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HomeMy WebLinkAbout064-190-01564-19-15, 2721-97B'P;,E,M CARVER, Mike 14626 Lafayette Circle,.,'Magalia.�.D�Q (new sf), _ 3._=_ — 064-19-0-015 9 ;0 19Z CARVER, MIKE CONTR: OWNER MAGALIA 14626 LAFAYETTE CIRCLE,, OPEN DECKJSF r i V �' 15 M�mm RESIDENTIAL 4t --1 Z, -7 24 _ --- _..-._ . N..- - - 92-0230 `064-19-0-015 CARVER, MIKE CONTR: OWNER MAGALIA 14626 LAFASETTE CIRCLE, OPEN DECK/ SF JOB FINALE Signature V=OK O'= Not OK = Not Ready-, MOBILE HOMES' Dbte 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 R Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card 13-1., 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 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 V OK O=Not OK NNotot ApplicReadyable J.� IjRESIDENTIAL (; Date UNDERFLOOR (Plans) OK except - -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 1 5. Stemwalls, Main; Steel-Blockouts-Wrapped. 6. Stemwalls, Garage;:Steel-Blockouts-Wrapped,,, , = 6a. Hold Downs and Special Anchorsi,,,,,.ti ' 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel, - ; ,n P r 9. D.W.V.; Fall -Fitting -Test -2 Way,C/O-Sewer Test„p p 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test i 11. Water Pipe; Test -Anchor -Regulator -Service Test , r 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. !ts 14:, Girders-Sills-Anchor,Bolts-Joists-Vents-Cripples n # 15.,Access & Ventilation 16. Insulation �:', i 10(jq . _. - ... t- -_ -. Date Card B-.1 Date,.,., ;,Card 8-1 { Date Card B-1 a Date , Card B-1 11 Date PLUMBING (Permit).OK except ft's.- , 16. Water Htr.: Vent -Access -Combustion Air -Baffle AI ------- ------- --------------------------- 17. Water. Pipe; Test & Anchor -Nail Protection's E t ------------------- ---------------------------- 18. D.W.V.: Test -Fittings &'Anchor=Nail Protection t -----19.-- Shower Pan: Test. First Floor -Tub Access'' a P 1 0 - ------------------------ 20. Test Tub & Shower, Second Floor-Tub'Access, '' 1 ----- -------------------- 21. Gas Piper Size & Anchors . E -- i ex t -------- -------------------- -------------------------------------- Date Card B-1 Date '' Card B-1 ------------------ ------------------- ------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ft'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. Subfeed Wire Size / ga. Cu or AI-A.C. Wire Size / ! ga. Cu or AI- ----------------------------------------------------------------------- 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No ------------------------------ --------- --------------------- 30. Service -Riser Conductors & Ground -Main Disconnect ----------------------- ------------------------------- 31. Equip Clearances Panels-Motors-Mech. Equip. ------------ -------------------------------------------------------- 32. Clothes Closet Light -Shower Light -Spa Light ---------- --------------------------------------------- ---------- -------- -- 33. Smoke Detector --------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 --------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except 4's 34. A.C. Ducts Insulation &-Support -------------------------------------------------------------------------------- - 35. Vent Fan: Exhaust above insulation s,------------- ----------------------- ----------- ---- ---- --- 36. Condensate Drain & 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 Date FRAMING (Plans) OK except fr's 39. Sils. Proper Material & Anchors -------- ------------------------------------------------------ --------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound ---------- ------------------------------------------------------ 41. Bearing Walls over Girders & Floor Nailing ------------ - ---------------------- ------------------- --- 42. Draft Stop in Walls (rat proof) ---------------------------------------------------------------- 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub ------------- ---- --- ---------------------------------------------- 44. Headers & Beam -Size & Bearing i1O : 'a "Ingle & Duplex')aAO.:la le`rbj•3Sa,^ Date FRAMING, (Continued) }rc,1 y+r u a unn,r_t -� 45. Hangens-Post Caps -Anchors -Connectors. 46. Cing. Joist Rftr ,ties-Purlin-roof;Brac ,Truss-Snthng.-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.T n". 51. Property Line Firewall & Openings 52. Ext. Doors -One T -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 - t56.!Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access -'57. tGlazing 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 tf's 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector --------------•---------- - 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meeh. Protection ----------- --------------- 64. Bedroom Exiting ---------------------------- --- 65. G.F.I. & Bath Fixtures & Tub Access -Spa ------------------------------- 66. Elec. Trim & Subpanel: Breaker Sizes & Labels --------- ------------- 67. Stairs & Rails --------------------- 68. Fireplace or Stove: Clearances -Hearth 69. Elec. Outlets at Wood Panel: Int. & Ext. - - -------------------- -- 70. Kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door: Swing -Landing -Closer 73. A.C. Duct in Garage -Damper ------- ----------------------------- - - 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor -Meth. Protection 75. Plb. Elec. &Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection --------------- -------------- 7;. ------------7;. In_sulation-Foam-Looked in Attic ❑ Yes 78 Guard Rails & Deck Construction -Post Caps -------------------------- 79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth i Clearance Looked under Floor ❑ Yes ..----------------------------------------------- 80. Following instld.; Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No; Planters _-0-Yes ❑ No 81. Stucco: Brown -Finish ------------------------- 82' -------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 ---------------------------------------------- ----- Date Card -B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final COUNTY.OF BUTTE - DEPARTMIENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/536-7541 APPLICATION'AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ' 64-19-15 ZONING R T'l BUILDING PERMIT OWNER MIKE CARVER TELEPHONE 891-8850 SO. FT. OCC. BUILDING VALUATION -320 0 9,94n OWNER'S MAILING ADDRESS P.O. BOX 6226 CHICO CONTRACTOR'S NAME SAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 2,240 Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 45.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 22.50 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS CIRCLE MAGALIA Permit fee PermitLAFAYETTE $ 82.50 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME r19 fid PARCEL MAP —�� Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF n Duplex[-] Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home Is G W @ 15.00 TYPE OF WORK New ❑ Addition Co Remodel ❑ Uti lities ❑ Installation ❑ Other ❑ Describe work: ADD OPEN DECK TO B.P. #2721-91 _ rT Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600v OR LESS 200A OR LESS 18.50 , Main service 200ATO1000A) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of p y perjury Iur y (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. //,I -P62,> 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 OCCUPM OR ADDNS, ( ACC. BLDGS. 3.64 sq.ft. NEWCONSTR ULT' -OUTLET NON•R ESID BRANCH CIRC., TS @ 5•00 POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES 20 @ 76 FIXED Ex. Occup. OUTLETS ( R RESID )EA.1 I 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 to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling 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 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 C onsequence of the granting of this permit. X Date I 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 $ Ener Inspection Fee $ 9Y P occ CONST TYPE I I TOTAL FEE $ 82.50 HAz 0FEES IMP I FLoo CDF PARCE}/ PD HD Iss This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indi d a v r which fees have been paid. 1 O OF PUBLIC WORKS 4 JByERMIT EXPIR S ate 3 Z Receipt No. 109557 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT ,.'...� � � .p i''f%q'--".x� ,r. .-.. _gym -.>,. ,➢._ .:�. �r�r•r. _w.•,,.�.. .ra. � -.rte.-. � .--•• •y-•- -....�. �. �'..t-.. .. +r1�s"' .. .. .i..r,.•,•vlt i"�. ' " r COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE�CI�LIFO, NIA 95965 -TELEPHONE: 916/536-7541 PERMIT APPLICA.1IDWIIATA SHEET �D f-` Permit No. OWNER Ak 1VV4 _ i A. A. P. No. Proposed Building Use (2ifllcN irk Building'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. A!..... 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on pl A s . . 5. Hazardous Material Form ................................... . 6. Energy Design Compliance and supporting documentation .......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid ............. . ::3P 4. Sanitation approval from 401 Health Department Zd G iy 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) _ 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required 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 0, Mail to owner 0) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... Lettar of SO*nature authorization .. 7. When you issue them it,��oc ss as follows: Mail to owner. Mail to contractor. _--Telephone �jj and hold for pickup at AIM— office. Deliver w/inspector. Other lo - A p p I i c a n t Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted p for to per it i suance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Coactor�ds1gn`e,,wn�erws advisedof above required databy phone�nail_counter by�.dat, — 7 Z Contractor, designer, owner, was advised of above required data by—phone—mall counter by date Plans checked by Date Plans approved by Date�z L- -Sets of plans on hold in File cabinet AP folder Copy—DPW inc Department �^"V TO Build FROM: Environmental Health SUBJECT: Sanitation Clearance NO QA q-. 191 Omer Lvcati AP# Plan Approved for: Sewage Disposal Water Supply Hold final for: Water Supply Final clearance O.R. for: Water Supply -bedroom mobile home. Other clearance for _ NOTE Date sanitari COUNTY OF BUTTE - DEPARTMENT OF f UBLIC WORKS PERMIT NO. 7 County Center Drive - Orovllle, Callfornia 95965 - Telephone: 916.'538-7541 APPLICATION.AND PERMIT ASSESSOR PARCEL NUMBER,^�%' ' /5 ZONING I /r /_ BUILDING PERMIT OSWNER ,rl r(. V A �./y(}C7 �b SO. FT. OCC. BUILDING VALUATION % ` v el b OWNER'S M ILING ADDRESS lb Box CONTRACTO S NAME �,rILG TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ z Via Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ / . OJ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 22•a S Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS f,^ G�/ ClA 1A Zre C fi; Permit fee $ 8Z. 56 PLUMBING PERMIT Filing Fee 115.00 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 S_Cv� Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK New"' Additionu Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: d 0D4N PeC1C -11U f*,Z 72/- 9 ( Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600VORLESS 200A OR LESS 18.50 Main service 200ATO1000A1 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 [7I, 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) 011 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.h\ OR ADONS. ACC. BLDGS. / _37.50 3.64 sq.ft. NEW CONSTR. MULTI -OUTLET NON-RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES 20 76d FIXED APLNS. Ex. Occup. OUTLETS IPRESID )REA.� I 3.00 Temporary service 1 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation penult Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant - owner g 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 TOTAL FEES -- I HAz 1 0FEES I IMP I FLOOD CDF I PARCEF7 HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do ; have been paid. WORKS Date 1Q955 7 Receipt No. / WHITE-O.P.W.. YELLOW-ASSE»OR, PINK -INSPECTOR, GOLDENROD -APPLICANT '4P xe J�, fy, i9. S • � f/� k SFA re-s�' This set of plans and specifloations M u kept on t a"#Ws,ycvtti itis Ti� tubi � make ar r�cflanges or alterations on same without written permission from the Department of Public Works, County of Butte. NOTE—All Materials & Workmanship Shall Be in . - Arocuradf ltr-H W Rt I r1Vtr 91 11L%iu -uvvtT us -e in the Uniform Building, Plumbing & Mechank. l Codas:" the National Electrical Code. N 20 A eet k of i3'om the x prop rig linoq l4efbaak , . ` Qf a .from tbe:'6id :. A. �.� 4- teafw Sine shall pe'�c2esr d _ s or eQvlymea>r ^ �— - - - t� a A+ Gave 6 A- C 'wA Oma- C // z l(,jusat 1 .ypf StniC•t�Wae� �!°_' •. : ' � ,....� . „.;? 1 i. , W ��1: Y`� �.�1 • .. F > �.r .t f.. 'artw t..—y. r,...... 1 8 dea of ill t J •f ti . Vit- �-�� .�D - . r � � � x • -. BU! 1NG. DPART1Vt r d► a a 4s -PL OT LAK1 . SG1ltF �'J= 2a' fara;;qtr•^° �:t i : , 3 tiytc:A1 fiA-•::'Tojj h-100 .' -'M".•;1.::)`'1 ;I i,v A Cit tt1 �ju;li tiaiuJapa (ilii it at ;,;i'!i! ;3r3l.? `�it4r: �3 t Si _, ;? LL'v�t ,lf,CtL;t�.2� 'i, i,�,C►irs:ti�8 Na umlu • �; Tc,tli�/i i#fl�2iti;��3;�a :hrf� . n�t�t fit, t� -� ,, . r f. of tulw.slrtti -,i 9i Oc "oms:t ttt; i:; Clt:; rri' fia l!,44 4;Ir}�?it;ilf f7fii(i£3 r Q lzm +�Idul to?fIJrCtI.-.qqa 13rl,r.:..t To 'It1`111."Tw .1 fn NwIra 1"a to GIVISU"t Is 4 IV- f 4. � \ � � . � � � 'i\ YTVj ( i 0 5-4, r, r, u a V 0 FA,I-1 �4 4r, R.Sa McGREGOR J66 GENERAL ENGINEERIN ONTRACTOR 699 PEARSQN RD. — PARADISE, CA 95969 91&877ar CONTRACT,'*ROPOSAL ReLic. No873-2749 585169 .•P,ROPOSAL SUBMITTED TO - PHONE. DATE STREET IJOB NAME CITY, STATE AND ZIP CODE �JOB1,OCATION A P 'N.4-19RtPAIr LENDER ADDRESS! �. - 4 WE HERESYSUBMIT SPECIFICATIONS ANGESTIMATES FOR: 1 1 ENVIRONMENTAL HEALTH , d , , }r '� t MAR 1 0 1992 f' PARME, CALIFORNUI WE PROPOSE hereby to furnish material` and labor — complete. In accordance with above specifications for the own of _ - —.. TERMS: Progress payments are due and payable 10 days "after billing. Final payment is due and payable completion of work. Overdue accounts will incur a FINANCE CHARGE of 1% on balances of $1,000 or less and 1%pp amounts In excess of $1,000 (or a minimum charge of $1.00 for balances under jr67). which are ANNUAL PERCENTAGE RATES of 181 rand 12% respectively. Prompt payment will avoid such finance charges. IN 'THE EVENT LEGAL ACTION is instituted by either party hereto, the prevailing party shall be entitled to reasonable attorney's fees and costs. R.S. MCGREGOR By NOTE: THIS PROPOSAL MAY BE WITHDRAWN BY US IF NOT ACCEPTED WITHIN DAYS. ACCEPTANCE OF PROPOSAL: The above prices, specifications and condition's are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined above. DATED SIGNATURE Return orlainal to. R.S. McGREGOR (See Mechanics' Lien Law and General Conditions on Reverse Side) i F . RESIDENTIAL I 64-19-15 2721-91B,P,E,M CARVER, Mike a 114626 Lafayette Circle, Magalia i (new sf ) c� 5 6 mj pLa� ouJ -�7 J 'V. OFFICE COPY Address GAS W Meter 8y7�GAS Date ELECTR�nf �Actcr. R iVIC �Date DateJO� .FINALED (D—_ Y "Signature V=OK O = Not OK Nqt = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES jPlans) 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 i 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 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/ori 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-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 J=OK O = Not OK = Not Applicable Not Ready RESIDENTIAL ' = Date iOOR (Plans) OK except It's ig-SetbaG,ks-Easements-Flood-Slope Main; Soils-Elec. Grnd.-#&j Ftg. Depth Garage; Soils-Steel-Elec. Grp .-/, /" Ft, (Single & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors --- 4 Cing. Joist-Rftr. ties-Purlin-root Brace russ hthng fn Fireplace Ties or Flue -Fireplace Throat clearance 4. Ftg., Porches &Decks; Sdils-Steel-/ /Ftg. Depth 48/Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5.-Ti—emwalls, Main; Steef-Blockouts-Wrapped j6/5%mwalls, Garage;'�deel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped Piers -Fireplace Ftg.-Steel W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test �O F. Gas Pipe; Size -Anchors - yard gas piping: size -test 1 t,. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground e,y ienums & Ducts; Clearance -Material -Support -Ins. QA--Girders-Sills-Anchor Bolts -Joists -Vents -Cripples (PAccess & Ventilation 6. Insulation Dated Ca and B-1 �S/✓ Date Card B-1 Date - g ��Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except 4's - --at Htr.: Vent -Access- o b su r -Baffle --------- ----------- --------------------------- 1 ter Pipe; Test & Anchor -Nail Protection . W.V. - es tongs & Anchor -Nail Protection ------ ------ ------------------- - 19. Shower Pan; Test. First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe: Size & Anchors ------ ----------------- - --- Dat---- d L. S/ Card B-1 `� _____Date ---- -- ------ Card B-1--- -- --- Date <;L d Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except a's 2 . Fixture & Transformer Clearance -Ins. Protection ------------ ---- ------------------------------------------- 2,S! Elec. Receptacles Spacing -Lights & Switches at Doors ---------------------------------------------------------PPPPPP-----' 2ize Boxes & No. of Conductors -Stapled =--------------�--'- ---------------------------------------------------------- 2.� Romex Installed Close to Edge of Studs & C.J. 2 quip. Ground made up w!Mech. Fastners-Bond Gas & Water --- ----- ---------------------- - -- --- ----- ------------- ------------ �----- PPPPPP------------------------------------------------ 2�L Appliance Circuts in Kitchen & Conductor Size/GFI ---- -- ----------------------------- -------------- 22. Subfeed Wire Sizer r ga. Cu or A�A. . Wire Size.! ga. _ Cu orA9 29. Range Circ. ! ga Cu or AI -Oven Circ. j9a c-6 - - Insulated Neutral O Yes -,o - - -- ------ ---- ---PPPPPP------ -- 30 ervice R ser Conductors & Ground -Main Disconnect ---------- ---------------------------------- - 'i1!Equip Clearances Panels-Motors-Mech. Equip. ------------ -Pane--------- ---PPPPPP---------------------- 32. othes Closet Light -Shower Light -Spa Light PPPPPP---------------------------------------- I ---------------------------------------------------- -- - - -- - 3,2!5moke Detector ---------- ---------------- --- - PPPPPP------- -------------------------------- Date�%Z_%3_%Card B-1 Date Card B-1 - ---------------------------------------------..----------- Date Card B-1 Date Card B-1 Date ME ANICAL (Permit) OK except h's 4. A.C. Ducts Insulation & Support -------------------------------------------------- ------------------------------- 3&--'Vent Fan: Exhaust above insulation ----------------------------------- I----- - --- - - ------- - ----------------------- 36-Condensate ------------ -----------------I------------------------------------------ 36!Condensate Drain & Overflow: Size & Grade 37. Furnance-Vent: Access -Comb Air -Return Air Vent -115 outlet ----- - - -------------------------------------------------- 3,a-'Attic Access & Platform if Furnance in Attic -------------------------------------- -------------------------------------------- Date-�Z��-----Card B_1------ -Date Card B-1 -------------------------------------- rd Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except b's Sils. Proper Material & Anchors - -- -- 4 ./ails --- -------------------------- ------ -------- - JYw Studs -Nailing. Spacing & Bracing -Plates -Sound ------------------ --------------------------------------------------------- 4�aring Walls over Girders & Floor Nailing -- - - --------------------------------------------------- 4 raft Stop in Walls (rat proof) -----PPPPPP �-----------------------------PPPPPP------------------------- 4re Stops: Furred Ceilings -Stairs -Chases -Tub --------------------- ---------------------- 44. eaders & Beam -Size &Bearing 4.Y. Bdrm. Windows or Exitinq Doors -Sill Hqt. & Dimensions 5,6- Garage Fire Protection Framino 7 1 A.- o -,,,L - xt. Doors -One 3' -Check Garage -3rd Story, 2 Exits &airs; 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 _-- - --- 5 ./Glazing Area -Glass Protection -Skylights -Plastic 13a ar Walls; Nailing -Bolts ---------- GJ f��--T-Inn_ssulation-Walls-Ceilings K• f,—• lr" --------PPPPPP - 60: Infiltration -Walls -Windows Date --d -Card B_1 � Date Card B-1 Date 2 G and T-6 Date Card B-1 Date" I IF NAL (Plans) OK except N's 61. Ext. Steps -Door & Sidelight Protection -Landings ------------------------ -- _ 6`<!5rm"e Detector i 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 6�Bedroom Exitin --------------- G F.I Bath ixtures & Tub Access -Spa - 6§Y cTrim panel; Breaker Sizes & Labels --------------- -- ---------- Stairs ---- - ------------ ------------------------ 6a.-Fireplace or Stove: Clearances -Hearth ---------------------- 69. ------------------69. Elec. Outlets at Wood Panel: Int. & Ext. ----------------------------- ----- --- 70. Kit Fixt_& Appliance; Grnd_Air Gap -Cooking Clearance 7�,.� . Outlets & Receptacles at Kit. Counter --_ 72!Garage Fire.Door_Swing-Landing-Closer Duct in Garage -Damper _ 7 Wtr. Hir.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection ------------------ -- -- - 7Y PI b. Elec. &Mech _Equip. Listed for Location 76�ec. Receptacles in Garage: (G.F.I.)-Romex Protection 7�ulation-Foam-Looked in Attic ❑ Yes - ----------- --------- Guard Rails & Deck Construction -Post Caps --------------------------------------- -- 79.,,,Fbn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor-- ❑ Yes 8Q -'Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; /Plalers❑ Yes ❑ No ------------- ----------------o: Brown -Finish - - ------------------Unit_ Disconnect_ Electrical, Plumbing 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings ­;PFWater Well; Disconnect, Electrical, Plumbing -------------- ------------------------ -- ---- i3 Exterior Elec. Trim; G.F.I. Receptacle -Underground - --------------- ---at-ion Thro out House - - - - • - - - - - -- -- --------------------------- lass Prot Corre vious Inspections ---------- - - ------------ ----------------- _ s , st-Me ers Tagged; Gas -Electric _ Sid ter &Yaoll _ Sewer Connected -C/O to Grade -HD Approval -- Energy Compliance Certificate -Other Certificates Date V2 Card B-1 _Date _ _Card B-1 — Date )1,1j/fL -- Card B_1-- �./ - Date _ Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, OroviIle— Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE R Z 72-/- q/ kmkN � 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. A-or4-otl z --ed 982-- ,C 3t� -7 - Date 3 //'0/12 Inspector // —,e -r 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 X771- �/ 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 Inspector 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 PERMIT NO'. z 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. Date I Inspector. - r 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 ; CA QV 6c� e-fz-1 ai 1 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. 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 10L'7*,f T 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. Ae%hc'' rI -,o..GQR! G rhe ,,✓ Sem P Date f Inspector '.en, L c� OWNER 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 121-- �i 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 ! " /a �� Inspector Owner rL-Ot Permit No. J ENERGY CERTIFICATION LOCAT[ON A.P. NO. DESCRIPTION OF INSULATION , ROOF MATERIAL BRAND NAME THICKNESS THERMAL RES. EXTERIOR WALL MATERIAL FIBERGLASS BRAND NAME CERTAINTEED THICKNESS -,-.1 THERMAL RES. CEILING BATT OR BLANKET TYPEMf A&Agf BRAND NAME CERTAINTEED THICKNESS L O d THERMAL RES. -1;-O LOOSE FILLTYPE INSUL-SAFE IIIBRAND NAME CERTAINTEED.. THICKNESS -M-11v- 11 THERMAL RES.— FLOOR,ELEVATED MATERIAL FIBERGLASS BRAND NAME CERTAINTEED THICKNESS AM 14�N THERMAL RES. [ FLOOR, SLAB MATERIAL THICKNESS WIDTH FOUNDATION WALL MATERIAL THICKNESS BRAND NAME THERMAL RES. BRAND NAME THERMAL RES. I HEREBY CERTIFY THAT THE ABOVE INSULATION WAS INSTALLED IN THE ABOVE BUILDING IN CONFORMANCE WITH THE STATE OF CALIF. ENERGY REQUIREMENTS. SHASTA INSULATION.INC. #530235 FIRM NAM OWSTATE CONTR. LICENSE NO. - I h eby certify thAove insulation and all required items as shown on the Building Depart. 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 Cal.if. -------------------------------- ------------------------------- FIRM NAME/OWNER (PLEASE PRINT) STATE CONTRACTOR'S_LICENSE NO. SIGNATURE OF GENERAL CONTRACTOR/OWNER DATE This certificate must be on file.with the BUILDING DEPARTMENT prior to final inspection approval and a copy shall, be posted within the building. JANUARY 1984 f COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT N0. ASSESSOR PARCEL NUMBER 64-19-15 ZQNI.N�p - rt 1 BUILDING PERMIT OWNER MIKE CARVER TELEPHONE 891-8850 SQ. FT. OCC. BUILDING VALUATION 7 R 98787 OWNER'S MAILING ADDRESS P.O. BOX 6226 CHICO 579 M 10422 CONTRACTOR'5 NAME OWNER TELEPHONE 201 0 1407 CONTRACTOR'S MAILING ADDRESS SAME Fireplace t1A" 1500 CONSTRUCTION LENDER SAVINGS UNKNOWN Total Valuation 1 $ 112,116 Filing Fee $ 10,00 LENDER'S MC. AILING (LING ADDRESS Permit Fee $ 465.50 ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ 232.75 Energy Plan Checking Fee $ 15.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Y rev PIC 30°^ k r . 'Z BUILDING ADDRESS 14626 LAFAYETTE CR MAGALIA Permit fee PLUMBING PERMIT Filing Fee 10.00 Each Trap 111 2.00 Solar or heat pump water heater 20.00 LOT NO. -Q.5 SUBDIVISION NAME accLd�S .,.a �1 PARCEL MAP 3S^ 38 Water piping 5.00 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF �p Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00ea TYPE OF WORK New] Addition❑ Remodel❑ Utilities❑ Installation❑ Other[] Describe work: 3 RnRM Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e00V OR LESS 100 AMP OR LESS 10.00 10 00 Main service EA. ADD'L 100 AMP 2.50 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. No. �r2Z 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.8d\ OR ADDNS. ACC. BLDGS. / YzQsgft NEW CONSTR. MULTI -OUTLET NON.RESID BRANCH CIRC ITS 2,50 ea /POWER APPARATUS el (SINGOUTLET CIR. / O X, CCUp(OUTLETS OR FIXTURES Ex. 20@License BALI 30 Ex. Occup. our OUTLETS (RESID ) D APPLNS. REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 95.40 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. QR1 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 6.00 SPLIT SYSTEM 6.00 Cooling 31 TON 11.00 Hood 3.00 1 3.00 Ventilation permit Fee $ 36.00 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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, judg nts, costs, and expenses which may in any way accrue against s n consequence of the granting of this permit. X Date Signature of Applicant - Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavationsr aep a d demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ , Energy Inspection Fee $ 30,00 C 2 TVPE or TOT $�-5 L FE E p - HAi. can PARK SCHL F -- PAR PD I o s u This permit is hereby issued under the applicable provi- sions of the Butte County. Code and/or resolutions to do work indicated above r which fees have been paid. 1R OF PUBLIC WORKS By Date -l7' P MIT EXPIRES Date 9� ( 7-'77 Receipt No. 97107 287.75 PLAN CK. `�d 73y�' �py� �d WHITE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT\OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLEkALIFORNIA 95965 - TELEPHONE: 916/538-7541 bs A'r PERMIT APP[ COTTON DATA SHEET e Permit No. OWNER (I�1L �ccrc/e� A. P.No.6q'I9-IS Proposed Building Use Nem 3 CJeuVO6WA Building Inspector Date 4 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: s. 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 installWildt Including manufacturer's in toinstructions. 9N .. 10. Fees of $ ,r��:P 11. Chico Urban Area fees paid ....................................... ,12. Park fees pal .......................................... /`13. A c 'Q Schoc District fees p ,�I44, 5,: , . 0 14. Sanitation approval from -k-- e Health Department �'- 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: ...... may, 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 7//4/9/— Ro 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 ......... n Letter of signature authorization ................................... 7. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephoned/ 9$5-0 and hold for pickupat p,,�,,�� '�` � Poffice. Deliver w/inspector. Other AppI ican Dateg-" Z Copy of Haz-Mat form sent Health Dept. Fire Dept. air*Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submittedrio to p rmit qs;nceX Cir a ew i m t checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by—phone---mai 11—counter by .date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter b��j date /�� Q Plans checked by Date "`9 Plans approved by k) Date 'v/"/ Sets of plans on hold in File cabinet AP folder Copy—DPW TO: Building Department FROM:- Encroachment Permit Section RE: Driveway Clearance C ��1�P6' (�✓t 141,12-61 2ly /c� t( -G owner location AP # Driveway permit si ature has been issued for the above property. < - /&/- L date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovllle, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESS0 ARCEL UMB ZONING r- ( BUILDING PERMIT OWNER- ��� T L�PHONE �o SQ. FT. OCC. BUILDING VALUATION =797M 70(ecx 62-216, awc-C, co, 1�5i-?,7 5- (4 2?,-- CONTRACTOR'S NAME TELEPHONE iJ/2 , CONTOR'S M ING ADDRESS GYt C Fireplace m " 00 CONS U CTION NDE' e c� UNKNOWN Total Valuation $ 101116. Filing Fee $ 10.00 LENDER'S MAILING ADDR Permit Fee $ 6 •i%.s ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDI G A DREg Z /r- it n Permit fee $ 2S PLUMBING PERMIT Filing Fee 10.00 AJ A -6A 1-(A ° Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 q� USE OF STRUCTURE SF/1JCI Duplex❑ Mobilehome❑ Other "�. SPECIFY Gas piping system 1 - 5 outlets 5.00 -_ Building sewer C'" 5.00 0 Mobile Home S I G I W 0.00ea TYPE OF WORK Ne,IC4 Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work:*41M34e Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 10.00 Q w0 Main service EA. ADD'L 100 AMP 2.50 2 5-0 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is In full force and effect. License No. Classification. ❑ 1, as the owner, or my employees With wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING oCCUP.N) OR ADDNS. l ACC. BLDGS. yZdsgft � 6 , NEW CONSTR. MUL "OUTLET NON.RESID BRANCH CIRCUITS) 2,50 ea POWER APPARATUS &) SINGLE OUTLET CIR. EX. QCCUp(OUTLETS OR FIXTURES 2AL SOC °ALvso FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA. 1 2.00 Temporary service 10.00 /0 ®-o Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ �O 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 CertificateCooling 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 r o'U f 'v0 Hood 3.00 Ventilation permit Fee S Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the Count of Butte against1-:PHAZ g y p y 9 all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ CONST TYPE 6S TOTAL FEE $ CUA PARK SCHL FLD CDF PAR PD i HD. 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. 287? -5" WHITE-O.P.W.. YELLOW -ASSESSOR. PINK-INSPEC OR. GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, droville, 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. e I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) k g4V J�2 I (have/have not)' L.signed an application for a building permit for the proposed work. 3 M I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired.) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner Social Security Number � Date 't- 2 & NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. RESIDENTIAL PLAN CHECKING GUIDE .12/90 (S.F., DUPLEX & MISC. ONLY) Bldg. Perm -t # �/) — OWNER V�iy%�i A.P. # - Plan Checker GENER ,Iy ., g/ 1. onin requirements: (sideyards and number of permitted living units)./ V ation. ans signed by designer. oper description of work on application. t577 s i violations on .property.tems on data -'sheet. (W.C., fees, Health, Zeearde•d notice of violation. F PLOT PLAN 1plete parcel size and dimensions. 2. Setbacks, sideyards, easements, etc. zer buildings or structures. g, fills, drainage. 5 k�hazard. 6Special conditions on creation map, ustible, and foundations). 7. & FAS road setback. Developer Fees, License law, etc). (noise, CDF, fire sprinklers, non -comb - 8. Bui ing or utilities across lot lines (Record form),. FLOOR PLAN �/ m lete to scale plan with dimensions. 7Ll =ed'windows for light and ventilation (Sec.•1205). Red windows for second exit (Sec. 1204). 41,,Skylights (Chapter 34 & Sec. 5207). man impact glass (Sec. 5406). 6. Required room sizes, ceiling heights (Sec. 1207). 7�/GXIs in baths,.garage, kitchen, and exterior outlets (Article 210-8). 8 Light fixtures, switches, receptacles, and exterior receptacles for main - ten nce of mechanical equipment. 9. ocations of water heater, heating and cooling equipment, other electrical as equipment. 1Q/�Gage firewall, door size, and closer (Sec. 503(4)(3)). t�,F,freplace 3`0" exterior exit door (sec. 3304 (f). and wood stove location, alcoves, and clearance. 1 S detectors (Sec. 1210). 1 /Plumbing fixtures, water closet clearances and shower size. STRUCTURAL DETAILS Standard bracing or engineered design (Table 25V) -2___�Kusual shape, size, or split level house requiring lateral design. Fj�undation pian complete enough to construct building. 4loor construction details complete enough to construct building. S Elevations and wall construction details complete enough to construct building. . 'Roof construction details complete enough to construct building /v,2 FITcpla-eee construction details and calcs if necessary. Wafter ties or bearing ridge beam. Id le rage door or porch header sizes. 1 Stud heights. o Zesoils - special foundation design. 1,Retaining walls requiring design. 13. Necial Inspection required. 12/90 RESIDENTIAL PLAN CHECKING GUIDE MISCCELLANEOUS ITEMS TO LOOK OUT FOR Stairway details: landings, rise and run, head clearance, handrails Sec. 3306). �4u'ardrail details (Sec. 1711 & 3306(j). 2..—Trek-or stone veneer (Chapter 30). plaster - weep screeds (Sec. 4706). r per roof pitch for roof convering (Chapter 32). Roof covering type - (fire hazard). insulation - protection. 36" halls and stairways. area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. 1 Wo exits on three-story dwellings (sec. 3303 & see Mezannines - 1716). 14. Attic access and ventilation (Sec. 3205). 19-�derfloor access and ventilation (Sec. 2516). 12': Combustion air for fuel burning appliances - L.P.G. requirements. requirements on duplexes. er y design. asking at all exterior openings. 1�esresponsible r p area requirements. 2 T�4JU �1G1� t: ,7 , ©116T- -9" /� Gr C� SS c i g ; B LES 4w4VE2 /�l FOtZM H/N gl Z ► �� � S-�,�QT y�Ew P. . eA�c co __2� 9U1BMIT�NC� 4(.•4t�S ¢RMT f N P -L_ P.C. P67&"S ry rc,c. gL ��jT MrIJ BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One Form per.Building) A.P. Number6V - R- 15 ;,. Building Department No. School District Pe4Vad(34p City = County 10 Jurisdiction Property Owner A kR_ Ccye r Project Location/Address ZY12 (, LIIFAETT- C2. A446AIA Subdivision Lot Number Residential Development: El P9 3 7 Sq. Footage # of Living MHI Addition (Group R) Units Commercial/Industrial: aSq. Footage New Addition (Including Exterior Roofed Areas) i�__2--0/( BuildinV/Departr'efnt Representative Date +'(Floor Plans reviewed by School District Personnel) Distri1 No. N (,S,treet Address City) (State) '(Zip s�3hat has complied with the requirements of Resolution No. by the m n of $ representing 2 square feet. 9/ Sc ool District Representative Date PAID BY CHECK NO. REMARKS: BANK NO r PAID BY CASH white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) i g p n nc u ng, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. tural zones which have as a priority use for productive within said zones and on adjacent property should be or discomfort from normal, necessary farm. operations. XX 7.00 1.00 8.00 a Butte County has established agricul- agricultural purposes, and residents prepared to accept such inconvenience All that real property. -situate in the County of Butte, State of California, described as follows: SEE ATTACHED LEGAL DESCRIPTION. Date: August 30, 1991 State of Calif. ) County of Butte ) PROPERTY OWNERS: Michael L. Carver On this the 30th day of Aug• , 19 91 , before me, the SS. undersigned Notary Public, personally appeared OFFICIAL SEAL TAMI BARLOW NOTARY PUBLIC - CALIFORNIA PRINCIPAL OFFICE IN 0 BUTTE COUNTY My Commgaton Expires October 24.1992 Present A.P. No. 64-19_15 Michael L. Carver Personally known to me. M Proved to me on the basis of satisfactory evidence. be the person(s) whose name(s) is scribed to the within instrument and acknowledged that cuted the same for the purposes therein contained. IN WITNESS REOF, I hereunto set my hand and official seal. n Tam1 ar ow Notary Public Return to DPW AGRICULTURAL- STAMIENT OF ACVIOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte Countv Code requires this acknowledgement be recorded prior to issuance of a building permit% i 91-037013 1 Rec Fee The property described herein is adjacent I STF to land or included within an area zoned Recorded I Cash for agricultural purposes, and residents Official Records I' of this property may be subject to incon- County of veniences or discomfort arising from the Butte use of agricultural chemicals, including, Candace J. Grubbs I' but not limited to herbicides, pesticides, Recorder and fertilizers; and from the pursuit 10:13am 6 -Sep -91 1 of a ricultural o eratio s i 1 d' i g p n nc u ng, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. tural zones which have as a priority use for productive within said zones and on adjacent property should be or discomfort from normal, necessary farm. operations. XX 7.00 1.00 8.00 a Butte County has established agricul- agricultural purposes, and residents prepared to accept such inconvenience All that real property. -situate in the County of Butte, State of California, described as follows: SEE ATTACHED LEGAL DESCRIPTION. Date: August 30, 1991 State of Calif. ) County of Butte ) PROPERTY OWNERS: Michael L. Carver On this the 30th day of Aug• , 19 91 , before me, the SS. undersigned Notary Public, personally appeared OFFICIAL SEAL TAMI BARLOW NOTARY PUBLIC - CALIFORNIA PRINCIPAL OFFICE IN 0 BUTTE COUNTY My Commgaton Expires October 24.1992 Present A.P. No. 64-19_15 Michael L. Carver Personally known to me. M Proved to me on the basis of satisfactory evidence. be the person(s) whose name(s) is scribed to the within instrument and acknowledged that cuted the same for the purposes therein contained. IN WITNESS REOF, I hereunto set my hand and official seal. n Tam1 ar ow Notary Public 0f 1UUUU Order No. 39637/C-14br l EXHIBIT "A," the real property in the City of County of But to State of California, described as Lot 254, as shown on that certain Map entitled, "PARADISE PINES UNIT NO. 14", which map was recorded in the office of the Recorder of the County of Butte, State of California, on July .1;, 1971, in Book 38 of Maps,'at pages 37, 38, 39, 40 and 41. EXCEPTING THEREFROM all minerals, oil, gas, asphn1tum and other hydrocarbon substances with provision that any rind 11.1. mini np operations shall be done from orifices outside the af:ea of the land described herein and that no damage shall be done to the surface of said land. U or wCUMENT All -th'at real .property .'situate in the County of Butte, State of- California, described as follows: SEE ATTACHED LEGAL DESCRIPTION. Date: August 30, 1991 State of Calif . ) ) SS. County of Butte ) PROPERTY OWNERS: Michael L. Carver On this the 30th day of Aug • 19 91 , before me, the undersigned Notary Public, personally appeared --------•--.. OFFICIAL SEAL - TAMI BARLOW t NOTARY PUBLIC - CALIFORNIA S PRINCIPAL OFFICE IN e ' BUTTE COUNTY WMy COmmlSS(ort Expires October 24.1992 Present A.P. No. 64-9'' 1S Michael L. Carver Personally known to me. M Proved to me on the basis of satisfactory evidence. be the person(s) whose name(s) is scribed to the within instrument and acknowledged that cuted the same for the purposes therein contained. IN WITNESS REOF, I hereunto set my hand and official seal. Tami Barlow ,Notary Public 0!--37015 Return to DPW AGRICULTURAL STATEMENT OF ACMOWLEDGE` NT FOR RESIDENTIAL DEVELOPM-N T Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded' — prior to issuance of a building permit: - - - --- — — - - The property described herein is adjacent 91-037015- 1 Rec Fee 7.00 to land or included within an area zoned I Recorded I STF 1.00 Cash for agricultural purposes, and residents Official Records I 8.00 of this property may be subject to incon- County of I veniences or discomfort arising from the Butte I use of agricultural chemicals, including, Candace J. Grubbs I but not limited to herbicides, pesticides, Recorder I' and fertilizers; and from the pursuit 10:13am 6 -Sep -91 I of agricultural operations including, XX 2 but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept- such inconvenience or discomfort from normal, necessary farm operations. All -th'at real .property .'situate in the County of Butte, State of- California, described as follows: SEE ATTACHED LEGAL DESCRIPTION. Date: August 30, 1991 State of Calif . ) ) SS. County of Butte ) PROPERTY OWNERS: Michael L. Carver On this the 30th day of Aug • 19 91 , before me, the undersigned Notary Public, personally appeared --------•--.. OFFICIAL SEAL - TAMI BARLOW t NOTARY PUBLIC - CALIFORNIA S PRINCIPAL OFFICE IN e ' BUTTE COUNTY WMy COmmlSS(ort Expires October 24.1992 Present A.P. No. 64-9'' 1S Michael L. Carver Personally known to me. M Proved to me on the basis of satisfactory evidence. be the person(s) whose name(s) is scribed to the within instrument and acknowledged that cuted the same for the purposes therein contained. IN WITNESS REOF, I hereunto set my hand and official seal. Tami Barlow ,Notary Public 0-� • ' • � Urder No : 39637/C- 1 EXHIBIT "A the real property in the City of , County of Butte State of California, described as -Lot 254, as shown on that certain Map entitled, "PARADISE PINES UNIT NO. 14", which map was recorded in the office of the Recorder of the. County�of Butte, State of California, on July 15, 1971, in Book 38 of Maps,'at pages 37, 38, 39, 40 and 41: EXCEPTING THEREFROM all minerals, oil, gas, asphaltum and other hydrocarbon'substances with provision that any and all. mining operations shall be done from orifices outside the surface area of the land -described herein and that no damage shall b.! done to the_ surface of said land:. t-erziticace or t-ompuauL;c. IRC.NiuCnciai t;iimate Lone l,i Project Tlue r 1,4& ^e AiAFAY2 I I L 4T= Buildin !� its Project Address�l b •ZQ �� Chocked By /.Data Documentation Author Telephone Enformnerit Agenry Useottly BL'II,DING DATA Glass North Conditioned Floor Area3 Number of Stories l— East //0 � Rai _ : Slab/sed Floor J� Number of Units South 3Z.S /.7 [ Single Family Detached (SFD) [ ] Addition Alone West Single Family Attached (SFA) [ ] Existing Building Skylight / o, [ J Multi -Family (MF) [ ] Existing -Plus -Addition Total Z.10ee BUII;DLNG SHELL INSULATION Component Insulation Location/Crmmerits Type R -Value (atdc,. a garage, a plc ere.) Wall ............../ - Wall .............. Roof ............. Roof ............ Floor ............. Floor ............. Slab Edge..... GLAZING Shading Deyices Glazing Area Glass Type Interior . Exterior Overhang Framing Type Orientation (sr) (single, double) (Toiler blind, etc.) (shadcsare m etc) (yes/no) (metaUaood) NOrth ( ) 3�,`` PAZ--• MT-t- NorItl ( ) EastEas South South ( ) West West ( ) Skylight....... /Z SC L - THERMAL MASS ' Type; Covering Area Thickness (slab/exposed, a1a etc.) (sf) (inches) Location/Description (kitchen. bath. etc.) HVAC SYSTEMS . hiir.imum Type (furnace. air Efficiency conditioner, heat pulmo) (SE. SEER.HSPF) Duct Location (attic, etc. Duct Output Manufacturer /Model # R -Value (Btuh) (or approved equal) e., . G v� ,Z lbummubm Maximum Furnace Heating Outpup 12EK Btuh HOT WATER SYSTEMS Tank Manufacturer/Model # APP System Type (storage gas. etc.) Capacity (or approved equal) Soecial ea[uze(sl ED 1 SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) Mandatory Measures Checklist: Residential MF -IR NOTE. La— m udutcal buildings subicct soft Swuhnis must contain these —we, mprdkss of the etsmplianee approach usai hems marred -too an astensk (-) may be s oa=dcd by mere sQnntent compliance requirements listed on tate CUUfianc o(Complianee Whm tram •hw*re u inearperalcd inn the penmt documott; the (alae mosedsMg be cansrdced by all porues as billing mtaunam component perfomtarnee 2pyoGc4iorts for the mandatory moose -lraher they we shoe clsernere to the doalmmu or on Nis checklist only. DESCRJPTION I DESIGNER I I7amcE Ext Building En.elotnr Measures • 12.5352(a): Minimum coling Insulation R•19 v ighted averalle. I} 12.5352(b)- Loose fill insulation manu(act uer•s labeled R.Value- • 12.5352(cr Minunan -all itwlmion in (lamed wall& R. I lweighted a•vage (does pot apply to catmor mass •radw. 12-5352(k): Slab edge insulation . water absorption rate no greater than 0.37. water +apart transmuston rate no grota than 2.0 pem%li cit 12-5311: (nsulasion sponfira a installed nests Gli(amia Energy Commiman (CEC) quality standards Indica+e type and form. §2.5352(f)r Vapor basnus mandatory in Climate Innes 14 and 16 only. 12.5317: Infnitrauon&zriiltrationConools L Doors and wud0-a between conNuoncd and urcondsuaned spaces designed to limit air leakage. b. Doors and wieeowt certified. C. Doors and-undows-edncr=pped: au pwo and peneauieru caulked and scakd §2.5352(er. Special inf ltrauon banier —Ilcd to comply with 12-5351 mew CEC quality 12.5352(d): Installation o(Fireplaecs 1. masonry and factory-bmlt fireplaces lave at. Tight rmsng• closeable mead or glass door b. Oum& au tnrake wuth damper and control e Sue datrtoa and coned 2. No conn, as bummt J;ss pilots allowed HVAC and Plumbiot system Measures 42.53520 and 2-5703: Space-anditionint equipment sizing: attach caJcsilations §2.5352(b) and 2.5315: Setback U%cmxn>: on aR applicable heating sywzznt 12-5316(a)' Ducts constructed. installed and insulated per Chapter 14 1976 LLMC. 12- 5316(b): Eahaua syuctns have damps: controls 52-5314(c): Cas -fug spaec heatint equiprne nt has int rmiamu ignition devices 42-5314: HVAC equipment crater heaters. shows mads and faueas eenified by the CEC- §2.5352(ik Water hose insulationblaaket(R• 12 of paster) err combined interioNuterior inswadon (R-16 or pc=): fust 5 feet of pipes closest to Lank insulated (R-3 or grota). 42.5312(Exceptionfat Pipe insulation on steam and steam condensate return do reeisculuing pipit• §2.5318(d)- Swimming Pool Heating I 1. System Inas: a. Orloff switch on heater. b. wevherpraof instruction plateon heate. - e. Plumbed to aliow for solar. 175 percent themul rlrscescy. — 3. Pool cover. 4. Time clack. . 5. Direcuonal vara inict e Lightint and Appliance Measures it 42.53520 Lighung - 25 bunenstw= or greater for genual tightint in kitchens and batdutroms. i 42.53 JAW: Gas rued appliances equipped with inasmitrettt ignition devices. R -5314(a)-. RefrigeMWM rdrigmror•(reezers [resters and fluorescent lamp ballasu certified by the CEC. indicate make and mood number. COMPLIANCE STATEMENT This om ifJate of eotnplianee lista the btulding features and performance specifications needed to comply with Title 24. Chapter -2-53 and Title 20. Ct1a 2. Subd3apvet 4, Article 1 of the Califoraiz Administrative code. This certificate has bent signed by the individual with overall design responsibility and tete building owner. who shall mtain a copy of it and transmit the certificate to ally subsequcat puidiaser of the building, Designer I Lftfldiner Name ` TstleJFn� � Te1Ona (signature) (date) (sitnanue) - - (date) Documentation Author Enforcement Agency Nance: Name TitkrFurtt ACesry: Address:s,.....- 1. Ceiling Insulation . ./0 Number of stories Single.. R-vaiue One TWO Three R-0 -103 -49 32 R-19 -8 -t •2 R30 .2 .1 •1 R38 0 0 0 U -value R•30 ti 0.50 .176 -84 -54 0,20 .102 -19 32 0.10 -26 .13 -8 0.08 -18 .9 -6. US -11 -5 -4 0.04 -s .2 .1 O.C2 4 2 1 O.CO it 5 3 0.02 !q = 2- Wall Insulation Floor Insulation ./0 Single. Single.. - Family Family Multi. R -value Oeta=ed Attae':ed Family R-0 _8 -51 34 R -i 1 0 0 0 R -t3 2 2 1 R•30 3 1 1 -.13-value :. . -11 3 ( __ --•0:80 -----153-114 - -- ---;6 -•- - ... - ---0.50 -31 -68 -46 0w0 =7 46 -24 0.10 0 3 0 0.08 4 3 2 US 9 7 5 - 0.04 14 :11 7 0.02 !q = 10 0.00 Z4 :3 12 Three R-0 •'i =-3. Raised Floor Insulation ./0 46 Insulation In Floor - -SA Number of stories 0.40 R -value One Two Three R-0 -t 7 - -8 -5 R-11 3 .2 .1 -21 -14 0.10 R•30 3 1 1 _ U-vaiue -11 3 -.0.6o. 444 ./0 46 0.50 -120 -SA 38 0.40 -95 -46 ub 0.30 -69 -34 .22 0.20 __4 -21 -14 0.10 •17 -8 .5 0.08 -11 3 .4 0.06 -6 ti -3 .2 0.104 .1 0 0 0.02 4 2 1 0.00 10 5 3 Controlled/ Ventilation Cravvispace 4 12 Number of stories -58 R -value One Two Three R-0 •11 .7 -S R-5 -4 d 3 R-11 .2 .2 .2 .2 6 .2 .2 4. Slab ]edge Ilssulation -15 -8 .1 Number of Stories -- R -value One Two Three ' R-0 0 a 0 R-5 8 5 2 R-7 8 6 3 F2 factor -11 -4 2 0.90 -4 3 .1 0.80 •1 .1 0 0.70 2 2 1 0.60 6 4 2 0.50 9 6 3 0.40 12 8 4 S.Inriltradoo (Air Leakage) Specification Poing Standard 0 6. Glass Heat Loss Total Swigs- . Sugle- Stab Floor Raised Floor Erra:dve Pa c t Glace U -value %Glass Percent East South .51 to Al to .31 to 0.30 or Glass Sbtgle Double .60 .50 .40 less 50 •121 -53 -M •24 •10 4 40 -90 37 -26 •t4 3 8 35 -75 -29 -19 •9 1 10 30 -61 •21 -13 -4 4 12 29 -58 -20 •12 3 5 12 28 •55 •18 -10 .2 5 13 27 -52 -17 -9 .2 6 13 2S -49 -15 -8 .1 7 14 25 -t6 •14 -7 0 7 14 24 43 -12 5 1 8 14 23 -t0 -11 -4 2 8 15 22 37 -9 3 3 9 15 21 .34 -7 .2 4 10 15 20 31 -6 0 5 10 16 19 -29 -4 1 6 11 16 7 9 -3 2 --7 12 16 17 -23 •1 3 8 12 17 16 -20 0 4 9 13 17 7-15 -17 1 6 10 14 17 14 -14 3 7 10 14 18 13 -12 4 8 it 15 18 12 A 6 9 12 15 19 11 -6 1 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 5 4 3 HP HWR 9 5 7. Shading (Shade Open) Etiecsl.e Pei eestt Ciro (Percent glace x SC) ESetwve Swigs- . Sugle- Stab Floor Raised Floor Erra:dve Pa c t Glace x ) (a�p %Glass North East South ':West Skylight 18 5 1 4 1 na 16 4 ...2. West 5 _. 1 ._. na 14 4 2 5 1 na 12 3 3 5 2 na " 11 3 3 5 2 . na 10 2 3 5 2 1 9 2 3 5 2 2 8 2 3 5 2 2 7 1 3 4 1 2 6 1 3 4 2 3 5 1 -18 .47 1 2 a o 2 3 1 3 3 0 1 2 1 3 2 8 0 -23 0 3 1 -1 -1 -1 1 2 0 .1 1 -4 9 9 rte - not allowed 4.0 3 6 0 8. Shading (Shade Closed) Swigs- . Sugle- Stab Floor Raised Floor Erra:dve Pa c t Glace x ) (a�p Sbriea Attamily er hed - (Pe cent tiizaax SC) Stories Effecave ,CFA One Two Three One Gku Norh Etas) Saudi West Skylight 18 -14 _48 -69 •64 na 16 -12 -12 -59 -55 na 14 .10 35 -50 -a6 na 12 •8 ._29 -4 37 na 11 -7 -26 .36 33 na 10 -6 •23 31 -29 .74 9 •5 20 •27 -25 -65 8 -5 •17 .23 -21. •56 7 -t -14 -19 -18 .47 1 2 4 -15 -14 38 5 2 9 11 -;a •30 4 t % 8 .7 -23 3 0 -t 5 -t •16 8 9 3.5 2 1 -4 9 9 10 4.0 3 6 0 2 10 10 4.5 3 7 8 10 11 11 9. Interior Thermal Mass Interior Swigs- . Sugle- Stab Floor Raised Floor Mass x ) (a�p Sbriea Attamily er hed F= Stories a 0 ,CFA One Two Three One Two Three 0.0 -8 •5 -4 10 8 -1 .1 0.1 -8 -5 -3 �1 0 0 0.3 -7 -4 .2 0 1 1 05 -6 3 -1 1 1 2 0.7 -5 •2 •1 1 2 2 0.9 -5 .1 0 2 3 3 1.1 -4 •1 1 3 4 4 1.3 3 0 2 3 4 S 1.5 ,3 1 2 4 5 5 20 -1 2 4 5 5 7 2.5 0 3 5 7 7 8 3.0 1 4 6 8, 8 9 3.5 2 5 7 9 9 10 4.0 3 6 8 9 10 10 4.5 3 7 8 10 11 11 5.0 4 7 9 11 12 12 5.5 5 8 9 11 12 12 6.0 5 8 10 12 13 13 6.5 6 9 10 12 13 13 7.0 6 9 11 13 13 14 7.5 6 10 11 13 14 14 8.0 7 10 11 13 14 14 8.5 7 10 12 13 14 15 10. Exterior Wall Thermal Mass Emnor Swigs- . Sugle- Eff.'To Glass wag6lasa FOeacheed x ) (a�p SEER Attamily er hed F= 0.00 a 0 0 an 3 2 1 0.40 5 4 3 0.60 8 6 . 4 0.80 10 8 5 1.00 13 10 7 120 13 12 8' 1.40 12 13 9 1.60 10 13 11..., 1.8a 10 12 12 •. zoo 10 11 13 i 11. Heating System 8.9 .5 SE or HSPF 3 .2 (assumes duds In atdc) . -4 Sum of 1-6 -2 •2 .25 or -24 to -14 to -I to +6 to t6.or SE HSPF less -t5 -5 +5 +15 mom 0.72 6.60 0 0 0 0 0 0 0.75 6.28 3 3 3 2 2 1 0.80 7.33. 8 T 6 5 4 3 o.85 7.79 13 11 10 a 7 5 0.90 8.25 17 15 13 11 9 7 095 8.71 20 18 15 13 11 8 6 Effective SE or HSPF (SE or HSPF x dud etncienq) Effective -25 or -24 to -14 b -4 to +610 16 or SE HSPF teas -15 -5 +5 +15 more 0.30 Z.75 -73 -64 -56 -17 38 -30 na 3.41 -45 -39 -34 -29 -24 -18 0.40 3.67 -34 a -26 -22 -18 -14 0.50 4.58 -10 -9 -8 -7 -5 -4 Ms 5.13 0. 0 0 0 0 0 0.60 5.50 5 5 4 3-D2 -18 0.70 6.42 .17 15 13 11 9 7 0.80 T33 25 • 22 19 `16 0.90 8.25 32 28 24 20 17 13 1.00 9.17 37 32 28 24 19 15 ZoniI Control Adjustment System Type Resistance 10 9 7 5 4 3 Other 6 5 4 3 2 2 12. Cooling Syst:ln SC Eff.'To Glass SCORE CARD /,9 x ) (a�p SEER One •5 -t .4 3 (assume1 ducts in attic) Two +. 3 3 Sim of 7-10 2 2 1 •25 or -24 to r14 to -4 to +6 b 16 or SEER .less -15 1 -6 +5 +15 mon 8.0 -14 -12 -10 -8 •6 .4 8.5 .9 -7 -6 -5 .d 3 8.9 .5 .4 .4 3 .2 -2 9.0 -4 3 3 -2 •2 -1 9.5 0 0 0 0 0 0 10.0 4 3 3 2 2 1 10.5 7 6 5 4 3 2 11.0 10 9 7 6 4 3 120 15 13 11 9 7 5 13.0 20 17 14 12 9 6 " Solar -1 -1 -1 a 0 Ox Erradve SEER -18 -12 -9 (SEER xasd dtlildeoc7) -6 1.3 WS3 Snit of 7-10 .16 -12 Effecive-25 or -24 b -1410 -41*. +6 b 16 or SEER less -15 S +5 +15 mon 5.0 30 -ZS -21 -17 -13 .9 6.0 .12 -il' a -7 -6 -4 6.6 -5 -t -4 3 -2 -2 . 7.0 0 0 C� 0 0 0 8.0 9 8 '� 5 4 3 9.0 16. 14 12 9 7 5 10.0 22 19 16 13 10 7 11.0 26 23 19 15 12 8 12.0 120 26 22 18 14 9 13.0 M 29 24 20 15 10 Zonal Castrol adjustment 10 8 7 6 4 3 No Cooling System Installed -Stories SC Eff.'To Glass SCORE CARD /,9 x ) (a�p = i,3 One •5 -t .4 3 .2 -2 Two +. 3 3 ., 2 2 2 1 Single-Famlly Detached and Attached R- (38 ! Unit Size (so I/./yt't•..,� Water Z :139 1203 1700 2200 2700 Heater l:redit or -74 stab) to to , or Type Type less 1699 2199 2699 mora SG Norte 0 0 0. 0 0 or Solar 12 ' a 6 5 4 HP HWR 8 5 4 .3 3 WSS 5 3 3 2 2 POU 8 5 d 3 3 SE None 37 .24 -18 -15 -12 " Solar -1 -1 -1 a 0 Ox HWR -18 -12 -9 -7 -6 1.3 WS3 -25 .16 -12 -t0' -a 27 POU -18 .-.,2 -9 -7 -6 IG None -5 -3 .2 -2 -2 02 Solar 7 5 •4 3 2 1.6 POU 3 2 1 1 1 E None -28 -19 -14 -11 •9 4.5 Solar 8 5 4 3 3 06 Pau .ter -6 •5 .4 3 2 Mulct -17=4 Oudl,fdual units) 21 19 11 13 + Unit Size (so 17 Water 4.1 699 700 1200 1700 2200 Heater Crei t or to to b or Type Typo less 1199 1699 2194 mon SG None 0* 0 0 0 0 or Solar 14 7 5 4 3 HP HWR 9 5 3 2 2 1.7 WS3 9 4 3 2 2 12 POU 9 5 3 2 2 SE None -t.5 -23 -15 -11 .9 509 Sctar 2 1 1 0 0 21 HVIR -27 -12 -8 b '.5 1s y/S8 .25 •13 .8 -6 .5 5.1 _PQU •23 _t2 a -6 -5 G None d -4 .3 •2 , -2 24 Saar 6 3 2 1 1 19 POU 1 0 0 0 0 IE None 30 7IS -.o a b 12 Solar 18 9 5 4 4 v POU •a -a -3 _ -2 Interior MaWCFA ..++It 2 Mss SC Eff.'To Glass SCORE CARD /,9 x ) (a�p = i,3 SEER ((99.51 S 7 x = 3► g Measures 77 X Credo Camel Point Scares 1. Ceiling Insulation or 2 R- (38 TYPE 1 MASS I/./yt't•..,� Z 2. Wall Insulation or TT►e 1 MASS MAC b 4.2, tet •s sed stab) R-value(ill U•value (0.098) - -- 3. Raised Floor Insulation 9-19 or 0% S% 10% 1576 29% 2S% 3090 35% 40%. 45y. 50% 55% 60% SA 7076 757E W% 1S% W% 957. 'My. 105% 1101: F2 facmr (0.-M S. Infiltration Standard 0 6. GIass Heat Lass /019 -7 Type (doublel U-vaiue (0.651 % Toul Glau (161 Sum to 7. Shading (Shade Open) 115% 1220% tl,e Ox 0 12 04 0.6 0.8 1.1 1.3 iS 1.7 1.9 21 13 2S 27 1932 14 16 18 4 42 4.4 -4.6 4.6 S 53 107. 02 114 06 0.6 1 1.2 1.4 1.6 1.9 11 2.3 25 27 29 Il 23 15 17 a 42 44 4.5 -4.L 5 52 5.4 20% 0.3 06 11 1 1.2 1.4 1.8 1.6 2 12 14 21 19 11 13 15 17 19 4.1 4.3 4.S 4.6 S 52 5.4 ss 30% 0.S 01 119 1.1 1.4 1.6 1.6 2 22 14 15 26 3 12 15 17 l9 4.1 4.3 4.5 4.7 4.9 S.1 5.3 SS 5 e 40T. IT 09 1.1 1J 1.5 1.7 1.9 12 24 26 26 3 12 14 15 3.6 4 43 4.5 4.7 49 3.1 13 5.5 5.7 59 509 0.9 Lt 1.3 1.5 1.1 1.9 21 23 2S 27 3 32 14 1s 16 4 42 44 4.6 4.8 5.1 5.3 15 S.7 5.9 6.1 SSR 0.9 1.1 1.4 1.6 1.8 2 22 24 26 26 3 12 13 17 19 41 u 4.5 4.7 4.9 S.1 53 SS S.6 6 b 2 60% 1 12 1.4 1.7 1.9 11 23 25 v 19 11 13 15 it 4 42 4.4 4.4 4.8 ' 5 52 5.4 5.5 5.9 6 1 s 65% 1.1 U 1.5 1.7 1.9 22 14 26 11 3 12 14 36 32 4 43 4S 47 4.9 S.1 53 55 5.7 5.9 61 64 AM 1.2 1.4 1.6 1.1 2 22 IS 2T 29 11 13 13 17 It l) 4.3 46 41 S 5.2 14 5.6 SS 6 62 6 4 75% 1.3 13 1.7 19 2.1 Za 2S 27 3 32 14 16 18 4 42 44 46 41 5.1 13 &S S.7 19 6.1 6.3 65 609: 1.4 1.1 1.1 2 22 24 26 21 S 13 IS ST 19 41 43 45 4.7 49 S.1 5.4 54 5.8 6 62 64 66 &5% 1.4 1.7 1.9 2t 13 15 17 29 it 13 3.5 11 4 4.2 44 46 4.1 S 52 54 S6 59 6.1 63 63 67 907.' 1.5 1.7 2 12 14 26 23 3 12 14 14 36 41 43 4.5 47 49 5.1 53 . $S i7 5.9 62 64 66 63. 95%1 J 1J 2 22 2S 2.T 2.2 11 33 15 17 19 ll 4.3 4.6. 41 5 12 5.4 5.6 s8 6 U 6.4 6.7 lis' 100. 1.7 U it 23 IS 26 3 12 14 16 IS 4 42 44 46 49 It 13 S3 17 1$ 6.1 6.3 63 6.1 7 105% 1.6 2 22 2.4 16 26 3 13 IS 17 19 4.1 4.3 43 47 4.9 it 14 36 5.1 6 6.2 6.4 86 go 7 1107. 1.9 21 23 2S 27 29 11 13 16 3.6 4 41 44 46 41 S 52 S.4 5.7 191 U 6.3 6.5 6.7 69 7.1 115% 2 22 14 26 26 3 12 14 SJ 16 4.1 43 45 4.7 4.9 S.1 S3 S.5 5.7 SA 61 6.4 66 6.6 7 7 e 120% 2 23 25 27 1 11 13 SS 3.7 19 4.1 4.4 4.6 4.1 S 5-2 14 16 50 6 62 6.5 6.7 6.9 7.1 7: 125% 21 2.3 23 11 3 12 14 3.6 11 4 41 44 46 43 i1 5.3 55 S.7 59 6.1 6.3 63 6.7 7 7.2 Point System Summary: Climate Zone 11 SC Eff.'To Glass SCORE CARD /,9 x ) (a�p = i,3 SEER ((99.51 S 7 x = 3► g Measures 77 X Credo Camel Point Scares 1. Ceiling Insulation or 2 R- (38 TYPE 1 MASS U•value (0.0301 Z 2. Wall Insulation or R-value(ill U•value (0.098) - -- 3. Raised Floor Insulation 9-19 or - R-valce1191 U -value (0.0371 4. �SIab Edge Insulation or R -value (01 F2 facmr (0.-M S. Infiltration Standard 0 6. GIass Heat Lass /019 -7 Type (doublel U-vaiue (0.651 % Toul Glau (161 Sum to 7. Shading (Shade Open) t°o Glass SIC Eff. % Glass y a. North /, 9 x , ?% b. East '5_17 x Z c. South /.7 x = d. West 0-59 x = pr -7 e. Skylight . o • to x ( = O..S 8. Shading (Shade CIosed) a. North b. East c. South d. - West e. Skyli ght 9. Interior Theruml Mass 10. Exterior Wall Mass 11. Heating System Zonal Control? (Y / N) 12. Cooling System Zonal Control? ( Y / N ) 13. Water Heating % Glass -i SC Eff.'To Glass 3 = /,9 x ) (a�p = i,3 SEER ((99.51 S 7 x = 3► g (o 77 X Credo Camel TYPE 1 MASS AREA = tl IntenorN COND. FLOOR AREA TYPE 2 !LASS AREA Ez)reaW 1,1as ND. rL OR AREA Sum?-. r all : ►72 x ©.Co 3 = SE at HSPF (0.721661 iK ' X Duct Effieidacy (0.781 Q%�7 f O!/ = Effective SE or HSPF10-W5. 151 !7, (/ SEER ((99.51 Duct Effucieucy (0.741 Effoaive SEER (7.23) . , f' . Type (SG1 Credo Camel Z D Paint Tntal: