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062-690-009
62-60 ��'�' 1981-90 ' - GILBERT, James K 133 -Webster Rd, Berry Cr k (sf-pump house/strg.) O a Permit#4043-90E �. (elec for pum pumphouse) _ -.22521-91B,P-;E,M GILBERT, James" 133'Webster Rd, Berry •Creek ,' Q -h i(new sf,) gs X92-3549 n GILBERT, James Creek// V 133 Webster Rd, Berry' Ag.z�� 1st renewal/91-2621 /O newa rel/ 2621-91) B Permit#93-3366' (2nd n 0� PERMIT#94-2875 GILBERT'. JAMES _ 133 WEBSTER RD ...... CREEK ti —. COMPLETE BP#2612-91': � PERMIT#95-2268 GILBERT, James 133 Webster Rd., Berr Crjek Complete'.BP#91-2612;;,.,% ,. /P PERMIT#96-2440 GILBERT, James 133 Webster Rd, Berry Creek " Woodstove/SF •062-690-009 05-0476 GILBERT, JAMES , 133 WEBSTER RD, BERRY CREEK �/ CONT: OWNER tGfJ NEW ELEC SRV 1 I t;J= ■ ' r, { NOTES RESIDENTIAL rz 690-009 0S-04- 16-1 ' i;• GILBERT JAMES + )'+ PERMIT NO. 133 WEBSTER RD, BERRY CREEK 1 t lvp / CONT: OWNER + ' r I NEW ELEC SRV ` x 1, s. Lr C /"?� s f /� �c� Aro C lJ J L6L SPECIAL CONDMONS(g b , CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER f OFFICE COPY t Address ' GAS Meter By Date ELECTRIC r �/� Meter By V J� 3_q QS 1 � Date � t JOB FINALED (Date) Signaturey J=OK 0 = Not OK . = NotReadyabte 1. MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 3. 1. Zoning Requirements -Setbacks -Easements Wood Awn.; Posts- Beams-Rftrs-Connectors Shthg-Frg-Bracing 2. Soils; Special MH Support Sketch 6. 3. Sewer; Location -Test -Fall -C/O -Concrete Electric 4. Water; Location -Test -Easement Needed (Sketch) 9. 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Roof; Shthg-Roofing 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or / /" L "ft./ P LPG 12. 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panel boards- Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Liaht Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date FRAMING (Continued) Card B-1 Date Card B-1 Date Hangers -Post Caps -Anchors -Connectors Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Date 57. Card B-1 Date Card B-1 Date 58. Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Glazing Area -Glass Protection -Skylights -Plastic 24. Fixture & Transformer Clearance -Ins. Protection Shear Walls; Nailing -Bolts 25. Elec. Receptacles Spacing -Lights & Switches at Doors Brace Interior/Exterior Wall Panels 26. Size Boxes & No. of Conductors Stapled Insulation -Walls -Ceilings 27. Romex Installed Close to Edge of Studs & C.J. Infiltration -Walls -Windows 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Card B-1 Date Card B-1 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI Card B-1 Date Card B-1 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or AI 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral O Yes ❑ No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector 69. Elec. Trim & Subpanel, Breaker Sizes & Labels Date 70. Card B-1 Date Card B-1 Date 71. Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Elec. Outlets at Wood Panel, Int. & Ext. 36. A.C. Ducts Insulation & Support Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 37. Vent Fan, Exhaust above insulation Elec. Outlets & Receptacles at Kit. Counter 38. Condensate Drain & Overflow, Size & Grade Garage Fire Door; Swing -Landing -Closure 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet A.C. Duct in Garage -Damper 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 80. 41. Sills Proper Materials & Anchors 81. 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 82. 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 83. 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 84. 46. Headers & Beams -Size & Bearing 85. A.C. Unit Disconnect, Electrical -Plumbing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties- Purl in -Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes _ 83. Following Instld./Drive ❑ Yes O No/Walks O Yes O No/Planters O Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BPO50476 B. C. Building Permit 01- 6-04 vu LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 02/18/2005 APN: 062-690-009-000 the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Site Address: 133 WEBSTER RD BCK Date: Contractor: Map Index: Description: new elec service OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business arid Professions Code: - Any city or county which requires a Owner: GILBERT JAMES E permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a C/O GILBERT VOLA signed statement that.he or she is licensed pursuant to the provisions of 2600 SENTER RD #233 the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or SAN JOSE, CA 95111 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): as owner of the property, or my employees with wages as their sole compensation, will do the work, and* the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: GILBERT JAMES E Code: The Contractors' State License Law does not apply to an C/O GILBERT VOLA owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, 2600 SENTER RD #233 provided that such improvements are not Intended or offered for SAN JOSE, CA 95111 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exe pt under Article f the Business an Professions Code f G Date: Owner: License #: WORKERS' C MPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. Engineer: El have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Policy a: Valuation: $0.00 Census Code: certify that in the performance of the work for which this permit is—Cry issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply ilh those provisions. Date: 2 1 i A Applicant: WARNING: Failure to- secure workers' compensation coverage is 1 ' O� to and one unlawful, and shall subject an employer criminal penalties hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. r CONSTRUCTION LENDING AGENCY This per ftt iish eby issue JRdgerlie apOlicable p ovisions of the Butte County Code-andlor - I hereby affirm that there is a construction lending agency for the 3097 Civ.) r which ees have be Resolutiono work i icat above en paid. s t ^ �— performance of the work for which this permit is issued (Sec By. Date: " �• Name: :2 PERMIT EXPIRES ON: Address: Date ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above Information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with. all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or doc ment of Butte County. I hereby authorize representatives of Butte County to enter/upon the above mentioned property for inspection pur es. �, �l Signature: Print Name: r C Q Date: owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01- 6-04 vu ACLO5S 2 a62-60/0-00% C 13-> W I S Trrrz oo �N Sr'%v�3 C Ob2 -b�D-006 Ow BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP050476 B. C. Building Permit 01 -1b -U4 pq 1 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 02/18/2005 APN: 062-690-009-000 the Business and Professions Code, and my license is in full force and effect. I(7 License Class : License Number: Site Address: 133 WEBSTER RD BCK Date: Contractor: �CC Map Index: Description: new elec service OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: GILBERT JAMES E permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a C/O GILBERT VOLA signed statement that he or she is licensed pursuant to the provisions of 2600 SENTER RD #233 the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or SAN JOSE, CA 95111 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: GILBERT JAMES E Code: The Contractors' State License Law does not apply to an C/O GILBERT VOLA owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, 2600 SENTER RD #233 provided that such improvements are not intended or offered for SAN JOSE CA 95111 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: not apply to an.owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ ptunderArticle ftheBusinessan Professions Code IamExe Date'� Owner: License #: WORKERS' C MPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. Engineer: ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Policy #: Valuation: $0.00 Census Code: ,R<certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply ith those provisions. Date:5rr Applicant: 8 O� I WARNING: Failure to- secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is h by issue e a licable p ovisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the for this is issued (Sec 3097 Civ.) Resolutions t o work i scat above or which ees have been paid. 2— (� performance of the work which permit BY Date Name:: 6 PERMIT EXPIRES ON: :--16 Address: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or doc ent of Butte County. thereby authorize representatives of Butte County to enter upon the above mentioned property for inspection pur es. �� Signature: 5. G t - Print Name: / c� a Date: �I Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01 -1b -U4 pq 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION. AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.net/dds PERMIT NO. 131`05-P L/7. BIN # **PLEASE PRINT CLEARLY** 0 6 Z" 6 iO ©© OWNER Last Name . T— irst ame �S Address City C N State C • Zip9-5-// Phone Fax E-mail ��Ser�WfF D APPLICANT NAME CONTRACTOR Name City Address Zip City Fax State Zip Phone Page Fax E-mail Date Approved: Lic. # Class APPLICANT NAME ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Page Fax E-mail Date Approved: State License Number APPLICANT NAME Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE For o ce use only: Zoning Property s Address 'r -e a r1� Flood Zone Cross Street _ ut- �LLtA SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS LOCATION Property s Address 'r -e a r1� (�y2R (Lca-k Cross Street _ ut- �LLtA WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Description or Scope of Work: /V(--Yv Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount: Receipt #: VzS-35 Bldg SRA Sheriff SMIP ther Date: �.� Total I I Ktv t -LI -U4 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.) ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). ❑ 13. Sanitation and site plan approval from the Environmental Health Department. Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION K1FORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04 AeLu--55 2 ' s 77+T2! OU 6N I ,9bZ-&�O-oc�6 ( NE -Z Fo S / b/v 01v TjZ� (5/t-& Rocle-, !z D BEAUTY DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538.7541 FAX: (916) 538.2140 8/27/97 JAMES GILBERT 133 WEBSTER RD BERRY CREEK, CA 95916 RE: Building Permit # 96-2440 Expiration Date: 10/21/97 A.P. # 062-500-075 With reference to the above subject, our records indicate that your building permit expires on the above date and your permit falls into the category marked below: [ ] Permit work started, but not completed. Permit may be renewed for 1/2 the original building permit fee (plus a $20.00 filing fee). The renewal permit will extend the building permit for an additional year from the original expiration date. Should you not renew your permit within 30 days of the expiration date, all work must cease until a new building permit has been issued. For your convenience, we are enclosing a renewal application form and owner -builder form to be completed and signed by you where indicated and returned to this office together with the fee shown. Please return all copies of the application form. [XK] No inspections have been made on permit work. Inspections are required to verify code compliance. We are unable to renew a permit where the work has not been started and inspected prior to permit expiration. After expiration of your permit, no work may be started until a new permit has been issued. If our records are in error or should you have any questions concerning this matter, please contact the OROVILLE office. Thank you for your prompt attention concerning this matter. Yours very truly, i Michlael C. Vieira, C.B.O. MCV:ahb Manager, Building Inspection Attachments Chico Office - 1469 Humboldt Rd/891-2751 COUNTY OF BUTTE- DEPARTMENT OF DEVE4_)PMENT SERVICES -BUILXDIION7 County Center Drive - Oroville, California 95965 - Telephone (916)PERMIT NO. APPLICATION AND PERMIT� ASSESSOR PARCEL NUMBER 052-500-075 ZONING BdILDINGPERMIT OWNER 133 WEBSTER . 9—x322 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS JA1IES GILBERT CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace 1,500.00 CONSTRUCTION ENDER UNKNOWN Total Valuation Is Filing Fee $ 20.00 ENDERS MAILING ADDRESS Permit Fee $ 35. ARCHrrECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 133 WEBSTER PERMITFEE S 55.00 PLUMBINGPERMIT Fling Fee 20.00 Each Trap 7.00 LOT NO. SUBDNISIONSNAME PARCEL MAP Solar or heat pump Water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: WOOD STOVE — Mobile Home S G W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service EOOV OR ESS ( zooA OR ESS ) 23.00 Main Service ( 200A TO KOOOA ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: E rl, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ADONS. ( a ACC. BLDS. ) SO. 3.50 FT. NEW CONST.MULTI-OUTLET NON.RESID. ( BRANCH CIRCUITS ) 97.50 WER (aPs NG E OUTLETTC R. ) Ex. Occup. (OUTLET OR FD(TURES) BAL 0 .50 Ex. Occup. (oFIXED PRE IS . OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE _ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 2-1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date %121 �_ SigoOture of Applicant - wner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is OCC CONST. TYPE TOTAL FEE $ 55.00 HAZ. 1 D. FEES IMP FLOOD COF PARCEL PO HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. sy— 6t� PERMITEXPIRESON (Date) ReceiptNo. 00 WHITE-DD.S.-E.D. CANARY- SESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 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 tb avoid unnecessary delay, in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the .proposed property improvement: YES(] NO[ ]. 2. I HAVE[ ] 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: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired- the following per soli to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following. persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: lloe 0q T_ PROPERTY OWNER:, I f3/yYl eS E Gi SOCIAL SECURITY% NUMBER: DATE: ! v / z /�/, NOTE: This owner-Builder'Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. May 1995 2.26 Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed- by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 :or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and'you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is. to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerely, Michael C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. May 1995 2.27 RESIDENTIAL . 62-50-75 w GILBERT,.James: 133 Webster Rd' 'Berry,Creek (new sf ) 2- A. A. r f, r JOB FINAL (Dat Signature J=OK O = Not OK = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged f 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J.1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.: Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes-Enclosures-Pane lboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK_ AO =-Not OK = Not Applicable RESI DENTIAL� = Not Ready Date UNDERFLOOR (Plans) OK except #'s (,1-'z ning-Setbacks-Easeme is -Flood -Slope Ftg., Main; Soils-Ele Grn { tg. Depth 6C jr c3-Ffg., Garage; Soils-Steel-Elec. Grhd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth temwalls, Main; Steel -Blockouts'Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Pi rs-Fireplace Ftg.-Steel D.W.V.; Fall- Fitting-Test_2 Way C/O -Sewer Test 10. F. Gas Pipe; Size -Anchors - yard gas piping: size -test Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date p Card B-1 Date Card B-1 Dat y Card B-1 Date Card B-1 Dat PLUMBING (Permit), K except #'s 6. ater Htr.: ent- cess -C bust ion Ai Baffle 17. Water Pipe; Test & Anchor ail Pr -------- -- -- - ------------------ D.W.V. est zings Anchor ail Protection hower Pan: Tes . First Floor -Tub Access est Tub &Shower, Second Floor -Tub Access - --------------- 21. ------- 21. Gas Pipe: Size & Anchors Date Card B-1 Date Card B-1 ----------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s - 22. Fixture & Transformer Clearance -Ins. Protection Elec. Receptacles Spacing -Lights & Switches at Doors ---------------- 2 Size Boxes & No. of Conductors-Stapled ------------------------------------------------------------_ _ ✓l5. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Meeh. Fastners-Bond Gas & Water ------- --------------------------------------------------------------- - - 27. 2 Appliance Circuts-in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga Cu orjpA. ze ga. Cu or AI ----------------------------------- ------ 29. Range Circ. r� , ga. r AI- n Circ. / / ga. Cu or Al. Insulated Neutral es 0 No - - ------------------------------------- 30. Seraiee-R ser Conductors & Ground -Main Disconnect --------------------------------------- -------------- ------------------------------ 37 Fniin Clearances Panels -Mot s -Meth. Equip. ------------- -------- - --------------------------- ------- 3�?-61eN3es-Closet Light -Shower Light -Spa Light ----- ---- ---- ----------------- -- --------- -- - ------------ ----------------- - - J.ag�Smoke Detector ------------------------------- ------------------------------------------------- Date Card B-1 Date Card B-1 - --------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 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. rnance ent: ___'Access -Comb. Air -Return Air Vent -115 outlet --- ------ - - - ---------- -- - ----------------------------------- 38 ------------------------------- --- --- 38 Attic Access & Platform if Furnance in Attic -------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 -------------------- ----------------------------------------------------------- - Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s Is. Proper Material & Anchors ------- --- - - - - - - - ---- ................................... --------- ------------ - IIs Studs -Nailing. Spacing & Bracing -Plates -Sound . Bearing Walls over Girders & Floor Nailing ------------- ------------------------------------------------------------------ _ . Draft Stop in Walls (rat proof) ------ - - ----------------------------------------------- re Stops: Furred Ceilings -Stairs -Chases -Tub ---------------- ---------- m -Size & Beari------------------------------ Headers &Beam -Size &Bearing i # ' Single & Duplex)'';' Date FRAMING (Continued) _ Hangers-Posti6aps-Anchors-Connectors 46. Ing. Joist-Rftr. ties- Purlin-roof Braruss- hthng.-Ring. 47 Fir olac - Ti c nr TyAe A Flue -Fireplace Throat clearance 48. Attic Access; Size &/Romex Protection -Draft Stop -Ins. Baffles - _ Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions -&&.-Gerage-Frre`Pfotection Framing --- --- s�P•^Pemy-L-ine Firewall & Openings 4-W Ext. Doors -One T -Check Garage -3rd Story, 2 Exits 3 lairs: Width -Headroom -Rise -Run -Landing -Fire Protection plywood on Roof Overhang -Attic Vents -Rafter Outriggers ------------ - 55 Siding -Nailing Veneer U-Stac---------c17-fv1esh_Drip Screed -Fd. Vents-Underflr. Access Glazing Area -Glass Protection -Skylights -Plastic ear Walls; Nailing -Bolts --- 9_ Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date ZO/ j Card B_1 Date _ Card B-1 Date ] Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 6 Ext. Steps -Door & Sidelight Protection-Landings -------.P.,-Smoke Detector Furnace: Vents -Clearance -Comb. Air -Connector - In_ Gara e' -Above Floor -Ducts -Meth. Protection -------- room Exiting - - --5. G F & Bath Fixtures & Tub Access -Spa G. Trim & Subpanel Breaker Sizes & Labels - --§_2repI & Rails aceor Stove: Clearances -Hearth Outlets at Wood Panel: Int. & Ext. it.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance ------------ Elec. Outlets & Receptacles at Kit. Counter ' - - 72 ng=L-anding-Closer --- 73. --.- -- vet-i-w_Gar-age-Damper 4. tr. Htr.: Vents -Clearance -Comb. Air-Connecto In Garage: Above Floor -Meeh. Protection Ib.. Elec. & Mech._Equip. Listed for Location ------------ 76. EI sept-& rn-Garage: (G.F.I.)-Romex Protection 7 a o oked in Attic 0 Yes ------------- ----------------------- - Guard Rails & Deck Construction -Post Caps -- -- -------------------- dn. Vents & Crawl Hole Door -Drainage & Wood -Earth _ Clearance Looked under Floor-- O Y 80. Following instld.: Driiv,e D Yes walks 0 Yes o: Planters D Yes X41 _ .. - --- --- - ------------------------=-------- nish --------------------------------------------- -- - -n _ isconnect^Electrical, Plumbing ----- ------------- - - c ents Above Roof: Plbg.-Appliance-Firep lace. -Clearance to Openings � �Wa`ter ell; Disconnect, Electrical, Plumbing eri- -- --- - - ----------- --- xtlec. Trim; G.F.I. Receptacle -Underground en hroughoul House Glass Protection ------------------------- - 88. Corr ,ons from Previous Inspections Gas Tes eters Tagged; Gas -Electric 90. Wa & Sewer Connected -C/O to Grade -HD Approval nergy Compliance Certificate -Other Certificates Date 18 Card BAC� Date _ _Card B-1 - Date / and Bate Card B 1 P------ - Date Card B-1 Date Card B-1 Comments at Final: 062-500-075 .;. t PERMIT#95-2.268 • - GILBERT, ,James } 133 Webster Rd., Berry Creek �. Complete BP#91-2612 I M l �� 194 ( �2 ( t 3 LJVI ��s �.7 4&% . a , i Y r�1 OFFICE COPY Address GAS Meter By Date C Me GAS Meter By Date `I 3 r ELECTRIC Meter By Date c-� COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING (VISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 53 �54 , ���' PERMIT N APPLICATION AND PERMIT %� =2 '�C� ASSESSOR PARCEL NUMBER 052-50-75 ZONING B DING PERMIT OWNER JX1 S G11.11M (403) ' TELEPHONE Z87-661:37 SO. FT. OCC. BUILDING VALUATION j 2,Ofl0.00 OWNERS MAILING ADDRESS 2600 SEM RD 0223 Sia:; L'33F , 95111 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UW21CWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAIUNG ADDRESS Permit Fee $ 45.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 133 I:7�.S'i'i!t RD PERMITFEE $ 65.00 M CRUY, PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDNSION'S NAME PARCEL MAP Solar or heat pump water heater 23,00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: cc'* r,TL v 11-2612 Mobile Home S G W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main ServiceEOov OR LESS . ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for,the following reason: ❑%l, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR sO. OR ADDNS. ( a. ACC. BLDS. ) 3.50 Fr. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS b SINGLE OUTLET CIR. / Ex. Occup. (ourlFr OR FIXTURES) zo p I.00 BAL .50 Ex. Occup. (oFIXEEDrs (RESIDJOR ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ �I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions.3. _ V� — X l%(;__. � ,) r� � v Date / 5 Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent ' An OSHA permit is required for excavations over 5'0" deep and demolition or construction structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is Occ CONST. TYPE TOTAL FEE $ 65.00 HAZ. I D. FEES I IMP I FLOOD GDF PARCEL I PD HD SSUE This permit is hereby issued under the applicable prod visions in the Butte County Code and/or Resolutions to do work indicated above for wyes have been paid. // Q ��T� ��` i�j, D%aof ���Y/// te IRESON (Date) Receipt No./ Qs 3 COPERMITE WHITE-D.D.S�.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDIN GSION 7 .County Center Drive - Oroville, C41ifornia-95965 - Telephone (916) �,� PERMIT W. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 062-50-75 ZONING BYILDING PERMIT OWNER JAMES GILBERT (408) T287N661H7 SO. Fr. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 2600 SENTER RD #223 SAN JOSE, 95111 EST 2,000.00 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Fling Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 45.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 133 WEBSTER RD PERMITFEE $ 65.00 BERRY CREEK PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 LOT NO. S UBONISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Ublities ❑ Installation ❑ Other ❑ Describe Work: COMPLETE #91-2612 Mobile Home I S I GI W @20.00 PERMITFEE 1$ Contractor ELECTRICAL PERMIT Filinq Fee 20.'00 Main Service e00v OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law foo Ahe following reason: ❑/ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCURSO. OR ADONS. ( & ACC. BLDS. ) 3.52 FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES) 20 Q I.00 BAL .50 Ex. Occup. I FIXEEDrPPLNS.s RES D.OEA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing 9 Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation 01/f one hundred dollars ($100) or less.) 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. -— — � 8, 1?,5-- X Date —� r Signa of Applicant - ❑ Owner ❑ Contractor ❑ Agent An O A permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is OCC CONST. TYPE TOTAL FEE $ 65.00 HAZ. I D. FEES I IMP I FLOOD I CDF PARCEL I PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated a ove for which es have been paid. `oe PERMITE IRESON /WHITE-D.D.S.�D. Receipt No. / �,53 v CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE BUILDING DIVISION ' DEPARTMENT OF DEVELOPMENT SEI�,,VIC S. i 1469 Humboldt Road, Chico, CA - (916).89 1--2,7511' 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (91'6) 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, pleaseXont�o this office immediately. Date Inspector a9'% REV 10/92 COUNTY OF BUTTE 4. BUILDING DIVISION ;w. DEPARTMENT OF DEVELOPMENT.SERVICES ,1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (91 6) 872-6307 t� CORRECTION NOTICE t -,1 - X364 OVANER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please cont t this office immediately. 40 f,&q r Date inspector% REV 10/ 2 �.^`y's"z� e�...a;�—�-st.,fi-a'rr'z *a;...., •... y,••,. y..r . .. . •� ------+�,t�'l�ea.�'a k ' COUNTY OF BUTTE • BUILDING DIVISION t -DEPARTMENT OF DEVELOPMENT SERVICES I 1469 Humboldt Road, Chico, CA - (916) 891-2751 I K { 7 County Center Drive, Oroville, CA - (916) 538-7541 " 747'Elliott lioad, Paradise, CA - (916) 872-6307 r CORRECTION NOTICE OWNER P RMIT NO. ` A routine inspection indicates that the following violations of Butte County Ordinances exist at 'r- the above addr s and should be corrected. Please notify this office when correction of work is complete f you have any questions pertaining to this matter, or need additional explanation, r - please c tact this office immediately. 7D d e �� �l r—tlZ�tlic2��(rG '�C� r'1`Glivai�.l t iL'i 4 K L c c5 4L G7, K C_ d 4 La Date InspectorAlie-_ f f REV 10/9 Insulation Certificate BUILDING OWNER: �T--_ BUILDING PERMIT #: y6 2,0,�J BUILDING LOCATION: �3 3 V4LbS /- !Q— Description Q - Description of Installation ROOF Material Thickness (inches) Brand Name Thermal Resistance (R -Value) CEILING Batt or Blanket Type % Brand Name Thickness (inches) Thermal Resistance (R -Value) Loose Fill Type Brand Name i'VI w A) I/ i 4 Contractor's minimum installed weight/ft lb Minimum thickness inches Manufacturer's installed weight per square foot to acheive Thermal Resistance (R -Value) EXTERIOR WALL ` Material p,, P 2 l Ars s Brand Name 2� Thickness (inches) Thermal Resistance (R -Value) RAISED FLOOR Material r1 6- LA.<< Brand Name M WIM& Thickness (inches) Thermal Resistance (R -Value) Al ` SLAB FLOOR Material Thickness (inches) Width (inches) FOUNDATION WALL Material Thickness (inches) Declaration Brand Name Thermal Resistance (R -Value) Brand Name Thermal Resistance (R -Value) I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the California Administrative Code. General Contractor (Builder) License Number signature and Title Date Sub•C n actor (Insulation Installer) Lic rue Number ��9 � Signature and Title Date THIS CERTIFICATE MUST.BE PROVIDED TO THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. JANUARY 1993 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[ VJ NO[ ]. 2. I HAVE[4- 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: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide 'the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: SOCIA f7� �4 NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit Building permits are not required to- be signed by property owners unless they are personally performing their own work If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not . licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerely, Michail C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. ! 7 County Center Drive - OrovIIII, California 95965 - Telephone: 916/538-7541 . APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 62-50-75 ZONINGS U BUILDING PERMITLlY OWNER JAMES GILBERT 408 TELEPHONE 996-4201 SQ. FT. OCC. BUILDING VALUATION 921.5 R 46996.5 OWNER'S MAILING ADDRESS 1595 LAUREL WOOD RD #28 SANTA CLARA,95054 118.5 C 1540.5 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation $ 48537 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 278.50 ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ 139.25 Energy Plan Checking Fee $ 15.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 133 WEBSTER ROAD B EEK Permit fee $ 442.75 PLUMBING PERMIT Filing Fee 10.00 Each Trap 81 2.00 16.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping , 5.00 5-00 Each qas water heater or vent 5.00 $ USE OF STRUCTURE SF q Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 1Q� Building sewer 5.00 Mobile Home S I G 1W 0.00 ea TYPE OF WORK New [] Addition ❑ Remodel ❑ Utilities ❑ Installation[:) Other ❑ Describe work: 9 BDIRM Permit Fee $ 36 no Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service OOOV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100,AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. i, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ i, as the owner, am exclusively contracting with licensed contrac ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason oR ADDNST DWEACCLLIN GOCCUP.&� BS./ '/z¢sgft 23 DO NEW CONSTR.MULTI-OUTLET NON.RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS &) SINGLE OUTLET CIR. Ex. OCCu p OUTLETS OR FIxTURES 20050, 5AL030 Ex. OCCup. OUTLETS (FIXED PRESID,)REAJ 2.00 Temporary service 10.00 Mobile Home Facilities bilt- 15.00 M Wiring 15.00 Permit Fee $ 43.00 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 dof Consent to Self -Insure. l 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 6.00 6.00 Cooling Hood 3.00 3.00 Ventilation Permit Fee $ 25.00 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 asequence of the granting of this per it. X Date 2 �' Sign ure of Applicant - Owner Contractor El Agent ❑ An OSHA permit is required for excavations over 5'0" deep a demolition or construct- ion of structures over 3 stories in heigh . Mobile Home Installation Fee $ Energy Inspection Fee $ 30.00 I 00ic CON sr PE v TOTAL F E $ - 56.75 HAz. cuA PARK I s L FV I CDF PAR PD HD ISSUE This permit is hereby issued under the sions of the Butte County. Code and/or work indicated above for which fees DIREC OF PUBLIC By PE IT EXPIRES Date appiicable provi- resolutions to do have been paid. WORKS ate 49-7-R/ /0- S 7-� ceipt No. 96876 194.754100� �D l`E-D.P.W., YELLOW -ASSESSOR, PINK I SPEC OR, GOLDENROD -APPLICANT i_ COUNTY OF BUTTE - DEPA`- ENT OF PUB WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - ORO�ILC, CAI>IFRNIA 5965 - TELEPHONE: 916/538-7541 PERMIT APPLOT 011 DATA SHEET fPermit No. OWNER \)6es 91'&zf A. P. No. 62 -SO - 75 - Proposed Building User- i ba raanvt Building Inspector Date -7-2-9-91 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. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions. ......... / � �9oZ/.................... ' % - q 10. Fees of $�, � l o I 11. Chico Urban Area fees paid ....................................... 12. P r fes In aid 13. School District fees paid .............. 7-29-9( e 14. Sanitation approval f om 64-avd 1'0- Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) X17. Planning approval for (A) Use: (B) Parking: ...... ` 18 Improvements may be required. Contact Land Development Section DPW — Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephon`o§ 9 -4201 and hold for pickup at Q"IRe-affice. Deliver w/inspector. Other - Gt',A'1� , �1r-Z v) 6ti.,_1, vz' Applicant Date // -Z - Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit iss e: Cirnew item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designt, own was advised of above required data by phone---nail—counter by .date / Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Date Plans approved by 66- Date d'-021-� Sets of plans on hold in Copy—DPW File cabinet AP folder �' tix" 91-030766 91-030766 91-030766 _ t • 9 S—O:3O766 of Rec. F I 7.00 , 4 Ceti , t : Recorded`,, C�rity of BUtt@ a x C-andace J. Grubbs :. ••' • Recorder.. �t . f1 T+, S 4u l - rl 1 _ L !• .rte. TO Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance �f�-N► C S eF�% AP# OwnerL�tign � ' Sewage Disposal `" Water Supply Plan Approved for: . Water Supply Hold final for: Final clearance O.R. for: Clearance for bedroom - me. Other HOTS _! I Water Supple /�at Sanitarian .?..eturn to DPW AGRICULTURAL STATEMENT OF ACI'10WLEDGE'i, 1T FOR RESIDENTIAL DEVELOPi IFNT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to incon- veniences 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 occasionally 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: Date: July 29, 1991 State of California) SS. County of Butte ) �90 Qtr ®oo0 0���0 ��o'`�o�o�a► , se PROPERTY OWNERS: James E. Gilbert i On this the 29th day of July , 1991 , before me, the undersigned Notary Public, personally appeared ***James E. Gilbert*** Personally known to me. RKProved to me on the basis of satisfactory evidence. to be the person(s) whose name(s) is subscribed to the within instrument and acknowled;ed that he executed the same for the purposes therein contained. I`! WITNESS WHEREOF, I hereunto set my hand and - official seal. Present A.P. No. 62-50-75 ry P4bl�c IT r'; AND WHEN RECORDED MAIL TO • NAM[ Mr. and M --s. James E. Gilbertl ^677 Bolivar Dr. X x� , San:Joae,,Calif:' '95123 . "�"� 'Title Order No -Escrow •No.C�?1Z3.- �� 'r '• f' "t• �" MArL TAr /TA T[Y[NT/ r0' same as abovery ' .tit Y Yw' 9UM COUNTY M Com. OCT 3 II Ila A111 -Li1UISE i� LIIt h;G! i1 FZr COU87Y lilt gii't it �� Qp FEE 9682 SPACE ABOVE THIS LINE FOR RECORDER'S USE Documentary transfer tax >j. 1.6b ' "CJ Computed on full value of property conveyed, or K) Computed on full value less liens and encumbrancer) remaining thereon ut time of sale Butte•Connty.... Title. ... Co. 91an.tu rr of dsl.nnt ur .crnt d.•trr minin[ tnA •- flan name �/ Y L T f A 'Inbibibuai point Z2ellancp3eEb T+ PWS i= 1 t + '.,n i-+•'<. ;, ;;- WESTERN TITLE FORM NO. IDS ).--FOR VALUE RE:CLIVLD, ALFRED A. JATKO and EDNA P. JATKO, his wife %GRANT '' fgto ;'.JAMES E. GTL13ERT and WTLI.ADEE L. GILBERT, husband and wife as JOINT TENANTS all that real property situate in the unincorporated �:Countyof;'>``•liutta' -1, Sta•:ofCalifornia, described asfollows; A'portion of the Southeast quarter of Section 33, Township 21 North, Range 5 East, r�;Pt:D B aicpl ,ymorejparticitlarly, described as' follows: dBeginningiat z potnti•on the East line of said Section 33, from which the East quar- ul t�cr i 010421(11" Bast, 713.21. feet clic;cant; thence along said R:.Ist 136.0 feet; thence West 190.50 feet; thence South 480 feet; thence South 32°08' 51" Fast, 180.0 feet to a point which c -ars -South,'-54.13'21"Yest from the point of beginning; thence North 54°1.3'21." ist,�n`distanci of 493.17 feet to the point of beginning. �:.�..„� �'f• i e.t,• fry, it1 .. ` rocri I R'•WITH a right of way for road and public t.ltility purposes over a strip of land 60.0 feet,in width, lying 30.0 feet on each side of the followlog described line: Beginning at a point on the West line of the above described parcel of land, which point Is North 32°08'51" West, 60.0 feet from the Southwesterly corner of said land; thence South 32°08'51" bast, 225.77 feet to a point, the said right of way to be located 60.0 feet Northerly of and adjacent I.o said line which runs from said last mentioned point, South 6'3°53'16" West, 186.0 feet to the centerline of an existing road reservation and the cod of said Iine. EXCEPTING 'I'llF•Iti'.hitO11 that portion lying within the above described parcel of land. ALSO 'rOGEI*IIFR WI'I'II a right of way for road and public utility purposes over a strip of land 60.0 feet in width, lying; 30.0 feet on each side of the following .. described .line: Commencing nt.the,'most Southerly corner of the above described porcol of land; "$ 4i�t}1,y-''illetice South* 32°08'5.1" East. 165.77 feat; thence South 63053'.16" West, 186.0 feet ly; tottfie. 'nterl.ine'cif an existing 60.0.fout wide road reservation and the true i'.'':'';•'point:of-`beginning,for said line; thence..from said true point of beginning. North sit ": 88".02'00" -;West'' 98:07 feet; thence North,52°13'50" Weir, 140.56 feet; thence North .52'00" 1Nest,:9l 28 feet; thence North 30019'00" West. 95.01 feet; thence North °37'40"•..West, 193'.45 feet; thence ;North 44°18'40" Idest. 95.24 feet; thence North 70°40'00"•.11est;'`116.03 feet;. North 83°21'50" )Jest 721.18 feet; thence South t X76* 23'10"'West, 242.86 fe_t; thence North G3°51'40" West, 87.27 feet; thence North v i'29°37'20"; COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive-,Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AID PERMIT PERMIT NO. ASSESSOR e CEL ER ZONING BUILDING PERMIT OWNER NlQm lb er yc�0 qg TELEPHONE 4 Zo t SO. FT. OCC. BUILDING VALUATION 1, s IJ OWNER'S AILING A. RESS yS u f tj Clarn 74 s oy118,5 C, • o s CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10•00 LENDER'S MAILING ADDRESS Permit Fee 5 "j Sa ARCHITECT OR ENGINEER V) 0-0'e— LICENSE NO. Plan Checking Fee $ ZS •�•y r Energy Plan Checking Fee $ Sr ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty$ BUILDING ADD R SS G •c/C� Permit fee $ • t % PLUMBING PERMIT Filing Fee 10.00 Each Trap a 2.00 6,00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping - 5.00 "–CrIIJ Each qas water heater or vent 5.00 USE OF STRUCTURE SFX 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 Newp( Addition ❑ Re odel Utilities [1 Installation[] Other Describe work: bQcy, et, V Permit Fee $34. Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service SOOV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license IS In full force and effect. License No. Classification. ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.tr OR AODNS. ACC. BLDGS. 2/20sgit , NEW CONSTR. ULTI-OUTLET NON.RESIO BRANCH CIRCUITS 2.50 ea POWER APPARATUS tr SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES .2z0150 AL230 ¢ FIXED APPLNS. R EX. Occup. OUTLETS (RESID IE A.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ L13,L*O Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating o -V O -C/ 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 Countyot 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 consequence of the granting of this permit. X 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 $ Energy Inspection Fee $ ' o® occ CONST TYPE TOTAL FEE $ 7s HAz I CUA I PARK SCHL I FLO I CDF PAR PD' , HD •'ISSUE This permit is hereby issued unser sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. -/6870 GK- 'nNITC•D. P. W., 1E1LOW-ASe ESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT f 6t40 /) (J r j--- 9 z (,S- 103,5- /5- �v,tib.w#`S�.q,R�'.,vvs.^T;.��..,,,,�s,"',-1>t�ti'Ofyp:1'-'1"y`firi:7' "�".`1:i"lYT'V"IT�7'Yt�;"i. Y�'e.;� "'T�':'ytS"•~7, K- :.,.A�.�.lr' �e.,,.Kn7,-.hr.*-1:p; ,.; ,,,.,•..R�+2... r 41 BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFIC TION FORM 071- e' (One Form per, Building) "r /o/-- 06 'L A.P. Number 62 ;,d' 5� Building Department No. School Distric t 041- r!lCity r__1 County EKI Jurisdiction Property Owner ames l7 tlber?� Project Location/Address /,5S Websir2✓" Subdivision Residential Development: O a # of Living MHI Un , s Commercial/Industrial: W Lot Number F]Sq. Footage Addition (Group R) Sq. Footage New . Addition (Including Exterior Roofed Areas) BuildiIWg Dep4Orkment Representative Date. ******************************************************************* (FloorPlansreviewed by School -D striA Personnel) ' District Id No: .920 2 8 1 , \ f� School District certifies that s k10F qq9 - yao l 1, (Applica.l.. nnt))) Name / (Phone Number) n t I /I� /�D A (Street Address) 10 r (City) t` (State) (Zip Code) has complied with the requirements of Resolution No. /05 170 .. bye payment of $ .Sjr" .-d repre'�senting �a square feet. f 1_District Repre - tative Date PAID BY CHECK REMARKS: ~ BANK NO U -70 3 ha �� �► is PAID BY CASH �•,* white -applicant, yellow -building dep rtment, pink -school district SCHOOLFEE (8/88) COUNTY OF BUTTE - Department of Public Works 7 County Center Drive', Orolille, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916-538-7541 An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. I personally plan to provide the major labor and materials for construction of the proposed property /improvement (yes or gra-}— eS I (have l/Iq'�� signed an application for a building permit 2. t 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 Securp t Date 7/2, 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 per- mitted to issue the permit. RESIDENTIAL•PL^AN CHECKING GUIDE (S.F., DUPLEX & MISC. ONLY) 12/90 Bldg. Permit # OWNER A.P. # �o ,,5e) 7S Plan Checker GENE oni.ng requirements: (sideyard's and number of permitted living units). Valuation. Plans signed by designer. . Proper description of work on application. �� Existing violations on .property. 6 tems on data sheet. (W.C., fees, Health, Developer Fees, License law, etc). Recorded notice of violation. mplete parcel size and dimensions. • Setbacks, sideyards, easements, etc. ther buildings or structures. Grading, fills, drainage. Flood hazard. Special conditions on creation map, ustible, and foundations). �FAU & FAS road setback. (noise, CDF, fire sprinklers, non -comb- --' Building or utilities across lot lines (Record form). PLAN Complete to scale plan with dimensions. /Required windows for light and ventilation (Sec. 1205). Required windows for second exit (Sec. 1204). Skylights (Chapter 34 & Sec. 5207). . Human impact glass (Sec. 5406). Required room sizes, ceiling heights (Sec. 1207). CIs in baths, garage, kitchen, and exterior outlets (Article 210-8). Light fixtures, switches, receptacles, and exterior receptacles for main- �enance of mechan,i���aqu� ment. jr Locations of aZi ter heater, eating and cooling equipment, other electrical or gas equipmen . Garage firewall, door size, and closer (Sec. 503(d)(3)). 1�'_1 - 3'0" exterior exit door (sec. 3304 (f). 2':,-F� replace and wood stove location, alcoves, and clearance. Smoke detectors (Sec. 1210). Plumbing fixtures, water closet clearances and shower size. STRUCTURAL DETAILS `,/ Standard bracing or engineered design (Table 25V) usual shape, size, or split level house requiring.lateral.design. 3! oundation plan complete enough to construct building. Floor construction details complete enough to construct building. i5<' -Elevations and wall construction details complete enough to construct building. L�Roof construction details complete enough to construct building. Fireplace construction details and talcs if necessary. -8' Rafter ties or bearing ridge beam. R— Garage door or porch header sizes. ,a.@-.-"§tud heights. -1-1--.7-Adobe soils - special foundation design. 4,1-r- Retaining walls requiring design. -1-3—Special Inspection required. 12/90 RESIDENTIAL PLAN CHECKING•GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR Stairway details: landings, rise and run, head clearance, handrails • (Sec. 3306). Guardrail details (Sec. 1711 & 3306(j). _Brick or stone veneer (Chapter 30). Exterior plaster - weep screeds (Sec. 4706). Proper roof pitch for roof convering (Chapter 32). Roof covering type - (fire hazard). dam insulation - protection. 36" halls and stairways. Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. wo exits on three-story dwellings (sec. 3303 & see Mezannines - 1716). tic access and ventilation (Sec. 3205). nderfloor access and ventilation (Sec. 2516). . Combustion air for fuel burning appliances - L.P.G. requirements. Noise requirements on duplexes. 15. Energy design. Vlashing at all exterior openings. CDF responsible area requirements. &g/ qda-2(� e/ "a c�2 4,5 ,.,. '94-30766 r "RASarn to DPW AGRICULTURAL STATEI M OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPN�IENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. The property described herein is adjacent 91-030766 I 1 Rec Fee 7.00 to land or included within an area zoned 1 Cash 7.00 for. agricultural purposes, and residents Recorded of this property may be subject to incon- Official Records I veniences or discomfort arising from the County of use of agricultural chemicals, including, but not limited to herbicides, pesticides, Butte and fertilizers; and from the pursuit Candace J. Grubbs I of agricultural operations including, Recorder but not limited to cultivation, plowing, , 1:16pm 29 -Jul -91 1 XX 2 spraying, pruning, and harvesting which occasionally 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 'fh-6t .real.:property: -situate in the County of Butte, State of California, described as follows: Date:t July 29, 1991 State of California) ) SS County of Butte ) 9 PROPERTY OWNERS: James E. Gilbert On this the 29th day of July , 1991 , before me, the undersigned Notary Public, personally appeared ***James E. Gilbert*** F] Personally known to me. EAKProved to me on the basis of satisfactory evidence. to be the person(s) whose name(s) is _ subscribed to the within instrument and acknowledged that he executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto sei Present A.P. No. 62-50-75 Ac ANU WIZEN RECUNDED MAIL TU NAW[ r- Dir. and M s. James E. Gilbert . Aonwt.. 677 Bolivar Dr. 1 CITY a Son Jose,. Calif. 95123 aTw,[ L : J "Title Order No __Escrow No -71ZL, F -L. T.t [TA T[rtWT. To r .�ADow [.• j.` same as above •:'C•ITY a STAT[ r. • ' 7 SUM COUNTY nuz Ca. OGT 3, 111;:3 All 1975 ! I UH7 h:111::11C!'R coui;, r 7.1`01 6-'R FEE 9682 - SPACE ABOVE THIS LINE FOR RECORDER'S USE Ducumentary transfer tax f. 1 �Rb U Computed on full value of property conveyed, or M Computed on full vulue less liens and encumbrances remaining thereon at time of sal< - Butte Coonty.••Tit]A.Co. 31[n.tur. of d.el. re It or Aernt A-f-InIn[ t.• • arm n.m. p pa IYbIbIbUAl Dint Z2enAnC �eeb WESTERN TITLE FORM NO. 109 FOR VALUE RECF:IVI:D, AR.FIIi;'D A. JATKO and EDNA F. JATKO, his wife +. GRANT to JAMES E. GILBERT and WILLADEE L. GILBERT husband and wife as JOINT TENANTS :ill that real property situate in the unincorporated County of But ta Sts': of California, described as follows. r`.:.•`_. A portion of the Southeast quarter of Section 33, Township 21 North, Range 5 East, M.D.B. b I.1., more particularly described as follows: Beginning at:.. point on the East line of sald Sec.t:lnn 33, from whir.h thcEast quar- t ter corner benrs North 01°42'01" East, 713.21. feat dlz;cant; thence along said East line, Earth 01°42'01" Eaat. 176.0 feet; thence hest 190.50 feet; thence South 48° 41'50" West, 411.89 feet; thence South 32°08'51" Fast, 180.0 feet to a point which bears South 54* 13'21" Lest from the point of herinninr; thence North 54"13'21." East. n.distance of•493.17 (ret to the point of beginning. 4 r TOGETHER WITH a right of way for rued acid public Utility purposes over a strip of land 60.0 feet in width. lying; 30.0 feet oo earl, aide of the following described line: Re);inniog at a pulot on Life West line of the above described parcel of land, which point Is North 37.°08'51" West, 60.0 feet from the: Southwesterly corner of said Iarld; thence South 32°t18' 51" Ensr, 225.77 fcc[ to a point, Life said richt of way to he located 611,0 feet Gorthrrly of and adjacent to said line which runs from sitld last mentl"nr(I point, South 61"53'16" Wvst, IFi6,0 fest to the renterline of an V%i-L iog road reservation and the cod of said line. IiX(;iil'TIhiG 'I'llKRIiPR0;1 that portion lying; within the :Ibuvc described parcel of land. 111.Sd 'f0m-,.i* I:R KITH a right of way for road and public Utility purposes over a strip of lane! 60.0 feet In width, lying 30.0 fret on each side of th(- following described line: r, Commencing at the most Southerly corner of the shove described parcel of land; thetive South 32°08'51" East, 165.77 fent; thence Sourh 63°53'16" West, 186.0 feet to the centerl.ine of an existing 60.0 [out wide rand reservation and the true point of beginning fnr Bald line; thence from avid true point of heginnlnti. North 88"02'00" (Jest, 98.07 feet; thence North 52°13'50" Went-. 140.56 feet; thence North 20°52'00" I•lest. 93.28 feet; Utenc•e North 30°19'00" Wcwr, 95.01 feet; thence North 23°J7'40" Nest, 193.45 feet; thence North 44°18'40" Wesr, 913.24 feet; thence North 70°40'00" (lest, 116.03 feet; thence North 83°28'50" Wcst. 121.18 Cart; Lhcncr South 76°23'10" WeSL, 242.86 fL-qt; thence North 63°51'40" Wo- t, 87.27 feet; thence North 29°37'20" West, 106.20 feet; thance North 04"52'110" West, 68.41 feet; thence North 08°28'20" West, 132..07 fret: thence North 20°00'40" 1':nsr, 118.84 feet; thence North 16°1:"30" hast. 100.42 feet; thence North 46"/17'10" East, 12.04 feet, thence South 77°11'20" Fnst:, 16/x.46 fMet; Htviice North 66"40'18" 1'.ast, 21314.75 feet to the Wrst- Cr Iv boundary 1 IUv of the It:1Id Ruck Road and the end of said line. 13.7, r-4 D C 0 70rn n O m �0v O� o zoN N rn Orrnn0 Co. r. ,n z EN® OF Doctivirm1r COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISI 7 County Center Drive - Orovillg, California 95965 - Telephone (916) 538- PERMIT No. APPLICATIGiM AND PERMIT _9OF S - ASSESSOR PARCEL NUMBER 062-500-075 ZONING BUILDING PERMIT OWNER JAMES GILBERT TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 2600 SENTER RD #223 SAN JOSE, 95111 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ 81.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 133 WEBSTER RD PERMIT FEE $ 101.00 BERRY CREEK PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCELMAP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF IN Duplex O Mobilehome ❑ Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ OtheKQ0 Describe Work: COMPLETE B _ P _ # 2621—A1 PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOV OR LESS ) 2ODA OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR AODNS. ( & ACC. BLOS. ) 3.5C g0 FT,, NEW CONST. MULTI -OUTLET •NON-RESID. ( BRANCH CIRCUITS ) @7.50 CONTRACTORS LICENSE LAW( I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ 1, as the owner, or my employees with wages as their sole compensation, will do �the work, and the structure is not intended or offered for sale. (Sec 7044) 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) I am exempt under Sec. Business and Professions Code forthis reason POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 100 BAL. . Ex. Occu FIXED APPLNS. OR p• ( OUTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said nty in consequence of the granting of this permit. I` Date1 D 17 Q e of Applicant - ❑ Owner ❑ Contractor ❑ Agent PA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TrPE TOTAL FEES 101.00 HAZ. 1 D. FEES IMP I FLOOD I CDF PARCEL I PD HD ISS This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. yy By(" Date �(/ /945' PERMIT EXPIRES ON ate) Receipt No. WHITE -D.1 .CANA .S.-B.RY-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER DILa _ �o0-02%_ 0 ^ 0 2 L zoNN0 BUILDING PERMIT OWNER - TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWN MJU NG ADDRESS -YS V CONTRACTOR'S NAME f TELEPHONE cONTRACTofrs MAILNG ADDRESS Fireplace CONSTRUCTION LENDERUNKN OWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER uCENSE No. Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS I PERMIT FEE S r PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAMEPARCEL MAP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF Cuplex O Mobilehome O Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities O Installation O Other Describe Work: PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( �V OR LESS S 200A OR LESS ) 23.00 Main Service ( 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCCUP. OR AODNS. ( a ACC. BLOB. ) So. 3.50 FT. CONTRACTORS LICENSE LAW( I declare under penalty of perjury (check one) O I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification O 1, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code for this reason NEW SII -NON•RD. ( BRANCH CIRCUITS ) @7.50 POW ER APPARATUS ) 8 SINGLE OUTLET C.R. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. @ .50 FIXED APPINS. OR Ex. Occu p' (UTLETS IRESIO.1 EA. ) O 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. O I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. ❑ 1 shall not employ any person in any mannerso as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Si lnature of Applicant - ❑ Owner ,O Contractor O Agent An OSHA permit is required for excavations over 5"0" deep and demolition or cor struction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAZ. 1 D. FEES IMP I FLOOD I C PARCEL PD NO ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. BY Date PERMIT EXPIRES ON Mat*) Receipt No. M(Z J -Z WHITE-O.D.S.-B.D.ANARY-A � ESSOR PINK -INSPECTOR GOLDENROD -APPLICANT JCOUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 _3 PERMIT RMI NO. APPLICATION AND PERMIT < ASSESSOR PARCEL NUMBER 062-500-075 ZONING U BUILDING PERMIT —7417 OWNER Gilbert TELEPHONE 7 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 2600 Senter Rd., #233, San Jpse 95111 2ND RENEWAL CONTRACTOR'S NAME TELEPHONE Owner CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee @ 1 Fee $ 139.25 ARCHITECT OR ENGINEER LICENSE N0. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS PERMIT FEE $ 159.25 1_33 Upbster Rd, Berry Creek PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO.SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF Duplex ❑ Mobilehome O Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W Mobile 20'00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other IX DescribeWDrk: 2ND Renewal of B.P. #2621-91 PERMIT FEE g Contractor ELECTRICAL PERMIT Filing Fee 20.00 (1st Renewal was B.P. #92-3549) Main Service ( "v OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO t000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( &ACC. BLDS. ) 3.50 FTSD.. CONTRACTORS LICENSE LAW( I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification '(I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ lam exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) @ 1000 B20 . Ex. Occup.FIXED (REST .) E (OUTLETS IRESID.1 EA. ) 5.00 Temporary Service ry 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. )< I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT FilingFee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequenceofthe granting of this permit. X � c,J � Date 1 � %I' i.3 s.,,►�/Yytsr, Sign ure of Applicant - Owner ❑Contractor ❑Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee Is DCC CONST. TYPE TOTAL FEE $ 159.25 HAZ- I D. FEES IMP I FLOOD I CDF PARCEL I PD HD Ir> This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been 2� DI�REC O LIC WORKS By i�'�' i%►/W PERMIT EXPIRES ON ti IDetel provisions to do work paid. Dat Z Receipt No. 1 5'12f)R WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT �..t-�,.a'x:t^'u.-r*_:-.,.r,.,N .,r �•.�-�Ya*'�.+C-}�y.'t'%';Y"7�.i�ij}�•-�'"`��''t�'`...,�:.:1�^�T.T"�R""��';,,�'r:��r-.�..6+>��w.-,,,:.�-,--,w,..'� •"-COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION H 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 % PERMIT APPLICATION DATA SHEET OWNER ' `� Co �� d�[i� A. "o. DG7S- Proposed Building Use IF_Gi/y a/ Q, PF1 Building Inspector Date At time 7pert application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY . All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3, Complete plans, 3/4 sets, signed by preparer of plans. .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form. ......... .................................. . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ..................... . 8. Engineered truss details and layout in duplicate (required prior to plan check). ... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. .............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. ........� . . 19. Driveway permit (construction approval required prior to occupancy). . . • � re -Inspection requeis 20. Pre -inspection for required. . tPo Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner . .......... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. 'Letter of intent on building use . ........................................ . 28. Mobilehome utility clearance . ................................. :........... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . .............: . 31. Existing violations/expired permits . ..................................... . 32. Plan check list . .................................................... 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation / Acreage Applicant �� Date c Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville,.C.aliforni? 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT N0. ASSESSOR PARCEL NUMBERO� Ov^ ' ZONING (_, BUILDING PERMIT TELEPHONE� 6% SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS/,5 ,, J COONCTTR re SNAME�&00+7r�G`�/A`—_ TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ a ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS i7 (/ PERMIT FEE $ r &IR -1 PLUMBING PERMIT Filing Fee 26.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF Duplex O Mobilehome O Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New O Addition O Remodel O Utilities O Installation O Other O � ,, /may Describe Work: �,/ A Q 1Z�j�(/ �W % • Cj J —r/ PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( V OR LESS ZOOOAORLESS ) 23.00 Main Service ( 200A To 1000A ) 46.00 NEW CONST. DWELUNG OCCUP. OR ADDNS. ( 8 ACC. BLDS. ) 3.5C FT• gp, CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BA . @ r.50O0 Ex. Occup' ( FIXED APPLNS. OR OUTLETS IRESID.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities20 00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): O This permit is for $100.00 (valuation) or less. O I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. ❑ [shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue again t said County in consequence of the granting of this permit. X Date l Signature of Applicant - O Owner O Contractor O Agent An OSHA permit is required- for excavations over 5"0" deep and. demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ I I HAZ• 1 D. FEES I IMP I FLOOD I CDF I PARCEL PO HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES ON (Dere) Receipt No. ��j �d'V WHITE-D.D.S�D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 'i Gl +• COUNTY OF BUTTE - Departme•nt of Public Works I 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 t OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing signature. .._.__ t Please complete and return'this information at your earliest opportunity to avoid t• 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 o*-ee-) 2. I (have/hA4e-rovy ftV,- signed an application for a building permit ' for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed F construction: �s 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 Date /O r 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 9 PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICAT101', ANDTERMIT / i 7 ASSESSOR PARCEL NUMBER 062-500-075 ZONING U BUILDING PERMIT / OWNER JAMESGILBERT 406 TELEPHONE 996-4201 S0. FT. OCC. BUILDING VALUATION 1ST RENEWAL OWNER'S MAILING ADDRESS 1595 LAUREL WOOD #29 SANTA CLARA 95054 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee @ i FEE $ 139.25 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 133 WEBSTER RD BERRY CREEK 95916 Permit fee $ 154.25 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF[N Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW I @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: 1ST RENEWAL #2621-91 _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 Main service 200ATO1000A, 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the BusinessPOWER and Professions Code and my license Is In full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.&\ OR ADDNS. ACC. BLDGS. I 3.6Q sq.ft. NEW CONSTR. ULT' -OUTLET@ NON.RESID BRANCH CIRC ITS 5 00 APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 760 FIXED APP LNS. OR Ex. Occup. OUTLETS (RESID.) EA.1 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g '15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agains said County in consequence of the granting of this permit. X Date O Q 1 Signa a of Applicant — owner 9 PP ❑ Contractor ❑ Agent ❑ An o A over 5'0" deep and demolition or construct- ion of structures toverr39storiesoin height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 154.25 HAz I DFEES I IMP FLOOD CDF PARCEL I PO I HD ISSUE This permit is hereby issued under the sionssi of the Butte Cou y Code and/or work indic d or which fees R OF PUBLIC B) �— PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date /D-7-9 Receipt No. 126103 WHITE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT CE3,�� OF BUTTE PARTMENT OF PUBLIC WOFqn: = BUILDING DIVISION ; 4, i 7 COUNTY CENTER DRIVE OROVILLE, CAL FORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT A OWNER (ja m Proposed Building Use 91., 'PLICATION DATA Building Inspector SHEET I P o. Cha -5(: o - Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted......................................... 2. Plot plans, 3/4 sets, signed by preparer of plans. 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ .......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. :...................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department. .............. 15. City of Chico plumbing permit. 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. ... ... . 20. Pre -inspection for to Bussing Ins re for - p required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . ............. . 22. Certificate of Workmans Compensation Insurance . ........................... 23. Owner -Builder Verification (Given to owner , Mail to owner_) ........... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ....................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ........................................ . 28. Mobilehome utility clearance . ......................................... . 29. Documentation of legal access . ....................................... . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. c A' When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for p' kup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire. Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY 'OF BUTTE Departme'h '_ 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 -ea} 2.- I (have/h�a�e--tro hFAVe- 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. 7� Social Security mber Date 6 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. - — -- -`~~~� � L � � � ���9%U�����lFU�&� � ..--°~.~~~~.~ . ~~._ ' .~f' ,�~ -------------�----'------------------- � � �� � h2-5O-7� l98l-90 ` . �� � �l�B�KI, Jameo ' l33 Aeboter Dd, Berry Creek ' '/af-�umy bouoe/a�r8') � � � � � . --_ ��,---^-- _- _ /~ �^ � �- ` � - �..- _ _ �� _� r � ' � ��v .� �� � ^' cp�,c_'pc^�u� \'w4'7-/`-°w~«� / / �^ J=OK O = Not OK Not = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / P L" ft. / /"Nat. or/ /"L"ft./ P'LPG 7. Utilitv Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade-HD7Appr6val 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy . Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECK VERS, CARPORTS, GARAGES Plans OK except #'s Zoni g Requirements -Setbacks -Easements ootings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg -Rfg -Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Car s; Windows -Doors lectric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses mg; Nailing -Veneer -Stucco -Mesh 0. Roo Shthg-Roofing 1 t.; Steps -Doors -Landings Date pCard B-1' Date Card B-1 Date '=4 Card B-1 Date Card B-1 Date I POOLS (Plans) OR except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater '8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V OK O=Not OK - = Not Applicable ' = Not Ready RESIDENTIAL (Sidgle 8; Duplex) Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 50. Garage Fire Protection Framing 6a. Hold Downs and Special Anchors 51. Property Line Firewall & Openings 7. Slab; Steel -Wrapped 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 8. Piers -Fireplace Ftg.-Steel 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 10.s Pipe; Size -Anchors 55. Siding -Nailing Veneer Water Pipe; Test -Anchor -Regulator -Service Test 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 12. Electric; Underground 57. Glazing Area -Glass Protection -Skylights -Plastic. 13. Pienums & Ducts; Clearance -Material -Support -Ins. 58. Shear Walls; Nailing -Bolts 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 59. Insulation -Walls -Ceilings 15. Insulation 60. Infiltration -Walls -Windows Date 2-- f6 Card B-1 ZaDate Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Date Card B-1 Date Card B-1 16. Water Htr.; Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchor -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa Date Card B-1 Date Card B-1 66. Elec. Trim & Subpanel; Breaker Sizes & Labels Date Card B-1 Date Card B-1 67. Stairs & Rails Date ELECTRICAL (Permit) OK except #'s 68. Fireplace or Stove; Clearances -Hearth 22. Fixture & Transformer Clearance -Ins. Protection 69. Elec. Outlets at Wood Panel; Int. & Ext. 23. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 24. Size Boxes & No. of Conductors -Stapled 71. Elec. Outlets & Receptacles at Kit. Counter 25. Romex Installed Close to Edge of Studs & C.J. 72. Garage Fire Door; Swing -Landing -Closer 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 73. A.C. Duct in Garage -Damper 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 75. Plb., Elec. & Mech. Equip. Listed for Location 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral 0 Yes 0 No 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic 0 Yes 30. Service -Riser Conductors & Ground -Main Disconnect 78. Guard Rails & Deck Construction -Post Caps 31. Equip. Clearances Panels-Motors-Mech. Equip. 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector 80. Following instld.; Drive 0 Yes 0 No; Walks 0 Yes 0 No; Planters 0 Yes 0 No Date Card B-1 Date Card B-1 81. Stucco; Brown -Finish Date Card B-1 Date Card B-1 82. A.C. Unit; Disconnect, Electrical, Plumbing Date MECHANICAL (Permit) OK except #'s 83. Vents Above Roof; Pibg.-Appliance-Fireplace.-Clearance to Openings 34. A.C. Ducts Insulation & Support 84. Water Well; Disconnect, Electrical, Plumbing 35. Vent Fan; Exhaust above insulation 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 36. Condensate Drain & Overflow; Size & Grade 86. Ventilation Throughout House 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 87. Glass Protection 38. Attic Access & Platform if Furnance in Attic 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval Date Card B-1 Date Card B-1 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s Date Card B-1 Date Card 8-1- 39. Sils, Proper Material & Anchors Date Card B-1 Date Card B-1 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Date Card B-1 Date Card B-1 41. Bearing Walls over Girders & Floor Nailing Comments at Final: 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing each time you visit job site) (NOTE: An entry must be made OV) u V\ rt 0 16a o C- -7 7,S 753 - SS coo m5 M rie 0 0 r--e- A 7' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville. California 95965 - Telephone: 916/538-7541 1981-90 APRUCAYINAANB PERMIT ASSESSOR PARCEL NUMBER 62-50-75 ZONING U BUILDING PERMIT OWNER 40 JamesOWNER'S TELEPHONE —727-9899 SQ. FT. OCC, BUILDING V" LUA ION 192 M 2688 MAILNG ADDRESS 1595 Laurelwood #28 Santa Clara 95054 CONTRACTOR'S NAME owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN p Total Valuation $ 2680 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 38.50 ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ 19.25 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 133 Webster Rd. Permit fee $ 67.75 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Cveek Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other pump house/strg. SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW 0.00e TYPE OF WORK New pg Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: pump house/strg Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BuslnesS and Professions Code and my license Is in full force and effect. Lvicense No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.D OR ACDNS. ACC. BLDGS. I , 2/z¢sgft NEW CONSTR. MULTI -OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e SINGLE OUTLET CIR. p OUTLETS OR FIXTURES Ex. Occup( 20 ® Dos eAL@30 FIXED LNS Ex. Occup. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate • of Consent to Self -Insure. 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 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 consequence of the granting of this per it. X Date �`�� Sig tore of Applicant — Owner ["-�tontroctor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE . TOTAL FEE 67.75 A HAz cuA PARK FL P Ho This permit is hereby issued under sions of the Butte County ode and/or work indicate above for hich fees R CT O PUBLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS D to �® _1P` Receipt No. 66851 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916:'538-7541 PERMIT NO, - APPLICATION AND PERMIT ASSESSOR PAR/�•-E NUMBE _ /in /�l O "% L ZONING OWNER V, ///V��� �J [ J BUILDING PERMIT 7 � / / G� TELEPHONE OCC. OWNER'S MAILING ADOREss ( L` BU GING VALUATION CONTRACTOR'S NAME CONTRACTOR'S MAILINTELEPHONE ADDRESS CONSTR UC TIONLEND ER Fireplace UNKNOWN Total Valuation S LENDER'S MAILING ADOREss Filing Fee 10.00 ARCHITECT OR ENGINEER Permit Fee S LICENSE NO. Plan Checking Fee ARCHIT ECT OR ENGINEER'S MAILING 400RE55 S / Energy Plan Checking Fee $ BUILDING ADDRESS Penalty $ r Permit fee $ -3 fife s fe`„ PLUMBING PERMIT Filing Fee 10.00 Each Trap 200 LOT NO.SUBOI VISION NAME Solar or heat pump water heater 20.00 PARCEL MAP Water P Pin• 9 5,00 Each qas water heater or vent 5.00 USE OF STRUCTU E Gas piping system 1 - 5 outlets 5.00 SF1Y27Duplex❑ Mobilehome❑ Other ttk� O�tS Building sewer 5.00 SPECIFY Mobile Home TYPE OF WORK S G W t0.00e New P Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Permit Fee $ Describe work: Contractor ELECTRICAL PERMIT Filing Fee 10,00 Main service 115,00,v 6R LESSLESS 10,00 CONTRACTORS LICENSE LAW Main -service E7A,.AOO-L loo AMP 2.50 I declare under penalty of Perjury NEW CONST DWELLING OCCUP.1) 2/C ft NEW CONST P Y P l y (Check One): oR AODNS. ACC. SLOGS. 1 I q NON. ES O R. BRANCH CIRC TITS 2.50 ea ❑ 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. (SIN APPARATUS e l SINGLE OUTLET CUR. _ J License No. Classification Ex, Occu zoee0C. P�OUTLE?S OR FIXTURES eALO 30c - e ❑ I, as the owner, or my employees with wages as their sole com en- FIXED APPLNS. OR sation, will do the work,and the structure is not intended or offered Temporary service s IREsID.I EA.) 2.00 for sale. (Sec. 7044) 10.00 t ❑ I, as the owner, am exclusively contracting with licensed contract- Mobile Home Facilities 15.00 ors. (Sec. 7044) j Misc. Wiring 15.00 j ❑ I am exempt under Sec. , Business and Professions Code t f h' ort Is reason Permit Fee t $ WORKMEN'S COMPENSATION INSURANCE Contractor I declare under penalty of perjury (check one): I ❑ The permit is for 3100.00 (valuation) or less. MECHANICAL PERMIT Filing Fee tO.Of) i I have placed on file with the County of Butte Building Department C] Heating a Certificate of Workmen's Compensation Insurance or a Certificate 1 of Consent to Self -Insure. Cooling ❑ I shall not employ any y person in any manner so as to become subject to the W. C. laws of California. Hood 3,00 Notice to Applicant: If after making this statement, should you become subject m to the W. C. provisions of the Labor Code, Ventilation you must forthwith comply with such provisions or this permit shall be deemed revoked. Permit Fee $ - Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws to Mobile Home Installation Fee $ relating building construction, and hereby authorize representatives of the County ofoc Butte to enter upon the above-mentioned Energy Inspection Fee a property for inspection purposes. I also agree to save, indemnify and keep harmless c CONST TTPE the County of Butte against all liabilities, judgments, costs, and expenses which may in " TOTAL FEE S any way accrue against said County in consequence of the granting of this permit. "Az cw PARK scHL FLo PAR Po KD ISSUE ssue •-� y Date -" -- This Permit is hereby issued under the applicable provi- Signature of Appliconr Owner ❑-- Contractor ❑ Agent[] ❑_.,� sions of the Butte County Code and/or resolutions. to do work indicated An OSHA `-' =; ,M1 . permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height, - above for which fees have been paid. _ _,«� '- '� ' DIRECTOR OF ` _ - pt No ��.i'. •:.. _" ;..- - .. . Recei PUBLIC WORKS } r a ir' s^ v Z ac t t -. 9 r. - — WNITC-0.0I By - Date •' r �• •- SPECTOR, C ASe CSSOR, ►INR-INOLO CNROO-AP-LI CANT - - - TCLLOW- ---- PEAMITEXPIRES Data I '"" •-- -- ie -71 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE,,CALIFORNIA 95985 - TELEPHONE: 918/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER A. . No. Proposed Building Use C Building Inspector Date s 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. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions........................................................ 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid .............. 14. Sanitation approval from Health Department /S 790 C'vtf� 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of `' (see City for other requirements) ? 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required ... Building ec. re quest to ctor (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. Wh n you issue the permit, process as follows: Mail to owner. Mail to contractor. elepho — � "` and hold for pickup at office. Deliver w. /inspector. Other Applicant/ Date 6 fS 0 V, Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By. The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by—phone __jnail—counter by ..date Contractor, designer, owner, was advised of above required data by_phone_mall_cou er by date Plans checked by Date Plans approved by Date 2� Sets of plans on hold in File cabinet AP folder Copy—DPW TO Buildina Department FROM:Environmental health SUBJECT: Sanitation Clearance lot 97 (,C- & * (-- G -7s Owner Location AP# Plan Approved for: Sewage Disposal Water Supply Hold `anal for: Water Supply Final clearance O.Y. for: Water. Supply Clearance fcr Other NOTE San_ COUNTY OF BUTTE -- Depdm&R- of Public Works 7 County Center Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916-538-754]. 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 receive .. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) _�e�_ 2. I (have/6&a not) V��d'1-� _ signed an applicat-Ion for a- building permit for the proposed work. 3. I have contracted with the following person construction: Name _ Address (firm) to provide the proposed City _ Phone Contractors License iVo. — 4. .I plan to provide portions of this work, but I have hired the' -following person to coordinate, sup-:rvise, 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: 1 Property Owner - Social Security umber 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 per- mitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovil►e, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZO ING _.,:..BUILDING -PERMIT. owNER�nMA�O �8 7E 7PHON{ 19( SD. FT. OCC. BUILDING VALUATION OWNER ,/.� I Nrh,t_ulOSIL) V&I L® VL(/r{ /1 v�CJ J 0 54- RACTOR'S M TRUCTION L PER'S MAILIN ITECT OR E R ESS ARCHITECT OR ENGINEER'S MAILING ADDRESS BUILDING ADDRESS i tf.�� fT1n i2d LOT NO. I SUBDIVISION NAME UNKNOWN PARCEL MAP USE OF STRUCTURE SF ❑ Duplex[] Mobilehome❑ Other SPECIFY TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other E' Describe work: AA -P ,rt- /110 P k PgAnw uy Fireplace Total Valuation $ Filing Fee Permit Fee Plan Checking Fee Energy Plan Checking Fee Penalty Permit fee PLUMBING PERMIT Each Trap Solar or heat pump water heater Water piping Each qas water heater or vent Gas piping system 1 - 5 outlets Building sewer Mobile Home S J G JW Permit Fee Contractor ELECTRICAL PERMIT Main service ltoo00 V OR LESS 46 6AMP OR LESS Main service EA. ADD'L 100 AM 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 ❑ 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure Is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEw CONST. ( DWELLING OCCURM OR ADDNS. ACC. BLOCS. NEw CONSTR '-'ULT'-OUTLET NON.RESIO BRANCH CIRC ITS POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES FIXED APPLNS. OR Ex. Occup. OUTLETS IRESID.I EA. Temporary service Mobile Home Facilities Misc. Wiring Permit Fee Contractor 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. MECHANICAL PERMIT Heating Cooling Hood 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 Countyot Mobile Home Installation Fee Energy Inspection Fee occ CONST TYPE $ S 10.00 10.00 $ Filing Fee 10.00 10.00 1,460 2.50 /z¢sq ft 2.50 ea 20 @ 50C 5 ALC 30e 2.00 10.00 15.00 15.00 $ -- FiIingFee 10.00 3.00 S S $ Butte to enter upon the above-mentioned property for Inspection purposes. TOTAL FEE $ js I also agree to save, indemnify and keep harmless the County of Butte against HAz I CUA I PARK I SCHL I FLo I PAR I P11 1 11 IssuE all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. This permit is Hereby issued under the applicable provi- X Date sions of the Butte County Code and/or resolutions to do Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ 1 work indicated above for which fees have been paid. S'0" d d d I't'on or construct- DIRECTOR OF PUBLIC WORKS An OSHA permit is required for excavations over eep an emo I i ion of structures Over 3 stories in height. By Date _ Receipt No. - . - .sso� o:vr.- v3n..-e-. zo�oe4-no-APOLicAwr PERMIT EXPIRES^Date -- ---- _-_-- COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OTHER -.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 ora e 2. I (have/heve—vn) U<— 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 ber Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19.832 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: RETURAI TO PUBLIC WORKS AP NO. NSD. � Z � s 7u. ! 3 z� 90-50624 ."90-050624 .1 Rec.-,Fee 9': © 0 Recorded Of f,icial:Records 1 County of Butte Candace'J. Grubbs Recordeir 2): 44' 26 -Nov -,90 XX 3 NOTICE OF CONSTRUCTION J AFFECTING ADJOINING PROPERTY The undersigned, ,.do hereby declare as follows: 1. I am, (We—awe), the owner(s) of that certain real.property situated in the County of Butte, State of California, described in attached Exhibit A. 2: I, itto, intend to apply.to the County of Butte for a building permit and,, pursuant to said permit, to construct improvements on the said property. I, fie), do hereby place all subsequent purchasers and encumbrancers on notice that such improvements will be constructed over a parcel or lot line(s) as described in the above noted Exhibit A, and that subsequent purchasers and encumbrancers should be aware of the location of such improvements. 3. So"long as such improvements remain, said parcels or lots cannot be sold separately. DATED: ! Z L g gnature of owner of record STATE OF CALIFORNIA ss. COUNTY OF BUTTE Signature of owner of record on Nouembe✓ ' 2(0 19go_, before me, the undersigned, A Notary Public in and for the State of California, residing therein, duly commissioned and sworn, personally appeared a4M �S E, G -I L6 EXT known to me to be the person whose.namelS subscribed to the within instrument and acknowledged that he_ executed the same. WITNESS my hand and offical seal. ra .�.., i•:!..s:" NOTAl i i'EEi .tv-CAL6F'i9P641A -080991 n. . 0 0 o E L' a 23:2 .c -'o .u.ill u a- b ':i..�� ziiynaLuEe - - .. - - ----_ Name (typed or printed AFTER COMPLETION, THIS DOCUMENT'MUST BE RECORDED IN THE OFFICE OF THE COUNTY RECORDER. LD 1540 (5/88) ti A RECORDING REOUESTEO BY AND WHEN RECORDED MAIL TO N,Nc� Mr. and Mrs. James E. Gilbert Ann„r„ 677 Bolivar Dr. C." a. Son Jose, Calif. 95123 �rATL L J Tide Ordcr No._.__ -..__Escrow NoZ-712L-- i, S10-50624 ,I it SUM couriT■ ' frau OCT 3 'FEE � fL TOP - 9682 I 9682 - SPACE ABOVE THIS LINE FOR RECORDER'S USE Documentary transfer tax E. 1•.BCi 0 Computed on full value of property conveyed, or fL Computed on full value less liens and encumbrances remulning thereon at time of Bette County, Title Co. „ �'s C. �;�r it✓*� ylrn.mr..f ,Irrl.nln nr.r: m :1.•,.•, n,in,nr le. firm num. / J -1Ilbibibuat"oint lienancpDab Pug. WESTERN TITLE FORM NO. ,CS FOR VALUE RECEIVED, ALFRED A. JATKO and FDNA E. JATKO, his wife GRANT__to JAMES E. GILBERT and WILIADEE L. ;ILBFRT, husband and wife West, MA.L YAr .,A r[M[Nra l,0 feet; County of • ' : ; Butte State of California, described as follows: r A portion of. the Southenst quarter of Section 33, Township 21 North, Range 5 East, � N,Mc 23°37'40" Beginning at a pl,'tut en the East line of said Sec.t:lon 33, from which the East quar- 1.93.45 Ann.na thence. ,line, North Ol°42'0]." East. 136.0 ft rt; Cooke gest 190.50 feet; thence South 48° 44°18'40" Nest, 41.'50" West, .411.89 feet; thence Soutil 32208'51" lust, 180.0 feet to a point which thence North same as above 70°40'00" c.,I e a,Arc L T(IGETIlER WITH a right of wav for road and public: utility purposes over :I strip of J i, S10-50624 ,I it SUM couriT■ ' frau OCT 3 'FEE � fL TOP - 9682 I 9682 - SPACE ABOVE THIS LINE FOR RECORDER'S USE Documentary transfer tax E. 1•.BCi 0 Computed on full value of property conveyed, or fL Computed on full value less liens and encumbrances remulning thereon at time of Bette County, Title Co. „ �'s C. �;�r it✓*� ylrn.mr..f ,Irrl.nln nr.r: m :1.•,.•, n,in,nr le. firm num. / J -1Ilbibibuat"oint lienancpDab Pug. WESTERN TITLE FORM NO. ,CS FOR VALUE RECEIVED, ALFRED A. JATKO and FDNA E. JATKO, his wife GRANT__to JAMES E. GILBERT and WILIADEE L. ;ILBFRT, husband and wife West, .as.JOINTTE,NANTSall that real property situate in the unincorporated feet; County of • ' : ; Butte State of California, described as follows: North A portion of. the Southenst quarter of Section 33, Township 21 North, Range 5 East, 95.01 feel; tbc•m•e North :_moreparticularl.y..described as follows: 23°37'40" Beginning at a pl,'tut en the East line of said Sec.t:lon 33, from which the East quar- 1.93.45 Ler corner bears North 01°42'0.1" East, 713.2.1 feet distant; thence along said East thence. ,line, North Ol°42'0]." East. 136.0 ft rt; Cooke gest 190.50 feet; thence South 48° 44°18'40" Nest, 41.'50" West, .411.89 feet; thence Soutil 32208'51" lust, 180.0 feet to a point which thence North bears South 54013'21" Wast from the point of beginning, thence North 54'13'21" 70°40'00" `East, a dtstancr. of 493.17 fret to the: point of beginning. .1.16.03 T(IGETIlER WITH a right of wav for road and public: utility purposes over :I strip of thence land' 60.G 'eat iii width, lying 30.0 feat on cae.h side of tilt' following described 83028'50" West, IAnv: tbrnco '101101 rV 76°23'10" Beginning at a point on the West lino of the above described parc.e.l of land, which 242.86 polnt is North 32.°08'51" West, 60.0 feet from the Southwesterly corner of said thence land; thence South 32°08'51" frost, 225.77 feet to a point, the said ri.ltht of wav 63'51'40" West, to he located 60.0 feet Northerly of avid adjacent. to said lino which runs from throve North said last mentioned point, South 63`53'1.6" West, IHf,.O feet to the centerline of 29'37'20" an exist.fng road reservation and lite l,nd of said livte. 106.10 EXCEPTING TIIP.RP,1'R011 that port -.ion Ivini; within the above describt'd p:crcel of land. thence ALSO 'I'OGETHI:R h'u'll a right of way for road and public uti I i ty purroses over a (14'52'(10" West', strip of land 60.0 feet in width, lying 30.0 feet on each side of the following thl,nce North described .Linc: 08'28'20" West, 132..07 Commencing :It the most 5outherlj corner of tho above described parcel If I:Ind: c, thence South 32°08'5.1" East, 165.77 fent; thence Soiith 6:3°53'16" West, 186.0 foot 20'00'/40" Rest, to the centerline of an existing 60.0 foot wide road reservation and the trill, 0 point of beginning for said line; thence from said true point of beginning, North r.� 84"02.'00" West, 98.07 foal: thence North 52'1:1'5(1" West, 140.56 fret; thence North 20°52'00" West, 93.28 feet; thence North 30'19'00" l4cst, 95.01 feel; tbc•m•e North i 23°37'40" West, 1.93.45 fact; thence. North 44°18'40" Nest, 95.24 feet: thence North 70°40'00" (Jest, .1.16.03 feet; thence North 83028'50" West, 121.18 feat; tbrnco '101101 rV 76°23'10" Wast, 242.86 feel.; thence North 63'51'40" West, 87.27 feet; throve North 1...► 29'37'20" West, 106.10 feet; thence North (14'52'(10" West', 68,41 flet; thl,nce North 08'28'20" West, 132..07 feet; thenc•c North 20'00'/40" Rest, 118.84 feet; thenen North .16'32'30" East, 100.42 root; thence North 46247'10" East, 32.04 feet; thenco South 77' 11' 20" East, 164.46 feet; thence North 66'40' 18" lust, 204.75 feet to the West- erly boundary line of the Bald Rock Road and the end of said line. I O o°n "Mo rn t'1 ;0 G�0m Zvch r N v r., Orn® C 0 .. M Z 4 RECORDING REQUESTED BY AND WNEN RECORDED MAIL TO N.N. �Mr. and Mrs. James E. Gilbert .....•• 677 Bolivar Dr. c,r.e San Jose, Calif. 98123 BI.r. L J Title Order Nu.__ ._Escrow No..0-7171 �+n r.• .unNrNrs ro N.rL ...... same as above C,,:,,, a,.,e . L J :0-50624 -fl �b' J'JOFFICtt•;, ncC�npS ?TE CJ�fitt.r,lLIF m11N1'Y Tl t1:it, i:c, OCT 3 11 'is All 1975 LOUIS[ KLUE`i;i;.pW. COUNTY li[C:;1C'E8 96'78 FEE SPACE ABOVE THIS LINE FOR RECORDER'S USE Documentary transfer tax E.1?.1.Q.............. U Computed on full value of property conveyed, or ❑ Computed on full value less liens and encumbrances remaining thereon at time of rele.. . Butte County Title Co�J:...:j:.. . $IEn.I.ra• aA Are 1. Y. n, ••r .e•'nl Ir•Ir,•mininx 1., -.arm nnru.. •, _ 3lnbibibual joint Tettancp Meeb T� ap WESTERN TITLE FORM NO. TOS FOR VALUE REt.:I:IVED, ALFRED A. JATKO and EDIXA E. JATKO, his wife GRANT__—to JAMES E. GILBERT and il'ILLADEE L. GILBERT, husband and wife as JOINT TENANTS all that real property situate in the unincorporated Countvof Butte , State of California, described as follows: A portion of the East half of the List half of Section 33, Township 21 North, Range S last, M.D.R. 6 M., more pnrticulnrly described as follows: Commencing; at a point on the'East ltnc of saftl Section 3.3 from which the East quarter corner Of said c id Se..tlon 33 hears North 01°42'01" East, 577.21 feet distant; thence West 1.90.50 feet to the true point of beginning; for the parcel herein de- scribed; thence from said true pottit of heginning. continuing West 200.0 feet; thence North 562.12 feet to the Southerly line of the Itald Rock Road; thence along; said Southerly Itne, be.illp along a 930.0 foot radius curve, concave to the North- west., whose tangent at this point bears Porth 73°32'59" I'sast, through a central ankle of 1.3'26'0011, an arc distance of 218.04 feet to a point which bears North from [ht: true point of beginning; thence South, 647.71 feet to the true point of begs noing_ e EXCEPTING I'IIhREFROII all that certain parcel of land described in that certain Deed from Alfred .Iatko, et ux, to the County of Ilutte. recorded March 24, 1975 In Rook 1975 of Butte County Official Records, nt page 515. Maed_ t er 2 , 111 78 J.A Al red W Jatko SI*A•rE OF CALIFORNIA �j � _ Countyn O !' � _. 19 Z, . tmforc me. the undersigned. a N.coti7 and> id Stvae,Eyappearst7.Puh, bf, pE 4 T'o known to me to he the persontY_ whose named .419.el--- suMcrihed to the within instrument. and acknowledged to me I!un %h�'_ c%cse/cccuicd the some. / Notary Pith'• . Edna E. Jatko FOR NOTARY SEAL OR STAMP inlnl::el;nunasmcnnnn,r:nunun^u.:nny t OFF IC IA L 51 n t. ALMA F. Y�AGr:CN;fs � •,....., iva:nr of neat c 14t R:r Coomiraion Gail- ,Ir,;! 6. 1979 r r,wuuuuuomwuNnuuwwmu IIIltlnl Ila a END OF DOCUMENT MAIL TAX STATEMENTS AS DIRECTED ABOVE END ro IN; �Lf r 97- -5 0 O=n T ;p O rn f1 Q 507q v(n N.: M O Cr. O 3 m Y FV COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. 3 ASSESSOR PARCEL NUMBER 62-50-75 ZONING IT BUILDING PERMIT OWNER JAMES GILBERT 408 TELEPHONE 727-9899 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1595 LAURELWOOD #28 SANTA CLARA 95054 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 $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$' Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDINGADDRESS 133WEBSTERRD BERRY CREEK Permit tee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other [X] Describe work: NEW ELECT. SERVICE FOR PUMP & PUMPHOUSE Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 00V OR L Main service 100 AMP ORSLESS 40 AM 10.00 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification {�[(I i, as the owner, Or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.8i OR ADDNS. ( ACC, BLDGS. 2h2sgft NEW CONSTR. ULT' -OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) SINGLE OUTLET CIR. Ex, Occup(OUTLETS OR FIXTURES 200e0Q BALD 30 FIXED APPLNS, OR Ex. Occup. OUTLETS 4RESID,1 EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin g 15.00 15.00 Permit Fee $ 35.00 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. (P I shall not employ any person in any manner so as to become subject LF"Nto the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. 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. X P Date It Si ature of Applicant — Owner ® Contractor ❑ Agent El An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 35.00 HAz I CUA PARK I SCHL FLD I PAR PD HD ISSUE This This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees �QIR TOR F PUBLIC BY �/// PERMIT EXPIRE /Date the applicable provi- resolutions to do have been paid. WORKS 1 ate 1/-,7� Receipt No. WHITE-D.P.W., 7E— LLOO SSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT CeruricaLe of COmptlance: Residentiai Ciimate Gone 11 ProjectTlUe Building Permit # Project Address /� ,� • �.[%S�'i Checked By/ Date, Documentation Author Telephone Enforoanrnt Agency Use Only BUILDING DATA Glap Area % Glass North &A (v - '7_ Conditioned Floor Area Number of Stories East 07 a Sl - Number of -Units South_ Ingle Family Detached (SED) [ ] Addition West Alone � .�• (] Single Family Attached (SFA). [ ] Existing Building Skylight p [ ] Multi -Family (MF) [ ] Existing -Plus -Addition Total 17, BUILDING SHELL INSULATION Component Insulation LocaflonyComments Type R -Value (Awc, :e garage, P2i=4 etc.),:, tc.),- WaU Wall.............. East ( ) Wall .............. . South Roof ............. South ( ) Roof ............. West ( ) O Floor ............. (�J • i Floor ............. Skylight....... Slab Edge..... . THERMAL MASS _ GLAZING " Shading Devices "-Glazing Area Glass Type Interior Exterior Overhang Framing Type N.onth ( ) /y/1 y41 North ( ) East East ( ) . South South ( ) West ( ) O ; West ( ) Skylight....... . THERMAL MASS Type/Covering - Area Thickness (slab/exposed, tile, etc.) (sf) .(inches) Location/Descrition p (kitchen, bath etc.) RMTt . 'Q 1 X r1: 1 .1rir. BU I MJI) y� HVAC SYSTEMS Minimum Type (furnace, air Efficiency Duct Location Duct Output Manude conditioner, heatpump) (SE, SEER,HSPF) (attic, etc.) R -Value (Btuh) (or a equal) Maximum Fumace Heating Output: Btuh HOT WATER SYSTEMS Tank ' Manufacturer/Model # System Tvoe (storaee eas. etc.) Caoacitv (or anoroved enttal) SPECIAL FEATURESIREMARKS (Add extra sheets if necessary) - al Featu Mandatory Measures Checklist: Residential MF -1R NOTE: Lowrise residential buildings subject to the Standards must cousin these measures regardless o[ the compliance approach used Ivens marked with an asterisk (-) may be superseded by mare =iisgcnt compliance requirements listed on the Ceitificam of Compliance. When this checklist is incorporated into the permit documents. the features noted shall, be considered by all panics as binding minimum component pcftxnnrrs speeifieuioro far the mandatory measurcs whether they ere shown elsewhere in the documents or on this checklist only. DESCRIPTION DESIGNER ENFORCEMEWr Building Envelope Measures §2.5352(a): Minimum ceiling insulation R-19 weighted average. §2.5352(by. Loose fill insulation manufacturer's labeled R -Value. §2.5352(er Minimum wall insulation in framed walls R-11 weighted average (does not apply to exterior mass walls). §2.5352 ft Slab edge insulation - water absorption rate no greater than 0.3%. water vapor transmission rate no greater than 2.0 permlmch. §2-5311: Insulation specified or installed mats California Energy Commission (CEC) quality standards Indicate type and form. §2-5352(I): vapor barriers mandatory in Climate Innes 14 and 16 only. §2.5317: InfiltrationuExritration Controls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Doors and windows certified. e Doors and windows weatherstripped. all joins and penetrations caulked and scaled 12-5352(e), Special infiltration barrier installed to comply with §2.5351 moeuCEC quality standards. 12.5352(d), Installation of Ftreplaaes 1. Masonry and factory -built fireplaces have: a. Tight fitting, closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and control 2. No continuous burning gas pilots allowed. HVAC and Plumbiog System Measures §2-5352(8) and 2-5303: Space conditioning equipment sizing: attach calculations. §2.5352(h) and 2.5315: Setback thermostat on all applicable heating systems. - §2.5316(a): Ducts constructed, insW ]cd and insulated per Chapter 10. 1976 UMC. 12-5316(b): Exhaust systems have damper controls. §2-5314(cr Gas -fuel space heating equipment has interminuht ignition devices. 62-5314: HVAC equipment. water heaters, showerheads and faucets certified by the CEC. §2.5352(1): Water hoc insulation blanket (R-12 or greater) or combined interior/exterior insulation (R-16 or greater): fust 5 feet of pipes closest to tank insulated (R-3 or greater). §2.5312(Exception 1): Pipe insulation on steam and steam condensate return & recirculating piping' §2-5318(dy Swimming Pool Heating 1. System has: a. Or4off switch on heater. b. Weatherproof instruction plate on heats; — 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 52.5352(j): Lighting - 25 lumcns/watt or greater for general lighting in kitchens and bathrooms. 12.5314(c)- Gas rued appliances equipped with intermittent ignition devices. 12.5314(a): Refrigerators. refrigerator -freezers, freezers and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. COMPLIANCE STATEMENT This certificate of ooinpliance lists the building features and perfonaance specifica. ions needed to comply with Title 24. Chapter 2-53 and.Title 20.Ompter 2. Subchapter 4, Article I of the California Administrative code. This certificate has been signed by the individual with overall design responsibility and the building owner. who shall retain a copy of it and transmit the certificate tD any subsequent purt:ilaser of the building. Designer Building Owner Name Name: Tt JFu= Titk/Fvm Tekphonc Telephone Lie. N: . o /Q (sig nature) (date) (i ansae) (date) Documentation Author Enforcement Agency f Natn< Name: 'Pide/Firrn: Atew7 Address: Tekptwnc 1. Ceiling Insulation Single- Slab Floor Number of stories R -value R -value One Two Three R-0 -103 -49 32 R-19 -8 -4 -2 R-30 -2 -1 .1 R38 0 0 0 U -value 6 4 0.50 -176 -84 -54 0.30 -102 -49 32 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 0.02 19 14 10 2. Wall Insulation Single- Slab Floor Single- Single - R -value Family Family Multi - R -value Detached Attached Family R-0 -68 -51 34 R-11 0 0 0 R-13 2 2 1 R-19 8 6 4 U -value 4. Slab Fdge Insulation - ---.0.60 . -___-.:--153 - -114- -:. _ ..-76 0.50 -91 -68 -46 0.30 -47 36 -24 0.10 0 0 0 0.08 4 3 2 0.06 9 7 5 0.04 14 11 7 0.02 19 14 10 0.00 24 18 12 4 2 1 3. Raised Floor Insulation Single- Slab Floor Insulation in Floor Effective Pei coat Glass R -value Number of stories Two 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 -2 4. Slab Fdge Insulation - ---.0.60 . -144 .70 -46 0.50 -120 -58 38 0.40 -95 -46 30 0.30 -69 -34 .22 0.20 -13 -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 Single- Slab Floor Number of stories Effective Pei coat Glass 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 Fdge Insulation 4 -" -90 Number of Stories--"-- -26 R-value One Two Three R-0 0 0 0 R-5 8 5 2 R-7 8 6 3 F2 factor 29 -58 -20 0.90 -4 3 1 0.80 -1 -1 0 0.70 2 2 1 " 0.60 6 4 2 0.50 9 6 3 0.40 12 8 4 5. Infiltration (Air Leakage) Specification Points Standard - 0 6. Glass Heat Lass Total Single- Slab Floor Sum of l- Effective Pei coat Glass U value %Glass Percent East South .51 to .41 to .31 to 0.30 or Glass Single Double .60 SO .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 -40 -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 Stan x SC) Effective Single- Slab Floor Sum of l- Effective Pei coat Glass Mau %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 �B. Shading (Shade Closed) Single- Slab Floor Sum of l- Effective Pei coat Glass Mau Family Stories (Parent glass x SC) Detached Effective Ft rn4 /CFA One Two Three One %Glass Nor t Ess! South We61 Skylight 18 -14 -48 a -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 ,t 1 -4 0 2 3 4 3 0 na . not allowed 8 10 11 11 9. Interior Thermal Mass Interior Single- Slab Floor Sum of l- Raised Floor Mau Family Stories Masa Detached Stories Ft rn4 /CFA 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 -i 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 25 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 Exterior Single- Single - Sum of l- Wall Fam4 Family Mule Masa Detached Attached Ft rn4 0.00 0 0 0 0.20 3 2 1 0.40 5 4 3 0.60 8 6 4 0.80 10 8 5 1.00 13 10 7 1.20 13 12 8 1.40 12 13 9 1.60 10 13 11.. .. 1.80 10 12 12 200 10 11 13 11. Heating System SE or HSPF (assumes duets In attic) Zonal Control Adjustment System Type Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 12. Cooling Syst•:m SEER (rtsnttnet ducts In attic) Stm of 7-10 -25 or -24 to 04 b -4 In Sum of l- 16 or _ leu 415 1 -6 -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 9 6 Effective SE or HSPF WSB 5 (SE or HSPF x duct efficiency) 2 Effective -25 or -24 to -14 b -4 to +610 16 or SE HSPF less -15 -5 +5 +15 more 0.30 275 -73 464 -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 System Type Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 12. Cooling Syst•:m SEER (rtsnttnet ducts In attic) Stm of 7-10 Zonal Control Adjustment 10 8 7 6 4 3 No Cooling System Installed -Stories -25 or -24 to 04 b -4 In +6 to 16 or SEER leu 415 1 -6 +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 3 120 15 13 11 9 7 5 HWR 20 17 14 12 9 6 .13.0 WSB 5 3 3 2 2 3S% ERe4ltve SEER 8 5 4 (SEER xauct effIde icy) 3 SE None 4211 of 7-10 -24 -18 Effective -25 or -24 to -14 b 4 I ..+6 b 16 or SEER leu -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 9.016 3 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 Zonal Control Adjustment 10 8 7 6 4 3 No Cooling System Installed -Stories TYPE 1 MASS AREA = $ Interior Ntss/CFA COND. FLOOR AREA 10. Exterior Wall Mass One -5 .4 -4 3 -2 -2 Two + 3 3 .i: 2 2 2 1 Single-Famlly 'Detached and Attached Zonal Control? ( Y / N) SEER�9-51 Duct Efficiency (0.74] Effective SEER 17.031 6 Unit Size [s() Water ' 1139 1201 1700 2200 2700 Heater Credit or • b to to , or Type Type less1699 2199 2699 more SG None 0' r 0 0. 0 0 or Solar 12 8 6 5 4 HP ' HWR 8 5 4 3 3 0% WSB 5 3 3 2 2 3S% POU 8 5 4 3 3 SE None 37 -24 -18 15 .12 115% 120% 125- Solar -1 -1 -1 0 0 1.1 HWR -18 -12 -9 -7 -6 2S WSB -25 -16 -12 -10' -8 4 POU -18 _-12 -9 -7 .6 IG None -5 -3 -2 .2 -2 1.4 Solar 7 5 4 3 "2. 29 POU 3_ 2 1 1 1 IE None -28 -19 -14 -11 -9 0.3 Solar 8 5 4 3 3 1.e POU -10 -6 -5 -4 -3 13 Multi -Family (individual units) 4.3 4.5 4.8 5 I Unit Size (si] 5.4 Water 30% 699 700 1200 1700 2200 Heater Credit or b to to or Type Type lass 1199 1699 2199 mote SG None 0 0 0 0 0 or Solar 14 7 5 4 3 HP HWR 9 5 3 2 2 14 WSB 9 4 3 2 2 4.9 POU 9 5 3 2 2 SE None -45 -23 -15 -it .9 I3 Solar 2 1 1 0 0 18 HWR -23 -12 -8 -6 -5 5.3 WSB -25 -13 -8 3 -5 1.1 _ POU _23 _12_8 2 3 -5 n one 3 -4 -3 .2 ; .2 4.1 Solar 6 3 2 1 1 5.6 POU 1 0 0 0 0 IE None 30 15 -10 41 -6 2.9 Solar 18 9 6 4 4 4.4 POU -8 . 4 -3 -2 -2 Point System Summary: Climate Zone 11 SCORE CARD 1. Ceiling Insulation 2. Wall Insulation 3. Raised Floor Insulation Measures P&> or R -value (38] U -value [0.030] e_ / I- or R -value (I I] U -value (0.0981 or R -value 1191 U -value (0.037] 4. Slab Edge Insulation or R -value [01 F2 factor 10.771 S. Infiltration Standard 6. Glass Heat Loss _ J/ 6 L / y'K Type (double] U -value [0.65] % Total Glass [ 161 7. Shading (Shade Open) % Glass SC Eff. % Glass a. North 1,17 x - 27 6./(, b. East et , 0 x = c. South 6--.9 x = r• 5 d. West 3-A x d. S e. Skylight 42 - x = D 8. Shading (Shade Closed) gb Glass _ SC Eff. io Glass v x = a - -- 33 x _ D x = a. North b. East c. South d. West e. Skylight 9. Interior Thermal Mass TYPE 1 MASS AREA = $ Interior Ntss/CFA COND. FLOOR AREA 10. Exterior Wall Mass TYPE 2 MASS AREA = Exterior Wall Mass C ND. L OR AREA 11. Heating System Interior MassICFA x _ . rA Zonal Control? ( Y / N) SE or HSPF Duct Efficiency 10.781 Effective SE or 10.72/6.61 HSPF [O -W5. IS] 12. Cooling System Tyre 2 "SS x = Zonal Control? ( Y / N) SEER�9-51 Duct Efficiency (0.74] Effective SEER 17.031 13. Water Heating ' rt./.u111. 21 (u�9a.a .I.bb1 4 TYPE I KASS (UIMC & 4.2. Le: exposed �)� slab$ - 0% 5% 10% 1S% 20% 25% 30% - 3S% 40% 4SY. 5070 55% 60% Oft 70% 75% 80% 851. 90% 95% 100% 105% 110% 115% 120% 125- 0% 0 0.2 0.4 04 0.8 1.1 1.3 1.5 1.7 1.9 21 23 2S 27 I9 3.2 14 16 3.8 4 4.2 4.4 4.6 4.8 5 53 10% 0.2 0.4 0.6 0.8 1 1.2 1.4 1.6 1.9 21 23 2S Z7 29 11 13 15 3.7 4 4.2 4.4 4.6 'z.8. 5 5.2 5.4 20% 0.3 0.6 0.8 1 1.2 1.4 11 1.e 2 12 21 27 Z9 a1 13 3.5 17 19 4.1 4.3 4.5 4.8 5 5.2 5.4 56 30% QS 0.7 0.9 1.1 1.4 1.6 1.8 2 2.2 24 IS 28 3 32 3.5 17 39 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 5 8 40Y. QI 0.9 1.1 1.3 1.5 1.7 1.9 22 24 I6 2.8 3 3.2 14 18 18 4 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 50% Q9 1.1 1.3 15 1.7 1.9 Zt I3 IS Z7 3 32 14 3.6 18 4 42 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 SS% 0.9 1.1 1.4 1.6 1.8 2 22 24 2.6 28 3 32 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 6.2 60% 1 12 1.4 1.7 1.9 11 23 25 Z7 2.9 11 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 ' S 5.2 5.4 5.6 5.9 6.1 63 65% 1.1 1.3 1.5 1.7 1.9 22 24 26 Z8 3 3.2 3.4 3.6 3.8 4 4.3 4S 4.7 4.9 S.1 5.3 55 5.7 5.9 6.1 64 707: 1.2 1.4 1.6 11 2 Z2 25 27 29 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.6 4.8 S 5.2 5.4 5.6 58 6 6.2 64 75% 1.3 15 1.7 19 21 23 2.5 2.7 3 3.2 14 16 3.8 4 4.2 4.4 46 48 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.S 80Y. 1.4 1.6 1.8 2 2.2 2.4 26 2.8 3 3.3 3.S 3.1 3.9 4.1 4.3 4.5 4.1 4.9 5.1 5.4 5.6 5.8 6 62 64 66 85% 1.4 1.7 1.9 21 2.3 25 2.7 Z9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 S 52 54 5.6 59 6.1 63 65 67 901/. ' 1.5 1.7 2 22 24 26 28 3 3.2 3.4 3.5 3.8 4.1 4.3 4.5 4.7 4.9 5.1 53 5.5 5.7 5.9 6.2 6.4 66 60 9S%1.6 1.8 2 22 25 Z7 Z9 11 33 3.5 3.7 3.9 4.1 4.3 4.6 4.8 S 5.2 5.4 5.6 5.8 6 6.2 6.4 6.7 6.9 100% 1.7 1.9 Z1 23 2.5 Z8 3 12 3.4 3.8 18 4 4.2 4.4 4.6 4.9 U S.3 55 5.7 5.9 6.1 6.3 6.5 6.7 7 105% 1.8 2 22 24 26 28 3 13 Is 3.7 3.9 4.1 4.3 4.5 4.7 4.9 11 5.4 5.6 5.8 6 6.2 6.4 6.6 68 7 110% 1.9 21 23 25 27 29 11 13 3.6 3.8 4 4.2 4.4 4.6 4.8 S 52 5.4 5.7 5.9 6.1 6.3 6.5 6.7 69 7.1 115% 2 22 24 26 28 3 3.2 14 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 53 5.5 5.7 5.9 6.2 6.4 6.6 6.8 7 7.2 120% 2 23 ZS 27 29 3.1 13 3.5 17 . 3.9 4.1 4.4 4.6 4.8 S 5.2 5.4 5.6 58 6 6.2 6.5 6.7 6.9 7.1 7.3 125% 21 23 25 28 3 3.2 14 16 3.8 '4 4.2 4.4 4.6 49 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 1. Ceiling Insulation 2. Wall Insulation 3. Raised Floor Insulation Measures P&> or R -value (38] U -value [0.030] e_ / I- or R -value (I I] U -value (0.0981 or R -value 1191 U -value (0.037] 4. Slab Edge Insulation or R -value [01 F2 factor 10.771 S. Infiltration Standard 6. Glass Heat Loss _ J/ 6 L / y'K Type (double] U -value [0.65] % Total Glass [ 161 7. Shading (Shade Open) % Glass SC Eff. % Glass a. North 1,17 x - 27 6./(, b. East et , 0 x = c. South 6--.9 x = r• 5 d. West 3-A x d. S e. Skylight 42 - x = D 8. Shading (Shade Closed) gb Glass _ SC Eff. io Glass v x = a - -- 33 x _ D x = a. North b. East c. South d. West e. Skylight 9. Interior Thermal Mass TYPE 1 MASS AREA = $ Interior Ntss/CFA COND. FLOOR AREA 10. Exterior Wall Mass TYPE 2 MASS AREA = Exterior Wall Mass C ND. L OR AREA 11. Heating System . V, x _ . rA Zonal Control? ( Y / N) SE or HSPF Duct Efficiency 10.781 Effective SE or 10.72/6.61 HSPF [O -W5. IS] 12. Cooling System fMy' x = Zonal Control? ( Y / N) SEER�9-51 Duct Efficiency (0.74] Effective SEER 17.031 13. Water Heating Point Scores G 0 -3 _S Sum 1.6 Type [SG] Credit [none] Point Total: Sum 7-10 Certlzime OI;I Onipuance: Keslaentlai '.0irnate Zone 11 Project Titre , �A �^ BuildutgPermsif Project Addres_st Documentation Author V Telephone Enfor erneiii Agency Use Only w � BUILDING DATA G Area %Glm North (0.7 Conditioned Floor Area ePal--k; Number of Stories East d SI Number of .Units South 4V "'rin_gTe Family Detached ( [ ] Addition -Alone west ( ] Single Family Attached (SFA) [ ] Existing Building Skylight (] Multi -Family (MF) (] Existing -Plus -Addition Total 7 �r� xzz• . BUH,DING SHELL INSULATTOI`I Component Insulation LocafloniComments Type _R_-Va_luue/L._. (aide, ta garagt% t2i^_ri, etta.j WaU ll.Wa............ Roof ............. Roof ......... Floor ............. Floor ............. T . Slab Edge..... GLAZING . Shading Devices Glazing Area Glass Type Interior Exterior Overhang FramingType Otie-ntntinn fcfl 71 Maximum Furnace Heating Output: Btuh HOT WATER SYSTEMS Tank Manufacturer/Model # System T ')e (storage gas. etc.) Capacity (or approvedequal) -Special Feature(s) 0 SPECIAL FEATURESIREMARKS (Add extra sheets if necessary) Mandatory Measures Checklist: Residential MF -IR NO`M' L -rime residential buildings subject w the Standards must contain dlese -;-ow te=ardtess of the carnpliamee 1.. ° approach used Items marred with an asterisk (•) mar be superseded * mare stsiegait Compliance requuentab low an the Catificate of compliance. When this checklist is incorporated into the pertnit documents. the feattrea uoaod Shan i • . be consiaercd by all parties as binding minimum component performance spoaficalions for the mandatory masttro z whether they are shown elsewhere in the documents or on this checklist only. 1fM+rr DESCRIPTION - rt . • :)r j DESIGNER ENFORCEMENT _. {'` } Building Envelope Measures • §2.5352(a): Minimum ceiling insulation R-19 weighted average. I 42.5352(b}. Loose rill insulation manufacturer's labeled R -Value- + A • 12.5352(cr Minimum wall insulation in framed walls R•1 I weighted avenge (does not apply Io r' exterior mass walls). 12.5352(k): Slab edge insulation -water B sbsorptian rate no gmeata than 0391. water vapor. transmission rate no greater than 2.0 perrnfmch. t 12-5311: Insulation specified or installed mats California EncW Commission (CEC) quality m standards Indicate type and forth- a -- §2.5352(fr Vapor barriers mandatory in Climate Iartes 14 and 16 only. a, n r '• ' 12.5317: InfiltratioNEsfrltrationControls a. Doors windows between conditioned and unconditioned spaces designed to limit tai g 3 b. Doors and windows eutificd. Y e Doors and windows watherstripped: zu joinu and penecations cauated and scaled. ' 12-53 Special infiltration barrier installed to comply with 12-5351 meets CEC qualir. - ? . 1" r 12-5352(d): Installation of Fireplaces 1. Masonry and factory -built fireplaces have ++ a Tight fitting. closeable metal or glass door +1.. b. Outside air intake with damper and control t° t Flue damper and control a 2. No continuous burning gas pilots allowed. HVAC and Plumbing System Measures t §2-5352(g) and 2.5303: Space conditioning equipmat sizing: attach calculations. 42.5352(h) and 2.5315: Setback thermostat on all applicable heating systems. • 12-5316(ar Ducts constructed, installed and insulated per Chapter 10. 1976 I)MC. 12-5316(br Exhaust systems have damper toners. I 12-5314(c): Gas-fired spam hating equipment has intermittent ignition devices. y ; ; 62-5314: HVAC equipment, water heaters showerhads and faucets certified by the CEC. 11 12.53520: Water heam r insulation b4tnka (R-12 or Beater) or combined interiorykatuior t insulation (R-16 a gmrau:r)-.fust S fea of pipes closest totank insulated (R-3 ar grater). _ ! §2 3312(Ezccption 1): Pipe insulation on steam and steam condensate return ds. recirculating piping. §2.5319(dr Swimming Pool Heating 1. System has: a. Orvbff switch on hater. b. Watlxrproof instruction place on hater: e. Plumbed to allow for solar. 2. 75 percent dermal efficiency. 3. Pool cover. 4. Time clock. 5. Directional water inlet. 11 Lighting and Appliance hieasures i • §2.5352(): Lighting - 25 lumens/watt or greater for general fighting in kitelcrts and bathmoosts. 12-5314(cr Gas fired appliances equipped with intermittent ignition devices. §2.5314(a): Refrigerators, mefrigerawe-freezcrs. geezers and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. t I COMPLIANCE STATEMENT 4 This certificate of compliance lists the building features and performancespedfiCations needed to comply with k Title 24, Chapter 2-53 d Title 20. • certificate been signed anChaptrr2. SubchaFter4. Article 1 of the California Administrative code. This gned by the individual with Overall design rapensibility and the building owner. who shall retain a copy of it and ==it the certificate to any subsequent p ndlaser of the building. r. Designer . Building Owner Name Name Addre*Tttk/F� Titk,/Fum: ' AMA== Tekphonc Tekphonc Tic. I (signature) (date) (i .erre)7/Z (date) Documentation Author Enforcement Agency t Name: Name Ttde/Fum AgeneY Addrr=: Tck—,hone North ( ) East East ( ) South ( ) •, South ( ) West ( ) O West Skylight....... THERMAL MASS Type/Covering Area Thickness - (slab/exposed, tile, etc.) (Sf) (inches) Location/Description (kitchen. bath, etc.) Duct (� HVAC SYSTEMS iviinirnum Type (furnace. air Efficiency / ,��� Location Duct Output Man f*V conditioner, heat Pump) (SP— SEER.HSPF) (attic, etc.) R -Value (Btuh) (or a4p-pVed enrol) 71 Maximum Furnace Heating Output: Btuh HOT WATER SYSTEMS Tank Manufacturer/Model # System T ')e (storage gas. etc.) Capacity (or approvedequal) -Special Feature(s) 0 SPECIAL FEATURESIREMARKS (Add extra sheets if necessary) Mandatory Measures Checklist: Residential MF -IR NO`M' L -rime residential buildings subject w the Standards must contain dlese -;-ow te=ardtess of the carnpliamee 1.. ° approach used Items marred with an asterisk (•) mar be superseded * mare stsiegait Compliance requuentab low an the Catificate of compliance. When this checklist is incorporated into the pertnit documents. the feattrea uoaod Shan i • . be consiaercd by all parties as binding minimum component performance spoaficalions for the mandatory masttro z whether they are shown elsewhere in the documents or on this checklist only. 1fM+rr DESCRIPTION - rt . • :)r j DESIGNER ENFORCEMENT _. {'` } Building Envelope Measures • §2.5352(a): Minimum ceiling insulation R-19 weighted average. I 42.5352(b}. Loose rill insulation manufacturer's labeled R -Value- + A • 12.5352(cr Minimum wall insulation in framed walls R•1 I weighted avenge (does not apply Io r' exterior mass walls). 12.5352(k): Slab edge insulation -water B sbsorptian rate no gmeata than 0391. water vapor. transmission rate no greater than 2.0 perrnfmch. t 12-5311: Insulation specified or installed mats California EncW Commission (CEC) quality m standards Indicate type and forth- a -- §2.5352(fr Vapor barriers mandatory in Climate Iartes 14 and 16 only. a, n r '• ' 12.5317: InfiltratioNEsfrltrationControls a. Doors windows between conditioned and unconditioned spaces designed to limit tai g 3 b. Doors and windows eutificd. Y e Doors and windows watherstripped: zu joinu and penecations cauated and scaled. ' 12-53 Special infiltration barrier installed to comply with 12-5351 meets CEC qualir. - ? . 1" r 12-5352(d): Installation of Fireplaces 1. Masonry and factory -built fireplaces have ++ a Tight fitting. closeable metal or glass door +1.. b. Outside air intake with damper and control t° t Flue damper and control a 2. No continuous burning gas pilots allowed. HVAC and Plumbing System Measures t §2-5352(g) and 2.5303: Space conditioning equipmat sizing: attach calculations. 42.5352(h) and 2.5315: Setback thermostat on all applicable heating systems. • 12-5316(ar Ducts constructed, installed and insulated per Chapter 10. 1976 I)MC. 12-5316(br Exhaust systems have damper toners. I 12-5314(c): Gas-fired spam hating equipment has intermittent ignition devices. y ; ; 62-5314: HVAC equipment, water heaters showerhads and faucets certified by the CEC. 11 12.53520: Water heam r insulation b4tnka (R-12 or Beater) or combined interiorykatuior t insulation (R-16 a gmrau:r)-.fust S fea of pipes closest totank insulated (R-3 ar grater). _ ! §2 3312(Ezccption 1): Pipe insulation on steam and steam condensate return ds. recirculating piping. §2.5319(dr Swimming Pool Heating 1. System has: a. Orvbff switch on hater. b. Watlxrproof instruction place on hater: e. Plumbed to allow for solar. 2. 75 percent dermal efficiency. 3. Pool cover. 4. Time clock. 5. Directional water inlet. 11 Lighting and Appliance hieasures i • §2.5352(): Lighting - 25 lumens/watt or greater for general fighting in kitelcrts and bathmoosts. 12-5314(cr Gas fired appliances equipped with intermittent ignition devices. §2.5314(a): Refrigerators, mefrigerawe-freezcrs. geezers and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. t I COMPLIANCE STATEMENT 4 This certificate of compliance lists the building features and performancespedfiCations needed to comply with k Title 24, Chapter 2-53 d Title 20. • certificate been signed anChaptrr2. SubchaFter4. Article 1 of the California Administrative code. This gned by the individual with Overall design rapensibility and the building owner. who shall retain a copy of it and ==it the certificate to any subsequent p ndlaser of the building. r. Designer . Building Owner Name Name Addre*Tttk/F� Titk,/Fum: ' AMA== Tekphonc Tekphonc Tic. I (signature) (date) (i .erre)7/Z (date) Documentation Author Enforcement Agency t Name: Name Ttde/Fum AgeneY Addrr=: Tck—,hone 1. Ceiling Insulation Floor Insulation -48 Single- Number of stories^ R -value R -value One Two Three R-0 -103 -49 w-32 -51 R-19 -8 -4 -2 R30 -2 -1 -1 R-38 0 0 0 U -value :;._.. _ _�- - •0.80 ��...--153... _.. ..114 - ....:..76 -46 0.50 -176 -84 -54 : 0,30 -102 -49 32 • 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 1 0.60 6 4 2. Wall Insulation Floor Insulation -48 Single- Single - R -value Family Family Mul6- R-value Detached Attached Family R-0 38 -51 34 R-11 0 0 0 R-13 2 2 1 R-19 8 6 4 U -value . rt. Slab Fdge Insulation 3 :;._.. _ _�- - •0.80 ��...--153... _.. ..114 - ....:..76 -46 0.50 -91 -68 -46 0.30 -47 36 -24 0.10 0 0 0 0.08 4 3 2 0.06 9 7 5 0.04 14 11 7 0.02 19 14 10 0.00 24 18 12 3. Raised Floor Insulation -48 Number of stories Insulation In Floor R -value One Number of stories Three 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 rt. Slab Fdge Insulation 3 - -- . 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 -14 -48 Number of stories 64 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 rt. Slab Fdge Insulation 3 5 .51 to NumberotSlories-___-_ .31 to 0.30 or R -value One Two Three R-0 0 0 0 R-5 8 5 2 R-7 8 6 3 F2 factor -26 ` -14 3 0.90 -4 3 -1 0.80 -1 -1 0 0.70 2 2' 1 0.60 6 4 2 0.50 9 6 3 0.40 12 8 4 S. Infiltration (Air 1.eakage) Specification Points Standard 0 7..Shading (Shade Open) -ERecdTe Percent class (percent Slrsa x SC) Effective -14 -48 -69 64 %Glass North East South !West Skylight 18 5 1 4 1 6. Glass Heat Loss .. 16 "4 2 5 Total na _ 2 .5 U -value na Percent 3 5 .51 to At to .31 to 0.30 or Glass Single Double .60 .50 .40 lass 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 -40 -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 i6 -20 0 , 4 '..9 13 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 -i 10 13. 15 17- 20 8 2 12 14 16 18 20 7..Shading (Shade Open) -ERecdTe Percent class (percent Slrsa x SC) Effective -14 -48 -69 64 %Glass North East South !West Skylight 18 5 1 4 1 na 16 "4 2 5 1 na 14 4 2 .5 1 na 12 3 3 5 2 _ na it 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 -1 1 3 3 0 1 2 1 3 2 0 0 1 0 3 1 -1 -1 •1' -1 2 0 -1 -2 -4 -2 0 na - not allowed 2 3 4 3 8. Shading (Shade Closed) Effective Percent Class (percent glass x SC) %Glass Norft Ead South West Skylight 18 -14 -48 -69 64 na 16 -12 -42 ;59 -55 na 14, -10 -35 -50 -46 na 12 -8 -29 40 . - . . -37 na 11 -7 -26 a 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 -i6 2 1 -i -2 -1 -9 1 1 1 1 1 -4 0 2 3 4 3 0 na - not allowed 8 8: 9 3.5 9. Interior Thermal Mass Interim Exterior Slab Floor Rased Floor Mass Family Family Stories Mass Detached Attached swes 0.00 fCFA One Two Three's.One -Two Three 0.0 8 -5 -4 -2 -1 - -1 0.1 -8 -5 3 -1 0 ' 0 0.3 -7 d -2 0 1 1 0.5 -6 3 -1 1 1 2 0.7 -5 -2 -1 1 _ 2 P 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 Z0 -1 2 4 5 6 7 25 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 t0 10 4.5 3 7 8 10 11 - 11 5.0 4 7 9 11 12 :12. 5.5 5 8 9 11 12 i 12 6.0 5 8 10 12 13 113 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 Exterior Sipple- . single,_ Wall Insulation wan Family Family Multi Mass Detached Attached Family 0.00 0 0 0 0.20 3 2 1 0.40 5 4 3 0.60 8 6 4 0.80 10 8 5 1.00 13 10 7 1.20 13 12 8 1.40 12 13 9 1.60 10 13 -2 1.80 10 12 12 Zoo 10 11 13 11. Heating System 0 0 0 SE or HSPF 0 0 (assumes ducts In ante) 4- 3 3 Sum of 1.6 _ 1 -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 9 Effective SE or HSPF (SE or HSPF x duct efficiency) Effective •25 or -24 to -14 to -4 to +610 16 or SE HSPF less -15 -5 +5 +15 more 0.30 275 -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 System Type Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 .2 12. Cooling Syst•:m SEER Zonal Control Adjustment 10 ' 8 7 6 4 3 No Cooling System Installed -Stories (asmtna ducts In attic). 2. Wall Insulation 3. Sim of 7-10 4. One -5 -2S ar .,24 b 04 b -4 b +6 to 16 or SEER less .15 1 -6 +S +15 mon 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 4 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 3 120 15 ; 13 11 9 7 5 13.0 20 17 j 14 12 9 6 POU. Etfeid re SEER 5 4 3 (SEER Xduct eindenq) None 37 s, ! Orr of 7-10 -15 -12 Effective -25 of -24 to -14b -410 .. 46 b 16 or SEER less' -15 -S +5 +1S more -12 # -7 -6 5 WS8 5.0 30 -25 -21 -17 -13 -9 6.0 -12 i -11 -9 -7 -6 4 6.6 -5 ! 4 -4 3 .2 -2 . 7.0 0 f a 0 0 0 0: 8.0 9 8 6 5 4 3 9.0 16 14 12 9 7 5 10.6 - 22 _1 19 i6 13 10 7 11.0 26 23 19 15 -12 8 120 30 26 22 18 14 9. 13.0 33 29 24 20 15 10 Zonal Control Adjustment 10 ' 8 7 6 4 3 No Cooling System Installed -Stories - 2. Wall Insulation 3. Raised Floor Insulation 4. One -5 -4 -4 3 -2 -2 Two + 3 3 .; 2 2 2 1 Single-Fimiiy l etaebed and Attached 8. Shading (Shade Closed) j UnitSize (SO , Eff. % Glass Water :139 12W.' 1700 2200 2700 Heater Credit or' b to b :*r 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 30% WSB 5 3 3 2 2 75% POU. 8- 5 4 3 3 SE None 37 -24 -18 -15 -12 - Solar -1 -i -1 0 0 16 HWR -18 -12 -9 -7 -6 5 WS8 -25 -16 -12 -10' -8 1 POU -18 _42 -9 -7 •6 IG None -5 .3 -2 .2 -2 4.2 Solar 7 5 .4 3 -2. 0.3 POU 3 2 1 1 1 IE None •28 . 719 "-14 -11 -9 13 Solar .8 • 5 4 3 3 5 POU -10 ' -6 -5 -4 -3 0.9 Multi-Famtt7 (individual units) 1.6 1.8 2 I It Unit Size (so 28 Water 32 699 700 1200 1700 2200 Heater Credit or b to b a Type Type less 1199 16N 2199 more SG None 0 0 0 0 0 or Solar 14 7 5 4 3 HP HWR 9 5 3 2 2 1.1 WS8 .9 4 3 2 2 2s 27 POU 9 5 3 2 2 SE None -45 -23 -15 -it -9 5.7 Solar 2 1 1 0 0 1.8 HWR -23 -12 -8 -6 -5 12 WS8 -25 -13 -8 -6 -5 4.7 _ EQU _23 _12_8 5.6 -6 -5 n None -8 -t -3 .2 ; -2 21 Solar 6 3 2 1 1 18 POU 1 0 0 0 0 IE None v0 7iS -1,0 -a -6 1.1 Solar 18 9 6 d 4 26 POU -6 -4 -3 -2 .2 Point System Summary: Climate Zone 11 SCORE CARD 1. - 2. Wall Insulation 3. Raised Floor Insulation 4. 'Slab Edge Insulation S. Infiltration 6. Glass Heat Loss Interior MassICFA Shading (Shade Open) a. North 3 3 b. East = c. South 42 - '1 YT►t 2 "SS ' " = e. Skylight 8. Shading (Shade Closed) SC Eff. % Glass Ie . o X � t a IT 3.3 X (� u.Pwrwc•..n = TYPE 1 MASS AREA lnteriorNasa/CFA 4 Trrt t Puss tutnC a 4.2. lot •: sed stab► TYPE 2 MASS AREA _ $ Exterior Wal;-tviass I 0% S% 10% iS% 20% 25% 30% - 357E 40% 45Y. 57% 55% 60% 11A 70% 75% 80% 85% r 90% 95% 100% 105% 110% 115% 120% 125` 0% 0 0.2• 0.4 0.6 0.8 1.1 IJ 13 1.7� -1.9 21 23 25 2.7 29 U 16 .3A T4 ...4.2 4.4 4.11- 4.8 5 53 10% 12 0.4 0.6 0.8 1 1.2 1.4 1.6 1.9 2.1 23 25 27 29 1t ,12 13 15 17 4 4.2 4.4 4.6 -z.11- S 5.2 5.4 0.3 96 0.8 1 12 1.4 1a 1.8 2 22 24 27 29 11 13 13 3.7 19 . 4.1. 4.3 4114.8 5 5.2 5.4 56 30% AS 03 0.9 1.1 1.4 1.6 1.8 2 22 ' 21 , 26 28 9 32 SS 17 39 l t 4.3 4.5 4.7 4.9 S.1 S.3 5.6 58 "40Y. 0.7 0.9 1.1 13 1.5 1.7 1.9 22 24" 26 '2.8 3 12 14 16 18 4 4.3 -'4.S 4.7 /.9 5.1 " 5.3 5.5 S.7 59 50% 0.9 1.1 12 13 1.7 1A 21 23 2s 27 8 32 14 Ss 16 4 42 4.4 4.6 .4.8 'S.1 . 5.3 5.5 5.7 '.S.9 6.1 55% at 1.1 1.4 1.8 1.8 2 22 24 2.618 3 12 IS 17 19 4.1 43 4.S 4.7 4.9 5.1 5.3 5.6 5.8 6 6 2 60% 1 12 1.4 1.7 1.9 21 23 25 21. 29 11 13 3.5 18 4 4.2 4.4 4.6 4.8 ' S .5.2 5.4 S.6 5.9 -6.1 63 65% 1.1 1.3 1.S 1.7 1.9 22 24 26 28 3 12 3.4 3.6 18 4 4.3 45 4.7 4.9 S.1 5.3 55 5.7 5.9 6.1 6, 70% 12 1.4 1.6 11 2 22 2S 27 29 It 13 15 17 19 4.1 4.3 4.6 CO S 5.2 5.1 ' S.6 58 6 62 64 75% 1.3 1S 1.7 1.9 21 23 25 27 3 12 14. 16 18 4 4.2 4.4 4.6 AS 5.1 5.3 5.5 5.7 S.9 6.1 6.3 6.5 807. 1.4 1.6 1.8 2 22 24 26 29 3 13 SS 17 19 4.1 4.3 LS U U 5.1 5.4 "S.6 5.8 6 62 64 66 857: 1.4 1.7 1.9 2t 23 2S Z7 29 11 3.3 3.S 18 4 4.2 4.4 46 4.8 S 52 54 S.6 S9 6.1 63 6S 67 WY.- 1.S 1.7 2 22 14 26 28 3 3.2 14 18 14 4.1 4.3 4.5 4.7 4.9 i1 53 5.5 5.7 5.9 6.2 6.4 66 68 9S% 1.6.1.8 2 22 25 27 29 11 33 3.3 17 19 4.1 4.3 4.6 4.8 S S.2 5.4 5.6 5.8 6 62 6.4' 6.7 69 tom. 1.7 19 21 2a 2S 28 3 32 3A 16 16 4 4.2 4.4 4.5 4.9 U 5.3 53 S.7 S.9 6.1 6.3 6.S 6.I 1 105% 1.8 2 22 24 26 26 3 13 3.S - 3.7 12 4.1 4.3 4.5 4.7 4.9 St 5.4 56 5.8 6 6.2 6.4 6.6 So 7 110% 1.9 21 23 25 27 29 11 13 16 3.6 4 4.2 1.4 4.5 4.8 S 52 6.4 5.7 5.9 6.1 6.3 6.S 6.7 6 9 T.1 itS% 2 22 24 26 28 3 3.2 14 3.6- 18 4.1 4.3 4.5 4.7 4.9 S.i 53 S.S 5.7 5.9 6.2 6.4 6.6 6.8 7 r 7.2 i. 120% 2 23 2S 27 29 11 13 15 17 19 4.1 4.4 4.6 4.8 S 5.2 S_4 S.6 58 6 62 6.S 6.7 6.9 7.1 7.3 125% 21 23 2S 2.8 3 3.2 14 16 3.8. 4 .. 4.2 4.4 4.5 U 5.1 5.3 SS S.7 5.9 6.1 6.3 6.5 6.7 7 7.2 ,7.4 Point System Summary: Climate Zone 11 SCORE CARD 1. Ceiling Insulation 2. Wall Insulation 3. Raised Floor Insulation 4. 'Slab Edge Insulation S. Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) a. North 3 3 b. East = c. South 42 - d. West = e. Skylight 8. Shading (Shade Closed) a. North b. East c. South d. West e. Skylight 9. Interior Thermal Mass 10. Exterior Wall Mass 11. Hea`ing System Zonal Control? ( Y / N ) 12. Cooling System Zonal Control? ( Y / N ) 13. Water Heating Measures . M) or R -value (381 U -value [0.0301 or R -value U -value 10.0981 �- or R -value [ NJ U -value [0.0371 or R -value [01 F2 factor (0.771 Standard Type [doub.e] U -value 10.65) % Total Glass (161 % Glass SC Eff. % Glass t, -7_ X 27 5-A, 01.0 X 5 •. q _ X q.6y 3 3 x = d- S 42 - X = -0 % Glass SC Eff. % Glass Ie . o X = a 3.3 X (� X = TYPE 1 MASS AREA lnteriorNasa/CFA 0 COND. FLOOR AREA TYPE 2 MASS AREA _ $ Exterior Wal;-tviass Z�TND. L OR AREA X SE or HSPF Duct Efficiency 10.781 Effective SE or 10.72!6.61 HSPF 105615.15) r lung, X = SEER (9.5] . Duct Efficiency (0.74) Effective SEER 17.031 Type [SGI Credit (acne) Point Scores r - � Sum 1-6 Sum 7.10 Point Total: O �m