HomeMy WebLinkAbout042-590-041GARY I" GRIGGS F11 �p
Almond Grove Ct',.,hico
-or (_1 - to well 9 __ - - __ - - ___ __ - . - m- ___ - ___ - __ - , - -
PermitITIZ/4-01
landscape)
42-59-41
-CONRAD J HAGEN
632 Almond Grove Ct, Chico, A/I�lw / 0 0
�.-Permit#2261-87B,P,E,M(new-sing . le,.Zamii�iy)
42-59-41 3569-891JB
t
GIESE, Arthur T.
632 Almond -Grove Cf, Chico
scontr: -.Fireplace, Outlet
(woodbu`�ning'stove)SF
042-590-041 00-,1593
KEE ER, -1 - - !74
632 O%ROV'ECT CHICO
tl V I
'N " u v 6LS
CONTR: 'A� - E vP'O
NEW PO( L MAST�EAN 502-97
.0
042-590-041 Al2
.-BROWN FAMILY TRUST,
. NALE
632 ALMOND GROVE CT , CH
Cont: WATTS PLUMBING
GAS LINE FOR COOK TOP
C Q
042-590-041 BP040645
BROWN, DRAKE & CINDY
632 ALMONDGROVE CH
CONT: RRR ROOFIN�
REROOF40SQ
I
FA
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541 FAX#: (530)538-2140
WEBSITE: www.buttecounty.netWids
PERMIT NO.
BP040645
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
Issued Date: 03/08/2004 APN: 042-590-041-000
the Business and Professions Code, and my license is in full force and
effect.
License Class: 'J .-License Number: '71ZZD
Site Address: 632 ALMOND GROVE CT CHI
Date:,5,Z,940Y. Contractor 62ti9-r 14�vd
j �er
Map Index:
Description: RE -ROOF (40SQS)
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt fir ' om the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior
Owner: BROWN FAMILY TRUST
to its issu@ncealso requires the applicant for such permit to file;a;
statement
632 ALMOND GROVE CT
signed ihai he*or she is licensed,pursuapt to -the-, provisions of
the`Cb9tractor s Sta"ke" License Law (Chapt6f4bornmeridirig" 'with Section
CA
7000)!bf. Division 3 of-,the'Business and Professions Code) or that he or.
sJhe is �' empt tt�ier' ro
ex ef m-ind the basis,for the.al(eged exemption, Any
.959,73-8708
violation. of Sectiori -7031.5 by any ap�ii-c�an'f"f'or,a."p�e'r'mit'*tO'bj66ts the'
applicairitto ;krAviI.p'pnaI!yof not more than five hundredd6l1irs (upo).y,
L3 l,'es own"er.0'rthe property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale �Sec. 7044, Business and Professions
Applicant:%- BROWN'FAM I LY TRUST'
owner of property who.builds'or improves thereon, and who does
self ot I
-;uc work him i6i�self'or tl�iro6gh'hi� or * own ehnployees,
v d6d'thafsu"ch'improvernents are*not intended dr offered for
"safe.'' If however,' ihe'liuild'in'g' or'i mipro v!*eMehts'are sold withih one
year of completion, the owner -builder will have the burden of
proving that he or. she. did. not, build or improve for the purpose.of
sale.).
as. ownerq�fJ�A.p .0gqjyqIy..qon!rppIing _Wit.
.�0pe6y,..,Am..9,x
licensed contractors to, construct-the,project (Sec. 7044, Business
and Professions-Code,:rhe Contractors! State License Law does
n , ot.apply to an ow 'ner of,prqperty who, builds or.Improves thereon,
Contractor:
and who contracts.for. such projects.witiri a co.ntrac,tor(s). licensed
pursuant to the toniractors' State License Law.),
13 am Exempt,under Article 3 of the Business and, professi.ons-Code
Date: Owner:
License M
WORKERS'. Q0MPENSATION,DtCLARATIQN:- -
I heTby affirm under penalty of perjury one,of the following' declarations;
13 1 have. andvill. maintain a certificate of consent to self-ingure for
workers" compensation, as provided for. by Section '3700 of the
Labor Cdde,. for the pi�irformance of.the work for ' '
which this permit
Architect:
if�, J10—
rissued.
I' haviJ , and'ihill rhaihf4in� Workers" �bnhpensaflon" insurance, as
I
Engineer:
equired.by S.ection 3700. the Labor -.Code, for ihe performance of
the wotk for which this.permit is issued. My wo�rkers'-compensation
insurance carrier and policy number are: -
C�rrier.-44 Z
J ... . . -.7,
Total Square Ft: 0 S. F.
Policy#: L-5
Valuation: $0.00
�ertify that in 'the -perfo.rma-n..c�e'.o"f"�th'e-,-w",o:'rk-f-'o-r�'w'h-i"c'h'-tth;i"s' -permit is
Census Code:
issued, I sha.11 :not employ,: any person, in any manner so as to
become subject to I ' he workeW.comperisation laws otCalifomia,
and agree that, -..if. I should become subject- to the workers'
compensatio� pr6visionsof SectibA. 3�09 pf,the Laboi...Code, I shall
fort�with comply with.thos6 provisions..
'2,
Date;
Applicant: -
WARNING: Falluiii 'tb secure workers' compensation -b . ovi , era . ge is
'
unlawful,' and shall subject an employer to cdininal'penalties and one
hundred thousand -'dollars* ($100,000), in addition -to the. cost of
compensation, darnages as provided for in Section 3706 ofthe Labor
code, interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a constructi;n* lending agency for the
.
i�hich
This permit is bdreb� issued under pp, able provisions of the Butte County Code and/or
Resolutions t d w i icated ov fo ch fees have been paid. OU
performance of the work for thi� peAit is'!�sued (Sec 3097 Civ.)
Name: I
By-_ Date:
L/ —
PERMIT
Address:
EXPIRES ON:
(Date)
Cl * I hereby certiti'that the Vs.6'01`t1liis t4clkv�h4 2,5505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handlingand use of hazardovs,.matedal.s..
0 Notification in accordance with Secti on -1 9827.'5 of California Health & Safety Code Is not applicable to the scheduled construction of this project.
' I
0 Attached are*' p9tifida
Fopie.s.of1thd required E.P.A: tionformV.-
I hereby certify that I have read. this application, tfiat'the "above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction'. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby
authorize representatives of Butte*Co'�nity to eint6rup6n tfid'above mentioned property for inspection purposes
15 4o C_;e_/
Print Name: Signature:
Date;
Ell Owner Q Contractor Q Agent for Owner (3 Agent for Contractor
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENTi SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541 FAX#: (530)538-2140
WEIBSITE: www.buffecounty.netlidds
PERMIT NO.
BP040645
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury' that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
Issued Date: 03/08/2004 'APN: 042-590-041 -000
the Business and Professions Code, and my license is in full force and
effect.
License Class: J3 .-License Number: '71 7U�)
Site Address: 632 ALMOND GROVE CT CHI
Date: Contractor: ze)�W— 62n--21-2
Map Index:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty o . f perjury that I am exempt'fr9m the
Description: RE -ROOF (40SQS)
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior,
'�Ownen BROWN FAMILY TRUST
to its issuprice, also requires the applicant for such permit to f,16:a,
632 ALMOND, GROVE CT
signed'sitatement ihkhe'or she is-licensed'pursuant tolthe-.pr6isions of.,
the'Eoptractor s �ta`k6license Law (Chapt&'9 -c6mm- eiricing" 'with Secition
t- -J.
7000), - of. Division 3 of,,,tffe'Business and Professions Code) or that h�
�-exempt
h
95973-8708
ske; is ther�frorn and the basis,for the,alleged exemption. Any
violatio n, of, S ' ection'-7031.5 by any a��li�c,:a,n,*C,io'r"a""p"e'r"mit,§ubjects the
15 611
-
00).
a�plipant to' a�6`v'iI,pe'.`naIiy 'of not more than five hundred `66 -j: "
($�
-
i
- -1A---ow,n"er.o�ft-he
u property, or my employees with wages as their
,sole compensation, *will do the work, and the structure is not
intended or offered for sale �Sec. 7044, Business and Professions
icense aw oes not apply to an
C
-Applicant:, BROWN-FAMItY,�T-RUST-*,--,-'--,—,---'-�---""-
owner of property who. builds'or,,improves thereo . n, and who does
"hgrgelf
hims61f �r -or-tfirb'6gh his.6r fi�r owh empld�64s,
provided that such i I mprovements'!'are7 n'olfinterid'ed or offered for
sale.-; If hoA�iir; il�6'601666 or*Ajir6�6i4i6nti'a're s6ld �4ithin 6ne
year of completion, the owner -builder will have the burden of
proving that he..or.she.did not -build bi irhpro�e for.the.-purpose.of
sale.).
.q,J,- -53s', owne-r,.-9_fJft.,prop pLq§jy_eIy,_po L ti. g _ i . ,
9,rty, qrp _ex f) rip rt W 41
licensed contractors to' construct-the.project (Sec. 7044, Business
.,and Professions. Code. The Contractors' Sta . License Law does
�e _
,.,.-..Jpot apply to an oWfier of,property.who..builds or,improves thereon,
. . . . . .
Contractor:
a nd who cont rac Is. for such projects with a,c n t ract6hs) licensed
,,.-,,pursuant to the toin'iraptors' State Lic�nse La-w
%
h�er
Q im �xerri`pt,u Article 3 of the Busi ness and Professions -Code
Date'
z P.)
I License M.
WORKERS'. QOMPENSATION, DECLARATIOW.
- '
j.,
I her b affirm'und& ��alty-of perjury on e 'of the following dedamtions:
, ,
%...
" - I C.
C1 . ". - ,
have, andJhill maintain a certificate of consent to self-insu�elfor
as provided,fQr by Section..3700. of the
Labor C(�rde, for the pqrformance oi toe work fo . r I which . th is permit
.., ued.
s Iss
Architect:
"l-ha�e'arid'Will ihbi'6(iih',%Wotk6r§"66"mp'e"n'-s a-tio"n i-n'su ra-n c -e-1.
as
required
E ng i hem"
-by Section 3700:the Labor:Code.,for the performance of
'lVly
the wotk'for w'hich this'permit isis'suied., wo�kerg"c6mpensation
insurance cairi�r'ana poli6� number aii66:
dar�eir` eom-10110610
Total Square Ft: 0 S. F.
'Policy #:
Valuation: $0.00
'b'T'�Zi�ify' that'—in ihe-pe'rformance-of-the work for. which -this.permit is
Census Code:
,issued,-, I � shall ,not � employ.,ahy;person., in, any manner,soas,to
. .
�,.v�ecome subj6ct td.t-fi6 worke I rs'. c omp ensatio� 16�is of California,
and agree th6t;-.4, L,4ould, b6coinii,.�ubjec O'Alh; 11 workers'
- , - I
'FCodel-
compensation p rovision s o f S e*c'tior�3700 of th La6o I shall
forthwith c6ml3ly wit6'thosii pro isi ; o . ns.
v
0J
/M.
Date: -
n
Appli6a I-
WARNING-: Failur'e" t8 �'iecu'4' Work6r-s-V-' 66mpensation 'coverage, is
unlawftil,'and shd ' ll'iubject an employer to'criminal'penalties"and one
hundred:; thousand,'dollafs' ($100,000)—i6' addition' 'to Ahii% cost �.of
compensation, damages'as provided for in Sectiofi'3706'6f'the Laboi
code, interest, and attorney's fees.
CONS TRUCTIONLEND . ING AGENCY
. . .
I hereby affirm that there is a I for the
This permit is re issued u1nde ppi able provisions of the Butte County Code and/or
Resolutions I d w i icab ov to h fees have been paid.
constr u ction-len6ing agency
�erfbrrnance 'of thi work f6i W"hich thig r
is issbed!(Sec 3097 Civ.)
pernit
Name:
By:_ Date:
A ddress:
PERMIT EXPIRES ON:
(Date)
0-1 h6reby ceAlfit6it comply ions 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
ha pdling.aqq.use of hazardous. materials-,
0 Notification in a6cbrdancewith'Se6ti6n:,19827.5 of Cblif6mia'Adalth Safety Code is not applicable to the scheduled construction of this project.
U;-- 4itache'�a'r'e'c*o"pi"e'softh6'ie4ui�6cf�.'P:X.��46iifi6'tr6nf;im".*----�-
S.;
I hereby certify that I have read this app. ication,.1- at'th.e,Zo�� is correct, and that I am the owner or the duly authorized agent of the owner. 'I agree to comply with
iill county`g'�'d state laws 44fing tio building constru . ctio : n. (acknowledge it is unlawful to alter the substance of any official form or document of Butte County.' I hereby
authoriie repr6s66ia0e's6f Butt6*C66�tit6"e"nte'r'u*po'-n-t�e'abovi'mentioned property for inspection' purpiose s' -
Print Na' Zoo
i�. Signature:'-
Y�te
0 Owher Q -Contractor Q Ageni for O�vner LI Agent for Contractor
dl�
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
PERMIT NO.
0 (( -0(0 q
1 DE-Storur- 1 110114 OR SCOPE OF VVUKK: ----I
Is
I El Structure Built without per mits
I El Proposed Change of Occupancy (note previous use)
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one year after the date of application. In order to renew
action on an application after expiration, a new application, plans and fees will be required.
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to
the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan
checked and other department costs are not refundable.
Notes:
Application Received by:
Receipt number: -
122
Date:
Amount Received: -Z-Lo. OD
B. C. Building Permit 011-13-04 pg 2
DATE: cnavt* 9
APN: D -D
ZONING:
NEAREST CROSS STREET:
TRACT/LOT#-
SITEADDRESS:
"-O(f) L3
CITY. ZIP:
OWNER NAME:
PHONE:
STREET ADDRESS:
A w, oyAd 67 ir
FAX:
CITY, ZIP: r C.'o C+1
E-MAIL
APPLICANT NAME:
Lock-`,
HONE.
St 3 q C', (0
STREET ADDRESS:
FA)L*
CITY, ZIP:
C1 i�-
E-MAIL
CONTRACTOR NAME:
9 0-0 0 rL;r-r( 0 (3
PHONE:
�BLi 9(0c�(o
STREETAIDDRESS:
�-D
FAX:
�5 L1!5- - ct
CITY. Zip.
E-MAJL
UCENSE NUMBER-'
r7i rj-z35�
LICENSE TYPE:
ARCHITECTIENGINEER NAME:
PHONE:
STREETADDRESS:
FAX:
CITY, ZIP.
ICENSE NUMBER:
E-MAIL'
M-1. .%&I
1 DE-Storur- 1 110114 OR SCOPE OF VVUKK: ----I
Is
I El Structure Built without per mits
I El Proposed Change of Occupancy (note previous use)
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one year after the date of application. In order to renew
action on an application after expiration, a new application, plans and fees will be required.
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to
the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan
checked and other department costs are not refundable.
Notes:
Application Received by:
Receipt number: -
122
Date:
Amount Received: -Z-Lo. OD
B. C. Building Permit 011-13-04 pg 2
��2-5�i� ��� � X3:350?
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive * Oroville, California 95965 * Telephone (530) 538-754
-,Y.ERMITTO.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCELNOMBER 04
t ZONING
BUILDING PERMIT
OWNER W
yj
SO. Fr. OCC. BUILDING VALUATION
OWNEWS rlU;_ZDRESS i , oo�id Li -C Cf -U) let) C/
CONTRACTOR'S NAME /1,
( W. I Lll� <
i ,T 17`5
CONrRACTOWSIMAILING,ADDRESS
CONSTRUCTION LENUER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation Is
ARCHITECT OR ENGINEER
NO.
—Filing Fee $
20.00
ARCHITECT OR ENGINEEWS MAILING ADDRESS
Permit Fee $
Plan Checking Fee $
BUILDING ADDRESS ryi aid o ve J &0
Energy Plan Checking Fee $
PERMIT FEE $
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF 0 Duplex 0 Mobilehome 0 Other SPECIFY
—Each Trap 1
7.00
—
Solar or heat pump water heater
23.00
Water piping
15.00
—Each gas water heater or vent
15.00
TYPE OF WORK
New 0 Addition 0 Remodel [3 Ublifies; 0 Installation 13 Other 0
Describe Work: e_1
& N r- CDDI�- h
S
Gas piping system I - 5 outlets
15.00
Building sewer
15.00
—Mobile Home ISI GI WF
(—B20.00
_T_�w
PERMIT FEE
ELECTRICAL PERMIT
Filing Feel 20.00
"' UE
Main Service '.OA OR LES:
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class (�-v '116 Lic. NO. o
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
0 1, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
0 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
0 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
0 1 have and will maintain workers' compensation Insurance, as required by Section
3700olthe Labor Code, for the performance of work for which this permit is issued.
My workers' compensatiori insurance caTrierand policy number are:
Carrier
Main Service 200A TO 1000A
46.00
NEW CONST. %ELUNG ffUP.
OR ADDNS. ACC S.
so.
3.50FT.
NEw cum 1 7
NON-RESID. '_O U
5=. Q01R.UITS
—
@7.50
PSOWE.RAP.PARATUS
IN. 0 CIR.
Ex. Occup. OUTLET OR FIXTURES
@
BAL @ .50
Ex. Occup. FxE ' A '(g '.I6.o ER.-
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FE $
Policy Number
(The above sections need not be completed if the i5errnit is for work of a valuation
of one hundred dollars ($100) or less.)
0 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and ag , ree that if I should become subject to the
workers' compensation provision . s ofisection 3700 of the Labor Code, I shall
forthwith c ; omply with those'—provisions
/ ..
X
Signature of Applicant - O�OWner 11 Contractor 13 Agent
An OSHA pe�rmit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
II
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE
TOTALFEE$
HAZ._[!�t
IMP
I FLOOD
I CDF
PARCEL
PD
HD_L
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
_,J
By /(' 4 Date
PERMIT EXPIRES ON
PaIL)
ReceiptNo.
I
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD-APPL�CANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISIONO3-5ql(o
7 County Center Drive - Oroville, California 95965 * Telephone (530) 538-7�&��ff.
(Rev. 12/96) APPLICATION AND PERMIT 6 -
ASSESSOR PARCEL NUMBER oqz- 54�() - ()q
ZONIN
BUILDINGPERMIT
OWNER DyWr) f� 1 4%
11MT,5
SO. FT. OCC. BUILDING VALUATION
.OWNER`S&Jf1IESA ,.,d /C
r 1 01
,*�V�o Cf
c.= (JJLAy7qb"
1XV-540
C UTORT
IZ-D
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation is
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEMS MAILING ADDRESS
0q 4
Plan Checking Fee
$
BUILDINGAIDDRESS b3eL JrJrnj-k_td
C �fZ�a
Energy Plan Checking Fee
$
69
$
PERMIT FEE
$
LOT NO.
SUBDrWSIOWS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF 0 Duplex 0 Mobilehome 0 Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New 0 Addition 0 Remodel 0 Utilities [3 Installation 0 Other Cl
Describe Work:
4r- CoDXbp
Gas piping system I - 5 outlets
15.00 15�Lx�)
Building sewer
15.00
Mobile Home I S I G I W F
1 920.00
I - --
PERMIT FEE
$ '5C:;? - 0 0
ELECTRICAL PERMIT
Filing Fee 20-00
( 60.0,V OR LESS
Main Service . 'OR.
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license nd effect.
,,,�in J4lVorce a
License Class 11�0 Lic. No. �(30
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
0 1, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
[3 1, as owner -of the property, am exclusively contracting with licensed contractors
to construct the project.
0 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A
46.00
NEW CONST. D7LIN0 OOCUP.
OR ADDNS. . S.
so.
3.50FT.
LT'_O
=10T 8=11 N=QUI
@7.50
PSOr AP=US
LEO CIR.
Ex. Occu . ( OUTLET OR FDCTURES
20 @ 1.00
BAL 9 .50
Ex. Occup. ( . E D A '(g =-.0 ER.,
5.00
Temporary Service
23.00
—Mobile Home Facilifies
20.00
Misc. Wirina
23.00
PERMIT FEE
$
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
0 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
0 1 have and will maintain workers' compensation Insurance, as required by Section
e
3700 of the Labor e erformance of work for which this permit is issued.
C:'de oy
My workers' comp,n,,a h i urance cApw and policy number are:
Carrier c_!:51 A
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEt
$
Policy Number e7:;,0_0
(The above sections need not be compl6tid if the PeWit is for work of a valuation
of one hundred dollars ($100) or less.)
0 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any mann,r as to become subject to workers'
'd a r,:,o
m f California, - 0 1 should become subject to the
"n, 'o n ws 0 an that
orkerssetompts!tion _Lrovisions ofsection 3700 of the Labor Code, I shall
�1, rthwith omply with ose r 0
ate
S ignatu e�f 0-`15wner 0 Contractor 0 Agent
p
p
AnOSI-!Ap mitis qurirled for excavations over 60" deep and demolition or construction
miti' sto
_Qf Istruc s �,ver3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $
Occ
CONST. rYPIE
TOTAL EE$
I
HAZ.
I D. FEES IMP
I FLOOD
77�9
PO
This permit is hereby issued under
Of the Butte County Code and/or
indi e %above fo h fees have
By
PERMIT EXAE"S ON
the applicable provisions
Resolutions to do work
been paid.
Date 1-12A3
1/-1
(Date)
ReceiptNo. 237 0-17777
7ANT I
WHITE-D.D.S.-BAT CANARY-AS51ESSOR PINK -INSPECTOR GOLDENROD-APPLI
NOTES
PERMIT NO� .042-,590-041 0 0..
E
KEESfEX, JO cq,., CHICO
6 3 2 ��, -7
,MOND GROVE
CON . TR: CARE�KE'F, POOLS -97
NEW pool� MAS'I'ER PLAN 502
SPECIAL CONDITIONS
CHECKED
BY
— SRA
— FLOOD CERTIFICATE REQ.
— FIRE SPRINKLERS REQ.
— SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
JOB FINALED (Date)
I Signature
/= OK
0=NotOK
- = NOt Appl*_ le
*=NotReady_.__
MOBILE HOMES
.1
Date
IVIOBJI��ME UTILITIES (Plans) OK except #'s
Footings; Size -Spacing -Marriage Line
i.
Zoning Require ments-Setbacks- Easements
4.
2.
Soils; Special MH Support Sketch
Drain; MH Test -Fall -Flex Connector
3.
Sewer; Location-Test-Fall-C/0-Conc;,ete'
7.
.4.
Water; Location -Test- Easement Needed (Sketch)
Gas and Electricity Tagged
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
10.
6.
Gas; Location -Test -Wrap;-/ /" L 'ft.
P Nat. or/ /"L"ft./ PLPG
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/0 to Grade -HD Approval
8.
Gas and Electricity Tagged
9.
Tie Downs -Type -Installation Cert.
10.
Exits; Insp.-Skelch
11.
Cart. of Occupancy
12.
Permanent Foundation Only; License Decal
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS GARAGES (Plaw.;Z:05)Qe�cept #'s
1. Zoning Requirements -Setbacks- Easements
2. Footings; Soils -Size- De pth- Spacing -Con necto rs- Steel
3. Decks; Girders and/or Joists -Decking- B racing -Stairs- Rails
4. Wood Awn.; Posts- Bea ms- Rftrs. -Connectors
Shthg.-Frg-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal- Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
12. Braced Wall Panels
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date ,.,jINAL (Plans) OK except #'s
sejb�clks- Easements
k0ooS'oi!,%rCompaction- Structure Stability
IlAo I Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distance-GF1
5. Elec.; Pool Lighting; 15 Volls-GFI
6. Elec.; Enclosures; Conduit Entrie s -Te rminals- 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
/= OK
0 = Not OK
- = Not Applicable
* = Not Ready
RESIDENTIAL
Date
FRAMING (Conti n ued),,jII
��clerfloor (Plans) OK except #'s
46.
1
. Zon ing- Setbacks- Ease menis - Flood -Slope
47.
2.
FIg., Main; Soils-Elec. Grnd.-/ r Ftg. Depth
48.
3.
Ftg., Garage; Soils- Steel- Elec. Grnd.-/ r Ftg. Depth
49.
4.
Ftg., Porches & Decks; Soils -Steel-/ r Ftg. Depth
50.
5.
Sternwalls, Main; Steel- Blockouts-Wrapped
51.
6.
Sternwalls, Garage; Steel-Blockouts-Wrapped
52.
6a.
Hold Downs and Special Anchors
53.
7.
Slab, Steel -Wrapped
54.
8.
Piers -Fireplace Ftg.-Steel
55.
9.
D.W.V.; Fall- Fitting -Test -2 Way C/0 -Sewer Test
56.
10.
UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test
57.
11.
Water Pipe; Test -Anchors -Regulator -Service Test
58.
12.
Electric Underground
59.
13.
Plenums & Ducts; C learance- Material- S upport- Ins.
60.
14.
Girders -Sills -Anchor Bolts-joists-Vents-Crippies
61.
15.
Access & Ventilation
62.
16.
Insulation
Date
Date
Card B-1 Date Card B-1
Card B-1 Date B-1
Date
Card B-1 Date Card B-1
-Card
Card B-1 Date Card B-1
Date
FINAL (Plans) CK except #'s
PLUMBING (Permit) OK except #'s
63.
17.
Water Htr.; Vent -Access -Combustion Air Baffle
64.
18.
Water Pipe; Test & Anchor -Nail Protection
65.
19.
D.W.V.; Test Fittings & Anchor -Nail Protection
66.
20.
Shower Pan; Test, First Floor -Tub Access
67.
21.
Test Tub & Shower, Second Floor -Tub Access
68.
22.
Gas Pipe; Sixe & Anchors
69.
Stairs & Rails
Date
Fireplace or Stove, Clearance -Hearth
Card B-1 Date Card B-1
Date
Elec. Outlets at Wood Panel, Int. & Ext.
Card B-1 Date Card B-1
Date
Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance
ELECTRICAL (Permit) OK except #'s
73.
23.
Fixture & Transformer Clearance -Ins. Protection
74.
24.
Elec. Receptacles Spacing -Lights & Switches at Doors
75.
25.
Size Boxes & No. of Conductors Stapled
76.
26.
Romex Installed Close to Edge of Studs & C.J.
77.
27.
Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
78.
28.
2 Appliance Circuits in Kitchen & Conductor Size GFI
79.
29.
Subfeed Wire Size / ga. Cu or Al-A.C. Wire Size / / ga Cu or Al
80.
30.
Range Circle / ga Cu or Al -Oven Circ. / / ga Cu or At
Insulated Neutral Q Yes El No
81.
31.
Service -Riser Conductors & Ground Main Disconnect
32.
Equip. Clearances Panels- Motors- M ech. Equip.
82.
33.
Clothes Closet Light -Shower Light -Spa Light
83.
34.
Smoke Detector
84.
A.C. Unit Disconnect, Electrical- PI u mbing
Date
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
Card B-1 Date Card B-1
Date
Water Well, Disconnect, Electrical, Plumbing
Card B-1 Date Card B-1
Date
Exterior Elec. Trim, G.F.I. Receptacle- U nderg round
MECHANICAL (Permit) CK except Jf's
88.
35.
A.C. Ducts Insulation & Support
89.
36.
Vent Fan, Exhaust above insulation
90.
37.
Condensate Drain & Overflow, Size & Grade
91.
38.
Furnace -Vent Access -Comb. Air- Return Air Vent 115 outlet
92.
39.
Attic Access & Platform if Furnace in Attic
93.
Energy Compliance Certificate -Other Certificates
94.
Address Posted
Date
Card B-1 Date Card B-1
Date
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
FRAMING (Permit) OK except #'s
40.
Sits Proper Materials & Anchors
41.
Walls Studs -Nailing Spacing & Braces- Plates -Sound
42.
Bearing Walls over Girders & Floor Nailing
43.
Draft Stop in Walls (rat proof)
44.
Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
45.
Headers & Beams -Size & Bearino
h
Pingle & Duplex)
Date
FRAMING (Conti n ued),,jII
46.
Hangers -Post Caps -Anchors -Connectors
47.
Cling. Joist-Rttr. Ties- Purlin-Roff Brac.-Truss-Shting.-Rfng.
48.
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
49.
Attic Access; Size & Romex Protection -D raft Stop -Ins. Baffles
50.
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
51.
Garage Fire Protection Framing
52.
Property Line Firewall & Openings
53.
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
54.
Stairs; Width -Head room- Rise- Run- Landing- Fire Protection
55.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
56.
Siding -Nailing Veneer
57.
Stucco Mesh -Drip Screed -Fd. Vents-UnderfIr. Access
58.
Glazing Area -Glass Protection -S kylights- Plastic
59.
Shear Walls; Nailing -Bolts
60.
Brace Interior/Exterior Wall Panels
61.
Insulation -Walls -Ceilings
62.
Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) CK except #'s
63.
Ext. Steps -Door & Sidelight Protection -Landings
64.
Smoke Detector
65.
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
66.
Bedroom Exiting
67.
G.F.I. & Bath Fixtures & Tub Access -Spa
68.
Elec. Trim & Subpanel, Breaker Sizes & Labels
69.
Stairs & Rails
70.
Fireplace or Stove, Clearance -Hearth
71.
Elec. Outlets at Wood Panel, Int. & Ext.
72.
Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance
73.
Elec. Outlets & Receptacles at Kit. Counter
74.
Garage Fire Door; Swing- Landing -Closure
75.
A.C. Duct in Garage -Damper
76.
Wtr. Htr.; Vents -Clearance -Comb. Air Connector- P. R.V.
in Garage; Above Floor-Mech. Protection
77.
Plb., Elec. & Mach. Equip. Listed for Location
78.
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
79.
Insulation -Foam -Looked in Attic
80.
Guard Rails & Deck Co nstruction- Post Caps
81.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
82.
Following InstId./DriveQ Yes :) NoMalks Q Yes :1 No/Planters Q Yes :1 No
83.
Stucco Brown -Finish
84.
A.C. Unit Disconnect, Electrical- PI u mbing
85.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
86.
Water Well, Disconnect, Electrical, Plumbing
87.
Exterior Elec. Trim, G.F.I. Receptacle- U nderg round
88.
Ventilation Throughout House
89.
Glass Protection
90.
Corrections from Previous Inspections
91.
Gas Test -Meters Tagged, Gas -Electric
92.
Water & Sewer Connected -C/O to Grade -HID Approval
93.
Energy Compliance Certificate -Other Certificates
94.
Address Posted
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
.7.County Center Drive - Oroville, California 95965 9 Telephone (530) 538-7541 PTIT No.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
042-590-041
ZONING
SR1
BUILDINGPERMIT
OWNER
JOE KEESTER
TELEPHONE
898-4528
SO. FT. OCC. BUILDING VALUATION
OWNER ' S MAILING ADDRESS
632 ALMOND GROVE CT, CHICO
CONTRACTOR'S NAME
CAREFREE POOLS
TELEPHONE
1342-4639
20,000.00
CONTRACTOWS MAILING ADDRESS
PO BOX 8689
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$ 207.00
ARCHITECT OR ENGINEERS MAJUNG ADDRESS
Plan Checking Fee
$ 23.00
BUILDING ADDRESS
S 0 AME
Energy Plan Checking Fee
$
$
PERMIT FEE
$ 250.00
LOT NO.
SUBDIVISIONS NAME
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
SF 0 Duplex 0 Mobilehome 0 Other
SPECIFY
Solar or heat pump water heater
23.00
Water piping
15.00 15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New 0 Addition 0 Remodel 0 Ublibes 0 Installation 0 Other 0 x—
Describe Work: NEW POOL MASTER 50297
Gas piping system I - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S f_G
PERMIT FEE
35 -nn
ELECTRICAL PERMIT
Filing Fee 20.00
O*OV OR UE:,S
Main Service .A OR.
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class e—S-3 Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
0 1, asowner of theproperty, ormy employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
0 1. as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
0 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
I
5/e rformance of the work for which this permit is issued.
1 have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensa on insurance carrier and policy number are:
Carrier ZAs C 0 AP
Main Service 200A TO 1000A
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. & ACC. BLDS.
so.
3.50FT.
NEW CONS MULTI -OUTLET
NON-RESIDT BRANCH CIRCUITS
@7.50
POWER AP=TU
& SINGLE 0 CIR.
Ex. Occup. OUTLET OR FIXTURES
j 20 @ 1.00
BAL @ .50
O.F14ED A - OR
Ex. Occup. P(P=.)
5.00
Temporary Service
23.00
Home Facilities
20.00
—Mobile
Misc. Wiring
23.00
RQ01 F1
An nn
PERMIT FEE
$ so - no
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEIE
$
Policy Number CA IC 1001 /9161 0200
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
0 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X Date ?/ �/00
Signature of Applicant - 0 Owner Fg-eontractor 0 AgerA /
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee
J
Energy Inspection Fee $
occ
CONST. TYPE
TOTALFEE$ 335.00,
FLOOD
I COF
PARCEL
I pD
X
HD
X
ISSUE
X
This permit is hereby issued under
of the Butte County Code and/or
indi e r which fees have
7J
&N, ---
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
Date 717WIVO
L/z�_o /
(Date)
eceiptNo. 99 V270 a 3?3S_0
HITE-D.D.S.-B.D. CANARY -ASSESSOR �r PINK-1N,9PrCTOR GOLDEN ROD -APPLICANT
COUN"OrY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
0 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT NO
�_ � Rev. 12/96) APPLICATION AND PERMIT ev — �?
. N14
ASSESSOR P:T�XMBER
_ 6 �C) -041
ZONIN
1 .5 e I
BUILDING PERMIT
E. V�i= J_r
7P k
TELEPHONE 1
—
SO FT occ.
BUILDI NG VALU,�JIO
OWNERS MAILING ADDRESS
& ��.7
CONTRACTORS NAM 17
— '.
TELEPHONE
113f.)_q6W
P
CONTRACTOR-SAMONG ADDRESrS
G d"( Non
CONSTRUCTION LENDER
—1
Fireplace
LENDER'S MAILING ADDRESS
r
Total Valuation
$
ARCHITECT 0 R ENGINEER
ENSE NO.
Filinq Fee $
20.00
Permit Fee $ A
07,4�o
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
2.1110
BUILDING ADDRE%
Energy Plan Checking Fee $
$
PERMIT FEE $
LOTNO.
SUBDfVtSIONSNME
I PA 7 Ef
PLUMBING PERMIT Filing Fee
20.00
Each Trap 7.00
USEOFSTRUCTURE
SF U�uplex [I Mobilehome 0 Other SPECIFY
Solar or heat pump water heater 23.00
Water piping 15.00
Each gas water heater or vent 15.00
TYPE OF WORK
New 0 Addition 0 Remodel 13 Utilities 0 Installation C3 Other 0
Describe Work:
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home I S I G I W @D20.00
PERMIT FEE
-3,�7, —00
ELECTRICAL PERMIT W Filing Fee
20-00
( 600V OR L Ss �A 23.00
Main Service .0. LEESS
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class 0-53 Lic. No. �3 3d J';) f.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
0 1, as owner of the property, ormy employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
0 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0 . I am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 10 46.00
NEW CONST. DWELLING OCCI so
OR ADONS. & ACC. 3.50FT.
=LTIO @7.50
'PS0.WE.RAP.PAPATLIS
. 0 CIR.
20 @ 1.55 -
Ex. Occup. OUTLET OR FixrURES BAL @ .50
OUITXLED APP .OR
Ex. Occup. ETS (R= ) E. 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
i9,�yl&
PERMIT FEE $
- WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
0 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
0 1 have and will maintain workers' compensation insurance, as required by Section
3700 ofthe Labor Code, forthe performance of work for which this permitis issued.
My workers' c_Wnponsation insurance carrier and policy number are:
Carrier a1U4_zXAD
Policy Number _ (f a- I C /60/ 1 9� P5-1 6.900
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
0 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that 4 1 should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith 6-omply with those provisions.
* P Date 0 cc)
Signature f Apocant - 0 Owner t�oniactor 0 Agedt
An OSHA permit is required for excavations over 50"deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT Filing Fee
20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FE15
Mobile Home Installation Fee $
J
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEE $
HAZ.
I p. FEES IMP
I—
FLOOD
I
COF
I
PARCEL
UE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to
indicated above for which fees have been paid.
By Date
PERMIT EXPIRES ON
do work
eceiptNo. 733% 2, 77
I PINK -INSPECTOR GOLDEN ROD -APPLICANT
'"ITE-D.D.S.-B.D. CANARY -ASSESSOR
1 -9
P* --
Wt
j1VTY Of BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALEFORNIA 95965 - TELEPHONE (*530) 538-7541
PE"IT "PLICA TION DA TA SHEET
(-.I- ' 7 -
OWNER: , K Z. &h-, '? - ASSESSOR PARCEL
Proposed Building Use: " Building hWector: WBER: 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
El 1. All liems have been submitted --------------------------------------------------------------------------------------
E12. Plot plans, 3/4 sets, signed by the preparer of plans - ------------------------------------------------------------
E13. Complete plans, 3/4 sets, signed by the preparer of plans - -----------------------------------------------------
04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans - --------
1:15. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------
El 6. Energy Design Compliance and supporting documentation - ----------------------------------------------------
El 7. Statement of Intent. for Non -Heated and A/C Buildings - ---------------------------------------------------------
El 8. Hazardous Material Form - ------------------------------------------------------------------------------------------
El 9. Manufactured Home data and installation instructions including Tie Down Specifications -------------------
0 10. Fees of $ -------------------------------------------------------------------------------------
0 11. Impact fees as shown on the attached schedule - -----------------------------------------------------------------
0 12. California Department of Forestry plan approval/fees - ---------------------------------------------------------
eI
S=elevation certificate - ----------------------------------------------------------------------------------------
4 on and plot plan approval 611160 Health Department - ------- --------- : -------------------------- - 7- 1,
El 15. City of Chico plumbing permit - -----------------------------------------------------------------------------------
El 16. Plot plan and business license approval from the City of Biggs - ----------------------------------------------
1117. Planning approval for (A) Use: (B) Parking: - --------------------------
El 18. Contact Land Development about 0 Improvements, 0 Drainage, 11 Legal Parcel - -----------------------
0 19. Encroachment Permit for driveway (construction approval prior to occupancy) - ----------------------------
020. Pre -inspection for
required. Request to Building Inspector on
El 2 1. Contractor's license information. (Number, Name Style, Classification).
El 22. Workers' Compensation carrier and policy number - -----------------------
1:123. Owner -Builder Verification (Given to owner El, Mailed to owner EI).
024. Letter of signature authorization - --------------------------------------------
025. Recorded copy of Agricultural Acknowledgment Statement - --------------
El 26. Letter of 'intent on building use - ----------------------------------------------
0 27. Manufactured Home utility clearance - ---------------------------------------
El 28. Existing violations and/or expired permits - ---------------------------------
E129. E1433 A, DGrant Deed, 11 M.H. Title, 1:1 Check to H.C.D $
1130. Other:
------------------ I
(Date)
e
WWhe you issue the permit, process as follows 11 Mail to owner, []Mail to contractor.
ele'phone !T — and hold for pickup at Clyl office. El Deliver with inspector.
f
Applicant: 6--ee" �Po Date: �//,-zeao
Copy of Haz-Mat form sent 13 Health Department, 0 Fire Department, 0 Air Pollution Date: By:
Copy of plans sent 11 Health Department, 0 Fire Department, 0 Other: Date: Bv:
1. Index permit application for the above items nurnbered: C3 Plan Check List
2. Additional items required:
Contractor, designer, owner, was advised of the above required data by o phone, 0 mail, o Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by 0 phone, 0 mail, o Building Division counter,* by Date:
Contractor, designer, owner, was advised of the above required data by 13 phone, 0 mail, 11 Building Division counter, by Date:
Contractor, designer, 'owner, was advised of the above required data by o phone, 0 mail, 0 Building Dly* i t b D
Vi9p coun er, y
Plans reviewed by: Date: Plans approved by: Date:
Sets of plans on hold in 0 Plan Cabiet, 0 A.P. folder. Note transfer by: Date:
0-1 T - — , — -1 1- -- - -
E.H. USE ONLY
��Iot P44 Attached
Floor Plan Atl�jn
0 d
Sant to a.
TO: Building Department
FROM: Environmental Health
A
SUBJECT: Sanitation Clearance
0
Owner Location AP#
Plan Approved for: Sewage Disposal 5< Water Supply: Public Private Well
Clearance for 4weWing. Other
Hold final for:
Final clearance O.K. for:
NOTE:
r
Environmental Health Specialist Date
8/96
��. �
• � � _ � � � ,
`^, �*.
�, . ; �,,_
t. ,.�. � ,
�11`1`r I ? - 4- _t
COUNTY bF1BUTTE'DE0ARTMENT OF PUBLIC WORKS
County Cent�r Drive - Oroville, California,95965 - Telephone: 9�16/538-7541
APPLICATION ANLI PERMIT
PERMIT NO
""*1
ASSESSOR qRCEL NUMBER
ZON . I I NG #, , -
BUILDING PERMIT
OWNER
AltrquA T. GlEse
TELEPHONE
SQ.FT. OCC. BUILDING VALUATION
-OWNER'S MAILING ADDRESS
6 3 -L A t,-" ome C/Io' Cymo (4 4531-16
COFTELEPHONE
,;CTOR'S NAME t
1 .0"4115 oorI4 r-
.1
1 . .
-
CONTRACTOR�S MAILING ADDRESS
Z t 5,(-,!Z J.4,6 'I
Fireplace )0_,00
CONSTRUCTION LENDER r
I UNKNO ! WN
Total Valuation is If >ZOO
Filing Fee $ 10.00
LENDER'S MAILING ADDRESS
Permit Fee $
ARCHITECT OR ENGINEER
SE NO.
Plan Checking Fee $
Energ� Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BU,ILDING ADDRESS
Permit fee $ Z
PLUMBING PERMIT FilingFee 10.00
631 4
Each Trap 2.00
Solar or heat pump water heater 20.00
LOT NO.
SUBDIVISION NAME
1
PARCEL MAP
1 .1
Water piping 5.00
Each qas water heater or vent 5.00
USE OF STRUCTURE
SFX DuplexF_J MobilehomeR I Other SPECIFY
Gas piping system 1 - 5 outlets 5.00
Building sewer 5.00
Mobile Home I S I G JW I 10-00ea
TYPE OF WORK
New n Addition R emode 1 [:1 UtilitiesQ InstallationV �'Othei,E]
Describe work: 14,00,0 srlar
Permit Fee $
Contractor
ELECTRICAL PERMIT FilingFee 10.00
main service 600V OR LESS
100 AMR OR LESS 10.00
Main service EA. AOD-L 100 AMP 2.50
CbNTRACTORS LICENSE LAW
I declare under penalty,of perjury (check one):
F] I am licens6d,under provisions of Chapt. 9, Div. 3 of the '�Busines S
and Professions Code and my license is in full force aAd effect.
I I
License No. Classification
El 1, as the owneF, or my employees with wages as their solq' compen-
sation, will do the work,and the structure is not intended Or offered
for sale. (Sec. 7044) 1
1, as the owner, am exclusively contracting with I icensed! contract-
ors. (Sec. 7044) 11
I am exempt under Sec.—, Business and Professions Code
for this reason I
NEW CONST. DWELLING OCCUR.N)
OR ADDNS. ACC.BLDGS. k% 0sq It
_NE W CO NSTFL "'ULT'*OUTL ET 2.50 ea
NON -RE S,., BRANCH CIR C " TS)
PO ER APRARATUS.&)
SINWGLE OUTLET CIR
Ex. Occup(OUTLETS OR FIXTURES .20@50C
AL@301_
FIXED APPLNS. OR
Ex. OCCUP- OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15-00
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
F-1 The permit is for $100.00 (valuation) orless.
Ej I have placed on file with the County of Butte Building D6partment
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -insure. i 41P
hal 1 -not., employ any, person in any manner so as to beconle subject
tl s
o'the W. C. liws�of,.C61ifornia.
.1 . . �j r\ t —
Notice to Applicant: If 'after making this-st�tement,- should, �,ou become subject'
o th W! C.,proviiions of the Labor -Code, youmusi-f6iih,
t e vvlffi'6omply with such
provisions or this permit'sliall b6 deemed.revokled.
MECHANICAL PERMIT FilingFee 10.00
Heating
Cooling
Hood .-3.00
Ventilation.'
--7--
Peii6lt Fei
Cont ractor
I certify that I have read this application ind state that the above inform 1. ation
is correct. I agree to comply to all County Ordinances and State Laws:relating
to building construction, and hereby authorize representatives of the C6untyot
Butte to/enter upon the above-mentioned property for inspection purposes.
I also/.Agree to saveJiDde , fy and keep harmless the County of Butt I e against
all 1JAbilities, judgmerlts I osts,jancifexperfses which may in any w�y accrue
c
again i e
X I �iCo�unt�y b sequen e o the g a ting of this permit.
Date 16-2- 3
Signature of Applicant Owner4 ControbtorE] AgentF�
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 PE
TOTAL FEE $
HAZ
I
I CUA
FLD
PAR
PT
I ISSUE
This permit is hereby issued under the applicable provi-
si�ns oi the Butte County. Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By- Date 12-
L PERRVEXP'IRES Date __� /--I V— PC)
Receipt No.
WHITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLD ENROD-APPL I CANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, 6alifor�nia 95965 - Telephone: 916/538-7541
5KI-1
APPLICAT-ION AWD PERMIT
PERM N
Cy
ASSESSOR YRCEL NUMBER
I - 577 �_
ZONING
I
BUILDING PERMIT
OWNER
A/irwt� T G/Csx-
TELEPHONE
314/3-
SQ.FT. OCC. BUILDING VALUAJION
OWgR'S MAILING ADDRESS
3 /z, owe (�,i r Cvleo C4
CON
,��CTOR*S NAME
0
fING
TELEPHONE
CONTRAM S ADDRESS
-2 _f 7- ef s e%z 1_� �,
Fireplace
C ONSTRUCTION LENDER -�
I UNKNOWN
Total Valuation $ Z� 0
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 17,5-0
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$ 2- 7 - 5-
PLUMBING PERMIT
FilingFee 10.00
631
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
I
L MAP
Water piping
5.00
Each clas w ater heater or vent
5.00
USE OF STRUCTURE
SF 2ff DuplexF� MobilehomeF_J Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I IN
10.00 ea
TYPE OF WORK
New F-1 AdditionO Remode 10 UtilitiesEl InstallationW OtherE]
Describe work: 0,- 14OZ34 s1rZ:-,,1fZ
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Fi I i ng Fee 10.00
main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. AOC'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
EJ I am licensed under provisions of Chapt. 9, Div. 3 of the Busines S
and Professions Code and my license is in full force and effect.
License No. Classification
F-1 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 contract-
ors. (Sec. 7044)
I am exempt under Sec.—, Business and Professions Code
for this reason
NEW CONST DWELLING CCUP.ad
OR A . . . S. ACC.BLOGS
21/4sqft
NEW CONSTR. MULTI -OUT LET
NON*RESID, BRANCH CIRCUITS)
2.50 ea
(POWER APPARATUS.&)
SINGLE OUTLET CIR
Ex. Occup(OUTLETS OR FIXTUREL
20050C
BAL(91 30g!
_
OCCUP. FIXED APPLNS. OR %
Ex. OUTLETS (RESID.) EA.1
_
2.00
Temporary service
10.00
Mobile Home Facilities
15. 0
Misc. Wiring
15.00
I
I
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
FJ 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-
Fi I ing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation.
—
I
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
B utte to�Cinetetr upon the above-mentioned property for inspection purposes.
'o g
s
so to i
I al gree o sav I y and keep harmless the County of Butte against
all 11 i ilities, judg ents sts, and expe s which may in any way accrue
agAai County equenee of the g a ting of this permit.
X A _ e —2,3
. &I — Dat
Signature of Applicant — Owner& ContrhtorE] Agent
An OSHA permit is required for excavations over 5'0- deep and demolition of construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
ec
Energy Insp tion Fee $
occ
CONST TYPE
TOTAL FEE $
HAZ
GUA
PARK
SCHL
FLD
P��
HD
ISSUE
This permit is hereby issued under
si�ns oi the Butte County. Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By- A
PERdwr/EXPIRES Date --,--N
the applicable provi-
resolutions to do
have been paid.
WORKS
Date
Q
Receipt NO.
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDEN ROD-APPL I CANT
COUNTY OF BUTTE - DEPARTMENT OF'PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - ORO�LLUE_GALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT AP PE -16010N` DATA SHEET
Permit No.—
OWNER AA frAJJ )A- A. P. No. 2- - _09
Proposed Building Use �Ir_ Bu'ilding 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 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,signatur,6.;.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 .......................................................
10. Fees of $ ................
11. Chico Urban Area fees paid ......................................
12. Park fees paid ...... * ...................................... 6 .......
13. School Distri:ct fees paid ....... 6 ......
14. Sanitation approval from Health Department
_�l 5. 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
Building Inspector
21. Contractor's license information (No., Name Style, Classification)
22. Certificate of Workmans Compensation Insurance ..................
23. Owner -Builder Verification (Given to owner 0, Mail to owner 0) .....
24. Recorded copy of Agricultural Acknowledgment Statement .........
25. Letter of signature authorization ...................................
26.
27.
-(Date)
ILI
When -you issue the permit, process as follows: Mai I to owner. —Mail to contractor.
Telephone and hold for pickup at office. —Deliver w/inspector.
Other /I, ;�;l
01
Appi icant Date 10
--fl 71, 1,
Copy of plans sent — Health Dept., — Fire Dept., — Other— Date —
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 ch
_p,e-ked above).
Contractor, designer, owner, was advised of above required data by—phone--mai I —counter by—.date
Contractor, designer, owner, was advised of above required data by —phone —ma I I —counter.by— date
Plans checked by
Copy—DPW
Date Plans approved by
Sets of plans on hold in File cabinet _AP folder
Date
QFFICE q9PY
Address -
GAS
Meter By
ELECTRIC
Meter By Date
k
COUNTY' OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 Counti-Center Drive - Oroville
Caiifo[nia 95965 - Telephone 916/534-4541
),_:�)17y_ �-/�
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S'MAILING ADDRESS
CONTRACTOR'S NAME
t-) V.J 4r1J C -f—
TELEPHONE
I
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
A/ M
UNKNOWN
I
Total Valuation $
Filing Fee
$ 10.00
—
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
A/ IN
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
4 1 _A,
Permit fee
$
PLUMBING PERMIT
FilingFee 10.00
Ea6h Trap
2.W
Solar or heat pump water heater
20-00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00 e,> 0
Each qas water heater or vent
5.00
. USE OF STRUCTURE
SF Ej Duplexn MobilehomeF� Other 1, 1-
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
0.00ea
TYPE OF WORK
New F� Addition 0 R emode 10 uti iities 0 installation[] Other 0
Describe work: 717. 1- -L - I / 1,-, 4 41. 11 Ar- I
^_ell
_5�, . " k
I <-- e")
Permit Fee
$ ex-,
Contractor
ELECTRICAL PERMIT
FilingFee 10.00
t
main service 11101 OR LESS
100 AMP OR LESS
10.00 //)- OC)
Main service EA. ADD -L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare� under penalty of perjury (check one):
El I am licensed under provisions of Chapt. 9, Div. 3 of the Busines S
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)
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 0 ccup"") 21/21tsq It
OR ADDNS.* ( ACC, BLOGS.
NEW CONSTR. MULTI -OUTLET
NON-REAID, BRANCH CIRCUITS) 2.50 ea
POWER APPARATUS IN)
. ?/,Z/ (SINGLE OUTLET CIR.
Ex.'Oc'cup (OUTLETS OR FIXTURES 20050t
FIXED APPLNS. OR __BAL030C
Ex. OCCUP- OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $ 00
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
n The permit is for $100.00 (valuation) or less.
E] 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
Fi I ing Fee 10.00
Heating
Cooling
Hood .
3.00
Venti lation
Permit Fee
$
Contractor
I certify that I have read this application andtstate 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
against s,aid County' Ah c6niequence of the granting of this permit
X Dat e
Kh
Signature of Applicant Owner LL%j ContractorE] AgentEj -
I
An OSHA permit is required for ex Cava tions over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee i
TOTAL PERWt �EL $ 00
occUP.1
CONST.TYPEJ.
FLOO=
F40
1 ISSUE
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
ic
work indicated7above for which fees have been paid.
F /DIRECTOR OF)PUBLIC WORKS/
By. 'Date
PERMIT'EXPIRES Date
Receipt No. 7'RR476
WHITE-D.P.W.. YELLOW-ASSr3SOR. PINK -INSPECTOR. GOLDEN ROD-APPL I CANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMITINO.
Z42 I - kl�9"
ASSESSOR !-ARCEL NUMBER
ZONING
BUILDING PERMIT
rr
TELEPHONE
SQ. FT. OCC. BUILDING V�KUATION
_,39
OWNER "S"MAI Lia ADDR-ESS
2 W q 4), S f C
CONTRAi!TOR-S NAME TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCT7hON LENDER
f\1
UNKNOWN
I
Total Valuation Is
Filing Fee
$ 10.00
— —
LENDER'S fAAILING ADDRESS
Permit Fee
$
ARCHITECT ENGINEER
/V
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHIT ECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Almok,j Cn f -o' -f— CA-
Permit fee
$
PLUMBING PERMIT
FilingFee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
I
PARCEL MAP
I
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF [I DuplexF� Mobilehomef-I Other IA)4P- I
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G
10-00 ea�
TYPE OF WORK
New F] AdditionE:1 Remodel[] UtilitiesEl InstallationO Other 0
Describe work: =-r" 5&q e-lecl ?Lb
-5�2 r I N
=!�-
Permrt Fee
$ 2o. em
Contractor
ELECTRICAL PERMIT
FilingFee 10.00
main service 600V OR LESS
100 AMP OR LESS
10.00 le), C30
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 e f fect.
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)
0 1, as the owner, am exclusively contracting with licensed contract-
. ors. (Sec. 7044)
I am exempt under Sec.—, Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUPM
OR ADDNS. ACC. BLDGS. 21/20sq it
NEW COySTR. MU '-OUTL ET
0 . BRAT C', 2.50 ea
N N RE D. NC. CIR TS)
POWER APPARATUS.&
I SINGLE OUTLET CIR 00
Ex. 66C'up(OUTLETS OR FIXTURES 20@50t
SAL@30t
FIXED AP LNS. OR I
Ex. Occup, OUTLETS TRESID.) EAJ 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
R The permit is for $100.00 (valuation) or less.
Ej 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
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 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, Judgirgents costs, and expenses which may in any way accrue
against sai quence of the granting of this per!ny.
X_ Date
Signature of Applicant Owner ContractorE] Agent E]
An OSHA A
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 $ -<42, 00
occ"P.
I CONST*TYPEJ
FLOODI
PARCEL
I P
This permit is hereby issued under
sions of the Butte County Code and/or
work indicate"bove f pr which
ECT LIC
By-
PERM'IT4X01'RES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Receipt No. 7 'R o'l J7 4
WHITE-O.P.W., YELLOW-ASSE330R, PINK -INSPECTOR. GOLDENROD-APPL I CANT
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information 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. 1 personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no) �ee�
2. 1 (have/have not) #,d -,r P_ signed an application for a building permit
for the proposed work.
3. 1 have contracted with the following person
construction:
Name
Address
(firm) to provide the proposed
Ph6ne Contractors License No.
City
4. 1 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. 1 will provide some of the work but I have contracted
persons to provide the work indicated:
Name Address Phone
Signed:
Property Owner
Social Security Number _�
Date
(hired) the following
Type of Work
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Codei
This verification must be completed and returned to bur office before we are per-
mitted to issue the permit.
I
Ret�rn to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT
FOR RESIDENTIAL DEVELOPMENT
87-34809
Section 26-8.1 of the Butte County Code requires this acknowledgement
1, �-^-"A�A "4 v * f . U 41A4 4# -
RECORDED BUTTE COUNTY
.OFFICIAL RECORDS BY
MID VALLEY TITLE CO.
"5 r�&w NOT CO"r- - � '%11TH
OR'qlnN,'�u�OJUMEN' 1981 SEP, 24 AN 11: 30
The property described herein is adjacent to land or c e
within an area zoned for agricultural purposes, and residents of this CANDACE 4. GRUBBS
property may be subject to inconveniences or discomfort arising from
iFfE,
the use of agricultural chemicals, including, but not limited to herbicid eIV40 �'S'
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. Pages
All that real property situate in the County of Butte, State of California, described
as -follows:
Parcel 1: Lot 1, as shown on that certain Map entitled, "Stanford Court Subdivision",
which Map was filed in the Office of the Recorder of the County of Butte, State of
California, on January 21, �987, in'Book 104 of Maps, at Page 61.
RESERVINC THEREFROM a non-exclusive easement for road and public utility purpose over
Almond Crove Court.
Subject to Covenantsg Conditions -and Restrictions, recorded January 21, 1987, under
Butte County Recorder's Serial. No. 87 -2453. -
Parcel It: A non-exclusive easement for road and public utility purposes over
Almond Crove Court, as -shown on that cbrtain Map entitledo "Stanford C.Purt Subdivision",
ffiih;R?awa8nfRR9a1J R: TfficeiRf �hj J6joqe
967t B 0 0 Ka?E tkt Rgugt&?f Buttee, State of
Date: _. Jjyk1y0l6, 1987 PROPERTY 64NERS:
Gloria M. Hagen 61
State of California On this the 16th day of July 19 87 , before
) SS. me, the undersigned Notary Public, personally appeared
County of -Shasta - _)
Conrad J. Hagen
14 Ll Personally known to me. )W Proved to me on the basis
of satisfactory evidence.
to be the pe ' rson(s) whose hame(s) is subscribed to
the within i'nstrument and acknowledged that he
T;IC'I;[ SEAL executed the same for the purposes therein contained.
ELENA E. ALBAUGH IN WITNESS WHEREOF, I hereunto set my hand and official seal.
Notary PdW.-Calffornia
J
SHASTA OOUNTY
ov 9, 11
My0om.Exp.Nov.9,1M
Notary Public
'Present A.P. No. Eleni E. Albauth Ulf
STATE OF
COUNTY OF �2h(l i hi ISS.
On this the It b L . 19-la7before me the undersigned, a
day of L
Notary Public in and for said County and State, personall�y appe
a FOR NOTARY SEAL 0 R STAMP
x)wn
to me or pmved to me on the basis of satisfactory evidence to be the
Wson— whose name I J-, subscribed to the within instrument OFFICIAL SEAL
W
andac7k edthatlz_h" DEBBIE BARTKOWIAK
NOTARY PUBLIC - CALIFORNIA
TY
SHASTA COUNTY
7� 4 t 4,h( nk tUG 1 19
My cofnm. expires AUG 17, 1987
��7Signature of Notary
M
I
PERMIT NO.
n
PERMIT EXPIRES
OWNER
CONTR.
ASSESSOR PARCEL 42-59-41
LOCATION 632
Almond.Grove Ct,
Chico
OFFICE COPy
Address
-----------
GAS
Meter By-------�
Da te
Date-.
ELECTRIC
Meter By
Date
Temp. Power Pole
Called PG&E
Temp. Elec. Service
It
Called PG&E
A,
Temp. Gas Service
Called PG&E
JOB FINALED (Date)
Signature
4r
= OK
�O = Not 4DK
= Noi 4pplicable
Not Ready MOBILE HOMES MISCELLANEOUS
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
Date
DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK exc'dpt #'s
1. Zoning Requirements -Setbacks -Easements
1. Zoning Requirements -Setbacks -Easements ',
2. Soils; Special MH Support -Sketch
2. Footings; Soils-Size-Depth-Spacing-Connector�-SteeI
3. Sewer; Location -Test -Fall -C/0 -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-
Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ Amp -Concrete
6. Gas; Location -Test -Wrap: / P11t.
/ P'Nat. or/ ' /"L"ft./ /%PG
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
Frmg; Sills-Anchors-Studs-Rftrs-Truss'es
9. Siding; Nailing -Veneer -Stucco -Mesh
Card -B1
Date Card -B1 Date
10. Roof; Shthg-Roofing
Card -131
Date Card -1311 Date
11. Ext.; Steps -Doors- Land in gs
Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Card -131
Date Card -1311 Date
2. Footings; Si ze-Spaci n g- 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/0 to Grade -HD Approval
3. Pool Structure; Steel -Connections -Thickness -
Dead Men -Lining
8. Gas and Electricity Tag4ed,
9. Exits; Insp.-Sketch
4. Elec.; Receptacles and Lighting, Distances-GFI
10. Cart. of Occupancy
5. Elec.; Pool Lighting; 15 volts-GF1
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-Enclosu res -Panel boards- Ins. to Main in Conduit
Card -Bl- Date Card -131 Date
Card -131
Date Card -131 Date
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Card -B1
Date Card -B1 Date
Card -B1
Date Card -1311 Date
FA
i
= OK
0 = Not OK
- = Not Applipable
* = Not Ready
RESIDENTIAL (Single and Duplex)
Date
UN FL (Plans) OK except #'s.
bate
FFI&MING (Continued)
o - grequirements-Setbacks,-Ksemen
wQangers-Post Caps -Anchors -Connectors
.,ts
Att!5i!!::qain; Soils-Steel-EIe"rnd.-//Y/" Ftg. Depth
@091-
ag. Joi st-Of tr(Tidg-�� rl i n- Roof Brac.-Truss-Shthng.-Rfng.
4,11g, Garage; Soils -Steel-/ Ftg. Depth
mWTO place Ties or Type A Flue -Fireplace Throat
4. 1�4., Porches & Decks; Soils -Steel-/ /"Ftg. Depth
47"Attic Access; Size & Romex Protecti on- Draft Stop -ins. Baffles
S walls, Main; Steel-Blockouts-Wrapped
48-1§drm. Windows or Exiting Doors -Sill Hgt. & Dimensions
lAemwalls, Garage; Steel- BI ocko uts-Wrap ped
��arage Fire Protection Framing
7. Sla
,J>,�ef;Wrapped
�515. Property Line Firewall & Openings
.-Steel
"xt. Doors -One T -Check Garage -3rd story, 2 exits
V,6.W.yefall-Fittings-Test-2 way C/0 -Sewer Test
52. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
1P.JGsr§,Pip`e; Size -Anchors
63-frywood on Roof Overhang -Attic Vents -Rafter Outriggers_
1"atar Pipe; Test -Anchors -Regulator -Service Test
54. Siding -Nailing Veneer
12. Ejectric; Underground
55. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access
1�%nums & Ducts; Clearance- Material -Supprt- Ins.
&6 -Glazing Area -Glass Protection -Skylights -Plastic
1*"Girders-Sills-Anchor Bolts -Joists -Vents -Cripples
--&7-2he* Walls; Nailing -Bolts
15. Insulation M,
58. Insulation-Walls-CIg.
I /
59. Infiltration-Walls-Wndws
Card -B1
Date /�VW Card -131 Date
Card -B1
Date4V2,,KQ7 Card -B1 Date
Card -B1
Date Card -1311 Date
Date
PLUMBING (Permit) OK except# s ro
Card -131
Date;;�r
4ZPtd--B'1- Date
OT -6.
WateEHt. Vent -Access -Combustion Air
Date
FINAL -(Plang) OK e;cept #'s
jZ,�Ver Pipe; Test & Anchors -Nail Protc
60. Est. Steps -Door & Sidelight Protection -Landings
,14o".V.; Test-Fttngs & Anchors -Nail Protection
St."Smqke Detector
ower Pan; Test, First Floor -Tub Access
"2rnace; Vents -Clearance -Comb. Air-Connector-
ln_�Darage; Above Floor-Ducts-Mech. Protection
�20. J)mt Tub & Shower, 2nd Floor -Tub Access
L21. Gas Pipe; Size & Anchors
"a
Aroom Exiting
& Bath Fixtures & Tub Access -Spa
WEloc. Trim & Subpanel; Breaker Sizes -Labels
Card -B1 j�6,
Date I ?-YCard-Bl Date
46-S'tfijrs & Rails
Card -B1
D!jLy Date
67,f+replace or Stove; Clearances -Hearth
,WVard-Bl
�09. �!�. Outlets at Wood Panel; Int. & Ext.
Date
EL�ETFIICAL (P ermit) OK except #'s
W. �� Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance
Wfixture & Transformer Clearance -Ins. Protection
-W. Outlets & Receptacles at Kit. Counter
Elec. Receptacles Spacing -Lights & Switches at Doors
V"Garage Fire Door; Swing -Landing -Closer
. ze Boxes & No. of Conductors -Stapled
Duct in Garage -Damper
Romex Installed Close to Edge of Studs & C.J.
18'.-Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
1 -Garage; Above Floor-Mech. Protection
(2 q.quip. Ground made up w/Mech. Fasteners-4iond Gas & WateF
-9
E7, -'Z -Appliance Circuits in Kitchen & Conductor i-ze
-n
I TX
WP , Elec. & Mach. Equip. Listed for Location
VkSubfeed Wire Size ga. Cu or AI-A.C. Wire Size / /ga.
�2 or At
_-Receptacles in Garage; (G.F.I.);Romex Protec.
ec
tZf>.4nsulation-Foam-Looked in Attic 'El"Yes
t".. ange Circ. ga. Cu or A[ -Oven Circ. ga. Cu or Al.
Insulated Neutral Yes No
V.-duard Rails & Deck Constru cti on- Post Caps
C31,0 _�Yice-Riser Conductors i��ain Disconnect
78. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor, 13 Yes
Aii,quip. Clearances Panels-Motors-Mech. Equip.
79. Following instId.; I�ri��es 13 No; Walks q6%s-'o No;
Pl"rs 0 Yes Lmo
W. Clothes Closet Light -Shower Light -Spa Light
AD.-TtMcco; Brown -Finish
I
Card -B1
Date X r-)1,-Zard-B1 Date
WA.C. Unit; Disconnect, Electrical, Plumbing
Card -B1
U Date Card -131 Date
h;;Vents Above Roof; PI bg. -Appi ia nce- Fi rep L -Clearance to
Openings.
Date
MES�ANICAIL (Permit) OK except #'s
83. Water Well; Disconnect, Electrical, Plumbing_
a3r'A.C. Ducts insulation & Support
64-P-merior Elec. Trim; G.F.I. Receptacle-Underg round
34. Vent Fan; Exhaust above insulation
F.I::: Ltentilation throughout House
bo,'Condensate Drain & Overflow; Size & Grade
A"lass Protection
�Qurnace-Vent; Access -Comb. Air -Return Air Vent -115 outlet
W. Corrections from Previous Inpections
WT'Attic Access & Platform if Furnace in Attic
88. Gas Test -Meters Tagged; Gas -Electric
Ww-w-er & Sewer Connected -C/O to GrVe-HD Approval
4901."Energy Compliance Certificate-Othl(Certificates
Card -B1
Date Card -131 Date
Card -B1
Date Card -B1 Date
Card -131
Date Card -B1 Date
Card -B1
Date Card -B1 Date
Date
FRAMING (Plans) OK except #'s
Card -B1
Date Card -B1 Date
Ag -*Tills, Proper Material & Anchors
Comments at Final:
39. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
40. Bearing Walls ever Girders & Floor Nailing
QJ�10raft Stop in Walls (rat proof)
W. ire Stops; Furred Ceilings -Stairs -Chases -Tub
49,+ieader & Beam -Size & fe7oi W
(NOTE: An entry must be made each time you visit job site)
T
COUNTY OF BUTTE
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 NOTICE
OWNER PERMIT NO.
A routine Inspection Indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office Immediately.
0
MAN
Inspector
Date
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC'WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive. Croville — Phone: 538-7541
747 El I iott Road, Paradise — Phone: 872-6307
CORRECTION NOTICE
OWNER PERMIT NO.
A routine Inspection Indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work Is'completed. If you have any question pertaining to this
matter, or need ddlTnal :ranation, please contact this office Immediately.
M
Inspector Date
Owner: Permit No
ENERGY C E,,R-TIF ICAT ION
Project:. Almond Grove Ct.
LOCATION A.P. No.
DESCRIPTION OF INSULATION
ROOF
Material
Thickness(inches)
EXTERIOR WALL
Material Fiberglass batts
Thickness(inches) 6*"
CEILING
Brand Name
Thermal Resistance (R Value)
Brand Name Owens-Corning
Thermal Resistance(R Value) R19
Batt or Blanket Type Fiberglass Brand Name ' Owens-Corning
gill
Thickness(inclies') 2 Thermal Resistance(R Value R30 --
Loose Fill Type ��iberqiass Brand Name Owens-Corninq
Minimum Thicknes5(Inches) 1713/41fZ'. Number of Bags 33 4t. per bag 31.5 lb.
Area c.overed(ft. ) 1340 sq ft Thermal Resistance(R Value)P R30
FLOOR, ELEVATED
Material — Fiberglass
Thickness(inches) 614"
FLOOR 31 SLAB
Material
Thickness(inches)
Width(inches)
FOUNDATION WALL
Material
Thickness(inches)
Brand Name Owens-Corning
Thermal Resistance(R Value) R19
Brand Name
Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R Value)
I hereby certify that the above insulation was installed in the above building
in'conformance with the State of California Energy Requtrementse
Loerke Insulation Co. #499150
FIRM NAME/OWNER STATE CONTRACTOR'S LICENSE NO.
3-21-88
SIGNATURE OF INSULLATION APPLICATOR DATE
I hereby certify the above insulation and all required items as shown on the
Building Department approved plans and attachments have been installed as
required by the State of California Energy Requirements. .
All equipment, devices and materials are of the quality prescribed or are
specifically approved by the State of California.
FIRM NAME/OWNER (Please print) STATE CONTRACTOR'S LICENSE NO.
SIGNATURE OF (3ENE�L CONTRACTORIOWNER. 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
IF TOM
4.
-J,
C,
CER HCATE ''Of N F HAAfiff
IT -C. 0 0
JFIES
VNDfRSIGIVED VA tVLIFA CWRER HERE8. Y CERT,
k-'. q-. V- �': -;,'' ma,
theproducts iidenfiW below and on attached sheets Nos. are �ked
v0th the Collective Mark of the AMERICAN INSTITUTE OF TIMBER CoNtTRUCTION 4AITC)
and were manufactured in confom-ianoe withppplicq'ble.prooylsiorts Pf Ame�ican National Standard
ANSIIAITC All 90.1 —1983, f%jruvtur6'b'ju'e`d !U'fni-riatieid Timber'. -b6d'1Xha't* iiji:�--"nufacture
been at our plant in - L1=4 4 4vvhich plantNas a 4f';liA'hty',control syftem
approved by the Inspection Bureau of the AMERICAN -INSTITUTE OF IMBERCONSTPUCTION
and inspected periodically by such Bureau.
Tbe imanufacture of these members complies vvith the imanufacturing and fabricating provisions 404' —
Chapter 25 of the Uniform Building Code.
203 NAME: Weyerhaeuser
-Swramento for Stock ... . . .
" LOCATION- Sacramento, CA
'11 -D
CUSTOMER'S ORDER NO. JW76286 'IDATE -12-.87,,G8-5 ORDER NO. M5-3
`24F -V4, VP Glue, Arch. APP., Irldv- Wrap
DLX�Iom . Im 0
SIGNATURE -r-WPANY-
Q01ity- Contro .. I � - 1P0B 297, Drain�' OR -12-7-87
TITLE ODDRESS_ -IDATE
f
ERE8 Y CERTIFIES that the said company at its said plant is licensed by'the
AITC H I "
AMERICAN INSTITUTE OF TIMBER CONSTRUCTION to tise the AITC Collective Markin respect
of products which comply with applicable provisions of said Standard, that the adequacy of the quality
-control system in effect at said plant is period ice[ ly inspected.,and Yer - if I ied - by. the Intpedti.on Bur.eau of
AMERICAN INSTITUTE OF TiMBER'-66INSTRUCTION, And --that,-'in-the,judgment of AITC, -
said company -is -cap4ible of complying with bpplic�bl - e inanuf.acturing �nd-tes-ting pr'ovisions-of ' said.
Standard.in respect of products manufact6n6d at said plant. Conformance With -the Standardin respect
Aof any specific or particular pr6duct is the sole responsibility of the manb'facturer'.'AITCs V*ja*rantee
tweunder beinq that the sand company is qualified to produce a product meeting the said Standard
&W that in plantis periodically inspected and verified 4y the AITC Inspection Bureau.
AITC FORM ISCA
-AITC C&rfificate No. 40940 A
AYERICAN INSTITUTE, OF TIMBER CONSTRUCTIOR
C 1983 AMERICAN INSTITUTE OF TIMDER CONSTRUCTION
F
CE'R IFICATE 0_
.�-3TE OF TIM F
101 DEC
I T'l 4
Al C Z=
QUALIFIED' -CO N FO R -M A N C E
L . LI!CENSEE A
-1,HE UNDERSIGNED MANUFACTURER HEREBY"CE.R.TIFIES
that the products identified belo ' w and on attached sheets Nos. —are marked
with the Collective Mark of the AMERICAN -INSTITUTE OF TIMBER CONSTRUCTION (AITC)
and were manufactured in conformance with applicable provisions of American National Standard
ANSI/AITC A-1190.1-1983, Structural Gled Laminate�d Timber, and. that 'such' manufacture has
been at our plant in— SWjs:shomej R which plant has a quality control system
approved by the Inspection Bureau of the AME I RICAN INSTIT . LITE OF TIMBER CONSTRUCTION
and inspected pieriodically by such Bureau.
The manufacture of these members complies.with the manufacturing and fabricating provisions of
Chapter 25 of the Uniform Building Code.
JOB NAME: Weyerhaeuser—Hayward for Stock & Custom
JOB LOCATION: Sacrarnento, CA
CUSTOMER'S ORDER NO. F0#76297_ DATE ___j1_18_8ZFGR'S ORDER NO. 3169-A
24F-�6V4, WP Glue, Arch. APP., Indv- WraP.
-1h Laninators, Inc.
StGNATURE COMPANY
TITLE Qy�lity Control ADDRESS ' poB,99, Swisshome, ORDATE 12-4-87
AITC HEREBY CERTIFIES thafthe-said company at its ' said 01 . 6nt is licensed by the
AME . RICAN INSTITUTE OF TIMBER CONSTRUCTION to use the AITC Collective Mark in respect
of products,which comply with applicable provisions of said Standard, that the adequacy of the quality
Inspection Bureau of
control system in effect at said plant is periodically inspected and verified by the
the AMERICAN INSTITUTE. OF TIMBER CONSTRUCTION, -and that, in the j ' ud i gment of AITC,
said company i . s capable of complying with 'applicable manufacturing and testirig provisions of.said
Standard' in respect of products man'ufactured at'said plant. Con'formance with the Standard in respect
of any specific or particular product is the sole re ' sponsibility of the -manufacturer; AITC's guarantee
hereunder. being -that the said corn.pany is qualified to produce a product meeting the said Standard
and that its plant is periodically inspected and verified by*the AITC Inspection Bureau.
AltC FORM IBCA
AITC Certificate No.
40971.A
AMERICAN INSTITUTE OF TIMBER CONSTRUCTION
(9) 198� AMERICAN INSTITUTE OF TIMBER CONSTRUCTION
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATIDN AND PERMIT
ASSESS��RCE B
ZONING
BUILDING PER�q
TELEPHONE
SQ.FT. OCQ�. BUILDY4G i&UJKTION
OYME'R'S MAILIJ��00
,S(V�� A I
:�� Z?2
CONTRACTOR'S NAME 14TLEPHONE
( ) 0 U)OL)
t1L_;-,-,---_, S�1, :�7
1`15712 -
CONTRACT-OR'S MAILING ADDRESS
Fire�laice
CONST<7CTION LENDER
��Lk_
Y?() ��
UNKNOWN
Total Valuation $
Q7_
Filing Fee
$ 10.00
LENCrER*S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
NSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$ ev
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$
PLUMBING PERMIT
FilingFee 10.00
Each Trap
2. 00 _i?
1-9 2 4
Solar or heat pump water heater
20-00
LOT NO.
SUBDIVISION NAME
5�714dkeb
PARCEL MAP
1/0 V- (0
Water piping
5.00 f 7 A-')
Each qas water heater or vent
5.00-. C_T-_1ZT
USE OF STRUCTURE
SF �A Duplex F-1 MobilehorreF] Other SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer _T__F_
5.00
Mobile Home JSFG W
10.00e'
a
TYPE OF WORK
.Ne Addition 0 Rernodel[] Utilitiesn InstallationM Other E]
W;61
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
FilingFee 10.00
600V OR LESS
Main service 100 AMP ORLESS
10.00
Main service EA. ADD -L 100 AMP
2.50
CONTRACTORS LICENSE LAW
declare under penalty of perjury (check.one):
El I am licensed under provisions of Chapt. 9, Div. 3 of the Busines S
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)
1, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
I am exempt under Sec.—, Business and Professions Code
for this reason
NEW CONST DWELLING OCCUPM
OR ADDNS. ACC. BLDGS. 2'/20sq ft
NEW CONSTFL MULTI -OUTLET
NON,RESID, 26RWA.N H C5 C UITS) 2.50 ea
P RCZFF�R�TUS.&)
(SINGLE OUTLET CIR
Ex. OCCUP( OUTLETS OR FIXTURES 20@50t
SALO 300
OCCUP. FIXED APPLNS. OR
Ex. OUTLETS (RESIC.) EA.) 2.00
-
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
F -1 The permit is for $100.00 (valuation) or less.
I have placed on tile 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 beco e subject
t6 the W. C. provisions of the Labor Code, you must forthwith complymwith such
provisions or this permit shal I be deemed revoked.
MECHANICAL PERMIT
FilingFee 10.00,
Heating
ov
Coo I i nyg
Hood
3.00
Ventilation
07)
Permit Fee
$ -
Contractor
1 �ertify 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 �Iso 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.
e)
X Date 2-9 —C) -T-
Signature of Applicant — \Owner E] Contractor El Agent [I
An OSHA permit is required for excavations over 5'0" deep and demolition or c
ion of structures over 3 stories in height. 0
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PER IT FEE
occuP.1
Jet
CONST.TYPEI
VW]
LO 0 WIP
V
A��J
I
4 D I
!/
This permit is hereby issued under
sio B Ite County Code and/or
wc'n-" !h:teu
gl ic d ove for which
IR OTOR OF PUBLIC
By-
I , %�, W7
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date 0 0 6,717
Z
6
Receipt No.
WHITE-D.P.W., YELLOW-'ASSE35011% P�.T.R. .01...R..-AP11ICA.T// I
4
'IrXt Y;r
COUNTY 0F'BUT'TE'- DEP44RTMtNT'70��,(PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVEJI- OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
h
PERMIT APPCidKOW DATA SHEET
Permit No.—
OWNER A. P. No.
Proposed Bui Iding Use ZL,)5_,�/j Building Inspecto Date:2Z 2L/k 2
At time of permit application, I was advised the following data must be submitted prior to perml , t processing
and/orissuance: DATE RECEIVED APPROVED
1. All items have been submitted.
Plot plans in duplicate/triplicate, signed by preparer of plans. 60-eg
I -SeT-7
Complete plans in duplicate/triplicate,
signed by preparer of pla�
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 Mon -Heated and AC Buildings.
M<8. Fees of %50 — . .. . '. .
I.
Letter of signature author)ja1,19n.
-Sanitation approval fronI6� Health- Dept.
11. Planning approval for (A) Use: — (B) P�rk'ing:_
12'. Certificate of Workmen's Compensation Insurance . . . . . .
1-3. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to ownerEj, Mai I to ownerEl
;__15. Improvements may be required . . . . . . . . ...
16. Mobilehome Installation Data. . . . . . . . .
�e,17. Pre-Irispection for----.--- Required.
8. Recorded copy -of Agricultural Acknowledgment Statement.
1,9._, Driveway Permit.
�0._.Plot plan approval from city of
21.,
22.
Pre-In:pec. request to (Date)
pect
Budding Ins q18`7
When you issue the permit_ process as fol lows: —Mail tQ owner, _Mail to contractor.
'__-'_JTeIephone3V,!5:. 5&Y and hold for pickul)A��_off ice, —Deliver w/inspector.
— 0 1 —
zllrzo _izzvoo 4::51 1 __.— .
Applicant�,__ _X. )IN —_ Date
I
Co L py 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:
N,
Contractor, designer,4��" advised of above required data by_phone_��ai I —counter byA?�rdate7—/?:V
Contractor, designer, owner, was advised c! above required data by—phone—mail—counte b date
Plans checked.by ate _2-0-n Plans approved by A—
cmmn 4ate 14 nv!"
0 1
Sets of plans on hold in _�_Fi le cabinet _AP folder
Copy—DPW
Clearance for bedroom mobiltj!�me) other
NOTE
I /,dw
Sanitaria
Date
TO.
Buildina Department
FROM:
Environmental Health
SUBJECT:
Sanitation Clearance
C//
Owner
Location
AR
Plan
Approved for:
Sewage Disposal'_
Water Supply
Hold
final for:
Water Supply
Final
clearance O.K. for:
Water Supply
Clearance for bedroom mobiltj!�me) other
NOTE
I /,dw
Sanitaria
Date
r
CD SpJG G'#4i.C,5 A Gr�3�rtr,E �i.o6h•
Sit P/els vo otz. /SJR c✓Ja t.[.s I�►a v �-
WOOV
L
OI4O
n 7GI
14c-
W000000
ME
7/83
(brand and, model number) (seasonaL LLrc)
Btu/hr
(cooling capacity at 95*r)
Electric Heat Pump
EER
BtuIhr
(cooling capacity at 950F)
other
(describe)
(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 beat pumps.
(E) AN INTERMITTENr 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 DAEPERS.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.
2
C9�i� .Z xr z A`'o �..
FL.� 401SI,
Vial U. 5
as. 48
Q, r 7r/.os `3 S
��� co,
Ilk
(D) FLOW �kESTRICTORS shall be provided for showerneaas anu LauL-t=&-o
as outlined in the new appliance efficiency standards and shall .
be certified to the Energy Commission.
LIGHTING
(A) Lamps used in luminaries for general lighting in kitchens and
.bathrooms shall have an efficacy of not less than 25 lumdns per
Oatt (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 ou . t the
following: 3
�Z 70
Heating: Winter design tempera 0 , elevatio4�rpoo- heating Joad BTU
ure
elevation factor x heating load w maximum outlet cap acity gas furnace
4- 0 O—BTU
Coo 1 ing: Summer des ign temperature cooling load � BTU
*2- Submit T.I.P.S.E. chart or other approved syst . em. (form #5) to Aocument sizing of
solar panels.
DESICN COMPLIANCE STATEMENTi ' The above building design meets the "requirements of
1 .8 49 - - - 4. AA-4n4at-rnrinn Code.
Title 24, Part 2, Chapter z-aj of the Ce
7/83
I
f ..
z—
N.F.
��
�.•�r
• 57
3 9
la. C/Y
f � 3s -
7a3 -tg03
�--- + �
3�
�g
�s(o/-4p?
pre 4(ss'X� •�
_ �' �6 .+ �� • f )fir
,sh o/ z 9tg
rol
(.6) DOMESTIC WATER SYSTEM
(A), Gas Only
F'ORK I
Gallons
(brand and model number) (tank size)
0
Heat Pump w/ElectricBackup
.,(brand and model number)
Gallons
(tank size)
*2
Active Solar
(collector brand and model number)
rated y -intercept) (rated slope) (solar fraction)
2
-ft
(backup heater type, brand and model number) (collector area)
(collector orientation) (collector tilt)
13
Location of Solar,Panels
11
Other .0
(Describe) I
0
(B) TANK INSUIATION. Storage type water heaters and storage and
backup tanks for solar systems shall be externally wrapped with
R-12 insulation or greater.
(C) PIPE INSUIATION. The five feet of pipe closest to the water
heater and outside conditioned space shall be insulated with a
minimum of R-3. Steam and steam conditioned space shall be
insulated with a minimum of R-3. Steam and steam condensation
return piping and recirculating hot water piping outside the
building envelope shall be insulated in accordance with
T20-1408 (d) -
e
NI. DON N MARSHALL, P.E.
Civil Engineer
R.C.E. #33300
3044A Monticello Ln.
Chico, California 95926
(916) 893-5259
Design • Planning • Surveying
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(o f(o
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA 95965 PRONE: DIA -538-7541
/ili7
Conrad J. Hagen DATE 87
60 2 A+= ., --44WA"t. /
Ch.�-'�o, CA 95926 RE:Building P&rmit Application #2261-87
1�
A.P. #42-59-41
With reference to the above.subject:
L_j Attached is:
Application for permit Mobilehome Utilities installation sheet.,
Building Plans Mobilehome Installation Information Sheet
Engr. Calcs Typical Plan Sheet I
Owner -Builder Verification Form List of Codes Enforced
OTHER
Z.Xly We need the following information:
Permit application signed and completed where indicated with all copies returned.
payable to Butte County Treasurer.
Certificate of Workmen's Compensation -Insurance or check exemption statement.
Contractor's License -Law information or check exemption statement.
-Tom-
pl-eEe --- p-f-affis kXXyyyyyXXXXXXXyxyyyy, including plot plansTw±th-gjSDLstamp.Q!��
Plot plans in -ftan.
Structural.details in
Com �alc s 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 form.
Recorded copy of deed showing
_/&W Recorded copy of agricultural acknowledgement statement*.
Xy/ OTHER,=j�-����d ki tcbpn. nank f 1 nnr joi st supportin2 bearinc,, wal.l. above.
Am hPAM.
heAXjA&=rjd2P At onen sta+nirell with no Dlate tie,9.
Should you have any questions concerning the above, please contact this office.
JFG/aj
DM -
Yours very truly,
William Cheff
Director of Public Works
;I.F. Glander
C�F
i f u
Chief Building Inspector
Q
'n I
i,
ORAA
RESIDENTIAL ENERGY PLAN CHECK/INSPECTION SUMMARY F
Owner coAloo Climate Zone Permit No.
Floor Area
Compliance path: Package CIA [1B EIC *-�oint Syst�m []Budget 90ther 44614� 2 --
MIN R-VALUE� DESCRIPTION
REQ'D
INSTALLED ITEMS (1) INSULATION: Aft
Roof/Ceiling
Wall
Slab Floor Perimeter
Raised Floor
I
7/83
El
C1
n
0
13
(2) INFILTRATION:
(A) A vapor barrier is required in climate zones, 1, 14 & 16.
(B) All manufactured windows and sliding.glass doors shall meet the
1972 ANSI Air Infiltration Standards'and shall be certified and
labeled.
(C) All swinging doors and windows leadip'g to unconditioned areas
shall be fully weatherstripped.
Tight - the above standard features plus:
(D) Continuous infiltration barrier
(E) Electrical outlet plate gasket
(F) Air-to-air heat exchanger
(3) GLAZING:
(A) Location
Area Glazing %Floor Area Single Double Triple
Total Bldg B 0. 0-0 /0.
North 74-00
East 9
3.60 .2 - F-1,
South 4Z4 .00 f-14
West 98-00 774 11,
Skylights 100 IV
(B) Shading
Shading
Coefficient Description
East C/01(' a
South of
West -we 7.
Skylights #V
(C) South Overhang
Length of projection ft. Destription
(D) Moveable insulation: Area ftT-Description'
4 -
(0 Thermal
mass
HC"-_
Type
MC=
Location
Type
- Area
MC=
Location
Type
MC=
Location
Type
MC=
Location
Type
MC=
Location
Type
MC=
Location
- Area Ft.2 HC= R=
- Area
Ft.z
HC"-_
R=
- Area
Ft.2
HC�_
R=--
- Area Ft.4 HC=- R=.
- Area
Ft.Z
HC=
R=-
- Area
Ft.Z
HC=
R=
t
7/83
J
N
7NI
0
0
13
TJ c -WARM
(4) MASONRY AND FACTORY -BUILT PIREPLACES shall be equipped with tight
fitting closeable metal or glass doors covering the entire opening
of the firebox; a combusion air intake eq'uippea with a readily
accessible, op�!nable,'and tight fitting damper to draw air from the
outside of the building; and a tighCfitting flue damper with a
readily accessible control.
*1(5) HEATING, VENTUATING, AIR CONDITIONING SYSTEM
(A) Heating
Central Gas Furnace
(brand and model number) SE
Btu/hr
(heating capacity)
Heat Pump
(brand and model number)
Btu/hr
(heating capacity at 47'F)
Active Solar
type (liquid or air)
model number solar fraction
orientation
rated slope
Other
collector tilt
(B) Coo I ing
Electric Air Conditioner
ACOP
Collector brand and
ft2
collector area collector
iated y -intercept
(describe)
(brand and model number)
Btu/hr
(cooling capacity at 95'F)
Electric Heat Pump
125
(seasonal EER)
EER
Btu/hr
(cooling capacity at 95*F)
other
(describe)
(C) A TWO-STAGE T HERMOSTAT, 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 p�essure sensitive tape or
mastic to prevent air loss and shall be insulated to conform to
the provisions of Section 1005 of theUMC, 1976 Edition.
2
FORIA I
(6) DOMESTIC WATER SYSTEM -
(A) Gas Only Gallons
(brand and model number) (tank size)
Heat Pump W/ElectrieBackup
(brand and model number)
Gallons
*2 (tank size)
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)
Location of Solar Panels -
Other
(Describe)
(B) TA14K 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 INSUIATION. The five feet of pipe closest to the water
heater and outside conditioned space shall be insulated with a
minimum of R-3. Steam and steam conditioned space shall be
insulated with a minimum of R-3. Steam and steam condensation
return piping and recirculating hot water piping outside the
building envelope shall be insulated in 'accordance with
T20 -1408(d).
(D) FLOW RESTRICTORS shall be provided for showerheads and faucets
as outlined in the new appliance efficiency.standards and shall
be certified to the Energy Commission.
(7) LIGHTING
(A) Lamps used in luminaries for general lighting'in kitchens and
bathrooms shall have an efficacy of not less than 25 lumens per
watt (usually florescent).
*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:
(PC/
Heating: Winter design temperature O;ao, elevation heating loadjK BTU
elevation factor JeD x heating load = maximum outlet capacity gas furnace
-9f,'&40 BTU
Cooling: Summer design temperature 10:IL-&, cooling load 30/0% BTU
*2 (USE ONLY AS A SIZING GUIDE, COOLING MAY BE INADEQUATE)
Submit T.I.P.S.E. chart or other approved system (form #5)'.to document sizing of
solar panels.
[M DESIGN COMPLIANCE STATEMENT: The above building design meets the require . ments of
Title 24, Part 2, Chapter 2-53 of the California Administration Code.
7 /,&3 -
SIGNATURE OF B1`UfL—D114G DV"R OR APPLICANT
I
ZONE 11
OWNER POINTS
ASSIGNED ACTUAL
PERMIT NO.
1 . SLAB - INSULATION
2. RAISED FLOOR - R-19
3. CEILING - R-30
4. WALL - R-19
5. NORTH GLAZING 2.44-3.6%
6. EAST GLAZING 2.5-3.6%
7. SOUTH GLAZING 1.6-3.6%
S. WEST GLAZING 2.9-3.6%
9. SKYLIGHT 0-1.3%
10. SHADING (Exclude Overhan.-)
EAST - .66, (0(10
SOUTH - .19- 42 (91
WEST - .13-.36 (V
.SKYLIGHT - .3-7-.57
11. HORIZONTAL SOUTH OVERHANG 2'
12. MOVABLE INSULATION - NONE
13. INFILTRATION (Standa.rd=0)(Tight=+l2) -3b I _D
14. THERMAL MASS SF -
15. GAS FURNACE (SE) 71-76%
16. HEAT PU1fP (EER) 7.5-7.9%
17. DUAL PACK(SE, SEER) 8.0-8.3/71-76%
WOOD STOVE
WATER 4HEATER
ATTIC
OTHER
TOTAL POINTS
-able 3-1. Slab Floor Points
Table 3-2. Raised Floor Points
I __T
ln�qls- R -Value of Insuittlon
T_ T_
R -Value of
Skylight Points
t iun
Insulation
Points
Depth, I I I I
Glazing Pt
si
T
inches 0-2 3-4 1 3-6 7+
Table 3-12.
6.3
0 -.19
below 3
-12
0 0 it
3 4
-9
0 11 -5 -5 -5 -5
5 7
-6
12 15 -3 -3 -2 -1
a 12
-4,
16 19 -5 -2 -1 0
13 13
T2
20 + -5 -1 0 +1
0 --18
0
7/7/83
I
.43-.66
Table 3-3a. Ceiling Insulation
Points
I R -Value of Insulation Points
19 -4
22 -2
Ataea. 30 0 1
38 727 1
49 +4
Table 3-4s. Wall Insulation Points
R -Value of Insulation points
11 -7
19 0
30 +3
Table 3-5. North -Facing Glazing Pt a
T
Glazing Type
Total
I of Sn!l, Db!. I Trpl,J
Floor U U U -
Axe& 0.66 0.42- 0.41
1.10 0.65 dwn
0.1- 1.2 +4 +4 +4
1.3- 2.3 +1 +2 +2
2.4- 3-.6 -2 (2_� +1
3.7- 4.8 -4 -2 -1
4.9- 6.1 -7 1 -4 r '-3
1 6.2- 7.3 -9 1 -6 -5
1 7.4- 8.2 -12 1 -8 1 -7
1 8.3- 9.7 -14 1 -10 1 -8
9.8-10.8 -17 1 -12 -10
10.9-12.0 -19 1 -14 -12
12.1-13.2 -22 1 -16 -13
13.3-14.5 -24 1 -18 -15
14.6-15.3 -27 1 -20 -17
able 3-7. South-Facine Glazin2 P
I - Total I
I of I Sngl, I Dbl,-r-Trpl.
Floor (U - (U - (U -
Area 1 * 10) 0.63) 0.41)
0 1P oints Mint, points
+3 .3 . 3
u t 1 5 +2 +2 +2
H! 3! -1 0 0
3.7- 5.2 -4 -2 -2
5.3- 6.5 -6 -4 -3
6.6- 7.7 -9 -6 ;.5
7-8- 8-9 -11 -8 -7
9-0-10.0 1 -13 -10 -9
10-1-11-5 -17 -13* 1 -11
11.6-13.0 -21 �-16 1 -14
13.1-14.5 -25 -19 -16
14.6-16.0 -28 -22 -19
Table 3-8. West -Facing Glazi Pt
T----- - 7
1 -' Glazing Type
Total I
Z of Sngl. I Dbl, I Trpl.1
Floor- (U - (U - I p - I
Area 1.10) 0.65) 1 0.41)1
1po;Ints nts
PoL_
.,6 1pointsl
+6 1
1 up to 1.3 +5 +6 1 +6
1 1.4- 2.2 +3 +4 +5
2.S- 2.8 0 +2 +3
1-0- ' 6 -3 0 +1
3.7- 4.2 -5 -2 0
4.3- 5.0 -8 -4 _2.
5.1- 5.6 -10 -6
5.7- 6.2 -13 -8 1 -6
.6.3- 6.9 -15 -10 -7
7.0- 7.6 -18 -12 -9
7.7- 8.2 -20 -14 11
8.3- 8.8 -22 -16 -13
8.9- 9.5 -25 -18 -15
9.6-10.L -27 -20 -16
10.2-11.0 -29 m-23 -17
11.1-11.8 -35 -26 -21 f
11.9-12.7 -38 -29 -24-
12.8-13.5 -42 -32 -27
13.6-14.3 -46 -35 1 -29
14.4-15.2 �-50 -33 1 �32
A616 3
ShadIng coefficient Points
T_ -
SC by
Table 3-9.
Skylight Points
Z Floor Area
tation
Table 3-6.
-Facing
Glazing Pt
si
T
T.
Table 3-12.
6.3
0 -.19
T_
last
0 0 it
.37-66
I
I - Glazing Type
0 0 -1
.83 up
I
I ' Glazing
Type
I
I Total
I
3.1 6.3 7.9 9.5
0 --18
0 +1 +2 +2 +3
-1 Total
I
.43-.66
I
I I of
7-Sn-j-1-, I
Dbl, I
Trpl.7
I I of
I SnCl, I Dbl. r -T -r -p-17
I Floor
I U - I
1� -
U - I
0 0 0 0 0
I Floor
I (U - 1
(11 - I
(U - I
I Area
1 0.66- 1
0.42-
0.41 1
__7
1 Area
1 1.10) 1
0.65).1
0.41)1
1
1 1.10 1
0.65 1
don I
0 0 0 0 0
IpR;I�ts
1pointsi
-1 -3 -6 -12
I
1 -2 -4 -8 -16 -20
1polnts
.4
1
9,4 1
1 t 1 3
'2
1 -1
0 1
0 1
up to 1.3
+3 1
+4 1
+4 1
1
-3
:7-1
-1
-T
1.&- 2.4
+1
+2 1
+2 1
1 2.3- 2.8
-6
-4 1
-3
1
2.5- 3.6
-2
0 1
0 1
1. 2.9- 3.6.1
-9 1
-6 1
-5 1
3.7- 4.6
-5
-2 1
-1
3.7- 4.2
1 -11 1
-8
-6 1
4.7- 5.6
-8
-4 1
-3
4.3- 5.0
1 -14 1
-10
-8
5.7- 6.7
-10
6- 1
-5
5.1- 5.6
1 -16
-12
-10
6.8- 7.7
-13
:8 1
-7
5.7- 6.2
1 -19
-14
-12
7.8- 8.7
-15 1
-10
-4
6.3- 6.9
-21
-16
-13
8.8- 9.7
-17 1
-12
-10- 1
1 7.0- 7.6
-24
-13 1
-15
9.8-11.2
-21
.-IS
-13 1
1 7.7- 8.2
-26
-20 1
-17
11.3-12.7
-25
-18
-15 1
1 8.3- 8.8
-28
-22 1
-19
12.8-14 0
1
-21
_-24
-18 1
1 8.9- 9.5
-31
-24 1
-21
14.1-15:3
:23
1 32
1
-20 1
1 9.6-10.1
-33
-26
-;22
Table J -LV.
ShadIng coefficient Points
T_ -
SC by
1 0.6 1.0
Orten-
Z Floor Area
tation
-1
Ust
3.2
0
0-3.1 to 6.4 up
Table 3-12.
6.3
0 -.19
0 +1 +2
.20-.36
0 0 it
.37-66
0 0 0
77r-7 8-2
0 0 -1
.83 up
0 1 -1 -2
South
0 3.2 6.4 B.'O 9.6
to to to to up
3.1 6.3 7.9 9.5
0 --18
0 +1 +2 +2 +3
.19-.42
0 0 0 0 0
.43-.66
g� -1 -2 -r2 -3
.67 up
0 -2 -4 -4 -6
West
.1 1.6 1 3.2 6.4 1 9.0
to to I to' to I up
1 1.5 1 3.1 '1,6.3 1 7.9 1
0-12
0 +1 +3 +6 +7
.13-36
0 0 0 0 0
.37-.57
0 -1 -3 -6 4
.58- U,_
-.p
-1 -3 -6 -12 -is
--rl
T3
-2 -8 -16 -20
Skylight
.1 .8 1 1.6 3.2 4.0�
to to to to to
.7 1.5 3.1 3.9 5.2
r---- r-
0-12
0 +1 +3 +6 +7
.13-36
0 0 0 0 0
0 -1 -3 -6
t-17.
_."
-1 -3 -6 -12
.1
8 up
1 -2 -4 -8 -16 -20
Table 3-11. Horizontal South
Overhane Points
I S;uth Glazi
Length Out Area. X of floor
from Wall
I f t T_ I -I
0-6.3 1 6.4 up
I U - V. 3
1 _Z
1 -4 1
1 0.6 1.0
1 -2
1 -3 1
1.1 1.9
-1
17 2 3.5
.W6
2.0 up
0
0
Table 3-12.
Movable Insulation
points
I Moveable Insulation'l
I Area. 2 of
I
Floor V/41nts
IK
I
I
0 - 5.5
0
5 1.5
_X
+2
11: 6
+4
17 2 3.5
.W6
46
-3.6 +
+8
b.
Table V13. Infiltzation Control
reatvres points
Com:rol Features Points
T-
I Standard 0
0.9 air changes per hr
T -
Tight +12
0.6 air changes per hr
Table 3-15. Gas Furnace Without
T-- Refrigeration Ciol-ng Pointf
Seasonal Efficiency Points
(SE), I
Table 3-16. Feat Pump Points
Energy iffic!ency Points
Ratio (EER)
7.5 - 7.9 +3
3.0 - 8.3 +6
3.4 - +9
8.8 - +12
9.2 9.6 +13
- 10.2 +is "t
0.3 - 10.9 +21
10.9 - 11.5 +24
11.5 - 12.3 +27
12.4 - 13.2 +30
t
Table 3-17. Gas Furnace With
Refr1werstion Coollne
!Reftigeracionl Gas rui�ce I
I Cooling I Sgq I
k -D - A.1 n +21 +41 +61 +8 1
1 7 +21 +41 +61 +91+10 1
::,3 . 1 441 +61 +81+lol+12 I
9-3 -.7 +61 +81+tol-121+14 I
9.8 10.3 +81+-101+121+141+16 1
!0.4 10.9 1+lC:+L2i*I41+I6;+I8 I
11.0 .6 1+121+141+1614-181420 1
7/7/83
TABLE 3-14 (ADAFTEO)
14ASIt
ZONE 11
INTER.IOR THERMAL MASS POINTS
APEA
points)
71
0
77 - 82
+2
83 -
+4
- 94
+6
95 up
+8
Table 3-16. Feat Pump Points
Energy iffic!ency Points
Ratio (EER)
7.5 - 7.9 +3
3.0 - 8.3 +6
3.4 - +9
8.8 - +12
9.2 9.6 +13
- 10.2 +is "t
0.3 - 10.9 +21
10.9 - 11.5 +24
11.5 - 12.3 +27
12.4 - 13.2 +30
t
Table 3-17. Gas Furnace With
Refr1werstion Coollne
!Reftigeracionl Gas rui�ce I
I Cooling I Sgq I
k -D - A.1 n +21 +41 +61 +8 1
1 7 +21 +41 +61 +91+10 1
::,3 . 1 441 +61 +81+lol+12 I
9-3 -.7 +61 +81+tol-121+14 I
9.8 10.3 +81+-101+121+141+16 1
!0.4 10.9 1+lC:+L2i*I41+I6;+I8 I
11.0 .6 1+121+141+1614-181420 1
7/7/83
TABLE 3-14 (ADAFTEO)
14ASIt
ZONE 11
INTER.IOR THERMAL MASS POINTS
APEA
points)
1.000
0
;4
+2
I.SOD
+4
4
+6
2.000
+8
4 0
D 47
+10
- 55
4-12
5 6 - 63
+14
3.000
+is
72 up
+20
7
3.500
4.000
0.9
!C -ii
Z;j-29
3C-39
40-49
15�0-�
S.000
70-79
600-799
SQ. FT.
A 9 C
0
A
I C
D
A
8 C
D
-FO
I A
B C
D
A
B C
. 0.
A
5-
C
0
A
3
C
0 A
6
c
r,
1 7"
T -
so
2
2
2
2
2
2
'2
2
0
2
2
2
O
+6
0
0
0
0
0
0
0
0
0
0
0
0. 0,
+19
0
0
0
01
0.
Q
0
0
100.
4
4
4
2
2
1-19 +22 +26
2
2
2
2
2
2
2
2
2
0
2
2
1!
0
2
0
0
0
2
2
.0
a 2.
2
0
0.
a
.
0
0
0 1
ISO
6
6
4
4
4
4
4
2
2
'2
2
2
2
2
2
2
2
?
2
'2
2
2
2
2
2
2
2
2-Z
2
0
2
2
2
01
200
8
8
9
4
6
6
4
2
4
4
4
2
4
4
2
2
2
2
.2
2
2
.2
2
2
2
2
2
2
2
2
2
2
-
2
5
253
10
10
5
6
6
6
6
4
6
6
:
2
4
4
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
300
12
12
10
6
8
6
6
4
6
6
4
6
6
:
2
4
2
4
4
2
�2
2
2
2
2
2 2
2
2
2
2
7
2
350
14
14
12
8
10
10
a
6
6
6
6
4
6
6
6
2
6
4
4
2
4
4
4
2
4
4
2
2 4
4
2
?
2
2
2
2
400
14
14
12
8
10
10
8
6
8
8
6
4
6
6
4
4
6
6
4
2
4
4
4
2
4
4
2 4
2
Z
4
2
2
$03
IS
IS
16
TO
12
12
10
6
10
10
8
6
9
8
6
4
6
6
6
4
6
6
6
2
6
6
:
4
:
4
2
4
:
4
600
22
20
18
12
14
14
12
8
12
12
10
6
10
10
8
6
8
9
6
4
8
C
6
4
6
6
6-
4 6
6
4
2.
6
6
4
2
?go
24
24
20
14
18
16
11
10
14
14
12
3
10
to
10
6
10
10
8
6
9
e
6
6
4
6.
6
4 6
A
6
4
1 fi
6
F.
Z30
Z 6
24
22
16
70
16
16
10
14
14
12
8
12
10
10
6
10
10
8
6
to
A
4
4
6
6
4 a
6
6
4
6
6
6
1
903
Z8
28
74
16
22
20
18
12
16
16
14
10
14
14
12
8
12
12
10
6
1
0
3
6
a
Is
4 a
11
6
4
a
a
6
r.
1.010
30
30
26
18
?2
20
?0
14
18
18
16
10
14
14
2
8
12
12
10
12
10
10
6
13
a
1.1
to
1
8
6 8
8
11
4
a
E
4
1.1.00
32
32
28
ZO
24
24
22
14
20
20
18
10
16
16
: 4
8
14
��4--
12
8
12
12
10
10
10
0
10
1
1.00
6 1
1
1 0
a
(.
e
e
1,200
34
32
30
22
26
26
22
16
22
20
18
12
18
18
14
1
14
12 8
14
12
12
8:
l2
"
" '1
1 2
& to
I 0
a
6
in
to
8
6
I . 300
34
34
32
22
28
26
24
16
22
22
20
12
to
is
10
1,1
14
14
8
14
12'
1
12
12
10
1
6 2
.0
to
&I
to
-0,
F.
6
l.,OO
34
34
32
24
28
28
26
18
24
24
20
14
1
0
is
12
18
16
14
10
14
1
12
14
14
12
8 1 Z
12
-. G
0
13
13
1.500
36
34
34
24
30
30
26
IS
i 4
24
22
2 Z
20
18
12
IS
18
16
10
16
:
4
14
14
12
a I ?
12
10
z
IZ
I�
2.000
34
34
32
22
30
Zoo-
;S
2:
2:
22
16
22
22
20
14
20
20
18
2
18
18
16
10 16
i4
r
14
1,
12
6
t
2.Soq
34
31
22
33
3
26
8
26
26
24
6
24
24
22
14
22
22
13
.2 20
;6
0
IS
1.
is
1 ;
16
J.Coo
34
32
30
22
30
10
26
18
8
' 6
24
16
24
24
22
14 22
22
20
14
a
I k
3.SOO
32
32
30
20
30
30
26
28
28
24
16 26
211
2 ?
14 1
?4
4
20
14
4 o0O
32
3
30
;8
0
30
30
26
29
i
' 8
24
1 f
6
"i
2Z
I f
4.500
32
32
28
;8
o 1 30
3')
2F
- t
it,
1 n
? --
5.002
t 32
V-
V
20
1.)
-, G
76
1
A ) I . 3'1* Concrete Slab: NC -8.93; R-.29; Facto�-7.3
2. 3 3/4' Thick Common Brick: IIC-7.125; R. * 13-. ctor-7.3
c 0,:a
SV Concrete Slab: MC -14.106; P-.458; Fj, t
8 S I &c
C 8: Sa,,Idd Filled Block: HC -20.63; R-1.93 tor
2. 8 Fil;;d,:!ock With Both Sides Exposed TooConlIllon Air;
x a c nd O:d
NOTE: Use a are footage directly e po- d t 0 1 1 ad ai
for Thernal*.Moss Area: RC -10.164; R-.96;,. Factor -6.1
0) 1" Thick*Concrete/Tile: KC -2.55; R-.083; Factor�-3.7
Table 3-19. Zonally Controlled
Electric Rest,-tanct
Space Heating Points
Points for chi 'Table 3-211. Solar Water Heating With ras Backup Points
a mea3urc win I
be completed after the CEC
has approved an Alt��rnative
Component Packate for Resistance
Best.
----------
Table 3-13. Active Solar Space
Heacinq witn (;as Points
Net Solar Fraction Lacs
(NSF), %
wood stove #33 poinfs-(no back up)
casablanca fan + 1.point
flultlfamily (per unic
U,
points)
0 - 6
0
;4
+2
3
+4
4
+6
31 - 9
+8
4 0
D 47
+10
- 55
4-12
5 6 - 63
+14
64 - 71
+is
72 up
+20
7
wood stove #33 poinfs-(no back up)
casablanca fan + 1.point
flultlfamily (per unic
U,
points)
.
Floor Area
T
West Pomp
Mt Solar Fraction (NSF), z
perfun�c,
k- --
Reql*EQACe B^ckup
Meeting the Require-
ownts Its Part 2
1:2.
ZIECErtQ Resistance
O -z! I J,
-40
0.9
!C -ii
Z;j-29
3C-39
40-49
15�0-�
�669
70-79
600-799
0
+3
+7
+10
+
�,
+17
+21
+24
800-999
0
+3
+5
+8
'11+-,
+14
+16
+19
1,000-1,499
0
+2
+4
+8
+10
+12
+14
1,500-1.999
0
+1
+3
+6
+7
+8
+10
,COO and up
0,
+1
+ 2
+4
-&5
+6
All athers (pe building pot Del)
-+7
auo-899
0
+10
+L4
+19
+24 +29 +34
900-999
0
+4
+9
+13
+17
+21 +26 +30
I,OOD--1 199
+4
-1-7
+11
+15
1-19 +22 +26
1.20(�I.499
(I
0
+3
+6
+9
+12
+15 418 +21
1 500 1,99
0
0
+,
+11
+5
+7
+9
+ 12 +14 +16
2 0__ 9
:,),)0:2, 9
0
42
+3
+5
-t 7
+8 +10 +11
3,06 -ir-d up
'a
_0
+ 1
+1
+3
+4
+5
4-7 +S +10
Table 3-21. Other Water I!eatlnq Pts.
I I
Syseen Type I
Points I
Gas Only
0
West Pomp
0
Solar with Electric
Reql*EQACe B^ckup
Meeting the Require-
ownts Its Part 2
0
ZIECErtQ Resistance
O -z! I J,
-40
RESIDENTIAL PLAN CHECKING GUIDE 7/85
'(S.F., DUPLEX.& MISC. ONLY)..�
Bldg. Permit.# .202V-490
OWNER 400 A. P. # VA - S$V
GENERAL
�0< oning requirements: (sideyards and number of permitted living units).
Z
valuation.
Plans signed by designer.
,��Eiiergy Design and Compliance.
.Existing violations on property.
PLOT PIAN
A010o'complete parcel size and dimensions.
2. Setbacks, sideyards, easements, -etc.
bo_00'Other buildings or structures.
�4�_ ading, fills, drainage.
:�Iood hazard.
ecial conditions on creation map or compliance document.
FLOOR PLAN
00000,
;-complete to scale plan with dimensions.
.0-__S1 quired windows for light and ventilation (Sec. 1205).
V:.;&equired windows for second exit (Sec. 1204).
-.,Skylights (Chapter 34 & Sec,... 5207).
uman impact glass (Sec. 5406).
B ��equired room sizes, ceiling height� (Sec. 1207).
F.C.1.'s in baths, garage and exterior outlets (Article 210-8).
�Light fixtures, switches, receptacles, and exterior receptacles for maintenance of
echanical equipment..
Locations of water heater, heating and cooling equipment, other electrical or gas
. ment, and plumbing fixtures.
-,OAq u 1 p
10*�_,Garage firewall, door size, and closer' (Sec. 503(d)(3)).
1 - 3;0-Wexterior exit door (Sec. 3304(e)).
��irellace and wood stove location.
Smoke detectors (Sec. 1210).
STRUCTURAL DETAILS
rndation plan complete enough"'A o construct building.
Floor construction details complete enough,:,.to construct building.
Elev
ations and wall construction details complete enough to construct building.
of construction details complete enough to construct building.
:;Otreplace construction details and calcs if necessary.
���Sufficient data and details to satisfy energy requirements (State Law) (Form 1).
MISCELIANEOUS ITEMS TO LOOK OUT FOR
p?sure I plywood on exposed locations and overhangs.
�-�Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306).
ardrail details (Sec. 1711 & 3306(j))..
ck or stone -veneer (Chapter 30).
C::.���Exterior plaster - weep screeds (Sec. 4706).
��roper roof pitch for roof covering (Chapter 32).
7
7 6,�aKer ties or bearing ridge beam. -
RESIDENTIAL PLAN CHECKING GUIDE (CONT'D) 7/85
MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONT'D)
4�� rage dmw or porch header sizes.
Aftquate bracing.
:.;Living area over garage - complete 1-h our separation required on garage side
including supporting walls and posts, etc.
;1.W -o exits on three-story dwellings (Sec. 3303 & see Mezannines 1716).
7AA,O, Attic access and ventilation (Sec. 3205).
4,000"PA
Underfloor access and ventilation (Sec. 2516).
d stoves, clearances, alcoves & 1 -hour shafts.
**.'-,�Iombustion air for fuel burning appliances.
requirements on duplexes.
soils - special foundation design.
1 �Re ning walls requiring design.
1 Unusual shape, size or split level house requiring lateral design.
7177E71
V,
14,
X i
6! 1 niform Build . ing. Plumbing & Mec huniccl Codes and
t�he National EQtrical Code,
This set of plans and specificrffior4s MUST b�*
kept on the jo6 at all times and if is unlawful to
m4e any changes or altorof ions on same without
rl .
w iffen permission from the Department of:Public
Works, County of Buffe.
L
e,TA 1-.4 IV 0
1 A 0 f;>
A setback of ff. from the
property lines and a setback
i,
of 50ft. frorn the road
r I i
conterline shall be clear of
I
L 9-: A�
F
i
structures or equipment except
2 ft. overhang.
for a eave,
ajfimt- OF AP& F.-A&AL4AXII
J" I e�
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