Loading...
HomeMy WebLinkAbout062-510-04362-51-45 la so 'I— COUNTY OF BUTTE , f,MENT OF PUBLIC WORKS 7 County Center Drive - OroviI e, a i rnia 95965 - Telephone 916/534-4541 f AGRICULTURAL BUILDING EXEMPTION PERM PERMIT NO. Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO.S/ / ZONING — � - — OWNER PHONE NO. l 0 OWNER'S ADDRESS LOCATION OF BUILDING 6_ USE OF BUILDING 7-1- me, 14 SIZE OF STRUCTURE 02- U X y _ CJ U SQ. FT. TYPE OF CONSTRUCTION: WOOD FRAME Ll CONCRETE OTHER (Specify) TYPE OF SIDING 7— ROOF COVERING FLOOR TYPE ESTIMATED COST OF CONSTRUCTION $ � C7 C) J AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows: P, r-/ 6 FRONT SIDES REAR - AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial, building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated above and the proposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date ;z - / -3 Signature of Owner [. Permit Fee - $25.00 The above described AG Building is exempt from a building permit. Receipt No.�Director of Public Works BY Date White - DPW, Yellow - Assessor, Pink - B.I., Goldenrod - Applicant .. � -'7 �,�- r.. ti, n}.� . �i'r.-..,�.--�•{,.x+.�"-!°"'�i.1c.'`;t'i �'.1'i`'hMsi ;'.t4,i�c...k .-..,n,.� . :`Y'1 : ss �. `4.: w s. a. . ,. .'', - . COUNTY OF BUTTE - DEPARTMENT,'®P'PUBLIC WORKS -BUILDING DIVISION, 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT A PLIC TION DATA SHEET ' % Permit No. +. OWNER / A. P. No.S- Proposed Building Use Building Inspector ��-� Date At time of permit application, I was advised the following data must be submitted priorto permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. '5. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions........................................................ 9. Fees of $ .......................... 10. Chico Urban Area fees paid ........................................ 11. Park fees paid ..................................................... 12. School District fees paid ................. 13. Sanitation approval from Health Department ... 14. City of Chico plumbing -permit ...................................... 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: .......... 17. Improvements may be required. 18. Driveway permit (construction approval required prior to occupancy) ... 19. Pre -Inspection for required ...... BuildingeInspe tort t� (Date) 20. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance .................... 22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ........ 23. Recorded copy of Agricultural Acknowledgment Statement ............ 24. Letter of signature authorization ..................................... 25. 26. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other J Applicant Date 2- /-3 Copy of plans sent Health Dept., Fire Dept., Other Date 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---mal I counter by date Contractor, designer, owner, was advised of above required data by—phone —ma II—counter by date Plans checked by Sets of plans on hold in Copy—DPW Date Plans approved by File cabinet AP folder Date File Ne i ..7-V BUTTE COUNTY (For Action 1, 2, 3) Public Works Dept. (For Information o/ ) Director Dep. Dir. Sec. Rd. & Br. Mtce. Shop & Yards Bldg. Insp. Admin. 00, Design Engr. Bridge Engr. Constr. Engr. Surveys Mapping T ran s p. Land Dev. Drng. /S.I. Sub. & Pcl. Maps Permits Addr. February 7, 1989 Michael C. and Kathy'E. Reefer P.O. Box 394 Berry Creek, CA 95917 RE: Building Violation A.P. #: 62-51-45 3 Townhill Way, Berry Creek Dear Mr. and Mrs. Keefer: This is a warning letter to notify you that you are in violation of the Butte County Code at the above referenced location as follows: Constructed a carport. 'Since permits and inspections are required for the above work, please contact this office within ten days of the date of this letter, submit two complete sets of plans, apply for the required permits, and pay the appropriate fees. All work must stop, until these permits are issued and you are authorized by our field inspector to proceed. This field authorization cannot be made until the existing work is inspected and approved. Please be aware that Butte County has entered into a Code Enforcement Program that seeks voluntary compliance with the Butte County Code but provides an effective means of enforcement if such compliance is not obtained. If voluntary compliance is not obtained, enforcement will be pursued through the issuance of citations, fines, and the recording of a Notice of Violation. Your cooperation in resolving this matter would be appreciated. Should you have any questions concerning this matter, please contact Jim Glander or Bob Reith of this office. JFG:ahb cc: Assessor Building Inspector Yours very truly, William Cheff Director of Public Works J.F. Glander Chief Building Inspector COMPLAINANT ADDRESS: 1�='"'^fir �pa;;�ypp°a''s `•'r"'�#► _ '3ro'e",:'rr—*•i..=. ,-....,. ,®--► COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS ' 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phorle: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE ,0� ('z --S. OWNER - jj A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office ,+ when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. :y} �d.1 :S Inspector Date %// r } COUNTY OF BUTTE :' -j DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE 3W- 67 OWNER/) PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector Date l) ,Z `C/ COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-27511 7 County Center Drive, Oroville — Phone: 538`7641 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE „u,I o -a IT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matte. , or need additional explanation, please contact this office immediately. InspectorY(niliv—Date— � _j c'f PERMIT NO. 2072-82B3pP2E,M * y PERMIT EXPIRES f- 3J� >!h<_ Mike and Cathy Keefer : a OWNER CONTR. Otalt�ers ASSESSOR PARCEL 62-51-40 y5- LOCATION S/E corner of Bald Rock Rd, & Toxn. Hill Rd, Berry Creek l rll 6V. i u, Temp. Power Pole_ Called PG&E _ Temp. Elec. Service Callpd PG&E Temp. Gas Se Called P( JOB FINALEI Signature V = OK 0 = Not OK = Not Applicable * = Not Ready y MOBILEHOMES - ' MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except a's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) Gn except k 1. Zoning Requirements -Setbacks -Easements - 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts- Beams-Rftrs.-Connec.-Shthg.-Rfg. -Bracing__ 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns-Connections-Splice-Decal-EnL.'.)S..eS 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /''L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date ' Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date _ POOLS (Plans) OK except N's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Elec.; Receptacles and Lighting; Distances-GFI 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged B. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date r Mq J Ott 0 = Not=3K - - 'Not Applicable RESIDENTIAL.ISing.l,e and Duplex) Not Rc�ad y Date UNDE OR (Plans) OK exce t#'s Date FRAMING Continued o 'g requirements -Setbacks -Easements Property Line Firewall & Openings Ft in; Soils-Steel-Elec. Grnd.- //" Ftg. Depth . Ext. Doors -One 3' -Check Garage -3rd story, 2 exits am s -Steel- / /" Ftg. Depth Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg. orches & Decks; Soils -Steel- / /" Ftg. Depth . Plywood on Roof Overhang -Attic Vents -Rafter Outriggers mwalls, Main; Steel-Blockouts-Wrapped-Slab L!W. Siding -Nailing -Veneer ge; Steel-Blockouts-Wrapped-Slab rip Screed-Fdn. Vents-Underflr. Access 7ti7. Piers- ireplace Ftg.-Steel 5 . lass Protection -Skylights -Plastic .V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Sttear Is; Nailing -Bolts \t 9. Gas Pipe; Size -Anchors A10. Water Pipe; Test -Anchors -Regulator -Service Test 5411. Electric; Underground ?L12. Plenums & Ducts; Clearance -Material -Support -Ins. g13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI _ Dat � Card -BI Date Card -BI Date Card -BI Date Card -BI NJDate Card -BI Date I ate Card -BI Date Date FI (Plans) OK except N's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except #'s _Vater Ht.; Vent -Access -Combustion Air M. . Steps -Door & Sidelight Protection-Laidings Smoke Detector 58. Furnace; Vents -Clearance -Comb. Air-Connector- I arage; Above Floor-Ducts-Mech. Protection lt5- Water Pipe; Test & Anchors -Nail Protection D.W.V.; Test-Fttngs & Anchors -Nail Protection droom Exiting ower Pan; Test, First Floor -Tub Access :F.1. & Bath Fixtures & Tub Access Test Tub & Shower, 2nd Floor -Tub Access ec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pope, Size & Anchors . Stairs & Rails 3. dace or Stove; Clearances -Hearth floc. Outlets at Wood Panel; Int. & Ext. Card -BI Date and -BI Date Fixt. & Appliance; Grnd.-Air Gap -Cocking Clearance Card -BI Date Card -BI Date . Elec. Outlets & Receptacles at Kit. Counte, Date ELECTRICAL Permit OK except #'s e Fire Door; Swing -Landing -Closer ucf in ara e -Damper 20. xture & Transformer Clearance -Ins. Protection 9. Wtr. Htr..Vents-Clearance-Comb. Air-Connector-P.R.V.- ge; Above Floor-Mech. Protection Receptacles Spacing -Lights &Switches at Doors 7 Elec. & Mech. Equip. Listed for Location Size Boxes & No. of Conductors -Stapled 3jec. Receptaclesin Garage; (G.F.I.)-Romex Protec. omex Installed Close to Edge of Studs & C.J.-71. .J.ceptacles 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 92'I lation-Foam-Looked in Attic ❑Yes rd Rails &Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitctrn &Conductor Size . Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ . ,Subfeed Wire Size / / ga. u AI-A.C. Wire Size / / ga. Cu or At 27. Range Circ. / / ga. u r AI -Oven Circ. / / ga. Cu or At, Insulated Neutral ❑ es 0 N 75. Following instld.: Drive ❑ Yes No; Walks ❑ Yes o; Planters []Yes ONO Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish X29. Equip. Clearances; Panels-Motors-Mech. Equip. ; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 1,-fO. Clothes Closet Light -Shower Light V is Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. Cae-"r Well; Disconnect, Electrical, Plumbing Card B -I Date �� Card BI Date rior Elec. Trim; G.F.I. Receptacle -Underground V_QP61ation throughout House Protection Card B -I Date Date Card -BI Date HANICAL (Perrrit) OK except N's 444'-1 _ rrections from Previous Inspections Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support Walap & Sewer Connected -C/0 to Grade -HD Approval Vent Fan; Exhaust above Insulation 60'. Energy Compliance Certificate -Other Certificates _ 3 in & Overflow; Size & Grade _ 34. -9aeeee-Mit; Access -Comb. Air -Return Air Vent -115V outlet 35,- 4+Ht-A'a'Ce_Ss & Platform if Furnace in Attic Card -BI Date Card -BI Date Card�I Card -BI Dat _% and -BI Date Date Card -BI Date Card -BI Dat Card -BI Date Card -BI Date Card -BI Date Date AMING (Plans) OK except N's Comments at Final: 3 Sills; Proper Material & Anchors _ 37. 38. -It Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing_ Stop in Walls (rat proof) oe Fire Stops; Furred Ceilings -Stairs -Chases -Tub PR�- er & Beam -Size & Bearing �Han ers-Post Caps -Anchors -Connectors (g2� g'. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Ring. Fj eplace Ties or Type A Flue -Fireplace Throat _ 4 Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions _ tion Framing (NOTE:Anentrymust be made each time youvisit jobsite) --.----��-.41-x- ,-&W L1er : ENERGY CERTIFICAT—T-'UN _ Townhill Drive Berry Creek LOCATION A.P. No. DESCRIPTION OF INSULATION ROOF Material Thickness(inches) EXTERIOR WALL Material . FIBERGLASS Thickness(inches) -L. 9 CEILING Batt or Blanket Type FIBERGLASS Thickness(inches)____L0 Minimum Thicknes(Inches) Area covered(ft.1) FLOOR, ELEVATED Material FIBERGLASS Thickness(inches) 6.25 FLOOR, SLAB Material ' Thickness(inches) Width(inches) _ FOUNDATION WALL Material Thickness(inches)e _ Brand Name Thermal Resistance (R Value) Brand Name CERTAINTEED Thermal Resistance(R Value) 19 Brand Name CERTAINTEED Thermal Resistance(R Value) 10 Number of Bags Wt. per bag �lb. Thermal Resistance(R Value) Brand Name ---CE INTFE12 _ Thermal Resistance(R Value)___19�; Brand Name_ Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) I hereby certify that the above insulation was installed in the above building in conformance with the State of California Energy Requirements. Harkins Insulaticn Co.., Inc. 378407 FIRM NAME/OWNER STATE CONTRACTOR'S LICENSE NO. 'Da'k'� e — August 24, 1987 SIGNATURE OF INSTALLATION APPLICATOR DATE I hereby certify the above insulation and all required items as shown on the Building Department approved plans and attachinents have been installed as required by the State of California Energy Requirements.. All equipment, devices and materials are of the quality prescribed or are specifically approved by the State of California. r FIRM NAME/OWNER (Please print) IGNATURE OF CE,99RA C RACTOR OWEER STATE CONTRACTOR'S LICENSE NO. 'Cf. ,/�2- 1 / C>'v DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. January 1984 0i ' COUNTY OF BUTTE - DEPARTMENI" OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AICD PERMIT PERMIT NO. A b C a —8, n ASS SSDR PARCEL NU B -�/^ zoN G - Z BUILDING PERMIT ow R Jk,a _ %' �J TELEPHONE SO. FT. OCC. BUILDING VALUATION Q OWNER'S M LING ADDR S -3 a CONTRACTOR'S NAME OCA914 51 TELEPHONE032cEr� CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDERUNKNOWN Total Valuation $ t Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER At Ile LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDIN ADDRES fin h, Rd PLUMBING PERMIT Filing Fee 10.00 1 2Each Trap qJ 2.00 0 Repair drainage or vent piping 5.00 Water piping 8 T NO. 7 SUBDIVISION NAME PARCEL MAP 7989'9 Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets / USE OF STRUCTURE SF I� Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New Addition❑ Remodel❑ Utilities❑ Installation[] Other ❑ Describe work: Permit Fee $ 1 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 800V OR LESS 100 AMP OR LESS 0 �t4lllR1O1r1 Main service EA. ADD'L 100 AMP 2. 1 Su0 NEW CONST. DWELLING OR ADDNS. ACC. BLD t CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW NON-RESID R %BRANCH CIRCT Ts 2.50 ea NEw cZ_ POWER APPARATUS S\ NON-RESID. SINGLE OUTLET CIR. / Ex. OCCUp OUTLETS OR FIXTURES BAL@1 IXED APPLNS. OR Ex. Occup, UTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor Xff,60 MECHANICAL PERMIT ng 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 t 00 Ventilation Permit Fee $ 13, 06 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, l gments costs, and ex ens s which may in y way accrue f this t. ' / a i t said. ou a XW13VX P/ !/ X ate t / Si at re of Applicant — her Contract ❑ Agent A SHA permit is required for excav tions over 5'0" eep and demo li ion of construct- ion of structures over 3 stories in hei t. Mobile Home Installation Fee $ TOTAL PERMIT FEE , OCCUP. CROUP R_3 TYPE OF 0NST. _ PARCE PD 7 I su This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR P LIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 1 1L3� �� r Receipt No. D /,S WHITE-D.P.W., YELLOW -ASSESSOR, PI -INSPECTOR, DENROD-APPLIC NT _. 3Gs'i7 2�4ie-� cou�-t 5 t. io: i'•. i�cin:; Deoa3:tmant Fror::: -,,- --n ,-Ornn anc a piealt h sub Ject : Sanitation Clearance 146 O:=ne Locution gip.:- r Plan_ _Approved -tor: Hold final for: Sewage disposal � grater supply, water supply Fis:al clearar_ce 0. K. for: rater supply. ClearLnce 'for _ bedr home. Other 7 5 ani t. ari an Date -COUNTY OF BUTTE - DEPARTMENT, OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE., CALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET Permit No. �1 OWNER A. P. No. Proposed Building Use Permit Fee Based Upon: Complete Contract Price /iDPW Valuation Ot plain) Building Inspector ` _ Date ""/D" %s At time of permit application, I was advised thd following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate/triplicate. . . . . . . . . . 3. Complete plans in duplicate/triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . .5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. Fees of $ 33.15 . . . . . °l 3 Letter of signature authoriznH. .. . . . . . . 'J 10. Sanitation approval from Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13.,C-ontractor's License Information (no., name style, classif.) wner-Builder Verification (Given to owner[], Mail to owner 15. Improvements may be required.-. . . . . . . . . . .� 16. Mobilehome Installation Data. . . . . . . .. •Pre-Inspec. request to (Dote) 17. Pre -In a tion for Required. Building Inspector 6Other (o �� When you issue the permit, proces , as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at / office. Deliver w inspector. Other t Applicant P_ Date _� 2rz 2/ 4 Copy of plans sent Health Dept., Fire Dept., / Other Date During the plan checking process, the followinva a must be submitted prior to permit issuance: (For required items not checked above t time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: *r (Contractor, Designer,•was advised of above required data by , r,4 By Plans checked by. Plans approved by Other Copy—DPW Telephone—jr-11 Mailr" --Other Date _ Date _ Date COUNTY OF BUTTE-- Department of Public Works i` 7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name 'and bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No building permit will be issued until this verification is,received. 1., I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) VOS 2. I (have/have not) have- signed an application for a building permit for the proposed work. 3. I have contracted with construction: Name Address Phone following person (firm) to provide the proposed Contractors License No. City 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 S igned : Property Owner Social Security number_ Date P - f-- P, 2, 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. r s C A Q- a�"Om A,iA Fit :tj FLOM- ori ta��oew24 C3 cba9�w►cfi�•+1:s�oa -N& (,towp �R' 71A�i Gam soy p�ynl too' Q �� 660 woolow s-i*AeALj M8W ' 57100a 47 .. 4a3z- (oao = F.P ssovF To-rAL VAL.: ? — 347. So PC- _ t Szl�hg — 10.00 531.25 Ash as lip ELt- O -s .— �¢6fs SN. 3o,ots�a 74.10 Too �2-s (-4s7 Cl)ani c� L cis �g� �'E •�asHl,gt�� aJ �q A . •a �u� sot x (A. ' f+ RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX, & MISC. ONLY) OWNER 9�� � � `�� Bldg. Permit #z ��Z a VZ # (0 'Z A. GE 'RAL 2 Zoning requirements (sideyards and parking). Valuation. ,.! Signature by R.C.E. or Architect (if required). B. PLOT PLAN Complete parcel size and dimensions. C'. Setbabkq, sideyards, easements, etc. .'.' Other buildings or structures. %*" Grading, fills, drainage. C. FLOOR PLAN K. Complete to scale plan with dimensions. Required windows for light and ventilation (Sec. 1405). Required windows for second exit -(Sec. 1404). ® Allowable glazing for energy requirements (20% max. per.State law). Human impact glass (Sec. 5406). Required room sizes, ceiling heights (Sec. 1407). 74:"G.F.C.I.'s in baths and exterior outlets (Sec. 210-8). Light fixtures, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. X' 'Locations of water heater, heating & cooling equipment, other electrical or gas ' equipment, and plumbing fixtures. jl;-;._�,'Garage firewall, door size, and closer (Sec. 503(d)(4)). 1 - 3'0" exterior exit door (Sec. 3303d). ,5� Q Fireplace location. j• Smoke detectors (Sec. 1413). D. STRUCTURAL DETAILS ZVFoundation plan complete enough to construct building. *Floor construction de lete enough'to construct building. Elevations and construction etai s omplete enough to construct building. Roof construction details complete enough to construct building. 5. Fireplace construction details and calcs'if over one-story in height. Sufficient data 'and details to satisfy energy insulation requirements (State law). E. MISCELLANEOUS ITEMS TO LOOK OUT FOR x CCX plywood on exposed locations and overhangs. Stairway details (Sec. 3305). - ,3: Guardrail details (Sec. 1716). ,e' Brick or stone veneer (Chapter 30). Exterior plaster - weep screeds (Sec. 4706 & 4708). j�� Proper roof pitch for roof covering (Chapter 32). j�'.�_Rafter ties or bearing ridge beam. $/ Garage door or porch header sizes. Adequate bracing. Y0. Living area over garage,- complete 1 -hour separation required including supporting walls and posts, etc. :' Two (2) exits on three-story dwellings (Sec. 3302). T c / + t + Return to DPWAGRICULTURAL STATERENT.,OF ACKNOWLEDGEMENT 'i FOR RESIDENTIAL DEVELbPMENT�R�j 314 App '�� 3}^ ;.Seetjon 26-8.hof the. Butte County Code requires this acknowledgement ;V_,, Ize :recorded'-prY•or t� iss:uance of a building permit. f "E' CLER1i-RECORO.ER .� it <= Phe property descr.bed {herein is adjacent to land or included g2�24U56 ffE' iin an area zoned €or agricultural purposes, and'residents of "`•,:Th!5'•'itopetty may be -subject to inconveniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa ---sional_ly -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: - PARCEL A: Parcel I: as shown on Parcel Map of a portion of Sections 28 and 33, Township 21 North, Range 5 East., M.D.B. & M., which Parcel Map was filed.,;.in the office of the Recorder of the County of Butte, State of California, on December 1,1980 in Book 79 of Parcel Maps, at page 95. PARCEL B: A nonexclusive easement for road and public utility purposes over a strip of land 60.0 feet in width, as shown on Parcel Map of a portion of Sections 28 and 33, Township 21 North, Range 5 East, M.D.B. & M., which Parcel Map was filed in the office of the Recorder of the County of Butte, State of California, on June 29, 1979 in Book 71 of. Parcel Maps, at page 51. Date:—a--ea State of California ) ) SS. County of=B.uttP ) �«> OFFICIAL SEAL known to me to be therson e (s ) whose name(s ) are 1� BETTY ANN SENTNER p �r2 NOTARY PUBLIC - CALIFORNIA subscribed to the within instrument and acknowledged'o c rn BUTTE COUNTY that they executed the same for the purposes 'Vy_comm. expires JAN 24, 1986 therein contained. I IN WITNESS WHEREOF, I hereunto set my hand and official CJ1 x \ seal. I Notary Public Betty Ann Sentner / SND OF DOCUMENT Present A.P. Nt7_ lr,� ..� %-- �/: �' • PROPERTY OWNERS: On this the 6 day of Aug. 19 82 , 1. before me, the undersigned Notary Public, personally appeared Cathy E. Keefer and Michael C.'Keefer,only o • COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ^ p7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT N /� ,, ASSESSOR PARCEL NUMBER 62-51-45 ZONING BUILDING PERMIT OWNER Mike & Cathy Keefer TELEPHONE SO. FT. OCC, BUILDING VALUATION 1$t renewal OWNER'S MAILING ADDRESS 36517 Bettencourt St. Newark CA 94560 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee 2 original $ 173.75 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 183.75 BUILDING ADDRESS SE/Corner Bald ck Rd & Town Hill Rd Berry Creek PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SFKI Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10! TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: 1St renewal/2072-82 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e00V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. 21h2sgft CONTRACTORS LICENSE LAW I declare under penal of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULTI.OUTLET 2,50 ea NO N.RESID BRANCH CIRC ITS NEW CONSTR. ( POWER APPARATUS &') NON•RESID. SINGLE OUTLET CIR. I 20®50e Ex. Occup(OUTLETS OR FIXTURES BAL®300 FIXED APPLNS, OR EX. OCCUp. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring +15.00, Permit Fee $ Contractor ORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabi 'ties, judgments, costs, and expenses which may in any way accrue agai id C my in conseque a of th granting of this permi X ate ✓2 Z Signaturerer.ipl'iis cant — Owner Contractor ❑ Agent An OSH required for excovations over 5'0" deep and demolition or construct- ion of s s over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 183.75 OccUP. GROUP I TYPE of CONST. PARCEL PD NO I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which TO F PUBLIC BY 1 PERMIT EXPIRES Date 913.184 the applicable provi- resolutions to do fees have been aid. P WORKS Q Date — o Receipt No. I-- WHITE-D.P.W.• YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541 OWNER -BUILDER VERIF ICAT ION Attention Property Owner: An "owner -builder" building permit has been applied for in your name*and bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes o; no) 2. I (have/have not) A411signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: r� Name / Address. 7 City, Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Secur ty number - Date z 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. JCOUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT C� f �PEFtMIT NO., ASSESSOR PARCEL NUMBER 62-51-45 ZONING BUILDING PERMIT OWNER Mike & Cathy Keefer TELEPHONE SQ. FT. OCC. BUILDING VALUATION 2nd Renewal OWNER'S MAILING ADDRESS 36517 Bettencourt St Newark CA 94560 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER None UNKNOWN Total Valuation Is Flling Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee � of Original $ 173.75 ARCHITECT OR ENGINEER None LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS SE corner a d Rock Rd & own Hill Rd. PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Berry Creek Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF[2 Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S I G I W 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other g. Describe work: 2nd Renewal of Permit #2072-82 _ p (1st/615-84) Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST.// DWELLING OCCUP.& OR ADONS, l ACC. BLOGS. 1 220sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR. MULTI -OUTLET 2,50 ea NON.R ESI., BRANCH CIRCUITS) NEW CONSTR. POWER APPARATUS &\ NON -R ESI D. %SINGLE OUTLET CIR. Ex. Occu 20@50a P.OUTL TS OR FIXTURES BAL@30 APPLNS. OR FIXED OUTLETS EX, OCCUp. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE ';,.' I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to Become subject to the W. C. laws of California. ' Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequenceof a granting of this permit. X C 7 y Date Signature of Applicant — Ownero. Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 183.75 OCCUP. GROUP I TYPE OF CONST. PARCEL PD I HD I 7E This permit is hereby issued under cions of the Butte County Code and/or work indicated above for which DIRECT PUS BY PERMIT EXPIR S Date q/3/8S the applicable provi- resolutions to do fees have been paid. C WORKS // Date `�fO Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT V 7' 1 s , 030 uNnoo aur 7' 1 s 7' 1 1 COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541 . OWNER -BUILDER VERIF ICAT ION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) �. 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have con a following person (firm) to �prov�ideth�ero sed construction: Name 4: Nlff person to coordinate, Name Address persons Name City r Contractors License No. s of this work, but I have hired the ervi , rovide the_Ma4or-w Contractors License No. rovide some of the work but I have contracted (hired) the fol t-o-vrev"e the work indicated: l Signed: Property Owner?,,,c��/(r Social Security number Date Phone of Work 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 PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT RMI ASSESSOR PARCEL NUMBER ZONING 62-51-45 BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION t Keeler OWNER'S MAILING A DRESS ' '1f;917 '11pupprotirt- St, Newark, CA 94560 CONTRACTOR'S NAME TELEPHONE 3rd renewal permit CON_03CTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is "Re LENDER'S MAILING ADDRESS Filing Fee $ 10,00 Permit Fee @ FEE $ 173.75 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCH CT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 183.75 PLUMBING PERMIT Filing Fee 10.00 SE corner Bald Rock Rd., & Town Hill Rd. Each Trap 1 2.00 Rprvu Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 SF ® Duplex❑ Mobilehome❑ Other Building sewer 5.00 SPECIFY Mobile Home S I G I W 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Permit Fee $ Describe work: 3rd —renewal permit- #?()72-82 _ Contractor l2dn renewal Permit #3862.-841 ELECTRICAL PERMIT FilingFee 10.00 ' Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA, ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW NEW CONST. DWELLING OCCUP.s! , h¢sgft I declare under Pena ty of perjury (check one): New CONSTR.� AMULTI-OUTLET 2.50 ea ❑ i am licensed under provisions of Chapt. 9, Div. 3 of the Busines$ NON.RESID BRANCH CIRC ITS POWER APPARATUS &) (SINGLE and Professions Code and my license is in full force and effect. OUTLET CIR. License No. Classification Ex. OCCUp(OUTLETS OR FIXTURES 20050C eAL030 91 1, as the owner, or my employees with wages as their sole compen- FIXED APPLNS. R Ex. Occup. OUT LETS (RESID )EA./ 2.00 sation, will do the work,and the structure is not intended or offered Temporary service 10.00 for sale. (Sec. 7044) ❑ I, the licensed Mobile Home Facilities 15.00 as owner, am exclusively contracting with contract- ors. (Sec. 7044) Misc. �yirin g 15.00 ❑ I am exempt under Sec. , Business and Professions Code for thiijeason Permit Fee $ Contractor —IVWORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT Filing Fee 10.00 ❑ The permit is for $100.00 (valuation) or less. Heating ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. Cooling B' I shall not employ any person in any manner so as to become subject Hood 3.00 to the W. C. laws of California. Ventilation 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 permit Fee $ provisions or this permit shall be deemed revoked. Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee $ is correct. I agree to comply to all County Ordinances and State Laws relating Energy Inspection Fee $ to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. TOTAL PERMIT FEE $ 183.75 I also agreetoi°save,,.indemnify and keep harmless the County of Butte against OCCUP, CONST.TYPEJ FLOOD PARCEL PO ND IssuE all liabil.i.ties, judgments, costs, and expenses which may in any way accrue ainst said County in consequence f the granting f this permit. /( This permit is hereby issued under the applicable provi- ate ,� sions of the Butte County Code and/or resolutions to do I-',6 —Signature of Applicant — J,_Ow r Contractor ❑ Agent ❑ work indicated above for which fees have been aid. p An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ORKSion of structures over 3 stDriie-s in height.Jr �DIRZF=PUI Receipt No. �7 BY te WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLD ENROO-APPLICANT PERMIT EXPIRES Date -3-86 �� o��� od�NnO� 5�` �y.�� COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) e..S 2. I (have/have not) 1?&Ve,, signed an application for a building permit for the proposed work. . 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone 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 :y Signed: Property Owner z ^,?'^ Social,Security Number _ ` t'- • ;� Date 9ZZ4 V- S- i-� Y v NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. e COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PE MIT NO. ASSESSOR PARCEL NUMBER 62-51-45 ZONING BUILDING PERMIT IJ OWNER Mike & Cathy Keefer TELEPHONE SO. FT. OCC, BUILDING VALUATION OWNER'S MAILING ADDRESS 36517 Bettencourt St., Newark, CA 94560 CONTRACTOR'S NAME owner TELEPHONE 4th renewal permit CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER none UNKNOWN Total Valuation Is FilingFee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee FEE $ 173.75 ARCHITECT OR ENGINEER none LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS SE cor Bald Rock Rd. & Town Hill Rd. Permit fee $ 183.75 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Be ry Creek Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFU Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: 4th renewal of permit #2072-82 (3rd renewal Permit #2728-85) Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1111 OR LESS 10.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F -1I am licensed under provisions of Chapt. 9, Div. 3 of the BuslnesS and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for t NWson NEW CONST. / DWELLINGOCCUP.N) � OR ADDNS. \ ACC. SLOGS. // /20sgft NEW CONSTR. ULTI.OUTLET2,50 ea NON.RESID BRANCH CIRC ITS POWER APPARATUS &) SINGLE OUTLET CIR. Ex. OCcup(OUTLETS OR FIXTURES 2ALO 30 °L9 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject •+� to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue .. a ainst said County in consequence•the 1 91granting of this ;7Z,1 %� Date ignature of Applicant — Own Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE X$ 183.75 occu P. CONST,TYPEJ I FLOOD PARCEL PD I ND I ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRE R F PUB ORKS BY Date PERMIT EXPIRES Date 9-3-87 Receipt No. WHITE-D.P. w..YELLOW-ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - Departmebt of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) ( �S 2. I (have/have not) (.a'-6/ signed an application for a building permit for the proposed work. 3. I have contracted with the f construction: Name Address Phone 4. I plan to provide portions of to coordinate, supervise, and Name Address Phone ing ffer§qzp (firm) to provide the proposed City Cov(tradtor�; License No. ork,/but� have hired the following person e the r work: traitors License No. City 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Signed: Property Owner _ Social Security N mbe Date d NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS IT 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541// APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 62-51-45 ZONING BUILDING PERMIT OWNER MIKE & CATHY KEEFER TELEPHONE SO. FT. DCC. BUILDING VAL ATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME —Q O OWNER5th TELEPHONE rpnewpil permit CONTRACTO MAILING ADDRESS 9fvla Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee i FEE $ 173.75 ARCHITECT OR ENGINEER NONE LICENSE NO. Plan CheckingFee- $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING corABaldDDRESSRock Rd., & Town Hill a Permit tee $ 183.75 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Berry Creek Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5,00 Each qas water heater or vent 5.00 �5}g� USE OF STRUCTURE SF [Y Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S FE]W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: 5th renewal of permit #2072-82 (4th renewal permit #2662-86) Permit Fee $ Contractor ELECTRICAL PERMIT Filin Fee 10.00 Main service 8001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 ONTRACTORS 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 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for reason NEW CONST. DWELLING OCCUR.& , A hQsgft New CONSTR. MULTI -OU OUTLET NON-RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS 8 SINGLE OUTLET CIR. / EX, Occup\OUTLETS OR FIXTURES 2ALO30@5t e0L980 FIXED APPLES. OR EX. Occup. OUTLETS (RESID,) EA.I 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare and r enalty 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. �l I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: if after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3,00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize -.representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and.'keep harmless the County of Butte against all liabilitie judgments, costs, and expenses which may in any way accrue Inst s ou 'ijr X iinrn consequence of the granting of this permit. G� Date Z Ignature of A (cant — Wner;? Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" de ary ) ftn ition or construct- ion of structures over 3 stories in height. CJ7 Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 183.75 occu P. CONST.TYPEJ I FLDOD PARCEL PD I MD I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indica! above for which IRECT PUBLi7oRKS By PEhM1T EXPIRES Date 9-3-88 the applicable provi- resolutions to do fees have been paid. ate Receipt No. _/V1 5 �S 1{0� WWI TE-D.P.W., TELLOW-ASeCSSOR, PINK -INSPECTOR, G LD PP SAN S SM �ngna aa 00 �u�n 30 COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will'be issued until this verification is received. 1. I personally plan to provide the major labor and materi is 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 follo construction: Name Address Phone 14 Ccfn 4. I plan to provide portions of to coordinate, supervise, a d Name Address Phone person (firm) to provide the proposed I City 'actors License No. his work, but I have hired the following person rovide the major work: City ntractors 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 Securit Date NOTE: This Owner -Builder Verification is sent to you as required by SectI,ons 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. P,. Q `t 010 D ii" �O . X30 s���n3 oN0o0 i .• •. G L `J- PERMIT NO. 827-81B,E PERMIT EXPIRES— OWNER XPIRES OWNER Mike & Cathy Keefer CONTR. owner ASSESSOR PARCEL 62-51-43 port. LOCATION SE corner of Bald Rock Rd. & Town Hill Rd., Berry Creek Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Cal led PG& JOB FI ture = OK = Not OK = Not Applicable MOBILEHOMES = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except q's 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except k's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except ll's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector S. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip.w/5'-Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date V = OK 0 = Not OK - = Not Applicable RESIDENTIAL (Single and Duplex) * = Not Ready Date UND OR Plans OK except #'s Date FRAMING (Continued) ' 44'-Zo ' equirements-Setbacks-Easements -797-Froperty Line Firewall & Openings Soils-Steel-Elec. Grnd.- / /" Ftg. Depth AG,-_EAt Doors -One 3' -Check Garage -3rd story, 2 exits ig., Garage; Soils -Steel- / /" Ftg. Depth -5eg6tairs; Width -Headroom -Rise -Run -Landing -Fire Protection -- PTff`Porches & Decks; Soils -Steel- / /" Ftg. Depth lywood on Roof Overhang -Attic Vents -Rafter Outriggers tem- IIs, Main; Steel-Blackouts-Wrapped-Slabi ing-Nailing-Veneer temwalls, Garage; Steel-Blockouts-Wrapped-Slab -9S'—Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access --7—.P i ers-F irep lace Ftg.-Steel 114 -Glazing Area -Glass Protection -Skylights -Plastic --Z.-D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test .66"hear Walls; Nailing -Bolts v9 --Gas Pipe; Size -Anchors -re". ater Pipe; Test -Anchors -Regulator -Service Test -4+r-• Electric; Underground 4�- Plenums & Ducts; Clearance -Material -Support -Ins. TS—Girders-Sills-Anchor Bolts -Joists -Vents -Cripples Card -8 Date Card -BI Date Card -B(/ Date Card -BI Date Card -81 Date Card -BI Date Card -B ate Card -BI Date Date FINA ns) OK except N's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except 's 68,�Ext. Steps -Door & Sidelight Protection -Landings 15i"-3moke Detector 14. Water Ht.; Vent- Access7dombustion Air Snace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 15. Water Pip ; Test & An ors -Nail Protection 16. D.W.V.; -Fttng & Anchors -Nail Protection 51 is2tiroom Exiting 60.-G. .I. & Bath Fixtures &Tub Access 17. Shower Pan; NsVFirst Floor -Tub Access 18. Test Tub`& ShAqr, 2nd Floor -Tub Access e4.-61ec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; S' e & A hors -Gert-1a ms & Rails 48-F•impface or Stove; Clearances -Hearth Gullets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 66--*h-Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 8ti 'Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q' Fier--@mwgE-Fire Door; Swing -Landing -Closer >?6--A-� . Duct in Garage -Damper 20. Fixture & Transformer Clearanc -Ins. Protection r69 -414r. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection Receptacles Spacing -Li hts &Switches at Doors 21. ElecSize -70 -PTS, Elec. & Mech. Equip. Listed for Location 22. Size Boxes & No. of Conduct rs-Stapled 44-17re-c• Receptacles in Garage; (G.F.I.)-Rorrex Protec. 23. Romex Install Close to EqIge of Studs & C.J. 24. Equip. Grounq 4de up w/ ech. Fasteners -Bond Gas & Water F27 Insulation -Foam -Looked in Attic F) Yes -49—B�rd Rails & Deck Construction -Post Caps -ZL—S4.�. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 25. 2 Appliance 4irckits in tfitchen & Conductor Size 26. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 27. Range Circ. / g Cu or AI -Oven Circ. / / ga. Cu or A1, Insulated N utral F Yes [I No 75, Following instld.: Drive El ❑ No; Walks El El No; an rs El Yes 11 No 28. Service-Ri er C duc rs & Ground -Main Disconnect _76-6tm-t,-o; Brown -Finish 29. Equip. Cle ra es; Pan -Motors-Mech. Equip. _i+--4.C.-Unit; Disconnect-Clrnces-Brkr. & Ccnd. Size -115V Outlet 30. Clothes Closet Light -Shaker Light -/g--treTrts Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. _74, -Water Well; Disconnect, Electrical, Plumbing -80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -41 Date -49r-Ventilation throughout House Card B-1 Date Card I Date .-•er--Glass Protection Date MECHANICAL (Permit) OK a ept p's _ X99--Gerrections from Previous Inspections --5�--9as Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation Support r86, --Water- & Sewer Connected -C/O to Grade -HD Approval ._ 32. Vent Fan; Exhaust ove Insulation .+69r-4a+zrgy Compliance Certificate -Other Certificates _ 33. CondensqMNQrai0 Overflow; Size & Grade 34. Furnace=Ven ccess-Comb. Air -Return Air Vent -115V outlet 35. Attic Acce & form if Furnace in Attic Card -B Date Card -BI Date Card -BI ate 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 q's T7Fs- Proper Material & Anchors _ Walls' s -Nailing, Spacing & Bracing -Plates -Sound earrng Walls over Girders & Floor Nailing 3�raft Stop in Walls (rat proof) AQ_Fire Stops; Furred Ceilings -Stairs -Chases -Tub er & Beam -Size & Bearing _ Nengers-Post Caps -Anchors -Connectors 1 -Rftr. Ties-12"Wia-Roof Brac.-T*wm-Shthng.-Rfnq. _ -4,r-Fireplace Ties or Type A Flue -Fireplace Throat �,n-Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles e.4�i�j3drm. Windows or Exiting Doors -Sill Hgt. & Dimensions -*&.-&erage Fire Protection Framing (NOTE: Anentry must be made each time you visit jobsite) a COUNTY OF BUTTE - DEPAR� T OF PUBLIC WOR PERMIT N0. 7 County Center Drive - Oroville, Californ`a 95965 Telephone 916/5 (-4541 APPLICATION AND PERMIT A W , ASS ,�SSOR PARCEL WMB R CD's r3 ZO ING BUILDING PERMIT v 45ET�s76_691-1 TELEPHONE FTOCC. BUILDING VALUA IONn1 Si0 A✓ 96 `;40-0 ] MAILINGADDRESS � 3Z5115—'Jwr1I/V CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LE DER UNKNOWN Total Valuation $ o O 0 Filing Fee $ f 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ,vv ARCHITECT ORE NEER LICENSE NO. Plan Checking Fee $ - 0d Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ p_.Od ADDRESS �f I /�� y� BSG GCU�'i(/E!z I/�L /c=� PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 �D 7—OWA) LL nT Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 ' Gas piping'system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Others Kt- I>c-7- L' 40A4rC SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New Addition❑ Remodel[] Utilities❑ Installation❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6011 OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. / DWELLING OCCUP.p1\ OR ADDNS. 1 ACC. BLDGS. / 22 sq ft CONTRACTORS LICENSE LAW ' I declare under penalty of perjury (check one): •❑NON-RESID. I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ® I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR -OU LET 2.50 ea NON-RESID BRANCH CIRCUITS) NEW CONSTR. ( POWER APPARATUS 61 SINGLE OUTLET CIR, / Ex. Occup OUTLETS OR FIXTURES_ a �@1 FIXED APPLNS, OR Ex. Occup,(OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 14.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ 20. 00 Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 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 Countyot. Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequent Of the granting of this permit. X dt Date Signature of Applicant — Owner Contractor ❑ , Agent ❑ An' OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ Aof 00 OCCUP. GROUP ` I TYPE OF CONST. V PARCEL PD HD 550E l� This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC B 4�1 C) —Date y EXPIR S Date PE #_T the applicable provi- resolutions to do fees have been paid. WORKS -3_t7_?/ --I Receipt No. / WHITE-D.P.W.• YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT f COUNTY OF BUTTE - Department of Public Works -y - 7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541 OWNER -BUILDER VERIF ICAT ION Attention Property Owner: An "owner -builder" building permit has been applied for in your nameand bearing your signature. Please complete and return this information in the envelope provided at your, earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of .the proposed property improvement (yes or no) _-G�/ice• 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 number Date 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. • • , • •MIN ME 0 MEN ME m ■� .a I - � V •� I I f low I I I I 1�0 J N D A -n ow t I , atel Dro ' I I • I � I I i _ �_ � I i � �� I I I I !► j � I ell_ — I I I i ®I E COU TY I G [� JPA„RTI,4ENT 1 -' 1I t I I I T-�•- )ZI- - I _ I MIKE & CATHY KEEFER .z 3 SE cor C Pnter..s Bald Rock Rd & Town Hill Way, Berry Creek A.P. 62-51-43port Permit#1451-8113,E(ele ser & class A flu) �1-moi k1 L k - c9 "-K- COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICAT40N AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMB 1 ZO ING BUIL6ING PERMIT OW f� 1k _� hCG Il� � f-- 1�J _ TELEPHONE ...� SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS J sasm r CONTRACTOR'S NAME O TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace A /ODD CONSTRUCTION LENDER ��- UNKNOWN Total ValuationWOO Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 10100 ARCHITECT OR ENGINEER {+ LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 14ZO •00 BUILDIVG ADD ESSl -..7 t_ r �,.� ,;� C PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 rp 12 Water piping LOT NO. SUBDIVISION NAME I?ARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Othe 1 -6) 1- AID e- SPEFIFY Building sewer Lawn sprinkler system -H--L-0-0 TYPE OF WORK New ❑ Addition ❑ j Remodel[]Utilities Installation Other Describe work: r f p ( ►r rf-'ti „�( 1 /. _� Our wl d / Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 e00V OR LESS Main service 100 AMP OR LESS 5.00 's Q i� T �^' Main service EA- ADD'L 100 AMP 2.50 NEW CONST. OWE L Q �CUP.y OR ADDNS. ACC, .4 I 20 S ft `y q /� CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F1NON-RESID. I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR - U LET 2.50 ea NON-RESID BRANCH CIRC ITS NEWCONSTR. POWER APPARATUS e\ SINGLE OUTLET CIR. Jr 50 0250 Ex. Occup OUTLETS OR FIXTURES BAL@1 Ex. Occup.(OUTLETS (RESID )REA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ sof. % Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ® 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, 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. 1 r' - �' 4 1/4/ X Date f f iZ� Signature of Applicant — Owner El -"Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3.stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PARCEL PO NO ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which I CT OF PUBLIC By PERMIT EXPIRES to _� the applicable provi- resolutions to do fees have been paid. WORKS ate Z- ,�.—^ Receipt No. �i�5 _��� WHITE-D.P.W., TELLOW-ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville,"California 95965 - Telephone 916/534-4541 i APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER _ ZON NG BUILDING PERMIT ow r / TELEPHONE / S0. FT. OCC. BUILDING VALUATION ' OWNER'S MAILING ADDRESS �` C CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER q�- p v ✓1 ` UNKNOWN Total Valuation $ d O Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ O Oa ARCHITECT OR ENGINEER �r LICENSE NO. Plan Checking Fee .$' Penalty $' ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ .00 BUILDI G ADDFj,ESS �S C .1C• /�/(-J PLUMBING PERMIT Filing Fee 10.00 h 1 12, CLRepair Each Trap 2.00 drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME ARCEL MAP Each qas water heater or vent 5'5.00 Gas piping system 1 - 5 outlets USE OF STRU URE SF [:1 Duplex DuplexMobilehome❑ Other SPEZJY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities InstallationOther Describe work: El E-1 SEX V1C!2 � ❑ �,1 �1►�r l 11�h1en -7 ���SS Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e0Dv OR LESS 100 100 AMP OR LESS 5.00 O Main service EA. ADD'L 100 AMP 2.50 Zsz NEW CONST. (OWEL CUP.y) OR ADDNS. \ ACC. 20sgft 71 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR .ou L T NON-RESID BRANCH CIRCUITS) 2.50 ea NEW CONSTFL I POWER APPARATUS d NON-RESID. %SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES_ gp,L� 00 FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ .39. 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 beccme 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. 1 also agree to save, indemnify and keep harmless the County of Butte against es which may in any way accrue all liabilities, judgments, costs, andyhee against said County in consequence nting ofthis permit. X Date rZ Signature of Applicant — Owner ® Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PARCEL PD HD 99UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees I CT OF PUBLIC BY ' PERMIT EXPIRES D to the applicable provi- resolutions to do have been paid. WORKS p ate y Receipt No. '701'5 3� WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7'County,Center Drive, Oroville, CA. 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) �. 2. I (have/have not) signed an application for a'building permit for the proposed work. 3. I have ontracted with the following person (firm) to provide the proposed construc ' n: Name Address City Phone Contractors License No. 4. I plan torovide portions f this work, but I have hired the following person to c rdinate, supery e, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of th work but I have contracted (hired) the following persons to rovide the work ' dicated: Name Address Phone Type of Work Signed: Property Owner Social Secur'ty number 5� — T 99/i Date z/ 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. 3380-87 2662-86 2728-85 ' 3862-84 r PERMIT NO. G 1613-88B PERMIT EXPIRES 'OWNER MIKE & CATHY KEEFER CONTR. OWNER ASSESSOR PARCEL 62-51-45 .F LOCATION 3 -Townhill Way, Berry Creek t a c . Temp. Power Pole + Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E �,Y/' JOB FINALED (Date) " Signature E = OK 0 = Not OK ' = Not Readyable MOBILE HOMES ; ; MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s , Date DEC ,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements . Zrtng Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch . Fogl�tfgs; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/O -Concrete ecks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts- Bea ms-Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -61 Date Card -B1 Date 10. Roof; Shthg-Roofing Card -131 Date Card -61 Date 11. Ext.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s Card -131 Dat Card -131 Date 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line Card -131 Date Card -61 Date 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s 5. Drain; MH Test -Fall -Flex Connector 1. Setbacks -Easements 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability 7. Water and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes- Enclosures-Panel board s -Ins. to Main in Conduit Card -61 Date Card -81 Date Card -131 Date Card -131 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -81 Date Card -B1 Date Card -B1 Date Card -131 Date =OK o = Not OK Applicable - =Not Applicable RESIDENTIAL (Single and Duplex) =. Not Ready Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks; -Easements -Flood -Slope 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg De 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Del 5. Stemwalls, Main; Steel- Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Card -B1 Date Card -131 Date Card -131 Date Card -131 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors Card -131 Date Card -81 Date Card -131 Date Card -131 Date Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Card -B1 Date Card -131 Date Card -61 Date Card -B1 Date Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnace in Attic Card -131 Date Card -131 Date Card -B1 Date Card -B1 Date Date FRAMING (Plans) OK except #'s 39. Sills, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearing Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. Ties -Purl in -Roof Brac.-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation-Walls-Clg. 60. Infiltration-Walls-Wndws Card -131 Date Card -131 Date Card -131 Date Card -81 Date Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meeh. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 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 Protec. 77. 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 8j. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation throughout House 87. Glass Protection 88. Corrections from Previous Inpections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates 92. Roofing Certificate Card -131 Date Card -131 Date Card -131 Date Card -B1 Date Card -131 Date Card -B1 Date Comments at Final: (NOTE: An entry must be made each time you visit job site) J COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7'County Center Drive - Oroville. California 95965 - Telephone: 916/538-7541 to 13 APPLICATION AND PERMIT ASSESSOR PA C NUM�i R ZONING 55 _ BUILDING PERMIT ZV OWNER Lj Kee X :1321 n _ T LEPMNE SQ. FT. OCC. BUILDING VALUATION OWN8060 '`I, `u, I AI3QFj.�S A�� 3 rbill !20 CONTRACTOR'S NAME TELEP CONTRACTOR'S MAILING ADDRESS Fireplace TTION LENDER UNKNOWN C [tUC� rt Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ AR IF�TE�C�OR ENGINEER LICENSE NO. {{�LCC Plan Checking Fee $ 1 �1�~� Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS1 1l Permit fee $ 1 1 PLUMBING PERMITFili F ng ee 10.00 Each Trap 2.00 IrflA Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PA CEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTUR� Gas piping system 1 - 5 outlets 5.00 SF[t Duplex❑ Mobilehome❑ Other (� Building sewer 5.00 SPECIFY Mobile Home S I G I W Eb 0.00 ea TYPE OF WORK i New Addition N Remodel ❑ Utilities ❑ Installation[] Other ❑ Penult Fee $ Describe work: Contractor ELECTRICAL PERMIT Filing Fee 10.00 I Main service 8001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW NEW CONST. DWELLING OCCUP.111\ / /,�sgft I declare under penalty of perjury (check one): OR AODNS. ACC. BLOGS. NEW CONSTR. TI -OUTLET 2.50 ea ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business NON-RESID .BRA CH CIRC TS POWER APPARATUS e (SINGLE CIR. and Professions Code and my license is in full force and effect. OUTLET License No. Classification Ex. OCCUp( OUTLETS OR FIXTURES iossos eAL030 1, as the owner, or my employees with wages as their sole compen- FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA.) 2.00 sation, will do the work,and the structure is not intended or offered Temporary service 10.00 for sale. (Sec. 7044) Mobile Home Facilities 15.00 ❑ I, as the owner, am exclusively contracting with licensed contract- Misc. Wiring 15.00 ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT Filing Fee 10.00 ❑ The permit is for $100.00 (valuation) or less. Heating ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. Cooling I shall not employ any person in any manner so as to become subject Hood 3.00 to the W. C. laws of California. Ventilation Notice to Applicant: If after making this statement,should you become subject Penult Fee $ to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee $ is correct. I agree to comply to all County Ordinances and State Laws relating Energy Inspection Fee $ to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. TOTAL PERMIT FEE $ I also agree to save, indemnify and keep harmless the County of Butte against Occup.CONST.TYP! SCHOOL FLOOD 3u PARCEL PU ND Is all liabilities, judgments, costs, and expenses which may in any way accrue _. r L agai st said County in consequence of the granting of this permit. X - J /a Ul This permit is hereby Issued under the applicable provi- Date rPJl sions of the Butte County Code and/or resolutions to do Signature of Applicant — Owner 6 Contractor ❑ Agent ❑ work indicated above for which fees have been paid. An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. E O F PUBLIC WORKS _ �& r BY Date Receipt No. WHIT[-D.P.W.. YELLOW-A3e C330R, PINK -INSPECTOR. GOLDENROD -APPLICANT PERMIT EXPIRES Date 01 - A. -.,..• c COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 ^, PERMIT APPLICATION DATA SHEET Permit No. / OWNER ' Y `I �C e. k"�l� �ee A. P. No. Proposed Building UseBuilding Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and:/or issuance: DATE RECEIVED APPROVED 1, All items.have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate./triplicate, signed by preparer of plans. 3. Complete plans in duplicate. /triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. School District "Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . /Letter of signature authorizat' n. 0. Sanitation approval from coil �� Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner0, Mail to owner ❑•) _15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . Pre-Inspec. request to (Date) 17. Pre -Inspection for Required. Building Inspector - 18. Recorded copy of Agricultural Acknowledgment Statement. - 19. Driveway Permit. , 20. Plot plan approval from city of : 21. Engineered trusses'in duplicate (required prior to plan check). 22. When you issue the permit, process as follows:"Mail to owner, Mail to contractor. Telephone and hold for pickup at -off ice, Deliver w/inspector. Other Appl icant a� G /C.c ate 5-12 Copy of plans sent Health Dept., Fire Dept., Other Date 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---nail—counter by date Contractor, designer, owner, was advised of above requI d data by—phone —mal l_counter by date (� Plans checked by Date Plans approved by y Date-r�� Sets of plans on hold in File cabinet AP folder Copy—DPW TO Buildinv Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal Water Supply Hold final for: Water Supply Final clearance O.K. for: ater Supply Clearance for bedroom mobile home. Other NOTE *** Sanitaria COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) Tom& 2. I (have/have not) — 6 ni_y L 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 Numbpr � _ Date 5��-V /DY NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to -our office before we are per- mitted to issue the permit. Certificate of Compliance: Residential Documentation Author I Telephone Climate Zone 11 2072-$Z Build' P it # (Metered By/ Date Entoroement ARencv Use 0n1v BUILDING DATA Glass Ar North % Glass Conditioned Floor Area 2 Number of Stories East Stab/Raised Floor - Number of -Units South 4Single Family Detached (SFD) (] Addition Alone West [ ] Single Family Attached (SFA) (] Existing Building Skylight' [ ] Multi -Family (MF) [ ] Existing -Plus -Addition Total BUILDING SHELL INSULATION Component Insulation L=ation/Comments Type R -Value (atdc, to gangs, ical, etc.) dlel `b Wall .............. -` J J Roof............. Roof ............. Floor ............. Floor............ Slab Edge..... GLAZING 'Shading Devices Glazing Area Glass Type Interior Exterior Overhang Framing Type Orientation (sf) (single, double) (lolls blind, etc.) (shadescreen, etc.) (yeshto) (metaWood) North North ( ) East ( ) ZiOv p�lx _ r East ( ) South South ( ) West West ( ) Skylight ....... �'— THERMAL MASS Type/Covering Area Thickness (slab/ex22sed, tile, etc.) (s inches Location/Description(kitchen. bath, etc. rr HVAC SYSTEMS Minimum Duce Type (furnace. air Efficiency Location Duct Output Manufacturer / Model # conditioner, heat um) (SE, SEER,HSPF) (attic, etc.) R -Value tui or approvedequal) i 1 LIAM Maximum Furnace Heating Output: Btuh HOT WATER SYSTEMS Tank Manufacturer/Model # System Type (storage gas, etc.) Capacity (or approved equal) Special Feature(s) Mir a - r -4VA SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) Mandatory Measures Checklist: Residential MF -1R NOTE: I.owrice residential buildings subject to the Standards must contain these meaaues regardless of the compliance approach used. Items marked with an asterisk (•) may be superseded by viae stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit dccuments, 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 dhecklist only. DESCR1MON DESIGNER ENFORCEMENT Building Envelope Measures §2-5352(a): Minimum ceiling insulation R-19 weighted avenge. §2.5352(b): Loose fill insulation manufacturer s labeled R -Value- • §2.5352(c): Minimum wall insulation in framed walls R-11 weighted average (does not apply to exterior mass walls). §2-5352(k): Slab edge insulation - water absorption rate no greater than 0.3%. water vapor uansmission rate no greater than 2.0 perm/inch. §2-5311: Insulation specified or installed mats California Energy Commission (CEC) quality standards. Indicate type and form. §2.5352((): Vapor barriers mandatory in Climate Zones 14 and 16 only. §2-5317: Infiltrabon/Exfiltration Controls a. Doors and windows between conditioned and unconditioned spaces designed to limit sk leakage, b. Doors and windows certified. c. Doors and windows weatherstripped: all joints and penetrations caulked and sealed. 12-5352(e): Special infiltration barrier installed tocomply with 12-5351 mects CEC quality standards. §2.5352(d): Installation of Fireplaces 1. Masonry and factory -built fcrepLsces have: a. Tight fitting, closeable metal or glass door b. Outside astir intake with damper and control c. Flute damper and control 2. No continuous burning gas pilots allowed. HVAC and Plumbing System Measures §2-5352(8) and 2-5303: Space conditioning equipment siring: ataeh calculations. 02-5352(h) and 2-5315: Setback thermostat on all applicable heating systettu- • §2-5316(a): Ducts constructed, installed and insulated per Chapter 10.1976 UMC. §2-5316(br Exhaust systems have damper controls. 12-5314(c): Gas-fired space heating equipment has intermittent ignition devices. 12-5314: HVAC equipment, water heaters- showerheads and faucets certified by the CEC. 12.5352(1): Water heater insulation blanket (R-12 or greater) or combined interior/exterior insulation (R-16 or greater): fust 5 feu of pipes closest to tank insulated (R-3 or greater). §2-5312(Exception 1): Pipe insulation on steam and steam condensate rerun cit recirculating piping. §2-531R(d): Swimming Pool Heating I. System has: a. On/off switch on heater. b. Weatherproof instruction plate on Anter. e. Plumbed to allow for solar. 2. 75 percent thermal efficiency. 3. Pool cover. 4. Time clock. 5. Directional water inlet Lighting and Appliance Measures r §2-5352(1): Lighting - 25 lumens/watt or greater for general lighting in kitchens and bathrooms. §2-5314(c): Gas fund appliances equipped with intermittent ignition devices. 12-5314(a): Refrigerators, refrigerator -freezers, rm=crs and fluorescent Lamp ballasts certified by the CEC. Indicate make and model number. COMPLIANCE STATEMENT This certificate of compliamm lists the building features and performance specifications needed to comply with Title 24. Chapter 2-53 and Mile 20. C bapter2. Subchapter 4. Article 1 of the California Administrative code. This mrtificate has been signed by the individual with overall design responsibility and the building owner. who shall retain a copy of it and transmit the certificate to my subsequent purchaser of the building. Designer Name: TitIc/Ftrm: Address: Telephone: Lic. 0: (signature) (date) Documentation Author Name: TitWFum: Address: Building ncOwner / �I\/ Nae: 8 y�1 1 1 ot- GLA q eWze v Titk/Frrtt, 43W Address: InWo X 9 v.rcc /6 Telephoner _Rq 5 - (signature) / r/ (date) Enforcement Agency Name: Agency: Tekphonc 1. Ceiling Insulation 2. Wall Insulation Single- Single - Family Family R -value Detached Attached R-0 -68 -51 R-11 0 0 R-13 2 2 R-19 8 6 U -value 0.80 -153 -114 0.50 -91 -68 0.30 -47 -36 0.10 0 0 0.08 4 3 0.06 9 7 0.04 14 11 0.02 19 14 0.00 24 18 Multi - Family -34 0 1 4 -76 -46 -24 0 2 5 7 10 12 Number of stories 0.80 R -value One Two Three R-0 -103 -49 -02 R-19 -8 -0 -2 R-30 -2 -1 -1 R-38 0 0 0 U -value 0 0 R-30 0.50 -176 -84 -54 0.30 -102 -49 -02 0.10 -26 -13 -8 0.08 -18 -9 -6 0.06 -11 -5 -4 0.04 -4 -2 -1 0.02 4 2 1 0.00 11 5 3 2. Wall Insulation Single- Single - Family Family R -value Detached Attached R-0 -68 -51 R-11 0 0 R-13 2 2 R-19 8 6 U -value 0.80 -153 -114 0.50 -91 -68 0.30 -47 -36 0.10 0 0 0.08 4 3 0.06 9 7 0.04 14 11 0.02 19 14 0.00 24 18 Multi - Family -34 0 1 4 -76 -46 -24 0 2 5 7 10 12 3. Raised Floor Insulation 0.80 -1 Insulation in Floor 0.70 2 2 1 Number of stories 6 R -value One Two Three R-0 -17 -8 -5 R-11 -3 -2 -1 R-19 0 0 0 R-30 3 1 1 U -value -3 8 35 0.60 -144 -70 -46 0.50 -120 -58 -38 0.40 -95 -46 -30 0.30 -69 -34 -22 0.20 -43 -21 -14 0.10 -17 -8 -5 0.08 -11 -6 -4 0.06 -6 -3 -2 0.04 -1 0 0 0.02 4 2 1 0.00 10 5 3 Controlled Ventilation Crawlspace 7 14 Number of stories 43 R -value One Two Three R-0 -11 -7 -5 R-5 -4 -4 3 R-11 -2 -2 -2 R-19 -1 -2 -2 4. Slab Edge Insulation -7 -2- 4 Number of Stories 15 R -value One Two Three R-0 0 0 0 R-5 8 5 2 R-7 8 6 3 F2 factor 0.90 -4 -0 -1 0.80 -1 -1 0 0.70 2 2 1 0.60 6 4 2 0.50 9 6 3 0.40 12 8 4 5. Infiltration (Air Leakage) Specification Points Standard - 0 6. Glass Heat Loss Total Climate Zone 11 SCORE CARD Interior Slab Floor Raised Floor U -value %Glass Percent East South .51 to .41 to .31 to 0.30 or Glass Single Double .60 .50 .40 less 50 -121 -53 -39 -24 -10 4 40 -90 -37 -26 -14 -3 8 35 -75 -29 -19 -9 1 10 30 -61 -21 -13 -4 4 12 29 -58 -20 -12 -3 5 12 28 -55 -18 -10 -2 5 13 27 -52 -17 -9 -2 6 13 26 -49 -15 -8 -1 7 14 25 46 -14 -7 0 7 14 24 43 -12 -5 1 8 14 23 -10 -11 -4 2 8 15 22 -37 -9 -3 3 9 15 21 -34 -7 -2- 4 10 15 20 -31 -6 0 5 10 16 19 -29 -4 1 6 11 16 18 -26 -3 2 7 12 16 17 -23 -1 3 8 12 17 16 -20 0 4 9 13 17 15 -17 1 6 10 14 17 14 -14 3 7 10 14 18 13 -12 4 8 11 15 18 12 -9 6 9 12 15 19 11 -6 7 10 13 16 19 10 -3 9 11 14 17 19 9 -1 10 13 15 17 20 8 2 12 14 16 18 20 7..Shading (Shade Open) Effective Percent Glass (percent glass x SC) Effective Climate Zone 11 SCORE CARD Interior Slab Floor Raised Floor Mass %Glass North East South West Skylight 18 5 1 4 1 na 16 4 2 5 1 na 14 4 2 5 1 na 12 3 3 5 2 na 11 3 3 5 2 na 10 2 3 5 2 1 9 2 3 5 2 2 8 2 3 5 2 2 7 1 3 4 2 2 6 1 3 4 2 3 5 1 2 4 2 3 4 0 2 3 1 3 3 0 1 2 1 3 2 0 0 1 0 3 1 -1 -1 -1 -1 2 0 -1 -2 -4 -2 0 na = not allowed f3. Shading (Shade Closed) Effective Percent Glass (percent stass x SC) N Climate Zone 11 SCORE CARD Interior Slab Floor Raised Floor Mass Effective 1199 ICFA One Two Three One Two Three 0.0 -8 %Glass Nom East South West Slt Vhf 18 -14 -48 -69 -64 na 16 -12 -42 -59 -55 na 14 -10 -35 -50 -46 na 12 -8 -29 40 -37 na 11 •-7 26 -36 -33 na 10 -6 -23 -31 -29 -74 9 -5 -20 -27 -25 -65 8 -5 -17 -23 -21 -56 7 -4 -14 -19 -18 -47 6 -3 -11 -15 -14 -38 5 -2 -9 -11 -10 -30 4 -1 -6 -8 -7 -23 3 0 -4 -5 4 -16 2 1 -1 -2 -1 -9 1 1 1 1 1 -4 0 2 3 4 3 0 9. Interior Thermal Mass Climate Zone 11 SCORE CARD Interior Slab Floor Raised Floor Mass Stories Stories 1199 ICFA One Two Three One Two Three 0.0 -8 -5 -4 -2 -1 -1 0.1 -8 -5 -3 -1 0 0 0.3 -7 -4 -2 0 1 1 0.5 -6 -3 -1 1 1 2 0.7 -5 -2 -1 1 2 2 0.9 -5 -1 0 2 3 3 1.1 •4 -1 1 3 4 4 1.3 -3 0 2 3 4 5 1.5 -3 1 2 4 5 5 2.0 -1 2 4 5 6 7 2.5 0 3 5 7 7 8 3.0 1 4 6 8 8 9 3.5 2 5 7 9 9 10 4.0 3 6 8 9 10 10 4.5 3 7 8 10 11 11 5.0 4 7 9 11 12 12 5.5 5 8 9 11 12 12 6.0 5 8 10 12 13 13 6.5 6 9 10 12 13 13 7.0 6 9 11 13 13 14 7.5 6 10 11 13 14 14 8.0 7 10 11 13 14 14 8.5 7 10 12 13 14 15 10. Exterior Wall Thermal Mass Solar Exterior Single- Single - +610 16 or Wall Family Family Mutt +5 Mass Detached Attached Family 0.00 0 0 0 -13 0.20 3 2 1 -11. -9 0.40 5 4 3 6.6 0.60 8 6 4 -2 0.80 10 8 5 0 0 1.00 13 10 7 8.0 1.20 13 12 8 4 1.40 12 13 9 14 12 1.60 10 13 11 10.0 1.80 10 12 12 10 2.00 10 11 13 23 19 11. Heating System 12 8 12.0 SE or HSPF 26 22 18 (assumes ducts in attic) 9 13.0 33 Sum of 14 20 15 10 _ -25 or -24 to -14 to -4 to +6 to 16 or SE HSPF less -15 -5 +5 +15 more 0.72 6.60 0 0 0 0 0 0 0.75 6.88 3 3 3 2 2 1 0.80 7.33 8 7 6 5 4 3 0.85 7.79 13 11 10 8 7 5 0.90 8.25 17 15 13 11 9 7 0.95 8.71 20 18 15 13 11 8 None Effective SE or HSPF -23 (SE or HSPF x duct efficiency) -11 Effective -25 or -24 to -1410 -4 to +610 16 or SE HSPF less -15 -5 +5 +15 more 2 0.30 2.75 -73 -64 -56 -47 -38 -30 na 3.41 -45 -39 -34 -29 -24 -18 0.40 3.67 -34 -30 -26 -22 -18 -14 0.50 4.58 -10 -9 -8 -7 -5 -4 0.56 5.13 0 0 0 0 0 0 0.60 5.50 5 5 4 3 3 2 0.70 6.42 17 15 13 11 9 7 0.80 7.33 25 22 19 16 13 10 0.90 8.25 32 28 24 20 17 13 1.00 9.17 37 32 28 24 19 15 Zonal Control Adjustment 1 System Type 0 0 0 Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 12. Cooling System Climate Zone 11 SCORE CARD Unit Size (sQ Eff. % Glass Water SEER 1199 1200 1700 2200 2700 (assumes ducts In attic) or b to Som of 7-10 or Type Type less -25 or -24 to -14 to -4 b +6 to 16o( SEER less -15 -5 +5 +15 more 8.0 -14 -12 -10 -8 -6 -4 8.5 -9 -7 -6 -5 -4 -3 8.9 -5 -4 -4 -3 -2 -2 9.0 -4 -3 -3 -2 -2 -1 9.5 0 0 0 0 0 0 10.0 4 3 3 2 2 1 10.5 7 6 5 4 3 2 11.0 10 9 7 6 4 3 12.0 15 13 11 9 7 5 13.0 20 17 14 12 9 6 -12 -9 Effective SEER -6 IG None (SEER x dud efficiency) -3 -2 -2 Sum of 7-10 35% Solar Effective -25 or -24 to -14 to -410 +610 16 or SEER less -15 -5 +5 +15 more 5.0 -30 -25 -21 -17 -13 -9 6.0 -12 -11. -9 -7 46 4 6.6 -5 -4 -4 -3 -2 -2 7.0 0 0 0 0 0 0 8.0 9 8 6 5 4 3 9.0 16 14 12 9 7 5 10.0 22 19 16 13 10 7 11.0 26 23 19 15 12 8 12.0 30 26 22 18 14 9 13.0 33 29 24 20 15 10 0 Zonal Control Adjustment or Solar 14 10 8 7 6 4 3 HWR No Cooling System Installed 5 Stories One -5 -4 -4 -3 -2 -2 Two + 3 3 2 2 2 1 Single -Family Detached and Attached Point System Summary: Climate Zone 11 SCORE CARD Unit Size (sQ Eff. % Glass Water , 9 1199 1200 1700 2200 2700 Heater Credit or b to to or Type Type less 1699 2199 2699 more SG None 0 0 0 0 0 or Solar 12 8 6 5 4 HP HWR 8 5 4 3 3 T9et134 WSB 5 3 3. 2 2 /.79 POU 8_ 5 4 3 3 SE None -37 -24 -18 -15 -12 1c.:.t.e •i b' Solar -1 -1 -1 0 0 HWR -18 -12 -9 -7 -6 WSB -25 -16 -12 -10 -8 1)00�x POU -18 -12 -9 -7 -6 IG None -5 -3 -2 -2 -2 35% Solar 7 5 4 3 2 75% POU, 3_ 2 1 1 1 IE None -28 -19 -14 -11 -9 1.5 Solar 8 5 4 3 3 2.9 POU -10 -6 -5 -4 -3 4.4 Mult!-Family (Individual 5 units) 10Y. 0.2 0.4 0.6 Unit Size (sQ 1 Water 1.4 699 700 1200 1700 2200 Heater Credit or b to to or Type Type less 1199 1699 2199 more SG None 0 0 0 0 0 or Solar 14 7 5 4 3 HP HWR 9 5 3 2 2 4.5 . WSB 9 4 3 2 2 0.5 POU 9 5 3 2 2 SE None -45 -23 -15 -11 -9 3.5 Solar 2 1 1 0 0 4.9 HWR -23 -12 -8 -6 -5 0.9 WSB -25 -13 -8 -6 -5 24 POU _23 -11, 2 -8 -6 -5 n None -8 -4 _ 3 -2 r -2 5.3 Solar 6 3 2 1 1 1.3 POU 1 0 0 0 0 IE None -30 -15 -10 -8 -6 42 Solar 18 9 6 4 4 5.7 POU -8 -4 -3 -2 -2 Point System Summary: Climate Zone 11 SCORE CARD SC Eff. % Glass a. North , 9 Measures t 77 1. Ceiling Insulation 3 0 or x Interior Mass/CFA 1, g y R -value [381 U -value [0.030] 2. Wall Insulation or d. West 0. q . TT•L 2 MSS R-value[II) U-value[0.098] 3. Raised Floor Insulation 9 or .77- = 0 8. Shading (Shade Closed) R -value [ 19] U -value [0.037] 4. Slab Edge Insulation IA - or % Glass SC R-��e [0]�� F2 factor [0.771 S. Infiltration Standard - 6. Glass Heat Loss T9et134 '(06 = /'59 c. South Type [double] U -value [0.65] .106 = /.79 d. West 0. x t TYPE 1 ►ASS (UIMC h 4.2, le: exposed slab) e. Skylight 0 x 0 = 9. Interior Thermal Mass 1c.:.t.e •i b' U;teriorW-ss/CFA COND. FLOOR AREA 10. Exterior Wall Mass TYPE 2 MASS AREA = % Exterior Wall Mass OND. FL OR AREA 11. Heating System 1)00�x mh Effective SE Zonal Control? ( Y / N) SE or HSPF [0.7216.6] Duct Eff iency 10.781 0% 5% 10y. 15% 20Y. 25% 30% 35% 40% 45% 50% S5% 60Y. 65Y. 70% 75% 80% 85% 90% 95% 100% 105% 110Y. 11595 1207. 125• OY. 0 0.2 0.4 0.6 0.8 1.1 1.3 1.5 1.7 1.9 2.1 23 2.5 2.7 2.9 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5 53 10Y. 0.2 0.4 0.6 0.8 1 1.2 1.4 1.6 1.9 2.1 2.3 25 2.7 2.9 3.1 3.3 3.5 3.7 4 4.2 4.4 4.6 4.8 5 5.2 5.4 20% 0.3 0.6 0.8 1 1.2 1.4 1.6 1.8 2 2.2 24 27 29 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.5 . 4.8 5 52 5.4 56 30% 0.5 0.7 0.9 1.1 1.4 1.6 1.8.. 2 2.Z 24 2.6 2.8 3 3.2 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 511 40% 0.7 0.9 1.1 1.3 1.5 1.7 1.9 2.2 24 2.6 2.8 3 3.2 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 59 50Y. 0.9 1.1 1.3 1.5 1.7 1.9 21 23 25 27 3 32 3.4 3.6 3.8 4 42 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6. t ] 55% 0.9 1.1 1.4 1.6 1.8 2 2.2 24 2.6 28 3 3.2 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 5.8 6 62 60% 1 1.2 1.4 1.7 1.9 21 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 ' 5 5.2 5.4 5.6 5.9 61 63 65% 1.1 1.3 1.5 1.7 1.9 2.2 2.4 2.6 2.8 3 3.2 3.4 36 3.8 4 4.3 4.5 4.7 4.9 5.1 53 55 5.7 5.9 6.1 64 70% 1.2 1.4 1.6 1.8 2 2.2 2.5 27 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 52 5.4 5.6 58 6 62 64 75% 1.3 1.5 1.7 1.9 21 2.3 25 2.7 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 63 6.5 801/. 1.4 1.6 1.8 2 2.2 2.4 26 2.8 3 3.3 3.5 3.7 3.9 4.1 4.3 4.S 4.7 4.9 5.1 54 56 5.8 6 62 64 66 65% 1.4 1.7 1.9 2.1 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.44.6 4.8 5 52 54 5.6 59 6.1 63 65 67 90% 1.5 1.7 2 2.2 2.4 2.6 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 53 55 5.7 5.9 6.2 64 66 68 95% 1.6 1.8 2 2.2 2.5 27 2.9 3.1 33 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 5.2 5.4 5.6 5.8 6 6.2 6.4 6.7 69 100% 1.7 1.9 21 2.3 2.5 28 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.1 7 105% 1.8 2 2.2 2.4 2.6 28 3 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 5.6 5.8 6 6.2 6.4 66 68 7 1109. 1.9 2.1 2.3 2.5 2.7 29 3.1 3.3 3.6 3.8 4 . 4.2 4.4 4.6 4.8 5 52 5.4 5.7 5.9 6.1 6.3 6.5 6.7 69 71 115% 2 2.2 2.4 2.6 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 6.2 6.4 6.6 6.8 7 72 120% 2 2.3 2.5 2.7 29 3.1 3.3 3.5 3.7 3.9 4.1 4.4 4.6 4.8 5 5.2 5.4 5.6 58 6 6.2 6.5 6.7 6.9 7.1 7 125% 2.1 2.3 25 2.8 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.7 7 7.2 7.4 Point System Summary: Climate Zone 11 SCORE CARD SC Eff. % Glass a. North , 9 Measures t 77 1. Ceiling Insulation 3 0 or x , 77 = 1, g y R -value [381 U -value [0.030] 2. Wall Insulation or d. West 0. q x R-value[II) U-value[0.098] 3. Raised Floor Insulation 9 or .77- = 0 8. Shading (Shade Closed) R -value [ 19] U -value [0.037] 4. Slab Edge Insulation IA - or % Glass SC R-��e [0]�� F2 factor [0.771 S. Infiltration Standard - 6. Glass Heat Loss T9et134 '(06 = /'59 c. South Type [double] U -value [0.65] 7. Shading (Shade Open) 7_7 % Total Glass [ 161 Point Scores �g n 0 +/�2_ Iq Sum 1-6 0 0 _Z n 0 0 +� Sum 7-10 __2 .-_- Point Total. + / 3 % Glass SC Eff. % Glass a. North , 9 x t 77 b. East . q x , 77 = 1, g y c. South 3.0 x .77 = .1. 31 d. West 0. q x . 7 7 = 0.3 e. Skylight 0 x .77- = 0 8. Shading (Shade Closed) % Glass SC Eff. % Glass a. North J, q x .66s - b. East ?, Ll x '(06 = /'59 c. South 3.0 x .106 = /.79 d. West 0. x to & = 0, 2 e. Skylight 0 x 0 = 9. Interior Thermal Mass TYPE 1 MASS AREA = % U;teriorW-ss/CFA COND. FLOOR AREA 10. Exterior Wall Mass TYPE 2 MASS AREA = % Exterior Wall Mass OND. FL OR AREA 11. Heating System 1)00�x mh Effective SE Zonal Control? ( Y / N) SE or HSPF [0.7216.6] Duct Eff iency 10.781 or HSPF [0.56/5.151 12. Cooling System x = Zonal Control? ( Y / N) SEER [9.51 Duct Efficiency [0.74] Effective SEER [7.031 13. Water Heating s �. Type [SGl Credit [none] Point Scores �g n 0 +/�2_ Iq Sum 1-6 0 0 _Z n 0 0 +� Sum 7-10 __2 .-_- Point Total. + / 3