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HomeMy WebLinkAbout058-340-038� 8-34-18 1128-90B P,E,M n -Cynthia SCOT ohn -Cynthia 42'14--Banya *1 Rd, Oroville it io ur iti on Home § � (new single family) 58-34-38 1 V � OTT Jo SCOTT, John nthia . � 421 ya Trail Rd, urovz�le ' rans. contr.) � 58-24-38 2804-91 SCOTT', John A. 4214 8aoya Tra ~s,`o | (new.private detached garage) ` *20 -- 43 YV ago, ?5 !MM .4214-BANYA TR, OR'OVI LE ' BUILDING DIVISION ,t , COUNTY OF BUTTE - DE-PAR'NMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 le" ----- AGRICULTURAL BUILDING EXEMPTIO ERMIT PERMIT NO. Ckt Agricultural building is defined as follows: Agricultural building is a structure designed 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 PARC L NO ZONING OWNER 07© n PHON O. lJ CD M OWNER'S D R S J� . LOCATIO OF BUILDING WI USE OF B,�INGr r ct— e S 1 i cS SIZE OF STRUCTURE �O�? SO. FT. T0 TYPE OF CONSTRUCTION: WOOD FRAME STEEL—' TEEL CONCRETE OTHER (Spec'Ify) TYPE OFTIDI ROOF COVERING FLOOPE d 11c7 r ESTIMATEQ COSTCONSTRUCTION $ t AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows: FRONT SIDES REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area 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 comply with tpeuirements in effect at that time and before occupancy. Date (Q--7 " Permit Fee - S90-60 52), 0O Receipt No. - Signature of Owner The above descri Manager Building Division By White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant is exempt from a building permit. FLOO I PARC I P.0 ROO1.FI G I ISSU Dateq3 70i.l v � rti`�„'ti,-� .. f.tr --,H.� ((N � ^�1 �M• A � "N ArYI J� COUNTYOF BUTTE - DEPARTMENTOFJDEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTYCENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 OWNER t Proposed Building Use PERMIT APPLICATION DATA SHEET SCO. P o. o� / 4(2 Building Inspector Date At time of permit pplication, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. 2. 3_ .4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. All items have been submitted . ........................................ Plot plans, 3/4 sets, signed by preparer of plans . .......................... Complete plans, 3/4 sets, signed by preparer of plans . ...................... Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. Hazardous Material Form . ............................................. Energy Design Compliance and supporting documentation . .................. Statement of Intent for Non -Heated and A/C Buildings . ...................... Engineered truss details and layout in duplicate (required prior to plan check). .... Mobilehome data and manufacturer's installation instructions, 2 sets. ........... Feesof $......................................... Impact fees as shown on attached schedule . .............................. California Department of Forestry plan approval/fees. ....................... . Flood elevation letter (100 year flood) by California Engineer . ................. . Sanitation and plot plan approval Health Department . ............ City of Chico plumbing permit. ........................................ . Plot plan and business license approval from City of Biggs/Gridley. ............. Planning approval for (A) Use: (B) Parking: . ......... Contact Land Development about (A) Improvements (B) Drainage. ........... Driveway permit (construction approval required prior to occupancy). ... . Pre -Inspection requed- Pre -inspection for required. .. to Building Inspector (Date) Contractor's license information. (No., Name Style, Classification). ............. . Certificate of Workmans Compensation Insurance. .......... 0 .............. . Owner -Builder Verification (Given to owner , Mail to owner _). .......... . Recorded copy of Agricultural Acknowledgement Statement . .................. Letter of signature authorization . ............ 0 ................ 0 .......... Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . Letter of intent on building use . ......................... *................ Mobilehome utility clearance . .......................... 0 .............. . Documentation of legal access . ..................... :.................. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements. ..... 0 ......... Existing violations/expired permits . ............ 0 ........... 0 ............ . Plan check list . ..................................................... When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for py k at office. Deliver with inspector. Other / Parcel Creation Acreage Applicant Date -7 �� Copy of Haz-Mat form sent Health Dept. Fire Dept//'/4it Pollution Date Copy of plans sent Health Dept. Fire Dept._____40t herg Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works -,.-RESIDENTIAL 58-34-38 Tno tiOB,P,E,M SCOTT, John & Cynthia 4214 Banya Trail Rd, Oroville Contr: (new single family) ��, ��/�,/�6 UL OFFICE COPY Address GAS Meter B ELECT j Meter B, L - - JOB FINAL Signature V=OK O=Not OR - = Not Applicable Not Ready MOBILE HOMES ' = Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L"ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance Date Card B-1 Date Card B-1 Date . Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 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-Beams-Rftrs.-Coonectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmq; Sils-Anchors-Studs-Rftrs-Trusses- 9. Siding; Nailing -Veneer -Stucco -Mash - 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 , Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater '8. Elec.; Grounding; Equip. w/5' Circulating Equip -Pool Lghtg. Boxes-Enclosures-PaneIboa rds-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 'J=OK O=Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date UN ERFLOOR Plans OK except #'s 1. honing -Setbacks -Easements -Flood -Slope 2. tg., Main; Soils-Elec. Grnd.- J ctg. Pepth 3. F)g., Garage; Soils-Steel-Ele Grn ./21-Ftg. Depth �, Porches & Decks; Soils -Steel-/ /Fig. Depth �Stemwalls, Main; Steel-Blockouts-Wrapped —6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped AT D. .; Fall- 1tin - est -2 W /O -Sewer est Ae-Gas Pipe; Size -Anchors W r Pipe; Test -Anchor- egulato ervice TjjaO 12. Electric; Underground ?-4'0-q0 Pienums & Ducts; Clearance -Material -Support -Ins. /0$d 44 Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Date( J Card B-1 Date Card B-1 Date '7/),o L96 Card B-1� Date _ Card B-1 r - Date PLUMBING Permit OK except #'s Water Htr.; Vent -Access -Combustion Air -Baffle Water Pipe; Test & Anchor -Nail Protection ((8.W.V.; Test -Fittings &Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access /' . Gas Pipe; Size & Anchors Date n /90 Card B-1 �� Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Ft e & Transformer Clearance -Ins. Protection Zd Elec. Receptacles Spacing -Lights &Switches at Doors ize Boxes & No. of Conductors -Stapled l2 - omex Installed Close to Edge of Studs & C.J. 2E uip. Ground made up w/Meth. Fastner Bond Gas &Water 2 Appliance Circuts in Kitchen & 2onductor Size/GFI 28. Subfee Wire Size 121o0ga. Cu o C. Wire Size 61 ga. Cu ange Cire,* / ga. Cu or Circ. / / ga. Cu or Al. Insulated Neutral es 0 No t20._ Service -Riser Conductors & Ground -Main Disconnect 01-.-Iquip. Clearances Panels-Motors-Mech. Equip. Clo es Closet Light -Shower Light -Spa Light LJ moke Detector Date Card B-1 Date Card B-1 Date ,�?,2f Card B-1 r Date Card B-1 Date MECHANICAL Permit OK except #'s 3 A.C. Ducts Insulation & Support V>4ent 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 Z g.2 Card B-1 Date Card B-1 Date �i Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s Sils, Proper Material & Anchors 4f1! Wal tuds-N i ing, Spacing Bracin fates -Sound Be ring Walls over Girders & Floor Nailing 2. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub i.4 eaders & Beam -Size & Bearing Date FRAMING (Continued) Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. ties -Pu rlin -roof Bra rus Sh ng. f 4 ireplace Ties or Type A Flue -Fireplace Throat clearance 4 . llT Access; Size & Romex Protection -Draft Stop -Ins. Baffles CAS"Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions (-5e.-Garage Fire Protection Framing 51;Preperty ine Firewall & Openings xt. Ooors-One 3' -Check Garage -3rd Story, 2 Exits +dth-Headroom -Rise-Run-Landing-Fire Protection plywood on Roof Overhang -Attic Vents -Rafter Outriggers iding-Nailing Veneer Drip Screed -Fd. Vents-Underflr. Access Glazing Area -Glass Protection -Skylights -Plastic 58. r a s; Nailing -Bolts 59. Insulation -Walls -Ceilings f - �J 74(r; -�� 60. Infiltration -Walls -Windows Date Card B-1Date Card B-1 Date 4 Card B-1 Date Card B-1 Date FI L (Plans) OK exce t #'s . 5,p, -steps -Door & Sidelight Protection -Landings Smoke Detector W. -Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection tfi4-6edroom Exiting & Bath Fixtures & Tub lec. Trim & Subpanel; Breaker Sizes & Labels Stairs & Rails Fireplace or Stove; Clearances -Hearth &.-f-lec. Outlets at Wood Panel; Int. & Ext. QC-Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance LPI-Elec. Outlets & Receptacles at Kit. Counter C72- Garage Fire Door; Swing -Landing -Closer 73_A -C i m Garage -Damper . Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. e; Above Floor-Mech. Protection PI rElec. & Mach. Equip. Listed for Location E!,e.c. Receptacles in Garage; (G.F.I.)-Romex Pro ection Insulation -Foam -Looked in Attic O Yes Lie. Guard Rails & Deck Construction -Post Caps Fdn. Vents & Crawl Hole Door-Drainag�=Wood-Earth Clearance Looked under Floor. Yes 80. Following instld.; Drive Yes ❑ No; Walks O Yes O No; Planters O Yes 9 -No ai_�-, A.C. Unit; Disconnect, Electrical, Plumbing Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings ater Well; Disconnect, Electrical, Plumbing 3_5!_-terior Elec. Trim; G.F.I. Receptacle -Underground ntilation Throughout House Glass Protection 88. Corrections from Previous Inspections tnZG s Test -Meters Tagged; Gas -Electric LO -Water & Sewer Connected -C/O to Grade -HD Approval a!Energy Compliance Certificate -Other Certificates Date /iV/9 J Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: (NOTE: An entry must be made each time you visit job site) Owner: Permit Ho. E N E R G Y C E R.T I F I C A T r O N Concow Road, Concow, Ca. — LOCATION A.P. No. ROOF Material Thickness (incite a) DESCRIP'T'ION OF INS111ATION Brand Name 'T'hermal Resistance (R Value)__ EXTERIOR WALL Mat6rial_ Fiberglass Batu _ Brand Name Owens-Cornino Thicknesa(inches) 64" 'Thermal Reslatance(R Value) R19 CEILING Batt or Blanket Type Flbernlass E3atts Brand Name nwPnc-r'nrnin9 TI►ickneas(inches) 92'! 'Thermal Resistance(R Value) R30 Loose Fill Type I'lbet'11ass_ __ Brand Name__0wenc-rnrninq Minimum Thickness (I nchee) 1 2 3/4" Number of Bage_23 Wt. per beg 35 -1 lb. Area covered(ft. ) 144n Thermai Resiscance(R Value)" R30 FLOOR, ELEVATED Material Fibera.lass BatLS Tit ickness(Incite s) 6*" FLOOR D SLAB Material Tit ickness(incites) T Width(Inches) FOUNDATION WALL Material Thlcknese(inches) Brand Name Owens-Corning Thermat Resistance(R Value) R19 Brand Name Thermal Resietance(R Value) Brand Name Thermal Resistance(R I hereby certify that the above insulation was installed 1A the above buildins In conformance witls the State of Californla Energy Requirements. Loerke Insu.laLicn I..o. 449150 FIRM NAME/OWNER STATE CONTRACTOR'S LICiNSE N0. October 11, 1990 SI4GYT UBE OF INSTALLATION APPI.ICA'TOR PATE I hereby certify the above insolation and all required items as shown on the Building Department approved plans and attaclanents have been installed as required by the State of California Energy Requirements. All equipment, devices and materials are of the quality prescribed or are specifically approved by the State of California. eAls 2— /,Of -re FIRM NAME/OWNER (Please print) STATE CONTRACTORS LICENSE NO. 90 SIGNATURE OF QENERAL CONTRACTOR OWNER DATE THIS CERTIFICA'T'E D usT BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SIIALL BE POS'T'ED WITHIN THE BUILDING . lanuary 1984 \V\VA%k IFIfII IE I IE ILD � O 4J& ►� �G IL At S S. 11%, �C 185 humbold-t avenue•chico california 95928 -(916)894- 0344 October 19, 1990 To Whom it May Concern: The shower door at John and Cindy Scott's house, 4214 Banya Trail, is laminated glass. The glass was installed by Wakefield and Sons Glass, Inc. Thank You, 7 Steve Wakefield t,,......• r,,.. �.. ,fir �ar.pFy"a y�"i'�''-...� s`v'.sr-arr+--r-- ..wsra rt.Y+�+-:c-•y.•-+v:-.ti.�w.- .--.-vi,��:a„r T -� Y�-"�� COUNTY OF BUTTE r DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541' 747 Elliott Road, Paradise — Phone: 872-6307 ' CORRECTION NOTICE R ERMIT 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 matte/r, oo/r-need additional explanation, please contact this office immediately. : PI/ E Date A Inspector2&1 _ COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico— Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541' 747 Elliott Road, Paradise— Phone: 872-6307 ---- CORRECTION NOTICE T 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 ?whe correction of work is completed. If you have any question pertaining to this trer, or need additional explanation, please contact this office immediately. 4.oV i"/t. % CS N L 'w 4 i Date �6 d -e% COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovi le; CaAiornia 95965 - Telephone: 916/538-7541 i APPLICATION AND PERMIT PERMIT NO. 1256-9 ASSESSOR PARCEL NUMBER 58-34-38 ZONING 1 BUILDING PERMIT OWNER JOHN & CYNTHIA SCOTT TELEPHONE 533-0807 S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS unknown CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 4214 Ban a Trail Rd Oroville Permit fee $ PLUMBING PERMIT Filing Fee 0.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF F1 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home JSFG W 10.00e TYPE OF WORK New ❑ Addition ❑ RemodeI ❑ Utilities ❑ Installation[] Other ❑ Describe work: trnn.fPr rnnt-r--d pn 1128-49 _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.0 Main service 6001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BUSIneSS and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure Is not intended or offered for sale. (Sec. 7044) „( (� I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.(DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. , 2/4sgft NEW CONSTR. ULTI-OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS a (SINGLE OUTLET C,R. / Ex. OCCUp(OUTLETS OR FIXTURES e@AL 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 $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.0 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. - Ei � 75-__ X Date 7 Signt re of Applicant — Owner V Contractor ❑ Agent ❑ An OSHA permit is required for ex ovations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 40.00 HAz I CUA I PARK I SCHL I FLD I PAR Po I Ho I ISSUE This permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC eDate PERM EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS 51/90 -'v '` Receipt No. 64172 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916.`538-7541 APPLICATION AND PERMIT PERMIT NO. 9-C AS ESSOR PARCEL NU B R 3 ZONING BUILDING PERMIT OWNER t2 IJ t TELEPHO E SO. FT. OCC -1 BUILDING VALUATION ,., ER''S AILI AD R SS®• (- CO R CTOR'S NAME v n TELEPHONE I CONTRACTOR'S MAILING ADDRESS Fireplace I CONAST%'UCTION LENDER !V UNKNOWN Total Valuation Is Filing Fee $ 10. LENDER'S MAILING ADDRESS Permit Fee $ ARC ITECT OR ENGINEER T LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS l Permit fee $ Filin Fee 10.0 PLUMBING PERMIT9 Y10 v Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFK Duplex[]Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer Mobile Home S G W .000 10.00e TYPE OF WORK New❑ Addition ED Remod ❑ UtiIitie InstallationOthe Describe work: ra nst 6-1r 0 ❑ Other N'�-f © yi _411— Permit Fee Permit $ Contractor ELECTRICAL PERMIT Filing Fee 10.0 Main service 6100 OR LESS 100 OROR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑NON.RESIO 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 ❑ 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 NEW CONST. DWELLING OCCUP.14 OR AODNS. ( ACC. BLDGS. 2/2esgft NEW CONSTF ULT' -OUTLET BRANCH CIRC ITS 2.SOea POWER APPARATUS &) (SINGLE OUTLET C'P. Ex. Occup(OUTLETS OR FIXTURES 20050a aAL@3° FIXED APPLNS. OR Ex. Occup, OUTLETS IRE 51 D.1 EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): F-1 The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ I An OSHA permit ,is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ HAz I CUA PARK I SCHL FLo I PAR PD I HD I ISSUE This permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. WNITE-O.r.W.. YELLOW-ASSE530P. PINK -INSPECTOR. GOLDENROD -APPLICANT American Tradition Homes 0 R •c COUNTY OF BUTTE - DEPARTMENT,OF PUBLIC WORKS - BUILDING DIVISION "~ 7 COUNTY CENTER DRIVE - OROVILLE CALIFORNIA 95965 - TELEPHONE: 916/538-7541 . PERMIT APPLICATION DATA SHEET Permit No. �-- OWNER A. P. No. L,/ U — - Proposed Building Use Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings'. ... ........... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 5. Letter of signature' authorizati f . .... �. . 6 _ 27. When you issue the permit, process as follows: Maila ;Roownner. Mil to contractor. , Telephone - and hold for pickup at office. Deliver w/inspector. Other Applicant .Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. _Fire Dept. Other Date By. The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_—mail counter by ..date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW ,Retur.-I to DPW AGRhT1TURAL STATEMENT OF ACKNOWLEDGEMENT ✓� \ ,-FOR RESIDENTIAL DEVELOPMENT L,j Section 26-8.1 of the Butte County. Code s. r -quires this acknowledgement be recorded prior to issuance of a building permit. The property described herein is adjacent , to land or included within an area zoned 90-016589 ; Rec Fee 9.00 for agricultural purposes, and residents Check 9.00 of this property may be subject to incon- Recorded ; veniences or discomfort arising from the Official Records ; use of agricultural chemicals, including, County of ; but not limited to herbicides, pesticides, Butte ; and fertilizers; and from the pursuit•-' .:. Candace --.J-.. .Grubbs ; of agricultural operations including, Recorder ' but not limited to cultivation, plowing, 8:54am 25. -Apr -90 ; CD 3 spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have.as a priority use for productive agricultural purposes, and residents within said zones and. on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described. as follows: Date: State of California ) ) ss. County of BUTTE ) 1111UInHIIC10UIplllut^lnurnmrnmnununmmnnunmmlr PROPERTY OWNERS: /V . SCD u� On this 16.thdety of April in the year 1990 before me, Sheila Brandon the undersigned Notary Public, State of California, duly commissioned and sworn, personally appeared Cynthia M. Scott ( ) personally known to me, (X) proved to me on the basis of satisfactory F ............ to be the persons) whose names) i s subscribed to SHEILA BRANDON _this instrument and acknowledged that sha executed it. r f�' NOTARY PUBLIC—CALIFORNIA =_ PRINCIPAL OFFICE IN R BUTTE COUNTY % ' 22 My Commisslon Expires April 12, 1991 A_. % 6�a "y +� IIIIIIilIIIIIIIIIIiIgIlUII1IIIIIt71lU�uslaumuuuuamllilunucnuuuuua�• Notary Public, State of California Acknowledgment, General DA 135 0268 ;SS w � Y Order No.... 35073 DESCRIPTION All that certain real property situate in the County of Butte, State of California, described as follows: Being a portion of Lot 6 of the Northwest quarter; and a portion of Lot 7 of the Northeast quarter of Section 2, Township 22 North, Range 4 East, M. D. B. & M., more particularly described as follows: Beginning at the Southeast corner of the Southwest quarter of the Northeast quarter of said Section 2, thence North along the Easterly line of said Southwest quarter of the Northeast quarter, a distance of 364 feet to a point that bears South 00 22' East, 1413 feet from the Northeast corner of the Southwest quarter of the Northeast quarter of said Section 2; thence West and parallel with the East and West centerline of said Section 2, a distance of 2030.97 feet to a point on the Easterly line of the Concow-Flea Valley Road, as the same existed December 29, 1961; thence South- westerly along the Easterly line of the Concow-Flea Valley Road to its intersection with the East and West centerline of said Section 2; thence East along the East and West centerline of said Section 2, a distance of 2189.27 feet to the point of beginning. EXCEPTING THEREFROM the following described parcel of land: Beginning at the Southeast corner of the Southwest quarter of the Northeast quarter of said Section 2; thence North along the Easterly line of said Southwest quarter of the Northeast quarter of said Section 2, a distance of 364 feet; thence West and parallel with the East and West centerline of said Section 2, a distance of 596 feet to the.point of beginning for the parcel of land herein described; thence from said point of beginning, South and parallel with the North and. South centerline of said Section 2, a distance of 364 feet, more or less, to a point on the East and West centerline of said Section 2; thence West along said East and West centerline, a distance of 600 feet; thence North and parallel with the North and South centerline of said Section 2, a distance of 364 feet to a point that bears West and parallel with the East and West centerline of said Section 2 from the point of beginning; thence East and parallel with the East and West cen- terline of said Section 2, a distance of 600 feet to the point of beginning. ALSO EXCEPTING THEREFROM the following described parcel. Beginning at the Southeast_ c.o.rne.r--.of the Southwest quarter of the Northeast quarter of said Section 2; thence North along the Easterly line of said Southwest quarter of the Northeast quarter, a distance of 364.0 feet to a point that bears South 00 22' East, 1413.0 feet from the.Northe'ast corner of the Southwest quarter of the Northeast quarter of said Section 2; thence West and parallel with the East and West centerline of said Section 2, a distance of 596.0 feet to a point; thence South and parallel to the North and South centerline -of said Section 2, a distance of 364.0 feet on the East and West centerline of said Section 2; thence East along the East and West centerline of said Section 2, a distance of 596.0 feet to the point of beginning. (CONTINUED) • P 4cc 5p1 - Order No. 35073 DESCRIPTION (continued) ALSO EXCEPTING THEREFROM the fo.11owing described parcel. BEGINNING at the center of said Section 2, said point being as shown on that certain Record of Survey Map filed in Book 24 of Maps at page 32; thence following along the East and West cen- terline of said Section 2, West for 316.17 feet to the Northeast corner of Lot 7 as shown on the map of Lake Concow Acres Sub- division Unit No, 1, which.map was filed in the office of the Recorder of Butte County, California in Book 31 of Maps at page 17, said point being also the true point of beginning for the par- cel of land herein -described; thence from said true point of beginning, continuing West, along said East and West centerline for 557.48 feet to a point located in the centerline of Concow Road, said point being the Southeast corner of Lot 1 as shown on that certain amended Parcel Map, filed in the office of the Recorder of Butte County, California in Book 57 of Parcel Maps at page57, and being also the Southwest corner of that certain parcel of land described in Deed to Andrew Zsoter, et'ux, recorded November 16, 1982 in Book 2771 of the Official Records of Butte County, California at page 108; thence following'along said cen- terline of Concow Road, North 261136' 00" East•for 45.90 feet; thence North 21'. 09" 00" East for 162.13 feet to the Northwest corner of said Zsoter parcel; thence following along the Northerly boundary line of said Zsoter parcel East for 32.17 feet to a point located on the Easterly boundary line of Concow Road; thence North 210 09' 00" East along said Easterly boundary line for 32.17 feet; thence East, parallel to said East and West centerline of Section 2, for 437.52 feet; thence South 00 44' 20" West for 222.27 feet to said true point of.beginning. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - OroGil'le, California 95965 -Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 58-34-38 ZONING, BUILDING PERMIT OWNER John TE EPH NE 933-0807 SO. FT. OCC. BUILDING VALUATION 1942 R 72,680 OWNER'S MAI ING ADDRESS)tt 3740 Pinkston Canyon Rd, Oraville 99965 440 M 6,160 CONTRACTOR'S NAME TELEPHONE 366 Lvov 3,660 ' CONTRACTOR'S MAILING ADDRESS Fireplace "All 1,000 CONSTRUCTION LEN R UNKNOWN Total Valuation $ Filing Fee $ 10,00 M LENDER'S AILING ADDRESS Permit Fee $ 400.00 ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ 200.00 Energy Plan Checking Fee $ 15.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ &Z350M BUILDING ADDRESS 4214 Ban a Trail Rd. Permit fee $ 635.00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 7 2.00 14.00 Oroville Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 5.00 Each qas water heater or vent 5.00 5.00 ---,USE OF STRUCTURE SF ER Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 5.00 Building sewer 5.00 5.00 Mobile Home _FSFGW 10.00e TYPE OF WORK New1q Addition[] Remodel[] Utilities❑ Installation❑ Other❑ Describe work: 3 bdrm. _ Permit Fee $ 44.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 8001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. 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 oR ADONST DWELLINGS _Jg �) 2'/:2sgft A NEW CONSTR.ULTI.OUTLET 2.50 ea NO N•RESIO BRANCH CIRC ITS POWER APPARATUS e SINGLE OUTLET CIR. ) Ex. Occu 20 p OUTLETS OR TURES eALO30 S Ex. Occup. OUTLETS ED PRESID JD2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 82.05 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating 80,000 6.00 split system Cooling 3Ton 6.00 Hood 3.00 1 3.00 Ventilation 3 3.001 9.00 permit Fee $ 34,00 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 County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all Ii lilies, judg ts, costs, and expenses which may in any way accrue a n . consequence of the granting of this permit. - �-�Q Date Signature of Applicant - Owner ❑ Contractor Agent ❑ An OSHA permit is required for excavations over 5' " eep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 30.00 o CONST TYPE V %v TOTAL FEE $ 825.0 HAz CUA PARK - scHL FLo A PD HD 'ss This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC BY PER EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Dates' -l' Q%o Y 1- 9 Receipt No. 64057 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTfYtENT-40F PUBLIC�W6RKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 b PERMIT APPLICATION DATA SHEET Permit No. OWNER �C, Q� '- I� A. P. No. _ S i— Proposed Building Use IF_ Building Inspector Date 4/—/6- !71) At /6 - At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and-calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... Statement of Intent for Non -Heated and AC Buildings .............. ,_5118. Engineered truss details and layout in duplicate (required prior to plan check) Lila 6 190 Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ...:.................... 11. Chico Urban Area fees paid ....................................... �12: Park fees paid ....................................... School District fees paid .............. 4 Sanitation approval from Q PC2 Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 118. Improvements may be required. Contact Land Development Section DPW 9. Driveway permit (construction approval required prior to occupancy) - 20. Pre -Inspection for required ... BInsec.rlrequest topi eo(Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... t�4. Recorded copy of Agricultural Acknowledgment Statement ......... 726 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone • — D and hold for pickup at o , ice. Deliver w/inspector _ Other ecwx Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance 1. Index permit for above items No. 2. Additional items required: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by_phone--nail—counter by ' date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Date Plans approved by 4`a Date Sets of plans on hold in File cabinet AP folder Copy—DPW TO Building Department FROM: Environmental Health SUBJECT:. Sanitation Clearance _-------'�— Owner �� T Locati AP# Plan Approved for: Sewage Disposal Hold final for:. Final clearance O.I. for: Clearance for 3 bedroom a home. Other NOTE *** Water Supply Water Supply Water Supply AA Sanitarian Date COUNTY OF BUTTE' - DOPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916.538-7541 APPLICATION AND PERMIT PERMIT NO. )l v90 ASSESSOR PARCEL NUMBER r — 1 ' _ 3 ZONING BUILDING PERMIT OWNER -%-0k ,. k (.G S TELEPHONE S3-7 020'7 SO. FT. i OCC. BUILDING VALUATION 2 OWNER'S MAILIN47 ADO ESS OPO v • k -r oti Cuk -, � - 6S— CONTRACTOR'S NAME ��,�.., t, �. .►'..� TELEPHONE -346 Cuo c v CON RAPTOR'S MAILING ADDRESS w,7, v Fireplace4000 CONSTRUCTION LENDER Lt N '0006V V.,_ UNKNOWN Total Valuation S W SOO FilingFee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $�� i 00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 14 ,t3 a ►, Permit fee $ 3s PLUMBING PERMIT Filing Fee 10.00 Each Trap 71 2.00 y �a 9,3 9,4 j ---Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFg Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Sr Building sewer 5.00 S Ors Mobile Home S I G I W 10-00ea TYPE OF WORK New V 'Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: _ Permit Fee $ y y Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service OR LESS 100 I00 AMP OR LESS 10.00 l0 Main service EA. ADD'L 100 AMP 2.5'50 -A rS 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 5— (J I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OR ADONS. ACC. BLDG 2'/zTsgft '_ r NEW CONSTR. ULTI.OUTLET NON.RESIO. BRANCH CIRC ITS 2.50 ea (POWER APPARATUS I! \SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES 20@50t eAL@30C FIXEPLN Ex. Occup. OUT D TS PIRESID )REA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wirin g 15.00 Permit Fee Contractor $ o_ - WORKMEN'S COMPENSATION INSURANCE C -I declare under penalty of perjury (check one): ❑ The permit is for 5100.00 (va!uation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating 40 Q Q Cooling g c ID Hood 3.00 3 Ventilation 3 %= j'j2_0_ Permit Fee $ .3 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct. ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee g �— occ CONST TYPE TOTAL FEE $ :Z HAz I CUA PARK I SCHL I Flo I PAR PO HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 4 '1/UI / WHITE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX & MISC. ONLY) /� `� Bldg. Permit # I1a70 '70 OWNER .�Cl/7T- A.P. # SAO- 3S/ "yr GENERAL oning requirements: (sideyards and number of permitted living units). �.ei luation. Plans signed by designer. Energy Design and Compliance. xisting violations on property. Ufa. Items on data sheet. PLOT PLAN �'- Complete parcel size and dimensions. Setbacks, sideyards, easements, etc. Other buildings or structures. 4--5;Grading, fills, drainage. Flood hazard. k'. Special conditions on creation map or compliance document. J-.1'00'FAU & FAS road setback. FLOOR PLAN X Complete to. scale Required windows Required windows Skylights (Chapte Aman impact glas Required room siz FCIs in baths, g Li t fixtures, s of mechanical equ Locations of wate — magas equipment, an ql garage firewall, 3'0" exterior 5/89 plan with dimensions. for light and ventilation (Sec..1205). for second exit (Sec. 1204). r 34 & Sec. 5207). s (Sec. 5406). es, ceiling heights (Sec. 12.07),. arage, and exterior outlets (Article 210-8). witches, receptacles, and exterior receptacles for maintenance ipment./ r heater heatin and cooling equipm other electrical or d plumbing fixtures. door size, and closer (.Sec. 503(d)(3)). exit door (Sec. 3304(e)). fireplace and wood stove location, alcoves, and clearance. 4-3. Smoke detectors (Sec. 1210).5 STRUC7URAL DETAILS Foundation plan complete enough to construct building. Floor construction details complete enough to construct building. Elevations and wall construction details complete enough to construct building. - /Roof construction details complete enough to construct building. �! Fireplace construction details and talcs if necessary. L MISCELLANEOUS ITEMS TO LOOK OUT FOR &I Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306). Guardrail details (Sec. 1711 & 3306(j)). .g/ Brick or stone veneer (Chapter 30). 5/89 RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONY D) -terior plaster - weep screeds (Sec. 4706). per roof pitch for roof covering (Chapter 32). 46'�� �oof covering type - (fire hazard). ''/ Rafter ties or bearing ridge beam. ;8: Garage door or porch header sizes. L9""Adequate bracing. Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. 4 -1 --Two exits on three-story dwellings (Sec. 3303 & see Mezannines - 1716). c access and ventilation (Sec. 3205). 4 -3 -.'Underfloor access and ventilation (Sec. 2516). Combustion air for fuel burning appliances. -1-5 Noise requirements on duplexes. L6—Adobe soils - special foundation design. -4-7--Retaining walls requiring design. 'Unusual shape, size, or split level house requiring lateral design. la,-Piashing at all exterior openings. State of California ) ) ss. County of BUTTE ) 1 4, SHEILA BRANDON 'b�,p� s/„ NOTARY PUBLIC—CALIFORNIA �,k. PRINCIPAL OFFICE IN BUTTE COUNTY My Commission Expires April 12, 1991 111111:911 III I Ill l Ilq II I II I III I IIL:IIII ill I Illlp II I IIIII III IG IIII I I I I IIIIL71111111IIIII[ On this 16.thday of April in the year 199 0 before me, Sheila Brandon the undersigned Notary Public, State of California, duly commissioned and sworn, personally appeared Cynthia M. Scott ( ) personally known to me, (x) proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) J c subscribed to this instrument and acknowledged that she executed it. Public, State of California Acknowledgment, General DA 1350288 ReturnRtE DPWTE® BY.1�G �t TURA STATEMENT OF ACKNOWLEDGE NT 8 9 ✓� FOR RESIDENTIAL DEVELOPMENT Section X26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. The property described herein is adjacent T to land or included within an area zoned 90-016589 ; Rec Fee' 9.00 for agricultural purposes, and residents Check 9.00 of this property may be subject to incon- Recorded ; veniences or discomfort arising from the Official Record s; use of agricultural chemicals, including, Coun ty' of ; but not limited to herbicides, pesticides, Butte- ; and fertilizers; and from the pursuit Candace J. Grubbs of agricultural operations including, Recorder ; I but not limited to cultivation, plowing, 8:54am '25 -Apr -90 ; CD 3 spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described, as follows: i Se@. cc u�414 05$ -� 8 Date: State of ) '1sounty of ) F! PROPERTY OWNERS: On this the day of 19 before me, SS. the undersigned Notary Public, personally appeared ® Personally known to me. ® Proved to me on of satisfactory to be the person(s) whose name(s) subscribed to the within instrument and acknowledged that executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. the basis evidence. Present A.P. No. Notary Public • • - . . --0 .. -, -r -- - - -- - . _ ..�,:-- 4 OAJer No . 35073 90— ! S 5 8 9 DESCRIPTION • All that certain real property situate in the County of Butte, State of California, described as follows: Being a portion of Lot 6 of the Northwest quarter; and a portion of Lot 7 of the Northeast quarter of Section 2, Township 22 North, Range 4 East, M. D. B. & M., more particularly described as follows: Beginning at the Southeast corner of the Southwest quarter of the Northeast quarter of said Section 2, thence North along the Easterly line of said Southwest quarter of the Northeast quarter, a distance of 364 feet to a point that bears South 0022''East, 1413 feet from the Northeast corner of the Southwest quarter of the Northeast quarter of said Section 2; thence West and parallel with the East and West centerline of said Section 2, a distance of 2030.97 feet to a point on the Easterly line of the Concow-Flea Valley Road, as the'same existed December 29, 1961; thence South- westerly along the Easterly line of the Concow-Flea Valley Road to its intersection with the East and West centerline of said Section 2; thence East along the East and West centerline of said Section 2, a distance of 2189.27 feet to the point of beginning. EXCEPTING THEREFROM the following described parcel of land: Beginning at the Southeast corner of the Southwest quarter of the Northeast quarter of said Section 2; thence North along the Easterly line of said Southwest quarter of the Northeast quarter of said Section 2, a distance of 364 feet; thence West and parallel with the East and West Centerline of said Section 2, a distance of 596 feet to the.point of beginning for the parcel of land herein described; thence from said point of beginning, South and parallel with the North. and South centerline of said Section 2, a distance of 364 feet, more or less, to a point on the East and West centerline of said Section 2; thence West along said East and West centerline, a distance of 600 feet; thence North and parallel with the North and South centerline of said Section 2, a distance of 364 feet to a point that bears West and parallel with the East and West centerline of said Section 2 from the point of beginning; thence East 'and parallel with the East and West cen- terline of said Section 2, a distance.of 600 feet to the point of beginning. ALSO EXCEPTING THEREFROM the following described parcel. Beginning at the Southeast corner of the Southwest quarter of the Northeast quarter of said Section 2; thence North along the Easterly line of said Southwest quarter of the Northeast quarter, a distance of 364.0 feet to a point that bears South 00 22' East, 1413.0 feet from the Northeast corner of the Southwest quarter of the Northeast quarter of said Section 2; thence West and parallel with the East and West centerline of said Section 2, a distance of 596.0 feet to a point; thence South and parallel to the North and South centerline of said Section 2, a distance of 364.0 feet on the East and West centerline of said Section 2; thence East along the East and West centerline of said Section 2, a distance of 596.0 feet to the point of beginning. (CONTINUED) o� 0 V. 4.cq 5pl • Order No. 35073 DESCRIPTION (continued) ALSO EXCEPTING THEREFROM the following described parcel. 9Q-- 8589 BEGINNING at the center of said Section 2, said point being as shown on that certain Record of Survey Map filed in Book 24 of Maps at page 32; thence following along the East and West cen- terline of said Section 2, West for 316.17 feet to the Northeast corner of Lot 7 as shown on the map of Lake Concow Acres Sub- division Unit No. 1, which map was filed in the office of the Recorder of Butte County, California in Book 31 of Maps at page 17, said point being also the true point of beginning for the par-- cel ar-cel of land herein -described; thence from said true point of beginning, continuing West, along said East and West centerline; for 557.48 feet.to a point located in the centerline of Concow Road, said point being the Southeast corner of Lot 1 as shown on that certain amended Parcel Map, filed in the office of the Recorder of Butte County, California in Book 57 of Parcel Maps at page57, and being also the Southwest corner of that certain parcel of land described in Deed to Andrew Zsoter, et ux, recorded November 16, 1982 in Book 2771 of the Official Records of Butte. County, California at page. 108; thence following along said cen- terline of Concow Road, North 26136- 00" East for 45.90 feet; thence North 21'. 09' 00" East for 162.13 feet to the Northwest corner of said Zsoter parcel; thence following along the Northerly boundary line of said Zsoter parcel East for 32.17 feet to a point located on the Easterly boundary line of Concow Road; thence North 211 09' 00" East along said Easterly boundary line for 32.17 feet; thence East, parallel to said East and West centerline of Section 2, for 437.52 feet; thence South.0'D 44' 20" West for 222.27 feet to said true point of beginning. END OF DOCUMENT 3 v 7 m (� LL 00 �a Z a =) O C[ otz 0 OROVILLE, CALIFORNIA CLAIM FOR PROFESSIONAL AND SPECIAL SERVICES CLAIMANT: John Scott ADDRESS: 4214 Banya Trail CITY & STATE: Oroville, CA 95965 IMPORTANT: October 3, 1991 SEE INSTRUCTIONS DATE OF CLAIM: -- ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES EN DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Owner has decided not to do work. Permit #2804-91B,E, AP#58-34-38, Receipt #97083, dated 8/9/91. Total Permit Fees Paid ---------------------------------- $328.50 Retain Building Permit Filing Fee ------------ $10.00 Retain Electrical Permit Filing Fee---------- 10.00 Total Permit Fees Retained------------------------------ 20.00 TOTAL REFUND DUE ---------------------------------------- TOTAL $308150 I. the undersigned, declare under penalty of perjury that the services or articles claimed have been performed ordelivered, and that this claim is We and correct as stated. / C.;' — Dated this v ................. day of ....0.................. 19 /I at GL L [ GG Calif. ...... .......ignetu oYClatt`-!�� ....._.... ; I, the undersigned, hereby certify that, to the beet of my knowledge, the services or/6ticl "e ecified above have, een performed or de- livered and that there is a Budget Appropriation 0 or Specific Board Approval a (Checitene) for the same. // 3rd October 91 Oroville ;'/»» »; , ; :_:� Dated this .................................... day of ............................. 19......, at .............................. .Calif. .... ... ................... Department Head or Authorized, Code 440-002 Code 4210500 PAYABLE FROM .......... C'Onst. Permits .. »........................................................................... FUND O NOT WRITE BELOW THIS LINE _ AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. 5 r e 14 p C T E Gl/ �`ZeJ g o% w c L L. .�� — — COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovllle, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 58-34-38 ZONING _ BUILDING PERMIT OWNER John A. Scott TTT TELEPHONE _5M—A1q07 S0. FT. OCC, BUILDING VALUATION 1,44C) M 95,990-00 OWNER'S MAILING ADDRESS 4214 rall- Orovillp 95969 CONTRACTOR' NAME Ownpr TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER Nnntn UNKNOWN Total Valuation $ 25,920.00 Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ 175.00 ARCHITECT OR ENGINEER Nnnp LICENSE NO. Plan Checking Fee $ 87.50 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 272,50 PLUMBING PERMIT Filing Fee 10.00 4934 Bany2 Trail. Drold1le Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping * 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome ❑ Other $11v� . s ErI ge Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK New u Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work:Contractor • Permit Fee $ ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORV OR LESS1 10.00 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. '(DWELLING OCCUPM1 OR ACDNS. l ACC. BLDGS. 4 yzQsgft 36.00 NEW RESID.CONSTRANCH CI ET NON•R ESID BRANCH CIRC ITS CU 2,50 ea POWER APPARATUS e SINGLE OUTLET CIR. Ex. Occu p OUTLETS OR FIXTURES z0®s0e 5^L030 FIXED APLNS EX. OCCUp. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. lyirin g 15.00 Permit Fee $ 56.00 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. 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 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue ag t sa' County in quence of the granting of this per it. X Date kv Signet of Applicant — Owner F1 Contractor ❑ Agent An OS permit is required for excavations over 5'0" deep and demolition or construct- ion of ructures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE - TOTAL FEE $328.50 E 8 HAz. can PAfiK SCHL FLD PD ✓ I �HD� V ISSUE This permit is hereby issued unser the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY Date PERMIT EXPIRES Date [Receipt No. A7nwi ITE-D.P.W.. YELLOW-ASSE990R, PINK -INSPECTOR. GOLDENROD -APPLICANT i COUNTY OF BUTTE - DEPART%I%T.:©F PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET / /� Permit No. q, OWNER L �{'1 i'1 A . Is O A P. No. `moo r� — �n Proposed Building Use a ✓Q Building Inspector Date 9 7 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid ....................................'................ 13* r/ iSchool Districtt fees paid .............. '=Z_14. Sanitation approval from �,✓e2 2/ e Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Clas�ification) ... Vk22. Certificate of Workmans Compensation Insurance .. .... 23. Owner -Builder Verification (Given to owner o, Mail to c wnerX..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... Let er o signatu authorization .. F; - (3 -tel ( eller /0� JIM o D aV` Ci g-/3_q/f,- 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone 019 nd hold for pickup at 0rf office. Deliver w/inspector. Other / q Applicant )'-- S Date Copy of ! laz-Mat form sent Health Dept. Fi Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date r+ By The following data must be submitted prior to permit issuance: (Circle ne.wXite not'check�ed above). / 1, Index permit for above items No. S� du ' & f ti plQWg refer I' e i Y to o� -0 e r o (p% 2. Additional items required:"&rk 97arted 6, Q,y— cpai<aae- i,^ eLy act sse_ f,hQ'ck W AI Contractor, designer, owner, was advised of above required data by_phone---jnaiI—counter by .date Contractor, designer, owner, was advised of above required data by—phone _mall—counter by date Plans checked by Sets of plans on hold in Copy—DPW Date Plans approved by File cabinet AP folder Date TO Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance < ,►.� S � fly J PAJ VAP# - Owner, Location Plan Approved for: Sewaqe Disposal Water Supply f Hold final for: Water Supply Y t, Final clearance O.R. for: ' Water Supply Clearance for bedroom mobile home. Other --- U/ / NOTE *** •i— Date Sanitarian 0- 3 • q I to =• c ,u� NoM t7-1�A Y Cv�GE2� S/ SA) F3Jrc-,D/ Jo ag2M i T 4 f pL1.�.4_T_i DAASA �u p �TrYe�%2 �D_c-41:4 � G�JTS TNAr.hAY_SL fZcQJ� T_y COAjS_T�2iJCT A GARglac= �nJ� MRy i2.r-,Pci2-ry .QT 4z I4 "3s��vA—i,ZArL� O2l)V/4. c. 11307-r Cv) CA. i :wq t or • t •< ..Y o1. S Z'v.J �sTI Q ►_—er��c� •_ cy oo�) • 1. Ceiling Insulation jU -value Number of stories Interior R -value One Two Three R-0 -103 -49 32 R-19 -8 4 -2 R-30 -2 -1 -1 R38• 0 0 0 U -value -10 0.20 -43 0.50 -176 -84 -54 0.30 -102 -49 .-32 0.10 -26 -13 -8 0.08 -18 -9 -6. 0.06 -11 -5 -4 0.04 -4 -2 -1 0.02 4 2 1 0.00 11 5 3 5 Controlled Ventilation Crawispace 27 -52 2. Wall Insulation Number of stories -2 6 Single- Single - Two Three Family Family Mul6- 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 8 15 • 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 - Y 14 11 7 0.02 19 •14 10 0.00 24 18 12 3. Raised Floor Insulation ' X0.90 Insulation in.Floor 3 -1 -20 Number of stories -1 R -value One Two Three - R-0 -17 -8 .5 R-11 3 -2 A R-19 0 0 0 R-30 3 1 1 jU -value SC Interior Slab Floor Raised Floor !---0.60 Stories Stories 444 -70 -46 -1: 0.50 : -120 -58 38 • ,: 0.40 ; -95 -46 30 50 0.30 -69 34 -22 -10 0.20 -43 -21 .-14 -26 0.10 -17 -8 -5 -75 0.08 -11 -6 1 • -4 .' -0.06 -6 -3 -2 4 0.04 -1 0 0 -20 0.02 4 2 1 28 0.00 10 5• 3 5 Controlled Ventilation Crawispace 27 -52 -17 Number of stories -2 6 R -value One Two Three -8 R-0 -11 -7 -5 46 R-5 4 4 3 14 R-11 -2 -2 -2 1 R-19 -1 ,; -2 -2 -11 4 2 8 15 • 4. Slab Edge Insulation. -9 3 3 9 -Number 21 - -" .2 of Stories 10 15 R -value one Two Three 5 ..._. R-0 0 0 0 4 R-5 8 5 2. _ .• i R-7 8 6 3 { F2 factor 17 -23 -1 ' X0.90 4 3 -1 -20 -0.80 -1 -1 0 17 0.70 2 2 1 10 0.60 6 4 .2 3 0.50 9 6 3 13 0.40 12 8 4 S. Infiltration (Air Leakage) ' Specification Points SWWlard 0 6. Glass Heat Loss Total SC Interior Slab Floor Raised Floor U -value Stories Stories Percent 1CFA One Effective Percent Glass .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 71 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 -9 3 3 9 15 21 34 -7 .2 4 10 15 20 31 -6 0 5 10 16 19 -29 4 1 6 11 16 18 -26 3 2 7 12 16 17 -23 -1 3 8 12 17 16 -20 0 4 9 13 17 15 -17 1 6 10 14 17 14 -14 3 7 10 14 18 13 -12 4 8 11 15 18 12 -9 6 9 12 15 19 ' 11 -6 7 10 13 16 19 10 3 9- 11 14 17 19 9 -1 10 13 15' 17 20 _ 8 2 ^ 12 14 16: 18 20 ' 7. Shading (Shade Open) SC Interior Slab Floor Raised Floor Mass Stories Stories ' 1CFA One Effective Percent Glass Two Three 0.0 -8 -5 -4 -2 (percent Stan x SC) 0.1 -8 Effective 0 0 W -4 -2 0 %Glass North East South :West Skylight 18 .5 1 _ - 4 1 na 16 4 2 5 -'-1 na 14 4 2 5 1 na 12 3 3 5 2 na`' 11 3 3 5 2 na 10 2 3 5 2 1 9 2 3 5 2 2 8 2 3 5 2. 2 7 1 3 4 2 2 6 1 3 4 2 3 5 1 2 4 2 3 40 13 2 3 1 3 3 0 1 2 1 3 2 0 0 1 0 3 1 -1 -1 -1 -1 2- 0 -1 -2 4 -2 0 na = not allowed Single- Single - +6 b 16 or I$. Shading (Shade Closed) Family Family Mute Mass Effective Percent Glass Family 5.0 0.00 (percent Sian x SC) 1 0.20 3 2 1 j 0.40 %Gbu Nott) lip Scuth; West Skylight 18 -14 48 -69 -64 na 16 -12 42 39 -55 nor 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 -16 2 1 -1 -2 -1 .9 11 _ _.7 1 1 ...:, 1 4 0" 2 3 4 � 3 0 its . rat anowod . 2.8 Effective SE or HSPF 9. Interior Thermal Mass SC Interior Slab Floor Raised Floor Mass Stories Stories ' 1CFA One Two Three One , Two Three 0.0 -8 -5 -4 -2 -1 .1 0.1 -8 -5 3 -1 0 0 0.3 -7 -4 -2 0 1 1 0.5 -6 3 -1 1 1 2 0.7 -5 -2 -1 1 2 2 0.9 -5 -1 0 2 3 3 1.1 -4 .1 1 3 4 4 1.3 -3 0 2 3 4 5 1.5 -3 1 2 4 5 5 2.0 -1 2 4 5 6 7 25 0 3 5 7 .7 8 3.0 1 4 6 8 8 9 3.5 2 5 7 9 9 10 4.0 3 6 8 9 10 10 4.5 3 7 8 10 11 11 5.0 4 7 9 11 12 12 5.5 5 8 9 11 12 12 ' 6.0 5 8 10 12 13 13 J 6.5 6 9 10 12 13 13 ' 7.0 6 9 11 13 13 14 7.5 6 10 11 13 14 14 •• 8.0 7 10 11 13 14 14 8.5 7 10 12 13 14 15 10. Exterior Wall Thermal Mass Effective -25 or Exterior Single- Single - +6 b 16 or Wall Family Family Mute Mass Detached iced Family 5.0 0.00 0 0 0 1 0.20 3 2 1 -11 -9 0.40 5 4 3 6.6 0.60 8 6 4 -2 0.80 10 8 5 0 0 1.00 13 10 7 1 1.20 13 12 8 4 1.40 12 13 9 l 1.60 10 13 11... 10.0 1.80 10 12 12 10 200 10 11 13 I 15 12 8 12.0 11. Heating System 26 22 18 14 SE or HSPF 13.0 33 (assumes ducts In attic) 20 15 10 Sum of 14 _ Control Adjustment _ -25 or -24 to -14 to 4 to +6 to 16 or SE HSPF less -15.. -5 +5 +15 more j 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 8.7120 18-----15 _ 13 11 8 2.8 Effective SE or HSPF 3.2 (SE or HSPF x duct efficiency) 3.6 Effective -25 or -24 to -14 b :4 to +6 b 16 or SE HSPF less -15 - -5 +5 +15 more 0.30 2.75 -73 -64 -56 47 -38 30 ' na 3.41 -45 -39 -34 -29 -24 -18 0.40 3.67 34 30 -26 -22 -18 -14 0.50 4.58 -10 -9 -8 -7 -5 4 0.56 5.13 0 0 0 0 0 0 0.60 5.50 5 5 4 3 3 2 1 0.70 6.42 17 15 .13 11 9 7 ' 0.80 7.33 25 22 19 16 1$ 10 0.90 8.25 32 28 24 20 17 13 1.00 9.17 37 32 28 24 19 15 Zonal Control Adjustment 2 System Type _ _ POU 8 5 Resistance 10 9 7 6 4 3 i Other 6 5 4 3 2 2 12. Cooling SysO!m SC Eff. % Glass SEER ' 1 -/ X�lL (Lmme) ducts In atUc) Interior Mass/CFAs Sim of 7-10 .25 or ,24 to r -t4 b 4 b +6 to 16 or SEER les& -15 -6 +5 +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 9.5 0 0 0 0 0 0 10.0 4 3 3 2 2 1 10.5 7 6 5 4 3 2 11.0 10 9 7 6 4 3 120 15 13 11 9 7 5 , 13.0 20 17 ., 14 12 9 6 0y. 0 Effective SEER 0.4 0.6 0.8 (SEER xduct efticlency) 1.3 1.5 1.7 Sun of 7-10 21 23 Effective -25 or -24 to -141* -4b +6 b 16 or SEER less -15 -5 +5 +15 more 5.0 30 -25 -21 -17 -13 -9 ; 6.0 -12 -11 -9 -7 -6 4 6.6 -5 .4 4 -3 .. -2 2 I 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 19 16 13 10 7 11.0 26 23 19 15 12 8 12.0 30 26 22 18 14 9 13.0 33 29 24 20 15 10 i Zonal Control Adjustment 1.6 1.8 2 22 10 8 7 6 4 3 15 No Cooling System Installed 444 Stories 4.5 4.7 4.9 5.1 5.3 One -5 4 4 3 -2 -2 Two + 3 3 .i 2 2 2 1 26 2.8 3 3.2 3.4 3.6 Single -Family Detached and Attached 1 4 4.3 Unit Size (so 4.7 Water 5.1 1139 !12M'.-1700 2200 2700 Heater Credit or ;1 10 to to or Type. Type less, 1699 2199 2699 more SG None- 0----1 0 A. _ 0 0 or Solar 12 ' 1 8 .. 6 5. 4 HP -HWR 5.9 8 5 4 3 3 1.4 WSB 5 3 3 2 2 2.6 POU 8 5 4 3 3 SE None 37 ` -24 -18 -15 -12 S.1 Solar -1 -1 .1 0 0 60% HWR -18 -12 -9 -7 -6 2t WSB... -25 -16 -12 -10* -8 3.3 3.5 _-1$_. _ 12. --9 -7 -6 IG None 'IS -3 -2 -2 -2 5.9 Solar 7 5 4 3 2 1.5 POU .3 2 1 1 1 IE None 28 19 14 -11 -9 4 Solar 8 5 4 3 3 _ POU -10 ` 3 -5 --4 =3 i 709: Multi -Family (individual units) 1.4 1.6 1.8 ..j Unit Size (&1 2.2 25 Water 2.9 699 700 1200 700 2200 Heater Oro& or i b to b or TYPO _TYPO less '1199 ISM 2199 more SG None 0 -; 0 0 0- 0 or Solar 14 7 5 4 3 HP HWR 9- 5 3 2 2 i 4.6 WSB 9 4 3 2' 2 5.9 POU 9 `s 5 - 3 --2 2 SE None 45 ^ -23 -15 -11 -9' 2.8 Solar 2..,-.l 1 0 0 4.1 HWR -23' - -12 -8 -6 '-5 5.4 WSB -25 -13 -8 3 -5 -E4U_. � 1- -12 -8 3 -5 IG None .; -8 i -4 .. -3 -2 -2 - Solar..; 6:!=; 32 4 1- i 1 4.6 POU_ --Ll.:_- ' o; _� 0_ 0 0 IE None . Solar - 30 -- -15 =18.- 9 -10 " -8 .6. ; e 1.7 -. 6 4 4 POU ..-8 .4 ' -3 .2 2 4.1 4.3 4.5 4.7 4.9 . Point System Summary: Climate Zone 11 SCORE CARD Measures 1. Ceiling Insulationor w R -value [38] U -value [0.030] 2. Wall Insulation or R -value ( 1J U -value [0.098] 3. Raised Floor Insulation �4 Slab Edge Insulation 5. Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) a. North b. East c. South d. West e. Skylight 8. Shading (Shade Closed) a. North b. East c. South d. West e. Skylight 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 or R -value [ 191 U -value [0.037] or R -value [0] F2 factor [0.77] Type U -value [0.65] Point Scores V 0 %Total Glass [16] Sum 13 % Glass SC Eff. % Glass �9 X •77 ? 3 X /D x = % Glass SC Eff. % Glass ' 1 -/ X�lL r 7-3 Interior Mass/CFAs X I TT►C Z "AlS TYPE 1 MASS AREA _ $- IntenorN�as/CFA COND. FLOOR AREA TYPE 2 MASS AREA _ f4 Exterior Wall Mass ND. FLOOR AREA 7� X - SE or HSPF et*4.d � 'a.e (e•a9l Effective [0.7216.6] ' - ..... _.. -- t TYPE 1 MASS (UIMC & 4.2, Se: ex scd slab) i 0% 5% 101/. 1S% 20% 2S% 30% 35% 40%.45% 50% 55% 60% 66$, 70% 75% 80% 85% 90% 95% i 100% 105% 1101/. 115% 1207.125't 0y. 0 0.2 0.4 0.6 0.8 1.1 1.3 1.5 1.7 1.9 21 23 25 2.7 2.9 3.2 3.4 10 3.8 4 4.2 4.4 4.6 4.8 55.3 101/. 0.2 0.4 0.6 0.8 1 1.2 1.4 1.6 1.9 21 23 2.5 27 2.9 11 3.3 3.5 3.7 4 4.2 4.4 4.6 4.8 5 5.2 5.4 20% 0.3 0.6 0.8 1 1.2 1.4 1.6 1.8 2 2.2 24 21 29 3.1 3.3 3.S 3.7 3.9 4.1 4.3' 4.5 4.8 5 5.2 5.4 56 ) 30% 0.5 0.7 0.9 1.1 1.4 1.6 1.8 2 22 24 26 28 3 32 15 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 58 40% 0.7 0.9 1.1 1.3 1.5 1.7 1.9 2.2 24 26 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5:7 5.9 , W. 0.9 1.1 1.3 1.S 1.7 1.9 21 23 25 27 3 32 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 SS% 0.9 1.1 1.4 1.6 1.8 2 2.2 24 2.6 28 3 32 3.5 3.7 3.9 4.1 4.3 4.S 4.7 4.9 S.1 5.3 5.6 5.8 6 6.2 60% 1 1.2 1.4 1.7 1.9 2t 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 ' 5 5.2 5.4 5.6 5.9 6.1 63 65% 1.1 1.3 1.5 1.7 1.9 2.2 2.4 2.6 2.8 3 3.2 3.4 3.5 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 55 5.7 5.9 6.1 6.4 709: 1.2 1.4 1.6 1.8 2 2.2 25 27 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.6 4.8 S 5.2 5.4 5.6 58 6 6.2 64 75% 1.3 1.5 1.7 1.9 21 2.3 2.5 2.7 3 3.2 3.4 3.8 9.8 4 4.2 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 WY. 1.4 1.6 1.8 2 2.2 2.4 26 2.8 3 3.3 3.S 3.7 3.0 4.1 4.3 4.5 4.7 4.0 5.1 5.4 5.6 5.8 6 6.2 64 66 65% 1.4 1.7 1.9 2.1 2.3 25 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 S 5.2 54 5.6 S.9 6.1 63 65 67 WY. - 1.5 1.7 2 2.2 24 262.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 53 5.5 5.7 5.9 6.2 6.4 66 68 95% 1.6 1.8 2 2.2 25 27 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 5.2 5.4 5.6 5.8 6 6.2 6.4 6.7 6.9 1009: 1.7 1.9 21 2.3 2.5 28 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 55 5.7 5.9 6.1 6.3 6.5 6.7 7 105% 1.8 2 2.2 2.4 2.6 28 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 5.6 5.8 6 6.2 6.4 6.6 68 7 110% 1.9 21 2.3 2.5 27 29' 3.1 3.3 3.6 3.8 4 4.2 4.4 4.6 4.8 5 5.2 5.4 5.7 5.9 6.1 6.3 6.5 6.7 69 7.1 115% 2 2.2 2.4 2.6 2.8 3 3.2 3.4 3.8 3.8 4.1 4.3 4.5 4.7 4.9 5.1 S.3 5.5 5.7 5.9 6.2 6.4 '6.6 6.8 7 7.2 120% 2 2.3 25 2.7 29 3.1 3.3 3.5 3.7 3.9 4.1 4.4 4.6 4.8 S 5.2 S.4 5.6 58 6 6.2 6.S 6.7 6.9 7.1 7.3 125% 21 2.3 25 2.8 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.7 7 7.2 7.4 Point System Summary: Climate Zone 11 SCORE CARD Measures 1. Ceiling Insulationor w R -value [38] U -value [0.030] 2. Wall Insulation or R -value ( 1J U -value [0.098] 3. Raised Floor Insulation �4 Slab Edge Insulation 5. Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) a. North b. East c. South d. West e. Skylight 8. Shading (Shade Closed) a. North b. East c. South d. West e. Skylight 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 or R -value [ 191 U -value [0.037] or R -value [0] F2 factor [0.77] Type U -value [0.65] Point Scores V 0 %Total Glass [16] Sum 13 % Glass SC Eff. % Glass �9 X •77 ? 3 X /D x = % Glass SC Eff. % Glass 1 -/ X�lL 7-3 X X TYPE 1 MASS AREA _ $- IntenorN�as/CFA COND. FLOOR AREA TYPE 2 MASS AREA _ f4 Exterior Wall Mass ND. FLOOR AREA 7� X - SE or HSPF Duct Efficiency [0.78] Effective [0.7216.6] ' - ..... _.. -- HSPF [0.5615.15] SEER [9.5] Duct Efficienry [0.74] Effective SEER [7.03] Sumo 7-10 43- Type [SG] Credit [none] Point Total:� .Certificate of Compliance: Residential Climate Zone 11 Project Title ?0 Buildin$Permtt# Project Address h5 Checked By / Date Documentation Author / Telephone Enfotoernent Agency Use Only BUILDING DATA Glass Area % Glass North '2, 9 Conditioned-Flooi_- r Number of Stories Fast off: A ' Slab/Ratsed Floor% Number of .Units Z South 7.3 HSingh Family Detached (SFD) [ ] Addition-AloneWest �_� /• 81 [ ] Single Family Attached (SFA) [ ] Existing Building T ytlight a313. R [ ] Multi -Family (MF) (] Existing -Plus -Addition BUILDING SHELL INSULATION, Component Insulation Locaraoniromments Type R -Value (attic, .to garage, f'.Fi'°. etc.) Wall .............. Wall .............. Roof ............. 3 D Roof ............. Floor ............. Floor ............. Slab Edge..... GLAZING Shading Devices Glazing Area Glass Type Interior Exterior Overhang Framing Type Orientation (SO (single, double) (Jolla blind. etc.) (shadescreen, etc.) (yes/no) (metalhtrood) North North ( ) East. East ( ) South South ( ) West ( ) West ( ) Skylight....... THERMAL MASS Type/Covering Area Thickness (slab/exposed, tile, etc.) _(sf) (inches) Location/Description (kitchen, bath, etc.) vA' (I alt::� HVAC SYSTEMS Minimum Duct Type (furnace, air Efficiency Location conditioner, heat pump) (SE, SEER.HSPF) (attic, etc.) z Duct Output Manufacturer / Model # R -Value (Btuh) (or aonroved equal) 1. Maximum Furnace Heating Output: HOT WATER SYSTEMS Tank Manufacturer/Model # etc.) Capacity (or approved equal) Special Featur '(s) I01111111111i S G SPECIAL FEATURES/REMARKS (Add extra sheets if necessary)„ s Mandatory Measures Checklist: Residential Y MF -111 NOTE. l.owrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (-) may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all 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 Building Envelope Measures §2.5352(a): Minimum ceiling insulation R-19 weighted average. §2.5352(by Loose fill insulation manufacturer's labeled R -Value. §2-5352(c): Minimum wall insulation in framed walls R-11 weighted average (does not apply to exterior mass walls). §2.5352(kr Slab edge insulation - water absorption rate no greater than 03%, water vapor transmission rate no greater than 2.0 perrnhnch. §2-5311: Insulation specified or installed meets California Energy Commission (CEC) quality standards Indicate type and form. §2-5352(fr Vapor barriers mandatory in Climate Zones 14 and 16 only. §2-5317: Infiltration/Exfiltration Controls L Doors and windows between conditioned and unconditioned spaces'designed to Emit au leakage. b. Doors and windows certified. c. Doors and windows weathersripped; as joints and penetrations caulked and sealed 12.5352(e): Special infiltration barrier installed to comply with §2-5351 meets CEC quality standards 12-5352(d): Installation of Fireplaces 1. Masonry and factory -built fireplaces have: L Tight fitting, closeable metal or glass door b. Outside air intake with damper and control — Flue damper and control 2. No continuous burning gas pilots allowed. HVAC and Plumbing System Measures §2-5352(8) and 2-5303: Space conditioning equipment sizing: attach calculations. §2.5352(h) and 2-5315: Setback thermostat on all applicable heating systems. §2-5316(a): Ducts constructed, installed and insulated per Chapter 10, 1976 UMC. §2-5316(br Exhaust systems have damper controls. §2.5314(c): Gas -fuel space heating equipment has intermittent ignition devices. §2-5314: HVAC equipment, water heaters, showerheads and faucets certified by the CEC. §2.5352(1): Water heater insulation blanket (R-12 or greater) or combined interior/exterior insulation (R-16 or 8=ter); fust 5 feet of pips closest to tank insulated (R-3 or greater). §2-5312(Excep6on 1): Pipe insulation on steam and steam condensate return & recirculating piping - §2 -5318(d): Swimming Pool Heating 1. System hu: a. On/off switch on heater. b. Weatherproof instruction plate on heater. e. Plumbed to allow for solar. 2. 75 percent thermal efficiency. 3. Pool cover. 4. Time clock. . 5. Directional water inlet. Lighting and Appliance Measures §2.5352(1): Lighting - 25 lumenstwatt or greater for general lighting in kitchens and bathrooms. §2-5314(c): Gas fired appliances equipped with intermittent ignition devices. §2.5314(a): Refrigerators, refrigerator -freezers. freezers and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. DESIGNER I ENFORCEMENT W0411 COMPLIANCE STATEMENT This certificate,of compliance lists the building feawres and performance specifications needed to comply with Title 24. Chapter 2-53 and Title 20, Cliapter 2. Subchapter 4. Article 1 of the California Administrative code. This certificate has been signed by the individual with overall design responsibility and the building owner. who shall retain a copy of it and transmit the certificate to any subsequent purdiaser of the building. Design Name rttteJ6um: 1 Building Owner Name Q' Add=: - Telephone: (sitnattue) . _ .. (date) _. (signature) Documentatl u o Enforcement Agency None - . Name: Address: Tl�y ClCpllOne (date)