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064-590-004
,2386-90B'P,EM COX, Fred E. 14029 Creston= Paradise (new fsf) r `lt. 6 -X59-04 056-90B COX,._Fred.:—r--- ;-.- 1'4029 Creston Rd,,Ma 'Alia (garage 'addition it } 064-590 004 y 92-2646. M ; ,RAGONA , R':�S i^ • CONTR:';"Wood Heat&~Spa 14029•Creston Dr, Magalia (woodstove/sf) -. 064-590-004 01-18T4? " RAGONA,°RICHARD ` k � 14029 CRESTON RDS CHICO CONT ;DEL JOHNS S, I TING ' REPLAC&HVAC,UNDRGRND°GAS. z ..,r 0 o R 7 9 ' i 1� 0 T � � � �f 1 r064-590-004;;.;� 01-1874 t.: RAGONA, RICHARD .. -. ,14029,CRESTON 'CONT -DEL JOHNSONS'HEATING REPL`'ACE"HVAC;UNDRGRND'GAS COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 0"d- ASSESSORPARCEL II — \ (YJ ZONING 1 T BUILDING PERMIT OWNER •q"-"1 G/u..• \ A C' 0 TEI.E_QPtH E q E SO. FT. OCC. BUILDING VALUATION . OWNERS 75112 /✓y/ • CONTRA60 SANAME 1_ F Ca lr l h 1•' 1 �0. t TELEPHONE CONTRACTOR,MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 —Filing Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF tO Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 1 7.00 Solar or heat pump water heater 23.00 . Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: GJJ t �r L11 s. Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE w S / u ELECTRICAL PERMIT Filing Fee 20.00 LOOV OR LESS Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIC. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 20; TO +000A 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( a ACC. BLns. SO 3.5¢T: rNio REESIO MULTI.OUTLET @7.50 aPSIONGLE OUTLET CIR.WER APPARATUS Ex. Occup. OUTLET OR FUTURES SAL @ ':50 Ex. Occup.oFlrLETSx�A oR� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMITFEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith com ly.with•those provisions. X �✓l /:.. Date�— ? /J" fes/__ Signature of Applicant - Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating v -120 Cooling J Hood 6.50 Ventilation PERMIT FEI= $ ., Mobile Home Installation Fee $ Energy Inspection Fee $ Cc - CONSr. PE TOTAL FEE $ C/o HAZ. D. FEES IMP 1, FLOOD I CDF PARCEL I PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have 1 By 1 %10 PERMIT EXPIRES ON ,% the applicable provisions Resolutions to do work been paid. i Date /.��^�V' v ' �, h/ (1L— Date Receipt No. ! ! !1 `"� WHITE-D.D.S.-B.D. `` 'CANARY -A SEl". A PI -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION J 7 County Center Drive - Oroville;'California 95965 - Telephone (530) 538-75 1 RMIT NO. (Rev. 12/96) APPLICATION AND PERMIT �-a- ASSESSOR PARCELO - ASSESSORPARCEL 1MB 0 _ ZONINdZT BUILDINGPERMIT OWNER 1 / Ql T LEPHI/`E SO. FT. OCC. BUILDING VALUATION . 6 OWNERS LI AQ,Q-12 ( E C/_ CONTRALTO — / I vJl TTEELEPfHONE a� o ".n q/ CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS If Plan Checking Fee $ BUILDING ADDRESS U Energy Plan Checking Fee $ $ PERMIT FEE S LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF Vp Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: e0 I G. r, Lq ✓ G /ro Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 f Main Service 2o0A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.PowER License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OOCUP. OR ADONS. D= Acc, 8105, SO 3.5�FT: CONST. MULTI.OUTLET 97.50 APPARATUS 8 SINGLE OUTLET CIFL Ex. Occup. OUTLET OR FwTUREs BAL Q 20 9 .50 .SO Ex. Occup., OUXnFis pa, 6.) EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling 20 Hood 6.50 Ventilation PERMIT FEt $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall f hwith co ly with those provisions. X _ Date—3�-2�/ _ Signature of Applicant/-' ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ cc 1 CONST. PE V TOTAL FEE $ C� 0 HAZ. TD. FEES IMP I FLOOD I CDF PARCEL I PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. (�, /7I By Date • J V VV PERMIT EXPIRES ON L 11-I ` O� ate Receipt No. - WHITE-D.D.S.-B.D. . CANAR -ASSE R 'PINK -INSPECTOR GOLDENROD -APPLICANT p • .�. t •-rt ,« �- ,fr ,fir . t' "� Y"" :lr "'064=590-004. n 92-2646B p` `� RAG NA L,, , r R.S. .° .. ..,. 14029 'C •..: ' ,1 , '•4r. t,,w reston�Dr,, Magalia #� contrc.Wood Heat &Spa woodstove/sf r x COUNTY OF BU+TE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. {- "7 county Center Drive - Orovllle, California 95985 - Telephone: 918,'538.754f APPLICATION AND PERMIT 064-590-004 N RTI:t BUILDING PERMIT WNHR R.S. RAGONA ' 4 TELEPHONE _S SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 2103 EBBESEN AVS? SAN MYSE 95124 CONTRACTOR'S NAME WOO') HEAT & SPA TELEPHONE CONTRACTOR'S MAILING ADDRESS _ 6052 00Kr,1AY P 5 ' . % Fireplace S CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ J. ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 14029 CRTMTON RD 1JArAJ.TAPermit fee $ 45.00.. PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. 118 SUBDIVISION NAME PARADISE PITM M, IT 11 PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF P9 Duplex[] Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New l j Addition ❑ Remodel CI Utilities ❑ Installation❑ Other Describe work: 140ODSTOVE Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 18.50 200A OR LESS Main service 200A TO 1000AI CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In full force and effect. ` License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ® I, as the owner, am exclusively contracting with licensed contract ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason _37.50 NEW CONST.DWELLING OCCUP3.64 sq.ft. OR ACDNS. (ACC. BLDGS. .� NEW CONSTR.MULTI-OUTLET NON-RESI BRANCH CIRC ITS @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES 20 Q 760 FIXED APLNS.El EX. OCCUp. OUTLETS PIRESID IREA.� 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 FiIingFee 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said,County in consequ ce-of, the granting of this permit. X / Date .._ Signature signature of Applicant — Owner ® Dntracrar ❑ Agent An permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ 45.00 HAz 0FEES IMP FLOOD CDF PARCEL PO HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above'ffor which fees have been paid. OF PUBLIC WORKS By p1RECT� ��,/t!/ r`J Date PERMI RES Date i— f3�stories Receipt No. WNITE•D.r. W., 7ELLOW-ASSE330R, PINK -INSPECTOR, GOLDENROD -APPLICANT ja. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, California 95965 - Telephone: 916,'538-7541 APPLICATION AND PERMIT PERMIT NO. -Z ASSESSOR PARC L NUMBER 064-590-004 ZONING' ilBUILDING PERMIT i OWNER R.S. RAGONA 4nR TELEPHONE '177-5104 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 2103 EBD; SEA? AVE, CONTRACTOR'S NAME WOOD HEAT °• SPA TELEPHONE CONTRACTOR'S MAILING ADDRESS - 6052 SKYTRAY PARADT SE 9596q - Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 14029 ,, Q,J Pp MAG AT.TA Permit fee $ 45.00 PLUMBING PERMIT FilingFee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION 113 NAME PARADISE PINES UNIT 11 PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF XX Duplex[] Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW I @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe work: WOODSTOVE Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. ` License No. Classification FlI, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) 1, as the owner, am exclusively contracting with. licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason Main service 200ATO1000A) 37.50 NEW CONST.(DWELLING OCCUP.81 ACC. BLDGS. II 3.6dsq.ft. NEW CONSTR "ULT'*OUTLET NON•RESI BRANCH CIRC ITS @ 5-00 POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURESFIXED 20 76 Ex. Occup. OUT ETS PIRESID.)APLNS.REA.? I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against s County in co equ c the granting of this permit. X Date �� Signature of Applicant — Owner ontractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE I TOTAL FEE $ 45.00 HAz I D IMP I FLOOD I CDF PARCEL Po I HD ISSUE This permit is hereby issued under the sions of the Butte Co ty Code and/or ab or which fees work indic7,FR OF PUBLIC By. — PERMI EXPIRES Date 7 ;2!2— applicable provi- resolutions to do have been paid. WORKS Date 9 g Receipt No. l yZZ WNITE•D. P. W., YELLOW-ASeC9 SO R, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CA1,IFORNIA 95965 - TELEPHONE (916) 538-754 /L f PERMIT APPLICATION DATA SHEET OWNER IT/ CH 5 4' Proposed Building Use �1` Woo cf SPo Ve ' Building Inspector A. P. No. i 4i - s O v GS.,✓ Date At time of permit application, I was advised the following data must be submitted prior` to permit processing and/or issuance: 1 DATE RECEIVED By 1. All items have been submitted . ........................................ 2. Plot `plans, 3/.4.sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ..................... . 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ..................... . 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. .......... . 10. Fees of$ .......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ........................ 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............. 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ....... . 18. Contact Land Development about (A) Improvements (B) Drainage. .._:........ . 19. Driveway permit (construction approval required prior to occupancy). .. . . 20. Pre -inspection for Pre-Insped'ion request required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification). ........... \. .- 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner'_) ........... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . .......................................... 28. Mobilehome utility clearance . .............................. . ........... 29. Documentation of legal access . ........................................ 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . .............. . 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When you issue the permit, process as f ws: Mail to ow r. Mail to contractor. Telephone andfor P1'ckup at 14A XVTJZ- Sffi � Deliver with inspector. Other OWNP.ti U/i // fA ,� 'f� ��• Parcel Creation.S 7p,�;� Acreage Applicant �- Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above itemsNo.' 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by_phone _ mai� Counter by _Date Plans checked by Date Plans approved by ', Date Sets of plans on hold in File cabinet AP folder ; Copy.-' Department of Public Works � �. ,► "� v.. � moi\ ;.. ,r� � } � � � � � � �� �/ � ,, � �3COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSORRC L NUMB Z 57 of 0 Z NIN ! _ G. / , BUILDING PERMIT OWNER /f. TELEPHONE S 327— 5^10Y y S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING jam�O��44 `OGC4 /� L,,P�Y, CO 6TS M� A�� SP� TELEPHONE CONTRACTTO!1S(MAIG ADDRESS 05Z 104AIg lSe C/d 15 Fireplace CONSTRUCTION LANDER UNKNOWN Total Valuation $ �50Q Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ .30 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ ys✓ PLUMBING PERMIT Filing Fee 15.00 %LlOZ'/ G9a-STu,,I RU Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVIISION (� NAME / ,q,1A - 0/0,vlp, r U J l r U -ARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G W @ 15.00 TYPE OF WORK New ❑ Addition U Remode1 ❑ Utilities ❑ Installation❑ Other 1?r Describe work: WJf,?Jfr-,J e _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 18.50 200A OR LESS Main service 20GATO1000AI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury check . P Y P er I Y ( one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 cf the Business and Professions Code and my license Is In full force and effect. ` License ;Jo. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONST.( DWELLING OCCUPM 3.64 sq.ft. OR ACDNS. ACC. BLDGS. NEW RESIC4 RANCH C, CU @ 5.00 NO N•R ESI BRANCH CIRC ITS PO ER APPARATUS b (SINGLE OUTLET CIR. Ex. OCCup(OUTLETS OR FIXTURES 20 @ 760 EX. OCCUp. OUTLETS FIXED PIRESID IREA.� I 3.00 Temporary service 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 oecome 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 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 or Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnity and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said Co in consequence of the granting of this permit. X / —Date Signature of Applicant — Owner Contractor ❑ Agent SOSHA ion of structurestover r3gstories oineheigh� Ions over 5'0" deep and demolition or construct- Mobile Home Installation Fee S Ener Inspection Fee $ 9Y p occ 1 CONST TYPE TOTAL FEE $ HAz DFEES I IMP I FLOOD CDF PARCEL PO HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No. / ) 7 14*2 Z .• :Is • • , 4A t.YI®IJ/ENTIAL a. • • ,V ytrt_ 64-59-04 72386-90B;P,E,M' CO—P'Fred E. f � 14029 Creston Rd, P '(new sf) l ! Op/. .F, t- 4 r OFFICE COPY Address . GAS Meter By Date '! ELECTRICS _ Meter By Dat�� �� -------------------, R I JOB FINALED.(Date)— ��{ Signature ' J=OK O = Not OK -=Not Applicable MOBILE HOMES ' =Not Ready �9DA 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: / NL" ft. / /"Nat. or/ P L" ft./ /"LPG 7. 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 Ns 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.-Coonectors Shthg: Rig. -Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead -Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater '8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Pane Iboards- 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 1 O = Not OK - = Not Applicable ' Not Ready RESIDENTIAL (Single & Duplex) = Date r. UND FLOOR (Plans) OK except #'s u��✓� . Zoning -Setbacks -Easements- ood-Slope 2. Ftg. Main; Soils-Elec. Gr .-/ " Ftg. Depth g., Garage; Soils-Steel-Elec. Grnd.-O'V' Ftg. Depth Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth Stemwalls, Main; Steel-Blockouts-Wrapped 6-'Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. S10; Steel -Wrapped . Piers- ' .V.; Fall -Fitting -Test -2 Way C Sewer Tes 10. Gas P' e; Size -Anchors ater Pipe; Test-Anc -Regulator-Service Tes 12. EI ric; Underground 1 ums & Ducts; Clearance -Material -Support -Ins. 1 . Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Date - 7. � S' and B-1 G Dgle Card B-1 Date and B-1 Date Card B-1 Date PLUM G Pe it OK except #'s Water Htr.; Vent -Access -Combustion Air -Baffle 17 er Pipe; Test & Anchor -Nail Protection D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. T st Tub & Shower, Second Floor -Tub Access Gas Pipe; Size & Anchors Date�%ff-9p Card B-14 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL Permit OK except #'s Fixture & Transformer Clearance -Ins. Protection lec. Receptacles Spacing -Lights & Switches at Doors 2A,8rze Boxes & No. of Conductors -Stapled omex Installed Close to Edge of Studs & C.J. qu' . Ground made up w/Mech. Fastners-Bond Gas & Water 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral O Yes 0 No 0. rvice-Riser Conductors & Ground -Main Disconnect le—Ku ip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 3/8fnoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. A.C. ucts Insulation & Support nt Fan; Exhaust above insulation 3 . Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform it Furnance in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s =�Sils, Proper Material & Anchors N/Walis Studs -Nailing, Spacing & Bracing -Plates -Sound ing Walls over Girders & Floor Nailing Ae'D t Stop in Walls (rat proof) ire Stops; Furred Ceilings -Stairs -Chases -Tub 4A eaders & Beam -Size & Bearinq Date FRAMING (Continued) ngers-Post Caps -Anchors -Connectors pfffg. Joist-Rftr. ties- Purlin—roof Brac-Truss-Shthng.-Rfng. Fir lace Ties or Type A Flue -Fireplace Throat clearance Atti Access; Size & Romex Protection -Draft Stop -Ins. Baffles drm. Windows or Exiting Doors -Sill Hgt. & Dimensions arage Fire Protection Framing rop,erty Line Firewall & Openings 5 Doors -One 3' -Check Garage -3rd Story, 2 Exits . SS3irs; Width -Headroom -Rise -Run -Landing -Fire Protection plywood on Roof Overhang -Attic Vents -Rafter Outriggers MSiding-Nailing Veneer _ uc Mesh -Drip Screed -Fd. Vents-Underflr. Access lazing Area -Glass Protection -Skylights-Plastic_ 58. Shear Walls; Nailing -Bolts 9. 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 tans except #'s E t. Steps -Door & Sidelight Protection -Landings 62 -'Smoke Detector . urnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 16 edroom Exiting G.F.I. & Bath Fixtures & Tub Access -Spa lec. Trim & Subpanel; Breaker Sizes & Labels Stairs & Rails 6s -'Fireplace or Stove; Clearances -Hearth 69'Elec. Outlets at Wood Panel; Int. & Ext. 7�0/Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance JVEIec. Outlets & Receptacles at Kit. Counter Gara Fire Door; Swing -Landing -Closer Duct in Garage -Damper Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 7i5,PIb., Elec. & Mech. Equip. Listed for Location lec. Rec acles in Garage; (G.F.I.)-Romex Protection L7,1fnsu on -Foam -Looked in Attic ❑ Yes 7 uard Rails & Deck Construction -Post Caps FI Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor O Yes 80. Following instld.; Drive es 0 No; Walks Yes ❑ No; Planters O Yes O No Stucco; Brown -Finish X—A.C. Unit; Disconnect, Electrical, Plumbing p!Gents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Ooeninas af!rNater Well; Disconnect, Electrical, Plumbing xterior Elec. Trim; G.F.I. Receptacle -Underground -86Aentilation Throughout House 7 Glass Protection orrections from Previous Inspections $9/da� st-Meters Tagged; Gas -Electric ter & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates DateCard B-1 Date Card B-1 Dat Card B-1 Date Card B-1 Dat91 Card B-1 Date Card B-1 Comments at Final: (NOTE: An entry must be made each time you visit job site) 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 v?3 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. �'b62 1 15 41 jz Date Inspector _ r� COUNTY OF BUTTE r DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 r,. 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE ERMI T NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. r I Date/`l!/ Ins ector p t 1 etl • , .` •...- , t �h. .. ,,., .ra:•r. .1:7v. Z,'.+t w !�{:. '4 w« w•W 7'47. 7141 1f., t ENERGY"- CERTIFICATION t� t LOCATION A. P. NO. r ROOF'. `: , �,� •' ` MATERIAL BRAND NAME ii.. THICKNESS THERMAL RESISTANCE (R VALUE) ' EXTERIOR WALL- (' MATERIAL .�- FIBEGLASS }� BRAND NAME CERTAINTEED ' THICKNESS (INCHES) `� �3�y_J''THERMAL RESISTANCE (R VALUE) •--_.f'/ CEILING ,• ., , ` BATT OR BLANKET TYPE 'FIBERGLASS— BRAND NAME CERTAINTEED THICKNESS "` (2-', THERMAL_ RESISTANCE (R. VALUE)OS - LOOSE FILL TYPE_FIBERGLASc2 BRAND NAME CERTAINTEED MINIMUM THICKNESS(INCHES) NUMBER OF BAGS 3$ WT PER BAG 25 LB , AREA COVERED (SQ --FT> = --- •---THERMAL -RESISTANCE-{-R---VALUE) -® - - - .) ..; FLOOR, 'ELEVATE,D MATERIAL ` ".< FIB GLASS ' �' BRAND NAME CERTAINTEED THICKNESS (INCHES), ' !� THERMAL RESISTANCE (R VALUE) E FLOOR,SLAB J-,. ,t s a , MATERIAL BRAND NAME THICKNESS (INCHES) THERMAL RESISTANCE (R VALUE) ' FOUNDATION WALL , MATERIAL BRAND NAME THICKNESS (INCHES) THERMAL RESISTANCE (R VALUE) I HEREBY CERTIFY THAT THE ABOVE INSULATION WAS INSTALLED IN THE ABOVE BUILDING IN CONFORMANCE WITH THE STATE OF CALIFORNIA ENERGY REQUIREMENTS. HAWKINS INSULATION 379407 FIRM NAME/OWNER STATE CONTRACTOR'S LICENSE NO. } SIGNATURE ; -' DATE ' I HEREBY CERTIFY THE ABOVE INSULATION AND ALL REQUIRED ITEMS AS SHOWN ' ON THE BUILDING DEPARTMENT APPROVED PLANS AND ATTACHMENTS HAVE BEEN t INSTALLED AS REQUIRED BY THE STATE OF.,CALIFORNIA ENERGY REQUIREMENTS. F ALL EQUIPMENT,` DEVICES AND MERTIALS ARE OF THE QUALITY: PRESCRIBED OR ARE SPECIFICALLY APPROVED BY 'THE •. STATE OF CALIFORNIA.' r FIRM NAME-4.QWN f� ..�a •r. STATE CONTRACTOR'S LICENSE NO. ; SIONATURE GEN. CONTRJfi TOR/OWNER . � •• DATE f a ' COUNTY OF BUTTE - DEPARI-MENT OF PUBLIC WORKS 7 County Center Drive - Oroville, C?lifornia 95965 - Telephone: 916/538-7541 WUCATION AND PERMIT PERMIT O. ASSESSOR PARCEL NUMBER 64-59-04 Z IN BUILDING PERMIT OWNER Fred TE-LEFFHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1847 Dean Paradise 95969 463 M 6 482 CONTRACTOR'S NAME Fred E. Cox TELEPHONE CONTRACTOR'S MAILING ADDRESS same F i rep a CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee 352 QQ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee fte76 - -0 -0 Energy Plan Checking Fee $ 15 00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Creston NAAO Permit fee PLUMBING PERMIT Filing Fee 10.00 Each Trap 8 2.00 16.00 Paradise Solar or heat pump water heater 20.00 20.00 LOT NO. 118 SUBDIVISION NAME �/ P R ) Q'J Water piping 5.00 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE rr��Yy SFU Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New []RX Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: 3R _ Permit Fee $ 56.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 10 .00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect.SINGLE �J License No. Z--7S-0q / Classification El 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.DWELLING occuP.&S1.1S OR ADDNS. ACC. BLDGS. /22sgft NEW CONSTR. MULTI -OUTLET NON.RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS a OUTLET CIR. ) Ex. Occup OUTLETS OR FIXTURES i0®s0a eAL030 FIXED Ex. OCCUp. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 10.00 Mobile Home Facilities 15.00. Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating dual pack Cooling 32T g 11.00 Hood 3.00 3.00 Ventilation Permit Fee $ 30-00 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, ments, co and expenses which may in any way accrue against unt i n of the granting of this permit. X Date Signature of Applicant — O ner❑ 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 $ 8 coy, Tv,PE ��/�/ TOTAL FEE FiA cu `" PARK �. s F� PAR PD Issu This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By / P OfT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS c Date Xr/ ✓� Receipt No. 70066,SZ. �S %��3S���S� WHITE-D.P.W., YELLOW -ASSESSOR. PIN!( -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DE 7 COUNTY CENTER DRI OWNER Proposed Building Use PUBLIC WORKS - BUILDING DIVISION IFORNIA 95965 - TELEPHONE: 916/536-7541 PERMIT APPLICATION DATA SHEET Permit No. Q A. No. Building Inspector Date o, oy ¢ At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted'. ......... ............ .......... 2. Plot plans in duplicate/triplicate, signed by.preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7 tatement of Intent for Non-HeatePq f�ON, Ings ............... ineered truss details and layout inpllc knor to plan check) d 9. Mobilehome installation data including manufactur is installation instructions. 10. Fees of •�� UD ........................................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 3 School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: 1 Improvements may be required. Contact Land Development Section DPW 9. 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 .................. 023. Owne B�Iderye7ification (Given to owner ❑, Mail to owner ❑) .... . 4. Reco ed o�y o Agricultural Acknowledgment Statement ......... c, 25. Letter of signature authorization .............................'...... : t 26. 27. When �cou issue the permit proces as follows: ail to owner. Mail to contractor. k� Z�I/ Telephone ©nd hold for pickup at _office. Deliver w./inspector(, Other 4 } Applicant ��� --�,r .Date 7_ 12– /v Copy of Haz-Mat form sent Health Dept. i. ' ire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permi suance: Circle new item not chec above). 1. Index permit for above items No. -•_ __ _ - 2. Additional items required: -4 S Contractor, designer, owner, was advised of above required data by_phone—mall—counter by ..date Contractor, desi ner owner, was advised of above required data by—phone'—mall—counter by �' yte� Plans checo d b� 'LS Date �� Plans approve by �� y` Date O �" C?Sets of plans on hold inFile cabinet AP folder Copy—DPW TO Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance -' Owner Location APS Plan Approved for: Sewaqe Disposal V Water Supply Hold final for: Water Supply 7inal clearance O.R. for: Water Supply clearance. for _,�?_-bedroom-mobile home. Other. _ -- NOTE * * * Date Sanitarian _ _ .. . ---j TO: --- TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance owner location AP # Driveway permit / 008/ has been issued for the above property. 06 date si ature .W�..:.�-r-a'►cw.nM�r.Y„+�Y;����;Pik'V�"*:iii'sjr.41�k'Y-�:.y�cK4u7J5�''+i�'L�'+'w�rYtlr�.,,w,:�.-,�s.�"'sxc�++�'���.�� ^+'i�F �'�'�'.i4+rv'7;'�•-.,r•,#," _w?;,;.�...,y�f� :-�� . �srw.. v3. BUTTE -COUNTY SCHOOLS DZVELOPMENT FEE CERTIFICATION FORM (One Form per Building) A. P. Number Q��.� �li Building Department No. School District City D County d Jurisdiction Property Owner /LCIS Project Location/Address�i� Subdivision J/ Lot Number Residential Development: a Sq: Footage of iving MHI Addition (Group ) Units Commercial/Industrial: D Sq. Footage New Addition (Including Exterior Roofed Areas) Building Department -Representative Date - .(Floor Plans reviewed by School District Personnel) District d No. a �.� School District certifies that,, ,(Applicant ame) (Phone Number) O r (Street Address) City) (State) (Zip Code) has complied with the requirements -of Resolution No. bythe OpI t4 of, $ �(%� �=J representing square feet. School District Representative Date PAID. BY CHECK rrNO. REMARKS : , BANK NO .PAID BY CASH white -applicant, yellow -building department, pink -school district 1 SCHOOL.FEE (8/88) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroviti,e, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER1 ZONING BUILDING PERMIT 4e) -L 119 OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS /� n r /? p� % �� CONTRACTOR'SNAME 1 -- TELEPHONE [,Fireplace CONTRACTOR'S MAILING DDR 55 �, 7 % D� 7 / "-r /V C- CONSTRUCTIO-N LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 3S ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $O CT ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS n Permit fee $ -S-S-3, 00 PLUMBING PERMIT Filing Fee 10.00 f� S Each Trap 2.00 • i Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP a Water piping 5.00 Each gas water heater or vent 5.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 , O� SF [IQuplex❑ Mobilehome❑ Other SPECIFY Mobile Home S I G I W 0.00 e TYPE OF WORK W New Addition ❑ emodel❑ Utilities[]Installationo Other ❑ Permit Fee $ 19 Describe work: agyr Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V ORLESS. 100 AMP OR LESS 10.00 /(',00 --.0 Main service EA. AOD-L 100 AMP 2.50 a,S70 CONTRACTORS LICENSE LAW NEW CONST. ! DWELLING OCC I") vtSgft OR ADONS. 1 ACC. SLOGS. I declare under penalty of perjury (check one): NEW CONSTRULTI-OUTLET 12.50 ea NON-RE51D BRANCH CIRCUITS) (POWER I am licensed under provisions of Chapt. 9, Div. 3 of the BuslnesS /POWER APPARATUS &) OUTLET CIR. 209305 and Professions Code and my license Is In full force and effect. EX. Occup( OUTLETS OR FIXTURES BAL930 License No. !Z/ Classification OR FIXED APPLNS. ❑ 1, as the owner, or my employees with wages as their sole compen- Ex. Occup. OUTLETS IRESIO.1 EA. 2.00 sation, will do the work,and the structure is not intended or offered Temporary service 10.00 rl/ for sale. (Sec. 7044) Mobile Home Facilities 15.00 ❑ i, as the owner, am exclusively contracting with licensed contract- Misc. Wiring 15.00 ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE MECHANICAL PERMIT Filing Fee 10.00 I declare under penalty of perjury (check one): EJ The permit is for $100.00 (valuation) or less. Heating have placed on file with the County of Butte Building Department 90A , a Certificate of Workmen's Compensation Insurance or a Certificate Cooling 1 �� of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject Hood 3.00 r�D to the W. C. laws of California. Ventilation Notice to Applicant: If after making this statement, should you become subject permit Fee $ to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor Mobile Home Installation Fee $ I certify that I have read this application and state that the above information Energy Inspection Fee $ Q is correct. I agree to comply to all County Ord' _ and State'Laws relating occ CONST TYPE �j to building construction, and hereby authori repres tatives of the Countyot Butte to enter up ve-mentioned operty for I. spection purposes. he Butte TOTAL FEE $ r HAz CUA PARK scHL FLD PAR Po Ho ISSUE I also agree save, Inde nity and k p harmless Couity of against all liabilit• judgments cost expenses ich may in any way accrue against County in ns a of the ti g of this permit. This permit is nereby issued under the applicable provi- Butte County Code and/or resolutions to do ����� �� X Date Signature of Applicant — Owner Contractor 1 Agent F1work sions of the indicated above for which fees have been paid. An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ;DIRECTOR OF PUBLIC WORKS ioof structures over 3 stories in height. 7 ,/I �l / /�, By Date rRe',ceiptNo. 77/!/L4fy-D.P.W.. PERMIT EXPIRES Date YELLOW -ASSESSOR. PINK -INSPECTOR. COLDEMROO-APPLICANT e L_" V r Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Eodc- requires this acknowledgement be recorded prior to..issuance of a building permit. The property described herein isadjacent to land or included within an area zoned 90-034450 1 Rec Fee 5.00 for agricultural purposes, and residents Cash 5.00 of this property may be subject to incon- Recorded veniences or discomfort arising from the Official Records use of agricultural chemicals, including, County of but not limited to herbicides, pesticides, Butte and fertilizers; and from the pursuit Candace J. Grubbs of agricultural operations including, Recorder but not limited to cultivation,. plowing, 2:02pm 13 -Aug -90 X 1 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 disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: p Date: �� %�.; ''� PROPERTY OWNERS: State of ) On this the day of 19�, before me, SS. the undersign Notary Pub1Y , p rsonally appeared County of ) n 0 CA:v� 1' • �. o X Personally known to me. EJ Proved to me on the basis ae:eeeereeeesoet•eesee�M� of satisfactory evidence. GERIQUAYLE "to be the person(s) whose name(s) -� NOTARY PUBLIC -CALIFORNIA 6subscribed to the within instrument and acknowledged that, Butte County■executed .the same for the purposes therein contained. N W NESS MY Commisalo11&#resDec. 21,190 MgWHEREOF, I hereunto set my hand and official seal. oeA!•!•e�rerAlee�ee■�Ieri�ld Pre-sent.A.P. No. o- / C' 6 % o r Public COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO�� 7 County Center Drive - Orovil le, California 95965 - Telephone: 916/538-7541 APPLICA-TION .AND PERMIT ASSESSOR PARCEL NUMBER .64-59-04 ZONING _ BUILDING PERMIT OWN Fred E. Cox877-0276 TELEPHONE SO. FT. OCC. BUILDING V LUA ION 66 M 4. OWNER'S MAILING ADDRESS 1847 d.. Paradise 95969 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN G Total Valuation $ 4.00 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $17-50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 0 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 42. 50 PLUMBING PERMIT Filing Fee 10.00 14099 Creston Rd Magalia Each Trap 2.00 , Solar or heat pump water heater 20.00 LOT NO. SUBDIV SON NAME ell/ PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFa Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW 1 10.00e TYPE OF WORK New ❑ Addition ® Remodel ❑ Uti lities ❑ Installation[] Other ❑ Describe work: Garage Addition Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service jp0 AMP ORV OR LESS10.00 Main service EA. ADD'L too AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No.224911 Classification WEx. ❑ 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.B OR AODNS. ( ACC. BLOGS. 2A0sgft NEW CONSTR. LI NEW2,50 NO N.RESIO BRANCH CIRCUITS_) ea /POWER APPARATUS a) \SINGLE OUTLET CIR. Occup( OUTLETS OR FIXTURES .2ALO 90 Ex. Occup. OU LETS ED P(RESID.)REA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Budding 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 yc•u become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, ' n) y a keep harmless the County of Butte against all liabiliti dgments, costs, nd expenses which may in any way accrue agains Id County in consequ ce of the granting of this permit. Xj0 -� Date Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ o c CONST TYPE V"Al TOTAL FEE $42.50 HAz CUA PARK SCHL FE PAR PD HD Issu This permit is hereby issued under Bions or the Butte County Code and/or work indicated above or which fees DIRY T OF C By PER IT EXPIRES t4te the applicable provi- resolutions to do have been paid. WORKS /�j Date '%' ( v Receipt No. 73347 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT ,. .. ;tit •,� � . � �.. , a, I TO Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance _ lZe� Co Crt� s- TI2 , 0 6 c- Sri - oo Lf .Omer Location AP# Plan Approved for: Hold final for: Final clearance O.R. for: Sewace Disposal Water Supply _X,_ Clearance for bedroom mobile home. NOTE � Water Supply 1 Water Supply J'C-' Other E��1ga .�c e7 --S§—;o San to i Date ... ....,,_,t.r,,,,,.�,g,c�„a:�-•-a-r�r���r+'i�;i�.xi�V►yn.5r�s.�.��r�r..,,�r^-fir-vk,.- COUNTY OF BUTTE - DEPARTMENT 0 PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OR&ILLE, ,CALIFORNIA 95965 - TELEPHONE: 916/538-7541 Copy of Haz-Matrform sent Health Dept. Fire Dept. fir Pollution Date Copy of plans sent Health Dept. _Fire Dept. Other Date By. The following data must be submitted prior to permit issuance 1. Index permit for above items No. 2. Additional items required: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by—phone---mai I counter by ..date Contractor, designer, owner, was, advised of above required data by—phone —mal l_c unter by date Plans checked by Date Plans approved by �Date�,-��� Sets of plans ork hold in Copy—DPW •A File cabinet AP folder PERMIT APPLICATION DATA SHEET L 1- ' Permit No. OWNER�KL� yDU(V x A. P..No.— Proposed Building Use aM (� Ad2 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.._AI.I_items have been submitted. ........................ .......... . 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions........................................................ 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... S�hpk D,i trict fees paid .............. _ 4. Sanitation approval from //CC f f" 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: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec.request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. '- 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .....' ' 24. Recorded copy of Agricultural Acknowledgment Statement ......... n 25. Letter of signature authorization ................................... 26. 27.x, When you issue the permit, process as follows: Mail to owner. Mail to ontractor. 1 Telephone and hold for pickup at --ef-re. Deli r w./inspector. Other /� n 3v Applicant Date / Copy of Haz-Matrform sent Health Dept. Fire Dept. fir Pollution Date Copy of plans sent Health Dept. _Fire Dept. Other Date By. The following data must be submitted prior to permit issuance 1. Index permit for above items No. 2. Additional items required: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by—phone---mai I counter by ..date Contractor, designer, owner, was, advised of above required data by—phone —mal l_c unter by date Plans checked by Date Plans approved by �Date�,-��� Sets of plans ork hold in Copy—DPW •A File cabinet AP folder COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovilie, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR WL ZON BUILDING PERMIT OWNER �� c co ly Clt T LEPH��7 SQ. FT. OCC. BUILDING VALUATION AV OWNER'S/+IT G DD ESS (i 1� 1'T CONTRACTOR'S AME T L PH E CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ :7Z Sy ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 5-, Energy Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS ` o Permit fee $ PLUMBING PERMIT FilingPee 10.00 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 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New ❑ Additiod� Remodel ❑ Utilities❑Installatioonn i❑ Other ❑ Describe work:/1r�� CrL?Z;> l ll / N Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my 'license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.8i OR ACDNS. ACC. BLDGS. , /z¢sgft NEW CONSTR. "ULT'-OUTLET NON•R ESID BRANCH CIRCUITS) 2,50 ea POWER APPARATUS .&) SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES 201501SAL@ 30¢ FIXED EX. Occup. OUTLETS ( R RESID.)EAJ 2.00 Temporary service 10.00 Mobile Home Facilities oon 15.00 Misc. - 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 FiIingFee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X DateTh's 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 $ occ CONST TYPE TOTAL FEE $ rS� HAz cuA PARK $CHL FLO PA PO HO ISSUE 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 Receipt No.� -3?;2_V`% WHITE-D.P.W.. YELLOW-AS9CSSOR, 'PINK -INSPECTOR. GOLDENROD -APPLICANT Y.. -T -- �T ,I _NOSE —AU -Materials. &-Workman" Sh®tt Be in sgt.of plans M4 Accordance with Recognized Good Practices and '-- - ' - -' - -fes gUaltt"re=Tibed_foT-the Specified use in the {e 0 on the job at ali�rrres and �LttNrations ojn some ;without ane -I Ce;any`chahg� th Depa menTeiP+ibec - - ---t3liQrm.lui�rog..�r►91 -' written permission tionai Electrical WO*S Cotintr of>�iitt¢:--, --I ;— - - -' - ---- --- -- and a setback Tl . �' Foa _int _rIi r_ ^a'j -;� clear of 42. _.. —...—. i n�r�L;„•W>r - c. rj,_,,_l;—• t e:iceof, , I a.2 f COf Ot �\ /" /� -- - --- --' 4 IZ Of •_—,— __ property lines and a setback i o rom t e roe --centerline-skafit-bwciw of -:----=— --�—�— —f' - - or equipmer#ep. a 2 ft. ewe overhang • i ;� � Imo. � BUVE�COUN1'Y - -- - - I BultbING DEPARTMENT-'____' -',a. 41ft uu- - - _ - -- -_ ' -- _ ���.� _ . 1 f '1 (6 JlZile A Nle, IN11 rui owt q Y' ; i-VU00 *I W3DATSA04(" elk C� C-4 v I Tftfk 74, Illij ti lot vv ------------------------- a bedroom window with minim m C LOS ,-nsions of: :24" high, 20"w ide area, and 44"mihimum sill A 52'- 060 rroVide one-hour protection an �garageWe Of common wall fo_ efher' with self-closing 1-3/811 thlcfc solid -cage door, 0 GW A GE � �qQ` � (2 2' x 2 /'� �' S. )LAN'c- BUTTE COUNTY I 5, F. BUILDING DEPARTMENT APPF3p.VEp. 14 MIT !-4 A-4 - REQUESTED SY Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT = ;90-3,4450 FOR RESIDENTIAL DEVELOPMENT 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 90-034450 `Rec. Fee 5y 00 to land or included within an area zoned " "•. .1 Cash 5 •,00 i for agricultural purposes, and residents of this property may be subject to incon--,Recorded veniences or discomfort arising from the Official Records use of agricultural chemicals, including, County of y but not limited to herbicides, pesticides, Butte - .0 • and fertilizers; and from the pursuit 1Candace J. Grubbs , of agricultural operations including, Recorder ". X 1 ` ' but not limited to cultivation, plowing, 2.02Prn i3 -Aug -90 ,. j 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 disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: p .r Date: PROPERTY OWNERS: State of - ) SS County of ) On this the day of 19�, before me, the undersigne Nota(r�y Publ p rsonally appeared �o G-v� 1' •- �-o X Personally known to me. ® Proved to me on the basis �wwawwwwrwwwee®w�www�wwM■ of satisfactory evidence. GEM QUAYLE Oto be the person(s) whose name(s) it NOTARY PUBLIC -CALIFORNIA w wsubscribed to the within instrument and acknowledged that' p .y� p Butte Qounty wexecuted the same f or the purposes therein contained .N W - NESS 4 . myCemmissionExpkesDec. 21,IM HEREOF, I hereunto set my hand and official seal. �wwraw��w��w�www�wwaw�www w Present A.P. No CJX6 o Vr Public END OF DOCUMENT q M. f 4.6 14 a w "s e t tc zo V 11 RESIDENTIAL PLAN CHECKING GUIDE (S.F.,'DUPLEX & MISC. ONLY) 62L Bldg. Permit # 15Z3OWNERA.P. # (p .5 9 -O GENERAL ��oning requirements: (sideyards Valuation. - ,-3--Plans signed by designer. Energy Design and Compliance. Existing violations on property. Items on data sheet. PLOT PLAN and number of permitted living units). Complete parcel size and dimensions. Setbacks, sideyards, easements, etc. Other buildings or structures. -Grading, fills, drainage. Flood hazard. Special conditions on creation map or compliance document. FAU & FAS road setback. FT.nnR PT.AN Complete to scale plan with dimensions. Required windows for light and ventilation (Sec. Required windows for second exit'(Sec. 1204). Skylights (Chapter 34 & Sec. 5207). Human impact glass (Sec. 5406). 1205). Required room sizes, ceiling heights (Sec. 1207). GFCIs in baths, garage, and exterior outlets (Article 210-8). Light fixtures, switches, receptacles, and exterior receptacles 5/89 for maintenance of mechanical equipment. Locations of water heater, heating and cooling equipment, other electrical or gas equipment, and plumbing fixtures. Garage firewall, door size, and closer (Sec. 503(d)(3)). - 3'0" exterior exit door (Sec. 3304(e)). Fireplace and wood stove location, alcoves, and Smoke detectors (Sec. 1210). clearance. STRUCTURAL DETA Foundation plan complete enough to construct building. loor construction details complete enough to construct building. Elevations and wall construction details complete enough `to construct �. Roof construction details complete enough to construct building. Fireplace construction details and calcs if necessary. MISCELLANEOUS ITEMS TO LOOK OUT FOR Stairway details: landings, rise and run, head clearance, handrails 4�Guardrail details (Sec. 1711 & 3306(j)). 4�irick or stone veneer (Chapter 30). building. (Sec. 3306). 5/89 RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONT'D) -C---Exterior plaster - weep screeds (Sec. 4706). Wo oper roof pitch for roof covering (Chapter 32). of covering type - (fire hazard). fter ties or bearing ridge beam. :Garage door or porch header sizes. Adequate bracing. Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. i-rr Two exits on three-story dwellings (Sec. 3303 & see Mezannines - 1716). tic access and ventilation (Sec. 3205). 43. Underfloor access and ventilation (Sec. 2516). -4-4—Combustion air for fuel burning appliances. .4 -5 --Noise requirements on duplexes. -16: Adobe soils - special foundation design. --l-7-;-Retaining walls requiring design. 1-&- Unusual shape, size, or split level house requiring lateral design. 49 -Flashing at all exterior openings. dt� Courteous Dependable Service 1. Ceiling Insulation Detached Attached Family Number of stories -68 - R -value One Two Three , R-0 -103 -49 -02 ' R-19 -8 -4 -2 R-30 -2 -1 -1 R-38 0 0 0 U -value -76 0.50 -91 0.50 -176 -84 -54 0.30 -102 -49 732 0.10 -26 -13 -8 - 0.08 -18 -9 -6.. . 0.06 -11 -5 -4 0.04 -t -2 -1 0.02 .4 2 1 0.00 11 5 3 2. Wall Insulation Single- Single - Family Family Multi - R -value Detached Attached Family R-0 -68 -51 -34 R-11 0 0 0 R-13 2 2 1 i R-19 8 6 4 ^ U -value 0 0 R-30 = 0.80 -153 -114 -76 0.50 -91 -68 -46 0.30 -47 -36 -24 i 0.10 0 0 0 ' 0.08 4 3 2 0.06 9 7 5 0.04 14 11 7 t 0.02 19 .14 10 0.00 24' 18 12 -6 -3 1 3. Raised Floor Insulation -1 Controlled Ventilation Crawlspace Insulation in.Floor Slab Floor Number of stories . Number of stories One 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 -07 Number of Stories -14 i --- --_0.60 . -144 -70 =46 0.50 -120 -58 -3$ :. 0.40 -95 -46 2 0.30- -69- 6 3 i 0.20 -43 -21 :44 0.10 -17 -8 -5 0.08 -11 -6 -4 0.06 -6 -3 1 0.04 -1 0 a - 0.02 4 2 1 0.00 10 5 3 Controlled Ventilation Crawlspace _ Slab Floor Number of stories . R -value One Two Three R-0 -11 -7 `.-5 R-5' 4 4 3 R-11 -2 -2 -2 R-19 -1 -2 -2 4. Slab Edge Insulation 40 �'- -07 Number of Stories -14 R -value One Two Three ' R-0 0 0 0 R-5 8 5 2 R-7 8 6 3 F2 factor -58 -20 -12 0.90 4 -3 -1 0.80 -1 -1 0 0.70 2 2 1 0.60 6 4 2 0.50 9 6 3 0.40 12 8 4 S. Infiltration (Air Leakage) Specification Points Standard*, 0 6. Glass Heat Loss Total _ Slab Floor Raised Floor . U -value East Percent :West Skylight .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 -07 -26 -14 -0 8 35 -75 -29 -19 -9 1 10 30 -61 -21 -13 -4 4 12 29 -58 -20 -12 -3 5 12 28 -55 -18 -10 -2 5 13 27 -52 -17 -9 -2 6 13 26 -49 -15 -8 -1 7 14 25 -46 -14 -7 0 7 14 24 -43 -12 -5 1 8 14 23 -40 -11 -4 2 8 15 22 -37 -9 -3 3 9 15 21 -34 -7 -2 4 10 15 20 .31 -6 0 5 10 16 19 -29 -4 1 6 11 16 18 -26 -3 2 7 12 16 17 -23 -1 3 8 12 17. 16 -20 0 4 9 13 17 15 -17 1 6 10 14 17 14 -14 3 7 10 14 18 1 13 -12 4 8 11 15 18 12 -9 6 9 12 15 19 11 -6 7 10 13 16 19 10 -3 9 11 14 17 19 9 -1 10 13 15 17 20 8 -__-2 2 12 14 16 • 18 20 7. Shading (Shade Open) ----Etfectlre PereerhE Glass (percent glass x SC) Effective ' _ Slab Floor Raised Floor Effective Percent Glass %Glass North East South :West Skylight 18 5 1 4 1 na 16 4 2 5 1 na 14 4 2 5 1 na_ 12 3 3 5 2 na - 11 3 3 5 2 na 10 2 3 5 2 1 9 2 3 5 2 2 8 2 3 5 2 2 7- 1 3 4 2 2 6 1 3 4 2 3 _ 5_. 1 2 4 2 3 4 0 2 3 1 3 3 0 1 2 1 3 2 0 0 1 0 3 1 -1 -1 -1 -1 2 0 -1 -2 -4 -2 0 na = not allowed -8 -7 -23 3 1B. Shading (Shade Closed) _ Slab Floor Raised Floor Effective Percent Glass Family Stories Multi (percent glass x SC) Stories Attached /CFA One Two Three One %Gless North East South West Skylight 18 -14 -48 -69 -64 na 16 -12 -42 -59 -55 na 14 -10 -35 -50 -46 na 12 -8 -29 -40 -37 na 11 -7 -26 -36 -33 na 10 -6 -23 -31 -29 -74 9 -5 -20 -27 -25 -65 8 -5 -17 -23 -21.. -56 7 -4 -14 -19 -18 -47 6 -0 -11 -15. -14 -38 5 -2 -9 -11 -10 -30 4 -1 -6 -8 -7 -23 3 0 -4 -5 -4 -16 2 1 -1 .2 -1 -9 1 1 1 1 1. -4 0 2 3 .4 3 0 na • not allowed 8 10 11 11 9. Interior Thermal Mass Interior Single- Slab Floor Raised Floor Mass Family Stories Multi Mass Stories Attached /CFA One Two Three One Two Three 0.0 -8 -5 -4 -2 -1 -1 0.1 -8 -5 -0 -1 0 0 0.3 -7 -4 -2 0 1 1 0.5 -6 -3 -1 1 1 2 0.7 -5 -2 -1 1 2 2 0.9 -5 -1 0 2 3 3 1.1 -4 -1 1 3 4 4 1.3 -3 0 2 3 4 5 1.5 -3 1 2 4 5 5 2.0 -1 2 4 5 6 7 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 i 6.0 5 8 10 12 13 13 1 6.5 6 9 10 12 13 13 7.0 6 9 11 13 13 14 7.5 6 10 11 13 14 14 ., 8.0 7 10 11 13 14 14 8.5 7 10 12 13 14 15 10. Exterior Wall Thermal Mass Exterior Single- Single - Sum of 1-6 Wall Family Family Multi Mass Detached Attached Family 0.00 0 0 .0 0.20 0.40 3 5 2 4 1 3 0.60 8 6 4 0.80 1.00 10 13 8 10 5 7 1.20 13 12 8 1.40 1.60 12 10 13 13 9 11....:. ,. 1.80 10 • 12 12 2-00 10 11 13 11. Heating System SE or HSPF (assumes ducts In attic) Zonal -Control Adjustment System Type Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 12. Cooling Syst!.an North b. Sum of 1-6 c. _ SEER -5 -25 or -24 to -14 to -4 to +6 to 16 or SE HSPF less -15. -5 . +5 +15 more 0.72 •6.60 0 0 0 0 0 0 0.75 .6.88 3 3 3 2 2 1 0.80 7.33 8. 7 6 5 4 3 0.85 7.79 13 11 10 8 7 5 0.90 8.25 17 15 13 11 9 7 0.95 8.71 20 18 15 13 11 8 6 5 4 Effective SE or HSPF 11.0 10 (SE or HSPF x duct efnciency) 4 3 Effective -25 or -24 to -14 lo o to +610 16 or SE HSPF less -15 -5 +5 +15 more 0.30 2.75 -73 -64 -56 47 -38 -30 na 3.41 -45 -39 -34 -29 -24 -18 0.40 3.67 -34 -30 -26 -22 -18 -14 0.50 4.58 -10 -9 -8 -7 -5 -4 0.56 5:13 0 0 00 6.6 -5 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 10.0 13 • 10 0.90 8.25 32 28 24 20 17 13 1.00 9.17 37 32 28 24 19 15 Zonal -Control Adjustment System Type Resistance 10 9 7 6 4 3 Other 6 5 4 3 2 2 12. Cooling Syst!.an North b. East c. South SEER -5 -4 -4 . -3 -2 -2 (assumei ducts In attic) 3 3 2 Sam of 1-10 1 Single-Famlly -25 or .24 to a14 to -41D +6 to 16 or SEER less .15 1 -5 +5 +15 more 8.0 14 12 -10 -8 • -6 4 9._. 8.5 -9 -7 -6 -5 • b . 3 i 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 1 11.0 10 9 7 6 4 3 12.0 _ 1$ 13 11 9 7 5 L3.0 20 17 14 y J 12 9 6 -1 0 0 Effedtve SEER HWR -18 -12 -9 -7 (SEER xduct eMclency) 0.2 WSB ..-25 0.6 Sun of 7-10 -12 -10' -8 Effective -25 or -24 to -14 to -410 4610 16 or SEER less . .15 i -5 +5 +15 more 5.0 -30 -25 -21 -17 -13 -9 6.0 -12 .11. -9 -7 -6 -4 6.6 -5 -4 -4 -3 ....2 -2 7.0 0 0 0 0 0 0 8.0 9 8 5 4 3 9.0 16 14 12 9� 7 5 10.0 22 19 13 10 7 11.0 26 23 ' 19 15 12 8 12.0 30 26 22 18 14 9 13.0 - 33 29 24 20 15 10 0 Zonal Control Adjustment 0 0 j 10 8 7 6 4 3 3 No Cooling System Installed 9 -Stories North b. East c. South One -5 -4 -4 . -3 -2 -2 Two + 3 3 2 2 2 1 Single-Famlly l Cached and Attached r1•7'°t"C-4•21 Unit Size (sQ Water 099 X 1200 1700 .2200 2700 Heater Credit or .-1 to to to or Type. Type kiss ;1699 2199 2699 more SG None 0 + r' 0 .0.. 0 0 or Solar 12 ' 8 6 5 4 - HP -HWR 8 5 4 3 3 . WSB 5 3 3 2 2 POU 8 5 4 3 •3 SE None -37 -24 -18 -15 -12, 60% Solar -1 -1 -1 0 0 90% HWR -18 -12 -9 -7 -6 0.2 WSB ..-25 0.6 -16 -12 -10' -8 1.5 POU _-18 _-12 -9 -7 -6 IG None -_5 -3 -2' -2 -2 4 Solar 7 5 4 3 2 5.3 POU 3._ _2 1 1 1 IE None -28 -19 -14 -11 -9 23 Solar 8 5 4 3 3 3.5 POU -10 -6 -5 -4 -3 Multi -Family (Individual units) 5.2 5.4 20% 0.3 > Unit Size (s 0.8 Water 1.2 699 700 1200 1700 2200 Heater Credit or b to to or Type Type less 1199 1699 2199 more SG None 0 0 0 0 0 i or Solar 14 7 5 4 3 HP HWR 9 5' 3 2 2 3 WSB 9 4 3 2 2 4.3 POU 9 5 3 2 2 SE None -45 23 -15 -11 -9 1.3 Solar 2 . 1 1 0 0 26 HWR -23 -12 -8 -6 -5 3.8 WSB -25 -13 -8 -6 -5 5.1 _EQU _23 -12 -8 .__.-6 -5 IG None -8 -4 -3 -2 1--.2 ' 21 Solar 6 3 2 1 1 _ POU .1 _ 0 0 0 0 IE None -00 -15 -10 _--8 -6 5.9 Solar 18 9 6 4 4 1.6 POU -8. -4 -3 -2 -2 Interior Mass/CFA TTPC I MASS North b. East c. South V� ti - e. West Skylight 9. nterior Thermal Masse 10. Exterior Wall Mass r1•7'°t"C-4•21 TYPE 1 MASS (UIMC a 4.2, te:.ex sed slab) luted .I.bt . 0% 5% 10% 15% 20% 25% 30% 35% 40%145% 50% 55% 60% 65x 70% 75% 60% 851/. 90% 95% 100% 105% 110Y. 115% 120% 125- 01/. 0 0.2 0.4 0.6 0.8 1.1 1.3 1.5 1.7 1.9 21 23 25 2.7 2.9 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5 5.3 101/. -0.2 0.4 0.6 0.8 1 1.2 1.4 1.6 1.9 21 23 25 2.7 2.9 3.1 3.3 3.5 3.1 4 4.2 4.4 4.6 .-4.8 5 5.2 5.4 20% 0.3 0.6 0.8 1 1.2 1.4 1.6 1.8 2 2.2 24 27 29 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.5 4.8 5 5.2 5.4 56 30% 0.5 0.7 0.9 1.1 1.4 1.6 1.8 2 2.2 24 26 28 3 3.2 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 5.8 401/. 0.7 0.9 1.1 1.3 1.5 1.7 1.9 2.2 2.4 26 2.8 3 3.2 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 .50% 0.9 1.1 1.3 1.5 1.7 1.9 21 23 2S 27 3 32 3.4 3.8 3.8 4 42 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 55% 0.9 1.1 1.4 1.6 1.8 2 2.2 24 2.6 28 3 9.2 3.5 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.6 5.8 6 6.2 60% 1 1.2 1.4 1.7 1.9 21 2.3 2.5 2.7 29 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 ' 5 5.2 5.4 5.6 5.9 6.1 6.3 65% 1.1 1.3 1.5 1.7 1.9 2.2 2.4 .2.6 2.8 3 3.2 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 6.4 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 4.6 5 5.2 5.4 5.6 58 6 6.2 64 75% 1.3 1.5 1.7 1.9 21 23 25 2.7 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.8 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 WY. 1.4 1.6 1.8 2 22 2.4 26 2.8 3 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 6 6.2 672 664 65% 1.4 1.7 1.9 2.1 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.8 4 4.2 4.4 4.6 4.8 5 5.2 54 5.6 5.9 6.16.3' 65' 67- 90% 1.5 1.7 2 2.2 24 26 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 53 5.5 5.7 5.9 6.2 6.4 66 68 95% 1.6 1.8 2 2.2 2.5 27 2.9 3.1 3.3 3.5 3.7 3.9 4.1 4.3 4.6 4.8 5 5.2 5.4 5.6 5.8 6 6.2 6.4 6.7 6.9 1000/. 1.7 1.9 21 2.3 2.5 28 3 3.2 3.4 3.6 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.7 7 105% 1.8 2 2.2 2.4 2.6 28 3 3.3. 3.S 3.7 3.9 4.1 4.3 4.5 4.7 4.9 5.1 5.4 5.6 5.8 6 6.2 6.4 6.6. 61 7, 1100/. 1.9 21 2.3 2.5 27 29 3.1 3.3 3.6 3.8 4 4.2 4.4 4.6 4.8 5 5.2 5.4 5.7 5.9 6.1 6.3 6.5 6.9° 6,9- 7.1 115% 2 2.2 2.4 2.6 2.8 3 3.2 3.4 3.6 3.8 4.1 4.3 4.5 4.7 4.9 5.1 5.3 5.5 5.7 5.9 6.2 6.4 6.6 6.8 7 7.2 120% 2 2.3 2.5 2.7 2.9 3.1 3.3 3.5 3.7 ' 3.9 4.1 4.4 4.6 4.8 5 5.2 5.4 5.6 58 6 6.2 6.5 6.7 6.9 7.1 7.3 125% 21 2.3 2.5 2.8 3 3.2 3.4 3.8 3.8 4 4.2 4.4 4.6 4.9 5.1 5.3 5.5 5.7 5.9 6.1 6.3 6.5 6.7 7 7.2 7.4 Point System Summary: Climate Zone 11 SCORE CARD 1. Ceiling Insulation 2. Wall Insulation 3. Raised Floor Insulation 4. Slab Edge Insulation S. Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) a. North b. East c. South d. West e. Skylight 8. Shading (Shade Closed) a. North b. East c. South V� ti - e. West Skylight 9. nterior Thermal Masse 10. Exterior Wall Mass Measures .4 or R -value [38] U -value [0.030] or R -value [I1] . U -value [0.098] or R -value [ 191 U -value [0.037] Point Scores D or R -value [0] F2 facwr [0.77] Standard 0 � 3 13 13 Type (douBle] U -value [0.65] % Tbtal Glass [ 161 Sum 1.6 % Glass SC ' Eff. % Glass IX 3 ,z X X _ X = •� % Glass- Sc Eff. % Glass x = a• �-� x = a �- 6J X= a s �O� - l 0 x = 0 1 TYPE 1 MASS AREA = % - 4;L InteriorNiss/CFA COND. FLOOR AREA TYPE 2 MASS AREA % �5 Exterior Wall Mass ND . L OR AREA 11. Heating System �%„15 x Zonal Control? (i- N) SE or HSPF. Duct Efficiency [0.78] Effective SE or [0.72/6.6] HSPF (0.561/5.15] r 12. Cooling System- �. S � -0 f x Zonal Control? ( Y / N) SEER [9S] Duct Efficiency [0.74] Effective SEER [7.03] _. 13. Water Heating Type IS ] Credit [none] Point Total: 0 Certificate of Compliance: Residential Climate Zone 11 = ProjectTItle o2 3 �lp G Address N Author Batldmg S tt N Checked By / Date Fnforcernent Agency Use Only BUILDING DATA Con ' ' Area –� Sl b 'sed Floe Sin a amity Detached (S [ ] Single Family Attached (SFA) [ ] Multi -Family (MF) Number of Stories Number of :Units [ ] Addition Alone [ ] Existing Building (] Existing -Plus -Addition North East South West Skylight Total BUILDING SHELL INSULATION'. ( ) TI& FUTI Address: 'Component Insulation LocatilorWComments Tekphonc Type R -Value (attic, .tor garaical. etc.) ) Wall .............. South ( ) 4/ q _ South MEWFirm Roof ............. West_ ( ) Roof ............. West ( ) Floor ............. Skylight....... Floor ............. THERMAL MASS Slab Edge..... GLAZING Shading Devices GlaringArea Glass Type Interior Exterior Orientation . - (s_f) (single, double) (roller blind, etc.) (shadesereen, etc.) North ( )Z9 Name: North ( ) TI& FUTI Address: East Tekphonc L ic. 0: East ) (date) (signal=) (date) South ( ) 4/ q _ South MEWFirm 2. Agavy. West_ ( ) /. -15 West ( ) Skylight....... �— - THERMAL MASS Glass Area % Glass Name: 1,7 S. TiLle um Address: TI& FUTI Address: Type/Covering Area Thickness HVAC SYSTEMS Minimum Type (furnace, air Efficiency conditioner, heat um) (SE, SEER,H I Overhang Framing Type (yes/no) (metaliwood) r Duct Location Duct Output Manufacturer / Model # SPF) (attic, etc.) R -Value tuh or approved equal) r S. 7 RION Maximum Fumace Heating Output: Btuh �-� �Q P� HOT WATER SYSTEMS G Q Q Tank Manufacturer/Model # �� Svstem Tvne (storaee Pas. etc.) Capacity (or approved equal) S�c� Bature(s) � I SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) Mandatory Measures Checklist: Residential MF -111 NOTE: Lowrim residential buildings subject to the Standards must contain these measures regar'dleis of the.complianee approach used. Items marked with an asterisk (•) may be superseded by mote stringent compliance requrements rusted on the Crnificate of Compliance Wben this checklist is incorporated into the Permit documents, the features notedshall. be considered by all parties as binding minimum component performance speafications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. • — -- _ _ - _ DESCRIPTION DESIGNER ENFORCEMENT Building Envelope Measures • §2.5352(a): Minimum ceiling insulation R-19 weighted average. §2.5352(b} Loose fill insulation manufacturer's labeled R -Value. • §2.5352(c): Minimum wall insulation in framed walls R.I l weighted average (does not apply to exterior mass walls). §2-5352(k): Slab edge insulation - water absorption rate no greater than 03%, water vapor transmission rate no greater than 2.0 permhnch. 62-5311: Insulation specified or installed mats California Energy Commission (CEC) quality standards. Indicate type and form. §2.5352(f): Vapor barriers mandatory in Climate Zones 14 and 16 only. §2.5317: Infiltration/Exf It ation Controls a. Doors and windows between conditioned and unconditioned spaces designed to limit au leakage. b. Doors and windows certified. c. Doors and windows weatherstripped; all joints and penctruions caulked and sealed. §2.5352(e): Special infiltration barrier installed to comply with 12-5351 meets CEC quality standards. §2-5352(d): Installation of Ftrcplaces 1. Masonry and factory -built fireplaces have: a Tight fitting, closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and control 2. No continuous burning gas pilots allowed. HVAC and Plumbing System Measures §2-5352(8) and 2-5303: Space conditioning equipment siring: attach calculations. §2-5352(h) and 2-5315: Setback thermostat on all applicable heating systems. • §2-5316(a): Ducts constructed, installed and insulated per Chapter 10, 1976 UMC. 12-5316(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(1): Waterheater insulation blanker (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(Excep6on 1): Pipe insulation on steam and steam condensate return & recirculating piping. §2-5318(d): Swimming Pool Heating 1. System has: a On/off 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 §2.5352(1): 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 perfonaance specifications needed to comply with Title 24, Chapter 2-53 and Title 20, Mptcr 2. Subchapter 4. Article I of the California Administrative code- This certificate has been signed by the individual with overall design responsibility and the building owner, who shall retain a copy of it and transmit the certificate to any subsequent purrilaser of the building. Designer Building Owner Name: Name: TiLle um Address: TI& FUTI Address: Telephone Tekphonc L ic. 0: (date) (signal=) (date) :ementationAuthor Enforcement Agency Name: Name: MEWFirm 2. Agavy. Address: Tekpt—