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• ' ,sem~' � ` _ ' , I -
F ' PERMIT NO. 3051•-83B2P,E
PERMIT EXPIRES
r
OWNER DON•CUMMINS
I ,
CONTR. owner
c
ASSESSOR PARCEL 4216-37
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LOCATION N/S W. Sacramento Ave, 100% W of
�
Glenwood, Chico
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` Temp. Power Pole
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Called PG&E
! Temp. Elec. Service
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/ Called PG&E
Temp. Gas Service
f Called PG&E
JOB FINALED (Date)
)'
Signature
ENERGY SHEET
FOR
ADDITIONS TO RESIDENTIAL BUILDINGS
PERMIT NO. 3051`"83 PACKAGE It A" (Additions)
NAME
JOB ADDRESS
TYPE OF WOR
Co vE,�ED
Yid£ W , ) 644,&�
FORM 7
SQUARE FOOTAGE
Existing Residence
G4RA60, New Addition 180,00
New Total
The following information sheet, showing mandatory features and required features of
Package "A" must be completed and attached to all plans for additionsto dwellings.
Additions to dwellings include room additions, converting 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
10�
INSTALLED APPLIES TO N1W AREA
/i[/SLlL i} -T10
CEILING R-30
R-30
WALL R-11
R-11
FLOOR R-11,
R-11
_. ---T
R-11
' GLAZING ,65
.65
SHADING
SOUTH -" OPTIMUM. OVERHANG.
or .36 S.C. Wlgl*7"�
�- 59=>c2'E
R-38
R-19
R-19
R- 7
,65
WEST - < 36 S. C,. NoIC
LOOSE FILL INSULATION (Density)
INFILTRATION CONTROL (Weatherstrip doors, certified windows, caulking)
DUCTS PER UMC _ Ch, 10
LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT
_ MAXIMUM GLAZING 16% OF AREA PLUS REMOVED GLAZING 52-90 F7 Z
NEW HVAC AND HOT WATER IN CONJUNCTION WITH AN ADDITION SHALL COMPLY
AND FILL OUT DATA ON -BACK OF THIS SHEET
7/33
Q
le
A 0.e
3v
*L
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 slope
❑
Other
' (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)
t
--------------------------------
--- --=DOMESTIC
WATER SYSTE
asOnnlY Gallons
(brand and model number) (tank size)
❑
Heat Pump w/Electric Backup
(brand and model number)
Gallons
(tank size)
2
[3*
Active Solar
(collector brand and model number) -
(rated y -intercept) (rated slope) (solar fraction)
ft2
(backup heater type, brand and model number) (collector area)
(collector orientation) (collector tilt)
❑
Location of Solar Panels
❑
Other
(Describe)
*l. Submit documentation of sizing heating and cooling equipment by Manual'J, sizing
charts (form #4) or other approved methods, section 2-5352(g), and fill out the
following:
l&56 THA -Z
Heating: Winter design temperature 2� °, elevation 1000 ', heating load BTU
elevation factor _ x heating load - maximum outlet capacity gas furnace
BTU
Cooling: Summer design temperature 1c0, 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 OF BUILDING DESIGNER OR APPLICANT
J = OK
0 = Not OK
- = Not Applicable MOBILEHOMES
*.=-Not Ready
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except H's
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except 4'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.-Rig.-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
6. Carports; Windows -Doors
7. Utility Clearance i.'.
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/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 -Enclosures -Panel boards -Ins. to Main in Conduit
9. Exits; Insp.-Sketch
10, Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B-1
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B-1
Date Card -BI Date
Card -BI
Date Card -BI Date
J = OK
0 = Not QK
Not'Applicable RESIDENTIAL (Single and Duplex)
= NCt Ready
Date UNDERFLOOR Plans OK except it's
Date FRAMING (Continued)
1. Zoning requirements -Setbacks -Easements
2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
-48. Property Line Firewall & Openings
AQ_ Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth
,40. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection .
4. Fig., Porches & Decks; Soils -Steel- / /" Ftg. Depth.
Plywood on Roof Overhang=Attic Vents -Rafter Outriggers
5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
{62. Siding -Nailing -Veneer
6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
S3 Stucco Mesh -Drip Screed=Fdn. Vents-Underflr. Access
7. Piers -Fireplace Ftg.-Steeli
4. Glazing Area -Glass Protection -Skylights -Plastic
_ 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
.95_ Shear Walls; Nailing -Bolts
9. Gas Pipe; Size -Anchors
10. Water Pipe; Test -Anchors -Regulator -Service Test
r� r ,7 r � S- r1�1 VWg_
11. Electric; Underground
12. Plenums & Ducts; Clearance -Material -Support -Ins.
13. Girders -Sills -Anchor Bblts-Joists-Vents-Cripples
Card-13120Date Card -BI Date
Card-BI Date Card -BI Date
Card -BI Date Card -BI Date
Card -BI Date Card -BI Date
Date FIN (Plans) OK except q's
Card -BI Date Card -BI Date
Date PLUMBING (Permit) OK except p's
5er Ext. Steps -Door & Sidelight Protection -Landings
woke Detector
_ 1 . W er Ht.; Vent -Access -Combustion Air
58rFamace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Meth. Protection
59--Be4reom Exiting
1 Water Pipe; Tp.*('& Anchors -Nail Protection
1 Test-Fttngs & Anchors -Nail Protection
_J_.W.V.:
J.Z. Shower Pan; Test, First Floor -Tub Access
64: -E1 -F -F. -&-Bath Fixtures & Tub Access
. Test Tub & Shower, 2nd Floor -Tub Access
dim & Subpanel; Breaker Sizes -Labels
_--
-Gas Pipe; Size & Anchors
92--9tvr-3- -Rai.ls
— —.7.8:
�J
62:--FirepFese or Stove; Clearances -Hearth
54r-fiet-76uttets at Wood Panel; Int. & Ext.
Card -B Date 7Cl Card -BI Date
& Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI Date Card -BI Date
s & Receptacles at Kit. Counter
Date ELECTRICAL Perrr,it OK except q's
EV Garage Fire Door; Swing -Landing -Closer
A.G. Duct in Garage -Damper
tr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In arage; Above Floor -Meth. Protection
_ Fixture & Transformer Clearance -Ins. Protection
&AeElec. Receptacles Spacing -Lights & Switches at Doors
Elec. & Mech. Equip. Listed for Location
ize Boxes & No. of Conductors -Stapled
omex Installed Close to Edge of Studs & C.J.
7 Elec. Receptacles io Garage; (G. F.I.)-Romex Protec.
___
�
--- $AEquip. Ground made up w/Mech. Fasteners -Bond Gas & Water
bon -Foam -Looked in Attic E] Yes
33 --@card Rails &Deck Construction -Post Caps
— Q -2 Appliance Circuits in Kitchen & Conductor Size
74. Fd...-VUMT'&-Crawl Hole Door -Drainage & Wood -Earth Clear nce
L ed under Floor ❑ Yes
- ?l�Subfeed Wire Size i / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At
.2ji Range Circ. / / g� Cu or AI -Oven Circ. / / ga. Cu or At,
Insulated Neutral ,_Yes ❑No
7 ollowing instld.: Drive s ❑ No: Walks es ❑ No;
Planters ❑Yes o
Service -Riser Conductors & Ground -Main Disconnect
ucco; Brown -Finish
Equip. Clearances; Panels-Motors-Mech. Equip.
C. nit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
- -60 Clothes Closet Light -Shower Light _
ents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
------- ------ - -----
79+-W2TITM0II; Disconnect, Electrical, Plumbing
Card B -I Date Card BI Date
- _ _ _—
Card B -I Date Card -BI Date
80_F_4@4or:-Elec. Trim; G.F.I. Receptacle -Underground
n throughout House
tection
Date MECHANICAL (Permit) OK except k's
_
Corrections from Previous Inspections
844--GnT-re-Meters Tagged; Gas -Electric
--- 44, A.C. Ducts; Insulation & Support _
Sewer Connected -C/O to Grade -HD Approval
P2,Vent_Fan; Exhaust above Insulation
_
Condensate Drain _& Overilow; Size & Grade
nergy Compliance Certificate -Other Certificates
___-3A! Furnace-Vent;_Access-Comb._Air-Return Air Vent -115V outlet
-86. Attic Access & Platform if Furnace in Attic
Card -BI Dat ��p/f Card -BI Date
Card -BI Date [ Card -BI Date
Card -BI Date )-14e- Card -BI Date
Card 81 Date Card BI Date
Card -BI Date Card -BI Date
Date FRAMING(Plans) OK except q's
Comments at Final:
_ 3b,,—Sills; Proper Material & Anchors
3y!' Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
13'l7/Oearing Walls_over Girders & Floor _Nailing--------
ailing____Draft Stop in Walls (rat proof) _
Draft
4G� Fire Stops; Furred Ceilings -Stairs -Chases -Tub
---= -
H ader & Beam -Size & Bearing_
4 ngers-Post Caps -Anchors -Connectors
4V Cing. Joisi-Rfir. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
�44� Fireplace Ties or Type A Flue -Fireplace Throat
4�Arttic Access: Size & Rom ex Protection -Draft Stop -Ins. Baffles
tfe. Bdrm.-Windows or Exiting Doors -Sill Hgt. & Dimensions__ --
-4;. Garage Fire Protection Framing
(NOTE: Anentrymust be made each time youvisit jobsite)
COUNTY OF BUTTE
r' 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.
L llh�.vT Ti A . v
E
Inspector Date ����
ACOUNTY OF BUTTE -DEPARTMENT OF' PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
` APPLICATFQN AND PERMIT
--PERMIT NO.
?4
ASSESSOR PARCEL. NUMBERZO
ING
BUILDING PERMIT
OWNE
TELEPHONE
SQ, FT. OCC.1 BUILDING VALUAf ION
OWNER S AILING A DRE
- � iG
&1V
o
CONTRACTOR'S NAME
W G
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
NbIt/ C
UNKNOWN
Total Valuation $
FilingFee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ V
ARCHITECT OR ENGINEER
LICENSE NO.
Checking Fee
,$
{Pr1laann
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS"'--'
Permit fee
$ 5—vBUILDING
ADDRESS
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00lxlwa , QQ
Solar Water, Heater
20.00
(; �160
Water piping
5.00 j �v
LOT NO. SUBDIVISION NAME PARCEL MAP
Each qas water heater or ve
5.00 Q
Gas piping system 1 - 5 outlets
5.00 p
USE OF STRUCTURE
SF Duplex ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer
5.00 v
Mobile Home S I G I W
10.00 e
TYPOF WORK
❑ tilities ❑ Installation Other ❑
New ❑ Additi2.T',xZ.'
Describe work:W/1 64`�
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service e00v OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING
OR ADDNS. ( ACC. BLDGO & )
I T
2/20sgit V
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
ElI 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 ULTI.OUTLET 2,50 ea
N.N.RES'D BRANCH CIRC ITS
NEW CONSTR. POWER APPARATUS &'\
NON-RES,D. (SINGLE OUTLET CIR, /
z0150a9AL®so
Ex. Occup(o XOR FIXTURES
FIXED APP LNS. 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
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 Alb Al C
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
again id Coun in consequence of the granting of this permit.
G).. ��
X Date //
Signature of Applicant — Owner Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
7—
TOTAL PER T FEE $Afill )O(5).
OCC P. GROUPTYp�oONST.
3
1�L//-
PA71
t/
PD
717-
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRE R OF PUBLIC
By
PEWIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
I
Receipt No.
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
}`y OWNER
COUNTY OF BUTTE - DEPARTMENT, OF -PUBLIC WORKS - BUILDING DIVISION
,4 17 COUNTY CENTER DRIVE - OROVILLE, CAL•`1'FORNIR 95965 - TELEPHONE: 916/534-4541 , e
PERMIT APPLICATION DATA SHEET
Permit No.
,4,z / 1_�� �f�
0
Proposed Building Use Grp C v�1�7. G�„�a� sf /o,/tpr�✓ �% �'�O
Permit Fee Based Upon: Complete/Contract Price -----,-DPW Valuation
--�Other,(Explain)
Building Inspector_ � ll"/i1./ Date ,`1✓ �-�
At time of permit application, I was advised fhollowing'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. ,
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ , , , , , , ,
9. Letter of signature authorization .• .
C7 10. Sanitation approval from �`.��, %� Health Dept. /-7
11. Planning approval for (A) Use: (B) Parking:
12, Certificate of Workmen's Compensation Insurance. . .
13 -,"Contractor's License Information (no., name style, classif.)
0 — 4, Owner -Builder Verification (Given to ownerg,,-�ail to owner ❑.) � '
15. Improvements may be required. . . . . . . . . . . .
16, Mobilehome Installation Data. . . . . . . . .
•
Pre =lnspec. request to
17. Pre -Inspection for Required. Building Ite)
n pector
d 18. Other // , _
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver w/inspector.
Other
Appl ican
!�1 _ Date `
7
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, Designer, Owner) was advised of above required data by Telephone
By
Plans checked by% 01 Date
Plans approved b� Date
Other:
Copy—DPW
Mail Other
Date
,,
F
...
...
TO: Building Department ,
FROM: Environmental Health, Chico
SUBJECT: Sanitation Clearance
40-16-37
Owner' Locatio AP#
Plann approved for; sewage disposal water supply
Hold final for: water supply
Final clearance O.A. for: water supply
Clearance for bedroom mobile home. Other c Q.v�� 1�vmI
14.4
Note***
Z/� p
Sanitarian
-783
Date
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541
OWNER -BUILDER VERIF ICAT ION
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)�k�_ 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 %7,4M ES
....Address 142S' A'4 f APiftE City, a
Phone 34-t— / _YW9 Contractors License No.
5. I will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name Address Phone Type'of Work
Signed:
Property Owner
Social Security number
Date
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831
and 19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are
permitted to issue the permit.
r7,
DB .
77�
I$
I
I
I
TA
-07
i ENERGY SHEET FORM 7
0 FOR
• .' s ADDITIONS TO RESIDENTIAL BUILDINGS
PERMIT N0. .3051-83 PACKAGE "A" (Additions)
NAME 11.Al SQUARE FOOTAGE
JOB ADDRESS S' L Existing Residence
TYPE OF WORK 4DD . L4UA)1�Y 4q, CQAQ.f New Addition �g0,00
60 &AfED POR_0 - New Total
The`following information sheet, showing mandatory features and required features of
Package "A" must be completed and attached to all plans for additions. to dwellings.
Additions to dwellings include room additions,.converti'ng garages and patios to living
areas, house moves that add footage and attic conversions, and any space that is ex-
isting non -conditioned space that is converted to conditioned space. Remodeling of
existing conditioned space is not included.
KZ 'ON F 11 Z.
INSTALLED APIES
/P_Q�N W AREA
CEILING R-30 R-30 R-38
WALL R-11 R-11 R-19
FLOOR R-11 R-11 R-19
R-11 R- 7
GLAZING 65 .65 .65
SHADING
SOUTH -OPTIMUM OVERHANG
or .36 S, C,
WEST - .. 36 S.C. NoNC
LOOSE FILL INSULATION (Density)
INFILTRATION CONTROL (Weatherstrip doors, certified windows, caulking)
DUCTS PER UMC - Ch. 10
r
LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT
MAXIMUM GLAZING 16% OF AREA PLUS REMOVED GLAZING 52.80 F7.z
NEW HVAC AND HOT WATER IN CONJUNCTION WITH AN ADDITION SHALL COMPLY
AND FILL OUT DATA ON BACK OF THIS SHEET
r
7/83
U
*1 HEATING VENTILATING. AIR CONDITIONING SYSTEM
(A) Heating i
Central Gas Furnace
(brand and model number) SE C�•
Btu/hr L
1
(heating capacity) r,
Heat Pump r�
(brand and model number) ACOP
Btu/hr
(heating capacity at 47°F)
Active Solar
type (liquid or air) Collector brand and
ft2
model number solar fraction collector area collector
orientation collector tilt rated y -intercept
❑ Other
(describe)
*1 (B) Cooling
❑ Electric Air Conditioner
(brand and model number) (seasonal EER)
Btu/hr
(cooling capacity at 95°F)
❑ Electric Heat Pump
' EER
Btu/hr
❑
❑ *2
■
(cooling capacity at 95°F)
Other
(describe
s n y . 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 Y64) or other approved methods, section 2-5352(g), and fill out the
following:
Heating: Winter design temperature 2q °, elevation 1000 ', heating load BTU
elevation factor x heating load = maximum outlet capacity gas furnace
BTU
Cooling: Summer design temperature 1co °., 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 OF BUILDING DESIGNER OR APPLICANT
f
�
�
r
BUTTE COUNTY DEPARTA9F.NT OF' PUBLIC
WORKS L7
SPECIAL- INSPECTION REPORT
tie
Owner:-��
J < <_ GS
/
A.P. # ": %
Address:
Date of Inspectionp
Tenant: _
'• /�(�, D�
Inspector
Building
,Location:
/OD (w
Type of
Iasgection requested:
1. Housing 2. Financing
3. Change of Occupancy to
4. Other (specify)_
1
.Present use cf buildin� �
A. Sanitation (Housing
1.
Water closet:
2.
Lavatory: p'
3.
Bathtub or shower:
4.
Kitchen sink:
5.
Hot and cold water to fixtures:
6.
Heating facilities:
7.
Natural light and Ventilation:
8.
Room and space requirements:
9.
Bedroom window or door for second exit:
_
10.
Infestation of insects, vermin..,
or. rodents:
11.
Connection to sewage disposal:
e
•12.
Connection to water supply:
13.
Rubbish and garbage facilities:
•14.
Comments:
B. Structural
1. Piers and footings:
2. Floor constniction:
3. Wall construction:
4. Ceiling and roof construction:
5. Fire.pl.aces:
6. Comments:
C. Electrical
i. . Service and ground:
'2. Receptacles
3. Fusing:
4. C(mmerts:
D.• Plum" bing
1. F4lx
tunes connected and vented:
2. ^as water. heater:
3. Gas heating vents
-4. Corments
E. Other
1. Maintenance and repair:
2. Fire hazards:
3. Safety hazards:
4. Weather protection:
5. Underfloor and attic ventilation:
6. Continents :
F. Commercial Buildings ;
1. Roof covering:
2. Distance to property lines:
3. Physically h*andicapped:
4. Restroom floors and walls:__
5. Exits:
6. Improvements:
7. Zoning:_
8. Comments:
G. Field Problems or Violations
1. Problemnor violation. (give comp.let.e. deser.iption) :
2. What act: opn taken (gi• a co -rap -bete descrip ion) :
3. What action recommended:
77A. Information only - firma.
29 B. Hold for ten (10) days, then write letter.
/ / C. Write letter.
77 D. Other:_
❑ B. N. R,I;QUEST FOR INSPECTION
ion:
Owner
Como:
Permit N C
ZI
Contractor or T
BLDG.
PLUMBING
ELM.
H.I.
SPECIAL
Form
Rough
Rog u
Corrections
Job Status
Frame
Top Out
Temp. Service
Final
Permit Renewal
Stucco
Gas Piping
Service
Verify Utilities
Fireplace
Bond Beam
Temp. Gas //��
Sewer Pipin4we
Undergro d OTHE
—�!Wr G� ���
ial Insp.
Water Piping??
�hss
!t:!Spec
f -Ss
Corrections
Corrections
Corr t
READY
Final
Final
Final
FOR INSP. O a.m .
�U
, P.M.
Dat �l� Time:
Note:
l( 1
x
iA
f
I k
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
P RMIT NO.
ASSESSOR PARCEL NUMBER
42-16-37
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
S0. FT. OCC. BUILDING VALUATION '
OWNER'S MAILING ADDRESS
Rt. ##2 'Box 309, Chico 1
CONTRACTOR'S NAME (
owner
TELEPHONE
lst renewal
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER I -
none
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
I
ARCHITECT OR ENGINEER LICENSE NO.
none
Filing Fee
$ 10.00
Permit Fee 3' FEE
Plan Checking Fee
$ 32 .50
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
Permit fee
$ -42 90
BUILDING ADDRESS ,
PLUMBING PERMIT
Filing Fee 10.00
NIS W. Sacramento, app.Each
100' W Glenwood
Trap
2.00
Solar Water Heater
20.00
Chico
Water piping
5.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
I
Each qas water heater or vent
5,00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF ® Duplex[] Mobilehome❑ Other add
SPECIFY
Building sewer
5.00
Mobile Home JSJGJWJ
10.00e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other ❑
Describe work: ) —
1st renewal Permit #3051-83
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service aOOV OR LESS
100 AMP OR LESS
10.00
. i
Main service EA. ADD'L 100 AMP
2,50
CONTRACTORS LICENSE LAW 1
I declare under penalty of perjury (check one):I
❑ 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
❑ 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 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.&
OR ADDNS. ACC. BLDGS.
21/20Sq ft
NE
NON -CON R BRANCO CIRCT TS 2.50 ea
NEW CONSTR ( POWER APPARATUS &)
NON -R ESID. SINGLE OUTLET CIR.
ExOCCu zo ®aoa
. P OUTLETS OR FIXTURES eALosoe
Ex. OCCUp. OUT ETS FIXED PRESID,)LNS REA. ) 2.00
Temporary service 10.00
Mobile Home Facilities
15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
A115-ORKMEN'S COMPENSATION INSURANCE
I declare under natty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to becomeisubject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked. I
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws 'relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
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
Mi, . i
nst said County in consequence of the granting of thijs permit.
}� I
Date
ignature of Applicant — Owner❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or cons+rucr-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $ 42 .50
OCCUP. GROUP
TYPE OF CONST.
PARCEL
PD
ND
95UE
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By Date
PERMIT EXPIRES Date. 9/15/85
Receipt No. I
WHITE-D.P.W., YELLOW -ASSESSOR, PINI( -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION A.ND PERMIT
ASSESSOR PARCEL NUMBER
42-16-17
ZONING
1 A -r.
BUILDING PERMIT
OWNER
Don Cumminc;
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
I
OWNER'S MAILING ADDRESS
Rt. #k2 Box 309, Chico
�
CONTRACTOR'S NAME
Owner
TELEPHONE
1st Renewal
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
none
UNKNOWN
Total Valuation $ k'
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee [1a "2 FEe
$ 32.50
ARCHITECT OR ENGINEER
none
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
'
Permit fee
$ 42.50
BUILDING ADDRESS
N'S W. Sacrmaneto Ave., app. 100
PLUMBING PERMIT
Filing Fee 10.00
W Glenwood
Each Trap
2.00
Solar Water Heater
20.00
Chico
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❑ OtherArlr� rarn>EAF n a
ch
�PECIF�p
Building sewer
5.00
obile Home S G W {
�
10.00e
TYPE OF WORK
New❑ Addition❑ Remodel❑ Utilities❑ Installation[] Other ❑
Describe work:
1st Renewal Permit #3051-83
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 I
2.50
CONTRACTORS LICENSE LAW
INON-RESID'L
I declare under pens y 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 t I reason
NEW CONST. (( DWELLING OCCUP.g`
OR ADDNS. l ACC. BLDGS. l 2/20sgft
NEW
BRANCH CIRCTITS) 2.50 ea
NEW CONST R. POWER APPARATUS!,)
NON -R ESID. (SINGLE OUTLET CIR/
Ex. Occ Up(OULETS OR FIXTURES BALO 30T
ALvQ
FIXED APPLNS. OR
EX. Occup. OUTLETS (RESID.) EAJ 2.00 1
Temporary service 10.00 1,
Mobile Home Facilities 15.00
Misc. Wiring 15.00
I
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare unde natty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
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 ali:'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
jainst said County in consequence of the granting of this permit.
Date
re of Applicant — Owner ❑ Contractor ❑ Agent ❑
An OSHA permit is reguired for excavations over 5'0" deep and demolition or construct-
ion of structures_o'eL'3__'stories in height.
Mobile Home Installation Fee $ j
TOTAL PERMIT FEE $ 42 . 50
OCCUP. GROUP
I TYPE OF CONST.
PARCEL PO
ND
SsVE
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By Date_
PERMIT EXPIRES Date 9/15/85
Receipt No. ,..._.._ _
p$'Ei9WcA>3@gapp�qf, i �INp•[CTOq, GOLaE (CANT
477"?
'
•PERMIT NO. 4877-75B
i.
1
E
M
MH UTIL.
PERMIT NO.
f
PERMIT EXPIRES
James Cummins
OWNER
CONTR.
North Valley Roofing, Chico
LOCATION
(A.P. 42-16-37 )
s;
�(
n/s Sacramento Ave. approx. 100' W. of
t
Glenwood Ave., Chico
'
C F eO
1•.
ti
1'
�i
I,'
i.
a
i
7
t
P
}
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
I).
Called PG&E
Temp. Gas Serv.
!
Called PG&E
��
JOB cc��
✓ �`
FINALED ✓
(Date)
'
(Signature)
COUNTY OF BUTTE — DEPARTMENT OF'PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING BU4;L-KNG (Cont'd) PLUMBING
Setback Firewall Soil Piping
Forms Parapets 1st Floor
Main Bldg. Restroom Finish 2nd Floor
Footings Windows 3rd Floor
Stemwall It Siding To out
Slab Roof Sheathing Water Piping
Piers Roofing 5,sE hGo 71Z Sewer
Garage f Fdn. Vents Fixtures
Footings Garage Vents Water Htr.
Stemwall Prov. for physically Heaters
Slab handicapped Appliances
Carport Conformance of ex. Gas Piping & Test
Footings / structure Temp. Gas
Slab j Final Sanitation
Patio ! FIREPLACE Final
Footings Footing ELECTRICAL
Masonry Walls Throat Rough
Reinf. Steel Final Fixtures
Bond Beam FIRE SPRINKLERS Motors
Framing Test Water Htr.
Stucco Final Subpanels
Mesh MECHANICAL Grd. Fault Prot.
Scratch Heating Service
Brown Cooling Temp. Pole
Finish Ducts Underground
Interior Lath Ventilation Permanent
Door Closer / Final Final
DATE lv�'7/ `7 REMARKS OR CORRECTIONS
COUNTY OF BUTTE — .DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - droville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
49.04 4
BUILDIN
Owner �-s !J ��, �
SQ. OCC. DINp
VALUATION
Mailing Address
Telephone No.
Fireplace
Contractor y
Total Valuation
Mai I i ng Address
Permit Fee
Plan Checking Fee &/or Penalty
'I Tel hone o
Permit Fee
$
,60
10C
Building Address �e.`�� — �,
a r- �j '"
PLUMBING
No.
@
FEE
MIT FILING FEE J$3.00
Each Trap 1.50
`o®cq Z
Repair drainage or vent piping
1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No. �"�
Zoning 8 Planning
Gas piping system 1 - 5 outlets
1.50
Each additional outlet .30
FL2res
ire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma P
60' R/W
Improvements
p ovements
Lawn sprinkler system 2.00
Bldg. Plans Recd
I Parcel Approval
Plans Approval
Permit Fee
$
$
N E ADDITION ❑ UTILITIES OTHER
ELECTRICAL
No.
@
FEE
PERMIT FILING FEE $3.00
tJ c7,4 -00 -ow
Main service incl. 1 meter
5► �,
Additional meters, each
1.00
Sub -panel (12 or less) (morethan 12)
-
Single Family Eg� Duplex ❑ Mobil Home ❑ Others ❑
Range, Cook -top or Oven 1.00
Water Heater or Space Heater
1.00
Light fixtures b002
al 010
Receps„ switches & fix outlets 20 @25
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code un r the me
style of: l t
G r»
Hood, Ex. Fan or F.A. Furn. Motor
1.00
Evap. cooler, gar. disp. or D.W. 1.00
Air conditioner or heat pump
Water pump
Mobil Home Facilities 5.00
Temp. Power Pole 5.00
' �_ �9
License No. .�33� � Classification
Misc. wiring
f, -1' am exempt from the Contractors License Laws of the State of California.
Permit Fee
$
$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
❑I certify that in the performance of the work for which this
permit .is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL
No.
@
FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
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
TOTAL PERMIT FEE
$ e
authorize re resentatives of the County of Butte to enter upon the
above -me i ned property for inspection purposes. S'
kX Date �3 ^N
'gnatu��rmi ee or A
Receipt No.
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF/-PAJBLIC WORKS
By Dateq-�' 71-�' ? 1
uilding permit expires Date'?