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HomeMy WebLinkAbout047-480-009I 472.:-48-'09- 1270-89B,P -. , -1 E,M RUFFINO, Steve lot 503,'Hegenridge ;.Park ar�Donald Dr, kSub, Chico (new single family) - 47 -487'09,' 145.3-90B,P9-E "EAGLE, John, -503-Donald Dr, Chico" Contr: Cdre.Fre , e Pool§.. q1 (swimmi pool/sf atiq X47-48-09 1270-89B,P,E,M , PERMIT jRUFFINO, Steve , PERM Donald Dr, lot 503, H enridge , �it , ! Park Sub, Chico i 4 ` ' OWNER (new single family) ; CONTR. ASSESSOR PARCEL r' LOCATION O�AiP E' GCSEfee— IN ,r 4 S 5 Temp. Power Pole r s Called PG&E Temp. Elec. Service Called PG&E / Temp. Gas Service Called PG&E " • JOB FINALED (Date) ` 1,4— Signature ✓Signature %✓~ l 0 = Not OK ' = Not Readyable MOBILE HOMES .. MISCELLANEOUS ' 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.- Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice- Decal- Encl osu res 6. Gas; Location -Test -Wrap: / /"L"ft. / /"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 10. Roof; Shthg-Roofing Card -B1 Date Card -131 Date Card -131 Date Card -131 Date 11. Ext.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements F Card -131 Date Card -131 Date 2. Footings; Size -Spacing -Marriage Line Card -81 Date Card -131 Date 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s ' 5. Drain; MH Test -Fall -Flex Connector 1. Setbacks -Easements 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability 7. Water and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -.Connections -Thickness - Dead Men -Lining 8. Gas and Electricity Tagged 4. Elec.; Receptacles and Lighting, Distances-GFI 9. Exits; Insp.-Sketch 5. Elec.; Pool Lighting; 15 volts-GFI 10. Cert. of Occupancy 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 Card -B1 Date Card -81 Date Card -61 Date Card -131 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -61 Date Card -81 Date Card -B1 Date Card -B1 Date �. r e 0'= Not'bK .• = Not Applicable = Not'Ready RESIDENTIAL (Single and Duplex). Date UN FLOOR (Plans) OK except #'s Date RAMI G (Continued) ` oni -Setbacks;-Easements-Flood ope7-1 angers -Post Caps -Anchors -Connectors 2 g., Main; Soils-Steel-Elec. Gr .-/ le -l" Ftg. Depth 4 . Ing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 3. ., Garage; Soils -Steel-/ fr-Y' Ftg. Depth tV. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 4. Ftg_., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 48. Att' Access; Size & Romex Protection -Draft Stop -Ins. Baffles temwalls, Main; Steel-Blockouts-Wrapped drm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6 alts, Garage; Steel-Br6ckouts-Wrapped Garage Fire Protection Framing . Sla Steel -Wrapped !ttf- operty Line Firewall & Openings ieEs,q o laee-F�teel 5 xt. Doors -One T -Check Garage -3rd story, 2 exits W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test r5a-6tsir9 Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors ywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test X55. ' ing-Nailing Veneer 12. Electric; Underground . Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance- Material -Su pprt- Ins. X57. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 58i3lear Walls; Nailing -Bolts 15. Insulation 59. Insulation-Walls-Clg. 60. Infiltration-Walls-Wndws Card -61 Date 4,'L' !I Card -1311 Date Card -B1 Date6-5=fss' Card -131 Date Card -B1 Date - 7-tz- Card -131 Date Card -131 Date Card -131 Date Date PLUMBING (Permit) OK except #'s 16. Wa t. Vent -Access -Combustion Air -Baffle Date FI (PI ns) OK except #'s 'ItAfater Pipe; Test & Anchors -N ail Protection . Ex . teps-Door & Sidelight Protection -Landings 1 W.V.; Test-Fttngs & Anchors -Nail Protection m Detector 1 . Shower Pan; Test, First Floor -Tub Access6 . rnace; Vents -Clearance -Comb. Air -Connector- j n age; Above Floor -Ducts -Mach. Protection 20. Te b & Shower, 2nd Floor -Tub Access s Pipe; Size & Anchors 6 . droom Exiting C40 Wp' Tl of f.J-& Bath Fixtures & Tub Access -Spa lec. Trim & Subpanel; Breaker Sizes -Labels Card -B1 Date Card -B1 Date ils Card -131 Date Card -B1 Date CV—i place or Stove; Clearances -Hearth, 6 lec. Outlets at Wood Panel; Int. & Ext. Date ELECTRICAL (Permit) OK except #'s 7Vkit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 22. Fixture & Transformer Clearance -Ins. Protection 7 I : Outlets & Receptables at Kit. Counter 2a.E40`6. Receptacles Spacing -Lights & Switches at Doors 7 . Gar ge Fire Door; Swing -Landing -Closer Boxes & No. of Conductors -Stapled Duct in Garage -Damper omex Installed Close to Edge of Studs & C.J. 7' . tr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In G rage; Above Floor-Mech. Protection 26. Equip. Ground made up w/Mech. Fasteners and Gas Appliance Circuts in Kitchen &ConductorTize/G.F.I. 7Elec. & Mech. Equip. Listed for Location 28. ubfeed Wire Size / / ga. Cu or AI- .C. Wire Size / /ga. Cu or Al �jPjlec. Receptacles in Garage; (G. F.I.)-Rom x Protec. 7 ulation-Foam-Looked in Attic es ange Circ. ga. Cu o - ven Ci / a. Cu or AI. Insulated Neut al Yeses and Rails & Deck Construction -Post Caps Qj)Seryice-Riser Conductors & Ground -Main Disconnect -4,9-F- + tints & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floo❑ Yes quip. Clearances Panels-Motors-Mech. Equip. 80. F�Howing instld.; Driv es ❑ No; Walks es ❑ No; PI tars ❑ Yes ErNo 32 ri�fta� ri��ot Light -Shower Light -Spa Light moke Detector ucco; Br n -Finish & 2- 't G Card -B1 V . Date 1.rf .JCI Card -131 Date 8n.C. Unit; Disconnect, Electrical, Plumbing Card -B1 Date Card -B1 Date. Ve is Above Roof; Plbg.-Appliance-Firepl.-Clearance to Wpenings. Date MEC ANICAL (Permit) OK except #'s 8k,water Well; Disconnect, Electrical, Plumbing 6 C. Ducts Insulation & Support 8 Exterior Elec. Trim; G.F.I. Receptacle -Underground 35. V t Fan; Exhaust above insulation Condensate Drain & Overflow; Size & Gradel 8 . entilation throughout House 8 . la rotection ace Access -Comb. Air -Return Air Vent -115 let 37. F en • rrections from Previous Inpection 381"Attic Access & Platform if Furnace in Attic . Gas Test -Meters Tagged; Gas- tric 9 , ater & Sewer Connected -C/O to Grade -HD Approval 9 nergy Compliance Certificate -Other Certificates Card -B1 Date "�= ] and -81 Date 92. Roofi, g Certificate Card -Bt Date Card -B1 Date Card -B1 C f�" Date {� S LCard-B1 Date /J/ irw Card -B1 Date Card -131 Date Date FRA G (Plans) OK except #'s Card -131 LV Date Card -B1 Date 3 i , Proper Material & Anchors Comments at Final: 496es Studs -Nailing, Spacing & Bracing—Plates-Sound E!ax- P� e.a.r 4VBearing Walls over Girders & Floor Nailing �L 42. Dro Stop in Walls (rat proof) LA 1- 1 a -9 3 4 • e Stops; Furred Ceilings -Stairs -Chases -Tub 4 . Header & Beam -Size & Bearing v a{ a es ra K s pv ; J F ti T. '�,.a Owner 2 PPI 0-� Cl Permit No. ENERGY CERTIFICATION LOCATION A.P. NO. DESCRIPTION OF INSULATION ROOF MATERIAL BRAND NAME THICKNESS THERMAL RESISTANCE '(R VALUE) EXTERIOR WALL MATERIAL Fiberglass. BRAND NAME Certainteed THICKNESS THERMAL RESISTANCE (R VALUE) j 3 CEILING. c. BATT OR BLANKET TYPE_ ;fiCtZfaw"S BRAND NAME Certainteed THICKNESS p •i THERMAL RESISTANCE (R VALUE) O LOOSE FILL TYPE IN -SAFE -Iii BRAND NAME :Certainteed THICKNESS THERMAL. RESISTANCE (R VAI, 30 FLOOR, ELEVATED MATERIAL FIBERGLASS BRAND NAME CERTAINTEED. THICKNESS THERMAL RESISTANCE_ FLOOR, 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 FIRM NAME/OWNER STATE CONTRACTOR"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 e,u' nt, devices and materials are of the quality .prescribed or are specifically approve by t S of California. ----------------- ---------------------=-- 9=7 ------------------ .FIRM NAME/OWNER (PLEASE PRINT) STATE CONTRACTOR"s LICENSE NO. --=---------------------------------- SIGNATURE OF GENERAL CONTRACTOR/OWNER DATE This certificate must.be on file with the BUILDING DEPARTMENT prior to final inspection approval and a copy shall be posted within the building. JANUARY 1984 3+�9•;`33---�+ro�cy�'s•.+e+.w:,,�.M.at-.:�r.-.«..--.,..,.vrx-...x.-=.�..-....�.w..�a,�,,•w,ay+�:. „ .....,— COUNTY OF BUTTE ` DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Ellioft Road; Paradise— Phone: 872.-6307 CORRECTION NOTICE U ER U 7(,) -.- IT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need 'additional explanation, please contact this office immediately. Inspector `--� Date 16 — ;2- % - oP—!� -.•4•` COUNTY OF BUTTE DEPARTMENT OF PUBLIC �, ORKS 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 1` 1 NO 1276-V 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. 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 274)-89 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. e YY -6r'2- C' O w. e X c 0-4 wu �lC L✓ _ I��C��S�� V l ro �e &s 4C�54' C, I., 0; Ole eft yr Ps a4 /oNY• / a i S tic fi�i�i,Y row G� r o re k ;F=jI V Inspector Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS �M• 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 OWNER ' PERI 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. if f Inspector Da COUNTY OF BUTTE .�� •._.,: DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 89112751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road; Paradise — Phone: 872-6307 _ CORRECTION NOTICE )-,2- ,76 ---,V OWNER PERMIT Ni A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office Immediately. Inspector Date/��� COUNTY OF BYTTE • DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, OroviIIe — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE R z. 26 - PERMI 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. bu ill �3S �rx (ot �—o loves Gvc e44 a,,4 &4. , 1Z% /i Inspector—,Z, /�& r 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 OWNER IT 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. // Cv��f Ll !dam✓ �� �-C� / - 7- t> - b / l t , Inspector_ U V Date -7— / 2- V y COUNTY OF 9UTTE , DEPARTMENT OF PUBLIC WORKS L 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 (4j/aID-S� OWNER U U PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this atter, or need additional explanation, please contact this office immediately. -1 A l /7 ®i%kXVAW. V'* AW. ll� ,,a . Inspector Dated . 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 I? 7o J97 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. r ,r Inspector \ Date �- I J COUNTY OF BUTTE - DEPART ENT OF PUBLIC WORKS P RA �IT NO.,�/ 7 County Center Drive - Orovible, &I for 1 95965 - Telephone: 916/538-7541 J I%— Y APPLICATION AWPERMIT0 ,aii ASSESS PARCE UMBER 7— O ZOCNING J' BUILDING PERMIT OWNER $q3 S NE v� r SO. FT. OCC. BUILDING VALUA ON i17 OWN R'S MAILING ADDRESS � m�� o �f� 7 f ,nom-, ���s a o CONTRACTOR'S NAM TELEPHONE ?93 5*glq 1to✓ /3 ev .'.vv CONTRACTOR'S MAILING ADDRESS 6 /wAd""OL.5Ft( ' t 0 C) CONSTRUCTION LENDER UNKNOWN Total Valu Ion $ �j S LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ , 57 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ -7 . -75 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ . Penalty $ BUILDING ADDRESS Permit fee $ a as PLUMBING PERMIT Filing Fee 10.00 N0.Each Trap / 2.00 0"0 < v Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 + �� J-0 3 11a eti e` r-/ Each pas water heater or vent 5.00 6--D SE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 • d-0 SFU Duplex❑ Mobilehome❑ Other Building sewer 5.00 , SPECIFY Mobile Home S I G I W IO.00ea TYPE OF WORK a W AI t er New Addition❑ Remodel❑ Utilities❑ Installation[] Other ❑ Permit Fee $ C, 3 Describe work: Contractor P_ L ���� ELECTRICAL PERMIT A FiIin Fee 10.00 Main service 100 AMP ORSLES P 10.00 Main service EA. ADD'L 100 AMP 2.50 r5� CONTRACTORS LICENSE LAW NEW CONST. DWELLING O ` OR ADDNS. � ACC. BLDGS. �% / , �20sgft 5 I declare under penalty of perjury check one): p Y p i Y( ) NEW CONSTR. U TI -T 2.50 ea I am licensed under provisions of Chapt. 9, Div. 3 of the Business NO ESID _BRA CH CIRCUITS) POWER APPARATUS S I and Professi ns Code and my license is in f%force and effect. SINGLE OUTLET CIR. / License No. Classification EX. OCCUp�OUTLET3 OR FIXTURES 200SOt eALO 30 ❑ I, as the owner, or my employees with wages as their sole compen- FIXED Ex. Occup. OUTLETS P(RESID )NS REA.I 1 2.00 sation, will do the work,and the structure is not intended or offered Temporary service 10.00 for sale. (Sec. 7044) ❑ I, the licensed Mobile Home Facilities 15.00 as owner, am exclusively contracting with contract- ors.(Sec. 7044) Misc. �Yirin g 15.00 + ❑ I am exempt under Sec. , Business and Professions Code y I IlAt JA &':r> for this reason Permit Flee $ , Contractor + WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT Filing Fee 10.00' ❑ The permit is for $100.00 (valuation) or less. Heating D © 0 ©/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. Coling jZ.p—a ❑ I shall not employ any person in any manner so as to become subject Hood 3.00 to the W. C. laws of California. Ventilation 3o -O 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 Permit Fee $ , �v provisions or this permit shal I be deemed revoked. Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee $ is correct. I agree to comply to all County Ordinances and State Laws relating Energy Inspection Fee $ to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. TOTAL PERMIT FEE $ 9J3 b ` 1 also agree to save, indemnify and keep harmless the County of Butte against Occup. CONST.TYP! FLOo PAR PD ND 99 all liabilities, I dgme ts, costs, and expenses which may in any way accrue IS;71 agains Id ount consequence of the r ting of this permit. X r_�/ [�4& This permit is hereby issued under the applicable provi- ate sions of the Butte County Code and/or resolutions to do ig. r of p - 0 n r ntrocror ❑ AgentRL work indicated above for which fees have been paid. r s r or a tions over 5'0" deep and demolition or construct- DIRECTO OF PUBLIC WORKS i tr u ver s o l i ht. Receip 0 a. BY r^ p9 Date lJ�%/ 0. WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLD ENROD-AP►LI CANT PWMIT EXPIRES Date C,,OUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION ^► ror 7 COUNTY CENTER DRIVE - OROVILLE, c*ALIFORNIA 95965 - TELEPHONE: 916/538-7541 / PERMIT APPLICATION DATA SHEET Permit No. OWNER t'y -e u ; .,v .3 A. P. No. q 4/Q ^ a n !j Proposed Building Use�Ajeco Building Inspector_ Date 4/— -2 At time of permit application, I was advised the following data must be submitted priorto 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 instructions....................................................... 9. Fees of $ .......................... 10. Chico Urban Area fees paid ........................................ V3. . Park fees paid ..................................................... C School District fees paid ................ . Sanitation approval from C' L .-� Health Department ... 14. City of Chico plumbing permit ...................................... 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: ......... 17. Improvements may be required. . Driveway Driveway permit (construction approval required prior to occupancy) .. . 19. Pre -inspection for Pre-Inspec. request tore •,,, . Building Inspector (Date) 20. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance 2. Owner -Builder Verification (Given to owner o, Mail to owner D) ........ Recorded copy of Agricultural Acknowledgment Statement ............—r:-4 z - V4. Letter Of signature authorization .... .......................... �-7 iA lag 5. PL4 SJUF�D �Sr4N �f OESia►.tc/Z 2 . Wheryyou issue the permit, process as follows: Mail to owner. Mail to contractor. �`� Telephone nd hold for pickup at elf') ice. Deliver w/inspector. Other. Appl ica Date Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items o. 2. Additional items required: Contractor, design ,owner was advised of above required data by phone_maiI—counter by date✓—g ^B Contractor, designer, owner, was advised of above required data by—phone —ma II—counter by date Plans checked by Date Plans approved by Date 9 Sets of plans on hold in V File cabinet AP folder Copy—DPW TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance 7- -11,q owner location AP # Driveway permit 16nellaV has been _"ee U// A- si .Aature issued for the above property. date T9 suildinc Department FROM: .Environmental Health SUBJEceg Sanitation Clearance ., r.-- C- ; D m�..�2 y7 Owner Location AP# Plan Approved fore Sewace Disposal ✓ Water Supply ✓ Hold final for: Final clearance O.K. for: clearance dor —2- bedroom mcgftbe home. other Water supply Water supply - 5. Date Sanitarian TO Building Department FROM: Environmental Health ,SUBJECT: Sanitation Clearance n OwnerLocation AP# J Plan Approved for: Sewage Disposal Water Supply Hold final for: Water Supply Final clearance O.R. for: clearance for bedroom mvb6le home. Other Water Supply NOTE *** Date Sanitarian Certificate of Compliance: Residential Climate Zone 11 T,�ONALI\ bp, Project Address Documentation Author Telephone BUILDING DATA Codo ed Floor Area Slandiis Floor Single Family Detached (SFD) [ ] Single Family Attached (SFA) [ ] Multi -Family (MF) BUILDING SHELL INSULATION Number of Stories Number of Units = [ ] Addition Alone [ ] Existing Building [ ] Existing -Plus -Addition Component Insulation Location/Comments Type R -Value (attic, to garage, typical, etc.) Wall .............. -1 ( E: )C T. INA LL_G Wall .............. Roof ............. _.r l_ q Roof ............. _ Floor ............. Z- ,A.t5 L Floor ............. Slab Edge..... —0— GLAZING Shading Devices 127 o - 69 Building Permit # -....w 5--5-69 Checked By / Date Enforcement Agency Use Glazing Area Glass Type Interior Exterior Overhang Framing Type Orientation (sf) (single, double) troller blind. etc) (shadescreen. etc.) (yes/no) (metal�wood) _ North (✓1 9/_ t-- MIA �_ 0AC'ML North ( ) it East ( t/1 262 V s. - South ( y �Q_ _ South ( ) West FFtF�TE West ( ) Skylight....... _SZ THERMAL MASS Type/Covering Area Thickness (Slab/exposed, tile, etc.) (so (inches) Location/Description (kitchen. bath, etc.) (v t& HVAC SYSTEMS Minimum Duct Type (fumece, air Efficiency Location Duct Output Manufacturer / Model # conditioner, heat pump) (SE, SEER,HSPF) (attic, etc.) R -Value (BtUh) (or approved equal) • 72 �4��-r-s s •7 / 6 6 Maximum Furnace Heating Output: HOT WATER SYSTEMS Btuh Tank Manufacturer/Model # System Type (storage gas, etc.) Capacity (or approved equal) Special Feature(s) r SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) Glass Area % Glass North 1.1 East --2/— 2 e 2 South _ec> 2� West J.29— , Skylight Total _5'7 5 , 3 Glazing Area Glass Type Interior Exterior Overhang Framing Type Orientation (sf) (single, double) troller blind. etc) (shadescreen. etc.) (yes/no) (metal�wood) _ North (✓1 9/_ t-- MIA �_ 0AC'ML North ( ) it East ( t/1 262 V s. - South ( y �Q_ _ South ( ) West FFtF�TE West ( ) Skylight....... _SZ THERMAL MASS Type/Covering Area Thickness (Slab/exposed, tile, etc.) (so (inches) Location/Description (kitchen. bath, etc.) (v t& HVAC SYSTEMS Minimum Duct Type (fumece, air Efficiency Location Duct Output Manufacturer / Model # conditioner, heat pump) (SE, SEER,HSPF) (attic, etc.) R -Value (BtUh) (or approved equal) • 72 �4��-r-s s •7 / 6 6 Maximum Furnace Heating Output: HOT WATER SYSTEMS Btuh Tank Manufacturer/Model # System Type (storage gas, etc.) Capacity (or approved equal) Special Feature(s) r SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) 5yst.!m SEER some: ducts In attic) Som of 7-10 t410 -14 to -410 +6 to 16 or -15 -5 +5 +15 more -10 -8 -6 -4 -6 -5 -4 -3 -4 -3 -2 -2 -3 -2 -2 -1 0 0 0 0 3 2 2 1 5 4 3 2 7 6 4 3 11 9 7 5 14 12 9 6 EfredJve SEER Unit Size (sQ 0.2 ER x duet efl7clency) 1200 Sum of 7-10 2200 2700 24 to -14 to -4 to +6 lo 16 or -15 -5 +5 +15 more -25 -21 -17 -13 .9 -11 -9 -7 -6 -4 -4 -4 -3 -2 .2 0 0 0 0 0 8 6 5 4 3 14 12 9 7 5 19 16 13 10 7 23 19 15 12 8 26 22 18 14 9 29 24 20 15 10 tl Control Adjustment 8 7 6 4 3 ooling System Installed -4 -3 -2 -2 2 2 2 1 nily Detached and Attached Interior Mass/CFA 1111 r MSS I1. �•u1Mc•..=1 exposed TYPE 1 MASS WIMC & 4.2. le: sed slab) Ic.ryet.d •l.bl �_ OY. S% 1095 15% 20% 2S% 30Y. 3S% 40% 4S% 50% 55% 60% 6515 70% 75% 80% 8S% 90% 95% 100% 105% 110% 11S% 120% 125` OY. Unit Size (sQ 0.2 1199 1200 1700 2200 2700 or Io to to or less 1699 2199 2699 more 0 0 0. 0 0 12 8 6 5 4 8 5 4 3 3 5 3 3 2 2 8_ 5 4 3 `-15 3 -37 -24 18 4 -12 -1 -1 -1 0 0 -18 -12 -9 -7 -6 -25 -16 -12 -10 -8 -18 -12 -9 -7 -6 -5 -3 -2 -2 -2 7 5 4 3 2 3_ 2 1 1 1 ,28 -19 -14 -11 -9 8 5 4 3 3 -10 -6 -5 -4 -3 Family (individual units) 4.3 4.5 Unit Size (sQ 4.9 699 700 1200 1700 2200 or to to to or less 1199 1699 2199 more 0 0 0 0 0 14 7 5 4 3 9 5 3 2 2 9 4 3 2 2 9 5 3 2 2 -45 -23 -15 -11 -9 2 1 1 0 0 .23 -12 .8 -6 -5 -25 -13 -8 -6 -5 -23 -12 -8 -6 -5 -8 -4 -3 -2 j -2 6 3 2 1 1 1 0 0 0 0 -30 15 -10 -8 -6 18 9 6 4 4 -8 -4 -3 -2 -2 Interior Mass/CFA 1111 r MSS I1. �•u1Mc•..=1 exposed TYPE 1 MASS WIMC & 4.2. le: sed slab) Ic.ryet.d •l.bl �_ OY. S% 1095 15% 20% 2S% 30Y. 3S% 40% 4S% 50% 55% 60% 6515 70% 75% 80% 8S% 90% 95% 100% 105% 110% 11S% 120% 125` OY. 0 0.2 0.4 0.6 0.8 1.1 1.3 1.5 1.7 1.9 2.1 23 2.S 2.7 2.9 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5 53 10% 0.2 0.4 0.6 0.8 1 1.2 1.4 1.6 1.9 2.1 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.7 4 4.2 4.4 4.6 4.8 5 5.2 5.4 20% 0.3 0.6 0.8 1 1.2 1.4 1.6 1.8 2 2.2 24 21 29 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.8 5 5.2 5.4 56 30% 0.5 0.7 0.9 1.1 1.4 1.6 1.8 2 2.2 24 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 5.6 58 40% 0.7 0.9 1.1 1.3 1.5 1.7 1.9 2.2 24 2.6 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 SOY. 0.9 1.1 1.3 1.5 1.7 1.9 21 23 25 27 3 3.2 3.4 3.5 3.8 4 4.2 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 55% 0.9 1.1 1.4 1.6 1.8 2 2.2 24 2.6 28 3 3.2 3.S 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 53 5.6 5.8 6 62 60% 1 1.2 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 4.8 S 5.2 5.4 5.6 5.9 6.1 63 65% 1.1 1.3 1.5 1.7 1.9 2.2 2.4 2.6 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 53 55 5.7 5.9 6.1 64 701/. 1.2 1.4 1.6 1.6 2 2.2 2.5 2.7 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 52 5.4 5.6 58 6 62 64 75% 1.3 13 1.7 1.9 2.1 2.3 25 2.7 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 6.5 801/. 1.4 1.6 1.8 2 2.2 2.4 26 2.8 3 3.3 3.5 3.1 3.9 4.1 4.3 4.5 4.1 4.9 5.1 54 56 5.8 6 62 64 66 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 4.8 5 52 54 5.6 59 6.1 63 6S 67 901/. 1.5 1.7 2 2.2 24 2.6 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 53 5.5 5.7 5.9 6.2 64 66 68 95% 1.6 1.6 2 2.2 2.5 27 2.9 3.1 33 3.5 3.7 3.9 4.1 4.3 4.6 4.8 S 5.2 5.4 5.6 5.8 6 6.2 6.4 6.7 69 1009. 1.7 1.9 2.1 2.3 ZS 28 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.5 4.9 5.1 5.3 5.5 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% 1.9 2.1 2.3 2.5 2.7 2.9 3.1 3.3 38 3.8 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 7.1 115% 2 2.2 2.4 2.6 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 S.9 6.2 6.4 6.6 6.8 7 72 120% 2 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.4 4.6 4.8 5 5.2 5.4 5.6 58 6 6.2 6.5 6.7 6.9 7.1 73 125% 2.1 2.3 25 2.8 3 3.2 3.4 3.8 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.7 7 7.2 7.4 Point System Summary: Climate Zone 11 SCORE CARD 1. Ceiling Insulation 2. Wall Insulation 3. Raised Floor Insulation 4. Slab Edge Insulation S. Infiltration 6. Glass Heat Lass 7. Shading (Shade Open) Measures SC .6(o = k --,so or Eff. % Glass R -value [38] U -value [0.030] I I or z .3,� R -value [11] U -value 10.0981 R =19 or 7-31 R-value[191 U -value [0.0371 D or -- R-value [0] F2 factor [0.77] Standard 3,1 -PB c... . Skylight Type [double] U -value [0.65] Point Scores 0 0 0 19.3 --'4 -- 90 Total Glass [161 Sum 1.6 8. Shading (Shade Closed) a. North b. Easty--- 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 % Glass X SC .6(o = % Glass SC Eff. % Glass a. North 3.1 x� = z .3,� b. East 9 .5 x = 7-31 C. $011ih 2 X I = 2 107 d. West '4 , x = 3,1 e. Skylight x V _ 'U 8. Shading (Shade Closed) a. North b. Easty--- 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 % Glass X SC .6(o = Eff. % Glass 1.o4 -H / Interior Mau/CFA 1%a 2,7 x 16( = 1,-7e -1 4 4.1 x ,4b _ 119(.2 1_ . n x ND. L OR AREA O TYPE 1 MASS AREA = �% Interior Mau/CFA COND. FLOOR AREA TYPE 2 MASS AREA _ ...- % EzteriorWallMass ND. L OR AREA (�.3-_ .571; _X SE or HSPF Duct Efficiency [0.78] Effective SE or [0.72(6.61 HSPF 100..566//5.151 �. Q X SEER [9.51 Duct Efficiency [0.74] Effective SEER [7.031 SG n Type [SG] Credit [none] 0 � .,, Su n 7.10 + :3 tz Point Total: O �s� 1. Ceiling Insulation 2. Wall Insulation Insulation in Floor Number of stories 0.80 R -value One Two Three R-0 -103 -49 -02 R-19 -8 -0 -2 R-30 -2 -1 -1 R-38 0 0 0 U -value 2 1 R-19 0.50 -176 -84 -54 0.30 -102 -49 -02 0.10 -26 -13 -8 0.08 -18 -9 -6 0.06 -11 -5 -4 0.04 -4 -2 -1 0.02 4 • 2 1 0.00 11 5 3 2. Wall Insulation Insulation in Floor Number of stories 0.80 Single- Single - Two R -value Family Family MUlti- R-value Detached Attached Family R-0 -68 -51 -34 R-11 0 0 0 R-13 2 2 1 R-19 8 6 4 U -value -144 -70 -46 0.80 -153 -114 -76 0.50 -91 -68 -46 0.30 -47 -36 -24 0.10 0 0 0 0.08 4 3 2 0.06 9 7 5 0.04 14 11 7 0.02 19 14 10 0.00 24 18 12 3. Raised Floor Insulation F2 factor 0.90 Insulation in Floor Number of stories 0.80 R -value Number of stories Two 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 Number of Stories -26 R -value 0.60 -144 -70 -46 0.50 -120 -58 -08 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 Crawlspace F2 factor 0.90 -4 Number of stories 0.80 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 4. Slab Edge Insulation 4 40 " Number of Stories -26 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 -0 -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 Loss Total Single- Slab Floor Raised Floor Wall U -value Family Percent Mass (percent .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 -61 -21 -13 -4 4 12 29 -58 -20 -12 -3 5 12 28 -55 -18 -10 -2 5 13 27 -52 -17 -9 -2 6 13 26 -49 -15 -8 -1 7 14 25 -46 -14 -7 0 7 14 24 -43 -12 -5 1 8 14 23 -40 -11 -4 2 8 15 22 -37 -9 -3 3 9 15 21 -34 -7 -2 4 10 15 20 -31 -6 0 5 10 16 19 -29 -4 1 6 11 16 18 -26 -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) Single- Slab Floor Raised Floor Wall Elfectlye Percent Glass Family Stories Mass (percent Yhm x SC) Family ICFA Effective Two Three One Two Three 0.0 %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 11 11 5.0 4 a3. Shading (Shade Closed) 9 11 12 Effective Percent Glass 5.5 5 8 (wcwt&"xSC) 11 12 Effective 6.0 5 8 10 12 %Gies Nora East South West Sk*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 -65 8 -5 -17 -23 -21. -56 7 -4 -14 -19 -18 -47 6 -3 -11 -15 -14 -38 5 -2 -9 -11 -10 -30 4 -1 -6 -8 -7 -23 3 0 -4 -5 -4 -16 2 1 -1 -2 -1 -9 1 1 1 1 1 -4 0 2 3 4 3 0 na • not allowed 9. Interior Thermal Mass Interior Single- Slab Floor Raised Floor Wall Mass Family Stories Mass Detached Stories Family ICFA One Two Three One Two Three 0.0 -8 -5 -4 -2 -1 -1 0.1 -8 -5 -3 -1 0 0 0.3 -7 -4 -2 0 1 1 0.5 -6 -3 -1 1 1 2 0.7 -5 -2 -1 1 2 2 0.9 -5 -1 0 2 3 3 1.1 -4 -1 1 3 4 4 1.3 -3 0 2 3 4 5 1.5 -3 1 2 4 5 5 2.0 -1 2 4 5 6 7 2.5 0 3 5 7 7 8 3.0 1 4 6 8 8 9 3.5 2 5 7 9 9 10 4.0 3 6 8 9 10 10 4.5 3 7 8 10 11 11 5.0 4 7 9 11 12 12 5.5 5 8 9 11 12 12 6.0 5 8 10 12 13 13 6.5 6 9 10 12 13 13 7.0 6 9 11 13 13 14 7.5 6 10 11 13 14 14 8.0 7. 10 11 13 14 14 8.5 7 10 12 13 14 15 10. Exterior Wall Thermal Mass Exterior Single- Single - _ Sum of 14 Wall Family Family Muff Mass Detached Attached Family 0.00 0 0 0 0.20 3 2 1 0.40 - 5 4 3 0.60 8 6 4 0.80 10 8 5 1.00 13 10 7 1.20 13 12 8 1.40 12 13 9 1.60 10 13 11 1.80 10 12 12 i 2.00 10 11 13 1 11. Heating System SE or HSPF (assumes ducts in attic) Zonal Control Adjustment System Type Resistance 10 9 7 6 4 3 Other 6 5 4 3 2' 2 _ Sum of 14 -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 Effective SE or HSPF (SE or HSPF x duct efficiency) Effective -25 or -24 to -14 to -4 to •6 l0 16 or SE HSPF less -15 -5 +S +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 Mandatory Measures Checklist: Residential MF -1R NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used Items marked with an asterisk (•) may be superseded by mote stringent compliance requirements fisted on the Certificate of Compliance. Wben this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as binding minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. DESCRIPTION Building Envelope Measures • §2.5352(a): Minimum ceiling insulation R-19 weighted average. §2.5352(b): Loose fill insulation manufacturer's labeled R -Valu. §2.5352(c): Minimum wall insulation in framed walls R-11 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 perrrtlinch. §2-5311: Insulation specified or installed meets California Energy Commission (CEC) quality standards. Indicate type and form. §2.5352((): Vapor barriers mandatory in Climate Zones 14 and 16 only. §2.5317: Infiltration/Exfiltration Controls a. Doors and windows between conditioned and unconditioned spaces designed to limit au leakage. b. Doors and windows certified. c. Doors and windows wadterstripped: all joints and penetrations caulked and sealed. §2.5352(e): Special infiltration barrier installed to comply with §2.5351 mats CEC quality standards. 12.5352(dy Installation of Fireplaces 1. Masonry and factory -built fireplaces have: a. Tight fitting, closeable metal or glass door b. Outside au intake with damper and control e. Flue damper and control 2. No continuous burning gas pilots allowed. HVAC and Plumbing System Measures §2-5352(8) and 2.5303: Space conditioning equipment sizing: attach calculations. §2-5352(h) and 2.5315: Setback dwmnostat on all applicable heating systems. • §2-5316(a): Ducts constructed, installed and insulated per Chapter 10, 1976 UMC. §2.5316(b): Exhaust systems have damper controls. 62.5314(c): Gas-fired space heating equipment has intermittent ignition devices. §2-5314: HVAC equipment, water haters, showerheads and faucets certified by the CEC. §2.5352(i): Water heater insulation blanket (R-12 or greater) or combined interior/exterior insulation (R-16 or greater). fust 5 feu of pipes closest to tank insulated (R-3 or greater). §2.53I2(Exception p: Pipe insulation on steam and steam condensate return old recirculating piping. §2.531R(d): Swimming Pool Heating 1. System has: a. On/off switch on heater. b. Weatherproof instruction plate on heater. c. Plumbed to allow for solar. 2. 75 percent thermal efficiency. 3. Pool cover. 4. Time clock. 5. Directional water inlet. Lighting and Appliance Measures 12-5352(1): Lighting - 25 lumens/watt or greater for general lighting in kitchens and bathrooms. §2-5314(c): Gas fired appliances equipped with intermittent ignition devices. §2.5314(a): Refrigerators, refrigerator -freezers, freezers and fluorescent tamp ballasts certified by the CEC. Indicate make and model number. COMPLIANCE STATEMENT DESIGNER I ENFORCEMENT This certificate of oompliance lists the building features and performance specifications needed to comply with We 24, Chapter 2-53 and Title 20. Chapter 2. Subchapter 4, Article 1 of the California Administrative code. 'Iris 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 BuildOwner Name: Nam --ng �TCc GF �P/O Tttk/Ftrm Addzzss: Addr Telephone: Tckphone: tic. N: (signattue) (dam)(signattue) (date) Documentation Author Name: TicWFum: Address: Enforcement Agency Name: Agawy: Tekplwne: Cid RESIDENTIAL PLAN CHECKING GUIDE 7/85 (S.F., DUPLEX & MISC. ONLY) , �, Bldg. Permit # OWNER STLCV� urF* A.P. a•oo 11 GENERAL . Zoning requirements: (sideyards and number of permitted living units). f� Valuation. Plans signed by designer. Energy Design and Compliance. Existing violations on property. PLOT PLAN Complete parcel size and dimensions. VSetbacks, sideyards, easements, etc. Other buildings or structures. VGrading, fills,.drainage. Flood hazard. Special conditions on creation map or compliance document. FLOOR PLAN Complete to scale plan with dimensions. ®o Required windows for light and ventilation (Sec. 1205). Required windows for second exit (Sec. 1204). 4� Skylights (Chapter 34 & Sec. 5207). Human impact glass (Sec. 5406). Required room sizes, ceiling heights (Sec. 1207). G.F.C.I.'s in baths, garage and exterior outlets (Article 210-8). Light f ixtures, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. 911 Locations of water heater, heating and cooling equipment, other electrical or gas equipment, and plumbing fixtures. 1�Jy Garage firewall, door size, and closer (Sec. 503(d)(3)). 1 - 3'0" exterior exit door (Sec. 3304(e)). 1Fireplace and wood stove location. -'- 1 . Smoke detectors (Sec. 1210). STRUCTURAL DETAILS 1! Foundation plan complete enough :to construct building. Floor construction details complete enough:to construct building. it -10-1 Elevations and wall construction details complete enough to construct building. /b�/ Roof construction details complete enough to construct building. i*Fireplace construction details and calcs if necessary. Sufficient data and details to satisfy energy requirements (State Law) (Form 1). MISCELLANEOUS ITEMS TO LOOK OUT FOR X• Exposure I plywood on exposed locations and .overhangs. 20e Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306). 3! Guardrail details (Sec. 1711 & 3306(j)). 44.0' Brick or stone veneer (Chapter 30). Exterior plaster - weep screeds (Sec. 4706). 60.01 Proper roof pitch for roof covering (Chapter 32). Rafter ties or bearing ridge beam. RESIDENTIAL PIAN CHECKING GUIDE (CONT'D) 7/85 MI SC ELLANEOUS ITEMS TO LOOK OUT FOR (CONT'D) 3! Garage door or porch header sizes. 9. Adequate bracing. 140of Living area over garage — complete 1 -hour separation required on garage side including supporting walls and posts, etc.. 1/eTwo exits on three-story dwellings (Sec. 3303 &'see Mezannines 1716). 1 Attic access and ventilation (Sec. 3205). 1KUnderfloor access and ventilation (Sec. 2516). 1 ' Wood stoves, clearances, alcoves & 1 -hour shafts. 1 Combustion air for fuel burning appliances. 1� Noise requirements on duplexes. 1�A�dobe soils - special foundation design. l�Retaining walls requiring design. 1�Unusual shape, size or split level house requiring lateral design. 514 (f�*LANS t•.+r` t Aww ..."ti',.,-+.,...T_.....'Ti....._.. __ � ' •- .' .L �,� r.. .+ , � '��r� Iss sy.. , f4AA-1 BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One Form per Building) Y F.A.P. Number q,?- q - 00 Building Department No. School^District City County E�Kiurisdiction - Property Owner 'J -e_ i ,v 0 Project Location/Address ,040 wa lA ,Q,�. n1 � C� i'j % 0 Subdivision Lot Number 50 " Residential Development:E]Sq. -' cF 7 Footage # of Living MHI Addition (Group R) Units Commercial/Industrial: Sq. Footage New Addition (Including Exterior Roofed Areas) VN Building Depart" nt Representative Date ******************************************************************* (Floor Plans reviewed by School, District Personnel) r District Id No. ; C_n C -,f vl . plicant N School District certifies that n� Sr 8�3-,S-q--) y (Phone Number) -3 54-- CA Cf- �' "(``Sttreet""Addre_s,s,,)� (City) t i(State) t (Zip Code) n ' has complied with the requiAr'ementsf-Resolution No. by the payment of $ /1AM S`(� representing square feet. School District R press tative Dat PAID BY CHECK NO. BANK NO ��-� 7 PAID BY CASH REMARKS: i white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) 7 `Return to DPW' AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVEI,OPMENT Section 26-8.1 of. the Butte County, CodeP/eaiL �DDYrequires this acknowledgement be recorded m_ prior to issuance of a building permit. The property described herein is adjacent to land 'or included within an area zoned for agricultural purposes, and residents of this property may be subject to incon- veniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has esLabl.ishad agricul- tural zones which have as a priority use for productive agricultural purposes, and I-esidelli within said zones and on adjacent property should be prepared to accept such i nconvell i c ilco or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of Cal.iforn:in, describcd ;is follows: Lot 503, as shown on that certain map entitled, "HAGENRIDGE PARK SUBDIVISION", which map was recorded in the office of the recorder of the County of Butte State of California, on May 13,1980, in Book 72 of Maps, at Pages 67,68,69, and 70. Reserving therefrom, a non-exclusive easement for road and public utility purposes over Donald Drive, as shown on said map Date: April 26,1989 State of SS. County of ;PROPERTYWNFOf Ruffino On this the -��,L day of �� , 190, the undersigned Notary Public, appeared N befor e• mc•, C] Personally known to me. f—At Proved to me on the basis of satisfactory evidence. to be the person(s) whose name(s) % subscribed to the within instrument and acknowledged Lhat executed the same for the purposes therein contai nevi . IN W I I'NK.SS WHEREOF, I hereunto set my hand and off.ici.al. seal.. Present Awl 047-48-0-009 jdpL N, Lary Publ i c F39-015456 89-018456 f 89-018456 -- -- - B9-018456 S Rec Fee 5.00 Cash 5,00 o: Recorded ; Official Records ; County. "of ; 0: Butte ; Candace J. Grubbs ; Recorder 10:49am 19-May789 ; BG 1 Rt NTIAL P 47-48-09 1453-90B,P,E � l y EAGLE, John & Sylvia�� h 503 Donald Dr, Chico Contr: Care Free Pools MG" B'o (swimming- Pool/sf.) O'� JOB FINALE Signature f COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile —'Phone: 538-7541 v, T 747 Elliott Road, Paradise — Phone: 872-6307 a CORRECTION NOTICE 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,/6r need.additional explanation, please contact this office immediately. - ` .1. h+ I n /l _ti— . AV - Date Inspector v i J=OK O = Not OK Not = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #rs 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/0 Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / P'L"ft. / P'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/0 to Grade -HD Approval 6. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card 8-1 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 S. 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 POOLSIPlansi OK except #'s Steel -Connections -Thickness and Lighting, Distances-GFI Pool Lighting; 15 volts-GFI _2V 8!EIec.;Enclosu0s: Conduit Entries -Terminals -Listed T. Elec.; Bon0g; 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.alth Department Approval 11V Plumb.; Cir. Test -Water Supply Test Data — — and B-1 —Vk U t Date -Z —/ - fj Card B-1 Date ) ( Z 8 '` 0Card B-1 Date Card B-1 I 'J OK O = Not OK Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 4. Fig., Porches & Decks; Soils -Steel-/ /Fig. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 50. Garage Fire Protection Framing 6a. Hold Downs and Special Anchors 51. Property Line Firewall & Openings 7. Slab; Steel -Wrapped 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 8. Piers -Fireplace Ftg.-Steel 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 10. Gas Pipe; Size -Anchors 55. Siding -Nailing Veneer 11. Water Pipe; Test -Anchor -Regulator -Service Test 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 12. Electric; Underground 57. Glazing Area -Glass Protection -Skylights -Plastic, 13. Pienums & Ducts; Clearance -Material -Support -Ins. 58. Shear Walls; Nailing -Bolts 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 59. Insulation -Walls -Ceilings 15. Insulation 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Date Card.B-1 Dated Card B-1 16. Water Htr.; Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except #'s l- 17. Water Pipe; Test & Anchor -Nail Protection 61 ... Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa Date Card B-1 Date Card B-1 66. Elec. Trim & Subpanel; Breaker Sizes & Labels Date Card B-1 Date Card B-1 67. Stairs & Rails Date ELECTRICAL (Permit) OK except #'s 68. Fireplace or Stove; Clearances -Hearth 22. Fixture & Transformer Clearance -Ins. Protection 69. Elec. Outlets at Wood Panel; Int. & Ext. 23. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 24. Size Boxes & No. of Conductors -Stapled 71. Elec. Outlets & Receptacles at Kit. Counter 25. Romex Installed Close to Edge of Studs & C.J. 72. Garage Fire Door; Swing -Landing -Closer 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 73. A.C. Duct in Garage -Damper 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 75. Plb., Elec. & Mech. Equip. Listed for Location 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes 0 No 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic 0 Yes 30. Service -Riser Conductors & Ground -Main Disconnect 78. Guard Rails & Deck Construction -Post Caps 31. Equip. Clearances Panels-Motors-Mech. Equip. 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector 80. Following instld.; Drive 13 Yes O No; Walks 0 Yes ❑ No; Planters 0 Yes ❑ No 81. Stucco; Brown -Finish Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 82. A.C. Unit; Disconnect, Electrical, Plumbing Date MECHANICAL (Permit) OK except #'s 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 34. A.C. Ducts Insulation & Support 84. Water Well; Disconnect, Electrical, Plumbing 35. Vent Fan; Exhaust above insulation 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 36. Condensate Drain & Overflow; Size & Grade 86. Ventilation Throughout House 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 87. Glass Protection 38. Attic Access & Platform if Furnance in Attic 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval Date Card B-1 Date Card B-1 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s Date Card B-1 Date Card B-1 39. Sils, Proper Material & Anchors Date Card B-1 Date Card B-1 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Date Card B-1 Date Card B-1 41. Bearing Walls over Girders & Floor Nailing Comments at Final: 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing each time you visit job site) (NOTE: An entry must be made COUNTY OF BUTTE - 4EPARTMENT OF PUBLIC WORKS 7 County Center Drive-0,roville�California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. q01 - ASSESSOR PARCEL NUMBER 47-48-009 ZONING SR -3 BUILDING PERMIT OWNER John & Sylvia Eagle TELEPHONE 783=4531 SO. FT. OCC. BUILDING VALUATION .St. OO1 17,000.00 OWNER'S MAILING ADDRESS 503 Donald Dr., Chico 95926 CONTRACTOR'S NAME Care Free Pools1342-4639 TELEPHONE CONTRACTOR'S MAILING ADDRESS P.O. Box 8689 Chico 95927 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 17.000. 0 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 122.50 ARCHITECT OR ENGINEER Cal Bachman LICENSE No. Plan Checking Fee $ 15.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 147.50 PLUMBING PERMIT ' Filing Fee 10.009m Donald Dr., CHico Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. 503 SUBDIVISION NAME Hagen Ridge PARCEL MAP �/' Water piping 1 5.00 5.00 Each pas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other Pnnl SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New[ Addition[] Remodel❑ Utilities❑ Installation❑ Other E] Describe work: _ Pool Master #501-88 Permit Fee $ 15.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 - Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declar 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. 3�� ty o�f^v 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.& OR ADDNS. ( ACC. BLDGS. 2,hOsgIt NEW CONSTRULT'-OUTLET NON.RESID BRANCH CIRCUITS) 12.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20®BOQ eAL®30 FIXED APLNS. EX. Occup. OUT ETS (RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �Virin gElectric for Po 1 15.00 15.00 Permit Fee $ 25.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): El ;,he 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 Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 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 X ainst �d��ty�consequence of the granting of'this permit. �{,,(0) ��,�((�A��((����jj Date 5^'�"Q© Signature of Applicant — Owner ❑ Contractor k Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 187.50 HAZ cuA PARK SCHL EE PAR D •'- HD 'ssuE Th:s permit is nereby issued under sions of the Butte County Code and/or work Indiced abo a for which fees D TO F PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Dat S�v Receipt No. WNIT!-D.P.W., YELLOW-A53lTO, PINK -INSPECTOR, GOLDENROD -APPLICANT r-r..wr•..a � �.. ..-„y1i,.Ji fi"�".,�r.,;'LY'L�p.,r• .__ ''1 {'S�: yr �♦�.r't,��i�tiil.�"rH /'rid s 1 _ COUNTY OF BUTTE - DEPARTMFI T..OFPUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET r . a Permit No. OWNER A. P. No. L/7_ y`a Proposed Building Use SO4fn!2__ ad Building Insoector-?-6,Ja""J Date ..S J 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 .............. 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 $ y ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 1 - School District fees paid ............... 14. Sanitation approval from C /-/l �- o Health Department �'�s� o n 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) 20. Pre -Inspection for required Pre-Inspec, 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 ❑) ..... .W 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When yo issue the permit, process as follows: Mail to owner. Mail to contractor. I Telephone 31/2 - '/t aS,and hold for pickup at `'office. Deliver w/inspector. ; Other Applicant Date Q' errG Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance 1. Index permit for above items No. 2. Additional items required: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by_phone---naiI—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/� Date ,�✓�s "�[� Sets of plans on hold in . File cabinet AP folder Copy—DPW w TO: Building Department FROM: 'Environmental Health, Chico SUBJECT: Sanitation Clearance Owner Location AP Plann approved for; sewage disposal water supply Hold final for: water supply Final clearance OA. for: water supply Clearance for bedroom mobile. home. Other aZV Note*** tarian 5-17/94 Date 8 9 TO: Building Department FROM: Environmental Health, Chico SUBJECT: Sanitation Clearance Owner Location, AP Plann approved for; sewage disposal water supply Hold final for: water supply Final clearance OA. for: water supply Clearance for bedroom mobile home. Other— �4& Ol /'� Note'*** 9:::;" 146fjV1 �� 1, sari ali 1 Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive-Urovi'lle, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING --3 BUILDING PERMIT OWNER w k I S /�/a /e o -. gq ;l°y",3 /J 47 SO. FT. OCC. BUILDING VALUATION OWNER'S M• ILING ADDRESS 53 - Z) © H 4 &1 CONTRA7O R'S NAME t9 p -e TELEPHONE CONT ACTOR'S MAILING ADD ESS q f. 0, 60 C .te v 4 / L'b Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 12 Z . S ARC TECT OR E GI EER LICENSE NO. Plan Checking Fee $ /1--0,0 Energy Plan Checking Fee n $ ARCHITECT OR ENGINEE 'S MAILING ADDRESS Penalty $ BUILDING ADDRESS " s—o �In 7 C) re tAe Permit fee $ PLUMBING PERMIT Filing Fee 10.00 cAhaa Com, Each Trap 1 2.00 Solar or heat pump water heater 20.00 LOT NO. O� SUBDIVISION NAME H5.00 n /�,p 0 4214 RL- "' e, PARCEL MAP Water piping Each qas water heater or vent 5,00 USE OF STRUCTURE SF[] Duplex[] Mobilehome❑ 6ther �O©� SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S 1 G I W 0.00e TYPE OF WORK New Addition❑ Remodel[:] Utilities[] Installation❑ Other ❑ Describe work: Permit Fee $mr Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR001 OR LE LESS10.00 Main service EA, ADO'L too AMP 2.50 CONTRACTORS LICENSE LAW I declare rider penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Busines$ and Professi s Code and my license is in full force and effect. License No.RQ R -7C1 Classification C -Q' ❑ 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- ontract- ors.(Sec. 7044) ors. ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLOGS. /20sgft NEW CONSTR ULTI-OUTLET NON.RESIO BRANCH CRC., TS 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES30AL@ B AL030c FIXED APPLNS. LL Ex. OCCUp. OUTLETS IIRESID )REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 /S" Permit Fee $ -2 S WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3,00 Ventilation permit F $ Con ctor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agai s�ai�id C in consequence of the granting of this permit. o p X di � Date 5'_a^L� Signature of Applicant — Owner ❑ Contractor � Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3Gstories in height. ohile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ HAz I CUA PARK SCHL Flo I PAR I PD HD ISSUE This permit is nereby issued under sions or the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. / -- —P w...�� „w_.t-.--.,- P.-v.iucP.I�nn �,,, ,,.,,,,,,,..,, ,..,,r � -J Eat^r. Xv V�41, , F ! - BUTTE COUNTY BUILDING DEPARTMENT -CI : _ F .. a 0 v C fD pM. to fDx- � -J Eat^r. Xv V�41, , F ! - BUTTE COUNTY BUILDING DEPARTMENT Til IF � -J1 �� �.f '� �) I :\<\\/ :�\}\��� � \� � � /� �� �� � Ty2{>p©t w. � � \�� �� � \_ \.\°«\\\ /\C\ <72\§ ?: �® ®�� t� }� \� . � /�\\\\\y /\�\ \y� �:_\rte /� ?��