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Home My WebLink About040-240-006s i 40-24-00, . 838 ;91B, P, , M 4� t1MATOR, i1 Clarabel 2379 Fl or'da Ln'; Durham 3 ' I, (newrduplex) ,' <.v 40-24-06 j ' - Permit#1053-91B 7t t- (demo/sem Permit#2645-91E .40-24-06-_ (elec sery/duplex) r .. zo- 'Cc ;;�;�,.,,,� �,�,,,..�..w �;�a.>s�a.,.+�e;.r= p-n:�r--.. -,.-k „a,.T-„�.-..- : F.gm��e�sf;��,XrL� 4�,�y�•�', °�ytiK"i`7e.m��l COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Qrovllle, California 95986 - Telephone: 818/638.7641 !� / APPLICATION"AND PERMIT A1111191111110141 PIAPRC96 NUM09R 4R1- ZONING BUILDING PERMIT " ,T96ERMONS N D I)urham 95938 80. FT. OCC. BUILDING VALUATION N T[ HONK CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER N UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 10.W ARCHITECT OR ENGINEER V LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 20.00 PLUMBING PERMIT FllingFee 10.00 Each Trap 2.00 i Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL, MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF� Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other g Describe work: demo Permit Fee $ Contractor . ELECTRICAL PERMIT Filing Fee 10.00 Main service 6011 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of p y perjury y (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification, IV1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. (DWELLING oCC111.8d) OR ADDNS. ACC. SLOGS. , /2(tsgff NEW CONSTR. ULT' -OUTLET NON-RESID BRANCH CIRC., TS 2.50 ea POWER APPARATUS &) ( SINGLE OUTLET CIR. ExOUTLETS OR FIXTURES . Occup eZoeeoe AL030 FIXED APPLNS. OR Ex. OCCUp. OUTLETS (RESID.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty 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. E4 I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date (;,A 4-2 Z /1 7 1 Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0” deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 20.00 HAL CUA I PARK I SCHL I FEF 71' I PAR PD I HD• ISS This permit is hereby issued under the sions of the Butte County. Code and/or work i cWcated above lfor which flees DI • R OF P IC PERMIT EXPIRES Date appiicable provi- resolutions to do have been paid. WORKS Date /�r+ 886 .. Z -- Receipt No. WHITE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENR- T COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovlller California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT fvJ ASSESSOR PARCEL NUMB R ZONI BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION 500 OWNER'S MAILING ADDRESS Diirham ()5938 CONTRACTOR'S NAME Ownpr TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 10.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHIT CT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPARCEL 771 MAP Water piping , 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF k2 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JWT 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other g Describe work: demo Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR00V OR LESS10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F -1I 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) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.S OR ACDNS- ( ACC. BLDGS. , /20sgft NEW CONSTR. MULTI—OUTLET NON-RESID BRANCH CIRC TS 2.50 ea POWER APPARATUS I! (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 2A3t eL9LO 90 FIXED APPLNS. OR Ex. OCCUp. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �Yirin 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed.revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. `This X �� - - � 2Z Date Signature of Applicant — Owner a Contractor ❑ Agent In An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST TYPE TOTAL FEE $ 20.00 E HAz. cuA PARK SCHL FLD PAR PD ) HD. ISS permit is hereby issued under the applicable provi- sions of the Butte County. Code and/or resolutions to do work i 'cated above for whichs have been paid. DI T OF P C WORKS Date 4110-19 PERMIT EXPIRES Date Receipt NO. 88634 '- aj % Z WHITE-D.P.W.. YELLOW-ASDESSOR. PINK -INSPECTOR. GOLDENR T •', vcp:�n .r'... -v ,r.'R..T►-*rrv^ +." - --mow-• . . T P+` ?.7t"``: ^. i , P COUNTY OF BUTTE - DEPARTME TOF PUBLIC WORKS -BUILDING .DIVISION -7 COUNTY CENTER DRIVE - OROVILLE' ,;ORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATNION DATA SHEET MAT! /� Permit No. OWNER 1.��( �/� P C� 71 /V ��/C A P O Proposed Building Use %�� Z) e:f � Building Inspector Date � II9 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED _1. All items have been submitted..............................P....... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ 11. Chico Urban Area fees paid' ....................................... 12. Park fees paid .................................................... 13• School District fees paid .............. 14. Sanitation 'approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... )24. Recorded copy of Agricultural Acknowledgment Statement ......... etter of signature authorization 2. When you issue the permit, 'process as follows: 'mai l to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant Date Q Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2, Additional items required: \ Contractor, designer, owner, was advised of above required data by_phone---nail_co�ter by_date Contractor, designer, owner, was advised of above required data by_phone_mail_countgr by date Plans checked by Sets of plans on hold in Copy—DPW Date Plans approved by Date File cabinet AP folder COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Canter Drlvo • Croville, Cpllfornla 06006 - Talaphono: 016/660•7641 APPUCATIO&AND PERMIT PORMIT N0. —1�O _5 I BUILDING PERMIT " C 1—t12 A2 -273a SO. FT. OCC. BUILDING VALUATION wN `� C�T9LKPHON9 N CON RACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 7,O ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $' Energy Pian Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ Or PERMIT FIIIngFee 10.00 9PLUMBING Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping , 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 V OR Main service 100 AMP LESS SLESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. ❑ 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) ElMobile 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.a NEw ENNS. * ( ACC. , /20sgft MULTB OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea - /POWER APPARATUS e (SINGLE OUTLET CIR. I Ex. Occup(OUTLETS OR FIXTURES 20030t eAL03o FIXED PR Ex. Occup. OUTLETS (RESID IEA.I 2.00 Temporary service 10.00 Home Facilities 15.00 Mobil Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONSTTYPE!� TOTAL FEE $ HALCUA PARK scHL FLo coF PAH PD j HID. ISSUE This permit is hereby issued unser 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 Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR PINK -INSPECTOR. GOLDENROD -APPLICANT Demolition Persts Asbestos Notification Statement Date AP# Pursuant to section 19827.5 of the California Health and Safety Code, all demolition permit applicants are required to fill out this form. "19827.5. A demolition permit shall not be issued by any city, county, city and county, or state and local agency which is authorized to issue demolition permits as to any building or structure except upon the receipt from the permit applicant of a copy of each written asbestos notification regarding the building that has been required to be submitted to the United States Environmental Protection Agency or to a designated state agency, or both, pursuant to Part 61 of Title 40 of the Code of Federal Regulations, or the successor to that part. The.permit may be issued without the applicant submitting a copy of the written notification if the applicant declares that the notification is not applicable to the scheduled demolition project. The permitting agency may require the applicant to make the declaration in writing, or it may incorporate the applicant's response on the demolition permit appli- cation." Attached is a copy of my written asbestos notification to the United States Environmental Protection Agency for the demolition project located at Signature of Applicant 6R I hereby declare that a written asbestos notification to the United States Environmental Protection Agency is not applicable to this demolition project. Signature of Applicant 2/19/91 MAIL TO ASBESTOS NOTIFICATION EPA/NESHAPS Region IX 1235 Mission St. A-3-3 San Francisco, Ca. 94103 DATE: PROJECT JOB # (Please see reverse side) Ag-cios ALM Notifiod: Ell—.1 ❑ Calit0"i a Air Iio.ouxeo, Board ❑ cal OSML ❑ &.Udisa D..t..t ASBESTOS'DE"uJOLITION/RENOVATION .�%TIFICATION 1. EPA USE ONLY Please check one: DateRec (Contractor) Pstmrk Renovation ADDRESS STREET ADDRESS School Demolition requiring CITY STATE 10 day notice Del/ND Demolition requiring ADQUTE? 20 day notice 4. FACILITY DESCRIPTION Code#: Revision of Original AGE - SZZE (Form on reverse side) Doc#: IDE—PLEASE READ BEFORE USING TErq rnuM 1. OPERATOR: 3. FACILITY NAME: (Contractor) ADDRESS STREET ADDRESS CITY STATE CITY STATE ZIP PHONE( ) COUNTY ZIP 2. OWNER 4. FACILITY DESCRIPTION ADDRESS AGE - SZZE CITY STATE ZIP PHONE( ) PRIOR USE 5. Project Start Date: Completion Date: 6. Estimate of Friable Asbestos: ON PIPE: Linear Feet SURFACE OF OTHER COMPONENTS: Square Feet Nature of Materials: 7. DESCRIBE METHODS OF REMOVAL: S. PROCEDURES USED TO COMPLY WITH 40 CFR 61.147 6 152- 9. NAME t LOCATION OF DISPOSAL SITE: ANY FURTHER PERTINENT INFO CAN BE INCLUDED BY ATTACHING ADDITIONAL SHEETS QUESTIONS??? FOR FURTHER INFORMATION CALL (415) 556-6415 8am/4pm M -F N INSTAUCTIONS FOR USE OF RRFRTCIG flEMC1T TTTr1 + ��e��Tn�r+� n++ 'y i. -.___NQ -)M -O r.Ow TC ATTON FORM RENOVATION: means altering in any way one or more facility components. NOTICE MUST BE POSTMARKED AS EARLY AS POSSIBLFBEFORE PROJECT DEMOLITION: means the wrecking or taking out -of load -supporting structural members of a facility together with any related handling operations 10 Day notice for MORE than 160 sq.ft.or 260 linear ft. asbestos 20 Day notice for LESS than 160 sq.ft.or 260 linear ft. asbestos, includes facilities which contain no asbestos. FACILITY: means any institutional, commercial or industrial structure installation, or building. Renovations on single family residences and apartment buildings with 4 units or fewer are exempt from notification to EPA. - PROJECT JOB #: YOLr OWN IN-HOUSE I D for a specific jobsite. Optional, but expedites communication -concerning notifications. LOCAL AGENCY: Most areas in Region 9 -have local NESHAP delegated agencies. In these areas notice must be provided to both EPA and the local agency. 1. OPERATOR/CONTRACTOR: Full. information concerning person doing the work. 2. PROPERTY OWNER: Complete in full. 3. FACILITY NAME: Must have complete address OR directions to the jobsite. 4. FACILITY DESCRIPTION: Current use of building. Project location in the facility. Other descriptive information as necessary. 5. START AND COMPLETION DATE: Provide month, day and year. Must be revised if dates change. (see revision form below) 6. Estimate of amount to be removed (must be in square or linear feet). Revisions(see form below) must be made for additional amounts uncovered. 7. Examples of methods: glovebag, scrape, remove in sections, etc. - 8. Examples: Adequate wetting prior to and during work, double bag, etc. DRY REMOVAL MUST RECEIVE PRIOR WRITTEN APPROVAL FROM EPA OR THE LOCAL DELEGATED AGENCY IF MORE SPACE IS NEEDED THAN PROVIDED, ADDITIONAL SHEETS SHOULD BE ATTACHED TO REVISE A NOTIFICATION ALREADY ON FILE WITH EPA, USE FORM PROVIDED BELOW PROJECT NAME PROJECT JOB I ORIGINAL NOTIFICATION DATE Revision Notice #1 2 3 4 5 please circle This is to advise that the above referenced notification presently on file has been revised. Please note the revised portion listed. CHANGES FOR THIS REVISION: PROJECT ( ) CANCELLATION 1. NEW Location 2. NEW.Scope of Work 3. ADDITIONAL Quantity of Asbestos 4. -NEW Start Date 5. NEW Completion Date 6. NEW Disposal Site R N TIAL - _ ....40, -22 4-06 ---- 838-91B,P,E,M , • � . AMATOR, Clarabel 2379 Florida Ln, Durham (new duplex) OFFICE COPY Address pt—a\1,1bh GAS �D`� � VArYI rL Meter By --- Date -(l ELECTRIC Meter By L- - Date - OFFICE COPY i Address_ �3�� CL'Ot2.(.DA I 4�Lnrl i' GAS Meter By Date ELECTRIC Meter ByDate 8 JOB FINALED (Date) -1 Signature v=OK e O = Not OK Not '= Not Readyable MOBILE HOIVBES Date MOBILE HOME UTILITIES (Plans) OK except #'s F 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Locatlon-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements _ 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V OK O = Not OK - = Not Applicable Not Ready RESIDENTIAL (S ' =� Date UNDERFLOOR (Plans) OK except #'s Zonin - tb k Easements -Flood -Slope Fig., Main; oils-Elec.(g20-/J2(' Ftg. Depth ( ijFtg., ar Soils-Steel-Elec.A;ji�>/e/" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel- Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped 6a. H Id Downs and Special Anchors Slab; Steel -Wrapped 8. P' s -Fireplace Ftg.-Steel D.W.V.; Fall -Fitting, Way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Date Card B-1 Date ('p ;ry.�( Car Date ra.Ig-a, Card B-1 1-_G Date Card B-1 Date PLUMBING Permit OK except #'s 'plater Htr. nt- ccess-Combustion Air -Baffle Water Pipe; Test & Anchor -Nail Protection D.W.V.; Test -Fittings & Anchor -Nail Protection t9—Sffcower Pan; Test, First Floor -Tub Access 20—TUs-f-Tub & Shower, Second Floor -Tub Access 1 as Pipe; Size & Anchors Date Card B-1 (56 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Fixture & Transformer Clearance -Ins. Protection . Elec. Receptacles Spacing -Lights & Switches at Doors 24'Size Boxes & No. of Conductors -Stapled 2 . Romex Installed Close to Edge of Studs & C.J. W'Equip. tend made up w/Merc-h. Fastners-Bei Gms'& VV&r 2 Appliance Circuts in Kitchen & Conductor Size/GFI Subfeed Wire Size /Z/ ga. Cu or AI A.C. Wire Size 4(S-/ ga. Dor Al ?9. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. ulated Neu 1 0 Yes ❑ No . Serviq - r onductors &Gr)und-Main Disconnect 34' -Equip. Clearances Panels-Motors-Mech. Equip. 32-'GTothes Closet Light -Shower Light -Spa Light 3,',."Smoke Detector Date Card B-1 Date Card B-1 Date , _al Card B-1 G -C— Date Card B-1 Date MECHANICAL (Permit) OK except #'s 3EY—A.C. Ducts Insulation & Support Vent Fan; Exhaust above insulation 3 . Condensate Drain & Overflow; Size & Grade 7 urnance ent; ass- omb. Air -Return Air Vent -115 outlet Attic Access & Platform if Furnance in Attic Date 7-1�'Clj Card B-1 CsG Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 9 Sils, Proper Material & Anchors Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 1. Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) Fire Stops; Furred Ceilings -Stairs -Chases -Tub Headers & Beam -Size & Bearing single & Duplex) Date FRAMING (Continued) 48o"Hangers-Post Caps -Anchors -Connectors Cing. Joist-Rftr. ties-Purlin—roof Brac-Truss-Shthng.-Rfng. ,4ZrPlreplace Ties or Type A Flue -Fireplace Throat clearance 4$: Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles WBdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 56.—Garage Fire Protection Framing Property Line Firewall & Openings 50. -Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits stairs; Width -Headroom -Rise -Run -Landing -Fire Protection . plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5 iding-Nailing Veneer 6 tucco Mesh -Drip Screed -Fd. Vents-Underfir. Access Glazing Area -Glass Protection -Skylights -Plastic 58--5fiear Walls; Nailing -Bolts 58�asu#a�on-WaFt�Ceilfi'g� _ Infi ration -W IIs-Wi ows Date &IJ Card B-1 &C Date Card B-1 Date Card B-1 ( Date Card B-1 Date FINAL (Plans) OK except #'s 61!Ext. Steps -Door & Sidelight Protection -Landings 6�oelmoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection K'pggroom Exiting adEWlixtures & Tub Access -Spa elf Elec. Trim & Subpanel; Breaker Sizes & Labels 677 -Stairs & Rails 68`. fireplace or Stove; Clearances -Hearth 69.'qEh>c. Outlets at Wood Panel; Int. & Ext. 7ff. it.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Elec. Outlets & Receptacles at Kit. Counter 72—Garage Fire Door; Swing -Landing -Closer 73. . Duct in Garage -Damper Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 761-PIb. lec. & Mech. Equip. Listed for cation np,Clec. Receptacles in Garage; Romex Protection if'lnsulation-Foam-Looked in Attic 0 Yes 787 -Guard Rails & Deck Construction -Post Caps . 79rf4n—Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor O Yes ollowing instld.; Drive 0 Yes O No; Walks O Yes ❑ No; Planters O Ye ❑ No qit)'A ( 81. Stucco; Br F,61h M."A.C. Unit; Disconnect, Electrical, Plumbing a2!Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings r Well; Disconnect, E!petrical. Plumbing _ Exterior Elec. Trim; . Receptacle -Underground ge"Ventilation Throughout House Ue-G—lass Protection 8 . Corrections from Previous Inspections 89. !%Water & Sewer Connectedi—CLO_toodrade— Approval 9e'Energy Compliance Certificate -Other Certificates s wA [ztS Date 8— ACard B-1 (' G Date Card B-1 Date t /Pi,) Card B -1G Date Card B-1 Date M=1�rj, Card 13-1 Date Card B-1 Comments at Final: (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile —'Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 �r CORRECTION NOTICE _WATOR 938 - q / 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�ex"planation, please contact this office immediately. PRoJKbA \JEitttte/hcro�J `�1AR- (Itt ff Lln/�S Atzl- t-ocAr�b (�T Y�rJCft. I_kr►t-s. \Col SgT6ACK S!}ovin) AT GA 2OGS- SIbrL ow PA�2c� ��' 8" �2or- 'FOvV4Ia,J t a r-(r-r4C . Ki 5T L L Foot�nire" W\1-( -J G6CC. LA (L g�l1LL 1- -Eti GRoy^s fFIL GOMq'A,c(k- "16,W \1- SySrCm 't TsSt , Date - i 7 " I Inspector A COUNTY OF BUTTE , DEPARTMENT OF PUBLIC WORKS 's 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE' OWNER PERMIT NO. �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 i matter, or need additional explanation, please contact this office immediately. -CI 1Zoc Ir i R ,v 0 Ham. W - T r 7 I //Ii T ri rS rs R. L- I QA zz -t- Date—.,q Date ,-I - I { — Cl Inspector I -A ,, _ COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-75,41 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE BrmA-ro2 R33 -5j 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. .IiZ6 - T"'./V\ a2 %2-wA C r" AT . Date S -ZL'-_G I Inspector 11n�J ,.-,N COUNTY 9F BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE A n �Z, B38-9,( 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. C.0y3 5 � ?L A r G��2nn ,, Tc_utCgtZ° o� l faT1X t4 aT Corn9( fG S1,\ pV G�I Q_Ci ft Ie- Sv.(L.0ic(C r5i2(LS. Date -7- 3a -q) Inspector )I;J-1 r Owner Permit No. ENERfY CERTIFICATION a3�9 LOCATION A.P. NO DESCRIPTION OF INSULATION ROOF MATERIAL BRAND NAME THICKNESS THERMAL RES. EXTERIOR WALL MATERIAL FI ERGLASS BRAND .NAME ¢ QRTA4NTEED THICKNESS THERMAL RES. CEILING BATT OR BLANKET TYPE-FiberglasBR.AND NAME CERTAINTEED THICKNESS THERMAL RES. LOOSE FILLTYPE INSUL-SAFE.IIIBRAND.NAME C. AINTEED. THICKNESS �� L THERMAL RES. O FLOOR,ELEVATED MATERIAL FIBERGLASS BRAND NAME CERTAINTEED THICKNESS THERMAL RES. FLOOR, SLAB MATERIAL BRAND NAME THICKNESS THERMAL RES. WIDTH FOUNDATION WALL MATERIAL BRAND NAME THICKNESS 0L THERMAL RES. I HEREBY CERTIFY THAT THE ABOVE INSULATION WAS INSTALLED IN THE ABOVE BUILDING IN CONFORMANCE WITH THE STATE OF CALIF: ENERGY REQUIREMENTS. SHASTA INSULATION INC. 4622184 FIRM NAME OWNER STATE CONTR. LICENSE NO. I hereby certify the above insulation and. all required items as.shown on the Building Depart. approved plans and attachments have been installed as required by the .State of. California Energy Requirements. All equipment, devices and materials are of the quality prescribed or are specifically approved by the State of Calif. FIRM NAME/OWNER (PLEASE PRINT) STATE CONTRACTOR'S LICENSE NO. 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 • 7 Co•�nty Center Drive - Oroville, Califo�Aia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PER T NO. ASSESSOR PARCEL NUMBER 40-24-06 ZONIN 3 BUILDING PERMIT OWNER CLARABEL AMATOR TELEPHONE 342-7325 SQ. FT. OCC. BUILDING VALUAT ON OWNER'S MAILING ADDRESS P.O. BOX 271 DURHAM CONTRACTOR'SNAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS FLORIDA LANE Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities [Z Installation ❑ Other ❑ Describe work: 200AMPSERVTCR _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 10.00 Main service EA. ADD'L 100 AMP 2.50 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. 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.ea� OR ACDNS. l ACC. I/Z¢sgft MULTI -OUTLET NEW CONSTR LET NO N•R ESID BRRAANCNCHHCIRC ITS 2,50 ea POWER APPARATUS e\\ (SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURES 20050t .ALO3o FIXED PR Ex. Occup. OUTLETS (RESID,)EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �yirin 9 15.00 MIN PERMIT 25.00 2.50 Permit Fee $ 25.00 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. 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 County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County /iinn cons e ence of the granting of this per 't. X �i�a1! ,1AlJ Date a Signature of Applicant — Owner5Q Contractor ❑ Agen An OSHA permit is required for excavations over 5'0" deep and demolition or construct-IOF ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy inspection Fee $ occ CONST TYPE E TOTAL FEE $ 25.00 HAz. CUA PARK SCHL FLC PAR PD I HD. Iss This permit is hereby issued unser the applicable provi-sions of the Butte County. Code and/or resolutions to do work Td above for which fees have been paid. P WORKS QQ BY D to PERMI EXPIRES Date Receipt No. 96902 WHITE-D.P.W., YELLOW-ASSEI90R, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovllle, Callfor�l'fa 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMB R ZONING BUILDING PERMIT OWNEt ,0 G 3 SO. FT. OCC. BUILDING VALUATION OW R S AILING ADDRESS 2 7 1 In 61J A-1 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Z-119 xtic— Permit fee PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping - 5.00 Each gas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00 ea TYPE OF WORK New❑ Addition Remodel❑ Utilities Installation[] Other[] Describe work: �� /f �� (/ c lf Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORV ORSLESS 10.00 0,d4 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑NON.RESID 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. SLOGS. , /ZltSgft NEw CONSTR. MUL TI.OUTLET BRANCH CIRC TS 2.SOea POWER APPARATUS e (SINGLE OUTLET CIR. I Ex. Occup(OUTLETS OR FIXTURES 20030t eAL@3o FIXED Ex. Occup. OU LETS P(RESID .)R EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 rS Permit Fee $ f L12 'I WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed.revoked. Contractor MECHANICAL PERMIT FiIIng Fee 10.00 Heating Coolin g Hood 3.00 Ventilation Permit Fee ; Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County ot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ HAL. I CUA PARK SCHL I FLD I CDF PAR PD I HD • ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No. b; WHITE-O.P.W.• TELLOW-ASOC350R• PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - Deoartment of Public Works 7 County Center Drive, Oroville, CA 95963 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. J�. 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) ,,o 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 vto provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to'provide the work indicated: Name Address Phone Type of Work igned: Property Owner (41.17" 61111 `� Social Securit Nu ber Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. r This verification must be completed and returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville,�C,aliforAa 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ..040'240-006 ZONING R-3 BUILDING PERMIT OWNER Clarebell Amator TELEPHONE 342-7325 S0. FT. OCC. BUILDING VALUATION 1,560 R 62 400.00 OWNER'S MAILING ADDRESS P.O. Box 271 Durham 95938 576 M 8.064.00 CONTRACTOR'S NAME Owner TELEPHONE 30 300.00 CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation 1 $70,764.00 Filing Fee $ '0.00 LENDER'S MAILING ADDRESS - Perini' Fae $ 346.00c'u ARCHITECT oR L�";INE ER �r� LICESE No. Plan Cheng Fee $ 173.00 Energy Plan Checking Fee n $ 15.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $544.00 PLUMBING PERMIT Filing Fee 10.00 2379 FloridaEach Trap 101 2.00 20.00 Solar or heat pump water heater 20.00 LOT NO. 6 SUBDIVISION NAME -_441A reL; Z �� • off //vI Al PARCEL MAP /c,3 Water piping 5.00 10,00 Each qas water heater or vent 5.00 10.00 USE OF STRUCTURE SF ❑ Duplex® Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets Z 5.00 10.00 Building sewer 5.00 0.00 Mobile Home I S FG W 10.00ea TYPE OF WORK NewEN Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: 2 Bedrooms Each :± Permit Fee $70.00 r Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORV OR LESS10.00 10.00 Main service EA. ADD'L too AMP 2.50 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ i am licensed under provisions Of Chapt. 9, Div. 3 of the BUSIneSs and Professions Code and my license Is In full force and effect. License No. Classification. 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.EI New DONSTR.( A , X 53.40 ULTI OUTLET NON•R ESID BRANCH CIRC ITS .50 ea 2.50 ea POWER APPARATUS .&) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 @ 50j7 BAL030 ALoao Ex. OCCUp. OUTLETS FIXED ( R RESID )EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $55,60 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating 2 6.00 12.00 D F Cooling g 2 6.00 12.00 Hood 2 3.00 6.00 Ventilation Permit Fee $40.00 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue again s aid County in c equence f the granting of this permit. X��n, Date �_ ,L _9 Signature of Applicant - Owner❑ Contractor ❑ Agent it An OSHA permit is required for excavations over 5'0" deep and demoli ' n or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 00 occ IZ CONST TYPE N TOTAL F E $ 759.9 HAZ --- CUA PARK SCH F CDF PAR PD �- I H IV This permit is hereby issued unaer the applicable provi- sions or the Butte County.Code and/or resolutions to do work indicated ab ve for which fees have been paid. Of El OR OF PUBLIC WORKS / Date PERMIT EXPIRES Date Receipt No. '� �� WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INS TOR. GOLDENROD -APPLICANT ✓ n1- COUNTWY OF BUTTE - DEPARTMEI -W PUBLIC WORKS - BUILDING DIVISION ` 7 COUNTY CENTER DRIVE - OROVILE, ,A> IFOBNIA 95965 - TELEPHONE: 916/538-7541 PERMIT A!"PLICATION DATA SHEET �/� /n1 �/� Permit No. �/c/— OWNER/ Gl�-.A � A AA /q �/ L, A P. No. 7`� � S� Proposed Building Use w PLE �r Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energ Design Compliance and supporting documentation ......... t ment of Intent for Non -Heated and AC Buildings .............. ngineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions ....................................................... —0. Fees of $ 11. Chico Urban Area fees paid ....................................... 1 Park fees p d School District fees paid ............. . t214. Sanitation approval from G�� / GHealth Department -�T/ ! S City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to, Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classification) ... Certificate of Workmans Compensation Insurance .................. Owner -Builder Verification (Given to owner ❑, Mail to owner ... 4-9-9 1 Owner-Builder copy of Agricultural Acknowledgment Statement ......... 4 - 9 - � . Letter of signature authorization 9 26- 27. When you ' sue the permit process as follows: Mail to owner. Mail to contractor. Telephone -! � 592nd hold for pickup at office. Deliver w/inspector. Other q Applicant ate Copy -of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted er i :,'s uance: (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_phon ailcounter bylz e to Contractor, designer owner, was advised of above required,data by -L -_hon mall counter byPAM� date 1-1 t'_ 91 Plans checked by Date Plans approved by� Date Copy—DPW Sets of plans on hold in File cabinet AP folder TO FROM: SUBJECT: BuiTd,i a Department Environmental Health Sanitation Clearance Owner Location AP# w. Plan Approved for: Sewage Disposal ✓ Water Supply P/ Hold final for: Water Supply Final clearance O.R. for: Water �Supply `✓ Clearance for bedroom mobile home. Other DiyAe c- -A0o NOTE * * * Date Sanitarian COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovllljalifornia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT AS SSOR PARCEL NUMBER 0 - 00(o -00 UA�3 ZONIN BUILDING PERMIT OWNER C �c TELEPHONE 3U-713�5_ SQ. FT. OCC. BUILDING VALUATION OW R'S MAILING ADDRESS 0001, aL� tJv? ��Q VY�loom _ /Zl CONZR CT; R'S TELEPHONE L CO��NNT/RS/�/A((�,CCTT//,'OJJVVR,,'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ X0.00 Permit coo $ ARCHITECT OR L.v ;WEERLICE.•:SE No. Plan Che -_:King Fee $U^lJ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS_— �/ O A 4Z Permit fee. $ S O PERMIT Filing Fee 10.00 Dale—PLUMBING Each Trap 1p 2,00 Z0 0-0 Solar or heat pump water heater 20.00 LOT NO. 6 SUBDIVISION NAME PARCEL MAP Water piping 5,00 /0,00 Each qas water heater or vent 5.00 /0,00 USE OF STRUCTURE SF ❑ Duplex Mobi lehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 V, O Building sewer 5.00 O Mobile Home S G 10.00 ea TYPE OF WORK NewAddition ❑ nnRemot�del ❑ ��vlU"tilities ❑ Installation❑ Other ❑ Describe work: r 9 cKi 6%i` � �"� Permit Fee $ r D :c Contractor ELECTRICAL PERMIT Filing Fee 10.00 V OR Main service 100 AMP ORSLESS 10.00 10IL190 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 Cade and my license is in full force and effect. License No. Classification. El1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADD'L 100 AMP 2.50 a, NEW CONST. DWELLING OCCUP.. OR ADDNS. ACC, SLOGS. Ih¢sgft �3 NEW CONSTR. UTI -OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e SINGLE OUTLET CIR. EX. OCCU OUTLETS OR FIXTURES P 2ALO3 t eL9D FIXED EX. OCCup. OU LETS P(RESID )KEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ 7237 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): F] 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 Q 6/� I/ -- Cooling 77,,p ,O (� Hood 3,00 rCI 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,andexpensesexpenses which may in any way accrue against said County in nse�!C�aCCri lthe granting of this permit. X Date 3_a�_ �, Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct. ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 571 FAZ CUA PARK scHL I FLo I CDF AR PD 1 4D• 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 Receipt No. WNITE•D.P.W.. YELLOW-ASSE350R, PINK -INSPECTOR, GOLDENROD -APPLICANT A COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. �. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) I (have/have not) h /I0 e- signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security 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. RESIDENTIAL PLAN CHECKING GUIDE 12/90 (S.F., DUPLEX & MISC. ONLY) Bldg. Permit # g 3 9-2Z OWNER MaToP— A.P. #y0- K#= 0& Plan Checker k1K_ GENERAL boning requirements: (sideyards and number of permitted living units). a1uation. 3 dans signed by designer. 4. Proper description of work on application. % violations on property. Items on data sheet. (W.C., fees, Health, Developer Fees, License law, etc). ecorded notice of violation. PLOT PLAN lomplete parcel size and dimensions. 2. Setbacks, sideyards, easements, etc. 3 mer buildings or structures. 4/Grading, fills, drainage. 5. Flood hazard. conditions on creation map, ustible, and foundations). Fes& FAS road setback. B -.—Biding or utilities across lot lines I w FT.nnR PLAN 11/C�mplete to scale plan with dimensions. '- 2 uired windows for light and ventilation (Sec. 120.5). 3A -'Required windows for second exit (Sec. 1204). -- �s (Chapter 34 & Sec. .5207). (noise, CDF, fire sprinklers, non -comb - (Record form). 5r uman impact glass (Sec. 5406). 6. Required room sizes, ceiling heights (Sec. 1207). 7 GFCIs in baths, garage, kitchen, and exterior outlets (Article 210-8). 81-' Light fixtures, switches, receptacles, and exterior receptacles for main- 9Venance of mechanical equipment. Locations of water heater, heating and cooling equipment, other electrical ,mer gas equipment. 1 rage firewall, door size, and closer (Sec. 503(d)(3)). 1 1 - 3'0" exterior exit door (sec. 3304 (f). e and wood stove location, alcoves, and clearance. 13. oke detectors (Sec. 1210). J umbing fixtures, water closet clearances and shower size. STRUCTURAL DETAILS 1. Standa-rd bracing or engineered design (Table 25V) . nusual shape, size, or split level house requiring lateral design. 3. Foundation plan complete enough to construct building. 4:�F oor construction details complete enough to construct building. 5 Elevations and wall construction details complete enough to construct building. 6k/Roof construction details complete enough to construct building. �.-1�irep al ce construction details and calcs if necessary. 8: >P fter ties or bearing ridge beam. 9 G rage door or porch header sizes. 1heights. 14 -.Adobe soils - special foundation design. LZ_4Zeta7rn-1_n_g walls requiring design. 1 cial Inspection required. 12/90 RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS. TO.LOOK "OUT FOR --Star�vay details: landings, rise and run, head clearance, handrails (Sec. 3306). 2—Guardrail details (Sec. 1711 & 3306(j). Brick or stone veneer (Chapter 30). 4✓Exterior plaster - weep screeds (Sec. 4706). 5&----P-ioper roof pitch for roof convering (Chapter 32). 66 Roof covering type _ (fire hazard). aa�insulatior. - protection. 8!36" halls and stairways. 9. Iri��-ag—ar��ver garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. exits on three-story dwellings (sec. 3303 & see Mezannines - 1716). 11L-"A_t_tic access and ventilation (Sec. 3205). -:4r access and ventilation (Sec. 2516). l oo bustion air for fuel burning appliances - L.P.G. requirements. * ' Oise requirements on duplexes. oto JO Energy design. 16-"-F lashing at all exterior openings. SHF -responsible area requirements. l./ ._. g P=�g �% 41119/9/ 41 (4- zE� ib 9 r ` '�- ;1�!i"F`."''1�,.7. -. l;_u}+.},` `,µy': r"j`•'x.. i~ .., r�..cyi+.r^...,s�,..r,...,u...,,.,..'^+.+�wi•:.�.r�{•.»,yrr'+•.. --rn.�':r .. rn,w. .y..- .. .. BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM /' (One Form per Building) A.P. Number %4/v -�L/ 4906uilding Department No. School District Qi V 50 City = County [�>k Jurisdiction dw � Property Owner ,.(-e Project Location/Address �"� q L�`C/�� Z11- Subdivision - Lot Number Residential Development: / ,,,,,,� Sq. Footage 0 # of Living MHI Addition (Group R) Units Commercial/Industrial: Sq. Footage New Addition (Including Exterior Roofed Areas) Building Depjrt ens Representative Date ******************************************************************* (F`loor Plans reviewed by School District Personnel) District Id No. School District certifies that (Applicant Name) (Phone Number) c% ,1_4 (Street Address) ' (City) (State) (Zip Code) has complied with the requirements of Resolution No. �/-J� by the payment of $ / 7^0�• (oel- representing square feet. QtL , r411AJ �'// - c1 Spool District Representative Date (vim i PAID BY CHECK NO. BANK NO PAID BY CASH i white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) ol ad .- �-- -, - - Z�� ] 9, 7-- �-- S i Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Sec,,, ion 26-8.1 of the Butte County .Code " requires this acknowledgement be recorded priorto issuance of a building permit. I'he pr.operev described herein is adjacent to Land or i.ncluded within an area zoned for agr:i.cu Lt.ur.al purposes, and residents of - thi.s prvlierLy m,*ay he snb_.ject to incon- ven.i_ences or d i.scom.fort aris-ing from the use of agr.:ic:ult.ural chemicals, including, but not .I imi_l.ed to .herbicides, pesticides, and fert:i l.irers; and from the pursuit of agri.cu.l tural opera Lions including, . but: not: 1--hn:i.t:ed to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agr i c.ua - Lural zories which have as a priority use for productive agricultural purposes, aiid r.es.i.dents within said zones and on adjacent property should be prepared to accept such i nconvenvi.ence or, discomfort from normal, necessary farm operations. I All that real. property situate in the County of Butte, State .of California, close r i..bed Lis. follows: r LOT FOURTEEN (14) OF THE SECOND McANARLIN TRACT AS.THE SAME APPEARS ON THE OFFICIAL MAP THEREOF, FILED AS'OF RECORD IN THE OFFICE OF THE COUNTY RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA. Date: PROPERTY OWNERS: State of A On this the day of 19 9�, hcfurc me, SS. the undersigned Notary Public, ersonally appeared County of �P4 �aaE:.ti OFFICIAL SEAL Personally known to me. E] Proved to me on the bcis.is MARY R.'CASEBEER of satisfactory ro NOTARYPUBLIC- CALIFORNIALo be the person(/ whose name( BUTTEesJan. 29,1993 subscribed to the within instrument and acknowledged that. q(NIVIy/ ,FppComm. Expires Jan. executed the same for the purposes .the'rein contained. 1'N WfTNESS WHEREOF, I hereunto set my hand and official seal. ['resent A.P. No. i[ otary Pub]. -i c J R COUNTY OF BUTTE - Department of Public Works ' 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity tq avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received.�7 i {Y. 1. I personally plan to provide the major labor Iand materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) ,�_ yid' signed an,application for a building permit for the proposed work. w 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 portion of this work, but I have hired the following person to coordin t 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 Add ss l Phone Type of Work Signed: Property Owner Social Security Number Date _�/zz 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. �/D -al�-D6 A M ato r Certificate of Compliance: Residential Climate Zone 11 Project Title Name: Z37g�� l DA Project Address Building P 'L M e [ J `c�p - Checked By / Date Documentation Author Telephone Enforce, ent Agency Use Only �2 U N17 Glass Area 9b Glass BUILDING DATA North � D Conditioned Floor Area % Number of Stories East Slab/Raised Floor Number of -Units South D (] Single Family Detached (SFD) [ ] Addition Alone West ..S �! , O (] Single Family Attached (SFA) [ ] Existing Building Skylight O Multi -Family (MF) [ ] Existing -Plus -Addition Total S [, t{ • 7 BUILDING SHELL INSULATION' Component Insulation LocatiforXommenits Type R -Value (attic, to garage. rTicel. etc.) Wall .............. Wall ............. Roof ............. Roof ............. ' Floor ............. Floor ............. Slab Edge..... GLAZING C&9 Shading Devices Glazing Area Glass Type Interior Exterior Overhang Framing Type Orientation (SO (single. double) (yoller blind, etc.) (shadescreen. etc.) (ye*0) (metal/wood) North ( )_ North East ( ) (0 15_ East ( ) South South ( ) West ( ) a&,<- D gL ✓Eu ttJ o HINT �t T t� West Skylight....... O THERMAL MASS Type/Covering Area Thickness (slab/exposed, tile, etc. (sf) (inches) Location/Description (kitchen, bath, etc.) ZZ& ,(�iTt1�EN - NNW6 (3#474 - 6033 l HVAC SYSTEMS Minimum .Duct Type (furnace, air Efficiency Location Duct Output Manufacturer/ Model # conditioner, heat pump) (SE, SEER,HSPF) (attic, etc.) R -Value (Btuh) . (or approved equal)77 ("y s T iuitDim Maximum Furnace Heating Output: BOO Btuh HOT WATER SYSTEMS APPROVED Tar* Manufacturer/Model # System Type (storage gas, etc.) Caps .77 sr� I. SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) Mandatory Measures Checklist: Residential MF -1R NOTE: Lowrise residential buildings sub*A to the Standards must contain these assures regardless of the eomoianoe approach used Items marked with an asterisk (•) may be superseded by more stringent compliance vquuements fined on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted 0211 be considered by all parties as binding minimum component performance specifications for the mandatory measures whether they ire shown elsewhere in the documents or on this checklist only. DESCRIPTION DESIGNER ENFORCEMENT Building Envelope Measures 62-5352(a): Minimum ceiling insulation R-19 weighted average. §2.5352(b): Loose fill insulation manufacturer's labeled R -Value. §2.5352(c): Minimum wall insulation in framed walls R- I 1 weighted average (does not apply to exterior mass walls). §2.5352(k): Slab edge insulation - water absorption rate no greater than 0.3%. water vapor transmission rate no greater than 2.0 permluKh. §2-5311: Insulation specified or installed meets California Energy Commission (CEC) quality standards. Indicate type and form. §2.5352(f): Vapor barriers mandatory in Climate horses 14 and 16 only. §2.5317: Infiltration/Esfiltration Controls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Doors and windows certified. e. Doors and windows weatherstripped; all joints and penurations caulked and sealed 02-5352(e): Special infdtration barrier installed to comply with §2-5351 moots CEC quality standards. §2-5352(d$ Installation of Fireplaces 1. Masonry and factory -built fireplaces have: a. Tight fitting, closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and control 2. No continuous burning gas pilots allowed. HVAC and Plumbing System Measures §2-5352(8) and 2-5303: Space conditioning equipment sizing: attach calculations. §2-5352(h) and 2.5315: Setback thermostat an all applicable beating systems. ° §2.5316(a): Ducts constructed, installed and insulated per Chapter 10. 1976 UMC. §2-5316(b): Exhaust systems have damper controls. §2-5314(c): Gas-fired spice heating equipment has intermittent ignition devices. §2-5314: HVAC equipment, water heaters. showerbcads and faucets certified by the CEC. §2.5352(1): Water heater insulation blanket (R-12 or greater) or combined interior/exterior insulation (R-16 or greater): fust 5 feet of pipes closest to tank insulated (R-3 or greater). §2-5312(Excep6on 1): Pipe insulation on steam and steam condensate return & recirculating piping. §2-5318(d): Swimming Pool Heating 1. System has: a. Onloff switch on heater. b. Weatherproof instruction plate on heater. c. Plumbed to allow for solar. 2. 75 percent thermal efficiency. 3. Pool cover. 4. Time clock. 5. Directional water inlet. Lighting and Appliance Measures §2.5352(1): Lighting - 25 lumens/watt or greater for general lighting in kitchens and bathrooms. §2-5314(c): Gas fired appliances equipped with intermittent ignition devices. §2.5314(a): Refrigerators, refrigerator -freezers, freezers and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. COMPLIANCE STATEMENT This certificate of compliance lists taht building features and performance specifications needed to comply with Title 24. Chapter 2-53 and Title 20. 0upuA2. Subchapter 4. Article 1 of the California Administrative code. This certificate has been signed by the individual with overall design responsibility and the building owner. who shall retain a copy of it and transmit the certificate to any subsequent purdiaser of the building. Designer Building Owner Name: Name: TttleJFttttt - Address: TitleJFunt: Address: Tekphonc lac. 0: (signature) Documentation Author Name: rtk/Ftrrtt: .. Address: (date) Tekphone: (signature) i (da(e) Enforcement Agency Name: Agency: Tekphone: 1. Ceiling Insulation 2. Wall Insulation Single- Number of stories Number of stories R -value One Two Three R-0 -103 -49 32 1 R-19 -8 -4 -2 R-30 -2 -1 -1 R-38 0 0 0 U -value 8 6 4 0.50 -176 -84 .54 0.30 -102 -49 -02 0.10 -26 -13 -8 0.08 -18 -9 -6. 0.06 -11 -5 -4 0.04 -4 -2 -1 0.02 4 2 1 0.00 11 5 3 2. Wall Insulation 3. Raised Floor Insulation Insulation in.Floor Single- Single - Number of stories R -value Family Family Multi - R -value Detached Attached Family R-0 -68 -51 34 R-11 0 0 0 R-13 2 2 1 R-19 8 6 4 U -value -144 -70 -46 0.80 -153 -114 -76 0.50 -91 -68 -46 0.30 -47 -36. -24 0.10 0 0 0 0.08 4 3 2 0.06 9 7 5 0.04 14 11 7 0.02 19 14 10 0.00 24 18 12 3. Raised Floor Insulation Insulation in.Floor Controlled Ventilation Crawispace -14 Number of stories Number of stories R -value One Two Three R-0 -17 -8 -5 R-11 -3 -2 -1 R-19 0 0 0 R-30 3 1 1 U -value •3. Slab Edge Insulation 4 i --..0.60. -144 -70 -46 0.50 -120 -58 38 0.40 -95 -46 30 0.30 -69 -34 -22 0.20 -13 -21 -14 0.10 -17 -8 -5 0.08 -11 -6 -4 0.06 -6 -3 .2 0.04 -1 0 0 0.02 4 2 1 0.00 10 5 3 Controlled Ventilation Crawispace -14 .48 Number of stories %Glass R -value One . Two Three R-0 -11 -7 -5 R-5 -4 -4 3 R-11 -2 -2 -2 R-19 -1 -2 .2 •3. Slab Edge Insulation 4 - -90 Number of Stories -26 R -value One Two Three R-0 0 0 0 R-5 8 5 2 R-7 8 6 3 F2 factor 29 ;61 -58 -20 0.90 -4 3 -1 0.80 -1 -1 0 0.70 2 2 _ 1 0.60 6 4 2 0.50 9 6 3 0.40 12 8 4 5. Inriltration (Air Leakage) Specification Points Standard 0 6. Glass Heat Loss Total -14 .48 -69 %Glass U -value East South :West Percent 18 5 .51 to .41 to .31 to 0.30 or Glass Single Double .60 .50 .40 less 50 -121 -53 -39 -24 -10 4 40 -90 -37 -26 -14 3 8 35 -75 -29 -19 -9 1 10 30 4 2 -21 -13 -4 4 12 29 ;61 -58 -20 -12 -3 5 12 28 -55 -18 -10 -2 5 13 27 -52 -17 -9 -2 6 13 26 -49 -15 -8 -1 7 14 25 -46 -14 -7 0 7 14 24 -43 -12 -5 1 8 14 23 -40 -11 -4 2 8 15 22 -37 -9 -3 3 9 15 21 34 -7 -2 4 10 15 20 31 -6 0 5 10 16 19 -29 -4 1 6 11 16 18 -26 3 2 7 12 16 17 -23 -1 3 8 12 17 16 -20 0 4 9 13 17 15 -17 1 6 10 14 17 14 -14 3 7 10 14 18 13 -12 4 8 11 15 18 12 -9 6 9 12 15 . 19 11 3 7 10 13 16 19 10 3 9 11 14 17 19 9 -1 10 13 15 17 20 8 2 12 14 16 18 20 7. Shading (Shade Open) Effective Pereestt Glass (percent glass x SC) Effective -14 .48 -69 %Glass North East South :West Skylight 18 5 1 4 1 na 16 4 2 5 1 na 14 4 2 5 1 na 12 3 3 5 2 na 11 3 3 5 2 na 10 2 3 5 2 1 9 2 3 5 2 2 8 2 3 5 2 2 7 1 4 2 2 6 1 3 4 223 -56 7 -4 -14 -19 4 0 2 3 ,1 3 3 0 1 2 1 3 2 0 0 1 0 3 1 -1 -1 -1 -1 2 0 -1 -2 -4 -2 0 na = not allowed 0 -4 a3. Shading (Shade Closed) 1 -16 2 Effective Pereeat Glass 5 2.0 -1 (percent glass x SC) 1 %Gctive ins North East South West Skylight 18 -14 .48 -69 -64 na 16 -12 -42 -59 -55 na 14 -10 -35 -50 -46 na 12 -8 -29 -40 -37 na 11 -7 -26 -36 -33 na 10 -6 23 -31 -29 -74 9 -5 1 -27 -25 -65 8 -5 1 .23 -21.. -56 7 -4 -14 -19 -18 -47 6 -315 0 2 -14 -38 5 .2 -1 -11 -10 - -30- 4 .1 -6 -8 2 -23 3 0 -4 -5 1 -16 2 1 5 2.0 -1 -4 1 1 1 1 1 1 2.5 � 0 2 3 4 3 0 na . not allowed 4 6 8 8 9. Interior Thermal Mass Interior SC Slab Floor Raised Floor Mass Stories Wail Family Stories Multi /CFA One Two Three One Two Three 0.0 -8 -5 -4 -2 -1 .1 0.1 -8 -5 3 -1 0 0 0.3 -7 -4 -2 0 1 1 0.5 -6 -3 -1 1 1 2 0.7 -5 -2 -1 1 2 2 0.9 -5 -1 0 2 3 3 1.1 -4 -1 1 3 4 4 1.3 -3 0 2 3 4 5 1.5 -3 1 2 4 5 5 2.0 -1 2 4 5 6 7 2.5 0 3 5 7 7 8 3.0 1 4 6 8 8 9 3.5 2 5 7 9 9 10 4.0 3 6 8 9 10 10 4.5 3 7 8 10 11 11 5.0 4 7 9 11 12 12 5.5 5 8 9 11 12 12 6.0 5 8 10 12 13 13 6.5 6 9 10 12 13 13 7.0 6 9 11 13 13 14 7.5 6 10 11 13 14 14 8.0 7 10 it 13 14 14 8.5 7 10 12 13 14 15 10. Exterior Wall Thermal Mass SC Exterior Single- Single - SEER Wail Family Family Multi -3 Mass Detached Attached Family 0.00 0 0 0 1 0.20 3 2 1 16 or 0.40 5 4 3 +15 0.60 8 6 4 -8 0.80 10 8 5 -7 -6 1.00 13 10 7 -5 1.20 13 12 8 9.0 1.40 12 13 9 -1 1.60 10 13 11.. . 1.80 10 12 12 2 2.00 10 11 13 6 5 11. Heating System 3 2 11.0 10 SE or HSPF 6 4 3 (assumes ducts in attic) 15 13 11 9 Stmt of 1.6 5 13.0 20 _ -25 or -24 to -14 to 4 to +6 to 16 or SE HSPF less -15 -5 1 +5 +15 more 0.72 6.60 0 0 0 0 0 0 0.75 6.88 3 3 3 2 2 1 0.80 7.33 8 7 6 5 4 3 0.85 7.79 13 11 10 8 7 5 0.90 8.25 17 15 13 11 9 7 0.95 8.71 20 18 15 13 11 8 4 Effective SE or HSPF -5 (SE or HSPF x duct eMciency) 3 Effective -25 or -24 to -14 to -4 to +610 16 or SE HSPF less -15 -5 +5 +15 more 0.30 2.75 -73 -64 -56 -47 .38 .30 na 3.41 -45 -39 -34 -29 -24 -18 0.40 3.67 -34 -30 -26 -22 -18 -14 0.50 4.58 -10 -9 -8 -7 -5 -4 0.56 5.13 0 0 0 0 0 0 0.60 5.50 5 5 4 3 3 2 0.70 6.42 17 15 13 11 9 7 0.80 7.33 25 22 19 16 13 10 0.90 8.25 32 28 24 20 17 13 1.00 9.17 37 32 28 24 19 15 Zonal Control Adjustment System Type Resistance 10 9 7. 6 4 3 Other 6 5 4 3 2 2 I 12. Cooling Syst.!m . 't SC Eff. Glass _ SEER One -5 -4 -4 -3 (assume( ducts In attic) Two+ 3 3 Stm of 7.10 2 2 1 Single -Family Ikklached and -25 or -24 to {x1410 -4b +6 to 16 or SEER less -15 i .6 +5 +15 more 8.0 -14 -12 -10 -8 -6 -4 8.5 -9 -7 -6 -5. -4 -3 . 8.9 -5 -4 -4 3 -2 -2 9.0 -4 -3 .3 -2 -2 -1 9.5 0 0 0 0 0 0 10.0 4 3 3 2 2 1 10.5 7 6 5 4 3 2 11.0 10 9 7 6 4 3 12.0 15 13 11 9 7 5 13.0 20 17 1 14 12 9 6 -1 1 Effective SEER 0 0 0% (SEER xaud efficiency) -18 -12 -9 Son of 7-10 -6 35% Effective -25 or -24 to -14b -4b +6 b 16 or SEER less -15 -5 +5 +15 more 5.0 .30 -25 -21 -17 -13 -9 6.0 -12 -11. -9 -7 -6 4 6.6 -5 -4 -4 3 -2 -2 . 7.0 0 0 0 0 0 0 8.0 9 8 6 5 4 3 9.0 16 14 12 9 7 5 10.0 22 19 16 13 10 7 11.0 26 23 19 15 12 8 12.0 30 26 22 18 14 9 13.0 33 29 24 20 15 10 Zonal Control Adjustment 10 8 7 6 4 3 No Cooling System Installed -Stories SC Eff. Glass _ One -5 -4 -4 -3 -2 -2 Two+ 3 3 :: 2 2 2 1 Single -Family Ikklached and Attached AREA = �$ Exterior Wall Mass li Unit Size (sQ AREA Water t1Z' X 0199 120. 1700 2200 2700 Heater (.;(edit or • y b to to or Type Type less 11699 2199 2699 more SG None 0 s 0 0. 0 0 or Solar 12 8 6 5 4 HP HWR 8 5 4 3 3 4e.rpeted a_bl WSB 5 3 3 2 2 POU 8 5 4 3 3 SE None 37 -24 -18 -15 -12 Solar -1 1 .1 0 0 0% HWR -18 -12 -9 -7 -6 35% WSB -25 -16 -12 -10' -8 75% POU AB _-12 -9 -7 -6 IG None -5 .3 -2 -2 -2 1.5 Solar 7 5 4 3 2 2.9 POU 3_ 2 1 1 1 IE None -28 -19 -14 -11 -9 0.4 Solar 8 5 4 3 3 1.9 POU -10 -6 -5 -4 -3 3.3 Multi -Family (Individual units) 4.2 4.4 4.6 4.8 I Unit Size (sQ 5.2 Water 20% 699 700 1200 1700 2200 Heater Geld or b to t0 0f TYPO TYPO less 1199 1699 2199 more SG None 0 0 0 0 0 or Solar 14 7 5 4 3 HP HWR 9 5 3 2 [2,# 3.2 WSB 9 4 3 2 2 4.7 POU 9 5 3 2 2 SE None -45 -23 -15 -11 -9 ' 2.2 Solar 2 1 1 0 01 3.6 HWR. -23 -12 -8 -6 -5 5.1 WSB '-25 -13 -8 -6 -5 1.1 _ POU _23 -12 -8. -6 -5 IG None -8 -4 -3 -2 -2 - _ Solar_ 6 3 2 1 1 5.5 POU 1 - 0 0 0 0 IE None 30 15 -10 -8 -6 2.8 Solar 18 9 6 4 4 4.3 POU -8 -4 -3 -2 -2 Point System Summary: Climate Zone 11 SCORE CARD Measures 1. Ceiling Insulation or R -value [381 U -value 10.0301 2. Wall Insulation fZ�_ or R -value [ 111 U -value [0.0981 3. Raised Floor Insulation or R -value [ 191 U -value [0.037] 4. -Slab Edge Insulation S. Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) a. North b. East c. South d. West e. Skylight 8. Shading (Shade Closed) a. North b. East c. South d. West e. Skylight 9. ,Interior Thermal Mass 10. Exterior Wall Mass 11. Heating System . . Zonal Control?, ( Y / N ) 12. Cooling System Zonal Control? ( Y / N ) -13. Water Heating or R -value [01 F2 factor [0.771 Standard Type [double] U -value [Q.¢5]. % Total G ss [ 161 %fllass S�� - Ef. Glass V--�-- X t /- o X = a X = �_ %Gass SC Eff. Glass _ _JL_ X = X Interior Mass/CFA TYPE 1 MASS AREA Interior Mass/CFA COND. FLOOR AREA -� t rex r N65 AREA = �$ Exterior Wall Mass ND. L OR AREA t1Z' X I = ,(T SE or HSPF •' Effective SE or [0�.6L ' ,�/n' HSPF 0.54/�.15] X - SEER (9.51 Duct Efficiency 10.741 Effective SEER [7.031 Typer Credit Inconel - - - 41.74ur.C•4.21 t TYPE 1 RUS (UIMC + 4.2, le: exposed slab) 4e.rpeted a_bl - 0% 5% 10% IS% 20% 2S% 30% 35% 40% 45% 50%-55% 60% 6A 7o% 75% 80% 85% 90% 95% 100% 105% 110% 115% 120% 12S• OY. 0 0.2 0.4 0.6 0.8 1.1 1.3 1.5 1.7 1.9 2.1 2.3 2S t7 2.9 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6. 4.8 5 5.3 10Y. 0.2 0.4 0.6 0.8 1 1.2 /.4 1.6 1.9 2.1 2.3 2.5 27 2A 3.1 3.3 3.5 3.7 4 4.2 4.4 4.6 4.8 5 5.2 5.4' 20% 0.3 0.8 0.8 1 1.2 1.4 1.6 1.8 2 22 2.4 2.7 29 3.1 3.3 3.S 9.7 3.9 4.1 4.3 4.5 4.6 S 5.2 5.4 56 30% O.S 0.7 0.9 1.1 1.4 1.6 1.8 2 2.2 2.4 26 2.8 3 3.2 9.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 . 5.3 5.6 58 40Y. 0.7 0.9 1.1 1.3 1.5 1.7 1.9 2.2 2.4 2.8 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.1 4.9 5.1 5.3 5.5 5.7 5.9 50% 0.9 1.1 1.3 1 S 1.7 1.9 2.1 23 2S 2.7 3 3.2 3.4 3.6 3.8 4 42 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 SS% 0.9 1.1 1.4 1.6 1.8 2 2.2 2.4 2.6 2.8 3 3.2 3.S 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 5.8 6 6.2 60% 1 1.2 1.4 1.7 1.9 2.1 2.3 2.5 2.7 2.9 3.1 3.3 3.S 3.8 4 4.2 4.4 4.6 4.8 5 5.2 5.4 5.6 5.9 6.1 63 65% 1.1 1.3 1.5 1.7 1.9 2.2 2.4 2.6 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.S 4.7 4.9 5.1 5.3 55 5.7 5.9 6.1 6.4 70% 1.2 1.4 1.6 1.8 2 2.2 2.5 27 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 5.2 5.4 5.6 58 6 6.2 64 75% 1.3 1.5 1.7 1.9 2.1 2.3 2.S 2.7 3 3.2 9.4 25 18 4 4.2 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 80Y. 1.4 1.6 1.8 2 2.2 2.4 2.6 2.8 3 3.3 3.5 3.1 3.9 4.1 4.3 4.5 4.1 4.0 5.1 5.4 5.6 5.8 6 6.2 64 66 85%1.4 1.7 1.9 2.1 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 S 52 54 5.6 5.9 6.1 63 65 67 90Y.. 1.5 1.1 2 2.2 24 2.6 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 53 5.5 5.7 -5.9 6.2 6.4 66 6e 95% 1.6 1.8 2 2.2 2.5 2.7 2.9 3.1 33 3.5 3.7 3.9 It 4.3 4.6 4.8 S 5.2 5.4 5.6 5.6 6 6.2 6.4 6.7 6.9 100% 1.7 1.9 2.1 2.3 2.5 2.6 3 3.2 3.4 3.6 3.8 4 42 4.4 4.6 4.9 5.1 5.3 SS 5.7 5.9. 6.1 6.3 6.5 6.7 7 IOS% 1.8 2 2.2 2.4 2.6 2.8 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 5.6 5.8 6 6.2 6.4 6.6 So 7 110*/. 1.9 21 2.3 2.5 2.7 19 3.1 3.3 3.6 3.8 4 4.2 4-4 4.6 4.8 S 5.2 5.4 5.7 5.9 6.1 6.3 6.5 6.7 69 7.1 115% 2 2.2 2.4 2.6 2.8 3 3.2 3.4 3.6 3.6 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 6.2 6.4 '6.8 6.8 7 7.2 120% 2 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.4 4.6 4.8 S 5.2 5.4 5.6 59 6 6.2 6.5 6.7 6.9 7.1 7.3 125% 2.1 2.3 2.5 2.8 3 3.2 3.4 3.8 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.7 7 7.2 7.4 Point System Summary: Climate Zone 11 SCORE CARD Measures 1. Ceiling Insulation or R -value [381 U -value 10.0301 2. Wall Insulation fZ�_ or R -value [ 111 U -value [0.0981 3. Raised Floor Insulation or R -value [ 191 U -value [0.037] 4. -Slab Edge Insulation S. Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) a. North b. East c. South d. West e. Skylight 8. Shading (Shade Closed) a. North b. East c. South d. West e. Skylight 9. ,Interior Thermal Mass 10. Exterior Wall Mass 11. Heating System . . Zonal Control?, ( Y / N ) 12. Cooling System Zonal Control? ( Y / N ) -13. Water Heating or R -value [01 F2 factor [0.771 Standard Type [double] U -value [Q.¢5]. % Total G ss [ 161 %fllass S�� - Ef. Glass V--�-- X t /- o X = a X = �_ %Gass SC Eff. Glass _ _JL_ X = X TYPE 1 MASS AREA Interior Mass/CFA COND. FLOOR AREA -� TYPE 2 MASS AREA = �$ Exterior Wall Mass ND. L OR AREA t1Z' X I = ,(T SE or HSPF Duct Efficiency [0.78] Effective SE or [0�.6L ' ,�/n' HSPF 0.54/�.15] X - SEER (9.51 Duct Efficiency 10.741 Effective SEER [7.031 Typer Credit Inconel - - - - - Point Scores 0 Sumo Point Total. 49