HomeMy WebLinkAbout063-050-019_7
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RICHARD HALL of305-19
PIS He 2 /1 o'
Perrdt NopeZ� For'ich
............... ................. 'P'r"M(ne single family)
63-05-19
WELLMAN) George A. 2234-91B p
4792 Hei..di Way,
(new gafag�qsho Forest Ranch
D)-
063-05-0-019 91-3479
WELLMAN, GEORGE
CONTR: BURLESON, JACK
4792 HEIDI WAY, FOREST RAN ,Hq,qj
—.bd;=W,.HV-AC./.S.F
'63-05-19
3485-91B,E
WELLMAN9 Heidi WaGeorge
44792 H y, Forest Ranch
/9
(add stg'to garage)
-u
5
pal
A G
TO WIr
3-7-10 OWWA-
t 440
4,
yt
t
P�
r
-M
Called PG&E _
PERMIT NO.
670-85B PEC
PERMIT EXPIRES
OWNER
RICHARD HALL
CONTR.
owner
ASSESSOR PARCEL
63-05-19
LOCATION
E/S Heidi Way,
2/10 mi N Nope1,FR
4
TO WIr
3-7-10 OWWA-
t 440
4,
Temp. Elec. Service
Called PG&E_
Temp. Gas Sei
Called PC-
JOB
GJOB FINALE[
4 Signature
1; i4
FFICE COPY
Address
GAS
Meter By
Date
ELECTRIC ��i Date
Meter By
C—
yt
t
P�
r
Temp. Power Pole _
Called PG&E _
Temp. Elec. Service
Called PG&E_
Temp. Gas Sei
Called PC-
JOB
GJOB FINALE[
4 Signature
1; i4
FFICE COPY
Address
GAS
Meter By
Date
ELECTRIC ��i Date
Meter By
C—
J OI(
•0 Not OK
14ot Applicable
Not Ready
RESIDENTIAL (Single and Duplex) Q
4-.
, • r
Date UN RFLOOR Plans OK except #'s
Date FRAMING Continued
Zoning requirements- etbacks-Easements
roperty Line Firewall & Openings
2 Ftg., Main; Soils teel lec. Grnd.- / /" Ftg. Depth
xt. Doors -One 3' -Check Garage -3rd tory, 2 exits
e So'Is-Steel- / /" Ftg. Depth
tairs; Width -Headroom -Rise -Run anding-Fire Protection
4. tg., Porches & Decks Soils -Steel- / /" Ftg. Depth
lywood on Roof Overhang AVent- Rafter Outriggers
Stemwalls, Main Blockouts ra a 16
5PJ
Siding -Nailing -Veneer
age; Steel-Blockouts-Wrapped-Slab
ip Screed-Fdn. Vents-Underflr. Access
V. Piers -Fireplace Ft%.-SteeI4
5V,
Glazing Area -Glass Protection-Sk '
IS D.W.V.: Fall-Fi ngs 'way C/O -Sewer Tes
hear Walls; Nai ing-Bolts.
Gas Pipe; Size -Anchors
10. Water Pipe; Test -Anchors -Regulator -Service Test
11.tCElectric; Underground
12.1CPIenums & Ducts; Clearance -Material -Support -Ins.
13.XGirders-Sills-Anchor Bolts -Joists -Vents -Cripples
Card -BI
Card -BI
Date Card -BI Date
Date X34 ti Card -BI Date
Card -BI Z<.
Date Card -BI Date
Card -BI Date S Card -BI Date
Date FIN
P ris) OK except q's
Card -BI Dat Card -BI Date
Date W PL BING (Permit) OK except N's
I. Steps -Door & Sidelight Protection -Landings
5r
5FKe Detector
ater Ht.; Vent -Access -Combustion Air
.
Furna ents-Clearance-Comb. Air -Connector -
I arage; Above Floor-Ducts-Mech. Protection
Water Pipe; Test & A chors i
D.W.V.; Test Ftt An c iroom
Exiting
Shower Pan; Test, Firs 'oor=Tub Access
G.F. Be ixl&es & Tub Access
QPSLe!tTu Shower, 2nd Floor -Tub Access
c. Trim & ub el; Breaker Sizes -Labels
s ipe; Size & Anchors
S & R '
6 .
Fi a or Stove; Clearan earth
6 :
EI . utlets at Woo nel; Int. xt
Card -BI r3P_ Date( rj g Card -BI Date
65
Ki x & liance nd ' Ga - earance
Card -BI .Dat Card -BI Date
66.
. O ets & Rece c es it. Counter
Date V EL TRICAL Permit OK except q's
G e F' oor; Swi-Landing-Closer
6
A. uct in Gara e-Oam,ev—
Fixture &Transformer Clearance -Ins. Protection
6
tr. tr.; ts- ante -Comb. Air -Con ector-P.R.V.-
In ge; A e Floor-Mech.
let. Receptacles Spacing -Lights &Switches at Doors
KI Size Boxes & No. of Conductors -Stapled
7
PI ec ch: Equi . Listed for Location"
Romex Installed Close to Edge of tuds & C.J.
7
1JQrRomex P_rotec.
Equip. Ground made u /Mech. ste ,Bead.Gas & r
7 .
Ins ion -Foam -Looked inc
2 Appliance Circuits in Itchen & Conductor Size
7
uard�ils-&-Deck ruction -P ps
- g.,tiroaa� / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al
74LPtf
Vents & Crawl Hole-Draina a &•Wood -Earth Clearance
Lo oder Floor es g
Range Circ. /g/ gI!6Yes r AlOvenCirc. / / ga. Cu or Al,[t3 —
Insulated Neutral Yes No
ollowin Drive s 0 No; Walks —[]Yes No;
PI s es
S rvice-Riser Conductors rou n Disconnect
7 ,.
S ;Brown -Finish
quip. Clearances; Panels-Motors-Mech. Equip.
7
q nit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
Clothes Closet Light -Shower Light
Ve ove Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
7.,,
r Well; Disconnect, Electrical, Plumbing
8
t eri Iec: Trim; G.F.I. Receptacle -Underground
Card B -I Date Card -BI Date
S 8
8
entilation throughout House
Card B -I Date S Card -BI Date
62.
Gla o ection
Date MECHANICAL (Permit) OK except N's
8
orrecti -f om Previous Inspections
64..
-Zelurs I agg -Electric
A.C. Ducts; Insulation & Support
05r
& Sewer Connected -C/O to Grade -HD Approval
Vent Fan; Exhaust above Insulation
6
Energy Compliance Certificate -Other Certificates
,Condensate Drain & Overflow; Size & Grade
��✓ Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
is Access & Platform if Furnace in Attic
-
Card-BIPPS,
ate VP 7�91Card-Bl Date
Card -BI S Date 5 Card -BI Date
Card -BI
Date Card -BI Date
Card -BI Date Card -BI Date
Card -BI
Date Card -BI Date
Date FRAMING(Plans) OK except q's
Comments at Final:
V./Sills; Proper Material & Anchors
J Walls; Studs -Nailing, Spacing & Bracing es Sound
Bearing Walls over Girders & Floor Nailing
Draft Stop in Walls (rat proof)
DR&Fire Stops: Furred Ceilin s t rs h
Header & Beam -Size & Bearing
angers -Post Caps -Anchors -Connectors
0aCPCInq. Joist-Rftt•. Ties-Purlin-Roof Brac. ss Shthng.-Ring.
Fireplace Ties or Ty e A -Fireplace Throat
45: ttic Access, ize & Romex Protectio raft Stop ns. Baffle
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
"'Protection Framing '
(NOTE: An entry must be made each time you visit jobsite)
M
0 = Not OK
= Not Applicable MOBILEHOMES MISCELLANEOUS
* = Not Ready
Date
MOBILEHOME UTILITIES (Plans) OK except q's
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except q's
1. Zoning Requirements -Setbacks -.Easements
2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/O -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
Card -BI
Date Card -BI Date
Card -BI Date Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except N's
1• Zoning Requirements -Setbacks -Easements
Card -BI
Date
Date Card -BI Date
POOLS (Plans) OK except p's
1. Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4. Elec.; Receptacles and Lighting; Distances-GFI
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected -C/O to Grade -HD Approval
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Exits; Insp.-Sketch..,
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir.,Test-Water Supply Test
Card B -I
Date Card -Bl ~ Dater
Card -BI
Date Card -BI Date
Card B -I
Date Card -BI Date'-
Card -BI
Date Card -BI Date
r
.Tal .j..
Richard Hall
P.O. Box 189
Forest Ranch,
Dear Mr. Hall:
to r -
ffu tte Count,
LAND OF NATURAL .WEALTH AND BEAUTY
DEPARTMENT OF PUBLIC WORKS
WILLIAM (Bill) CHEFF, Director
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965
Telephone: (916) 534-4541
RONALD D. McELROY
March 14, 1986 Deputy Director
RE: Building Permit No.670-85
CA 95942 Expiration Date 4-4-86
(A.P. No.63-05-19 )
With reference to the above subject, our records indicate that your Building Permit
e xpir�_ on the above date. Building permits are valid for one year and should
construction be started but not completed by the expiration date of the permit, the
permit shall be renewed for 1/2 the original Building Permit Fee (plus a $10.00
"Filing Fee"). The renewal permit will extend the Building Permit for an additional
year from the original expiration date.
Should you not renew your permit in a timely manner, it cannot be renewed and all
work must cease until a new building permit is issued.
If your construction is completed or should you have any questions concerning this
matter, please contact the Chico office.
For your convenience, we are enclosing a renewal application form and an owner -
builder form to be completed and signed by you where indicated and returned to this
office together.with the fee shown. Please return all copies of the application
form.
Thank you for your prompt attention concerning this matter.
Yours very truly,
William Cheff
Director of Public Works
/s Glander
JFG:a
j --Chief Building Inspector
Attachments: Permit Application
Owner -Builder Information
Owner -Builder Verification
cc.: Building Inspector - Chico
Chico - 196 Memorial Way 'Q91-2751 Paradise - 747 Elliott Rd./872-2961, Ext. 57
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 538-7541
747 Elliott Road, Paradise — Phone: 872-6307
CORRECTION NOTICE
6 -'F5: -
ER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at above address and should be corrected. Please notify this office
when crection of work is completed. If you have any question pertaining to this
matt or need additional explanation, please contact this office immediately.
A, -,71e 7(-1 4// 4leC—
G'lC���3 6! 0�1 -jGr •-. l��rr►--i-� �O �EJn-� �`P�Y1��:,;. ,
Date-/ DJ// Po Inspector 44,
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AREA CODE NUMBER EXTENSION
��TELEPHONED�'�y�� �'
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PLEASCALL '• �=
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9>CE,O'SEE YOU.Wat�LLGAIN,.�
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MESSAGE
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SIGNED
UTHO IN U.S.A.'•
~TOPS. FOAM 3002S
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NOTES
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 538-7541'
747 Elliott Road, Paradise — Phone: 872-6307
CORRECTION NOTICE
4-PM1 Q Q / --)/,--,
OWNER — PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
Date /U" / — 96 Inspector
"-� COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville -- Phone: 5344541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
69a -J's
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
whe correction of work is,completed. If you have any question pertaining to this
m ter, or need additional explanation, please contact this office immediately.
c -s)IVA- ;
Inspector_, Date V7'As
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751 .
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter 'or need additional explanation, please contact this offic immediately.
I,*i
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61
l
Inspector— Date
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
y- � )d ,
OWNER PERMIT Ni
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when orrection of work is completed. If you have any question pertaining to this
matt r, or need additional explanation, please contact this office immediately.
/,�y,, ,,p/�/ / q 5
Inspector_ _/f�l��f!'/ / Date_
v
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist t the above address and should be corrected. Please notify this office
whe correction of work is completed. If you have any question pertaining to this
m ter, or need additional explanation, please contact this office immediately.
_ f ,
. � � � ,'./' T*i/ / ' '//rvl T : O'� .l-�9J✓1.� ��-'�LtJ�'✓L
A
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Inspector /47 Date '��
COUNTY OF BUTTE
` DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 5344541
Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57
CORRECTION NOTICE
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
jterwhcorrection of work is completed. If you have any question pertaining to this
;-o.r need additional explanation, please contact this office immediately.
2
0
Inspector r" to "V "^i Date -J I /gA�— — ,
Owner•�Permit No. G70
E N E R G Y C E R T I F I C A T h 0 N
LOCATION A.P. No.
DESCRIPTION OF INSULATION
ROOF
Material Brand Name
Thickness(inches) Thermal Resistance (R Value)
. EXTERIOR WALL /J�
Material_ /�O(.C- Brand Name �/,y�,yi/$
Thickness(inches) a Thermal.Resistance(R Value)
CEILING
Batt or Blanket Type /7gC7_E
Thickness(inches)
Loose'Fill Type
Minimum ThicknesWnches)
Area covered(ft. )
FLOOR, ELEVATED
Material
Thickness(inches)
FLOOR, SLAB
Material
Thickness(inches)
Width(inches)
FOUNDATION WALL
Material
Thickness(inches)
Brand Name Qz&,�5;0;q
Thermal Resistance(R Value)
Brand Name
Number of Bags Wt. per bag lb.
Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R Value)
I hereby certify that -the above insulation was installed in the above building
in confdrmance with the State of California. Ener &- Requirements.
FIRM NAME/OWNER STATE CONTRACTOR'S LICENSE NO.
S TUR/ . F INSTALLAT ON APPLICATOR DATE
I hereby .certify the above insulation and all required items as shown on the
Building Department' approved plans and -attachments have been installed as
required by the State of California Energy Requirements.
All equipment, devices and materials are of the quality prescribed or are
specifically approved by the State of California.
FIRM /OWNER (Pleaie print) STATE CONTRACTOR'S LICENSE NO.
dlf"rj JOA
s iGK&m 0Q CO RAMR OWNER D TE
THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL
INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE. BUILDING.
January 1984
t I A
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IMl�QFlTANT �ils'1'ESSAG,E V
FOR
-
slgTIME
" -DATE TIME A
M-•�(-�
OF
PHONE
. ARMACODE ' ' NUMBER EXTENBION
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TELEPHDNE ��PLEASEGALL
�L,a1�o;..>ias�i;':m �.as.A, 5NE
GAME TO� EE YDU �
TWILL GALL�A6AIN�
WANTS SE�EYppOU�'
RETURNEDfYDUR CALF n
ISPECIAL'ATTENTION
i��;'.fix7Yx�'.�nbr.T,X��.�';�5
KI OTE S
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, Cglifornia,95965 - Telephone 916/534-4541 D ��
APPLICATION AND PERMIT
ASS ,YR PARCEL NUMBER Z I GlhqQ -
BUILDING PERMIT
OWN TELEPHONE
�JG IT '- O/
S OCC. BUILDING VALUATION
_ r-44
OWNER'S AILING ADDRESS
Swa
CONT ACTOR'S NAME TELEPHONE
CONT ACTOR'S MAILING ADDRESS
Fireplace i
CONSTRUCTION LENDER
UNKNOW
Total Valuation $
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$ �
CH CT OR ENGINEER
G J —Sr
LICENSE No.
Plan Checking Fee
$
Panalty (y
$
ARICH TECT ENGINEER'S MAILING DDR SSIle
p �'
Permit tee
$
B ILDING ADDR_�,S
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00 S, 0 p
LOT NO.
SUBDIVISION NAME
PARCEL M P
--
Each qas water heater or ven
5.00 1
Gas piping system 1 - 5 outlets
5.00 5 d L)
USE OF STRUCTURE
SF Duplex ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer
5.00
Mobile Home S G W
10.00 e
TYPE OF WORK
New Addition❑ Remodel❑ Utilities [:1 Installation❑ Other❑
Describe work:
Permit Fee
$ {�
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP ORV OR LESS10.00
Q v
ALd
Main service EA, ADD'L too
2.50 S'C) I
NEW CONST DWELLING
OR ADDNS. ( ACC. BLD
2'hQSq ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)•
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW NON•RESID R.BRANCH CIRCUITS) 2.50 ea
NEW CONSTR.POWER APPARATUS &
NON•R ESI D. (SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES 20@50C
DAL®30
FIXED APP LNS, OR
EX. Occup. OUTLETS (RESID,) EA.1 2.00
Temporary service
10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Q
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.
1 shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the 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 Iiabil' 'es, judgments, costs, and expenses which may in any way accrue
again sai County in cons a ce of the granting of this p rmit.
X Date ��
Signature of Applicant — OWnerX Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" a p dem it'o spnstruct-
ion of structures over 3 stories in height. al -sl
Mobile Home Installation Fee $
�` .
TOTA ER T FEE
OCCUP. GROUP
�c7
TYPE OF CONT.
//
PF-r
✓
PD
MD is
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRE T R OF PUBLIC
By
PE T EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
�
Date
// [[��
Receipt No. — b•7if 30.0p
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECT GOLDENROD-APPLIC NT -
COUNTY OF BUTTE - DEPARTMENT QF PUPLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE,-CALIFORNIA 95965 - TELEPHONE: 916/534-4�/
t
PERMIT APPLICATION DATA SHEET
OWNER �< ,,- -/-G,i>'d //" ./I
Proposed Building Use
Permit Fee Based Upon
Building Inspector
Complete Contract Price
Othei-1(Ex,pIain)
Permit No.
A. P. No. 3- U . / G
DPW Valuation
Date - -1-/,? .--- 1
At time of permit application, I was advised the fal,kowing data must be submitted prior to permit processing
and/or issuance: DATE RECEIVED APPROVED
��All items have been submitted.
< e -
Plot plans inupli/triplicate.
3. Complete plans in duplicate/triplicate. . . . . . . . .
4. Complete engineered plans and calcs. . . . . . . . . .
5. Plans with Energy Design Compliance Statement. . . . . .
�. State Energy Forms NS/GNU FOA Off I . . . .
197� TR -s-
7 Statement of Intent for Non -Heated and AC Buildings.
Fees of $ �L./C , . . , , , . .
�GG9. Letter of signature authorization. . . . . . . . . . .
. Sanitation approval from G"/-/ ,ro Health Dept. . .
11. Planning approval for (A) Use: (B) Parking:
12. Certificate of Workmen's Compensation Insurance. . . . . .
Ole
13. Contractor's License Information (no., name style,_classif.)
4. Owner -Builder Verification (Given to owner❑- it to owner ❑) 7JZ� P S J
15. Improvements may be required. . . . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . . . .
Pre-Insp7. Pre -Inspection for Required.
request to (Dote)
P q Building Irnspector
l< 18. Other l . e-e2,e/, f
4t';7XW Go-,"' a i�/i // fir d n f
Whou issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone IU e9l?9 and hold for pickup at(- 11 office. Deliver w/inspector.
Other
Applicant �vbm_,D)
Date
Copy of plans sent Health Dept., Fire Dept., Other
Date
During the plan checking process, the following data must be submitted prior to permit issuance.
(For required items not checked above at time of ap li atiot� rcje 'tem.)
1. Index permit for above Items No.
2. Additional items required:
(Contractor, Designer, Owner) was advised of above required data by _Telephone Mail Other
By -• J Date 3 -k-*-
Plans checked by
k.
nates
Copy -DPW
i
,of
T0: Building Department
J
FROM: Environmental Health, Chico
SUBJECT: Sanitation. Clearance
I��ir,�, ►a-. a N -a ll 14e 63 -r- l
Owner Location ppq
Plan approved for: sewage disposal water supply
Hold final for:
Final clearance O.K. for:
Clearance forS bedroom wXW&ba home. Other
I -
Note***,
I.
Sanitarian
water supply
water supply
Date
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA. 95965
OWNER -BUILDER VERIF ICAT ION
Attention Property Owner:
Phone: 916-534-4541
An "owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information in the envelope provided at your ~
earliest opportunity to avoid unnecessary delay in processing and issuing your build-
ing permit. No building permit will be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction
of the proposed property improvement (yes or no) �.
2. I (have/have not)�)CWsigned an application for a building
permit for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed
.construction:
Name_ 1
Address. City
Phone Contractors License No.
4. I plan to provide portions of this work, but I have hired the following
person t9 coordinate, supervise, and provide the major work:
Address
Phone
Contractors License No.
City
5. I will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name Address Phone Type of Work
S igned :
Property Owner
Social Security 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
permitted to issue the permit.
85- G98U
RettA to 'DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT ur
FOR RESIDENTIAL DEVELOPMENT %U,IE CC9UWTYnQAIjERC j,.
I.I
Section 26-8.1 of the Butte County Code requires this acknowledgemeM
be recorded prior to issuance of a building permit.
The property described herein is adjacent to land or included GLIAIK
within an area zoned for agricultural purposes, and residents of this
property may be subject.to inconveniences or discomfort arising,from
the use of agricultural chemicals, including, but not limited to herbicides, pesticides,
and fertilizers; and from the pursuit of agricultural operations including, but not limited
to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust,
smoke, noise, and odor. Butte County has established agricultural 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 disconform from normal,
necessary -farm operations.
All that real property situate in the Coanty of Butte, State of California,, described
as follows:'
Date: 2N - a-9;5
PROPERTY OWNERS:
State of �CTo'C(1\Q ). On this the /2 day of A/ZCH 19 gs before
SS. me, the undersigned Notary Public, ersonally appeared
County of _ )
_ J
OFFICIAL SEAL Personally known to me. /37 Proved to me on the basis
Yof satisfactory evidence.
WAYNE A MATTSON Y
NOTARYPUBLIC-CALIFORNIA o be the person(s) whose iiame(s) . /S subscribed to
BUTTE COUNTY he within instrument and acknowledged that HC
My comm. expires MAY 28, 1988 xecuted the same for the purposes therein contained.
IN WITNESS WHEREOF, I hereunto set my hand and official seal.
Notary Public .
Present A. P.- No.
110
Y
85- 6989
DtfacaiPTloN$
All that certain Coal property of teats in the County of Butte, State of
California, described as follows
Lot 1, as shows on that certain Parcel flap of a portion of the south-
qIe�asntfe sMt M.,
which arcel Ma=filed in Office OthR&Cordoofthe
Count of Butte, State of California, January 31, 1972, in look 40 of
Parcel Maps, at page 93.
TOGVrUR WITH a right of way for road and public utility purposes over
a strip of land 40 feet in width, the *AterlLne of which is described
aI follows$
COS9ILlsCIW6 at the Northwest earner of the Louthwest quarter of said
Section S! theme* South 0. 21' 350 test along the West 1100 of said _
section S, a distance of 1013.41 feet) these* South 48. 0S• 43• test,
a distance of 743.83 feet to the point of beginning for said esaterliae
:hs"s North 2S• 32. 040 test •09.67 foots Neese as a curve to the
lefarctwith a distanceradius of of 493.21300 fasts themes norrth i0 411 1770 West,traangle of C60 331 21* 623.91 feet
to a point o0 thoSoutheasterly boundary live of the land described L
the toed to the County of Butte• reoerded September 20, 1961, In Book
1179. of official Records, at page 433, records of Butte Caur:y,
Caliiornia, Sad the and of. said Centarliae.
ALSO TOGLTNLN MLTs a right of way for road aad.utilit purposes over
a strip of lard s0 feet in width, the csntarlfae of w ch is described
as follows$
CO$MLfICING as the Northweat corner of-Ne-Soat most quarter of wid_ - -
section So thence South o• 21. 3S• Ltt, along the West Sins of said
Sectioa S,a distance of 1073.41 feotl those South $0. W 42• Oat,
a distance of 743.83 fort to the point of beginning for said contor-
liael thence South :• 17' OS• West •17:07 tests Nonce south 88. 4s•.
38• West, 060 feet to a point on No Most line of said Section St Nemec
South 0. 21. 33•iast, slang the West line 'of said Section 1. a distance
of 040 lest to a point at the Southwest amber of said Section S and the
and of said Centerline. .
ALSO TOGLTHtR WITH a non-oarlasive easement for road and public utility
purpoess over the following described parcel of :meds
SBClIvi"a at the Southeast Cbrnar of Section s, Township 23 North,.
Range 3 taat►M.D.s. M.$ THYNCt North es• 17' 39•.West along the South
boundary line of said soctioe•s, a distance of 82.0 feet$ thence North
44. 40• `3• t:alt a distance of 117.79 feet -to a point in the Lasteiiy
boundary line of said Faction 4r. thence foll-wing along said tastarly—.---
boundary line'south 0•.21. 130 Last.!&. distance .of. 82.0 feet to the polat
of begianlog.
ALSO a nen-exclusive easesest for road and publie'utility purposes over
a strip if land 40.0 feet in width lying 30.0 feet on each Dice of the s
following desc:ltsd :4rt4r1106$
(eoatinuodl•
u
0
E �m
LIM
r
i
85- 6989
BCGINNINc at the Northeast corner of Section 7, Township 27 North,
Range.3 Last.M.D.B. a M.s thence followinq along the Northerly .
boundary line thereof North Si• 1!' 31' West'. as shown on that cartaaw
Recordof. Survey-Map_for_Donald No Choate, at al, which Map was -filed.
in the office of the Recorder of -the County of butte. Stats
--'fornre_ in -Sock ')9-of-Yapsy—at-pa9ss 11. 20 and, 21 for a distance of
702.4') tests thence leaving..said JWtherly bouhdary line If said Sie-
tion 7, South 4'.00' 00' Meet, a distance of 44.2$ testi there. -South
54. 14' f2' West,. 133.98 tests thence South 42' 08' 28' Nest, a dis-
tance.of 143.72 feetr thence South 12' 48' 02' Nest, a distance of
172.81 teats thence South 54' 12' 31' west. S51.44 frets thence north
36' 04' 31' West. 23S.S8 feats thence Horth 20' 31' 1]' west. 311.38
teeth thence`North S)0'13' 01' West, being parallel to and !0.00 feet
Southwesterly at right angles to the Southwos!erly touaEary line of
that eertafa parcel of land as conveyed by Deed to R. D. Ritsch, recorded
In e.ok 1441, of Official Records, at page 458, records of Butte County,
CalLforiia, a distance of 310,11 festa theme North 56' 44' 14' West,
a distance of 138.12 feet to.the bpinaissg of a non-ta09*nt curve to
the rUhts thence following 81069 the are of said non -tangent curve
to the right, the chord of which bsais Nortb 51• 50' 2b West, a dis-
tanci of 33.42 fest,.thc"b a central angle of 7. 3f' 14' with a
radius of 25.2.0 fist for as are distance of 33.44 feet to a point 10-
eated in the-oeattrllne of Robert:Z. Lee Drive. as shown on *aid Record
of Server, Map and as.shovn on that certain Map of ibrthwOOd• Subdivl-
*lon unit No. 1, which.Map was filed In the office of the Recorder Of
the County of Butte, State.of Califorala, In Book 23 of Haps.-St p494
.t, and the sed of said road eenterliae.
Chi ^UiGF.-r4f,+M4":
r
g�
%#
�
�
�
�Q
oƒ
�
0
��
ZONE 11 'l
OWNER,RIC4 j0 ftAVe _ Iy-/4'i L ASSIGNEPOINTASCTUAL
PERMIT N0. -o
_ A 1. SLAB - INSULATION
2. RAISED FLOOR - R-19
3. CEILING - R-30 1_
4. WALL - R-19
5. NORTH GLAZING - 2.4-3.6% ��f/''+_4
6. EAST GLAZING - 2.5-3.6% 6 . -
7. SOUTH GLAZING - 1.6-3.6% _ Z
3. WEST GLAZING - 2.9-3.6% h %�
9. SKYLIGHT - 0-1.3% •�
10. SHADING (Exclude Overhang)
EAST - C-6.66
SOUTH - /- Z .19-.42
WEST - 6-7.13-.36
SKYLIGHT - .37-.57
11. HORIZONTAL SOUTH OVERHANG 2' D -2-
12, MOVABLE INSULATION - NONE
13. INFILTRATION (Standard=0)(Tight=+12) S7_27 0
14.- THERMAL MASS SF
15., GAS FURNACE (SE) 71-76%
16. HEAT PU1fP (EER) 7.5-7.9%
17. DUAL PACK (SE, SEER) 8,0-8.3/71-76%
WOOD STOVE f 3 3
�G WATER HEATER O
ATTIC
OTHER .
TOTAL
POINTS
1 R -Value of Insulation I
I 1
Points I
I
I 19 I
-4 ' 1
I 30
I
i +3 1
I I
I 30 1
Table 3-1. Slab Floor PointsTable
_I ---
3-2.
Raised Floor Points
r
T
T
0 I 0 I it
! rn=ula- I R -Value of Insulstfon
I
! R -Value of ( I
I Dept1
.83 up i
Insulation Points
I depth, �T
0 1 3.2 16.4 18.0 1 9.f
i
i
( [nches I 0-2 1 3-4 ! 5-6 I' 7+
1
+1 I +2 I +2 I +3
I .19-.42 1
I I I I I
1
1 below 3
I -12 I
West 1
.1 11.6 13.2 16.4 19.0
I
to I to i to I to I up
I .0 - 11 1 -5 I -5 I -5 I -5 1
0-.12 1
I 3- 7
I -6 I
I 12 - 15 ( -5 I -3 I -2 I -1
1
I 8 - 12
1 -4' I
116 - 19 i -5 I -2 I -1 1 0 1
8''-1__up I
I
I 13 - 18
I r2 I
I 20 +( -5 I -1 1 0 1 +1 I
I
I 19+
I 0 I
7/7/83
Table 3-3a. Ceiling Insulation
Points
I
1 R -Value of Insulation I
I 1
Points I
I
I 19 I
-4 ' 1
I 30
I
i +3 1
I I
I 30 1
0 i
I 38 I
+2 I
49 I
+4 I
Table 3-4a. Wall Insulation Points
I R -Value of Insulation I Points
North -Facing ClazinR Pte
I I Glazing Type I
I Total I
I I of Sngl, Dbl, Trpl,l
I Floor l u - l U- l U- I
Axes 1 0.66 i 0.42- 10.41 I
I 1 1.10 i 0.65 I down 1
o +4 +4 +a
I 1.3- 2.3 1 +1 I +2 I +2 I
1 2.4- 3.6 I -2 1 0! +1 I
I 3.7- 4.8 I -4 ! -2 I -1 1
1 4.9- 6.1 I -7 I -4 ! -3 I
I 6.2- 7.3 ! -9 I -6 I -5 1
1 7.4- 8.2 1 -12 I -8 I -7 I
I 8.3- 9.7 I -14 ! -10 I -8 I
1 9.8-10.8 i -17 I -12 1 -10 I
110.9-12.0 I -19 I -14 I -12 I
1 12.1-13.2 I -22 I -16 I -13 !
13.3-14.5 I -24 I -18 I -15 I
114.6-15.3 I -27 I -20 I -17 1
3-6. East -Fact
I Glazing Type
D' dT 1
7. South -Facing Clazing Pts Table 3-10. Shading Coefficient Pnlnrs
Total I 1
I of I Sngl, I Dbl, Trpl,
Floor I (U- I (U - I (U - I
Area 11.10) ! 0.65) 10.41)1
Ipolnts 1points 1o01ntsl
I up to 1.5 1 +2 1 jtL 1 +2
1 1.6- 3.6 1 -1 1 0 I 0
I 3.7•- 5.2 1 -4 1 -2 ( -2
5.3- 6.5 1 -6 I -4 ! -3
I 6.6- 7.7 1 -9 I -6 I -5
I 1.8- 8.9 1 -11 I -8 1 -7
1 9.0-10.0 I -13 I -10 .I -9
1 10.1-11.5 I '-17 ! -13 I -11
1 11.6-13.0 I -21 I =16 1 -14
1 13.1-14.5 I -25 I -19 I -16
14.6-16.0 i -28 i -22' -19
'able 3-8. West -Facing Glazing Pts.
I Glazing Type I
I Total I
Z of I Sngl, IDbl. Trp1,1
I Floor I (U - I (U - I (U - I
I Area 1 1.10) 1 0.65) 1 0.41)1
I I oints [points I ofntsl
o 1 8 +6 +6
I up to 1.3 I +5 I +6 i +6 I
I 1.4- 2.2 I +3 I +•4 I +5 i
I 2.J- 2.8 I 0 1 +2 I +3 I
I 2.9- 3.6 1 -3 I 0 1 +1 I
I 3.7- 4.2 I -5 I -2 I 0 1
1 4.3- 5.0 1 -8 I -4 I -2
I 5.1- 5.6 I -10 1 -6 1 -4
I 5.7- 6.2 I -13 I -8 I -6 I
I 6Tf -r9-1 -18 I -TT_ I -9 I
( 7.7- 8.2 1 -20 'I -14 I -11 I
1 8.3- 8.8 1 -22 I -16 1 -13 I
I 8.9- 9.5 I -25 I -18 I -15
I 9.6-10.1 I -27 I -20 I -16 I
110.2-11.0 1 -29 I -23 I -17 1
1 11.1-11.8 I -35 i -26 I -21 I
111.9-12.7 I -38 1 -29 I -24' I
1 12.8-13.5 I -42 I -32 I -27 I
113.6-14.3 I •-46 1 -35 1 -29 I
1 14.4-15.2 I -50 1 -38 1 -32 I
I I 1 I I Table 3-11. Horizontal South
Overhang Points
Table 3-9. Skylio,ht Points South Glazing
I Length Out I Area, Z of Floor I
I Glazing Type I I from Wall I I
i Total I I I ft r
1 Z of Sn 1 Dbl 7r 1 I 10-6 3 1
F--
1 SC by
I
I 19
I 0 1
tation
`
I 30
I
i +3 1
I I
North -Facing ClazinR Pte
I I Glazing Type I
I Total I
I I of Sngl, Dbl, Trpl,l
I Floor l u - l U- l U- I
Axes 1 0.66 i 0.42- 10.41 I
I 1 1.10 i 0.65 I down 1
o +4 +4 +a
I 1.3- 2.3 1 +1 I +2 I +2 I
1 2.4- 3.6 I -2 1 0! +1 I
I 3.7- 4.8 I -4 ! -2 I -1 1
1 4.9- 6.1 I -7 I -4 ! -3 I
I 6.2- 7.3 ! -9 I -6 I -5 1
1 7.4- 8.2 1 -12 I -8 I -7 I
I 8.3- 9.7 I -14 ! -10 I -8 I
1 9.8-10.8 i -17 I -12 1 -10 I
110.9-12.0 I -19 I -14 I -12 I
1 12.1-13.2 I -22 I -16 I -13 !
13.3-14.5 I -24 I -18 I -15 I
114.6-15.3 I -27 I -20 I -17 1
3-6. East -Fact
I Glazing Type
D' dT 1
7. South -Facing Clazing Pts Table 3-10. Shading Coefficient Pnlnrs
Total I 1
I of I Sngl, I Dbl, Trpl,
Floor I (U- I (U - I (U - I
Area 11.10) ! 0.65) 10.41)1
Ipolnts 1points 1o01ntsl
I up to 1.5 1 +2 1 jtL 1 +2
1 1.6- 3.6 1 -1 1 0 I 0
I 3.7•- 5.2 1 -4 1 -2 ( -2
5.3- 6.5 1 -6 I -4 ! -3
I 6.6- 7.7 1 -9 I -6 I -5
I 1.8- 8.9 1 -11 I -8 1 -7
1 9.0-10.0 I -13 I -10 .I -9
1 10.1-11.5 I '-17 ! -13 I -11
1 11.6-13.0 I -21 I =16 1 -14
1 13.1-14.5 I -25 I -19 I -16
14.6-16.0 i -28 i -22' -19
'able 3-8. West -Facing Glazing Pts.
I Glazing Type I
I Total I
Z of I Sngl, IDbl. Trp1,1
I Floor I (U - I (U - I (U - I
I Area 1 1.10) 1 0.65) 1 0.41)1
I I oints [points I ofntsl
o 1 8 +6 +6
I up to 1.3 I +5 I +6 i +6 I
I 1.4- 2.2 I +3 I +•4 I +5 i
I 2.J- 2.8 I 0 1 +2 I +3 I
I 2.9- 3.6 1 -3 I 0 1 +1 I
I 3.7- 4.2 I -5 I -2 I 0 1
1 4.3- 5.0 1 -8 I -4 I -2
I 5.1- 5.6 I -10 1 -6 1 -4
I 5.7- 6.2 I -13 I -8 I -6 I
I 6Tf -r9-1 -18 I -TT_ I -9 I
( 7.7- 8.2 1 -20 'I -14 I -11 I
1 8.3- 8.8 1 -22 I -16 1 -13 I
I 8.9- 9.5 I -25 I -18 I -15
I 9.6-10.1 I -27 I -20 I -16 I
110.2-11.0 1 -29 I -23 I -17 1
1 11.1-11.8 I -35 i -26 I -21 I
111.9-12.7 I -38 1 -29 I -24' I
1 12.8-13.5 I -42 I -32 I -27 I
113.6-14.3 I •-46 1 -35 1 -29 I
1 14.4-15.2 I -50 1 -38 1 -32 I
I I 1 I I Table 3-11. Horizontal South
Overhang Points
Table 3-9. Skylio,ht Points South Glazing
I Length Out I Area, Z of Floor I
I Glazing Type I I from Wall I I
i Total I I I ft r
1 Z of Sn 1 Dbl 7r 1 I 10-6 3 1
F--
1 SC by
I
I Oreen-
I : Floor Area
tation
`
I East
I I 3.2_-
i
! 0-3.1 ! to 1 6.4 up
I
I
I I 6.3 I
i I
I
I 0 -.19 1
0 1 +1 I +2
I .20-.36 1
0 I 0 I it
I .37-:66 I
0 1 0
I "'1
0 I �0 I -1
.83 up i
0 i -1 i -2
I South 1
0 1 3.2 16.4 18.0 1 9.f
I
to I to I to I to I up
1 3.1 16.3 7-99.5
I 0 -.18 10!
+1 I +2 I +2 I +3
I .19-.42 1
0 1 0 1 0 1 0 I 0
I 43-.66 1
0 1 -1 I -2 i -2 -3
.I
-2 I -4 I -4 I -6
West 1
.1 11.6 13.2 16.4 19.0
I
to I to i to I to I up
i 1.5 13.1 16.3 17.9 1
1 I 1 I i
0-.12 1
0 1 +1 I +3 I +6 I +7
.13-.36 I
0 1 0 1 0 I 0 1 0
.37-.57 I
0 1 -1 I -3 I -6 I -7
58-.82 1
-1 I -3 1 -6 1`Is2 1 -15
8''-1__up I
I
-2 1 -4 1 -8 1 -16 1 ='70
I 1 I 1
Skylight I
.1 I .811.6 13.2 1 4.0
I
to ! to I to 1 to I to
I.7 1_5 I 3.1 13.9 I 5.2
0-.12 10!
+1 I +3 1 +6 1 +7
.13-.36 1
0( 0 1 0 1 0 1 0
.37-.57 1
0 1 -1 I -7 I -6 I -
.58-.82 I
-1 I -3 i -6 I -12 I -.
.83 up 1 -2 I -4 I -8 I -16 I -20
I I I I I
sngl, I Dbl, Trpl,
I Floor l
u- I
v -� I
U- I
I I
up I
I I
Floor
I (U -
1 (U - I
(U - I
I Area 1
0.66- 10.42-
10.41
1
0 - 0.5 1 -2
1 -4 '
Area
1 1.10)
1 0.65).1
0.41)1
1 1
1.10 1
0.65 i
down I
10.6 - 1.0 I -2
i -3 I
�I _ointS
1points !
oIntsl
11.1 - 1.9 ! -1
I -2 !
o
I+ .1
+ 7
• _T
I up to 1.3 I
-1 I
0 I
0 I
I 2.0 up I 0
I 0 I
I up to 1.3
1 +3
I +4 I
+4 1
I 1.4- 2.2 I
-3 !
-2 1
-1
I 1.4- 2.4
I +1.
I +2 1
+2 1
! 2.3- 2.8 I
-6 I
-4 1
-3 1
Table 3-12. Movable Insulation
I 2.5- 3.6
I -2
i 0 1
0 1
I 2.9- 3.6 I
-9 I
-6 I
-5 i
Points
i 3.7- 4.6
1 -5
I -2 i
-1 I
I 3.7- 4.2 I
-11 I
-8 (
-6 1
! 4.7- 5.6
I -8
I -4 I
-3 1
I 4.3- 5.0 1
-14 I'
-10 I
-8 I
I Moveable Insulation'l
!
I 5.7- 6.7
1 -10
I -6 1
-5 I'
I 5.1- 5.6 1
-16 1
-12 1
-10 I
I Area, Z of Floor I
Points I
1 TTI
-13
I S I
-7 I
1 5.7- 6.2 I
-19 I
-14 1
-12 I
! (
1
I 7.8- 8.7
I -15
1 -10 (
-8 i
1 6.3- 6.9 I
-21 (
-16 I
-13 I
I
1 8.8- 9.7'1
-1.7
1 -12 1
-10 I
I 7.0- 7.6 I
-24 1
-l8 I
-15 I
I 0- 5.5 I
0 I
i 9.8-11.2
1 -21
I.-15 I
-13 I
1 7.7- 8.2 I
-26 I
-20 I
-17 I
I 5.6 - 11.5 I
+2 I
111.3-12.7
I -25
I -18 I
-15 1
1 8.3- 8.8 I
-28 1
-22 I
-19 I
I 11.6 - 17.5 I
+4• 1
1 12.8-14.0
I -28
I -21 I
-18 1
1 8.9- 9.5 i
-31 I
-24 I
-21 I
I 17.6 - 23.5 I
+6 I
i 14.1-15.3
1 -32
I -24 I
-20 1
1 9.6-10.1 I
-33 1
-26 I
-22 I
I >23.6+ I
+8 I
r
Table 3-13. Inf!Itratfon Control
Feer -ores Points
I Coc:rol Features I Points I
T__-_ I I
I Standard 1 0 I
� I I
I
0.9 air changes per hr 1 1
I I I
T-
I Tight i +12 I
I I 1
10.6 air changes per hr I' 1
I i
Table 3-15. Cas Furnace Without
Refrigeration Cool_r. Pointa
F__
_- I
I Seasonal Efficiency I Points I
I (SE). L I
� I I
I 71 - 76 I 0 I
I 77 - 82 I +2 I
I 83 - 38 I +4
I a9 - 94 1 +6 I
I 95 up I +8 I
i I I
Table 3-16. Feat Pumo Points
I Energy Efficiency 1
Points I
I Patio
I
(EER)
I
I
I 7.5
- 7.9
I +3
I S.0
- 8.3
I +6 I
I 9.4
- 3.7 I
+9 I
I 8.8
- 9.1 i
+12 I
I 9.2
- 9.6 I
+13 I
I 9.7
- 10.2 i
+18 I
I 10.3
- 10.8 1
+21 1
I 10.9
- 11.5 I
+24 I
1 11.5
- 12.3 1
+27 1
I 12.4
I
- 13.2 I
I
+30 1
I
Table 3-17. Cas Furnace With
Refrlperatfon Cooling Points
!Refrteeracfonl Cas Furnace. I
I Cooling I SE Z I
1171-177-i a J - s9- 95
I 1 761 821 881 941 up I
1 8.0 - 8.3 1 01 +21 +•4 i +61 +8 1
1 8.4 - 8.7 1 +21 +41 +51 +91+10 1
1 8.3 - 9.2 1 +41 +61 +01+101+12 1
1 9.? - 9.7 1 +61 +81+101+121+14 1
I 9.8 - 10.3 1 +31+1oI+121+141+16 1
110.4 - 10.9 I+l0i+L21+151+16i+1S I
1 11.0 - 11.6 1+121+141+161+191+20 1
7/7/83
TALE 3-14 (ADAPTED)
MASS
DWELLING AREA SCUARE FOOT
ZONE 11
INTERIOR THERMAL MASS POINTS
AREA
SQ. FT.
1,000
I A B C D A
1,500
8 C
D
A
2,600
6 C
D�
A
2,500
B C
D
I
A
3,000
6 C
D
A
3,500
B C
D
!
A
4,000
6 C
0 A
4.SGO
6 C
D
1�
5_,000 1
8 C
in
2 2 2 2 2
2
2
01
2
2
2
0
0
0
0
0
0
0
0
0
0
0
0
O
r o
00
+24
0 0
0
0
+5
o.
0
U
0,
'.03.
4 4 4 2 2
2
2
2
1
2
2
2
2
2
2
0
2
2
2
0
2
2
0
0
2
2
0
0 2
2
0
0.
0
0
0
0 1
ISO
6 6 6 4 4
4
4
2
2
'2
2
2
2
2
2
2
2
2
2
2
2
+9
+12
+15
+18 +21
1,500-1,g99
0
+2
+5
+7
+9
+12
+14 +lc
2,1100-:,999
0
+2
+3
+5
+7
+8
+10 +I1 I
3,17,00 a:.d uo
_0
+1
.1-3-
+4
+5
+7-
+S +10 _1
2
2
2
2
2
2
0 2'?
2
O
I 2
2
2
0 1
200
8 8 6 4 6
6
4
2
4
4
4
2
4
4
I
2
2
2
2
2
2
2
2
2
2
2
2
? f 2
2
2
2
2
z
2
9
253
10 10 8 6 6
6
6
4
6
6
4
T
4
4
4
2
4
4
2
2
2
2
2
2
2
2
2
2 2
2
2
2
2
I
2
2
;
300
12 12 10 6 8
8
6
4
6
6
6
4
6
6
4
2
4
4
4
2
4
4
2
2
2
2
2
7 2
2
2
2
2.
2
2
2
350
14 14 12 8 10
10
8
6
6
6
6
4
6
6
6
2
6
4
4
2
4
4
4
2
4
4
2
2 I 4
4
2
2I
2
2
2
2
400
14 14 12 8 10
10
8
6
8
8
6
4
6
6
4
4
6•
6
4
2
4
4
4
2
4
4
4
2 I 4
4
2
2
I ;
4
2
2
509
18 18 16 10 12
12
10
6
10
10
8
6
R
8
6
4
6
6
6
4
6
6
6
2
6
6
4
4
4
4
2
4
4
4
603
22 20 18 12 14
14
12
8
12
12
10
6
10
10
8
6
8
8
6
4
8
C
6
4
6
6
6
4 I 6
5
<
2
6
6
4
2 I
709
24 24 20 14 18
16
i1
10
14
14
12
0
10
10
10
6
10
10
8
6
8
B
6
4
8
6.
6
4 ! 6
R
5
41
6
6
5
7.
270
26 24 22 16 70
16
16
10
14
14
12
8
12
10
10
6
10
10
8
6
10
R
8
4
e
(
6
6
4 8
66
4I
6
6
6
900
28 28 74 16 ?2
20
18
12
16
15
14
10
14
14
12
8
12
12
10
6
10
10
3
6
I 3
8
'8
4 8
a
6
41
B
8
6
I
r ,
1,000
30 70 25 18 2
I?4
20
20
14
10
18
16
10
14
14
12
8
12
11
10
6
12
10
10
6
10
10
8
6 8
8
0
4I
n
8
c
i i
1,;00
.12 32 28 2O
24
22
14
20
20
18
10
i6
16
14
8
14
I14
14
12
8
12
12
10
6
10
10
10
6 10
10
8
f'�
!J
e
e
1,200
34 32 30 22 26
26
22
16
22
20
18
12
18
18
14
10
14
12
8
14
12
12
8
112
'1T
12
10
E 1J
10
8
6i
In
)n
8
6 I
1,300
71 34 32 22 28
26
24
16
22
22
20
1
12
18
19
lE
10
1
14
14
8
14
12
12
6
12
13
6 12
10
10
LI
10
?0
F.
6
1•:00
34 34 32 24 28
28
26
18
24
24
2n
14
20
ZO
18
12
18
16
14
10
14
14
12
8
14
14
12
8 112
12
;G
6;
10
19
10
E
1,ioa 1
36 34 34 24 30
30
26
18
24
24
22
14 I22
20
18
12
18
18
16
10
16
I6
14
8
14
14
12
a 17
12
to
61
12
12
1C
o
2,90J
34
34
32
22
30
30
26
18
26
26
22
16
22
I2
20
14
20
20
18
12
18
18
16
10 1L•
IE
is
LI
11
la
12
5 I
2,509 I
34
34
30
22 I30
30
26
18
26
26
24
16
24
24
22.
14
22
22
i9
!2 20
20
18
6 .'G
3,OGo
3,500
34
32
30
22
30
32
30
32
26
30
18
20
28
30
26
30
24
26
16 124
la 12d
24
28
22
74
14 22
16 26
2?
2<
20
2?
14�
14 E
:?
±;
i3
24
?
?J
1t i
Iq
4,090
32
32
30
TO I30
30
26
18 i79
28
24
1f
75
2i
22.
if
4,500
32
32
28
20 130
132
30 26
T7
2i
;1' j
20 j
ib
13
V.
%
26
14 1
A) t. 3's" Concrete Slab: HC•8.93; R•.29; Factor -7.3
2. 3 3/4" Thick Common Brick: IIC•7.125; R-.13; Factor -7.3
B) 1. Sy' Concrete Slab: HC•14.101; d.-.418; Fictar•7.1
C) 1. 8" Solid Filled Block: HC•20.63; R•1.93; Fctor•6.1
2. 8` Solid Filled Block With Both Sides Exposed To Conditioned A(r.
NOTE: Use all square footage directly exposed to conditioned air
for Thermal'Mass Area: IIC-10.164; R-.965; Factor -6.1
D) 1' Thick Concrete/Tile: MC -2.55; R-.083; Factor2-3.7
Table 3-19. Zonally Controlled
Electric Resistance
Space. Heating Points
1
I
Points for this measure w111^
I be completed after the CEC I
I has approved an Alternative I
Component Package for Resistance i
I Beat. 1
Table 3-18, Active Solar Space
Heating with Cas Points
I
Net Solar Fraction ( Points I
I (NSF), Z I I
I I I
I 0-6 I 0 I
I 7 - 14 I +2 I
1 15 - 23 ( 44 I
I 24 - 30 I +6 1
1 31 - 39 I +8
I 40-47 I ; +10 1
I 48 - 55 I +12 I
I 56 - 63 1 +14 I
1 64 - 71 I +18 I
I 72 up i +20 1
Table 3-2n. Solar Hater Heating With Cas 8arkuo Points
wood stove #33 points'(no back up)
casablanca fan + 1 point
M.ultifamil (per unitpoints)
Points I
i I
I
I Cas Only 1
I I
0 I
( Beat P mp I
I
Floor Area
i
1 Solar with Electric 1
I
I
Net Solar Fraction (NSF), Z
i
per unit,
I
I menta 1:1 Part 2 I
I
0 i
I
I Electric Resistance I
1
I
I O !y
ft2.
0.9
10-19
20-29
30-39
40-49
50-59
60-69
70-•79 ,
600-799
0
+3
+7
+10
+14
+17
+21
+24
800-999
0
+3
+5
+8
+11
+14
+16
+19
1,000-1,499
0
+2
+4
+6
+8
+10
+12
+14
1,500-1,999
0
+1
+3
+4+6
+7
+8
+10
2,(109 -and u
0'
+1
+2
+4
+5
+5
+7
+9
All others (pe building pnints)
_ �
800-899
900-999
0
0
+5
+4
+10
+9
r14
+13
+19
+17
+24
+21+26
+29 +34
+30
1,000-•1,199
0
+4
+7
+11
+15
+•19
+22 +26
1,20fr-i,499
n
+3
+6
+9
+12
+15
+18 +21
1,500-1,g99
0
+2
+5
+7
+9
+12
+14 +lc
2,1100-:,999
0
+2
+3
+5
+7
+8
+10 +I1 I
3,17,00 a:.d uo
_0
+1
.1-3-
+4
+5
+7-
+S +10 _1
Table 3-21. Other Water Heatinq Pts.
1 System Type I
Points I
i I
I
I Cas Only 1
I I
0 I
( Beat P mp I
I
1
0 I
i
1 Solar with Electric 1
I
I
I Resistance Backup I
i
I Meecin;; the Require- 1
I
I menta 1:1 Part 2 I
I
0 i
I
I Electric Resistance I
1
I
I O !y
RESIDENTIAL ENERGY PLAN CHECK/INSPECTION SUMMARY
FORM �
.Owner.-�/c L) NI��L Climate Zone // Permit No. (o 70 4S
Flood Area
Compliance path: Package ❑ A ❑ B ❑ C §15Point System ❑ Budget Other X13/6 -3
MIN R -VALUE DESCRIPTION
REQ'D
INSTALLED ITEMS (1) INSULATION:
Roof/Ceiling
[� Wall 00
❑ Slab Floor Perimeter
❑ Raised Floor
(2) INFILTRATION•
❑, (A) A vapor barrier is required in climate zones, 1, 14 & 16.
L� (B) All manufactured windows and sliding glass doors shall meet the
1972 ANSI Air Infiltration Standards and shall be certified and
labeled.
�y (C).All swinging doors and windows leading to unconditioned areas
shall be fully weatherstripped.
Tight the above standard features plus:
❑
(D)
Continuous infiltration barrier
❑
(E)
Electrical outlet plate gasket
❑
(F)
Air-to-air heat exchanger
(3)
GLAZING:
(A)
Location
Area Glazing %,Floor Area
Single Double Triple
Total Bldg 300-90 Z 7. Z
✓
[�
North Fy,00 Z• '71V
�—
East //9-00
77
_440
South V.0 0 / Z0
West/(o - SO oe, 70
LzY
Skylights
(B)
Shading
Shading
Coefficient Description
[�
East .&C
South .G 6
[�
West (o (o
[�
Skylights. j%bSjE,o r2"
u[CC,J
(-
(C)
South Overhang
/-"
Length of projection ft. Description
E AJC
❑
(D)
Moveable insulation: Area ft
Description
(E)
Thermal mass
❑
Type - Area
Ft.2 HC= R-
MC= Location
❑
Type - Area
Ft.. HC= R=
MC= Location
❑
Type - Area
Ft.2 HC= R=
MC= Location
❑
Type - Area
Ft. HC= R=
MC= Location
❑
Type - Area
Ft.2 HC= R=
MC= Location
❑.
Type - Area
Ft.Z HC= R=
MC=, Location
7/83
7
AMI
�oRA4
(4) MASONRY AND FACTORY-BUILT'FMPI ACES shall be equipped with tight
fitting closeable metal or glass doors covering the entire opening
of the firebox; a combusion air intake equipped with a readily
accessible, openable, and tight fitting damper to draw.air from the
outside of the building; and a tight fitting flue damper with a
readily accessible control.
`*1(5) HEATING. VENTILATING; AIR CONDITIONING SYSTEM
(A)- --Heating
Central Gas Furnace %
(brand and model number) SE
Btu/hr
(heating capacity)
Heat Pump.
(brand and model number) ACOP
Btu/hr
(heating capacity at 47°F)
Active Solar
model number
'type (liquid or air) Collector brand and
_ ft2
.solar fraction collector area collector
orientation collector tilt' rated y -intercept
rated slope
[�
Other AZOOD 9URAIIA14 ST006F
(describe)
*1
(B)
Cooling
❑
Electric Air Conditioner
(brand and model number) (seasonal EER)
Btu/hr*
(cooling capacity at 95°F)
❑
Electric Heat Pump
EER
Btu/hr
(cooling `capacity at 95°F)
❑
Other
(describe)
❑
(C)
A TWO-STAGE THERMOSTAT, which .controls the supplementary heat on
its second stage, shall be required for heat pumps.
[�
(D)
AN AUTOMATIC SETBACK shall be provided for all thermostats, except
those controlling heat pumps.
(E)
AN INTERMITTENT IGNITION DEVICE shall be provided for all gas-fired
fan type central.furnaces, gas-fired fan type wall furnaces and
e
gas cooking appliances.
(C�
(F)
BACKDRAFT DAMPERS shall be provided for all fan systems exhausting
air to the outside.
(�
(G)
DUCT CONSTRUCTION & INSULATION. All transverse duct, plenum, and
fitting joints shall be sealed with pressure sensitive tape or
mastic to prevent air loss and shall be insulated to conform to
the provisions of Section 1005 of the UMC, 1976 Edition.
7/83
2
m/
❑E
(6) DOMESTIC WATER SYSTEM
-f-A-) Gas Only
(brand and model number)
Heat Pump w/Electric Backup
(tank size)
FORK 1:
Gallons
(brand and model number)
Gallons
2' (tank size)
❑•* Active Solar.
(collector brand and model number)
(rated y -intercept) (rated slope) (solar fraction)
ft
:(backup heater type, brand and model number) (collector area)
(collector orientation) (collector tilt)
❑ Location of Solar Panels
❑ Other
(Describe)
:(B) TANK INSULATION. Storage type water heaters and storage and
backup tanks for solar systems shall be externally wrapped with
R-12 insulation or greater.
LTJ (C) PIPE INSULATION. The -five feet of pipe closest to the water
heater and outside conditioned.space shall be insulated with a
minimum of R-3'. Steam and steam conditioned space shall be
insulated with a minimum of R-3. Steam and steam condensation
return piping and recirculating hot water piping outside the
building envelope shall be insulated in accordance with
T20 -1408(d).
(D) FLOW RESTRICTORS shall be provided for showerheads,and faucets
as outlined in the new appliance efficiency standards and shall
be certified to the Energy.Commission.
—/ (7) LIGHTING
Imo. (A) Lamps used in luminaries for general lighting in kitchens and
bathrooms shall have an efficacy of not less than 25 lumens per
watt (usually florescent). .
*1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing
charts (form #4) or other approved methods, section 2-5352(g), and fill but the
following:
Heating: Winter design temperature °, elevation 7 Z000 ', heating load 6 3300 BTU
elevation factor /.o, x heating load = maximum outlet capacity gas furnace
600o BTU
Cooling: Summer design temperature°, cooling load 1760 o BTU
(USE ONLY AS A SIZING GUIDE, COOLING MAY BE INADEQUATE)
*2 Submit T.I.P.S.E. chart or other approved system (form #5) to document sizing of
solar panels.
® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of
Title 24, Part 2, Chapter 2-53 of the California Administration Code.
7/83 S GNATURE 0 BUILDING DESIGNER OR APPLICANT
3
FORM
r
RESIDENTIAL ENERGY PLAN CHECK/INSPECTION SUMMARY
Owner
Climate Zone Permit No..
Floor
Area Z 7 3 q
��
.Compliance path: Package ❑ A ❑ B ❑ C IM L!
Point System ❑ Budget 'Other
MIN
R -VALUE DESCRIPTION
REQ'D
INSTALLED ITEMS (1)
INSULATION:
®.
Roof/Ceiling
®/
Wall --
Slab Floor Perimeter
❑
Raised Floor
(2)
INFILTRATION•
0
(A) A-vapor'barrier is required in climate zones, 1;:14 & 16.
(B) All manufactured windows and sliding glass doors shall meet the
1972 ANSI Air Infiltration Standards and shall be certified and
labeled.
(C) All swinging doors and windows leading to unconditioned areas
shall be fully weatherstripped.
Tight - the above standard features plus:
❑(D)
Continuous infiltration barrier
13(E)
Electrical outlet plate gasket
❑
•(F) Air-to-air heat exchanger
(3)
GLAZING:
(A) Location
Area Glazing %Floor Area Single Double Triple
Q
Total Bldg g /l/• S® 1P
4]
North
East
Q
South
West
❑
Skylights
(B) Shading
Shading
Coefficient Description
❑
East
❑
South
❑
West
❑
Skylights
.
(C) South Overhang
Length of projection ft. Description
❑
(D) Moveable insulation: Area ft Description
(E) Thermal mass Q7—A/kC
E3Type
- Area Ft, HC= R=
MC= Location
❑
Type - Area Ft. HC= R=
MC= Location
❑
Type - Area Ft.2 HC= R=
MC= Location
❑
Type - Area Ft.Z HC= R=
MC= Location
❑
Type - Area Ft.2 HC= R=
MC= Location
❑
Type - Area Ft.2 HC= R=
MC= Location
7/83
'
MRM
.
E) (4) MASONRY AND FACTDRY-BUILT•FIREPLACES shall be equipped, with tight
fitting closeable metal or glass doors covering the entire opening
of the firebox; a,combusion air intake equipped with a readily
accessible, openable, and tight fitting damper to draw.air from the
outside of the building; and a tight fitting flue damper with a
readily accessible control.
'*1(5) HEATING, VENTILATING; AIR CONDITIONING SYSTEM
(A)'. --Heating
❑ Central Gas Furnace
(brand and model number) SE
Btu/hr
(heating capacity)
❑ Heat Pump.
(brand and model number) ACOP
Btu/hr
(heating capacity at 47°F)
❑ Active Solar
:;type (liquid or air). Collector brand and
ft2
model number solar fraction collector area collector.
orientation collector tilt rated y -intercept
rated slope
p Other & WW X7 JA�W '
(describe) .
*1 (B) Cooling
❑ Electric Air Conditioner
(brand and model number) (seasonal EER)
Btu/hr
(cooling capacity at 95°F)
❑ Electric Heat Pump
EER
Btu/hr
(cooling capacity at 95°F)
❑ Other -
(describe)
❑ (C) A TWO-STAGE THERMOSTAT, which controls the supplementary heat on
its second stage, shall be required for heat pumps.
.Q (D) AN AUTOMATIC SETBACK shall be provided for all thermostats, except
those controlling heat pumps.
® (E) AN INTERMITTENT IGNITION DEVICE shall be provided for all gas-fired
fan type central furnaces, gas-fired fan type wall furnaces and
e
gas cooking appliances.
Q (F) BACKDRAFT DAMPERS shall be provided for all fan systems exhausting
air to the outside.
Q (G) DUCT CONSTRUCTION & INSULATION. All transverse duct, plenum, and
fitting joints shall be sealed with pressure sensitive tape or
mastic to prevent air loss and shall be insulated to conform to
the provisions of Section 1005 of the UMC, 1976 Edition.
7/83
2
FORK 1
(6) DOMESTIC WATER SYSTEM
Q -(-ci),- Gas Only Gallons
(brand and model number) (tank size)
❑ Heat Pump w/Electric Backup
(brand and model number)
Gallons
2 (tank size)
❑-* Active Solar
(collector brand and model number)
(rated y -intercept) (rated slope) (solar fraction)
ft
:(backup heater type, brand and model number) (collector area
(collector orientation) (collector tilt)
0 'Location of Solar Panels
❑ Other
(Describe)
O :(B) TANK INSULATION. Storage type water heaters and storage and.
backup tanks for solar systems shall be externally wrapped with
R-12 insulation or greater.
(C) PIPE INSULATION. The five feet of pipe closest to the water
heater and outside conditioned.space shall be insulated with a
minimum of R-3. Steam.and steam conditioned space shall be
insulated with a minimum of R-3. Steam and steam condensation
return piping and ,recirculating hot water piping outside the
building envelope shall be insulated in accordance with
T20 -1408(d).
Q (D) FLOW RESTRICTORS shall be provided for showerheads and faucets
as outlined in the new appliance efficiency standards and shall
be certified to the Energy Commission.
(7) LIGHTING
® (A) Lamps used in luminaries for general lighting in kitchens and
bathrooms shall have an efficacy of not less than 25 lumens per
watt (usually florescent).
*1 Submit documentation of sizing heating and cooling equipment.by Manual J, sizing
charts (form #4) or other approved methods, section 2-5352(g),.and fill out the
following:
Heating: Winter design temperature �c/ °, elevation 7ZeVo ', heating load 42-1 BTU
elevation factor I JT x heating load = maximum outlet capacity gas furnace
vvC) BTU
Cooling: Summer design temperature 9rf, °, cooling load /BTU
2 (USE ONLY AS A SIZING GUIDE, COOLING MAY BE INADEQUATE)
* Submit T.I.P.S.E. chart or other approved system (form #5) to document sizing of
solar panels.
® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of
Title 2.4, Part 2, Chapter 2-53 of the California Administration Code.
7/83
SIGNATURE OF BUILDING DESIGNER OR APPLICANT
3
i ,.
5 R
1
RESIDENTIAL PLAN CHECKING GUIDE
i' (S.F.,' DUPLFX,.& k ISC. ONLY)
Bldg. Permit # 7y gr
OWNER L- A.P. # � 3 — O,' +- /q
A. GENERAL
Zoning requirements
x Valuation.
,Y Signature by R.C.E.
(sideyards and parking).
or Architect (if required).
B. PLOT PLAN T
Complete parcel size and dimension .ri1f�.J 10k fstif
2. et ac q, si eyar s, easements, etc. to S.0400414 e4a
3. Other buildings or structures.
4. Grading, fills, drainage.
C. FLOOR PLAN
Complete to scale plan with dimensions.
,2! Required windows for light and ventilation (Sec. 1405).
3. Required windows for second exit (Sec. 1404).
4. Allowable glazing for energy requirements (20% max. per.State law).
Human impact glass (Sec. 5406).
�! Required room sizes, ceiling heights (Sec. 1407).
G.F.C.I.'s`in baths and exterior outlets (Sec. 210-8).
Light fixtures, switches, receptacles, and exterior receptacles for maintenance of
mechanical equipment.
�-: Locations of water heater, heating & cooling equipment, other electrical or gas
equipment,'and plumbing fixtures.
1A: Garage firewall, door size, and closer (Sec. 503(d)(4)).
1 - 3'0" exterior exit door (Sec. 3303d).
Fireplace location.
J,3-. Smoke detectors (Sec. 1413).
D: STRUCTURAL DETAILS.
tel' Foundation:plaii complete enough to construct building.
.eloon construction details complete enough to construct building.
levations and wall construction details complete enough to construct building.
7o;ofconstruction a ai s complete enoug to construct build -0 T/Le a& 0>Nx '
e construction aetalls ana ca cs it over one -s ory in height.
Sufficient data and details to satisfy energy insulation requirements (State law).
E. MISCELLANEOUS ITEMS TO LOOK OUT FOR
X. CCX plywood on exposed locations and overhangs.
.�� Stairway details (Sec. 3305).
�Y. Guardrail details (Sec. 1716).
Brick or stone veneer (Chapter 30).
Exterior plaster - weep screeds (Sec. 4706 & 708).
Proper roof pitch for roof covering (Chapter 32).
eRafter ties or bearing ridge beam.
Garage door or porch header sizes. (�
,,9 -.'Adequate bracing. l
Living area over garage - complete 1 -hour separation required
walls and posts, etc.
Two (2) exits on three-story dwellings (Sec. 3302).
including supporting
I
063-0S-0-019
91-3479
WELLMIN, GEORGE
CONTR.: BURLESON, JACK
4792 HEIDI WAY, FOREST RANCH
NEW HVAC/SF
v COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS PERMIT o,
7 County Center Drive - Orovllle, C91Iforole..96965 - Telephone: 916/538.7541
APPLICATION AND PERMIT
ASSESSOM PARCUL. NUM11IKR
63-05-19
ZONING
BUILDING PERMIT
wNER GEORGE WE11"
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
4792 MDI WAY FOREST RANCH 95942
CONTRACTOR'SNAME
JACK BURLE"
TELEPHONE'
"
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
LENDER'S MAILING ADDRESS
Filing Fee $ 15.00
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
4792 HEIDI WAY FOREST RNCH
Permit fee $
PLUMBING PERMIT Filing Fee 15.00
Each Trap 5.00
Solar or heat pump water heater 20.00
LOT NO.
= NAME
PARCEL MAP
Water piping 7.00
Each qas water heater or vent 7.00
USE OF STRUCTURE
SFU Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets 5.00
Building sewer 15.00
Mobile Home I S I G JW 1 1 015.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation El Other ❑
Describe work: NEW HVAC
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 15.00
Main service 600V OR LESS 18.50
200A OR LESS
Main service 200ATO1000AI
CONTRACTORS LICENSE LAW
I declare under penalty Of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
_37.50
NEW CONST. ( DWELLING OCCUPM 3.64sq.ft.
OR AODNS. ACC, BLDGS. //
NEW CONSTR ULTI.OUTLET ^ 5.001
NON-RESID BRANCH CIRC ITS
POWER APPARATUS6
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES 120@76
5AL_ 464
FIXED
Ex. DCCUp. OUTLETS P(RESID )LNS.REA.� I 3.00
Temporary service 15.00
Mobile Home Facilities 15.00
Misc. 6Virin 15.00
9
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.
1 shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT Filing Fee 15.00
Heal" 40,000 BTU 2 9.00 18.00
lia '
Coog 2 TON 2 9.00 18.00
Hood 6.50
Ventilation
Permit Fee $ 51.Q0
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 Iia¢ilifies, judgments, costs, and expenses which may in any way accrue
against said CouuKty (in Consequence of the granting of this permit.
X_�_/�rAi %! /'1/I(1�-- Date /
• w r
Signature of Applicant — OwnerV 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 S
Energy Inspection Fee $
Occ
CONST TYPE
TOTAL FEE $ 51.00
HAz
I DFEES I
IMP
I FLOOD
cDF
PARCEL
PD
HD
Iss
This permit is hereby issued under the applicable provi
sions of the Butte County Code and/or resolutions to do
` N
work indicated above f 0 hich 41lesthave been paid.
t #'
By /DIRECT OF PUBLI� WORKS
t» Date 014
PERMIT EXPIRES Date
101069
Receipt No.
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
0
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
peati1 3879-
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
it/iai�%PG�.!
-7V -r'? r AC i S --Z -,-Sr 4-,, n , AZ# u: Ae
fu�f UJet'a2fCi �v r 7)r�c*4s,J10,
( "i
4 o ' Uofh /''�va l `P s
-,o �rD ���
D //l 12A �L .vu� / t).s /i� .AJO 1A .
'Pre v /` d f C r P ems/ /0 02e.1"'4.
Date Inspector
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville. CalMornla 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
AS E SOR PARCEL NUMBER
63-05-19
ZONING
BUILDING PERMIT
OWNERGEORGE WELLMAN -
T�$�P'1
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
4792 HEIDI WAY FOREST RANCH 95942
.CONTRACTOR'S NAME
JACK BURLESON
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
LENDER'S MAILING ADDRESS
Filing Fee
$ 15,00
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
4792 HEIDI WAY FOREST RNCH
Permit fee
$
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
1 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
SFX] Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home S I G I W
015.00
TYPE OF WORK
New ❑ Addition ❑ Remodel[—] Utilities ❑ Installation[] Other ❑
Describe work: NEW HVAC
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
00V OR SS
Main service 200A OR LESS
18.50
Main service 200ATO1000AI
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 Business
and Professions Code and my license is in full force and effect.
License No. Classification
ElI, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
1, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
OCCUP.&\
NEW CONST. ( DWELLING OR ADDNS. ACC. BLDGS. I
3.6p sq.ft.
NEW CONSTR.MULTI-OUTLET
NON-RESID BRANCH CIRCUITS)
@ 5.00
POWER APPARATUS &)
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
20 @ 764
FIXED APPLNS.
Ex. OCCup. OUTLETS ((RESID,)REAJ
1 3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
9
'15.00
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
`i SJ
"J� 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
FiIingFee 1 15.00
Heating
Cooling
9 i 2 ION
2 Q.06 .00
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 agr to sav ,I demnify and keep harmless the County of Butte against
all Iia il' ies, ju gm ts, costs, and expenses which may in any way accrue
agains aid Cou ty i onsequence of the granting of this permit.
Date ZIA I
Signature Applicant — Owner Contractor ❑ Agent ❑
An OSHA permit is required For ax ovations 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 $
51 _nr
HAz
DFEES
IMP
FLOOD
CDF
PARCEL
PD
HO
Iss
This permit is hereby issued under the
sions of the Butte County Code and/or
work i2iced abKefwhich f
DIRE PUBL
By
PE PRE Date
applicable provi-
esolutions to do
s ave been paid.
ORKS
Date
Receipt No. 101069
WHITE-D.P.W., YELLOW-ASS[SSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
_.
COUNTY OF BUTTE - DEPARTMENT;JOF PUBLIC WORKS - BUILDING DIVISION
/ 7 COUNTY CENTER DRIVE - OR V LE,.:CALIFORNIA 95965 - TELEPHONE
PERMIT APPLE. ATION.DATA .SHEET
OWNER
916/538-7541
Permit No.
'1�
A. P. No. b 3 — CS ` / -f
Proposed Building Use Bulling Inspector Date IqU�-�l
At time of permit application, I was advised tIhe 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 pla�t'�soand calcs, J h wel signature on plans . .
5.
Hazardous Material Form ...... ....................................
:Y =h�•�
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 ..................... 0 .................
12.
Park fees paid...........................................0........
13.
School District fees paid ..............
14.
Sanitation approval from Health Department
15.
City of Chico plumbing permit....................0......0.........
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 ... 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 ...... 0..
25.
Letter of signature authorization ......... 0 .........................
26.
27.
When
you issue the permit, process as follows: OK Mail to owner.
Mail to contractor.
Telephone �$�i�' S5�% and hold for pickup at office.
Deliver w/inspector.
Other
AppIi nDate
/ q
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other____,jt_ 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___rnail_counter by ..date
Contractor, designer, owner, was advised of above required data by_phone`'`_m1fr_-co`nter by—datef
Plans checked by Date Plans approved by i Date
Sets of plans on hold in File cabinet AP folder
Copy—DPW
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Orovllle, California 95965 - Telephone: 916.'538-7541
APPLICATION AND PERMIT
ASSESSOR PA CEL NUMB R
--
ZONING
BUILDING PERMIT
OWNER
TE EPHONE
S0. FT. OCC. BUILDING/VALUATION
OWNER'S MAILING AD ESS
t
CONTRACTOR'NAM
4.
TELEPHONE
CONTRACTOR'S MATLING AD RESS
•
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee
$ 15,00
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Chef ng Fee
$
Energy Pan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty .1$
BUILDING DDR ESSHEIDI 464q 11_/ OA_l ///
Permit fee
$
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
1 5.00
Solar or heat pump wat heater
1 20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
7.00
Each qas water h ter or vent
7.00
USE OF STRUCTURE
S& Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping sys m 1 - 5 outlets
5.00
Building se er
15.00
Mobile H e S G W
0 15.00
TYPE OF WORK
New❑ Addition❑ Remodel❑ Utilities❑ Installation[! OtheA
Describe work:
a:e I.
11
1
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service LESS
200A OR LESS
18.50
Main service 200A TO t000A1
37.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
El am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License .Jo. 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
3.64 sq.ft.
NEWCONSTR ULTI.OUTLET
N O N.R ESID BRANCH CIRC'. TS
@ 5.00
/POWER APPARATUS
(SINGLE OUTLET c
Ex. Occup(OUTLETS OR FI TURES
20 76d
FIXED
EX. Occup. OUTLETS �R SIO )REA.)
I 3.00
Temporary service
15.00
Mobile Home Facil' ies
15.00
Misc. Wiring
g
15.00
Permit Fe
$
—
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.
Contra or
MECHANICAL PERMIT
Filing Fee 15.00
HeatingL () Q
y o=
Coolin
Hood
6.50
Ventilation
permit Fee
o0
$ -
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 permit.
X Date
Si nature of Applicant - owner
9 PP ❑ 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 S
Energy Inspection Fee
$
OCC
CONST TYPE
V
I TOTAL FEE $
HAZ
0FEES I
IMP
I FLOOD
I COF
PARCEL
PO
HO
I ISSUE
This permit is hereby issued under the
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
applicable provi-
resolutions to do
have been paid.
WORKS
Date
Receipt No.
WHITE-D.P.W., YELLOW-ASSEssOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
iNS 1p 6 _
RSI ENTIAL�1.�5-��
63-05-19 ag�-� G 2234-91B., P
WELLMAN, George A.
4792 Heidi Way, Forest Ranch
(new garage/shop)
R O No pe(
� yap
*4Z
0-- t OK � (LID
- = Not Applicable
Not Ready RESIDENTIAL (Single & Duplex)
' =
Date UNDEfj 6OR (Plan,
yOK except #'s [ " 1
%O VU -Otlt UdX Kb- CdbetttCtttb-rivuu-Jtupe
4g., Main; Soils-Elec.-64�4_41 Ftg. Depth c o Far
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg_porches & Decks; Soils -Steel-/ /Ftg. Depth
' 'JlCII1W Ib, iwaui, JICCI-pWVItVU W-VVIgppCU
mwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
_ Slab; Steel -Wrapped
8. Pineplace Ftg.-Steel
W.V.; Fall -Fitting -Test -2 y C/O -Sewer Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test I
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric: Underground
13. Pienums & Ducts; Clearance -Material -Support -Ins. I
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. Insulation
Date - -q Card B-1 // Date Card B-1
Date -/Q-Card B -1 y t Date Card B-1
Date PLUMBING (Permit),OK except a's
16. Water Htr.: Vent -Access -Combustion Air -Baffle
17. Water Pipe; Test & Anchor -Nail Protection
----------- -------- ------------
18. D.W.V.; Test -Fittings & Anchor -Nail Protection
19. Shower Pan: Test. First Floor -Tub Access
20. Test Tub & Shower. Second Floor -Tub Access
21. Gas Pipe: Size & Anchors -
Date Card B-1 Date Card B-1
-------------------- --------------------------------------------
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except ti's
22. Fixture & Transformer Clearance -Ins. Protection
23. Elec. Receptacles Spacing -Lights & Switches at Doors
----------- 24. Size Boxes & No. of Conductors -Stapled
--------------------------------------------------------------
25. Romex Installed Close to Edge of Studs & C.J.
------------
----------------------------------------------------------------
26. Equip. Ground made - ---
'up w/Meth. Fastners-Bond Gas & Water
-------- -------------------- ----------------------------
27. 2 Appliance Circuts in Kitchen & Conductor Size!GFI
-----------------------------------------------
28. Subteed Wire Size / r ga. Cu or AI-A.C. Wire Size / / ga.
Cu or Al
29. Range Circ. / ga. Cu or AI -Oven Circ. / 1 ga. Cu or Al.
Insulated Neutral ❑ Yes ❑ No
30. Service -Riser Conductors & Ground -Main Disconnect
31.- Equip. Clearances Panels -Motors -Meth. Equip.
--------------------------------------------------------------
32. Clothes Closet Light -Shower -Light -Spa Light
- ----------
33. Smoke Detector
..----------------------------------------------------------------
-------------------------- ------ ---------- I ---------------------------------------
Date Card B-1 Date Card B-1
------- --- - ------------- - ------------------------------------------------
Date Card B-1 Date Card B-1
Date CHA AL (Permit) OK excect n's
f;39/A.C. Duct Insulation Support
---------------------------------------------- --------------------------------
3 st ove in t n
onden. to Dr n & S z
------------ -- --- - - --- - - _____e--- - -
3 Furna e -V t: Access -C i Ret r nt-11 outlet
8 At '-Ac ss & Platform if ut_fn n Attic
-----------------
-- ----------- - - - - - -- ----------- --- -- -----
- ------------ -
Date -Date
---�- ---- -------------- - -----------------
-----
--- Card ------B-1 ----- - - - -------
Date C rd B-1 Date Card B-1
Date F ING (Plans) OK except h
3 Sil roper Material & Ancor
---------Mh
--- -- -------------------------- --- --- -------
4 lls Studs -Nailing. Spact rat -Plates-Sound
----- ---- --------------------
-----------------------
------------
4 Baring Walls over Gird & Floor Nailing
- - 2. ft Stop in Walls (rat proof) -------------
-- . ----------n Walls (ra---------------------------
- 4 Fire tops: Furred Ceilings - Stair -Chases-Tub
4 eaders & Beam -Size & Be g
Date FRAMING (Continued)
45. aps-Anchors-Connectors
46. Ong. Joist-Rft s-Purlm-roof Brac-Tr -Shthng.-Rfng.
OF t clearance
4 tic Access; Size & Romex Protection -Draft Stop -Ins. Ba es
49. d
--- -- 0 ara Fire Protection Framing
5 roperty Line Firewall & Openings
5 xt. Doo s -One 3' -Check Gara a -3rd Story, 2 Exits
53 StjOe,Width-Headroom- a -Run- an g -Fire Pro n
_5 ywood on Roof Overha is Vents -Rafter Outriggers
---------- 5 iding-Nailing Veneer -
---- ------ 5 ----
5 lazt Area -Glass Protection -Skylights- Plastic
5 ear Walls; Nailing -Bolts
-- 59. Insulation -Walls -Ceilings
60. Infiltration -Walls -Windows
DateCard / ,� B-1 _ Date _ Card B-1
Date Card B-1 Dale Card B-1
Date FINAL ans) OK except N's
6 xt. Steps -Door & Sidelight Protection -Landings
----------------------- -- -
r
------- ---------------------
6 ctor-
rage; Above Floor -Ducts -Meth. Protection
------------------------------------
xi mg
- - -----------
65
--------- 65.
&
Trim SL
---------------
let. Tr- _Breaker Sizes & s
- - rim &---
6 fairs & R
6 -: earances-Hearth
-------------- ---------------------------
69. --ood Panel: Int. & Ext.
70.
7 ecep ac es a
7 andin Closer
n Garage -Damper
--------------------------------------- - -
7 en s -Clearance -Comb. Air -Conn or-P.R.V.
I ove Floor-Meth.Prote ion
---------------------------- -
ech. Equip. Listed for Lo n
lec. Receptacles in
--------------- Zara e . ---
; GRomex Protection
------------------ -------
nsulation-Foam-Looked in Attic
---------------------------- --
7Ca s
------------------------------------------ -
7 th
nce ooked under Floor ❑ Yes
- -- ------------------------ -------
d0. Followinginstld.: Driivveaf-❑ No: Walks ❑ Yes o;
Plant s ❑ Yes a-110-
---------- ---- �-------------- ----
8>Tsl't7CCa-=w n -F t n i s
------------ --------------------------- ---- -- -
-------------
Vents Above Roof; Plb -Ap ear o
-- Op�ings
f/
8'Water Well: Disconnect, Electrical, Plumbing
-------- ------------------------- --- --
eceptacle-Und ground
--------------------- --- --
n hrou hout House
------------------------
Glass tection
- .. ---- -----------
----------------------
8ctions from
TPr-ev-io-us-Inspections
--- -------------------
-
---------_-_---------
ctric
-------------------------
90.Connected-C/0 ---_--
-
to ra e- p
------------------------- -- ---
Dat ��-�'L, Card B_1 �- - - Date Card B-1---
Dat Card B_t _-Date -- Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
J=OK-
O = Not OK
Not
= Not Readyable M..OBILE 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
Date Card B-1 Date Card B-1
1
t
MISCELLANEOUS
Date DECKS, COVERS, CARPOR AGElans)OK except #'s
1 oning Require s -Set s -Easements
26,�ootings; 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
*07'
8. Fr ; Si nchors-St s-Rf -Trusses
9. Sid' ; Nailin eneer-Stucco-Mesh
10. Roof; S -Roofing
11. Ext.; Steps -Door Landi
* 'ASS
Date G §}.n Card B-1 (/a 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-Panelboards-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
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. Well Clearance & Disconnect
8. Utility Clearance
Date
Card B=1 Date --Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector .
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch ^- --
10. Cert. of Occupancy
Date
Card B-1 -'Date - • Card B-1
Date Card B-1 Date Card B-1
1
t
MISCELLANEOUS
Date DECKS, COVERS, CARPOR AGElans)OK except #'s
1 oning Require s -Set s -Easements
26,�ootings; 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
*07'
8. Fr ; Si nchors-St s-Rf -Trusses
9. Sid' ; Nailin eneer-Stucco-Mesh
10. Roof; S -Roofing
11. Ext.; Steps -Door Landi
* 'ASS
Date G §}.n Card B-1 (/a 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-Panelboards-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
COUNTY OF BUTTE
"j DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
,03
ERMI T NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
0%-�' X�:',
DateR— I --,-L Inspector
Mm-
'!
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico Phone: 891-2751
7 County Center Drive, Oroville — Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
QQf QQ3y
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the abo address and should be corrected. Please notify this office
when come on of work is completed. If you have any question pertaining to this
Xaw
r need additional explanation, please contact this office immediately.
P,,,& oy, A IS
rte► ►, ,
.fit I •, /' �� •
-''7�" �► � fly ' �
i. v M-2/4-
i
/ I 1
Date Inspector V
r,
Y
/ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS p Ip lT NO.
1/ 7 County Center Drive - Orovlller Cellfornla 95965-- Telephone: 916/538-7541 - A7 U
APPLICATION AND PERMIT -
ASSESSOR PARCEL NUMBER
63-05-19
ZONING
TMS
BUILDING PERMIT
OWNER
GEORGE A U,IELLMAN
TELEPHONE
342-3296
SO. FT. OCC. BUILDING V UATION
5778
OWNER'S MAILING ADDRESS
PO BOX 537 FOREST RANCH 95942
CONTRACTOR'S NAME
OWNER
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
NONE
UNKNOWN
Total Valuation Is
LENDER'S MAILING ADDRESS
Filing Fee
$ 15,00
Permit Fee
$ 67.50
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 33.75
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
OUILDI NG SS
2 °HEIDI WAY FOREST RANCH
Permit fee
$ 116.25
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 ❑ Duplex❑ Mobilehome❑ Other GARAGE
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home S I G I W
@ 15.00
TYPE OF WORK
New ❑ Addition Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work: ADD 321 S0. FT. OF STORAGE TO GARAGE
SEE BP#2234-91
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 2000A OR LESS
18.50
Main service 20CATO 11000A1
CONTRACTORS LICENSE LAW
1 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 OCCUP.&)
OR ADDNS. 1 ACG. BLDGS.
_37.50
3.6osq.ft. 11.20
NEW CONST RL ULT' -OUTLET
NON-RESID BRANCH CIRCUITS)
@ 5.00
POWER APPARATUS o-
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
A20 764
FIXED APPLNS. OR
EX. OCCUp. OUTLETS (RESID.) EA.)
I 3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Iyirin g
15.00
Permit Fee
$ 26.20
—
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
Coolin 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 ccs Fx to all County Ordinances and State Laws relating
to building constructip, an j hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
to save, Inde ify and keep harmless the County of Butte against
I also agrKid
all liab' is, jud ents costs, and expenses which may in any way accrue
agains Coun in equence of the granting of this permi .
X Date
Si�gnatureApplant — Owner Contractor ❑ Agent ❑
Anpermit is required for a cavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in eight.
Mobile Home Installation Fee S
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $ 142.45
HAZ DFEES IMP
F
CD
PAffjR P
HD
ISSU
This permit is hereby issued under the
sions of the Butte County Code and/or
work indicate ab ve for which fees
E OR 97 PUBLIC
By
IT
PE E I S Date
applicable provi-
resolutions to do
have been paid.
WORKS
r
Date /
/ 1!"' q
'
Receipt NO. 101176
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
c; 7 -COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 959665 TELEPHONE: 916/538-7541
PERMILAPPLICATION DATA SHEET
Permit No.
OWNER ��Q%1Q I4J el1/1AN/A. P. Nt''•
o.
Proposed Building Use A-20 SrorA!46 ?D&sA craBuilding Inspector Date
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
�
✓' 1. All items have been submitted. .......... DATE RECEIVED APPROVED
ziz-7� 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........
3. Complete plans i ate riplicate, signed by preparer. of plans .. 0
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 ................................................ i
13• School District fees paid ..............
14. Sanitation approval from Health Department
15. City of Chico plumbing permit .....................................` /
16. Plot plan and business license approval from City of r.
(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 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.
_I Telephone ` --and hold for pickup at ice. Deliver w/inspector.
Other g?- scia t I
APPA i nt .Date f a- r "
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_rnail_coun r by _.date
Contractor, designer, owner, was advised of above required data by—phone—mall ou ter by date
R1�ns checked by Date Plans approved by Date—
Sets of plans on hold in File cabinet __/AP folder
Copy—DPW
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541
APPLICATION AND P,CRMIT
ASSESSOR PARCEL NUMB R //--
20NING
Co� 6S '
y' _
BUILDING PERMIT
OWNER
N
TELEPHONE
3- �6
zz
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING A O ESS
Po 8ox s q S R yL
7
CONTRACTOR'S NAME
TELEPHONE
i
C5 W N
CONTRACTOR'S MAILING ADDRESS
Fireplace I
CONSTRUCTION LENDER
UNKNOWN
Total Valuation I S
LENDER'S MAILING ADDRESS
Filing Fee g 1 15.00
Permit Fee g r, 7, -
ARCHITECT OR ENGINEER LICENSE NO.
Plan Checking Fee $
33- 7
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee g
Penalty $
BUILDING ADDRESS
^�
Permit fee $�
U
PLUMBING PERMIT I Filing Fee j 15.00
If I
Each Trao I 5.00j 1
Solar or heat pump water heater 26.30
LOT NO.
SUBDIVISION NAME PARCEL MAP
Water moind j 7.001
Each oas water neater or vent j 7.00
USE OF STRUCTURE
Gas piping system ' - outlets 5.00;
SF1_7 Duplex i_ Mobilehomei_j Other (-IV &c
Building sewer 1 15.001
Mobile Hone f SI G , yy r @ 15.001
SPECIFY
TYPE OF WORK
New ^_ Addition AZ Remodel` Utilities Installation[ Other:_'
j
Permit Fee g
Describe work: A� 3Z ( SG2 F r ST 2
Contractor
- TO iS'ACAG,-E -5(f-ff MCMcr-*2Z-3q—qJ
ELECTRICAL PERMIT Filing Fee 15.00
Main service 500v OR L=SS
200A OR LASS
Main service :OCA TS I 0001 I 37.501
CONTRACTORS LICENSE LAW
I declare under penalty Of perjury
P Y P I Y (check one):
NEW oNs-. � CNE'_—:NG-CC J,.')
OR AC�^: 5. ACC. 9L�vS.
—
'I
_ I am licensed under provisions of Chapt. 9, Div. 3of the Business
EW :bNs -=- --4L_7'-.n=
.+L-- .J=— I I@ 5.001
and Professions Code and my license is in full force and effect.
,;: ;,E.=.
::;NGL= ::!,7_E; _:R.
License .Jo. Classification
/
Ex. 0 .._-\ 11J—)I_OP =•,;(TURES ,al75c
,;, ��
as the owner, or my emplovees with wages as their sole comoen-
�=0_:.15. J4
=x. Occ D. J -_s-= .==sID.: EA.) I I 3.00
sation, will do the work,and the structure is not intended or offered
Temoorary service I j 15.00
for sale. (Sec. 7044)
L. 1, as the owner, am exclusively contracting with licensed contract-
Mobile Home F3cllit,es j j 15.00
ors. (Sec. 7044)
Misc. 'Niring ; 15.00
L I am exempt under Sec. Business and Professions Code
for this reason
Permit Fee $ aZc�
—
WORKMEN'S COMPENSATION INSURANCE
Contractor j
I cec;are under penalty of perjury (check one):
MECHANICAL PERMIT ngFee I 15.00
The permit is for $100.00 (valuation) or less.
Heating i
I have placed on file with the County of Butte Building Department
Li
a Certificate of Workmen's Compensation Insurance or a Certificate
'
of Consent to Self -Insure.
Cooling
F-1 I shall not employ any person in any manner so as to become subject
Hood j I 8,50
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
Ventilation
to the W. C. provisions of the Labor Code, you must forthwith comply with such
Permit Fee $
arovlsions or this permit shall be deemed revoked.
Contractor
I certify that I have read this application and state that the above Information
Mobile Home Installation Fee S
Is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Energy Inspection Fee $
Butte to enter upon the above-mentioned property for inspection purposes.
Occ cOr,:T 't"PE
I also agree to save, indemnify and keep harmless the County of Butte against
,
TOTAL FES $
311 liabilities• judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
'AL' CJ FEES i IMM I FLOOOi COF i PARCEL i P/O I ri[) i SsU[
1
• � I
X Date
This permit Is hereby issued under the applicable provi-
_
i—
Signature of Applicant — Owner I Contractor I__: Agent LJ --
sions of the Butte County Code and/or resolutions to do
An OSHA permit is recuired For excavations over 5'0'• deep and demolition or construct•
on of structures
walk 111010 ][eC above for which fees have been paid.
ave, 3 stone- In�i a/gnr.
DIRECTOR OF PUBLIC WORKS
Receipt No. I0 1I I 'ill j,,-
By -------- Date
PFaMIT C'IDIQCC it -,.e
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541
OWNER -BUILDER VERIFICATION
Attention Property Owner: _
An 'owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
1. I personally plan to provide the maa x --..labor and materials for construction of
the proposed property improvement (yes r no)
2. C(hav have not) signed an application for a building permit
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 Owne 41 JIM n
Social Security umber
Date /A // C1
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per—
mitted to issue the permit.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
,411/
ASSESSOR PARCEL NUMBER
63-05-19
ZONING
TM -5
IV
BUILDING PERMIT
OWNER
George A. Wellman ��(�-s%3I
TELEPHONE
342-3296
SO. FT. OCC. BUILDING VALUATION
1,120 20, 160.00
OWNER'S MAILING ADDRESS
P.O. Box 537, Forest Ranc 95942
CONTRACTOR'S NAME
Owner
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
None
UNKNOWN
Total Valuation $ 20, 160. OTT_
Filing Fee
g
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 146.50
ARCHITECT OR ENGINEER
None
LICENSE NO.
Plan Checking Fee
$ 73,25
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$ 229.75
PLUMBING PERMIT
Filing Fee 10.00
4792 Heidi Way, Forest Ranch 95942
Each Trap 4 1 2.00 8.00
Solar or heat pump water heater 1 20.00 20.00
LOT O.
SUBDIVISION NAME
PA CEL MAP i
Water piping
1 5.00 5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other Garage
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer5.00
5.00
Mobile Home S G W
O.00ea
TYPE OF WORK
New P Addition ❑ Remodel ❑ Uti lities ❑ Installation❑ Other ❑
Describe work:Garage/Shoe
Permit Fee
$ 48.00
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Buslnes$
and Professions Code and my license is in full force and effect.
icense No. Classification,
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.19
OR ADDNS. C ACC. SLOGS.
,/2Qsgft 28.00
NEW CONSTR. MULTI -OUT LET
U TI -OUTLET
NON.RESID BRANCH CIRC ITS
2.50 ea
POWER APPARATUS &)
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
BAL0ALo30so
FIXED APLNS
Ex. Occup. OUTLETS P(RESID )REA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
g
15.00
Permit Fee
$38.00
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
Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed.revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Coolie g
Hood
3.00
Ventilation
Permit Fee
$
LContractor
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, emnify and keep harmless the County of Butte against
all liabil' i s, Jud n s, costs, and expenses which may in any way accrue
against Cou y in onsequence of the granting of this permit.
Date
Signatureo 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 $
occcoN
!HAL
TTYPE
N TOTAL FEE $315.75
CUA
PARK SCHL
FL
►i
cDF
PA
PQ
i
ISSUE
This permit is hereby issued under the applicable provi-
sions of the Butte County. Code and/or resolutions to do
work indicated ab a for which fees have been paid.
OR F UBLIC WORKS
By Date
_
M
PE IT EXPIRE Date .6
Receipt No. 94357
WHITE-O.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
��'y't'r `'^�'.��!'►9'r't'4'ry"t�'�'''Ffii3i�r�'}���"�v`�'.r��•Y�"`:.s,,, •ty.-.,ty'�. ��, r q,-m.r. _ �:�,K�,.. -v,sss �.- m��'ti'x"i.i r+r`.-�r`'YS�.�•..:
COUNTY OF BUTTE - DEPARTMENT'OFiPU_5LIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA1.95965 :"TELEPHONE: 916/538-7541
PERMIT_ ;rAPPLICATION1,DA'lTA SHEET
Permit No. c�
OWNER �t�G� t/� L`% �` �'l/ A. P.
Proposed Building Use_��fC 'Building InspectorL__,pe Date
At time of permit application; I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
1. All items have been submitted . ....................................
2. Plot plans in duplicate/triplicate, signed by preparer of plans ........
3. Complete plans in duplicate/triplicate, signed by preparer. of plans
4. Complete engineered plans and calcs; with wet signature on plans
5. Hazardous Material Form ................ •
6. Energy Design Compliance and supporting documentation ......... ON E I
7. Statement of Intent for Non -Heated and AC Buildings %0055/3 ;NAI/NG
8. Engineered truss details and layout in duplicate (required prior to plan check) R
A'�//J SE LES
9. Mobilehome installation data including manufacturer's installation
instructions .............................'" f ......................— ��k.
10. Fees of $ -
11. Chico Urban Area fees paid ................................''
12. Park fees paid .............................................
a 13 . Sc ool District fees paid .........
fro '...... '
4. Sanitation approval m 'h�'/CGS Health Department
15. City of Chico plumbing permit .....................................
16. Plot plan and/business license approval from City of
see Cityforother requirements)
` 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 Pre-Inspec. request to ' -
Building Inspector (Date)
21. Contractor's license information (No., Name Style, Classificatio.n..
r { 22. Certificate of Workmans Compensation Insurance / .........
23. Owner -Builder Verification (Given to.own�r`r❑, Mail to owner
24., ;Recorded'copy of Agricultural Acknowledgment Statement .....
4.
25� J Defter of si nature aut orizatio
Gf// O T!
When,yo"u issue the permit, process as,folIows: 1'"'', Mail fawner.
•. ; Mail to contractor.
Telephone f f i �alid'hold for pickup atoff ice. Deliver w/inspector.
Other ")
f !t d d
Applica t Date l
¢�6r��� 1dz-}��t��r��� Dept. i Fire Dept. Air Pollution /Date
/ o o la sse / 464 pt. Fire Dept. Other Date By.
The following data must be submitted prior o.permitaissuance:.(Circle new item not checked ab
Ave).
1. Index permit for above items No. `
2. Additional items required: + l
•
t
Contractor, designer wne was advised of above required data by�/phone_—snail—counter by�..date�
Contractor, dei nen, oan", as advised of above required data by=pnone—mal l—counter by� date
s
Plans checked by Date Plans approved by Date Z
Sets ofpIsy.Qllla;.l'!e��abinet AP folder
-
Copy—DPW
TO Buildinv Department
r
FROM: Environmefltal Health
SUBJECT: Sanitation Clearance
Owner Location AP#
Plan Approved for: Sewaqe Disposal
Hold final for:
Final clearance O.K. for:
Clearance for bedroom mobile home. Other
NOTE * * *
Water Supply
Water Supply
Water Supply
2J- 42V
Date
Sanitarian
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Orovllle, Cellfornla 65965 - Tolophono: 610/036.7541
APPLICATION AND PERMIT
-A&139350M WARCU6.
N
BUILDING PERMIT
OWNER
r
TELEPHONE
— 9
S T. OCC. BUILDING VALUATION
OWNER'S M ILI ADDRESS
�/y/1*1
9
CONTRACTOR'S N
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace ./
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee $ 10.00
LENDER'S MAILING ADDRESS
Permit Fee S
ARCHITEC R ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
BUILDING ADDRESS r
!$ S
Permit fee a t
PLUMBING PERMIT Filing Fee 10.00
Each Trap
2.00 OG
Solar or heat pump water heater
20.00 Q�QQ
LOT NO.
SUBDIVISION NAME
1
PARCEL MAP
Water piping
nQ
5.0067
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other Wi2
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home I S TGTW
O.00ea
TYPE OF WORK
New Addition Remodel❑ Utilities❑ Installation❑ Other ❑
Describe work:
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification.
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. Business and Professions Code
for this reason
NEW CONST. ( DWELLING oCCUP.111\
OR ADDNS. ACC. SLOGS.
'/z¢sgft
NEW CONSTFL MULTI.OUTLET
NON.RESID BRANCH CIRC ITS
2.50 ea
POWER APPARATUS &)
(SINGLE OUTLET CIR.
Ex. Occup(ouXTs OR FIXTURES
ezOOeoe
AL030
FlxED Eo APPLNS. OR
Ex. Occup. OUTLETS (RE SID .) EA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ 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
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X Date
Signature of Applicant — Owner Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 storiesinheight.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $
HAZ
CUA I PARK
scHL I FLD i CDF
PAR PD
I Ho.
Issue
This permit is hereby issued unser the applicable provi-
sions 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 Date
Receipt NO. % 7 �\ /
WNITE•O.P.W., YELLOV%-AeeES.OK(PINK-INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF
BUTTE
- Deoart^ent of Public
Works
signature.
7 County
-Canter
Drive, Oroville, CA
95963
Phone: 916-538-7541 '
OWNER-BUII.DER VF-Rlz CATION
Attention Property Owner:
Signed:
Property Owner'
Social Security
Dat -e_.
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.
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 improvement
property (yes or no)
.
2.
a
I have/hve not
( ) signed an application for a building permit
Jfor
the.proposed work.
3.
-1 have contracted with the following. person (firm) to provide the proposed
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
Dat -e_.
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.
sr�i_ vs E�1�
1�oy�v;;rLor�D;;
51?�4',=8 T
7odo Ibs
._._._ . �20.11OLT Md�Or—:.�..�-._.
..
ct� �..i ���, � ...
Vehicle Appro4r-k
'OR am
�S�
A-1
&i nd R b V7
l000 Ibc
RESIDENTIAL PLAN CHECKING GUIDE -12/90
(S.F., DUPLEX & MISC.- ONLY)
OWNER
/ r Bldg. Permit #
/LA j l`G-�
A.P.
Plan Checker
GENERAL
oning requirements: (sideyards and number of permitted living units).
iluation.
s signed by designer.
Proper description of work on application.
vi-e-l-ami-oars-oa-pr-spexxy .
0Items on data sheet. N.C.., fees, Health, Developer Fees, License law, etc).'
�Z.�--•�tec-o�de�i noti-c-.�o.£_v�o�at-moa-.
PLOT PLAN
1/omplete parcel size and dimensions.
a- /Setbacks, sideyards, easements, etc.
�! Other buildings or structures.
rng; f1-1-- drain -age:
Flood hazard.
tions on crea _ion_map.,-(Trose—C�Fie--sir-inklers,. iron=comb-
us�i3e--and--f-onn-dations) . ..
---F-A-U & FAS road-s-e-tback.
D" • i � • or-uta.li�ies�:c-�o:s.s�-o_t=l-fines=(R�co�d form)' .
g
FLOOR PLAN
]7. Complete"to scale plan with dimensions.
• ' nd•aws-f-ar li g h * ^ a ^ * ; , � •-.xon--(-S-ec-�2�"S-)
r e win od'ws- f oY-second-e x2 ---+S ec�2$4).-
�rp t-giass-(-S• �r66
' '-
�%. GFCIs in baths, garage, kitchen, and exterior outlets (Article 210-8).
8! Light fixtures, switches, receptacles, and exterior receptacles for main-
tenance of mechanical equipment.
ad-eao=_1-a- - e�EAei3t, "*ti , _- -ical
i$ ar-age s �wa--1, -dao--r-s-iz-e—a-nd-c-l-eser
3'0" exterior exit door (sec. 3304 (f).
Plumbing.fxtures, water closet clearances and shower size.
STRUCTURAL DETAILS
e-__�.Standard bracing or engineered design (Table 25V)
2 j�wa--s-ha•pe-,-size. or .pL 1eves house requir-iA•g lat-er-a-l-design-.
F undation plan complete enough to construct building.
moans *.en details complete enough to construct building.
vations and wall construction details complete enough to construct building,
Roof construction details complete enough to construct building.
1.ac-e-c-errst-r-ur--tien-de ta4�l-s-an.d-cal-c-s-:_f-n-ec-essa-r-y .
Raf..ter ties or bearing ridge beam.
9�- arage door or porch header sizes.
]19: Stud heights.
1 �� ±.,,u:;ua��'on-cle•sign.
•1�-Ret a3 n�-rrg--wa-1�-s-r-egvi�-ing-desi-gn-,
°I 3�S.P-e.c�.a�:_I.n•spe.ct�v��:-eq.��ed-
12/90
RESIDENTIAL PLAN CHECKING GUIDE
MISCELLANEOUS ITEMS TO LOOK OUT FOR
Y. Stairway details: landings, riseandrun, head clearance, handrails
Sec. 3306).
' Guardrail details (Sec. 1711 & 3306(j).
venee -- r a-pte-r"3A) .
.' t. --(
o- deed -Sec— 70b) .
Proper rof pitch for roof convering (Chapter 32).
Roof covering type - (fire-baeard).
36" halls and stairways.
ap eI b$1�dge---Ep�i1p�PtP 1 }1ni+r ,p i rntiso^ •tr'rr-eCl--v'n—geTa'ge—SYd•e
i .... , .., _ ^- o�—c•'u-r p•O rte- ;�,.g�ai�s�.nd—pas-t-o ; 2� c . `i
1^. x-i-t��--�.s--Thr-ee-st-ery-dwe11ings-(s°ee. 3303-&-see-MezanR- P -e -s--474.6-).
14 -'*'-Attic access and ventilation (Sec. 3205).
12--4Ri4erf� aEc-e�.s-a-nd-uen�i�at�on-(-fie. 2516}-:
13-.-Gca4nbu. s- -tian_ai-rfor f„ e1 -b urn i-n-g--&p-p3 a-nc es---L-P . G-.-r-e q u i.r_emen is .
1 . Flashing at all exterior openings.
1:7. es.
I
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