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Home My WebLink About063-350-001063-35-0-001 92-0057' ROBBINS, RANDY & CLAUDI�- 7vfONTR: OWNER AJ STOHR RD,. FOREST RCH NEW SF 63-35-01 92-975 P,E ROBBINS, Randy & Claudia 4684 AJ Stohr Rd;.Forest Ranch travel trailer -utilities ELEC 92 - GAS COMPACTION TEST REQ SUPPORT STRUCT REQ ,,�15 cDCz 9-7 5 R ENTIAL J 063-35-0-001 CUTS! 92-0057 ROBBINS, RANDY & CLAUD CONTR: OWNER AJ STOHR RD, FOREST RCH NEW SF o cP vzon� Ro�'� U. —4FFICE COPY Address GAS Date Meter By -z ELECTRIC ��Ap ry Z l Meter By Dat OFFIC�� Address L t GAS = Meter By ate ,/`�� ' ELECTRIC /Ae�¢%7� } I Meter By Dat N l r �i I Gcoo b CSE- JOB FINALE Signature Permit — ` I ENE R G Y CERT I F ICAT ION 4684 A.J. Stohr, Forest Ranch, Ca. LOCATION DESCRIPTION OF INSULATION ROOF Material Thickness(inches) EXTERIOR WALL Material FIBERGLASS 6BATTS Tit ickness (incites) A. P. No. Brand Name Thermal Resistance (R Value) Brand Name OWE:NS-CORNING Thermal Resistance(R Value) R19 CEILING Brand Nam GLe_ QWENS-CORNING Batt or Blanket Type FIBERASSAI BTS Thermal Resistance(R Value) R38 Thickness(inches) 12" grand Name Loose Fill Type lb. Minimum Thicknesi(Inches) Number of Bags Wt. per bag Area covered(ft. ) Thermal Resistance(R Value) FLOOR, ELEVATED Material FIBERGLASS BAITS Thickness(incltes) 6-a" FLOOR, SLAB Material Thickness(inches) Width(inches) Brand NameOWENS-CORNING Thermal Resistance(R Value) R19 Brand Name Thermal Resistance(R Value) FOUNDATION WALL Brand Name Material Thickness(incites) Thermal Resistance(R Value) I hereby certify t1tat the above insulation was installed in the above building In conformance with the State of Californla Energy Requirements. LOERKE INSULATIQN CO. INC. 499150 FIRM NAME/OWNER STATE CONTRACTORS LICENSE NO. September 14, 1992 SI NATURE OF INSTAIJATION APPIJ.CATO.R 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. 6:36 0 9 aJ F /OWNER ease print) STATE CO TORS LICENSE NO. SIGNATURE OF QENE L CONTRACTOR OWNER DATE ' THISCERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL. AND A COPY SHALL BE POSTED WITHIN THE BUILDING. January 1984 METAL BIFOLD DOORS Architectural Specifications Short Form: Wardrobe and closet doors, so specified to be Slimfold prefinished metal folding doors manu- factured by Slimfold Manufacturing Company, Meet or exceed Voluntary Product Standard PS38-70, as published by the U.S. Department of Commerce, National Bureau of Standards. . Full Form: Door panels and reinforcing stiffeners shall be 24 gauge cold rolled steeL Alternate for coastal areas with high -salt content atmosphere: A hot dipped coating of zinc -iron alloy (galvanised) is recommended. Door panels shall be accurately formed and reinforced with 4' (10.16cm) wide stiffeners welded to backs and flanges of panels. Panels shall be hinged in pairs with a minimum of 10". (2$.40cm) of piano -type hinges. Panels to be sound -deadened with corrugated fiber -board or absorbent. All mounting hardware shall be factory installed. Rods to be zinc plated Gold rolled steel with yellow dichromate finish. Weight Bearing pivot rods to be 5/16" (00.79cm) diameter, adjustable screw type,' and securely held in position by nylon rod clamp assemblies. Guide rods and uppper pivot rods shall be 1/4' (00.64cm) in diameter, spring loaded for easy self -alignment, and securely held in position by self retaining nylon sleeves. Top and bottom tracks may be of .050 aluminum. Pivot sockets and rubber track bumpers shall be adjustable to allow lateral alignment and be preset in the track. Sockets are cold steel zinc plated and waxed. Doors to be supplied prefinished. Hardware packages consisting of knobs or pulls, screws, and felt discs to be supplied with each door. OF DOOR Mirrors shall be high quality, double strength with mylar trim and shall fully cover the panel. They shall conform rmtsmEO HEIGHT TOLERANCE! to Government Specification DD -M -00411(b) and be securely mounted with double faced polyurethane tape, A c o E FIN TopTTOM which shall also act as a shock absorbing cushion for the glass. Channels shall protect the top and bottom OPENS CLEAR. HE OHT CPANE L LEAR. edges o1 the mirror. iae.mm 223381% 2'5— All specifications are based on latest product information available at time of publication appro. the right to make changes, at any time without notice, in material specifications and styl FEATURES: T.a.: x.. 47"Nx.. •, ontractors P.O. sox 800790 Santa Clarita, CA 91380 ardrobe ll (805) 257.1177 COMPLETE LINE OF MIRROR DOORS Selection of Frames in Oak. Aluminum or Steel. Founders of Fantasy Ivy , Oak FantasyZ . Royal Oaks , California Oak, and Golden Oak. Prelinished Vinyl. Mirrored Bi Folds. Vanities, Make Up Vanity and Walk In Doors Available. 0 Warranty #020188 SAFETY COMPLIANCE Meets requirements of Consumer Products Safety Code Category If. 16CFR, Part 12012 and ANZI 297.1-1984. This product for "Indoor Use only." Tested by Inspection & Research Labora- tory. Inc.. Ontario. California, Report #M84-1917-4 and #M84.1917-5 dated 2.21.84 and #M86- All Units Have Bottom Rolling Wheels. 2370 dated 2-19-86. Manufactured by Contractors Wardrobe, Valencia CA U.S.A. Model 700 Has Large 1-1/2" Diameter Nylon Wheels and All Other Models Are Standard With 1-1/2" Diameter Ball Bearina Wheels for One of the Smoothest Rolling Units in the Industry. • Mirrors Are Safety Backed and Meet Walk-in codes and fully comply with U.S. Government's Safety Standard 16 CFR 1201 Category II 400 -Pound Impact Test • All Bi -Pass Units Are Packaged With High Density Polystyrene With Cardboard for Impact Protection. • Finished Opening Size 6/8 Equals 80-1/2", and 8/0 Equals 96". J=OK O = Not QK Not = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer;.Location-Test-Fall-C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L" ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card 6-1 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 13-1 Date Card B-1 Date Card B-1 MISCELLANEOUS . Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Zd �..•r-'•d T"at"'-J--y,ry.:.,,-'9rlti'h�"'^t-:_��,.,,_;-.a--,,.,r-..,,r-�,,E.,,:;,.-...�;.....:,�..;�.�,.,..-,i+.,4-1h>,%..,.'sr-..-.IS�9.. �w-V N� -" COUNTY OF BUTTE = DEPARTMENT OF PUBLIC WORKS rt 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 i' CORRECTION NOTICE OWNER - '1 Z. PERMff NO. A routine inspecto indicates that the following violations of Butte County Ordinances exist at the above addr sand should be corrected. Please notify this office when correction of work is completed. you have any questions pertaining to this matter, or need additional explanation, please co ct this o ice immediately. n x � I I Zro P U11111111111WAwAr A.WM its r _ -- I I _ V — 11 ' Date - 9- Inspector REV 11/91 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 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 correction of work is completed. If you have any question pertaining to this matter, need additional explanation, please contact this office immediately. M hnr.r ,. /—/f iA* e -0a a,/ —4nn-J Date_ Inspector COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT rPERMIT -0 } 92=00,57 ASSESSOR PARCEL NUMBER - 63-35-001 ZONING .TM, 5 BUILDING P OWNER ROBBINS RANDY & CLAUDIA TELEPHONE 345-731 SQ. FT. OCC, BUILDING VALUAT�bO:N'''`':::' 2424 R 123,624 OWNER'S MAILING ADDRESS P.O. BOX 734 FOREST RANCH 95942 680 M 19,940 CONTRACTOR'S NAMETELEPHONE OWNER BUILDER 344 C 4,472 CONTRACTOR'S MAILING ADDRESS SAME Fireplace "All 1,500 CONSTRUCTION LENDER UNKNOWN Total Valuation $ 141 . R16 Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 744-50 ARCHITECT OR ENGINEER RANDY ROBBINS-OWNER LICENSE No. Plan Checking Fee ,$ - Energy Plan Checking Fee $ 20.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ B LDING ADDRESS A. J. STQHR ROAD FOREST RANCH Permit fee $ 1151,75 PLUMBING PERMIT Filing Fee 15.00 Each Trap LO 5.00 50.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION 1 NAME PARCEL MAP FLODIN SUB UNIT 1 108-76 Water piping 7.00 7.00 Each qas water heater or vent 7.o0 7.00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 5.00 Building sewer 15.00 15.00 Mobile Home S I G I W @ 15.00 ' TYPE OF WORK New M Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: 4 BDRM Permit Fee $ 99.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600v OR LESS 18.50 18 .50 200A OR LESS Main service 200ATO1000AI 37.50 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): ❑ 1 am licensed under provisions Of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.Et\ 3.64sq.ft. 108.60 OR ACDNS. ACC. BLDGS. I NEW CONSTRULTI-OUTLET @ 5.00 NON-RESID BRANCH CIRC ITS IPOWER APPARATUS e\ %SINGLE OUTLET CIR. / / EX. Occup\OUTLETS OR FIXTURES 20 @ 76 FIXED APLNS. Ex. Occup. OUTLETS P(RESI0 )RE A.� I 3.00 Temporary service 15.00 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ 157.10 - WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate f Consent to Self -Insure. dlshall 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 9.00 Cooling g 11 .00 Hood 6.50 6-90 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accruer+Az again id Co my in n ence of the granting of this permit. X Date _ - 2 Signature of A licant - Owner Contractor ❑ Agent An OSHA per it is required for excavations over 5'0" deep and demolition or construet- ion of struct es over 3 stories in Neigh Mobile Home Installation Fee S Energy Inspection Fee $ 40.00 c Cpq�T�TYPE ,�^� I TOTAL FEE $ 1502.85 DFEES P FLO7 CDF I PARCEL P I SUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indica above r which fees have been paid. R F PUBLIC WORKS By Date � - PERMIT EXPIRES Date Receipt No. 103410 452.25 109 &j -- Q50. C9 WHITE-D.P.W., YELLOW-A53C9SOR, PINK -19;P ECTOR. GOLDENROD -APPLICANT M To COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE 4 PERMIa APPLJ,C&T_IQN DATA SHEET A IC 916/538-7541 Permit No, OWNER NU y C /T V U 11-J A. o.'_ Proposed Building Use �� Building Inspector SCS - ^3 -?y Date 17W,7- 9 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 ......... 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 $ �G0 to0 .................................... . 11. Chico Urban Area fees paid ................ Park fees paid .......3 T.�} G u S 7 School District fees paid .ICE) Sanitation approval from G /`�I G � Hei 15. City of Chico plumbing permit ..................... ............. . 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW -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 .................. T/23�0'wner-Builder Verification (Given to owner ❑, Mail to owner 0) ..... -SCJ C� . Recorddd copy of Agricultural Acknowledgment Statement ......... Z-3- 7� ?5. Letter of signature authorization ............ l .. . T When you issue the permit, process as follow Mail to w Mail to contractor. lephone r /nd hold for pickup a office. Deliver w/inspector. Other Q Applicant4�/�� Date _ /4 Copy of Hdz-Mat form sent Health Dept. Fire Depth Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitteO,,pr�r to-pVm-it jsAncr? (Cirpte new itV'..ngt checked above). r 1. Index permit for above items No. 2. Additional items required: c Contractor, designer, owner, was advised of above required data by_phone_maiI—counter by .date Contractor, designer, owner, was advised of above required data by—phone _maII—counter by date cc�� Plans checked by 1L Date �2 0/ Plans approved by /� 1� Date Sets of plans on hold in File cabinet AP folder Copy—DPW TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance �3-3S-do/ AP # owner location Driveway permit 114w47l e 4e4141 has been issued for the above property. date si ature TJ Buildina Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewaqe Disposal Water Supply Hold final for: Water Supply Final clearance O.K. for: Water Supply Clearance for g- bedroom home. Other ^v NOTE w Sanitarian Date TO Buildina Depsrtme.•t FROM: Environmental'Health SUBJECT: Sanitation Clearance -" Omer Location AP# Plan Approved for: Sewage Disposal ✓ Hold final for: Final clearance O.R. for: Clearance for -�L— bedroom ,e home. Other NOTE * * * Water Supply Water Supply Water Supply C/ %-Zj --cr L Date Sanitarian COUNTY OF BUTTE - DEPARIMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916)5387541 OWNER K-0 b6l !j J A.P. NO. (O' D / PROPOSED BUILDING USE DATE % REC. # DATE REC 1. School Distric Fees (paid at District Office) 2. Sheriff Fees (paid at Building Department) 2 Residential ... .._�X 360 =$ 36o unit amt. Commercial(per sq.ft.) X =$ sq.ft. amt. 3. Urban Area Fees (paid at Building Department Residential (per unit) # X =$ units amt. Commerical(per sq.ft.) X =$ sq.ft. amt. 4. Recreation District Fees (paid at District Office) .......................... 5. Drainage District Fees (Contact Land Development) ......................•... 6. Other 7. Other At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT DATE '%� �- COUNTY OF BUTTE `= Department of Public Worcs 7 County Center. Drive,,Oroville, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916-538-7541 An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement ye or no) 2. I av /have not) �TIrYy signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan ato 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 Sgcurit Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. I" This verification must be completed and returned to our office before we are per- mitted to issue the permit. Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT" FOR SFS ';�NTI:AL DEVELOPMENT Section 16-8.1 of the Butte County Code requires this acknowledgement be recorded prior to 'issuance of a building permit. 92-04566 (C�_ All that reaa property situate in the County of Butte, State of California, duscri.be(I as fo1.l.ows: L.oT Is AS SHMV IN -NAT CELTAW MAP MTISL66 , 1 4r_L00I4 N .5vaDIVIslog vViT No. 1 ) Wtflc4i. MAP WAS JR.EcoRO6a IV "l'i'e O Fr4 ce o f Tff,, jZ■cOIfL 6-k of 'Tit& "Ou7� OP r3aTrfi , rwrs op c A -L., osi FIEs. .2(v i 8a, W Su Yt+s gcoK- ID 8 of. MAPS, *T PALES V760 hn,'i S,'7 q, mi0 80 I, = .`1 Date: TAL1.1 In. Iq State of ) On this SS. the under County of ) A PROPERTY OWNERS: a?�w 4 the &i"'9 day of 19_f me, ned Nota Publi. , personally appeared a i��,I, ..■°■■■■■■��■■■■■.■■..■■■...■...{� personally known to me. � Proved to me on the bris I s ... OFFICIAL SEAL of satisfactory ev.i.c eur�e. C W. J. GOLLING to be the person(s) whose name(s) 4LAt NOTARY PUBLIC — CALIFORNIA Subscribed to the within instrument and acknowledged that. DPW PRINCIPAL OFFICE IN BUTTE COUNTY 1992 executed the same .For the purposes the'r ' n conta i.ned . TN Wl'.l'NESS My Commission Expires August 28, gHEREOF, I hereunto set my hand and of . ".c' al seal.. ■ .................. Present A.P. No. K��3s-V��/ otary Pub]. -i c END OF DOCUMENT 92-004566 1 Ree Fee 5.00 The property described herein is adjacent I Cash 5.00 to Land or included within an area zoned I for agr.i.cu Lt_ur.a*l. purposes, and residentsRecorded Official Records ec of this properLy m:ay be stibject to incon- County venie-nces or ci i.scomfort ar:i sing from the use of agr.icul.t.ural chemicals, including, Butte huL not .1.imi.Led to herbicides, pesticides, Candace J. Grubbs and ferL:i'l.izers; and from the pursuit Recorder of agr.i.cu.1 turaI operations including, 11:02am 3 -Feb -92 1 PUBL XX 1 but not JimJI:cd to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has esuab h shc(I agr i cu.l - Lural zones which have as a priority use for productive agricultural purposes, rind r.es.i.dew s within sa i.d zones and on adjacent property should be prepared to accept such i nc_onven'i.erlce or discomfort from normal, necessary farm operations. All that reaa property situate in the County of Butte, State of California, duscri.be(I as fo1.l.ows: L.oT Is AS SHMV IN -NAT CELTAW MAP MTISL66 , 1 4r_L00I4 N .5vaDIVIslog vViT No. 1 ) Wtflc4i. MAP WAS JR.EcoRO6a IV "l'i'e O Fr4 ce o f Tff,, jZ■cOIfL 6-k of 'Tit& "Ou7� OP r3aTrfi , rwrs op c A -L., osi FIEs. .2(v i 8a, W Su Yt+s gcoK- ID 8 of. MAPS, *T PALES V760 hn,'i S,'7 q, mi0 80 I, = .`1 Date: TAL1.1 In. Iq State of ) On this SS. the under County of ) A PROPERTY OWNERS: a?�w 4 the &i"'9 day of 19_f me, ned Nota Publi. , personally appeared a i��,I, ..■°■■■■■■��■■■■■.■■..■■■...■...{� personally known to me. � Proved to me on the bris I s ... OFFICIAL SEAL of satisfactory ev.i.c eur�e. C W. J. GOLLING to be the person(s) whose name(s) 4LAt NOTARY PUBLIC — CALIFORNIA Subscribed to the within instrument and acknowledged that. DPW PRINCIPAL OFFICE IN BUTTE COUNTY 1992 executed the same .For the purposes the'r ' n conta i.ned . TN Wl'.l'NESS My Commission Expires August 28, gHEREOF, I hereunto set my hand and of . ".c' al seal.. ■ .................. Present A.P. No. K��3s-V��/ otary Pub]. -i c END OF DOCUMENT 8i91 CR IbENTIAL PLA CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR . it,Staff details: landings, rise and run, head clearance, handrails ec. 3306). rdrail details (Sec. 1711 & 3306(j). Brick or stone veneer (Chapter.30). x eri plaster - weep screeds (Sec. 4706). 5:�� er roof pitch for roof convening (Chapter 32). Roof covering type - (fire hazard). am insulation - protection. • 36" halls and stairways. iving area over garage - complete 1 -hour separation required on garage side incl -u supporting walls and posts, etc. 'ts on three-story dwellings (sec. 3303 & see Mezannines - 1716). 11. AWederf access and ventilation (Sec. 3205). 1 loor access and ventilation (Sec. 2516). .Combustion air for fuel burning appliances - L.P.G. requirements. 1 ise equirements on duplexes. lrgy design. 1 FYashing at all exterior openings. 1 CDF responsible area requirements. 1-31-9 7-- 0 0 PfiTA- nF'- D121VE why ��2 P,, M. WVT& J !D 2.6 _P x �,(RNG—fl To owcvE� }OR- �•� ST#MP r Z - [C z, RESIDENTIAL PLAN CHECKING GUIDE 8/91 (S.F., DUPLEX & MISC. ONLY) CIISS Bldg. Permit # / V OWNER j3gj �s A.P. # �v3- 3.S -a I GENERAL Plan Checker /21L /-_3 � f2EV/.SED PLNS fzlsG_ �oo � ning requirements: :(sideyards and number of permitted living units). P: Valuation. rpians signed by designer. Proper description of work on application. xisting violations on property. 6. Items on data sheet. (W.C., fees, Health, Developer Fees, License law, etc). notice of violation. PLOT PLAN oT 1. Complete parcel size and dimensions. 2. Setbacks, sidevards, easements, etc. 3t, --Other b 'ldings or structures. -4—Fr.-ad' g, fills, drainage. Y-�---_F ood hazard. S ecial conditions on creation map, ust'ble and foundations). FAU & FAS road setback. (noise, CDF, fire sprinklers, n -comb- 8.3uilding or utilities across lot lines (Record form). FLOOR PLAN 7/ mplete to scale plan with dimensions. �/2. /R"equired windows for light and ventilation (Sec. 1205). equired. windows for second exit (Sec. 1204). Skylights (Chapter 34 & Sec. 5207). ��.�equired uman impact glass (Sec. 5406). room sizes, ceiling heights (Sec. '1207). f�. GFCIs in baths, garage, kitchen, and exterior outlets (Article 210- 8). �3! Li t fixtures, switches, receptacles, and exterior receptacles for main- enance of mechanical equipment. Locations of water heater, heating and cooling equipment, other 'electrical 14�rs, equipment. .rage firewall, door size, and closer (Sec. 503(d)(3)). 11 -- 3'0" exterior exit door (sec. 3304 (f). 11- 'place and wood stove location, alcoves, and clearance'. 1 Syakle detectors (Sec. 1210). 1 /Plumbing fixtures, water closet clearances and shower size. STRUCTURAL DETAILS P -11' -Standard bracing or engineered design (Table 25V) -2-.--b'nvsual shape, size, or split level house requiring lateral design. �ei'estory requiring balloon framing and/or engineering. ee story building requiring engineered calculations and plans. Foundation plan complete enough to construct building. 6�loor construction details complete enough to construct building. 7. Elevations and wall construction details complete enough to construct building 8VI-oof construction details complete enough to construct building.- -- r�e construction details and calcs if necessary. rafter ties or bearing ridge beam. 1Mage door or porch header sizes. Stud heights. dobe soils - special foundation design. 1 Retaining walls requiring design. 15\Special Inspection required. rFR0H COMPUTER INPUT (LOWS S DIMENSION'' SUBMITTE 8Y' TR11�,S C X -LOC L -R 0.29 6.75 12.05 16.00 79.95 25.04 C X -LOC t -R: 0.29 8.15 16 -OD 25.D4 'In BOTTOM CHORD CHECKED FOR 10 PSF LIVE LOAD. ;A) 1X4 03 HEM -FIR OR BETTER CONTINUOUS LATEFZAL BRACING TO BE EQUALLY SPACED- ATTACH WITH 12) 80 NAILS. BRACING MATERIAL TD BE SUPPLIED AND ATTACHED AT 130TH ENDS 10 A SUITABLE SUPPORT BY ERECTION COWRACTOR. i. NO VE[2TICAL MAY NOT BE EXPOSED 10 t47NB PRESSURE ;ONNECTOR PLATES DESICIbED FOR GREEN LUMBER PER NDS [ABLE 8.18. JX3 6X4 5-4-0 K4 3X4 7-3-1 14FR a DRT S R-» > ea !t- 3.50' R 10 ERECTION C014TPACIOR REV 15.4.7 SCi1iE = 0.2500 ruin -C EVME vac DESIGN CRIT: t313C REF R4C7--66722 :Dmome w',� Tc LL 30.0 P5F DATE 09109/91 _ 'O.,,o� •• ml 5" Tc CL 10 . a pSr DR►�1G CAtbA %?7 9,252V36 rata srtaa atsw as. %0"" 4"aeC CA OL (U) 5.0 PSF CA -ENG D6 L K u�H,t'r uracm mvkV%x osmAa qr, 80 )i d w0ci Q71 TOT.LO. 45.0 PSFO/A LEN. 25-4-0 �.� ,.a I ".FAC. 1.15 °'" "�""•,•'a` " SPACING" 2�.0' TYPE SPEC-- r c BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One Form per Building) A.P. Number Building Department_ No: > l / , 44 -- School District City = County Jurisdiction Prnnarty nwnPr VAA,-nV / / ail//i1 A.�'hAA,1.!! S Project Location/Address Subdivision rLOD/lV Lot Number Residential Development: Sq. Footage 0?41,z,?a # of Living MHI Addition .(GrouplyR) Units Commercial/Industrial: a �New i uildinff,,"Departmbnt Representative Sq. Footage Addition (Including Exterior Roofed Areas) R «� D/a to (Floor Plans reviewed by School District Personnel) Distr/ic.t_ Id No. idol 17_3 C L School District certifies that (Applicant Name) (Phone Number) po. g-erx 7y (Street Address) ��'' ✓��-�C C� gs 9 y y (City) (State) (Zip Code) has complied with the requirements of Resolution No. by the payme Sch of $ _? Sa9.9a- representing square feet.. CfL;,)LL� 3 Di tri Representative Date PAID BY CHECK NO. _ BANK NO & - 7 a a / t PAID BY CASH REMARKS: white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) tj1 s7z RSID NTIA 63-35-01 92-975 P,E ROBBINS, Randy & Claudia 4684 AJ Stohr Rd, Forest Ranch �. travel trailer utilities JOB FINALE Signature 1 J=OK O=Not OK ==NotNo Ready ible MOBILE HOMES " Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / P11t. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card 6-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts -Bea ms- Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (Single & Duplex) = Date UNDERFLOOR (Plans) OK except ti's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except ti'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/Mech. Fastners-Bond Gas & Water -------------------------------------------------- -------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI -- - -------------------------------------------------------- 28. Subfeed Wire Size ! r ga. Cu or AI-A.C. Wire Size ! / ga. Cu or Al ----------------------------------------------------------------------------- -- - 29. Range Circ. ! r ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No --- -------------------------------------------------------- 30. ------------ ------------ - --- --- 30. Service -Riser Conductors & Ground -Main Disconnect ------------------- --------- --------------------- ---------------------------- -------------- 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light --------------------------------------------------------- - - ---------------- 33. Smoke Detector a� Date Card B-1 Date Card B-1 ---------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except ti's 34. A.C. Ducts Insulation & Support -------- -------------------------------------------------------------- 35. Vent Fan: Exhaust above insulation ----------- ------------------------------------------------------------- 36. Condensate Dram & Overflow; Size & Grade ----------------------------------------------- ---------- 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet -------------------------------------------------------- 38 Attic Access & Platform if Furnance in Attic ---------------------------------------------------------------------------------- ------------- ------------------------------------------------------------------ Date Card -B-1 Date Card -B-1 ------------------------------------- ------------------------------------- Date Card B-1 Date Card B-1 sA Date FRAMING (Plans) OK except ti's i `. 39. Sils. Proper Material & Anchors --- --- ------ ---------- ----------- 40. ------- 40. Walls Studs _Nailing_ Spacing & Bracing -Plates -Sound -------------- - --- -- ----- - 41. Bearing Walls over Girders & Floor Nailing -------------- ------------------------ ------- --------------------------------- 42. Draft Stop in Walls (rat proof) ----------------------------------------------------------- 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub --------- --------------------------------------- ---- 44. Headers & Beam -Size & Bearing Date FRAMING (Continued) _ 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-root Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51 Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. _Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection ----- _---- 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers ______ _55. Siding -Nailing Veneer 56, Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows ----------------------- Date _ _ Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except ti's --61.- Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection --------- ---------- 64. Bedroom Exiting -------------------------------- 65. G.F.I. & Bath Fixtures & Tub Access -Spa ------------------------------- 66. Elec. Trim & Subpanel: Breaker Sizes & Labels ------------------------------ ----------- - ------------------------____________ 67. Stairs -&-Rai-is--- 68. Rails68. Fireplace or Stove: Clearances -Hearth ---------------------- 69. Elec. Outlets at Wood Panel: Int. & Ext. ------------------------------ ------ 70. Kit Fixt_& Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter ---------- - - ------------------------------- 72. -Garage -Fire Door; Swing -Landing -Closer Duct in Garage -Damper ---------------------------------------- ---- 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 75. Plb.. Elec. & Mech. Equip. Listed for Location ------------- 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps - --------- ------------------------------- 79. Fen. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor--- 11Yes ---------------------------------------------- - 80. Following instld.; Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No; Planters 0 -Yes - ❑ No ------------- -- 81. Stucco_ Brown_Finish------ -- 82. A.C. Unit: Disconnect. Electrical, Plumbing ---------------------------------------- -- 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing -------------•------------------ - 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground ---------------------------------- ----------- - ---- 86. Ventilation Throughout House --------------------------------- 87. Glass Protection - - ------------------------------------ 88. Corrections from Previous Inspections ------ --------------- ----------------------------..-------------- 89. Gas Test -Meters Tagged; Gas -Electric .-..-------------------------------- ------- ------------ 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates •----------------------------------------- ---- -- Date Card -B-1 Date Card B-1 -----'-------1Date -------------- --Card B-1 -Date - ---------------- CCard-6-1--- - - Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS v 7 County Center Drive - Orovllle, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT. PERMIT NO. ASSESSOR PARCEL NUMBER ,63-350-001__ ZONING A BUILDING PERMaT- OWNER R TELEPHONE 345-7311 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS . ch 5942 C OPTOACSNTOR'AM Ownpr TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 20.00 Energy Plan Checking Fee $ ARITE T OR ENGINEER'S MAILING ADDRESS CH Penalty $ BUILDING ADDRESS Permit fee $ 20.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION 1 NAME iFlodin Subdivision PARCEL MAP Water piping 7.00 Each pas water heater or vent 7.00 USE OF STRUCTURE SF [:1 Duplex❑ Mobilehome❑ Other Travel Trailer SPECT FY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W 2 @ 15.00 30.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities[3 Installation❑ Other ❑ Describe work: Travel Trailer Utilities _ _ _CX9 'hemp USE pUliziN6 Permit Fee $ 45.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 ONS(QUCiIoIV Main service 200V OR LESS 00AOR LESS 1 18.50 18.50 Main service 200ATO1000A1 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F -1I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. cerise .J se o. Classification I viI, 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.s OR ACDNS. ACC. BLDGS. 3.64 sq.ft. NEWCONST R. ULTI.OUTLET NON .RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS e SINGLE OUTLET cIR. EX. OCCU p OUTLETS OR FIXTURES zo ped AL* FIXED APLNS. OR \\ Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Travel Trailer 1 15.001 15.00 Permit Fee $ 48.50 — 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 onsent 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 FiIingFee 15.00 Heating Cooling g Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabi 'ties, judgme costs, and expenses which may in any way accrue agai t said County e uence of the granting of this permit. n X Date — 7 d"- Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA on of structures mit is quired for excagvlations over 5'0" deep and demolition or construct- Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $113 HAz OFEES IMP FLOOD CDF PAR PD ISSUE j This permit is hereby issued under the sions of the Butte County Code and/or work indicated bo for fees DI R PUB IC PER IT EXPIRE ate applicable provi- resolutions to do have been paid. WORKS Date Receipt NO. 109857 WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT OWNER COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 .PERMIT APPLIC` .MN DATA SHEET Proposed Building Use C v ti5 wo erm i t No. - 159 //t/" -A P, o: _ Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13;, School Dish, ict fees paid .............. ___L04. Sanitation approval from �Lr� Health Department City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of l(see City for other requirements) lanning approval for (A) Use: Teuv (B) Parking: 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 .................. �(G 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... Leger of signature authorization _ . _ _ When you issue the permit, process as follows: `"Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other „ l /) I , f Applicant t~� �W "��.Date '7'1/.?7/ �" 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 ermikis.,suan Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Sr/lii►�i Contractor, designer, owner, was advised of above required data by_phone_mail—counter by .date Contractor, designer, owner, was advised of above required data by—phone —ma ll—counter by date Plans checked by �"�w Date (0 Plans approved by 6U Date 11141. -jz Sets of plans on hold in Copy—DPW File cabinet AP folder W mcg, - S -3' S `7(k2l 6 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS / PERMIT NO. 7 County Center Drive - Oroville. California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMB ER� ®O zONI G BUILDING PERMIT o ER n ( T L PHONE SO. FT. OCC. BUILDING VALUATION � R'S AILING A� RESS �� 'j1 7 r 3 I — ONTRACTOR'SNAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDERL -_,X> I` UNKNOWN Total Valuation Is Filing Fee $ 1 LENDER'S MAILING ADDRESS Permit Fee $ AR ITECT OR ENG EER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ A MITguayE OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS permit fee $ C! PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME ,, / PARCEL MAP Qt4A& s O/(/ Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other f1WA1 SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK New❑ Addition Remodel❑ Utilities Installation[] Ot Describe work: L L Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600VORLESS 200A OR LESS 1$ 50 / rS Main service 200A TO 1000A,37.501 37.50 CONTRACTORS 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. (cense 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.al OR ADONS. ( ACC. BLDGS. / NEW CON5TFt ULTI.OUTLET NO N.RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 764 Ex. OCCUp. OUTLETS (RESID )KEA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. IYirin g 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate I Consent to Self -Insure. t� ' shalt 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 bl�_deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue again said oun='uence of the granting of this permit. 9q X Date !� Signature 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 S Energy Inspection Fee $ occ CONST TYPE I TOTAL FEE $11-3,S0 HAz 1 0FEEs I IMP I FLOOD I COF PARCEL I PD I HD 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 CYDIRCC n- applicable provi- resolutions to do have been paid. WORKS Date Receipt No. l� COUNTY OF BUTTE - Deoar cmeac o t Pub L is Work's 7 Ciuncy Cancer Drive, Oroville, C: 95965 Phone: 916-538_75,;1 OW'NER-BUILDER VERIFICATION .kctention 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 per=it. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) .2. I (have/have not) signed an appli acion for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address Cicy Phone Contractors License No. 5. I will provide some of the work but I have contacted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Prooerty Owner Social Se rit, Number Data ai MOTE: 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 comoleced and returned to our office before we are per- mitted to issue the perait. c,P 959 a m r a _ m l 1 J l U m p0UNT'Y OF BUTTE DEPT. OF PUBLIC WORKS APR 1 3.139[ 7�� I �(• ,�Ct r�iYz 6k -IL7-,�w(-1e,—,- eV-S- 73�/ ACTES (l) 9ui1';,1inq permit -s ,-nc; re poy,nent of Chico Unified School District- ` fees. (Z) Areas with slopes in exrEss of 3C-% ore unsuitable. fo' sewage diseosal (3) No-nesite construction practices shall be in occordanc_c yvith /he provisions of C "excavation and Grodir.," of tnr ,ales! edition of the Uaif r, Chapter 70, asile driveways shot/ hove o maximum grade of l5 percenl,Borl shall be a paved. (5) Cone'-uction of a-! onsite roods shall be conducled in accordance With theer m-c=u'e.9 listed-be/oW:: osion control A) Ecrth_movirg construction activities shall be reslricte "to the dry season through October. , i.e. April _ B) All disturbed areas which are /o remain exposed during the wet season shall • and mulched. This should be undertaken following the end of construction and be revegeloted • SC_ November /, prior to C" SJandc-d dust control practices, as specified by county staff shall ' CH grojing operations. be utilized during G) Energy dissipators shall be installed in all onsite drainage ditches._ E) All -,1-:("nenls generated by onsite construction activities shall be contained'b t } si,`.., 1. ,ces, settling basins, o y /he use of ` ther • ��' = ,:i, Slopes shall be limited lot armaxlmum. orodien gradient measures. /'.; Cu; .... 4 ((6) rhe ar^: wes.' of the 30 percent slope line is designatedrad nt Of"Developmenthorizonol to vertical. 7) If subs :-f,cce cultural materials are encountered, all construction oclivesin that hu' 4' d '%r'`' a quo/tried o�choeologisl con examine !hese materials and make o de area sho!l be a.` "' e`r `.";^ifiCance. terminatio!! (B) �'1�-' s spa:: be located no closer than 5 r ior and bvunda. �s Exceptions may be gra,n,'ed provided lOOnft. rsetback l� mfointaeet fnom exterior lot (9) tera.nce o f road side drainac� ed from existing wells. chcnn��s and related improvements shall be undertak as ;� `unction of the rood maintenance program. en Spark-arrestinsc�eens sha'1 b_e_in=tolle,, -�on all 9- chimne s, flues, and stovepipes. 12) -- -?cod v egelation shall be_-clrrrA,f_wi thin. 0..30 fool radius of all structures. "1 (13) T� -? street address of all res ido- 7,--eS shall be displayed near the driv - SO as to be clearly visible. eway entrance (14) The roads In this subdivision were not designed ,or constructed to o be accepted by the County for maintenance. comply with standards forroads (15) This additional map sheet shows additional information, is for informational conditions as of the dale of filing and is not intended to affect record title Purposes only, describing • interest. (l6) Issuance of building permits may be subject to payment to a deer habitat improvement p ement fund. TO Buildinc Department k FROM: Environmental Health SUBJECT: Sanitation Clearance frLor Q6ek� 4 1, Cull ,i — Owner Location AP# Plan Approved for: Sewage Disposal Water Supply Hold final for: Water Supply Final clearance O.R. for: Water Supply Clearance for bedroom mobile home. other NOTE Sanitarian Date t, SIERRA WEST SURVEYING LICENSED LAND SURVEYING ' 5437 Black Olive Drive - Paradise, CA 95969 Phone: (916) 877-6253 Randy Robbins P.O. Box 734 Forest Ranch, CA 95942 Dear Mr. Robbins: �3 February 28, 1992 M, On February 27, 1992, as per your request, we verified the grade of the driveway. A field check of the driveway and elevations were taken along the driveway. The existing slope of the driveway is 5% or less and meets the condition of approved for driveways in this subdivision. Sincerely, �SEp LAND r Gordon L. Shields * L.S. 3346 *I L. S. 3346 OF CAU% EXPIRES 6-30-92 cp osp OF u6iu f Mq,q o� 199 Ks o MAR s 6 1992 Land Development -Sec. r 'J •tr ".., Vi. MAR s 6 1992 Land Development -Sec. 1. t.,etuug .-..,... 2 Wall Insulation 5 1 Numoer at s=nes Single. R-vawe One Two Three R-0 -103 -49 32 R-19 -8 -1 .2 R-30 •2 -1 •t R38 0 0 0 0.10 , .. , .. -• sc) -__ -•t 53 7 U -value __ - - 0.50 -31 A8 1 0.-o .176 -84 -SA 0,20 -102 -19 32 0.10 46 -13 3 0.08 .18 •9 -6 Us -11 •5 -4 O.Cs -t -2 •i 0.02 4 2 1 0.00 11 5 3 2 Wall Insulation 5 1 . 4 Single. Sulgte- -iso Fam1ry Fam iy Mutti- R•valua Detacled Attac:ed Famity R-0 -68 -51 34 A -i l a 0 0 R-;3 2 2 1 _......__._. A-;9.._._......8 --._.r 6._...---.4 _ . .. U -value .. 0.10 , .. , .. -• sc) -__ -•t 53 .5 0.08 __ - - 0.50 -31 A8 -16 0.20 =7 -36 -24 0.10 0 3 0 0.08 4 3 2 Us 9 7 5 0.04 14 10 7 0.02 9 S 10 O.CO .i .3 12 .-.3. Raised Floor Insulation 5 1 . 4 Insulation In Floor _ -iso Number ai smries Two R-vaiue One Two Three R-0 a7 -8 •5 R-11 -3 -2 •1 R-19 0 0R-30 0 a.z0 3 .21 U•vaius 5 1 . 4 Number of sorties -_0.60 -iso One Two Three 20 -52 38 0.40 -95 _ib 30 0.3o -a v4 •a a.z0 _:1 .21 -14 0.10 .17 A .5 0.08 -11 -6 -4 0.06 -6 -3 -2 O.C4 .1 0 0 0.02 4 2 1 0.00 10 5 3 Controlled Ventilation Cra"ace 5 1 . 4 Number of sorties na R-vaiue One Two Three R-0 -11 .7 -S R•5 -4 .EO 3 R•11 .2 -2 •Z R -I -1 •2 -2 4. SIab Fdge Insulation 40 - - 37 Number of stones -14 R -value One TWO Three " R-0 0 0 0 R-5 8 5 Z R-7 8 6 3 F2'a= -58 40 -12 0.90 4 3 .1 0.80 •1 •1 0 0.70 2 2 1 0.60 6 d 2 0.50 9 6 3 0.40 12 8 4 S.Inriltraboo (Air Leaka;e) SQecnaoon Pone Stwwwd 0 6. Glass Heat Loss . Total 5 1 . 4 1 na U-valus .'.4-2. Percent ._. 1 .• . na St to .41 to .31 to 0.30 or Glass Single Oaude .EO SO .40 less 50 .121 -53 39 -24 •10 4 40 -90 37 -26 -14 3 8 35 -75 -29 -19 .9 1 10 30 -61 -21 -13 -4 d 12 29 -58 40 -12 3 5 12 28 -55 •18 -t0 .2 5 13 27 -52 -17 -9 .2 6 13 26 -19 -15 -8 .1 7 14 25 =6 •tor .7 0 7 14 24 -4 -12 -S 1 8 14 23 -W -11 •t 2 8 15 22 37 •9 3 3 9 15 21 34 •7 •2 d 10 15 20 31 -6 0 5 10 16 19 -29 -i 1 6 11 16 _19--26 7 3 - 1 - 7 12 16 17 -23 -1 3 8 12 17 16 -20 0 4 9 13 17 7•1S -;7 1 6 10 14 17 14 -14 .3 7 10 14 18 13 •12 4 8 11 15 18 12 -9 6 9 12 15 19 11 3 7 10 13 16 19 10 3 9 11 14 17 19 9 .1 10 13 15 17 20 8 2 12 14 16 -18 20 7..Shading (Shade Open) Errective Pes C 9 Ciao (Paeent glans x SC) Efts. e :G1as Nam East South :west Skylight 18 5 1 . 4 1 na 16 .'.4-2. . 5 ._. 1 .• . na 14 4 2 5 1 na 1.2 3 3 5 2 na -. 11 3 3 5 2 . na 10 2 3 5 2 1 9 2 3 5 2 2 8 2 3 5 1 2 7 1 3 4 2 2 8 1 3 d 2 3 5 _ 1 1 .A 1 3 t 0 1 3 1 3 3 1 2 -4 3 2 0 0 1 0 3 1 -t -1 -t 2 o r;j d -2 .t -2 0 ria a not allowed $. Shading (Shade Closed) North Stab Floor E1reClve Peic 9 Class M= Fmiy . (pessmt gfam x SC) !lass Becow A>mmed r -FA One Two Three %bass Nam East South west S4*2 18 .14 •t8 -69 bd n4 16 .12 •12 -59 -55 nor 14 .10 35 -50 _16 na 12 •a -29 -10 37 na 11 -7 •26 _is 33 na '10 -6 • -23 31 -3 -74 9 .5 .ro .27 -25 -65 8 -5 .;7 -23 .21 •56 7 .t .14 •t9 •t8 .47 6 3 •;t -15 a4 38 5 .2 .g •tt •;0 -� 7 25 0 3 .7 -23 3 8 .4 1 s .16 .9 8 1 1 1 1 4 1 9 9 10 4.0 3 no . not L&-- rid 9 10 10 A.5 9. Interior Thermal Ntass Intanor North Stab Floor Raised Floor M= Fmiy Sbnes WIN !lass Sbnes A>mmed r -FA One Two Three One Two` Three 0.0 -a •5 -4 •2 -1) -1 0.1 -8 .5 3 •1 8 5 0.3 •7 1 .2 0 1 1 OS -6 3 .1 1 1 2 0.7 -5 •2 •1 1 2 2 0.9 •5 .1 0 2 3 3 1.1 -t .1 1 a l 4 1.3 3 0 2. 3 4 5 1.5 3 1 2 4 5 5 20 -1 2 4 5 6 7 25 0 3 5 7 7 8 3.0 1 4 6 8 a 9 35 1 5 7 9 9 10 4.0 3 6 8 9 10 10 A.5 3 7 8 10 11 11 5.0 4 7 9 it 12 12 5.5 5 8 9 11 12 12 6.o 5 8 10 12 13 13 65 6 9 10 12 13 13 7.0 6 9 11 13 13 14 75 6 10 it 13 14 14 8.0 7 10 11 13 14 14 LS 7 10 12 13 14 15 10. Exterior Wall Thermal Mass Ewad North b. _ Sum of 1.6 C. Fmiy Fanai)r WIN !lass Demo -ad A>mmed Family 0.00 0 0 0 oro 3 2 1 0.40 5 4 3 0.60 a 6 4 0.80 10 8 5 1.00 13 10 7 1.cro 13 12 8' 1.40 12 13 9 1.60 10 13 11.. , 1.e0 10 - 12 12 2CA 10 11 13 1L Heating System SE or HSPF (assumes duets in attic) Zonal Control Adjustment System Type Resuance 10 9 7 6 4 3 Other 6 5 -4 3 2 2 1:. Cooligg Syst:m North b. _ Sum of 1.6 C. South - SEER _ -25 or .24 t1 •;4 to s to +6 to 16 or Se HSPF less •;5 -5 +5 +15 mare 0.72 6.60 0 0 0 0 0 0 0.75 6 a8 3 3 3 2 1 1 0.80 7.23• 8 7 6 5 d 3 0.65 7.79 13 11 10 8 7 5 am 8.25 17 15 13 11 9 7 095 8.71 20 18 15 13 11 a 10.5 7 Effective SE or HSPF 4 3 (S: or HSPF x duct eilicienc7) 11.0 Effetave -25 or -24 to -14 In -4 to ,6 to 16 or SE HSPF leas -15 -S +S +15 mug 0.30 2.75 -73 -4 -56 -47 38 .30 na 3.41 .-15 .;g -34 -29 -24 .18 0.40 3.67 -34 -M -26 -22 -18 .14 0.50 4.58 -10 -9 4 •7 -5 -A 0.56 113 0 0 0 0 0 0 0.60 5._0 5 5 4 3 I2 3 0.70 6.42 17 15 13 11 0 7 0.80 7.33 25 22 19 X16 13 10 0.90 8.25 32 28 24 20 17 13 1.00 9.17 37 32 28 24 19 15 Zonal Control Adjustment System Type Resuance 10 9 7 6 4 3 Other 6 5 -4 3 2 2 1:. Cooligg Syst:m North b. East C. South - SEER One •5 .4 -t 3 (yaamei duds In attic) Two + 3 3 ., Sans o(7-10 2 2 1 j Singh-Fau:4 Detached and -25 ar .24 b ►1410 -4b *Gto Isar SEER .leu -1S 1 -6 +5 +15 mos 8.0 .14 • .12 -10 a -6 .4 8.5 •9 .7 -6 .5 A 3 8.9 .5 A -4 3 •2 .2 9.0 .4 3 3 -2 .2 .1 9.5 0 0 0 0 0 0 10.0 4 3 3 2 2 1 10.5 7 6 5 4 3 2 11.0 10 9 7 6 4 3 120 15 13 11 9 7 5 13.0 -24 17 j 14 12 9 6 SGIV .1 Effedve SEER -t a o (SEER xded Cincime7) HWq -118 -112 Strlt of 7-10 .7 3 EffecWe-25 ar .24 to 4,110 -4 b . +6 In 16 ar SEER Vest -15 S +5 +15 more 5.0 00 -25 .21 .17 -13 •9 6.0 -12 -11 -3 -7 3 .4 6.6 .5 -4 .4 3 •2 •2 7.0 0 0 0 1 0 0 8.0 3 8 6 5 d 3 9.0 16 14 12 9 7 5 10.0 22 19 16 13 10 7 11.0 :6 23 19 15 12 8 120 M 26 22 18 t4 9 13.0 33 29 24 M 15 10 Zonal Control Adjusunent 10 8 7 6 4 3 No Cooda; S7sum Installed • -Stories North b. East C. South d. One •5 .4 -t 3 •2 -2 Two + 3 3 ., 2 2 2 1 j Singh-Fau:4 Detached and Aliached IV_ X ! Unit Size (sit O Water 119 17M 2200 2700 Heater C"(fit or - b to to - or _Type Type fess 1699 2199 2699 more SG None 0 t0 x 0. 0 0 or Sala 12 '1 d 6 S. 4 - HP HPtR 8 5 4 3 3 w ' ws8 5 3 a 2 2 :o% POU 8 5 4 3 3 SE None 37 -24 -18 -IS -12 - SGIV .1 -1 -t a o 0.6 HWq -118 -112 -9 .7 3 21 WSd -25 -116 .12 •;0' -8 16 PQIJ -18 _42 -9 •7 -6 iG None -5 -3 •2 •2 .2 1 Sola 7 5 4 3 2 25 POU 3 2 1 1 1 JE Norte .28 •19 -1d -11 -9 20% Solar 8 5 4 3 3 IJ POU -t0 6 .5 .t 3 31 MUIU.Family (individual units) 17 21 4.1 43 Uric Size (sf) 4,6 Water 52 699 700 1200 1700 ZZ00 Heater Type Celt Type or less b 1199 to 1699 10 2190 or `more , SG Nom 0 a 0 0 33 or Saar 14 7 5 4 1 Kp HWR 0.7 tU 1.1 1.2 1.5 1.7 1VS8 9 4 3 2 2 12 POU 9 5 3 2 2 SE HIM -45 •23 -15 -11 .9 0.9 -`'off 2 1 t 0 0 23 438 .23 -12 -8 -6 -5 IS EQU 3 •;3 •8 a •5 iG _ Nene -23 -4 _12 1 d .3 .6 .2 •5 -2 1.4 Saar 6 3 2 1 1 26 P^U 1 0 0 0 0 IF None .;0 ;5 --0 d -6 5.6 Solar FOU 1.8 9 5 s s 1.9 21 d _I .3 _ •2 Interior Mars1CFA Point System Summary: Climate Zone 11 SCORE CARD 1. Ceiling Insulation 2. Wall Insulation 3. Raised Floor insulation 4. Slab Edge Insulation S. Infiltration 6. GIass Heat Lass ?. Shading (Shade Open) a. North b. East C. South d. West e. Skylight S. Shading (Shade Closed) 0 Type'idamo4ci • U-vaiue % Total Glaze 10 Suri. (0.651 (161 TO Glass SIC Eff. % Glass IV_ X -7-7 = u.r..�c-'•�� O e?/ x 4711 x = �- t "PC I PASS IUIMC s 4.2. les *.00zed slael o mo Gass .9" X S t - Eff. mo Zt Ar 012 X = a. x �--T.-ir (%+V X r7Z =L9I-z- z -TYPE TYPE1•MASS AREA Intutor ZsarCFA • COND. FLOOR AREA TYPE 2 MASS AREA �r OR w ' 0% S% it7% tai :o% 23% 30% 35% 40% 157 50% Sm am CSR. 717% 737 0 85% 90% 95% i00y. toss Ila% its% t;t 0% a a2 0.4 0.6 0.e 1.1 1.3 iS 1.7 1.9 21 23 25 U 21 12 14 16 16 4 42 44 .4.6 S low. 0.2 14 06 0.6 1 1.2 1.4 U. 1.1 it 23, 25 it 29 11 13 15 IT 4 4.2 4.4 46 I.L .4.6 S S 20% 0.3 at 11 1 1.2 1.4 IJ 1.1 2 22 U V 29 31 13 35 17 21 4.1 43 4.5 4,6 S 52 5.4 30 % a5 e7 t9 1.1 1.4 1.6 1.6 2 Z2 Lt 26 26 3, 32 35 17 33 11 4.3 4S 47 49 5.1 5.3 5 a 407. 0.7 tU 1.1 1.2 1.5 1.7 U V a 26 26 3 12 114 16 36 4 4.3 4.5 4.7 4.9 5.1 13 SS 5.7 `.A'7. 0.9 L1 1.3 IS 1J 19 2f 23 25 27 3 32 34 33 IS 4 42 4.4 4.6 46 S.1 3.3 9.5 S] 5.9 S5% 0.9 U 1.4 1.6 1.8 2 22 it 26 26 3 12 SS 17 l9 11 4,3 4.5 4.7 4.9 ii 52 56 5.6 6 60% 1 12 1.4 iJ 1.9 21 23 25 27 29 11 13 3.5 16 4 4.2 44 4.6 4.8 S 112 5.4 54 5.9 $1 65% 1.1 U 1.3 7.7 1.9 22 24 26 21 3 12 14 34 3.2 4 43 43 4.7 4.9 it S3 SS 5.7 5.9 61 70% 1.2 1.4 1.6 1.1 2 22 25 27__ 29 11 13 23 17 I1 ll l3 46 l6 5 5.2 14 5.6 So 6 6 Z 75% 1.3 13 lJ 1J 21 23 Z5 27 3 112 34 I6 16 4 42 L4 44 It 5.1 13 IS ~56 5.7 L9 6.1 6 83% 1.4 1.6 1.1 2 22 24 26 21 3 13 15 17 19 4.1 43 43 4.7 4.9 5.1 54 5.8 6 62 64 45% 1.4 1.7 1.2 21 23 2S 27 29 it 13 15 14 4 4.2 4.4 46 44 S 52 S4 36 39 R1 63 6S 90x' 1.5 V 2 22 24 2626 3 32 34 16 16 41 4] 4.5 47 46 11 53 .5S 117 5.9 l2 64 64 957 1.5 . U 2 22 U 27 29 if 33 SS 17 19 11 41 4.6 44 S 52 5.4 116 IS 6 4.2 6.4 6.7 1=. 1.7 1.1 21 2.2 25 26 3 32 3A Ill It 4 42 l4 4,111 U it S3 53 5.7 5.9 6.1 R3 6.5 6.7 105% 1.6 2 22 24 26 26 3 13 3s 17 19 4.1 4.3 4s 47 49 V 14 56 16 6 6.2 6.4 ss SS liar. 1.9 21 Z3 25 27 29 11 13 36 3.6 4 42 11,4 4111 4.6 5 12 14 5.7 19 111 6.3 6.5 6.7 69 115x. .2 U 24 26 26 3 12 114 15 18 4.1 43 45 4.7 4.9 it 113 15 5.7 i9 6.2 6.4 6.6 6.6 7 120% 2 23 23 27 29 11 13 15 27 19 4.1 4.4 4.6 4.6 S 112 SA 116 54 4 U tS 4.7 6.9 7.1 125% 2.1 V 25 26 3 32 U 16 I6 4 42 44 46 4J 11 52 53 SJ 5.9 6.1 U 65 6.7 7 72 Point System Summary: Climate Zone 11 SCORE CARD 1. Ceiling Insulation 2. Wall Insulation 3. Raised Floor insulation 4. Slab Edge Insulation S. Infiltration 6. GIass Heat Lass ?. Shading (Shade Open) a. North b. East C. South d. West e. Skylight S. Shading (Shade Closed) a. North b. East c. South d. • West i e. SIcyl3ght 9. Interior Thermal Mass 1.!i 2. %.,, 10. Exterior Wall Mass IV. 11% 41V 11. Heating System Zonal Control? ( Y / N ) 12. Cooling System Zonal Control? ( Y / N ) 13. Vater Heating Measures • or R -value (381 U -value (0.0301 Jqor R -value (111 U•vaiue (0.0981 iOr R -name 119_1 U•vutx (0.0371 Point Scores or R -vain (01 F2 fagot (0.771 Standard ¢, 7i� 0 Type'idamo4ci • U-vaiue % Total Glaze 10 Suri. (0.651 (161 TO Glass SIC Eff. % Glass IV_ X -7-7 = 2• 10 O e?/ x 4711 x = �- 41- X otz o mo Gass .9" X S t - Eff. mo Zt Ar 012 X = a. x �--T.-ir (%+V X r7Z =L9I-z- z -TYPE TYPE1•MASS AREA Intutor ZsarCFA • COND. FLOOR AREA TYPE 2 MASS AREA �r OR w ' X r _ SE or HSPF 'Duct Effuzmcy 10.781 Effective SE or [0.771661 �g, IT X t gz HSPF I0 5611 IS] = 7,3 SEX1931 Duct F1fic3mcy (0.741 EuoatveS� 7 031 Type (-l-GI Cmau (nmej r Pninr Tnta1: � 1 HVAC SYSTEMS . Mi:.imum Duct Type (huhu,-, air Efficiency Location Duct Ourput Manufacturer / Model # conditioner. )legit 01nnD) (SE. SEER.HSPF) (attic, ett.) R -Value (Btuh) (or aDpToyed equal) N t 7-z- Arnim BUTTE COUN1I Maximum Furnace Heating Output T' Btuh HOT WATER SYSTEMS Tank .Manufacturer/Model # System Type (storage gas. etc.) Capacity (or approved equal) Soecial Feattrrefs) 5.6_ So MAUL SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) ty(aneatory Measures Checklist: Residential MF -1R ppTE. LLo-vL c mmdauW bwldmvs subx= o lase Smrtdards sun cacao alae mash=es rctsttlra Of Use ®alis¢ apprnaca alai 1t=ns maraca wen >n uvnsa (-) may be anoasow b7 Ohre = matt tam0„attm =gigue UMMO iad on gyre Cuuf ole. a( ComaLwrat whm out cw..eLm V rrcoroaard u,to the p=art ilacw nu. tnt fotw= Oma zima be consi0c ea" All lana= as burornt mrunum corroonEM ocforvanQ s11110C=JIL nes for Ihn wndatory rar>miro .r -naAw tetcy se u%o-e 43e+moe in lase ooetrnmu or on tbu CrACXkU OMT. DEScyjr, tom I DFSIGNU ) D o cElia rT duildint En"fove Measure • 12.3352(31: Mu,unsen CcAmt msulatsow 2-19 vaulted •.erste. 12.5352fbr t.00sc U ir—umn mandacam'3 tsectoa R.valuc- • 12.5352(er Musunsa valt urwlaoon a famed varb R-1 I weighted Overate (does am apply o ea talar mass •rads), 12.5352fkk slab edge asulason ...aro adsorv+ar rate m pester Was 0J%. vara vapor vwwrnmeon rare no peas than 2.0 p=vmuwlL 17.5311. baalaum smxtfrrd or in nalkd aeca Uifomia Flan C nuntz6m (C= quality snn6adL ledeae type aced form. 12.5352(1): vaoar meters maroaury in Clim= Zeta 14 ad 16 oruy. 12.5317: Infnlnatsanr 61trsbonconrsmts a. Doors and vurtoovs =wccn ca,attnoncd ad utsaditioned spam desipted to Gmu air leakage - b. Moors and "noo-n caufucd. e Doors and vtnoa.n vawersa gvCCt an jou" and pta,rmWou aultrd and sealed i2.5352(er. Spee3l krduauon turner mmlkd we mpiy nub 12.5351 amts CEC quality 12.5352(d): Insnllaubn ar Fsnoura 1. trlaysrry and (actor y -brill rueol— base L irgat Gang. Uosoble meal or you door 0. Ourum av ante vtw danpa and retool e Flue =snow and w=ind 2. Nomaonuousaw runt pspilau aibved. HVAC aid Plumbint symn Measure 12-53_=W and 2-5307: Sm = eondi6amnt ogmpmrat suint; unite oieuladons. 12.5352(b) and 2.5315: Sabaea tbanmm en aG agoiable botint syaaaz •.12.5316(a). Duets eamruc=L k a/kd and irmuamd per Cbapta 1(11976 LJMC 12.53160): Fihana systems nave dunpa tenants. 12.531.(ek Gas -food soars nona+t eattiom=tt nes iotasmiamt iprition denies 12-531.: HVAC eaatmn+L rates heaicm show meads and (annc... o:rdr2C d by the CfC i2.5352GX water hole irtsndatim bL�nttts (R-12 or puler) a cambuwd intrrioneuator insuiauon (R-16 ar puler fust 5 fest of pipes utast w tau insulated (R-3 arpato). i2.5312(E=cw= f): Pipe irsulaum an smm and stom cada7tate taurm A rodmamint ` ptpnnt. i R-53 19(d): S+immas Pool Mcmint 1. systernt has: • a. Ooa(( when an hate. b. weutaproof irsmeuon plate on hats. C. Plumom to al:ov for sour. 75 pas=t taemml elGomey. 3. Poor eo.er. •. irm0 s. Dtrocuomi rata okL t U htim t t and A ppiomee Armatures i r 52-5352(-x UZtiunt - Z5 lua ww=ar trunita (a linen) tt'ttuint in id -hiss and baUaoonn. i 12.531 a(cr Gas furcaappbama cgwpp cd vial inumniams igmitiob devrcs 12.5314(ar RehigcrAws. mf itcrawr-(rea=rs. Gee=s and 0urom=cu lamp ballast eutiGed : by tae CZ inrmoae mase ante =tape► mnnttoa. COUTLIANCE STATENCEN T This c=af tete of compamcc lists tlr building f=auns and peri'orma lce spccficadom needed to comply with Title 24, Chavm 2-53 and Title 20. C`-tgr 2. Subcha7= 4, Article 1 of the California Administrative code. This f. —riBCate hai biter signed by the indivi&W with ovcaII desiga responsibility and the building owner. who shall renin a copy of it and =2n=it the cc tificze to zay sabsepeat pustdtazer of the buMing. Designer Building Owner Narrac � Namc Te- 7,dCfiRf1M Addre::r Addre= Tckplwnc Lac. I: (3ienanue) (date) Documentation Author NAMC: TticdFirrn: Tckpiwnc (siCnatuoe) - - (date) Enfor ment Agcnc7 Nannc A ecrwr . BSI project Tlua N S Q _% 4l,p,d4- A J. say Iz R9 aui>duZ ��3`_ 9 z proleet Address chocked ay/.Due Documentation Author Telepnone Enforeonau Aitency UsecOmiy Glass Area °b Glace BUILDING DATA North 9-7 Conditioned floor Area 047-4- Number of Stories Z East 0.2— •zSlab/R.aised Slab/Raised Floor SES Number of Units South 4- • Z_ - -Single Single Family Detached (ScD) [ ] Addition Alone West 3 , ,,r ( Single Family Attached (SFA) (] Existing Building Skylight 017, Total 14,2- (j Multi -Family (MF) [ ] Existing -Plus -Addition ,LB B L'II.DLNG SHELL INSULATION Ccmpone- t Insulation LocaiiOn/e:,mmc= Tyce R -Value (attic, :a g=ga, r.-Ji~r etc-) POINT TOTAL wall .............. Roof.......».»o Roof....»..»_ Floor ............. Slab Edge..... .... GLAd' UNG Shading Devices GIP—zing Area Gl= Type Intezor Exterior Overhang Framing Type Orientation (Sr) (single, double) (roller blind, est.) (shsde=em etc.) (yes/no) (MCMUwood) No r -,-ti ( ) S_ D &L-1 t h ( ) East East C ) East ( ) Sou _h ( ) kv, Sou' -11 ( ) West ( ) West ( ) Skylight....... T41 THERMAL MASS Type/Covering Area Thickness (slab/exxsed. tiles etm) (sf) (inches) L=cion/Descriction06tthet. bath. em.) HVAC SYSTEMS . Mi:.imum Duct Type (huhu,-, air Efficiency Location Duct Ourput Manufacturer / Model # conditioner. )legit 01nnD) (SE. SEER.HSPF) (attic, ett.) R -Value (Btuh) (or aDpToyed equal) N t 7-z- Arnim BUTTE COUN1I Maximum Furnace Heating Output T' Btuh HOT WATER SYSTEMS Tank .Manufacturer/Model # System Type (storage gas. etc.) Capacity (or approved equal) Soecial Feattrrefs) 5.6_ So MAUL SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) ty(aneatory Measures Checklist: Residential MF -1R ppTE. LLo-vL c mmdauW bwldmvs subx= o lase Smrtdards sun cacao alae mash=es rctsttlra Of Use ®alis¢ apprnaca alai 1t=ns maraca wen >n uvnsa (-) may be anoasow b7 Ohre = matt tam0„attm =gigue UMMO iad on gyre Cuuf ole. a( ComaLwrat whm out cw..eLm V rrcoroaard u,to the p=art ilacw nu. tnt fotw= Oma zima be consi0c ea" All lana= as burornt mrunum corroonEM ocforvanQ s11110C=JIL nes for Ihn wndatory rar>miro .r -naAw tetcy se u%o-e 43e+moe in lase ooetrnmu or on tbu CrACXkU OMT. DEScyjr, tom I DFSIGNU ) D o cElia rT duildint En"fove Measure • 12.3352(31: Mu,unsen CcAmt msulatsow 2-19 vaulted •.erste. 12.5352fbr t.00sc U ir—umn mandacam'3 tsectoa R.valuc- • 12.5352(er Musunsa valt urwlaoon a famed varb R-1 I weighted Overate (does am apply o ea talar mass •rads), 12.5352fkk slab edge asulason ...aro adsorv+ar rate m pester Was 0J%. vara vapor vwwrnmeon rare no peas than 2.0 p=vmuwlL 17.5311. baalaum smxtfrrd or in nalkd aeca Uifomia Flan C nuntz6m (C= quality snn6adL ledeae type aced form. 12.5352(1): vaoar meters maroaury in Clim= Zeta 14 ad 16 oruy. 12.5317: Infnlnatsanr 61trsbonconrsmts a. Doors and vurtoovs =wccn ca,attnoncd ad utsaditioned spam desipted to Gmu air leakage - b. Moors and "noo-n caufucd. e Doors and vtnoa.n vawersa gvCCt an jou" and pta,rmWou aultrd and sealed i2.5352(er. Spee3l krduauon turner mmlkd we mpiy nub 12.5351 amts CEC quality 12.5352(d): Insnllaubn ar Fsnoura 1. trlaysrry and (actor y -brill rueol— base L irgat Gang. Uosoble meal or you door 0. Ourum av ante vtw danpa and retool e Flue =snow and w=ind 2. Nomaonuousaw runt pspilau aibved. HVAC aid Plumbint symn Measure 12-53_=W and 2-5307: Sm = eondi6amnt ogmpmrat suint; unite oieuladons. 12.5352(b) and 2.5315: Sabaea tbanmm en aG agoiable botint syaaaz •.12.5316(a). Duets eamruc=L k a/kd and irmuamd per Cbapta 1(11976 LJMC 12.53160): Fihana systems nave dunpa tenants. 12.531.(ek Gas -food soars nona+t eattiom=tt nes iotasmiamt iprition denies 12-531.: HVAC eaatmn+L rates heaicm show meads and (annc... o:rdr2C d by the CfC i2.5352GX water hole irtsndatim bL�nttts (R-12 or puler) a cambuwd intrrioneuator insuiauon (R-16 ar puler fust 5 fest of pipes utast w tau insulated (R-3 arpato). i2.5312(E=cw= f): Pipe irsulaum an smm and stom cada7tate taurm A rodmamint ` ptpnnt. i R-53 19(d): S+immas Pool Mcmint 1. systernt has: • a. Ooa(( when an hate. b. weutaproof irsmeuon plate on hats. C. Plumom to al:ov for sour. 75 pas=t taemml elGomey. 3. Poor eo.er. •. irm0 s. Dtrocuomi rata okL t U htim t t and A ppiomee Armatures i r 52-5352(-x UZtiunt - Z5 lua ww=ar trunita (a linen) tt'ttuint in id -hiss and baUaoonn. i 12.531 a(cr Gas furcaappbama cgwpp cd vial inumniams igmitiob devrcs 12.5314(ar RehigcrAws. mf itcrawr-(rea=rs. Gee=s and 0urom=cu lamp ballast eutiGed : by tae CZ inrmoae mase ante =tape► mnnttoa. COUTLIANCE STATENCEN T This c=af tete of compamcc lists tlr building f=auns and peri'orma lce spccficadom needed to comply with Title 24, Chavm 2-53 and Title 20. C`-tgr 2. Subcha7= 4, Article 1 of the California Administrative code. This f. —riBCate hai biter signed by the indivi&W with ovcaII desiga responsibility and the building owner. who shall renin a copy of it and =2n=it the cc tificze to zay sabsepeat pustdtazer of the buMing. Designer Building Owner Narrac � Namc Te- 7,dCfiRf1M Addre::r Addre= Tckplwnc Lac. 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