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HomeMy WebLinkAbout047-320-0541 l I 47-32-54�^,�� RED WATSON 1 < � �'-`�f' 4177 ,Keefer Rd., Chico Permit #378-89B(pri. det. stg / 47-32-54 3160-89B , WATSON, Fred v 4177 Keefer Rd, Chico a.� r Contr: Four Counties Roofing (rero(jf/S_F) 047-32-0--:-05-C-9-3 3107 BPEM WATSON, FRED, 4177 KEEFER RD, CHICO1/r" ► CONTR: RICK SCHMID I CONV EXST GAR TO•LVG, NEW GAR & ADDITION LROOF 4 OS -2509 FAMILY LIVING, TRUST ER RD, CHICO R ROOFING C� P<f2I v F i a MOM �''7 N BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP052509 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and Issued Date: 09/16/2005 APN: 047-320-054-000 effect. � License Class : C3 2 License Numbers( G✓/ < 3113 Dater /0 o� Contractor: K, f_00--PILJC . Site Address: 4177 KEEPER RD CHI Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: REROOF W/COMP (65) 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 Owner: WATSON FAMILY LIVING TRUST. 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 State License Law (Chapter 9 commencing with Section WATSON FREDRICK F & ALVA M 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 TRUSTEES violation of Section 7031.5 by any applicant for a permit subjects the 4177 KEEFER RD applicant to a civil penalty of not more than five hundred dollars ($500).): CHICO, CA 95926 ❑ 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' Stale License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for Applicant: G & R ROOFING 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 2587 NORD AVENUE sale.). CHICO, CA 95973 ❑ I, as owner of the property, am exclusively contracting with (530) 894-6537 licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State 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.). . Contractor: G & R ROOFING ❑ I am Exempt under Article 3 of the Business and Professions Code Date: owner: 2587 NORD AVENUE CHICO, CA 95973 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: (530) 894-6537 ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the License #: 773913 Labor Code, for the performance of the work for which this permit /is issued. VY 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 Architect: insurancecarrier and policy number are: Engineer: Carrier: CX Policy #: ❑ I certify that in the performance of the work for which this permit is Total Square Ft: 0 S. F. issued, I shall not employ any person ilii any manner so as to Valuation: $0.00 become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' Census Code: compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. . \ ,� 9 I , CONSTRUCTION LENDING AGENCY This permit is hereby Iss ad under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolutions to rk ind' ited above for which fees have been paid. //`` performance of the work for which this permit is issued (Sec 3097 Civ.) P V Name: BY: Dater Address: PERMIT EXPIRES - y Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby 'authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. rrol?P �LCIi Print Name: S Signature: Date: I,/D5/ ',❑ Owner WIC-ontractor 13 Agent for Owner ❑ Agent for Contractor DEPARTMENT UN DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION A.AND SUBMITTAL REQUIREMENTS 24 HOUR INSPEMOM: OROWLLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE ti:. (530) 538-7541 • . . A FEE WILL BE REQUIRED AT TIME OF.9 PPLICA.TION . . Website: www:butteeounty.neUdds **PLEASE PRINT CLEARLY** APPLICANT SIGNATURE X L� For office use onhr Flood Zone I I SRA Yes La ypeConst p Book I Page I OVER FOR SUBMITTAL REQUIREME ruTORMSIBUILDING FORMSXBIdaAoolSuhRnmtc tine. No Lot # 1 BIN. # LOCATION AP# Pro rlyfiLddress Cross sweet: WORKER'S COMPENSATION Policy Number .[Compensation Carri fhiring anyone otirtir than license c hactors,.8 certificate of worker's must be shown at the time of permit Issuance. LENDING AGENCY :.Name Address..'. Description or Scope of Work. O Proposed Change of C (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application., In order to renew action on, an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS . . Refunds can only be made upon written request by the person who paid the fee. The request must be made prior'to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not Receipt #- +AUP Paso 1 of 7 Amount: Bldg SRA • Sheriff SMTP Other ' Total DOW 7 1)7 Aa y - R SI ENTIA4 047-32-0=054 . _ 93-3107 BPEM WATSON, FRED 4177 KEEFER RD, CHICO CONTR: RICK SCHMID CONV EXST GAR TO LVG, NEW GAR & ADDITION 1 OFFICE COAY —� Address GAS 22 Meter By IJ 4 Date ELECTRIC Meter By Date i F a_G7e AeliVii.vg. % A/SF'Cr�T/D�,, OFFICE COPY Address Meter By Date +fF ELECTRIC /) jMeter Byy — Date �o y 1ti���'� 1 w JOB FINALED. (Data) / Signature . Insulation Certificate County Subdivision Description of Installation ROOF '• . r• `� r Material Thickness (inches) . j t , t r y t ' s4 County Subdivision Description of Installation ROOF '• . r• `� r Material Thickness (inches) . j t , t r �; W Numbs 1 r Brand Name � 1 Thermal Resistance (R -Value) CEILING Batt or Blanket Type Fiberglass Brand Nam Certa#teed Thickness (inches) teat ern maM=l Resistance (R -Value) -- ' r Loose Fill Type Brand Name Certainteed Contractor's minimum installed weight/ft lb Minim= thicimess -jg inches Manufacturer's installed weight per square foot to acheive Thermal Resistance (R -Value) _ 3� EXTERIOR WALL Material Fiberglass Thickness (inches) RAISED FLOOR 1 Material.. Fiberglass 'Ihicimess ('inches) SLAB FLOOR - r Material ,�'« i . Thickness (inches) Width (inches) BrandNaine Certainteed Thermal Resistance (R -Value) / 3 BrandName� Certainteed 'Thermal Resistance (R -Value) Brand Name n Thermal Resistance (R -Value) FOUNDATION WALL Materia Fiberglass .. Brand Name Certainteed- . Thickness (inches) a Thennal Resistance (R -Value). Declaration I hereby certify that the abova'uisulation was installed in the building. at the above location in Conformance with the current Building Energy Efficiency tandards for new residential buildings contained in Title 24 of the C ' o " 'a A m' a Code. r ��`L , Umaal Contractor (Build=) _ LieaueNwnber Signature and ride • Dam Hawkins Industries Inc./Shasta Insul. 650722 �Idrlde�. 91��S�ipww , - Dam \I t, it V_= 09'j. O = 4dt OK - = Not Applicable = Not Ready #'s RESIDENTIAL (Single & Duplex) 2. Rtg' Mein; So -Elec. GFAd.-f--P' Fig. Depth 4 g., G e; Soils-Steel-Elec. Grnd.-/ /" Fig. Depth , /1n7 4 or42omAes-&-Decks: Soils -Steel-/ /Fto. Death 6a. Hold Downs and Special Anchors Slab; Steel -Wrapped 8. Piers -Fire lace Ftg.-Steel or /O l/9 9. D. , Fall -Fitting -Te - ay ewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Materiel -Support -Ina. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING Per t OK xce t #'s 16. Water HV, Ve ccess-Combustion Air -Baffle 17. Water Pi , Tesu&-Knchor- rotectlon 18. D. est -Fit s & Ancho i Protection 19. , rs Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/initials ELECTRICAL Permit OK except #'s 22,&F'1x!.Ee & Transformer Clearance- s. Protection 21-dec. ggceptacles Spacing-ftSwitches at Doors 24LSdo-Boxes & No. of Con ctors-S pled 2 ex Installed Close to Ed of Studs & C.J. uip,,Wound made up w/Meth. Fastners-Bo es ater 29,e'kppliance Circuts in Kitchen & Conductor Size/GFI 211 ga. Uu or - ze,7 / ga. 29. u or ve ,a or Al. re Yes No 30. Service -Riser Conductors & Ground -Main Disconnect 31. EqWp. Clearances Panels -Motors -Mach. Equip. J> 3 3Q,,6gjbea Closet Light -Shower Light -Spa Light it✓JO 3$0tmoke Detector Date/Initials MECH6MCAL (Permit) OK except #'s C. Pucts Insulation & Support 3 t Fan; Exhaust ab insulation .1 36.LQo, ansate Drain& Overflo & Grade 3 ur_amce-Vehs- ccess-Comb. Air -Return Air Vent FiA outlet � V 38,4t -tic Access & Date/Initials FRAMI Plana OK except #'s 31,6JTs,,Fxoper Material & Anchors 4 y�'St <a iling, Spacing & B a�ci -Plates-Sound 41�'Tea ' g Wells over Girders & Floor Nailing 42.' re Stop in Walls (ret proof) 4 . i Stops; Furred Ceilings- -Chases-Tub , de,,O Beam -Size & Bearing P, n � KQ 11 Date/Initials FRAMING (Continued) 45. Han rs-Post Caps -Anchors -Connectors J2,-2-43 ng. Joia tr ties-Purlin=roo re us hthng -Rfng KOV 47."FrreTp' a e Ties or Ty�Tue-F replace Throat clearance 48. Attic A ; Size & Romex Protection -Draft Stop -Ina. B s 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 5Q,.4ef9-ge Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Sidlno-Nailina Veneer L-1:9�W Sk4z- 200'Screed-Fd. Vents-Underflr. Access ) I -13 •-47 Area -Glass 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows /Z-7-95 AQD Uve Date/initials ,FIN Plans) OK except #'s Wr Ext. S190 -Door & Sidelight Protection -Landings 6--�mok%Zd ector 8 rnace; Vents -Clearance -Comb. Air -Connector - In ge; Above Floor -Ducts -Meeh. Protection 52 2m Exiting 65.6d. -F. 1. & Bath Fixtu Tub Access -Spa 66 im & Subpanel; B F SILUO It L801013 6A-eflrs & Rails !i . 6 89 xt. & Appliance; Grnd: Alr Gap a t 7+'O'Elp.rOutlets & Receptacles . Counter erage Fire Door, Swing -Landing -CI 73. A.C._Qmct in Garage -Damper 74,40fr. Htr.; Vents -Clearance -Comb. Air -Connector- . ( In Garage; Above Floor -Mach. Protectio 1 7 ems: & Mach. Equip. Listed ocayon 76.:Elet . eceptacles in Garabwj .RJ+41(o`mex P ection 7 aulation-Foam-Looked in Attic e 7 Rails & Deck Construction-Pos aps 7 . Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearjace Looked under Floor W -M 80o4Vrowing instld.; Drive ❑ No; Walks es O No; Pw6ters Yea t ' Stucco; B wn-F sh 8 rrft; Disconnect, Me al, Plumbing 8 . ants Above Roof; PI : Applianc nce to 84�YlTate11; Disconnect, Ele�tal, Plumbing 88-4! erio Elec. Trim; t"': Receptacle -Underground 8 ntytion Throughout House 89. Comments st Flnal: Grade -HD CS( V=OK O=Not OK Not = Not Ready MOBILE MOBILE HOMES Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch ' 3. Sewer; Location -Test -Fell -C/0 Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L"ft. / /"Net. or/ P'L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'a 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3.. Gas; MH Teat -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/0 to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Size-Depth-Spacing-Connectora-Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftm. Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/Initials POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI ' 8. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip :Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosu res -Panel boards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 Y 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE 93 310-4 OWNER PERMIT NO. A roudne inspection i Icates that the following violations of Butte County Ordinances exist at the above ad nd should be corrected. Please notify this office when correction of work iscorrpleted. ou have any questions pertaining to this matter, or need additional explanation, please ct this office immediately. A 0 Date 9 Inspector REb t ' . F COUNTY OF BUTTE • / BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER oi- PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work iseorrVleted. 11,visuhave any questions pertaining to this matter, or need additional explanation, please co this office immediately. / Date COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER PERMIT NO! A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. Nyou have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. lt' 1 I r r Date / 2—lJ—�1�,ispectot REV 110612 COUNTY OF BUTTE i 3 BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES ' 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine bmWectian indicates that the following violations of Butte County Ordinances exist at the a6we adldress and should be corrected. Please notify this office when correction of work ps epleted Wym have any questions pertaining to this matter, or need additional explanation, ea�ae-dim office immediately. Date /0) -&-Q!3 Inspector REV 1OW COUNTY OF BUTTE n BUILDING DIVISION - DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 53&-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE 3- 31 0-3�- OWNER— PERMIT NO. A routine inspe ion indicates that the following violations of Butte County Ordinances exist at the above add ss and should be corrected. Please notify this office when correction of work is completeof you have any questions pertaining to this matter, or need additional explanation, please co a is office immediately. Ab (k n 1"A r r'% 01 r +1 . V".^ �„ i Date Inspector REV 10192 COUNTY OF BUTTE - DEPARTMENT OF DI <VELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, Callf�irnia 95965 - Telephone (916) 538-7541 ^ PERMIT NO. I '� APPLICATION AND PERMIT r J 93-3107 ASSESSOR PARCEL NUMBER 047-320-054 ZONING - SR1 BUILDING PERMIT OWNER FRED WATSON TELEPHONE 342-9538 SQ. FT. OCC. BUILDING VALUATIO 321.2 R 17 344.80 OWNER'S MAILING ADDRESS 4177 KEEFER RD CHICO 95926 561 . R 11,220 CONTRACTOR'S NAME RICK SCHMID TELEPHONE 893-4553 792 M 14,256 7 CONTRACTOR'S MAILING ADDRESS 14014 MORNING GLORY, CHICO 95926 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 42 820.80 Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 369.00 ARCHITECT OR ENGINEER ROBERT HEATON LICENSE NO. C9192 Plan Checking Fee $5 Energy Plan Checking Fee $ 23.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS 2044 PALM AVE, CHICO 95926 Penalty $ BUILDING ADDRESS 4177 KEEFER RD, CHICO PERMIT FEE $ 651.85 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7 7.00 49.00 Solar or heat pump water heater 23.00 Water piping 15,00 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 5.00 USE OF STRUCTURE SFU Duplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 5 outlets 15.00 15.00 Building sewer 15.00 Mobile Home S G W 20.00 TYPE OF WORK New ❑ Addition Iff Remodel El Utilities ❑ Installation ❑ Other C) Describe Work: CONV GARAGE TO HORRY ROOM+ R OFFT .., NEW GARAGE, Twn--RDRM ADDITION � PERMIT FEE $ 114.00 Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 200AORLESS I 23.00 Main Service ( 200A TO 1000A I 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. BLDS. I S0. 3.50 FT, 58-60 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compensation, 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 contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET .NON-RESID. ( BRANCH CIRCUITS I @7.50 ( POWER APPARATUS I 8 SINGLE OUTLET CIO. Ex. Occup. ( OUTLET OR FIXTURES I B2 @1.`00 Ex. Occup.FIXED APPLNS. OR (OUTLETS (RESID.) EA. I 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. ' (Vl shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 101.60 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating 15.00 Cooling 25.00 ,Hood 6.50 Ventilation 1 4.50 4.50 PERMIT FEE $ 64.50 X&YNN Contractor I certify that I have read this application and state that the above information is. correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County i nse ce of the rantin of this permit. X Date ; /~% `!J Signature o Applic t - Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 46.00 CO �� OTAL FEES g 1 75 11 FE IMP Fri O C PARCEL H ISSU This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work Indic a bove fo which fees have been paid. IR CTOR OF PUBLIC WORKS f 3 Date� ��/%% PERMIT EXPIRES ON IZ Vim'% (Date) �- Receipt No. /�� WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTYOF BUTTE -DEPARTMENT OF D1WVEL'.�PMEN�TSERVICES -BUILDING DIVISION ' 7 COU NTYCENTER DRIVE - OROVILLE,"CALIFORNIA 95965 -TELEPHONE (916) 538-7541 i y = PERMIT APPLICATION -DATA SHEET OWNER A. P. No. 2— 32,- ._5717,, Proposed Building Use s/` /j Building Inspector "Date / S� At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted. ....................................... . 2. Plot plans, 3/4 sets, signed by preparer of plans . ......................... . 3, Complete plans, 3/4 sets, signed by preparer of plans . ..................... . .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form. ........................................... . 6. Energy Design Compliance and supporting documentation . .................. L000Statement of Intent for Non -Heated and A/C Buildings . ................... CY�8. Engineered truss details and layout in duplicate (required prior to plan check). 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of . .....................:..... . 1. Im ees as shown on attached sched �C,!{oQ.�.. , ,c�,c/ .. , , , , , alifornia Department of Forestry pla I ees .. 13. Flood elevation letter (100 year flood)_by Californ �1 Sanitation and plot plan approval SOW CO Health Department . ........... . 15. City of Chico plumbing permit . ........................................ 16. Plot plan and business license approval from City of Biggs/Gridley. ............. ijr 17. Planning approval for (A) Use: (B) Parking: 18' Contact Land Development about (A) Improvements (B) Drainage. ..........o, i 19. Driveway permit (construction approval required prior to occupancy). ...Pre*4 A n°qes � 20. Pre -inspection for required. .. to Bu.12.9Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . ............. . 22. Certificate of Workmans Compensation Insurance . .........................:� 23. Owner -Builder Verification (Given to owner , Mail to owner _). ........... . 24. Recorded copy of Agricultural Acknowledgement Statement . .............. �... . 25. Letter of signature authorization. 26. Copy of recorded deed of parcel creation and 60 right of way to a public road; .... . 27. Letter of intent on building use . ........................................ . 28. Mobilehome utility clearance . ........................................ . 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 'Al isting violations/expired permits . ..............: I.., ..................... Iancheck list . .................................................... . 34. When yoyAissue the permit, process as follows: Mail to owner. Mail to contractor. 4,, -"Telephone 3K. F3'316 and hold for pickup at 0 office. Deliver with inspector. Other Parcel Creation Acreage A p p I i c a t Date Copy of Haz-Mat form sent Health Dept. Fire Dept: - Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted pri t •ermi sua : (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by , hone _ mail .Counter b Date Contractor, designer, owner s ised of above re uired data by _phone _ mail Cou _ Date Plans checked by Date Plans approved by Date o � - Sets of plans on hold in Copy - Department of Public Works File cabinet AP folder M m TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance E.H. llSE ONLY Hol Ilan Attached Pleur Plan Attached Sent to B.U. , _-/-7� IN n Yl? 'l7 -3i / Owner L cation AP# Plan Approved. for: Sewage Disposal Water Supply: Public Private Well Clearance for bedroom mobile home. Other ���lA �/� T:� Hold final for: Final clearance O.K. for: NOTE AAZ w. X j/ Environmental Health Specialist 8/92 Date STATEMENT T RESIDENTIAL '(- COMMERCIAL WATSON PAINT, INC. COMPLETE PAINTING SERVICE SHEETROCK HANGING AND FINISHING 4177 KEEFER RD. PHONE 19161 342-9538 CHICO, CALIFORNIA 95926 DATE 10-8-93 COUNTY OF BUTTE: FOR SERVICES RENDERED I INTEND FOR THE NEW ADDITION ON MY HOME AT 4177 KEEFER ROAD, CHICO TO BE USED BY MEMBERS OF MY IMMEDIATE FAMILY ONLY. FRED WATSON COUNTY OF BUT -rt, BUILDING DEFT �c r o 7 1993 f} 54, /V- P S` 2-k-\- 4fEK�-* 8/91 RESIDENTIAL PLAN CHECKING GUIDE ` MISCELLANEO.US-, ITEMS. TO LOOK OUT FOR :1.,, Stairw details: landings, rise and run, head clearance, handrails (Sec. 33 6). 2. Guardr•..ail• etail's (Sec.',17.11. '&306(j)): 3. Brick or st a veneer, '(Chapt 30,)x. 4. Exterior plas er- 'weep sc eds (Seca '4706) ., 5. Proper' roof >pi 'hY for.',rso convering.(Chapter- )a. -32 6. Roof covering ty - re haiird). 7. Foam insulation ection. 8. 36" halls and sta' ys.. 9. Living area ove gar a e - complete 1-Hour separation requiredon garage side including su orting Ills and posts, etc. 1 10. Two exits n..three=stor' dwellings (sec. 3303 & see Mezannines - 1716). 11. Attic cess `and • vent la ' on' ;(Sec'.' 3205) . .. " • ` ; 12. Unde loor access and* ven 'lation (Sec.-' 2516'). 13. C ustion air for fuel b ing appliances - L.P.G. requirements. 14. oise requirements on duple s. . Energy design. 16. Flashing at all exterior open- gs. t 17. CDF responsible area requiremen s. ' t GENERAL INFORMATION Conditioned Floor Area..... Building Type..... ....... Construction Type ......... Building Front Orientation. Number of Dwelling Units.... Number of Stories.......... Floor Construction Type.... 880 sf Single Family Detached New Front Facing 0 deg -(N) 1 1 Slab On Grade (Package D) 2 BUILDING SHELL INSULATION Component Insulation ------------------------- Assembly 2, Type CERTIFICATE OF COMPLIANCE `RESIDENTIAL - Page 1 CF -1R Project Title.... .. Fred..Watson :' Date........ 07/30/93 Project Address...:.::. KEEFER ROAD CHICO, CALIFORNIA ---- ------------- -- ; — 0 72 ; 0.029 Attic , Documentation Author.:. Robe,rt.B.:.Heaton ; Buil ng Permit ; Company..... .. .... -ROBERT HEATON L► d• Telephone. .: Plan Check / Date , FENESTRATION ------------ Compliance Method..::::" MICROPAS4 by Enercomp, Inc. _ ; Field Check/ Date ; Climate" -Zone... 11 --------------------- MICROPAS4 v4.01 File-WATSON Wth-CTZ11S92 Program -FORM CF -1R ; User#-MP0400 User -ROBERT HEATON -------------------------------------------------------------------------------- Run -HOUSE ; GENERAL INFORMATION Conditioned Floor Area..... Building Type..... ....... Construction Type ......... Building Front Orientation. Number of Dwelling Units.... Number of Stories.......... Floor Construction Type.... 880 sf Single Family Detached New Front Facing 0 deg -(N) 1 1 Slab On Grade (Package D) Area Orientation (sf) ------------------- ----- Window Left (E) -l"28.0 Door Left (E).-- 40.0 Window Back (S)i 27.5 Window Right (W)'.- 14.0 Skylight Horz 12.0 U- # of Interior Value Panes Shading ----- ----- 0.870 2 BUILDING SHELL INSULATION Component Insulation ------------------------- Assembly 2, Type R -value U -Value. Location/Comments ------------- Wall ---------- �R-13 -------- 0.088 -------------------------- GARAGE WALL, Exterior Roof -R-38 0.029 Attic Door R-0 0.330 Front.Door, Garage Door S1abEdge R-n/a 0.000 FENESTRATION ------------ Area Orientation (sf) ------------------- ----- Window Left (E) -l"28.0 Door Left (E).-- 40.0 Window Back (S)i 27.5 Window Right (W)'.- 14.0 Skylight Horz 12.0 U- # of Interior Value Panes Shading ----- ----- 0.870 2 ---------- Drapes.Std 0.770- 2 Drapes.Std 0.870 2, Drapes.Std 0.870 2 Drapes.Std 0.770 2 None Type Exposed --- S1abOnGrade No S1abOnGrade Yes THERMAL MASS ------------ Area Thickness (sf) (in) 775 3.5 105 3.5 Exterior Shading -------------- Over- hang/ Fins None Yes None Yes None Yes None Yes None None BUTTE COUNTY Framing Type Metal Metal Metal Metal Metal BUILDING DEPARTMGN1 Locat�io• �-ti "��� E� - CERTIFICATE OF COMPLIANCE: RESIDENTIAL F• Page'2 4, CF -1R '07%30/93 Project Title.......... Fred Watson Date ' .. MICROPAS4 v4.01 File-WATSON Wth-CTZllS92 ,';Prog ain-FORM CF=1R.' ._r,= ; User#-MP0400 User -ROBERT HEATON . 'Run HOUSE HVAC SYSTEMS r _ Minimum Duct Duct Thermostat, ­ Equipment Type Efficiency Location R"Value' =,, Type Furnace 0.800 AFUE Attic �,R-5 6 -Living Stat ACSplit 10.00 SEER Attic :`R-5.6 LivingStati ' WATER HEATING SYSTEMS Number Tank External in Energy Size Insulation Tank Type Heater Type Distribution Type -System Factor ­(ga-l-) R_value ------------------------------------------ ------ ------ ------ ---------- Storage Gas Standard 1 0.544 EF 40 -°;R- 12 SPECIAL FEATURES/REMARKS ------------------------ CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 3 CF -1R Project Title Fred Watson P Date........ 07/30/93 ----------------------------------------- _ ' MICROPAS4 x4.01 File-WATSON Wth-CTZ11S92 Program -FORM CF71R ' ' User#-MP0400 User -ROBERT HEATON Run -HOUSE ; ---------------------------------------------------------=--------------------- COMPLIANCE STATEMENT -------------------- This certificate of compliance lists the building features and performance specifications needed to comply with Title -24, Parts 1 and 6 .of the California Code of, Regulations, and the administrative regulations to implement them. This certificate has been. signed by the .individual...with. overall design responsibility. When this certificate of compliance is submitted for a single building plan to be built in multiple orientations, any shading feature that is varied is indicated in the Special Features/ Remarks section. DESIGNER or OWNER Name.... Robert B. Heaton Company. Architect Address. 2044 Palm Avenue Chico, CA 95928 Phone. 6) 343-8038 License. C 9192 Signed ..6A3 (date) Name.... Title... Agency.. Phone... Signed.. ENFORCEMENT AGENCY (date) DOCUMENTATION AUTHOR Name.... Robert B. Heaton Company. ROBERT HEATON Address. 2044 PALM AVE. C CO, CALIFORNIA 95926 Phone... /(916)34_3-8038 _2'4 L -el Signe . 2 /3 4d (date) MANDATORY MEASURES CHECKLIST: RESIDENTIAL °'.=:��`=� "` <Page MF -1R`_., Project Title.......... Fred Watson `Date*. ,07/30/93 Project Address........ KEEFER ROAD -=--------- - CHICO, CALIFORNIA ; L ;... -_ Documentation Author... Robert B. Heaton Building .Pe`rmit:# ; Company ................ ROBERT HEATON Telephone .............. (916)343-8038 :;- ~ A - . , � - • � :Plana Check / � .Date ; - Compliance Method...... MICROPAS4 by Bnercomp.,;: nc. .,:.ti ; "Field Check/ Date Climate Zone. ........... 11 - ---=----------------- a. ____ ______________________ MICROPAS4 v4.01 File-WATSON Wth-CTZ11S92'.'.`.Progr_am-7FORM,MF-1R- ; ..- �. User#-MP0400 User -ROBERT -HEATON Run =HOUSE , Lowrise residential buildings subject -to the Standards must •contain these measures regardless of the compliance -approach used." Items marked' with, an asterisk (*) may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist'is incorporated into the permit documents, the features noted shall be.-considered�by all -.parties as binding minimum component performance specifications, .for --the .'mandatory ' ineasures whether they are shown elsewhere in the documents or on'this checklist only. BUILDING ENVELOPE MEASURES -------------------------- Design- Enforce- er ment *150(a): Minimum R-19 ceiling insulation. 150(b): Loose fill insulation manufacturers 1-abele'd'kR=Value. *150(c): Minimum R-13 wall insulation in framed walls - (does not apply to exterior mass walls). *150(d): Minimum R-13 raised floor insulation in framed floors; minimum R-8 in concrete raised floors. 150(i): Slab edge insulation - water absorption rate no greater than 0.3%, water vapor transmission rate no greater than 2.0 perm/inch. 118: Insulation specified or installed meets CBC quality standards. Indicate type and form. 116-17: Fenestration Products, Exterior Doors and Infiltration/ exfiltration controls a. Door$ and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Manufactured fenestration products have label with certified U -value, and infiltration certification. c. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed. 150(g): Vapor barriers mandatory in Climate Zones 14 and 16 only. 150(f): Special infiltration barrier installed to comply with Sec. 151 meets CEC quality standards. 150(e): Installation of Fireplaces, Decorative Gas Appliances and gas logs 1. Masonry and factory -built fireplaces have: a. Closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and control 2. No continuous burning gas pilots allowed. 92\_fE sor, 1 i MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 2 MF -1R -------------------------------------------------=----------------------------- Project Title.. ....... Fred Watson Date........ 07/30/93. ------------------------------------------------------------------------------- MICROPAS4 v4.01 File"-.WATSON Wth-CTZ11S92 Program -FORM MF -1R ; User#-MP0400 User -ROBERT HEATON Run -HOUSE ' ----------------------------,,,--------------------------------------------------- SPACE CONDITIONING,,WATER HEATING AND PLUMBING.SYSTEM MEASURES Design- Enforce- ;, : f er ment 110-13: HVAC'equipment, water heaters, showerheads`a_nd faucets certified by the CEC. 150(i): Setback thermostat on all applicable heating systems. SAT,l 150(j): Pipe and Tank insulation 1. Indirect hot.water tanks (e.g., unfired storage tanks or backup solar hot water tanks) have insulation blanket (R-12 or greater) or combined interior/exterior insulation (R-16 or greater). 2. First 5 feet of pipes closest to water heater tank, non - recirculating systems, insulated (R-4 or greater). 3. All buried or exposed piping insulated in recirculating sections of hot water system. 4. Cooling system piping below 55 degrees insulated. 5. Piping insulated between heating source and indirect hot water tank. S1+T. I *150(m): Ducts and Fans 1. Ducts constructed, installed and sealed to comply with:.UMC sections 1002 and 1004; ducts insulated to a minimum installed value of R-4.2 or ducts enclosed entirely within conditioned space. 2. Exhaust fan systems have backdraft or automatic dampers. 3. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers. SKr ( 114: Pool and Spa Heating Systems and Equipment 1. System is certified with 78% thermal efficiency, on-off switch, weatherproof operating instructions, no electric resistance heating and no pilot light. 2. System installed with: a. At least 36 inches pipe between filter and heater for future solar heating. b. Cover for outdoor pools or outdoor spa. 3. Pool system has directional inlets and a circulation pump time switch. 115: Gas-fired central furnace, pool heater, spa heater or household cooking appliance have no continuously burning pilot light (Exception: Non -electrical cooking appliance with pilot < 150 Btu/hr.). SIT.I LIGHTING MEASURES ----------------- Design- Enforce- er ment 150(k): 40 lumens/watt or greater for general lighting in kitchens and rooms with water closets; and recessed ceiling fixtures IC (insulation cover) approved. StIT.I COMPUTER METHOD SUMMARY Standard Page.1 C -2R ----------------------------- Project Title. ...... Fred Watson : Date... :, 07/30/93 Project Address... ... KEEFER ROAD }-,. --------------------- 86.43 CHICO, CALIFORNIA ; Documentation Author... Robert B. Heaton..- Buildin"g Permit # ; Company... . ...... ... ROBERT HEATON 20.76 Telephone." ... ........(916)343-8038 40.41 = Plan Check:/,Date ; 129.54 50.50 79.04 = Compliance Method....... MICROPAS4 by Enercoinp;°.`I-nc. a ; Field 'Check/ Date ; Climate Zone........... 11 .--------------------- 'MICROPAS4 v4.01 ---------------------------------------------- File-WATSON Wth-CTZ11S92":''Program- FORM: 'C -2R_'' ; User#-MP0400 User -ROBERT HEATON ------------ ----------------- ------------ --------- --------------- Run -HOUSE -" ---------- -------- ---------------------------- ---------------------------- MICROPAS4 ENERGY USE SUMMARY = Energy Use Standard Proposed Compliance = _ (kBtu/sf-yr) Design 'Desi'gn Margin = = Space Heating.......... 86.43 10.83 75.60 = Space Cooling.......... 22.35 `19.32 -3.03 = = Water Heating...:.:.... 20.76 --;20-*:*3,5 40.41 = = Total 129.54 50.50 79.04 = _ *** Building complies with Computer Per form'anc,4 *** _ GENERAL INFORMATION ------------------- Conditioned Floor Area..... Building Type .............. Construction Type ......... Building Front Orientation. Number of Dwelling Units... Number of Building Stories. Weather Data Type.......... Floor Construction Type.... Number of Building Zones... Conditioned Volume......... Footprint Area ............. Ground Floor Area.......... Slab -On -Grade Area......... Glazing Percentage......... Average Ceiling Height..... 880 sf Single Family Detached New Front Facing 0 deg (N) 1 :.. FullYear Slab On Grade 1 7040 cf 880 sf 880 sf 880 sf 13.8 % of FA 8 ft (Package D) PERIMETER LOSSES Length F2 Insul Surface (ft) Factor R-val Location/Comments ------------ --------------------- ---------------------- HOUSE 8 S1abEdge 880 .0.000 R-n/a FENESTRATION SURFACES --------------------- COMPUTER METHOD SUMMARY Page 2 C -2R Project Title.....' ... Fred:.Watson Area Date........ 07/30/93 MICROPAS4.v4.01. U- File-WATSON Wth-CTZ11S92 Program -FORM C -2R ; Int User#-MP0400 User -ROBERT HEATON Run -HOUSE ; Type Type BUILDING ZONE INFORMATION Tilt Only Shade Floor ------------------------ # of ----- ----- Vent Special -----= Area Volume Dwell Cond- Thermostat Height Vent Area Zone Type '(sf)* ( cf ) Units itioned Type (ft) (sf) ----------------------- HOUSE 0.87 --------- ----- " ------- ------------ ------ --------- Residence 880 7040 1.00 'Yes LivingStat 0.0 n/a Slider 0.87 OPAQUE SURFACES 90 0.88 0.78 Area --------------- U- Insul Act Solar Form 3 Location/ Surface (sf) value R-val.Azm Tilt Gains ----- ----- Reference Comments -------------- ------ HOUSE 0.78 --- ---- ----- ------------ ---------------- 1 Wall 176 0.0'88 R-13 0 90 No W.13.2X4.16 GARAGE WALL 2 Wall 252 0.088 R-13 90 90 Yes W.13.2X4.16 Exterior 3 Wall 149 0.088 R-13 180 90 Yes W.13.2X4.16 Exterior 4 Wall 306 0.088 R-13 270 90 Yes W.13.2X4.16 Exterior 5 Roof 868 0.029 `R-38 0 0 Yes R.38.2X12.16 Attic 6 Door 20 0.330 R-0 90 90 Yes None Front Door 7 Door 20 0.330 R-0 0 90 Yes None Garage Door PERIMETER LOSSES Length F2 Insul Surface (ft) Factor R-val Location/Comments ------------ --------------------- ---------------------- HOUSE 8 S1abEdge 880 .0.000 R-n/a FENESTRATION SURFACES --------------------- SC SC Interior Area # of Frame Open U- Act Glass Int Shade Surface (sf) Panes Type Type value Azm Tilt Only Shade Description ----------- HOUSE ----- ----- -------- -----= ----- --- ---- ----- ----- ------------ 1 Window 24.0 2 Metal Slider 0.87 90 90 0.88 0.78 Drapes.Std 2 Window 4.0 2 Metal Slider 0.87 90 90 0.88 0.78 Drapes.Std 3 Door 40.0 2 Metal Slider 0.77 90 90 0.88 0.78 Drapes.Std 4 Window 10.0 2 Metal Slider 0.87 180 90 0.88 0.78 Drapes.Std 5 Window 17.5 2 Metal Slider 0.87 180 90 0.88 0.78 Drapes.Std 6 Window 4.0 2 Metal Slider 0.87 270 90 0.88 0.78 Drapes.Std 7 Window 10.0 2 Metal Slider 0.87 270 90 0.88 0.78 Drapes.Std 8 Skylight 4.0 2 Metal Slider 0.77 0 0 0.88 0.78 None 9 Skylight 8.0 2 Metal Slider 0.77 0 0 0.88 0.78 None T + COMPUTER METHOD SUMMARY Page 3 C -2R Project Title.......... Fred Watson Date........ 07/30/93 MICROPAS4 v4.01 File-WATSON Wth-CTZ11S92 Program -FORM C -2R ; User#-MP0400 User -ROBERT HEATON Run -HOUSE ; OVERHANGS AND SIDE FINS --Window-- ------Overhang----- ---Left Fin--- -Right Fin -- THERMAL MASS Area Area Heat Conduct- Surface Mass Type Left Rght " ivity ` R"value Location/Comments HOUSE ------- ---------- Surface (-sf) Hght Wdth Dpth Hght -`Ext : , Ext Ext '- Dpth Hght -Ext Dpth Hght HOUSE R=O'.0 1 Window 24.0 4.0 6.0 2.5 .5 *29.0 46.0 -hl a n/a n/a n/a n/a n/a 2 Window 4.0 1.0 4.0 2.5 0 20.5 '57.0. n/a n/a n/a. n/a n/a n/a 3 Door 40.0 6.7 6.0 2.5 .5 '10.0 65.0 n/a n/a n/a n/a n/a n/a ' 4 Window 10.0 2..0 5.0 2.5 .5 16.5 5.5 n/a n/a n/a n/a n/a n/a 5 Window 17.5 3.5 5.0 2.5 .5 5.5- 16. 5, n/a n/a n/a n/a n/a n/a 6 Window 4.0 1.0 4.0 10.0 .5 21.,0 6.0 n/a n/a n/a n/a n/a n/a 7 Window 10.0 2.0 5.0 10.0 .513.0'12:5 n/a n/a n/a n/a n/a n/a THERMAL MASS HVAC SYSTEMS Area Thick Heat Conduct- Surface Mass Type (sf) (in) Cap ivity ` R"value Location/Comments HOUSE ------- ---------- Furnace 0.800 AFUE Attic 1 SlabOnGrade 775 3.5 28.0 0.98 R=2.'0 2 S1abOnGrade 105 3.5 28.0 0.98 R=O'.0 HVAC SYSTEMS WATER HEATING SYSTEMS Number Tank External in Energy Size Insulation Tank Type Heater Type Distribution Type System Factor (gal) R -value ------------ ----------- ------------------- -------------- ------ ---------- 1 Storage Gas Standard 1 0.544 40 R-12 SPECIAL FEATURES/REMARKS ------------------------ Minimum Duct Duct Duct System Type Efficiency Location '%R -value Efficiency ---------------- HOUSE ------------ ------------- ------- ---------- Furnace 0.800 AFUE Attic R-5.6 0.837 ACSplit 10.00 SEER Attic R-5.6 0.823 _ WATER HEATING SYSTEMS Number Tank External in Energy Size Insulation Tank Type Heater Type Distribution Type System Factor (gal) R -value ------------ ----------- ------------------- -------------- ------ ---------- 1 Storage Gas Standard 1 0.544 40 R-12 SPECIAL FEATURES/REMARKS ------------------------ HVAC SIZING Page 1 HVAC Project Title Fred Watson Date........ 07/30/93 Project Address........ KEEFER ROAD --------------------- CHICO, CALIFORNIA Documentation Author... Robert B. Heaton ; Building Permit # ; Company................ ROBERT HEATON Telephone .............. (916)343-8038 ; Plan Check / Date Compliance Method...... MICROPAS4 by Enercomp, Inc. ; Field Check/ Date Climate Zone........... 11 --------------------- ------------------------- - ---- MICROPAS4 .v4.01 File-WATSON Wth-CTZ11S92 Program -HVAC SIZING User#-MP0400 User -ROBERT HEATON Run-HOUSE ---------------------------------------------------------=--------------------- GENERAL INFORMATION ------------------- Floor Area ................. Volume ..................... Front Orientation.......... Sizing Location............ Latitude ................... Winter Outside Design...... Winter Inside Design....... Summer Outside Design...... Summer Inside Design....... Summer Range ............... Interior Shading Used.....: Exterior Shading Used...... Overhang Shading Used...... Latent Load Fraction....... 880 sf 7040 cf Front Facing 0 deg (N) CHICO EXP STA 39.7 degrees 27 F 70 F 102 F 78 F 37 F No No Yes 0.20 HEATING AND COOLING LOAD SUMMARY -------------------------------- Heating Description (Btuh) Opaque Conduction and Solar...... 50.19 Glazing Conduction ............... 4322 Glazing Solar.................... n/a Infiltration ..................... 4452 Internal Gain. ................... n/a Ducts ............................ 1379 Cooling (Btuh) 3023 2412 4750 1463 2100 1375 Sensible Load...... .............. 15172 15122 Latent Load ...................... n/a 3024 ----------- ----------- Minimum Total Load 15172 18147 Note: The loads shown are only one of the criteria affecting the selection of HVAC equipment. Other relevant design factors such as air flow requirements, outdoor design temperatures, coil sizing, availability of equipment, oversizing safety margin, etc., must also be considered. It is the HVAC designer's responsibility to consider all factors when selecting the HVAC equipment. """:w4'"""`f'df'.1t'flbJ9lr..,y'.+a3`.u.'''��•�flvj.''F"_�i�i�RUi BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District (/� / `� Building Department No. A.P. Number Y7 J Z 0� Jurisdiction 0 City County Property Owner l / .KGs ct - Property Location/Address qe-6, Subdivison Residential bevelopment Commercial/Industrial A, Lot No. 0 0 Sq. Footage No. of Living MHI Addition Units c� E Buildi g qp nt Representative Sq: Footage New Addition (Floor Plans reviewed by School District Personnel) C 'd C-- - 4q167 .2 . (Group R) (Including Exterior Roofed Areas) :F2/Z-3 bate - District Identification No. 9 School District certifies that -04 (Applicant) yi i 3 a - 26 38" (Street Address) (Phone Number) (City) (State) (Zip Code) has complied with the requirements of Resolution No representing square feet. School District Representative a 9 by payment of $ 033236 Paid by Check Number Remarks: Bank Number Paid by Cash 5p/,/,7/9- �� Date M If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this:project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeformmkl (4/92) PT.a"�°,' R'zs"Q.���z`�i�wsx.a:.=,�Vr"'7..,.,?art`-�,v"gNW.,^�.�-s",3•df.�b�:ief�?3��i7y'�:;�'4,�Z.�Pt:j�'s. t�...x iY`ti.+P�Ti'i=l'v",;✓*."W"�"r£"`;x"f�:..;a+nr�,..i.+.:...w�sw�jyi;i:4f'�'wi 47-32-54 3160-89B WATSON, Fred 4177 Keefer Rd, Chico Contr.: Four Counties Roofing (reroof/SF) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PIERMIT N,q/ 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION ASVD PERMIT ASSESSOZI ARC -L NUMBER - 5 �/ 7 ZON1N��,9 BUILDING PERMIT O WNE �� 4tTS�� TELEPHONE .SQ. FT. OCC. BUILDING VALUATION -^ w 4/ S // Q �ry V OWNEillR'S MAILING )?DRESS E55 � X0 - CON ACTOR'S NAME /� / TELEPHONE CONTRACTOR'S MAILING ADDRESS /060 tom% Rlquo foL S'r C N/ C Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ s ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ - PLUMBING PERMIT Filing Fee 10.00 �� ��� �Q ''� r ��� Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF� Duplex[]Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W [10-00 ea TYPE OF WORK New ❑ Addition ❑ ,pRemodeI ❑ Uti cities ❑ Installation ❑ Other Describe work: a x00x U / IrA4 M eveb -ft J3L% _ !1 ,S1��dh tom, Permit 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 _ CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.3.+ New eorNisrR( A CC. SLOGS. , 2/sQsgft ULT"OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20@License BAL®330 FIXED PR Ex. Occup. OUTLETS (RESID iEAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate f Consent to Self -Insure. II shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 liab' ies jildgments, costs, and expenses which may in any way accrue agaisaid oun y i 'cpn of the granting of this permit. X �j _ _ Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavotions 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 / SJ TOTAL FEE $ 66 HAz CUA PARK SCHL FLD PAR PD HD IssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC A,y� /Gs�� :'•� �-� PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS h d Date �� � J � ��� Receipt No. Ogy. WHITE-D.P.W.. YELLOW-ASSE330R. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Or�ille, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT N ASSESSORePARCE1 2 _ 3Z'O — s ZONIN C ' BUILDING PERMIT O WN EYrle // W*V/ 5,3 TELEPHONE SO. FT. OCC. BUILDING VALUATION V J I = 000 OWNER'S MAILING APR SS ^�f� ^ - CONCTOR'S NAME TELEPHONE CONTRACTOR'S MAILING MAILING ADDRESS MCC, /11 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Q()Oo Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ s ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ - PLUMBING PERMIT Filing Fee 10.00 -77 fi PERMIT NO. 378-89B PERMIT EXPIRES / /Fo OWNER FRED WATSON f CONTR. OWNER ASSESSOR PARCEL 47-32-54 LOCATION4177 Keefer Rd., Chico Y i Temp. Power Pole . Called PG&E Temp. Elec.-Service Called PG&E / Temp. Gas Service / Called PG&E / JOB FINALED (Date) Signature =OK 0 = Not OK Not = Not Ready dyMOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance Card -131 Date Card -131 Date Card -B1 Date Card -131 Date Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/0 to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Card -131 Date Card -131 Date Card -Bt Date Card -61 Date I MISCELLANEOUS Date DE KS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s Toning Requirements -Setbacks -Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel nd/or Joists -Decking -Bracing -Stairs -Rails 4JNoQd_Awn,,> Posts-Beams-Rftrs.-Connec.-. Shthg.-R .-Bracing n.; Columns -Connections -Splice -Decal -Enclosures &- earpovt9- Phdows-Doors . F g; Sills-Anchors-Studs-Rftrs-Trusses iding; Nailing -Veneer -Stucco -Mesh IYDdof; Shthg-Roofing Ext.; Steps -Doors -Landings Card -131 Date 2P 2 Card -B1 Date Card -131 3k_ Dat Card -B1 Date Date POOLS (Plans) OK except f('s, 1. Setbacks -Easements 2. Soils; Compaction' -Structure Stability 3. Pool Structure;. Steel -Connections -Thickness - Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6.-Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.-, Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -131 Date Card -131 Date. Card -131 Date Card -81 Date = uK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks; -Easements -Flood -Slope, 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 3. Fig., Garage; Soils -Steel-/ /" Fig. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /"Fig. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 7. Slab; Steel -Wrapped - - 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation ' I .. Card -131 Date Card -131 Date Card -131 Date Card -B1 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe: Size & Anchors Card -B1 Date Card -131 Date Card -B1 Date Card -131 Date Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. Ties- Purl in -Roof Brac.-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One T -Check Garage -3rd story, 2 exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation-Walls-Clg. 60. Infiltration-Walls-Wndws Card -131 Date Card -81 Date Card -131 Date Card -131 Date Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 75, Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 77. Insulation -Foam -Looked in Attic ❑ Yes 29. Range Circ. / / ga. Cu or AI -Oven Circ. / i ga. Cu or AI. Insulated Neutral Yes No 78. Guard Rails & Deck Construction -Post Caps 30. Service -Riser Conductors & Ground -Main Disconnect 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 31. Equip. Clearances Panels-Motors-Mech. Equip. 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector $i. Stucco; Brown -Finish Card -131 Date Card -131 Date 82. A.C. Unit; Disconnect, Electrical, Plumbing Card -131 Date Card -61 Date 83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. Date MECHANICAL (Permit) OK except #'s 84. Water Well; Disconnect, Electrical, Plumbing 34. A.C. Ducts Insulation & Support 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 35. Vent Fan; Exhaust above insulation 86. Ventilation throughout House 36. Condensate Drain & Overflow; Size & Grade 87. Glass Protection 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnace in Attic Card -131 Date Card -131 Date Card -131 Date Card -131 Date Date FRAMING (Plans) OK except #'s 39. Sills, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41• Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearing 88. Corrections from Previous Inpections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates 92. Roofing Certificate Card -81 Date Card -61 Date Card -131 Date Card -131 Date Card -61 Date Card -131 Date Comments at Final: (NOTE: An entry must be made each time you visit iob site) COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville. California 95965 - Telephone: 916/538-7541 APPLICATION -AND PERMIT PER IT ASSESSOR PARCEL NUMBER ZO I ' BUILDING PERMIT OWNE EPHO E �' SO. FT. OCC. BUILDING V UAT V OW E)- �+IAI G A RESS 1 9 C/y ' ( TRAC70,`7 CONR'S N E TELEPHONE _ CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation I $ I 10D, Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 156 ARCHITECT OR ENGINEER LICENSE NO• Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS / 'M/ ,Q Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME �- IP Water piping 5,00 Each qas water heater or vent USE OF STRUCTURE SF❑ Duplex❑ Mobilehome❑ Other --a —T-- SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home J.SlrG I W 1 0.00 ea L-1 TYPE OF WORK New A Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: I--,- I Penult $ Co actor 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 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification .FIXED I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.81 OR ADDNS. ACC. BLDGS. , /20sgit NEW CONSTR U TI.OUTLET NON.R ESID .BRANCH RA C CRC., RC ITS 2 ea POWER APPARATUS e (SINGLE OUTLET CIR. EX. OCCU OUTLETS OR FIX ES P 20 0 8AL0t eALe30 APPL . OR \ EX. OCCUp. OUTLETS SID.) EA.) 2.00 Temporary servic 10.00 Mobile Hom acilities 15.00 Misc. e ' In 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. (7Zj 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 Cooling g 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. also all liabilities ree o judgments, se costs,nandeex expeness the ses which may anof y accrue ainst 1 9 P Y Y Y)LI again runty i consequence of the granting of this permit. ' — Date .Z -�O -�� Signatu of Applicant - Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stovr�iesin height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE1 $ ., oeeuP. cox ISCHOOLIFL7TAgo✓ No Is uE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which CT R O UBLIC BY PERMIT EXPIRES Date (_ the applicable provi- resolutions to do fees have been paid. WORKS Date �" t /°' I ! � Receipt No. o1C,Z� / 7 WHITE-O.P.W., YELLOW-ASSESSO . PINK -INSPECTOR, GOLDENROD -APPLICANT .,.ti • �.'°: r �-' .t..t..�,-.. ter. rJ°!�}e�� +i' �r� ti. '•i•.i'-"�`�-^r.•r+'��fi". i.-6? t74�i,;,. �v �jssi►^.r."a..�rnr�"r:..-•t`•*rYti^'vs'�[.r - t v' -.!' ...r COUNTY OF BUTTE - DEPARTMENTPF PIYBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE--OROV.ILLE4;'C4,k`IFQ,RNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER ��a"1 A. P. No. -7 < 3 0 ''Sq, Proposed Building Use n A , A o Building Inspector � Date /Z/2kq v „ At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: i DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions....................................................... 9. Fees of $ .......................... 10. Chico Urban Area fees paid ........................................ 11. Park fees paid ..................................................... 12. School District fees paid ............. .. . C�1.3. Sanitation approval from ���►o�v Health Department ... 14. City of Chico plumbing -permit ..................................... . 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: ......... 17. Improvements may be required. 18. Driveway permit (construction approval required prior to occupancy) ... 19. Pre -Inspection for required • , , , • Building IPre-Inspen request to Inrequest (Date) 20. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance .................... 22. Owner -Builder Verification (Given to owner o, Mail to owner ❑) ........ 23. Recorded copy of Agricultural Acknowledgment Statement ............ 24. Letter of signature authorization ..................................... 25. 26.' When you issue the permit, process as follows:o wner. Mail to contractor. ✓ Telephone?��,/� ; 3drand hold for pickup at 6/p office. Deliver w/inspector. Other _._111*1 Appl ica Date 2 -/0 -4% Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone--mall_counter'by date Contractor, designer, owner, was advised of above required data by—phone _mall—counter b date � Plans checked by Date Plans approved by -L - f' ate _Z_LL_ Sets of plans on hold in File cabinet AP folder Copy—DPW TO Buildina Department FROM: Environmental Health i d" .a 1 -A, SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal Water Supply Hold final for: Water Supply Final clearance O.K..for: Water Supply Clearance for _ bedroom mobile home. Other NOTE * * * San tarian Date NOTES PERMIT NO RESIDENTIAL 047-320-054 05-2. WATSON FAMILY LIVING, TRUST 4177 KEEFER RD, CHICO CONT: G &R ROOFING RE ROOF 11 . SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER 1 JOB FINALED (Date) 4=OK o = Not OK = Not Ready adyahre . =Not Re MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OCC except #'s 1. Zoning Requirements -Setbacks -Easements 2. Sols; Special MH Support Sketch 3. Sewer, Location -Test -Fall -C/O -Concrete 4- Water Location -Test -Easement Needed (Sketch) 5. Electricity; Location Clearances Gmd-/ , /Amp Concrete 6. Gas; Location -Test -Wrap;=/ - /" L'ft, / f Nat or/ . P L "ftl ... P LPG . 7. Well Clearance i£ Disconnect 8. Utility Clearance'.. 10. Roof; Shthg-Roofing r. 11. Ext; Steps. -Doors -Landings .: ' Date Card B-1 Date Card B-1 Date Card B-1 >Date .: Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Date 1.' Zoning Requirements-Setbacks:Easements Date 2- Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test=Crossovers-Breakers-Clearances S. Drain; MH Test-Fall-Fleic Connector 6. Water, MH Test-Regulator-Connectot 7. Water and Sewer Connected -C/O to Grade -HD Approval B. Gas and Electricity Tagged 9. Tie Downs Type -Installation Cert " 10. Exits; Insp.-Sketch 11. Cert of Occupancy ' 10,._ Plumb.; Cir. Test -Water Supply Test. 11..._Light Niche Date Card B-1 Date Card B-1 Date Card B-1Date :.. Gard B-1 Date PERMANENT END SYSTEM .(ONLY) Date 1. Zontng Requirements -Setbacks -Easements 2 Footings; Size=Spacrrtg-- ..... ge d ` , . - °, j 3 BlodM' 4.'' Gas; MH Test=Demarid_Valve"�'.:.. S. -Electricity; MH Test 6. Water, MH Test _ Water. and. Sewer:Connected - 8. Gas and Electricity Tagged ' -- '`: :''10.:"Licertse Decals`. `.:.. , • : <_" ., - - - .. . 11. Verify.#'s with Office ` Date Card B-1 Date -' Card B-1. Date. Card B-1 _ Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts:Beams-Rftrs-Connectors Shthg-Frg-Bracing S.• Alum. Awn_; Columns -Connections -Splice Decal.Enciosures 6: Carports; Windows -Doors .J. Electric 8. Fnng.; SiQs-Anchors-Studs-Rftrs Tnisses 4. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing r. 11. Ext; Steps. -Doors -Landings .: ' .12. Braced Wall Pahels Date Cana B-1 Date Gari B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness . Dead Men -Lining . _ 4. Elec.; Receptacles and Lighting. Distance-GFI 5. Bec.; Pool Lighting. l5 Volts -GF! . •' 6. Elec.: Enclosure% Conduit Entries -Terminals -Listed 7. Elec., Bonding; Metal w/5'-C"uculating Equip: Heater 8. Bea; Grounding; Equip. w/S' Circulating Equip. -Pool Lghtg. Boxes=Enclosures-Panelboards-Ins. to Main Conduit 9: Healtli Departrmerit Approval 10,._ Plumb.; Cir. Test -Water Supply Test. 11..._Light Niche 12. Enclosure; Fencing -Alarms Date.... ': :Card B-1 Date Card B-1 Date Card B-1 Date • ' ". Card B-1 X 4ot OK ' N6tReadcahre I:ot Ready RESIDENTIAL (Single & Duplex) UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Sols-Elec. Gmd. / . /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Gmd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ r Ftg. Depth S. Stemwafls, Main; Steel-Blockouts-Wrapped 6. Stemwafls, Garage; Steel-Blockouts-Wrapped 6a- Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall-17itting-Test-2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventlation 16. Insulation' Lte Card B-1 Date . Card B-1 ite Card B-1 Date Card B-1 ate PLUMBING (Permit) OK -except #'s 17. Water Ht:; Vent -Access -Combustion Air Baffle 16. Water Pipe; Test & Anchor -Nal Protection 19. D.W.V ; Test Fittings & Anchor -Nal Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler, Test tate Cana B-1 Date Card B-1 tate Card B-1 Date Card BA )ate ELECTRICAL (Permit) OK except #'s 24. Fixture �, Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -lights & Switches at Doors 26. Siie Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Apprrance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI -AC. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. f /ga Cu or Al Insulated Neutral 0 Yes 0 No 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs Date 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels -Motors -Meth. Equip. 34. Clothes.Closet Light -Shower Light -Spa Light 35. Smoke Detector 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Fumace-Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Fumace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac_ Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles _ 51. Bdrm. Windows or Exiting Doors -Sill Ht & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Lute Firewall & Openings 54. Ext Doors -One T -Check Garage 3rd Story, 2 Exits 55. Stairs; Width-Headroom-Rise-Run-Landng-Fre Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers ' 57. Siding-Nairing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underffc Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Naffing -Botts 61. Brace Interior/Exterior Wall Panels 62. Insulation-Walls-Celings 63. Infiltration -Walls -Windows Date Cavi B-1 Date : Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight.Protection-Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.FI. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int & Ext 73. IGL Fod. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Sec. Outlets & Receptacles at Kit Counter 75. Garage Fire Door, Swing -Landing -Closure 76. A.C. Dud in Garage -Damper, 77. Wtr. Htr;vents-Clearance-Comb. Air Connector-P.R.V. in Garage; Above Floor -Meth. Protection 78. Plb.; Stec. & Mech. Equip: Listed For Location 79. Elec. Receptacles in Garage (FFI.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 83. Following tnstld/Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes O No 84. Stucco Brown-Fmish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings. 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: �• r' rr ,l .X ,,�k.5, 40 v IS LA�r r- -, , �.. ...-;,F „,,. L!a •,. �,.., .p.._._ .,.. _ .,...�-., ,�... x,:, ,.,r;y .:',`. 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