HomeMy WebLinkAbout042-590-044I
0
LRN42-59-44
RON JIMINEZ
0 * J'
Ln
r-nq Al rove_C4-
iAlncnd.G
r_
Contr: Jerry Tucke'
ermIt r Const
Permit#772-88B4O,E , M(new single famil
—4- Y)
C J_ Y)
42-59-4-4
P ont day-- ools---r--
rmIt 7'
ont: ff6i'l- P " / ;
.Permit #1554
-88B,F�',E(pri. swimming pool
AF
a 4b
I
0
LRN42-59-44
RON JIMINEZ
0 * J'
Ln
r-nq Al rove_C4-
iAlncnd.G
r_
Contr: Jerry Tucke'
ermIt r Const
Permit#772-88B4O,E , M(new single famil
—4- Y)
C J_ Y)
42-59-4-4
P ont day-- ools---r--
rmIt 7'
ont: ff6i'l- P " / ;
.Permit #1554
-88B,F�',E(pri. swimming pool
AF
Lo
PERMIT NO. 779 RRRqP F.,M
PERMIT EXPIRES
OWNER RON 11MENEZ
CONTR.
ASSES'SOR PARCEL 42-59-44
LOCATION 602 A I d- G—r-ove ct, Chico
OFFICE COPY
Address
GAS
M Dat
F31
ELECT
Meter By.
Temp. P�w
Called
jemp. Else
Called
Temp. Gas
Called
JOB FINAL
Signaft
= OK
*0 =.Not QK
Not Applicable
Not Ready
MOBILE HOMES
MISCELLANEOUS k '. .;Zl�
Date
MOBILE HOME UTILITIES. (Plans) OK except #'s
Date
DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s
1. Zoning Requiremi3nts-Setbacks-Easements
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch'
2. Footings; Soils-Size-Depth-Spacing-Connectors-SteeI
3. Sewer; Location-Test-Fall-C/0-Cohcrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch),
4. Wood Awn.; Posts�Bearns-Rftrs.-Connec.-
Shthg.-Rfg.-Bracing
5..Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
6. Gas; Location -Test -Wrap: / /"L"ft.
/ P'Nat. or/ /"L"ft./ /"LPG
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
Card -131
Date Card -131 Date
10. Roof; Shthg-Roofing
Card -B1
Date Card -131 Date
11. -Ext.; Steps -Doors -Landings
Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements-Setbacks-Easernents
Card -131
Date Card -131 Date
2. Footings; Si ze-Spaci n g- Marriage Line
Card -131
Date Card -131 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
,�tbacks-Easernents
6. Water; MH Test -Regulator -Connector
��,
2 -.Soils; Compactian-Structure Stability
7. Water and Sewer Connected -C/0 to Grade -HD Approval
-**,4 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
8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-ins. to Main in Conduit
Card -131 Date Card -B1 Date
Card -131
Date Card -B1 Date
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Card -131
Date Card -131 Date
Card -131
Date Card -B1 Date
9
= OK -
0 = Not OK
- = No.t.Apolicable RESIDENTIAL (Single and Duplex)
*';�'Not Ready
Date UNORFLOOR (Plans) OK except #'s '. I Oa�e FRAMING (Continued)
2f'Ftg,1,'Main; Soils-Steel-Elec. GW. -1141"
3-'Ftg., Garage; Soils -Steel -/U_/" Ftg. Depi
4. Ftg., Porches & Decks;'Soils-Steel-/ /11
5. Sternwalls, Main; Steel-Blockouts-Wrappe
6. Sternwalls, Garage; Steel- BI ockouts-Wrap
7. Slab-Steel-WraDDed
r.i Wt -Fireplace Ftg.-Steel
".W.V.; Fall -Fittings -Test -2 way C/0 -Sewer Test
10. Gas Pipe; Size -Anchors
11. Water Pipe; Test-Anchors-Plegulator-Service Test
12. Electric; Underground
13. Plenums & Ducts; Clearance-Material-Supprt-Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Insulation
Card -BM DateWggrX Card -131 Date
Card -Bl'--' Date Card -B1 Date
Date PLJJMBING (Permit) OK except #'s
fW Vdtpr-Ht. Vent -Access -Combustion Air
ter Pipe; Test & Anchors -Nail Protection
D.V .; T st-Fttngs & Anchors -Nail Protection
Y.V.; T
az'��ower Pan; Test, First Floor -Tub Access
26. Test Tub & Shower, 2nd Floor -Tub Access
24.Gas Pipe; Size & Anchors I
Card -B1 5R_ DateSJJJ0 Card -B1 Date
Card -1311 Date ' I Card -131 Date
Date ELOCTRICAL (Permit) OK except #'s
g-, Fixture & Transformer Clearance -ins. Protection
A.,Elec. Receptacles SDacina-Lidhts & Switches at Doors
24.,$ize Boxes & No. of Conductors -Stapled
. Romex Installed Close to Edge of Studs & C.J.
�"quip. Ground made up w/Mech. Fasteners -Bond Gas & Water
�7.A Appliance Circuits in Kitchen & Conductor Size
26. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size / /ga.
A or Al
M. Range Circ. / / ga. Cu or Al -Oven Circ. / / ga. Cu or Al.
JKsulated Neutral Yes No
3,VArvice-Riser Conductors & Ground -Main Disconnect I
&Y'Eauim Clearances Panels-Motors-Mech. Equip. . I
32' Clothes Closet Light -Shower Light -Spa Light I
Card -131 SK_ Date5�Vk,C Card -131 Date
Card -131 Date ` f Card -BI Date
Date MFICHANICAL (Permit) OK except #'s
56./A.C. Ducts insulation & Support I
V./Vent Fan; Exhaust above insulation
_ 36, Condensate Drain & Overflow; Size & Grade
:!�urnace(Vep,Vftcess-Comb. Air -Return -Air Vent -115 outlet
3,T. Attic Access & Platform if Furnace in Attic
Card -131 Date Card -1311 Date
Card -131 Date Card -1311 Date
Date FPAMING (Plans) OK except #'s
3VPills, Proper Material & Anchors
ails Studs -Nailing, Spacing & Bracing—Plates-Sound
40' R --,;ng walls over Girders & Floor Nailing
SO raft Stop in Walls (rM proof)
Vire Stops; Furred Ceilings -Stairs -Chases -Tub
419 Header & Ream -Size & Bearing
Brac,
4?.' AItic A—ccess; Size & Romex Protect i on- Draft Stop -ins. Baff les
14VXdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
W Garage Fire Protection Framing
UIP operty Line Firewall & Openings
§I/Ext. Doors -One T -Check Garage -3rd story, 2 exits
94awGrVAdt-h-Head room- R ise- Ru n- Land in g- Fire Protection
5T Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
%54(,Siding-Nailing Veneer
'55. Stucco Mesh -Drip Screed -Fd. Vents-UnderfIr. Access
,*,�Q/Glazing Area -Glass Protection -Skylights -Plastic
W Shear Walls; Nailing -Bolts
.��& Insulation-Walls-Clg.
'9D. Infiltration-Walls-Wndws
i
Card -B1 Date Card -131 Date
Card -B1 Date Card -B1 CA3) Date&.Z—j;�p
Date FINAL (Plans) OK except #'s
W.,txt. Steps -Door & Sidelight Protection -Land I ngs
6W.Xmoke Detector
6W Furnace; Vents -Clearance -Comb. Air-Connector-
Irf Garage; Above Floor-Ducts-Mech. Protection
Wp6droom Exiting
60/p'.F.I. & Bath Fixtures & Tub Access -Spa
WEIec. Trim A_$abpaae4 Breaker Sizes -Labels
40.-8,tVI7,r—s& Rails
dF-'Pfeplace or Stove; Clearances -Hearth
6'1rPb,c. Outlets at Wood Panel; Int. & Ext.
607yd�,.Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance
Vg4lep.- Outlets & Rectgtaala��unter
rage Fire Do -.Swing-Landing-C—
Jeser
%;?.',A'C. Duct in Garage -Damper
22"W Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
7'4age; Above Floor-Mech. Protection
E, Elec. & Mach. Equip. Listed for Location
figbc. Receptacles in Garage; (G.F.I.)-Romex Protec.
Ins, lintoon-Foam-Looked in Attic 0 Yes
7"uard Rails & Deck Construction -Post Caps
W. Fdn. Vents & Crawl Hole Door-Drain�qe & Wood -Earth
Clearance Looked undeqFl�or 0 Yes
Following lnstld.; DriX 2"Yes 0 No; Walks Vyes 13 No;
planters 0 Yes ONo
-Finish
�Stucco; Brown
$Y A C Unit- Disconnect, Electrical, Plumbing
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to
Openings.
Q_VWater Well; Disconnect, kectricO Plumbing
Exterior Elec. *1 G.F.I. Receptacle -Underground
86. Ventilation throughout House
W.,Glass Protection
. rrections from Previous Inpections
V. 0as-Tebt-Meters Tagged; Gas -Electric
)SWater & Sewer Connected -C/O to Grade-HI5 AWroval
('thXFnerov Compliance Ce rtif icate- Other Certificates
Card -Bi Sj?_, Date 161�,Jjej Card -BI Date
Card -131 Date I ' Card -B1 Date
Card -131 Date Card -1311 Date
M!nents at Final: ZW;� eA
110664M 1 FcMV_ -
U I TJ
(NOTE: An entry must be made each time you visit job site)
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-275i
7 County Center Drive, Oroville — Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
N
6 01
2 -cl 0
'-:RMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office Immediately.
Inspector- 144 —Date—d-2//ky
IM/0
COUNTY OF BUTTE It
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way. Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOT -ICE
r'rzriml 1 NO.
A routine I s. c ion indicates that the following violations of County Ordinance
exist at th.e'bove address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
Inspector Date
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
19Q Memorial Way, Chico — Phone: 891-2751
7 County Center Drive. Orovi Ile --� Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
'7e -4s.
A routine inspection Indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work Is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office Immediately.
'� I — 11 , J-- --, - AL ' -/— j
..' 1- 01/
r' ? -
IFS 4-1
Inspector- Date—W6 A?
L.
F. No.
r J.( ) r I
If I ! -,
If I I (-I-[ 1C I I (,..o Reutfitillico (R
1'.0 FR) t 1: UAL[
�1:1 t
C E j i 10.:
1111I..
a( t Tic It (.0
e 1, a s S,--
rl'i C c r in I F;
W 01( It
F0!-,N()ATjWj VALL'
Ilri!nd onriw-. Ce L. La r"j"oed
Dowd 14rinie
value) --70
Brond mnin Certain'Peor
flumbur �j
j�� . per
Aran(l Name Cert.-�AinTeed
VICIA11"Al. Rcoistnnce(R
Brand nome
ThQ1.111.,11. TCe -istance(R
Firmal tinine
Therf:11111 Rpsititance(IR
tllr., nbove bldldt,ri
y
St---tte of Californin Eimrry RequLrements,
11IS111 iurl CO. .3) 7 8 10 7
'F I NSTA-1 .1 Al' 10H A H'L 1(,',',,TO I
DATE,
i fy 01',� Af.)('Ve innitIntir)II
Id 111"(1
j.�,- i L fT!4n:t, lipproved p1n,13 a -,,(I rt:Lj1(Awtjjeljtjq
c have been iiintall.0,1 113
S�ntfl-.of CalUornfa Energy Loquirementa.'
1110 (Imility prnncrjj)L!(v, ('11.,
L I.,'
tile SLatc. of Callf(irida.
Vi W.
i7
IT. -
(;MURAUTOR (Al
S.41.;,TL GONMACTORS
. I
'1111S BL ON FUE 14IT11 TlIK D111.6
! i !"PI. (.-I I I N A I , I , A IM DING brPARTMEtn' PRIOR TO VT?JAl
11, 1,A)F1 -SlIALL BE p(g."I'l-j) 1.1j. -I-11111 DUILI)lm;
.11111,11iry 1.9v,
el -A
- - - - - - - - - - -
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATJON AND PERMIT
PERMITiNO.
ASSESSOR PARqEL NU ER
At - - J
�ry si � y
ZOSA 1
4 'In 011 BUILDING PERMIT -V
OWN,"
Pf () V1 17, M -,, 11 e Z_
TELEPHONE
gdoff.v OCC. BUILDING VALUATION
-tl::T- - 1�
OWt4ER'S M
,nN�,7.,R SS
S,4 311d
COt ACTOR'S NA.�A�
,e rvi tJ I qc c5l.
1_7 Lr (,o
EP
�4!?412
WFireplace
M
CONTRACTY AILING ADD_,AI%SS
13's
CONs`rRUC"WN
UNK N
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 11
ARCHITECT OR ENGINEER
LICENSE NO.
1
Plan Checking Fee
-)
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER*S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
PLUMBING PERMIT
FilingFee 10.00
Each Trap
/,51-2.00
Solar or heat pump water heater
20-00
LOT N
&k
UBOIVISION NAME
ISS NO�eD CT 9V8 -
PARC L MAP
Water piping
5.00
Each qas water heater or vent
5.00 to, on
USE OF STRUCTURE
SF[A Duple,F� Mobilehomef-I Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00 67(?
Building sewer
5.00 (9
Mobile Home JSJGJW7
M-nops,
TYPE OF WORK
Addition [_1 Remodel[:] UtllitiesEl InstallationM
New IX 57 Other i
Describe work:
I I
I
Permit Fee
$ 46�-,
Contractor
ELECTRICAL PERMIT
Fi I ing Fee 10.00
6OOV OR LESS
Main service 100 AMP OR LESS
10.00 149
Main service EA. ADD -L 100 AMP
2.50
CONTRACTORS LICENSE LAW
1 declare under penalty of perjury (check one):
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.. -3 j�, & 411 Classification �6
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)
1, as the owner, am exclusively contracting with licensed %;UIILI0C;L-
ors. (Sec. 7044)
El I am exempt under Sec.—, Business and Professions Code
for this reason
NEW CONST DWELLING 0
OR ADDNS. ACC BLDGS.
2'/20sqft
NEW CONSTR. MUET I___TLMA
NON-RESID. BRANCH CIR
2.50 ea 4
POWER APPARATUS a.)
(SINGLE ^1-1 ET CIR.
Ex. OCCUP(OUTLETS OR FIXTURES
2 0@50ti
I..L@ 30t
FIXED APPLNS OR
Ex. Occup. OUTLETS (RESI'D.) EA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$ AL97ff_�_
Contractor
Y-1, i6 S__
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
f_� The permit is for $100-00 (valuation) or less.
Efj�-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 shal I 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 �Uujtx;L
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
Fi I ing Fee 10.00
Heating - 4 1
�>, _15- U
66 /,a k,
1
—
Cooling
//,00
Hood
3.00 '1,ol?
Ventilation
s /"Vo
Permit Fee
$ CY 91 S/)
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.slid Countyin onsequence of the granting of this permit.
C-' (7
X Date 0 0
Signature of Applicant - Owner El Contractor El AgentE3-
An OSHA permit is required for excavations over 5'0" deep/ld �dm construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee
TOTAL PERMIT FEE ,
OCCUP-1 CONST.TYPZI ISCH FLOODLPOCRCYL
This permit is hereby issued under
sions of the But e Unty Code And/or
t Co
work indicated above for which
D RECT It PUB
B Y.
PERMIT EXPIRES -&-te
I t�f ;,J
the applicable provi-
resolutions to do
fees have been paid.
IC WORKS
-7,
Date 91r
7 -IC 17
L10. ff)
Receipt No. r7
WHITZ-O.P.W., YZLLOW-ASSE330R. PINK -INSPECTOR. COLDEWCA-APPL I CANT
COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILIf9'e4L'1&RNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET
Permit No.
OWNER Rio M t7l I k?61 n e, 7_- A No. 11�14
Proposed B u i I d i ng U se, U.) Building Inspector- Date
At time of permit application, I was advised the following data must be submitted prior to permit processing
and:/orissuance: 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 calts, with wet signature on �plans.
5.
Plans with Energy Design Compliance Statement . . . . . .
6.
School District "Fees Paid" Stamp on Floor Plan.
7
A&Z-,8.
Statement of Intent for Non -Heated and AC Buildings.
Fees of $ . . . . . . . .
,�Letter of signature authorizatio�)./ ... . . . . . . . .
22�io__anitation
4-7 /8
approval fro... Health Dept.
110OU
40��2-.
anning approval for (A) Use: (B) Plarking:_
Certificate of Workmen's Compensation Insurance . . . . . .
13.
Contractor's License Information (no., name style, classif.)
14.
Owner -Builder Verification (Given to ownerEl, Mai I to ownerE:])
-15.
Improvements may be required . . . . . . . . . . . .
16.
Mobilehome Installation Data. . . . . . . . . . . .
I Pre-Inspec.srequest to (Date)
1 Z. Pre -inspection for Required. Building In pector
ecorded copy of Agricultural Acknowledgment Statement.
riveway Permit.
20.
Plot plan approval from city of
.21.
Engineered trusses 'in duplicate (required prior to plan check).-
1"_`AgZ22.
LIr—
0 U)". 17
When you issue the permit, process as follows: —Mail to owner, —Mail to contractor.
elephone and hold for pickup at-Cb6-9office, —Deliver w/.inspector.
Other
JAIA-d
Applicant Date
Copy of plans sent — Health bept., —Fire Dept., — Other—Date
The following data must be submitted pri r rmit issuQn5,P,: (Cir le new item not checked above).
1. Index permit for above items No. t !_1 �*_6r
U I - -
2. Additional items required: YI ec�_:s
0
Contractor, designer, owner, was advised of - above required data by —phone ---mal I —counter by— date
Contractor, designer, ow"(, was advised of above required data by—phone—mall-9punter by— date
Plans checked by Date 41 -q -w Plans approved by— Date C/
2- Sets of plans on hold in X File cabinet _AP folder
Copy—DPW
TO: Building Department
FROM: Encroachment Permit Section
RE: 'Diiveway Clearance
Q a -- Z -
owner location AP #
Driveway permit P90 �2-
numbaf
s ign.4'01re
has been issued for the above property.
date
TO. Buildina Department
FROM: Environmental Health
StyB,JECT: Sanitation Clearance
Clearan'ce for bedroom mobilj� �me. Other
NOTE
SanitarlNn
V
cr CY
Date
Owner
Location. AP#
(C6
Plan 'A�ppro;7ed for:
Sewage Disposial
Water SupplV
Hold final f or:
Water Sup'
ply
.Final clearance O.K. for:
Water Supply
Clearan'ce for bedroom mobilj� �me. Other
NOTE
SanitarlNn
V
cr CY
Date
ZONE 11
Table 3-3a.
Ceiling
Insulation
Table 3-7.
Sou---h-F3ci
cl i P
Table 3-10.
Shading Coefficient P.1 -is
POINTS
OWNER "w I
TLL44
PoInts
T- ..T
T --F
ED
';�i;L-
ACTUAL
I
I
I
I Glazing
Z -pe
SC by
I
PERMIT NO. 7
R -Value of
Insulation
Points
Total
I
Orien-
2 Floor Area
1.
SLAB - INSULATION
I of
Sm&l.
I Dbl.
T r -i
tatlon
1149
Floor
(-.r -
(U .
(';
2.
P-AISED FLOOR - R-19
19
-4
Area
I -'l 0)
0.65)
1 0. 4;)
0
22
'10
-2
-
T 0
p% t 9
,
!pLf,.ts -1poi.ts
I
1 # 3 1
East
1 1 3.2 1
1 0-3.1 t o 1
6.4 up
3.
CEILING - R-30
38
-0-
+2
up to 1.5
+2
+2
+2
6.3
4.
%
WALL - R-19
49
+4
1-6- 3.6
-1
0
0
3.7- 5.2
-4
1 -2
1 -2
T-
L 5.
E
NORTH GLAZING - 2.4-3.6%
T--]-T-rT
6-6- 7.7
-6
-9
1
1 -3
0 -.19
0 +1
+2
6.
EAST GLAZING - 2.5-3.6'�
7-8- 8.9
-11
-6
-8
-5
-7
.20-.36 0 0
* 37-6!1 _Q_ o
3N.-
Table 3-4a.
Wall Insulation
Point,
9.0-10.0
-23
--7
-10
-9
.67-
0 0
7.
SOUTh GLAZING - 1.6-3.6%
10.1-11.5
-13
-11
.83 up
0 -1
-2
1
11.6-13.0
-ZI
-16
14
3.
VEST GI-NZING - 2.9-3.6%
R -Value of
Insulation Points
13.1-14.5
-25
-19
-16
14.6-16.0
-22
-19
South
0 3.2 6.4
S. 0 1
9.
SKYLIGHT - 0-1.3%
190
11
to to to
to !
VP
-7
3.1 6.3 7.9
9.5 1
Tr
tr
Table 3-8.-
West -Facing ClazinR
Pt9-
-7---7-
10.
SHADING (Exclude Overhan.-)
24
+2 1
1
1
1
0 -.18
0 +1 +2
-
30
+3 1
1
1 Glazing Type
.19-.42
0 0 o
+2 1
0 1
+3
0
EAST .66
Total
X of
I Smgl. I
Dbl,
F T7p 1
.43-66
0 -1 -2
-2
SOLTTH .19-42
WEST .13-36
-13
Table 3-5.
North-FacinS Glazing PtsT
Floor
Area
(LT - I
1.--D) 1
(U -
0.65)
.7
(u . I
0.41)1
up
0 - -4
-4 1
-6
SKYLIGHT .37-.57
p o s 1points
I
I t I
I
at
.1 1 1.6 3.2
6.4 1
3.0
Glazing
Type
T
;i.M,:
T -s
FV 7
to to to
to I
11.
HORIZON'TAL SOUTH OVERHANG 2'
Total
X of
I
I Sngl, I
Dbl. I
Trpl, 1
I un top -L-3
�3 1
+6 1
+6
1.5 3.1 6.3
7.9 1
1
12.
MOVABLE INSULATION - NONE
Floor
At ea
U -
0.66
U -
0.42-
U - 1
0.41
2.9- 3.6
-3 f
0 1
-3
;tj. 1
+2
+5
+3
0-12
0 +1 +3
1
*6 1
+7
13.
INFI LTRATION (Standard=0)(Tiqht=+12) Sfv
1 0
1.10
1 44 1
0.65
4 4 1
dovn
1
3.7- 4.2
-5
0
-2
+1
0
.13-36
0 0 0
0 1
0
+4
4-3- 5.0
-oB
-4
-2
.37-57
0 -1 -3
-6 1
-
0.1- 1.2
+4
+4
+4
5.1- 5.6
-ZO
-6
-4
.58- . 82
-1 -3 -6
-1,
14.
THERMAL MASS SF
1.3- 2.3
+1
+2
+2
5-7- 6.2
3
-8
-6
-up
-2 -8
-16
15.
GAS FURNACE (SE) 71-76%
2.4- 3.6
-2
-4
0
-1
+1
-1
6.3- 6.9
7.0- 7.6
-E5
-10
-7
7.5-7.9%
1 4
-7
-3 1
1 7.7- 8.2
B
-12
-14
-9
-11 1
Skylight
.1 .8 1.6
3.2
16.
HEAT Pb11P (EER)
6.2- 7.3
-9
-6
-5 1
1 8.3- 3.8
-16
-13
to to to
to
7.4- 8.2
-12
-8
-7 1
8-9- 9-5
-Z3
-18
-15
.7 1.5 3.1 1
31-9 1
-.2
17.
DUAL PACK (SE, SEEP) 8.0-8.3/71-76%
8-3- 9.7
-14
-10.
-8
9.6-10.;
-77
-20
-16
r---T-T-r-
--- I
9.8-10.8
-17
-12
-10
10. 2-11. '
0
--
-223
-17
0-12
0 +1 +3
+6 1
-7
WOOD STOVE
10.9-12.0
-19
-14
-12
n-1-11.8
-13
-26
-21
.13-36
0 0 0
0 1
0
WATER -11EATER
12.1-13.2
13.3-14.5
-22
-24
-16
-18
-13
-15
11.9-12.7
---B
-29
-24'
-37-57
0 -1 -3
1
-6 !
--
12.8-13.5
-4:2
-32
-27
.58-82
-1 -3 -6
-12 1
14.6-15.3
-27
-20
-17
13.5-14.3
-46
-35
-29
.83 up
-2 -4 -8
-16 i
ATTIC
14.4-15.2
-33
-32
OTHER G-7-�
:I-
I
Table 3-11.
Horizontal South
t
Overhane Points
cre-
Table 3-9. Skvii-,;ht
Points
T-
S h Glazing
TOTAL POINTS
Table 3-6.
East-FacIng
Glazin Pt
I I
I
I Length Dut
Area, Z of Floor
I
I
I I
GZlazing Typp
from Wall
f
I Glazing
Type
I Total I
ft
T-
-T
Total
I
I % of T
S _r& I
Dbl. I
Trpl.1
0-6.3 6.4
up
X of
SnG1. I Dbl. F -r -r -P-1-.7
I Floor I
U - I
U -
U - I
-able
3-1. Slab Floor Points Table 3-2. Ralsed
Floor Points
Floor
(U - I
(U - 1
(11 - I
I Are.
0.66-- 1
0.42-
0.41 1
0 - 0.5
1 -2 1 -4
1 ---7 T
I Area
1 1.10) 1
0.65).1
0.41)1
1
1 . IC 1
0.65
down 1
0.6 - 1.0
1 -2 1 -3
Tn�-jla-
R -Value of Insulstion R -Value of
-
ipqnts 1po.1nts 1pointsf
1
1
F----7
I., - 1.9
1 -1 1 -2
t '.
un Insulation
PoInts
0
'q
4 1
94 1
1 up to 1.3 1
-2.2-1
-: I
_L.
0 1
2.0 up
0 0
Der-th.
I I I
,,00'
up to 1.3
+3 1
+4 1
+4 1
1 T--4-
-3, 1
-2 1
-1 1
1
-i-able3-12.
IncNes
0-2 1 3-4 5-6 7+
1.6--Z-.4 +1
+2
-0
+2 1
2.3- 2.8
-1
-4
-3
Movable Insulation
below 3
-12
r -T-3-76-1
-2
0
2.9- 3.6
-4
-6
-5
Points
3 - 4
-8
3.7- 4.6
-5
-2
-1
3.7- 4.2
-1:
-8
-6
1
1
11 -5 -5 -5 -5 5 - 7
-6
4.7- 5.6
-8
-4
-3
4.3- 5.0
-1 4,
-10
-8
1 Moveable Insularlon'l
12
-2 1 -1
5.7- 6.7
-10 1
-6
-5
5.1- 5.6
i
-12 1
-10
Area. Z of
Floor Points
16
19 -5 -2 -1 0 13
.2
T2
6.8- 7.7
-13
-8
-7
5.7- 6.2
-IT
-14
-12
2o + -5 -1 0 +1
0
0
7.8- 8.7
-15
-10
-8
6.3- 6.9 1
-Zr-
-16
-13
8.8- 9.7
-17
-12
-10
7.0- 7.6
-2-
-13
-15
0 -
5.5 0
9.8-11.2
-21
-15
-13
7.7- 8.2
-Zi
-20
-17
3.6 - ii.s +2
11.3-12.7
-25
-18
-15
8.3- 8.8
-:,t
-22
-19
11.6 - 17.5 +4
7/7/83
12.8-14.0
-23
-21
-18
8.9- 9.5
-31
-24
-2t
17.6 - 23.5 +6
14.1-15.3
-32
-24
-20
9.6-10.1
-33
-26
-22
:23.6+ +a
7&ble 3-13- InflItTation Control
Fertvres points
I Co=:rol Features Points
S aneard 0
9 air kriges per hr
I Tight +12
1 a-6 air changes per hr
Tible 3-13. Gas F�rnace %;Ithouc
Refr!aeratfon Cco!!ng Points
Seasonal Efficitnzy Points
(SE),
71 - 76
1 0 1
77 - 82
+2
83 - 88
+4
89 - 94
+6
95 up
+8
+6
8.4 -
Table 3-!C-. Heat P-imo Points
I Energy Effiz!ency I
Points
Fatto
(EER)
1 .500
7.5
- 7.9
+3
S.0
- 8.3
+6
8.4 -
3.7
+9
8.8 -
9.1
+12
9.2 -
9.6
+13
9.7 -
10.2
+18
10,3
10.3
+21
10.9
11.5
+24
.111.6
122.3
+27
12.4
13.2
+30
Tible 3-17. Gas Furnace With
Refriveration Coollne Points
:Refriteraclonl Gas Furnace I
Cooling I SE z I
J71-177-is3-fs9--T9-5-T
1 761 821 891 941 up I
;;0 8.3 1 01 +.'1 +4i 161 48 1
V I - -T-- 1 +61 +31+10 1
9.3 9.2 1 -4: *F,1+101+12 I
9.1 'J.7 1 +Aj +21*101-121+14 1
9.8 - 10.3 1 +,21�1-,1+121+1-1+16 1
1 �C.4 - 10.9
i
7 1'7i 83
ZONE I I
!A!LE 3-14 (iOAPTEoT
INTERIOR THERPLAL MASS POINTS
.14A S S
AR.EA
SA.
21
2'
4�
51
1,20
1
1.'0
I . io
2. 00
2.50
J. U
3.50
.1.00
4.50
5100
A ) I . 3'3" Concrete Slab: HC�8.93; R-.29; F;.ctor-7.3
2. 3 3/4" Thick Comnon Brick: IfC=7.125; Factor -7.3
a) 1. 5S* Cor.crete Slab: NC -14.106; R-.40; Fac!or-7.1
C ) I * 8' S olid Filled Block: 'HC -2G.63. R-1.93; Factor -6.1
2. V Solid Filled Block With Both Sides ExpGsed To Conditioned Air.
NOTE: Use all square footage directly exposed to conditioned air
for Thermal Mass Area: HC -10.164; R-.96;; Factor -6.1
ITT 11' Thick Concrete/Tile: KC -2.55; R-.083; Factor�-3.7
Table 3-19. Zonally Controlled
Electric Rest5tancis
SPaCP Heating Points
Points for this measure will
be coop!eted after the C.,:C
has approved an Alternative
Componeric Package for Resistance
Beat.
Table 3-13. Active Solar Spnce
Feating wiih Gas Points
Net Solar Fraction Points
(.%'SF), %
0 6 0
7 14 +2
15 23 +4
24 30 +6
31 39 +8
40 - 47 +10
48 - 55 +12
56 - 63 +14
64 - 71 +is
72 up +20
.1,1- I -In -1-- --, - - - . -
wood stove #33 points(no back up)
casablanca fan + 1 point
llultifacil.l� (per
1.000
points)
1 .500
System Type
rofntg
2.000
,
F Floor Area
1
2.500
Net Solar Fraction (NSF). X
3.0001
Beat P,,Mp
0
3.500
4.000
0.9
4 . Soo
20-29
30-39
40-49
50-59 '16"69
!T.
A
8
C
0
A
a
C
D
A
5
C
0
A
8
C
0
A
B
C
D
A
5
C
0
A
8
C
D I A
6
+6
01-
0
C
-0
.1
_
2
, +4
�5
+6 +7
+9
All ott,ers (Pe bu i Id I ns--orn nt s
8V0 -?99
0
;�, +5
0
+14
+19
+2 -4r-.-2
-,34--
900-999
1. 000- 1 1
�0
+4
+4
+9
+7
+13
+11
+17
+15
+,e 1
-1-19
0
1
2
2
2
2
2
2
0
2
2
2
0
a
0
0
0
0
0
0
a
a
a
0
0
+5
.7
.3
0 0
C
0
C 0
3
0
2
3.
4
4
4
2
2
2
2
2
2
2
2
2
2
2
2
0
2
2
2
0
2
2
0
0
0 2
2
0
5 0
a
0
0
1)
6
6
6
4
4
4
4
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
a 2
Z
2
012
2
2
0
8
a
6
4
1 6
6
4
2
4
4
4
2
4
4
2
2
2
2
2
2
Z
2
2
2
2
2
2
2
a
10
10
a
6
6
6
6
4
6
6
4
2
4
4
4
2
4
4
2
2
?
2
2
2
2
2
Z
2
0
12
12
TO
6
8
8
6
4
6
6
6
4
6
6
4
2
4
4
4
2
4
4
7
2
2
?
?
7 1 2
1
1
14
14
12
8
10
1 G
8
6
6
6
6
4
6
6
6
2
6
4
4
2
4
4
4
2
4
4
'
2 4
.3
14
14
112
8
10
10
8
6
8
8
6
4
6
6
4
4
6
6
4
2
Z
4
4
4
2
2
4
2
18
IS
16
10
12
12
10
6
10
10
8
6
R
8
6
4
6
6
6
4
4
6
6
6
6
6
6
6
5
4
4
' 4
4
a
I 1
10
18
11
14
14
11
8
12
12
10
&
To
10
8
6
8
8
6
4
8
8
C
4
6
6
6
4 6
5
4
2 4
Z &
4
0
24
24
20
14
IS
1
16
14
10
14
14
12
3
10
10
10
6
10
10
8
6
6
8
6
4
a
6.
6
4 &
A
6
4 6
6
6
4
1�
2
0
6
14
22
16
170
16
. 16
10
14
14
12
8
12
10
10
6
10
10
a
6
10
A
8
4
e
6
6
1 a
3
28
28
�4
16
2
20
18
12
16
15
14
10
14
14
12
8
12
10
6
10
TO
3
0
30
30
26
18
22
20
10
14
18
18
16
10
14
14
12
8,1
12
17
to
6
12
10
10
'i
I 0
a
IT
8
a
C
S
4.
8
6
U
12
11
28
Z 0
24
11
21
14
20
20
18
10
16
16
14
14
12
8
1
2
10
TO
TO
TO
6 13
10
8
C 0
a
e
34
32
30
22
26
26
22
16
22
20
18
12
8 9
14
14
12
8
14
2
1 2
12
12
10
1
f )a
10
a
6 11)
1 n
8
D
34
34
32
22
28
26
24
16
3
C
10
1
14
14
8
14
12
12
6
12
12
10
6 12
0
10
G to
1
6
D
34
34
32
24
28
28
26
18
2
2
4
20
20
18
12
1
16
14
14
14
2
4
1
2
a 1
12
io
13
Is
36
34
34
24
30
30
26
18
24
2
14
22
20
I 8
I 2
I
I 8
I 6
110
0 1
I 6
I &
: 4
4
I
To
I Z
I.-
34
34
32
22
3 0
2
8
26
26
22
16
22
22
20
14
20
20
18
1 2
18
18
16
to I L
le
i
14
14
12
4
3.
3 0
2
'0
30
26
18
26
26
24
16
24
24
22 .
1 4
22
22
13
20
2 D
18
is
34
32
30
22
30
2:
log
28
Z6
24
16
24
'4
22
' 14 22
22 .1
20
14
k
3
32
3
30
30
26
26
;8
24
1 a 26
24
22
11 ?1
:4
70
14
32
32
3
;a
0
30
30
26
1
118 I'S
�, Is
24
it
25
2
if
32
32
28
.10 30
3 0
2F
'I
ft
32
v-
" i
20 J
33
76
1 .4
A ) I . 3'3" Concrete Slab: HC�8.93; R-.29; F;.ctor-7.3
2. 3 3/4" Thick Comnon Brick: IfC=7.125; Factor -7.3
a) 1. 5S* Cor.crete Slab: NC -14.106; R-.40; Fac!or-7.1
C ) I * 8' S olid Filled Block: 'HC -2G.63. R-1.93; Factor -6.1
2. V Solid Filled Block With Both Sides ExpGsed To Conditioned Air.
NOTE: Use all square footage directly exposed to conditioned air
for Thermal Mass Area: HC -10.164; R-.96;; Factor -6.1
ITT 11' Thick Concrete/Tile: KC -2.55; R-.083; Factor�-3.7
Table 3-19. Zonally Controlled
Electric Rest5tancis
SPaCP Heating Points
Points for this measure will
be coop!eted after the C.,:C
has approved an Alternative
Componeric Package for Resistance
Beat.
Table 3-13. Active Solar Spnce
Feating wiih Gas Points
Net Solar Fraction Points
(.%'SF), %
0 6 0
7 14 +2
15 23 +4
24 30 +6
31 39 +8
40 - 47 +10
48 - 55 +12
56 - 63 +14
64 - 71 +is
72 up +20
.1,1- I -In -1-- --, - - - . -
wood stove #33 points(no back up)
casablanca fan + 1 point
llultifacil.l� (per
unit
points)
System Type
rofntg
,
F Floor Area
7
Net Solar Fraction (NSF). X
per un�t,
f E2
Beat P,,Mp
0
Solar with Electric
A70-79
0.9
10-19
20-29
30-39
40-49
50-59 '16"69
0
600-799
0
+3
+7
+10
�-<
+17 +21
800-999
0
+3
+5
+8
+11
+14 +16
+19
1,000-1,499
0
4.2
+4�
6
+8
+10 +12
+14
1,500-1,999
0
+1
+3
j
+41
+6
+7 +8
+11)
2,111,'0 and up
-0
.1
_
2
, +4
�5
+6 +7
+9
All ott,ers (Pe bu i Id I ns--orn nt s
8V0 -?99
0
;�, +5
0
+14
+19
+2 -4r-.-2
-,34--
900-999
1. 000- 1 1
�0
+4
+4
+9
+7
+13
+11
+17
+15
+,e 1
-1-19
1 +269
+ 22
+ 3 11*1
�26
1 201- 1 99
9
0
+3
+6
+9
+12
418
+21
:19
1: 500-1 9
2 000- �K,9
0
0
+1
4?
-
+5
+3
+7
+5
+9
-0
+
+
+14
+10
+IE
+11
3,61.0 -i�.d up
4-'
4-3
+4
+5
.7
.3
+10
Table 3-21. Othsr Water
Heating P 9.
System Type
rofntg
Gas Only
Beat P,,Mp
0
Solar with Electric
Reilst4acn Uazkup
he�cinz; the Require -
menti la Part 2
0
EtcErLc Resistance
-4 a
Return to 1) AbT CMAPARED WIA�IICULTURAL STATEMENT OF ACKNOWLEDGEMENT
ORIGINAL DOCUMEENT FOR RESIDENTUL DEVELOPMENT RECORDEDBUTTE COUNTY
'Butte
OFFICIAL -RECOMSBY
Section 26-8.1 of the County Code
requi.res, this acknowledgemeriL be recorded'
prior to issuance of a building permit.
08 -APR -4 M- 12: .48
Thp. properLY described herei ii is adjacent
1.() land or included within an area zoned
CANDACIE J. OUR$
for agricullUral purposes, and residents
of' Lhis proPerLy may be subject to incon-
CIVX�REMRDERR.E
veil iences or discomfort arising . from Lhe
use of 6griculturat, chemicals, including,
1) 1.1 L not.. liMiLed to herbicides, pesticides,
88-10481
--ind f ert.ilizerS; and from the' pursuit
of agricultural operat.i.ons, - including,
but 110L limil-ed Lo cu.Iti.vaLion, plowing,
spray -i ng, pruning, and. harvesting which
occasionally generaLe dusL, smoke, poise, and odor. Butte CounLy
has esLablished ;igr i cu I -
Lural zones which have as a, priority use for productive agriCt-IlLural purposes, and re.sidefil
Wi Lhin sai.d zones and on- adjacent propdrty should be prepared to
accept. such iiiconvcii i (111ce
or disconl6rill from normal, necessary farm operations. ,
ALI Lhat real properLy situate in the County of Butte, StaLe of CaliforriLa, described 11 ;Is
fo I I s �1% C,�\�Owm Ova V�\Pk ceq:k�IKI !ANY
W C�\ (v\ p, � W p\,S �,E_C -Ake ecoo-��- 01� -Np—
t)Z'60z�. \k.� 4e- L, W\ c -q- D cbL)k5
-6
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y
b,,j,,j o e-- -C C,,�\ C>w
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-,&AS Relcb�Z16,
o�7 A�, Recok,-o, o� k�,e c-oox) c�A?A
�(A 0� "�>
6t,
Date: PROP RT� OWNERS:
..,* P1
SI -di -Cl of e0 -,r,4, On this the day of befor(- Inc.,
I . . - ) SS. the undersigned Notary Public, pe'rsonal.ly appeared
C 0 U n t y o f ) I .
Present. A.P-.
13"Personally known to me. F1 Proved Lo me oil the ba,,is
of satisfactory evidence.
Lo be the person(s) whose name(s)
subscribed to L.he-wi,Lhin instrumenL and acknowledged th,
1-)S
executed the same for Lhe purposes Lherein contaLned. I N W ITWI-�"
WHEREOF, I hereunto set: my hand and official se
,Q��
OFFICIAL SEAL
BAMiLRA TODD
NOTARY pMIC- CALIFOMUA
SAN MATEO CUM
my COMMISSI i9gi
-NoLary P blic
A y J .
7/83
FORM I
RESIDENTIAL ENERGY PLAN CHECK/INSPECTION SUMMARY
Owner
&Ivs z. Climate Zone Permit No. 7>A
Moor Area
3,:i X4Z
Compliance
path:
Package C3 A 0 B C &point System C3 Budget 6 other
MIN
R -VALUE DESCRIPTION
REQ'D
INSTALLED
ITEMS
(1) INSULATION:
Roof/Ceiling
Wall
0
Slab Floor Perimeter
11
Raised Floor
(2) INFILTRATION:
11
(A) A vapor barrier is required in climate zones, 1, 14 & 16.
0
(B) All manufactured windows and sliding glass doors shall meet the
1972 ANSI Air Infiltration Standards and shall be certified and
labeled.
18
(C) All swinging doors and windows leading to unconditioned areas
shall be fully weatherstripped.
Tight - the above standard features plus:
13
(D) Continuous infiltration barrier
13
(E) Electrical outlet plate gasket
11
(F) Air-to-air heat exchanger
(3) GLAZING:
(A) Location
Area Glazing %Floor Area Single Double Triple
Total Bldg /A.0 X
North S. JP X
East
South
West
Skylights
(B) Shading
Shading
Coefficient Description
East
-South
West
Skylights its
(C) South Overhang
Length of projection �L ft. Description
(D) Moveable insulation: Area ftZ Description
(E) Thermal mass
Type - Area Ft.2 HC=- R=
MC= Location
Type - Area Ft.Z HC=- R=
MC= Location
Type - Area Ft.2 HC=- R=
MC= Location
0
Type - Area Ft.Z HC=- R=
MC= Location
0
Type - Area Ft.2 HC=- R=
MC= Location
11
Type - Area Ft.Z HC=- R=
MC= Location
7/83
F07
FE]
r1w
(4) MA$ AND FACTORY -B . UILT FIREPIACES shall be equipped with tight
fitting closeable metal or.glass doors covering the entire opening
of the firebox; a combusion air intake equipped with a readily
accessible, openable, and.tight fitting damper to draw air from the
outside of the building; and a tight fitting flue damper with a
readily accessible control.
*1(5) HEATING, VtNTILATING, AIR CONDITIONING SYSTEM
(A) Heating
Central Gas Furnace
(brand and model number)
Btu/hr
(heating capacity)
Heat Pump
(brand and model number)
Btu/hr
(heating capacity at 470F)
Active Solar
model number
type (liquid or air)
solar fraction
SE
ACOP
Collector -brand and
ft2
collector area collector
7/83 2
orientation collector tilt rated y -intercept
rated slope
Other LJ04V &7bO&
/ (describe)
(B)
Cooling
Electric Air Conditioner
(brand and model number) (seasonal EER)
Btu/hr
(cooling capacity at 95*F)
Electric Heat Pump
EER
Btu/hr
(cooling capacity at 95'F)
0
other
(describe)
0
(C)
A TWO-STAGE THERMOSTAT, which controls the supplementary heat on
its second stage, shall be required for heat pumps.
(D)
AN AUTOMATIC SETBACK shall be provided for all thermostats, except
those controlling heat pumps.
(E)
AN INTERMITTENT IGNITION DEVICE shall be provided for all gas-fired
fan type central furnaces, gas-fired fan type wall furnaces and
gas cooking appliances.
(F)
BACKDRAFT DAMPERS shall be provided for all fan systems exhausting
air to the outside.
(G)
DUCT CONSTRUCTION & INSUIATION.. All transverse duct, plenum, and
fitting joints shall be sealed with pressure sensitive tape or
mastic to prevent air loss and shall be insulated to conform to
the provisions of Section 1005 of the UMC, 1976 Edition.
7/83 2
(D) FLOW RESTRICTORS shall be provided for showerheads and faucets
as outlined in the new appliance efficiency standards and shall
be certified to the Energy Commission.
(7) LIGHTING
(A) Lamps used in luminaries for general lighting in kitchens and
bathrooms shall have an efficacy of not less than 25 lumeu6 per
watt (usually florescent).
*1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing
charts (form #4) or other approved methods, section 2-5352(g), and fill out the
following:
Heating: Winter design temperature 0 -ft. . heating loadAW!*% U
-A� 0 , elevation ' X 00' T
elevation factor x heating load = maximum outlet capacity gas furnace
0
_L17Pff BTU
Cooling: Summer design temperature LP�-)--Jo 5� cooling load aX-?0BTU
(USE ONLY AS A SIZING.-GUIDE,,..COOLING.MAY BE -INADEQUATE).
*2 Submit T.I.P'.-S.-E. char . t or other - a - pproved syst - em (form #5) to document sizing of
solar panels.
IM DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of
Title 24, Part 2, Chapter 2-53 of the California Administration Code.
7/83
01
SIGNATURE OF BU LDING DESIGNER OR APPLICANT
3
polo#%
CMA
(6)
DOMESTIC WATER SYSTEM
(A) Gas Only Gallons
(brand and model number) (tank size)
13
Heat Pump w/ElectrieBackup
(brand and model number)
Gallons
(tank size)
*2
Active Solar
(collector brand and model number)
(rated y -intercept) (rated slope) (solar fraction) ft 2
(backup heater type, brand and model number) (collector area)
(collector orientation) (collector tilt)
E3
Location of Solar Panels
13
other
(Describe)
(B) TANK INSULATION. Storage type water heaters and storage and
backup tanks for solar systems shall be externally wrapped with
R-12 insulation or greater.
(C) PIPE INSULATION. The five feet of pipe closest to the water
heater and outside conditioned space shall be insulated with a
minimum of R-3. Steam and steam conditioned space shall be
insulated with a mi nimum of R-3. Steam and steam condensation
return piping and recirculating hot water piping outside the
building envelope shall be insulated in accordance with
T20 -1408(d).
(D) FLOW RESTRICTORS shall be provided for showerheads and faucets
as outlined in the new appliance efficiency standards and shall
be certified to the Energy Commission.
(7) LIGHTING
(A) Lamps used in luminaries for general lighting in kitchens and
bathrooms shall have an efficacy of not less than 25 lumeu6 per
watt (usually florescent).
*1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing
charts (form #4) or other approved methods, section 2-5352(g), and fill out the
following:
Heating: Winter design temperature 0 -ft. . heating loadAW!*% U
-A� 0 , elevation ' X 00' T
elevation factor x heating load = maximum outlet capacity gas furnace
0
_L17Pff BTU
Cooling: Summer design temperature LP�-)--Jo 5� cooling load aX-?0BTU
(USE ONLY AS A SIZING.-GUIDE,,..COOLING.MAY BE -INADEQUATE).
*2 Submit T.I.P'.-S.-E. char . t or other - a - pproved syst - em (form #5) to document sizing of
solar panels.
IM DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of
Title 24, Part 2, Chapter 2-53 of the California Administration Code.
7/83
01
SIGNATURE OF BU LDING DESIGNER OR APPLICANT
3
W A R I X -G
['-'ach of the following conditions, if applicable to your job site, wi.11
re(ILI.i.re special setbacks and/or design requirements.'
I.. Excavation and Fills: (1985 UBC, Section 2903(d))
Slopes for fills shall be'not steeper than 2 horizontal to I vertical.
Cut slopes shall be. noit steeper than 2 *horizontal to I vertical unless
soils investigation report by - registered engineer- justifies steeper
cut slope.
Fills to support the foundations of any building or structure shall..
be placed in accordance with accepted engineering practice. A report
of satisfactory placement,of fill, (compaction report), will be required
to be submitted to the building official prior to construction.
2. Footings on or Adjacent to Natural or Manmade Slopes: (1985 UBC,
Section 2907(d))
The placement of buildings and structures on or 'adjacent to slope's
steeper than 3:1 shall be setback according to the sketch below, unless
an investigation report from a registered engineer demonstrates code
intent is satisfied.
FOR SLOPES STEEPER THAN 3 TO 1
Top of
slope I I
Oil zw"m
but need not
Face of III exceed 40' � Face of
structure -i Toe of footing H
H/2 slope>,____
but need not
'exceed 15'
The above items are provided to call attention to special construct-JiJon
requirements for sloped build-ing sites. Required' setbacks, due to sloped
site conditions may differ from zoning requirements as stamped (or) noted
on . plans. If setback problems arise from these requirements, a registered
eng]-neer may be able. to provide an alternate solution by designing for
specific. site conditions. Plans and details for alternate solutions (stamped
and signed by the engineer) shall be submitted for approval prior to
construct,ion.
RESIDENTIAL P,LAN,CHECKIN0GUID9 7/85
(S.F. DUPLEX,,� MISC. ONLY)
Bldg.'Permit #
OWNER &A) A.P. # 4C�0�.
GENERAL
Ao*-" Zoning requirements: (sideyards and number of permitted.living units).
2 aluation.
ans signed by designer.
ergy Design and Compliance.
Ex�ilisting violations on property.
PLOT PLAN
Z:�Iomplete parcel size and ' dimensions.
. Setbacks, sideyards, easements, etc.
9--""O'ther buildings or structures.,
4,,<j'ading, fills, drainage.
d hazard.
��Eial conditions on creation map or compliance document.
FLOOR PLAN
,3, �-complete to scale plan with dimensions.
. �equired windows for light and ventilation (Sec..-1205).-
.��Required windows for second exit (Sec. 1204).
4 -'_,Skylights ' (Chapter 34 & Sec. 5207).
J-�->Uman impact glass (Sec. 5406).
6,<'�Xquired room sizes, ceiling heights (Sec. 1207).
��F.C.I.'s in baths, garage and exterior outlets (Article 210-8).
Light fixtures, switches, receptacles, and exterior receptacles for maintenance of
9t�rhanical equipment.
cations of water heater, heating and cooling equipment, other electrical or gas
equipment, and plumbing fixtures.
191011-0,02arage firewall, door size, and closer (Sec. 503(d)(3)).
3'0" exterior ekit gor (Sec. 3304(e)).
l2e<FirePiTc'e and wood. stefe location.
Tall--imoke detectors (Sec. 1210).
STRUCTURAL DETAILS
1 Foundation plan complete enough-ito construct building.
Floor construction details complete enoughito construct building.
3—,'*"' -Elevations and wall construction details complete enough to construct building.
(��Rpof construction details complete enough to construct building.
Fireplace construction details and calcs if necessary.
Le""Sufficient data and details to satisfy.pnergy requirements (State Law) (Form 1,).
MISCELLANEOUS ITEMS TO LOOK OUT FOR
f-"-E-xposure I plywood on exposed locations and overhangs.
-91-.—Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306).
--I-,--G ardrail details (Sec. 1711 & 3306(j)).
��Brick or stone veneer (Chapter 30).
5
kv-'fxterior plaster - weep screeds (Sec. 4706).
6P,--fr'oper roof pitch for,roof covering (Chapter 32).
Aw"I'after ties or bearing ridge beam.
RESIDENTIAL PLAN CHECKING GUIDE (CONT'D)
MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONT'D)
4C arage-door or porch header'sizes.
P�dequate bracing.
14r— Living area over garage - complete 1 -hour separation tequired on.garage side
including supporting walls and posts, etc.
++--.Two exits on three-story dwellings (Sec. 3303 & see Mezannines 1716).
lao.000"Attic access and,ventilation (Sec. 3205).
4!� Underfloor access and ventilation (Sec. 2516)..
14 -:`-Wood stoves, clearances, alcoves & 1 -hour shafts.
i��.Combustion air for fuel burning appliances.
14-.— Noise requirements on duplexes.
LJ,-- Adobe soils - special foundat ion design.
1.8n— ,�Ptaining walls requiring design.
1%oo' Unusual shape, size or split level house requiring lateral -design.
IWO
r, A(A
0
7/85
11
i
1,4
P�
4 GQ T 3 M/�/LSZGG
<9
PERMIT NO. 1554:--8,8B-, P-;-gl I
PERMIT EXPIRES tille? ZE5
RON JIMENEZ
4 OWNER
HOLIDAY POOLS
CONTR.
ASSESSOR PARCEL 42-59-44
LOCATION 602 Al�ond Grove Ct., Chico
Temp. Power Pole
Called PG&E -
i Temp. Elec. Sam e
Called PG,
Temp. Gas Sei
Called PG,
JOB FINALED
Signature
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memori 61 Way, Chico — Phone: 891-2751
-1Z 7 County Center Drive. Orovi Ile — Phone: 538-754f
747 Elliott Road, Paradise— Phone: 872-6307
CORR ECTION NOTICE
OWNE
PERMIT NO.
A routine inspection indicates that the following violations of County qrdinance
exist at the above a`i:ldress and should be corrected. Please notify this 'office
when correction of ork is completed. If you have any question pertaining to this
matter, or need a;ditional explanation,' please contact this office immediately.
1!
A
Inspector
Date—
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way. Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 538-41541 -
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
A routine inspection Indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office Immediately.
Inspector ZA6
;�2e 11 f:� — Date—�)-
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751,
7 County Center Drive, Orovi Ile — Phone: 538-7541
747 El I iott Road, Parad I se — Phone: 872-6307
CORRECTION NOTICE
OWNER
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. It you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
Inspector Date
OK
0'= Not OK
Not Applicable
N6t Read)( MOBILE HOMES MISCELLANEOUS
,.Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DECKS, COVERS,CARPORTS, GARAGES, (Plars).QK e)tcept #'s
!4 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements
-Size-Depth-Spacing-Connectors-SteeI
2. Soils; Special MH Support -Sketch 2. Footings; Soils
3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts- Beams-Rf trs.-Co n nec.-
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete Shthg.-Rfg.-Bracing
6. Gas; Location -Test-Wrap: / P'Uft. 5. Alum. Awn.; Col u m ns -Con necti ons-SpI ice- Decal- Encl osu res
P'Nat. or/ /"L"ft./ P'LPG 6. Carports; Windows -Doors
7. Utility Clearance 7. Elec.
8. Frmg; Sills-Anchors�Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
Card -131 Date Card -131 Date 10. Roof; Shthg-Roofing
Card -131 Date Card -131 Date 11. Ext.; Steps -Doors -Landings
Date MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements Card -131 Date Card -131 Date
2. Footings; Size -Spacing -Marriage Line Card -Bi Date Card -B1 Date
3. Gas; MH Test-Dernand-Valve-Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS,�Plans) OK except #'s
5. Drain; MH Test -Fall -Flex Connector
Z,& lesetbacks-Easements
_'-2. Soils; Compaction -Structure Stability
—6. Water; MH Test- Reg u lator-Con nector _'-8. Pool Structure; Steel -Connections -Thickness -
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged Dead Men -Lining
Elec.; Receptacles and Lighting, Distances-GFI
9. Exits; Insp.-Sketch
—10. Cert. of Occupancy Elec.; Pool Lighting; 15volts-GFI
Elec.; Enclosures; Conduit Entries -Terminals -Listed
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
"41. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg.
Card -B1 Date Card -131 Date Enclosu res -Panel boards- Ins. to Main in Conduit
Boxes
Card -131 Date Card -131 Date 9,;.���Approval
Plumb.; Cir. Test -Water Supply Test
Card -131 <7X Date Card -131 Date
Card -131 Card -B1 Date
AIL_ La
Ll
I
Is
= OK
0 = Not OK
- = Not Applicable RESIDENTIAL (Single and Duplexi
= Not Ready
Date -
4NQERFLOOR (Plans) OK except #'s
Date�
FRAMING (Continued)
1. Zon i ng -Setback s;- Easements- Flood -Slope
45. Hangers -Post Caps -Anchors -Connectors
2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg.. Depth
46. Clng. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth
47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance
4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth
48. Attic Access; Size & Romex Protection- Draft Stop -Ins. Baffles
5. Sternwalls, Main; Steel-Blockouts-Wrapped
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
6. Sternwalls, Garage; Steel-Blockouts-Wrapped
50. Garage Fire Protection Framing
7. Slab; Steel -Wrapped
51. Property Line Firewall & Openings
8. Piers -Fireplace Ftg.-Steel
52. Ext. Doors -One T -Check Garage -3rd story, 2 exits
9. D.W.V.; Fall -Fittings -Test -2 way C/0 -Sewer Test
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
10. Gas Pipe; Size -Anchors
54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
11. Water Pipe; Test -Anchors -Regulator -Service Test
55. Siding -Nailing Veneer
12. Electric; Underground
7
56. Stucco Mesh -Drip Screed -Fd. Vents-UnderfIr. Access
13. Plenums & Ducts; Clearance- Material -Sup prt- Ins.
57. Glazing Area -Glass Protection -Skylights -Plastic
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
58. Shear Walls; Nailing -Bolts
15. Insulation
59. Insulation-Walls-Cig.
60. Infiltration-Walls-Wndws
Card -B1
Date Card -B1 Date
Card -B1
Date Card -B1 Date
Card -131
Date Card -131 Date
Card -B1
Date Card -131 Date
Date
PLUMBING (Permit) OK except #'s
16. Water Ht. Vent -Access -Combustion Air -Baffle
Date
FINAL (Plans) OK except #'s
17. Water Pipe; Test & Anchors -Nail Protection
61. Ext. Steps -Door & Sidelight Protection -Landings
18. D.W.V.; Test-Fttngs & Anchors -Nail Protection
62. Smoke Detector
19. Shower Pan; Test, First Floor -Tub Access
63. 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
64. Bedroom Exiting
65. G.F. I. & Bath Fi xtures & Tub Access -Spa
66. Elec. Trim & Subpanel; Breaker Sizes -Labels
Card -B1
Date Card -131 Date
67,'Stairs & Rails
Card -131
Date Card -131 Date
68. Fireplace or Stove; Clearances -Hearth
69. Elec. Outlets at Wood Panel; Int. & Ext.
Date ELECTRICAL (Permit) OK except #'s
22. Fixture & Transformer Clearance -Ins. Protection
70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance
71. Elec. Outlets & Receptacles at Kit. Counter
23. Elec. Receptacles Spacing -Lights & Switches at Doors
24. Size Boxes & No. of Conductors -Stapled
72. Garage Fire Door; Swing -Landing -Closer
73. A.C. Duct in Garage -Damper
25. Romex Installed Close to Edge of Studs & C.J.
74. Wtr. Htr.; Vents -Clear ' ance-Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
26. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water
27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I.
75. Plb., Elec. & Mech. Equip. Listed for Location
.28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size / /ga.
Cu or Al
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
77. Insulation -Foam -Looked in Attic 0 Yes
29. Range Circ. ga. Cu or Al -Oven Circ. ga. Cu or Al.
.Insulated Neutral Yes No
78. Guard Rails & Deck Construction -Post Caps
30. Service -Riser Conductors & Ground -Main Disconnect
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor 11 Yes
31. Equip. Clearances Panel s-Motors-Mech. Equip.
80. Following instid.; Drive .11 Yes 0 No; Walks 0 Yes 0 No;
Planters 0 Yes 0 No
32. Clothes Closet Light -Shower Light -Spa Light
33. Smoke Detector
8i. Stucco; Brown -Finish
Card -B1
Date Card -B1 Date
82. A.C. Unit; Disconnect, Electrical, Plumbing
Card -131
Date Card -131 Date
83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to
Openings.
Date
MECHANICAL (Permit) OK except #'s
84, Water Well; Disconnect, Electrical, Plumbing
34. A.C. Ducts Insulation & Support
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
35. Vent Fan; Exhaust above insulation
86. Ventilation throughout House
36. Condensate Drain & Overflow; Size & Grade
87. Glass Protection
37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet
88. Corrections from Previous, I npections
38. Attic Access & Platform if Furnace in Attic
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
Of. Energy Compliance Certificate -Other Certificates
Card -131
Date Card -131 Date
-
92. Roofing Certificate
Card -B1
Date Card -131 Date
Card -131
Date Card -131 Date
Card -131
Date Card -131 Date
Date
FRAMING (Plans) OK except #'s
Card -131
Date Card -131 Date
39. Sills, Proper Material & Anchors
Comments at Final:
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. Header & Beam -Size & Bearing
(NOTE: An entry must be made each time you visit job site)
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
_<7 ;iD
ASSESSO 4A/t1fELNA4M�
ZONING
BUILDING PERMIT
OWNER
cl-�Qn (�Nl Me /I e_:�
L P
AQ. FT. QCC. BUILDING VALUATIOW
OWNER'$ MAIL:It4GMR
I L00'a
Lco
ON AC 0 S NAME
CONTAT,76S kr�INLA 0 MOR ES�Sa Ck; 6 (3 q <9e
&
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation s CW
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 6_0
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS i
Penalty
$
BUILDING ADDRESS
Permit fee
$ 19 9,S,
PLUMBING PERMIT
-
FilingFee 10.00
001
Each Trap
2.00
(��
Solar or heat pump water heater
20-00
LOT NO. _TUBOIVISION
NAME PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTU<
SF[:1 Duplexf-1 Mobilehome[:] Oth r J_A� N
SPECI F(Y
Gas piping system 1 - 5 outlets
500
r
5.00
I
Mobile Home -S I G
0.00 ea
TYPE OF WORK 1i
New[:Ne Addition[l PemodeIQ UtilitiesEl InstallationEl OtherEl i
Describe wor : (7&,-r\l 1--r—
I
Permit Fee
s ;40
Contractor
ELECTRICAL PERMIT
FilingFee 10.00.
Main service J00V OR LESS
00 AMP OR -LESS
10.00
Main service EA. ADO'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
F-1 I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professio s Code aDd my license is in full force d effect.
License No. _� VJ6 Classification - _ -
I 7e _:T n
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)
1, as the owner, am exclusively contracting with licensed L;UIILItIE;t-
ors. (Sec. 7044)
I am exempt under Sec.—, Business and Professions Code
for this reason
NEW CONST DWELLING OCCUP.al
OR ADONS. ACC.BLDGS.
21/20sqft
NEW CONSTR. _ULTI_O-TL ET
NON-RESID. BRANC. CIR CU,TS)
2.50 ea
POWER APPARATUS b)
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTUR
.20 0 50C
ALO 30
FIXED APPLNS. OR
Ex. OCCUP- OU TLETS (RESIO.) EA
2.00
Temporary service
10.00
Mobile Home Facilities
15.00,
Misc. Wiring
15.00 "Je
Permit Fee
s
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
R/The permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shal I be deemed revoked.
MECHANICAL PERMIT
FilingFee 10.00
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County ot
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
agz Nit said Co t in consequence of the granting of this permit.
4 FiX
�ZiA V /4�_
:UJ Cc It Date S
Signature of Applicant — OwnerE] ContractorE] 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.
I CONST.TYPEJ
ISCHOOL
,
I FLOODI PARCEL
L.,, ___I
_ PU
Z�fl!l UE
This permit is hereby Issued under
sions of the Butte County Code and/or
work Indicated above for which
DIRECTOR OF PUBLIC
By
PWT iXPIRES Date—
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Datei,.�� zg"?,p
Receipt No. —I
WHITZ-O.P.W.. YELLOW-ASSE330R. PtNR-INSPECTOR. GOLDENROD-APPLI CANT
y
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVIL6E,,r3ALIFqRNIA 95965 - TELEPHONE: 916/538-7541
I Permit No
PERMIT APPLICATION DATA SHEET
'17 -a -
OWNER yr e -n C, A P. No.
Proposed Building Use U (\S, B�u'ilding Inspec or Date
At time of permit application, I was advised the following data must be submitted prior to permit processing
and:/or issuance: DATE RECEIVED APPROVED
All ;+ k L,
V1110 ENV vull Su MILLUO . . . . . . . . . . . .
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 pI ans 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 authorization. . . . . . I I I I
10. Sanitation approval from Health 6�-Pt-. . .
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 ownerEl, Mai I to owner
15. Improvements may be required . . . . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . . . . . .
Pre-InspeC. request to -
1 �. Pre -Inspection for Required- Building In pector
18. Recorded copy of Agricultural Acknowledgment Statement.
19. Driveway Permit.
20. Plot plan approval from city of
21. Engineered trusses in duplicate (required prior to plan check). -
22.
When u issue the ernflt, process as follows: Mail(tywrier, Mail to contractor.
��T. e nd-M —�a�45 and hold for pickup a 0
_��_Telephon t—office, —Deliver w/inspector.
— Other
Appl icant
D94 -e
Copy of plans sent — Health Dept., —Fire Dept., — Other— Date
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
(Dt6te)
Contractor, designer, owner, was advised of above required data by—phone---mai I —counter by_____;�Zdate
Contractor, designer, owner, was advised of above required data by—phone —mal I —counter by date
Plans checked by Date Plans approved by 442 X Date -T-a.20 -
----/Sets of plans on hold in —File cabinet Zef'_AP folder
Copy—DPW
.7
TO BUildinct Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Owner Location AP#
(C 0
Plan Approved for: Sewaqe Disposal
Water -supply
H61d,final for:
Final -clearance O.K. for:
Clearance for bedroom mobile home.
NOTE
S a
Water Supply
Water supply
Other.
Date
Ae
'91
7�-C
NOTC.
� -`lr Shqll Do in
Savoy Mwow
AccorMso
1,0 em--i"e-ec, and
E"!x'G4:Od use in fhr��
A
of a quuvvy prosari��'.i -'Ic-
Uniforrn Bul, Irg, Plurijbirg Mechunical CoN qnd
�H4& L 0"".0 the Nafional Electrical Codo.
This aw of pi,,=G
� �-: or
t�P— `7� r2l"O'n, tie, MIUST be
- It-
rMa any chanqes or Off
me MACU,
ft wri ermizslon le"rom Me Doparfmcnf of PuWA�
from the Works, Counfy a�j
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