Loading...
HomeMy WebLinkAbout042-590-026Q�e ` e JAMES y � A5 / I � `, -- 42-59-36 ,i Permit#98-89A(Agricultural Bldg Exem;� it 734 Dead End Ct, lot rc3�'h�i �j/ Permit#721-85B ECoofarm imp) P \ if .- ,M(new single fami.ly) . d17 Res [3_59..36 s EDITH HAMPTON , �! 734 Dead End Ct, Chico - PErmit#2960-87P,E(util,MH) ELEC GAS SUPPORT STRUCTURE REQ COMPA ON TEST REQ_ 42-59-36 WARING & HAMPTO t 734'Dead End Ct, Ch o Permit#34_69-879,P,E(ne ump ho e ' �Pe'rmit#3466-88B(lst renewa 34 9 7) i 42-59-36 Permit #3962-8q f (znd enewal f Permit #3469-87) 42 =59-36 492'=91B,P,E,M (new sf) �.' 042-59-0-036 91-350 .9 HAMPRTON , , ED I'TH CONTR: OWNER b;y-AY 7.34 DEAD END CT, CHICO GAS PIPING/SF'., i, I 042-59-0-036 92-3476 BPE_ t HAMPTON, Waring & Edith 734 Dead End Ct, Chico •�► "' '' contr: Holiday Pools swimming pool 4 f i `� I _ _� ems-' f. t E IDE TIAL : " 1 042-59-0-0 HAMPTON 36 W.� aria 92-3476BPY E r 734 Dead g &Edith 92 9 . •-' contra End _Ct, Chico Holiday Pools swimming Pool d. y(p 16 i . ,l 1 0 f JOB FINALED (Date) I I Signature J=OK O=Not OK Not = Not Readya - MOBILEHOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L"It. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy i Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Dated Card B-1 Date Card B-1 Date ( Card B-1 Date POOLS (Plans) OK except #'s backs -Easements Soils; Compaction -Structure Stability Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI .5. ec.; Pool Lighting; 15 volts-GFI 4/" E ec.;Enclosures; Conduit Entries -Terminals -Listed lec.; Bonding; Metal w/5' -Circulating Equip. -Heater f lec.' rounding; Equip. w/5' Circulating Equip. -Po htg. ` oxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department, Approval (/TTi'_Plumb.; Cir. -Water Supply WGUr NICOL Cr- Dat/ G Dat and B-1 67ZPJ Date Card B-1 Date V1 Iff I 5A Card B-1 e-- . Date Card B-1 1 0 J=OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (; = Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope w 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wra pped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except h's tE. Water Htr.: Vent -Access -Combustion Air -Baffle -------------------- ------------------------------ 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection ------- -------------- ------------------ 19. Shower Pan; Test. First Floor -Tub Access 20. Test -Tub &--- Shower, -- Second Floor -Tub Access --------------------- ------------------ 21. Gas Pipe; Size & Anchors ---------------------------------------- --------------------------- Date Card B-1 Date Card B-1 ----------- =------------------------------------------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK.except h's . 22. Fixture & Transformer Clearance -Ins. Protection ---------------- ----------------- ----- ----------------- -- 23. Elec. Receptacles Spacing -Lights & Switches at Doors ---------------------- --------------------------------------- 24. Size Boxes & No. of Conductors -Stapled ------------- -- ---- ---------------------------------------------------- 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w!Mech. Fastners-Bond Gas & Water - - - - ----------------------------------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI -------------------- - ----------------------------------------------------------- 28. Subfeed Wire Sizer ga. Cu or AI-A.C. Wire Sizer ! ga. Cu or Al --------------------------------------------------- 29. --------------- - 29. Range Circ ! r ga. Cu or AI -Oven Circ. / ! ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect ----------------------------------------------------------------------- - 31. Equip_ Clearances Panels-Motors-Mech. Equip_ ------------- -------- 32. Clothes Closet Light -Shower Light -Spa Light ---------- --------------------------------------------------------- -- - 33. Smoke Detector - --------- - --- -- -- -- ----- - -- --- - --- ------------------------- -------------- ---- --- Date Card B-1 Date Card B-1 -------------------------------------------------------------------- - ----------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support ---------------------------------------------------------------------------------- 35. Vent Fan: Exhaust above insulation --------------------------------------------- ----------------------------------- 36. ------ ------------------------------------------------------------ 36. Condensate Drain & Overflow: Size & Grade ---------------------------------------------- ------------ 37 Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ---------------------- -------------------------------------------- - - 38 Attic Access & Platform if Furnance in Attic -------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 --------------------------- -- - ------ --- -- ----------------------- --------------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except h's 39. Sils. Proper Material & Anchors ------- ------------------------------------- 40. Walls Studs -Nailing Spacing & Bracing -Plates -Sound ---------- -------------------------------------- 41. Bearing Walls over Girders & Floor Nailing ----------- ----------------------------- 42. Draft Stop in Walls (rat proof) --- ------------------- ----------------------- ----- ----- --- 43.. Fire -Stops, Furred Ceilings -Stairs -Chases -Tub --------------------------------------------------------- 44. Headers & Beam -Size & Bearing 'Ingle & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. _Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. -Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date _ _ Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except ti's 61. - Ext. Steps -Door & Sidelight Protection -Landings ----------------------- --- 62. Smoke Detector ------------------ ----------- 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meeh. Protection --------- ------------------ - 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels ---------------- 67. ---------- 67. Stairs & Rails ------------ 68. Fireplace or Stove: Clearances -Hearth ----------- ------------------------- 69. Elec. Outlets at Wood Panel; Int. & Ext. ---------------------------- 70. Kit.Fixt & Appliance; Grnd.-Air Gap -Cooking Clearance ------------- 71---Elec. Outlets & Receptacles at Kit. Counter ----------------- - -- 72. Garage Fire Door; Swing -Landing -Closer ---73.- A.C.-Duct in -Garage -Damper --------------------------------- - 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. . In Garage: Above Floor-Mech. Protection ------------------------------------- 75. Plb.. Elec. & Mech. Equip. Listed for Location --------------------------------- 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection -------- ------------ 7,. Insulation -Foam -Looked in Attic ❑ Yes ----------------------------------------- -- 78. Guard -Rails & Deck -Const ruct ion- Post Caps ---------------------------------------- -- 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No --------------------- -- 81. Stucco: Brown -Finish 82. A.C. Unit Disconnect. Electrical, Plumbing --------------------------------------------- - 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing -------------- ------------------------ - 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House - -- - - ---------------------- 87. Glass Protection 88. Corrections from Previous Inspections ---- ------ ------------------------------- 89. Gas Test -Meters Tagged; Gas -Electric -------------------------------- ------------- --------------- 90. --W-ater & -- Seer Connected -C/O to Grade -HD Approval -----------w------- - --- 91. Energy Compliance Certificate -Other Certificates ------ ----------------------- Date Card B-1 -------- ------------------------- Date Card B-1 Date -- -- --. --------Card---------- --- Comments at Final: Date Card B-1 Date _ Card B-1 Date Card B-1 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATIONAND PERMIT PERMIT NO. 4-7 ASSESSOR PARCEL NUMBER 042-59-0-036 ZONING RT1A 110 BUILDING PERMIT It r OWNER EDITH HAMPTON TELEPHONE X396=1991 SQ. FT. OCC. BUILDING VALUATION OWNER'S OWNER'S MWARINGAILING ADDRESS 734 DEAD END CT CHICO 95926 20,000 CONTRACTOR'S NAME ITELEPHONE HOLIDAY POOLS 343-8245 CONTRACTOR'S MAILING ADDRESS 1170 E LASSEN CHICO 95926 Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ 172.50 ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ 20.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING 734EDEAD END CT CHICO SS Permit tee $ 207.50 PLUMBING PERMIT FilingFee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT N SUBDIVISION NAME PA'CF,L ^AP a/Y'/tel( Water piping 7.00 7-00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome❑ Other POOL SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK Newf2 Addition Remodel❑ Utilities ❑ Installation❑ Other ❑ Describe work: MASTER #506-91 Permit Fee $ 22.00 Contractor ELECTRICAL PERMITFilingFee 15.00 Main Service 200A OOR R LESS 18.50 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. �,3ot Ja_ Classification - $-3 Fl 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 Main service 200A TO 1000A) 37.50 NEW CONST. ( DWELLING OCCUM P OR ADONS. l ACC. BLDGS. / 3.64 sq.ft. NEW CON5TR ULTI.OUTLET NON.R ESID BRANCH CIRCUITS) @ 5.00 POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 @ 76 FIXED APLNS. Ex. Occup. OUTLETS (PRESID )REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ 30 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 becomesubject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FilingFee 15.00 Heating Cooling Hood 6.50 Ventilation Penult Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in conse, t e granting of this permit. X Date 30 /� SHAwork permit is required for excava over5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 25 .50 I HAz "' DFEES IMP FLOOD CDF PARCEL PD H ISSUE i This permit is hereby issued under the sionsof the Butte County Code and/or indicated ove for which fees CT R F PUBLIC B IT EXPIR Date applicable provi- resolutions to do have been paid. WORKS DatePE — K Receipt No. 125876 WNITE-D.P.W., YELLOW -ASSESSOR, PINK- N3P EC TOR, GOLDENROD -APPLICANT I 1�'1111 d 0* W � f#v' COUNTY OF BUTTEPARTMENT OF PUBLIC WOr= BUILDING DIVISION 7 COUNTY CENTER DRIVE-.OROVILL1, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 . OWNER /t/O ✓` r Proposed Building Use. PERMIT. APPLICATION DATA SHEET ,�I 1�. 2 t / Y A m I O �I A. PNo. 00 Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. 2. 3. '4. 5. 6. 7. 8. 9. 10. 11. 12. 14. 15. 16. t 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. All items have been submitted . ........................................ Plot plans, 3/4 sets, signed by preparer of plans . ......................... . Complete plans, 3/4 sets, signed by preparer of plans . ..................... . Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. Hazardous Material Form . ............................................ Energy Design Compliance and supporting documentation . .................. Statement of Intent for Non -Heated and A/C Buildings . ...................... Engineered truss details and layout in duplicate (required prior to plan check). .... Mobilehome data and manufacturer's installation instructions, 2 sets. ........... Feesof$ ......................................... Impact fees as shown on attached schedule . ............................. . California Department of Forestry plan approval/fees. ....................... . Flood elevation letter (100 year floo y California Engineer Sanitation and plot plan approval 0-h ( CC- Health Department . ............ City of Chico plumbing permit. ........................................ . Plot plan and business license approval from City of Biggs/Gridley. ............. Planning approval for (A) Use: (B) Parking: . ........ Contact Land Development about (A) Improvements (B) Drainage. .......... . Driveway permit (construction approval required prior to occupancy). .. . Pre -Inspection .. ... . ( requ� Pre -inspection for required. .. to Building inspector (Date) Contractor's license information. (No., Name Style, Classification) . .............. Certificate of Workmans Compensation Insurance . ........................... Owner -Builder Verification (Given to owner. , Mail to owner_) ........... . Recorded copy of Agricultural Acknowledgement Statement . ................. . Letter of signature authorization . ........................................ '. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . Letter of intent on building use . ......................................... Mobilehome utility clearance . .......................................... Documentation of legal access . ........................................ Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... Existing violations/expired permits. .. .................................... Plan check list . ..................................................... When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant - Date Copy of Haz-Mat form sent Health Dept. Fire Dept. (/ Air Pollution Odte // Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone -mail Cou ter by _ Date Plans checked by Date Plans approved by �o�. Date?/ Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works E.H. USE ONLY Plot flan AtUchcd floor 1'I:m Auached Sent to B.U. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance O vner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for bedroom mobile home. Othp� 1 Hold final for: Final clearance O.K. for: NOTE: Env> onmental Health Specialist. 8/92 11 6 -Z q -�- Date ���"`.'t"'--'�F.l`�til�'L"yp.�`�k-•'��:,i,�wi9 .4 _# `'�.+�.yq -.,i=r `^'» i' COUNTY OF BUTTE BUILDING DIVISION . DEPARTMENT OF DEVELOPMENT SERVICES T 1469 Humboldt Road, Chico, CA - (916) 891-2751 - 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE '�z . . OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. zfojj ^ed' -'l t6heil Q.v'-/6;vke- C,)N /l—,Q� /jam y Date/ 143 Inspector REV 10/92 P_ r - Holiday Pools 1170 E. Lassen Ave. Chico, CA 95926 Suite Count BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (916) 538-2140 October 18, 1993 RE: Building Permit #92-3476 Expiration Date 10/08/93 A.P. # 042-590-036 Dear Sirs: For: Waring & Edith Hampton @ 734 Dead End Ct., Chico With reference to the above subject, our records indicate that your building permit expires on the above date and your permit falls into the category marked below: D Permit work started, but not completed. Permit may be renewed for z the original building permit `fee (plus a $?.0.00 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 within 30 days of the expiration date, all work must cease until a new building permit has been issued. For your convenience, we are enclosing a renewal application form and owner -builder form to be completed and signed by you where indicated and returned to this office together with the fee shown. Please return all copies of the application form. ❑ No inspections have been made on permit work. Inspections are required to verify code compliance. We are unable to renew a permit where the work has not been started and inspected prior to permit expiration. After expiration of your permit, no work may be started until a new permit has been issued. If our records are in error or should you have any questions concerning this matter, please contact the Chico _ office. Thank you for your prompt attention concerning this matter. JFG:hla cc: Building Inspector Attachments: LXJRenewal- Application ❑ Owner -Builder Information ❑ Owner -Builder Verification Yours very truly, J.F. Glander Manager, Building Inspection Chico - 1469 Humboldt Rd/891-2751 Paradise - 745 Elliott Rd/872-6307 -4 t E I ENTIAL 42-59-36SSI HAMPTON, Edith 734 Dead End Ct, Chico (new sf) g 4 V4 f s - 91de, X—y OFFICE COPY Address GAS Meter By_'A Date ELECTBIC_ Meter By JOB FINALED (Date) Signature Date _8h'6z_ —inspector REV 11/91 COUNTY OF BUTTE DEPARTMENT OF PUBLfC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of'Butte County Ordinamces exist at the above address and should be corrected. Please notify this office -when correction of work' is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. tz /L C% Date _8h'6z_ —inspector REV 11/91 Q&Aej 2 1,CaK^,w/ p�� V('4$ ta,7 COUNTY OF BUTTE r DEPARTMENT OF PUBLFC WORKS =x = a 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA9 @J58-5�1 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE K OWNER. PERMIT NO. A,routine.inspection indicates that the following violations of Butte County Ordinances exist at4 the above address and should be corrected. Please notify this office when correction of work 4 ' is completed. If you have any questions pertaining to this matter, or need additional explanation, J pI ea a contact this office immediately. c o v►cJ At � o < .*F O d i 4 -* C(e C. of ► ,. R o w• Cmb►n� -� q �S0 0.-f 1�TGNt n ��t� I� , %-✓oo d / F a r G _ ':- ry Wl l7 1�< Lic. u ►� Cal V -- F (And -e- Floor 04 cc.+r-C , —"c V. �o "/il �� 3/c(o rOC-f- nn y r& obfa r P,P< i fn ov► L-A r <t lets, ; L� �j0ij 44 i-4 e s "x- r c je 19 - 22— Date Z Inspector REV 11/91 k yN COUNTY OF BUTTE ► �' DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE - OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. . V 2 D Qt I _ -j *OX C�"�1nnt� e U .L h4 L - Date` REV 11/91 ()wner ��5 rermit No. ROOF ATER.[AL THICKNI ES EXTERIOR WALL NO UI:J �•.� L.'_ L 0 F I'i vl; L.1 i•LL)\i ��� ` BRAND NAME THERI'll ;1L R ES,. IaTEP,I.1I., FI3"RGLASS BRAID. NAME CERTAINTEED THICK X ESS 31 THERMAL RLS . v, CEILI`,G BATT OR i;LANKET TYPE -Fiber las BRAND NAME CERTAINTEED THICKNESS /�IA ' THERMAL RES. LOOSE FILLTYPE' INSUL-SAFE IIIBRANID NATE CERTAINTEED THICKNESS THERMAL RES. FLOOR,ELEVATED MATERIAL FIBERGLASS BRAND NAME CERTAINTEED THICKNESS H THERMAL ' RES . FLOOR, SLAB MATERIAL THICKNESS WIDTH BRAND NAME 6 - THERMAL RES.' FOUNDATION WALL MATERIAL BRAND NAME THICKNESS THERMAL RES. I HEREBY CERTIFY THAT THE 'ABOVE INSULATION WAS INSTALLED IN THE ABOVE BUILDING IN CONFORMANCE WI-,TH THE STATE OF CALIF. ENERGY REQUIREMENTS. HAWKINS INDUSTRIES INC. # 62.2184 R.SIE ER STATE CONTR. LICENSE N0. hereby cer i I h fv the abode insulation and all required items as shown on the Building Depart. approved plans and attachments have been installed as required by the State of California Energy Requirements. All equipment, devices and materials are of the quality prescribed or are specifically approved by the State of Calif. �1,g --------------- NAME/OWNER (PLEASE PRINT) STATE.CONTRACTOR'S LICENSE NO. AT RL OF G N'RAL CUNTRACTOR/OWNER DATE This certificate must be on file with the BUILDING DEPARTMENT prior to final inspection approval and a copy shall be posted within the building. JANUARY 1984 J=OK, O=Not OK, = Not Applicable _, Not Ready MOBILE HOMES • Date MOBILE HOME UTILITIES (Plans) OK ehcept #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; location -Test -Wrap: / P1 ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except k's 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy -i Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-.1 r . MISCELLANEOUS Date's "DECKS; COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Size'Depth-Spacing-Connectors-Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails - 4.• Wood Awn.; Posts-Beams-Rftrs.-Connectors f Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses' 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements "t7 j 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes-Enclosures- Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 I IF :J =f OK d = Not OK ::' Not =NotReadyable RESIDENTIAL (; Me UNDEACOOR (Plans),OK except #'s - Zon -Setb s -Easements -Flood -Slope tg., Main; Soils-Elec.-ff-ad 17/" Ftg. Depth YZ-#Gl g., Garage; Soils-Steel-Elec. GTPA.-iZ/" Ftg. Depth 4g., Porches & Decks; Soils-Steel-//t,/Ftg. Depth yZ 7' q S.-&tt?mwalls, Main; Steel-Blockouts-Wrapped emwalls, Garage; Steel- Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped e rs- W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; -Size -Anchors - yard'gas piping: size -test 1�ter Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 1,V-Pienums & Ducts; Clearance -Material -Support -Ins. 14Girders-Sills-Anchor Bolts -Joists -Vents -Cripples 1 . Access & Ventilation 16. Insulation Date 3 -11 ard B-1 U J3 .: Date Card B-1 Date Card B-1 ryrr Date Card B-1 Date PLU ING (Permit) OK except #'s W ter Htr.: Vent -Access -Combustion Air -Baffle ------------------ ------ --------------------- 1 ater Pipe: Test & Anchor -Nail Protech �. V.; Tgss--Fit & A -Nail tection g'� ower Pan: Test. First Floor -Tub Access 20. Test Tub & Shower. Second Floor -Tub Access Pipe: Size & Anchors -------- - - - ----------------------------------------------- -- - Date - *2.Card B-1 _ _Date_ _ Card B-1 -- ------------ -l3 _ _ _ r� ---------------------------- Date 1� 2rqz Card --- S Date Card B-1 Date f LECTRICAL (Permit) OK except #'s 22. Fi lure &Transformer Clearance - Ins. Protection lec. Receptacles Spacing -Lights & Switches at Doors ---------- - - - - ----------- Size Boxes & No. of Conductors -Stapled ii-19omex Installed Close to Edge of Studs & C.J. ------------------------ ---- ----------- ---------------- 5 Equip. ound made up w/Mec . Fastner Bond ater ----- -- --- ---- ------------------- -- --- - 2 Appliance Circuls in Kitchen & Conductor Size/GFI 2- ubfeed Wire Size o' ya. Cu AI- .C. Wire Size / / ga. Cu or At ------------------ - --- - - ---------- 9 an a Circa a. io �I-___,en Circ. /� aa. Cu o A . - Insulated N�utra9 tIJ�Yes W -No ;�v ----- --ice-Ri- - - - -- --- -- --- --- - --- -- -- - - -- -- -- -- --- - -- -- - ----- - --- - -- 3 ervser Conductors & Ground -Main Disc_onne_ct ----------------- 3uip Clearances Panels-Motors-Mech. Equip ---------- --- - ------------ --- - 32. Clothes Closet Light -Shower Light -Spa Light ----------- - _ moke Detector ------------------------------------------------------------- ---------- --- ------ -------------------------------------- Date6_�`-ILCard B_ --140 ---Date Card B-1 ------------- --------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 3 A. ucts Insulation & Support ------------------ -- '--- -- ---------------------------------- --- ---- --------- Fan: Exhaust above insulation --------------------------------------------------------------------------- Condensate Drain & Overflow Size & Grade 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet --- - - ---- - - -------------- - -- - - - ---- ---- --- - ------------ ----------- -------------- --------------------------- 38. Attic Access & Platform if Furnance in Attic Date0 ------------------pLCarclB-1 Date - Card B1 Date Card B-1 Date Card B-1 Date FRA."G (Plans) OK except #'s SX. - P!oRer Material _& Anchors Studs -Nailing. Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing ------------------ -----------------------------------------------------=---- 42. raft Stop in Walls (rat proof) - - -- - ------------------ --------------------------------------- re Stops: Furred Ceilings -Stairs -Chases -Tub -----------ea--d-e-r-s -&---B-e-a-m---Size & Bearing --------------------------- Single & Duplex) Date ;FRAMINJ. (Conti ed) 45. angers -Post Ca -Anchors-Connectors Ing. Jois . tie - rlin-roof Brac-Truss-Shthng.-Ror' 47. Fireplace i s or Type A Flue -Fireplace Throat clearance ats Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4_ drm. Windows or Exiting Doors -Sill Hgt. & Dimensions arag Fire Protection Framing 51. Pr erty Line Firewall & Openings ----- t_Doors-One -3'-Check Garage -3rd Sto 2 Exits fairs; Width -Headroom-Rise-R -Ltmq- 're Protection 58lplywood on Roof Overhang -Attic Vents -Rafter Outriggers ' 26.Siding-Nailing Veneer ---------------------- — 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access ---------------- - lazing Area -Glass Protection -Skylights -Plastic hear Walls; N Bolts -CG V�-16a -- ' a fig insulation -Walls -Ceilings ------------- - — ttration-Walls-Windows rteG-q ZCard B-1 R_ff Date (o/L,S//ZCard B-1 Date �Z I %-�' Card B-1 J F Date + Card B-1 Date I FItyAL (Plans) OK except #'s , ---------------t!. t. Steps -Door &LSidel4fit ProtectionAandings t/Smoke Detector Furnace; Vents -Clearance- b. Air -Connector - In Garage; Above F1 00 ukvrct Mech. Protection --------- R.1-16edroom Exitin F.I & ath F tures & Tub Access -&foe ------------ Elec. Trim e&�W; Breaker Sizes & Labels ------ -- ------ - ------ - - - ------ tairs & Rails Fireplace or Stove: Clearances -Hearth - --- Outlets at Wood Panel; Int. 8 x Fixt & Appliance; Grnd.-Air Gap -Cooking Clearance •-- ---- --... --1 o - - - — - - Elec. Outlets & Recep tacles at Kit. Counter Garage Fire Door; Swing -Landing -Closer Duct in Garage -Damper ------ - ----- -- ---- --- - - - ----------- -- -- Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. . Garage; Above Floor-Mech. Protection - �XElec. & Mech. Equip. Listed for catiop -- 5io. ec. Receptacles in Garage: ( I.)-Romex Protection Insulation -Foam -Looked in AtticYes s & Dec l onstruction-P t Caps --- ----------- - ----- -- Vents & Hole Do rain ge & Wood -Earth arance Look d -under Yes i3 lowing instld. Drive Yes 0 No: Walks Yes 0 No; Planters Yes -QFNo u — cco: Brown -Finish -- ___ C. Unit: Disconnect. Electrical, Plumbiriq_ V nts Above Roof; Plbg -Appliance ire - bea ante to penings W er Well; Disconnect, Electrical, Plumbing -- VGs lec. Trim; G.F.I. Receptacle -Underground - -------n Throughout House--------------------------- ----------tection ------------------ ns from Previous Insp Ilion -- ---Meters Tagged; I riater & Sewer Connected -C/O to Grade-FUTAAps;@ e Energy Compliance -Certificate -Other Certificates Date�� -ard B-1 Q/ Date /- ZZard B-1 Date a Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: / COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS V , 7 County Cpptgr Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND-FERMIT PERMIT �0. ASSESSOR PARCEL NUMBER _ _36 ZONING `' BUILDING PERMIT *� OWNER TELEPHONE SO. FT. OCC.1 BUILDING 419101.0. VALUATION OWNER'S M A. S_ 734 DEAD ENDCOURT CONTRACTOR'S NAME UNKNOWN TELEPHONE CONTRACTOR'S MAILING ADDRESS " Fireplace "All 1500 CONSTRUCTION LENDER UNKNOWN Total Valuation $ . Filing Fee $ 10,00 LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE NO. Permit Fee Plan Checking Fee $�� $ Energy Plan Checking Fee $ 15 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 734 DEAD ENT) COTIRT CHTCO Permit fee $ IV 7,17 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 22.00 Solar or heat pump water heater 20.00 LOT NO. 2 SUBDIVISION NAME PARCEL MAP, O 2 _Ll Water piping 5.00 5.00 Each qas water heater or vent 5.00 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other xx SPECIFY Gas piping system 1 - 5 outlets 5.00 5.00 Building sewer 5.00 5.00 Mobile Home S I G I IN O.00ea TYPE OF WORK New 0 Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: 3 BDRM Permit Fee $ 52.0 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V DR LESS 100 AMP OR LESS 10.00 0.00 Main service EA. ADD'L 100 AMP 2.50 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work, and the structure is not intended or offered for sale. (Sec. 7044) ® I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec., Business and Professions Code for this reason NEW CONST. DWELLING OR ADDNS. ACC. BLD , /2¢sgft ` NEW CONSTRU TI -O Z.SOea NON-RESID BRANCH CIRC ITS POWER APPARATUS tr (SINGLE OUTLET CIR. ��l Ex. Occup(OUTLETS OR FIXTURES 20®9300 eALvso EX. Occup. OUTLETS (RESID )REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin g 15.00 Permit Fee $ �7I Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating A nn Cooling 32 1 11.00 Hood 3.00 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 ereby authorize representatives of the County of Butte to enter upon the abov mentioned property for inspection purposes. I als o save, Inde ify and keep harmless the County of Butte against all li "ilities, Jud a costs, and expenses which may in any way accrue . agai said Count ' c nsequence o the granting of this permit. X Date .1.2 . �/ Signa of Applicant — 0 r� Contractor ElAgent❑ An OSHA permit is required fo xcavations over 5'0" deep and demolition or construct. ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ in on oCC coNs TrP— / TAL HAZ. CUA PARK c IA V F D F PAR PD ) ISSUE This permit is hereby issued unoer the applicable sions of the Butte County. Code and/or resolutions work indicated above for which fees have been DIRECTOR O PUBLIC WORKS By Date PE XPIRES Date �� / ,�^� provi- to do paid. �— 4 2 Receipt No. 96641 WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT G'7z COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS g 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 ,APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL N BER _ 2 1 ZONING BUILDING PERMIT D R , l T LEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAIL NG A.DDRES &� O CONT AT R' AMO TELEPHONE /' (� CONTRACTOR'S MAILING ADDRESS Fireplace I CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ Q ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUIc DR"S Permit fee $ PLUMBING PERMIT Filing Fee 10.00 ` � � � / �o Each Trap 2.00 a Solar or heat pump water heater 20.00 LOT NO. LOT NO. SUBDIVISION NAME SUBDIVISION NAME 77M AP Water piping , 5.00 S 0 Each qas water heater or vent 5.00 USE OF STRUCTURE SFDuplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Q Building sewer 5.00 C7 Mobile Home S I G I W 0.00ea TYPE OF WORK New Addition ❑ Remodel [I Utilities [IInstallation❑ Other ❑ Descri a work: 6r�),A? lye:�z Permit Fee S Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 0 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification, ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.EI\ OR ADONS. ACC. BLDGS. I '/x¢sgft NEW CONSTR. U T' -OUTLET NON.RESID BRANCH CIRCUITS) 2.50 ea, POWER APPARATUS e (SINGLE OUTLET CIR. EX. OCCUp(OUTLETS OR FIXTURES 209a0t .AL990 FIXED ESID )EA.) Ex. OCCup. OUTLETS (RR 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Q Cooling (f . Hood 3.00 Ventilation �Q , Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Q Q occ i CONST TYPE TOTAL FEE $ HAL. I CUA PARK I SCHL I FLO I cDF PA PD I HD. SUE This permit is hereby issued unoer the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No.� 6�q WHITE-O.P.W.. T -.7W- PI -INSPECTOR. GOLDENROD -APPLICANT ' 4rr-' Ni-.e4t+<ia�w+4 - , i 41, Y `.w' . COUNTY OF BUTTE - DEPARTMENT OF P1 BLIC WORKS, -'BUILDING DIVISION J I 7 COUNTY CENTER DRIVE - OROVILLE, CA !IFO h1 95965 - TELEPH NE: 916/538-7541 PERMIT APPLICATION DATA WEE° t Permit No. OWNER Proposed Building Use Bui lding -I . spector .� Date 7"�� / At•time of permit application, I was advised the fallowing data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . ..................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ ` ' 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... I` 7. Statement of Intent for Non -Heated and AC Buildings 8. Engineered truss details and layout in duplicate (required prior to plan check) ` 9. Mo lehome installation data including manufacturer's installation .. truct- 11ws'.... .r . . Fees of $ N,' a.... ,�� 11 Chico Urban Area ees paid Parkfees paid .................................................... 1; !D School Dis ict fees paid .............. S 14. Sanitation approval frome- / / C Health Department, 15. City of Chico plumbing permit :.................................... i 16. Plot plan and business license approval from City of (see City for other requirements) I' 17. Planning approval fop(A) Use: (B).Parking: 18. Improvements may be regdire&,Contact Land Development Section DPW Driveway permit (construction approval required prior to occupancy)�V i Pre-inspec. request to 20. Pre -Inspection for / ' required ... Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications .. I` 22. Certificate of Workmans Compensation Insurance .................. E -�?�Owner-Builder Verification (Given to owner ❑, Mail to owner ❑) .... . Recorded copy of Agricultural Acknowledgment Statement ......... F '-1 2 Letter of si ature a thorization ........ f When you issue the permit, process as follows: Mail to owner. Mail to contractor. ` Telephone and hold for pickup of e. Deliver,w/inspector. Other Date T / Copy of Haz-Mat form sent Health Dept. Fire Dept., _Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data mus.t..be_submi ted pri r to permit iss ance: (Circ new.item no checked above). 1. Index permit for above item o. 2. Additi nal items required: G al + ti IStTGc/ls i5iJ9 J <-,f .ii.—. -Contractor, designer, oVIK r, advised of above required data by Contractor, designer, o r, was advised of above required data by, Plans checked Sets of plans on hold in Copy—DPW Date ho�e-."aII—counter bydatey-ate hone —mal l_counter byw dat fGG Plans approved by Date File cabinet AP folder t 41 o: 41 RESIDENTIAL.PLAN CHECKING GUIDE 12/90 (S.F. , DUPLEX & MISC. ONLY) Bldg. Permit OWNER ® A. P. #�U _ Plan Checker GENERAL el�Hing equirements: (sideyards and number of permitted living units). al, io 3-,-�_41"ans signed by designer. 4E! Proper description of work on application. Existing violations on property. 6 Items on data sheet. (W.C.., fees, Health, Developer Fees, License law, etc). ed not' PLOT PLAN Complete parcel size and dimensions. Setbacks, sideyards, easements, etc. 40 Other buildings or structures. ? Flood hazard. -(-nofise;—GDF,--f-i-r-e—spra nk-ler�—n-oTn=comb- o�f-Gu-R4 -t-4G41-s) . 7- FAIL—& F-AS—r-ead setba& ,& Br�31di- g_o�utilit es_acr-o:s.s_l.o.t l nes—(-Rec-ord for -m) -- FLOOR PLAN ��,Required mplete'to scale plan with dimensions. quired windows for light'and ventiiation (Sec. 1205). windows for second exit (Sec. 1204). �+! Skylights (Chapter 34 & Sec. 5207). f_ -Tman impact glass (Sec. 5406). /�equired room sizes, ceiling heights (Sec. 1207). ��,: /GFCIs in baths, garage;,kitchen, and exterior outlets (Article 210-8). P Light fixtures, switches, receptacles, and exterior receptacles for main- �enance of mechanical equipment. ,.Locations of water heater,.. heating and cooling equipment, other electrical ar ga equipment. G age firewall, door size, and closer (Sec. 503(d)(3)). t 3'0" exterior exit door (sec. 3304 (f). and wood stove location, alcoves, and clearance.e detectors (Sec. 1210). , 1 Plumbing fixtures, water closet clearances and shower size. STRUCTURAL DETAILS SSAndard bracing or engineered design (Table 25V) ,i undation plan complete enough to construct building. v 4/ oor construction details complete enough to construct building. Elevations and wall construction details complete enough to construct building, QRoof construction details complete enough to construct building. 7 T?,l*,rcrlarc ^nnatrnrt- - -- 'z—izccc�3Y ` ter ties or bearing ridge beam. y� ,G ge door or porch header sizes. Stud heights. 1. r ng 1 ee�-a�I�-spee�or-r-r-eq-x�ed_.� 12/90 RESIDENTIAL PLAN CHECKING GUIDE MISCEL OUS ITEMS TO LOOK OUT FOR '^ Sta-irway details: landings, rise and run, head clearance, handrails Sec. 3306)•. I�uardrail details (Sec. 1711 & 3306(j). Brck or stone veneer (Chapter 30). tcrinr „l-n�tcr — ..poor c.rroor�o /Ce., G7_(_1.F\ - V Proper roof pitch for roof convering (Chapter 32). �,�Roof covering type i-n-su3-a-ton----prot-ec-4-_on . t . 36" halls and stairways. 9`:.R-A-S-ar-.ea-o�.er—g&r-age --=- -cm p -le -t -e - - 1- -axe s.ep.a.xat.-ion- -r-equired--on garages Id iaemud-in-g-suppor-t-i-ng-,+a1Ts-an-d-posts-,-et c . .. -and ..,.i...�.--.�-..�-ri-ventily—u-..�.-ir-aa�j.� �.�ca... JJVJ vc-occ—a-acc;a•ra•rrirac��—� dnderfloor ation (Sec. 3205). isaccess access and ventilation (Sec. 2516). ombustion air for fuel burning appliances - L.P.G. requirements. e-r-e-q-u-i�men *>s-.�z�.-d=u-p� N e•s L� nergy design. �' �'v d �� �9�I Flashing at all exterior openings. 17—�� —Pc nsi-b3-e=area r-equiz-e w -R s . ® '1)e4- la- .5-wz�7 s MI O/( ['r�oli Gly GG G,� %ldy 0 1f{ J 5-11z5W Adi%y wl�7 �o,��/sirT `"1Af4Wrz 10-21 7 WA /V- / 717 A5 6 3' �= 3 o Number of Stories: 1 Floor Construction Type: Slab on grade Number of Conditioned Zones: 1 Total Conditioned Volume: 13369 ft3 Conditioned Footprint Area: 1637 ft2 Ground Floor Area: 1637 ft2 BUILDING ZONE INFORMATION Floor Infiltration Zone Area Volume Control Name (ft2) (ft3) Type Type STANDARD 1637 13369 Conditioned CEC Standard I In 41 ya�.r�( a �! K.ti ,;�/�— } adt'3iiY'r`-S.'l�t"""'„E'r�+-•v.��.�;.�.,�„�iiV..di�v l�lTr���”�ik��.tr'..�.t�.,�tj.�:t������^Z('gyp/Ftiw�q�hr•.+""sr.-ti�i"QT"�� B BUTTE COUNTY SCHOOLS DEVELOP'MBNT;FEE,CERTIFICATION FORM (One Form per Building) A. P. Number G� " � 3 'Building Department No. School District City D -County Jurisdiction Property Owner. �� � O _ Project Location/Address P� Subdivision Lot Number • R• a Residential Development: a Sq. Footage /700 of Living MHI Addition (Group R) Units r 1� r Commercial/.Industrial: Sq. Footage ?� New Addition (Including Exterior Roofed Areas) 21 Bbilding-Dep,6rtment Representative 'Date(Ni ( Floor Plans reviewed. by -„School District ' Per_ sonnel ) I Pv, N, District Id No. � School District certifies that h .(Pkpplicant Name)' (Phone Number) /734 1 OZ� - - ( S.theet Address)- /2n (City) ' ( State) (Zip Code) has complied with the requirements of Resolution No. �� q_53 O by the payment ofrepresenting /, /U” square feet. 71, School District`.Representative. Diate PAID BY CHECK NO. � /`, This Certification is valid only upon the issuance BANK NO of a Butte County/City of Chico Building Permit e prior to 8/5/91. Building Permits issued on or after PAID BY CASH 8/5/91 are subject to re -certification and additional school fees of $1.00 per square foot of assessable space: I white—applicant, yellow—building department, pink—school district SCHOOL.FEE (8/88) ` r- Y�� t! `.' y"IY4r!'SS�`w��.:'�-',�"Y �'�{'i'.'Rr"1,F''7.�k�-"°�+i*tr�'fi!�'�i�� "�r4'fs"ti""ri"�``aY Swic/i�'e'.i 1►'�rl l�e�:�' A . ♦r s BUTTS COUNTY'PARKS DEVELOPMENT. FEE, CERTIFICATION FORM ..CHICO AREA RECREATION AND PARK DISTRICT Assessor Parcel Number (s) __S -- ✓ .� Property Owner Project Location/Address 17 Subdivision Lot Number(s) Resi�dOnntial Development: (check one) +,New Development _Alteration/Addition _Mobilehome(s) _Non -Residential to Residential ti -'Total Number of Dwelling Units t •. Comment: a B i ding Dep r ment Representative Date �r�rrrr�r�rx�r�r�r�r�r�r�r�r�r,r�r�r�r�r�r�r�r�r�r�r�r�r�r�r�r�r�r�r�r�r�r�r�r�r,r�r�rw��r�r�r�r�,r�r�r�r�r�r�r�r�r�r�r�r�r�r�r�r�r�r�r�r*�e�r ,,i Chico Area Recreation and Park Distridt(CARD.) certifies that .yy.. '.(/y_ //,{1 ��/��//� ti. 1, '•-�.y^ �� - 1f Q1 �, , J/lJl t I ■ /1 M4 V*1 , '' + n, �, .—..{� I`�• r kl� c e (Street Address) ,e Number) C- Sy 4 (City') ,. Mate) ( Zip Code) has complied with the requirements of Butte Co. Resolution No.� 90-140 by d payment ford welling units @ $1.,189�for total payment of '$ 8 h7 q RD Representative Date PAID BY CHECK NO. REMARKS: BANK NO. � F PAID BY CASH RECEIPT N0. .(DOI A: Distribution: White --Applicant Pink --CARD park.fee (form revised 11/90) Yellow --Butte Co. Building Dept. Goldenrod --City of Chico Building Dept. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 PHONE: 916-538-7541 EDITH HAMPTON 734 DEAD END COURT CHICO CHICO CA 95926 With reference to the above subject: / / Attached is: Application for permit Building Plans Engr. Calcs Owner -Builder Verification Form OTHER DATE 8-2-91 RE: B P #2492-91 A.P. # 42-59-36 Mobilehome Utilities Installation Sheet Mobilehome Installation Information Sheet Typical Plan Sheet List of Codes Enforced / x/ We need the following information: Permit applicarlon signed and completed where indicated with all copies returned. Fees of $ A payable to Butte County Treasurer. Certificat o Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including plot plans. Plot plans in Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way, Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for Completed Owner -Builder Verification Recorded copy of deed showing X Recorded copy of agricultural acknowledgement statement. form. �e . :I IN I "46111 .G."';Uunu3—ia.;Z; 0sEMiiIRE�r:�:�rnr:w7J�l�1:a.911f�'�I.II:�..-.--d---�-� �.:��h1►7J� � � ►• d1 •u� ► i• i 1 1 ■� � i11 ►I 1 • ► e • 1 to Should you have any questions concerning the above, please contact TOM MAY of this office. BETWEEN 3 & 5 P.M. Yours very truly, William Cheff Director of Public Works J.F. Glander JFG/aj Chief Building Inspector iletur.;ci~Ca DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT ' —30768 '7 FOR RESIDENTIAL DEVELOPMENT Section L6-8.1 of the Butte, County Code requires this acknowledgement be recorded priorto issuance of a building permit. All that rea.1 property situate in the CounLy of Butte, State of California, dc:.cri.bed as follows: - See legal description attached hereto.... Date: / ZcP '"/ 14.19•No- 04�-.-cion State of ) SS County of ) On this the day of _ 1911, the undersigned Notary Public, persona.ly appeared I�c�.fcarc me, ® 'Personally known to me. `Proved to me on the b�isis OFFICIAL SEAL of satisfactory evid(PIICe. ` d " JANICE L. SMITH _ to be the person N, name(` � ® NOTARYPUBLIC- CALIFORNIA subscribed to the within instrument and acknowledged that _ 14 -� BUTTE COUNTY My Comm. Expires Mar. 13, 1995 executed the same for the purposes therein conta�i.ned . f N W.['1NC SS WHEREOF, I hereunto set lily hand and official seal. n Present A.P. No. L'he pr. opert: y described herei.n is adjacent 91-030768 1 Rec Fee 7.00 to Land or. included within an area zoned I Check 7.00 for agr.i.C-Alh..ur.al purposes, and residents Recorded of this property may be subJect to incon_ Official Records venienccs or d i.scomfort arising from the County of 1 use of agr:i c:ul t: ural chemicals, :including, Butte 1 but not l.i.mil-cd to herbicides, pesticides, Candace J. Grubbs and ferL:i l.izers; and from the pursuit Recorder of agr.i(-u.1 L.ura1, ope:raLions including,. 1:25pm 29 -Jul -91 I XX 2 but not: limited to cultivation, plowing, -_ - -- — - - spr.aying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established ragric.u.l- Lur.al zones which have as a priority use for productive agricultural. purposes, aid r.es.i.dcuts within said zones and on adjacent property should be prepared to accept such i nconvenience. or discomfort from normal, necessary farm operations. All that rea.1 property situate in the CounLy of Butte, State of California, dc:.cri.bed as follows: - See legal description attached hereto.... Date: / ZcP '"/ 14.19•No- 04�-.-cion State of ) SS County of ) On this the day of _ 1911, the undersigned Notary Public, persona.ly appeared I�c�.fcarc me, ® 'Personally known to me. `Proved to me on the b�isis OFFICIAL SEAL of satisfactory evid(PIICe. ` d " JANICE L. SMITH _ to be the person N, name(` � ® NOTARYPUBLIC- CALIFORNIA subscribed to the within instrument and acknowledged that _ 14 -� BUTTE COUNTY My Comm. Expires Mar. 13, 1995 executed the same for the purposes therein conta�i.ned . f N W.['1NC SS WHEREOF, I hereunto set lily hand and official seal. n Present A.P. No. 9 1 -30768 Legal Description Attached: The land referred to herein is described as follows: All that certain real property situate in the unincorporated area of the County of Butte, State of California, described as follows: PARCEL A: Being a portion of Lot 10 of the First Subdivision of the Bay Tract, also being a'portion of Parcel*2 per Book 70 of Parcel Maps, at page 35., recorded February 2, 1979, 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 April 16, 1981, in Book 8.2 of Parcel Maps, at page 41. A Certificate of .Correction was recorded July 14, 1981, in Book 26391 of Official Records, at page 354. PARCEL B: a 50 foot non-exclusive easement for ingress and egress and public utilities as shown on that certain Parcel Map recorded in the Office of the Recorder of,;the County of Butte, State of California, on April 16,.198f in Book 82 of Parcel Maps, at page 41. END OF DOCUMENT Edith Hampton 734 Dead End Ct.. Chico, CA 95926 Dear Ms. Hampton: ,Eufte County DEPARTMENT OF PUBLIC WORKS WILLIAM (Bill) CHEFF, Director 7 COUNTY CENTER DRIVE t OROVILLE. CALIFORNIA 95965 Telephone: (916) 538-7541 RONALD D. MCELROY Deputy Director July 16, 1992 RE: Building Permit No. 2492-91 Expiration Date --8/19/92 (A.P. No 042-590-036J ) With reference to the above subject, our records indicate that your Building Permit expires on 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 shall be renewed for the original Building Permit Fee (plus a $15.00 "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 within thirty days of the expiration date, it cannot be renewed and all work must cease until a new building permit is issued. If your construction is completed or should.you have any questions concerning t4 s matter, please contact the Chico office. For. -your convenience, we are enclosing a renewal application form and owner - builder form to be completed and signed by you where indicated and returned to this office together with the fee shown. Please return all copies of the application form. Thank you for your prompt attention concerning this matter. 1 JFG:aam Attachments: Permit Application Owner -Builder Information Owner -Builder Verification cc: Building Inspector - Chico - 196 Memorial Way/891-2751 Yours very truly, William Cheff Director of Public Works 110 g. Glander ief Building Inspector Paradise - 745 Elliot Rd./872-6307 69 y� PERMIT WO. ?o`?nc1, Re'ne:w^eii 0� PERMIT EXPIRES:,( 5iow v— _gzp OWNER WARING`& HAMPTON CONTR. Owner ASSESSOR PARCEL 42- 36 r: LOCATION 734 Dead End Ct, Chico s to Ka a 1° ' t ok y L � R Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E ` 6 r is cera —1 Temp. Gas Service Called PG&E Cy JOB FINALED, (Date) Signature `` a .;�.,� yam; , `-OUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7I✓15unty Center Drive, Orovi Ile w> Phone: 538-7541 747 Elliott Road, Paradise — Phone: 02-6307 CORRECTION NOTICE 3y4�1e�- 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. .-!7 14 .t. 14"4 4 �-O!/%C %G� Q 'SYQC� w ✓. Cl.v.ri��i%a/ /p A 0 .. r L ! !1 �C-e SS o or t�/b ' 'tAl .# - Inspector 9V5Sc / �7 Date l/ a !F' �? I 'L4 =OK ..F. 0=Not OK f tNot ' = Not Ready MOBILE MOBILE HOMES MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s Date OEC ,COVERS,CARPORTS,GA S, (PIdWsTOK except #'s 1. Zoning Requirements -Setbacks -Easements Zo ing Requirements -Set -Easements 2. Soils; Special MH Support -Sketch ti ootings; S ' s- -D - -S 3. Sewer; Location -Test -Fall -C/O -Concrete •IS 4. Water; Location -Test -Easement Needed (Sketch) - - �g 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG res 7. Utility Clearance 7YElec. ♦ /� �/�,y 8 rmg; Sills -Anchors -,,Studs -,,Studs -Trusses 97CSiding; Nailing -Veneer -Stucco -Mesh Card -81 Date Card -131 Date 10tFloof; Shthg-Roofing r +_ Card -131 Date Card -131 Date 11XEx k St ps-Doors-Landings; \ Date MOSILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -B1 D i Card -131 Date 2. Footings; Size -Spacing -Marriage Line Card -61 Dat-Z/.,S7y Card -81 Date 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s 5. Drain; MH Test -Fall -Flex Connector 1. Setbacks -Easements 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability 7. Water and Sewer Connected -C/O to Grade -HD Approval 1 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI { 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Ground ing; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit Card -B1 Date . Card -B1 Date Card -131 Date Card -131 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -131 Date Card -131 Date Card -131 Date Card -131 Date �' 4vS7�s/Fd lav'O'c i 1% = OK 0 =.Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements ' 44. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth , 45. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 46. Fireplace Ties or Type A Flue -Fireplace Throat 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 47. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel - Bloc kouts-Wrapped 48. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 49. Garage Fire Protection Framing 7. Slab; Steel-Wr d 50. Property Line Firewall & Openings 8. Piers -Fireplace tg.-Stee 51. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 9. D.W.V 'F - ittings-T ,s - way C/O -Sewer Test 52. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas PnMize-AnchJ0 53. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pik Te -A rs-Regulator-Service Test 54. Siding -Nailing Veneer 12. Electric; Und r d 55. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & uc ; Clearance-Material-Supprt-Ins. 56. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -A chor Bolts -Joists -Vents -Cripples 57. Shear Walls; Nailing -Bolts 15. Insulation 58. Insulation-Walls-Clg. 59. Infiltration-Walls-Wndws Card -B1 Date Card -B1 Date Card -131 Date Card -131 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchors -Nail Protection 60. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 61. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 62. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors 63. Bedroom Exiting 64. G.F.I. & Bath Fixtures & Tub Access -Spa 65. Elec. Trim & Subpanel; Breaker Sizes -Labels Card -B1 Date Card -B1 Date 66. Stairs & Rails Card -B1 Date Card -B1 Date 67. Fireplace or Stove; Clearances -Hearth Date ELECTRICAL (Permit) OK except #'s 68. Elec. Outlets at Wood Panel; Int. & Ext. 22. Fixture & Transformer Clearance -Ina. Protection 69. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 23. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Elec. Outlets & Receptacles at Kit. Counter 24. Size Boxes & No. of Conductors -Stapled 71. Garage Fire Door; Swing -Landing -Closer 25. Romex Installed Close to Edge of Studs & C.J. 72. A.C. Duct in Garage -Damper 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 73. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor -Mach. Protection 27. 2 Appliance Circuits in Kitchen &Conductor Size 74. Plb., Elec. & Mech. Equip. Listed for Location 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 75. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 76. Insulation -Foam -Looked in Attic O Yes 77. Guard Rails & Deck Construction -Post Caps 30. Service -Riser Conductors & Ground -Main Disconnect 78. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor O Yes 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 79. Following instld.; Drive O Yes 0 No; Walks O Yes 0 No; Planters ❑ Yes ❑ No 80. Stucco; Brown -Finish Card -B1 Date Card -B1 Date 81. A.C. Unit; Disconnect, Electrical, Plumbing Card -B1 Date Card -B1 Date 82. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. Date MECHANICAL (Permit) OK except #'s 83. Water Well; Disconnect, Electrical, Plumbing 33. A.C. Ducts Insulation & Support 84. Exterior Elec. Trim; G.F.I. Receptacle -Underground 34. Vent Fan; Exhaust above insulation 85. Ventilation throughout House 35. Condensate Drain & Overflow; Size & Grade 86. Glass Protection 36. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 87. Corrections from Previous Inpections 37. Attic Access & Platform if Furnace in Attic 88. Gas Test -Meters Tagged; Gas -Electric 89. Water & Sewer Connected -C/O to Grade -HD Approval 90. Energy Compliance .Certificate -Other Certificates Card -131 Date Card -131 Date Card -81 Date Card -131 Date Card -B1 Date Card -61 Date Date FRAMING (Plans) OK except #'s Card -B1 Date Card -B1 Date 38. Sills, Proper Material & Anchors Card -B1 Date Card -B1 Date 39. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Comments at Final: 40. Bearing Walls over Girders & Floor Nailing 41. Draft Stop in Walls (rat proof) 42. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 43. Header & Beam -Size & Bearing (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 r - APPLICATION AND PERMIT ASSESS R PA�CEL NUMBER ING BUILDING PERMIT OWNER TELEPHONE SOFT. OCC. BUILDING � � VALUATION OWNER'S MAILING ADDRESS � � � 6 CONTR ACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDE UNKNOWN Total Valuation $ Filing Fee $ 1Q,QQ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHIT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee PLUMBING PERMIT Filing Fee 1 10.00 e Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ OtheriL4 �'{,04�4 ,/ SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00 ea TYPE OF WORK New Addition❑ Remodel[:]Utilities[]Installation❑ Other ❑ Describe work: �i� XZ-�� �a;e t= l - Z, 07-- ��j/E� j� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6101 OR LESS10.00 100 AMP OR LESS y� .00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect.. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 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. DWELLINGOCC.P.51) yz2sgft OR ADDNS. ACC. SLOGS. I NEW CONSTR. TI -OUTLET 2.50 ea NON.RESID BRANCH CIRCUITS) POWER APPARATUS &)/) SINGLE OUTLET CIR. , zo®aoe Ex. Occup OUTLETS OR FIXTURES 5AL030 FIXED APPLNS. OR Ex. Occup. OUTLETS (REST D.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 1 1,5'� Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ® I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against sal County in consequence of the granting of this permit. X Date��%—�j�� Signature of AP itp t - WnerJ9 Contractor ❑ Agent ❑ An OSHA per it 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 $ TOTAL PERMIT FEE $ occuP. CONST.TTPC scNoaL FLoo PARCH Po NO 13S This permit is hereby issued under sions of the Butte County Code and/or WOr in 'cafe ab ve for which it TOR OF PUBLIC By. PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 2�� 8 .L� . Receipt No. Q WHITE-D.P.W., YELLOW-ASSE350M. PINK -INSPECTOR. GOLDENROD-APPLI CANT Y-/,- �?/ "` .tr't ' '.•i �-tl1 , r ..r '• rc"=.h.r -•'Z t' ,�y:r,,r ...,,a, -c I', L'�.+�..r � •''' • �`� v.�, .. 'a ' ...�. f. - a:.' .. .r• .r'da^ ' COUNT_ •Y OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541. ' a PERMIT APPLICATION' TA SHEET Permit No,/ a. �- / / OWNER ��" - � � A. P. No.77 >�17a4l S -C, Proposed Building Use G�7` /711/x,0 Building Inspectorol_�.Date /D /9�' At time of permit application, I was advised the. following data must be submitted prior to permit processing and/or Issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . — 2. Plot plans in duplicate/triplicate, signed by preparer of plans. _ 3. Complete plans in duplicate/triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on -plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. School District ''Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authoriz bio. . . . . . . . G 10. Sanitation approval from Health Dept. 11. Planning approval for (A) Use: a (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 El _-__..._15. Improvements may be required. . . . . . . . . . . . t �6. Mobilehome Installation D4a, . . . 17. Pre-Inspec.reques Pre -Inspection for-------.- _ . ___- _ Required. Building Inspector (Date) 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. — 20. Plot plan approval from city of _ 21. 22. When you issue the permit, process as follows: Mail to owner, Maii to contractor. Telephone and hold,fo dpickup at—off ice, Deliver w/inspector. Other _ g %� f Applicant��I / DatP - 7 - Copy of plans sent Health Dept.; Fire Dept., Z Other Date The following data must be submitted prior per t isKuance: (Circle new item not checked above). 1. Index permit for above items No, w 2. Additional items required': Contractor, designer, owner, was advised of above required data by—phone _--nai I—counter by date Contractor, designer, owner, was advised c? above required data by—phone—mail—counter by date Plans checked by Copy—DPW Date Plans approved by Sets of plans on hold in File cabinet AP folder Date 0_2I _ v W t- Rc-L L- z. D,61T,- 'I - This set of plans and specificati ins MUSTS1 N kept on the job 'at all dimes and it A unlawful make any changes or ali'erafions on some withs', N ��.a s� written permission from ihe Department of N U 1Nor6, County of Buffo. z L4 pavi� i =S.J j -.2 x6�.� F�� �s I`o''�% i ! I' 13U C (. BUl �' f SENT i 1:C EL /yl Y" C3 i ED D6/+1-) EiV0 COURT I O U N { G w ! .40 "� 14 - r - TJ �— t i. 77 Ase ac'k of 5 ft::from the lin - - - AA Pro es .. : i _ Of Oft- m the road y an •;: d: a dset � e V• fro ba .... .. , -• -� - � --- -- - • - -- -.. .._ k-� erlme� shall $� _ _ _ _ _ _ .. _.. ..... _ .. _ _ clear of` . res or equipment:e..ce .. t a 2 ft.. eave overa _ i_ , '$'---� '--L--.._.._._�_'.�._1--i--J--I--`-ss..,.------:.._.l. _i ...�_� i.._ .. .' _...i !.:-.�_. _-!_'-�__.1._..-----'-- -'...I., �_. �._.�.__.. ..._i._:_�.�_.�_�_:..._i �.�_L!�_�L..L��>_ -- -i•t...�-� J� 1 14 - Materials & gni Accordance with bed Reco40 of a quality prescri r, building, Plumbing --u-ttiforn .Jprnb�ing +h& National S-CtriGG' t. C`. AVL Shall h% 5,1 ZI-I Procfices and ied use in theOq -Cd cod" an6 Provide !/2" x 10;' anchor bolts @ 6' O.C. max. and within 12" of joints. �Ell A Or% Inn -Y I V8 J' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ERMIT NO. . 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT 000 AS ESS OR PARCEL NUMBER ZONING BUILDING PERMIT 04VNER TELEPHONE 19.3 SQ. FT. OCC, BUILDING VALUATION O ER MAI LI G A DR It N RA TOR' ITAME V TELEPROFM C C O 'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee ,$' - Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ Z PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 C Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PIARCEL 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 I S I G I W 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ installation[] Oth Describe work: Q Permit Fee $ Contractor ELECTRICAL PERMIT' Filing Fee 10.00 Main service 200V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 �bJTRACTORS LICENSE LAW I declare under pens of perjury (check one): ❑ I am licen ed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors.(Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OR ADDNS. ACC. BLOGS. OCCUP.EI�/a¢sgft NEW CONSTR. TI -OUTLET 2.50 ea NON•RESID BRANCH CIRC ITS POWER APPARATUS e (SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES30AL@ 2005 aD 5 \ Ex. Occup. OUTLETS FIXED P(RESID.)REA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �Yirin 15.00 9 Permit Fee $ Contractor 0RKMEN'S COMPENSATION INSURANCE I declare under ally of perjury (check one): 17 The ermit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agrtp to save, indem ify and keep harmless the County of Butte against all li •i ies, judgments, osts, and expenses which may in any way accrue again � id County. inZ sequence of the granting of this permit. XDate �� �oy Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for ex ave ions over 5'0" deep and demolition or construct- ion of structures over 3 stories in heightReceipt Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CONST.TYPE SCHOOL FLOOD PARCEL PDJ D ISSUE This permit is hereby issued under sions of the Butte County Code and/or work in ' d above for which/fsave IRE PURKS MIT EXPIRES Date the applicable provi- resolutions to do beenpaid. r No. WHITE-D.P.W., YELLOW-ASS(SSO , PINK -INSPECTOR. GOLDENROD -APPLICANT n t. COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916 -538 -7541 - OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property_ improvement (yes or no) 2. -1 (have/have not) `�i�I—�, �__. signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors.License No. 5. I.will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner ' Social Security umber Date Id - ��- 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. COUNTY OF BUTTq,,:,aEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 ?6,2— APPLICATION 6pZAPPLICATION AND PE9MIT ASSESSOR PARCEL NUMBER -- ZONYNG PC BUILDING PERMIT OWNER TELEPHONE S0. FT. OCC. BUILDING VALUATION WNER'S Me G AD RE S D r CONT AC OR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee14 on $ 10.00 LENDER'S MAILING ADDRESS Permit Fee Zzat2fo$ 2 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ -� PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 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❑ Othe If 406 X 17 SFfECIFY 151 Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Othe Describe work: // _ `` Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 '444-3Main service 100V 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): F -1I am licensed under provisions of Chapt. 9, Div. 3 of the BuslnesS and Professions Code and my license Is In full force and effect. License No. Classification �FIXED 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.& NEW COrNSTR(A ) h¢sgft MULCC.TI-OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APTU PARAS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20050C BALO90 APPLNS. OR Ex. Occup. OUTLETS IRESID.1 EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation. Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. agree to s .ve, indemnify and keep harmless the County of Butte against allbilities, ' dgments, costs, and expenses which may in any way accrue i. my in consequence of the granting of this permit. op Px— Date %/� /�o—b�_ Signature of Applica — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE HAZ CUA PARK SCHL FLD PAR PD HD ISSUE This permit is hereby issued under sions of the Butte County -Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERI1114 EXPIRES Date_ the applicable provi- resolutions to do have been paid. WORKS G1 Date t0 -22 -go Receipt No. -91 48=:S-0_2_5 WHITE-D.P.W., YELLOW -ASSESSOR• PINK -INSPECTOR, GOLDENROD -APPLICANT a COUNTY OF BUTTE - Department of Public Works 7 County Center.Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until -this verification is received: 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) ,q -Le- 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 Liceirs:e No. 4. I plan to provide portions of this work, .but 1 -have hired the following person to coordinate, supervise, and provide themaj'or 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 -89 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. /10 �Av-g� COUNTY -OF` BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 ` 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 - CORRECTION NOTICE 69 4 1\ H a w•%04a OWNERfirl��� SlMI� . 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. \ r. I 1 O(A V- 3 k4k-Aa 1`PC-llettC40'/ G - r/CId1724-4� //C4 �.• 1'/Le (� /�Dy� c '/Ae r Ga s S Datev9'� ( v 001001� U �; of �°`'- : pw 1 •� � ... : - :::.. . ,At. _ __........_ ._......._ _ lot. rt i ,, �'•��7;11��:. ...�`• _ , : .:� Pim .. � .. .��. ta CI : i E 1 1 1 ' T 7-7 /iAc _ � : _. r : ... ,.ter - i �_• T;. ` ;-� �-�•'+-� i-' 1 �.:�-� - -- '--- � .. cp f ILA 149 V1o�A4- A Nw. 0 1 �0 V+e. c� I ►1 �ul� 14� I�51 pro �as Igo r �.00 �a,Ao I�tadiec� lei'(- -7.3 r73 qC�- Q re F own 5So 0 zu ;� Puy ioda,24� 25 Uo UI'D XdLi (Y) oU � � '. ' � � r nk •�3".m=.?t�wncr�ue•:�.�_ xr��YS��tA�sail�c�i zw ids' �a F' - ltm WE, Dead,En PErmi�t' Z '60OR- STING` I ME AS gg 't ., 'VBAC 0 4 l FEM % iii n• - i, 'R+ �... 0 ' "t#3 9" g7'P E:new� p p tet); j �x um exp, er6�=88B;(1�st� ries/,,34,69 2 'ene, yy��Y o d Oe g ® V,se a 9�Y/6" L✓/o ocse��an9 w/0 oaf 0 R° Ooh .D COMPLAINANT ADDRESS: PHONE NUMBER: OTHER COMMENTS: ' 2 2 i • .�3f � C-0.Sl Q01 `6 .. , . +g 9 10 12 S1 t X13 14 15 16 •joi iq� b ° --.:awn SSS t 17 lI�'rn 18 -�- -Di a. 20 U1 In 21- 2.2 ' 23Jed .• W X24,25 I -o! rOtDnk YU QZ) A7V • I I r z 042-59-0=036 91-3500 HAMPTON,.EDITH CONTR: OWNER 734 DEAD END CT, CHICO GAS PIPING/SF COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, California 95985 - Telephone: 918/538.7541 APPLICATION AND PERMIT PERMIT N0. IlM.• p eeE SOR PARCEL 42-59--036N ZONING ` BUILDING PERMIT OWNER Edith Hampton TELEPHONE 896-1992 S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 734 Dead End Ct., Chico 95926 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee PLUMBING PERMIT Filing Fee 15.00 734��' • CH�CC Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF A Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 1 5.00 .5.00 Building sewer 15.00 Mobile Home S I G W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ® Describe work: Gas Piping _ (Natural Gas) Permit Fee $ 20,00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200ATO1o0oA) CONTRACTORS LICENSE LAW I declare under penalty of perjury p y p l y (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In full force and effect. License No. Classification LEI I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.( DWELLING OCCUPM OR ACDNS. ACC, BLCGS. _37.50 3.6$sq.ft. NEW CONSTR. ULTI.OUTLET NON•RESID BRANCH CIRCUITS) @ 5.00 POWER APPARATUS tr (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 761 Ex. Occup. OUTLETS ED AP(RESILN S*D )REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. 6Virin 9 15.00 Permit Fee $ Contractor — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling Hood 6.50 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 build ing_construction, and hereby authorize representatives of the Countyot Butte.to-enter upon thefabove-mentioned property for inspection purposes. I also agree to save, i ndemnify and keep harmless the County of Butte against all liabi,lrties, judgments, costs, and expenses which may in any way accrue against said County In consequence of the granting of this permit. X f •-6 Date T — Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is re u� ed for excavations over 5'0" dee and demolition or construct- ion of strutures over 3q stories in height. p Mobile Home Installation Fee $ Ener Inspection Fee $ 9Y P DCC CONST TYPE TOTAL FEES 20.00 HAz 1 DFEES I IMP I FLOOD I CDF PARCEL I PD HD ISSU This permit is hereby issued under the sions of the Butte County Code and/or work indicated above or which eegehave ,p� � ]� DIRE I k3�OF PUBL4C PERMIT EX RES Date�,� applicable provi- resolutions to do been paid. + ORKSByDate ©{ i I ' Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT F: v COUNTY OF BUTTE F DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville f Phone: 538-7541 747 Elliott Road, Paradise— Phone: 8?2-6307 r CORRECTION NOTICE �1?��Oe7 til 4/ FOIL —Q OWNER dr PEI 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. VPr -561 d.. iso vim. v -t aiq-- r 0, 5,E Ae SiGlP" l — P;.0u/A� — a O'07"Ouak +. r,� Gas Y'1*6 -�-F 4 v `` j Q '� y��� �. �_ Date -to — ly � Inspector cc, ss" OP Goa s f%I r /4c, Ye ^ � ML f ftft,m l��,e Wosae,�o &I en v o� spy s •�� Oro v. ail• A)e 4u f�s COUNTY OF BUTTE - DEPARTMENT OF PUBLICIORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538.7541 APPLICATION AND PERMIT . PERMIT NO. / ASSES OR PARCEL NUMBER • 42-59-036 ZONING ,) �p --' BUILDING PERMIT OWNER Edith Hampton TELEPHONE 896-1991 S0. FT. OCC. BUILDING VALUAT ON OWNER'S MAILING ADDRESS 734 Dead End Ct., Chico 95926 CONTRACTOR'S NAMETELEPHONE Owner CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS - Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 15.00 734 Dead ENd Ct. CHico Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME • PARCEL MAP Water piping P P� 9 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 1 5.00 5.00 Building sewer 15.00 Mobile Home S I G I IN 1 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel❑ Utilities ❑ Installation❑ Other ® Describe work: Gas Piping _ (Natural Ga.,;) Permit Fee $ 20.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 • Main service 200A DOR LESS 18.50 Main service 200ATO1000A) 37.50 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 11CI ''--FF�� I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.( DWELLING OCCUP.N) OR ADDNS. ACC. BLD GS. II 3.64 sq.ft. NEW CONSTR. MULT"OUTLET NON-RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS 6 (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 120076 FIXED Ex. Occup. OUTLETS P(RESID IREA.� I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring '15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g Hood 6.50 Ventilation - Penult 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 buildin onstruction, and hereby authorize representatives of the Countyot Butte nter upon th above-mentioned property for inspection purposes. I al agree to save,indemnify and keep harmless the County of Butte against all li ies, jud nts, costs, and expenses which may in any way accrue agai t said Cou y In copseuence of the granting of this permit. X Date f 4— �-- Si nature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is requ red for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ 20.00 L-1 I HAz DFEES IMP FLOOD COF I PARCEL PD HD Issu This permit is hereby issued under the sions of the Butte County Code and/or work i ted abo r which a DIR OF PUB By PE EXPIRES Date applicable provi- resolutions to do ave been aid. P ORKS Date 1Q r Q 49 :a Receipt No. 101074 WNITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT i COUNTY OF BUTTE,, DEPARTMENT OF PU L C WORKS - BUILDING [� UI ING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICAPPN-DATA SHEET �1 Permit No. Proposed Building Use L' ZjZje ' :jjflVG Building Inspector Date �� Z At time of pormit application, I was advised the following data must be submitted prior to permit processing and/or issuance: / i BATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ......... 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. ' 4. Complete engineered plans and calcs, with wet signature on plans 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... a 10. Fees of ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid ..................................................... •. t 13• School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to rBuilding Inspector (Date) 21. Contractor's licensefnformation (No., Name Style, Classifications .. 22. Certificate of Workmans Compensation Insurance . \ ............... 23. Owner -Builder Verification (Given to owner ❑, Mail to, owner ❑) .... Z 24. Recorded copy of Agricultural Acknowledgment Statement ........ 25. Letter of signature authorization .......................... ..... . 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup a of ice. -Del iver,w//inspe'ctor. Other ApplicantDate AQ Copy of Haz-Mat form sent Health Dept. Fire Dept. V Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other ZDate The following data must be submitted prior to permit issuance 1. Index permit for above items No. 2, Additional items required: (Circle new item, -not chtcked above'? v • T4 Contractor, designer, owner, was advised of above required data by_phone---- inail_counter by .date Contractor, designer, owner, was advised of above required data by—phone _mall—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovlller California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT ASSESS�RCEL NUMB R O� ZONING , BUILDING PERMIT OWNER lyr?q TELEP'iHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING A OR CONTR � TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUIL S Gy1D RESS T Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW I @ 15.00 TYPE OF WORK New ❑ Addition ❑ Re odel ❑ Uti hies I stallation❑ OtherA Describe work: _ Permit Fee $ G,O Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 Main service 200A TO 1000A) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason OCCUPM NEW CONST. DWELLING OR ADONIS. ACC. BLOGS. / 3.64sq.ft. NEW CONSTR ULT' -OUTLET NON.RESID BRANCH CIRC ITS @ 5•00 POWER APPARATUS e (SINGLE OUTLET CIR. EX. Occup( OUTLETS OR FIXTURES AO @ 76d EX. Occup. OUTLETS PIRESID )REA.� I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Vyirin g 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ I Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct - ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $G-� HAz 0FEES IMP fL00D CDF PARCEL PO HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC BY PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLOEHROO-APPLI CANT 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. s 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 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. iI 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: LL Property Owner Social Security umber Date / Q o2 - e 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. o /O-,-?-�71 42-59-36 PErmit#2961-`37MriT— Issued - DEPARTMENT OF PUBLIC WORKS iille, California 95965 - Telephone: 916/538-7541 _ __ . _:CATION SND PERMIT E7N ASSE�SP_R _EL UMBER 44 - -3BUILDING ZONING PERMIT OWN I TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWN R'SMAILING ADDR� Ie4, I CONTRACTOR'S N E TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Ch cking Fee $ Energy P% Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBVP PERMIT Filing Fee 10.00 Each Trap 1 2.00 e i Solar or heatACm-Okater heater 20.00 LOT NO. SUBDIVISION NAME CEL MAP Water pipind 5.00 Each qas w terate dor vent 5.00 USE OF STRUCTURE SF [IDuplex❑ Mobilehome.Z Other SPE Gas pipi m 1 - 5", utlets 5.00 uildi 5.00 Mob eobil e S G W 10.00 ea. TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ InstI ion Other ❑ Describe work: _ d r —� Pe t $ Contra or EL RICAL MIT Filing Fee 10.00 n se ice Qgo AMO;tLf1SLESS 10.00 Main Ice EA. A /L 100 AMP 2.50 CONTRAC RS LICENSE Lw I declare under penalty of perjury (C ck.one): ❑ I am licensed er provisio of C p 9, Div. 3 oft Bus" ess and Professions de and my icen s in full forc and fect. License No. SSI t10 FA I, as the owner, or em ees th s as th r sole en - sation, will do the wo and str ure is not i nded or ered for sale. (Sec. 7044) ❑ I, as the owner, am exc sively co g wit lic dcontract- ors. (Sec. 7044) ❑ I am exempt under Sec. Business d Profes ' ns Cc for this reason CONST. Dw VING OCCUP.Sd , ADDNS. ( AC LDGS. �1�Sgft NE CONSTR. I.OUTLET 2,50 ea N -RESID NCH CIRCUITS) WER APPARATUS INS NGLE OUTLET CIR. X. OCCUp( LETS OR FIXTURES 120 @50t IsAL030 XEO X. OCCup. UT ETS IPRESID )REA.1 2.00 Temporar service 110.00 Mobile eme Facilities 15.00 Misc. Irin 15.00 g Pergft Fee $ Co ractor WORKMEN'S COMPEN TION INSUR NCE I declare under penalty of perjury (check ne): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building De rtment a Certificate of Workmen's Compensation Insurance or a C tificate of Consent to Self -Insure. I shall not employ any person in any manner so as to beco subje to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become sub' ct to the W. C. provisions of the Labor Code, you must forthwith comply with ch provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 eating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor If 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 County of Butte to enter upon the above-mentioned property for inspection purposes. I also ag er6 to save, indemnify and keep harmless the County of Butte against all li Ilities, judgments, o s, and expenses which may in any way accrue again County inc a uence of t e ranting of this pe it. /� X / Date _ ✓ Signature of Applicant — Owner WContractor ❑ 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 $ TOTAL PERMIT FEE $ OCCUP, CONST.T7;TJ 71 FLOOD PARCEL PD I NO I ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. DIREC%R OF PUBLIC WORK — .— By C J^��l Zte PERMIT E PIKES Date Receipt No. � ��3 S WHITE -G V.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT �'!'�-�! h .. Jl•�� �y{::. , - aM .f'fn.-� � � � v.++�_ ..` ,�y�� , s .. � {�y�� .-.`j,� .;.- � : � is fJ !! � �(y`-Yii; :� �. !!'['�r:Si; ' �� .t t 3_�1, l s h�.•�..'!` ?i:�l•n.r2.(�* 'R—..`Y�!if JF �f).-L`.�,y�f'J ty��i'.~'Y�s./i� i'!''^. tf,+r 'St Yi i ',-COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS -BUILDING DIVISION 7 COUNTY CENTER DRIVE - ORO VILLEtZPC LAF&RINIAY95965 - TELEPHONE: 916/538-7541 •'••'.� 'fit+►-.-;:�� PERMIT APPLICATION DATA SHEET - - u Permit No. OWNERA. P. No. �„2 Proposed Building Use M -1-Z Building Inspector Date A At time of permit application, I was advised the following data must be submitted prior to permit processing - and/gF-IiIssuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . — 2. Plot plans in duplicate/triplicate, signed by preparer of plans. . 3. Complete plans in duplicate/triplicate, signed by preparer of plans. 4. ,Complete engineered plans and calcs, with wet signature on `Pans. 5. Plans with Energy Design Compliance Statement. . . . . 6. ' School District "Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non. -Heated and AC Buildings. 8. Fees of $ . . . . . . . . ,. 9. Letter of signature authorization. 10. Sanitation approval from _ f%'� Health Dept, 11. Planning approval Jor (A) Use: (B) Parking: 12. Certificate of Workmen's Compensatioff Insurance. 13. Contractor's License Information (no.,`< ame style, classif.) _14. Owner -Builder Verification (Given to oAer0, Mail to owner ❑�)'" 15.Improvements may be required.. 16. Mobilehome Installation Data. IP e 17. Pre -Inspection for ______. �\ .. Requir,dd. B�iIdi�9l`,, 18. Recorded copy of Agricultural,Acknowledgment Statements-/. 19. Driveway Permit,, 20. Plot plan approva`I from ciiy�``of 1 �' 21. 22. Whef you issue L/ Telephon Other_ Cop The following data must be submitted prior to per 1. Index permit for above items No. 2. Additional items required: Mail to contractor - Deliver w/inspector. to 0 ce: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by_phone_mail_counter by date Contractor, designer, owner, was advised c? above required data by—phone _mail—counter by date Plans checked by Copy—DPW Sets of,plans on hold in Date Plans approved by File cabinet AP folder r expjx—ec� Date �t Mail to contractor - Deliver w/inspector. to 0 ce: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by_phone_mail_counter by date Contractor, designer, owner, was advised c? above required data by—phone _mail—counter by date Plans checked by Copy—DPW Sets of,plans on hold in Date Plans approved by File cabinet AP folder r expjx—ec� Date COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An'"owner-builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit: No building permit will be issued until this verification is received. 1. I personally plan to prow' a the major labor and materials for construction of the proposed property i r vement (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 Owner Social Secuyj.ty Date —91-T ((���� 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. NOTE.. --All PA:' +- �v� r!:w;anship Shall 'Be in ` Accordance `vit:�. - iCc i:_ed Good Practices ani' ' of a quality prescribed for the Specified, use in the. Uniform Building, Plumbing & Mechanical Codes and the National Electrical. Code. rh n rt, d P O setback of 5 ft. from the perty lines and a setback f 50ft..from the road riterline shall be clear of ctures or equipment excep+ eave overhang: 3as3<'� th 1l; *0. R� o�od 7 Z 0 Cr -h cu oQ s� �a. c 3Cr 3� �0 E0 CL iD m:7-�, 0 o —So —+1« N s VE N LA -E T � C s . This set of plans and specifications MUST bA kept on the job at all times and it is unlawful t; make any changes or alterations on same with- out written permission from the Department of Public Works, County of Butte. w L40 - rib --. , - - . , i a I ),.o7; , - ? A 10 Vp BUTTE COUNTY.DEPARTMENT OF PUBLIC WORKS 7 County Center Drivel Oroyille, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1 JJ/ /f 1:. Owner's name:/pi 2. Installer's name: f P17 14pP aAl _ e i 3: Is the site currently under permit? Ye§ / / No (If yes, furnish permit number ) OR. Is the site an existing site? Yes / / No if i (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of. all setbacks.and easements? Yes No _1 ( If no, clarify ( ) S. What is the mobilehome electrical rating? ----------------------- A0 {-Amps 6. What is the mobilehome site service rating? -=-------- OHO Amps 7.. What is the mobilehome site circuit breaker rating? -------------' ZOO Amps ' 8. Is there any other electric load to be'served by the mobilehome siteservice? --------------------------------------------------- Yes No f . (If yes; identify the load and size: //�1�4 (-&ad) (Amps); -------- - 9. What is the mobilehome site gas pipe size? ------------ 10. What is the type of gas service? -------•---------------------- Natural MZ LPG 11. What is the gas pipe length from meter or tank to the mobilehome? (ft.) . 12. What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required if pipe length less than 6 ft. on natural gas . or less than 50 ft. on LPG.) MOBILEHOME SUPPORT DATA If other than single wide, Mobilehome Mfr.Al,�fry om e_ furnish Setup Model No. Year p idth(ft.) Box Length L0 (ft.) Tagalong or Expando Size ft. x,ft. (SHOW SUPPORT DETA ns BELOW) On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. Footings (check one) 07 1� (ft.)(in;) (in.) (in.) Center support Center support locations* footing sizes (in.) �2 .10 (ft.)(in.) (in.) (in.) Single ® 1. Wood either pressure treated or _T foundation grade. 2. Others (specify) Supports.(check one) ULN' 1: Concrete block. E] .2: Other. (specify) *---Tagalong or Expando,' show support details. (ft.)(in.) (in.) (in.) ; Typical Support (in. (in.) Footing Size (ft.)(in.) (in.) (in.) Max. Pier Spacing (ft.)(in.) auts(in..) Max. Overhang (ft.) (in.) (in.) (in.) *If center piers are other than drawn above, t draw in. -locations, spacing, and dimensions. _....___.._._._._..__. .._... 1. Owner's name: 2. Installer's na BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 3. Is the site currently under permit? Yes / / No (If yes, furnish permit number ) OR Is the site an existing site? Yes / / No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes / / No (If no, clarify ) .5. What is the mobilehome electrical rating? ------------------- Amps 6. What is the mobilehome site service rating? Amps 7.. What is the mobilehome site circuit breaker rating? ___-_------- - Ames S. Is there any other electric load to be served by the mobilehome siteservice? --------------------------------------------------- Yes / No (If yes, identify the load and size: !� oad) (Amps) 9. What is the mobilehome site gas pipe size. ---------------------- � 10. What is the type of gas service. Natural 7 LPG 11. What is the gas pipe length from meter or tank to the mobilehome? (ft.) 12. What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) MOBILEHOME SUPPORT DATA 'If 'ober than single wide, — Mobilehome Mfr. 01f furnish Setup Model No. Year Width �(ft.) Box Length (ft.) Tagalong or Expando Size ft. x ~— ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. Footings (check one) Single 1. Wood either A A pressure treated or a foundation grade. (ft.)(in.) x3A (in.) (in.) El2. Other ( specify) Center support locations* Center support footing sizes Supports (check one) (in.) ro 1: Concrete block. x.3.8 ❑ 2. Other ( specify) (in.) (in.) %4 �1 T /1 2Z I (ft.)(in.) (in.) (in.) (ft.)(in.) (in.) (in.) ��x (ft.) (in.) (in.) (in.) *If center piers are other than drawn above, draw in. -locations, spacing, and dimensions. Tagalong or Expando,' show support details. A X;�o I -- Typical Support .n.) (in.) Footing Size' 5—,& Max. Pier Spacing (ft.)(in.) -- Max. Overhang (ft.)(in.) STATE OF CALIFORNIA—DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT norm fin MANUFAnCIURER NAME/10 TRADE NAME MERRYHtbfE MODEL DOM 001 00/00/00 UES 05/06/75 SPC A(A E%PIRAl10R 09/30/87 RY-75 U SERIAL NUMBER 1lpp NUMBER �•�H ��55 09/23& UU y E%EMPI SFO ILT 5950X 2'535&1 192471EVINSIGNIA 192472 000006 000000 009999 009999 000999 000999 D TOTAL FEES S PAID: R $79.00 A HAMPTON EDITH o 6111 NORD GIANELLA RD o CHICO CA 95926 R e s S b iR ppp , e €,E R HAHPTON EDITH d e Y 51r X A 61$1 NORD GIMIELLA RD , - -_— _ CV, e CHICO CAE95926 R t • o s HORD GIAHELLA RDel r %�E� tnxttl tux�[� [aE�Ex#t+ %%a x>�E E%aEx t% xI%� E�E[xt t�IE[3 HElEt EaE;F x 'N T I w.. 1, ATTEHTION OWIER: x e u CHICO CA 95926 Il=10 D'w I I R s d„s,T '_� °•-;•_ �THIS,;IS TIIE"REGISTRATION CARD FOR THE EMIT DESCRIBED ABOVE. If `PLEASE KEEP THIS CMD IN A SAFE PLACE WITHIN THE UNIT. L BK AHER NTSA yam? ,. �E x#: • ` J * 1 ;� j, f (, w _.2 e i �xyy8,*f(L{y +o IHS1T=, TIONS FOR•REI!Ek1 L: A 400 BROAD14AY * REGISTRATION,FOR.THIS UNIT EXPIRES ON`THE DATE INDICATED ABOVE IN THE -BOX LAEELEOcr,%XPIRATIONrr. TIIEP.E,ARE SU8STAHTIAL PENALTIES EE , FOR, OELIIQEEI,CY:�''IF YOU DO NOT RECEIVE A REVERAL NOTICE WITHIN ' o CHICO CA 95926 V •IE 1D'DAYS;PRIOR'TO'THE EXPIRATION DATE, CONTACT H.C.D. FOR RENEWAL N DATE: 08/16/82 07:g0:09 tr'aIHSTRt1CTI0NS 4,••�ry 1F e ��i xx�•xtaFE;i�x+raE�F�L�;�IE�NE>Exzx>EzaE>tic�P�tzar>Htt>Ex�Itxra;x�-z+%�Ex�Ex�E� r 4 J Uv NI x R O 5 R T L I ' e N 5 H e OC L 0 0 N e D R IM+ORTNIT 03-262-01675 THE OWNER INFORMATION SHOWN ABOVE MAY NOT REFLECT ALL LIENS RECORDED WITH THE DEPARTPIENT OF HOUSING A110 COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT. .1 THE CURRENT TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT. 0300927 / CERTIFICATION /1F COMPLIANCE WITH CHICO UNIFIED SCHOOI.. DISTRICT RESOLUTION 'AIIA 340-87 CUSD NO. _ Chico Unif1 d School District certifies that. did 3 s--570 39 (name of !rmi a�licaint) ' (phone no.) 010 1 K address)s . saIcity�-(e has)wnplied with the requirements(zip) of Resolution No. 340-87 r arding � G e�si_, i�commercial/i ust •al t(s) on Parcel No. by the payment f fe s of • representing square feet. 042 /10 2 e " CSD re se alive -IM I �. _.�..�.�....._._._... G� :11;7 i:. �. - • Wool �:3 �S++9m�liupo'► cr+i �+n:�s b:�Sl�►!�D t^d ry S�UZ�e� t1�3�l:IIuS :`elai� ,nrrr; 1 � - XuUe . ~ OROY|LLE, [AL|FOQN|4 � GENERAL CiA!6\ cL^m/AyT._- __'Iames.�A,-Kline ADDRESS: _-_ ' l520'N.,_Cherry St' .... _... ___._ c/T, & sTA7s' ' Cbic --_ ------'--- IMPORTANT: SEE -INSTRUCTIONS ON REVERSE SIDE fUGH/7 CLAIM TO DEPARTMENT RECEIVING GOODS 08 SERV/CES nATI: , / ,= oescxnpT/ow OF CLAIM (osscn|oE FULLY To AVOID DELAY) �--- Aw0u .'Owner has decided not to do work. (Bldg Permit Applo. #721-85B,9,O �Receipt #37204, dated 3/l8/85, &P #42-34-97)' i . Buildiog permit fees paid ------------------------ �8O2^ O0 � ' -|_ -_- _' . !ue�aio filiog fe_e------------------8 -0,-. 0___0__ ,Retain _plan _checking fee ----------- .Retain energy plan checking fee--- ------------'-'�----- --''--' i Amount retained --------------------------------i :Refund due '- ---'--------------'------------------------------- 0-'�-------------' ' `Plumbing p��mitfeea' |aif-'-'-'- Betuiu filing fee----------------------- ' �-������ | Refund due---'-�'-��—�-������--�����-�������-'-�������������====�==� `-- '--' -_- ' | , Electrical' ''it fees paid-�-*-:-n���������������-���� --'---------'--i----''------ .De��iofilioo�fee—L----------------- � ' ' - ��� ' �Refund due-----.-- ---------------------------------- '-----------' � . �'�� fees �i�� -'------- — .Mechanicalpermzc pu ----------------� �l.0O��-'-'---- �' �� --' -Retain filing fee-------------------- | :Rafobd �du����'-�-�--- - -'- -' --' -- �-�������--� ' _________--_----------------82��O�'[ --' -'- i ' / _ _REFDyD Energy Inspection Fees -------------------------------- $' 3UI&L REFUND DDE--------------------------------------------- $718.20 ' TOTAL S718'20 m"..^"",,,'.,"°.'^,/',"^.'~"/^"~^,'",'.^,"'^,,`/',_,^,.,'.^.`/^ "^'',,, ^" ' ���� c .......(� of Cloin­:.l Ir nr / . )y�g . ApTil '8.5le ' " c",� /�'�----- '------------�^-��---- -------____c"^.� '^`^v��,x^, ~ �-----------' ----------------_____________ DO NOT W�ow/ ��--l- -���--b��i��--f�i�---�^-`=`===- =� =-= --- ONLY ,Ewnux D E P T SUB. CLAIM INVOICE INVOICE GROSS ­ CODE & SUBPROJ OUNT . � | | | . - _ -_--_-, - wgb� d) ^,If �U COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Californ;a 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO 1771 1 ASSES R ARC UMB _ zO NG737 BUILDING PERMIT Ow \ T"o E S0. FT.0 BUILDING VALUATION 07ThMAILING D E CO RAC OR'S NAME TELEPHONE CO RACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER 15 e:Total UNKNOWN Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ AR I ECT OR ENGINEER LICENSE NO. Plan Checking Fee $ O Pn (ty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee V I $ BUILDING ADDRESS r 3 C PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP 72,--0I Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE S Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New Addition❑ Re d ❑ Utilities❑ Instal lation❑ Other❑ Describe work: — Permit Fee $ Contractor ELECTRICAL PERMIT FilingFee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELING 0 OR AODNS. ( ACCLBLDGS - - 21h2$Qft CONTRACTORS LICENSE LAW I declare rider 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. f�-'� zG, u Classification `l ❑ 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 N..-RESID R BRANCH CIRC ITs 2.50 ea NEW CONSTR. ( POWER APPARATUS &) NON-RESID, SINGLE OUTLET CIR. 20080C Ex. Occup(o OR FIXTURES 9AL0300 IXED A Ex. Occup. ouTLETSPLNS (RESID )REA.� 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 Consent to Self -Insure. 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 6,00 Hood 3.00 1.00 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 qt 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 aga st said County in c se ce of the granting of this permit. X3 I� �Si Date atu a ofApplicant — Owner Contractor ❑ Agent ❑ 0S A permit is required for excavations over 5'0" deep and demolition or construct- (�n f tructures over 3 stories in height. Mobile Home Installation Fee $ " 1. TOTAL FYEAMIT F E $ OCCO_. GROUP 3 TYP oq CONST. PARC PD N Iss E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC O OF PUBLIC BY PE IT EXPIRES Date_ the applicable provi- resolutions to do fees have been paid. WORKS Date��%� Receipt No. C3 96-0 WHITE-D.P. YELLOW-ASSeS 50 R, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE-,"-.C-,.095965 = TELEPHONE: 916/5344541 1 ,- PERMIT APPLICATION DATA SHEET. -�-Permit No. OWNER (1 ` f� M VK e S 1 1 I ;r� A. P. No. _/ Proposed Building Use & t� S/�_ Permit Fee Based Upon: Complete Contract Price <�C DPW Valuation Other (Explain) Building Inspector 4 V Date At time of permit application, I was advised tfie 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. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization . s . . . . . . . . . 10. ,Sanitation approval from i -k 1 c. n 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 owner0, Mail to ownerE]) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . •Pre-Inspec. request to OK77 Pre -Inspection for Required. Building Ins ctor Recorded copy of Agricultural Acknowledgment Statement. 3// ��Qis lil 19. 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 ica Date3- I&-555"" Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following,.data/must be submitted prior to permit issu (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. `i r 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by Date Plans approved by Date S Other: Copy—DPW TO: Building Department ,.,. ` a FROM: Environmental Health, Chico SUBJECT: Sanitation Clearance ' S ��./rti a __ &&W Owner Location AP# Plan approved for: sewage disposal water supply Hold final for: water supply Final clearance O.K. for: water supply l/ Clearance for bedroom m�e ?(�ome. Other Note*** Sanitarian Date S5— "7432 Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT S;FRly?+- r^aECS3f'` FOR RESIDENTIAL DEVELOPMENT SUITE POUlI"4Y-(;A!,'F gECf)RDS REQUESTED'E', P Section 26-8.1 of the Butte County Code requires this acknowledgemen PARW SH be recorded prior to issuance of a building permit. 'hula 1119 41em The property described herein is adjacent to land or included C1..EAK _ Rf:-(i;i'lri# within an area zoned for agricultural purposes, and residents of this FfE., property may be subject to inconveniences or discomfort arising from S5— 7432 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 occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural 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 disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: l that real property situated in the unincorporated area of the County of Butte, State of California, de- scribed as follows: Beiig a portion of Lot 10 of the First Subdivision of a the Ba Tract, also being a Y g portion of Parcel 2 per Book 70,3f Parcel Maps, at page 35, recorded February 2,.1979, more particularly described as followas 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 April 16, 1981, in Book 82 of Parcel Maps, at 41. page A rtificate of Correction was recorded July 14, 1981, w in 3ook 2639, of Official Records, at page 354. TOGTHER WITH AND RESERVING THEREFROM a 50 foot'non-exclu- sive easement for ingress and egress and public utilities as.shown on said Map. Date: �'�5 �/ , .3-1 PROPERTY OWNERS- WNERS:State Stateof C, qll -PORN/A ) On this the da' x of NARCA 19S?<, before SS. me, the undersigned Ndt-ary. Public, personally -.6U lte appeared County of ) JAMBS V ®®wmn°�awaoeaaA®sI®®ss■®®mo®® °RICHARD FEUERSTEIN ® . "� NOTARY PUBLIC•CALIFORNIA p w Butte County ® MY Commission Expires Jan. 24,1989 ®®em'®aas®®so®mi0000®®®®s®® Present A.P. No. Personally known to me. L Proved to me on the basis of satisfactory evidence. to be the person(s) whose names) subscribed to the within instrument and acknowledged that executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. • fVQ OF DOCUMF14i Notary Public �_ /k �3__ 7 •PERMIT.NO. PERMIT EXPIRES OWNER tDITH HAMPTON` CONTR. Owner. ASSESSOR PARCEL 42-59-36 LOCATION 734 Dead End Ct, Chico Temp. Power Pole Called PG&E OOS Temp. Elec. Service Called PG&E _ Temp. Gas Service �/J I Called PG&E i JOB FINALED (Date) Signature = OK 0 = Not OK = Not Ready able MOBILE HOMES MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s Date " DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; -Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts- Beam s-Rftrs.-Conn ec.- Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ P LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -B1 Date Card -B1 Date .10. Roof; Shthg-Roofing Card -B1 Date Card -B1 Date 11. Ext.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -B1 Date Card -B1 Date 2. Footings; Size -Spacing -Marriage Line Card -B1 Date Card -B1 Date 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s 5. Drain; MH Test -Fall -Flex Connector 1. Setbacks -Easements 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability 7. Water and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GF1 10. Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater Card -B1 Date Card -B1 Date 8. Elec.; Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit Card -B1 Date Card -B1 Date 9. Health Department Approval Ad / ,zCard-B1 10. Plumb.; Cir. Test -Water Supply Test Card -B1 Date Card -B1 Date Date Card -B1 Date �_x�/!1 cd ivL d %UfA- Ile = OK 0 = NotOK RESIDENTIAL, (Single and `Duplex) - =Not Applicable = Not Ready Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 44: -Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 45. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 46. Fireplace Ties or Type A Flue -Fireplace Throat 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 47. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 48. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 49. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 50. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 51. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 52. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 53. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 54. Siding -Nailing Veneer 12. Electric; Underground 55. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 56. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 57. Shear Wails; Nailing -Bolts 15. Insulation 58. Insulation-Walls-Clg. 59. Infiltration-Walls-Wndws Card -131 Date Card -B1 Date Card -B1 Date Card -131 Date Card -B1 Date Card -131 Date Card -131 Date Card Date Date PLUMBING (Permit) OK except #'s -81 16. Water Ht. Vent -Access -Combustion Air Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchors -Nail Protection 60. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 61. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 62. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors 63. Bedroom Exiting 64. G.F.I. & Bath Fixtures & Tub Access -Spa 65. Elec. Trim & Subpanel; Breaker Sizes -Labels Card -B1 Date Card -81 Date 66. Stairs & Rails Card -131 Date Card -131 Date 67. Fireplace or Stove; Clearances -Hearth Date ELECTRICAL (Permit) OK except #'s 68. Elec. Outlets at Wood Panel; Int. & Ext. 22. Fixture & Transformer Clearance -Ins. Protection 69. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 23. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Elec. Outlets & Receptacles at Kit. Counter 24. Size Boxes & No. of Conductors -Stapled 71. Garage Fire Door; Swing -Landing -Closer 25. Romex Installed Close to Edge of Studs & C.J. 72. A.C. Duct in Garage -Damper 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 73. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 27. 2 Appliance Circuits in Kitchen & Conductor Size 74. Plb., Elec. & Mech. Equip. Listed for Location 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 75. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 29. Range Circ. / / ga. Cu or Al -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 76. Insulation -Foam -Looked in Attic 0 Yes 77. Guard Rails & Deck Construction -Post Caps 30. Service -Riser Conductors & Ground -Main Disconnect 78. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 79. Following instid.; Drive 0 Yes 0 No; Walks 0 Yes 0 No; Planters 0 Yes 0 No 80. Stucco; Brown -Finish Card -61 Date Card -B1 Date 81. A.C. Unit; Disconnect, Electrical, Plumbing Card -131 Date Card -131 Date 82. Vents Above Roof; PIbg.-Appliance-Firep I. -Clearance to Openings. Date MECHANICAL (Permit) OK except #'s 83. Water Well; Disconnect, Electrical, Plumbing 33. A.C. Ducts Insulation & Support 84. Exterior Elec. Trim; G.F.I. Receptacle -Underground 34. Vent Fan; Exhaust above insulation 85. Ventilation throughout House 35. Condensate Drain & Overflow; Size & Grade 86. Glass Protection 36. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 87. Corrections from Previous Inpections 37. Attic Access & Platform if Furnace in Attic 88. Gas Test -Meters Tagged; Gas -Electric 89. Water & Sewer Connected -C/O to Grade -HD Approval 90. Energy Compliance Certificate -Other Certificates Card -B1 Date Card -131 Date Card -131 Date Card -B1 Date Card -131 Date Card -B1 Date Date FRAMING (Plans) OK except #'s Card -131 Date Card -Bt Date 38. Sills, Proper Material & Anchors Card -B1 Date Card -131 Date 39. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Comments at Final: 40. Bearing Walls over Girders & Floor Nailing 41. Draft Stop in Walls (rat proof) 42. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 43. Header & Beam -Size & Bearing (NOTE: An entry must be made each time you visit job site) V COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Caiifvrnia 95965 - Telephone: 916/538-7541 APPLICATION AND'PERMIT (Y PE MIT NO. ASSE$$,O PARCEL NUMBER 3 / JJ��%%,, „� ,/!J� ZONING(v l I BUILDING PERMIT OWNEt• 'V iELEiHONE i y7 a'...i J. SO. FT. OCC. BUILDING VALUATION OWN R'S MAILING ADDRESS /�,J WT CO A T R'S NAME TELEPHONE CONTRACTOR'S MAIL G ACORESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Flling Fee $ 10.00 LENDER'S MAILING ADDR SS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 42 Permit fee $ PLUMBING PERMIT Filing Fee 10.00 24Z Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. Z SUBDIVISION NAME PA CEL MAP �V- tk) Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehom!X Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile HomeS 10.00ea O TYPE OF WORK New❑ Addition[] Remodel El. Utilities, Installation❑ Other ❑ Describe work: _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 500 Sp X4IrIV . MN Main service 100V OR LESS 100 AMP OR LESS 10.00 d Main Service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check -one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) contract-Mobile ❑ I, as the owner, am exclusively contracting with licensed c ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.ad OR ADDNS. ( ACC. BLDGS. , /2esgft NEW CONSTF MULTI -OUTLET NON-RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS e SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES eAL920®30SOt FIXED APPLNS. OR \ Ex. DCCUp. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities Ho 15.00 Misc. g 15.00 Permit Fee $ 2 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. 141 I shall not employ any person in any manner so as to become subject 11�-Nd 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also a to save, indem iand keep harmless the County of Butte against all li i'lities, judgments, osts, and expenses which may in any way accrue again id County in equen a of a ranting of this permit. Signature of Applicant — Owne Contractor ❑ Agent ❑ An OSHA permit is required for a cavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home installation Fee $ Energy Inspection Fee $ �, 5_ �•, TOTAL PERMIT FEE $ ( * occuP. coNST.TYPc LOoARfy FEL PD ND Iseu This permit is hereby issued under the applicable provi- sions he Butte County. Code and/or resolutions to do wor indi to bov for which fees have been paid. R OF PUBLIC WORKS v,C7 BY � �—Date 7ZZ"" PERMIT EXPIRES Date `� Receipt No. Tl % O T'7 ` WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLEpiCIALIFO'FTAIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit -No. OWNER / A. P. No.c/- Proposed Building Use ®�141z�lt Building Inspector Date f At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . — 2. Plot plans in duplicate/triplicate, signed by preparer of plans, . 3. Complete plans in duplicate/triplicate, signed by preparer of plans, 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. School District "Fees Paid" Stamp on"Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of• $ . . . . . . . . Letter of signature author' t'i( n. oi Sanitation approval from Health Dept. �/ 0Planning 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 ownerEl _.---15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . - 17. Pre -Ins ection for Re uired, Pre-Insperequest to (Dote) p ------ - - - ---- -- - q Building Inspector 18, Recorded copy of Agricultural Acknowledgment Statement, 19. Driveway Permit. — 20. Plot plan approval from city of 21. 22. — -- Wl you issue the permit, process as follows: Ma,il'to owner, Nail to contractor. ,/ Telephone-3S`S SG3�i and hold for pickupca�i/,z,;. office, Deliver w/inspector. Other _ -- AppIic;an`t � e• Copy of plans sent Health Dept.; Fire Dept., Other Date 9 The following data must be submitte pri to permit issuance: (Circle new item not c.hec'ked above). 1. Index permit for above items No.\ — - 2. Additional Items required: Contractor, designer, was advised of above required data by—phone _�tlail counter by date SEp Contractor, designer, owner, was advised c? aboverequireddata by—phone_mai� n er by date Plans checked by or Dater/L/ Plans approved by Date 5��7 Sets of plans on hold in File cabinet AP folder Copy—DPW 1 t`' TO: Building Department FROM:_ Environmental Health, Chico 11 SUBJECT: Sanitation Clearance off 17 �''3 ner Location A Plan approved for: sewage disposal 4If!:::::: water supply �— Hold final for: water supply Final clearance O.K. for: water supply r � Clearance for _bedroo mobile home. Other Note*** Sanitarian Date COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your, signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit: No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (.yes or no)fig- �._ 2. I (have/have not) signed an app(l/ication for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name - Address City Phone Contractors License No. 5. I will provide some of the work. but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner- Social Security umber Date 6? 1 V 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. NO-1E.—All Mate, :Is c:: Wor'.crnanship Shall 8� . , . Accordance with Recognized Good Practices and �gcco Specified use in the of a quality prescribed for the& Mechanical Codes Uniform Building, Plumbing and the National Electrical Code, A setback f5ft. from the property limes and a setback of 50ft. from the road centerline shall be clear of Wtoures or equipment excep+ Rnr a 2 ft. eave overhann. 4.v L7 W . u � . z V rh A y VE IV L4N d 3 This set of plans and specifications MUST be C) kept on the job at all times and it is unlawful t, 3 Q make any changes or alterations on same with- out written permission from the Department of Public Works, County of Butte. 0 ' 3's7 H� s 40 n Li (V 2 C -J Win 2 r S -- Gc / i�l f�lQ r'�1 6 ✓� 246/- YVl t-f1.1//1'/hiZ ��is'/ca�icrrs !r-3-07 1p" 1 0 I -le /pu m oa )4-606c S-'- .. %� lrt ei-& / ,Eijno/r<<r •, /0-2 396 2a-8 J� —,V x•[044 u ��n �c,�a (. �y�o�/.�`a��o•� /o -/6-� �l O '.1SpU"41 �c<< bl.}'ilnrj. �- ��ri, _°,• /CJ�3.// i .- -�:; . _, , . .r. ✓) ` r � tklF {!k . � �. i ,} r � ` ., � ,` �_ \--w7'.�,_�'�3, �' ,r ti_ `�. } ,'`,., "-,...,,,,. ms's _ �' �i,.J..,� - .r,-' � �:,�•,,�w„ ,7��, yam..., ', ` — � � .� r. c 3 _ .. . ;4 ;� - � _ -- � I ,. �, �� - ��� � � z. i � . ` . -��/!�4�-59-3� pis- 9/ �o��s�9a- 9/ �1�1�_ _� �� � v ' 1 "�1 y .. ., _ i ♦ 4 .. .. � v ' 1 "�1 7 L i l - •� 1 i w a� � _ .t ' A 1 L O � _ .t ' . \ t i � ' 4, 1 / `j .i i ' i . i i "' f i r 1 1 � ' - 1 � r �., 1 r � ,r \. i{. �1 � /L �< COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT ' Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. FLOOD ZONING I P.D. I ROOFING ISSUE OWNER PHONE NO. '736 OWNER'S AD RESS e A J E Ud 00 e/,e 5_ LOCATI N qF BUILDING 3 a aea /Pl- USE OF BUILDING SIZE OF STRUCTURE J % JZ—' X O SQ. FT. TYPE OF CONSTRUCTION: WOODFRAME STEELXCONCRETE —OTHER (Specify) TYPE OF SIDING ROOF COVERING FLOOR TYPE ee— N ,�e— ESTIMATED COST OF CONSTRUCTION $ OOD•OO AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows: FRONT SIDES REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated above and the proposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date 9- l% Signature of Owner �I ✓cam Permit Fee - $25.00 The above described AG Building is exempt from a building permit. Receipt No. White - DPW, Yellow - Assessor, Pink - B.I., Goldenrod - Applicant Director of Publir By Date I— FLOOD PARCEL I P.D. I ROOFING ISSUE Director of Publir By Date I— �;ertuicate or %-;ompuance: r<esiaenuai '.. 01mate Lone 11. Project Title / Project Address Documentation Author Telephone BUILDING DATA -Cond) r Area [ VO C 'Slab sed Floo Single Family Detached (SFD) Single Family Attached (SFA) [ 1 Multi -Family (MF) Number of Stories L Number of Units [ ] Addition -Alone [ ] Existing Building [ ] Existing -Plus -Addition Building Permit M (heciced By / Date Ertlorce nent Agency Use only Glass Area % Glass North _ s East South West Skylight Total BUII.DING SHELL INSULATION Component Insulation LocaiionlC.omments Type R -Value (arcic, to garage, Cr3, i_L, ere.) Wall .............. Wall.............. Roof ............. �— Roof ............. Floor ............. i Floor ............. i Slab Edge..... GLAZING Shading Devices ... Glazing Area Glass Type Interior Exterior Overhang Framing Type Orientation (sf) (single. double) (yoller blind, etc-) (Shade=am etc) (yes/no) (Inetaltwood) North ( ) North ( ) East ( ) East ( ) South South ( ) West ( ) W est ( ) Skylight....... THERMAL MASS Type/Covering Area Thickness (slab/exposed, tile, etc.) (sf) (inches) Location/Description (kitchen, bath, etc.) HVAC SYSTEMS Minimum Duct Type (furnace, air Efficiency Location Duct Output Manufacturer / Model # conditioner, heat pump) (SE- SEER HSPF) L L ' (attic, etc) R -Value (Btuh) (or approved equal) Maximum Furnace Heating Output: Btuh HOT WATER SYSTEMS Tank Manufacturer/Model # System Type (storage gas, etc.) Capacity (or approved equal) Soecial Feature(s) SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) I Mandatory Measures Checklist: Residential MF -IR No'rF: Lowrise residential buildings subject to the standards must contain these n* _ regardk= or the mmpliaum apprtlach used Items marked wntn an ancruk (•) may be superseded by mon: stringau compliance neyuirearsp lured on the Certificate of Compiance. When this cIwktiv is incorporated into the permot documents, the featmts noted shall. be considered by all panics as binding minimum component performance spearncadons for the m tulatory ensures .hnhcr they arc shown elsewhere m the documents or on this checklist only. DFSCRIPnoN DESIGNER ENFORLFJI Building Envelope Measures • §2-5352(a): Minimum ceding insulation R-19 weighted average. 52.5352(bY Loose fill insuluion matufaaurer's labeled R -Value. 12.5352(ct Minimum .all insulation in framcd walls R-11 weighted average (does not apply a csterior mass wales. §2.5352 ft Slab edge insulation - water absorption rate no greater than 0,3%. rata vapor transmtsmon rate no grater than 2.0 permfmdt. §2.5311: Insulation specified or installed moots California Energy Commission (C EQ quality standard: Indicate type and forth. §2.5332(* Vapor barriers mandatory in Climate lanes 14 and 16 only. 12.5317: InfnatratiovEafilcmdon controls x Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Doors and windows terrified. e Doors and windows weatherstripped; all joints and pcnearations caulked and sealed 52-5352(e). Special inra ruion barrier installed to comply with 12-5351 meets CEC quality standards 12-5352(d): Installation of Feeplaocs 1. Masonry and factory -built fireplaces have: a- Tight fitting. closeable metol or glass door b. Outside air intake with damper and conmol e Flue damper and control 2. No continuous burning gas pilots allowed. HVAC and Plumbing System Measure 12-5352(g) and 2-5303: Space conditioning equipmeat sizing: troch tions. §2.5352(b) and 2-5315: Seback Nmnossa: on all applicable heating systems. • 12-5316(a), Due= cortsuucted, installed and insulated per Chapter 10. 1976 UMC §2-5316(b): Exhaust systems have damper controls - §2 -5314(c): Gat -rued space heating equtpmcnt has intermittent ignition devices. 12-5314: HVAC equipment, water heaters, showesheads and faucets anirted by the CEC. §2.5352(7 water heater insulation blanks (R-12 or Beater) or combined intrtior/eaterior insulation (R-16 or grater): fust 5 feet of pipes closest to tank insulated (R-3 or grater). i §2.5312(Exccption M Pipe insulation on steam and steam condensate return & recirculating piping. t §2-5318(d), Swimming Paol Heating 1 1. System has: a. OMoff switch on heater. — b. weatherproof instruction plate on heata. '— c. Plumbed to allow for solar. 2- 75 percent thermal elfneieney. 3. Pool cover. 4. Time clock. 5. Directional water inlet Lighting and Appliance Measures §2-5352(jk Lighting - 25 turnenstwatt or greater for generaj lighting in kitchens and bathrooms. i 12.5314(c)- Gas rued appliances equipped with intermittent ignition devices. 12.5314(a)- Refrigerates, refrigerator -freezers, freezers and nuorescent lamp ballasts certified by the CFC Indicate make and model number. COMPLIANCE STATEMENT This certif case of compliance lists tbo: building fcatures and pu fotmance specifications needed to comply with Title 24. Chapter 2-53 and Title 20, Chapter.; 2. Subttsp`es 4. Article 1 of the California Administrative code. This certificate has been signed by the individual with overan design responsibility and the building owner. who shall retain a copy of it and ttarmmit the certificate to stay subsequent purdiaser of the building. Designer Building Owner _. . Nano ` Nam= 'rule/Firnx - TILICIR tar f Adder Addmu: Telephone Te tic. 8: (signature) (dam) nese i ) (date) ,M Documentation Author Enforcement Agency. Nene.: Nartte: Title�tn'L Aeamcr. AdAr - T-1_1 1. Ceiling Insulation 2. Wall Insulation Floor Insulation Number of stories Single. R -value One Two Three R-0 -103 -49 32 R-19 -8 -4 .2 R-30 -2 -1 -1 Rab 0 0 0 U -value -17 -8 0.80 0.50 -176 -84 .54 1 0.30 -102 -49 32 0.10 -26 -13 3 0.08 -18 -9 -6. Us -11 -5 -4 0.04 -4 .2 .1 0.02 4 2 1 0.00 11 5 3 2. Wall Insulation Floor Insulation 1 Single. Single - -144 Family Family MUl& R -value Detached Attached Family R-0 -68 -51 34 R-11 0 0 0 R-13 2 2 1 t<. _.._,...-.._.._.� R-19 ........:......8 ._ __ . __ .._ 6....: _ ___. 4 . U -value -17 -8 0.80 0.08 -11 0.50 -91 -68 -46 0.30 -47 36 -24 0.10 0 0 0 0.08 4 3 2 0.06 9 7 5 - 0.04 14 11 7 0.02 19 14 10 0.00 24 18 12 3. Raised Floor Insulation Effective Pei c Gis= Number of stories Insulation In Floor -144 .70 Number of stories 0.50 R -value One Two Three R-0 -17 -8 -5 R-11 3 -2 -1 R-19 0 0 0 R-30 3 1 _ -14 _ U-vaiue Sirgfe.. Effective Pei c Gis= Number of stories - ----0.60 . -144 .70 -46 0.50 -120 -58 38 0.40 -95 -46 30 0.30 39 .34 .22 0.20 -13 -21 -14 0.10 -17 -8 -5 0.08 -11 -6 -4 0.06 .6 -3 .2 0.04 -1 0 0 0.02 4 2 1 0.00 10 5 3 Controlled Ventilation Crawlspace Sirgfe.. Effective Pei c Gis= Number of stories -Efrective R -value One Two Three R-0 -11 .7 -5 R-5 -4 .4 3 R-11 .2 .2 -2 R-19 .-1 .2 .2 4. Slab Edge Insulation 40 -90 37 Number of Stories -14 R -value One Two Three R-0 0 0 0 R-5 8 5 2 R-7 8 6 3 F2 factor -58 -20 -12 0.90 4 3 -1 0.80 .1 .1 0 0.70 2 2 1 0.60 6 4 2 0.50 9 6 3 0.40 12 8 4 S. Infiltration (Air -Leakage) Specification Points swrldard 0 6. Glass Heat Loss Total Sirgfe.. Effective Pei c Gis= Raised Floor -Efrective U -value (percent &is = x SC) Percent Effective (percent gtan x SC) .51 to .41 to .31 to 0.30 or Glass Single Double .60 .50 .40 less 50 -121 -53 -39 -24 -10 4 40 -90 37 -26 -14 3 8 35 -75 -29 -19 -9 1 10 30 -61 -21 -13 -4 4 12 29 -58 -20 -12 3 5 12 28 -55 -18 -10 -2 5 13 27 -52 -17 -9 .2 6 13 26 -49 -15 -8 -1 7 14 25 -46 -14 .7 0 7 14 24 -43 -12 -5 1 8 14 23 -40 -11 -4 2 8 15 22 37 -9 3 3 9 15 21 34 -7 .2 4 10 15 20 31 -6 0 5 10 16 19 -29 -4 1 6 11 16 --18..:--26 7 -3 -.2 - 7 12 16 17 -23 -1 3 8 12 17 16 -20 0 4 9 13 17 15 -17 1 6 10 14 17 14 -14 3 7 10 14 18 13 -12 4 8 11 15 18 12 -9 6 9 12 15 19 it -6 7 10 13 16 19 10 3 9 11 14 17 19 9 -1 10 13 15 17 20 8 2 12 14 i6 18 20 7..Shading (Shade Open) Sirgfe.. Effective Pei c Gis= Raised Floor -Efrective Percent Glass (percent &is = x SC) Family Effective (percent gtan x SC) Mass Effective One Two %Class Nora East %Glass North East South :West Skylight 18 5 1 4 1 na 16 4 , ____ 2 . 5 1 na 14 4 2 5 1 na_ 12 3 3 5 2 na 11 3 3 5 2 na 10 2 3 5 2 1 9 2 3 5 2 2 8 2 3 5 2 2 7 1 3 4 2 2 6 1 3 4 2 3 5 -. 1 2 4 2 3 4 0 2 3 1 3 3 0 1 2 1 3 2 0 0 1 0 3 1 .1 -1 .1 -1 2 0 -1 .2 -4 .2 0 rte - not allowed 1 .9 1 & Shading (Shade Closed) rta . not allowed 9. Interior Thermal Mass Interior Sirgfe.. Effective Pei c Gis= Raised Floor Mass Wad (percent &is = x SC) Family Effective Stories Mass iCFA One Two %Class Nora East South Weal Skylight 18 -14 48 -69 -64 ria 16 .12 -42 -59 -55 na 14 -10 -35 -50 -46 r1a 12 -8 -29 -40 37 na 11 -7 -26 36 33 na 10 3 .23 31 -29 -74 9 -5 -20 -27 -25 -65 8 -5 -17 -23 -21. -56 7 -4 -14 -19 718 -47 6 3 -11 -15 -14 38 5 .2 -9 -11 -10 .30 4 -1 3 -8 -7 -23 3 0 -4 -5 -4 -16 2 1 1 -2 1 .9 1 1 1 1 1 •4 0 2 3 4 3 0 rta . not allowed 9. Interior Thermal Mass Interior Sirgfe.. Stab Floor Raised Floor Mass Wad Series Family LIUlti Stories Mass iCFA One Two Twee One Two Three 0.0 -8 -5 -4 .2 -1 -1 0.1 -8 -5 3 -1 0 0 0.3 -7 -4 -2 0 1 1 0.5 -6 3 -1 1 1 2 0.7 -5 -2 -1 1 2 2 0.9 -5 -1 0 2 3 3 1.1 -4 .1 1 3 4 4 1.3 -3 0 2 3 4 5 1.5 3 1 2 4 5 5 Z0 -1 2 4 5 6 7 Z5 0 3 5 7 7 8 3.0 1 4 6 8 8 9 3.5 2 5 7 9 9 10 4.0 3 6 8 9 10 . 10 4.5 3 7 8 10 11 11 5.0 4 7 9 11 12 12 5.5 5 8 9 11 12 12 6.0 5 8 10 12 13 13 6.5 6 9 10 12 13 13 7.0 6 9 11 13 13 i4 7.5 6 10 11 13 14 i4 8.0 7 10 11 13 14 14 8.5 7 10 12 13 14 15 10. Exterior Wall Thermal Mass Exterior Sirgfe.. Single - +6 to 16 or Wad Family Family LIUlti +15 Mass Detached Attadled FamJy 0.00 0 0 0 -9 0.20 3 2 1 8.9 0.40 5 4 3 .2 0.60 a 6 4 -2 0.80 10 8 5 0 1.00 13 10 7 3 3 1.20 13 12 8 7 1.40 12 13 9 11.0 1.60 10 13 11.. . 1.80 10 12 12 1 200 10 11 _ 13 12 11. Heating System 6 0% WSS 5 SE or KSPF 3 2 (assumes ducts In attic) , Effedive SEER 8 Sum of 14 4 (SEER xauet efficiency) 3 -25 or -24 to -14 to -4 to +6 to 16 or SE HSPF less -15 -5 +5 +15 mon 0.72 6.60 0 0 0 0 0 0 0.75 6.88 3 3 3 2 2 1 0.80 7.33. 8 7 6 5 4 3 0.85 7.79 13 11 10 8 7 5 0.90 8.25 17 15 13 11 9 7 0.95 8.71 20 18 - 15 13 11 8 0 Efrective SE or HSPF 9 (SE or HSPF x duct efficiency) 5 Effective -25 or -24 to -14 b .4 to +610 16 or SE HSPF less -15 3 +5 +15 more 14 12 0.30 275 -73 -64 -56 -47 -38 -30 na 3.41 -45 -39 -34 -29 -24 .18 0.40 3.67 -34 30 -26 -22 -18 -14 0.50 4.58 -10 -9 -8 -7 -5 -4 0.56 5.13 0 0 0 0 0 0 0.60 5.50 5 5 4 3 3 2 0.70 6.42 17 15 13 11 9 7 0.80 7.33 25 22 19 16 13 10 0.90 8.25 32 28 24 20 17 13 1.00 9.17 37 32 28 24 19 15 Zonal Control Adjustment System Type Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 12. Cooling Syst•:m SEER (assumtt ducts In attic) Sim of 7-10 Zonal Control Adjustment 10 8 7 6 4 3 No Cooling System Installed -Stories -25 or ,24 to P14 to -4 In +6 to 16 or SEER .less -i5 1 -6 +5 +15 mon 8.0 -14 -12 -10 -8 -6 -4 8.5 -9 -7 -6 -5 .4 3 8.9 -5 -4 -4 3 -2 .2 9.0 -4 3 3 -2 -2 -1 9.5 0 0 0 0 0 0 10.0 4 3 3 2 2 1 10.5 7 6 5 4 3 2 11.0 10 9 7 6 4 3 120 15 13 11 9 7 5 13.0 20 17 14 12 9 6 0% WSS 5 3 3 2 2 35% Effedive SEER 8 5 4 (SEER xauet efficiency) 3 SE None &11 Of 7-10 -24 -18 Effective -25 or -24 to -14b -4 In . +6 b 16 or SEER lass -15 S +5 +15 mon 5.0 30 -25 -21 -17 -13 -9 6.0 -12 -11 -9 -7 -6 4 6.6 -5 -4 -4 3 -2 -2 . 7.0 0 0 0 0 0 0 8.0 9 8 6. 5 4 3 9.0 16 14 12 9 7 5 10.0 - 22 19 16 13 10 7 11.0 26 23 19 15 12 8 12.0 30 26 22 18 14 9 13.0 33 29 24 20 15 10 Zonal Control Adjustment 10 8 7 6 4 3 No Cooling System Installed -Stories SC Eff. % Glass .7 X . .77 = - X One -5 - -4 .4 3 .2 -2 Two + 3 3 .: 2 2 2 1 Singie-Family Lched and Attached TYPE 2 MASS AREA ° Exterior Wall Mass L Unit Size (sQ AREA Water ;139 1200 1700 2200 2700 Heater Credit or - b to to : or Type Type less 1699 2199 2699 more SG None 0 f 0 0. 0 0 or Solar 12 ' i 8 6 5 4 HP HWR 8 5 4 3 3 0% WSS 5 3 3 2 2 35% POU 8 5 4 3 3 SE None 37 -24 -18 -15 .12 0% Solar -1 .1 .1 0 0 13 HWR -18 -12 -9 -7 -6 27 WS8 -25 -16 -12 -10' -8 4.2 POU -19 _-12 -9 -7 -6 IG None -5 -3 .2 .2 -2 1.5 Solar 7 - 5 4 3 2 11 POU 3 2 1 1 1 IE None -28 19 -14 -11 -9 44 Solar 8 • 5 4 3 3 2 POU -10 ' 3 -5 -4 -3 33 Multi -Family (lndivldual units) 4.3 4.5 4.8 5 Unit Size (so 5.4 Water 30% 699 700 1200 1700 2200 Healer Credit or b to to or TYPE TYP6 less 1199 1699 2199 more SG None 0 0 0 0 0 or Solar 14 7 5 d 3 HP HWR 9 5 3 2 2 14 WS8 9 4 3 2 2 4.9 POU 9 5 3 2 2 SE None -4S -23 -15 -11 .9 23 Solar 2 1 1 0 0 18 Hwa -23 -12 -8 -6 -5 5.3 WSB -25 -13 •8 3 •5 1.1 _ EOU _23 _12_8. 2 3 -5 iG None 3 -4 -3 .2 ; .2 ll Solar 6 3 2 1 1 S 6 POU 1 0 0 0 0 IE None 30 15 -10 3 3 29 Solar 18 9 6 4 4 4.4 POU -8 -4 .3 -2 -2 Point System Summary: Climate Zone 11 SCORE CARD 1. Ceiling Insulation 2. Wall Insulation 3. Raised Floor insulation 4. SIab Edge Insulation 5. Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) a. North b. East c. South d. West e. Skylight 8. Shading (Shade Closed) a. North b. East c. South d. • West e. Skylight 9. Interior Thermal Mass 10. Exterior Wall Mass 11. Heating System Zonal Control? ( Y/ N ) 12. Cooling System Zonal Control? ( Y / N ) 13. Water Heating M//e��assur�ess _L�_X_ or R -value [381 U -value [0.0301 /(C -/ 3 or R-value[111 U -value (0.0981 or R-valne[191 U -value [0.0371 Point Scores or R -value (01 F2 factor 10.771 Standard Jlov /7 f Type (double[ U -value [0.651 % Total Glass 1161 % Glass % SC Eff. % Glass .7 X . .77 = - X GG S', 3 x 97 q -O '? L-- X InteriorMasdCFA /, D o Q2 x 7 = 0,/S- ./S- i TYPE 1 MASS AREA ,8„g lnteriarNnssiCFA COND. FLOOR I TM 2 PASS ,i•7-9tK-•.21 O TYPE 2 MASS AREA ° Exterior Wall Mass ND . c L OR AREA .72 x tTYPIC.s 1 PASS (UTAC • 4.2, lexposed Duct Efficiency (0.781 stab) [0.72f6 6] HSPF [05615.151 x ��o - , 4,5 J SEER 1951 Duct Efficiency [0.741 Id,p•t.a •I�sl s eiG, ' 0 Type [SG1 Credit [none] -� 0% 5% 10% 1S% 20% 2S% 30% 35% 40% 45% 50% 55% 60% GA 70% 75% 60% 651: 90% 95% IMY. 105% 1107: 11S% 12076 125` 0% 0 12 0.4 0.6 0.8 1.1 13 iS 1.7 1.9 21 23 IS 27 29 12 -14 16 3.6 4 4.2 4.4 -4.6 4.8 5 53 tOY. 02 14 0.6 0.6 1 1.2 1.4 1.5 1A Zt Z3 25 2.1 29 11 13 15 17 4 4.2 4.4 4.6 -4.8. S 52 5.4 20% 0.3 44 0.6 1 1.2 1.4 1.6 1.8 2 Z2 2.4 ZI Z9 11 13 33 17 19 4.1 4.3 4.5 4.8 5 5,2 5.4 56 30% 0.S 07 0.9 1.1 1.4 1.6 1.3 2 U 24 26 28 3 32 Is 3.1 39 4.1 43 4.5 4.7 4.9 S.1 5.3 5 6 5 8 40Y. 0.7 09 1.1 1.3 1.5 1.7 19 22 2.4 26 Z6 3 12 14 16 18 4 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 59 50% 0.9 1.1 1.3 iS 1.7 1.9 V 23 25 21 3 32 14 1t 18 4 42 4.4 4.5 4.8 it 5.3 5.5 5.7 5.9 6.1 55% 0.9 1.1 1.4 1.6 1.8 2 22 14 Z6 28 3 32 15 37 19 ll 43 4.5 4.7 4.9 5.1 53 S 6 S.8 6 62 60% 1 12 1.4 1.7 1.9 21 23 25 27 29 11 13 3.5 18 4 42 4.4 4.6 4.8 ' S 5.2 S.4 S.6 5.9 at 63 65% 1.1 1.3 1.5 1.7 1.9 22 24 26 28 3 3.2 14 35 3.8 4 4.3 4S 4.7 4.9 5.1 53 55 5.7 5.9 6.1 64 70% 1.2 1.4 1.6 1.6 2 22 25 Z7 29 11 13 15 11 3.9 ll 4.3 4t 4.8 5 5.2 5.4 5.6 58 6 62 64 75% 13 13 1.1 1.9 Zt 23 23 ZI 3 12 14 3.6 IS 4 Q 4.4 4.6 4.6 5.1 5.3 15 5.7 S.9 6.1 6.3 6.5 80% 1.4 1.6 1.2 2 22 24 26 Zt 3 13 15 11 19 4.1 4.3 4.S 4.1 l.9 5.1 5.4 St 5.8 6 62 64 66 as% 1.4 1.7 1.9 21 23 ZS 27 29 it 3.3 3.5 18 4 4.2 4.4 4.1t 4.6 5 52 54 5.6 59 6.1 6 3 6 5 6 7 WY.' 1.5 1.7 2 12 24 Z6 Z8 3 12 3.4 3.6 18 4.1 4.3 4.5 4.7 4.9 5.1 53 , 5.5 5.7 5.9 6.2 64 66 68 95% 1.6.1.8 2 22 2.5 2.7 Z9 it 33 15 17 3.9 4.1 4.3 4.6 4.8 S 12 5.4 5.6 58 6 5.2 6.4 6.7 6.9 1100y. 1.7 19 2.1 2.3 ZS Z6 3 32 14 16 It 4 42 4.4 4.6 4.9 it 5.3 53 5.7 5.9 6.1 8.3 6.5 6.7 7 105% 1.8 2 Z2 2.4 Z6 Z6 3 13 15 11 19 4.1 4.3 4.5 4.7 4.9 11 5.4 56 5.8 6 6.2 6.4 66 66 7 1107: 1.9 V Z3 25 27 29 it 33 16 3.8 4 4.2 4.4 4.6 4.8 5 5.2 5.4 5.7 5.9 6.1 6.3 6.5 6.7 69 7.1 115% 2 22 24 2.6 2.8 3 3.2 14 16 3.8 4.1 4.3 4.5 4.7 4.9 5.1 13 5.5 5.7 5.9 6.2 6.4 6.5 6.8 7 7.2 120% 2 23 ZS 17 29 3.1 13 IS 17 19 4.1 4.4 4.6 4.8 S 5.2 14 5.6 58 6 6.2 6.S 6.7 6.9 7.1 7.3 125% V Z3 25 28 3 12 14 16 18 4 4.2 4.4 4.6 49 5.1 5.3 55 5.7 5.9 6.1 U 6S 6.7 7 7.2 ,7.4 Point System Summary: Climate Zone 11 SCORE CARD 1. Ceiling Insulation 2. Wall Insulation 3. Raised Floor insulation 4. SIab Edge Insulation 5. Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) a. North b. East c. South d. West e. Skylight 8. Shading (Shade Closed) a. North b. East c. South d. • West e. Skylight 9. Interior Thermal Mass 10. Exterior Wall Mass 11. Heating System Zonal Control? ( Y/ N ) 12. Cooling System Zonal Control? ( Y / N ) 13. Water Heating M//e��assur�ess _L�_X_ or R -value [381 U -value [0.0301 /(C -/ 3 or R-value[111 U -value (0.0981 or R-valne[191 U -value [0.0371 Point Scores or R -value (01 F2 factor 10.771 Standard Jlov /7 f Type (double[ U -value [0.651 % Total Glass 1161 % Glass % SC Eff. % Glass .7 X . .77 = Y -? X GG S', 3 x 97 q -O '? L-- X 71 = /, D o Q2 x 7 = 0,/S- ./S- �-a % Glass SC Eff. % Glass 1+ X 11t, = , O X GG X Sv - x i TYPE 1 MASS AREA ,8„g lnteriarNnssiCFA COND. FLOOR AREA O TYPE 2 MASS AREA ° Exterior Wall Mass ND . c L OR AREA .72 x SE or HSPF Duct Efficiency (0.781 Effective SE or [0.72f6 6] HSPF [05615.151 x ��o - , 4,5 J SEER 1951 Duct Efficiency [0.741 Effective SEER [7.031 s eiG, ' 0 Type [SG1 Credit [none] 0p _ _ Sum 3 Point Total: