HomeMy WebLinkAbout042-770-023BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
INSPECTION CARD MUST BE ON JOB SITE
24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico)
Office: (530) 538-7541 Fax: (530) 538-7.140 Website:www.buttecounty.net/dds
Permit No: B07-0172 Issued: 02/13/2007
Address: 745 SANTIAGO CT Area: CHICO
Owner: MANCINI, MARK A. & SAPN: 042-770-023
Applicant: PERFECTION POOLS & Map Page:
Permit Type: Private Pool Iy Q% r 1
Description: INGROUND POOL: MASTER#01-500
f
AREA
Flood Zone: SRA Area:
SETBACKS
Front Setback: 20' Side Setback: 5'
Rear Setback: 5' Other Setback:
Minimum Setback From Centerline of Street:
ALL PLAN REVISIONS MUST BE APPROVE) BY THE COUNTY BEFORE PROCEEDING
I
Inspection Type
IVR INSP DATE
Setbacks
132
Foundations / Footings
111
Pier/Column Footings
122
Grade Beams
802
Eufer Ground
t122
Forms/Steel/Holdowns
Do Not Pour Concrete Until Above are Signed
Pre -Slab
124
Gas Test House
404
Gas Test Yard
404
Masonry Grout
120
Masonry Bond Beam
119
Underfloor Framing
149
Underfloor Ducts
319
Shear Transfer
136
Under Floor Plumbing
412
Under Slab Plumbing
411,
Gas Piping
403
Do Not Install Floor Sheathing or Slab: Until Above Signed
Holdowns/Straps
122"
Shearwall/B.W.P.-Interior
135
Shearwall/B.W.P.-Exterior
135
Roof Nail/Drag Trusses
129
Do Not Install Siding/Stucco or Roofing Until Above Signed
Rough Framing
128
Rough Plumbing
406
Rough Mechanical
316
Rough Electrical
208
Gas Piping
403
Shower Pan/Tub Test
408
Fire Sprinkler Test
702
Fire Sprinkler Final
702
Is
f
Building Final
802
Electrical Final
803
Mechanical Final
809
Plumbing Final
813
Pool Final
802
Mobile Home Final
802
Inspection Type 1
IVR I INSP
I DATE
Do Not Insulate Until Above Signed
Env. Health Final
Wall Insulation
117
Ceiling Insulation
118
**PROJECT FINAL
Do Not Cover Until Above Signed
T -Bar Ceiling / RC
145
Stucco Lath
142
Stucco Scratch
143
Stucco Brown
144
Swimming Pools
Setbacks
132 Lm_
.�
Pool Plumbing Test
504 e.'Z
Gas Test
404
Pre-Gunute vV\S
506
Z .<
ool Elec/Bon m ight Nitch
502 a c
Pool Fencin arms/Baniers
503 C-
Pre -Plaster
507 p e-
1 5-1 -o•Manufactured
Homes
Setbacks
132
Blocking/Underpining
612
Tiedown/Foundation System
611
Site Utilities/Trench Insp.
137
Gas Test Yard
404.
Manometer Test
605
Continuity Test
602
Skirting/Steps/Landings
610
Coach Info
Manufactures Name:
Date of Manufacture:
Model Name/Number:
Serial Numbers:
Length x Width:
Insignia:
Public Works Fina
538-7681
Fire Department/CDF
538-7111
Env. Health Final
538-7281
Sewer District Final
**PROJECT FINAL
801
-rrviect anal is a t-eruncate of occupancy iorTKesgennai vniy)
PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A 1 YEAR
RENEWAL 30 DAYS PRIOR TO EXPIRATION
Inspectcr Copy
I
;'T
Butte County Department of Development Services
TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR
7 County Center Drive
Oroville, CA 95965
(530) 538-7601 Telephone
(530) 538-7785 Facsimile
www.buttecounty.net/dds
www.buttegeneralplan.net
REQUIRED SWIMMING POOL SAFETY UPGRADES (EFFECTIVE JANUARY 1, 2007)
TO: All Single Family Residential Remodel and Modification Permit Applicants
FROM: Scott Rutherford
Manager, Building Division
RE: Correction of Pool: & Spa Hazards, Assembly Bill 2977 (Mullin) Chapter 478, Statutes of 2006
California Health and Safety Code Section 115928
DATE: February 28, 2007
To eliminate safety hazards on existing pools and spas, Assembly Bill 2977 (Chapter 478, Statutes of 2006), effective January 1, 2007,
requires the installation of pool anti -entrapment covers whenever a building permit is issued for the remodel or modification of a
single family home. The permit shall require that the suction outlet of the existing swimming pool, toddler pool, or spa be upgraded so
as to be equipped with an anti -entrapment cover meeting current standards of the American Society for Testing and Materials (ASTM)
or the American Society of Mechanical Engineers (ASME), ASME/ANSI Standard A 11219.8.
DECLARATION
The property located at ! L` �1�/V 1 f M� C''tD _. L�'I C _ C } ' has: (Check all that apply)
a swimming pool ❑ a spa ❑ a wading !toddler pool O does riot have a swimming pool, spa, or wading/toddler pool
If there is an existing swimming pool, spa, or wading/toddler pool, I understand that a pool anti -entrapment device is required at the
above address in -conjunction with my permit. I also understand that if a pool anti -entrapment device is required, the completed
Installation Certification below must be received by the building inspector at final inspection. Please note that permits cannot receive
final inspection approval without this certification.
1 a�(ftvlz'
e t1and understan the requirements of AB 2977 and that the abo a is true and correct.
Signatu Print Name Date
Relationship to Project (please check one):
O Owner ❑ Agent for Owner O Licensed Contractor Agent for Licensed Contractor
Company Name Contractor's State License Number
INSTALLATION CERTIFICATION
For the property located at `t
SAW'�+ i C -D
I hereby certify that an anti -entrapment cover meeting the current standards of the Ai
PA ican ocie of Mechanical Engineers is installed in the swimming pool
Signa u Print Name
Relationship to Project (please check one):
O Owner O Agent for Owner
❑ Other.
rican Society for Testing and Materials, or
O spa O, wading /toddler pool
M
❑ Licensed Contractor X Agent for licensed Contractor
If "Licensed Contractor" or "Agent for Licensed Contractor" is checked, please complete the following:
Tar
�t �o �o _ y
Company Name Contractor's State License Number
K:Forms/Building Forms/Swimming Pool Affidavit Anti -Entrapment
Updated: 2128/2007
Excerpt from .California Health and Safety Code
Section 115928
115928(d) Whenever a building permit is issued for the remodel or modification of a single
family home with an existing swimming pool, toddler pool, or spa, the permit shall require
that the suction outlet of the existing swimming pool, toddler pool, or spa be upgraded so
as to be equipped with an anti -entrapment cover meeting current standards of the
American Society for Testing and Materials (ASTM) or the American Society of Mechanical
Engineers (ASME)."
To view the entire code, please visit:
California Health and Safety Code
http://www.leginfo.Ga.gov/calaw.html
p♦,
I(Yorms/Build'mg FocmS/Swimm'ing Pool Affidavit Anti -Entrapment updated: 2/28/2007
I ,
I(Yorms/Build'mg FocmS/Swimm'ing Pool Affidavit Anti -Entrapment updated: 2/28/2007
Butte County Department of Development Services
TIM SNELLINGS, DIRECTOR ( PETE CALARCO, ASSISTANT DIRECTOR
7 County Center Drive
Oroville, CA 95965 ,
(530) 538-7601 Telephone
(530) 538-7785 Facsimile
www.buttecounty.net/dds
www.butteaeneralplan.net
REQUIRED SWIMMING POOL SAFETY UPGRADES (EFFECTIVE -JANUARY 1, 2007)
TO:. All Single Family Residential Remodel and Modification'Permit Applicants
FROM: Scott Rutherford
Manager, Building Division
RE: Correction of Pool & Spa Hazards, Assembly.Bill 2977 (Mullin) Chapter 478, Statutes of 2006
Califomia Health and Safety Code Section 115928
DATE: February 28, 2007
AW
To eliminate safety hazards on existing pools and spas, Assembly Bill 2977 (Chapter 478, Statutes of 2006), effective January 1, 2007,
requires the installation of pool anti -entrapment covers whenever a building permit Is Issued for the remodel or modification of a
single family home. The permit shall require that the suction outlet of the existing swimming pool, toddler pool, or spa be upgraded so
as to be equipped with an anti-entrapme6t(cover meeting current standards of the American Society for Testing and Materials (ASTM)
or the American Society of Mechanical Engineers (ASME), ASME/ANSI Standard A 11219.8.
DECLARATION
The property located at S/1V 1,46-0 Cil l CLQ has: (Check all.that apply)
a swimming pool ❑ a spa Ci- a wading /toddler pool O does not have'a swimming pool, spa, or wading/.toddler.pool 't -
If there is an existing swimming pool, spa, or wading/toddler pool, I understand that a pool anti -entrapment device is required at the
above address in conjunction with my permit. I also understand that if a pool anti -entrapment device is required, the completed -
Installation Certification below must be received by the building inspector at final inspection. Please note that permits cannot receive
final Inspection approval wiihoukt this certification.
I ackno ge that I ave read and tiriderstand the requirements of AB 2977 and that the above is true and correct.'
16
Signa PrintEme Da
Relationship to Project (please check one):
❑ Owner ❑ Agent for Owner , )K Licensed Contractor O Agent for Licensed Contractor
1��I2�o--�trr�c� �r�DLS Sb6L�S�[
Company Name Contractor's State License Number
INSTALLATION CERTIFICATION
For the property located at % Y.S� 541te) fi,4&d IS/ to .
I hereby certify that an anti -entrapment cover meeting the curreW- �ndards of theme/ i
the American Society of Mechanical Engineers is installed in the 9swimming pool
Signature Print Name
Relationship to Project (please check one):
❑ Owner O Agent for Owner
O Other.
an Society for Testing and Materials, or
O spa O wading /toddler pool
ZN- 07
Dat
Vf Licensed Contractor ❑ Agent for Licensed Contractor
If "Licensed Contractor' or "Agent for Licensed Contractor" is checked, please complete the following:
Company Name Contractors State License Number
K:FormsMuilding Forrns/Swimming Pool Affidavit Anti -Entrapment
Updated: 2/28/2007
± �•4'� nom.
.
Excerpt from _California Health and Safety,Code
-Section 115928
115928(d) Whenever a building permit is issued for the remodel or modification of a single
family home with an existing swimming pool,. -toddler pool, or spa; the permit,shall require`
: R
that the suction outlet of .the �existing'swimming pool, toddler pool, o(spa be upgraded so
as to be equipped with an anti -entrapment cover meeting currenf standards of the
•',
American Society for Testing and'Matedals (ASTM) or the American Society ofMechanical
Engineers (ASME)."
f
n
To view the entire code, please visit://`°
'
1fe�,
California Health and Safety Code
h ttp://www. l e g i nfo. ca . g ov/ca l aw. h t m l
f,
K,M.q:
�i
KForms/Building Forms/Swimming Pool Affidavit Anti -Entrapment
N • . Updated: 2/26/2007
+� , .•
�ai�
!
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.net\dds
PROJECT INFORMATION
Site Address: 745 SANTIAGO CT
Owner:
Permit No: B07-0172
APN: 042-770-023
MANCINI,
MARK A. & SUZANN
Issued Date: 02/13/2007 By KCG
Permit type: MISCELLANEOUS
745 SANTIAGO CT
Subtype: Private Pool
CHICO, CA 95973
Expiration Date: 02/13/2008
Description: INGROUND POOL: MASTER#01-51
(530) 899-3997
Occupancy: Zoning: RT -1-A
Contractor
Applicant:
Square Footage:
PERFECTION POOLS & SPAS INC
PERFECTION POOLS & SPAc
Building Garage Remdl/Addn
172 E 20TH ST
172 E 20TH ST
CHICO, CA 95928
CHICO, CA 95928
Other Porch/Patio Total
(530) 895-0437
(530) 895-0434
FEE INFORMATION
EH Building Review Fee $75.70
PW DRAINAGE $0.00
Swim Poo[ -Master Plan Coord $467.42
Total Charged: $543.12 Fees Paid: $543.12
Balance Due: $0.00 Receipt No: B1659
LICENSED CONTRACTOR'S DECLARATION
J, OWNER / BUILDER DECLARATION
Contractor (Name) State Contractors License No. / Class / Expires
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License
PERFECTION POOLS 8r SPAS 566654 / C53 C10 / 11/30/2007
Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that
requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance,
also requires the applicant for such permit to file a signed statement that he or she is licensed
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
Pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing with Section 7000)
is in full force and effect.
of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects
X 02/13/2007
the applicant to a civil penalty of not more than five hundred dollars [$500];
Please check one of the following:
Contractor's Signature Date
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
WORKERS' COMPENSATION DECLARATION
OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors License
Law does not apply to an owner of the property, who builds or improves thereon, and who does
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
the work himself or herself or through his or her own employees, provided that such improvements
❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR
are not intended or offered for sale. If, however, the building or improvement is sold within one
WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the
year of completion, the owner -builder will have the burden of proof that he or she did not build or
performance of the work for which this permit is issued.
improve for the purpose of sale.).
❑I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by
❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code:
Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
The Contractors License Law dows not apply to an owner of the property who builds or improves
My Workers' Compensation insurance carrier and policy number are;
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
Carrier: STATE FUND policy Number: 215-05 Exp. Date:10/01/2007
Contractors License Law.).
(This section nee not a completed if the permit is or onehundred dollars ($100) or less.
❑ I AM EXEMPT under Section B. & P.C. for this reason:
❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS
ISSUED, I shall not employ any person in any manner so as to become subject to the Workers'
Compensation laws of California, and agree that if I should become subject to the workers'
X 02/13/2007
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those
Owner's Signature Date
provisions.
X 02/13/2007
I hereby certify that I have read this application and state that the above information is correct. I agree
to comply with all City and County ordinances, rules, regulations, and State laws relating to building
Signature Date
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless
Butte County, its officers, agents and employees from any and all claims and liability for personal
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
injury, including death, and property damage caused arising out of, or in any way connected with
HUNDRED THOUSAND DOLLARS $100,000 , IN ADDITION TO THE COST OF COMPENSATION,
( )
t is
the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the
of
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
ATTORNEY'S FEES.
County to enter the above mentioned property for inspection purposes. I hereby certify that I am the
property owner or am authorized to act on the property owners behalf.
CONSTRUCTION LENDING AGENCY
02/13/2007
1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
Name of Permittee [SIGN] Print Date
the performance of the work for which this permit is issued. (3097 civ. code)
❑ Owner ❑ Contractor OR Agent for Owner Agent for Contractor
INSPECTOR COPY
Lender's Address City State Zip
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.net\dds
PROJECT INFORMATION
Site Address: 745 SANTIAGO CT
Owner:
Permit No: B07-0094
APN: 042-770-023
MARK
& SUZANNE MANCINI
Issued Date: 01/17/2007 By GLB
Permit type: MISCELLANEOUS
745 SANTIAGO COURT
Subtype: Fireplace/Wood Stove
CHICO, CA 95973
Expiration Date: 01/17/2008
Description: INSTALL GAS INSERT
(530) 899-3997
Occupancy: Zoning: RT1A
Contractor
Applicant:
Square Footage:
RELIANCE PROPANE SERVICE INC
RELIANCE PROPANE SERVI.
Building Garage Remdl/Addn
P0BOX 917 '
P0BOX 917
PARADISE, CA 95969
PARADISE, CA 95969
Other Porch/Patio Total
(530) 872-7740
(530) 872-7740
FEE INFORMATION
Fireplace - prefab/metal $110.00
Total Charged: $110.00 Fees Paid: $110.00
Balance Due: $0.00 Receipt No: B1521
LICENSED CONTRACTOR'S DECLARATION
OWNER / BUILDER DECLARATION
Contractor (Name) State Contractors License No. / Class / Expires
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License
RELIANCE PROPANE SERVICE 734318 I B / 03/31/2007
Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that
requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance,
also requires the applicant for such permit to file a signed statement that he or she is licensed
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9
(commencing wit ion 7000) of Division 3 of the Business and Professions Code, and my license
pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000)
is in full for ect.
of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects
X 01/17/2007
the applicant to a civil penalty of not more than five hundred dollars [$500];
Please check one of the following: +
CO ractor's Signature Date
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 (Sec. 7044, Business and Professions Code: The Contractor's License
Law does not apply to an owner of the property, who builds or improves thereon, and who does
WORKERS' COMPENSATION DECLARATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
the work himself or herself or through his or her own employees, provided that such improvements
❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR
are notintended or offered for sale. If, however, the building or improvement is sold within one
WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the
year of completion, the owner -builder will have the burden of proof that he or she did not build or
performance of the work for which this permit is issued.
improve for the purpose of sale.).
I)'AVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by
E]I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code:
Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
The Contractor's License Law dows not apply to an owner of the property who builds or improves
My Workers' Compensation insurance carrier and policy number are;
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
Carrier: STATE FUND Policy Number. 316-0000185 E, p. Date:10/01/2006
Contractors License Law.).
(This section nee not a competed if the permit is or one un re dollars ($100) or ess.
❑ I AM EXEMPT under Section B. 8 P.C. for this reason:
❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS
ISSUED, I shall not employ any person in any manner so as to become subject to the Workers'
Compensation laws of Califomia, and agree that if I should become subject to the workers'
'ons
X 01/17/2007
compensation provi of Section 3700 of the L or Code, I shall forthwith comply with those
Owner's Signature Date
provisions.
X 01/17/2007
ll�w
I hereby certify that I have read this application and state that the above information is correct. I agree
to comply with all City and County ordinances, rules, regulations, and State laws relating to building
Signat a Date
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless
Butte County, its officers, agents and employees from any and all claims and liability for personal
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
injury, including death, and property damage caused arising out of, in any way connected with
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
the issuance of this permit. I hereby acknowledge thatt is issuance of this pea rmit does not authorize the
use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
ATTORNEY'S FEES.
County to enter the above mentioned property for inspection purposes. I hereby certify that I am the
pr wrier o a authorized to act on the property owners behalf.
CONSTRUCTION LENDING AGENCY
v/1- g 01/17/2007
1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
Natne Of PQfodttee [SIGN] Print Date
the performance of the work for which this permit is issued. (3097 civ. code)
❑ Owner Contractor OR: Agent for Owner.��t for Contractor
FILE COPY ��
Lender's Address City State Zip
BUTTE COUNTY PERMIT
DEPARTMENT OF DEVELOPMENT SERVICES NO.
BUILDING PERMIT APPLICATION , V U9
AND SUBMITTAL REQUIREMENTS P
24 HOUR INSPECTIONM OROVILLE: (530) 538-7636 - CHICO: (530) 891-2814 BIN #
OFFICE #: (530) 538-75.41
A FEE WILL BE REQUIRED AT TIME OF APPLICATION
OWNER
,,��tt
Name A45v2,1nnf_ r►RnCI�
Address -7,,7/5 sqn r a o C4_
city (bleb
St egg
Zip 5_175
Phone 3%% 7
Fax
E-mail
APPLICANT SIGNATURE
X
For office use only:
CONTRACTOR
ame
Address
Same as Contractor
CityR DISE
State
Zip
Phone
872-9200
Zip
Fax
E-mail
Fax
Uc. #1 734
Class
APPLICANT SIGNATURE
X
For office use only:
ARCHITECT/ENGINEER
Name
Same as Contractor
Address
Same as Contractor
City
I Type Const.
State
Zip
Phone
Lot #
Fax
E-mail
State License Number
APPLICANT SIGNATURE
X
For office use only:
APPLICANT NAME
Name
Same as Contractor
Address
I Yes I No
city
I Type Const.
State
Zip
Phone
Lot #
Fax
E-mail
APPLICANT SIGNATURE
X
For office use only:
Zoning
j lood Zone
I I
SRA
I Yes I No
Occ. I
I Type Const.
Subdivision Name
Map Book
Page
Lot #
Planner
Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS L
KAFORMSWILDING F0RMS\B1dgApp1SubRgmts.doc Page 1 of 2
LOCATION
AP# ` J l O� ' —7-70
Property Address
7#5 4'1 -14 o o
Cross Street J Gne 5 Ave
WORKER'S COMPENSATION
Policy Number 1617722-02
Carrier-. State 'Fund
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time ofpermit issuance.
LENDING AGENCY
Name
Address
Des ription or Scope of Work:
Z5�-17 6-85 Z 7
Sq. Footage
0 Structure Built without Permits
O 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 fee will be
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
Received y:
Receipt y#:
'v
Date:
Amount: t l Bldg
REV 4-30-04
uai
otal
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.net\dds
PROJECT INFORMATION
Site Address: 745 SANTIAGO CT
Owner:
Permit N0: B07-0172
APN: 042-770-023
MANCINI,
MARK A. & SUZANN
Issued Date: 02/13/2007 By KCG
Permit type: MISCELLANEOUS
745 SANTIAGO CT
Subtype: Private Pool
CHICO, CA 95973
Expiration Date: 02/13/2008
Description: INGROUND POOL: MASTER#01-51
(530) 899-3997
Occupancy: Zoning: RT -14.
Contractor
Applicant:
Square Footage:
PERFECTION POOLS & SPAS INC
PERFECTION POOLS & SPA41
Building Garage Remdl/Addn
172 E 20TH ST
172 E 20TH ST
CHICO, CA 95928
CHICO, CA 95928
Other Porch/Patio Total
(530) 895-0437
(530) 895-0434
FEE INFORMATION
EH Building Review Fee $75.70
PW DRAINAGE - $0.00
Swim Pool -Master Plan Coord $467.42
Total Charged: $543.12 Fees Paid: $543.12
Balance Due: $0.00 Receipt No: B1659
LICENSED CONTRACTOR'S DECLARATION
OWNER / BUILDER DECLARATION
Contractor (Name) State Contractors License No. / Class / Expires
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License
PERFECTION POOLS & SPAS 566654 / C63 C10 / 11/30/2007
Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that
requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance,
also requires the applicant for such permit to file a signed statement that he or she is licensed
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9
(commencin ith Section 7000) of Division 3 of the Business and Professions Code, and my license
pursuant to the provisions of the Contractors License Law [Chapter 9 (commencing with Section 7000)
is in full f and effect.
of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects
the applicant to a civil of not more than five hundred dollars
- X _ 02/13/2007
penalty ($500];
Please check one of the following:
Contract0 _Signatures Date
E]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
WORKERS' COMPENSATION DECLARATION
OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors License
Law does not apply to an owner of the property, who builds or improves thereon, and who does
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
HAVE AND
the work himself or herself or through his or her own employees, provided that such improvements
❑I WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR
are not intended or offered for sale. If, however, the building or improvement is sold within one
WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the
year of completion, the owner -builder will have the burden of proof that he or she did not build or
perform ce of the work for which this permit is issued.
improve for the purpose of sale.).
AVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by
❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
CONTRACTORS TO CONSTRUCT THE PROJECT (See. 7044, Business and Provessions Code:
Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
-My Workers' Compensation insurance carrier and policy number are;
The Contractors License Law dows not apply to an owner of the property who builds or improves
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
Carrier: STATE FUND 215-0ExpDat,:10/01/2007 10/01/2007
Policy Number. .
Contractors License Law.).
(This section nee not be competed if the permit is or one hundreddollars ($100) or Tess.
❑ I AM EXEMPT under Section B. & P.C. for this reason:
❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS
ISSUED, I shall not employ any person in any manner so as to become subject to the Workers'
Compensation laws of California, and agree that if I should become subject to the workers'
X 02/13/2007
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those
Owners Signature Date
provisions.
Xi A02/13/2007
��
1 hereby certify that I have read this application and state that the above information is correct. I agree
to comply with all City and County ordinances, rules, regulations, and State laws relating to building
_
tSignature Date
WARNING: LURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless
Butte County, its officers, agents and employees from any and all claims and liability for personal
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
injury, including death, and property damage caused arising out of, or in any way connected with
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
the issuance of this permit. I hereby acknowledge thatt is issuance of this permit does not authorize the
use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
ATTORNEY'S FEES.
CountVo enter the above mentioned property for inspection purposes. I hereby certify that I am the
pr owAierSs,41mauthorized to act 2D_Iho property owners behalf. '
CONSTRUCTION LENDING AGENCY
11�r - ;✓�s�/�� �/Il-o rmx�o 02/13/2007
1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
Of Permittee [SIGN] Pring Date
the performance of the work for which this permit is issued. (3097 civ. code)
_
Owner Z -Contractor OR Agent for Owner ❑Agent for Contractor
1FILE COPY
Lenders Address City State Zip
Butte County Department of Development Services
TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR
7 County Center Drive
Oroville, CA 75965
(530) 538-7601 Telephone
(530) 538-7785 Fax
www.buttecounty.net/dds
NOTICE TO BUILDERS
Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In
addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental
Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to
expedite your permit:
0 Make sure your application is complete.
0 Be responsive to requests from County departments for any additional materials or requirements.
The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes
without a complete application adds to processing time.
Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not
started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to
expiration an indefinite number of times, provided construction progress has been documented by the Building Division during
each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In
order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking
and documentation may be required. Upon completion of work covered by this permit, please contact this office for final
inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is
issued without a final inspection.
EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY
Application for which a permit has not been issued will expire one year after date of application.
Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications
(not yet issued) must be requested within two years from the date of fee payment. Fees paid at the time of application are
for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn
before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge of
$54.99 to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration
of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any
refund amount) to determine no work was done.
Fee/refund information can be read on-line at http://municipalcodes.lexisnexis.com/codes/butteco/
Reference Number: B07-0172 Date: 01/30/2007
Location: 745 SANTIAGO CT
Parcel Number: 042-770-023
Owner Name: MANCINI, MARK A. & SUZANNE F. Phone: (530) 899-3997
Description: INGROUND POOL: MASTER#01-500
Signature of Property Owner: .AZ?I, �—PJ� P.,5 Date: 01/30/2007
FILE
-Butte County Department of Public Works
J. MICHAEL CRUMP, DIRECTOR
LAND DEVELOPMENT DIVISION
Storm Water Managment Program
7 County Center Drive
Oroville, CA 75965
(530) 538-7266 Telephone
(530) 538-7171 Fax
www.buttecounty.net/dds
C
paTM�n,�
O
0
0
0
0
Joe'ZC#�00W_'F�
National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm
Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment
[LESS THAN 1 ACRE 1
Reference Number:
B07-0172
Date:
01/30/2007
Location:
745 SANTIAGO CT
By:
KCG
Parcel Number:
042-770-023
Sub Type:
Private Pool
Owner Name:
MANCINI, MARK A. & SUZANNE F.
Phone:
(530) 899-3997
Description:
INGROUND POOL: MASTER#01-500
By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB 1 acre or more
of land and that I therefore, do not need to apply for a Construction Storm Water Permit from the State of California
Regional Water, Quality Control Board. Phased projects that contain multiple site buildouts of less than one acre but
when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm
Water Permit from the state of California Regional Water Quality Board.
I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water
Permit from the State of California Regional Water Quality Control Board for this project that disturbes one acre or
more of land may result in revocation of grading and/or other permits or other santions provided by law.
Signed:
Title:�.s
FILE
Date: 01/30/2007
RECORDING REQUESTED BY
bftd Valley Title Gb
AND WHEN RECORDED RAIL TO:
Mark A. Mancini
Suzanne F. Mancini
745 Santiago Court
Chico, Ca. 95973
bearded I ITEC F11
Official RReeords I
But
COVAteof I
cmm J. on= I
County Clerk-Recerderl
I JC
04001.94-hc-m 1 Page 1 of 3
Mwn This Ulm thr RemMees Use only
111
A.P.N:: o42a70-023-DOO aS8'3 7/ yr5
GRANT DEED 3
The UMenlgned (a wtv(s) Dedare(s): mcumsyratr Tm sm Tax J; ar f TRMLSFM TAX -'7"
suRm Nsommevr FTs $
[ ]amTLftd an the mdderatlm or NO varus of pcWh► conveyed, oR
[ ] CWr;K d an ft "cr run value less value a ileus aWar enwmbra = am=Wng atom of sate,
[ x ] unh=P aw am; I I CRY of Unrncorponftd was, and
[ ]E, P ipt hon transfer Or, Remn:
FOR A VALUABLE CONSIDERATION, receipt of which Is hereby admowledged,
Mark A. Mancini and Suzanne F. Mancini, husband and wife
hereby GRANT(s) to Mark A. Mancini and Suzanne F. Mancini, Trustees of the Mark A. Mandnl and
Suzanne F. Mancini Revocable Trust dated March 17, 2004
the following described properly in the Unlncorporeted area of , County of Butte, State of Califbrnla:
PARCEL I:
PARCEL 3, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE
RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON DECEMBER 23,1987, IN
BOOK 109 OF MAPS, AT PAGE(S) 58 AND 59.
PARCEL II:
A NON-EXCLUSIVE EASEMENT FOR INGRESS, EGRESS AND PUBLIC UTILITIES OVER
SANTIAGO COURT OVER PARCELS 2, 3 AND 46 AS SHOWN ON THAT CERTAIN PARCEL MAP,
RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF
CALIFORNIA, ON FEBRUARY 411987, IN BOOK 105 OF MAPS, AT PAGE(S) 67 AND 68.
PARCEL III:
AN EASEMENT FOR THE RIGHT OF INGRESS AND EGRESS OVER THE SOUTHWESTERLY 30.0
FEET OF LOTS 1 AND 2 AND THE WESTERLY 30.0 FEET ON THE SOUTHERLY 198.0 FEET OF
LOT 3, AS SHOWN ON THAT CERTAIN MTIT
AP ENTITLED, -SECOND SUBDIVISION OF THE BAY
TRACT", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY
OF BUTTE, STATE OF CALIFORNIA, ON NOVEMBER 25,1895, IN BOOK 1 OF MAPS, AT
PAGE(S)18.
PARCEL IV:
Mali Tax StaLet oU To: SAME AS ABOVE
WTTE
COUNTY
FEB 0 5 2007
DEVELOPMENT
SERVICES
A.P.N.: 042-770-023-000Grant Deed - continued File.Nv.: 0401-2583719 (TB)
Date: 11/28/2006
A NON-EXCLUSIVE EASEMENT FOR INGRESS, EGRESS AND PUBLIC UTILITIES OVER THOSE
PORTIONS OF PARCELS 1, 2 AND 4, AND LYING WITHIN SANTIAGO COURT, AS SHOWN ON
THAT CERTAIN PARCEL MAP,_RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY
OF BUTTE, STATE OF CALIFORNIA, ON DECEMBER 23,1987, IN BOOK 109 OF MAPS, AT
PAGE(S) 58 AND 59.
Dated: 13LI2012006
Pae 2 of 3
AY
�X: 042M0 -Mi -000
Alt
Mark A. Mandni
STATE OF
AS
cowry OF
Grant Deed - continued File No:: 0401-2583719 CM)
lei F. Wandni
Date: 11/28/2006
On / / - %-?- pzr - before me, - TAMI BAR= jM0tMV PUblia
Notary Public, nal a red
personally known to me
(or proved to me on the basis of satisfactory evidence) td;de the, person(s) whom name(s) Is/are subsoibed to
the within Instrument and acknowledged to me that he/she/they executed the same In hWher/thelr authorized
cappdtffies) and that by his/her/their signature(s) on the Instrument the person(s) or the entity upon behalf of
which the person(s) acted, executed the Instrument.
WITNESS my hand and officlal seal.
My Commission Expires:
. . . . . . . . . . . . . .
TAMI BARLOW
COW. 1554047
CDUNNOFS
COWAL EpIm Fab-
Mis anm f0roffldU1no&Wsw1
Notary Name: Notary Phone:
Notary Registration Number. County of Principal Place of Business:.
" 3 of 3
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
OFFICE #: (530) 538-7541 FAX #: (530) 538-2140
A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION
Website: www.buttecounty.net/dds
**PLEASE PRINT CLEARLY**
049 _'-7-7n .�n23
OWNER INFORMATION
Last Name/V i d G ` �'
first Name a -
IF
Mailing Address 7Li5 S
City G v
State C
Zip,_ S 9�
Phone 917c/ _ � � � 7
Fax
E-mail
CONTRACTOR
Name
Name
Address
zi 5
3 ZA
Address
1-12
E-mail
City
-
co
r I l
Fax
Zi
Phone
�o� (3 -r
Fax or,rM
q `
E-mail
Lic. #
LENDING AGENCY
CI ss
ARCHITECT/ENGINEER
Name
ca
Address
zi 5
3 ZA
cityC
AGO7
E-mail
Type Const.
Phone
r I l
Fax
E-mail
Sta e License Number
KEE 803
APPLICANT INFORMATION
Name
e n --ie-r6ry LQ,,rocco
Address 1':;- - Z 0 S4 ,
Citystat
Property Address
zi 5
3 ZA
Phone -5 014 2.7
J
Fax 3
E-mail
APPLICANT S GNATURE
X
For office use only:
Zoning
AP#
Flood Zone
Property Address
SRA
Yes
No
Occ.
Type Const.
Subdivision Name
Map Book
Page
Lot #
Planner
Date Approved:
PERMIT
NO.
-0 l7z
BIN #
Description or Sc o of Work:
T00
500 MPoq-M
Sq FT- Living Garage Open Cov
❑ Structure Built without Permits
❑ 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 fee will be
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.
Received by: �,6, Amount: �� Bldg
�T SRA
Receipt M b Ijr,� �IJQ Sheriff
SMIP
Date:q l 4er
' ?0V�.J � ), 3 '
`1 1 2 . Total
PAFOJECT LOCATION
AP#
Property Address
o
City
CO
Cross Street
O ES
WORKER'S COMPENSATION
Policy Number
-O�
Carrier
—
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
Description or Sc o of Work:
T00
500 MPoq-M
Sq FT- Living Garage Open Cov
❑ Structure Built without Permits
❑ 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 fee will be
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.
Received by: �,6, Amount: �� Bldg
�T SRA
Receipt M b Ijr,� �IJQ Sheriff
SMIP
Date:q l 4er
' ?0V�.J � ), 3 '
`1 1 2 . Total
11QQ $RR P F M
PERMIT NO.
PERMIT EXPIRES
OWNER ARLQOWENS
CONTR. Tom HaII
ASSESSOR PARCEL 42-34-169
Santiago Ct, Chico
LOCATION
Dr",- S
a j! I: /l
-
. Ali
t
1,, Temp. Power Pole
Called PG&E
�
T mp. Elec. Service •�
Called PG&E
',,Temp. Gas Service
Called PG&E
JOB FINALED (Date)
2 >a�
Signature
s
el
.s s.
y
i.•
Y ,+ r
i Al
y
2, �' ^
k
AL
iY
=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-Clearances-Grnd.-/ / Amp -Concrete
6. Gas; Location -Test -Wrap: / /"L"ft.
/ /"Nat. or/ /"L"ft./ /"LPG
7. Utility Clearance
Card -131 Date Card -B1 Date
Card -131 Date Card -131 Date
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; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Elec.
8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
110. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date MOBILEHOME INSTALLATION (Plans) OK except # s
1. Zoning Requirements -Setbacks -Easements
Card -B•1
Date Card -131 Date
2. Footings; Size -Spacing -Marriage Line
Card -B1
Date Card -B1 Date
3. Gas; MH Test -Demand -Valve -Connector N
4. Electricity; MH Test -Crossovers -Breakers -Clearances
Date
POOLS (Plans) OK except #'s
5. Drain; MH Test -Fall -Flex Connector
1. Setbacks -Easements
6. Water; MH Test -Regulator -Connector
2. Soils; Compaction -Structure Stability
7. Water and Sewer Connected -C/O to Grade -HD Approval
3. Pool Structure; Steel -Connections -Thickness -
8. Gas and Electricity Tagged
Dead Men -Lining
9. Exits; Insp.-Sketch
4. Elec.; Receptacles and Lighting, Distances-GFI
10. Cert. of Occupancy
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg.
Card -131 Date Card -131 Date
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
Card -81 Date Card -61 Date
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Card -131
Date Card -131 Date
Card -B1
Date Card -B1 Date
Ll
M
I
= OK -
0 =Not OK RESIDENTIAL (Single and Duplex)
- ='Not.Applicable
>'r Not -Ready
Date. UNDERFLOOR (Plans) OK. except #'s,
\j} Zoning -Setbacks;- Easements -FI ood-Slope,_
e, Ftg., Main; ;Soils,Steel-Elec. .=/, /" ,Ftg,
Ftg.,' Garage; SOIIs-Steel / ..' ,;/" Ftg.. Depth
O'Ftg.,,Porches.& Decks;,Soils-Steel-/ /"Ftg.
S. in; Steel-Blockouts-Wrapped .,,
,- Steel -Bl ockouts-Wrapped
yd- .'Slab; 9tee1-Wr
Piers-Fireolace Fta.=Sleel Cor .4 AAr— 7).A
19CGas Pipe; Size -Anchors
11,MNater Pipe; Test-Awe4ers-Rag4e#c
0
1 ripples
16-444ulatiAa
Card -B Dateand-B1 Date
Card -81 0%; Dat ., a Card -61 Date -
Date UMBING (P mit) OK except #'s
_VtOWater Ht. ent- ccess-Combustion Air -Baffle
Water Pipe; Tba & Anchors -Nail Protection
D.W V�_Test-Fttng�_& Anchors -Nail Protectioi
hower Pan; st, First Floor -Tub Access
x26: Test.Tub & Shower, 2nd Floor -Tub Access
\211. Gas Pipe; Size & Anchors
Date FR (Contin
_ 45&.-eangr Post Caps=Anchors-Connectors
_ . Ing. Jois tr. Ties-Purlin-Roof Br -Truss-Shthng Rfn
ti lace Ties or Type A Flue -Fireplace Throat Clearan
_ ttic Access; Size & Romex Protection -Draft Sto -In
_m. Windows or Exiting Doors -Sill Hgt. & Dimensi
_ arage Fire Protection Framing
_ Property Line Firewall & Openings
_ .. Ext. Doors -One T -Check Garage -3rd story, 2 exits
_ _753: Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
lywood on Roof Overhang -Attic Vents -Rafter Outriggers
tucco kdesh 6i eed-F ss
57. Glazing Area -Glass Protection -Skylights -Plastic
_ S>ear Walls; Nailing -Bolts
_ Ins tion-Walls-Clg.
,,,2,2,KEP7 filtration-Walls-Wndws
_ ,Card-B1d&?:22ate 7 -B1 Date
Card -B1 OM Date cS�Land-B1 Date
-Card-B1 k- e/(f4/f{Card-61 Date I
Card -81 bl Date? Z/_Ai,_, Card -B1 Date.
Date ELECTRICAL (Permit) OK except #'s I
X22. Fixture &Transformer Clearance -Ins. Protection
�L31 Elec. Receptacles Spacing -Lights & Switches at Doors
Size Boxes & No, of Conductors -Stapled
Romex Installed Close L Edge of Studs & C.J.
Equip. Ground made•up w h. Fasteners -Bond Oas &VVApr
N. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I.
Subfeed Wire Size / -/ga. Cu or AI-A.C. Wire Size /0/ga.
Cu o
Range Circ. / ga. Cu oI ven Circ. / / ga. Cu or Al.
Insulated Neutral Y s No
0. Service -Riser Conductors & Ground -Main Disconnect
1..Equip. Clearances Panels-Motors-Mech. Equip.
2. Clothes Closet Light -Shower Light -Spa Light
—T. Smoke Detector
'Card -B Date'? f and -B1 Date
Card -B1 Dat Card -131 Date
Date ANICAL (Permit) OK except #'s
*'�'3%U.C. Ducts Insulation & Supporta
. V Fan; Exhaust above insulation
ondensate Drain & Overflow; Size &
Furnaceen Access -Comb. Air- urn it Vent -11 utlet
"10. Attic Access & Platform if Furnace in Attic
Card -B1 Date Card -131 Date'
Ca -J^'$date Card -B1 Date
Date NG (Plans) OK except 's
ills, Proper Material A or
Walls Studs -Nailing, Spacing & Bracing—Plates-Sound
Baring Walls over Girders & Floor Nailing
raft Stop in Walls (rat proof)
48. Fjre'Stops; Furred Ceilings -Stairs -Chases -Tub
4 • Header & Beam -Size & Bearing
.Date FIN L (Plans) OK except #'s
E . Steps -Door & Sidelight Protection -Landings
fi
e Detector
VZ$�
Furnace; Vents -Clearance -Comb. Air-Nnector-
In/Garage; Above Floor -Ducts -Meeh. Protection
gdroom Exiting
65!C3�F.1.
& Bath Fixtures & Tub Access -Spa
T
Elec. Trim & Subpanel; Breaker Sizes -Labels
6
s & Rails '
place or Stove; Clearances -Hearth
.
EleV. Outlets at Wood Panel; Int. & Ext.
7 .
't. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance
.
Exec. Outlets & Receptacles at Kit. Counter
a .
Garaye Fire Door; Swing -Landing -Closer
7 .
crc-t in Garage -Damper
tr. Htr.; Vents -Clearance -Comb, Air-Connector-P.R.V.-
In arage; Above Floor-Mech. Protection
7
lec. & Mech. Equip. Listed for Location '
7
'I 7
eceptacles in Garage; (G.F.I.)-Romex Protec.
s ation-Foam-Looked in Attic ❑ Yes
uard Rails & Deck Construction -Post Caps
M
nfs—& Crawl Hole Door -Drainage & Wood -Earl
arance Looked and Floor ❑ Yes
9C.
Folloyyvving instld.; ri ❑ No; Walks es 11 No;
PI Mars ❑ Yes o
.
Stu ; 9rewn-Finish wz
Unit; Disconnect, Electrical, Plum ng
86,105vents
Above Roof; Plbg.-Appliance-Firepl.-Clearance to
Open' gs.
et Well; DisZWr6ct, Electrical, Plumbing
xterior Elec. Trim; G.F.I. Receptacle -Underground
8
entilation throughout House
la§s Protection -
-'ir/Aarections-from
Previous Inpections
. Ga st-Meters Tagged; Gas-Electric1�
ateSPcted-C/O to Grade -HD Apr
rqy
,-CoipjAiance Certifica Other Certificates
1 Date
Card -81 M Dat Card -B1 Date
Card -B1 Date .Z Card -131 Date
Comments at Final: I I
(NOTE: An entry must be made each time you visit job site)
�I
Y•
Inter-Depdrtmental Memorandum,
FROM:
SUBJECT;
DATE: �� �i�� r /T `� /!" ( Z C.'- �V
COUNTY OF BUTTE t
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751 y
7 County Center Drive, Oroville — 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.
s
Inspector Date
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
y 196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
OWN
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 rrection'of work is completed. If you have any question pertaining to this
ma r, or need additional explanation, please contact this office immediately.
Inspector Date_
.,,,-.1 ..}i. .rti�:...�''s�+�".,,a`yS-+rw•rr'i�'.�"4�;.�''�Y',"+nt`T+`a.-rF'r�4�1'.+H •_"" � r.,�. r..yµ ,..^
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
liZzno, r7 Z / X-?— JP
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 eed additional explanation, please contact this office immediately.
2 -
.Y -4"y uo;z .' /l&s ..7 c vzz,: G-�
Inspector
Inspector Date
-t:2
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 /jam. 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.
Inspector Date O
i� COUNTYOFBUTTE
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.
An,7, n, _ .-y,�ice,.r/'A-7.7lzr
% D "
Inspector Date
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 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.
Inspector �' -� Date
f l.iit;rl'1'1tJtJ '._..__, � ___—._....... --------•----_... _..:tri �' �
t + 11GS�'l,ll'''1';.Ot! U1'!`ill
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d.. Il,i.�lctc::.�(lnt:lt�sj __.____ _._____ Dram! tame Certain
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Q
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?1"�y cY R"quCremente;
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a" tri �c uir.c4, t,;, e ` I Lnn:! rtttrj n -tnch,,,,l,rt stvc llc�wtt an Cllr:
.;� 1 tl!_, i t.:ltd; � , r, C l 1)CL'tt
pl (-+.11.tu't't,1'a I?tic:r, !_nst:alle,J
,Y 1 rc.ments, n7
1 1 Wirilent' dovl...
4e ,cciCiralal:c-rJr t!;lyl'iovet17 tho l'r.
or
c(Cntiilr. ,
I It'll Iv -1JJl;1a
i�,� �z .. ,. •'J'h'd'[ CUi'tltllC'1'U!:';,' LICI'aJ^!:;--;'-___._.
Z_7
i'l!1:'
? r`,• , , ,t til; ON FILL W1,1'11 1'11!': BUIL )r t
i!111t�.,t1, ;,,1;!) �., ! .r,c; !Jrhrt►t'rrlr!'rI' Plti{�R 'z'0
t'„:; COPY SHAF,l, I E 1'ti;i•d'ED ldT'I'HIN THE BUILDING. !' l.11rll
;o o , -
Al""ary 19t
f 4�r1' z�� s4r�'��i.� `�'� .� '�Sd ter IY ��K• •�' t ,ji! °
.�.SAW rJ». i A��'',.1+, Y 41ir • 1' t 3A i 5+ t t .r`
s
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT N0.
_el
n
AS S PA NU ER
ZONijrQG —
%6`/
BUILDING PERMI
OWNE .^ .w,^
Y WC
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'SMA LING AD SS
CO TR CTOR'S NAM
EPH
!-
/
CONT ACTOR'S MA ING A DRS
Fireplace uq a
CONSTRUCTION LENDER'UNKNOWN
tNDER'S
Total Valuation .�
Filing Fee
$ 1(,00
LEMAILING ADDRESS
Permit Fee
$
ARCHI T OR ENGINEER
y
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS q Saa tt'
r(/p`
1�4
Permit fee
$
- PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO
SUBDIVISION NAME
PARCEL MAP
1_1;)q11o_;1
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
sPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S G W
0.00ea
TYPE OF WORK
New (A Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service e100 00V OR LESS
AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No .^ � Classification
El 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. DWELLIN
OR ADDNS. ACC. BL
1h¢sgft
Wit
NEW CONSTR. TI-OUTLE
NON-RESID BRANCH CIRC S
2.50 ea
POWER APPARATUS e
(SINGLE OUTLET CIR. )
EX. OCCUp OUTLETS OR FIXTURES
,
eAL030
FIXED NS O
Ex. Occup. OUTLETS APP
(RESI0.)R E A.)
2.00 +.
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
g
15.00
Permit Fee
$
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Not ce 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 ling Fee 10.00
Heating
715Y9
Cooling
//
. Hood
3.00 1 VrJ
Ventilation
, Q
Permit Fee
$ -'
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereb authorize representatives of the Countyot
Butte to enter upon the e -m n property for inspection purposes.
I also agree to save n mn' eep harmless the County of Butte against
all liabilities, ju is d expenses which may in any way accrue
against said C in a of the granting of this permit.
X Date ZV--
Si ature of pplicant — Owner Cant actor Agent ❑
An on OSHAstructuresmit is requiredPorn excavations over S' " deep and demolition or construct-
Mobile Home Installation Fee
$
Energy Inspection Fee $
TOTAL PERMIT FEE $
occuP.
CONsT.T E
scHo
Ploo PARCE
Pt H 139UE
This permit is hereby Issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
EC 0R PUBLIC WORKS Q`
By Date J — 3 �v 9
PERMIT EXPIRES Date
Receipt No.I Lin Ll Q
WHITI-D.P.W.. YELLOW-ASOLOSOR. PINK -INSPECTOR, GOLD ENROD-APPL I CANT
i
w
.. . - Y�. '.. �' i;, �- moi:-'rti"� . �r'.� �'i-r:x �N:♦ :� +- 1. '-'` .. �.Y , ;Y :.�. . � ♦;:• b .
COUNTY OF BUTTE - DEPARTMENT.OF„PUBLIC WORKS - BUILDING DIVISION
- w 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 t I
PERMIT APPLICATION DATA SHEET
s Permit No.
OWNER A O na n A P. No. L TOd
Proposed Building Use P A) �- Building Inspector Date C2®
At time of permit application, I was advised the following data must be submitted prior to permit processing
and:/or issuance: DATE RECEIVED APPROVED
1, All items.have been submitted. . . . . . . . . . . .
2. Plot plans in duplicate. /triplicate, signed by preparer of plans. .
3. Complete plans in duplicate./triplicate, signed by preparer of plans.
4. Complete engineered plans and calcs, with wet signature on plans.
5. Plans with Energy Design Compliance Statement. . . . . .
6. School District "Fees Paid” Stamp on Floor Plan.
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . , , ,
Letter of signature authorizatIK
iN �.tip F
Sanitation approval from 1 C-® Health Dept.
11. Planning approval for (A) Use: (B) Parking:
12. Certificate of Workmen's Compensation Insurance. . . . . .
13. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to owner, Mail to owner ❑.)
_15. Improvements may be required. . . . . . . . . . ,
16. Mobilehome Installation Data. . . . . . . . . .
Pre-Inspec.request to (Date)
17. Pre -Inspection for Required. Building Inspector
18. Rrded copy of Agricultural Acknowledgment Statement.
1P1? T-Veway Permit.
20. Plot plan approval from city of
�11E in ered r sses'in duplicate (r quired prior to plan check).
When you issue the mit, nrQQess� as follows: Mail to /owner, Mail to contractor.
Telephone � �.< and hold for pickup at�'h I o f•fice, Deliver w/inspector.
Other
Applicant i Date
' Copy of plans sent Health Dept., Fire Dept., Other Date
li
The following data must be submitted -for to permit issuance: (Circle new item not checked above).
I' 1. Index permit for above items No. y
2. Additional items required:
li
If
! 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—mal
ll_�uer date'
4'
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy—DPW
TO
Building Department
4 J11-
'F//ROM:
'F//ROM: Environmental Health
C
SUBJECT: Sanitation Clearance
ti
1T Owner Location AP#
Plan Approved for: Sewage Disposal
Hold final for:
Final clearance O.K. for:
Clearance for _� bedroom mobile ome Other.
< J�
NOTE * * *
I V/1
Sanitarian
Water Supply
Water Supply
Water Supply
Date
m r
Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT • RECORDS'DBUTT E COUN 'i
FOR RESIDENTIAL DEVELOPMENT UFncRAI_RECORDS Bl
Section"26-8.1 of the Butte County Code requires this acknowledgement PARTY SHOWN
be recorded prior to issuance of a building permit.
07cm ® . 7 1987 MAR 17 PH 2:57
The property described herein is adjacent to land or included CA�DACE J.CR�S�S��
within an area zoned for agricultural purposes, and residents of this �►
property may be subject to inconveniences or discomfort arising from CLERK -RECORDER FEE
theuse 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 pages
as follows:
V
Parcel. 4 as shown on that certain Parcel Map
recorded in Book 105 of Parcel Maps at pages
67,68 on 2-4-87.
Date: _3- /D -S 7 PROPERTY
YOOWNERS:
State of
SS.
County ofigA�
On this
me, the
the J(L—A day of 19?7, before
undersigned Notary Public, personally appeared
'/ �rsonally known to me. )K Proved to me on the basis
of satisfactory evidence.
to be the person(s) whose names) C(.� otLbscribed to
the within instrument and acknowledged that
executed the same for the purposes therein contain
OFFICIAL SEAL IN WITNESS WHEREOF, I hereunto set my hand and of cial seal.
ROBERT FRANZ
- NOTARY PUBLIC - CALIFORNIA
t SANTA CLARA COUNTY _
40 00 My Comm. Expiros May 7, 1988
Notary Public
Present A.P. No. 42-34-160
l P
END OF DOCU,MEN-r
COMPLIANCE CHECKLIST
For Low -Rise Residential Buildings
f -t-
APR 19 1988
Building Shell Measure Points
Total Fl.00r Area ............... �S�os�tft2
1. Slab -on -Ground Perimeter ,U/,q ft;, Depth ,ti/,q in...... R- 411 --$�
2. Raised Floor R -Value ................................. R- 1.41114O
3. Ceiling Insulation or Construction Assembly, R -Value........ R -p _ �^
4. Wall Insulatioh or Construction Assembly, R -Value........... R - p
Glazing Total % Floor, Area Single Double Triple
5. North -Facing.. 7,37 o f t 2 mss-/,? ft2 ft2... .... —�
6. East -Facing .... �/�i ft2 �S/ ft2 f•t�[
2•
7. South -Facing.. ft2. SIG ft2 ft....... --6
8. West -Facing... /,. o ft_ 0/9: ft ft22 ... .. —ST
9. Skyligh.t...... / o ft / ftp ft........
O
10. Shading Coefficient
(Excluding Overhang)
a. East ..................................... , G 6 SC,........ p
b. South ..................... .G 6 SC.............
c. West .............................. G 6 SC'•
d. Skylight....... .88 SC .............. .Z
11. Horizontal South Overhang Length .............. dZ ft............. Q
12. Movable Insulation, i Floor Area....:.:...... i:.........,.
13. Infiltration (indicate Standard or Tight).....
14. Thermal Mass
Exterior Wall Thermal Mass
Area, Heat Capacity, R -Value ....... �ft2, 4i/,9 HC, R- Wl/q D
Interior Thermal Mass
Area; Heat Capacity, R -Value....:. W14 ft2, ,, HC, R- All p
HVAC System
15. Gas Furnace Without Refrigeration Cooling .................. ll//,q SE O
(Seasonal Efficiency)
16. Heat Pump (Energy Efficiency Ratio)........ ,(i1A EER p
17. Gas Furnace with Refrigeration Cool ing..!?&- 7/l/.SE. . . If. p SEER a
(Seasonal Efficiency -SE, Seasonal Energy Efficiency Ratio -SEER
18. Active Solar (Net Solar Fraction, i)......, ................. % NSF
19 Zonally Control -led Electric Re-'istance Space Heating�...(Yes/No p
• ty
Domestic Water Heating ,
20. Solar With Gas Backup (Net Solar. Fraction,.%)... % NSF O
21. Other Water Heating (Describe Type).
Al000 daKrvi"-YToyCr Ile OY,9"c/w4 . Vf
POINT SYSTEM COMPLIANCE TOTAL (Must be greater than or equal to'O)............ .�
.w,,IrT 4 -,Cr o ed ".C." Id" e C,xex rr E f,&/
"e',417AI IC j�c-ooz, in. G�.✓ �� C VW d E Ut6v h' `v.r..� w ry Te'lt.�►,oc �'r' ^
774c d,4,�,ky, d'41 -4v,
\California Energy Commission)
RESIDENTIAL PLAN CHECKING GUIDE 7/85
(S.F., DUPLEX:& MISC. ONLY)
Bldg. Permit # �.3'�r
OWNER ,L 4o ow�w S A.P. # 5/.? • 35/ - Ira 9
GENERAL
:�_Iva
oningrequirements: (sideyards and number of permitted living units).
luation. '
Y Plans signed by designer.
V -
Energy Design and Compliance.
be." Existing violations on property.
PLOT PLAN
Complete parcel size and dimensions.
aV/ Setbacks, sideyards, easements, etc'.
Other buildings or structures.
ading, fills, drainage.
od hazard.
cial conditions on creation map or compliance document.
FLOOR PLAN
Complete to scale plan with dimensions.
quired windows for light and ventilation (Sec. 1205).
Y quired windows for second exit (Sec. 1204).
ylights (Chapter 34 & Sec. 5207).
man impact glass (Sec. 5406).
quired room sizes, ceiling heights (Sec. 1207).
Y.�.F.C.I.'s in baths, garage and exterior outlets (Article 210-8).
::Light fixtures, switches, receptacles, and exterior receptacles for maintenance of -
_,,mechanical equipment.
9�! Locations of water heater, heating and cooling equipment, other electrical or gas
quipment, and plumbing fixtures.
1�arage firewall, door size, and closer (Sec. 503(d)(3)).
- 3'0" exterior exit door (Sec. 3304(e)).
replV..e''and woo�ve location.
1�! Smoke detectors (Sec. 1210).
STRUCTURAL DETAILS
oundation plan complete enough:to construct building.
�oor construction details complete enough:to construct building.
vations and wall construction details complete enough to construct building.
Roof construction details complete enough to construct building.
-��eplace construction details and calcs if necessary.
Sufficient data and details to satisfy energy requirements'(State Law) (Form 1).
MISCELLANEOUS ITEMS TO LOOK OUT FOR
posure I plywood on exposed locations and overhangs.
Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306).
Guardrail details (Sec. 1711 & 3306(j)).
-r ---Frick or stone veneer - (Chapter 30).
�E- erior plaster - weep screeds (Sec. 4706).
6 _ �P,roper roof pitch for roof covering (Chapter 32).
7✓'Rafter ties or bearing ridge beam.
a
RESIDENTIAL.PIAN CHECKING GUIDE (CONT'b) 7/85
MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONT'D)
�Adequaterrage doo,or porch' header sizes bracing.
diving area over garage--- complete 1-hour separation .required on garage side
including supporting walls and posts, etc.
'tel-r--zwo exits on three-story "dwellings (S'ec. 3303 & see Mezannines 1716).
l. Attic access and ventilation (Sec. 3205).
.14--Underfloor access and ventilation (Sec. 2516).
Ila a d stoves, clearances, alcoves & 1-hour shafts.
1_! Combustion air for fuel burning appliances.
mise requirements on duplexes.
_1-?s-adobe soils - special foundation design.
1-fining walls requiring design.
1 nusual shape, size or split level house requiring lateral design.
RESIDENTIAL ENERGY PLAN CHECK/INSPECTION SUMMARY FORM
Owner oz.s Climate Zone Permit No. -O''
1 A 3
F 0 O rea
Compliance path: Package ❑ A ❑ B ❑ C Point System ❑ Budget eOther
MIN R -VALUE DESCRIPTION
REQ'D
INSTALLED ITEMS (1) INSULATION:
jK Roof/Ceiling
®/ Wall
❑ Slab Floor Perimeter
❑ Raised Floor
(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.
q?01 (C) All swinging doors and windows leading to unconditioned areas
shall be fully weatherstripped.
7/83
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 4/ fl2.3
N.
✓
[�
North Ater_
''.O
s/
Q�
East 1W. 9)
A
—4;;"
(�
South 1/.O
.D
✓
Q/�
West a� d
. '7
�
[�/
Skylights a/.O
.1
(B)
Shading
Shading
Coefficient Description
East . (F C. _��/
.. &L* % kA.—
(�
South & P
••
'•
[«}�
.
West G
'•
Q�
Skylights
a
[[
(C)
South Overhang
Length of projection
ft. Description
❑
(D)
Moveable insulation: Area ftZ
Description
(E)
Thermal mass
❑
Type
- Area
Ft.2 HC=
R=
MC= Location
❑
Type
- Area
Ft.Z HC=
R=
MC= Location
❑
Type
- Area
Ft.2 HC=
R=
MC= Location
❑
Type
- Area
Ft.Z HC=
R=
MC= Location
❑
Type
- Area
Ft.2 HC=
R=
MC= Location
❑
Type
- Area
Ft.Z HC=
R=
MC= Location
7/83
FORM
[] (4) MASONRY AND FACTORY -BUILT FIREPLACES shall be equipped with tight
�— fitting closeable metal -or glass doors covering the entire opening
of the firebox; a combusion air intake equipped with a readily
accessible, openable, and tight fitting damper to draw air from the
outside of the building; and a tight fitting flue damper with a
readily accessible control.
*1(5) HEATING VENTILATING AIR CONDITIONING SYSTEM
(A) Heating
Central Gas Furnace % � %
(brand and model number) SE
Btu/hr
(heating capacity)
❑ Heat Pump
(brand and model number) ACOP
Btu/hr
(heating capacity at 47°F)
❑ Active Solar
type (liquid or air) Collector brand and
ft2
model number solar fraction collector area collector
orientation collector tilt rated y -intercept
rated slope
[� Other WO&* Slb+
(describe)
i (B) Cooling O
Electric Air Conditioner •
(brand and model number) (seasonal EER)
Btu/hr
(cooling capacity at 95°F)
❑ Electric Heat Pump
EER
Btu/hr
(cooling capacity at 95°F)
❑ Other _
(describe)
Ids' (C) A TWO-STAGE THERMOSTAT, which -controls the supplementary heat on
its second stage, shall be required for heat pumps.
[ (D) AN AUTOMATIC SETBACK shall be provided for all thermostats, except
those controlling heat pumps.
[� (E) AN INTERMITTENT IGNITION DEVICE shall be provided for all gas-fired
fan type central furnaces, gas-fired fan type wall furnaces and
gas cooking appliances.
[� (F) BACKDRAFT DAMPERS shall be provided for all fan systems exhausting
air to the outside.
(G) DUCT CONSTRUCTION & INSULATION. All transverse duct, plenum, and
fitting joints shall be sealed with pressure sensitive tape or
mastic to prevent air loss and shall be insulated to conform to
the provisions of Section 1005 of the UMC, 1976 Edition.
7/83 2
rO RK
(6) DOMESTIC WATER SYSTEM
(A) Gas Only Gallons
(brand and model number) (tank size)
❑ Heat Pump w/Electric Backup
(brand and model number)
Gallons
(tank size)
E3 *2 Active Solar
(collector brand and model number)
(rated y -intercept) (rated slope) (solar fraction)
ft
(backup heater type, brand and model number) (collector area)
(collector orientation) (collector tilt)
❑ Location of Solar Panels
❑ Other
(Describe)
(B) TANK INSULATION. Storage type water heaters and storage and
backup tanks for solar systems shall be externally wrapped with
R-12 insulation or greater.
g?000 (C) PIPE INSULATION. The five feet of pipe closest to the water
heater and outside conditioned space shall be insulated with a
minimum of R-3. Steam and steam conditioned space shall be
insulated with a 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.
�
) 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:
Heating: Winter design temperature A_°, elevation 9: SoW ', heating load )/BTU
elevation factor x�h--eating load = maximum outlet capacity gas furnace
/I SsL Cj BTU
Cooling: Summer design temperature LQ -2-P) cooling load BTU
(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.
® DESIGN COMPLIANCE STATEMENT: The above building des et a requirements of
Title 24, Part 2, Chapter 2-53 of the California mi str Code.
7/83
IGNATURE UILDING DESIGNER OR APPLICANT
3
10. SHADING (Exclude Overhang)
EAST
ZONE
�& (P
SOUTH
,t11
OWNER �iw' Vw POINTS
(� }
WEST
ASSIGNED
ACTUAL
PERMIT
NO.--ttk3-��
Som -h-.cln Glazin Pte
Table a 3-10.
1.
SLAB - INSULATION
Points
4.7- 5.5 I
-8
1 -4 1
-38-
1 ) I
2.
P-AISED FLOOR - R-19
I -6 1
T_ I1
I 13 8 I T2 1 I
6.8- 7.7 I
R,3o
-a
n 3.
CEILING - R-30
7.8- 8.7 !
-15
R -Value of Insulation I
Pointe (
r
I
4.
WALL - P.-19
I -
Floor Area
9.8-11.2 1
-
2.4-3.6: 9.0
Q
� V
5.
6.
NORTH GLAZING
EAST GLAZING -
C
2.5-3.67
I -18
7.
SOUTH GLA=NG -
QQ.
1.6-3.6% �7•�
r
3.
VEST GI-AZING -
2.9-3.6%
rL
9.
SKYLIGHT -
0-1.3% .1
"�-
10. SHADING (Exclude Overhang)
EAST
- .66
�& (P
SOUTH
- . 19- . 42
(� }
WEST
- .13-.36
1 0 1
SKYLIGHT
- .37-.57
Som -h-.cln Glazin Pte
Table a 3-10.
Shading
r
11. HORIZONTAL SOUTH OVERHANG 2'
12. MOVABLE INSULATION - NONE
13. INFILTRATION (Standard=0)(Tight=+12) S70
lei. THERMAL MASS �- SF
15. GAS FURNACE (SE) 71-76%
16. BEAT PUITp (EER) 7.5-7.9%
17. DUAL PACK (SE, SEER) 8.0-8.3/71-76% d 7�
WOOD STOVE
f- WATER 1EATER
ATTIC1�'/0
OTHER
TOTAL POINTS =
Table 3-1. Slab Floor Points
1 insula- I R -Value of Insvlstion I
I tion. I I
I Derth,
( (noes 1 0-2 13-4 ! 5-6 1 7+ I
t I I ! 1 I
-T---T--T
-5 1 -5 1 -5 1
112 - 15 I -5 1 -3 I -2 1 -1 1
i 16 - 19 1 -5 1 -2 I -1 I 0 1
! 20 ♦ ! -S ( -1 I 0 I +1 I
I 1 i I 1
7/7/83
Table 3-5. North-Facine ClazinR Pte
I I Glazing Type I
I Total I I
I I of I Sngl, I Dbl, 7rp1,
I Floor l U- I U- l U- i
Area 10.66 1 0.41- 10.41 I
11.10 10.65 1 down I
0 ♦4 +4 +4
1 0.1- 1.2 I +4 ! +4 1 +4 I
1 1.3- 2.3 1 +1 I +2 t +2 I
1 2.4- 3.6 I -2 I 0 1 +1 I
1 3.7- 4.8 I -4 I -2 i -1 1
1 4.9- 6.1 I -7 i -4 I -3 I
I 6.2- 7.3 I -9 1 -6 I -5 I
I jam.! -12 I -8 I -7 I
I 8.3- 9.7 1 -14 I -TS- I -8 I
9.8-10.8 1 -17 I -12 I -10
t 10.9-12.0 1 -19 I -14 1 -12 I
1 12.1-13.2 1 -22 I -16 1 -13 1
1 13.3-14.5 I -14 I -i8 I -15 I
1 14.6-15.3 i -27 t -20 I -17 I
1--1� able 3-6. East-Fncin Glazing Pts.
I I Glazing Type I
- -- ( Total I I
I of I Sngl, I Dbl, r Trpl,
Table 3-2. Raised Floor Points
I R -Value of I
I Insulation I Points I
I I 1
I Floor 1 (U - I (U - I (U - I
I Area 1 1.10) 1 0.65).1 0.41)1
I Ipc!nts I,oir.ts I ointsl
T- o l-+ 4 s q
1 un rnto 1 +3 1 .t4- 1 +4 1
1
1.4- 2.4 1
+1
1 +2 1
+2 1
I below 3 1 1
2.5- 3.6 1
-2
1 0 1
Table 3-3a. Ceiling Insulation
Table 3-7.
Som -h-.cln Glazin Pte
Table a 3-10.
Shading
Coefficient Po!_
Points
4.7- 5.5 I
-8
1 -4 1
-38-
1 ) I
S.7- 6.7 1
-10
I -6 1
T_ I1
I 13 8 I T2 1 I
6.8- 7.7 I
I Glazing :;•pe
1
1 SC by
I
7.8- 8.7 !
-15
R -Value of Insulation I
Pointe (
I Total
I
I
I Orlen-
I -
Floor Area
9.8-11.2 1
I I
I
I I of
I S.ngl, Dbl,
Tr -1i
tetlon
I -18
-15
1
T_
7I
Floor
I (T - I (U - I
(. - i
14.1-15.3 I
-32
I -24 I
-20 I
1 19 I
-4 1
I Area
11-10) 1 0.65) 1
0.41)1
t 5.7- 6.2 I
-_3 I
T-
-6 1
1 22 1
-2 1
I
Ipot,nts I o!nts I
ointsl
I Last
1
1 3.2 1
I
0 I
o
+' +3
+ 3
I
10-3.t
I to 1
6.4 up
8 i
+- I
I up to 1.5
1 -2 I +2 I
+Z I
I
I
I 6.I I'
49 1
+4 I
I 1.6- 3.6
1 -1 I 0 1
0
1 I
I
I 3. r• 5.2
1 -4 IZ.L 1
-2 I
I
T-
I'r 3--rs
1 -6 I -4 1
-3 1
1 0 -.19
I 0
+1 I
+Z
1 6.6- 7.7
I -9 I -6 1
-5 1
1 •20-.36
I 0
I 0 I
i 7.8- 8.9
I -:1 1 -8 1
-7 1
13, .66
I 0
I _&_I
0
1 9.0-10.0
1 -: 1 -10 .I
-9 I
X3
I W22'
1 0
I 0
-1
Table 3-4a. Wall Insulation Points
1 10.1-11.5
1 -:7 1 -13 1
-11 I
I .83 up
1 0
I -1 1
-2
1 11.6-13.0
1 -:1 1 -16 1
-14 1
1
I
1 I
I R -Value of Insulation 1
Points I
i 13.1-14.5
1 -:5 1 -19 I
-16 I
I
I
1 14.6-16.0
1 -:9 I -22 I
-19 1
1 South
1 0 1
3.2 1 6.4
I
I I I
I
I
I to I
to I to I
to
13.1 16.3
17.9 IST
&.
a-
Table 3-8.
West-FacingC1azlnR Pts.
I 24 (
+2 1
1
1
I 0 -.18
1 0 1
+1 1 +2 1
+2 1
30 I
+3 1
1
1 Glazing Type
1
1 .19-.42
1 0 1
0 1 0 1
0 1
(
I
I Total
I
1
1 43-.66
1 0 1
-1 I -2 I
-2 i
.
I I of
I Sntgl, I Dbl, I
Trpl,
I �
I 0 "'--4 I
-4 I
I Floor
I (!. - I (U - I
(U - I
Table 3-5. North-Facine ClazinR Pte
I I Glazing Type I
I Total I I
I I of I Sngl, I Dbl, 7rp1,
I Floor l U- I U- l U- i
Area 10.66 1 0.41- 10.41 I
11.10 10.65 1 down I
0 ♦4 +4 +4
1 0.1- 1.2 I +4 ! +4 1 +4 I
1 1.3- 2.3 1 +1 I +2 t +2 I
1 2.4- 3.6 I -2 I 0 1 +1 I
1 3.7- 4.8 I -4 I -2 i -1 1
1 4.9- 6.1 I -7 i -4 I -3 I
I 6.2- 7.3 I -9 1 -6 I -5 I
I jam.! -12 I -8 I -7 I
I 8.3- 9.7 1 -14 I -TS- I -8 I
9.8-10.8 1 -17 I -12 I -10
t 10.9-12.0 1 -19 I -14 1 -12 I
1 12.1-13.2 1 -22 I -16 1 -13 1
1 13.3-14.5 I -14 I -i8 I -15 I
1 14.6-15.3 i -27 t -20 I -17 I
1--1� able 3-6. East-Fncin Glazing Pts.
I I Glazing Type I
- -- ( Total I I
I of I Sngl, I Dbl, r Trpl,
Table 3-2. Raised Floor Points
I R -Value of I
I Insulation I Points I
I I 1
I Floor 1 (U - I (U - I (U - I
I Area 1 1.10) 1 0.65).1 0.41)1
I Ipc!nts I,oir.ts I ointsl
T- o l-+ 4 s q
1 un rnto 1 +3 1 .t4- 1 +4 1
1
1.4- 2.4 1
+1
1 +2 1
+2 1
I below 3 1 1
2.5- 3.6 1
-2
1 0 1
03-
<'I-
4 I 1
3.7- 4.6 I
-5
1• -2 I
-15-
7 1 I
4.7- 5.5 I
-8
1 -4 1
-38-
1 ) I
S.7- 6.7 1
-10
I -6 1
-5 I
I 13 8 I T2 1 I
6.8- 7.7 I
-13
1 -8 1
-7 I
I 9+ I 0 I
7.8- 8.7 !
-15
I -10 1
-8 I
1 I 1
8.8- 9.7 I
-17
1 -12 I
-10 I
I
9.8-11.2 1
-21
I -15 I
-13 ;
111.3-12.7
1
-25
I -18
-15
1
12.8-14.0 I
-23
I -21 I
-18 I
t
14.1-15.3 I
-32
I -24 I
-20 I
-3
58-.P2
I -1 I
-3
-6 I -12 i
Area 1
1.:0) 1 0.65) 1 0.41)1
1
i
I I P2lrts Ipoints I oincst
West
I.1 11.6
I to I
13.2
to I
1 6.4 1
to I to !
+6
l to 1.3 I
-5 I
+6 1
+6 I
11.5 13.1
16.3
1 7.9 I
+-4-
I`-22 I
-3 I
1
+5 1
I I
I
I t
11
1
1 2.1- 2.8 I D( +2 1 +3 1
1 2.9- 3.6 1
-3 I
0 1
+1 1
0-.12
I 0 1
+1 I
+3 I +6
I 3.7- 4.2 I
-5 I
-2 I
0 1
.13-•36
1 0 1
0 1
0 1 0 1
I 4.3- 5.0 1
-8 I
-4 1
-2 1
•37-•57
I 0 1
-1 I
-3 I: -6 1
5.1- 5.6 I
---0 1
-6 I
-3
58-.P2
I -1 I
-3
-6 I -12 i
t 5.7- 6.2 I
-_3 I
-8 I
-6 1
.7-T 'p
I _i 1
-4 I
-8 I -16 1
t 6.3- 6.9 I-
5 1
-10 1
-7 1
I 1
I
I I
• -- 8 1 -l2 I -9 1
1 7.7- 8.2 1 -_3 1 -14 I -11 1 S
I 8.3- 8.8 I --: I -16 I -13 I
I 8.9- 9.5 1 -=5 I -18 1 -15 I
I 9.6-10.1 I 1 -20 I -16 I
1 10.2-11.0 1-"'3 I -23 I -17 I
1 11.1-11.8 I -13 I -26 1 -21 I
I 11.9-11.7 I - f 1 -29 I -24' I
112.8-13.5 -32 I -27 1
113.5-14.3 1 -%m I -35 1 -29 I
114.4-15.2 I I -33 I -32 )
I I I I I Tar
Table 3-9. Skyli-tt Points
I 1 ..lazing Tyr, I
I Total I I
I I of T 5.-g_. I Dbl, •Trpl,
I Floor I U- I U- I U- I
I Area 10.6fi- 10.42- 10.41 I
1 11.i: 10.65 I do,, I
I upTti'2 I -3 I 2 -1 I
1 2.3- 2.8 I -i 1 I -3 I
I 2.9- 3.6 I I -6 1 -5 I
I 3.7- 4.2 I -1: I -8 I -6 I
4.3- 5.0 I -' 1 I' -10 I -8 1
I 5.1- 5.6 I -_i I -12 I -10 I
5.7- 6.2 I -i'' I -14 I -12 I
1 6.3- 6.9 I -2: I -16 I -13 I
I 7.0- 7.6 1 -2• ( -13 I -15 I
I 7.7- 8.2 1 -:i I -20 I -17 I
I 8.3- 8.8 I -:.i I -22 I -19 I
I 8.9- 9.5 1 -3: -24 I -21 I
I 9.6-10.1 I -33 I -26 1 -22 I
kyllght I .1 1 .8 11.6 1 1•2 I
I to 1 to I to I to I
1 7 1 1.5 1 3.1 13.9 1
-T-1___T-
0-.12 1 0 1 +1 I +3 I +6 !
.13-.36 1 0 1 0 1 0 1 0 l
.37-.57 1 0 1 -1 I -3 I -5
.58-.82 I -1 I -3 I -6 I -12 i
.83 up I -2 I -4 I -8 I -16
le 3-11. Horizontal South
Overhane Points
Stu:h Glazing
I Length Out I Area, I of Floor I
I from Wall I I
I ft r
I 10-6.3 I 6.4 up I
I I I 1
0 - 0.5 1 -2 -4
1 0.6 - 1.0 I -2 I -3 I
1 1.1 - 1.9 I -1 I -2 1
I 2.0 up I 0 I 0 I
I I I I
Table 3-12. lovable Insulatlon
Points
I :oveabie Insulation I 1
I Area, I of Floor I Points I
I I I
I 0- 5.5 I 0 I
I 5.6 - 11.5 I +2 I
I 11.6 - 17.5 I .i
i 17.6 - 23.5 I +6 1
I X23.6+ I +a I
ab:e 3-:3. 1-f•'-tatlon Control
F -mores Points
_- coa::ol reatcres ) Points I
S;a:Latd I 0 I
I I
...9 str changes per hr ( I
I I
T!g1t I +12 I
I (
-1.6 air changes per hr I I
ole 3-15. Gas Fcr-4ce t']thouc
Re:r!7er;:!-.:.n Cc D!!nR Points
Seasonal
Efftcien_y I
Polats- I
2
2 2
2
71
- 75 I
0 1
77
- 82 I
+2 I
83
- 38 (
+A I
89
- 9. I
+6 i
95
up
I
+8 I
I
!e 3-:=(•. P.Lat P9oD Points
Energy `-ffi;!ency 1 Points I
Raclo (EER)
c ( 1
7.5 - 7.9
S.0 - 3.3
8.4 - 3.7
8.8 - 9.1
9.2 - 9.6
9.7 - 10.2
10.3 - 10.8
10.9 - 11.5
11.5 - 1_.3
12.4 - 13.2
+3
+6
+9
+12
+13
+19
+21
+24
+27
+30
TA!L( 3-14 (ADAPTED)
SASS
• A?EA ' + 1,000
•Sn. f T. ,r A B C
D'4EELIRI ARFA S�I!ADE
1,500 2.000
8 C D f A 6 C
`i0
2
2
2
2 2
2
2
0
'.JO.
I 4
4
4
2 2
2
2
2
151
6
6
6
4 4
4
4
2
2P0
B
a6
4 6
6
4
2
25)
10
1D
8
6 6
6
6
4
309
12
12~
10
6 18
8
6
4
353
14
14
12
E 19
1G
8
6
40.1
14
14
12
8 :•3
10
8
6
SS)
18
18
16
10 12
12
10
6
601
21
20
18
12 14
14
12
8
797
24
24
20
14 I8
16
15
10
2)3
0
24
22
16 70
16
16
10
LOJ
126
Zd
28
74
16 122
20
18
12
1,0:0
j 30
30
26
16 1?2
23
20
14
1,;2U
12
37.
28
20 124
24
22-
14
1,200
34
32
30
22 126
26
22
16
1,!03
34
34
32
22 28
26
24
16
1,400
134
34
32
24 28
28
26
18
1.i^9
i 36
34
34
24 30
30
26
18
2,)01
Z
2
1 1 z
34
34
32
22
2, 5J9
I
6
4
4•
'.. 2 4
4
J, COO
2 4
4
2
i 1 4
4
2
J�
3,500
2
2
I
.
6
4
2 4
4.030
<
2 4
4
I
2 c
4
1
4,507
4
1
I
6
6
6
5,077
6
6
2 6
6
4
2 4
4
1 2 2 2 0
22 2 2
2 '2 2 2
4 4 A 2
6 6 4 2
6 6 6 4
6 6 6 4
8 8 6 4
10 10 8 6
12 12 10 6
14 14 12 8
14 14 Iz 8
16 16 14 10
18 16 16 10
20 2G 18 10
22 20 18 12
22 22 20 12
24 24 2n 14
24 24 22 14
30 30 26 i8
34 34 30 22
ZUYE 11
14TERIOR THERRAE MASS PO!ATS
2,500
A 8 C
1 0 0 0 (
2 2 2 (
2 2 2 i
4 4 2 i
4 4 4 2
E 6 4 2
6 6 6 2
6 6 4 4
R 8 6 4
10 10 8 6
19 10 10 6
12 10 10 6
14 14 12 6
14 14 12 8
16 16 14 8
18 18 14 10
18 13 I 10
20 20 18 12
22 20 18 12
26 26 22 16
JO 30 26 18
33 32 30 22
A) 1. 3y' Concrete Slab: MC,3.93; P.•.29; Factor -7.3
2. 3 3/4' :hick Common Brick: IIC=7.12S; R•.1,; Factor -7.3
8) 1. S4• Concrete Slab: 1iC•14.106; it A58 : E";.cror•7.1
C) 1. 8' 3011d Fllled Block: HC•26.63; R•1.9J; Factor•6.1
2. 8' So;1d F1 lied Bloc: 1.0th Both Sides Expase.l To Conditioned Air.
NOTE: Use all square footage directly exposed to conditioned air
forThermal Mess Area: HC=i7.164; F - .9i:; Factor -6.1
D) 1' Thick Concrete/Tile: KC.
2.55; R-.083; Factor�3.7
Table 3-19. Zorslly Controlled
Electric Qcsl:tnnee
S ace IleacinR Points
I
Points
for this neasur. v!1 -able 3-2(1. Solar Nater Heattn¢ With Cas Backup Pair 1 I
I be conp_eted after the CZC I
I has approved an Alcernaclve I Culclfaaily (per unit points)
Cooponent Package for Restscance
wood stove 7133 points'(no back up)
casablanca fan + 1 point
I Oeat. ( :icor Area Net Soler Frartion (IISF), Z
- -- -- ---- perunl.c,
Ta41e 3-13. Active Solar Space fc2
tieatin v!cT Gas Points 0.9 10-19 20-29 JO -39 40-49 5'.1-59 60-69 70-79 Table 3-21. Och-r deter !!eating Pts.
.e 3-17. Cas furnace With ;
_ Retr1:_ration Cooling Points I Net Solar Fraccton I Polocs I I Syoteu Type ( Points I
�r ( (NSE-), Y I I 600-799 0 +3 +7 +10 +14 +17 +21 +24 I ( I
claarac:onl Gas Parnate I I I I 800-999 0 +3 +5 +8 +11 +14 +16 +)9 r '--
8 cr
Cooling 11- 77-153- 39- 35 I I 0 - 6 1,000-1,499 0 +2 +4 +6 + ++f0 +12 +14 I Can Only I O I
I 0 I l,sno-!,999 0 +). +3 +4 +6 +7 +8 +10
1761 821 891 9.1 uo 1 I 15 - 23 I +2 I 2,r�;0 and u 0 .1 +2 +4 +5 +6 +7 . +9 I Seat P,eP I 0 1
I I I I I !
.0 - 8.3 I 01 +21 +4i 161 +8 1 I 24 - ?0 a
I +6 I A1_1_O;t.ers (per Dutl_1nr, pnir,ts)
--e-----•--- - - _ I S o. a r v! ; L Electric
4 - 8.7 I +21 +61 +3I+10 I I JI - 39 I +8 I 8UU E9° o r5 +IU +I4 +1� +24 +_9 i r34 I Re+ls;zozo. Backup ) 1
3 - 9.2 I +:! r;1.10;+12 1 I 40 - 47 I +10 I 9fi(} 999 0 +4 +9 +IJ +17 +i6_ +t;; I ye�rin tr,e Require- I
9.7 I *61 +_';-(01 12; +1i I I 48•- 55 I +12 I !,1)00.1',199 0 +y f7 +ll +!S +19L,4
22' eer.rs !a Pact 2 i 0 i
3 - 1.0.3 I +'I".:! •1_'1+1.1+16 I I 56 63 ( +14 �( - 1,20"-! 699 0 � "+3 +6 +9 +12 +IS 18 ..+211J.9 1+1t +2;•1:!+;; 64 - 71 I +18 i 1,500-1,499 0 +? �+5 +7 +9 +l' +lcP14ccrtc_aesistance72 up I +20 I 2UIi0-:,'/;9 0 +2 +J +5 +7 + G +Il Ia:.d u0 0 +: +3 +. 1 +S ,79 +[0
71'7iS3 -- -
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p p
p
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8 14
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8 14
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20
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26
26
24 '16
124
24
22•.14
22
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20
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30
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26
18
28
:6
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16 124
24
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14 22
<'2
20
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••
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32
32
30
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30
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1=
Cooponent Package for Restscance
wood stove 7133 points'(no back up)
casablanca fan + 1 point
I Oeat. ( :icor Area Net Soler Frartion (IISF), Z
- -- -- ---- perunl.c,
Ta41e 3-13. Active Solar Space fc2
tieatin v!cT Gas Points 0.9 10-19 20-29 JO -39 40-49 5'.1-59 60-69 70-79 Table 3-21. Och-r deter !!eating Pts.
.e 3-17. Cas furnace With ;
_ Retr1:_ration Cooling Points I Net Solar Fraccton I Polocs I I Syoteu Type ( Points I
�r ( (NSE-), Y I I 600-799 0 +3 +7 +10 +14 +17 +21 +24 I ( I
claarac:onl Gas Parnate I I I I 800-999 0 +3 +5 +8 +11 +14 +16 +)9 r '--
8 cr
Cooling 11- 77-153- 39- 35 I I 0 - 6 1,000-1,499 0 +2 +4 +6 + ++f0 +12 +14 I Can Only I O I
I 0 I l,sno-!,999 0 +). +3 +4 +6 +7 +8 +10
1761 821 891 9.1 uo 1 I 15 - 23 I +2 I 2,r�;0 and u 0 .1 +2 +4 +5 +6 +7 . +9 I Seat P,eP I 0 1
I I I I I !
.0 - 8.3 I 01 +21 +4i 161 +8 1 I 24 - ?0 a
I +6 I A1_1_O;t.ers (per Dutl_1nr, pnir,ts)
--e-----•--- - - _ I S o. a r v! ; L Electric
4 - 8.7 I +21 +61 +3I+10 I I JI - 39 I +8 I 8UU E9° o r5 +IU +I4 +1� +24 +_9 i r34 I Re+ls;zozo. Backup ) 1
3 - 9.2 I +:! r;1.10;+12 1 I 40 - 47 I +10 I 9fi(} 999 0 +4 +9 +IJ +17 +i6_ +t;; I ye�rin tr,e Require- I
9.7 I *61 +_';-(01 12; +1i I I 48•- 55 I +12 I !,1)00.1',199 0 +y f7 +ll +!S +19L,4
22' eer.rs !a Pact 2 i 0 i
3 - 1.0.3 I +'I".:! •1_'1+1.1+16 I I 56 63 ( +14 �( - 1,20"-! 699 0 � "+3 +6 +9 +12 +IS 18 ..+211J.9 1+1t +2;•1:!+;; 64 - 71 I +18 i 1,500-1,499 0 +? �+5 +7 +9 +l' +lcP14ccrtc_aesistance72 up I +20 I 2UIi0-:,'/;9 0 +2 +J +5 +7 + G +Il Ia:.d u0 0 +: +3 +. 1 +S ,79 +[0
71'7iS3 -- -
IF
APR 19 1988
GLAZING PIAN TAKEOFF SHFA-7'
3-5 North Glazin_&
_3-7 South Glazing
SOUTH
QUANTITY SI`LE
AREA' (SQ.FT.)
QUANTITY SIZE.
AREA
(SQ. FT.
(a)
x S—o
Yu
8 4.f.4
(b)
/ x 5/0
— g0
yo
(c)
(e)/ -G T,#�, l�•I.t-6'°>v� see =
yt
Sr8
Total North Glazing=.?S�/, 5-'(SQ.FT. )
TOTAL
NORTH TOTAL BLDG
GLAZING FLOOR AREA
SQ.FT. SQ.FT.
CONVERSION TOTAL %
FACTOR NORTH. GLAZING
100 = 7.3 7, %
TOTAL
_3-7 South Glazing
SOUTH
TOTAL BLDG
GLAZING
QUANTITY SIZE.
AREA
(SQ. FT.
(a)
x S—o
Yu
8 4.f.4
(b)
/ x 5/0
— g0
yo
(c)
/ x 6° °
_
,
Total South Glazing
= .?—%
(SQ.FT.)
(a+b+c+d+e )
TOTAL
. TOTAL %
SOUTH
TOTAL BLDG
GLAZING
FLOOR AREA
k
x
A SQ -.FT.
SQ.FT.
SQ.FT.
SQ.FT.
CONVERSION
. TOTAL %
FACTOR
SOUTH GLAZING
100
FLOOR AREA
k
x
3-9 Skylights
QUANTITY SIZE AREA (SQ.FT.)
(a) x—
'. (b) _ x =
(c) x =
' Total Skylights = (SQ.FT.)
(a+b-+-c )
' TOTAL
SKYLIGHT
TOTAL 'BLDG
.'GLAZING
FLOOR AREA
k
FLOOR AREA
_� :
3 f✓o s! r x
SQ.FT.
SQ.FT.
OWNER
YEUIIT NO.
7/83
CONVERSION TOTAL
FACTOR SKYLIGHT GLAZING
100 = . -, °L.
3-6 East Glazing
QUANTITY T SIZE AREA (SQ.FT.)
(�) / x 5i0-2 ° = 8
(b)x .2°3° 6
(c) x
(d) - x m
Total East Glazing = (SQ,FT.)
(a+b+c+d+e )
TOTAL
EAST TOTAL BLDG CONVERSION TOTAL %
GLAZING FLOM AREA FACTOR EAST GLAZING
i� . 3s/0 x loo
SQ.FT. SQ.FT.
3-8 West Glazing;
.QUANTITY SIZE AREA (SQ.FT.)
(a) _% x 5-0
(b) x ■i Ori.. _
(O —7
(c) x =
(d) x =
(e) _ x =
'total West,Glazing (SQ.FT.)
(a+b+c+d+e)
TOTA L
WEST
TOTAL BLDG
CONVERSION TOTAL %
GLAZING
FLOOR AREA
FACTOR' .WEST GLAZING
f., S- x
100 = A -i
SQ.FT.
SQ.FT.
P 42-34-169 2797-89B,P,E,M
A ISERN, Antonio
745 Santiago Ct, Chico
0' 1 Contr: T.C.Hall.: patio to
(enclose existing cov pa
C1 laundry room/SF)
ASSESSOR PARCEL.
LOCATION
Temp. Power Pole
Called PG&E
Temp. Elec. Service
Called PG&E
Temp. Gas Service
Called PG&E
JOB FINALED (Date)
Signature
nv
= OK ..
0 = Not OK
= Not Readyable MOBILE HOMES MISCELLANEOUS
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
Date
DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Sewer; Location -Test -Fall -C/O -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-
Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
6. Gas; Location -Test -Wrap: / PV'ft.
/ /"Nat. or/ /"L"ft./ /"LPG
15. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
Card -B1
Date Card -B1 Date
10. Roof; Shthg-Roofing
Card -B1
Date Card -B1 Date
11. Ext.; Steps -Doors -Landings
Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Card -B1
Date Card -131 Date
2. Footings; Size -Spacing -Marriage Line
Card -B1
Date Card -B1 Date
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
Date
POOLS (Plans) OK except #'s
5. Drain; MH Test -Fall -Flex Connector
1. Setbacks -Easements
6. Water; MH Test -Regulator -Connector
2. Soils; Compaction -Structure Stability
7. Water and Sewer Connected -C/O to Grade -HD Approval
3. Pool Structure; Steel -Connections -Thickness -
Dead Men -Lining
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
4. Elec.; Receptacles and Lighting, Distances-GFI
10. Cert. of Occupancy
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
Card -B1 Date Card -B1 Date
Card -B1
Date Card -B1 Date
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Card -131
Date Card -131 Date
Card -131
Date Card -B1 Date
= vK
o = NotOK
- =Not Applicable '� RESIDENTIAL (Single and Duplex) ;
= Not Ready
A
Date UNDERFLOOR (Plans) OK except #'s
Date FRAMING (Continued) -
1. Zoning -Setbacks; -Easements -Flood -Slope -
a rs=Post Caps:Anchors-Connectors
2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
. Cing. Joist-Rftrf Ties -Pu rlin-Roof Brac.-Truss-Shthng.-Rfng.
3.-Ftg., Garage; Soils -Steel-/• /" Ftg. Depthp
ace Ties or Type'A Flue -Fireplace Throat Clearance
4. Ftg., Porches &Decks; Soils -Steel-/ • /"Ftg. Depth
---- 0.J4ti-Access; Size & Romex Protection -Draft Stop -Ins. Baffles
Windows or Exiting Doors -Sill Hgt. & Dimensions
5. Stemwalls, Main; Steel-Blockouts-Wrappedrm.
6..Stemwalls, Garage; Steel-Blockouts-Wrapped
�0-Ger�ge'Fire Protection Framing
7.'Slab; Steel-Wrapped�rerty
Line Firewall & Openings
8. Piers -Fireplace Ftg.-Steel
SZIExt. Doors -One T -Check Garage -3rd story,.2 exits
9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test
irs; Width -Headroom -Rise -Run -Landing -Fire Protection
10. Gas Pipe; Size -Anchors
We.11lywood on Roof Overhang -Attic Vents -Rafter Outriggers
ii. Water Pipe; Test -Anchors -Regulator -Service Test
wiling Veneer
12. Electric; Underground
SrSt4cco Mesh -Drip Screed -Fd. Vents-Underflr.•Access -
13. Plenums & Ducts; Clearance-Material-Supprt-Ins.
q?'q_4d1lng Area -Glass Protection -Skylights -Plastic
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
. hear Walls; Nailing -Bolts
15. Insulation
Jo nsulation-Walls-Clg.
60. Infiltration-Walls-Wndws .
Card -61-. Date Card -131 Date
Card -B1 Date Card -B1 Date
Date PLUMBING (Permit) OK except #'s 4
Fit. Vent -Access -Combustion Air -Baffle
a ipe; Test & Anchors -Nail Protection
1 .W.V.; Test-Fttngs & Anchors -Nail Protection
Pan; .Test, First Floor -Tub Access
z) -Ten -Tub & Shower, 2nd Floor -Tub Access
ipe; Size & Anchors
Card -B1 LAA0 Date T Card -B1 Date
Card -B1 Date Card -1311 Date
Date ELE TRICAL (Permit) OK except #'s
.,f2l PsTure.& Transformer Clearance -Ins. Protection
. EI :-Receptacles Spacing -Lights•& Switches at Doors
e Boxes & No. of Conductors -Stapled
mex Installed Close to Edge of Studs & C.J.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
p liance Circuts in Kitchen & Conductor Size/G.F.I.
feed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga.
Cu or At
ange Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral Yes No
__.28�'Mrvice-Riser Conductors & Ground -Main Disconnect
__34--ffq-uip. Clearances Panels-Motors-Mech. Equip.
�thes Closet Light -Shower Light -Spa Light
-/33'. Smoke Detector
Card-B1W0-4J0 Date 01.'W.f q Card -B1 Date
Card -131 Date Card -131 Date
Date MECHANICAL (Permit) OK except #'s
ucts Insulation & Support
Vent Fan; Exhaust above insulation
s& C_efidensate Drain & Overflow; Size & Grade
z e_Vent; Access—Comb. Air -Return Air Vent -1 a outlet
is Access & Platform if Furnace in Attic
Card -B1 Date 2Q-.Pj Card -B1 Date
Card -131 Date Card -61 Date
Date FRAMING (Plans) OK except #'s
39. S• Proper Material & Anchors
Walls Studs -Nailing, Spacing & Bracing—Plates-Sound
Bearing Walls over Girders & Floor Nailing
L613]Z(_WDrp Stop in Walls (rat proof)
P�irp Stops; Furred Ceilings -Stairs -Chases -Tub
Bader & Beam -Size & Bearing -
Card -B1 Date` ,%f Card -B1 Date
Card -Bt . C61' Date A Card -'B1 Date
Date FI ns) OK except #'s
&I'E>e Steps -Door & Sidelight Protection -Landings
moke Detector
-I3" Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Meth. Protection
c64-edroom Exiting
ZS -F.I. & Bath Fixtures & Tub Access -Spa
C66-EI�'c. Trim & Subpanel; Breaker Sizes -Labels. -
Rails
ft;t 68.,560ace or Stove; Clearances -Hearth
Elec. Outlets at Wood Panel; Int. & Ext.
-711 Kit. ixt. & Appliance; Grnd. -Air Gap -Cooking Clearance
lec. Outlets & Receptacles at Kit. Counter
_42 --Garage Fire Door; Swing -Landing -Closer
C"Duct in Garage -Damper
r.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
I arage; Above Floor-Mech. Protection
7 Ib., Elec. & Mech. Equip. Listed for Location
,Z6.E4eC-Receptacles in Garage; (G.F.I.)-Romex Protec.
-v;. 'F►ewlation-Foam-Looked in Attic ❑ Yes
.Card Rails & Deck Construction -Post Caps
FdR. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearanqp Looked under Floor ❑ Yes
�PPWhters
1rg instld.; Drive eZ Yes ❑ No; Walks Yes o No;
Yes ❑ No
Stucco; Brown -Finish '
121'Unit; Disconnect, Electrical, Plumbing
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance"to
Openings.
r Well; Disconnect, Electrical, Plumbing
xterior Elec. Trim; G.F.I. Receptacle -Underground
-0&-Ventilation throughout House
re�lass Protection
errections from Previous Inpections
-897131ts Test -Meters Tagged; Gas -Electric
410_.WWer & Sewer Connected -C/O to Grade -HD Approval
-*-Energy Compliance Certificate -Other Certificates
Card -B11 -L-3/_ to % ,.Card -B1 Date
Card -B1 Date Card -131 Date
Card -B1 Date Card -131 Date
Comments at Final:
(NOTE: An entry must be made each time you visit job site)
Q3
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
RMIT NO.�
ASSESSOR 2I_ EI jJ�M R
if_t' //\
^�
ZONING
BUILDING PERMIT
OWNE
TELEPHONE
SQ. FT. OCC. BUILDING LUA ON
OW E 'S AILI ADDR SS
C R TOR• A
PHO
C TRACT R',r I ADDR SS
Fireplace
C(WrIOR LENDER
UNKNOwff
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$6110
AR H TECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Ed
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
04
Penalty
$
BUILDING ADDRESS
Na
r
Permit fee
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00 00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME PARCEL MAP
Water piping
5.00 O
Each qas water heater or vent
5.00
USE OF STRUCTURE
SFJ Duplex❑ Mobilehome❑ Other
(` SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
10.006
TYPE OF WORK
New❑ Addition R Imodel❑ tilities Install"on❑ Other
Descri work: 0 _
a
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 6101 OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declar under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code nd my license is in ful force and effect.
10
License No. Classification
Fl 1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ontract-
ors.
ors.(Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OC cu
NEA ADONIS.A
, /2¢sgft
ULT, OUTLET
NON-RESID BRANCH CIRC ,TS
2.50 ea
POWER APPARATUS e
SINGLE OUTLET c,R.
EX. OCcup�OUTLETS OR FIXTURES
20®50c
BAL030
EX. OCCUp. OUTLETS FIXED P(RESID )REAJ
2.00
Temporary service
10.00
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.
shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
No ice 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
Cooling
9
Hood
3.00
Ventilation
Permit Fee
Q
$
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 t enter upon the above-mentioned property for inspection purposes.
I als ag a to save, Inde ify and keep harmless the County of Butte against
all iabi flies, jud ment osts, and expenses which may in any way accrue
ag Inst a' Coun i s uence of the granting of this permit.
X U 4`�—
Date
Signa re of Applicant— O er ❑ Contractor ❑ AgerA
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
Lion of structures er 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST TYPE
AL
TOTAL FEE $
HAz
cuA
PARK
.--
F
PAR
PD Ho Issu
This permit is hereby issued under the applicable provi-
sions
sions of the Butte County.Code and/or resolutions to do
work indicated above for which fees have been paid.
DIR CT OF PUBLIC WORKS
�ln9 pq
BY Dates /
PERMIT EXPIRES Date `J
Receipt No.-ttq
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENTa PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET
Permit No.
OWNER e r r? A. P. No.
Proposed Building Use v42 Building Inspector Date
/tl ri• ,..,, v+ / /
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. Energy Design Compliance and supporting documentation .........
6. Statement of Intent for Non -Heated and AC Buildings ..............
7. Engineered truss details and layout in duplicate (required prior to plan check)
8. Mobilehome installation data including manufacturer's installation
instructions.......................................................
9. Fees of $ ..........................
10. Chico Urban Area fees paid ........................................
11. Park fees paid .....................................................
12. School District fees paid .................
13. Sanitation approval from Health Department ...
14. City of Chico plumbing permit ......................................
15. Plot plan and business license approval from City of
(see City for other requirements)
16. Planning approval for (A) Use: (B) Parking: .........
17. Improvements may be required.
18. Driveway permit (construction approval required prior to occupancy) ...
Pre-Inspec. request to
19. Pre -Inspection for required ...... Building Inspector
20. Contractor's license information (No., Name Style, Classification) .......
21. Certificate of Workmans Compensation Insurance ....................
22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ........
Date)
�
3. Recorded copy of Agricultural Acknowledgment Statement
4. Letter of signature authorization ............ . ............ .
25.
26.
When you issue the Dermit,rocess as follows: Mail to owner. Mail to contractor.
— Telephone 9Pnand hold for pickup at I rr`� office. Deliver w/inspector.
Other Z
LTZI
Applicant/ ��� !r Date��1`"il I
Copy of plans sent Health Dept., Fire Dept., Other Date
The following data must be submitted prior to p 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 —ma II—counter by date
Plans checked by Date Plans approved by e� Date �S
Sets of plans on hold in File cabinet AP folder
Copy—DPW
T.C. HALL DEVELOPMENT CORP. -
3018-A*.Esplanade
Chico, CA 95926
(916) 891-5980
Lic. #530646-B
To: 'Butte Co. Building.Department Y 9-19-89
7 County Center Drive _
Oroville, CA _
Re: Antonio Isern
Laundry Room Remodel
BP# 2797-89
Please find enclosed'a letter from Bachman & Associates concerning
and',clarifying item NO. 12 on page 2 of'. approved plans and
specifications.
Thank you,
Tom C. Hall
President
• i
1
l .
• E�-3P�1:1E�# ,-�i�f
nQ r -V
A 1 .. i f ; %, , :o
frtt)rI
rri)T7 iC7 moi.` ')1^ .x, :3 i'3c'.ri�Jbt tttt�13 :,-J.t� 1' h c,',$ulIll t W:t, fj r
F} r • ', i7 f • i7 v t) 11;
to � :, i;'r r c t � .
[,:) C� J1 til Ili ).il �:� �F't.l 'l�j�,J, f7,
n
,_1C''( );iik;f!T
BACHMAN &
September -15, 1989 ASSOCIATES
T.C. HALL DEVELOPMENT CORP. T'
3018-A The Esplanade a
.Chico, California 95926 ,.
�F
ATTIC: Mr. Tom Hall • •.. .••` :•.
RE:* Remodel and' Move of Laundry Area
Antonio Isern
745 Santiago Court, Chico, CA
Dear Mr. Hall:
After reviewing the enclosed plat of the above referenced project,
I offer the following;
1. The existing footings under the post area (shown in yellow on
the enclosed plat), should be adequate for the support_of the
2. Recommend that pressure treated sills be used in said area.
If you'.have any further questions, please feel free to call our
office.
Very truly yours,
BACHMAN au
CWB : t r b COUNTY
BUILDINC'D9
enc. RN
Appp
��
vey
12�1,
ENGINEERING SURVEYING PLANNING • ' DESIGNING 7.
3012 The Esplanade, Chico, California 95926 Telephone: (916) 342-4136
T.C. HALL DEVELOPMENT CORP
3018=A Esplanade
Chico, CA 95926
(916) 691-3980
Lic. 6530646-g• :•
8-23-89
RE. Remodel & Move Laundry Area
For: Antonio Isern
745 Santiago Ct.
Chico, CA
APN. 42-34-169
Scope of Work:
1) Remove stucco @ Existing rear porch
2) Frame in porch under existing beams
3) Move window & door to new location
4) Install new door @ old door location
5) Install new plumbing & electrical fixtures
6) Cap off old plumbing fixtures
7) Install 2 exhaust fans
8) Remove & patch 1/2 bath window
9) Insulate exterior walls to R-13
10) Dry wall new areas & patch
1 Install n nn �- ,
GzX�l.,l � � /� • �` . ,oil/
rA
Provide 'N' x 10" anchor, bolts
6' O.C. max. and withiol
�i `�asr` gM, ATG.
JnLj
Q'q-7-N- - - -
r. +y�. ! .� �V1*.. 'Ff er• --vv ' '
471
191A
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411
.fie,{
!! � t-
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zf
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to � lVl I.
7,1
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T.C. HALL DEVELOPMENT CORP..
3018-A Esplanade
Chico, CA 95926
(916) 891-5980
Lic. #530646-9-
8-23-89
RE. Remodel & Move Laundry Area
For: Antonio Isern
745 Santiago Ct.
Chico, CA
APN. 42-34-169
Scope of Work:
1) Remove stucco @ Existing rear porch
2) Frame in porch under existing beams -
3) Move window-& door to new location
-4) Install new door @ Old door location
5) Install new plumbing & electrical fixtures
6) Cap off old plumbing fixtures
7) _ Install 2 exhaust fans
- 8) Remove & patch 1/2 -bath -window
- - 9) Insulate exterior walls to -R-13
10) Dry wall new areas & patch old -
11) Install new vinyl
i%-� 1 ,na, :i -/1—/=n �n ., ; i ,►./-c--�t o� :�� � � �ri,� : //I S ����—U=�/�--"--�
Prov e' "_-x=1& anchor bow
Q 6 C. max. and-withi
1.��. cf win 7—
S DIRECTION N
A P
i
Jol.es e
I S
t u
l i
O IC S
1) Pad T be_ br: IT oti —y
�ciSG -":77
411 doar5 To peal e.i� o�
z Te .r
ctia vri 85 dQ^ a'- 9✓'"`'
3� %I'►I i Tay T �adl oloc'� o� "•+"�
N be. s•
n
on _ el ;.nb >b/e .
I
ELLIS A&E SUPPLIES 040080
44- OL
BUTTE COUNT
DIVI1 /B'
APpRo pD
,Owner: MAtM6AA
'BP# 697-Oi72-
21�
APN: p42- 770 -t323 07
POOL GENERAL.
SPECIFICATIONS
SIZE 3i X 19' AREA
500o DEPTH ST01
SHAPE
LINER
POOLCAPACITY -70,0"o GALS.
PUMP:
MOTOR H.P:. .,.a I S aM+� M.P.
FILTER CdrG 'F2b SO. FT.
VACUUM LINE&SKIMMER Z'
RETURNLINE' •TJw.iG;'�',
MAIN DRAIN 2 r r''f r'.:.,c' w F n
SKIMMER MODEL
BACKWASH LINE .
_' OF %" FILL LINE
ANTI SIPHON VALVE 'a•�
HEATER -E,+ ' SIZE BTU
GASLINEBY:--9P-VENTE08Y:
LIONT SThwc�«�
CLOCK .G,.oiAl ►���•
ELECTRIC BY:
ELECTRICAL BONDINNd 8Y: I c✓F R -Ph
POOL CLEANER
CHLORINATOR'SaafT
BOARD - SIZE
BOARD SUPPORTS ted—
LADDER - MODEL
SLICE 0 W.
GRACING Flo'1
BTUB PLUMB O rE8 BD7�0 '
DECK BY: RAF`. foal f
NOTES
SCALE 11B". VW'
a� a.
Se,' I't :6�N'e::4Ta 1►
caro er. olln
NOT TO SCALE 3
8
DEEP
END SHALLOW
END
UNLESS OTHERWISE SPECIFIED:
POOL IS 2 SHALLOW TO 9 DEEP
I HAVE RECEIVED A COPY OF
THIS PLAN AND HEREBY
APPROVE POOL AND
EQUIPMENT LOCATION .
CUSTOMER'S SIGNATURE DATE
PERFECTION. - c CO, CA 95928 -STREET
• ,
(9i 6) 895-0437
License #566654
S DIRECTION F
ELLIS ASE SUPPLIES 040060
doo.s T
v✓I 95 a(Q�+ a.. yvcnM
Tis T �odl .PSK o.
9
,vvieY YcnGC S�+a�� ba
L wp y
.y
N � 4
�i
0
�r
17'
d '1(' 200
NO
5'Fe,ee 287. 4Z'
1
<�
,, 0 4
Assessor Copy
Owner MibJC,l�11
APNO+ --770- U23
BP# 00'1- D (`? 'Z
U ---
SPA GENERAL
SPECIFICATIONS
PA TYPE: MDL •
01 N810N:
DEPT '
COLOR . TOTAL GALLON
SPAJETS nLE
HEATER:
PUMP 8 MOTOR:
AIR BLOWER:
GAS UNE:
PLUMBING F SPA:
ELECTRI CLOCK.
EXCAV ION: '
DEWING
M CELLANEOUR'
SOLAR GENERAL
SPECIFICATIONS
.POOL 80. PT. PANEL
PANEL PANEL
NUMBER PANE UMB RUN
AUTOMATIC. UAL
THER TERS B008TE'Wf4lMP
OLE ❑ DOUBLE O ELECTPIC BY:
JOB NO.
MAP.BOOK NO.
LEGAL DESCRIPTION
A P-046 42-
-3`�—�6°t
LOT NO.
TRACT NO.
BOOK -PAGE _BLOCK -
ESCROW CLOSE
TENTATIVE 010 DATE
PERMIT OFFICE
MOR.
SALESMAN
OWNER:
TO DETERMINE
APPROXIMATE ELEVATION OF
POOL ON DAY OF EXCAVATION '
POOL AREA TO BE FENCED,
BY OWNER PER COUNTY OR CITY
ORDINANCE GATES TO BE SELF
CLOSING AND SELF LATCHING.
DO NOT TURN ON POOL LIGHT
WHEN POOL IS'EMPTY
POOL -OR SPA
NAME )YIA.<i( + s«7or�e •()lpfit§'
ADDRESS 7qf S T o o it
ca,co . CA
CROSS STREETS
RES. PHONE 89 q'- 3'797
BUS: PHONE
cG
PERFECTION. 89 c CO, CA 95928 ET
11810 . ,
(9i 6) 895-043?
License #566654
zoo' x
<�
,, 0 4
Assessor Copy
Owner MibJC,l�11
APNO+ --770- U23
BP# 00'1- D (`? 'Z
U ---
SPA GENERAL
SPECIFICATIONS
PA TYPE: MDL •
01 N810N:
DEPT '
COLOR . TOTAL GALLON
SPAJETS nLE
HEATER:
PUMP 8 MOTOR:
AIR BLOWER:
GAS UNE:
PLUMBING F SPA:
ELECTRI CLOCK.
EXCAV ION: '
DEWING
M CELLANEOUR'
SOLAR GENERAL
SPECIFICATIONS
.POOL 80. PT. PANEL
PANEL PANEL
NUMBER PANE UMB RUN
AUTOMATIC. UAL
THER TERS B008TE'Wf4lMP
OLE ❑ DOUBLE O ELECTPIC BY:
JOB NO.
MAP.BOOK NO.
LEGAL DESCRIPTION
A P-046 42-
-3`�—�6°t
LOT NO.
TRACT NO.
BOOK -PAGE _BLOCK -
ESCROW CLOSE
TENTATIVE 010 DATE
PERMIT OFFICE
MOR.
SALESMAN
OWNER:
TO DETERMINE
APPROXIMATE ELEVATION OF
POOL ON DAY OF EXCAVATION '
POOL AREA TO BE FENCED,
BY OWNER PER COUNTY OR CITY
ORDINANCE GATES TO BE SELF
CLOSING AND SELF LATCHING.
DO NOT TURN ON POOL LIGHT
WHEN POOL IS'EMPTY
POOL -OR SPA
NAME )YIA.<i( + s«7or�e •()lpfit§'
ADDRESS 7qf S T o o it
ca,co . CA
CROSS STREETS
RES. PHONE 89 q'- 3'797
BUS: PHONE
cG
PERFECTION. 89 c CO, CA 95928 ET
11810 . ,
(9i 6) 895-043?
License #566654