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Home My WebLink About040-214-026®* _.40-214-26 . GUS ORE— ; 9380 HollandDurham Contr : Gus 'Gore Sons Permit#3041-86B,P,E� iew single family] 40-214-26 PSF'ffr0 /7754-86B(add'1 sq ftg/3041-86) '.7 0 41 r t r M i i �i I E r r 1 tj i ®* _.40-214-26 . GUS ORE— ; 9380 HollandDurham Contr : Gus 'Gore Sons Permit#3041-86B,P,E� iew single family] 40-214-26 PSF'ffr0 /7754-86B(add'1 sq ftg/3041-86) '.7 0 41 EVA, ` M41 -86V) ' PERMIT NO. 3 — PERMIT EXPIRES / 1 OWNER -GUS GORE CONTR. Gus Gore & Sons ASSESSOR PARCEL 40-214-26 LOCATION 9380 Holland, Durham 4 f i F .r Temp. Power Pole i { Called PG&E t Temp. Elec. Service Called PG&E Temp. Gas Service Cal led PG& E JOB FINALED (Date) i Si9 nature -- J = OK 0 = Not OK - = Not Applicable * = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR Plans OK except N's Date FRAMING (Continued) Zoning requirements -Setbacks -Easements 48. Property Line Firewall &.Openings 1 N,j. Fig., Main; Soils-Steel-Elec. Grnd.- / /" Fig. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits { 3. _549- 6arWjUSoils-Steel- / /" Fig. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection - Fig., Porches & Decks; Soils-Steelp/ /'' Fig. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers �. Stemwalls, Main: Steel-Blockouts rapped -Slab 52. - Siding -Nailing -Veneer 6.-�walla rzaraga; Steel -Block ts-Wrapped-Slab 53. Stucco Mesh -Dr' Screed-Fdn. Vents-Underflr. Access - 7 8. --R-w-&irepFace Ftg.-Steel way C/O -Sewer Test 54. Glazing Are lass Protection -Skylights -Plastic 55. Shear Walls; ailing -Bolts 1 -" - 9. 10. Gas Pipe; Size -Anchors- Water Pipe: Test -Anchors egulator-Service Test 11. 12. Electric: Underground Plenums & Ducts; Cleara ce-Material-Support-Ins. j 13. Girders-Sills-Ancho-s-Cripples 'ent Card -BI Date Card -BI Date Card -BI Dat Card -BI Date Card -BI Da Card -BI Date Ca Date and -BI Date Date FINAL tans) OK except N's 1 Card -BI Date Card -BI Date Date Z5E-�je.p'15f PLUMBING (Permit) OK T �� 56. Ex Steps -Door &Sidelight Protection -Landings 57. Sm ke Detector 1 Card -BI Card -BI 14. 15. 1 17. 18. 19. Water Ht.: Vent- Access- bustion Air Water Pipe; Test & Anchors -Nil Protection W. Test -Fling & Anchor Nail Protection Sho n: Test, First - b Test Tub_& S t; -2nd Floor- ub Access Gas Pipe: Size & Anchors Date Card -BI Date Date Card -1311 Date 58. Fu ace; Vents -Clearance -Comb. Air -Connector - In arage; Above Floor-Ducts-Mech. Protection 59. Bed om Exiting 60. G.F.I. Bath Fixtures & Tub Access 61. Elec. TrAft4 Subpanel; Breaker Sizes -Labels 1 62. Stairs & Rails 63. Fireplace or Sto : Clearances -Hearth 64. Elec. Outlets at ood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. Elec. Outlets & feceptacles at Kit. Counter Date ELECTRICAL Permit OK exce q's 67. Garage Fire Do ; Swing -Landing -Closer 68. A.C. Duct in G a e -Dam er y • Card B -I Card B -I 20. 21. 22. 23• 24. 25. 26. 27. 28. 29. 30. Fixture & Transformer Clear nce-Ins_. Protection Elec. Receptacles Spacing- ighis & Switches at Doors Size Boxes & No. of Condu tors -Stapled Romex Installed Close toEdge of Studs & C.J. Equip. Ground made up w/ ech. Fasteners -Bond Gas & Water 2 Appliance Circuits in K when &Conductor Size Subfeed Wire Size / / a. Cu or AI-A.C. Wire Size / / ga. Cu or Al Range Circ. / / ga. C or AI -Oven Circ. / / ga. Cu or AI, Insulated Neutral Y s � No -- Service -Riser Conduct rs &Ground -Main Disconnect Equip. Clearances: Pa els-Motors-Mech. Equip. _ Shower -Light _-----_-_-_-- Clothes Closet Ligh/Card-BI ----- -- Date Card -BI Date _ - Date Date 69. Wtr. Htr.; Vent Clearance -Comb. Air-Connector-P.R.V.- In Garage; Abo a Floor-Mech. Protection 70. Fib., Elec. & tech. Equip. Listed for Location 71. Elec. Recept les in Garage; (G.F.I.)-Romex Protec. 72. - Insulation -F m -Looked in Attic ❑Yes 73. Guard Rails Deck Construction -Post Caps 74. Fdn. Vents & rawl '-tole Door -Drainage & Wood -Earth Clearance Looked under Ioor ❑ Yes 75. FollowingInst d.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No; Planters ❑ es ❑No 76. Stucco; Brown Finish 77. A.C. Unit; Dis onnect-Clrnces-Brkr. & Cond. Size -115V Outlet 78. Vents Above R of; Plbg.-Appliance-Firepl.-Clearance to 0 n s. 79. Water Well; Di connect, Electrical, Plumbing 80. Exterior Elec. rim; G.F.I. Receptacle -Underground 81. Ventilation th ughout House 82. Glass Protection Date MECHANICAL (Perrr,tt)/ OK except q's 83. Corrections flam Previous Inspections 84. Gas Test-MEters Tagged; Gas -Electric Card -BI Gard -BI 31. 32. 33. 34. 35. A.C. Ducts. Insul"tion & Support _ Vent Fan: Exhau4 above Insulation _ Condensate DraigI & Overflow: Size_& Grade - Furnace -Vent: ccess-Comb. Air -Return Air Vent -115V outlet Attic Access & latform if Furnace in Attic Date Card -BI Date - Date Card -BI Date 85. Water & Sew r Connected -C/O to Grade -HD Approval gg. Energy Co liance Certificate -Other Certificates -- �- "- - - -- Card -BI Date Card -BI Date Card -BI 0 to Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK xcept a's Com lents at Fin I: 36. 37. 38. 39. 40. 41 42. 43. 44. 45. 46. 47. Sills. Proper Materi I & Anchors Walls: Studs-NaihSpacing & Bracing -Plates -Sound . Bearing Walls o 'e, ;rders &Floor Nailing Draft Stop in Walls (Art proof) Fire Stops: Furred C-yilin2ss-Stairs-Chases-T_u_b__ Header & Beam Size& Bearing Hangers -Post Caps- nchors-Connectors Cing. Joist-Rftr. Tie-Purlin-Roof Brac.-Truss-Shthng.-Rfnq. Fireplace Ties, Typ A -'Flue -Fireplace Throat Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing - - -- - _ ! ; - -- -- (NOTE Anentrymust be made each time youvisit jobsite) J = OK O = Not OK - = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except p's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch _ 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4, Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete _ 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Locatiorti-Test-Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 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 N's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except H'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. Electricity; MH Test -Crossovers -Breakers -Clearances 4, Elec.; Receptacles and Lighting; Distances-GFI 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/O to Grade -HD Approval 8. Gas and Electricity Tagged 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. 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 4 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS P7NO, 7 County Center Drive - Oroville, California 9596$ - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESS R PAR EL NUMBAR/ (�C�] Q�'CJ O BUILDING PERMIT ow R 6)o r& TE NE 0 - SQ. FT. 0 C. BUILDING VALUAT ON OWN R'6AIL;q, ADDRESS Ac A r 3 C CO TFRACTO 'S AME n1 fro ® ✓ TELEPHONE CONTR CT 'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 1, ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $, c, Energy Plan Checking Fee $ '� ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT FiIingFee 10.00 Each Trap 2.00 r, Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF g Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home Is G W 10.00ea TYPE OF WORK New Addition a odel❑ Utilities _ Inst Ilation❑ Other Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 V OR Main service 100 AMP ORSLESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code/and m license is in full force and effect. License No. v S Classification 16 -' r• FlI, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.h ,/z2sgft OR ADDNS. ( ACC. BLDGS. CONSTR U TI.OUTLET NEW NON•RESID BRANCH CIRCITS 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES .200030 FIXED Ex. OCCup. OUTLETS P(RESID.IAPLNS.REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. bYirin g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. 2r -a"have placed on file with the County of Butte Building Department - Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3,00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to saveir9emnify and keep D4rmless the County of Butte against all liabilities, ju.dgme s, costs, and a ses which may in any way accrue against said _Cou'nt�nsequ ce o granting of this permit. ' Date �� - /% �� Signature of. -Applicant — Owner Contractor ❑ Agent ❑ An OSF! j/permit is required for excavations over 5'0" deep and demolition or construct- ion of sttrructures over3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE occu P.I ) coN ST.TraE " I woD PARCE :Df H0,4 ISSUE This permit is hereby issued under the applicable provi- sions the Butteounty Code and/or resolutions to do wor in icated ave for which fees have been paid. �VREZTOFrOF PUBLIC WORKS to �� '>6 PERMIT EXPIRES Date /f r//y�C—c 17 Receipt No.BYei., WHITE-D.P.W.. YELLOW-ASSE390R. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OR PU�fLIC WORKS - BUILDING DIVISION - 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICAVON DATA SHEET Permit No. / OWNER u re2 tv✓� A. P. No. 1 Proposed Building Use M Building Inspector (A.Date At time of permit application, I was advised the following data must be submitted prior to permit processing andJor issuance: DATE RECEIVED APPROVED 1, All items have been submitted. . . . . . . . . . . 2. Plot plans in duplicate. /triplicate, signed by preparer of plans. . 3. Complete plans in duplicate. /triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid'' Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ , , , , , , , , Letter of signature authorization / " Sanitation approval from � i� 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. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . Pre-Inspec. request to 17. Pre -Inspection for Required. Building Inspector (Date) 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of 21. c 22. When you issue the crt, r�jces(sias follows: Mail to caner, Mail to contractor. Telephones v 9o'sli and hold for pickup at�fice, Deliver w/inspector. Other Applicant Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by—phone1by #—jounn by date Contractor, designer, owner, was advised of above required data by_phone by date Plans checked by Date Plans approved Date Sets of plans on hold in File cabinet AP folder — Flours: 10:00 a.m. - 3:00 p.m. Copy—DPW r{ Jk J,0�1 TO: Building Department FROM: Environmental Health, Chico ' SUBJECT: Sanitation Clearance 'e Owner Location AP# Plan approved for: sewage disposal Hold final for: water supply water supply Final clearance O.K. for:• water supply Clearance for bedroom mobile home. Other x/ Z �—Y�2ZviSce�.. Note*".* -Sanitarian Date ENERGY SHEET FOR ADDITIONS TO RESIDENTIAL BUILDINGS' PERMIT No. PACKAGE "A" (Additions) NAME JOB ADDRESS TYPE OF WOR FORM 7 SQUARE FOOTAGE Existing Residence New Addition New Total The following information sheet, showing mandatory features and required features of Package "A" must be completed and attached to all plans for additions. to dwellings. Additions to dwellings include room additions, .converti*ng garages and patios to living areas, house moves that add footage and attic conversions, and any space that is ex- isting non -conditioned space that is converted to conditioned space. Remodeling of existing conditioned space is not included. ZONE 11 ZONE 12 ZONE '16 INSTALLED APPLIES TO NEW AREA CEILING R-30 R-30 R-38 WALL R-11 R-11 R-19 FLOOR R-11. R-11 R-19 SLAB R- 7 R-11 R- 7 GLAZING ,65 .65 .65 SHADING SOUTH -OPTIMUM OVERHANG or .36 S.C, WEST - .36 S.C. LOOSE FILL INSULATION (Density) INFILTRATION CONTROL. Weatherstrip doors, certified windows, caulking). VAPORBARRIER (Zone 16) DUCTS PER UMC - Ch. 10 LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT MAXIMUM GLAZING 16% OF AREA PLUS REMOVED GLAZING NEW HVAC AND HOT WATER IN CONJUNCTION WITH AN ADDITION SHALL COMPLY AND FILL OUT DATA ON BACK OF THIS SHEET 7/83 *1 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 ❑ Other_ (describe) *1 (B) Cooling ❑ Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr I (cooling capacity at 95°F) Electric Heat Pump Btu/hr EER *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form (k4) or other approved methods, section 2-5352(g), and fill out the following. Heating: Winter design temperature °, elevation ', heating load BTU elevation factor x heating load = maximum outlet capacity gas furnace BTU Cooling: Summer design temperature ', cooling load BTU *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 Admin-ist ation Code. SIGNATU OF BUILDING D SIGNER OR LICANT (cooling capacity at 95°F) ❑ Other (describe) DOMESTIC WATER SYSTEM ❑ (A) Gas Only Gallons (brand and model number) (tank size) ❑ Heat Pump w/Electric Backup (brand and model number) Gallons (tank size) ❑ *2 Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) 2 ft (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) ❑ Location of Solar Panels ❑ Other (Describe) *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form (k4) or other approved methods, section 2-5352(g), and fill out the following. Heating: Winter design temperature °, elevation ', heating load BTU elevation factor x heating load = maximum outlet capacity gas furnace BTU Cooling: Summer design temperature ', cooling load BTU *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 Admin-ist ation Code. SIGNATU OF BUILDING D SIGNER OR LICANT PERMIT NO. 3041-86B P,E,M PERMIT EXPIRES 1� -2 7 OWNER GUS GORE CONTR. Gus Gore & Sons Inc., Durham ASSESSOR PARCEL 40-214-26 LOCATION 9380 Holland, pDurham s ' OFFICE COPY Address PbVV i GAS Meter By Date ELECTRIC Meter By Dat i OFFICE COPY COPY Address OM1ili i I J GAS / I Meter By Date tTJ ELECTRIC _i Meter By Date r R fi t' Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E ! Temp. Gas Sei Cal led PC r JOB FINALE[ Signature 19 V = OK' r\ = Not OK `= Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR Plans OK except Ws Date F AMING Continued — _ - A"./toning requirements-Setb -Easements perty Line Firewall & Openings /V'cl Fi in; Soils -Steel -E rnd.- / /" Ftg. Depth x . Doors -One 3' -Check Gara -3rd story, 2 exits - tg., Garage; Soils -Steel- / /" Ftg. Depth 0. Stairs; Width -Headroom -Rise Run- anding-Fire Protection - 4. Ftg. Porches & Decks; Soils -Steel- / /" Ftg. Depth Plywood on Roof Overhang -Attic Vents -Rafter Outriggers emwalls, Main; Steel-Blockouts-Wrapped- _ 52. Siding -Nailing -Veneer emwalls, Garage; Steel LBIockouts-Wrapped- --6&.--Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access rst. tg.-Steel _ Glazing Area -Glass Protection -Skylights -Plastic j�l3d D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test r Walls; ili -Bolts 9. Gas Pipe; Size -Anchors _ 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 el< 7a' .04t"? //iS , Card -BI Date Card -BI Date Card -BI Date Card -BI Date —rd Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except N's Card -BI Date Card -BI Date Date PLU ING (Per it K except !�C. _Z -9t. Steps -Door & Sidelight Protection -Landings Pr ySmoke Detector Water Ht -Access Combu n Aires 15l ter Pipe: Test & Anchors- _ cti eon Pv I".V.: Test-Fttngs & Anchors -Nail Protection 1� /�'�ower Pan: Test, First Floor -Tub Access 4� sl T_ub & Shower, 2nd Floor -Tub Access Gas Pipe: Size &_Anchors Card -BI Date __ Card -BI Date Card -BI Date Card -BI Date . Furnace; Vents -Clearance -Comb. Air -Connector - n arage; Above Floor-Ducts-Mech. Protection edroom Exiting G.F.I. &Bath Fixtures &Tub Access c. Trim & Subpanel; Breaker Sizes -Labels Stairs & Rails Fireplace or Stove; Clearances -Hearth X64- Elec. Outlets at Wood Panel; Int. & Ext. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Elec. Outlets & Receptacles at Kit. Counter Date EL RICAL Permit OK except N's Garage Fire Door; Swing -Landing -Closer :C. Duct in Garage -Damper xture & Transformer Clearance -Ins. Protection Elec. Receptacles Spacing -Lights & Switches at Doors 22. Size Boxes & No. of Conductors -Stapled 41,/6omex Installed Close to Edge of Studs & C.J. quip. Ground made up w/Mech. Fasteners -Bond Gas & Water 2 ppliance Circuits in Kitchen &Conductor Size ubfeed Wire Size / / ga. Cu_or AI-A.C. Wire Size / / ga. Cu or Al Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At,Following I sulaled Neutral _.Yes _N • 'v ice -Riser Conductors &Ground -Main Disconnecttucco; Equip. Clearances: Panels-Motors-Mech. Equip. othes Closet Light -Shower -Light _ _- ---- --- ---- ------ -- Card B -I Date Card -Bi _ Date -- — Gard 8-I Date Card -BI Date - - Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection Ib., Elec. &Mech. Equip. Listed for ocation Elec. Receptacles in Garage G. om rote tie'Insulation-Foam-Looked in At tc OYes �7l�y ard Rails & Deck Construction -Post Caps . Fdn. Vents & Crawl !-tole Door -Drainage & Wood -Earth Clearance Looked under Floor G Yes instld.: Drive [I Yes 0 No: Walks El Yes ❑ No; Planters ❑Yes ❑No Brown -Finish A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet - . Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. ter Well; Disconnect, Electrical, Plumbing 8 xterior Elec. Trim; G.F.I. Receptacle -Underground ,.ntilation throughout House [Wr Glass Protection Date MECH NICAL (Perrr•rt) OK except N's 83. C ctions from Previous Inspections _ -est-Meters Tagged; Gas -Electric jveA.C. Ducts. Insulation &Support _ _ nt Fan: Exhaust above Insulation - 13.�ndensate Drain & Overflow: 'Si ze_& Grade - Furnace -Vent. Access -Comb. Air -Return Air Vent -115V outlet ttic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date - Card -Bl Date Card -BI Date W r'& Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates - - - - -- - - Card -BI Date Card -BI Date - Card -B 7 t ,Card -BI Date - Card -BI G -rt i Card -BI Date Date FRA G(Plans) OK except rs Com rents at Final: . Si Is: Proper Material & Anchors 7 Wal : Studs -Nailing, Spacing & Bracing -Plate earing Walls over Girders & Floor Nailing — Daft Stop in Walls (rat proof) Fir lops: Furred Iings-St =Chases -Tub ---_ ader & Be- -- Ze - -- anger os a Connectors Ging. Joist Ties-Purlin-Roof Brac.-Truss-Shthnq.-RfnQ. Ilk, Ilk,44. rreplace Ties or T�pe AFIue- Fir eplace Throat r�uc Access: iize Amex ro c io Draft Slop -Ins. Baffles i. Windows or Exiting Doors -Sill Hgl. & Dimensions Garage Fire Protection Framing - --- - - ----- --- -- _ - _ "--- --- - -`- — (NOTE: Anenlrymusl be made each time youvisit jobsile) / = 'ok 0 = Not OK - = Not Applicable = Not Ready r MOBILEHOMES MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except`#'s 1. Zoning Requirements -Setbacks -Easements _ 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete _ 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Local iorrTest-Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance 6. Carports; Windows -Doors 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 4. Electricity; MH Test -Crossovers -Breakers -Clearances 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Elec.; Receptacles and Lighting; Distances-GFI 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/O to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghig. 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-1 Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date f Own --r: l%eot Permit No. SLiF� ENERGY CERT IF ICAT ION 7� YO Holland Ave. , Dorham— LOCATION A.P. No. DESCRIPTION OF INSULATION ROOF ��. Material Brand Name Thickness(inches) Thermal Resistance (R Value) EXTERIOR WALL Material Fiberglass Batts _ Thickness(inches) 6 3/4" CEILING Batt or Blanket Type Fiherola s Batta Thickness(inches) ll" Loose Fill Type Minimum Thickness(Inches) _ Area covered(ft.2) FLOOR, ELEVATED Material 'o, ii/�_ Thickness(inches) FLOOR, SLAB Material -1/1A Thickness(inches) Width(inches) FOUNDATION WALL Material ,s%/ Thickness(inches) Brand.Name Manville Thermal Resistance(R Value)_ R19 Brand Name Manville Thermal Resistance(R Value)_ R30 Brand Name Number of Bags Wt. per bag lb. Thermal Resistance(R Value)_ Brand Name Thermal Resistance(R Value)_,p Brand Name Thermal Resistance(R Value)_ Brand Name Thermal Resistance(R Value)_ . I hereby certify that the above insulation was installed in the above building in conformance with the State of California Energy Requirements. LOERKE INSULATION CO., INC. #499150 FIRM NAME/OWNER STATE CONTRACTOR'S LICENSE NO. March 26, 1987 SIGNATURE OF TALLATION 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. GUS GORE & SONS, INC. p. 0. Box 350 DURHAM, CALIFORNIA 95938 FIRM NAME/0 R (Please print STATE CONTRACTOR'S LICENSE NO. SIGNA� OF GENETCAL CO CTOR 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 II FROM: SUBJECT: DATE: -c9C:, Inter-Depurtmental Memorandum t 3c)(1186 ° COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-630'7 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 r COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ERMIT NO. 7 County Center Drive - Oroville, Cal-ifornia 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR Pp.BRCEL NUMR zo G` �(/�J'J1 BUILDING PERMIT OWNER TE E Ho E av us Go RE aC� SO. FT. OCC. BUILDING VALUATION O WN�VS MAILING ADDRESS c CONTRACTOR'S NAME allS oeE v 5_0A)S 1A) C , TELEPHONE ya ' qu S CONTRACTOR'S MAILING ADDRESS , 3 3d Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ (� Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ GVv �� Energy Plan Checking Fee $ /-So ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS �! Permit fee $ 7 Pd PLUMBING PERMIT Filing Fee 10.00 CA%l+ P S404& Each Trap 2.00 l(p-Oct Solar or heat pump watMG 20.00 LOT NO. 3 v SUBDIVISION NAME 1�M7AP PARCEL v 7 �v Water piping 5.00 Cl� Each qas water heater 5.00 ,$ / O USE OF STRUCTURE SFX Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5.00 Ad Building sewer5.00 D Mobile Home S10.00 ea TYPE OF WORK Ne Addition❑) Remodel❑ utilities[]Installation❑ Other ❑ Describe work: rf/�� //� /, CA be tk _ JfeVA) S�Q( Permit Fee $ d7�, Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1001 OR L 00 AMP ORSLESS 10.00/O-dD Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declar nder 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. /f License No.�a(/ (� Classification ALJ ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ACC. BLDGS. A DWELLING OCCUP.& ,�Z Qsq ft OR ADDNS. NEW CONSTR U TI -OUTLET NO N.RESID BRANCH CIRC ITS 2.50 ea /POWER APPARATUS 6 (SINGLE OUTLET CIR. EX. OCCU o 20050e p UTLETS OR FIXTURES eAL030 FIXED PR Ex. Occup. OUT LETS (RESID.)EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. lyirin g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating �J'd 1 Cooling Hood 3.00 Ventilation --_. Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for insl5kt ion purposes. I also agree to save, indemnify and keep har less the County of—Butte against all liabilities � d ents, costs, a exp s which may in any way accrue against s ou y m c segue of th Wring of this permit. %� Date /4 — /B — �j "tractor ❑ Agent Signature Applicant — Owne/at.ion. An OS permit is required for exover 5'0" deep and demolition or construct- ion of tructures over 3 stories in h Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ occu P. 3 CONST.Tr Pe W FLo PARC PD HD Su This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC BY P IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date /0,+7-1?% to 1.7-� Receipt No.�Q�� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT � t•J ��' s ~ .i � rw� COUNTY OF BUTTE - DEPARTMENTS OF.,PUB,LIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CAk•IFOAfA 95965 - TELEPHONE: 916/534-45,41 PERMIT APPLICATION DATA SHEET Permit No. OWNER U.S. (:;0P0�- A. P. No. �� off/ �/ olio Proposed Building Use S�%7 'Building Inspector Date Z/2 At time of permit application, I was advised the following data must be submitted prior to permit processing andlor issuance: DATE RECEIVED APPROVED 1. 2. 3. 4. 5. 6. 7 8. All items have been submitted. . . . . . . . . . . . Plot plans in duplicate./triplicate, signed by preparer of plans. . Complete plans in duplicate./triplicate, signed by preparer of plans. Complete engineered plans and calcs, with wet signature on plans. Plans with Energy Design Compliance Statement. . . . . . CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . . Statement of Intent for Non -Heated and AC Buildings. Fees of $ , . , , , , , , Letter of signature authorization. . . . . . . . . . . t Sanitation approval from Health Dept. Planning approval for (A) Use: (B) Parking: . Certificate of Workmen's Compensation Insurance. . . . . Contractor's License Information (no., name style, classif.) Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ). Improvements may be required. . . . . . . . . . . . Mobi lehome Installation Data. . . . . . . . . . Pre-Inspec. request to Q / Pre -Inspection for Required. Buildin Ins actor 7 LD ate) Recorded copy of Agricultural Acknowledgment Statement. Driveway Permit. 20. Plot plan approval from city of 21. 22. S When you issue the per it, process as follows: Mail to owner, Mail to contractor. " Telephone .3��' S� and hold for pickup at office, Deliver w/inspector. Other Applicant / Det -e ,Z Copy of plans sent Health Dept., Fire Dept., / Other Date The following data must be submitted prior to permit issuance: 1. Index permit for above items No. 2. Additional items required: le new item not checked above). Contractor, designer, owner, was advised of above required data by_phone---rnail—counter by date Contractor, designer, owner, was advised of above required data by—phone _mall.=,counte} date Plans checked by Copy—DPW Date Plans approved by Sets of plans on hold in File cabinet AP folder Date — Flours:'1.0:00 a.m..- 3:00 p.m. TO: Building Department FROM: Encroachment Permit Section RE: 'Dilueway 'Clearance owner AW 2oa o location ¢0- 2/,f- 7 -- AP 6AP # Driveway permit /.VV — L-,— _ has been issued for the above property. number signature date TO: Building Department FROM: Environmental Health, Chico SUBJECT: Sanitation Clearance Owner Location �AP Plann approved for; sewage disposal water supply G� Hold final for: water supply Final clearance OA. for: water supply Clearance for bedroom mobile om Other Note*** an Date TO: FROM; �UBJECT:' Building Department I i Environmental Health, Chico Office ,Sanitation Clearance )I -'- Owner Plan approved for: Hold final for: Final clearance O.K. for: Clearance for 'bedroom Noted** Location APR Sewage disposal /. Water Supply lj Water supply Water supply, Mobile home House Other Jnitarian Date Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT RECORDED IN OFc�r//�xO'iAl P" FOR RESIDENTIAL DEVELOPMENT OF BUY TE CO11�Gs!CA: V a2 AT 41 HE REQUEs-r o.r Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. 86-3E�966. 1986 OCT 17 P9 2 35 The property described herein is adjacent to land or included • within -an area zoned for agricultural p LEbOR9.8FCi(Cf� B purposes, and residents 'of thRK=- RECORDER FEF 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: Parcel 39 as shown on that certain Parcel Map entitled "BEING A PORTION OF SECTION 30, T. 21N, R.2E, M.D.B.&M.", said Parcel Map was filed in the Office of the Recorder of the County of Butte, State of California, on January 11, 1982, in Book 87 of Parcel Maps, at Pages 30 and 31. gate : G - G REDlift H PROPERTY OWNERS: Cus Core Anita P. Gore tate of California ) On this the 17th day of October , 19 86 ) SS. me, the undersigned NotaryPublic , before :ounty of & . ) per appeared !am NIS rJMaaEganaaEaMEW 0aaam LAQswft- .I E Cavi E�Odl�iliO�V �+ NC3Ti-.,9Y PU i IC-Cs1LIFQHNIA g bdItu founiy Iy a• My Gornmiasior; +-,,pir-s f•Aay 3,193a . m resent A.P. No. 40-214-26 Gus Gore and Anita P. Gore LK/ Personally known to me. Proved to me on the basis to be the person(s) whose name s of eatia e ctory evidence. the within instrument and acknowledged that they subscribed to executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set m hand d J an official seal. Notary P b Ic • * ,_ .fin , RESIDENTIAL ENERGY PLAN CHECK/INSPECTION SUMMARY FORM I Owner 0 d -e- Climate Zone Permit No.c- 4V, -,d W Floolk Area / 1 Compliance path: Package ❑ A ❑ B ❑ C gii;�int System ❑ Budget ❑ Other MIN R -VALUE DESCRIPTION REQ'.D INSTALLED ITEMS i(1) INSULATION: [� Roof/Ceiling --f Wall_4Q e ❑ Slab Floor Perimeter ❑ Raised Floor (2) INFILTRATION• ❑ / (A) A vapor barrier is required in climate zones, 1, 14 & 16. L� (B) All manufactured windows and sliding glass doors shall meet the 1972 ANSI Air Infiltration Standards and shall be certified and labeled, [� (C) All swinging doors and windows leading to unconditioned areas shall be fully weatherstripped. (3) [:1 13 13 13 13 7/83 Tight - the above standard features plus: (D) Continuous infiltration barrier `DING DEPARTMENT. (E) Electrical outlet plate gasket (F) Air-to-air heat exchanger V ED GLAZING: APPRO (A) Location Area Glazing ° Total Bldg Lir' North p _..__East _ South West Skylights (B) Shading h d' /°Floor Area Single Double Triple 3, S a ing Coefficient De c iption East�.�.�I�Ppj( South West J., A„ .'i' Skylights (C) South Overhang Length of projection _ �`; ft. Description (D) Moveable insulation: Area ___ftZ Description (E) Thermal mass' Type AArea - Ft.2 HC=� R=� MC= � .., Location f Type Area Ft . HC= ,'/Ls,1R= MC= 2u Location 1��•-� -4c 1- r 't Q CJD" , PL Type - Area Ft. HC= R= MC= Location Type - Area Ft.Z HC= R= MC= Location Type - Area Ft.2 HC= R= MC= Location Type - Area Ft.Z HC= R= MC= Location FORK 1 ❑ (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. A [o *1(5) HEATING. VENTILATING; AIR CONDITIONING SYSTEM / (A)..Heating Central Gas Furnace (brand and model number) Btu/hr (heating capacity) Heat Pump. (brand and model number) Btu/hr (heating capacity at 47°F) Active Solar stype (liquid or air) model number solar fraction orientation collector tilt 7/- ZL `/. SE. ' ACOP Collector brand and ft2 collector area collector rated y -intercept rated slope 1 Other 1 (describe) [� * (B) Cooling �. 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 �. FORK 1. j (6) DOMESTIC WATER SYSTEM [+7� •(,H)• Gas. Only Gallons (brand'and model number). (tank size), Q Heat Pump w/Electric Backup (brand and model number) Gallons 2 (tank size) Q * Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) 0 Location of Solar Panels ❑ Other (Describe) p' :(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. Ell" (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 T20 -1408(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 (A) Lamps used in luminaries for general lighting in kitchens and bathrooms shall havean 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(g), and fill out the following: Heating: Winter design temperature , e levat ions— S'r� ' , heating load �/7, ZBTU. elevation factor. `0-0 x heating load = maximum outlet capacity gas furnace ilod BTU Cooling: Summer design temperature /0 9L6, cooling load P,7BTU 2 (USE ONLY AS A SIZING GUIDE, COOLING MAY BE INADEQUATE) * 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. 11, 7/83 3 BUILDING DESIGNER APPLICANT Table 3-13. Infilttatfon Control Peetvres Points 1 Coa:rol Features I Points 0.9 air changes per hr Tight I +12 1 0.6 air changes per hr (' i Table 3-15. Gas Furnace Without RefriReratlon Cool!n.e Points I Seasonal Efficiency I Points I I (SE), Z I I I I I 1 71-76 I 0 1 I 77 - 82 I +2 I i 83 - 88 I +4 I I 89 - 94 I +6 I I 95 up I +8 I I 8.8 - 9.1 Table 3716. Heat Pumo Paints I Energy Efficiency I Points I I Ratio (EER) I I I 7.5 - 7.9 I +3 I I 3.0 - 8.3 I +6 I I 8.4 - 8.7 I +9 I I 8.8 - 9.1 I +12 I I 9.2 - 9.6 I +15 I I 9.1 - 10.2 I +18 I I 10.3 - 10.8 I +21 1 I 10.9 - 11.5 I +24 I 11.6 - 12.3 I +27 I I 12.4 - I 13.2 I I +30 I I Table 3-17. Gas Furnace With Refrieeration Coollna Points 'Refvigeratlonl Gas Furnace I I Cooling I SE : 1 171-7-i83-189- 95 I 1 761T821 881 941 u I I�- e.3 I 1) +21 +4I +61 +e I I 8.4 - 8.7 +2 +41 +61 +91+10 I 1 1A.8 - 9.2 1 441 +61 +EI+101+12 1 1 9.3 - 9.7 1 +61 +81+101-121+14 1 1 19.8 - 10.3 1 +31+101+121+141+16 1 1 10.4 - 10.9 l+101+L2j+141+161+19 I 1 11.0`- 11.5 I+121+i:1+161+191+'20 I I I I I I I 7/7/83 TABLE 3-14 (ADAPTED) MASS DYEI AREA 1,000 11,500 Sq- FT. , A e C -D- 1 A ll • C 50 ? 00. ISO DO 250 307 350 400 Soo 603 7130 230 903 I,e.o 1 „OU 1,200 1.700 1,400 1,500 2,300 2,500 ],coo 3,500 4,700 4,500 ZONE 11 INTERIOR THERMAL MASS POINTS 2,0002,500 I 3,000 I 3,500 ! 1,000 I I,SGD 5,000 1 B C D A 8 C D A 8 C D I A 8 C 0 A 8 C 0 1 A 6 C D 2 2 2 2 2 2 2 0 1 2 2 2 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 +14 0 0 O I 0. 0 0 0 1 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 DI 0 0 0 of 6 8 6 a 6 6 4 4 4 /(!2 6.. 4 1 2 z 2 1 *2 1 z 4 2 x 2 ♦ 2 4 2 z 2 z 2 2 t 2 2 .2 2 2 2 2. 2 2 2 2 2 2 t 2 2 2 2 2 0 t 2 2 .f 2 2 2 0 2 2 2 2 . 2 t Of 10 10 8 6 6 6 6 4 6 6 4 2 4 4 4 2 4 4 2 t 2 2 t 2 2 t 2 2 2 2 2 2 2 2 2 1212 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 7. 2 22 2 2.2 2 t 1414 12 810 IG a 6 6 6 6 4 6 6 6 2 6 4 4 2 4 4 4 2 4 4 2 2 4 4 2 7 2 2 2 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 4 4 2 2 4 4 t 2 IS 22 18 20 16 18 10 12 12 14 12 14 10 12 6 8 10 12 10 12 8 10 6 6 It 10 8 10 6 8 4 6 6 8 6 8 6 6 4 4 6 8 6 C 6 6 2 4 6 6 6 6 4 6 2 4 4 6 4 6, 4 a 214 2 6 4 6 4 4 j i t 24 16 28 30 31 34 24 24 28 90 32 32 20 22 ?4 16 28 30 14 18 16 70 16 22 18 I?2 20 74 22 26 16 16 20 20 24 26 It 16 18 '10 22 22 to 10 12 14 14 16 14 14 16 18 20 22 14 14 16 18 20 20 12 12 14 16 18 18 8 8 10 10 10 12 10 12 14 14 16 18 10 10 14 14 16 18 10 10 12 12 14 14 6 6 6 8 8 10 10 to 12 12 14 14 10 10 12 12 14 14 8 8 10 10 l2 12 6 6 6 6 8 8 e 10 10 12 12 14 e R 10 10 12 12 6 8 3 10'. 10 12 / 4 6 6 6 8 e ? 3 110 IO 'it 6 8 10 10 12 6 '8 8 10 10 < 4 6 6 6 8 8 e 13 10 6 8 8 10 10 6 6 6 0 e 8 41 II 41 4 6 6 6 6 B ?J 10 6 6 8 a f In 6 6 6 f 8 i c 1 4 i � 6 37 34 34 34 12 32 22 28 24 28 26 28 2/ 26 16 18 22 24 22 24 20 20 12 It 18 20 19 20 16 18 10 12 lu 18 1♦ 16 14 11 8 10 14 11 12 14 12 12 6 8 12 I4 12 14 10 12 6 8 112 12 10 11 IO ' :G 6� E; 10 ,O ?0 13 F. 10 o S 36 34 34 24 30 34 30 34 26 32 18 22 24 30 24 30 22 26 11 18 22 26 20 26 18 22 12 16 18 22 is 22 16 20 10 14 ( 16 20 16 20 14 18 8 12 14 18 14 18 12 16 8 10 17 16 12 16 .10 14 7.1 GI 11 14 12 14 1: 1? l u i 9 I 34 34 ]0 22 30 34 30 32 26 30 18 22 26 30 32 26 30 32 24 26 30 16 IS 20 24 28 10 32 24 26 ]O 32 22. 1• 22 24 16 I24 26 ld �21 30 20 130 32 22 2/ 28 30 32 19 22 14 26 29 :2 20 14 22 16 26 Is 79 20 30 32 _ 20 27 21 2B 30 1?_ .IB 20 22 24 26 V- !, 19 14 14! !4 it 15 1t ie 23 j IJ____- ?5 :J ,4 Zi 1 n It '= 20 Y ?= : 6 :� li i 14 t( ;C ; 1 d A) 1. 3y- Concrete Slab: HC -8.93; R-.29; Factor -7.3 2. 3 3/4• Thick Common Brick: IIC-7.125; R-.13; Factor -7.3 B) 1. S4' Concrete Slab: HC -11.106; i•.458; Factor•7.1 C 1. 9' Solid Filled Block: HC•20.6]; R-1.93; Factor -6.1 2. 8• S 011 Filled Block With Both Sides Exposed To Conditioned Air. NOTE: Use all square footage directly exposed to conditioned air for Thersal',Hass Area: HC -10.164; R-.96;; Factor -6.1 0) 1" Thick Concrete/Tile: ,C•2.5S; R-.083; Fsctor�3.7 Table 3-19. Zonally Controlled Electric Reslstanca space Heating Points Points forthis neasurc u!11 Table 3-20. Solar Water Heatin With C- Back- Pat I be completed after the CEC I I has approved an Alternative I I Component Packag eslstance •l I Reat. Table 3-19. Active Solar Space Heatine vita Gas Points 1 Net Solar Fraction I Points I I (NSF), x I I I I I I 0-6 I 0 l I 7-14 I +2 I I 15 - 23 1 +4 I I 24 - 30 I +6 I I 31 - 39 j +8 I I 40 - 47 I : +10 I I 48 - 55 I +12 I I 56 - 63 I +14 I ( 64 - 71 I +18 I I 72 up 1 +10 I d stove #33 poinfs-(no back up) casablanca a Y.ultifamll (per unitpoints) Floor Area Net Solar Fraction (NSF), Z Per ft2. 0.9 i9 ZC--29 30-39 40-49 50-59 60-69 70-79 , 6007799 0 +3N+4 +10 +14 +17 +21 +24 800-999 0 +3 +8 +11 +14 +16 +19 1,000-1,499 0 +2 +6 +8 +10 +12 +14 1,500-1,999 0 +1 +3 +4 +6 +7 +8 +10 2,1100 and up 0' +1 +2 +4 +5 1 +6 +7 +9 All others (pe butldina points) 800-899 0 +5 +10 +14+19 +24 +29 +34 900-999 0 +4 +9 +13 +21 +26 +30 1,000.1,199 0 +4 .+7 +I1 +15 +22 +26 1,20ir1,499 0 +3 +6 +9 +12 +15 +18 +21 1,500-1,999 0 +2 +5 +7 1-t +9 +12 +14 +16 2,000-2,999 0 +2 +3 +5 7 +8 +10 +11 3,OC•0 n:.d up -0 +1 +3 +S +5 +•7 +9 +10 I Table 3-21. Other Vater I!eatlnq Pts. 7 I System Type I Points I 1 !42 Only ) 1 1 Beat Reap I 0 I 1 Solar with Electric I I I ReaiatanCa Backup j I I Meeting the Requirs- ( I I amts lu Part 2 I 0 j I I 1 I Electric Resistance I I I Only -40 I I I 1 ' ZO 11 I OWNER 6b/, T -!- e_ POINTS PERMIT NO. - 470 ASSIGNED ACTUAL i I I East 1. SLAB - INSULATION ^- South 2. RAISED FLOOR - R-19 7- I I 3 I i I q 3. CEILING - R-30 • 20-.36 i i 4. WALL R-19 i 9 Overhane Point! 5. NOF.TH GLAZING - 2.4-3.6: ~ tf 6. EAST GLAZING - 2.5-3.6% 7 � y �( Z- 0 i -1 i -2 +'-3 7. SOUTH GLAZING - 1.6-3.6% 7. GLAZING 2.9-3.6% 1 3.1 1 6.3 17.9 19.5 I 8. WEST - 0 1 +1 I +2 I +2 ! +3 9. SKYLIGHT - 0-1.3%�- 0 1 0 1 0 1 0 1 0 10. SHADING (Exclude Overhang) 0 1 -1 I -2 I T2 -3 EAST - 66 •i 0 1 -2 1 -4 1 -4 1 -6 SOUTH - .19-.42 .1 11.6 1 3.2 1 6.4 1 8.0 WEST - .13-.36 to I to I to I to I up .SKYLIGHT - .37-.57 13.1 ( 6.3 1 7.9 I I I 1 t 11. HORIZONTAL SOUTH OVERHANG 2' 0 1 +1 I +3 I +6 I +7 12.. MOVABLE INSULATION - NONE 0 1 0 1 0 1 !0 I 0 13. INFILTRATION (��Standard=0)(Tight=+12) 0 I -1 I 3 1 r6 I -1 JJ/Of-A 2 7S'**SF -1 1 -3 I � -12 I -15 14. THERMAL MASSA) ^ 15. GAS FURNACE (SE) 71-76% 1 1 1> I 16. HEAT PU11P (EER) 7.5-7.9% .1 1 .8 1 1:6 1 3.2 1 4.6 DUAL PACK (SE, SEER) 8.0-8.3/71-767. to i to I to t to i to WOOD STOVE 1 .. ab WATER -HEATER C� TTIC 4---r3 OTHER - .58-.82 •1 TOTAL POINTS = _714 -1 - Table 3-1. Slab Floor Points Table 3-2. Raised Floor Points I Tn�uls- I R -Value of InsulationI R -Value of I I ttun I I I Insolation I Folate I Depth, I I I Inches 1 0-2 1 3-4 1 5-6 1 7+ 1 1 1.10) 1 0.65).1 I I i 1 I I I below 3 I -12 1.10 I 0 It -s -s -s I I 5- 7 -6 112 - 15 -5 -7 -2 -1 1 I 8 - 12 I -4 I 16 - 19 1 -5 1 -2 1 -1 1 0 I 1 13 - 18 ( 2 20 + i -5 1 -1 1 0 i +1 i i •19+ 7/7/83 Table 3-3a. Ceiling Insulation R -Value of Insulation I Points 19 I -4 22 I -2 49 ' 1 +4 I R -Value of Insulation I Pointe 30 1 +3 e 3-5. "orth-Facins Glazing Pte I Glazing Type Total I I 2 of ST. Dbl, Trpl, Floor I U I U- I U. 1 Area ( 0.66 1 0.42- 1 0.41 1 11.10 1 0.65 1 down I 1o 1 414 L a� • +4 I I 0.1- 1.2 1 +4 ! +4 ! +4 1 I 1.3- 2.3 1 +1 I +2 I +2 I ! 2.4- 3.6 1 -2 I 0 ( +1 1 I 3.7- 4.a 1 -4 I -2 I -1 I I 4.9- 6.1 1 -7 I -4 -3 ! 1 6.2- 7.3 1 -9 I -6 ! -5 I 1 7.4- 8.2 1 -12 1 -8 I -7 1 1 8.3- 9.7 1 -14 1 -10 I -8 1 ( 9.8-10.8 1 -17 1 -12 1 -10 1 110.9-12.0 1 -19 1 -14 1 -12 I 112.1-13.2 1 -22 1 -16 1 -13 I 1 13.3-14.5 1 -24 1 -18 1 -15 1 14.6-15.3 1 -27 1 -20 i -17 Table 3-7. South -Facing Clazina Pte Table 3-10. Shading Coefficient Points I Glazing Type I I Total I 1 1 Z of I Sngl, I Dbl, Trpl, I Floor ' I (U - I (U - I (U -I I Area I l.to) 1 0.65) 10.41)1 I I oints I oints I ointsl 1 03 I up i.1.5 + 2 +2 1 +2 1 1 1.6- 3.6 1 -1 1 0 1 0 1 1 3.7- 5.2 1 -4 I -2 1 -2 1 1 5.3- 6.5 I -6 I -4 1 -3 1 1 6.6- 7.7 I -9 I -6 1 =5 1 I 7.8- 8.9 I -11 I -8 1 -7 1 I 9.0-10.0 1 -13 1 -10 .1 -9 1 t 10.1-11.5 1 -17 1 -13 1 -11 1 111.6-13.0 1 -21 1 =16 1 -14 1 1 13.1-14.5 1 -25 1 -19 1 -16 1, 14.6-16.0 1 -28 1 -22 1 -19 I Table 3-8. Total Z of Floor Area I up to 1.3 I 1.4- 2.2 I 2.]- 2.8 1 2.9- 3.6 I 3.7- 4.2 1 4.3- 5.0 I 5.7- 6.2 1 6.3- 6.9 I 7.0- 7.6 I 7.7- 8.2 I 8.3- 8.8 I 8.9- 9.5 I 9.6-10.1 10.2-11.0 11.1-11.8 11.9-12.7 12.8-13.5 13.6-14.3 14.4-15.2 West -Facing Glazing Pts. Glazing Type I Sngl, I Dbl, I Trpl, I (U - I (U - I (U - I 11.10) 1 0.65) 1 0.41)1 !points I olnts I ointsl I +5 1 +6 1 +6 1 +3 1 +4 1 +5 1 0 1 +2 1 +3 1 -3 I 0 1 +1 I -5 I -2 I 0 l -10 -6 I -4 -13 I -8 I -6 I -15 ( -10 I -7 I -18 I -12 1 -9 I -20 I -14 1 -11 I -22 I -16 1 -13 I -25 i -18 1 -15 I -27 1 -20 1 -16 1 -19 1 -23 1 -17 I -35 1 -26 1 -21 -38 1 -29 1 -24' I -42 1 -32 1 -27 I -46 1 -35 1 -29 I -50 1 -33 1 -32 I I SC by I I Orien- I '- Floor Area tation i I I East I I 3.2 I South i 0-3.1 to6.4 up I I 3 I i I I 1 0 -.19 I 0 ( +1 I +2 20-.36 1 0 I 0 I 1l Overhane Point! I 0 1 0 Imo_ I .67-.82 1 0 I 0 1 -1 .83 up i 0 i -1 i -2 South 1 0 1 3.2 1 6.4 1 8:0 1 9.6 I I to 1 to I' to I to I up 1 3.1 1 6.3 17.9 19.5 I I 0 -.18 1 0 1 +1 I +2 I +2 ! +3 I .19-.42 1 0 1 0 1 0 1 0 1 0 ! .43-.66 1 0 1 -1 I -2 I T2 -3 I .67 up 1 •i 0 1 -2 1 -4 1 -4 1 -6 West 1 .1 11.6 1 3.2 1 6.4 1 8.0 i to I to I to I to I up 11.5 I 13.1 ( 6.3 1 7.9 I I I 1 t 0-.12 1 0 1 +1 I +3 I +6 I +7 .13-.36 1 0 1 0 1 0 1 !0 I 0 37-.57 I 0 I -1 I 3 1 r6 I -1 --.8 I -1 1 -3 I � -12 I -15 .83 up 12 1 -4 1 -8 1 -16 1 -20 I 1 1 1> I Skylight 1 .1 1 .8 1 1:6 1 3.2 1 4.6 I to i to I to t to i to 1 7 1.5 1 3.1 13.9 1 5.2 0-.12 1 0 1 +1 i +3 1 +6 I +7 .13-.36 1 0 1 0 1 0 1 0 1 0, .37-.57 1 0 1 -1 I -3 I -6 1'-- .58-.82 •1 -1 I -3 I -6 I -12 1 -. .83 up 1 -2 I -4 I -8 I -16 I -20 I I I I I i i I I Table 3-I1. Horizontal South Overhane Point! Table 3-9. Skylight Points South G1az1'og Table 3-6. East -Facing GlazingPts. I Leneth Out I Area, Z of floor I Glazing Type from Wall I I I Glazin T g ype I I Total i i T_ --'- I Total I I I Z of Sngl.I Dbl, I Trp1,1 1 1 0-6.3 I 6.4 up 1 I Z of I Sngl, I Dbl, I Trpl.1 I Floor I U- I U- I U- I I I I I I Floor I (U - I (U - I (U - I I Area 10.66- 1 0.42- 10.41 I 1 0 - 0.5 1 -2 1 - T I Area 1 1.10) 1 0.65).1 0.41)1 1 1 1.10 1 0.65 1 down 1 1 0.6 - 1.0 1 -2 1 -3 I I 11 oints 1pgnts l I ointsl 1 1.1 - 1.9 1 -1 1 -2 I I D I +1 r4 1 1 up to 1.3 I -1 I 0 I 0 I I 2.0 up I 0 I 0 I I I up to 1.3 1 +3 1 +4 1 +4 1 1 1.4- 2.2 I -3 1 -2 1 -1 1 1 I I 1 T 1 1.4- 2.4 i +1. I +2 1 +2 1 1 2.3- 2.8 I -61 -4 1 -3 1 Table 3-12. Movable Insulation I I 2.5- 3.6 I -2 I 0 1 O( I 2.9- 3.6 I -9 1 -6 1 -5 1 Points 1 I 3.7- 4.6 I -5 I -2 1 -1 1 1 3.7- 4.2 I -11 1 -8 1 -6 I 1 I 4.7- 5.6 I -8 ( -4 ( -3 1 1 4.3- 5.0 I -14 1' -10 1 -8 1 1 Moveable Insulation] f? 1 I 5.7- 6.7 I -10 i -6- I -5 1 1 5.1- 5.6 I -16 1 -12 1 -10 1 I Area, Z of floor I Points I I I 6.8- 7.7 i -13 I -8 ( -7 1 1 5.7- 6.2 ! -19 1 -14 1 -12 1 I ! 7.8- 8.7 I -15 1 -10 I -Q 1 1 6.3- 6.9 I -21 1 -16 1 -13 1 1. 1 1 8.8- 9.7 I -1.7 1 -12 1 -10 1 1 7.0- 7.6 1 -24 1 -18 1 -15 1 I 0- 5.5 I 0 l I 93-11.2 - - 5 -13 1 1 7.7- 8.2 1 -26 1 -20 1 -17 1 1 5.6 - 11.5 I r +2 1 111.3-12.7 1 -25 1 -18 •1 -15 1 1 8.3- 8.8 1 -28 1 -22 1 -19 1 1 11.6 - 17.5 I +4 I i 12.8-14.0 1 -28 1 -21 1 -18 1 1 8.9- 9.5 1 -31 1 -24 1 -21 1 1 17.6 - 23.5 I +6 I 14.1-15.3 1 -32 1 -24 1 -20 1 1 9.6-10.1 1 -33 1 -26 1 -22 1 1 _23.6+ I +8 I• - RESIDENTIAL PLAN CHECKING GUIDh 7/85 (S.E. ,. D11PI,EX 6 MISC. ONLY) Bldg. Permit 4 OWNER $ �(/'Y A.P. 0� GENERAL zoning requirements: (sideyards and number of permitted living units). Valuation. Plans signed by designer. Eiergy Design and Compliance. xisting violations on property. PLOT PLAN Complete parcel size and dimensions. Setbacks, sideyards, easements, etc. 4160ther buildings or structures. rading, fills, drainage. lood hazard. Special conditions on creation map or compliance document. FLUOR PLAN _Complete to scale plan with dimensions. •fie Required windows for light and ventilation (Sec. 1205). 31 Required windows for second exit (Sec. 1204). Skylights (Chapter 34 6 Sec. 5207). Human impact glass (Sec. 5406). Required room sizes, ceiling heights (Sec. 1207). % G.F.C.l.'s in baths, garage and exterior outlets (Article 210-8). . �Light fixtures, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. Locations of water heater, heating and cooling equipment, other electrical or gas equipment, and plumbing fixtures. .,,� arage firewall, door size, and closer (Sec. 503(d)(3)). - 3'0" exterior exit door (Sec. 3304(e)). replace and wood stove location. Smoke detectors (Sec. 1210). STRUCTURAL DETAILS ,ii/.- Foundation plan complete cnough.to construct building. Floor construction details complete enough .to construct building. Elevations and wall construction details complete enough to construct building. ;AO Roof construction details complete enough to construct building. Fireplace construction details and talcs if necessary. Sufficient data and details to satisfy'cuergy requirements (State Law) (Form 1). MISCELLANEOUS ITEMS TO LOOK OUT FOR .e_e Exposure*I plywood on exposed locations and overhangs. ,2B Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306). Guardrail details (Sec. 1711 6 3306(j)). Brick or stone veneer (Chapter 30). sem/ Exterior plaster - weep screeds (Sec. 4706). Proper roof pitch for roof covering (Chapter 32). . Rafter ties or bearing ridge beam. Garage door or porch header sizes. Adequate bracing. Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. Two exits on three-story dwellings (Sec. 3303 6 see Mezannines 1716). Attic access and ventilation (Sec. 3205). Underfloor access and ventilation (Sec. 2516). ,oda' Wood stoves, clearances, alcoves 6 1 -hour shafts. Combustion air for fuel burning appliances. Noise requirements on duplexes. Adobe soils - special foundation design. Retaining walls requiring design. Unusual shape, size or split level house requiring lateral design. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT P RAMI NO. S va Lr - ASSESSOR PARCE NUMBER ZONING BUILDING PERMIT OW ER c. TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWN R'S AILING DDRESS CONTRALTO AME L P E r > z— �S -CONTRA OR'S MAILING ADDRESS 'Fireplace C ONSTRUCTI N LENDER UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fe 3 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$' Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS i Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 1 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME ,ARC EL MAP Water piping 5,00 Each gas water heater or vent 5,00 p USE OF STRUCTURE Sf� Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S FG W 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under pe Ity of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.61 OR ACDNS. ACC. BLDGS. h¢sgft NEW CONSTRTI.OUTLET N N.RESID RACIRCUITS2.50 ea POWER APPARATUS &) SINGLE OUTLET CIR. Ex. OCCUp OUTLETS OR FIXTURES .200530 FIXED APLNS Ex. OCCUp. OUTLETS P(RESID )REA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare unde natty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood t 3,00 Ventilation Permit Fee = Contractor I -certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCu P. CONST.TYP[ J5CI1OOL1FL1DO,JP.1ICrLJ P ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. WNITE-O.P.W.. 1rE11OW-...E35OA. PINK-INDPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERM T NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 Q APPLICATION AND PERMIT c� ZONING, ONSTRUCTION LENDER ENDER'S MAILING ADORE RCHITECT OR ENGINEER TECT OR ENGINEER'S MAILING ADDRESS ADDRESS ONE N5E N LOT NO. I SUBDIVISION NAME I PARCEL MA USE OF STRUCTURE SF.�/Duplex❑ Mobilehome❑ Other //-- SPECIFY TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Othar K Describe work: / ; NTRACTORS LICENSE LAW I declare under pen t 6T perjury (check -one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason RKMEN'S COMPENSATION INSURANCE I declare unor Jenalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. I certify that I have read this application and state that the above information is correct. I agree to comply to,all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I• also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit isrequired for excavations over 5'0" deep and demolition or construct- ion of structures Over 3 stories in height. ROCOiDt No. WAIT[•D.P.W.•,'`/CLLOW-ASSEier' _ 'R. -INSPECTOR. GOLDENROD -APPLICANT BUILDING PERMIT SQ. FT. I OCC.1 BUILDING VALUATION Fireplace $ Contractor Total Valuation $ ELECTRICAL PERMIT Filing Fee 10.00 Filing Fee $ 10,00 Permit Fee $ 21/20sq It Plan Checking ree $ POWER APPARATUS S l SINGLE OUTLET CIR. Energy Plan Checking Fee $ 200501 e ALO 30 Penalty $ Temporary service Permit fee $ 15.00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 Water piping 5.00 Each gas water heater or vent 5,00 Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW 10.00ea Permit Fee $ Contractor 3.00 ELECTRICAL PERMIT Filing Fee 10.00 Main service e00v OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.pi OR ADDNS. ( ACC. SLOGS. 21/20sq It NEWCONSTR. UL I.OUTLET NON.RESID BRA C CIRC ITS 2.50 ea POWER APPARATUS S l SINGLE OUTLET CIR. $ Ex. Occup(OUTLETS OR FIXTURES 200501 e ALO 30 FIXED APLNS Ex. Occup. OUTLETS PRESID IRE A. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ DCCUP.1 CONST.TYPEI I I FLOODIPARCELI P0111 HD I ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date �_?%i Tlj IBM � PXW I W•