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064-340-039
STEVE E. HESS �X ELEC . 0/� 70. Elmira .Circle, PP. #4, Lot l2 J'�S GAS s I COiV`I'R� J: `L: "Bailey &Son; Para ise --SUPPORT=STRUC UR -REQ Permit 4526-73P,E (utilities for MH) y COMPACTION TEST REQ, 1 AP 64-34-39 y TIMOTHY YAEGER HESS, �T _452.6_73P,E 70 Elmira Circle, lot 122, PP-#aQa. �' Steve ,E:'...-__ v __ — — — pc�/� —� i •contr: Cal-Gas Paradise 6y1 y 35 M_5=_7_5 (gas pipi g, ex. MH) _ 14 • AP 64-34-39 ' 70 Elmira Circle. PP #4,° Lot 122 CONTR: earle Towne MH ServiFe CONTR: J. L. Bailey & Son; Paradise I Permit# 2002-75MHI S 7S� (utilities for 2_%..p. ?..r I Issued _6_- TIMOTHY YAEGER--new owner AP 64-34-39 Permit 6102-77B (deck/MH) 64-34-39 92-1742 BPEM BLACK,'. Bud & Phyllis t 14139 Elmira,Circle, Magalia q contr: Jim'. Harding, 'Jr. ,new-sf i .�, i er M er �— -- COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 ,Y 7 County Center Drive, Orovi Ile — Phone: 538-7541 ., 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE OWNER PERMIT NO. a A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office j when correction of work is completed. If you have any question pertaining to this matter, or ne additional explanation, please contact this office immediately. A 3 A i s t Date /`O Inspector _ V OK O = Not OK = Not Applicable RESIDENTIAL (Sin in & Du lex) I' = Not Ready Date rJND RFLOOR (Plans) -OK except h's oning-Setbacks-Easement food -Slope fX§., Main; Soils-Elec. G .-! V' Ftg. Depth Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. FW., Porches & Decks; Soils -Steel-/ /Ftg. Depth emwalls, Main; Steel-Blockouts-Wrapped If Sternwalis, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Soecial Anchors i. 015b; Steel -Wrapped aO"Pie- Ftg.-Steel 9 W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test ater Pipe; Test -Anchor -Regulator -Service Test `12. Electric; Underground 1 . Pienums & Ducts; Clearance -Material -Support -Ins. 14-1�Tirders-Sills-Anchor Bolts -Joists -Vents -Cripples 1 ccess & Ventilation 16:,.Jnsulation Date Gard B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date L BING (Permit),OK except ft's _ � pater Htr.: Vent- cc_ess-Combustion Air -Baffle L7 ater Pipe: st Anchor -Nail Protection D.W.V.: Tes4ittings & 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-- at---� lA -Card -B- 1 S✓ -- —Date---_________ card -B- 1 -- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except h's Fixture & Transformer Clearance -Ins. Protection ------ec. Receptacles Spacing -Lights & Switches at Doors ------------ ---------------------------------- :- 2y�ize Boxes & No of Conductors_Stapled 2,e RRomex Installed Close to Edge of Studs & C.J. - -- --- 2�G Equip Ground made 'up w!Mech. Fastners Bond Gas & Water - yt!2 Appliance Circuts in Kitchen & Cond or Size/GFI 28. bfeed Wire Size r Acga Cu or AI Wire Size ; / ga. - or At -------- - ------------------ -------------------- 29. Range Circ. r r'ga. or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ es • ❑ No ----------� -------------------------------- 3 Service -Riser Conductors & Ground -Main Disconnect -------------- ------- ------ ---------- --------------------------------------- -------------- 3�/Equip.-Cleara-nces Panels-Motors-Mech. Equip. ---- ----------------------------------- ------------------- a ;W-8+othes Closet Light -Shower Light -Spa Light ------------------------------------------•--- ------ - ------------- -- - .9<Smoke Detector Date �j!o CardB-1 LS +J date----'--`--Card-B-1 -- -- ------- --F - --- --- ------- - ----------------------------------------------- Date Card B-1 Date- Card B-1 Date MECHANICAL (Permit) OK except ft's A.C. Ducts Insulation & Support ------------- - -------- tent Fan: Exhaust above insulation ----------------------------------------- ------------ _ 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 SLCard B-1 Date Card B-1 --- ---- ---------------- ------------------------------------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except ft's 39 Is: Proper Material & Anchors ------- ----------------------------------------- 4Q/1Valls Studs -Nailing. Spacing & Bracing -Plates -Sound -------------------------------------------------- - 4 Bearing --Wal-ls over Girders & Floor Nailing -- --- - -- / ------------------------------------ ------------------------- 4y/Draft Stop in Walls (rat proof) ----------- 43 Fire Stops Furred Ceilings -Stairs -Chases -Tub 4,00.' Headers &Beam -Size & Bearing Date R ING (Continued). 4 ngers-Post Caps"Anchors-Connectors Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthn Fireplace Ties or Type A Flue -Fireplace Throat clearance 4,V -Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles ------ 48! drm. Windows or Exiting Doors -Sill Hgt. & Dimensions --- Garage Fire Protection Framing 5 y.. �_roperty Line Firewall & Openings Y1._Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits _ 53. Stairs: Width -Headroom -Rise -Run -Landing -Fire Protection 54--Plyw.6d on Roof Overhang -Attic Vents -Rafter Outriggers --------------- - — 5 , 'ding -Nailing Veneer i ---- - - _Stucco Mesh -Drip Screed -Fd. Ven nderfir. Access 57., Glazing Area -Glass Protectio ylights-Plastic -- --- -_ 58. - ar Walls: -Nailing -Bolts Insulation -Walls -Ceilings nfiltration-Walls-Windows .Date---� Car-1--�(�c7 Date d BCard B-1 Date Card B-1 Date Card B-1 Date FIN�E, lans) OK a ep h's ip eps-Door & Sidelight Protection -Landings -------------- ----- ----- moke-Detector 3 rnace: Vents -Clearance -Comb. Air -Connector - In age; Above Floor -Ducts -Meth. Protection ---------------4!BedJOom Exiting ---- F. & Bath Fixtures & Tub Access -Spa I�EJI/ Trim & Subpanel: Breaker Sizes & Labels -- ----- ---- - - - St ' . & Rails Fire lace or Stove: Clearances -Hearth --- l 9,0utlets at Wood Panel: Int. & Ext. Z�Kit.F R Appliance: Grnd.-Air Gap -Cooking Clearance 76 lec. Gimlets & Receptacles at Kit. Counter ------- -- 7 ar glFire Door_Swing-Landing-Closer -Cyu! -'A.n-Garage_Damper - JA-'Vtr`. Htr. ,Vents Clearance -Comb. Air-Connector-P.R.V. In rage Above Floor-Mech. Protection & Mech. Equip. Listed for Location le Receptacles in Garage: (G.F.I.)-Rome�rotection `. innsytation-Foam-Looked in Attic i- Yes Rails & Deck Construction -Post Caps Fdn. Vents & Crawl Hole Door -Drainage ood-Earth Clearance Looked under Floo! Yes 80. Following instld.: Drive es ❑ No: Walks No: Planters ❑Yes ❑ No --- - ----------- dl. `tine -Finish -o-------- -- �iYA.0 ' mt: Disconnect. Electrical, Plumbing Opts Above Roof: Plbg.-Appliance-Fireplace.-Clearance to a Well: Disconnect, Electrical, Plumbing xte for Elec.-Trim; G.F.I. Receptacle -Underground ---- - - — --- S 6 en 'anon Throughout House _- d la Protection - - -- ------------------------- p- d" or ections from Previous Inspections ` - --------------------------------- - - - ----------- is est -Meters Tagged: Gas -Electric 9 at &Sewer Connected -C/O to Grade -HD Approval nergy Compliance Certificate -Other Certificates ---- ------- -- - - -- — --- --- Date Card B-1 Date—Card 8-1 Date Card B•1 Date Card B-1 ---- - ----- ------------------------- -- �c Date Card B-1 Date Card B-1 Comments at Final: -------------------- ti. J=OK O = Not OK Not = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch _ 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas: Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date _ Card B-1 Date Card B-1 Date Card B-1 # Date Card B-1 `e- `Date 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 �f 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 ezcVt #'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 i 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 L Permit No. E N E R G Y C E R T I F I C A T I 0 N, 14138 E1 Mira Circle Paradise Ca. LOCATION A.P. No. DESCRIPTION OF INSULATION ROOF . Material -Th ickne s s (inches.) . EXTERIOR WALL Material FIBERGLASS BAITS Thickness (incites) CEILING Batt or Blanket Type Thicknes's(inches) Loose Fill Type. FIBERGLASS Minimum Thicknesp(Inche9)12 Area covered(ft. ) FLOOR, ELEVATED Material FIBERGLASS BATTS Thickness(inches) 6"" FLOOR, SLAB Material Thickness(inches) W id th,(i nches ) 'FOUNDATION WALL Material Thickness(inches) Brand Name Thermal Resistance (R, -Value) Brand Name OWE:NS-CORNING Thermal Resistance(R Value) R13 Brand Name Thermal,Resistance(R Value.) Brand .Name.OWENS_CORNING Number of Bags 30 Wt. per bag 35 lb. Thermal Resistance(R, Value) R30 Brand Name OWENS-CORNING Thermal Resistance(R Value) R19 BrandName The Resistance(R Value) Brand Name " Thermal Res.istance(R Value) I it certify that Lite above insulation Was installed in the above building in .conformance with the State'of California Enerby Requirements. LOERKE INSULATION CO. INC. 499150 FIRM NAME/OWNER STATE CONTRACTOR'S LICENSE N0. 2 August 4, 1992 YK SIG TUBE OF INSTALLATION APPI,ICxrOR DATE I hereby certify the above insu.. all required items as shown on the tion and . BuYlding 1)1epar.tment approved plans and attachments have been installed as required by Lite State of California Energy Requirements. All -equipment, devices .and materials are of the quality prescribed or are specifically approved by the State of`California. 61 /1J/� Cox) -1-i IPGLG% �— STATE CONTRACTOR'S LICENSE NO. FI /OWNER (P ease print) .. . SIG TUBE OF QrNE . L 'CONT _ 0 R ATE 'T11IS.CERTIFICATE MUST_ BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY S HALL BE'POSTED WITHIN THE BUILDING. January 1988 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 DOttflty D®flt®F ®FIV® - 0MVIII0, OdIlfOrflig 88908 - T@1@phow 918,1888.7841 APPLICATION AND PERMIT PE3RMIT N�� 064-340-039 RT 1 BUILDING PERMIT UWNIsN BUD & PHYLLIS BLACK 80r FT. DOD. BUILDING VALUATION 1846 R 99,684 N 1347 SANTA ROSA AVE SANTA BARBARA 93109 616 M 11,088 CONYRACTURTrNTM= JIM HARDING JR. CONST TELEPHONE 873-4785 184. COV 2,392 7q�q �p 220 BREI OPEN 1,540 CONTRACTOR'S MAILING ADDRESS 6461 SAAW CIRCLE Fireplace IPELT 1,500 CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 15,00 LENDER'S MAILING ADDRESS Permit Fee $ 657.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 328.50 Energy Plan Checking Fee $ 20.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 14138 ELMIRA CIRCLE MAGALIA 95954 Permit tee $ 1 020.50 PLUMBING PERMIT Filing Fee 15.00 Each Trap 9 5.00 45.0 Solar or heat pump water heater 20.00 LOT NO. 122 SUBDIVISION NAME PARCEL MAP 35-97 Water piping 7.00 7.00 Each pas water heater or vent 7.00 7-00 USE OF STRUCTURE SF Q 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 Newa] Addition❑ Remodel❑ Utilities❑ Installation❑ Other El Describe work: 3 BDRM Permit Fee $ 94,00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service z°oo°A °oa iEss 18.50 Main service 200A TO t000A) 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. �js-Z`%(, Classification 13 ❑ 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) El 1, as the owner, am exclusively contracting with licensed contra ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.(DWELLING OCCUP.&` OR ADDNS. ACC. BLOGS. I _37.50 3.60 sq.ft. NEW RESIQ, RANCH CIRCUITS) NON-RESID BRANCH CIRC ITS @ 5,00 POWER APPARATUS & (SINGLE OUTLET CIL. Ex. OCCUp(OUTLETS OR FIXTURES 464FIXED 20 V Ex. OCCUp. OUTLETS PIRESID ILEA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00ct- Misc. Wiring 9 15.00 Permit Fee $ 119.50 - WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 1 15.00 Heating 9.00 DUAL PACK Cooling g 9.00 Hood 6.50 6.50 Ventilation 3 4.50 13.50 permit Fee $ 53.00 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, a d expenses which may in any way accrue again said Co ty in conse ue of the granting of this permit. X Date �'"Z '��' Signa r 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 $ 40.00 o', (` '� col PE %s TOTAL FEES 1.327.00 HAz DFEES IMP _01 - FL OD CDF PAq EL D IS E This permit is hereby issued under the sions of the Butte County Code and/or e for which fees 7 IIdTO FPI BLIC work indicated9"V, By - PE IT EXPI Y E Date applicable provi- resolutions to do have been paid. WORKS D to 1%�-`2 Receipt No. I �% . / -] WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916.538-7541 9Q / / APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 066— 3qo— p 3 ZONING .R T _ BUILDING PERMIT OWNER d, 3 ^` t I I' ^&a` IC - U. oR I y/i TELEPHONE SQ. FT. OCC. BUILDING VALUATION L/ e. g 7 S 0p OWNER'S MAILING ADDRESS 93io9 3 y - S 4 a a t -L s %a r r 6 8 CONTRACTOR'S NAME / TELEPHONEIR --'Y q Ov 2 9 z- 7 4 �� �v CONTRACTOR'S MAILING - DRESS 61- -Ck&L, Fireplace )t� - CONSTRUCTION LENDER UNKNOWN Total Valuation $ If It, Z(!)-( Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $,5 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ -Z_ 13 ,,.— Energy Plan Checking Fee $ 2. o mom_ ARCHITECT OR ENGINEER'S MAILING ADDRESS ~ Penalty $ BUILDING A RESS - ` Permit fee $ 0Z0 , PLUMBING PERMIT FilingFee 15.00 Each Trap .9 5.00 yt— 9� �y Solar or heat pump water heater _20.00 LOT NO. 1r SUBDIVISION NAME PARCEL AP Water piping 7.00 % -- Each qas water heater or vent 7.00 USE OF STRUCTURE SDQ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 S — Building sewer 15.00 j4 0 Mobile Home S G W @ 15.00 - TYPE OF WORK Ney�,,J Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: _ kLec) y Permit Fee $ Contractor ELECTRICAL PERMIT FilingFee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 f Main service 200A TO 1000AI _ 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the BusinessPOWER and Professions Code and my license is in full force and effect. License .Jo. Classification 10 I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST.DACC. BLOGS^L 6%7WELLING OCCUP.& 3.64 q.ft. OR ADDNS. ( G 8 f� NEW CON5TRMULTI-OUTLET NON•RESID BRANCH CIRC 1T5 @ 5.00 APPARATUS 6 (SINGLE OUTLET CIR. Ex. Occup(DUTLETS OR FIXTURES 20 764 A \ Ex. Occup. our LEPRESID )LN REA.) j 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee IQ 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 FilingFee 15.00 Heating Cooling Hood 1 6.50 Gr Ventilation Permit Fee $ S 3 _ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over S'Q" deep and demolition or construct - ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ :z—— occ CONST TYPE TOTAL F E $ 1tA2 DFEES IMP FLO COFf�PT E This permit is hereby issued under sions of the Butte County Code work indicated above for which DIRECTOR OF PUBLIC By --- PERMIT EXPIRES Date the applicable provi- and/or resolutions to do fees have been paid. WORKS Date Receipt No. /� — --Tj 1 � 'i; .R'; "''t,,•.-r'�+ti-'. fi _ Y� rt*tii :,;,,1' s,' 's` , Y('r ;r!_'� ���.s-4 �_,�,.�,,,`.. M. `tj�.'ij'))-,'yt�`"-• . Fllr "'i • %it.;;.:�.f .lt �fii^'1,,' .�„;,�, � � y,. v+tr�-' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER R) q c - )L A. P. No. 6A -f - 3G/- 39, Proposed Building Use S II' 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 BY 1 • All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ..................... . 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............ . 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . ................. . ement of Intent for Non -Heated and A/C Buildings . ...................... Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of$ ................................. 11. Impact fees as shown on attached schedule. ..............................%'L 12. California Department of Forestry plan approval/fees. ....................... . 1 Flood elevation letter (100 year flood) by California Engineer . ................ . 14. Sanitation and plot plan approval Health Department. .....:.....='i 15. City of Chico plumbing permit.......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage."- _ veway permit (construction approval required prior to occupancy) dept.;.( 20. Pre -inspection for �'�toreBuildin-Inspection r qui required. . . g Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. - 22. Certificate of Workmans Compensation Insurance . .......................... Ae 23. Owner -Builder Verification (Given to owner Mail to owner _)............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. __Z GIS 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ........................................ . 28. Mobilehome utility clearance . ........................................... 29ocumentation of legal access . ........................................ _ 30.-• Documentation of 50% subdivision developed or (A) Road improvements completed f' and (B) Parcel meets zoning area and frontage requirements ................ 31. Existing violations/expired permits . ...................................... Ian check list . ..............................^\.................... . When you issue the permit, process as follows: Mail to wner. Mail to contractor. _ Telephone g73- 5791 -rand hold for pickup at rQ 4-4t cl f lv office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date f By The following data must be submitt r' r to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone —mail Counter by _ Date Contractor, designer, owner, was vi ed of above required data by _ phone _ mail Counter b Date Plans checked by Date 6o S -Mans approved by Date� Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works TO Buildina Department FROM: Environmental3l alth SUBJECT: Sanitation Clearance ownerLocation Ap# plan Approved for: Sewaqe Disposal Water Supply Hold final for: Water Supply Final clearance O.R. for: Water Supply Clearance for bedroom m� home. Other NOTE �► Date Sanitaria DATE _ e COUNTY-OF BUTTE.- DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVI-LLE, CALIFORNIA 95965 - TELEPHONE (916)5387541 OWNER ��Ct C V— A.P. NO. PROPOSED BUILDING USE �� DATE 6' Z /1.REC. # DATE REC School District Fees 1. r7 Z ` (paid at District Office) ,;,,, . 2. Sheriff Fees ,,,,,,,,,,,, (paid at Building Department) ,. Residential .:....... X 260 =$ - '3 C9 IL Z 6 hZ unit amt. Commercial(per sq.ft.) X =$ sq.ft. amt. Urban'Area Fees (paid at Building Department Residential (per unit) X # units . amt. Commerical(per sq.ft.) X, " =$ sq.ft. amt. Recreation District Fees (paid at District Office) ........................... 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. DATE _ e RESIDENTIAL PLAN CHECKING GUIDE 8/91 (S.F., DUPLEX & MISC. ONLY) ~ Bldg. Permit # 9/ z - OWNER gL�G1� A.P. # - - ' Plan -Checker GENERAL - � - _ FXIsT,Mor���� �w,o"wA s�v6R�i.Y2S �c;o 1. /Zoning requide r s -and number of permitted living units) Valuation. le --_-Plans signed by designer. open description of work on application. sting violations on property: Items on data sheet. (W.C., fees, Health, Developer.Fees, License law,•etc). r4ed notice of violation. PLOT PLAN j*'� omplete parcel size and dimensions.acks, sideyards, easements; etc. Other buildings or structures. ---Grading, fills, drainage. 5c./Flood hazard. Special conditions on creation map, (noise, CDF, fire sprinklers,.non-comb-. ustible,,and foundations). 7. U & FAS road setback. 8. Bui_ ing or utilities across ,lot lines (Record form). FLOOR PLAN y omplete to scale plan �with.dimensions. squired windows for light and ventilation.(Sec. 1205): 3'/Re fired windows for second exit (Sec. 1204). eSk lights (Chapter 34 & Sec. 5207). T man impact glass (Sec. 5406). ��auired room sizes, ceiling heights (Sec. 1207) GF� 7°� s in baths, garage, kitchen, and exterior.:outlets'(Articler_210-8)_ 8!/Light fixtures, switches,';receptacles,' and exterior recbptacles.for main- ance of mechanical equipment. 9 Locations of'water heater, heating and cooling equipment, -other electrical gas equipment. . 17arage firewall, door size, and closer (Sec. 503(d)(3)). 1 10" exterior exit door (sec. 3304.(f). - l� Fes' eeplace and wood stove locat�ion,' alcoves, and clearance. 1�Y Smo�ke detectors (Sec. 1210). 14 -"Plumbing fixtures, water closet clearances and shower size. STRUC M RAL,DETAILS 1.L -`Standard bracing or engineered design (Table 25V) �1- shape, size, or split level house requiring lateral design. erestory requiring balloon framing and/or engineering. ffl ree story building requiring engineered calculations and plans. ndation plan complete enough to construct building. 6.lY,loor construction details complete enough,to construct building. 7 --'Elevations and wall construction details complete enough to construct building 8 0 o construction details complete enough to construct building. �eplace construction details and calcs if necessary. 10tt-1-after ties or bearing ridge beam. . 1 Y Gax age door or porch header sizes. 12. tud heights. 13 Adobe soils - special foundation design.' 14.etaining walls requiring design. 15. ecial Inspection required. RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS-TO.LOOK OUT FOR Stairway details: landings, rise and run, head clearance, handrails _(SL 3306).' �.Brick uardrail details (Sec. 1711 & 3306(j). or stone veneer (Chapter 30). Exterior plaster - weep screeds (Sec. 4706). 2 ---Proper roof pitch for roof convering (Chapter 32). &.- Roof covering type (fire hazard). insulation - protection. 36" halls and stairways. iving area over garage - complete 1 -hour separation inc g supporting walls and posts, etc. 1_.--T ^--exits on three-story dwellings (sec. 3303 & see 1](.lAX'tVtic access and ventilation (Sec. 3205). 1 erf loor access and ven'tilation'(Sec. 2516). 10'. mbuzichair for fuel burning appliances - L.P.G. requirements on duplexes. Energy design. flashing at all exterior openings. 7 rp responsible area requirements. 8/91 required on garage side Mezannines - 1716). requirements. j26otiovEp 7Y►ZS /�-C�U SZOOE W80=1 AM Sd01 VS'n NI OHln O3NSIS • .. � 3Sb►SS3W NOISN31X3 hl3eyynN 3003y3Wy 3NOHd =1O W MJ -d- 3 W I= ELMO HO= " N01IN3.LLV 1d103ds', TRfo 8noA (13Nan138' -Hsn8l noA 33S O1 S1Nvm, ' NldJtl77V011IM` fi0A33S013WtlO` lltl 3SI l37d 03NOM3731 NOISN31X3 hl3eyynN 3003y3Wy 3NOHd =1O W MJ -d- 3 W I= ELMO HO= " State of County of. On personally appeared before me, • ❑ personally known to me - OR - ❑ proved to to P. Allo WHER'TER � NOTARY PUBLIC -CALIFORNIA • ■ -d Butte County • • My Commission Expires May 27,1993 ■ ■ NOTARY PUBLIC NAME(S) OF SIGN) R(S)- me on the basis of satisfactory evidence be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed thesame in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), orthe entity upon behalf of which the person(s) acted, executed the instrument. Witne y hand and official seal. - �5- SIGNATURE OF NOTARY CAPACITY CLAIMED BY SIGNER ❑ INDIVIDUAL(S) ❑ CORPORATE OFFICER(S) TITLE(S) ❑ PARTNER(S) ❑ ATTORNEY-IN-FACT ❑ TRUSTEE(S) VSUBSCRIBING WITNESS ❑ GUARDIAN/CONSERVATOR ❑ OTHER: SIGNER IS REPRESENTING: NAME OF PERSONS) OR ENTITY(IES) .E�2ze--wG / EN® OF DOCUMENf1-2,220 Return to DPW AGRICULTURAL STATEPffiNT OF AMOWL.EDGEMENT + j9,2-2 34 8 4 FOR RESIDENTIAL DEVELOPMENT ,fSeution 26-8.1' of the Butte County Code requires this acknowledgement be .retorded -- - -- -- - prior to issuance of a building permit.. � � ���4�� I Rec Fee 5.00 ,92-02:348 • 1 Check 5.00' The property described herein is adjacent Recorded I to land or included within an area zoned Official Records 1 for agricultural purposes, and residents t of this property may be subject to incon- County of veniences 'or discomfort arising from the Butte t J. Grubbs i use of agricultural chemicals, including, Candace but not limited to herbicides, pesticides, Recorder t PUBL XX 1 and fertilizers; and from the pursuit 11:30am 28 -May -92 I of agricultural operations including, __ __ --- -- --- — -""T"- but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte Countv has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All -thAt real .:property.,.situate in . the County .of Butte, State of, California, described as follows: LOT 122, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "PARADISE PINES UNIT NO. 4", WHICH MAP WAS RECORDED IN THE OFFICE .OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORN- IA, ON OCTOBER 1, 1970, IN BOOK 35 OF MAPS, AT PAGE(tS_l_ 97 THRU 101: 0-7 CERTIFICATE OF CORRECTION RECORDED DECEMBER 2, 1970; IN BOOK 1648, PAGE 4, OFFICIAL RECORDS. 1 Date: Z �� 7ZTY OWNERS: 6 a � / State ofK117Z"U�1114r) On this the g day of %/% 19qc�, before me, the ` SS. undersigned Notary Public, perso ally appeared County of aT7Z_- Personally known to me. Fi Proved to me on the basis of satisfactory evidence. to be the person(s) whose name(s) /S subscribed to the within instrument and acknowledged that executed the same for the purposes therein contained.. IN WITNESS WHEREOF, I hereunto set my hand and official seal. . Present A.P. No. Notary Public 4 Return to DPW AGRICULTURAL STATEMENT OF.ACUiOWLEDGEMENT FOR USIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement. be recorded prior to issuance of a building permit. of SOT( The property described herein is adjacent CoBN�o�NOD�P to land or included within an area zoned 2 for agricultural purposes, and residents of this property may be subject to incon- veniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but ,not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. 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. 1992 92-023484 MAY. 2 8 1992 Butte County has established agricul- agricultural purposes, and residents prepared to accept such inconvenience All EhAt real property. situate in the County, of Butte, State of' California, described as follows: If LOT 122, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "PARADISE PINES UNIT NO. 4", WHICH MAP WAS.RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUT STATE OF CALIFORN- IA, ON OCTOBER 1, 1970, IN BOOK 35 OF MAPS, AT PAGES) 97 THRU 101. CERTIFICATE,OF CORRECTION RECORDED DECEMBER 2, 1970,• IN BOOK 1648, PAGE 4, OFFICIAL RECORDS. Date: �� TY OWNERS: • Gv�T•vc S State of r 7l To�Ni.9 County of On � /c/C personally appeared before me, NAME(S) OF NOTARY PUBLIC ❑ personally known to me - OR - ❑ proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are - subscribed to the within instrument and ®°■■■■■■■■■■■■■■■■��■■■�■® acknowledged to me that he/she/they ■ executed the same in his/her/their authorized ■ P. Me WHERTER capacity(ies), .and that by histher/their NOTARY PUBLIC -CALIFORNIA ■ Signature(s) on the instrument the person(s), ■ Butte County ■ ■ MycommLsstonEViresMay 27,1993 ■ ortheentity upon behalf of which the person(s) ■ ■ acted, executed the instrument. ■ �■■■■■■■■■■■■■■■°°°■■°°°°® Witne s -my hand and official seal. SIGNATURE OF NOTARY CAPACITY CLAIMED BY SIGNER ❑ INDIVIDUAL(S) ❑ CORPORATE OFFICERS) TITLE(S) ❑ PARTNER(S) ❑ ATTORNEY-IN-FACT ❑ TRUSTEE(S) VSUBSCRIBING WITNESS ❑ GUARDIAN/CONSERVATOR O OTHER: SIGNER IS REPRESENTING: NAME OF PERSON(S) OR ENTITY(IES) &Z11 GF -21220 BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One: Form Per Building) School District_ :rQ Building Department No.. A.P. Number. &C-1 LI ' Jurisdiction (— City �- County PropertyOwner _ �(/ _3 I C <<� Property. Location/Address ___ al2 0— Subdiv.ison COUN-ry OF Tfe—=---- ------ -- ---- Develop DEPT Reside.ntiaDevelo ,l TI MAY 2 No. of Living MHi Units Commercial/Industrial " New Lot No. 0 Sq. Footage Ig 416 Addition (Group R) Sq. Footage Addition (Including Exterior Roofed Areas) , ( S. - -- — -- -- -- �.-6- 2- Building Department R resentatiJe Date (Floor Plans reviewed by School District Personnel) District Identification No. s r School District certifies that . A (Applicant)'. � /S g7K5 (Street Address) (Phone Number) (City) . (State) (Zip Code) has complied with the requirements of Resolution No. _ _— —_ by payment of $ representing _ LO— _-square feet. .17 School D.istri t Representative Date Paid by Check Number _. l0 p.�� Remarks: Bank Number. Paid by Cash ------3 _ If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being "reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools: White (applicant), Yellow (building department), Pink (school district) feeform.wki (4/92) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ✓/ - /�� 7'County .Center Drive - Oroville, California 95965 'Telephone: 534-4541 .-APPLICATION A90 PERMIT �� -- BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address � .is r 1 , i� Telephone No. Fireplace Contractor L �� �- ,:�bi� • j �•�• , jrvi Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty > l•a�i.-. Telephone No.. * Permit Fee $ $ Building AddressPLUMBING No.1 @ I FEE �-1 : lot I?? V7!.T'11i..: 'in :, PERMIT FILING FEE J$2.00 Each Trap 1.50 Repair drainage or vent piping 1,50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No.Gas Zoning 8 Planning piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W. Sanitation Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Improvements p Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel Approval Plcns Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 %X;' -1z .e ei 1 ;--+^ T Main service incl. 1 meter (O -73 V_ / -7� Additional meters, each 1.00 - Singl Family ❑ Duplex ❑ Mobil Home Q Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1,00 Water Heater or Space Heater 1.00 Light fixtures Dal 10 Receps., switches & fix outlets bal 10 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: i �.�:.LCJ .:�bi� ; t J..uJ J� Z'✓j . Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. ?a5795Misc. Classification (•-""+ wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2,00 Permit Fee $ $ 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 I'li f Vis.' .f/ -;,. C r TOTAL PERMIT FEE $ above-mentioned property for inspection purposes. r i X i • ,. ', r 1._1 Date Signature of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By 1 Date Building permit expires Date .................. .................�... ~- Y � .-. .ti. -�_ _ -. •--• � .� �_ ., .f,,...,,,.� �-...---"�;.hY�'irv`-,�••.-.-�^ice ,Y � vt .. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT. BUILDING Owner Tim Yeager SQ. FT. OCC. BUILDING VALUATION Mailing Address 70 Elmira Circle , Magalia Telephone No. Fireplace Contractor Earle Towne Mobile Home Service Total Valuation Mailing Address' 5035 Circle Lane Permit Fee Plan Checking Fee&/or Penalty Paradise Tf� P�1=n6 1 i4 Permit•Fee $ $ Building Address 70 Elmira Circle PLUMBING No. @ FEE PERMIT FILING,FEE $2.00 Unit 4 lot 122 Paradise Pines Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50. Each gas water heater or vent 1.50 A. P. No.000 — 0 Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F W . Saf4atoon Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel P 60' R/W Im r vements P Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel Approval P ns Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Q ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 ,ti'✓%��GfiJ-710,d Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home © Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures bol a10 Receps., switches & fix outlets 20(0)25 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: y Eai,te Towne Mobile Home Service Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. di sp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. 295795 Classification C-61 Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. 'have placed on file with the County of Butte a certificate of ❑ Workmen's Compensation Insurance. ®I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE ` PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I haveread 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 TOTAL PERMIT FEE $ Zanv„" ,cF/6 . - ul Inc 1,UU11ty u1 DuILC 111 U111C1 Upun trte ove-mentioned property for inspection purposes. X �Date _ Signature of Permitee or Agent Receipt No. ,A&465�1 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR 0 UBLIC WORKS By Dates/ —7) S--1-3 - i (, Coding permit expires Date ............................................ . Y. 9. Electrical w. A. Is,service large enough to provide adequate amperage -to mobilehome (must equal rating GIZE mobilehome with a minimum of 100atmp)/and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes No • � r ��� � *-A A00 B..'.Is.there proper clearances around panels? Yes C. Is power supply cord or feeder assembly"properly fused? Yes `. No D Is continuity test satisfactory as per the followin procedure? Yes v No • Y Y P g 1. De -energize electrical wiring system of the mobilehome at the pedestal. 2.. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor,have been disconnected. 3. Switch all breakers and.switches in.the mobilehome to the "on" position. 4. Connect one lead of a test:.instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, - water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment._ A further continuity ,,test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. 10. Is 'job card signed by Health Department for water and sanitation? 11. If 'everything okay, sign -off card and tag services. 4 ¢ MOBILEHOME DATA Manufacturer and/or Namestyle Length Width Vehicle Serial No. State Identification No. l Additional Information or Comments:: 1 a MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located wi required separation from lot lines and buildings and generally conform to plot plan? Yes No 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes • No 3. Are footings and supports properly sized, spaced, and braced as per pproved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes !/No 4. Is the mobilehome level? (Sec. 5088) Yes' No 5. If m sing e u ronerly installed? (Sec. 5088) Yes No 6. Water A. Is flex" e connector of adequate size and properly installed (1/2" ID min,)? (Sec. 5566) Yes No B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yesy No C. Backflow - If coach is not State of California approved, does station have backflow device ressure-re ie va ve. es 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and -have flex connectors at each end? Yes No B. 'Does it have minimum k" per foot slope and is it properly supported? Yes V No C. Are any leaks detected in drainage system after running 3 -gal s of water through each fixture including washing machine standpipe?. Yes No D. a �eof California approved, does station have required trap and vent? Yes No 8. Gas. -Piping and Gas Vents A. Connector - Is mobil home connected to the gas supply with an approved 3/4" minimum mobilehome connect not more than 6 ft. long? Note: All piping is to be at least as large as the mobi ehome gas line inlet without reductions other than the mobilehome connector. Yes No B. Test OK as per following procedure? Yes�o 1. Open all appliance connector valves. 2. Shut off appliance burner and .pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min, without drop. 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes No COUNTY OF BUTTE - Department of Public Works 7 County Center Drive; 6roville, California :_;..._ PHONE: 534-4541 T.Pn€.t-h - , Ln S " !;1 I Utility /•,` ' i rJ ons 20' min . "q •" M rt vo m r 5�rr p �.rt N n CL n a, o x w w ► . m N t7 A i it M % w See Awa `d Plot --Plan Length = If so, specify <y 'For plans and specifications of support system, see other side. M03ILEHOME INSTALLATION INFORMATION Lot Facilities 14obilehomea 1. Plot plan dimensioned, location of mobile 1. LengtK''" and utility connections?. Manufacturer C Yes X No Vehicle Serial No. �! 2. Electrical. service equipment ampacity/00 Insignia Control No. Circuit breaker ampacity /00 2. Feeder assembly ampa� Permanent Wiring Connection Conduit size. Ampacity Power supply cord (amp•) —_ Receptacle Ampacity 3: Gas inlet size 3. Gas: _ Natural LPG '✓ Mobilehomne connector size �6� if ' Gas riser size 3 .�� Capacity .�—•� 4. -Drain inikit size �'� 4. Drain connector: describe on reverse side 5. Water riser: size S y" 5. Waterconnector: describe on reverse side 6: Are utility connections located outside 6. Designed loads: 7,0 the rear 1/3 of the mobilehome 4ithin Roof live load,��� ` psf. 4 feet of the left. wall? Yes No Wind load psf. Y If not, show dimensions. above. (only for *aobilehomes manufactured after 7. Is the mobilehome clear of septic tank, October 7, 10,73) leach fields and located outside public 7. Manufactuinstructions?er's installation instructions? easements? Yes(_ No Yes No 8. Do you propose to do other .work on the 8. . a ` . -, - installed ' - — Will the mobile Home be ~ on .property other•than the mobilehome separate suj rt structure? installation which will require a permit y - Yes NoX_ Yes Nd If so, specify <y 'For plans and specifications of support system, see other side. s LOAD BEARING SUI POR TS ADDITIONAL !z Drain C /� nnector> escribe yy 6 5 Water Cornec ✓or, Describe � 64 1 - LOO BEARING SUPPORT AND i, OOTINGIO INFOPSIATION Pier Spacing Used Maximum Pier Load , Maximum Column Load.(multi-units only) Soil Bearing Capacity. Footing Dimension L'se�— 30 TYPE OF PIER USED Steel Concrete Co:lcrete Block V Other . TYPE OF FOOTING MATERIA` USED Pressure Treated Wood Concrete Redl-Tood (Grade) Other Approved Type 4 ��Nlc'i,i� � -�✓G/yt 2t1C� BUTTE COUNTY BUILDING DEPARTMENT APPROVED Permit: 4526-73 P,E ` .f HESS, STEVE E: . 70 Elmira Circle Unit 4 Lot 122 PP a (Utilities -for tobile home) 1 WVZA 3 all a %n is is `COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS- 7 ORKS7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION' AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Permitee or Agent P; gni i Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. By DIRECTOR OF PUBLIC WORKS Date BUILDING i Owner ° , ;� , '�o; SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace i Contractor �o� /� -�� i ;. Total Valuation r Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee $ $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE $2.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. Zoning =& Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W. C. , Sanitation] Fire Dept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma p 60' R/W Improvements p Lawn sprinkler system 2.00 Bldg. Plans`Rec'd Parcel Approval Pians Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES"❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures02 Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: �, Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 , License No. Classification Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. F -1I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Permitee or Agent P; gni i Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. By DIRECTOR OF PUBLIC WORKS Date t COUP TY OF BUTTE ' — DEPARTMENT -OF PUBLIC WORK 7 County Center Drive — Oroville, California 95965. Telephone: 534-4541 APPLICATION AND PERMIT; auuivrrcgi ves or ine county, of butte to enter upon the above- erty for " spection purposes. X ^v Datel $mitee o entRe ipt No. r - if _ White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -'Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. QIREC�TOR OF PUBLIC WORKS 64&7 permit expires - Date _BUILDING Owner �ct/� sS -SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor CA ��/�e }`—�©may / Total Valuation Mai I ing Address �!'�!w ���j� /S Permit Fee ' Plan Checking Fee &/or Penalty Telephone No. Permit Fee � $ Building Address '• ���� ������ PLUMBING No. @ FEE PERMIT FILING FEE $2.00 A/ e / / J'Z Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 �^ A. P. J — 0 _ �Zoni Gas piping system 1 - 5 outlets J 1.50 Each additional outlet.. .30 Fees W.C. Sar Fire Dept. Fire Zone Use Permit Buil'ding'sewer 5.00;tj�% Parking EQA PI ns Parcel Declaration Parcel Map 60' R/W 1 Improvements Lawn sprinkler system 2.00 - Bldg. Plans ec'd Par proval �t ipiws Approval , Permit Fee $ p CZ% $ 7270e NEW ❑ ADDITION ❑ UTILITIES,• OTHER❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 JaP Main service incl.l meter J Dv 'Additional meters, each 1.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ ,' Sub -panel (12'or.less) {more than 12) Range,'Cook-top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures b25 al_ 610 Receps., switches & fix outlets 2025 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: 4�o W Z/V Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 1 D J Temp. Power Pole 5.00 License No. 3 x% 7 2— Classification A Misc. wiring • ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ lr $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑I certify that in the performance of the work 'for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 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 I MECHANICAL No. @ FEE PERMIT•FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ TOTAL PERMIT FEE Is H 1,0V auuivrrcgi ves or ine county, of butte to enter upon the above- erty for " spection purposes. X ^v Datel $mitee o entRe ipt No. r - if _ White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -'Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. QIREC�TOR OF PUBLIC WORKS 64&7 permit expires - Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 9596" Tel eptrone: 534-4541 APPLICATION AND PERMIT autnorize representatives of the county of tsutte to enter upon the above-mentioned property for inspection purposes. X Signature of Permitee or Agent Date Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date Building permit expires Date ............................................ BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $Z:00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 j A. P. No. Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W.C. Sanitation Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking I Plans Parcel Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 Bldg. Plans Recd I Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter !\ Additional meters, each 1.00 SUb-panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures bal dlo Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F. A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ autnorize representatives of the county of tsutte to enter upon the above-mentioned property for inspection purposes. X Signature of Permitee or Agent Date Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date Building permit expires Date ............................................ COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS r 7'County Center Drive Oroville, California 95965 • Telephone: 534-4541 APPLICATION AND PERMIT icNicac��laaivcJ UI Mu k.UUlllj• UI OUllc lU CllLUl UpUll tilt: above-mentioned property for inspection purposes. vaW2A �1 Dat"_ Signature of Permittee or Agent Receipt. No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code nd/or resolutions to do work indicated above for which fees a been paid. IREC R OF PUBLIC WORKS BY Date r3 ermlt expires ate........ /........... BUILDING Owner A --- SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace ContractorQ4 L Total Valuation Mailing Address S '10J ..O Permit Fee Plan Checking Fee&/or Penalty Telephone$ Permit Fee $ Building Address70 2 4 C PLUMBING No. @ _ FEE PERMIT FILING FEE00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. Zoning & Planning Gas piping system 1 - 5 outlets 0 Each additional outlet .30 F c� W.C. Saffi4etion Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W I Improvements Lawn sprinkler system 2.00 Bldg I��a�Ree d Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 r Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater - 1.00 Light fixturesbalmio Receps., switches & fix outlets b CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Codeof:under the name stte! —fei, �--s'- e 9 e ;L-)(7--7 (� �� Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. %l�av�a ZSClassification C _G Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION -INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. f� I have placed on file with the County of Butte a certificate of �! Workmen's Compensation Insurance. r ❑I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling: Ventilation. Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ �( icNicac��laaivcJ UI Mu k.UUlllj• UI OUllc lU CllLUl UpUll tilt: above-mentioned property for inspection purposes. vaW2A �1 Dat"_ Signature of Permittee or Agent Receipt. No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code nd/or resolutions to do work indicated above for which fees a been paid. IREC R OF PUBLIC WORKS BY Date r3 ermlt expires ate........ /........... XXXXOM ?-6102-77B PERMIT NO'.' PERMIT EXPIRES. OWNER Timothy Yaeger CONTR. owner LOCATION (A.P. 64-34-39 70 Elmira. -Cir., lot 122, PPA, Magalia Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp'Gas Serv. Called PG&E JO B FINAL -ED (Date) (Signature) J + COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION REURD, BUILDt'NG BUILDING (Cont'd) I Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish } 2nd Floor Footings Windows 43rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing . Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr., Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test I Temp. Gas Slab Final 7 Sanitation Patio FIREP.<LAC Final Footings Footing ELECTRICAL .Masonry Walls Throat Rough Reinf. Steel Final Fixtures Stucco Mesh Scratch Brown Finish Interior Latl Door Closer DATE Test Water Htr. Final Subpanels MECHANICAL Grd. Fault Prot. Heating Service Cooling Temp. Pole Ducts Underground Ventilation Permanent I Final Final REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you vi:alt the job site.) COUNTY.OF BUTTL — DEPARTMENT OF PUBLIC WORKS • 7 County Center Drive — UroviIle, California 95965 _ Tel ephone: 53A-4541 APPLICATION AND PERMIT BUILDING Owner I o N� �9� e� SQ. FT. OCC. BUILDI VALUATION Mailing Address S. A 0 Telephone No. Fireplace Contractor r Total Valuation ys Mai I i ng Address Permit Fee �— PI an Checking Fee &/or Penalty Telephone No. Permit Fee $ $ Building Address �L r ��- PLUMBING No. @ FEE PERMIT FILING FEE $3.00 4. 12:2. Each Trap 1.50 /// .-� Repair drainage or vent piping 1.50 Water piping 1.50 I Each gas water heater or vent 1.50 �,1] ^ 3q • A. P. NO.G 1 —.3lZoni ng & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F e ani to FireDept.I,FireeZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration arc��M9� 60' R/W prove Im tits Lawn •sprinkler system 2.00 �j 1' BI g. Re Par pproval Plans Approval Permit Fee $ $ NEW DITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 �' 1 C • Main service 100 AMP OR00V OR SLESS ` S.00 Main service EA. ADD•L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home ® Others ❑ • Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 • ` NEW CONST. OR ADDNS. ( ACCLBLDGLING OCCUP. &) 20sgft NEWCONSTR.. MULTI -OUTLET NON •RESID. ( BRANCH CIRCUITS) 2.50ea • ' NEW CONSTR. POWER APPARATUS &) NON-RESID. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES)@LSC BALC�1 Ex. Occup.(OUTLETS (RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability, for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. X I certify that in the performance of the work for which this y� permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. - MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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. Dates -216-29, Signature of Per tee or A nt Receipt No. __ / V_-'�� . White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant TOTAL PERMIT FEE $ 5_ I — This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OFLIC WORKS BY Date 7�7 2 B ding 7� permit expires Date 'aradise nines :.. l' J� c� C. ,� D "U J f(i 'nit h.—'Lot 122 lmira CircleAg 03AMI — - -- `--- . ubmitte'd by Russell " --- � r, - Itaq s.3!1:1!-Cj' ailc;nd jo uai;:;;, of 1cud. /ar,doid jo koucc 10 jTI; U!'-o;a,, p Woij Su , , aigisuodsai aq 1:!mj3L:r„o F4ic 1. Ceiling Insulation . _Two j _,,,;Three Points Number of stories R-5 R -value One Two Three R-0 ' -103 .49 32" R-19_8 - ; : -4 -2 R-30 - ".-2 .1 .1 R-38 . .. 0 • - 0 0 'U -value • R-7 8 6.---.,3 _ 0.50 --176 .-84 .54. 0.30. -102 -49 32 0.10 -26 -13 -8 0.08 -18 -9 -6. 0.06 -11 .5 4 0.04 4. .2 -1 0.02 4 2 1 0.00 11 5 3 2. Wall Insulation'- -1 .0 0 Single- Single- 2 - _ Family Family Multi- ' R -value_ Detached Attached Family R-0 -68 -51 -34 R-11 - 0 ... 0 0 R-13 2 2 1 _-R-19 8- = 6 .4 U -value SEER less ' -15 •6 _ +15 0.80 - ` -',.. -153' '.=_ -114 -76 0.50 -91 68 •46 0.30 47 ` _ " . -36 : '-24 ' 0.10 ' . 0 0 0 0.08 4. _ 3 - 2 0.06 9 • 7 5 0.04 _ 14 - 11• 7 0.02 :19 .. 14 10 0.00 24 18 '12 3. Raised Floor Insulation Number of stories -' R -value Insulation in Floor _Two j _,,,;Three Points 34 Number of stories R-5 R -value One Two Three R-0 -17 -8 .5 R-11 -3 -2 -1 R-19 0 0 0 R-30 3 1 1 U -value • R-7 8 6.---.,3 _ -_ 0.60. -144 -70 -46 0.50 -120 .58 38 0.40 -95 -46 30 0.30 -69 -34 -22 0.20 -43 -21 -14 0.10 -17 -8 -5 0.08 -11 -6 -4 - 0.06 -6 .3 -2 0.04 -1 .0 0 0.02 4 2 1 0.00 10 5 _ 3 Controlled Ventilation Crawispace Number of stories -' R -value One _Two j _,,,;Three Points 34 _-•16 - R-5 -4 -4 3 -10 35 - -50 -46 12 R 19 -1 -2 2 4. Slab Edge Insulation -- - . Number of Stories R -value -'One- Two 'Three- , R-0 0 -14 3 R-5 8 ----S - 5 _-,.._ -,...,_•.2 • R-7 8 6.---.,3 _ F2 factor -3 5 12 0.90 -4 -3 -1 0.80 1- . _1._ «... . p .� 0.70 2 { 2 1 0.60 6 4 2 0.50 9 6 3 0.40 12 8 4 S. Inriltration (Air Leakage) K%M •--Ent - i Specification Points 34 _-•16 - -12 -59 =55 14 -10 35 - -50 -46 12 6. Glass Heat Loss .-40 37 Total 0ercen0's ":;1- ":51 to .41 to .31 to 0.30 or Glass Single Double - .60 50 .40 less ' ^' 50 -` 121.-- =53 " =39 ' .24 =10 4 40 • 90 --47 -26 -14 3 8 -35 ... -75 ,_ -29 --19 , -9 1 10 30 -61 -21 -13 L -4 = 4 -- 12 29 -58 -20 -12. -3 5 12 • 28 "--55 -- =18 -10 -2 :r-5 e,13 27- 32 -17 -9 ' -2 6 13 26 --•-49 ---=15 .....$. -1.2/ 14 ,r 25 -46 =14 -7 a,7..-.. 0 7 ` 14' --24 __.43. --•}12 ----5 x 1 8 14 �23_.: 4O ___711.__ -4n '2 8 15 22 -37 `-9 -3 3 9 15 21 -34 -7 -2 4 - ..: 10 • .-' 15 ' 20 31 ; -6 0 5 10 16 19 -29 -4 1 6 11 , _ 16 _.18 _ _26 _.-_-3 .-2- I 7 12 x -16 `'- t 17 -23 -1 3 8 .---12 .x:17 - 16-20 •0 4 9 13 17 ....15 ,-...:_-17 ,_,.- .1 _ __, 6 _ 10 14 '17 14 -14 13 7 t 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 f9 11 t 14 17 19 9 -1 ;10 13 15 . 17 20 _ 8 ..2 „t2 .__14 16 18 SEER less ' -15 •6 45 +15 more -7. Shading (shade open) r .it7 �I - -. EReetlie �PerMass + (percent =lash X s - F , • X12'3"�, L r.r. , Effective %Glass North 'w East _South :West Skylight 18 5 1 4 1 na 16' 4 2 5 1 na 14 4 / 2 5 1 na ._ 12 3 3 5 2 na 11 3 3 5 2 na 10 2 3 5 2 1 9 2 3 5 2 2 8 2 3 5 2 2 7 1 3 4 2 2 5 _.j r 3 w_. 4 2 x 3 -:rt, 4 0 2 3 y' 3 _.3 _... 0 -.*-1 _ 2)0___� 3 2 0 0- % 0 1 --2 -4 .2 na - not allowed �. Shading (Shade Closed) '.i,.•. ! '" Effettive Percent Glass (pere�at ow XSSC) Effective --%(Mets K%M •--Ent - Sw1h West SCORE CARD- SCORE 34 _-•16 - -12 -59 =55 14 -10 35 - -50 -46 12 -8 - -29 .-40 37 -26 - '36 33 10 -6 .23 31 -29 9 -5 .20 -27 -25 8, .5 -17 -23 -21.. 16 or SEER les: x.15 I .6 +5 +15 more 5 .2 -9' -11 -10 3 -7 -01..,.E . �,., 5 -,+ •� 2 1 .1 -2 -1 -4 _3 i 8.9 ,. 0- 2 3 4'' z' na - not allowed '0 _• na - na -- na -na na _ 74 -b5 _ .56 -47- -38 ._. .30 .23 -16 .9 0 9. Interior Thermal Mass Interior . , Slab Floor Raised Floor - Mass .. -,. Storift -._ _ Stones - 1CFA One Two Three One Two Three w4., f' x s0 0 vs Y-8 �-5 .,,,,..q , 2 .1 pt 'f• !8 ,r .S, =3 �-Il ,0 0 p 3 r~ 7 -:- --� ..,..2 'r 0 M 1-1 `0.5 - xr ham. x,3 -=.i d r 1 :1 - - 2 f - • 0.7 ••- .5 -2 _ -- -1 1 ------ 2 -2 r 0.9 -5 -1 0 2 3 3 ._ 1.3 -3 0 2 3 . • 4 :'5-- 1.5 -ri 3 .., .i,.i _2 -.,.4 . 5 5 2.0 . :-1 2 4 5 6- -7 2.5 "' 0 "'`'3 5 `7 7 •8. -13.0 ': ,1 4 .6 8 .8 lu,r 9 3.5 2 5 7 9 9' 10: 94.0 , s.3 -tcc::.x6 8 9 svlo 'A0 4.5 3 .:i7.ixna 8 10 .• 11 ' :,-.1V {5.0 4,44 "'' 7,.,.-9 :;11:11 r12 � ,12 8 - .-�11 5.5 5 9 -r12 ,= 12 ,..6.0 7 5 18 r� 710 :,.6 12 X13 -.,13 6 9 10 12 6.5` - 13 :`-13- • 7.0 6 9 '^11 ---13-•'•-13 --14 ,7.5 '4=16 x=10 "'x''11 •1'13 `''14--14 8.0 7 10 11.. _13-. 14 :14';' tY857� y�10 y12,c_13 ;14 ` "15 ; 10. Exterior Wall Thermal Mass Fxierior �Sirlple- Single. Wall V1FamBy '-, r Family MulO `° Lbw Detached Attached �.: Fao i j 0.00 0 ' rs. a� 0 020 •3 2 b i 040 �?C's5 P,tMwt }q i:i3 •:.7., . w%060..:.ii:4 0.080 _-e :x. X13 ma ' _^10 f 1.20 3P13rn12 r -g r•,. .;'z:tar-at y. •-_13 ..s,-' . :9 ':f - w «:21.60 -10 -13 200 X10, -tsnhr m11 sz + �g t .�.I- ..__-L,rv•.T'.:�.. L^. +•wife• «. .., - •r. .,. T 11. Heating System 1.:.: SE or HSPF (am mtes ducts In able) Sum of 147- -25 or -24 to -14 In 4 to +6 to 16 or SE HSPF less -15 -5 +5 h,+15. more 0.72 6.60 0 0 =-� o . • 0 70.75 6.88 -3 ;a 3 3-. -2 2 1 . 0.80 7.33 .8 7, 6..__ 5 4 3 0.85 7.79 13 ' 11 ..1`:10 "8 x: 7 5 • 0.90 8.25 17 -'x•15 -13 ra l: zz_ 9 7 0.95 8.71 ._20 ' 18:_�_T15._, 13' ='11 8. Effective SE or HSPF (SE or HSPF x duct eMdency) " Effective -25 or -24 to 4 lo 4 to +6 In 16 or - SE HSPF less _.;15 b +5 •+15 more 0.30 2.75. '-73 -64 '•56 -47., ; 38 ,30 na .3.41 �.45 '.39 -34 29 24 k;,18-. 0.40 3.67 -34 "30 '-26 22 ---18 --14 0.50 4.58 '10 = .9 %:-8 -7 ; `=5 - 4 1 0.56 5.13 0 0 0 0 0 0 0.60 5.50 5 5 4 3 3 2 0.70 6.42 17 15 13 11 9-7 0.80 7.33 25 22 19 16 13 10 0.90 -8.25 ••32•-28 ---24--20--17--13 1.00 .,9.17 37 _•_.32. , 28 _24 - __19. --15 __ _ Zonal Control AdJustment .. _ ^ System Type Resistance -,--,10 -_ 9 _. _.7,.-_ 6 ___- q- 3 Other » 6 5 `4 M 3' 2 2 1 Point System Summary: Climate Zone 11.-- _ SCORE CARD- SCORE 1.2. Cooling Spt.'m 1. Ceiling Insulation-' _� - R -value 381 U -value [0.030] 2. Wall Insulation _ - "_ R -value [ i l ] U -value [0.098] r t w SEER 3. Raised Floor Insulation -�.._. orn Interior Mass/CFA - _.- R -value [ 19] ---U-value (0.037] '(assume, ducts In attic) Slab Edge Insulation or 0 7-10 S. Infiltration- _� Standard .._ 0 fl -_ +^ 46- '"Glass Heat Loss ;! St n of ,25 or ,24 to r14 b -4 b 46 to 16 or SEER les: x.15 I .6 +5 +15 more 8.0 -14 g-_-112 -10 4 -6 _ _. 4 8.5 -9 -` :7 .6 -5 -4 _3 i 8.9 -5 }� -4 -3 -2 .. ._-2 9.0 - .4 3 -3 _ -2 .2 -1 , ' -9.5 0 ,-p 0 0 0 0 10.0 4. }3 3 2 2 1 ;.10.5 7 ',6 5 ` 4 3 2 `? 11.0 10 7 9 7 6 4 3 =: 120 1513 11. 9 7 5 " _13.0 20171 14 12 9 6,. 21' !; °Effeitive SEER - 27 2.0 -,:z� (SEER xstudeMencl) 3.5 37 1 rt r't S::n of 7-11 54 - E eehve-25 or ,24 to -1410 b 46 b 16 or SEER less ' -15 •6 45 +15 more '-5.0 ;a -30 14'25 -21 -17 43 -9 6.0 -15 S 52 'S.1 56 30% 40% -4 -4 -3 2 2 =1.0 0 .;.;,0 0 0 0 0 -• 8.0 9 8 6 5 4 3 .9.0 16 4.14 12 9 7 5 -1.1 10.0 22 1,19 16 13 10 7 '25 11.0 26 ' :�23 19 15 • 12 _ 8 4 42 4.4 4.6r 3026 22 18 14 9 0.9 -120 33 i_:29 24 20 15 10 24 2.6 28 3 32 3.5 3.7 3,9 4.1 Zonal Control Adjustment 4.9 5.1 5.3 5.6 5.8 6 6.2 10 7 6 4 3 1.7 1.9 21 23 2.5 2.7 29 3.1 3.3 No Cooling System Installed 4 .Stories �' ' S , -5.2 .5A }•. . one -5 � :4 -4 -3 -2 =2 , :Two + . 3 `a43 2 2 2 - -1 �• 2.8 , 32 3.4 . ' Single-Famlly lktadted and Attached-'"-- 4.3 Unit Size (sQ 5.1 5.3 5.5 Water ) f99 12M 1700 2200 ' 2700 Heater Credit Or In to to - ,or . Type Type Llless. 11699 2199 ' 2699 more SGNone or ,Y 0 0 - Solar F+.12 " 8 0.. 6 0 5 0 4 = HP 'HWR ;'8 5 4 3 '--3 t WS8 {; 5 3 3 2 2 3.2 POU 8 5 4 3 3 SE None 'i�37 -24 -18 AS -12 80% Solar 2.T1 .1 .1 0 0 •22 '2.4 HWR < -18 -12 -9 .. -7 -6 3.5 WSB.. -25, -16 -12 -10---8 =8 4.7 4.0 5.1 Py _.r1J _-12 -9 -7 .6 IG None' `-5 -3 -2 -2 -2 i- .•Solar.• 7 5.. .4 3 2 I POU .3- 2 1 1 1 j - IE None '-28 -19 -14 -11 -9 1.7 Solar - 8 5 4 3 3 3 POU : 10 3 .5 .4 3 4.1 4.9 Multi Family (individual units) 4.7 4.9 -5.1 53 Unit Size (sA . 6.26A- 66 11 Water _76& 700 1200 1700 2200 Heater Credit • ; a b to In or Type Type *lest 1199 1699 2199 mop _. SG None :'o- 0 0 0 0 or Solar r 14 7 5 4 3` HP HWR _ 9 5 3 2 2 4 WSB " 9 4 . 3 2 2' 5.7 5.9 `6.1 POU '9 5 3 2 ' ' 2' SE Now 45 -23 -15 -11 .9 3.3 Solar 72 1 1 0 0 _ HWR 1i .12 .8 •6 .-5 7 WSB y .25 -13 -8 _6 .5 .23 27 -2.9 3.1 3.3 3.6 3.6 4 42 4.4 4.6 4.6 Solar.':' is 3 2 1 =- 1 .7.1 POU J. _o 0 0 0 IE None -30 -15 _ -10 -8 & Solar ' 18 9 6 4 4 ^5.1 POU -8 -4 .3 -2 .2 120% 2 2.3 2:5 2.7 1 Point System Summary: Climate Zone 11.-- _ SCORE CARD- SCORE -_,,,.�.._..-...._ Measures - __.-Point Scores 1. Ceiling Insulation-' _� - R -value 381 U -value [0.030] 2. Wall Insulation _ - "_ R -value [ i l ] U -value [0.098] r t w µ� ~ O� 4' 3. Raised Floor Insulation -�.._. orn Interior Mass/CFA - _.- R -value [ 19] ---U-value (0.037] _ Z;:-- ; -- Slab Edge Insulation or 0 '.� R -value [o] S. Infiltration- _� Standard .._ 0 fl -_ +^ 46- '"Glass Heat Loss - Type [double] U -value 10.65] �- % Total Glass 116] Sum 13 Il.7.uIlIG•..II S TYPE I MASS (UIMC • 4,2, le: en sod Slab) _ 0% 5% '10% 1S% 20% 25% 30% 35% 40% 45% 50% 55% 60% 06 70% 75% 80% 85% 00% 05% 100% 105% 1101 115% 120% 125 0% -{=0 0.2 0.0 0.8 1.1 1.3 _•1.S _1.7 _19 , 2t 23, 2S _2.7__2.9 3.2 �3.4 _3.6 _3.8,4 _4.2 -4.4 -4.6 -_4.8p 5 53 10% 0.2 0.4 0.6 0.8 1 1.2 to 1.6 L9 21' 23 2S 27 2.0 31 3.3 3.5 37 1 4.2 IA 1.6 .4.8 S ;,,'5.2- 54 _ " 20% a 0.3 0.8 `0.8 " ' 1 1.2 1.4 1.6 1.8 2 22 24 24 26 21 28 29 3.1 3 3.3 3.S 3.S 3.7 U- 3.9 4.1 4.3 4.5 4.8 S 52 'S.1 56 30% 40% 0.5 -0.7 0.7 '0.9 0.9 -1.1 1.1 1.3 1.4 1.6 1.5 -1.7 1.8 -1.9 2 22 2.2 24 26 -•2.8 3 --42 32 -3.4 --3.6 3.8 39 4.1 4.3 - 4 ^-4.3 -4.5 4.5 4.7 4.9 --4.7.-4.9 X5.1 5.1 5.3 5.6 5.3 -5.5 -- 5.7 58 59 t^ .50% , 0.9 -1.1 �1.3 �1.5 1.7 1.9 21 _23 '25 -_27T3 32 _3.4_ 3.6 3:8 4 42 4.4 4.6r 4.8� &1 ;5.3_ S.S5.7 : 5.9 6.1 .55% 0.9 1.1 1.4 1.8 1.8 2 2.2 24 2.6 28 3 32 3.5 3.7 3,9 4.1 43 4.5 4.7 4.9 5.1 5.3 5.6 5.8 6 6.2 60% 1 ' 12 1.1 1.7 1.9 21 23 2.5 2.7 29 3.1 3.3 3.5 3.8 4 4.2 4A 4.6 4.8 ' S , -5.2 .5A 5.6 5.9 • • 6.1 63 65% 1,1' 1.3 1.5 1.7 1.9 , 22 24 26 2.8 3 32 3.4 3.6 3.8 4 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 ' 5.9 6.1 64 -70% 1.2 1.4 1.6 •1.8 2 22 25 27 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.6 4.81 5 5.2 5.4 S.6 50 6 6.2 64 75% _ 1.3 13 -1.7 1.9 21 23 25 27 3 3.2 3.4 -3.6' 3.8 4 1,4,2 4.4 4.6 4.8 :5.1 5.3 - S.5 -,51 S.9 ; 6.1 6.3 6.5 80% to .1.6 .1.8 2 •22 '2.4 26 2.8 3Yw 3.3^ ""3.3 3.5 73.7 3.9 1.1 '`•4.3 4.5 4.7 4.0 5.1 SA 5.6 5.8 6 .6.2 :-61 66 85% - 1.4 1.7 1.9 2.1 2.3 ,25 2.7 29 3.1 3.5 3.8 4 4.2 4.4 4.6 4.$__5 52 54 5.6 .5.9-.6.1 6.3':65. 67 ' 90%'" -.1.5 1.7 ,2 2.2 24 26 2.8 3 , 3.2 3.4 ''3.0 -3.6 4.1 4.9 '4.5 4.7 4.9 -5.1 53 ',5.5. '5.7 '5.9 . 6.26A- 66 11 -95% 1.6 tb 2 22 25 ..27 29 3.1 33 3.S 3,7 3A ,4.1 4.3 4.6 4.8 5 5.2 ,5.4 '.5.5 , 5.6 5.8 -6 .6.2 -6A. 6.7 69 = 100% 1.7 -JA 21 2.9 2S 28 3 3,2 3A 3.6 3.8 4 4.2 ' 4.4 '4,6 4.9 5.1 +'5.3 5.7 5.9 `6.1 0.3_ 63 -6.7 ' 1 105% '1.8 '2 22 2.4 2.6 28 9 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 5.6 5.8'`8 6.2 6.4 '6.6~ 68. 7 w:..110% _ 1.9 21 2.3 .23 27 -2.9 3.1 3.3 3.6 3.6 4 42 4.4 4.6 4.6 5 5.2 5.4 5.7 5.9 6.1 6.3 6.S 6.7 6.9 .7.1 115%'"-2 "22 2.4 '2.6 2.8 3 3.2 3.4 3.6 •`3.8 4.1 'IA 4.5 -4.7 4.9 ^5.1 5.3 5.55.7 5.9 •62 -5.4 -8.6 -6.8 -7- 72 120% 2 2.3 2:5 2.7 29 3.1 3.3 3.5 3.7 3.9 4.1 4.4 4.6 4.8 5 5.2 SA .5.6 i58 6 '6.2 .'6.5 6.7 ; 8.9 -7.1 73 125% 21 -23 25 2.8 3 32 3A 3.6 3.8 4 4.2 4:4 4.6 4.9 5.1 5.3 5.S '' 5.7 -5.9 6.1 -6 9 6.S- - 8 7 _ .7 - " 7.2' 7.4 1 Point System Summary: Climate Zone 11.-- , SCORE CARD- SCORE -_,,,.�.._..-...._ Measures - __.-Point Scores 1. Ceiling Insulation-' _� - R -value 381 U -value [0.030] 2. Wall Insulation _ - "_ R -value [ i l ] U -value [0.098] r t w µ� ~ O� 4' 3. Raised Floor Insulation -�.._. orn N" - _.- R -value [ 19] ---U-value (0.037] Slab Edge Insulation or '.� R -value [o] S. Infiltration- _� Standard .._ 0 fl -_ +^ 46- '"Glass Heat Loss _ Type [double] U -value 10.65] �- % Total Glass 116] Sum 13 7. ^ Shading (Shade Open) -% Glass SC Eff. % Glass _r r-a.Y . North _ ©�f X ...b. East _._ .x = Z c. _ South - _X d. West 4.I x e. Skylight C) x k 8. Shading (Shade Closed) % Glass a. --North -O. b. - East -_ _._ ._ . c. South 1 d. - e. ,;r. Skylight SC Eff. % Glass ' X (i C_ - = 0 Y S- ' X = -2- ... 9.: Interior;Thermal MassTYPE 1 MASS AREA t 8 Interior-as�CFA TYPE 2 MASS -AREA-- COND. FLOOR AREA - - . _ _ lo. Exterior Wall Mass _ m $ ~4 1pt+«(. ' t. IUExterior Wall Mass ND. L R AREA _ - Sum? -10 Al.E �y, tiniS�sttem ' - 1.. �COnt �,Ol?(Yt / N) SE or HSPF Duct Efficiency [0.78] Effective SE or _ [0.72/6.6]. _' i c "' - HSPF 10.5615.Sj 2 .12., Cooling System".",: Certificate of Compliance: Residential Climate Zone 11 �L ,AC ) Project Title 92_ 1740 - Building 740 - Building Permit N Project Address ,Q>� �v- S Checked By / Date Documentatlon Author Telephone Enforcement Agency Use Only BUILDING DATA North Glass Area 1 S % Glass t57,% Conditioned Floor Area 1% Number of Stories East 1/!2 Slab/Raised Floor 12.A1S.ED Number of Units South 3 5 1,17 Single Family Detached (SFD) [ ] Addition Alone West Skylight r75 14,11 _ [ j Single Family Attached (SFA) [ ] Existing Building [ ] Multi -Family (MF) [ ] Existing -Plus -Addition Total 2l�d . BUU,DING SHELL INSULATTON Component Insulation Locatilon/Comments Type R -Value (attic, to garage. Mpi.r3, etc.) Wall .............. i 1 Wall .............. Roof ............. R 30 Roof ............. Floor.... ..... Floor ............. __ Slab Edge ..... GLAZING Shading Devices Glazing Area Glass Type Interior Exterior Overhang Framing Type Orientation (SO (single, double) (roller blind etc.) (shadescreen, etc.) (yes/no) (metal/wood) North ( ) i DT3L . 1V1'1"L. Nomh East East ( ) South South West West ( ) Skylight....... THERMAL MASS Type/Covering Area Thickness (slab/exposed, tile, etc.) (so (inches) Location/Description (kitchen, bath, etc.) HVAC SYSTEMS Minimum Duct Type (furnace, air Efficiency Location - Duct Output Manufacturer / Model # conditioner, hent pump) (SE, SEER.HSPF) (attic, etc.) R -Value (Btuh) (or approved equal) S-2_ A-rrl C 5, 1 Maximum Furnace Heating Output: <',1722 Btuh HOT WATER SYSTEMS Tank Manufacturer/Model # Svstem 1z. etc. 4R�p M&X SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) S B1I��ILL�I�I�J.l'.{Ii�1�►L APPROVED Mandatory Measures Checklist: Residential MF -1R NOTE: Lowrisc residential buildings subject w the Standard: must contain these measures regardless of the compliance approach used. Items marked with an asterisk (•) may be superseded by more stringent compliance requuemetns listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as binding minimum component performance specifications for the mandatory measures whether they arc shown elsewhere in the documents or on this checklist only. DESCRIPTION I DESIGNER I ENFORCEMENT Building Envelope Measures • §2.5352(a): Minimum ceiling insulation R-19 weighted avenge. §2-5352(b): Loose fill insulation manufacturer's labeled R -Value. • §2-5352(c): Minimum wall insulation in fumed waits R-1 I weighted average (does not apply to exterior mass walls). 62.5352(k): Slab edge insulation - water absorption rate no greater than 0.3%. water vapor transmission rate no greater than 2.0 permhnch. §2-5311: Insulation specified or installed mats California Energy Commission (CEC) quality standards. Indicate type and form. §2.5352(1`): Vapor barriers mandatory in Climate Innes 14 and 16 only. §2-5317: Infiltration/Exfiltration Controls -a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Doors and windows certified. c. Doors and windows weatherstripped: all joints and penetrations caulked and scaled. 62-5352(e): Special infiltration baric installed to comply with 02-5351 mats CEC quality standards. §2.5352(d): Installation of Fireplaces 1. Masonry and factory -built fireplaces have: L Tight fitting. closeable metal or glass door b. Outside au intake with damper and control c. Flue damper and control 2. No continuous burning gas pilots allowed. HVAC and Plumbing System Measure §2-5352(8) and 2-5303: Space conditioning equipment slang: attach calculations. §2.5352(h) and 2-5315: Setback thermostat on ala applicable heating systems. §2-5316(a): Ducts constructed, installed and insulated per Chapter 10. 1976 UMC. §2.5316(b): Exhaust systems have damper controls. §2-5314(c): Gas -rued space heating equipment has intermittent ignition devices. §2-5314: HVAC equipment, water heaters, showerheads and faucets certified by the CEC. §2.5352(i): Water hewer insolation blanket (R-12 or greater) or combined interior/exterior insulation (R-16 or greater). fust 5 feet of pipes closest to tank insulated (R-3 or greater). §2.5312(Exccpdon 1): Pipe insulation on steam and steam condensate return tit recirculating piping. §2-53 18(d): Swimming Pool Heating 1. System has: a. OrYoff switch on heater. b. Weatherproof instruction plate on heater. c. Plumbed to allow for solar. 2. 75 percent thermal efficiency. 3. Pool cover. 4. Time clock. 5. Directional water inlet. Lighting and Appliance Measures §2-53520): Lighting - 25 lumens/watt or greater for general lighting in kitchens and bathrooms. §2.5314(c): Gas fired appliances equipped with intermittent ignition devices. §2.5314(a): Refrigerators. refrigerator -freezers. freezers and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with Title 24. Chapter 2.53 and Title 20. Chaptrr2. Subchapter4. Article I of the California Administrative code. This certificate has been signed by the individual with overall design responsibility and the building owner. who shall retain a copy of it and transmit the certificate to any subsequent purcltaserof the building. Designer Name: Tule/Ftrm: Addma: Tekphtonc L.ic. 0: (signatutt) Documentation Author Name: T idc/ mn: Add:zs: (date) Building Owner Nance: \ice wc,,f Ori v4 Ul C , TitkJFum Address: C=4 Gk C, r- e-\4- WlOIZtq\Iq cc", 91�795-H Telephone: _ NG 2-23-4-195 (signature) (date) -�17 Enforcement Agency Name: Agency: Tekphonc