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Home My WebLink About043-430-030VERN KNOX 43-43-_`, 1.428 Scottsdale Ct,lot 60, t,r'eek #3, Chico _ v Contr. Steve De--dmond; co �! Permit#11924 86B, P, E,M(new sin''' SHARON SMITH 43-43-30 1428 Scottscale Ct, Chico Permit#25�8P(lawn sprinkle s) I 43-43-30� ContR: Aubrey Electric ermit#2581-88E(wire purnp) -;t;z ?� .�C SMITH, SHARON 1428 SCOTTSDALE CT. CHICO ELY ROOFING REROOF W/HOT 043-430-030 03-1991 SMITH, SHARON 1428 SCOTTSDALE CT., CHICO CONT: GEORGE ROOFING REROOF/SF 043-430-030 04-2992 SMITH, SHARON 1428 SCOTTSDALE CTN, CHIC Cont: A -Z PLUMBING WALED REINSTALL H2O HEATER 1 i I VERN KNOX 43-43-_`, 1.428 Scottsdale Ct,lot 60, t,r'eek #3, Chico _ v Contr. Steve De--dmond; co �! Permit#11924 86B, P, E,M(new sin''' SHARON SMITH 43-43-30 1428 Scottscale Ct, Chico Permit#25�8P(lawn sprinkle s) I 43-43-30� ContR: Aubrey Electric ermit#2581-88E(wire purnp) -;t;z ?� .�C SMITH, SHARON 1428 SCOTTSDALE CT. CHICO ELY ROOFING REROOF W/HOT 043-430-030 03-1991 SMITH, SHARON 1428 SCOTTSDALE CT., CHICO CONT: GEORGE ROOFING REROOF/SF 043-430-030 04-2992 SMITH, SHARON 1428 SCOTTSDALE CTN, CHIC Cont: A -Z PLUMBING WALED REINSTALL H2O HEATER 1 i Q M QM � �� ' � I BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT . 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) " OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.netldds PERMIT NO. BP042992 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 10/12/2004 APN: 043-430-030-000 the Business and Professions Code, and my license is in full force and effect. License Class : C'.3-(0 License Number: �plo3�i �s Site Address: 1428 SCOTTSDALE CT CHI Date: 0(1 Contractor: -2- ?L3sa:��r1Lu1S Map Index: Description: REINSTALL WATER HEATER, GAS TEST OWNER43UILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: SMITH SHARON A SS permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 1428 SCOTTSDALE CT signed statement that he or she is licensed pursuant to the provisions of C.HICO, CA the Contractors State License Law (Chapter 9 commencing with Section 95926 7000) 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 t violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: SMITH SHARON A SS Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, ' provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business ; and Professions Code. The Contractors' State License Law does Contractor: A - Z PLUMBING not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). '54 PIONEER TRAIL ❑ I am Exempt under Article 3 of the Business and Professions Code OROVILLE, CA 95966 . 530-589-4519 Date: Owner: '�t License #: 706398, WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for r ,workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is:issued. Engineer: O I;haveiand-will maintain workers' compensation insurance, as regLheld' t y Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: f Carrier. , (7 Total Square Ft: 0 S.F. Valuation: $0.00 Census Code: Policy #: ' 16 oen — %g 11 O 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, e ✓ C // ✓ / and agree that if I should became subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ellr / Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor JJJ code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit's hereb issunder the applicable provisions of the Butts County Coda ?nrUnr I hereby affirm that there is a construction lending agency for the of the work for which this permit is issusd (Sec 3097 Civ.)�'(a Resolutions to 6 ViZi3.aled above for which fees have been paid.performance ., L BY -� Date: Name: '1� nX- PERMIT EXPIRES 0 . Address: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. O Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct• and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: D oO C— Signature: Date: ❑ Owner 4 Contractor O Agent for Owner 0 Agent for Contractor 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 PERMIT NO. BP042992 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 10/12/2004 APN: 043-430-030-000 the Business and Professions Code, and my license is in full force and effect. (o3�L �s License Class: �° � � License Number: �D Site Address: 1428 SCOTTSDALE CT CHI Date: Contractor. /4�2�Ju✓��)WlS Map Index: Description: REINSTALL WATER HEATER, GAS TEST OWNER43UILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: SMITH SHARON A SS permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 1428 SCOTTSDALE CT signed statement that he or she is licensed pursuant to the provisions of CHICO, CA the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95926 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 penalty of not more than five hundred dollars ($500).): ❑ 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 Applicant: SMITH SHARON A SS Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: A - Z PLUMBING not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 54 PIONEER TRAIL ❑ 1 am Exempt under Article 3 of the Business and Professions Code OROVILLE, CA 95966 530-589-4519 Date: Owner: License #: 706398 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 Architect: is issued. Engineer: ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: (7 Total Square Ft: 0 S. F. Policy #: -? Iv'- �E7f> ^ ��' (( Valuation: $0.00 Census Code: EII 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' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars addition the cost of provided for n 0 compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Cods enrvor I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Resolutions to ?k indi ted above for which fees have been paid.' to , Name: By: /` ` ' Q PERMIT EXPIRESO". V ate Address: ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health 8 Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official forth or document of Butte County. I hereby authorize representatives of Butte County to enter upon the abovementioned property for inspection purposes. Print Name:jSignature: Date: 0 Owner Contractor 13 Agent for Owner ❑ Agent for Contractor BUTTE COUNTY O DEPARTMENT OF DEVELOPMENT SERVICES C BUILDING PERMIT APPLICATION O AND SUBMITTAL REQUIREMENTS 0 24 HOUR INSPECTIONM OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 L A FEE RILL BE REQUIRED AT TIME OF APPLICA TION "PLEASE PRINT CLEARLY* CONTRACTOR OWNER Last Name f O us ame Address t t City City Stall S'4 Zip Phone Fax Fax E -mall Fax CONTRACTOR Name- Name O Addressask SRA A No City State- Zip � ✓ Fax I PhoneS36 _S8.5 J Fax E-mail Li 706 Css3� APPLICANT SIGNATURE tX -a For office use only - ARCHITECT/ENGINEER Name O Address SRA City No State Zp Phone Book Fax E-mail Planner State License Number APPLICANT SIGNATURE tX -a For office use only - APPUCA14T N E Name O Address SRA Cfty No State Zip Phone Book Fax E-mail Planner APPLICANT SIGNATURE tX -a For office use only - Zoning Property Addres Flood Zone Cross S ee \ Yv SRA I Yes No Occ. Type Const Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT BP BIN # Description or Scope of Work: I _� Sq. Footage ❑ 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. Recerveq by. " Recei t #: 3a Datel 1 Amount /� Bldg SRA Sheriff SMTP Other T-L- ® -�) v Property Addres City t� Cross S ee \ Yv 'WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation mustbe shown at the time of permit Issuance. LENDING AGENCY Name Address Description or Scope of Work: I _� Sq. Footage ❑ 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. Recerveq by. " Recei t #: 3a Datel 1 Amount /� Bldg SRA Sheriff SMTP Other T-L- SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BEACCEPTED, ALL PLANS MUST BE LEGIBLEAND /N INK ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paperl ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. 3. Engineered truss details and layouts in duplicate (if required). No faxesl :1 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.) 7 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.' ' ' 3 6. Manufactured homes: (A) Data sheets and installation insi, (B) Marriage line info, (C) Floor Plan; (D) Tie down or fid plans, all in duplicate. f 7. Metal bld s: (A Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. 8. Flood Elevation Certificate, wet stamped and signed, in duplicate (if required). 1 9. Site plan and business license approval from the City of Biggs. ] 10. Letter of intent for non-residential buildings. 11. Detached Accessory Building Form filled out by the owner (if required). ] 12. Hazardous Material Form (for Commercial Buildings only). l 13. Sanitation and site plan approval from the Environmental Health Department. 'emaining items needed to issue the permit Additional items may be required after Plan Check and Planning .view (May require additional plan review upon receipt of the following items.) 1 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). 2. Impact Fees. I 3. California Department of Forestry plan approval (if required). 1 4. NPDES Form. 1 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). 6. Contractor's ficense information. (Number, Name Style, Classification). 7. Worker's Compensation Carrier and Policy Number. 8. Owner -Builder Verification (if required). 9. Letter of Signature authorization ('if required). 10. Recorded copy of Agricultural Acknowledgment Statement. 11. ❑ Grant Deed, ❑ M.H. Titre/Statement of Facts, ❑ Leiter from Legal Owner (for 433A's). you have questions or would like additional information regarding this process, contact a Permit )plication Assistant at (530)538.7541. EXPIRATION OF APPLICATION plications for which a permit has not been issued will expire one year after date of application. In order to renew action an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS funds can on' be made upon written request by the person who paid the fee. The request must be. made within two irs from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits jed; however, on issued permits refunds can only be made if no construction wont has been done. Filing fees, plan .ck fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION, :RMSSUiLDING F0RMMRIdoAnn1CtihP. f.,4__ COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APP.LICATIONANDPERMIT ASSESSOR PARCEL NUMBER ^ I ,I^„ ^� '✓` C�.•N/ J ZONING BUILDINGPERMIT OWNER ' TELEPHONE 3 Y. SO. FT. OCC. BUILDING VALUATION _eM2tA -1 ooU .OWNER'S MAILING DRESS , n�,� Q / L/ O RACTOR'S NAME TELEPHONE 3 33 XI/L3_ OQ N CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ , 00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDIN ADDRESS / 1 � AtLe"i Energy Plan Checking Fee $ f$ PERMIT FEE $ LOT NO. SUBDNISIONSNAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF X Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other kr Describe Work: ��Qj�. -- —- Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service '.'A oR LESS 2o0OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.'/ / License Class (2- Lic. No. �f �oZ o� �p to OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46,00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BLDS. SD 3.50F7. NON-ReSID. BRANCH CIRCUITS MULTI.OUTLET @7,50 POWER APPARATUS 8 BINDLE OUTLET CTR. EX. Occup. OUTLET OR FIXTURES .00 BAL @ 1. 0 Ex. Occup. oFucLI EE. AP MO. 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. ❑ I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' come insurance FgrHer and policy number are: Carrier �� Policy Number .22a -S-9/, -0a (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 f with comply with those provisions. X /? 1y,� Date -aT-p 3 Signature of Applicant - ❑ wner Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in h ight. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ TYPE TOTAL FEE $ 'oo aHAZ. FEES IMP FLOOD I CDF PARCEL PO 1 HD I ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. 2 Date J PERMIT EXPIRES ON efe Receipt No. ee) WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 043-430-030 Z0NI G BUILDING PERMIT owN Saron Smith T 1EPHONE 345-4148 SO. FT. OCC. BUILDING VALUATION OWN 5 (LING ADDRESS OWI 2 Scottsdale Ct Chico CA 95926 CONTRACTOR'S NAM Ely Roofing Inc TELEPHONE 343-7663 COIR3291 Contractors Dr Chico CA 95973-8837 CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS ' Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 19.00 ARCHITECT OR ENGINEERS MAILING ADDRESS `? Plan Checking Fee $ BUILDING ADDRESS Scottsdale Ct - Chico Energy Plan Checking Fee $ .1428 $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF 11 Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat"pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other)7 Describe Work: R/R roofing W/HOT — 5 sqs Gas piping system t - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 2°°A OR LESS 23.00 t I, ;LICENSED 'CONTRACTORS DECLARATION'- Kix r" ;�� I hereby'afflrm•under penalty of'perjUry,that I amaicensed under•proviswns`of,CHapter 9""(commencing with Section 70_00) of Diuision 3.of,the Business and Professi6ns Code,,. land my license is i f'''*''((III//f/or�Cve r�pd effect" - ""' q' =' �� " �`1•t l� 39 607386 License Class � 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: D I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service ( 200A To. IOOOA 46.00 � NEW DONST'�,� a^DWELLING 'OCCUP SO ('. r t ;3.5Q�: xNEw coNs ;a MU COU�ET +'NON-RESID.t:r ' •;. .. APIC , o :'.i ;@7.50 pOwFA APPARATUS B SINGLE OIfTLET CIR. ` 2O @ '•0° Ex. Occu OUTLET OR F°cruREs SAL o ,y° EX. Occup. OUTLETS PRES D.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE t 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. 1 I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Legion Ins Policy Number WC10526123 (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 comply with th a ovisions. _I _) X✓Date 11-11-98 Signature o Applicant - ❑ Owner E Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEI_ $ Mobile Home Installation Fee Is Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 39.00 HA2. D. FEES IMP FLOOD CDF pARCE.L` - PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid, By PERMIT E ARES ON Date Receipt No. 2&QaJl WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ah`51:-;t'ti,�.,r ...`t`'f avr�:iE•�!.K.r-..•.'`.a _..,,�4 �r. ��.i.��+,fes �..i;�.�-'4-..^�„��:"�.r r.^►. ti: :;^-:,.�Fs�:,�._ 1 4C4* sem„ fp s d a /er C { 3 o• Zlgy s. 3 a �-=9a- IV, I COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND, PERMIT PERMIT NO ASSESSOR PARCEL NUMBER —. -- tj ZONI G BUILDING PERMIT OWNER - I 15�I-r , 6AA; a ►. TELEPHONE 3t1,5_ 4115v SO. FT. OCC. t BUILDING VALUATION - OWNER'S �MAILING ADDRESS CONNT/jR/�AC�().T�O/RD'S NAME ,�r+„ � TE�,L%EPHONE CONTRACTOR'S M°A-1LING.ADDRESS !}�^ c-' C ar3 �'" d r�O 6 x -- .�.. cam .:'.. i C c� r�- / 9 .2 -% Fireplace CONSTRUCTION LENDER' -- UNKNOWN Total Valuation '$ 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 _ Permit fee 1 $ PLUMBING PERMIT Filing Fee 10.00 10,;2.? D 71s41r, 1,e Each Trap 2.00 6 C' Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME • PARCEL. MAP Water piping 5.00 ^' Each qas water heater or vent 5.00 USE OF STRUCTURE / SF ❑ Duplex ❑ MobilehomeQ Other Z/ 5� SPECIFY / Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ®installation❑ Other ❑ Describe work: Permit Fee $ , Contractor ELECTRICAL PERMIT Filing Fee10.00 / fir 00V OR Main service 100 AMP ORSLESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ( � I ❑ 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 Classification Nli.' 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 I NEW CONST. DWELLING OCCUP-1 Y,,0sgft OR ACDNS. ACC, SLOGS. I NEW RESID. TLOUTLET NON.RESID .BRA CH CIRC ITS [2 �50 ea .. /POWER APPARATUS 91 %SINGLE OUTLET CIR. / / EX. OCCUp\OUTLETS OR FIXTURES eA 030@500 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESIC.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00,5 f-0 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): IN The permit is for $100.00 (valuation) or less. i 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. 1' ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applican0f after making this statement,.shoulb you become subject to the W. C. provisions of the Labor Code, you must,^forthvl ith comply with such provisions or this permit shall be deemed revoked. 1`. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood x` 3.00 Ventilation Permit Fee $ Contractor 1 certify that I have read this application and state that.the above information is correct. I agree to,comply to all County Ordinances and State Laws relating to building construction,'and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify.and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. � -' c X `�'6'�a A - Q�►'�ret %t�� Date Si �o Signature of Applicant - Owner Contractor ❑ 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. CONST.T=J FLOOD PARCEL I PD I HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which -1 DIRECTOR OF. PUBLIC B �-/ /��3/ �. 1�( �+ � y` PERMIT EXPIRES Date _ the applicable provi- resolutions to do fees have been paid. WORKS Date / Receipt No. lQ WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Ph9ne: 891-2751 7 County Center Drive, Orovi Ile — Phone:11538-7541 • •� 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICEIs��_�� 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 mater, or need additional explanation, please contact this office immediately. nd Poo l F4 -AW%I, eo i Ti In oA{ I{ISR±. 12- v► 01( G U V For rx 4-C r i &c -L, u m /l- Fo Datei" ,R! 2 Inspector J_ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER_ O 3- 3 OWI BUILDING PERMIT OWNER ,C 43 0.r O JA& 1,3q_5- TELEPHONE 21 5a SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS i s� a t ell Ch icp s9 2 CON RAc7 OR'S NAME C__ 3� TELEPHONE 755 CO�TRACTOR'S AILING ADDRESS d 8 s 1 % z' ) C c7 Com- / 59,2 % Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 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 Permit fee $ PLUMBING PERMIT Filing Fee 10.00 J�� sr� Q its / Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other / ^/ u SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S IG 1W I 0.00 ea TYPE OF WORK New ❑ Addition [IRemodel ❑ Utilities 2 Installation[] Other ❑ Describe work: i LA) �, ��M A Permit Fee $ Contractor ELECTRICAL PERMIT FilingFee 10.00 OOV OR LESS Main service 100 AMP 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El 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. ( DWELLING OCCUP.6i\ 'h2sgft OR ACDNS. AGC. BLDGS. // NEW CONSTR 1 -OUTLET 2,50 ea NON.RESID BRANCH CIRCUITS) APPARATUS e \SINGLE OUTLET CIR. (SINGLE EX. Occup(OUTLETS OR FIXTURES BA 030 Ex. Occup. OUTLIXEETS PIRESID ,REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 r__0 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. 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 Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agai id County in on se yence of t e granting of thi permit. iAQAThis XA-r�� t /l Date 098 Signature of Applicant — Owner18 Contractor ❑ 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. CONST.TYPE 7FLOODIPARCELI PD NO ISSUE permit is hereby issued under sions of the Butte County Code and/or work indicated above for which RE ORO PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Receipt No.( J .� WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT ,r � �;- � . .--...:.: , ....- ti.-...ry �.......+ ..-� ....... -. n.-• .-.—..yw; +�'i".1:°�'r="�y„ti, u^ _ .�. ."t-!1 1 r ... Y t„�v: +, r}, ..y I � y .. COUNTY OF BUTTE -DEPARTMENT 0 PUBLIC WORKS -BUILDING DIVISION t,. --- %, l 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT AP`K'kATION DATA SHEET - Permit No. OWNER J kelml) A%� ��V1 1 q,3 41 f � : � A. P. No. Proposed Building Usef !' lh 40,vp/ 44,1J6. Building Inspector a ' Date r 6 At time of permit application, I was advised the following data must be submitted prior to permit processing and1or issuance: DATE RECEIVED APPROVED 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 $ , . , , , . , 9. 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 owner0, Mail to owner ❑•) _15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . Pre-Inspec. request to 17. 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. Engineered trusses in duplicate (required prior to plan check). 22. When you issue the permit, process as follows: Mail to owner, Mail to contractor. Telephone and hold for pickup at office, Deliver w/inspector. Other 1 Applicant to �S Copy of plans sent Health Dept., Fire Dbpt., 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: �P Contractor, designer, owner, was advised of above required data by_phone----rnail—counter by date Contractor, designer, owner, was advised of above required data by—phone—mall—counter by date Plans checked by . Copy—DPW Date Plans approved by Date Sets of plans on hold in File cabinet AP folder 7 ... .« t�•; ,.,-..r;'s'."�V'v;.-.,.-.,�.. ... .,t...r- - e 1� .-s•.ti.rK 2a'\,.�i+1—'+,�.',�r.v��-.^- .ter--,ra 'r,:. ,�.�,•;��.�,. COUNTY OF BUTTE DEPARTMENT OF1PUBLIC WORPERMIT NO 7 County Center Drive - Oroville, C l,Hornia 95965-`,TelepIi1c e: 5387 41 �• APPLICATION'AND'PERMIT' i ��•(<} �•' ASSESSOOf PARCEL NUMBER.- 1 e/ _ q .- b ' ZONING -� ,j t f vp`p f BUILDING PERMIT - OWNER TELEPHONE - SO. FT. OCC. 2 t BUILDING VALUATION - OWNER'S MAILING ADDRESS. CONTRACTOR'S NAME— t TELEPHONE -•._ :�! -- CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ - Filing Fee/ $ 10,00 LENDER'S MAILING ADDRESS Permit•Fe' e` $ ARCHITECT OR ENGINEER ' I LICENSE NO. } - �'•. ARCHITECT OR ENGINE'ER'S MAILING ADDRESS Plan Checking,F6e i Energy Plan Checking Fee L$is /• �"y Penalty.': r , . r ft' t $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 C.0 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP ' Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other P SPECIFY Gas piping system 1 - 5 outlets 5.00 / Building sewer 5.00.. Mobile Home S G W 10.00 ea +tZ1 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ // Utilities ❑ Installation ❑ Other Describe work: �:< L..c.�A S(�P ,.��tt r5 I - .`�r?r + 1' f. i '�'T•[ Permit Fee $ ? , o r Contractor ELECTRICAL PERMIT j Filing Fee 10.00 i Main service eoav OR LESS 100 AMP ORS LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW t } I declare under penalty of perjury (Check One): 1 ❑ 1 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 `" 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure Is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed'contract- ors.(Sec. 7044) ' ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.m� y2¢sgft OR ADDNS. ACC. BLDGS. NEW CONSTR.MULTI-OUTLET NON-RESID BRANCH CIRCUITS) 2.50 ea 1. POWER APPARATUS e) SINGLE OUTLET CIR. EX. OCCUp�OUTLETS OR FIXTURES BAL93 °ALoso FIXED APPLNS. OR EX. OCCUp. OUTLETS (REST D.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring ~-- 15.00 ,. 1 Permlt Fee s" 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. 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 Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor i 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 authonie representatives of the Countyot Butte to enter upon the above=mentioned.property for inspection purposes. I also agree to save, indemnify and keep harmless+the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in co sequence of,the granting of this permit. 1A A A AAA Signature of -- , nr - OWner Contractor ❑ DA9ent ❑ ate 12, An OSHA permit is required for'ojcevations,over 5'0" deep and demolition or construct- ion of structures over 3-tories In height.• `R Mobile Home Installation Fee $ i Energy 'Inspection Fee $ -TOTAL PERMIT FEE $ •OV OCCOP�, CONST.TYPE scNOOL FLOOD PARCEL PD ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO ,OF PUBLIC �f r/1, By. rf42r1 --c— '�Receipt PERMIT EXPIRES Date the applicable provi- resolutions to do fees have- been paid. WORKS Date i — � No. i S :)—U - WNITE-D.P.W.. YELLOW-A3e L33OR, PINK -INSPECTOR, GOLDENROD -APPLICANT �.. r`+-- �Y•-W�.y-,'v1+72"L '�:.Yt"-�.rr--�r+`.-v-... r ' .. .., � ,-s w ! i � 4�4COUNTY OF BUTTE DEPA'RTMENTJOF PUBLIC WORKS 196 Memo=rial Way Chi*o — Phone: 891-2751 7 County Center DriV , 01%viIle — Phone: 538-7541 1 %+' j 747'Elliott rRoad,7ParadiseK — Phone: 8TH -6907 CORRECTION NOTICE O R ''� 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. U c y-�f CJ.I/(i•� /-ff r T r Inspector Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville. California 95965 - Telephone: 916/538-7541 APPLICA-VION AND PERMIT 7 ASSESSOR PARCEL NUMBER f ZONING BUILDING PERMIT OWNER TELEPHONE ,SQ, FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS / 4 & S c Aeitt� ,CI CONTRACTOR'S NAME w el TELEPHONE CONTR CTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $i Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 C Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP 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 I G I W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑rr Utilities ❑ Installation❑ Other Describe work: �a<. L..a��A �nj Piv��t r5 Z 5,Jo Pe It Fee $ 'd�, dD Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100v OR LESS 100 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): p y p I Y( ) ❑ 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 I, as the owner, Or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.y\ '/s¢sgft OR ADONS. ACC. BLDGS. NEW CONSTR. MULTI -OUTLET 2,50 ea NON-RESID .BRANCH CIRC ITS POWER APPARATUS S (SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES &ALO20@30 AL0 FIXED APPLES. OR \ EX. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permlt ee $ 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. 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 permit Fee $ Contractor I certify that 1 have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agagsaid County in co sequence the granting of this permit. X A d A 81 Date I Signature of Applicant — Owner 4 Contractor ❑ 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 $ ,�� OU OC CUP. CONST.TYPtJ SCHOOL FLOOD PARCEL PO HD SSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above f which F PU JRE4De By PE IT EXPIRES the applicable provi- resolutions to do fees have been paid. IC WORKS Date 9-12-68 �1 ^y I ,>h. Receipt No. / 0 � WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT M S COUNTY OF BUTTE - I3apartment of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has-been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed pro perty�improvement (yes or no) 2. I (have/have not)y�,l,llC a signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address Phone Contractors License No. City 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I.will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: A-� Property.Owner d _ l Security Number �( Date2 NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to -our office before we are per- mitted to issue the permit. »lty� .t r a r. V* d E PERMIT NO. 1192-86B,P,E,D PERMIT EXPIRES i r OWNER 'VERN KNOX p: CONTR. Steve Deadmond .f. ASSESSOR PARCEL 43-43-30 LOCATION 1428 Scottsdale Ct, lot 60, Big Chico Creek #3, Chico _OFFICE COPY Address—,—.— GAS ddress i GAS Date II Meter By , ELECTRIC pate 0 � Meter By . t OFFICE COPY Addresses' GAS Meter By Dat ki %d ELECTRI i t Meter By Date Temp. Power Pole - Called PG&E Temp. Elec. Servii Called PG&E Temp. Gas Service j Called PG&E. } r JOB FINALED (D 5 f, Signature Owner :-�/��iU ION ROOF Material Thickness(inches) Permit No. ENERGY CERT IF ICAT ION DESCRIPTION OF INSULATION EXTERIOR WALL Material 1 Thickness(inches) CEILING Batt or Blanket Type L Thickness(inches) O Loose Fill Type F IPp,-Q-f-l5� �— Minimum Thickness(Inches) -11 Area covered(ft. ) FLOOR, ELEVATED Material Thickness(inches) FLOOR, SLAB Material Thickness(inches) Width(inches) FOUNDATION WALL Material Thickness(inches) A. P. No. Brand Name Thermal Resistance (R Value) Brand Name Aa,ai 1 LLL-?- Thermal Resistance(R Value) l2 Brand Name IAA (�k) j t L-r - Thermal Resistance(R Value) Brand Name % Number of Bags_L3_0Wt. per bag lb. Thermal Resistance(R Value) � )_ Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) I hereby certify that -the above insulation was installed in the above building in conformance with the State of California Energy Requirements. FIRM NAME/OWNER STATE CONTRACTOR'S LICENSE NO. TION APPLICATOR I hereby certify the above insulation and all required items as shown on the Building Department approved plans and attacbinents have been installed as required by the State of California Energy Requirements. All equipment, devices and materials are of the quality prescribed or are specifically approved by the State of California. 4 �W 3-3 STATE CONTRACTOR'S LICENSE NO. /2--/ - 9> DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. January 1984 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, OroviIle — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE OWNER T 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 correct' n of work is completed. if you have any question pertaining to this matter, o eed additional explanation, please contact this office immediately. 1 1i7 - - w Inspector �"J Date g 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 i completed. If you have any question pertaining to this t�glmatter, or need addipxplanation, please conjact this office immediately. Inspector Date J OK 0 = Not OK - = Not Applicable * = Not Ready RESIDENTIAL (Sirigle and Duplex) Date UNDE FLOOR Plans OK except#'s Date FR ING Continued o g requirements -Setbacks- E s ents . Property Line Firewall.& Openings Main; Soils-Steel-Elec. G - / /" Ftg. Depth . Ext. Doors -One 3' -Check Garage -3rd story, 2 exits tg. e; Soils -Steel- / " Ftg. Depth Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection Ftg., Porches & Decks; Soils -Steel- / /" Ftg. De Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Stemwalls, Main; Steel-Blockouts-Wrapped-SI 52. S' ing- iling-Veneer 6 mwalls, Garage; Steel-Blockouts-Wrapped- Stu ' reed-Fdn. Vents-Underflr. Access Pers -Fireplace Ftg.-Steel Glazin Area -Glass Protection -Skylights -Plastic D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test . S ear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test A A AA• j%,lL� YF �L 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date - Card -BI Date Card -BI Date Card -BI Date Ir Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINA tans) OK except #'s Card -BI Dat / Card -BI Date Date PLU ING (Permit) OK except #'s . E -Door & Sidelight Protection -Landings Sm etector .--Water _ Ht.; Vent -Access -Combustion Air urnac nts-Clearance-Comb. Air-Connector- In age ove Floor-Ducts-Mech. Protection ater Pi est & Anchors -Nail P o D.W.V • Fttngs &Anchors- i NgAft3 nom Exiting Shower Pan; Test, First Floor -Tub Access610,.&Bath Fixtures &Tub Access _ __IS -J. -t -Tub & Shower, 2nd Floor -Tub Access . Elec. TO Subpanel; Breaker Sizes -Labels (was Pipe; Size & Anchors _ 66.0TJjpdJ5Iace or Stove; Clearances -Hearth ife I utlets at Wood Panel; Int. & Ext. ixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date Card -BI Date Card -BI Date _ Jac -Outlets & Receptacles at Kit. Counter - Date ELECixtICAL Permit OK except #'s Gara re Door; Swing -Landing -Closer Duct in Garage -Damper Fure & Transformer Clearance -Ins. Protection . Wtr. .; Vents -Clearance -Comb. Air-Connector-P.R.V.- rage; I aAbove Floor-Mech. Protection Receptacles Spacing -Lights & Switches at Doors //�lec. Lc Size Boxes & No. of Conductors -Stapled Plb ec Mech. Equip. Listed for Location eceptacles in Garage; (G.F.I.)-Rome rotec. Romex Installed Close to Edge of Studs & C.J. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water, . Insulation -Foam -Looked in Attic es � ,2 Appliance Circuits in Kitchen & Conductor Size Guard Rails &Deck Construction -Post Caps --44-.,NFdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Cleararice Looked under Floor ❑ Yes .Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al Range Circ. / / gra. Cu or AI -Oven Circ. / / ga. Cu or At, - Insulated Neutral _,Yes 1:1 No C"75' Following instld.: Drive El Yes ❑ No; Walks ❑ Yes C] No: PI a ❑Yes ❑No pB"/Service-Riser Conductors & Ground -Main Disconnect c , Brown -Finish _ r2? Equip. Clearances: Pa- ch. Equip. . Unit; Disconnect-Clrnces-Brkr. nd. Size -115V Outlet �/— - _30: Clothes Closet Ligh Shower 41 Vents ove Roof; Plbg.-Applianc irepl: Clearance to Opngs. -- - -------- Card B -I _Date _ Card -BI Date Card B -I Date Card -BI Date - we isconnect, Electrical, Plumbing . E for E ec. Trim; G.F.I. Receptacle -Underground Ve t' hroughout House 8 Protection Date MECHANICAL (Permit) OK except #'s Correct' om Previous Inspections e e ers Tagged; Gas -Electric -�_ 31. A_C_Ducts: I do & Support tr32�Vent Fan; Exhaust above Insulation -Y,33. densate Drain & Overflow: Size & Grade _ Furnace -Vent: Access -Comb. Air -Return Air Vent 115V outlet Attic Access & Platform if Furnace in Attic r & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates Card -BI _ Date Card -BI_ Date -- Card -BI Date Card -BI Date Card -BI Date Q Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date R ING(Plans) OK except Comments at Final: _ Sills; Proper Material_ Ac _ &�� alls: Studs -Nailing, Spacing_& _ Bracing__ -_Plates_ -Sound tearing Walls over Girders & FI_oo_r N_ailin_g_ _— raft Stop in Walls (rat proof)__ Fire Stops: Furred Ceilings -Stairs -Chases -Tub /Header & eam-Size & Bearing g2! Hanger Post Caps -Anchors -Connectors ng Jo Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnp.-Ring. eplace Ties or Type A Flue -Fireplace Throat y Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles___ 6 drm. Windows or Exiting _Doors -Sill _Hg_t. & Dimensions__ Garage Fire Protection Framing - - _ (NOTE: Anent rymust be made each time you visit job site) = OK- = Not OK = Not Applicable MOBILEHOMES MISCELLANEOUS = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except b's 1. Zoning Requirements -Setbacks -Easements 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) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance 6. Carports; Windows -Doors 7. Elec. i Card -BI Date Card - BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except ✓i's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except b'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 9. Exits; Insp.-Sketch 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSES ARcE� M/BE� �[TfL ZONI G BUILDING PERMIT OWNE "fir TEL PHONE SO. FT. OCC, BUILDING V 10NJ OWN 'S MAI LI G AD 55 n tar) v CON ACTOR'S NAME TELEPHONE - h JINIq l CON ACTOR'S MAILI DDR SS ` Fireplace Iq CONS UCT O LEND , UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ 15-0 ARC I ECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ /5-1400 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap k 2.00 V, 00 t Solar or heat pump water heater 20.00 LOT NO. (p SUBD ISION NA/fl.` f1I� �' PARCEL MAP — Water piping 5,00 ! rb Each qas water heater or vent 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 00 Building sewer 5.00 s Mobile Home is G W 10.00 ea TYPE OF WORK New % Addition ❑ e del ❑ Utilities ❑ Installation[] Other ❑ Describe work:_�� 1 _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6111 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty ofperjury I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Profess ns Code and my license is in full force and effect. 3 / L License No. Classification Y 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. WELLING OC _ OR ACDNS. ACC. BLOGS.< 2'h2sgft s NEW CONSTR ULTI.OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURES 200501 30t. Ex. Occup. OUED P TLETS (RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin 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. 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. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating 00 JN, I L �4 k lin Cooling 11r Hood 3.00 (geg Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, os s, and expenses which may in any way accrue against aid C ty in c s uence of the granting of this permit. X ` b� Date Signature of Applicant — Owner ❑ Contractor Agent ❑ An OSHA permit is wired for excavations over 5'0" d p nd d o it'on or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ , TOTAL PERMIT FEE $ OccUP, �3 FLO PARCE PD HD ssu�, This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF UBLIC ,o BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date �� e� Receipt No. 570*t1-r d6 d r / WHITE-D.P.W.• YELLOW-JS14V R, - N CTO GOIDEN RO D -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 OWNER V Proposed Building Use. 1 Permit Fee Based Upon PERMIT APPLICATION DATA SHEET Complete Contract Price f Permit No. A. P. No.� DPW Valuation Building Inspector 4l nate -)! C) i () v2 At time of permit application, I was advised the following data must be submitted prior to permit processing and./or Issuance: DATE RECEIVED APPROVED All items have been submitted. . . . . . . . lot plans in dupa+ea'te-!'tri*prftale. .I &f ,fid%eI/S)) . omplete plans in duoivea�Hr plicate. m tete engineered plans and calcs./Poo�--j �T:.�J� P 9 P 3t ,t 90 Faa t ;�y�irM t ry ns with Energy Design Compliance to ement. . . . . . CUSD ''Fees Paid'' Stamp on Floor Plan . . . . . . . . �7 atement of Intent foron-Heated and AC Buildings. Fees of $ �Ci �' S._5 . . . . . . . . ��;� Letter of signature authorizati n. �i 0 Sanitation approval from Health Dept. /— Planning approval for (A) Use: (B) Parking: 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 -Inspection for Required- request to —(Date) P q Building Inspector 4a Record f for I Acknowl dgment State ent . Other ��A� �� onstruct on approval required prior to occupancy hen ou issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant Date—� Copy of plans sent Health Dept., Fire Dept., —Other---,4/Date During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked aboe t ti e f a lica iol i cle item.) 1. Index permit for above Items No. AO IV 2. Additional items required: ontracto , Designer, Owner) was advised of above required data by _Telephone Mail Other By Date s'' 22 .& Plans checked by Date Plans approved by T_ Date —.2— we Other: Copy—DPW TO: Building Department FROM: Encroachment Permit Section' RE: Driveway Clearance l/ey'h lcGto�C i r� 8 le Z�� —3� owner location AP # Driveway permit �lJ has been issued for the above property. SU �� si.gnatu date RESIDENTIAL PLAN CHECKING GUIDE 7/85 (S.F., DUPLEX & MISC. ONLY) / p Bldg. Permit # OWNER VA 44 A.P. # GENERAL /L• zoning requirements: (sideyards and number of permitted living units). 42! Valuation. Plans signed by designer. 4. Eiiergy Design and Compliance. Existing violations on property. PLOT PLAN Complete parcel size and dimensions. Setbacks, sideyards, easements, etc. ,,30'' Other buildings or structures. Grading, fills, drainage. Flood hazard. !6� Special conditions on creation map or compliance document. FLOOR PLAN mplete to scale lan 't 3� C sA om equired windows for li ht and ventilation (Sec. 1205). equire windows for second -exit Sec. ,4-- Skylights (Chapter 34 & Sec. 5207). r-: Human impact glass (Sec. 5406). , OoT. Required room sizes, ceiling heights (Sec. 1207). G.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 equipment, and plumbing fixtures. ,�! Garage firewall, door size, and closer (Sec. 503(d)(3)). ,�� 1 - 3'0" exterior exit door (Sec. 3304(e)). }o2! Fireplace and wood stove location. JJ' Smoke detectors (Sec. 1210). STRUCTURAL DETAILS Foundation plan complete enough :to construct building. A e4olA',Fri-Aaj, ��' tai s com Tete enough :to construct building. oc. /Q. 3. �� -o�:os - - ding e ace construction details ancaecessary. oerdYe Loc, how &4 ,6:-` Sufficient data and details to satisfy energy requirements (State Law) (Form 1). MISCELLANEOUS ITEMS TO LOOK OUT FOR il!" Exposure I plywood on exposed locations and overhangs. *X* nc c x Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306). ,00,3. Guardrail details (Sec. 1711 & 3306(j))., Brick or stone veneer (Chapter 30). /5. Exterior plaster - weep screeds (Sec. 4706). AProper roof pitch for roof covering (Chapter 32). _._5A4Afe_ ��Rafter ties or bearing ridge beam. RESIDENTIAL PLAN CHECKING GUIDE (CONT -D) 7/85 t MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONY D) Garage door or porch header sizes. ,,.,9 Adequate bracing. flP6-: Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. Two exits on three-story dwellings (Sec. 3303 & see Mezannines 1716). .21 Attic access and ventilation (Sec. 3205). Underfloor access and ventilation (Sec. 2516). Wood stoves, clearances, alcoves & 1 -hour shafts. Combustion air for fuel burning appliances. _ Noise requirements on duplexes. ooI7.. Adobe soils - special foundation design. ' Retaining walls requiring design. )9:-' Unusual shape, size or split level house requiring lateral design. o RESIDENTIAL ENERGY PLAN CHECK/INSPECTION SUMMARY Owner _�� (E) Thermal Climate Zone ®0 Permit No. Floor Area !R Compliance path: Package ❑ A ❑ B ❑ C ❑.Point System ❑ Budget IM Other MIN R -VALUE DESCRIPTION HC= REQ°D INSTALLED ITEMS (1) INSULATION: Roof/Ceiling SZ-3C� ❑ Type Wall 4-/3 - Area ❑ ab)Floor Perimeter R= ❑ a sed Floor Location (2) INFILTRATION: ❑ (A) A vapor barrier is required in climate zones, 1, 14 & 16. Type ® (B) All manufactured windows and sliding glass doors shall meet the Ft.2 HC= 1972 ANSI Air Infiltration Standards and shall be certified and MC= labeled. 41 (C) All swinging doors and windows leading to unconditioned areas ❑ shall be fully weatherstripped. - Area Tight - the above standard features plus: HC= ❑ (D) Continuous infiltration barrier MC= ❑ (E) Electrical outlet plate gasket ❑ (F) Air-to-air heat exchanger ❑ Type (3) GLAZING: - Area Ft.2 (A) Location R= Area Glazing %Floor Area Single Double Triple Location 0 Total Bldg 2-515"• _Ir 10.2- ® _ly North _i2 _ O. S Type - Area Ft.Z HC= South ® ® West 1- 7,S Skylights (B) Shading 7/83 Shading Coefficient Description ❑ East ❑ South ❑ West ❑ Skylights 9 (C) South Overhang Length of projection _eft. Description ❑ (D) Moveable -insulation: Area ft4 Description (E) Thermal mass ❑ Type - Area Ft.2 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.2 HC= R= MC= Location ❑ Type - Area Ft.Z HC= R= MC= Location 7/83 0 FORM I ® (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 (describe) *1 (B) Cooling Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr (cooling capacity at 95°F) ❑ -Electric Heat Pump _ EER Btu/hr (cooling capacity at 95°F) ❑ 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. ® (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 t9_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 (6) DOMESTIC WATER SYSTEM IN (A) Gas Only (brand and model number) (tank size) ® Heat Pump w/Electric Backup (tank size) ❑ *2 Active Solar Gallons FORK I Gallons (brand and model number) (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. ® (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. (7) LIGHTING (A) Lamps used in luminaries for general lighting in kitchens and bathrooms shall have an efficacy of not less than 25 lumens per watt (usually florescent). *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(g),.and fill out the following: Heating: Winter design temperature °, elevation 2i0 () ', heating load ZI b� BTU el v tib factor �_ x heating load - maximum outlet capacity gas furnace BTU Cooling: Summer design temperature °, cooling load 7 3,OOBTU (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. 7/83 SIGNATURE OF BUILDING SIGNER OR APPLICANT 3 ZONE 11 OWNER VAco-1 POINTS PERMIT NO.. �,q�=rQ[ ASSIGNED ACTUAL 1. SLAB - INSULATION 2. RAISED FLOOR - R-19 3. CEILING - R-30 /t ;,30 low 4. WALL - R-19 ,¢ /3 •,� LE 5. NORTH GLAZING_ - 2.4-3.6% ,d�j%•S �� 6. EAST GLAZING - 2.5-3.67 T•� � 2 7. SOUTH GLAZING - 1.6-3.6% Q. 2 8. WEST GLAZING - 2.9-3.6% Q 3 9. SKYLIGHT - 0-1.37 n.3 10. SHADING (Exclude Overhang) EAST - 4-1. 66 - O SOUTH - 6 7.19-.42 O WEST -4. 3 .13-.36 .SKYLIGHT - d j .37-.57 Z 11. HORIZONTAL SOUTH OVERHANG 2' 3 �� 12. MOVABLE INSULATION - NONE O G 13. INFILTRATION (Standard=0)(Tight=+12) _ 14. THERMAL MASS SF 15. GAS FURNACE (SE) 71-76% 16. HEAT PUIiP (EER) 7.5-7.9% 17. DUAL PACK (SE, SEER) 8.0-8.3/71-767 WOOD STOVE 6 Or WATER •HEATER V ATTIC 2.5� , -00-2 OTHER TOTAL POINTS = Table 3-1. Slab Floor Points I lnc•Jls- I R -Value of Insvlstion I I tlwo I i I Der ch, I-- r I inches I 0-2 13-4 ! 5-6 (' 7+ 1 I I I I I I 1 0- 11 1 -5 1 -5 1 -5 I -5 I 12 - 15 1 -5 1 -3 I -2 1 -1 I 16 - 19 ! -5 I -2 I -1 I 0 t 20 + I -5 I I I -1 1 1 0 1 1 +1 1 7/7/83 Table 3-2. Raised Floor Points T" I R -Value of I I Insulation i Points below 3 I -12 I 3 - 4 I -8 I 5-7 1 -6 /I 8 - 12 I -4' I 13 - 18 I 72 ! •19+ I 0 I 1 � Table 3-3a. Ceiling Insulation R -Value of Insulation Table 3-4a. hall Insulation Poin R -Value of Insulation 1 Points 11 1 -7 19 I 0 24 ( +2 30 I +3 Table 3-5._ North -Facing Clazi 1 I Glazing Type I I Total I 1 Z of I ST , Dbl. Trpl, I Floor ► U. 1 U. I U . I I Area 1 0.66 i 0.42- ► 0.41 1 I ! 1.10 10.65 I down 1 o •4 +4 +4 I 0�,-1- 1.2I +4 ! +4 I +4 I 1.3- 2.3 I +1 I- +2 1 +2 I 1 2.4- 3.6 I -2 I 0 I +1 1 I 3.7- 4.8 I -4 1 -2 I -1 I 4.9- 6.1 I -7 I -4 I -3 1 I 6.2- 7.3 1 -9 I -6 I -5 1 1 7.4- 8.2 1 -12 I -8 1 -7 ! I 8.3- 9.7 1 -14 I -10 I -8 I 9.8-10.8 i -17 I -12 1 -10 I 1 10.9-12.0 I -19 I -14 1 -12 I ( 12.1-13.2 I -22 1 -16 I -13 1 13.3-14.5 1 -24 I -18 I -15 1 114.6-15.3 i -27 1 -20 ( -17 I Table 3-7. South-FacinR Glazing Pt Table 3 -10. -SI r - I I Glazing Type I I Total I I Orten- Z of I Sngl, Dbl, Trpl, Floor I (U - I 0 - I (U - I Area 1 1.10) ! 0.65) 10.41)1 1 0 1 +3 1 +3_ �+3-1 I2 1 r-rJ T I -I I? 1 +o I I 3.7•- 5.2 I -4 I -2 I -2 I ( 5.3- 6.5 1 -6 1 -4 I -3 ! 6.6- 7.7 I -9 1 -6 I -5 I I 7.8- 8.9 j -11 I -8 I -7 i 1 9.0-10.0 1 -13 ! -10 ,! -9 I 1 10.1-11.5 1 -17 I -13 1 -11 j 111.6-13.0 1 -21 1 =16 I -14 I i 13.1-14.5 i -25 I -19 1 -16 I 114.6-16.0 I -28 ! -22 ! -19 ! Table 3-8. West-FacingClazin Pts. I I Glazing Type I I Total I I I Z of I Sngl, Dbl, Trpl, I Floor I (U - I (U - I (U - I I Area 1 1.10) 10.65) 10.41)1 I I dints I olnts I ointsl o •B •6 +6 1 up to 1.3 1 +5 1 +6 1 +6 1 1 1.4- 2.2 1 +3 1 +4 1 +5 1 1 2.7- 2.8 1 0 1 +2 1 +3 1 1 2.9- 3.6 1 -3 1 0 1 +1 1 1 3.7- 4.2 1 -5 1 -2 1 0 1 1 4.3- 5. 1 -8 1 -4 1 -2 1 I � 1 -10 I =6 1 -4 I 5.7- 6.2 1 -13 1 -8 1 -6 I I 6.3- 6.9 1 -15 1 -10 I -7 1 I 7.0-'7.6 1 -18 1 -12 1 -9 1 I 7.7- 8.2 1•-20 I -14 1 -11 1 I 8.3- 3.8 1 -22 1 -16 1 -13 I I 8.9- 9.5 1 -25 I -18 I -15 j 1 9.6-10.1 1 -27 -20 1 -16 I 1 10.2-11.0 1 -29 I -23 I -17 1 1 11.1-11.8 i -35 1 -26 ( -21 1 1 11.9-12.7 ! -38 1 -29 1 -24' I 112.8-13.5 I -42 I -32 i -27 I 113.6-14.3 1 -46 I -.35 1 -29 I 14.4-15.2 i -50 i -38 1 -32 Table 3-9. Skyllo.ht Points Table 3-6. East-Facin Clazin Pts. 1 Glazing Type I Glazing Type I ! Total I I -I Total I I I Z of SngI, Dbl, Trpl, I Z -of I Sngl, Dbl, Trpl, I Floor I U- l u- I U- I I Floor 1 (U - 1 (11 -! (U - I 1 Area 10.66- 10.42- 10.41 I Area 11.10) 1 0.65).1 0.41)1 1 11.10 1 0.65 I down i 1 dints !points ! ointsl + 7 + 4 +4 1 uo to 1.3 1 -1 1 0 1 0 1 I up to 1.3 1 +3 1 +4 1 +4 1 I 1.4- 2.2 1 -3 I -2 I -1 I I 1.6- 2.4 I +1 1 +2 1 +2 1 1 2.3- 2.8 1 -6 ( -4 I -3 1 1 2.5- 3.6 i -2 1 0 1 0 1 I 2.9- 3.6 1 -9 I -6 I -5 I I 3.7- 4.6 I -5 1 - -2 I -1 1 1 3.7- 4.2 1 -11 I -8 I -6 I I-a-=•�� 1 -8 1 -1" ! -3 1 I 4.3- 5.0 1 -14 ! -10 1 -8 5.7- 6.7 I -10 I -6 I -5 1 I 5.1- 5.6 1 -16 I -12 I -10 I I 6.8- 7.7 I -13 I -8 1 -7 1 ! 5.7- 6.2 1 -19 I -14 I -12 1 I 7.8- 8.7 1 -15 i -10 I -8 1 I 6.3- 6.9 1 -21 I -16 I -13 I I 8.8- 9.7 1 -17 1 -12 1 -10 1 I 7.0- 7.6 1 -24 I -18 I -15 I 9.8-11.2 1 -21 I .-15 1 -13 ; I 7.7- 8.2 1 -26 1 -20 I -17 I 111.3-12.7 I -25 ( -18 .1 -15 1 I 8.3- 8.8 1 -28 1 -22 1 -19 I 112.8-14.0 I -28 1 -21 1 -18 I I 8.9- 9.5 1 -31 1 -24 1 -21 I 14.1-15.3 I -32 I -24 1 -20 I I 9.6-10.1 1 -33 1 -26 1 -22 1 w an ..oviricienc roints I SC by I 19 1 -4 ' I 22 I -2 30 0 1 36 j +2 49 i +4 Table 3-4a. hall Insulation Poin R -Value of Insulation 1 Points 11 1 -7 19 I 0 24 ( +2 30 I +3 Table 3-5._ North -Facing Clazi 1 I Glazing Type I I Total I 1 Z of I ST , Dbl. Trpl, I Floor ► U. 1 U. I U . I I Area 1 0.66 i 0.42- ► 0.41 1 I ! 1.10 10.65 I down 1 o •4 +4 +4 I 0�,-1- 1.2I +4 ! +4 I +4 I 1.3- 2.3 I +1 I- +2 1 +2 I 1 2.4- 3.6 I -2 I 0 I +1 1 I 3.7- 4.8 I -4 1 -2 I -1 I 4.9- 6.1 I -7 I -4 I -3 1 I 6.2- 7.3 1 -9 I -6 I -5 1 1 7.4- 8.2 1 -12 I -8 1 -7 ! I 8.3- 9.7 1 -14 I -10 I -8 I 9.8-10.8 i -17 I -12 1 -10 I 1 10.9-12.0 I -19 I -14 1 -12 I ( 12.1-13.2 I -22 1 -16 I -13 1 13.3-14.5 1 -24 I -18 I -15 1 114.6-15.3 i -27 1 -20 ( -17 I Table 3-7. South-FacinR Glazing Pt Table 3 -10. -SI r - I I Glazing Type I I Total I I Orten- Z of I Sngl, Dbl, Trpl, Floor I (U - I 0 - I (U - I Area 1 1.10) ! 0.65) 10.41)1 1 0 1 +3 1 +3_ �+3-1 I2 1 r-rJ T I -I I? 1 +o I I 3.7•- 5.2 I -4 I -2 I -2 I ( 5.3- 6.5 1 -6 1 -4 I -3 ! 6.6- 7.7 I -9 1 -6 I -5 I I 7.8- 8.9 j -11 I -8 I -7 i 1 9.0-10.0 1 -13 ! -10 ,! -9 I 1 10.1-11.5 1 -17 I -13 1 -11 j 111.6-13.0 1 -21 1 =16 I -14 I i 13.1-14.5 i -25 I -19 1 -16 I 114.6-16.0 I -28 ! -22 ! -19 ! Table 3-8. West-FacingClazin Pts. I I Glazing Type I I Total I I I Z of I Sngl, Dbl, Trpl, I Floor I (U - I (U - I (U - I I Area 1 1.10) 10.65) 10.41)1 I I dints I olnts I ointsl o •B •6 +6 1 up to 1.3 1 +5 1 +6 1 +6 1 1 1.4- 2.2 1 +3 1 +4 1 +5 1 1 2.7- 2.8 1 0 1 +2 1 +3 1 1 2.9- 3.6 1 -3 1 0 1 +1 1 1 3.7- 4.2 1 -5 1 -2 1 0 1 1 4.3- 5. 1 -8 1 -4 1 -2 1 I � 1 -10 I =6 1 -4 I 5.7- 6.2 1 -13 1 -8 1 -6 I I 6.3- 6.9 1 -15 1 -10 I -7 1 I 7.0-'7.6 1 -18 1 -12 1 -9 1 I 7.7- 8.2 1•-20 I -14 1 -11 1 I 8.3- 3.8 1 -22 1 -16 1 -13 I I 8.9- 9.5 1 -25 I -18 I -15 j 1 9.6-10.1 1 -27 -20 1 -16 I 1 10.2-11.0 1 -29 I -23 I -17 1 1 11.1-11.8 i -35 1 -26 ( -21 1 1 11.9-12.7 ! -38 1 -29 1 -24' I 112.8-13.5 I -42 I -32 i -27 I 113.6-14.3 1 -46 I -.35 1 -29 I 14.4-15.2 i -50 i -38 1 -32 Table 3-9. Skyllo.ht Points Table 3-6. East-Facin Clazin Pts. 1 Glazing Type I Glazing Type I ! Total I I -I Total I I I Z of SngI, Dbl, Trpl, I Z -of I Sngl, Dbl, Trpl, I Floor I U- l u- I U- I I Floor 1 (U - 1 (11 -! (U - I 1 Area 10.66- 10.42- 10.41 I Area 11.10) 1 0.65).1 0.41)1 1 11.10 1 0.65 I down i 1 dints !points ! ointsl + 7 + 4 +4 1 uo to 1.3 1 -1 1 0 1 0 1 I up to 1.3 1 +3 1 +4 1 +4 1 I 1.4- 2.2 1 -3 I -2 I -1 I I 1.6- 2.4 I +1 1 +2 1 +2 1 1 2.3- 2.8 1 -6 ( -4 I -3 1 1 2.5- 3.6 i -2 1 0 1 0 1 I 2.9- 3.6 1 -9 I -6 I -5 I I 3.7- 4.6 I -5 1 - -2 I -1 1 1 3.7- 4.2 1 -11 I -8 I -6 I I-a-=•�� 1 -8 1 -1" ! -3 1 I 4.3- 5.0 1 -14 ! -10 1 -8 5.7- 6.7 I -10 I -6 I -5 1 I 5.1- 5.6 1 -16 I -12 I -10 I I 6.8- 7.7 I -13 I -8 1 -7 1 ! 5.7- 6.2 1 -19 I -14 I -12 1 I 7.8- 8.7 1 -15 i -10 I -8 1 I 6.3- 6.9 1 -21 I -16 I -13 I I 8.8- 9.7 1 -17 1 -12 1 -10 1 I 7.0- 7.6 1 -24 I -18 I -15 I 9.8-11.2 1 -21 I .-15 1 -13 ; I 7.7- 8.2 1 -26 1 -20 I -17 I 111.3-12.7 I -25 ( -18 .1 -15 1 I 8.3- 8.8 1 -28 1 -22 1 -19 I 112.8-14.0 I -28 1 -21 1 -18 I I 8.9- 9.5 1 -31 1 -24 1 -21 I 14.1-15.3 I -32 I -24 1 -20 I I 9.6-10.1 1 -33 1 -26 1 -22 1 w an ..oviricienc roints I SC by I I I 2 Floor Area Cation Cation I Last I I 3.2 j I 10-3.1 I to 16.4 up 6.3 I 0 -.19 I 0 I +1 I +2 I .20-.36 I 0 I 0 Iit .83 up i 0 i -1 i -2 I South 1 0 1 3.2 1 6.4 1 8.0 19.6 I I to I to. I' to I to I up I I 13.1 I 6.3 I 7.9 I 9.5 I 1 0 -.18 1 0 1 +1 1 +2 I +2 ! +3 1 .19-.42 1 0 1 0 1 0 1 0 1 0 ! 43-.66 I 0 I -1 1 -2 I -2 .I -3 -2 I -4 1 -4 I -6 West I .1 11.6 1 3.2 1 6.4 18.0 I to I to I to I to i up 11.5 1 3.1 16.3 1 7.9 I I I I I I 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 I 0 1 -1 I -3 I -6 I -7 R-* *11 -1 I -3 i .-6 1 -12 I -15 .83 up I -2 I -4 1 78 I -16 I -•20 I I I I I Skylight 1 .1 I .8 1 1.6 1 3.2 1 4.1) I to 1 to I to I to I to I 1`5 T - 3_i I - I�S_2 0-.11 1 0 1 +1 1 +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 I - .58-.82 I -1 1 -3 I -6 I -12 I -i .83 up I -2 I -4 I -8 I -16 I -20 Table 3-11. Horizontal South Overhand. Points South Glazing I Length Out I Area, Z of Floor I from Wall I I I ft r' I 1 0-6.3 1 6.4 up I I I I I 0 - 0.5 1-2 -4 10.6 - 1.0 I -2 I -3 ! 11.1 - 1.9 I -1 1 -2 I .2.0 up i 0 i 0 Table 3-12. Movable Insulation Points Moveable Insulation*1 I I Area, Z of Floor I Points I 1 0- 5.5 1 0 I I 5.6 - 11.5 I +2 I I 11.6 - 17.5 1 +4 I ( 17.6 - 23.5 I +6 j ( _23.6+ j +8 j Table 3-13. lnV Ittation Control Features Points r-- -- T -"'-T I Control Features I Points 1 T- I I I Standard i 0 I 1 I I I 1.9 air changes per hr I 1 T-- 1 Tight I +12 i I I i 1 0.6 air changes per hr t I I Table 3-15. Cas Furnace Without Refrigeration CoolingPoints �_- 1 I Seasonal Efficiency I Points 1 t (SE). � 1 I I 71 - 76 I 0 I I 77 - 82 I +2 1 I 83 - 88 I +4 I I 89 - 94 I +6 • i I 95 up I +8 I 1 I I Table 3-1G. Heat Pumo Points T- I Energy Efficiency I Ports I 1 Ratio I (EER) ( 1 I I�-- 7.5 7.9 9 I +3 I I S.0 - 8.3 I +6 I I 8.4 - 8.7 I +9 I I 8.8 - 9.1 I +12 1 I 9.2 - 9..6 I +13 I I 9.7 - L0.2 1 +18 I I 10.3 - 10.8 1 +21 I I 10.9 - 11.5 I +24 I I 11.5 - 12.3 I +27 I I 12.4 - I 13.2 I 1 +30 I 1 2 2 2 2' Table 3-17. Cas Furnace With Refriveration Cooling Points IRefrigeraclonl Gas Furnace I I Cooling I SE I I I 1- 1-183- 89- 95 i 1 761 821 881 941 u I 1 8.0 - 8.3 1 01 +21 +•41 +61 +8 1 1 8.4 - 8.7 1 +21 +:1 +51 +91+10 I I 1-S - 9.2 1 +41 +61 +614101+12 1 I 9.? - 9.7 1 +61 +81+101+121+14 1 I 9.8 - 10.3 1 +81+101+121+141+16 1 1 10.4 - 10.9 1+101+L2i+141+161+18 I ( 11.0 - 11.5 1+121+141+161+•181+20 1 I I ! I I 1 7/7/83 ZONE 11 TABLE 3-14 (ADAPTED) - INTERIOR THERMAL MASS POINTS MASS _ DUELLING AREA 54UARE FOOT AREA 1,000 1,500 2,000 I 2,500 I 3.000 I 3,500 4,000 SQ. FT. I A B C 0 A 8 C 0 A 6 C D A 8 C 0 A 8 C 0 A 8 CD r A B C 0 Sn 2 2 2 2 2 2 2 0 1 2 2 2 0 0 0 0 0, 0 0 0 0 0 00 0 r 0 0 0 0 100. 4 4 4 2 2 2 2 2 2 2 2 2 2 2 2 0 2 2 2 0 2 2 0 0 2 2 O 0 150 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 0 200 8 B 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 2 253 10 10 8 6 6 6 6 4 6 6 4 2 4 4 4 2 4 4 2 2 2 2 2 2 2 2 2 2 300 12 12 10 6 8 8 6 4 6 6 6 4 6 6 4 2 4 4 4 2 4 4 1 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 2 400 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 2 503 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 6 4 2 600 22 20 18 12 14 14 12 8 12 12 10 6 10 10 8 6 8 8 6 4 8 C 6 4 6 6 6 4 700 24 24 20 14 18 16 14 10 14 14 12 3 10 10 10 6 10 10 8 6 8 8 230 26 24 22 16 70 16 16 10 14 14 12 8 12 10 10 6 10 10 8 6 10 P B 4 - 6 6 4 903 28 28 74 16 22 20 18 12 16 16 14 10 14 14 12 8 12 12 10 6 10 10 3 6 3 8 '8 4 1.010 30 JO 75 18 22 20 20 14 18 18 16 10 14 14 12 8 112 17 10 6 12 f0 10 6 110 10 8 6 1.,.00 32 31. 28 20 24 24 22 14 20 20 18 10 16 16 14 8 14 14 12 8 12 12 10 6 11 0 10 10 6 1.200 34 32 30 22 26 26 22 16 22 20 18 12 18 18 14 10 14 14 12 8 14 12 12 8 '12 12 10 E 1.1^00 34 34 32 22 28 26 24 16 22 22 20 12 18 18 16 10 15 14 14 8 14 12 12 8 12 12 10 6 1.400 34 34 32 24 28 28 26 18 24 24 2n 14 20 20 18 12 18 16 14 10 14 14 12 8 X14 10 12 8 1.500 1 36 34 34 24 30 30 26 18 24 24 22 14 I22 20 18 12 18 18 16 10 16 16 14 8 14 14 12 t 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 2,507 I 34 34 30 22 130 30 26 18 26 26 24 16 24 24 22. 14 22 22 18 :2 J.000 34 32 30 22 30 30 26 18 28 26 24 16 I24 24 22 14 3.500 32 32 30 20 30 30 2618 �18 28 14 16 4.000 I 32 32 30 20 30 30 26 IB 4.503 I32 32 28 20 5.003 �. ------------- ------ - --- A) 1. 3'y' Concrete Slab: IiC•8.93; R-.29; Factor -7.3 2. 3 3/4' Thick Common Brick: IIC-7.125; R-.13; Factor -7.3 a) 1. Sk' Concrrte Slab: HC -14.106: R-.418; Fattor•7.1 C) 1. 8" So11d Filled Block: HC•20.63; R-1.93; Factor•6.1 2. 8` Solid Fi11eA Block With Both Sides ExposeA To Condittoned Air. NOTE: Use all square footage directly exposed to conditioned alr for Thermal'Mass Area: HC -10.164; R-.965; Factor -6.1 0) 1' Thick Concrete/Ti.le: HC -2.55; R-.083; Factorj-3.7 Table 3-19. Zonally Controlled Electric Resistance Space Reatinq Points Points for this measure will I be completed after the CEC 1 1 has approved an Alternative i Component Package for Resistance 'I I Beat. Table 3-15. Active Solar Space Hestina with Gas Points Net Solar Fraction I Points (NSF), Z I I 0-6 i 0 l I 7 - 14 1 +2 i I 15 - 23 I +4 I I 24 - 30 I +6 I I 31 - 39 I +8 1 I 40-47 I ; +10 ( 48 - 55 I +12 I I 56 - 63 i +14 I I 64 - 71 ( +18 I I 72 up I +20 I -r.Lt- I -IA e..1.- 11- - u..-.4.., Ui.L r•., n.. -v..., 8-4-.- I,SGO 5,000 ; 66 C A� B -F- 0 0 O 01 0. 3 0 0 2 2 0 0.0 Net Solar Fraction (NSF), Z 0 0 01 2'? 2 0 2 1 2 i 0 1 2 2 2 2 2 2 0! 2 2 2 2 2 20-29 2 •' 2 2 2 2' 2. 7 2 2 4 4 2 7 I 2 2 7 2 4 4 2 2 I 3 4 2 2 4 4 4 2 44 +6 4 i t 6 5 4 2 (• 6 6 4 2 1 6 A 5 41 6 6 a 7. � 8 6 6 4I 6 6 6 4; s 8 6 4; B 8 6 c f 8 8 0 41 .". 8 C •1 i 111 10 8 ( � !0 (! f i ; ; 10 10 8 6 10 In 8 6 12 1.0 10 LI 10 ;0 F. 6 12 12 :G E ; 10 10 17 '. I 17 1 : 10 (. I ; 2 12 I.. ; i 16 16 i4 G 14 la 12 5 1 20 20 18 f`.' f Is IS Ib :U. 22 27 20 14 .. ZJ i'_ 12 26 24 21 14 1 74 ,4 20 14 28 218 24 1f I :'.6 25 22 1f ' 1 30 30 16 IL j ie ... 2-- 1 32 'V Li _ 20 1 iJ_ _6 _1 wood stove 4133 points'(no back up) casablanca fan + 1 point Multifamll (per unitpoints) Points I 1 { I Cam Only I I I 0 1 1 Beat Pomp I I Floor Area i 1 Solar with Electric I Net Solar Fraction (NSF), Z I per onAt, I I menti la Part 2 I 1 I 0 i 1 I Electric Resistance I I I O ly i t t -40 1 ft2. 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 2,1100 and up 0' +l +2 +4 +5 +6 +7 1 +9 All others (pe build ng points) _ eU0-899 0 +5 +10 +14 +19 T+24 +?9 +34 900-999 0 +4 +9 +13 +17 +21 +26 +ail 1,0Oo-•1,199 0 +4 .1.7 +11 +15 +-19 +22+26 1,20fr1.499 n +3 +6 +9 +12 +15 +18 +21 1,500-1,999 0 +2 +5 +7 +9 +1? +14 +Lo 2,000-:,919 0 +2 +3 +5 +7 +8 +30 +ll 3,000 nr.d tip -0 +1 +3 +.S +5 +7_ +S +In Table 3-21. Other Water Beating Pts. T I System Type I ( Points I 1 { I Cam Only I I I 0 1 1 Beat Pomp I I 0 I i i 1 Solar with Electric I ( Re7istance Backup 1 I I Meeting the Require- I I I menti la Part 2 I 1 I 0 i 1 I Electric Resistance I I I O ly i t t -40 1 _• -_ FORM RESIDENTIAL RESIDENTIAL ENERGY PLAN CHECK/INSPECTION SUMMARY Owner Climate Zone Permit No.. Floor Area 2'41 • Compliance path: Package ❑ A ❑ B [IC `❑r_Point System []Budget ® Other MIN R -VALUE DESCRIPTION REQ'D INSTALLED ITEMS (1) INSULATION: ® Roof/Ceiling A-36 (D Wall Jt -13 ❑ ( Ta-B)Floor Perimeter ❑. sed Floor ❑ (2) INFILTRATION: ❑ (A) A vapor barrier is required in climate zones, 1, 14 & 16. fl (B) All manufactured windows and sliding glass doors shall meet the 1972 ANSI Air Infiltration Standards and shall be certified and ❑ labeled. (C) All swinging doors and windows leading to unconditioned areas HC= R= shall be fully weatherstripped. MC= Tight - the above standard features plus: ❑. (D) Continuous infiltration barrier ❑ (E) Electrical outlet plate gasket ❑ (F) Air-to-air heat exchanger HC= (3) GLAZING: (A) Location Area Glazing %Floor Area Single Double Triple 8 ❑ Total Bldg Z:5'• J'r /0- 2 0 - Area North 42 S HC= R= East #O . q ® Location South /y �. 7 Q fl West /G'% S .3 Skylights ❑ (B) Shading - Area Ft. Shading R= Coefficient Description ❑ East ❑ South ❑ West ❑. HC= Skylights 'C7 (C) South Overhang Length of projection eft. Description ❑ (D) Moveable insulation: Area ftz Description (E) Thermal mass ❑ Type - Area Ft.2 HC= R= MC= Location ❑-' Type - Area Ft. HC= R= MC= Location ❑ Type - Area Ft.2 HC= R= MC= Location ❑ - Type - Area Ft. HC= R= MC= Location ❑ Type - Area Ft.2 HC= R= MC= Location ❑ Type - Area Ft. HC= R= MC= Location 7/83 e :FORMI (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. .[j 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 (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. a] 0 O 0 (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 1 05 of the UMC, 1976 Edition. 7/83 2 I (6) DOMESTIC WATER SYSTEM ® ,)' Gas Only (brand and model ❑ Heat Pump w/Electric Backuf Gallons 2 (tank size) ❑ * Active Solar FORK Gallons number) (tank size) (brand and model number) (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft 2 _(backup heater type, brand and model number) (collector area) (collector orientation) ❑ Location of Solar Panels ❑ Other (collector tilt) (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'fiv heater and outside condit minimum of R-3. Steam an insulated with a minimum return piping and recircu building envelope shall b T20 -1408(d). feet of pipe closest to the water ned.space shall be insulated with a steam conditioned space shall be R-3. Steam and steam condensation ting hot water piping outside the insulated in accordance with Q (D) FLOW RESTRICTORS shall beprovided-for showerheads and -faucets as outlined in the new appliance efficiency standards and shall be certified to the Energy Commission. (7) LIGHTING (A) Lamps used in luminaries f r general lighting in kitchens and bathrooms shall have an of icacy of not less than 25 lumens per watt (usually florescent). *1 Submit documentation of sizing heating and cooli g 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 °, elev el v tio£ factor �_ x heating loa J Il BTU Cooling: Summer design temperature °, cool (USE ONLY AS A SIZING GUIDE, COOLING MAY BE INADI *2 Submit T.I.P.S.E. chart or other approved system solar panels. ® DESIGN COMPLIANCE STATEMENT The above building Title -24, Part 2, Chapter 2-53 of the California 7/83 tion ?iC� U ' , heating load %% 6-4BTU = maximum outlet capacity gas furnace Lng load Z�BT'U QUATE) (form #5) to -document sizing of design meets the requirements of Administration Code. SIGNATUR$ OF BUILDING %SIGNER OR APPLICANT 3 ' Return to.DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT r lE n,ECCitf)ED {R OFFiCIAt.f FOR RESIDENTIAL DEVELOPMENT ;OFGUTicCGl;�trY,••�-fFG1;Nfr. 'Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. 86®18033 �'/'•'^"' X906 JUN -9 N 2: 18 The property described herein is adjacent to -land or included within an area zoned for agricultural purposes, and residents of th�EANOR K BCC0E property may be subject to inconveniences or discomfort arising froWLERK--RECORDER FEE the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, i" -•� 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 J 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: ncx1,(4? r C� C7 r3 t, �/ ilk aT CIO 1 r Date: I 'lG://� "% State of4� ) SS. County of ) P 0 RTY OWNER On this the `/ day of 19 r , before me, the undersigned Notary Public, personally appeared / Personally known to me. / /-'Proved to me on the basis of satisfactory evidence. to be the person(fl whose oame(24su cribed to the within instrument and acknowledged that is _ _ executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. - Nofary bbl .. - Present A.P. No. �� = OFFICIAL SEAL' WALTER M. BALFOUR P ,j 0 NOTARY PUBLIC - CALIFORNIA YUBA COUNTY S`.U, My Comm. E+cpiref April 11, 1989