HomeMy WebLinkAbout047-530-0097' -7%1
47-53-09
AIKE KINSLOW Oq
W/S Simmental, 350'N -Shorthorn Dr, Chicc
Contr: Kinslow Const
Permit#405-84B,P,E,M(new single family)
47-53-09 2014-90B,P,E
STIMAC, Lorrie
14105 Simmental Drive, Chico
Contr: Al Welch
(add family room bedroom & bathroom)SF
47-53-09 2025-91B,P,E
STIMAC, L.
14105 Simmental Dr, Chico
cont: Adonis Pools
(swimming pool)
047-530-009 PERMIT#9�-2129
STIMAC, Lorrie
14105 Simmental Dr., Chico
Gas Line,Wtr Htr & HVAC/SF
.047-530-009 PERMIT#95-2206
STIMAC,-Lorrie
14105 Simmental Dr, Chico/
-Cont; Dave Martin COnst
*Add 2 bearms,Hall, IS61F
Path Fmlyrm
047-530-009 PERMIT#95-2868
STIMAC ' Lorrie
14105 Simmental'Dr.', Chico
Cont; DaveMartin Const�.-�
Gas Fireplace & Hearth/SF
B08-0864' 047-530-009
MISCELLANEOUS PrivateGairage/Shop
DETGAkAGE/SHOP(1500)
14105 SI.MWNTAL DR
STIMAQ LORRIE ELLEN ETAL
- V<- '
0�
\1,
0
.JOB FINALE
I
signature
V
TIAL
ro
10 1'4-'9 0-8, P-, E
Are 1%o�
STIMAC, Lorrie
47z
14105 Simmental Drive, Chico
OFFICE COPY
Contr: Al Welch�
GAS
Meter By- Date -
(add family room bedroom
& bathroom)SF
ph
cD
A
0
.JOB FINALE
I
signature
47z
OFFICE COPY
Address
GAS
Meter By- Date -
ELECT
Meter B
0
.JOB FINALE
I
signature
V=OK
0 --* Not OK
Not Applicable
Not Ready MOBILE HOMES
Date MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / /"L"ft.
/ P'Nat. or/ /"L"ft./ /"LPG
7. Utility Clearance
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date MOBILE HOME INSTALLATION (Plans) OK except #a
1. Zoning Requirements -Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cart. of Occupancy
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except Vs r
1. Zoning Req uirements-Setbacks- Easements
2. Footings; Soils-Size-Depth-Spacing-Connectors-SteeI
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6, Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
'8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Pane I boards- Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
J=OK
b. =Not OK
Not Applicable
Not Ready
Date i UNDEI
If of
RESIDENTIAL (Single & Duplex)
. 4,-Zo n i ng -Set baVkl-'Ease men ts-F! 0�d -Slope , I
A�22_ Ftg., Main; Soils-Elec.,SFad..'47' Ftg. Depth
3. Ftg.,Geratje; Soils-Steel-Elec. Grnd.-/ /" Ftg . Depth
�:V4. Ft
g;Le>s Decks; S��-Steel-/ /Ftg. Depth
L.,%rrm��As, Main; Stbl`41ockouts-Wrapped
G4caga;.Steel-Bloc rapped
6a. Hold Downs and Special A&6ors
7. Slab: Sleel-Wrapped
8. Pi
V./6.W.V.; Fall-Fitting-TW`Wav C/04ewer Test -A-M kck 0
10. Gas Pipe; Size -Anchors
11. Wa!F�Tipe; Test-Anch
W-hegulator-Service Test
ia,erectric; undergrawKd
13. Pienums & Ducts; Clearance -Material -Support -ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Insulation
Date'7 -5--qD Card B-1 V e> Date Card B-1
Date qD Card B-1 L)15 Date Card B-1
Date PLUMBING (Permit) OK except #'s
-1-6.-Water Htr.; Vent -Access -Combustion Air -Baffle
1VWater Pipe; TeV& Anchor -Nail Protection
't,04 , D.W.V.; Tegl4ittings & Anchor -Nail Protection
WShower Pan; Test,First Floore.7b�ccess
-&.7Test Tub & Shower, Second Floor -Tub Access
'21 -Gas Pipe; Size & Anchors
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except #'s
(2gFixture & Transformer Clearancgks Ppe"ct�,�.
N AA 14
��Iec. Receptacles Spacing -Lights & Switches at Doors
'24- Size Boxes & No. of Conductors -Stapled
25--Romex Installed Close to Edge of Studs & C.J.
12&, Equip. Ground made up w/Mech. Fastners-Bond Gas & Water
"277 2 Appliance Circuts in Kitchen & Conductor Size/GF1
"Z& Subteed Wire Size ga. Cu or AI-A.C. Wire Size ga.
Cu or At
2�.-Range Circ. ga. Cu or Al -Oven Circ. ga. Cu or Al.
Insulated Neutral 0 Yes 0 No
3(r Service -Riser Conductors & Ground -Main Disconnect
34. Equip. Clearances Panels-Motors-Mech. Equip.
Clothes Closet Light -Shower Light -Spa Light
Smoke Detector
Date Card B-1 rq Date Card B-1
Date /9&Cgrd B-11 &SW Date ___ s Card B-1
Date jj:�JE04ANICAL (Permit) OK _eAVptJrs
ZA.C. Ducts Insula
�ionlks
PJVent Fan; CIMabove rinsuiation
3,15, Condensate Drain & Overflow; Size & Grade
4;L. F6rnance-Vent; Access -Comb. Air -Return Air Vent -1 15 outlet
IV. Attic Access & Platform it Furnance in Attic
Date 2W/ �,2 Card B-1 C 3)�*_' Date Card B-1
Date J.6'.U9 Card B-1 Ics1i Date Card B-1
Date FRAMING (Plans) OK except #'s
34' siis, Proper material & Anchors
4K Wos Studs -Nailing, Spacing & Bracing -Plates -Sound
aring Wall over Girders & Floor Nailing
�.raft Stop in Walls (rat p
��f)
JWFire Stops,%urred C2j��ta i rs -Chase 9QT70]
4"eaders & Be_a-lTr--Sm"-&-9e_aring
Date FRAMING (Continued)
4e angers -Post Caps -Anchors -Connectors
4fie'Clng. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng.
A -r., Fireplace Ties or Type A Flue -Fireplace Throat clearance
.48 -Attic Access; Size & Romex Protection -Draft Stop -ins. Baffles
49-Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
.5�Garage Fire Protection Framing
5+.- Property Line Firewall & Openings
12 -Ext. Doors -One T -Check Garage -3rd Story, 2 Exits
oS& Stairs; Width -Head room -R i se -Run- Landing -Fire Protection
on Roof Overhang -Attic Vents -Rafter Outriggers
5"iding-Nailing Veneer
�MrStucco Mesh -Drip Screed -Fd. Vents-Underfir. Access
5J/ Glazing Area -Glass Protection -Skylights -Plastic,
V. Shear Walla; Nailing-Boltv
59. Insulation -Walls -Ceilings
60. Infiltration -Walls -Windows
Date '7/1,KI4, Card B-1 C f,^J I Date Card B-1
Date C�ied B-1 C-5--1 Date card B-1
Date FINX lens) OK except #'s
Steps -Door & Sidelight Protectio n -Landings
V'2 Smoke Detector
- s -Clearance -Comb. Air-Connector-
_7�rl�V.�ye Atbove Floor-Ducts-Mech. Protection
9+1"B,w(froom Exiting
6"G.F.I. & Bath Fixtures & Tub Acc2q--9'p`a,___,-S.�
66. Elecl(Triml Subpanel; Breakter-Sizes & �aW
Rails
__O�`ce or Stove; Clearances -Hearth
deEle��utlets at WoodJeAndr-,-Int. & Ext.
70. V.Fi!�. KAppI*ft%- Grnd.-Air Gap -Cooking Clearance
7!!.�EZ. Outlets & Receptacles at Kit. Counter
7&P"'Garage Fire Door; Swing -Landing -Closer
:2F=_Uct in Garage -Damper
74 tr. Htr.; Vents -Clearance -Comb. Air-Connecto
In,Garage; Above Floor-Mech. Protection
7L/Olb., Elec. & Mech. Equip. Listed for Location
*!!�4 eceptacles in Garage; (G.F.I.)t9_0mex Protection')
77. Insulation -Foam -Looked in Attic -=Y e s
78. Guard Rails & Dec<��ost Caps
��..Yents & Crawl Hole Door -Drainage & Wood -Earth
gWarance Looked under Flooy 0 Yes
AO'."'Fol lowing inst1dDri've GL-�'es 0 No; Walks M-Y�es 11 No:
Planters OL$ds- Q No
_-,� �oown-Finish
ld'nit; Disconnect, Electrical, Plumbing
4a."'Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to
Openings
-T--04. Electrical, Plumbing
&-,e1xte6w,'lf1ec,-Trim; G.F.I. Receptac le- Unde rg round
86.;�VeKilaoA Throughout House
87,-f3 I a-gsPro te c t i on
ns from Previous I
Gas -Electric
90. Wate ewer Connected -C/0 to Gracle-HD Approval
$Iffn-ergy Compliance Certificate -Other Certificates
_�at�e
Card B -110Z Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
(NOTE: An entry must be made each time you visit job site)
6�c tf6 I—J, :3 4—oo, "o( 0�!—' r_& "---.4
70 , e�' ""( S -;W, — no -le
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 538-7541
747 Elliott Road, Paradise --Phone: 872-6307
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at t!19/above,,*'�ddress and should be corrected. Please notify this office
when c�odcti6n-df work is completed. If you have any question pertaining to this
matte , or need additional explanation, please contact this office immediately.
Date_/�__ Inspector
0 _L^e e
6�c tf6 I—J, :3 4—oo, "o( 0�!—' r_& "---.4
70 , e�' ""( S -;W, — no -le
V -
�7 V
Date_/�__ Inspector
MW
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Men-forial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 538-7541'
747 Elliott Road, Paradise — Phone: 872-6307
CORRECTION NOTICE
PERMIT
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
Date— Inspector
iCOUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovifle — Phone: 538-7541'
747 E I I iott Road, Parad i se — Phon6: 872-6307
CORRECTION NOTICE
OWNER PERMIT N6_.
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.
bAoude 5'M 40h e- f�e C V-0 �z
/ -um , � I q r ft, j/o L
plmae) 0/,/ 'g Y Ig- / e
Date— 30 / 9) Inspector
COUNTY OF BUTTE
DEPARTIVIEN T OF PU BILIC WORKS -
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive. Oroville — Phone: 538-7541'
747 Elliott Road, Paradise Phone: 872-6307
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when c rrection of work is completed. If you have any question pertaining to this
matte , o need additional explanation, please contact this office immediately.
V) .1 V/ZU CAIll'ic IVA'M
e 13,vrll 91�1
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5?cu,<,- (fAn).5
T' Lj r0 rf Z)
-j
0A -I (- xov'r-
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Ok I— 4<>1'1h 4.5� 'Ve-A. . V'e3
Date— inspector
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile —.Phone: 538-7541
747 Elliott Road, Paradise — Phone: 872-6307
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be- corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
— n -
Dat4-4�--_t L" Inspector
1/1000,
BUildinq Departmernt
0
FROM: Environmental Health
SUBJECT: . Sanitation Clearance
J)v Ile- 7r
owner
Location
4,pproved for:. Sewaqe Disposal
Water Supply
Plan
Water Supply
Hold 44nal for:
Water supply
Final clearance O.K. for:
!or bedroom-mvo*te-home.
other
clearance
4�
NOT 2
Date
Sanitarian
pa
4Z
-r"m
CL
Ai
7
OL. . .....
0
15-
L 0 C -4, 10
W T�j
FESSi
C -T REG RY A. PUTZ C")
..-C21283
'7- z
OF r -A 0�..,
ENERGY INSTALLATION CERTIFICATE
Bui lding Owner �06Z,1'0
.Building Permit. #
Building Location L4 � (D S ett, "
0� ) cl:j-
DESCRIPTION OF INSULATION
Material
Thickness(inches)__
EXTERIOR
Material
Thickness (inches) Jz
CEILING
Batt or Blanket Type
I Thickness(inches)
Loose Fill Type
Minimum Thickness(Inches)
Area covered(ft.2)
FLOOR 2 ELEVATED
Material .- J i,
Thickness(inches)
FLOOR, SLAB
Material
Thickness(inches)
Width(inches)
FOUNDATION WALL
Material
Thickness(inches)
Brand Name
Thermal Resistance (R Value)
Brand Name
Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R Value)
Brand Name .
Number of Bags Wt. per bag lb.
Thermal Resistance(R Value)
Brand N e
Thermal Resistance(R Value)
Brand Name
,Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R Value)
I hereby'-E.ertifj that the above insulation was installed in the above building,
consistent. with-appr.oved-building department plans -and -attachments and con-
:requireme t, of Chapter 2-53 of State of California Energy Requiremen
(�FIRM NANE/OWNER STATE CONTRACTOR'S LICENSE NO.
P -2- . 2--90
S�i4NATURE OF INSTALLATION APPLICATOR DATt
I hereby certify the required features, devices, and equipment, ab shown on the approved -
Building Department plans and attachments have been installed and conform to the appli-
ance standards and Chapter 2-53 of the State of California Energy equirements.
BUILDING CONTRACTOR/OWNER (Please Print)
/"\(FIP61 - NAME)
GNATURE OF BUILDING CONTRACTOR/OWNER
bix, �a_
HVAC FIRM NAME/OWNER (Please Print)
SIGNATURE;'OF HVAC CONTRACTOR/OWNIER
STATE CONTRACTOR'S LICENSE NO.
DATE
STATE CONVACTOR'S LICENSE NO.
DATE
THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION
APPROVAL AND A COPY SHALL BE POSTED WITHIN THE.BUILDING.
SEPTEMBER 1988
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oreville, C*Jiifornia$5965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
2ni 4 -Cin
- zl� /
ASSESSOR PARCEL NUMBER
47-53-09
ZONING
SR -1
pi &
BUILDING PERMI J!V
OWNER
LORRTE STTMAC
TELEPHONE
SO. FT. OCC. BUILDING VArOATION
652 i 96,ngn
OWNER'S MAILING ADDRESS
14105 Simmental Drive, Chico, CA 95926
384 ro 3,840
CONTRACTOR'S NAME
Al Welch
TELEPHONE
893-3639
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is 29J. 020
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 1 3.00
ARCHITECT OR ENGINEER
LICEN E NO.
Plan Checking Fee
$ 96.5
Energy Plan Checking Fee
15.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
14105 Simmental Drive, Chico
Permit fee
$ 314.50
PLUMBING PERMIT
FilingFee 10.00
Each -Trap
6_ 2.00 1? nn I
Solar or heat pump water heater
20-00
LOT
SUBDIVISION NAME
PAdCNO
TP ARCELM
Water piping
5.00 On
Each qas water heater or vent
5.00
USE OF STRUCTURE
SFMXDuplexn MobilehomeF-J Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer -T-
5.00 5 QQ
Mobile Home I SFG WF
TYPE OF WORK
NewO AdditionQX Remodel[:] Utilities [] InstallationEl OtherE]
Describe work: -f -AP'li-ly FE)GRI , bP-d-r--A- AM A- h- athIF111—
_10.00ed
I
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Fi I i ng Fee 10. i 00
main service 6001 OR LESS
100 AMP OR LESS
10.00 '1�
Main service EA. ADD -L 100 AMP
2.50
CONTRACTORS LICENSE LAW
1 declare rider penalty of perjury (check one):
am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professio Cod nd my license is in full force and effect.
,e
License No. Classification 13 9
F1 1, as the owner, or my employees with wages as t4ir 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)
I am exempt under Sec.—, Business and Professions Code
for this reason
NEW CONST. OWELL114G OCCUP.&)
OR AODNS. ( ACC. BLDGS.
21/2 Osq ft 15.30
NEW CONST11- MULT'-OUTLET
_NO N.RES'.. BRANCH CIRCQITSL--
2.50 ea
(POWER APPARATUS &)
SINGLE OUTLET CIR.
Ex. OCCLIP(OUTLETS OR FIXTURES
.20@50C
ALP30C
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESIO.) EA.)
2.00
Jemporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$ 26-.-3(7-
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
[-] The permit is for $100.00 (valuation) or less.
VI have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -insure.
F� 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 th.e.W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3.00
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 Laws.relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liab4kties, judgments, costs, and expenses which may in any way accrue
aga�� oun y Mi
,,consequence of the granting of this permit.
X I
G) -at e
Signature of Applicant — Owner El Contractor [V Agent El
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $ 30.00
occ
CONST TYPE
402.80
TOTAL FEE V
HAZ
I
I CUA
PARK
I S��
HO
V
I ISS
V
T.h's permit is hereby issued under
sions oi the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
I ��.p ,
I By
LpElll� EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
Date 7
Receipt No.
WHITE-O.P.W., 1rL1.W-ASSESSO0.= N SPECTOR. COLD EN ROD -APP L I CANT
Q C
9 C -b
A SSESSO�
N
C
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
4 PERMIT NO.
7 County Center Drive.-- Orov0ii, California 95965 - Telephone: 916/538-7541
ABER APPLICATION AND PERMIT
ZONING
-ae BUILDING PERMIT'
TELE HONE
�5`T-1 rn AC SO. FT. OCC. BUILDI
W -ESS
--UNTRACTOR'S MAIL-ING
CONSTRUCTION LENDER
LENDER'S MAILING ADOF
ARCHITECT OR ENGINEE
ARCHITECT OR ENGINEE
BUIL I G ADDRESS
T1 nliv M Qf- CHIC6 r--
TELEP ONE ie4 C6 dd
DDRES � I- -
LOT NO. SUBDIVISION NAM
NKNOWN
LICENSE NO.
A
T--ARCEL MAP
�F�ireplace
Totall Valuation $
Filing Fee
Permit Fee
Plan Checking Fee
Energ Plan Checking Fee
Penalty
Permit fee
PLUMBING PERMIT
Each Trap
Solar or heat Pump water heater
Water piping
Each qas water heater or vent
FilingFee
41 2.00
20.00
- i-.0-0
10.00
10.00
USE OF STRUCTURE
piping system 1
SF �a DuplexEl Mobilehome[],,,.0ther
-Gas 5 outlets
Building sewer
5.00
SPECIFY
TYPE OF WORK
Mobile Home
5.00
10-00e.
NewEl AdditionCK RemodeIE3 Util,ities[] InstallationD OtherEl
Permit Fee
-J--
Describe work:
'�Mf-
$ 32,0
2n3d
Cont actor
ELECTRICAL PERMIT
FilingFee 10.�00
M11ain service SOOV OR LESS
100 AMP OR LESS
10.00
CONTRACTORS LICENSE LAW
main service EA. ADD -L 100 AMP ----i5O
declare under penalty of perjury (check one):
NEW CONST ( OWELLTNG OCCUP.&I
OR ADONS. ACC.BLOGS.
21/20sq It
-- - ::��3:j
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code
N- CONST R. LTI
NON*RESIO, U -OLITLET
BRANCH CIRCUITS)
2.50 ea
and my license is in full force and effect.
License No.
I POWER APPARATYS a.)
SINGLE OUTLET CIR.
d
Classification
Ex. OCCLIP( OUTLETS OR FIXTURES
To @ 50ir
SALO 30;
as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is
FIXED APPLNS
Ex UTLETS (RESI
Occup. 0 0.) E A.)
2.00
not intended or offered
for sale. (Sec. 7044)
Temporary service
10.00
1, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
Mob e Home Facilities
15.00
I am exempt under Sec._, Business and Professions Code
- Misc. Wiring
15.00
for this reason
Perm t Fee
$
WORKMEN'S COMPENSATION INSURANCE
Contractor
I declare under penalty of perjury (check one):
F� The is
MECHANICAL PERMIT
Fi I ing Fee
permit for $100.00 (valuation) or less.
10.00
I have placed on file with the County of Butte Building Department
Heating
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -insure.
I shall not employ any person in any
Cooling
manner so as to become subject
to the W. C. laws of California.
Hood
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code,
Ven�tilation
F�ee ����3.00
�I�
I
You must forthwith comply with such
provisions or this permit shall be deemed revoked.
ermit
'it
$
1-untractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws
Mobile Home Installation Fee
$
relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned
En )y Inspection Fee
occ
&
property for inspection purposes.
I also agree to save, indemnity and keep harmless the County Of Butte against
all liabilities, judgments, costs,
CONST TYPE
TOTAL F EjE $
5Th's
066
and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
HAZ CUA PARK SCH L FLO
EisnereSbyis
PAR PO HD ISSUE
X
Date
Signature of Applicant Owner [:] Contractor [] Agent
peFrmit I ss. _d
ue "R,
d under tne applicable provi-
sions oi the Butte ounty Code and/or resol-itionq
work indicated
--------------
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion at structures over 3 stories- -in height.
above for which tees have been paid.
DIRECTOR OF PUBLIC WORKS
Receipt No.,� �5
By
WHITE-D.P.W.. YELLOW ----------
-ASSESSOR. PINK -INSPECTOR. GOLD ENROO-APPL I CANT
PERMIT EXPIRES Date
Date
Igo
I -� T ('t
q )c Z0 -- t 80
�'11_ � WV1 lizV_ �Itz�x
COUNTY OF BUTTE - DEPARTMENT.OF PYBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET
S71 MAC Permit No.
OWNER 16117(f_ ST"AC A. P. No. 4-7- 5-3-6 Ct
. 1A
Proposed Building Use ad" Building Inspector &A) Date (o-fd-96
At time of permit application, I was advised the following data must be submitted priorto permit processing and/or issuance:
DATE RECEIVED APPROVED
1. All items have been submitted . .. ..................................
2. Plot plans in duplicate/triplicate, signed by preparer of plans ........
3. Complete plans in duplicate/triplicate, signed by preparer. of plans
4. Complete engineered plans and calcs, with wet signature on plans
5. 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 I—C 10. Fees of $ 4i W
11. Chico Urban Area fees paid .......................................
12. Park fees paid ....................................................
C -A /'/-,0
Oq< 13. — Schqol District fees paid ..............
64< 14: Sanitation approval from - tZhi Lo — Health Department /,-3 9 0
15. City of Chico plumbing permit .....................................
16. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A) Use:—(B) Parking: . ......
18. Improvements may be required. Contact Land Development Section DPW
19. Driveway permit (construction approval required prior to occupancy)
20. Pre -Inspection for required ... Pre-inspec. request to
Building Inspector (Date)
21. Contractor's license information (No., Name Style, Classification) . .. - t
_4Rj< 2 2. Certificate of Workmans Compensation Insurarice .................. 157�3 t9?9_
23. Owner -Builder Verification (Given to owner 0, Mail to owner 0) .....
24. Recorded copy of Agricultural Acknowledgment Statement .........
25. Letter of signature authorization ...................................
26.
27.
When you issue the permit, process as follows: — Mail to owner. —Mail to contractor..
X Telephone 8qS- 363c? and hold for pickup at d4CO . office. —Del.iver w/inspector.
Other
Applican —.Date
Copy of Haz-Mat form sent —Health Dept. —Fire Dept. . ----Air Pollution Date
Copyofplanssent -----Health Dept. —FireDept. —Other— Date— By—.
The following data must be submitted prior to permit issua ce: (C;irgle new item not checked above).
I
.kirr ;A
1. Index permit for above items No. IF IF I
2. Additional items required:
Contractor, designer, owner, was advised of above required data by4e�`phne___mai I —counter by4OAAZ io_
Contractor, designer, owner, was advised of above required data by —phone —ma I I _c:o7u/er by— date
Plans checked by Date Plans approved by Date CIM
—Sets of plans on hold in —File cabinet _AP folder
Copy—DPW
TO Buildinc Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Owner Location. AP#
Approved for: Sewage Disposal Water Supply
Plan
Water Supply
Hold final for:
Final clearance O.K. for.: Water Supply
Clearance !or bedroom mobile home. Other
Date
sanitarian
BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM
(one Form per Building)
A.P. Number Building Department No.
School District city County jurisdiction.
Property Owner 10yry (��Vmac
Project Location/Address
Subdivision Lot Number
Residential De'velopm ent:
Sq. Footage_&S2
# of Living MHI AUqn (Group R)
Units
Commercial/Industrial:
Sq. Footage.
New Addition (Including Exterior
Roofed Areas)
Building Department.Representative
(Floor Plans reviewed by School.District Personnel)
Dis'trict* Id No. 9 11000
1*0 —School District�certifies that
E Z, C --7V
(Applicant Name) (Phone Number)
P 0. B06 �,/75'
(Street Address)
10A
(CiIEY) (State) (Zip Code)
4as complied with the requirements of Resolution No.
by the payment of'$___-azt repre.senting square feet.
IA�A
School Distrlict Rel�resentative Dafte
N
U
PAID BY CHECK NO. REMARKS:
BANK NO
:V0
PAID BY CASH
white -applicant, yellow -building department, pink ' -school doistrict
SCHOOL.FEE -��1(8/88)
t�
Lv
04-
os5 -o
Al
rp
u/
6Lop oil,
0
V-4
13UTTE CoUf\!-ry vikoFESSI
BUILDING DEPARTMENT
VED cc
&19 a I Q 6T r- �, a ; z I
"n- 0 REG RY A. PMTZ c
C 21283 *
. F . 0
ADDITIONS TO RESIDENTIAL BUILDINGS ENERGY SHEET
PACKAGE "A" (Additions)
Owner Z_clk9g� <-IT
Climate Zone
Permit # - -2a4`70 Floor Area
The following data showing mandatory and required features of Package "A" shall
be installed for additions to dwellings. Additions to dwellings include room*
dditions, converting garages and patios to living areas, house moves that add
footage and attic conversions, and any space that is existing non -conditioned
space that is converted to conditioned space. Remodeling of existing conditioned
space is not included.
ZONE 11 ZONE 16
APPLIES TO NEW AREA
CEILING R-38
WALL R-19
FLOOR R-11 R-19
SLAB R-7
GLAZING K-__.75 �(Du U-.65 (Dual)
SHADING
SOUTH - OPTIMUM OVERHANG
or - .36 Shading Coefficient
WEST - .36 Shading Coefficient
LOOSE FILL INSULATION (Density)
INFILTRATION CONTROL (Weatherstrip,.doors, certified windows, caulking)
VAPOR.BARRIER (Zone 16)
DUCTS PER UNIFORM MECHANICAL CODE Ch. 10
LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT
MAXIMUM GLAZING 16% OF AREA PLUS REMOVED GLAZING
NEW HEATING, VENTILATING, AIR CONDITIONING AND HOT WATER SYSTEMS IN
CONJUNCTION WITH AN ADDITION SHALL BE INSTALLED AS SHOWN ON BACK
OF THIS SHEET.,
OTHER
12/85
Do
13
*17 . HEAT-ING. VENTILATING AIR CONDITIONING SYSTEM
(A) Heating %
Central Gas Furnace (brand and model number) SE
Btu/hr
(heating capacity)
Heat Pump
(brand and model number) ACOP
Btu/hr
(heating capacity at 47*F)
Active Solar type (liquid or air) Collector brand and
ft2
model numbeir solar fraction collector area collector
orientation collector tilt rated y -intercept
rated slope
0 other (describe)
*l- (B) Cooling
13 Electric Air Conditioner (brand and model number) (seasonal EER)
Btu/hr
(cooling capacity at 95*F)
C3 Electric Heat Pump EER
Btu/hr
(cooling capacity at 95*F)
13 other (describe)
DOMESTIC WATER SYSTEM Gallons
13 .(A) Gas Only (brand and model number) (tank size)
0 Heat Pump w/ElectricBackup (brand and model number)
Gallons
(tank size)
[3 *2 Active Solar (collector brand and model number)
(rated y -intercept) (rated slope) —�—..lar fraction) ft 2
(backup heater type, brand and model number) (collector area)
I
(collector orientation) (collector tilt)
Location of Solar Panels
other
(Describe)
*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 _*, elevation heating load BTU
elevation factor x heating load = maximum outlet capacity gas furnace
BTU
Cooling: Summer des . ign temperature cooling load BTU
,2 Submit T.f.-P.S.E.-chart or o�her'approved system (form #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 Cali . nia Administration Code.
T 0
ZATURE OF BUILDING DESIGNER OR APPLICANT
1?- ?-,7 -;;� I/ J-1eef -. :,� x- e a
71
LOCATION W/S Simmental. 350'N of Short-
horn Dr, Chico
0 F�I C
Addres��-;0%44�"16.
/-(/a .j
GAS
Meter By—
Date
ELE
C
Mete
Temp. Power Pole
Called PG&E
Temp. Elec. Service
Called PG&E
Temp. Gas Service
CalledPG&E
NAP,
JOB FINALED (Date)
Signature
PERMIT NO.
405-84BOPPEOM
PERMIT EXPIRES
.2 7-
1; OWNER MIKE
KI9SLOW
CONTR. Kinslow
Construction
4
ASSESSOR PARCEL
47-53-09
LOCATION W/S Simmental. 350'N of Short-
horn Dr, Chico
0 F�I C
Addres��-;0%44�"16.
/-(/a .j
GAS
Meter By—
Date
ELE
C
Mete
Temp. Power Pole
Called PG&E
Temp. Elec. Service
Called PG&E
Temp. Gas Service
CalledPG&E
NAP,
JOB FINALED (Date)
Signature
6K
0 = Not OK
- = Not Applicable MOBILEHOMES
* = Not Ready
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks, -Easements
2. Soils; Special.MH Support -Sketch
Da te
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s-
1. Zoning Req6 i rements-Setbac ks- Easements
2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Local ion -Test -Fa I I -C / O -Concrete
3. Decks: Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Local i on- Test- Easement Needed (Sketch)
4. Wood Awn.; Posts- Beams -R ftrs. -Connec.-Shthg.-R fg. - Brac i ng
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; Location -Test -Wrap: L"ft./ Nat. or/ L"ft./ LPG
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
Card -131
Date Card- B I Date
Card -Bl
Date Card -B I Date
Card -BI
Date
Date Card -131 7 Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requ irements-Setbacks- Easements
Card -Bl
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: Steel -Connections -Thickness -Dead Men�Enm
4. Electricity; MH Test -Crossovers -Breakers -Clearances
4. Elec.; Receptacles and Lighting; Distances-GFI
5. Drain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test- Regu lator-Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
6. Elec.: Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
8. Elec.: Grounding; Equip. w/S'-Circulating Equip. -Pool Lghtg.
Boxes- Enc losures- Pane I boards- Ins. to Main in Conduit
10. Carl. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B-1
Card B-1
Date Card -Bl Date
Date Card -BI Date
Card -131
Card -BI
Date Card -Bl Date
Date Card -Bl Date
J?
,7-
15
_S
V �K
0 Not OW
N ' ot Applicable
Not Ready
,-,o
RESIDENTIAL (Single and Duplex)
Date
UNDIEWILOOR (Pla—ns) OK except_#;'.
Date
FRAMING (Continued)
Le-fqning requirements-set-w-<s-EpeogylfW'&,X 44 0
irewall & Openings
;F. 7Do.rs,-One
2,-rt_q., Main; aU4sr--&@e+-EIqroA5rnd.- / //,' / .1 Ftg. Depth
40---E-t. Doors One 3' -Check Garage-4"I-��its
a--Ftg., Garage; aa4�--SWel- 1*16 /" Ftg.-Depth
I dth-Headroom-R i4-R,un-Landi ng -F ire Protection
g Porches & Decks; S&*s-f4@eI- Ftg Depth
Bm Rooflgvgrhang&��U=�C�i �rs
h s-Ws4yo-ed-(S Aff
Lff
-7
(��e 1�rage; S-Lasi-BIQCk-6uts-Vkaifp-ed-(2P��
-58i� 94*ee ugeli- 9 *F_Se Ped-Fdn. Vents-Underfir. Access
as r.&@ &eel
!�4�.ing Area -Glass Protect ion -Sky I ights- P I ast ic
ng -Bolts
".W.V.: FA4,K-FiLLLPes-TK
L4 L2way C/Q_-_apy_er_Jp.0
D 0 pe; Size A4pKefs
illy 0q! g�
Pipe Anchors-
n of,
ow i
f2-/vTTe"umv-&-B"et&,-f7temnce-Materi al -Support- Ins.
d ts-Joists-Vents-Cripples
Card -BI
Datl Card -BI Date
Card -BI
Dat LV
QLL-Z Card -BI Date
Card -B I
Date- Card -61 Date
Card -81
Date,_? -/_-
Xtl Card -BI (JG�y Date
Date
FINOCIL (Plans) OK except #'s
Card -BI Date Card -BI Date
Date
PLUMg�ING (Permit) OK except #'s
V.4xt. Steps -Door & S iddiglit-Protect ion- Land i ngs
0moke Detector
14 --Water Ht.; V"t-A0berss-QemtMTR6-n7T_ir
Furnace; Vents -Clearance -Comb. Air-Connector-
tm'SM-a-g-e-;-Alo-v-e-moor-Ducts-mech. Protection
Ls--W55-ter Pipe; Test4r-X�hors-Nai i4-rotect ion
4--y' �,, Test- F ttngs &_&a6ors-NaiL2;9b5bt ion
1306 it
1z_,STiower4aan; Tb�T'First FIoor-1�_s(5/,,_rW
Z�M.F.I.
&yBath F-ixftft
__i� & Tub Access
L.Igb & Shower, 2nd Floor -Tub Access
f
A/.' Elec. Trim & Sib—panel; Breaker Sizes -Labels
Bee P 0 pe-,4imp�c hors
42 Gtahb & R
___19.
C uenaneee-Hea;Ah
.05ftc. Outlets at Wood Panel; Int. & Ext.
Date_ BI Date
Card-
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Cwd-Bl
Date Card -BI Date
c. Outlets & Receptacles at Kit. Counter
Date
C AL 'Permit) OK except #'s
Qi -,7 ara AZT,—
.0 ge Fire Door; Swing-Landing!;_Clv�t
M'�,A.C. Duct in Garage -Damper
. :?,__
!�ECTRI
re T ransformer Clearance -Ins. Protection
4917 11" . Ht . Vents -Clearance -Comb. Air-Connector7P.R.V.-
X Gara4e; Above Floor-Mech. Protection
24r-F11Tc. Receptacles Spacing -Lights & Switches at Doors
AV,,Plb., Elec. & Mech. Equip. Listed for Location
2Q,-STz-e-Boxes & No. of Conductors -Stapled
lec. R�eceptacles in Garage; (G.F.I.)-Romex Protec.
2;,�Omex Installed Close to Edge of Studs & C.J.
aA-,C-quip. Ground made up w/No@*.-rasteners-ErerlTG" & W��
!Asulation-Foarii�ooked in Attic Ves
*Construcition-Post
liance Circuits in Kitchen & Conductor Size
uard Rails & Deck Caps
A -A.C. Wire Size /g:;-, / ga. Ori -or At
-I
Fdn. Vents 0 Hole Door -Drainage & Wood -Earth Cl rance
Looked u o r E -)Yes /___ 7
2Z.,'Range Circ. / lep/ ga. G. m Al -Oven Circ. ga. Cu or At,
Insulated Neutral Elyes LZ4#a—
Following instId.: D iv [VYes E] No; Walks Vi Yes E] No;
Planters E]Yes VNo
ili:� �ervce-Riser Conductors & Gjbw0-_Main S+stZ-nnect
*�,Stucco; Brown -Finish_
;Iearances; Pane I s-Motors-Mec h. Equip.
A&� rkr. & Cond. Size -115V Outlet
' Unit; Disconn��-Cl��es-B
f) r1�th,,71;�l_L_4U_Shower Light
ents Above Roof( P kmYqA ppl i ance- F irepl.-C learance to Opngs.
ater Well; Disconrie—ct, Electrical, Plumbing
Card B-1
_5,rar�-_BI__ Date
Exterior Elec. Trim; G.F.I. Receptacle -Underground
Ventilation throuahout House
Card B -I
Date Card -BI Date
Glass Protection
Corrections from Previous Inspections
Date
-
L
�ECHA Perrnit) OK except #'s
Geo -Tee+ -Meters Tagged�_-�Elwric
C . Du�,�'7. Insulation & Support
_jU?ter
& Sewer Connected -C/O to Grade -HD Approval
Energy Compliance Certificate -Other Certificates
Gspdei4eale @&ain & Overdow; Size & Grade
llwllart-kle"t",�eess-Comb. Air -Return Air Vent -115V outlet
32. A ... c A=-& Platform if Furnace in Attic
Card -BI
Car
rd.�k y�ard-B I Date
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date -131
Card Date
Card -BI
Date r.."I-RI Date
Date
FRAMI_NCv(Plans) OK except #'s
Comments at Final:
36—Sills; Proper Material & Anchors
34--W—al Is-elVds-Nathl-h-g, Spac i ng 8' .�ng-P
L�L�alls over Girders & Floor Nailing-_
Stop in Walls (rat proof)
ire Stops, Fumy&-ft�-&t&wa
4A,4-ma-der & Beam -size &_Bear�ng
&1�ngers-post_ Caps-Anch-ors-6onnectors
e- - C.
s--Oa�-_F��g4�a <JEeZ .-Fifn,.
:11� . T -P A Ph—P'
d indows or Exit ing-Doors-Si I I Hgt.4&_Qjmensions
4�7..:AAti11c vActes�sm. Size & Rom�-�ec��:lon-DkaU-9T6p--Hw-41@4�et
. iErajg�e Fire Protection Framing
(NOTE: An entry must be made each time you visit job site)
Owner�' k" �.. LO Permit No.
�/ t
LOCATION
ENERGY CERTiF ICAT ION
DESCRIPTION OF INSULATION
ROOF
Material
Thickness(inches)
EXTERIOR WALL
Material
Thickness(inches)
CEILING
Batt or Blanket Type
Thickness(inches),
Loose Fill Type\, -4
Minimum Thickness (In4es) /(9/`-`._
Area covered(ft.2)
FLOORP ELEVATED
Material
Thickness(inches)
FLOOR, SLAB
Material
Thickness(inches)
Width(inches)
FOUNDATION WALL
Material
Thickness(inches)
Y? -F3- 0
A..P. No.
Brand Name
Thermal Resistance (R Value)
Brand Name
Thermal Resistance(R Value)
Brand Name
i Thermal Reststance(R. Value)
Brand
Number of Bags_j.Z, Wt. per bag :;26 lb.
Thermal Resistance(R Value) 30
Brand Name
Thermal Resistance.(R Value)
Brand Name I
Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R Value)
I hereby certify that -the above insulation was installed in the above building
in con:�prmani�,e with the State of Califoriila Energy. Requirements.
IRM NAME /
SIGNATURE OF INSTALLATION APPLICATOR
STATE CONTRACTOR'S LICENSE NO.
DATE
I hereby certify the above insulation -and all required items as shown on the
Building Department approved plans and attachments have been installed as
required by the State of California Energy Requirements.
All equipment,, devices and materials'are of the quality prescribed or are
specifically approved by the State of California.
FIRM NAME/OWNER (Please print) STATE CONTRACTOR'S LICENSE NO.
10A zg*
SIGNATURE 6F GENERAL CONTRACTORIOWNER DME
THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL
INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING
January 1984
COUNTY OF BUTTE
DEP��RTIVIENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correstPovl` of work is completed. It you have any question pertaining to this
matter,,oKneed additional explanation, please contact this office immediately.
z!OX-
Inspector_ - Date
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORK9
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE -
OWNER PERMIT NO -
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to.1this
matter, or need additional explanation, please contact this office immediately.
C" .41W 51-1,9 W1
4-47,
00,
5' A1.4
Inspector Avlcev
Date
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any questlon pertaining to this
matter, or need additional explanation, please contact this office Immediately.
Inspector Date
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office Immediately.
sk 4
Inspector Date
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, Californi; 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO
ASSESSOZR(qCE IMBER ZONI ,
ID 9 5P-1
BUILDING PERMIT Ul
OWNER E
TEL
ke Ki n�s I aw LL -13-M
SO. FT. OCC. BUILDING VALUATION
09
_0%4Z0
OWV'S MAILING ADURESS
1 01 R V-16 93e_,�
CZ4
1
CONT CTOR'S NAME
�?/ kL-SZ / QA�&) &nn �-. t_
TEL PFHONE
_42SI M
co C I MAILING AO S
"lot h-l-A-qu
�%7 _7
Fireplace
C014STRUCTION-L:ENDER
UNK2 6,w��
Total Valu'ation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ a D
ARCHITECT OR ENGINEER
ILI C..S. NO.
Plan Checking Fee
$
Penalty "iL-11 rZM
$ 010
ARCHITECT OR ENGINEER'S MAILING ADDRESS�
Permit fee
$
BUILDING DRESS
(OrSPLUMBING
Ito V%A Tyn�,
PERMIT
i i ng Fee 10.
F 00
2:5j —
A t
Each Trap
2.00
Solar Water Heater
20-00 CQ &.0 0
Water piping
5.00 0 10
LOY. I
SUBDIVIS MAP
A CN NAME
De Z_
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF 2/"DuplexF� MobilehomeF� Other '
SPECIFY
Building sewer
5.00
Mobile Home IS I GJW-J
110-00ed
TYPE OF WORK
New g" AdditionEj RemodeIE:l UtilitiesE:1 InstallationEl Other
Describe work:
Permit Fee
$
contractor
ELECTRICAL PERMIT
FilingFee 10.00
Main service 600V OR LESS
1 00 AMP OR LESS
10.00 1101011,
Main service EA. ADD -L 100 AMP
2.50
NEW CONST.
. (D WEL L ILN
OR ADDNS ACC. . ,
A-9-2-7)
21/20sqft !�O, 00
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
Pll�l am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. 3*7* 7-1/ Classification 92--
F1 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)
El I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
I am exempt under Sec.—, Business and Professions Code
for this reason
NEW CONSTR. ( MULTI-CYU TLET ,
BRA H CIRCUITS) 2.50 ea
—NON-RESID,
NEW.CONSTRL (POWER APPARATUS.&')
NONwRESID. SINGLE OUTLET CIR
Ex. Occup(OUTLETS OR FIXTURES 20@50c
BAL@30q
OCCUP. FIXED APPLISIS O)R
Ex. OUTLETS (RESI'D. EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
F� The permit is for $100.00 (valuation) or less.
polr have placed on file with the County of Butte Building Depar inent
t.
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self-InIure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Fi I ing Fee 10.00
Heating
(0,00
BIE6):: ?V6 WeD
Cool�
ing
Hood
3.00 9,C)t
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said Count onse uence of the granting of this permit.
X Date Ise ('4
Signature of AppItIcant - Owner R Contractor [Rr"' AgentEy / f
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 $
Sr,- " (2 M S4
TOTAL PERMI'i3F�E $ S
.16
OCCUP. GROUP I
—,4?,3
TYPE OF CONST, 1
I'Al
PARICEL�ID No -I'll
L. -I
ssuv
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By-
PER�/ E XPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date -,2—Z 7--,�
7-- -L —
Receipt No. _LP, 7 -:A !9
WHITE-D.P.W., YrLLOW-ASSESSO'R. PINK-INSPFCTOR. COLDENROO-APPLI CANT
0 , " R.
�4 riv,
- , 6,
COUNTY OF BUTTE - DEPARTMEN�T bF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 -JELEP . HONE: 916/534-4541
PERMIT APPLICATION DATA SHEET
1, Permit No.
OWNER ',6 4"Q A. P. -No.
4 ) a- L 40 /
Proposed Building Use
Permit Fee Based Upon:
Building Inspector
A,
ete Cbntract Price
At time of permit application, I was advised the
and/or issuance:
n)
4-' DPW Valuation
Date -
lowing data must be submitted prior to permit processing
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 authorizatio . . . . . . .
Z�Q. Sanitation approval from 1A., Health Dept.
11. Planning approval for (A) Uee: — (B) Parking:—
1 <Certificate of Workmen's Compensation Insurance . . . . . .
3. IContractor"s License Information (n . o., name style, classif.)
14. Owner -Builder Verification (Given to ownerE], Mail to ownerR)
15. Improvements may be required . . . . . . . . . . . .
1A KAr%KiImhf%nn&* 1natolloti^n noto
17 Pre Pre-Inspec. request to
- Inspection for quired- Building Inspecto
Otherj1.4 ^P,_�, _U 14", CZ a R & a -
(Dole)
When you issue the permit, process as f6l lows: —Mal I tolowner. —Mail to contractor.
___L�_Telephone,2&L and hold for pickup at 011-'rPoff ic I e. —Deliver w/inspe . ctor.
Other
Applicant Date -711VI9114�
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 applica lorl, circle item.)
1., Index permit for above Items No.
2. Additional items required:
(Contractor, Designer, Owner) was advised of above required data by
. /*_� /) By
Plans checked by
Plans aDI)roved b,
Other
Copy—DPW
Telephone
—Date
—Date
-Mail Other
Date
i.:
'�Q �'-4a
TO: Building Department
FROM: Environmental Health, Chico
SUBJECT: Sanitation Clearance
A �7
Owner Locatibn AP#
Plann approved for; sewage'disposal water supply
Hold final for: water supply
Final clearance OA- for: water supply
Clearance for bedroom msb64re home. Other
Note***
an
zz z ml�y
'Date'.
Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDMENT 84-; 5055
FOR RESIDENTIAL DEVELOPMENT
'AL
OFFICs
%�&ction 26-8.1 of th,e-Butte County Code requires this acknowledgement 9'J'7'TF COUNTY-(;zI
be recorded prior to issuance of a building permit. 1� 01 R IS
PAF
47Y SHOWN
The property described herein is adjacent to land or included FfB 2L, PIA. IqD
within an area zoned for agricultural purposes, and residents of this
property may be subject to inconveniences or discomfort arising from CLERK - R
the use of agricultural chemicals, including, but not limited to herbicides, pestici---,[m-
FEE
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.
I
All that real property situate in
as follows:
Date:
State
the County of Butte, State of California, described
Re 5 c K/I /e, f16*t �
PROPERTY OWNERS:
of On this ti
xe day of 41
SS. me, the un�'de -3 —2 -Y
4ig�—ned Notary Public, pet–Anally
County of
. t . 'A A
19 W, before
appeared
Personally known to me. Proved to me on the basis
7 of satisfactory evidence.
to be the person(s) whose hame(s) C4
zsibscribed to
6
the within instrument and acknowledged that 0
'AL
0 F;r I CIA L S E executed the same for the purpo::ts Aehrein contained.
W. J. G0LUNC IN WITNESS WHEREOF, I hereunti set�m n d'and official seal.
NOTARY PUOUC - CA'IrOANIA
COU141Y GF fitlf'i
Cvm.m. Exp. ALi
11,1, 1931
tary Public
Ll
Present A. P. No. 9
�W- -
2. The lien of supplemental taxes, if any, assessed pursuant to the
provisions'of Chapter 498, Statutes of 198.3 of the State of California.
3. A I foot no access strip as described in Deed recorded February 16,
1982, in Book 2694 of Official Records, at page 679, Butte County
Records.
4. Dedication ' s and Reservations for specific purposes as set forth
an the Map,referred to herein. Affects the Southerly 3 feet for
public utility easement, a 10 foot public utility easement lying
within a 20'foot building set back line, and a portion of a 100 foot
leachline set back and a.well.
5. Condition that all future swimming pools require an S-29 Fire
Department Connection as shown on Subdivision Map, recorded
June 2, 1982, in Book 85 of Maps, at pages 64 and 65. .
6. Covenants, conditions and restrictions in the Declaration of '
Restrictions, but deleting restrictions, if any, based on race,
color, religion or national origin
Executed by: Frank G. Bennett, et ux
Recorded: June 9, 1982, in Book 2727, Page 265, Official Records.
PURCHASER: KINSLOW, Mike
RB:ljh January 26, 1984 (Developer Rate)
SM 58/B/26
DESCRIPTION:
All that certain real property situate in the County of Butte, State
of Califor,!Iiag described as follows:
Lot 9, as shown on that certain Map entitled, "RANCHO DE THUNDER, UNIT
NO. 3", which Map was filed in the Office of the Recorder of the
County of Bufte, State of California, on June 2, 1982, in Book 85.of
Maps, at pages 64 and 65.
Subject to covenants, conditions and restrictions recorded June 9.
1982, in Book 2727 of Official Records, at Page 265.
L�
U
RESIDENTIAL PLAN CHECKING GUIDE
(S.F., DUPLA-VX,'&MISC. ONLY)
Bldg. Permit #
OWNER C/,ez,7Z A.P. # 4!� 7 - f
A. GEWL
,,J,- ��ing requirements
,�2o' ya uation.
�Signature by R.C.E.
(sideyards and parking).
or Architect (if required).
'B. PLOT_,XLAN
'4"- gomplete parcel size and dimensions.
-.00
_.�Setbai--kq, sideyards, easements, etc.
Other buildings or structures.
Grading, fills, drainage.
C. FLOO
�plete to scale plan with dimensions.
_7 .
e u, d 'ndows for light and ventilation (Sec. 1405).
ndows or�`second exit (Sec. 1404).
_0 abpoo Ing for energy requirements (20% max. per State law).
ct glass (Sec. 5406).
'e
-.R'
At red room sizes, ceiling heights (Sec. 1407).
7. F.0 I -'s in baths and exterior outlets (Sec. 210-8).
Lig��fixture'g. switches, receptacles, and exterior receptacles for maintenance of
xffi_chanjov9requipMent.
90-0 Lo s o wate
_Rdf-og f' r heater, heating & cooling equipment, other electrical or gas
men , and plumbing fixtures.
I irewall, door size, and closer (Sec. 503(d)(4)).
1 '0" exterior exit door (Sec. 3303d).
ireplace location.
Smoke detectors (Sec. 1413).
U -- DETAILS
F' ----
..,o ound&tl�)frplan complete enough to construct building.
0'_
2 Flfob-�<nstruct- ion details complete enough to construct building.
;,,o, levations'and wall construction details complete enough to construct building.
OQ:f#K�construction details complete enough to construct building.
!%ovF-*replace construction details and calcs if over one-story in height.
Of
r��67 Sufficient data and details to satisfy energy insulation requirements (State law).
E. MIS EOUS ITEMS TO LOOK OUT FOR
lywood on exposed locations and overhangs.
S irway details (Sec. 3305).
uardrail details (Sec. 1716).
rick or stone veneer (Chapter 30).
erior plaster - weep screeds (Sec. 4706 & 4708).
roof pitch for roof covering (Chapter 32).
es or bearing ridge beam.
rage door or porch header sizes.
equate 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).
>
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION (IVR): (530) 538-4365
OFFICE: (530) 538-7541 FAX#: (530) 538-2140
ONLINE PERMIT/RENEWAL PAYMENTS: www.buttecounty.net\dds
PROJECT INFORMATION
Site Address: 14105 SIMMENTAL DR
Owner:
Pennit No: B08-0864
APN: 047-530-009
STIMAC, LORRIE ELLEN ETAL
Issued Date: 06/20/2008 BY TMP
Permit type: MISCELLANEOUS
14105 SIMMENTAL DRIVE
Subtype: Private Garage/Shop
CHICO,
CA 95973
Expiration Date: 06/20/2009
Description: DET GARAGE/SHOP(1500)
(530) 343-9343
Occupancy: Zoning: SRI 0
Contractor
Applicant:
Square Footage:
STIMAC, LORRIE ELLEN
Building Garage RemdVAddn
14105 SIMMENTAL DRIVE
1,500
CIFUCO, CA 95973
Other Porch/Patio Total
(530) 343-9343
1 1,500
FEE INFORMATION
DBEH Building Review Fee $78.90
DBF Garage -Wood Frame Plan Che $313.15
DBFIRE Fire Inspection (SRA) $107.00
DBFIRE Fire Inspection (SRA) $107.00
DBFIRE SRA Fire Plan Review (S $107.00
DBMSC Garage/Shop/Strge Wood F $469.72
DBOMSC Fire Safe Standards Rev $118.98
DBSM11P Residential $3.60
Total Charged: $1,305.35 Fees Paid: $1,305.35
Balance Due: $0.00 Receipt No: B7763
LICENSED CONTRACTOR'S DECLARATION
OWNER / BUILDER DECLARATION
Contractor (Name) State Contractors License No. / Class / Fxpires
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 Contractors 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 06/20/2008
the applicant to a civil penalty of not more than five hundred dollars ($500];
Please check one of the following:
Contractor's Signature Date
, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE
EKIOMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR
OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors License
Law does not apply to an owner of the property, who builds or improves thereon, and who does
WORKERS'COMPENSATION DECLARATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
HAVE
the work himself or herself or through his or her own employees, provided that such improvements
I 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.).
ElI HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by
1, As OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code:
ection 3700 of the Labor Code, for the performance of the work for which this permit is issued.
My Workers' Compensation insurance
The Contractors License Law dows not apply to an owner of the property who builds or improves
carrier and policy number are;
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
Contractors License Law.).
Carrier: Policy Number: Exp. Date:
(This section need not be completed if the permit one hundred dollars ($100)or_Fe_s_s.T_
I AM EXEMPT under Section B. & P.C. for this reason:
r;;;I<CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS
L_J 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'
X �IZZIIZXZM10612012008
—
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those
-
Ow Signature Date
P rovisi
06/20/2008
a
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
Signa;drej Date
WAR&6: 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.
County to enter the above mentioned property for inspection purposes. I hereby certify that I am the
property owner or am authorized to act on the property owners behalf.
C&t za bgY-1, pM 06/20/2008
CONSTRUCTION LENDING AGENCY
1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
Name of Permittee [SIGN] Print Date
the performance of the work for which this permit is issued. (3097 civ. code)
FCKwner 1:1 Contractor OR: 1:1 Agent for Owner E]Agent for Contractor
FILE COPY
Lenders Address city State zip _�
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION"
OFFICE#: (53.0) 538-7541 FAX#:(530)538-2140
A FEE WILL BE REQUIRED AT TIME OF APPLICATION
Website: www.buttecounty.net/dds
PLEASE PRINT CLEARLY
PERMIT
NO.
N&D-i
I BM# A-1 I
"When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information
related to this application is subject to public inspection and will be posted on the County's website for electronic access.
OWNER INFORMATION
Last Name
5T WA A
Name
Ftt Te
Mailing Address !
14 � t5- S I mn ^Ae 0 .. i-ik)
city
State
zip
Phone
Fax
E -mai 1 1
G #1'
U"C' (; to 19a a &
OM
APPLICANT INFORMATION
ONTRACTOR
Name
City
Address
Zip
city
Fax
State
Zip
Phone
Fax
E-mail
Lic. #
Class
APPLICANT INFORMATION
ARCHITECTIENGINEER
Name
City
Address
Zip
city
Fax
State
Zip
Fax
State License Number
APPLICANT INFORMATION
Name
Address
City
State
Zip
Phone
Fax
E-mail
f \ / - _-,
AJ0PftCAIVtS1GNATURE
AAA, A
PROJECTLOCATION
AN
Property Address
City
WORKER'S COMPENSATION
Policy Number
Carrier
If hiring anyone other than licensed contractors, a certificate of
worker's compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
DESCRIPTION OR SCOPE OF WORK.
Zoning
QJVC�Pood
Uwa
t s— y
SRA
V_
Sq FT- Living Garage(j�670 Open Cov
0 Structure Built without Permits
0 Proposed Change of Occupancy
(Note previous use):
For office use only:
Zoning
QJVC�Pood
SRA
I (�ejs
No
Occ.
Type Const.
WISP
Butte County Department of Development Services
TIM SNELLINGS, 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 yourselffrorn
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
protect -ion:
0 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
0 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 ofIndustrial
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 permits are not required to be signed by property owners unless they are performing their own work
personally.
Information about licensed contractors may be obtained by 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 WIELL 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.
1. 1 PERSO Y W TO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY
IMPRO=M -,�NTpk(YEPR NO)
2. 1 O/HAVE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK.
3. 1 HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION:
NAME
ADDRESS
PHONE
.CONTRACTORS LICENSE
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: DET GARAGE/SHOP(1500)
Reference Number: B08-0864
Applicant Name: STIMAC, LO ELLEN
Owner's Name: STIM RIRM E . L�EAITAL AP # 047-530-009
Signature of Property Owner:(. Date:
Butte County Department of Public Works
J. MICHAEL CRUMP, DIRECTOR
LAND DEVELOPMTNT DIWSION
Storm Water Managment Program
7 County Center Drive
Oroville, CA 95965
(530) 538-7266 Telephone
(530) 538-7171 Fax -
www.buttecounty.net/dds
0
0
0
0
National Pollutant Discharge Elimination System (NPDES) Phase 11 Construction Storm
Water Permit and Storni Water Pollution Prevention Plan (SWPPP) Acknowledgment
ILESSTRAN 1 ACRE I
Reference Number: B08-0864
Location: 14105 SD4M EENTAL DR
Parcel Number: 047-530-009
Owner Name: STMAC, LORRIEE ELLEN ETAL
Description: DET GARAGE/SHOP(1500)
Date: 05/13/2008
By: KCG
Sub Type: Private Garaee/Shop
Phone: (530) 343-9343
By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB 1 acre or more
of land and that I therefore, do not need to apply for a Construction Storm Water Permit from the State of California
Regional Water Quality Control Board. Phased projects that contain multiple site buildouts of less than one acre but
when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm
Water Permit from the state of California Regional Water Quality Board.
I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water
Permit from the State of California Regional Water Quality Control Board for this project that disturbes one acre or
more of land may result in revocation of grading and/or other permits or other santions provided by law.
f
Signed: Date: 05/13/2008
Title:
FILE
BUTTE COUNTY FEE SUMMARY
County Center Drive
Oroville, CA 95965
Department of Development Services
Phone (530) 538-7541 Fax (530) 538-2140
Permit Number: B08-0864
Job Address: 14105 SIMMENTAL DR
Contractor:
Printed: 05/13/2008
9:33 am
Fee Description Account Number , Fee Amount Paid Date PmtAmt
DBEH Building Review Fee
0021-540013-4614901 -1010( $78.90 05/13/2008 $78.90
DBFIRE Fire Inspection (SRA)
0100-450001-4617240-10101 $107.00
0100-450001-4617240-1010( $107.00 05/13/2008 $107.00
DBOMSC Fire Safe Standards Rev
0010-440001-4210500-1010( $118.98
DBFIRE SRA Fire Plan Review (S
0100-450001-4617240-1010( $107.00 05/13/2008 $107.00
DBMSC Garage/Shop/Strge Wood F
0010-440001-4210500-1010( $469.72
DBF Garage -Wood Frame Plan Che
0010-440001-4210500-1010( $313.15 05/13/2008 $313.15
DBSMIP Residential
1001-0-280-1011298 $3.60
19305.35 $606.05
Printed By: Kourtni Graham Balance Due: $699.30
At the time of p rmit application, I was advised the above fees are required prior to issuance of the
permit ' . These,�Iees ht!'d
the plan checking process.
Signature: Date: 05/13/2008
Pursuant to Government code Section 66020, you are hereby notified those items listed above may have been imposed on your project. You have 90 days
from the date of approval of the project or from the impostion of the above referenced items during which you may request a protest. The requirments
for a protest are specified in Government Code Section 66020(a).
California Department of Forestry and Fire Protection
Butte County Fire Department
Fire Prevention Bureau
176 Nelson Avenue, Oroville CA 95965
(530) 538-7888 Office, (530) 538-2105 Fax
Reference Number:
B08-0864
Date:
05/13/2008
Location:
14105 SUMMENTAL DR
By:
KCG
Parcel Number:
047-530-009
Sub Type:
Private Garage/Shop
Owner Name:
STMAC, LORRIE ELLEN ETAL
Phone:
(530) 343-9343
Description: DET GARAGE/SHOP(1500)
To meet the requirements of Government Cod6 section 51182 and Public Resource Code 429 1, Butte County
requires a pre -construction inspection to pro -actively provide the below building and site requirements to the
property owner. I
Your property is located within the State Responsibility Area (SRA) of Butte County
SRA is required to meet the below requirements:
v' Public Resources Code 4290
-/ - Public Resources Code 4291
V California Building Code, Chapter 7A
V Butte County Improvement Standards
Requirements prior to scheduling the pre -inspection:
V Full plan submittal to Butte County Development Services -Building Division
V Driveway and building- pad must be identified on site
-./ Structure location must be staked out on the building site
All development within the
Requests for inspections shall be made a minimum of 72 hours in advance by calling the Fire Prevention
Bureau's 24 hour inspection line at (530) 538-6226, (When the recording comes oR, enter the extension
number).
For the pre -inspections, the property owner or authorized agent is required to meet the inspector at the construction
site with two hard copies of the site plan.
I have read and understand the above pre -inspection requirement
C
05/13/2008
Date Signature
All of the Fire Safe Requirements are posted on the Butte County Fire Department website at
. htti):Hbuttefire.org/Fireprevention/i)roti)lan/protplan.html
Rev'd 5/7/07
FILE
Butte'County Department of Development Services
TIM SNELLINGS, 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
NOTICE TO BUILDERS"
Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In
addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental
Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to
expedite your permit:
0 Make sure your application is complete.
0 Be responsive to requests from County departments for any additional materials or requirements.
The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes
without a complete application adds to processing time.
Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not
started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to
expiration an indefinite number of times, provided construction progress has been documented by the Building Division during
each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In
order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking
and documentation may be required. Upon completion of work covered by this permit, please contact this office for final
inspection. As a reminder to you, it'is illegal to occupy this building or any portion of the building for which this permit is
issued without a final inspection.
EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY"
Application for which a permit has not been issued will expire one year after date of application.
Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications, if
the permit has not issued, but not after 180 days from the date of fee payment. Fees paid at the time of application are for
Plan Check and administration. The Plaii Check portion of fees is refundable only if the permit is cancelled or withdrawn
before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge to
process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the
permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund
amount) to determine no work was done.
Fee/refund information can be read on-line at http://municivalcodes.lexisnexis.com/codes/butteco/
"When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information
related to this application is subject to public inspection and will be posted on the County's website for electronic access.
Reference Number: B08-0864 Date: 05/13/2008
Location: 14105 SIMMENTAL DR
Parcel Number: 047-530-009
Owner Name: STIMAC, LORRIE ELLEN ETAL Phone: (530) 343-9343
Description: DET GARAG;gHOP(1500)
Signature of Applicant: Date: 05/13/2008
FILE
BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING DIVISION $13 r
7 County Center Drive, Oroville, CA 95965 0 :11, 0
0
Phone (530)538-7541 Fax (530)538-2140 website www.buttecounty.net 0
0
AFFIDAVIT REQUESTING DUPLICATE OF PLANS 0
(California Health and Safety Code Section 1985 1) U
The official copy of the building plans may not be duplicated without written permission from the certified,
licensed, or registered professional, if any, who signed the plans and the building owner:
I
I hereby request duplicate 'copies of the building plans on file with the Butte County Department of
Development Services, Building Division for:
Assessor's Parce . I Number: 0.1f-7- 5730— DO�' Permit Number(s):
Locatedat: lt4lbS- Gm'wti'k,��
(address of buflding)
I am aware of the following three provisions of the California Health and Safety Code as follows:
1. That the copy of the plans shall only be used for the maintenance, operation, and use of the building.
2. That the drawings are instruments of professional service and are incomplete without the interpretation of the
certified, licensed or registered professional of record.
3. That subdivision (a) of Section 5536.25 of the Business and Professions Code states that a licensed architect
who sigris and stamps plans, specifications, reports, or documents shall not be responsible for damage caused by
subsequent changes to or uses of those plans, specifications,'reports, or documents, where the subsequent
changes or uses, including changes or uses made by state or local governmental agencies, are not authorized or
approved in writing by the licensed architect who originally signed the plans, specifications, reports, or
documents, provided that the written authorization or approval was not unreasonably withheld by the architect
'and the architectural service rendered by the architect who signed and stamped the plans, specifications, reports,
or documents was not also a proximate cause of the damage.
Current Building Owner:
Design Professional of Record:
Signature of person requesting copies:
Printed or typed name of person
Date:
Address:
NA
16&�64-n ' - - _/ 6'yv� 61
Contact Phone Number:
Reason for requesting duplicated set of plans:
I
For Building Division Use Only - bi / —
12 Owner Permission -Date sent: Date received:
El Professional Permission -Date sent:
Date received:
Number: November 2005
BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING DIVISION S%JTr
7 County Center Drive, Oroville, CA 95965 0
Phone (530)53877541 Fax (530)538-2140 website www.buttecounty.net X
0 0
AFFIDAVIT REQUESTING DUPLICATE OF PLANS
(California Health and Safety Code Section 19851)
The official copy of the building plans may not be duplicated without written permission from the certified,
licensed, or registered professional, if any, who signed the plans and the building owner -
I hereby request duplicate copies of the building plans. on file with the Butte County Department of
Development Services, Building Division for:
Assessor's Parcel Number: D 0 �'_Permit Number(s):
Located at: I t4l D,'S- q, �t wekJn_�, D v,
(address of buMng)
I am aware of the following three provisions of the California Health and Safety Code as follows:
1. That the copy of the plans shall only be used for the maintenance, operation, and use of the building.
2. That the drawings are instruments of professional service and are incomplete without the interpretation of the
certified, licensed or registered professional of record.
3 . That subdivision (a) of Section 55-36.25 of the Business and Professions Code states that a licensed architect
who signs and stamps plans, specifications, reports, or documents shall not be responsible for damage caused by
subsequent changes to or uses of those plans, specifications, reports, or documents, where the subsequent
changes or uses, including changes or uses made by state or local governmental agencies, are not authorized or
approved in writing -by the licensed architect who originally signed the plans, specifications, reports, or
,documents, provided that the written authorization or approval was not unreasonably withheld by the architect
and the architectural service rendered by the architect who signed and stamped the plans, specifications, reports,
or documents was not also a proximate cause of the damage.
Current Building Owner.
Design Professional of Record:
Signature of person requesting copies:
Printed or typed name of person
Date
Address:
Contact Phone Number:
Reason for requesting duplicated set of plans:
I
For Building Division Use Only
12 Owner Permission -Date sent: Date received: 1,-)-1916)
0 Professional Permission -Date sent:
Receipt Number:
Date received:
Ro mb�erl..l
California Health and Safety Code
19851.
(a) The official copy of the plans maintained by the building department of the city or county provided for under Section
19850 shall be open for inspection only on the premises of the building department as a public record. The copy may not
be duplicated in whole or in part except (1) with the written permission, which permission shall not be unreasonably
Withheld as specified in subdivision (f), of the certified, licensed or registered professional or his or her successor, if any,
who signed the original documents and the written permission of the original or current owner of the building, or, if the
building is part of a common interest development, with the written permission of the board of directors or governing
body of the association established to manage the common interest development, or (2) by order of a proper court or upon
the request of any state agency.
(b) Any building department of a city. or county, which is requested to duplicate the official copy of the plans
maintained by the building department, shall request written permission to do so from the certified, licensed, or registered
professional, or his or her successor, if any, who signed the original documents and from (1) the original or current owner
of the building or (2), if the building is part of a common interest development, from the board of directors or other
governing body of the association established to manage the common interest development. .
(c) The building department shall also furnish the form of an affidavit to be completed and signed by the person
requesting to duplicate the official copy of the plans, which contains provisions stating all of the following:
(1) That the copy of the plans shall only be used for the maintenance, operation, and use of the building.
(2) That drawings are instruments of professional service and are incomplete without the interpretation of the certified,
licensed, or registered professional of record.
(3) That subdivision (a) of Section 5536.25 of the Business and Professions Code states that a licensed architect who
signs plans, specifications, reports, or documents shall not be responsible for damage caused by subsequent changes to, or
use of, those plans, specifications, reports, or documents where the subsequent changes or uses, including changes or uses
made by state or local governmental agencies, are not authorized or approved by the licensed architect who originally
signed the plans, specifications, reports, or documents, provided that the architectural service rendered by the architect
who signed the plans, specifications, reports, or documents was not also a proximate cause of the damage.
(d) The request by the building department to a licensed, registered, or certified professional may be made by the
building department sending a registered letter to the licensed, registered, or certified professional requesting his or her
permission to duplicate the official copy of the plans and sending with the registered letter, a copy of the affidavit
furnished by the building department which has been completed and signed by the person requesting to duplicate the
official copy of the plans. The registered letters shall be sent by the building department to the most recent address of the
licensed, registered, or certified professional available from the California State Board of Architectural Examiners.
(e) The governing body of the city or county may establish a fee to be paid by any person who requests the building
department of the city or county to duplicate the official copy of any plans pursuant to this section, in an amount which it
determines is reasonably necessary to cover the costs of the building department pursuant to this section.
(f) The certified, licensed, or registered professional's refusal to permit the duplication of the plans is unreasonable if,
upon request from the building department, the professional does either of the following:
(1) Fails to respond to the local building department within 30 days of receipt by the professional of the request.
However, if the building department determines that professional is unavailable to.respond within 30 days of receipt of the
request due to serious illness, travel, or other extenuating circumstances, the time period shall be extended by the building
department to allow the professional adequate time to respond, as determined to be appropriate to the individual
circumstance, but not to exceed 60 days.
(2) Refuses to give -his or her permission for the duplication of the plans after receiving the signed affidavit and
registered letter specified in subdivisions (c) and (d).
19852. The governing body of a county or city, including a charter city, may prescribe such fees as will pay the expenses
incurred by the building department of such city or county in maintaining the official copy of the plans of buildings for
which it has issued a building permit, but the fees shall not exceed the amount reasonably required by the building
department in maintaining the official copy of the plans of buildings for which it has issued a building permit. The fees
shall be imposed pursuant to Section 66016 of the Government Code.
19853. This chapter shall not apply to any building containing a bank, other financial institution, or public utility.
November 2005
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING D S;ION
7 County Center Drive - Oroviller,-Calif6rnia 95965 - Telephone (916) 538 5 44 X�1- PE IT NO.
�2
APPLICATION AND PERMIT 276 7
ASSESSOR PARCEL NUMBER
047-530-009
ZONING
RALDINGPERMIT
7
OWNER
LORRIE STIMAC
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
14105 SIMMENTAL DR, dHICO 95926
500
CONTRACTOR'S NAME
DAVE MARTIN CONST
TELEPHONE
CONTRACTORS MAILING ADDRESS
10 FRANCTSCAN WAY
Fireplace
CONSTRUCTION LENDER
UNW40WN
Total Valuation Is
UENDER'S MAILING ADDRESS
Filing Fee
$ 20.00
Permit Fee
$ 15.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS 14105 SIMIMENTAL DR, CHICO
PERMITFEE $ 35.00
PLUMBINGPERMIT
Filing Fee 20.00
Each Trap
1 7.00 1
LOT NO.
SUBDIVISION'SNAME
PARCEL MAP
Solar or heat pump water heater
23.00
USEOFSTRUCTURE
SF JP Duplex 0 Mobilehome 0 Other
SPECIFY
Water piping
15.00
Each gas water heater or vent
15.00 1".00
L _J
Gas piping system I - 5 outlets
15-00 15.00
Building sewer
15.00T
TYPE OF WORK
New 0 Addition 0 Remodel 0 Ublities 0 Installation 0 Other 0
Describe Work: GAS FIREPLACE RE 95-2129, 95-2206
Mobile Home I S I GI W 1
@20.00
1 -
PERMITFEE
$ 50.00
Contractor
ELECTRICAL PERMIT
Filina Fee 20:00
600V OR LESS
Main Service �O.A OR LESS
23.00
Main Service 200A TO 1000A
46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No. 6761711
OWNER -BUILDER DECLARATION'
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
0 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.
0 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUR
OR DNS. & ACC. BI nQ
so
3.50 Fr.
NEW CONST. MULTI -OUTLET
— NON-RESID. BRANCH CIRCUITS
97.50
FUWFR APPARATUS
SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FIXTURES
20 @ 1.00
BAL 0 10
FIXED APPLNS OR
Ex. Occup. TLETS (.E.,6.) EA,
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
+
PERMITFEE
$
Contractor
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
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.
0 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT
Filing Fee 20.00
Heating
GAS 'FIREPLACE
15.00
Cooling
Hood
6.50
Ventilation
PERMITFEE
$ 35-00
Contractor
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
worker§' compensation provisions of section 3700 of the Labor
fort ;�hose provisions.
r
X Date
Signature oMpplicant - 0 Owner 0 Contractor 0 Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL Fr:= 120.00
HAZ.
1 0. FEES
I IMP I FLO37_[7E7EL
PD
HD
ISSUE
This permit is hereby issued under the
of the Butte County Code and/or
indicated above for which fees have
By Ar__A 44
PERMITEXPIRESON
applicable provisions
Resolutions to do work]
been paid.
Date
ReceiptNo. 18433 zo)
. S. B.C. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD-
COUNTY OF BUTTE -DEPARTMENT CO?D'E'VELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive - Oroville,---Califdrnia 95965 - Telephone (916) 538-7541 PERMIT NO.
APPLICATION AND PERMIT
ASSESSOR PARCELIUM ER 0 C>
ZONING
BUILDING PERMIT
OWNE
R 4 t; vvta- C_
TELEPHONE
SO. Fr. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESJ� 1 -1
1 t I , -12- (.
/q/ - — M W N.
::
COrr;7� NAAP,(�
TELEPHONE
CONTRACTORS MAILING ADDRESS
/0 Em,A C f
Fireplace
CONSTRUCTION LENDER JU��N
Total Valuation
LENDERS MAILING ADDRESS
Filing Fee
$ 20.00
Permit Fee
$ oc
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS Ze-1 /0 S
PERMITFEE $
PLUMBING PERMIT
Filing Fee 20.00.
Each Trap
7.00
LOT NO. S UBDNtS IONS NAME PARCEL MAP
Solar or heat pump water heater
23.00
USEOFSTRUCTURE
SF 6e'6uplex 0 Mobilehome 0 Other
SPECIFY
Water piping
15.00
Each gas water heater or vent
15. 0 0 0-0
Gas piping system 1 - 5 outlets
15.00
t:�VV
Building sewer
15.00
TYPE OF WORK
New 0 Addition 0 Remodel 13 Ublities 0 Installation 0 Other 0
Describe Work: 44
2_� C)
Mobile Home ]7§J_dFWT
920.00
PERMITIFEE
Contractor
ELECTRICAL PERMIT
Filina Fee 20.'00
Main Service 800V OR LESS
200A OR LESS
23.00
Main Service 200A TO 1000A
46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER IDECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
0 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.
0 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUP
OR ADONS. _I _ACC. BLDS.
so.
3.50 FT.
NEW CONST. MULTI -OUTLET
NON-RESID. BRANCH CIRCUITS
97.50
POWER APPARATUS
a SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FOCTURES
20 @ i.00
SAL Q 50
Ex. Occup. FIXED APPLNS. OR
( OUTLETS (RESID.) EA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
PERMITIFEE
$
Contractor
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
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.
0 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
0 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California,. and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X Date
Signature of Applicant - 0 Owner 0 Contractor 0 Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMITIFEE S �f ��51 0 �O
Contractor
Mobile Home Installation Fee Is
Energy Inspection Fee Is
OCC
CONST. TYPE
ITOTALFEE$ 1_10,,Plo
HAZ.
I D. FEES J_ZTF79;�
COF PARCEL PID
This permit is hereby issued under the
of the Butte County Code and/or
indicated above for which fees have
By
PERMITEXPIRESON
applicable provisions
Resolutions to do work
been paid.
Date
(Date)
Receipt No.
I
WHITE -D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD-��PPLICANT
VA
rrp 7-
t�lr— 047-530-009 PERMIT#95-2129
STIMAC, Lorr��
14105 Simmental.Dr., Chico
3�. Gas Line,Wtr Htr HVAC/SF
4
OFFICE COPY
Address
GA S
Meter ByL-�W Date?
ELECTRIC
Meter By ------- Maire------�
E
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DfVISION
1#
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538 1541 12^_ PERMIT NO.
APPLICATION ANDVERMIT 7 zz> 01D�
ASSESSOR PARCEL NUMBER
1471-5,30-009
ZONING
BUOINGPERMIT
OWNER
GTVAC, Loni:-�
TELEPHONE
SQ. Fr. OCd BUILDING VALUATION
OWNER'S MAILING ADDRESS
14105 31!^.!ENTAL, CHICO 05973
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNMOWN
Total Valuation
LENDER'S MAILING ADDRESS
Filing Fee
$
20.00
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty
$
BUILDINGADDRESS 143105
PERMITIFEE
$
PLUMBING PERMIT
Filing Fee
20.00
Each Trap 1 7.00
LOT NO.
SUBDIVISION'S NAME
IPARCEL MAP
Solar or heat pump water heater
---23.00
USEOFSTRUCTURE
SF ]EI Duplex 0 Mobilehome 0 Other
SPECIFY
Water piping
15.00
Each gas water heater or vent 15.00
115. ()o
Gas piping system 1 - 5 outlets 15.00
15,00
Building sewer
15.00
TYPE OF WORK
New 0 Addition 0 Remodel 0 Ublibes 0 Installation 0 Other 13
Describe Work: GAS LINE, XFW GAS H20 HEATER RVAC
Mobile Home I S I GI W 1
920.00
PERMITIFEE, $
Contractor
ELECTRICAL PERMIT Filina Fee
2 0.'0 0
a OR LESS
Main Service L1.000VA OR LESS
23.00
Main Service 200A TO 1000A
46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No. 4�0121_ cll�_ I
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
0 1, as owner of theproperty, ormy employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
0 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUP.
OR ADDNS. 8, ACC. BLDS.
so
3.50 FT.
NEW CONST. ULTI-OUTLET
NON-RESID. BRANCH CIRCUITS 97.50
ER APPARATUS
aPSOINGLE oLrrLEr CIR.
Ex. Occup. OUTLET OR FIXTURES 20 @ 1.00
BAL (9 .50
Ex. Occup. FIXED APPUNS. OR
OUTLETS (RESID.) EA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMITIFEE $
Contractor
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
11 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.
0 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT
Filing Fee
20.00
Heating 11 15. 0' )
15.3f
Cooling I V,
5.100
Hood 6.50
Ventilation
PERMITFEE $
Contractor
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
kQ0 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I _1_11
forthwith comply with those provisions.
X 0 J Date
Signature of Applicant 0 Owner Q"Contractor 0 Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee
Energy Inspection Fee $
OCC
R3
CONST. TYPE
v N-
TOTAL F=9= 4t
E,, 100. (y,
HAZ.
I D. FEES
I IMP I FLOOD]
COF PARCEL
PD
This permit is hereby issued under the
of the Butte County Code and/or
indicated above for which fees have
B y
PERMITEXPIRESON 8131
f I
applicable provisions
Resolutions to
been paid.
Date
h6
(Date)
do work
ReceiptNo. &5-4,40 &)0,00
I
WHITE-D.O.S.-B.D. CANARY-A4ES�OR PINK -INSPECTOR GOLDEN ROD -APPLICANT
, Y,
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES -
7 County Center Drive - OrovjllF', Calif6rnia 95965 - Telephone
APPLINTON AND PERMIT
BUILDING ISION
P
(916) 53 541/ -
NO.
ASSESSOR PARCEL NUMBER
047-530-009
ZONING
SRI
B�PIDINGPERMIT
OWNER
STIXtAC, LORRIE
TELEPHONE
SQ. Fr. OCd. BUILDING VALUATION
OWNERS MAILING ADDRESS
1 4105 STMMFNTAT,, (14TCO 99973
CONTRACTORS NAME
TELEPHONE
CONTRACTORS MAILING ADDRESS
_____rOWN
Fireplace
CONSTRUCTION LENDER
Total Valuation Is
LENDERS MAILING ADDRESS
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty
$
BUILDING ADDRESS 14105 SInMENTAL
PERMITFEE $
PLUMBINGPERMIT
Filing Fee 20.00
Each Trap
7.00
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
Solar or heat pump water heater
23.00
USEOFSTRUCTURE
SF J0 Duplex 0 Mobilehome 0 Other
SPECIFY
Water piping
15.00
Each gas water heater or vent
15.00 15.00
Gas piping system I - 5 outlets
15.00 15.00
Building sewer
-
15.00
TYPE OF WORK
New 0 Addition 0 Remodel 0 Utilities 0 Installation 0 Other
Describe Work: GAS LINE, NEW GAS H20 HEATER & HVAC
Mobile Home I S I GI W 1
@20.00
I
PERMITFEE
50.00
Contractor
ELECTRICAL PERMIT
Filina Fee 20.00
Main Service "-O-OvA OORR L -E:: )
23.00
Main Service 200A TO 1000A )
46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class cl- Lic. No. 6012�1
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
0 1, as owner of theproperty, ormy employeeswith wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
0 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
D' I am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCC"- )
OR ADONS. a ACC. BLDS.
3.50 F?_
NEW CONST. MULTI -OUTLET
NON-RESID. BRANCH CIRCUITS
97.50
POWER APPARATUS
SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FIXTURES
20 @ 1.00
I&AL Q .50
Ex. Occup. FIXED APPLNS. OR
OUTLETS (RESID.) EA_
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE
$
Contractor
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
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.
0 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permitis issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT
Filing Fee 20.00
Heating
i i -i -on 15. OC
Cooling
1 15.00 15.0C
Hood
6.50
Ventilation
PERMITIFEE
50. OC
Contractor
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
q71 certify that in the performance of the work for which this permit is issued, I shall
7 -*not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X Date
Signi;turVi Applicant �_M Owner ontractor 0 Agent
An OSHA permit is required for excav ions over 60" deep and demolition or construction
o s ructures over 3 stories in height.
Mobile Home Installation Fee
:71
Energy Inspection Fee I $
Occ
3
CONST. TYPE ITOTALFEE
VN
$ 100.0(
HAZ.
I D. FEES
I IMP
I FLOOD
I CDF PARCE��
This permit is hereby issued under the
of the Butte County Code and/or
indicated above for which fees have
By
PERMITEXPIRESON
I/ If
applicable provisions
Resolutions to do work
been paid.
Date
(Date)
ReceiptNo. m 0, 00
I
WHITE-D.D.S.-B.D. CANARY-A,"ESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT
COUNTY -OF -BUTTE
BUILDING,DIVISION
DEPARTMENT Ot_06tLOPMENT SERVICES
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott,Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
S7-1m4c
OWNER
z 2 0 (1
PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above add ess a Id be corrected. Please notify this office when correction of work
r !0-ewo—u
.t� 'have any questions pertaining to this matter, or need additional explanation,
is comple i d If
please conta, �this office immediately.
ALL)& 57()(-'I�
C(
Date I/V Inspector
REV 10/92
_PF,-SIDENTIAL
047-530-009 PERMIT#95-2206
STIMAC, Lorrie
14105 Simmental Dr, Chico
Cont; Dave Martin Const.
Add 2 bedrms,Hall,Bath & Fmlyrm/SF
JOB FINALIED (Date) /6 3 0 —C/&
Signature
Y OK
5. Electricity: Location-Clearences-Grnd-/ /Amp -Concrete
0 Not OK
6. Gas; Location -Test-Wrap: / /"L"ft.
P'Nat. or/ /'*L"ft./ /"LPG
Not Applicable
Not Ready
MOBILE F16MES
Date
8. Utility Clearance
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Date
2. Soils; Special MH Support Sketch
Date
3. Sewer; Location -Test -Fall -C/0 Concrete
Date
4. Water; Location -Test -Easement Needed (Sketch)
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a
1. Zoning Req u ire ments-Setbacks-Easements
2. Footings; Soils-Size-Depth-Spacing-Connectors-SteeI
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts- Bea ms- Rft rs.-Co n necto rs
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nail i ng -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
5. Electricity: Location-Clearences-Grnd-/ /Amp -Concrete
Date
6. Gas; Location -Test-Wrap: / /"L"ft.
P'Nat. or/ /'*L"ft./ /"LPG
Date
7. Well Clearance & Disconnect
Date
8. Utility Clearance
1. Setbac ks- Ease men Is
2. Soils; Compaction -Structure Stability
Date
Card B-1 Card -B-1
Date
Card B-1 Date
Date
--Card-B-1
MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity: MH Test -C rossove rs- Brea ke rs-Clea ra nces
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/0 to Grade-HD'Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
Date
10. Cert. of Occupancyz-
Date
Card B-1 Date Card B-1
Date
Card 5-1 Date Card Bz1
Date
Card B-1 -Date -Card B-1
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a
1. Zoning Req u ire ments-Setbacks-Easements
2. Footings; Soils-Size-Depth-Spacing-Connectors-SteeI
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts- Bea ms- Rft rs.-Co n necto rs
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nail i ng -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
POOLS (Plans) OK except #'s
1. Setbac ks- Ease men Is
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosu res -Panel boards- Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
----------------------------------------------------------------------------------
Date Card B- I Date Card B-1
--------------- -------------------------------------------------------------
Date Card B-1 Date Card B-1
Date ME�J�ICAL (Permit) OK except Y's
e- A. C. D Is I sulation & Support
---- --------- ----------------------------------------------------
i&-V_ent Fan: Exhaust above insulation
- - ------------ - -- --------------------------------
_________---4_Condensate Drain & Overflow: Size -&-Grade ------- __ _ '_ __
-'Ir�urnance-Vent: Access -Comb. Air -Return Air Vent -1 15 outlet
--- --- - ----------- ----
------------ iw��ccess-�-Plat-f-orm-if-Furnance in -Attic -------------- --------
------------ A;.., ------------------------------- ----------------------------------
------------------------------- ----------------------------------
Car d--l-
,Date -------------------- B___(�__ --.,-----Date -------------- Card -B-11 -------------
Date Card B-1 Date Card B-1
Date FRAMINZrVIans) OK except ft's
Ur*fils. Proper Material & Anchors
VaI-- -- - - ---- -- - ------------------ --
ll s �t u d s Nai Ii ng. Spaci ng & Bracing - Plates- Sou nd
---------------------------------------------------------------------------------
42_,SeaTi`hg Walls over Girders & Floor Nailing
-- --------------------------------------- ------------------- ------
42w-Vr-art Stop in Walls (rat proof)
-----------------------------------------------------
-------------- 4�16;."Fi
]�W I rred Ceilings -Stairs -Chases -Tub
-------------- ---------- - ----------------
4W'Headers & Beam -Size & Bearing
;Ingle& Duplex)
Date FRAMING (Continued)
a rs-Post Caps -Anchors -Connectors
46"C-1 . Joist-Rftr. ties-Purlin -roof Brac-Truss-Shthng.-Rfng.
F* place Ties or Type A Flue -Fireplace Throat clearance
Attic Access; Size & Romex Protection -Draft Stop -Ins. Battles
)r Exiting Doors -Sill Hgt. & Dimensions
JA.,<arage Fire Protection Framing
r1roperty Line Firewall & Openings
Doors -One T -Check Garage -3rd Story, 2 Exits
Width -Head room -Ri se -Run- Land i ng -Fire Protection
on Roof Overhang -Attic Vents -Rafter Outriggers
LW'Siding- Nailing Veneer
&0--5tucc_q.Vesh-Drip Screed -Fd. Vents-UnderfIr. Access
W -Gla -z -mg Area -Glass Protection -Skyl ights-Plastic
58. 50dr Walls. Nailing -Bolts
Ins -tion-Walls-C ilings
--------------------
Date O-Zaq'i-Card B-1 r4-,pl� Nz_ Date Card B-1
Date Csvd B- 1 Date Card B-1
Date FlbWC(Plans) OK except O's
�<1 Ext. Sleps-Door & Sidelight Protection -Landings
6$ Smoke Detector
r- onnector-
ove oor-Ducts-Mech. Filrotection
------------- Lo r
�.G.F.I. & BX Rxtures & Tub*ccr9r-tP7--
r Flpr 5reaker S�izes& Labels
,47 A Rails
-------------- (;eq11_�1__oI________
q irep ace or Stove:-Clba-- nces-Heerfth
---------------
0, t:x I.
------ ---------------------
7 -------------- :�.nce
unter
----------------------------
-----------------------------
------- ------
Air-Connector-P.A.V.
�rotec
............. �5_ 1�.. fe�q. d for �Location�..
le
7 omex roe n
-----------
-------------------------------- — ----------- —
7
----------------- -------
7 Fdn. Vents & Crawl Hole Door -Drainage &
...... __ Cjq_a_-nLeU�21�2d_under Fl�� -2-T-es
__E�Follovving instId.: Drive s 0 No: Walks -11-Yes ID No;
Planters E3 Yes No
---------------
Eti. Stu=Mlrro�wn-Finsh
--------------------
. . isconnfect. ec
------ --------- _S____fLTLn,, i -71*"
Vents Above Ro f: Plbg.-Appli ce-Fir4lace.-Clearance to
Ope nings
... .......
-Ac, Trim- jGjFg.4��p ac Te-Underg round
------ ------------ -----
11"
V i ation Throughout House
... .......... --------- —
Gla; rotection
---------------------------
C ections from Previous Inspections
Gas Tes,-Meters Tagged: Gas-Elect,ic
_qL W ewer C
li�' �Energy Compliance Certificate -Other Certificates
------ -------------------------- — -------
------ ---------------------
Date Card B-1
------- I ------------_- I— ---
Date Card B-1
------- ------------- ----------
Date Card B-1
Comments at Final:
----------------------------
Date Card B-1
Date Card B-1
Date Card B-1
V OK
0 Not OK
Not Applicable
RESIDENTIAL
(E%
Not Ready
Date UNPMFLOOR (Plans) OK except #'s
��_eo n ing -Setbacks- Ease ments-Flood-Slope
V�. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
-uft Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
tg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
S!,pmwalls, Main; Steel -Bloc kouts-Wra pped
�0\ N% �Atemvvalls, Garage; Steel-Blockouts-Wrapped
Downs and Special Anchors
..��e6Td_
eSlab
,/Steel -Wrapped
P rs-Fireplace Ftg.-Steel
8. X
I.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test
10. UF. Gas Pipe: Size -Anchors - yard gas piping: size -test
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Pienums & Ducts; Clearance-Materiai-Support- Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. Insulation
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit),OK except #'s
Water Htr.: Vent -Access -Co mbust ion Air-Baff;e----
1U.41-5-ter Pipe: Test & Anchor -Nail Protection
— --- - ------- - -----
Test-Fittings & Anchor -Nail Protection
Pan: Test, First Floor -Tub Access
A9- Test Tub & Shower, Second Floor -Tub Access
,�._�d.S_P_ipe: S-i-ze _&An_c_ho_r_s_
------ - --- - -------------------
Car Date Card B-1
A�_—Date-_
Date- -------
Date Card B -I Card B-1
Date ELECTRICAL (Permit) OK except #'s
--2@--Fixture &-Transformer Clearance -Ins. Protection
— ------ ------------
Spacing-Lights & Switches at Doors
---------- �c�Riacles ---- - -------------
641.�ize��.oxe� & No. of Cond uctors-Sta pled
---------- - - - - -- - -------------------- — -----------
2 -k-*Vo x- I tailed Close to Edge of Studs & C,J.
----------------4!_Ci
7
gi Equip. roun d madeup w!Mech. Fastners-Bond Gas & Water
--- - - ------------------------------ - ----------------- - --------------
Pi. Appliance Circuts in Kitchen & Conductor Size/GFI
-------------------- - -------------- ------- ---------------------------
u
24 ufffed Wire Size ga. r AI-A.C. Wire Size I / ga.
Cu or At
---- - -- - ----------------------------
------------------------------------- ---------
--2!7.Range Circ. ! / ga. Cu or Al -Oven Circ. / ! ga. Cu or Al.
Insulated Neutral 0 Yes 0 No
------------------ ---------- -- - ------ - -------------------
3@-!5ervice-Riser Conductors & Ground -Main Disconnect
------------ - ----------------------- --------------------------
_-817't �!�nces Panels- Motors- Mech. Equip.
-------------------- 9 ------- -----------------
i�.*�Iothes Closet Light -Shower Light -Spa Light
--------------------- - ------
43. qpaetv"Detector
-------------- 116� ------------------------------------------------------------------
----------------------------------------------------------------------------------
Date Card B- I Date Card B-1
--------------- -------------------------------------------------------------
Date Card B-1 Date Card B-1
Date ME�J�ICAL (Permit) OK except Y's
e- A. C. D Is I sulation & Support
---- --------- ----------------------------------------------------
i&-V_ent Fan: Exhaust above insulation
- - ------------ - -- --------------------------------
_________---4_Condensate Drain & Overflow: Size -&-Grade ------- __ _ '_ __
-'Ir�urnance-Vent: Access -Comb. Air -Return Air Vent -1 15 outlet
--- --- - ----------- ----
------------ iw��ccess-�-Plat-f-orm-if-Furnance in -Attic -------------- --------
------------ A;.., ------------------------------- ----------------------------------
------------------------------- ----------------------------------
Car d--l-
,Date -------------------- B___(�__ --.,-----Date -------------- Card -B-11 -------------
Date Card B-1 Date Card B-1
Date FRAMINZrVIans) OK except ft's
Ur*fils. Proper Material & Anchors
VaI-- -- - - ---- -- - ------------------ --
ll s �t u d s Nai Ii ng. Spaci ng & Bracing - Plates- Sou nd
---------------------------------------------------------------------------------
42_,SeaTi`hg Walls over Girders & Floor Nailing
-- --------------------------------------- ------------------- ------
42w-Vr-art Stop in Walls (rat proof)
-----------------------------------------------------
-------------- 4�16;."Fi
]�W I rred Ceilings -Stairs -Chases -Tub
-------------- ---------- - ----------------
4W'Headers & Beam -Size & Bearing
;Ingle& Duplex)
Date FRAMING (Continued)
a rs-Post Caps -Anchors -Connectors
46"C-1 . Joist-Rftr. ties-Purlin -roof Brac-Truss-Shthng.-Rfng.
F* place Ties or Type A Flue -Fireplace Throat clearance
Attic Access; Size & Romex Protection -Draft Stop -Ins. Battles
)r Exiting Doors -Sill Hgt. & Dimensions
JA.,<arage Fire Protection Framing
r1roperty Line Firewall & Openings
Doors -One T -Check Garage -3rd Story, 2 Exits
Width -Head room -Ri se -Run- Land i ng -Fire Protection
on Roof Overhang -Attic Vents -Rafter Outriggers
LW'Siding- Nailing Veneer
&0--5tucc_q.Vesh-Drip Screed -Fd. Vents-UnderfIr. Access
W -Gla -z -mg Area -Glass Protection -Skyl ights-Plastic
58. 50dr Walls. Nailing -Bolts
Ins -tion-Walls-C ilings
--------------------
Date O-Zaq'i-Card B-1 r4-,pl� Nz_ Date Card B-1
Date Csvd B- 1 Date Card B-1
Date FlbWC(Plans) OK except O's
�<1 Ext. Sleps-Door & Sidelight Protection -Landings
6$ Smoke Detector
r- onnector-
ove oor-Ducts-Mech. Filrotection
------------- Lo r
�.G.F.I. & BX Rxtures & Tub*ccr9r-tP7--
r Flpr 5reaker S�izes& Labels
,47 A Rails
-------------- (;eq11_�1__oI________
q irep ace or Stove:-Clba-- nces-Heerfth
---------------
0, t:x I.
------ ---------------------
7 -------------- :�.nce
unter
----------------------------
-----------------------------
------- ------
Air-Connector-P.A.V.
�rotec
............. �5_ 1�.. fe�q. d for �Location�..
le
7 omex roe n
-----------
-------------------------------- — ----------- —
7
----------------- -------
7 Fdn. Vents & Crawl Hole Door -Drainage &
...... __ Cjq_a_-nLeU�21�2d_under Fl�� -2-T-es
__E�Follovving instId.: Drive s 0 No: Walks -11-Yes ID No;
Planters E3 Yes No
---------------
Eti. Stu=Mlrro�wn-Finsh
--------------------
. . isconnfect. ec
------ --------- _S____fLTLn,, i -71*"
Vents Above Ro f: Plbg.-Appli ce-Fir4lace.-Clearance to
Ope nings
... .......
-Ac, Trim- jGjFg.4��p ac Te-Underg round
------ ------------ -----
11"
V i ation Throughout House
... .......... --------- —
Gla; rotection
---------------------------
C ections from Previous Inspections
Gas Tes,-Meters Tagged: Gas-Elect,ic
_qL W ewer C
li�' �Energy Compliance Certificate -Other Certificates
------ -------------------------- — -------
------ ---------------------
Date Card B-1
------- I ------------_- I— ---
Date Card B-1
------- ------------- ----------
Date Card B-1
Comments at Final:
----------------------------
Date Card B-1
Date Card B-1
Date Card B-1
E
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PER IT N
14/0)
APPLICATION, OD PERMIT �Q IQ d
BUILDINGPERMIT
OWNER
LORRIE STIMAC
TELEPHONE
894-8566
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
14105 SIMMENTAT, DR, CHICO
1008 TR 54,432
CONTRACTORS NAME
DAVE MARTIN CONST
TELEPHONE
1343-2295
CONTRACTORS MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
LENDERS MAILING ADDRESS
Filing Fee $ 20.00
Permit Fee $ 437.00
ARCHITECT OR ENGINEER
LICENSE NO.
- Plan Checking Fee $ 984,05
- Energy Plan Checking Fee $ 00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty $
BUILDING ADDRESS 14105 SIMMENTAL DR, CHICO
PERMITFEE $ 64.05
PLUMBINGPERMIT Filing Fee 20.00
Each Trap 4 7-00 24.00
LOT NO.
SUBDIVISIONS NAME
MAP
Solar or heat pump water heater 23.00
USEOFSTRUCTURE
SF CK Duplex 0 Mobilehome 0 Other
SPECIFY
Water piping 15.00 15.00
Each gas water heater or vent 15.00
Gas piping system I - 5 outlets 15.00
Building sewer 15.00 15.00
TYPE OF WORK
New 0 Addition EX Remodel 0 Utilities 0 Installation 0 Other 0
Describe Work: 2 BDRM HALL BATH & FAMILY XSEW ROOM
Mobile Home IS I GI W 1 920.00
1_ I
PERMITFEE $ 74.00
Contractor
ELECTRICALPTIAIT Filina Fee 2 O.'o 0
Main Service 800v OR LESS
200A OR LESS 23.00
Main Service 200A TO 1000A 46.00
LICENSED CONTRACTOR'S DECLARATION
1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is i 11 force and effect.
License Class Lic. No. f5 � �
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
0 1, as ownerof theproperty, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
0 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUP. SO
OR_ADDNS. (_ , ACC. BLDS. 3.50 FT.- 35.28
NEW CONST. MULTI -OUTLET 97.50
NON-RESID. RANCH CIRCUITS
OWER PPARATU
( P31N.LEAOUTLET CSR.
OUTLET OR FIXTURES 2. @ 1.00
Ex. Occup. ( BAL 0 .50
FIXED APPLINS. OR
Ex. Occup. ( OUTLETS (RESID .) FA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMITFEE $ 55.28
Contractor
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
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.
0 1 have and will maintain workers' compensation insurance, as required by Section
3700of the Labor Code, for the performance of workforwhich this permitis issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood
JEE6.
E5O
Ventilation
PERMITFEE
Contractor
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
,f ort h corylply with those provisions.
ll�
X r Date
Signature of Applicant - 0 6-w--ner VContractor 0 Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
o structures over 3 storii s in height.
Mobile Home Installation Fee
Energy Inspection Fee Is 46 nn
OCC
R3
CONST. TYPE
VN
�TOTAL FEE $ 939.33
H��.,)p6
I IMP
I FLO
PID
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
7 0'
By
PERMiTEXPIRESON 1 -6 0Z' 7e ;5;�
(Date)
ReceiptNo.
WHITE-D.D.S.-B.D. CANARY-ASJFESSOR PINK -INSPECTOR GOLDEN ROD-APIPL ICANT
COUNTYOF BUTTE - DEPARTMENTOFDEV8L6FM ENT SERVICES -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE,CALIFQRNIA95965 -TELEPHONE (916)538-7541
PERMIT APPLICATION DATA SHEET
OWNER NQA AJ
Proposed Building Use
Btuilding
P. No. ()I-/ /-�)
�� Date 911dq�
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEWED BY
I All items have been submitted . .............
2. Plot plans, 3/4 sets, signed by preparer of plans. -, ..........................
3. Complete plans, 3/4 sets, signed by preparer of plans .......................
4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form . ...........
6. Energy Design Compliance and supporting documentation . ..................
7 * Statement of Intent for Non -Heated and A/C Buildings . ......................
8. Engineered truss details and layout in duplicate (required prior to plan check).
9. Mobilehome data and manufacturer's installation instructions, 2 sets . ...........
10. Feeis of $ .............
Impact fees as shown on attached schedule.0 .
12. alifornia Department of Forestry ..... . . .............
X�13. F "od elevation letter (100 year fio�bLy California gineer ....................
14. Sanitation and plot plan approval Health Department . ........ .... //7
15. City of Chico plumbing permit . .........................................
16. Plot plan and business license approval from City of Biggs/Gridley . .............
17. Planning approval for (A) Use: - --� -- (B) Parking: . .........
18. Contact Land Developmentabout. (A) Improvements (B) Drainage ............
19. Driveway permit (construction approval required prior to occupancy).
20. Pre -inspection for required. 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 , Mail to owner ) ............
24. Recorded copy of Agricultural Acknowledgement Statement . ..................
25. Letter of signature authorization . ........................................
26'. Copy of recorded, deed of parcel creation and 60 right of way to a public road.
27. Letter of intent on building use . .........................................
28. Mobilehome utility clearance . ..........................................
29. Documentation of legal access . ..................... ; ..................
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parce[meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits . ......................................
32. Plan check list . ........... : ..........................................
33.
34.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone 34-3-2 24?5-and hold for pickup at (!f 7�1(,o -'office. Deliver with inspector.
Other
Parcel Creation
Acreage Applicant Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. _Air Pollution Date
Copy of plans sent Health Dept. _ Fire Dept. Other - Date By -
The following data must be submitted prior to permit issuance: i(Circle new item not checked above).
1. Index permit for above items No. R40P J94IRS-z- dO�D!s r-,Lcs, ?6z- I& -1Z
2. Additional items required:
Contractor, designer, owner, was advised of above required data by _,,15-ho-ne mail Counter by/,At-Date IA�dkc--
Contractor, designer, owner, was advised of above required data by _ phone mail r by Date
Plans checked by Date. Flans approved by Date,
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
kV
TO: Building Department
FROM:' Environmental Health
SUBYEM Sanitation - Clearance
L A A 5 J -53-0
-/7
Owner Location AP#
Plan Approved for: Sewage Disposal Water Supply: Public Private Well
clearance for 2 bedroom Other �oi
L)
Hold final for:
Final clearance O.K. for:
quej-#-4
Environimerital
8/92
Specialist
Date
eN WOW
BUTTE COUNTY SCHOO LS IMOACTFEE CERTIFICATION FORM
(One'Form Per Building)
School District Building Department No.
A.P.Number Jurisdiction: City FX County
% 4 i
Property Owner
Property Location/Address N 10.9 DA
Subdivison Lot No.
[y] Sq. Footage )UNA
Residential Development
No. of ving MHI Ad'difion (Group
Units
Commercial/Industrial Sq. Footage
New Addition (Including Exterior
Roofed Areas)
Building Department Re�prekntative Date7
(Floor Plans reviewed by School District Personnel)
District Identification No.
School District certifies that
(Applicant) r
Address)
"'R
Lam
(State)
3 43 -;?rPq,97-
(Phone Number)
Lei
has complied with the requirements of Resolution No. by payment of $ X 7 -; 3. %
representing 0 0 square feet. AB 2926 $
FULL MITIGATION $
School District Repp6sdntative Date
Paid by Check # Remarks:
Bank Number
Paid by Cash
X, subsequent to the School District Representative signing this Butte County Schools Impact Fee
Certification Form, the School District is notified by the applicable Local Planning Agency that this project
is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to
additional school fees to fully mitigate its impact on the school district's schools.
White (applicant), Yellow (building department), Pink (school district) feeformmkl (1 1/94)dmm
K N _EA t C
CERTIF�JCATION
14105 Semmintal Chico, Ca.
L(OXCAT N
A. P. No.
D DESCRIPTION OF INSULATION
%owr
Material
Thicka"s(incileg)
KXTKRIOR WALL
Material FIBERGLASS BATTS
Thielmasa (inches) 31,"
CEILING
Batt or Blanket Type FTgFgrl AS c,- RATTS
Thickness( Incites)
L001110 Fill Type
Minimum Thickn:my (Incites)
Area eavored(f
FLOOR, &LIMATED
Material
Thlakaaas(inabes)
FLOOR, SJAB
Material
Thickness(inches)
Width(inehos)
FOUNDAT1,0V WALL
Material
Thickness(inches)
Brand Name
Thermal Resistance (R Value)
Brand Name SCHULLER INT.
Thermal Resistance(R Value) R15
Brand Name SCHULLER INT.
Thermal Resistance(R Value) _R38
Brand Name
Ntunber of Bags Wt. per bag 27 lb.
Thermal Resistance(R Value)___
Brand Name
Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R Value-)
Brand Name
Thermal Resistance(R Value)
1. hereby certify tilat the above insula tion was installed in the above' building
In cODf0V1R&nC@ with the State Of California Energy RequLrements.
INS jLAT10__N C-0. IN 499150
OW WYE STATE C
E ONTRACTOR'S LICENSE No.
—December 14, 1995
tW__1hWT LA 4IVAPFLICKfOR DATE
I hereby certify the above insulation a`nd all required items as shown on the
Building Doparbuient approved plans and attactunents have been Installed &a
required by tU* State Of California Energy Requirements.
All equipment, devices and materials are of the quality prescribed or are
Spscif ically approved by the State of California.
F RR (please I print- STATE CONrRACTOR'S LICENS
E No.
9ItX4X6RZ (W ORNE-RAL RACTOR OWNER _DAfE
THIS CERTtFICATE MUST BE ON FILE WITH THE BUILDINC DEPARTMENT PRIOR TO FINAL
1NSPZC_T1ON APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING
January 1984
5410
..APAKrr%P
Certificate of Conformance
Certificate 39893
THE UNDERSIGNED MANUFACTURER HEREBY CERTIFIES that the structural wood products
identified below and marked with a collective mark of American Wood Systems (AWS) were man-
ufactured in accordance with the specifications indicated below.
79 ANSI Standard A190.1-1992, for Structural Glued Laminated Timber
0
Job Name KELLER LUMBER SALES
Job Location REDDING, CA
Customer's Order No. 5410 Date 6-27-95 — Mfgr's order No. 5615—C
PROOF LOADED END JOINTS
signature
Company ROSBORO LUMBER CO.
Title QUALITY CONTROL
Address SPRINGFIELD, OREGON Date
6--27-95
\1P
IT IS HEREBY CERTIFIED that the structural glued laminated timber production of the above-named
manufacturer which carries a collective mark ' of American Wood Systems (AWS) is subject to regular
audit by. American Wood Systems, such audit consisting of the inspection with reasonable frequency
of the manufacturing process, with adequate sampling to verify the quality of glulam construction and
the adequacy of glue bond.
ST) M
44
ANN
SEAL I J UN
J KELLER I13R,
%% !3AUS
S Ii I NO �X
hv J.
Thomas G. Williamson,
Executive Vice President
SHIPPING ORDER - FREIGHT BILL
It-r-lLER LU, BOER SALES, INC.
DATE 10/26/95 CARRIER 7381
LUST MER ORDER NO.
.'!'REDDING'- POINT OF REDDING
PO�14T OF
N
OR GIN DESTINAfION-_"_
k
SHIPPER_� KELLER LUMBER SALES., INC. CONSIGNEE MOSS LBR
ADDRESS P. 0. BOX'994005 ADDRESS
CITY REDDING, CALIF.' 96099 -4005
QTY.
WIDTH
DEPTH
LENGTH
DESCRIPTION OF COMMODITIES
STOCK GLU LAMS
3-1/8.
15
1/23'
S71) V\A
FO -.#XM 2314).
SHIPPER
KELLER LUMBER SALES, INC.
CARRIER BY
CUSTOMER DR IVER
CONSIGNEE RECtIVECIN 606D 05N-DITION kC11 AS NOTED
MOS& LBR
PAYMENT
RECEIVED:
:,CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 1 CF -1R
Project Title .......... 2555 SF 4 BR. Residence Date ...... 06/22/95
Project Address ........ 9640 Teal Lane
Durham
Documentation Author ... Marty Runnells Bul ing ermit
Company ................ Energy Calculation Svcs. - 11-177
-9522 H�
Telephone .............. (916) 894-8466 / 246 Plan C. ec, / Date
Compliance Method ...... MICROPAS4 by Enercomp, Inc.
Climate Zone ............. 11
Fie I T C'H & cT 7 D -at e
MICROPAS4 v4.02 File -95137S Wth-CTZ11S92 Program -FORM CF -IR
User#-MP1333 User -Energy Calculation Svcs. Run -9640 Teal Lane -Cole Const
GENERAL INFORMATION
Conditioned Floor Area ..... 2555 sf
Building Type .............. Single Family Detached
Construction Type ......... New
Building Front Orientation. Front Facing 355 deg (N)
Number of Dwelling Units ... 1
Number of Stories .......... 1
Floor Construction Type .... Slab On Grade (Package D)
BUILDING SHELL INSULATION
Component
Insulation
Assembly
Type
R
-value
U -Value
Location/Comments
Wall
CM�-L3__�
0.063
FRONT, LEFT, BACK, BACK -LEFT, BACK -RIGHT
RIGHT
Wall
0.089
KNEE WALL, TO GARAGE
Door
J,13
0.330
TO GARAGE
Roof
0.031
TO ATTIC, VAULT
SlabEdge
0
0.500
TO GARAGE
SlabEdge
R-0
0.550
TO GARAGE
SlabEdge
R-0
0.720
TO EXTERIOR
SlabEdge
R-0
0.900
TO EXTERIOR
FENESTRATION
# of
Interior
Over -
Area
U_ Pan-
Shading/
Exterior
hang/
Framing
Orientation
(sf)
Value es
Description
Shading
Fins
Type
Window Front
(N)
30.0
0.520 '2
Drapes.Std
None
Yes
VinylDiv
Window Front
(N)
53.0
0.510 2
Drapes.Std
None
Yes
VinylDiv
Door Front
(N)
20.0
0.570 2
Drapes.Std
None
Yes
WoodDiv
Window Front
(N)
55.0
0.520 2
Drapes.Std
None
None
VinylDiv
Window Front
(N)
21.1
0.510 2
Drapes.Std
None
None
VinylDiv
Window Left
(E)
48.0
0.520 2
Drapes.Std
None
Yes
Vinyl
Window Left
(E)
17.5
0.520 2
Drapes.Std
None
None
Vinyl
Window Back
(S)
142.5
0.520 2
Drapes.Std
None
Yes
Vinyl
Window Back
(S)
48.0
0.510 2
Drapes.Std
None
Yes
Vinyl
Window Back
(S)
52.5
0.520 2
Drapes.Std
None
None
Vinyl
Window Left
(SE)
17.5
0.520 2
Drapes.Std
None
None
Vinyl
Window Back
(SW)
17.5
0.520 2
Drapes.Std
None
Yes
Vinyl
Window Back
(SW)
48.0
0.510 2
Drapes.Std
None
Yes
Vinyl
,,-Window Right
(W)
8.0
0..520 2
Drapes.Std
None
Yes
Vinyl
CERTIFICATE OFCOMPLIANCE: RESIDENTIAL Page 3
.Project Title ........... 2S55 SF 4 BR. Residence Date ......
MICROPAS4 v4.02 File -95137S Wth-CTZ11S92 Program -FORM CF -2
User#-MP1333 User -Energy Calculation Svcs. Run -9640 Teal Lane -Co
COMPLIANCE STATEMENT
CF -1R
06/22/95
Const
This certificate of compliance lists the building features and performance
specifications needed to comply with Title -24, Parts 1 and 6 of the
California Code of Regulations, and the administrative regulations to
implement them. This certificate has been signed by the individual with
overall design responsibility. When this certificate of compliance is
submitted for a single building plan to be built in multiple orientations,
any shading feature that is varied is indicated in the Special Features/
Remarks section.
Name ....
Company.
Address.
Phone ...
License.
DESIGNER or OWNER
Gregory Cole
130 Donald Drive
Chico, CA 95926
(916) 893-0881
Signed. . Z410�
1WZM01!q
Name ....
Title ...
Agency..
Phone ...
Signed.
AGENCY
DOCUMENTATION AUTHOR
Name .... Marty Runnells
Company. Energy Calculation Svcs.
Address. 1907 Mangrove Ave. Ste D
Chico, California 95926
Phone ... (916) 894-84G6 / 246-9522
Signed. .
e ) (dat
t e
MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 1
Project Title .......... 2555 SF 4 BR. Residence Date ......
n��4 ��+- AA - - QC A r) M I T
. . . . . . . . �_ CL CLI I
Durham
Documentation Author ... Marty Runnells
Company ................ Energy Calculation Svcs.
Telephone ............... (916) 894-8466 / 246-9522
Compliance Method ...... MICROPAS4 by Enercomp, Inc.
Climate'Zone ........... 11
MF -1R
06/22/95
Permit #
PI`anCTTe_Ck / Date
Field Check/ Date
MICROPAS4 v4.02 File -95137S Wth-CTZ11S92 Program -FORM MF -1R
User#-MP1333 User -Energy Calculation Svcs. Run -9640 Teal Lane -Cole Const
Lowrise residential buildings subject to the Standards must contain these
measures regardless of the compliance approach used. Items marked with an
asterisk (*) may be superseded by more stringent compliance requirements listed
on the Certificate of Compliance. When this checklist is incorporated into the
permit documents, the features noted shall be considered by all parties as
binding minimum component performance specifications for the mandatory measures
whether they are shown elsewhere -in the documents or on this checklist only.
BUILDING ENVELOPE MEASURES
Design- Enforce-
er ment
*150(a): Minimum R-19 ceiling insulation.
150(b): Loose fill insulation manufacturers labeled R -Value.
*150(c): Minimum R-13 wall insulation in framed walls
(does not apply to exterior mass walls).
V,
*150(d): Minimum R-13 raised floor insulation in framed floors;
minimum R-8 in concrete raised floors.
MIA
150(i): Slab edge insulation - water absorption rate no greater
;0
than 0.301, water vapor transmission rate no greater than 2.0
perm/inch.
118: Insulation specified or installed meets CEC quality
16/
standards. Indicate type -and form.
116-17: Fenestration Products,, Exterior Doors and Infiltration/
exfiltration controls
a. Doors and windows between conditioned and unconditioned
spaces designed to limit air leakage.
b. Manufactured fenestration products have label with
certified U -value, and infiltration certification.
c. Exterior doors and windows weatherstripped; all joints
and penetrations caulked and sealed.
V",
150(g): Vapor barriers mandatory in Climate Zones 14 and 16
only.
150(f): Special infiltration barrier installed to comply with
Sec. 151 meets CEC quality standards.
150(e): Installation of Fireplaces, Decorative Gas Appliances
and gas logs
1. Masonry and factory -built fireplaces have:
a. Closeable metal or glass door
b. outside air intake with damper and control
c. Flue damper and control
2. No continuous burning gas pilots allowed.
MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 2
.Project Title .......... 2555 SF 4 BR. Residence Date ......
MF -1R
06/22/95
MICROPAS4 v4.02 File -95137S Wth-CTZ11S92 Program -FORM MF -1),
User#-MP1333 , User -Energy Calculation Svcs. Run -9640 Teal Lane -Co'!(-, Const
SPACE CONDITIONING, WATER HEATING AND PLUMBING SYSTEM MEASURES
Design- Enforce-
er ment
110-13: HVAC equipment, water heaters, showerheads and faucets
certified by the CEC. V
150 (i) : setback thermostat on all applicable heating systems. _i.7 -
150(j): Pipe and Tank insulation
1. Indirect hot water tanks (e.g., unfired storage tanks or
backup solar hot water tanks) have insulation blanket (R-12
or greater) or combined interior/exterior insulation (R-16
or greater).
2.
First 5 feet of pipes closest to water heater tank, non -
recirculating systems, insulated (R-4 or greater) .
3.
All buried or exposed piping insulated in recirculating
sections of hot water system.
4.
Cooling system piping below 55 degrees insulated.
5.
Piping insulated between heating source and indirect
hot water tank.
V
*150(m): Ducts and Fans
1.
Ducts constructed, installed and sealed to comply with UMC
sections 1002 and 1004; ducts insulated to a minimum
installed value of R-4.2 or ducts enclosed entirely within
conditioned space.
2.
Exhaust fan systems have backdraft or automatic dampers.
3.
Gravity ventilating systems serving conditioned space have
either automatic or readily accessible, manually
operated dampers.
114:
Pool and Spa Heating Systems and Equipment
System is certified with 78*-. thermal efficiency, on -of f
switch, weatherproof operating instructions, no electric
resistance heating and no pilot light.
2.
System installed with:
a. At least 36 inches pipe between filter and heater for
. future solar heating.
b. Cover for outdoor pools or outdoor spa.
3.
Pool system has directional inlets and a circulation
pump time switch.
115:
Gas-fired central furnace, pool heater, spa heater or
household cooking appliance have no continuously burning
pilot light (Exception: Non -electrical cooking appliance
with pilot < 150 Btu/hr.). -
LIGHTING MEASURES
Design- Enforce-
er ment
150(k) : 40 lumens/watt'or greater for general lighting in
kitchens and rooms with water closets; and recessed ceiling
fixtures IC (insulation cover) approved.
CERTIFICATE OF
COMPLIANCE: RESIDENTIAL
Page 2
CF -1R
Project Title ........... 2555 SF 4 BR. Residence
Date ......
. 06/22/95
MICROPAS4 v4.02 File -95137S Wth-CTZ11S92 Program -FORM CF -:i'
User#-MP1333 User -Energy Calculation Svcs. Run -9640 Teal Lane -C(. e Const
THERMAL MASS
Area Thickness
Type Exposed (sf) (in) Location/Comments
SlabOnGrade
SlabOnGrade
InteriorHorz
InteriorVert
Equipment Type
Gas
AirCond
Tank Tvne
No 2304 4.0 TYPICAL
Yes 251 4.0 ENTRY/KIT./LNDRY./BATHS
Yes 73 1.0 COUNTERS/BATH
Yes 99 1.0 SHOWER/TUB ENCLOSURES
HVAC SYSTEMS
Minimum Duct Duct Thermostat
Efficiency Location R -value Type
,0,.,8 0 0 -AFUE —At t i C �k_-472? Setback
10.00 SEER�--� -4.2
Attic R .2 Setback
L___'
WATER HEATING SYSTEMS
Number Tank External
in Energy Size Insulation
Heater Type Distribution Type System Factor (gal) R -value
56 EF `5b --k--0----_
Lage__ t�andard:;>
SPECIAL FEATURES/REMARKS
rWindows-shal 1 -be -Phi lips -Vinyl-.---,
FI
DENTIAL
4 2025--qi9,—P,
7-s'�-09
STIMAC, L.
3- 9z, X.A, A, 14105 Simmental Dr, Chico
cont: Adonis Pools
(swimming pool)
V v rr C- Of r f- C .1 11W
Shv-11.
JOB FINALE
Signature
<�o - C
if
\ L4*
V OK
0 Not OK
Not Applicable
Not Ready MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except If's
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/0 Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test-Wrap: / P'L"ft.
/ P'Nat. or/ /"L"ft./ /-LPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requi rements-Setbacks Easements
1
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test- De ma nd-Valve—Co n necto r
4. Electricity; MH Test -Crossovers- Brea kers- Clea ran ces
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
Date
Card B-1 Dat e Card B-1
Date
Card B-1 Date Card B-1
k
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils-Size-Depth-Spacing-Connectors-SteeI
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts- Bea ms- Rftrs. -Connectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
—9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date 113000 (Plans) OK except It's
s ; Co ac�ion-StrucVre Stability
, Co ct'
ctu,e. St.
S�'.
u �el-Connections-Thiclkness
e,
oll ct
00
'o
L, i g
35eM�enLining __�tighting, Distances -GA
t,,Efe�,�eptacles an,4
_%11ff1'eq,;, Pool LightiRd' 15 volts-GF1
§,#_<eg,�Enciosures; conduit Entries -Terminals -Listed
j,oei'ec ; Bond
kxf,'-metai w/5' -circulating Equip. -Heater
c.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Bo2!!-�E�su res- Panel boards- Ins. to Main in Conduit
eaqK-f5epartment Approval
mb.; Cir. Test -Water Supply Test
/,)4h+ Alich- 0.2-fti'v, Sne btadt
& v
Date:!7 �q �qj Card B-1 Qbj��) Date 3—jr?-Card B-1
Date Card 13-1 ghL Date Card B-1
4 IV ULVI
. � = OK
0 Not OK
,p Not Applicable
Not Ready RESIDENTIAL (Single & Duplex)
Date UNDERFLOOR (Plans) OK except # s
1. Zon i ng -Setbacks-Ease ments-Flood -Slope
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Stemwalls, Main; Steel -Bloc kouts-Wra pped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Pienums & Ducts: Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. Insulation
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit),OK except P's
6.- Water Htr.: Vent -Access -Combustion Air -Baffle
17. Water Pipe: Test & Anchor -Nail Protection
18. D.W.V.: Test -Fittings & Anchor -Nail Protection
19. Shower Pan; Test, First Floor -Tub Access
20. Test -Tub & Shower. -Second Floor -Tub Access - ----------------
21. Gas Pipe: Size & Anchors
Date Card B-1 Date Card B-1
- --- - - - --------------------------------
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except ft's
22. Fixture & Transformer Clearance -Ins. Protection
---- ------------------ - - -------- - - -------------------- - ---------------- --
23. Elec. Receptacles Spacing -Lights & Switches at Doors
24. Size Boxes & No. of Conductors -Stapled
-- ----------- __ - - - ---------- - -- - -------------------- - -------------
25. Romex Installed Close to Edge of Studs & C.J.
-- - -------------------------- ------------------
--- - --------- 26.- _Eq u i p..- Grou nd- made-up- w 'Mech.-.Fastners- Bond Gas- &-Water
27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI
------------ ------------------------------------- -------- - -------------------
28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size ga.
Cu or Al
29. Range Circ. ga. Cu or Al -Oven Circ. ga. Cu or Al.
Insulated Neutral 0 Yes 0 No
-------------------------------------------------- --------------------------------
30. Service -Riser Conductors & Ground -Main Disconnect
- -_---------------------------
-------------- 31.-Equi-p.-Cleara-nces Panels-Motors-Mech. Equip - -------------------
32. Clothes Closet Light -Shower Light -Spa Light
----------------------------------------------- ---------------
33. Smoke Detector
-- ----------- ---------------------------------------------- - --------------------
__ ----------------------------------- - -------------------------------------------
Date Card B -I Date Card B- I
-------------- ----------------------------------------------------- ----------
Date Card B- I Date Card B-1
Date MECHANICAL (Permit) OK except 4's
34. A.C. Ducts Insulation & Support
------------- --------------------------------------------------------------------
35. Vent Fan: Exhaust above insulation
----------------------------------------- ---------------------------------------
36. Condensate Drain & Overflow: Size & Grade
------------------------------------------------------------------------- -----------
37. Furnance-Vent: Access -Comb. Air -Return Air Vent -1 15 outlet
----------------------------------------------------------------------------------
-------------- 38.- Attic -Access-&- Platform-if-Furnance in -Attic -----------------------
-----------------------------------------------------------------------------------
-- - ----------------------- - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - -
Date Card B-1 Date Card B-1
---------------- - --------------------------------------------------------
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except ft's
39. Sils. Proper Material & Anchors
------- ------ -------------------------------------------- -----------------------
------------- 40.- W-alls-Studs--Nailing. Spaci ng-&-Brac ing - Plates- Sou-nd -------------
_41.. Bearing -Walls ove-r-G-irders-&-Floor Nailing -----------------
--------- 42.--Draft-Stop-i-n Walls- (rat -proof) -------------------------------------
-------------- 43.. F -ire -Stops: Furred Ceilings -Stairs -Chases -Tub --------- - - - ---
44. Headers & Beam -Size & Bearing
Date FRAMING (Continued)
45. Hangers -Post Caps -Anchors -Connectors
46. CIng.- Joist-Rftr.' ties- Purl in -roof Brac-Truss-Shthng.-Rfng.
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
48. Attic Access: Size & Romex Protection - Draft Stop -Ins. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50. Garage Fire Protection Framing
Property Line Firewall & Openings
52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits
53. Stairs: Width -Head room-Rise-Run-Landi ng-Fi re Protection
----------- - 54.- plywood on Roof Overhang -Attic Vents -Rafter Outriggers
------------- 55.- Siding -Nailing Veneer
56. Stucco Mesh -Drip Screed -Fd. Vents-UnderfIr. Access
57. Glazing Area -Glass Protection -Skyl ig hts- Plastic
58. Shear Walls: Nailing -Bolts
59. Insulation -Walls -Ceilings
------------------ - ----- - --
60. Infiltration -Walls -Windows
Date
Date
_Card B-1 Date Card B-1
Card B-1 Date Card B-1
Date FINAL (Plans) OK except #'s
61.- Ext. Steps -Door & Sidelight Protection -Landings
62. Smoke Detector
------------------------
63. Furnace: Vents -Clearance -Comb. Air -Connector -
In Garage: Above Floor-Ducts-Mech. Protection
-----------
64. Bedroom Exiting
-----------------------------
65. G.F.I. & Bath Fixtures & Tub Access -Spa
------------- --------------
66. Elec. Trim & Subpanel: Breaker Sizes & Labels
----------------
67. Stairs & Rails
-------------- - ------ ------------
F-ireplace or Stove: Clea ra nc 6s- Hearth.
69. Elec. Outlets at Wood Panel: Int. & Ext.
------------------
70. Kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance
-------------------------- - ----- -
--------------- 71:--Elec. Outlets & Receptacles at Kit. Counter
72. Garage Fire Door: Swing -Landing-Close r
--------------------------------
_._____73.__A.C._0uct in -Garage -Damper
74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V.
in Garage: Above Floor-Mech. Protection
75. Plb., Elec. & Mech. Equip. Listed for Location
----------------------------------
1 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection
----------------
7-,. 1 nsu lation- Foam- Looked in Attic 0 Yes
---------------- --------------
Guard-Rails & Deck Construction -Post Caps
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
----------------- Clearance Looked -under Floor- 0 Yes
80. Following instld.: Drive 0 Yes 11 No: Walks 0 Yes 0 No:
Planters 0 Yes 0 No
------------------------
81-.- Stucco: Brown -Finish
82. A.C. Unit: Disconnect. Electrical, Plumbing
---------------------------------
83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to
Openings
84. Water Well: Disconnect, Electrical, Plumbing
------------
85. Exterior Elec. Trim: G.F.I. Receptacle- Underground
----------- _1 ---------------------
86. Ventilation Throughout House
---------- ---------------
87. Glass Protection
-------------------------
88. Corrections from Previo us Inspections
------------------ --1 ----------
89. Gas Test -Meters Tagged: Gas -Electric
--------------------------- -
------------- 90. -.Water &-Sewer Connected -C/O to Grade -HD Approval
91. Energy Compliance Certificate -Other Certificates
---------------------------
------- ----------------------------------
Date Card B- I Date Card B-1
------------------- I -----------------
-Date- --.-------Card _B-1 -- -------- -Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
-------- -----------
I
COUNTY OF BUTTE 4 L
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 538-7541
747 Elliott Road, Paradise — Phone: 872-6307
CORRECTION NOTICE
n- -h A4 6, �- -
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction f ork is completed. If you have any question pertaining to this
matter, or nee:;?a�dlitional explanation, please contact this office immedia'i-ely.—
all '� / j-, 6 ; C� c/ )p I- C 5; 1. -4� 1
Date Inspector
COLINTY OF BUTTE - DEPAR:rmj.NT OF PUBLIC WORKS
7 County Center Drive - Orovil I ) a. California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
.1 -f
ASSESSOR PARCEL NUMBER
47-53-009
ZONING
SR -1
BUILDING PERMIT
OWNER
T.- St-Amic
TELEPHONE
894-8566
SQ.FT. OCC. BUILDING VALVA-flON
Est, 19,600.00
OWNER'S MAILING ADDRESS
141ns qPmai%6al, Chico 95926
CONTRACTOR'S
Adnni-, Poolq
TELEPHONE
891-1197
CONTRACTOR'S MAILING ADDRESS
Chiro 95926
Fireolace
CqON,S6T-RCU C"
UNKNOW N
Total Valuation $19,600.00
Filing Fee
$ -10.00
LENDER'S MAILiNC, ADDRESS
-OR
Permil Fce
$140.50
ARCH!Tr.�T L_.-T_�INEVR
Rn r b mn
Ian Che-_-�;ng Fee
$ 15.00
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$165.50
PLUMBING PERMIT FilingFee 10.00
J4145 SgMMental, Chirn
Each Trap
1 2.00
Solar or heat pump water heater
20.00
LOT NO.
UEDIVISION NAME
PARCEL MAP
Water piping
5.00
Each pas water heater or vent
1 5.00 1 5.00
USE OF STRUCTURE
SF[] Duplexf_� Mobilehomer-1 Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
-5.00
Mobile Home is
10-00ea
TYPE OF WORK
New nX Addition [:1 Remode I [:] Utilities [:1 InstallationEl Other EJ
Des6ribe work: Swimming Pool
Maqtpr #505'-88
Permit Fee
$15. 00
Contractor
ELECTRICAL PERMIT
FilingFee 10.00
Main service 6101 OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD -L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Busines S
and Professions Code and 4 license is in fu��rce and effect.
License No.a6c;;?B�l Classificati6n"
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)
El I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
F] I am exempt under Sec.-, Business and Professions Code
for this reason
NEW CONST. I DWELLING OCCUR.5d
OR ADDNS. % ACC, BLDGS.
21ftsq ft
-NEW CONSTR. MULTI.OUTLET
NON*RESID* BRAN CH CIRCU ITS)
.2.50 ea I
(PO ER APPARATUS.8.)
SiNWGLE OUTLET CIR
Ex. Occup(OUTLETS OR FIXTURES
0050c
.2ALO 30f
FIXED APPLNS OR
Ex. Occup. OUTLETS (RESI'D.) EA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15-00
Misc. Wiring
15.00
Pool Flpctrir
15.od 15.00
Permit Fee
$25.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
f -I The permit is for $100.00 (valuation) or less.
have placed on file with the County of Butte Building Department
Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
F] I shall not employ any person in any manner so as to become subject
t o the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed.revoked.
Contractor
MECHANICAL PERMIT
FilingFee 10.00
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County ot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabili W*es', t
!pep s, costs, and expenses which may in any way accrue
1 0 f the granting of this permit.
D at e C2
Signature of Applicant - Owner El Contracto)rk, Agent 11
An OSHA permit is required for excavations Over 5.0_ d eep and demolition of construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee
'Occ
ERAZ.
CONST TYPE
TOTALFE E $205.50
CUA- I PARK
SCHL
I FLD
I CDF
I PAR
I PD
Th's permit is hereby issued under tne applicable provi-
si�i;s of the Butte County- Code and/or resolutions to do
work indicated above for -which fees have been paid.
DIRECTQ�R)OF UBLIC WORKS
By. Date 7- Z
PERJWT EXPIRES Date - - - � 7-
Receipt No 93763
WHITE-D.P.W.. YELLOW-ASSF350R, PINK-tNSPECTOR. GOLD ENROD-APPL I CANT
M
COUNTY OF BUTTE - DEPARTMENi:-GF'OUBLIC WORKS BUILDING DIVISION
�r _. -
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
OWNER
Proposed Building Use
45
PERMIT, APPLICATION DATA SHEET
1, � 4 Permit No.
A. P. Nn
Building lnspecto�' 7\ I'
I I I
Date
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuanc�
DATE RECEIVED APPROVED
I/
1 .
All items have been submitted . ...........
2.
Plot plans in duplicate/triplicate, signed by preparer of plans ........
3.
Complete plans in duplicate/triplicate, signed by preparer. of plans
4.
Complete engineered plans and calcs, with wet signature on plans
5.
Hazardous Material Form ..........................................
6.
Energy Design Compliance and,slupporting documentation .........
7.
Statement of Intent for Non-He?'a'ted and AC Buildings ..............
8.
Engineered truss details and layout in duplicate (required prior to p*lan check)
9.
Mobilehomedn�rall`a"tion data including manufacturer's installation
instru'681rls
10.
....................
Fees of $
11.
Chico Urban Area fees paid .......................................
12.
Park fees paid ......................... :--0---**--
13.
4.
Scho9l Distric es paid ..............
Sanitation approval from & / (f je Health Department
15.
City of Chico plumbing permit. .) ..................................
16.
Plot plan and business license approval from City of
(see City for other requirements) '
17.
Planning approval for (A) Use:—(B) Parking: -
18.
Improvements may be required. Contact Land Development Section DPW
19.
Driveway permit (construction approval required prior to occupancy)
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.
6 .........
Owner -Builder Verification (6iven to owner 11, Mail to owner 0) .....
24.
Recorded copy of Agricultural Acknowledgment Statement .........
25.
Letter of signature authorization ..... 0 .............................
26.
27.
When
you Jssu . e the rocegj� as follows: — Mai, 1_� w er.
Mail to contractor.
lew,
------ 6�elephone_ and hold for pickup at <f �; 7office
–De I I i ver w/inspector.
Other'
, I
74
App t e IFI 91
Copy of Hlaz-Mat form sent -Health Dept. -Fire Dept. ----Air Pollution Date
Copyofplanssent ____Healthbl�. -FireDept. -Other- Date By
The following data must be submitted ior
1. Index permit for above items N 0.
2. Additional items required:
permit issuance: (Circle new item not checked above).
Cont I I des I gner, owner, was advised of above requ I red da6 by 1__.p�h..e___jnai I —coun ter by A�iz. date
Contrztt',"designer, owner, was advised of above required dat byt T !
a phone —mal I —counter by—M date :7--
--.e - —of
Plans checked by
Copy—DPW
Date Plans approved by
Sets of plans on hold in —File cabinet _AP folder
Date
COUNTY OF BUTTE - DAAR'T�ENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
Ass 0 PARCEL NUMBER ZONINGSR
BUILDING PERMIT
TELEPHONE
SQ.FT. OCC. BUILDING VALUATION
OWNER'S MAILING AD RP:SS
ON TOR'S NAME ITELEPHONE
C,��R_ACTOR'S MAILIN( DRESS
- n:56 --4f 4��otkwe C7-
Fireolace i I
CONSTRUCTION LENDER
7 KNOWN
Total Valuation Is
Filing Fee $
LENDER'S MAILING ADDRESS
I—
Perrn;t Fee $
A� CT OR L1I,-,IWEER
E rJ 0.
Plan Che�kang Fee $ el 0
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS -
Penalty $
BUILDING ADDRESS
/
Permit fee $
PLUMBING PERMIT FilingFee 10.00
.1
L?16�z� 4-- gf>
Each Trap 2.00
Solar or heat pump water heater 20-00
LOT NO.
UBDIVISION NAME
is .. - . .. .
PARCEL MAP
I
Water piping 5.00
Each qas w ater heater or vent 5.00
USE OF STRUCTURE
SFF� Duplexf_� Mobilehomen Other
'PECI FY
Gas piping system 1 - 5 outlets 5.00
Building sewer 5.00
Mobile Home I S I G JW I 10-00e�
TYPE OF WORK
Ne Addition[] .7odel[j Utilities[] lnstallationFJ OtherE]
wx
Describe work:
Permit Fee 1,95,
Contractor
ELECTRICAL PERM11T FilingFee 10.00
Main service 100V OR LESS
00 AMP OR LESS 10.00
Main service EA. ADO -L 100 AMP 2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions of Chapt.. 9, Div. 3 of the Busines S
5R%d Professions -Code and license is in full force and effect.
M,
License N.2ca; 4�'F Classification.
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)
0 1, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
I am exempt under Sec. Business. and Professions Code
for this reason
NEW CONST DWELLING OCCUP.af)
OR ADDNS.* ( ACC. BLDGS. 21/2 Osq I t
NEW CONSTR. MULTI -OUTLET
NON,RESID, R C H CIR C UITS) 2.50 ea
2
--- T T —
P3XR PF R�TUS.&)
(SINGLE OUTLET CIR
1.20050t
Ex. Occup( OUTLETS OR -FIXTURES AL030C
FIXED APPLNS, OR
Ex. Occup.,OUTLETS (RE SID EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Mi!4$. Wiring 15.00
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
The permit is for $100.00 (valuation) or less.
I have pl�aced on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
'-f-o-thb-W.-'C.—f�r�Vi-siorit�-Of-the-L:-abor-C6d6,—ycFu-must-fb7rthwi'th domply with such
provisions or this permit shall be deemed.revoked.
MECHANICAL PERMIT Filing Fee 10.00
Heating
Cooling
Hood 3.00
Venti lation
Permit Fee $
Contractor
I certify that I have read this application and stat'e that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmiess the County of Butte against
all liab es, j nts costs and expenses which may in any way accrue
a S I t! ;i �W, Ount granting of this permit.
4!�� — /�P— e�
X Dat _
Signature of Applicant Owner 0 Controcto� Agent F�
An OSHA permit is required for excavations over 5`nYdeep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy inspection Fee $
occ
CONST PE
TOTAL FEE s
HAL
CUA-
PARW_F_SCHLTFL[6
I CDF
PAR
PD 11 HD.JISSUE
T.h' s permit is hereby issued unaer the applicable provi-
sions of the Butte County.Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECTOR OF PUBLIC' WORKS
By Date
PERMIT EXPIRES Date
Rer.eipt No. 7 61_7::�)
. ......
777=��77 77
77
77'Ll- "==7
CONSTRUCTION SPECIFICATIONS
1. EXCAVATION AII RELATED SPECIFICATIONS el BANK 0 CASH E VI
x Equipment stab x -
Pool Size el!!kS. Dirt will be brought to site at $—per
"TIiis§'9lI OkIft lirld sp�667tations MUST be Rock will be brought to site at $—per t/l
Depth to Elevation _'I i
'kept on the job at all'timEb and it is unlawful to Perimeter Ft. Access width Remove from site, day of excavation only:
Square Ft. Excavation (Type) 0 Concrete E] Asphalt El Stumps
make any changes or alterations on same without Template No. Dirt on Job Site " Left, P, Removed EJ Shrubs E] Trees
written permission from the Department of Publip Therapy Spa size Shallow end ramp F_] Deep end am - Retaining walls'(type)
hip Shall Be in J� V Footings—
Fen Ft at $ per Ft.
NOTE'.—All Materials & Workmans Works, Gouhty-6fl-Buft. Spa Depth Site access 0 Wall Lo Fenc
r �, Io Gals.
Good Practices and Buye
Spa Perimeter Removed by: !r ntract r [I Pool Capacity
Accordance with Recognized Spa square Rep'ac�dy by:xtraolha ,rn: Contractor E] Filter -G.P.M.
of a quality prescribed for the Specified use in the )ey� 0 Con
0
of n
Spa s4ape'_____ Grading I of andzor Spa site:. Turn H
Plumbing & Mechanical Codes and E rs
,Sp9-(Type) —.Concrete --Fiberglass _-hr Extra hrs at $—per hr. Raised bond beam Ft.
Uniform Building, Ft
the National Electrical Code. ----Acrylic —Other WaMout Ft. Incl. $_ p/hr additional Raised bond beam
Miscellaneous-.-_ Raised bond bea ")—Ft.
Risers- --Ft. at $ per Ft.
0 Flat 0 Cant. E3 Cant�/Tife
2. EQUIPMENT
��q�7 - Sq Ft. F Maintenance kit (To incl. the following) Q Light(s) #_41— Ft. cord
Filter ------ withg—
Backwash valve- Brush M Leaf skimmer E] Test Kit ej 30OW E] Trans. E] 40OW 0 50OW in
wlS-at. cord 0
Pump horse power_.___!,&�:�7_10 16 Ft. pole M Thermometer C3 Light niche(s) #
Separation tank. Chlorinator 0 Color pak
Ft. W Time Clock(s) Model
Heater ____ BTU Di'ving/Jump Board
Nat [] LPG 0 Elec. E] Oil E] Solar[] Diving board panels ED G. F. 1.
Indoor 0 Outdoor E] Slide (type)—Color--El Booster pump —H.P. o
0
Poo! cover Str. 0 Cur. C] Left 0 Right E] Prevent -a -Freeze
-Aomatic pool cleaner.... ..E] Rope Anchors # 0 Alm flow(s) #
Vacuum 0 —Ft. hose —Ft. of rope w/ loats El Skimmer(s) #
2'
Grab rails [I Main drain(sl If cLet X 2
Grab rail panels E3 Spa Jets
0
Miscellaneou Spa air ring —
7r, Spa air blower & motor Model #_0
3. PLUMBING PVC 0 COPPER 0
Fill line __F
t. of -73 Drain heads at $—ea. Spas: (Refer to No. 1) ............... El
Slide __ -----Ft. o Return —Ft. of—
Pool cleaner —Ft. of.
Suction —Ft. of --
Return -----Ft. of Solar —Ft. of—
F . f
Suction t o e_�- Overflow —Ft. of— Jet(s)
-Syphon valve
Backwash -.--Ft. of.A�o__ Spa air ring—Ft. of— Anti —11
Drain line -.,--Ft. of— Fountain —Ft. of— Valves
0
NOTE: Plan for proper placement of aim -flows and valves. Valves
Miscellaneous-
4.STRUCTURAL
Swimout-.- Length inside 10 Outside EJ Fiberglass -0
Steel Schedule
Deep end ramp 0 Shallow end ramp E] Recessed steps Special Eng. 11
A OWbUk of 8
ft. from gie Miscellaneous--------_----- Spas: (Refer to excavation) No. 1 0
Raised bond beam —Ft. 0
propezV lines Said a, setback
Bonding
of 50 ft. from the road,
Soil Condition
centerline
shall be clear of
E,0
-structures or equipment excep% 5. CONCRET .-Ft. Inside n Outside Ei Rope anchors #
Equipment slab Swimout
for a 2 ft. eave overhang. 4- Custom steps Recessed Steps El� Spa (Refer to excavation #1) El
Miscellaneous
Ole
6. TILE AND/OR COPING/ CANTILEVER
Coping r Brick El Type---Ft.---
Tile Color
A
Ty pe -Ft.----- Spa (Refer to excavation No. 1)
Size e:r-- Rock r,
Miscellaneous A
7. GAS LINE
Line (meter to heat --F :--Fite pit-
----per ft
Al Builder E] Utility 0 Owner C3 ---Ft. incl. add, at $
$—per Ft. Deck flange E] Volcanic stone El
Line Size Z,011�a a�t
Miscellaneous
8. ELECTRICAL
uilder @ Utility El Owner 0 Elec. run (Panel to equip.) ---Ft. G. F. 1. —Time Clock(s),_w
B
See Master.Plau III 2ft ft Miscellaneous—_ --Ft. incl. additional at $—per Ft. Light switch loc.
Spa Blower switch loc.
building pla=
9. DECKING
# tvv
010 Cantilever __pM Exp. joints: Felt E] Brick 0
Deck Drain(s)--.. ---Ft. W/Cap laterals m6levcel
Extra at $ Ft. Mastic
Footings —Ft. at $—per Ft. Dividers —
M i scelf aneous- Raised Bond Beams —0 Risers —0
_7 41
10. INTERIOII�l
Gel Coat-__ Color______�_ Rope anchors #
Sid. C] Color V9__
Main drain vortex 0 Anti vortex
Miscellaneous ----
7
11. START UP
Initial treatment only Install accessories
L Service
(For equipment refer to No. 2)
Miscellaneous
"o-
7117
;ils?117
'For—
Name ooI 7
- ---Home pho
City —Bus. phone__F��_70_'_!6?_--
Thomas Map Book Page__ --Lot. No.-.-- -Tract _Book No_— ----Page- —Job No.--
anager
J ,
Offic1I -__----SaIesrI
BUTTE COUI\ITY I
by—
Phone Drawn,�
"Ile
BUILDING DEPA TMIENT Office use only.---- Checked by -
'A P P R 0 'E
PLAN APPROVAL
I If pool and/iI an 9xqt I tions plus all accessories listed herein.
signature I d' t Irs approva o d eq oca
s
s
7/
Jf4tW _LAV�SW4F ly SALESMAN:_
OA`N;9 __�r
DATE: ----
DIVING BOARD JIG TO BE INSTALLED ACCORDING TO MANUFACTURERS OWNER WINNING POOLS"
r LEGEND NOTE scale %11=11 NOTE: INSTRUCTIONS AND BONDED TO POOL. TO FENCE POOL AREA AND INSTALL SELF CLOSING AND SELF
ELECTRICAL tt, LIGHT REA DAYS PRIOR LATCHING GATES PER COUNTY OR CITY ORDINANCE.
OWNER REQUIRED TO WATER DO" POOL SITE A
METER NOTE:
Z TO EXCAVATION. DO NOT WATER ACCESS.
g] GAS ELEV. NOTE: AN ELECTRICAL BONDING INSPECTION MUST BE APPROVED PRIOR To OWNER
METER POINT POURING DECKS. TO REMOVE OR HAVE RELOCATED ANY OVERHEAD ELECTRICAL f -w7-77-,7-7-- 77--77"
WIRES PER COUNTY OR CITY ORDINANCE.
NO DIRT WILL BE REMOVED, RETURNED OR GRADED AFTER DAY OF A J
SKIMMER FILTER NOTE: EXGAVATION.
bni,55
PMENT PAD APPROVED FOR THIS LOCATION ONLY RELOCATION OWNER
Lonri%Winsl SI LADDER NOTE: "Oul LEAST' TIMES DAILY
PUMP WILL RESULT IN ADDITIONAL COST TO OWNER. TO WEJ40WN CONCRETE SHELL AT
IF "J" BOX LOCATION IS MOVED -OWNER TO PAY'ELECTIRICIAN FOR FORWiU- DAYS.
NEAREST NOTE: EXTRA CONDUIT AT TIME OF INSTALLATION. DO RN ON POOL LIGHT WHEN POOL IS EMPTY. Contractors License No 266839 053
HOSE 818
-ill BOX CONCRETE DECK MUST BE SEPARATED FROM POOL STRUCTURE IN AC- DO NOT USE RUBBER HOSE WHEN FILLING POOL AS IT WILL
Fil NOTE:
MARK INTE
� 70�
A5 -f Ltt;�
L
CORDANCE WITH CONTRACTORS SPECIFICATIONS. RIOR FINISH.
HEATER
7=-7 7
BRUNING 40-5000
Must �Be Retained At Sales Office.
7=717ir
L �,I ILI
717
�jjj 7'
. .. .....
CDF FIRE SAFE REQUIREMENTS
NAME'
AP# �PERMIT #
Under authority of PRC 42900 thefollowing.checked items,are required
by the Butte County Fire Department and are made a part of this permit.
These requirements are minimums and will, be ouperseded, by Butte. County
local regulations which equal or exceed ' these standards. Field
in ns will be made by the Butt do u4ty Building Department for
compliance.'
1272.00 Maintenance of,I)efensible Space. To ensure continued,
maintenance of propertie's in conformance with these
standards and measures and to assure continued avail,
ability, access a ndutilization of the defen'sible,space
provided for. in, these standards, annual maintenance
e
must,be provid for by the land owner.,
'p-riveway Standards
1273.02 Surfac e. All driveway surfaces and structures (bridges,
12731.07 culve rts and'other appartepsant-strUctures which supple -
ment the roadway bed:or shoulde-s) shall provide unob-
structed acc esp to conventio nal drive vehicles, includ-
ing sedans,and fire,apparatus weighing up to.40i'000'
'pounds.
o�
1273.03 Grade. Not to exceed 16.percent.unless paved,,
1273-04 Drive,,qay Radius
11.� No roadway shall have ahorizontal inside radius.of
curvatur6,of less than 50 feet�and additional sur -
face width of 4 feet shall be added to,curves of So -
100 feet radius, 2 fe t to those from 100-20,0 feet.
2. The length of vertiv"l curves in roadways exclusive
of gutters, ditches and drainage structures designed
to hold or divert water shall be not less than 10.0
feet.
1273.OS Turna-,rounds. if required, will have a minimum turning
radius of 40 feet from the center ofthe road.
%A1,73.09 Turnouts. Shall be a minimum of 10", f e.et wide and.30
feet,long with a minimum 25 foot taper o n each end.
E I 127OAO Width. All driveways shall provide�a minimum 10 foot
traffic lane and unobstructed vertical clearance of 15
feet; along its entire length;
Page.4 of
BUILDING, DEPARilf&A
A P P'R 0 MO
77777;,
1(7
AP # PERMIT # NAME
E 1 1273.10 Turnouts,-' Driveways excee4�ng 150 feet 'in, length, but
less than 8QO,feet in length, shall provide a turnout
riv
near the midpoint of the driveway. Where a d, eway
exceeds 800 feet, turnouts phall�be provided no more
than 40a feet apart'.
I 19,73ilo Turnaround. A turnaround shall be provided at all
building sites on driveways over,300 feet in, length and
shall be within $0 feet�of the building.
�1273. 11 Gates,
1. Gate entrances shall, be at least two feet widpr� 'than
the roadway it ser.ves.�
1/4 2- The gates must be located at least 301eet 'from the
roadway and shall open to allow a vehicle to, stop
Without obstructing traffic on that roadway.
3. Where a ondrway road with a single traffic lane
1 adius'shall be
provides entrancet, a50 foot turning r,
used. I
Fuel _Modif icat ion
3.276-03. Setback for Structure Defensible Space.
t All parcels, I acre and,larger sha,ll provide a mini-
mum,aO foot setback for buildings, and accessory
4
buildings from u13 property lines and/or, the center
of the road,
ion
2. For parcels les's than 1 acre, local, 3urisdict'
shall provide for :the,sa:me practical ef f q,ct See
other Rec Tuireme nts below.
rVI 1276.02 Disposal of�Vegetation and Fuels. Disposal,, including
6 �j — a landfill site
chipping, buryingi burning,or removalto
approved by the local jurisdiction, of' fl ammable
vegetati n ` nd fuels caused,�by site. development and
o A,
construction', road and driveway constructiori and fuel
'ication shall be,completed prior to completion of
modif.
fj sp q building
road construction or -,.-ial 'in e �ion of
permit.
�T
Page 2 of �3
7,
7,
CP 109
2X4 T.L.
himbet
grades
Max Length
wttilout
braeing 01
l4ax. Lengtil
W/Stroogback
brace (S)
STANDARD
5�11-0
U-10-0
qTMq—
6-7-0
13-2-0
jL3._ 1
6-7-0
13-2-0
112
7-9-0
15-6-0
7-9-0
15-6-0
fil Better
7-9-0
SS
7W9-0
15-6-0
f 1-a-SCto 4 siarx 71jignWa. PREPAIRED FROH COMPUTER INPUT, (LOWS v. owamyow sUeWTT9G By TRUSS PERs,
Jobt INAFIT111--DAVE I 1 0 i
L CON14ECTOR PLATES MUST BE INSTALLEO 'IN ACCORDANCE WITH. THE >
TOP CHORD 2x4 FL #I REQUIREMENTS.OF I.c.8.01 RESEARCH REPORT 429491i,
BOTCHORO 2X4 FL 01
NESS W FL $"ndard
PER NDS -91 TABLE
dONNEcTOR PLATES MSIGNED Foil GR5EN LUMBER,
7.3.3.
IN 6EU OF RIGID, 94FAYMNO 6 2 .00iAO-C, Lq
Top a4OpQ To BE WACED By PROPERLY ATTACHED PURLINS 4 IUI
Ix Ul
A RIGID CEILING OR,6oMTINUOUS LATERAL BRACING AT MOO O,C- MUST BE
PROPERLY ATTACHED TO THE BOTTOM CHORD. <0.
or, 0,
m
V�
04
24SX4 .5X4
4 1;1
5xs
J1X4 (Ail 1XX4 WAII
.5X4
10-6-0
J
—21' 1
OVth g SUPPORTS AAe7550, W -3"b
F1.70f W-3�Bl
On
A� 54%�S
r A 0 Rev' 17.39 SCA E -.. 2500
PLT, TYP.- ktPINE—, DE.9199-OW-um
, 14311KOW MOMS. 111C. Vice 1xin" CAAt TC �LL 6'. 0 PsF REF n 27--69366
1(141MP0ATANT4W"'w WARNING-,-j'K'A'wi-r'v'. umclun m
= = wo
C= = = = 411ALt. HIT �te affsKmIrA 11)4 sire V.0 TC CL 10jO PSF DATE
cz C= miskiloa rilml ms MtGN u Aim tmuplunalm , Q% of IncIfIli VC $4111-01 of W. Us T1111 CESIGN a
C=3 FAILOX 10 WILD Ilif Mill 10 C01"%1WK1 in�' al"M ar 1p" I� not"alm sucisi. pamw voicii ec OL 5 0 PSF CAR CALP.R427 052 5510
Cloa A01i KWK IF 2011, D%1V SIAM Vito va Ali" aut"Wols. Wun Ditit"Ise umIcAIt%m
cmgt wrkL%. At WAWA Mao AIIIII MADI
:n n p4v mk-mi
itiva Vo 00 #Act or f LL�
C3, C= c= As 11010, 40WIP 1:011rc
Iwm Am i'"m mmist WAVED cm tifill 0"101, M111411 Lf 4TTAOU FLYANIA 001101m Datic" 1:141
X0. 31.0 PSF
j%Q A, jjokq. WIcH staWAM 1111.1 frolKii AIT IWO 41410 C411 W*,- to. Q199) TOT
C= Lpim C= Viltolli OF III$ Am IN, ki 91141IM'S --- _ - - I � 1 5 111 1
A= cayw VA"utma Wit CA c, 1�2
blimi. IVI I UUR.F
T FRI AUS S 1 ir -
btsic" to fit sn"s .0,
5"CIFIC-1i W] to. "AD WIMPATICH
1991 UNIFO"M BUILDING CODE 1;09-12110
lest cotutidorsserviiji; till pcc'
olvisioll I occlipllic W
P!Ilillo:lcll�)rlOorliiores[iiillt)csci)�iroicdft irmir
Celli Mattis by III)i le Mr -01doirspod oiber,argas oil adja-
S' Illan approved fixettwille(I glilss-sel ill'sicel 15tallics or try
�0-lullltljc sljjoltc� RIO r. 111-cooir I' s
-1 . , of assemblies which are alit )IIIII11c CIO log by
smokc. doiccliolt,
Defelcl.ors and SjOinkler Systerns
Sec. 12 10. (a) Simpke Detectors, 1, (ReOitral, Dwelliog trolls, collglegare Fesi,
delices IIII(I'llolel or lodging IIOUSC 91ICSII 1`001,11.5 111VII lire tijed fill, slecillog,likulloses
sliall Ile 11roy !(led' W I Ill
sloOke defcclors. Defectors shall be lostall(Alin a
cioldalice,
hislioctiolis
list WIleral Imis or repairs fit Group It Occopitolles. Whell file va Ill-
Addiliji,
it"Ti oran adtllfl"�,O, alleralloo or I sloup Rioceoppolcy exceeds
Opairloa(i
riodillrefillil is requited, Or Whell OIle Of "role sleeping frounis are I added orcrepied
lit exisliog0toup R Occopancles, smoke deleciorssball be ioslalled ill accordance
with Stibsectio its 3, 4 nod 5 1 of till , s secaoll,
3,11owersource.111pevreol -
191, liciloil,,rcqtii,rcd,sillokeqlciccli)rs shall receive
their PriolarY power frool file boildlPi; wiring WIPI soch wirbig is served frpol a
till
Collil a signal %ybell allefles ore low, Wiringsiliall be permancol alld willjoill H
si I -I " IC It
discoolocellog Switch other than those ret
Milked For overcul lCol proleclioll, Silloke
(Icl(:c!Ofs May Ile solely ballety operated witen Installed ill exisliog I
AlIldings;urill
buildings without commurcin
I po.wer; or lit buildings whicil undergo n1jerplipos,
repairs'or additions regulated by Subsection 2 of tills seclioll.
A 1.0calhIll Wiffifil dwelling toolls. lit dwelling mills, a deiector shall be lit -
ill each sleeping too
fit alid at a point Centrally located lit file corridotorarea
givillgitccess.ioca,cliscl)iralesle epingarea, Whet illiedwelliiigiiiiiiiiasillorc(il'
one story and lit dwdibigs with basementsi q deleclor Strait be illstalled.ou ci ch
story aild in'llic base P
olcm� Ill dw(Allag ullils wliefell siloryorbaselocill is spill iolit
I%k'O()rilltlicicvcls,tlicsiiiokede eclorshallbei -d oil I Ile upper level, except
thal whell file lower loci Cot
flaills a sleepills area. it deleclor shall be Installed (11,
eflcll level, When sleephig roopris pie oil air upperleveli illedejeclorsli libeplaced
at file C611111gl6f file oplicr level lit close proxialil
y ioilresinitway, lit d%velliog tollis
wberc file Ceiling height or,", loopi Open to life hallway serylogrile bedtoolus ex-
Ceedsillal"
OfIfichallwayby24
Ile hallm I
y and lit file adjriccilt turill), Defectors Strait spilad a" alai ill audible lit all
sleeping areas of file dwelling iiiiii Ill wbicl, 111ty are locale
5.11,0011011 Ill eMcleogy list ellifig millsocongregale resideocesand Ill s. lit
plei
Wficiency dwelling tolits, 11(ilel stille.5 alld Ill hotel and Congiegate residelice Meep-
ing roollis, detectors shrill be located oil diecciling orwoll
Of tile Illahl I oom oreadt
sleellilis toolu. Wheo sleepills irpoill.5 tvilhol till efficiency dwellilig tolil of hole -I
sulle lire oll oil oliltur level, tire defector shall Ile pInced at file Ceiling of file ripper
level hiclose prox hirily lit I lie slai.rway. Wheo
ularolaudible %vilhili file sleciling arcaof Ifiedwellbig poll, bolel strife orsi c
room ill which it is located, C purg
1107
CERTIFI,CATE OF COMPLIANCE: RESIDENTIAL Page I
----------
Project Title .......... Lorrie Stimac
Pro'ect, Address"., Date ....
09/07/95
Documentation Author, . . Tl�
Peterson J, P rMit
Company
................
Telephone_ ...... (916) �43-7256 j-janChec- W7
-
64 e
Compliance Method.,., MIQROPAS4 by EnercoMp, Inc, Field Chec_�,__
Date
Climate Zone,
.1
-----------
MICROPAS4 V4.0i File-S,TIMAQ wth-CTZ1-IS92 Program -FORM CF -IR
Us6r#-MP0400 User,- Run -HOUSE I
------------------------- ------------------- -------------------
7
GENERAL INFORMAT ION
----------- 7�----
Conditioned Floor Area, 1008 sf
Building Type ...... S1 Family Detached
ngle
Construction Addition Alone
Building Front Orientation, Front Facing 25 deg (NE)
Number of Dwelling Units-,, i
Number of $torlrso ...... 1 1,
Floor Construction Type..j_ $lab'Qn Grade (Package D)
BUILDING SHELL INSULATION
------------------------
Combonent. Insulation Assombly,
Type R-valu,e U -Value Location/Comments
---- ----------- -------- -------------------------------------
Wall R�l 5 0.078
_q;,
Roof R-38 Q,029
SlabEdge R -o 0,720
SlabEdge R�o 0. 900
El
F 14ESTRATION
------------
I
Over-
Area U_ W of Interior Exterior
Framing
'hang/
Orientati on (si)' Value Panes Shading 'Shading' Fins
-------------------- ----- ----- --- - -----------
Type
-- 7 ------- --- ------
Door Lef t (SE) 46�:Q 0.750 2 Roller., Lt None Yes
--------
Metal
Window L e, f't 4,0 O�750 2 Rollei:.L� None Yes
Metai,
Window Back (!N) 20,0 0.750 2 Roller ,LZ None Yos
Metal
wine -low Right (NW) 70.0 0,750 2 -Rolldr.Lc None Y6
'S
Metal
THERMAL MASS
-------------
Area Thicknes's
Type Exposed ('s f -in) Location/d hIT�Onts
----- ------
-- ---- - ---------
i -----------
No 948 3.5 Qovered
SlabOnGra�e ?es M
fC- CMjj�jTy Covered
DEPARTMENT
A P w..
�7 1
a 6
MANDATORY ME4$URE$:CHECKLIST: RESIDENTIAL, Page 1 MF�1R'
----------
Project T.itl,e ........... I Lorrie Stimac D. a I te, 0:9/Q7/95
Project Address,,,i. -_---------------
DocumentationAUthor, Jim Peterson Building Permi 0
Company ....... # ......... . -
Telephone—. ....... (916) 343��7250 Plan Check Date
Compliance Method. ..... MICROPAS4 by EnercQmp,, Ind,,, Field Check/,bat,e
Climate ---------------
----------
--------- --
MICA_QPAS4 y4,01 File-STIMAC Wth�CTZ11.S92 P'ro,graM-FORM MF-I.R
User#�-MPQOO User- Run -HOUSE
-------------- ------- ---------
Lowrise residential' buildings subject to the Standards must clontoliln these
es' regardless: of the com plilance approach Used. Items marked with an
asterisk (*) may be superseded by more stringent comp liance requirements listed
on the Certificate of Compliance, When this checklist is incorporated into the
permit documents, the features, noted shall be considered by all parties a
binding minimum component performance speci;fications for :he mandatory Measures
whether they are shown elsewhere in the, documents or on this checklist only.
BUILDING ENVELOPE MEASURES
---------------------------
Degign- Enforce -
e r Ment
*150(a), Minimum R-�9 ceiling insulation'
150(b): Loose fill.insulat-ion manufacturers labeled R -Value.
*150(c), Minimum R-13 va -11 insulation in framed walls
(does hot, a,opl,y to exterior mass walls),
*150(d); Minimum R-13 raised floor insulation in iraMed floors,
minimum R-8 in concrete raised floors,
61'
1510 W I $lab edge insulation'- walter absorn.t.ion rate no greater
than 0.3 w,ater'vapor transm.ission rate no g -eater than 2.0
perm/irch.
118! Insulation specified or installed meets CEC quality
standards, Indicate type and form.
116-17: Fenestration P,roducts, Exterior Doors and Infiltration]
exf.i1tration controls
a, Doors'and windows between conditioned and unconditioned
spaces designed to limit air leakage,
b, Manufactured fenestration products havelabel with
certified U -value, and infiltration certification,
c. Exterior doors andvindows weatherstripped; all joints
and penetrations,caulked and sealed
I 5�O (g) Vapor barrie rs Man d'atory i.r i Climate Zones 14 and 16
only,
110(f): Special infiltration barrier installed, to comply, with
Sec. 151 meets CEC quality standards.
150(a)i -Installation of' Fireplaces,, Decorative Gas Appliances
and gas logs
1. Masonry and factory -built fireplaces hav—
a, Closeable metal or glass door
b. Outside air intake with damper and control
c. Flue damper and control
2. No continuous burning gas pilots allowedi
J,
POIN I T SYSTEM
P,age P -2R
-------------- ----------
----------
Project Title----i�., Lorrie Stimac
Date ......... 09101'96
Project Addressi—o-
---------------------
e'-
Documentation Author ... T17M t8on
BUildin
Company, .......
Tolephone—ii ........ i (91,6) 343-7250
Plan Check Date
Compliance Method..i,., . IMICROPAS4 by Enercomo, Inc,
Field,Checkt/ Date
Q1J.mate Zone ... .......
-------------
MICROPAs4 v4 .01 File�STIMAC wth-CTZ11S9.2 Program -FORM P -2R
User#-MP0400 User- Run7HOUSIE
7 ---------------------------------------------------------
--------------
MICROPAS4 POINT SYSTEM SUMMARY
------------------- ------
Energy Use Points
----
-----------------------
J.
Spade-Heat-lng.�v'�� w . i�
Space Cooling,— ........
Water Hoating..!,i ......
Total 0
Building complies With Point System.***
------------------------
--------------------
7— -------
GENERAL INFORMATION
--------------
Ci-,nditioned Floor Areai,— 1008 s,f
BUildibg Type�—�ii .... i�- Single Family
Detached
Construction Type Addition Alone
Building Front Orientation, Front Facing 25
deg (NE)
Number of Dwelling Un i ts ... I
Number of Building Stories. I
Grade
Floor,ConstrUcti6n TYpe,,i. Slab on 0
(Package D)
Number of Building Z one 8..
Conditioned Volume--. $820 cf
Footprint Areai . i i It 1008 8f
Slab -On -Grade Area�,;,a ... w' )008 sf
Glazing PbrcA-nta g�e, 13,9 % Of VA
Average Ceiling Reight..,,. 8,8 ft
GLAZING
Orle ntation Glass Area 0 lass
a. North 0jo 0100%
b. East 50�O 4.96t
1.
a -0.0
'South L
d, West 70,0
6', 54�
et Skylight 0.0 0.00�
Tot.al -140.0 13 80.
POINT SYSTEM
Page 2
P -2R
-----------
Project LQrrie $timac
Date ........ 09,/07/95
MICROPAS4 v4,01 File-STIMAC Wth-CTZ11 S92 Program
-FORM P -2R
-----------
User#-MP04,00 User- Run -HOUSE
---------- I -------------------------------------------------------
SCORE CARD
----------
Measure
Points
1i
----------------
ceiling insulation (U -.Value) 0,029
0
Wall Insulation (U -Value) O�078
-4
3',
Raised Floor Insulation (U-Valu,e) P 00,0
0
4.
Slab 'Edge Insulation (F2 Factor)
5.
Iftfiltration,-'DUcts in Unconditioned Space Yes
0
6i
Fenestration Heat Loss. (U-Value)b.750 at 13.89%
0 Sum 1-6
7,
Fenestration Heat Gain.
Effective Shade
% Fenes�, Shade Fene$- Effective-
tratiori Open tration ness Ratiol
------ --------
North x 0.000 0100% 0.000
East 4.96% x ' 712 3.53% 0,446
South I i 9 8%, 0.675 1.34% 0 , 4355
0
West 6.94% x Oi6,9O 4.79% 0.1489
-1
Skylight 0�00% X 04000 01001 01000
0
S.
Interior Thermal Mass: (Mass/Area) 1,967
-2
9;
EXterior Wall Mas -s (Mass/Are.a) 0.000
0 Sum 7-9
-3
Eqtaipm6nt Duct Effective zonal
Efficiency Efficiency Efficiency Con I trol
10,
---------- ----------- -------
Heating 0,8oO APUB x 0.837 6 669 AFUE No
11�
Co o 1, 1 n g 13,000 SEEA x J, 828 10�703 sEEL,,, 140
4
0
J. 2,
Water Heating Ta 84�ternal
nk
Energy Size insulation
tank Type Heater Type Factor (gal) R -V-a I ue Di8ttibutltn Type
---- ------ --------- -- ---------
1,
8totage Gs,3 0,544 40 R-12, Standard
2.,
h1a n/ a n/a R�ft/a h/a
Point Total
7
K�NDATORY MEASURES CHECKLIST: RESIDEU Page 2
TIAL
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project Title ........... Lorrip,$tiMac Date.,
09/07/95
MTQRQPAS4 v4,01 File.-STIMAQ Wth,CTZ11S92 Program -FORM MF -11R
User#�MP0460 User- Run-HOU'SE
-------------------- ------ ------------------ ----------------
SPACE CONDITIONING, WATER HEATING AND PLUMBING SYSTEM 1:EASURES
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'Design-
Enforce -
1.10 -.13; HVAC equipment, water heaters, showerheads and faucets er
ment
Pertifiee by the CEq.
150(i.)-, Setijack therMostat'on all applicable heating systems,
1,50(fl, Pipe and Tank insulation
1. Indirect hot water tankr� unfired storage tanks or
bac.k,pp solar hot water tanks) have insulation bla ket � -12
n R
Or grPate:r) or combined interidx/extprior� insulation (R-16
or greater),
2. Fir.s't 5 feet of pipes closest to water heater tank, non -
recirculating systems, instAlated (R-4 or greater),
3. All buried or exp p '9
osed ipin insulated in recirculating
sections of' hot water system.
4,, Cooling sYpt em piping below 55 degrees insulated.
5. Piping insulated between heating sour and indirect
Ce
'hot water tank.
*150(m): Ducts and Pans
1. Ducts constructed installed and sealed to comply with.UMC
sections 1002' And 1004,:ducts insulated to a minimum
installed value of�R-4,2 or ducts enclosed entirely I within
coridir-ioned space,
2i 8xhmust f an sys.t.ems have backdraft or automatic dampers,
3, Gravity ventilating systems serving conditioned SDace have
either automatic or readily sible, m4rl.tally
access
operated dampers,
114; Pool and Spa Heating Systems and Equipment
1, System is certified with 78% thermal efficiency, on-olf
f
switch, weatherproof operating instructions, no electric
resistance heating and no pilot light,
2, System installed with:
a, At least 36,inches. pipe between filter aTtd heater for,
future solar heating.
b. Cover fox outdoor pool,* or outdoor spa.
3, Pool system has directional inlets and a circulation
pump time switch,
115: Gas-filred central furnace, pool heater, spa� heater or
household cooking appliance have no continLoUsly burning
pilot light (Exceptiono Non-el6ctrical. cooking appliance
with pilot <'156 Btu/hr.). IX
LIGHTING MEASURES
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Design7 Enforce-
er
150(k)- 40 lumens/watt or greater for general lighting in
ment
kitc�ens and rooms with water closets; and recessed ceiling
fxXtUres IC (insulation cover) approved.
Page
3
P -2R
POINT SYSTEM
09/07/55
ect titlei..
Proi.
Lorrie 8timac
MICROPAs4 v4,.Ol
File-,STIMAC Wth-CTZlIS92 Program -FORMP72R.
User- Run"ROUSE
User#.-MP0400 ----------------------------
-------------------
-----------------
BUILDING ZQNE1NFORMATION
.
-------------------------
# of
Vent.
Special
7 loor
Area
Volume Dwell C;ond Thermostat Height
Vent Area
(sf)
(sf)
(cf Units itioned Type
(ft)
-----
----------
Zone Type
-- ------------- ------- --- ------
HOUSE'
1008
8820 1.00 Yes Setback
n/a
Residence
OPAQUE SURFACES
Area.
U- 'Insul Act Solar
Location/
Comments
Surface
(sf)
value R-val n s Reference
Azm Tilt Gal
--------
--------
------------
HOU SE - N.ew,
11
1,68
0.078 R-15 -25 90 Ye. W.,15.2X4.16
1 wall
:334
4.16
0.078 R-15 115 go Yes W�15.,M .
., :: , , 11 :
2 Wall
148
Oi 078, R-15 205 90 Yes W,15 -2X4.16
3 Wall,
314,
0,0,78 R-15 29 go Ye 5 W.15�2X41.16
4 Wall
joo8
O�02 9 1 R 0 Yes R-3812kj2.16
-38 0
5 Roof
PERIMETER LOSSES,
------------------
Lenath, F2 Insul
(ft) 'Factor. R-val Location/Comments
Surface
--------------- ------- ------------------
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HOUSE � New
ql,ab,E,dgle
97 01,720 R-0
Slab,E496
17 0-.900 R-0,
HNESTRATION SURFACES
SC
SC
Interior
open U- Act Glass
'Area # of Frame value Azm tilt Only
I lit
Shade
Shade
Descrip,Lion
Surfac4
(sf) Panes Type Type
- ---- ------------------
--
-----
----------- -----
HOUSE - New
40,0
90
Slider oo75 115, 0.88
2 Metal 0�$s
90
0.44
0.4
Roller, L�
Roller,Lt
I Door
2 Door
6.0
Metal Slid�r 0.75 115
2 7 - 15 90 0,a8
0,,75 1
.4
0.44
Roll4r.Lt
3 window
460
2010
Metal Slider
2 68
2 Metal S,lir4,er 0�15 205 910 0,
0.44
0.44
Roller�Lt
Roller.Lt
4 Window
5 Window
20.0
2 Metal S1 i a e r 0.75 2�5 90 O�88
o.75 295 go 0�ss
0,44
Rollel-Lt
6, Window
20.0
er
2 Metal S �i,d 0.75 19 5 go o.88
Slide
Oi44
Ro! ler . Lt
7 Window
15,0
2 Metal go 0.,38
2 Metal slider 0, 1:5 295
6j44
Roller. Lt
8 Window
j$jo
SPECIAL FEATORESIREMARX5
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POINT SYSTEM
Page 4
P -2R
Project Tit.le..,� .... ,.,Lorrie
Stimac
09/0,7/95
MICROPAS4 v4.01
Wth"CTZ11S92 Program
File-MMAC' -FORM.P-2R
User#�-MP0400 User- Run-HOU.SE
---------------------------
-----------------------------
OVERHANGS AND SIDE FINS
-,-Window
------- ------ --------
-- ----- bverhang ----- 7—Left Fin --- --- Right Fin--�
Area
Surf ace (8f) Hght
--- ----- -----
Left Rght,
Vdth Dpth ffght Ek ext Ext
----- ---- --- 7 ---- ----
Dpth Hght Ext
---- ---- ----
Dpth Hght
----
HOUSE - New
1 Door 40.0 61.8
6.0 2.0 1.5 n/a n/a n/4
n/a n/a n/a
n/a n/a
r 6,
2 Dob 0 3,0
2.0 2.0 1.5 a/ a n/a n/a
n,/ a n/a. n/a
n/a n/a
3 Window 4 P 0 2.0
:2, 0 3.0 1.5 n/a n/a, n/a
n/a n/a n/a
n/a n/a
4, Window 20iO 4.0
5,0 2,0 1�,:5 n/a n/a. n/a
pl/a� n/a ri/,a
n/a n/a
Window 20,0 4.0
5,0 2,Q 1.6 n/a n/a :n/ a.
n/ a, n/�a n/a
n/a n/a
6 Window 2;0, 0 4 i3O
5.0 2,0 1 .5 n/a n/a n/a
n/a n/a n/a
n/a n/a
7 Window, 15,0 3,Q
5 �, 0 2.0 1.5 n/a n/ a n/a
n/a n/.1 n/a
n/a n/a
8 Window 15.0 3.0
5,0 2.0 li5 n/a n/a n,/ a
n/a n/ a n/a
n/a, n/a
THERMAL MASS
-------------
Thick Heat Conduct- Surface
'Area
Mass, Type (sf)
(in� Cap ivitY R-valUe
Loc ation/CommentS
-------------- ------
----- ----- -------- ---
7--------------
HOUSE - New
1 81abQrGrade 948
3.5 28.0 0.9& R-2,0
QoVerpd
Z SiabOnG.rade 60
3.5 28,0 0,98 R-0.0
Covered
H.VAC SYSTEMS
-----------
minimum Duct
DUct Duct
,System Typl�
Location
Efficiency � i
------------ -------------
R -.Value Efficiency
- ------ ------------
----------------
HOUSE
Furnace
0,800 AFUE Attic
R-5,6 0.837
ACPac'�age
13,00 SEER Attic
R -5i6 0.823
WATER.HEATING sysrEMS
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Number
Tank�
External
in
Energy Size
Insula"43-on
Tank Type Heater Type
Distribution Type S.,stem
Fa ctor (gal)
R -value
------ 7 ----- -----------
1 storage Gas
------
Standard
.0,544 4o
R-12
SPECIAL FEATORESIREMARX5
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