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042-590-065
- 042-590-065 PERMIT#94-2057' 9. -BONO, WILLIAM 3012 WILLOW BEND DR-., CHICO NEW PRI SWIMMiNG POOL 042-590-065 02- 2419 BONO, WILL WILLOW BEND DR., CHICO NEW HEATING UNIT,- � / ^ 7�0�/ . �. . ,+u1'"-'j''}.i"_1'r'�4i@E-.ra, ^•,+ �..•Is f7i COUNTY OF BUTTE - DEPARTMENT OF D9VELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Orovilk California 95965 - Telephone (916) 538-7541 PERMIT NO. . APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 042-590-065" ZONING' RTIA BUILDING PERMIT OWNER 1 WILLIAI�S BONO t TELEPHONE SQ. FT, OCC. BUILDING VALUATION 14 OWNER'S MAILING ADDRESS 3012 WILLOW BLAND DR. CHICO 95926 ' EST. 7 j CONTRACTOR'S NAME iy' OWNER TELEPHONE "I CONTRACTOR'S MAILING ADDRESS ^- Fireplace CONSTRUG,RON LENDER UNKNOWN TOLeI V8IU8tlOn $ LENDER'S MAILING ADDRESS - Filing Fee $ 20,00 Permit Fee $ 126.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 81.90 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 3012 WILLOW SEND DR CHICO PERMIT FEE $ 227,90 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 rALOT NO. SURD IVI ION'S NAME 1%600) OGU•h PARCEL MAP /& - �✓ 9 - Water piping 1 5.00 15.00 1 Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other POOL SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New CO Addition ❑ Remodel Cl Utilities O Installation ❑ Other O Describe Work: PERMIT FEE $ 35.00 Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main ServiceBOO. OR LESS ( 200A OR LESS ) 23.00 - Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLDS. ) gO 3.50 FT., CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification .10 I, as the owner, 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) ❑. I,'as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS ) i"r @7.50 POW ER APPARATUSv (& SINGLE OUTLET CIR. ) Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. @ .50 Ex. Occup FIXED APPLNS. OR ( OUTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 POOL ELECTRICAL. r 30.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a \ Certificate of Consent to Self -insure. 0 I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. ' PERMIT FEE $ 50.00 Contractor MECHANICAL PERMIT 'Filing,Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. 1 agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes: I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X �`�J �, �. _ Date ��,�1\� I Signature of Applicant - (1Owner ID Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 312,.90 HAZ- I D. FEES IMP I FLOO • I CDF I PARg6L PD Y! HD 1!f ,ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for ich fees have been paid. By Date y Date PERMIT EXPIRES ON /Date) Receipt No. 166999 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT V=OK 0 =Not OK =Not Applicable =Not Ready MOBILE HOMES ' Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Teat -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete S. Gas; Location -Teat -Wrap: / /"L"ft. / /"Nat. or/ P'L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date/Initials 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 -Fell -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists-Decking-Bracing-Stairs-Ralls 4. Wood Awn.; Posts-Beams-Rftm.-Connectors Shthg: Rfg: Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmo: Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/Initials POO Pla ' OK except #'s Setb ka-Easements Z_86s; Compaction -Structure Stability Y000l Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip :Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Pane Iboards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test, M V=OK O = Not OK - = Not Applicable RESIDENTIAL = Not Ready Date/Initials UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Fig. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING (Permit) OK except #'a 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/initials ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mach. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels -Motors -Mach. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date/Initials FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Single & Duplex) " Date/Initials FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties- Purl in=roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Wells -Ceilings 60. Infiltration -Walls -Windows Date/Initials FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood'Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd: Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer. 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Meth. Protection 75. Plb., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No - 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg: Appliance -Fireplace :Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation -Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Zroville, California 95965 - Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 6a - O -K4 I `I ASSESSORPARCEL NUMBER 042-590-065 ZONING BUILDING PERMIT OWNER BONG WILL TELEPHONE - SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 3012 CONTRACTORS NAME ARTIC AIRE TELEPHONE - CONTRACTORS MAILING ADDRESS 2350 PARK AVE. CRTCf), CA 9992A CONSTRUCTION LENDER [Fireplace LENDERS MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER UCENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS 3012 WILLOW BEND DRIVE CHICO CA 95973 Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF N Duplex ❑ Mobilehome ❑ 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 ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other IX Describe Work: NEW HEATING UNIT Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200A OR LESS 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. /t License Class 2 34Q 1 3 C •'Z'0 Llc. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, 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. . ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. SACC. S. SO 3.50FT. T. NpµRESID. MULTI -CIRCUITS T @7.50 FWWER APPARATUS ITN.OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES BAS @ .50 Ex. Occup. OF1x�ELLD�A A� ORS 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 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. Q' I 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' compensation insurance carrier and policy number are: Carrier w1•tiX.,a MECHANICAL PERMIT Fling Fee 20.00 Heating 15.00 15.0 -L Cooling Hood 6.50 Ventilation PERMIT FEE S 35.00 Policy Number 3!36%J6S24JAP.CQ, (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 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 complywith those provisions. ^^-- -�--- `-'i -U - {v -O V� X Date Signature of Applicant - ❑Owner ❑ Contractor gent An OSHA permit is required for excavations over 60" deep and demolition or construction17/,4/4 of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 35.00 HAZ, D. FEES IMP I FLOOD COF PARCEL PD HD I ISSUE This permit is hereby issued under the applicable the Butte County Code and/or Resolutions indicated above for which fees have been Date PERMIT EX RES provisions to do work paid. e Receipt No. m WHITE-D.D.S.- N -AS SOR PINK -INSPECTOR GOLDENROD -APPLICANT Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT O. APpLICATION AND PERMIT mF.�o a -- �b BUILDING PERMIT T�10tie S0. FT.OCC. BUILDING VALUATION LJP 96 n35� MAB -04 ADORLSB , 2� 9 roR• Teu91ONe 3 roR MAJU 7 1-Nprp OFZE i n / •� - - - n / CONSTRUCTION IENOEA IENOER'S MNUNG ADORESS ARCHITECT OR ENGINEER ARCNRECT OR ENGINEER'S MAIJNG ADDRESS eULDNO ADDRESS LOT NO. I SUSDF/ISION'SNAME I PARCEL MAP USEOFSTRUCTURE S Duplex O Mobilehome O Other ev�Fr TYPE OF WORK New O Addition ❑ Remodel �❑% �U,bhes` e0 hstalation O Other�(1i Describe Work: O 40hqur 4- 1111010011 �s 00 Fireplace Total Valuation $ Filing Fee $ Permit Fee $ Plan Checkin Fee $ Energy Plan Checking Fee $ E PERMIT FEE $ PLUMBING PERMIT Each Trap Solar or heat pump water heater Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Building sewer Mobile Home I S I G I W PERMIT FEE f ELECTRICAL PERMIT aoov oR Ess Main Service =o = Main Service 20" TO 1000A NEW CONST. DWEUJW OCCUR OR ADONS. L ACC. ELDS. 20.00 20.00 7.00 23.00 15.00 15.00 15.00 15.00 020.00 Fee 20.00 23.00 48.00 EX. OCCU . OUTLET OR FDRURFS eu. .w Ex. Occup. M,) El 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirinq 23.00 PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.00 Heatina ! 11S,00 , •C v_ 8.50 PERMIT FEt - 0 v Mobile Home Installation Fee S Energy Inspection Fee = « C Ca -T. TYPE TOTAL FEE $ 3 5 B 1 HAL 10. FEB I NP I FLOOD I COP I PYWCEL Po 1 10 6SUE 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. By Date PERMIT EXPIRES ON r7tiJ COUNTY OF BUTTE - DEPARTMENT OF 6EVELOPMENT SERVICES - BUILDINGDI ION 7 County Center Drive - Oroville, California 95965 - Telephone 1916) 538- 41 PERMIT No. APPLICATION AND PERMIT 9q - a OSi ASSESSOR PARCEL NUMBER 042-590-065 ZONING RT1A UILDING PERMIT - OWNER WILLIAM BONO TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNEWS MAILING ADDRESS 3012 WILLOW BEND DR, CH CO 95926 EST. 11,000 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENOER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ 126.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 81.90 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 3012 WILLOW BEND DR CHICO PERMIT FEE $ 227.90 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDI1'.SIlON'S``NAhMMElE'',, GUOLIoa) OWD Sy%✓ PARCEL MAP A0 _ 6 S, Water piping 15.00 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other POOL 1. SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New IR Addition ❑ Remodel ❑ Utilities ❑ Installation EI Other ❑ Describe Work: PERMIT FEE $ 35.00 Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service 1 800V OR LESS I 200A OR LESS 23.00 Main Service 1 200A TO 1000A I 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. I & ACC. BLOS. ) S 3.50 ST'._ CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. Li o. Classification I, ass the he oowner, 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) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason NEW NEW CONST. MULTI.OUTLET NON-REsID. ( BRANCH CIRCUITS I @7.50 POW ER APPARATUS I & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES I 20 @ 1.00 BAL. @ .50 Ex. Occup.FIXED APPLNS. OR (OUTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 POOL30 0 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. )WI shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ S0.0 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. 1 agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said C ty in consequence of the granting of this permit. X Date ��\�j Signature of Applic nt wner Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 312.9 HAZ- I D. FEES IMP I Fir CDF I PAR PD HD UE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for ?rich fees have been paid. B Y Date O�-IL PERMIT EXPIRES ON (betel Receipt 166999 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT - 1A COUNTY OF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICEZ(916)538-754"\1 ING,DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 - TELEPHO PERMIT APPLICATION DATA SHEET OWNER �� � A. P. No. U y� "S�o- Qw Proposed wilding Use _mss ®G�:. {Building Inspector Date / At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ........................................ Plot plans, 3/4 s ts, signed by preparer of plans. .......................... 3. Complete plans(/4 sets, signed by preparer of plans . ..................... . 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $......................................... 11. Impact fees as shown on attached schedule . ............................. . 12. California Department of Forestry plan approval/fees. ....................... . 13. 14. Flood elevation letter (100 year flo y California Engineer ................... Sanitation and plot plan approval / Health Department. . 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). ... 20. PreanspecGon request Pre -inspection for. required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner .......... 24. Recorded copy of Agricultural Acknowledgement Statement . ................ r ' 25. Letter of signature authorization . ........................................ . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ...,>. . 27. Letter of intent on building use . ......................................... - 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 12 Plan check list. .,. _................................................. . When p6 issue the permit, process as follows: Mail tf finer. Mail to contractor. Telephone .,2 X333 and hold for pickup at (./i C<D office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance 1. Index permit for above items No. 2. Additional items required: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date4 Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works ,• Is.n, usr• 11X1.1• Pail Ilan Alwdivd��—yyyygg — lent to u.u. o - TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance /2 dl�� 'f�--DeS Owner Location APS/ Plan Approved for: Sewage Disposal Water Supply: Public. Private Well Clearance for bedroom mobile home. Other Hold final for: Final clearance O.K. for: NOTE Environm tal Health Secialist 8/92 , Date COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 0 y?4 _'Ct 0 ' 0 (0.5 ( 20NIW BUILDING PERMIT OWNER . I TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'SMAIUNG Dfl,ESS �Z �c,�agsg V D O CONTRACTOR'S E TELEPHONE , CONTRACTOR'S MAILMG ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee S a ARCHITECT OR ENGINEERUC ENSE NO. Plan Checking Fee $ O ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS PERMIT FEE S 2_Z7-' Q ]� JJ c /(sQ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7,00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15.00 O� Each gas water heater or vent 15.00 USE OF STRUCTURE (�— — 1 SF ❑ Duplex ❑ Mobilehome ❑ Other j�Op�✓ SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W ` 20.00 @ TYPE OF WORK Aj NevIX Addition-❑ Remodel ❑ Utilities ❑ Installation ❑ Other O Describe Work: PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( '" OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( & ACC. BLOS. ) 3.50 FTSO . CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compensation, 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 contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI,OUTLET .NON RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS 1 & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. 50 FIXED APPLNS. OR EX. OCCUp. ( OUTLETS IRESID.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 4v� % C pJ WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. (3 1 shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ S©. 00 Contractor MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood Ventilation H650 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 Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in anyway accr again t said County in consequence of the granting of this permit. X Date 9,01This Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or An construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 90- HAZ. 1 D. FEES I IMP 1, FLOOD I CDF I PARCEL PD I HO ISSUE permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work above for which fees have been paid. BY Date PERMIT EXPIRES ON Wate) Receipt No. ! �j ` CIJ(fJ ` / WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK-INSPE TOR GOLDENROD -APPLICANT COUNTY OF BUTTE - Deoar.tment of Public Works 7 County Center Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner:. Phone: 916-538-7541 An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please` complete and -return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no).'`S 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person'(f rm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions-of.this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City 'Phone Contractors License No: 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security Number Date "'TE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. RESIDENTIAL t - 42-59-65 T 4215-89B,P,E,M k' MORTON, Robert a t 50 l2 L 1 9 willow Bend Dr, Chico new OFFICE COPY T{, Address 3d �1 /tea✓ Cl�n1 D I GAS Meter By Date S �5 ELECTRF Meter By Me i JOB FINALE Signature COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE OWNER PER IT 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. S— Z Date Ic;d Inspector�� • y � COUNTY OF BUTTE 7,DEPARTMENT OF PUBLIC WORKS,- o 196 Memorial Way, Chico — Phone: 891-2751 a` 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE a �p x,21 5, P 7 R OWNER PERMIT NO. >ts 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. 3 J X 1 --AU J A A i-41 i7 4e--- Inspector 4e - Inspector Date ��•.3`�YLR.'��'1x•'•'r: ^i6•.'�,trXsi.����°i'i t i` �.,v .s J'i ».. ,.� z COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS r ' 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 . z. CORRECTION NOTICE .2i5 -Or- OWNER A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. T k. r� J N i� T 'u .\i. • y Inspector Date ANiter : Permit No. E NERG t'• C E,,R T I,F I GA T ION 3012 Willow Bend, Chico, CA. 42-59-65 LOCATION A.P. No. DESCRIPTION OF INSUTATION ROOF Material Jbickness ( inches)_ EXTERIOR WAIL Material Fiberalass hatts Thickness(inches) 3 5/8" CEILING Batt or Blanket Type Fj Leralass baLLa Thickness( inches) 9;" Loose Fill Type" Fiberglass Minitnum Thlckneso(Inches) 12 3/4" Area covered(ft. ) 2050 FLOORS ELEVATED Material Thickness(inches) FLOORS SLAB Material _ Thickness(inches) hlldth(inches) FOU06ATION WALL. Haterral Thickness(inches) Brand Name Thermal Resistance (R Value) Brand Name Owens -Cor i2 na Thermal Resistance(11 Value) R1 3 Brand Name Owens-CornlnLL Thermal Resletance(R Value) R30 Brand Name Owens-Corninq Number of Bags 32 Wt. per bag `35- lb. I'liermal Realstance(R Value) R30_ Brand Name Thermal Resistance(R Value) - Brand Name Thermal Resistance(R Value) Brand Name Thermal Reeistance(R Value) I hereby certify. that Lite above insulation Was installed in the above building in conformance with the State of Callfornl a Energy Requlremente. Loerke InsulaLlon_ Co. _ 499150 FIRM NAME/OWNER +� STATE CONTRACTORS LICENSE NO. ' Ma -'1, 1990 SIG TUBE OF INS 'ALI.A'I'ION APPLICATOR DATE I hereby certify the above lnsulatlon and all requLred items as eltown on tits Building Department approved plane and attaclunents have been installed as required by the State of California Energy Requirements. f All equipment, devices and materials are of the quality prescribed or are specifically approved by the State of California. ROBERT =0M TMC` _ FIRM NAME/OWNER (Please print) SIGNATURE OF QE.NERAL CONTRACTOR/OWNER 495430 STATE CONFRACTOR)S LICENSE NO. DATE THIS CERTIFICKrE MUST BE ON FILE WII'11 TIM BUILDING DEPARTMENT PRIOR TO FINAL. INSPECTION APPROVAL AND A COPY SIIALL BE POSI1El) W11 -111H I'11E BUILDING. .lunuary 19810 J`= OK O = Not OK Not = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / P'L" ft. / /"Nat. or/ NL" ft./ /"LPG 7. Utilitv 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 -Fail -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg: Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater '8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panel boards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 1 q V OK O=Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date UND E LOOK Plans OK except #'s I . Zoning -Setbacks -Easements- od-Slope tg., Main; Soils-Elec. Gr .-01" Ftg. Depth 91111eig., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth �S a h. A tg., Porches & Decks; Soils -Steel-/ /Ftg. Depth -�I f : 0temwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Pier - fireplace Ftg.-Steel W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Date — 2_ o Card B-1 Date Card B-1 Date%aCard B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 16!Wat rHtr.; Vent -Access -Combustion Air -Baffle 1. ate pe; Test & Anchor -Nail Protection .V.; Test -Fittings & Anchor -Nail Protection -2-67 ower an; Test, First Floor -Tub Access ower, Second Floor -Tub Access as Pipe; Size & Anchors Date A/ JY -`)D Card B - ice Date Card B-1 DateFf-.Z5- 9 A Card B-1 K4.^ .,J JDate Card B-1 Date ELECTJKCAL (PermitjOK except #'s ZbeTFixture & Transformer Clearanc@lps.Ord'tection:> le eceptacles Spacing -Lights & S�ches at Doors . SI oxes & No. of Conductors -Stapled Rom Installed Close to Edge of Studs & C.J. )qui and made up w/Mech. Fastners-Bond Gas & Water Appliance Circuts in Kitchen & Conductor Size/GFI ,_2A SuSfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or3l ge Circ. )SIC -Na. Cu o , ven Circ./ / aa. CC or Al. Ins d Neutral Yes I�N0 ervic iser Conductors & Ground -Main Disconnect 3 uip. Clearances Panels-Motors-Mech. Equip. 3 othes Closet Light -Shower Light -Spa Light 3 oke Detector Date — �ard B-4Date Card B-1 Dat Card B-1 Date Card B-1 Date MECHA AL (Permit) OK except #'s ucts Insulation & Support an; Exhaust above insulation nd to Drain & Overflow; Size ur ce-Vent; Access -Comb. Air -Return Air Vent -115 outlet AWIA-ttic Access & Platform if Furnance in Attic Date WYy 411h Card B-1 —4- Date Card B-1 Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s , Material & Anchors Walls over Girders & Floor Nailing 4top in Walls (rat proof) 4 ire ops; Furred Ceilings -Stairs -Chases -Tub A eaders & Beam -Size & Bearing Date ING (Continued) H ers- st Caps -Anchors -Connectors In . ,)ois Rftr. ties-Purlin—roof Brac-Truss-Shthng.-Rfng. 47. Fire I e Ties or Type A Flue -Fireplace Throat clearance 40li-tic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4 windows or Exiting'Doors-Sill Hgt. & Dimensions arage Fire Protection Framing Line Firewall & Openings Doors -O a T -Check Garage -3rd Story, 2 Exits th-Headroom-Rise-Run-Landing-Fire Protection plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Sidin -Nailing Veneer tucco Mesh -Drip Screed -Fd. Vents-Underfir. Access ErT Glazing Area -Glass Protection -Skylights_ -Plastic, 58. Sh r Walls; Nailing -Bolts Ins on -Walls -Ceilings Infiltration -Walls -Windows Date .'[d Card B-1 DateJV Card B-1 Date /i -'f 0 Card B-1 Date Card B-1 Date FINA Plans OK except #'s teps-Door & Sidelight Protection -Landings Smoke Detector 63._.?Furnace; Vents -Clearance -Comb. Air -Connector - In ge; Above Floor-Ducts-Mech. Protection e om Exiting G. . & Bath Fixtures & Tub Access -Spa lec. Trim & Subpanel; Breaker Sizes & Labels �& Rails Fireplace or Stove; Clearances -Hearth utlets at Wood Panel; Int. & Ext. it.F . & Appliance; Grnd.-Air Gap -Cooking Clearance ec. Outlets & Receptacles at Kit. Counter 42-IG-arage Fire Door; Swing -Landing -Closer ct in Garage -Damper tr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In arage; Above Floor-Mech. Protection PI lec. & Mech. Equip. Listed for Location 7 . Receptacles in Garage; (G.F.I.)-Rome rotection Ve-Insulation-Foarn-Looked in Attic Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth C arance Looked under Flpwfft lJ Yes Following instid.; Drive Yes 0 No; Walks WYes ❑ No; PI niers ❑ Yes &KNo dW"Stucco; 8 wn-Finish C. i , Disconnect, Electrical, Plumbing nts Wve Roof; Plbg.-Appliance-Fireplace.-Clearance to Well; Disconnect, Electrical, Plum 6VE rior Elec. Trim; G.F.I. Receptacle -Underground so"Vewiiation Throughout House ions from Previous Gas -Electric JQ :/ K.Water & Sewer Connected -C/O to Grade -HD Approval (91 -Anergy Compliance Certificate -Other Certificates Date ./3D,Co Card B-1 Date Card B-1 Date �14bard B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orov�e, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT N0. r� _42� ASSESSOR PARCEL NUMB ING �TE BUILDING PERMIT OWNER v �. EPHONE S�fj 7 SO. FT. OCC. BUILDING VALUATION 30o3, 2-D J `v OWNER'S MAILING ADDRESS 2_f5,o `wry 1597 6 q 1. /j ?Q CONTRACTOR'S NAME TELEPHONE '7 O- (:nod ^� d 2 L+ CONTRACTOR'S MAILING ADDRESS Fireplace 0 CONSTRUCTION LENDER UNKNOWN Total Valuation I $ 35 Filing Fee $ 1000 LENDER'S MAILING ADDRESS Permit Fee vZ> $ 211 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ sr Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS a Permit fee $ PLUMBING PERMIT Filing Fee 10.00 .��r �. r�0��� I Each Trap s'1 2.00 Solar or heat pump water heater 1 20.00 LOT. SUBDIVISION NAME JJ, I10� 6n '' rasY PARCEL MAP /{v— (D Water piping 5.00 5 Each qas water heater or vent 5.00 USE OF STRUCTURE SF,e Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW 1 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: 1- •• , _ L n .� �,./ ��L ° Permit Fee $ 6 5" Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 /0 -_ Main service EA. AOD'L 100 AMP 2.50 Z, 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 Professio s Code and my license is in full force and effect.SINGLE 3 License No. Classification \- ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.� CC, SLOGS. ) A New , .% h¢sgft 946 CONST ULTII.OUTLET NON NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e OUTLET CIR. EX. OCcup(OUTLETS OR FIXTURES e AL@AL030 FIXED APLNS. EX. Occup. OUTLETS P(RESID,)REA.) 2.00 Temporary service 10.00 f f) Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating 't 0X 6 Cooling --J / Hood 3.00 Ventilation.ermit ��-� P Fee $ t7 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue ag I st said County in con equence of the granting of this pe mit. X �1 �— Date Signature of Applicant — Owner LJContractor❑ Agent An OSHA permit is required for excavations over 5'0" deep ond demolition or construct- ion of structures over 3 stories in height. 1)4 Mobile Home Installation Fee $ Energy Inspection Fee $ O occ CONST TYPE TOTAL FEE $ S 2 5- ' HAZ CUA PAR sc FLD PAR PD HD ssu This permit is hereby issued under sions of the Butte County. Code and/or work indicated above for which fees IREC R F PUBLIC BY EXPIRES Date_. the applicable provi- resolutions to do have been paid. WORKS Dated ZI4`940 (])it Receipt No. — !� 7, • © WNITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. G0LD.VR..CPJJL4JflPERMIT Y GI COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROL't`E, ZALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET y� y� Permit No. OWNER �� 6t�f /� - /J'/n 2 P 0^� A. P. No. _ Proposed Building Use C4 2 5F Building Inspector G.5.-� '2_55 -Gs' Date/l-//4//-'b ` At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. 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 ... .-,�. S... /�o... /%�� , , , , , , 12. Park fees paid .................................................... 3. ���( L-2School District fees paid .............. 4. Sanitation approval from C 6,/i J Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. A223. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 4: Recorded copy of Agricultural Acknowledgment Statement .........) yn 5. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephonegj!�z�and hold for pickup at office. Deliver w/inspector. Other 1 Applicant ` ri 0 %,VdZ=_Date Copy of plans sent Health Dept., Fire Dept., Other Date x The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---nail—counter by .date Contractor, designer, owner, was advised of above required data by_phone_mall_coymter by date Plans checked Date Plans approved by Sets of plans on hold in . File cabinet AP folder Copy—DPW Date TO Building De�Artient FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location''. AP#:7S Plan 'Approved for: Sewage Disposal Water SuppI Hold final for: Water Supply Final clearance O.K. for: Water Supply Clearance for cula bedroom zobd;*e home. Other NOTE Sanitarian Da te BUTTE COUNTY SCHOOLS DEV LORMENT FEE CERTIFICATION FORM (One Form per Building) A.P. Number-7g'o Building Department No. C/ C "Sc School District y City D County Mvl Jurisdiction Property Owner a,r r`j 'r Project Location/Address Lyy'� zi+ I/csv. 4"k>/✓'a dA- Subdivision �f �w,�/a �� 4'1'} Lot Number Residential Development: � a a , Sq. Footage 3�a3 # of Living MHI Addition (Group R) Units Commercial/Industrial: a i DSq: Footage New Addition (Including Exterior Roofed Areas) Building Department Representative Date (Floor Plans reviewed by School District Personnel) District Id No. 9 -,:-:s �.lAtj AI School District certifies that U (Applicant Name) (Phone Number) (Street Addres � l,C_.Q� C Q 9S ra G (City) (State) (Zip Code) has complied with the requirements of Resolution No. ,3 76 by the payment of $ 1681 b a representing . 3003 square feet. School District Representative Date PAID BY CHECK c�NO. BANK NO /&-3P�� PAID BY CASH REMARKS: white -applicant, yellow -building -department, pink -school district SCHOOL.FEE (8/88) �"``"'tai''."'�`�IRt►r."��{1:..�`I"ray"'f''�"..,oar:fir.�i''i`il4''�i:�°q""eaw"'71"• i `it71�+'=�"'y�T'��"°';"�r.+�iM?yyR..jpP. BUTTE COUNY PARKS DEVELOPMENT FEECERTIFICATIONFORM CHICO AREA REA.EATION SND PARK DISTRICT Assessor Parcel Number (s) !% �' Property Owner X0 her /"- ro'`� Project Location/Address P—Q f31?.✓4 A Subdivision'hJ, J/b,.J / Pn�Q Lot�Number(s) Residential Development: (check one) >' New Development 0 _Alteration/Addition.. Mobilehome(s) `Non -Residential to Residential ti Total Number of:Dwelling Units Comment:— Bt omment: R B g Department R presentative tate' -—Chico Area Recreation and Park District(CARD) certifies that r R0gF2-r, R. tA0P_030 gas -1-1 (Applicant Name) (Phone Number a5s0 A Nw'A 3� (Street Address) 0_t-t%c o r CR QS qa So (City) (State) (Zip Code) has complied with the` -requirements of Butte Co. Resolution No. 89-081 by N "'01 payment for dwelling units @ $722 for total payment of $'10,:.0�3 CARD Representative Date PAID BY CHECK NO. REMARKS: BANK No. q3 -32'C4611 oZi I PAID BY CASH RECEIPT NO. park.fee (7/89) .t .. f ,r STATE OF CALIFORNIA COUNTY OF BUTTE )ss. On JAN 30r 1990 ) before me, the undersigned, a Notary Public in and for said State, personally appeared MOLLIE MORTON and tiE m personally known to me (or proved to me on the basis of satisfactory evidence) to be the persons who executed the within instrumentCL as " 0 00 - "Y&t THE ROBERT R. MORTON, INC. Secretary, on behalf of ... d co C oro a -Anna the corporation therein named, and acknowledged to me than ••••.•••••.°•.°°ee°°u•••••••••••••••w OFFICIAL SEAL U such corporation executed the within instrument pursuant toit: s • ,:... • o' ��•�• LUCY', PERSHALL; �� 4�' _ by-laws or a resolution of its board of directors. ° o - 1 NCTA�Y PUBLIC CALIFORNIA • N °�°� • ` ° WITNESS m ° y hand and official seal. '_ BUFF" COUNTY �"' My Comm. Exp. Jan. 10, 1992 • N M -- � Signa}`ure °O••••°°°•°••••......°vuv0•eGpp•°°vvv ee•M - ---- �-- (This area for official notarial seal) <70 NOTE -,AN Materials & Workmanship Shall Be i& Accordance with Recognized Good Practices an4' of ,a quality prescribed for the Specified use in the. Uniform Building; Plumbing & Mechanical Codes and rhn National Electrical Code. . ibis set of plans and specifications MUST be at all times and it is unlawful to iges or alterations on same with- rmission from the Department of Countv of Butto A setback of 5 ft. from the property lines and a setback of 50 ft. from the road centerline shall be clear of Mures or equipittent except 21t. eave oveftrg. EA -2 ! ,ASEW,S . BUTTE COUNTY L-'C�s# LA� —Sq —h& BUILDING DEPARTMENT APPROVED W %?//�`f 90_'04099 Re -turn -Ko DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT - FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort arising from the use of agricultural chemicals, including, but/not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and Harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: —�7 •s i 90-004099_ R e c Fee 7, Total 7. Recorded ; Official Records ; County Butte MIDVRLLEYTITLE CO. (Candace J. Grubbs ; ttI Recorder 1 B:OOam 31 -Jan -90 ; CD 2 Date: 1/30/90 PROPERTY OWNERS: ROBERT MORTON, INC. MOLLIE MORTON, SECRETARY State of ) On this the day of 19 before SS. 61111nty me, the undersigned Notary Public, personally appeared of .. ) Personally known to me. / / Proved to me on the basis of satisfactory evidence. to be the person(s) whose names) subscribed to _ the within instrument and acknowledged that executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. 'a `r r Notary Public Present A.P. No. s C A S I F: R DESCRIPTION: e '90-04099 ORDER NO. BU -109652 LP ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS: PARCEL I• LOT 9, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "WILLOW BEND SUBDIVISION", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 5, 1989, IN BOOK 116 OF MAPS, AT PAGE(S) 68, 69, 70 AND 71. SUBJECT TO COVENANTS, CONDITIONS AND RESTRICTIONS, RECORDED OCTOBER 17, 1989, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 89- 40206. RESERVING THEREFROM A 10.00 FOOT STORM DRAIN EASEMENT, AS SHOWN ON SAID MAP. SAID EASEMENT IS FOR THE BENEFIT OF AND APPURTENANT TO LOTS 1 THROUGH 8 AND 10 THROUGH 21. ALSO RESERVING THEREFROM AN EASEMENT FOR INGRESS, EGRESS, SUPPORT AND STORM DRAIN OVER WILLOW BEND DRIVE, AS SHOWN ON SAID MAP. SAID EASEMENT IS FOR THE BENEFIT OF LOTS 1 THROUGH 8 AND 10 THROUGH 21. PARCEL II• A 10.00 FOOT STORM DRAIN EASEMENT OVER LOTS 1, 2, 10, 13, 16, 17, 19 AND 20, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "WILLOW BEND SUBDIVISION", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 5, 1989, IN BOOK 116 OF MAPS, AT PAGE(S) 68, 69, 70 AND 71. PARCEL III• AN EASEMENT FOR INGRESS, EGRESS, SUPPORT AND STORM DRAIN, OVER WILLOW BEND DRIVE, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "WILLOW BEND SUBDIVISION", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 5, 1989, IN BOOK 116 OF MAPS, AT PAGE(S) 68, 69, 70 AND 71. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. " .- END OF DOCUMENT Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. The property described herein is adjacent to -land or included - within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: BUTTE COUN,TY RERDE SERIAL NO.09� RECORDED A4 THE REOUEST'OF MID VALLEY TITLE COMPApf DATE RECORDED: AN 3 X990 TIME:,,f.'Odi9 P7 Z. XC) Date: PROPERTY OWNERS: 1.2 STATE OF CALIFORNIA i )ss. COUNTY OF BUTTE On JAN 30, 1990 _ before me, the undersigned, a Notary Public in and for C said State, personally appeared MOT ,T.TF. MORTON and E personally known to me (or proved to me on the a N c G basis of satisfactory evidence) to be the persons who executed the within instrument as ii= o �i_K*M THE Secretary, on behalf of oL) ROBERT R.MORTON , INC. ' the corporation therein named, and acknowledged to me that ................... ...................... bcU such corporation executed the within instrument pursuant to its :p� OFFICIAL SEAL.H : g?,: LUEY A_ PERPALL - a by-laws or a resolution of its board of directors. <'•.�, I,C TAR( PU u.-�„ cUC • CALIFORNIA -a.., BUTTE COUNTY Go WITNESS my hand and official seal. <o ny Ccr:Im. Exp. Jan. 10, 1992 ......................................... N Cl) Signature. - C /J-�4.'C L,(% �7_� (This area for official notarial seal) , before peared I the basis evidence. •ubscribed to tined. -fficial seal. c ORDER NO. BU -109652 LP DESCRIPTION: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS: PARCEL I• LOT 9, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "WILLOW BEND SUBDIVISION", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 5, 1989, IN BOOK 116 OF MAPS, AT PAGE(S).68, 69, 70 AND 71. SUBJECT TO COVENANTS, CONDITIONS AND RESTRICTIONS, RECORDED OCTOBER 17, 1989, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 89- 40206. RESERVING THEREFROM A 10.00 FOOT STORM DRAIN EASEMENT, AS SHOWN ON SAID MAP. SAID EASEMENT IS FOR THE BENEFIT OF AND APPURTENANT TO LOTS 1 THROUGH 8 AND 10 THROUGH 21. ALSO. RESERVING THEREFROM AN EASEMENT FOR INGRESS, EGRESS, SUPPORT AND STORM DRAIN OVER WILLOW BEND DRIVE, AS SHOWN ON SAID MAP. SAID EASEMENT IS FOR THE BENEFIT OF LOTS 1 THROUGH 8 AND 10 THROUGH 21. PARCEL II: A 10.00 FOOT STORM DRAIN EASEMENT OVER LOTS 1, 2, 10, 13, 16, 17, 19 AND 20, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "WILLOW BEND SUBDIVISION", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 5, 1989, IN BOOK 116 OF MAPS, AT PAGE(S) 68, 69, 70 AND 71. PARCEL III• AN EASEMENT FOR INGRESS, EGRESS, SUPPORT AND STORM DRAIN, OVER WILLOW -BEND DRIVE, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "WILLOW BEND SUBDIVISION", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 5, 1989, IN BOOK 116 OF MAPS, AT PAGE(S) 68, 69, 70 AND 71. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. PAGE 5 Certificate of Compliance: Residential Climate Zone 11 Project Title Building Permit # Project Address Checked By /Data Documentation Author Telephone Enforce, ent Agency Use Only BUILDING DATA Conditioned Floor Area Slab/Raised Floor [ ] Single Family Detached (SFD) [ ] Single Family Attached (SFA) [ J Multi -Family (MF) Number of Stories Number of ..Units [ ] Addition Alone [ ] Existing Building [ ] Existing -Plus -Addition North East South West Skylight' Total Glass Area % Glass BUILDING SHELL INSULATION. Component Insulation LocafloNComments Type R -Value (alder, to garage, raical, eta.) Wall .............. Wall......... . Roof ............. Roof ............. Floor ............. 7.7 Floor ............. Slab Edge..... GLAZING Shading Devices . Glazing - Area - Glass'pe Interior. . Exterior Overhang Fratning Type Orientation (sf) (single. double) (roller blind, etc.) (shadescreen, eta.) (yes/no) (metalhmcid) - North ( ) North ( ) East East ( ) - South Sou th ( ) West { ) West ( ) Skylight....... _ _ �- THERMAL MASS �" Type/Covering Area Thickness (slab/exposed, tile, etc.) (So (inches) LOcatioryDescliption (kitchem bath, etc.) -`HVACSYSTEMS Minimum `"-Duct Type (furnace, air Efficiency Location Duct Output Manufacturer / Model # conditioner, heat pump) (SE. SEER,HSPF) (attic, etc.) R -Value (Btuh) (or approved equal) Maximum Furnace Heating Output: Btuh HOT WATER SYSTEMS Tank Manufacturer/Model # System Type (storage gas, etc.) Capacity (or approved equal) Special Feature(s) SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) r Mandatory Measures Checklist: Residential MF -IR NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the coinplilk= approach used. Items marked with an asterisk (-) may be superseded by more stringent compliance rcquuements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents. the features noted "I be considered by all parties as binding minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. DESCR1PnON DESIGNER ENFORCEA/ENr Building Envelope Measures - §2.5352(a): Minimum ceiling insulation R.19 weighted average. §2.5352(b): Loose fill insulation manufacturer's labeled R -Value. - §2.5352(c): Minimum wall insulation in framed walls R-1 I weighted average (does not apply to exterior mass walls). 62-5352(k): Slab edge insulation - water absorption rate no greater than 0.3%. water vapor transmission rate no greater than 2.0 perm/inch. ' §2.5311: Insulation specified or installed meets California Energy Commission (CEC) quality standards. Indicate type and form. §2-5352((): Vapor barriers mandatory in Climate Zones 14 and 16 only. 12-5317: Infiltration/Exfiltration Controls a. Doors and windows between conditioned and unconditioned spaces designed to limit au leakage. b. Doors and windows certifted. c. Doors and windows weatherstripped; all joints and pencaakions cau&" and seakd. §2-5352(e): Special infiltration barrier installed to comply with §2-5351 mats CEC quality standards. 62-5352(d): Installation of Fireplaces I. Masonry and factory -built fireplaces have: a. Tight fitting, closeable metal or glass door b. Outside au intake with damper and control e. Flue damper and control 2. No continuous burning gas pilots allowed. HVAC and Plumbing System Measures 12-5352(g) and 2-5303: Space conditioning equipment siring: attach calculations. 02-5352(h) and 2-5315: Setback themroata: on all applicable heating systems. §2.5316(a): Ducts constructed, installed and insulated per Chapter 10. 1976 UMC. §2-5316(b): Exhaust systems have damper controls. 12-5314(c): Gas -feed space heating equipment has intermittent ignition devices - §2-5314: HVAC equipment, water heaters, showerheads and fauces entified by the CEC. ' §2.5352(1): Water heater insulation blanket (R-12 or greater) or combined interior/exterior insulation (R-16 or greater); fust 5 fees of pipes closest to tank insulated (R-3 or greater). §2.5312(Exception p: Pipe insulation on steam and steam condensate return & recirculating _ piping. §2-5318(d): Swimming Pool Heating 1. System has: -- a. On/off switch on heater. - - b. Weatherproof instruction plate on heater. e. Plumbed to allow for solar. 2: 75 percent thermal efficiency. 3. Pool cover. 4. Time clock. 5. Directional water inlet. Lighting and Appliance Measures - §2.5352(j): Lighting - 25 lumens/watt or greater for general lighting in kitchens and bathrooms. 62-5314(c): Gas fired appliances equipped with intermittent ignition devices. 12-5314(a): Refrigerators, refrigerator -freezers, freezers and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with Title 24. Chapter 2-53 and Title 20. C apteir 2. Subchapter 4. Article I of the California Administrative code. This certificate has been signed by the individual with overall design responsibility and the building owner, who shall retain a copy of it and transmit the certificate to any subsequent purdtaser of the building. Designer Building Ownlr-w Name: Name:�9�C TWC/FWM TitkJFum: Addren: Addrew. Tekphonc Tckphone: Lic. A: \' (signature) (date) (signature) (date) Documentatlon Author Enforcement Agency Name: Name: Tide/Furn: Agave r: Address: Telephone: 1. Ceiling Insulation M 3 -1 0.80 Number of stories -1 0 R -value One Two Three R-0 -103 -49 -32 R-19 -8 -4 -2 R-30 .2 -1 .1 R-38 0 0 0 U -value 40 -90 37 0.50 -176 -84 -54 0.30 -102 -49 32 0.10 -26 -13 -8 0.08 -18 -9 -6. 0.06 -11 -5 -4 0.04 -4 -2 -1 0.02 4 2 1 0.00 11 5 3 2. Wall Insulation -52 -17 -9 Single- Single' 13 26 Family Family Multi - R -value Detached Attached Family R-0 -68 -51 -34 R-11 0 0 0 R-13 2 2 1 RA 8 6 4 U -value -4 2 8 0.80 -153 -114 -76 0.50 -91 -68 -46 0.30 -47 -36 -24 0.10 0 0 0 0.08 4 3 2 0.06 9 7 5 0.04 14 11. 7 0.02 19 14 10 0.00 24 18 12 3. Raised Floor Insulation -23 -1 Insulation in Floor 8 12 17 Number of stories -20 R -value One Two Three R-0 -17 -8 -5 R-11 -3 -2 -1 R-19 0 0 0 R-30 3 1 1 U -value 4 8 11 - 0.60_ -144 -70 -46 0.50 -120 -58 38 0.40 -95 -46 30 0.30 -69 34 -22 0.20 -43 -21 -14 0.10 -17 -8 -5 0.08 -11 -6 -4 0.06 -6 -3 -2 0.04 -1 0 0 0.02 4 2 1 0.00 10 5 3 Controlled Ventilation Crawlspace 2.3 0.40 Number of stories 5 R -value One Two Three R-0 -11 -7 -5 R-5 -4 -4 3 R-11 -2 -2 -2 R-19 .1 -2 .2 4. Slab Edge Insulation -8 10 7 Number of Stories 1.20 R -value One Two Three R-0 0 0 0 R-5 8 5 2 R-7 8 6 3 F2 factor 0.90 -4 3 -1 0.80 -1 -1 0 0.70 2 2 1 0.60 6 4 2 0.50 9 6 3 0.40 12 8 4 5. Infiltration (Air Leakage) -- Specification Points Standard 0 6. Glass Heat Loss Total -14 -48 -69 -64 U -value %Glass Percent East South .51 to .41 to .31 to 0.30 or Glass Single Double .60 .50 .40 less 50 -121 -53 -39 -24 -10 4 40 -90 37 -26 -14 -3 8 35 -75 -29 -19 -9 1 10 30 -61 -21 -13 -4 4 12 29 -58 -20 .12 3 5 12 28 -55 -18 -10 -2 5 13 27 -52 -17 -9 -2 6 13 26 -49 -15 -8 -1 7 14 25 -46 -14 -7 0 7 14 24 -43 -12 -5 1 8 14 23 -40 -11 -4 2 8 15 22 -37 -9 -3 3 9 15 21 34 -7 -2 4 10 15 20 31 -6 0 5 10 16 19 -29 -4 1 6 11 16 18 -26 3 2 7 12 16 17 -23 -1 3 8 12 17 16 -20 0 4 9 13 17 15 -17 1 6 10 14 17 14 -14 3 7 10 14 18 13 -12 4 8 11 15 18 12 -9 6 9 12 15 19 11 -6 7 10 13 16 19 10 3 9 11 14 17 19 9 -1 10 13 15 17 20 8 2 12 14 16 18 20 7..Shading (Shade Open) Effective Percent class (percent gtass x SC) Effective -14 -48 -69 -64 na %Glass North East South West Skylight 18 5 1 4 1 na 16 4 2 5 1 na 14 4 2 5 1 na 12 3 3 5 2 na 11 3 3 5 2 -65 10 _ 2 3 5 2 _na 1 9 2 3 5 2 2 8 2 3 5 2 2 7 1 3 4 2 2 6 1 3 4 2 3 5 1 2 4 2 3 4 0 2 3 1 3 3 0 1 2 1 3 2 0 0 1 0 3 1 -1 -1 -1 -1 2 0 -1 -2 -4 -2 0 na = not allowed 8. Shading (Shade Closed) E fective Pereeat Glass (percent Siris x SC) Effective Glass North East South West Slty6ght 18 -14 -48 -69 -64 na 16 -12 -42 -59 -55 na 14 -10 -35 -50 -46 na 12 -8 -29 -40 -37 na 11 -7 -26 -36 -33 na 10 -6 -23 -31 -29 -74 9 -5 .20 -27 -25 -65 8 -5 -17 -23 -21 -56 7 -4 -14 -19 -18 -47 6 -3 -11 -15 -14 -38 5 -2 -9 -11 -10 -30 4 -1 -6 -8 -7 -23 .3 0 -4 -5 -4 -16 2 1 .1 -2 -1 .9 1 1 1 1 1 -4 0 2 3 4 3 0 na . not allowed 9. Interior Thermal Mass Interior_ Climate Zone 11 Slab Floor Unit Size (sQ Raised Floor Water Mass 1199 Stories 1700 2200 Stories attic) /CFA One Two Three One Two Three 0.0 -8 -5 -4 .2 -1 .1 0.1 -8 -5 -3 -1 0 0 0.3 -7 -4 -2 0 1 1 0.5 -6 -3 -1 1 1 2 0.7. -5 -2 -1 1 2 2 0.9 -5 -1 0 2 3 3 1.1 -4 .1 1 3 4 4 1.3 -3 0 2 3 4 5 1.5 -3 1 2 4 5 5 2.0 -1 2 4 5 6 7 2.5 0 3 5 7 7 8 3.0 1 4 6 8 8 9 3.5 2 5 7 9 9 10 4.0 3 6 8 9 10 10 4.5 3 7 8 10 11 11 5.0 4 7 9 11 12 12 5.5 5 8 9 11 12 12 6.0 5 8 10 12 13 13 6.5 6 9 10 12 13 13 7.0 6 9 11 13 13 14 7.5 6 10 11 13 14 14 8.0 7 10 11 13 14 14 8.5 7 10 12 13 14 15 10. Exterior Wall Thermal Mass 7 Exterior 4 Single- Single - 6 4 Wall 3 Family Family Multi WSB Mass 4 Detached Attached 2 Family 0.00 9. 0 3 0 0 SE 0.20 -45 3 -.15 2 1 2.3 0.40 2 5 1 4 3 a8 0.60 -23 8 -8 6 4 5.3 0.80 -25 10 -8 8 5 1.1 1.00 _23 13 -8 10 7 IG 1.20 -8 13 -3 12 8 4.1 1.40 6 12 2 13 9 5.6 1.60 1_ 10 0 13 11 lE 1.80 30 10 -10 12 12 2.9 200 18 10 6 11 13 4.4 11. Heating System Climate Zone 11 SCORE CARD Unit Size (sQ . Water SE or HSPF 1199 1200 1700 2200 (assumes ducts In attic) In attic) or to to Sum of 1.6 - - Type -25 or -24 to -14 to -4 to +6 to 16 or SE HSPF less -15 -5 +5 +15 more 0.72 6.60 0 0 0 0 0 0 0.75 6.88 3 3 3 2 2 1 0.80 7.33 8 7 6 5 4 3 0.85 7.79 13 11 10 8 7 5 0.90 8.25 17 15 13 it 9 7 0.95 8.71 20 18 , 15 13 11 8 1 Effective SE or HSPF 7 6 5 (SE or HSPF x duct efficiency) 3 Effective -25 or -24 to -14 lo -4 to +610 16 or SE HSPF less -15 -5 +5 +15 more 0.30 2.75 -73 -64 -56 -47 -38 -30 na 3.41 -45 -39 -34 -29 -24 -18 0.40 3.67 -34 -30 -26 -22 -18 -14 0.50 4.58 -10 -9 -8 -7 -5 -4 0.56 5.13 0 0 0 0 0 0 0.60 5.50 ' 5 5 4 3 3 2 0.70 6.42 17 15 13 11 9 7 0.80 7.33 25 .22 19 16 13 10 0.90 8.25 32 28 24 20 17 13 1.00 9.17 37 32 28 24 19 15 8.0 Zonal Control Adjustment 5 System Type 3 9.0 16 14 12 Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 12. Cooling SysG!m Climate Zone 11 SCORE CARD Unit Size (sQ . Water SEER 1199 1200 1700 2200 2700 (assumei ducts In attic) or to to St•m of 7-10 or -Type Type less -25 or -24 to -14 to -410 +6 to 16 or SEER less _-15 -6 +5 +15 more 8.0 -14 -12 -10 -8 -6 -4 8.5 -9 -7 -6 -5 -4 -3 8.9 -5 -4 -4 -3 -2 -2 9.0 -4 -3 -3 2 -2 -1 9.5 0 0 0 0 0 0 10.0 4 3 3 2 2 1 10.5 7 6 5 4 3 2 11.0 10 9 7 6 4 3 12.0 15 13 11 9 7 5 13.0 20 17 14 12 9 6 -12 -9 Effective SEER -6 IG None (SEER xduct efficiency) -3 -2 -2 Sam of 7-10 1.4 Solar 7 Effective -25 or -24 to -14 to -4 to +61D 16 or SEER less -15 -5 +5 +15 more 5.0 30 -25 -21 -17 -13 .9 6.0 -12 -11. -9 -7 -6 -4 6.6 -5 -4 -4 -3 -2 -2 7.0 0 0 0 0 0 0 8.0 9 8 6 5 4 3 9.0 16 14 12 9 7 5 10.0 22 19 16 13 10 7 11.0 26 23 19 15 12 8 12.0 30 26 22 18 14 9 13.0 33 29 24 20 15 10 or Zonal Control Adjustment 7 5 4 10 8 7 6 4 3 3 No Cooling System Installed 3.4 Stories One -5 -4 -4 -3 -2 -2 Two + 3 3 2 2 2 1 Single -Family Detached and Attached Interior Mass/CFA % TYPE 2 Puss Climate Zone 11 SCORE CARD Unit Size (sQ . Water Measures 1199 1200 1700 2200 2700 Heater Credit or to to to or -Type Type less 1699 2199 2699 more SG None 0 0 0 0 0 or Solar 12 8 6 5 4 HP HWR 8 5 4 3 3 WSB 5 3 3 2 2 30% POU 8 5 4_ 3 3 SE None -37 -24 -18 -15 -12 100% 105% 110% 115% 120% 125` Solar -1 -1 -1 0 0 1.1 HWR -18 -12 -9 -7 -6 2.5 WSB .25 -16 -12 -10 -8 4 POU -18 -12 -9 -7 -6 IG None -5 -3 -2 -2 -2 1.4 Solar 7 5 4 3 2 2.9 POU 3_ 2 1 1 1 IE None -28 -19 -14 -11 -9 0.3 Solar 8 5 4 3 3 1.8 POU -10 -6 -5 -4 -3 3.3 Multi -Family (individual 3.7 units) 4.1 4.3 4.5 4.8 Unit Size (sQ 5.2 Water 56 699 700 1200 1700 2200 Hamer Credit or b to to or Type Type less 1199 1699 2199 more SG None 0 0 0 0 0 or Solar 14 7 5 4 3 HP HWR 9 5 3 2 2 3.4 WSB 9 4 3 2 2 4.9 POU 9. 5 3 2 2 SE None -45 -23 -.15 -11 -9 2.3 Solar 2 1 1 0 0 a8 HWR -23 -12 -8 -6 -5 5.3 WSB -25 -13 -8 -6 -5 1.1 PQU _23 12 -8 -6 -5 IG None -8 -4 -3 .2 1 -2 4.1 Solar 6 3 2 1 1 5.6 POU 1_ 0 0 0 0 lE None 30 -15 -10 -8 -6 2.9 Solar 18 9 6 4 4 4.4 POU -8 -4 -3 -2 .2 Interior Mass/CFA % TYPE 2 Puss Climate Zone 11 SCORE CARD % Total Glass [ 161 . Measures Eff. % Glass 1. Ceiling Insulation X or R -value [38] U -value [0.030] 2. Wall Insulation or X R-value[il] U-value[0.098] 3. Raised Floor Insulation X or R -value 1191 U -value [0.037] 4. Slab Edge Insulation InC•..7) Icarpet*a .lel or R -value [O] F2 factor [0.77] Standard = • TYPE I KA55 WInC a 4. 2, le: e.■ scd slab) - X X = 0% 5% 10Y. 15% 20% 2S% 30% 35% 40% 45% 50% 55% 60% 659. 70% 75% 80% 85% 907E 95% 100% 105% 110% 115% 120% 125` OY. 0 0.2 0.4 0.6 0.8 1.1 1.3 1.5 1.7 1.9 2.1 2.3 2.5 2.7 29 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.6 5 53 10Y. 0.2 0.4 0.6. 0.8 1 1.2 1.4 1.6 1.9 2.1 2.3 23 21 2.9 3.1 3.3 3.5 3.7 4 4.2 4.4 4.6 4.8 5 5.2 5.4 20% 0.3 0.6 0.8 1 1.2 1.4 1.6 1.8 2 2.2 2.4 2.1 29 3.1 3.3 3.5 3.7 9.9 4.1 4.3 4.5 4.8 5 5.2 5.4 56 30% 0.5 0.7 0.9 1.4 1.6 1.8 2 2.2 2.4 2.6 2.8 3 3.2 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 se 4W. 0.7 0.9 .,1.1 1.1--1.3 1.5 1.7 1.9 2.2 2.4 2.6 2.8 3 12 3.4 9.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 = -50% -0.9---4.1 _:=1.3 1.5 1.7 1.9 2.1 2.3 2.5 2.7 3 32 3,4 3.6 a8 4 42 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 55% 0.9 1.1 1.4 1.6 1.8 2 2.2 24 2.6 28 3 32 3.5 3.7 39 4.1 4.3 4.5 4.1 4.9 5.1 5.3 5.6 5.9 6 62 60% 11.2 1.4 1.7 1.9 2.1 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 ' 5 5.2 5.4 5.6 5.9 6.1 63 65% 1.1 1.3 1.5 1.7 1.9 2.2 2.4 2.6 2.8 3 3.2 3.4 36 3.8 4 4.3 4.5 4.7 4.9 5.1 53 55 5.7 5.9 6.1 64 70% 1.2 1.4 1.6 1.8 2 2.2 2.5 27 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 52 5.4 5.6 58 6 6.2 64 75% 1.3 1.5 1.7 1.9 2.1 2.3 25 2.7 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 WY. 1.4 1.6 1.8 2 2.2 2.4 2.6 2.8 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.0 5.1 5.4 56 5.8 6 62 64 66 85% 1.41.7 1.9 2.1 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 5 52 54 5.6 59 6.1 63 65 67 90% 1.5 1.7 2 2.2 2.4 2.6 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 53 5.5 5.7 5.9 6.2 6.4 66 68 95% 1.6 1.8 2 2.2 2.5 2.7 2.9 3.1 33 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 5.2 5.4 5.6 5.8 6 6.2 6.4 6.7 6.9 100% 1.7 1.9 2.1 2.3 2.5 28 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 53 5.7 5.9 6.1 6.3 6.5 6.7 7 105% 1.8 2 2.2 2.4 2.6 2.8 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 5.6 5.8 6 6.2 6.4 6.6 68 1 1109. 1.9 2.1 2.3 2.5 2.7 2.9 3.1 3.3 3.6 3.8 4 4.2 4.4 4.6 4.8 5 5.2 5.4 5.7 5.9 6.1 6.3 6.5 6.7 69 7.1 115% 2 2.2 2.4 2.6 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 S.3 5.5 5.7 5.9 6.2 6.4 6.6 6.8 7 7.2 120% 2 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.4 4.6 4.8 5 5.2 5.4 5.6 58 6 6.2 6.5 6.7 6.9 7.1 7.3 125% 2.1 2.3 2.5 2.8 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.7 7 7.2 7.4 Point System Summary: Climate Zone 11 SCORE CARD % Total Glass [ 161 . Measures Eff. % Glass 1. Ceiling Insulation X or R -value [38] U -value [0.030] 2. Wall Insulation or X R-value[il] U-value[0.098] 3. Raised Floor Insulation X or R -value 1191 U -value [0.037] 4. Slab Edge Insulation or R -value [O] F2 factor [0.77] S. Infiltration Standard = 6. Glass Heat Loss 7. Shading (Shade Open) a. North b. East c. South d. West e. Skylight 8. Shading (Shade Closed) a. North b. East c. South d. West e. Skylight 9. Interior Thermal Mass 10. Exterior Wall Nfass 11. Heating System Zonal Control? ( Y / N ) 12. Cooling System Zonal Control? ( Y / N ) 13. Water Heating Point Scores R1 Type [double] U -value [0.65] % Total Glass [ 161 .% Glass SC Eff. % Glass X = X = X = X = X = % Glass SC Eff. % Glass X = X = X X = X = TYPE 1 MASS AREA % GOND. FLOOR AREA InteriorNnss/CFA TYPE 2 MASS AREA 8 Exterior Wall Mass ND. L OR AREA X = SE or HSPF Duct Efficiency 10.78] Effective SE or [0.72/6.6] HSPF 10.5615. 151 X = SEER [9.5] Duct Efficiency (0.74] Effective SEER 17.031 Type [SG] Credit [none] Point Total: Sum lb Sum 7.10