benchmark is 158.35 U.S.G.S. based
upon County Benchmark TBM #12A, Lott Road 3 -Wire Levels, RD #41273,
Page 16. The finish floor elevation of the building shall be at or
above the temporary benchmark in order to be above the 100 -year
flood.
I trust this provides the information necessary to process the
permit, however, please feel free to contact me should you have any
questions.
Very Truly Yours,
4�✓ NORTHSTAR ENGINEERING
40
No. Mark Adams
RCE 34257 Exp. 9-30-91
511
'`-
�44 20 DECLARATION DRIVE
OP
CHICO, CALIFORNIA 95926
916-893-1600
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
.7 County Center Drive,-Oroville, CA 95965 PHONE:. 916-538-7541
�.,DATE_ Aprilgn 199n
Randy & Debra Bowersox _ +
9552 Esquon road
Durham, CA 95938' Permit application ##48-90A
Afpr Agricultural bldg exempption
With reference to the above subject: 40-15-29
Attached is:
Application for permit Mobilehome Utilities Installation Sheet
Building Plans Mobilehome Installation Information Sheet
Engr. Calcs Typical Plan Sheet
Owner -Builder Verification Form List of Codes Enforced
OTHER
" We need the following information:
Permit application signed and completed where indicated with all copies returned.
Fees of $ payable to Butte County Treasurer.
Certificate of Workmen's Compensation Insurance or check exemption statement.
Contractor's License Law information or check exemption statement.
Complete plans in including plot plans.
Plot plans in
Structural details in
Complete plans and calcs in by registered engineer or architect.
Energy design including
Street and drainage improvement plan approval from Land Development Section'(DPW).
sets of plans in accordance with the changes marked in red.
Sanitation approval from Butte County Health Department at:
196 Memorial Way, Chico
7 County Center Dr., Oroville
Skyway & Elliott Rd., Paradise
Planning approval from Butte County Planning Department, 7 County Center Drive,
. Oroville, for
Completed Owner -Builder Verification form.
Recorded copy of deed showing
Recorded copy of agricultural acknowledgement statement.
/ X7��COTHER Property shown subject to innudation during 100 year flood on new FEMA Maps.
Finish floor elevation must be above the 100 year flood level. Elevation
must be determined by a Registered Civil Engineer with a field reference
established and submitted to usifor approval prior to construction and
permit issuance.
Should you have any questions concerning the above, please contact Jim Glander
of this office. (916-538-7541)
Yours
- -
Yours very truly,
JFG/aj
William Cheff
Director of Public Works
/J.F. Glander
Chief Building Inspector
I7,, lf-no l,:CONSTRUCTIONS PECIPICA -7 D'SPECIFICATIONS 7!..i, f "V160ti Only
.'EXCAVATION AND AELATE
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0:9 EXC BE NOTE�' ELOCAJiON
"rH LLAESUL "EQUIPMEN FAMAPPRO ED FOR IS ILOCA110N ONLY R Chled,' I'NOT E:"',"t,,ADDITIONAL COST TO OWNER. I'A If �Vjo N -.T I_BOX LOCAION MOVED OWNER M PAY ELEemciAl iAN 'CONCRETE DECK ��EXT14A Co NDUITATTIME OF INSTALLATION NOTE _f Bit BE MUt iXikeEb F*OM'OOOL ST*U RE IN AC ORD ON S. OTE: tONTRACTORS SPECIFICATIONS., ItT -A
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FEDERAL EMERGENCY MANAGEMENT AGENCY
NATIONAL -.FLOOD INSURANCE PROGRAM
ELEVATION CERTIFICATE
Important: Read the instructions on pages 1 -7.
SECTION A -PROPERTY OWNER INFORMATION
O.M.B. No. 3067-0077
Expires July 31, 2002
fj 812:5 Dk,(Z-4s-PX
Pc1�eyF Number } : s .x
- ..... k
BUILDING T ETAD� E� (Ind ing App nit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOXNO.
CampanyNAlGNumlieri
CITY
V�>Ll STATE ;,•p ::
PROPERTY DESC I TION (Lot and 81ock umbers, Tax Parcel Number, Legal Description, etc.)
9S C 3EO
!per 0Q... r-- QZ
8UIL00ING USE (e.g.,/Psidential, Non-residentla Addition, Accessory, etc. Use Comments section if necessary.)
14CP-415 - � Ob
LATITUDEILONGITUDE (OPTIONAL) HORIZONTAL DATUM:
or 7tk.R') (NAD 1927SOURCE: L, j GPS (Type):
; LJ NAD i9d3 LI USGS Quad h1a
P Ll Other.
SECTION B -FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
Bt. NFIP COh1h1UNITY NAME i COMMUNITY NUMBER 82. COUNTY NAME
83. STATE
u,. rvinr nwu rnrvtLL�L�
I16. FIRM INDEX
NUMDER 87. FIRM PANEL Ba. FLOOD .89. BASE FL000 ELEVATIONS)
d� ' ATE EFrEO�V REVISED DATE ONE S
(��// O (Zone AO, use depth of flooding)
810. Indicate the source of t e Base Flood Elevation (BFE) data or base flood depth entero i .
LJ FIS Profile FIRM P d In 89.
U Communi Determined L Other (Describe):
811. Indicate the elevado datum used for the BFE in B9: j NGVD 1929 L j NAVD 1988 L( Other (Describe):
812. Is the building located in a Coastal Barrier Resources System (CSRS) area or Otherwise Protected Area (DPA)? L( Yes No
Designation Date:
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) T
C1. Building elevations are based on: Construction Drawings* LJBuilding Under Construction•
'A new Elevation Certificate will a required when construction of the building is complete. UFinished Construction
C2. Building Diagram Number (Select the building diagram most similar to the building for which this certificate is being completed - see
pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.)
C3. Elevations – Zones Al -A30,4; AH, A (with BFE), VE, V1430, V (with BFE), AR, AR/A, AR/AE, AR/A1-A30, AR/AH, AR/AO
Complete Items C3a-I below according to the building diagram specified in Item C2. State the datum used. If the datum is different from
the datum used for the BFE in Section 8, convert the datum to that used for the BFE. Show field measurements and datum conversion
calculation. Use the space provided or the Comments area of Section D or Section G, as appropriate, to document the datum conversion -
Datum #%C%Vconversion/Comments
Elevation reference mark used Does the elevation reference mark used appear on th
0 a) Top of bottom floor (including basement or enclosure) es Lj No
0 b) Top of next higher floor fl (m) t �QQ' y9�
0 c) Bottom of lowest horizontal structural member (V zones only) _ ft.(m) a tC,
0 d) Attached garage (top of slab) — ( ) N a ` J 840
,S,
ft.(m) V�
0 e) Lowest elevation of machinery and/or equipment ft.(m) E ~� "\� Exp I.
L, c� � 6 3C•'� .' F
senriang the building ,�.,._,� V , e„ I rn
1 'L'""'...,.- tt r(T ., . No i n,
0 f) Lowest adjacent grade (LAG) g .
0 g) Highest adjacent grade (HAG) ft. (m) ; h
0 h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade ft.(m) J 1 ;:
0 i) Total area of all permanent openings (flood vents) in C3h j nom"
sq. in. (sq. cm)
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation inform
! certify that the information in Sections A, 8, and C on this certificate represents my best efforts to interpret the data availac,e. ation.
I understand that any false statement may be punishable by fine or
im�risor••r ands.— 1 U S C^ ,
, ,;^10ERTIFIER'S NAMEC' SC.
UCENSE NUh16ER
4f -/-/
A
zz=MA Fnrm Al 11 Al Ir; DA CSF qF\/FRCP CIr1F GnG7 r r1NTIN1 IATIr)N
RPPI Ar;r_CAI I pPPVIr1I IC FnITIr)NR
IMPORTANmr: In these spaces, copy the corresponding information from Section A. r
BUILDING STREETAOORESS Including Forinsurance Company
1 ( �/ Unit Su andJor Bldg. Na.) OR P.O. ROUTE AND IlOX NO.
Pot NumEer
CITY
N `Y:::..:.....
�1 SAT
Y U�* ,�, [ �cl� (?E CompanyN.itCNumCer ,
✓
SECTION D -SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED)
Copy both sides of this Elevation Certificate for (1) communihj
COMMENTS official, (2) insurance agent/company, and (3) building owner.
C ooC_ V/1� Z4 4 a02/11ZAI- A
« a C>
SECTION E -BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED FORI I Check here if attachments
For Zone AO and Zone A (without BFE), complete Items E1 through E4, if the Elevation Certificate intended foND ZrOuse asNE A (su PoO�9 UT BFE)
information for a LOMA or LOMB-F, Section C must be completed 4r
E1. Building Diagram Number (Select the building diagram mast similar to the building for which this certificate is being com leted –
see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) p
E2. The top of the bottom floor (including basement or enclosure) of the buildiri is
(check one) the highest adjacent grade, g I I I ft-(m) I_J _Jin.(cm) U above or U below
E3. For Building Diagrams 6-8 with openings (see page 7), the next; higher floor or elevated floor (elevation b) of the building is
LJ ft(m) I I (in.(cm) above the highest adjacent grade.
1 E4. For Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's
floodplain management ordinance? IJ Yes LI No LJ Unknown. The local official must certify this information in Section G. SECTION F -PROPERTY OWNER (OR-.OWNER'S REPRESENTATIVE) CERTIFICATION
The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA-issued or
community4ssued BFE) or Zone AO must sign here.
PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME
ADDRESS CITY
STATE ZIP CODE
SIGNATURE
DATE TELEPHONE
COMMENTS
SECTION G - COMMUNITY INFORMATION (OPTIONAL)—J Check here if attachments
The local official who is authorized by law or ordinance to administer the communit 's floodplain
Sections A, G. C (or E), and G of this Elevation Certificate. Complete the applicable items) and sign b �Owent ordinance can complete
G1. LJ The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor,
engineer, or architect who is authorized by state or local law to certify elevation information. (Indicate the source and date of the
elevation data in the Comments area below.)
G2. LJ A community official completed Section E for a building located in Zone A (without a FEMA-issued or community-issued BFE) or
Zone AO.
G3. LJ The following information (Items G4-G9) is provided for community floodplain management purposes.
G4. PERMIT NUMBER G5. DATE PERMIT ISSUED
G6, GATE CERTIFICATE OF COMPLIANCE/OCCUPANCY
ISSUED
G7. This permit has been issued for. LJ New Construction LJ Substantial Improvement
GS. Elevation of as-built lowest floor (including basement) of the building is:
G9. BFE or(in Zone AO) depth of flooding at the building site is: _ n•(m) Datum:
LOCAL OFFICIAL'S NAME _ n•(m) Datum:
TITLE
COMMUNITY NAME TELEPHONE
SIGNATURE
i
DATE
COMMENTS
• I
Check here if attachments
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