HomeMy WebLinkAbout040-660-01717-
(4•6'��' RANDY HORNING L�'f;
Fe
HORNING ����'' -
Jone A rd� -99.77 -Jones Avenue-; -Durham . �--
r s�venue, Durham /'i Permit#3-86A Agricultural Bldg Exen'a
; Floyd Stober,. Chico ��
Permit/stg o tools & ag equip i
t�0820-,84B�P� E,M(newr;s.in _
gl.e_ famil,}
c Contr: Floyd Stobe
Permit#314-858(converthgarage to liv' I q.
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COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
AGRICULTURAL BUILDING EXEMPTION PERMIT
PERMIT NO.
3 _S�
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 EL NO^l
ZONING
OWN
/I VIJ u 40 V, V)
PHONE NO.
-
OWN'S�DDI`t=Ss
yr
v r
LOCATJQN OF BUILDING
USE OF UILDING
C O
0. o4l, UI D Me
SIZE OF STFQJCTURE
x = _
-SO. FT.
TYPE OF CONSTRUCTION:
WOOD FRAME STEEL
CONCRETE OTHER (Specify)
TYPE OF SIDIN
ROOF VERING
FLOOR);YPE
ESTIMATED COSTO CONSTRUCTION.
$
AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County
Ordinances as follows; 0/ 00
FRONT SIDES �! REAR 5:
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. �% Z 9 Director of Public Works
White - DPW, Yellow - Assessor, Pink - G. I., Goldenrod - Applicant
Date �—
PERMIT NO. .3820-844 P E :M
1s �
PERMIT EXPIRES
r` OWNER RANDY HORNING
CONTR. Floyd Stotler, Chico
t� ASSESSOR PARCEL 40-30-7.7
LOCATION 9977 Jones Avenue, Durham
�t•
' K
lei
OFF
ICE C.OPY_,,_ _ '
Address +
-GAS.
Meter By Date .•+""
ELECTRIC
Meter By�Date
OFFICE COPY
Address
GAS f�
Meter By Date
ELECTRIC
Meter By r' Date $
r e
J, . .. _
r
Tem Power Pole
-ti
y
Called PG&E
Temp. Elec. Service
'Called PG&E
' Temp. Gas Service
Cal led PG&E
JOB FINAL ED (Date)
Signature
,' a
J = olt
O = Not OK
- = Not Applicable
Ye = Not Ready
A
MOBILEHOMES MISCELLANEOUS 4'
Date
MOBILEHOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s
1. Zoning Requirements -Setbacks -.Easements
2. Soils; Special MH Support -Sketch
2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/0 -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; Locatior>-Test-Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
Card -BI
Card -BI
Date
Date Card -BI Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Card -BI
Card -BI
Date
Date Card -BI Date
Date Card -BI Date
POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4, Elec.; Receptacles and Lighting; Distances-GFI
5. Drain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected -C/O to Grade -HD Approval
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes- Enc losures- Pane lboards-Ins. to Main in Conduit
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B-1
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
4
V = OK ,
0 =, Not OK �w%
- = Not Applicable
Not Ready RESMEWIAL (Single and Duplex)
Date UND FLOOR Plans OK except s
Date FRAMING (Continued)
oning requirements -Set -Easements
.Zroperty Line Firewall & Openings
Ftg., Main; Soils Steel -f e . Grnd.- / JA/" Ftg. DepthAr'.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
. Ftg., Garage; Soils- e - /" Ftg. Depth
tairs; Width -Headroom -Rise -Run -Landing -Fire Protection
4 Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
5 YPlywood on Roof Overhang ttic Vents- after Outriggers
Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
99. Siding -Nailing -Veneer
temwalls, Garage; Steel -Bloc outs -Wrapped -Slab
- rip Screed-Fdn. Vents-Underflr. Access
• Piers -Fireplace Ftg.-AEI \
Glazing Area -Glass Protection -Skylights -Plastic
8. D.W.V.: Fall -Fittings way C/O -Sewer Test
Shear Walls; Nailing -Bolts
9r6c&.Ripe-9ixe-A nc hors
(jD Water Pipe; es Anchors-Regulat -Service Test
f and
2 Plenums & Ducts; Clearance -Material -Support -Ins.
Ay Girders- ills -Anchor Bolts -Joists -Vents -Cripples
Card -BI ` Dat Card -BI Date
Card -BI Date:W $s Card -BI Date
Card -BI Date Card -BI Date
Card -BI `j JI Date ® Card -BI Date
Date FINA (Plans) OK except q's
Card -BI Date Card -BI Date
/
Date PLUM ING (Permit) OK except q's f
t. Steps -Door & Sidelight Protection -Landings
Smoke Detector
1 ater Ht.; Ve -Access-Combustion Air
! urnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
Water Pipe T An -Na otection
. D.W.V.;. ttn s AncVore--Nail ction
B droom Exiting
.F.I. & Bath Fixtures & Tub Access
hoover Pin7 Test, First Floor -Tub Access
Shower, 2nd Floor -Tub Access
-94—Eiec. Trim & Subpanel; Breaker Sizes -Labels
-*-192, Gas Pipe; Size & Anchors
Atairs & Rails
Fireplace or Stove; Clearances -Hearth
-64—. Plec. Outlets at Wood Panel; Int. & Ext.
Card -BI Date -- %5N Card -BI Date
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI Date 2JSJg5 Card -BI Date
Elec. Outlets & Receptacles at Kit. Counter
Date ELE TRICAL Permit OK except q's
-9—Garage Fire Door; Swing -Landing -Closer
-Mr-A.C. Duct in Garage -Damper
Fixture & Transformer Clearance -Ins. Protection
Wtr.'Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
Elec. Receptacles Spacing -Lights &Switches at Doors
!(1lBoxes & No. of Conductors-Stapled
Plb., Elec. & Mech. Equip. Listed for Location
om
Rom Installed Close to Edge of Studs & C.J.
.i?-'Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
24. Equip. Grou6d made up w/Mech. Fasteners and Ga & Water
nsulation-Foam-Looked in Attic (�.Ves
2 Appliance Circuits in Kitchen & Conductor Si -Fe --j3-
Guard Rails &Deck Construction -Post Caps
2Q:-2eWire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al
-r4Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor^$Y�s
27. Range Circ. / / g�.q, �Cil or AI -Oven Circ. / / ga. Cu or Al,
Insulated Neutral Mies ❑No L J' LA. J -N
ollowing instld.: Dr��'+e�� ❑ Yes Walks ❑ Yes o;
Planters ❑Yes L7No
ervice-Riser Conductors & Ground -Main Disconnect-
Stucco; Brown -Finish
quip. Clearances; Panels-Motors-Mech. Equip.
,376.,-A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
Clothes Closet Light -Shower Light
Q@<Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
Z"'Water Well; Disconnect, Electrical, Plumbing
xterior Elec. Trim; G.F.I. Receptacle -Underground
Card B -I Date74'1j-) Card -BI Date
Ventilation throughout House
Card B -I Date, SZ 8$' Card -BI Date
Qkf lass Protection
Corrections from Previous Inspections
Date MfCHANICAL (Permit) OK except q's
t -Meters Tagged; Gas -Electric
y, er & Sewer Connected -C/O to Grade -HD Approval
Energy Compliance Certificate -Other Certificates
3A: A.C. Ducts; Insulation & Support
Vent Fan; Exhaust above Insulation
3. Condensate Drain & Overflow; Size & Grade
4. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
5. Attic Access & Platform if Furnace in Attic
Card -BI Date T 9 Card -BI Date
Card -BI �L Date 2.1Al-)— Card -BI Date
Card -BI Date Card -BI Date
Card -BI Date Card -BI Date
Card -BI Date Card -BI Date
Date FR 'MING(Plans) OK except
Comments at Final:
Sills; Proper Material & n r
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
ZV-Bearing Walls over Girders & Floor Nailing
19/Draft Stop in Walls (rat proof)
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
40k.1 -Header & Beam -Size & Bearing
angers -Post Caps -Anchors -Connectors
Ing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-S t ,-Rfng.
Fireplace Ties or Typeeplace Throat
Attic Access; Size & KQpex -Draft Stop - In affles
4be'Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
4&.-IGarage Fire Protection Framing
(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: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately
COUNTY OF BUTTE _
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751 '
7 County Center Drive, Oroville — Phone: 5344541
Skyway and Elliott Road, Paradise -- Phone: 872-2961, Ext. 57
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
mgAer, or need additional explanation, please contact this_office immediately.
OVU
av 2n 0 7-LtA- '
Inspector_ Date_ ___
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
r
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
natter, or need additional explanation, please contact this office immediately.
)Q" a
Inspector__._- Date_
COUNTY OF BUTTE
DEPARTMENT OF PUBsfC:WQ1a'(
196 Memorial Way, Chico — Phone: 891-2751 '
7 County Center Drive, Oroville •- Phone: 5344541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
3,? 20 —Act
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.
oma. a 6 S A't'v,
Inspector_.__ �/ 10 ��.1 Date_
NEW CONCORDS A2E. �4trzZL WIT"T-AE.
NEW o
��SID��TIAI_
en --ter"
C61_LC0 UD k JV 0 M T4E ZENIE1ZSe S 1 NE
I� �1 .. .�3.~•5
GREEM9RIAR.:,;;;;.;
0r
CALIFORNIA
P.O. BOX 261, MEADOW VISTA, CA 95722,916/878-0162
.+ WARNOCK HERSEY LISTED SOLID FUEL BURNING SPACE HEATER SUITABLE FOR MOBILE HOME INSTALLATION .. �}—
!!• a POELE A COMBUSTIBLE SOLIDES HOMOLOGUE CONCUR POUR MAISON MOBILES 1
®/
MODELS/MODELES
�® MODEL LES — ST320, 3
C.O.A/.#/#P.C.R.P.: WWC164/WWC167IWWC162 / WW
C161 WH—
TESTED
H—TESTED TO/
MIS A L'EPREUVE SELON: UL 1182/ ULC S07/CSA B366.2M ION DECEMBER/DECEMBRE 19811
CONTACT LOCAL BUILDING OFFICIALS ABOUT RESTRICTIONS AND INSTALLATION INSP V.CTION IN YOUR AREA
RESEIGNEZ•VOVS AUPRES DES RF.SPONSABLES LOCAUX Of LA CONSTRUCTION DE LA P.. VENTION DES INCENDIES AU SUJET DES RESTRICTIONS ET INSPECTION
D'INSTALLATION DANS VOTRE SECTEUR. '
MINIMUM CLEARANCES TO COMBUSTIBLE MATERIALS/
OEGAGEMENTS MINIMALS AUX MATERIAUX COMBUSTIBLE:
PREVENT HOUSE FIRES
INSTALL AND USE ONLY IN ACCORDANCE WITH THE MANUFACTURER'S IN-
STRUCTIONS AND LOCAL BUILDING CODES
FLOOR PROTECTION: UNIT MUST BE PLACED ON A3/8 IN. (9.6 MM.) ASBESTOS
PAD OR EQUIVALENT EXTENDING /6 IN. (167 MM.) IN FRONT AND 8 IN.
1203 MM.) TO THE SIDES AND BACK OF THE UNIT. '
CHIMNEY CONNECTOR: IAS APPLICABLE) 7, IN. 1178 MM.) OR 6 IN. 1152 MM.)
DIAMETER MINIMUM 24 GAUGE BLUED STEEL
CHIMNEY TYPE — ST620. 7 IN. 1178 MM.1; STS20, ST420, ST320: 6 IN. 1152 MM.).
b_1A EYEKW?IOVEDRESIDENTIALTYPE.
FOR MOBILE HOME INSTALLATION USE USE OLIVER MACLEODCHIMNEY
ONLY, LISTED TO ULC 5629 IN CANADA AND UL 103 HT IN THE U.S.. CHIMNEY
JtAUST EXTEND TO THE HEATER.
COMPONENTS FOR MOBILE HOME INSTALLATION:
1. FRESH AIR KIT
2. CEILING ADAPTER
DO NOT OBSTRUCT SPACE UNDER HEATER.
SPECIAL METHODS ARE REQUIRED WHEN PASSING THROUGH A WALL OR
CEILING. SEE INSTRUCTIONS AND BUILDING CODES
DO NOT CONNECT THIS UNIT TO A CHIMNEY FLUE SERVING ANOTHER
APPLIANCE.
FOR SAFE OPERATION, INSTALL IN ACCORDANCE WITH MANUFACTURER'S
INSTRUCTIONS.
FOR MOBILE HOME INSTALLATION, KEEP DOORS CLOSED WHILE IN OPERATION.
yPTIONAL BLOWER: ELECTROHOME 2966
115 VOLTS FREO. 60 HZ. 2.5 AMPS 3200 RPM
FUEL: FOR USE WITH WOOD OR PEA AND NUGGET SIZE ANTHRACITE OR
COAL.
C A U T 10 N — RISK OF EXCESSIVE TEMPERATURES AND DAMAGE TO UNIT.
PROPER OPERATION REQUIRES THE SPECIFIED SIZE AND TYPE OF COAL.
DO NOT USE GRATE OR ELEVATE FIRE - BUILD WOOD FIRE DIRECTLY ON
HEARTH. FOR COAL, USE MANUFACTURER'S ORATE. DO NOT BUILD COAL
FIRE ON HEARTH.
ALWAYS PROVIDE A SOURCE OF FRESH AIR INTO ROOM.
KEEP FURNISHINGS AND OTHER COMBUSTIBLE MATERIALS WELL AWAY FROM
HEATER. DO NOT OVERFIRE. IF HEATER OR CHIMNEY CONNECTOR GLOWS,
YOU ARE OVERFIRING. INSPECT AND CLEAN CHIMNEY FREQUENTLY. UNDER
CERTAIN CONDITIONS OF USE, CREOSOTE BUILD-UP MAY OCCUR RAPIDLY.
OPERATE ONLY WITH REFRACTORY BRICK IN PLACE.
REPLACE GLASS ONLY WITH CERAMIC GLASS.
WITH REDUCED CLEARANCE PACKAGE (CLEARANCES TO HEAT SHIELDS)/
TOP FLUE/CARNEAU SUPERIEUR
DE CHALEURS)
TOP FLUE/CARNEAU SUPERIEUR '
WITH SINGLE WAIL
.FROM H UPOELE
CHIMNEY CONNECTOR/
CHIMNEY CONNECTOR/ CHIMNEY JI�MMOBI HOME)/
WITH SINGLE WALL CHIMNEY WITH DOUBLE WALLED CHIMNEY
RACCORO DE CHEMINEE RE3T
CHEMINEE A PAROI
CONNECTOR/
CONNECTOR/
DOUBLE [LEVEES (MAISON MOBILE)
A. 29.1/2 IN./PO. (749 MM.)
RACCORO DE CHEMINEE
. RACCORD DE CHEMINEE A MORE
B. 6 IN./PO. (152 MM.) B. 2 IN.". (51 MM.)
A PAROI SIMPLE
DOUBLE
FROM CHIMNEY CONNECTOR/
A. JO 1N./PO. (762 MM.)
A. 28 INJPO. (711 MM.1
B/W (M/A)
D. 18.1/2 INJPO. 1410 MM.) D. 15 IN./PO. 1381 MM.)
B. 16 IN.ryO. 1408 MM.1
B. 9 IN./PO. 1229 MM.)
F. 30 INJPO. (762 MM.)
F. 16.1/2 IN.". (419 MM.) F. 9.1/2 IN./PO. (241 MM.)
C. 1B IN./PO. (157 MM.)
C. 16 IN.". 1157 MM.)
C F
FROM HEATER/
FROM CHIMNEY CONNECTOR/ CHIMNEY
FROM CHIMNEY CONNECTOR/
F
S/w
D. ?3 :NJ^:1. 1762 MM.1 -
DU RACCORD DE CHEMINEE
C
(M/L)
D. 36 IN./PO. 1914 MM.)
D. 34 IN./PO. (881 MM.)
E.26 IN./PO. (457 MM.)
E. 12IN./PO. (305 MM.)
F. 30 IN./PO. (762 MM.)
F. 30 IN./PO. (762 MM.)
B/W (M/A)
B/W (M/A)
WIN (M/A)
IF) C
jEj:
EBjl
WIN
B ED
S/W
(M/L)
S/W
(M/Li
- �-
F
PREVENT HOUSE FIRES
INSTALL AND USE ONLY IN ACCORDANCE WITH THE MANUFACTURER'S IN-
STRUCTIONS AND LOCAL BUILDING CODES
FLOOR PROTECTION: UNIT MUST BE PLACED ON A3/8 IN. (9.6 MM.) ASBESTOS
PAD OR EQUIVALENT EXTENDING /6 IN. (167 MM.) IN FRONT AND 8 IN.
1203 MM.) TO THE SIDES AND BACK OF THE UNIT. '
CHIMNEY CONNECTOR: IAS APPLICABLE) 7, IN. 1178 MM.) OR 6 IN. 1152 MM.)
DIAMETER MINIMUM 24 GAUGE BLUED STEEL
CHIMNEY TYPE — ST620. 7 IN. 1178 MM.1; STS20, ST420, ST320: 6 IN. 1152 MM.).
b_1A EYEKW?IOVEDRESIDENTIALTYPE.
FOR MOBILE HOME INSTALLATION USE USE OLIVER MACLEODCHIMNEY
ONLY, LISTED TO ULC 5629 IN CANADA AND UL 103 HT IN THE U.S.. CHIMNEY
JtAUST EXTEND TO THE HEATER.
COMPONENTS FOR MOBILE HOME INSTALLATION:
1. FRESH AIR KIT
2. CEILING ADAPTER
DO NOT OBSTRUCT SPACE UNDER HEATER.
SPECIAL METHODS ARE REQUIRED WHEN PASSING THROUGH A WALL OR
CEILING. SEE INSTRUCTIONS AND BUILDING CODES
DO NOT CONNECT THIS UNIT TO A CHIMNEY FLUE SERVING ANOTHER
APPLIANCE.
FOR SAFE OPERATION, INSTALL IN ACCORDANCE WITH MANUFACTURER'S
INSTRUCTIONS.
FOR MOBILE HOME INSTALLATION, KEEP DOORS CLOSED WHILE IN OPERATION.
yPTIONAL BLOWER: ELECTROHOME 2966
115 VOLTS FREO. 60 HZ. 2.5 AMPS 3200 RPM
FUEL: FOR USE WITH WOOD OR PEA AND NUGGET SIZE ANTHRACITE OR
COAL.
C A U T 10 N — RISK OF EXCESSIVE TEMPERATURES AND DAMAGE TO UNIT.
PROPER OPERATION REQUIRES THE SPECIFIED SIZE AND TYPE OF COAL.
DO NOT USE GRATE OR ELEVATE FIRE - BUILD WOOD FIRE DIRECTLY ON
HEARTH. FOR COAL, USE MANUFACTURER'S ORATE. DO NOT BUILD COAL
FIRE ON HEARTH.
ALWAYS PROVIDE A SOURCE OF FRESH AIR INTO ROOM.
KEEP FURNISHINGS AND OTHER COMBUSTIBLE MATERIALS WELL AWAY FROM
HEATER. DO NOT OVERFIRE. IF HEATER OR CHIMNEY CONNECTOR GLOWS,
YOU ARE OVERFIRING. INSPECT AND CLEAN CHIMNEY FREQUENTLY. UNDER
CERTAIN CONDITIONS OF USE, CREOSOTE BUILD-UP MAY OCCUR RAPIDLY.
OPERATE ONLY WITH REFRACTORY BRICK IN PLACE.
REPLACE GLASS ONLY WITH CERAMIC GLASS.
WITH REDUCED CLEARANCE PACKAGE (CLEARANCES TO HEAT SHIELDS)/
AVEC ASSEMBLE POUR ES PACES REDUITS (ESPACES MURS — ECRANS
DE CHALEURS)
TOP FLUE/CARNEAU SUPERIEUR '
WITH SINGLE WAIL
WITH DOUBLE WALLED HIGH TEMPERATURE
CHIMNEY CONNECTOR/
CHIMNEY CONNECTOR/ CHIMNEY JI�MMOBI HOME)/
RACCORD DE
RACCORO DE CHEMINEE RE3T
CHEMINEE A PAROI
CHEMINEE A MURE AUX TEMPERATURE
SIMPLE
DOUBLE [LEVEES (MAISON MOBILE)
A. 29.1/2 IN./PO. (749 MM.)
A. 11 INJPO. (279 MM.) A B IN./PO. (203 MM.1
B. 1/ INJPO. (356 MM.1
B. 6 IN./PO. (152 MM.) B. 2 IN.". (51 MM.)
C. 16.1/2 IN./PO. (419 MM.)
C. 8 INJPO. (200 MM.1 C. 2 INJPO. (51 MM.)
FROM CHIMNEY CONNECTOR/
OU RACCORD DE CHEMINEE
D. 36 IN./PO. (914 MM.)
D. 18.1/2 INJPO. 1410 MM.) D. 15 IN./PO. 1381 MM.)
E. 28 IN. /P0. (711 MM.)
E. 10 INJPO. (254 MM.1 E. 4-1/2IN./PO. 1114 MM.)
F. 30 INJPO. (762 MM.)
F. 16.1/2 IN.". (419 MM.) F. 9.1/2 IN./PO. (241 MM.)
REAR FLUE/CARNEAU ARRIERE '
WITH SINGLE WALL CHIMNEY CONNECTOR/RACCORD OE CHEMINEE A PAROI SIMPLE
FROM HEATER/
FROM CHIMNEY CONNECTOR/ CHIMNEY
OU POELE
DU RACCORO DE CHEMINEE / CHEMINEE
A. 3Z IN.I?v. 1916 M0.:.i
D. ?3 :NJ^:1. 1762 MM.1 -
8. 28 IN./PO. (711 MM.)
E. 18 IN.". (457 MM.)
C. 24 INJPO. (610 MM.)
F. 20 IN./PO. (508 MM.)
►REVENEZ LES INCENDIES
FOUR INSTALLATION ET UTILISATION CONFORMEMENT AUX INSTRUCTIONS DU
FABRICANT ET AUX CODES LOCAUX OU BATIM ENT.
PROTECTION OU PLANCHERS: L'APPAREIL DOIT ETRE 3A PO. (9.6 MM.) INSTALLE
SUE UNE PLAQUE INCOMBUSTIBLE S'ETENDANT SUR 18 PO. (457 MM.) L -AVANT ET
8 PO. (203 MM.) A L'ARRIERE ET SUR LES COTES.
RACCORD DE CHEMINEE: (TEL OU'APPLICABLE) DIAMETRE 7 PO. (178 MM.) OU 6 PO.
152 MM. IBRE 24 ACIER FINI BLEU.
TYPE DE CHEMINEE — ST620: 7 PO. (171 MM+ST520, ST420, ST320: 6 PO. 1152 MM.)
APPA U SAGE RESIDENTIEL.
POUR INSTALLATION DANS UNE MAISON MOBILE, EMPLOYEZ UNIOUEMENT LA
BUSE DE CHEMINEE OLIVER MACLEOD, HOMOLOGUEE SOUS LES NUMEROS ULC 5629
AU CANADA ET UT 101 HT AUX E.U.. LA OUSE DOIT S'EGENDRE JUSOU AU POELE.
COMPOSANTES POUR INSTALLATION DANS UNE MAISON MOBILE:
1. NECESSAIRE DE VENTILATEUR
2. RACCORD DE PLAFOND
NE RIEN ENTREPOSER SOUS L'A►►AREIL.
DES METHODES SPECIALES SONT REOUISES LOBS DU PERCALE DUN MUR OU
PLAFOND. VERIFIER LES DIRECTIVES ET LES CODES DE CONSTRUCTION.
NE PAS RACCORDER A LA CHEMINEE DUN AUTRE APPAREIL.
POUR UTILISATION SECURITAIRE, SUNRE ATTENDTIVEMENT LES INSTRUCTIONS
OU FABRICANT.
POUR INSTALLATION DES MAISON MOBILES, MAINTENIR LES PORTES FERMEES
PENDANT LE FONCTIONNEMENT,
SOUFFLERIE FACULTATIVE: ELECTROHOME 28M
115 VOLTS FREQ.60 HZ. 2.S AMPS 3200 RPM
COMBUSTIBLE: POUR USAGE AVEC BOIS OU PEPITES D'ANTHRACITE OU DE CHARBON
13ITUMINEAUZ.
A T T E N T 10 N — RISQUE DE TEMPERATURE EXCESSIVE ET DE DOMMAGE AU POELE.
UN FONCTIONNEMENT APPROPRIE REQUIT LA DIMENSION ET LE TYPE DE CHARBON
SPECIFIES
N'EMPLOYEZ PAS LE GRILLE ET N'ELEVEZ PAS LES COMBUSTIBLES; ALLUMEZ - LES
DIRECTMENT SUR LA SOLE DE L'ATRE, POUR LA CHARBON, EMPLOYEZ LA GRILLE
OU FABRICANT, NE PRE►AREZ JAMAIS UN FEU DIRECTMENT SU LE FOYER'
PROPREMENT-DIT.
S'ASSURER D'UN AIR EXTERIEUR DANS LA PIECE. •'~.,1
VEILLEX A CE DUE VOS MEUBLES ET AUTRESOBJETS INFLAMMABLES SOIENT
SUFFISAMMENT ELOIGNES OU FOYER. NE POUSSEZ PAS LE CHAUFFAGE A L'EXTRL.E.
SI LE CALORIFERE OU LA CHEMINEE SE FERME, LE CHAUFFAGE EST TROUP POUSSE.
VERIFIEZ LES DEPOTS EVENTUELS DE CREOSOTE DANS LA CHEMINEE.
OPERER OU' AVEC LES BRIOUES REFRACTAIRE EN PLACE.
REMPLACER LES VITRES AVEC DES VITAE OE CERAMIOUE SEULEMENT.
MANUFACTURED IN CANADA BY/,DATE OF MANUFACTURE/
U,j
fABRIQE AU CANADA PAR: � CONCORD DATE DE FABRICATION:
lectvr,p cov 325 HALE STREET,
a
LONDON, ONTARIO N6W 103 � !1
Al
-1 WARNOCK HERSEY LISTED SOLID FUEL BURNING SPACE H" --ER SUITABLE FOR MOBILE HOME INSTALLATION N'
POELE A COMBUSTIBLE SOLIOES H( )GUE CONCUR POUR MAISON MOBILES
MODELS/MODELES - ST320, 4..20. ST520, ST620
® C.O.S.P. dt / ib P.C.R.P.: WWC164 / WWC163 / WWC162 / WWC161W H
TESTED TO/
MIS A L'EPREUVE SELON: UL 1482/ ULC S627/CSA B386.2M (ON DECEMBER/DECEMBRE 1984)
CONTACT LOCAL BUILDING OFFICIALS ABOUT RESTRICTIONS AND INSTALLATION INSPECTION IN YOUR AREA
RESEIGNEZ-VOUS AUPRES DES RESPONSABLES LOCAUX DE LA CONSTRUCTION DE I.A PREVENTION DES INCENDIES AU SUJET DES RESTRICTIONS ET INSPECTION
WINSTALLATION DANS VOTRE SECTEUR.
MINIMUM CLEARANCES TO COMBUSTIBLE MATERIALS/
DEGAGEMENTS MIN IMALS AUX MATE RIAUX COMBUSTIBLE:
B/W (M/A)
F C
S/W
C W/OF
B/W (M/A)
E 13 S/W
A (M/L)
L � D a
B/W (M/A)
B E D S/W
(M/L)
A
PREVENT HOUSE FIRES
INSTALL AND USE ONLY IN ACCORDANCE WITH THE MANUFACTURER'S IN-
STRUCTIONS AND LOCAL BUILDING CODES
FLOOR PROTECTION: UNIT MUST BE PLACED ON A 3/8 IN. (9.5 MM.) ASBESTOS
PAD OR EQUIVALENT EXTENDING 18 IN. (457 MM.) IN FRONT AND 8. IN.
(203 MM.) TO THE SIDES AND BACK OF THE UNI?'.
CHIMNEY CONNECTOR: (AS APPLICABLE) 7 IN. (178 MM.) OR 6 IN. (152 MM.)
DIAMETER MINIMUM 24 GAUGE BLUED STEEL.
CHIMNEY TYPE - ST620: 7 IN. (178 MM.); ST520, ST420, ST320: 6 IN. (152 MM.)
IAME E P OVED RESIDENTIAL TYPE.
FOR MOBILE HOME INSTALLATION USE USE OLIVER MACLEOD CHIMNEY
ONLY, LISTED TO ULC 5629 IN CANADA AND UL 103 HT IN THE U.S.. CHIMNEY
MUST EXTEND TO THE HEATER.
COMPONENTS FOR MOBILE HOME INSTALLATION:
L FRESH AIR KIT
2. CEILING ADAPTER
DO NOT ON;TRUCT SPACE UNDER HEATER.
SPECIAL METHODS ARE REQUIRED WHEN PASSING THROUGH A WALL OR
CEILING. SEE INSTRUCTIONS AND BUILDING CODES
DO NOT CONNECT THIS UNIT TO A CHIMNEY FLUE SERVING ANOTHER
APPLIANCE.
FOR SAFE OPERATION, INSTALL IN ACCORDANCE WITH MANUFACTURER'S
INSTRUCTIONS.
FOR MOBILE HOME INSTALLATION, KEEP DOORS CLOSED WHILE IN OPERATION.
OPTIONAL BLOWER: ELECTROHOME 2868
115 VOLTS FRED. 60 HZ. 2.5 AMPS 3200 RPM
FUEL: FOR USE WITH WOOD OR PEA AND NUGGET SIZE ANTHRACITE OR
COAL.
WITH REDUCED CLEARANCE PACKAGE (CLEARANCES TO HEAT SHIELDS)/
AVEC ASSEMBLE POUR ES PACES REDUITS (ESPACES MURS - ECRANS
DE CHALEURS)
TOP FLUE/CARNEAU SUPERIEUR
WITH SINGLE WALL WITH DOUBLE WALLED HIGH TEMPERATURE
CHIMNEY CONNECTOR/ CHIMNEY CONNECTOR/ CHIMNEY (MOBILE HOME)/
RACCORD DE RACCORD DE CHEMINEE RESISTANTE
CHEMINEE A PAROI CHEMINEE A MURE AUX TEMPERATURE
SIMPLE DOUBLE ELEVEES (MAISON MOBILE)
A. 29.1/2 INJPO. (749 MM.) A. 11 INJPO. (279 MM.) A. 8 INJPO. (203 MM.)
B. 14 INJPO. (356 MM.) B. 6 INJPO. 1152 MM.) B. 2 INJPO. (51 MM.)
C. 16-1/2 INJPO: (419 MM.) C. 8 IN./PO. (203 MM.) C. 2 INJPO. (51 MM.)
FROM CHIMNEY CONNECTOR/
DU RACCORD DE CHEMINEE
D. 36 INJPO. (914 MM.) D. 18.1!'2 IN.". (470 MM.) D. 15 INJPO. (381 MM.)
E. 28 IN. /PO. (711 MM.) E. 10 IN.". (254 MM.) E. 4.1/2 IN.". (114 MM.)
F. 30 INJPO. (762 MM.) F. 16-M IN./PO. (419 MM.) F. 9.1/2 INJPO. (241 MM.)
REAR FLUE/CARNEAU ARRIERE
WITH SINGLE WALL CHIMNEY CONNECTOR/RACCORD DE CHEMINEE A PAR01 SIMPLE
FROM HEATER/ FROM CHIMNEY CONNECTOR/ CHIMNEY
DU POELE DU RACCORD DE CHEMINEE / CHEMINEE
A. 36 INJPO. (9 14 MM.) D. 30 INJPO. (762 MM.)
S. 28 INJPO. (711 MM.) E. 169N.!;3. IG_ 7 MM.)
C. 24 INJPO. (910 MM.) F. 20 IN./PO. (508 MM.)
PREVENEZ LES INCENDIES
POUR INSTALLATION ET UTILISATION CONFORMEMENT AUX INSTRUCTIONS DU
FABRICANT ET AUX CODES LOCAUX DU BATIMENT.
PROTECTION DU PLANCHERS: L'APPAREIL DOIT ETRE 3/8 P0. 19.5 MM.) INSTALLE
SUE UNE PLAQUE INCOMBUSTIBLE S'ETENDANT SUR 18 PO. (457 MM.) VAVANT ET
8 PO. (203 MM.) A VARRIERE ET SUR LES COTES.
RACCORD DE CHEMINEE: (TEL OU'APPLICABLE) DIAMETRE 7 PO. (178 MM.) OU 6 PO.
(152 MM.) EPAI EU CALIBRE :14 ACIER FINI BLEU.
TYPE DE CHEMINEE - STS20: 7 PO. (170 MM.),STS20, ST420, ST320: 6 P0. (152 MM.)
APPROUVEE POUR USAGE RESIDENTIEL.
POUR INSTALLATION DANS UNE MAISON MOBILE, EMPLOYEZ UN IOU EMENT LA
BUSE DE CHEMINEE OLIVER MACLEOD. HOMOLOGUEE SOUS LES NUMEROS ULC 5629
AU CANADA ET UT 103 HT AUX E.U.. LA BUSE DOIT S EGENDRE JUSQU AU POE LE.
COMPOSANTES POUR INSTALLATION DANS UNE MAISON MOBILE:
1. NECESSAIRE OE VENTILATEUR
2. RACCORD CE?LAFOND
NE RIEN ENTREPOSER SOUS UAPPAREIL.
DES METHODES SPECIALES SONT REQUISES LORS DU PERCAGE D'UN MUR OU
PLAFOND. VERIFIER LES DIRECTIVES ET LES CODES DE CONSTRUCTION.
NE PAS RACCORDER ALA CHEMINEE D'UN AUTRE APPAREIL.
POUR UTILISATION SECURITAIRE, SUIVRE ATTENDTIVEMENT LES INSTRUCTIONS
DU FABRICANT.
POUR INSTALLATION DES MAISON MOBILES, MAINTENIR LES PORTES FERMEES
PENDANT LE FONCTIONNEMENT.
SOUFFLERIE FACULTATIVE: ELECTROHOME 2868
115 VOLTS FREQ. 60 HZ. 2.5 MAPS 3200 RPM
COMBUSTIBLE: POUR USAGE AVEC BOISOU PEPITES D'ANTHRACITE OU OE CHARBON
BITUMINEAUX.
TOP FLUE/CARNEAU SUPERIEUR
FROM HEATER DU POELE
WITH SINGLE WALL CHIMNEY WITH DOUBLE WALLED CHIMNEY
CONNECTOR/
CONNECTOR/
RACCORD DE CHEMINEE
RACCORD OE CHEMINEE A MORE
APAROISIMPLE
DOUBLE
A. 30 INIJPO. (762 MM.)
A. 28 INJPO. (711 MM.) B fW (M/A)
B. 16 IN./PO. (406 MM.)
B. 9 IN./PO. (229 MM.)
C. 18 1N./PO. (457 MM.)
C. 18 IN./PO. (457 MM.)
C F
FROM CHIMNEY CONNECTOR/ F
S/yy
DU RACCORD DE CHEMINEE C
(M/L)
D. 38 INJPO. (914 MM.)
D. 34 IN./PO. (864 MM.)
E. 28 INJPO. (457 MM.)
E. 12 IN./PO. (305 MM.)
F. 30 IN./PO. (762 MM.)
F. 30 IN./P0. (762 MM.)
B/W (M/A)
F C
S/W
C W/OF
B/W (M/A)
E 13 S/W
A (M/L)
L � D a
B/W (M/A)
B E D S/W
(M/L)
A
PREVENT HOUSE FIRES
INSTALL AND USE ONLY IN ACCORDANCE WITH THE MANUFACTURER'S IN-
STRUCTIONS AND LOCAL BUILDING CODES
FLOOR PROTECTION: UNIT MUST BE PLACED ON A 3/8 IN. (9.5 MM.) ASBESTOS
PAD OR EQUIVALENT EXTENDING 18 IN. (457 MM.) IN FRONT AND 8. IN.
(203 MM.) TO THE SIDES AND BACK OF THE UNI?'.
CHIMNEY CONNECTOR: (AS APPLICABLE) 7 IN. (178 MM.) OR 6 IN. (152 MM.)
DIAMETER MINIMUM 24 GAUGE BLUED STEEL.
CHIMNEY TYPE - ST620: 7 IN. (178 MM.); ST520, ST420, ST320: 6 IN. (152 MM.)
IAME E P OVED RESIDENTIAL TYPE.
FOR MOBILE HOME INSTALLATION USE USE OLIVER MACLEOD CHIMNEY
ONLY, LISTED TO ULC 5629 IN CANADA AND UL 103 HT IN THE U.S.. CHIMNEY
MUST EXTEND TO THE HEATER.
COMPONENTS FOR MOBILE HOME INSTALLATION:
L FRESH AIR KIT
2. CEILING ADAPTER
DO NOT ON;TRUCT SPACE UNDER HEATER.
SPECIAL METHODS ARE REQUIRED WHEN PASSING THROUGH A WALL OR
CEILING. SEE INSTRUCTIONS AND BUILDING CODES
DO NOT CONNECT THIS UNIT TO A CHIMNEY FLUE SERVING ANOTHER
APPLIANCE.
FOR SAFE OPERATION, INSTALL IN ACCORDANCE WITH MANUFACTURER'S
INSTRUCTIONS.
FOR MOBILE HOME INSTALLATION, KEEP DOORS CLOSED WHILE IN OPERATION.
OPTIONAL BLOWER: ELECTROHOME 2868
115 VOLTS FRED. 60 HZ. 2.5 AMPS 3200 RPM
FUEL: FOR USE WITH WOOD OR PEA AND NUGGET SIZE ANTHRACITE OR
COAL.
WITH REDUCED CLEARANCE PACKAGE (CLEARANCES TO HEAT SHIELDS)/
AVEC ASSEMBLE POUR ES PACES REDUITS (ESPACES MURS - ECRANS
DE CHALEURS)
TOP FLUE/CARNEAU SUPERIEUR
WITH SINGLE WALL WITH DOUBLE WALLED HIGH TEMPERATURE
CHIMNEY CONNECTOR/ CHIMNEY CONNECTOR/ CHIMNEY (MOBILE HOME)/
RACCORD DE RACCORD DE CHEMINEE RESISTANTE
CHEMINEE A PAROI CHEMINEE A MURE AUX TEMPERATURE
SIMPLE DOUBLE ELEVEES (MAISON MOBILE)
A. 29.1/2 INJPO. (749 MM.) A. 11 INJPO. (279 MM.) A. 8 INJPO. (203 MM.)
B. 14 INJPO. (356 MM.) B. 6 INJPO. 1152 MM.) B. 2 INJPO. (51 MM.)
C. 16-1/2 INJPO: (419 MM.) C. 8 IN./PO. (203 MM.) C. 2 INJPO. (51 MM.)
FROM CHIMNEY CONNECTOR/
DU RACCORD DE CHEMINEE
D. 36 INJPO. (914 MM.) D. 18.1!'2 IN.". (470 MM.) D. 15 INJPO. (381 MM.)
E. 28 IN. /PO. (711 MM.) E. 10 IN.". (254 MM.) E. 4.1/2 IN.". (114 MM.)
F. 30 INJPO. (762 MM.) F. 16-M IN./PO. (419 MM.) F. 9.1/2 INJPO. (241 MM.)
REAR FLUE/CARNEAU ARRIERE
WITH SINGLE WALL CHIMNEY CONNECTOR/RACCORD DE CHEMINEE A PAR01 SIMPLE
FROM HEATER/ FROM CHIMNEY CONNECTOR/ CHIMNEY
DU POELE DU RACCORD DE CHEMINEE / CHEMINEE
A. 36 INJPO. (9 14 MM.) D. 30 INJPO. (762 MM.)
S. 28 INJPO. (711 MM.) E. 169N.!;3. IG_ 7 MM.)
C. 24 INJPO. (910 MM.) F. 20 IN./PO. (508 MM.)
PREVENEZ LES INCENDIES
POUR INSTALLATION ET UTILISATION CONFORMEMENT AUX INSTRUCTIONS DU
FABRICANT ET AUX CODES LOCAUX DU BATIMENT.
PROTECTION DU PLANCHERS: L'APPAREIL DOIT ETRE 3/8 P0. 19.5 MM.) INSTALLE
SUE UNE PLAQUE INCOMBUSTIBLE S'ETENDANT SUR 18 PO. (457 MM.) VAVANT ET
8 PO. (203 MM.) A VARRIERE ET SUR LES COTES.
RACCORD DE CHEMINEE: (TEL OU'APPLICABLE) DIAMETRE 7 PO. (178 MM.) OU 6 PO.
(152 MM.) EPAI EU CALIBRE :14 ACIER FINI BLEU.
TYPE DE CHEMINEE - STS20: 7 PO. (170 MM.),STS20, ST420, ST320: 6 P0. (152 MM.)
APPROUVEE POUR USAGE RESIDENTIEL.
POUR INSTALLATION DANS UNE MAISON MOBILE, EMPLOYEZ UN IOU EMENT LA
BUSE DE CHEMINEE OLIVER MACLEOD. HOMOLOGUEE SOUS LES NUMEROS ULC 5629
AU CANADA ET UT 103 HT AUX E.U.. LA BUSE DOIT S EGENDRE JUSQU AU POE LE.
COMPOSANTES POUR INSTALLATION DANS UNE MAISON MOBILE:
1. NECESSAIRE OE VENTILATEUR
2. RACCORD CE?LAFOND
NE RIEN ENTREPOSER SOUS UAPPAREIL.
DES METHODES SPECIALES SONT REQUISES LORS DU PERCAGE D'UN MUR OU
PLAFOND. VERIFIER LES DIRECTIVES ET LES CODES DE CONSTRUCTION.
NE PAS RACCORDER ALA CHEMINEE D'UN AUTRE APPAREIL.
POUR UTILISATION SECURITAIRE, SUIVRE ATTENDTIVEMENT LES INSTRUCTIONS
DU FABRICANT.
POUR INSTALLATION DES MAISON MOBILES, MAINTENIR LES PORTES FERMEES
PENDANT LE FONCTIONNEMENT.
SOUFFLERIE FACULTATIVE: ELECTROHOME 2868
115 VOLTS FREQ. 60 HZ. 2.5 MAPS 3200 RPM
COMBUSTIBLE: POUR USAGE AVEC BOISOU PEPITES D'ANTHRACITE OU OE CHARBON
BITUMINEAUX.
Owner: Permit No.
ENERGY C ER,T'IF,ICAT ION
9977 ,zones Ave. , Durham
LOCATION A.P. No.
DESCRIPTION OF INSULATION
ROOF
Material Brand Name
Thickness(inches) Thermal Resistance (R Value)
EXTERIOR WALL
Material Fiberglass Batting Brand Name Owens-Corning
Thickness(inches) 3111 Thermal Resistance(R Value)
CEILING
Batt or Blanket Type Brand Name
Thickness(inches) Thermal Resistance(R Value)
Loose Fill Type Fi erg ass Brand Name Owens-Corning
Minimum Thickness (Inches N 10 Number of,,, Bags- . 4 -Wt., per .ba _ lb._
Area covered(ft.2) 486Thermal Resistance(R Value)'vT—
FLOOR, ELEVATED
Material
Thickness(inches)
FLOOR, SLAB
Material
Thickness(inches)
Width(inches)
FOUNDATION WALL
Material
Thickness(inches)
Brand Name
Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R Value)
I hereby certify that the above insulation was installed in the above building
in conformance with the State of California Energy Requirements.
L.oerke Insulation Co. 432518
FIRM NAME/OWNER STATE CONTRACTOR'S LICENSE NO.
Feb. 26, 1985
S •TURE— I AL T PLICATOR DATE
I hereby certify the above insulation and all required items as shown on the
Building Department approved plans and attachments have been installed as
required by the State of California Energy Requirements;
All equipment, devices and materials are of the quality prescribed or are
specifically approved by the State of California.
0 o�P_r f 6Ir 9 u c �a 02 0 70.____17
FIRM /OWNER (Please print) STATE CONTRACTOR'S LICENSE NO.
SI OFlGENERAL CONTRACTOR OWNER DATE
THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL
INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING.
January 1984
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT�JNO.
ASS ESS,R P C L NUMgeR ZO ING'7
BUILDING PERMIT ly It/
OWNER -- TELEPHONE
S0. FT. OCC, BUILDING VALU ION
OWNER'S M ILIMWAD RESS
CONTRALTO SNA E TELEPHONE
CONTRACTOR 'SftfiAlLING ADDRESS
Fireplace16
DQ.
CONSTRUCTION LENDER.
UNKNOWN
Total Valuation $
1 O
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ S
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ Circ
`�y C
$ �a
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ 0,0
BUILDING ADDRESS gay -
//
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
5 2.00
Solar Water Heater
20.00
Water piping
5.00 ^�
LOT D.
SUBDIVISION NAME
PARCEL MAP
]—/ 04
Each Clas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00 5 �o
USE OF STRUCTURE
SF R/Duplex ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer
5.00
Mobile Home S I G I W
10.00ea
TYPE OF WORK
New W Addition❑ Remodel❑ Utilities[] Installation[] Other F-1
Describe work: —
Permit Fee
$ (),
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 1oU0V OR 0 AMP ORLESS10.00
`
Main service EA. ADD'L too AMP
2.50 2.50
NEW CONST. DWELLING OCCUP.&
OR ADDNS. ( ACC. BLDGS.
it -Co
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check One):
[r I am licensed under provisions of Chapt. 9, Div. 3 of the Business20@50C
and Professions Code and my license is in full force and effect.
O �� /�
License Naa`('2 O 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 CONSTR ULTI.OUTLET 2,50 ea
NON.R ESID BRANCH CIRC ITS
NEW CONSTR. POWER APPARATUS &)
NON.RESI D. (SINGLE OUTLET CIR.
Ex. Occup(o FIXTURES eAL®300
FIXED A POR
LNS R
Ex. Occup. OUTLETS (RESID.)EA.) 2.00 ►
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring
15.00
Permit Fee $ to
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
Ja Certificate of Workmen's Compensation Insurance or a Certificate
.J� 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 /44
Cooling
Hood
( 3..00
Ventilation
Permit Fee
$ 3,
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
agains s '�Counin c ns u n e of the granting of this permit. /
%� Date _ / yr / �7
Signature of licont - Owner
9 PP ❑ Contractor Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation'Fee $
d, 00
`1
TOTAL PERMIT F $ �q V
OccuP. GROUP
��
I TYPE OF CONST.
r`l
PARC
PD
ND
Ie5
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTO F PUBLIC
By / -
PER EXPIRES Date
the applicable provi-
resolutions to do
fees have been aid.
p
WORKS
Date tx° 2-6 �
// ((_
/?-- -?,-I;
�— ', Fy
�ii 1a
Receipt No. J
WHITE-D.P.W.. YELLOW-ASSFSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
RESIDENTIAL PLAN CHECKING GUIDE
(S.F., DUPLEX, & MISC. ONLY)
//��
Q Bldg. Permit
Ph%)yy��u
OWNER J d h4lo %Z/ri.�dr A . P. # -0 3d 7
A. GENERAL
A," Zoning requirements
,,2— Valuation.
a30' Signature by R.C.E.
(sideyards and parking).
or Architect (if required).
B. POT PLAN
Complete parcel size and dimensions.
Setbackq, sideyards, easements, etc.
Other buildings or structures.
Grading, fills, drainage.
C. FLOOR PLAN
Complete to scale plan with dimensions.
Required windows for light and ventilation (Sec. 1405).
Required windows for second exit (Sec. 1404).
AK Allowable glazing for energy requirements (20% max. per.State law).
X. Human impact glass (Sec. 5406).
Required room sizes, ceiling heights (Sec. 1407)..
d/ G.F.C.I.'s in baths and exterior outlets (Sec. 210-8).
Light fixtures,'switches, receptacles, and exterior receptacles for maintenance of
—Mechanical equipment.
... : Locations of water heater, heating & cooling equipment, other electrical or gas
equipment,:and plumbing fixtures.
Garage firewall, door size, and closer (Sec. 503(d)(4)).
1 - 3'0" exterior exit door (Sec. 3303d).
Fireplace location.
Smoke detectors'(Sec. 1413).
D. STRUCTURAL DETAILS
Foundation:plan complete enough to construct building.
Floor construction details complete enough to construct building.
Elevations and wall construction details complete enough to construct
Roof construction details complete enough to construct building.
5 Fireplace construction details and calcs if over one-story in height.
Sufficient. data and details to satisfy energy insulation requirements
E. MISCELLANEOUS .TTEMS TO LOOK OUT FOR
T CCX plywood on exposed locations and overhangs.
Stairway details (Sec. 3305).
,.3100- Guardrail details (Sec. 1716).
.AP' Brick or stone veneer (Chapter 30).
Exterior plaster - weep screeds (Sec. 4706 & 4708).
/6. Proper roof pitch for roof covering (Chapter 32).
Rafter ties or bearing ridge beam.
Garage door or porch header sizes. -
Adequate bracing.
building.
(State law).
,kv. Living area over garage - complete 1 -hour separation required including supporting
walls and posts, etc. 4.
Two (2) exits on three-story dwellings (Sec. 3302).
ZONE 11
OWNER te*g0J4QV% ' A�04,I0,I1,Q, POINTS
PERMIT NO. ��$Zp --94 ASSIGNED ACTUAL
1. SLAB - INSULATION --
2. RAISED FLOOR - R-19
3. CEILING - R-30
4. WALL - R-19 h _ 7
5. NORTH GLAZING - 2.4-3.6% a7 O
6. EAST GLAZING - 2.5-3.6% S ci = l
7. SOUTH GLAZING - 1.6-3.6%
i
S. WEST GLAZING - 2.9-3.6% �
9. SKYLIGHT - 0-1.3%
10. SHADING (Exclude Overhang)
i
EAST - .5o.66 V
SOUTH - 4r.19-.42 O
WEST - d .13-.36 Q
SKYLIGHT - .37-.57
11. HORIZONTAL SOUTH OVERHANG 2' d
12. MOVABLE INSULATION - NONE
13. INFILTRATION (Standard=0)(Tight=+12)
i 14. THERMAL MASS SF
i 15. GAS FURNACE (SE) 71-76%
16. '.-TEAT PUTIP (EER) 7.5-7.9%
17. DUAL PACK (SE, SEER) 8.0-8.3/71-76%
WOOD STOVE -t33
WATER HEATER p
ATTIC /00 % t3
OTHER .
Table 3-1
I rj- n=•�la-
I tion
Depth,
i inches
1 0 - 11
I 12 - 15
I 16 - 19
I 20 +
TOTAL POINTS = 7.3 Ok
b Floor Points
I I
R -Value of Insvlstion I I R -Value of I
1 1 Insulation I Pointe
0-2 1 3-4 ! 5-6 1 7+
-5 I -5 1 -s I -s
-5 I -3 1 -2 I -1
-5 j -2 I -1 I 0
-S I -1 I 0 ( +1
7/7/83
I below 3
I 3-4
I s-7
8- 12
I 13 - 18
I •19t
I
Table 3-3a. Ceiling Insulation
Points
I R -Value of Insulation I Points I
I I I
30 0
I 38 I +2 I
49 I +4 I
Table 3-4a. Wall Insulation Points
I R -Value of Insulation I Pointe
Table 3-7. South-FacinR Clazin Pro Table 3-10. Shading Coefficient Points
Glazing Type 1
1 • Total I
I Z of I Sngl, Dbl, Trp1,1
I Floor I (U - I (U - I (U - I
I Area 11.10) ! 0.65) 1 0.41)1
II oints I oints I ointsl
o +!+3 +3
1 up to 1.5 I +2 1 +2 I +2 I
I 1.6- 3.6 I -1 1 ,� I 0 1
I 3- 7'7 I -4 1 -2 I -2 I
I 5.3- 6.5 I -6 I -4 i -3 I
I 6.6- 7.7 I -9 I -6 I -5
I 1.8- 8.9 I -11 i -8 ( -7 !
9.0-10.0 1 -13 1 -10 -! -9 I
110.1-11.5 I -17 I -13 I -11
i 11.6-13.0 ! -21 1 =16 I -14 I
113.1-14.5 I -25 1 -19 1 -16 i
114.6-16.0 i -28 I -22' 1 -'.9 I
I �19- j o Table 3-8. West -Facing Clazt
I 30 1 +3 I ( 1 Glazing Type
I I I 1 Total I
Pts.
II s-
1
1 Orten-
I Z Floor Area
I Z of
I Sngl,
I Dbl,
Trpl,
T
Table 3-5.
Table
North-Facin Clazin Pta
I Floor
I Area
I (U - 1
11.10)
(U -
10.65)
1 (U - I
10.41)1
I .20-.36
I Glazing Type
I
I
Ioints I
oints
I ointsl
I Total
I
I
i to I to I to I to I up
O
+6
+6
+6
! Z of
Sngl,
Dbl,
Trp1,1
I up to 1.3 I
I 1.4- 2.2 i
+5 1
+3 !
+6
+4
1 +6 I
1 +5 I
I Floor
I U-
I U- l
U- I
I 2.3'- 2.8 I
0 1
+2
I +3 I
! Axes.
1 0.66
10.42- i
0.41 !
1 2.9- 3.6 i
-3 I
0
1 +1 I
!
11.10
10.65 I
_44
down 1
I 3.7- 4.2 !
-5 (
-2
! 0 I
o
I 0.1- 1.2
+ 4
1 +4 !
+4 I
+4
+4 I
I 4.3- 5.0 I
-8 !
-4
I -2. I
I 1.3- 2.3
I +1 I
+2 1
+2 1
! 5.1- 5.6 I
-10 !
-6 I
-4
I 2.4- 3.6
i -2 1
--
- ----=-A-
! 5.7- 6.2 I
-13 i
-8 I
-6 i
I 3.7 7TI
-4 I
-2 I
-1 I
! 6.3- 6.9 I
-15 I
=10 I
-7
1 4.9- 6.1
I -7 !
-4 I
-3 1
! 7.0- 7.6 1
-18 !
-12I
-9 !
1 6.2- 7.3
1 -9 1
-6 1
-5 I
I 7.7- 8.2 I
-20 I
-14 I
-11
1 7.4- 8.2
i -12 1
-8 1
-7 I
I 8.3- 8.8 i
-22 I
-16 !
-13 1
I 8.3- 9.7
1 -14 !
-10 I
-8 1
! 8.9- 9.5 I
-25 I
-18 I
-15 I
1 9.8-10.8
I -17 !
-12 1
-10 I
! 0.6-10.i (
-27
-20 !
-16 I
110.9-12.0
I -19 !
-I4 !
-12 1
! 10.2-11.0 !
-l9 I
-23 !
-17 !
112.1-13.2
I -22 i
-16 I
-13 I
! 11.1-11.8 I
-35 I
-26 1
-21 I
113.3-14.5
I -24 I
-18 I
-15 1
1 11.9-12.7 I
-33 I
-29 1
-24' !
14.6-15.3
-27
-20
-17 1
1 12.8-13.5 I
-42 1
-32 I
-27 !
i i
i
113.6-14.3 I
-46 !
-35 !
-29 !
--
1 14.4-15.2 1
-50 I
-38 !
-32 I
II s-
1
1 Orten-
I Z Floor Area
tatlon
1 5.7- 6.2 1
I East
i I 3.2-�-
1 -12 1
0-3.1 i to6.4 up
I
6.3 i
I I I
I 0 -.19
1 0 ( +1 I +2
I .20-.36
1 0 I 0 I %
I ��37-�:�},-1 0 I 0 1 0
I�
1 0 1 o I -1
.83 up
i 0 i -1 i -2
I South
1 0 1 3.2 16.4 18.0 19.6
I
i to I to I to I to I up
j1
3.1 I 6.3 I 7.9 I1 9T_ T -
I 0 -.18
1 0 1 +1 I +2 1 +2 I +3
I .19-.42
1 0 1 0 I 0 1 0 1 0
I .43-.66
1 0 1 -1 I -2 I -2 I -3
I .67 up
I D I -2 I'-4 I -4 l -6
'
.-13
West
I .1 11.6 13.2 16.4 19.0
-26
( to I to I to I to I up
I -17 i
1 1.5 13.1 ( 6.3 17.9 I
I I I I i
0-.12
I 0 1 +1 I +3 I +6 I +7
.13-.36
I 0 1 0 1 0 1 0 1 0
.37-.57
I 0 1 -1 I -3 I -6 I -7
.58-.82
! -1 I -3 I -6 I -12 ! -15
TY -up
1 -2 1 -4 1 -8 1 -16 I -.70
Skylight
1 .1 I .8 11.6 1 3:2 ! 4.0
I to I to I to I to I to
-28 1
-1
II --T ! 3.1 13.9 ( 5.2
0-.11
1 0 1 +1 I +3 I +6 I +7
.13-.36
1 0 1 0 1 0 1 0 1 o
.37-.57
1 0 1 -1 1 '-7 I -6 I
.58-.82
I -1 I -3 I -6 I. -12 1 -�
.83 up
I -2 I -4 I -8 I -16 ( -20
I I I I i
I I I Table 3-11. Horizontal South
Overhane Points
Table 3-9. Skylight PointsSauch Glazing
Table 3-6. East -Facto Glazing Pts.
1 Length Out I Area, Z of Floor I
I I Glazing Type ! I from Wall I !
1 I Glazing Type I I Total I I I ft T-
-.__I Total 1 ! I Z of Sngl. Dbl, Trpl, 1 ( 0-6.3 I 6.4 up I
I Z of I Sngl. Dbl, Trpl, I Floor I U- l u- l U- I I I I I
Floor 1 (U - I (U - I (U - I I Area 1 0.66- 1 0.42- 1 0.41 1 0 - 0.5 -2 -4
I Area 1 1.10) 1 0.65).1 0.4111 1 11.10 1 0.65 1 down 1 1 0.6 - 1.0 I -2 1 -3 I
I ILints Lints ointsl 11.1 - 1.9 ! -1 I -2
7 0 PL;'
+ 4 ! + 4 I +4� 1 up to 1.3 I -1 I 0 I o I I 2.0 „p I 0 I 0 I
I up to 1.3 1 +3 I +4 1 +4 1 I 1.4- 2.2 I -3 I -2
I 1.4- 2.4 ! +1. I +2 1 +2 1 I 2.3- 2.8 i -6 I -4 1 -3I Table 3-12. Movable Insulation
I 2.5- 3.6 I -2 I 0 1 0 1 I 2.9- 3.6 I -9 I -6 1 -5 I Points
1 3.7- 4.6 ( -5 I -2 i -1 1 1 3.7- 4.2 1 -11 I -8 I -6 I
( I -8 I �4 I -3 1' i 4.3- 5.0 I -14 1- -10 I -8 ( I Moveable Insulation -I I
1 5.77 6. rI -10 I -6 I -s I 1 5.1- 5.6 I -16 1 -12 I -10 I I Area, Z of Floor I Points !
( 6 8 7 7 1 I
r�
. - .
-11
-8
1 -7 I
1 5.7- 6.2 1
-19
I -14
1 -12 1
i
I
0 I I
7.8- 8.7 1
-15 1
-10
1 -8 1
1 6.3- 6.9 I
-21
I -16
1 -13 1
1
I I
8.8- 9.7 I
-1.7 1
-12
1 -10 1
1 7.0- 7.6 I
-24
I -18
1 -15 1
1 0- 5.5
0
I
9.8-11.2 (
-21 1
.-13
1 -13 1
1 7.7- 8.2 I
-26
I -20
I -17 i
1 5.6 - 11.5
i +2
1
11.3-12.7 I
-25 1
-18
-1 -15 1
1 8.3- 8.8 I
-28
i -22
I -19 1
I 11.6 - 17.5
1 +4-
12.8-14.0 1
-28 1
-1
-21
I -18 I
1 8.9- 9.5 I
-31
I -24
( -21 I
I 17.6 - 23.5
I +6 I
14.1-15.3 I
-32
-24
I -20. I
I 9.6-10.1 1
-33
1 -26
-22 1
I >23.6+
( +8 j
-F -- ---- -4-�._
�...
--
- ----=-A-
--
-.►-- __. 1.
� - - - -.._.. _ ...
I �
- ZONE 11
. TABLE 3-11 (ADAPTED)- INTERIOR THERMAL MASS POINTS
Table 13. InVIttation Control
Features Points
1 Coatrol Features I Points I
T- I I
1. Standard I 0 I
I I
I -1.9 air changes per hr I I
T_ I I
I Tight I +12 I
I I I
0.6 air changes per hr 1' I
I I I
Table 3-15. Cas Furnace Without
_ Rr..
eirf eration Cool_Points
I -Seasonal Efficiency I Points I
I (SE),
I 71 - 76 I 0 1
I 77 - 82 1 +2 I
I 83 - 88 I +4 I
I 89 - 94 ! +6 I
I 95 up I +8 I
I I I
Table 3-16.
T
Peat Pumo
Points
Energy EEfic:eney
I Pores I
I Ratio
(EER)
! I
I 7.5
- 7.9
I +3 I
I• S.0 -
8.3
I +6 I
I 8.4 -
8.7
I +9 I
8.8 -
9.1
I +12 I
9.2 -
9.6
I +13 1
9.7 -
10.2
1 +18 1
I 10.3 -
10.8
I +21 1
I 10.9 -
11.5
I +24 I
I 11.5 -
12.3
I +27 I
I 12.4 -
I
13.2
I +30 i
1 I
Table 3-17. Cas Furnace With
Refriveration Caollnx Poi
1Refrlgeracion1 Cas Furnace
I Cooling I SE
IT71-177-i83-139-1
1 761 821 881 941
8.0 - 8.3 1 01 +21 +41 +61 +8 1
8.4 - 8.7 1 +21 +:I +51 +91+10 1
8.8 - 9.2 1 '41 +51 +e1+101+12 1
9.3 - 9.7 1 +61 +81+101-121+14 1
9.8 - 10.3 1 +31+1x1+121+141+16 1
10.4 - 10.9 j+1Gj+L2i+141+161+18 I
11.0 - 11.5 1+121+141+1614.181420 1
7/7/83
MASS DWELLING_
AREA 1,000 1,500
SO). FT. A B C D A 8 C D
2,000 2,500 I 3,000 3,S00 4,000 I I.SGO _5_,000 1
6 C D A B C D A B C D I A 8 C D A 6 C D I A 6 v G :, B C L
50 2 2 2 2 2 2 2 O j 2 2 2 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 C 0 0+J1 0, a 6 0 1
100. 4 4 4 2 2 2 2 2 2 2 2 2 2 2 2 0 2 2 2 0 2 2 0 0 2 2 0 0 2 2 0 0! 0 0 0 0 1
150 6 6 6 4 4 4 4 2 2 •2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 0 7'? 2 0' 2 2 2 0 1
200 8 B 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 2I 2 - 2 0
253 10 10 B 6 6 6 6 4 6 6 4 2 4 4 4 2 4 4 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2
300 12 12 10 6 8 8 6 4 6 6 6 i 6 6 4 2 4 4 4 2 4 4 2 2 2 2 2 7 2 2 2 2 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 7 2
400 14 14 12 8 10 10 8 6 8 8 6 4 6 6 4 4 6• 6 4 2 4 4 4 2 4 4 4 2 I 4 4 2 2( S 4 2 2
S03 18 18 16 10 12 12 10 6 10 10 8 6 R 8 6 4 6 6 6 4 6 6 6 2 6 6 4 2 4 4 4 2 4 4 4
603 22 20 18 12 14 14 12 8 12 12 10 6 10 10 8 6 B 8 6 4 8 C 6 4 6 6 6 4 I 6 6 4 2 6 6 4 2 1
770 ' 24 24 20 14 18 16 14 10 14 14 12 8 10 10 10 6 10 10 8 6 8 86 4 8 F . 6 4 I A F 5 41 6 6 R 7,
230 26 24 22 16 70 16 16 10 14 14 12 8 12 10 10 6 10 10 a 6 10 R 8 4 I P F 6 4 I 8 6 6 4I 6 5 6 3 1
500 28 28 74 16 22 20 18 12 16 16 14 10 14 14 12 8 12 12 10 6 10 10 3 6 I 's 8 '8 4 6 8 5 4i 8 8 6 r.
1,0.0 30 l0 25 IS ?2 20 20 14 18 18 16 10 14 14 12 8 12 12 10 6 12 10 10 6 10 10 8 6 8 a 0 41 a C 4 i
).;Do .12 32 28 20 124 24 22 14 20 20 18 10 16 16 14 8 14 14 12 8 12 12 10 6 10 10 10 6 l0 10 8 ( I !0 e B ,
1,200 34 32 30 22 26 26 22 16 22 20 18 12 18 18 14 10 114 14 12 8 14 12 12 8 12 12 10 6 1 1J 10 8 61 in In 8 6
1,300 34 34 32 22 28 26 24 16 22 22 20 12 18 18 16 10 lu 14 14 8 la 12 12 6 112 12 10 6 i 12 !0 10 C 10 ;0 r. 6
1,:00 34 34 32 24 28 28 26 18 24 24 2n 14 20 20 18 12 18 16 14 10 14 14 12 8 14 14 12 8 112 12 ;G t� l0 10 IU
1,500 36 34 34 24 30 30 26 18 24 24 22 id 122 20 18 12 18 18 16 10 16 16 14 8 14 14 12 1! 17 1: 10 61 ;2 12 I-
2 -00
-2.00J ! 34 34 32 22 30 30 26 18 26 26 22 16 22 22 20 14 120 20 18 12 18 18 16 10 16 16 is 61 14 la 12 B j
2,500 I 34 34 30 22 130 30 26 18 26 26 24 16 24 24 7?• 14 22 72• is :2 20 20 IS !; ly 1, I6 U
3,OW 34 32 30 22 30 30 26 18 28 .-6 24 16 124 24 22 14 22 22 20 14� :: :] IY i
3,500 32 32 30 20 30 30 26 1d �28 28 24 16 26 24 22 1<! 13 :4 2J 14
•1,000 I 32 32 30 20 30 30 26 10' 78 28 24 if I 26 2S 2: if
-4,500 32 32 28 a'U 3U 30 26 It 1 iti
5`003 �, 132_17 1i 20 j JJ 3 - ;•6 1= j
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
a) 1. 5k• concrete Slab: HC -14.106; i-.448; Factor -7.1 wood stove 33 oints n
C 1. 8" Solid Filled Block: HC•20.63; R-1.93; Factor -6.1 ;I p ( o back up)
2. 8' Solid Filled Block With Both Sides Exposed To conditioned Air. casablanca fan + 1 point
NOTE: Use all square footage directly exposed to conditioned air
for Thermal'Mass Area: IIC-10.164; R -.96i; Factor -6.1 '
DI 1~ Thick Concrete/Ttle: HC -2.55; R-.083; Factor�3.7
Table 3-19. Zonally Controlled
Electric Reslmtanee
Space Heating Points
I PointsEoe this measure v!11 I Table 3-20, Solar Water Heatin+-With Cas Backun Paints ,
I be completed after the CEC I
I has approved an Alternative 1
I Component Package for Resistance 1
1 Beat.
Table 3-18. Active Solar Space
Heatine with Cas Points
:let Solar Fraction I Points
(VSF), Z I
I 0-6
I 0 1
I 7 - 14
I +2 I
1 15 - 23
I +4 I
I 24 - 30
I +6 I
31 - 39
I +8 i
I 40 - 47
I : +10 I
I 48 - 55
I 4.12 I
I 56 - 63
i +14 I
1 64 - 71
I +18 I
I 72 up
I +20 I
Y.ultlfamll ( er unitpoints)
i
Table 3-21. Other Water
Heating Pts.
T_
1
I System Type
Floor Area
i
I I
Net Solar Fraction (NSF), Z
I I
per unit,
I 0 I
( Solar with Electric
I I
i I
I Revistance Backup
I I
Meetln4 the Require-
I
ft2.
( 0 i
Electric Resistance
I I
I I
I o 1y
-40 I
0.9
10-19
20-29
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
4.2
+4
+6
+8
+10
+12
+14
1,500-1,999
0
+1
+3
+4
+6
+7
+8
+10
2 (:O1)and u
0'
+1
+2
+4
+5
+6
+7
+9
All others (per
builclinN
paints)
8(10-899
0
+5
+IU
7
+19 T
+2r
+29 � +34
900-999
0
+4
+9
+13
+17
+21
+26 +30
1.000--1,199
0
+4
+7
+11
+15
+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 +Lc
2,000-2,999
0
42
+3
+5
+7
+8
+i0 +11
3,rti0 a;.d up
-0
+1
+3-
+4
+5
4.7-
+S +t0
i
Table 3-21. Other Water
Heating Pts.
T_
1
I System Type
I Points I
i
I I
I Cas Only
I
I I
I Beat Pomp
I
I 0 I
( Solar with Electric
I I
i I
I Revistance Backup
I I
Meetln4 the Require-
I
i menu Ia Part 2
1
( 0 i
Electric Resistance
I I
I I
I o 1y
-40 I
RESIDENTIAL ENERGY PLAN CHECK/INSPECTION SUMMARY FORM
Owner �,��// Climate Zone Permit No.. '--0�0'
Floor Area
Compliance path: Package ❑ A ❑ B ❑ C ®Point System ❑ Budget 11 Other L�DG Q57.r/
MIN R -VALUE DESCRIPTION
REQ'D
INSTALLED ITEMS (1) INSULATION:
Roof/Ceiling—/�
® Wall
® Slab 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
mass CjK
1972 ANSI Air Infiltration Standards and shall be certified and
❑
labeled.
(C)
All swinging doors and windows leading to unconditioned areas
HC=
R=
shall be fully weatherstripped.
MC=
Tight - the above standard features plus:
❑
(D)
Continuous infiltration barrier
❑
(E)
Electrical outlet plate gasket
❑
(F)
Air-to-air heat exchanger
HC=
(3) GLAZING:
(A)
Location
Area Glazing %Floor Area Single Double Triple
❑
Total Bldg 4d?
4
- Area
North /.? 2_7 --t—.
45
R=
East Z�/ S• O
®
Location
South /Z 2. 9
❑
West
❑
Type
Skylights
-Area
(B)
Shading
R=
Shading '
Location
Coefficient Description
❑
East '
❑
South
❑
HC=
West
❑
MC=
Skylights
(C)
South Overhand
❑
Length of projection 2 ft. Description
®
(D) Moveable
insulation:
Area =JOr ft2
Description
(E) Thermal
mass CjK
❑
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.2
HC=
R=
MC=
Location
❑
Type
- Area
Ft.2
HC=
R=
MC=
Location
❑
Type
- Area
Ft.2
HC=
R=
MC=
Location
7/83
0
7/83 2
-ARM I
`'
(4) MASONRY AND FACTORY -BUILT FIREPLACES shall be,equipped with tight
fitting closeable metal or glass doors covering the entire opening
of the firebox; a combusion air intake equipped with a readily
accessible, openable, and tight fitting damper to draw air from the
outside of the building; and a tight fitting flue damper with a
readily accessible control.
*1(5) HEATING, VENTILATING; AIR CONDITIONING SYSTEM
(A). -Heating
❑
Central Gas Furnace
(brand and model number) SE
Btu/hr
(heating.capacity) •
❑
Heat Pump.
(brand and model number) ACOP
Btu/hr
(heating capacity at 47°F)
❑
Active Solar.
.type (liquid or air) Collector brand and
' ft2
model number solar fraction collector area collector
orientation collector tilt rated y -intercept
rated slop�ee'
®
other � � d/z
(describe)
*1 (B) Cooling
❑
Electric Air Conditioner
(brand and model number) (seasonal EER)
Btu/hr
(cooling capacity at 95°F)
❑
Electric Heat Pump
EER
Btu/hr
(cooling capacity at 95°F)
❑
Other
((describe)
41
(C) A TWO-STAGE THERMOSTAT, which controls the supplementary heat on
its second stage, shall be required for heat pumps.
(D) AN AUTOMATIC SETBACK shall,be provided for all thermostats, except
those controlling heat pumps.
(E) AN INTERMITTENT IGNITION DEVICE shall be provided for all gas-fired
fan type central furnaces, gas-fired fan type wall furnaces and
gas cooking appliances.
(F) BACKDRAFT DAMPERS shall be provided for, all fan systems exhausting
air to the outside.
(G) DUCT CONSTRUCTION & INSULATION. All transverse duct, plenum, and
fitting joints shall be sealed with pressure sensitive tape or
"mastic to prevent air loss and shall be insulated to conform to
the provisions of Section 1005 of the UMC, 1976 Edition.
7/83 2
Cooling: Summer design temperature IdbZ °, cooling load BTU
*2 Submit T.I.P.S.E. chart or other Iapproved 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.
V
7/83 SIGNATOE OF BUILDING DESIGNER OR APPLICANT
t
3
i
O-mow\
(6)
DOMESTIC WATER SYSTEM',
(A). Gas Only Gallons
(brand and model number) (tank size)
❑
Heat Pump w/Electric Backup
(brand and model number)
Gallons
(tank size)
❑ * 2
Active Solar
(collector brand and model/number)
(rated y -intercept) (rated slope) (solar fraction)
ft
':(backup heater type, brand and model number) (collector area)
(collector orientation) (collector tilt)
❑
Location of Solar Panels
❑
Other
(Describe)
®
:(B) TANK INSULATION. Storage type water heaters ,and storage and
backup tanks for solar systems shall be externally wrapped with,,
R-12 insulation or greater.
®
(C) PIPE INSULATION. The five feet of pipe closest to the water
heater and outside conditioned space shall be insulated with a
minimum of R-3. Steam and steam conditioned space shall be
insulated with a minimum of R-3. Steam and steam condensation
return piping and recirculating hot water piping outside the
building envelope shall be insulated in accordance with
T20 -1408(d).
(D) FLOW RESTRICTORS shall be provided for showerheads and faucets
as outlined in the new appliance efficiency standards and shall
•
be certified to the Energy Commission.
(7)
LIGHTING
®
(A) Lamps used in luminaries for general lighting in kitchens and
bathrooms shall have an efficacy of not less than 25 lumens per
watt (usually florescent).
s`1 Submit documentation of sizing heating and cooling equipment by, Manual J, sizing
charts (form #4)
or other approved methods, section 2-5352(8), and fill out the
following:
Heating: Winter
design temperature 2)7 °, elevation /_Jtzo heating load BTU
.2&_7
elevation factor x heating load = maximum outlet capacity gas furnace
BTU
Cooling: Summer design temperature IdbZ °, cooling load BTU
*2 Submit T.I.P.S.E. chart or other Iapproved 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.
V
7/83 SIGNATOE OF BUILDING DESIGNER OR APPLICANT
t
3
Temp. Power P-.-
r Called PI
r
Temp. Elec. S
Called PI
Temp. Gas Se
Called PC
JOB FINALEI
Signature
PERMIT NO.
PERMIT EXPIRES
//314-85B
,
OWNER RANDY HORNING
CONTR. Floyd
Stober
ASSESSOR PARCEL
40-30-77
LOCATION 9977
Jones Avenue, Durham
Temp. Power P-.-
r Called PI
r
Temp. Elec. S
Called PI
Temp. Gas Se
Called PC
JOB FINALEI
Signature
OK
= Not OK
= Not Applicable MOBILEHOMES MISCELLANEOUS
= Not Ready
Date
MOBILEHOME UTILITIES (Plans) OK except H's
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s
1. Zoning Requirements -Setbacks -.Easements
2. Soils; Special MH Support -Sketch
2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/0 -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4, Wood Awn.; Posts- Beams- Rftrs.-Connec.-Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; Locatiort--Test-Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
Card -BI
Date
Date Card -BI Date
POOLS (Plans) OK except q's
1. Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4. Electricity; MH Test -Crossovers -Breakers -Clearances
4, Elec.; Receptacles and Lighting; Distances-GFI
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected -C/0 to Grade -HD Approval
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes -Enc losures-Pane lboards- Ins. to Main in Conduit
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Edl
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
J = OK
0 = Not OK
- = Not Applicable
* = Not Ready RESIDENTIAL (Single and Duplex)
Date UNDERFLOOR (Plans) OK exceptq's
1. Zoning requirements -Setbacks -Easements
2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg.
3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. l
5. Stemwalls, Main; Steel -B lockouts -Wrapped -S lab
6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
7. Piers -Fireplace Ftg.-Steel
8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
9. Gas Pipe; Size -Anchors
10. Water Pipe; Test -Anchors -Regulator -Service Test
11. Electric; Underground
12. Plenums & Ducts; Clearance -Material -Support -Ins.
13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI Date Card -BI Date
Card -BI Date Card -BI Date
Date PLUMBING (Permit) OK except k's
14. Water Ht.; Vent -Access -Combustion Air
15. Water Pipe; Test & Anchors -Nail Protection
16. D.W.V.; Test-Fttngs & Anchors -Nail Protection
17. Shower Pan; Test, First Floor -Tub Access
18. Test Tub & Shower, 2nd Floor -Tub Access _
19. Gas Pipe; Size & Anchors r\,
n i
Card -BI Date Card -BI e
Card -BI Date Card -BI D
Date ELECTRICAL (Permit) OK excent /As
Date
FRAMING (Continued)
Ext. Steps -Door & Sidelight Protection -Landings
48.
Property Line Firewall & Openings
58.
49.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
BedrooV Exiting
50.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
61.
51.
52.
53.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
Siding -Nailing -Veneer
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
Stairs & ails
54.
55.
Glazing Area -Glass Protection -Skylights -Plastic
Shear Walls; Nailing -Bolts
64.
Elec. Out is at Wood Panel; Int. & Ext.
65.
Kit. Fixt. Appliance: Grnd.-Air Gap -Cooking Clearance
66.
Elec. Outle s & Receptacles at Kit. Counter
67.
Garage Fire oor; Swing -Landing -Closer
68.
Card -BI
Following instld.: ive ❑ Yes ❑ No; Walks ED Yes ❑ No;
Date Card -BI Date
Card -BI
Bearing Walls over Girders & Floor Nailing
Date Card -BI Date
Card -BI
Service -Riser Conductors & Ground -Main Disconnect
`Date Card -BI Date
Date FINAL fans) OK except H's
56.
Ext. Steps -Door & Sidelight Protection -Landings
57.
SmA Detector
58.
Furna e; Vents -Clearance -Comb. Air -Connector -
In Gar ge; Above Floor-Ducts-Mech. Protection
59.
BedrooV Exiting
60.
G.F.I. A Bath Fixtures & Tub Access
61.
Elec. T m & Subpanel; Breaker Sizes -Labels
62.
Stairs & ails
63.
Fireplace or Stove; Clearances -Hearth
64.
Elec. Out is at Wood Panel; Int. & Ext.
65.
Kit. Fixt. Appliance: Grnd.-Air Gap -Cooking Clearance
66.
Elec. Outle s & Receptacles at Kit. Counter
67.
Garage Fire oor; Swing -Landing -Closer
68.
A.C. Duct in ara a -Dam er
20.
Fixture &Transformer Clea c n .Protection
69.
Wtr. Htr., Ven s -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; AbAve Floor-Mech. Protection
21. Elec. Receptacles Sp iRe g Is -& Switches at Doors
22.
Size Boxes & No. of s -Stapled
70.
Plb., Elec. & ch. Equip. Listed for Location
23.
Romex Installed Cloa of Studs & C.J.
71.
Elec. Receptacl s in Garage; (G.F.I.)-Romex Protec.
24.
Equip. Ground madeh. Fasteners -Bond Gas &Water
72.
Insulation -Foam Looked in Attic E] Yes
25.
2 Appliance Circuitsen &Conductor Size
73.
Guard Rails & De k Construction -Post Caps
74.
Fdn. Vents & Cra 1 Hole Door -Drainage & Wood -Earth Clearance
Looked under FIoo ❑ Yes
26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At
27.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
75.
Following instld.: ive ❑ Yes ❑ No; Walks ED Yes ❑ No;
Insulated Neutral ❑Yes ❑No
Bearing Walls over Girders & Floor Nailing
Planters ❑Yes No
28.
Service -Riser Conductors & Ground -Main Disconnect
76.
Stucco; Brown -Finis
29.
Equip. Clearances; Panels-Motors-Mech. Equip.
77,
A.C. Unit; Disconnect Clrnces-Brkr. & Cond. Size -115V Outlet
30.
Clothes Closet Light -Shower Light
78.
Vents Above Roof; Plb .-Appliance-Firepl.-Clearance to Opngs.
43.
44.
Cing. Joist-Rftr. Ties- Purlin - Roof Brac.-Truss-Sh_thng_.-Rfng_.__
Fireplace Ties or Type A Flue -Fireplace Throat
79.
Water Well; Disconnect,jElectrical, Plumbing
45.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
80.
Exterior Elec. Trim; G. I. Receptacle -Underground
Card B -I
Date Card -BI Date
81.
Ventilation throughout H use
Card B -I
Date Card -BI Date
82.
Glass Protection
(NOTE:Anentrymust be made each time youvisit jobsite)
83.
Corrections from Previous Inspections
Date MECHANICAL (Permit) OK except H's
84.
Gas Test -Meters Tagged; as -Electric
31.
A.C. Ducts; Insulation & Support
85.
Water & Sewer Connected- /O to Grade -HD Approval
32.
Vent Fan; Exhaust above Insulation
86.
Energy Compliance Certifi ate -Other Certificates
33.
Condensate Drain & Overflow; Size & Grade
34.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
35.
Attic Access & Platform if Furnace in Attic
Card -BI Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI Date Card -BI Date
Date FRAMING Plans OK except q's
Comments at Final:
_ 36.
Sills; Proper Material & Anchors
37.
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
38.
Bearing Walls over Girders & Floor Nailing
39.
Draft Stop in Walls (rat proof)
40.
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
41.
Header & Beam -Size & Bearing
42.
Hangers -Post Caps -Anchors -Connectors
43.
44.
Cing. Joist-Rftr. Ties- Purlin - Roof Brac.-Truss-Sh_thng_.-Rfng_.__
Fireplace Ties or Type A Flue -Fireplace Throat
45.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
46.
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
47.
Garage Fire Protection Framing
(NOTE:Anentrymust be made each time youvisit jobsite)
V COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO.
w
ASSESSOR PARCEL NUMBER
r p, 7
ZO
ING
BUILDING PERMIT
W E f
r.WNER'S
LE HONE
r2— V0
SQ. FT. OCC. BUILDING VALUATION
MAILI G A�D RESS/ N/ / /)
Ze
CON f OR'S AMEI� TELEPHONE
CONTRAC R'S ILING ADDRESS
F i replace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Flling Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ —
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
,$ C
J
�
R-"�pp�j`k-' 0i
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ 16 7,
BUILDING ADDRESS
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO.SUBDIVISION
NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
5.00
Mobile Home S G W
O.00e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Uti lilies ❑ Installation Other
Describe work: '— _
71 fLESS
�£y
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP 00V OR ORSS
10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. // DWELLING OCCUP.&
OR ADDNS, ( ACC. BLDGS.
2/20sgft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Check One):
TIJ, 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. A0 7675 -ISS Classification 43
❑ 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 CON5TR U TI.OUTLET
NON.RESID BRANCH CIRC ITS 2.50 ea
NEW CONSTR. POWER APPARATUS &
NON.RESID. SINGLE OUTLET CIR.
(
Ex. Occup(o FIXTURES AL®Q
BAL@50C30
IXED A POR
EX. OCCUp- OUTLETS (RESID )LNS REA.)
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.
® 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
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[_
agai �Coujity_�inn%consequence of the granting of this permit.%�--F�7 Date o2— a _ 8—�
Signature of Applicant — Owner ❑ Contractor S� Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over3 stories in height.�o
Mobile Home Installation Fee $
zu C,
TOTA PERMIT FEE $
D�, J-6Butte
OCcUP. GROUP I
TYPE OF CONST.
PARC PD D
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.
DIREC79R OF PUBLIC WORKS
BY r Date ^7 '
IT EXPIRES Date_.._ ��� i�
Receipt No. �J Ac r1 .6
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD-APPLICANTPE
M �
2. 84Y
AIr
This set of plans and specifier}ions DVIU
kept on the iob at all times and it is unlrrw u1
make any changes or alterations on same wi hod?
i written permission from the Department of f' b!'r� f
( Works, County of Butte.
.'NOTE --All
Materials & Workmanshi Shall: ��J
Accordc!nce wiih Recognized- Goodactices and
of a qua ty prescribeJ for the $pecifi d use. in the
Uniform Building, Plumbing & Mechanical Codes and
the National Electrical Code,
®30
JJ � j 31
BUTTE -COUNTY
BUILDING DEPARTMEN?
APPROVED �I