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055-350-030
55-35=30 •'2205-91B,P,E,M WITTGREN, Arthur & Shirley 334 Hamlin Cyn Ct, Paradise -cont: Endeavor HomesZ (new SO ,/.� 3 � 6• � f7'A/yJ I/N `SIN C. 'T� � a? AG. 5 55 -3 3,0:"92-1�822B d i t . ( 1., •Y!A T 11 > WITTGREN, Arthur & Shi.rleyr,�' 3340`:Hamlyn,.Ct; Paradise- ti -9'2 contra "Endeavor "Homes. open deck/sf. 055-350-030 0310846` WITTGREN FAMILY, ; 3366.HAMLIN CANYON, PA Cont: VERSATICE ROOF]N r13 ISCELLANEOUS Electric Panel EMP POWER FOR WELL- HUMBOLI 3 6'6 :HAMLIN`CANYON.CT TEEtt"S' COTT AND,CAROLYN -i_V-9 s'c2h _ e 30 Lo L RESIDENTIAL V 55-35-30 2205-91B,P,E,M WITTGREN, Arthur & Shirley -'3mlin Cyn Ct, Paradise cont: Endeavor Homes ( new sf ) 1�\ Off P64L /long i. 4. r . OFFICE COPY i Address ! .UAL -I �•� ra•J .� GAS Date A l� } Meter I ELECTR C -- y Meter By —_ Date y Date ELECTRIC Meter By — Date�/��� • w. JOB FINALED (Date) �4 y Signature 4� A• I 1' V=OK O = Not OK Not = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas;*Location -Test-Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOWS Date DECKS, COVERS, CARPORTS, GARAGES, (PFans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 114 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beam s-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. 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 13-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg/ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 t I ✓=OK O=Not OK = Not Applicable Not Ready RESIDENTIAL (Single & Duplex) ' = Q Date UNDE OOR (Plans; OK except ft's . Zon g -Setbacks- Ease men ts- od-Slope ain; Soils-Elec. Ftg. Depth tg., Garage: Soils-Steel-Elec. Grnd. /A /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold wns and Special Anchors v -51 -ab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test X. Water Pipe; Test -Anchor -Regulator -Service Test T2. Electric; Underground It `1 ienums & Ducts; Clearance -Material -Support -Ins. girders -Sills -Anchor Bolts -Joists -Vents -Cripples ' 1-1,le'Access & Ventilation 16. Insulation ,Date -�'f Card B- Date Card B - Dat Card B- Date Card B-1 Date PLUMBIN. (P it) except ti's 16. ater Htr.: V nt-Access-Combust ion Air -Baffle ------- - ------------------------ r Water Pipe: Test & Anchor -Nail Protec i 8 D.W.V.; Test -Fittings & Anchor ai Protech-- ----- -- __-19. Shower Pan: Test. First Floor -Tub Access -_- ----- -- 20. Test Tub & Shower. Second Floor -Tub Access - ---------------- ----------- --- 2 Gas Pipe: Size & Anchors ------ - -- ------------------------------- Date Le ___Card_B-1 fi_�vz_•Date_____ Card -B-1 - - Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 2 Fixture & Transformer Clearance -Ins. Protection 23/�lec. Receptacles Spacing -Lights & Switches at Doors --------- -------------- ----- -------------------------------- -------------- _ 24. Size Boxes & No. of Conductors -Stapled ---_--- 25. Romex Installed Close to Edge of Studs & C.J. -------------------------------------- - - - - - Ga &Water_.�qGromade w/Meth. Fastners and f_- fr-------------- Appliance Circuts in Kitchen & Conductor Size/GFI --------- --------- ----------------------------------- ,2,9;�-Subfeed Wire Size / r ga. Cu or AI-A.C. Wire Size / ! ga. C r AI ange Circ / r ga Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No -- ----- -- ------------------------------------------------------------ 30. Service -Riser Conductors & Ground -Main Disconnect --------- ---- ------------------------- -------------- 31. Equip Clearances Panels-Motors-Mech. Equip. ---------------------------------------------------------------- 32. Clothes Closet Light -Shower Light -Spa Light - --------------- - - -------- g5,. -Smoke - -- - --- --- - 3,. -Smoke Detector -------------------------- § ----Card-B-1 - -------1 - --------- Date-- ----------- Card----------------- Datef p li Card B-1 Date Card B -t ---- - -� --�----------------�-------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s A.C. Ducts Insulation & Support - - - Vent Fan; Exhaust above insulation ` Condensate Drain & Overflow: Size & Grade --- --- ---- - - --------------- -------- - - 37�rnance-Vent: Access -Comb Air -Return Air Vent -115 outlet ---- ------------------------------------------------------- - 38. Attic Access & Platform if Furnance in Attic ------------------ Date l� 13 /Card B-1 Date ----- -----Card B_t- --- ---- -- ---------------- - - ---- - -- --- - Date C rd B-1 Date Card B-1 Date FRA NG (Plans) OK except. ft's 3 Prop Material & Anchors ------ ----J4�27- ---- --_I. to -Nailing. Spacing & Bracing -Plates -Sound ------ -- ------------------------------------------------- ring Walls over Girders & Floor Nailing-------------------------- -------- ---- ---------------------- ft Stop in Walls (rat proof) ------------P----9----- ------------------- Sto s: Furred Ceilin s- as u--------------------- -- ---ders & Beam -Size & eari )r': i 4 Date FRAMING (Contfhued) _jZs-Post Caps -Anchors -Connectors • C g. Joist-Rftr. ties-Purlin-r of Bra c-Truss-Shthng.-Rfng. ireplace Ties orue-Fireplac Throat clearance - - _ ttic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49r drm. Windows or Exiting Doors -Sill Hgt. & Dimensions -- 50. arage Fire Protection Framing OL --- 51. Property Line Firewall & Openings ' _______ _ xt. Doors -One 3' -Check Garage -3rd Story, 2 Exits 5,3. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection ---------- Sywood on Roof Overhang -Attic Vents -Rafter Outriggers -'"-� yv- ,d,ng-Nailing Veneer t 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access ---------------- - --_ 5 -lazing Area -Glass Protection -Skylights -Plastic _ 58. Shear Walls; Nailing -Bolts 11 59. Insulation -Walls -Ceilings L_;vZ1,- 60. Infiltration -Walls -Windows ------------- Date Card B- 'j Date � �-Card B-1 DateDate G�rf Car_ d B-1 Date Card B-1 Date F AL (Plans) OK except #'s _Steps -Door & Sidelight Protection -Landings 6 .. Smoke Detector ----------- ----- - - 1 3. Furnace; Vents -Clearance -Comb. Air -Connector- - - In Garage: Above Floor -Ducts -Meeh. Protection _ edroom Exiting Cyt F.I. & Bath Fixtures & Tub Access -Spa --------------- -- ---- _ 6 Elec. Trim & Subpanel; Breaker Sizes & Labels ,4�67. St irs & Rails Fire lace or Stove: Clearances -Hearth 64--'Elec. Outlets at Wood Panel; Int. & Ext. Kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance -(-j%---! ----- 71. Elec. Outlets & Receptacles at Kit. Counter --- --arage Fire Door: Swing -Landing -Closer -- - - -- - ---- ---d2. A.C.-Duct in Garage -Damper 7�tr. Htr Vents -Clearance -Comb. Air-Connector-P.R.V. l In Garage; Above Floor -Meeh. Protection f --- -- --- 7.,YPlb Elec_ & Mech. Equip. Listed for Location. 7 . Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 7.; -Insulation -Foam -Looked in Attick%/ ❑ Yes, 78. Guard Rails & Deck Constructiori-`Post-Caps---------------------- ' 79*Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80 ollowing instld.: Drive � ❑ No; Walks ❑ Yes o; -- Planters C1 Yes -❑ ------------- ------------ _f 81. StuccoBrown-Finish -------------------------- -- 8?,4.C. Unit: Disconnect, Electrical, Plumbing 8-a'nts Above Roof; PIbg.-Appliance-Firep lace. -Clearance to - Openings VWa------ --- tee r Well; Disconnect, Electrical, Plumbing xtenor Elec. Trim; G.F.I. Receptacle -Underground Ventilation Throughout House -8j/�lass -Protection 88.' rrections from Prevus Inspections 8•J' G s st-Meters Tag ed; Gas -Electric- - ------•------- - ----------------- __ 1. ater & Sewer Connected -C/O to Grade -HD Approval - - - -Energy Compliance Certificate -Other Certificates- ---------------- Date Card B 1 C Date _ Card B-1 Date Card B_1 - _Date -- Card B-1 Date Card B-1 Date Card B-1 Comments at Final: OWNER 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 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 - e 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 )j / ry''.e.) 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. ,6 ri. C/? -cG► rol GGo09 S. Ar S r9 S :.j A Date / Inspector Calz r ft 6- s tr op c� ,n� e,e _ �( i ✓� D v G orr w nth r ? A /A cur 1 C o Lr� /C��pltse fisc �%roc r 1 9-9 -216' Date ��/ " �, l Inspectok,y 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. ,w 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 additional explanation, please contact this office immediately. 4tter,need o VeRrl`-)4L CkJ4 /d` - l e/i ec. ft 6- s tr op c� ,n� e,e _ �( i ✓� D v G orr w nth r ? A /A cur 1 C o Lr� /C��pltse fisc �%roc r 1 9-9 -216' Date ��/ " �, l Inspectok,y f313'� r, 77/ } 196 MEMORIAL WAY j� 7 COUNTY CENTER DRIVE 747 ELLIOTT ROAD CHICO, CALIFORNIA OROVILLE, CALIFORNIA PARADISE, CALIFORNIA 891-2727 538-7281 872-6308 BUTTE COUNTY DEPARTMENT OF PUBLIC HEALTH DIVISION OF ENVIRONMENTAL HEALTH SEPTIC TANK INSPECTION CERTIFICATE The Septic Tank System was Installed at FOR SEPTIC TANK LEACHING FIELD Length Z( )( �ft. Size G Gallons Width v�? in. Material e , No. of Lines Rock Under Tilen. The above dimensions meet the minimum requirements of Butte County Code, Article 19. Additional leaching area will be required if experience shows it to be necessary. Remarks: 1 Date S2 -778R Sanita ian ENERGY INSTALLATION CERTIFICATE Building Owner W I r9 -G g,4 -"l Building Permit # 2 2. O S - % ( Building Location 330 (0 u kAM(-�CaAJ,'VO ) 69,,127-. A/ VIS6 DESCRIPTION OF INSULA:T'ION ROOF Material Brand Name Thickness(inches) Thermal Resistance (R Value) EXTERIOR WALL Material F, 1 -A Brand Name owevs-co.2Avi,v6 Thickness(inches) 67' Thermal Resistance(R Value) K/9 CEILING Batt or Blanket Type Fic�RG�a ss Thickness(inches) 9Z" Loose Fill Type Minimum Thickness(Inches) tz Area covered(ft.2) FLOOR, ELEVATED Material Fi6EeGLq c5 Thickness(inches) 6 z FLOOR, SLAB Material Thickness(inches) Width(inches) FOUNDATION WALL Material Thickness(inches) I hereby certify that the above insulation was installed in the above building, is consistent with. approved building depart-ment --plans--and at-tac-hments-and- con- forms with requirements of Chapter 2-53 of State of California Energy Requiremen Brand Name OwENf- Lo0A.11,U(w. Thermal Resistance(R Value)__ Brand Name . Number of Bags Wt. per bag lb. Thermal Resistance(R Value) R 3 0 Brand Name ew&vl - eoe v: o c, Thermal Resistance(R Value) lf/9 Brand Name, Thermal Brand Name Thermal Resistance(R Value) Resistance(R Value) FIRM NAME / OWNER r SIGNATURE OF NST_4LLATION APPLICATOR STATE CONTRACTOR'S LICENSE NO. DATE 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. Q. WiTT&,,?6 ✓ BUILDING CONTRACTOR/OWNER (Please Print) (FIRM NAME) SIGNATURE QV BUILDING CONTRACTOR/OWNER HVAC FIRM NAME/OWNER (Please Print) STATE CONTRACTOR'S LICENSE NO. DATE STATE CONTRACTOR'S LICENSE NO. SIGNATURE OF HVAC CONTRACTOR/OWNER DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. SEPTEMBER 1988 On" r ZONING FR10 PUR BUILDING PERMIT OWNER Arthur & ShirleyWitt ren 408 1 SQ. FT. OCC. BUILDING VALUATION 2531 R 129,081 ` l .• COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. 2205-91 ASSESSOR PARCEL NUMBER 55-35-30 ZONING FR10 PUR BUILDING PERMIT OWNER Arthur & ShirleyWitt ren 408 TELEPHONE 249 2798 SQ. FT. OCC. BUILDING VALUATION 2531 R 129,081 OWNER'S MAILING ADDRESS 3498 Clinton Santa Clara 95051 850 M 15,300 CONTRACTOR'S NAME Endeavor TELEPHONE 534-0300 101 C 1,319 CONTRACTOR'S MAILING ADDRESS P 0 Box 1947 Oroville Fireplace "A" 1,500 CONSTRUCTION LENDER UNKNOWN Total Valuation $ 147,200 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 553.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 276.50 Energy Plan Checking Fee $ 15.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ 8 4.50 BUILDING ADDRESS Hamlin Cyn Ct, Paradise Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 on 3 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF aX Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 s on Mobile Home I S I GJWI-d 0.00ea TYPE OF WORK New ff Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: bdrm _ Permit Fee $ 99-00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e00V OR LESS 10.00 10,00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 2.50 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In full force and effect. License No. Classification. ® I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ('DWELLING OCCUP.& p OR ADONS. ACC, BLDGS. l/ /z2sgft 84.50 NE w CONSTR ULT"OUTLET 2.50 ea NON.RESID BRANCH CIRC ITS POWER APPARATUS e (SINGLE OUTLET CIR. I Ex. OCCUp(OUTLETS OR FIXTURES 20050t e ALO 30 FIXED Ex. Occup. OUTLETS P(RESID.)LNS REA.) 2.00 Temporary service 10.00 10.00 Mobile Home Facilities 15.00 Misc. �virin 15.00 g Permit Fee $ 117.00 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 50 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating 6.00 heat pump Cooling 6.00 g Hood 3.00 3.0 ventilation 2 3.001 6.00 penult Fee $ 31.00 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 Iia 'lities, judgments, costs, and expenses which may in any way accrue again ai ount I consequence of the granting of this permit. /�J X Date /��k�li /�q� Signature of Applicant - Owner Q Canrracror ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion Of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 3o n coNSTTYP �/ TOTAL F 1, 4 0 HAZ. I CUA --�- -- PARK SCHL F ClPAR P I H (SSU This permit is hereby issued unser the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated ab;e for which fees have been paid. D E OR OF PUBLIC WORKS uu�3 By Date PERMIT EXPIRES ate - L �--� Receipt No. _ (a "' 7-,- .(7 b WNITL-D.P.W.. P111 -INSPECTOR, GOLDENROD -APPLICANT I w. i .. t s w. i .. t w. COUNTY OF BUTTE - DEPARTMEF PUBLIC WORKS -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE ^CALIFORNIA 95965 -TELEPHONE: 916/538-7541 � (/ PERMIT APPLICATION DATA SHEET Permit No. OWNER 0 fL_ I r1!Z 7 A P. o. Proposed Building Use Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED I items have been submitted . .................................... 2. Aof plans in duplicate/triplicate, signed by preparer of plans..A P ...... 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. Enet�Asign 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. ehome installation data including manufacturer's installation nstructions . F$�� ��............ Fees of ........................ 11. Chico Urban Area fees paid ....................................... 12. Par fees d ........................................ _. �G13. 0 1 District fees paid .............. % ✓ —�4. Sanitation approval from NOVA A 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 •' riveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required ... Pre-Inspec. req est to Building Inspector (Datta) 21. Contractor's license information (No., Name Style, Classifications ... 22, Certificate of Workmans Compensation Insurance .................. �— 2,i' Owner Builder Verification (Given to owner ❑, Mail to owner o) ..... * 24. Recorded copy of Agricultural Acknowledgment Statement ......... / �25. Letter of s/l atp/o1iZz tio................................... 27.+ When you issue the permit, process as follows: Mai er. Mail to contractor. �lephone ','_2'40320 and hold for pickup at 7 o is Deliver w/inspector. Other Applicant .Date / 7 % Iq� Copy of Haz-Mat form sent Health Dept. Fire Dept. __,qir Pollution Date I/ Copy of plans sent Health Dept. Fire Dept. Other Date ABy The following data must be submitted prior to permit issuan le ew it hecked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_-naiI—counter by .date Contractor, designer, owner, was advised of above required data by—phone —ma II—counter by date Plans checked by DatePlans approved by Date_ Sets of plans on hold in File cabinet AP folder Copy—DPW TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance 30 AP # location owner permit has been issued for the above property. Driveway p n b *7/ date sign re �; .. � t. . TO Buildina DepVrtment FROM:' Environmental Health f SUBJECT: Sanitation Clearance 1;� 1 L,.gin (Lqshn- 3S --3J _ . Owner Location I Ap# Plan Approved for: Sewage Disposal V000 Water Supply ✓ Hold final for: Water Supply Final clearance O.R. for: Clearance for =4 bedroom a home. Other NOTE Water Supply , COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT Aaseea R� U ieJ Fie 0 Punt L BUILDING PERMIT 10.00 OWNER E rArq (�J I� rT G iz �N/� T 11HONE 2/4� 9 Z7 y SO. FT. OCQ. BUILDING VALUATION ,S � 3 ���OV O W�R ',! _ I I N G A^ RL► -i N7(/,v S •r/ / r 7- a 1-' ` A -I�fos I '/��/ S o CO RAC O NAMTELEPHONE 53WO30y —/ o NEW CONSTR. U TI.OUTLET �i .I _o Pc aoe rlor..iT 2.SOea C ACTOR'S MAILING ADDRESS /� cpS/ Fireplace C NSTRUCTION LENDER UNKNOWN Total Valuation $ ZO ; 7A0 Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ 3, Q ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ :,'Z-7&, SV 10. Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 3366N`)a� 7 Permit fee $ 157 , .00 PLUMBING PERMIT Filing Fee 10.00 3.00 Each Trap 2.00 , Ventilation, Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Q Each qas water heater or vent 5.00 0 USE OF STRUCTURE SF)< Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 (7 Mobile Home S I G I W 0.00ea TYPE OF WORK NewK Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: _-3 � 4 Energy Inspection Fee $ Or ff Permit Fee $ 5 1 Q I CONST TYPE Contractor 11)SX LA CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed.on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excovatioryD 4,0�' deep Ind demolition or construct- ion of structures over 3 stories in height. PP 11 Receipt No.�=> NNITE-D.P.W.. TELLOW-4518[5500. PINK -INSPECTOR. GOLD PLICAN ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Q OO Main service EA. ADD'L 100 AMP 2.50 ,S NEW CONST. DWELLING OCCUP.& ��2 Qsq it Q r Q OR AODNS. ACC. SLOGS. 15.00 �� NEW CONSTR. U TI.OUTLET �i .I _o Pc aoe rlor..iT 2.SOea POWER APPARATUS &) SINGLE OUTLET CIR. Ex. Occu p OUTLETS OR FIXTURES Zoeeoa DALE 30t Ex. DCCUp. OUTLETS FIXED APP(RESID )REA.) 2.00 Temporary service 10.00 Q r Q Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee ; 7A0 6A Contractor ( ify MECHANICAL PERMIT FiIingFee 10. Heating Cool i ng j .00 Hood 3.00 Ventilation, .Q Penult Fee ; Contractor Mobile Home Installation Fee $ Energy Inspection Fee $ Or ff OCC I CONST TYPE TOTAL FEE $ 11)SX LA HAZ I CUA I PARK I SCHL I FLD I CDF I %AARI PD i HD • l ISSUE This 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 t, k.' 4 � '\ t v :� ' �. - _�} . . t � _ `' . ...-:" ., .. RESIDENTIAL PLAN CHECKING GUIDE '12/90 (S.F., DUPLEX &•MISC. ONLY) e Bldg. Permit # OWNER A.P. # Plan Checker GENERAL ;��aluation. oning requirements: (sideyards and number of permitted living units). l Plans signed by designer. Proper description of work on application. Existing violations on property. 0 Items on data sheet. (W.C., fees, Health, Developer Fees, License law, etc). _-7.,- Recorded notice of violation. PLOT PLAN Complete parcel size and dimensions. Setbacks, sideyards, easements, etc. Other buildings or structures. Grading, fills, drainage. Flood hazard. Special conditions on creation map, ustible, and foundations). FAU & FAS road setback. (noise, CDF, fire sprinklers, non -comb -- Building or utilities across lot lines (Record form). FLOOR -Complete to scale plan with dimensions. Required windows for light and ventilation (Sec. 1205). Required windows for second exit (Sec. 1204). %Skylights (Chapter 34 & Sec. 5207). Human impact glass (Sec. 5406). �equired room sizes, ceiling heights (Sec. 1207). GFCIs in baths, garage, kitchen, and exterior outlets (Article 210-8). Light% fixtures, switches, receptacles, and exterior receptacles for main- tenance of mechanical equipment. Locations of water heater, heating and cooling equipment, other electrical �o-r gas equipment. rage firewall, door size, and closer (Sec. 503(d)(3)). - 3'0" exterior exit door (sec. 3304 (f). 2 Fireplace and wood stove location, alcoves, and clearance. 3 ---Smoke detectors (Sec. 1210). i. Plumbing fixtures, water closet clearances and shower size. STRUCTURAL DETAILS Standard bracing or engineered design (Table 25V) Unusual shape, size, or split level house requiring lateral design. Foundation plan complete enough to construct building. -Floor construction details complete enough to construct building. Elevations and wall construction details complete enough to construct Roof construction details complete enough to construct building. Fireplace construction details and calcs if necessary. Rafter ties or bearing ridge beam. Garage door or porch header sizes. Stud heights. Adobe soils - special foundation design. Retaining walls requiring design. Special Inspection required. building. 12/90 RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR Stairway details: landings, rise and run, head clearance, handrails . (Sec. 3306). Guardrail details (Sec. 1711 & 3306(j). -B--Erick or stone veneer (Chapter 30). Exterior plaster - weep screeds (Sec. 4706). -:Proper roof pitch for roof convering (Chapter 32). /Roof covering type - .(fire hazard). Foam insulation - protection. 36" halls and stairways. Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. wo exits on three-story dwellings (sec. 3303 & see Mezannines - 1716). Attic access and ventilation (Sec. 3205). nderfloor access and ventilation (Sec. 2516). Pbustion air for fuel burning appliances - L.P.G. requirements. se requirements on duplexes. Energy design. ashing at all exterior openings. CDF responsible area requirements. Return, to DPW AGRICULTURAL STATEMENT OF ACLNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT �,• 3 ` i .. Section 26-8.1 of the Butte- County Code �. ".J - requires this acknowledgement be recorded-,j�? -� •�-w= � ,': .. `- _ . I prior to issuance of a building permit. 'T +r..---- ---""--�s•..- �. _ .-.-r.•=..:._... ... ,...:... :� `f;E• ''� r `�y�. r i ; t _ . ,. _ p - '' C• ti:+` s ,. sR• . r .Y'w'• s ° "M_ e. The property described herein is adjacent to land or included within an area zoned ACCEPTED FOR RECORDING for agricultural purposes, and residents AT 8:01 A.M. of this property may be subject to incon— veniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricul— tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Parcel 1, as shown on that certain parcel map, recorded in the Office of the Recorder of theCounty of Butte, State of California, on July 24, 1981, in Book 83 of Maps, at Page(s) 62 and 63. Reserving therefrom those certain non-exclusive easements for road and•public utility purposes over Hamlin Canyon Court and Prospect Lane on said map. Date: '��� ; % J �c/% � f) // PROPERTY OWNERS: 61 Arthur D. Mitt 17 ren Shirley P. VJittgren State of CA\1_ +70PA`16) On this the /� day of -3a(_ c/ , 1915'/ before me, the ) SS. undersigned Notary Public, personally appeared County of SAto-7,1 `� �Tjf��� )�,^V�/ ►!I GI=�A/ `.'H/2L1_ lem°ooaoesmme©®®®®®®®coao°� SALLY ELWELL NOTARY PUBLIC-CALIFORNIAeU Personally known to me. `Proved to me on the basis Sema Clara county 4 of satisfactory evidence. My Commission Expires Sept. 17,1993ato be the person(s) whose name(s) � les®a®ew■o®®s®®nee®a�e000®subscribed to the within instrument and acknowledged that executed the same for the purposes therein contained. Iv WITNESS idH4REOF, I hereunto set my hand and official seal. c. Present A.P. No. votary: Public . t COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. Y.. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) �. I (have/4. froom) L,,M— signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security Number Date -7- (;- 91 NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. +pew,-�t�_-�..;r--"..""":�"�iis�f!+�►%�'M1(YiFi'Lrt'y°r+.^y.li+i.i�'vY�7�Y�ejj(,�yi.J�"`yea'"'..•sy`n:+w-�r�---+..'y�,ef�....y�_ .,"'�,,,PVSA'a�•r;5,,iq'R�'/".52�'n•+�-�•a.d'aa7+"Ri�IT'°" BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM ' (One Form per Building) A.P. Number0 Building Department No. School DistrictCity D County EdJurisdiction Property Owner m7en-k n (5tz c;�x._-) Project Location/Address �� LJ A) C/f/y xo& e� �� 4 , 4 Subdivision Lot Number Residential Development: t Sq. Footage ��,/ 3 # of Living MHI Addition (Group R) Units t, �. Commercial/Industrial: Sq. Footage New Addition (Including Exterior Roofed Areas) 7/1 Building DeX artment Representative DqYte (Floor Plans reviewed by School District Personnel) Distric" Id No. 4 School District certifies that Arthur D. Wittgren ( 408) 249-2798 ��7 g (Applicant Name) (Phone Number) 3498 Clinton Avenue i (Street Address) Santa Clara CA 95051 (City) (State) (Zip Code) has complied with the requirements of Resolution No. by theP � payment a t of 0 chool District Representa PAID BY CHECK NO. BANK NO PAID M CASH representing 2,531 square feet. Zq I ive Date REMARKS: white applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) 0% ,191-2a802 Return to DPW AGRICULTURAL STATEMEM OF ACS TOWUDGRIENT FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. ui The property described herein is adjacent 91-028802 1 Rec Fee to land or included within an area zoned I Check for agricultural purposes, and residents Recorded I of this property may be subject to incon- official Records veniences or discomfort arising from the use of agricultural chemicals, including, County of I Butte I but not limited to herbicides, pesticides, Candace Butt Grubbs i and fertilizers; and from the pursuit of agricultural operations including, Recorder b 1'1 ' 1 8:01am 16 -Jul -91 I 5.00 5.00 CD 1 ut not lmited to cu o vaL on, p owing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All fly -At real property. situate in the County of Butte, State of California, described as follows: Parcel 1, as shown on that certain parcel map, recorded in the Office of the Recorder of the .County of Butte, State of California, on July 24, 1981, in Book 83 of Maps, at Page(s) 62 and 63. Reserving therefrom those certain non-exclusive easements for road and public utility purposes over Hamlin Canyon Court and Prospect Lane on said map. Date: / %J 9�0/' ` PROPERTY OWNERS:Cl�,�2� Arthur 'D. (Witt ren Shirle. Wi ttgreG State of CAL-IFoRAJI&) On this the %*-4- day of �( L_ y , 191F/ , before me, the ) SS. undersigned Notary Public, personally appeared County of SANTA CtAX)f9 A *- P ■ SALLY ELWELL A U Personally known to me. Proved to me on the basis 0 0 NOTARY PUBLIC -CALIFORNIA ■ Of satisfactory evidence. r.. Santa Clara County Y ■ My Commission Expires Sept. 17,1993:to be the person(s) whose name(s) aIr-e— ■ ®s■■■■■a�■■■eta■e■■■v■■■.■■Ssubscribed to the within instrument and acknowledged that -E-tic executed the same for the purposes therein contained. IN WITNE S WHEREOF, I hereunto set my hand and official seal. Present A.P. No. No ary Pub is E D OF DOCUMENT '10 le IDV�Q 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: 3366 HAMLIN CANYON CT Owner: Permit No: B08-1176 APN: 055-350-030 STEELE, SCOTT AND CAROLY Issued Date: 06/19/2008 By KEJ Permit type: MISCELLANEOUS 1830 APPLE VIEW WAY Subtype: Electric Panel PARADISE, CA 95969 Expiration Date: 06/19/2009 Description: TEMP POWER FOR WELL- HUMB (530) 877-4018 Occupancy: Zoning: U 00 Contractor Applicant: Square Footage: STEELE, SCOTT AND CAROI Building Garage RemdUAddn 1830 APPLE VIEW WAY PARADISE, CA 95969 Other Porch/Patio Total (530)877-4018 FEE INFORMATION DBE Single Phase Service-Resid $59.00 Total Charged: $59.00 Fees Paid: $59.00 Balance Due: $0.00 Receipt No: B7738 LICENSED CONTRACTOR'SDECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractofs 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 pernit subjects X 06/19/2008 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 COMPENSATION, WILL DO THE WORK, AND THE STRUCTUREJS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does 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.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LIC64SED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). Carrier: Policy Number: Exp. Date: - (This section need not be completed if the permit is or one hundred dollars ($100) oror esT 'y� �, ❑IAM EXEMPT under Section B. 8 P.C. for this reason: [ �'9CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS SSUED, 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 06/19/2008 6_� compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date rpriions. X 06/19/2008 I 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 7 Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, injury, including death, and property damage caused by, arising out of, or in any way connected with DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the pr any o r or am a 4horized to acto the prop��v owner Behalf. CONSTRUCTION LENDING AGENCY (.� fee%Q-. 06/19/2008 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of ermittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) (ntwner 1:1 Contractor OR; E]Agentfor Owner Agent for Contractor �v FILE COPY Lender's Address City State Zip 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 yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ° 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. ° If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal ° income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° 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 of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through 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 WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. 1. I PERSONALLY PL TO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMENT. &OR NO) 2. 6v�/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 CITY, PHONE CONTRACTORS LICENSE NO 4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: NAME ADDRESS PHONE CONTRACTORS LICENSE CITY 5. I WILL PROVIDE SOME OF THE WORK BUT I HAVE CONTRACTED (HIRED) THE FOLLOWING PERSONS TO PROVIDE THE WORK INDICATED: NAME ADDRESS PHONE TYPE OF WORK Description: TEMP POWER FOR WELL- HUMBOLDT FIRE Reference Number: B08-1176 Applicant Name: STEELE, SCOTT AND CAROLYN Owner's Name: STEELE, SCOT _,1ND CAROLYN AP Signature of Property Owner:_z/ Date :055-350-030 �;1147AF_ BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES PERMIT BUILDING PERMIT APPLICATION* * NO. OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION 1 Website: www.buttecounty.net/dds BIN # PLEASE PRINT CLEARLY "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 I� First Name d / y— Mailing Address 3 / % H a rn b',qCa City 0l, ro_ Gt r S e— State�`� Zip r % Phone 530— U 0 I � Fax E-mail C Lk r1 S G1l1 S Cz (, a h 00 GO ty-t, CONTRACTOR Name lul-r- Address City State Zip Phone Fax E-mail Lic. # Class APPLICANT SIGNATURE X r� PROJECT LOCATION AP# C'✓ J• ��� O Z> Property Address 3 3 In 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: Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: ARCHITECT/ENGINEER Name a 14�1 & a�P-L V- Address SRA City I No State Zip Phone Fax E-mail State License Number APPLICANT SIGNATURE X r� PROJECT LOCATION AP# C'✓ J• ��� O Z> Property Address 3 3 In 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: Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: APPLICANT INFORMATION Name a 14�1 & a�P-L V- Address SRA City I No State Zip Phone Fax E-mail APPLICANT SIGNATURE X r� PROJECT LOCATION AP# C'✓ J• ��� O Z> Property Address 3 3 In 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: Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning7 Flood Zone SRA I Yes I No Occ. Type Const. ,r ���,-.�,;,i3�4�,�?f'.,..t,r�ll+.d�".,,,.y �Er�..-:�...-•��e.. ...�.a�.H,,,,,..�:,V„ss�+T���«_ �"vN----r ;..-:-.,�«"y ..-••,-•._ _---;.:. ..- �,..-�..�as7R�-�;�y'}4�.a.+rn��r«8r.'Iar+Gi'.�+r.l� ^^L 055-350-030 03-0846 WITTGREN FAMILY, ;:3366 HAMLIN CANYON, PARADISE Cont: VERSATICE ROOFING RE -ROOF I AV COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILD G DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530 38-7541 (Rev. 12/96) APPLICATION AND PERMIT C." I I ASSESSOR PARCEL NUMBER 045j,_ 3T/O- 07 d ZONING BUILDINGPERMIT OWNER �/ �/ a� ,_.,- �� TEJ.EPHONE /17 1; SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS IiAA41,IAr C' C P144 � I - A CONTRACTOR'S NAME �• /� � � (NG TELEPHO NE CONTRACT .5 MAIU ADV/ESS a 7 ex CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS LENDER'S Total Valuation $, 0 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee Is ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ , Od LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping .00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodell/❑ Utilities ❑ Installation 13 Other ❑ f Describe Work: '7 9 Gas piping system 1 - 5 ets 15.00 Building sewer 15.00 Mobile Ho S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200AOR.S: 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division.3 of the Business and Professions Code, and my license is in full force and effect./ License Class -34 Lic. No. y6 5 4 o 6 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service TO tOooA 46. WEE200A NEW CONST. DWELLING UP. SO OR ADONs. ( a ACC. sin S. •50FT. NEW NOESID T. MULTI-OUTLEToo0o@7,50 POWER APPARATUS & SINGLE OUTLET .00 Ex, OCCU ounFroR uREs BA0 �' .50 nXE INS.OR 5.00 Ex. Occup.o REBID. EA Temporary S Ice 23.00 Mobile a Facilities 20.00 MisgAiring 23.00 11011 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. El' I 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 insuran a carrier and policy number are: Carrier t i� fp F�� Policy Number f 3 - / % - (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that f I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X �C�,..,.-- Date 3 - LO - D j Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavati ns over 5'0" deep and demolition or construction of structures over 3 stories in height. _ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ , Gu HAZ. D. FEES IMP FLOOD COF PARCEL PD HD ISSUE This permit is ereby issued under the applicable provisions of the Butte unty Code and/oroBesolutions to do work indicated ab ve for which fees•h`, a been paid. , By , / ,� Date -a% •� % _ PERMIT EXPIRES ON 9-1) — Date Receipt No. �Th7$0-A9 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754103_ �% (Rev. 12/96) APPLICATION AND PERMIT �l ��� ASSESSOR PARCEL NUMBER /� / O,i 25 ZONING BUILDING PERMIT OWNERU .�/' F14 1ilL`' /lr/s T HONE 7 /12 0 SO. FT. OCC. BUILDING VALUATION .OWNER'S MAf7 ADDRESS ��� O C•—` . 101HA 6r CONTRACTOR'S NAME f/6m 2 G G� ®Z�GY�/G TELEPHON : CONTRACT 5 MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ D ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ S d� ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS _21f 6e Energy Plan Checking Fee $ PERMIT FEE $ O"rj LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF /Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat um water heater 23.00 Water piping .00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel /❑J ,Utilities ❑ Installation ❑ Other 13Buildin Describe Work: �G- ide Y 4 ,k �� Ca o_r Gas piping system 1 - 5 ets 15.00 sewer 15.00 Mobile Ho S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 600A OR LESS 23.00 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 in full force and effect. License Class L - 3 q Lic. No. y,6 r�a e) OWNER -BUILDER DECLARATION Law for the following reason: I hereby affirm under penalty of perjury that I am exempt from the Contractors LicenseRMobile ❑ 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. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty, of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 1 have and will maintain workers' compensation insurance, as required by Section IV 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compen ation insuran a carrier and policy number are: Carrier 7�K Policy Number 7 j .; — S 2 — (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that 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 `Z� " Signature of Applicant - ❑Owner ❑Contractor ❑Agent ati ns over 5'0" deep and demolition or construction An OSHA permit is required for excav03 structures over 3 stories in height. Main Service TG 46. NEW CONST. OWEWNG OCCUCUP. SO EE OR ADDNS. ( & ACC. BLDS. SQFT. Hp -RE ID. RANCHO CIRCUITS 97.50 POWER APPARATUS & SINGLE OUTLET EX. OCCU OUTLET OR RES 20 Q 1 00 BAL p 50 FucE LNs. oR Occup.o RESID. EA 5.00 Temporary S Ice 23.00 a Facilities 20.00 iring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20 00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $�, !/� HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit ' ereby issued under of the B e unty Code and/o indica dab ve for which fee LZY2. ByDate PERMIT EXPIRES OKI the applicable provisions esolutions to do work a been paid. �� �"of a �L_ Date Receipt No. Zf % , !O WHITE-D.D.S.-B.D. CANARY -AS SSOR PINK -INSPECTOR GOLDENROD -APPLICANT RESIDENTIAL 55-35-30 y , 92-1822B WITTGREN, Arthur & Shirley 3340 Hamlyn Ct, Paradise contr: Endeavor Homes open deck/sf JOB FINALE Signature � - 3 -9-3 neat +. w4yta d J=OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (; = Date UNDERFLOOR (Plans) OK except ft's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -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/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except N's 16. Water Htr.: Vent -Access -Combustion Air -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 4's 22. Fixture & Transformer Clearance - Ins. Protection -- - 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled ------------------------------------------------------------ 25. Romex Installed Close to Edge of Studs & C.J. --------------------------- 26. Equip. Ground made'up w!Mech. Fastners-Bond Gas & Water -------- ------------------------------- --------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI ---------------------`-------------------------- 28. Subfeed Wire Sizer ga. Cu or AI-A.C. Wire Size ! 1 ga. Cu or At 1 ------------------------------------------------ 29. ---------------------------29. Range Circ ! ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No --------- -------------------------------------------------- 30. Service -Riser Conductors & Ground -Main Disconnect ----------------- ----------- ---------------- - -------------------------------- ------- 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light ---------------------------------------------- -------------- -------------------------------------- 33. Smoke Detector -------------------------------------------------------------------- Date Card B-1 Date Card -6- 1 ------------------ --------------------------------------------- ----- --- ------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except p's 34. A.C. Ducts Insulation & Support ----------------- --- ---- ------------------------------------------------------ 35. Vent Fan: Exhaust above insulation ----------------------------------------- ------------- ------ - - ----- --- 36. Condensate Drain & Overflow: Size & Grade 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ------------------------------------------------------------------ 38. Attic Access & Platform if Furnance in Attic ------------------------------------------------------------------- --------- - Date Card B-1 Date Card B-1 - --------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except 4's 39. Sils. Proper Material & Anchors --------------------------------------------------------- 40. -------------------------------------------------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound --------------------------------- - -- - ---------------------------------------- 41..-Bearing Walls over - Girders- -& -Floor -Nailing -------------------------------------------------- 42. Draft Stop in Walls (rat proof) ------------------------------------------ ----------- ----------- ------- 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub ------------------------------------------------ 44. Headers & Beam -Size & Bearing "ingle & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties -Pu rlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits ------- ____ 53. Stairs: Width -Headroom -Rise -Run -Landing -Fire Protection - 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer - 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access ---------57_Glazing Area -Glass Protection- kylights- Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings --------------------------- 60. Infiltration -Walls -Windows ---------------------- Date ----------Date - Card B-1 Date Card B-1 ----------- Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except ti's --------------------- 61. Ext. Steps -Door & Sidelight Protection -Landings 62. -- Smoke Detector ------------------------------- 63. - Furnace; Vents -Clearance -Comb. Air -Connector - ------- In Garage; Above Floor -Ducts -Meth. Protection - - - ---- -- 64. Bedroom Exiting ------------------------------ 65. G F.I & Bath Fixtures & Tub Access -Spa ------------------------------------- 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails -------------- 68. Fireplace or Stove: Clearances -Hearth --------------------------- 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter ----------------------------------- 72. Garage Fire Door_ Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor -Meth. Protection 75. Plb__Elec_ & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection -------------- 7;.-Insulation-Foam-Looked ---------------------------- in Attic ❑ Yes 78. - Guard Rails & Deck Construction -Post Caps 79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters--O-Yes ❑ No 81. Stucco: Brown -Finish 82. A.C. Unit: Disconnect. Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings ------------------------------------ -- - 84 Water Well: Disconnect, Electrical, Plumbing -- --.. _-.. 85. -. --- Exterior Elec. Trim: G.F.I. Receptacle -Underground ----------------------------- ..... --- 86. -- -- .. --- ----- Ventilation Throughout House ------------------------------------------ 87. Glass Protection -- - - - -------------------------- 88. Corrections from Previous Inspections ------ ----------89. _. -.------------------------------ 89. Gas Test -Meters Tagged: Gas -Electric --------- ---------------------------------- 90. ----------- Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates ------------------------------------------- --- --- Date Card B-1 Date Card B-1 ----------------------------------------------- -- ----- Date Card B-1 Date Card 6--1 Date Card B-1 Date Card B Comments at Final: J=OK O = Not OK Not Not Ready MOBILE 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/0 Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/0 to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date ( DECKI-eDVESS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- 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 POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 G"12-92- I� c << a l r t4 Q �OGOr� � •/�i "I"; COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, California 95965 - Telephone: 916,'538-754171 APPUCA,TIONAND PERMIT PERMIT NO. 1/i ASSESSOR PARCEL NUMB R 55-35-30 ZONING FR 10 BUILDING PERMIT OWNER ARTHUR & SHIRLEY WITTGREN 408 TELEPHONE 249-2798 S0. FT. OCC. BUILDING VALUAT 609 4 263 OWNER'S MAILING ADDRESS 3340 HAMLYN CT PARADISE 95969 CONTRACTOR'S NAME ENDEAVOR TELEPHONE 534-0300 CONTRACTOR'S MAILING ADDRESS P.O. BOX 1947 OROVILLE Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is 4,263 Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 60.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 30.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 3340 HAMLYN CT PARADISE Permit fee $ 105.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. 1 SUBDIVISION NAME PARCEL MAP 83-63 Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ® Duplex[] Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S FGTWT @ 15.00 TYPE OF WORK New ❑ Addition Q Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: OPEN DECK _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 20000AA OR LESS 2OR LESS 18.50 Main service 200A TO IOOOA) _ 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.( DWELLING OCCUP.tr) OR ADONS. ACC. SLOGS. 3.6Q sq.ft. NON.RESID NEW CONSTR. BRANCH CIRCUITS @ 5.00 POWER APPARATUS tr (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 20 760 FIXED APPLNS. Ex. Occup. OUTLETS ((RESID,)REA.) I 3.o01 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accr against said Aunty in c asequence of the granting of this permit. X / ✓ � - � Date 6_1 97-- Signature of Applicant — Owner J9 Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $105.0 cOF PARCEL PD R Iss This permit is hereby issued under the sions of the Butte Co ty Code and/or / work indicated abo a for which fees ff Q BLIC By (JZ- PE IT EXPIRE Date — applicable provi- resolutions to do have been paid. WORKS Date Receipt No. / / WMITE-D.P.W., TELLOW-A53[990R, PINK -INSPECTOR, GOLDENROD -APPLICANT w ,F\. qr," � ti::'a R � a.i' . � l•' 4� ,r .f , •�`• : ..:� . ., t; , � r.'.41 .' � ` y > rw.W-y.... ti f 1 A 1 1 r Y . — ..>�.r^""�.w� wry Y>w..w••M.r+ '.' ��'1w f 9 to COU YfOF BUTTE - DEPARTMENT F PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE-�OROVILLS, CALIFORNIA 95965 - TELEPHONE (916) 538-75410 PERMIT APPLICATION DATA SHEET OWNER 4 rHJ2 r94eml �Y A. P. No. ,s� .3 .30 Proposed Building Use D,OG.1 r%GGtBuilding Inspector C N Date Z At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED By 1. All items have been submitted. .......` ............................... . 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ..................... . 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ......................... :.................. 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ..................... . 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of$ .......................................... 11. Impact fees as shown on attached schedule . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . 12. California Department of Forestry plan approval/fees. ....................... . Ad N 13. Flood elevation letter (100 year flood) ��nia Engineer. . 14. Sanitation and plot plan approval 4_Flealth Department . ............ �-2 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. . . Pre -Inspection request 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 _) . a 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization .................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ........................................ . 28. Mobilehome utility clearance . ......................................... . 29. Documentation of legal access . ....................................... . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation 7, Acreage 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: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone_ mailVC0ounter 'ter by _ Date _ Contractor, designer, owner, was advised of above required data by _ phone mail by _ Date Plans checked by Date Plans approved by Date G% . Sets of plans on hold in File cabinet I AP folder Copy - Department of Public Works I -1-11, �) ice FROM: SUBJECT: Buildina Department Environmental Health Sanitation Clearance 3s - 3 0 OwnerLocatio AP# y Plan Approved for: Sewage Disposal Water Supply Hold final for: Water Supply Final clearance O.K. for: Clearance for --' bedroom mobile home. NOTE * * * Water Supply other 6�7-Z-q,L Sanita is Date V.f COUNTY OF BUTTE - DEPAATMENT 7 County Center Drive - Oroville, California 959 _--► a APPLICATION AND PE OF PUBLIC WORKS PERMIT NO. . Telephooe: 9165311-7641 RMIT ASSESSOR PARCEL NUMBER 55-35-30 ZQNING Fil10 PUR BUILDING PERMIT OWNER Arthur i`c Shirley Witt ren 408 TELEPHONE 249 2793 SQ. FT. OCC. BUILDING VALUATION OWNER' CONTRACTOR'S NAME - TELEPHONE Eddeavor 534-0300 and Professions Code and my license Is In full force and effect. OUTLET/CIR. License Ao. Classification Ex. CCUp�OUTLETS OR IXTURES p20 764 � I, as the owner, or my employees with wages as their sole compen- FIXED APP NS. OR Ex. Occup. ouTI..ET REsIO.I EA.) I 3.00 CONTRACTOR'S MAILING ADDRESS P O Box 1.47 Oroville Tefnporary servic 15.00 for sale. (Sec. 7044) Fireplace 15.00 (.J I, as the owner, am exclusively contracting with licensed contract CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ GD— ARCHITECT OR ENGINEER LICENSE NO. — Plan Checking Fee $ 30 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 3340 1,--iml'n Q§n Ct, Parndise ---'—" ----- Permit fee -- $ LriS PLUMBING PERMIT Filing Fee 15.00 S, Each Trap— 5.00 Fee $ Solar or heat pump water hefiA,6rr — 20.00— 0.00LOT tractor O. LOT/O. SUBDIVISION NAME PARCEL MAP JJ ----------- -------- Water piping — -- 7.000 Butte to enter upon the above-mentioned properly for inspection purposes. Each qas water h er or vent coNSI ryPE 7.00 I also agree to save, indemnity and keep harmless the County of Butte against USE OF STRUCTURE SF EX Duplex❑ Mobiiehome❑ Other SPECIFY Gas piping sy em 1 - 5 outlets TOTAL FEE $ "rU560 5.00 Building wer 4i4 15.00 IW Mobit flonie S I G I W Ca 15.00 PD TYPE OF WORK New L j Addition 2/ Remodel Utilities ❑ Installation[]Other ❑ Describe work: D n d — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600VORLESS 200A OR LESS 18,50 _ Main service 200A TO 1000A1 37.50 CONTRACTORS LICENSE LAW NEW CONST./ DWELLING OCCUP.&) 3.64sq.tt. I declare under penalty of perjury (check one): OR ADDNS. 1 ACC. BLDGS. NEW CONR U TI.OUTLET /1 5 l: 00 (-J I am licensed under provisions of Chapt. 9, Div. 3 Of the Business NON.RESIS BRANCH CIRCUITS POWER A -P ARATUS 6 IsINGLE ) _ and Professions Code and my license Is In full force and effect. OUTLET/CIR. License Ao. Classification Ex. CCUp�OUTLETS OR IXTURES p20 764 � I, as the owner, or my employees with wages as their sole compen- FIXED APP NS. OR Ex. Occup. ouTI..ET REsIO.I EA.) I 3.00 salion, will do the work,and the structure is not intended or offered Tefnporary servic 15.00 for sale. (Sec. 7044) Mobile Home F cilities 15.00 (.J I, as the owner, am exclusively contracting with licensed contract Misc. �Viri 15.00 ors. (Sec. 7044) (� I am exempt under Sec. , Business and Professions Code for this reason Pern#1 Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE f declare under penalty of perjury (check one): MECHANICAL PERMIT FiIingFee 15.00 (—I The permit is for $100.00 (valuation) or less. Heating ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. Cooling NA' I shall not employ any person in any manner so as to become subjectr�Vetilaflon 1P d — _—_ --_ 6.50 to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject Fee $ to the W. C. provisions of the Labor Code, you must forthwith comply with such_ LPenTI1 —. --.._ ______— provisions or this permit shall be deemed revoked. tractor I certify that I have read this application and state that the above information Mobile Hotne Installation Fee S is correct. I agree to comply to all County Ordinances and State Laws relating ---- Energy Inspection Fee $ to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned properly for inspection purposes. �occ coNSI ryPE I also agree to save, indemnity and keep harmless the County of Butte against -leis TOTAL FEE $ "rU560 all liabilities, judgments, costs, and expenses which may in any way accrue 4i4 o IW cof PARCEL PD no IssuE- against in consequence of the granting of this permit. X MCI �'f - �L- This permit is hereby issued under the applicable provi- Date Signature of Applicant - Ownr:r (� Contractor ❑ Agent ❑ sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. neigh n OSHA permit is required for tions over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. DIRECTOR OF PUBLIC WORKS 2 By _ Date Fieceipt No..-_..------�_.�._� --- —_-- _-- -- PERMrr EXPIRES nate COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address - Phone Contractors License No. City 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner"Auj�_, Social Security Number g 8 Date 6--/-qZ NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. } r GEMENT . AQRon1 3z This-set.of:pians and_specifications MUST ba apt on the job at all times and it is unlawful t0-A&Tshe any chapges or alterations on same NA Ith- , n fission from the Departme 1 3 ' of Butte. zs plc tv I fqo tlrr 96Uc „ , all t3% to MOI &Workmanship i� NOTE:—All M nized Good Pro .t'S e Accordance with Recd cal odes prescribed for the .Spee i P - - R - -- - - - - — —a{ e--q+�rx pr-m-�� - Uniform Building. National Electrical Code- l Location of structurpr & 6quipnr_ent C L-3- APPROVED �:nnUf Butte County �..1 Environmental Health 90 ... -- - X11 gQse i -' _- --_ - �--- • __ _..._. _ . i . L Fj i i 7 f. �,-_ i VAR/ES 36" MIN. ZI 3 z � 0 o —4 LORI %CJ m 7Q I -p X CP n� -a -n rrl tk N x m J Ac' mm C7 x 3 � 3411 ,'NfWi)RAIL VEIGNT .J 7q oz; .A W ' O D O L = I -' O o W o c �r II II � O CD ami °- o O \ ll� "i �l� o 00 a 36"MIN. STAIR -- - . W I DT4 79 4�- �c fn 03 cnn � cn. LORI %CJ m 7Q I -p X CP n� -a -n rrl tk N x m J Ac' mm C7 x 3 � 3411 ,'NfWi)RAIL VEIGNT .J 7q W ' z L = I o c �r II II z -•I i 36"MIN. STAIR -- - . W I DT4 79 4�- y 7 CertiricaLe of Compijance: Aesiaenuai Ciimate Gone 11 u Project Title BUELDING DATA Condi Sla 'sed Floor _ Sin a amity Detached (SFD) (] Single Family Attached (SFA) [ ] Multi -Family (?vM Number of Stories Number of Units 1L— Addition-Alone L_ [ ] Addition Alone [ ] Existing Building (] Existing -Plus -Addition ButldingPvmit+f `'� By/Date i Enforcement Agency Use Only B UII,DING SHELL INSULATION Component Insulation LocationX:amm,:nts Type R -Value (attic, to garage, =ice!, etc.):* Wall .............. Roof ............. Roof ............. Floor ............. Floor ............. Slab Edge..... GLAZING Shading Devices Glazzing Area Glass Type Orientation (sf) (sine It- doubl t' Interior . Exterior Overhang Framing Type (roller blind, etc.) (shadescrem, etc.) (yestno) (metal/wnewn North ( ) �f O_ -DOZ& BLr North ( ) East if East ( ) South ( )�_ •. Sou th ( ) West ( ) �� • West Skylight....... THERMAL MASS Type/Covering Area Thickness (slab/exposed, tile, etc.) (sf) (inches) Location/Description (kitchen, bath etc) HVAC SYSTEMS Type (fumace,'air conditioner, hent numn) .I a Mi:.imum Duct Efficiency Location Duct - Output Manufacturer / Model # T- SEER.HSPF) (attic, etc.) R -Value (Btuh) (or approved equal) 7 Maximum Furnace Heating Output: Btuh HOT WATER SYSTEMS Tank Manufacturer/Model# System T (storage Sas, etc.) Capacity or approved equal) oho A C_,F ail 111 r)17 FIG -- SPECIAL FEATURESIREMARKS (Add extra sheets if necessarA p Ov N1`f Mandatory Measures Checklist: Residential MF -IR NOTE. Lawrise residential buildings subject to the Standards must contain Huse mcasau regardless of the compliance ' approach used Items muted with an uttrut (') may be supeseded by more suingent compl4= ruquucwlu s fisted on tate Ccrtifuste of Compliance. What this checklist is incorporated into the permit documental the features noeW &liaa be considered by all parties as binding minimum component performance speefiueatio s for the mandatory manners r whether they arc shown elsewhere in the documents or on Nis ebecklist only. DFSCRJMON DESIGNER ENFORCFHENr Building Envelope Measures - 12.5352(a): Minimum ceiling insulation R-19 vwghttA average. 42.5352(bi Loose run insulation manufacturer's labeled R -value. 12.5352(c), Minimum wall insulation in finned walls R-11 weighted average (does not apply to rstenor mass walls). 12.5352 ft Slab edge insulation - rater absorption ram no great than 0.3%. water vapor transmission rate no greater than 2-0 perm/inch. 12-5311: Insulation specified or installed meets California Energy Commission (CEQ quality standards. Indicate type and form. 42.5352(fk Vapor barriers mandatory in Comte banns 14 and 16 only. .12-5317: InrlltratioruEzfiltradon Conuots a. Doors and wutdows between conditioned and unconditioned spaces designed to limit air leakage, b. Doors and windows certified. C. Doors and windows weaNerstnppcd: all joints and pencmuions caulked and sealed 12-5352(e)- Special infiltration burier installed to comply with 12-5351 mats CEC quality standards §2.5352(d): Installation of Fucptw= 1. Masonry and factory -built fireplaces; have a Tight fitting, closeable meal or glass dose b. Outside air intake with damps and control e Flue damper and control 2. No continuous bunting gas pilots allowed. HVA C and Plum bung System Measures 52-5352(8) and 2-5303: Space conditioning equipment sizing -tach ttaiculuions. §2-5352(h) and 2-5315: Setback dsennostal on all applicable heating systems. 42.5316(a): Ducts constructed. installed and insulated per Chapter 10. 1976 UMC. §2.5316(b): Exhautst systems havc damper contmiL §2-5314(C): Gas. fired space heating equipment has intermittent ignition devices. 12-5314: HVAC equipment. water heaters. showerheads and fauuss certified by the CEC. §2-5352(1): Wates heater insulation blanket(R-12 a greater) or combined intrrior/caterier insulation (R-16 or greater): fust 5 feet of pipes closest to tank insulatr-d (R-3 or greater). i §2-5312(Ezeeption I):Pipe insulation on steam and steam condensate restart & recirculating piping i 12-531R(d), Swimming Pool Heating 1. System has. a. OrYoff switch of heater. b. W=hcrproof instruction plate on heater. e. Plumbed to allow for solar. 2. 75 percent thermal efficiency. 3. Pool cover. 4.— I imc clock. - 5. Directional water inlet. t Lighting and Appliance Measures 12-53520: Lighting - 25 lurruns/watt or greater for general lighting in kitchens and bathrooms. j12-5314(c): Gas fined appliances equipped with intermittent ignition devices. 12.5314(x): Refrigerators, refrigerator-fri=crs, freezers and fluorescent lamp ballasts certified by the CFC. Indicate make and model number. COMPLIANCE STATEMENT This mrtificue of compliance lists tin building featults and performance specifications needed to comply with Title 24, Chapter 2-53 and Title 20. Chapter 2. Subchaptet 4. Article 1 of the California Administrative code. This certificate has been signed by the individual with overall design responsibility and the building owner. who shall retain a copy of it and transmit the certificate to stay subsequent purzdiaser of the budding. Designer Building Owner • Name a Name TuklFitnt TttklFuta: Address: Address: Tekpuhonc Tek hone tic. M: -Xlrk�( -7 (signature) () (si nature) (date) Documentation Author. Enforcement Agency Nam`: Name: TttkFFu= Acer Addn=: 3 1. Ceiling Insulation Floor Insulation Slab Floor Single- Number of stories Family R -value One Two Three R-0 -103 -49 32 ' R-19 -8 -4 -2 R-30 -2 -1 -1 R38 0 0 0 U -value -114. 76 0.50 -91 0.50 -176 -84 -54 0.30 -102 -49 32 0.10 -26 -13 -8 O.C8 -18 -9 -6. O.C6 -11 -5 -4 0.C4 -4 -2 -1 0.02 4 2 1 0.00 11 5 3 2. Wall Insulation Floor Insulation Slab Floor Single- Single - R -value Family Family Multi - R -value Detached Attached Family R-0 -68 -51 34 R-11 0 0 0 R-13 2 2 1 R-19 8 6 4 U -value 4. Slab Fdge Insulation 40 0.80 ..._.__-.-153 ... - -114. 76 0.50 -91 -68 46 0.30 -47 -36 -24 0.10 0 0 0 0.08 4 3. 2 Us 9 7 5 0.04 14 11 7 0.02 19 14 10 O.CO 24 18 12 3. Raised Floor Insulation Slab Floor Number of stories Insulation in Floor R -value One Number of stories Three R -value One Two Three R-0 17 -6 -5 R-11 -3 -2 -1 R-19 0 0 0 R-30 3 1 1 U -value 4. Slab Fdge Insulation 40 - ---.0.60 . -144 -70 -46 0.50 -120 -58 38 0.40 -95 -46 30 0.30 -69 -34 .22 0.20 -13 -21 -14 0.10 -17 -6 -5 0.08 -11 16 -4 0.06 -6 -3 -2 0.134 -1 0 0 0.02 4 -2 1 0.00 '10 5 3 Controlled Ventilation Crawfspace - Slab Floor Number of stories Mass R -value One Two Three R-0 -11 ,-Z 1-5 .31 to 0.30 or R75 -4. -4 - 3 R-11 2 -2 -2 R-19 -1 .2 2 4. Slab Fdge Insulation 40 -90 37 Number of Stories -14 R -value One Two Three R-0 0 0 0 R-5 8 5 2 R-7 8 6 3 F2 factor -58 -20 -12 0.90 -i -3 1 0.80 -i .1 . 0, 0.70 2 2 1 0.60 6 4 2 0.50 9 6 3 0.40 12 8 4 5. Infiltration (Air Leakage) Specification Points Standmd 0 6. Glass Hest Loss Total - Slab Floor Effective Pereett Clara Mass U -value East Percent :West Skylight 51 to .41 to .31 to 0.30 or Glass Single Double .60 .M .40 less 50 -121 -53 -39 -24 -10 4 40 -90 37 -26 -14 3 8 35 -75 -29 -19 .9 1 10 30 -61 -21 -13 -4 4 12 29 -58 -20 -12 3 5 12 28 -55 -18 -10 -2 5 13 27 -52 -17 -9 -2 6 13 26 -49 -15 -8 -1 7 14 25 -46 -14 -7 0 7 14 24 -43 -12 -5 1 8 14 23 -A0 -11 -4 2 8 15 22 -37 -9 3 3 9 15 21 34 -7 -2 4 10 15 20 31 -6 0 5 10 16 19 -29 -4 1 6 11 16 18 -26 3 2 7 12 16 17 -23 -1 3 8 12 17 16 -20 0 4 9 13 17 15 -17 1 6 10 14 17 14 -14 3 7 10 14 18 13 -12 4 8 11 15 18 12 -9 6 9 12 15 19 11 -6 7 10 13 16 19 10 3 9 it 14 17 19 9 -1 10 13 15 17 20 8 2 12 14 16 18 20 7..Shading (Shade Open) Effective Pe: cestt Class (percent glass x SC) Effec ive - Slab Floor Effective Pereett Clara Mass %Glass North East South :West Skylight 18 5 1 4 1 na i6 4 .2 5 1 na 14 4 2 5 1 na_ 12 3 3 5 2 na -- 11 3 3 5 2 na 10 2 3 5 2 1 9 2 3 5 2 2 8 2 3 5 2 2 7 1 3 4 2 2 6 1 3 4 2 3 5 1 2 4 2 3 4 0 2 3 1 3 3 0 1 2 1 3 2 0 0 1 0 3 1 -1 -1 -1 -1 2 0 -1 -2 -4 -2 0 na = not allowed -23 3 0 -4 .8. Shading (Shade Closed) - Slab Floor Effective Pereett Clara Mass Family (Percent glass x SC) Muth Effective Stories Attached /CFA One Two %Glsiss Norh East Sottas West %y*1 18 -14 -48 -69 -64 na 16 -12 -42 -59 -55 na 14 -10 -35 -50 -46 nes 12 3 - -29 40 -37 na 11 -7 -26 36 33 na 10 5 -23 31 -29 -74 9 -5 -20 -27 -25 -65 8 , 1 -%-5 •-17 . ' -23 -21. -56 7 -4 -14 -19 -18 -47 6 3 -11 -15 -14 -38 5 -2 .9 -11 -10 -30 4 -1 -6 -8 • • .-7 -23 3 0 -4 -5 -4 -16 2 1 1 2 1 -9 1 1 1 1 1 -4 0 2 3 4 3 0 na - not allowed 3 7 8 10 9. Interior Thermal Mass Interior Single- Slab Floor Raised Floor Mass Family Stories Muth Mass Stories Attached /CFA One Two Three One Two Three 0.0 -8 -5 -4 -2 -1 -1 0.1 -8 -5 3 -1 0 0 0.3 -7 -4 -2 0 1 1 0.5 -6 3 -1 1 1 2 0.7 -5 -2 -1 1 2 2 0.9 -5 -1 0 2 3 3 1.1 -4 -1 1 3 4 4 1.3 -3 0 2 3 4 5 1.5 -3 1 2 4 5 5 2.0 -1 2 4 5 6 7 Z5 0 3 5 7 7 8 3.0 1 4 6 8 8 9 3.5 2 5 7 9 9 10 4.0 3 6 8 9 10 10 4.5 3 7 8 10 11 11 5.0 4 7 9 11 12 12 5.5 5 8 9 11 12 12 6.0 5 8 10 12 13 13 6.5 6 9 10 12 13 13 7.0 6 9 11 13 13 14 7.5 6 10 11 13 14 14 8.0 7 10 11 13 14 14 8.5 7 10 12 t 13 14 15 10. Exterior Wall Thermal Mass Exterior Single- Stngfe- Sum Of 1.6 Wall Family Family Muth Mass Detached Attached Family 0.00 0 0 0 0.20 3 2 1 0.40 .5 4 3 0.60 8 6 4 0.80 10 8 5 1.00 13 10 7 1.20 13 12 8 1.40 12 13 9 1.60 10 13 11.. 1.80 10 12 12 ZOO 10 11 13 I 11. Heating System SE or HSPF (assumes ducts In attic) Zonal Control Adjustment System Type Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 12. Cooling Syst•:In Sum Of 1.6 _ SEER -4 -25 or -24 to -14 to -4 to +6 to 16 or SE HSPF less -15 -5 +5 +15 more 0.72 6.60 0 0 0 0 0 0 0.75 6.88 3 3 3 2 2 1 0.80 7.33 .1 7 6 5 4 3 0.85 7.79 13 11 10 8 7 5 0.90 8.25 17 15 13 11 9 7 0.95 8.71 20 18 15 13 11 8' •1 10.5 Effective SE or HSPF 6 5 4 (SE or HSPF x duct efficiency) 11.0 10 Effective -25 or -24 to -14 b -4 to +6 to 16 or SE HSPF less -15 -5 +5 +15 more 0.30 275 -73 -64 -56 47 -38 -30 na 3.41 -45 -39 -34 -29 -24 -18 0.40 3.67 -34 30 -26 -22' -18 -14 0.50 4.58 -10 -9 -8 -7 -5 -4 0.56 5.13 0 0 0 0 0 0 0.60 5.50 5 5 4 3 3 2 0.70 6.42 17 15 13 it 9 7 0.80 7.33 25 22 19 16 13 10 0.90 8.25 32 28' 24 20 17 13 1.00 9.17 37 32 28 24 - 19 15 Zonal Control Adjustment System Type Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 12. Cooling Syst•:In SEER -4 -4 3 -2 -2 (Lssutrttt ducts In attic) 2 2 2 Som of 7-10 Single -Family Detached and Attached -25 or ,24 b 04 b '-4 b +6 to 16 or SEER 1e64 -15 t 5 +5 +15 more 8.0 -14 -12 -10 3 -6 -4 8.5 -9 -7 -6 -5 -4 3 8.9 -5 -4 -4 3 -2 .2 9.0 -4 3 -3 -2 -2 •1 9.5 0 0 0 0 0 0 10.0 4 3 3 2 r2 •1 10.5 7 6 5 4 3 2 11.0 10 9 7 6 4 3' iZO 15 13 11 9 7 • 5 13.0 20 17 14 12 9 w 6 WSS -25 j -12 -10 -8 POk -18 ER4Tdve SEER -9 -7 -6 (SEER xduct efficiency) -5 .3 -2 Q11 of 7--10 _2 Solar 7 Effective -25 or -24 to -14 b -4 b +6 b 16 or SEER less -15 5 +5 +15 more 5.0 -30 -25 -21 -17 -13 -9 6.0 • -12 • -11 -9 -7 16 4 6.6 -5 -4 -4 3 -2 .2 . 7.0 0 0 0 0 0 0 8.0 9 8 6 5 4 3 9.0 16 14 12 9 7 5 10.0 27. 19 16. 13 10 7 11.0 26 23 19 15 12 8 i ZO 30 26 22 18 14 9 13.0 33 29 24 20 15 10 Zonal Control Adjustment 10 8 7 6 4 3 No Cooling System Installed -Stories One -5 -4 -4 3 -2 -2 Two + 3- 3.{. 2 2 2 1 Single -Family Detached and Attached . Til[ 1 MASS E Unit Size (SQ '12M Water :139 1700 2200 2700 Heater Uredit or • b to to . or Type Type less 1699 2199 2699 more SG 'None ' 0 ' j 0 0. 0 0 or Solar 12 ' f 8 6 5 4 HP HWR 8 5 4 3 3 WSB •5 3 3 2 2 POU 8 5 4 3 3 SE "None _37 -24 -18 -15 " -12 - Solar -1 -1 -1 0 0 HWR -18 -12 -9 -7 -6 WSS -25 -i6 -12 -10 -8 POk -18 _-12 -9 -7 -6 IG None -5 .3 -2 .2 _2 Solar 7 5 .4 3 2 POU 3 2 1 1 1 IE None .-28 1 . -19 -14 -11 -9 Solar .8 5 4 3 3 POU -10 -6 -5 -4 -3 Multl-Family (individual 5 units) 0.5 Q7 Unit Size (so 1.1 Water 699 700 1200 1700 2200 Heater Cre&t or b to to Or Type Type less - 1199 1699 2199 more SG None 0 0 0 0 0 or Solar 14 7 5 4 3 HP HWR 9 5 3 2 -2 WSB 9 4 3 2 2 POU • 9 5 3 2 2 SE None -45 -23 -15 -11 -9 Solar 2 1 1 0 0. HWR -23 -12 -8 -6 .5 WSB .25 -13 .8 -6 -5 _ POU _23 _12_-8 58 -6 -5 IG Nane 8 -4 -3 -2 ; -2 1 Solar 6 3 2 1 M 1 POU 1 0 0 - IE None -30 _ 15 -10 -8 -6 Solar 18 9 6 4 4 POU -8 -1 .3 .2 -2 rutlll Systew Summary: Climate Gone h SCORE CARD 1. Ceiling Insulation 2. Wall Insulation 3. Raised Floor Insulation 4. Slab Edge Insulation S. Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) a. North b. East c.. South d. West e. Skylight 8. Shading (Shade Closed) a. North b. East - c. South d. West e. Skylight , 9. Interior Thermal Mass 10. Exterior Wall Mass Measures ,30 or R -value 1381 U -value (0.030] R 11 or 11-v ue[111 U -value (0.0981 or R-value(191 1.1 -value [0.0371 or r R -value (0] F2 factor (0.77] s Standard 5• Type [doable] U -value -[0.65] % Total Glaze (16] aro Glass SC Eff % asst' X • 77 _ 4. X - X = oC t@ X J, Glass SC Eff. % Glass v XI f* -_ X = i/ X TYPE 1 MASS AREA s 3 Interior iYu:uCFA COND. FLOOR AREA = TYPE 2 MASS AREA _ 8 Mas_ s CON D. c L O R AREA Exterior Wall 11. Heating System p• • > X 4 = Zonal Control? ( Y / N) SE or HSPF Duct Ffficicncy [0.781 Effective SE or (0.7716 HSPF 10-W5.15] 12 Cooling System " •{ + x • �� i� Zonal Control? ( Y / N )' •S [ SI Duct Efficiency (0.74] Effectiva SEER 17.031 13. Water Heatingc':? t - s ` _A Type [SGI Credit (nonel Point Scores o 0 G Su� i Sum 7-10 Point Total: '�� Interior Mass/CFA . Til[ 1 MASS , n.7w1.e•4.21 Inry•e.• •tel 4 TYPO 1 xAss (UTAC • 4.2- to: exposed sl_bI t • 0% S% 10% 1S% 207• 25% 3076 3S% 40% 45% 50% 55% 60% 6Si6 70% 75% eo7t: 857: Sox 95x 1007. tasr. it07: fur. 120% 125' 0%: 0 a2 0.4 0.6 0.8 1.1 1.3 1.5 1.7 1.9 • 21 23.. 25 27 29 3.2 14 i to 3.e 4 4.2 4.4 -4.6 t0% 0.2 114 0.6 . 0.6 • 1 . , 1.2 1.4 1.6 -1.9 2.1 Z3 • Z5 Z7' 29 •'11 13 , IS 17' 4 - 4.2 4.4 4.6 7.6_ 4.6 5 53 0.5 Q7 0.9 1.1 1:! 1.6 1.8 26 U Z4 S 52 5.4 30%x. 26 it �9 u 15 i7 ss 11 1:� 1:5 l:7 i:9 5.1 5.7 56 t6 407: s1 0.9 iJ 13 1.5 1.7 1.9 Z2 Z4 Z6 2.8 3 12 3.4 15 18 4 1.3 4.5 4.1 58 50% a9 1.1 1.3 1.5 1.7 1.9 21 Z3 ZS Z7 3 32 14 3.3 18 4 4.2 4.9 5.1 5.3 5.5 5.7 59 4.4 4.6 4.8 S.1 5.3 5.5 5.7 5.9 6.1 55% 0.9 1.1 1.4 1.6 1.8 2 Z2 24 26 26 3 12 SS 17 3.9 4.1 41 4.5 4.7 4.9 5.1 53 56 60% 1 12 1.4 1.7 1.9 2.1 Z3 25 21 29 11 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 ' 5 52 5.4 S8 6 62 65% 1.1 1.3 1.5 1.7 1.9 2.2 Z! Z6 26 3 12 14 36 3.8 4 4.3 4.5 4.7 4.9 5.1 53 55 56 5.9 61 63 70% 1.2 1.4 1.6 1.6 2 Z2 25 Z7 Z9 11 13 15 17 19 4.1 4.3' 4.6 4.8 5 52 5.4 5.6 5.7 5.9 61 64 75% 1.3 1.5 1.7 1.9 Z1 Z3 Z5 ZI 3 32 14 16 18 4 4.2 4.4 4.6 4.6 5.1 58 6 62 64 5.3 S.S 5.7 5.9 6.1 6.3 6.5 807: 85% .1.4 1.5 1.8 2 2.2 2.4 26 28 3 13 3.S 11 19 4.1 4.3 4.5 4.7 4.9 5.1 54 56 5.8 6 90% 1.4 1.5 1.7 1.7 1.9 2 2.1 2.2 2.3 24 ZS ZS 27 Z8 29 11 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 S 52 SI 56 59 6.t 62 63 6! 65 66 95% 1.6 . 1.8 2 Z2 2.5 21 2.9 3 11 3.2 33 14 15 3.6 17 18 3.9 41 4.1 4.3 4.5 4.7 4.9 11 53 55 S.7 5.9 6.2 64 66 67 68 100Y• 1.7 to Z1 2.3 Z5 Z8 3 12 3.4 10 18 4 4.2 4.3 4.4 4.6 4.6 4.8 4.9 5 5.2 5.4 5.6 5.8 6 6.2 6.4 6.7 69 11 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.7 7 105% 1107: 1.8 1.9 2 tt Z2 23 2.4 ZS 2.6 27 Z8 29 3 11 13 3.S 17 3.9 4.1 4.3 4.5 4.7 4.9 it 5.4 56 5.6 6 6.2 6.4 6 6 6 8 7 115% 2 2.2 Z4 2.6 2.3 3 32 13 14 16 3.5 3.6 3.8 4 4.1 4.2 4.3 4.4 4.S 4.6 4.7 4.6 5 5.2 5.4 5.7 5.9 6.1 6.3 6.5 6.7 69 7.1 120% 2 Z3 Z5 2.7 Z9 3.1 13 15 17 3.9 4.1 4.4 4.6 4.6 4.9 S 5.1 5.2 5.3 5.4 5.5 5.6 5.7 58 5.9 6.2 6.4 6.6 6.8 7 7.2 125% 21 Z3 Z5 2.8 3 3.2 14 3.6 18 4 4.2 4.4 4.6 4.9 5.1 5.3 15 5.7 5.9 6 6.1 6.2 6.3 6.5 6.5 6.7 6.7 6.9 7 7.1 3.3 7.2 ,7.4 rutlll Systew Summary: Climate Gone h SCORE CARD 1. Ceiling Insulation 2. Wall Insulation 3. Raised Floor Insulation 4. Slab Edge Insulation S. Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) a. North b. East c.. South d. West e. Skylight 8. Shading (Shade Closed) a. North b. East - c. South d. West e. Skylight , 9. Interior Thermal Mass 10. Exterior Wall Mass Measures ,30 or R -value 1381 U -value (0.030] R 11 or 11-v ue[111 U -value (0.0981 or R-value(191 1.1 -value [0.0371 or r R -value (0] F2 factor (0.77] s Standard 5• Type [doable] U -value -[0.65] % Total Glaze (16] aro Glass SC Eff % asst' X • 77 _ 4. X - X = oC t@ X J, Glass SC Eff. % Glass v XI f* -_ X = i/ X TYPE 1 MASS AREA s 3 Interior iYu:uCFA COND. FLOOR AREA = TYPE 2 MASS AREA _ 8 Mas_ s CON D. c L O R AREA Exterior Wall 11. Heating System p• • > X 4 = Zonal Control? ( Y / N) SE or HSPF Duct Ffficicncy [0.781 Effective SE or (0.7716 HSPF 10-W5.15] 12 Cooling System " •{ + x • �� i� Zonal Control? 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