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HomeMy WebLinkAbout047-430-041r• a: Cf- i ji 11 • r• i 4f 0 w UI ' ^E DEVELOPMENT 43 4 CORPr T" ! 4532 Garden ook Dr, lot 23, Carriages .; •� "Estates; CFiico ' f,Contr : Gregory Cole Permit#:8728-89B,P,E,M(new gle fermi ) ' -=--•y--47-43-411 n 42.25 -,89 1, ' ',LUI' &`•COL} L `CORPS ',� �. miry Cole 32�yGarde.ricBrook Dr:,' Chico' t r t eras ; y: ov 47=43-41 f, 92-2019B';E FORBES, Bruce' & Wilda 4532 Gardenbrook "DR, Chico garden.. shed "• �D a 11/ ✓ 47-43-41 FORBES,' Bruce & Wi•lda- 4532 Gardenbrook DR. Chico ,Aa IDgarage 047-43-0-041. 93-1877 B,_ , 1 'FORBES, BRUCE &'WILDA 4532 GARDEN BROOK DR, CHICO 6JOODSTOVE/SF ':= �P8%193 m M�i R,ESIDENTIA 47-43-41 4225-89B' LUI A COLE DEVEL CORP h Contr: Gregory Cole 4532 Garden Brook Dr, Chico i (cov.patio)., JOB FINALE Signature ►I V OK O = Not OK i �~ - = Not Applicable Not Ready RESIDENTIAL (Single ' = Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ P' Fig. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped I 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date Card B71 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing n & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties -Pu rlin -roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic .Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Prbtection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic, 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINA lans OK except #'s Ex tep oor & Sidelight Protection -Landings m Detector urnace; Ven�ts-Clearance-Comb. Air -Connector - In rage!Above Floor-Ducts-Mech. Protection E,6. & Bath Fixtures & Tub Access -Spa lec. Trim & Subpanel; Breaker Sizes & Labels it place or Stove; Clearances -Hearth Ele utlet t Wood Panel; Int. & Ext. 7 it ixt Appliance; Grnd.-Air Gap -Cooking Clearance I . Outlets & Receptacles at Kit. Counter &&tarage Fire Door; Swing -Landing -Closer uct in Garage -Damper tr. ; Vents -Clearance -Comb. Air-Connector-P.R.V. 44-!t arage; Above Floor-Mech. Protection Ib lec. & Mech. Equip. Listed for Location 7 . lec. R eptacles in Garage; (G.F.I.)-Romex Protection In at.;on-Foam-Looked in Attic ❑ Yes uard Rails & Deck Construction -Post Caps 7.9.,F-dff Vents & Crawl Hole Door -Drainage & Wood -Earth (/ earance Looked under Floor•' ❑ Yes Foil wing instld.; Drive es ❑ No; Walks ❑ s ❑ No: nters ❑ Yes , o St ; Brown -Finish A.C. nit; Disconnect, Electrical, Plumbing encs Above Roof; Plbg.-Appliance-Fireplace.-Clearance to enings W per Well; Disconnect, Electrical, Plumbing terior Elec. Trim; G.F.I. Receptacle -Underground en 'lation Throughout House 7. ass Protection 9. directions from Previous Inspections Gas Test -Meters Tagged; Gas -Electric Suter & Sewer Connected -C/O to Grade -HD Approval 1. Energy Compliance Certificate -Other Certificates Date -9 Card B Date Card B-1- DateCard B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: (NOTE: An entry must be made each time you visit job site) .J=OK O = Not OK -=Not Applicable Not Ready 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) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L" ft. / /"Nat. or/ P L" ft./ /"LPG 7. 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; Size -Spacing -Marriage Line + 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch - 10. Cert. of Occupancy Date Card B-1 Date Card.B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs: Coonectors Shthg: Rfg: Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date 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, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater B. 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 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: 852.-6307 CORRECTION NOTICE OWNER PERMIT N0. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office '-wl when correction of work is completed. If you have any question pertaining to this matter, or need additional .explanation, please contact this office Immediately. vS ,,k as �T. A" 4, Inspecto Date_ 4L�*�.20 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 89,1-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 ,y CORRECTION NOTICEco: 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. 7`' Inspector_ Date 3 —2t — ` o .,zi. 4r'.my'4vi•.i.+G ta" .+*yy L ilY"'i �T..,,...�,s moi.®if�"[ Owner-.y r Permit No. ENERGY CERTIFICATION � cf 2 1 -f -3s, / LOCATION A.P. NO. � 'Y7—Y3 � � / 7 — Y 3 DESCRIPTION OF INSULATION ROOF MATERIAL BRAND NAME THICKNESS THERMAL A EXTERIOR WALL MATERIAL ---Fiberglassl BRAND NAME Certainteed THICKNESS 812- THERMAL RESISTANCE (R VALUE) -- L CEILING BATT OR BLANKET TYPP�_ o„«(Jo;�� BRAND NAME Certainteed THICKNESS LOW �— THERMAL RESISTANCE (R VALUE) - 3.0 LOOSE FILL TYPE IN - BRAND NAME Certainteed THICKNESS__- 12 THERMAL RESISTANCE (R VALUE)- 3a FLOOR,�ELEVATED A' ERIAL FIBERGLASS BRAND NAME CERTAINTEED t,;, h, -- THERMAL RESISTANCE FLOOD; -;,SLAB ;MATERIAL BRAND NAME THICKNESS THERMAL RESISTANCE R VALUE) WIDTH FOUNDATION -WALL MATERIAL BRAND NAME THICKNESS THERMAL RESISTANCE (R VALUE) I hereby certify that the above insulation was. installed in the above building in conformance with the State of California -Energy -Requirements. SHASTA INSULATION #530235 F NAMOWNER STATE CON RACTOR"S LICENSE NO.' I hereby certify the above insulation and all required items as shown on the Building Department approved plans and attachments 'have 'been installed as required by the State of California Energy Requirements All equipment, devices and materials are of the quality prescribed or are specifically approved b' t e State of C 1' rnia. l- ------ I ----- ----- - ----==---------- FIRM NAME/Ol�� (PLEASE ) STATE COA'TRACT R"s L .CENSE N0. -- - - --- -- - - -- ----- -- ---------------------- SIGNATUR G NERAL CONTRACTOR/OWA'ER DAT This certificate must be on file with the BUILDING DEPARTMENT prior to final inspection approval and a copy shall be posted; -within the building. JANUARY 1984 �t COUNTY OF BUTTE - DEPARTMENT OF PUBLIC W RK PERMIT N 7 County Center Drive - Orovillsi , Caiifornia'95965 - Telephone: 916 538 41 APPLICATION AND PERMIT , ASSESSOR PARCEL NUMBER s ZONING I BU NG PERMIT OWNE /�_V- gz_e.�L s TELEPHONE SO. FT. OCC. VALUATION /BUILDING COV�T 75 OWNER'S MAILING ADDRESS 7i/c/ CMtCo CA, --7i19 � CONTRACTOR'S AME/�nJ � f�t-X✓ v_ w TELEPHONE CONTRACTOR'S MAILING ADDRESS -71101 - Q_a Z%' 7>I Fireplace NSTRUC TIO,END R UNKNOWN Total Valuation I $ LENDER'S MA LING ADDRESS LNG Filing Fee $ 10 .00 Permit Fee $ 0 ARG. dITE�T OOOR ENGINEER LICENSE o. Plan Checking Fee $ q � � $ Energy Plan Checking Fee $ AHI OO NGINEE 'S MAILING ADDRESS '.0. fir ?f I CCC E'�9 + 27' % I Penalty $ BUILDING ADDRESS _ Permit fee $ 6-7r 7 PLUMBING PERMIT Filing Fee 110.00 C G�� Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP C/4 — Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFk Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W O.00ea TYPE OF WORK New ❑ Additionx-`Remodel ❑ Utilities ❑ Installation❑ Other ❑ ', Describe work:- G©�.��`�%L�' ` Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service GOOV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): I am licensed under provisions of Chapt. 9, Div. 3 of the Business ) $ C de an and Professmy •license IS In fu11 fpr�e and effect. License No. Classification .L� ❑1 as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. UP -N hl OR ADDNS. ( ACC. BLOGS. ) tsgft DWELLING OCC , NEW CONSTR. I.OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. EX. OCCUp(OUTLETS OR FIXTURES sAL030 eAl9 30 Ex. Occup. OUTLETS FIXED P(RESID )REAJ 2.00 Temporary service 10.00 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 0 Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upo the above-mentioned property for inspection purposes. 1 also agree to e, indemnify and k p harmless the County of Butte against all liabilities, dgments, costs, a penses which may in any way accrue against s i unty in cons en a granting of this permi . %� ✓ Date OwnorContractora Agent Signature of Applidolquired An OSHA permit for excavations over 5'0" deep and demolition or Construct- ion of structures over3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 7. -7.5 OCCUP. CONST.TYPE scHooL PLooD PARCEL v PD ND 139U This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC BY PER EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date /z—z'��p�% l���j� `♦� Receipt No. �T 72% - WHITE-O.P.W.. YELLOW-ASOC7e0R, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTM P�11 LIC WORKS - BUI DI DIVISION _. 7 COUNTY CENTER DRIVE-'4:90,VI LE, CALIFORNIA 95965 - TELEPHONE: 916 38-75 r PERMIT APPLICATION DATA SHEET `14 t Permit No., OWNER L U( COLE A—R No. Y -�'P posed Building Use Building Inspector Date Z-2--6/ -"2 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form ......................................... . 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. t. 8. Engineered truss.details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions............:.......................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... School District fees paid .............. ® 14. Sanitation approval from Ct(i C 0 Health Department _/ 15.. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 4 20. Pre -Inspection for required Pretinspec. request to Building Inspector (Date) ! . 21. Contractor's license information (No.., Name Style, Classifications ... 22. Certificate of Workmans Compensation- Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24: Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ..................................... 26. 27. When you issue the ermit, process as follows: ' Mail t owner. Mail to contractor. Telephone �� 3 ��� and hold for pickup at-, office. Deliver w/inspector. Other 14 Applicant Date r Copy of plans sent Health Dept., Fire Dept., ther Date The following data must be submitted prior to permit issuance: (Circle ne item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by—phone _maiI—counter by ..date Contractor, designer, owner, was advised of above required data by—phone _maII—counter by date Plans checked by Date Plans approved by C`y�= Date Sets of plans on hold in File cabinet AP folder Copy—DPW oK TO Buildina 6epartment FROM: Environmental Health SUBJECT: Sanitation Clearance (d142 Owner Location'. AP# Plan -Approved for: Sewag'e Disposal c,--' Water Supply Hold final for: Water Supply Final clearance O.K. for:. Water Supply Clearance for bedroom mobile home. Other NOTE Sa-��ta'rian Date rv7..�w.r^,n^.-..--^�-'P--r-�,T''�4'�'-a+r'R:".b---•'r-- , "�."^I.^*'w^.•^T^'^'"-",.w•e.-.•n-++t-r,,,w.-.,.-.....-..-+-.,-µ.rr•m+m�w--...+.,.+-,•,,,+- '� NTY, 0- BUTTE'- DEPARTMENT -OF PUBLIC 'ARKS , ERMIT N 7,'County, Cent rive - Orovkie; Geltfornia 85965 -'Telephoned-.o/538-7541 APPLICATIONAND PERMIT: ' ASSESSOR P RCEL NU g, R • i4. ZONING •" BUILDING'PERMIT' OWNER •.. /OC.f�r'i�wL, TELEPHONEd, SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADD�R+ESS u •i •N ' CONTR CTOR•S AM �,., ,,- ,} TELEPHONE �rq CONTRACT'OR'S MAILING ADDRESS a '•/-59-07T - %)/. Fireplace CONST .RUCT�'LENOER fa .' - . • UNK OWN + , -r I + rLENDER•S Total Valuation $ ' M ILING ADDRESS : r•,,.• = ... �, .. a• Filing Fee` - $ 10.00'+,",i Permit Fee ARCHITE OR ENGINEER ]LICENSENO., r.�. _..,/- "Co m ,..,..,..,��� Plan Checking Fee ^- _ ' ARCHIT CT OR ENGINEER'S. MAILING ADDRESS Energy Plan Checking Fee �' -f. ,�'r• ), C• C . C1tJ 'C4', , Penalty $ .. . BUILDING, ADDRESS .' '�••�/., ., - _ Permit fee • - fG PLUMBING PERMIT - Filing Fee .10.00..' % Each Trap Sola or heat pump water -heater. LOT•,NO.-- SUUSDDIIVISION•NAME I-. ''; ]PARCEL MAf !/ - ?' Water piping 5.00 - `- S.%�4,�.. S j Each qas Water heater or vent 5;00 '" •� o USE OF STRUCTURE ^,* ''. Gas piping system 1 - 5 outlets5 00 ti �, SF,�Duplex❑Mobileho'me❑;;'Other Buildingsewer . SPECIFY Mobile HomeI S I G J.W I 10.00ea' TYPE OF WORK . `. Neytr] Addition❑ '`Remodel❑ Utilities❑ installation❑ Other ❑ ,Describe Permit Fee work:".y . A /Ly -I 5,s/��-Oc ' i Contractor a ELECTRICAL PERMIT FilirgFee 10.00 .• , Main service' 100 AMP LESSOR �y 10.00 IQ �- Main service EA. AOD'L' 100 AMP 2.50 , CONTRACTORS LICENSE LAW I I declare rider enalt of. er ur ' v P 1 y..(check one):' NEW CONST. DWELLING G P OR ADDNS. ACC.BLDG ) ys2Sq ft + ,P„ . am licensed under provisionslof Chapt. 9, Div.3 of "the Business NEW CONSTR -IDUTL NON -REBID BRA R S 2.50 ea and ;Professions Cod and my license is in,full force and effect. �• e•' '{ /POWER APPARATUS e (SINGLE OUTLET CIR. ) y 2005 zDeeos YAG License No. Classification - L. Ex. OCCU OUTLETS OR FIXTURES P 0 'i• - �" � ].•I; as the owner; ormy.employees with wages as their sole compen- FIXED APPLNS. OR EX. OCCUp.'0UTLETS (RESID.) EA. -2.00 setion, will,do tbe'workiand the structure is not -•Intended or offered `'for'sale.(Sec. Temporary service 10.00 /(�✓ . 7044)• I, 1 a the owner, 'am exclusively contracting with licensed contract-•' ' Mobile Home Facilities 15.00 ors: (Sec. 7044) t Misc. Wiring 15.00 am exempt under Sec.L__:__, , Buslness And Professions Code l ' foe this reason+ ' - Permit Fee <+~ ".y "WORKMEN'S'COMPENSATION INSURANCE I'beelare'underpenalty ofperjury (check one):,, :' ` Contractor : MECHANICAL PERMIT Filing Fee 10:00 ` ri .-❑; ;The,.permit'is f6r'$100.00,(valuation)'or less. ; .^� "Heating' .. I�.❑ •``I have placed'on file •with the-County',`of'Butte Building`Department',V a -0ertificeta.of Workmen's Compensation Insurance.or a Certificate, :of Consent,to Self -Insure ' - , i ,.Cooling' .. y �'j` /0"`- I shall not employ.any person in any,mannet.so as to become subject Hood 3,00 13 to the W. C. laws OUCalifornie �,_. ` Ventilation rte'" Notice to Applicant: if after`makirig thie statement, should you become subject ' to the W: C.•provisions of the Labor Code, you must forthwith comply with such pencil Fee $ provisions or this permit'shal l be deemed revoked.;,. • Contractor �.1- certify. that' -I have read this application 'and 'state that the above Information Mobile Home Installation Fee $ correct.,I'agree'to'coinply•to all County Ordinances and State Laws relating Energy Inspection Fee $ to but Iding`construction,`and hereby, authorize representatives of the County of. Butte to enter upon the above-mentioned property for Inspection purposes. TOTAL PERMIT FEE $ /07 � : '•, I also agree to''save,'indemnity a keep harmless the County of Butte against all `ilabilitie ;1'judgments, cost a d expenses which may in any way accrue'' agaI at Sal ounty Incogtse ;of.thggranting of this permit: oy4 eoNST.T�r s scya Pl _op PARC[L PD ND lelu „f yf"✓ y. `I Signature ofy An OSHA p6m Ion of structu IReceipt N,0 WHITE -D. P, W„ 0 L✓-�/'G� IT This permit is hereby Issued under the applicable provl- Date'� -sions of the Butte County Code and/or resolutions to do Iteo t — OwnedR. Contractor.•®• Agent ❑, work Indicated above for which fees have been paid. itis required for excavations over 5'0" deep and delriclition or construct- PUBLIC WORKS s over 3 stores in hei ht. Af411�&TOR?OFgj " rot��J(1 By . .�,,c Date ELLOW-14eK-01 PINK•INDPL OR. GOLDENROD -APPLICANT PERMIT EXPIRES Date- ,�-•+• �/ 2728-89B,P,E,M' PERMIT NO. PERMIT EXPIRES �D Z _ 90 OWNER LUI & COLE DEV G Cole CONTR. 47-43-41 ASSESSOR PARCEL 4532 Garden Brook Dr, lot 23, LOCATION Carriage Est, Crilco v �JJA r. i Temp. Power Pole Called PG&E • Temp. Elec. Ice Called PG&E \ ,, Temp. Gas Service \f� Called PG&E \ JOB FINALED (Date) 1 , • Signature o = NAA7pi , RESIDENTIAL (tingle and Duplex) = Not Ready Date UNIMMFLOOR (Plans) OK except #'s „ i Date FRAMING (Continued) or co ing-betoacKs;-tasements-rio -slope tain •Soils-Steel-Elec. G' d.-/12/" Ftg. De tg., Garage; Soils -Steel-/ ' Ftg. Depth -4. 5q., Porches & Decks; Soils -Steel-/ /"Ftg. Del S walls, Main; Steel-Blockouts-Wrapped temwalls, Garage; Steel-Blockouts-Wrapped 7. Slab; Steel -Wrapped 8. tips -Fireplace Ftg.-Steel W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Card -B1 r%' / Date/1r/ Card -131 Date Card -B1 Date 1 Card -131 Date Date PLUMBING (Permit) OK except #'s 1Water Ht. Vent -Access -Combustion Air -Baffle 1 at ipe; Test & Anchors -Nail Protection . D V.; Test-Fttngs & Anchors -Nail Protection hower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access ZT�Gas Pipe; Size & Anchors Card -131 70 Date Card -81 Date Card -B1 Date Card -131 Date Date ELECTRICAL (Permit) OK except #'s . FI Lure & Transformer Clearance -Ins. Protection 2 . lec. Receptacles Spacing -Lights & Switches at Doors 2 ize Boxes & No. of Conductors -Stapled 2 o ex Installed Close to Edge of Studs & C.J. 2 . ' ip. Ground made up w/Mech. Fasteners -Bond Gas & Water 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. ubfeed Wire Size / ga. Cu o C. Wire Size/ /ga. CL or Al 2 R /(01 C O C' f CI 4&,A*CI 6. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 4 fireplace Ties or Type A Flue -Fireplace Throat Clearance 4 tic. Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49 rm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. arage Fire Protection Framing arty Line Firewall & Openings . 5 xt. Doors -one 3' -Check Garage -3rd story, 2 exits _53-steim,, Width -Headroom -Rise -Run -Landing -Fire Protection 5 oo n Roof Overhang -Attic Vents -Rafter Outriggers ng -Nailing Veneer St}tdco Mesh -Drip Screed -Fd. Vents-Underflr. Access 5 . lazing Area -Glass Protection -Skylights -Plastic !g etre r Walls; Nailing -Bolts I lation-Walls-Clg. 6 . Infiltration-Walls-Wndws Card -B1 Date /z -r j Card -B1 Date Card -B1 /yf Date /Z.Vtj Card -B1 Date Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 77. Insulation -Foam -Looked in Attic ❑ Yes ane irc. ga. u otq, ven irc. ga. or A . n,sulated Neutral Yes Si Drain & Overflow; Size & Grade 78. Guard Rails &Deck Construction -Post Caps 3 ervice-Riser Conductors & Ground -Main Disconnect ttic Access & Platform if Furnace in Attic 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth quip. Clearances Panels-Motors-Mech. Equip. Card -Bi Clearance Looked under Floor D Yes 32. C)Athes Closet Light -Shower Light -Spa Light Date Card -B1 Date 80. Following instid. rive -DYes D No; Walks ❑ Yes O No; 38!bmoke Detector Date FR Planters ❑ Yof ❑ No n 3 . dills, Proper Material & Anchors 81. Stucco; B own -Finish Card -131 1 Date • - 7q Card -B1 Date 41• 82. A.C. Unit; Disconnect, Electrical, Plumbing Card -B1 Date Card -Bi Date raft Stop in Walls (rat proof) 83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Stops; Furred Ceilings -Stairs -Chases -Tub 4 Openings. Date MECHANICAL (Permit) OK except #'s 84. Water Well; Disconnect, Electrical, Plumbing Ducts Insulation & Support 85. Exterior lec. Trim; G.F.I. Receptacle -Underground 3 . Vent Fan; Exhaust above insulation 86. Ventilat' n throughout House ' 3§ooCondensate Drain & Overflow; Size & Grade 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet ttic Access & Platform if Furnace in Attic Card -Bi Date Card -131 Date Card -131 ' Date Card -B1 Date Date FR ING (Plans) OK except #'s 3 . dills, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41• Bearing Walls over Girders & Floor Nailing 4 raft Stop in Walls (rat proof) 4 .Fire Stops; Furred Ceilings -Stairs -Chases -Tub 4 Header & Beam -Size & Bearing 87. Gla s Fyotection rrec ons from Previous Inpections 89. Gas T t -Meters Tagged; Gas -Electric •�w 90. Water & Sewer Connected -C/O to Grade -HD Ap oval 91. Energy Compliance Certificate -Other Certificates 92. Roofing Certificate Card -B1 Date Card -131 Date Card -131 Date Card -131 Date Card -B1 Date Card -131 Date Comments at Final: (NOTE: An entry must be made eAh time you visit iob site) • =-OK ,• ' A 0 = Not OK ' MOBILE HOMES MISCELLANEOUS = Not Readyable r Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DECKS,'COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 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.- 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete Shthg.-Rfg.-Bracing 111� 6. Gas; Location -Test -Wrap: / /"L"ft. 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures / /"Nat. or/ /"L"ft./ /"LPG - 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -131 Date Card -131 Date 10. Roof; Shthg-Roofing Card -811 Date Card -B1 Date 11. Ext.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector ' 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Card -131 Date Card -131 Date Card -81 Date Card -61 Date Card -131 Date Card -61 Date Card -131 Date Card -131 Date 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, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -131 Date Card -81 Date Card -131 Date Card -131 Date 11 ,y + r Card -131 Date Card -61 Date Card -131 Date Card -131 Date 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, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -131 Date Card -81 Date Card -131 Date Card -131 Date 11 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 PERMIT N( 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,,,,Pr need additional explanation, please contact this office immediately. Inspector_ Date /� .,---e.a-^vr�,,..s-_r...a.r-.Rs,�[`t�ww-":�'rf"�`��"• p`f'$.-., :j-�.:�, �.,�—^_., ;`. ,F��c�.. i 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 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 �Zed additional explanation, please contact this office immediately. 5a , 4 c o V G Ile-, ��/iU/� `a,,e Gni S5 C. 1` A-J�5- r&( t. --e- react off- ol�- tiou-5' n�ccnrs 1 NS%i�t G•Y/i7+J V% 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 — Phdhe: 872.-6307 J CORRECTION NOTICE A/' i --)/P X, / z -� R 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 rn •te , or need additional explanation, please contact this office immediately. Gti G6u, %o Pr o Oz J 1 s 00 Az u.,Jt l L+ /IN /N142 l7 Li� Inspector Date • COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 99965 - Telephone: 916/538-7541 APPLICAT'I'ON AND PERMIT ERMIT,N0. ASSESSOR P=RCE�NU"4 ZONINGI [[TT// BUILDING PERMIT OWNER TEL��E(yPHONE ZW �LC / SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS rOIBp—x 0 C Ni qSC1v%' -7 / / CONTRACTOR'S NAMETELEPHONE o q Cocom P3 -o&r CONTRACTOR'S MAILING ADDRESS 0 G/ tCQ CA. 9Y/_Z7- 7//5 Fireplace 000 CONSTRUCT O LENDER UNK OW Total Valuation $ Filing Fee $'�, 10.00 LENDER'S M ILING ADDRESS // Permit Fee $ ARCHITEaT OR ENGINEER - !�y CoLC LICENSE No. /,///I -Ener Plan Checking Fee $ ` - Plan Checking F Energy ecgee $ !C S '�- ARCHITECT OR ENGINEER'S MAILING ADDRESS .D o C.�4. Penalty 5- ~- BUILDING ADDRESS - 8 aK. vo Peninit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 •� Solar or heat pump water heater Zjkeir LOT NO. 23 SUBDIVISION NAME PARCEL MAP 1A-66� j�Z�L� Water piping 5.00 S 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 Is 10.00ea TYPE OF WORK© Ney,' n Addition❑ Remodel❑ Utilities[] Installation[] Other ❑ Describe work: /�u�G� %ZEL�i/Oc�/UG C 4_1 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 j Main service 100 AMP OR LESS 00V DR LESS 1 10.00 /O " Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW 1 declare der penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Cod 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCC P A NEW , l ftsq ft CONSTR. UE II.OUTLE`T NON.RESID .BRANCH CIRC ITS 2.50 ea .50 ea POWER APPARATUS e SINGLE OUTLET CIR. Ex.00cup(OUTLETSOR FIXTURES 8AL03t eALo3o FIXED P(RESID )REAJ 2.00 Ex. Occup. OUTLETS Temporary service 10.00 J� Mobile Home Facilities 15.00 Misc. �Yirin 15.00 g 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 shal I be deemed revoked. Contractor MECHANICAL, PERMIT Filing Fee -11,0.0V Heating I/M 000 ,�. Cooling Hood 3.00 1 `3 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-rdentioned property for inspection purposes. I also agree t ave, indemnify, a keep harmless the County of Butte against all liabilitie judgments, cost , nd expenses which may in any way accrue3`y against sai ounty in co se of th granting of this permit. X Date Signature of plica t - OWne� Contractor Agent F1 An OSHA mit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $'D O UP. CON ST.TwYP'! JSC�JFLoO ARCEL PD ND 9UE J This permit is hereby issued under sions of the Butte County Code work indicated above for which BY /PIR�CTrF7PUBILIC PERMIT EXPIRES Date the applicable provi- and/or resolutions to do fees have been paid. WORKS �Q� Date -a Receipt -3/Q� 8 WNITC-D.P.W..TELLOW- DEssom, PINK-INSP OR. GOLDENROD -APPLICANT ,dinc Department TO Buil FRO.m: -.Environmental Health SUBJECT: Sanitation Clearance Owner Location A?# Plan Approved for: Sewaqe Disposal Water Supply Hold final for: Water SuV.Ply Water Supply Final clearance O.K. for: Clearance- for. bedroom ms'0*6e home. Other INOTE. Date Sanitarian TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance 362 7 k ef 2 - 06�6 owner focation AP # Driveway permit has been issued for the above property. si/ature date j , COUNTY OF BUTTE - DEPARTMENT (5Ff PUBLIC WORKS - BUILDING DIVISION f'ft,�f S' • 1� 7 COUNTY CENTER DRIVE - OROVILLE, "CAL'IFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET OWNER Proposed Building Use Permit No. A No. F Building Inspector Date `t,s At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation I str 'tions...��f0.c.'U........................................ eesof $ .......................... 1 Chic rban Area fees paid ........................................ Pfees paid ..................................................... School District fees paid ................. Sanitation approval from ��C!rCJ Health Department ... 4. City of Chico plumbing permit ...................................... 15. Plot plan and business license approval from City of (see City for other requirements) 16 Planning approval for (A) Use: (B) Parking: Improvements may be required. 8. Driveway permit (construction approval required prior to occupancy) ... 19. Pre -Inspection for required ..... Pre-Inspec. request to ' Building Inspector 20. Contractor's license information (No., Name Style, Classification) ....... 21, Certificate of Workmans Compensation Insurance .................... 22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .. 23. Recorded copy of Agricultural Acknowledgment Statement ............ 24 Letter of Si9 natlqre authorization ................................... . When you issue the permit, process as follows: Mail to owner. _ %C Telephone . `-and hold for pickup at office. Other Applicant 4 Mail to contractor. _Deliver w/inspector. Date Copy of plans sent Health Dept., Fire Dept., -//—Other—Date The following data must be submitted prior to oermit issu ce: Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: _ Contractor, d signer, owner, was advised of above required data by_phone�nail_counter by;—A� date -I —I �� Contractor, designer, owner, was advised of above required data by—phone—mall—co ter by date ,o Plans checked by CE Date ` `�� Plans approved by Date s of plans on hold in ,"" File cabinet AP folder Copy—DPW (_ _ r� ��Vq.. act te w . {'h.. H.rV'�� .f, a.lbi. rt r..:•t�{� .. •� -0]' •'}r)R•fi. iY .I �pe>yurII to DPW AGRICULTURAL. STATEMI°:N'1' OF'.ACKNOWLhUCI.FILN'1' I.OR RF.S.I DF.N'I' I AL IJ WELOPMFN7' . _ .. .`"oc1. ion '26-13.1 of the 11ULte County Code requires Lhis acknowledgement be recorded prior to issuance of a building permit. The property described herein is adjacent AUG 16 1989 to .Land or included within an area zoned for agricultural" purposes, and residents of Lhis•property may be subject to incon-. -eniences or discomfort arising from the 8"9-030874 use of agricultural chemicals, including, but not limited to herbicides, pesticides, stnd 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 ectal,) ishvil :i;,,ric iiI lural zones which have as a priority use for productive agr:iculLural purposes, :ind c, i th i.n said zones and on adjacent property should be prepared to accept such i nc ()nve•u i c-nrr• rir disconfornl from normal, necessary farm operations. All. that. real property situate in the County of Butte, State of Ca:li.fornio, desc•rihe-d :ira follows: LOT 22 THRU 25 INCLUSIVE AS SHOWN ON THAT CERTAIN P IN THE OFFICk OF THEARECORDERCOFSUBDIVISION" FILED COUNTY 6F STATE OF CALIFORNIA ON SEPTEM13ER 22, 1988 IN BOOK 112 OF MAPS AT PAGES 24, 25, 26 AND 27. A.P.N. 047-43-0-001-0 Da _A - .. C. STATE OF CALIFORNIA Butte Iss. COUNTY OF I On August 15, 1989 before me, the undersigned, a Notary Public in and for said State, personally appeared Gregory D. Cole personally known to me (or proved to me on the basis of satisfactory evidence) to be the person whose name is subscribed to the within instrument as the Attorney in fact of Henry K. Lui and acknowledged to me that he/she subscribed the name(s) of Henry K. Lui thereto as principal(s), and his/her own name as Attorney in Fact. WITNESS mhand and official seal. Signature OFFICIAL SEAL ` MARY R. CASEBEER NOTARY PL`�UC - CALIFORNIA e BUTTE COUNTY F My Ccmm. Explres Jan. 29,1993 (This area for official notarial seal) C hasis i deuce. Iged 01:11 a i nett. I 5/89 RESIDENTIAL.PLAN CHECKING GUIDE MISCELLANEOUS-ITEMS..TO LOOK OUT FOR (CONT'D) /4! Exterior plaster - weep screeds (Sec. 4706). ,5-:- Proper roof pitch for roof covering (Chapter 32). i6 Roof covering type - (fire hazard). %/'.-- Rafter ties or bearing ridge beam: _,�Garage door or porch header sizes. Adequate bracing. J.O�Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. ,14. Two exits on three-story dwellings (Sec. 3303 & see Mezannines - 1716). �2 Attic access and ventilation (Sec. 3205). ��__Combustion nderfloor access and ventilation (Sec. 2516). air for fuel burning appliances. �• oise requirements on duplexes. �dobe soils - special foundation design. etaining walls requiring design. sual shape, size, or split level house requiring lateral design. Flashing �t all exterior openings. AM +� r �' .tet —• • � • / I �J 5/89 RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX & MISC. ONLY) Bldg. Permit # 2.72.6 OWNER L L) 4( --OLE: •L� VEL.. A.P. # 47 - 43-41 GENERAL �oning requirements: (sideyards Valuation. >3. Plans signed by designer. Energy Design and Compliance. h� Existing violations on property. Items on data sheet. l/ PLOT PLAN and number of permitted living units). Complete parcel size and dimensions. Setbacks, sideyards, easements, etc. -,--Other buildings or structures. �rading, fills, drainage. lood hazard. Special conditions on creation map or compliance document. _,7/FAU & FAS road 'setback , FLOOR PLAN — Complete to scale plan with dimensions. —2'.�_ Required windows for light and ventilation (Sec. 1205). Required windows for second exit (Set. 1204). �►! Skylights (Chapter 34 & Sec. 5207). ,-5' Human impact glass (Sec. 5406). -�r'.�Required room sizes, ceiling heights (Sec. 1207). -T--'GFCIs in baths, garage, and exterior outlets'(Article 210-8). <8 --__Light fixtures, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. Locations of water heater, heating and cooling equipment, other electrical or gas equipment, and .plumbing fixtures. Garage firewall, door size, and closer (Sec. 503(d)(3)). ,14-1 - 3'0" exterior exit door (Sec. 3304(e)). e12-.�Fireplace and wood stove location, alcoves, and clearance. iY3. Smoke detectors (Sec. 1210). STRUCTURAL DETAILS oundation plan complete enough to construct building. �oor construction details complete enough to construct building. evations and wall construction details complete enough to construct building. Roof construction details complete enough to construct building. 5. Fireplace construction details and talcs if necessary. MISCELLANEOUS ITEMS TO LOOK OUT FOR ,1-.--�Stairway details: landings, rise and run, -head clearance, handrails (Sec. 3306). uardrail details (Sec. 1711 & 3306(j)). Brick or stone veneer (Chapter 30). 0 BUTTE -COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One Form'per Building) A.P. Number 7.'/_3 Building Department No. School District � ,� �a City County® Jurisdiction Property Owner AIGA. I� 15;�( rla $_ Project Location/Address�{-(Cid Subdivision A, A- rQ G CC'S+ Lot Number Z Residential Development: © a Sq. Footage # of Living MHI Addition (Group R) Units • t Commercial/Industrial: Sq. Footage �' .New Addition (Including Exterior Roofed Areas) NBuildjAg Department Representative r .'Date (Floor Plans reviewed by School District Personnel).,,. District, Id No. 1?Dd:jqS ( ICD thIF)rr_ School District certifies; -that - (Applicant Name) (Phone Number) ' 71 (Street Address) `(City) (State) -(Zip Code) has complied with the requirements of Resolution No.- by the payment of $ �a%�-g� �& representing square feet. School D"istrict Representative /Date PAID BY CHECK NO. REMARKS: BANK NO /I- PAID BY- CASH i white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) .,", T.,.. .y. r_ S ' j `p`!i+„' �ir.,.`C .y:u�.. ': �' g il;,{' F,� 2+.=.r �! r' •i'i'3o ly�'�i.' ' ,F',f j'" ` ° " :. . , w. `-7 4p z } 047-43-0-041 :+ 93-1877 B FORBES', BRUCE &-WILDA.,,' i 4532 GARDEN BROOK DR; CHICO t, WOODSTOVE/SF r na 612. _119 AIR i - ' .r - Apr '1 i � ''� i �''•"` r.. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. \ 7 Lodnty Center Drive - Oroville,.California 95965 -Telephone: 916.'538-7541 �� 1 —2 APPLICATION APPLICATION AND PERMIT z /_ ASSESSOR PARCEL NUMBER 047-43-0-41 ZONING SR BUILDING PERMIT OWNER Bruce & Wilda Forbes TELEPHONE 899-0844 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 4532 Gardenbrook Dr., Chico 95926 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace I A CONSTRUCTION LENDER UNKNOWN Total Valuation $ 1, 3W. ou Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee s45.00 PLUMBING PERMIT Filing Fee 1 15.00 4532 Gardenbrook Dr,. Chico Each Trap 1 5.00 Solar or heat pump water heater 20.00 LOT NO. 23 SUBDIVISION NAME Carriage Estates PARCEL MAP 112-25 Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF [X Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W TYPE OF WORK 77 New a Addition U Remodel ❑ Utilities ❑ Installation❑ Other M Describe work: Woodatove RE: BP.P #92-2020 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 20000AA OR LESS 18.50 2OR LESS Main service 20CATO 1000A) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING oCCUP.E 3.64sq.ft. OR ACDNS. ( ACC. LDG S I.OUT NEW CONSTRESID, RANCHUTLET @ 5.00 NON -R ESID BRANCH CIRC ITS (POWER APPARATUS &) %SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES A20 X 760 B46A Ex. Occup. OUTLETS PR ESID )REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said,,County in consequence of the granting of this permit. X s ''r' : • -- Date Signature of Applicant —J Owner Contractor ❑ Agent ❑ Si OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. g Mobile Home Installation Fee $ Ener Inspection Fee $ 9Y P occ CONST TYPE TOTAL FEE $45.00 HAz 1 11 FEES I IMP I FLOOD CDF PARCEL PD HO JpgtE This permit is hereby Is ued under the applicable provi- sions of the Butte o y Code and/or resolutions to do i work ind- ed a4v�or which fees have been paid. 1 D FZE TOR OF PUBLIC WORKS By� Date .iy�_ PER IT EXPIRES Date Ze Z4/ y f Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7,County~center Drive - Oroville, California 95965 - Teleo e: 916.'538-7541 APPLICATION,AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 047-43-0-41 ZONING SR BUILDING PERMIT OWNER Bruce & Wilda Forbes TELEPHONE 899-0844 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 4532 Gardenbrook Dr., Chico 95926 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace I A 1,500.00 CONSTRUCTION LENDER UNKNOWN Total Valuation Is 1,500.00 LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ 30.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit tee $ 45.00 PLUMBING PERMIT Filing Fee 15.00 4532 Gardpnhrook Dr., Chico Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. 23 SUBDIVISION NAME Carriage Estates PARCEL MAP 112-25 Water piping 1 7.00 Each Qas water heater or vent 1 7.00 USE OF STRUCTURE SF [I Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 1 5.00 Building sewer 15.00 Mobile Home JSFG W @ 15.00 TYPE OF WORK New _ Addition j_j Remodel ❑ Utilities ❑ Installation❑ Other ❑X Describe work: WOodstOVe RE: BP.P #92-2020 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 115.00 Main service 200AORLESS 18.50 Main service 200A TO IOOOAI CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect.SINGLE License Ao. 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 _37.50 NEW COVST. / DWELLING OCCUP.8i\ 3.6Q sq.ft. OR ADDVS. 1 ACC. BLDGS. // NEW CONSTR. MULTI -OUTLET @ 5.00 NON•RESID BRANCH CIRC ITS POWER APPARATUS 9 OUTLET CIR. 76 Ex. Occup(OUTLETS OR FIXTURE S\\ 20 d FIXED APLNS. Ex. OCCup. OU LETS PRESID.IREA./ I 3.00 Temporary service 15.00 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 FiIingFee 15.00 Heating Cooling g Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against s ounty in toss( equer�e granting of this permit. Q = Date 6 ��%" 93 Signature of Applicant — Ownerx Contractor ❑ Agent ❑ 'An OSHA permit is required for excavations over 5'0'deep and demolition or construct- ion of structures over3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ 45.00 HAz I DFEES I IMP rOO. I COI I PARCEL PD I HD kq0E This ermit is hereby issued under thea licable%� provi- P Y PP sions of the Butte o y Code and/or resolutions to do work indi ed a or which fees have been paid. D T R OF PUBLIC WORKS / By Datef. Zy 47 PERMIT EXPIRES Date Z -y Receipt No. '7 3 os—,) WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTYOF BUTTE -DEPARTMENT OF DEVELOPMENTS �iCES - BUILDING DIVISION Ad 7COUNTYCENTERDRIVE-OROV1dE,CALIF0RNIA95965- LE HONE(916)538-7541 OWNER Proposed Building Use PERMIT APPLICATION DATA SHEET X ej e_G 9, A. P. No. Building Inspector 6 Date of --fit _ . kµ ��,.,�.'^h At time --� iit application, I was advised the following data mustilbe submitted prior to permit processing and/or issuance: DATE RECEIVED BY 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. ........ ' A. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............. 5. Hazardous Material Form. ....... ' . . . . . . . . . . . . . . . . . . . . . . . .I. . . . . . . 6. Energy Design Compliance and suppo\ ing documentation . ................... 7. Statement of Intent for Non -Heat apd,A/C Buildings ........................ 8. Engineered truss details and layoIut;in, uplicate (required prior to plan check). .... 9. Mobilehome data and manufacturers installation instructions, 2 sets. ........... 10. Fees of $ 11. Impact fees as shown on attached s hedule. .............................. 12. California Department of Forestry �plan approval/fees. ....................... . 13. Flood elevation letter (10"ea� flood) by California Engineer . ................. .p 14. Sanitation and plot plan app�r�oval Health De artment. 15. City of Chico plumbing permit ......................................... 16. Plot plan and business lice'n`se 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). .. . 20. Pre -inspection for P'�" °"'� ° - required. .. to a���"9"�� (Date) 21. Contractor's license information. (No., Name Style, Classification). ........... t .. 22. Certificate of Workmans Compensation Insurance. .......... Owner -Builder Verification (Given to owner ,Mail to owner }IV ............ 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. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other _ Parcel Creation y� Acreage Applicant .elo Date 45 i& Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date w. By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by -10 _ phon _ mail Counte Date Contractor, designer, owner, was advised of above required data by _phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold .in File cabinet AP fo,Ider Copy - Department of. Public Works ' �r COUNTY OF BUTTE - Department-of.Public Works 7 County Center Drive, Oroville, CA. 9.5965 Phone: 916-538-7541 CouNn' OF pepTn'E OWNER -BUILDER VERIFICATION QUfLOING JUN 2 Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) e 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 A 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 Tvpe of Work Signed: . Property Owner Social Security Number - - Date 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. Y 60 1� 5`77 SI ENTIAL X47-43-41 cur5i'�92-2020B,E FORBES, Bruce & Wilda 4532°Gardenbrook DR, Chico Garage • �.> - s� JOB FINALED (Date) Signature��---- V- OK O = Not OK Not = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch t 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) ' 5. Electricity; Location -Clea rences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" U ft. / /"Nat. or/ P L" ft./ P'LPG 7. Well Clearance R Disconnect 8. Utility Clearance r Date Card B-1 Date Card B-1 r Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements . 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 • Date Card B-1 MISCELLAN S Date DE S, COVERS, CARPORTS, tARAGLns)OK except #'s ing Requirements -Setbacks -Easements . Footings; Soils-Size-Depth-Spacing-Conriectors-St 14940-R -O K 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beam s-Rftrs.-Connectors Shlhg.-Rfg.-Bracing ' 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures Cports Windows -Doors le is j r ; Sils-Anchors-Studs-Rftrs-Trusses g'iding; Nailing -Veneer -Stucco -Mesh Roof; Shthg-Roofing . I.; Steps -Doors -Landings Date Card B-1 Date; Card 13-1 (� Date 3-9 L Card B-1�2%1j Date Card B-1 .cam 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, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O = Not OK - = Not Applicable Not Ready RESIDENTIAL,(; = Date UNDERFLOOR (Plans) OK except k's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel- Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except ft's 16. Water Htr.: Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection ------- --------------------- ------------------- 19. Shower Pan: Test. First Floor -Tub Access ------------------ -------------------------- 20. Test Tub & Shower. Second Floor -Tub Access - -- 21. Gas Pipe: Size & Anchors Date Card B-1 Date Card B-1 ---------------------- ------------------ ---------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except n's 22. Fixture & Transformer Clearance -Ins. Protection - - - - ------------ 23. Elec. Receptacles Spacing -Lights & Switches at Doors ---------- ---------------------------------------------------------- 24. Size Boxes & No. of Conductors -Stapled ----------------------------------------------------------- 25. Romex Installed Close to Edge of Studs & C.J. ------------------------------------------------------------- 26. Equip. Ground made up w!Mech. Fastners-Bond Gas & Water ----------- ------------------------------------------------------------------ 27. 2 Appliance Circuts in Kitchen & Conductor Size!GFI --- - - ----------------------------------------------------- 28. Subfeed Wire Size i ga. Cu or AI-A.C. Wire Size ga. Cu or At ----------------------------------------------------------------------- 29. ------------------ -29. Range Circ. ! / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No ----------- -------------------------- - --- -- - 30. Service -Riser Conductors & Ground -Main Disconnect ------------------------------------------------------ - -------------------------- 31. ---------- -------------------------------------------- 31. Equip Clearances Panels-Motors-Mech. Equip. ---------- ------------------------------------------------------- 32. Clothes Closet Light -Shower Light -Spa Light ---------------------------------------- ---- ----- ----- -- 33. Smoke Detector --------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 ------------------- -------------- - ------------------------------------------------ Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except tt's 34. A.C. Ducts Insulation & Support ------------------ --- -- ------------ -------- `----------------------------------------- 35. Vent Fan: Exhaust above insulation -----------------------------------=------------------------- 36. Condensate Drain & Overflow: Size & Grade ------------------ - - - - 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet --- ------- ------ ---- ------------------------ ------------------------------------- -------------- - 38. Attic Access & Platform if Furnance in Attic ----------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except a's 39. Sils, Proper Material & Anchors ------ -------------------------------------------- 40. Walls Studs -Nailing Spacing & Bracing -Plates -Sound ----------- ---------------------------------------------- 41. Bearing Walls over Girders & Floor Nailing -------------- ----------------------------------- ----------------------------------- 42. Draft Stop in Walls (rat proof) . - - - - ------- -- - --- -- -------------------------------------------- 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub ------------- ---- --- -------------- ------------------------------------------ 44. Headers & Beam -Size & Bearing ')Ingle & Duplex) Date FRAMING (Continued) - _ 45. Hangers -Post Caps -Anchors -Connectors _.t 46. Cing. Joist-Rftr. ties -Pu rlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance' 48. Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions ---- _--- -50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits ------------------- ------- -- 53. Stairs: Width -Headroom -Rise -Run -Landing -Fire Protection ----------------------- - 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers ____________ 55.:Siding-Nailing Veneer ____________ 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls: Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows ----- ------------------------- Card B-1 Date Card B-1 ------------------------------ -- Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except ti's 61.- Ext. Steps -Door & Sidelight Protection -Landings ----------------------- --- 62. Smoke Detector ---------------- 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. Protection ------------- - 64. Bedroom Exiting ------------- 65. G.F. I & Bath Fixtures & Tub Access -Spa ----------------- 66. Elec. Trim & Subpanel: Breaker Sizes & Labels ----------------- 67. Stags & Rails ___ 68. Fireplace or Stove: Clearances -Hearth - ------------ ---- ---------------------- 69. Elec. Outlets at Wood Panel: Int. & Ext. ----------------------------- 70. ----------------------------70. Kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter --- -------- ---------------------------- ----- 72. Garage Fire Door: Swing -Landing -Closer 73.--A.C.-Duct in -Garage -Damper ----------------------------------------------- 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor -Meth. Protection -------------------------------------- - 75. Plb__Elec_ & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection ---------------- -------------- ------------------------ 7;. Insulation -Foam -Looked in -Attic- ❑ Yes 78. Guard Rails & Deck Construction -Post Caps ------------------------------------------- 79. Fdn. Vents.& Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No -------- -------------------- 81. Stucco. Brown -Finish _ ------ ---- - -- 82. A.C. Unit: Disconnect. Electrical, Plumbing -------------------------------- 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings --------- --------- ----------------- 84.Water Well: Disconnect, Electrical, Plumbing - ---- -- ------------------------------ --- 85. Exterior Elec. Trim: G.F.I. Receptacle -Underground 86. Ventilation Throughout House ------- - --- ---------------------------- 87. Glass Protection ------- ---------- 88. Corrections from Previous Inspections -------------------------------- 89.- Gas Test -Meters Tagged: Gas -Electric --------------------------------------------------- 90. Water & Sewer Connected -C/O to -Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates ----------------------------------------------- ---- --- Date Card B-1Date 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 DEPARTMENT OF PUBLIC WORKS _ 196 Memorial Way, Chico —Phone: 891-2751 7 County Center Drive, Oroville — Pwzne: 538-7541.. x 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE P 04z- OWNER 4zOWNER� PERN t 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. Date Inspector COUNTY -OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - OrovLIIe, California 95965 - Telephone: 916.536-7541 APPLICATION AND PERMIT PERMIT NO. g® ASSESSOR PARCEL NUMBER 47-43-41 ZONING SR1 BUILDING PERMIT OWNER BNERY Wilda TELEPHONE 899-0844 SO. FT. OCC. BUILDING VALUATIO 1200 M 21,600 ' 4532 Gardenbrook Dr, Chico CONTRACTOR'S NAME owner TELEPHONE CONTRACTOR'S MAILING ADDRESS - Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 93-75 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 4532 Gardenbrook Dr, Chico Permit fee $ 996-95 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUB VISION NAME CA E s/ PARCEL MAP -I Z� �f J�J Water piping 7.007-00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other (;aragP SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK NewFX1 Addition❑ Remodel❑ Utilities[] Installation[] Other❑ Describe work: garage _ Permit Fee $ 47.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 18.50 200A OR LESS _ Main service 200ATO1000A) 37.50 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST- DWELLING OCCUP.g\ 3.6Q sq.f[. (f�.00 OR ADDNS, ACC. BLOGS. // NEW CON5TFL ULTI-OUTLET NON•RESID BRANCH CIRC ITS POWER APPARATUS e SINGLE OUTLET CIR. #AL(@ Ex, OCCU OUTLETS OR FIXTURESd P FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.� I 3.00 Temporary service 1 15.00 Mobile Home Facilities 15.00 Misc. byirin g 15.00 Permit Fee $ 57.00 — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against sai ounty in consequence of the granting of this permit. Date XQR i � "/�,.19Z Signature of Applicant — Owner Contractor [I Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Ener Inspection Fee $ Energy P ocC /J coN TTYPE TOTAL FEES 400.25 HAz 1 0FEES IMP FLO CDF PAR L P HD SSUE This permit is hereby issued under the applicable provi 1 sions of the Butte County Code and/or resolutions to do work indicat abo or which fees have been paid. I R OF PUBLIC WORKS By DatePERMIT EXPIRES Date Z— ,9%.23 Receipt No. 116298 WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT ��Gi(f' ... r Y.y..r'1'`�-;.'�):..::v.�=r'Y y;•v �`r+..{�,v`.:-(�w ki.,:..�%:lF�'� _ 1 �L't "', �r"�`"'{.i�/*a�. �hr*.'S;:. � R . / I T COUNTY OF BUTTE - DEPARTMENT bF PUbL C WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 f PERMIT APPLICATION DATA SHEET OWNER V7-<<3 Proposed,Building Use CA 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 BY All items have been submitted . ................. ` ..................... . Plot plans, 3/4 sets, signed by preparer of plans. .. � Complete plans, 3/4 sets, signed by preparer of plan '. ` ..!"'...........0-7;�;'- S 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. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ........................ +: 3. 14. Flood eldation letter (100 flood) by California Engineer. ........ San )on and plot pl pproval f Gv Health Department ..... . 15. 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). .. ... . 20. Pre -inspection for to Buil Building Inspector required. .. to e�;,d;�9,�gpeao� (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner ) ............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. . 6327. Letter of signature authorization . ........................................ Copy of recorded deed of parcel creation and 60 right of way to a public road. . . Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ........................................ „,.-»�--�---- '&.-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. When you issue the permit, process as follows: k/ Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation .y Acreage Applicant . Date Copy of Haz-Mat form sent Health Dept. Fire Dept. 1 Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted 1. Index permit for above items No. _ 2. Additional items required: to permit issuance: (Circle new item not checked above). Contractor, designer, ow4ile-'r, was advised of above iequired data by phone -mail Counter bydil? Date -A` 7-7 Contractor, designer, ne , was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date �- �;2 Plans approved bye- Date Sets of plans on hold in File cabinet AP folder. .. Copy - Department of Public Works TO Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance: Owner Location AP# Plan Approved for: Sewaqe Disposal Water Supply Hold final for: Water Supply Final clearance O.K. for: Water Supply Clearance for bedroom mobile home: Other NOTE * * * Ag -4 Sanitarian Date COUNTY OF BUTTE.- DE'PARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovllle, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER /Y. e� - '�.�0 -D / ZONI s BUILDING PERMIT OWNERTELEPHONE �4GCG S -o SO. FT. OCC. BUILDING VALUATION I j OWNER'S MAILING ADORES]j c> I CONTRACTOR'SNAME �LdN« TELEPHONE I CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER u�N�2 UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15,0 Permit Fee $ ARCHITECT OR ENGoINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUIL7 ADDRESS Permit fee $ 1 PLUMBING PERMIT Filing Fee ts.00l Each Trap 1 5.001 Q, Solar or heat pump water heater 1 20.00 LOT NO. Z 3�� SUBOIVISION NAME /� G.yi1J�C5 PARCEL MAP Water piping 7.00 r 0 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other.� SP CI FY' — Gas piping system 1 - 5 outlets 5.00 Building sewer I 15.001 Mobile Home I S I G JW I @ 15.00 TYPE OF WORK New I Addition ❑ Remodel Utilities[] Installation ❑ Other ❑ Describe work: - , Permit Fee $ /v Contractor ELECTRICAL PERMIT Filing Fee 15.00 00V OR LESS Main service 200AORLESS 18.50 Main service 20GATO 1000A1 37.501 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions Of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License :Jo. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I. as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) I am exempt under Sec. Business and Professions Code for this reason NEW CONST./ DWELLING OCCUP.51 OR ADONS. 1 ACC. BLDGS. /I 3.6Q sq. O , NEW CONSTR ULTI.OUTLET NO N.R ESID BRANCH CIRC ITS @ 5.00 (POWER /POWER APPARATUS fl OUTLET CIR. Ex. OCCl1p(OUTLETS OR FIXTURES 20 76 d ra Ex. Occup. OUTLETS IFIXED RES]D IRE A.) 3.00 Temporary service 1 15.00 Mobile Home Facilities 15.00 Misc. Wiring g '15.00•- Permit Fee $ t t 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 Fi I A Fee 15.00 Heating Cooling g Hood 6.50 Ventilation permit Fee $ L22ontractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X _� - 0- 1-7- �i� Date 45'1le' 9-L Signature of Applicant — Owner, Contractor ❑ Agent ❑ An OSHArequiredwork ion of structures tover3 stories in heigvfattions over 5'0" deep and demolition or construct- Mobile Home Installation Fee 5 Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ HAz 1 0FEES I IMPFL000 I COF PARCEL PO HO ISSUE This permit is hereby issued under the sions of the Butte County Code and/or indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. .s COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) 4y— 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 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: ��a� Property Owner ��� Social Security Number Date 6-/Z - 9Z 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. ��/� cru.,p �, c•. , '// / T/�iG��•c/Cf � / � � �%Ji�oiG �'d�G S�6�s000 GGSG. - R NTIA 47-43-41 92-2019B,E FORBES, Bruce & Wilda 4532 Gardenbrook DR, Chico # garden shed 9 JOB FINA Signatu 4=OK O=Not OK Not = Not Readyable 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) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L -ft. / /"Nat. or/ /"L"ft./ /"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; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 _!�; k -P, ol,_ MISCELLANEOUS Date DEC S, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s V ZZ, ng Requirements -Setbacks -Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beam s-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. F4�Sils-Anchors-Studs-Rftrs-Trusses iding; Nailing -Veneer -Stucco -Mesh Roof; Shthg-Roofing 1. Ext.; Steps -Doors -Landings Date -7-/3-17 - Card B-1 Dat Card B-1 Date- Card B-1 YL /) 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, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes -Enclosures -Panel boards -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 J=OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (E ' = Date UNDERFLOOR (Plans) OK except ff's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel- Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except n's 16. Water Htr.: Vent -Access -Combustion Air-Baff;e ----------------- ----------------------------- 17. Water Pipe: Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection ------- -------------- ------------------- -- ---19. Shower Pan: Test. First Floor -Tub Access ----- - - 20.----Test-Tub & Shower, -- Second Floor -Tub Access ------------------------------------------------ - 21. Gas Pipe: Size & Anchors Date Card B-1 Date Card B-1 -------------------------------------------- ---------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ti's 22. Fixture _& Transformer Clearance -Ins. Protection ----------------------------- ------------23 -Elec.-Receptacles Spacing -Lights & Switches at Doors --- --------- - ------------------------------------------ 24. Size Boxes & No. of Conductors -Stapled ------------------------------------------------------------------------------- 25. Romex Installed Close to Edge of Studs & C.J. --------------------------------------------------------- 26. Equip Ground made up w!Mech. Fastners-Bond Gas & Water -------------------------------------------------------- - -------------------------- 27. --------- --------------------------------------------------------------27. 2 Appliance Circuts in Kitchen & Conductor Size!GFI ---------------- ----------------------------------- ---- 28. Subfeed Wire Size i ga. Cu or AI-A.C. Wire Size ! ga. Cu or At --------------- -------------------------------------------------------------- ---- 29. Range Circ. ! / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral O Yes No ---------------------------------------- 30. Service -Riser Conductors & Ground -Main Disconnect --- ------------------------------------------------ - 31. Equip Clearances- Panels-Motors-Mech. Equip. ------ -------------------------------------------------- - ----- 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector ----------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 --------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except Pi's 34. A.C. Ducts Insulation & Support ----------- ---------------------------------------------------------------------- 35. Vent Fan: Exhaust above insulation ----------------------------------------- - -- - - - -------------------- ----------- 36 Condensate Drain & Overflow: Size & Grade --------------------------------------------- --------- 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ---------- -------------------------------------------------------------- 38. Attic Access & Platform if Furnance in Attic ------------------------------------------------------------------------------------ ------------------------------------------------------------------------- Date Card B-1 Date Card B-1 --- ---- -------------- ------------------------------------------------------ Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except ft's 39. Sils. Proper Material & Anchors ------- ------------------------------------- 40. Walls Studs -Nailing Spacing & Bracing -Plates -Sound ------------ - ------------------------------------------------------ 41. Bearing Walls over Girders & Floor Nailing ------- ---- -------- ------------------ ------------------------------------------------ 42. Draft Stop in Walls (rat proof) --------------------------------------------------------------------------------- 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub ----------------- ---------------------------------------------------- 44. Headers & Beam -Size & Bearing jingle & Duplex) ' Dale FRAMING (Continued) - 45. Hangers -Post Caps -Anchors -Connectors _ 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions _ 50. Garage Fire Protection Framing ------------ 51. -Property Line Firewall & Openings ---------------- - 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits -- -- ------------------------------- ----- 53. Stat : Width -Headroom -Rise -Run -Landing -Fire Protection 54. wood on Roof Overhang -Attic Vents -Rafter Outriggers _ Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access _ 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls: Nailing -Bolts 59. Insulation -Walls -Ceilings ------------ 60. Infiltration -Walls -Windows ----------------- -------------------------------- - Date _ Card B-1 Date Card B-1 Date Card B-1 Date ' Card B-1 Date FINAL (Plans) OK except 4's 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector _ 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. Protection ------------------------------------- - 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa ---------- - ------------------ 66. Elec. Trim & Subpanel: Breaker Sizes & Labels 67 Stairs & Rails ------------------------ ----------- - 68. Fireplace or Stove: Clearances -Hearth 69.-Elec. Outlets at Wood Panel: Int. & Ext. - ------------------------------ ---- 70. Kit Fixt_& Appliance: Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door: Swing -Landing -Closer ---------------------------------- --- 73.-.A.C.-Duct in -Garage -Damper 74. Wtr. Htr Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection -------------- 75. Plb. Elec. & Mech. Equip. Listed for Location --------------------------------- 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 7;. Insulation -Foam -Looked in Attic 0 Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth .---------Clearance Looked -under Floor -- 0 Yes 80. Following instld.: Drive 0 Yes 0 No: Walks 0 Yes 0 No: Planters 0 Yes D No --------------- -- 81. Stucco: Brown -Finish - ------------------------------------- 82. -------------------------------82. A.C. Unit: Disconnect. Electrical, Plumbing - ------------------------- -- --- 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings - ------------------------- -- 84. Water Well: Disconnect, Electrical, Plumbing -------------- ----------------------- - --- 85. Exterior Elec. Trim: G.F.I. Receptacle -Underground - - - - - -- - - - - - - - - --- ----- -------------------------- 86. Ventilation Throughout House ---------------------- 87. ---------------------87. Glass Protection - ------------------- ----------- 8d Corrections from Previous Inspections ----- --------------------------- 89. Gas Test -Meters Tagged: Gas -Electric ---------- ------------------------------------------ 90. Water & Sewer Connected -C/O to Grade -HD Approval ------------------------------ 91. 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: �V COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovllle, O.,allfornla 95985 - Telephone. 9180638.7541 ! Z —�� APPLICATION AND PERMIT / 47-43-41 IN SR1 BUILDING PERMIT A / OWNER BruceForbes M f' TELEPHONE 899-0844 S0. FT. OCC, BUILDING VALUA OWNER'S IL NGdADDRES 4532 C-ardenbrook Dr, Chico 95926 240 M 4,320 CONTRACTOR'S NAME owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ 60,00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 30.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 4532 Gardenbrook Dr, Chico Permit fee $ 105.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBD SION NAME Lc 4_A// PARCEL MAP �Z Z Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other�A1 CI FY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W 615.00 TYPE OF WORK New a Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: [;arr(Pn ghpd Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 CONTRACTORS LICENSE LAW declare under penalty ofperjury ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200ATO1000A) 37.50 NEW CONST. ( DWELLING OCCUPq 3.6a sq -ft -1 OR ADONS. AGC. BLDGS. 8,46I NEW CONSTR. ULTI.OUTLET NO N•R ESID BRANCH CIRC ITS @ 5.00 /POWER APPARATUS &) %SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURES 20 76 FIXED APPLNS. OR EX. Occup. OUTLETS IRESID.I EA.� I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring '15.00 Permit Fee $ 23.40 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 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against sai County in of the granting of this permit. X / ��i ��„?�.C�� Date Signature of Applicant — OwnerX Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CO ST TYPE _Aj I TOTAL FEE $ 128.40 HAO z FEES IMP FlO [LF PARC P HD SSUE 1 This permit is hereby issued under the applicable provi- � sions of the Butte County Code and/or resolutions to do j work Indic above f which tees have been paid. I C PUBLIC WORKS By Datew'2f- PERMIT E PIKES Date —7- —TT Receipt No. 116298 WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT �, - ,. +r .. ��. �,�.i �"`. .. •-.. ^i•.r t' ' � .,"K��-i✓ v�,,.,Tc ct.yjfi��+ T�t`�rL��7bi a�a...`Mi�j*'1�t7���i "-+1� `1�� i " . "'f �� r -i x COUNTYiOF BUTTE - DEPARTMENTS F P"UBLICIWORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 TELEPHONE (916) 538-7541 " PERMIT APPLICATION DATA SHEET OWNER U)I t' DA A. �9. q7 -L13-41 Proposed Building Use G A40Fi/I% s'f/?,�Z2 Building Inspector f'' Date Z �/ At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY All items have been submitted . ............... . Plot plans, 3/4 sets, signed by preparer of plans. . Complete plans, 3/4 sets, signed by preparer of plans 4. ngineered plans and talcs, 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. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ........................ 13,,, Flood elevation letter (100 year floody�California Engineer ................... X14. Sanitation and plot plan approval 14C -P Health Department . ............ 15. 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). .. ... . 20. Pre -inspection for to Buil Building Inspector required. . to Building Inspeaor (Date). 21. Contractor's license information. (No., Name Style, Classification) . ............. . 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner ). ........... 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . .......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ........................................ 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements.* ............... 31. Existing, violations/expired permits....................................... Plan check list . ..................................................... 33. 34. i When you issue the permit, process as follows: U Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation 2 Q 7 Acreage Applican /� Date 1 / Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date I Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted 1. Index permit for above items No. _ 2. Additional items required: permit issuance: (Circle new item not checked above). Contractor, designer,er, was advised of above required data by phone _ mail Counter by& Date Contractor, designer, o ner, was advised of above required data by _ phone mail Counter by�_ Date Plans checked by _ Date Plans approved by -/. GG1liiL! Date ,2Y z Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works To Buildina Z*fDartment FROM: Environmental Health SUBJECT: Sanitation Clearance Y422- 4&, -fZ- -f-?'-f / Owner Location AP# Plan Approved for: Sevaqe Disposal Water Supply Hold final for: Water Supply Final clearance O.K. for: Clearance for bedroom mobile -home. NOTE * * * Other Water Supply eitarian Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drlve - Orovlll9r Callfdrnla 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMB R /l6. dJ1%- �•�O --O l ZONI w5p1 BUILDING PERMIT OWNER a ¢A c a TELEPHONE -o -ow S0. FT. O BUILDING VALUATION OWNER'S MAILING g5 CONTRACTOR'SNAME QL!/N�iC TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ c7 ARCHITECT OR EN (NEEER LICENSE NO. Plan Checking Fee $ cO Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILOIN ADDRESS Permit fee $ Q PLUMBING PERMIT Filing Fee 15.00 �� y� Each Trap I 5.00 Solar or heat pump water heater 1 20.00 LOT NO. Z 3iQ�� SUBDIVISION NAME L GyiITCS PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other_ - 5--,!9 eme •• SPe'CI FY T- Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G W @ 15.00 TYPE OF WORK News Addition [I Remodel❑ Utilities❑ Installation [J- Other ❑ Describe work: - _ <-= _ - �' Permit Fee $ Contractor ELECTRICAL PERMIT ing Fee 15.00 Main service 200A OR LESS 18.50 Main service 200A TO 1000AI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License .Jo. 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. DWC. BLOGS.ELLING OC P. OR AODNS. AGy\ 3.6Csq.ft. NEW CONSTR. ULTI.OUT ET NON•RES.. BRANCH RC ITS 5•00 /POWER AJOIPARATUS 6 SINGLEOUTLET CIR. ) EX. OCcup(OUTLE S OR FIXTURES 20 76d FIX APPLNS. OR Ex. Occup. ou ETs IRESID.) EA.) j 3.00 Temporary s vice 15.00 Mobile HgAe Facilities 15.00 Misc. Aing '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. o the W. C. laws of California. Pcetoshall not employ any person in any manner so as to become subject NoApplicant: 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 FiIi 15.00 Heating lool Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of a granting of this permit. X ��� Date to -/LZ, Signature of Applicant — Owner,12 Contractor ❑ Agent ❑ An OSHA ion of structures toverr 39 stories in excavations over 5'0" deep and demolition or construct- Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEES HAz I DFEES I IMP FLOOo CDF PARCEL PD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi resolutions to do have been paid. WORKS Date Receipt No. / TlL LOW•A39 [, 90 R, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538_7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) *44-_Ae 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 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 Security Number Date a —/2 —9.Z P 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. RESIDENTIAL PLAN CHECKING GUIDE 8/91 (S. F. , rUPLHX" & MISC. ONLY) 67a-20101 /% / Bldg. Permit # y7�ZoZv OWNER��[/C�� �f �Q� t'OCG� S A. P. # L/' 7- �r Plan Checker GENERAL X* ping requirements: (sideyards and number of permitted living units). uation. je ins signed by designer. V4 7 roper description of work on application. ing violations on property. 6&Items on data sheet. (W.C., fees, Health, Developer Fees, License law, etc). ded notice of violation. PLOT PLAN I� omplete parcel size and dimensions. r/-' Setbacks, sideyards, easements, etc. r�3Other buildings or structures. P%6' rading, fills, drainage. ✓Y. Flood hazard. -b.—Special conditions on creation map, (noise, CDF, fire sprinklers, non-comb- ustible, and foundations). '. FA "AS road setback. 8 Building or utilities across lot lines (Record form).. FLOOR PLAN V"_K""' Complete to scale plan with dimensions. -i:--Re­qured windows for light and ventilation (Sec. 1205). 3. marred windows for second exit (Sec. 1204). 71-ights (Chapter 34 & Sec. 5207). -Human impact glass (Sec. 5406). Ab=quired room sizes, ceiling heights (Sec. 1207). GFCIs in baths, garage, kitchen, -and exterior outlets (Article 210-8). &--I/Light fixtures, switches, receptacles, and exterior receptacles for main- tenance of mechanical equipment. 9. beee-t-eas of water heater, heating and cooling equipment, other electrical or gas equipment. e-4-rewall, door size, and closer (Sec. 503(d)(3)). 1` 3'0" exterior exit door (sec. 3304 (f). kH-Tarrejrrle:cae and wood stove location, alcoves, and clearance. 13 ctors (Sec. 1210). Dumbing fixtures, water closet clearances and shower size. STRUCTURAL DETAILS Y Standard bracing or engineered design (Table 25V) Visual shape, size, or split level house requiring lateral design. �' �estory requiring balloon framing and/or engineering. v4,7Three story building requiring engineered calculations and plans. Foundation plan complete enough to construct building. F�aor construction details complete enough to construct building. � Elevations and wall construction details complete enough to construct building i, -"'&-'_'Roof construction details complete enough to construct building. �9. F±repd:ace construction details and talcs if necessary. ies or bearing ridge beam. lq--G'arage Aaarr or porc er sizes. 12- ts. -ls - special foundation design. wing -walls requiring design. 13. Supe -Inspection required. RESIDENTIAL PLAN'CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR I-. S -airway details: landings, rise and run, head clearance, handrails (Sec. 3306). 2. Guard-rail details (Sec. 1711 & 3306(j). 3-:--Br4x or stone veneer (Chapter 30). xerior plaster - weep screeds (Sec. 4706). ,Pro�per roof pitch for roof convering (Chapter 32). ! 6Roof covering type - (fire-h;Eriard). ;. Foam -insulation - protection. B= -361 -halls and stairways. 9:-4A*iitg-area over garage - complete 1 -hour separation including supporting walls and posts, etc. lw-Cx on three-story dwellings (sec. 3303 & see ttic access and ventilation (Sec. 3205). 1:2T�«flv*r-access and ventilation (Sec. 2516). -ion air for fuel burning appliances - L.P.G. Ti �'��se requirements on duplexes. 8/91 required on garage side Mezannines - 1716). requirements. �5: Endesign. 4010 lashiashi ng at all exterior openings. -ice-EBF-responsible area requirements. Certificate of Compliance: Residential Project Title Acq J Project Address Documentation Author BUILDING DATA Conditioned Floor Area591— S a iced Floor __— Single Family Detached (SFD) [ ] Single Family Attached (SFA) [ ] Multi -Family (MF) C.�TI 1 I CA C Telephone Climate Zone 11 2-7 26 - 69 Building Permit # Q �� PUL Checked By / Date Fnformxnent Agency Use Only Glass Area % Glass North 11 to $, It Number of Stories East Number of Units South [ ] Addition Alone West 40 _ 2.9 [ ] Existing Building Skylight O D [ ] Existing -Plus -Addition Total13 5-47 BU -LDING SHELL INSULATION Component Insulation Locaffon/Comments Type R -Value (atdc, to Garage. etc.$ ..W P,-�3 1r. WALLS eWall.............. ._. Wall .............. Roof ............. Roof ............. _ -- Floor ............. ®_ Floor ............. Slab Edge..... GLAZING Shading Devices Glazing Area Glass Type Interior Exterior Overhang Framing Type Orientation (SJ) (single, double) (roller blind etc.) (shadescreeii, est.) (yeslno) (metaltwood) North (Wye Duct Output Manufacturer /Model # . 0 North ( ) '�U RNAGE • 7 2 'rri 5.7 /02.3�"l East ( Vr .'S5 S S Maximum Furnace Heating Output: East South CIA _ # SOuLh ( ) equal) Special Feature(s) West ( ply" O 9;TO1N0ial > 66C., West ( ) Skylight....... 0_ THERMAL MASS Type/Covering Area Thickness TILE �Ui ZO 11+ HVAC SYSTEMS Minimum Duct Type (furnace, air Efficiency Location Duct Output Manufacturer /Model # conditioner, heat pump) (SE, SEER,HSPF) (ittic, etc.) R -Value (Btuh) (or approved equal) '�U RNAGE • 7 2 'rri 5.7 /02.3�"l S Maximum Furnace Heating Output: Btuh HOT WATER SYSTEMS Tank Manufacturer/Model # System Type (storage gas, etc.) Capacity (or approved equal) Special Feature(s) 9;TO1N0ial > 66C., SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) Mandatory Measures Checklist: Residential MF -]R NOTE: L.owrise residential buildings subject to die Standards must contain these measures leg iakss of the cornpliaree approach used. Items marked with an as,- &k (')maybe superse6rd by more suingmt eomplF-nee requirements listed on the Cutificuc of Compliance. When Otis checklist is incorporated into the: permit doeu mcnLs, the (rousts noted shall be considered by all parties as binding minimum component perfomtarec speerftcati0ru for the mandatory measures whether they arc shown elsewhere in the documents or on this checklist only. DESCRIPTION Building Envelope Measures §2.5352(a): Minimum ceiling insulation R-19 weighted avenge. §2.5352(b): Loose fill insulation manufacturer's labeled R -Value. • §2.5352(c): Minimum wall insulation in framed walls R-1 I weighted average (does not apply to exterior mass walls). §2.5352(k): Slab edge insulation - water absorption rate no greater than 03%, water vapor transmission rate no grater than 2.0 pcmVuxh. §2-5311: Insulation specified or installed mast California Energy Commission (CEC) quality standards. Indicate type and form. §2.5352((): Vapor barriers mandatory in Climate Zones 14 and 16 only. §2.5317: Infiltm ion/Ex6intion Controls to limit air a. Doors and windows between conditioned and unconditioned spaces designed leakage. b. Doors and windows certified. c. Doors and windows wathersaipped. all joints and penetrations caulked and scaled. §2.5352(e): Special infiltration barrier installed to comply with §2-5351 meets CEC quality standards. §2.5352(4): Installation of Fvtplaces 1. Masonry and factory -built fireplaces have: a. Tight fitting, closeable metal or glass door b. Outside air intake with damper and conitrd e. Flue damps and control 2. No continuous burning gas pilots allowed _. .__.. __... HVAC and Plumbing System Measures §2.5352(g) and 2.5303: Space conditioning equipment sizing: attach alcutlation%. §2-5352(h) and 2.5315: setback thermostat on all applicable heating systems. • §2.5316(a): Ducts constructed. installed and insulated per Chapter 10, 1976.LTMIC. §2.5316(b): Exhaust systems have damper controls. §2-5314(c):. Gas-furd.space heating equipment has intermittent ignition devices. §2-5314: HVAC equipment. water haters, showerfeads 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); fust 5 feet of pipes closest to tank insulated (R-3 or greater). §2.5312(Excepdon 1): Pipe insulation on steam and steam condensate rewrn & recirculating piping §2-531R(dy Swimming Pool Heating I. system has: a. On/off switch on heater. . b. Weatherproof instruction plate on hater. e. Plumbed to allow for solar. 2. 75 percent thermal efficiency. 3. Pool cover. 4. Time clock. 5. Directional water inlet Lighting and Appliance Measures §2.5352(j): Lighting - 25 lumcns/watt or greater for general lighting in kitchens and bathrooms. §2.5314(c): Gas fired appliance equipped with intermittent ignition devices. 12.5314(a): Refrigerators, rtfrigerator-freemrs, freezers and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. DFSICNU I ENFORCEMENT .. _- ---- -- ... COMPLIANCE STATEMENT This certificate of compliance lists t13e building features and performance specifications needed to comply with Title 24, Chapter 2-53 and Tide 20, Uuptrr 2. Subchapter 4.. Article I 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 any subsequent purchaser of the building. Designer Building Owner y� z� Name: Name:/�-''/ TttlrJFtrnt TitlelFintL Address: _ Address: fp f�f Telephone I Lic. A: I (signature) Documentation Author Name: Tide/Fum: Address: (date) Telephone Name: Agency: Tekphancz Agency (date) 1. Ceiling Insulation 2. Wall Insulation R -value R-0 R-11 R-13 R-19 U -value r 0.80 0.50 0.30 0.10- 0.08 0.06 0.04 0.02 0.00 Single- Single - Family Family Detached Attached -68 -51 0 0 2 2 8 6 -153 -114 -91 -68 -47 -36 0 0 4 3 9 7 14 11 19 14 24 18 Number of stories 3. Raised Floor Insulation _ R -value__ __ - _One.__ ___ _ Two Three R-0 -103 -49 -32 R-19 -8 -4 .2 R-30 -2 -1 -1 R-38 0 0 0 U -value 1 U -value 40 0.50 -176 -84 -54 0.30 -102 -49 32 0.10 -26 -13 -8 0.08 -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 R -value R-0 R-11 R-13 R-19 U -value r 0.80 0.50 0.30 0.10- 0.08 0.06 0.04 0.02 0.00 Single- Single - Family Family Detached Attached -68 -51 0 0 2 2 8 6 -153 -114 -91 -68 -47 -36 0 0 4 3 9 7 14 11 19 14 24 18 Multi - Family -34 0 1 4 -76 -46 .24 0 2 5 7 10 12 3. Raised Floor Insulation -1 .1 0 Insulation in Floor 2 2 1 Number of stories 6 R -value One Two Three R-0 -17 -8 -5 R-11 -3 -2 -1 R-19 0 0 0 R-30 3 1 1 U -value 40 -90 0.60 -144 -70 -46 0.50 -120 -58 38 0.40 -95 46 30 0.30 -69 -34 -22 0.20 -43 -21 -14 0.10 -17 -8 -5 0.08 -11 -6 -4 0.06 .6 .3 -2 0.04 -1 0 0 0.02 4 2 1 0.00 10 5 .3 Controlled Ventilation Crawispace -52 Number of stories .9 R -value One Two Three R-0 -11 -7 -5 R-5 -4 -4 3 R-11 .2 .2 -2 R-19 .1 .2 -2 Slab Edge Insulation 14 24 - Number of Stories .12 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 .1 0 0.70 2 2 1 0.60 6 4 2 0.50 9 6 3 0.40 12 8 4 5. Infiltration (Air Leakage), Specification Points = Standard - 0 6. Glass Heat Lass Total SC Slab Floor Unit Size (so Raised Floor U -value %Glass Percent East South .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 -37 .26 .14 -3 8 35 -75 -29 -19 -9 1 10 30 31 -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 -3 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 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 Clan (Peremt glass x SC) . Effective SC Slab Floor Unit Size (so Raised Floor SE or KSPF %Glass North 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 6 1 3 4 2 3 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 3 6 8 9 y3. Shading (Shade Closed) 10 4.5 EtrectJve Percent Class 7 8 (Percent Stan x SC) 11 Effective 5.0 4 7 9 11 %Glass Norh East South West U*ht 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 .35 8 -5 -17 -23 -21 -56 7 -4 -14 -19 -18 -47 6 -3 -11 -15 -14 -38 5 -2 -9 -it -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 na . not allowed .8 10 -5 8 9. Interior Thermal Mass Interior SC Slab Floor Unit Size (so Raised Floor SE or KSPF Mass _ _ Stories_ 1700 (assumes ducts In attic) -- (assume; ducts /CFA One-- Two Three One__ _Stories_ Two Three- 0.0 -8 -5 -4 -2 -1 .1 0.1 -8 -5 .3 -i 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 20 -1 2 4 5 6 7 25 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 14 Exterior 10 Single. . 6 Single. 3 - 9 Wall 3 Family 2. Family . Multi 9 Mass One Detached Attached .3 Family -2 0.00 3 0 2 0 0 -45 0.20 -15 3 .9 2 1 2 0.40 1 5 0 4 3 .23 0.60 -8 8 -5 6 4 -25 0.80 .8 10 -5 8 5 -23. 1.00 2.8 13 .5 10 7 -8 1.20 -3 13 j .2 12 8 6 1.40 2 12 1 13 9 1_ 1:60 0 10 0 13 11 30 1.80 .10 10 -6 12 12 18 2.00 6 10 4 11 13 -8 11. Heating System SC Eff. % Glass Unit Size (so X SE or KSPF SEER 1199 1200 1700 (assumes ducts In attic) -- (assume; ducts In -attic) -= Sum of 1.6 to to Stm of 7-10 Type -25 or -24 to -14 to -4 to +6 to 16 or SE HSPF less -15 -5 +5 +15 more 0.72 6.60 0 0 0 0 0 0 0.75 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 11 9 7 0.95 8.71 20 18 15 13 11 8 9.5 0 Efrective SE or HSPF 0 0 (SE or HSPF x duct efficiency) Effective -25 or -24 to -14 lo .4In +6 to 16 or SE HSPF less -15 -5 +5 +15 more 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 Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 12. Cooling Syst•!m SC Eff. % Glass Unit Size (so X Water SEER 1199 1200 1700 2200 -- (assume; ducts In -attic) -= - to to Stm of 7-10 Type Type less 1699 '-25 or -24 to -14 to .4 b +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 3 120 15 13 11 9 7 5 13.0 20 17 14 12 9 6 -9 -7 Efrecdve SEER IG None -5 (SEER xduet eMclency) .2 -2 -2 Stm of 7-10 So!ar 7 5 Effective -25 or -24 to -1410 .410 +6 b 16 or SEER less -15 -5 +5 +15 more 5.0 -30 -25 -21 -17 -13 -9 6.0 -12 -11. .9 -1 -6 4 6.6 -5 -4 -4 3 -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 or Zonal Control Adjustment 14 7 10 8 7 6 4 3 - 9 No Cooling System Installed 3 Stories 2. 4.1 WSB 9 4 One -5 -4 -4 .3 -2 -2 Two + 3 3 2 2 2 1 Single-Famlly Detached and Attached rullrn System Summary: C1lmate Lone id SCORE CARD SC Eff. % Glass Unit Size (so X Water - I.Z 1199 1200 1700 2200 2700 Heater 0(odd or b 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 WSB 5 3 3 2 2 POU 8 5 4 3 3 SE None -37 -24 -18 -15 -12 O Solar -1 .1 .1 0 0 HWR -18 -12 -9 -7 -6 WSB -25 -16 -12 -10 -8 is; exposed slab) POU_ -18 -12 -9 -7 .6 IG None -5 -3 .2 -2 -2 20% 25% So!ar 7 5 4 3 2 60% 6574 POU 3. 2 1 1 1 IE None -28 199 -14 -11 _g 1.1 Solar 8 5 4 3 3 2.5 POU -10 -6 -5 -4 -3 4 Multi -Family (Individual 4.6 units) S 53 10Y. 0.2 Unit Size (SO 06 Water 1 699 700 1200 1700 2200 Heater Credt ' or b to b 3.5 Type Type less 1199 1699 2199 or more SG None 0 0 0 0 0 or Solar 14 7 5 4 3 HP HWR - 9 5 3 2 2. 4.1 WSB 9 4 3 2 2 56 POU 9 5 3 2 2 SE None -45 -23 -15 -11 .9 3 Solar 2 1 1 0 0 4.5 HWR .23 -12 -8 -6 -5 40Y. WSB -25 -13 .8 -6 -5 1.9 PQU -23. ;12;8 2.8 -6 .5 IG None -8 -4 -3 -2 j .2 4.9 Solar 6 3 2 1 1 0.9 POU 1_ 0 0 0 0 IE None 30 -15 .10 -8 -6 3.8 Solar 18 9 6 4 4 5.3 POU -8 -4 .3 -2 -2 rullrn System Summary: C1lmate Lone id SCORE CARD SC Eff. % Glass X Measures - I.Z 1. Ceiling Insulation E-30 or M - 2� Interior Mass/CFA U -value [0.030] 2. Wall Insulation = f� or % Glass SC R -value [ I I I .m.UIei "AS, 3. Raised Floor Insulation 5L or R -value [ 19] U -value [0.037] 4.. Slab Edge Insulation Q or - X - �20 R -value [0) F2 factor [0.771 5. Infiltration Standard COND. FLOOR TYPE 2 MASS 6. Glass Heat LossL 8 Il. IK-.. 11 7. Shading (Shade Open) AREA s Z- X SE or HSPF (Objj Duct Efficiency [0.78] Effective SE or H [2 6!5.15] 2 - SEER [9.5] Duct Efficiency 10.741 Effective SEER [7.03] O Type [SG] Credit [none] - _Ic,eae.•Lm_ _ _-_ _ ____ - _ t TYPE I MUSS (UIMt h 4.2. is; exposed slab) 0% 5% 10% 15% 20% 25% 30% 35% 40% 45% 50% 55% 60% 6574 70% 75% Bo% 8S% 90% 95% 100% 105% 110% 115% 120% 125• O% 0 0.2 04 08 0.8 1.1 1.3 1.5 1.7 1.9 2.1 23 2.5 2.7 2.9 3.2 3.4 3.6 3.8 4 -4.2 4.4 4.6 4.8 S 53 10Y. 0.2 0.4 06 0.8 1 1.2 1.4 1.6 1.9 2.1 2.3 2S 2.7 2.9 3.1 3.3 3.5 3.7 4 4.2 4.4 4.6 4.8 5 52 54 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 3.7 3.9 4.1 4.3 4.5 4.8 5 52 5.4 56 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 Ss 40Y. 0.1 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 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5 7 59 50% 0.9 1.1 1.3 13 '1.7 1.9 21 23 2S 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 5.9 6.1 SS% 0.9 1.1 1.4 1.8 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 5.8 6 60% 1 1.2 1.4 1.7 1.9 21 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 S 52 5.4 56 5.9 61 62 65Y. 70% 1.1 1.2 1.3 1.5 1.7 1.9 2.2 2.1 2.6 2.8 3 3.2 3.4 36 3.8 4 4.3 4.5 4.7 4.9 5.1 53 55 5.7 5.9 6.1 63 64 75% 1.4 1.6 1.8 2 2.2 2.5 21 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.6 4.8 S 52 5.4 5.6 58 6 62 64 1.3 1.5 1.7 1.9 21 2.3 25 27 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 eft. 1.4 1.6 1.8 2 2.2 24 26 2.8 3 3.3 3.S 37 3.9 4.1 4.3 4.5 4.7 4.9 5.1 54 56 5.8 6 62 85% 1.4 1.7 1.9 2.1 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.6 5 52 54 56 59 6.1 63 64 66 907: 96% 1.5 1.8 1.7 2 22 2.4 26 2.8 3 32 3.4 3.5 3.8 4.1 4.3 4.5 4.7 4.9 5.1 53 55 5.7 59 6.2 64 6S 66 67 68 100% 1.7 1.8 1.9 2 2.1 2.2 2.3 2.5 2.5 21 28 2.9 3 3.1 33 3.5 3.7 3.9 4.1 4.3 4.6 4.8 S 5.2 5.4 56 5.8 6 6.2 6.4 67 69 3.2 3.4 3.6 9.8 4 4.2 4.4 4.5 4.9 5.1 5.3 SS 5.7 5.9 6.1 6.3 6.5 6.7 7 105% 1.8 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 5.8 6 6.2 6.4 66 68 7 110% 115% 1.9 2 2.1 22 2.3 24 2.5 2.6 2.7 2.9 3.1 3.3 36 38 4 4.2 4.4 4.6 4.8 S 5.2 5.4 5.7 5.9 6.1 6.3 6.5 6.7 69'.7.1 120% 2 2.3 2.5 2.7 2.83 2.9 3.1 3.2 3.3 3.4 3.5 3.6 3.7 3.6 3.9 4.1 4.1 4.3 4.5 4.7 4.9 5.1 5.3 S.5 5.7 5.9 6.2 6.4 6.6 6.8 7 72 125% 2.1 2.3 2.5 2.8 3 3.2 3.4 3.8 3.8 4 4.2 4.4 4.4 4.6 4.6 4.8 4.9 S 5.1 5.2 5.3 5.4 5.5 5.6 58 6 62 6.5 . 6.7 6.9 7.1 73 5.7 5.9 6.1 6.3 6.5 6.7 7 7.2 7.4 rullrn System Summary: C1lmate Lone id SCORE CARD SC Eff. % Glass X Measures - I.Z 1. Ceiling Insulation E-30 or M - 2� R -value [38) U -value [0.030] 2. Wall Insulation = f� or % Glass SC R -value [ I I I U -value [0.098] 3. Raised Floor Insulation 5L or R -value [ 19] U -value [0.037] 4.. Slab Edge Insulation Q or - X - �20 R -value [0) F2 factor [0.771 5. Infiltration Standard COND. FLOOR TYPE 2 MASS 6. Glass Heat LossL 8 Type [double] U -value 10.651 7. Shading (Shade Open) AREA a. North b. East c. South' d. West e. Skylight 8. Shading (Shade Closed) a.' North b. East C. South d. West e. Skylight 9. Interior Thermal Mass 10. Exterior Wall Mass 11. Heating System Zonal Control? ( Y / N ) 12. Cooling System Zonal Control? (Y / N ) 13. Water Heating % Total Glass [ 16) % Glass SC Eff. % Glass X 19'2 - I.Z X = Ig2 X M - 2� _ -Z X = f� % Glass SC Eff. % Glass 5 .) X 5L X I.� Z' X 4 X - �20 TYPE 1 MASS AREA =1?, L� InteriorNlss/CFA O COND. FLOOR TYPE 2 MASS AREA AREA Q 8 Exterior Wall Mass ND. FLOOR AREA s Z- X SE or HSPF (Objj Duct Efficiency [0.78] Effective SE or H [2 6!5.15] 2 - SEER [9.5] Duct Efficiency 10.741 Effective SEER [7.03] O Type [SG] Credit [none] Point Scores -Z +2 0 Sum 1-6 O 10 -3 Sum 7-10 V W�' I MM ". , " 4 , � , 1. , , 1 . ! l� 11 I I , �l � "' '' ,�i, `�� � , - W ""I "'I 111,1,11"', ", i is �,',,�, � l � M . , �', 't "! '' !. ,l I � ll ,, , , ", I 1 g � �5 2 ,�� ,i, : : I 11 � , , � , , , � , ���,!� I � � l , " " "" , ,,l �'1!11 � I -,, I 11 1. I'll, "If `,"', - 1 , l 1� , " I ,� I K',!,' i'!"", � �, �,�; l � ��:,;:,� !� ,� , . " , , � i ��� :, :, l. : I � , , i : l li :�: I ��,�': , ,�, l� , , ��,�� � ,4 ,,,,,,�, ,�, ��,�� � ��,�� � ��,�� � I �� I , , ,� l : l;. ,� ::i' 1���;`�i:� , � �� , . , _1 1�1�,111,11, �,j �;�,-', ,; �, I �n, I,= Y. 0 p ,, � , I , I � � � �,� ,: � :,� I , i��l,��",�',�' , , , � � � ,V��,�� � ���,.I:�llf�P'j - 1 : , , I _�l li ''I 1% , , 1, " i", ,,,4� . i , I � I : I I I ; I ­ I ,, " , . 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