HomeMy WebLinkAbout047-430-027ll.lz x I
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,047-430'--027 �E
�UMIT
_EMIT,# -2288'.
:ROSS ,'M'k
4545,!Garde'n,brook Dr.,Ch' O'l
Ne'wPri Det' St
9 9.
-X47Z430L027 '..,PERMIT#97-12531r,
ROSS, Mike_
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4 , - ,,
Br,-6o'k:,Dr;- Chic
45&'Ga'aen"
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_-y� 143
,047-430'--027 �E
�UMIT
_EMIT,# -2288'.
:ROSS ,'M'k
4545,!Garde'n,brook Dr.,Ch' O'l
Ne'wPri Det' St
9 9.
-X47Z430L027 '..,PERMIT#97-12531r,
ROSS, Mike_
at*
4 , - ,,
Br,-6o'k:,Dr;- Chic
45&'Ga'aen"
le to; shed..'.'V'-r-
pm�m M�M�
M
AESID -�AL
047-430-027 PERMIT#96-2288
ROSS, Mike
4545 Gardenbrook Dr.,' Chico
New Pri Det Stg Bldg
JOB FINALE
Signature
�iC�al� �ZoN�"
V=OK
O = Not OK i
R= Not tReady MOBILE 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)
S. Electricity; location-Clearances-Gmd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap; / /12ft.
/ /Nat. or/ PL°tt./ /LPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements- Setbacks Easements
2. Footings; SizeSpacing-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/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Tie Downs -Type -Installation Cert.
10. Exits; Insp.-Sketch
11. Cert of Occupancy
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
;@3 .. cti
MISCELLANEOUS
Data,DE S, COVERS, CARPORTS, GARAGES(Plans) OK except #'s
ning Requirements -Setbacks -Easements
OFootings; Soils-Size-DepthSpacing-ConnectorsSteel
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg.-Rfg: Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Elec 'c
rrri Anchors-Studs-Rftrs-Trusses
Naili eneerStucco-Mesh
Roof; Shthg-Roofing
11 , Ext. -Doors-Landings
Date Card B-1 Date Card 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. 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
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
✓ = OK
O = Aiot OK •
- = Not Applicable
= Not Ready
Date UNDERFLOOR (Plans) OK except #'s
1. Zoning-Setbacks-Easments-Flood-Slope
RESIDENTIAL (Single & Duplex)
Date
2. Ftg., Main; Soils-Elec. Gmd.-/ i Ftg. Depth
FRAMING (Continued)
3.
Ftg. Garage; Soils-Steel-Elec. Gmd/ P Ftg. Depth
Hangers -Post Caps -Anchors -Connectors
4.
Ftg. Porches & Decks; Soils -Steel-/ J' Ftg. Depth
Cling. Joist-Rftr. Ties-Pullin-roff Brac.-Truss-Shting: Rfng.
S. Stemwalls, Main; Steel-Blockouts-Wrapped
48. Fireplace Ties or Type A Flue -Fireplace Throat clearance
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
49.
6a.
Hold Downs and Special Anchors
50.
7.
Slab, Steel -Wrapped
51.
8.
Piers -Fireplace Ftg.-Steel
52.
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test
Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits
11.
Water Pipe; Test -Anchors -Regulator -Service Test
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
12.
Electric Underground
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
13.
Pienums & Ducts; Clearance -Material -Support -Ins.
Siding -Nailing Veneer
14.
Girders -Sills -Anchor Bolts -Joists Vents-Crippies
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
15.
Access & Ventilation
Glazing Area -Glass Protection -Skylights -Plastic
16.
Insulation
Shear Walls; Nailing -Bolts
60.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card E-1
Date
PLUMBING (Permit) OK except #'s
17.
Water Htr.; Vent -Access -Combustion Air Baffle
Card B-1 Date Card B-1
18.
Water Pioe; Test & Anchor -Nail Protection
Card B-1 Date Card B-1
19.
D.W.V.; Test Fittings & Anchor -Nail Protection
FINAL (Plans) OK except #'s
20.
Shower Pan; Test, First Floor -Tub Access
Ext Steps -Door & Sidelight Protection -Landings
21.
Test Tub & Shower, Second Floor -Tub Access
Smoke Detector
22.
Gas Pip=_; Sixe & Anchors
Furnace; Vents -Clearance -Comb, Air-Conector-
In Garage; Above Floor -Ducts -Meth. Protection
66.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
Stairs & Rails
23.
Fixture & Transformer Clearance -Ins. Protection
Fireplace or Stove, Clearance -Hearth
24.
Elec. Receptacles Spacing -Lights & Switches at Doors
Elec. Outlets at Wood Panel, Int. & Ext.
25.
Size Boxes & No. of Conductors Stapled
Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance
26.
Romex Installed Close to Edge of Studs & C.J.
Elec. Outlets & Recepticales at Kit. Counter
27.
Equip. Ground made up w/Mech Fastners-Bond Gas & Water
Garage Fire Door; Swing -Landing -Closure
28.
2 Appliance Circuts in Kitchen & Conductor Size GFI
A.C. Duct in Garage -Damper
29.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al
Wtr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V.
In Garage; Above Floor-Mech. Protection
30.
Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or Al
Insulated Neutral 0 Yes 0 No
Plb., Elec. & Mech. Equip. Listed for Location
31.
Service -Riser Conductors & Ground -Main Disconect
Elec. Receptacles in Garage (G.F.I.)-Romex Protection
32.
Equip. Clearances Panels-Motors-Mech. Epuip.
Insulation -Foam -Looked in Attic
33.
Clothes Closet Light -Shower Light -Spa Light
Guard rails & Deck Construction -Post Caps
34.
Smoke Detector
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
82.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
35.
A.C. Ducts Insulation & Support
Water Well, Disconnect, Electrical, Plumbing
36.
Vent Fan, Exhaust above insulation
Exterior Elec. Trim, G.F.I. Receptacle -Underground
37.
Condensate Drain & Overflow, Size & Grade
Ventilation Throught House
38.
Furnance-Vent Access -Comb. Air -Return Air Vent 115 outlet
Glass Protection
39.
Attic Access & Platform if Furnace in Attic
Corrections from Previous Inspections
91.
Gas Test -Meters Tagged, Gas -Electric
92.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Plans) OK except #'s
40.
Sits Proper Materials & Anchors
Card B-1 Date Card B-1
41.
Walls Studs -Nailing Spacing & Braces -Plates -Sound
Card B-1 Date Card B-1
42.
Bearing Walls over Girders & Floor Nailing
Card B-1 Date Card B-1
43.
Draft Stop in Watts (rat prool)
44.
Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
45.
Headers & Beams -Size & Bearing
Date
FRAMING (Continued)
46.
Hangers -Post Caps -Anchors -Connectors
47.
Cling. Joist-Rftr. Ties-Pullin-roff Brac.-Truss-Shting: Rfng.
48. Fireplace Ties or Type A Flue -Fireplace Throat clearance
49.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
50.
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
51.
Garage Fire Protection Framing
52.
Property Line Firewall & Openings
53.
Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits
54.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
55.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
56.
Siding -Nailing Veneer
57.
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
58.
Glazing Area -Glass Protection -Skylights -Plastic
59.
Shear Walls; Nailing -Bolts
60.
Brace Wall Panels
61.
Insulation -Walls -Ceilings
62.
Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
63.
Ext Steps -Door & Sidelight Protection -Landings
64.
Smoke Detector
65.
Furnace; Vents -Clearance -Comb, Air-Conector-
In Garage; Above Floor -Ducts -Meth. Protection
66.
Bedroom Exiting
67.
G.F.I. & Bath Fixtures & Tub Access -Spa
68.
Elec. Trim & Subpanel, Breaker Sizes & Labels
69.
Stairs & Rails
70.
Fireplace or Stove, Clearance -Hearth
71.
Elec. Outlets at Wood Panel, Int. & Ext.
72.
Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance
73.
Elec. Outlets & Recepticales at Kit. Counter
74.
Garage Fire Door; Swing -Landing -Closure
75.
A.C. Duct in Garage -Damper
76.
Wtr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V.
In Garage; Above Floor-Mech. Protection
77.
Plb., Elec. & Mech. Equip. Listed for Location
78.
Elec. Receptacles in Garage (G.F.I.)-Romex Protection
79.
Insulation -Foam -Looked in Attic
80.
Guard rails & Deck Construction -Post Caps
81.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
82.
Following InstId./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No
83.
Stucco Brown -Finish
84.
A.C. Unit Disconnect, Electrical -Plumbing
85.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
86.
Water Well, Disconnect, Electrical, Plumbing
87.
Exterior Elec. Trim, G.F.I. Receptacle -Underground
88.
Ventilation Throught House
89.
Glass Protection
90.
Corrections from Previous Inspections
91.
Gas Test -Meters Tagged, Gas -Electric
92.
Water & Sewer Connected -C/O to Grade -HD Approval
93.
Energy Compliance Certificate -Other Certificates
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:
COUNTY OF BUTTE;
.j BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT;SERVICES
1469 Humboldt Road, Chico, CA- (916).:891-2751'
7 County Center Drive, Oroville, CA - (916) 638=7541
747 Elliott Road, Paradise, CA - (916).872-6307
,y
CORRECTION NOTICE
2
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. If you have any questions pertaining to this matter, or need additional explanation, .
please contact this office immediately.
Date T - 9 " / Inspector
REV 10/92
COUNTY OF BUTTE°
BUILDING DIVISIONS
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA - (,916) 861-2751-
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE'
OWNER PERMIT NO. wa
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. If yo ave any questions pertaining to this matter, or need additional explanation,
please conta is office immediately. F
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Date �— Inspector ;.
REV 10/92 +y
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COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT No.
APPLICATION AND PERMIT
ASSbl$$ PAf}CM1377
ZONING
BUILDING PERMIT
OW i�(JCV{S/SL,� MIKE
T 9 NE7072
SQ. FT. OCC. BUILDING VALUATION
"N&P34LI' SIM BROOK DR. , CHICO
252 U
4536-
COI{j�IA'TO96VE CONST .
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UN OWN
Total Valuation Is
LENDER'S MAILING ADDRESS
Filing Fee
$ 20.00
Permit Fee
$ 72
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
-on
$ 4680
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty
$
BUILDING ADDRESS
4545 GARDEN BROOK DR., CHICO
PERMITFEE $ mF _Rn
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
LOT NO.
SUBDNISION'S NAME
PARCEL MAP
Solar or heat pump water heater
23.00
USE OF STRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other I)ET STC; SPECIFY
Water piping
15.00
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New ffXAddition ❑ Remodel ❑ Ublities ❑ Installation ❑ Other ❑
Describe Work:
Mobile Home I S I GI W
@20.00
PERMITFEE
$
Contractor
ELECTRICAL PERMIT
Filinq Fee 20:00
Main ServiceEDOV OR LESS
( z..A OR LESS )
23.00
Main Service ( 200A TO 1000A )
46.00
LICENSED CONTRACTOR'S DECLARATION
1 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,
g )
and my license is in f force and effect.
License Class Lic. No. �j �� �%
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUR
OR ADONS. ( & ACC. BIDS. )
sO.
3.50 FT.
NEW CONST. / MULTI -OUTLET
NOWRESID. \ BRANCH CIRCUITS )
97.50
// POWER APPARATUS
1 &SINGLE OUTLET CIA. )
Ex. Occup. (OUTLET OR FIXTURES )
2L 0 +.50
SAL 30
EX. Occup. OUT FIXELETS RES D.�EA
( )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc . Wiring
23.00
PERMIT—FEE
$
Contractor
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My orkers' compensation insurance carrier and policy number are:
C4Trier
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE
$
Contractor
P Iicy Number
he above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith co y with thol provisions..
X Date
Signature of A p cant - Ubwner Contractor ❑ Ag
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
co T. E
TOTAL FEE $ 138.80
HAZ. D. FEES
IMP FLOOD
_
CDF PARCEL
` U HD
This permit is hereby issued under the
of the Butte County Code and/or
indicated above for which fees have
By
P XPIRESON %y7*-
I
applicable provisions
Resolutions to do work
been paid.
Date La Ly
(Date)
ReceiptNo. 206291
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION..
7 COUNTY CENTER DRIVE - OROVILLE, CA�LIFORNIA95965 -TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER ASS o.
Proposed Building Use �, � d% ��i 4W5,1 Building Inspector Date 16
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 . ..................
7. Statement of Intent for Non -Heated and A/C Buildings . ......................
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 $ .........................................
11. jmpact fees as shown on attached schedule. . .
1! California Department of Forestry plan approva fees../.(� . 7 .....
13. Flood elevation letter 100 year flood b Califor ' r� er. ........ /
( Y ) Y ...........
4 Sanitation and plot plan approval Health Department.
City of Chico plumbing permit. .........................................
16. Plot plan and business license approval from City of Biggs/Gridley. .............
17. Planning approval for (A) Use: (B) Parking:
18. Contact Land Development about (A) Improvements (B) Drainage. .......... .
19. Driveway permit (construction approval required prior to occupancy). . .
Fre-Inspection requeis-
20. Pre -inspection for required. . . to Building Inspector (Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
Certificate of Workmans Compensation Insurance . ....................... .
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 . ...............
31. Existing violations/expired permits . ......................................
32. Plan check list . ............................ •.
. ........................
33.
34.
W e ou issue the per,pit, process as follows: Mail to owner. Mail to contractor.
Telephone k`y`t 707Zand hold for pickup at office. Deliver with inspector.
Other
Parcel Creation AX -
Acreage Applicant 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 prior to
1. Index permit for above items No.
2. Additional items required:
rmit issuance: (Circle new item not checked above).
Contractor, designet owner as advised of above required data by 'phone _ mail Counter by C Date O�
Contractor, designer, owner, was advised of above required data by _phone mail Counter by _Date
Plans checked by Date Plans approved bycam` ��10,.r;s Date 110 -22
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
r
UUU
TO:
FROM:
SUBJECT:
E.H. USS ONLY
Plot Plan AWwW Ye r
Flwr Pim Attached yPJ
Seat to B.D.
Building Department
Environmental Health
Sanitation Clearance
/toss S'- 545 GAQOZ-iv gle Oa 16k
Owner Location AP#
Plan Approved for: Sewage Disposal Water Supply: Public Private Well
Clearance for -bedrMffF-ffi6M—eV6—fffe. Other
61
Hold final for:
Final clearance O.K. for:
NOTE:
Envirof(menteHealth Specialist Date
8/92
p
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KCAR
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COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISION
7 County Center Drive - Oroville, Clil'rfornia- 95965 - Telephone (916) 538-7541 PERMIT NO.
APPLICATION AND PERMIT ���' a�'g
ASSESSOR PARCEL NUMBER '1 ,
�- u3o-
ZONING
SW-
BUILDING PERMIT
OWNERekyao , � � -
TELEPHONE 2rq,�.7.
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS ^
/`,J�
CORACTOS NAME TELEPHONE
NTR'
CONTRACTORS MAILING ADD R8
4Ss
Fireplace
CONSTRUCTION LENDER
UNXNOWN
Total Valuation 1$ 14 6
- 00
LENDER'S MAILING ADDRESS
Filing Fee
$ 20.00
Permit Fee
$ Ob
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ I
ARCHITECT OR ENGINEERS MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty
$
BUILDWGADDRESs 55y5 �A `
PERMITFEE $
PLUMBINGPERMIT
Filing Fee 20.00.
Each Trap
7.00
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
Solar or heat pump water heater
23.00
USEOFSTRUCTURE
SrX Duplex ❑ Mobilehome Other ,FYI
SPECIFY
Water piping
15.00
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel Utilities ❑ Installation ❑ Others(❑
-_ a.
Describe Work: dLt&J_.2_J L C.t
�
[-I
1 X IO p
Mobile Home S G W 1@20.00
PERMITFEE $
Contractor
ELECTRICAL PERMIT Filina Fee 20.'00
Main Serviceeoov DR LEss
( zooA OR LESS )
23.00
Main Service ( 200A To I000A )
46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of 'Chapter
9 (commencingwith Section 7000) of Division 3 of the Business Professions Cod
ness enessons e,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that f I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X Date
Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 50" deep and demolition or construction
of structures over 3 stories in height.
NEW CONST.DWELLING OCCUR so,
OR ADONS. ( a AOC. BLOS. ) 3.50 FT.
NEW CONST. MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS ) @7.50
POWER APPARATUS
(8 SINGLE OUTLET CIR )
Ex. Occup. ( OUTLET OR FDRURES)
200 1.O0
SAL .50
EX. Occup, oFlXuri�is �RE�sIDOR�
( ) 5.00
Temporary Service 23.00 '
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMITFEE _
Contractor
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMITFEE $
Contractor
Mobile Home Installation Fee $
Energy Inspection Fee $
O c
a.WMPE
TOTAL FEE $
HAZ.
D. FEES
IMP FLOOD
COF PARCEL PD HD
ISSUE
This permit is hereby issued under the
of the Butte County Code and/or
indicated above for which fees have
By
ERMITEXPIRESON
applicable provisions
Resolutions to do work
been paid.
Date
(Date)
ReceiptNo.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
/����Zj
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ALL STRUCTURES AND EQ
UIPWENT INCLUDII
7yERHANI(3S SHALL_ BE CLEAR OF ALL FASEME
a ;
SI=T SACK OF 3li Fr. FROM THE SIPS AN
30 Fi. F��C7fvi'TWE fi AR PIOPF_RfY LI�!ES AN'k _ s
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make ary dwnges or arrwahom on same ntQfout
.now pww.=ran from the oepwUnert of PNM
woo Owwre, or Bata
Ir
A setback of S ft. from 0n
Property lines and a setb3A
of 50ft. from ttie road
canterfine shall be clear of
fi Uduras Or eguiOmen e=eps
for e 2 ft- eeve meo. gig, � C.4441t,
Y }
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CDF FIRE SAFE REQUIREMENTS
AP# PERMIT # -NAME
Under authority of PRC 4290, the following checked items are required
by the Butte County Fire Department and are made a part of this permit.
These requirements are minimums and will be superseded by Butte County
local regulations which equal or exceed these standards. Field
inspections will be made by the Butte County Building Department for
compliance.
[�] 1272.00 Maintenance of Defensible Space. To ensure continued
maintenance of properties in conformance with these
standards and measures and to assure continued avail-
ability, access and utilization of the defensible space
provided for'in these standards, annual maintenance
must be provide for by the land owner.
Driveway Standards
[ ] 1273.02 Surface. All driveway surfaces and structures (bridges,
1273.07 culverts and other apparteaant structures which supple-
ment the roadway bed or shoulders) shall provide unob-
structed access to conventional drive vehicles, includ-
ing sedans and fire apparatus weighing up to 40,000
pounds.
1273.03 Grade. Not to exceed 16 percent unless paved.
1273.04 Driveway Radius
[ ] 1. No roadway shall have a horizontal inside radius of
curvature of less than 50 feet and additional sur-
face width of 4 feet shall be added to curves of 50-
100 feet radius; 2 feet to those from 100-200 feet.
[ ] 2. The length of vertical. -curves in roadways exclusive
of gutters, ditches and drainage structures designed
to hold or divert water shall be not less than 100
feet.
[ ] 1273.05 Turnarounds. If required, will have a minimum turning
radius of 40 feet from the center of the road.
[ ] 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30
feet long with a minimum 25 foot taper on each end.
[ ] 1270.10 Width. All driveways shall provide a minimum 10 foot
traffic lane and unobstructed vertical clearance of 15
feet along its entire length.
Page 1 of .3 l +
BUILDNG DETAMAENT.
APPS
•.1
,. C 3- Z 7 96 r lees ryt I K'4
AP # PERMIT # NAME
[ ] 1273.10 Turnouts. Driveways exceeding 150 feet in length, but
less than.800 feet in length, shall provide a turnout
near the midpoint of the driveway. Where a driveway
exceeds 800 feet, turnouts shall be provided no more
than 400 feet apart.
[ ] 1273.10 Turnaround. A turnaround shall be provided at all
building sites on driveways over 300 feet in length and
shall be within 50 feet of the building.
1273.11 Gates
[ ] 1. Gate entrances shall be at least two feet wider than
the roadway it serves.
[ ] 2. The gates must be. located at least 30 feet from the
roadway and shall open to allow a vehicle to stop
without obstructing traffic on that roadway.
[ ] 3. Where a one-way road with a single traffic lane
provides entrance, a 50 foot turning radius shall be
used.
Fuel Modification
1276.01 Setback for Structure Defensible Space.
] 1. All parcels 1 acre and larger shall provide a mini-
mum 30 foot setback for buildings and accessory
buildings from ul] property lines and/or the center
of the road.
[ ] 2. For parcels less than 1 acre, local jurisdiction
shall provide for the same practical effect See
Other Requirements below.
[K] 1276.02 Disposal of Vegetation and Fuels. Disposal, including
chipping, burying, burning or removal to a landfill site
approved by the local jurisdiction, of flammable
vegetation and fuels caused by site development and
construction, road and driveway construction and fuel
modification shall be completed prior to completion of
road construction �,r fi:ial inspection of a building
permit.
C U VY
Page 2 of 3 ul O 10
,�, E�
Arn R 0 EK)
--� --c( 3 _ 2 6 - --2- 2--eop
AP # PERMIT #
Other Reauirements
[ ] If Building Setback is 15 to 30 Feet:
- Class A or B roof
- Enclosed eaves
�COSS % l ce
NAME
[ ] If Building Setback is Less Than 15 Feet
Choose any 3 of the following:
- Metal or no doors on aide toward property line with insuffi-
cient setback
- Class A or B roof with enclosed eaves
- Interior automatic sprinkler system per NFPA 13D
- Glass area not to exceed 110% of wall area toward property
line with insufficient setback
- Siding from the following list:
Stucco - 3 coat
Hardi-Board or Plank
Masonry
Masonry veneer
Metal
Other Butte County Fire Department approved materials
10 -7—cl
Date 'Signature
Page 3 of 3 `ri��
SUI NG E A�ff-7RAENT
�!Y
"'.�.."'�:�.f.}'7�sw .x�:.;�..s•<p�wf^ ..-w �;?;�ve4+^,�^•^.��7*T .�.�kt�.`7+Ei
t
047430X027, r PERMIT_ #97=2531
ROSS,:Mike
4545:'Garden Brook, -Dr'.'; Chico.
Ete. to`Shed
00
'W
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT �-- - ! /
ASSESSOR PARC0.NUMBER
ZZOOSSyp��,gi/ryiEJ
BUILDING PERMIT
OWNER MIKE ROSS
7�/ ' 72
t
SO. Ff. OCC. BUILDING VALUATION
/�jj�'}�
OWNERS MAILIL'�i Wl ESSGARDENDR. aim
(�
CONTRACTOWSO[�J.At1'lii`
TELEPHONE
CONTRACTORS MAJUNG ADDRE3S
CONSTRUCTION LENDER
Fireplace
LENDER'S MAIUNG ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
—Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADD RESS 4545 GARDEN BROOK DR.
Energy Plan Checking Fee $
PERMIT FEE S
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Otherrf7
Describe Work: ELECTRICAL TO SHED
i
Gas piping system 1- 5 outlets
15.00
Building sewer
15.00
Mobile Home, ISI GI W1
@20.00
PERMIT FEE $
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service zo AOR LES
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class LIC. NO.
OWNER -BUILDER DECLARATION
1 hereby a irm under penalty of perjury that I am exempt from the Contractors License
Law,tA e following reason:
I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO to00A
46.00NEW
CONST. DWELLING OCCUP.
OR ADONS. ( d ACC. BUDS.
SO
3.5QFT.
NEW
NON -R SID. T. ANCTI OUTLET
97,50
POWER APPARATUS
d SINGLE OUTLET CIR.
EX. OCCU OUTLET OR FIXTURES
20 @ I.00
fiAL @ .50
Ex. Occup. O=qo .°EA
5.00
Temporary Service
23.00
Mobile Home' Facilities
2000
.^
Misc. Wirina
23.00
PERMIT FEE $
43.00
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need riot be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
%
0 1 certify that in t.ne performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comp:y with those provisions.
/�i+ . �/
X /_ ; .___ Date I Z1 /
Signature of Applicant - Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $ 43.00
HAZ.
D. FES IMP
I FLOOD
I CDF
I PARCEL
I PD
HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By �_ Date
�i
PERMIT EXPIRES ON
Date
Receipt No. W&O
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, Galiforr�a 95965 - Telephone (916) 538-7541 _ �RMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT .�
ASSESSOR PARCEL NUMBER
047-43121-12127
zoJTft
BUILDING PERMIT
OWNER MIKE ROSS
W71M72
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
4545 GARDEN DR. CHICO
CONTRACTOR'S NAME
OWNER
TELEPHONE '
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS
4545 GARDEN BROOK DR.
Energy Plan Checking Fee
$
$
PERMIT FEE
S
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat ump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other x7
Describe Work: ELECTRICAL TO SHED
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S I GI W
1@20.00
PERMIT FEE
$
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service zooaoaLEss
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
•
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.P
License Class LIC. NO.
OWNER -BUILDER DECLARATION
I hereby • m under penalty of perjury that I am exempt from the Contractors License
Law,he following reason:
I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO IDOOA
46.00NEW
CONST. DWELLING OCCUP.
OR ADDNS. ( g ADD. BLDS,
So
3.50FT;
NEW CONST. MULTI.OUTLEi
NON•RESID. ANC CI cu TS
@7.50
OWER APPARATUS
8 SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FIXTURES
20 @':
BAL 50
FIXED APPLNS. OR
Ex. Occup. ouTLETs RESIo. EA.
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
2300
23.00 '
PERMIT FEE
$ 43.00
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
abovesections need not be completed if the permit is for work of a valuation
f one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
/�
X Date L / / 7 _
Signalure of Applicant - Owner ❑ Contractor ❑ Agent 'T—' -
An OSHA permit is required for excavations over 60" deep and demolition or construction_
of structures over 3 stories in height.
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
coNST. TYPE
TOTAL FEE $ 43.00
HAZ.
I D. FEES
IMP
I FLOOD
I CDF
I PARCEL PD
HD
LSSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By _
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
Date1J�e=1%-J
Dale
Receipt No. _
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
O.B. - I
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your
signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit will
be issued until this verification is received.
1. I personally plan to provide the major 1 or and materials for construction of the
proposed pro rty improvement: YES j NO[ ].
2. I HAVE[ ] HAVE NOT[ ] signed an application for a building permit for the
proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
NAME.
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
4. I plan to provide portions of this work, but I have hired the following person to
coordinate, supervise, and provide the major work:
NAME:
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
5. I will provide some of the work but I have contracted (hired) the following persons to
provide the work indicated: ,
NAME ADDRESS PHONE TYPE OF WORK
SIGNED: ��,�, i� / �•,
PROPERTY OWNER:
SOCIAL SECURITY NUMBER:
DATE:
NOTE: This owner -Builder Verification is required. by Section 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before
we are permitted to issue the permit.
Mav 1995 2.26
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of
property improvements specified.
For your protection, you should be aware that as "owner -builder" you are the responsible party of record
on such a permit. Building permits are not required to be signed by property owners unless they are personally
performing their own work. If your work is being performed by someone other than yourself, you may protect
yourself from possible liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a
business license from the city or county. They are also required by law to put their license number on all permits
for which they apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you
should be aware of the following information for your benefit and protection:
0 If you employ or otherwise engage any persons other than your immediate family, and the work (including
materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as
contractors or subcontractors, then you may be an employer.
0 If you are an employer, you must register with the State and Federal Governments as an employer and you are
subject to several obligations including state and federal income tax withholding. federal social security taxes,
workers compensation insurance, disability insurance costs, and unemployment compensation contributions.
0 There may be financial risks for you if you do not carry out these obligations, and these risks* are especially
serious with respect to worker's compensation insurance.
0 For more specific information about your obligations under Federal Law, contract the Internal Revenue
Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your
obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial
Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to
perform their work personally or through their own employees, without a licensed contractor or subcontractor, only
under limited conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder"
building permit, erroneously implying that the property owner is providing his or her own labor and material
personally. Building permits are not required to be signed by property owners unless they are performing their own
work personally.
Information about licensed contractors may be obtained by contracting the Contractors State License
Board in your community or at 1020 N Street, Sacramento, CA. 95814.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm
that you are aware of these matters. The building permit will not be issued until the verification is returned
Sincerely.
Michael C. Vieira, C.B.O.
Manager. Building Inspection
NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safery Code.
Mav 1095
(Rev. 12/96)
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541
APPLICATION AND PERMIT
PERMIT
ASSESSOR PARCEL NUMBER -
7- 43 0 --02-7
ZO o
:
BUILDING PERMIT
OWNER
T LEPNON!SO.
e(-7 0
FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADqS
S�1,tZ. �I
CONTRACTOR'S yRy_E
TELEPHONE
CONTRACTORS MULING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
E
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILOINGADORESS 4 - r5-
Energy Plan Checking Fee
$
S
PERMIT FEE _
LAT NO.
SUBDNSIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
Each Tre
, 7.00
USEOFSTRUCTURE
SF Duplex ❑ Mobilehome ❑ Other
SPECIFY
Solar or heat pump water heater
,
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK /
New O Addition ❑ Remodel ❑ Utilities ❑ Installation O Other B'
Describe Work: L2t C!/} L ��i �1���
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home S G W Q20.00
PERMIT FEE $
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service o. LE s
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect
License Class Lic. No.
OWNER -BUILDER DECLARATION
hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
O I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
O I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X Date
Signature of Applicant - ❑ Owner ❑ Contractor O Agent
An OSHA permit is required for excavations over 60- deep and demolition or construction
of structures over 3 stories in height.
Main Service 20" TO 1000A 46.00
NEW CONST. ( OWELLING OCCUP. SO
OR ADONS. a ACC. BLDS. 3.50IT
NEW T
NON-RE°.SIIDMULTF
D. OUTCIRCUT @7.50
s sw� APPARATUS.
ATU F.
O TUFT
OUTLET ES 20 @ 1.00
Ex. Occup.BAL Q ,y0
LNSI
Ex. Occu . ou�TLE�°sA PPORE 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wirina 23.0
PERMIT FEE $
MECHANICAL PERMIT Filing ee 20.00
Heating
Cooling
Hood 6.50
Ventilation -
PERMIT FEE f
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $
Z.
1 D. FEES !MP
F O
I COF
PARCEL Po
HD
ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
Date
(D.9 to)
Receipt No. 31 Z I (a
WHITE -D.D.S.•8. CANARY SESSOR PINK -INSPECTOR GOLDENROO•APPLICANT
P 3451-89E=M
MOORE, Robert
_ PE 4545 Garden Brook Dr, lot 9, Carriage
'g Estates, Chico
PE Contr: Rock Creek Const -
' (new single family)
01
— CONTR.
ASSESSOR PARCEL
LOCATION
_
o;
` Temp. Power Polei•�� � aft
Called PG&E
Temp. Elec. Service - % _ 2— Z — 9
— Called PG&E
Temp. Gas Service b U
L0
Called PG&E ,,\\
JOB FINALED (Date) V
Signature `J
IL
UK ;
•O=Not OK
- = Not Applicable
= Not Ready
RESIDENTIAL (Single and Duplex)
Date
UN F QOR (Plans) OK except #'s
Date
fr,�AMING (Continued) ,r
g -Setbacks; -Easements -FI d -Slope
. Hangers -Post Caps -Anchors -Connectors
tg., ain; Soils-Steel-Elec. d.-/ Ftg. Depth
4K Cing. Joist-Rftr. Ties- Purl in -Roof Brac.144-Shthrig.-FIfir
g., Garage; Soils -Steel-/ /Zl' Fig. Depth
4 -Fireplace Ties or Type A Flue -Fireplace Throat Clearance
4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth
,41rAttic Access; Size & Romex Protection -Draft Stop -Ins. Batt
St walls, Main; Steel- Bloc kouts-Wrapped
4eBdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
to alls, Garage; Steel -Bloc kouts-Wrapped
50: Garage Fire Protection Framing
,seogliab; Steel -Wrapped
5A-'Oroperty Line Firewall & Openings
8. Pie -Fireplace Ftg.-Steel
-5.2-Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test
-59:-6tairs; Width -Headroom -Rise -Run -Landing -Fire Protectio
10. Gipe; Size -Anchors
W. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers'.
ater Pipe; Test -Anchors -Regulator -Service Test
5 . Siding-Nailin neer
12. Electric; Underground
Stucc -Drip Screed -Fd. Vents-Underfir. Access
13. Plenums & Ducts; Clearance-Material-Supprt-Ins.
67,61azing Area -Glass Protection -Skylights -Plastic
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
59. S ear Walls; Nailing -Bolts
15. Insulation'Z
tl 2,
Wnsulation-Walls-Clg.
60. Infiltration-Walls-Wndws
Card -B1
Date//,j5-. Card -B1 Date
Card -B1
ate//.9O$'? Card -B1 Date
Card -B1
C5 i Date Z G,%r Card -B1 Date
Card -81
f Date 'L/ -' Card Date
Date
PLUMBING (Permit) OK except #'s
-B1
1&4per Ht. Vent -Access -Combustion Air -Baffle
Date
FINA dans) OK except #'s
/t Sv
ater Pipe; Test & Anchors -Nail Protection
xt. ps oor & Sidelight P ion -Landings
D.W.V.; Test-Fttngs & Anchors -Nail Protection
2 Detector
9. wer Pan; Test, First Floor -Tub Access
ace; Vents -Clearance -Comb. Air -Connector -
In 'age; Above Floor-Ducts-Mech. Projection
est Tub &Shower, 2nd Floor -Tub Access
as Pipe; Size & Anchors
. edr Exiting
F.I. & Bath Fixtures & T ss -Spa
6 c rim & Subpa ; Breaker s -Labe Is
6 air Rails
Card -81 Date Z I%Card-81 Date
Card -B1
-5r Date Jj(x ,Card -B1 Date
Stove: Clearance-s'sHearth
place o
Date
ELECTRICAL (Permit) OK except #'s
Elec tlets at Wood Panel; 01,`& Ext.
i12 -Fixture & Transformer Clearance -Ins. Protection
7 . it. F' t. & Appliance; G ap-C6 ng rance
24 . Elec. Receptacles Spacing -Lights & Switches at Doors
7 ec • utlets & Recept s it. er
2sKSize Boxes & No. of Conductors -Stapled
arage ire Door; Sw' - an -CI
20'."Romex Installed Close to Edge of Studs & C.J.
7 . D in Gar" mper
2 .quip. Ground made up w/Mech. Fasteners -Bond Gas & Water
In . Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
Ga e; Above Floor-Mech. Protecti
2 Appliance Circuts in Kitchen &Conductor Size/G.F.I.
7 Elec. & Mech. Equip. List
2 . Subfeed Wire Size /( / ga. Cu or AI-A.C. Wire Sized. /ga.
Cu orAl
or Loca on
I Receptacles in Garage; (G. - om Protec.
29/Range Circ. /..6 / ga. Cu or I. -Oven Circ. / / ga. Cu or Al.
Insulated Neutral OWs>Z
OPjnsulation-Foam-Looked in Attic es
7 rd Rails & Deck Cons ion-Pos s
34. Service -Riser Conductors & Ground -Main Disconnect
76, n. Vents & Crawl Hole Door-Draina&Wood -Earth
Clearance Looked under Floor es
3)- Equip. Clearances Panels-Motors-Mech. Equip.
_Clothes Closet Light -Shower Light -Spa Lightollowing
instld.; D v� es 13 No- Walks s ❑ P
Planters ❑ Ye o
. Smoke Detector
81. Stucco r n -Finish
Card -81
Card -81
C5 / Date JCard-81 Date
Co Date a2 1jCard-81 Date
82. . Unit; bisconnect, Electrical, Plumbin
8 ..Vents A Roof; Plbg.-Applianc -F re tear ce to
Op gs.
Date
M CHANICAL (Permit) OK except #'s
8"/ater Well; Disconnect, Elecyjeal, Plumbing
34. A.C. Ducts Insulation & Support
8 xterior Elec. Trim; G. eceptacie-Underground
Vent Fan; Exhaust above insulation
8 njlation throughout House
30'Conde,p4ate Drain & Overflow; Size & Grade
8 as Protection
Z rq !v
F ace -Vent; Access -Comb. Air -Return Air Vent -115 outlet
. Attic Access & Platform if Furnace in Attic
8 orre ions from Previous Inpections
89. G Test -Meters Tagged; Gas -Electric
ater wer Connecte - rade-HD Approval
Y Compliance Certifica a -Other Certificates
Card -81
C-5,4 Date Z L Card -B1 Date
92�-oofing Certificate
Card -81
5.-✓ Date 2 li v Card -81 Date
Card -81
() 6 Date 57+q0 Card -B1 Date
Date
FAMING (Plans) OK except #'s
Sills, Proper Material & Anchors
Card -81
Date,j �-qb Card -81 Date
Card -B1
Date Card -81 Date
,Walls Studs -Nailing, Spacing & Bracing—Plates-Sound
Bearing Walls over Girders & Floor Nailing
Comments at Final:
4 Praft Stop in Walls (rat proof)
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
Header & Beam -Size & Bearing
=OK
0 = Not OK
' = Not Readyable MOBILE HOMES
�
MISCELLANEOUS a
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
Date
DECKS, COVERS,CARPORTS,GAAAGES, (Plans)OK except #'
1. Zoning Requirements -Setbacks -Easements
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Sewer; Location -Test -Fall -C/O -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
_
4. Water; Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts- Beams-Rftrs.-Connec.-
Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
6. Gas; Location -Test -Wrap: / /" L" ft.
/ /"Nat. or/ P' ft./ /"LPG
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosure
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
-
8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
Card -B1
Date Card -B1 Date
10. Roof; Shthg-Roofing
Card -81
Date Card -81 Date
11. Ext.; Steps -Doors -Landings
Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Card -B1
Date Card -B1 Date
2. Footings; Size -Spacing -Marriage Line
Card -B1
Date Card -81 Date
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
Date
POOLS (Plans) OK except #'s
_
5. Drain; MH Test -Fall -Flex Connector
1. Setbacks -Easements -
_
6. Water; MH Test -Regulator -Connector
_
2. Soils; Compaction -Structure Stability
_
7. Water and Sewer Connected -C/O to Grade -HD Approval
3. Pool Structure; Steel -Connections -Thickness -
Dead Men -Lining
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
4. Elec.; Receptacles and Lighting, Distances-GFI
10. Cert. of Occupancy
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 Lghtc
Boxes-Enclosu res-Panei boards- Ins. to Main in Conduit
Card -81 Date Card -B1 Date
Card -B1
Date Card -81 Date
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Card -81
Date Card -B1 Date
Card -B1
Date Card -B1 Date
ENERGY INSTALLATION CERTIFICATE
Building Owner �$ �e Building Permit # 8t-_
Building Location 'CM&AC.Ar=-- "'TkW ion 9
DESCRIPTION OF INSULATION
ROOF
Material
Thickness(inches)
EXTERIOR1WALL
Material 3
Thickness(inches)
Brand Name
Thermal Resistance (R Value)
Brand Name
Thermal Resistance(R Value)
CEILING
Batt or Blanket Type 811'r'frj It &.DV W Brand Name
Thickness(inches) Rios , Thermal Resistance(R Value)
Loose Fill Type 'Brand -Name
Minimum Thickness(Inches) Number of Bags Wt. per bag lb.
Area covered(ft.2) Thermal Resistance(R Value)
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
Thermal
Brand Name
Thermal
Resistance(R Value)
Resistance(R Value)
I hereby certify that the above insulation was installed in the above building,
is consistent with approved building department plans and attachments and con-
formsi h requirements of Chapter 2-53 of State of California Energy Requiremen
&-S 11;��i4toA
F IRM NAME/OWNER ) STATE CONTRACTOR'S LICENSE NO.
SIGNATURE OF INSTALLATION APPLICATOR
DATE
I hereby cdrtify the required features, devices, and equipment, a�s shown on the approved
Building Department plans and attachments have been installed and conform to the appli-
ance standards and Chapter 2-53 of the State of California Energy requirements.
acts M OLVA_ ,\
- BUIL ING CONTRACTOR/OWNER (Please Print)
(F NAME)
IT
SIGNATUR-OOF BUILDING CONTRACTOR/OWNER
HVAC FIRM IE/OWNER (Please Print)
STATE CONTRACTOR'S LICENSE NO.
;517, 0
DAT
STATE CONTRACTOR'S LICENSE NO.
SIGNATURE OF HVAC CONTRACTOR/OWNER DATE
THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION
APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING.
SEPTEMBER 1988
ti
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, G)rovi Ile �. Phone: 538-7541
747 Elliott Road, Paradise — Phone: 872-6307
CORRECTION NOTICE
OWNER PERMIT NO. -;v
V
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
.jk
Inspector
Date
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 538-7541
747 Elliott Road, Paradise — Phone: 872-6307
CORRECTION NOTICE
OWNER
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office Immediately.
C 0AAE C- / 10,-/s PAT -W 0AlIr_
/ IiJSr/dLL S't/�WEeQ prtln/ j.;� 1jy,& )(OcA
+EX7'"04 C0L✓mi✓S ?o
gEAMs Ar EERY ArlftCl ✓4L
Z kOVf p4 JVe CAW
O.K Ao c`
�Z- /rte J q 9c
Inspector Da
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
` 196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 538-7541'
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
3y51-��
OWNER PERMIT N0.
A routine inspect' n indicates that the following violations of County Ordinance
exist at the ove address and should be corrected. Please notify this office
whenor ction of work is completed. If you have any question pertaining to this
matte,;, or need additional explanation, please contact this office immediately.
Z
., -
Date ' /'O Inspector 0&mj�
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chicp — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 538-7541•
747 Elliott Road, Paradise — Phone: 872.-6307
CORRECTION NOTICE
�'00 ez C' 3 L/s/_
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or .need additional explanation, please contact this office immediately.
TAJ SS T-
Mon-
Inspector ��� /10( -ate
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPI- ATIBN AND PERMIT
PERMIT N0. /
ASSESSOR ARCEL NUMBER
Z IrkG,
BUILDING PERMIT
OWNER
ELEPH N
I FT. OCC. BUILDING VA ATION
NS0.
OW R' M ING AD
NT TOR S_ AM�
TEL PHON If
OP
CONTRACT R'S MAILING ADDRESS
�-
Fireplace /
CONITIRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee
$ "10.00
Permit Fee
ARCHITECT OR ENGINEER
LICENSE No.
Plan Checking Fee
i
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
.—B.UILDING ADDRESS
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2,00
Solar or heat pump water heater
20.00
LOT O.
SUBBDDI�VISION NAME
PARC -EL MAPS
Water piping
5,00
Each qas water heater or vent
5,00
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00 -�
Building sewer
5.00
Mobile Home S I G I W
0.00e
TYPE OF WORK
New I Addition ❑ Remoeel ❑ Utilities ❑ Installation❑ Other EJPermit
Describe work:_ �_8/d.1 _
Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP ORV OR LESS10.00
/,0—,
Main service EA. ADD'L too AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
flI am licensed under p
provisions of Cha t. 9, Div. 3 of the BusinessSINGLE
and Professions Code and my license is in full force and effect.
License No. Classification
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING o
New CONSTR.(AMULTI-
'�z2sgft
uTL
NON.RESID BRANCH CIR
2.50 ea
OUTLET CIR.
Ex. OCCUp(OUTLET3 OR FIXTURES
®soc
520
AL030
FIXED APLNS.❑
Ex. Occup. OUTLETS P(RESID )REAJ
2.00
Temporary service
10.00 l(�'
Mobile Home Facilities
15.00
Misc. Wiring
g
15.00
Permit Fee .
$
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
.i-
Cooling ��
l
Hood
3,00
Ventilation. '0fe�(3—
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 Countyof
Butte to enter upon the abov mentioned property for inspection purposes.
I also ree t save ind mni y and keep harmless the County of Butte against
all Iia I ities udg nt c ts, and penses which may in a y way accrue
agains id o my ' o se n e o t e granting of this permit
X Date
Signatur of Applicant — Owner Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" de m 'tion or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee
Energy Inspection Fee
KC3
e
TOTAL FEE
WD.
HA2
CUA
PARK
scy�
FLD
This permit is hereby issued under
sions of the Butte County. Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
BY
PE IT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No. -- Z ���
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, LDENROD-APPLICANT
COUNTY OF BUTTE - Department of Public Works_
7 County Center Diive, Oroville, CA 95965 Phone:
OWNER -BUILDER VERIFICATION
t Attention Property Owner: r
916-538-7541
An 'owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid.
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no)
Q signed an application for a.buildin
2. I (have/have not) � g Pp germit p
for the proposed wor .
3.. I have contracted with the following.person (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors License No.
4. I plan to provide portions of this work, but I have hired the following person ...
to coordinate, supervise, and provide the major work:
Name
Address City
Phone Contractors License No.
5. I will provide some of the work but I have contracted (hired) the following
persons to.provide the work indicated:
Name Address Phone Type of Work
Signed:
Property Owner _
Social Securty N
Date k O i
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted -to issue the permit.
TO: Building Department
FROM: Encroachment Permit Section
RE: Driveway Clearance
owner location
�7-y3i
AP # 4
Driveway permit �/ Z: has been issued for the above property.
si ature y date
• w i
TO Buildina"Department
.FROM: Environmental,yHealth.
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 '__L_ bedroom •awe home. Other
-------------
NOTE ***
Sanitarian
Date
.'�`.'�i � "'1i't'i'a."1'�ur^il"�.'7Y+��`�{+•Y,�.y:�'y�-.-..ti�'i: '•"���+'�"kY:'�Li'. '"i'-,4/,fcy�ily ,"y�e J�' �r`,��f. rr, �� � '� v...r"'r'."""'�,"Tc
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OBOVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET
Permit No.
OWNER ` A. P. No. 17—���'��
Proposed Building Use Building Inspector Date
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
0/11. All items have been submitted . ....................................
2. Plot plans in duplicate/triplicate, signed by preparer of plans.,!._S<y'
3. Complete plans in duplicate/triplicate, signed by preparer of plans /.S
4. Complete engineered plans and calcs, with wet signature on plans ..
5. Hazardous Material Form ..........................................
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC Buildings ..............
8. Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturer's installation
instructions.......................................................
11 Qr Fees of $ ........................
V., Chico Urban Area fees paid ......................................:.
Park fees paid ....................................................
School District fees paid .............. I b
4. Sanitation approval from r!� Health Department —
15. City of Chico plumbing permit .....................................
16. Plot plan and business license approval from City of
(see City for other requirements)
E4,
Planning approval for (A) Use: (B) Parking: ......
Improvements may be required. Contact Land Development Section DPW
Driveway permit (construction approval required prior to occupancy)_41S-6 i
20. Pre -Inspection for required Pre-lnspec. request to
Building Inspector (Date)
Contractor's license information (No., Name Style, Classifications ...
2 Certificate of Workmans Compensation Insurance ..................
23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .....
. Recorded copy of Agricultural Acknowledgment Statement .........
25. Letter of sign i ure authorization ...................................
When you issue the permit, process s follows: Mail to owner.
Telephone — and hold for pickup at yoffice
Other A n
Applicant
Copy of plans sent Health Dept., Fire Dept., Other
The following data must be submitted prior
1. Index permit for above items No.
Mail to contractor.
_Deliver w/inspector.
Date
Date
it issuanQe: (Circle new item not checked ab
2. Additional items required:
a4k.0-1) /l-- /lz� ,�Gtlt
Contractor, designerown;) was advised of above required data by_phone�nail—counter b%,_-
L�date��'2�*�-�
Contractor, designer, owner, was advised of above required data by_phone_mail co nter by date
Plans checked by� L� Date Plans approved by Date
Z Sets of plans on hold in File cabinet AP folder
Copy—DPW
TO: Building Department
FROM: Encroachment Permit Section
RE: Driveway Clearance .
7 2i! 1,5/ooK ' r:
owner location AP #
Driveway permit 8 9 3 3 OZ _L' has been issued for the above property.
si ature date
i
} F
BUTTE VCOUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM
(One Form per Building)
A.P. Number Building Department.No.
School District. a//7e-�j City U 'County Q Jurisdiction
Property Owner lzarRr.--- .—r- Ae-Voe-e' ,
'Project •Location/Address�',q,j��b efigf?JV ; -
Subdivision,[[( _ Lot Number
Residential Development: q
S.
-a,- . Foot age
# of Living, MHI Addition (Group R)
..-Units
Commercial/Industrial: 'Sq,_ Footage
'New Addition (Including Exterior _
Roofed Areas)
• Building Department Aepr'esbntative, - -Date
(Floor Plans reviewed•,by;;,School.District Personnel) `
District Id No: 806 /& Q !
M1
�,� (►� ��,�J School District certifies that
?Inc, 1e- e Cyd",. ,.- _......4 ,,,x I • `�o
t (Applicant Name)_,,,* -V ��r^, ,t �,,� (Phone Number)
%ak8�7(0
(Street Address)
I�
(:h IC10 CC1 1_(Sco V
(City) (State) (Zip Code),
has complied with the requirements of, Resolution No.139? e
M
by the payment. of $ A60, L/9 I representing square feet.
School District Representative Date
PAID BY CHECK NO.
BANK NO
PAID BY CASH
REMARKS:
white -applicant, yellow -building department,' pink -school district
SCHOOL.FEE (8/88)
Return L'o DPW- AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT
FOR.RESIDENTIAL•DEVELOPMENT
BUTTE COUNTY RECORDER
Section 26-8.1 of the Butte County Code
priorres' this to issuancekof* aebuilding permitement be .
jC.(N00C M N1 ACCEPTED FOR RECORDING
pR�G�N��� AT 8.01 A.M.
'The property described herein is adjacent OCT 1.7 1989
to land or included within an area zoned
.for agricultural purposes, and residents
of this property may be subject to incon
veniences 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 agricul-
tural zones which have as a priority use for productive agricultural purposes, and residents
within said zones and on adjacent property should be prepared to accept such inconvenience
or disconform from normal, necessary farm operations.
All that real property situate in the County of Butte, State of California, described as
follows:
Lot 9, as shown on that certain Map entitled, "CARRIAGE ESTATES
SUBDIVISION", filed in the Office of -the Recorder of the County of Butte,
State of California on September 22, 1988 in Book 112 of Maps at Pages.24,
25, 26 and 27.
Date: / 0 "%(e --Y c
State of )
SS.
County of butA4^—)
Present A.P. No.
r
1 '6 WILM Sa uda3 "UP1*0 1)dunOO 311nsNilOAI1VO - OT1Bnd IMION
dW3ll '1 NJM1
On this the day of OVAVI 19 �'� , before me,
the undersigned Notary
99��Public, personally appeared
vv�
E]
Personally known to me..,® Proved to me on the basis
of satisfactory evidence.
to be the person(s) whose name(s)
subscribed to.the within instrument and acknowledged that _f_�
executed the same for the purposes therein contained. IN W.tTNl?SS
-WHEREOF, I hereunto set my hand and official seal.
. ^ w OFFICIAL SEAL /
F`ap ORWIN 1. KEMP
NOTARY PUBLIC - CALIFORNIA
r BUTTE COUNTY
' Q�COMM.FJcp!raSMarch9,1993 Notary ublic
5/89
RESIDENTIAL.PLAN'CHECKING GUIDE
MISCELLANEOUS ITEMS.TO.LobKOUT FOR (CONT'D)
(4 -Exterior glaster*- weep screeds (Sec. 470,6).
Proper roof pitch for roof. ' *covering (Chapter 32)..'
_6 -Roof covering type - (fire hazard).
3 -.'Rafter tiesorbearing ridge -beam.
,&-. Garage door or porch header sizes.
J9 Adequate bracing.
,10' Living area over garage - complete I-hour,separation required on garage side
including supporting walls and posts, etc.
14 ---Two exits on three-story dwellings (Sec. 3303 & see Mezannines 1716).
Atticaccess and ventilation (Sec. 3205).
. Underfloor.access and ventilation (Sec,, 2516).
1-4—Combustion Air for fuel burning appliances.
j -&-.-Noise requirement ' s on duplexes.
16- Adobe soils - special foundation design.
1 -7 -.-Retaining walls requiring design.
k8: -Unusual shape, size, or split level house requiring lateral design.
-L9--Flashing at all exterior openings.
C,
r
11111111,1411 111
C
0
/ Rr
Fri
E
'5%89
RESIDENTIAL PLAN CHECKING.GUIDE
(S.F., DUPLEX & MISC ONLY)
pp Bldg . Permit # S45/-(69
OWNER O 5E2T (/' lOo2g-_- A.P. # +-7 -43 -2_ 7
GENERAL
V.�'�ning requirements: (sideyards and number of permitted living units).
2/ aluation.
Plans signed,by designer.
Energy Design and Compliance.
�y/Existing violations on property.
Items on data sheet.
PLOT PLAN
plete parcel size and dimensions.
�er
tbacks, sideyards, easements, etc.
buildings or structures.
&". rading, fills, drainage.
b. F-Iood hazard.
cial conditions on creation map or compliance document.
7.! FAU & FAS road setback.
FLOOR PLAN
i�-Complete to scale plan with dimensions.
,2! Required windows for light and ventilation (Sec. 1205).
,,3- Required windows for second exit (Sec. 1204).
J3! Skylights (Chapter 34 & Sec. 5207).
,5!Human impact glass (Sec. 5406).
Required room sizes, ceiling heights (Sec. 1207).
GFCIs in baths, garage, and exterior outlets (Article 210-8).
�8! Light fixtures, switches, receptacles, and exterior receptacles for maintenance
of mechanical equipment.
.,9 --'-Locations of water heater, heating and cooling equipment, other electrical or
gas equipment, and plumbing fixtures.
_LO. Garage firewall, door size, and closer (Sec. 503(d)(3)).
;,1- 1 - 3'0" exterior exit door (Sec. 3304(e)).
1,2 --Fireplace and wood stove location, alcoves, and clearance.
Smoke detectors (Sec. 1210).►
STRUCTURAL DETAILS
,]-.-__'Foundation plan complete enough to construct building.
,2 --'Floor construction details complete enough to construct building.
(!� Elevations and wall construction details complete enough to construct building.
�4!Roof construction details complete enough to construct .building.
Fireplace construction details and calcs if necessary.
MISCELLANEOUS ITEMS TO LOOK OUT FOR
,?.----`Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306).
Guardrail details (Sec. 1711 & 3306(j)).
Brick or stone veneer (Chapter 30).
Fdv fi out & f11
r 1
APPROVED
SlOte CNjnty
.'�..,
Environmentai Heaith
l*l
-.::')
19 tune
v'1
2,1
�fit
•
r BUTTE U jfy
1r 44' J
+ 1 1
4'! j
S
:17d6ode lee 00wi/.
ua�t
cn
FILt,
NA
VI
eA
01711-
71
'y 1
COWIN
va cl� �DEP
AR R11
Certificate of Compliance: Residential Climate Zone 11
RogERT 1'1nOoK
ProjectTltle aa AA � VV�
4NT5, Gf'��N EJ 4 P I Bu' ingPermit#
i ProlectAddress �tK 10-2,?A9
C q 1 C k e Checked By / Date
Documentation Author Telephone Fnfotvmtent Agency Use Only
BUILDING DATA Glass Area 9b Glass
North "2
Conditioned Floor Area ZGO SO Number of Stories East 30
i
A_
%a sed Floor Number of .Units South
Single Family Detached (SFD) [ ] Addition Alone West 112 -
Single
12Single Family Attached (SFA) [ ] Existing Building Skylight_
[ ] Multi -Family (MF) [ ] Existing -Plus -Addition Total 334 1
BUILDING SHELL INSULATION
Component Insulation - Location/Comments
Type
R - Value
(attic, to garage, typical, etc.)
- Wall ..............
x-13
EKT. WALLS
t02 _
:...._. _ _ .Wall ..............
Z -�
Roof .............
Roof .............
Floor. .........
^-
--- •• - - - - --Floor..:::.:...::
- .
..
---_-.- , ..._- . _ - - - _
- -Slab Edge.....
O
—
_ GLAZING
Shading Devices
-- - Glazing - "
Area-'-. -
"Glass Type _` Interior Exterior
Overhang Framing Type
. _Orientation
(SO
(single. double) (aoller blind, etc.) (shadescreen, etc)
(yesmo) (metaltwood)
... " " North (
-7 Z-�
6L AN
n
North
East
East
south ( vj
_
To4
-
-
- South-
T
_ West (✓f
-
-
-. _ West ( )
_ :Skylight..:....
16.
1 ` THERMAL MASS
Type/Covering
Area Thickness
(slab/exposed. tile,
etc.)
(sf) (inched T rx�atinn/T)rcerinrinn twr. J,...
>„r►. -.,
grit&&%' A041_ _Z75V 1 4 a+ C:AVM b!ty /aA•rf+ a /ENTi y lk
H VAC: S Yb 1 LMS Minimum Duct
Type (furnace, air Efficiency Location Duct Output Manufacturer/ Model #
conditioner, heat pump) (SE, SEER,HSPF) (atric, etc.) R -Value (Btuh) (or approved equal)
w , �_ �•'� i 9�
Maximum Furnace Heating Output: ;, Btuh
HOT WATER SYSTEMS Tanks ..Manufacturer/Model #
System Type (storage gas, etc.) Capacity (or'noroved equal) Special Feature(s)
SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) "
Mandatory Measures Checklist: Residential MF -1R
NOTE: Lowrisc residential buildings subject to the Standards must contain th = mcas uu regardless of the compliance
I approach used. Items marked with an asterisk (•) may be supaxded by more stringent compliance requuemcnu listed
on the Certificate of Complivwr_ When this checklist is incorporated into om perm s. documents. the features noted shall
be considered by all parties as binding minimum component perfonranc: sp=&raLons for the mandatary measures
whether they arc shown elsewhere in the documents or on this chocklist only.
DESCRJMON DESIGNER EN-ORCEMENT
Building Envelope Measures
§2.5352(a): Minimum ceiling insulation R-19 weighted average.
§2.5352(b): Loose fill insulation manufacturer's labeled R -Value.
• §2.5352(c): Minimum wall insulation in frarned wills R-11 weighted average (does not apply to
catenor mass walls).
§2.5352(k): Stab edge insulation - water absorption rate no greater than 0.3%. water vapor
transmission rate no greater th m 2.0 permluich.
§2.5311: InsWa6on saccificd or installed moots California Energy Commission (CECT quality
standards. Indicate type and form.
§2.5352(f): Vapor barriers mandatory in Climate Zones 14 and 16 only.
§2.5317: Inftltration/Esftlnation Controls
a. Doors and windows between conditioned and unconditioned spaces designed to limit air
leakage.
b. Doors and windows certified.
e. Doors and windows weathdrstripped: aB joints and paxtr2dons caulked and soled.
12-5352(e): Special infiltration barrier installed to comply with §2-5351 meets CEC quality
standards. .
§2.5352(d): Installation of Fueplaces
1. Masonry and factory -built fireplace have:
a Tight fitting. closeable metal or glass door
b. outside air intake with damper and control
c. Flue damper and control
2. No continuous buming gas pilots allowed.. _
HVAC and Plumbing System Measures
§2-5352 and 2-5303: S "
(g) pace conditioning equipment sizing: attach calculations. ... -- - ---- ------ ----- — -----
§2.5352(h) and 2.5315:- Setback- thermostaronall applicable heating systems:
• §2-5316(a): Duets constructed, installed and insulated per Chapter 10, 1976 UMC. _
§2.5316(b): Exhaust systems have damper controls. -
_ §2-5314(c): Gas -rued space heating equipment has intermittent ignition devices. -
§2-5314: HVAC equipment, water heaters, sMwerheads,and faucets certified by the CEC-
_ §2.5352(1): Water heater insulation blanket (R-12 or greater) or combined interior/exterior -
insulation (R-16 or greater): first 5 foot of pipes closest to tank insulated (R-3 or greater). -
§2.5312(Exeep6on 1): Pipe insulation onsteam and steam conderisammum.&. recirculating _
piping.
§2.5318(d): Swimming Pool Heating
J . - 1. System hat
..
a On/off switch on heater.
b. Weatherproof instruction plate on heater_
C. Plumbed to allow for solar. - _
- - 2: 75 percent thermal efficiency. -- •--- _ - _ -
3. Pool cover.
4. Time clock..
5. Directional water inlet _ -
j Lighting and Appliance Measures _
i §2-53520): Lighting - 25 lumcns/watl or greater for general lighting in kitchens and bathrooms.
§2.5314(c): Gas fired appliances equipped with intermittent ignition devices,
112-5314(a): Refrigerators, re(rigcraor-freezers, freezes and fluorescent lamp ballasts certified
by the CEC. indicate make and model number.
COMPLIANCE STATEMENT
i This certificate of compliance lists the building features and performance specifications needed to comply with
Title 24, Chapter 2-53 and Title 20, Chapter 2. Subchapter 4. Article 1 of the California Administrative code- This
certificate has been signed by the individual with overall design responsibility and the building owner. who shall
retain a copy of it and transmit the certificate to nay subsequent purchaser of the building.
Designer Building Owner
Narrx: Nam
Tttle/FussL Titk/Fum
Address: Address:
Telephone: Telephone:
Lic: A:
(signatttre) _ (date) (sib (fi tc)
Documentation Author Enforcement- Agency
Name: Name: -
Titk/Fimt Agency:
Address: Tekphmc
1. Ceiling Insulation
2. Wall Insulation
Floor Insulation
Number ofstofies
-120
R -value
' One
Two
Thee$„
R-0
-103
-49
-32
R-19
-8
-4
.2
R-30
-2
-1
-i
R-38
0
0
0
U -value
2
-
R-19
0.50
-176
.84
-54
0.30
-102
-49
-02
0.10
-26
-13
-8
O.C8
-18
-9
•6
O.C6
-11
-5
-4
0.04
-4
-2
-1
0.02
4
2
1
0.00
11
5
3
2. Wall Insulation
Floor Insulation
_ 0.50
-120
Single-
Single -
0.30
Number of stories
Family
Family
Multi -
R -value
Detached
Attached
Family
R-0
-68
-51
-34
R-11
0
0
0
R-13
2
2
1
R-19
8
6
4
.Y U -value
0
0
0
0.80
-153
-114
-76
0.50. ..
-7= -0.30
_ 91 . _-__
- _ -68-==-
-46
- _ -
-47
36 - _
- _24
0.10
0
0
0
0.08
.4
3
2
0.06
9
7
5
- 0.04
14
11 ___.
-7 _
- -- 0.02
19
14
10
0.00
24
18
12
3. Raised
Floor Insulation
_ 0.50
-120
Insulation in Floor
-95
0.30
Number of stories
0.20
ti R -value
One Two
Three
R-0.
-17
-5
- R-11
.3 .2 __
-1
' = R-19
0 0
0
R-30
3 1
1
U -value
0.60
-144
_ 0.50
-120
0.40
-95
0.30
-69
0.20
-43
0.10-:.
-17 _ ..
0.08
-11
0.06
6
0.04
.1
0.02
4
0.00
10
-70 -46
-58 -08
-46 -00
-34 -22
-21 -14
-8 _ 5
-6 -4 ..
-3 -2
0 0
2 1
5 3
Controlled Ventilation Crawispace
R -value
One
Number of stories
Two
Three
R-0
-11
-7
.5
R-5
-4
-4
3
R-11
-2
-2
-2
R-19
.1
-2
-2
4. Slab Edge Insulation
.40
less
..
Number of Stories
-53
R -value
One
Two
Three
R-0
0
0
0
R-5
8
5
2
R-7
8
6
3
F2 factor
0.90
-4
-3 .1
0.80
-1
-i 0
0.70
2
2 1
0.60
6
4 2
0.50
9
6 3
0.40
12
8 4
S. Infiltration (Air Leakage)
Specification Points
Standard 0
6. Glass Heat Loss
w
Slab Floor
Effective Percent Glass
Total
%Glass Not -6
East
South
West
U -value
18. -5
Percent
4
1
.51 to
.41 to
.31 to 0.30 or
Glass
Single
Double
.60
.50
.40
less
50
-121
-53
-39
.24
-10
4
40
-90
-07
-26
-14
-3
8
35
-75
-29
-19
-9
1
10
�10
-61
-21
-13
-4
4
12
29
-58
-20
-12
-3
5
12
28
-55
-18
.10
.2
5
13
27
-52
-17
-9
-2
6
13
26
-49
-15
-8
.1
7
14
25
-46
-14
-7
0
7
14
24
-43
-12
-5
1
8
14
23
-40
-11
-4
2
8
15
22
-37
-9
-3
3
9
15
21
-34
-7
-2
4
10
15
20
-31
-6
0
5
10
16
19
-29
-4
1
6
11
16
18
-26
-0
2
7
12
16
17
-23
-1.
3
8
12
17
16
-20
0
4
9
13
17
15
-17
1
6
10
14
17
- 14 -.--14-
7.5
3
-7
10
14
18
13
-12
4
8
11
15
18
12
-9
6
9
12
15
19
11
-6
7
10
13
16
19
10
-3
9
11
14
17
19
9
-1
10
13
15
17 -20
8
2
12
14
16
18
20
7..Shading (Shade Open)
Effective Percent class
(Percent glass x SC)
Effective
0
Slab Floor
Effective Percent Glass
Mass
%Glass Not -6
East
South
West
Skylight
18. -5
1
4
1
na
-16 - .4
_ ..2..._.-5
__
1
na -
14 4
2
5
1
na
12 3
3
5
2
na
11 3
3
5
2
na
10 2
3
5
2
1
9 2
3
5
2
2
8 2
3
5
2
2
7 1
3
4
2
2
-29
-74
9
-5
-20
5 1
--'2 .
._ .4
.2 ..
3
4 0
...2
3
1_
3
3 0
1
2
1
3
2 0
0
1
0
3
1 -1
-1
-1
-1
2
0 -1
.2
-4
.2
0
na = not allowed
-7
-23
3
0
t3. Shading (Shade Closed)
0
Slab Floor
Effective Percent Glass
Mass
3
(percmt Slaw x SC)
1
0.40
Effective
4
/CFA
One
Two
Three
%Glean
North
Eau
South
West
Skyfight
18
-14
-48
-69
-64
na
16
-12
-42
-59
-55
na
14
-10
-35
-50
-46
na
12
-8
-29
40
-37
na
11
-7
.26
-36
-33
na
10
-6
-23
-31
-29
-74
9
-5
-20
-27
-25
-65
8
-5
-17
.23
-21
-56
7
-4
-14
-19
-18
-47
6
.3
-11
-15
-14
-38
5
.2
-9
-11
-10
-30
4
-1
-6
.8
-7
-23
3
0
-4
-5
-4
-16
2
1
-1
-2
.1
-9
1
1
1
1
1
-4
0
2
3
4
3
0
ren . not allowed
7
8
10
11
9. Interior Thermal Mass
Interior
0
Slab Floor
Raised Floor
Mass
3
Stories
1
0.40
Stories
4
/CFA
One
Two
Three
One
Two
Three
0.0
-8
-5
-4
-2
•1
-1
0.1
-8
-5
-3
-1
0
0
0.3
-7
-4
-2
0
1
1
0.5
-6
-3
.1
1
1
2
0.7
-5
-2
-1
1
2
2
0.9
-5
-1
0
2
3
3
1.1
-4
-1
1
3
4
4
1.3
-3
0
2
3
4
5
1.5
-3
1
2
4
5
5
2.0
-1
2
4
5
6
7
2.5
0
3
5
7
7
8
3.0
1
4
6
8
8
9
3.5
2
5
7
9
9
10
4.0
3
6
8
9
10
10
4.5
3
7
8
10
11
11
5.0
4
7
9
11
12
12
5.5
5
8
9
11
12
12
6.0
5
8
10
12
13
13
6.5
6
9
10
12
13
13
7.0
6
9
11
13
13
14
7.5
6
10
11
13
14
14
8.0
7
10
11
13
14
14
8.5
7
10
12
13
14
15
10. Exterior Wall Thermal Mass -
Exterior Single- Single -
Wall Family Family Muth
Mass Detached Attached Family
0.00
0
0
.. 0
0.20
3
2
1
0.40
5
4
3
0.60
8
6
4
0.80
A
8
5
1.00
13
10
7
1.20
13
12
8
1.40
12
13
9
1.60
10
13
it
1.80
10
12
12 ,
2.00
10
11
13 i
11. Heating System
--
-
SE or HSPF
K_
--
SEER
1199
(assumes duets In attic)
1700
_2200
2700
(assume; ducts
In atdc)
Sum of 1-6
lo
to
Sim of 7.10
or
-25 or -24 to -14 to -4 to
+6 to
16 or
SE
HSPF less
-15 -5 +5
+15
more
0.72
-15 -5
0
0 0 0_.
0
0-
0.75
.6.60.1
6.88
3
3 3 2
-2
1
0.80
7.33
8
7 6 ' 5
4
3
0.85
7.79
13
11 10 8
7
5
0.90
8.25
17
15 13 it
9
7
0.95
8.71
20
18 15 13
11
8
4
3 3
Effective
SE or HSPF
1
10.5
(SE or HSPF x duct of riciency)
6 5
Effective -25
or
-24 to -14 to .4 to +610 16 or
SE
HSPF
less
-15 -5 +5
+15 more
3
0.30
2.75
-73
-64 -56 -47
-38
-30
na
3.41
-45
-39 -34 -29
-24
-18
0.40
3.67
-34
-30 -26 .22
.18
.14
0.50
4.58
-10
•9 -8 -7
-5
-4
0.56
5.13
0
0 0 0
0
0
0.60
5.50
5
5 4 3
3
2
0.70
6.42
17
15 13. 11
9
7
0.80
7.33- 25
22 19 16
13
10
0.90
8.25
32
28 24 20
17
13
1.00
9.17
37
32 28 24
19
15
Zonal Control Adjustment
System Type
Resisance 10 9 7 6 4 3
Other 6 5 4- 3 2 2
12. Cooling Syst.:m
%Gt s
Unit Size (sQ
K_
Water
SEER
1199
1200
1700
_2200
2700
(assume; ducts
In atdc)
or .
lo
to
Sim of 7.10
or
Type
Type
less
-25 or -24 to -14 to
-4 to
+6 to
16 or
SEER
less
-15 -5
+5
+15
more
8.0
-14
-12 -10
-8
-6
.4
8.5
-9
-7 -6
-5
-4
-3
8.9
-5
-4 -4
-3
-2
-2
9.0
-4
.3 -3
-2
•2
-1
9.5
0
0 0
0
0
0
10.0
4
3 3
2
2
1
10.5
7
6 5
4
3
2
11.0
10
9 7
6
4
3
12.0
15
13 11
9
7
5
13.0
20
17 14
, 12
, 9
6
-9
-7
Effective SEER
IG
'
-5
(SEER x dud efficlency)
.2
-2
-2
Sum of 7-10
So!ar
7
5
Effective
-25 or -24 to -14 to
-4 to
+6 to
16 or
SEER
less
-15 -5
+5
+15
more
5.0
-30
-25 -21
-17
-13
-9
6.0
-12
-11 .9
-7
-6
-4
6.6
-5
-4 -4
-3
-2
-2
7.0
0
0 0
0
0
0
8.0 _
9.
8 6 __
5
-4
3•
9.0
16
14 12
9
7
5
10.0
22
19 16
13
10
7
11.0
26
23 19
15
12
8
12.0
30
26 22
18
14
9
13.0
33
29 24
20
15
10
Zonal Control Adjustment
10 8 .7 6 4 3
No Cooling System Installed
Stories
One -5 -4 -4 -3 .2 -2
Two + 3 3 2 2 2 1
Single -Family Detached and Attached
Interior MassICFR
Type 7 puss
(l. 7•Vt�[•..31
(e. rpet.a et_el t TYPE 1 1(A55 (UIKC 1.2, le: exposed slab)
0% 5% 10% 15% 20% 25% 30% 35% 40%, 45Y. 50Y. 55% 60% 6576 70% 75% 80% 85% 90% 95% 100Y. 105% 110% 115% 1201. 1:
Oy. 0 0.2 04 0.6 0.8 1.1 1.3 1.5 1.7 1.9 2.1 2.3 2.5 2.7 2.9 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5 5
10;: 0.2 0.4 0.6 0.8 1 1.2 1.4 1.6 1.9 2.1 2.3 2.5 2.7 2.9 3.1 3.3 3.5 37 4 42 4.4 46 4.8 5 52 5
20% 0.3 0.6 0.8 1 1.2 1.4 1.6 1.8 2 2.2 24 27 29 3.1 3.3 3.5 3.1 3.9 4.1 43 4.5 4.8 5 52 5.4 5
30% 0.5 0.7 0.9 1.1 1.4 1.6 1.8 2 2.2 2.4 2.6 2.8 3 3.2 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 56 5
40Y. 0.7 0.9 1.1 1.3 1.5 1.7 1.9 2.2 24 2.6 2.8 3 3.2 3.4 3.6 3.8 4 0 4.5 4.7 4.9 5.1 53 5.5 5 7 t
50% 0.9 1.1 1.3 1.5 1.7 1.9 21 23 25 27 3 3.2 3.4 3.5 3.8 4 42 4.4 4.6 4.8 5.1 5.3 5.5 5.7 59 6
55% 0.9 1.1 1.4 1.6 1.8 2 2.2 24 2.6 28 3 3.2 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 53 56 58 6 f.
60% 1 1.2 1.4 1.7 1.9 21 2.3 2.5 2.7 2.9 3.1 33 35 3.8 4 4.2 4.4 4.6 4.8 5 52 54 56 5.9 61 6
65% 1.1 1.3 1.5 1.7 1.9 2.2 2.4 2.6 2.8 3 3.2 3.4 35 3.8 4 4.3 4.5 41 4.9 5.1 53 55 5.7 5.9 61 64
MY. 1.2 1.4 1.6 1.8 2 2.2 2.5 2.7 29 3.1 3.3 3.5 3.7 39 4.1 4.3 4.6 4.8 5 52 5.4 56 58 6 62 64
75% 1.3 1.5 '1.7 1.9 2.1 2.3 25 2.7 3 3.2 3.4 3.5 3.8 4 4.2 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 63 6
801y. 1.4 1.6 1.8 2 2.2 24 26 28 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 t.9 5.1 54 56 58 6 62 64 6-
851. 1.4 1.7 1.9 2.1 2.3 2.5 2.7 2.9 3.1 33 3.5 3.8 4 42 4.4 4.6 4.8 5 52 54 56 59 6.1 63 65 6.
90Y. 1.5 1.7 2 2.2 2.4 26 28 3 32 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 it 53 55 5.7 59 62 64 66 6:
95% 1.6 1.8 2 2.2 2.5 27 2.9 3.1 33 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 5.2 5.4 5.6 58 6 6.2 6.4 67 69
100% 1.7 1.9 21 2.3 2.5 28 3 3.2 3.4 3.8 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.7 7
105% 1.9 2 2.2 2.4 2.6 2.8 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 56 5.6 6 6.2 6.4 66 68 7
110% 1.9 2.1 23 2.5 2.7 2.9 3.1 3.3 36 38 4 4.2 4.4 4.6 4.8 5 5.2 5.4 5.7 5.9 6.1 6.3 6.5 6.7 69 7'
115% 2 22 24 2.6 2.8 3 32 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 59 6.2 6.4 6.6 6.8 7 7-<
120% 2 23 2.5 2.7 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.4 4.6 4.8 5 5.2 5.4 56 58 6 62 6.5 6.7 6.9 7.1 13
125% 21 2.3 25 2.8 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.7 7 7.2 7.4
Point System Summary: Climate Zone 11
SCORE CARD
Measures Point Scores
1. Ceiling Insulation R -SC or
R -value 1381 U -value [0.0301
2. Wall Insulation R-10!:) or 'h'Z
R -value (I I) U -value (0.098)
3. Raised Floor Insulation or
R-value[191 U -value (0.037]
4. Slab Edge Insulation _ 0 or d
R -value (01 F2 facto (0.771
5.. Infiltration - Standard - - 0
6. ^Glass_Heat Loss +4.
Type (double) U -value [0.651 % Total Glass [ 161 Sum 1-6
-7. Shading (Shade Open)
% G ss SC Eff. % Glass
a. North x ,'7% = 2.15 0
-- -b. East ,2 x F-
c. South , O x 6
d. West .3 x = 3 ,3 .F.
e. Skylight_ ,(�_ x = t
l`
8. Shading (Shade Closed)
%Gt s
Unit Size (sQ
Eff.
Water
-2. •
1199
1200
1700
_2200
2700
Heater
Credit
or .
lo
to
to
or
Type
Type
less
1699
2199
2699
more
SG
None
0
0
0
0
0
or
Solar
12
8
6
5
4
HP
HWR .. 8.
5
4
3 ...-
3
TYPE 2 MASS AREA _
ND. FLOOR AREA _
WSB
5
3
3
2
2'
7 (, . 6
POU
8
5-
4_
3
3
SE
None
-37
-24
.18
-15
-12
12. Cooling System
Solar
-1
-1
-1
0
0
HWR
-18
-12
-9
-7
.6
WSB
-25
•16
-12
.10
.8
POU
-18
-12
-9
-7
-6
IG
None
-5
-3
.2
-2
-2
So!ar
7
5
4
3
2
POU
3
2
1
1
1
IE
None
-28
19
•14
.11
.9
Solar
8
5
4
3
3
POU
-10
-6
.5
-4
-3
Multi
-Family (Individual
units)
Unit
Size (sQ
Water
699
700
1200
1700
2200
Heater
Credit
or
to
to
to
or
Type
Type
less
1199
1699
2199
more
SG
None
0
0
0
0
0
or
Solar
14
7
5
4
3
HP
HWR
9
5
3
2
2
WSB
9
4
3
2
2
POU
9
5
3
2
2
SE
None
-45
-23
-15
-11
•9
Solar
2
1
1
0
0
HWR
-23
-12
-8
-6
-5
WSB
-25
-13
.8
-6
.5
PQU
_-23
-12
•8
-6
.5
IG
None
-8
-4
-3
-2
( -2
Solar
6
3
2
1
1
POU
1
0
0
0
0
IE
None
-30
15
-10
-8
-6
Solar
18
9
6
4
4
POU
-8
-4
.3
-2
-2
Interior MassICFR
Type 7 puss
(l. 7•Vt�[•..31
(e. rpet.a et_el t TYPE 1 1(A55 (UIKC 1.2, le: exposed slab)
0% 5% 10% 15% 20% 25% 30% 35% 40%, 45Y. 50Y. 55% 60% 6576 70% 75% 80% 85% 90% 95% 100Y. 105% 110% 115% 1201. 1:
Oy. 0 0.2 04 0.6 0.8 1.1 1.3 1.5 1.7 1.9 2.1 2.3 2.5 2.7 2.9 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5 5
10;: 0.2 0.4 0.6 0.8 1 1.2 1.4 1.6 1.9 2.1 2.3 2.5 2.7 2.9 3.1 3.3 3.5 37 4 42 4.4 46 4.8 5 52 5
20% 0.3 0.6 0.8 1 1.2 1.4 1.6 1.8 2 2.2 24 27 29 3.1 3.3 3.5 3.1 3.9 4.1 43 4.5 4.8 5 52 5.4 5
30% 0.5 0.7 0.9 1.1 1.4 1.6 1.8 2 2.2 2.4 2.6 2.8 3 3.2 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 56 5
40Y. 0.7 0.9 1.1 1.3 1.5 1.7 1.9 2.2 24 2.6 2.8 3 3.2 3.4 3.6 3.8 4 0 4.5 4.7 4.9 5.1 53 5.5 5 7 t
50% 0.9 1.1 1.3 1.5 1.7 1.9 21 23 25 27 3 3.2 3.4 3.5 3.8 4 42 4.4 4.6 4.8 5.1 5.3 5.5 5.7 59 6
55% 0.9 1.1 1.4 1.6 1.8 2 2.2 24 2.6 28 3 3.2 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 53 56 58 6 f.
60% 1 1.2 1.4 1.7 1.9 21 2.3 2.5 2.7 2.9 3.1 33 35 3.8 4 4.2 4.4 4.6 4.8 5 52 54 56 5.9 61 6
65% 1.1 1.3 1.5 1.7 1.9 2.2 2.4 2.6 2.8 3 3.2 3.4 35 3.8 4 4.3 4.5 41 4.9 5.1 53 55 5.7 5.9 61 64
MY. 1.2 1.4 1.6 1.8 2 2.2 2.5 2.7 29 3.1 3.3 3.5 3.7 39 4.1 4.3 4.6 4.8 5 52 5.4 56 58 6 62 64
75% 1.3 1.5 '1.7 1.9 2.1 2.3 25 2.7 3 3.2 3.4 3.5 3.8 4 4.2 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 63 6
801y. 1.4 1.6 1.8 2 2.2 24 26 28 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 t.9 5.1 54 56 58 6 62 64 6-
851. 1.4 1.7 1.9 2.1 2.3 2.5 2.7 2.9 3.1 33 3.5 3.8 4 42 4.4 4.6 4.8 5 52 54 56 59 6.1 63 65 6.
90Y. 1.5 1.7 2 2.2 2.4 26 28 3 32 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 it 53 55 5.7 59 62 64 66 6:
95% 1.6 1.8 2 2.2 2.5 27 2.9 3.1 33 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 5.2 5.4 5.6 58 6 6.2 6.4 67 69
100% 1.7 1.9 21 2.3 2.5 28 3 3.2 3.4 3.8 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.7 7
105% 1.9 2 2.2 2.4 2.6 2.8 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 56 5.6 6 6.2 6.4 66 68 7
110% 1.9 2.1 23 2.5 2.7 2.9 3.1 3.3 36 38 4 4.2 4.4 4.6 4.8 5 5.2 5.4 5.7 5.9 6.1 6.3 6.5 6.7 69 7'
115% 2 22 24 2.6 2.8 3 32 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 59 6.2 6.4 6.6 6.8 7 7-<
120% 2 23 2.5 2.7 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.4 4.6 4.8 5 5.2 5.4 56 58 6 62 6.5 6.7 6.9 7.1 13
125% 21 2.3 25 2.8 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.7 7 7.2 7.4
Point System Summary: Climate Zone 11
SCORE CARD
Measures Point Scores
1. Ceiling Insulation R -SC or
R -value 1381 U -value [0.0301
2. Wall Insulation R-10!:) or 'h'Z
R -value (I I) U -value (0.098)
3. Raised Floor Insulation or
R-value[191 U -value (0.037]
4. Slab Edge Insulation _ 0 or d
R -value (01 F2 facto (0.771
5.. Infiltration - Standard - - 0
6. ^Glass_Heat Loss +4.
Type (double) U -value [0.651 % Total Glass [ 161 Sum 1-6
-7. Shading (Shade Open)
% G ss SC Eff. % Glass
a. North x ,'7% = 2.15 0
-- -b. East ,2 x F-
c. South , O x 6
d. West .3 x = 3 ,3 .F.
e. Skylight_ ,(�_ x = t
l`
8. Shading (Shade Closed)
R
Sum 7.1:
45
%Gt s
SC
Eff.
a. North
-2. •
x
-
%Glass
,
b. East
la
x
c. South
d
x
d. West
.3
x
e. Skylight
tfo
x
, 7'� _ .3 g
9. Interior Thermal Mass
/�j
'L"'7.5
TYPE 1 MASS
AREA
Interiorl/ass/CFA
GOND. FLOOR AREA
10. Exterior Wall Mass
n
TYPE 2 MASS AREA _
ND. FLOOR AREA _
Exterior Wall
11. Heating System
7 (, . 6
x
7.161
.160
Zonal Control? ( Y / N)
SE or HSPF
Duct Efficiency [0.781
Effecdve SE or
(0.7216.6)
HSPF [� 5.15J
12. Cooling System
1.5
x
�y2. _
�
Zonal Control? ( Y / N)
SEER 19.51
Duct Efficiency [0.74)
Effective SEER [7.031
13. Water Heating
Type (SGJ
Credit [none)
R
Sum 7.1:
45
r,-
z'T t� C t�P D FP C i _ J f �8 1 :�?a t� L3: i i i�c &Y ? t ,�5 Frl
JCS _ _ _ _ -
Top: R3 ! S �a -�: c t V h-`OC 1__R: G _29 3 _ei 5_ 7" 9.89 i3_ 2S
Gb.
C.T Gi_ GI;.'D 2n {°�,-i ck
r_ �. sli �• -�>_ i .�` L-r` �3 _ 2S ? . L' i 6.75 5' - 59 i3 -21
Z LLT 1--C= 3 2ru
r� r t ,' f± - r - - •t-- �sT�� e-EAR NIC P_L�'.CS SA54:E G-SAD,= AN-0 S ?� AS BE R—r� t�F�?bc�'
,3e _Jt3i.TS};.�r. xCS,;Sr :a.=. :Fs 7-i_L�U �.��wa:.L7�':
Ar .rte i - _ _ - -
_r ,r Y, . f, .. r 8S r i. irF3 tc _ BR`` L3L-C crt: i 8,C i !� t 1 t ud i�L31aL#�ii�
SPE LSC =3-A ->>�1_ 1 3LOC <2" L��t=S 3 � HATLS 8c1LOCY
�= -AL' ?LATES. A�E T � _ i
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