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043-550-001
SHASTAN - /91Hampshire.,,,Dr,Lot21 H611ybrook;Chico Permit ��:; G.°iY-� -g,p�E�M(new sin a ,famil ) - - Contra�- Shastan P�ijt�p1011-85E(temp ele/618-85)SF 43-55-01 92-1976B. MCVICKER, Marilyn-& Don 1215 Hampshire, Chico co.ntr: Ely Roofing p reroof/sf f. �. . �, .� III !,iir``�:T-„".`�'�y"+?"'.`1"R.�r�."f'OiSfl+RIYi7J�''.�'7•�4i1tJti.:,�;`.ht�.Y,T. �i ,r�:�� - ,..,•, sn e .,..w r�rc .. ...,r.�,. ,�a,., �r ��,.N�-. ., • �.. 43=5`5-'01 92-1976B a MCVICKER, Marilyn & Don 125 Hampshire, Chico • ' contr Ely Roofing ' reroof /sf-l;-' �w ... - r kaueti L h , }� L�;l0L4 F -P. .,` ; .�.$.:.•!. r '=' ,s<{••p'-.h�---••.ren,•.,.-.�--°^`z'`�y :. .; V`�,y, �..i . ,�.'' _ . t .._ � t . , -� _ t COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, California 95965 - Telephone: 916/538-7541 APPLICATI0A1 AND PERMIT PERMIT NO. ESSOR PARCEL NUM Ba AP# 043550-001 iJft ZONING I BUILDING PERMIT - OWNER _ Llarilyn/Don McVicker _ TELEPHONE un&n , SQ.'FT. OCC. BUILDING VALUATION rats0- { `' 4 251x 3600 OWNER'S MAILING ADDRESS 266 .River 'tree Way Sacramento CA 95831 CONTRACTOR'S NAME Ely Hoofing Inc TELEPHONE 343-7663— CONTRACTOR'S MAILING ADDRESS P 0 Box 704 Chico CA 95927 Fireplace CONSTRUCTION LENDER UNKNOWN x Total Valuation LENDER'S MAILING ADDRESS k� Filing Fee „ $ 15.00 ' Permit Fee ARCHITECT OR ENGINEER ', LICENSE NO. r.. Plan Checking'Fee $ �Energy, Plan,Cgcking' Fee $. ARCHITECT OR ENGINEER'S MAILING ADDRESS �. Penalty $ BUILDING ADDRESS �•• 125 Hampshire -' Chico CA 95926 Permit fee $ e 'PLUMBING PERMIT Filing Fee 15.00 - '.-'.4f' .�'%4s' •�.+wM.�.ki'rd\,jy*.•.� .' Y`"^i*�'""t.irr'�t>w'�'>r'8..�?'M�";'•r'T'�� .,ach rip ,• `�,"...."-�•�.::;-, xra5'b0 "'*�.........;� ,T Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME r. PARCEL MAP L Water piping 7.00 Each qas water heater or vent 7.00 ' USE OF STRUCTURE 5 ' ' SF ® Duplex❑ Mobilehome❑; Other _ SPECIFY Gas piping system 1 - 5 outlets 5.001' Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New Addition [JJ Remodel❑ Utilities[] .Installation❑ Other[ Describe work: Overlay reroofiAg 20 yr comp _ 25 sqs Permit Fee $ Contractor - ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 18.50 200A OR LESS Main service 20GATO1000A1 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): © I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions. Col and my license Is In full force and effect. License,Jo. ou/slia Classification 0-.S9 ❑ 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 season ,�,,� ,.� - - , ins. - •.� DWELLING OCCUPM 3.64 sq.ft. NEW CONST.( ( ACC. BLDGS. // NEW CONSTR MULTI -OUTLET @ 5 00 NON•RESID BRANCH CIRC ITS POWER APPARATUS &) (SINGLE OUTLET CIR. Ex.Occup(OUTLETSOR FIXTURES 20 76 FIXED APPLNS. Ex. Occup. OUTLETS (RESID )REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Pe?mit Feea . -A _ .. �.. ,__$ 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 15.00 Heating Cooling Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. 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 against} said County in consequence of the granting of this permit. X �l �Q� C.tLI �G���C.eJ Date 1 June 1992 si nature•af Applicant - owner g pp ❑ 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 $ occ CONST TYPE ITOTAL FEES HAz I DFEES I IMP I FLOOD I CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte Country Code and/or resolutions to do work indicated above for which fees have been paid. ,/DIRECTOR OF PUBLIC WORKS By e'ZI, / . Dater /J PERMIT EXPIRES Date K _ /ca - !l'3' Receipt No. _ / 1T-�—� ( WHITE•O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT N0. 7 County Center DPIve • Cr®vllle, Callf®rnla 06066 - Telaphow 016,138-7641 APPLICATION -AND PERMIT - AP/ 0_43- S0- OWNER Maril n/.Don ilicVicker un�Cn BUILDING PERMIT derFT, 6CCr ®�JIL®INf� VALIJATI ;Z 2500/I 3600 OWNS 'S M I ING ADDRESS a=t;266��;Ri�erP=.,T;r � `�'��S "�s.t9583=1i' �-.;:.xL ee. 'Way >•, ., acrament`o, :CA• ,,;,,..�1 .,.: � ,�,;.,., G,�'Rrr+•�it::,'R �-a-� { CONTRAC OR S.NAME. ,'; f }j'1 I Vit' F w I•r�! t Y. Ely., Roof' n .IncA: A'�, .TELEPHONEtu -f-* '343=766`31 e >f ".ti r �rr;s I '�� ��.�1 ti` t'llil1. t'°r a '' •'.1 P gYi, . CONTRAGTORISMAI LING''.ADDR ESS; - ';- 1 -�:: a i,; kt : . a.. . P 0 Box'"704" Chico' CA 95927 ' 'Fireplace' CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ow ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 125 -Hampshire - Chico CA 95926 Permit fee $ 5m® PLUMBING PERMIT Filing Fee 15.00 Each Trap - 5.00 F Solar or heat pump water heater 20.00 LOT NO.; SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ® . Duplex❑ Mobilehome❑ Other • SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S FG JW I @ 15.00 TYPE OF WORK New ❑, Addition ❑ ' Remodel ❑ Utilities ❑ Installation❑ Other ® Descntie work: _ overlay reroofing 20 yr comp 25 : sqs Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 r Main service 200AORLESS1!7.T50 Main service 200ATO1000A1 3 CONTRACTORS LICENSE LAW I I declare under penalty of perjury (check one): ® I am licensed under provisions of Chapt. 9, Div. 3 of the Bushes$ and Professions Code and my license is in full force and effect. License No. 607386 Classification C-39 ❑ 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 OCCUR.& OR ADONS. ( ACC. BLDGS. 3.60sq.ft. NEW CON5TRES,., RANCHUTLET @ 5.00 NO .RES,., ESID BRANCH CIRC ITS POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 761 FIXED PR Ex. Occup. OUTLETS 1RESID IEA.1 I .3.00 Temporary service 15.00 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. © I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 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 a ainst said Counoy in cons ence of the granting of this permit. %� �Z/ Date 1 June 1992 5ignatur of Applicant — Owner ❑ Contractor ❑ Agent O 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 S Energy Inspection Fee $ occ CONST TYPE TOTAL FEES 'S 0 I HAz I DFEES I IMP FLOOD I CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte Coon Code and/or resolutions to do Y work indicated abo or which fees have been paid. IR R OF PUBLIC. WORKS By Date��0 PE IBES Date Receipt No. I / -7! 4r�� WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT v A & Q ENGINEERING Civil Engineers 1280 E. 9th Street Chico, CA. 95926 893-0631 Shastan, Inc. P.O. Box 4143 Chico, CA 95927 Re: Hollybrook, Phases 1 through 5 Gentlemen: I hereby certify that pads are graded and complete and that the resulting elevations are in general conformance with the plans accepted and approved by FHA. I hereby certify that soils beneath the building slabs were properly.prepared and compacted to accepted standards, achieving a minimum of 90% relative compaction. 1. Please call me if you have any questions. Ver truly yours, ., Mark E. Risso R.C.E. 24016 A & Q ENGINEERING �s ., 0181 714. R on k �v rn► � i Malerials x File No. 85240 cauub uuu :nspecllon 23 April,• 1985 -rune -erli icallon A&Q Engineering iu50 1280 East 9th Street :'.ohasset Road Chico, CA 95928 Chico. CA °!,026 ._ Subject: Hollybrook Compaction Testing Attn: Mr. Mark Risso Gentlemen: Listed below are the results 6f our compaction testing performed at the Hollybrook subdivision from 10 April to 22 April, 1985. PHASE 1 Lot# Location % Relative Compaction Outside Footings #1 N.E. Corn. 88 Outside Footings #3 East Wall 91 Outside Footings #5 West Wall 89 PHASE 2 Lot# Location % Relative Compaction Outside Footings #13 N.W. Corn. 87 Outisde Footings #15 S.W. Corn. 88 Outside Footings #18 S.E. Corn. 88 PHASE 3 Lot# Location % Relative Compaction #21 Cent., Pad 89 #22 Cent. Pad 90 #23 Cent. Pad 90 #24 Cent. Pad 91 #25 Cent. Pad 89 #26 Cent. Pad 89 #27 Cent. Pad 93 #28 Cent. Pad 90 #29 Cent. Pad 90 #30 Cent. Pad 91 #31 Not Tested #32 Cent. Pad 91 #33 Cent. Pad 91 #34 Cent. Pad 89 #35 Cent. Pad 90 #36 Cent. Pad 89 l t !10 801 6025 • PHASE 4 Lo t# Location % Relative Compaction #38 Cent. Pad 98 #41 Cent..Pad 91 #43 Cent. Pad 96 #46 Cent. Pad 90' #47 Cent. Pad 94 PHASE 5 Lot# Location % Relative Compaction #51 Cent. Pad 91 #56 Cent. Pad 96 #58 Cent. Pad 95 #63 Cent. Pad 94 #64 Cent. Pad 91 #65 Cent. Pad 98 #67 Cent. Pad 93 Locations described above as Cent. Pad refer to areas generally near the central building pad. These test locations were considered to be representative of the entire building pad. Should you have any questions regarding our test results, please contact our office. Very truly yours. APPLIED TESTING CONSULTANTS, INC. o n G. Sears, PE PERMIT NO. 618-85B,P,E.M PERMIT EXPIRES - OWNER SHASTAN CONTR. Shastan 125 ASSESSOR PARCEL 32xWV2 & 43-29-22 LOCATION /2 -,;'Hampshire Dr,jot 21, Hollybrook Chico OFFICE COPYv Address GAS Meter By Dat .3D ELECTRIC Meter By Date Signature ti U Temp. Power Pole Called PG&E Temp. Elec. Servi Called PG&E Temp. Gas Service Called PG&E JOB FINALED (D Signature ti U Owner • �i�� ST/�7U co, _ Permit No. 6t?_?5 ENERGY CERTIF ICAT IONN 21-F, Hollybrook Sub Division -.;� 1 « S LOCATION A.P. No.� DESCRIPTION OF INSULATIONy,Ch ROOF Material Thickness(inches) EXTERIOR WALL Material Fiberglass Batts Thickness(inches.) 3 5/8" CEILING Brand Name Thermal Resistance (R Value) Brand Name Owens-Corning Thermal Resistance(R Value) R13 Batt or Blanket TypeFibe_rglass Batts Brand Name Owens-Corning Thickness(inches) 91v Thermal Resistance(R Value) R30 Loose Fill Type Fiberglass Brand Name Owens-Corning Minimum Thickness(Inches) 14" Number of Bags 21 Wt. per bag 35 lb. Area covered(ft.2) 1,037 Thermal Resistance(R Value) R30 FLOOR, ELEVATED Material Thickness(inches) FLOOR, SLAB Material Thickness(inches) Width(inches) FOUNDATION WALL Brand Name, Thermal Brand Name Thermal Resistance(R Value) Resistance(R Value) Material Brand Name Thickness(inches) 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. LOERKE INSULATION CO. #432518 FIRM NAME/OWNER STATE CONTRACTOR'S LICENSE NO. &/y August 13, 1985 SIGkATURE OF INSTALLATION APPLICATOR DATE I hereby certify the above insulation and all required items as shown on the Building Department approved plans and attachments have been installed as required by the State of California Energy Requirements. All equipment, devices and materials are of the quality prescribed or are specifically approved by the State of California. -r N ('0 /2:5- IV A"t-15-7- FIRM NAME/OWNER ( leaq# print) STATE CONTRACTOR'S LICENSE NO. SI OF (3NERAL CONTRACTOR OWNER 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 � r , r COUNTY OF BUTTE k� 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 U PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector i�o� Date r n. r 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 (019-95 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 mat r, or need additional explanation, please contact this office immediately. (f,V Y 41, r -vim _7tP_ " - tl,), R L Inspector Date—t/7 Date I V =.-OK 0 =-got OK Noca',le NoiReady RESIDENTIAL (Single and Duplex) � = 4 ' Date UNDERFLOOR Plans OK except #'s Date FRAMING Continued Zoning requirements -Setbacks- asements ,Property Line Firewall & Openings Ftg., Main; Soils-Steel=Ele - / /" Ftg. Depth Ext. Doors -One 3' -Check Garage -3rd story, 2 exits tg., Garage; Soils -Steel- / /" Ftg. Depth i th-Headroom-Rise-Run-Landing-Fire Protection �0. _ tg., Porches & Decks; Soils -Steel- / /" FtgDeptbf M.4PIywood on Roof Overhang -Attic Vents -Rafter Outriggers 5 temwalls, Main; Steel-Blockouts-Wrapped-S Siding -Nailing -Veneer Stemwalls, Garage; Steel-Blockouts-Wrapped- 33. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access I7`i4ers-Fireplace Ftg.-Steel Glazing Area -Glass Protection -Skylights -Plastic W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test Shear Walls• ling -Bolts 9. Gas Pipj; Size -Anchors i 0. Wat6rlTiipe -Anchors-Regulator-Seryice Test 11. Electric; Underground ' 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date a Card -BI Date Card -BI Date ( Card -BI Date Card -BI Date t I Card -BI Date Card -BI nl DatgjLS Card -BI Date Date FIN (Plans) OK except #'s Card -BI Date Card -BI Date Date PL BING (Permit) OK except #'s Fl�t Steps -Door & Sidelight Protection -Landings MWO'§,poke Detector AjjLMater Ht.; Ve -Access-Combustion Air Furnace; Vents -Clearance -Comb. Air-Connector- I Garage; Above Floor-Ducts-Mech. Protection ater Pipe' est Anchors -Nail Protection D.W.V.; Test-Fttngs & Anchors -Nail Protection bedroom Exiting er "; Test, First Floor -Tub Access t' G.F.I. & Bath Fixtures & Tub Access OROLest Tub & Shower, 2nd Floor -Tub Access lec. Trim & Subpanel; Breaker Sizes -Labels 14f Gas Pipe; Size & Anchors V—Stairs & Rails R@!Fireplace or Stove; Clearances -Hearth X44- Slec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date Ulii • Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date Elec. Outlets & Receptacles at Kit. Counter -@r.i arage Fire Door; Swing -Landing -Closer Date E CTRICAL Permit OK except #'s .C. Duct in Garage -Damper LK.Aixture & Transformer Clearance -Ins. Protection Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection Elec. Receptacles Spacing -Lights &Switches at Doors Boxes & No. of Conductors -Stapled Ib., Elec. &Mech. Equip. Listed for Location o Romex Installed Close to Edge of Studs & C.J. lec. Receptacles in Garage; (G.F.I.)-Romex Protec. 24 Equip. Ground made up w./Mech. Fasteners -Bond Gas & Water Pr Insulation -Foam -Looked in Attic ❑Yes 2 Appliance Circuits in Kitchen & Conductor Size Guard Rails & Deck Construction -Post Caps / a. Cu or AI-A.C. Wire Size or Al. //v/ ga. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance 9 Looked under Floor El Yes Pange Circ. /(o/ ga. or AI -Oven Circ. / / ga. Cu or At, �{nsulated Neutral es El No 75. Following instld.: Drive es E) No; E]No; Walks �es No; Planters El Yes L46 /Service -Riser Conductors & Ground -Main Disconnect tucco; Brown -Finish 2W Equip. Clearances; Panels-Motors-Mech. Equip.A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet @B•-frleikacCloset Light -Shower Light Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. .P9—Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date '!WCard-BI Date entilation throughout House Card B -I Date I Card -BI Date . Glass Protection Date M HANICAL (Permit) OK except #'s rections from Previous Inspections 5 g Test -Meters Tagged; Gas -Electric 8�WMer & Sewer Connected -C/O to Grade -HD Approval A.C. Ducts; Insulation & Support Vent Fan; Exhaust above Insulation Energy Compliance Certificate -Other Certificates Condensate Drain & Overflow; Size & Grade Furnace -Vent; Acces omb. Air -Return Air Vent -115V outlet Attic Access & l!! or if Furnace in Attic i Card -BI 71 Lj DatJ 1.5 Card -BI Date Card -BI Date 1 Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FR ING Plans OK except #'s . Sills; Proper Material & Anchors _ S— alls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing . Draft Stop in Walls (rat proof) ire Stops; Furred Ceilin - airs -Chases -Tub Header & Beam -Size B g Hangers -Post Caps-Anc ors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac. T ss Shthng.-Rfnq_._ ireplace Ties or Type A Flue -Fireplace Throat 4 ttic Access; Size & Romex Protection-Draft.Stop(insLaaffLib Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing (NOTE:'Anentrymust be made each time youvisit jobsite) J OKE 0 = Not OK - = Not Applicable MOBILEHOMES MISCELLANEOUS * = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except #'s Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements-Setbacks-Easements 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.-Con nec.-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./ /"LPGJ 6. Carports; Windows-Doors 7. Utility Clearance 1 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except N's Date POOLS (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 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/O to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater B. Gas and Electricity Tagged 8. Elec.; Grounding; Equip.w/5'-Circulaiing Equip. -Pool Lghtg. 9. Exits; Insp.-Sketch Boxes -Enc losures-Pane [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-1 Date Card -BI Date Card -BI Date Card -BI Date ICOUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO., 7 County Center Drive - Oroville, CaliforQia 95965 - Telephone 916/534-4541 / APPLICATION,#ND PERMIT A SESSOR PARCEL NUMBER �� ,� � Z IN BUILDING PERMIT O NER T LEPHONE 1,02 7 ,SQ. FT. OCC.1 BUILDING VALUATION OWN M I NG ADDRESS CONTRACTOR'SNAME TELEPHONE L „ V Q O CONTRACTOR' AILING ADDRESS A d G ox Fireplace + I p CONSTRUCTION LENDER UNKNOWN Total Valuation $ D Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ fJ ARCHITECT OR ENGINEER LICENSE NO. ARCHIT CT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee �� fi �y/�S" $• Q tY $ Permit fee $ v BUILDING ADDRESS s PLUMBING PERMIT Filing Fee 10.00 r Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 U LOT NO. SUBDIVISION AMEPARCEL d MAP Each qas water heater or ver>,�Jp�- 5.00 V O Gas piping system 1 - 5 outlets 5.00 , v v ,� ,/� USE OF STRUCTURE SF LTJ Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 r0 V Mobile Home S G W 0.00 e TYPE OF WORK New [Er Addition ❑ Remodel Utilities ❑ Installation❑ Other ❑ Describe work: Permit Fee $ 0 0 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 10.00 //�� 100 AMP OR LESS (J, U 0 %f Y� Main Service EA. ADD'L 100 AMP 2.50 i�f0 NEW CONST. DWELLIN & OR ADDNS. ( ACC. BL 2�2OSgft i\ 6 CONTRACTORS LICENSE LAW I declare u der penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. 38'17KClassification J5 ❑ 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 CONSTR. MULTI - OU LET 2.50 ea NON-RESID BRANCH CIRC ITS NEW CONSTR. (POWER APPARATUS &� NON-RESID. SINGLE OUTLET CIR. 20®500 Ex. Occup(OUTLETS OR FIXTURES aALe30 FIXED EX. Occup. OUTLETS PAPLNS.(RESID )REAJ 2.00 Temporary service A40AIE 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 + Permit Fee $ o Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. 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 shal I be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Ivy b"r oftiu x/Cb V41i" oiling-2,,,-1dv Hood 3.00 166 Ventilation Permit Fee $ ,Z-,5 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, �ree to sa e, i mnify and keep harmless the County of Butte against all li ilities` ju gme , co , and expenses which may in any way accrue again t aid u 'y i ons nce of the granting of this permit. X 3-7-8'L5 Date Signature of Ap Icant — Owner F1 Contractor ❑ Agent [ An OSHA perm' is requ red for excavations over 5'0" deep and demolition or construct- ion of structure over 3 stories in height. Mobile Home Installation Fee $ " ,� Q TOTA PER IT FEE $ OCCUP ROUP TYPE OF CONST. PARCEL D ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC BY '� P IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date •3— 7-7-- ��jV 7 117 II Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT -1 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. - 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 �3 9- S APPLICATION AND PERMIT A SESSOR PARCEL N MBER _D ZONING BUILDING PERMIT O WNEA as tan, TELEPHONE SQ.(FFT. OCC, BUILDING VALUATION ` 6_7/ OW R'S MAILING ADDRESS tO •1A 41 I 3 l W -V) Cnu CONT�AA O ' NAME TELEPHONE CONTRACTOR'S MAILING ADDRE=SS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $J BUILDIN�i ADDRESS IC, ,jl/]r PLUMBING PERMIT Filing Fee 10.00 Each Trap 5T 2.00 76w Solar Water Heater 20.00 Water piping 5.00 LOT NO. p� SUBDI ISION NA E � PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New ❑ Addition % Remodel Utilities[:] Installation❑ Other ❑ Describe work: /an F(1-4) AaSIar /-Do 7-? Q `� IC Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 10ov OR 100 AMP OOR R LESS 10.00 qq�� OtVO Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLIN & OR ADDNS. I ACC. BLD 1 I�l'f1 2h2sq ft CONTRACTORS LICENSE LAW I depl�'e under penalty of perjury (Check one): ,K I I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions ode and m license is in full orce and effect. y 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 CONSTR ULTI-O TLET 2.50 ea NON-RESID BRANCH CIRC ITS. NEW CONSTFL / POWER APPARATUS &) NON-RESID. (SINGLE OUTLET CIR. / 20050t Ex. ccup OR FIXTURES BAL030 BAL030 FIXED A FIXED APPLNS, OR 1 EX. OCCUp. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIirig Fee 10.00 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 shal I be deemed revoked. Heating qQ AA 9,00 Cooling _ b, Hood 3.00 Ventilation 2..(� 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree ko save, indemnify and keep harmless the County Bu a against all liabilitie judgment , costs and expenses which may in any ay accrue against said unty in nse ue ce of the granting of this per it. %� Date �� Signature of Applicant — Owner❑ Contractor ❑ Agen4.� An OSHA permit is required for excavations over 5'0" deep and dVemol_ition or construct- ion of structures over 3 2lieslip height. Mobile Home Installation Fee $ TOTAL PEROIFEE $ OCCUP. GROUP TYPE OF CONST. PARCEL PD No'[19SUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. WHITE-D.P.W., YELL W -ASSES R. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER Z � ZON G ' BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNE MAIL ADDRESS CO TR R'S NA E TELEPHONE CONTRA O 'S AILING ADDRESS 3 C!`7/ Fireplace CONSTRLICTION L NDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHVe T OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS /�// A PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S I G I W 10-00e TYPE OF WORK New Addition Remodel❑ Utilities❑ Instal ltion❑ Other Describe work: f�u� /�Gr"?4 's Pe mit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLOGS. 2/20sgft CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code an my license is in full force and effect. License No. 35'R7�f 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 NON -RES,., BRANCH CIRCUITS 2.50 ea NEw CONSTR POWER APPARATUS &) NON.RESID, SINGLE OUTLET CIR. Ex. Occu 20e50a P�OUTLETS OR FIXTURES eALe90 FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA.) 1 2.00 Temporary service 10.00 p Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Z22 OD Contractor MECHANICAL PERMIT Filing Fee 10.00 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. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to ente upon the abov -mentioned property for inspection purposes. I also agre o /ae i de ni y End ep harmless the County of Butte against all liab19 ' t sts, expenses which may in any way accrue against I Coseque of the granting of this permit. pi X !f �� O J~ Date t — ner❑ Contractor ❑ AgentZ Signature of Applifenired An OSHA permit r excavations over 5'0" deep and demolition or construct- ion of structures over tories i I height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP TYPE OF CONST. PARCEL PD HD IesuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which D E OR OF PUBLIC By PERMIT EVJ2ESate the applicable provi- resolutions to do fees have been paid. WORKS Date������ Receipt No. ��7 WHITE-D.P.W., YELLOW-ASSeSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 14OT COMPARED WITH , OPJC4NAL DOCUMMI DEFIGtpL tBEC Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT 35irTE CDU'4T'y"`;"xx FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement Me 7 41"1" 1 be recorded prior to issuance of a building permit. EL' j' =' �'�'t CLLgK - neo;;SER The property described herein is adjacent to'land or included 8'� 6� 25 EE within an area zoned.for agricultural purposes, and residents of this property 'nay be subject to inconveniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilisers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Being a portion of roi-13, of the Second Subdivision of the John Bidwell Rancho, according to the Official Map thereof filed in the Office of the Recorder of the County of Butte, State of California,.September 17, 1900 in Map Book 5, at page 27; and being a portion of lots 3, 4 and 5 of the MoCulley Block formerly Lot 12 of the Section Subdivision of the John Bidwell Rancho, filed for record May 5, 1903 in the Office of the Recorder of said County of Butte, State of California in Book 4 of Maps, at page 23, more particularly described as follows: Parcel 3, as shown on that certain Parcel Map recorded in the Office of the Recorder of the County of Butte, State of California on May 181, 1983, in Book 92 of Parcel Maps, at page 70.. Date: February 15, 1984 State of County of m N S iN s Present L On this the PROPERTY OWNERS: SHASTAN COMPANY, INC., A CALIFORNIA CORPORATIOT \;2-,t_S _J_ -&i- Zw_�Z S/-TFa_I6drt, President 15th day of February 19 84-, before I STATE OF CALIFORNIA COUNTY OF Butte Iss. _- on February 15, 1984 before me, the undersigned, a Notary Public in and for. said State, personally appeared `jay S. Halbert - —._and personally known to me W9QPQP9QQQPM bas is / encs. to be the persord who executed the within instrument as encet0 the President and --M=------- Secretary, on behalf of ibed Shastan CoIIpany, Inc. the corporation therein named, and acknowledged to me that ....... _—...... al seal . such corporation executed the within Instrument pursuant to its O FF I C I A L S E A L by-laws or a resolution of its board of directors. SHARON R. HOWELL 3{ �� NOTARY iutUC — CALFORNIA WITNESS my hand and official seal. COu1RY OF /uTT! Comm. Esp. APPY 12, 1985 Signature mm�uann�m 1 Sharon R. Howell ?, wauf , X52 q., 9 9 2'Z'00' 1 fl -AN 6A9, w/ Al.% RAF .. O i r rt_AN H M Ll =�P _ See Master Plan eon file for bt Plans. _ 21,00 . rLAN o 3-D GAKI f � ' f rLA N F - --� -� KEV, . o O SS.ofe� A setback of &&. from the property lines and a setback of 50ft. from the road centerline shall be clear of _ structures or equipment except for a 2 ft. eave overhang. 96- l 3 W PW _ cry. r IO -Z Uj StDF-WV.LK (�n N V V / O N %I O. 72 i set o planor d eefications 2 3 w p on the job at all times and it is` unI Iterations �" Q L Ok' a any changes or c on same written permission from the Department © r� Works, County of Bu e. i . J i • of � ..`` %I 1/83 FORM I i RESIDENTIAL ENERGY PLAN CHECK/INSPECTION SUMMARY ,Owner - Af-.) N Climate Zone Permit No. G ' laor Area /o g-7 :�pliance path: Package.❑ A ❑ B ❑ C R Point System ❑ Budget ❑ Other MIN R-VALUE DESCRIPTION REQ'D INSTALLED ITEMS (1) INSULATION: - ® Roof/Ceiling /Z ® Wall 2-/3 ❑ Slab Floor Perimeter ❑ Raised Floor (2) INFILTRATION: ❑ (A) A vapor barrier is required in climate zones, 1, 14 & 16. ®. (B) All manufactured windows and sliding glass doors shall meet the 1972 ANSI Air Infiltration Standards and shall be certified and labeled. (C) All swinging doors and windows leading to unconditioned areas shall-be fully weatherstripped. Tight - the above standard features plus.,' ❑ (D) Continuous infiltration barrier ® (E) Electrical outlet plate gasket WILDING DEPARTMENT ❑ (F) Air-to-air heat exchanger (3) GLAZING: O APPROVER (A) Location ..a Area Glazing y.Floor Area -Single Double Triple ® Total Bldg lftes /amm North El East 42.5 4, /a - South aAm ® West zc�, o 3 _�► ❑ Skylights (B) Shading Shading Coefficient Description ® East DUAL ® South ® West C,58 K 0r �GkIC cui_ .,JJ "40) J ' ❑ Skylights -- ® (C) South Overhang Length of projection ft. Description ❑ (D) Moveable insulation: Area ft2 Description (E) Thermal mass 000 Type S&A& -Area%f. Ft . 2 HC= R= , Z7 MC= 2.,3 Location 5P-6 FAe,%) y ❑ Type - Area Ft. HC= R= MC= Location ❑ Type - Area Ft. HC= R= MC= Location ' ❑ Type - Area Ft.2 HC= R= MC= Location- } ❑ Type - Area Ft.2 HC= Rs MC= Location ❑ Type - Area Ft:7 HC= R= MC= Location 1/83 :. FORM ❑ . .(4) MASONRY AND FACTORY-BUILT FIREPLACES "shall be equipped with tight _ _ f tting closeable metal or glass doors covering the entire opening of the ire ox; a.com uslon 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. XF- T0STto" `"�`° '� t4a-v 2� •- *1(5) HEATING. VENTILATING; AIR CONDITIONING SYSTEM (A) Heating % Central Gas Furnace (brand and model number) SE Vec`_, ft-iore Btu/hr TAS (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 P-)1/J. g . D �. (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 T140-STAGE THERMOSTAT, which controls the supplementary heat on its second stage, shall be required for heat pumps. ® (D) AN AUTOMATIC SETBACK shall be-provided for all thermostats, except those controlling heat pumps. ` (E) AN INTERMITTENT IGNITION DEVICE shall be provided for all gas-fired fan type central furnaces, gas-fired fan type.wall furnaces and gas cooking appliances. (F) BACKDRAFT DAMPERS shall be provided for all fan systems exhausting air to the outside. ' ® (G) DUCT CONSTRUCTION & INSULATION. All, transverse duct,'plenum, and fitting joints shall be sealed with pressure sensitive tape or mastic to prevent air loss and shall be insulated to conform to the provisions of Section 1005 of the UMC, 1976 Edition. 7/83 2 FUKt'n 1 (6) DOMESTIC WATER SYSTEM ® (A) Gas Only WUK �ow,�t 3b- Gallons i (brand and model number) (tank size) 13 Heat Pump w/Electric Backup (brand and model number) j Gallons- j (tank size) �- *2 Active Solar (collector brand and model number) (ratedy-intercept) (rated slope) (solar fraction) ft (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) Location of Solar Panels 0- Other (Describe) ® (B) TANK INSULATION. Storage .type water heaters and storage and backup tanks for solar systems shall be externally wrapped with R-12 insulation or greater. ® (C). -PIPE INSUTATION. The five Yert 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 :�ormD#4 or other approved methods, section 2-5352(8), and fill out the follow Heating : Winter design temperature ° , 'elevation . 2 �5 , heating .load OL BTU, elevation factor /,D x heating load maximum outlet capacity gas urnace 10 6 BTU . /p %, 00 Cooling: Summer design temperature l °, cooling load , BTU *2 Submit T.I.P.S.E. chart or other approved system (form #5) to document sizing of solar panels. USE ONLY:AS SIZING GUIDE, COOLING .MAY BE INADEQUATE j 10 DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the Califor a Admini ation Code. 7/83 SIGNATU ,BUI LNG D IGNER OR PLICANT 3 5oL*c1-i3c1n GlatlnPta T I I Clating Type I i • Total I I I T of I Sngl, I Dbl, I Trpl, I Floor I (U - 1 (u - I (1; - I I Area . 11.10) 10.65) 1 0.401 I I oints I oints I olntsl c 1 +3 1 +y 1 +3 1 up to 1.5 1 +2 1 +2_ I +2 1 l I 3.7-a 4 2 I -4 I I -2 I I 5.3- 6.5 1 -s 1 -4 ' I -3 I 1 6.6- 7.7 1 -9 1 -6 1 -5 1 I 7.8- 8.9 1 -11 I -8. 1 -7 I I 9.0-10.0 1. -13 I -10 .I -9 I 110.1-11.5 I -l7 I -13 I -11 I 111.6-13.0 I -21 I =16 I -14 I 113.1-14.5 I -25 I -19 I -16 I 114.6-16.0 I -23 I -22 I -19 I I I I I I Table 3-8. West -Facing Clatin Pts. I I Clating Type 1 I Total I 1 I T of I SAS1. I Obl, rT[pl, I Floor I (V - I (V - I (U -I f Area 1 1.10) 10.65) 10.41)1 looints looints lootntsl i 0 1 +i I +6 1 +6 1 up to +5 I 1 +6 i +J 2.3- a 1 0 1 : I +3 I 2.9- 3.6 I -3 I 0 1 +l' I 1.7- 4.2 I -5 1 -2 1 0 1 4.3- 3.0 I -6 I -4I -2 I 5.1- 5.6 I -10 I -6 I -4 5.7- 6.2 1 -13 I -8 I -6 I 60- 6.9 1 -15 I -10 I -1 I 7.0- 7.6 1 -18 1 -12 I -9 i 7.1- 8.2 I -20 .I -1411 I 8.3- 3.8 i -22 I -16 1 -l3 I 8.9- 9.5 I -25 I -18 1 -15 1 9.6-10.1 ( -27 1 -20 I -16 I 10.2-11.0 1 -29 I -23 I -17' 1 11.1-11.8 1 -33 I =26 I -21 1 11.9-12.7 1 -33 I -29 1 -24' I 12.8-13.5 I -42 •I -32 I -27 I 13.6-14.3 I -46 I -35 I -29 I 14.4-15.2 I -50 I -33 I -32 I I Clating Type Tocol I • T osntl, I Dbl. I Trpl, Floot I U- 1 U- 1 U- Ataa 10.66- 10.42- I 0.41 1 1.10 1 0.65 1 dove Inn -J3 a- I R -Value oa insulation I I R -Value oa1,�ointt I I tint• ZONE 11 1 I Z Floor Area I �H/7� ` GO OWNER , POINTS I Insulation Points PERMIT N0. -" ASSIGNED ACTUAL 14-T I up to 1.3 I -I I 0 O to 16.4 6.3 up I R -Valu• of Insulation I Points I 1. SLAB - INSULATION NONE +3 +4 +4 1.4- 2.2 2. RAISED FLOOR - R-19. -tinc*.; !U A $-4 t 1 I 19 I -4' I I It.4- 2.4 +1 +2 I +: 1 22 i -2 1 3. CEILING - R-30.. -3 i 0 1 I 30 I 0 I' 4. � WALL - R-19 �2 / � -' - � 10' �s I 38 I +2 I ' 49 I +4 I 5. NORTH GLAZING - 2.4-3.6% 1 6 8 1 -5 -6 0- 11 1 -5 1 -5 -3 -S S- 7 6. EAST GLAZING - 2.5-3.6% 411 -3 4.3- 5.0 1 7. SOUTH GLAZING - 1.6-3.6% 2 C) -0 Table 3-4a. Nall Insulation Points S. WEST 'Cl AZI..G - 2.9-3.6% I � � --4 -41 i R -Value of Insulation i Points 9. SKYLICIIT - 0-1.37. 1 •-10 16 - 19 1 -5 1 -2 -1 0 ( 11 I -7 , I .0. .SHADING (Exclude Overhang) -13 -8. 7 I '19 I 0 I -19 -1 -12 + I1-5 1 -1 10 I +1 I I 24 I +2• I EAST - 4&1 .67-.82 -IS 0 • i 30 i +3 21 SOUTH - .19-.42 , (oCo O 1 0 1 0 1 WEST - .13-.36 -17 0 w�p Table 3-3. North -Facto Clatin Pt -24 .SKYLIGHT - .37-.57 -15 -IS .8) up 1 I -2 1 I C1a:1n8 Type :1. HORIZONTAL SOUTH OVERHANG 2' -15 -13 ~ 3 I Total I I Sngl, Dbl, Trp 1, 12. MOVABLE INSULATI011 - NONE 1 11.3-12.7 1 N /; -18 I Floor I As 44 I u- I 0.66 I U- I 0.42- I U- I I I 1 -19 me -010m -I p �L.lc, PttlT 4c`.� 0 1 0 1 1 I 1.10 I 0.65 d0.41 own I down l L3. INFILTRATION (SOanaard-9r(i#ghl++ii'? �,/Lr«>� 1 -21 -1 I -3 1 -6 1 ++4 a+4 1 14.1-15.3 ,4. AI 7.� THERMAL MASS SF 1 -20 1 f I 0.1- 1.2 I 1.3- 2.3 I I +1 i I +2 I 4 I +2 I :5. CAS FURNACE (SE) 76% ;3.)- -6 `�"- -4 I`_ 0 I rJ I +l I -1 I fi. 7.5-7.9% '`i-}- I 1 -7 I i -3 I EAT PUMP (EER) I 7.3 I -9 . ( I -5 I 1 7.4- 8.2 1 -12 I -8 I -7 1 7. DUAL PACK (SE. SEER) 8.0-8.3/71-76% N � I 8.3- 9.7 I -14 I -10 I -8 i .9. ACTIVE SOLAR 60% )IIN WOKE) I 9.8-10.8 I -17 I 10.9-12.0 I -19 I -12 I -10 1 -14 .I -12 I CONTROLLED W /A 112.1-13.2 I -22 I -16 I -13 I .9. ZONALLY ELECTRIC 113.3-14.5 I -24 I X13 ( -15 I 114.6-15.7 1 -27. I -20 I =l7 I :0. SOLAR WITH CAS BACKUP (HW) tj I I I I :1. OTHER - NO ELECTRIC (Ilii) N1,b, T _ 11 Table J-6. East-Fnctn Clatin Pts. IT10 SHO1dN - ZERO POINTS f'Z ©t I I ' Clasln Type y - --) Total 1' I I ofI Sntl. Dbl, Trpl, Able 3-1. Slab Floor Points Table 3-2. Raised floor Pointa I Floor I (U - ( (U - I (U - I TI Ar as 11.10) 10.65).1 0.41)1 5oL*c1-i3c1n GlatlnPta T I I Clating Type I i • Total I I I T of I Sngl, I Dbl, I Trpl, I Floor I (U - 1 (u - I (1; - I I Area . 11.10) 10.65) 1 0.401 I I oints I oints I olntsl c 1 +3 1 +y 1 +3 1 up to 1.5 1 +2 1 +2_ I +2 1 l I 3.7-a 4 2 I -4 I I -2 I I 5.3- 6.5 1 -s 1 -4 ' I -3 I 1 6.6- 7.7 1 -9 1 -6 1 -5 1 I 7.8- 8.9 1 -11 I -8. 1 -7 I I 9.0-10.0 1. -13 I -10 .I -9 I 110.1-11.5 I -l7 I -13 I -11 I 111.6-13.0 I -21 I =16 I -14 I 113.1-14.5 I -25 I -19 I -16 I 114.6-16.0 I -23 I -22 I -19 I I I I I I Table 3-8. West -Facing Clatin Pts. I I Clating Type 1 I Total I 1 I T of I SAS1. I Obl, rT[pl, I Floor I (V - I (V - I (U -I f Area 1 1.10) 10.65) 10.41)1 looints looints lootntsl i 0 1 +i I +6 1 +6 1 up to +5 I 1 +6 i +J 2.3- a 1 0 1 : I +3 I 2.9- 3.6 I -3 I 0 1 +l' I 1.7- 4.2 I -5 1 -2 1 0 1 4.3- 3.0 I -6 I -4I -2 I 5.1- 5.6 I -10 I -6 I -4 5.7- 6.2 1 -13 I -8 I -6 I 60- 6.9 1 -15 I -10 I -1 I 7.0- 7.6 1 -18 1 -12 I -9 i 7.1- 8.2 I -20 .I -1411 I 8.3- 3.8 i -22 I -16 1 -l3 I 8.9- 9.5 I -25 I -18 1 -15 1 9.6-10.1 ( -27 1 -20 I -16 I 10.2-11.0 1 -29 I -23 I -17' 1 11.1-11.8 1 -33 I =26 I -21 1 11.9-12.7 1 -33 I -29 1 -24' I 12.8-13.5 I -42 •I -32 I -27 I 13.6-14.3 I -46 I -35 I -29 I 14.4-15.2 I -50 I -33 I -32 I I Clating Type Tocol I • T osntl, I Dbl. I Trpl, Floot I U- 1 U- 1 U- Ataa 10.66- 10.42- I 0.41 1 1.10 1 0.65 1 dove Inn -J3 a- I R -Value oa insulation I I R -Value oa1,�ointt I I tint• I olntsl 1 I Z Floor Area I ttw•t I i I Insulation I Points I o I •+ .+� 14-T I up to 1.3 I -I I 0 O to 16.4 6.3 up I I 0 -.19 up to 1.1 +3 +4 +4 1.4- 2.2 -3 I -2 -tinc*.; 0-2 $-4 t 1 I 01 I It.4- 2.4 +1 +2 I +: :.]- 2.e -6 I -4 -3 i 0 1 I below ] 42 1 2.5- 3.6 1 4 -2 --5 ' 1 0 I • 1 0 1 1 2.9- 3.6 1 3.7- 4.2 1 -9 -1 1 1 6 8 1 -5 -6 0- 11 1 -5 1 -5 -3 -S S- 7 -6 6.] 1 7.9 -8 -3 4.3- 5.0 1 14 0 ..I+ -8 12 - 13 1 -5 1 -3 -2 -1 8 - 12 -4' S.7-'6.7 -10 -6. -5 5.1= 5.6' -16 1 1 •-10 16 - 19 1 -5 1 -2 -1 0 13 - 18 v2 6.8- 7.7 -13 -8. 7 5.7- 6.2 -19 -1 -12 + I1-5 1 -1 10 I +1 I 1.36.) 7.8- 8.7 -IS -10 -8 6.3- 6.9 21 -120 6 I -13 0 0 1 0 1 0 1 8.8- 9.7 -17 -12 -10 7.0- 7.6 -24 -13 -15 -IS .8) up 1 I -2 1 I -4 1 -8 I I 9.8-11.2 •79 -15 -13 7.7- 8.2 -26 0 1 -17 to I to I to i to I is 1 11.3-12.7 1 t.s 13.1I -18 1 -15 I I 8.3- 8.8 1 -28 1 -22 1 -19 T/ 8 3 1 0 1 0 1 0 1 112.8-14.0 0 721 I -18 1 I 8.9- 9.5 I,-31 .6 1 -24 1 -21 -1 I -3 1 -6 1 -12 t, .._ 1 14.1-15.3 -2 i -24 1 -20 1 1 9.6-10.1 1 -33 1 -26 1 -22 'fable 3-10. Sh.dlne Ce.fflel.... I ST c by ( I I Area. I of Floor I I I Points I I I Orlen- I Z Floor Area +2 I tstion +{ I - 17.6 23.: +d I 1�1_aa __� I Last I 1 I I I 0-3.1 I to 16.4 6.3 up I I 0 -.19 I 0 I +1 I +2 I .20-.36 ( 0 I 0 I +1 t .37-.66 I 01 I 0 I .67-.82 ( 0 ((=-eI -1 .83 up i 0 i -1 i -2 I South 0 1 3.2 1 6.4 1 3.0 17.° I I toI to I• to I to 1 up � 3.111 6.] 1 7.9 19�_ ( 0 1 +1 I +2 1 +2 I +3 I 0 -.18 I .19-.42 I I 0 1 0 1 0 1 .7 I .43-.66 I -1 1 -2 I -2 I -1 I .67 up 0 1 -2 I -4 Nast I .1016,,,, 3.2 16.4 19.0 to i to I up 1.36.) 1 7.9I I 1 0-.12 I 0 1 t +] I +6 I +7 .13-.36• 1 0..1 0 0 1 0 1 0 1 0 1 I -) 1 -6 1 -7 .58-.82 1 -1 1 =3 1 -6 1 -12 1 -IS .8) up 1 I -2 1 I -4 1 -8 I I 1 -16 1 I •79 Skylight I .1 1 .8 I'l.6 1 3.2 1 4.9 I to I to I to i to I is I t.s 13.1I 3.9. 5.2 0-.12 I 0 I +1 +6 1 +7 .13-.36 1 0 1 0 1 0 1 I 0 .37-.37 10 I -1 V-3 I .6 .58-.82 1 -1 I -3 1 -6 1 -12 t, .83 up i -2 i -4 i -6 1 -16 1 -20 Table 3-11. Hortsoncal South Overhane Points, South ClaatnT 1 Length Out I Area. T o( Floor I I from Nall 1 I ft i'. I 1 0-6.) 1' 6.4 up I I I I I 1 0.6 - 1.0 1 -1 1 3 I 11.1 - 1.9 I -1 I -267""a1 I 2.0 up I 0 I 0 I Table 3-12. Movable Insulation Points I'Movcable Insulation] I I Area. I of Floor I I I Points I I I 0- S.3 l 0 I I 5.6 - 11.5 ' +2 I I 11.6 - 17.3 +{ I - 17.6 23.: +d I 1�1_aa __� ■ 1 GLAZING PLAN TAKEOFF, SHEET 3-5 North Glazing QUANTITY _r— SIZE R o (SQ.FT.) x 4Dso = x x _ Total North Glazing = ` o (SQ.FT.) (a+b+c+d+e) ,TA L fRTH TOTAL BLDG CONVERSION TOTAL % .ZING FLOOR AREA FACTOR o = 1037, 0, x 100 = NORTH GLAZING % !.FT. SQ.FT. ; 3-7 South Glazing QUANTITY SIZE AREA (SQ.FT.) x 1�,- = 3,75 >) x 3osb 15,0 i) x =) x Total South Glazing = . (SQ.FT.) (a+b+c+d+e) r -O K m 0 3-6 East Glazing ' QUANTITY SIZE AREA (SQ.FT.) ; (a) WEST TOTAL BLDG CONVERSION (b) �_ x �OSD 2-0.0 (c) x ` ?� = /03,7,0. x (d) x ` 1037,o x 100 (e) x Total East Glazing Z,S (SQ.FT.) SQ.FT.- Q.FT. (a+b+z+d+e) TOTAL EAST TOTAL BLDG CONVERSION TOTAL % FLOOR AREA FACTOR. EAST GLAZING �GL4ZING 2,5�; lo3�7,o x 100. _ �{, I o % I SQ.FT. SQ. FT. - 3-8 West Glazing QUANTITY SIZE AREA (SQ.FT.) (a) I x C) S- Zo,o (b) x = (c) x = (d) x = (e) x Total West Glazing = ,o (SQ. Fr. (a+b+c+d+e) yr ^ T.TOTAL 3-9 �^ TOTAL BLDG CONVERSION TOTAL i WEST TOTAL BLDG CONVERSION FLOOR AREA FACTOR SOUTH GLAZING GLAZING FLOOR AREA FACTOR ?� = /03,7,0. x 100 2, lo.,/ '/. 1037,o x 100 �.FT. SQ.FT. SQ.FT. SQ.FT.- Q.FT. 3-9 Skylights QUANTITY SIZE (SO. FT.) a) x b) x `) x Total Skyligh s (a+b+c ) OTyL Y'LIGHT TOTAL BLDG CONVERSION TOTAL x AZING FLOOR AREA FACTOR Si.'YLIGHT GLAZING / x100 - % Q. FT. SQ. Fr. NEER GD, RMIT NO. f 83 TOTAL .% WEST GLAZING /, 9,,. PL -AN. l�� OWNER SHA5—JAI Gd, THERMAL BASS TAKEOFF SHEET - PERMIT N0. . Thermal mass: Materials Which have the ability to store heat (typical types are masonry, brf'ck' ana ceramic. tile). �^ hzrmal mass cannot be insulated from the interior of the building. (If covered by car- cabinets, or enclosed in closets the mass is considered insulated). • . Thermal mass floors must have an exposed and textured surface or design so that carpeting ci1T: not occur. (Covering of vinyl or asphalt tile and linoleum is permitted). TYPE THICKNESS LOCATION DIMENSIONS AREA j�- T/[_C �� Entry Floor "¢' x 3 /Z,o S >,r -I-.* A _5LA61 " ..Bath 41' Floor ' x /o, S SQ.FT.,r Bath #2 Floor ' x ' a SQ-17. Bath #3 Floor ' x ' a SQ.FT., A 5L-AL Kitchen Floor ' x ' a 52, a SQ. FT.U* Floor ' x ' s /7,0 SQ.FT&.4, Floor ' x ' SQ.Fi', Fireplace ' x ' SQ. F11 Fireplace ` x ' a SQ. FT Bath 41 Counters ' x ' SQ.F1, Bath #2 Counters ' x ` SQ. F� , Bathl3 Counters ' x ' _ SQ.F-, Kitchen Counters ' x ' a SQ.'i , Wall Shield ' x Walls ' x ' SQ. F). . Walls '• x ' so. Fr �• Walls _SQ, 1-7,'.. �SC?.�`T� - x a . x ' SQ Q. x a SQI,., If compliance method proposed is other than the point system (where thermal mass point`( charts are available),. use calculation. methods..on reverse of this form to show thermal mass compliance. OWNER A. GENERAL f1� Zoning requirements f2fValuation. �3� Signature by R.C.E. RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX, & MISC. ONLY) Bldg. Permit # A.P. # (sideyards and parking). or Architect (if required). B. PLOT PLAN Complete parcel size and dimensions. 2: Setbackq, sideyard§, easements, etc. 3?�Other buildings or structures. Grading, fills, drainage. _ ,e- z� C. FLOOR PLAN �� �� y . 7 ,k Complete to scale plan with dimensions. G2! Required windows for light and ventilation (Sec. 1405). s3!� Required windows for second exit (Sec. 1404). Allowable glazing for energy requirements (20% max. per.State law). s5!� Human impact glass (Sec. 5406). J6! Required room sizes, ceiling heights (Sec. 1407). J,l'G.F.C.I.'s'in baths and exterior outlets (Sec. 210-8). Light fixtures, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. 9,l Locations of water heater, heating & cooling equipment, other electrical or gas equipment,'and plumbing fixtures. Garage firewall, door size, and closer (Sec. 503(d)(4)). �l-l! 1 - 3'0" exterior exit door (Sec. 3303d). Fireplace location. Smoke detectors (Sec. 1413). D. STRUCTURAL DETAILS ..! Foundation:plan complete enough to construct building. door construction details complete enough to construct building. .Elevations and wall construction details complete enough to construct Roof construction details complete enough to construct building. fireplace construction details and calcs if over one-story in height. Sufficient data and details to satisfy energy insulation requirements E. MISCELLANEOUS .ITEMS TO LOOK OUT FOR ,..I.-g�r CCX plywood on exposed locations and overhangs. Stairway details (Sec. 3305). Guardrail details (Sec. 1716). �B .ick or stone veneer (Chapter 30). terior plaster - weep screeds (Sec. 4706 & 4708). oper roof pitch for roof covering (Chapter 32). Rafter ties or bearing ridge beam. T�,4sS - /I=arage-dout or porch header sizes. tel: Adequate bracing. Living area over garage - complete 1 -hour separation required walls and posts, -etc. 0. Two (2) exits on three-story dwellings.(Sec. 3302). building. (State law). including supporting="':