HomeMy WebLinkAbout043-550-011a
SHASTAN J
40 IIaLLIP51ke Dr, lot 312 Hollybrook, Chic(
Perm' #6j8-85 P, single family)
�
q /7X) 43-55-11
Permit #3414-85B,P,E,M(new SF -)-
r4 05-0821
ZIMMERMAN
40.HAMPSHIRE DR CHICO. { ..
Cont: PF REILLY
WINDOWS (5)
o:
�e ;
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (630) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
LICENSED CONTRACTORS DECLARATION
I hereby affirm under_ penally of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
the Business and Profession ode, and my license is in full force and
effect. O v,
License Class c, License Number:
Date: S /•61;// (fYContractor:
'OWNER -BUILDER DECLARATION
1 hereby affirm under penally 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
permit to construct, alter, Improve, demolish, or repair any structure, prior
to its issuance, also requires the applicant for such permit to file a
signed statement that he or she is licensed pursuant to the provisions of
the Contractor's Slate License Law (Chapter 9 commencing with Section
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
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than rive hundred dollars ($500).):
Cl I, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not*
Intended or offered for sale (Sec. 7044, Business and Professions
Code: 'The Contractors' Slate License Law does not apply to an
owner of properly 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.)..
❑ 1, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Pfofessions Code. The Contractors' Stale License Law does
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:).
❑ 1 am Exempt under Article 3 of the Business and Professions Code
Dale: Owner: —
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penally of perjury one of the following declarations:
❑ I 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
"Al"",ssued.
Or 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: n
Carrier:
Policy
❑ 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 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, 1 shall
forthwith comply with those provisions.
Date: ; A�o /111 �7 -
PERMIT NO.
BPO50821
Issued Date: 03/30/2005 APN: 043-550-011-000
Site Address: 40 HAMPSHIRE DR CHI
Map Index:
Description: (5) retrofit windows
Owner: ZIMMERMAN CAROLYN R
40 HAMPSHIRE
CHICO, CA
95926
Applicant: P F REILLY & COMPANY INC
3028 ESPLANADE
SUITE F 95973
530-898-0833
Contractor: P F REILLY & COMPANY INC
3028 ESPLANADE
SUITE F 95973
530-898-0833
License #: 711037
Architect:
Engineer:
Total Square Ft: 0 S: F.
Valuation: $0.00
Census Code:
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
G� n %
compensation, damages as provided for in Section 3706 of the Labor!1LJ�
code, interest, and attorney's fees. <j•
CONSTRUCTION LENDING AGENCY This pe ere Issued under the applicable provisions of the Butte County Code and/or
I hereby affirm that there Is a construction lending agency for the Resolul t ' ork indl ted above fpr tyhich fees have been paid.
performance of the work for which this permit is Issued (Sec 3097 Clv.) — D
Name: By: 1l,, Dale:
PERMIT EXPIRE N: - �U -
Address: (Date)
❑ I 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.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that 1 have read this application, that the above information Is correct, and that I am the owner or the duly authorized agent of the ow . I agree to comply with
all county and stale laws relating to building construction. I acknowledge It Is unlawful to alter the substance of any. i m or document of Bu County. I hereby
authorize represen es of Butte County to enter upon the above mentioned property for inspectionpurpose .
Print Name: `� / 9"�--f/ �.tL 1 LG Signature:
Date:
C7, Owner
Contractor
❑ Agent for Owner
❑ Agent for Contractor
C. %- owl renIII l V l -1v 4 vH
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834
OFFICE #: (530) 538-7541
A FEE WILL BE REQUIRED AT TIME OF APPLICATION
Website: www.buttecounty.net/dds
"PLEASE PRINT CLEARLY*
OWNER
Last Name � � �
irsjName
Address vL l ,� `4-9
City 1 l G�
14
State �J�
Zip
Pho - �� c I Q
Fax
E-mail
APPLICANT NAME
CONTRACTOR
Name
�% g -e! )
Ad4ess
�Gc o1
CityG,
I Gp
State�k
I Zip Z i�
Z
Phone
Book
Fax
E-mail
Planner
Lic. # �/ld 3
Class do
APPLICANT NAME
ARCHITECT/ENGINEER
Name
CityState
[��
Address
SRA
City
Fax
State
Zip
Phone
Book
Fax
E-mail
Planner
State License Number
APPLICANT NAME
Name
Address 3� a� ✓L�� /�
CityState
[��
C
SRA
Phone
Fax
E-mail
PLICANT SIGNATURE
For office use only:
Zoning
Flood Zone
SRA
Yes
I No
Occ,
Type Const.
Subdivision Name Map
Book
Page
Lot #
Planner
Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS
K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc
PERMIT
BP
BIN #
LENDING AGENCY
Name
Address
Description or Scope of Work: �/(J
1� 6 .e- IV ) *t ovV/�
Sq. Footage
O Structure Built without Permits
• Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
required.
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
Received by:
Page 1 of 2
Receipt c
Date: )
Amount: %t�0 '_' Bldg
SRA
Sheriff
MIP
Other
�— Total
REV 7-27-04
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 BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK
❑
1.
Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper!
❑
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 faxes!
❑
4.
Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to
mobile or modular homes.)
❑
5.
Statement of Intent for Non -heated and AIC for Non -Residential Buildings.
❑
6.
Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down
or fnd plans, all in duplicate.
❑
7.
Metal bidgs: (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).
❑
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).
❑
13.
Sanitation and site plan approval from the Environmental Health Department.
Remaining
items needed to issue the permit. Additional items may be required after Plan Check and Planning
review (May
require additional plan review upon receipt of the following items.)
❑
1.
Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required).
❑
2.
Impact Fees.
❑
3.
California Department of Forestry plan approval (if required).
❑
4.
NPDES Form.
❑
5.
Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
❑
6.
Contractor's license 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. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's):
If you have questions or would like additional information regarding this process, contact a Permit
Application Assistant at (530)538.7541.
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one year after date of application. In order to renew action
on an application after expiration, a new application, plans and fees will be required.
REQUEST FOR FEE REFUNDS
Refunds can only be made upon written request by the person who paid the fee. The request must be made within two
years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits
issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not refundable.
OVER FOR BUILDING PERMIT APPLICATION
KAFORMSMILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04
PERMIT NO. 628-85B.P.Eam
PERMIT E'XPIRE'S Ima
OWNER. SHASTAN
CONTR. Sha stan
ASSESSOR PARCEL
LOCATION 40 Hampshire Dr, lot 31, Hollybrook
OFFICE Copy
-;Address..�......r
-7
GAS
Mefe-r-BY-
RL I D
ELECT- ate
Mete
r,By_
Date
Temp. Power Pole
Called PG&E
sa
44
iI
Temp. Elec. Service
Called PG&E
Temp. Gas Service
Called PG&E
JOB FINALED (Date)
Signature
J=` OK - . .
0 = Not OK
= Not Applicable MOBILEHOMES
* = Not Ready
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except a's
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except H's
1. Zoning Requirements -Setbacks -.Easements
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.-Rig.-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
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
Card -BI
Date Card -BI Date
Card -BI Date Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
Card -BI
Date
Date Card -BI Date
POOLS (Plans) OK except H'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
6. Water; MH Test -Regulator -Connector
5. Elec.; Pool Lighting; 15 volts-GFI
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
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B-1
Card B-1
Date Card -BI Date
Date Card -BI Date
Card -BI
Card -BI
Date Card -BI Date
Date Card -BI Date
V = OK
O =Not OK '
= Not Applicable
* Not Ready RESIDENTIAL (Single and Duplex)
Date
UN
RF OOR Plans OK exce t#'s
Date
FRAMING Continued
Hing requirements -Setbacks -Easements
48.
Property Line Firewall & Openings
VA.,
Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
49.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
6
Ftg., Garage; Soils -Steel- / /" Ftg. Depth
50.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
g., Porches & Decks; Soils -Steel- / /" Ftg. epth
51.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
. S mwalls, Main; Steel-Blockouts-Wrapped-S
52.
Siding -Nailing -Veneer
Stemwalls, Garage; Steel-Blockouts-Wrapped-S
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7. P' -Fireplace Ftg.-Steel
54.
Glazing Area -Glass Protection -Skylights -Plastic
9.
D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
ipe; Size -Anchors
55.
Shear Walls; Nailing -Bolts
1
11.
Water Pipe; Test -Anchors -Regulator -Service Test
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
Card -BI
Date Card -BI Date
Card -BI
Date/2-ay! Card -BI Date
Date
FINAL (Plans) OK exce t #'s
Card -BI Date Card -BI Date
Date
PLUMBING (Permit) OK except q's
14. Water Ht.; Vent -Access -Combustion Air
56.
Ext. Steps -Door & Sidelight Protection -Landings
57.
58.
Smoke Detector
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
15. Water Pipe; T st & Anchors -Nail Protection
16.
D.W.V.; T t-Fttngs & Anchors -Nail Protection
59.
Bedroom Exiting
17.
Shower Pan; Test, First Floor -Tub Access
60.
G.F.I. & Bath Fixtures & Tub Access
18.
Test Tub & Shower, 2nd Floor -Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
19.
Gas Pipe; Size & Anchors
62.
Stairs & Rails
63.
Fireplace or Stove; Clearances -Hearth
64.
Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date
Date Card -BI Date
ELECTRICAL Permit OK except q's
66.
Elec. Outlets & Receptacles at Kit. Counter
67.
Garage Fire Door; Swing -Landing -Closer
68.
A.C. Duct in Garage -Damper
20.
Fixture & Transformer Clearance -Ins. Protection
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
21.
Elec. Receptacles Spacing -Lights &Switches at Doors
70.
Plb., Elec. &Mech. Equip. Listed for Location
22.
Size Boxes ll No. of Conductors -Stapled
71.
72•
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
Insulation -Foam -Looked in Attic ❑ Yes
23. Romex Installed Close to Edge of Studs & C.J.
24.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
73.
Guard Rails & Deck Construction -Post Caps
25.
2 Appliance Circuits in Kitchen & Conductor Size
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At
27.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
Insulated Neutral ❑Yes ❑No
75.
Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑Yes ❑No
28.
Service -Riser Conductors & Ground -Main Disconnect
76.
77.
78.
Stucco; Brown -Finish
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opn s.
29. Equip. Clearances; Panels-Motors-Mech. Equip.
30. Clothes Closet Light -Shower Light
79.
Water Well; Disconnect, Electrical, Plumbing
80.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
Card B -I
Date Card -BI Date
81.
82.
Ventilation throughout House
Glass Protection
Card B -I Date Card -BI Date
Date
MECHANICAL (Permit) OK except N's
31. A.C. Ducts; Insulation & Support
83.
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged; Gas -Electric
85.
Water & Sewer Connected -C/O to Grade -HD Approval
32.
Vent Fan; Exhaust above Insulation
86.
Energy Compliance Certificate -Other Certificates
33.
Condensate Drain & Overflow; Size & Grade
34.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
35.
Attic Access & Platform if Furnace in Attic
Card -BI
Date Card -BI Date
Card -BI
Date 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
FRAMING
36.
Plans OK except q's
Sills; Proper Material & Anchors
37.
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
38.
39.
Bearing Walls over Girders & Floor Nailing
Draft Stop in Walls (rat proof)
40.
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
41.
Header & Beam -Size & Bearing
42.
Hangers -Post Caps -Anchors -Connectors
43.
44.
Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfn_g_._ _
Fireplace Ties or Type A Flue -Fireplace Throat
45.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
46.
47.
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
Garage Fire Protection Framing
(NOTE: An entry must be made each time you visit job site)
S
PERMIT NO.
PERMIT EXPIB1516�,
OWNER SHAST
PA11170 OWNER
3414-85B,P,E',M
ASSESSOR PARCEL 43-55-11
LOCATION 40 Hampshire Dr. Lot #31 Chico
OFFICE COPY
Address /of
GAS
Meter
f7j
eter By Date �
ELECT131C
Meter By
Date
LV
),Temp. Power Pole
Called PG&E
Temp. Elec. Service
Called PG&E
Temp. Gas Service
Cal led PG&E
JOB FINALEI
Signature
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
3y/,/- -,?5
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. It you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
V r
r �' 3a x —5o
' r u
1 -
�✓ z ,n
Inspector_ Date_
•v' = OK
0 = Not OK
= NtRa le
= Not Ready RESIDENTIAL (Single and Duplex)
Date
UND FLOOR Plans OK exce try's
DateFR MING Continued
75oning requirements -Setbacks -Easements
V
Property Line Firewall & Openings
Fig., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
W
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
bg"Ftg., Garage; Soils -Steel- / /'' Fig. Depth
Ti.
Stairs;Width-Headroom-Rise-Run-Landing-Fire Protection
4. Jig, Porches & Decks; Soils -Steel- / /" F!p, Depth
.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
St mwalls, Main; Steel-Blockouts-Wrapped- 14,
V._Siding-Nailing-Veneer
temwalls, Garage; Steel-Blockouts-Wrapped-
-Drip Screed-Fdn. Vents-Underflr. Access
7. Piers -Fireplace Ft .-Steel
W.,Glazing
Area -Glass Protection -Skylights -Plastic
D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test
Shear Walls; Nailing -Bolts
9. Pas Pipe; Size -Anchors
. Water Pipe; Test -Anchors -Regulator -Service Test
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
Dat( ard-BI Date
Card -BI
Date Card -BI Date
Card -BI
Card -BI
` Date Card -BI Date
Date Card -BI Date
Date FINA tans) OK except q's
Date
PL BING (Permit) OK except N's
5
xt. Steps -Door & Sidelight Protection -Landings
5
Sr9dke Detector
Water Ht.; Vent -Access -Combustion Air
58
urnace; Vents -Clearance -Comb. Air -Connector -
In rage; Above Floor -Ducts -Meeh. Protection
Water Pipe; Test &Anchors -Nail Protection
D.W.V.;-Fitngs & Anchors -Nail Protection
59
r m Exiting
111r. Shower Pan; Test, First Floor -Tub Access
60.
.I. & Bath Fixtures & Tub Access
Test Tub & Shower, 2nd Floor -Tub Access
6
Elec. Trim & Subpanel; Breaker Sizes -Labels
1V Gas Pipe; Size & Anchors
Is
rove; Clearances -Hearth
is at Wood Panel; Int. & Ext.
Card -BI
Card -BI
Date !' % Card -BI Date
1; Date j 1; Card -BI Date
6
t. F" t. & Appliance; Grnd.-Air Gap -Cooking Clearance
6 .
e utlets & Receptacles at Kit. Counter
Date
ELECTRICAL Permit OK except q'sn
1511K,215rage
Fire Door; Swin -Landing-Closer
arage-Damper
tgzFixture & Transformer Clearance -Ins. Protection
6
tr tr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
Garage; Above Floor-Mech. Protection
V., Elec. Receptacles Spacing -Lights & Switches at Doors
W. Size Boxes & No. of Conductors -Stapled
7b,
b., Elec. & Mech. Equip. Listed for Location
W. omex Installed Close to Edge of Studs & C.J.
7
E Receptacles in Garage; (G.F.I.)-Rom x Protec.
W. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
74,Ansuletion-Foam-Looked
in Attic MYes
.
. 2 Appliance Circuits in Kitchen & Conductor Size
;4v-aU
44--TTM-7e
Fri' ails & Deck Construction -Post Caps
& Crawl Hole Door -Drainage & Wood -Earth Clearance
Look rider Floor [J_ Yes
/ ga. Cu or At Wire Size / / ga. Cu or At
Range Circ. / / ga. 10 or ,AA�I Oven Circ. / / ga. Cu or AI,
Insulated Neutral ❑Yes Xo
7
oil d.: Driv es ❑ No; Walks [poles ❑ No;
anes No `
Service -Riser Conductors & Ground -Main Disconnect
Equip. Clearances; Panels-Motors-Mech. Equip.
ccoFinish
�ID
30. GleMes'�toaet-tight-Shower Light
7
onnect-Clrnces-Brkr. & Cond. Size -115V Outlet
7 "
Vents Above Roof; Pibg: Appliance-Firepl.-Clearance to Opn s.
r Well; Disconnect, Electrical, Plumbing
Card B -I
� Date j S6 Card -BI Date
6
E rior Elec. Trim; G.F.I. Receptacle -Underground
Card B -I
Date
Date Card -BI Date
ME HANICA (Permit) OK except N's
g
tilation throughout House
8VG_1a<s
Protection
8
rec ons from Previous Inspections
V. A.C. Ducts;
s; Insulation & Support
122 i �h 81K x 8
G est -Meters Tagged; Gas -Electric
er & Sewer Connected -C/0 to Grade -HD Approval
Vent Fan; Exhaust above Insulation
3-3. Condensate Drain &Overflow; Size &
Energy Compliance Certificate -Other Certificates
Furnac en Access -Comb. Air -Return Air Vent -115V outlet
5 Attic Accessa or if Furnace in Attic
Card -BI
SZDale 211991,Card-BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date I I Card -BI Date
Card -BI
Date Card -BI Date
Date
FR G Plans OK except q'
Comments at Final:
Sills; Proper Materi nchors
. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
Bearing Walls over Girders & Floor Nailing
Draft Stop in Walls (rat proof)
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
41. Header & Beam-Sizerin
Hangers -Post Caps -Anchors -Connectors
4 -Ging. Joist-Rftr. Ties-Purlin-oof rac: russ ShIhng.-Rfn_g.
1d--Fifepiee�Ties or Type A Flue -Fireplace Throat
4 . Attic Access; Size omex Protec i raft Sto Ins. a
Bdrm. Windows or Exiting Doors- i Hgt. & Dimensions
4Z__ZAcage-Fire Protection Framing
OK . .. -r . _-
Not
.Not OK
Not Applicable MOBILEHOMES MISCELLANEOUS
Not Ready
Date
MOBILEHOME UTILITIES (Plans) OK except q's
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/0 -Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
3. Decks! Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rfirs.-Connec.-Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
Card -BI
Card -BI
Date
Date Card -BI Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except q's
1, Zoning Requirements -Setbacks -Easements
Card -BI
Card -BI
Date
Date Card -BI Date
Date Card -BI Date
POOLS (Plans) OK except N's
1. Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
4, Elec.; Receptacles and Lighting; Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
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-1
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
r`
Owner: CD
Permit No. 3
ENERGY CERVIF ICAT ION
Lot#31-F Hollvbrook Sub Division 43 -SS-//
LOCATION A.P. No.
DESCRIPTION OF INSULATION
ROOF
Material
Thickness(inches)
EXTERIOR WALL
Material Fiberglass Batts
Thickness(inches) 3 5/8"
CEILING
Batt or Blanket Type
Thickness(inches)
Loose Fill Type Rockwool
Minimum Thickness(Inches)_2 5/8"
Area covered(ft.2) 1 n37
FLOOR, ELEVATED
Material
Thickness(inches)
FLOOR, SLAB
Material
Thickness(inches)
Width(inches)
FOUNDATION WALL
Material
Thickness(inches)
Brand Name
Thermal Resistance (R Value)
Brand.Name Owens-Corning
Thermal Resistance(R Value) R13
Brand Name
Thermal Resistance(R Value)
Brand Name Rockwool Industries
Number of Bags_ Wt. per bag 27.5 lb.
Thermal Resistance(R Value) R30
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.
LOERKE INSULATION CO. #432518
FIRM NAME/0 STATE CONTRACTOR'S LICENSE NO.
r
March 25, 1986
SIgWfURE PtLl&tALLAtION 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.
6/7/(9'sT%/U C D . Fga 7Z17
FIRM /OWNEgt j(P a se stint) STATE CONTRACTOR'S LICENSE NO.
S
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
J COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, CaliYorni-a 9P65 - Telephone 916/534-454 _
APPLICATION AWPERMIT
r" -
ASSESSOR PARCEL NUMq9e,
` —
ZOf�{R`JG
N
BUILDING PERMIT
OW
n k
TELEPH NE
1
S0. FT. OC . BUILDING VALUA
OWN 'S MAILI G ADORE p 46/
/
CON54CTO 'S A E
TELEPHONE
CONTRALTO 'S AI ING ADDRESS
Fireplace
0
CONST CTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$ a
ARCH CT OR ENGINEER
LICENSE NO.
Plan Checking Fee
,$ /51.00 1O
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
Oq
BUILDING ADDRESS `
4o Ha km as r
Permit fee
$ 7
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00 /
JQ `
Solar or heat pump water heater
20.00
LOT NO.
SU VI I N �ME PARCEL MAP
00
Water piping
5,00
Each qas water heater or vent
5.00 151.00
USE OF STRUCTURE
SF@9 Duplex❑ Mobilehome❑ Other
// le SPECIFY
Gas piping system 1 - 5 outlets
5.00 Q
Building sewer
5.00 , f�
Mobile Home S I G I W
10.00 ea
TYPE OF WORK
New x Addition Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe work:r 19 1—
`
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100V OR LESS
100 AMP OR LESS
10.00 /0ao
Main service EA. ADD -1- 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and ProfesSi de and my license is in full force and effect.
�.—/
License NO. Classification
❑ 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
OR ADDNST ( DWELLINGS°.cc` 2'/:Qsgft 9
NEWi.Resio R BRANCH MULTI-OUTLET
ITS 2.50 ea
POWER APPARATUS &)
SINGLE OUTLET CIR,
Ex. Occu zALO30
Occup(OUTLETS OR FIXTURES eAL030
Ex. Occup. OUTLETS ((RESIN )ED APPLNS. REA./ 2.00
Temporary service 10.00 O a
Mobile Home Facilities 15.00
Misc. �yirin 15.00
9
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
Filing Fee 10.00
Heating
1/1-00
Cooling
G,Q
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.
I also agr to save, Inde y and keep harmless the County of Butte against
all liabi ti s, jud is cYtyd expenses which may in any way accrue
against ai Cou i c of the granting of this permit.
X Date �� �S^
Signature of(Aplic - wner❑ Contractor ❑ Agent ®
An OSHA permit is re9uire or excavations over 5'0"'dap d demolition or construct-
Anof structures over.3^}tories in height. 'lib
Mobile Home Installation Fee $ '
Energy Inspection Fee $
TOTAL PERMIT FEE $
Occup.
CONST.TYPC
V,
IaLoo
PARC.
PD MD
Issu
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIREC O OF PUBLIC
By
PEROT' EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date /2'3— �S
/L i
Receipt No. �2 S �S,DO
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, OD -APPLICANT
J
V
t.
COUNTY OF BUTTE - DEPARTMEr4T 0F?-P_U_E1LIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541
PERMIT APPLICATION DATA SHEET
//_
Permit No.
OWNER SAO S / Q V) A. P. No.
Proposed Building Use �./,� +e) S �
Permit Fee Based Upon: Complete Contract Price _DPW Valuation
Other (Explain) i
Building Inspector 1112XIA-1i'e,11 DateE7 7
��/�5�
At time of permit application, I was advised the following data must be submitted prior to permit processing
and:/or issuance: DATE RECEIVED. APPROVED
1. All items have been submitted. . . . . . . . . . .
2— Plot plans in duplicate./triplicate. . . . . . . . . . .
3. Complete plans in duplicate. /triplicate. . . . . . . .
4. Complete engineered plans and calfs. . . . . . . . . .
5. Plans with Energy Design Compliance Statement. . . . . .
6. State Energy Forms No.
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . . . .
A.
Letter of signature authorizat/ion. . . . . . . . . . .
Sanitation approval from r� + �' r`7 Health Dept.
11. Planning approval for (A) Use: (B) Parking:-
12.
arking: 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 (Date)
17. Pre -Inspection for Required. Building Inspector
18. Recorded copy of Agricultural Acknowledgment Statement.
19. Other Driveway permit & const. approval required prior to occupancy. = ��
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone- )and hold for pickup at _LL :/vnoffice. Deliver w./inspector.
Other A A /7
Applicant Z'11Zllkl" Date
Copy of plans sent Health Dept., Fire Dept., Other./ V Date
During the plan checking process, the following data must be submitted prior to permit issuance.
(For required items not checked above at time of application, circle item.)
1. Index permit for above Items No.
2. Additional items required:
(Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other
Plans checked by
Plans approved b�
Other:
Copy—DPW
By
Date
Date
Date
TO: Building Department
FROM: Environmental Health, Chico
SUBJECT: Sanitation Clearance
15
Owner Location AP
Plann approved for; sewage disposal ✓ water supply C/
Hold final for: water supply
Final clearance 0A. for: water supply L r
Clearance for `Z bedroom m e �ho. Other
Note***
• Sanitarian r Date
OFF.1.16L RECM7
Return to DPW AGRICULTURAL STI �EPAI7 OF ACKNOWLEDGEMENT t".7E ZCU�sTY�O''
FOR RESIDhNrCiAZ DEVELOPMENT
Section 26-8.1 of the Butte County Code requires this .acknowledgement MAR 7
be recorded prior to issuance of a building permit. El ct1 u :
CLLRK- R�C�i•JfR
The property described herein is adjacent to'land or included 84_. 6i 25 EE
within an area zoned.for agricultural.purposes, and residents of this
property fnay be subject to inconveniences or discomfort arising from
the use of agricultural chemicals, including, but not limited to herbicides, pesticides,
.and fertilizers; and from the pursuit of agricultural operations including, but not limited.
to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust,
smoke, noise, and odor. Butte County has established agricultural zones which have as a
priority use for productive agricultural•pur•poses, 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 lot-, 13, of the Second Subdivision of the John Bidwell
Rancho, according to the Official Map therecf filed in the Office of the
Recorder of the.County of Butte, State of California, September 17, 1.900
in Map Book 5, at page 27; and bei�q a portion of Lots 3, 4 and 5 of the
McCulley Block formerly rot 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 18, 1983, in
Book 92 of Parcel Maps, at page 70..
Date: February 15, 1984
.t
State of
County of
m
OD
N
0 N
Present L
On this the
PROPERTY OWNERS:
SHASTAN COMPANY, INC.,.A CALIFORNIA CORPORATIOr
aibdrt, President
15th day of February 19 84—., before
9
STATE OF CALIFORNIA I
COUNTY OF Butte 1ss.
On _ Febivazy 15� 1984 before me, the undersigned, a Notary Public in and for.
said State, personally appeared `T� S. Halbe1 t
__. personally known to me W9QPQP9Q9QQ9Fe
basis
to be the perso ence. who executed the within instrument as ib ed to
—She President and --------- Secretary, on behalf of
Shastan Cor pang, Tnc. —
the corporation therein named, and acknowledged to me th
suchcorporation executed thewithin Instrument pursuant to i
by-laws or a resolution of Its board of directors.
WITNESS my hand and official seal.
Signature
Sharon R. Howell
OFFICIAL SEAL s
SHARON R. HOWELL=
NOTARY PUeUC — CAUFORNIA
CounrY of surra >~
Comm. Exp. April IZ 1935
iueeeeeneeeertaurr....:«........................
al sial.
RLOTE:—AA Materials
Acc rdance wit
Reco
of c quality pre
c ibed
Uniform Building
F Iamb
the Rational Elet
4 1
Zo.ov'
7
0
f U,E;
8
0
c Workmanship Sian Bg b
ninecl G o Trac ices s e o a s an specs ice ions lye
or th S ecified use i th the b t all times and it is nla f 1'+o
ig & e anical Codes a d make any cha or alterat ons on sa a out
odo. written perm' io from the epartmen _ ublic
Works, Coun - Butte, o
c,s
Ifo.So 2 4, oa 32.9q� 3$.00
P
N W
Z
See Maste Plan on file
plans. S S7i W
N 89° 3(0, 5111 F 111.50
77
— 4so o
A setback eft. from the
it
-
i4 property lines and a setback U N _
FtlAN F
of 50ft. from the road °
F_LW S -s. M centerline shall be clear of in
.-
structures or equipment exce t..
11'or a 2 ft. eawoerh , �3
R
rtK-
L LINE
CiAas
BR , BU MAIN ec HA�VKINS
40.46� AR ITECTURE & PLANNING, INC.
1370 RIDGEWOOD DR. #10
CHICO, CA 95926
TTE COUNTY N E V A —T 10 N
BUILP G DEPARTMENT1 CLIPPED C LIPPED-
CLAN5 rkbLE IS IDIWCx (C.5> GAF,,LE /?LAST.
APROVED
'SITE. rl=ope:
zn�
H o��.Y � ooK oU��IVI�IoN
� •�� ►�t.�� gii,tn�rn7i7vW � �>.��-�tl�rrt i �-.-- �Tt�Q
fl7;)jjj.-) 4q� blr3 qF)I- 'U fle �jj!-
'it no tq%A
ldilznn�-j
f-ir-a! Su 41v�;lull'Alu it, .�j po �lon:A!
0 -jfj'.)lD '
s pnl,.frlvlq. "j6
to inomil tucod oalt moil joleii.nt,�q nuttiw- "lljo ralulinu
1) 10--�iltznll
-IT
(1
'IN -3, IV 0 A'
PRINTED
OCT 2 8 1985
eount* of eOutte
OROVILLE, CALIFORNIA
GENERAL CLAIM
CLAIMANT: Shastan
ADDRESS: P.O. Box 4143
CITY & STATE: Chico, CA 95927 IMPORTANT:
November 18 1985 SEE INSTRUCTIONS
DATE OF CLAIM: ON REVERSE SIDE
SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES
DATE
DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY)
AMOUNT
Owner has decided not to do work. (Bldg Permit Appin. #628-85B,P,E,
Receipt #32357, dated 3/7/85, AP #43-29-125).
,
Building permit fees paid ------------------------- $292.50
Retain filing fee -----------------
Retain plan checking fee ---------- $15.00
Retain energy plan checking fee ---$T5.00
Amount retained--------------------------------- 40.00
Refunddue --------------------------------------------------
Plumbing permit fees paid--------=---------------- $ 46.00
Retain filing fee--------------------------------- 1_10.00
Refunddue --------------------------------------------------
Electrical permit fees paid-----------------------$ 62.65
Retain filing fee--------------------------------- 10.00
Refund due -------------------------------------------------- $ 52.65
Mechanical permit fees Raid-----------------------$ 28.00
Retain filing fee ------ --------------------------- 10.00
Refunddue-------------------------------------------------- 18.00
Refund energy inspection fees------------------------------- 30.00
TOTAL REFUND DUE -------------------------------------------- $389.15
$389
15
TOTAL
1, the undersigned, declare under penalty of perjury that the services or articles claimed have e n per( d li d, and that this
claim is true and correct as stated.
Dated this day of 4V 19$' 400WIZs.v
at ................................. Calif. ... ...... .... .......... ........................................
S gnat o! C m ant
1, the undersigned, hereby certify that, to the beat of my knowledge, the services or articles specific above hav en performed or de-
livered and that there 1s a Budget Appropriation D or Specific Board Approval O (Check one) for same.
Dated this...............18th day of November i9 8 at Oroville
......................... . caur. ... �... ......... ..: .......
e ertment Heed or Authorized D ury
Dept. Exp.
Code ............................................ Code ................................................PAYABLE FROM ........................................................................
FUND
DO NOT WRITE BELOW THIS LINE — AUDITOR'S USE ONLY
DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB.
GROSS AMT.
3/f 3S N�+�.e L� ��
���,
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT VO.
�. 7 County Center Drive - Oroville„ Califortgia 95965 -Telephone 916/534-4541
APPLICATION AND PERMIT
ASSES OR PARCEL NUMBER ZON NG
BUILDING PERMIT
OWNER T E ONE
SQ. FT. OCC. BUILDING VALUATION
OWN R'S MAILIN ADDRESS
19. DY chic/)DD
CONT A TOR'S NA`ME
TELEPHONE
0/
CONTRACTO . MAILING A DRESS
1
6
Fireplace �1 «
CONSTRUCTION LENDER
UNKNOWn,�
Total Valuation$
,
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ o2505
ARCHITECT OR ENGINEER
LICENSE No.
Plan Fee
$ !-
�ppCyh�..ecking
-"` -'
$ s-
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee VJ
$ S6>
BUILDING ADDRESS
PLUMBING PERMIT
Filing Fee 10.00
140 t -
�,j�'Q�
Each Trap
2.00 ,
Solar Water Heater
20.00
Water piping
5.00
LOT NO.
3
SUBD�� N NAME
PARCEL MAP
Each qas water heater or vent
5,00
Gas piping system 1 - 5 outlets
5.00
11 USE OF STRUCTURE
SF Duplex ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer
5.00
Mobile Home S I G I W
10-00es
TYPE OF WORK
New Addition❑ Remodel Utilities Installation❑ Other [J
Describe work: ltSArr 1,42 _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service e00v OR LESS
100 AMP OR LESS
10.00
\t I
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. / DWELLING Jb OR ADDNS. L ACC. BLD C
2eh0sgft
CONTRACTORS LICENSE LAW
I declare 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. 3XL7V Classification ?j
❑ 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
F 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-OUTL T
NON-RESID BRANCH CIRCUITS) 2.50 ea
NEW CONSTR. ( POWER APPARATUS &1
NON•RESID. SINGLE OUTLET CIR. /
Ex. Occu 20®a0s
P�o OR FIXTURES6AL®so
FIXED A PLNS
EX. Occup. OUTLETS (RESID )REA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
permit Fee $ S
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.60
;' ❑ 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 3.
Ventilation
(fD
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.
laalso agr to sa de ni y and keep harmless the County of Butte against
all liabil' 'es, j ts, sts d expenses which may in any way accrue
against a'd Co c equ of the granting of this permit.
Xr: I �/ —
Date
Signature pplic t — caner ❑ Contractor ❑ Agent p
A� OSHA permit i require or excavations over 5'0" deep and demolition or construct-
i -on of structures over 3 in height.
Mobile Home Installation Fee $
77
TOTAL ERMIT FEE $ 5 a / . 15
OCCUP. GROUP
TYPE OF CONST.
PARCE PD
D SSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTO OF PUBLIC
BY ��
PE EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date 7 L L—a5
stories
Receipt No. �.'S 7
WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT QF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916,'534-4541
PERMIT APPLICATION DATA SHEET
OWNER
Proposed Building Use
Permit Fee Based Upon: Complete Contract Price
Other (Explain)
Permit No.
A. P. No.
PW Valuation
Building Inspector Date
At time of permit application, I was advised the following data must be submitted prior to permit processing
and/orissuance:
1,
2,
3.
4.
5.
6.
7.
8.
9.
10,
11.
12.
13.
14.
15.
16.
All items have been submitted.
Plot plans in duplicate/triplicate.
Complete plans in duplicate/triplicate.
Complete engineered plans and calcs.
Plans with Energy Design Compliance Statement. �
State Energy Forms No. I ^/ �.w
Statement of Intent for Non -Heated and AC Buildings.
Fees of $ ,
Letter of signature authorization.
Sanitation approval from ahI!So Health Dept.
Planning approval for (A) Use: (21L J%S. (B) Parking:
Certificate of Workmen's Compensation Insurance.
Contractor's License Information (no., name style, classif.)
Owner -Builder Verification (Given to owner ❑, Mail to owner 0.
Improvements may be required. Contact Land Dev. Sec. of D.P.W. (see address below).
Mobilehome Installation Data.
Pre-
insp tion for required.
Other05)�j 40s'
When you issue the permit, process as follows: Mail to owner.
Telephone 1_744102:7 and hold for pickup at off
Other 64
11
Applicant
Mail to contractor.
_Deliver w/inspector.
Date " '6
GENERAL INFORMATION V . ,4610
BUILDING DEPARTMENT OFFICES HEALTH DEPART ENT OFFICES
Chico. . . . 196 Memorial Way Chico. . . . 196 Memorial WayO�
Phone: 891-2751 Phone: 891-2727
Hours: 8:00 a.m. - 10:00 a.m. Hours: 8:00 a.m. - .30 6.m. '
Oroville 7 County Center Drive Orovi I le . . . 7 County Center Drive
Phone: 534-4541 Phone: 534-4281
Hours: 8:00 a.m. - 5:00 p.m. Hours: 8:00 a.m. - 9:30 a.m.
Paradise. . . 747 Elliott Road Paradise. . . 747 Elliott Road
Phone: 872-2961, Ext. 57 Phone: 872-2961, Ext. 58
Hours: 8:00 a.m. - 10:00 a.m. Hours: 8:00 a.m. - 9:30 a.m.
PLANNING DEPARTMENT — 7 County Center Drive, Oroville — Phone: 916/534-4601
CALIFORNIA ENERGY COMMISSION — 1111 Howe Avenue, Sacramento — Phone 916/322-3725
LAND DEVELOPMENT SECTION
DEPARTMENT PUBLIC WORKS — 7 County Center Drive, Oroville — Phone: 916/534-4339
Original—Applicant
Section. 26-8.1 of the Butte County rode requires this acknowledgementmAR 1 �� `-'5
be recorded prior to issuance of a building permit.
CLir�K --CU.��i.R
The property described herein is adjacent to' land or included 8r��. sizs EE
within an area zoned.for agricultural purposes, and residents of this
property Way be subject to inconveniences or discomfort arising from
the use of agricultural chemicals, including, but not limited to herbicides, pesticides,
and fertilizers; and from the pursuit of agricultural operations including, but not limited
to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust,
smoke, noise, and odor. Butte County has established agricultural zones which have as a
priority use for productive agricultural'pur.poses, and residents within said zones and on
adjacent property should be prepared to accept such inconvenience or disconforo 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 Lot -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 Oounty 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
.McCulley 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 Oounty of Butte, State of California in Book 4 of Maps, at page 23,
mre particularly described as follows:
Parcel 3, as shown on that certain Parcel Map recorded in the Office of the
Recorder of the Oounty of Butte,.State of California on May 18, 1983, in
Book 92 of Parcel Maps, at page 70..
Date: February 15, 1984
State of
County of
0
1 N
QO
M
Present I
On this the
PROPERTY OWNERS:
SHASTAN COMPANY, INC., A CALIFORNIA OORPORATIOr
s/lHalbdrt, Presi-clent
15th day of February -, 19 84—, before
STATE OF CALIFORNIA I
COUNTY OF _Butte )ss. _
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 W9QP9P9Q99P9febasisenCe ,
to be the persord who executed the within instrument asince to
the President and --------- Secretary, on behalf of
Shastan Conpany, Inc.
the corporation therein named, and acknowledged to me th
such corporation executed the within Instrument pursuant toi
by-laws or a resolution of its board of directors.
WITNESS my hand and official seal.
Sharon R. Howell
OFFICIAL SEAL
SHARON R. HOWELL "s
NOTARY PUrUC _ CAUFORNu►
County OF /trttr '
Comm. Exp. April 12, 1985
rnnrurnrrrrtrM11111b`j V3 MIMI&41'M314r
al seal.
,k
I
-- - - - " 1 .
low. ALr.PoeU.,S,, D GAR- - I R WALL.& i
1 S 8`1 �' (This s t of plans and specifications MUST be
kept on the job at all times and it is unlawftA to
$ ke an changes or alterations on some without
N 8`l' 3co'.:31 a III' Y 9
_ _ _ _ _ _ _ Depa.rtment of Public
Works, County of
$ gee Master flan on file Tqr built
I loo
V�
V �
Z
V 1.
--
53�21
CiAg
I _. _... _..... ......_ _
0 BUTTE CO
ILD
'ING DEP 3
.y�_= , 3 A P P R
setb���C� i�ir. from the
5C0% Wproperty lines and a setback
of 50ft. from the road I -INE of G, D,
centerline shall be clear of ` � I -OT ; j J
structures or equipment except ! \
R. 270.00 fir 2 ft. eave overhang. 1 0
I�
,'`3FORM
{
RESIDENTIAL ENERGY PLAN CHECK/ INSPECTION SUMMARY
Owner
5,HASTAJJ
CO, Climate Zone IL_ Permit No. r�rri
J.
n Area
l ZQ6o
`--fflpliance
path: Package ❑ A ❑.B ❑ C Lpoint System []Budget ❑ Other
MIN
R -VALUE DESCRIPTION'
REQ' D
INSTALLED
ITEMS (1)
INSULATION:
Roof/Ceiling^3b
Wall 2-I.1�
❑
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.
BUTTE COUNTY -
Tight - the. above standard features plus: BUILDING DEPART
[] /
(D) Continuous infiltration barrier M�.
[�
(E) Electrical outlet plate.gasket
AP
APPROVED*
❑
(F) *Air-to-air heat exchanger p V E D
(3)
GLAZING:
(A) Location ......
Area Glazing Moor Area Single Double Triple
Total Bldg /60,75. 13,41/
North 341, U 3.Z3
East S 9.0 4.89
(—/
South 35,0 Z,10
ld
West X4 77 2.b�
❑
Skylights
(B). Shading
Shading
Coefficient. Description
Q/
East ,GCS QUAL cglh7aN6, . FMB vR.�PBS
South (do ►� u
West x OFF-U►KITB /Wsi„e F1rL'Ie--C-vP-r W
❑
Skylights �---
(C) South Overhang
Length of projection _ft. Description
❑
(D) Moveable insulation: Area ft2 Description
(E) Thermal mass
Type A - Area %¢3 s Ft.2 HC= R=
MC= 7,3 Location t5e�' GcRom 9
❑.
Type -.Area Ft. HC= R=
MC= Location
❑
Type - Area Ft.2 HC= R='
MC= Location
0
Type - Area Ft. .HC= R=
MC= Location
❑ ..
Type - Area Ft.2 HC= R=
MC= Location
❑
Type - Area Ft.2 HC= R=
MC= Location
7/83
FORM
❑ (4)'
MASONRY AND FACTORY -BUILT FIREPLACES shall be equipped with _i
Ming closeable metal or glass doors covering the entire opening
of the ire oxcom usion air intake equipped with a readily
'
accessible, openable, and tight fitting damper to draw air from the
1
outside of the building; and a tight fitting flue damper with a
readily accessible control. Tr- TtSTED" '"11° -9 wT 2�
*1(5)
HEATING, VENTILATING; AIR CONDITIONING SYSTEM
(A) Heating M. 1A)
Central Gas Furnace 7�6%� %
)FM) -r
MFR`S -•a=L5 (brand and model number) SE
Pg -lop- To
Btu/hr
�NsTa�tintCi (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
4
orientation collector tilt. . rated y -intercept
.rated slope
Q
Other
(describe)
1 *1
(B) Cooling
9d0 M /N
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. s.
(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
o
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
® (A) Gas Only l)IJ%/.10UJ 3� Gallons
(brand and model number.) (tank size)
i l 13 heat Pump w/Electric Backup
�� JJ (brand and model number) �.
Gallons
(tank size)
*2 Active Solar
(collector brand and model number) J
(rated y -intercept) (rated slope) (solar fraction)
ft
2
(backup heater .types brand and model number)
(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.
.(collector area)
® (C) PIPE INSUTATION.. The five let 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 doc tion of sizing heating and cooling equipment by Manual J, sizing
charts orm #4) r other approved methods,. section 2-5352(g), and fill out the
followi
27
Heating: Winter, design temperature °, elevation 205 ', heating .load BTU
elevation'factor 1.0 x heating load - maximum outlet capacity gas furnace
p BTU
Cooling: Summer design temperature¢' °,.cooling load /BTU
*2 Submit T.I.P.S.E. chart or other approved system (form:#5 to document izi
solar panels. 'USP ONLY AS SI�I�1G Ag'
COOLING MAY BE INADEQUATE
DESIGN COMPLIANCE STATEMENT: The above building design meets the requirement's of
Title 24, Part 2, Chapter 2-53 of the Califon is Adminis ration Code.
7/83 SIGNAINAE ff BU.IjfMiNG DE GNER OR PL CAMP .
7.
ZONE 11
H
()
Table 3-4a. Wall Insulation Points
1 9.0-10.0 i•
1 10.1-11.5 1
-13
-l7
1 -10
( -13
.1 -9 I
I -I1 I
S.
WEST GLAZING - 2.9-3.6%
POINTS
L
+2
Table 3-3a. Ceiling. Insulation
Points I
Table 3-7. South-Facfn ,Clarinl Pts
--1--r--"-
Table 3-10,
Shading Coefficient Points
I -l4 I
I -16 I
OWNER MI,S-ry6 J CQ.
S
I to I to I to I to I up
Points
I
T
I
1 14.6-16.0 I
-28
PERMIT N0. "' "'
ASSIGNED
ACTUAL
SK\'LICHT - 0-1.3%
.83 up
I I Glazing Type I
I SC by
I
Glazing Type I
I to 'I to I to I to I ti
1 7 1 1.5 13.1 1 3.9 13.2
I R -Value of Insulation
Points
Total
Orten-
Floor Area
1 0 1 -1 I -3 1 -6 I
INSULATION NOYG1. SLAB
I -1 I -3 1.-6 1 -12 1 -,
.83 up
) -2 I -4 I -8 1 -16 I -21
I I I I I
I of I Sngl, I Dbl, I Tr P -F.7
I cation
I
6L
I Floor Ili -
I 19
I
0
Table 3-8. West -Facto GlazingPcs.
Floor I (U - I (U - I (,
Floor Points
I Floor 1
(U - I (U - I.(U - I
2. RAISED FLOOR - R-19
I
+2• 1
I 19 I
-4 I
I Area ( 1.10) i 0.65) 1 0.41)1
1.��-
I Area 1
`
,%%
O
I 30
I 22' I
-2 I
I I oints I Lincs I ointsl
I East
I 1 3.2 1
r
3. CEILING - R-30
'(�
I
I ° 30 I
I 38 I
0 I
+2 ='I
O +� +3 +3
I to 1.5 1 +2 1
I
I
1 0-3.1 I to 16.4 up
'6.3
�•
4. WALL - R-19
x-13
''
I 49 I
+4 I
up +2 I +2 I
I 1.6- 3.6 ( -1 I 0 I 0
Q
I I I
I Floor 11.
I Area 11.10)
5. NORTki CLAZING - 2.4-3.6%
3,2 3 0/o
O
I I
I
i 3.7-- 5.2 I -4 I -2 I -2 t
1 5..3- 6.5 I -6 I -4 1 -3 I
l
1 0 -.19
I 0 1 +1 I +2
Glazing Type I
I I oints I oints I ointsl
T o T�+-6 1 'T
6. EAST GLAZING - 2.5-3.6
KrB�l%
�'"f
- Z
-12 I
6.6- 7.7 I -9 I -6 I -5 I
I 7.8- 8.9 I -11 I -8 1-7 I
I .20-:36
I .37-.66
I 0 I 0 I +1
I 0 I 0 I 0
7.
SOUTH GLAZING - 1.6-3.6%
Z.�1o%
()
Table 3-4a. Wall Insulation Points
1 9.0-10.0 i•
1 10.1-11.5 1
-13
-l7
1 -10
( -13
.1 -9 I
I -I1 I
S.
WEST GLAZING - 2.9-3.6%
�
L
+2
I R -Value of Insulation I
Points I
1 11.6-17.0 I
1 13.1-14.5 I
-21'
-25
i -16
1 -19
I -l4 I
I -16 I
1 .1 1 1.6 1 3.2 1 6.4 1 9.n
I to I to I to I to I up
T---�
I
1
I
1 14.6-16.0 I
-28
1 -22
1'-'.9 I
9.
SK\'LICHT - 0-1.3%
.83 up
) -2 I =4 I -8 1 -16 1 - 20
I I I I I
Skylight
I .1 1 .8 1 1..6 17.2 14.')
Glazing Type I
I to 'I to I to I to I ti
1 7 1 1.5 13.1 1 3.9 13.2
0-.12
1 0 1 +1 I +3 I +6 I +7
"1
0 1 0 1 0 1 0 1 0
,.13-.36
.37-.57
1 0 1 -1 I -3 1 -6 I
.58-.82
I -1 I -3 1.-6 1 -12 1 -,
.83 up
) -2 I -4 I -8 1 -16 I -21
I I I I I
10.
SHADING (Exclude Overhang)
sngk, Ubl, 1-irPl,7
I Floor Ili -
I 19
I
0
Table 3-8. West -Facto GlazingPcs.
Table 3-2. Raised
Floor Points
I Floor 1
(U - I (U - I.(U - I
-24
I
+2• 1
0 - 0.5 -2 -�
1---T
'j
I Area 1
EAST - .67-.82
,%%
O
I 30
I.
+3 I
I 1
Glazing Type
1 1lpo:nt,_Irolnts I ointcl
SOUTH - .19-.42
.
/_
r�(o
'(�
I
I
1
( Total I
I I of I Sr,gl,
I O 1+
I.
Dbl,
Trpl,
1 0 1
I 2.0 up I 0 I 0
I DePch.. -
WEST - .13-.36
. �O
Q
Table ble ]-5. North-Factng Glazing Pts
-7
I Floor 11.
I Area 11.10)
-
10. - I . - 1
1 0.65) 1 0.4!)1
I I I 1
SKYLIGHT - .37-.57
�'
-'
I 1.4- 2.4 I
I I'
Glazing Type I
I I oints I oints I ointsl
T o T�+-6 1 'T
11.
HORIZONTAL SOUTH OVERIIAPIC 2'
- Z
-12 I
I Total. I
I 2
-2' i 0 1 0 I
1
1 up to 1.3 I
+5
+ 6
I +6
+,
1 +6 1
1 3- 4 i
"ONE
1 3.7- 4.6 1:
-5 I -2 I 71 1
I 3.7- 4.2 I -11
of I
Sn- l,1 UDb- ,
U
I Trpl,
U -
1.4-
+-J3
+4
"+�
+5
DIOVABLE INSULATION -
I -10,
I'' -8 1'
I Moveable Insulatlon•1 I
Aten
0.66 10.42- 0.41 1
II
--32:.:G2�1
I 5. -'6.7^I
+.o+1MED.
1
I +l12. I
11
13,
INFILTRATION (StandardzO)(Tight=+12) fi r$
I Area, I of Floor I Points 1 i
I'Nl6 - 19 1 -5 1 -2 1, -1 1 0 1
1.10 10.65Tdown
3.7-.4.2
-5
-2
O 4-r-1 4--F-.
I -12 I
THERMAL MASS A'142,,S SF
' 1 20 + 1 -5 I -1 I' 0, I +1 I
I 19+ I
0 1.
1.2
+4 +4
+4
4.3- 5.0
5.1- 5.6
-B
-10
-4
-6
i1I1Floor
-20.1-
-414.
'
1 8.8- 9.7'1
-1.7 1. -12 1 -10 1
I
2.4- 3.6 I
+1 1 +0
I +l
1 5.7- 6.2 1
-13
I -8
I -6 1
15;
GAS FURNACE ('SE) 71-76%
I -20
O
I
3.7- 4.8 I'
-4 1 -2
I -1 I
I 6.3- 6.9 I
-1S
I -10
i -7 I
16.
!TEAT PU(1P (EER) 7.5-7.9%
�i3�'
I
I
4.9- 6.1 I
6.2- 1.3 I
-7, 1 -4
-9 I -6
1 -3 I
I -5 I .
I 7.0- 7.6 1
I 7.1- 8.2 1.
-18
-20
1 -12
I -14
I -9 1
I -11 1
i7.
DUAL PACK (SE, SEER) 8.0-8.3/71-76%
14.1;15..3, :
-24 . I -20 . 1
I
I
7.4- 8.2 1
8.3- 9.7 I
-12 I -8
-14 1 -10
I -7 I
I -8 I
I 8.3- 8.8 I-
I 8.9- 9.5 I
2
-25-22
25 I
I -16
-18
I -13 I
I -15 '1
ACTIVE SOLAR 60711IN (NONE)
.
I
10.9-12.0
-17 -12
-19 -14
-10
-12
9.6-1;).;
10.1-l.0
-27
-27
-
-0
-72
-169.8-10.8
-1113.
•
12.1-13.2
-22 -16
-13
II
I
11.9-12.7
-35
-38
-26
-2'9
-21
-24 '
1 9.
ZONALLY CONTROLLED ELECTRIC
13.1-14.5
-2 -1
-15
12.8-11.5
-42
-32
I1III
-27
20.
SO1.\R WITH GAS BACKUP (1114)
14.6-15.3
11 I
-27 -20
.I
17
I I
13.6-14.3 I
-46 i
-35
1 -29' I
14.4-15.2 1
-50 I
-3S
1 -32 i
.67-.82
1 0 1 0 I -1
.83 up
i 0 i -1 i -2.
I South
1 0 1 3.2 1 6.4 1 8.0
I
I to I to I to I to. 1 •,p
I
I
1 3.1 1 6.3 11.9 19.5I
I o -.18
1 0 1 +1 I +'2'1 +2 +1
I.19-.42
1 0 1 0 1 0 1 0 1
I .43-.66
1 0 'I -1 I -2 I -2 1 -!
I .67 up
'
1 0 1 -2 1 -4 1 -4 1 -6
West
1 .1 1 1.6 1 3.2 1 6.4 1 9.n
I to I to I to I to I up
T---�
1.5 i ].l i 6.3 i 7.9
0-.12
1 0 1 +1 I +3 1 +6 I +7
.13-.36
1 0 1 0 1 0 1 0 1 0
.37-.57
I 0 1 -1 1 -3 I -6 I -7
.sg-.82
I -1 I -3 I -6 I -12 1 -15
.83 up
) -2 I =4 I -8 1 -16 1 - 20
I I I I I
Skylight
I .1 1 .8 1 1..6 17.2 14.')
Glazing Type I
I to 'I to I to I to I ti
1 7 1 1.5 13.1 1 3.9 13.2
0-.12
1 0 1 +1 I +3 I +6 I +7
"1
0 1 0 1 0 1 0 1 0
,.13-.36
.37-.57
1 0 1 -1 I -3 1 -6 I
.58-.82
I -1 I -3 1.-6 1 -12 1 -,
.83 up
) -2 I -4 I -8 1 -16 I -21
I I I I I
21. OTHER - NO ELECTRIC
(I [W)
l
I I
I
I I
Table 3-11. linetzoncal South
LZ +C)O`!70 A -mc, tP,
�3
Table 3-9. Sk llpht
Y
Points
Ovethenv Point!
T---1 South'Gla_ing
Table 3-6. East-FaclnClal_ng�Pts
T---�
I Length Out I Area. I of Floor 1 "
ITEMS S1101JN a ZERO POINTS
1
�.
I
I I Glazing Type I
I from Wall I I
_
T
1 I
Glazing Type I
I Total I
I
i ft r
Total I
I
I I of Sogt,
I Uhl,
I Trpl,
1 10-6.3' I 6.4 'up I
I" .I of I
sngk, Ubl, 1-irPl,7
I Floor Ili -
I U -
I U - I
I I I.' I
TAble 3-1. Slab Floor Points
Table 3-2. Raised
Floor Points
I Floor 1
(U - I (U - I.(U - I
1 Arc.t 10.66-'I
0.42-
10.41 I
0 - 0.5 -2 -�
1---T
'j
I Area 1
1.10) 1 0.65).1 0.41)1
1 1 1.10
1 0.65
1 down 1
10.6 - 1.0 I -2 I -3 I
1 In^•,la- i R -Value of Insulation I
I R -Value of 1.
1
1 1lpo:nt,_Irolnts I ointcl
11.1 - 1.9 I -1 I -2
I t:wa I I
--Z
1 Insulation I
Points I
I O 1+
+ +•t -T
I up to 1.3 1 -1
1 0
1 0 1
I 2.0 up I 0 I 0
I DePch.. -
1 I
I
I up to 1.3 1
+3 1 +4 F +4 1
1 1.4- 2.2 1 -3
I -2
1 =1 I
I I I 1
I lnt,es• 1 0-2 13-4 15-0 1 7+ I
I 1.4- 2.4 I
+1 I +2 i +2 I
1 2.3- 2.8 1 -6
( -4
I -3 I
Table 3-12. Movable Insulation
below 3 I
-12 I
1. 2.5- 3.6 I
-2' i 0 1 0 I
1 2.9- 3.6 i -9
1 -6
( -5 1
Points
1 3- 4 i
-8 I
1 3.7- 4.6 1:
-5 I -2 I 71 1
I 3.7- 4.2 I -11
i -8
I -6 I
I 0 - 11 I -5 I -5 I -S I -S 1
1 S - 7 1
-6 I
I 4• _ S.5
-8 -3 I
I 4.3- 5.0 1 . -14
I -10,
I'' -8 1'
I Moveable Insulatlon•1 I
( 12 - 13 I' -5 1 -3 1 -2 1 -1 i
1 8 - 12 I
-4' I
I 5. -'6.7^I
-10 I "=6 I -5 I
I 5:1- 5.6 1 -16
I -12
I -10 I
I Area, I of Floor I Points 1 i
I'Nl6 - 19 1 -5 1 -2 1, -1 1 0 1
1 13 - 18 I
T2 I
I 6.8--7.7 1
-13 1 -8. I -7 1
1 5.7- 6.2 I -19
i -14
I -12 I
1 1 1
' 1 20 + 1 -5 I -1 I' 0, I +1 I
I 19+ I
0 1.
1 1.8- 8.7 I
-15 1 -10 I -8 I
I 6.3- 6..9 I -21
i -16
1 -13 I
1 8.8- 9.7'1
-1.7 1. -12 1 -10 1
1 7.0- 7.6 1 -24
I -Is
I -15 I
I 0- 5.5 I 0 I
1 9:8-11.2 1
f -15 I -13 1
I 7.7- 8.2 I -26
I -20
I -17 1
I 5.6 - 11.5 +2
7,/7/8 3
1 11.3-12.7 1-18
1 12 8-14.0
•I -15 1
`' 721 I -18 I
1 8.3- 8.8 1 -28
I 8.9- 9.5 1 -31
I -22
I -24
I -19 I
I -21 I
I 11.6 - 17.5 r4
I 17.6
,;;
- 27.:
14.1;15..3, :
-24 . I -20 . 1
I 9.6-10.1 I -73,
,I .-26
I -22 I
1 >23.6+ i. +g , ..... i::..,:.
GLAZING PLAN TAKEOFF SHEET AOR M B
3-5 North Glazing
QUANTITY . - SIZE AREA (SQ.FT.)
2 x- 2("'q'0
> x 3o to 3.0
C) x l!o .
d) x =
e) x
Total North Glazing 347,6 (SQ.FT.)
(a+b+c+d+e )
OTAL
South Glazing
ORTH
TOTAL BLDG
AZING
FLOOR AREA
a) —� x
x
Q.FT.
SQ.FT.
CONVERSION TOTAL %
FACTOR NORTH GLAZING
100 = 3.23 `/o
3-7
South Glazing
QUANTITY
SIZE
AREA (SQ.FT.)
a) —� x
/0-0
b)
F x 3o o =
9 .-O
C) _
l xD�O
(d)
d)
x =
(e)
e)
x =
Total East Glazing =
Total South Glazing.=
3 S.0 (SQ.FT.)
(a+b+c+d+e)
(a+b+c 4d+e )
TOTAL
rYrAT.
.
TOTAL BLDG CONVERSION TOTAL `/
TOTAL BLDG CONVERSION
TOTAL %
.AZiNG
FLOOR AREA FACTOR
SOUTH GLAZING
°i
X. .100
2,90 �io
,)Q,. FT.
SQ.FT.
3-9 Skylights
QUAN`IITY SIZE / AREA .(SQ.FT.)
,a) x
.b) x =
,c) X =
Total Skyligh s = (SQ.FT.)
(a+b+c )
3-6
East. Glazing
QUANTITY SIZE
AREA (SQ.FT.)
(a)
I x
(b) �— x 3010
(c)
9 x 0c�9� =
D•o
(d)
x =
(e)
x =
Total East Glazing =
59.0 (SQ,FT.)
(a+b+c+d+e)
TOTAL
EAST
TOTAL BLDG CONVERSION TOTAL `/
GLAZING
FLOOR AREA FACTOR
EAST GLAZING
x 100
°i
SQ.FT.
SQ. FT. .
3-8 West Glazing
QUANTITY SIZE AREA. (SQXr. )
(a) I x 2-030= G.o
(b) Z x Z4o40'
(c) J x 20340
(d) x =
(e) x =
Total West Glazing..=. S4,7 (SQ.FT.)
(a+b+c+d+e) , r .r
TOTAL
WEST TOTAL BLDG CONVERSION TOTAL %
GLAZING FLOOR AREA FACTOR WEST GLAZING
x 100 = X2,88 `i.
SQ.FT. SQ.FT.
:OTyL
:PLIGHT TOTAL BLDG. CNVERSION TOTAL %
-1ZING FLOOR AREA FACTOR . SKYLIGHT GLAZING
x 100 =
-Q.FT. SQ.FT.
.1*E R SH Ae(A J 6-0,
?R,11T NO.
/83
16107,7s
13� 9r �b
' '�
F-ORM
• 0WNER � �', f<-TAt I % , THERMA.L MASS TAKEOFF SHEET
PERMIT NO.
° •Thermal mass: Materials which have the ability'to store heat (typical types
are masonry,
brick and ceramic tile).
. Thermal mass cannot be insulated from the interior of
the building. (If covered
by car-
pet.- 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 wll: i
not occur. (Covering of vinyl or asphalt tile and
linoleum is permitted).
:. }
TYPE THICKNESS LOCATION
DIMENSIONS
AREA
Entry Floor
' x '
� , o SQ
�—
• Bath #1 Floor
' x '
► 3 •�� SQ.FT.
" Bath #2 Floor
' x ' a
ZS. o SQ.FT.
�— ---- Bath #3 .Floor
' x ' II
SQ.FT.
Kitchen Floor
' x
Floor
' x ' a
SQ.FT.
Floor
' x' a
SQ.FT.
Fireplace
' x ' s
•rug SQ. FT.
ireplace
' x '�
SQ.FT.
Bath #1.Counters
' x' a
__SQ.FT. '
Bath #2 Counters'.
x ' e
_SQ.FT.
Bath 0 Counters
' x. ' a
SQ.FT.
Kitchen Counters
' x ' a
FT.
Wall Shield
' x ' a
_SQ.
SQ.FT.
Walls
' x ' a
SQ.FT.
.. Walls
' x a
Walls
' x '
__SQ.FT.
SQ.FT.
x a
SQ .FT
x '
SQ.FT. _
' x a
SQ.FT.
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.
-
�r� N H
143.5
r:"!� 7/83