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HomeMy WebLinkAbout058-530-0130 elixj ndez •- � _ W/S a r ���7 ail app.900 N.o Is , 0a 01 1)- app. l f Caicow-Rd: ; o Permit #5569-76P,E(util.,MH) v , ELEC. GAS SUPPORT STRUCTURE REQ. COMPACTION TEST REQ. Permit ## B,E (cabana/MH) [1 -53-13 Permit#4013-87B(complet cabana starte under 58-85) Permit#2465-88B,P,E,M(additi3 SF ` y rhob' -e -la re -53-13 7PErmit#,j013-90B(1st enewal/2465-88) Permit#1372-9 58-53-13i (2nd rew ena 2465-88)_ 058-530-013 99-2611 :FERNANDEZ, FELIX 13009 YANA TRAM, OROVILLE CONTR: GEORGE R60PF G 06 �/� RE ROOF �'/ r ( ava-i4 MISCELLANEOUS RE PIPING HOME IN CPVC 13009 YANA TR FERNANDEZ, NAOMI Plumbing �'� ; s' =:of vet--n6ev- �7� (9 84 -�:-�-u-�•,-�-� G.e.-�,-Vi=e-� L7--r°��e Q-ir_t-C�—�-u_t� t-�-i—tet- �-�—Gc� P t -e -S � �-�-c-`-� c�_i_r-►�i—"�'�-�--�-x=t S # �.r-�� A . '� �-� -�►-� t inn -e t., �--.� �\-+�-Q_�r_e T � ca-`-1-� w_e__w_i_� �-h.p�=6-� �1-b� � - — S-®Gs-ka--�-lr S4 -h v,-e�►-r �t-T-� 1g_�_�-D�;�w�n_1_e�_"�"1-it-,^�-� -- ------�� �."(t�V►a-�j. c9 c�.r _®� v G �-w. l C.�- Y' e-G-�2-t v -e �.� � tr-v� �`.,� i-�1-7' �►-6 ��—. — I RIX I . P���. ,� '� ? � - � � i �` .. �. _f _ __ �. j. - _ - _ _.. .. � � _. • � 4 _ w y - ---- _ _�.-� _� ---n-----�--i _. l�_..�� ��-= _, �� d� s ��_ - �� _ __ =��� ��r �,yy� . . ----� -- ...__._.. �_ o_�_. _ _.. -- -- -- ✓ -- -- File No. BUTTE COUNTY .,,(Fof�-Action 1, 2,3) Public Works Dept. (For Information J) Director Dep. Dir. Sec. Rd. & Br. Mtce. Shop & Yards Bldgs. & Grnds. Bldg. Insp. Admin. Design Engr. Bridge Engr. Constr. Engr. Surveys Mapping Tronsp. Land Dev. Drng. /S.I. Sub. & Pcl. Maps Permits Addr. ENERGY INSTALLATION CERTIFICATE 1 Building Owner (=elix! Naow-t Building Permit # 24&5*-$$(3,P.a-.M Building Location 13009 Y.AOA T2 fa I E• O e~oy i 11 e e A . 95194T •° DESCRIPTION OF INSULATION ROOF Material H 1'6 CF Gr IasS Thickness(inches) EXTERIOR WALLS Material b e w G I w s5 Thickness (inches) CEILING Batt or Blanket Type N ZA ThicknessZinches) Loose Fill Type Minimum Thickness(Inches) Area covered(ft.2) FLOOR, ELEVATED Material I V' I b21•• ��. I yss Thickness(inches) 5 +/2, FLOOR, SLAB. Material OSI /A Thickness(inches) Width(inches) FOUNDATION- WALL Material N /A Thickness(inches) Brand Name O w Q h s - Co N h fr h Q . Thermal- Resistance (R Value) R 3013 Brand Name MA Q Y 1 L.LE Thermal Resistance(R Value) R 19 Brand Name O Z A Thermal. Resistance(R Value). Brand Name . Number of Bags Wt. per bag lb. Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) R jq Brand Name N 1A Thermal Resistance(R Value) Brand Name N /A Thermal Resistance(R Value)_ I hereby certify that the above insulation was installed in the above building, -.- 'is -consistent with -approved building department -plans -and attachments and -con --- forms with requirements of Chapter 2-53 of State of California Energy Requirement Iv 4 1., /A FIRM NAMESTATE CONTRACTOR'S LICENSE NO. 4 -,z-7 - 91 DATE I hereby certify the required features, devices, and equipment, a5 shown on the approved Building Department plans and attachments have been installed.,and conform to the appli- ance standards and Chapter 2-53 of the State of California Energy requirements. N /A HVAC FIRM NAME/OWNER (Please Print) V11 A STATE CONTRACTOR'S LICENSE NO. -i-Z7-5l DATE N /A STATE CONTRACTOR'S LICENSE NO. A � �T SIGNATURE OF HVAC CONTRACTOR/OWNER DATE THIS CERTIFICATE TMST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING: SEPTEMBER 1988 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541' 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE 2- 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 when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. 7 Date Inspector ER COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, OroviIle— 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 when correction of work is completed. If you have any question pertaining to this 7+71 or n etl additional explanation, please contact this office immediately. Date Inspector "— Felix Fernandez 13009 Yana Trail Oroville, CA 95966 LAND OF NATURAL WEALTH AND BEAUTY DEPARTMENT OF PUBLIC WORKS [ i jWILLIAM (Bill) CHEFF, Director 7 COUNTY CENTER DRIVE t OROVILLE, CALIFORNIA 95965 Telephone: (916) 538-7541 f Plarch 7, 1991 RONALD D. McELROY Deputy Director' RE: Building Permit No. 1013-90 Expiration Date 4-6-91 (A.P. No. 58-53-13 ) With reference to the above subject, our records indicate that your Building Permit expires on the above date. Building permits are valid for one year and should construction be started but not completed by the expiration, date of the permit, the permit shall be renewed for 2 the original Building Permit Fee (plus a $10.00 "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 thirty days of the expiration date, it cannot be renewed and all work must cease until a new building permit is issued. If your construction is completed or should you have any questions concerning this matter, please contact the Oroville office. 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. Thank you for your prompt attention concerning this matter. JFG:aam Attachments: Permit Application Owner -Builder Information Owner -Builder Verification cc: Building Inspector - Yours very truly, s William Cheff Director of Public Works I Glander ief Building Inspector Chico - 196 Memorial Wav/891-2751 Paradise - 745 Elliot Rd./872-6307 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541' 'Ile `.� 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION -NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and shopld be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matt r, or need additional explanation, please contact this office immediately. y P4 +^QHGf V`P i O� Q.`2�!`�►'�i-f o k 1' G J -e_ i_i o k t vl% fir , 1L A�4n 'L�j r Zr9= G� t i• Date �� —oL �' �!� Inspector V COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 �� CORRECTION NOTICE .�.: R A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, 9r need additional explanation, please contact this office immediately. Inspector Date r �� 1 9Z) r COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 ' 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE OWNER PERMIT NO. 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 gtrestion pertaining to this matter, or need additional explanation, please cont this office immediately. E Inspector �� Date LAD. - PERMIT NO. PERMIT EXPIRES OWNER FELIX FERNANDEZ CONTR. nwrier ASSESSOR PARCEL58 -53-13 LOCATION 13009 Yana Trail, Orovillp :2 A/,z-2 C iRx J. 12 la Temp. PoWer Pole Called PG&E 0-' 2 Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) Signature ^ = OK i 0 = Not OK ' = Not Readyiable MOBILE HOMES MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DECKS, COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 1 -+ 2. Soils; Special MH Support -Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -?,i eel 3. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts- Beams-Rftrs.-Connec.-_ Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors / /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses a 9. Siding; Nailing -Veneer -Stucco -Mesh Card -81 Date Card -131 Date 10. Roof; Shthg-Roofing Card -B1 Date Card -61 Date 11. Ext.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -131 Date Card -81 Date 2. Footings; Size -Spacing -Marriage Line Card -131 Date Card -131 Date 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s 5. Drain; MH Test -Fall -Flex Connector 1. Setbacks -Easements ` 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability 7. Water and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - 8. Gas and Electricity Tagged Dead Men -Lining 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater Card -131 'Date Card -81 Date 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit Card -131 Date Card -61 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -131 Date Card -81 Date Card -61 Date Card -131 Date 0 i =OK 0 = Not OK Applicable - =Not Applicable RESIDENTIAL (Single and Duplex) Not Ready Date UND FLOOR (Plans) OK except #'s o ing-Setbacks;-Easements-Flood-Slope toFfg., Mein; Soils-Steel-Elec. Grnd.-//B"/" Ftg. Depth 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 4. Ftg., rches & Decks; Soils -Steel-/ /"Ftg. Depth emwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel- Blockouts-Wrapped 7. Slab; Steel -Wrapped 8. Pi -Fireplace Ftg.-Steel V.; Fall -Fittings -Test -2 way C/O -Sewer Test Pipe; Size -Anchors Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Card -B Date .0 Card -61 Date Card -61 Dat Card -61 Date Date PLUMPING (PermitLZR except #'s QVIater Ht ccess-Combustion Air -Baffle Water Pipe; est & Anchors -Nail Protection LAIrD.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20.Test Tub & Shower, 2nd Floor -Tub Access I-,11. Gas Pipe; Size & Anchors Card -81 CDateY 24VCard-131 Date I Card -131 Dater-15�7Card-61 Date Date ELECTRICAL (Permit) OK except #'s I 22.,Fixture & Transformer Clearance -Ins. Protection 10. Elec. Receptacles Spacing -Lights & Switches at Doors (2A. - _,Boxes & No. of Conductors -Stapled ex Installed Close to Edge of Studs & C.J. . Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 2 Appliance Circuts in Kitche & Conductor Size/G.F.I. 2 . Subfeed Wire Size / / ga Cu r AI-A.C. Wire Size/ /ga. Cu or Al , 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No ervice-Riser Conductors & Ground -Main Disconnect Panels-Motors-Mech. Equip. ose ight-Shower Liqht-Spa Light Card -131 Dat Card -B1 Date Card -131 Date Card -61 Date Date MECHANICAL (Permit) OK except #'s c s nsulation & Support 35-Ventf-crn,-Exhaust 4bove insulation ate Dr ' & Overflow; Size & Grade urna -V ccess-Comb. Air -Return Air Vent -115 outlet 3�Access & Platform if Furnace in Attic Card -B1 ,C-_-1_ _Date Card -B1 Date Card -B1 Date —z4g2ard-B1 Date Date FRAMING (Plans) OK except #'s Sills, Proper Material & Anchors 0.)Nalls Studs -Nailing, Spacing & Bracing—Plates-Sound Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) 443. F' a Stops; Furred Ceilings -Stairs -Chases -Tub Header & Beam -Size & Bearing Date FRAMING K45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. s or Type A Flue -Fireplace Throat Clearance Size & Romex Protection -Draft Stop -Ins. Baffles ows or Exiting Doors -Sill Hgt. & Dimensions °5&.-5&.Protection Framing Property Line Firewall & Openings 5 - '-Check Garage -3rd story, 2 exits tairs; Width -Headroom -Rise -Run -Landing -Fire Protection 1-�4. Plywood on Roof Overhang-AtticVents-Rafter Outriggers— L65-Siding-Nailing Veneer s - rip creed -Fd. Ven s-Underflr. Access zing Area -Glass Protection -Skylights -Plastic 9 -Bolts SQ-Walls-Clg. r4,011 J 4 - 60. Infiltration-Walls-Wndws Card -B Date d Card -61 Date - Card -B1 D o2- Card -B1 Date Date F L (Plans) OK except #'s Ext. Steps -Door & Sidelight Protection -Landings Smoke Detector urnace; Vents -Clearance -Comb. Air -Connector - In arage; Above Floor-Ducts-Mech. Protection e.06om Exiting _ .F.I. & Bath Fixtures & Tub Access -Spa 66,,E19 . Trim & Subpanel; Breaker Siz -La e s Stairs & Rails -68 ove; Clearances -Hearth 9 lec. Outlets at Wood Panel; Int. Ext Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance lec. Outlets & Receptacles at Kit. Counter 7-2. Gafegefire-B'�or; Swing -Landing -Closer Garage -Damper tr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- Frreerage; Above Floor-Mech. Protection Ib., Elec. & Mech. Equip. Listed for Location 7 c es in Garage; (G.F.I.)-Romex Protec. 7 n- oam-Looked in Attic ❑ Yes rd Rails & Deck Construction -Post Caps eA Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive Yes o; Walks❑ Yes o; Planters ❑ Yes )i7 o - ucco; Brown -Finish isconnect, Electrical, Plumbing Vents Above Roof; Plbg.-Appliance-Fifep4-Clearance to O ings. '&4<Wa,ter Well; Disconnect, Electrical, Plumbing xte,ior Elec. Trim; G.F.I. Receptacle -Underground _ ntilation throughout House la rotection orrections from Previous Inpections wriest -Meters Tagged; Gas -Electric A.9 er & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates Card -131 Dat and -B1 Date Card -131 Date , and -B1 Date Card -B1 Datel Card -131 Date Comments at Final: (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/536-7541 APPLICATION AND PERMIT PERMIT rN�O. 3 ?Gr�j ASSESSOR PARCEL NUMBER 58-53-13 ZOYJ I FR1 BUILDING PERMIT " OWNER Felix Fernandez TELEPHONE S0. FT. OCC. BUILDING VALUATION 2nd renewal OWNER'S MAILING ADDRESS 13009 Yana Trail Oroville CONTRACTOR'S NAME owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MA. LING ADDRESS Filing Fee $ 10.00 Permit Fee @ 1 FEE $ 110.00 ARCHITECT OR EN.;INEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING13009E Yana Trail Oroville Permit tee $ 120.00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 or heat pump water heater 20.00 LOT NO. LOT NO. SUBDIVISION NAME SUBDIVISION NAME _7ARCEL MAP PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF MK Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe work: 2nd renewal of 2465-88 (1013-90/1st- rPnPwal) Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V 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.N OR ADDNS. ( ACC. BLDGS. , /20Sq ft NEW CONST R. UTLET NO N.RESID BRRAANNCCHHCIRC ITS 2.50 ea POWER APPARATUS t1 (SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES 20 SAL@30 EX. OCCUp. OUTLETS PFIXED APLNS. REA.) RESID I 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed.revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. 1 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 ail liabilities, judg costs, and expenses which may in any way accrue aga' id Count i sequence of the ting of this permit. • �a 9� Date Sig re of Applic — Ownerk Contras Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ ' Occ CONST TYPE - TOTAL FEE $ 120.00 E HAz. CUA PARK SCHL FLo PAR I Po ) HD. ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County. Code and/or resolutions to do work i c ted above for which fees have been paid. DIR 0 OF PU L WORKS B Date PERMIT EXPIRES Date -4-6-92 Receipt No. © WNITC-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT 3 -/ COUNTY OF BUTTE - Departient of Public Works 7 County Center Dr.-,ive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (ye or no) 2. I av /have not) YAC S 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: 1 \ ZA Name N Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Sign NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville., California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. i ASSES CEL NUMBER 58— l� ZONING FR1 BUILDING PERMIT OWNER FELIX FERNANDEZ TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 13009 Yanarail CONTRACTOR'S NAME ownpr TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 110 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 13009 Yana Trail, Oroville Permit tee $ 120 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5,00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New Addition[ Remodel❑ Utilities❑ Installation❑ Other Describe work: 1st Renewal of 2465-88 _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V 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 Buslnes$ and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUPM OR ACDNS. C ACC, BLDGS. I , 2/z¢sgft NEW CONST R. RANCH TLET NON.RESID BRANCH CIRC ITS CIRCUITS) 2,50 ea POWER APPARATUS &) SINGLE OUTLET CIR. / Ex, Occup\OUTLETS OR FIXTURES ..L@3 C ALeso FIXED APPLNS. OR Ex. Occup. UTLETS (RESID.) EA.) O 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Corsent 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 Conlin g Hood 3,00 Ventilation permit Fee $ Contractor I certify that I ;gave read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agaCou sequenceo e granting of this permit. X,� !!!z (ignatu e of Appli a r) Owner ont ctor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct -PRE ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 120.00 HAZ I CUA PARK I SCHL I FLD I PAR PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees ORO PUBLIC Bye PERMIT EXPIRE .. Date the applicable provi- resolutions to do have been paid. WORKS ate V6 Receipt No. 63869 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, Ga LDENROD-APPLICANT r t►�. w... .. - ,r - _ .�. <'z r z... s., _ .....y -. .-r-.. � c n r.. �.ro,:. r-;a*»:^- d .'r ya.'�. SSS-530-013 r.99-2611 F •- FERrTANDEZ, FELIX } 13009 YANA TRAIL, OR )VILLE ' CONTR: GEORGE RO ING RE ROOF y Z/ .c -M C$� led - 4k,1 ' Y y COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT, ASSESSOR PARCEL NUMBER \ ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS � " CONTRACTOR'S NAME W ~ � - `TELEPHONE 33-G393 CONTRACTOR'S MANNO ADDRESS��' � ...u� y "d ADDRESS G810 (� Tei r_O B D v' 596 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ L) ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ .2 Gf, zv ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checkin Fee $ BUILDING ADDRESS `'a-..(� -+ y.-;;•+...; i ..Y .•., t, A. �`aV -,w! M , Energ Plan Checking. Fee $ PERMIT FEE $ Cts LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap J 7.00 USEOFSTRUCTURE SF � Duplex ❑ Mobilehome ❑ Other •. a SPECIFY Solar or heat' pump water heater 23.00 piping I in .15.00 Water "' Eachas water heater or vent 15.00 TYPE OF WORK New ,O Addition ❑ Remodel ❑ Utilities ❑ Installation' ❑ Other ❑. t _ " Describe Work: CO,'1 P. rdroof ,. Gas piping system 1 - 5' outlets 15.00 Building sewer 15.00 Mobile Home_ I S I G I W@20.001 . PERMIT FEE $ ELECTRICAL PERMIT .. Fling Fee 20.00 Main Service zoos o LEss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. �. 1 /5 License Class (? � Via, I�%�f.%.( Lic. No. '9 L i 4l �Y OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as.owner.:of.the property, am,exclusively.contraeting with licensed contractors to construct the project. � ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO I000A 46.00 NEW CONST. DWELLING OCCUR s0 OR ADDNS. ( & ACC: BLDs. `3.50FT. t6 NON-RESIDT BMULCTI.00UTCLET @7,50 "' POWER APPARATLS (6.SINGLE OUTLETCIR. - . 21(911.10 Ex: Occu ouTLPT OR FixT REs Bo eu FIXED APPWS. OR' '. Ex, Occu OUTLETS RESID. EA 5.00 'ter6porary Service ,,•._-:- 23.00 1- Mobile Home Facilities " a , 20:00 =" Misc. Wiring 23.00 •'•,--�r -• •-- PERMIT FEE $ WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Vi /I /i ti a 4 Z n e r_ t0 • MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number W [j = Z p "3 d / Q (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in, the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation' laws of California, and agree that if l should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. j� X✓%%/�/L,��7CDate � Signature of Applicant -w❑ Owner ❑ Contractor ©'Agent , An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 60W,1�4� HAZ. D. FEES IMP FLOOD CDF PARCEL PDHD 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. r ��s By 0 Date EXPIRES ON De"te 4 Receipt No.PERMIT WHITE-D.D.S.-B.D. C— NtSSES�R7 PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California ,195965 - Telephone (916) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 99. ASSESSOR PARCEL NUMBER 093-530- 017� ZONING BUILDING PERMIT OWNER 'Felix Fernandez TELEPHONE SO, FT. OCC. BUILDING VALUATION 1 A000 LO �i`, OO e Q -Q 1 OWNERS MAILING ADDRESS U�y, / � 1*1009 1rTaJ1 or-Q;xilie CA 95099 CONTRACTOR'S NAME H NE ' 33-6393 CONTRACTOR' I ES-ing' CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS ' Total Valuation $ p0-, p O ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ SCO, 00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS iaivia– 13009 Ya4ne Trail Energy Plan Checking Fee $ $ PERMIT FEE 0o LOT NO. SUBDNIS ION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF X Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New"Addition ❑ Remodel CI Utilities ❑ Installation ❑ Other 13Buildin ?. Describe Work: Cc mn - reroof Gas piping system 1 - 5 outlets 15.00 sewer 15.00 Mobile Home S G FW @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 OR LESS Main Service 200AORLESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. 9 / _ (_ License Class L – /�� �/ 2 Lic. No. �C•L.C�T WNER-BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy nu ber are: Carriery i L J g a p U CL I n Sr 6"w/, C-elIno - Policy Number 1.10 --)-a 3 7 ®/ (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers', compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall hwith comply with those provisions. X -- Date ���®�� -- Signature of Applicant - ❑ Ow ❑ Contractor VAgent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service ( 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUR s0 OR ADONS. ( a ACC. BUDS. 3.50FT. NON-RESIDT MULTI -OUTLET CI, CUI @7.50 POWER APPARATUS & SINGLE OUTLET CIR. 20�'�00 Ex. Occup.OUTLET oRFocruREs.. SAL. o ,50 Ex. Occup. GurEt gE�S1p.OEp 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ .f/�Dd HAZ. D. FEES IMP FLOOD F7PARCEL PD HD 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. By64/jDate PERMIT EXPIRES ON / kS I 44 Receipt No. W777P WHITE-D.D.S.-B.D. CANARY -ASSESS PINK -INSPECTOR GOLDENROD -APPLICANT f V_ __1_1 _ OF NATURAL WEALTH AND DEPARTMENT OF PUBLIC WORKS BEAU•fY 7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965 Telephone: (916) 534-4541 WILLIAM (Bill) CHEFF Director November 21, 1984 Felix Fernandez RE: Mobilehome Cabana 13009 Yana Trail - - A -__158-53=I3 Oroville, CA 95965 Dear Mr. Fernandez: In _1982 ou'constructed a two-story cabana.on your property at the above address without the required permits, inspections and approval from this office and the Butte County Health Department. You applied for the required permits in October 1982 and paid a plan check fee, but to date you have not paid the balance of fees and we have not received Health Department approval. Would you please contact this office within ten days, pay the fees of $176.20 and have the Health Department approve the building construction in relation to the sewage disposal system, so we can. issue the required permits and make the necessary inspections. Should you have any questions, please contact this office. Yours very truly, _ William Cheff Director of.Public Works Glander r. JFG:aj -:Chlief ',Building"Ins p for cc: Health Department NU dp -�i .- o 4 PERMIT NO. ' 5569-76P,E gu� PERMIT EXPIRES OWNER Felix Fernandez CONTR. owner n Qp LOCATION (A.P. 58-36-47 W/S Yana Trail,app.9O0'N.off Ishi Trail, app. i 15OO'hff Concow Rd., Concow 0 Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. JOB Called PG&E ' FINALED_ !� (Date) (Signature) I '� Stucco Final Subpanels 4t- -ty A0 Mesh MECHi NICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final �- DATE REMARKS OR CORRECTIONS T,- �t r (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE .— DEPARTMENT OF PUBLIC. WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets N -st Floor Main Bldg. Restroom Finish 2nd Floor. Footings Windows 3rd Floor Stemwall SidingTo out Slab Roof Sheathin Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings StemwaII Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handica ed Conformance of ex. structure A liances Gas Piping & Test ; Temp. Gas Slab Final Sanitation Patio FIRE LACE Final ° — — Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPR NKLERS Motors Framinq Test Water Htr. Stucco Final Subpanels 4t- -ty A0 Mesh MECHi NICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final �- DATE REMARKS OR CORRECTIONS T,- �t r (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC W KS 7 County Center Drive — Orovi Ile, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT X569-76 ..uiv — �vVicocnaauvca uic \IVUIILY UI OUkLU LU CIIICI UJJUII UIC above -m oned pro y for • spectio oses. Date /,(,/7"_ Signature o • er ee or Agent White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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. DIRECTOD OF PUBLIC WORKS BY Date /� % G '°0ai*h79-permit expires Date // ? BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address 13X.2- enz D G•_ Tel hone No. '? 3- � Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee $ Building Address �� PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Qui• 2 ooe� OO '��. a�� Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping -1, e Qct 1119 Verifi ation OW Each gas water heater or vent 1.50 ,., / ,,, 11 A. P. No. Ea "7 �Zon Gas piping system 1 - 5 outlets 1-50 f Each additional outlet .30 F W . S n tion Fire Dept. Fire Zone Use Permit Building sewer -00 401 0 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg. Plans Recd Pa e Ap oval PlanscAlprovol Permit Fee $ NEW ❑ ADDITION ❑ UTILITIE OTHER [JELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 9.00 Main service 100 AMP O001 R RSLESS 5.00 6. fl 0 Main service EA. ADO'L 100 AMP 2.50 2 •So Single Family ❑ Duplex ❑ Mobil Hom EZ1Others ❑ fm Main service VER 600V 10 0 AMP OR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 NEW CONST DWELING OR ADDNS. ( ACCLBLDGS. OCCUP. &) 2¢sgft NEW CONSTR. MULTI -OUTLET NON-RESID. BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS & NON-RESID. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: )90filp AR.P, Z -®O Ex. Occup(OUTLETS OR FIXTURES)BAL@1 @� Ex. OCCU FIXED APPLNS. OR P• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 •Q Lip nse No. Classification Misc. Wiring 6.25 91 am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. certify that in the performance of the work for which this dl permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ 7) 7571C ..uiv — �vVicocnaauvca uic \IVUIILY UI OUkLU LU CIIICI UJJUII UIC above -m oned pro y for • spectio oses. Date /,(,/7"_ Signature o • er ee or Agent White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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. DIRECTOD OF PUBLIC WORKS BY Date /� % G '°0ai*h79-permit expires Date // ? All utility connections - shall be located within 4 ft. outside the rear third- section of the mobile horne N on the left (road) side of the mobile home. A permitwill be required for fNef' installation of the, mobilehome'N The Setback shall be 5 ft. from the side property line and 50 ft. from the Onterline of the road, permitting a maxi- �. alum of a 2 ft. eave overhang but entirely C a lout of all easements. t t Septic system and aeeafien-46W4, i "TV " eritr-,Ja-A­ to be as per �. County Health Dept. Re- quirements.ents. NOTE.—All Materials & Workmanship . Shall Be in Accordance with Recognized Good Practices and of a quality prescribed for the Specified use in the Uniform Building, Plumbing & Mechanical Codes and ,the National Electrical Code. This set -of plans MUST be kept on the job at all times and ff is unlawful to make any changes or alterations on same without written permission from the Department of Pub. iic Works, County of Butte. 4 BUTTE COUNTY BUILDING DEPARTMENT APPROVED COUNTY bF BUTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR`PROPERTY ADDRESS ` A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter,,00rr need additional explanation, please contact this office immediately. ® / A AA Y10. III Ins ector �Date Owner: Addres Tenant Builds Type o 2.`Financing ,� 3. Change of Oc upancy to �% 1. Housing. L 4: Other (specify)A) A . Present use. of buildin A. 'Sanitation (Housing) ' 1. Water closet.: '2. Lavatory: A. Bathtub or shower: 4.: Kitchen sink:' 5. Hot and cold water to fixtures: 6. Heating facilities:` 7.' Natural light and ventilation: 8. Room and space requirements: 9.. Bedroom window or door for second exit: 10. Infestation of insects, vermin, or rodents: 11. "Connection. to. sewage disposal: 12. Connection to wate:r-,supply: 13. Rubbish and garbage facilities: 14...Comments: B. Structural 1. Piers and footings: 2. Floor construction: I Wall construction: 4. Ceiling and:roof construction: 5. Fireplaces:' 6.k . Comments: C. Electrical 1.. Service and 'ground: 2. Receptac: es: ' 3. Fusing: 4. Coiaments• D. Plumbing 1. Fi:ktures connected and vented: 2. Gas water heater: 3. Gas heating vents: 4... Comments: is � r • �� , -.r E. Other 1. Maintenance and repair: 2. Fire hazards 3. Safety hazards:_ " 4. Weat}ter protection: 5. Underfloor and attic ventilation: 6: Comments F. Conmiercial Buildings . 1. Roof covering:_ 2. 'Disrarce to property lines: 3. Physically handicapped: 4. Restrooril floors and walls: S. Exits: 6:' Improvements: 7. Zoning:_ 8. Comerit-� G. Field Probl.ri's :ir_Violations 1. Pirobl o- '-71 0 dors (give Co TI description) .. 1. Wry nation taken (give consplete description) .3. What action recommended: %% A. anfonuation only - fig!:. 7P;'—B. Hold for ten (10) days, then wri-e letter C. Write letter. 77D. u"ther: A COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, OroviIle — Phone: 538-7541 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE 6 OWNER PERMIT NO. A routine Inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work Is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office Immediately. Inspector . Date r PERMIT NO. 299 819 PERMIT EXPIRES OWNER Felix Fernandez r CONTR. owner ASSESSOR PARCEL 5E58353st;1`3 LOCATION W/S Yana Trail, 900'N off Ishi Trail, 1500' cff Concow Rd, Concow 13009 Yana Trail Signatur { C "{ i Temp. Power Pole t Called PG&E Temp. Elec. Service 1 - Called PG&E Temp. Gas \ Service Called PG&E f JOB FINALI�D (Date) Signatur J = OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) Date UND LOOK Plans OK except N's Date FRAMING (Continued) • Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Fig., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Slemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underfir. Access 7. ,�nB-'D'W-O.-Fall-Fittings-Test-2 Piers -Fireplace Ftg.-Steel way C/0 -Sewer Test 54. 55. Glazing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts .T. -Gas ipe; Size -Anchors ---Ilr 11. Water Pipe; Test -Anchors -Regulator -Service Test Electric; Underground enums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date�� ^ % � Card -BI Date Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date P UMBING (Permit) OK except H's 57. Smoke Detector _ 1 Water Ht.; Vent -Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 1 Water Pipe; Test & Anchors -Nail Protection 1 D.W.V.; Test-Fttngs & Anchors -Nail Protection 59, Bedroom Exiting 1 Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 1 Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Si -La els 1 . Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances-Hykrth 64. Elec. Outlets at Wood Pane . & E Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; P%rtd.fAir p-Cookinq Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Rece tact s at it. Counter Date ELECTRICAL Permit OK except q's . 67. Garage Fire Door i -La ing-Closer 68. A.C. Duct in Garie m r 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents- aro a -Comb. Air-Connector-P.R.V.- In Garage; Above Flo-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. & ech quip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Rec p cle in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. - 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. ati Insulo-Looked in Attic ❑Yes 73. rIs Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen &Conductor Size 74. d ents Crawl Hole Door -Drainage & Wood -Earth Clearance o d un er Floor ❑ Yes _ 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral []Yes ❑No -Planterl 75, Fo owin instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; ❑Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco/Brown-Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. nit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Venq Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Wat r Well; Disconnect, Electrical, Plumbing 80. Ex erior Elec. Trim; G.F.I. Receptacle -Underground Card B I Date Card BI Date 81. V ntilation throughout House Card B -I Date Card -BI Date 82. ass Protection Date MIECHANICAL (Permit) OK except N's 83. _ Oorrections from Previous Inspections 84. as Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/O to Grade -HD Approval A_ Vent Fan; Exhaust above Insulation 86.1 Energy Compliance Certificate -Other Certificates i Condensate Drain & Overflow; Size & Grade 4. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic -- -- Card -BI Date Card -BI Date Card -BI -_ Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING Plans OK except ft's Comments at Final: 36. Proper Material & Anchors 37. _Sills; _ Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound _ --39. p� ��VV\\ _38. 40. __41. 42. 43. 44. 45. Bearing Walls over Girders & Floor Nailing_ Craft Stop in Walls (rat proof) Fire Stops; Furred Ceilings -Stairs -Chases -Tub - Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Root Brac.-Truss-Shthnq.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access; Size & Rom_ex Protection -Draft Stop -Ins. Baffles _ 46. 47. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing (NOTE: An entry must be made each time you visit job site) = OK " = Not OK = Not Applicable MOBILEHOMES = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) u,. except N 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete _ 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing__ 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns-Connections-Splice-Decal-Enc,-,s.,res 6. Gas; Location -Test -Wrap:/ /"L"ft./ P'Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date _ POOLS (Plans) OK except k's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date .= ;COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, CAliforhia'95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT N ASSESSOR =ARCS NUR (,,/J` ZONING BUILDING PERMIT WNER fe r rOWNEVIR'S TELEPH E SO. FT. OCC. BUILDING VALUATION I ING AD SS/a',no TM [/J CO ACTO 'S NA vi% A !tT LEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace '1 CONSTRUCTION LENDER UNKNOWN Total Valuation I $ 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 Y Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTUR� SF❑ Duplex❑ Mobilehome❑ Other SPECT v Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00ea TYPE OF WORK New[] Addition❑ emodel❑ Utilit'e ❑ Instal-4tion❑ 0th �', Describe work: �� m - Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6100001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW 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 Rr 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.a) '/z¢sgft OR ADDNS. ACC. BLDGS. NEW CONSTR. MULTI -OUTLET 2.50 ea NON-RESID BRANCH CIRC TS POWER APPARATUS e SINGLE OUTLET CIR. p OUTLETS OR FIXTURES 200030 Ex. Occu 5AL@30 FIXED LNS Ex. DCCUp. OUTLETS P(RESID )REA.) 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. i2eI shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Perrnit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue a ai aid Coun sequence of the 5nting of this permit - Date '2z Signature of Applic Owneroo' Con rector Agent Elwork 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 $ TOTAL PERMIT FEE $ O occuP. CONST.TYPE SCHOOL FLOOD PARCEL PD ND 1 Is uE This permit is hereby issued under sions of the Butte County Code and/or indi d above for which IRE F PUB PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. ORKS Date �S Receipt No. rB WNITE-D.P.W.. YELLOW -ASSESSOR, PINIC-INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541 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) iVlee'l. 2. I (have/have not) f_signed an application for a building permit for the proposed wort. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner. ` Social Securi tuber Date t_2 1157 NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE - DEPARTMENTIF PUBLIC WORKS PERMIT NO. J 1 7 County Center Drive - Oroville, C,aliforhia 95965 - Telephone 916/534-4541 . APPLICATION AND PERMIT' ASSESSOR PARCEL NUMBERING ZO4 ® BUILDING PERMIT OWNER ��S�33 /OWNER'S TELEP ONE Jo SO. FT. OCC.. BUILDING V LUA ION ` 0� MAILING ADDRESS /300 ✓/-UJB 7,e4iL v/GLS d,4 15,-96 S_ CONTRACTOR'SNAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace o rl CONSTRUCTION LENDER , / � 4�101bc/ UNKNOWN Total Valuation $ fqo .0Q Filing Fee •10.00 LENDER'S MAILING ADDRESS Permit Fee $ .00A ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS ,G Permit fee $ 9_3zZ ,-V BUILD ADDRESS / G� s //4/✓%� TP..4/G /�P(j'. pa �l. a�F �S'H-� PLUMBING PERMIT Filing Fee 10.00 7-041 L_ Aide• /go# oi-7C eQUa tl ED. Trap 2.00 Repair drainage or vent piping Repair 5.00 � ,p -;i J�©O ��✓� Q/L— �O/Vnqa� / Water piping LOT NO. SUB IVISION NAME PARCEL MAP Each gas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE -�� SF ❑ Duplex❑ Mobilehome❑ Other Ti(/�L- //�'/("� SPECIFY Building sewer Lawn sprinkler system 5.00 •I TYPE OF WORK New ❑ Addition 9 --Remodel ❑ Uti Iities ❑ Installation ❑ Other ❑ Describe work: /�✓%�' Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.6'0 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING 0d\ OR ADONS. ACC. BLDGS. / 2 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): C] 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 CONSTR I.OUTL T NO2,50 ea N -REBID BRANCH CIRC ITS NEW CONSTR IPOWER APPARATUS pit NON-RESID. %SINGLE OUTLET CIR. / - Ex. Occup OVTLETS OR FIXTURES a �� FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA. 2.00 }: Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. E<1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree tosave, i 'fy and keep harmless the County of Butte against all liabi ' ' s, judg nts, c ts, and expe ses which may in any way accrue a Id Count sequence of t=gra ting of this permit. %This X Date '40 �2- Signature of Applicant - Owner ❑ Contra ❑ Agent ❑ An OSHA permit is required for excavatiover 5'0" p d oIitia struct- on of structures over 3 stories in height.o s c n Mobile Home Installation Fee $ TOTAL PERMIT FEE $ V40.20 OCCUP. GROUP TYPE OF CONST. PARCEL PD ND tssuE permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIR TOA 0 1 UBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. �F/L6 g 0O r WHITE-D.P.W., YELLOW -ASSESSOR, PINK NSPECTOR. E D- LICANT CQUNT-Y;OF g9UTTE - DEPARTMENT OF PI)BLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE,tALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET Permit No. OWNER FEL/)( FEl�'�iC1/V �E A. P. No. 5S -36 -a,% Proposed Building Use &43��`' Permit Fee Based_U.pon: r Complete Contract Price lDPW Valuation Other (Explain�— Building Inspector Date 167'SAt 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. . . . . . . . . . 3. Complete plans in duplicate/triplicate. . . . . . . . - 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. Fees of $ NL,9,20 . . . . . .. Letter of signature authorization. . ®P/10. Sanitation approval from Health Dept.. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner[], Mail to ownerE]) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation. Data. . . . . .. . 'Pre-Inspec.request to 17. Pre -Inspection for Required. Building Inspector (Date) 18. Other When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other --�� Applicant 0'_ Date J Copy of plans sent Health Dept., Fire Dept.,. .Other �'� Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above atTme,o� application, circle item.) 1. Index permit for above Items No. �i 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plan: Plans Other �I / A Copy—DPW COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541 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 in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing 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) i 2. I (have/have not) k0.v a 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 /, 1 Address City Phone Contractors License No. ; 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name N1 A Address City Phone Contractors License No. ' 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work LJ 1A =>1^ S igr 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. BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION (IVR): (530) 538-4365 OFFICE: (530) 538-7541 FAX#: (530) 538-2140 ONLINE PERMIT/RENEWAL PAYMENTS: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 13009 YANA TR Owner: Permit No: B08-1494 APN: 058-530-013 FERNANDEZ, NAOMI Issued Date: 08/01/2008 By TMP Permit type: MISCELLANEOUS 13009 YANA TRAIL Subtype: Plumbing OROVILLE, CA 95965 Expiration Date: 08/01/2009 Description: RE PIPING HOME IN CPVC (530) 534-9858 Occupancy: Zoning: FR10 I Contractor Applicant: Square Footage: EARL'S PERFORMANCE PLUMBING EARL'S PERFORMANCE PLI Building Garage Remdl/Addn P O BOX 6302 P O BOX 6302 CHICO, CA 95927 CHICO, CA 95927 Other Porch/Patio Total (530)343-0330 (530)343-0330 FEE INFORMATION DBP Water Pipe Repair/Replacem $59.00 Total Charged: $59.00 Fees Paid: $59.00 Balance Due: $0.00 Receipt No: B8143 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License EARL'S PERFORMANCE PLUN 772565 / C36 / 12/31/2009 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed Pursuant to the provisions of the Contractors License Law [Chapter 9 (commencing with Section 7000) I HEREBY AFFIRM UNDER PENALTY OF PE JURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division o the Business and Professions Code, and my license is in MI force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the /� basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects Lr 08/01/2008 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractor's Signature Date ❑ I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR WORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements allHAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one W COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). ,��--,��� '' I WILL MAINTAIN WORKER'S COMPENSATION ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED fq, HAVE AND INSURANCE, as required by `r�� CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code: 'action 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the 026688 01/22/2009 State Fund 229-0Exp. D ate: Cartier: Policy Number: Contractor's License Law.). (This section need not be completed if the permit is for one hundred dollars ($100) or less.) ❑ I AM EXEMPT under Section B. & P.C. for this reason: ERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS X 08/01/2008 SUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California, and agree that if I should become subject to the workers' compensation provisions of ion 3700 of the r Code, I shall forthwith comply with those Owner's Signature Date provisions. X �: 08/01/2008 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature ate WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused by, arising out of, or in any way connected with HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property weer o am aut ized to act on the roperty owner's behalf. ' CONSTRUCTION LENDING AGENCY - ( C• a -208/01/2008 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ, code) (\ contractor Owner OR Agent for Owner ❑Agent for Contractor �`—' FILE COPY Lenders Address City State Zip 7 BUTTE COUNTYDEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION** OFFICE #: (530) 538-7541 FA.X #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPpLICATION Website: www.buttecoiinty.net/dds PLEASE PRINT CLEARLY PERMIT NO. � 06 _ l qqy BIN # **When filed, this application and all supporting material becomes subject to the California Public Records Act. related to this application is subject to public inspection and will be posted on the County's website for electronic access. All public information Name Address I State —j 'T Phone � _� E-mail State License APPLICANT SIGNAT RE X Address A ror omce use only: =00cncing Flood Zone SRA Yes No Type Const . File No. BUTTE COUNTY '(For Action 1, 2,3) Public Works Dept. (For Information ✓) Director Dep. Dir, Sec. Rd. & Br. Mtce. Shop & Yards Bldgs. & Grnds. Bldg. Insp. Admin. Design Engr. Bridge Engr. Constr. Engr. Surveys Mapping Transp. Land Dev. Drng. /S.I. Sub. & Pcl. Maps Permits AZ. r cc: Health Department November 21, 1984 Felix Fernandez RE: Mobilehome Cabana 13009 Yana Trail AP #58-53=13 Oroville,.CA 95965 Dear Mr. Fernandez: In 1982 you constructed a two-story cabana on your property at the above address without the required permits, inspections and approval from this office and the Butte County Health Department. You applied for the required permits in October 1982 and paid a plan check fee, but to date you have not paid the balance of fees and we have not received Health Department approval. Would you please contact this office within ten days, pay the fees of $116.20 and have the Health Department approve the building construction in relation to the sewage disposal system, so we can issue the required permits and make the necessary' inspections. Should you have any questions, please contact this office. Yours very truly, William Cheff Director of Public Works Original signed bY. I F. G landeir J.F. Glander JFG:aj Chief Building 4aspector cc: Health Department ~ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS E IT/N0. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING, Q I BUILDING PERMIT OWNER ire,r fez TELEPHONE i 533- G► S0. FT. OCC. BUILDING VALUATION U o OWNER'S MAILING ADDRESS rte, a 9� CONTRACTOR'S N ME_ O (/ TELEPHONE Q N CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 3S , Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ;L0 O ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ uv Energy Plan Checking Fee $ J r'' 61U ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS r Permit fee $00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 00 `ou 4 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 S 00 Each qas water heater or vent 5.00 ; 0 0 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 1 .57; 00 Building sewer 5.00 5-100 Mobile Home S 7 W 0.00 ea TYPE OF WORK New ❑ Addition Remodel ❑ Utilities ❑ Installation Other i Describe work. ` f " I 1`7 G: e ra Ge rcaalop_j Penult Fee $ 3 d : Contractor ELECTRICAL PERMIT Filing Fee 10.00-• Main service 100V OR LESS 100 AMP OR LESS 10.00 �t Main service EA. ADD'L 100 AMP 2.50 Q,sem 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) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.a\ Y22sq ft OR ADDNS. ACC. BLOGS. /I NEW CONSTR. MULTI -OUTLET 2.50 ea NON.RESID BRANCH CIRCUITS POWER APPARATUS e) SINGLE OUTLET CIR. EX. OCCup(OUTLETS OR FIXTURES 5 AL0 wL90 3 Ex. Occup. OUTLETS FIXED P(RESID,)REA.) 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 Filing Fee 10.00 Heating G t9U Cooling Hood 3.00 1.00 Ventilation Permit Fee $ J 00 Contractor Icertify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, ju4gm ts, costs, and expenses which may in any way accrue age st aid C onsequence granting of this permits ` Date Sig tune of p lice - Owner ga"ctor ❑ Agent ❑ An OSHA permit is required for excD tions over 5'0" deep nd demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 40 ocCUP.1 CONST.TYP! ( M SCN OOL ,�_ PLOOD ARC EL_ V PD -^ ND This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which D) EC Fi OF PUBLIC By PERMIT EXPIRES Date the applicable o I- resolutions to do fees have been paid. WORKS Date ^/ /' Receipt No. — 4/ , %25'� WHITE-O.P.W.. YELLOW-ASS9330101, PINK -INSPECTOR, GOL NROD-APPLICANT , w ryK g411k, � J1117L `1 J —le" 1�—'?It.7tr .' i Pi f "g LY,�+t.1.. � (j� ^. '+AV ai} i ;� `TI •� . ' . �// COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRI gE - OROV31LL�, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 P r / ERMIT APPLICA�i01�d DATA SHEET / / / Permit No. OWNER �� l f X Fier-" d.r%jdC ZJ, A. P. Nos i:- 5 t. ,t Proposed Building Use Building Inspector DateL- 2 - At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED f3. , All items have been submitted. . . . . . . . . . . . j Plot plans i' do uplicate/triplicate, signed by preparer of plans. 7 _ Complete pla u irt'duplic /triplicate, signed by preparer of plans. 7 r 4. Complete engineered plans and calcs, with wet signature on plans. �5. Plans with Energy Design Compliance Statement. �_&6. School District "Fees Paid" Stamp on Floor Plan. �7�Statement of Intent for Non -Heated and AC Buildings. r 8. JFees of $ OD ; Letter of signature authorization. /4 44o4 10. Sanitation approval from Or U V ` Health Dept. , 11. Planning approval for (A) Use: (B) Parking: r 12. Certificate of Workmen's Compensation Insurance: . . . . . 13. Contractor's License Information (no., name style, classif.) t _14, Owner -Builder Verification (Given to owner❑, Mail to owner ❑) — is; _..._15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . .� Pre-Inspec.request to (Date) 17. Pre -Inspection for__ -_ _- __ _ Required. Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement, 19. Driveway Permit. _ 20, Plot plan approval from city of _ 21. a 22. — _ When you issue the permit, process as follows: Mail to owner; Lail to contractor. Telephone and hold for pickup at office, Deliver w/inspector. Copy of plans sent Health Dept.; Fire Dept., Other Date „_ The following data must be submitte prior' to permit iss 1, Index permit for above items No. 2. Additional items required: _ ircle new item not checked above). Contractor, designer, owner, was advised of above required data by—phone---Mail— c unter by date Contractor, designer, owner, was-a4vised c' above required data by_phone_mail_c unter by date Plans checked by— Copy—DPW Date Plans approved by Sets of plans on hold in File cabinet AP folder Date fY TO Building Department FROM: ..Environmental Health SUBJECT: Sanitation Clearance Own. Loca ion _ AP# _ Plan Approved for:.. Sewage Disposal Water Supply Hold final for: Water Supply Final clearance O.R. for: Water Supply Clearance for bedroom e home. Other NOTES * * * Sanitari 41? Date' COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 ' OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. . Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) �-- 2. I (have/have not) kA C%,V Q signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property.Owner ` Social Secur}' y� ber _ Date / � / AA 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. RESIDENTIAL PLAN CHECKING GUIDE 7/85 (S.F.', DUPLEX & MISC. ONLY) Bldg. Permit # 2 yd S OWNER ✓ N L. A. P. # GENERAL ng requirements: (sideyards and number of permitted living units). jyo-PKa 3 P ns signed by designer. 4rgy Design and Compliance. 5sting violations on property. PLOT PLAN 1✓. Complete parcel size and dimensions. 20'0'Setbacks, sideyards, easements, etc. 3.� ther buildings or structures. 4ading, fills, drainage. 5! lood hazard. 6pecial conditions on creation map or compliance document. FLOOR PLAN 1./c: mplete to scale plan with dimensions. quired windows for light and ventilation (Sec. 1205). it Required windows for second exit (Sec. 1204). -�®*1;*h *— (Chapter 34 & Sec. 5207) . mpact glass (Sec. 5406). Required room sizes, ceiling heights (Sec. 1207). 71#***'*G'.F.C.I.'s in baths, garage and exterior outlets (Article 210-8). 8. Light fixtures, switches, re t�c1 s, and exterior receptacles for maintenance of —me�chanical equipment. N� �hC��•/^' N'OT+� Nom► 004*1%, 9�Locations of water heater, heating and cooling equipment, other electrical or gas equipment, and plumbing fixtures. firewall, door size, and closer'(Sec. 503(d)(3)). 1 . 1 - 310" exterior exit door (Sec. 3304(e)). rep ce and wood stove location. Smoke detectors (Sec. 1210). STRUCTURAL DETAILS lk000'Foundation plan complete enough:to construct building. oll oor construction details complete enough:to construct building. *'00Elevations and wall construction details complete enough to construct building. toof construction details complete enough to construct building. Fireplace construction details and calcs if necessary. 6&o0*`0Sufficient data and details to satisfy energy requirements (State Law) (Form 1). MISCELLANEOUS ITEMS TO LOOK OUT FOR l�xposure I plywood on exposed locations and overhangs. 24*0*rtairway details: landings, rise and run, head clearance, handrails (Sec. 3306). 40000�uardrail details (Sec. 1711 & 3306(j.)). +ck or stone veneer (Chapter 30). Soo' xTerior plaster - weep screeds (Sec. 4706). roper roof pitc roof covering (Chapter 32). Rafter ties bearing idge beam. RESIDENTIAL PLAN CHECKING GUIDE (CONT'D) MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONT'D). .4w --Mage door or porch header sizes 96/Kdequate bracing. ..0: --= hiving area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. wo exits on three-story dwellings '(Sec. 3303 & see Mezannines 1716). is access and ventilation (Sec. 3205). l ' -Underfloor access and ventilation (Sec. 2516). ..4+�Ood stoves, clearances, alcoves & 1 -hour shafts. /Combustion air for fuel burning appliances. wise requirements on duplexes. obe soils - special foundation design. etaining walls requiring design. usual shape, Size or split level house requiring lateral design. r 7/85 I to•�. cO- WCO. s C P W. K. P -60-#V + Certificate of Compliance: Residential Climate Zone 11 V—Gd- tw d6w tie 7 _ Project Tltl S S� Buildin ermit M Project Address C necked By/ I Documentation Author . Telephone Enforcement Agency Use Only BUILDING DATA _Wh ru `= M Q ttt! C GI Area % Glass East ( ) Tldcffirm: ,war ss: North -2,U, Conditioned Floor Area Number of Stories 2— East 3 Slab sed Floor RK Number of Units South .7 Rofi'Single Family Detached (SFD) [ ] Addition Alone We t (A K' t (] Single Family Attached (SFA) [ ] Existing Building Skylight ght 6 d (] Multi -Family (NM [ ] Existing -Plus -Addition Tom cab rw BUILDING SHELL INSULATION Component Insulation Location/Comments Type R -Value (attic. to gangs. typical. etc.) Wall .............. r Wall ............. Roof ............. l Roof ............... r' Floor :............_ Floor ............. "1 Slab Edge ..... 1 GLAZING Shading Devices GIazing Area Glass Type Interior Exterior Overhang Framing Type North ( ) _Wh ru `= M Q ttt! C North ( ) -- East ( ) Tldcffirm: ,war ss: East South* ( ) - South ( ) _ West ( ) West ( ) Skylight....... _p THERMAL MASS Type/Covering Area Thickness (s-lab/exposed, tile, etc.) (SO (inches) Location/Description (kitchen. bath etc.) HVAC SYSTEMS Minimum Duct _ Type (furnace, air Efficiency_ .. Locations-- ' Duct Output Manufacturer / Model # conditioner, heat pump) (SE; SEER,HSPF) (attic, etc.)"' R -Value (Btuh) (or approved equal) mr .a 7 tG N o WAWIM AN A At Maximum Furnace Heating Output: SR2 Btuh HOT WATER SYSTEMS Tank Manufacturer/Model # System Type (storage gas,'etc.) Capacity (or approved equal) Special Feature(s) SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) Mandatory Measures Checklist: Residential MF -111 NOTE: Lowrise residential buildings subject to the Standards muss contain these measures regardless of the eompliw= approach used. Items marked with an asterisk (•) may be superseded by mono stringent compliance re+quuemcnts fisted on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the futures noted shall f 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. DESCRJPTTON DESIGNER ENFORCEMENT Building Envelope Measures • §2.5352(a): Minimum ceiling insulation R-19 weighted average. §2.5352(b): Loose fill insulation manufacturrcr's labeled R -Value. §2-5352(c): Minimum wall insulation in framed walls R- I I weighted average (does not apply to exterior mass walls). §2-5352(k): Stab edge insulation - water absorption rate no greater than 0.3%, water vapor transmission rate no greater than 2.0 perm/inch. §2.5311: Insulation specified or installed meets California Energy Commission (CECT quality standards. Indicate type and form. §2-5352(!): Vapor barriers mandatory in Climate Zones 14 and 16 only. §2-5317: Infiltration/ExftltradonControls a. Doors and windows between conditioned and unconditioned spaces designed to Limit stir leakage. b. Doors and windows certified. c. Doors and windows weatherstripped: all joints and penetrations caulked and sealed §2-5352(e): Special infdtration barrier installed to comply with §2-5351 moots CEC quality standards. §2.5352(d): Installation of Fucplaces 1. Masonry and factory -built rMlaces have: a. Tight fitting, closeable metal or glass door b. Outside au intake with damper and control e. 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. 12-5352(h) and 2-5315: Setback thermostat on all applicable heating systems. • 12-5316(a): Ducts constructed, installed and insulated per Chapter 10. 1976 UMC. 12-5316(b): Exhaust systems have damper controls. §2.5314(c): Gas-fired space heating equipment has intermittent ignition devices. 62-5314: 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 gmatcr). first 5 feet of pipesclosest to tank insulated (R-3 or greater). §2-5312(Fxception 1): Pipe insulation on steam and steam condensate return dt recirculating piping §2-531g(d): Swimming Pool Heating 1. System has: a. On/off switch on heater. b. Weatherproof instruction plate on heater. e. Plumbed to allow for solar. 2. 75 percent thermal efficiency. 3. Pool cover. 4. Time clock. 5. Directional water inlet. 6ghtinq and Appliance Measures t 12-5352(1): Lighting - 25 lumens/watt 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. COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with Title 24. Chapter 2-53 and Title 20, Chapter 2. Subchapter4. Article 1 of the California Administrative code. This certificate has been signed by the individual with overall design responsibility and the building owner. who shall retain a copy of it and transmit the certificate to any subsequent purchaser of the building. Designer Building Owner Name: Name: Ttk/FUTW Addmss: Tldcffirm: ,war ss: Tekphone: Lic. 0: (signitum) (date) Documentation Author Name: TitkJFum: Addn=: Tenc st6nature) (dart 'Enforcement Agency Name: Agency: Tckplwrtc 1. Ceiling Insulation F2 factor 0.90 Number of stories 3 -1 R -value One Two Three R-0 -103 -49 32 R-198 4 2 �•� 2 R-30 -2 iy -i7 -1 R-38 0 50 0 U -value -39 -24 -10 0.50 -176 -84 -54 0.30 -102 -09 •32 0.10 -26 -13 -8 0.08 -18 -9 -6 O.C6 -11 -5 -4 0.04 -4 -2 -1 0.02 4 2 1 0.00 11 5 3 2. Wall Insulation -2 5 13 Single- Single - -17 -9 Family Family Multi - R -value Detached Attached Family R-0 -68 -51 34 R-11 0 0 0 R-13 2 2 1 R-19 8 6 4 U -value 23 -40 -11 0.80 -153 -114 -76 0.50 -91 -68 -46 0.30 -47 -36 -24 0.10 0 0 0 0.08 4 3 2 0.06 9 7 5 0.04 14 11 7 0.02 19 14 10 0.00 24 18 12 3. Raised Floor Insulation 12 16 Insulation in Floor -23 -1 3 Number of stories 12 R -value One Two Three R-0 -17 13 -5 R-11 -3 1 -1 10 14 17 14 R-30 3 7 10 U -value 18 13 -12 0.60. -144 -70 -46 0.50 -120 -58 38 0.40 -95 -46 30 0.30 -69 -34 -22 0.20 -43 -21 -14 0.10 -17 -8 -5 0.08 -11 -6 -4 0.06 -6 -3 -2 0.04 -1 0 0 0.02 4 2 1 0.00 10 5 3 Controlled Ventilation Crawispace -9 1.7 Number of stories Sum of 14 R -value One Two Three R-0 -11 -7 -5 R-5 4 -4 3 R-11 -2 -2 -2 R-19 -1 -2 -2 4. Slab Edge Insulation 0.80 7.33 8 7 6 5 Number of Stories 3 R -value One Two Three R-0 0 0 0 R-5 8 5 2 R-7 8 6 3 F2 factor 0.90 -4 3 -1 0.80 -1 -1 0 0.70 2 2 1 0.60 6 4 2 0.50 9 6 3 0.40 12 8 4 S. Inriltration (Air leakage) Specification Points: Standard 0 6. Glass Heat Loss Total -14 -48 -69 -64 U -value East Percent West Skylight .51 to .41 to .31 to 0.30 or Glass Single Double .60 .50 .40 less 50 -121 -53 -39 -24 -10 4 40 -90 37 -26 -14 .3 8 35 -75 -29 -19 -9 1 10 30 -01 -21 -13 -4 4 12 29 -58 -20 -12 -3 5 12 28 -55 -18 -10 -2 5 13 27 -52 -17 -9 -2 6 13 26 -49 -15 -8 -1 7 14 25 -46 -14 -7 0 7 14 24 -43 -12 -5 1 8 14 23 -40 -11 -4 2 8 15 22 37 -9 3 3 9 15 21 34 -7 -2 4 10 15 20 31 3 0 5 10 16 19 -29 -4 1 6 11 16 18 -26 3 2 7 12 16 17 -23 -1 3 8 12 17 16 -20 0 4 9 13 17 15 -17 1 6 10 14 17 14 -14 3 7 10 14 18 13 -12 4 8 11 15 18 12 -9 6 9 12 15 19 11 3 7 10 13 16 19 10 3 9 11 14 17. 19 9 -1 10 13 15 17 20 8 2 12 14 16 18 20 7. Shading (Shade Open) EtTeetive Percent Glaser (percent Mast x SC) Effective ' -14 -48 -69 -64 %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 4 0 2 3 1 3 3 0 1 2 1 3 2 0 0 1 0 3 1 -1 -1 -1 -1 2 0 -1 -2 -4 -2 0 na = not allowed 2 3 4 3 t3. Shading (Shade Closed) Effective Peremt Glass (percent glass x SC) Effective Glass North Eat South West Skylight 18 -14 -48 -69 -64 na 16 -12 -42 -59 -55 na 14 -10 -35 -50 -46 na 12 -8 -29 -40 -37 na 11 -7 -26 -36 -33 na 10 -6 -23 -31 -29 -74 9 -5 -20 -27 -25 -65 8 -5 -17 -23 -21 -56 7 -4 -14 -19 -18 -47 6 -3 -11 -15 -14 -38 5 -2 -9 -11 -10 -30 4 -1 3 -8 -7 -23 3 0 -4 -5 -4 -16 2 1 -1 -2 -1 -9 1 1 1 1 1 -4 0 2 3 4 3 0 - _1 nr 6.0 5 8 10 12 13 9. Interior Thermal Mass SCORE CARD SC Interior Slab Floor Raised Floor Water Mass 1199 Stories Stories 1700 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 2-5 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 t 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 4 Exterior Single- Single- -4 -4 3 . Wall -2 Family Family Multi 0 0 Mass 0 Detached Arached Family 0.00 8 6 0 0 0 3 0.20 16 3 2 1 7 0.40 10.0 5 4 3 ' 13 0.60 7 8 6 4 23 19 0.80 12 10 8 5 30 1.00 18 13 10 7 13.0 1.20 29 24 13 12 8 10 1.40 Zonal Control Adjustment 12 13 9 10 1.60 6 10 13 11 2 1.80 Cooling System Installed 10 12 12 4 2-00 2 10 11 13. One 11. Heating System -4 -4 -3 -2 -2 SE or HSPF 3 3 2 2 (assumes ducts In attic) 1 -9 1.7 Solar Sum of 14 1 _ 0 0 _ -25 or -24 to -14 to -4 to +6 to 16 or SE HSPF less -15 -5 +5 +15 more 0.72 6.60 0 0 0 0 0 0 0.75 6.88 3 3 3 2 2 1 0.80 7.33 8 7 6 5 4 3 0.85 7.79 13 11 10 8 7 5 0.90 8.25 17 15 13 11 9 7 0.95 8.71 20 18 15 13 11 8 1 0 Effective SE or HSPF 0 0 (SE or HSPF x duct efficiency) None Effective -25 or -24 to -14 to -4 to to 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 0.70 6.42 17 15 13 1 91 7 0.80 7.33 25 22 19 1� 10 0.90 8.25 32 28 24 20 17 13 1.00 9.17 37 32 28 24 19 15 1.8 Zonal Control Adjustment 2.2 2.5 System Type 3.1 3.3 Resistance 10 9 7 6 4 3 Other 4.6 6 5 4 3 2 2 12. Cooling System SCORE CARD SC Unit Size (sQ -�- Measu s Water SEER 1199 1200 1700 2200 (assumes ducts In attic) Credit or b Som of 7-10 to or Type Type -2S or ,24 to -14 to -41D +6 to 16 or SEER less -15 -6 +5 +15 more 8.0 -14 -12 -10 -8 3 -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 12.0 15 13 11 9 7 5 13.0 20 17 14 12 9 6 -9 -7 Effective SEER IG None -5 (SEER x dud efficlency) -2 -2 -2 Sum of 7-10 Solar 7 Effective -2S or -24 to -14 to 410 +6 io 16 or SEER lest -15 S +S +15 more 5.0 30 -25 -21 -17 -13 -9 6.0 -12 -11. -9 -7 3 4 6.6 -5 -4 -4 3 -2 -2 7.0 0 0 0 0 0 0 8.0 9 8 6 5 4 3 9.0 16 14 12 9 7 5 10.0 22 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 7 Zonal Control Adjustment 4 3 10 8 7 6 4 3 2 No Cooling System Installed WSB Stories 4 3 2 2 4.3 One -5 -4 -4 -3 -2 -2 Two+ 3 3 2 2 2 1 Single -Family Detached and Attached Interior Mass/CFA S TY.[ 2 PASS SCORE CARD SC Unit Size (sQ -�- Measu s Water 1. 1199 1200 1700 2200 2700 Heater Credit or b to to or Type Type Ims 1699 2199 2699 more SG None 0 0 0 0 0 or Solar 12 8 6 5 4 HP HWR 8 5 4 3 3 WSB 5 3 3 2 2 30% POU 8. 5 4 3 3 SE None -37 -18 -15 -12 95% Solar -1 0 -1 0 0 0.8 HWR -18 -12 -9 -7 -6 23 WSB -25 -16 -12 -10' -8 3.8 POU -16 -12 -9 -7 -6 IG None -5 -3 -2 -2 -2 1.2 Solar 7 5 4 3 2 27 POU 3_ 2 1 1 1 IE None -28 -19 -14 -11 -9 20% Solar 8 5 4 3 3 1.6 POU -10 -6 -5 -4 -3 3.1 Multi-Ftlmily (individual units) 3.7 3.9 4.1 4.3 Unit Size (sQ 4.8 Water 52 699 700 12W 1700 2200 Heater Credit o., to to to or Type Type less 1199 1699 2199 more SG None 0 0 0 0 0 or Solar 14 7 5 4 3 HP HWR 9 5 3 2 2 2.8 WSB 9 4 3 2 2 4.3 POU 9 5 3 2 2 SE None -45 -23 -15 -11 -9 1.7 Solar 2 1 1 0 0 32 HWR -23 -12 -8 3 -5 4.6 WSB -25 -13 -8 -6 -5 6.1 -POU.. _23 =12 -8 -6 -5 IG None -8 -4 -3 -2 -2 3.5 Solar 6 3 2 1 1 4.9 POU 1 0 0 0 0 IE None -30 -15 -10 -8 -6 2.3 Solar 18 9 6 4 4 3.8 POU 4 -4 -3 -2 .2 Interior Mass/CFA S TY.[ 2 PASS SCORE CARD SC Eff. % Glass -�- Measu s - 1. ' 3. y X -value [381 U -value [0.030] 2. Wall Insulation �R_ tq or = iZ•y R-valutill) U -value [0.098] 3. Raised Floor Insulationy! V, 19 or X R -value [ 191 U -value 10.0371 4. Slab Edge Insulation vss__�" or 11.7•9t dC•.. 71 lueva.e •tier R -value [01 F2 factor [0.77] S. Infiltration Standard S- 6. Glass Heat Loss_ 4 TYPE 1 MASS (UtrrC & 4.2, le: exposed �-- slab) -- 7. Shading (Shade Open) N• 2 x = 1, 77 li 0% 5% 10% 15% 20% 2S% 30% 35% 40% 4S% 50% 55% 60% 6S7t. 70% 75% 60% 8575 90% 95% 100% 105% 110Y. 115% 120% 125`,1 0Y. 0 0.2 0.4 0.6 0.8 1.1 1.3 1.5 1.7 1.9 2.1 23 2.5 2.7 2.9 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5 53 toy. 0.2 0.4 0.6 0.8 1 1.2 1.4 1.6 1.9 21 23 2S 27 2.9 3.1 3.3 3.5 3.7 4 4.2 4.4 4.6 4.6 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 27 29 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.8 5 52 5.4 56 30% 0.5 0.7 0.9 1.1 1.4 1.6 1.8 2 2.2 24 28 28 3 3.2 3.5 3.7 39 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 58 40Y. 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 59 50% 0.9 1.1 1.3 1S 1.7 1.9 21 23 2S 27 3 32 3.4 3.6 ore 4 42 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 55% 0.9 1.1 1.4 1.6 1.8 2 2.2 24 2.6 28 3 3.2 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 53 5.6 5.8 6 62 60% 1 1.2 1.4 1.7 1.9 21 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.8 4.8 ' S 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 36 3.8 4 4.3 4.5 4.7 4.9 5.1 53 55 5.7 5.9 6.1 6.4 70Y. 1.2 1.4 1.6 1.8 2 2.2 2.5 27 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 52 5.4 56 58 6 62 64 75% 1.3 1.5 1.7 1.9 21 23 2S 2.7 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 80% 1.4 1.6 1.8 2 2.2 2.4 26 2.8 3 3.3 3.S 3.7 3.9 4.1 4.3 4.5 4.1 4.9 5.1 54 56 5.8 6 62 64 66 85% 1.4 1.7 1.9 2.1 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 5 52 54 56 59 6.1 63 6S 67 90% 1.5 1.7 2 2.2 24 26 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.S 4.7 4.9 5.1 53 5.5 5.7 5.9 6.2 6.4 66 68 95% 1.6 1.8 2 2.2 2.5 27 2.9 3.1 .33 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 5.2 5.4 5.6 5.8 6 6.2 6.4 6.7 69 100% 1.7 1.9 21 2.3 2S 26 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 53 5.7 5.9 6.1 6.3 6.5 6.7 7 105% 1.8 2 2.2 2.4 2.6 28 3 3.3 3.S 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 56 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 S 5.2 5.4 5.7 5.9 6.1 6.3 6.5 6.7 69 7.1 115% 2 2.2 2.4 2.6 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 6.2 6.4 6.8 6.8 7 7.2 120% 2 2.3 2.S 2.7 29 3.1 3.3 9.5 3.7 3.9 4.1 4.4 4.6 4.8 S 5.2 5.4 5.6 58 6 6.2 6.5 6.7 6.9 7.1 7.3 125% 21 23 25 2.6 3 3.2 9.4 3.8 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 SC Eff. % Glass -�- Measu s - 1. Ceiling Insulation :^ „ IK q - �i 3. y X -value [381 U -value [0.030] 2. Wall Insulation �R_ tq or = iZ•y R-valutill) U -value [0.098] 3. Raised Floor Insulationy! V, 19 or X R -value [ 191 U -value 10.0371 4. Slab Edge Insulation vss__�" or SC R -value [01 F2 factor [0.77] S. Infiltration Standard S- 6. Glass Heat Loss_ • , Type [double] U -value 10.651 90 Total Glass (161 7. Shading (Shade Open) N• 2 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 % Glass SC Eff. % Glass �i. 2 X • 77 = 3. y X .�_ X = iZ•y s/. x X 0 = 1 4b % Glass SC Eff. % Glass ;L x S- 8.1 X • , N• 2 x = 1, 77 X TYPE 1 MASS ARBA = O $ Interior N-►ss/CFA GOND. FLOOR AREA TYPE 2 MASS AREA Exterior Wall Mass ND. FLOOR AREA 7&7.p x I.O = 74 SE or HSPF Duct Efficiency [0.78] Effective SE or [0.72/6.61 HSPF [0.5615.151 X = SEER [9.51 Duct Efficiency [0.74] Effective SEER [7.031 S& Type [SG] Credit [none] Point Scores aim MONO 0 4 t -� Sum 1-6 low Z .s y Sum 7-10 a Point Totaf.•"�© 1, I I -,T IX 2y, I', o I II I I -,T IX 2y, I', o I II ji,