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HomeMy WebLinkAbout040-580-0021 SCOTT & JODI BECHHOLD �,' 3/311rBlacks Lane, Dur am PErmit#3034-87B,P,E,M(new single family) �-- 000 o.exem rion_. ermit #51-88 for fa*m implements (nuts & spray) & tractor ..,, Q' � wt D N 0 " PEOUIT NO. PERMIT EXPIRES �V 7- �z OWNER SCOTT R .10DT RFCH0T.D CONTR. Own P r ASSESSOR PARCEL 40_19-101 LOCATION _ L y VSA AU& o OFFICE COPY Address GAS Meter By. Date _2 ELECTRIC �(c By Meter D �1• ✓ Date 3r Sj/1/� - 4 Temp. Power Pole Called Temp. Elec Celled Temp. Gas Called JOS FINAL Slpnatu Not OK' =Not Applicable MOBILE HOMES MISCELLANEOUS " Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DECKS,COVERS,CARPORTS,GARAGES, (Plan')61< exUpt #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/O -Concrete .6 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts- Bea ms-Rftrs.-Con nec.- Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -B1 Date Card -B1 Date 10. Roof; Shthg-Roofing Card -B1 Date Card -B1 Date 11. Ext.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -B1 Date Card -B1 Date 2. Footings; Size -Spacing -Marriage Line Card -B1 Date Card -B1 Date 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s 5. Drain; MH Test -Fall -Flex Connector 1. Setbacks -Easements 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability 7. Water and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date OK 0= Not Nqt A`p plecable RESIDENTIAL (Single and Duplex) - = Not Ready UNO RFLOOR (Plans) OK except #'s ing requirements -Setbacks -Easements tg.; Main; Soils -Steel- rnd.-/ " Ftg. De Ftg., Garage; Soils -Steel-/ P' Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Del `A Stemwalls, Main; Steel-Blockouts- ped -6zStemwalls, Garage; Steel-Blockouts-Wrapped Slab; Steel -Wrapped Piers-Fireplac Ftg.-Steel D. ; Fall -Fitts s -Test- y C/O- wer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Card -B1.0 Date%jam/mrd-B1 Date Card-B:k_,?,Date Date Date UMBING (Permit) Olfexce t #'s Water Ht. Vent -Access -Combustion Air efer Pipe; Tes nchors- I ProTe-M t W.V.; Te1fJAttngs & Anchors -Nail Protection lower Pan; Test, First Floor -Tub Access _-20-Test Tub & Shower, 2nd Floor -Tub Access I as Pipe; Size & Anchors Card -B1 ( ­' Date �/f'/Card-131 Date I Card -81 Date rCard-131 Date Date _)&- ELECTRICAL (Permit) OK except #'s �%.?3,,,)xlare & Transformer Clearance -Ins. Protection G%Vtlec. Receptacles SDacina-Liahts & Switches at Doors 24. Si a Boxes & No. of Conductors -Stapled Romex Installed Close to Edge of Studs & C.J. uip. Ground made up w/Meeh. Fasteners -Bond Gas & Water W2 Appliance Circuits in Kitchen & Conductor Size _28-8Ubfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 29. Range Circ. / Aga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No ervice-Riser Conductors & Ground -Main Disconnect quip. Clearances Panels-Motors-Mech. Equip. -e827tlothes Closet Light -Shower Light -Spa Light Card -81 Date ////Ij-`70ard-B1 Date Card -131 Date Card -B1 Date Date Joist-Rftr. Ties -Pu rlikRo"raq.-Truss lace Ties or Type A Flue- irep ace Throat Access; Size & Romex Protection -Draft Stc "drm. Windows or Exitirn Fire Protection Fra ns. Baffles Doors -Sill Hgt. & Dimensions 159 -Property Line Firewall & Openings 664-txt. Doors -One T -Check Garage -3rd story, 2 exits - 52:-91airs; Width -Headroom -Rise -Run -Landing -Fire Protection A"lywood on Roof Overhang -Attic Vents -Rafter Outriggers ,Whig -Nailing Veneer Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access lazing Area -Glass Protection -Skylights -Plastic _A57�-Shear Walls; Nailing -Bolts 58. Insulation-Walls-Clg. 59. Infiltration-Walls-Wndws Card-81ZVN Date Card -81 Date Card -131 Date Card -131 Date Date FIN (Plans) OK except #'s E,x�. Steps -Door & Sidelight Protection -Landings Smoke Detector urnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection edroom Exiting C3.F.1. & Bath Fixtures & Tub Access -Spa Elec. Trim & Subpanel; Breaker Sizes -Labels x,66. 6tairs & Rails eplaee-or Stove; Clearances -Hearth . EI . Outlets at Wood Panel; Int. & Ext. it. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance c. Outlets & Receptacles at Kit. Counter ti 7 rage Fire Door; Swing -Landing -Closer Duct in Garage -Damper Wtr tr.; Vents -Clearance -Comb. Air -Connector - Garage; Above Floor-Mech. Protection 7a. Plb., Elec. & Mech. Equip. Listed for Location "ec. Receptacles in Garage; (G.F.I.)-Romex Protec. . Insulation -Foam -Looked in Attic O Yes /,ward Rails & Deck Construction -Post Caps --Z&-F-0a. Vents & Crawl Hole Door -Drainage & Wood -Earth learan ooked under Floor ❑ Yes 19."Follp4ling instld.; D i� veCLYes�fS No; Walks &-ltes D No; P tars o Yes C.N6-_ Stucco; Brown -Finish C. Unit; Disconnect, Electrical, Plumbing 02JJAntg,.�ove Roof; Plbo APPHance-Firepl.-Clearance to nmgs. Date MECtIANICAL (Permit) OK except #'s afar Well; QLs , Electrical, Plumbing 3 . .C. Ducts Insulation & Support. prior Elec. Trim; G.F.I. Receptacle -Underground 34. ent Fan; Exhaust above insulation 45Vqntilation throughout House 15 -,Condensate Drain & Overflow; Size & Grade -36r-ftrnace-Vent; Access -Comb. Air -Return AirYR gf�a15 outlet ttic Access & Platform if Furnace in Attic Card-B1Date e1/ p7--Card-131 Date Card -81 Date I Card -131 Date Date FRAMING (Plans) OK except #'s Sills, Proper Material & Anchors . fills Studs -Nailing, Spacing & Bracing—Plates-Sound earing Walls over Girders & Floor Nailing __4J_Qrsft Stop in Walls (rat proof) s42 -Fire Stops; Furred Ceilings -Stairs -Chases -Tub 14aTAeader & Beam -Size & Bearing 117-GorrectioA from Previous Inpections 88. Gas -Meters Tagged; Gas -Electric Z� agar & Sewer Connected -C/O to Grade -HD Approval nergy Compliance Certificate -Other Certificates Card-B1Z Date Card -131 Date Card- Date Card -B1 Date CardAl Date Card -Bt Date at (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, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 C E L D _ f f OWNER /� � / � n � �PERMIT f A routine hvspoction Indicates th2i violations of County Ordinance exist at the sand should be corrected. Please notify this office when corre have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 • 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE- vrrrvcn MI 1 A routine inspection Indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office Immediately. I— Inspector Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 M moria) Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE- OWNER OTiICE•-- 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 Immedi telt'. z0%n4AAAJ e4 Inspector Da COUNTY OF BUTTE ;. DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 411i - 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE' PERMIT N0. 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 i mediately. 41 gf,-44— Inspector —/ Date o2 v COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS :. 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION 140T,ICE ,� z OWNER FERMI 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 nyed additional explanation, please contact this office immediately. Sl Inspector Date COU4TY OF BUTTE E.` DEPARTMENT OF PUBLIC WORKS 196 Memorial Way; Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE )WNER PERMIT NO. A routine inspection in 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 Da • ti COUNTY OF BUTTE ~ DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 y 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine Inspection indicates that the followln violations of County Ordinance exist at the above address and should corrected. Please notify this office when correction of work is complete . If you have anyquestion pertaining to this matter, or need Witional expl5p6tion, please contact this office Immediately. Inspector Date IM01�i* COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 .+ 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to -this matter, or need additional explanation, please contact this office immediately Inspector Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE 3Oa'4-�-'I- OWNER MIT NO. A routine Inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector / I Date COUNTY, OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise — Phone:'872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine Inspection Indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please -contact this office Immediately. Inspector Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 ,s< 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE. OWNER PERMIT NO. A routine Inspection Indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office 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 Da 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 CORRECTION NOTICE MIT 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. -� A-- -)�> s Inspector Date t COUNTY:OF BUTTE DEPARTMENT OF PUBLIC WORKS ' 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville -- Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE 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. f_ Lspector- Date y0� E 1v E II G Y C r R T I F ICA r L03CA'T UES11:RI11'T0ti OF; INS111J'>,'I:IJIi ROOF Materi..,l _ Thickt►css(inches) EXTERIOR WALI. ?Uiterial Fiberalasss Thickness(inche's) CF 1.LING Da"''t or Blanket Type_riberglass Thickness(irclees) /e ' Lcrr,Sa =1 i1 Type. Fibercllass Mini.rn"rr; .hicknes�(Inchcs) f/ Ares covered(ft. ) / O �iste_.ial Fibera?a5s Thickness(it:cE;es). _ F1 90R, SLAB ;?atc.-i3l • 1"t!it.knr.naiftCltea) width ( inches) Fi. UNDAT I ON WALL Natc.1.11 0 14 A. P. iia. Brr.ncl Name_ Thetair►l Reoistalice fF 'l alue) Brand Name Certain leed ' Thermal. Itc:nisiQjrc.e(R�'ctlueIf // Lrnnd Name C'ertainTeed Thermal Resistance(R Valuc)_13� Brand fume CertainTeed Number of Isags_ZF Wt. per bag 25 lb. Ther►nal R.esistance(R Value)_&p Braitd Name Cita i r;Teed Ther►nal Resistance(R Value) Brand Name •'1he-TheRoci.stance(It Bj:artd Name Thormal Rerlintrtnce(R Vr•jtleq Jtcrel;, c.01-tify that t1w above iuoulj t9.On ,•:,i, installed in thrt above buthling i►; ccnf:.:�na►tce wi.tn t:he S t.►te of Ca1iio:_n*,11. 1:r�argy Re:luLremen;a. tl Otl CC). II:C''.�(j? _� %n ! ll�i1 PL1I'.I:/U4,'i11at ' 1Ij n r; :� e�.i:ii'j,t't�•. ii1� LNa1,'AI.L(1'1'iUlc iI'('!,iCA'I'UR DAT tl►e a! ove illsIllation.' and till re:l!►ir.ect 1.c:Ams nq ei:nwn an the approved plans and rtttachme►:tr; hnve Neel; inst :Zicr F..L 1.(.T''71!(" ")Y the State of California Energy Re(luirements. ?.� enu;.l,trent, devtcrs and matcz-iul.s are ofti;c c!ucli.ty prencribed or ;ir(: s ci.fl.^11+.1 rpproved by the State of California. IltPt Pitilii./Qtdti!;!t (I'len;lc print) :i l;;;•i;1'1'U'si.'.'. (.)(� t;1�:.�^:''ltl1;, GUtIA'lUi(,''()tt/Ul•lN1iF: _^- e. STATE CMUSLAC'TOR'S LICIEI? S!; nu. DATI. 1'11IS Ci:a MUS'i.' BE ON FILE !d T1! THE BUILUTI•i 1)I 1'!.l','I't'l:'r1 i �tIC1!'t r- t J "1'1'UT 1,)!; APPROVAL Mfl) A COPY S11Aj.LE') 4.IT'lI7P;' THE 13U Li; IPTG . 1C- .Irtrnt;:lry 1984 Jr_ e-�t l3Gh4,4 V COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT �NO�%/7 ASSESSOR A=C� NU ZONG BUILDING PERMI S0. FT. OCC. BUILDING VALUATION OWN 71t/JTELEP WQ 12 O N MAI .ING !� DES ^ C RACTOR'S NAME tit r TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace 08 1 CON RU ION LEN R '',At Yl UNKNOWN Total Valuation $ Filing Fee $ 10.� LENDE 'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Q Solar or heat pump water heater 20.00 LOT NO. Z/-3 Z SUBDIVISION NAME PARCEL 7_ �%— HEach Water piping 5.00 qas water heater or vent 5.00 , ,,��,{( USE OF STRUCTURE SF CK Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets P P 9 Y 5.00 Building sewer 5.00 Mobile Home S G W O.00ea TYPE OF WORK New u Addition ❑ Remodel ti 'ties ❑ Installation❑ Other ❑ Describe work: c Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service ;OD°D AMP OROR LESS10.00 Main service EA. ADD'L too AMP 2.50 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, Or my employees with WflgeS 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 oR ADDNST DWELLING WEAC L LINLOGS.OCCU Y22SQft sm 31 NEW CONS TR U I.OUTLE 2,50 ea NON.RESID CIRCUITSRANC POWER APPARATUS (SINGLE OUTLET CIR. / Ex. Occup\OUTLETS OR FIXTURES 2AL93t ewL930 FIXED APPLES. OR Ex. DCCUp. OUTLETS (RESIDJEA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 9 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating 7 �o I(� Cooling Hood 3.00 , Ventilation permit Fee = a 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. 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 �EAoQc, �-- Date R� In�9� Signa ure 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 $ ,Q TOTAL PERMIT FEE $ / -7 qI OCCUP-1 CONsT.TYPE scN PLoo PARCE PD N ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO OFPUBLIC BY — I PE IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS • Date ��? �� Receipt No. cy) �L WNITE-O.P.W., YELLOW -Ase LSSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT :v�c� �� ����"�'«`P7�y;• �_ ' +,1Fr•:�t"''�+'rs�1'�•r'r��"��''�,�.`•�'rS��l'tr`�'��Of"':tiQ`"j'�',��Ft4'd+�i,�,'�: 1 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 — .� i' PERMIT APPLICATION DAT& SRflT Permit No. OWNER �JCO7 0 A. P. No. Proposed Building Use EW S Bui-lding 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_s. bmitted. . . i �Q 2. Plot plans i du lic /tri licate, signed by prepr bf pans. 3. Complete plans ' du lica /triplicate, signed by preparer o s. .4. Complete engineered plans and calcs, wi-th wet signature on pans. 5. P 8rfnergy Design Co Iianc.e State ent W�o t t 'V Sc or o0 i I Fees Paid ' Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings, 8. Fees of $ . . . . . . . . 9. Letter of signature authorize iQn., . , . . .;r . . . . 10. Sanitation approval from � t GQ 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 -F-1 ) 5 _.__...._15. Improvements may be required. . . . . . . . . . . . .16. Mobilehome Installation Data. . . . . . . . . . Pre-Inspec, request to (Date) '�77. Pre -Inspection for ____ __- _ - -.-._- _ Required. Building In., O ecorded copy of Agricultural Acknowledgment Statement. 19.1 Driveway Permit. 20. Plot plan approval from city of_ 21. 22. — When you issue the permit, process as follows: Mail to owner; Mail to contractor. Telephone and hold for pickup at office, Deliver w/inspector. Other AppIicant�Date RJlo Y2 t� Copy of plans sent Health Dept.; Fire Dept., Other Date The following data must be submitted prio top it i uan (Ci c e •ew item not checked above). 1. Index permit for above items No. —__ 2. Additional items required: -- Contractor, designer, owner, was advised of above required data by_phone_—mail—counter by date Contractor, designer, owner, was advised c! above required data by—phone —mai l—counter by date Plans checked by Date Plans approved by �Date /tv'6 'e% Sets of plans on hold in File cabinet AP folder Copy—DPW TO Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location.A Plan Approved for: Sewage Disposal _ !� Water Supply Hold final for. -Water Supply Final clearance O.K. for: Water Supply _. Clearance for bedroom �meb!4-e—home. Other NOTE * * * X6`7 _ Date COUNTY OF BUTTE - Department of,Public Works 7 County Center Drive,.Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property.Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will.be issued until this verification is received. 1. I personally plan to provide the majorlabor and materials for construction of the proposed property improvement (yes or no). 2. I (have/have not) `-�� signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: t ,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 111 I o /87 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. Table 3-3a. Ceiling Insulation Points I R -Value of Insulation 1 Points 1 I I I ! 22 I -230 0 I I 38 I +2 I 1 49 1 +4 I Table 3-4a. hall Insulation Points IR -Value of Insulation 1 Pointe I I I 19 I o I 24 I +2 30 i +3 Table 3-5. North-FacinS, Glazing Pt ! ! Glazing Type 1 I Total I I I 2 of I Sngl. Dbl, Trpl, I Floor I U- l u- l U- I Area 10.66 ! 0.42- 10.41 ! 1 11.10 ! 0.65 I down I o1 +4 1 .64 +4 1 0.1- 1.2 1 +4 ! +4 1 1.3- 2.3 I +1 1 +2 1 +2 ! 1 2.4- 3.6 I -2 I 0 1 +1 I I 3.L-4_& I -4 I -? I. -1 I ! 4.9- 6.1 1 -7 1 -4 -3 I I 6.2- 7.3 I -9 1 -6 I -5 I I 7.4- 8.2 1 -12 1 -8 I -7 I ! 8.3- 9.7 1 -14 1 -10 ! -8 I I 9.8-10.8 1 -17 1 -12 1 -10 1 110.9-12.0 1 -19 1 -14 1 -12 I ( 12.1-13.2 1 -22 1 -16 I -13 i 113.3-14.5 1 -24 1 -18I -15 I 1 14.6-15.3 I -27 1 -20 I -17 I Table 3-7. South -Facing Glazing Pte T- I 1 Glazing Type 1 I Total I I I of I Sngl._1 Dbl, I Trpl, I Floor I (U I (U - 1 (U - I I Area 1 1.10) 10.65) 10.41)1 (I ointo I Dints I ointsl o +3 *9 +3 1 up to 1.5 1 +2 1 +2 1 +2 1 1 1.6- 3.6 I -1 1 0, ! 0 1 7.7- 3.2 1 -4 1 -tel' 1 -2 I 1 5.3- 6.5 1 -6 1 -4 1 -3 1 1 6.6- 7.7 I -9 1 -6 I =S I 1 7.8- 8.9 I -11 1 -8 I -7 I 1 9.0-10.0 I -13 1 -10 .I -9 1 110.1-11.5 1 -17 1 -13 I -11 1 111.6-13.0 I -21 1 =16 1 -14 1 i 13.1-14.5 I -25 1 -19 1 -16 1. ( 14.6-16.0 I -28 1 -22 1 -19 1 Table 3-8. West -Facing Clazin Pts. I I Glazing Type I Total I I 1 I of 1 Sngl, rp Dbl, Tl, I Floor I (U - ! (U - I (U - I I Area 1 1.10) 10.65) 1 0.41)1 1 Iolnts I oints i ointsl o •i 1 up to 1.3 1 +5 1 +6 1 +6 1 1 1.4- 2.2 1 +3 1 +4 1 +5 1 I 2.1- 2.8 1 0 I +21 +3 1 1 2.9- 3.6 1 -3 1 0 1 +1 1 1 3.7- 4.2 1 -5 1 -2 1 0 1 1 4.3- 5.0 1 -8 1 -4 1 -2. 1 1 5.1- 5.6 1 -10 1 -6 1 -4 i 1 5.7- 6.2 1 -13 1 -8 1 -6 I 1 6.3- 6.9 1 -15 1 -10 1 -7 ! I 7.0- 7.6 1 -18 1 -12 1 -9 1 ( 7.7- 8.2 1 -20 1 -14 1 -11 I I 8.3- 8.8 I' -22 1 -16 1 -13 I 8.9- 9.5 I -25 I -18 1,-15 1 9.6-10.1 I -27 1 -20 1 -16 I i 10.2-11.0 1 -29 1 -23 1 -17 I 111.1-11.8 I -35 1 -26 1 -21 111.9-12.7 1 -38 1 -29 1 -24' I 112.8-13.5 1 -42 1 -32 1 -27 I 1 13.6-14.3 1 -46 1 -35 1 -29 1 i 14.4-15.2 1 -50 1 -33 1 32 1 ZONE 11 Table 3-9. Skylight Points I I Glazing Type I OWNER 5C.0 -01L Ae- _ POINTS tation _X� PERMIT NO.�D.3gg_ -7 . ASSIGNED ACTUAL 1. SLAB - INSULATION I I I of T Sngl. Dbl, I Trpl, I Floor I U- I U.- I U- I -able 3-1. Slab Floor Points Table -3-2. Raised Floor Points 17n uls- I R -Value of Insulation I 1 t -Value of ( I 1 tion I 1 I Insulation I Points 1 I Depth, I I ! I Inches 1 0-2 1 3-4 1 5-6 1' 7+ 1 I 1 I ! 1 ( I below 3 ( -12 1 I 3- 4 I -8 1 1 0- 11 1 -5 1 -5 1 -5 1 -S I i S- 7 I -6 1 112 - 13 1 -5 1 -3 1 -2 I -1 1 1 8- 12 I -4* 1 116 - 19 1 -S 1 -2 1 -1 I 0 ( I 13 - 18 I 72 I I 20 + 1 -5 I -1 10 I +1 I I -19+ 1 0 I I 1 I I I 1 I ( I I 2. P.AISED FLOOR - R-19 I I up to 1.3 1 -1 1 0 1 0 I 1 1'•- t.2 T -3 1 1 2.3- 2.8 1 -6 1 -4 1 -3 I 1 1 2.9- 3.6 1 -9 1 -6 1 -5 I 1 1 3.7- 4.2 1 -11 1 -8 I -6 I 1 1 4.3- 5.0 1 -14 1 -10 I -8 I 1 5.1- 5.6 1 -16 1 -12 I -10 I 1 5.7- 6.2 1 -19 1 -14 I -12 1 6.3- 6.9 1 -21 1 -16 I• -13 I 1 7.0- 7.6 1 -24 1 -13 1 -15 1 T5 ' +' I up to 1.3 1 +3 I --1:r-__f4 1 +1. 1 2.5- 3.6 1 -2 1 3.7- 4.6 1 -5 1 4.7- 5.6 1 -8 1 5.7- 6.7 1 -10 1 6.8- 7.7 1 -13 I 7.8- 8.7 1 -15 1 8.8- 9.1 1 -1.7 3. CEILING - R-30 '� ( 9.8-11.2 1 -21 i 4. WALL - R-19 1 7.7- 8.2 1 -26 1 -20 1 -17 I 0 1 3.2 1 6.4 1 8:0 1 9.6 5. NORTH GLAZING - 2.4--3.67. 1-15 1 1 8.3- 8.8 1 -28 1 -22 1 -19 1 a 6, EAST GLAZING - 2.5-3.6% -21 1 -18 1 7. SOUTH GLAZING - 1.6-3.67. 14.1-15.3 1 32 I -24 1 8. WEST GLAZING - 2.9-3.6% • •. +-------�-- - �---- 9. SKYLIGHT - 0-1.3% a • � � 10. SHADING (Exclude Overhang) 0 1 -1 1 -3 I -6 I 4 .58-•E2 I -1 I ZL 1 -6 I -12 1 -I5 EAST - I.3 .66 -2 I -4 1 -8 I -16 1 -20 1 I I I C7 .1 I .8 1 1.6 13.2 1 4.0 SOUTH - .19-.42 to I to I to 1. to I to 1 7 1_5 13.1 1 3.9 15.2 0-.12 1 WEST - 8 .13-.36 .13-.36 I �- .37-.57 l .SKYLIGHT - p .3 .37-.57 .58-.82 .1 Z 11. HORIZONTAL SOUTH OVERHANG 2' 21 U 12. MOVABLE INSULATION - NONE O O 13. INFILTRATION (Standard=0)(Tight=+12) 14. THERMAL MASS SF -' 15. GAS FURNACE (SE) 71-76% � 16. HEAT PU1fP (EER) 7.5-7.9% 17. DUAL PACK (SE, SEER) 8.0-8.3/71-76% r WOOD STOVE WATER 4HEATER G> ATTIC 7 fC2-_% t3 OTHER - Table 3-3a. Ceiling Insulation Points I R -Value of Insulation 1 Points 1 I I I ! 22 I -230 0 I I 38 I +2 I 1 49 1 +4 I Table 3-4a. hall Insulation Points IR -Value of Insulation 1 Pointe I I I 19 I o I 24 I +2 30 i +3 Table 3-5. North-FacinS, Glazing Pt ! ! Glazing Type 1 I Total I I I 2 of I Sngl. Dbl, Trpl, I Floor I U- l u- l U- I Area 10.66 ! 0.42- 10.41 ! 1 11.10 ! 0.65 I down I o1 +4 1 .64 +4 1 0.1- 1.2 1 +4 ! +4 1 1.3- 2.3 I +1 1 +2 1 +2 ! 1 2.4- 3.6 I -2 I 0 1 +1 I I 3.L-4_& I -4 I -? I. -1 I ! 4.9- 6.1 1 -7 1 -4 -3 I I 6.2- 7.3 I -9 1 -6 I -5 I I 7.4- 8.2 1 -12 1 -8 I -7 I ! 8.3- 9.7 1 -14 1 -10 ! -8 I I 9.8-10.8 1 -17 1 -12 1 -10 1 110.9-12.0 1 -19 1 -14 1 -12 I ( 12.1-13.2 1 -22 1 -16 I -13 i 113.3-14.5 1 -24 1 -18I -15 I 1 14.6-15.3 I -27 1 -20 I -17 I Table 3-7. South -Facing Glazing Pte T- I 1 Glazing Type 1 I Total I I I of I Sngl._1 Dbl, I Trpl, I Floor I (U I (U - 1 (U - I I Area 1 1.10) 10.65) 10.41)1 (I ointo I Dints I ointsl o +3 *9 +3 1 up to 1.5 1 +2 1 +2 1 +2 1 1 1.6- 3.6 I -1 1 0, ! 0 1 7.7- 3.2 1 -4 1 -tel' 1 -2 I 1 5.3- 6.5 1 -6 1 -4 1 -3 1 1 6.6- 7.7 I -9 1 -6 I =S I 1 7.8- 8.9 I -11 1 -8 I -7 I 1 9.0-10.0 I -13 1 -10 .I -9 1 110.1-11.5 1 -17 1 -13 I -11 1 111.6-13.0 I -21 1 =16 1 -14 1 i 13.1-14.5 I -25 1 -19 1 -16 1. ( 14.6-16.0 I -28 1 -22 1 -19 1 Table 3-8. West -Facing Clazin Pts. I I Glazing Type I Total I I 1 I of 1 Sngl, rp Dbl, Tl, I Floor I (U - ! (U - I (U - I I Area 1 1.10) 10.65) 1 0.41)1 1 Iolnts I oints i ointsl o •i 1 up to 1.3 1 +5 1 +6 1 +6 1 1 1.4- 2.2 1 +3 1 +4 1 +5 1 I 2.1- 2.8 1 0 I +21 +3 1 1 2.9- 3.6 1 -3 1 0 1 +1 1 1 3.7- 4.2 1 -5 1 -2 1 0 1 1 4.3- 5.0 1 -8 1 -4 1 -2. 1 1 5.1- 5.6 1 -10 1 -6 1 -4 i 1 5.7- 6.2 1 -13 1 -8 1 -6 I 1 6.3- 6.9 1 -15 1 -10 1 -7 ! I 7.0- 7.6 1 -18 1 -12 1 -9 1 ( 7.7- 8.2 1 -20 1 -14 1 -11 I I 8.3- 8.8 I' -22 1 -16 1 -13 I 8.9- 9.5 I -25 I -18 1,-15 1 9.6-10.1 I -27 1 -20 1 -16 I i 10.2-11.0 1 -29 1 -23 1 -17 I 111.1-11.8 I -35 1 -26 1 -21 111.9-12.7 1 -38 1 -29 1 -24' I 112.8-13.5 1 -42 1 -32 1 -27 I 1 13.6-14.3 1 -46 1 -35 1 -29 1 i 14.4-15.2 1 -50 1 -33 1 32 1 Table 3-10. Shading Coefficient Points Table 3-9. Skylight Points I I Glazing Type I TOTAL JOINTS = -� Table 3-6. East -Facing Glazing Pts. tation +2 I ! Glazing Type I 1 Total I 1 '- - I Total I I I of I Sngl. I Dbl, I Trpl,l I I I of T Sngl. Dbl, I Trpl, I Floor I U- I U.- I U- I -able 3-1. Slab Floor Points Table -3-2. Raised Floor Points 17n uls- I R -Value of Insulation I 1 t -Value of ( I 1 tion I 1 I Insulation I Points 1 I Depth, I I ! I Inches 1 0-2 1 3-4 1 5-6 1' 7+ 1 I 1 I ! 1 ( I below 3 ( -12 1 I 3- 4 I -8 1 1 0- 11 1 -5 1 -5 1 -5 1 -S I i S- 7 I -6 1 112 - 13 1 -5 1 -3 1 -2 I -1 1 1 8- 12 I -4* 1 116 - 19 1 -S 1 -2 1 -1 I 0 ( I 13 - 18 I 72 I I 20 + 1 -5 I -1 10 I +1 I I -19+ 1 0 I I 1 I I I 1 I ( I I Floor I (U - I (U - I (U - 1 Area 1 1.10) 1 0.65).1 0.41)1 Imo! o!nts I Dints I Dints! I I Area 1 0.66- 10.42- 1 0.41 I 1 1 1.10 1 0.65 1 down I I I up to 1.3 1 -1 1 0 1 0 I 1 1'•- t.2 T -3 1 1 2.3- 2.8 1 -6 1 -4 1 -3 I 1 1 2.9- 3.6 1 -9 1 -6 1 -5 I 1 1 3.7- 4.2 1 -11 1 -8 I -6 I 1 1 4.3- 5.0 1 -14 1 -10 I -8 I 1 5.1- 5.6 1 -16 1 -12 I -10 I 1 5.7- 6.2 1 -19 1 -14 I -12 1 6.3- 6.9 1 -21 1 -16 I• -13 I 1 7.0- 7.6 1 -24 1 -13 1 -15 1 T5 ' +' I up to 1.3 1 +3 I --1:r-__f4 1 +1. 1 2.5- 3.6 1 -2 1 3.7- 4.6 1 -5 1 4.7- 5.6 1 -8 1 5.7- 6.7 1 -10 1 6.8- 7.7 1 -13 I 7.8- 8.7 1 -15 1 8.8- 9.1 1 -1.7 + 4 1 J 1 +2 1 0 1 . -2 1 -4 1 -6. 1 -8 1 -10 1 -12 +4 I +4 1 +2 1 0 1 -1 1 -3 1 -5 1 1 -7 1 1 -4 1 1 -10 1 I .67-.82 I ( 9.8-11.2 1 -21 1.-1S 1 -13 1 1 7.7- 8.2 1 -26 1 -20 1 -17 I 0 1 3.2 1 6.4 1 8:0 1 9.6 111.3-12.7 1 -25 1 -18 1-15 1 1 8.3- 8.8 1 -28 1 -22 1 -19 1 7/7/83 ( 12.8-14.0 1 -23 I -21 1 -18 1 1 8.9- 9.5.1 -31 1 -24 1 -21 1 �:. 14.1-15.3 1 32 I -24 1 -20 1 1 9.6-10.1 1 -33 1 -26 I. =22 1 • •. +-------�-- - �---- - �---� 0-.12 1 �--�---�-- --- -�-- --.. 1. .13-.36 1 Table 3-10. Shading Coefficient Points I SC by I I Orten- I I Floor Area tation +2 I Lest I I 3.2 ! 17.6 - 23.5 1 i 0-3.1 to6.4 up I 1 3 I I I I 0 -.19 1 0 ( +1 1 +2 i .20-.34 I 0 1 o I 11 I .37-.66 I 0 1 0 1 0 I .67-.82 I 0 1 0 ( -1 I .83 up I I I 0 1 -1 ( -2 I I I South 1 0 1 3.2 1 6.4 1 8:0 1 9.6 I I to I to I' to I to I up 13.1 16.3 17.9 19.5 I I 0 -.18 1 0 1 +1 i +2 ! +2 I +3 I .19-.42 1 0 1 0 1 0 1 0 1 0 ! 43-.66 I 0 I -1 I -2 I e2 -3 I S I ' ,) 0 1 TI -4 1 -4 I -6 West I .1 1 1.6 1 3.2 1 6.4 1 8.0 I to I to ( to 1 to I up 1.5 i 3.1 i 6.3 i 7.9 0-.12 1 0 1 +1 1 +3 I +6 1 +7 .13-.36 1 0 I 0 1 0 1 0 1 0 .37-.57 1 0 1 -1 1 -3 I -6 I 4 .58-•E2 I -1 I ZL 1 -6 I -12 1 -I5 .83 up 1 I -2 I -4 1 -8 I -16 1 -20 1 I I I Skylight I .1 I .8 1 1.6 13.2 1 4.0 I to I to I to 1. to I to 1 7 1_5 13.1 1 3.9 15.2 0-.12 1 0 1 +1 I +3 1 +6 1 +7 .13-.36 I 0 1 0 1 0 0 1 0 .37-.57 l ,1 0 1 -1 I -3 1 -6 I .58-.82 .1 -1 1 -3 I -6 I -12 1 -a -16 i -20 Table 3-11. Horizontal South Overhane Pointe South Glazing 1 Length Out I Area, I of Floor I 1 from Wall 1 I I ft r I 1 0-6.3 1 6.4 up I I I I 0 - 0.5 -2 10.6 - 1.0 1 -2 I -3. 1 11.1 - 1.9 1 -1 I -2 I I 2.0 up I 0 1 ') I' Table 3-12. Movable Insulation I Moveable Inaulation*l I Area, I of Floor I 1 I Points 0 - 5.5 I 0 5.6 - 11.5 I +2 11.6 - 17.3 1 +4 17.6 - 23.5 1 +6 X23.6+ I +8 b. Table 3-13. Infiltration Control Peargres Points I Control Features I Points I I I I I Standard I 0 I I I 11.9 air changes per hr ( 1 I I I T- I Tight I +12 I I I I 0.6 air changes per hr I' I i I 1 Table 3-15. Cas Furnace Without RefrtRer3tlon Cool!nt Points 1 Seasonal Efficiency I Points I I (SE), Z I I I 71 - 76 I Patio I 77 - 82 1 +2 I I 83 - 88 I +4 I I 89 - 94 I +6 I 95 up i +8 I 8.4 - 3.7 Table 3-16. Peat PumD Points I Energy Efficiency I Polits I I Patio (EER) I 1 I 7.5 - 7.9 1 +3 I I 3.0 - 8.3 I +6 1 I 8.4 - 3.7 1 +9 I 1 8.8 - 9.1 I +12 1 1 9.2 - 9.6 I +15 I I 9.7 - 10.2 I +18 I I 10.3 - 10.8 I +21 I I 10.9 - 11.5 I +24 I I 11.6 - 12.3 I +27 I I 12.4 - I 13.2 I +30 I I I 600-799 0 +3 Table 3-17. Gas Furnace With Refrleeration Caollne Points IRefrigeraciod Cas Furnace I I Cooling I SE ; I I 1- 7-183- s9- 95 1 1 761 821 881 941 uo I 8.0 - 8.3 1 01 +21 +LI +61 +8 1 8.4 - 8.7 1 +21 +41 +61 +91+10 1 8.8 - 9.2 1 +41 +61 *81+101+12 1 9.1 - 9.7 1 +61 +81+101+121+14 1 9.8 - 10.3 1 +31*101+121+141+16 1 10.4 - 10.9 1+1G1+L21+1x1+161+18 I 11.0 - 11.6 1+1 21+141+1614-1314-20 1 7/7/83 ZONE I1 TABLE 3-14 (ADAPTED) INTERIOR THERRAL MASS 'POINTS PASS DWELLING AREA SQUARE FOOT I AREA 1,000 1,500 2,000I 2,500 I 3,000 I 3,500 t 4,000 I 4,SG0 5,000 I S1. PT. i A 8 C D A_ 8 C D A B C 0 A 8 C D I A 8 C 0 A 8 C 0 A 8 C D I A i C- AE C ----r- J ``--- 50 2 2 2 2 2 2 2 O I 2 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 D 0 0 0 0 0 0. 0 0 0 '.00. 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 0 ISO 6 6 6 4 4 4 4 2 2 .2 2 2 2 2 2 2 2 2 2 1 2 2 2. 1 2 2 2 0 2'! 2 0 2 2 2 0 200 8 8 6 4 6 6 4 2 4 4 4 2 4 4 2 2 2 2 .2 2 2 .2 2 2 2 2 2 2 2 ! 2 2 2 . 2 0 253 10 10 8 6 6 6 6 4 6 6 4 2 4 4 4 2 4 4 2 2 2 2 1 2 2 2 2 2 2 2 2 2 2 2 2 i 300 12 12 10 6 8 8 6 4 6 6 6 4 6 6 4 2 4 4 4 2 4 4 2 2 2 2 2 2 2 2 2 7• 2. 2 2 2 350 14 14 12 8 10 10 8 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 2 400 14 14 12 8 10 10 8 6 8 8 6 4 6 6 4 4 6 - 6 4 2 4 4 4 2 4 4 1 2I 4 4 1 2 3 4 1 2 503 18 18 16 10 12 12 10 6 10 10 8 6 A 8 6 4 6 6 6 4 6 6 6 2 6 6 1 4 4 1 2 603 22 20 18 12 14 14 12 8 12 12 10 6 10 10 8 6 8 6 6 4 8 G 6 4 6 6 6 4 I 6 6 t 2I 6 6 4 2 1 790 124 24 20 14 18 16 11 10 14 14 12 8 10 10 10 6 10 10 6 6 aa 6 4 8 6. 6 1 6 R 6 41 6 6 R ). 230 26 24 22 16 70 16 16 10 14 14 12 8 12 10 10 6 10 70 8 6 10 R 8 4 -.6 6 < a f 6 !I 6 b i. 903 28 28 74 16 22 20 18 12 16 16 14 10 14 1/ 12 8 12 12 10 6 10 10 3 6 0 a '8 1 a a 6 4, 8 8 6 t j 1,000 30 70 26 18 I?1 20 20 14 18 IB 16 10 14 14 12 8 12 12 10 6 12 10 10 6 10 iD 8 6 a 8 a 4 3 a E 4 i 1,;OU .12 32 28 20 24 24 22 14 20 20 18 10 16 16 14 8 14 14 12 8 12 12 10 6 10 10 10 6 19 10 8 EI 1J e e 1,200 34 32 30 22 26 26 22 16 22 20 18 12 18 18 11 10 14 14 12 8 14 12 12 B �•12 12 10 6 110 10 g 61 in 1p a 6 1,700 34 34 32 22 28 26 24 16 22 22 20 12 IB 18 16 10 1u l4 14 8 14 12 12 8 12 12 10 6 12 10 10 L+ 10 ;0 F. e 1,400 34 34 32 24 28 28 26 18 24 24 20 1: 20 20 18 12 18 i6 14 10 14 14 12 8 14 14 12 6 12 1'_ :0 C. ; 10 13 17 S 1 1,5(,0 1 36 34 34 24 30 30 26 18 24 24 22 14 122 20 18 12 18 18 16 10 1 16 16 14 8 14 14 12 8 11 1: to LI 12 12 1;. o i 2,000 I 34 34 32 22 30 30 26 18 26 26 22 16 22 22 20 14 20 20 18 12 18 18 16 10 16 16 i4 G 14 )a- 12 S 1 2,500 34 34 30 22 130 30 26 18 26 26 24 16 24 24 2?• 14 22 22 19 12 20 20 la 1.'( lis t5 16 U i 7,CGJ 34 32 30 22 30 30 26 18 2B 26 21 16 124 24 22 14 22 21 20 14l :: :J 1'. 12 3,500 32 32 30 20 30 30 26 ld 26 2a 24 16 26 24 27 141 `4 ;4 _ 4.030 32 32 30 20 130 30 26 18i 78 28 24 1 f 15 ZS 2: it i 1.500 32 32 28 20 130 30 26 It j i8 rn ?= 1E 5_003 32 17 2e 20 j iJ ' .6 14 A) 1. 3•s• 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 8) 1. 54' Concrrte Slab: HC -14.106; �•."B; r:ctor•7.1 c) 1. 8• solid Pilled Block: HC•20.63; R-1.93; Factor -6.1 wood stove #33 poinfs'(no back up) 2. 8• send Filled Bloc: with Both sides Exposed To Conditioned Air. casablanca fan + l,point NOTE: Use all square footage directly exposed to conditioned air for Thermal`Hass Area: HC -10.164; R-.96;; Factor -6.1 D) 1• Thick Concrete/Tile: KC -2.55; R-.083; Factor -3.7 Table 3-19. Zonally Controlled Electric Rest, -tames Space Heatinq Points ' I Points foe this measure v!11? Table 3-20. Solar Water Heating With Cas Backup Points , I be completed after the CEC I 1 has approved an Alternative 1 Component Package for Resistance •I I aeat. 1 Table 3-18. Active Solar Space Heating witn (;as "Points I Net Solar Fraction I Points I I (NSF), Z I I I 1 1 Multifamll (pit unit points) I 0-6 I 0 1 I 7 - 14 i +2 I I 15 - 23 I +4 I I 24 - 30 i +6 I I 31 - 39 1 +8 i 1 40 - 47 1 : +LO 1 I 48 - 55 I +12 I 56 - 63 I +14 I I 64 - 71 I +18 1 I 72 up 1 I 1: +20 I I Multifamll (pit unit points) ea Fl7unft, Net Solar Fraction (NSF), Z pe ft2. 0.9 iv -i9 ZC-29 30-39 40-49 50-59 60-69 70-79 600-799 0 +3 +7 +10 +14 +17 +21 +24 800-999 0 +3 +5 +8 +11 +14 +16 +19 1,000-1,499 0 +2 +4 +b +a +10 +12 +14 1,500-1,999 0 +1 +3 +4 +6 +7 +8 +10 2 (:00 and u 0' +1 +2 +4 +5 +6 +7 +9 All others (Pe r building points) 800-899 0 +5 +10 +14 +19 +24 +'+9 +34 900-999 0 +4 +9 +13 +17 +il 1 +26 +30 1,000-•1,199 0 +4 .*7 +11 +15 4.19 +22 +26 1,20fr1,499 0 +3 +6 +9 +12 +15 +18 +21 1,500-1,999 0 +2 +5 +7 +9 +12 +14 +16 2,000-2,999 +2 1 +3 +5 t7 +6 +10 +I1 3,060 ar.d up -0 0 +1 +3 +4 +5 4,7 +S +10 Table 3-21. Other Water HeatInq Pts. I system Type I Points I I I I I Gas Only I 0 ; I I I I Beat Pomp 1 0 I I I I I Solar with Electric 1 I Re+!stance Backup 1 i Hentiny the Requlrs- I I I vents lu Part 2 I 0 i I I f 1 Electric Resistance I 1 1 Only -40 ; (S.F. , DUPLEX 6 UNLY) S �� B�4/� Bldg. Perch a 3v34--0 OWNER � A. P. 4 GENERAL -T""- Zoning requirements: (sideyards and number of permitted living units). Valuation. 63T Plans signed by designer. fi! Energy Design and Compliance. 5O Existing violations on property. PLOT PIAN -I— Complete parcel size and dimensions. 26—Setbacks, sideyards, easements, etc. aa— Other buildings or structures. ..4v- drading, fills, drainage. Plood hazard. Special conditions on creation map or compliance document. FLOOR PLAN Complete to scale plan with dimensions. ,Required windows for light and ventilation (Sec. 1205). -3' Required windows for second exit (Sec. 1204). A— Skylights (Chapter 34 & Sec. 5207). ja--Human impact glass (Sec. 5406). Required room sizes, ceiling heights (Sec. 1207). >/ G.F.C.I.'s in baths, garage and exterior outlets (Article 210-8). �B! _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. ..1,N Garage firewall, door size, and closer (Sec. 503(d)(3)). 4t: 1 - 3'0" exterior exit door (Sec. 3304(e)). .omt2. Fireplace and wood stove location. Smoke detectors (Sec. 1210). i owr Doom o4 r La- Pew ii ¢ r 2 10--4-4 4v� STRUCTURAL DETAILS ilk Foundation plan complete cnongh.to construct building. li Floor construction details complete enough to construct building. %3. Elevations and wall construction details complete enough to construct building.�c�rsx.'wrcco LBt ,4.� Roof construction derails complete enough to construct building. .-S' Fireplace construction details and C:IiCS if necessary- -(r— Sufficient. data and details to sati::fy voergy requirements (State Law) (Form 1). .7r- 0&1V -M rcP CA—CR tr FLOorc rC2a Hd 1V 04 ore 7T iCG oc y� pG PEit Z S/b C F) MISCELLANEOUS ITEMS T.0 LOOM. OUT FOR ,V -.'Exposure I plywood on exposed locations and overhangs. ,.r Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306). ,d -.'Guardrail details (Sec. 1711 & 3306(j)). i�Brick or stone veneer (Chapter 30). Exterior plaster - weep screeds (Sec. 4706). 6' Proper roof pitch for roof covering (Chapter 32). *#! Rafter ties or bearing ridge beam. arage door or orc ca e equa c rat ngpE,e 26/70 jJ Living area over garage - complete 1-huur separation required on garage side including supporting walls and posts, etc. Two exits on three-story dwellings (Sec. 3303 & see Mezannines 1716). .1.2— Attic access and ventilation (Sec. 3205). /5%/' '�✓d�y!sZJSF�¢7TIGitx��('t2x3o} ,Y3" Underfloor access and ventilation (Sec. 2516). /.SF PEoe /nZ�si iLF.,9r.EA (/JKZq� 14--Woud stoves, clearances, alcoves & 1 -hour shafts. i=/$ Fu(E� Ftcii a ¢eoi�..ves I.A.— Combustion air for fuel burning appliances. LEI— Noise requirements on duplexes. 177- Adobe soils - special foundation design. Retaining walls requiring design. Unusual shape, size or split level house requiring lateral design. ��litrCFco.v P�vc.�vnU.0 O�v�cE prs2 /Ov3, cafe LJ/FLCUXn--7 "b4.7- !J•2 P'? Pa'. -XS 1'4;'z Z�/L LCJ Gf�rC TlL"" fyt., c CiA/ct C-' ^e 6 Aevz 26-7W A J � j"g-:5^4 6 C30 -4/ A/['e Gv • i . Cc oi'eT L /6 t>` F/ r i CL ce O -v a -LNA.� 019,, wC/Yi7le.'Z fl-zoiwle-no4J �i�c .�/ � bc��!'5�,u!%zj /J�r /'/�`J ir!<r , G(q " ^�icn3 ur'G S/r6:.vY2 Cc�"*PitXlN�PrtI," QEIL S'�c: QaAS w. N. Gcczut:c f'il�c i>✓'iJg<C i[ +C, r'01~ t'Y--c-W? .vi Etcy p PFit f3iU t l� " oAole .Core iP- C ca/Xc; 5%YKE �%6:Ji1::77lJitJ SE'c. i7i2� a j. /HirtFtlda/.o��• /Pct- i ; U/K5i°9GE. ELt.=c.iari�� /OL'.t:. SG'C '�I N. 6r, TL c,�r_'rfnAX, E r it S'eC. ie 1C r If RESIDENTIAL ENERGY PLAN CHECK/INSPECTION SUMMARY FOR ' Owner �c�? 8� Climatei'Zone Permit No. Floor Area 1-7!23 Compliance path: Package 0 El 11 ❑Point System [I Budget *Other MIN R -VALUE DESCRIPTION REQ'D INSTALLED ITEMS (1) INSULATION• ® Roof/Ceiling _3 O IN Wall A/ ❑Ia�A Floor Perimeter ❑ Raised Floor (2) INFILTRATION: ❑ (A) A vapor barrier is required in climate zones, 1, 14 & 16. ® (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. Tight - the above standard features plus: ❑ (D) Continuous infiltration barrier ❑ (E) Electrical outlet plate gasket ❑ (F) Air-to-air heat exchanger (3) GLAZING: (A) Location Area Glazing %,Floor Area Single Double Triple ® Total Bldg Zo%. 8 ZI `7 �( North gl, s- Q �_ East 4_9 South `S" Q West _— Skylights 5ZS U. _ (B) Shading Shading Coefficient Description ❑ East ❑ South ❑ West ❑ Skylights (C) South Overhang Length of projection _ ft. Description gFokAr,,,,F` ❑ (D) Moveable insulation: Area ftZ Description 0. (E) Thermal mass ❑ Type - Area Ft.2 HC= R= MC= Location ❑ Type - Area Ft. HC= R= MC= Location ❑ Type - Area Ft.2 HC= R= MC= Location ❑ Type - Area Ft.Z HC= R= MC= Location ❑ Type - Area Ft. 2 HC= R= MC= Location ❑ Type - Area Ft.Z HC= R= MC= Location 7/83 'r' Dnpp�w z FOIR M ' (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. 7/83 F -I *1(5) HEATING, VENTILATING, AIR CONDITIONING SYSTEM (A) Heating Central Gas Furnace (brand and model number) Btu/hr (heating capacity) Heat Pump o�0 SE u Btu/hr (cooling capacity at 95°F) Other EER (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. Q� (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. 2 (brand and model number) ACOP Btu/hr (heating capacity at 47°F) Q Active Solar type (liquid or air) Collector brand and ft2 model number solar fraction collector area collector t orientation collector tilt rated y -intercept rated slope OtherG4-'e- (describe) *1 (B) Cooling ❑ Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr (cooling capacity at 95°F) Electric Heat Pump u Btu/hr (cooling capacity at 95°F) Other EER (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. Q� (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. 2 f FORK 1 (6) DOMESTIC WATER SYSTEM (A) Gas Only - Gallons (brand and model number) (tank size) ❑ Heat Pump w/Electric Backup (brand and model number) Gallons 2 (tank size) ❑ * 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) C] Location of Solar Panels ❑ Other (Describe) ® (B) TANK INSULATION. Storage type water heaters and storage and backup tanks for solar systems shall be externally wrapped with R-12 insulation or greater. 9A (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). tv (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 to (A) Lamps used in luminaries for general lighting in kitchens and bathrooms shall have an efficacy of not less than 25 lumens per watt (usually florescent). *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(g), and fill out the following: Heating: Winter design temperature 2 ,% °, elevation 7, 5V_ ', heating load,j&& BTU elevation factor x heating load = maximum outlet capacity gas furnace BTU Cooling: Summer design temperature /0& °, cooling load GD BTU (USE ONLY AS A SIZING GUIDE, COOLING MAY BE INADEQUATE) *2 Submit T.I.P.S.E. chart or other approved system (form #5) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the California Administration Code. 7/83 SIG TURF OF BUILDING DESIGNER OR APPLICANT 3 RECORDED BUTTE COUNT`' OFFICIAL RECORDS By &I SEP IS o1M 12: 24 CANDA:CE J. C};UBBS CLERK -RECORDER FEE 87-33220 Return to DPW AGRICULTURAL STATEMENT OF ACXNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. i.. The property described herein is adjacent to land. or included within an area zoned for agricultural purposes, and residents of this 'JOT COPAPARED property may be subject to inconveniences or discomfort arising fromOCU ORIGINAL D 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;tP�-�, to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust,fj'; smoke, noise, and odor. Butte County has established agricultural zones which have as a �:r'04:�'r. priority use for productive agricultural purposes, and residents within said zones and adjacent property should be prepared to accept such inconvenience or disconform from normal; necessary farm operations. Ott All that real property situate in the County of Butte, State of California, described , as follows: SEE ATTACHED FOR LEGAL DESCRIPTION Date: Septeriber 14, 1987 _ �B c_ J i echhold PROPERTY OWNERS: State of California ) On this the 14th" day of Sept. 19 87 before SS. me, the undersigned Notary Public, personally appeared County of . Butte ) Judi Bechhold Personally known to me. Proved to me on the basis - of satisfactory evidence.. to be the person(s) whose hame(s) is subscribed 1:4 the,within instrument and acknowledged that she executed the same for the purposes therein contained. �- OFFICIAILL SEAL _ ' IN WITNESS WHEREOF I hereunto set my hand and official sea: DENISE SMITH C NOTARY PUBLIC —CALIFORNIA - . J% PRINCIPAL OFFICE IN CO. OF BUTTE • �' My Commission Expires April 2, 1991 : Notary Public Present A.P. No. Q 81-32.A1 ; 7- t. .oESCRIPTION: All that certain real property situate in the County o State of California, described as follows: PARCEL I: Parcel 2, as shown on that certain Parcel Map A PORTION OF ALLOTMENT 90, DURHAM STATE LAND SETTLEMEN, Parcel Map was recorded in the Office of the Recordek,;� County of Butte, State Of California, on June :12,.'1987,, 107 Of Maps, at 'Pages 46 and 47. RESERVING THEREFROM a non-exclusive easement for r0a '-'j' utility purposes 60 feet- in-1width;- r- - oyethat l Blacks, Lane, as shown on said Parcel Map. r ttomil i PARCEL II: A non-exclusive easement for road andpub f lic utift over Blacks Lane, as shown on "BEING that certain X-t,pu in Parciel" A PORTION OF ALLOTMENT said Parcel 90, DURHAM STATE LAND'*SET!fLj-1, Map was recorded the County of Butte, State in the Office of.the Redordei of Book 103 of Maps, at Pages 60, California, on' July-_2_2;"` - .-198'' 61 and 62. EXCEPTING THEREFROM that portion lying within the bbu""' Parcel I, above. ndso _v PARCEL III: A non -exclusive easement for road and public utilitIu, over Blacks Lane, as shown on "BEING A PORTION 0.4 that certain Parcel Map'efi.' OF ALLOTMENT said Parcel Map was 90, DURHAM STATE LAND;�SETTLF,'P recorded in the County of Butte, State the Office of the Recorde`r-­.;4 of Book 107 of Maps, at Pages 46 California, on June. 12,'. and 47.,.' EXCEPTING THEREFROM that portion Parcel I,.above. lying within the bounds...". L` COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 AGRICULTURAL BUILDING EXEMPTION PERMIT P CEEr MIT N0. Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PAR L NO. -1 - / O ZONING OW ER PHONE N0. OWN 'S ADDRESS A' I LOCATION OF BUILDING / I USE OF BUILDING ` SIZE OF STRUCTURE x . _ SO. FT. TYPE OF CONSTRUCTION: WOOD FRAME ✓ STEEL CONCRETE OTHER (Specify) TYPE OF SIDING 1);�J ROOF COVERING FLOOR TYPE I ESTIMATED COST OF CONSTRUCTION $ AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follow : r� e-` , FRONT SIDES J REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated above and the proposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date ✓ Signature of Owner Permit Fee - $25.00 The above described AG Building is exempt from a building permit. Receipt No. Director of Public Works BY Date SOO^� White - DPW, Yellow - Assessor, Pink - B. I., Goldenrod - Applicant �IiS' M�ti h. A.' ' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET �f�ilJ'" Ulr f'+r Permit No. - OWNER � �'"�-""� A.WRNo. Proposed Building Use ��Building Inspectdr Date s/l At time of permit application, I was advised the following data must be submitted prior to permit processing and:/or issuance: DATE RECEIVED APPROVED 1. All items. have been submitted. . . . . . . . . . . . 2. Plot plans -in duplicate. /triplicate, signed by preparer of plans. ` 3. Complete plans in duplicate./triplicate, signed by preparer of plans. 4: Complete erigineered plans and calcs, with wet signature on plan`s. 5. Plans with Energy Design Compliance Statement. . . . . . 6. School District "Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ 9. Letter of signature authorization. 10. Sanitation approval from 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 (Date) 17. Pre -Inspection for Required. Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of 21. Engineered trusses Jn.Ouplicate (required prior to plan check). 22. When you issue the permit, process as follows: ail to owner, Mail to contractor. Telephone and hold for pickup at office, Deliver w/inspector. Other Copy of plans sent Health Dept., Applicant Fire Dept., to"— Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone—naiI—counter by date Contractor, designer, owner, was advised of above required data by—phone —ma II—counter by date Plans checked by Copy—DPW Date Plans approved by Sets of plans on hold in File cabinet AP folder Date 3 I III � �I m i- -- - - 111111 - � , �-- 11111111 1111 I '' '', I-, - . 11�; ! i " - �,�"i "��`, ", i,- , , , . �� -� "" �;",il�'7 , - lI�� , ��'. � - 4 "'"' ", , , . , , ,�����:��",�l�,���,i��,*��:,',,�,,��""",��,��""i���,,',������,i�i���!�,,, ,��, I �, 'i ,,`��`��li��'!,, -'1.1I ."I"! I, - , I ,, ", " " '�,'���",,�,�'���',,,',�i���",'�'����������,,� , ,��lll� I'l, I , ��,�,��,���,��,'��7,,I,�,',,�z',',,�,',�",",,'�7, .' 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