HomeMy WebLinkAbout064-670-05165 6Vs
Dan Wen la
.kywa • , Maga i y� S
p iiit #� 77jg' ,Pj '(S w pri.garage
i= works o&outside water line)
64-67- - 1713-90B,P,E,M
THORUP, Borges �y
14591 Skyway, Mag is
(new single.family)
Permit#3437-90B
(decks/sf) -'
06.4=67-0-r« }:r 92-189
THORUP,.:'Janet'"& Burgess �
14591 Skyway, Magalra
V"Cp ..
�mption Permit �
tractor & implements
064-670
SUMMARY SHEET FOR LAND DIVISIONS.:
Ruth Fuller/L. Burgess Thorup "-6/11 r.,Q
Skyway, Paradise Boundary Line Mod.
,5 p- -- 0 1/#-?
SUMMARY SHEET FOR LAND DIVISIONS
i
APPLICANT. Ruth FULLER / L. Burgess THORUP
ADDRESS 8216 Blue Oak Way,:.Citrus Heights CA_ -'95610
OWNER Same
PROJECT DESCRIPTION BOUNDARY LINE MODIFICATION
LOCATION 2 parcels located on the west side of'Skyway, approx. 200 ft.
northwest from its intersection with Holly Rd. Paradise area..
ASSESSOR'S PARCEL NUMBER(p) 64-67-19 & 20
ZONING ARMH-3 / H -C GENERAL PLAN AQ.-Resi. / Commercial PROJECT CONSISTENT? YES
.GENERAL PLAN CONFORMANCE REPORT April 28, 1993
LAND CONSERVATION ACT CONTRACTS? NO
DATE APPLICATION RECEIVED. June 11,-1993
AGENT/SURVEYOR/CIVIL ENGINEER Sierra West Surveying
ADDRESS 5437 Black Olive"Dr., Paradise, CA 95969
DATE PLANNING DIRECTOR'S REPORT PREPARED
ENVIRONMENTAL
DETERMINATION
AND DATE
CATEGORICAL EXEMPTION - DATE FILED
NEGATIVE DECLARATION - DATE ADOPTED
MIT.NEG.DECLARATION - DATE ADOPTED
ENV.IMPACT REPORT - DATE CERTIFIED
STATE CLEARINGHOUSE NO.
DEVELOPMENT REVIEW COMMITTEE HEARING DA
APPEALED
BOARD ACTION
APPEAL HEARING DATE_
COMMENTS FOR PLANNING DIRECTOR'S REPORT
ASSIGNED TO
RECEIPT NUMB
LD 1005 (11/92)
DIS
BUILDING DIVISION
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES r
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (916) 538-7541
AGRICULTURAL BUILDING EXEMPTION PERMIT
PE%OIT NO.
Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm
implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human
habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a
place used by the public.
ASSESSOR PARCEL NO. &4-&-7- 19
ZONING A Q yn K 3
OWNERPHONE
"Tliq 6 2U p , 13U 2C 6SS + Js� SET
NO.
$'13 - 242fo
OWNER'S ADDRESS 1459 I 5LYWAY I MA6ALtA °15954
LOCATION OF BUILDING 14591 sr`Y u1AL? , MA6A(JA
USE OF BUILDING �r/� Ic
STo r V ct c tr d- titi, e— U.S C9 'v
SIZE OF STRUCTURE ) p
) 10 X SO. FT.
TYPE OF CONSTRUCTION:
WOOD FRAME _,-K- STEEL CONCRETE OTHER (Specify)
TYPE OF SIDING P)
I
ROOF COVERINGG5 -
r
FLOOR TYPE
ESTIMATED COST OF CONSTRUCTION
$ 5,000,60
AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances
as follows:
FRONT %-- - SIDES /0 ` REAR lc�
AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields.
AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a
mobilehome, and 23 feet from a commercial building.
AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a
mobilehome, and 40 feet from a commercial building.
AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation
USGS Datum.
I declare under penalty of perjury that the building will be used as stated above and the purposed use conforms with the AG
Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain
any necessary permits, inspections, and approvals to comply with the require -in effect at that time and before occupancy.
Date 911,9,19S
Permit Fee - $50.00
Receipt No. IZ5949
Signature
The above described AG Build ng is exempt from a bu
Manager Building D' 'on
By Date
White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant
FLOOD
PARCEL
P.D.
ROOFING
ISSUE
,
Manager Building D' 'on
By Date
White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant
r�Y..
COUNTY OF BUTTE AEPARTMENT OF PUBLIC WOF1 - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541
PERMIT:A I LICATION DATA SHEET
OWNER A.,p. No. -(°%0-- 0)9
Proposed Building Use Building Inspector I Date 9129
At time of permit application, I was advised the a following data must be submitted prior to permit processing and/or issuanca:
\, 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). .. .. .
Pre -Inspection request --
20. Pre -inspection for 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. y
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 . ......................................
an check list. .... .
33.
34.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at e- Deliver with inspector.
Other
Parcel Creation �9 �2
Acreage A pN Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
By
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 -mail 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
RESIDENTIAL ,3 3
64-67-19 -
1713-90B,P;g,M
I
`TI�ORUP Burgess
14591 Skyway,'
Magalia
�(new single family)
r
r
OFFICE COPY
Address
--------------
GAS /�j
Meter By!� Date
E
me—ter By ate
�y
ELECTRIC
Meter By L4 Date Z• o. f�
JOB FINALED (Date)
Signature 01
J=OK ,
O = Not OK
- = Not.Applicable
= Not Ready 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. 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)O G;pept #'s
1. Zoning Requirements -Setbacks -Easements r
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.-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 -Mash
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 (Pians) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.;Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
'8. Elec.; Grounding; Equip. w/5' Circulating Equip -Pool Lghtg.
Boxes-Enclosures-Panelboards- Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
✓=OK
O = Not OK
-
Not Applicable RESIDENTIAL (Single & Duplex)
= Not Ready
Date UND - LOOR Plans OK except #'s
. Z ng -Setbacks -Easements -Slope
tg. ain; Soils-Elec.*nd.-/ Fig. Depth
tg., Garage; Soils-Steel-Elec. Grnd.-/ ' Ftg. Depth
4. Ft orches & Decks; Soils -Steel-/ /Ftg. Depth
Date FRAMING (Continued)
4 a gers-Post Caps-Anchors-Coectors
4 Ing. Joist-Rftr. ties-Purli oof Brac-Truss-Shthng.-Rfng.
47. F' place Ties or TyplK Flue -Fireplace Throat clearance
AttWAccess; Size & Romex Protection -Draft Stop -Ins. Baffles
t walls, Main; Steel-Blockouts-Wrapped
AolSternwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
iers-Fireplace Ftg.-Steel
W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. Gas Pipe; Size -Anchors
lu�later Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
M3. Pienums-&-Ducts; Clearance -Material -Support -Ins.
ALJ
L/9 C ex/ - %U c, V 1-140, v k . I N„�.
B_
Date 4;Z- =rd 2:L Date Card B /
Date PL GING (Permit) K except #'s
1r Water Htr.; Vent -Access -Combustion Ai aff
1 ter Pipe;_ Test & Anchor -Nail Protection
1 est -Fittings & Anchor -Nail Protection
Shower Pan; Test, First Floor -Tub Access
20. T t Tub & Shower, Second Floor -Tub Access
Gas Pipe; Size & Anchors
Date Card B-1 Date Card B-1
Date! fCard B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except #'s
2i'Fixture & Transformer Clearance -Ins. Protection
2 . Elec. Receptacles Spacing -Lights & Switches at Doors
2 . Si Boxes & No. of Conductors -Stapled
2 . omex Installed Close to Edge of Studs & C.
Equip. Ground made up w/Mech. Fastner Bond
2 ppliance Circuts in Kitchen & Conductor Size/GFI
28. Subfeed Wire Size /Z�.pa. Cu or AI- .C. Wire Size / / ga.
Cu or Al
2 Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
In fated Neutral ❑ Yes ❑ No
Se vice -Riser Conductors & Ground -Main Disconnect
quip. Clearances Panels-Motors-Mech. Equip.
thes Closet Light -Shower Light -Spa Light
Smoke Detector
14
Date , �j Card B-1 Date Card B-1
Datej o Card B-1 Date Card B-1
Date MEC NICAL Permit OK except #'s
A. ucts Insulation & Support
3800'Vent 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 Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FRAM (Plans) OK except #'s
3 Si , Proper Material & Anchors
s Studs -Nailing, Spacing & Bracing -Plates -Sound
4 . aring Walls over Girders & Floor Nailing
Dr top in Walls (rat proof)
43 it tops; Furred Ceilings -Stairs -Chases -Tub
44 eaders & Beam -Size & Bearing
Windows or Exiting Doors -Sill Hgt. & Dimensions
Fire Protection Framing
ty Line Firewall & Openings
)ors -One T -Check Garage -3rd Story, Exits
Width -Headroom -Rise -Run -Landing Fire Protection
td on Roof Overhanq-Attic Venfs-Ra errOutriggers
Vents-Underflr. Access
Glazin Area -Glass Protection -Skylights -Plastic.
58. V,4ar Walls; Nailing -Bolts
15vInsulation-Walls-Ceilings
60. Infiltration -Walls -Windows
Date /Card B-1 ate Card B-1
Date '/' Card B-1 Date Card B-1
Date FINAL Plans OK except #'s
Ext. Steps -Door & Sidelight Protection -Landings
6ySmoke Detector
6:1.,Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
B4!Bedroom Exiting
eltyb.F.1. & Bath Fixtures & Tub Acce -
Qk-Elec. Trim & Subpanel; Breaker Sizes & Labels
jlt-Stairs & Rails
0-r1replace or Stove; Clearances -Hearth
69. Elec. Outlets at Wood Panel; Int. & Ext.
Kit. ixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
peeq-,655e�i & Receptacles at oun IX,
Garage Fire Door; Swing -Landing -Closer
--73. A.G. Duct in Garage -Damper
&f/Wtr,,"fr.; Vents -Clearance -Comb. Air-Connector-P.P
In Garage; Above Floor-Mech. Protection
7y. Plb., Elec. & Mech. Equip. Listed for Location
7 lec. Receptacles in Garage; (G.F.I.)-Romex Peotection
7y. insulation -Foam -Looked in Attic Q:Yes
78. Guard Rails & Deck Construction -Post Caps
79efdn. Vents & Crawl Hole. Door- Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
80. Following instld.; Drive 0 Yes O No; Walks ❑ Yes 13 No;
'Planters es 0 No
Stucco; 8 ? wn-Finish
4*7 82. A. Unit; Disconnect, Electrical, Plumbing
83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to
Openings
84. Water Well; Disconnect, Electrical, Plumbing
8§,,Exterior Elec. Trim; G.F.I. Receptacle -Underground
86. -Ventilation Throughout House
8 I Pro tion
Correc ' ns from Pr vious Inspections
89/6as s Tagged; Gas -Electric
98!Water & Sewer Connected -C/O to Grade -HD Approval
9 nergy Compliance Certificate -Other Certificates
Date r ii Card B-1 Date Card B-1
Date Card B-1 C ,5_4 Date Card B-1
Date a/,# ZZ Card B-1 G 5 J Date Card B-1
Comments at Final:
(NOTE: An entry must be made each time you visit job site)
0
Owner—�' S Permit No.
ENERGY CERTIFICATION
LOCATION A.P. NO.
DESCRIPTION OF INSULATION
ROOF
MATERIAL BRAND NAME
THICKNESS THERMAL RES.
EXTERIOR WALL
MATERIAL FIBERGLASS BRAND NAME CERTAINTEED
THICKNESS THERMAL RES.
CEILING
BATT OR BLANKET TYP 6Aa"'fs BRAND NAME CERTAINTEED
THICKNESS I 1=Y1 THERMAL. RES. o
LOOSE FILLTYPE INSUL=SAFE IIIBRAND NAME CERTAINTEED
THICKNESS VZ 117- . THERMAL RES. 30
FLOOR,ELEVATE.D
MATERIAL FIBERGLASS BRAND NAME CERTAINTEED
THICKNESS e..,( , THERMAL RES.
FLOOR, SLAB
MATERIAL BRAND NAME
THICKNESS THERMAL RES.
WIDTH
FOUNDATION'WALL
MATERIAL BRAND NAME
THICKNESS THERMAL RES.
I HEREBY CERTIFY THAT THE ABOVE INSULATION WAS INSTALLED IN.THE ABOVE
BUILDING IN CONFORMANCE WITH THE STATE OF CALIF. ENERGY REQUIREMENTS.
SHASTA INSULATION INC. #530235
FIRM WNER STATE CONTR. LICENSE NO.
hereby c6 .
rtify the above insulation and all required items as shown
on the Building Depart. approved, plans and attachments have been installed
as required by the State' of California Energy Requirements.
All equipment, devices and materials are of the quality prescribed or
are specifically approved by the State of Calif.
FIRM.NAME/OWNER (PLEASE PRINT) STATE CONTRACTOR'S LICENSE NO.
SIGNATURE OF GENERAL CONTRACTOR/OWNER DATE
This certificate must be on file with the BUILDING DEPARTMENT prior to
final inspection approval and a copy shall be posted within the building.
JANUARY 1984
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 538-7541
747 Elliott Road, Paradise — Phone: 872-6307
CORRECTION NOTICE
%'Hone
OWNER
PERMIT NO.
A routine ' spection indicates that the following violations of County Ordinance
exist a he above address and should be corrected. Please notify this office
whe correction of work is completed. If you have any question pertaining to this
ter, or need additional explanation, please contact this office immediately.
'-eXtten��ti cVeC� Sc' n- M Sre�
Irxt`Tfgi-
L � /
Date � �( Inspector
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS.
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 538-7541'
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
OWNER
PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
Date / Insp ector�j
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
3y 3 -7G
PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
Date—✓� / / Inspector2�!/
r
i
ell
Date—✓� / / Inspector2�!/
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
'T HO g3 �
OWNER
17/3-50
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.
1r-0fiz- I S-0 f-'�91<i ter-/ F i rfi
oe-i I-- P CAS �izoe L✓, /�
b e R e G2v, d F,->
,�Rc /p, -C s rp�-
-4, p
Date �� os,
Inspector �,
I
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 538-7541
747 Elliott Road, Paradise — Phone: 872-6307
CORRECTION NOTICE
l,213 ?d
PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
Date `/ 5 J �� Inspector
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
P
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
Date/—! / �� Inspectors
r•-... h,.�•�,..^+..,nr^�F..<:.`"r�...r?'Y"'�.r•r�`F--`�""x't-•-.�7rc'
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
RRECTION NOTICE
OWNER
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 rrection of work is completed. If you have any question pertaining to this
mat , or need additional explanation, please contact this office immediately.
r,
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
=y t
'1'96 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, OroviIIe — Phone: 538-7541'
747 Elliott Road, P.arad�e — Phone: 872-6307
CORRECTION NOTICE
7-&o C'&
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, cr need additional explanation, please contact this office immediately.
C)'-1 rl'-"
.�
0,111 ycr cf is
_y y Dayfe - Inspector —
�
LI
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
_Iz 7 County Center Drive - Orovllle, California 95965 - Telephone: 916/538-7541 3_
APPLICATION'AND PERMIT i
ASSESSOR PARCEL NUMBER
64-67-1
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
Q: OCC. BUILDING
SFT.
QS
52-: R 57
/VALUATION
�7' �/ U•
OWNER'S MA"Ur INC ADDRESS
14223 Sherwood Cir- Magalia 95954
`'FOV Cov
0p
4-960 S`d Q
CONTRACTOR'S NAME
pwnpr
TELEPHONE
*4@ M
�
6,804 y 5 V
CONTRACTOR'S MAILING ADDRESS
Fireplace A
1,000 E
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ -142,6 -V4
.0
Filing Fee
$ 10.00
LENDER'S MAILING A DRESS
Chi ro
Permit fee
ARCHITECT OR ENGINEERLICENSE
NO.
Plan Checking Fee
Energy Plan Checking Fee
$ 15.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
145Q1 Skyway
Permit fee
VJ-J. Tf
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
15 2,00 30.00
Solar or heat pump water heater as
20.00
LOT NO.
SUBDIVISION NAME
EL MAP
rk
Water piping
5.00 5.00
Each pas water heater or vent
5.00 5.00
USE OF STRUCTURE
SFX❑X Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00 5.00
Building sewer
5.00 5.00
Mobile Home S I G I IN
10.001
TYPE OF WORK
New [� Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑
Describe work: 4BR
Permit Fee
$ 60.00
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 1011 OR LESS
100 AMP OR LESS
10.00
10-00
Main service EA. ADD -L 1
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.
�j 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
OR ACDNS. ACC. BLDG
'-
NEW CONSTR. MULTI.OUFLET
NON.RESID BRANCH CIRCUIT
2.50 ea
POWER APPARATUS &)
SINGLE OUTLET CIR.
Ex. Occup OUTLETS OR FIXTURES
e20050a
AL030
FIXED APPLNS, OR
Ex. Occup. OUTLETS IRESID.I EA.1
2.00
Temporary service
10.00 10-00
Mobile Home Facilities
15.00
Misc. Iyirin g
15.00
Permit Fee
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department�'
a Certificate of Workmen's Compensation Insurance or a Certificate
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 over 100,000
7.50
171 E U�
Cooling over 3T
11.00
Hood
3,00 3.00
Ventilation
4 3.00 12.00
permit Fee
$ 43.50
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 'ndemnify and keep harmless the County of Butte against
all Iiabilitie gments, costs, d expenses which may in any way accrue
again in cons n e of the granting of this permit.
S-. ) c-' c76
Date
Si nature pplicant - Ownerp Co actor ❑ Agent ❑ � .2-
An permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.Z
Mobile Home Installation Fee $
Energy Inspection Fee $ 30.00
CCor-TAI
WPE
- 1
TOTAL FEE $
A
HAz
CUA
PARK
r o
PAR
PD
IssuE
This permit is hereby issued under
sions of the Butte County Code and/or
indicated above for which fees
O OF P BLIC
�VaE.C.
ByDate
ERMIT XPIRES D
the applicable provi-
resolutions to do
have been paid.
WORKS
Receipt No. - _ O 6�/Zz
WHITE-D.P.W., TELLa A ES K -INSPECTOR, GOLDENROD -APPLICANT tt Q
OF BUTTE - DEPARTMENT OF. PUBLIC WORKS - BUIL"DfNG DIVISION
7 COUNTY CENTER DRIVE - OROV4 tGAI: ORNIA 95965 -,TELEPHONE: 916/538-7541
PERMI�_APPLICATION DATA`S LES
OWNER R (A #- Q es1 0.,- t,� f� � A. P. No.
Proposed Building Use Building Inspector Date S ..2 9— /�C)
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: .
DATE RECEIVED APPROVED
1. All items have been submitted . ....................................
2. Plot plans in duplicate/triplicate, signed by preparer of plans ........
3. Complete plans in duplicate/triplicate, signed by preparer. of plans . .
4. Complete engineered plans and calcs, with wet signature on plans ..
5. Hazardous Material Form ..........................................
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC Buildings ..............
8. Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturer's installation
instructions ....... p-�..................................... .
_� 4k.. Fees of $ ! ........................
11. Chico Urban Area fees paid .......................................
Park fees paid ....................................................
Pa C -ad" i2 Sool District fees paid ..............-019
4. Sanitation approval from �r 0 01 1 L -C Health Department d
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: ......
Improvements may be required. Contact Land Development Section DPW
11 19. Driveway permit (construction approval required prior toloccupancy)
20. Pre -Inspection for required"... Pre-Inspec. request to
Building Inspector (Date)211 Contractor's license information (No., Name Style, Classifications ...
Certificate of Workmans Compensation InsuranQe ..................
L';43. Owner -Builder Verification (Given to owner lff' Mail to owner 0) .... a
24. Recorded copy of Agricultural Acknowledgment Statement
Letter of sl natur�9 thorii tion ..
26. add , M5 60 i ;\ ............................. 1,Q 12 90 P v
27. 1
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
_ Telephone 97?-1*S_.;2 and hold for pickup at office. Deliver w/inspector.
Other
Applicant Date
Copy of Haz-Mat form sent Health, Dept. Fire Dept. Air Pollution Date "
Copy of plans sent Health Dept. Fire Dep Other Date By
The following data must be submitted pripIr to
1. Index permit for above items No.
2. Additional items required:
Contractor, designer,
Contractor, designer,
Plans checked
Copy—DPW
issuance: (Circle new item not checked above).
was advised of above required data by_phone__rnail_counter byj&_.date ZS
, was advised of above required data by—phone _maII —counter by date
" _ Dat��ZS i�L�r,�F�y y p fW6d by (' AYQZ, Date 5�� �1—
Sets of plans on hold in File cabinet AP folder
� f T0: Building Department
FROM: Encroachment Permit Section
RE: Driveway Clearance
c�iovi
owner toa
�`/ - G 7- /y
AP #
Driveway permit �QiO 708 has been issued for the above property..
yo
date
s i ature ;._.: =._v-
TO Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
u J
'� /2
--A"—g4/70�wner Location AP#
Plan Approved for:
Hold final for:
Sewage Disposal �� Water Supply
Final clearance O.K., for: .
Clearance for bedroom mobile h e. Other
NOTE * * *
Water Supply
Water Supply
SSP Date
Sanitarian
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBERING
—67-
1-
BUILDING PERMIT
OWNER
/
�SDDR
TELEPHONE
ZyZb
SO. FT. OCC, BUILDING VALUATION
r /-30,000
OWNER'SMAIL ESS
2 �"40CA
2 - r,d GIr c/Y .�
6-
yS,6 O
CONTRACTOR'S NAME
K (—
TELE H NE
CONTRACTOR'S MAICTNADDRESS
Fireplace
CONSTRUCTIONS LENDER r
UNKNOWN
Total Valuation $ �, 6
Filing Fee
$ 10.00
LENDER'S MAILINGADDRESS�R
`
Permit Fee
$ 0 r�
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 2 7o �,•�
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$ 3Is " S
PLUMBING PERMIT
FllingFee 10.00
Each Trap
2.00 ,3 0 "—
r
Solar or heat pump water heater ,�
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00 S
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other SPECIFY
Gas piping system 1 - 5 outlets
5.00 S
Building sewer
5.00 �—
Mobile Home S I G I W
10.00 e
TYPE OF WORK
New)d Addition❑ Remodel❑ Utilities❑ Installation❑ Other
Describe work: _
41-4'eals
Permit Fee
$ 6
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00 oe O ¢
Main service EA. ADD'L 100 AMP
2.50 Z
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"
OR ADDNS. ( ACC. BLDGS.
2h¢SQft
NEW CONST" U TI.OUTLET
NON•RESID BRANCH CIRC ITS
2.50 ea
POWER APPARATUS &)
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
20LO @•J30Ot
A
FIXED APLNS.e
Ex. Occup. OUTLETS IPRESID 1REAJ
2.00
Temporary service
10.00 /� o
Mobile Home Facilities
15.00
Misc. >Virin 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
E] 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 10.00
Heating Q—
1 7 A -9—
141 -A
Cooling r
Hood
/ 1 3.00 3 02?
Ventilation
!7, — j2�_
Permit Fee
Contractor
I certify that I have read this application and state that the above information
is correct. 1 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.
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 $ 3
occ
CONST TYPE
TOTAL FEE $ l0 9y-�
E
HAZ
CUA
PARK
SCHL
PAR
PD
HD
ISSUE
Th'.s permit is nereby 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
dot
Receipt No. 32S ?e, 6 9 0a
WMITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - department of Public Works
7 County Center Drive, Oroville,•CA 95965 Phone: 916-538-7541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An 'owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction of
the proposed property improvement {yes or no)
2. I (have/have not) Vl�igned an application for a building permit
for the proposed work.
ZxI have contracted with the following person (firm) to provide the proposed
construction:.
Name
Address City
P one Contractors License No.
I plan to provide portions of this work, but I have hired the following person
to coordinate, supervise, and provide the major work:
Name
Address City
Phone Contractors License No.
I will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name Address . Phone Type of Work
Signed:
Property Ow er
Social Security Number
Date <- - _moi
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and.returned to our office before we are per-
mitted to issue the permit.
C
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
3437-90
ASSESSOR PARCEL NUMBER
64-67-19
ZONING
- '
BUILDING PERMIT
OWNER
Bur ess Thoru
TELEPHONE
_
SQ. FT. OCC.1 BUILDING VALUATION
896
4.480
OWN2ER'S M23 A I LING ADDRESS /� T T _open
wood Circle MAGALIA .�AME_'`� \�
CONTRACTOR'S
Owner
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 1000
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 25-25
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS 14591 Skywny
Permit fee
$
PLUMBING PERMIT
Filing Fee 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 G W
10.00e
TYPE OF WORK
New ❑ Addition kl] Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work: _ covered & open decks _
RE' #1713-90
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service sOOV 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.SINGLE
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 contrac
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. I DWELLING OCCUP.tr
OR ADDN5. C ACC. BLDGS.
2/,z2sgft
NEW CONSTRULTI.OUTLET
NON.RESID BRANCH CIRC ITS
2.50 ea
POWER APPARATUS &)
OUTLET CIR.
Ex. OCCU OUTLETS OR FIXTURES
P
200300
eAL03o
FIXED APPLN S.
Ex. QCCUp. OUTLETS ((RESID,)REA.)
2.00
Temporary service
10.00
Home Facilities
Mobile Home
H
15.00
Misc. 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
z Certificate of Workmen's Compensation Insurance or a Certificate
I Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
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 ' gnr�nls, costs d expenses which may in any way accrue
agains ounty in con ce of the granting of this permit.
�G 2, 9�
/
Signat Applicant — OwnerW C t actor ❑ Agent ❑
HA permit is required for excavations er 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 $ 85.25
HAz
CUA
--
PARK
SCHL
FLD
vo"
PAR D
HD ISSUE
This permit is hereby issued under
sions
sions of the Butte County Code and/or
work indicated above for which fees
DI OR BLIC
BY
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
/
Date
Receipt No. 2-Q S9 /
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
J COUNTY OF BUTTE - DEPARTMENT OF PUB IC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLCE, CALIFORNIA 5965 -TELEPHONE: 916/538-7541
w
PERMIT APPLICATION DATA S.HEFT'
�-s �' Permit No.
OWNER //1H%�Q J� A. P. No.
Proposed Building Use /OdAa^� rc- • i(/eC ` Building Inspector GS`J Date
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuancs:
DATE RECEIVED APPROVED
1 oAll items have been submitted. .....
2. Plot plans in duplicate/triplicate, ed b reparer of plans ........
3. Complete plans in duplicate/triplica e, 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 ....................................................
School District fees paid ..............
':::6W4.Sanitation approval from e2!2AR-D/5-Health Department
15. City of Chico plumbing permit .....................................
16. Plot plan and business license approval from City of
(see City for other requirements) r
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
21. Contractor's license information (No., Name Style, Classifications ...
22. Certificate of Workmans Compensation Insurance ..................
23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .....
24. Recorded copy of Agricultural Acknowledgment Statement .........
25. Letter,of signature authorization ...................................
26.
27.
When you issue the permit, process as follows:
Telephone and hold for pickup at
Other
-
F -11
ail to owner. Mail to contractor.
off i.ce. '' Deliver w./inspector.
Date O - 2—
D
Copy of Haz-Mat form sent Health Dept.ire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.- cl�z
2. Additional items required:
Contractor, designer, owner, was advised of above required data by_phone---nall—counter by ..date
Contractor, designer, owner, was advised of above required data by—phone—mall counter by date
Plans checked by Date Plans approved by Date,%d
Sets of plans on hold in+e File cabinet AP folder
Copy—DPW
TO Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Lj Owner Locati n AP#
Plan Approved for: Sewage Disposal Water SupplyK-
Hold final for: Water Supply
Finkl clearance O.K. for:
Clearance fort bedroom mobile home.
NOTE * * *
Water Supply
Other 72')e.30 t cleGk
_i_ ��'2
Sari Date
7 County Center Drive - Orovllle, California 95965 -Telephonr L-10,11 I Ito. 916/538-7541 7/` Cyd)
APPLICATION AND PERMIT
A Z�rr lrr:
ER
�- / 4 BU1LD11113 PERMIT
TE 7E , E SO. FT. OCC. BUILDING VALUATION
V 5 S T C� v e 73
ER'S MAILI G A DREss
l 22 ��. uoorij C �/�► s4u9 01,11/ S6 L7
TRACTOR'S NAM TELEPHONE
by -J G.i
TRACTOR'S MAILING ADDRESS
I CONSTnU
S MAILING ADDRESS
AIIr:I11rECT Off RNGIN
"AiiciiiTEE fi6R'iNoiNeiR:i PA!L r•io A5&itt
_;6iI'.6ilia �665'i
E
UN
LOT NO. SUBDIVISION NAME PARCEL MAP
USE OF STRUCTURE
SF Q/ Duplex❑ Mobilehome❑ Differ
SPECIFY
TYPE OF WORK
New❑ Addition Remodel❑ Utilities[:] Installation[:) Other❑
Describe work: Q J t SP -,J 0a4r-A ' Akde1L. 92, 1223-90
Fireplace
Total Valuation $Z,
Filing Fee
Permit Fee
Plan Checking Fee
Energy Plan Checking Fee _
Penalty
Permit fee
PLUMBING PERMIT
Each Trap
Solar or heat pump water heater
Water piping
Each qns water heater or vent
Gas piping system 1 - 5 outlets
Building sewer
Mobile Home I S I G 1W
Permit Fee
Contractor
ELECTRICAL PERMIT
Main service ioao AMP On LE53
M I I
CONTRACTORS LICENSE LAW
declare under penalty of perjury (check one):
❑IJON.RESID
I ant licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is -in lull force and effect.SINGLE
License No. Classification
❑ 1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not Intended or offered
for sale. (Sec. 7044)
1, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ 1 am exempt under Sec. Business and Professions Code
for this reason
a n sery ce EA. ADD -L loo AMP
OCCUP.&)
NEW CONST. ( DWELLING OR ADONS. ACC. BLDGS. I
REW CON5TFL T.IULTI.OUTLET
SnA NCH IRC 1T3
POWER APPA" ATUs a
OUTLET CIR.
Ex. Occup(OUTLETs OR FIxTUn ES
FIXFD APPLr1S. OR
Ex. Occup. OUTLETS IRESIO.) EA.)
Temporary service
Mobile Home Facilities
Misc. 1Yirin g
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 Sell -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 alter 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
Heating
Cooling
g
Hood
Ventilation
—
Penult Fee
Contractor
I certify that I have read this application and stale that the above information
Is correct. I agree to comply to all County Ordinances and Stale Laws relating
to building construction, and hereby authorize representatives of the Counlyot
Butte to enter upon the above-mentioned properly for Inspection purposes.
I also agree to save In emnify and keep harmless the County of Butte against
all liabilit gmenls, costs, and expenses which may in any way accrue
:gal n cons a of the granting of this permit.
Date /0 , 2 `? Q
Signage of icont — Owra
ner C clor ❑ Agent ❑
An OSI permit Is required for excavations over 5'0" deep and demolition or construct-
ion bF structures over 3 stories in height.
Mobile Home Installation Fee
Energy Inspection Fee
OCC I cgNST TYPE
Z r
$ 10.00
$ S'
$ Lr z
$
$
FllingFee
_ 2.00
_ 20.00
5.00
_ 5.00
5.00
5.00
10-00e
S
Flling Fee
10.00
2.50
21/:0sq It
2.50 ea
2.00
10.00
15.00
15.00
5-21
10.00
10.00
�CI.PZTIK
TAL FEE $ 2S-
HASCHLI FLD I PAR I PO I HD I 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 lees have been paid.
DIRECTOR OF PUBLIC WORKS
Receipt No. 7 0 3 5 % i By Date
WnITE•o.r.W.. TCLL0w-A3eE330R. 1'114KAN9PECTOn. CoLDENnoo•APPLICANT PERMIT EXPIRES Date
X1
rV
,i
11
W-)TE:—All MMcterials & Workmanship Shall Be in
Accordance wl-%r
"i
' Recognized Good Practices and
of a qualify prescribed for the Specified use in As
i niic rE�a Building, Plurn6ing & Mechanical Codes and
fie %;Bona Elecl•rical Code.
. This. set of planc and sp^cifications >ALTST5
kept on the job at all times and it is unlawful t<
make any changes or alterations on same with
out written permission from the Department of
Public Works, County of Butte. d
1 1
,
J 1
/iia c•
0
A setback of 5 ft. from the
Properly lines and a setback of '
.t;n ft frnm *k-
:t
5/89
RESIDENTIAL PLAN CHECKING GUIDE.
MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONY D) ZI 5
� S,
xterior plaster - weep screeds (Sec. 4706). 77
roper roof pitch for roof covering (Chapter 32).
).
ter ties or bearing ridge beam.
arage door or porch header sizes.
Adequate bracing.
a complete 1 -hour separation required on garage side
including supporting walls and posts, etc.
zits— _ .L="tory dwellings (Sec. 3303 & see Mezannines - 1716).
PT. Attic access and ventilation (Sec. 3205).
vent' �T6-j-.
1K Combustion air for fuel burning appliances.
ois up1exes.
1 foundation design.
ng wrtts r n.
&tusMal shape, size, or.split level house requiring lateral design.
. Flashing at all exterior openings.
6-
F-40�' (�-5>
Wit- iw fes/ . ,� -►�c✓u ? AF
L� a
a
-7® i,
P/? v,A)
Y
* t. 4 5/89
RESIDENTIAL PLAN CHECKING GUIDE
(S.F., DUPLEX & MISC. ONLY)
OWNER E S
GENERAL
oning requirements: (sideyards
tion.
lans signed by designer.
E esign and Compliance.
on—
preger-ty.
Items on data sheet.
Bldg. Per it # 1713- 9y
2 A. P. # V 7— /�E
and number of permitted living units).
PLOT PLAN 0 fN
mplete parcel size and dimensions.
Setbacks, sideyards, easements,
3.—0ther-bui-ld-rrgs—o—r str-act-ures-.
s; dTainage.
Ic conditions on creation
FAU & FAS road setback.
etc.
map or compliance document.
FLOOR PLAN
. �__plete to sca e lan with dimensions.
equired windows for light and ventilation (Sec. 1205).
Requ' d windows for second exit (Sec. 1204).
S=mSpaMtglass
pter 34 & Sec. 5207).
=iman (Sec. 5406).
�7.
00m sizes, ceiling heights (Sec. 1207).
C/ 2
r�
8! Lim-Is baths, garage, and exterior outlets (Article 210-8).
fixtures, switches, receptacles, and exterior receptacles for maintenance
mechanical equip
Locations of wa heater, inQ and cooling equiome other eller or
equipment, and plumbing fixtures.
,Garage firewall, door size, and closer (Sec. 503(d)(3)).
V- 3'0" exterior exit door (Sec. 3304(e)).
i.replace and wood stove location, alcoves, and clearance.
.. Smoke detectors (Sec. 1210).
STRUCTURAL DETAILS
.undation plan complete enough to construct building.
V. ,FYoor construction details complete enough to construct building.
$/ovations and wall construction details complete enough to construct building.
4/ Roof construction details complete enough to construct building.
5.
MISCELLANEOUS ITEMS TO LOOK OUT FOR
a r landings, rise and run,
ai s (Sec. 1711 & 3306(j)).
Brick or stone veneer (Chapter 30).
head clearance, handrails (Sec. 3306)_.i---,,
BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM.
(One Form per Building)
A. P. Number 4e-/ -6 17- jq Building Department No.
School District �'Qr-p��C-4 City = County Jurisdiction
I
Property Owner
Project Location/Address ty 5�9� Ae
/
Subdivision Lot Number
Residential Development: a
Sq. Footage s2 co
# of Qg MHI Addition (Group R)
Units
Commercial/Industrial: a Sq. Footage
New Addition (Including Exterior
Roofed Areas)
Building Department Representative Date
*******************************************************************
(Floor Plans reviewed by School District Personnel)
District Id No. (7O
- AA - I .
T6Uk,J._./J(,1AX ( FJ1XtJt-0ff School District certifies that
(dApplicant Name) (Phone Number)
(Street Addres"s")
144 -41S,01 A
q10
��
(City) 4 (State) (Zip Code).
has complied with the requirements of Resolution No.
by the payment of $(�`1D. representing 3��Q square feet.
�� 0 G®6 1)
School District Representative C Datle"
PAID BY CHECK NO.
BANK NO q 0 -77030
PAID BY CASH
REMARKS:
white -applicant, yellow -building department, pink -school district
SCHOOL.FEE (8/88)
T
Return-to*'Drw AGRIC��JLT AL STAT MENT OF ACKNOWLEDGEMENT
FOR RESIDENTIAL DEVELOPMENT
Seetion 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
90-423294
to land or included within an area zoned
for agricultural purposes, and residents
Recorded
of this property may be subject to incon-
official Records
veniences or discomfort arising from the
County of
use of agricultural chemicals, including,
Butte
but not limited to herbicides, pesticides,
Candace J. Grubbs
and fertilizers; and from the pursuit
Recorder
of agricultural operations including,
12.49pm 5 -Jun -90
2
90-231:294
Rec Fee
Check
7.00
7.00
BG 2
but not limited to cultivation, plowing,
spraying, pruning, and harvesting which
occasionally generate dust, smoke, noise, and odor. Butte County has established agricul-
tural zones which have as a priority use for productive agricultural purposes, and residents
within said zones and on adjacent property should be prepared to accept such inconvenience
or disconform from normal, necessary farm operations.
All that real property situate in the County of Butte, State of California, described as
follows:
'DESCRIPTION ATTACHED HERETO AS EXHIBIT 'A' AND MADE A PART HEREOF'
Date: May 31, 1990
State of California )
County of Butte )
C,�
No. "U/ / Notary Public
M-0
On this the 1st. day of June , 1990 , before me,
SS. the undersigned Notary Public, personally appeared
L. Burgess Thorup
Personally known to me. [1 Proved to me on the basis
of satisfactory evidence.
to be the person(s) whose name(s) is
subscribed to the within instrument and acknowledged that he
executed the same for the purposes therein contained. IN WM ESS
WHEREOF, I hereunto set my hand and official seal.
Present A.P
C
OF�OOF Vop pCU
✓U� � C Iq, AF
DEPTOOF P OR eUrrc
UE?i.lC WORKS
JUAN 14 1990
DESCRIPTION
EXHIBIT 'A' 9 0- 2 3 2 9 4
All that certain real property situate in the County of Butte,
State of California, described as follows:
Being a portion of the Southeast quarter of the Northeast quarter
of Section 23, Township 23 North, Range 3 East, M.D.B. & M.; and
more particularly described as follows:
BEGINNING at a point in the East line of said Section 23, which
point lies South a distance of 330 feet from the Northeast corner
of said Southeast quarter of Northeast quarter; thence at right
angles, West 350.00 feet; thence at right angles North 165.00 feet
to a point in the South line of the parcel described in Deed to
Chester A. Eddy, et ux, recorded April 7, 1954 in Book 714 of
Official Records, of Butte County, at page 13; thence along the
South line of said Eddy Parcel, West, a distance of 970 feet to
the Southwest corner of said Eddy Parcel; thence at right angles
South, a distance of 23.1 feet to a point at the Northwest corner
of the land conveyed in the deed from Anna M. Roberts to Davis S.
Webb, et ux, dated October 29, 1942 and recorded in Book 306 of
Official Records, at page 90, records of Butte County, California;
thence Past along the North line of said Davis S. Webb et-ux Par-
cel, a distance of 1320 feet to a point on the East line of said
Section; thence at right angles North, along said East line of
said Section 23, a distance of 66 feet to the point of beginning.
EXCEPTING THEREFROM all minerals and mineral rights.
It
ALSO EXCEPTING THEREFROM that portion Deeded to the County of
Butte, recorded November 29, 1971 in Book 1715 of Official
Records, at page 559, records of Butte County, California • END OF DOCUMENT
May 1, 1980
County of Butte
Building Dept.
7 County Center Dr.
Oroville, Ca. 95965
Dear Sirs:
Daniel G. Wentland
8675 skyway
Paradise, Calif. 95969
As per your request, this is a note stating the usage
of the garage being built at 14591 Skyway, Magalia.
This garage shall be used strictly for personal storage
and/or parking. I have no intent of using it for public
purpose such as retail outlet, space leasing etc. Our
purpose in procuring the property is for maximum personal
privacy.
Sincerely you 's
Daniel G. Went an
slr
0861 9 Avw
sAaoM onand 40 'ld3G
aline d0 ALNnoo
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville,i azg03rt1a 95965 - Telephone 916/534-4541
APPLICATION AND PERMJT -
/PERMIT NO
�L
ASSESSOR PA CEL NUMBER
6 4- & 17 --19
ZONING
BUILDING PERMIT
OWNERTELE
EasT L W,i t=.
ONE
-V Z? -ao'72-
SQ. FT. OCC. BUILDING VALUATION
D
Z 3 D D
OWNER'S MAILING ADDRESS dd
�liw1f1•
CONTRACTOR'S NAME
LV o R
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER
NvNC—
UNKNOWN
II
Fireplace
Total Valuation $
A
IJD
LENDER'S MAILING ADDRESS
Permit Fee
$ %p
ARCHITECT OR ENGINEER
IJ 6) .)6
LICENSE NO.
Plan Checking Fee
$ Al
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ J&1Z
BUILDING
o�7JD RESS
PLUMBING PERMIT
Filing Fee 3.00
Each Trap
2.00
Repair drainage or vent piping
2.00
M
MA6Q,4g A
Water piping
f Z•od Z,00
LOT NO.
SUBDIVISION NAME PARCEL MAP
Each qas water heater or vent
2.00
Gas piping system- 5 outlets
USE OF STRUCTURE F121VATE
SF ❑ Duplex❑ Mobilehome❑ Other 6ARA6F_ 4110
SPECIFY
_1
Building sewer
Lawn sprinkler system
2.00
TYPE OF WORK
New Add ition❑ Remodel El Utilities [I InstallationC Other EJ
Describe work: A CILL7r tDF 6 &bF_C UAE
Permit Fee
$ rJ�00
Contractor
ELECTRICAL PERMIT
Filing Fee 3.00
Main service 1000 AMP OR1 OR LESS5.00
Main service EA. ADD'L too AMP
2.50
NEW CONST. DWELLING OU &IOR
A
` O
22 sq ft G
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.
ET -111 No. Classification
LTJ (, 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 CDONSTR ULT' -OUT -LET
NON.RESID. BRANCH CIRC ITS 2.50 ea
NEW CONSTR. (POWER APPARATUS &)
NON.RESID. SINGLE OUTLET CIR. /
ExOccup( OUTLETS FIXTURES 50 0250
. BAL�tU¢
EX. Occup. FIXED APPLNS. OR
p•(OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 6.25
Permit Fee
$ 4,0,6e
Contractor
WORKMEN'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
dI shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Filing Fee 3.00
Heating
Cooling
Hood
2.00
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.
1 also agree to save, indemnify and keep harmless the County of Butte against
a bilities, 'wdgrpents, costs, and expenses which may in any way accrue•-�/�
gain t said C pence of the granting of this permit.
X Date yv
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 $
Land Development Fee $
TOTAL PERMIT FEEa?
OCCUP. GROUP
M
I TYPE OF CONST.
V 0 t
PARCEL
, /
r�
PD YND
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
BY
PERMIT EXPIRES Date
the applicable to do
resolutions to do
fees have been paid.
WORKS
Date
?j'l l & .0
Receipt No.�,
WHITE-D.P.W.. YELLOW-ASSE5SOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS — BUILDING DIVISION
u,„ ��l
r 7 County Center Drive - 0roville•.-:511fornia 95965 - Telephone 534-4541
PERMIT APPLICATION DATA SHEET
Permit No.
OWNER I/ AA) VLJf`""Te-A01jb A.P. No.
Proposed Building Use A& . "ST <i(I011.1 1"h#I,�.fke a
Permit fee based upon: l Complete Contract Price DPW Valuation
.Other (explain) i A
Building Inspector r/I Date W�%
At time of permit application, I was�Iadvised 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...............................................................
3. Complete plans in duplicate/triplicate...................................................
4. Complete engineered plans and calcs.....................................................
5. Plans with Energy Design Compliance Statement ............................
6. State Energy Forms No. ....................
7. Statement of Intent for Non -Heated & AC Buildings ...................
8. Fees of $
9. Letter of signature authorization.............................................................
0. Sanitation approval from , e240 . Health Dept.... �j 171 1ST
11. Planning approval for .............
12. Certificate of Workmen's Compensation Insurance ........................
SIL 13. Contractors-Liee sn a Information (no., name style,
classification) ...............................
14. Improvements may be required. Contact Land
Development Section of Dept. Public Works (see
addressbelow).................................................................................................
Pre -inspection forre
required Pre-inspec.request to
g b d rector (date)
Other CC -7 LC S*>M P/2/ A-/ e (%-s
When you issue the permit, process as follows: ,x Mail to owner Mail to contractor.
Telephone and hold for pick-up at office. Deliver w/inspection.
Other
_1\
Applicant
Copy of plans sent Health Dept., Fire Dept., Other Dater
During the plan checking process, the following data must be submitted prior to permit issuance:
(For required items not checked above at time of applicati6ircle item.)
1. Index permit for above Items No.
2. Additional items required:
(Contractor, Designer, caner was advi ed of above required data by elephone
Mail
Other _R
Plans
Date
Plans checked by
Plans -approved by
OTHER:
Copv/DPW
)ate
Date —
1•o: Building Department
From; Environmental health
Subject: Sanitation Clearance
Owner Location 1016
/ v
plans Approved for: Sewage Disposal. t/ Water Supply
Hold final for: Water Supply
Final Clearance O.K. for: Water Supply
Clearance for. — bedroom mobil GD
Other
r
Clearance for addition of V4972'- -'_?Q
Note**
Sanian Date
Certificate of Compliance: Residential'-.*..
Project
Documentation Author Telephone
Climate Zone 11
1711-90
Buuing Ptamit g
Checked By/ Date
Enforomtew Agency Use Ordy
G ea 95Glass
.1
BUII.DING DATA North _��
ntii ' n Floor Area �_ Number of Stories Easters_
a - Number of _Units South
Ingle Family Detached (SFD) [ J Addition Alone west .
614 Skylight _
[ ] Single Family Attached (SFA) [ ] Existing Building �S=L
[ ] Multi -Family (MF) [ J Existing -Plus -Addition Total
BUELDING SHELL INSULATION
Component Insulation Locafinn/Comments
Type R -Value (attic. to garage. =iceL etc.)
Wall ..............
Wall...
Roof ........... - y
Roof ............. `
Floor .............
Floor ............. ,
Slab Edge.....,
GLAZING Shading Devices
Glazing Area . Glass Type Interior Exterior Overhang Framing Type
Orientation (SO (single, double) (roller blind, etc.) (shadescreeii; etc.) (yestno) (metaWood) .
North ( ) -=lr=
No rzh ( )
East,
East ( )
South
Sou Lh
West ( )
West ( )
Skylight.......
THERMAL MASS
Type/Covering Area Thickness. '
(slab/exposed tile. etc.) (sf) (inches) Location/Description (kitchen, bath, etc.)
Z/At"y
� - r
HVAC SYSTEMS Minimum Duct,
Type (furnace, air ' -, Efficiency Location Duct Output-' ' Manufacturer /Model #
conditioner, heat pump) (SE, SEER.HSPF) (attic, etc.)R-Value�tuh) \(or approved equal)
E
Mandatory Measures Checklist: Residential MF -1R
NOSE: Lown'se residential buildings subject to the Standards must contain these trtacatres regardless o! the ebrrnpliarurs
approach used Items marked with an asterisk (•) may be Svpersadod DY more stringent compliattce tcgttuemtruts listed
on the Cenifiexte of Compliance. when this checklist is ixorporamd into the permit documentsthe featuca noted shall
be considered by all panics as binding minimum component performance specifrations for the mandatory measures
whether they arc shown elsewhere in the documents or on this checklist only.
DEScurnoN
Building Envelope Measures
• 12.5352(a): Minimum ceiling insulation R.19 weighted avenge.
§2.5352(b). Loose fill insulation manuf3eturer-s labeled R-Valut
• §2.5352(c): Minimum wall insulation in framed walls R -I I weighted avenge (does not apply to
exterior mass walls).
§2.5352(k} Stab edge insulation - wiser absorption rate no greater than 03%, water vapor
transmission rate no greater than 2.0 permfuch.
12.5311: Insulation spocified or instilled meets Calilomia Energy Commission (CEC) Quality
standards. Indicate type and form.
§2.5352(0: Vapor barrien mandatory in Climate Innes 14 and 16 only.
§2.5317: Infdtration/Eafilt ation Controls
L Doors and windows between conditioned and unconditioned spaces designed to limit air
leakage.
b. Doors and windows certified.
e. Doors and windows wnthersrripped: all joints and peneaarions caulked and sealed
§2-5352(1:): Spacial infiltration barrier installed to comply with §2.5351 mous CEC quality
:moi
§2.5352(d): Installation of Fucplaces
1. Masonry and factory -built ftreptacu have
a. Tight fitting, closeable metal or glass door
b. Outside air intake with damper and control
e Flue damper and control
2. No continuous buming gat pilots allowed.
HVAC and Plumbing System Measures `
§2-5352(g) and 2-5303: Space conditioning equipment sizing: such calculations.
62.5352(h) and 2.5315: Setback thermostat cn all applicable heating date ts.
•
12.5316(a): Ducts constructed, installed and insulated per Chapter 10.1976 UMC.
§2.5316(b}. Exhaust systems have damper controls.
§2.5314(c): Gas -luta space heating equipment has intermittent ignition devices.
§2.5314: HVAC equipment, water heaters. showerheads and faucc s anifted by the CEC.
§2.53520: Water heater insulation blanket (R-12 or greater) or combined intuior/exterior
insulation (R116 or greater): fust 5 feet of pipes closest to tank insulated (R-3 or greater).
12.5312(Exception 1): Pipe insulation on steam and steam condensate return & recirculating
pipin6-
§2-531R(dy Swimming Pool Heating
1. System has:
a ordoff 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
'
12.53520): Lighting .25 lumcns/watt or greater for general fighting in kichcrts and bathrooms.
12-5314(c): Gas fired appliances equipped with intermittent ignition devices.
§2.5314(a): Refrigerators. refrigerator-frtcrtrs_ freezers and fluorescent lamp ballasts certified
by the CEC. Indicate make and model number.
DESIGNER I EMRC7 MEKT I '
COMPLIANCE STATEMENT
This certificate of compliance lists the. building features and performance specifications rmdcd to comply with
Title 24, Chapter 2-53 and Title 20. Chapter 2. Subct apter 4. Article 1 of the California Administrative code- This
I certificate has been signed by the individual with overall design responsibility and the building owner. who shall
I retain it copy of it and transmit the certificate to any subsequent purchaser of the building.
! Designer Building Owner
)( •- : • %�a r'q eS'S O by 4)Name: Name
Addres:g: Addaess-
Maximum Furnace Heating Output: _ Btuh
HOT WATER SYSTEMS Tank Manufacturer/Model # +�
System Type (storage gas etc) Capacity (or approved equal) - Soecial Features)
.S'G moo_
- 4
SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) =
Telephone:
tic. 1:
(signature) (date)
Documentatlon Author
Nttmc
TtkJFum:
Address:
'.�
(signature)j (date)
Enforcement Agency
Narne:
Acs
Telephone:
1. Ceiling Insulation
Single-
7, Shading (Shade Open)
East
Number of stories
-
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
40
-90
37
0.50
-176
-84
-54
0.30
-102
-49
32
0.10
-26
-13
-8
OAS
-18
-9
-6:
OAS
-11
-5
-4
0-04
-4
-2
-1
0.02
4
2
1
0.00
11
5
3
27
-52
-17
2. Wall Insulation
-2
6
13
Single-
Single -
-15
-8
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
f U -value
.i 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
5. Infiltration (AirLeakage)
Specification Points
S6-.dard . 0
6. Glass Heat Loss
TotalU-value
Single-
7, Shading (Shade Open)
East
Raised Floor
-
Insulation in Floor
Percent
Multi
--&Cave Percent Class
.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
37
-26
-14
3
8
35
-75
-29
-19
-9
1
10
• 30
-61
-21
-13
-4
4
12
29
-58
-20
-12
-3-
5 -
12
28
-55
-18
-10
-2
5
13
27
-52
-17
-9
-2
6
13
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
3
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
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 _
12
14
IS:
18
20
' 3. Raised Floor Insulation
Single-
7, Shading (Shade Open)
East
Raised Floor
-
Insulation in Floor
Stones
Multi
--&Cave Percent Class
Stones
-
1'CFA
One
Number of stories
One
Two
Three
(percent glass x SC)
-8
! R -value
One
Two
Three
-_4
0.1
-8
---
-
- R-0
-17
-8
-5
EffeCive
%Glass
North
East South •West Skylight
R-1 1
3
-2
_t
-6
3
-1
1
1 "
R19
0
0
0
18
5
1. 4
1
na
` R-30
3
1
1
16
4
2 5
1
na
' U -value
3
4
4
14
12
4
3
2 5
3 5
1
2
na
na
4
5
-70
-46
11
3
3 5
2
na
�. 0.50
-120
-58
38
10
2
3 5
2
1
0.40
95
46
_X
9
2
3 5
2
2
0.30
-69
-34
-22
8
2
3 5
2
2
• 0.20
-43
-21
-14
7
1
3 4
2
2
0.10
-17
-8
-5
6
1
3 4
2
3
0.08
-11
-6
-4
5
1
2 4
2
3
' -0.06
-6
-3
-2
4
0
2 3
1
3
' 0.04
-1
0
0"""3
12
0
1 2
1
3
0.02
4
2
1
2
0
0' 1
0
3
0.00
10
5
3
1
-1
-1 -1
-1
2
14
85
7
10
0
-1
-2 -4
-2
0
Controlled Ventilation Crawlspace
na not allowed
17
13
1.00 9.17
37 32
28 24
Number of stories
15
Zonal Control
Adjustment
3A
System Type
---
R -value
One
Two
Three
10 9
7 6
4
3 t
Other
R-0
-11
-7
-5
yi. Shading
(Shade Closed)
1.4
R-5
-4
-4
3
24
i
29
3.1
3.3
R-11
-2
-2
-2
4.3'
Water
Effective Pereett Glasa
1139 1200
R-19
i
-1
-2
-2
C-redd
or * 10
(Percent QIan x SC)
to
' 4. Slab Edge Insulation
Type
Effectin
less .1699
2199
2699
i
--
None
-.--
%Gim North Ead. Souh
West
Slti*
_
R -value
One
Number of Stories
Two
Three
18
-14
48 39
-64
na
4
3
3
1.1j
16
-12
42 59
55
na
R-0
0
0
p
14
-10
-35 -50
-46
na
R-5
8
5
5
2
12
-8
-29 -40
37
na
R-7
8
-18 -12
3
11
-7
-26 -36
-33
na
• F2 fac=r
-10'
-8
_ -
10
9
-6
-5
-23 31
-20 -27
-29
-25
-74
-65
.
0.90
4
3
-1
8
-5
-17 -23
-21.
-56
0.80
-1
1
_t
0
7
-4
-14 -19
-18
-47
0.70
None
2
1
6
-3-11
-15 '
-14
38
0.60
6
4
2
5
.2
-9 -11
-10
-30 .
//0.50
9
6
3
4
-1
-6 -8
-7
-23
0.40
12
8
4
1 700
2200
Heater
-1
or to
to
Io
or
Type
Type
less.. ;1189
-2
--9
more
SG
None
0 0
0
0
0
or
Solar
14 7
5
4
3 '
HP
HWR
2
3 4
•� 3
0 0
4.7
WSB
9 4
3
2
2
5.9
9. Interior Thermal Mass
Interior
Single-
Slab Floor
East
Raised Floor
Mass
Family
Stones
Multi
..
Stones
-
1'CFA
One
Two Three
One
Two
Three
0.0
-8
-5
-4
-2
-i
-_4
0.1
-8
-5
3
-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
20
-1
2
4
5
6
7
25
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
it.
12
12
6.0
5
8
10
12
13
13
6.5
6
9
10
12
13
13
7.0
6
9
11
13
13
14
7.5
6
10
11
13
14
14
8.0
7
10
11
13
14
14
85
7
10
12
13
• 14
15
10. Exterior Wall Thermal Mass
Exterior
Single-
Single -
East
c.
Wall
Family
Family
Multi
R -Y U or
Mass
Detached
Attached
Family
East
0.00
0
0
0
`
0.20
3
2
1
less
0.40
5
4
3
8.0
0.60
8
6
4
-4
0.80
10
8
5
-4
1.00
13
10
7
-3
1.20
13
12
8
-3 -3
1.40
12
13
9
`
1.60
10
13
: 11...
10.0
1.80
10
12
12
1
200
10
11
13
3
2
11.0
10
9 7
6
11. Heating System
3
=- 120
15
13 11
SE or HSPF
7
5
(assumes ducts In attic)
-.
-17 ., 14
12 _
Sum of 1-6
_
-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
-4 -4
Effective SE or HSPF
. -2
(SE or HSPF x duct efftciene7)
-
Effective -25 or -24 to -14
lo:4 to +610 16 or
SE HSPF
less -15
-5 +5
+15 more
0.30 275
-73 34
-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
0 0
0
0
.Sim SSO
5 5
4 3
3.
2 i
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
3A
System Type
---
_Resistance
-5
-4 4
Resistance
10 9
7 6
4
3 t
Other
6 5
4 3
2
2
12. CoolingSysvm :"`.:..':....
Climate Zone 11 ,
SCORE CARD
East
c.
South -
SEER
-
1. Ceiling Insulation
R -Y U or
8. Shading (Shade Closed
" (assume) ducts In attic)
-vue 1381
Interior Mass/CFA
East
Stm of 7-10
South
2. Wall Insulation
--/'49 or
-25 or -24 to .-1`410
-4 to
+6 to
16 or
SEER
less
.15 i -6
+5
+15
more
8.0
-14
-12 -10
-8
-6
-4
8.5
-9
-7 -6
-5
-4
3
.
8.9
-5
-4 -4
-3
-2
-2
9.0
-4
-3 -3
-2
-2
'-1
9.5
0
0 0
0
0
0
10.0
4
3 3
2
2
1
10.5
7
6 5
4
3
2
11.0
10
9 7
6
4
3
=- 120
15
13 11
9
7
5
13.0
_ 20
-17 ., 14
12 _
9
6
Effcdive SEER
(SEER xduct efficiency)
gA of 7-10
Effective -25 or
-24 to -14 to
-410
+610
16 or
SEER
less
-15 -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 qq
0
0
0!
8.0
9
8
5
4
3 j
9.0
16
14 12
' 9
7
5 '
10.0
22
19 16
13
10
7
11.0
26
23 19
15
12
8
120
30
26 22
18
14
9
13.0
33
29 24
20
15
10
5
Zonal Control Adjustment
10%
0.2
0.4
10
8 7
6
4
3
i
No Cooling System Installed
21 ,
23
= = Stories
21
2.9
3A
3.3
3.5
One
-5
-4 4
3
-2
-24
Two +.
3
3 2
2
2
i
0.8
1
1.2
1.4
1-6
1.8
Single -Family Iktaehed and Attached
Z2
24
i
29
3.1
3.3
3.5
SI
i Unit Size
(SO
4.3'
Water
4.8
1139 1200
1700
2200
2700
Heater
C-redd
or * 10
to
to
or
Type
Type
less .1699
2199
2699
more
..SG
None
0 1 0
0
0
0
or
Solar
12 " 8
6
5
4
- HP
HWR
8 5
4
3
3
1.1j
WSB
5 3
3
2
2
24
POU
8_ 5
4
3
3
SE
None
-37 -24
18
-15
-12
4.9
Solar
-1 -1
-1
0
0
50%
HWR
-18 -12
-9
-7
-6
1.9
WSB..
-25 -16
-12
-10'
-8
_ -
POU
-18 --12.
-9
-7.
-6
IG
None
-5 -3
-2
-2
-2
5.7
Solar
7 5
4
3
2
1.4
POU
3 2
1
1
1
E
None
-28 -79
-14
-11
A
3.9
Solar
8 5
4
3
3
5.1
POU
-10 ' 3
-5
-4
_ -3
60%
Multi -Family (Individual
units)
1.4
1.7
1.9
- I Unit Size
(s
25
Water
29
699 :700
1200
1 700
2200
Heater
Credit
or to
to
Io
or
Type
Type
less.. ;1189
1699
2168
more
SG
None
0 0
0
0
0
or
Solar
14 7
5
4
3 '
HP
HWR
9 ., 5
3
2
2
4.7
WSB
9 4
3
2
2
5.9
POU
9 5
3
2
2
SE
None
45 .__23
-15
-11
-9
2.9
Solar
2 1
1
0
0
4.1
HWR
-23' -12
-8
-6
'-5
5.4
WSB
-7i -13
-8
-6
-5
75%
eQU_12 ZI -
-4___-6
1.7
-5
IG
-None
3 e -4
-3
-2
i -2
34
Solar
.' 6 .1 3
2
1'
f 1
4.6
POU
1-_0
-_.0
o
0
E
None
: 30 . -15
-10
-' -8
6
_. Solar
„�'.
"18l 9
6
4
4
•
POU
; _ -8 7.. -4
-3
4
2
Point System Summary:
Climate Zone 11 ,
SCORE CARD
East
c.
South -
Measures
West
1. Ceiling Insulation
R -Y U or
8. Shading (Shade Closed
a.
-vue 1381
Interior Mass/CFA
East
4al
South
2. Wall Insulation
--/'49 or
e.
Skylight
R -value [ 1]
U -value [0.987
3. Raised Floor Insulation
or
SEER 19-51
Duo`lciency 10.74] Effective SEER (7.031
R -value 1191
U -value (0.0371
4 SIab Edge Insulation
- or
.. Type (SG]
Credit (none]
R -value (01
F2 factor [0.77]
5. Infiltration
Standard -
(t•i.otpc 7r
l TYPE 1 MASS
(t1IlIC
a 4.2.
Is: exposed
slab)
0%
5%
•4,
15%
20%
2S%
30%
35%
40%
45%
so%
55%
60%.
65x
707E
75%
80%
85%
90%
95%
100% MY. 110% 115Y.
120% 125•
0%
0
02
0.
0.6
0.8
1.1
1.3
1.5
1.1
1.9
21
23
Z5
Z7
Z9
3.2
3.4
3.8
3.8
4
4.2
4.4
4.5
4.8
5
S.3
10%
0.2
0.4
0.6
0.8
1
1.2
1.4
1.6
1.9
21 ,
23
25
21
2.9
3A
3.3
3.5
3.7
4
4.2
4.4
4.6
4.8
S
20%
0.3
0.6
0.8
1
1.2
1.4
1-6
1.8
2
Z2
24
27
29
3.1
3.3
3.5
SI
3.9
4.1
4.3'
4.5
4.8
S
51
5.4
56
3o%
0.5
0.7
0.9
1.1
1.4
1.6
1.6
2
22
24
26
28
3
32
3.5
3.7
3.9
4.1
4.3
4.5
4.7
4.9
5.1
5.3
5.6
So
40%
0.7
0.9
1.1j
1.3
1.S
1.7
1.9
22
24
Lit
28
3
3.2
3.4
3.5
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.
15
1.7
1.9
21
23
ZS
21
3
32
U
3.5
3.8
4
42
4.4
4.6
4.8
5.1
5.3
5.5
5.7
5.9
6.1
SS%
0.9
1.1
1.4
1.6
1.8
2
2.2
24
2.6
28
3
32
3.5
3.7
3.9
4.1
4.3
4.S
4.7
4.9
5.1
53
56
5.8
6
62'
60%
1
12
1.4
1.7
1.9
21
2.3
25
2.7
29
3.1
3.3
31
3.8
4
4.2
4.4
4.8
4.8
5
5.2
5.4
5.6
5.9
6.1
63
65%
1.1
1.3
1.5
1.7
1.9
22
24
2.6
2.8
3
3.2
3.4
35
3.8
4
4.3
4.5
4.7
4-9
5.1
53
55
5.7
5.9
6.1
64
70%
1.2
1.4
1.6'
1.8
2
22
25
27
2.9
3.1
33
35
3.7
3.9
4.1
4.3
4.6
4.8
5
52
5.4
5.6
58
6
6.2
64
75%
1.3
15
1.7
1.9
21
23
25
27
3
3.2
34
3.5
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
80%
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
4.1
4.9
5.1
5.4
5.6
5.8
6
6.2
64
66
1.4
_1-S
1.72.1
t7
2
2.2
2.3
24
ZS
26
2.7
2.8
29
3
3.1
3-2
3.3
3.4
3.5
3.6
3.1
31
4
4.1
4.2
4.3
4.4
4.5
4.6
4.7
4.8
4.9
S
S.1
52
S3
S4
55
S6
S.7
5.9
5.9
6.1
6.2
63
64
65
66
67
60
1PSY.
1.6
U
22
25
27
29
3.1
33
3.5
3.7
3.9
4.1
4.3
4.6
4.8
S
5.2
5.4
5.6
5.8
6
6.2
6.4
6 7
6.9
100%
1.7
19
21
2.3
25
28
3
3.2
3.4
3.5
18
4
4.2
4.4
4.6
4.9
&1
5.3
SS
5.7
5.9
6.1
6.3
6.5
6.7
7
105%
1.8
2
22
2.4
2.6
28
3
3.3
3.5
3.7
3.9
4.1
4.3
4.5
.4.7
4.9
5.1
5.4
56
5.6
6
6.2
6.4
66
68
7
110%
1.9
21
2.3
2.5
27
29
3.1
3.3
36
3.8
4
42
4.4
• 4.6
4.8
S
5.2
5.4
5.7
5.9
6.1
6.3
6.5
6.7
69
7.1
115%
2
22
24
2.6
26
3
3.2
3.4
3.8
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
72
120%
2
2.3
2.5
2.7
29
3.1
3.3
3.5
3.1
3.9
4.1
4.4
4.6
4.8
S
5.2
5.4
5.6
58
6
6.2
6.S
6.7
6.9
7.1
73
12s%
21
23
25
2.8
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
7.2
7.4
Point System Summary:
Climate Zone 11 ,
SCORE CARD
East
c.
South -
Measures
West
1. Ceiling Insulation
R -Y U or
8. Shading (Shade Closed
a.
-vue 1381
U -value 10.0301
East
4al
South
2. Wall Insulation
--/'49 or
e.
Skylight
R -value [ 1]
U -value [0.987
3. Raised Floor Insulation
or
SEER 19-51
Duo`lciency 10.74] Effective SEER (7.031
R -value 1191
U -value (0.0371
4 SIab Edge Insulation
- or
.. Type (SG]
Credit (none]
R -value (01
F2 factor [0.77]
5. Infiltration
Standard -
6. Glass Heat Loss - /7s
Type (doublet U -value 10.651 % Total Glass (161
7. Shading (Shade Open)
a.
North
b.
East
c.
South -
d.
West
e.
Skylight
8. Shading (Shade Closed
a.
North
b.
East
c.
South
d.
West
e.
Skylight
% Glass SC ..Eff. % Glass
X,
X = 2
X
- l X .� , 3 q
---- X =
% Glass SIC Eff. % Glass
-Jv X -� -
:- X - =
9. Interior Thermal Mass
�� "
TYPE 1 MASS AREA�>I ��-
COND. FLOOR AREA {{�I
to or asa/CFA
AREA
10. Exterior Wall plass
PE 2 MASS
TYND.
Exterior Wall Mass
L OR AREA
11. Heating System
4 72 X
♦ ^ _ �• S�
Zonal Control? ( Y / N
SE or HSPF
2/
[ l
Duct Efficiency 10.781 Effective
HSPF [
12. Cooling System
�. 9 x
- �®
Zonal Control? ( Y / N)
SEER 19-51
Duo`lciency 10.74] Effective SEER (7.031
13. Water Heating
- -- _ --
__
.. Type (SG]
Credit (none]
Point Scores -
0
- Sum 1.6
77
Sum 7-110
4.J
Point Total: