HomeMy WebLinkAbout058-500-0290
0
r 058-50-0r029•t- 93-2983BPEM
MUELLER, Steve '
//MNelson Bar Rd.',- Oroville-
(new single•family)IoJOL404 ,
.058-500-029 PERMIT#95-13AG
MUELLER, Steve
11452 Nelson Bar -Rd.,' Oroville
Ag Exempt Permit-tack,equip,animals
058-500-029 y PERMIT#95-0169
MUELLER, Steve,-
11452
teve11452 Nelson Bar Rd., Oroville /
add open. deck/sf ✓j�t •�,� fj op/
ray"" 9
L LC*
I
i
RESIDENTIAL
PEAMIT#950169,,-:��,
MUELLER, 'Steve
-11452, Nelson Bar Rd.,,Oroville..
add open deck/sf.
JOB FINALED
Signature
j
.1 OK
O = Not OK
= Not Applicable
= Not Ready MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas: Location -Test -Wrap: / /" L" ft.
/ /"Nat. or/ /"L"ft./ /"LPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
MISCELLANEOUS
Date DEC COVERS, CARPORTS, GARAGES, Plans OK except #'s
. Zopk<g Requirements -Setbacks -Easements
00 ' s; Soils -Size -Depth -Spacing -Connectors -Steel
necks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10.Ro ; "thg-Roofing
Ext.; Steps -Doors -Landings
Date3 Card B-1 Date Card B-1
Dat2xlCard B-1 Date Card B-1
Date PO LS (Plan -O except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.;Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
_ , Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
J=OK
O = Not OK
= Not Applicable
Not Ready RESIDENTIAL (;
=
Date UNDERFLOOR (Plans) OK except n's
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Stemwalls, Main; Steel -Bloc kouts-Wra pped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -fitting -Test -2 Way C/O -Sewer Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Pienums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. Insulation
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit),OK except p's
16. - Water Htr.: Vent -Access -Combustion Air -Baffle
---------------- - ------------------------------
17. Water Pipe: Test & Anchor -Nail Protection
----------- --- --------------------------
18. D.W.V.: Test -Fittings & Anchor -Nail Protection
------- ------ ----- ------------------
19. Shower Pan: Test, First Floor -Tub Access
--------
20. Test -Tub & Shower. -Second Floor -Tub Access
---------------- -------------------
21. Gas Pipe: Size & Anchors
Date Card B -t Date Card-B-1---------
Date
ard B -t
--------------------- --------- ------------ -- -- -------------------
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except a's
22. Fixture & Transformer Clearance -Ins. -Protection
23. Elec. Receptacles Spacing -Lights & Switches at Doors
24. Size Boxes & No. of Conductors -Stapled
------ - - - -------------------------------
25. Romex Installed Close to Edge of Studs & C.J.
-------------------------------------------------------------------------------
26. Equip. Ground made -up w/Mech. Fastners-Bond Gas & Water
---------------------------------------------------------------
27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI
--------------------- -------------------------------------------------------------
28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size / ! ga.
Cu or AI
29. Range Circ. ! ga. Cu or AI -Oven Circ. / ! ga. Cu or Al.
Insulated Neutral ❑ Yes ❑ No
------------------------------------------------
30.
------------ ----- -
30. Service -Riser Conductors & Ground -Main Disconnect
----------------------------------------------
31. Equip Clearances Panels- Motors- Mech. Equip.
---------- ---------------------------------------------------------
32. Clothes Closet Light -Shower Light -Spa Light
-
-
----------- -------------------------------------------
-- - ----------------
33. Smoke Detector
---------------------------------------------------------------------------------
Date Card B_1 Date Card B_1
---------- ----------------------- --------------
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except a's
34. A.C. Ducts Insulation & Support
--------------- -------------------------------------------------------------------
35. Vent Fan: Exhaust above insulation
----------------------------------------------------- ----------------- -----------
36. Condensate Drain & Overflow: Size & Grade
------------------------------------------------------------------ -----
37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet
--------------------------------------------------------------------- - -
38. Attic Access & Platform if Furnance in Attic
----------------------------------- ---- --- --- -------------------------- ----------- -
Date Card B-1 Date Card B-1
------------------------------------ ----- ----- -----------------------------------
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except'h's
39. Sils. Proper Material & Anchors
------- ----- ----------------------------------------------------------
40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound
------- ---------- ---------------------- - --- ---------------
41. Bearing Walls over Girders & Floor Nailing
-- - ---- -- - - --- ------------------------------------ --
------------------
42. Draft Stop in Walls (rat proof)
-------------------------------------------------------
-------------- 43.. Fire -Stops: Furred Ceilings -Stairs -Chases -Tub
----------------------------------------------------
44. Headers & Beam -Size & Bearing
III, & Duplex)
Date FRAMING (Continued)
45. Hangers -Post Caps -Anchors -Connectors
46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng.
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
48. Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50. Garage Fire Protection Framing
_ 51. Property Line Firewall & Openings
52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits
53. - Stairs Width -Headroom -Rise -Run -Landing -Fire Protection
----------------------- -
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
-----------------
-----------
55. Siding -Nailing Veneer
----------- --
_____________ 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
57. Glazing Area -Glass Protection -Skylights -Plastic
_ 58. Shear Walls: Nailing -Bolts
59. Insulation -Walls -Ceilings
------------------------
60. Infiltration -Walls -Windows
Date _______ --Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except #'s
61. Ext. Steps -Door & Sidelight Protection -Landings
62. Smoke Detector
------------------------
63. Furnace: Vents -Clearance -Comb. Air -Connector -
In Garage: Above Floor-Ducts-Mech. Protection
---------------
64. Bedroom Exiting
-..----- ---- -
65. G.F.I. & Bath Fixtures & Tub Access -Spa
----------- - - ---------------
66. Elec. Trim & Subp anel: Breaker Sizes & Labels
------------------------------
67. Stags & Rails
------- -
68. Fireplace or Stove: Clearances -Hearth
-------- --- ---
..
- - ---------------------
69. Elec. Outlets at Wood Panel: Int. & Ext.
70. Kit.Fixt & Appliance: Grnd.-Air Gap -Cooking Clearance
-- ---- --- - - - - ----------------------- -
71. Elec. Outlets & Receptacles at Kit. Counter
72. Garage Fire Door: Swing -Landing -Closer
---------------------------------
Duct in Garage -Damper
-- ----- - - -
74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage: Above Floor-Mech. Protection
---------------------------------------
75. Plb__Elec_ & Mech. Equip. Listed for Location
76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection
-----------------
7;. Insulation -Foam -Looked in Attic ❑ Yes
-------------------------------
78. Guard Rails & Deck Construction -Post Caps
79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
80. Following instld.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No;
Planters ❑ Yes _❑ -No
81. Stucco: Brown -Finish
---- -- -- - ---------------------------- ---
82. A.C. Unit: Disconnect. Electrical, Plumbing
.. - -- ------ ----------------------------- -- -
83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to
Openings
84. Water Well: Disconnect, Electrical, Plumbing
85. Exterior Elec. Trim: G.F.I. Receptacle -Underground
-----------------
------------------
86. Ventilation Throughout House
---------------------------------
87 Glass Protection
----------------------------------
88.
-------------88. Corrections from Previous Inspections
-----------------------------------
89.
------------89. Gas Test -Meters Tagged: Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
91. Energy Compliance Certificate -Other Certificates
------ ------------------------------------- -- -
Date Card B-1 Date Card B-1
------------------------------------------- ---------
Date Card B-1 Date Card B-1
-----------------------------
Date
----------------------------Date Card B-1 Date Card B-1
Comments at Final:
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 0
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT N0.
APPLICATION AND PERMIT!�2
A OR LNUMBER
ZONfrS .
BUILDING PERMI
OWNER
STEV�EJ[`JMUELLER TELEPHONE
33 4593
OWNEWS MAILING ADDRESS ' `�--�
11452 NELSON BAR RD. OROVILLE
SQ. FT. occ. BUILDING VALUATION
321 0 2247
CONTRACTOR'S NAME
OWNER
TELEPHONE
CONTRACTOWS MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENOEWS MAILING ADDRESS
Filing Fee $
20.00
Permit Fee $
54.0
ARCHITECT OR ENGINEER,
ucENSE No.
Plan Checking Fee $
5.10
ARCHITECT OR ENGINEEWS MAILING ADDRESS
Energy Plan Checking Fee $
Penalty $
BUILDING ADDRESS
11452 NELSON BAR RD. OROVILLE
PERMIT FEE $
109.10
PLUMBING PERMIT
Fling Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
LOT NO.SUBDIVISION'S
NAME
PARCEL MAP
Water piping
15.00
Each gas water heater or vent
15.00
USE OF STRUCTURE
SF Duplex O Mobilehome O 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 CK Remodel O Utilities ❑ Installation O Other ❑
Describe Work: OPEN DECK
PERMIT FEE $
Contractor
ELECTRICAL PERMIT
Filing Fee 1 20.00
Main Service 'OVOR LESS
( 200A OR LESS )
23.00
Main Service ( 200A TO IOOOA )
46.00
NEW CONST. DWELLING OCCUP.
OR ADONS. ( & ACC. BLDS. )
3.5C SO .
FT.
CONTRACTORS LICENSE LAW
I declare Under penalty Of perjury (Check One)
O 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full force and effect.
License No. Classification
1'1, as the owner, 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)
O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
O 1 am exempt under Sec. Business and Professions Code
forthis reason
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ This permit is for $100.00 (valuation) or less.
❑ 1 have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
!0'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.
NEW CONST. MULTI -OUTLET
NON-RESIO. ( BRANCH CIRCUITS )
@7.50
8 SPOWERAPPARATI
( )
INGLE OUTLET CHR.
Ex. Occup. ( OUTLET OR FIXTURES )
BA20 @ 1:00
50
Ex. Occup.FIXED APPINS. OR
(OUTLETS IRESID.I EA. )*:2
5.00
Temporary Service
3.00
Mobile Home Facilities
20 00
Misc. Wiring
+33-00
PERMIT FEE $
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE S
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.
I also agree to save, indemnify and keep harmless the County of Butte against all
liabilities 'ud nts, co ts, and expenses which may in any way accrue against said
County I ons uenc of the granting of this permi .
X Date — % G)�
Signature of Applicant - O Owner O Contractor O Agent
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Contractor
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEES 109 • 0
HAZ.
D. FEES
_
IMP
FLOOD
COF
�—
PARCEL PD
H
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By D e
PERMIT EXPIRES ON
lOerel
Receipt No. 6 q
WHITE-D.D.S.-B.D. CA ARY- SSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
.yy.•`b•.....s�v-.......f�^''..tti^.:Mf'^r'i,a-(r`w:.yi�' _^r.....7t--.r�....;ir"ri1""'tG.re^"..s:�+r••x..�^.n.y'.`'...- v i5^,..:sr .. ��� ., J r-. .- .Yr n._=i"... �,
`, •y,: �Y>'�r.:f'yr t-n'•+r'��1`'p r.y....a.w,,,..�..0 j"-,e'..va+�i-v.�1`^.K -r�
COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 - TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER a
No.
Proposed Building Use Building Inspector Date Sr
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 talcs, 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). ....
st9. Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
10. - Fees of $........................................ .
11: Im-pa(& fees as shown on attached schedule . ............................. .
12. California Department of Forestry plan approval/fees.
rFlood elevation letter (100 year flood) by -California Engineer. .
�i
t
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) Us,e' (B) Parking: . ........
18. Contact Land Development.about (A) Improvements (B) Drainage. .......... .
19. Driveway permit (construction approval required prior to occupancy). .. . .
Preanspection request
20. Pre -inspection for required. .. to Building Inspector (Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Workmans Compensation Insurance . ..........................
23. Owner -Builder Verification (Given to owner , Mail to owner ............
24. Recorded copy of Agricultural Acknowledgement Statement . ..................
25. Letter of signature authorization . ........................................'
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
27. Letter of intent on building use . .........................................
28. Mobilehome utility clearance . ..........................................
29. Documentation of legal access . ..................... :..................
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . .............. .
31. Existing violations/expired permits . ......................................
32. Plan check list . .....................................................
33.
34.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver with inspector.
Other
Parcel Creation
Acreage Applicant Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Plans checked by Date Plans approved by 2KA Date --2- - " 9_S
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
TO:
FROM:
SUBJECT:
Building Department
Environmental Health
Sanitation Clearance
H.H. USE ONLY
Plat Pian AUachad
Fkm Phu Attached
Suri to B.D. /
Owner Location AP#
Plan Approved for: Sewage Disposal Water Supply: Public Private Well
Clearance for bedroom mobile home. Other
Hold final for:
Final clearance O.K. for:
NOTE:
�, ,_ lis, •
E ironmental Health Specialist Date
8/92
COUNTY OF BUTTE
DgRartment of Development Services
Building Division
Oroville: 7 County Center Dr., Oroville CA 95965 Ph: 916-538-7541
Chico: :,4469..Humboldt Rd., Chico CA 95928 Ph: 916-891-2751
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has.been applied for in your name and bearing your signature.
Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and
` issuing your building permit. No building permit will be issued until this verification is received.
1. I personally plan to provide the major labor and_ materials for construction of the proposed property improvement
(yes or no) o/�S
2. I (have/have not) ve— signed an application for a building permit for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed construction:
Name
Address City
Phone Contractor's License No.
4. '1 plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and
provide the major work:
Name
Address City
Phone. Contractor's License No.
5. - I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated:
Name Address Phone Type of Work
Signed: `--�
Property Owner
Social`SM:nr-ityNumber
Date a-- i- 9 • .
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California
Health and Safety Code.
This verification must be completed and returned to our office before we are permitted to issue the
permit.
.. q 7o. 9;
R -v,
O
V,
5 2
rtr Z -- _
APPROVED
Butte County
Environmental Health
----- Date 2 - / - ej _
GLr Signature
CpR,H
LIu4
3
EnvirQpMental Health
FEB
Oroville, CaIH�
orflla
STEVE E
MuELLIZ
yS
I i 2 ►J e Svn 13 c, iZ)
�rvv,il� C,-. 95'4&s
(910) 53:3 4.593
iI ys"Z NcL$ON 1.344q RO. DRoviLL6 C4 9s94, 5
AGR1- ovr 8 it_0t,vG .A P-# 0SB --.Soo -02q -
DECK AREA
321.5 square feet
X 6" 2
2'X 2'6" pier pads 8'
N.. Siay%a�o�J TIES._
,a,%A&j FLOOR FrP i L
2" X 6" redwood decking.—
support columns
owner supplied pine poles 6"
minimum diameter at top
maximum height 16' from_top_of
fpeir concrete bracing where
needed
I
STEVE MUELLER
deck �ans 11452 Nelson Bar Road
Oroville, California 95 65
[916] 533-4593 ���
LIVING AREA
\`
� .0\
� c ►�}���e n 0 v` ��P� �. 1800 sq ft
butte County
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397
TELEPHONE: (916) 538-7541
FAX: (916) 538-2140
1/4/96
STEVE MUELLER
11452 NELSON BAR RD RE: Building Permit # 95-0169
Expiration Date: 2/6/96
OROVILLE, CA 95966 A.P. #_ 058-5007029
With reference to the above subject, our records indicate that your
building permit expires on the above date and your permit falls into the
category marked below:
[X] Permit work started, but not completed. Permit may be renewed
for 1/2 the original building permit fee (plus a $20.00 filing
fee). The renewal permit will extend the building permit for
an additional year from the original expiration date. Should
you not renew your permit within 30 days of the expiration date,
all work must cease until a new building permit has been issued.
For your convenience, we are enclosing a renewal application form
and owner -builder form to be completed and signed by you where
indicated and returned to this office together with the fee
shown. Please return all copies of the application form.
[ ] No inspections have been made on permit work. Inspections are
required to verify code compliance: We are unable to renew a
permit where the work has not been started and inspected prior
to permit expiration. After expiration of your permit, no work
may be started until a new permit has been issued.
If our recordsare in error or should
LLE have any questions concerning
this matter, p lease contact the office.
Thank you for your prompt attention concerning this matter.
Yours very truly,
Michfael C.1 Vieira, C.B.O.
MCV:ahb Manager, Building Inspection
Attachments
Chico Office - 1469 Humboldt Rd/891-2751
Paradise Office - 747 Elliott Rd/872-6307
BUILDING DIVISION
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES
" 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-75
AGRICULTURAL BUILDING EXEMPTION PERMIT
PERMIT NO.
Agricultural building is defined as follows: Agricultural building is a structure designed 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. ® •1
ZONING
OWNER
PHO b1q. 3
OWNER'S ADDRESS SO
LOCATION OF BUILDING
✓ta "- S E 0F Y (QUS6;�
USE OF BUILDING
SIZE OF STRUCTURE tG
' X ' :_ SO. FT.
TYPE OF CONSTRUCTI
WOOD FRAME STEEL CONCRETE OTHER (Spedlfy)
TYPE OF SIDING 0 6-D
ROOF COVERING
, L
A P o 99
FLOOR TYP
ESTIMATED � OFC�STRUCTION
$
-,l
AG Buildings shall comply with the minimum front, side, and rear yard setback 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 to comply with the requirements in effect at that time and before
occupancy.
Date D, , / - 9
Permit Fee - $60.00
Receipt No. 17/9 R2z
Signature of Owner -7r07�4 �-
The above described AG Building is exempt from a buildina permit
FLOOD PARCfrt P.D/ ROOFj G ISSUVI I
Manager Building Division
By Date z
White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant
RESIDENTIAL
t 058-50-0-029 93-2983BPEM'
MUELLER, Steve
pfzS LNelson Bar Rd-, Oroville
(new single family)
4,5'.
/ V
r�
�y
OFFICE COPY
i
Address
GAS Date
1 Meter By
M C I C'
e
ELECTRIC
Meter By DateA
JOBTINALE
Slonsturs
i1
V=OK
O = Not OK
Not
= Not Ready Applicable MOBILE HOMES
Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'a
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Teat -Fall -C/O Concrete
4. Water; Location -Teat -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Teat -Wrap: / /" L"ft.
/ /"Nat. or/ P'L"ft./ /"LPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date/Initials MOBILE HOME INSTALLATION (Plana) OK except #'a
1. Zoning Requirements -Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
3.. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Teat -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
11 s.
MISCELLANEOUS
Date/Initial 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:Connectors.
Shthg :Rfg: Bracing
S. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
i
Date/Initials 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-Enclosu res -Pane lboards- Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
V=OK
O^.Not'OK•
- = Not Applicable RESIDENTIAL'(
= Not Ready
Date/Initials UND RFLOOR Plans OK except #'s
. Zon ng -Setbacks -Easements -Flood -Slope
tg., Main; Soils-Elec Gr .-/ /' Ftg. Depth
G -FO -Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
S. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
f � . Slab; Steel -Wrapped
evid-
8. P!,%= -Fireplace Ftg.-Steel
D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Pie_rwms & Ducts; Clearance -Material -Support -Ins.
irders;S(Ils-Anchor Bolts -Joists -Vents -Cripples
15. A -ss Ventilatio
16. Insulation
Date/Initials PLUMBING Permit OK except #'s
2,r
r W ter Htr.; Vent -Access -Combustion Air -Baffle
AZ�er Pipe; Test & Anchor -Nail Protection
PC D.W.V.; Test -Fittings & Anchor-Naii Protection
19. Shower Pan; Test, First Floor -Tub Access
20. Test Tub & Shower, Second Floor -Tub Access
21. Gas Pipe; Size & Anchors
Date/initials ELECTRICAL (Permit) OK except #'s
22. Fixture & Transformer Clearance -Ins. Protection
Elec. Receptacles Spacing -Lights & Switches at Doors
Size Boxes & No. of Conductors -Stapled
o Installed Close to Edge of Studs & C.J.
Equip. Ground made up w/Mach. Fastners-Bond Gas & Water
Appliance Circuts in Kitchen & Conductor Size/GFI
28. Subfeed Wire Sizey ga. Cu or AI-A.C. Wire Size / / ga.
Cu or Al
29. Range Circ. ,5 / ge®or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral ❑ Yes ❑ No
Service -Riser Conductors & Ground -Main Disconnect
31.E . Clearances Panels -Motors -Mach. Equip.
lothes Closet Light -Shower Light -Spa Light
Sm ke Detector
7i
Dae/Initials MECHANICAL Permit OK except #'s
y ft . A.C. Ducts Insulation & Support
-�� 35. Vent Fan; Exhaust above insulation
ansate Drain & Overflow; Size & Grade
urnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet
ttic Access & Platform if Furnance in Attic
Date/Initials FRAMING Plans OK except #'s
�'jy ESNs, Proper Material & Anchors
_WaIIs Studs -Nailing, Spacing & Bracing -Plates -Sound
Bearing Wells over Girders & Floor Nailing
D ft Stop in Walls (rat proof)
ire Stops; Furred Ceilings-Stairs-Chasee-Tub
Headers & Beam -Size & Bearing
Single & Duplex)
Date/Initials FRAMING (Continued)
_ L45,-Kangers-Post Caps -Anchors -Connectors
ung. Joist-Rftr. ties-Purlin=roof Brec-Truss-Shthng.-Rfng.
LP.-Preplace Ties or Type A Flue -Fireplace Throat clearance
ttic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
t3g.djrpewrndows or Exiting Doors -Sill Hgt. & Dimensions
C -A- arage Fire Protection Framing
5,1.-Prope"V-L lne Firewall & Openings
L52Ext..Doors-One 3' -Check Garage -3rd Story, 2 Exits
. Stairg; Width -Headroom -Rise -Run -Landing -Fire Protection
plywood on Roof Overhang -Attic Vents -Rafter Outriggers
jSS Siding -Nailing Veneer
ttseeo rip Screed -Fd. Vents-Underflr. Access
187'Glazing Area -Glass Protection -Skylights -Plastic
58. Shear Walls; Nailing -Bolts
Insulation -Ceilings Gj • �"
60. Infill ation-Walls-Windows
-t.
Date/Ini ' Is FINAL ens OK except #'s
61 -Door & Sidelight Protectlon-Landings
Smoke Detector
6rnace;.Vents-Clearance-Comb. Air -Connector -
In age; Above Floor -Ducts -Meth. Protection
ed om Exiting
G.F.I. & Bath Fixtures & Tub Access -Spa
6 ec. Trim & Subpanel; Breaker Sizes & Labels
. StSl &'Rails
Fireplace or Stove; Clearances -Hearth
A9:--t1_eq_0tfflets at Wood Panel; Int. & Ext.
7 it.Fixt. & Appliance; Grnd: Air Gap -Cooking Clearance
7 . let Outlets & Receptacles at Kit. Counter
Garage. Fire Door, Swing -Landing -Closer
7 . K_C. Duct in Garage -Damper
r. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage; Above Floor -Mach. Protection
7 b. ec. & Mach. Equip. Listed for Location
7 . let. eceptacles in Garage; (G.F.I.)-Romex Protection
n ation-Foam-Looked in Attic ❑ Yes
. Gua ails & Deck Construction -Post Caps
7 . dn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Cle ce Looked under Floor O Yes
ollowing instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ No
8 64neee-
, ft0WK7Flnish
C unit; Disconnect, Electrical, Plumbing
ST -vents Above Roof; Plbg: Appliance -Fireplace. -Clearance to
Openings
jiwi Well; Disconnect, Ele cal, Plumbing
_xterior Elec. Tri Receptacle -Underground
-W-Ventilallen Throughout House
GI Protection
?-81>&rrections from Previous Inspections
es Test -Meters Tagged; Gas -Electric
iter & Sewer Connected -C/O to Grade -HD Approval
-PTEner Compliance Certificate -Other Certificates
Co nts at Final:
s
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
:f
CORRECTION NOTICE
evi—
OWNER PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is complete'fi. f you have any questions pertaining to this matter, or need additional explanation,
plt7�
tact this office immediately.
C
Date Inspector
t I
REV 10/92
a IF
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
OVVNER PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
re,
h ✓li1G�yy/Gi �l.G '�^c7 hC ✓K'Jl� tC�
Date Inspector ���
c�
REV 1092
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
' 747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE i
OWNER ENR W IT' NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at f
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
/ T p
r
Date dl/,9Inspector Z b4
REV 10/92
Insulation Certificate
5,/ Fule
Number and Sucet Ciry
County Subdivijion Lot Numbs
Description of Installation
ROOF
Matcrul Brand Name
'thickness (inches) Thcanal Rcaivaacc (R -Value)
CEIUNG.
FIBERGLASS'
But or Blanket Type
Brmid Nmrx CERTAINTEE'D
Thickness (inches)
Thermal Resistance (R -Value)
1mkFd1Tjjx INSULSAFE'III
BrmdNa= CERTA,11�5ZEEQ
Contractor's minimum installed weighdit lb w
Minimum thickness 15"VAinches
Manufactumes installed weight per square foot to acheive, ThmmW Resistance (R -Value)
EXTERIOR WALL
Wmfial FIBERGLASS*
BiindNarne CERTATNTEPN
Thickness (inches) 6 y
ThmmalResistance (R-Valuc)
RAISED FLOOR
Material FIBERGLASS
Brand Name CERTAINTEtD
Thiftess (inches) to Yq
Thermal Resistance (R-Valuc)
SLAB FLOOR
mawial
Brand Name
Thickness (inches)
Thenal Resistance (R-Va!ur)
Width (inches)
FOUNDATION WALL
Material FIBERGLASS
BrandName CERTAINTRED
Thickness (inches)
Thcrmnl ResisLike (R -Value)
Ded4ration
I hereby certify that the above insulation was installed in the building at the above location in conformance with.
the Current Building Energy Efficiency StaridaWs for new residential buildings contained inTitle 24 of the,
California Administrative Code.
Genual Conaactot (Builder) LicrjueNurnba
Sign -nue ud Tide Due
SHASTA INSULATION .272941
Lkcm Nwnbcir
Stptuure and Title Dam
SP( COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENTVICE -BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - T lepho (916) 538-7541g�� a P MJ� .
APPLICATION AND PER d'
ASSESSOR PARCEL NUMBER 058-500-029
FR 5 ZONING
BUILDING PERMIT
OWNER
STEVE IvNEL•LER
TE873NE3959
SQ`. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
PO BOX 1501 MAGALIA 95954
1864 R 95
437.00
529 M 9,522.00
CONTRACTOR'S NAME OWNER
TELEPHONE
154 ATRUM 7,885.00
CONTRACTOR'S MAILING ADDRESS
Fireplace "A" 1 1
, 500.00
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ 114
344.00
LENDER'S MAILING ADDRESS
Filing Fee
$ 20,00
Permit Fee
$ 692.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 4 49.80
Energy Plan Checking Fee
$ 23.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
11452 NELSON BAR RD VILL
PERMIT FEE
$ 1184.80
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
9 1 7,00 63.00
Solar or heat pump water heater
23.00
Water piping
15,00 15,00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Each gas water heater or vent
15.00 19.0
USE OF STRUCTURE
SF 3)Duplex O Mobilehome ❑ Other
SPECIFY
Gas piping system 1 5 outlets
15.00 115.00
Building sewer
15.00 119 _on
Mobile Home S G I W
@20.00
TYPE OF WORK
New T El ❑ Remodel ❑ Utilities ❑ Installation Other ElX
Describe Work: 1 BDRM
PERMIT FEE
$
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service ( B00vORLESS
200A OR LESS)
23.00
Main Service ( 200A TO 1000A )
46.00
NEW CONST. DWELLINGOCCUP.
OR ADDNS. ( P. ACC. BLDS. )
SO -
3.5C FT.
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
O I am a licensed under provisions of Chapter ter 9, Division 3 of the Business and
p
Professions Code and my license is in full force and effect.
License No. Classification
elTemporary
, as the owner, 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)
O I am exempt under Sec. , Business and Professions Code
forthis reason
NEW CONST. MULTI -OUTLET
NON-REslo. ( BRANCH CIRCUITS )
@7.50
( POWER APPARATUS )
B SINGLE OUTLET CIH.
Ex. Occup. ( OUTLET OR FIXTURES )
@ 1.00
BALL.. 50
Ex. Occu FIXED APPLNS. OR
p' ( OUTLETS IRESID.1 EA. )
5.00
Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ This permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
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
$ 19J-75
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating WOOD HT ONLY
Cooling N/A
Hood
6.50 6.50
Ventilation
PERMIT FEE
$ 26.50
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.
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 ce the granting of this permit.
X Date 1-f93This
Signature of Applicant Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height. 2
Mobile Home Installation Fee $
Energy Inspection Fee $ 46.00
occ
R3
CONST. TYPE
VN
TOTAL FEE $ 1527.05
HAZ.
-
D. FEES
IMP
FLOOD
-
CDF
PARCEL PD
HD
-
I UE
permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
WORKS
Dat ! V 93
`7
/Dat
ReceiptNo. 552.80 - 148532// 1489k -n 16 l
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLD OD -APPLICANT
IC
.s,.,.,y--.-..,.-�r>.�+'l`^^.-<�.j���'ti.�r'r.+.�•4•ri•^+^'.�'�t'inwr'1��...,,'�'.r-'t•'qua"'gYE4'i�,'V'"`.+�/'�.-+'r.�:M..^ OSER'CES
COUNTYOF BUTTE - DEPARTMENTPF®EVELOPMEN -BUILDING DIVISION -.
r � G#9
...:
7 COUNTYCENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER G za & I/f (.�����L / �---� A P. No. -to/)/
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 BY
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 . ......................
4
-_ — .`18. Engineered truss details and layout in duplicate (required prior to plan check). .... —
9 Mobilehome data and ma ufacturer's installation instructions, 2 sets. ........... +
10. Fees of $
................
Impact fees as shown on attached schedule. .. ..... .. ....
12. California Department of Forestry plan approval/p. 57A.L^ 1/.1.
13- Flood elevation letter (100 year flood)'by Californii Engin er. ............. 14. Sanitation and plot plan approval 7% �D) % 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 occupafi: yr).�/......... .
20. Pre -inspection for to Building
Insion req
regUlred. . to Building Inspector (Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Workmans Compensation Insurance . ......................... .
Verification Given to owner Mail to owner
ecorded copy of Agricultural Acknowledgement Statement,, .. . (..........
,4,.,Owner-Builder
5. Letter of signature authorization . ................, .. .f................ I
26. Copy of recorded deed of parcel creation and 60 right�of way to a public road. ..... i
27. Letter of intent on building use . .........................................
28. Mobilehome utility clearance . .......................................... I
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 yo sue the permit, process as follows: Mail to owner. Mail to contractor.
elephoneV3 3`T S'-7 and hold for pickup at ('� office. Deliver with inspector.
Other
Parcel Creation
Acreage Applicant Date 9 % �,-:f,
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 n
1. Index permit•for above items No.
2. Additional items required:
item not checked above).
Contractor, designer, owpier, was advised of above required data by _hone _ mail 'Counter by�Date 6--
Contractor, designer, owner, was advised of above required d a.liy.6 hone _ mail -' Cour b _ Date
Plans checked by Date -c,///A? J�. proved by Date��
Sets of plans on hold in File cabinet AP folder A)d // pees dc- ^2w
Copy - Department of Public Works �� ( 0 7- 1J
TO:
FROM:
RE:
Building Department
Encroachment Permit Section
Driveway Clearance
N
S7�eve M e Ile" ///-/s v i�/� /f®y /�u� � slq- SOg _ -2-
owner location . AP #
Driveway permit ! /
si ature
has been issued for the above property.
�-
date ..
i�
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
' KII. IISE
I'L�t 1'I:w Attached
I hmr
PI :m Att• -lied
�
Sent to IS.I). "' /� �
fQ
4/.i. l 6"
flj
vX,�,
i
Owner
Location
Plan Approved for:
Sewave Disposal
L� Water Su
Supply:
I'blic
u
Clearance for,
bedroom uue home.
Other
Hold final for:
Final clearance O.K. for:
NOTE
Environmental Health Specialist
8/92
A P#
Private Well
7` lJ
Date
c /y
-f-COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
r. 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541/, 3 �T NO.
APPLICATION AND PERMIT i
ASSESSOR PARCEL NUMBER T"O� 11
ZONING � L
S
BUILDING PERMIT
OWNER
fe ve • � e
TELEPHONE
S
973-39 9
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING RESS G �O' ` � �
G (// Y&
h
9 < a
CONTRACTOR'S NAME �i/ _
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation9—$
LENDER'S MAILING ADDRESS
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEER
ucENSE No.
Plan Checking Fee
$
Energy Plan Checking Fee
$ a , p -D
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDI ADDR 0l�---�
��SOIn
PERMIT FEE
$ O
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
Cf 1 7.00 ,00
Solar or heat pump water heater
23.00
Water piping
15,00 .do
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Each gas water heater or vent
15.00 <,p6
USE OF STRUCTURE
SF1d Duplex O Mobilehome ❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
15.00 / 1!7!�
Building sewer
15.00 (�(�
Mobile Home S G W
@20.00
TYPE OF WORK
New kr Addition ❑ Remodel ❑ Utilities O Installation ElOther ❑
Describe Work:
PERMIT FEE
$
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service I OOOV OR LESS )
200A OR LESS
23.00 ��
Main Service ( 200A TO IOOOA )
46.00
NEW CONST. DWELLING OCCUP.
OR ADONS. ( & ACC. OLDS. )
SO, " `i
3.5C FT.
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
❑ 1 am a licensed underrovisions of Chapter 9, Division 3 of the Business and
P P
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 compensation, will do
the work, and the structure is not intended or offered for sale. (Sec 7044)
O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
❑ I am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI -OUTLET
NON.REs10. ( BRANCH CIRCUITS )
@7.50
I POWER APPARATUS )
8 SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
20 @ 1.00
BAL. @ .50
Ex. Occu p• ( FIXED APPLNS. OR
OUTLETS (RESID.) EA. )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ This permit is for $100.00 (valuation) or less.
❑ 1 have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
❑ 1 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
'I ,
Heating WOO
Cooling
Hood
6.50 (p�SD
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.
I also agree to save, indemnify and keep harmless the County of Butte against all
liabilities, judgments, costs, and expenses which may in any way accrue against said
County in consequence of the granting of this permit.
X Date `'r
Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in heights.
Mobile Home Installation Fee $
Energy Inspection Fee $ r ego
o
CONST.
TOTAL FEE $ S 7,
HAZ.
11"
O. FEES
IMP
-"1
Floo
CDF
PARCEL PD
HD ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
WORKS
Date
Me tel
1 L�iS l/ / �f
Receipt No. Q (�
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INS E OR GOLDENROD -APPLICANT
M
COUNTY OF BUTTE — DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION
7 COUNTY CENTER DRIVE, OROVILLE CA 95965 -.TELEPHONE (916) 538-7541
OWNER L6, A.P.
PROPOSED BUILDING USE �� DATE Z/9-3
/ REC. # DATE REC
SCHOOL DISTRICT FEES vN /` S
(paid at District Office) ......................... oo53 o
SHERIFF FEES
(paid at Building Department)
j�
Residential ...... �x C V =$ -36 a
unit amt.
Commercial (sqft) x =$
%sq.ft. amt.
3. URBAN AREA FEES
(paid at Building Department)
Residential (per unit) x =$
# units amt.
Commercial (per sq.ft) x =$
sq.ft. amt.
lk�� 4. RECREATION DISTRICT FEES
- (paid at District Office).. ... ...
&/1-5. DRAINAGE DISTRICT FEES
& (Contact Land Development Division) ..............
T1/ 6. SRA FIRE INSPECTION AND PLAN CHECK = $89.00......
(paid at Building Department`
7. OTHER
�
9 A3
At time of permit application, I was advised the above fees are required to be paid
prior to issuance of the -permit.
APPLICANT DATE
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One Form Per Building)
School District 9_0 U Al At S Building Department No.
A.P. Number dSi -SO -0 -0d / Jurisdiction 0 t City County
Property Owner �- �--
Property Location/Address 1% ` _ z /y E1-510 l-1 &14 /Z AZ' b A-0
Subdivison Lot No.
Residential Development 0 Sq. Footage
No. of Living MHI Addition (Group R)
Units
Commercial/Industrial Sq. Footage
New Addition (Including Exterior
Roofed Areas)
1-7 �9?,
Building Departm t Representative Date
-(Floor Plans-reviewed-b9'SchoeH3istuct-P-ersoaaei)
1tri
ct,L*V,'
Identificatio o. 0055 �4chool District certifies tha
(Street Add
licant)
Number)
(City) (State) (Zip Code)
has complie with the r quire nts of Resolution No. 0590 by payment of $'¢
representing. �P square feet.
School District Representative
Paid by Check Number
Bank_ Number
Paid. by Cash
Date
If, sub equent to the Sc ool District Re resentative signing th)district's
B e County chools Impa t Fee
Ce 'cation Form, the chool District ' notified b the applicl Local Pla ing Agenc hat this p ojec
is eing reviewed un • er the Californi Environm6tal Quality A(CEQA), t is project by be subs ct to
dditional school fe s to full miti a its im a on the scho s, hoots
�ot
White (applicant), Ye(low (building de artment), Pifik (school district) fee,,,m.wkl (4/92)
COUNTY OF BUTTE - Deoartment of Public Works
7 County Center Drive, Oroville, CA 95965
OWNER -BUILDER VERIFICATION:
attention Property Owner:
Phone: 916-538-7541
An 'owner -builder" building permit has been applied for in your name'and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
1. I personally plan to. provide the major labor and materials for construction of
the proposed property improvement y s r. no)
2. I h vi/have not) vas signed an -'application for a building permit.
for the proposed work.
3. I have contracted with the following person (firm) to provide.the proposed
construction:
Name
Address City
Phone Contractors License No.
!+. I plan -to provide* portions of this work,.but'l have hire& the following person
to coordinate, supervise, and provide the major work:
Name
Address City
Phone Contractors'Lidense No*'
S. I will provide some of the work -but I have contracted (hired) the following
persons to provide .the work indicated:
Name. Address . Phone Type of Work
Signed:
Property Owner
Social Security N b r
Date 7, r 993
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
Return to BvtjdiNg I v, AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT
FOR RESIDENTIAL DEVELOPMENT
` Sectiones=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'7,j�, I
to land or included. within .an area zoned
for ,agricultural purposes, and -residents I
of this property may be -subject- to .incon- Recorded I
Official Records I
veniences -or discomfort arising ec
from the County ec I
use of agricultural .chemicals, including,] Butte I
but not limited to herbicides, pesticides, ' Candace J. Grubbs I
and fertilizers;- and. from. the pursuit
order I
of _agricultural oprations including, 10:04amc20-Sep-93 I
but not limited to cultivation; plowing,,
spraying, pruning, and harvesting which
occasionally generate dust, smoke, noise, and odor.
tural zones which.have as a priority use for productive
within said zones and on adjacent property should be
or discomfort -.from normal, necessary farm operations.
93--40448
Rec Fee 8.00
Check 8.00
PUBL XX 2
Butte County -has established agricul-
agricultural purposes, and residents
prepared to accept such inconvenience
All thrat .real :p op`erty:.-situate in -the County of. Butte, State of California, described as
follows:
Date:
7
State of ( )
SS.
County of )
PROPERTY OWNERS:
On this the /K 'w'day of 1.1912, before me, the
undersigned Notary Public, rsonally appeared
vfh l/e r .Sr,
El Personally known to me. [A Proved to me on the basis
of satisfactory evidence.
to be the person(s) whose name(s)
subscribed to the within instrument and acknowledged that
93a'boomswoman mmonanowsma uted the same for the purposes therein contained. IN WITNE S
sa
R®�BB�A�C®CK WH�i hereunto my.hand I herto set hand and official seal.
�
a tigD NOTARY PUBLIC -CAL IA ® -
Butte county
My Coeemievion EVU% VWV M I 4 H
Notary Public
21J 19:121 021111 OU4 U11J L1L'� �111�U
SCHEDULE C
The land referred to herein is described as follows:
W_jvva
9.3-40448
Order No. 3-162731
All that certain real property situate in the County of Butte, State of
California, described as follows:
A portion of the Northwest Quarter of Section 33, Township 22 North, Range
4 East, M.D.B & M., and included in Parcel 1 as shown on Map entitled
"Reversion to Acreage Via Parcel Map," which Map was recorded in the Butte
County Recorder's Office on ,lune 29, 1983, in Book 93 of Maps, at Page 3;
Said portion of Parcel 1 being located between Parcel 3 and Parcel 2 in the
"Reversion to Acreage Via Parcel Map" referred to above, and bounded on the
West by the Nelson Bar Road right-of-way, with the true point of beginning
for the creation of the following described Parcel being the Southwest
Corner of said Parcel 3, and extending Easterly along the South Boundary
Line of said Parcel 3 for a distance of 490.95 feet on a line bearing S 77°
58' 30" E to the Southeast Corner of said Parcel 3; thence Southward on a
straight line to the Northeast Corner of Parcel 2 in said Parcel Map; and
thence Westerly along the North Boundary Line of said Parcel 2 for a
distance of 552.12 feet, on a line bearing N 740 45' 05" W, to the
intersection with the Boundary Line of the Nelson Bar Road right-of-way,
thence Northerly along said right-of-way Boundary -to the point of
beginning.
RESERVING THEREFROM a non-exclusive easement for ingress, egress and public
utilities over, under and across a strip of land 60 feet in width lying 30
feet on each side of the following described centerline:
Beginning at a point in the centerline of Nelson Bar Road, from which the
Northwesterly most corner of Parcel 2 as shown on the Parcel Map recorded
in Book 93 of Maps, at page 3, Butte County Recorder's Office, bears South
26° 11' 21" East, 160.35 feet; thence along the centerline of an existing
dirt road South 72° 17' 47" East, 110.19 feet; thence South 39° 05' 50
East, 47.24 feet; thence South 26' 25' 43" East, 136.22 feet; thence South
61° 01' 37" East, 38.99 feet; thence South 65° 27' 12" East, 320.98 feet;
thence North 84° 29' 21" East, 53.57 feet; thence North 720 40' 50" East,
30.01 feet to a point on the East line of said Parcel 20. said point bears
South, 41.20 feet from the Northeast corner of said Parcel 2 and the end of
this description.
The sidelines of said centerline shall be lengthened or shortened as
necessary to intersect said East line of Parcel 2.
The Basis of Bearings for this description is the same as shown on said
Parcel Map 93 M 3.
Said Easement to be for the benefit of and appurtenant to the remaining
land of the Grantor herein and shall inure to the benefit of and may be
used by all persons who may hereafter become the owners of any parts or
portions of said appurtenant land.
AP No. 058-500-029
to
61i.CUMENT
R-ESIDwNTIAL PLAN CHECKING GUIDE 8/91
(S.F., DUPLEX & MISC. ONLY)
Bldg. Permit #
OWNER (I I jhj A.P. #_5 �^ 0
Plan Checker L,S �—
GENERAL
1. Zoning requirements: (sideyards and number of permitted living units).
Valuation.
�3! Flans signed by designer.
Ak/ Proper description 'of work on application.
Existing violations on property.
?-Items..kon._data--sheet. (W.C. , fees, Health, Developer- Fees; License law, etc)�.� =
.�! Recorded notice of violation.
PLOT PLAN
Complete parcel size and dimensions.
/7. Setbacks, sideyards, easements, etc.
-3: Other buildings or structures:
Grading, 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 PLAN
Complete to scale plan with dimensions.
Required windows for light and ventilation (Sec. 1205).
Required windows for second exit (Sec. 1204).
Skylights (Chapter 34 & Sec. 5207).
Human impact glass (Sec. 5406).
Required room sizes, ceiling heights (Sec. 1207).
GFCIs in baths, garage, kitchen, and exterior outlets (Article 210-8).
8.' Light fixtures, switches, receptacles, and exterior receptacles for main-
tenance of mechanical equipm
9. Locations of water heater, heating and cooling equipment, other electrical
_for gas equipment.
. Garage firewall, door size, and closer (Sec. 503(d)(3)).
. 1 - 3'0" exterior exit door (sec. 3304 (f).
Fireplace and wood stove location, alcoves, and clearance.
Smoke detectors (Sec. 1210).
. Plumbing fixtures, water closet clearances and shower size.
STRUCTURAL DETAILS
Standard bracing or engineered design (Table 25V)
Unusual shape, size, or split level house requiring lateral design:
3: Clerestory requiring balloon framing and/or engineering.
Three story building requiring engineered calculations and plans.
5. Foundation plan complete enough to construct building.
6. Floor construction details complete enough to construct building.
Elevations and wall construction details complete
Roof construction details complete enough to
&Fireplace construction details and calcs if
.�Rafter ties or bearing ridge beam.
Garage door or porch header sizes.
Stud heights.
Adobe soils - special foundation design.
Retaining walls requiring design.
pecial Inspection required.
enough to construct building
construct building.
necessary.
RESIDENTIAL PLAN CHECKING GUIDE
-' y
MISCELLANEOUS ITEMS TO LOOK OUT FOR
Stairway details: landings, rise and run, head clearance, handrails
[Attic
Sec. 3306).
uardrail details (Sec. 1711 & 3306(j).
rick or stone veneer (Chapter 30).
xterior plaster - weep screeds (Sec. 4706).
roper roof pitch for roof convering (Chapter 32).
oof covering type - (fire hazard).
oam insulation - protection.
6" halls and stairways.
iving area over garage - complete 1 -hour separation required on garage side
ncluding supporting walls and posts, etc.
wo exits on three-story dwellings (sec. 3303 & see Mezannines - 1716).
access and ventilation (Sec. 3205).
nderfloor access and ventilation (Sec. 2516).
13. Combustion air for fuel burning appliances - L.P.G. requirements.
--14-.-Noise requirements on duplexes.
15. Energy design.
,:F
Flashing at all exterior openings.
OF responsible area requirements.
SGC/
U,5 6s ��
RESIDF'1VTIAL PLAN CHECKING GUIDE 8/91
(S.F., DUPLEX & MISC. ONLY)
Bldg. Permit #
OWNER A.P. _G
Plan Checker /--
GENERAL
�Zoning requirements: (sideyards and number of permitted living units).
jValuation.
��3//.. /Plans signed by designer.
�/ Proper description of work on application.
VI
xisLing violations on property.
tems_on data, sheet. (W.C., fees, Health; .Developer Fees, License -law, etc).
ecorded notice of violation.
PLOT PLAN
Complete parcel .size and dimensions.
Setbacks, sideyards, easements, etc.
Other buildings or structures.
Grading, fills, drainage.
Flood hazard.
Special conditions on creation map, (noise, CDF, fire sprinklers, non-comb-
ustible, and foundations).
FAU & FAS road setback.
Building or utilities across lot lines (Record form).
FLOOR PLAN
1. omplete to scale plan with dimensions.
2. Required windows for light and ventilation (Sec. 1205).
8. squired windows for second exit (Sec. 1204).
L Skylights (Chapter 34 & Sec. 5207).
Human impact glass (Sec. 5406).
Required room sizes, ceiling heights (Sec. 1207).
GFCIs in baths, garage, kitchen, and exterior outlets (Article 210-8).
L ght fixtures, switches, receptacles, and exterior receptacles for main-
tenance of mechanical equipme
Locations of water heater, eating end c..-14�ui n -t, other electrical
or gas equipment.
. Garage firewall, door size, and closer (Sec. 503(d)(3)).-
- 3'0" exterior exit door (sec. 3304 (f).
Fireplace and wood stove location, alcoves, and clearance.
Smoke detectors (Sec. 1210).
- =Plumbing fixtures, water closet clearances and shower size.
STRUCTURAL DETAILS
Standard bracing or engineered design (Table 25V)
Unusual shape, size, or split level house requiring lateral design.
Clerestory requiring balloon framing and/or engineering.
dF! Three story building requiring engineered calculations and plans.
Foundation plan complete enough to construct building.
Floor construction details complete enough to construct building.
Elevations and wall construction details complete
4t. Roof construction details complete enough to
Fireplace construction details and calcs if
Rafter ties or bearing ridge beam.
rT. Garage door or porch header sizes.
. Stud heights.
. Adobe soils - special foundation design.
. Retaining walls requiring design.
. Spec}al Inspection required.
enough to construct building
construct building.
necessary.
RESIDENTIAL PLAN CHECKING GUIDE',''
MISCELLANEOUS ITEMS TO' LOOK OUT FOR
Stairway details: -•landings, rise and run, head clearance, handrails
(Sec. 3306).
Guardrail details (Sec. 1711 & 3306(j).
Brick or stone veneer (Chapter 30).
Exterior plaster - weep screeds (Sec. 4706).
Proper roof pitch for roof convering (Chapter 32).
Roof covering type - (fire hazard).
Foam insulation protection. --- -
36" halls and stairways.
Living area over garage - complete 1 -hour separation required on garage side
including supporting walls and posts, etc.
Two exits on three-story dwellings (sec. 3303 & see Mezannines - 1716).
Attic access and ventilation (Sec. 3205).
12. Underfloor access and ventilation (Sec. 2516).
Combustion air for fuel burning appliances - L.P.G. requirements.
Noise requirements on duplexes.
. Energy design.
. Flashing at all exterior openings.
DF responsible area requirements.
i
0
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE - OROVILLE. CALIFORNIA 95965-3397
TELEPHONE: (916) 536-7541
_.. _ FAX: (916) 538-2140
STEVE MUELLER AUGUST 31, 1994
PO BOX 1501
MAGALIa, CA 95954-1501
RE: ' Building Permit #93-2983
DEAR MR. MUELLER: Expiration Date: 10/7/94
A.P. # 058-500-029
With reference to the above subject, our records indicate that your
building permit expires on the above date and your permit falls into the
category marked below:
[XX] Permit work started, but not completed. Permit may be renewed
for 1/2 the original building permit fee (plus a $20.00 filing
fee). The renewal permit will extend the building permit for
an additional year from the original expiration date. Should
you not renew your permit within 30 days of the expiration date,
all work must cease until a new building permit has been issued.
For your convenience, we are enclosing a renewal application form
and owner -builder form to be completed and signed by you where
indicated and returned to this office together with the fee
shown. Please return all copies of the application form.
[ ] No inspections have been made on. permit work. Inspections are
required to verify code compliance. We are unable to renew a
permit where the work has not been started and inspected prior
to permit expiration. After expiration of your permit, no work
may be started until a new permit has been.issued.
If our records are in error or should you have any questions concerning
this matter, please contact the OROVILLE of f ice.
Thank you for your prompt attention concerning this matter.
Yours very truly,
Michbel C.1 vieira, C.B.O.
MCV:ahb Manager, Building Inspection
Attachments
Chico Office - 1469 Humboldt Rd/891-2751
Paradise Office - 747 Elliott Rd/872-6307
Point System Summary: 'Climate Zone 11
1.
Ceiling Insulation
> q or
R -value
One
Two
ue381
U -value 10.0261
2.
Wall Insulation
! or
R-19
-5
-4
uerigi
�9l
U -value [0.0651
3.
Raised Floor Insulation
or
R-38
0
0
R -Value 1191
U -value 10.0371
4.
Slab Edge Insulation
or
R -value
Single-
Single -
R -value 101
F2 faetlor 10.751
5.
Infiltration
Any Ducts in Unconditioned Space? ( Y / N) (Yj
6.
Fenestration Heat Loss
0 0
0
R-30
2 1
Type
U -value 10:651 Total X Fines. 1161
Point Scores
sum 1-6
7. Fenestration Heat Gain
% Fenestration SCshade open Elf. % Fenes. Shade Elf. Ratti'
North J • % x -77 _ �2• $S A
East -1/_V x = =�
South
West X
= _
West /. 5 x = /
Skylight D x =
Overhangs? ( Y / N
8. Interior Thermal Mass or =�
% Exp. Slab 1201 Int MassJCFA
9. Exterior Wall Mass '
Ext Wall Maas
10. Heating System _ 79
AFUEorHSPF Duct Effic.11 story: Effective AFUE Zonal Control
(78% or 6.81 0.83:2+ story: 0.881 or HSPF Adjustment (01
11. Cooling System x =
SEER (10.01 Duct Effic. [1 story:. Effective SEER Zonal Coned
0.81; 2+ story: 0.871 Adjustment 101
12. Water Heating �n
System 1- S 6
Heater TypeEnergy Factor Ext Ins. R-vaiue Au)uliary Input Distribution
(SG501 (0.531 (121 (None[ [STD]
System 2
Heater Type (None) Energy Factor Ext Ins. R -value Auwuary Input Distribution
Point Total:
1. Ceiling Insulation
R -0
Number of stones
-43
R -value
One
Two
Three` -
R -o
-74
-48
-27
R-19
-5
-4
-2
R-30
-1
-1
0
R-38
0
0
0
2. Wall Insulation
.71
Number of stones
.61
R -value
Single-
Single -
R-0
-14 -9
Family
Family '
WNW -
R -0
-72 -57
-43
R-11
-7 -6
-4
R-13
.5 -4
-3
R-15
-4 .3
.2
R-19
0 0
0
R-21
1 1
1
3. Raised
Floor Insulation
1.01
.91
Insulation In Floor
.76
.71
Number of stones
.61
R -value
One Two
Three
R-0
-14 -9
-5
R-11
.3 -2
-1
R-19
0 0
0
R-30
2 1
to
4. Slab Edge Insulation
North
Number of Stones
. East
R -value One Two
Three
R-0 0 0
0
R-5 6 4
2
R-7 7 4
2
6. Fenestration.Heat Loss
.87 .67 S2
-5-
Sum
SSum 7-9
7-
S. Infiltration (Duct Air Leakage)
Dual to Untxutditioned Space 0
No Ducts in Unconditioned Space 3
8
7. Fenestration Heat Gain (based on Shade Eftecuveness Rato)
Elf
North
-4 ' .3
. East
South
-20
West
.12
LLvalue
%
.87 .67 .52
S1
.87 .67 .52 .51
.87 .67 S2
.51
.87 .67 .52
Total
1.31
1,21
1.11
1.01
.91
.81
.76
.71
.66
.61
.56
.51
'.46'
.41
.36
.35
Percent
of
to
to
to
to
to
to
to
to
to
to
10
to
to
to
or
Fenestrwon more
130
1.20
1.10
1.00
.90
.80
.75
.70
65
.60
.55
.50-
.45
40
less
501.
-100
•76
.69
-62
-55
-8
-41
-38
•34
•31
.27
.24
•20
.17 `
-13
-10
401.
-T7
-58
-52
-47
-41
-36
-30
.27
-a
.22
•19
-16
.13
-11
3
-5
35%
-66
49
44
-39
-34
-29
-25
-22
-20
-17
-15
-12
-10
-7
.5
-3
301.-
-54
40
-36
-31
-27
-23
.19
-17
-15
-13
-11
' 3
.-6
-4
.2
0
2801.
-50
-36
-32
-28
-25
-21
-17
-15
-13
-11.
-9
.7
.5
- .3
•1
1.
26% .
-45
-33
-29
-25
-22
-18
-14
-13
-11
-9
•7
-5
.4
-2
0
2
24%
-41
-29
-26'
-22'
-19
`-16
-12
-11
-9
-7
-6
-4
-2
.1
1
3
2201.
-36
-25
-22
-19.
-16
-13
-10
-0
.7
-5
-4
-2
-1
1
2
4
20%
-31
-22
-19
-16
.13
-11
-8-
'-6
-5
-4
-2
-1
1
2
3
5
18%
-27
-18
-16
-13
-11
-8
-6
-4
-3
.4
.1
1
2
3
4
6
16%
-22
-14
-12
•-10
-8
-0
-3
-2
-1
0
1
2
3•
4
6
7
14%
-18
-11
-9
•7
-5
-3
-1.
0
1
2
3
4
5
6
7
8
12%
-13
-7
-6
-4
-2'
-1
1
2
3
4
4
5
6
7
8
9
1011.
-8
-t
-2
.1
1
2
3
4
5
5
6
7
8
8
9
10
8%
-t
0
1
2
3
4
6
6
7
7
8
8
9
9
10
11
8
7. Fenestration Heat Gain (based on Shade Eftecuveness Rato)
Elf
North
-4 ' .3
. East
South
-20
West
.12
SkyBpht
%
.87 .67 .52
S1
.87 .67 .52 .51
.87 .67 S2
.51
.87 .67 .52
.51
.67 .66
Fen-
or to to •
or
or to to or
or to to
or
or to • to
or
or or
swa•
more .86 .66
less
mote .86 .66 less
more .86 .66
less
more .86 .66
less
more less
bon
14%
-4
-3
.2
.1.
-14
.13
.
181.
-5
-4 ' .3
-2
-21
-20
•15
.12
.26
-23
•16
.12
-36
-32
-23
•16
-75
-50
16%
-4
-4
.2
-1
-18
•16
.13
•10
.21
.19
•13
.9
.31
-27
•19
-14
-65
cid
14%
-4
-3
.2
.1.
-14
.13
.11
-8
-16
-14
-10
-7
-26
•23
-16
-11
•55
-38
12%
-3
-2
•1
.1
-11
.10
.8
-0
•12
-10
-7
-4
-21
.18
.13
.8
-46
•31
11%
-2
-2
-1
0
-10
-9
-7
-6
-10
•8
.5
.3
.19
•16
•11
-7
-41
.28
1(1.
-2
-2
.1
0
-0
-8
.6
.5
.8
•7
.4
.2
•16
.14
-9
.6
•37
.25
9%
-2
-1
•1
0
-7
.7
.5
.4
.6
.5
.3
.1
•14
.42
-8
.5
-32
-22
8%
-1
-1
-1
0
-6
-5
-4
.4
.4
.4
•2
0
-11
•10
-0
-4
-29
-19
71.
-1
-1
0 '
0
-5
-4
-4
.3
.3
-3•
-1
0
-10
-0
•5
-3
-24
•17
6%
-1
-1
0
0
-0
-4
-3
-2
-2
-2
-1
0
-8
-7
-4
' -2
-20
-14
5%
-1
0
0'
0
-3
-3
.2
.2
•2
.1
0
0
-6
-5"
.3
-1
-16
-12
4%
0
0
0
0
-2
-2
-1
.1
i
.1
0
1
-4
-4
-2
0
-12'
-10
3%
0
0
0
0
•1
-1
-1
0
0
0
0
1
-2
-2
0
1
•9
_T
2%
0
0
0
1
0
0
0
0
0
0
1
1
0.
0
1
2
-o
-5
1%
1
1
1
1
1
1
1
1
0
0
0
0
1
1'
2
2
-3
-2
0%
1,
1
1
1
1
1
1
1
0
0
0
0
3
3
3
3
0
0
8. Interior Thermal Mass
. Houses
Enenor
Method A
(Slabon-grade
Construction Only)
Percent
Family
one
Family
Two
Three
Exposed
Ston
0.00
Stories
Stories
0
0.20
-3
32
-2
0.40
1
10
4
-2
9
.1
6
-1
20
10
0
1.00
0
12
0
30
17
1
10
1
18
1 .
40
1.60
3
17
2
1.80
1
50
14
4
24
3
14
2
60
0,
5
7.4
3
5
2
70
2
6
1
4
7.8
2
80
7
8
4
5
1
3
90
8.0
9
9
6
5
3
100
100%
10
8.5
6
11
4
7
4
Method
B
+6 to
Effeedve AFUE or HSPF
Ira
AC
Stab Ftocir
(AFUE or HSPF x duct efficiency)
Raised Floor
Mass
+15
Stories
One Story House
Sum of 1.6
Stories
-19
/CFA
One
Two Three
One
Two
Three
0.0
-11
-8
-6
-1
.1
0
0.1
-10
-7
-6
0
6 -
0
0.3
-9
-0
-5
1 .
1
1
0.5
-8
-5
-4
2
2
2.
1.0
-6
3
.1
4
4
5
1.5
-4
.1
1
6
'6
6
20
.2
2
4
8
8.-
8
25
1
3
-5 .
9
9
9
3.0
3
1
5
11
10
10
4.0
4
6
7
13
13
13
5.0
4
6 .
8
14
14
14
6.0
5
T.
9
15
15
15
7.0
7
8
10
16
16
16
8.0
8
9
11
18
17
17
9. Exterior Wall Thermal Mass
. Houses
Enenor
Single-
Single-
Muni
Wan
Family
Family
Family
Mass
Detacned
Attacaled
Pckg
0.00
0
0. ;
0
0.20
3
32
Pkg
0.40
7
5
4
0.60
9
8
6
0.80
12
10
.7 .. "
1.00
14
12
9
1.20
17
13
10
1.40
18
14
11
1.60
21
17
13
1.80
23
18
14
200
24
19
14
10. Heating -System
. Houses
With Ducts (R4.2)
Water Honig
It=
SEER
Pam Some
Houses With Ducts (R4.2)
Sum of
7.9
47
.5
Spirt
Pckg
-25 or
Sum
of 1-0
+6 to
16 or
Gas
Split
Pkg
-25
-24
.14
-4
+6
16
AFUE
HP
HP
or
to
to
to
to
or
-
HSPF HSPF less
-15
-5
+5
+15
more
78%
6.8
6.6 -
0
0
0
0
0
0
801.
7.0
6.8
1
1
1
1 0
0,
85%
7.4
7.2
5
4
3
2
2
1
90%
7.8
7.6
9
7
5
4
3
1
95%
8.3
8.0
11
9
7
5
4
2
100%
8.7
8.5
13
11
9
7
4
2
-14 to -4 to
+6 to
Effeedve AFUE or HSPF
AC
AC
less
(AFUE or HSPF x duct efficiency)
-5
- Effective
+15
more
One Story House
Sum of 1.6
-32
-19
Gas
Split
Pkg
.25
-24
-14
-0
+6'
16
AFUE
HP
HP
or
to
to
to,
to
or
7.0
HSPF: HSPF
less
-15
.5 .
+5
+15 more
One Story House
8.0
7.8
-1
0
0
0
33%
29
28
-62-
-53
-44
-34
-25
-16
40%
3.5
3.4
30
-34
-28
-22
-16
-10
501.
4.4
4.2
-19
-16
-13
-10
-7
-5
60%
5.2
5.1
d
-4
-3
-2
-2
-1
64%
5.6
5.4
0
0
0
0
0
0
70%.
6.1
5.9
6
5
4
3
2
1
80%
7.0
6.8
13
11
9
7
5
3
90%
7.8
7.6
19
16
13
11
8
5
100%
8.7
8.5
24
20,
17
13
10
6
Two or
Three Story
House
-8
•3
0
7.0
33%
29
28
.b9
.58
48
-37
-26
-15
40%
3.5
3.4
-46
-39
-32
-24
-17
-10
50%
4.4
4.2
-24
-20
-16
-13
-9
-5
60%
5.2
5.1
-9
-8
.6
-5
-3
-2
691.
6.0
5.8
0
0
0
0
0
0
70%
6.1
5.9
1
1.
1
1
0
0
80%
7.0
6.8
9
8
6
5
3
2
901.
7.8
7.6
15
13
10
8
6
3 '
100%
8.7
8.5
20
17
14
11
8
4
Zonal Control Adjustment
System Type
Resistance 6 4 3 2 1 0
Other - 3 3 2 1 1 0
11. Cooling System
•.
. Houses
With Ducts (R4.2)
Water Honig
It=
SEER
Pam Some
1000
Sum of
7.9
47
.5
Spirt
Pckg
-25 or
-24 to
-14 to -4 to
+6 to
16 or
AC
AC
less
-15
•5
+5
.15
more
0
9.7
0
0
0
0
0
0
_10.0
11.0
10.7
4
3
2
2
1
0
120
11.6
8
6
5
3
1
0
13.0
126
11
9
6
4
2
0.
14.0
13.6
13
11
8
5
2
0
15.0
14.6
16
12
9
6
2
.0
8:•
11 90
Effective SEER
.4
6
SG75
Al
0.48
(SEER x duct etftciency)
1 •1
.12
Eff SEER
-2
Sum of
7-9
3
6 5
Split
Pckg
-25 or
-24 to
-14 to -4 to
+6 to
16 or
AC
AC
less
-15
-5
+5
+15
more
One Story House
-41
-32
-19
5.0
4.9
-29
-23
-17
-11
-4
0
6.0
5.8
-16
-13
-9
-6
-2
0
7.0
6.8
-7
-6
-4
-3
•1
0 .
8.0
7.8
-1
0
0
0
0
0
8.1
7.9
0
0
0
0
0
0
9.0
8.7
5'
4
3
2
1
0
10.0
9.7
9
7
5
3
1
0'
11.0
10.7
12
10
7
4
2
0
120
11.6
15
12
9
6
2
0
13.0
126
18
14
10
6
3
0
14.0
13.6
20
16
11
7
3
0
15.0
14.6
22
17
12
8
3
0
Two or Three Story House
-15
:G
Al
0.80
5.0
4.9
-35
-27-
-20
-13
-5
0
6.0
5.8
-21
-17
-12
-8
•3
0
7.0
6.8
-11
A
-7
.4
.2
0
8.0
7.8
-4
-3
-2
-1
-1
0
8.7
8.4
0
0
0
0
0
0
9.0
8.7
2
1
1
1
0
0
10.0
9.7
6
5
4
2
1
0
11.0
10.7
10
8
6
4
1
0
120
11.6
13
10
7
5
2
0
13.0
126
16
12
9
6
2
0
14.0
13.6
18
14
10
6
3
0
15.0
14.6
20
16
11
7
3
_ 0
Adjustment for No Tank Inimbatlao
Numoer of Wain Menem
Water Heater Tyce One Twe
SGSO .2 .5
SG75 •3 a
SE -5 -0
HP -2 .4
House Shia Adjustment
Haas sae (it)
suosaal
less
1000
Water Honig
It=
to
Pam Some
1000
1499
30
47
.5
.25
•14
.4
-20
-11
-3
-15
-0
3
-10
a
4.
.5
3
4
0
0
0
5
3
1
10
6
2
15
9
3
20
11
3
25
14
4
House Shia Adjustment
House sae (it)
subtotal
ism
2000
Winer Heating
to
or
Pont Store
1999
more
30
0
3
-3
0
2
-20
0
2
-15
0
t
.10
0
1
.5
0
0
0
0
0
5
0
0
10
0
1
15
0
1
20
0
.2
25
0
-2
Zonal Control Adjustment
All 6
5 4
2
1 0
12. Water Heating
Out Water
Hester - No A=MWY credfb
Ohmaaion Synatn2
Retec Symms
Water
Climates
EraV
STD
MM Pips
No
Tlmsr
Domd
Hemi Tvoet
Zones
Fs®r
POU luau!
CV1
SG50
Al
am
0
3 1
-9
-5
0
0.63
5
8 6
-4
0:
5
0.73
8:•
11 90
.4
6
SG75
Al
0.48
-2
1 •1
.12
-7
-2
0.58
3
6 5
4
-1
'.A
0.68
7
10 8
-1
3
7
SE
Al
U7
-20
-12 -17
-41
-32
-19
0.83
-17
-9 -13
38
-28
-16 .
IG'
Al
am
2
5 3
IE
Al
031
-21
-12
HP
6.11.13.15
1.80
4
7 5
-5
-1
4
Two Water Heaters - No AnzMary Csedttr
SG50
Al
om
.7
-4 -6
-17
-12
-7
0.67
1
5 3..
-0
-4
1
0.73
6
10 6
-2
2
7
SG75
Al
0.48
-12
-0 -11
-22
-17
-12
am
1
3 0
-11
-6.
.1
0.68
-8
9 7
-4
1
6
SE
Al
0.87
-22
-14 -19
'-46
-35
-22
0.93
-16
-7 -12
-39
-28
-15
:G
Al
0.80
.4
.1 3
IE
Al
0.93
-21
-12
HP
6.11.13.15
1.80
.1
3 1
-10
a
0
Mandatory Measures Checklist: Residential MF -1 R
Certificate o f Compliance: Residential
- Climate 11
Zone
NOTE: Lowrrse residential buildings subject to the Standards must contain. these measures regardless of the compliance
approach used. Items marked with an asterisk (') may be superseded by more stringent compliance requirements
listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features
noted shall be considered by all parties as binding minimum component performance specifications for the
mandatory measures whether they are shown elsewhere in the documents or on this checklist only.
prolectTide // / n
/ n 'Qe-
il
Build it
"e !
—Ad
IF IT
DESCRIPTION DESIGNER ENFORCEMENT
p1•ejectdress
� �� /f�r�
(����-By��Data
Building Envelope Measures
S Q� C/
� �
• §150(a): Minimum R•19 ceiling insulation.
Documentation Author Telephone
Enfoircanent Agency Use Only
§I50(b): Loose fill insulation manufacturer's labeled A -Value.
FeneSiratlon
• §150(c): Minimum 8.13 wall insulation in framed walls (does not apply to exterior mass walls).
• §I50(d): Minimum R-13 raised floor insulation in framed floors; minimum R•8 in concrete raised floors.
B UMDING DATA
North �9a %
Slab
Conditioned Floor Area Number of Stories
§150(Q: edge insulation - water absorption rate no greater than 0.3%, water vapor transmission rate no
greater than 20 punch.
Slab/Raised Floor Number of .Units
East
§118: Insulation specified or installed meets California Energy Commission quality standards.
[�ingle Family Detached (SFD) [ ] Addition Alone
South,,
52
_�
West �
�
Indicate type and form.
§116.17: Fenestration Products, Exterior Doors and InfiltratioNExfiltration Controls
a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage.
I [ ] Single Family Attached (SFA) [ ] Existing Building
[ ] Multi -Family (MF) (] Existing -Plus -Addition
Si(yligM
Total
b. Manufactured fenestration products have label with certified LI -value, and infiltration certification.
c. Exterior doors and windows weatherstripped; all joints and peneiralions caulked and sealed.
B UII,DING SHELL INSULATION
§150(g): Vapor barriers mandatory in Climate Zones 14 and 16 only.
§150(Q: Special infiltration barrier installed to comply with §151 meets Commission quality standards.
Component Insulation LocatlorVCbmme..,0
§150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs
Type R -Value (attic. to garage, D3!ta . etc.)
1. Masonry and factory -built fireplaces have:
a. Closeable metal or glass door
Roof
b. Outside air intake with damper and control
.............
RODE
o Flue damper and control
.............
` 2 No continuous burning gas plots allowed.
wgu,,,,,,,,,,,,,,
Space Conditioning, Water Heating and Plumbing System Measures
§1'10-13: HVAC equipment water heaters, showerheads and faucets certified by the Commission. r
wau ............
Floor .............
§I50(i): Setback thermostat on all applicable heating systems.
Floor ............. ;
§150(j): Pipe and Tank Insulation
Slab Edge ....:
1. Indirect hot water tanks (e.g., unfired storage tanks or backup solar hot water tanks) have insulation
(R• 12 or greater) or combined intenonextenor insulation (R-16 or greater).
FENESTRATION Shading Devices
2. First 5 feet of pipes closest towater heater tank, non recirculating systems, insulated (R4 or greater).
3. All buried or exposed piping insulated in recirculating sections of hot water system.
-Eenestration Area . Type Interior Exterior
Overfmg Framing Type
4. Cooling system piping below 55°F insulated.
5. Piping insulated between heating source and indirect hot water tank.
! Onentaa0n s sin double) ller blind. etc.) (sh,desaeen. etc-) estno) (metal/wood)
q
• §150(mDucts and Fans
Notes ) 13 (�
I. Ducts constructed, installed and seated to comply with UMC Sections 1002 and 1004: duds insulated
NO
to a minimum installed value of 8.4.2 or ducts enclosed entirely within conditioned space.
2. Exhaust tan systems nave backdraft or automatic dampers
East ( ) 5
If
3. Gravity ventitauno systems serving conditioned space have either automate or readily accessible.
_
East )
manually operated dampers..
Pool Spa
SOUCh
§114: and Heating Systems and Equipment
1. System is certfied with 78% thermal efficiency, on-off switch• weatherproof operating instructions,
SOU Ch ( )
no electric resistance neanno and no pilot light
l West ( ) a
2. System is instaileo with:
West )
a. At least 36- pace oerween filter and heater for future solar heating.
b. Cover for outcoor pools or outdoor spa.••
Skylight ....._
3. Pilot system nas cirectionai inlets ano a circulation pump time switch.
THERMAL MASS
§115: Gas -tired centrai furnace. pool heater, spa neater or household cooKino appliance have no
,
Type/Covering Area Thickness
continuously bunng pier light. (Exception: Non -electrical cooking appliance with pilot c 150 Btwhr.)
(slab/exposed, tits etc.) (SO (inches) LOcacon/Descriotion (kitchen.
bath, etc.)
Lighting Measures
§I50(kl: 40 lumenswan or greater for general lightng in kitchens and rooms with water closets: and
recessed ceiling fixtures iC (insuiauon coven approved.
COMPUANCE STATEMENT
This certificate of compliance lists the building features and performance specifications needed to comply"with Title 24, Parts 1 and 6, of
the Catitomia Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the
HVAC SYSTEMS Minimum Duct
individual with overall design responsibility. When this certificate of compliance is submitted for a single buikbrtg plan to be bull in multiple
orientations, any shading feature that is varied is indicated in the Special Featums/Remarks section _
Type (furnace. air Efficiency Location Duct
Heat Pump
conditioner. hent pump) CA UE SEER.HSPF) (attic, etc.) R. -Value Thermostat
Tyne �Dl i t or 1
Designer or Owner (p« e�.lne.. a Proreeelone coo.) Documentation Author.
Name: Name:
nke
Tide/Firm: Tide/Firm:
Address: Address: "
Telephone: Te leph
Lie. s:
IIOT WATER SYSTEMS
(sgnaare) (date) (signature) fdaOBl
Svstem Type (storage gas. etc.) Capacity Number Energy Factor
Ext- TankeTns _ h arri hxxri nn
Enforcement Agency
Name:
.
Title:
Agency:
SPECIAL FEATURES/REMARKS
Telephone:
t
l
(signaturerstamp) (date)