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HomeMy WebLinkAbout043-430-013JOHN SCHRECK 43-4'3-13� 1427 Creekhaven P1acegChico " Contr: Monty Betty, Chico � 0) Permit��854-86B, P, E,M(new sin e f mi DR, GREG LAUTEN 4�3`-,4-3-n13 Contr: Bonita Pools Permit#698-88B,P,E(new swimming pool) 043-430-013 03-0243 LAUTEN, GREGORY 1427 CREEKHAVEN PLACE, CHICO CONT: GALLAGERS HVAC FURNACE IN ATTIC/AC ON SLAB r r M d' .:M W ' COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone 03- (5301538-7541 P MI No. (Rev. 12/96) APPLICATION AND PERMIT C ✓/ 0� ASSESSOR PARCEL NUMBCJED / ��D Zo"I Gs� BUILDINGPERMIT OWNER TdLEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAIUESS WWII ` eA-, LJC � CONTRA S NA Q3` V=.;) CONT: MA ADpR -. �. 9 55 CONSTRUCTION/LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ —4 BUILDING ADDRESS 14 D Energy Plan Checking Fee $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF X Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 14 V at -e_ C Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service zoDA0,,'SS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,�" and my license is in full force and effect.�7 �,� License Class � `1(� Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service TO lOooA 46.00 W NEW CONST. DWEWNG OCS. OR ADDNS. ( a ACC. BLDs. s0 3.5¢FT: jy q o IpT MULTI -OUTLET (a 7,50 8 PSINGOUTLET CIR. OWERLEAPpARATUS Ex. Occup. OUTLET OR FIXTURES zo p ,.00 BAL Q .50 FlXED APPLNS. OR Ex. Occup. otmErs RESID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for -workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. '5ir'1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' comp�ensation insurance carrier and policy number are: Carrier / 2&/?CV' Ito 7/f - Policy Number 73L'1 N 6 b (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comps with those provisions. i 28' O4X �' Date Signature of Applicant - ❑ Owner ❑ Contractor K Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling5� Hood 6.50 Ventilation PERMIT FEE S 5j L M Mobile Home Installation Fee $ Energy Inspection Fee $ Occ _ T. TYPE V T AL FEE $ 50.M HAZ. p, IMP FLOOD CDF PARCEL p0 HD SU This permit is hereby issued under the applicable provisions of the B e County Code and/or Resolutions to do work indicat above for which fees have been paid. /,�8 -03of By&Z&Date PERMIT EXPIRES ON /'e���� (Da te ReceiptNo.%22SK-50.00 WHITE-D.D.S.-B.D. CA ARY-ASSESS R PINK -INSPECTOR GOLDENROD -APPLICANT w „ Asmt�#Fe s�t4j # 043430013000 RM. N:am LAUTERNGREGORYJ�&ALETrAKJ�T E ` „YF Status,° { h s €� Ei���r ACTIVE „Status ra.4 ` J Date" a F .. . Addrlcl427{�CREaE?KHAVENPL���'4'„f �sTax�0Q0 N®RMALOWSHIP NERA'�T�RA 062104��, Addr2 GHIC®CA95926 Fihtf� =127CREEKHAVENNPLGHIC® �4 ��Situs Addr3 �,� Base Dt{E.; !E� 58 304 < ` 1cTA ev rese rve u t fu x o Structure'EMMr AgPres` + Fixtures 0 s� Zr�” Gomm�nts 43430©13000ONUERTED,E09/081,88 Etalf�; E Grown Creatin Doc# 1987R4384200k 9 r f:F rK �';,��" �E E f rayBonds � ° f Current Doc# � � � �- �'R td �r fi � �Ix R A, .Multi Sdus �� 0 Killing Doe# : Date MHER, 0 �R� -&EE€ ag1� -fig—F S� ss € l ,f { 1F.� 5' i�'...# %`EiE.I 5t.if' �` t4f ffH. 1 Asmt Desc %1427CREEKHAVEN':MINOR P,L " €S:uplCnt 0 r Fla 2'= 1 SPP 0 9 F 4, ff �� h'hZonmg ASR00' Dwell 1 , x.910 Fi :,Exempt f w € at fE J -{ �ttlp�fi k 9 11 ff F OR � ..,:f r,4smt�PPRPen h,;'kNet: 313028k: AcreslSq Ft 0 33, NIC Oda a f `°0 W"ll'r x PIiY '' ° E}CP T x 0� HOw ATT—Ji gtgItT�� .', ,OWN w 4 , ..,. fnti .,PCL., [€'rti'""s : : `.+ x,rn—' �k €u aE<`a �j MILE ctm .'>.s.itc<`.@...:eE'`��'��':x..k's'�u.w1!:�e.<...��.,�#.:t`Ezi:E' :u�..Z�..w. PERMIT NO.' 854-86B P E M 1 fi. PERMIT EXPIRES- OWNER XPIRES OWNER JOHN SCHR CK CONTR. Monty Betty y 43-43-13 - ASSESSOR PARCEL [ LOCATION 1427 Creekhaven Place, Chico ` OFFICE.COPY 1 Address I F GAS Meter By Date ELECTRIC t� Meter By Date 3 h f w I it, Temp. Meter By Date ELECTRIC I Meter'By �_ _ - Date Temp. Elec. Service Called PG&E 'i Temp. Gas Sei Called PC I JOB FINALE[ Signature { Owner.: 4'zI C( LOCATION Permit No. ENERGY R CQTIFICATION '1jA�Jg I�f_ . rkltr r--,% DESCRIPTION OI' INSULATION ROOF Material_ � A-- Tliickness(inc hes EXTERIOR WALirl Material, 1—Iii LSZ CA -SS Thickness(inches) 11Z f CEILING Batt or Blanket Type Thickness(inches) Loose Fill Type Minimum ThicknesWnclies) Area covered(ft. FLOOR, ELEVATED Material I'V . Thickness(inches)' FLOOR, SLAB Material_ Thickness(inches)_ Width(inches) FOUNDATION WALL Material.(�- Thickness(inches) A. P. No. Brand Name r Thermal Resistance (R VAlue) Brand Name CEO-Awrc-&SN _ Thermal Resistance(R Value) -1� Brand Name ThermalRe tan�ce(RR Value) Brand Name - Number of Bags$ Wt. per bag 'Z<— lb. Thermal Resistance(R Value) — Brand Name Thermal Resistance Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resis'tance(R Value) I hereby certify that the above insulatioca was installed in the above building in 5;�Wfoxpiance with the Statealifornia Energy Requirements. _ H ins In�urtion Co., Inc. _ #378407 STATE CONTRACTOR'S LICENSE NO. O - CtBC=. SIGPDI tE/OF INSTALLATION APPLICATOR - - DATE I hereby certify the above insulation and all required items as shown on the Building Department approved plans,and attachments have been installed as required by the State of California Energy Requirements. All equipment, devices and materials are of the quality prescribed or aie specifically approved by the State of California. FIRM W&iE/OWNER (Please print) STATE CONTRACTOR'SLICENSE NO. Y 67 SIG14ATIJRE OFRAL JONTRACTOTZ OWNER DATE 4 THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. January 1984 / = OK O = Not OK - = Not Applicable * = Not Ready MOBILEHOMES MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date_ DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements-Setbacks-Easemenis 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rig.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. r Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except N's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances ' 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval , 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged B. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -BI Date, Card B -I Date Card -BI Date Card -BI Date Card -BI Date i J'-tt OK n _Not OK . = Not Applicable RESIDENTIAL (S(n9 ' le and Duplex) = Not Ready Date UND FLOOR Plans OK exce try's Date FRAMING Continued ing requirements -Setbacks asement Property Line Firewall & Openings Main; Soils -Steel -EI . Grnd.- 111;14" Ftg. Depth Ext. Doors -One 3'7Check Garage -3rd story, 2 exits tg., Garage; Soils -Steel- / " Ftg. Depth -56r -Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" F!9,,Depth 4___P!1wa@oTon Roof Overhang -Attic Vents -Rafter Outriggers to walls, Main; Steel-Blockouts-Wrapped-S b. Si -Nailing-Veneer walls, Gar e; Steel-Blockouts-Wrapped-S Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access Piers -Fir ce Ftg.-Steel . 54. Glazing Area -Glass Protection -Skylights -Plastic N13'Pr D.W.V.: F -F ngs- es way C/O -Sewer Test hear Walls; Nailing -Bolts s Pipe; Size -Anchors 1P/'Water Pipe; Test -Anchors -Regulator -Service Test -44--Electric; Underground -4e_ Plenums & Ducts; Clearance -Material -Support -Ins. ,a2 -birders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date 2 Card -BI [ Date L Date FINPC / (Plans) OK except q's Card -BI ` Date Card -BI Date Date q,1,61MBING (Permit) OK except q's .2,9t. Steps -Door & Sidelight Protection -Landings Smoke Detector 4. ter Ht.; Vent -Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - Garage; Above Floor-Ducts-Mech. Protection ter Pipe; Test & Anchors -Nail Protection D.W.V.; Test-Fttngs & Anchors -Nail Protection • doom Exiting Pan; Test, First Floor -Tub Access 6 F.I. & Bath Fixtures & Tub Access __-hower 8. Test Tub & Shower, 2nd Floor -Tub Access Gas Pipe; Size & Anchors . Elec. Trim & Subpanel; Breaker Sizes -Labels 9t'-9tairs-& Rails _ 6 eplace or S e; Clearan -Hea 6 ec. Outlets at Wood Panel; Int. & Ext. Card-B�` Date 8`(o Card -BI Date 6T.Xit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -81 Date de Elec. Outlets & Receptacles at Kit. Counter Date E TRICAL Permit OK except p's arage Fire Door; Swing -Landing -Closer actin Garage -Damper 0. Fixture &r nsformer Clearance" -Ins. Protection 69 tr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- Iarage; Above Floor-Mech. Protection -- Receptacles pati -Lights &Switches at Doors 7 Plb., Elec. & Mech. Equip. Listed for Location Size Boxes & No. of Conductors -Stapled 7e,--ETec. Receptacles in Garage; (G.F.I.)-Romex Protec. Romex Installed Close to Edge of Studs & C.J. . Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 7 - ns_yjation-Foam-Looked in Attic L;ia'Ff 7 uard Rails & Deck Construction -Post Caps 2 Appliance Circuits in Kitchen & Conductor Size - ubfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al -Range 7 n. Vents & Crawl !-tole Door -Drainage & Wood -Earth Clearance Loo El under Floor Yes Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, _ nsula[ed Neutral --Yes �No rvice-Riser Conductors & Ground -Main Disconnect 7 ollowing instl rive No; Walks E -1-Y99- 6 No; Pla rs es CI No cco; wn-Finish -30. Clothep.s Clearances; Panels -Motors -1 quip. 30. Clothes Closet Light -Shower Light - — - - - - - — -- Card B-1 () �, Date_ �p jBl�j' Card BI Date Card B-1 r Date Card -BI Date 7 A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 49r-Y�11; Disconnect, Electrical, Plumbing 8 F.Akerior Elec. Trim; G.F.I. Receptacle -Underground 8te,41n1ilation throughout House GJA&s Protection Date ME ANICAL (Permit) OK except N's C ectio from Previous Inspections 8 Gas st-Meters Tagged; Gas -Electric _- _C. Ducts: Insulation & Support Vent Fan: Exhaust above Insulation _ Condensate Drain & Overflow; Size & Grade er & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates _ 34. urnace-Vent; Access -Comb. Air -Return Air Vent -_115V outlet 35 Attic Access & Platform if Furnace in Attic Card -BI Date G �(pl /1 Card -BI Date -- -_- Card -BI Date Card -BI Date Card -BI Date /1� Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FR ING(Plans) OK except q's Comments at Final: Sills; Proper Material &_Anchors__ /falls: Studs -Nailing, Spacing & Bracing -Plates_ -Sound llFloor-Nailing- ®S. aring Was over Girders & Floor_Nailing_ _ Stop Stop in Walls (rat proof)ire Stops: Furred Ceilings -Stairs -Chases -Tub F5��ader& Beam -Size & Bearing Hangers - Post Ca -Ant rs-Connectors 43. Cing. Joist-Rftr. T' urlin-Roof Brac.-Truss-Shthng.-Ring. 44. Fireplak Ties or yp�Flue-FirepSaCl§fThroat Romex ProtectionDraft Stop -Ins. Baffles . /Attic Access: Size & - 48' Bdrm. Windows or Exiting Doors -Sill H_gt. & Dimensions__ _ Garage Fire Protection Framing — (NOTE: An entry must be made each time youvisit jobsile) COUNTY OF BUTTE ' DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 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 qxplanation, please contact this office immediately. r I .� nj . � T.�.!40 Ar— STS I Inspector— COUNTY OF BUTTE T, DEPARTMENT OF PUBLIC WORKS . 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 5344541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 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. n. JeN Inspector v Y Date/J 7 7 Nater-Departmenful FROM: SUBJECT: OATE: 6-2-7-96 _-2-96 & 5-Y-86 I,tJ J� O �f3 g CGc�c -13- L3- /3 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLEOCA-L,IF-�QWIA 95965 - TELEPHONE: 910534-4541 PERMIT APPLICATION DATA SHEET Permit No. A. P. No. G/ - 4'/ 3 - ! 3 OWNER _Xy**11 *__*_1 Proposed Building Use_ Permit Fee Based Upon Complete Contract Price t DPW Valuation (�\�� Other (Explain) Building Inspector Q )C_ >"� Date At time of permit application, I was advised the following data must"be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2.. Plot plans in duplicate/triplicate. . . . . . . . . . . 3. Complete plans in duplicate/triplicate. gWW04 Complete engineered plans and calcs"-"Iz 41-25�� 5. Plans with Energy Design Complianc tatemen`tt. IF . 6. CUSD "Fees Paid" Stamp on Floor Plan . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . 9. Letter of signature authorization. �10 Sanitation approval from �4.Lc0 L/��- �lealth Dept. 1. Planning approval for (A) Use: (B) Parking: -1-2. 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. . . . . . . . 17. Pre -Ins ection for Required.. . . Pre-Inspec. request to (Date) pBuilding Inspec or ZZA8. Recorded copy of Agricultural Acknowledgment Statement . 19. Other Driveway permit (const. approval require p for to ACCU21y) When you issue the permit, process as follows: Mail to owner. _ Telephone and hold for pickup at office Other Appl ican Copy of plans sent Health Dept., Fire Dept., Other Mail to contracltor. _Deliver w/inspector. Date6 Date During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked above at tiNepPIpplication, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, wn ) was advised of above required data by,_� Telephone Mail Other By Vim/ • Date V -Z -/-W Plans checked by Date Plans approved by Date -Tid - L� Other: Copy—DPW PW TO: ' Building Department FROM: Environmental Health, Chico SUBJECT:: Sanitation Clearance SArecl( C" Owner Location APP Plan approved for: sewage disposal water supply li Hold final for: water supply Final clearance O.K. for: water supplyy -V Clearance for bedroom mo e hom . Other low6 ,_ NOte61 Sanitarian Date 1\�. ♦.JLI♦ VV YL 1. �.\i..a �va,r J'......., ..., a..r..... ....•r .,Jr .. .....•...•��.-..�. ��._ -- w FOR RESIDENTIAL DEVELOPMENT `�' ""M'r2��aTrEcor;•, �� OF BUTTE COUNTY, CALIFORNIA Section 26-8.1 of the Butte County Code requires this acknowledgement AT THEREQUEST 0F be recorded prior to issuance of a building permit..,. 8611556 The property described herein is adjacent to land`or included 1986 APR 14 P 12: I within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort.arising f �i�•,BEKER the use of agricultural chemicals, including, but not limited to QE�estFfEidA$, and fertilizers;.and from the..pursuit_of.agricultural,operations�including, but not limited. to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the°,,County of Butte,; State of California, described as follows: LOT 43 GREEK /- ,4uc N )OL All -that certain real property situate in the County of Butte , State of California described as follows: Lot 43, as shown on that certain Map entitled, "BIG CHICO CREEK ESTATES- UNIT 31. which Map was filed in the Office of the Recorder of the County of Butte, State of California, on May 28, 1981, in Book 80 of daps, at Pages 76 and 77. Date: �- //-9G RTY OWNERS: NOT•COMPAP,ED W11h ORIGINAL DOCUMENT State of California ) On this the 11th day of April 19 ` � before SS. me, the undersigned Notary Public, personally appeared County of Butte ) John W. Schrec;: �•Oaaa a am amisaaaamaamaINaa3a;: s ...� KARIN HEL VBY NOTARY PUBL;C-CALIPCRNIA Z — m eu"':ccunty Personally known to me. Proved Proved to me on the basis My Ccrn,�ission Expir=s P ' . 23, 1990 M of ?atisfactory evidence. NPwoman MMDO QUI- M'�``"'' `�'��"oalo be the person(s) whose names) S subscribed to �oms9aaoea�e�®�ooa ©aaom®o'21the within instrument and acknowledged that john W. Schreck sexecuted the same for the purposes therein contained. YYU_L,c_,.,L;r Ia '3IN WITNESS WHEREOF, I hereunto set my hand and official seal. Notary Publ Present A. P. No. 4'y' 3 — AJ -3 ^-/3 RESIDENTIAL PLAN CHECKING GUIDE 7/85 (S.F., DUPLEX &-MISC.`ONLY)' Bldg. Permit # 0 154 OWNER A'. P. # 43 — 3- 3 GENERAL Zoning requirements: (sideyards and number of permitted living units).4s-A Valuation. !Plans signed by designer. Energy Design and Compliance.'' .o�Existing violations on property. PLOT PLAN �1�Complete parcel size and dimensions.... Setbacks, sideyards, easements, etc. �3! Other buildings or structures. Grading, fills',"drainage. Mood hazard. Special conditions on creation map%or compliance document. FLOOR PLAN Complete to scale plan with dimensions. required windows for second -exit (Sec.. 1204). .�� Skylights (Chapter 34 & Sec. 5207). Human impact glass (Sec. 5406). Required room sizes, ceiling heights (Sec. 1207). G.F.C.I.'s in baths, garage and exterior outlets (Article 210-8). ,3-.'� Light fixtures, switches, receptacles, and exterior receptacles for mechanical equipment. Sao-- .y .. maintenance of �.� Locations of water heater, heating and cooling equipment, other electrical or gas equipment, and plumbing fixtures. ! Garage firewall, door size, and closer (Sec. 503(d)(3)). v.� 1 - 3'0" exterior exit door (Sec. 3304(e)). '�/ Fireplace and wood stove location. ya: Smoke detectors (Sec. 1210). STRUCTURAL DETAILS Foundation plan complete enough -:to construct building. Floor construction details complete enough;:to construct building. Elevations and wall construction details complete enough to construct building. .d+/ Roof construction details complete enough to construct building. Fireplace construction details and calcs if necessary. Sufficient data and details to satisfy energy requirements (State Law) (Form 1). MISCELLANEOUS ITEMS TO LOOK OUT FOR Exposure I plywood on exposed locations and overhangs. Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306). uardrail details (Sec. 1711 & 3306(j))'. B ick or stone veneer (Chapter 30). xterior plaster - weep screeds (Sec. 4706). Proper roof pitch for roof covering (Chapter 32).. �� Rafter ties or bearing ridge beam. RESIDENTIAL PLAN CHECKING GUIDE (CONT'D) 7/85 MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONT'D) ,,�Garage door or porchheadersizes. ,.9! Adequate bracing. ..W-Living area over garage - complete 1-hour separation required on garage side including supporting walls and posts, etc. wo exits on three-story dwellings (Sec. 3303 & see Mezannines 1716). ...Attic access and ventilation (Sec. 3205). +,3" Underfloor access and ventilation (Sec. 2516).. Wood stoves, clearances, alcoves & 1-hour shafts. Combustion air for fuel burning appliances. Noise requirements on duplexes. Adobe soils - special foundation design. �! Retaining walls requiring design. Unusual shape, size or split level house requiring lateral design. _ 7 1 6. EAST GLAZING - 2.5-3.6Y I'l- n"f 7. SOUTH GLAZING - 1.6-3.6% G • S _-4 S. WEST GLAZING - 2.9-3.6% b. L- 9. SKYLIGHT - 0-1.37 10. SHADING (Exclude Overhang) EAST - //.66 d SOUTH - G-5.19-.42 2 WEST - 44 .13 -.36 - .SKYLIGHT - .37-.57 11. HORIZONTAL SOUTH OVERHANG 2' Z O 12. MOVABLE INSULATION - NONE `% 6 13. .INFILTRATION (Standard=0)(Tight=+12) �- Q 14. THERMAL MASS SF 15. GAS FURNACE (SE) 71-76% 16. HEAT PUIIP (EER) 7.5-7.9% 17. DUAL PACK (SE, SEER) 8,0-8.3/71-76% 0 WOOD STOVE *Z0 G A5 WATER -HEATER ATTIC > iU % OTHER /_ TOTAL POINTS = -able 3-1. Slab Floor I Tn=ula- I R -Value of Insvlstion I I tiun I 1 I Derch, -� I inches 1 0-2 1 3-4 1 5-6 1 7+ 1 1 0 - 11 ( -5 I -5 I -5 1 -5 I 12 - 15 I -5 I -3 I -2 I -1 I 16 - 19 ! -5 j -2 i -1 I 0 I 20 + I -5 1 -1 1 0 1 +1 7/7/83 Table 3-2. Raised ZONE 11 I Orten- I : Floor Area I R -Value of OWNER jobb&Z �i-,cf�.��► POINTS Pointe PERMIT NO.-j4-29 ASSIGNED ACTUAL A V� 1. SLAB - INSULATION -6 .• S'� -4' I 13 - 18 I 2. P.AISED FLOOR - R-19 •19+ i 0 1' 0i -1 I -2 1 3. CEILING - R -30 -tab Q Q� 4. WALL - R-19 13.1 16.3 17.9 19.5 I I 0 -.18 1 0 1 +1 I +2 I +2 I +3 5. NORTH GLAZING. - 2.4-3.6% C, ? �4C 6. EAST GLAZING - 2.5-3.6Y I'l- n"f 7. SOUTH GLAZING - 1.6-3.6% G • S _-4 S. WEST GLAZING - 2.9-3.6% b. L- 9. SKYLIGHT - 0-1.37 10. SHADING (Exclude Overhang) EAST - //.66 d SOUTH - G-5.19-.42 2 WEST - 44 .13 -.36 - .SKYLIGHT - .37-.57 11. HORIZONTAL SOUTH OVERHANG 2' Z O 12. MOVABLE INSULATION - NONE `% 6 13. .INFILTRATION (Standard=0)(Tight=+12) �- Q 14. THERMAL MASS SF 15. GAS FURNACE (SE) 71-76% 16. HEAT PUIIP (EER) 7.5-7.9% 17. DUAL PACK (SE, SEER) 8,0-8.3/71-76% 0 WOOD STOVE *Z0 G A5 WATER -HEATER ATTIC > iU % OTHER /_ TOTAL POINTS = -able 3-1. Slab Floor I Tn=ula- I R -Value of Insvlstion I I tiun I 1 I Derch, -� I inches 1 0-2 1 3-4 1 5-6 1 7+ 1 1 0 - 11 ( -5 I -5 I -5 1 -5 I 12 - 15 I -5 I -3 I -2 I -1 I 16 - 19 ! -5 j -2 i -1 I 0 I 20 + I -5 1 -1 1 0 1 +1 7/7/83 Table 3-2. Raised Floor Point I Orten- I : Floor Area I R -Value of I I Insulation I I I Pointe I below 3 I -12 ! 3-4 1 -8 I 5 - 7 I -6 I 6 - 12 1 -4' I 13 - 18 I r2 •19+ i 0 1' 0i -1 I -2 1 I South Table 3-3a. Ceiling Insulation Points I R -Value of Insulation 19 I -4 ' 1 22 I -230 0 I 38 I +2 I 49 i +4 I Table 3-4a. Wall Insulation Points I R -Value of Insulation I Points I I I 1 I 19 I 0 I I 24 30 i +3 3-5. North -Facing Glaz I Total I I I Z of I Sngl, Dbl, Trpl, I Floor ► U- I U- I U - ! Az ea ! 0.66 1 0.42- ! 0.41 ! I 11.10 1 0.65 I down I o +4+4 +a I 0.1- 1.2 I +4 ! 44 ! +4 ! I 1.3- 2.3 I +1 ! +2 ! +2 I 1 2.4- 3.6 ! -2 ! 0 ! +1 ! I 3.7- a.8 I -4 1 -2 I -1 I ! 4.9- 6.1 I -7 1 -4 1 -3 ! 1 61-4- B'1 i -12 1 =8 I -7 I 1 8.3- 9.7 I -14 I -10 ! -8 ! I 9.8-10.8 1 -17 I -12 I -10 10.9-12.0 1 -19 ! -14 ( -12 I 12.t-13.2 1 -22 I -16 I -13 ! 13.3-14.5 ! -24 I -18 ! -15 14.6-15.3 i -27 1 -20 i -17 Table 3-6. East -Facing Glazing Pts. 1 I Glazing Type I --I Total 1 I 1 -of I Sngl, Dbl, 1 Trpl, I Floor I (U - I (U - I (u - 1 I Area 11.10) 1 0.65).1 0.41)) ! ISI o!nts Ipo1n[s I ointsl 1 I o I +7 +7 st 1 1 up to 1.3 1 +3 I +4 1 +4 1 -T 1"1'S 1 +1 I IT 1 +2 1 1 I 2.5- 3.6 1 -2 I 0 1 0 1 i 1 3.7- 4.6 1 -5 1 -2 I -1 I 1 4.7- 5.6 1 -8 I -4 I -3 I I i 5.7- 6.7 1 -10 i -6 I -5 I I 6.8- 7.7 I -13 j -8 ( -7 I I I 7.8- 8.7 I -15 1 -10 I -8 I I I 8.8- 9.1 j -1.7 1 -12 1 -10 I i 9.8-11.2 I -21 I .-15 1 -13 ; 111.3-12.7 1 -25 I -18 -1 -15 I 112.8-14.0 I -28 I -21 1 -18 I 1 14.1-15.3 I -32 I -24 I -20 I Table 3-7. So.th-Facing Glazing Pte Yable 3-10. Shading Coeffi T- I Glazing Type I SC by Total I I Z of I Sngl, I Dbl, Trpl, Floor I (U - I (U - I (rl - 1 Area 11.10) 1 0.65) 1 0.41)1 �Ipofnts Ipoinca Ipointsl 1 0 1 +3 1 +3 a� I up to 1.5 I +2 1 +2 1 +2 I I 1.6- 3.6 I -1 1 0 I 0 1 I 3.7.- 5.2 1 • -4 1 -2 I -2 5'x'1 -s 4 I '-8' I -s I ( 1.8- 8.9 I -11 I -8 I -7 I I 9.0-10.0 1 -13 1 -10 .1 -9 1 110.1-11.5 I -17 I -13 I -11 1 1 11.6-13.0 I -21 I =16 I -14 I 113.1-14.5 I -25' I -19 I -16 I 1 14.6-16.0 I -28 i -22 I -i9 I I I I I I Table 3-8. West -Facing Glazing Pts. I I Glazing Type I Total I I Z of I Sngl, I Dbl, Trpl, I Floor I (U - I (U - I (U . I I Area 11.10) 10.65) 1 0.41)1 I I dints I olnts I ointsl o +6 +6 +6 1 up to 1.3 I +5 I +6 I +6 I I -1.4- M I +3 1 +4 1 +5 I I 2.3- 2.8 I 0 1 +2 I +3 I I 2.9- 3.6 I -3 I 0 1 +1 1 I 3.7- 4.1 I -5 I -2 I 0 1 I 4.3- 5.0 1 -8 I -4 I -2 I 5.1- 5.6 1 -10 I -6 1 -4 ! 5.7- 6.2 I -13 ( -8 i -6 I I 6.3- 6.9 I -15 I -10 I -7 I I 7.0-'7.6 I -18 I -12 ! -9 .I I 7.7- 8.2 I•-20 i -14 I -11 I I 8.3- 8.8 i -22 I -16, I -13 I I 8.9- 9.5 I -25 1 -18 I -15 I I 9.6-10.1 ! -27 f -20 I -16 I 110.2-11.0 I -29 1 -23 I -17 1 111.1-11.8 I -35 I -26 I -21 I 111.9-12.7 I -38 I -29 j -24' I 1 12.8-13.5 I -42 I -32 I -27 I 113.6-14.3 ! -46 I -35 I -29 I 1 14.4-15.2 1 -50 I -39 I -32 I I 1 I Orten- I : Floor Area tation Horizontal South I Last I 1 3.2 I I -2 I 0-3.1 to3 6.4 up I 6. i i i I 0 -.19 I 0 1 +1 I +2 0 ' 1 0 I it ! 2.9- 0 -�i o 'o I 1 j - .83 up 1' 0i -1 I -2 1 I South o 13.2 16.4 18.0 19.6 I Area, Z of Floor I I to I to. ( to I to I up ( Glazing Type 13.1 16.3 17.9 19.5 I I 0 -.18 1 0 1 +1 I +2 I +2 I +3 1iI l o l o f o o o 5.6 I 0 1 2 -2 -3 . r ='I 0 -2 -4 I -6 We at I .1 11.6 13.2 16.4 1 9.0 Dbl, I to I to I to I to I up 1 11.5 13.1 16.3 17.9 I I I I I I 0-.t2 j 0 1 +1 I +3 I +6 I +7 .13-.36 I D I 0 1 0 1 0 1 0 I i o f -1 I -3 I I -7 8-.p2 ! �I -3 ! .-6 I -1212 I -15 p I -2 1 -4 I -8 I -16 I -.20 I I I I I Skylight I .1 1 .8 11.6 13.2 ! 4.0 I I to I to i to ( to I to 0.65 I I�7 11.53-13.9 5_2 0-.12 1 0 1 +1 I +3 I +6 I +7 .13-.36 1 0 1 0 1 0 1 0 1 0 .37-.57 1 0 1 -1 I -3 I -6 1 .58-.82 I -1 I -3 ! -6 I -12 I -. .83 up I -2 I -4 I -8 I -16 1 -20 I up to 1 I I I Table 3-11. Horizontal South 2.2 I -3 I -2 I -1 1 2.3- Overhand. Points Table 3-9. Skylleht PointsSau[h ! 2.9- 3.6 I Glazing ( -6 I -5 i 3.7- 4.2 i Length Out I Area, Z of Floor I I ( Glazing Type I I from Wall I ! I Total I 5.6 I I I ft r' 1 Z of Sngl, Dbl, Trpl, 1 1 0-6.3 I 6.4 up 1 I Floor I U- l u - I U - I I I I I Area10.66- 10.42- 10.41 ! 0 - 0.5 -2 -4 I 11.10 1 0.65 I down 1 1 0.6 - 1.0 1 -2 I up to 1.3 I -1 I 0 1 0 I 1.4- 2.2 I -3 I -2 I -1 1 2.3- 2.8 I -6 I -4 1 -3 ! 2.9- 3.6 I -9 ( -6 I -5 i 3.7- 4.2 i -11 I -8 I -6 I 4.3- 5.0 I -14 1 • -10 I -8 a I 5.1- 5.6 I -16 I -12 1 -10 I 5.7- 6.2 I -19 I -14 I -12 I 6.3- 6.9 I -21 I -16 I -13 I 7.0- 7.6 1 -24 1 -19 1 -15 I 7.7- 8.2 I -26 ( -20 ( -17 I 8.3- 8.8 I -28 1 -22 I -19 1 8.9- 9.5 I -31 j -24 I -21 I 9.6-10.1 I -33 I -26 I -22 I 11.1 - 1.9 I -1 I -2 I I 2.0 up I 0 I 0 I I I I I Table 3-12. Movable Insulation Points 1 Moveable Insulation'I I I Area, Z of Floor I Points I I I I I 0 s.s I 0 ! I 5.6 - 11.5 1 +2 ! I 11.6 - 17.5 ! +4 ! I 17.6 - 23.5 ! +6 ! I `23.6+ ! +g I r Table 3-1.3. Infiltration Control Featvres Points r- ----�--�1 1 Control Features I Points 1 T- i I I Standard I 0 ! I I 1 0.9 air changes per hr I l II Tight I +12 I I I I +0.6 air changes per hr I I i I 1 Table 3-15. Gas Furnace Githout _ Refrigeration Cool!r. Points 1 Seasonal Efficiency I Points l I (SE), � I I 1 71 - 76 I 0 I I 77 - 82 I +2 I I 83 - 88 1 +4 I I 89 - 94 I +6 . I I 95 up I +8 I I I I Table 3-16. Heat Facto Points I Energy Efficiency I Points I I Ratio (EER) I I 7.5 - ,.9 I +3 I I S.0 - 8.3 1 +6 I I 8.4 - 8.7 I +9 1 8.8 - 9.1 l +12 I I 9.2 - 9..6 I +15 I I 9.7 - 10.2 I +18 1 I 1013 - 10.8 ) +21 1 I 10.9 - 11.5 I +24 I I 11.5 - 12.3 1 +27 I 12.4 - I 13.2 I +30 I I 1 B C Table 3-17. Gas Furnace With Refrieeration Coo -ling Points !Refrigeracionl Cas Furnace I I Cooling 1 SE Z 1 I171 -177-i83-189-195 1 1 761 821 881 94l uo I I 8.0 - 8.3 1 01 +21 +41 +61 +8 1 1 8.4 - 8.7 1 +21 +41 +61 +81+10 I I 8.8 - 9.2 1 +41 +61 +e1+101+12 1 1 9.1 - 9.7 1 +61 +81+101+121+14 1 I '9.8 - 10.3 1 +31+101+121+141+16 1 1 !0.4 - 10.9 I+1Gi+12i+1:1+165+I8 I 111.0 - 11.6 1+121+141+161+•181+20 1 ) I ! ) I 1 7/7/83 TALE 3-14 (ADAPTED) MASS DUELLING AREA SOUARE FOOT ZONE 11 INTERIOR THERMAL MASS POINTS AREA 1,000 1,500u2.000 I I Cas Only 1 I I 0 i I Heat Pomp I i I Floor Area 2,500 I 1 3,000 per unit. ` 3,S00 0 i I ( 4,000 I 4,560 it 2. 5,000 1 Si. FT. I A S C D A 8 C D A 6 C D A B C 0 A B C D A 6 C 01. A 6 C 0 A 5 C 6611 :+ +11 B C +16 +19 1,000-1.499 0 +2 +4 +6 +8 +10 +12 +14 1,500-1,999 0 +1 +3 +4 +6 +7 +8 +10 2 000 and u 0 +1 +2 +4 +5 +6 +7 +9 All others ( e: buil-d ng points) !n 2 2 2 2 2 2 2 O 1 2 2 2 0 0 0 0 0 0 0 0 0 0 0 D-0 +26 +30 1,000 1,199 0 0 0 0 C 0 +•19 +22 +26 1,20F,1.499 n +3 100. 4 4 4 2 2 2 2 2 2 2 2 2 I 2 2 2 0 2 2 2 0 2 2 0 0 2 2 O 0 2 2 0 0I 0 0 0 0 1 iSO 6 6 6 4 4 4 4 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 0 2'? 2 0 2 2 2 0 1 200 8 8 6 4 6 6 4 2 4 4 4 2 4 4 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 21 2 0 j 253 10 10 6 6 6 6 6 4 6 6 4 2 4 4 4 2 4 4 2 2 2 2 2 2 2 2 2 2 2 i 2 2 2 2 ' 2 i 307 12 12 10 6 8 8 6 4 6 6 6 4 6 6 4 2 4 4 4 2 4 4 2 2 2 2 2 2 2 2 2 2' 2. 2 2 2 350 14 14 12 8 10 10 8 6 6 6 6 4 6 6 6 2 6 4 4 2 4 4 4 2 4 4 2 2 4 4 2 7I 2 2 2 2 400 14 14 12 8 10 10 8 6 8 8 6 4 6 6 4 4 6 - 6 4 2 4 4 4 2 4 4 4 2 I 4 4 2 2 I 4 4 2 2 509 18 18 16 10 12 12 10 6 10 10 8 6 R -8 6 4 6 6 6 4 6 6 6 2 6 5 4 Z 4 4 4 2 4 603 22 20 18 12 14 14 12 8 12 12 10 G 10 10 8 6 8 8 6 4 8 C 6 4 6 6 6 4 1 6 5 4 2 I • 6 6 4 2 1 709 ' 24 24 20 14 18 16 14 10 14 14 12 3 10 10 10 6 10 10 8 6 8 8G 4 8 6. 6 4 I 6 A 5 41 6 6 6 7. 210 26 24 22 16 70 16 16 10 14 14 12 8 12 10 10 6 10 10 9 6 10 P B 4 I e 6 6 C I 8 6 6 4I G 6 6 i 903 28 28 74 16 22 20 18 12 i6 16 14 10 14 14 12 8 12 12 10 6 10 10 3 6 ( 3 8 '8 4 8 8 6 41 B R 6 t i I, 000 30 30 26 18 122 20 20 14 10 18 16 10 14 14 12 8 12 12 l0 6 12 10 10 6 10 10 8 6 I 8 a 0 41 1 8 e •1 ; 1,;OU .12 32 28 2J I24 24 22 14 20 20 18 10 16 16 14 8 14 I14 '14 12 8 12 12 10 6 10 1J 10 6 113 108 GI !0 e e � 1,200 34 12 30 22 26 26 22 16 22 20 18 12 18 18 14 10 14 12 8 14 12 12 8 112 12 10 6 10 10 8 61 10 10 8 6 i 1.100 •6 i 37 34 32 22 28 26 24 16 22 22 20 12 18 19 1 10 lu 14 14 8 14 12 12 6 12 X14 12 10 112 10 10 GI 10 10 F. u 1 1,400 34 34 32 24 28 28 26 18 24 24 20 1420 20 18 12 18 16 14 10 14 14 12 8 14 12 8 12 I' :G 6; 10 13 19 5 1,500 136 36 34 34 24 30 30 26 18 24 24 22 14 1 22 20 18 12 18 18 16 10 16 16 14 8 14 14 12 L' 1: 10 GI 12 12 1; o i 2,300 34 34 32 22 30 30 26 18 26 26 22 16 22 22 20 14 20 20 18 12 18 18 16 10 116 16 i4 GI 14 .la 12 9 I 2,500 34 34 30 22 I30 30 26 18 26 26 24 16 24 24 22. 14 22 22 i9 12 20 20 18 !: 113 1t 16 :U 3,0100 3,500 34 32 30 22 30 32 30 32 26 30 18 20 28 30 :6 30 24 26 16 ld 124 �2d 24 28 22 24 14 22 16 26 22 24 26- c2 141 1; i ±4 .J ;4 it• 2J� li 1•i ' 4,300 I 72 32 30 20 30 30 26 18 ' :^9 28 24 11 1 25 Z i 2: 1 f 4,503 32 1 32 28 20 3U 34 tF 1E'j 1 22 ;E : 132 t? 2r 23 1 tJ 1 76 � 1 -. A) 1. 3's' Concrete Slab: HC•8.93; R-.29; Factor -7.3 2. 3 3/4" Thick Common Brick: IIC=7.125; R-.13; Factor -7.3 3) 1. Sk' Concrete Slab: HC -14.106; i-.458; Factor -7.1 C) 1. 8" Solid Filled Block: HC -2G.63; R-1.93; Factor -6.1 2. 8" Solid Filled Block With Both Sides Exposed To Conditioned Air. NOTE: Use all -square footage directly exposed to conditioned air For Thermal',Hass Area: IIC-10.164; R-365; Factor -6.1 D) 1" Thick Concrete/Ti.le: HC -2.55; R-.083; Factor?3.7 Table 3-19. Zonally Controlled Electric Restctanee Space Heatin¢ Points Points for this measure will 1 be completed after the CEC l I has approved an Alternative I Component Package for Resistance 'I I Beat. I Table 3-19. Active Solar Space Heating w!ch Gas Points I :let Solar Fraetton I Points 1 1 (NSF), Z I I I 1 I I 0-6 i 0 1 I 7 - 14 I +2 I 1 15 - 23 I +4 I I 24 - 30 I +6 I I 31 - 39 1 +8 1 40 - 47 I : +10 1 48 - 55 I +12 1 I 56 - 63 I +14 1 I 64 - 71 I +18 1 72 up I +20 I Table 3-20. Solar Nater Heating With Cas Rarkun Paints+ wood stove #33 points -(no back up) casablanca fan + 1.point M.ultifamil (per unitpoints) Points I I I Cas Only 1 I I 0 i I Heat Pomp I i I Floor Area Solar with Electric I I Net Solar Fraction (NSF), Z I per unit. 1 I ments la Part 2 I I 0 i I I Electric Resistance I I I Oz. ly -40 I it 2. 0.9 10-19 20-29 30-39 40-49 50-59 60-69 70-79 , 600-799 0 +3 +7 +10 +14 +17 +21 +24 800-999 0 +3 +5 +8 +11 +14 +16 +19 1,000-1.499 0 +2 +4 +6 +8 +10 +12 +14 1,500-1,999 0 +1 +3 +4 +6 +7 +8 +10 2 000 and u 0' +1 +2 +4 +5 +6 +7 +9 All others ( e: buil-d ng points) 86-0-899 0 +5 +10 +14 +19 r +24 +fig +34 900-999 0 +4 +9 +13 +17 +21 +26 +30 1,000 1,199 0 +4 +7 +11 +15 +•19 +22 +26 1,20F,1.499 n +3 +6 +9 +12 +15 .18 +21 1,500-1,999 0 +2 +5 +1 +9 +l2+14 +U2,000-_'.999 0 +2 +3 +5 +7 +8 +10 +11 3,000 acd tip -0 +1 +3 +4 +5 +7! +9 +10 Table 3-21. Other Water Heating Pta. I System Type I i I Points I I I Cas Only 1 I I 0 i I Heat Pomp I i I 1 0 I I Solar with Electric I I Resistance Backup 1 I I Meecine the Require- i 1 I ments la Part 2 I I 0 i I I Electric Resistance I I I Oz. ly -40 I ft C U 7/83 East South West Skylights (C) South Overhand Length of projection ft. Description (D) Moveable insulation: Area ftZ Description (E) Thermal (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 HC= FORM 1972 ANSI Air Infiltration Standards and shall be certified and Location RESIDENTIAL ENERGY PLAN CHECK/INSPECTION SUMMARY (C) All swinging doors and.windows leading to unconditioned areas Owner ?AW S Clt Climate Zone Permit No. Floor Area ?f LG. Continuous infiltration barrier ❑ (E) .Compliance path: Package ❑ A ❑ B ❑ C ❑Point System ❑ Budget fJ'Other�� 3 (3) GLAZING: MIN (A) R -VALUE DESCRIPTION REQ'D Type Total Bldg 41T.lei. __i —Y INSTALLED ITEMS (1) INSULATION: ® MC= East 3/.S % / Roof/Ceiling i2 3a ®-. Type aW&U ❑ ` . Ft. Skylights R= ❑ Sla Floor Perimeter ❑ Raised Floor Type Coefficient Description ft C U 7/83 East South West Skylights (C) South Overhand Length of projection ft. Description (D) Moveable insulation: Area ftZ Description (E) Thermal (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 HC= R= 1972 ANSI Air Infiltration Standards and shall be certified and Location labeled. 4 (C) All swinging doors and.windows leading to unconditioned areas - Area shall be fully weatherstripped. HC= Tight - the above standard features plus: ❑ (D) Continuous infiltration barrier ❑ (E) Electrical outlet plate gasket ❑ (F) Air-to-air heat exchanger Ft.2 (3) GLAZING: R= (A) Location Area Glazing %Floor Area Single Double Triple Type Total Bldg 41T.lei. __i —Y Q Ft.Z North Me 4. ® MC= East 3/.S % / South /90.5 G •S ®-. Type West /7S o.G ❑ ` . Ft. Skylights R= (B) Shading Shading Type Coefficient Description ft C U 7/83 East South West Skylights (C) South Overhand Length of projection ft. Description (D) Moveable insulation: Area ftZ Description (E) Thermal mass -� �/ //uT G19 / Type � Area Ft__.ZZ HC= R= MC= Location Type - Area Ft. HC= R= MC= Location Type - Area Ft.2 HC= R= MC= Location Type - Area Ft.Z HC= R= MC= Location Type - Area Ft. HC= R= MC= Location Type - Area Ft.Z HC= R= MC= Location , rt -j FORM ]]: (4)• MASONRY AND FACTORY-BUILT.,F.IRFPLACES 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) Q Active Solar 'type (liquid or air) Collector: brand and ft2 model number solar fraction collector area- collector orientation collector.tilt rated y -intercept F *1 .19 FE rated slope Other _c5prZo~ (describe) (B) Cooling Electric Air Conditioner (brand and model number) Btu/hr (cooling capacity at 95°F) Electric Heat Pump (seasonal EER) EER Btu/hr (cooling 'capacity at 95'F) ❑ Other (describe) ❑ (C) A TWO-STAGE THERMOSTAT, which controls the supplementary heat on its second stage, shall be required for heat pumps. (D) AN AUTOMATIC SETBACK shall be provided for all thermostats, except those controlling heat pumps. Q (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 10, s..; FORK (6) DOMESTIC WATER SYSTEM ■ -('fit) Gas Only Gallons (brand and model number) (tank size) C3 Heat Pump w/Electric Backup (brand and model number) Gallons , (tank size) ® *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 0 Other (Describe) :(B) TANK INSULATION. Storage'type water heaters and storage and backup tanks for solar systems shall be externally wrapped with R-12 insulation or greater. (] (C) PIPE INSULATION. The five feet of pipe closest to the water heater and outside conditioned.space shall be insulated with a minimum of R-3. Steam and steam conditioned space shall be insulated with a 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). Q '(D) FLOW RESTRICTORS shall be provided for showerheads and faucets as outlined in the new appliance efficiency standards and shall be certified to the.Energy Commission. (7) LIGHTING Q (A) Lamps used in luminaries for general lighting -in kitchens and bathroomsshall 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 temper ture v elevation �', heating load q7.1,06 BTU elevation factor x heating load maximum outlet capacity gas furnace oti BTU Cooling: Summer design temperature �0 °, cooling load 7 BTU (USE ONLY AS A SIZING GUIDE, COOLING MAY BE INADEQUATE) *2 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 design meets the requirements of Title 24, Part 2, Chapter 2-53 of the California Administration Code. I 7/83 SIGNAVJRE OF BUILDING DESIGNER OR APPLICANT 3 l . . Temp. Pow Called Temp. Elec Called Temp. Gas Called JOB FINAL SlgnatL Temp. Pow Called Temp. Elec Called Temp. Gas Called JOB FINAL SlgnatL = OK 0 =. Not OK. NotReadyable 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: / P'l- ft. / /"Nat. or/ /"L"ft./ /"LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors ` 7. Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -B1 Date Card -B1 Date 10. Roof; Shthg-Roofing Card -131 Date Card -B1 Date 11. Ext.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -B1 Date Card -B1 Date 2. Footings; Size -Spacing -Marriage Line Card -B1 Date Card -81 Date 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOJ.8 (Plans) OK except #'s 5. Drain; MH Test -Fall -Flex Connector S cks-Easements 6. Water; MH Test -Regulator -Connector . Soi ompaction-Structure Stability 7. Water and Sewer Connected -C/O to Grade -HD Approval ool Structure; Steel -Connections -Thickness - De en -Lining 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch Aeelec,,Aeceptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 5. .; Pool Lighting; 15 volts-GFI e .; Enclosures; Conduit Entries -Terminals -Listed 7 E c.; Bonding; Metal w/5' -Circulating Equip. -Heater . Iec.;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. 1-19AM Department Approval .&,-Plumb.; Cir. Test -Water Supply Test Card -131 Date Card -B1 Date Card -B1 Date and -B1 Date = OK 0 = NotOK RESIDENTIAL (Single and Duplex) - =Not Applicable = Not Ready Date UNDERFLOOR (Plans) OK except #'s 1. Zoning'requirements-Setbacks-Easements 2. Ftg:, Main; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth 3. Ftg., Garage; Soils -Steel-/ P' Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance- Material -Su pprt- Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Card -B1 Date Card -B1 Date Card -B1 Date Card -131 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors Card -B1 Date Card -B1 Date Card -131 Date Card -B1 Date Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 27. 2 Appliance Circuits in Kitchen & Conductor Size 28. Subfeed Wire Size/ / ga. Cu•or AI-A.C. Wire Size/ /ga. Cu or Al 29. Range Circ: / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light Card -B1 Date Card -131 Date Card -131 Date Card -B1 Date Date MECHANICAL (Permit) OK except #'s 33. A.C. Ducts Insulation & Support 34. Vent Fan; Exhaust above insulation 35. Condensate Drain & Overflow; Size & Grade 36. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 37. Attic Access & Platform if Furnace in Attic Card -B1 Date: Card -B1 Date Card -B1 Date Card -61 Date Date FRAMING (Plans) OK except #'s 38. Sills, Proper Material & Anchors 39. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 40. Bearing Walls over Girders & Floor Nailing 41. Draft Stop in Walls (rat proof) 42. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 43. Header & Beam -Size & Bearing Date FRAMING (Continued) 44. Hangers -Post Caps -Anchors -Connectors 45. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 46. Fireplace Ties or Type A Flue -Fireplace Throat 47. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 48. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 49. Garage Fire Protection Framing 50. Property Line Firewall & Openings 51. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 52. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 53. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 54. Siding -Nailing Veneer 55. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 56. Glazing Area -Glass Protection -Skylights -Plastic 57. Shear Walls; Nailing -Bolts 58. Insulation-Walls-Clg. 59. Infiltration-Walls=Wndws Card -131 Date Card -B1 Date 'Card -61 Date Card -B1 Date Date FINAL (Plans) OK except #'s 60. Ext. Steps -Door & Sidelight Protection -Landings 61. Smoke Detector 62. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 63. Bedroom Exiting 64. G.F.I. & Bath Fixtures & Tub Access -Spa 65. Elec. Trim & Subpanel; Breaker Sizes -Labels 66. Stairs & Rails 67. Fireplace or Stove; Clearances -Hearth 68. Elec. Outlets at Wood Panel; Int. & Ext. 69. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 70. Elec. Outlets & Receptacles at Kit. Counter 71: Garage Fire Door; Swing -Landing -Closer 72. A.C. Duct in Garage -Damper 73. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 74. Plb., Elec. & Mech. Equip. Listed for Location 75. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 76. Insulation -Foam -Looked in Attic O Yes 77. Guard Rails & Deck Construction -Post Caps 78. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 79. Following instld.; Drive 0 Yes 0 No; Walks 0 Yes 0 No; Planters 0 Yes 0 No 80. Stucco; Brown -Finish 81. A.C. Unit; Disconnect, Electrical, Plumbing 82. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. 83. Water Well; Disconnect, Electrical, Plumbing 84. Exterior Elec. Trim; G.F.I. Receptacle -Underground 85. Ventilation throughout House 86. Glass Protection 87. Corrections from Previous Inpections 88. Gas Test -Meters Tagged; Gas -Electric 89. Water & Sewer Connected -C/O to Grade -HD Approval 90. Energy Compliance Certificate -Other Certificates Card -131 Date Card -131 Date Card -131 Date Card -B1 Date Card -B1 Date Card -B1 Date Comments at Final: (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT '7r -ow mi / ASSESS9051 P RC UMB ZONING BUILDING PERMIT NE Tee Latden T LEPHO E FT OCC. % BUILDING VALUAT ON OW,NER'S "All ADDRESS ! � 7 m, CONTRACTOR'S NAMES .1 7,q -400Z vt- _9,09i r E EPHONE C RACTOR'S MAILING A DRESS U L/(�C %� Fireplace eON'KTRUCTION-LENOER UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS - Penalty $ BUILDING ADDRESS Penult fee $ 4. PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP �0 -27 Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURrC7 SF ❑ Duplex❑ Mobilehome❑ Other f"� SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W [10-00 ea TYPE OF WORK j Newt' Addition `❑ Reemodel ❑ Utllities ❑ Installation❑ Other ❑ Describe work: 2,7�' x To Penult Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS10.30 100 AMP OR LESS 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. �7�>�9 Classification C-6 4 ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason OCCUP.y` y2¢Sgft NEW CONST. / DWELLING OR ADDNS. ACC. BLDGS. // \ NEW CONSTR. MULTI -OUTLET 2,50 ea NON.RESID .BRA CH CIRC TS /POWER APPARATUS e (SINGLE OUTLET CIR. EX. OCcup(OUTLETS OR FIXTURES 8AL030 DALO 30 Ex. OCCUp. OUTLETS FIXED P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Faci ities 15.00 Misc. Wiring 15.00 �p Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,. should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation penult Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agra to save, indemnify and keep harmless the County of Butte against all liabi ies, judgme s, costs, and expenses which may in any w y accrue against aid ounty n onsequence of the granting of this per ''. Date 3 8 Signature of Applicant — Owner Contractor,0 Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ Occup. Pt CONST.TY [71PLDs PARCEL PID N 690 This permit is hereby issued under sions f the Butte County Code and/or wo in icated ab ve for which I TOR OF PUBLIC By ��--� PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. - 41 WNITC-D.P.W.. YELLOW-A6SE63OR. PINK -INSPECTOR. GOLDENROD -APPLICANT I% ♦ :j:.F, .-:.r`.. p-*rr'i.�Ry `'L'"`Ty1�.i7``ri F ,tWt: T`w'c c �.- - r. r.�- a ,...�. „ .,Y-,-;Cliy�wty�'':'"T Y^k�k Yt •.'y"'r. �. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION / 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 4 Y PERMIT 'APPL` c-AT.,A DATA SHEET f Permit No. OWNER A. P. No. Proposed Building Use Building Inspectol--7L4�DDate 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 Bu.iildings. 8. Fees of $ . . . . . . . . "�09. Letter of signature authorization. . . . . . . . 10. Sanitation approval from _ 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. . . . . . . . . . 17. Pre-Inspec.request to Pre -Inspection for—.-,--.- _ .....__ _ Required. Building Inspector (Date) 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. — _ 20. Plot plan approval from city of _ 21. - - - 22. -- When, you issue the permit, process as follows: Mail to owner, .ail to contractor - Telephone and hold for pickup at office, Deliver w/inspector. Other Applicau. Date Copy of plans sent Health Dept.; Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by—phone---mail —counter by date Contractor, designer, owner, was advised c? above required data by—phone —mai I—counter by date? Plans checked by Date Plans approved by , Date 3- Sets of plans on hold in File cabinet AP folder Copy—DPW TO Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance 3M Owner Location AP# Plan Approved for: Sewage Disposal Water Supply Hold final for: Water Supply Final clearance O.K. for: Water Supply Clearance for bedroom mobile home. Other. NOTE-*** -T Sanitarian , Date . 3 l