HomeMy WebLinkAbout041-420-0464�
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`PERMIT NO:-
PERMIT
O: PERMIT EXPIRES
y�} OWNER A8M Bill Whittaker
rt �
{' CONTR. owner
ASSESSOR PARCEL 41-42-46
LOCATION 3834 Adell Lane, Oroville
,� CO�-� �A1i_[Y=•L S GU e-�f�CvV'R
1
r
y.
s
Temp. Power Pole
2
Called PG&E
'
Temp. Elec. Service
Called PG&E
Temp. Gas Service
,..
Called PG&E
/
JOB FINALED (Date)
•
Signature
�
Y.
�r�
V OK;6
0 Nqt OK `
Not Applicable
s Not Ready RESIDENTIAL (Single and Duplex)
�k '
Date
J.
UNDE LOOK Plans 'OK except N's
Date
FRAMING Co ed
1 onigg requirements -Setbacks -Easements
4
r rty Line Firewall & Openings
2. g., Main; Soils -Steel -EI ,rn .- Y2 " Ftg. Depth
49.
oors-One 3' -Check Garage -3rd story, 2 exits
3. Ft arage; Soils -Steel- / /" Ftg. Depth
5
t . , Wid h -Headroom -Rise -Run -Landing -Fire Protection
�;-(
4 tg., Porches & Decks; Soils -Steel- / Ftg. Depth
51,
od on Roof Overhang -Attic Vents -Rafter Outriggers
5PITemwalls, Main; Steel-Blockouts-Wrapped-
52.
-Siding -Nailing -Veneer
6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
1.Piers-Fireplace Ftg.-Steel
Y 9-7�f/Sd�L'i
54.
55.
Glazing Area -Glass Protection -Skylights -Plastic
Shear Walls; Nailing -Bolts
6vJSf,E A49 L 0.4--1 /e'lr
8. :Fall -Fittings -Test -2 way C/0- `T t
Gas Pipe; Size -Anchors
^0. Wate Pipe; Test-Anchors-Rafylator-Servi t
-11 lectric; Underground
12. Plenu & Ducts; Clearance -Material -Support -Ins.
JX -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Da Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date" Card -BI Date
Date
FINAL (Plans) OK except N's
Card -BI Dat 17- ,•ard-BI Date
Date
PLUMBING ('Permit) OK except q's
14. Water -.: Vent -Access -Combustion Air
56.
Ext. Steps -Door & Sidelight Protection -Landings
57.
58.
Smoke Detector
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; ove Floor -Ducts -Meth. Protection
1 teTest &Anchors -Nail Protection
16 . V.., Test-Fttngs & Anchors -Nail Protection
59.
Bedroom El ting
'Shower P�t, First Floor -Tub Access
60.
G.F.I. & B th Fixtures &Tub Access
18---T-est.-Tub & Shower, 2nd Floor -Tub Access
61.
Elec. Trim panel; Breaker Sizes -Labels
1 tze & Anchors
62.
Stairs & R 'Is
63.
Fireplac r ve; Clearances -Hearth
64.
65.
Elec. Outlets Wood Panel; Int. & Ext.
Kit. Fixt. A Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI ate Card -BI Date
Card -B
Date and -BI Date
66.
Elec Outlets & Receptacles at Kit. Counter
Date
L C L Permit OK except #'s
67.
Gar a ire Door; Swing -Landing -Closer
6
A.C. uc in Garage -Damper
0.,
2Fi S Transformer Clearance -Ins. Protection
6
Wtr. H ents-Clearance-Comb. Air-Connector-P.R.V.-
rag ; Above Floor-Mech. Protection
21. Ele Receptacles Spacing -Lights &Switches at Doors
2 Si Boxes & No. of Conductors -Stapled
7
p ec. &Mech. Equip. Listed for Location
Ro x Installed Close to Edge of Studs & C.J.
72.
Elec. ceptacles in Garage; (G.F.I.)-Romex Protec.
Insulation -Foam -Looked in Attic ❑Yes
Guard Rails & Deck Construction -Post Caps
24. 'round made up w/Mech. Fasteners -Bond Gas & Water
2T.72 lliaunce Circuits in Kitchen & Conductor Size
_
App
26. _d_Mre'Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
oo ed under Floor ❑ Yes
27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At,
Insulated Neutral ❑Yes [:1 No
28. Service -Riser Conductors & Ground -Main Disconnect
75.
I wing instld.: Drive ❑Yes ❑ No; Walks C1 Yes ❑ No;
I twi ❑Yes CJ_ No
76.
co; Brown -Finish
29. Equip. Clearances; Panels-Motors-Mech. Equip.
30. Clothes Closet Light -Shower Light
77
, Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
7
nts Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
W ter Well; Disconnect, Electrical, Plumbing
80.
terior Elec. Trim; G.F.I. Receptacle -Underground
Card B-1/�
at _ Card -BI Date
81.
Ventilation throughout House
Card B -I
Dale Card -BI Date
82.
Glass Protection
Date
MECHANICAL (Permit) OK except q's
83.
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged; Gas -Electric
31. A.C. Ducts; Insulation & Support
85.
Water & Sewer Connected -C/O to Grade -HD Approval
32. Vent Fan; Exhaust above Insulation
86,
Energy Compliance Certificate -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
F A G(Plans) OK except q's
Comments at Final:
3 Si s: Proper Material & Anchors
_
. _Walls. Studs -Nailing, Spacing & Bracing -Plates -Sound
3 arin alls over Girders & Floor Nailing_
3 op in Walls (rat proof)
4 Stops; Furred Ceilings -Stairs -Chases -Tub
Header & Beam -Size & Bearing_
-Post Caps-Anchorstors -
44 . Ing. Joist-Rflr. Ties -P lin- 0f Brac.-Truss-Shthng.-Ring.
44, mace Ties or Type A ue-Fireplace Throat
_
4 Ate_ ccess; Size & Rom_ex Protection -Draft Stop -Ins. Baffles
4 Bdrm_._Windo_ws or Exiting Doors -Sill Hgt. & Dimensions
rection Framing
(NOTE: Anentry must be made each time you visit job site)
owl
V = OK =y
0 = Not OK
- = NotAppl•icable• `• ,MOBILEHOMES MISCELLANEO"
= Not Ready
Date
MOBILEHOME UTILITIES (Plans) OK except H's
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) 01. <xcept V
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; Location--Test-Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG
7. Utility Clearance
6. Carports; Windows -Doors
7. Elec.
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
Card -BI
Date
_
Date Card -BI Date _
POOLS (Plans) OK except N's
1. Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4. Electricity; MH Test -Crossovers -Breakers -Clearances
_
4. Elec.; Receptacles and Lighting; Distances-GFI
5. Drain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected -C/O to Grade -HD Approval
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
B. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Health Department Approval
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
10. Plumb; Cir. Test -Water Supply Test'
Card -BI
Date Card -BI Date
Card B-1 Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, ext. 57 ,
CORRECTION NOTICE
BUILDING OR PROPE,9TY ADDRESS
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
ENERGY INSTALLATION CERTIFICATE
Building Owner Ch��SfiinP Building Permit# -2 0 - 85 8,
Building Location Rt 1 38.3 q Adell Lane-
DESCRIPTION
ane
DESCRIPTION OF INSULATION
ROOF
Material.
Thickness(inches)
EXTERIOR WALL
Material Fi 1G15S
Thickness(inches) _./
CEILING
Batt or Blanket Type Q S
Thickness(inches)
Loose Fill Type
Minimum Thickness(Inches)
Area covered(ft.2)
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 ff mna
Thermal Resistance(R alue) ` -t)
Brand Name eby-rif h
Thermal Resistance(R Va e)
Brand Name .
Number of Bags Wt. per bag lb.
Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R Value)
I hereby certify that the above insulation was installed in the above building,
is consistent with approved building department plans and attachments and con-
forms with requirements of Chapter 2-53 of State of California Energy Requiremen
FIRM NAE/OWNER STATE CONTRACTOR'S LICENSE NO.
SIGNATURE OF INSTALLATION APPLICATOR
DATE
I hereby certify the required features, devices, and equipment, a6 shown on the approved
Building Department plans and attachments have been installed and conform to the appli-
ance standards and Chapter 2-53 of the State of California Energy Lequirements.
0'nri ciline W by nKc[
BUILDING CONTRACTOR/OWNER (Please Print)
(FIRM NAME)
w
SIGNATURE OF BUILDING CONTRACTOR/OWNER
b�r i s fii nip Wh I' "CE
HVAC FIRM NAME/OWNER (Please Print)
STATE CONTRACTOR'S LICENSE NO.
l- l9 -A q
DATE
STATE CONTRACTOR'S LICENSE NO.
SIGNATURE.OF HVAC CONTRACTOR/ NIER 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.
SEPTEMBER 1988
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKSPERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541126 --eq 42S
APPLICATION AND PERMIT
ASSE OR PA CEL.WE BE IN
— W'Z
—
B DING PERMIT
owNf
TELr PHo E
NG SO. FT. OCC. BUILDIVA ATION
OwE 'S MAILING ESS
CONT ACT 'SN
TELEPHONE
CONTRACTOR'S MAILING ADDRE
Fireplace
O
CONSTRUCTION LENDER
UNKNOWN
Total Valuation is
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE No.
Plan Checking Fee
,$ ,
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS I
3
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00 r�
Repair drainage or vent piping
5.00
Water piping
^
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5,00
Gas piping system 1 - 5 outlets
,-, � USE OF STRUCTURE
SF [P Duplex❑ Mobilehome❑ Other
SPECIFY'Q�
Building sewer
Lawn sprinkler system
5.00
v ��
TYPE OF WORK
New Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other ❑
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 6001 OR LESS
100 AMP OR LESS
00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING C
OR ADDNS. ACC. BLDG .
1 ft
/ q17,
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
El 1, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEWCONSTNON-RESIT R BRANCH CIRCTITS 2.50 ea
NEW CONSTR. IPOWER APPARATUS h)
NON-RESID. ISINGLE OUTLET CIR,
50 @ 26¢
Ex. Occup OUTLETS OR FIXTURES BAL@1
FIXED APPLNS, OR
Ex. Occup.�OUTLETS (RESID,) EA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee $ 1
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood
3.00 tr(jo
Ventilation
Permit Fee
S
Contractor
1 certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
r �_ _
X � L{ Date
Signature of Applicant — Owner $� Contractor ❑ Agent ❑
An OSHA permit is required for excavatio s over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $ ,
ocCUP, GROUP
—3
�J
TYPE oP CONST.
f�
PARC
PD
HD'
seu
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTO OF PUBLIC
By
P IT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
L
Receipt No. �
WHITE-D.P.W., YELLOW -ASSESSOR, PINK- SPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA. 95965 'Phone: 916-534-4541
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 in -the envelope provided at your
earliest opportunity to avoid unnecessary delay in.processing and issuing your.build-
ing permit. No building -permit will be issued until this verification is received.
1. I.personally plan to provide the major labor-and.materials for construction
of the proposed property improvement (yes or no).
2. I (have/have not) .signed an application for a building
permit for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors License No.
.4. I.plan to provide portions of this work, but I have hired the following
person to coordinate,'supervise, and provide the major work:.
Name
Address City
Phone Contractors License No.
.5. I will provide some of the work but I have contracted (hired) the following-
-persons to provide the work indicated:
Name Address Phone Type of Work
Signed:
Property OwnerBikQ
Social Security number: -�-
Date!�I- L-3 I Z
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
permitted to issue the permit.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 41
COUNTY CENTER'DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541
PERMIT APPLICATION DATA SHEET
OWNER
Proposed Building Use
Permit Fee Based Upon: C
Building Inspector
plete Contract Price
(Explain)
Permit No.
A. P. No. 9 /_ q .C�L
L --'DPW Valuation
Date
At time of permit application, I was advised the following data must be submitted prior to permit processing
and/or issuance: DATE RECEIVED APPROVED
1. All items have been submitted. . . . . . . . . . .
2. Plot plans in duplicate/triplicate. . . . . . . . . . .
3. Complete plans in duplicate. /triplicate. . . . . . . . .
4. Complete engineered plans and calcs. . . . . . . . . .
5. Plans with Energy Design Compliance Statement. . . . . .
6. State Energy Forms No.
��Statement of Intent four Non-Heatpd Ind AC Buildi s.
Fees of $ V/ •. Z�
:0
Letter of signature authorization. •
anitation 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
Z. Pre-I`rispection for �, !1 Required. Buildin Ins ector (D
i 18. Other
When you issue the permit, process
t%�Telephone 'K-%7-�''!?/ 4�
Other
ate)
is follows: Mail to owner. Mail to contractor.4)
and hold for pickup at office. Deliver w/inspector.
ApplicantDateAp����
Copy of plans sent Health Dept., Fire Dept., Other Date
During the plan checking process, the following data must be submitted prior to permit issuance.
(For required items not checked above at time of cation, circle item.)
1. Index permit for above Items No.
2. Additional items required:
(Contractor, Designer, Owner) was advised of above required data by
elephone Mail Other
Copy—DPW
To: Building Department
From: Environmental Health
Subject Sanitation Clearance
Plan approved for-, sewage disposal
Hold final for:
Final clearance O.K. for:
Clearance for �1 bedrooms home.
Clearance for addition of
NOTE
�Nou'
Sane, aiH
Other
water supply
water supply
water supply
I r.
Return to PPW
AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT SZ;- 9553
FOR RESIDENTIAL DEVELOPMENT r!
• .i
OUTTE 4 "I";'',r; Lit-.
Section 26-8a of the Butte County Code requires this acknowledgement i4CQRD RE"?� .C.. -E9 EX
be recorded prior to issuance of a building permit.
10
The property described herein is adjacent to land or included
within an area zoned for agricultural purposes, and residents of CLARK A.(�L ;OR
this property may be subject to inconveniences or discomfort arising CLERK-RECORDeR
from the use of agricultural chemicals, including, but not limited to herbicides, EE
pesticides, and fertilizers; and from the pursuit of agricultural operations including,
but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa-
sionally generate dust, smoke, noise, and odor. Butte County has established agricul-
tural zones which have as a priority use for productive agricultural purposes, and
residents within said zones and on adjacent property should be prepared to accept such
inconvenience or discomfort from normal, necessary farm operations.
All that real property situate in the County of Butte, State of California,
?-'-describeda.s- fol -lows :_ ___
Be:in_g—.a_p_ortion of 'the Northwest- quarter. of Section. 22 and. a portion
ofl the Southwest -quarter of Section 15, both nTownship 21—North; Range j
3 'East,M.D.B. & M., and more particularly described as follows:
Parcel 2, as shown on that certain Parcel Map recorded in the Office of
the Recorder of the County of Butte, State of California, on Se•ptember,20,
1978; in Book 68 of Parcel Maps, at -pages 22, 23, and 24. '
T:0_G-E-T.H-E-R— 1 TH' AND RESERV-ING- THE-REFROM -a 60 foot -non-exclusive easementom
Ft for road and public utility purposes_ as' sh`own on" said Parcel Map:'- -
Date:`
State of )
• ) SS.
County of )
t.iriennnuuewumumanmoeneeeeeeeueiewuu®
w OFFICIAL SEAL
= VERNA J MORRIS
m."•® NOTAPY PUBLIC • CALIFORNIA u'•
COUNTY OF BUTTE.
mrcommisslon Expires September 17.'1982
efNeeeleellettefehleeele1111e1��1111e11eeee1e1ele9Ne1 �.
PROPERTY OWNERS:
i -,
On this theday of 19�,
before me, the un ersigned Nli personally
/app _eared ..
known to me to be the persons) whose name(s)
subscribed to the within instrument and acknowledged U
tha executed the same for the purposes c
therein cotNained.
IN WITNESS WHEREOF, I hereunto set my hand and official
seal.
Present A.P. NO.�
Y' ! Y I xgrr n 1 m;
END OF DOcum[NT
FOR RESIDENTIAL DEVELOPMENT
Secti6n 26-8.1of the Butte County Code requires this acknowledgement
be recorded prior to issuance of a building permit.
a'.�Ce?FrI;iS IE p BY
IM:..
The prcperty described herein is adjacent to land or included
within an area zoned for agricultural purposes, and residents of :LARK A. laC;L SON
[this
tE
property may be subject to inconveniences or discomfort arising CLERK -RECORDER
from the use of agricultural chemicals, including, but not limited to herbicides, .
pesticides, and fertilizers; and from the pursuit of agricultural operations including,
but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa-
sionally generate dust, smoke, noise, and odor. Butte County has established agricul-
tural zones which have as a priority use for productive agricultural purposes, and
residents within said zones and on adjacent property should be prepared to accept such
inconvenience or discomfort from normal, necessary farm operations.
All that real property situate in the County of Butte, State of California,
described as follows:
X..,
&e_ ng. a. portion of the Northwest quarter of Section 22 and. a portion
of the Southwest quarter of Section 15, both in Township 21 No"r't }i, Racige
3 East,M,.D.B. & M., and more particularly described as follows:
Parcel 2, as shown on that certain Parcel Map recorded in the Office.of
the Reccrder of the County of Butte, State of California, on September 20;
1978, in Book 68 of Parcel Maps, at pages 22, 23, and 24.
-TOGETHER. WITH AND RESERVING THEREFROM a 60 foot non-exclusive easement
for road and public utility purposes as shown an said Parcel M-ap.
-
Date: �--�
State of )
) SS.
County of )
e rwunnumeuuuu„„i,,,unnwenun�wua®
OFFICIAL SISAL
VERNA J MORRIS
® ,�® NOTARY PUBLIC - CeIIFORNIA
COUNTY OF BUTTE
: Mr Commission Expires September 17,1982 TT
pMuuuuannnn„„��q„o�„uuuuuuum9ue i
PROPERTY OWNERS:
BIVA. PAW, X. ""a 1110.11 X �
AT 4W ra
On this the day of _G�, 19 c ,
before me, the un ersigned No"ry-ZRiliTypersonally
appeared
\
known to me to be the person(s) whose name(s)
subscribed to the within instrument and acknowledged
that executed the same for the purposes
therein co ained.
IN WITNESS WHEREOF, I hereunto set my hand and official
seal.
Present A.P. NO. �tj— 7 a _ 46
T
o' `
Notary
RESIDENTIAL PLAN CHECKING GUIDE
(S.F., DUPLEX, & MISC. ONLY)
Bldg.
A. P.
A.' -'GENERAL "
..A-' Zoning requirements (sideyards and parking).
2. Valuation.
Signature by R.C.E. or Architect (if required)..
B. PLOT PLAN
Complete parcel size and dimensions.
_?ko' Setbahk$, sideyards, easements, etc.
Other buildings or structures.
Grading, fills, drainage.
C.. FLQOR PLAN
Permit #
4-_ .7AL
x Complete to scale plan with dimensions.
2. Required windows for light and ventilation (Sec. 1405).
3. Required windows for second exit (Sec. 1404).
4. Allowable glazing for energy requirements (20% max. per,State law).
5. Human impact glass (Sec. 5406).
.6. Required room sizes, ceiling heights (Sec.'1407).
7.G.F.C.I.'s in baths and exterior outlets (Sec. 210-8).
8. Light fixtures, switches, receptacles, and exterior receptacles for maintenance of
mechanical equipment.
9. Locations.of water heater, heating & cooling equipment, other electrical or gas
equipment, and plumbing fixtures.
10. Garage firewall, door size, and closer (Sec:, -503(d)(4)).
11. 1 - 3'0" exterior exit door (Sec. 3303d). - -•..�
12. Fireplace location.
13. Smoke detectors (Sec. 1413).
D. STRUCTURAL DETAILS
1. Foundation plan complete enough to construct ° building. - ---
2. Floor construction details complete enough to construct building.
3. Elevations and wall construction details complete enough to construct buillding,
4., Roof construction details complete enough to construct building.
5. Fireplace construction details and calcs if over'�one-story in height.
6. Sufficient data and details to satisfy energy insulation requirements,(State law).
E: MISCELLANEOUS ITEMS TO LOOK OUT FOR
1. CCX plywood on exposed locations and overhangs.
2. Stairway details (Sec. 3305).
3. Guardrail details (Sec. 1716). _
4. Brick or stone veneer (Chapter 30).
5. Exterior plaster - weep screeds (Sec. 4706 & 4708).
6. Proper roof pitch for roof covering (Chapter 32).
7. Rafter ties or bearing ridge beam.
8. Garage door or porch header sizes.
9. Adequate bracing.
10. Living area over garage - complete 1 -hour separation required including supporting
walls and posts, etc.
11. Two (2) exits on three-story dwellings. (Sec. 3302).
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
y 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOV/RCr NUMB R
ZONING
BUILDING PERMIT
OW R/
/v/ 7-7-A 1Z5
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
CONTRACTOR'S NAME WA
TELEPHONE
f�
CONTRACTOR'S MAILING ADDRES
Fireplace
CONSTRUCTION LENDERNKNOWN
U
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
�(J/J�,�/5�v��
ARCHITECT OR ENGINEE/ VV /
4(/7
/ te
LICENSE NO.
Plan Checking Fee
,$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
—
BUILyr,WRESs &/Vl
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
II //
Water piping
5.00
LOT NO. SUBDIVISION NAME*
2- 1
PA Rp�EL MAP
(r70 "22
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SFIA Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
5.00
Mobile Home S I G I W 1
1 110-00ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other
Describe work:
SF '
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100v OR LESS
100 AMP OR LESS
10.00
/� �dr/
ZA10 CA)lk--
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. ( DWELLING OCCUP.&
OR ADDNS. L ACC. BLDGS.
r
220sq ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR U TI.OUTLET 2,50 ea
NO N.RES'D BRANCH CIRC ITS
NEW CONSTR POWER APPARATUS &'
NON -RESID,/ SINGLE OUTLET CIR.
EX. Occup\OUTLETS OR FIXTURES 20@50t
300
FIXED APPLNS, OR ``
Ex. Occup. OUTLETS (RESID.) EA./ 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.
1 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 County of
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
agai st sold unt )n co seq en_ce f the granting of this permit.
``�� �(
X o,v ��. Date �'— V
Signature of Applicant — Owner6. Contractor E]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 $
i
TOTAL PERMIT FEE $
OCCUP. GROUP
I TYPE OF CONST.
PARCEL
ND
I ISSUE
This permit is hereby issued under
sio the Butte County Code and/or
wo i is ed bove for which
I CTO"F PUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
A
Date '� f d�
Receipt No.
WHITE-O.P.W., YELLOW-ASSCSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE s- Department of Public Works
7 County Center Drive, Oroville, CA. 95965
OWNER -BUILDER VERIFICATION
Attention Property Owner:
Phone: 916-534-4541
'An "owner-builder"'building permit has.been applied for in your name and bearing
your signature.
Please complete and return this information in the envelope provided at.your.
earliest opportunity to avoid unnecessary delay in processing and issuing your build-
ing permit. No building permit will be issued until this verification is received.
1. I personally plan to provide the major labor and materials 'for construction
of the proposed property improvement (yes or no)
2. I (have/have not)- signed -an application for -a-building
permit for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construct n:
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 N,
Address City
Phone Contractors License No.
-5. I will provide some of the work but I havelconfracted (hired) the following
persons to provide the work indicated:
Name Address Phone Type of Work
Signed :
Property Owner
.Social Security nu ber
Date It— 27- $
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
permitted to issue the permit.
S
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT
ASSESSOR PA CEL UMBER
V2"
ZONING
BUILDING PERMIT
owN R. I
hR r`s �`,� � GJh, �� �.�-
TELE HONE
4� S o
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING AD RESS
3,83 a
CONTRACT�1OR'S AME
® Lo N
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
rT
Total Valuation $ /,9 Q v
Filing Fee
$ 1000
LENDER'S MAILING ADDRESS
Permit Fee
$ :5 a
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
3
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
Each qas water heater or vent
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
AO0000ea
Building sewer
Mobile Home S G W
TYPE OF WORK
New ❑ Addi-,.ion ❑ Remodel ❑ Utilities ❑ Installation❑ Other
Describe work: rd D,MDle r�� Cf_44 �`
9-7& —82-
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service e00V OR LESS
100 AMP OR LESS
10.00
Main service EA. AOD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license Is In full force and effect.
License No. Classification
.Ivj,T1 lI, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.eI� 1/2ftgft
OR ADONS, ACC, SLOGS.
NEW CONSTR. TI -OUTLET 2,50 ea
NON-RESID .BRANCH IRC TS
POWER APPARATUS &)
SINGLE OUTLET CIR.
EX. OCCUp(OUTLETS OR FIXTURES 20080t
eAL03o
FIXED APPLNS. OR
EX. Occup. OUTLETS (RESID.) EA.1 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ 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.
f9fi I shall not employ any person in any manner so as to become subject
AJ to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said Cp my in cons qu ce of the granting of this permit.
Q
X Date �U 4
Signature of Applicant — OwnerLr 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 $
T
TOTAL PERMIT FEE $ p�7i v
occ".
CONST.TYPE
SCHOOL
FLOOD
PARCEL
I PD
ND
59UE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
IRE XPUBLIC_Z
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Dated. 2
/�.+.
��2 V
Receipt No. i S' � (oBy
WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD-APPLI CANT
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541
OWNER -BUILDER VERIFICATION
Attenticn 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 major labor and matexials for construction.of
the proposed property improvement (yes or no)
2.. I (have/have not) howe, signed an application for a building permit
for the proposed work.
_. I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors License No.
-4. I plan to provide portions of this work, but I have hired the following person
to coordinate, supervise, and provide the major work:
Name
Address City
Phone Contractors License No.
5.. I will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name Address. Phone Type of Work
Signed:
Property Owner
Social Security Number
Date /,2- ',,?
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.
Bill Whittaker
4949 Clark Rd.
e, CA 95969
Dear Mr.•WhittakRr:
uttecountil
LAND OF NA'T,URAL WEALTH AND BEAUTY
DEPARTMENT OF PUBLIC WORKS
CLAY CASTLEBERRY. Director
7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965
Telephoner(916) 534-4541
WILLIAM Gill) CHEFF
November 156 1983 Deputy Dioector
RE: Building Permit -No." 876-92
Expired , 4-28»83
(A . P . No. 41-42-46 )
With reference to,:the above subject, our records indicate that your Building
Permit WAM expiredon the above date. "Building permits are valid"for one year
and should construction be started but not completed -by the expiration date of
the permit, the permit sh'all=be renewed for 1/2 the original Building'Permit
Fee (plus a $10.00 "Filing Fee"). .The renewal permit will extend the Building
Permit for an additional year from the original expiration -date.
Should you not renew your permit in a timely manner, it cannot be renewed and
all work must cease until a new building permit isIssued.
If your construction is completed or should you have any question concerning
this matter, please contact the Paradise office.
For your convenience, we are enclosing a renewal application form and an owner -
builder form to be completed and signed by you where indicated and returned'to
this office together with.:the fee shown. Please return al.l'copies of the
application form.
Thank you for your prompt attention concerning this matter.
Yours'very truly,
Clay Castleberry
Director of Public Works
.F. Glander
JFG:aj Chief Building Inspector
Attachments: Permit Application
Owner -Builder Information
Owner -Builder Verification
cc: Building Inspector - Paradise
Chico - 196 Memorial Way/891-2751 Paradise - 747 Elliott Rd/872-2961; Ext. 57
COUN-1-Y OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville. California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
ASSESSOR RC NUMBR
` %� ._
'LONING
&
BUILDING PERMIT
OW;FR
TELEPHONE
SQ. FT. OCC.
BUILDING VALUATION
OW t/yE E�' S t/�I LI
A/ D F? �/- /
�• _
` �f /
CONTRACTOR'S NAME/
TELEPHONE
CONTRACTOR'S MAILING ADDRES51
Fireplace
CONSTRUCTION LENDERS
��'"�r�
UNKNOWN
Total Valuation
$
Filing Fee $ 10.00
_
LENDER'S MAILING ADDRESS
r ARCHiTECT OR ENGINE[ 7 LICENSE NO.
1,���-�
Permit Fee $ 6 , 25-
Plan Checking Fee $
Penalty $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit tee $ '75
B U I LFI tyGDDRESS
( ,5
l� L
PLUMBING PERMIT Filing Fee
10.00
Each Trap
2.00
_�.-- —
Solar Water Heater
20.00
U. el
Water piping
5.00
LOT NO.
SUBDI VISION NAME
P/AR EL MAP
l�- —2" Z
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
M USE OF STRUCTURE'
SF V Duplex ❑ Mobi Iehome ❑ Other
SPECIFY
Building sewer
5.00
Mobile Home S I G I W 10-00e
TYPE OF WORK
New -1 Addition[:]Remodel❑ Utilities❑ Installation❑ Other
Describe work:_
r-` +�• ` c�600V
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee
10.00
OR LESS
Main service 100 AMP OR LESS 10.00
-
Main service EA. ADD'l_ 100 AMP 2.50
" NEW CONST. ( DWELLING OCCUP.&\ Zi CSQft
OR ADDNS, l ACC. BLDGS. //
--_-- --
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Check one):
{� i am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. Business and Professions Code
for this reason
NEW CONSTR MULTI -OUTLET 2.50 ea
NON-RESID BRANCH CIRC ITS
NEW CONSTR ( POWER APPARATUS &)
NON-RESID. SINGLE_ OUTLET CIR. /
Ex. Occup(OUTL.ETS OR FIXTURES 0A'@'0o,
FIXED APPLNS. OR
Ex, Occup. OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
MECHANICAL PERMIT
FiIingFee
10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall riot 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.
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. 1 agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte toenter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
against saic� County in consequence of the granting of this permit.
I all liabilities, judgments, costs, and expenses which may in any way accrue
;� X _� Date
Signatur^ of A<,plicont "— Owner ❑ Contractor ❑ Agent ❑
An OSHA p:rrnit is reyuired for excavations over 5'0" deep and demolition or construct-
ion of st:octures over 3 stories in height.
Mobile Home installation Fee $
TOTAL PERMIT FEE $
OCCUP, GkOUP
TYPE OF CONST
—
F_[=
PARCEL
PD
IIU
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 beep. paid.
DIRECTOR OF. PUBLIC WORKS
By _ Date���
PERMIT EXPIRES Date—__ `�.- :i,{.1,?___v _--
- --�
Receipt No.—_ ---
_—
VIMITE•D.P.W., YELLOW•AssessOn, PINK-It115PECTOR, GOLDENROD -APPLICANT
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
fir ,L',.� Zoo.
FR oc
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
mss. fin�rLD.S�Or /—Z' l0kLl5 dvS 4
6z!� tel/
Inspector _ _ Date��/�O
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
IER 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, need additional explanation, please contact this office immediately.
/U G G 7u
i v iJ
S_.✓C'��7
V7 -
5 /d( Z<'
Date
Inspector_G/"��—�c!�—�c•�„� �1 _
/l1
�7,1-
Ylb3 -'qfie,
PERMIT NO.
PERMIT EXPIRES
OWNER BILL WHITTAKER
CONTR.. owner
ASSESSOR PARCEL 41-42-46
LOCATION_ 3834 Adell Lane, Oroyil.le
hY
G/��zlr.yso'.J oI= �'dd�.�1/►%/
Temp. Power Pole
Called PG&E
Temp. Elec. Service
Called P(
Temp. Gas Sei
Called PG
JOB FINALEI
Signature
R,
J = OK
0 = Not OK
- = 4�W(Applicable
= Not Ready
t.
RESIDENTIAL .(Single and D"lex)
Date
UNDERFLOOR Plans 0 xce t#'s
_Date FRAMING (Continued)
1. Zoning requirements Setbacks -Easements
48, -Props en
P 9s ,
`
2. Ftg., plain; Soils -Ste Elec. Grnd.- / /" Ftg. Depth_44_44TOoors-One
3' -Check Gara a -3rd story, 2 exits
3.' Ftg., Garage; Soils -St I- / /" Ftg. Depth
airs; WjLU-Feadrdom-R' -Fu-Ladding=Fi ection
4. Ftg., Porches & Dec s; Soils -Steel- / /" Ftg. Depth
gxjy! 6+--Ptyweed on Roof Overhang -Attic Vents -Rafter Outriggers
5. -Stemwalls, Main; S el-Blockouts-Wrapped-Slab
4 52r 6icffin"ailing-Veneer
6. Stemwalls, Garage Steel-Blockouts-Wrapped-Slab-
rip Screed-Fdn. Vents-Underflr. Access
7. Piers -Fireplace Ftg.-S I
lazing Area -Glass Protection -Skylights -Plastic
8. D.W.V.: Fall -Fittings -T st-2 way C/0 -Sewer Testa
Is; Nailing Bolts
9. Gas Pipe; Size -Anchor
_
10. Water Pipe; Test-Anc(ors-Regulator-Seryice Test
11. Electric; Underground
12. Plenums & Ducts; Clear rice -Material -Support -Ins.
13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI Date_7;—;' Card -BI Date
Card -BI Date . Card -81 Date
Card -BI Date Card -BI Date
Card -BI
Date Card -BI Date
t
Date FIN&Le�(Plans) OK except #'s
Card -BI Date Card -BI Date
Date
PLUMBING (Permit) OK except #'s
-Combustion Air
EA1,-reps-Door & Sidelight Protection -Landings,
`SP'Smoke Detector
e -Vents -Clearance -Comb. Air-Connector-
ara e; Above Floor-Ducts-Mech. Protection
ater.Pipe; Anchors ail P
T tt Anchors ail
B_edfogm Exiting
- ccess
.l. & Bath Fixtures & Tub Access
es S—er, n r
19. eLaa; Sjz R Anchors
&rfaJec'yrim & Subpanel; Breaker Sizes -Labels
_ Atf-S rs & Rails
Fir ce or Stove; Clearances -Hearth
(64-*-Elec. 0 ut-lets at Wood Panel; Int. & Ext.
Card -BI
Date ( Card -BI Date
& Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date _7i` Card -BI Date
Iec. Outlets & Receptacles at Kit. Counter
Date
ELECTRICAL Permit OK except #'s
ara 'ire Door; Swing-Landing=Closer
uct in Garage -Damper - - -
ixture & Transformer Clearance -Ins. Protectionir.
Htr.•;Vents-Clearance-Comb. Air-Connector-P.R.V.-
In e; Above Floor-Mech. Protection
lec. Receptacles Spacing -Lights & Switches at Doors
ize Bo es & No. of Conductors -Stapled
7A�b., Elec. &Mech. Equip. Listed for Location
x Installed o ge of& C.J.
Receptacles in Garage; (G.F.I.)-Romex Protec.
Equip. Ground ma a up w./Mech. Fasteners-Bowste
.ar*ar
anon-FoamLooked in Attic ❑Yes
in Kitchen & Conductor Size
rd Rails &Deck Construction -Post Caps
26. / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
. Looked under Floor ❑ Yes
/ ga. Cu or AI -Oven Circ. / / ga. Cu or A1,
Insulated Neutral ❑Yes El No
75. Following instld.: Drive E] Yes �fd0'-�Iks ,❑ Yes �'
Planters ED Yes El No
ctors & Ground -Main Disconnect
o' rown-Finish
. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
Equip. Clearances, P•
Clothes Closet Light-SgewerLlp�L;e-_VanTs_
Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opn s.
Wier --Well; Disconnect, Electrical, Plumbing
l89! �r Elec. Trim; G.F.I. Receptacle -Underground
Card B-1
Date (o Card -BI Date
Ve 'I'ation throughout House
8 s's Protection
Card B-1
Date
Date Card -BI Date
MECHANICAL ermit) OK except #'s
C ect'.ons from Previous Inspections
est -Meters Tagged; Gas -Electric
31. A.C. Ducts; sulation & Support
ter & Sewer Connected -C/0 to Grade -HD Approval
32. Vent Fan' xhaust above Insulation
Energy Compliance Certificate -Other Certificates
33. Condensat rain & Overflow; Size & Grade
34. Furnace -Lent; Access -Comb. Air -Return Air Vent -115V outlet
35. Attic Acc s & Platform if Furnace in Attic
Card -BI Date!!:;/Card-81 Date
Card -BI
Date Card -BI Date
Card -81 Date - Card -BI Date
Card -BI
Date Card -BI Date
Card -BI Date Card -BI Date
Comments at Final:
Date FRAMING Plans OK except #'s
3
--Walls; Stdtds-111ailing, SpQaPg`&c:Bcacfng-P -Samd
l,.aaring
Walls over Girders & Floor Nailing
Draf top in Walls (rat proof)
ire Stops; Furred Ceilin s-Stairs-Chases-iwb
4A__,+,Mader & Beam -Size & Bearing
42. Hangers -Post Caps -Anchors -Connectors
LS 7S
43.-G44;@, Joist-Rftr. Ties- Purlin -Roof Brac._-Truss-Shthng.-Rfng._
44--EiLeplace Ties or Type A Flue -Fireplace Throat
Romex Protection -Draft Stop -Ins. Baffles
yf�-Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
4 Framing
(NOTE: An entry must be made each time youvisit jobsite)
V=OK
0 = Not OK
- = Not Applicable MOBILEHOMES
* = Not Ready
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s
1. Zoning Requirements -Setbacks -.Easements
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.; Columni-Connections-Splice-Decal-Enclosures
6. Gas; Locatiorr-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 #'s
1. Zoning Requirements -Setbacks -Easements
Card -BI
Date
Date Card -BI Date
POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4. Electricity; MH Test -Crossovers -Breakers -Clearances
4. Elec.; Receptacles and Lighting; Distances-GFI
5. Drain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected -C/0 to Grade -HD Approval
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
B. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B-1
Card B-1
Date Card -BI Date
Date Card -BI Date
1 Card -BI
Card BI
Date Card -BI Date
Date Card -BI Date
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, dalifornia 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT y0,.
O Q(/6
ASSESS PARCC NUM R/
f}�
;kV G
BUILDING PERMI
OWN
I C
T Zr ONE
S0. FT. OCC. BUILDING ATION
OW ER'S MAILING ADDRESS
7 Ade I I
* OV4r WACTOR'S AR E LAITELEPHONE
PQM
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER ,
UNKNOWN
Total Valuation $
Filing Fee
$ 110,00
LENDER'S MAILING ADDRESS
Permit Fee
$ Q t
ARCHITECT OR ENGINEER
LICENSE No.
Plan Checking Fee
$ to 5�
Penalty
C $ ^
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ %
BUILDING ADDRESS
Lr
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00 -
LOT NO.
SUBDIVISION NAME
P RCEL MAP
Each qas water heater or vent
5'5,00 ,
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
5.00
Mobile Home S I G I W
ed
_-10.00
TYPE OF WORK
New EJ Addition Remod, ❑ Utiliti ❑ In allation❑ Other
D7L*,e work: C —
g CLA100
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 8001 OR LESS
AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING O C
A
2YzQsgft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check One):
�r ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and
and Professions Code and my license is in full force and effect.
License No. Classification
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CDONSTK U TI OD TLET
NO N.RESID BRANCH CIRC ITS 2.50 ea
NEW CONSTR. POWER APPARATUS &
NON-RESID. SINGLE OUTLET CIR.
2
EOccup(o@soe
x. OUTLOR FIXTURES .130@50t
OUTLETS TS
FIXED APPLNS. OR
Ex. OCCUp. OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities
15.00
Misc. Wiring 15.00
Permit Fee $ OZ 7. t10
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
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 relatingS
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said C unty in consequ nce of the granting of this permit. Q
X Date - �` O�
Signature of Applicant — Owner [� Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" d p and demolition or construct-
ion of structures over3pstori sin height.
Mobile Home Installation Fee $
��
TOTAL PER IT FEE $
OCCUP. GROUP
I TYPE OF CONST.
PARCEL
PD TLIVILeUx
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECT F PUBLIC
By
PERMI XPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No. I c/O F7
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, LD
7
J
� g8�
I��ncwi�
I4-0 cow (C-'f(�,
o�
r
TYPE OF CONSTRUCTION
DESIGN LOADS:
TYPE OF
CONSTR.
OL 4 LL DESIGN
LOADS
`j COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541
PERMIT APPLICATION DATA -SHEET
Permit No.
OWNER 6111- GUN/Ti/�K�iC' A. P. No.
Proposed Building Use /',)x&i'ie' //A/L d%/SNS 4: iii """c/ )WIZ # S;�t)
1%ZA^r ` `
Permit Fee Based�Up`ori: Complete Contract Price DPWW Valuation
Other (Explain)
Building Inspector\\ - < �/Date 3 J4A18fS l 2q,12 -
At time of permit application, I was advised the following data must be submitted prior to permit prose- s ,�h
and:/or issuance: DATE RECEIVED. APPROVED
1. All items have been submitted. . . . . . . . . . . ��---
2.,, Plot plans in duplicate./triplicate. . . . . . . . .
3. Complete plans in duplicate./triplicate: "--. ... . . . . .
4. Complete engineered plans and salts. . . . . . . . .
5. Plans with Energy Design Compliance Statement. . . . . .
6. State Energy Forms No.
7 Statement of Intent for Non -Heated and AC Buildings.
— / Fees of $ 7-S-0 S A_. s -Nom_ .Fv, . g P& J 171
i9 Letter of signature authorization.
' 4.�. anitation approval from 0AI�vf//LGA. Health De#ft.
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. . . . . . . .
•.
17. Pre -Inspection for Pre-Inspec. request to
Required- Building Inspector (Dote)
18. Recorded copy of Agricultural Acknowledgment Statement.
19. Other
When you issue the permit, process as follows: Mail to owner- Mail to contractor.
Telephone �`%�--/C"Rd and h'o-l-d)for pickup at office. Deliver w/inspector.
Other
Applicant �Dat�
Copy of plans sent Health Dept., Fire Dept., Other Date
During the plan checking process, the following data must be submitted prior to permit issuance.
(For required items not checked above at time of application, circle item.)
1. Index permit for above Items No.
2. Additional items required:
(Contractor, Designe , Owner as advised of above required data by
By
Plans checked by
Plans approved b,
Other
Copy—DPW , .l , ; , 1
ele hone Mail Other
Date 1-7-E7 -
,," t-,
_ Date
_ Date
TO: Building Department
From Environmental Health
Subjectv Sanitation Clearance
.�4, leap-,
mer.
Location
Plan Approved for Sewage Disposal ..m..,�., Water Supply
Hold Final fore Water 'R am ,l v
Final Clsay°ance O.K. for: Water Supply ...�.,e
Clearance for �� bedroom house/,mobilehome or tither
COUNTY OF BUTTE:- Department of Public Works
7 County Center Drive, Oroville, CA., 95965 Phone: 916-534-4541
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 in the envelope provided at your
earliest opportunity to avoid unnecessary delay in processing and issuing your build-
ing permit. No building permit will be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction
of the proposed property improvement (yes or no) "
61
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
constructi n:
Name �(
Address. City.
Phone Contractors License No.
4. I plan to provide portions of this work, but I have hired the following
person t,9 coordinate, supervise,'and provide the major work: -
Nam 141+ .
Address City
Phone Contractors License No.
5. I will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name Address Phone Type of Work
Signed:
Property Owner
R Social Security number
Date
NOTE:, This Owner -Builder Verification is sent to you as required by Sections 19831
and 19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are
permitted to issue the permit.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
} APPLICATION AND PERMIT
_PERMIT NO.��
�1ir/ a
ASSES OR PARCEL NUMB R
ZONING— ARM
BUILDING PERMIT
OW ER
N 11 s ,,/V lre.r-
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
Oro u l U 9
e C Iv RAC7 R'S NAME
o, w JQ e -r
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ p a
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 31,5 a
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$ 156
PLUMBING PERMIT
Filing Fee 10.00
��
Each Trap
2.00
orro J 1 , -q—
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home Is G W
0.00ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other
Describe work: 70 of f'e _ �%rbc
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
�i
1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure Is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. ( DWELLING OCCUP.01 +/zQsgft
OR ADDNS. ACC. SLOGS. I
NEW CONSTR TI -OUTLET 2.50 ea
NON.RESID .BRA CH CIRC ITS
/POWER APPARATUS e)
(SINGLE OUTLET CIR.
Ex. Occu1.200530
p OUTLETS OR FIXTURES 00030
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA.1 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ 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 shal I be deemed revoked.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
1 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
again aid,County in cons quer a of the granting of this permit.
l� �Q— arQ
X Date / (L? ti
Signature of Applicant — Owner Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct -IC
ion of structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $
TOTAL PERMIT FEE $ ya S1D
occup.
CONST.TYPE
ISCHOOLIFLOOOIP..CIELI
PD
1 ND
I I SSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
TOR F PUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date/?-
ate ?-�` �
L,z w,
Receipt No.
Receipt
WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
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 _ssued until this verification is received.
1. I personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no)
2. I (have/have not) signed an application for a building.permit
for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors License No.
4. I plan to provide portions of this work, but I have hired the following person
to coordinate, supervise, and provide the major work:
Name
Address City
Phone Contractors License No.
5-. I will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name Address . Phone Type of Work
;Signed:
MA
Property Owner
Social Security Number
Date
NOTE,: This Owner -Builder Verification is sent to you as required by Sections 19831 and
.19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
;ORM 7
ENERGY SHEET
FOR
ADDITIONS TO RESIDENTIAL BUILDINGS
PERMIT NO. ;96-85- PACKAGE "A" (Additions).
NAME CmA KF.—P.. SQUARE FOOTAGE
- 17JOB ADDRESS .38 3 4 AD&kL 1./4A/i_ Existing Residence
TYPE OF WORK C' 64 v&Ar l:/A/p/NiS# A le., New Addition
New Total
The following information -sheet, showing mandatory features and required features of
Package "A" must be completed and attached to all plans for additions. to dwellings.
Additions to dwellings include room add itions ,.converti'ng garages and patios to living
areas, house moves that add footage and attic conversions, and any space that is ex-
isting non -conditioned space that is converted to conditioned space. Remodeling of
existing conditioned space is not included.
ZONE 11 ZONE 12 ZONE lE
INSTALLED APPLIES TO NEW AREA
MAO& Foot -
CEILING LA.#l- R-30 R-38
✓WALL -it- /,S Q�3 �� R-11 R-19
FLOOR R-11,waL�. R-11 R-19
SLAB R- 7 GD^- R-11 R- 7
GLAZING .65 .65 .65
SHADING
,00'SOUTH - OPTIMUM OVERHANG
or .36 S.C.
/NEST - .36 S.C.
LOOSE FILL INSULATION (Density)
_INFILTRATION CONTROL (Weatherstrip doors, certified windows, caulking)
VAPOR BARRIER (Zone 16)
. DUCTS PER UMC = Ch. 10
SIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT
��IAXIMtI GLAZING 16% OF AREA PLUS REMOVED GLAZING
NEW HVAC AND HOT WATER IN CONJUNCTION WITH AN ADDITION SHALL COMPLY
AND FILL OUT DATA ON BACK OF THIS SHEET
7/83
Ful
❑*
on
❑ *2
HEATING. VENTILATING, AIR CONDITIONING SYSTEM
(A) Heating
Central Gas Furnace 7
(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
model number
type (liquid or air) Collector brand and
ft2
solar fraction collector area collector
collector tilt rated y -intercept
Other
(describe)
(B) Cooling
Electric Air Conditioner
(brand and model number) (seasonal EER)
Btu/hr
(cooling capacity at 95°F)
Electric Heat Pump
Btu/hr
(cooling capacity at 95°F)
Other
(describe)
DOMESTIC WATER SYSTEM
(A) Gas Only Gallons
(brand and model number) (tank size)
Heat Pump w/Electric Backup
(brand and model number)
Gallons
(tank size)
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)
*1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing
charts (form 4)'4) or other approved methods, section 2-5352(g), and fill out the
following.
Heating: Winter design temperature °, elevation heating load BTU
elevation factor x heating load = maximum outlet capacity gas furnace
BTU
Cooling: Summer design temperature ", cooling load BTU
*2 Submit T.I.P.S.E. chart'or other approved system (form #5) to document sizing of
solar panels.
® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of
Title 24, Part 2, Chapter 2-53 of the California Administration Code.
SIGNATURE F BUILDING DESIGNER OR APPLICANT
•
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1. r-ULL 1 10- 'IkAW 0
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1 7, 14 4-m Y4
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t of plans and sPecificaflorTs ML'$T' �be
Thi se
kopf on fIje,jO6 a+ all fIM
V-
-Ind OS r
mako a"'y rafoons oil t060 withoui
or
-nt f Pub.
arfmL
Ile Works, County f B4ijo,,
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—All Matorials & Workmanship Shall Be i
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