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056-120-002
56-12-02 ' �IYBERT-,-S.- -NEWELL W/S Cohasset Rd across from.�-5awmi�ll,Coh. Permit#969-84P,E(utilt_chifi) ELEC GAS L. -. r 2 �%� �d '-� SUPPORT;-- E REQ NO COMPAuTION TEST REQ At -0 U5`G=12"0=002 -. • - 9"2=4458�BPEM •���-: JOHNSON,, Leslie.:, 9875 Cohasset Rd, Cohasset new sf 056-12-0-002 94-186 BPE JOHNSON,, LESLIE 9875 COHASSET RD;`COHASSET CONV `ATTIC •TO LIVING/SF rt '✓ 1x.056,-1'20,-002 "� ..,;;Ag. PERMIT#95-1' STULL,_,Willard e. 9875 ,Cohasset Rd Cohas"set . - - 'Ag Exemtp Permit=Hay; Tools;Equi.py 1. t M^ - _ BUILDgWG DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-75 AGRICULTURAL BUILDING EXEMPTION PERMIT P RMIT NO. Agricultural building is defined as follows: Agricultural building is a structure designelr(and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. Or�_ /� 0 OQ ZONING J OWNERPHONE W I, L A RD E, 5? (WL L - NO. OWNER'S ADDRESS 9975' 0 -o,1 -H -Gs �' oaf . Co,-14-6ster, On, qS -77-? LOCATION OF BUILDING 27 97 -SJ aoN q -ss USE OF BUILDING 3)U Rr,- /1®L EN) FV -173 , A y To o C s I PU D 2,5: -PA //z SIZE OF STRUCTUREe �O X — _ SO. FT. TYPE OF CONSTRUCTION: WOOD FRAME —)( STEEL CONCRETE OTHER (Specify) TYPE OF SIDING ES S S 7'w `f . ROOF COVERING COMP.2g QoF�� 5 i�u5 FLOOR TYPE 0o� ) cQ& ESTIMATED COST OF CONSTRUCTION $ zi 000 AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: 1 C 1 N FRONT �� SIDES J REAR J AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date �d �1 Signature of Owner Permit Fee - $60.00 Receipt No. O �g The above described AG Building is exempt from a building permit FLOG JP R L I P.D./ROOFI ISSU Manager Building Division By White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant Date �� 9� COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION OWNER 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET A. P. No. Proposed Building Use Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: 1. All items have been submitted. 2. Plot plans, 3/4 sets, signed by preparer of plans. 3. Complete plans, 3/4 sets, signed by preparer of plans. 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans. 5. Hazardous Material Form. 6. Energy Design Compliance and supporting documentation. 7. Statement of Intent for Non -Heated and A/C Buildings. 8. Engineered truss details and layout in duplicate (required prior to plan check). 9. Mobilehome data and manufacturer's installation instructions, 2 sets. 10. Fees of $ 1 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). 20. Pre -inspection for required. 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 check list. 33. 34. When you issue the permit, process as follows: -- Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other ctS75^ WtfP,.SS67_ k�_ Applicant ( jimo4 V 2 Date Q o26 S ,n--td0_Lc 17 'r . NA -L i r. AS97 3 EXPIRATION OF APPLICATION Applications for which a permit has not been issued, will expire by limitation one year after date of application. In order to renew action on an application after expiration, a new application; plans and fees will be required. FEE REFUNDS Refunds can only be made upon writtten request by the person who paid the fee. The request must be made within one year from the date of fee payment on permits not issued, and one yearfrom the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan checking fees for work plan checked and other department costs are not refundable. Orininni - Annlirnnt I KNTIAL 056-1'2-0- -` _ _ __. 002 94-1_86 BPE JOHNSON, LESLIE 9875 COHASSET RD, COHASSET CONV ATTIC TO LIVING/SF 1 JOB FINALEQ (Date) Signature '��-�'V %Ll�✓ _ _ . V=OK O=Not OK NotReadyble 'MOBILE HOMES Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Locatlon-Test-Fell-C/0 Concrete 4. Water; Location -Teat -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Teat -Wrap: / /" L" ft. / /"Nat. or/ /" L"ft./ /"LPG 7. Well Clearance 8. Disconnect 8. Utility Clearance Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'a 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3.. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances S. Drain; MH Test -Fall -Flex Connector 6. Water; MH Teat -Regulator -Connector 7. Water and Sewer Connected -C/0 to Grade -HD Approval 6. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs: Connectors Shthg: Rfg.-Bracing 5. Alum. Awn.; Columna -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/Initials POOLS (Plana) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Mein in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V=OK ! ,. O = Not OK - = Not Applicable Not Ready RESIDENTIAL r(Single & Duplex) ' =� •. Date/Initials UNDERFLOOR (Plans) OK except#'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Fig., Main; Soils-Elec. Grnd.-/ P' Fig. Depth I Fig., Garage; Soils-Steel-Elec. Grnd../ /" Ftg. Depth 4. Fig., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped t1� 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors - 4-1 7. Slab; Steel -Wrapped 8. Piers-FireDlace F.ta.-Steel • 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -teat 11. Water Pipe: Test-Anchor-Reaulator-Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14.Girders-Sills-Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation };gate/Initials PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.: Test -Fittings & Anchor -Nail Protection " 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas PiDe; Size & Anchors Date/initials ELECTRICAL (Permit) OK except #'a ca� 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed -Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga: Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Mein Disconnect 31. Equip. Clearances Panels -Motors -Mach. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date/Initials FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Wells over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Date/initials FRAMING (Continued) 45. Hangers -Post Cepa-Anchors-Connectors 46. Cing. Joist-Rftr. ties-Purlin=roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 411 Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic . 58. Shear Wells; Nailing -Bolts 59. Insulation -Wells -Ceilings . 60. Infiltration -Walls -Windows Date/initials FI15L Plans OK except #'a 6 . Wit. Steps -Door & Sidelight Protection -Landings Smoke Detector 6 urnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection edroom Exiting 6 . G.F.I. & Bath Fixtures & Tub Access -Spa 66-11ec. Trim & Subpanel; Breaker Sizes & Labels Stairs & Rails Q8!j eplace or Stove; Clearances -Hearth 8 . Elec. Outlets at Wood Panel; Int. & Ext. 7 . Iyit.Fixt. & Appliance; Grnd: Air Gap -Cooking Clearance Elec. Outlets & Receptacles at Kit. Counter 7 . Garage Fire Door; Swing -Landing -Closer 71' A.C. Duct in Garage -Damper 7 . Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Mach. Protection 7k."PIb., Elec. & Mach. Equip. Listed for Location 70.'Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77/Insulation-Foam-Looked in Attic ❑ Yes 7§.- Guard Rails & Deck Construction -Post Caps 7j Fdn. Vents & Crawl Hole Door-Drainagge & Wood -Earth Clearance Looked under Floor O Yes Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 8,% Stucco; Brown -Finish A.C. Unit; Disconnect, Electrical, Plumbing 03. Vents Above Roof; Plbg.-Appliance-Fireplace: Clearance to Openings . !,Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground BpeVentilation Throughout House 87 lass Protection S&Oborrections from Previous Inspections �6- eest-Meters Tagged; Gas -Electric 90!Water & Sewer Connected -C/O to Grade -HD Approval gaoogn:rgy Compliance Certificate -Other Certificates COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT �� ASSESSOR PARCEL NUMBER 056-120-002 ZONING BUILDING PERMIT OWNER LESLIE P JOHNSON TELEPHONE SQ. FT. OCC. BUILDING VALUATION 495 R OWNER'S MAILING ADDRESS CONTRACTOR'S NAME LESLIE P JOH SON TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER SACRAMENTO SAVINGS UNKNOWN Total Valuation $ 9.900.00 Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 117.00 ARCHITECT OR ENGINEER LICENSE NO, Plan Checking Fee $ 76-05 Energy Plan Checking Fee $ 23.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 9875 COHASSET PERMIT FEE $ 236.05 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. 2 SUBDIVISION'S NAME 1 PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF IN Duplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New O Addition ❑ Remodel ElUtilities ❑ Installation EJOther ❑ Describework: 2 BDRM SINGLE FINISH PORTION OF ATTIC PERMIT FEE $ 56 00 Contractor ELECTRICAL PERMIT Filing Fee 20.00 7� AREA Main Service ( BOOv OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( 8 ACC. BLDS. ) SO. 3.50 FT. 17 33 NEW CONST. MULTI -OUTLET NON.RESID. ( BRANCH CIRCUITS ) 7.50 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 my li se is in full force and effect. License No 1-f Classification ❑ I, as the owNr or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) CII am exempt under Sec. Business and Professions Code forthis reason ( POWER APPARATUS ) & SINGLE OUTLET CIO. Ex. Occup. ( OUTLET OR FIXTURES ) BA20 @ 1.0000 Ex. Occu FIXED APPLNS. OR Occup. ( OUTLETS IRESID.I EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 2000. Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I 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. 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 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 all375.38 liabilities, judgments, costs, and expenses which may in any way accrue against said Count in con quence t e granting of this permit. X Date 4 Llr ~I L71 Signa re of Appl can Edi Owner Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over stories in height. Mobile Home Installation Fee Is Energy Inspection Fee Is 46.00 ocC CONST. TYPE [,TOTAL FEE $ 41 HAZ. D. F S IMP Flo PARCELHD �• SS This permit is hereby issued under the applicable provisions of the Butte Co my Code and/or Resolutions to do work indicated ab o r which fees have an paid. D C OR OF P BLI ORKS By ate 171- 1 /1'e - PERMIT EXPIRES ON l `'[� (Date) g3 Receipt 6 557 3 1 WHIT .D. WHITE•D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT .,000NTYOFBUTTE - DEPARTMENTOFQEVELOPM ENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE; CALIFORNI -9. 965 -TELEPHONE (916)538-7,541 PERMIT APPLICATION DATA SHEET OWNER L C -S L I C J .-O M.JS D../ 100", A. P. No. ©rJ 6 /Z O ' 100-2 Proposed Building Use 4d 2., at : -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 RECENED BY 1 • All items have been submitted. ..... 2. Plot plans, 3/4 sets; signed by preparer of plans . .......................... 3_ Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............ . 5. Hazardous Material Form. ......................................... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ . . _`t1. Impact fees as shown on attached schedule. ... S41-y'o-P L ........�. Y....... - 12. California Department of Forestry plan approval/fees. ....................... . Aa Flood elevation letter (100 year flood) by California Engineer ................... -�- N.1 Sanitation and plot plan approval CNtIL-A Health Department . .............7- 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). ............ 20. Pre -inspection for required. .. e4ng coedo r (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. L 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... ,,- 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ....................................... . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. s 34. When you issue the permit, process as follows: Wail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation Y,4 G yr/1rr� Date Acreage Applicant l -C�y 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 er it 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 ate Contractor, designer, owner, was advised of above required data by- _phone _mail ounter 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 F.H. USE ONLY Floor I'I5.1 Attaclud IS. U. TO,: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance sl e n.1730/7 91�7s vi? ss�� mai. ('vh�s5�t sG - ZZ -eaZ Owner Location AP# Plan Approved . for: Sewage Disposal Water Supply: Public Private Well Clearance for bedroom mobile home. Other ZAre ze-ij6" Hold final for: Final clearance O.K. for:S14-01,44, L %(%G NOTE: o i nviro rental Hea/ Specialist 8/92 C- Tdn 3/9�% Date Insulation Certificate s1G fi✓So rj Number County Description of Installation ROOF Material 'thickness (inches) CEILING City Subdivision Lot Number Brand Name TVhhal Resistance (R-Valpe) 1i Ban or Blanket Type FIBERGLASS Brand Name CERTAINTEED xa. Thickness (inches) Ttierrnal Resiscutce (R -Value) LooseFdlType INSULSAFE III BrandNarae CERTAINTEED Contractor's minimum installed weight/ft Ib Minimum thickness ' inches Manufacturer's installed weight per square foot to acheive Thermal Resistance (R -Value) EXTERIOR WALL Material FTRFRCT,AqLq Brand Name CERTAINTEEN Thickness (inches) 3 Z Thermal Resistance (R -value) 2 RAISED FLOOR Material FIBERGLASS grand Name CERTAINTEED Thickness (inches) 46 VA/ Thermal Resistance (R -Value) SLAB FLOOR Material Brand Name Thickness (inches) Thermal Resistance (R -Value) Width (inches) FOUNDATION WALL 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 Californi .Ad inis G Coniractor(Builder)' License Number signaaue and Title ' Dare HAWKINS IND. INC..SHASTA INSUL 46 S,n729 b -C instt ' n Itutaller) %� A ir—we Number tgnartim and Title Date RE: 9875 Cohasset Rd., Cohasset Water Supply Clearance AP# 56-12-002 I, Leslie P. Johnson, owner of the above'referenced parcel, hereby agree that I will provide and maintain a potable water supply acceptable to the Health Department on said parcel. If the existing resin water storage tank is found not approved for potable water storage, then I will provide a storage tank approved for potable water and acceptable to the Health Department. I understand that the Health Department will not -give final approval to clear the completed residence until the water supply and system is given. final approval by the Department. Should the parcel be sold, I understand that I must disclose the above information to the buyers and any real estate agents involved in the transaction if final approval is still,,pending. Date Owner Butte County Health Department Representative gnatu S. Title �5 vt'V yL w L•1� 0 94 k V y ;JA k '�*''v' �?P . 4 � �+41%'�Q.•,.i� h. �t'�n�t�'i,#�1� a `zk#/s�tii� fh' y��:' BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District c'' J A.P. Number '� Z- Jurisdiction City Building Department No. C,r 0'5 C— E-2--c—ounty Property Owner L e- -s Property Location/Address f' `� SSe P� e,, Subdivison Residential Development No. of Living MHI Units Commercial/Industrial New Buitaing— artment Representative Lot No. [��Sq. Footage JY,�7 Addition (Group R) 0 Sq. Footage Addition (Including Exterior Roofed Areas) (Floor Plans reviewed by School District Personnel) , //�Z y, s 4/ Date District Identification No. ND A nA Jj 9 *1-�f School District certifies that L4 4A. (Applicant) (Street Address) (City) (State) (Zip Code) has complied with the"requirements of Resolution No. y I ' 9 CA by payment of $ representing / square feet. School District Representative //.-.-7 q Date j Paid by Check Number /U Remarks: Bank Number _ Paid by Cash If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this,project may be subject to additional school fees to fully mitigate its impact -on the school district's schools. r White (applicant), Yellow (building department), Pink (school district) feeformmkl (4/92) RESI; NTIAL ' �/ 92-4458 BPEM i 056-12-0-002 JOHNSON, Leslie CohasSet 9875 CohasSet Rd, new sf I OFFICE COPY. Address 4p 4c G I GAS Meter By Date ELECTRIC { Meter By �— �— -- -- ---- to 717, el JOB FINALED (Date) Signature l ' J=OK , O = Not OK Not Readyable "MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except If's 1. Zoning Requirements -Setbacks -Easements 2. Soils; -Special MH Support Sketch ' 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) ' 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L" ft: ' / /"Nat. or/ /" L" ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 1 s 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh '-4 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except q's 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability , 3' 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI _ 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval V 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK w' O = Not OK = Not Applicable N RtSIDENTIAL (Single & Duplex) '- of R d ea y Date UN ERFLOOR (Plans) OK except #'s Date FRAMING (Continued) oning-Setbacks-Easements-Flood-Slope Ftg., Main; Soils A- /" Ftg. Depth --- Ftg., Garage; Soils-Steel-Elec. Grnd.-4� /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth ---" Stemwalls, Main; Steel -Bloc kouts-Wrapped ---- 6. Stemwalls, Garage; Steel-Blockouts-Wrapped -- 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fire lace Ftg.-Steel 9. D. Fall -Fitting -T 2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pi , T chor-Regulator-Service Test 1 Electric; UndeUx.1 nd 3 Pienums Ducts; Clear a Material -Support -Ins. 14. Gir -Sills-Ancho B t Joists -V -Cripples 15. Access & Ventilation 4. Insulation Date 1 Card B-1 SP Date Card B-1 Date 12642-3 Card B-1 VIS Date Card B-1 Date PLUMBING (Permit).OK except #'s Access -Combustion Air -Baffle - -- - 1i�� Pipe: T Anchor -Nail Protection Tett-<ttings & Anchor -Nail Protection-------- ---- - 1 r Pan: Test. First Floor -Tub Access ------------- --- ---------------------------- Test Tub & Shower. Second Floor -Tub Access 21. Gas Pipe: Size & Anchors Date S--- ------------ Card ----- - Date - Card B_t Date Card 8-1 Date Card B-1 Date ELECT CAL (Permit) OK except #'s 2 ixte & Transformer Cl ce-Ins. Prote/ctt.on - - -- 2lecReceptacles Spaci�-Li is & SwrtCFtes at Doors ---- ------- Rece-------------- -- ------------- ---------------- 2_ - ¢ Boxes & No. of Co ductors-Stapled ---- - ---------- ----------------- --------------------- - Romex Installed Close to Edge of St s & Equi round made up w! Fastner and Gas & Water ---- - -- - -------- -----`----------------------- ---- -- „' --- Appliance Circuts in Kitchen -& Conductor Size!GFI 28. Subfeed Wire Sizer ga. Cu or AI-A.C. Wire Size ! ! ga. Cu or AI ©2 Range Circ. 1 ga. Cu or AI -Oven Circ. / ! ga. Cu or Al. Insulated Neutral 0 Yes 0 No --------------------------------------- 30. ------------------------------ 30. Service -Riser Conductors & Ground -Main Disconnect ---- --- 31. Equi Clea rances Panels- Motors- Mach. Equip. ------- - ---------------------------------------- ---------- 3 lothes Closet Light -Shower Light -Spa Light 3 oke Detector --- - -------- ---------------- - ----------- Date 4-20 +q'3 Card B-1 vl& Date Card B-1 ------lh--- ------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MEC NICAL (Permit) OK except it's 3r A.C. Ducts Insulation & Support 35. Vent Fa xhaust above insulation - ---------- - ----- -- ----------------------------- _______ Condensate Drain & Overflow: Size & Grade 7 Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet - - ---- -- -- ------- ------------------------------------------------------------ ------- ----------------------------------------- 3 tic Access & Plalforvy-ir-Furnance in Attic ----------------------- - - ----------------------------- Date y--- Card 8-t Date Card B -t - ------0a =___ __=_ Date__- -- -- - ----- -_MA - ------------------------ Date Card B-1 Date Card 8 -1 -- Date FRAMING (Plans) OK except #'s 39. Sils. Proper Materia & An hor ------------------------ 4 alts Stu ding Spaci�Bra-alates-Sound ------------ --------------------- ------------------------------ ----- - 40►8t?Sring Walls over G-i� -Floor Nailing ----- ------ -- -------------------- ------------------------ +92. Draft Stop in Walls (rat proof) ------------ ---------------------------------- --------------------------------- 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub eaders Bear4, ze & Bei ers-Post Caps -Anchors -Connectors . ies- Joist-R Purlin-roof Brac-Tr access; Size & Romex ProfeeMlS-Draft StopLLo&!Baffles Windows or g Doors -Sill Hg4.Dimensions e FiroacreEtion Framing rty Line Firewall & Openings 92: xt. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection _54_pl rood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls: -Nailing -Bolts ------r�_59. Insulation -Walls -Ceilings Infiltration -Walls -Windows ----- - - - Date ' 0 -to Card B_1 - Date Card'8-1 Date Card B-1 Date t Card B=1 Date FINAL (Plans) OK except #'s E 6rExt. Steps -Door & Sidelight Protection -Landings 62 -Smoke Detector 63., -Furnace; Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meeh. Protection 64 --Bedroom Exiting ----------------------------- ---- 69^G.F.I. & Bath Fixtures & Tub Access -Spa -------- 68 -Elect Trim -& Subpanel: Breaker Sizes & Labels _ 67 -Stairs & Rails --------------------- 6&-Fireplace ------ ------6&-Fireplace or Stove: Clearances -Hearth 69--Elec. Outlets at Wood Panel: Int. & Ext. - --- -- 7tyrKit Fixt_& Appliance: Grnd.-Air Gap -Cooking Clearance 7)--Elec. Outlets & Receptacles at Kit. Counter - 72�Garage Fire Door: Swing -Landing -Closer - 735"A.C. Duct in Garage -Damper A. Wtr. Htr Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor -Meeh. Protection 75,"Plb.. Elec. & Mech. Equip. Listed for Location 75-'Elec. Receptacles in Garage: (G.F.I.)-Romex Protection 7/Insulation-Foam-Looked in Attic D Yes 78jGuard Rails &Deck Construction -Post Caps -- -------------,Guar Rails &Dec------ 79/Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor Yes 82!Followin instld.; Drive'Jf-Yes D No; Walks. ❑ Yes Planters ❑ Yes, R'No ----------------------- - - - - - ------ -- 4-Siucco: Brown -Finish ----------------- 8 .C. Unit: D'sconnect. Electrical, Plumbing ..---...... --------- _,----------- 82. -Vents Above;oof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing ----------------------- 85eExterior Elec. Trim; G.F.I. Receptacle-Underground------------ 8(yVentilation Throughout House - -- -- --- ---- - ----- ------------------------------------- dO!Glass Protection - - -- BiSi - rrect' from Previous Inspections 89. Gas flea( Meters -Tagged Gas -Electric _ n y'/Water &Sewer Connected -C/0 to Grade -HD Approval v 3 err. Energy Compliance Certificate -Other Certificates Datey Card B -1(//j Date -Card B-1 Date�f/ • ..93 --Card B_1 Date Card B-1 D--a-t s5 Card B 1 LA Date Card B-1 Comments at Final: 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 SIiott Road, Paradise, CA - (916) 872-6307 3 CORRECTION NOTICE p PERMIT NO. 4� A roumre impection 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 isconfleted. Hyouhave any questions pertaining to this matter, or need additional explanation, p!e tfrs office immediately. Date REV IQW !/C' COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS •1 7 County Center Drive - Oroville, Qaliforni2 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. � 92-4458 5 ASSESSOR PAFjCEL NUMBER 056-120-002 ZONING _ BUILDING PERMIT OWNER P. Johnson TELEPHONELeslie 4 S0. FT. OCC. BUILDING VALUATION 1,317 R 71,118.00 OWNER'S MAILING ADDRESS 9875 h sset d 0 2499 M 8,982.00 CONTRACTOR'S NAME Ownpr TELEPHONE 63 Cov. 819.00 CONTRACTOR'S MAILING ADDRESS 91/1,049 0 Unf 4,837.00/35"9666.00 Fireplace I A 1,500.00 CONSTRUCTION LENDER UNKNOWN Total Valuation $ 122,922.00 LENDER'S MAILING ADDRESS Filing Fee$ 15,00 Permit Fee $678,00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $339.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ 20.00 Penalty $ BUILDING ADDRESS Permit fee $1)052.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 8 5.00 40.00 Solar or heat pump water heater 20.00 LOT NO. 2 SUBDIVISION NAME PARCEL MAP Water piping 1 7.00 7.00 Each pas water heater or vent 1 7.001 7.00 USE OF STRUCTURE SF EJ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 1 5.001 5.00 Building sewer 11 15.00 115.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New[3 Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: 1 Bedroom Single Family Permit Fee $89.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of p y perjury y (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and m 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) F1I, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200ATO1000AI 37.50 NEW CONST. DWELLING OC 3.54 sq.ft. OR ADDNS. ACC. BLDGS. NEW CONST" ULT' -OUTLET 5.00 NON-RESID BRANCH CIRC ITS @ (POWER APPARATUS e) I SINGLE OUTLET CIR. EX. Occu 20 754 Occup(OUTLETS OR FIXTURES FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) 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. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 1 15.00 Heating 119.0019-00 Cooling 1 17.00- Hood 1 6.50 6,50 Ventilation 3 4.50 13.0 Permit Fee $ 51.00 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities judgments, costs, and expenses which may in any way accrue against sai o ty in c ns uence of the granting of this permit. X Date 1 X-3I-�� signature of Applicant - Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5' ' deep and demolition or const uc ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection fee $ con,�r r V TOTAL FEE $ 1 20.5 HAz DFEES IMP FL 0 COF !� PARCEL PD HDf I This permit is hereby issued under the applicable provi- sions of the Butte Count Ode and/or resolutions to do work indicat a Ove o which fees have been paid. C OF PUBLIC WORKS By Date X29- PE I IRES Date Receipt No. l--7, 0� QLr ��- WNITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, t: LD EN RO D -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUB IC 7 Count Center rive - Or I County 0 ovll e, California 95965 Teleph ne: APPLICATION AND PERMIT IORKS PERMIT NO. 6,'538-7541 9 ASSESSORPARCELNUMBERZONING 1-4 • / 2 - Oo'L ly 2_1 BUILDING PERMIT OW TELEPHONE F CC. BUILDING VALUATIONh- SO. OW 'S MANG AO 7 r o L CONTRACTOR*. NAME / TELEPHONE / 3 J CONTRACTOR'S MAILING ADDRESS R CONSTRUCTION LENDER/09 r!;:;, Total Valuation $ Filing Fee •L $ 15.00 Permit Fee P79 $ Plan Checking Fee �• $ Energy Plan Checking Fee LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE NO. ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty _ S Permit fee JI D�� --s PLUMBING PERMIT FiIingFee 15.00! BUILDING ApDRES /' 2C/� C— Each Trap e 5-001 A10 o, 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 5.0015 Building sewer 15.00 15 Mobile Home ISI GJWJ @ 15.00 TYPE OF WORK New Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: 1 A4 ' Permit Fee $ 9 Contractor ELECTRICAL PERMIT Filing Fee 15.00: Main service 200OR LESS 1 8.50 200AA OR LESS Main service 200A TO 1000A1 27.SOI 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 o and my license is. in ful force and effect. License No. 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 pale. (Sec. 7044) ❑ 1; as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑• I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING o e OR ADONS. � ACC. SLOGS. 3.liSso.h. .� NEW CONSTR L 1_OU LET NO..Re.,O BRANCHIRC TS ` 5.00 POWER APPARATUS e A=NGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES 20 764 AI P 4F;4 FIXED APPLNS. Ex. Occup. OUT ETS RESID.)REA.) 1 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 9 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. • I have placed on file with the County of Butte Building Department a Certificate' of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. ' Notice to Applicant: .If after -making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such Provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Coolin g % Hood 6.50 Ventilation f!� Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. 1 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 al d Cou y in consequ ce of the granting of this permit. X Date Contractor Agent ❑ Signature of Applicant : OwneR., An OSHApermit.-iswork required exions overS,0' cep and demolit' or construct• ;on of structures over 3 stoorrie's in i t. - �� p !g Mobile Home Installation Fee_ S Energy Inspection Fee J.3u� $ Q — OCC CONST TYPE TOTAL FEE $ _ MAZ OFEES IMP FLOOO .CDF PANG PO w ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do indicated above for which fees have been paid. — --- DIRECTOR OF PUBLIC WORKS BY Date OGOAAIT 9eceipt No.-�YJ7%/; 2w �« ,r26 Receipt COUNTY OF BUTTE - DE;PARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone:• 916.'538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMEtER (57-/ ZONIN /�j 2 BUILDING PERMIT OWNER /e �; , Q � TELEPHONE 3`� _�D?� S0. FT. OCC. BUILDING VALUATION OWNER'S MAIc•NG AODR S ` CONTRACTOR 5 NAMEtA/ TELEPHONE ,, CONTRACTOR'S MAILING ADDS Fireplace /SO CONSTRUCTION LENDER UNKNOWN Total Valuation I $ LENDER'S MAILING ADDRESS 91 Filing Fee $ 15.00 Permit Fee ; fr ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee$ i Energy Plan Checking Fee 9 %� $ 'Z� ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty Permit fee !' $ $ BUILDING ADORES Q/� PLUMBING PERMIT Filing Fee 15.001 Each Trap 61 5.001 YO Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP i Water piping l1 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF, Duplex,❑- Mobilehame❑ Other ' SPECIFY Gas piping system 1 - 5 outlets 5.00 Building r ung sewe 1. 500 ' Mobile Home S I G I W @ 15.00 TYPE OF WORK New Addition El Remodel❑ Utilities[:] Installation[] Other ❑ Describe work: 1 AX, Permit Fee $ .,- Contractor ELECTRICAL PERMIT Filing Fee 15.00; Main service 20R LESS 0AORLESS 1 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9. Div. 3 of the Business to and Professions o and my license is in ful force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 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 Main service 200A TO 1000AI 37.50 - NEW CONST. DWELLING O r11 aI\ oR ADDNS. ACC. BLDGS. 6J II 3.60sq.ft. NEW.CONSTR. UL I -OUTLET ES, NONR BRANCH CIRC' ) @ 5•� 0 /POWER APPARATUSTS SINGLE OUTLET CIR. Ex. OCCUp� OUTLETS OR FIXTURES 20 754 FIXED NS Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring '15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. rVi I shall not employ any person in any manner so as to become subject P4 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 1!31 1 Cooling 77 Hood 1 6.50 Ventilation r - 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 'd Cou y in consequ Ce of the granting of this permit. X Date Signature of Applicant — Owner Contractor Agent ❑ An OSHA is requiredforxt-height. Ions over '0" deep and demolition or construct- ion of structures permit ionDIRECTOR Mobile Home Installation Fee S Energy Inspection Fee $41 0 — occ CONST TYPE .L TOTAL FEE $ HAz 1 DFEES I IMP I FLOOD I COF PARC PO H ISSUE This permit is hereby issued under the tt sions of the Bue Count Code and/or Y work indicated above for which fees OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. �/ 0 wNITE•D.P.W.. YELLOW-ASBESSon, PINK -INSPECTOR• GOLDENROD -APPLICANT •v -..-,..r syr � '1r1L.-...-�..: Y' tom' •1 ''{�. . COUNTYOF BUTTE -DEPARTMENT OF.DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE,.CALIFORNIA 95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER t4e� 1 /ei J om,, S�n� Proposed Building Used" ��Bcl! Telephone nd hold for pickup at office. Deliver with inspector. ��/! Building Inspector_ .. 7- A. P. No. Z 2 e Date /L 31 5 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DARE RECEIVED BY 1. All items have been submitted......................................... 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3_ Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ........................................... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... Mobilehome data an Amanufacturer's installation instructions, 2 sets. ........... oil - Fees of $ -- 1. Impact fees as shown on attached schedule. .............................. 5 /� 12. California Department of Forestry plan approval/fees......................... 13. Flood elevation letter (100 year flood) by California Engineer. . . 14. Sanitation and plot plan approval i!:W/G f 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. . ��'9. 'Driveway permit (construction approval required prior to occupancy). .. ... .1 <3 � 20. Pre -inspection for Pto"B"'"lBuilding Inspei'°" required. . . ector (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 �. . 4. Recorded copy of Agricultural Acknowledgement Statement./ 5 .................. 715 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 . ............... Existing violations/expired permits . ...................................... n check list. ........................................... T73Tcj 94:, 33. 0"e- N-rc-14+- FG e✓xi T- f 9 ?a - -34. When 6u issue the permit, process as follows: Mail to -o ner:-,�I ail to contractor. Telephone nd hold for pickup at office. Deliver with inspector. Other I I L, Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health D pt. Fire Dept. Air Pollution Date ` Copy of plans sent Health Dept. Fire D pt. Other Date By The following data must be submittedri r to pe�(t iss a ce: ircle new item not checked above). 1. -index permiffor above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by Date f Contractor, designer, owner, was advisedd of above required data by _ phone _ mail _ Counter b _ Date y 9 Plans approved by Plans checked b 1 Date f -7u v� -� _ �� Date •29 Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance owner location fP # z Driveway permit 3O�G has been issued for the above proper.ty'., � 1 W- 1 r si ature date �, TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance 1,e,5�� P 7ohrjso.� '20 7,S �a`i�s /rc� Co iss Owner Location Plan Approved for: Sewage Disposal Water Supply: Public Clearance for bedroom mobile home. Other %G k, pow /L.S/c W,941 Hold final for: D E.H. USE ONLY Plot 1'I:m nitath,zl Fluor Ilan Attached _ sent to B.D. SG -12 - AP# Private Well_ �o ee-,7 c Final clearance O.K. for:' / / /� NOTE: See &-(Jc 2cd C�vc.c�i'`Oxs o7-41gey-�r e- r ZIP Environm tal Health S ecialist Date 8/92 N ,COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS — BDILDING DIVISION 7 COUNTY Cr1TMR DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE (916)5387541 --- e3i ,2 DPCSZD BUMDING USE DATE 12-1-31 7 �- REC. DATE REC %,-�Sherzi.ff School Distric Fees e /�,(paid at District Office) Fees�'�j tit �� ...('r..✓ (paid at. Building Department) Residential .......... '3 c uni t amt . Commercial(per sq . f t .) Z sq.ft. amt. 3. Urban Area Fees (paid at Building Department Residential (per unit) 1 4 units amt. Commerical(per sq. ft.) I. �2g sq. 46t. I amt. _ 4. Re=eatioa District Fees (paid at Dist =ct Office) .......................... S. Drainage District Fees (Contact Land Development) 6. Other 7. Other - 1300,60 time of permit application, I was advised the above fees are required to be paid pric- issuance of the permit. 'LICANT 4' DATE L- j -- j "Retla't►_t� DPW AGRICULTURAL STATEMENT OF AC'KNOWLEDGE`iENT 9 3 - 0 0 3,42 f FOR RESIDENTIAL DEVELOPMEM Section 26-8.1 of the Butte County Code requires this acknowledgement be" recorded _. prior to issuance of a building permit. -'- '- r�I p The property described herein is adjacent 7 3 —000 34 G 1 Rec Fee to land or included within an area zoned I Cash for agricultural purposes, and residents Recorded I of this property may be "subject to incon- Official Records I veniences or discomfort arising from the County of I use of "agricultural chemicals, including, Butte I but not limited to herbicides, pesticides, Candace J. Grubbs I and fertilizers;" and from the pursuit I Recorder I of agricultural operations including, 1:01pm 5 -Jan -93 I PUBL 8. 00 8.00 XX 2 but not limited to cultivation, plowing, spraying, • pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte Countv has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte,_ State of California, described as follows: SEE ATTACHED LEGAL Date: JAN. 4 1993 LESLIE P. JOHNSON PROPERTY OWNE State of CA ) On this the 4TH day of JANUARY 19 93 before me, the SS. undersigned Notary Public, personally appeared County of BUTTE ) LESLIE P. JOHNSON L-Mmuncunuuuwumuumm muuunuli:uuuuuiio Personally known to me. Proved to me on the basis OFFICIAL8EAL of satisfactory evidence. M 9736W D to be the person(s) whose name(s) is 0 W.J. GOLLING 10subscribed to the within instrument an acknowledged that he Q NOTARY PUBLIC OF®uTT! ""� W executed the same for the purposes ein contained. IN WITNESS a My Commisslon Expires 8epL 20,1996 = WHEREOF, I hereunto set my hand af� ficial seal. iuuuuaoouuuuwmuunwmn� Present A.P. No. 056- 120-022-000 N ary Public DESCRIPTION 93-00342 ORDER NO. BU -130851 DP ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE,.DESCRIBED AS FOLLOWS: A PORTION OF THE SOUTHWEST QUARTER OF SECTION 23, TOWNSHIP 24 NORTH, RANGE 2 EAST, M.D.B. & M., AND BUNG MORE PARTICULARLY DESCRIBED AS FOLLOWS: COMMENCING AT THE QUARTER SECTION CORNER BETWEEN SECTIONS 22 AND 23, TOWNSHIP 24 NORTH, RANGE 2 EAST, M.D.B. & M.; THENCE EAST 7.42 CHAINS TO POST; THENCE SOUTH 39 DEG. WEST, 11.56 CHAINS TO A POST ON THE SECTION LINE BETWEEN SECTIONS 22 AND 23; THENCE NORTH ON SAID SECTION LINE 7.70 CHAINS TO THE AFORESAID QUARTER SECTION CORNER, THE PLACE OF COMMENCEMENT. EXCEPTING THEREFROM THAT CERTAIN PARCEL OF LAND CONTAINING 2644 SQUARE FEET, MORE OR LESS, HERETOFORE CONVEYED BY S. E. WILL AND W.E. WILL TO W. T. BLANTO, ET AL, BY DEED DATED JANUARY 3, 1903, AND RECORDED IN BOOK 65 OF DEEDS, PAGE 474, BUTTE COUNTY RECORDS, MORE PARTICULARLY DESCRIBED AS FOLLOWS: COMMENCING AT A POINT ON THE.NORTH LINE OF THE SOUTHWEST QUARTER OF SECTION 23, TOWNSHIP 24 NORTH, RANGE 2 EAST, M.D.B. & M., TWENTY FEET WEST FROM A POST WHICH SETS 7.42 CHAINS EAST FROM QUARTER SECTION CORNER BETWEEN SECTIONS 22 AND 23, TOWNSHIP 24 NORTH, RANGE 2 EAST, M.D.B. & M.; THENCE WEST 93 FEET; THENCE IN A SOUTHEASTERLY DIRECTION 79 FEET AND 8 INCHES TO A POINT WHICH IS 61 FEET 6 INCHES SOUTH 39 DEG. WEST, FROM THE AFORESAID STARTING POINT; THENCE NORTH 39 DEG. WEST TO THE POINT OF COMMENCEMENT. PAGE 5 EN® OF DOCUMENT 'r��as�r�r��,�„r�ceki•,-sarr�,•c�z�r�c"z�„�, :y"'��” ,.4 .�.t7� . �. �^r• "`+i�"^'�'�rx''�•`"'--=•ratR:,. •..�-••,�^-^. �t COUNTY OF RVTTE BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM BuILpINGOE ,1 (One Form Per Building) ,DAN 0 5 1993 School District ! C>o1—' Building Department No. ('- '� c A.P. Number ' �Z '� �"� Jurisdiction 0 City F-]�;I'lCounty Property Owner de,/�*'/� "jc.�✓y Property Location/Addresses Subdivison Lot No. Residential Development Commercial/Industrial ' 0 No. of Living ti MHI Units t New .r • Sq. Footage /31 % Addition (Group R) J =' Sq. Footage Addition (Including Exterior Roofed Areas) le55'2- Building__ artm�Representative Date (Floor Plans reviewed by School District Personnel) District Identification No. (�OX41 J, _School District certifies that / A plicant) (Street Address) (Phone Number) (City) (State) has complied with the requirements of Resolution No. ' 1/- 9 0 representing L,31 -square feet. School District Rep Paid by Check Number Remarks: Bank Number Paid by Cash r Code) by payment of $ A'/ 93 Date I If, subsequent to the School District Representative signing this Butte County Schools Impact Fee �, , Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this,project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) `'' '"'" feeformmkf (4/92) APYS JAN 0 7 1993 Post-ItIm brand fax transmittal memo 7671 1 # of pages ► To r From hh Co. Co. � Dept. Phone # Fax # S-�S/ Fax # 0 OWNERS NAME: ADDRESS: BUILDING SIZE/AREA: r CERTIFICATE OF ROOF COVERING A. P. #: PERMIT #: BUILDING USE: FIRE HAZARD ZONE ALLOWEDuR00FINGtFROM LISTS BELOW ... � . y . ❑ VERY HIGH #1, #2 � 1 q H ❑ HIGH #1, #2, #3 ❑ MODERATE #1, #2, #3, #4 LIST #1 LIST #3 ❑ CLASS 'A' ASSEMBLY ❑ CLASS 'B' ASSEMBLY ❑ CLASS 'A' PREPARED ROOFING ❑ BUILT-UP ROOF PER 3203(e) ❑ CLASS A OR B PREPARED ROOFING LIST #2 ❑ ASBESTOS CEMENT SHINGLES ❑ METAL ROOFING ❑ CONC. OR CLAY TILE ❑ (OTHER FIRE RETARDANT ROOFING) ❑ SLATE SHINGLES LIST #4 ❑ (0'1111?R NON-COMBUSTI.111,1-. ROOFING) ❑ C1,ASS 'C' 23511 ASI111AL-I.' SIH.NGI,I?5 1. HEREBY CERTIFY, I INSTALLED ROOF COVERING AS INDICATED ON THE ABOVE BUILDING, IN CONFORMANCE WITH STATE AND LOCAL REQUIREMENTS. FIRM NAME/OWNER (Please Print) SIGNATURE OF GENERAL CONTRACTOR/OWNER STATE CONTRACTOR'S LICENSE NO. DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL. January 1988 RESIDENTIAL PLAN CHECKING GUIDE 8/91 (S.F., DUPLEX & MISC.-ONLY)- Bldg. Permit #9S- 445 OWNER „ )O(4NSot�1 A. P. # moo- -OZ Plan Checker_ /-1093 GENERAL ning requirements: (sideyards and number-- pe �tedliving units . 2J! Valuation. ena R• iZjF-crrF`Z> 3 Plans signed by designer. groper description of work on application. Mxisting violations on property. ems on data sheet. (W.C., fees, Health, Developer Fees, License law, etc). --R rded notice of violation. PLOT PLAN lmplete parcel size and dimensions. Setbacks, sideyards, easements, etc. 3r Other buildings or structures. /��rading, fills, drainage. �: Flood hazard. Special conditions on creation map, (noise, CDF, fire sprinklers, non-comb- ustible, and foundations). FAU & FAS road setback. Building.or utilities across lot lines (Record form). FLOOR PL T.->,7 L Yo lete to scale plan with dimensions. 7! equired windows for light and ventilation (Sec. 1205)-. Required windows for second exit. Sec. 1204 ( 1204).'._ lights (Chapter 34 &•Sec. 5207). uman impact glass (Sec. 5406). •. /Required room sizes, ceiling heights (Sec. 1207).>: 'GFCIs insbaths, g,arage,.ki•tchen,• and exterior outlets (Article Light f"ofmechanical es, switches, receptacles, and exterior -receptacles to ce equipment. ` `9 ocations of water heater, heating and cooling equipment, other or g s equipment. age firewall, door size, and closer (Sec. 503(d)(3)). 1 1 L" ,exterior exit door (sec.= 3304 {f). • y 1 ire e and wood stove location, alcoves, and clearance. 1< . oke detectors,'(Sec. 121;0)'.• IA-' Plumbing.fixtures, water closet clearances and shower size. 210-8) �. for main - electrical " STRUCTURAL DETAILS. •11�_ Standard bracing or engineered -design (Table., 25V) 2. ual shape, size, or split level house requiring lateral design. 3 erestory "requiring balloon framing-anVOT engineering; 1 4--_--=ree story building requiring engineered calculations and plans Y F ndation plan complete enough to construct building. Por construction details complete enough to construct building. 7 Elevations and wall construction details complete Roof construction details complete enough to -9---Fizeplace construction details and talcs if lQ(P�after ties or bearing ridge beam. 114-'C`arage door or porch'header sizes. ' 11/ Stud heights. 1 . Adobe soils - special foundation design. 1 Retaining walls requiring design. 1 Special Inspection required. enough to construct building construct building. necessary. 8/91 RESIDENTIAL PLAN CHECKING GUIDE MISCEILLANtOU .InTEMS-TO LOOK OUT FOR St irway details: landings, rise and run, head clearance, handrails Sec.' 3306) . Guardrail details (Sec. 1711 & 3306(j). stone veneer (Chapter 30). r'S�vg plaster - weep screeds (Sec. 4706). 51 --Pro r -roof pitch for roof convering (Chapter 32). 6.oof covering type - (fire hazard). -7—Foam insulation.- protection. 8,.**'_ 36" halls and stairways. -9r- Living 'area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. V14o exits on three-story dwellings (sec. 3303 & see Mezannines - 1716).,. Attic access and ventilation (Sec. 3205). 1;: Underfloor access and ventilation (Sec. 2516). M -.—Combustion air for fuel burning appliances - L.P.G. requirements. ise requirements on duplexes. 115�ergy design. 1e Flashing at all exterior openings. 1-7-.-CTF responsible area requirements. W-A - -7 > O i -r-5 MESSAGE pb4 ,, 2 tJia '4 Y, cQ 1t 1-2,J1 3`($ X�d z ova- N.G. Fo 2 Page 6 of 14 Report Na NEE 209 TABLE NO.2 MIT SERIES HANGERS' MODEL HANGER DIMENSIONS INCHES FASTENERS SCHEDULE ALLOWABLE LOADS (POUNDS) @460psi &625 sl WIDTH HEIGHT TOP FLANGE FACE JOIST UPLIFT NORMAL MAXIMUM MIT 2 5/16 to 39/16 9 1/2 to 20 4-N10 4-1410 6-N10 750 2360 2360 4-N10 2-N10 2-N10 285 2000 2000 4-N16 2-N16 2-N10 1 2856 2195 2195 4-16d 2-16d 2-N10 1 285 2550 25508 1 The N10 nails are No. 9 gauge, 11/2 inches long. The N16 are No. 8 gauge x 21/2 inches long and the 16d are common nails. 2 Hanger bearing and nail values are based on Douglas fir -larch. 3 The allowable tabulated loads are based on the lower value of: a. seat bearing at 460 pounds per square inch of the dry dimension, b. nail values in accordance with the adopted code, c. ultimate test load divided by 3, or d. test load producing 1i6 -inch joist deflection. Loads are to be reduced where member'shear capacity results in lower values. 'Uplift" loads include a 331h percent short-term allowance, and no further increase is allowed. Stiffeners must be attached to the ends of the joists in order to provide a nailing surface for four N10 nails. s "Uplift" loads are permitted to be increased to 565 pounds, if 6-N10 joist nails are used. Also see footnote 4. e "Uplift" loads are permitted to be increased to 550 pounds if 6-N10 joist nails are used. Also see footnote 4. 7 The supporting header, ledger or nailer shall be of sufficient thickness to meet the required nail penetration. e At 460 psi, the load at 100%, 115% and 125% is 2285, 2325 and 2350 respectively. FIGURE NO. 2—MIT SERIES HANGERS CLAIMANT: Al Newell .ADDRESS: 1834 Mang OROVILLE, CALIFORNIA GENERAL CLAIM ve Ave. CITY & STATE: Chicoi CA 95926 IMPORTANT: June $ 1984 SEE INSTRUCTIONS DATE OF CLAIM: , ON REVERSE SIDE SUBMIT CLAIM! TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRI-BE FULLY TO AVOID DELAY) AMOUNT Owner has decided not to do work. (Bldg Permit Appin. #1.766-84P,E, Receipt #18721, dated 6/7/84, AP #56-12-02). Plumbing permit fees paid----------- =---------- $40.00 Retain filing fee------------------------------ $10.00 Refund due ------------------- ----------------------------$30.00 Electrical permit fees paid --------------------- $37.50 _ Retain filing fee---------------------- ----- Refund due ----------------------------------------------- $27.50 Refund planchecking fee --------------------------------- .15.00 TOTAL REFUND DUE ------------------------------------------ $72.50 $72.50 TOTAL $72 50 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. // .......... ............................• ..... ............./.� Dated this �tK................... day of ....T .. !./`? 19e��at CN fej Calif. !vG t+ ✓� / L-G��...... Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified ab ov dve been performed or de:- e-livered and that there is a Budget Appropriation D or Specific Board Approval ❑ (Check one) fp-rt�e st livered 25tt1 Julpp 84 Oroville Datedthis .................................... day of ...............L............ 19....... at .............................. . Cell[. �/. / ?.;ci....._,...»....:. .`. ....................... 1............. Department Head or Authorized Deputy Dept. Exp \ . Code...... Code ................................................PAYABLE FROM..................................................................... FOND DO NOT WRITE BELOW THIS LINE _ AUDITOR'S USE ONLY DEPT. & SUB. PROD. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. i COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS _ 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT N0. ASSESSOR 5 PARCEL NUMBER 662- ZONI G _ BUILDING PERMIT OWNER d LEPHONE o) SQ. FT. O CC. BUILDING VALUATION OWNEF3..'S MING A RE,IN MW6 WC ej/(J/w F, CONTRA TOR'S NA E TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ,06 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ _BUILDING ADDRESS tAt ^. � PLUMBING PERMIT Filing Fee 10.00 /� )u J lrZ, �w^v( Each Trap 2.00 Solar Water Heater 20.00 - Water piping 5.00 LOT NO. SUBDIVISION NIP&ME J PAR EL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome e Other SPECIFY Building sewer I OC 5.00 Mobile Home 1 110.00 a Q, TYPE OF WORK New f_1 Addition❑ Remodel❑ Utilities Installation[] Other❑ Describe work: Permit Fee $ 40.60 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service BOOV OR LESS 100 AMP OR LESS 00 10.Or 00 Main service EA. ADD'L 100 AMP 2.50 a., 5�0 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. 21/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Busines$ 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 NON -RESIT PL BRANCH CIRCTITS. 2.50 ea NEw CONSTR POWER APPARATUS &.) NON-RESID. (SINGLE OUTLET CIR. / Ex. OCCUp(OUTLETS OR FIXTURES 9A ®30 FIXED APPLNS, OR Ex. OCCUp- OUTLETS (RESID,) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ '37, 50 Contractor MECHANICAL PERMIT FiIirig Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 1 shall not employ any person in any manner so as to become subject Y� 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. 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 sai County in consequence of the granting of this permit. X � � Date �' �-- e `% Signature of Applicant — Owner K Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 2, To OCCUP. GROUP I TYPE OF CONST. PARCEL PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. 19 17 2 I WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 9 ' y PERMIT NO. 969-$4P,E`(NH) i PERMIT EXPIRES OWNER ALBERT S NEWELL ,e CONTR. Owner # ASSESSOR PARCEL 5612-02 LOCATION W/S Cohasset Rd, across from Sawmill Cohasset 4 OFFICE COPY Address 1 GAS ' S Meter By !,=_ Date I ELECTRIC /Q 4 Meter By Date i' t OFFICE COPY r Address�f�� G AS Meter By Sie, Date ELECTRIC {{ Meter By a Temp. Power. Pole t Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E - i t JOB FINALED (Date) Signature • f f d+ J = OK 0 = Not OK = Not Applicable MOBILEHOMES MISCELLANEOUS * = Not Ready Date MOB EHOME UTILITIES (Plans) OK except N's Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's Zoning Requirements—Sett) ks—,EasVents 1. Zoning Requirements—Setbacks—Easements . Soils; Special MH Sup ort Sk 2. Footings; Size—Depth—Spacing—Connectors 3. Sewer; Loc ion—T t—Fj4- oncre _ 3. Decks; Girders and/or Joists`—Decking—Bracing—Stairs—Rails . Water; Lo io _Tvt saseFFABch 4. Wood Awn.; Posts— Beams—Rftrs.—Con nec.—Shthg.—Rfg.—BracingVY Electricity Loc ion—Clearances r' — / Amp Co rete _ 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures V. Gas; LodVio e W L"ft. /"Nat. or/ /"L"ft. "LPG -- 6. Carports; Windows—Doors Utility Clearance (o �Q; 7. Elec. �— _ Card-BIDate Card -BI Date Card -BI Date Card -BI Date Card -BI Date (z Card -BI Date Card -BI _ Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements Date _ POOLS (Plans) OK except N's 1. Setbacks—Easements 2. 800tings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability Gas; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Electricity; MH Test—Crossovers—Breakers—Clearances 4, Elec.; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/0 to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater t� 8. Gas and Electricity Tagged B. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit I—t 9. Exits; Insp.—Sketch W-1 0. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date V = OK 0 = Not OK = Not Applicable l Si RESIDENTI L' n e and Duplex) =-Nor Ready � ( �' Date UNDERFLOOR Plans OK exce tk's Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Fig., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers _-5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel -B lockouts -Wrapped -S lab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 9. Gas Pipe; Size -Anchors 55. Shear Walls; Nailing -Bolts 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. Card -BI 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Date Card -BI Date Card -BI Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except q's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's- 14. Water Ht.; Vent -Access -Combustion Air 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. 63. Stairs & Rails Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI _ _ Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection -- 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled _ 23. Romex Installed Close to Edge of Studs & C.J. 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. - 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 72. Insulation -Foam -Looked in Attic E] Yes -- 25. 2 Appliance Circuits in Kitchen & Conductor Size 73. Guard Rails &Deck Construction -Post Caps - -- - _26. 27. 28. 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At Range Circ. / / ga. Gu or AI -Oven Circ. / / ga. Cu or At, Insulated Netitral � Yes Ir -1 -+----- Service -Riser Conductors & Ground -Main Disconnect Equip. Clearances; Panels-Motors-Mech. Equip. 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor El Yes 75. Following instld.: Drive Yes No; Walks ❑ g ❑ ❑ ❑ Yes No; Planters ❑Yes ❑No 76. Stucco; Brown -Finish 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light _--- 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. - - - Card B -I Card B -I Date - Card -BI Card -BI -- -- ---------- ----- ---- --------- _Date_____ _ Card -BI - Date - - Date Card -BI Date MECHANICAL (Permit) OK except N's 31. A.C-.-Ducts: Insulation & Support -- 32.Vent-Fan; Exhaust above Insulation__ 33. _Condensate Drain _& Overt low; Size & Grade _ 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Date Card -BI Date_ Date Card -BI Date 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. 82. 83. Ventilation throughout House Glass Protection _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/0 to Grade -HD Approval 86, Energy Compliance Certificate -Other Certificates - Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except 4's Comments at Final: _ 36. 37. 38. 39. 40. 41. 42. 43. 44. - - 45. 46. 47. Sills; Proper Material & Anchors Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor-Nailing- loorNailing39. Draft Stop in Walls (rat proof) _ Fire Stops; Furred Ceilings -Stairs -Chases -Tub Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rfir. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat - X. . _ - -- _-R____ - ----- - ---- Attic Access: Size &Romex Protection -Draft Stop -Ins. Baffles _ Bdrm. Windows or Exiting Doors -Sill _Hg_t. & D_imens_i_o_n_s __ Garage Fire Protection Framing _ _ - - (NOTE: An entry must be made each time you visit jobsite) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-27.51 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE //rWz-G L % Ile, f" 9 OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this Viter, or need additional explanation, please contact this office immediately. Date C/ COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE 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, o.v-6eed additional explanation, please contact this office immediately. Inspector_'�r� � Date �� COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE f, OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work Is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. a Inspector__ _ Date "j" a o a Inspector__ _ Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise -- Phone: 872-2961, Ext. 57 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. / h Inspector _ Date 1 \1D 56-12 PART of SEC 22 S 23 % 2 4 N_ R.2E f c:- / goo' ' � I• V �(D °JB•AG 1 AC 44 1904 O 65 .tc O w 1 \ iAC 660 - - \\ 23 1a 3 94 1 sAc s.c © 3.53AC 3 4 2 2 Ac - 1p STRP- _ 1r 1320. - \-16 (� - •c O 7A t89 3.99 a s • CAW 36 67. 0'.229.67 9Ac DAc��\ �651 O (5). !� � 273 — - ' 1320 -aoss 4 O7�• . �� a 6 _ • 2 3 ` 131 /J v fwO.o� ! .c p 5 w i 343 4 -3 474C j' .1 J..i "1It ,I 11A2Ac a 10.03A[ / 1 1 O- /�.0 2710 ' -----—.�'---tt----- :e. 6' ' \ — 49e:e2. — - MENDOCINO WA i,� :BfeLP 703.04 301.7. 1 1 '4 Assessor's Map No.56-/2 1. County of Butte, Calif. NOTE ASSESSOR S PARCEL BLOCK a LOT NumBERS SHOWN ✓gNUARY 1957 IN CIRCLES 1, COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT „I, ASSESSOR PARCEL NUMBER ZONING '56v /,Z_ D BUILDING PERMIT /Ftj OWNEREPHONE 7` s - o SQ. FT. OCC. BUILDING VALUA ION OWN R'S MAILING ADDRESS CON{T�jRAC jTOf R'S NAME t/ w TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ a-49.99 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 15,eo Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ /6;0 BUILD NG ADDRESS e ad 4 g PLUMBING PERMIT9 Filin Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 s'S Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehom� Other SPECIFY Building sewer 5.00 Mobile Home S, G(W,y 10.00ea O/ 927 TYPE OF WORK New F-1 Addition❑ Remodel[:] Utilities Installation❑ Other [:J Describe work: Permit Fee $ 1 &0 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e0ov OR LESS 100 AMP OR LESS 10.00 Q/�0� Main service EA. ADD'L 100 AMP 2.50 2/�D NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 21/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ i am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULTI.OUTLET 2.50 ea NON-RESID BRANCH CIRC ITS NEW CONSTR. POWER APPARATUS &') NON-RESID. I SINGLE OUTLET CIR, RES BAL®30Q Ex. Occu SALO 30 p( TAPPLNSX FIXED OR Ex. OCCUp. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. h7)' I shall not employ any person in any manner so as to become subject y�l 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. 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. 1 also agree to save, indemnify and keep harmless the County of Butte against liabilities, judgments, costs, and expenses which may in any way accrue against saix6county in consequence of the granting of this permit. //// X Date 1 - -7— Signature of Applicant — Owner Conrrocror ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3``stoories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP, GROUP I TYPE OF CONST. PAR L PD ND 7all This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO OF PUBLIC BY P 17' EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date — 6 4� Receipt No. / 6 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT �E RQ etuM to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT "'4�i��f t►4�Ftf:(:_ .=� FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgem�g be recorded prior to issuance of a building permit. ff The property described herein is adjacent to land or included QA ,. 1'F.f'ti1?'.'i i within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the, County of Butte, State of California, described as follows: SEE AI�\C PEJI_�) Date: PROPERTY OWNERS: State of ` D .0 ) On this the �_ day of 19 before SS. me, the undersigned Notary Public, personally appeared County of Personally known to me. / Proved to me on the basis of satisfactory evidence. to be the person(s) whose namt(s) /IS subscribed to the within instrument and acknowledged that _ ^- �r executed the same for the purposes therein contained. 5°�`°`'� �'� (r �i �� '`� IN WITNESS WHEREOF, I hereunto set my hand and official seal. ,r KAFFIT: '11 M COLRER'f NOTARY PU'31LIC - CALIF0Rr,.1A UT 'f My comm. expires Al .3. Notary Public Present A. P. No. a '"gin Order No.. 2-128838* t~ 1. + SCHEDULE C fte land referred to herein is described as follows: All that certain real property situate in the County of Butte, State of California, described as follows: A portion of the Suthwest quarter of Section 23,' Township 24 North,* Range 2 East, M. D. B. & M., and being more particularly described as follows: COMMENCING at the quarter section corner between Sections 22 and 23, Township 24 North, Range 2 East, M. D. B. & M., thence East 7.42 chains to post; thence South 390 West, 11.56 Chains to a post on the Section line between Sections 22 and 23; thence North on said Section line 7.70 chains to the aforesaid quarter section corner, the place of commencement. EXCEPTING THEREFROM that certain parcel of land containing 2644 square feet, more or less, heretofore conveyed by S. E. Will and W. E. Will to W. T. Blanto, et al, by Deed dated January 31 1903 and of record in Book 65 of Deeds, page 474, records of Butte County, California, more particularly described as follows: COMMENCING at a point on the North line -of the. Southwest quarter Section 238 Township 24 North, Range 2 East, M. D._ H.t '&,M., twentyfeet ' West from a post which sets 7.42 chains East from quarter section•:&iher::i• between Sections 22 and 23, -Township 24 North, Range •2 East; M: D. 8'. M., thence West 93 feet, thence. -in aSoutheasterly direction .79r feet, andf'* 8 inches to a point which is 61 feet 6 inches South 39 ° West;' from'j the aforesaid starting point, thence North 390 West to the point of.�j=--0_;�' commencement. �� "7 2 :F� U -� Lir ' v Y2�lLV' A setback of 5 ft. from the s`r A permit will b . re uired for the PF@Porty lines and a setback 16� ; installation ,oJ t mobilehome. gf . t, from the road �Onterline shall be clear of structures or equipment except <; Uti i,y nnections shall be within eave overhang. 4 rt. `t the mobilehome, either z . dir ctly behind or within the rear alf of the roadside (left) of the mobilehome. VI :+e. 7 M�;terials & W;orkmanship Shall .'Be its '. CO r ccordar` o th Recognized Good Practices ' and k p�J.a�IhIC DEPAIFTMEN u of a; ,ualj+� prescribed for the Specified use in the Uni rm 'wilding, Plumbing & Machanical Codes and . r tionaI FrElectrical Code. *%rPROV r /2_ O- 062 _ U t This set of plans :and specifications MUST be S c 2 2 2 kept on the job: at pll,times and it is unlawful.to male any changes or alterations on same without {. writfen •permission from the Department of Public Works, County of Butte. / As f 5 ft. from I'Mv �,r Y 2 I l e i, ;. A�®� @rty lines and a setback , Utility conn do shall be with16 S 0f ,from the road ft, of th . %bilehome, either centerline shall be clear of i bFhind or within the rear t direct � of th® ui ment except he!; of no roadside (left) structures or eq P 'for a 2 ft. eave overhang. co) ilehome. s 3: i Y }` Workmanship Shall Be in PractiMe with Recogns and ised Good if ed use in the r. 011ty prescribed for the Spee. .... o: Plumbing & Machanical Codes and ,., F!�@ hlatieOnal Electrical Code. 6 S,6 12- o- 002 - o This set of plans and specifications MI)ST S e c 2 2 2 to kept An the job at all times and it is unlawfa� out make any changes or alterations on same w► written permission from tthe Department of PUMM Works, County of Bu LLJ > cE o v 2., i i - I C:k, I N 1 ADDITIONS TO RESIDENTIAL BUILDINCZ ENERGY SHEET PACKAGE COMPLIANCE Owner Climate Zone Permit C W-46 Floor Area 4� The following data showing mandatory and required features shall be installed for additions to dwellings. Additions to dwellings include room additions, converting garages and patios to living areas, house moves that add footage and attic conversions, and any space that is existing non -conditioned space that is converted to conditioned space. Remodeling of existing conditioned space is not included. Climate Zones 11 and 16* Component <=100 sqft 101-499 500-999 >=1000 sqft Ceiling R-19 R-38 R-38 R-38 Ins. Wall Ins.' R-13 R-13 R-13 R-19, 21 Floor Ins. R-13 R-19 R-19 R-19 Slab Edge I NR NR, R-7 NR, R-7 NR, R-7 Ins. Glass (U) .75 ,75 .65, .60 .65, .60 Max. Glass 50 sq.ft. 16$ + 16% + 16% Removed Removed Shading NR .66 .66 .66 Coeff(SSN) Shading NR •.40, .66 _ :40, .66 .40, .66 Coeff(WSE) Thermal NR 5% Raised 5% Raised 5% Raised Hass 20% Slab 20% Slab 20% Slab Heat, Elect Not Allowed Not Allowed Not Allowed Not Allowed Resistance Heat, Gas I AFUE 78% AFUE 78$ AFUE 78% AFUE 78% Heat Pump HSPF 6.8 HSPF 6.8 HSPF 6.8 HSPF 6.8 Split Sys. Heat Pump HSPF 6.6 HSPF 6.6 HSPF 6.6 HSPF 6.6 Package Cooling -� SEER 10.0 SEER 10.0 SEER 10.0 SEER 10.0 Split Sys. Cooling SEER 9.7 SEER 9.7 SEER 9.7 SEER 9.7 Package Increased s Allowed w/ Allowed w/ Allowed w/ Allowed w/ of Wtr Htrs calculation calculation calculation calculation = One entry/column = req both =ones. 2nd entry = req zone 16. LOOSE FILL INSULATION (Density) INFILTRATION CONTROL (Weatherstrip doors, certified windows, caulking) VAPOR BARRIER (Zone 16) DUCTS PER UNIFORM MECHANICAL CODE - Ch. 10 LICHTING KITCHEN b BATE. NOT LESS THAN 4Q LUMENS/WATT DES/Gtr C3XPLIANC= STATEMENT: The above buildinc dezion meets the Cu_r fleryn� ._-ie 2;. Pa'-- _ an -_ c __ -ne _�._.o:r.iz :ooe o: �T Yhis set of plans' and specifications MUST be kept bn the lob at all times and it is unlawful to make any changes or alterations on same with, out written permission from the Department of %bl'ic Works, County of Butte. A,WO ar0wa8 and ventilati= Per= a&j 1 �'rovide 1 bedroom window with minimi open dimensions of 24� iigh,#20Minimu0 fide, 17 sq• ft. area, and 44 =d vesztilatiom per cL ago.M NOTE:—All Materials do Workmanship Shall Be in Accordance with Recognized Good Prcctices and of a quality prescribed for the Specified use in the Uniform Building, Plumbing'& Mechcnical Codes and -the National Electrical Code. Xax- PUS ..2__Min. Run ms►x tbler$aae betweeh _largest � , A� ELECTRICAL., MECkANICAL, AND PLUS CONSTRUCTION ( NOT PLAN CHECKED. -), -SHALL.COMPLY VV TH CURRENT ED4T104 OF NEC, UIV.0 AND UPC. f� A,9,11 Ai provide 1 bedroom window h th MI u open dimensions of 24 h 9 ' ft. area. and " minim 5.7 sq. height" _ -6 / rSa � 4'Ot1WY �lfILblNi� nIPARtMEPI? 4�pp/��Flo VED N I Certificate of Compliance: Residential Climate Zone 11 9974% enaAgisa= 2fl . Project Address A-9 GOMpLI%WGE 1r'0ot I %T FL Author 92- 4�t sg Building Permit # ;z 1!- 1-40 '9 3 Checked By / Date J Enforcement Altency Use only BUILDING DATA North Glass Area Z0, % Glass /,S Conditioned Floor Area M17 Number of Stories East /23.5 9, 4- slab/Raised Floor R & 1a Number of Units South 71 [jQ Single Family Detached (SFD) [ ] Addition Alone West S 51 102- 2Single SingleFamily Attached (SFA) [ ] Existing Building Skylight Total a 291, O ?�• [ ] Multi -Family (MF) [ ] Existing -Plus -Addition BUII.DING SHELL INSULATION Component Insulation _ L.ocatiioWComments T R -Value (attic, to garage. goal, etC0 P0184 'T"OTAL. Wall .............. Wall ............. Roof............. Roof ............. Floor.............A Floor ............. Slab Edge ..... GLAZING Shading Devices Glazing Area Glass Type Interior Exterior Overhang Framing Type Orientation (sf) (single. double) (roller blind. eta.) (shade=em etc.) bmyno) (metal/Wood) North () 2 0 b3L. M T L r North ( ) East ( ) East ( ) — South ( ) South ( ) West West ( ) Skylight....... a> .�. THERMAL MASS Type/Covering Arra Thickness (slab/exposed, tile. etc.) (Sf) (inches) 'Location/Description (kitchen, bath. etc.) 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) ry R N, r -7S td, F', .,1,•e c'=N11 A•G• IZ.o H• S'r� htPARI . Maximum Furnace Heating Output: 1532 M Btuh p n O`, HOT WATER SYSTEMS Tank Manufacturer/Model # �P ` j� `r Im System Type_ (storage gas, etc.) Capacity (or approved equal) Special Feature(s) ,a. SOMA SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) Mandatory Measures Checklist: Residential MF -1R NOTE: Lowrise residential buildings subject oft Standards must contain Uwe measures regardless of ft compliance approach used. Items marked with an asterisk (•) may be suposeded by mac strinIm compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated kilo the permit documents. the feat' I noted shall be considered by all panics as binding minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. DESCRIPTION I DESIGNER I ENFORCEMENT I 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 avenge (does not apply to exterior mass walls). 12-3352(k): Slab edge insulation - water absorption rale no greater than 03%. water vapor transmission rate no greater than 2.0 perm/Mch. §2-5311: Insulation specified or installed mats California Energy Commission (CEC) quality standards. Indicate type and form. §2-5352((): Vapor barriers mandatory in Climate Zones 14 and 16 only. §2.5317: Infiluation/Esfrltration Controls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Doors and windows certified. c. Doors and windows wrstherstripped. all joints and penetrations caulked and seated. 12-5352(c): Special special infiltration barrier installed to comply with 12.5351 mom CEC quality 12.5352(d): Installation of Fireplaces 1. Masonry and factory -built fireplaces have: a. Tight fitting, closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and control 2. No continuous burning ger pilots at)owed. HVAC and Plumbing System Measures 92-5352(8) and 2-5303: Space conditioning equipment siting: attach ealadations. 62-5352(h) and 2-5315: Setback thermostat on all applicable heating systems. • 12-5316(x): Ducts constructed. installed and insulated per Chapter 10. 1976 UMC. §2-5316(b): Exhaust systems have damper controls. §2.5314(e): Gat -furs space heating equipment has intermittent ignition devices. §2-5314: HVAC equipment. water heaters. showerheads and faucets certified by the CEC. i2.5352(i): Water heater insulation blanket (R-12 or greater) or combined interior/exterior insulation (R-16 or greater): fust 5 feet of pipes closest to Lank insulated (R-3 or greater). §2.5312(Excepdon 1): Pipe insulation on steam and steam condensate return & recirculating piping. §2-5318(d): Swimming Pool Heating 1. System has: a. On/off switch on heater. b. Weatherproof instruction plate on heater. c. Plumbed to allow for solar. 2. 75 percent thermal efficiency. 3. Pool cover. 4. Time clock. 5. Directional water Inlet. Lighting and Appliance Measures §2-5352(1): Lighting - 25 lumcns/wait or greater for general lighting in kitchens and bathrooms. §2-5314(c): Gas fired appliances equipped with intermittent ignition devices. §2-5314(x): Refrigerators. refrigerator -freezers, freezes and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. COMPLIANCE STATEMENT Tlhis cettificate of compliance lists the building feamm and performance specifications needed to comply with Title 24. Chapter 2-53 and Title 20. (3 apter2. Subchaptelr4. 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 purdiaser of the building. Designer Name; TatleJFi nu Addn=: Telephone: t.ic. #: (signature) (date) Documentation Author Name: Title/Firm: Address: Building 0 Enforcement Agency Name: Atenry: Telcphonc- :fling Insulation wan Insulation -4 Number of skxies Insulation in Floor vahte One Two Three U -103 -49 .32 FA 9 . -8 -4 -2 F,-30 .2 -1 .1 Rao 0 0 0 U-wfise 2 1 R-19 021 -176 -84 -54 C.30 -102 -49 32 0.10 .26 -13 -8 �.� -18 -9 -6 ;.06 -11 -5 -4 0,04 -4 .2 -1 0.02 4 2 1 0.00 11 5 3 wan Insulation -4 -3 .1 Insulation in Floor Single- Single- One Number of stories Famity 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 One 0.60 -144 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 Raised Floor Insulation -4 -3 .1 Insulation in Floor .1 R -value One Number of stories Three 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 3 R -value One 0.60 -144 -70 -46 0.50 -120 -58 38 0.40 -95 -46 30 0.30 -69 -34 -22 0.20 -43 -21 -14 0.10 -17 -8 .5 0.08 -11 -6 -4 0.06 -6 -3 -2 0.04 -1 0 0 0.02 4 2 1 0.00 10 5 3 Controlled Ventilation Crawlspace -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 -2 R-19 -1 -2 .2 5lab,Edge Insulation -90 37 -26 Number of Stories 3 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 S. Infiltration (Air Leakage) Spe6fiation Points Standard 0 6. Glass Heat Loss Total Sirlple- Family Slab Floor Raised Effective Pereeat Glass U -value East Percent West Skylight .51 to .41 to .31 to 0.30 or Glass Single Double .60 .50 .40 less 50 -121 -53 -39 -24 -10 4 40 -90 37 -26 -14 3 8 35 -75 -29 -19 -9 1 10 30 -61 -21 -13 -4 4 12 29 -58 -20 -12 -3 5 12 28 -55 -18 -10 .2 5 13 27 -52 -17 -9 .2 6 13 26 -49 -15 8 .1 7 14 25 -46 -14 -7 0 7 14 24 -43 -12 -5 1 8 14 23 -40 --=11,__ -4 2 8 15 22 37 "� -3 3 9 15 21 34 -7 -2 4 10 15 20 31 -6 0 5 10 16 19 -29 -4 1 6 11 16 18 -26 3 2 7 12 16 17 -23 -1 3 8 12 17 16 -20 0 4 9 13 17 15 -17 1 6 10 14 17 14 -14 3 7 10 14 18 13 -12 4 8 11 15 18 12 -9 6 9 12 15 19 11 3 7 10 13 16 19 10 3 9 11 14 17 19 9 -1 10 13 15 17 20 8 2 12 14 16 18 20 7. Shading (Shade Open) Effective Percent Glass (Paemt this x SC) Effective Sirlple- Family Slab Floor Raised Effective Pereeat Glass %Glass North East South West Skylight 18 5 1 4 1 nor 16 4 2 5 1 nor 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 f3 4 2 2 6 1 3 4 2 3 5 1 2 -'4- 2 3 -5 2 -23 -21 -56 3 0 -4 2 -T' 3 2 0 0 1 0 3 t 1 - -1 -1 .1 .1 -2- 0 -1 .2 -4 -2 0 na = not allowed --8 -7 .23 3 I!. Shading (Shade Closed) Sirlple- Family Slab Floor Raised Effective Pereeat Glass % Total Gins [ 161 Mass One (pereant daft x SCS Detached Attached Stories 0.00 0.20 ICFA One Two Glass NoM East South West ftlight 18 -14 _48 -69 -64 na 16 -12 -42 -59 -55 na 14 -10 -35 -50 -46 na 12 -8 .29 -40 -37 na 11 -7 -26 -36 -33 na 10 -6 -23 -31 -29 -74 9 -5 -20 -27 -25 -65 8 -5 -17 -23 -21 -56 7 -4 -14 -19 -18 -47 6 -3 -11 -15 -14 -38 5 .2 -9 -11 -10 -30 4 -1 -6 --8 -7 .23 3 0 -4 -5 -4 - . .1. -16 2 1 1 -2 2: -9 1 1 1 1 1 -4 7- 0 /2 0 3 4 3 0 na . not allowed 3 7 8 10 9. Interior Thermal Mass Interior Sirlple- Family Slab Floor Raised Floor % Total Gins [ 161 Mass One Slaries Detached Attached Stories 0.00 0.20 ICFA One Two Three One Tw Three 0.0 -8 -5 -4 5 7 1.20 1.40 -1 0.1 -8 -5 3 1 1 0 0 0.3 -7 -4 -2 0 1 1 0.5 -6 -3 -1 1 1 2 0.7 -5 .2 -1 1 2 2 0.9 -5 .1 0 2 3 3 1.1 -4 -1 1 3 4 4 1.3 -3 0 2 3 4 5 1.5 -3 1 2 4 5 5 2.0, -1 2 4 5 6 7 2.5 0 3 5' 7 1 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 Idaw Exterior Wad Sirlple- Family S-Mle- Family Multi U -value [0.65] % Total Gins [ 161 LER One Mau Detached Attached Family 0.00 0.20 0 3 0 2 0 1 0.40 0.60 5 8 4 6 3 4 0.80 1.00 10 13 8 10 5 7 1.20 1.40 13 12 12 13 8 9 1.60 1.80 10 10 13 12 11 12 2.00 10 11 13 11. Heating System SE or HSPF (assumes ducts In attic) Zonal Control Adjustment System Type Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 12. Cooling Syst jm TYPE 1 MASS P,,_7,, Sum of 1-6 U -value [0.65] % Total Gins [ 161 LER One -25 or -24 to -1410 •4 to +6 to 16 or SE HSPF less -15 -5 +5 +15 more 0.72 6.60 0 0 0 0 0 0 0.75 6.88 3 3 3 2 2 1 0.80 7.33 8 7 6 5 4 3 0.85 7.79 13 11 10 8 7 5 0.90 8.25 17 15 13 11 9 7 0.95 8.71 20 18 15 13 11 8 1 10.5 Effective SE or HSPF 6 5 4 (SE or HSPF x duct efficiency) 11.0 10 Effective -25 or -24 to -14 In -4 to +610 16 or SE HSPF less -15 9 +5 +15 more 0.30 275 -73 34 9 -47 -38 -30 na 3.41 -45 -39 0 -29 -24 -18 0.40 3.67 -34 -30 J134 -22 -18 -14 0.50 4.58 -10 -9 -4b -7 -5 -4 0.56 5.13 0 0 more 0 0 0 0.60 5.50 5 53 -12 -11 -9 3 2 0.70 6.42 17 15 13 1 11 9 7 0.80 7.33 25 22 19 1 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 jm TYPE 1 MASS P,,_7,, Type [double] U -value [0.65] % Total Gins [ 161 LER One -5 -4 -4 -3 (assumeI ducts In attic) Two + 3 3 Stm of 7-10 2 2 1 Single -Family >; y -25 or -24 io 14 to -4 b 46 to 16 or SEER less -15 .b wS +15 more 8.0 -14 -12 ,, .10 -8 .6 -4 8.5 -9 .7 .6 -5 -4 3 8.9 -5 -4 .4 -3 -2 -2 9.0 -4 -3 -3 -2 -2 -1 95 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 90% Solar -1 -1 -1 0 0 0.6 Efflve SEER -18 -12 -9 (SEER xltuct efnetency) -6 It WSB S�aof7--10 -16 -12 -10 Effective -25 or ,24 to -14 o -4b 46fa 16 or SEER less 45 .6 45 +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 9.0 16 14_ 12 9 7 5 10.0 22 -�1 16 13 10 7 11.0 25 19 15 12 8 12.0 30 m ->2 18 14 9 13.0 33 . 29 ! 24 M 15 10 b Zonal Control Adjustment Type Type 10 8 7 6 4 3 SG No Cooling System Installed i Stories TYPE 1 MASS P,,_7,, Type [double] U -value [0.65] % Total Gins [ 161 Glass One -5 -4 -4 -3 .2 -2 Two + 3 3 .• 2 2 2 1 Single -Family >; y eta ched and Attached e. Skylight i Unit Size (so X Water ;i99 120^ 1700 2200 2700 Heater credit or 10 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 20% POU 8 5 4 3 3 SE None -37 -24 -18 15 -12 90% Solar -1 -1 -1 0 0 0.6 HWR -18 -12 -9 -7 -6 It WSB -25 -16 -12 -10 -8 3.6 POU. -18 _-12 -9 -7 -6 IG None -5 .3 -2 -2 -2 1 Solar 7 5 4 3 2 15 POU 3. _ 1 1 1 IE None -28 -192_ -14 -11 -9 5.4 Solar 8 5 4 3 3 1.4 POU -10 -6 -5 -4 -3 19 Multi-Faml4 (individual units) SS S7 3.9 4.1 I Unit Size (sq 4.5 Water 5 699 700 1200 1700 2200 Heater Credit or b to b 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 16 WSB 9 4 3 2 2 4 POU 9 5 3 2 2 SE None -45 -23 -15 -11 -9 1.5 Solar 2 1 1 0 0 3 HWR -23 -12 -8 -6 -5 4.4 WSB .25 -13 -8 -6 -5 S.9 PQU -23 ..;12 .-8 -6 -5 IG None -8 -4 _ 3 .2 -2 32 Solar 6 3 2 1 1 4.7 POU 1 _ 0 0 0 0 IE None -30 -15 -10 -8 -6 11 Solar 18 9 6 4 4 3.5 POU -8 -4 -3 -2 -2 Point System Summary: Climate Zone 11 SCORE -CARD 1. Ceiling Insulation 2. Wall Insulation 3. Raised Floor Insulation 4. Slab Edge Insulation S. Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) a. North b. East c. South d. West e. Skylight 8. Shading (Shade Closed) Measures 3 1� or R -value [38j U -value [0.030] I -2,�, or R -value j [ I,1 ] U -value [0.098] Or Kh V-_Iue [ 19] U -value 10.0371 or R -value [0] F2 factor [0.77] p�k L, TYPE 1 MASS P,,_7,, Type [double] U -value [0.65] % Total Gins [ 161 Glass SC Eff. % Glass _ y b. East Interior Mass/CFA c. X _ r X 1 14,-7 d. rrJ t TRK I �t x e. Skylight X Il•1°t�'t•21 tc.e..t.d .l.bl t TYPE 1 PASS WI11C b 4.2. ies exposed slab) 0% S% 10% 15% 20% 25% 30% 35% 40% 45% 50% 55% 60% Oft 70% 75% 60% 6S% 90% 95% 100% 105% 110% 115Y. 120% 125• 0% 0 0.2 0.4 0.6 0.6 1.1 1.3 1.5 1.7 1.9 It 13 2.5 2.7 19 32 3.4 3.6 3.6 4 42 4.4 4.6 42 5 53 10% 0.2 0.4 0.6 0.6 1 1.2 1.4 1.6 1.9 11 23 15 2.7 2.9 ori 3.3 3.S 3.7 4 42 4.4 4.6 4.6 5 5.2 5.4 20% 0.3 0.6 0.6 1 12 1.4 1.6 1.6 2 12 24 2.7 19 3.1 3.3 SS S7 3.9 4.1 4.3 4.5 4.6 5 5.2 5.4 56 30% 0.5 0.7 0.9 1.1 1.4 1.6 1.6 2 22 14 16 16 3 32 3.S 3.7 IIA 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 6 6 40% 0.7 0.9 1.1 1.3 1.5 1.7 1.9 12 14 16 16 3 3.2 3.4 3.6 3.6 4 4.3 4.5 4.7 4.9 5.1 5.3 53 5.7 5.9 50% 0.9 1.1 1.3 1.5 1.7 1.9 11 13 IS 17 3 3.2 3.4 3.6 3.6 4 42 4.4 4.6 4.6 5.1 5.3 5.5 5.7 S.9 6.1 55% 0.9 1.1 1.4 1.6 1.6 2 12 2.4 2.6 26 3 32 3.5 3.7 3.9 4.1 -4.3 4.5 4.7 4.9 5.1 5.3 5.6 5.6 6 62 60% 1 1.2 1.4 1.7 1.9 11 2.3 2.S 2.7 2.9 3.1 3.3 3.5 3.6 4 4.2 4.4 4.6 4.6 S 5.2 5.4 5.6 5.9 6.1 63 65% 1.1 1.3 1.5 1.7 1.9 12 14 2.6 2.6 3 3.2 3.4 3.6 3.6 4 4.3 4.5 4.7 4.9 5.1 5.3 55 5.7 5.9 6.1 64 70% 1.2 1.4 1.6 1.6 2 12 15 17 2.9 11 13 3.5 3.7 3.9 4.1 4.3 4.6 4.6 5 5.2 5.4 5.6 56 6 6.2 64 75% 1.3 1.5 1.7 1.9 11 13 2.5 17 3 3.2 3.4 16 3.6 4 4.2 4.4 4.6 4.S 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 90% 1.4 1.6 1.6 2 12 14 16 2.6 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 64 66 65%1.4 1.7 1.9 2.1 2.3 2.5 2.7 2.9 3.1 3.3 3.5 18 4 4.2 4.4 4.6 4.6 5 5.2 64 S.6 5.9 6.1 63 65 67 90%. 1.5 1.7 2 2.2 14 16 13 3 3.2 3.4 16 3.a 4.1 4.3 4.5 4.7 4.9 5.1 53 5.5 5.7 5.9 6.2 6.4 66 66 96% 1.6 1.6 2 2.2 15 17 19 3.1 3.3 3.5 3.7 3A 4.1 4.3 4.6 4.9 5 6.2 5.4 5.6 5.6 6 6.2 6.4 6.7 6 9 100% 1.7 1.9 11 2.3 2.5 16 3 3.2 3A 3.6 3.9 4 4.2 4.4 4.6 4.9 S.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.7 7 105% 1.6 2 12 2.4 16 16 3 3.3 3.5 3.7 3.9 4.1 4.3 43 4.7 4.9 5.1 5.4 5.6 5.8 6 6.2 6.4 6.6 So 7 110% 1.9 11 2.3 2.5 17 19 3.1 3.3 3.6 3.6 4 42 4.4 4.5 4.6 5 52 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 16 3 32 3.4 3.6 3.6 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.S 5.7 5.9 6.2 6.4 AS 6.6 7 7.2 120% 2 2.3 2.5 2.7 19 3.1 3.3 15 3.7 3.9 4.1 4.4 4.6 4.6 5 5.2 SA 5.6 59 6 6.2 6.5 6.7 6.9 7.1 7.3 125Y. ii 13 15 18 3 3.2 3A 3.6 3.6 4 42 4.4 4.6 4.9 5.1 5.3 S.S 5.7 5.9 6.1 6.9 6.5 6.7 7 7.2 74 Point System Summary: Climate Zone 11 SCORE -CARD 1. Ceiling Insulation 2. Wall Insulation 3. Raised Floor Insulation 4. Slab Edge Insulation S. Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) a. North b. East c. South d. West e. Skylight 8. Shading (Shade Closed) Measures 3 1� or R -value [38j U -value [0.030] I -2,�, or R -value j [ I,1 ] U -value [0.098] Or Kh V-_Iue [ 19] U -value 10.0371 or R -value [0] F2 factor [0.77] p�k L, TYPE 1 MASS P,,_7,, Type [double] U -value [0.65] % Total Gins [ 161 Glass SC Eff. % Glass _ y b. East X c. X _ r X 1 14,-7 d. rrJ X x 9. Interior Thermal Mass 10. Exterior Wall Mass 11. Heating System Zonal Control? ( Y / N ) 12. Cooling System Zonal Control? ( Y / N ) 13. Water Heating Point Scores elp�> 0 -- t -- q Sum 1-6 InteriorFA TYPE 1 MASS % Glass SC Eff. % Glass a. North / - X _ y b. East X c. South -77'r X 1 14,-7 d. West + x e. Skylight X 9. Interior Thermal Mass 10. Exterior Wall Mass 11. Heating System Zonal Control? ( Y / N ) 12. Cooling System Zonal Control? ( Y / N ) 13. Water Heating Point Scores elp�> 0 -- t -- q Sum 1-6 InteriorFA TYPE 1 MASS AREA B AREA GOND. FLOOR <C TYPE 2 MASS AREA Exterior Wall Mass ND . L R AREA Sum 7-10 IR SE or HSPF Dua Efficiency [0.78] Effective SE or [0.7216.6] a, 1 HSPF 10.5 as] SEER 19.51 Duct Efficiency [0.74] Effective SEER [7.03] Sr 0 Type [SG] Credit [none] Point Total:�