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HomeMy WebLinkAbout058-700-007awl 100 bff Bi g Bend Rd.,app.k mi.N.of t ISteel Gate, Bend Area Permit #585-82P, til MH) • ELEC . 4 - 7 - -62 Zp0/{ GAS SUPPORT STRUCTURE REQ. COMPACTION TEST- REO. Contr: Mob�lyHom�Center, Oroville Is od`o'* L8 �7a- T_ 058-07-0-007 93-314 BPEM MOAK, LAROE 5400 BIG BEND RD, OROVILLE 1� q . NEW SF � � � 7 01 - WE 058-700-007 PERMIT#94-3224 MOAK, LAROE �pi 5400 BI ND . RD . , `OROVILLE l- l e �, ADD RPORT/SFLL 058=700-007 PERMIT#98-.0071 ' MOAK, Larne; 5400'Big Bend Rd., OrovilleR -Add Carport/SF 7/00� F1 a LO 1 RESIDENTIAL 058-7:00-007 PERMIT#98-0071 MOAK, Laroe PERMIT NO. 540D -Big -Bend- Rd. , -Oroville - Add Carport/SF PERMIT EXP t OWNER - a/"19p. CONTR. ASSESSOR PARCEL LOCATION t Temp. Power Pole c.. t •- '�$ - Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) /l7 SignatureL[�I�a�t,cr'�� F V=OK ' O = Not OK Not ` = Not Ready Applicable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s DECWCOVERS, ARPORTS AGES lens OK except #'s 1. Zoning Requirements - Setbacks - Easements ng fiequmments-Setbacks-Easements 2. Soils; Special MH Support Sketch Footings; Sats.Size-OepthSpacng.Connectors-SLeel 3. Sewer, Location -Test -Fall -CSD -Concrete 3. Decks; Girders and/or JoistrDecking-BracingStairs-Rails 4. Water; Location -Lest -Easement Needed (Sketch) 4�VY6dd Awn.; Posts -Beam&ffts.-Camectors Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 5. Alum. Awn.; Columns-ConrectiwrsSplice-Decal-Enclosures 6. Gas; Location -Test -Wrap; / /'LYL / /NaL or/ tt" t/ /LPG 6. Carports; Windows -Doors. 7. Well Clearance & Disconnect 7. Electric 8. Utility Clearance 8. Frmg.; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Date Card B-1 Data Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements- Setbacks Easements Card B-1 Date Card B-1 Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line POOLS (Plans) OK except #'s 3. Gas; MH Test-DernarK Walve-Connector 1. Setbacks -Easements 4. Electricity; MH Test -Crossovers -Breakers -Clearances 2. Sails; Compaction -Structure Stability 5. Drain; MH Test-FalWlex Connector 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 6. Water, MH Test -Regulator -Connector 4. Elec.; Receptacles and Lighting, Distance -GR 7. Water and Sewer Connected -C/O to Grade -HD Approval 5. Elec.; Pool Lighting; 15 Volts -GR 8. Gas and Electricity Tagged 6. Elec.; Enclosures; Conduit Entries -Terminals -{.fisted 9. Tie Downs -Type -Installation CerL 7. Elec.; Bonding; Metal WN -Circulating Equip. -Heater 10. Exits; Insp.-Sketch 8. Elec.; Grounding; Equip, w/5' Circulating Equip. -Pool Lghtg. Boxes-Encosures-Panelboards4ns. to Main in Conduit 11. Cert of Occupancy 9. Health Deparanent Approval 12. Permanent Foundation Only: License Decal 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISC SOUS Date DECWCOVERS, ARPORTS AGES lens OK except #'s ng fiequmments-Setbacks-Easements Footings; Sats.Size-OepthSpacng.Connectors-SLeel 3. Decks; Girders and/or JoistrDecking-BracingStairs-Rails 4�VY6dd Awn.; Posts -Beam&ffts.-Camectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns-ConrectiwrsSplice-Decal-Enclosures 6. Carports; Windows -Doors. 7. Electric 8. Frmg.; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Root; Shthg-Roofing t1. ExL; Steps-Doore Landings /2. Braced Wall, Panels Date % Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Sails; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance -GR 5. Elec.; Pool Lighting; 15 Volts -GR 6. Elec.; Enclosures; Conduit Entries -Terminals -{.fisted 7. Elec.; Bonding; Metal WN -Circulating Equip. -Heater 8. Elec.; Grounding; Equip, w/5' Circulating Equip. -Pool Lghtg. Boxes-Encosures-Panelboards4ns. to Main in Conduit 9. Health Deparanent Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 = OK O = Not No OK RESIDENTIAL (Single & Duplex) - = Not Applicable Not Ready Date UNDERFLOOR (Plans) OK except #'s 1. Zoning-Setbacks-Easments+loodStope 2. Ftg., Main; Soils-Elec. Gmd. / P Ftg. Depth 3. Ftg. Garage; Sails-Steel-Elec. Gmd/ P Ftg. Depth 4. Ftg. Porches & Decks; SoilsSteel-/ P Ftg. Depth 5. Stern walls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Holo Dooms and Special Anchors 7. Slab, SteeWrapped 8. Piers -Fireplace Ftg.Sted 9. D.W.V.; Fall-Ftting1est-2 Way C/0 -Sewer Test 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test Anc hors-RegulatDrService Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girdem-Sills-Anchor BoltsJoists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.: Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sae & Anchors Date Card B-1 Date Card B-1 Date Cana B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Circ. / / ga Cu or AJ -Oven Ciro. / / ga Cu or AI Insulated Neutral 0 Yes 0 No 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels -Motors -Meth. Epuip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #a 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Fumance-Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date FRAMING (Condiumd) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-roff Brac.-TrussShting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext Doors -One 3-Checlk Garage 3rd Story, 2 Exits 54. Stairs; Width Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior / Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor -Meth. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Instld./Drive 0 Yes 0 NolWalks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/0 to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Data Card B-1 Comments at Final: RESIDENTIAL - 059-700-007 PERMIT#94-3224 MOAK, LAROE 5400 BIG BEND RD., OROVILLE ADD CARPORT/SF JOB FINALED (Date) Signature J=OK O = Not OK NotReadyable� MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L" ft. / /"Nat. or/ /" L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date _ Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beam s-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O = Not OK - = Not Applicable Not Ready RESIDENTIAL (; ' = Date UNDERFLOOR (Plans) OK except If's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except h's 1E. Water Htr.: Vent -Access -Combustion Air -Baffle ---------------- --------------------------- 17. Water Pipe: Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan: Test. First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access --------------------------- ----------- 21. Gas Pipe; Size & Anchors Date Card B-1 Date Card -B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except h's 22. Fixture & Transformer Clearance -Ins. Protection ----- - - -------------------------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors -------- ---------------------------------------------------------- 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. ------------------------------------------------------------------------ 26. Equip. Ground made up w/Meeh. Fasiners-Bond Gas & Water ---------------------------------------------------------------- 27. 2 Appliance Circuits in Kitchen & Conductor Size/GFI -------------------------------------------------------- 22. Subfeed Wire Size / ga. Cu or AI-A.C. Wire Size / ! ga. Cu or At --------------- 29. Range Circ. ! ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No --------- -------------------------------------------------- 30. Service -Riser Conductors & Ground -Main Disconnect ------------- - ---------------------------------------------- 31. Equip Clearances Panels-Motors-Mech. Equip. ------------------------------------------------- 32. --------------------------------32. Clothes Closet Light -Shower Light -Spa Light ---------- ----------------------------------- ------------------- 33. Smoke Detector ---------------------------------------------------------------------------------- Date Card B-1Date Card B-1 - ------------------------------ ------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except h's 34.- A.C. Ducts Insulation & Support ------------------------------------------------------------------ ---------- 35. Vent Fan: Exhaust above insulation ------------------------------------------------------------------------ --- 36 _Condensate -- Drain- - & Overflow--: Size - &- Grade ----- ---------------------- - -- - -- --- -- - -- - - -- 37- Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ------------ ----------------------------------------------------------------- 38 Attic Access & Platform if Furnance in Attic --------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 --------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except h's 39. Sils. Proper Material & Anchors - -- --------------------------------------------- 40. Walls Studs -Nailing Spacing & Bracing -Plates -Sound -------------------------------------------------------- 41. Bearing Walls over Girders & Floor Nailing - ------------------- 42. - ---- ----------- 42. Draft Stop in Walls (rat proof) ----------------------------------------------- ---------- ----------------------- ------------- 43.. Fire Stops: Furred Ceilings -Stairs -Chases -Tub ------------------- --------------------------- 44. Headers & Beam -Size & Bearing jingle & -Duplex) ` Date FRAMING (Continued) ___ 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits _ 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers ---------------- _ 55. Siding -Nailing Veneer _ 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access _ 57. Glazing Area -Glass Protection -Skylights -Plastic _ 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings --------- 60. Infiltration -Walls -Windows ----------------------- Date---- _Card B-1 _ Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except ff's 61. Ext. Steps -Door & Sidelight Protection -Landings ------------------------ --- 62. Smoke Detector ------------ 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage, -Above Floor -Ducts -Meth. Protection ------- - ------ - 64. Bedroom Exiting -------------------------- --- 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels ---------------- ------------ 67. ---------------67. Stairs -&-Rai-Is 68. Fireplace or Stove: Clearances -Hearth ----------- ------------------------- 69. Elec. Outlets at Wood Panel: Int. & Ext. 70. Kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance --------....-------------------- ---- - 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door: Swing -Landing -Closer -------------------------------- -------- ­ ___73 .---- - - --73. A.C. Duct in -Garage -Damper 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection ------------ ----------------- 75. Plb.. Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection -------------- 7;.- ------------7 Insulation -Foam -Looked in Attic ❑ Yes ------------78.-Guard Rails & Deck -Construction -Post Caps ----------------------- - 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes - -- ------------------------------------------- 80. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No: Planters- ❑ Yes ❑ No-- - 81. Stucco: Brown -Finish ---------- ----------------------- - - 82. A.C. Unit: Disconnect. Electrical, Plumbing 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings ---------- --------- ----- ----- -- 84. Water Well: Disconnect, Electrical, Plumbing ----------------------------- ---- 85. Exterior Elec. Trim: G.F.I. Receptacle -Underground -- -- - - -- - - -- -- --------------------------- --- 86. Ventilation Throughout House - - - - - - - - - ---------- 87. Glass Protection -------------- ------------------- -------- 8d. Corrections from Previous Inspections --- -- ------ -------------------------------------------- 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates ------ -------------------- Date Card -B-1--- Date - Card B-1- ------- ---------------------- Date Card B-1 Comments at Final: Date Card B-1 Date Card B-1 Date Card B-1 LAROE MOAK 5400 BIG BEND RD OROVILLE, CA 95966 UtrAK 1 MtlY 1 ur UCvcLvrlviriv i aor%vn.ro 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (916) 538-2140 11/06/95 RE: Building Permit # 94-3224 Expiration Date: 12/6/95 A.P. # 058-700-007 !i w. S EAU TY With reference to the above subject, our records indicate that your building permit expires on the above date and your permit falls into the category marked below: [ ] Permit work started, but not completed. Permit may be renewed for 1/2 the original building permit fee (plus a $20.00 filing fee) . The renewal permit will extend the building permit for an additional year from the original expiration date. Should you not renew your permit within 30 days of the expiration date, all work must cease until a new building permit has been issued. For your convenience, we'are enclosing a renewal application form and owner -builder form to be completed and signed by you where indicated and returned to this office together with the fee shown. Please return all copies of the application form. [X1 No inspections have been made on permit work. Inspections are required to verify code compliance. We are unable to renew a permit where the work has not been started and inspected prior to permit expiration. After expiration of your permit, no work may be started until a new permit has been issued. If our records are in error or should you have any questions concerning this matter, please contact the OROVILLE office. Thank you for your prompt attention concerning this matter. Yours very truly, C �1. Micbfael C. Vieira, C.B.O. MCV:ahb Manager, Building Inspection Attachments Chico Office - 1469 Humboldt Rd/891-2751 Paradise Office - 747 Elliott Rd/872-6307 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 n58-700-007 ZONING FR 20 BUILDING PERMIT OWNER TELEPHONE FT. OCC. BUILDING ATION `SO. 648 82424.00 OWNERS MAILING ADDRESS CONTRACTOR'S NAME OWNFIR TELEPHONE ' 532-9317 CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace 8,424.00 LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 108.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 70.20 BUILDING ADDRESS 5401 BIC, BEND ROAD Energy Plan Checking Fee $ $ PERMIT FEE $ 198.20 LOT NO. SUBDNISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF X Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 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 k Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: CARPORT Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 000V OR LES9 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. License Class LIC. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 0- 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 Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUP. OR AD DNS. ( 8 ACC, BLDS.NE S0 3.5Q�; NON -R SIDT ANCHCI1 CU TLET @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 @ 1.00 BAL @ .50 Ex. Occup. oUT. (RR.lo.oew 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 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 number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I 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' laws of California, and agree that if I should become subject to ther workers' compensation provisions of section 3700 of the Labor Code, I shall forthw- h comply with those provisions. X ��e' �� Date—�� — Signature of Applicant -wner f�ontractor ❑ 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. PE TOTAL FEE $ :HAnZ.D. FES IMP FLOOD CDF _ PARCEL v PD HD Ucompensation This permit is hereby issued under the applicable provisions of the Butte County ode and/or Resolutions to do work indica bo for w ich. fees have been paid. B p– By ✓�� Dale Z d PERMIT EXPIRES ON 3 Dare Receipt No. 231539 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT vvv COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 -COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 / PERMIT APPLICATION DATA SHEET OWNER: L ey l' `Yt ASSESSOR PARCEL ER: 0 5­4�— -"" ?0 0 � Proposed Building Use: Building Inspector: Date: / — /S - `7p 9 -- At time of permit application, I Kas advised the following data must be submitted prior to permit processing and/or issuance: Date Received By ❑ 1. All items have been submitted -------------------------------------------------------------------------------------- 02. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ 03. ----------------------------------------------------------- ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. ---------------------------------------------- ------- ❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 06. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications ------------------- 0 10. Fees of $ ------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule.----------------------------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees. ❑ .Flood elevation certificate. ----- ............................... and plot plan approval Health Department. ------------------------------------------- L__/ - ❑ 15. City of Chico plumbing permit. ----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- 1117. --------------------------------------------- ❑17. Planning approval for (A) Use: (B) Parking: -------------- ----------- 0 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- t ❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). ------------------------=--- ❑20. Pre -inspection for ❑21. Contractor's license information. (Number, Name c 022. Workers' Compensation carrier and policy number. 023. Owner -Builder Verification (Given to owner ❑, M; ❑ 24. Letter of signature authorization. --------------------- required Request to Building Inspector on , Classification). ---------------------- ------ to owner ❑). 112 5. Recorded copy of Agricultural Acknowledgment Statement. ---------------------------------- 026. Letter of intent on building use. ------------------------------------------------------------------- ❑27. Manufactured Home utility clearance.------------------------------------------------------------ 028. Existing violations and/or expired permits. ------------------------------------------------------ 029. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ 030. Other: When you issue the permit, process as follows 9 Nail to owner, ❑Mail to contractor. Telephone 6l> V —% � 1 `7 and hold for pickup at 11 Deliver with inspector. Applicant:W-el- Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: (Date) -- is- 9 S9 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: / — o_y-- 9 Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance PC -=T_ p S k4 O Mf T Owner Location Plan Approved for: Sewage Di al Water Supply: Public Clearance for dwelling. they eA-11-AICT ° NOTE: Environmental E.H. USE ONLY Plot Plan Attached Floor Plan Attached Sent to AP# Private Well x3a v OB. -1 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 NO ❑ 2. I HAVE tzk HAVE NOT ❑ 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: NAMF-^ ADDRESS: CITY: PHONE: CONTRACTOR'S 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: AME: ADDRESS: PHONE: CITY: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER:_ SOCIAL SECURITY NUMBER: DATE: j—/'S —�� NOTE. _ This Owner -Builder Verification is required by Section 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. OWNER BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for vpur benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including'state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry. out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification's on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. r rely, Mic el C. Vi ira, C.B.O. Ma ger, Building Inspection NOTE. This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code OVER 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 NUMB �S 20NIN 0 BUILDING PERMIT OWNER TELEPH NE SO, FT, OCC1446A44. BUILDING ALUAT OWNERS MAILING ADDRESS 6iv CONTRACTOR'S NAME W TELEPHON S3� 7 CONTRACTORS MULLING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHrrECT OR ENGINEER LICENSE NO. Flip Fee $ 20.00 ARCHITECT OR ENGINEERS MARINO ADDRESS Permit Fee S d Plan CheckingFee $ BUILDING ADDRESS Energy Plan Checking Fee 5 $ PERMIT FEE $ •'20.00 IDT NO. SUBDNISION'sNAME PARCEL MAP PLUMBING PERMIT Fling Fee USEOFSTRUCTURE_Each SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Trap 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 ❑ tAliities ❑ Installation ❑ Other ❑ Describe Work:"—� � — Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home Is I GI W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Feel 20.00 Main Service "., oR LEss YOGA OR u:SS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 1 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. License Class Lic. No. OWNER -BUILDER DECLARATION I herebyaffirm under penalty of perjury that I am exempt from the Contractors License P nY P I N P 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 number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 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 f I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An 01 HA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO t000A 46.00 NEW CONST. DWELLING OCCUR so OR ( & ACC. SMS . S.. 3.5¢FT: cors . NpµRESIO. eG 7.50 PowER APPARATUS 8 SWGLE OURET CIR. Ex. Occup. oUnETOR FOnUREs a 0 ®' p Ex. OCCU FIXED APPLNs.OR ovrLETs RM. EA 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 FES S Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. -PE TOTAL FEE $ 1 ,, �. D� IMP FLOOD CDF PARCEL pDt HD ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By Date PERMIT EXPIRES ON (Date) provisions to do work paid. ReceiptNo. 3 WHITE-D.D.S.-B.D. AN RY•ASSE SOR PINK -INSPECTOR GOLDENROD -APPLICANT t i ®L ~' \ t $m tone 9 O i , l Z ' ;;A p ;;A Cf O ou ou -/VoI- 5\1 gy 7 �UtLDt N6 ' �NsPE�Ta� M 6---o -rO • a V v _ �X c ld Z T fes" 0 a m �� z i c � N 6 IN _ �X c ld Z T fes" 0 a m �� z i J I O 0 k. J a xO EXjS T I+ Loi Iona I. ovi�C of i s� .Fa°�► O'er' of: i ►-jpro L r AP NO. 56—'700-00,i? C9RPQk'f- /+u.�U r t MAP LOC C I c.«C h • 21 R. 5 E syJr4cyo OPOSEO JN n, e w ,1 o ca S ked se�'dYplaiY anQ ePe ona CYO I- t o4. or stns Ol gA r' PaoptCY pe'S yL �316 BEND ROAD i p "' the JOD at all UmOs and it is tuuawll�d make any oiWnps or alb on mase wit Written per4ussion from the Department of P r Qou�iity of Butte. APPRoi Nil, Butte Co m Fr1V/rnnr---. Fffi�Z NE W5 . _ Signa—`t M F�ANGH F rp ..r ':+'•. \ :_+•y .,i.; moi• ��.�:� 1�t"�� ~. . . i p "' the JOD at all UmOs and it is tuuawll�d make any oiWnps or alb on mase wit Written per4ussion from the Department of P r Qou�iity of Butte. APPRoi Nil, Butte Co m Fr1V/rnnr---. Fffi�Z NE W5 . _ Signa—`t M F�ANGH F rp ..r COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone'(916) 538-7541PERMIT NO. APPLICATION AND PERMIT_94_32� ASSESSOR PARCEL NUMBER �� ZONI f ..n BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION 648 C 8,424.00 OWNER'S MAILING ADDRESS 5 f CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS . CONSTRUCTION LENDER f UNKNOWN LENDER'S MAILING ADDRESS Fireplace Total Valuation $ Filing Fee $ Permit Fee $ 20.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 7020 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 55400 BIG BM RD PERMIT FEE $ q PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF ULT Duplex O Mobilehome ❑ Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New O Addition Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: CARPORT PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOV OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR AODNS. ( a ACC. BLOS. ) SD. 3.5C FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ 1 am a licensed underrovisions of Chapter 9, Division 3 of the Business and P P Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. .50 FIXED APPWS. OR Ex. Occu p' OUTLETS IRESID.1 EA. ) ( 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. O I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. IV I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in co sequence of the granting of this permit. �. i ( X l 0/ Date % 1 Signature of Applicant - 'Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ ogc� Nj c�/pysJ.trvPE �/ TOTAL FEES 198.20 HAZ. D. FEES IMP I F.LOO CDFPARCEL PO "' H ISSW This permit is hereby Issued under the applicable provisions p Y PP of the Butte County Code and/or Resolutions to do work ndicated above for which fees have been paid. 1216111/ Date / 216 1 7 �ERMIT EXPIRES ON IDetel ReceiptNo. 170787 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT i COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541_PERMIT NO. APPLICATION AND PERMITIf ASSESSOR PARCEL NUMBER ZON BUILDING PERMIT OWNER MOAK LAROn TELEPHONE SQ, FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS S401 BIG BEND RD DROVILLE 648 C 8,424-00 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ ]OR oo ARCHITECT OR ENGINEER ucENSE No. Plan Checking Fee $ 70 20 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS PERMIT FEE $ OR 91) 5400 BIG BEND PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15,00 Each gas water heater or vent 15.40 USE OF STRUCTURE SF EkDuplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 5 outlets 15.0 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New ElAddition pp,� Remodel ❑ Utilities ❑ Installation El Other ❑ XX Describe Work: CARPORT PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service'IV OR LESS ( 200A OR LESS I 23.00 Main Service ( 200A TO 1000A I 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. BLDS. ) 3.50 FTgD., CONTRACTORS LICENSE LAW ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET NON.RESID. ( BRANCH CIRCUITS ) @7.50 ( POWERAPPARATUS ) Ex. Occup. ( OUTLET OR FIXTURES I 20 @ 1.00 BAL. @ .50 Ex. Occup.FIXED APPLNS. 0R ( OUTLETS IRESID.I EA. I 5.00 Temporary Service ry 23.00 Mobile Home Facilities 20.00 Mise. Wiring 23.00 WORKER'S COMPENSATION INSURANCE declare er penalty of perjury (check one): O This peundrmit is for $100.00 (valuation) or less. O 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said nCounty in nsPquence of the granting of this permit. �x I Date Signature of Applicant Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ )4VgTtTYPE VP TOTAL FEE $ HAZ. 1 D. FEES I IMP FL CDF PARCEL PD 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. i r Q BY � 'Dat, PERMIT EXPIRES ON / 6 (betel Receipt No.170,7 WHITE-O.D.S.-8.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT CGUNTYOF BUTTE - DEPARTMENTOF.DEVELOPMENTSERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER Moak M P. No. � - � -C Proposed Building Use j2op Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted......................................... 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ........................................... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ ........................................... 11. Impact fees as shown on attached schedule. .............................. 12. California Department of Forestry plan approval/fees. .....! .................. 13. 14. Flood elevation letter (100 year flod) by California Engineer .................... Sanitation and plot plan approva i Health Department . ............ 15. City of Chico plumbing permit . .......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: , . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. . 20. Pre -Inspection request Pre -inspection for required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . ......................... . 23. Owner -Builder Verification (Given to owner Mail to owner . ........ _ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . ........................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan checklist ...................................................... 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant � Date hod / qe/ Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Co to by _ Date Plans checked by Date Plans approved by _ Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works f TO: Building Department E.H. USE ONI,�e Plot Plan Attached Floor Plan AthcLed� Seat to B.D. / FROM: Environmental Health SUBJECT: Sanitation Clearance Ec-!rM6A7C,- Owner Location APS Plan Approved for: Sewage Disposal Water Su poly: Puplic Private Well Clearance for bedroom mobile home. Other 96e:;� / et+,re152� Health Specialist f:Veya Date COUNTY OF BUTTE Department of Development Services Building Division Oroville: 7 County Center Dr., Oroville CA 95965 Ph: 916-538-7541 Chico: 1469 Humboldt Rd., Chico CA 95928 Ph: 916-891-2751 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) ha ✓2 signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction: Name .S e L r - Address City Phone Contractor's 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 191/1 Av Q Address City Phone Contractor's License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work %LQitJ e Signed: & czmo� Property Owner `� Social Security Number -- Date 1,Q / 1 /(?Q, 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. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 r7W APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER (7 4 VXOn ZONING BUILDING PERMIT OWNER y TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNE MAI NG ADD SS CONTRACTOR'S NAME TELCPHONf E CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS ' .� PERMIT FEE PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 � I • W Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF k Duplex ❑ Mobilehome O Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New O Addition Remodel O Utilities O Installation O Other O Describe Work: PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 /d Main Service BOOV OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO t000A ) 46.00 NEW CONST. DWELLING OCCUP. ORADDNS. ( 6 ACC. BLDS. ) so 3.50 FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification O I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code forthis reason NEw CONST. MULTI -OUTLET -NON -RESID. ( BRANCH CIRCUITS ) @7.50 IOW ER APPARATUS (8 SINGLE OUTLET CIN. ) Ex. Occup. ( OUTLET OR FIXTURES ) BAl @ 1.000 Ex. Occup.FIXEO APPwS. OR ( OUTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. O 1 shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ I certify that I have read this application and state that the above information is correct. 1 agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant - O Owner O Contractor O Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Contractor Mobile Home Installation Fee $ Energy Inspection Fee $ GCC CONST. TYPE TOTAL FEE $ HAZ. 1 D. FEES I IMP I FLOOD I CDF I PARCEL PO HD ISSUE This permit is hereby issued u Tder the applicable provisions of the Butte County Code anti/or Resolutions to do work indicated above for which fees have been paid. BY Date PERMIT EXPIRES ON [Date) /`'� Receipt No. lJ WHITE-D.D.S.-B.D. CANARY-ASSESSO PINK -INSPECTOR GOLDENROD -APPLICANT 11/06/95 LAROE MOAK 5400 BIG BEND RD OROVILLE, CA 95966 RE: Building Permit # 94-3224 • Expiration Date: 12/6/95 A.P. # 058-700-007 With reference to the above subject, our records indicate that your building permit expires on the above date and your permit falls into the category marked below: [ ] Permit work started, but not completed. Permit may be renewed for 1/2 the original building permit fee (plus a $20.00 filing fee). The renewal permit will extend the building permit for an additional year from the original expiration date. Should you not renew your permit within 30 days of the expiration date, all work must cease until a new building permit has been issued. For your convenience, we are enclosing a renewal application form and owner -builder form to be completed and signed by you where indicated and returned to this office together with the fee shown. Please return all copies of the application form. [X4 No inspections have been made on permit work. Inspections are required to verify code compliance. We are unable to renew a permit where the work has not been started and inspected prior to permit expiration. After expiration of your permit, no work may be started until a new permit has been issued. If our records are in error or should you have any questions concerning this matter, please contact the OROVILLE of f ice. Thank you for your prompt attention concerning this matter. Yours very truly, Micbfael C. Vieira, C.B.O. MCV:ahb Manager, Building Inspection Attachments Chico Office - 1469 Humboldt Rd/891-2751 Paradise Office - 747 Elliott Rd/872-6307 . . ......... :-a - u�te Count �A iJ D O F NJ A- U A ',N! A H A P11D 3 EA U'TY BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (916) 538-2140 11/06/95 LAROE MOAK 5400 BIG BEND RD OROVILLE, CA 95966 RE: Building Permit # 94-3224 • Expiration Date: 12/6/95 A.P. # 058-700-007 With reference to the above subject, our records indicate that your building permit expires on the above date and your permit falls into the category marked below: [ ] Permit work started, but not completed. Permit may be renewed for 1/2 the original building permit fee (plus a $20.00 filing fee). The renewal permit will extend the building permit for an additional year from the original expiration date. Should you not renew your permit within 30 days of the expiration date, all work must cease until a new building permit has been issued. For your convenience, we are enclosing a renewal application form and owner -builder form to be completed and signed by you where indicated and returned to this office together with the fee shown. Please return all copies of the application form. [X4 No inspections have been made on permit work. Inspections are required to verify code compliance. We are unable to renew a permit where the work has not been started and inspected prior to permit expiration. After expiration of your permit, no work may be started until a new permit has been issued. If our records are in error or should you have any questions concerning this matter, please contact the OROVILLE of f ice. Thank you for your prompt attention concerning this matter. Yours very truly, Micbfael C. Vieira, C.B.O. MCV:ahb Manager, Building Inspection Attachments Chico Office - 1469 Humboldt Rd/891-2751 Paradise Office - 747 Elliott Rd/872-6307 G r ' RESIDENTIAL -93-314 BPEM 058-07-0-007 MOAK, LAROE OROVILLE 15400 BIG BEND RD, NEW SF d 4, i OFFICE COPY Address I j- Date ELECTRIC D� Meter By Date?4-1* R JOB FINALED (Date) Signature V=OK - O=NotOK Not ' = Not Readyable MOBILE HOMES Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fell -C/O Concrete 4. Water; Location -Teat -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Teat -Wrap: / /" L"ft. / /"Net. or/ P'L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'a 1. Zoning Requirements -Setbacks Easements 2 Footings; Size -Spacing -Marriage Line 3.. Gas; MH Teat -Demand -Valve -Connector 4. Electricity; MH Test-Crossovers-Breakere-Clearances 5. Drain; MH Test -Fell -Flex Connector 6. Water; MH Teat -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORT8, OARAGE8, (Plans)OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/Initials POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures-Panel boa rds-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V=OK ° O = Not OK - = Not Applicable Not Ready RESIDENTIAL ' = Date/Initials UNDERFLOOR (Plans) OK except #'s f jUt" &og'Ftg., Main; Soils-Elec�90YfI'��bk tg. Depth F& 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 11,�SLemwalls, Main; Steel -Bloc kouts-Wrapped Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Pi -Fireplace Ftg.-Steel O.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground ms & Ducts; Clearance -Material -Support -Ins. 1 ird -Sills-Anchor Bolts -Joists -Vents -Cripples ccess & Ventilation 16. Insulation Date/Initials PL ING Permit OK except #'s /Q 9 I 6. V jat'er Htr.; Vent-Access-Combu/t' Air -Baffle t L),r �r Pipe; Test & Anchor -Nail Protection jjAr"D.W.V.; Test -Fittings & Anchor-Naii Protection 19._Shower Pan; Test, First Floor -Tub Access 41I. -Test -Tub & Shower, Second Floor -Tub Access L21 -Gas Pipe; Size & Anchors Date/initials ELECTRICAL (Permit) OK extent #'s I L,2 F' tune & Transformer Clearance -Ins. Protection f .,Elec. Receptacles Spacing -Lights & Switches at Doors y L/14. Size Boxes & No. of Conductors -Stapled 1 j 5. Bdmex Installed Close to Edge of Studs & C.J. ( . Equip. Ground made up w/Meeh. Fastners-Bond Gas & Water (yT. 2 Appliance Circuts in Kitchen & Conductor Size/GFI ,2B_Subteed-Wire'Size7 ' / ga. Cu or AI-A.C. Wire Size/ / ga. Cu or Al -29:-Rang uc. % / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No ervice-Riser Conductors & Ground -Main Disconnect '31'Equip. Clearances Panels -Motors -Meeh. Equip. s Closet Light -Shower Light -Spa Light PV§moke Detector Date/Initials MECHANICAL ear -mit OK except #'s . Ducts Insulation & Support ],. Vent Fan; Exhaust above insulation e rem verflow; Size & Grade Cess -Comb. Air -Return Air Vent -115 outlet Attic Access & Platform if Furnance in Attic Date/Initials FRAMING Plans OK except #'s Sils,-?roper Material & Anchors W Is,Studs-Nailing, Spacing & Bracing -Plates -Sound Bearing -Wells over Girders & Floor Nailing �,Az._ raft Stop in Walls (rat proof) V 14S. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 1, . Headers & Beam -Size & Bearing Single & Duplex) Date/Initials / FRAMING (Continued) t55 -Hangers -Post Caps -Anchors -Connectors Ing. Joist-Rftr. ties-Purlin—roof Brac-Truss-Shthna.-Rfna_ ( W—Fireplace Ties or Type A Flue -Fireplace Throat clearance L4"ttic Access; Size & Romex Protection -Draft Stop -Ins. Baffles ,t / Lo-__Edrm. Windows or Exiting Doors -Sill Hgt. & Dimensions t� so rera�w F e Protection Framing All Preperty'Une Firewall & Openings Lb2'Ext.-Poo rs-One 3' -Check Garage -3rd Story, 2 Exits tairs;..Width-Headroom-Rise-Run-Landing-Fire Protection od on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing Veneer S- Sheen t�fesh-Drip Screed -Fd. Vents-Underfir. Access amazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts ..,Insulation -Walls -Ceilings Infiltration -Walls -Windows Date/Initials FI W2Plans OK except #'s E taps -Door & Sidelight Protection -Landings Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air-Connector- -7f_G_a age; Above Floor-Duct=10fech. Protection lvq. n room txitmg F.I. & Bath Fixtures & Tub Access -Spa 6 rim & Subpanel; Breaker Sizes a els s & Rails Fir ce or Stove; Clearances- Elec. Outlets at Wood Panel; Int. & Ext. yU. Ki�xt. & Appliance; Grnd.-Air Gap -Cooking Clearance L7T. Elec. Outlets & Receptacles at Kit. Counter 2__ amp Eire Door; -Swing -Landing -Closer e -Damper tr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. ln_Ca ge-Above Floor -Mach. Protection Ib., Elec. & Mach. Equip. Listed for Location -Z6--EWacles in Garage; (G.F.I.)-Romex Protection tin Ovation -Foam -Looked in Attic ❑ Yes U8!uard-Rails & Deck Construction -Post Caps "n. Vents & Crawl Hole Door-Drainae & Wood -Earth Clearance Looked under Floor bs 80. Following instld.; DrLvve ❑ No; Walks ❑ Yes o; Planters ❑ Yes U✓IVo Roof; Plbg: Appliance -Fireplace: Clearance to jl�r84,,1N Well; Disconnect, Electrical, Plumbing _Pi5_E5akor Elec. Trim; G.F.I. Receptacle -Underground [ Vent'IJaklon Throughout House 88. rrections from Previous Inspections 16 9. Gas Test -Meters Tagged; Gas -Electric �� a , 90. akar & Sewer Connected -C/O to Grade -HD Approval Comments at Final: Certificate -Other COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND 'PERMIT PERMIT NO. 93-314 ASSESSOR PARCEL NUMBER 058-700-007 ZONING FR -20 BUILDING PERMIT OWNER Laroe Moak TELEPHONE 532-9317 SO. FT. OCC. BUILDING VALUA ION OWNER'S MAILING ADDRESS 5401 Big Bend Rd., Oorville 95965 864 R 44,936 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER UNKNOWN Fireplace 1 500 Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ 90-00 Penalty $ BUILDING ADDRESS 5400 Big Bend Road, Oroville Permit fee $ U° Bi Bend Rd. , Oroville PLUMBING PERMIT Filing Fee 15.00 Each Trap 51 5.00 25.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 7.00 7,00 Each qas water heater or vent 7.00 7.00 USE OF STRUCTURE SF [:JX Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 5,00 Building sewer 15.00 15,00 Mobile Home S I G W @ 15.00 TYPE OF WORK New UX Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: 2 bedroom Permit Fee $ 74.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 18,50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under p provisions of Cha t. 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 Main service 200ATO1000AI 37.50 30.25 NEW CONST. / DWELLING OCCUP.eI+\ 3.54 sq.ft. OR ADDNS. \ ACC. BLDGS. // NEW CONSTR. ULT LOUT LET @ 5.00 NON.RESID BRANCH CIRC ITS POWER APPARATUS Q1 SINGLE OUTLET CIR. / EX. Occu 20 754 Occup(OUTLETS OR FIXTURES FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring '15.00 Permit Fee $ 63-79 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.o0 (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 /wIpf 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 1 to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating wood Cooling Hood 6.50 Ventilation 1 9 Permit Fee $ 21.50 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agains aid County in consequence f the granting of this permit. Q p� Date �— / `— / 3 Sign ure of Applicant — Owner ❑ contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" dee n demolit'on or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ 40.00/, CON T VPE TOTAL FEE $ 754. H FEES IMP ._ FLOOD CDF PARCEL PD Issu I This permit is hereby issued under the applicable provi sions of the Butte County Code and/or resolutions to do work Indl ab w ich fees have been paid. OR F UBLIC WOR S By D to - PE MITEXPIRES Date c.Ac Receipt No. 135403 /724.25// tg WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE 'r• BUILDING DIVISION -< DEPARTMENT OF DEVELOPMENT SER,YICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 >_- 747 Elliott Road, Paradise, CA - (916') 872-6307 r l" ,r CORRECTION NOTICE WNER fPERMIT NO. ! A routine �spection indicates that the following violations of Butte County Ordinances exist at !? the above address and should be corrected. Please notify this office when correction of work is co leted. If you have any questions pertaining to this matter, or need additional explanation, pie a contact this office immediately. fe -. G,,ral�t44 44& 11 OJ r r Ce. ' s- ! c .�u !x_ ry wtj '-'�t O f' 74 7ZO X3 /1Z / [P P` • i Date ,i`,4' Inspector , F< REV 102 Insulation Certific-1t Numb end Sum ---------------- CMZ/ Courcy Subdavuicn WN—b. Description of installation ' ROOF Wcrial Taickncss (ineha) CEILING Br—,td Na me Thcrssial Itcsistarscc (Ft-VaJu,�) BauorBlankctType FIBERGLASS B=..dN=. CERTAINTEED Thickness (inches) Tbemul Rcsi Qm= (R -Varese) LcoscRiType INSULS-AFE III Brar-dNa= CERTAINT Contnctct's minimum inSM11cd wci& ft lb Minimum twee-ki1css Manafactun:c s installed weightper squats foot to acheive Thamai Resismm.c (R -Value) 36 EXTERIOR WALL M � _F RERrMASS' • Thickness (inches) —' RAISED FLOOR bl,IceW FIBERGLASS ibid mess (inches) SLAB FLOOR Mitcrial Thickness (inches) Width (inches) FOUNDATION J VIALL 1•U�cul FIBERGLASS Thickness (inct:cs) Declaration Bimd NameCERTLAINTFFN ThermalRrsisn (R-Vaiuc) J BrsndNamc CERTAINTEED - 'Ibermal Resistance (R -Value) Band Namc 'Thermal Rcsismnc= (R-VrL'ur.) BraidNarnc CERTATNT .Ff) T,urm-d Rcsimhcc (R-Valuc) 1 hen by ccrti fy the abov the ce instduion was irutallcd in the building at the above location in confortnance with urmnt Building Encr.gy Efficiency Stindartit for new rtsidenual buildings contained inTitle 24 of the Cal"fomia Admlr istntivc Calc. Cc onexice(Uuddct) LxwcNumba t� = 9 � SrInuwt W TILk ►� D.0 SHASTA INSULATION 272941 r0 Co r (Ica u,on lniulrv) -- . • Nurnbci Sp%.n;r< aril T��k 7 / ,�DLk . - QOUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATASHEET OWNER 4 f 404 lvt o4,< A. P. No. 058 - 7 O U ` O© Proposed Building Use ZT, 3 Building Inspector _ Date Z 3 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECENED BY 1. All items have been submitted......................................... Plot plans, 3/4s signed by preparer of plans. .......................... 3_ Complete plans sets, signed by preparer of plans . ....................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............ . 5. Hazardous Material Form . ............................................. 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer' install ion ins suc Ions, 2 sets. .......... . 0. Fees of $ '/ - . �` ............... 11. Impact fees as shown on at chdd schedule. ... ........ ��V3 N� 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) b California Engineer. .. _ .` 14. Sanitation and plot plan approval d,Vv, Y/C Health Department. .......... 15. City of Chico plumbing permit . ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. .. .. . ff- 20. Pre -inspection for P`Bu"�ng Ins `ecto required. . . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . ......................... . 23. Owner -Builder Verification (Given to owner , Mail to owner _). .......... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right 9f dray to ublic road. /.. b / �7. Letter of intent on buildinguse..T. ,O„ �{�'i1IoY o 28. Mobilehome utility clearance . .......................................... .............. 29. Documentation of legal access . ..................... 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When yAu issue the p)ermit, process as follows: Mail to owner. Mail to contractor. t/ Telephone 537--9317 and hold for pickup at a.eQcj,'1I c office. Deliver with inspector. Other 533 - 2- 1 (0 M SG- P vrvc Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior t er it issuance* it len w item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor esign- wner, was advised of above required data by vphone _ mail Counter by��ate Contractor, eslgner, owner, was advised of above required data by _ phone _ mail Cou er by _ Date Plans checked by Date Plans approved by e Date��3 Sets of plans on hold in File cabinet AP folder ~ 1.S Copy - Department of Public Works 7-q3 COUN Y OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION, 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916)5387541 NER 'DOPOSED BUILDING USE 4x A. P. N0. U te _ % 00 -00 7 DATE REC . # DATE_ REC School Distric Fees 0'e, (paid at District Office) _ Sheriff Fees (paid. at Building Department) 1,4ceS Mobile - Residential ......... X _$ _ unit amt . ' Commercial(per sq.ft.) X =$ _ sq.ft. amt. 3. Urban Area Fees (paid at Building Department Residential (per unit) X =$ � units amt. Commerical(per sq.ft.) . X =$ sq.f.t. amt. 4. Recreation District Fees (paid at District Office) .......................... 5. Drainage District Fees (Contact Land Development) ......................... 6. Other 7. Other ..t time of permit application, I was advised the above fees are required to be paid pr=o- =o issuance of the permit. :PPLICANT DATE 7i A COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916-538-7541 An 'owner -builder" building permit has been applied for in your name and bearing your. signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. (� 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) 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 Security er Date A, g NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the Ca-lifornia Health and Safety Code. - This verification must be completed and returned to our office before we are per- mitted to issue the permit. �� � A, � y'-os8-9D-00'� � � -3�� ICZ ev I rn !E , A -i X151 X� � Ns, 1iv -14 ICZ ev I rn !E , A -i ev I rn !E , A -i t -� • - .{ a. '' `fi sr :;.. -.,..w , ... r w. .. i...r`rti S,x. i.1-:. i.-.+�`�,��+.V .s!`-.wat. ... .. . <-,ra b bbd BUTTE COUNTY SCHOOLS IMPACTFEE CERTIFICATION FORM (One Form Per Building) School District Building Department No. A.P. Number 9"700 "00' Jurisdiction City County I Property Owner X045' Property Location/Address 5Z/O/ Subdivison Residential Development To AjOlAce �/01_w t 0,X so' Commercial/Industrial 0 No. of Living Units `-MH t 61140/11( Lot No. 0 Sq. Footage 6/ Addition (Group R) 0 Sq. Footage New Addition (Including Exterior Roofed Areas) Building Department Representative Date (Floor Plans reviewed by School District Personnel) District Identification No. 900652 rhool District certifies that 14 �Ckli . i i/ (Applicant) (Street Address) Q� (Phone Number) L Cf7 Q59 L L (City) (State) (Zip Code) has complied with the requirements of Resolution No. 1 d 5 —g by payment of $� U representing i5 (�o `T square feet. istrict Representative Paid b Check Number Cz y vZ Remarks: �o Bank Number Paid by Cash If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeformmkf (4/92) h , i'--ketu~ n„ to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGE`' IT FOR RESIDENTIAL DEVELOP.HEXT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. A All that real property situate in the County of Butte, State of California, described as follows: 5-e - 7D d -- a o 7 All thnt portion of the Northeast quartnr of Section 7, Tosmohip 21 North Range S Eaot, M.D.D i M., lying North of Big Bend County Rond an the snore exicted an of January 1, 1961. State of) --� SS. County of f3irT� ) On this the q -t e - day of V -46z eU-lnfL,( , 19_3.a, before me, the undersigned Notary Public, personally appeared �--'-i YYya CA V_ F LINDA F. WILSON ❑ Personally known to me. E2 Proved to me on t Er Comm. 961s5s of satisfactory e°' P ao NOTARY PUBLIC. CALIFORNIA 3) to be the person(s) whose name(s) Is Z, D• 6Xiresar J subscribed to the within instrument and acknowled My Comm. Expires Mar. 24,1996 'Fp executed the same for the purposes therein contained. WHEREOF, I hereunto set my hand and official seal. Present A.P. No. Notary Public V) at IN WITNESS, The property described herein is adjacent g to land or included within an area zoned `003797 for agricultural purposes, and residents of this property may be subject to incon- veniences or discomfort arising from the use of agricultural chemicals, including, FEB 09 1993 but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- zural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adiacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: 5-e - 7D d -- a o 7 All thnt portion of the Northeast quartnr of Section 7, Tosmohip 21 North Range S Eaot, M.D.D i M., lying North of Big Bend County Rond an the snore exicted an of January 1, 1961. State of) --� SS. County of f3irT� ) On this the q -t e - day of V -46z eU-lnfL,( , 19_3.a, before me, the undersigned Notary Public, personally appeared �--'-i YYya CA V_ F LINDA F. WILSON ❑ Personally known to me. E2 Proved to me on t Er Comm. 961s5s of satisfactory e°' P ao NOTARY PUBLIC. CALIFORNIA 3) to be the person(s) whose name(s) Is Z, D• 6Xiresar J subscribed to the within instrument and acknowled My Comm. Expires Mar. 24,1996 'Fp executed the same for the purposes therein contained. WHEREOF, I hereunto set my hand and official seal. Present A.P. No. Notary Public V) at IN WITNESS, RESIDENTIAL PLAN CHECKING GUIDE 8/91 (S.F., DUPLEX &•MISC. ONLY) 2 OWNER l�a14 Bldg. Pert 7T A. P. # Plan Checker z_5 GENERAL Zoning requirements: (sideyards and number of permitted living units). Valuation. Plans signed by designer. ,4' Proper description of work on application. a Existing violations on property. Items on data sheet. (W.C., fees, Health, Developer Fees, License law, etc). Recorded notice of violation. PLOT PLAN t plete parcel size and dimensions. backs, sideyards, easements, etc. er buildings or structures. ding,.fills, drainage. od hazard. cial conditions on creation map, ible, and foundations). & FAS road setback. (noise, CDP, fire sprinklers, non -comb - Building or utilities across lot lines (Record form). FT.nnR PT AN �__gomplete to scale plan with dimensions. . Required windows for light and ventilation (Sec. 1205). v Rea.uired windows for second exit (Sec. 1204).- :"- 204).:"- Skylights (Chapter 34 & Sec. 5207). Human impact glass (Sec. 5406). Required room sizes, ceiling heights .(Sec. 1207). -'GFCIs in baths, garage, kitchen, and exterior outlets (Article 210-8). Light fixtures, switches, receptacles, and exterior receptacles for main- tenance of mechanical equipment. 'Locations of water heater, heating and cooling equipment, other electrical or gas equipment. 3—.,Garage firewall, door size, and closer (Sec. 503(d)(3)). f'l - 3'0" exterior exit door (sec. 3304 (f). fireplace and wood stove location, alcoves, and clearance. r -'Smoke detectors (Sec. 1210). V-1—lumbing fixtures, water closet clearances and shower size. STRUCTURAL DETAILS Standard bracing or engineered design (Table 25V) Unusual shape, size, or split level house requiring lateral design. Clerestory requiring balloon framing and/or engineering. Three story building requiring engineered calculations and plans. Foundation plan complete enough to construct building. Floor construction details complete enough to construct building. Elevations and wall construction details complete enough to construct Roof construction details complete enough to construct building. Fireplace construction details and calcs if necessary. rafter ties or bearing ridge beam. Garage door or porch header sizes. Stud heights. Adobe soils - special foundation design. Retaining walls requiring design. Special Inspection required. building 8/91 RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS'TO LOOK OUT FOR • Stairway details: landings, rise and run, head clearance, handrails ( Sec. 3306) . • Guardrail details (Sec. 1711 & 3306(j). rick or stone veneer (Chapter 30). terior plaster - weep screeds (Sec. 4706). oper roof pitch for roof convering (Chapter 32). covering type - (fire hazard). Foam insulation - protection. 36" halls and stairways. Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. wo exits on three-story dwellings (sec. 3303 & see Mezannines - 1716). c access and ventilation (Sec. 3205). . Underfloor access and ventilation (Sec. 2516). . Combustion air for fuel burning appliances - L.P.G. requirements. ise requirements on duplexes. ,4 -6'. -Energy design. king at all exterior openings. . CDF responsible area requirements. m � coD Uu � Vc�ti n �c°O a W < i0v 9151 �p,R 1 TO: FROM: r : SUBJECT: Building Department Environmental Health Sanitation Clearance I..11, 1IsE ()s I'6e I'hm AtInhed Floor Phm Altadmi _ sonl bi 11.U. / I. f m 14 Ip I . Ind /3 ��K-16-69 Owner Loca n AP# Plan Approved for: Scwa��e Disposal Water Supply: I'ublic Private Well Clearance for W bedroom il�c home. Other Hold final for: Final clearance O. K NOTE: for: Environ6tal Heal Specialist 8/92 yn�uo� N 199-3 Date i%F f Iw v Butte County (. vironmental Health Dat atu� A FLOOR PLAN sCAIFva -1-0 i LIVINGROOM 0 i 0 KITCHEN BEDROOM HALL STOREROOM J �s f� Fo� `° BEDROOM � ws o 4940 SL _�------15 4 ' V15 0 S 8 --� 0 A FLOOR PLAN sCAIFva -1-0 i LIVINGROOM 0 i 0 KITCHEN BEDROOM HALL STOREROOM J �s f� Fo� `° BEDROOM � ws o 4940 SL _�------15 4 ' V15 0 S 8 --� PERMIT NO. 585-82P,E PERMIT EXPIRES /�(�,/ �-/ OWNER Lyman Moak CONTR. owner ASSESSOR PARCEL 62-02-6 LOCATION 100 -off W/S Big Bond Rd.,app.k mi.N. of Steel Gate, Big Bend Area Temp. Power Pole Called PG&E TiAQ107-P-lec. Service Called PG&E .1r Temp. Gas Sery Called PG&E JOB FINALED (Date) Signature— V OK 0 - Not OK Not Applicable MOMLEHOMES MISCELLANEOUS - Not Ready Date M B HOME UTILITIES (Plans) OK except k's Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except H's Z_gPing Requirements—Setbacks—Easements 1. Zoning Requirements—Setbacks—Easements 2 So' , Special MH Support—Sketch 2. Footings; Size—Depth—Spacing—Connectors 3. Sew ; Location—Test—Fall-C/0—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. ater; ocation—Test—Easement Needed (Sketch) 4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing 5.ectricity; Location—Clearances—Grnd.—�/ Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures as; Locatiorr-Test—Wrap:/ /"L"ft./ /"Nat. or/moi"L"ft./ '"LPG 6. Carports; Windows—Doors �ity Clearance 7. Elec. Card -BI Date - 97—Card-BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHQME INSTALLATION (Plans) OK except it's Card -BI Date Date Card -BI Date _ POOLS (Plans) OK except N's 1,nytg Requirements—Setbacks—Easements 1. Setbacks—Easements 2. oo' gs; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. as�,MH Test—Demand—Valve—Connector 'ect 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. icity; MH Test—Crossovers—Breakers—Clearances 4. Elec.; Receptacles and Lighting; Distances—GFI 5."in; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. r; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. er nd Sewer Connected—C/O to Grade—HD Approval 7, Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. s nd Electricity Tagged 8. Elec.; Grounding; Equip.w/5'—Circulating Equip.—Pool Lghig. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9, i Insp.—Sketch 1O.P6ert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B -I Datand-BI Date Card -BI Date Card -BI Date Card B -f Dat Card -BI Date Card -BI Date Card -BI Date 6 .,41 Pr y` S -/01Z, - P --7q -wis' P--7q-wis' 0 = OK = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR Plans OK excs tq's Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 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 FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. 64. Fireplace or Stove; Clearances -Hearth Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -81 Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Date Card -BI Date ELECTRICAL Permit OK except N's 66. Elec. Outlets & Receptacles at Kit. Counter 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles 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. Insulation -Foam -Looked in Attic E) Yes 25. 2 Appliance Circuits in Kitchen & Conductor Size 73. Guard Rails & Deck Construction -Post Caps _ 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral F_ -,Yeses [I No 75. Following ❑ instld.: Drive Yes No; Walks PlantersDyes ❑No ❑ El Yes E] No; 28, Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Cirnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. 80. Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. Ventilation throughout House Card B -I Date Card -BI Date 82. 83. Glass Protection Corrections from Previous Inspections Date MECHANICAL (Permit) OK except q's 84. 85. Gas Test -Meters Tagged; Gas -Electric Water & Sewer Connected -C/O to Grade -HD Approval 31. A.C. Ducts; Insulation & Support 32. Vent Fan; Exhaust above Insulation 86. Energy Compliance Certificate -Other Certificates _ 33. Condensate Drain & Overflow; Size & Grade 34. 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 Comments at Final: Date FRAMING(Plans) OK except N's 36. Sills; Proper Material & Anchors _ 37. 38. 39. _ Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing__ Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. 42. 43. 44. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purli_n-Roof Brac.-Truss-Shthnq.-Ring. Fireplace Ties or Type A Flue -Fireplace Throat _ 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46.__Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions _ 47. _ Garage Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number for the following location: •'J t• .•f .!. ' � r • Owner Owner's Address Mobilehome Mfg. Model Year Insignia No. Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works 01 Date By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE, DEPARTMENT OF PUBLIC WORKS 695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70 7 County Center Drive, Oroville — Phone 534-4541 Skyway and Elliott Road, Paradise — $72 9 X,7• CORRECTION IVO�ICE BUILDING" OR PROPERXY ADDRESS A routine inspection indicates that the following violations of County Ordinand`e 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. X C on�'o (�O Yl�vs 7-,5 Inspector vara COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 JARPLICATW0 AND PERMIT ASSESSOR PARCEL NUMBER . ZONING BUILDIN PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING ATION OWNER'S MAILING ADORE 5 CONTRACTOR'S NAME N� TELEPHONE S33 CONTRACTOR'S MAILING ADESS ,� Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee LENDER'S MAILING ADDRESS ---- - Permit Fee $ 10,00 $ ARCHITECT OR ENGINEER LICENSE NO. ARCHITECT OR ENGIN_E.E.B.S MAILING ADDRESS Plan Checking Fee Penalty Permit fee $ $ $ BUILpING ADDRESS /100/ oar Al s Z3/ F&/iS eD . A -PP. � M/,. PLUMBING PERMIT Filing Fee 10.00 of 5T�GL D AA2e Each Trap Repair drainage or vent piping Water piping 2.00 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent Gas piping system 1 - 5 outlets 5.00 USEOF ST SF ❑ Duplex❑ Mobilehome Other SPECIFY _ Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Ialion Other ❑ Describe work: rVIE 7fl7L- PE"—/ 955-8 Z Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP 01 OR ORSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. (DWELLING OCCUP.y) OR ACDNS. ACC. BLDGS. 22 sq ft CONTRACTORS LICENSE LAW 1 declaLe under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professio s Code and m license is in full force and effect. License No D 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 CO ID PL BRANCH CIRLE CTITS 2.50 ea NEW CONSTR. / POWER APPARATUS NON•RESID. %SINGLE OUTLET CIR, e� so 0250 Ex. Occup OUTLETS OR FIXTURES BAL.@1 EX. Occup.FIXED APPLNS. OR �OUTLETS (RES] E A. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith Comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee S Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indem and keep harmless the County of Butte against all liabilities, 'udgments cost ,and expenses which may in any way accrue against yin ns ence of the granting of this permit. X Date ����/ s Z Signature of pplic nt Owner ❑ Controctor/C 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 $ j`a� � TOTAL PERMIT FEE OCCUP, GROUP TYPE OF CONST. PARCEL PD HD SSU This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO OF PUBLIC By PER E PIRES Date __ the applicable provi- resolutions to do fees have been paid. WORKS Date —i��� Z— `F-- f Receipt No. WHITE-D.P.W., YELLOW -ASSES OR, PINK -INSPECTOR, GOLDENROD -APPLICANT -BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: 2. Installer's name: r�`u' 11, R IRONE CKT71019 a 3. Is the site currently under permit? Yes / No / / • (If yes, furnish permit number) R Is the site an existing site? Yes / / No / (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. awa from septic tank and leach fields and clear of all setbacks and easements? Yes / No ( If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- 30 Amps 6. What is the mobilehome site :service rating? --------------------- p�,00 Amps 7.. What is the mobilehome site circuit breaker rating? ------------- J—U Amps 8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- Yes / No %/ _ ti (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- '� (in.) 10. What is the YP g ? -=--------------------------- type of as service. Natural /% LPG /y/ 11. What is the gas pipe length from meter or tank to the mobilehome? 00(ft.) 12. What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft, on LPG.) _ ti MOB-ILEHOME SUPPORT DATA i If other' than single wide, 00 Mobile -home Mfr. furnish Setup Model No. Year Width_(ft.) Box. Length (ft.) Tagalong or Expando Size ft. x (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. (ft:)(i�.:) Center suppo locations* II (ft.)(in.) (ft.)(in.) (ft.) (int) (ft.) (in.) (in)i.) .) Centepport footiizes (i (1n•t) (in.) . LTJ ( ` .) (in.) (in.) (in.) X (in.)l (in.) Single *If center piers are other than drawn above, draw in. -locations. spacinz. and dimensions. Footings (check one) �l. Wood either pressure treated or foundation grade. 2. Other: ( specify) Su ort (check one) l: Concrete block. El .2i Other ( specify) 4 --tagalong or Expando,' show support details. /o? x,30 I -- Typical Support (in.) (in.) Footing Size " -- Max. Pier Spacing 'o.1 - Max. Overhang [E(f t.) (in.) BUTTE COUNTY BUILDING DEPS, It a MENI .APPROVED &&S -gam COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO 7 County Center Drive - Oroville, California 95965 - Telephone 916/534 541 - ` APPLICATION AND`PERMIT A ASSCSOR PARCEL NUMB R ZON NG ' BUILDING PERMIT OWN r//I .TIfLEPHONE SQ. FT. OCC. BUILDING VALPATION 1O NER-1 MAILING ADDRESS ' 4- � -3 a -o CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER C'Tr UNKNOWN Total Valuation Is Filing Fee $ - LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee .$ Acp Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDR PLUMBING PERMIT Filing Fee 10.00 S Each Trap 2.00 Repair drainage or vent piping 5.00 " Water piping 161456 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets lb,00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehomegj--'Other SPECIFY Building sewer Lawn sprinkler system +V_-_00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities Installation ❑ Other ❑ Describe work: Permit Fee $ Da Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS ®00 Q Main service EA. ADD'L 100 AMP 2.50 NEW CONST.(DWELLING OCCUP.d` OR ADDNS. ACC. BLDGS. / 2�sgft 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� I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR '-OUTLET NON-RESID. BRANCH CIRCUITS) 2,50 ea NEW CONSTR POWER APPARATUS 6 NON-RESID. (SINGLE OUTLET CIR. / so @L asC Ex. Occup(OUTLETS OR FIXTURES B IOC IXED APP LNS, OR 2 Ex. Occup.(oUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 ao Misc. Wiring 7.50 ( 0 Permit Fee $ „Sb Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate f Consent to Self -Insure. 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 I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmle the County of Butte against all Ii i s, judgments, osts and expense which may in any way accrue ag s County h Ing of this permit. X Date i/- M 82 X0HAure of Applicant — Owner ElContractor ❑ AgentX permit is required for excavations over 5'0" deep and demolition or construct- ion of structures/ over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP TYPE OF CONST. PARCEL PD HD ISSU This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTM OF PUBLIC BY P T EXPIRES Date_ the applicable provi- resolutions to do fees have been paid. WORKS Datee / Receipt No. -A I I Qb WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Section'26-8.1 of -the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. $2-- 7126 DiU7TE COUNTY -CALIF. ,_,P4�00RDS RiEQUE EP By I���O The property described herein is adjacent to land or included Ali IUD ? within an area zoned for agricultural purposes, and residents of CLARK A IhaELSON this property may be subject to inconveniences or discomfort arising ro,CRK-RECORDER from the use.of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including., but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa- sionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Al -1 the surface -rights andrightto placer mine to the -depth of 25 feet appertaining to all that certain real property desdribed as follows: The South half of the Southwest quarter of Section 5 and the Southeast quarter of Section 61 all in Township 21 North, Range 5 East, M.D.B. & M. Date: March 18, 1982 State of CALIFORNIA ) On this the County of BSS. before me, � TE ) appeared OFFICIAL SE" DAREN P. HORN o '^• o NOTARY PUBLIC CALIFORNIA BUTTE COUNTY p My comm. expires MAR 11, 1983 PTY OWNERS: RO2P /•. 18th day of March 19 82 51 the undersigned Notary Public, personally LY7v1 N MOAK known to me to be the person(s) whose name(s) is subscribed to the within instrument and acknowledged that he executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Present A. P. NO. (r, Q_ — o Q_ _6, Notary Publi DARL~-N P. HORN END OF DOCUI,&NT -v a c� rn PermPf wig 6e required for e installation of the mobilehom(3 4 '�o e �' A* A setback of 5 ft. from the property lines and a setback of 50ft. from the road centerline shall be clear of structures or equipment except for e 2 ft. eave overhang. F Utility connectlons shall be within 4 ft, Of the mobilc;,3ro-, cipher ' rectly behind or vAthin the rear If iof the roadside (left) of the x �)bi'ehome. � � � P � NOTE --All Matorials & Workmonship Shaft Be in Accordarsca with R4cc mimed Good Prrctices and of a quality prescribed for iho Specified use in the Uniform Building, Plumbing & Machanical Codes and the National Electrical Code. This set of plans and specifications MUST be kept -on the job at all times and it is unlawful to make any changes or alterations on same without written permission from the Department of Public �- Works, County of Butte. � gmay ..l�IME COUNT' 'BUILDING DEPARTM7, 'APPROVED Mandatory Measures Checklist: Residential MF -1 R NOTE: Lownse residential buildings subject to the Standards must contain these nteasurps regardless of the compliance approach used. Items marked with an asterisk (') may be suoersertad by more stnrigent compliance requirements listed on the Certificate of Compliance. When this chedilist is incorporated into the permit documents, the features noted shall be considered by all parties as binding minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. DESCRIPTION Building Envelope Measures • §150(a): Minimum R-19 ceding insulation. §150(b): Loose fill insulation manulaaurer's labeied R -Value. • §150(c): Minimum R-13 wall insulation in framed walls (does not apply to exterior mass walls). • §150(d): Minimum R.13 raised floor insulation in framed floors; minimum R•8 in concrete raised floors. §150(l): Slab edge insulation - water absorption rate no greater than 0.3%. water vapor transmission rate no greater than 2.0 permvinch. §118: Insulation specified or installed meets California Energy Commission quality standards. Indicate type and form. §116.17: Fenestration Products, Exterior Doors and Infill atioNExfiltration Controls a. Doors and windows between condWoned and unconditioned spaces designed to limit air leakage. b. Manufactured fenestration products have label with certified U -value, and infiltration cenlication. Q Exterior doors and windows weatherstripped: all joints and penetrations caulked and sealed. §150(g): Vapor bathers mandatory in Climate Zones 14 and 16 only. §1500: Special infiltration barrier installed to comply with §151 meets Commission quality standards. §150(e): Installation of Fireplaces. Decorative Gas Appliances and Gas Logs 1. Masonry and factory -built fireplaces have: a. Closeable metal or glass door b. Outside air intake with damper and control a Rue damper and control 2. No continuous burning gas pilots allowed. Space Conditioning, Water Heating and Plumbing System Measures §110.13: HVAC equipment, water heaters. showerheads and faucets certified by the Commission. §150(i): Setback thermostat on all applicable heating systems. §150(j): Pipe and Tank Insulation 1. Indirect hot water tanks (e.g., unfired storage tanks or backup solar hot water tanks) have insulation blanket (R-12 or greater) or compined intenortexterlor insulation (R-16 at greater). Z. First 5 feet of pipes closest to water heater tank, non -recirculating systems. insulated (R-4 or greater). 3. All buried or exposed piping insulated in recirculating sections of hot water system. 4. Cooling system piping below 55°F insulated. 5. Piping insulated between heating source and indirect hot water tank. • §150(m): Ducts and Fans 1. Ducts constructed. installed and seated to comply with UMC Sections 1002 and 1004: ducts insulated to a minimum installed value of 8-4.2 or ducts enclosed entirely within conditioned space. 2. Exhaust fan systems nave oackdrah at automate dampers 3. Gravity venuialina systems servtno conditioneo space have either automatic or readily accessible. manually cperated pampers.. §114: Pool and Spa Heating Systems and Equipment 1. System is certified with 78% thermal efficiency, on-off switch, weatherproof operating instructions. no electric resistance heating and no pilot light 2. System is lnstailed with: a. At least 36' core oerween filter and heater for future solar heating. b. Cover for outcoar cools or outdoor spa. 3. Pool system has ctrectionai inlets and a circulation pump time switch. §115: Gas-iired central furnace. pool neater, spa neater or housenold cooking appliance have no continuously bunno phot ught. ( Exception: Non -electrical cooking appliance with pilot c 150 6twhr.) Lighting Measures §150tkl: 40 lumenswar, or greater for general lighting In kitchens and rooms with water closets: and recessea ceeino textures lC (insulation coven approved. DESIGNER I ENFORCEMENT COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to complywith Title 24, Pans 1 and 6, of the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the individual with overall design responsibility. When this cerdficate of compliance is submitted for a single building plan to be built in multiple orientations, any shading feature that is varied is indicated in tike Special FeaturesfRemarM section. Designer or Owner (per Suslneas & Prollmsions cid.) Name: Tide/Firm: Address: Telephone: Lie. R: (signature) (date) Enforcement Agency Name: Title: Agency: Telephone: (signature/stamp) (datel Documentation Author. Name: Tide/Finn: Address: Telephone: (signature) (date) Certificate of Compliance: Residential. Climate Zone 11 ProjectTltie A Address Documentation Author Building P� it M / Checked By/ Date/ Duero /7 Fatorcomett Agency Use Oniv BUILDING DATA Area %a Contiia Area -��!�4 Number of Stories North Slab 'sed Floor . [ 1 Addition Alone Number of .Units Fast Single Family Detached (SFD) South [ ] Single Family Attached (SFA) [ 1 Existing Building Wei [ J Multi -Family (vM [ J Existing -Plus -Addition Skylight Total 0 • B UILDING SHELL INSULATION Component Insulation Locatiiomr-ommenM Type R -Value (tithe, to &SM&e, lupi -ca. er-Ii Roof ............ Ja Roof ........ ..— Wall .............. Wan.......... 7 Floor ............. Floor............. Slab Edge.....; FENESTRATION _Eenestration Area Orientation (SO (9 Shading i7evices 1%.Ype Interior Exterior Overhang Framing Type Notch --- North ( ) East East ( ) South South ( ) West West ( ) Skylight....... 1*3_ THERMAL (MASS Type/Covering Area Thickness (slab/exposed. tile, etc.) (so (inches) LOcacion/DescriDdon (kitahert. bath, etc.) HVAC SYSTEMS Type (furnace, air conditioner, heat pump) .imum Duct Efficiency Location Duct Heat Pump f'AF_tjEsSEER.HSPF7 (attic, etc.) R- e 4 0 ' sta (split or Pel IIOT NVATER SYSTEMS Tank System T (storaRe Ras. etc.) Caoacitv Number -54vtt SPECIAL FEATURES/REMARKS R Value Energy Factor East. Tank Tns_ T)isir; h„r; nn .53 .7, - s Point System Summary: Climate Zone`11 1. Ceiling Insulation or R -value R --v. - 381 U -value [0.028[ 2. Wall Insulation X L9 or R-19 R_ ( U -value (0.0651 3. Raised Floor Insulation or R-38 R -value 1191 U -value [0.0371 4. Slab Edge Insulation or 5. R -value [01 F2 factor (0.751 infiltration Any Dugs in Unconditioned Space./ N) M 6. Fenestration Heat Loss r R -value ype . U -value (0.651 Total % Fenes.1161 7. Fenestration Heat Gain % Fenestration SCshade open Eft. % F es. North 1.9- x % _ • East �--- x = South X = West 0 x = Skylight 0- x = Overhangs? ( Y / N S. Interior Thermal Mass or % EqL Slab (201 Int. Ma&WCFA 9. Exterior Wail Mass Ext. Wad Maas Shade Elf. Rath 10. Heating System x = AFUE or HSPF Duct Effie. 11 story: Effective AFUE (78% or 6.81 0.83: 2+ story: 0.881 or HSPF 11. Cooling System x = SEER (10.0( Duct Effir- (1 story: Eftecave SEER 0.81: 2+ story: 0.871 12 Water Heating System 1 S G 5b . 5 3 fit I Heater Type Energy Factor Ext Ins. R -value Auxttiary Input (SG501 (0.531 (121 (None( System 2 Heater Type (None( Energy Factor Ext. Ins. R -value Auxitiary Input 1. Ceiling Insulation Point Scores 0 0 Zonal Control Adjtleurlertt (til Zona Gonad Adjustment (01 tstntoucon [STDj Disinoucon Point Total: 4. Slab Edge Insulation Number of Stones R -value One Two Three R-0 0 0 0 R-5 6 4 2 R-7 7 4 2 6. Fenestration Heat Loss Sum 7-9 5. Infiltration (Duct Air Leakage) Ducts to Uncondmorted Space 0 No Ducts in Unloncittoneo SUM 3 7. Fenestration Heat Gain (based on Shane Effectiveness Ratio) Eft Fen. wits• Dan Number of stones North .67 .52 to to .86 .66 R -value One _ Two TTireev R.0 •74 .48 -27 R-19 -5 -4 .2 R-30 -1 -1 0 R-38 0 0 0 2. Wall Insulation -21 -20 Single. S ngte-- -12 -26 Famdy Family Multi - R -value Detached Atlactea Farrl R-0 -72 -57 -43 R-11 -7 -6 4 R-13 -5 -4 -3 R•15 -i -3 -2 R•19 0 0 0 R-21 1 1 1 3. Raised Floor Insulation -14 -65 Irm",tion in Floor ta% -4 Numow of stones .2 R -value One Two Three R-0 -14 .9 -5 R-11 -3 -2 -1 R-19 0 0 0 -8-30 2 1 -38 Point Scores 0 0 Zonal Control Adjtleurlertt (til Zona Gonad Adjustment (01 tstntoucon [STDj Disinoucon Point Total: 4. Slab Edge Insulation Number of Stones R -value One Two Three R-0 0 0 0 R-5 6 4 2 R-7 7 4 2 6. Fenestration Heat Loss Sum 7-9 5. Infiltration (Duct Air Leakage) Ducts to Uncondmorted Space 0 No Ducts in Unloncittoneo SUM 3 7. Fenestration Heat Gain (based on Shane Effectiveness Ratio) Eft Fen. wits• Dan .87 or more North .67 .52 to to .86 .66 .51 or less '.87 or more Est .67 .52 to to .86 .66 .51 or less .87 or more South .67 .52 to to .86 .66 .51 or less .87 or more West .67 .52 to to .86 .66 .51 or less Skylight .67 .66 or or more less 18'- -5 -4 .3 -2 -21 -20 -15 -12 -26 -23 -16 -12 -36 -32 -23 -16 -75 -50 161Y. .4 -4 .2 -1 -18 -16 •13 -10 -21 -19 -13 -9 -31 -27 -19 -14 -65 -" ta% -4 -3 .2 •1 -14 -13 .11 -8 -16 -14 -10 -7 -26 -23 -16 -11 -S5 -38 1211. -3 -2 .1 -1 -11 -10 -8 •6 -12 -10 -7 -4 -21 -18 -13 -8 -46 -31 11% -2 -2 •1 0 -10 -9 .7 -6 .10 -8 -5 -3 -19 -16 -11 -7 .41 -28 10% •2 -2 •1 0 3 -8 -6 -5 -8 -7 -4 -2 -16 -14 -9 -6 -37 -25 9% 2 -1 •t 0 •7 -7 -5 -4 .6 .5 .3 •1 •14 -12 -8 -5 -32 -22 80. 1 -1 .1 0 -6 -5 -4 -4 -4 .4 -2 0 -11 -10 -6 -4 .28 -19 71Y. •1 -1 0 0 -5 -4 -4 -3 -3 -3 -1 0 --10 -8 -5 -3 -24 •17 6% •1 •1 0 0 -4 -4 -3 -2 -2 -2 -1 0 -8 -7 -4 .2 -20 •14 5% •1 0 0 0 -3 -3 -2 -2 .2 .1 0 0 �6 -5 -3 -1 •16 -12 4% 0 0 0 0 -2 -2 '-1 -1 •1 -1 0 1 -4 -4 -2 0 •12 •10 3% 0 0 0 0 -1 -1 -1 0 0 0 0 1 -2 -2 0 1 .9 •7 2% 0 0 0 1 0 0 0 0 0 0 1 1 0. 0 1 2 -6 -5 1% 1 1 1 1 1 1 1 1 0 0 0 0 1 1 2 2 .3 -2 0% 1 1 1 1 1 1 1 1 0 0 0 0 3 3 3 3 0 0 Total 1.31 Percent or Fenestration more 1.21 to 130 1.11 to 1.20 1.01 to 1.10 .91 to 1.00 .81 to 90 .76 10 80 LJ-Vwue .71 .66 to to 75 70 .61 to 65 .56 to 60 .51 to 55 .46 to 50 .41 to 45 .26 to 40 .35 or less 507. -too 46 -69 -62 .55 -48 -41 -38 -34 -31 -27 -24 -20 -17 -13 -10 40% -77 -58 •52 -47 -41 .36 .30 -27 -25 -22 -19 .16 .13 .11 -8 -5 35% -66 49 -44 -39 -34 -29 -25 -22 •20 -17 -15 -12 -10 •7 -5 .3 3o% . -54 -40 -36 -31 -27 •23 -19 -17 -15 -13 -11 -8 -6 -4 -2 0 280. '•50 -36 -32 -28 -25 -21 -17 •15 -13 -11 •9 -7 -5 .3 .1 1 260. -4.5 :33 -29 .25 .22 .18 -14 -13 -11 -9 -7 -5 -4 .2 0 2 24% -41 •29 -26 -22 -19 -16 -12 -11 •9 -7 -6 -4 •2 -1 1 3 22% -36 -25 -22 -19 -16 -13 -10 -8 -7 -5 -4 -2 -1 1 2 4 20% -31 -22 •19 -16 -13 -11 -8 6 -5 -4 2 1 1 2 3 5 18% -27 -18 -16 -13 -11 -8 -6 -4 -3 .2 •1 1 2 3 4 6 16% -22 -14 -12 -10 -8 .6 .3 .2 -1 0 1 2 3 4 6 7 14% -18 -11 -9 -7 -5 -3 •1 0 1 2 3 4 5 6 7 8 12% •13 .7 -6 -4 -2 -1 1 2 3 4 4 5 6 7 8 9 10%. -6 -4 -2 -1 1 2 3 4 5 5 6 7 8 8 9 10 811. .4 0 1 2 3 4 6 6 7 7 8 8 9 9 10 11 S. Interior Thermal Mass Method A (Slab -on -grade ConnmcLion Only) Percent One Two Three Exttosed Ston Stones Stories 0 0.00 .3 0 .2 0.20 1 10 2 -2 7 .1 4 1 20 8 0 0.80 0 10 0 30 14 1 9 1 17 1 . 40 1.40 3 14 2 1.60 1 50 13 4 23 3 14 2 60 19 5 4 3 100% 2 70 13 6 9 4 4 2 80 (SEER z duct eMciency) 8 -17 5 38 3 90 Eftemve 9 Split 6 Sum of 1-0 3 100 Gas 10 Pkg 6 -24 4 -4 +6 Method B HP HP Ira to Slo Floor to Raised Floor Mass 4.9 Stories less -15 Stones .5 /CFA One Two Three One Two Three 0.0 •11 -8 -6 -1 •1 0 0.1 -10 -7 -6 0 0 0 0.3 .9 b -5 1 1 1 0.5 -8 •5 -4 2 2 2 1.0 -6 •3 -1 4 4 5 1.5 -4 .1 1 6 6 6 2.0 •2 2 4 8 8 8 2.5 1 3 5 9 9 9 3.0 3 '6 - 5 11 10 10 4.0 4 6 7 13 13 13 5.0 4 6 8 14 14 14 6.0 5 7 9 15 15 15 7.0 7 8 10 16 16 16 8.0 8 9 11 18 17 17 9. Exterior Wall Thermal Mass Exterior Single- Single -r Wag Family Faintly Mass Oetarlled Attacned Multi Family 0.00 0 0 0 0.20 3 3 2 0.40 7 5 4 0.60 9 8 6 0.80 12 10 7 1.00 14 12 9 1.20 17 13 10 1.40 18 14 11 1.60 21 17 13 1.80 23 18 14 2.00 24 19 14 10. Heating -System Houses With Ducts (R-42) Sum at 1.6 Gas Split Pkg -25 -24 -14 •4 AFUE HP HP or to to to - NSPF HSPF less -1S -S +5 +6 to +15 16 or more 78% 6.8 6.6 - 0 0 0 0 0 0 80Y. 7.0 6.8 ' 1 1. 1 1 0 0 85% 7.4",.7.2 5 5 4 3 2 2 1 90% 7.8 7.6 8 7 5 4 3 1 957. 8.3 8.0 11 9 7 5 4 2 100% 8.7 8.5 13 11 9 7 4 2 (SEER z duct eMciency) Effective AFUE or HSPF -17 Eft SEER 38 (AFUE or HSPF z duct dnciemcy) Sum of 7.9 Eftemve Al Split Pag Sum of 1-0 -24 to -1410 Gas Split Pkg -25 -24 -14 -4 +6 16 AFUE HP HP or to to to to or 4.9 HSPF HSPF less -15 -5 - .5 +15 more One Story House -16 •13 -9 -6 •2 0 33% 2.9 Z.8 -62- .53 •old -34 -25 -16 407. 3.5 3.4 40 -34 -28 •22 •16 -10 507. 4.4 4.2 -19 -16 -13 -10 -7 -5 60% 5.2• 5.1 -4 -4 -3 -2 •2 -1 64% 5.6 5.4 0 0 0 0 0 0 70% 6.1 5.9 6 5 4 3 2 1 807. 7.0 6.8 13 11 9 7 5 3 90% 7.8 7.6 19 16 13 11 8 5 100% 8.7 8.5 24 20 17 13 10 6 Two or Three Story House 5.0 4.9 -35 33% 2.9 Z8 a -58 -48 -37 -26 -15 40% 3.5 3.4 -46 -39 -32 -24 -17 -10 507. 4.4 4.2 -24 .20 •16 •13 .9 .5 60% 5.2 5.1 -9 -8 -6 -5 -3 -2 6911. 6.0 5.8 0 0 0 0 0 0 70% 6.1 5.9 1 1 1 1 0 0 80% 7.0 6.8 9 8 6 5 3 2 907. 7.8 7.6 15 13 10 8 6 3 1007. 8.7 8.5 20 17 14 11 8 4 10 6 Zonal Control Adiustmem 0 15.0 System Type 20 16 11 7 3 0 Resistance 6 4 3 2 1 0 Other 3 3 2 1 1 0 11. Cooling System Howes With Ducts (R-4.2) SEER Sum of 7.9 Split Prig -25 or -24 to -14 to -4to AC AC less -15 .5 ' .5 .6 to .15 16 or more 10.0 9.7 0 0 0 0 0 0 11.0 10.7 4 3 2 2 1 0 12.0 11.6 8 6 5 3 1 0 13.0 12.6 11 9 6 4 2 0 14.0 13.6 13 11 8 5 2 0 15.0 14.6 16 12 9 6 2 0 097 -20 Effective SEER -41 32 -19 (SEER z duct eMciency) 0.93 -17 Eft SEER 38 •28 Sum of 7.9 IG` Al Split Pag -25 or -24 to -1410 -4 to .6 to 16 or AC AC less -15 .5 .5 .15 more One Story Hoarse 4 7 5 -5 1 4 S.0 4.9 -29 -23 -17 -11 .4 0 6.0 5.8 -16 •13 -9 -6 •2 0 7.0 6.8 -7 4 -4 .3 -1 0 . 8.0 7.8 •1 0 0 0 0 0 8.1 7.9 0 0 0 0 0 0 9.0 8.7 5 •- 4. 3 2 1 0' 10.0 9.7 9 7 5 3 1 0 11.0 10.7 12 10 7 4 2 0 1Z.0 11.6 15 12 9 6 2 0 13.0 12.6 18 14 10 6 3 0 14.0 13.6 20 16 11 7 3 0 15.0 14.6 22 17 12 8 3 0 Two or Three Story House 5.0 4.9 -35 -27 -20 •13 -5 0 6.0 5.8 -21 -17 -12 -8 .3 0 7.0 6.8 -11 -9 .7 -4 .2 0 8.0 7.8 -4 -3 •2 -1 •1 0 8.7 8.4 0 0 0 0 0 0 9.0 8.7 2 1 1 1 0 0 10.0 9.7 6 5 4 2 1 0 11.0 10.7 10 8 6 4 1 0 12o 11.6 13 10 7 5 2 0 13.0 12.6 16 12 9 6 2 0 14.0 13.6 18 14 10 6 3 0 15.0 14.6 20 16 11 7 3 0 Adjustment for No Tana Insulation Numow al want He=era water Hewer Noe One Two SG50 -2 -5 SG75 .3 -6 SE -5 -9 HP -2 -4 Zonal Control Adjustment A8 6 5 4 2 1 0 Bonita Ste Adjustment Hots. size (ft ) Subtotal waw Hetmtg Poets Sore was uteri 1000 1000 to 1499 30 •17 .5 .25 -14 .4 .20 -11 •3 -15 A •3 •10 -6 .2 . .5 3 •1 0 0 0 S 3 1 10 6 2 15 9 1 20 11 1 25 14 4 House Sk= Adjustment Hittite Size (11� Su0taal 1500 2000 water Heating to or Pont Store 1999 more 30 0 3 .25 0 2 •20 0 2 -15 0 1 -10 0 t .5 d 0 0 0 0 5 0 0 10 0 -1 15 0 .1 20 0 •2 25 0 .2 II Water Heating Ona Water Heater - No A=91 -y C -dM Dwricttratt symam2 Rewe Svatems Water c7unates EmW SM HWR Rpe No That Dema Heater Tvoe1 zones Fa= POU In sul t7n Sam Al am 0 3 1 -0 -5 0 M63 5 8 6 .4 0. 5 0.73 a 11 9 0 4 a SG73 AS 0.48 .2 1 -1 -12 -7 -2 038 3 6 5 •5 -1 4 0.68 7 10 8 -1 3 7 SE Al 097 -20 -12 -17 -41 32 -19 0.93 -17 -0 -13 38 •28 -is IG` Al 090 2 5 3 IE Al 093 -21 •12 HP 6.11.13.15 1.80 4 7 5 -5 1 4 Two Wats Hestars - No Anzaim Credits SG50 Al 0.53 •7 .4 -6 -17 •12 -7 0.63 1 5 3 -8 .4 1 0.73 6 10 8 -2 2 7 SGiS AS 0.48 •12 .8 -11 -22 •17 -12 0.58 .1 3 0 -11 -6 -1 0.68 6 9 7 -4 1 8 SE Al 0.87 .22 •14 -19 4S -33 -22 0.93 •16 -7 -12 -39 -28 -15 :G AS 0.80 .4 .1 •3 IE Ad 0.93 -21 -12 HP 6-11.13.15 1.80 .1 3 1 .10 -6 0