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HomeMy WebLinkAbout056-070-074FAILURE'TO FINAL SINGLE FAMILY- JEFF ARBOGAST '71 U� o Ciud"ree Col sset Permit#2949-88B,P,E,M(new sing ng e_famil:4/,5/93- l I'D7rV7 _ - 74. y Permit#3409-89B(lst renewal/2949- ) �1�20y� r� = 56-07-7 eri"nit#4074-90B (complete/sf) w7056=07�200747".':, X _• `.z"`-� 92=3112B"r { ;,KERSHAW; •�Ardele'. ` • u *�' / ��,, , r (� ' 47T h1ud Creek+Rd; Cohasset., contr Inspex "r` complete/88-2949 , • •,: .1 � s - -- - . a.. 056-07-0 _07.-4 93-26'62 "P M KERSHAW, ARDELE '. • 471 MUD -CREEK `` :t.COHA. , � , CONTR.':: INSPEX ;,�,,' SSET, WALL FURNACE r LO �. �I .E ...y.. a .,r.. � ., M ,. .., . a , t .y,r;«q,,.7f,: Y'.. �' �. -A+pt aI , f : '`y,;� a. t�..•.s.=m i 662 PJ ' 056-07-0=074 t 93-2_. KERSHAW ARDELE 471 MUD_CREE&; COHASSET } CONTR INSPEX WALL FURNACE t r / a ' ii a • • L COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ,s> 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. y. APPLICATION -AND PERMIT ASSESSORrxE)�—N0u'"/&074 ZG"'5 BUILDING PERMIT OWNER* ARDFLE KERSTRAW TELEPHONE 345-9773 SQ. FT. OCC. BUILDING VALUATION OWNER'S 11A4WD(V Il15SS:.1 ROAD, C0IIASSF'I', CA 95926 CONTRACTjri jAg1E.- INC. 342-E8043 CONTRACTOR'S MAILING ADDRESS - Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING 44 // Ap fs?W CRUK 11 PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 C011ASSE'T, CA 95926 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SFU, Duplex ❑ Mobilehome ❑ Other SFU, SPECIFY Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New ❑ Addition ElRemodel ElUtilities ❑ Installation EI9 Otheri Describe Work: WAIL FURNACE. PERMIT FEE $ 35.00 Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 620 OV OR LESS ) 23.00 20OA OR LESS Main Service ( 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCCUP. SO. OR AODNS. ( 8 ACC. BLDS. ) 3.50 FT. CONTRACTORS LICENSE LAW( I declare under penalty of perjury (check one) 05t. I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and7y licen e I in full force and effect. License No. .� r, 7 ification ❑ I, as the owner, r my employees with wages as their sole compensation, 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 contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTIOUTLET -NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS ) B SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) B20 @ ).00 Ex. Occup.FIXED APPWS. OR ( OUTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. (3 I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating WALL FUgNACF Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs; and expenses which may in any way accrue against said County in consequence'of the granting of this permit. X '�Ji �..: Date % AE� Signature of Applicant - ❑ Owner Contractor ❑ Agent / " An OSHA permit is required for excavations over 5"0" -deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ ocC CONST. TYPE TOTAL FEE $ 70.00 HAZ. I D. FEES I IMP FOOD CDF PARCEL PD I HD ISSUE This permit is hereby Issued under the applicable provisions P Y PP of the Butte County Code.and/or Resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS 1r, y .(-C�*�ff Date f, ✓ �� PERMIT EXPIRES ON :j r /Date) 148315 Receipt WHITE-O.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, Califorpia-;95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT 9-�-2662 ASSESSOR p{+{tc�L N}lyd�f{I-074 r ZONNGG�-5 BUILDING PERMIT OWNER ARDELE KERSHAW TELEPHONE 345-9773 SQ. FT. OCC. BUILDING VAL OWNER'S'9411OD�F$$_ASSET ROAD, COHASSET, CA 95926 CONTRALTI IVJ X INC. TELEPHONE342-8043 CONTRACTOR'S MAILING ADDRESS ' Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 471 MUD CREEK PERMIT FEE $ COHASSET, CA 95926 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME + PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SFS Duplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 5 outlets 15.00 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New ❑ Addition ❑ Remodel El Utilities ❑ Installation ❑ Other) Describe Work: WALL FURNACE, PERMIT FEE g 5.00 Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOV OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO +000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BLDS. ) So. 3.50 FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and y licen a i, in full force and effect. License No. s ification ❑ I, as the owner,—Sr-my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ .1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) Cl I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIH. Ex. Occup. ( OUTLET OR FIXTURES ) @ ).50 BAL. Ex. Occup.FIXED APPWS. OR (OUTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. ff-Ishall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating I�IALT FURNACE 15 00 Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments c s , and expenses which may in any way accrue against said County in c se oft ranting of this permit. �r X Date 4 Signature 'Applicant O Owner ontractor Cl Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 70.00 HAZ- D. FEES IMP FLOOD COF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have DIRECT OF PUBLIC By PERMITEXPIRESON la the applicable provisions Resolutions to do work been paid. WORKS ate 04, Receipt No. 148315 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT �RMtta�cfile.r �[ ": a t, - COUNTY OF BUTTE -DEPARTMENT OF DEVELQPM ENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - QROVILLr, CALIFORNIA95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER A. z2 Proposed Building Use ��/f}/ (->L f`{� -f- �� Building Inspector IV -DateA4_ At time of perrpa't 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 caics, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . .............................................. 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . '9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $......................................... 11. Impact fees as shown on attached schedule. ............................. . 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development.about (A) Improvements (B) Drainage. ........... 19. Driveway permit (construction approval required prior to occupancy). . . Pr 4- *edionrequest 20. Pre -inspection for required. .. co Bu, g In dor (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner . .......... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . ......................................... . 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan checklist ..................................................... . 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractors , Telephone and hold for pickup at office. iver with inspector. Other Parcel Creation q 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 _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS P R ITN =� 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541. APPLIC RMIT I ASSESSOR PARCEL NUMBER ZONING _ 67— Q BUILDING PERMIT O 3e Ar6c) Q CIL 15 {3 q?7 3 Q SO. FT. OCC. BUILDING VALUATION /® OWNER'S MAILING ADDRESS n X 5 s g f Chico q5W Ad 89 /n CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS _ Fireplace /,0 0 CONSTRUCTION LENDER Alb N e— UNKNOWN TotalValuation $ a Filing Fee. $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ 9o-� ARCHITECT -OR ENGINEER LICENSE NO. Plan Checking Fee ,$ Gr , Energy Plan Checking Fee $ . OTJ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $, —0 PLUMBING PERMIT Filing Fee 10.00 m Crete Each Trap 2.00 /.A. o -a CO� Q 5S �-t- Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARC M 7 Ap /T% � Water piping 5.00 •O'Q Each qas water heater or vent 5.00 USE OF STRUCTURE SFEj Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 p�D Mobile Home S G W 0.00 ea TYPE OF WORK NewQ/Addition❑ Remodel❑ Utilities❑ Installation❑ Other❑ i Describe work: �J (3 R_ . Permit Fee $ 3;Z, Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS AMP OR L SS 10.00 , 0-0100 v Main service EA, ADD'L 10 AMP 2.50 �'o�j 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 OCCUPM OR ADDNS. ( ACC. BLDGS. / , ^ h¢sgft NEW CONSTR. I.OUTLET2,50 NON.RESID BRANCH CIRC TS ea (POWER APPARATUS-&) (SINGLE OUTLET CIR Ex. Occup( OUTLETS OR FIXTURES eAL930 FIXED APPLNS. OR EX. Occup. OUTLETS (REST 0.) EA.) 2.00 Temporary service 10.00 /Q, pfa Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department �a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,. should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 310^0 Ventilation Permit Fee $ /3�0-� Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agW-naidun in consqu ce of the granting of this permit.This X Date Siicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct-TOR/OF ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PER IT FEE $ 60 -7.% OC uP. CONST.TY scNo FLoo ARCEL D ND ISSUE permit is hereby issued under sions of the Butte County Code and/or work Indicated above for which OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS ^/tj� Da D^ Q Receipt No. WHITE-D.P.W.. YELLOW-AOetSe , PINK -INSPECTOR. GOLDENROD-APPLI CANT TO: Building Department 'tr FROM: Encroachment Permit Section RE: Driveway Clearance fIr- -T wner location , Driveway permit tl OL� d si ature AP # has been issued for the above property. date -� TO Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance el `/ G� Ow er Location AP# _ Plan 'Approved for: Hold final for: Sewage Disposal ._ l� Water Supply !� Final clearance O.K. for: Clearance for bedroom mobiljgom:el Other NOTE *** 4 r Sanitarian. Water Supply Water.Supply Z-� -749 Date COUNTY OF BUTTE - DEPARTMENY�OF'PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 OWNER .Je Proposed Building Use PERMIT- APPLICATION DATA SHEET Building Inspector Permit No. A. P. No. 46 ,S'( - 07 - 07Zi Date V -1 - At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED Alf-items.have been submitted. . . . . . . . . . . . 119. Plot plans in du licate/triplicate, signed by preparer of plans.Complete plans in dui' ate./triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plaris with Energy Design Compliance Statement. . . . . . 6. School District "Fees Paid", Stamp on Floor Plan. 7 k.] 4 Statement of Intent for Non -Heated and AC Buildings. Fees of $ (o p % . . . . . . . a 9. 10. Letter of signature authorization. j. . . . . . . . . . Sanitation approval from 1�2/7/C /2 Health Dept.��. g 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) , 14. Owner -Builder Verification (Given to owner[], Mail to owner ❑ ) _15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . ' 17. Pre-Inspec.request Pre -Inspection for Required. Building Inspector to (D,ate) =1 .8. Recorded copy of Agricultural Acknowledgment Statement. 9. Driveway Permit. 20. Plot plan approval from city of .. 21. Engineered trusses Jn duplicate (required prior to plan check). 22 When you issue the permit cess as follows: Mail t caner, Mail to contractor. ' Telephone a71. /%p and hold for pickup at�� ffice, Deliver w/inspector. Other 0 P' � A Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: a Contractor, designer, owner, was advised of above required data by_phone_—mail counter by date Contractor, designer, owner, was advised of above required data by—phone _mall—counter by date Plans checked by r Date �� �h Plans approved by A- Date Sets of plans on hold in File cabinet AP folder Copy—DPW 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) Lj A UG 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:I I D- J S 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. BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One Form per Building) A.P. NumberO,56 -O % -n - O'7gDBuilding Department No . , School District �j/1 G-� (J City •0, County Jurisdiction Property Owner �e-r-h' t-t.r-1 nC2AS Prbject"Location/Address Subdivision Lot`Number Residential Development: �� r Sq. [Footage # of Living MHI I -Addition (Group R) Units Commercial/Industrial: Sq. Footage ,New. Addition (Including Exterior.. Roofed Areas), Building,. Depar' 1nent Representative ( Date,M V . ;, 9 « . , .� +tix4+ti t "-- =- Ya r;,z,[ro�- �-' e �,, ..+ �.i+ `. -O• ',4.. � "'^ a r•' ,' . t . �_-N ��......-'�t'?" ��/".Y`�'".�_`'�.Y.-� T"'n ::...�r � c-... District Id No -r. ' v, ( �o ^'; f e/8 School; Districi? certifies that a .,(Street Address) (City) (State) (Zip Code) has complied with the requirements of Resolution No. by the payment of $ S oi, d representing square feet. chool District, res tative Date PAID. BY CHECK NO. BANK NO PAID BY CASH REMARKS: white -applicant, yellow -building department, pink -school district SCHOOL . FEE (5/88) s, Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT �,,�r�rpg FOR RESIDENTIAL DEVELOPMENT a$.f` Section 26-8.1 of the Butte County Code r.equi.r.es this acknowledgement be recorded prior to :issuance of a building permit. The property described herein is adjacent I to ]and or included within an area zoned 88-027758-, Rec Fee 5.00 for agricultural purposes, and residents Ca-sh 5.00 I of this property may be subject 'to incon- Recorded veniences or discomfort arising from the Official Records use of agricultural chemicals, including, County of ; Pmi'1rSHOWN but not limited to herbicides, pesticides, Butte and fertilizers; and from the pursuit Candace J. Grubbs ; of agriculoperations including, Recordertural 12:07pm 22 -Aug -88 ; BG i but not limited to cultivation, plowing, I spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has esCabl-ished agricul- tural zones which have as a priority use for productive agricultural. purposes, and residents w-i.th'in said zones and on adjacent property should be prepared to accept such-inconvell i enre or disconf-or.m from normal, necessary farm operations.. All that. real. property situate in the County of Butte, State of California, described ;'Iti follows: A DiV(SloN o� +he So Souf-h WeSi' CAu4AJe_& AA. D,. 8. F M. Ne -4R, C411?ORN14 Date: State of: SS. County of �u) jfh Hq ll' o6: f -he Souk h e,4s � Qu grtcQ o y- fhe 05 SeC410A /a T7o24 hl, E Cof-I�s��fi� 8u-ffe Cvuhfy, PROPERTY • On this the A_ day of Z JJd 6J/y- , 1.9S69, before.: me, the undersigned Notary Public, personally appeared E] Personally known to me. Proved to me on the basis T- of satisfactory evidence. F FFICIAL SEAL to be the person (s) whose name (s) e Q ✓•Q- NALD L SMITH subsc_ri-bed to the within instrument and acknowledged that PUBLIC•CALIFORNIA 14 UTTE COUNTY executed, the same for the purposes therein contained. [N I'NI?SS JUNE 15, 1991 WHEREOF, I hereunto set my hand and official seal.. 2 Present A.P. No. 05(e •-" O 7- O -'o 7/4v No -ary Public END OF DOCUMENT jit � o� o Lei ,serC, I�,, P-�Ulvo�-C/ ry ��aa�o i ` � � --- y i _ �-._.-- L 1 f ,. ,..- i i _ �-._.-- RESIDENTIAL PLAN CHECKING GUIDE; (S.F., DUPLEX & MISC'. ONLY) 7/85 Bldg. -Permit # OWNER A. P. # GENERAL '11 -Zoning requirements: (sideyards and number of permitted living units). Kx ation. ns signed by designer.urgy Design and Compliance. sting violations on property. PLOT PLAN 11�Complete parcel size and dimensions. -2-----S-etbacks, sideyards, easements, etc. ,3--�-Qther buildings or structures. �,Grading, fills, drainage. ,! Flood hazard. 6, -'Special conditions on creation map or compliance document. FLOOR PLAN 1. Complete to scale plan with dimensions. 2. Required windows for light and ventilation (Sec. 1205).,<-- 3. Required windows for second exit.(Sec, 1204) 4. Skylights (Chapter 34 & Sec. 5207) .. /2-4- 5. /%- 45. Human impact glass (Sec. 5406)./0 6. Required room sizes, ceiling heights (Sec. 1207.).✓+' 7. G.F.C.I.'s in baths, garage and exterior outlets. (Article 210-8). 8. Light fixtures, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. -r' L/7o, f � 9. Locations of va a -r- e-ZW , heating and cooling equipment, other electrical or gas equipment, and plu--ice 10. Garage firewall, door size, and closer (Sec. 503(d)(3)) - 11. 03(d)(3)) -11. 1 3'0" exterior exit door (Sec. 3304(e)4 -V' /%U%tel > 12. Fireplace and wood stove location. 13. Smoke detectors (Sec. 1210). *,VQ T�9V,, STRUCTURAL DETAILS 1. Foundation plan complete enough -:to construct building./r-/,a97t5P- 2. Floor construction details complete enough:to construct building. ✓< v � 3. Elevations and wall construction details complete enough to construct buildin 4. Roof construction details complete enough to construct building._.4, 7C.� 5. Fireplace construction details and calcs if necessary. 6. Sufficient data and details to satis� energy requirements (State Law) (Form 1). MISCELLANEOUS ITEMS TO LOOK OUT FOR 1. Exposure I plywood on exposed locations and overhangs. /7,0r4w. r 2. Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306)/.% 3. Guardrail details (Sec. 1711 & 3306(j)). 4. Brick or stone veneer '(Chapter 30). 5. Exterior plaster - weep screeds (Sec 706). 6. Proper roof pitch for roof covering (Chapter 32). 7. Rafter ties or bearing ridge beam. r/j d ��o RESIDENTIAL PLAN CHECKING GUIDE (CONT'D) 7/85 MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONT'D) 8. Garage door or porch header sizes. 'AO 9. Adequate bracing. -Ilorew .-r 10: Living area over garage - complete 1 -hour separation :required on ,garage side including supporting walls. and posts, etc. I% /L- 11. Two exits on three-story dwellings (Sec. 3303 & see'Mezannines 1716). 12. Attic access and ventilation (Sec. 3205).- 13. 205).--13. Underfloor access and ventilation (Sec. 2516) . /%,07�-Ei 14. Wood stoves, clearances, alcoves & 1 -hour shafts._y!a ?dW`"i 15. Combustion air for fuel burning appliances. -- 16. Noise requirements on duplexes. �- 17. Adobe soils - special foundation design. 18. Retaining walls requiring design.,-- �. 19. Unusual shape, size or split level house requiring lateral design. f t i . -i-, r �. -,--r---'-- .. t "I f � COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 - w APPLICATION AND PERMIT �E�G�= �7 ASSESSOR PARCEL NUMBER sr - ZONNG TT BUILDING PERMIT aOW ER TELEPHONE SO. FT. OCC. BUILDING VALU TION O NER'S MAI LI G AD R 55 CON RAC ORS A E TELE HONE O AC OR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 1000 LENDER'S MAILING ADDRESS Permit Feeig $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checkin ee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PERMIT Filing Fee 10.00 6PLUMBING 1AA PJ/ Each Trap 2.00 l7 1 /�UQ Cxic < �/�' 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 S Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home Is G W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Oth Describe work: / __ g� Permit Fee $ • Contractor ELECTRICAL PERMIT Filing Fee 10.00 M1100v OR LESS Main service 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 ONTRACTORS LICENSE LAW I declare under penal y 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. Icense No. Classification r 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.N New CONSTR.( A 1 , h2sgft ULTB OUTLET NON•RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e) SINGLE OUTLET CIR. Ex. Occu p OUTLETS OR FIXTURES zo ®aos 9AL030 FIXED APPLNS. Ex. Occup. OUTLETS (RESID.)REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare and nasty 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 ertificate of Workmen's Compensation Insurance or a Certificate Pf Consent to Self -Insure. y I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation. permit Fee $ Contractor 1 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 ou yin co eq ce of the gr nting of this permit. ZIA X Date O Signature of Applicant — Owner ontractor Agent ❑ ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stogries in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ s Q HAz I CUA PARK SCHL FED PAR , PD HD IssuE This permit is hereby issued under sions of the Butte County. Code and/or work rk indicated above for which fees f DIREC PUBLIC,KS By PERMIT EXPIRES Date the applicable provi- resolutions to do have been aid. i p *Oh to Receipt No. 7�2 / WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT �•., ..-.,..,r ►�...w'j-r.iry,wy,�. _ ,p.� ... i.:. •.K .. ;f; - is -T ' x:R�. T _. .• ... ' _ {^Fi�+�r-.L:�'.V ir-�i..�v,v-•ver.+. _r .r•...:---�• COUNTY OF BUTTE - DEPARTMENT OF PUBLID WORKS - BUILDING DIVISION sy3) 7 COUNTY CENTER DRIVE - OROV#LL-E; CALIFORNIA 95965 - TELEPHONE: 916/538-7541 _ a r PERMIT APPLICATION'DATA SHEET f Permit No. OWNER VJ i 4j? " A. P. No. 576 " (D% 7y Proposed'Building Use New S�rkej Building Inspector CS -J Date )96 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form ......................................... . 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... r 16. Plot plan and business license approval from City of i. (see City for other requirements) t. ' 17. Planning approval for (A) Use: (B) Parking: ......� t 18. Improvements may be required. Contact Land Development Section DPW ► 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to } Building Inspector (Date)' r 21. Contractor's license information (No., Name Style, Classification) ... ' " SFS 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... t 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance 1. Index permit for above items No. 2. Additional items required: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by_phone---naiI—counter by Contractor, designer, owner, was advised of above required data by —phone _maII—counter by Plans checked by Copy—DPW Date Plans approved by Sets of plans on hold in . File cabinet AP folder ..date date Date 8 .._. , 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) lie 2. I (have/have not) 1lOAJ--2 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..J 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 ' �� in % Rg 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. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. AA ASSESSOR PARCEL NUMBER a. 56-07-74 ZONING _ BUILDING PERMIT OWNER Kir 3 [IW TELEPHONE SO. FT. OCC. BUILDING VALUATION 257K 9,000.00 OWNER'S MAILING ADDRESSR Box 8488 Cohasspt Rd, Chico Qc;q9r) CONTRACTOR'SNAME Ownpr TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 60.50 PLUMBING PERMIT Filing Fee 10.00 A71 Mild Cr-ek Rd cabasset Each Trap 2.00 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 [:J Duplex❑ Mobilehome❑ Other To Com nIPYP 'SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home T S TG W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: Permit to Complete B.P. #2949-88 _ Ust Renewal #3409-89) Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00. Main service 0001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. cense No. Classification el, 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 oR ADDNST ( DWEACCLLING GOCCUP,&) S. 2'/2¢sgft NEW RES.D. RANCH CIRCUITS) NON•R ESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS & (SINGLE OUTLET CIR. Ex. Occup(ouT LETS OR FIXTURES B20050Q AL1130 FIXED Ex. OCCUp. OUTLETS PIRESID IREAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ 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. n1 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 Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 agains aid County in con eque ce of the granting of this permit. -X h Date Signature of Applicant — Owner ❑ Qontroctor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ ALSCH 60.50 HAz CUA PARK FEo PAR PD Ho Iss E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR PUBLIC By ,. / PERMI XPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date v 6 _9 - Ln eceipt No. R96 HITED. P. W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENAF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET e ; Permit No. OWNERArboacrs,,�(Aef55F.iW , - A. P. No. —� Proposed Buildin 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 _ 1. All items have been submitted . .................................... 2w Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. i 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ........................................ 12. Park fees paid .................................................... 13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ....... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date), 21. Contractor's license information (No., Name Style, Classifications ... 2 ertificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner 0, Mail to owner 0) ..... 4. IX Recorded copy of Agricultural Acknowledgment Statement ......... ` 25. Letter of signature authorization .................................... 26. 27. _ When you issue the permit, process as follows:� Mail to owner. Mail to contractor. f+ Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant Date Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by —phone I—counter bye -date Contractor, designer, owner, was advised of above required data by —phone _maII—counter by date �- Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW 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 r no) i 2. Iav /have not) ( signed an application for a building permit for 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: �L�-P 96 � P'io, Property Owner Lis, ' � l`b�tdiL en Social Security Number Dated �`��Q,� , <., �s�r its 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. S'6 -m7 ��4 DEP QF ut WORKS MAR 0 5 .1g91 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 PHONE: 916-538-7541 Jeff Arbogast Box 8488 Cohasset Rd Chcio CA 95926 With reference to the above subject: A,XXr Attached is: Application for permit Building Plans Engr. Calcs XXXXOwner-Builder Verification Form OTHER DATE FF.Rpm py 92. anal Permit appin #4074-90 for permit to complete 2949-88. A.P. # 56-07-74 Mobilehome Utilities Installation Sheet Mobilehome Installation Information Sheet Typical Plan Sheet List of Codes Enforced We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including plot plans. Plot plans in Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including \ Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way, Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from -Butte County Planning Department, 7 County Center Drive, Oroville, for xyxfompleted Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. /XXy/.X OTHER Please fill out the attached owner -builder verification form and send it W and- we . have net r-eEe_ dl 4--cbezF f f eig yeias yet. Should you have any questions concerning the above, please contact T)AVF WASNRY of this office. (916-538-7.541) Yours very truly, JFG/aj William Cheff Director of Public [dorks J.F. Glander Chief Building Inspector COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Teiepnone: 910.'538-7541 APPLICATION AND PERMIT ASS PARCEL NUMB E3.. J r6 ZJt Cyn^ / BUILDING PERMIT OWNER �� D �- n�E��� K SO. FT. I CCC. IIVG VALUATION I a OWZ'S MAILING ADDRESS /UJ) 2 D CONJ.Fj,ACTO 'S N '� TELEPHON= CONTRACTOR/'AS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is C,250 27 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ , ARCHITECT OR ENGINEER LICErIS NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING DDRESS r^ Permit fee $ or PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 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 ❑ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home Is G W 10-00eal TYPE OF WORK New ❑ Addition ❑ Remodel ❑ qtilitieso Instal lation❑ O her Describe work: il? G0 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 BODY OR LESS main service 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F -1I 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 F -1I, 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+,isc.',Virin ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.E OR AODNS. ( ACG. SLOGS. WCO CONSTR ULTI-OUTLLT NON.RESID BRANCH CIRCUITS) 2,50 ea /POWER APPARATUS & (POWER SINGLE OUTLET C1. Ex. Occup( OR FIXTURES 230 9A 0 L9@ 30¢¢ FIXED APLNS. Ex. OCCUp. OUTLETS (RESID )REA.� 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 9 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 shal I be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3,00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above Information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 excavations over 5'0" deep and demolition or construct- of structures over 3 stories in height. �Aobile Home Installation Fee $ , Energy Inspection Fee $ — occ CONST TYPE TOTAL FEF S % , t!/0� HAz I CUA I PARK SCHL FLD I PAP, PO 1 Ho ISSUE Th's permit is nereby issuea under sions or the Butte Canty Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the appiicable provi- resolutions to do have been aid. p WORKS Date [:,o.n eceiptNo. �G�U ��� ITEC. P. W.. TELLOW-ASSESSOR, PINK -INSPECTOR. GOLOENROO-APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Callfornla 95965 - Telephone: 916.'538-7541 APPLICATION.AND PERMIT IOU!901, ASSESSOR PARCEL NUMBER 056-070-074 ZONING n45 BUILDING PERMIT OWNER ARDELE KERSHAW TELEPHONE 893-9773 SQA FT. OCC. BUILDING VALUATION EST 5000 OWNER'S MAILING ADDRESS BOX 8488, COHASSET RD., CHICO, CA 95926 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee - $ 15,00 Permit Fee $ 60.00 ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ Ener Plan Checking Fee Energy g $ ARCHITECT OR ENGINEER'S MAILING ADDRESS _ _ Penalty $ BUILDING ADDRESS 471 MUD CREEK RD. COHASSET Permit fee $ 75.00 PLUMBING PERMIT Filing Fee - 15.00 Each Trap I 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SPY❑ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK NewL jj Addition ❑ Remodel ❑ Utilities ❑ Instailation❑ Other Describe work: COMPLETION OF #2949-88 kREPLACES #90-4074) Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 Main service 200A TO I000Al 37,50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F-1 I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License .Jo. Classification 17I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.&) OR ADDNS. ACC. BLDGS. 3.64sQ.ft. NEW RES10,CON9TRANCH CIRCUITS) NON•R ESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. Ex. OCCup( OUTLETS OR FIXTURES I 202176d El A FIXED Ex. OCCUp. OUTLETS PIRESID IREA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. bVirin g 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g Hood 6.50 Ventilation Et I Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Si nature of Applicant - Owner g pp ❑ Contractor ❑ Agent ❑ An OSHA ion of structures tover required soin height ons over S'0" deep and demolition or construct- Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ 75.00 HAz 1 1) FEES I IMP I FLOOD CDF PARCEL I PD HD SSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 'WHITE-D.P.W., YELLOW-ASSC330R, PINK -INSPECTOR, GOLDENROD -APPLICANT KOWA", 40*c'4 PERMIT NO. PERMIT E�­.._- --e-x pter-s .1—( —9ZL OWNER CONTR. c)wner ASSESSOR PARCEL Mud Creek Rd ;LOCATION f'1 cs -4/ Oro r "d-5 V4 /VO -Ire 0vt ov 5-7 '.'temp. Power Pole Ma A Called PG&E.[ /�n;E�VOFICEEIA IAddress -V22 '?!z' I.Temp. Elec. Service Called PG&E GAS Meter B D a t /e--> By L Meter jemp. Gas Service M 4 Meter By Datd.—> 2 "-fiE 4 Called PG&E JOB FINALED (Date) 12 .20 13 Signature = OK v w. 0;; Not OK '+ •: ' MOBILE HOMES MISCELLANEOUS •' '�" = Not Read�yable Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements` 2. Soils; Special MH Support -Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/O -Concrete - 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing ' 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / P'l-It. 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors / /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance . - 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -B1 Date Card -B1 Date 10. Roof; Shthg-Roofing Card -B1 Date Card -B1 Date 11. Ext.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -B1 Date Card -B1 Date 2. Footings; Size -Spacing -Marriage Line Card -81 Date Card -B1 Date 3. Gas; MH.Test- Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s 5. Drain; MH Test -Fall -Flex Connector 1. Setbacks -Easements 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability 7. Water and Sewer Conriected-C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness-.• 8. Gas and Electricity Tagged Dead Men -Lining I •' 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy - 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater Card -B1 Date Card -B1 Date 8. Elec.;Grounding; Equip. w/5' -circulating Equip:=Pool Lghtg. Boxes- Enc losures- Panel boards -Ins. to Main in Conduit Card -B1 Date Card -B1 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -B1 Date C6rd-B1 Date - Card -B1 Date Card -B1 Date 1 =OK, „ AV °-"°t`g RESIDENTIAL (Single and Duplex) -; Applicable = Ivot �te9dy / .w Date U DERFLOOR (Plans) OK except #'s Date ' FRAMIN(�ontinued) m ing-Setbacks;-Easements-Flood-Slope an s -Post Caps -Anchors -Connectors Vp(g., Main; Soils -Steel- -//Z P' Ftg. Depth . CI . oist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 19f Ftg., Garage; Soils -Steel-/ P' Ftg. Depth . Fire lace Ties or Type A Flue -Fireplace Throat Clearance 4. F!9.1 Porches & Decks; Soils -Steel-/ /"Ftg. Depthtti cess; Size & Romex Protection -Draft Stop -Ins. Baffles mwalls, Main; Steel-Blockouts-Wrapped drm. Windows or Exiting Doors -Sill Hgt. & Dimensions . Stemwalls, Garage; Steel -Blockouts-Wrapped 50. Garage Fire Protection Framing 7. ab; Steel -Wrapped --ST-Property Line Firewall & Openings P' rs-Ftreq"-ce_FJ*-Steel k-115xt.boors-One 3' -Check Garage -3rd story, 2 exits W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test --&B-Stairs, Width -Headroom -Rise -Run -Landing -Fire Protection 10. Ga ipe; Size -Anchors ywood on Roof Overhang -Attic Vents -Rafter Outriggers 1 . ater Pipe; Test -Anchors -Regulator -Service Test 55. Siding -Nailing Veneer - 2.0ectric; Underground Mesh -Drip Screed -Fd. Vents-Underflr. Access ms & Ducts; Clearance- Material -Sup prt-Ins. . Glazing Area -Glass Protection -Skylights -Plastic 1 irders-Sills-Anchor Bolts -Joists -Vents -Cripples 68 --Shear Walls; Nailing -Bolts 15. Insulation 59. Insulation-Walls-Clg. 60. Infiltration -Walls ndws a 41 Card -B1 S Date ti Card -131 Date Card -B1 Date &i is 8 and -B1 Date Card -81 Date Card -B1 Date Card -B1 Date Card -B1 Date Date PLU ING t) OK except #'s Wat Ht. vent -Access -Combustion Air -Baffle Date FIN tans)exce 's ater e; Test &Anchors -Nail Protection xt. Steps Sidelight Protection -Landings V. st-Fttngs & Anchors -Nail Protection LD2 6rnyake Detector it,%or6wer Pan; Test, First Floor -Tub Access Laa-<urnace; V' - learance-Comb. Air -Connector- ir-Connector---42U-I In Garage; Above Floor-Ducts-Mech. Protection --42U- Iest Tub & Shower, 2nd Floor -Tub Access 11,- as Pipe; Size Onchors cm Exiting F.t.JL Bath Fixtures & Tub Access -Spa ec. Trim & Subpanel; Breaker Size Card -B1 -{ Date Card -B1 Date ;afryrg Rails Card -B1 Date Card -81 Date tSg-firelace o ; Clearar6esdde ptr,' nel; Int. & Ext. Date ELEC L (Permit) OK except #'s I • F' .& Appliance; Grnd. -Airs Counter rance lec. Outlets & Rece tacles at Counter 2 . ixtu e & Transformer Clearance -Ins. Protection _ Receptacles Spacing -Lights & Switches at Doors QLPIit. arage Fire Door; w anding-Closer 4. S' Boxes & No. of Conductors -Stapled 5. Ro Installed Close'to Edge of Studs & C.J. . Htr.; a earance-Comb. Air 130on cto - I re tSt�cfion P —:;Z:2 Equi. Ground made up w/Mech. Fasteners -Bond Gas & Water Appliance Circuts in Kitchen & Conductor Size/G.F.I. Ib., ec. & Mech. Equip. Liste or Loca ' aq 28 Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or AI Receptacles in Garage; G. orPex Protec. ,, Q 'I -f"ange Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No U. -TI In ulation-Foam-Looked in Atti>` es L,7,Guard Rails c -Post Caps —9e-Service-Riser Conductors & Ground -Main Disconnect & Crawl Hoe Door -Drainage & Wood -Earth CI rance Looked undei'Flo .❑ Yes .U. Equip. Clearances Panels-Motors-Mech. Equip. -82 -Clothes Closet ght-Shower Light -Spa Light ollowing instld.; Dri LO es P No; Walks ❑ Yes o; ❑ Yes 1,13 No oke DetectVPlanters Card -B1 DateCard-B1 Date Card -B1 Date Card -131 Date ents 4§ ; Pibg.-Appliance ir' earance to P Date MECHANICAL (Permit) OK except #'s oe0@,ter Well; Disconnec Elg al, Plumbing .-34-,A.C. Ducts Insulation &pport xtlior Elec. Trim ceptacle-Underground Vent Fan; Exhaust ve insulation&& -'Ventilation throughout House ..r36 -Condensate D n & Overflow; Size & Grade Glas Protection( -)A I�. 37 Furnace -V t; Access -Comb. Air -Return Air Vent -115 outlet orr ctions from Previous Inpections is Access Miatform if Furnace in Attic as Test -Meters Tagged; Gas -Electric Card -B Date Card -B1 Date q e Sewer Connected -C/O to Grade -HD Approval j ". nergy Compliance Certificate -Other Certificates Card -B1 Date Card -131 Date Card -131 Date Card -B1 Date Card -131 Date Card -131 Date Date FR9MfgG (Plans) OK except #'s . S' ro er Material &Anchors Card -81 Date Card -B1 Date Comments at Final: -/l,: �h iii U W Studs -Nailing, Spacing & Bracing—Plates-Sound - O �i A Aw B ' g alls over Girders & Floor Nailing raft Stop in Walls (rat proof) 4 it ps; Furred Ceilings -Stairs -Chases -Tub 4• eader & Beam -Size & Bearing (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE BUILDING DIVISION {DEPARTMENT OF DEVELOPMENT SERVICES ��fi'9 73zrrnboldt Road, Chico, CA - (916) 891-2751 -I Cowtay,,Center Drive, Oroville, CA - (916) 538-7541 '747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE q'2 Z PERMIT-NO.� 33iites that the following violations of Butte County Ordinances exist at = gbeai ww Fin augishould be corrected. Please notify this office when correction of work s ;} IBWzw1hmany. questions pertaining to this matter, or need additional explanation, t" m ttf�s cff= immediately. 64 -TA ! U A vh(t PV �( tV i3v/,y 2 6- Z*11 I wvmm ` ✓ �� Inspector 1 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 — 747 Oliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE 400 0, U -S 1,* 5- O%Vgcffl PERMIT NO. ArwEmeiiiaspectBon iuficates that the following violations of Butte County Ordinances exist at Am ahwe aA3ess and should be corrected. Please notify this office when correction of work iiscoe4*mledHyauhane any questions pertaining to this matter, or need additional explanation, pb s comem2 dim office immediately. '„) l `A. r✓ p k,13 C lrz4n+ J r' t..M /I I b- fteC.h'/l+QJ Try l e mon %�c/d0~17�1/ /1G (70,1 ,z pate "1 /� Inspector AW WW �. COUNTY OF BUTTE _ -DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE AV OWNER PERMIT NO. �Ib 'A routine inspection indicates that the following violations of Butte County Ordinances e»ucst at the above address and should be corrected. Please notify this office when correction of wort[ is completed. If you have any questions pertaining to this matter, or n ed additional explanation, please contact this office immediately. i nla s� --vi �( We !4 rout(A L ty's a \ I CA Oi O /i t. T 'fir /ham, ->L , 6e, yrs+. --L /1 bk n �Y O O D T�; S 1J C— LA_ -r 1 j AX e rf �2�nn 0 ¢ L a + f 7- h CILh�� �/o�• 4 Date 1- 3- 2?-- Inspector REV 11191 = ' COUNTY OF BUTTE e DEPARTMENT OF PUBLIC WORKS ' 196 Memorial Way, Chico — Phone: 891-2751 TiCounty Center Drive, Oroville — Phone: 538-7541 ,,,yf747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE /fir bots 3 OW R PERMIT NO. A routine inspection indicates that the following violations of County Ordinance '- exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. r� S,faZ..Q C -� i PSI Date Inspector Inspector��� • COUNTY OF BUTTE rte- DEPARTMENT OF PUBLIC—WORKS---� 196 Memorial Way, Chico —� on.e 891�2Z5.1� 7 ipounty Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE OWNER PERMI A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. - Li- Ca ek%ple t—C0. 4 D c.,,44 10 P•) Q cJLS A+t, t' re,*01 i �.►,eNf�s �or SQ �C Pd'Q'0 use, Inspector " V Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovills Caiifomia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO., ASSESSOR PARCEL NUMBER 056-070-074 t ONING TM I BUILDING PERMIT OWNER Ardele Kershaw TELEPHONE 345=9773 S0. FT. OCC.1 BUILDING VALUATION E �7 / Ooh OWNER'S MAILING ADDRESS 8490 Cohasset Rd., Cohasset 95926 CONTRACTOR'S NAME ]TELEPHONE Ins ex Inc- 342-8043 I CONTRACTOR'S MAI ING ADDRESS 8490 Cohasset Rd., Cohasset 95926 Fireplace CONSTRUCTION LENDER UNKNOWN Total Vzlluation $ 5--990-;•89 Filing Fee $ 15,00 LENDER'S MAILING ADDRESS Permit F'ee ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee PLUMBING PERMIT Filing Fee 15.00 471 Mud Crppk Rd-, Cohasset Rd.. Cohasspt Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP 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 S I G I W I @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other Describe work: Permit to Complete B.P. #&9 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 Main service 200A TO 1000A) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): Lal CI I`%�I am licensed under provisions of Chapt. 9, Div. 3 of the Business Co�de and my license is in full force and effect. and Professions 'a11_0 License No. t,ot l Classification ElI, 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.tk OR ADDNS. ( ACC. BLDGS. 3.6psq.ft. NEW CONSTR. ULT' -OUTLET NO N.RES'D BRANCH CIRC ITS @ 5.00 POWER APPARATUSy (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 76d FIXED APPLNS. EX. OCCup. OUTLETS ((RESID .)R EA.) 3.00 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. -�❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT 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 a e to save, indemnify and keep harmless the County of Butte against all Iia it es, judgments cos s, and expenses which may in any way accrue again sai County in s e e of the granting of this permit. �+ X Date 1- 2- — / 2 Si n tur of Applicant — Owner g pp ❑ Contractor ® Agent ❑ An A permit is required for excavations o 5'0" deep and demolit' n or onstruct- ion structures over 3 stories in h ght. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $-�''aa3. HAz DFEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees D C By PERMIT EXPIRES Da e applicable provi- resolutions to do have been paid. J 727v& Receipt No. 122727 7� -- Al 3 7 � — 3 'WHITE-D.P.W.. TELLOW-ASSESS0 . PINK -INS -J -4 -TOR. GOLDENROD -APPLICANT �r�j`�'`*'irw�;�Y`-��y'j�T`;1+�'%��.r'-�"J''+tl`'r'`"�`,'"`.�iZ'""''�'"'`"'+��'ci�� �+'�e'°'�i"`r%`�?�K','�1^nr'•�"�'«r�"'fi �'i�'F="�i-:;. ��4.j;:+i.::,•,��'7.1N.: ::. i COUNTY OF BUTTE - DEPARTMEWT� F'PUBLIC WORKS - BUILDING DIVISION441 7 COUNTY CENTER DRIVE - OROVdt, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APP KATION DATA SHEET OWNER Al`'" 6_0 (Cd A"e7ir7) Proposed Building Use Building Inspector Date o-2 At time of p r i plication, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY r 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 talcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material'Form............................................. 6. Energy Design Compliance and supporting documentation . .................. _.-,7.'Statdment of Intent for Non -Heated and A/C Buildings . ...................... 8 Engineered truss -details and layout in duplicate (required prior to plan check). .... 9. Mobilehomffl dataand manufacturer's installation instructions, 2 sets. ........... 10. Fees of .......................................... 11. Impact fees as shown on attached schedule .............................. . 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ............ ` .... . 14. Sanitation and plot plan approval Health Department . ............. 15. City of Chico plumbing permit . ........................................ . .16.. Plot plan and business license approval`from City of Biggs/Gridley. ... .. ..... . 17. Planning approval for (A) Use: (B) Parking: /,./ .... . 18. Contact Land.Development about (A) Improvements (B) Drainages/. "Y .` . ... 19. Driveway permit=(construction approval required prior to occupancy). .. ...... 5Pre-Inspection request 20. Pre -inspection fort required. . to Building 11nspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner _) ............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. . 25. Letter of signature authorization. 26. Copy of recorded deed of parcel creation and 60.right of way to a public road. ,.... . 27. Letter of intent on building use . .......................................... 28. Mobilehome utility clearance ...................................... . 29. Documentation of legal access . ......................... !.'. .......... 30. Documentation of 50% subdivision developed or (A) Road improve ents completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits. ....:.......... ..... \ .. . 32. Plan the k list..... .............. �►�lJ� �.. y z C' Ne �'u�r�e-rte val�.a-�wa - w• ( be �.spe9�3� 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. er with inspector. Other Parcel Creation Acres Applican w Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. her 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 _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works Declaration. ! I-�hereby certify that the above insulation was installed in the building at the above location in conformance with the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the ' California dministrativee Co �\ 1os2 ` p General Contractor (Builder) 'I License Number Siettature and Tide Date Hawkins Industries nc./Shasta Insul. 650722 o r ( n ktutaller) f License Number • SiptatttreartdTitle �is/��T�[ ; • ���a3'g.3 Dam Y Insulation Certificatey� A�-zfw r:✓ . Number and Street ' guy County Subdivision Lot Number Description of Installation ROOF Matcrial Brand Name . Thickness (inches) Thermal Resistance (R -Value) CEILING Fiberglass. Bau or Blanket Type Brand Name Certainteed Thickness (inches) Therstal Resistance (R -Value) Loosel=tllType tint ern... Brand Name Certainteed Contractor's minimum installed weiihifle Ib Minititum thickness P 3 trtcltes Manufacturer's installed weight per square foot to acheive Thermal Resistance (R -Value) 3C) EXTERIOR WALL °• ~MawW Fiberglass Brand Name Certainteed Thickness (inches) i Tberi w Resistance (R -Value) -- a - RAISED FLOOR 4 Material Fiberglass Brand Name Certainteed Thickness (inches) Thermal Resistance (R -Value) - - (a -- 3o SLAB FLOOR Material Brand Name Thickness (inches) Thermal Resistance (R -Value) Width (inches) FOUNDATION WALL g ' Material Fiberglass Brand Name Certainteed Thickness (inches) Thermal Resistance (R -Value) . Declaration. ! I-�hereby certify that the above insulation was installed in the building at the above location in conformance with the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the ' California dministrativee Co �\ 1os2 ` p General Contractor (Builder) 'I License Number Siettature and Tide Date Hawkins Industries nc./Shasta Insul. 650722 o r ( n ktutaller) f License Number • SiptatttreartdTitle �is/��T�[ ; • ���a3'g.3 Dam Y OESC:: 471. V 11!D CRFE1-::". RD -EXPIRED PERMIT FOLLOW-UP B.P. # 3 5 c:�PEC COND - ...... ....... C,1-1 T (-r -7 q AI , R C 1'-1-TPiTLJ5.-, P)CTIVE T R C. i 6 2 1. ".3 CITY:: 131."'WER Lj S, 1-=* 1:`� S E [- 1 0 C C) ADDI:.k' F,.ECRt\l - 0 11 M E 1141T S ri 17Z A' I N C-DHP.S[:`F.T R 0 D F : J.-CO'D �ZCNE- t.. j I kB N CIHICO C .)926 CD VIOL.. CIT., Description of permitted work Ll rr- Location of*per'mitted-wbrk: if 2 AC tZ I-1 J 9 OESC:: 471. V 11!D CRFE1-::". RD ,"I OT E CONVERTED C) CC FE17 c:�PEC COND - ...... ....... C,1-1 T (-r v'A1­.LJ1::7S F 0 IR 1992--9-1 SCHI #2 -AMD ^5, C )8 131."'WER I M1=' 20, 6-(.-.)o WATER.* C) F,.ECRt\l - 0 11 M E 1141T S ri 17Z A' I N FIRE - t.. j I kB N 'field Information: Permit # 3 40cf -'Z9' Caution Yes No - Description of permitted work Ll rr- Location of*per'mitted-wbrk: if 2 AC tZ OTHER COMMENTS .i` Approximate Bu}3,di,ng/Mob.ile Home Size: Approximate Buj;ding/Mobile Home Age: Under Constr ion t Built by/for: 7Present Owner Previous Owner (Occupied "I Maas Power ? Has Gas _Has Sanitation Facilities --S- i/Written Notice Given & Attached Person Contacted /1/0,4 'Date Ag Where - 10, 4 Describe Action Taken: Hire- Additional permits required Type:'_ Bldg. P1bg. Mech. Valuation 5 Y12 0 Estimated #'of inspection to final. Additional Notes: Field Insp Date: Approved by Date: Sent to Oroville Date: iroville Office Only Describe Action Taken: Action Recommeded: 1�1 r? M COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovlllet California 95885 - Telephone: 916.538-7541 APPLICATION AND PERMIT PERMIT NO. A!SILS! Ft PARCILL NUMMILA 70mim2r BUILDING PERMIT O WNSR L6PHONfi SO. FT. I OCC. BUILDING VALUATION i OWNER'! MAILING ADORES! /�, /p �./ CONTRACTOR'S NAM TELEPHONE I I ' CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENOER UNKNOWN Total Valuation $ Filing Fee es 15.00 LENOER•S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING AOOR E'SS Penalty $ EIUILOING ADDRESS _ - + Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap Solar or heat pump water heater 5.001 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each oas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other ' SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 1'5.00 Mobile Home S G W @ 15.00 i TYPE OF WORK r ! New"' Addition ❑ Remodel L':] Utilities ❑ Installation[ Other ❑Permit Describe work:,1 ' Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 1 , Main service 600VORLESS 200A OR LESS 18.50 Mai n- service 200A TO 1000A, 37.50 3 CONTRACTORS LICENSE LAW I 1 declare under penalty of perjury I p y p l y (check one): "i ❑ 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 j 71 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 I NEW CONST. DWELLING OCCUP.tti) OR ADDNS. ACC. BLDGS. 3.66aa.ft.1 NEw coNS rFtuLrl.ourLE:T NON.RESIO. 9RANCH r:IRC •ITS 1@ 5.001 /POWER APPARATUS h) `SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES 20 7rd FA na FIXE'. APPLVS. OR Ex. Occup. OUTLETS IRESIO.I EA.) I 3.001 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one):- ❑ . The permit is for $100.00 (valuation) or less. j ❑ Ihave placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate 1 of Consent to Self -Insure. j❑ 1 shall not employ any person in any manner so as to becomelsubject to the W. C. laws of, California. Notice to Applicant: If after making this statement, should you become subject i 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 Filing Fee 15.00 Heating 1 Cooling Hood 6.50 Ventilation. permit Fee $ Contractor I certify that I have read this application and state that the above information ' is correct. I agree to comply to all County Ordinances and State Laws relating I to building construction, and hereby authorize representatives of the Countyot i Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. Mobile Home installation Fee S Energy Inspection Fee $ Occ CONST TYPE TOTAL FEES I AZ 10FEES IMP I FLOOD CDF i I PARCEL PO HO ISSUE X Date Signature of Applicant — Owner ❑ Contractor Ci Agent ❑ I An OSHA permit is required for excavations over 5'0" deep and demolition or construct. ' :on of structures over 3 stories In he,ght. Receipt No. YCLLOw-ASeCsea", PINK -INSPECTOR, GOLDCMPOO•APPI. CAMs ' This permit is hereby issued under 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 COUNTY OF BUTTE. BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-27,51 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE z - PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work IS co pleted. If you have any questions pertaining to this matter, or need additional explanation, pl se contact this office immediately. �-1� T a l ►y 6 L.S CoA kA 66, Date REV 1 �;r�•y�s.-cx�s•�---.cam-s.i s-'�----'--�}.,,,•--�cat,:..�gc.+�s--.T-��r. y.t,..wr�+-+��s�-�s, COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 COR ECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completjed. If you have any questions pertaining to this matter, or need additional explanation, Date REV 10192 r .. VIOLATION .CHECK• LIST A.P. # 3- 6 Address Owner Owner's Address y� Owner's Phone No. 5f,7;7 _ Supervisoral District Tenant's Name Phone No. Type of Violation in Detail ,with Code Section Priority No. 3 r. Specific Plot Plan with C/V Noted _yes no Penalties.Required 1st. -Notice Sent % 3 2nd. Notice Sent ate— Date Comments and/or -Determination — - 5;7 Yj� 0 Arer ��L\ b� i N w�-{-jl�,✓ -�e0N LA,w�� I Disposition For Citation Citation Date (Date) . Department Recommendation to Court Court Action Notice of Violation Recorded (Date) April 6, 1993 Ardele 0490 Cohiis'set R65d_w Chico, CA 95925 RE: Building_Code"Vio``latl`on'� � " ' A.P. #: 055-07-0-074 Dear Ms. Kershaw: This is a courtesy notice to notify you that 'you are 'in violation of the Butte County Code, as follows, at the above referenced location: j .�. w . _ .� . � -. ,� w .. -.— ......,....,._ �.�•w �a..� t ♦4. � .•`. • .-�• w..ti.�-•. w..w..w•.r w-+nrrn..........w...+/.Y+.+w'w+n...w. � � _ .. ♦ . Failure to obtan'approval`of previous corrections"and'�£ailitre to obta n final inspection 'prior occupancy Y`and` permit expiration -for constructi.on'of single family residence. Since permits and inspections are required for the above work, apply for the required permits to make corrections and complete project and pay the appropriate fees. A11work must stop until these permits are issued. and you'are 'authorized by our field inspector to proceed. This field authorization cannot be made until the existing work is inspected and approved. It is the CounW s goal to obtain voluntary compliance with the Butte County Code. However, you should ,be advised that Butte County has an active Code Enforcement Program which provides an effective means of -enforcement if voluntary compliance is not obtained. Enforcement may be pursued through the issuance of citations, fines and the recording of a Notice of Violation including a description of the action necessary to abate the violation. You have thirty _C30 days to voluntarily comply with the above directions or to present an acceptable plan for abatement or corrective actions to be taken -hy yoL. ' Should you a'have questions conce'rniing this matter`; -please' contact David Purvis or Bill. Barron 'in this 'office at the address or telephone number listed above. JFG:dms cc: Assessor Yours very truly, David Purvis Manager, Building Inspection Certificate of Compliance: Residential rroject s twee 677 Documentation Author Telephone BUILDING DATA Condition Area O F '�Seajmoilry O [ietached (SFD) [ef Single Family Attached (SFA) [ ] Multi -Family (NM BUILDING SHELL INSULATION Component Floor ............. Slab Edge ..... GLAZING Insulation R -Value O Number of Stories Number of .Units ( ] Addition Alone [ ] Existing Building [ ] Existing -Plus -Addition Location/Comments (attic. to earaee. "ical. C.sko, G 1057 61' Shading Devices Climate Zone 11 Building Permit N Checked B y / Date Fnfomanent Agency Use Only Glazing Area Glass Type Interior Exterior Overhang Framing Type North North ( ) East•�--- Eastlaw South ( ) West _= West ( ) - West ( ) Skylight....... THERMAL MASS Type/Covering Area Thickness (slab/exposed, tile, etc.) (So (inches) Location/Description (kitchenu bath, etc.) e � HVAC SYSTEMS Minimum Duct Type (furnace, air Efficiency Location' Duct Output Manufacturer / Model # conditioner, heat pump) (SE, SEER,HSPF) (attic, etc.) R -Value (Btuh) (or approved equal) //JJ �/�/[�i�`�'� ;L-77Ti's y -r _ tv Maximum Furnace Heating Output: Btuh'J � ,`\�'`' HOT WATER SYSTEMS Tank Manufacturer/Model# System T (store a gas, etc.) Capacity or approved equal) Scecial Feature SPECIAL FEATURESIREMARKS (Add extra sheets if necessary) " Mandatory Measures Checklist: Residential MF -1R NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the Com imiCe approach used. Items marked with an asterisk(') maybe superseded by mare stringent compliance requtremCnts listed on the Certificate of compliance. When this checklist is incorporated into the permit documents. the features noted shall be considered by all parties as binding minimum component performance specifications for the mandatory measures whether they are shown dsewhert: in the documents or on this checklist only. DESCRIPTION Building Envelope Measures • §2.5352(a): Minimum ceiling insulation R-19 weighted average. §2.5352(b): Loose fill insulation manufacturer's labeled R -Value. §2-5352(c): Minimum wall insulation in framed walls R-11 weighted average (does not apply to exterior mass walls). §2-5352(k): Slab edge insulation - water absorption rate no greater than 03%. water vapor transmission rate no greater than 2.0 pmWu)ch. §2-5311: Insulation specified or installed mats Califomia Energy Commission (CEC) quality standards. Indicate type and form. §2-5352((): Vapor barriers mandatory in Climate Zoites 14 and 16 only. §2.5317: InfiltratioNEafiltretion Controls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Doors and windows certified. c. Doors and windows weatherstripped: all joints and penctruions caulked and sealed. 12.5352(e): Special inrduation barrier installed to comply with §2-5351 meetsCECquality standards. 62-5352(4): Installation of Fireplaces I. Masonry and factory -built fireplaces have: a. Tight fatting. closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and control 2. No continuous burning gas pilots allowed. HVAC and Plumbing System Measure 12-5352(8) and 2.5303: Space conditioning equipment siring: attach eakulations. §2-5352(h) and 2-5315: Setback thermostat on all applicable heating systems. • §2-5316(a): Ducts constructed. installed and insulated per Chapter 10. 1976 UMC. §2-5316(b): Exhaust systems have damper controls. §2.5314(c): Gas-fired space heating equipment has intermittent ignition device. §2.5314: HVAC equipment, water heaters, showerheads and faucets certified by the CEC. §2.5352(1): Water heater insulation blanket (R-12 or greater) or combined interior/exterior insulation (R.16 or greater): fust 5 feu of pipes closest to tank insulated (R-3 or greater). §2.5312(Excep6on 1): Pipe insulation on steam and steam condensate return & recirculating piping §2-5318(d): Swimming Pool Heating I. System has: a. On/off switch on heater. b. Weatherproof instruction plate on heater. e. Plumbed to allow for solar. 2. 75 percent thermal efficiency. 3. Pool cover. 4. Time clock. 5. Directional water inlet. Lighting and Appliance Measures 52.5352(1): Lighting - 25 lumens/watt or greater for general lighting in kitchens and bathrboms. §2.5314(c): Gas fired appliances equipped with intermittent ignition devices. - §2.5314(a): Refrigerators. refrigerator -freezers. freezers and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. COMPLIANCE STATEMENT DESIGNER I ENFORCEMENT This certificate of compliance lists the Wilding features and performance specifications needed to comply with Title 24. Chapter 2-53 and Title 20, Chapter 2. Subchapter 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 any subsequent purchaser of the building. Designer Name: rkwirm: Address: i Telephone: Lic. 0: (signature) (date) Documentation Author Name: ' TitWFirm: Address: Building Name Tideffium- Address: Telephone (signature) Enforcement Agency Name: Agency. Telephone: (date) Glass Argy % Glass North 6, East South ::::>, —... West --�- Skylight Total Glazing Area Glass Type Interior Exterior Overhang Framing Type North North ( ) East•�--- Eastlaw South ( ) West _= West ( ) - West ( ) Skylight....... THERMAL MASS Type/Covering Area Thickness (slab/exposed, tile, etc.) (So (inches) Location/Description (kitchenu bath, etc.) e � HVAC SYSTEMS Minimum Duct Type (furnace, air Efficiency Location' Duct Output Manufacturer / Model # conditioner, heat pump) (SE, SEER,HSPF) (attic, etc.) R -Value (Btuh) (or approved equal) //JJ �/�/[�i�`�'� ;L-77Ti's y -r _ tv Maximum Furnace Heating Output: Btuh'J � ,`\�'`' HOT WATER SYSTEMS Tank Manufacturer/Model# System T (store a gas, etc.) Capacity or approved equal) Scecial Feature SPECIAL FEATURESIREMARKS (Add extra sheets if necessary) " Mandatory Measures Checklist: Residential MF -1R NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the Com imiCe approach used. Items marked with an asterisk(') maybe superseded by mare stringent compliance requtremCnts listed on the Certificate of compliance. When this checklist is incorporated into the permit documents. the features noted shall be considered by all parties as binding minimum component performance specifications for the mandatory measures whether they are shown dsewhert: in the documents or on this checklist only. DESCRIPTION Building Envelope Measures • §2.5352(a): Minimum ceiling insulation R-19 weighted average. §2.5352(b): Loose fill insulation manufacturer's labeled R -Value. §2-5352(c): Minimum wall insulation in framed walls R-11 weighted average (does not apply to exterior mass walls). §2-5352(k): Slab edge insulation - water absorption rate no greater than 03%. water vapor transmission rate no greater than 2.0 pmWu)ch. §2-5311: Insulation specified or installed mats Califomia Energy Commission (CEC) quality standards. Indicate type and form. §2-5352((): Vapor barriers mandatory in Climate Zoites 14 and 16 only. §2.5317: InfiltratioNEafiltretion Controls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Doors and windows certified. c. Doors and windows weatherstripped: all joints and penctruions caulked and sealed. 12.5352(e): Special inrduation barrier installed to comply with §2-5351 meetsCECquality standards. 62-5352(4): Installation of Fireplaces I. Masonry and factory -built fireplaces have: a. Tight fatting. closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and control 2. No continuous burning gas pilots allowed. HVAC and Plumbing System Measure 12-5352(8) and 2.5303: Space conditioning equipment siring: attach eakulations. §2-5352(h) and 2-5315: Setback thermostat on all applicable heating systems. • §2-5316(a): Ducts constructed. installed and insulated per Chapter 10. 1976 UMC. §2-5316(b): Exhaust systems have damper controls. §2.5314(c): Gas-fired space heating equipment has intermittent ignition device. §2.5314: HVAC equipment, water heaters, showerheads and faucets certified by the CEC. §2.5352(1): Water heater insulation blanket (R-12 or greater) or combined interior/exterior insulation (R.16 or greater): fust 5 feu of pipes closest to tank insulated (R-3 or greater). §2.5312(Excep6on 1): Pipe insulation on steam and steam condensate return & recirculating piping §2-5318(d): Swimming Pool Heating I. System has: a. On/off switch on heater. b. Weatherproof instruction plate on heater. e. Plumbed to allow for solar. 2. 75 percent thermal efficiency. 3. Pool cover. 4. Time clock. 5. Directional water inlet. Lighting and Appliance Measures 52.5352(1): Lighting - 25 lumens/watt or greater for general lighting in kitchens and bathrboms. §2.5314(c): Gas fired appliances equipped with intermittent ignition devices. - §2.5314(a): Refrigerators. refrigerator -freezers. freezers and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. COMPLIANCE STATEMENT DESIGNER I ENFORCEMENT This certificate of compliance lists the Wilding features and performance specifications needed to comply with Title 24. Chapter 2-53 and Title 20, Chapter 2. Subchapter 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 any subsequent purchaser of the building. Designer Name: rkwirm: Address: i Telephone: Lic. 0: (signature) (date) Documentation Author Name: ' TitWFirm: Address: Building Name Tideffium- Address: Telephone (signature) Enforcement Agency Name: Agency. Telephone: (date) 1. Ceiling Insulation 2. Wall Insulation Single- Number of stories -46 R -value One Two Three R-0 -103 -49 -02 R-19 -8 -4 -2 R-30 ; -2 -1 -1 R-38 0 0 0 U -value 8 6 4 0.50 -176 -84 -54 0.30 -102 -49 -02 0.10 -26 =13 .8 0.08 -18 -9 -6 0.06 -11 -5 -4 0.04 -4 -2 .1 0.02 4 2 1 0.00 11 5 3 2. Wall Insulation 3. Raised Floor Insulation Insulation in Floor Single- Single - -46 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 .6 .3 -2 0.80 -153 -114 -76 0.50 -91 -68 -46 0.30 -47 -36 -24 0.10 0 0 0 0.08 4 3 2 0.06 9 7 5 0.04 14 11 7 0.02 19 14 10 0.00 24 18 12 3. Raised Floor Insulation Insulation in Floor 0.60 -144 Number of stories -46 R -value One Two Three R-0 -17 -8 -5 R-11 -3 -2 -1 R-19 0 0 0 R-30 3 1 1 U -value -11 -6 -4 0.60 -144 -70 -46 0.50 -120 -58 -08 0.40 -95 -46 -30 0.30 -69 -34 -22 0.20 -43 -21 -14 0.10 -17 -8 -5 0.08 -11 -6 -4 0.06 .6 .3 -2 0.04 -1 0 0 0.02 4 2 1 0.00 10 5 3 Controlled Ventilation Crawispace -4 -3 .1 Number of stories -1 R -value One Two Three R-0 -11 -7 -5 R-5 -4 -4 3 R-11 -2 -2 4 R-19 -1 -2 -2 4. Slab Edge Insulation -37 -26 -14 Numbiir of Stories 35 R -value One Two Three R-0 0 0 0 R-5 8 5 2 R-7 8 6 3 F2 factor 0.90 -4 -3 .1 0.80 -1 .1 0 0.70 2 2 1 0.60 6 4 2 0.50 9 6 3 0.40 12 8 4 5. Infiltration (Air Leakage) Specification Points Standard 0 6. Glass Heat Loss Total -14 -48 -69 -64 U -value Percent -12 -42 .51 to .41 to .31 to 0.3 Glass Single Double .60 .50 .40 le 50 -121 -53 -39 -24 -10 1 40 -90 -37 -26 -14 -0 1 35 -75 -29 -19 -9 1 1 30 -61 -21 -13 -4 4 1 29 -58 -20 -12 -3 5 1 28 -55 -18 -10 -2 5 1 27 -52 -17 -9 -2 6 1 26 -49 -15 -8 -1 7 1 25 -46 -14 -7 0. 7 1 24 -43 -12 -5 1 8 1 23 -40 -11 -4 2 8 1 22 -37 -9 -0 3 9 1 21 -34 -7 -2 ' 4 10 1 20 -31 -6 0 5 10 1 19 -29 -4 1 6 11 1 18 -26 -3 2 7 12 1 17 -23 -1 3 8 12 1 16 -20 0 4 9 13 1 15 -17 1 6 10 14 1 14 -14 3 7 10 14 1 13 -12 4 8 11 15 1 12 -9 6 9 12 15 1 11 -6 7 10 13 16 1 10 -3 9 11 14 17 1 9 -1 10 13 15 17 2 8 2 12 14 16 18 2 ) or is i 3 2 2 3 3 a 4 4 5 5 5 5 i 5 7 7 7 4 4 3 3 3 7. Shading (Shade Open) -14 -48 -69 -64 Effective Percent Clan 16 -12 -42 (Pareent Plast x SC) -55 na Effective -10 -35 -50- -46 %Glass North East South West Skylight 18 5 1 4 1 na 16 4 2 5 1 na 14 4 2 5 1 na 12 3 3 5 2 na 11 3 3 5 2 na 10 2 3 5 2 1 9 2 3 5 2 2 8 2 3 5 2 2 7 1 3 4 2 2 6 1 3 2 3 5 1 2 2 3 4 & 2 3 1 3 3 0 1 2 1 3 2 00 1 Q-� 3 1 -11 1 -1 ��j/ 1 0 .1 Q -4 -2 0 na = not allowed 2 5 7 & Shading (Shade Closed) Effective Pee rcent class (percent Stas x SC) %Gctive lass Notft East South West %Aht 18 -14 -48 -69 -64 na 16 -12 -42 -59 -55 na 14 -10 -35 -50- -46 na 12 -8 -29 -40 -37 na 11 -7 -26 -36 -33 na 10 -6 -23 -31.- -29 -74 9 -5 -20 -27 -25 -65 8 -5 -17 -23 -21. -56 7 -4 -14 -19 -18 -47 6 -3 -11 -15 . -14 -38 5 2 -9 -11 -10 -30 4 1.3 -6 -8 -7 -23 3 5 -4 5 -4 -16 2 1 1 2.0 -1 --44 1 0 1 2 6 `1�" 4 (�� 3 3 5 7 7 8 3.0 9. Interior Thermal Mass Interior Single- Slab Floor Raised Floor Mass Family Stories Multi Mass Stories Attached /CFA One Two Three One Two Three 0.0 -8 -5 -4 -2 -1 -1 0.1 -8 -5 -0 .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 25 0 3 5 7 7 8 3.0 1 4 6 8 8 9 3.5 2 5 7 9 9 10 4.0 3 6 8 9 10 10 4.5 3 7 8 10 11 11 5.0 4 7 9 11 12 12 5.5 5 8 9 11 12 12 6.0 5 8 10 12 13 13 6.5 6 9 10 12 13 13 7.0 6 9 11 13 13 14 7.5 6 10 11 13 14 14 8.0 7 10 11 13 14 14 8.5 7 10 12 13 14 15 10. Exterior Wall Thermal Mass Exterior Single- Single - Sum of 1.6 Wall Family Family Multi 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 2.00 10 11 13 1 11. Heating System SE or IHSPF (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;m SEER (assumes ducts In attic) Som of 7-10 -25 or -24 to -14 to -410 Sum of 1.6 16 or SEER less -15 -5 -25 or -24 to -14 to -4 to +610 16 or SE HSPF less -15 -5 +5 +15 more 0.72 6.60 0 0 0 0 0 0 0.75 6.88 3 3 3 2 2 1 0.80 7.33 8 7 6 5 4 3 0.85 7.79 13 11 10 8 7 5 0.90 8.25 17 15 13 11 9 . 7 0.95 8.71 20 18 15 13 11 8 9 6 Effective SE or HSPF Effective SEER 0 (SE or HSPF x duct efficiency) -12 -9 Effective -25 or -24 to -14 b -4 to +610 16 or SE HSPF less -15 -5 +5 +15 more 0.30 2.75 -73 x64 -56 -47 -38 -30 na 3.41 -45 -39 -34 -29 -24 -18 0.40 3.67 -34 -30 -26 -22 -18 -14 0.50 4.58 -10 -9 -8 -7 -5 -4 0.56 5.13 0 0 0 0 0 0 0.60 5.50 5 5 4 3 3 2 0.70 6.42 17 15 13 11 9 7 0.80 7.33 25 22 19 16 13 10 0.90 8.25 32 28 24 20 17 13 1.00 9.17 37 32 28 24 19 15 Zonal Control Adjustment System Type Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 12. Cooling Syst;m SEER (assumes ducts In attic) Som of 7-10 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 -25 or -24 to -14 to -410 +6 to 16 or SEER less -15 -5 +5 +15 more 8.0 -14 .12 -10 -8 -6 -4 8.5 -9 .7- " -6 -5 -4 -0 8.9 -5 -4 -4 -3 -2 -2 9.0 -4 -3 -3 -2 -2 -1 9.5 0 0 0 0 0 0 10.0 4 3 3 2 2 1 10.5 7 6 5 4 3 2 11.0 10 9 7 6 4 3 12.0 15 13 11 9 7 5 13.0 20 17 14 12 9 6 -1 .1 Effective SEER 0 HWR (SEER x dud eff[clency) -12 -9 -7 Sum of 7-10 25% WSB Effective -25 or -24 to -14 to 4110 +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 -6 -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 1 9.0 16 14 12 9 7 5 10.0 22 19 16 13 10 7 11.0 26 23 19 15 12 8 12.0 30 26 22 18 14 9 13.0 33 29 24 20 15 10 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 Interior Mass/CFA 1":2 I loss North b. Unit Size (so c. Water d. 1199 1200 1700 2200 2700 Heater Credit or to to to or Type Type less 1699 2199 2699 more SG None 0 0 0 0 0 or Solar 12 8 6 5 4 HP HWR 8 5 4 . 3 3 WSB 5 3 3. 2 2 SC 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 25% WSB -25 -16 -12 -10 -8 60% POU -18 -12 -9 -7 -6 IG None -5 -3 -2 .2 -2 0.8 Solar 7 5 4 3 2 23 POU 3_ .. 2 1 1 1 IE None -28 -19 -14 -11 .9 53 Solar 8 5 4 3 3 1.2 POU -10 -6 -5 -4 -3 2.7 Multi -Family (individual 3.3 units) 3.7 4 4.2 4.4 Unit Size (sq 5 Water 5.4 699 700 1200 1700 2200 Heater Credit 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 3 WSB 9 4 3 2 2 4.5 POU 9 5 3 2 2 SE None -45 -23 -15 -ii -9 1.9 Solar 2 1 1 0 0 3.4 HWR -23 -12 -8 -6 -5 4.9 WSB -25 -13 -8 -6 0 0.9 POU _23 1.5 _-8 -6 -5 IG None -8 _-12 -4 -3 -2 i -2 3.8 Solar 6 3 2 1 1 5.3 POU 1 0 0 0 0' IE None -30_-1 5 -10 -8 -6 2.6 Solar 18 9 6 4 4 4.1 POU -8 -4 -3 -2 .2 Interior Mass/CFA 1":2 I loss North b. East c. South d. West e. Skylight nor Wall Mass R -value [38] X -' U -value [0.030] Zonal Control? ( Y / N) 1-2-11 or [0.721&61 R -value II I) 12. Cooling System U-value[0.098] Zonal Control? ( Y / N) or Duct Efficiency [0.74] Effective SEER [7.03] 11.7•uINC•4.21 R -value 1191 U -value [0.0371 . 4f) or %•TYPE 1 MATS WIMC 4.2. Se: exposed �- slab) Type [double] 1c•r eteA .1_bl U-vaiue [0.65] 90 Total Glass (16] % Glass SC Eff. % Glass 0� X - O X� - --- Or. 5% 10% 15% toy. 25% 309/6 3S% 40% 4S% 50% 55% 60% 65x 70% 75% 80% 85% 90% 95% 100% 105% 1101: 115% 12011. 125•, Oy. 0 0.2 0.4 0.6 0.8 1.1 1.3 1.5 1.7 1.9 2.1 23 2.5 2.7 2.9 3.2 9.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5 53 109/. 0.2 0.4 0.6 0.8 1 1.2 1.4 1.6 1.9 2.1 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.7 4 4.2 4.4 4.6 4.8 5 5.2 5.4 20% 0.3 0.6 0.8 1 1.2 1.4 1.6 1.8 2 2.2 24 21 29 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.8 5 5.2 5.4 56 30% 0.5 0.7 0.9 1.1 1.4 1.6 1.8 2 22 24 26 2.8 3 3.2 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 56 58 40Y. 0.7 0.9 1.1 1.3 1.5 1.7 1.9 2.2 24 2.6, 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 50Y. 0.9 1.1 1.3 1.5 1.7 1.9 21 23 2.5 27 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 55% 0.9 1.1 1.4 1.6 1.8 2 2.2 24 2.6 28 3 3.2 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 5.8 6 62 60% 1 1.2 1.4 1.7 1.9 21 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 ' 5 5.2 5.4 5.6 5.9 6.1 63 65% 1.1 1.3 1.5 1.1 1.9 2.2 2.4 2.6 2.8 3 3.2 3,4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 55 5.7 5.9 6.1 6.4 70% 1.2 1.4 1.6 1.8 2 2.2 2.5 2.7 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.6 4.8. 5 5.2 5.4 5.6 58 6 62 64 75% 1.3 1.5 1.7 1.9 21 2.3 25 2.7 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.6 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 80% 1.4 1.6 1.8 2 2.2 2.4 26 2.8 3 3.3 3.S 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 54 56 5.8 6 6.2 64 66 85% 1.4 1.7 1.9 2.1 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 S 52 54 5.6 59 6.1 63 65 67 NY. 1.5 1.7 2 2.2 2.4 26 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 53 5.5 5.7 ' 5.9 6.2 6.4 66 68 95% 1.6 1.8 2 2.2 2.5 27 2.9 3.1 33 3.5 3.7 3.9 4.1 4.3 4.6 4.8 S 5.2 5.4 5.6 5.8 6 6.2 6.4 6.7 6.9 100% 1.7 1.9 21 2.3 2.5 28 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 53 5.7 5.9 6.1 6.3 6.5 6.7 7 105% 1.6 2 2.2 2.4 2.6 2.8 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 5.6 5.8 6 6.2 6.4 6.6 68 7 1109/. 1.9 2.1 2.3 2.5 27 29 3.1 3.3 3.8 3.8 4 4.2 4.4 4.6 4.8 S. 5.2 5.4 5.7 5.9 6.1 6.3 6.5 6.7 69 7.1 115% 2 2.2 2.4 2.6 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 6.2 6.4 6.6 6.8 7 7.2 120% 2 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.4 4.6 4.8 S 5.2 5.4 S.8 58 6 6.2 6.5 6.7 6.9 7.1 7.3 M% 21 2.3 25 2.8 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.7 7 7.2 7.4 Point System Summary: Climate Zone 11 SCORE CARD 1. Ceiling Insulation 2. Wall Insulation 3. Raised Floor Insulation 4. Slab Edge Insulation 5. 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 Measures 1 MASS AREA F� 0_16 GOND. FLOOR AREA 10. Exterior Wall Mass / F-- TYPE 2 MASS AREA _ ND. FLOOR AREA or nor Wall Mass R -value [38] X -' U -value [0.030] Zonal Control? ( Y / N) 1-2-11 or [0.721&61 R -value II I) 12. Cooling System U-value[0.098] Zonal Control? ( Y / N) or Duct Efficiency [0.74] Effective SEER [7.03] 13. Water Heating R -value 1191 U -value [0.0371 . 4f) or R -value [01 F2 factor 10.77] Standard Type [double] U-vaiue [0.65] 90 Total Glass (16] % Glass SC Eff. % Glass 0� X - O X� --- less E� e;o X • G � %]ass = O X � X •-0" �.� X r - �- 9. Interior Thermal MassTYPE 1 MASS AREA F� Interior Nass/CFA GOND. FLOOR AREA 10. Exterior Wall Mass / F-- TYPE 2 MASS AREA _ ND. FLOOR AREA nor Wall Mass 11. Heating System X -' = Zonal Control? ( Y / N) r oH F " Sts Duct Efficiency [0.78] Effective SE or [0.721&61 HSPF [0.56/5.15] 12. Cooling System noA x Zonal Control? ( Y / N) SE [9.5] Duct Efficiency [0.74] Effective SEER [7.03] 13. Water Heating Type G] Credit [none] Point Scores O O 0 Sum 1.6 PWA Point Total: Sum 7-10 O i �' ,'I C -Ai: it � ` ;:.• TRUSS DEPT 9A0301,16 893 ni 0 Irri jq 0 R D 2)(4 FIR -LAR -i 1k, THIS DWG. PREPARED T.,O P xCR #1 'Bep CHORD 2X4 FIR -LARCH #1 WEBS 2X4 FIR -LARCH STANDARD t'DNLN6CTOR PLATES MUST BE INSTALLED IN ACCORDANCE WITH REPUXREHtNTS OF I-C-BiO. RESEARCH REPORT -1/2949. A) _L PLATES ARE TO BE CENTERED ON THE JOINT, LEFT TO AIGPT AND TpP TO. BOTTOM, EXCEPT WHENLOCATEDBY CrRCLE OR DIMENSION. SEE: 'DRAWING 130 FOR 'PLATE LOCATIONS ON TYPICAL JOINTS." PLATES ARE DESIGNED WITH A DURATION FACTOR OF 0.92. ote, -gym-fir or better continuous lateral bottom cbord bracing required. Attach vi/2"16d nails Bracing is not required ri j iq attached di rectly to botto; chord. Bracing atat r "al' -LIPP U b. e 1 lied and attached at both ends to a s itable support erectl k.ODtractor. 41 30" O.H. 11 q1111q IOM COMPUTER INPUT (LOADS & DIMENSIONR" SUBMITTED BY TRUSS MFR. TC X -LOC L -R: 0.29 6.41 12.00 17.59 23.71 BC X -LOC L -R: 0.29 8.27 15-73 23,.71 rn 6 SINGLE CUT WEB. 4f-TC;1,4 Nj + BOTTOM CHORD CHECKED FOR 19 PSF LIVE LOAD. M TOP CHORD SHALL BE IAI,,RALLY "BRACED WITH PROPERLY CONNECTED 0 PURLINS SPACED AT A MAXIMUM OF 24" O.C. M 12 q 00 ZZ_2X6 it V O.H. R-72Bft W- 3.5D"' REY 13.2,H 0.25 DESIGN CRIT Mw REF R427-17 TC LL 16. 0 PSF DRTE 02/09/Be TD OL 10.1) PSF 'I DRVG CRUSR427 BOD400J 9C DL + 5-OPSF _PA-ENG_MS4//-/,6f"r TOT. LO. 31.0 PSF 1-0/9 LEN: 24-0-0 01 IR. FAC. 1.25 PITCH 4-0/12 SPACING 24 0" TYPE COMN - - Na r, R -725O W- 3.50" PLATE TYPE --ALPINE SEON--IGG410 FURNISH R COPY OF THIS DESIGN TO ERECTION E COUCTS, INC. **IMPORTANT** FIALT N10NTG1IEwEASEPDh'PSR1CLE FOR ANY TRUSSES REWIRE EXTREME CARE WARNING DEVIATION FROM THESE SPECIFICATIONS OR My DEVIATION FROM IN HANOLINP, ERECTION qNO BRRCING.StE "UT -76', UJARCING VD00 TAUS SL -St C= THIS DESIGN DR ANY FAILURE TL BUILD THE TRUSS IN CONFORMANCE COrMTRRY FIND RECOnMEWDflTtr--iTP E 1;. SEE O C WITH THE MURLtTY CONTROL MMURL" W TP,. WINE CONNECTORS THIS bESIGN FDA ADDITIOW L'SPECIAL PERMA- F-M ARE "UFRCTURFn FROM 20 GAUGE 00ANIZED STEEL UM -ESS WENT BRACING REWIREMENTS, UNLESS OTHERWISE LPIN-- r= OTHERVISE SHDWNO MEETING REOUIREMENTS I. nSTn A44G GRADE A. `3HOVN, TOP CHORD SHALL BE LATERALLY BRACED APPLY CONNECTORS TO 1307H FACES AT EACH JOINT AND LOCRIE FS WITH PROPERLY RTIACHED PLYVOOO SWATHING, TRUSS SHOVN. BEARINGW107HD ARE 4- NOMINAL UNLESS OTHERVISE SHOWN. 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