HomeMy WebLinkAbout062-510-04362-51-45
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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
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' 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.
•
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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