HomeMy WebLinkAbout047-520-016i
47-52-16
7-5,2�16 150-90,
FRANK ZEBLEY k Dr - .. . 7
_1��.Roseanna Ct,'t�iRi W of. Landmar KRAJANOWSKI, John94 _Sao -0-4
Cynthia ;1.
300'_W'ofHick;' Ln, Chico �O Roseann'a Ct, Chico
Contr: Ron Cannon, Chic,o 0144i
Ag Exem t1on Permit -
Permit #1071-84B,P,E,M(new single famil)
—�a_n`imal f ee' d & equipment)�
0 047-520-016 04-2710
KRAJANOWSKI, jOHN
50 ROSEANNA CT, CHICO INALE 7
Cont: GALLAGHERS H
4
'7 -520-0
-N
r.
r 1 6
j
KAN 41CO
0
50 ROSEA�'
Con - GALL HE TI
CH t. t' OG
Mp To
CHANGE HEAT PUMN4P
047-520-016
MI�CELLANEOUS Water Heater C/C
INSTALL WATER HEATER
50 ROSEANNA CT.
KRAJANOWSKI JOHNJ CYNTHIA
r
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR rNSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #:(530) 538-7541 FAX#: (530) 538-2140
WEBSITE: www.buttecounty.net\dds
PROJECT INFORMATION
Site Address: 50 ROSEANNA CT
Owner:
Permit No: B07-2227
APN: 047-520-016
KRAJANOWSKI JOHN J & CYN
Issued Date: 10/29/2007 BY KCG
Permit type: MISCELLANEOUS
50 ROSEANNA CT
Subtype: Water Heater C/O
CHICO, CA 95926
Expiration Date: 10/28/2008
Description: INSTALL WATER HEATER
(530) 893-4247
Occupancy: Zoning: SRI 0
Contractor
Applicant:
Square Footage:
KRAJANOWSKI JOHN J & C,
Building Garage Remdl/Addn
50 ROSEANNA CT
CHICO, CA 95926
Other Porch/Patio Total
(530) 893-4247
FEE INFORMATION
DBP Water Heater (qty) $58.00
Total Charged: $58.00 Fees Paid: $58.00
Balance Due: $0.00 Receipt No: B5128
LICENSED CONTRACTOR'S DECLARATION
OWNER / BUILDER DECLARATION
Contractor (Name) State Contractors License No. I Class / Expires
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License
Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that
requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance,
also requires the applicant for such permit to file a signed statement that he or she is licensed
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9
(commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license
pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000)
is in full force and effect.
of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects
X 10/29/2007
the applicant to a civil penalty of not more than five hundred dollars [$500];
Please check one of the following:
Contractors Signature Date
-11. AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE
D COMPENSATION, WILL DO THE WORK AND THE STRUCTURE IS NOT INTENDED OR
WORKERS"COMPENSATION DECLARATION
OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License
Law does not apply to an owner of the property, who builds or improves thereon, and who does
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
the work himself or herself or through his or her own employees, provided that such improvements
I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR
are not intended or offered for sale. If, however, the building or improvement is sold within one
WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the
year of completion, the owner -builder will have the burden of proof that he or she did not build or
performance of the work for which this permit is issued.
improve for the purpose of sale.).
I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as requir!d.by
1, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
6CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code:
Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
The Contractors License Law dows not apply to an owner of the property who builds or improves
My Workers' Compensation insurance carrier and policy number are;
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
Contractor's License Law.).
Carrier: Policy Number: Exp. Date:
(This section need not be completed if the permit one hundred dollars ($100)_o_rlas`sT_
11 AM EXEMPT under Section B. & P.C. for this reason:
CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS
1
ISSUED, I shall not employ any person in any manner so as to become subject to the Workers'
Compensation laws of California, and agree that if I should become subject to the workers'
10/29/2007
comp J" ion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those
OwrWes Signature Date
p ion
X 10/29/2007
1 hereby certify that I have read this application and state that the above information is correct. I agree
to comply with all City and County ordinances, rules, regulations, and State laws relating to building
l7aL� ,
Sicinat e Date
WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL,
construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless
Butte County, its officers, agents and employees from any and all claims and liability for personal
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
injury, including death, and property damage caused by, arising out of, or in any way connected with
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
ATTORNEYS FEES.
Coun to enter the above mentioned property for inspection purposes. I hereby certify that I am the
4roperty owne,/or'm authorized to I th propertyo neesbehalf.
I
CONSTRUCTION LENDING AGENCY
-10/29/2007
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
ame o PbtfnVee [SIGN] -Irrmt Date
the performance of the work for which this permit is issued. (3097 civ. code)
Rowner 1:1 Contractor OR: E]Agent for Owner F�Agent for Contractor
I FILE COPY
Lender's Address city State Zip
Butte County Department of Development Services
TIM SNELUNGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR
7 County Center Drive
Oroville, CA 95965
(530) 538-7601 Telephone
(530) 538-2140 Fax
www.buttecounty.net/dds
OWNER -BUILDER INFORMATION
An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified.
For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed
by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourselffrom
possible liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by
law to put their license number on all permits for which they apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and
protection:
If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire
project and such persons are not licensed as contractors or subcontractors, then you may be an employer.
13 If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal
income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions.
There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance.
13 For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business
Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division ofIndustriall
Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through thier own employees,
without a license contractor or subcontractor, only under limited conditions.
A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is
providing his or her own labor and material personally. Building pen -nits are not required to be signed by property owners unless they are performing their own work
personally.
Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321
-CLSB (2752) or by accessing thier website at www.CSLB.ca.gov.
PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE
AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED.
OWNER BUILDER VERIFICATION
PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING
PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED.
I PERSONALLY PLAN To P&QVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY
IMPROVEMENT. (YES 0'1&
2. 1 OS)HAVE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK.
3. 1 HAVE CONTR�,CTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION:
NAME A 0
,�2) e- _5
ADDRESS
CITY (121ileo
PHONE CONTRACTORS LICENSE NO
4. 1 PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE
THE MAJOR WORK:
NAME
ADDRESS
CITY
PHONE CONTRACTORS LICENSE NO
5. 1 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
Description: INSTALL WATER HEATER
Reference Number: B07-2227
Applicant Name: KRAJANOWSKI JOHN J & CYNTHIA
Owner's Name: KRAJAN Z JOHN J /&C NTHIA AP # : 047-520-016
Signature of Property Owner- '7/X _A Date:
1�1_ '. 7 &eet a Z,
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
OFFICE#: (530)538-7541 FAX#:(530)538-2I40
A FEE WILL BE REQUIRED A T T11111E OFAPPLICA TION
Website: www.buttecounty.net/dds
"PLEASE PRINT CLEARLY*-"
OWNER INFORMATION
Last N
)eITY', ITA-141,91*41"�k
Fi?Qhe
city
Address
Mailing Addres
;50-i
�
Fax
Stata�2
Zi'y
Phone
r2 �ZZ
Fax _'?0? 114
E-mail
VW 0,
L60 -4011,
APPLICANT INFORMATION
CONTRACTOR
Name
city
Address
Zip
City
Fax
State 4
4
1 zip
Phone
Fax
E-mail
Lic. #
Class
APPLICANT INFORMATION
ARCHITECTIENGINEER
Name
city
Address
Zip
City
Fax
State
Zip
Phone
Fax
E-mail
State License Number
APPLICANT INFORMATION
Name
Address
city
State
Zip
Phone
Fax
E-mail
JEW
APPLICANT - IGNA TURE
qaIGNATURE
PERMIT
NO.
mo
PROJECT LOCA TION
AP# 9
Property Addre.sY
City
BIN #
WORKER'S COMPENSATION
Policy Number
Carrier
If hiring anyone other than license contractors, a certiflicate of worker's
compensation must 6e shown at the time of permit issuance.
LENDING AGENCY
Name
Address
DESCRIPTION OR SCOPE OF WORK:
Sq FT- Living Garage Open Cov
0 Structure Built without Permits
0 Proposed Change of Occupancy
(Note previous use):
For office use only:
Zoning T_
Flood
SRA
I Yes I No
Occ. !jType
Const.
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION M (530) 538-7636 (9ROVILLE) (530) 891-2834 (CHICO)
OFFICE M (530) 538-7541 WAX#: (530)538-2140
WEBSITE: www.1butt4ounty.netkdds
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
the Business and Professions Code, and my license is in full force and
effect.
License Class *2 License Number: 77 7 3 5
Date: 11(111b� Contractor 661 //1//f C
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior
to its Issuance, also requires the applicant for such permit to file a
signed statement that he or she is licensed pursuant to the provisions of
the Contractor's State License Law (Chapter 9 commencing with Section
7000) of Division 3 of the Business and Professions Code) or that he or
she is exempt therefrom and the basis for the alleged exemptior
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
LI 1, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an
owner of property who builds or improves thereon, and who does
such work himself or herself or through his or her own employees.
provided that such improvements are not intended or offered for
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
proving that he or she did not build or improve for the purpose of
sale.).
Q 1, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
13 1 am Exempt under Article 3 of the Business and Professions Code
Date: Owner:
WORKERS'COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
Q 1 have and will maintain a certificate of consent to self -insure for
workers' compensation, as provided for by Section 3700 of the
Labor Code, for the performance of the work for which this permit
is issued.
Ll I have and will maintain workers' compensation insurance, as
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier:- Ce "-hg _Tk-kc, rL111
v
-7,d 12
Policy �: 1 .7, T - C) 3
0 1 certify that in the performance of the work for which this permit is
issued, I shall not employ any person in any manner so as to
become subject to the workers' compensation laws of California,
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code. I shall
forthwith comply with thos7erovisions.
Date:
Applicant:
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY -
I hereby affirm that there is a construction lending agency for the
performance of the work for which this permit is issued (Sec 3097 Civ.)
Address:
PERMIT NO.
BP042710
Issurd Date: 09/14/2004 APN: 047-520-016-000
Site Address: 50 ROSEANNA CT CHI
f
Map Index:
Des ription: CHANGE HEAT PUMP TO GAS PKG UNIT
Owner: KRAJANOWSKI JOHN J & CYNTHIA J
50 ROSEANNA CT
CHICO, CA
95926
Applicant: GALLAGHER'S HEATING & AIR
E. HWY 99
LOS MOLINAS, CA
800-892-3556
C" r1tractor: GALLAGHER'S HEATI NG & AIR
10
E. HWY 99
LOS MOLINAS, CA
800-892-3556
Lifense 777334
Architect:
E i
rgineer:
Total S uare Ft:
Viluation:
Cens s Code:
0 S. F.
$0.0
OFF16E,COPY.
Address,
GAS
M � 'By D
eter
ELECT
Mete.T �y_ Date
k16 4—
This perrhit 111here-15yis - ed under the applicable provisionwof the Boitte- County Code qneVoF____
su'
Resolutions 10 do work indicated above for which fees have been paid.
-4 L -M
By:_ -1"AA'L' U-&,— Date:
PERMIT
LI I hereby certify that the use of this facility shall comply with Sections 25505, 25533, #nd 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials. f
• Notification in accordance with Section 19827.5 of California Health & Safety Code i not applicable to the scheduled construction of this project.
• Attached are copies of the required E.P.A. notification forms. r
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the uthori ec� gent of the owner. I agree to comply with
I f Iya71z t
alter the substance o I Ficial 1 0 1
a "
all county and state laws relating to building construction. I acknowledge it is unlawful to rA cument of Butte County. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for'Inspection purposes r
Print Name: 4 Signature:
Date:
(3 owner 0 Contractor Cil"Agent for Owner
(3 Agent for Contractor
COUNTY OF BUTTE
'BUILDING DIVISIO14
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street a Chico, CA - (530) 891-2751
7 County Center Drive - Oroville, CA - (530) 538.-7541
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of butte county,Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
completed. It you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
VA
U
11
I ; N
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541 FAX#: (530)538-2140
WEBSITE: www.buttecounty.netldds
PERMIT NO.
BP042710
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
Issued Date: 09/14/2004 APN: 047-520-016-000
the Business and Professions Code, and my license is in full force and
effect.
License Class: License Number: 77 7 3 5
Site Address: 50 ROSEANNA CT CHI
J(2b Y
Date: i Contractor 41& 2LVn
Map Index:
-
Description: CHANGE HEAT PUMP TO GAS PKG UNIT
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
Owner: KRAJANOWSKI JOHN J & CYNTHIA J
permit to construct, alter, improve, demolish, or repair any structure, prior
to its issuance, also requires the applicant for such permit to file a
signed statement that he or she is licensed pursuant to the provisions of
50 ROSEANNA CT
the Contractor's State License Law (Chapter 9 commencing with Section
7000) of Division 3 of the Business and Professions Code) or that he or
CHICO, CA
she is exempt therefrom and the basis for the alleged exemption. Any
95926
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
L3 1, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an
owner of property who builds or improves thereon, and who does
Applicant: GALLAGHER'S HEATING & AIR
such work himself or herself or through his or her own employees,
provided that such improvements are not intended or offered for
E. HWY 99
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
LOS MOLINAS, CA
proving that he or she did not build or improve for the purpose of
800-892-3556
sale.).
LI 1, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed
Contractor: GALLAGHER'S HEATING & AIR
pursuant to the Contractors' State License Law.).
1 am Exempt under Article 3 of the Business and Professions Code
E. HWY 99
LOS MOLINAS, CA
Date: Owner:
800-892-3556
WORKERS'COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
License #: 777334
0 1 have and will maintain a certificate of consent to self -insure for
workers' compensation, as provided for by Section 3700 of the
Labor Code, for the performance of the work for which this permit
is issued.
Architect:
Q I have and will maintain workers' compensation insurance, as
Engineer:
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
.5� C, r,,, q
Carrier:— �,�
Total Square Ft: 0 S. F.
Policy #: 1-7
Valuation: $0.00
El I certify that in the performance of the work for which this permit is
Census Code:
issued, I shall not employ any person in any manner so as to
become subject to the workers' compensation laws of California,
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those rovisions.
Date: All- 7,�6'1-1 ,
Applicant:
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
4-16 4—
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY
This permit is1hereby issued under the applicable provisions of the Bijite County CodA ;.Inrvor
I hereby affirm that there is a construction lending agency for the
Resoluticps tp do work indicated above for which fees have been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.)
tt-"L—�
Im
Name:
By: Date:
" %,
41RES
Address:
PERMIT ON: (Date)
• I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
• Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
13 Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct. and that I am the owner or the duly authorize"gent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of a o icial I or umen o Butte County. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes
6 LZ t-�et -�e5
Print Name: Signature:
Date: q 16
(3 owner Q Contractor 3'*Agent for Owner El Agent for Contractor
t
ai hmieq ��idj doirlw iol Aiow s-rit to oonsrmioheq ool fij iGril
OJ aa oa 1"mism �ns r -i n0alaq �nr yolqn'.5 Ion imlie I beueki
,simotils-0 to awis! noilsaneqmm 'awiow erli o; Yoeidua qmoed
. ais"iow eril ot i:)9idua cmo'kgd bluoriP I ti ISM eeigr, briv
11sma I -QboZ) -,odpi A! 'r) 00VE: noj,,,.i92 to anoiaivLnq rokersoamw
.anoiai'll-iq seolit "Itz"o) ylqjTlm ritiwrihol
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,,i oL3mevoo noiIsF.nsqfno-,) '��-.amow u-j�qa ol : E.AW
sno bmt a9;Ilsn-jq lEnirom) ol ii-�t-.iolqms 1,S Mf3jdLl. 1;crl�; tOr iUtwk;LrU
to !?03 gfi* ot no�!ihbs ni .(000.00.,Z) �rcv;nb bm3.auvt bemiud
lodeJ 9ril to 8ME nosloo2t ni iol I)-)bjvoir, ar zopbmsb
afti t "Xamoft bob zs-estni_bw
bll.� flni�,�- cwo- L t�. .'�X, c; I
iJ or 1.3Lpleno,) t�OJL.�jqnja arlt 1r,, - ai ab(, .,.e -011f, 1,1 'L' 1
L 170JI '".: - I -- I
Q) Fj 1 i�j.lkvo ,�dj to Inops boiil.CilMs yluh-,�rll ir, I Jr.1t basJ0.9110o, e; viuth,voluln, �-jt
BUTTE COUNTY
0 DEPARTMENT OF DEVELOPMENT SERVICES
0 0 BUILDING PERMIT APPLICATI ON
0 0 AND SUBMITTAL REQUIREMENTS
0 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834
0 OFFICE #: (530) 538-7541
lui A FEE WILL BE REO ULPED A T TIME OF APPLICA TION
"PLEASE PRINT CLEARLY"
CONTRACTOR
OWNER
Last Name
a noo*:,
irst �Ame
r
Address
56 90sp-app�L
City C ? '.
— t/L
C 6
Fax
F;55-1-73
Phone
Class
Ic')V C?V�f
Lot #
E-mail
Date Approved:
CONTRACTOR
Name. 6 1 ( �z k
/� L/ ri- e -
Address
Z -i p
City LCs MO/
Sta?,,
Zi
qpc 6
Phone qoo sq2_,, 3�-5-6
Fax
E-mail
Lic. #
1 7-7-1 3'�Y
Class
Ic')V C?V�f
ARCHITECTIENGINEER
Name
Address
city Stafie
Z -i p
Phone Fax
E-mail State Uoense Number
APPLICANT NAME
Name 15"
Property Address -50
Address L-( -7 P.
C
3-f-
Cill cc�% co
Statt 'A
Z14 T'7 -2 k
Ph one
Fax
E-mail
Map Book
�=A
For office use only:
Zoning
Property Address -50
Flood Zone
Cross Street
SRA
I Yes
No
Occ.
Type Const.
Subdivision Name
Map Book
Page
Lot #
Date Approved:
PERNUT
NO.
BP z>*zt 71 o
13 IM
LOCATION
AP# c::, 4- 7. sz-j-n 'n 16
Property Address -50
City. -
Cross Street
WORKER'S COMPENSATION
Policy Number 17,1 C7
Carrier
If hiring anyone other than license cdyntractors, a certificate of worker's
compensation mustbe shown at the time of permit issuance
LENDING AGENCY
Name
Address
Description or Scope of Work:
C 46Lnu 4u nn a 40 e"
q C
Sq. Footage
0 Structure Built Wthout Permits
0 Proposed Change of Occupancy
(Note preVious use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
Received by- Amount Bldg
SRA
Receipt#: A,17,142v Sheriff
I Date: c? - 14 - e>A-
OVER FOR SUBMITTAL REQUIREMENTS 11
KTORIASWILDING F0RMS\BldQADDlSubRqmts.doc . Page I of 2
SUP
----Other
5,5.— Total
REV 7-27-04
SUBMITTAL & PERMIT REQUIREMENTS
The following drawings and specifications must be submitted to the Building Division in order to apply for a
permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK.
0 1. Site plans, 3 or 4 sets, signed by the preparer of the plans, No graph paperl
0 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR
Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
E3 3. Engineered truss details and layouts in duplicate (if required). No faxesl
Cl 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to
mobile or modular homes.)
0 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
0 6. Manufactured homes: (A) Data sheets and installation inst, (B) Mardage line info, (C) Floor Plan, (D) Tie down
or frid plans, all in duplicate.
11 7. Metal bldgs: (A) Metal Bldg Plans, (B) Frid plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor
plans in triplicate. All of these must be stamped and wet -signed by the engineer.
0 8. Flood Elevation Certificate, wet-starriped and signed, in duplicate (if required).
11 9. Site plan and business license approval from the City of Biggs.
11 10. Letter of intent for non-residential buildings.
11 11. Detached Accessory Building Form filled out by the owner (if required).
0 12. Hazardous Material Form (for Commercial Buildings only).
El 13. Sanitation and site plan approval from the Environmental Health Department.
Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning
review (May require additional plan review upon receipt of.the following items.)
11 1 . Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required).
11 2. Impact Fees.
0 3. California Department of Forestry plan approval (if required).
El 4. NPDES Form.
0 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
0 6. Contractors license information. (Number, Name Style, Classification).
0 7. Workers Compensation Carder and Policy Number.
0 8. Owner -Builder Verification (if required).
0 9. Letter of Signature authorization (if required).
0 10. Recorded copy of Agricultural Acknowledgment Statement.
E3 11. 13 Grant Deed, 0 M.H. Title/Statement of Facts, 0 Letter from Legal Owner (for 433A's).
If you have questions or would like additional information regarding this process, contact a Permit
Application Assistant at (530)538-7541.
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one year after date of application. In order to renew action
on an application after expiration, a new application, plans and fees will be required.
REQUEST FOR FEE REFUNDS
Ketunds can only be made upon written request by the person who paid the fee. The request must be made Within two
years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits
issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not refundable.
OVER FOR BUILDING PERMIT APPLICATION
KAFORMSSUILDING F0RMS\131dgApp1SubRqmts.doc Page 2 of 2 REV 7-27-04
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (916) 538-7541
AGRICULTURAL BUILDfNG EXEMPTION PERMIT
PERMIT NO.
=-qQ
Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to
house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure shall not
be a place of human habitation or a place of employment where agriculturai products are processed, treated,
or packaged, nor shall it be a place. used by the public.
ASSESSOR PARCEL NO. 4--7- 52- -OIL
ZONING 5/e I
OWNER
PHONE NO.
n
7J�6 :"WnfkIA- LA�2� Y00 u)6 9 1,
OWNER'SADDRESS
'��66'jlnllzw
,4-0
LOCATION OF Bqj�DING
USEOFBUILDING
SIZE OF STF10CTURE
02 1-1 X !260 -SO. FT.
TYPE OF CONSTRUCTION:
WOOD FRAME V STEEL k' CONCRETE OTHER (Specify)
T YPE OF SIDING
--7-LOOR
ROOF COVERING
TYPE
- 1F�r- L
'�F
572EE(-
ESTIMATED COST OF CONSTRUCTION
$ /(�)' vc�' C)
AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County
Ordinances as follows- - f
FRONT S2 SIDES REAR IS
AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields.
AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet
from a mobilehome, and 23 feet from a commercial building.
AG Buildings greaterthan 1000 sq. ft. in floorareashall be located a minimum of 23 feet from a residence and
a mobilehome, and 40 feet from a commercial building.
I declare under penalty of perjury that the building will be used as stated above and the proposed use
conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will
contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to
comply with the requirements in effect at that time and before occupancy.
Date Signature of Owner
Permit Fee - $25.00 The above described �/GBuilding is exempt from a build'ing permit.
Receipt No. cyvz)l
FL.7 I P�AAC I P.D. I ROO
, /I �1 11�71
Director of Public Works
By Date 0
White - DPW, Yellow - Assessor, Pink - B.I., Goldenrod - Applicant
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 COUNTY CENTER DRIVE - OROVII-LE,.6AI-IQ'RNIA 95965 - TELEPHONE: (916) 538-7541
AGRICULTURAL BUILDING EXEMPTION PERMIT
li a
&Itl O/L PERMI-T NO.
Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to
house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure shall not
be a place of human habitation or a place of employment where agriculturai. products are.processed, treated,
or packaged, nor shall it be a place- used by the public.
ASSESSOR PARCEL NO. 4-7— 52— —OIL
ZONING 45/e /
OWNER PHONE NO.
OWNER'SADDRESS
— <22 N100
LOCATION OF 13��DING
0 AT -
USE OF BUILDING
SIZE'OF STRUCTURE
X -FT.
SO.
TYPE'OF CONSTRUCTION:
WOOD FRAME -STEEL CONCRETE _2!L_ OTHER (Specify)
TYPE OF SIDING
ROOF COVERING
TYPE
ESTIMATED COST OF CONSTRUCTION
AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County
Ordinances as follows:
FRONT SIDES REAR
AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields.
AG Buildings less than 1000 sq. ft. in floor area shal I be located a minimum of 6 feet from a residence, 10 feet
from a mobilehome, and 23 feet from a commercial building.
AG Buildings greaterthan 1000 sq. ft. in floorarea shall be located a minimum of 23 feet from a residence and
a mobilehome, and 40 feet from a commercial building.
I declare under penalty of perjury that the building will be used as stated above and the proposed use
conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will
contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to
comply with the requirements in effect at that time and before occupancy.
Date
Permit Fee - $25.00
Receipt No. 7 -3`7
Signature of Owner
. I . Theabove described AG Building is exempt from a buildina Dermit.,
uIrector of Public Works
FLOOD I PAR
White - DPW, . Yellow - Assessor, Pink - B.I., Galdenr . od - Applicant By Date
COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE,. CAIJWOR� Ni 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET
Permit No.
OWNER A. P - NI o.
Proposed Building Use ZI 4�? Building Inspector 1. '�Date 149
Vi.me of 'ermit application, I was advised the following data must be submitted prior to permit processing and/or,. j!�suance:
DATE RECEIVED AAPROVED
1. All items have been submittedi .....................................
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 $ ........................
11. Chico Urban Area fees paid .......................................
12. Park fees paid ....................................................
13. School District fees paid ..............
14. Sanitation. approval from," '_ Health Department
15. City of Chico plumbing rmit .... ..............................
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, Classification) ...
22. Certificate of Workmans Compensation Insurance ..................
23. Owner -Builder Verification (Given to owner 0, Mail to owner 0) .....
24.. Recorded copy of Agricultural Acknowledgment Statement .........
25. Letter, if s gna2& gli tion ........
thoriza . ....
26. a, + "o U %t
27. U
When you issue the permi as follows: —Mai wner. —Mail to contractor.
Telephone-<T(A 1__� ZVU_;;,nd hold for pickup a =office. _Db.liv�'er w/inspector.
Other
Appli
Copy of plans sent — Health Dept., —Fire Dept., — Other ' Date
The following data must be submitted prior to permit issuance: (Circle new item not'-Okiecked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by —phone---jnai I —counter by—,date
Contractor, designer, owner, was advised of above required data by —phone —ma I I —counter by— date
Plans checked by
Copy—DPW
Date Plans approved by Date
Sets of plans on hold in File cabinet _AP folder
7
Ak,
4
. ,vr
et
I � -,.-r
PERMIT NO. 1071-84B3,p3p E "M
PERMIT EXPIRES—
OWNER FRANK ZEBLEY
Ron Cannon, Chico
CONTR.
47-52-16
ASSESSOR PARCEL
LOCATION N.19 Rnqeq]3nq Cf, app m! W of—Landmarl
Dr, app 300' Wof Hicks La, Chico
OFFICE COPY
Address jgt� aAzx14
GAS
Meter By Date
ELECTR 01,
Meter By DatJ—'7-A---1V ,
Signature
Temp. Power Pole
Called PG&E
Temp. Elec. Service
Called PG&E
Temp. Gas Service
CalledPG&E
ki I
JOB FINALED (Date) YZ—
Signature
OK
0 = Not OK
- = Not Applicable
* = Not Ready
MOBILEHOMES
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except #'s
1. Zoning Requ irements-Setbacks- Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s
1. Zoning Requ i rements-Setbac ks- Easements
2. Soils; Special MH Support -Sketch
2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/0 -Concrete
3. Decks: Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
6. Gas; Location -Test -Wrap: / /"L"ft./ Nat. or/ /"L"ft./ LPG
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -61- Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requ i rements-Setbac ks- Easements
Card -BI
Date
Date Card -BI Date
POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
3. Pool Structure; Stee I -Connect i ons- T h i ckness-Dead Men -Lining
4. Electricity; MH Test -Crossovers -Breakers -Clearances
4. Elec.; Receptacles and Lighting; Distances-GF1
S. Drain; MH Test -Fall- Flex Connector
5. Elec.: Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected -C/0 to Grade -HD Approval
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
9. Exits; Insp-Sketch
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghig.
Boxes- Enc losures- Pane [boards- Ins. to Main in Condu')*t
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card 8-1
Date Card -BI Date
Card -BI
Date Card -61 Date
Card B-1
Date Card -BI Date
Card -61
Date Card -BI Date
I
0
%/ = OK
0 = Not M
Wd Applicable RESIDENTIKL (Single and Duplex)
Not Ready
Date
UNDERFLOOR W64's) OK except hi's
Date FRAWNG
(Continued)
%,-'26ni_qq requirements -Setbacks -Easements
40_�perty
Line Firewall & Openings
e�rl'Main; Soils -Steel- 41 f Ftg. Depth
f 14
4%�Ext.
Doors -one 3' -Check Garage -3rd story, 2 exits
_/',
�6�tg. Garage; _§jo i Is-Stee I -F Y" Ftd. l5epth
50.tStairs;
IN idth-Headroom-R i se -R un- Land i ng- Fire Protection
AJefg-, PX-ffe-s & D-"; / Fig. DepA!
lde*'Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
F,!!!Stemwalls, Main; Steel-Blockouts-WrappELdtZg it
*—_4 -/
5
. iding-Nailing-Veneer
ge: Stee 1-6 lockouts -Wrapped -S lab
53. ISt
co Mesh -Drip Screed-Fdn. Vents-Underfir. Access
7. Piers -Fireplace Ftg.;;Steel
ing Area -Glass Protect i on -Sky I i ghts-P last ic
XV.: FkM'--FiU4Ks�T%&r2 way C/0 -Sewer Test
551
Shear Walls; Nailing -Bolts
S111, -T-Wilh-1771im
L,ce Tes
a&&Amehe a Flegeletor-QZZ2C Ili
Miw_;��Rrground
I Y?e-,
a�i t"' V0 I" I ,
V
L-SUPPGO-4ps.
Card -BI "�&
Date4 -Y 5 -Y ard-BI Date
Card -BI
ate NCard-BI Date
Ce BI
ale A clA
Date Card -BI 4;0 Date
V:
Card -BI
Date FINX
Date Card -BI Date
(Plans) OK except #'s
_J,
Card -BI Date Date
Date
PLUMBING (Permit), OK except #'s
I. Steps -Door & Sidelight Protection -Landings
A:5?1'
F ke Detector
0do
.ess-Combustion Air
5k'
Furnace; Vents -Clearance -Comb. Air-Connector-
JrI Garage; Above Floor-Ducts-Mech. Protection
igo,00a!,�r Pipe; Test & Anchors -Nail Protection
Test-Fttngs & Anchors -Nail Protection
_�edroom Exiting
Shower Pan: Test, First Floor -Tub Access
G,_F.I. & Bath Fixtures & Tub Access
18.1
Test Tub & Shower, 2nd Floor -Tub Access
lec. Trim & Subpanel; Breaker Sizes -Labels
Gas Pipe; Size & Anchors
4&.__arjrr_S
_19.
$&.-fireplace
or Stove; Clearances -Hearth
Panel; Int. & Ext.
Card -BI
Date 5,-W Card -BI Date
65.
Kit. �ktil,& Ap li2nce; Grnd.-Air Gap -Cooking Clearance
_.F
Card -BI
Date Card -BI Date
4arlec.
Ou 3ts & eceptacles at Kit. Counter
Date
I Pewy./,,) OK except #'s
67.
Garage Fire Door; Swing-Landing�Closer
-1 in Garage -Damper
Transformer Clearance -ins. Protection
69_Wtr.
'L4—
Htr.; Vents -Clearance -C
Above Floor-Mech. Protection
..jA _ Receptacles Spacing -Lights & Switches at Doors
O'cr
P I �
4e,*'Elec. & Mech. Equip. Listed for Location
S17.R Boxes No. of Conductors -Stapled
-Metlec-
Receptacles in Garage; (G.F.I.)-Romex Protec.
Ae:pnm ex Installed Close to Edge of Studs & C.J.
gt'W Equip. Ground made up w/MXQO-fastenersX
72.
Insulation -Foam -Looked in Attic [] Yes
Md1lb 0, Luj k Construct i on -Post Caps
J.5eo`v� Appliance Circuits in Kitchen & Conductor Size
26. Subfeed Wire Size /-%--#ga. Cu or AI-A.C. Wire Size I&I ga.Ubr A I
74.
e & V J/F,��I*harance
Yes
27. Range Circ. Ia. Cu or At,
Insulated Neu
P,"Following
instld.: D�Live
PI E] No: Walks ffYes E] No;
OYes IfNo
4ao- ice -Riser Conductors & Ground -Main Disconnect
'A07-33415cco;
_4pters
Brown -Finish
quip. Clearances; Pane Is-Motors-Mech. Equip.
- rou�
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size-115Ne.0111flet
t -Shower Light
grits Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
d B -I
Card B -I
�alt _ - Card -BI Date
Date Card -BI Date
7A!!1VntPr
well; Disconnect, Electrical, Plumbing
0&.Ext
_grior Elec. Trim; G.F.I. Receptacle -Underground
-1-entilation
throughout House
8&��
�tection
Date
MECHANICAL (Permit) OK except #'s
3A0 -'A'.0 - . - Ducts: Insulation & Support
Prwl�ctions
from Previous Inspections
8-
- ; Gas -Electric
gs I 864--Moit�irl
er & S to Grade -HO Approval
__.___33.
372. Vent Fail; Exhaust above Insulation
Condensate Drain & Overilow; Size & Grade
�Rfiergy
Compli ance C6tificate-Other Certificates
C jPAJ
34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
IRV
35. Attic Access & Platform if Furnace in Attic
Card -BI
_�_ __'%S7_
Ca d-61
A" D_a_ i -e-4 �ard-Bl Date
Date & _&
/9;/ ard- BF Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FRA%j!!G(P045,�)OK except #'s
Cc ments at Final:
,*,-Sills; Proper Material & Anchors
a. Stu�� Nailing, Spacing & Bracing -Plates -Sound
B IN 11
j�,@rinq__a_ s over Girders & Floor Nailing
q�aft_Ll�p_in Walls (rat proof)
J1;0.�ire Stops; Furred Ceilings -Stairs -Chases -Tub
,�?__Head_er &-Beam-Size & Bearing
42 Hangers -Post Caps -Anchors -C, nnect,;�_
0
0
Cing. Joist-Rttr. Ties-P�rliWKk ral -Truss- htttn -Rfng.
1�
'r .
44. F ireplace T ies or Type A F lue-F irep TdoOTTroat
Protection -Draft Stop-Aln I I A�
i -**'B d r m. Window s or Exiting Doors-Sil I Hgt. & Dimensio ns
V--*`Gewage� Firiti-Potection Framing
(NOTE: Anentrymust be made each time youvisit jobsite)
13
Permit No.
ENERGY CE'RTI CATION
4��z — —1" Cou"Tv
440 V T.1.1 T C
%.Of "UMBIER
DESCRIPTION OF INSTALLATION
1 4
ROOF
Material
B. -and Name
Thickness i inches)
Thermal Resistance (R Value)
EXTERIOR WALL
Material
Brand Name
Thickness (inches)
The.mal Resistance (R Value)
CEILING
Batt of Blanket Type
Brand Name
Thickness (inchesi
Thermal Resistance�JR Value)
Loose Fill Type
Brand N3Me—
Minumum Thicl,-M-SS (inches
Nvnber of bags Weight pet b2Z lb
Area Cove:ed ftt 2)
Thermal Resistance (R Value!
FLOOR,ELEVATED
Matelial
Stand Name
Thickness I inches)
Theirial Resistance iR Value)
FLOOR,SLAV
Material
Brand Nar-e
Thickness Or.c�es)
Thein.al Pesistance (R Value)
Wieth I inches;
FOUNDATION WALL
Male:13;
B: a n d ".'a e
Thicl,--ness fincres)
The:.T.31 Resistance (R Value)
HEATING SYS. COOLING SYS. WATER HEATER SOLAR SYS.
Ma 1, e
Model;
C.1o3city
C
DECLARATION
I hereby cesit� tn.it the above insu:ation Y --.is InstjIled n the b6ld,ng at -,he above 1.0cal;Gn in confo.,mance with the
cut.,ent :egt:!aIicnS setting Eneigy Conseivition StafldZl:�'s fc.- new residential buildings (locattd in Title 24 of e
0
C31i nia Adm-ni Vative e".
42 !ZR Z.
C TOR lou'Loin,
111fHATURC AND TITLE DAII
-2
/0/) - /Y)( - - - L20.119
%,,ri.COftT0AC1O-( JjftSU%.AT1ON APPLICA-041
�7 // — —/ jr,
S1C..ATUQ9 AND TITL9
Dal(
-' - . I . Date
EV117-0,0Y
CE F1 T I F I �ATF - AEVI
(8-jilding Inspection Office)
SIN .021)
COUNTY OF BUTTZ
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 8911-2�511
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57
CORRECTION NOTICE
-7
,a//—
UVVNtH HERMIT NO.
A routine inspection indicates that thefollowing violations of County Ordinance
exist at the above �ddress'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 explanati , please contactjhis office lmmeAiately.
re
27'k zj�
/").eu
4/ V 9 /- Z,11; V 37
le -
Inspector Date
SALE
inied by a Cashier's Check, Certified
)rder, Cash or Bi Bond for 10% of
rable t—o-tge CoU-R-ty-Tf�Butte.
all bid deposits will be returned to
that filed with the accepted bid.
7ice together with sales tax, if
ty 15, 1975.
Faithful Performance Surety Bond in
)75. The necessary bond forms for
vill be given to the successful
ig Department. The surety bond shall
As contract by the County's Buyer.
iQUIREMENTS
t the ' money, pay the balance due, or
Faithful Performance Surety Bond,
it at its, option, to terminate or
a exercise of such right, all rights
rty granted by the contract shall
' /)3?
A -t
/17V
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2761
7 County Center Drive, Orovi Ile — Phone: 5344541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
17
Zft4
OWNER
YERMIT 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.
11*
,7; " "
�y
Inspector Date
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND* PERMIT
\--m
ER IT NO.
ASS?50 PARCEL NUMBER ZON G
BUILDING PERMIT
OWNER _1ELEPHONE
6_V 4 k0k) &9A)
i` i 0,4Q. e _Z U_ 0 1. Jjok) 190 -S?0-5
SQ.FT. OCC.1 BUILDING VAI_1JA7-MONTZ1
15�5r-Z '151:!5�19
OWNER'S MAILING ADDRESS
_IZ-0 0--S IP -0
I? 6f
6 —
CONARACTOR'S NAME
"0 - )A)
.-
TELEPHONE
I
W6 Z
CONTRACTOR's M_A[LING ADDRESS
iiAw e_Rlp�n
Fireplace Z ScAn
CONSTRUCTION LENDER
NKNOWN
Total Valuation $ -Z_
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
SE NO.
. I
Plan Checking Fee
$
zt!T�T_7�
— i�yl
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
—
Permit fee
$
BUILDING ADDRESS
PLUMBING PERMIT
FilingFee 10.00
OQ 4J , iqj�=
Each Trap
NJ 2.00 J& 00,
Solar Water Heater,&—�_�)O()PltO
20-00 ZO, e<-)
.
10 8,dl,!�C)
Water piping
5.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SNV Duplexf-I MobilehomeF-� Other '
SPECIFY
Building sewer
5.00
Mobile Home S I G I W
L_ O�
F
TYPE OF WORK
New)c AdditionEJ R emode I [] UtilitiesEl InstallationEl Other 0
Describe work: —
Permit Fee
$
Contractor
ELECTRICAL PERMIT
FilingFee 10.00
Main service GOOV OR LESS
100 AMP OR LESS
10.00 1,C),06
Main service EA. ADD -L 100 AMP
2.50
NEW CONST. D ELLING OCCUP
OR ADDNS. ( AWCC. BLDGS.
2/2 0 s q
I'
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. 24Dg 4(4z, 44 2, Classification 23
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)
1, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
F-1 I am exempt under Sec.—, Business and Professions Code
for this reason
NEW CO_N§_TR(_RU1 TI -OUTLET
N.RESID, B t!n 2.50 ea
N RANCH CIRCUITS)
Zft
N E W C 0 N S T R. I POWER APPAR ATUS &)
NON-RESID. %SINGLE OUTLET CIR.
0@50t
Ex. Occup(OUTLETS OR FIXTURES eAL@ 30
FIXED APPLNS. OR
Ex. OCCUP- OUTLETS (RESID.) EAJ
1 00
2.00
Temporary service 1LK)y 10.00 1
Mobile Home Facilities 15-00
Misc. Wiring 15.00
Permit Fee $
Contractor
MECHANICAL PERMIT
Fi I ing Fee 10.00
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 Certifi . cate
of Consent to Self-Insftire.
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.
Heating
_I�lm lip
Aimo
Cooling
16, 4V /0,
Hood
3.00 5,
Venti lation
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 L aws 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
againsrt'd County; 'ons uence of the granting of this permit
X Date
Signature of Applicant Owner El Contractor E] Agent F-1
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 $
TOTAL PERMIT FEE $
OCCUP. GROUP
R-1-3
I TYPE OF CONST.
br IV
Jt<PA��,��
Th is permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRE OR OF PUBLIC
By
20MI T EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No. / 5!�(!?
WHITE-D.P.W.. YELLOW-ASSESSdFR. PINK -INSPECTOR, GOLDEN ROD -APP L I CANT
. 1� - .1 1 V
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVI LLE, CALIFORINI� 95965 TELEPHONE: 916/534-4541
PERMIT APPLICATION DATA SHEET
Permit No.
OWNER 7; ), 4=7 V S.' 412 ID/f A� /I ) 4 ) 0 A A. P. No.
Proposed Building Use '-. t—
Permit Fee Based Upon: —Complete Contract Price DPW Valuation
Other (Explain)
Building Inspector
Date
At time of permit application, rwas.advised the following data must be submitted prior to permit processing
and/or issuance: DATE RECEIVED APPROVED
1. All items have been submitted . . . . . . . . . . . .
2. Plot plans in duplicate./triplicate . . . . . . . . . . .
3. Complete plans in duplicate./triplicate. . . . . . . . .
4. Complete engineered plans and calcs . . . . . . . . . .
5. Plans with Energy Design Compliance Statement . . . . . .
6. State Energy Forms No.
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . . . . .
9. Letter of signature authorization . . . . . . . . . . .
1!!�2 t_<0. Sanitation approval from P*111to 0 Health Dept.
1%
11. Planning approval for (A) Use: (B) Parking: -
12. Certificate of Workmen's Compensation Insurance . . . . . .
13. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to owner[], Mai I to ownerEl)
15. Improvements may be required . . . . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . . . . . .
Pre-Inspec. request to
17. Pre -Inspection for Required. Bui ' ding Inspector
615_�O' t h e r
When you issue the permit, process as follows: —Mail to owner. _' X Mail to contractor. 1,�
Telephone and hold for. pickup at —office. —Deliver w/insp(actor.
Other
S,
Appl icantXe_,5��,4�Jd -.�/4Date 4!V111 v15
Copy of plans sent —Health Dept., —Fire Dept., —Other Date
During the plan checking process, the following data must be submitted prior to permit issuance.
(For required items not checked above at time of applicat.ion, circle item.)
1. Index permit for above Items No.
2. Additional items required: — %
(Contractor, Designer, Owner) was advised of above required data by —Telephone —Mail —Other
By
Plans
Plans
Other
Copy—DPW
TO: Building Departm6rft
FROM:' Environmental Health, Chico
SUBJECT: Sanitation Clearance
1K7 -
Owner Location AP#
Plan approved for: sewage disposal water supply
Hold*final for: water supply
Final clearance O.K. for: water supply
Clearance for bedroom #401fte home. Other
9
Note***
2)
Sanitarian Date
;(ie V'),�'.I'n' -t-o DPW! AGRICULTURAL STATEMENT OF ACKNOWLEDGENENT 5&I'MA
FOR RESIDENTIAL DEYELOPNENT V'-
04 V'771 1 73; 11
Sec'tion 26-8.1 of the Butte County Code require� this ac know ledgemeint
be recorded prior to issuance of a building permit.
E A N V1 � M, VAI: 1.1"]r', �Ti%
The property described herein is adjacent to land or included FEE.
within an area zoned for agricultural purposes, and residents of th&1-123.96
property may be subject to inconveniences or discomfort arising from
the use of agricultural chemicals, including, but not limited to herbicides, pesticides,
and fertilizers; and from the pursuit of agricultural operations including, but not limited
to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust,
smoke, noise, and odor. Butte County has established agricultural zones which have as a
priority use for productive agricultural purposes, and residents within said zones and on
adjacent property should be prepared to . accept such inconvenience or disconform from' normal,
necessary farm operations.
. All that real property situate in the County of Butte, State of California, described
as follows:
Date: AA ):�8,
<��e 7 4
(L �-)F 0,-(. ek,
PROPERTT OWNERS
NOT COMPARED WITH
OR16INAL DOCUMENT
State of California On this the 17th day of April 9 1984 , before
County of Butte SS. me, the undersigned Notary Public, personally appeared
Franklin H. Zebley and Ronald L. Cannon -------
-------------------------------------------------
IN wiiAhbo WHEREOF, I hereunto set my hand and official seal.
IA �(�,
Notary Public
Present A.P. No. 4—,2— 5-2
Personally known to me. /V Proved to
me on the basis
OFFICIAL SEAL
of satisfactory
evidence.
M. A. ROSS
NOTARY PUBM
to be the person(s) whose
name(s) are
subscribed to
CAUFORNIA
COLUSA COUNTY
the within instr ument and
acknowledged that
they
My Comm. EVIres Dec_12,19a
'
executed the same for the
purposes therein
contained.
IN wiiAhbo WHEREOF, I hereunto set my hand and official seal.
IA �(�,
Notary Public
Present A.P. No. 4—,2— 5-2
DESCRIP.TION:
'All �hat- certain real property situate in the County of Butte , State
of California, described as follows:
PARCEL I -
Parcel 2, as shown on that certain Parcel Map entitled, "In Section - 28,
T.23N., R.U., R.D.M.", said Parcel Map was filed in the Office of the
Recorder of the County of Butte, State of Cal'ifornia, on November 16, 1982,
in Book 89 of Parcel Maps, at Page 84.
RESERVING THEREFROM a non-exclusive easement for -road and public utility
purposes -as shown on the Parcel Map referred to,above.
PARCEL 11:
A non-exclusi ve easement for road and public utility purposes 'as shown on
t ' hat certain Parcel Map entitled, "In Section 28, T.23N'.,. R.lE " M.D.M.",
said Parcel Map was filed in the Office of the Recorder of the County of
6 u t t e , State of California, on November 16, 1982, in Book 89 of Parcel
Maps, at Page 84.
EXCEPTING THEREFROM all that portion lying within the bounds of Parcel I,
described above.
PARCEL III:
A non-exclusive easement for road and public utilities over a portion of
Parcel 2, as shown on that certain Parcel Map filed September 17, 1976, in
Book. 59 of Parcel Maps, at Page 56, records of Butte County, California,
being also *a portion of the Southwest quarter of Section 28, Township 23
North, Range I East, M.D.B. & M., and 'being more particularly described as
follows:
COMMEN-CING at th-e Northeast corner of Parce . 1 2 as shown on that certain
Parcel Map filed Se ' ptembei 17, 1976, in Book 59 of Parcel Maps, at Page 56,
and running thence South 890 47' 49" West along the 'Northerly line of said
Parcel 2, a distance of 398.33 feet to the point of beginning, said point
being also on the Westerly line of that certa-in existing right of way
described in Deed recorded April 17, 1978, in Book 2275, Page 364, Official
Records of Butte County� California; thence continuing South 8 9 " 4 7 1 49 11
West along the Northerly line of said Parcel 2, a distance of.858.31 feet
to the beginning of a curve to the leftt the tangent to which bears South
000'12 ' 11" East; thence along said curve- to the left, having a radius oF
50.00 feet, through a central angle of 1340 241 5511 an arc distance of
117.30 Feet to a point of reverse curvature; thence along a curve to the
right, the tangent to which bears North 67" 35' '21" East and having a
radius of 20.00 f e e t , through a central angle of 440 2'4 ' 5 5 " 9 an arc
distance 'of 15.50 feet;' thence. North 890 471 49" East, parallel to and
30.00 feet distant, Southerly of the Northerly line of said Parcel 2, a
distance of 742.32 feet to a point' on a curv'e to the righE on the Westerly
line of the above mentioned existing right of way; thence along said curve
to the right, the tangent to which bears North 26* 17' 56" East and having
a r a d i u s of 325.00 f e e t 9 through a central angle of 60 04' 5 5 an arc
distance of 34.50 feet to the point of beginning.
A. GEV.UL
05:�"Zeiving requirements
Valuation..
Signature by R.C.E.
RESIDENTIAL PLAN CHECKING GUIDE
(S.F., DUPLEX, & MISC. ONLY)
Bldg. Permit
A.P. #
(sideyards and parking).
or Architect (if required).
B. PLOT PLAN
omplete parcel size and dimensions.
Setbai�kq, sideyards, easements, etc.
->3:::r Other buildings or structures.
/P Grading, fills, drainage.
42
vuo� �
C FLODR"PLAN
Complete to scale plan with dimensions'
5 �equired windows for light and ventilat*ion (Sec. 1405).
.Required windows for second exit (Sec. 1404).
lowable glazing for energy requirements (20% max. per.State law).
-5
an impact glass (Sec. 5406).
_._,.,Required room sizes, ceiling heights (Sec. 1407).
G.F.C.I.'s in baths and exterior outlets (Sec. 210-8).
8. Light fixtures, switches, receptacles, and exterior receptacles for maintenance of
mechanical equipment,
9. e -Keating_& cooling equipment—,')othet—e+ectricat—oi—ga-s-
Garage firewall, door size, and (Sec. 503(d)(4)).
3'0" exterior exit door (Sec. 3303d).
eplace location.
ke detectors (Sec. 1413).
D. STFZCTURAL DETAILS
,00,&', --Foundation plan complete enough to construct building.
, floor construction details complete enough to construct building.
;00E -
Elevations and wall construction details complete enough to construct building.
Roof construction details complete enough to construct building.
ireplace construction details and calcs if over one-story in height.
S S,
ufficient data and details to satisfy energy insulation requirements (State law).
E. MISCELLANEOUS ITEMS TO LOOK OUT FOR
,51i5�—CCX plywood on exposed locations and overhangs.
Stairway details (Sec. 3305).
Guardrail details (Sec. 1716).
Brick or stone veneer (Chapter 30).
.,,55�,." Exterior plaster - weep screeds (Sec. 4706 & 4708).
;0-00-0,Proper roof pitch for roof covering (Chapter 32).
Rafter ties or bearing ridge beam.
8 Garage door or porch header sizes.
�Adequate bracing.
Living area over garage complete 1 -hour separation required including supporting
walls and posts, etc.
Two (2) exits on three-story dwellings (Sec. 3302).
ORM
RESIDENTIAL ENER PLAN CHECK/INSPECTION SUMMARY
Owner AV Climate Zone Permit NO. 1071 -
Floor Area 4srr
Complia 2<oint System [3 Budget 0 Other
nce path: 'Package El A MR 11C
MIN R -VALUE DESCRIPTION
REQ'D
INSTALI;ED ITEMS (1) INSULATION:
Roof/Ceiling
Wall
0 Slab Floor Perimeter
13 Raised Floor
7/83
(2)
13
(3)
13
13
Mori
INFILTRATION:
(A) A vapor barrier is.required in climate zones, 1, 14 & 16.
(B) All manufactured windows and sl,,i�dinj-g1ajs-,doors shall meet the
1972 ANSI Air Infiltration Standards and shall be certified and
labeled.
(C) All swinging doors and windows leading to unconditioned areas
shall be fully �eatherstripped.
Rji-m COLV
Tight - the above standard features plus: 11V
(D) Continuous infiltration barrier
(E) Electrical outlet plate gasket
(F) Air-to-air heat exchanger
GLAZING:
(A) Location
Area Glazing Moor Area Single Double Triple
Total Bldg 42a!L Z— x
North .42 0 q )a
East 6.w - 4, VL 09
South 7-6
West
Skylights
(B) Shading
Shading
Coefficient Description
East
South
West
Skylights
(C) South Overhang
Length of projection 2� ft. Description
(D) Moveable insulation: Area ftZ Description
(E) Thermal mass
Type _ , d - Area /" Ft. HC=,9,,)a R=__L40
MC=-3�7— Location AF4 al
Type a -;—P A� a Ft - /-HC=ZL,4,�--R=__L"
MC= 01 Location -C.A-. * S4T1-1& - -, -�.Jr
Type ('-i- Area ,V-2rvJ—Ft.2 HC'=; -,9.3 R=
MC Lo c a t io, n - n. - , t% -A ::-&A� z -
Type Area _L_Ft.1- HC= R='
MC= Location
Type Area Ft. 2 HC= R=
MC= Location
Type._ Area Ft.7- HC=— R=
'MC= Location
FORM I
M,--_'(4) MASONRY AND FACTORY -BUILT FIREPLACES shall be equipped with tight
fitting closeable metal or glass doors covering the entire opening
of the firebox; a combusion air intake equipped with a readily
accessible, openable, and tight fitting damper to draw air from the
outside of the building; and a tight fitting flue damper with a
readily accessible control.
*1(5) HEATING, VENTILATING, AIR CONDITIONING SYSTEM
(A) Heating
13 Central Gas Furnace
13
13
(brand and model number)
Btu/hr
(heating capacity)
Heat Pump
(brand and model number)
Btu/hr
(heating capacity at 47'F)
Active Solar
type (liquid or air)
model number solar fraction
orientation
rated slope
other
collector tilt
SE
ACOP
Collector brand and
ft2
collector area collector
rated y -intercept I
(describe)
(B) Cooling
Electric Air Conditioner
(brand and model number)
Btu/hr
(cooling capacity at 95*F)
Electric Heat Pump
Btu/hr
(seasonal EER)
EER
(cooling capacity at 950F)
other
(describe)
(C) A TWO-STAGE THERMOSTAT, which controls the supplementary heat on
its second stage, shall be required for heat pumps.
0 (D) AN AUTOMATIC SETBACK shall be provided for all thermostats,, except
those controlling heat pumps.
13 (E) AN INTERMITTENT IGNITION DEVICE shall be provided for all gas-fired
fan type central furnaces, gas-fired fan type wall furnaces and
gas cooking appliances.
(F) BACKDRAFT DAMPERS shall be provided for All fan systems exhausting
air to the outside.
W__�(G) DUCT CONSTRUCTION & INSULATION. All transverse duct, plenum, and
fitting joints shall be sealed with pressure sensitive tape or
mastic to prevent air loss and shall be insulated to conform to
the provisions of Section 1005 of,the UMC, 1976 Edition.
7/83 2
(6) DOMESTIC WATER SYSTEM
13 . -(-A) Gas Only
[3
FORIA I
Gallons
(brand and model number) (tank size)
Heat Pump w/ElectricBackup
(brand and model number)
Gallons
*2 (tank size)
Active Solar-
(collector.lbrand and model number—)
(rated y -intercept) (rated slope) (solar fraction)
':(backup heater type, brand and model number) .(collector area)
(collector orientation)
Location of Solar Panels
other
(collector tilt)
ft 2
(Describe).
�(B) TANK INSULATION. Storage type water heaters and storage and
backup tanks for solar systems shall be externally wrapped with
R-12 insulation or greater.
(C) PIPE IN-SUIATION. The five feet of pipe c
losest to the water
heater and outside conditioned space shall be insulated with a
minimum of R-3. St ' eam and steam conditioned space shall be
insulated with a minimum of R-3. Steam and steam condensation
return piping and recirculating hot water piping outside the
building envelope shall be insulated in accordance with
T20 -1408(d).
(D) FLOW RESTRICTOR.S shall be pro vided for showerheads and faucets
as outlined in the new appliance efficiency standards and shall
be certified to the Energy Commission.
LIGHTING
(A) Lamps used in luminaries for general lighting in kitchens and
bathrooms shall,have an efficacy of not less than 25 lumens per
watt (usually florescent).
*1
Submit documentation of sizing heating and cooling equipment by Manual J, sizing
charts (form #4) or other approved methods, section 2-5352(g), and fill out the
following:
Heating: Winter design temperature QK1 elevation� QTet4___ heating load Ar,_%.BTU
elevation factor x heating load = maximum outlet capacity gas furnace
–BTU
USE ONLY AS SIZING GUIDE,
Cooling: Summer design temperature 0, Cooling loalTQ29L Y
,V
939,TAY BE INADEQUA71 'E
*2 Submit T.I'.P.S.'E. chart or other approved system (for m #5) to document sizing of
solar panels.
DESIGN COMPLIANCE STATEMENT: The above building design'meets the requirements of
Title 24, Part 2, Chapter 2-53 of the California Administration Code.
7/83 SIGNATURE OF BUILDING DESIGNER OR APPLICANT
3
Ile
GLAZING PLAN TAKEOFF SHEET
3-5 North GlazLn
.QUANTITY SIZE AREA (SQ.FT.)
(a)* x '440 1 a — =
(b) x /11 q9 el 0
(c) x :��2eld g Z�
(d) x
(e) x
Total North Glazing _ZQ_o (SQ.FT.)
(a+b+.c+d+e)
TOTAL
NORTH
TOTAL BLDG
GLAZING
FLOOR AREA
x
SQ.FT.
SQ.FT.
CONVERSION TOTAL %
FACTOR NORTH GLAZING
100 e, v Z-- %
3-7 South Glazing
QUANTITY SIZE AREA (SQ.FT.)
(a) x
(b) x
�30-ra — =
(c) x 1? -p yo
(d) x
(e) x
'.:Total South Glazing (SQ.FT.)
(a+b+c+d+e)
TOTAL
SOUTH
TOTAL BLDG
GLAZING
FLOOR AREA
x
SQ!.FT.
SQ.FT.
CONVERSION- TOTAL %
FACTOR SOUTH GLAZING
100 %
3-9 §jSyli
SlIts
QUANTITY SIZE
(a) x
(b) x
(c) x
Total Sk l'
(a+b
AREA (SQ. -FT.)
(SQ.FT.)
TOTAL
SKYLIGHT T L BLDG CONVERSION TOTAL %
' T T
GLAZIN� LOOR AREA FACTOR SKYLIGHT GLAZING
x 100 d
SQ.FT. SQ.FT.
OWNER
PERMIT
7/83
i�
FOR m 8
3-6 East Glazing
QUANTITY SIZE AREA (SQ.FT.)
(a) x P27 2- Z
(b) x d -7 C3
(c) x
(d) x
(e) x
Total East Glazing (SQ.17.)
(a+b+c+d4.e)
TOTAL
EAST TOTAL BLDG CONVERSION TOTAL %
GLAZING FLOOR AREA FACTOR EAST GLAZING
+
x 100
SQ.FT.
3-8 West Glazing
QUANTITY SIZE AREA (SQ.v.-r
(a) x
(b) x
(c) x
(d) x
(e) x
Total West Gjaiing (SQ.FT.)
(a N. I
TOTAL
WEST T L BLDG CONVERSION TOTAL %
GLAZING LOOR AREA FACTOR WEST GLAZING
x 100
%
S . F7. SQ T
SQ.FT.
F]
12.f 5 o, Pe�
iv,5
GLAZING DIRECTION LOCATER
Draw iocater line perpendicular to plane of glazing. Overlay
intersection point with center point of circle.' TUrn circle so
North arrows are parellel with plan North arrow. Locater line
then indicates facing direction.
6
1-d ZONE 11 POINTS Table 3-3a. Ceiling Insulation Table 3-7.' South -Facing Glazing Pts Table 3-10. Shading Coefflclpnr P�q
OWNER
Points
T_ .
I
T
PERMIT NO. -?'fO _ ASSIGNED
71
ACTUAL
I
i
1
1 Glazing Type
-
R -Value
of Insulation
T.
East
Points
Total
I
1.
SLAB - INSULATION NONE
-5
to 1
04 up
Z of
Sngl,
I Dbl,
T _rp -1. r
%9
1 0
1
+1 1
+2
.20-.36
Floor
(U -
(U -
I (U 1
2.
RAISED FLOOR - R-19 ---
0
1
19
0
-4
Area
1.10)
0.65)
1 0.47)1
3.
CEILING - R-30.
0
1
22
in
1
-1
-2 1
0 1
1
T- o
1points
lEoints
I olntsl
1 6.4 1
9.0
1
to
I to
U to I
38
1
+2 1
1 up to 1.5
1 +2
1 +2
1 +Z 1
4.
WALL - R-19
0
1
1 +1
49
+2
+4 1
1 1-6- 3.6
1 -1
1 0
o
5.
NORTH GLAZING - 2.4-3.6%
.43-.66 1
0
1 -1
1 -2 1
72 1
3 * 3- 6
H5
6
-4
-2
-3
6.
EAST GLAZING - 2.5-3.6%
-6
6 6 _ 7.7
7'8- 8.9
-9
-it
1 -6
-8
-5
-7
7.
SOUTH GLAZING - 1.6-3.6%
Z_
Table 3-4a. Wall
Insulation Points
_T
9.0-10.0
10.1-11.5
-13
1 -17
-10
-13
-9
-11
S.
TATEST GLAZING - 2.9-3.6%
5
R -Value of Insulation
1 6.3
T
Point.
11.6-13.0
13.1-14.5
-21-
-25
�-1 6
-19
14
!6
+3
+7
.13-36
0
14.6-16.0
-23
1 -22
9
9.
SKYLIGHT - 0-1.3%
�146 11
7
.58-.82
-1
-3
1 _6 1
_12
5
.83 up
-2
-4
1 -8 1
1
-16
f
light
=_07
.8
1 1.6 1
3.2 1
4.1)
10.
SHADING (Exclude Overhang)
to
I to I
19
to
1
Table 3-8.
West-FactnR Clazfng Pts
1 3.1 1
T_r___T_
3.9 1
5.2
0-12 1
24
+1
+2
1
1
.13- ' 36
0
EAST - .67-.82 .1
0
1
30
0
+3
1
1 - Glazing
Type
.58-.82
SOUTH - .19-42
W"2=
I
.83 up
I Total
I
8
Sngl,
I Dbi_,__F_T__r_p_j.7
WEST - .13-.36
0
Table 3-5.
I - - -_
North -Facing Glazing Pts
Floor
Area
(U -
1.10)
(U -
0.65)
(u . I
0.41)1
.SKYLIGHT - .37-.57 Jz?
I
[points
points
1pointsf
I Glazing
Type
4 C.
I
11.
HORIZONTAL SOUTH OVERHANG 2'
Total
1
-Sngl
1
-l-,
1 up to 1.3
1 +5
1 +6
i_±_6
+6 1
X Of
T .
I Dbl,
I T r p T
1 1.4- 2.2
1 +3
1 44
1 1
12.
MOVABLE INSULATION - NONE
Floor
U -
U -
U . 1
1 2-S- 2.8
1 0
1 +2
:0-5
1 +3 1
Axes
0.66
0.42-
0.41 1
1 2.9- 3.6
1 -3 1
0
1 +1 1
13.
INFILTRATION (Standard=O)(Tight=+12)
1
1.10
0.65
down 1
1 3.7- 4.2
1 -5 1
-2
1 0 1
CIL C'
1 0
1 0-1- 1-2
1 + 4
1 44
1 ' 4
+4
1 +4
1 +4
1 4.3- 5.0
1 -8 1
-4
1 -2 1
14.
THERMAL MASS 56 SF 1/4$
74710
1 1.3- 2.3
1 +1
1 5.1- 5.6
1 - 10 1
-6 1
-4
1 2.4- 3.6
1 -2
+2
0
1 +2 1
1 +1
1 5.7- 6.2
1 13 1
-15
-8 1
-6
15.
GAS FURNACE (SE) 71-76%
1 3.7- 4.8
1 -4
-2
1 -1
1 6.3- 6.9
1 1
-10 1
-7
1 4.9- 6.1
1 -7
-4
1 -3
1 7.0- 7.6 1
-18 1
-12 1
-9
16.
HEAT PU1fP (EER) 7.5-7.9%
+3
-6
1 -5
1 7.7- 8.2 1
-20 1
-14 1
-11
-8
1 -7 1
1 8.3- 3.8 1
-22 1
-16 1
-13
17.
DUAL PACK (SE, SEEP) 8.0-8.3/71-76%
1 8.3- 9.7
1 -14
1 -10 1
-8 1
1 8.9- 9.5 1
-25 1
-18 1
-15
9.8-10.8
1 -17
1 -12 1
-10 1
1 9.6-10.i 1
-27 1
-20 1
-16
13.
ACTIVE SOLAR 60% HIN (NONE)
10.9-12.0
1 -19
1 -14 1
-12
1 10.2-11.0 1
-29 1
-23 1
-17
12.1-13.2
1 -22
1 -16 1
-13 1
1 11.1-11.8 1
-35 1
-26 1
-21
1.9.
ZONALLY CONTROLLED ELECTRIC
13.3-14.5
1 -24
1 -18 1
-15 1
1 11.9-12.7 1
-33 1
-29 1
-24*
14.6-15.3
1 -27
1 -20 1
-17 1
1 12.8-13.5 1
-42 1
-32 1
-27
20.
SOLAR WITH GAS BACKUP (H
4 13.6-14.3 1
-46 1
-35 1
-29
21.
OTHER - NO ELECTRI
1 14.4-15.2 1
-50 1
-33 1
-32
e,
Table 3-9. Points
Table 3-6.
East-Factng
Glazing
Pt
lkylitht
T
0 ZERO POINTS
-Z--
T
Glazing Type
Glazing Type
Total
I
TIVI,
Z I
Dbl, I
Trpl,7
(nt
Z of
ISn_g_1._T_1Fb_1, I Trpl,
Floo
U
U
Table
__Sl.b Floor Po
3-1. Slab Fl or Po nt Table 3-2. Raised
Floor Points
Floor
(11 -
1 (11
(U -
Area
ou.;6- 1
0 42- 1
0.41 1
i
, I 1
-1
Area
1 1.10)
1 0-65).1
0.41)1
1
1.10
0.65
do -n I
I Tnqula-
R -Value of In9vistfon R -Value of I
u'
p F., nq-t 5
1po;ln4-ts
I
I t iun
�R-Val
---T ul a.
_T ulation
Points
T
_*4 -T
I up to 1.3
0
0 1
1 Depth.
I I
I
I up to 1.3
1 +3
1 +4
+4 1
1 1.4- 2.2
-2
-1 1
I inches
0-2 3-4 5-6 1 7+
1
L.- 1 7-4
1 �1
1 +2
+2 1
1 2.3- 2.8
6
-4
-3
1
be'low 3
-12 1
1 2.5- 3.6
-2
0
0 1
1 2.9- 3.6 1
-9
-6
-5 1
1
3 - 4
1
1 3.7 - 4.6
-5
-2
-1 1
1 3. 7- 4.2 1
_11
-8
-6 1
1 0 -
it E55 -5 1 -3 5 - 7
:68 1
1 4.7- 3.6 1
-8
-4
-3 1
1 4.3- 5.0 1
_14
-8
1-12 -
15 1 - -2 1 8 - 12
1
1 5.7- 6.7 1
-10
-6 1
-5 1
1 5.1- 5.15 1
-16
-12
-10
1 16 -
19 1 -5 -2 -1 1 0 13 - IS
1
1 6.8- 7.7 1
-13
-8 1
-7 1
1 5.7- 6.2 1
-19
-14
-12
1 20
+ 1 -5 -1 0 +1 -194-
0 1
1 7-8- 8-7 1
-15
1 -10
--Q 1
1 6.3- 6.9 1
-21 1
-16 1
-13
1 8.8- 9.7
-1.7 1
-12
-10- 1
1 7.0- 7.6 1
-24 1
-13 1
5
1 9.8-11.2
-21
1 -15
-13 1
1 7.7- 8.2 1
-26 1
-20 1
-1
7/7/83
11.3-12.7
12.8-14.0
-25 1
-18
-15 1
1 8.3- 8.8 1
-28 1
-22 1
-19
-23
* -21
-18 1
1 8.9- 9.5 1
-31 1
-24 1
-21
14.1-15.3
-32
-24
-20
9.6-10.1 1
3
-33 1
-26 1
-22
J-1
SC by
Orien-
1 Floor Area
tatlon
-
T.
East
3.2
1 0-3.1
1
to 1
04 up
6.3
1 0 -.19
1 0
1
+1 1
+2
.20-.36
1 0
1
0 1
-1
.37-66
0
1
0 1
0
.67-.82
0
1
0 1
-1
+ .83 uL.1
0
1
-1 1
-2
South 1
0
1 3.2
1 6.4 1
9.0
1
to
I to
U to I
to
up
1
3.1
1 6.3
1 7.9 1
_T___T_
9.5
1
0 --18 1
0
1
1 +1
1
1 +2 1
+2
1 +3
.19-.42 1
0
1 0
1 0 1
0 1
0
.43-.66 1
0
1 -1
1 -2 1
72 1
-3
.�7 up 1
0 1
-2
-4 1
-4
-6
at
I
.1 1
1.6
3.2 1
6.4
3.0
t to
to
to
to
up
5
3.1
1 6.3
7.9
0-12
0
1
+3
+7
.13-36
0
0
0
.37-.57
0
-1
1 _ 3 1
�146 11
7
.58-.82
-1
-3
1 _6 1
_12
5
.83 up
-2
-4
1 -8 1
1
-16
f
light
1
.8
1 1.6 1
3.2 1
4.1)
1
-to I
to
I to I
to I
to
1
.7 1
1-5
1 3.1 1
T_r___T_
3.9 1
5.2
0-12 1
0
+1
+3 1
+6 1
+7
.13- ' 36
0
0. 1
0
0
.37-57
0
-1
1
- 6
.58-.82
-3
-6
.83 up
1
8
2 0
Table 3-11. Horizontal South
Overhane Points -
I S _G1_. g -r
Length Out Area, I of Floor
from Wall
f t T - - - - - - T_
0-6.3 1 6.4 up
0 - 0.5 1 -2 1 _-_4_T
0.6 - 1.0 1 -2 1 -3 1
1.1 - 1.9 -1 1 -2
2.0 up 0 1 0
I-
Table 3-12. Movable Insulation
Pot ntr
tjon
ve 1.'ul
A
r.
Floor Point.
0 5: 5 1 +0
5.6 1 5 -*N0
+2
11.6 17.5
17.6 23.5 +6
>2 3. 6+ +8
Table 3-13. Infiltz,%tion Control
Fer.tvres Points
r- -----T I
Cortrol Features Points
T -
Standard 0
1.9 air changes per hr
T --
I Tight +12
n-6 air changeg per hr
40
rable 3-15. Cas Furrince Without
Re?rlgeratlon Ccol!nq Points
Se Efficiency Points
71 - 76 0 1
77 - 82
83 - 88
89 - 94
95 up +8
Table 3-'(..
Feat P,jmo
Points
4�
8
2
2
4
6
6
a
IG
10
12
14
16
16
20
20
24
26
26
28
30
34
C
2
2
4
4
6
6
8
8
10
12
11
16
18
20
22
22
24
26
26
32
D
0 1
2
2
2
4
4
6
6
6
8
10
10
12
14
14
16
16
18
18
22
Energy Effic!ency
Polncs
Ratio
(EER)
A
0
2
2
2
2
2
4
4
6
6
8
3
1 0
1 0
'12
12
14
14
IS
22
24
28
30
32
7.
7.9
4 . 5!1,.
6 c
0 0
2
2
Z 2.
2 2
2 2
4 2
4 2
4
6
F-
6 6
8 6
8 C
1.)
I 0
jo 10
I? '. G
)a
16 14
2 D IS
22 20
24 2 ?
2 b 24
3 0 26
I,- 1i
.0
5.000
T B c
0 6
2 2
2 z
2 2
2
2 2
1 4 4
6 6
& 6 6
8 8 6
n a C
?.3 e r
11) 10 8
10 110, r,
11) 13 1
; ? 12 1
14 14 12
is 16
7 a -,4 20
.'6 -.3 2 1
jb �n 2!
IJ I Ci � 6
0
1
2
.1
6
6
S
6
1.1
1 f
1 A
8.4
- 8.7
+9
8.8
- 9.1
+12
9.2
- 9.6
+13
9.7 -
10.2
+18
10,3 -
10.8
+21
10.9 -
11.5
+114
11.6 -
12.3
+27
12.4 -
13.2
+30
Table 3-17. Gas Furnace With
Refriveration Cooline Points
Gas Furnace
SE 11 1
17 1-17 7 - i 8 3 -13 9---F9 5--T
7,1 8221 8.31 941 .. I
1 8.0 - 8.3 101 +21 +4, +61 +8 1
1 8.4 - 8.7 + +41 +61 +91+10 1
1 8.3 - 9.2 +41 fl +81+101+12 1
1 9.1 - 9.7 +61 + + 101�121+14 1
+ +
9.8 - 10.3 1 11+141+16 1
1 10.4 - 10.9 +IG:+L2i#.I- 161+18
11.0 - 11.6 \+'121-111+-1614- 1420 1
7/7/83
TASLE 3-14 (ADAPTED)
MASS
n-1-1- .- 1-- 1 -
ZONE I I :
INTERJOR THERMAL MASS POINTS
APEA
Sn. FT.
so.
03
200
?so
300
350
400
$01
603
103
2)0
�03
1.000
I . ; Do
1 200
1 ^0
. JC
),,Do
I . i0o
2 .000
2.500
j . C 0 0
3.500
.1,000
4,500
1.0.00
A 8 C 0
2 2 2 2
4 4 4 2<
6 4
8 8 6 4
1 0 10 8 6
12 12 10 f(
14 14 12 8
14 14 12 8
18 18 16 10
22 20 18 12
24 24 20 14
26 24 22 16
28 28 P4 16
30 3a 16 IS
12 32 ;8 ei)
34 32 30 22
34 34 32 22
34 34 32 24
36 34 34 24
A
2
�-D
4
6
6
-8--�o
2=:C-
10
10
12
14
18
PO
2?
22.
24
1
26
28
28
30
34
4�
8
2
2
4
6
6
a
IG
10
12
14
16
16
20
20
24
26
26
28
30
34
C
2
2
4
4
6
6
8
8
10
12
11
16
18
20
22
22
24
26
26
32
D
0 1
2
2
2
4
4
6
6
6
8
10
10
12
14
14
16
16
18
18
22
A
2
2
2
4
6
6
6
8
10
12
14
14
16
18
20
22
22
24
i4
340
3
2.000
6 C D
2 2 01
2 2 2
*2 2 2
4 4 2
6 4 2
6 6 4
6 6 4
8 6 4
10 8 6
12 10 &
14 12 a
14 12 8
16 14 10
18 16 10
20 18 10
20 IS 12
22 20 12
24 20 14
24 22 1 4
30 2:
34 3
2.500 3.000
A 8 C D A 8 C D
0 0 0 0 0 0 .0 0
2 2 2 0 2 2 2 0
2 2 2 2 2 2 2 2
4 4 2 2 2 2 2 2
4 4 4 2 4 4 2 2
6 6 4 2 4 4 4 2
6 6 6 2 6 4 4 2
6 6 4 4 6 - 6 4 2
R 8 6 4 6 6 6 4
10 10 8 6 8 8 6 4
10 10 10 6 10 10 8 6
12 10 10 6 10 10 a 6
14 14 12 8 12 12 10 6
14 14 12 112 11 10 6
16 16 14 4 4 2
, I ,
18 18 14 10 14 14 12 8
18 13 le 10 16 14 14 8
20 18 12 a 16 1 4 10
2202 20 IS 12 :8 IS 16 1 0
I
206 206 22 ;6 22 22 20 : 4
3 3 26 8 26 26 24 &
34 32 30 22 30 30 26 IS
32 32 30 20
3.SOO
-8C 0
0 0 0 0
2 2 0 0
2 2 2 2
2 2 2 2
2 2 2 2
4 4 2 2
4 4 4 2
4 4 4 2
6 6 6 2
8 G 6 4
8 : 6 4
10 8 4
1 0 10 3
I 1 1
12 0 0
2 12 10 6
14 2 2 8
I I
14 12 2 6
1
14 14 1 ? 8
1 6 1 & 14 8
20 20 18 1 2
?4 22 1 4
24
28 Z6 24 16
3 0 30 26
2 0 ;8
32 3 3 0
A
0
2
2
2
2
2
4
4
6
6
8
3
1 0
1 0
'12
12
14
14
IS
22
24
28
30
32
4.000
8 C
0 .
2 0
2 2
2 2
2 2
2 2
4 .1
4 4
5 .1
6 6
6
6 :
8 a
1 0 8
1 a 10
12 10
12 10
14 12
14 1
1,6
i 1
24 22
28 24
30 26
32 28
0 A
0 0
0 2
0 2
2 2
2 2
2 2
2 4
2 1
' 4
4 6
: fi
8
4 8
6 8
6 11
I
6 a
6 12
8 iz
10 16
Z ?0
14 22
: 6 26
S 23
2 U 30
3Z
4 . 5!1,.
6 c
0 0
2
2
Z 2.
2 2
2 2
4 2
4 2
4
6
F-
6 6
8 6
8 C
1.)
I 0
jo 10
I? '. G
)a
16 14
2 D IS
22 20
24 2 ?
2 b 24
3 0 26
I,- 1i
r
C
0
2
2
7
2
2
2
4
4
1
4
4
6
G
E
f,
&
14
1
1 f
1 E
20
5.000
T B c
0 6
2 2
2 z
2 2
2
2 2
1 4 4
6 6
& 6 6
8 8 6
n a C
?.3 e r
11) 10 8
10 110, r,
11) 13 1
; ? 12 1
14 14 12
is 16
7 a -,4 20
.'6 -.3 2 1
jb �n 2!
IJ I Ci � 6
0
1
2
.1
6
6
S
6
1.1
1 f
1 A
A) 1. 3'1" Concrete Slab: HC,8.93; R-.29; Factor -7.3
2. 3 314" Thick Comnon Brick: IIC=7.125; R-.13-. Factor -7.3
8) 1. Sh" Concrete Slab: HC -14.106; ?-.458; Victor -7.1
C) 1. 8" Solid Filled Block: 'MC -2G.63; R-1.93; Factor -6.1
2. 8" Solid Filled Block With Both Sides Exposed To Conditioned Air.
NOTE: Use all square footage directly exposed to conditioned air
for Thermal.Mass Area: HC-iO.164; R-.963; Factor -6.1
D) I' Thick Concrete/Tile: KC -2.55: R-.083; Factor?3.7
Table 3-19. Zonally Controlled
Electric Resistance
Space lleatInS Points
Po.,n 19 lor this w!
le"
.d
'f� " t �'e L -.0
ha -1 1 an A-1,,�rnativ:
f., Res r.
Co.pon-f! ,c
Ueat.
1;S
Table 3-13. Activ,e So lar Sp.
ol-r Sp-
Heatine it, 0. P.,.
Net Solar Fraction Points
(mSF) , %
0 - 6
1 0
7 - 14
+2
15 - 23
+4
24 - 30
+6
31 - 39
+8
40 - 47
+10
48 - 55
4-12
56 - 63 +14
64 - 71 +18
72 up +20
wood stove #33 points(no back up)
casablanca fan + I point
V.ultlfamil� (per unit poincs)
Table 3-21. Other Water
[!eating P S.
T ----T--
I
Floor Area
I
Net Solar Fraction (NSF), Z
Gas Only
per untE,
0
Solar with Electric
Re,91stanc- Unckup
Meetlnj the Require -
f tz
0
Elcccrtc. Rcsista�ca
Onay
0
I .
1
0.9
10-19
20-29
315-39
40-49
50-59
60-69
7a-79
600-7
0
+3
+7
+10
+14
+17
+21
800-999
+3
+5
+8
+11
+14
+16
+ig
1,000-1,499
4
+4
+6
+8
+10
+12
+14
1,500-1,999
0
�2
+3
+4
+6
+7
+8
+10
2,11,00 and u
+ 1
+2
+4
4-5
+
-+7
+9
All others (pe building
. , pn I nt s
Tuo-agg
0
+5
+10
+14
+24
+29
3
900-999
0
+4
+9
+13
+21
+26
+30,
1 oco-I., 199
0
+4
1 +7
+11 +15
'-<, 9
+2 2
+26
1,20ri-1,499
+3
+6
+9 +12
+,� 418
+21
1,500-1,999
0
+2
1,5
+7 +9
+1 �,
"',
�04
+I�
2. 000- --- 999
0
42
+3
+5 -t 7
+8
+ 1
+It
3,OC-0 --md tto
+!
+3
+4 +5
4-7
+3
Table 3-21. Other Water
[!eating P S.
T ----T--
I
Syscem Type
Points I
Gas Only
Beat Prap
0
Solar with Electric
Re,91stanc- Unckup
Meetlnj the Require -
menti I.:% Part 2
0
Elcccrtc. Rcsista�ca
Onay
0
1COMPLIANCE CHECKLIST
Building Shell
�fl U
1_i�s _44
*Total Floor Area .. . . . . . . 0 . . . . . . . . .
1. Slab -on -Ground Perimeter --ft; Depth in
2. Raised Floor R -Value .. . . . . . . . .
3. Ceiling Insulation or Construction
. Assembly, R -Value .. . . . . . . . ... . .
4. Wall Insulation or Construction Assembly, R -Value
Measure
t2
R_ ��7 f
R--:��
0=1
MR,
Points
-115
77-
Glaziu Total'% Floor, Area Single Double Triple
— . I _L. (.., jj�j . C.* — 2 f 2
5. North -Pacing - . f t 2 el S f t
6. East -Facing - - -�f t2 1,0 f t2 r 2
7. South -Facing . - ft2 f t 2 -�ft2
f t 2 f t2 --�f t2
8. West -Facing . . . ft2 2
9. Skylight .. . . . . -tt . . . .
10. Shading.Coefficient
(exclude overhang)
a: East . . . . . . . . . . . . . . . 1051b SC . . . . . . .
bSouth . . . . . . . . . . . . . . . ell& C . . . . . ...
c. West . . . . . .
d. Skylight . . . .
11. Horizontal�South Overhang Length . . . . OZI f t . . . . . . . .
.12. Movable Insulation, % Floor Area - - - - - 4
.13. Infiltration (indicate Standard or Tight)
14. Thermal Mass
Exterior Wall Thermal Mass 2
Area, Heat Capacity, R -Value ---HC$ R --
Interior Thermal Mass 2
Area, Heat Capac r.�a �Te
;J�jf t HC, R +
T —I_
H -VAC System**
15. Gas Furnace Without Refrigeration Cooling . . . . . SE
(Seasonal Efficiency)
16. Heat Pump (Energy Efficiency Ratio) . . . . . . . . jpg� EER
17. Gas Furnace with Refrigeration Cooling - _..SE SEER
(Seasonal Efficiency -(SE), Seasonal Energy
Ef�iciency Ratio -(SEER)]
18. Active Solar (Net Solar Fraction, %) . . . . . . . % NSF
19. Zonally Controlled Electric
Resistance Space Heating . . . . . . . . (Yes/No)
Domestic Water Heating**
20. Solar With Cas Backup (Net Solar Fraction, %) NSF cf�
21. Other Water Heating (Describe type)
Point System Compliance Total (must be greater than or equal to 0)
wChecklist items,—not a point system measure.
**Attach documentation for efficiencies and NSF.
,on
Foffn 10—Jack sons
continued
A M E 11 Mid Valley Title & Escrow Company
RO. Box 3039 PO.Box983 PO.Box1068
183E.Si hSr. 7020 C Skyway 2295 Feather River Blvd., Ste A
.0; ii
Chico, ali 2 Paradise, California 95969 Oroville, California 95965.
'C _5
Phon 44 Phone 877-4471 Phone 533-6680
niciesof
WARREN G. BUTTON
Vice -President and Office Manager VERNA J. MORRIS
All p!o title insurance issued by Paradise Branch Manager
JAMES D. JOSEPH
First American Title Insurance Company DANIEL F HUNT
Chief Title Officer Oroville Branch Manager
WILLIAM GOLLING JACK D. BROWN
Supervising Escrow Officer President and County Manager
PRELIMINARY REPORT YOUR NO.
Red Carpet - Meyer (3) OURORDERNo. BU 75734
Attn: Betty Martin Escrow Officer: B. Golling
cc: Valley Realty (3)
Attn: Frank
In response to an application for a policy of title insurance, the issuing agent, branch or subsidiary of First American Title
Insurance Company, a corporation, designated herein as "Issuing Office7'hereby reports that it is preparedto issue, orcause
to be issued, as of the date hereof, a Policy or Policies of Title Insurance describing the land and the estate or interest therein
hereinafter set forth, insuring against loss which may be sustained by reason of any defect, lien or encumbrance not shown
or referred to as an Exception herein or not excluded from coverage pursuant to the printed Schedules, Conditions and
Stipulations of said Policy forms.
The printed Exceptions and Exclusions from the coverage of said Policy or Policies are set forth in Exhibit A attached. Copies
of the Policy forms should be read. They are available from the office which issued this report.
The form of policy of title insurance contemplated by this report is:
--x,x 1. California Land Title Association Standard Coverage Policy — 1973
— 2. American Land Title Association Owner's Policy Form B — 1970
3. American Land Title Association Residential Title Insurance Policy — 1979
— 4. American Land Title Association Loan Policy — 1970
This report (and any supplements or amendments thereto) is issued solely for the purpose of facilitating the issuance of a
policy of title insurance and no liability is assumed hereby. If it is desired that liability be assumed prior to the issuance of a
policy of title insurance, a Binder or Commitment should be requested.
Gatedasof Februay 22, 1984 at 7:30 a.m. By
Title Officer
Title of said estate or intqrest at the date heieof is vested in:
SAMUEL O'LEAR and DOROTHY OILEAR,
husband and wife
The estate or interest in the land hereinafter described or referred to covered by this.Repork is:
A Fee and Easement
At the date hereof exceptions to coverage in addition to the printed exceptions and exclusions contained in said policy form
would be as follows:
1. General and Special Butte County taxes for the fiscal year 1983-84
Ist installment: $13.75, paid.
, nd installment: $13.77, now due, del 4/10/84
Assessed separately AP# 047-52-0-016-0 Code Area 062-32
Bill# 42540
Foffn 10—Jack sons
continued
2. The lien of supplemental taxes, if any, assessed pursuant to the
provis.ions of Chapter 498, Statutes of 1983 of the State of California.
3. Road Maintenance Agreement and other incidentals
Executed by: M. Troy Wooten, et al
Recorded: June 1, 1977, in Book 2176, Page 432, Official Records.
4. The herein described property lies within the bounds of that certain
Record of Survey filed December 20, 1978, in Book 69, of Maps, Page 13.
5. Road Maintenance Agr ' eement and other incidentals
Executed by: Henry J. Martin, Sr., et al
Recorded: , August 28,.1979, in Book 2435, Page 307, Official Records.
6. A non-exclusive easement affecting the portion of said land and
for the purpose stated herein, and incidental purposes
For: road and public utility purposes
Recorded: September 28, 1979, in Book 2447, Page 151, Official
Records.
Affects: the Southerly 30 feet.
7. Easements and set back lines as shown or dedicated by Parcel Map
Filed: December 16, 1982, in Book 89 of Parcel Maps, at Page 84,
Butte County Records.
Affects: the Southerly 30'feet for Roseanna Court with a 50 foot
building set back line, and that portion for a well site
with a 100 foot leach free area.
B. Conditions pertaining to well site locations and that parcels are.
subject to aircraft noise, as shown on the herein described Parcel
Map.
PURCHASER: ZEBLEY, Frank and Kristine; CANNON, Ronald and Vernett'a
TU:ljh February 27, 1984 (STR-no)
67/B/7-8
DESCRIPTION: SEE ATTACHED
DESCRIPTION:
All that certain real property situate in the County of Butte, State
of California, described as follows:
PARCEL I:
Parcel 2, as shown on that certain Parcel Map entitled, "In Section 28,
T.23N., R.lE.9 M.D.M.". said Parcel Map was filed in the Office of the
Recorder of the County of Butte, State of California, on November 16, 19829
in Book 89 of Parcel Maps, at Page 84.
RESERVING THEREFROM a non'exciusive easement for road and public utility
purposes as shown on the Parcel Map referred to above.
PARCEL II:
A non-exclusive easement for road and public utility purposes as shown on
that certain Parcel Map entitled, "In Section 28, T.23N., R.IE., M.D.M.",
said Parcel Map was filed in the Office of the Recorder of the County of
Butte, State of California, on November 16, 1982, in Book 89 of Parcel
Maps, at Page 84.
EXCEPTING T-HEREFROM all that portion lying within the bounds of Parcel I,
described above.
PARCEL III:
A non-exclusive easement for road and public utilities over a portion of
Parcel 2, as shown on that certain Parcel Map filed September 17, 1976, in
Book 59 of Parcel Maps, at Page 56, records of Butte County, California,
being also a portion of the Southwest quarter of Section 28, Township 23
North, 'Range I East, M.D.B. & M., and being more particularly described as
follows:
COMMENCING at the Northeast corner of Parcel 2 as shown on that certain
Parcel Map filed September 17, 1976, in Book 59 of Parcel Maps, at Page 56,
and running thence South 890 471 49" -West along the Northerly line of said
Parcel 2, a distance of 398.33 feet to the po�nt of beginning, said point
being also on the Westerly line of that certain existing right of way
described in Deed recorded April 17, 1978, in Book 2275, Page 364, Official
Records of Butte County,. California; thence continuing South 890 47, 491,
West along the Northerly line of said Parcel 2, a distance of 858.31 feet
to the beginning of a curve to the left, the tangent to which bears South
000 121 11" East; thence along said curve to the left, having a radius of
50.00 feet, through a central angle of 134" 241 5511 an arc distance of
117.30 feet to a point of reverse curvature; thence along a curve to the
right, the tangent to which bears North 670 351 21" East and having a
radius of 20.00 feet, through a central angle of 440 241 5511, 'an arc
distance of 15.50 ' feet; thence North 890 471 49" East, parallel to and
30.00 feet distant, Southerly of the Northerly line of said Parcel 2, a
distance of 742.32 feet to a point on a curve to the right on the Westerly
line of the abov-e mentioned existing right of way; thence along said curve
to the right, the tangent to which bears North 260 171 56" East and having
a radius of 325.00 feet, through a central angle of 60 04' 5511 , an arc
distance of 34.50 feet to the point of beginning.
N
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SW 114 OF SWI14 SEC. 28 T23N. R.IE. 47-52
TA C 62- 32
2-08
LA
F3-5-1
PA# 59-56'
PA#68-52 I
A PAt 71 - 'I)0 J
Aw 76-27
pAj 81-56
PA# at. 72
PAO 89-84
F37]
F-2-51
eo-
Uaw
Assessor's Map No. 47-52
County of Butte, Colif
April, /�S/`
Forin No. 1068-1 (111/63)
Ejoibit A to PWILmInary Report
EXHIBIT A
LIST OF PRINTED EXCEPTIONS AND EXCLUSIONS (By Policy Type)
1. CALIFORNIA LAND TITLE ASSOCIATION STANDARD COVERAGE POLICY- 1973
. SCHEDULES
This policy does not insure against loss or damage, nor against costs, aftorneys' fees or expenses, any or all of which arbe by reason of the followtiW
Part I
I Taxes or ansaaments which are not shown as existing lions by the records of any taxing authority that levies taxes or assessments on real property of by the public
records.
Proceedings by a public agency which may result In tax" or anessments, or nollces of such proceedings. whother or not shown by the records of such agency or by the
public records.
2. Any facts, rights. Interests or claims which are not shown by the public records but which could be ascertained by an Inspection of the land or by making Inquiry of persons In
possession thereof.
Easements, liens or encumbrances, or claims thereof, which are not shown by the public records.
4. Discrepancles, conflicts In boundary lines, shortage in area, encroachment& or any other facts which a correct survey would disclose. and which are not shown by the
public records.
5. (a) Unpolonled mining claims; (b) reservations or exception In patents; or In Acts authorizing the Issuance lhoreat (c) water rights, cialm or title to water.
8. Any right title, Interest estate or easement In land beyond the lines of the area specifically described or referred to In Schedule A, or In abutting streets, roada. avenues, alloys,
lane& ways or waterways, but nothing in this paragraph *hall modify or limit the extent -to which the ordinary right of an abutting owner for access to a physically open street or
highway Is Insured by this policy.
7. Any law, ordinance or governmental regulation (Including but not limited to building and toning ordinances) restricting or regulating or prohibiting the occupancy, use or enjoy-
ment otthe land, or regulating the character. dimensions, orlo--atlon of any Improvement now or hareattererecied on the land, of prohibiting a separation In ownership ore reduc-
tion In the dimensions. at area of the land, or the offect of any violation of any such law, ordinance or governmental regulation.
S. Rights of eminent domain or governmental rights of police power unless not" of the exercise of such rights appears In the public records.
9. Defects, lions, encumbrances, adverse claims, or other matters (a) crestai:k sulfereck assumed or agreed to by the Insured claimant; (b) not shown by the public records and not
otherwise excluded from coverage but known to the Insured claimant shherat Date of Policy orat the date such claimant acquired an estate or Interest Insured by this policy or
acquired the insured mortgage and not disclosed In writing by the Insure claimant to the Company prior to the date such Insured claimant became an Insured hereunder,
(c) resulting In no loss or damage to the Insured claimant; (d) attaching or created subsequent to Date of Policy; of(*) resulting In I*" ordamage which would not have been sus-
tained If the Insured claimant had been a purchaser or encumbrancer for value without knowledge.
2. AMERICAN LAND TITLE ASSOCIATION OWN ER'S POLICY FORMS - 1970 (AMENDED 10-17-70)
SCHEDULE OF EXCLUSIONS FROM COVERAGE
1. Any Low. ordinance or governmental regulation (Including but not limited to building and zoning ordinances) restricting or regulating or prohibiting the occupancy, use orenjoy-
mont of the land, or regulating the character, dimensions or location of any Improvement now or hereafter arected on the land, orprohibiting a separation In ownership are reduc-
tIon In the dimensions of area of the land, or the effect of any violation of any such law, ordinance or governmental regulation.
2. Rights of eminent domain or governmental rights of police power unless notice of the exercise of such rights appears In the public records at Date of Policy.
Defects, lions. encumbrances, adverse claims. or other matters (a) created. suffered, assumed or agreed to by the Insured claimant; (b) not known to the Company and not
shown by the public records but known to the Insured claimant eltheral Date of Policy or at the date such claimant acquired an estate or Interest by this policy and not disclosed In
writing by the Insured claimant to the Company prior to the date such Insured claimant became an Insured hereunder, (c) resulting In no loss or damage to the Insured
claimant', (d) attaching orcrested subsequent to Date of Pollcy;,or (9) resulting In tm or damage which would not have been sustained If the Insured claimant had paid value for
the estate or Interest Insured by this policy.
3. AMERICAN LAND TITLE ASSOCIATION RESIDENTIAL TITLE INSURANCE POLICY - 1979
EXCLUSIONS
In addition to the Exceptions in Schedule K you are not Insured against to" COSM attornsys! to" and expenses resulting from:
I . Governmental police power. and the existence or violation of any law or government rogulatkn This Includes building and zoning ordinances and also laws and
regulations concerning:
• land use 0 land division
• Improvements on the land 0 environmental protection
This exclusion does not limit the zoning coverage described In Items 12 and 13 at Covered Title Risks.
2. The right to take the land by condemning It unless a notice of taking appears In the public records on the Policy Date.
3. Title Riskw
• that are cresteA allowed. or agreed to by you
• that are known to you, but not to us, on the Policy Date - union they appeared in the public records.
• that result in no loss to you
• that first affect your title after the Policy Date - this does not Iftnit the labor and material lion coverage In Item 8 of Covered Title Risks
4. Failure to pay value for your title.
Lack of a right
0 to any land outside the area specifically described and referred to In Item 3 of Schedule A, or
0 In streets, allays, or waterways that touch your land
This exclusion does not limit the access coverage In Item 5 of Covered Title Risks.
SCHEDULE 8 - EXCEPTIONS
In addition to the Exclusions. you are not Insured against low costak an~ fees, and expenses resulting from -
I . Any rights, Interests or claims of peril" In possession of the land not shown by the public records.
2. Any easement* or lions not shown by the public records.
This exception does not limit the lion coverage In Item 8 of Covered Title Risks.
3. Any facts about the land which a correct survey would disclose and which are not shown by the public
This exception does not -limit the forced removal coverage In Item 12 of Covered Title Risks.
4. Any water rights, claims or title to water on or under the land.
Continued on Reverse Side
DIMENSION "C"
9 4 R S �X 4 .,S T��b TO R 4 0 *'0 3 2 3
294 R4.ax6.Q#T56 TO
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4210"Z48IS" 3.25"
W7
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LUMBER SHALL E OF 1611NIMIJM 0 RADE A SPECIES FOR TRUSS SPANS AS NOTED BELM (00 glas Fir may be suballtUled Where Hem -Fit Is 508011ad.)
(19141101A L NOTEM (w"" othenv" w -A-0,
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WEIR AAENIBERS 294,STANDARD OR STUD -GRADE HEWFIRi M -FIR OR AS NOTED ON DESIGN
3 P A N_Jjj_d A I
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5 PSF CEILING REDUCTION TAKENt
AXIAL STRESS ONLY
2X4 R2.4X6.0,12.5/4 TO, 2
LOAD DURATIV INCREASE
PEAK, JOINT SPLICE DETAIL A 04 RZ,. 4 96r OjT34 TO 36 Ort
2X6 k 2X4 02,4X4:5m Us5/0. TO 3.0 0 � it,
4.80AOSA TO '08' 8" 3.S 4.6,0
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2:X b R94 d X 6 .-0 T 5 6 T 0 42' 0 'R . 9 4.8,5,
?X6 R 4 0 X 6. 0 T 4 fi T 0 � 3 6 8 20 4-00 PANEL POIN't SPLICE(TJ3)
T 1
-5720
B 1 5393 W� 1 -648 W 1 -1014
R4.0i6.0fT46 TO 4 1 29" 3.5 4.00 RW6tR5.6X7o5rT5,6 Toga' 60
T 2,
-5043,
0 4279 w 2 660 W . A
b A— c 741A Tn .44 t u" 2�n 4 11 4 2vi, 04 AX6 0 T56 TO 42' Oil
T 3
-3459
DIMENSION "C"
9 4 R S �X 4 .,S T��b TO R 4 0 *'0 3 2 3
294 R4.ax6.Q#T56 TO
411.
2 u
4210"Z48IS" 3.25"
W7
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No'sPLICE
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713 licit (SPL)
R2,4X6,6,T2.5/b TO
40
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DIMENSION "C"
SPAN Z 2x4
2x(I
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3.25,`
4210"Z48IS" 3.25"
W7
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