HomeMy WebLinkAbout064-700-010Yr :.
64-70=10 " . 79-9OB,P,E,M
FAILURE TO OBTAIN FINAL �f'to
10/2.5/91 U�'d/Q /iai'J /�?50we " BALKEN, Mark 4
�o413 'd 14746 Colter, Way; 4Daga 'a
( NEW SF)
x,.64-70-10 .� =x;.`.._.2965 '9OB9 E,M
BALKEN, •'Ma`rk.
14746-'CQlter..W y; 'Magal'ia-
"(add reeroom &decks) _
e064-70-0-010 93-3537 B:
BALKEN,'• MARK
14746 COLTER WAY,-MAGALIA� ,
COMPLETE/90-2965®�9
I4
� 1y
TO Building Depaurtu�ent
FROM: Environmental Health
SUBJECT: Sanitation Clearance
V
Sanitar' ,n �,i►1� �%
v"Ilj
Date
Owner
Location
AP#
Plan
'Approved for:
Sewage Disposal _
Water
Supply
Hold
final for:
Water
Supply
^incl
clearance-O.K. for:
Water
Supply
Clearance
for bedroom
mobile home. Other Cern ue#Ls.a....
cetK�
NOTE
Sanitar' ,n �,i►1� �%
v"Ilj
Date
OWNER'S NAME: %� �[ A4 4—n i -J RECEIVED
PERMIT
ER: % �J - o A . P . # : 6 `i- 7o —1 DATE j D'
ESIDENTIAL NON RESIDENTIAL RECEIVED BY C TINE �; 3 J
REQUIRED PRIOR TO PERMIT ISSUANCE
----------
FROM DATA SHEET REQUESTED BY PLAN CHECKER
OTHER �O
----------------------------------------
REQUESTED BY CORRECTION NOTICE Q YES _Na-' ITEM:
LOCATION IN BUILDING WHERE -CHANGE OCCURW-
-------——
--- ---
—
WHEN APPROVED, PROCESS AS FOLLO — ——--——————————— — — — ——
Mail to owner
Mail to contr
Call
A'ddress)
for
(Name and Address)
and hold for pickup at office.
iver with next inspection.
REVISED PLAN CHECK FEES PAID:
$15.00 $30.00 additional Fees Not Required
OWNER'S NAME:
RECEIVED
PERMIT NUMBER:
� �l%
A. P.
DATE �i0
RESIDENTIAL
NON RESIDENTIAL RECEIVED BY
a
TIlKE
REQUIRED PRIOR
IT ISSUANCE
[� FROM DATA
SHEET QUESTED
BY PLAN CHECKER
OTHER
-----------------------------
REQUESTED BY CORRECTION NOTICE Q YES q NO ITEM:
LOCATION IN BUILDING WHERE -CHANCE OCCURS:
WHEN APPROVED, PROCESS AS FOLLOWS: — — — — — — — — — — — — — — —
Mail to owner
(Address)
Mail to contractor
(Name and Address) �f
/l
• all ���-r�D� and hold for pickup at /z office.
Deliver with next inspection.
REVISED PLAN CHECK FEES PAID:
$15.00 $30.00 Additional Fees Not Required
TO Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
_ IY76L& real k-�h
Owner Location AP#
Plan Approved for: Sewage Disposal Water Supply
Hold final for:
Final clearance O. -K. for:
Clearance for bedroom mobile home.
Water Supply
ate,, Supply
Other r
NOTE *** t l
111kI ..an,�� --
anitaria
�- ate
D
TO Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
CUA
Owner Location AP#
Plan Approved
for: Sewaqe Disposal
Water
Supply
Hold final for:
Water
Supply
^anal clearance
O.R. for:
Water
Supply
Clearance for
f bedroom mobile home. Other X Z
12 x
yc�
NOTE
Sanita n
Date
OWNER'S NAME: gLke,./ RECEIVED
PERMIT NUMBER: �- O A . P . # : y�� ` > D DATE
BIRESIDENTIAL []'NON RESIDENTIAL RECEIVED BY G S -J TIME------------------------
%
REQUIRED PRIOR TO PERMIT ISSUANCE
-- — — — — — — ——
❑ FROM DATA SHEET REQUESTED BY PLAN CHECKER
❑ OTHER
----------------------------
REQUESTED BY CORRECTION NOTICE ❑ YES ❑ NO TEM:
LOCATION IN BUILDING WHERE CHANGE OCCURS:
WHEN APPROVED, PROCESS AS FOLLOWS:
---------------=—
Mail to owner
(Address
Mail to contractor 1 --*1
Call
ZDeli.ver
(Name and Address)
and hold for pickup at
th-next inspection.
office.
REVISED PLAN CHECK FEES PAID:
$30.00
Additional Fees Not Required ,
OWNERS NAME: �°��� ���ki RECEIVED BY: C-714 DATE: -%N- jZ>
A.P. E'�TIME: //`o 0
VRESIDENTIAL NON RESIDENTIAL RECEIPT .m
REQUIRED PRIOR TO PERMIT ISSUANCE
FROM DATA 1 EQUESTED.BY PLAN CHECKER ENGINEERING
OTHER
REQUESTED BY CORRECTION _ YES _ NO ITEM:
LOCATION IN BUILDING WHERE CHANGE OCCURS:
WHEN APPROVED, PROCESS AS FOLLOWS:
Mail to owner
Mail to contractor
Call
hold for pickup at the
office.
Deliver with next i ection.
REVISED PLAN.CHECK FEES PAID:
$15 $30.00 additional Fees Not Required
Butte County Department of Development Services
YVONNE CHRISTOPHER, DIRECTOR
7 County Center Drive
Oroville, CA 95965
(530) 538-7601 Telephone
(530) 538-7785 Facsimile
ADMINISTRATION * BUILDING * GIS * PLANNING
January 6, 2005
Larry Biegler
P.O. Box 2041
Paradise, CA 95967
Subject: Environmental Health Permit = 064-070-010; Septic
Dear Mr. Biegler:
The Butte County Department of Development Services, Planning Division, has reviewed the
submitted application, and has found your application in compliance with the established
planning criteria. The site plan you submitted meets the setback requirements for your zone as.
well as applicable map or use permit conditions. The Permit Application has now been returned
to their department for consideration and action.
If attached, Please find a copy of any use permits, map notes and conditions for you property.
We are providing this for you information and future reference.
Should you have any questions please feel free to contact me between the hours of 8:00 a.m. and
4:00 p.m. Monday through Friday at (530) 538-7603.
Since 1y,
Chris Tolley
Assistant Planner
Applicable Development Fees:
Standard Fees Amount Formula
❑ Fire
❑T School*
❑ Parks/Recreation
❑ Roads
❑ Sheriff
❑ Drainage
❑ NCSP/CSA 87
❑ Chico Urban Area — Road
❑ Thermalito Drainage Area
❑ Thermalito Urban Area
❑ Other
Subdivision Map Special Fees
❑
Water Tender
❑
Road Improvement
❑
North Oroville Area
❑
Other (per map)
Check with school district to verify actual fee if pre -application review. A final determination will be made at the time
the wilding permit.
Parcel Created By
II Deeds:
Date of Creation: Legal Access Provided: ❑ No ❑ Y
Deed of Reference: Legal Access Required ❑ No ❑ Yc
Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes; Road Name:
Complies with County Standards for Deed Creation:❑ No ❑ Yes
Comments:
❑ Parcel Deemed to be legal
❑ Verify Legal. Parcel ❑ Verify Legal Access EDProvide Deed of Creatior
F-1Obtain a Certificate of Compliance/Notice of Compliance
❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment
❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23).
❑ Construct road to: ❑ Meet Parcel size required by zone
❑ Meet current Environmental Health Department requirements
Pana Z of 5
Subdivision Map/Parcel Man: ®lradi5e i�<<•i�5 - � C�v���f1�`''`�
Map Date of Recording: "K l3? (�Q?
Lot: 1-7 Book: Page: 2Y- 2%
Use Permit/Minor Use Permit
Permit Number:
Date of Approval:
Parcel Map/Subdivision Map/Use Permit Conditions
❑ Comply with the following Conditions of Approval: ❑ Attached IN None
❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290
❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the
National Fire Protection Association Standard for installation of sprinkler systems in one
and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized
community water system, with hydrants that meet the Fire Department specifications, serves
the parcel.
❑ good stoves and fireplace inserts shall be EPA approved and designed to meet the emission
requirements of the California Clean Air Act of 1988, as amended.
❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan
must be prepared by a registered civil engineer or other qualified professional and be
submitted to and approved by the Department of Public Works.
❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate
Battalion Water Tender Fund may be required.
❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil
construction associated with residential development. Approved dust control measures are
found in the fugitive dust control plan for the site approved by the Butte County Air Quality
Management District, a copy of which can be obtained from the Butte County Department
of Development Services, Building Division."
❑ Engineered foundations are required.
❑ Class A roofs are required.
❑ Property owners responsible for road maintenance, and stop sign maintenance.
FEW
Page 4 of 5
BUTTE COUNTY
AGRICULTURAL BUFFER NOTIFICATION AND/OR
UNUSUAL CIRCUMSTANCES REQUEST
Butte County requires a 300 foot buffer between neighboring agricultural operations and a residence. This
dimension is based on environmental assessments and studies. The Agricultural Commissioner may identify
unusual circumstances where the 300 foot buffer cannot be met on existing parcels. This exception is not
available for lots being created, divided or subdivided.
Owner or Authorized Agent must complete the following and return with the required site plan to:
Development Services Department, 7 County Center Drive, Oroville, CA (530) 538-7601
Name: L17ta� Yv�� C.a��l_ Phone: l/7 —� z.--
Mailing
iMailing Address: R 0 & PO-rt4-zl - (A 1� S-7 67
E -Mail address
Assessor's Parcel Number: Q- - 07 0 - Q 1.0
Reason you believe you qualify for the unusual circumstances exception:
L
or Authorized Agent's signature
Date
UNUSUAL CIRCUMSTANCES DEFINITION:
An exceptional or extraordinary condition where the existing lot size or shape or an existing improvement
(well, septic systems, structures etc.) does not allow for the standard condition of a 300 -foot buffer zone.
SITE PLAN REQUIREMENT: submit 4 copies with this form
Refer to the Site Plan Submittal handout for specific requirements
.........................................................................................................
Internal . Dept. . Contact Info:
❑ Env. Health ❑ Planning ❑ Building ❑ Other
Contact Person: Phone:
.........................................................................................................................................................................................
For Agricultural Commissioner office use only: (to be completed after submittal)
DISCRETIONARY PERMITS (Planning) MINISTERIAL PERMITS (Building)
❑ Exception Recommended ❑ Exception Granted with the
❑ Exception NOT Recommended following conditions:
Reason/Conditions/Specific setbacks from adjacent agricultural operations:
Dec
Agricultural Department Signature: Date:
YMC 7/1/03
x
0
M
Summary of Specific Requirements:
This information provided in this summary is based on the application inform
of review. ation and on the best available data at the time
CALarrys\Building Permit Site Plan Reviewi.doe (2-20-04)
Page 5 of 5
ALL ITEMS CHECKED APPLY TO THE PROPERTY
Parcel Is In:
Snow Load Area: 'Z 000 ' — 3= 1
❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract
❑ Nitrate Action Plan (See Environmental Health for standards)
❑ Watershed Protection Overlay Zone (See attached standards and requirements)
❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required)
. SRA - (CDF to determine specific requirements)
❑ 100 -Year Flood Plain: (See attached)
e Flood Zone: x.
o Flood Panel No.: 0 4 G Index Date:
❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board)
❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board)
❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements)
❑ Chapman/Mulberry (See attached standards and requirements)
❑ Cohasset Area (See attached standards and requirements)
❑ Grading Zone (See attached handout)
❑ Oroville Enterprise Zone
Use Requires:
❑ Use Permit ❑ Minor Use Permit
❑ Administrative Permit
❑ Minor Variance ❑ Variance
❑ Detached Building Use Form ❑ Encroachment Permit
❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement
Zoning:
Applicable Building Setbacks:
Zoning Code Streets & Highways Fire Prevention Subdivision Map
Front
20,
Side '
moo,
Side Street
Rear
Height
Waterway N/A N/A N/A
❑ Setbacks drawn on site Plan. CDF approval needed for encroachments into SRA setbacks.
n..__ 11% _re
TO
SITE PLAN REVIEW APPLICATION
Date: Oq AP# d Gy -67 0--0
Permit Number (if applicable)
Bin Number R,�F;,.>•; �,
�'
APPLICANT INFORMATION Parcel Size: c
� 7'�g•LTr. �.
Owners N e: _ ,Q ��� r:,•;:::Y
Addre s:
Telephone No.: a a' Email:
Situs Address:
Proposed Use:
Residential
New Single Family Residential
❑ Single Family Addition
❑ Mobile Home
❑ Residential Accessory
❑ Permanent Second Dwelling
❑ Temporary Mobile Home (Aunt Minnie)
❑ Temporary Travel Trailer
❑ Multi4amily
Non-residential
❑ New Commercial
❑ Commercial Addition
❑ New Industrial
❑ Industrial Addition
Other
Septic
Agricultural Exempt Building
❑ Other:
Brief Explanation (if necessary):
❑ Single Family Remodel
❑ Commercial Remodel
❑ Industrial Remodel
❑ Well
'Agricultural Buffer Form ❑Applicable [I N/A
DO NOT WRITE BELOW THIS LINE
DEVELOPMENT SERVICES INFORMATION (For Staff Use)
01 Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval
14 Site Ian Stam ed Approved
By Date
PnrrP 1 of i
COUNTY OF BUTTE - DEPARTMFNT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
�Pff�IT NQ. `
ASSESSOR PARCEL N RzONI
�7Q/QT
I
BUILDING PERMIT
r ` 5t p
SO. FT. OCC. BUILDING VA TION
ER'SI N G ' ADDRESS
-.,g 7
/,W�4�
CONTRACTOR'S NAME
TELEPH E
CONT ACTOR'S MAILING ADDRESS
Fireplace IF,C(I
CONSTRIjCTION LENDER
.7C/�,Q`/' S�
UNKNOWN
Total Valuation $/•S '1
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ () 've—
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ ss'O O
/
Energy Plan Checking Fee
$ S4--
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING 7R S �� �7�
G / e--. (/P
Permit fee
$ /-/ Vo O
PLUMBING PERMIT
Filing Fee 10.00
/
Each Trap
21 2.00 Ido
Solar or heat pump water heater6/U
20.00
LOT NO.
1
SUBDIVISION NAME
r�
PARCEL MAP
7J % Z-
Water piping
5.00 S -
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF -V Duplex[] Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00 y
Mobile Home S I G I W
10.00e .
TYPE OF WORK
New t� Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe work: _
Zac( 2 13CL4
07
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 oZ,y�
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 ProfesSl ns `Code a my license IS In full force and effect.
1 ( �'�
License N 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
(Sete owner, am exclusively contracting with licensed contract- 7044)
❑ I am exempt under Sec. Business and Professions Code
for this reason
OR ADDNST ( ACCLBLDGS.c"P
2'/z2sgft L 3 v
NEW RESID. RANO OUTLET
NON.R ESID BRANCH CIRCUITS)
2,50 ea
POWER APPARATUS e
(SINGLE OUTLET CIR.
•
Ex. Occup(OUTLETS OR FIXTURES
20®50C
9ALO3o
FIXED APLNS
Ex. Occup. OUTLETS P(RESID )REA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
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.
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 10.00
Heating Tv
7 •�
Cooling
g—roh
t!!
Hood
1 3.00 For ? 0
Ventilation.
Permit Fee
$ 26
Contractor
I certify that I have read this application and state that thea ave n_ I fornatiortr
is correct. I agree to comply to all County Ordinances and ate Laws relating
to building construction, and hereby authorize represent ves 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 -��� -�r�
Signature of Applicant - Owner?' Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep an d olI or o uct.
ion of structures over 3 storie i height.
Mobile ome Installation Fee $
Energy Inspection Fee $ SAD
O J
CONST TYPE
-
�
TOTAL FEE $ G 3S
AL `
HAz CUA
�
PARK
FE
�/
PAR
PD
D ssu
This permit is hereby issued under
sions_of the Butte County. Code and/or
work indicated above for which fees
RECT R UBLIC
Y
ERMIT EXPIRES Date
r
the applicable provi-
Date
resolutions to do
have been paid.
WORKS
DateReceipt
y 8/3
No. �- �. ra WNITE-D.P.W.. YELLOW -A88[ OR, PINx•INBPECTOR. GOLD OD-APPLICANTfl
. .J ... 1
3
-COUNTY OF BUTTE - DEPARTMENT•,bF.-PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
iocealim kfoni 11%ATIA\I nATA curer
1 L-111Vll I Ar r L UA 1 IVIY um I M JfICC I
Permit No. M _
OWNER P:,n 1 1< P r^ A. P. No.
Proposed Building Use S Building Inspector., Date )-/'0-)7( 2/
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 . .7-S . .
10 Fees of $ y ........................
11. Chico Urban Area fees paid .......................................
12. Park fees paid ....................................................
School District fees paid ..............3� n
Sanitation approval from IQn 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: ......
J-1 8. Improvements may be required. Contact Land Development Section DPW
1
Driveway permit (construction approval required prior to occupancy) /-Za -
20. Pre -Inspection for required Pre-Inspec. request to
Building Inspector (Date)
21. Contractor's license information (No., Name Style, Classifications ...
2. 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 si nat reauthorizati n .....
ut4 6
27.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone 9,72- !K7-6 and hold for pickup at P4 y- office. Deliver w/inspector.
Other
Applicant �� �' Date 4P d
t'
Copy of plans sent ,Health Dept., Fire Dept., Other Date
The following data must be submitted pr or to ermij is.sua e' (circle new item not checked above). 1
1. Index permit for above items No.tZ
2. Additional items required:
Contra designeCZZEwn was advised of above required data by_phn"�nail_counter by �JLdate �.. 3 `95D
Contractor, designe , wn ; was advised of above required data by_�"phone—mai l—counter by�date 2 ` ,
Plans checked bp=C--/(- Date 3(` O, Plans approved byL� Date 2 -CPO
Sets of plans on hold in�File cabinet _ AP folder
59/1.5
Copy—DPW
f
T
.,,�.,.t y.,. W_�e�. r.....-w..�.�r -.-�.. ....,v..,.�,t+.., v+.-.,...io--�•�i+-r,_�-+ r -.�..r ».ww w��Y1'•'P„"�
BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM
(one Form per'Building)
A. P. Number (6 -70=�� Building Department No.
School District Gv1ai_g",!City T --J County 0` Jurisdiction
Property -Owner
Project Location/Address(./" Q�
Subdivision Lot Number
Residential Development:
Sq. Footagej :J 7
# of Living 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.�%(�-[��
. r 1 •
� q4� •
Q .2 �� School District certifies that
Af
2'
� 1d � /�� �CT
11 Nl X l� Sfi' ��-0� 0
/l/�
(Applicant Name) (Phone Number)
-(aI'62
(Street Address)
(City) (State) (Zip Code)
has complied with the requirements of Resolution -No.'
by' the payment of $ 1 �,D representing 4 --square feet.
S&M-61 District Representative Date'
PAID BY CHECK NO. ( REMARKS:
BANK NO
PAID'BY CASH
white -applicant, yellow -building department, pink-school'district
SCHOOL.FEE (8/88)
• M.
u
�O� 8uildiu� Depar�meu� /, '+'^
''�_--_��_'_-_---__-_-----_�.-^~__._^-__-_-_-._-____-~�----_'-__'__'---,�
�
v
� Drivepay permit baa 6eeu iooued �or �be above proper�y.
' u
. ���
- '.-- ' .v - .-' -_' -- . -. '� ' —'_ ' -�
""u� da�e
oi�- re
_ _�r�
� � '
R,-ttirn to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT
FOR RESIDENTIAL DEVELOPMENT
Section 2 - 1 of the Butte County. Code
requires this acknowledgement be.. recorded
prior to issuance of a building permit.
90:0195.2
The property described herein is adjacent
to land or included within an area zoned
90-001952
� Rec , 5:,00 ,
:for agricultural purposes, and residents
,
,Fee
1 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, i
`kw; County of
but not limited to herbicides, pesticides,
t Butte
PARTY SHO q
and fertilizers; and from the pursuit
Candace Grubbs
of agricultural . operations including,
Recorder
but not limited to cultivation, plowing,'
9:-00am 16 -Jan
�.
BG 1�.
spraying, pruning, and harvesting which
-90
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:
:. Lo`t_ 117. ; as shown on that . certain, map entitled "PARADISE PINES
;UNIT 2, which map was filed in the office of the Recorder of the
County of Butte, State of California, June 10, 1970 in Book 35
of Maps, at pages 71, 72, 73, and 74.
Date: 9Q PROPERTY OWNERS:
State of �'�, ) On this the /TJ '6�1 day of nt 19fd_, before me,
SS. the undersigned Notary Pub , personallJ appeared
County of t .,.E )
P,Mc WHERTER Personally known to me. E] Proved to me on the basis
NOTARY PUBLIC-CALIFORNIAa of satisfactory evidence.
"®
Butte County a to be the person(s) whose name(s) iS
My Commission Expires May 27,19M ®. subscribed to the within instrument and acknowledged that v
��w®®oea®�a�o■®®®a�sog®e®sem executed the same for the purposes therein contained. IN WITNESS'
WHEREOF, I hereunto set my hand and official seal.
Present A.P. No.
Notary Public
END OF DOCUMENT
S? a 10- oe
zk
Z49
I
5/89
RESIDENTIAL PLAN CHECKING GUIDE
(S.F., DUPLEX & MISC. ONLY)
Bldg. -Permit # '72-9b
OWNER MARKgA� KE,,/ A.P. # F,4- %0-140
GENERAL
,,1"- Zoning requirements: (sideyards
-T'._-Valuation.
3. Plans signed by designer.
Energy Design and Compliance.
i5- Existing violations on property.
6. Items on data sheet.
and number of permitted living units).
PLOT PLAN
k
mplete parcel size and dimensions.
tbacks,, sideyards, easements, etc.
her buildings or structures.
ading, fills, drainage.
ood hazard.
ecial conditions on. creation map or compliance document.
U & FAS road setback.
FLOOR PLAN
Complete to scale plan with dimensions.
Required windows for light and ventilation (Sec. 1205).
Required windows for second exit (Sec. 1204).
Skylights (Chapter 34 & Sec. 5207).
Human impact glass (Sec. 5406).
Required room sizes, ceiling heights (Sec. 1207).
GFCIs in baths, garage, and exterior outlets (Article 210-8).
Light fixtures, switches, receptacles, and exterior receptacles 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)).
1 - 3'0" exterior exit door (Sec. 3304(e)).
Fireplace and wood stove location, alcoves, and clearance.
Smoke detectors (Sec. 1210).
STRUCTURAL DETAILS
t
oundation plan complete enough to construct building.
loor construction details complete enough to construct building.
levations and wall construction details complete enough to construct building.
oof construction details complete enough to construct building.
ireplace construction details and calcs if necessary.
MISCELLANEOUS ITEMS TO LOOK OUT FOR
Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306).
Guardrail details (Sec. 1711 & 3306(j)).
Brick or stone veneer (Chapter 30).
5/89
RESIDENTIAL PLAN CHECKING GUIDE
MISCELLANEOUS.ITEMS TO.LOOK OUT FOR (CONY D) 'i
Exterior plaster - weep screeds (Sec. 4706).
5
Proper roof pitch for roof covering (Chapter 32).
Roof covering type - (fire hazard).
Rafter 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.
.
Two exits on -three-story dwellings (Sec. 3303 & see
Mezannines - 1716).
1 .
Attic access and ventilation (Sec. 3205).
.
Underfloor access and ventilation (Sec. 2516).
Combustion air for fuel burning appliances.
Noise requirements on duplexes.
Adobe soils - special foundation design.
.
Retaining walls requiring design.
19
Unusual shape, size, or split level house requiring
lateral design.
L9:
Flashing at all exterior openings.
pt -'a' N S 0/1 v S'-- S i lel E Q
,! COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT N
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 /
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
_ _
,ZLPT
ZONING
BUILDING PERMIT
OWNER
Mark Balken
TELEPHONE
872-8020
SO. FT. OCC.1 BUILDING V)kLUATLON
p
418 R 16720
OWNER'S MAILING ADDRESS
PO Box 2185, Paradise, CA 95967
120 CON, 1200
CONTRACTOR'S NAME
Same
TELEPHONE
580 open 2900
110 M 1540
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
Sacramento Savin
UNKNOWN
891-8900
Total Valuation $223 0
Filing Fee
g
$
10.00
LENDER'S MAILING ADDRESS
520 Cohasset Rd Chico
Permit Fee
$158.50
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 79,25
Energy Plan Checking Fee
$ 15,00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
14746 Colter Way, Ma alfa
Permit fee
$262.75
PLUMBING PERMIT
Filing Fee
10.00
Each Trap
21 2.00
1 4,00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
j 5.00
5.00
Each qas water heater or vent 5.00
USE OF STRUCTURE
SF U Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer j 5.00
5.00
Mobile Home I S I G JW 1 10.00e
TYPE OF WORK
New ❑ Addition ❑ Remodel Utilities ❑ Installation❑ Other ❑
Describe work: Rec RoomScks _
F
Permit Fee $24.00
Contractor
ELECTRICAL PERMIT Filing Fee
10.00
Main service SS
100 AMP OV OR R LESS
10.00
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.'— /S2 y/ Classification Q
❑ 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
OR ADDNST ( DWACCLBILNG 0S. u
2'/zQsgft 13,00
NEW CONSTR ULTI.OUTLET 2,50 ea
NON -RESID BRANCH CIRC ITS
POWER APPARATUS &)
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES SALO 30
AL0
FIXED APLNS
Ex. OCCup. OUTLETS P(RESID )REA.) 2.00
Temporary service 10.00
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.
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
2 Ducts 1 6.00
1200
Cooling
g
Hood 3.00
Ventilation
Permit Fee $22.00
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 Countyof
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 erg Date 9— � �s
Signature of Applicant — Owner f Cantroctorf� Agent ❑
An OSHA permit is required for excavations over 5'0' a�d d ition or construct-
ion of structures over 3 stories i height.
Mobile Home Installation Fee $
Energy Inspection Fee $ 30.00
occ
CONST TYPE
AL
FEE TOTAL $
HAz
cuA
PARK
F
PAR
PD
ISS E
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which fees
!RECTOR OF PUBLIC
By 2LeDate
PERM IT EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
/�- +-: X90
,'/ Z�
Receipt No. 7b-3 3 y
WHITE-D.a<"-9-ASSR
K -ASS[990, PINK -IN SPECT P
GOLDENROD-APLICANT
t COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
„>.
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA. 95965 -TELEPHONE: 916/538-7541
! PERMIT APPLICATION DATA SHEET
Permit No.
OWNER kf6A iA. P. No.
Proposed Building Use `�•�/� 414ro"odr%! ' Building Inspector �^J Date
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
1. All items have been submitted. ........
n Plot plans in duplicate/triplicate, signed by preparer of plans .........
( 3. Complete plans in du licate 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
_0K instructions..'.i�..................................
Fees of $ �--��% ........................ O
11. Chico Urban Area fees paid .......................................
Parkfees paid .......................................
��'� � � . School District fees paid .............. � a
1 . 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: ......
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 0) ......
24. Recorded copy of Agricultural Acknowledgment Statement .........
25. Letter of signature authorization ...................................
26.
27.
When ou issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone 87�'®� `?and hold for pickup at office. Deliver w.
/inspector.
Other
Applicant �'Date y 7 1
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 ri to er 't issuance:. Ccl ew item not checked above).
1. Index permit for above items No. 2
2. Additional items required:
Contractor, designer, o er, was advised of above required data by one_rnaiI—counter by—Q—)-date
Contractor, designer, owner, was advised of above required data by—phone—mall counter by date
Plans checked by Date Plans approved by � Date
Sets of plans on hold in File cabinet AP folder
Copy—DPW
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County.Center Drive - Oroville, Callfornla 95965 -'Telephone: 916/538-7541.
APPLICATION AND PERMIT -
PERMIT NO.
ASSESSOR PARCEL N B R
L/ 7 L'7 .. O
ZONING
R
BUILDING PERMIT
OWNER
M"qk �.J
TELEPHONE
-got
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS -1 /^ /) C
i O /v'Ce 2-) S ai 1S l..�P ✓ �� �
/8 72�
/� }./�
L� / / l t O O
CONJACTOR'S NAM
/e9 ego L) -
TELEPHONE
o e J 2- 5i a
CONTRACTOR'S MAILING ADDRESS
O s— 0
Fireplace
CONSTRUCTION LENDER-
P %J li i�
UNP9/ N$9 D
Total Valuation $ `L 3�
LENDER'S MAILING ADDRESS
Z C:. (: 6—& 3 X,0 �D
ARCHITECT OR ENGINEER LICENSE NO.
Filing Fee
$ 10.00
Permit Fee
Plan Checking Fee
$
E 2
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
Penalty
_$
$
BUILDING ADDRESS
Permit fee
$
CC q ��
W `1
PLUMBING PERMIT
FllingFee 10.00
Each Trap
2
2.00
Solar or heat pump water heater
20.00
LOT NO.SU
1 �
BDI V1310N AME
J�� �� 1 -PARCEL
/
MAP
3F" 71-
Water piping
5,00 S•'
Each qas water heater or vent
5,00
USE OF STRUCTURE
SF Y Duplex[] Mobllehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
-1
5.00
Building sewer
5.00
Mobile Home S I G I W
10.00e
TYPE OF WORK
New❑ Addition❑ Remodel Utilities❑ Installation❑ Other ❑
Describe work: -eC /?m i0eCk---
Permit Fee $
Contractor
ELECTRICAL PERMIT FilingFee F 10.00
Main service 1000 AMP OR SLESS 10.00
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
[901 am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in lull force and effect.
License No.�%�7 �/� Classification �)
❑ 1, as the owner, Or my employees whit wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ 1 am exempt under Sec. Business and Professions Code
for ,this reason
Main service EA. ADD'L 100 AMP 2.50
NEW COt4ST' ACCLBLDGSC �P�) 2'/:¢sgft
NEW cor;sT-a rau TI.ouTL T
NON.RESID BRANCH CINC ITS 2.50 ea
POWER AI'•PAnATLIS e
SINGLE OUTLET CIR.
Ex. OCCup(OUTLETS OR FIXTURES BOLA 30
FIXED APPLPIS. OR
Ex. DCCUp. OUTLETS ARESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee S 2
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit Is for $100.00 (valuation) or less.
EA ->1 have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
F]1 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 FllIng Fee 10.00
Healing
V C u f �� �Z
Cooling
Hood 3,00
enti
nci
Vlation
Permit 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 Ordinancss and State Laws relating
to building construction, and hereby authorize representatives of the County of -occ
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 Date <12,2 7 — 9-d
Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over S'0'• deep and demolition or construct.
ion Of structures over 3 storijls in height
Mobile Home Installation Fee $
Energy Inspection Fee$ 0
CONST TYPE
/175-
TOTAL FEE $ .3 b,
HAz
CUA
PAnK
sCHI
LD
PAR
PD
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
q 1 -Y
Re elpt No. �J 3
Y ' �
BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM
,(One.Form per Building)
A.P. Number - Building Department No.
School District
CityE::] CountyJurisdiction
Property Owner
Project Location/Address
Subdivision Lot Number
Residential Development:
Ea Sq. Footage `?
# of Living MHI Addition (Group R)
Units
Commercial/Industrial: :Sq. Footage
New Addition (Including Exterior
Roofed Areas)
Building Department Representative Date
.(Floor Plans reviewed by School District Personnel)
District Id No. 5-10 45J4�—
Pt A-Adt-.40 NJUJ_A�A School District certifies that
Floes
(Applicant ame) (Phone Number)-
Iy: N�rvx
:reet Address
'(City) - --(State) (Zip Code)
has complied with the requirements of Resolution No.,.`
by the payment -of representing square feet
J /
l o_ 0
ScY1661 -0-is tf-icfRepresentative Dat
PAID BY CHECK NO. REMARKS:
ry
BANK NO
PAID BY CASH Y-LeXL 4k
J
white -applicant', yellow-building;:.tdepart ent, pink-scho 1 district
SCHOOL.FEE (8/88) 1
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
ASSESSORr ARCEL NUMBER
ZONING
BUILDING PERMIT
OWNER 64-70-10
TELI-PgHp�n�E
SO. FT. OCC. BUILDING VALUATION
OWNERi Ll.► Ike ESS 872«$020
nr
_
CONT Y7• t)O RfOiC M2185 Paradise 9599
LEPHONE
�E
'
CONTRACTOR'S MAILING ADDRESS
ai1e
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
'
LENDER'S MAILING ADDRESS
Filing Fee
$ 10.00
Permit Fee
S
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking FeeV vvp
$ 155.00
1 t7V
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$ _
Penalty
$
BUILDING ADDRESS
Permit fee
$
14746 Colter Way Hasslia
PLUMBING PERMIT
Filing Fee OOf .0"0
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
! V1.1 12 USE OF STRUCTURE J:>--/;&
SF ❑ Duplex❑ Mobilehome❑ Other
�Y.,. SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home I S
10.00e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe work:
c renewal of f379_c
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service j00VAMP ORSLESS
10.00
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑NON.RESID
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
❑ 1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
Main service EA. ADD'L 100 AMP
2.$0
NEW CONST. / DWELLING OCCUP.y
OR AODNS. \ ACC. BLOCS.
I/20Sq ft
NEW CONSTR- ULTI.OUTLET
BRANCH CIRC ITS
2.50 ea
POWER APPARATUS e
SINGLE OUTLET CIR.
EX: OCCU OUTLETS OR FIXTURES
p
208501
eALv 30s
FIXED APLNS EX. OCCUp. OUT ETS PIRESID )REA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
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 10.00
Heating
Cooling
Hood
3,00
Ventilation
permit Fee
$
Contractor
1 certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X Oate
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 g
occ
CONST TYPE
TOTAL FEE S �r
HAz
I CUA I
PARK
SCHL
FLO
F��7
4iD
ISSUE
This permit is hereby Issued unser the appiicable provi-
sions or 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.
WNITC-O.P.W.. TCLLOW-ASSCSSOP-, PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville. California 95965 - Telephone: 916.538-7541
APPLICATION AND PERMIT
A93_E3.SOR. ARCEL NUMBER
ZONING
BUILDING PERMIT
OWNER
in
ci4�-t
TELEPHONE
SO. FT. OCC.1 BUILDING VALUATION
OWNEjL l/tjl RE 872-8020
ti
j 1 IST U - 41P. JAL
CONTR1Af Tl0}kS 11n l".)USE" 95:67 FTELEPHONE
t
CONT ACTOR'3 MAILING ADDRESS
!itLt'
!
Fireplace 1
CONSTRUCTION LENDER
UNKNOWN
Total Valuation j S
LENOER'3 MAILING ADDRESS
Filing Fee S 1�j,QQ
Permit Fee S
ARCHITECT OR ENGINEER LICENSE NO.
Plan Che ck-,,ig F, Is 79.25
ARCHITECT OR ENGINEER'S MAILING AD.OR'ESS
{ Energy Plan Checking. Fee ( $
Penalty g
BUILDING ADDRESS
Permit fee j $
14746ilra+A3 E4i�GAl!►
PLUMBIN.G- PERMIT I Filingl' 150
Each Trac i i 5.001
Solar or heat pump water heater 1 20.001
LOT NC. I SusO:vtS:ON NAME PARaCE'L MAP
I ,.
[ -water piping l 7.001
Each das water -heater or vent ' 1 7.001
- >r USE OF STRUCTURE
SFC Duplexi-1.1 MobilehomeC Other
SPEC, FY
Gas piping system 1 - 5 outlets 1 5.00
Building sewer j 15.001
Mobile Home 1 S i G I lV ; @ 15.001
TYPE OF WORK
New C Addition _ Remodel I_' Utilities IC Installation[ Other -7-1
- dsa
Describe work:
13' RENEWAL OF l3P#2965-90
Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 15.00
Main service 2000A OOR LESS I 18.501
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 ;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 I am exempt under Sec. Business and Professions Code
for this reason
Main service :3CATC 1000A, I 37.501
,EW CONST, / ACC. 3LJ53. CWELLtNG �cc a.�) 1 3.6°Za.mi
JR .aDCN5. `
1,EW C0NS7R- ' L:�-+-ouTL_- I i@ S.00i
� vER .�=aF:AT•�s s
:;NCL_ :U.—
T_=License;Jo.
Ex. _'C_UO(ouTL_T5 0 A7 FES i ;,;°
EX. GCCJp.=-5=s:c.: EA.) I ! 3.001
Temoorary service 15.00
Mobile Horne =ac;lities 15.00 _
Misc. ':Jinn g 1 15.00•
I 1
Permit Fee 5
—
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
jC The permit is for S100.00 (valuation) or less.
F--, , 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 snail be deemed revoked.
Contractor
MECHANICAL PERMIT �ilingF-e I 15.30
Heating 1
1 I
Cooling
Hood
Venn lation
permit Fee 5
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
aII liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
Date
Signature of Applicant - ownerC Contractor r•i Agent ❑ I
An OSHA
^- ^ - - permit is required for excov atlons over 5'0" deep and demolition or construct- I
Mobile Home Installation Fee 5
Energy Inspection Fee $
GCC Ccr,sT TYPE I
iTOTAL FEEc,14-p5
���:LI FEES I .MP FLOOD COF PARCEL :PO j �O I 'SS'E
This permit Is hereby issued under the applicable provi-
sions or the Butte County Code and/or resolutions to do
work �ndicateo above for which fees have been paid.
ninrnrnn nr
.Receipt No.
fCL60-53C330P u V• Y3PCCTOR,-.01;r.,Rnn•AP-LiC—r
Bi � ....�... ...,.,Date
PERMIT EXP!RES DaU; -25-92
11
File No. Ii�
BUTTE COUNTY (For Action 1, 2, 3,
Public Works Dept. (F*ur-rnformgtion t/ )
Director
Dep. Dir.
Sec.
Rd. & Br. Mtce.
Shop & Yards
Bldg. Insp. Admin. I rZ I47A
Design Engr.
Bridge Engr.
Constr. Engr.
Surveys
Mapping
Tronsp.
Land Dev.
Drng. /S.I.
Sub. & Pcl. Maps
Permits
Addr
4
February 18, 1992
Mark Balken
P.O. Box 2185
Paradise, CA 95967-2185
2E: Expired Permits #79-90 & 2965-90 A.P. #: 64-70-10
14746 Colter Way, Magalia
Dear Mr. Balken:
This is a warning letter to notify you that you are in violation of they ``v
Butte County Code at the above referenced location as follows:
Failure to obtain the required inspections and approvals prior to
expiration of permits.
Since permits and inspections are required for the above work, please contact
this office within ten days of the date of this letter, apply for the re-
quired permits to make corrections and complete project, and pay the appro-
priate fees.
All work must stop until these permits are issued and you are authorized
by our field inspector to proceed. This field authorization cannot be made
until the existing work is inspected and approved.
Please be aware that Butte County has entered into a Code Enforcement Program
that seeks voluntary compliance with the Butte County Code but provides
an effective means of enforcement if such compliance is not obtained. If
voluntary compliance is not obtained, enforcement will be pursued through
the issuance of citations, fines, and the recording of a Notice of Violation.
Your cooperation in resolving this matter would be appreciated. Should
you have any questions concerning this matter, please contact Rod Taylor
or Jim Glander of this office.
RT: ds
cc: Assessor
Building Inspector
Yours very truly,
William Cheff
Director of Public Works
J.F. Glander
Chief Building Inspector
5/89
RESIDENTIAL PLAN CHECKING GUIDE
��/�G✓�� (S.F. , DUPLEX & MISC. ONLY)
OWNER
GEN AL
ing requirements: (sideyards and number
�! Valuation.
Plans igned by designer.
E rgy Design and Compliance.
Y.
Items on data sheet.
Bldg. Pert' # z/� S� 6
A. P. # (� 7— T -1 c::1
of permitted living units)..
PLOT LAN
emplete parcel size and dimensions.
Setbacks, sideyards, easements, etc.
ngr-
• lood hazard. .
on creation map or compliance document.
--- &-FAS- eEback.
FT.nnR PLAN
ete to scale plan with dimensions. _
LqIired windows for light and ventilation (Sec. 1205).
1204)..
207).
_ i n 5406) .
_ 4 ----r--- o--== ---=
rGF
uired room sizes, ceiling heights (Sec. 1207).
Is in baths,. garage, and exterior outlets (.Article 210-8).
ht fixtures, switches, receptacles,'and exterior receptacles for maintenance
of mechanical equipment.
water heater, heating and cooling equipment, other electrical or
gas uipment, and plumbing fixtures.-.,
1 ze, and closer (Sec. 503(d)(3)).
-
1 '0" exterior exit door (Sec. 3304(e),,).
ove location, alcoves, and clearance.
1 Smoke detectors (Sec. 1210).
STRUCTURAL DETAILS
4Eilevations
n on plan complete enough to construct building.
construction details complete enough to construct building. and wall construction details complete enough to construct building.
o etails complete enough to construct building.
5. on details and talcs if necessary.
MISCELLANEOUS ITEMS TO LOOK OUT FOR
airway details: landings, rise and run, head clearance, handrails (Sec. 3306).
Guardrail details (Sec. 1711 & 3306(j)).
3. a veneer Cha ter 30).
5/89
RESIDENTIAL PLAN CHECKING GUIDE
MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONY D)
- --• - - •-
' s•- .. - - •. ..•.
=Adequate
• _
10.
grunderfloor access and ventilation (Sec. 2516).
• •• • r .- -
stral snape, size, or spliL leve
shing at all exterior openings.
Tow
lateral design.
4/%76 o�Ti?' aJ
19,E
—RESIDENTIAL
64-70-10 2965-90B, P, E,M
BALKEN, Mark
. 14746 Colter Wad, Magalia
(add rec room & decks)
C/u
3,.;,y. 5 cs��aNc,'e /
a^JA 0,1'y -
N
t �JA `..1•:1992-
k 4D�P�c� Nom'
Yo 6e- fu,4c vejl. q 91L
pe%.M 1 /_ per. c-4yo/rrt°. �ClPGT R G
711 11 -93 - SMOKEFf aQs opk,-�G
` 4y
1 .td
j S '
A
4 -
COUNTY OF BUTTE =J�y pF BUTTE
BUILDING DEPT BUILDING DEPT
FE8 1 K7:192 FEB 0 3 1992
-COUNTY
U0 BUTTE C°EPTsUI NG OEPTTTE
JAN 2 9 1992 FEB 12 1992
�rM, �4e
,( JOB FINAL 1A A
1 Signature
:'<J-o���11011
�t P
—RESIDENTIAL
64-70-10 2965-90B, P, E,M
BALKEN, Mark
. 14746 Colter Wad, Magalia
(add rec room & decks)
C/u
3,.;,y. 5 cs��aNc,'e /
a^JA 0,1'y -
N
t �JA `..1•:1992-
k 4D�P�c� Nom'
Yo 6e- fu,4c vejl. q 91L
pe%.M 1 /_ per. c-4yo/rrt°. �ClPGT R G
711 11 -93 - SMOKEFf aQs opk,-�G
` 4y
1 .td
j S '
A
4 -
COUNTY OF BUTTE =J�y pF BUTTE
BUILDING DEPT BUILDING DEPT
FE8 1 K7:192 FEB 0 3 1992
-COUNTY
U0 BUTTE C°EPTsUI NG OEPTTTE
JAN 2 9 1992 FEB 12 1992
�rM, �4e
,( JOB FINAL 1A A
1 Signature
:'<J-o���11011
vi= -OW ,.
O Not OK ,
= Not Readyable®BILEHOMES
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.
/ P'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)OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs.-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 Iboa rds-Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water SUDDIV Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
'J OK
O = Not OK '
- = Not Applicable
' = Not Ready RESIDENTIAL (Single
)to -
& Duplex) ry
Date
UNDERFLOOR (Plans) OK except #'s
Date
FRAMING (Continued)
1. Zoning -Setbacks -Easements -Flood -Slope
45. Hangers -Post Caps -Anchors -Connectors
2. Ftg., Main; Soils-Elec. Grnd.-/ Depth
46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring.
3. Ftg., Garage; Soils -Steel -Flet. Grnd.d.-/ -/ /" Ftg. Depth
47. Fireplace Ties or Type AFlue-Fireplace Throat clearance
4. Ftg., Porches Decks; Soils -Steel-/ /Ftg. Depth
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
5. Stemwalls, Main; Steel-Blockouts-Wrapped
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
6. Stemwalls, Garage; Steel -Bloc kouts-Wrapped
50. Garage Fire Protection Framing
6a. Hold Downs and Special Anchors
51. Property Line Firewall & Openings
7. Slab; Steel -Wrapped
52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits
8. Piers -Fireplace Ftg.-Steel
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
10. Gas Pipe; Size -Anchors
55. Siding -Nailing Veneer
11. Water Pipe; Test -Anchor -Regulator -Service Test
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
12. Electric; Underground
57. Glazing Area -Glass Protection -Skylights -Plastic
13. Pienums & Ducts; Clearance -Material -Support -Ins.
58. Shear Walls; Nailing -Bolts
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
59. Insulation -Walls -Ceilings
15. Insulation
60. Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
Date
Card 8-1 Date Card 8-1
16. Water Htr.; Vent -Access -Combustion Air -Baffle
Date
FINAL (Plans) OK except #'s
17. Water Pipe; Test & Anchor -Nail Protection
61. Ext. Steps -Door & Sidelight Protection -Landings
18. D.W.V.; Test -Fittings & Anchor -Nail Protection
62. Smoke Detector
19. Shower Pan; Test, First Floor -Tub Access
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
20. Test Tub & Shower, Second Floor -Tub Access
21. Gas Pipe; Size & Anchors
64. Bedroom Exiting
65. G.F.I. & Bath Fixtures & Tub Access -Spa
Date
Card B-1 Date Card B-1
66. Elec. Trim & Subpanel; Breaker Sizes & Labels
Date
Card B-1 Date Card B-1
67. Stairs & Rails
Date
ELECTRICAL (Permit) OK except #'s
68. Fireplace or Stove; Clearances -Hearth
22. Fixture & Transformer Clearance -Ins. Protection
69. Elec. Outlets at Wood Panel; Int. & Ext.
23. Elec. Receptacles Spacing -Lights & Switches at Doors
70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
24. Size Boxes & No. of Conductors -Stapled
71. Elec. Outlets & Receptacles at Kit. Counter
25. Romex Installed Close to Edge of Studs & C.J.
72. Garage Fire Door; Swing -Landing -Closer
26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water
73. A.C. Duct in Garage -Damper
27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage; Above Floor-Mech. Protection
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga.
Cu or At
75. Plb., Elec. & Mech. Equip. Listed for Location
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral ❑ Yes ❑ No
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection
77. Insulation -Foam -Looked in Attic ❑ Yes
30. Service -Riser Conductors & Ground -Main Disconnect
78. Guard Rails & Deck Construction -Post Caps
31. Equip. Clearances Panels-Motors-Mech. Equip.
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
32. Clothes Closet Light -Shower Light -Spa Light
33. Smoke Detector
80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ No
Date
Card B-1 Date Card B-1
81. Stucco; Brown -Finish
Date
Card B-1 Date Card B-1
82. A.C. Unit; Disconnect, Electrical, Plumbing
Date
MECHANICAL (Permit) OK except #'s
83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to
Openings
34. A.C. Ducts Insulation & Support
84. Water Well; Disconnect, Electrical, Plumbing
35. Vent Fan; Exhaust above insulation
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
36. Condensate Drain &Overflow; Size &Grade
86. Ventilation Throughout House
37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet
87. Glass Protection
38. Attic Access & Platform if Furnance in Attic
88. Corrections from Previous Inspections
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
Date
Card B-1 Date Card B-1
91. Energy Compliance Certificate -Other Certificates
Date
Card B-1 Date Card B-1
Date
FRAMING (Plans) OK except #'s
Date
Card B-1 Date Card B-1
39. Sils, Proper Material & Anchors
Date
Card B-1 Date Card B-1
40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
Date
Card B-1 Date Card B-1
41. Bearing Walls over Girders &Floor Nailing
Comments at Final:
42. Draft Stop in Walls (rat proof)
43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
44. Headers & Beam -Size & Bearing
each time
you visit job site)
(NOTE: An entry must be made
-,RESIDENTIAL {
' 79-9OB,P,E,Mi
BA ENMark
a'{r 14746 Colter Way, Magalia
(NEW SF)
f
8O0___�_____
s
X
* ;t7-
7 -f
PA
i JOB FINALED Date
I �
%TI
• .•. 'Signature
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
CORRECT,IONy
NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
Date a Inspector oe��
.z'r�' .'Y -`t j''-..-arr_"�.r�..s�+�ai.�.cetia^.-..:"1"'-,•_..-�,�-tr:-tw�tf:"-i's��-".��"'s�`itir-F�P7c.-.�`^.vY.-�.i":.^—,.�,..I+-.;.::,,v---...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
AA
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.
W
1
Date / Inspectors
TC-0'UNTY
OF BUfiTE Y
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 9, �o
RA Lk !d 2466 %..
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.
0
y o J' " ,.Gh/0.asc ,� o r n'o f•�� ! c . :��+ sr a M i'
tV
Date / Inspector
s''.
A
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
�- -- 7 County Center Drive, OroviIle— Phone: 538-7541 `y
747 Elliott Road, Paradise — Phone: 872-6307
CORRECTION NOTICE
OWNER PERMIT NO. v.a
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify .this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
1
x,
'Y
..h
�C
�9
• :1
,!5
ty
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS i
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 538-7541
747 Elliott Road, Paradise — Phone: 872-6307
CORRECTION ' NOTICE
R
IF191 5--
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...
l ! 4lto+ otr� or S �, poi mr Arov��r
l'r`C c. T nit � O F� ~ lt. a T � r � 0 4 �- � / ✓1 C O i'1 fG c.7
4_I C v %rte
Date ! / (/ Inspector_
' .COUNTY OF BUTTE
!DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751'
7 County Center'Drive, Oroville — Phone: 538-7541
r
Ir` 747 Elliott Road, Paradise — Phone: 872-6307
CORRECTION NOTICE
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.
OlJlJl�c n ( OA�
Q 3 � Com. I � •,..� � r. c � �� � i � �...
Z1 h C3,
PM
C
— �Date 7. 2 S Inspector_ /" 0 f-L--
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
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.
Date Inspecto
.:.�.....----�� -•-... , y�.:.r�e�ct�ic*asiM--Y �4 'h�`cs:�;.,.r.:;t`.,ri» .-+. ri.-. �.«. >.
` 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,
-yam
ERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
Date /� �` Inspector _
J=OK
O=Not OK
Not
= Not Readyable MOBILE HOMES
Date MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / /" U ft.
/ P'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)OK except #'s
1. Zoning Requirements -Setbacks -Easements.
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs.-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 -Mesh
10. Roof; Shthg-hoofing
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
V=OK
O=Not OK
- =Not Applicable ..
' =Not Ready RESIDENTIAL (E
Date UN RFLOOR (Plans) OK except #'s
Zo Ing -Setbacks -Easement ood-Slope
t , ain; Soils-Elec. -/ /" Ftg. Depth
tg., Garage; Soils-Steel-Elec. Grnd.-/,& Fig. Depth
4. Ft orches & Decks; Soils -Steel-/ /Ftg. Depth
to IIs, Main; Steel -Bloc kouts-Wrapped
temwalis, Garage; Steel- Bloc kouts-Wrapped
6a. owns and Special Anchors
/,—/,Z-% Slab; Steel -Wrapped
T 8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. Gas Pipe; Size -Anchors
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Pienums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Insulation
Date —/%— and B-1 Date Card B-1
Date and B-1 Date Card B-1
Date PLUMBING ( r OK except #'s
r Htr.; Vent -Access -Combustion Air -Baffle
Wa Pipe; Test & Anchor -Nail Protection
W.V.; Test -Fittings & Anchor -Nail Protection
19. Shower Pan; Test, First Floor -Tub Access
20. Test Tub & Shower, Second Floor -Tub Access
21. Gas Pipe; Size & Anchors
Date Z and B71 Date Card B-1
Date Card B-1 Date Card B-1
Date ELEC ICAL Permit OK except #'s
Fixture & Transformer Clearance -Ins. Protection
�c. Receptacles Spacing -Lights & Switches at Doors
Size Boxes & No. of Conductors -Stapled
omex Installed Close to Edge of Studs & C.J.
Equip. 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 ❑ Yes ❑ No
30 Arvice-Riser Conductors & Ground -Main Disconnect
Equip. Clearances Panels-Motors-Mech. Equip.
Clothes Closet Light -Shower Light -Spa Light
moke Detector
Date 2� Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except #'s
C. pucts Insulation & Support
5. nt 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 FRAMIN (Plans) OK except #'s
ils roper Material & Anchors
al tuds-Nailing, Spacing & Bracing -Plates -Sound
4 ng Walls over Girders & Floor Nailing
Draft Stop in Walls (rat proof)
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
,44 eaders & Beam -Size & Bearing
jingle & Duplex)
Date fIAMING (Continued)
4 . gers-Post Caps -Anchors -Connectors
4 . Cing. Joist-Rftr. ties -Pu rlin —roof Brac-Truss-Shthng.-Rfng.
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
tti Access; Size & Romex Protection -Draft Stop -Ins. Baffles
dr .•Windows or Exiting Doors -Sill Hgt. & Dimensions
5 arae Fire Protection Framing
roperty Line Firewall & Openings
xt. Doors -One T -Check Garage -3rd Story, 2 Exits
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
iding-Nailing Veneer
56. S cco Mesh -Drip Screed -Fd. Vents-Underfir. Access
Gla 'ng Area -Glass Protection -Skylights -Plastic.
hear Walls; Nailing -Bolts
Insulation -Walls -Ceilings je // i✓E(�
60. Infiltration -Walls -Windows
Date
Card B f% Date Card B-1
i'-2
Date
/Card B-1 Date Card B-1
Date
FI AL (Plans) OK except #'s
\\-\
t. Steps -Door & Sidelight Protection -Landings
Smoke Detector
6 . Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
6eBedroom Exiting
& Bath Fixtures & Tub Access -Spa
6eElec. Trim & Subpanel; Breaker Sizes & Labels
EV,'Stairs & Rails
68- Fireplace or Stove; Clearances -Hearth
691�ilec. Outlets at Wood Panel; Int. & Ext.
*?6 KA.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
7-T'Elec. Outlets & Receptacles at Kit. Counter f
7-1- Garage Fire Door; Swing -Landing -Closer
'/3. '.C. Duct in Garage -Damper f
X. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.
n Garage; Above Floor-Mech. Protection
Plb., Elec. & Mech. Equip. Listed for Location
Elec. Receptacles in Garage; (G.F.I.)-Romex Protection
U,Ins I'ation-Foam-Looked in Attic ❑ Yes
U-Iruard Rails & Deck Construction -Post Caps
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Gdlearance Looked under Floor ❑ Yes
I.WFollowing instld.; Drive ❑ Yes C7 No; Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ No
LSI. Stucco; Brown -Finish
62. A.C. Unit; Disconnect, Electrical, Plumbing
83 Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to
Openings
8 Water Well; Disconnect, Electrical, Plumbing
at/Axterior Elec. Trim; G.F.I. Receptacle -Underground
96. Veh'tilation Throughout House
ass Protection
oe Corrections from Previous Inspections
as Test -Meters Tagged; Gas -Electric
ater & Sewer Connected -C/O to Grade -HD Approval
Energy Compliance rtificate-Other Certificates
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
(NOTE: An entry must be made each time you visit job site)
. y
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
OWN'EFT PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance ,c
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/ �/' `l `r Inspector
OWNER'S NAME: /���/����/,(C�=' '" ''�"`- , RECEIVED
PERMIT BER: ��� D A.P.#: - �- DATE
ESIDENTIAL [J NON RESIDENTIAL RECEIVED BY TIME _
REQUIRED PRIOR TO PERMIT ISSUANCE
--=- - - - - --
F] FROM DATA SHEET REQUESTED BY PLAN CHECKER
OTHER ��U /EST Cc(
REQUESTED BY CORRECTION NOTICE �n�`NO ITEM:
LOCATION IN BUILDING WHERE CHANGE OCCURS: y
----------------------------------------
WHEN APPROVED, PROCESS AS FOLLOWS:
Mail to owner
(Address)
_ Mail to contractor
/ (Name and Address)
Call 9;7-7-�(�� and hold for pickup at office.
Deliver -with next inspection.
REVISED PLAN CHECK FEES PAID:
$15.00 $30.00 Additional Fees Not Required
Certificate of C&ffi fiance: Keslaennai
- )4i4G Co L.TEtt WAY
ProjecfAddres+
Documentstton Author
-BUILDING DATA
Conditioned Floor Area 124.8. S
_Slab - is Floor
ow
Single Family Detached (SFD)
[ Single Family Attached (SFA)
[ ] Multi -Family (MF)
Telephone
L,IiMaLC bone 'tel
Bding P it N
Checked By/ Date
Enfor=nent Agency Use only
BUILDING SHELL INSULA.TION '
Component Insulation LorafionlCamments
Type R -Value (attic, w garage, =icrl, etc.)
wall ..............
Roof .............
Roof .............
Floor :::.:........
Floor. .......
Slab Edge.....
GLAZING
Glazing
Orientation
cxT. WALL
Shading Devices
Area Glass Type Interior Exterior
(SO (single, double) (roller blind. etc.) (shodescreen, etc.)
North 44 2 L
Norr-h ( )
East 7
South (f0 5—
South ( )
West ( ✓j•�
West ( )
Skylight....... 0
THERMAL MASS
Type/Covering Area
(slab/cxaosed, tile, etc.) (Sf)
94/2
Overhang Framing Type
Thickness
(inches) Locadon/Descriotion (kitchen
bath, e
Glass Area
Glass
North
Type (furnace, air Efficiency Location
Duct . Output
Number of Stories
Number of .Units �-
East
South
I
6.
[ ] Addition -Alone
West
57.
.
Y
AT1 e-
[ J Existing Building
Skylight
�—
O
(J Existing -Plus -Addition
Tom
155-s_
/le.5
BUILDING SHELL INSULA.TION '
Component Insulation LorafionlCamments
Type R -Value (attic, w garage, =icrl, etc.)
wall ..............
Roof .............
Roof .............
Floor :::.:........
Floor. .......
Slab Edge.....
GLAZING
Glazing
Orientation
cxT. WALL
Shading Devices
Area Glass Type Interior Exterior
(SO (single, double) (roller blind. etc.) (shodescreen, etc.)
North 44 2 L
Norr-h ( )
East 7
South (f0 5—
South ( )
West ( ✓j•�
West ( )
Skylight....... 0
THERMAL MASS
Type/Covering Area
(slab/cxaosed, tile, etc.) (Sf)
94/2
Overhang Framing Type
Thickness
(inches) Locadon/Descriotion (kitchen
bath, e
SPECIAL FEATURES/REMARKS (Add extra sheets if necessary)
HVAC SYSTEMS Mi,-dmum Duct
Type (furnace, air Efficiency Location
Duct . Output
Manufacturer r / Model`
conditioner, heat pump) (SE, SEER,HSPF) (attic, etc.)
R -Value (Btuh)
(or approved equal)
�t�RNAr c E .i?- 47T`C
005
a A � �
.
Y
AT1 e-
�_Z G7
'd —42,p --
GouNTY
Maximum Furnace Heating Output:
Btuh
—BUTTE
HOT WATER SYSTEMS Tank Manufacturer/Model#
//��
A P P R 0 V E D
System Type (storage gas, etc.) Capacity (or approved
equal)
Special f4a! tre(s) CR �- r
S'�'oRpyctE �L�C _ W� T GUAT� 2
te'�.eyEi2 � S yS��
a
SPECIAL FEATURES/REMARKS (Add extra sheets if necessary)
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO.
APPLICATION -AND PERMIT
ASSESSOR PARCEL NUMBER
064-70-0-010
ZONING
RT 1
BUILDING PERMIT -'
OWNER MARK BALKEN
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
EST -100.00
OWNER'S MAILING ADDRESS
7954 EAGLE PEAK WA
CONTRACTOR'S NAME OWNER
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation is
Filing Fee $ 20.00
LENDER'S MAILING ADDRESS
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS 14746 COLTER WAY
PERMIT FEE $ 35.00
PLUMBING PERMIT Filing Fee 20.00
Each Trap 7.00
Solar or heat pump water heater 23.00
Water piping 15,00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Each gas water heater or vent 15.00
USE OF STRUCTURE
SF)] Duplex ❑ Mobilehome ❑ Other
SPECIFY
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
G W Mobile Home S @20'00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ElOther 1k
Describework: PERMIT TO COMPLETE 2965-90
PERMIT FEE $
Contractor
ELECTRICAL PERMIT Filing Fee 20.00
Main Service ( 800V OR LESS ) 23.00
200A OR LESS
Main Service ( 200A TO 1000A ) 46.00
NEW CONST. DWELLING OCCUP. SD.
OR ADONS. ( & ACC. BLDS. ) 3.50 FT.
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
ff II—am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full force�af efffect.
E%� 7 Y (classification C�
License No. _$'7_r-7
❑ I, as the owner, or my employees with wages as their sole compensation, 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 contractors. (Sec 7044)
❑ 1 am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI -OUTLET
.NON-RESID. ( BRANCH CIRCUITS ) @7.50
( POWER APPARATUS )
& SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES ) 820 @ 1.00
Ex. Occup.FIXED APPLNS. OR
( OUTLETS IRESID.1 EA. ) 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ This permit is for $100.00 (valuation) or less.
❑ 1 have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
?:dshall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
Contractor
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE S
Contractor
I certify that I have read this application and state that the above information is correct.
I agree to comply to all Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives of the County of Butte to
enter upon the above mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against all
liabilities, judgments, costs, and expenses which may in any way accrue against said
County in consequence of the granting of this permit. ¢
X �s �� Date � O ��
Signature of Applicant - ❑ Owner Contractor O 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 $
ocC
CONST. TYPE
TOTAL FEE $
I 35.00
HAZ.
I D. FEES
I IMP
I FLOOD
I CDF
PARCEL I PD
I 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.
DIRECTOR OF PUBLIC WORKS
By Date . �� � '3
PERMITEXPIRESON // 3
lD tel
Receipt No. 148249
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
"� '�"r`*rti'tr?+""��:-d{'��.,.►Aw�'r'�'*trKC�.-�,,•,..+'+�....,r�".rti�..>-.-n.M�gr,.,yr�.y,,,r�� a�:�.p..„i'• ^'�^' ,
COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION
7COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95.965 - TELEPHONE (916) 538-7541 .
PERMIT APPLICATION ro
DATASHEET
OWNER A. P
Proposed Building Use (, Building Inspector Date /
At time of p rmit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
1. All items have been submitted . ........................................
2. Plot plans, 3/4 sets, signed by preparer of plans. .......................... .
3, Complete plans, 3/4 sets, signed by preparer of plans . ......................
4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form. ......................................... .
6. Energy Design Compliance and supporting documentation . ..................
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. ..........: .............
l 13. Flood elevation fetter (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 t. Buil aew°" reyu�
required.' , to B�;;e�"9 inspector ,�(Date)
21. Contractor's license information. (No., Name Style, Classification). ...N.......... *r'
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. a
34.
When you issue the permit, process as follows: (/IGail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver with inspector.
Other
Parcel Creation /)
Acreage ' Applicant Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent. Health Dept. Fire Dept. Other Date By
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:
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
/ N
15
I"
1 gip' 3 112 110
f..�.
� 1 F
i
1 �e4F F«c p �U6-
u u S•� ,Jlc✓E�S
Signature'
® r
. f awin
ij�
OKI
10
-
'�������/-..��� .. .. _ _. {• , � '
� (.. '/`,�� ,�/ It _..
N , JING DIVISION -BUILDING PLAN APPROVAL
Use: ` S�Pr� Date: h -2GD�
{
Parking: Landscapi
} Ia
.{js""��J�Flf Ur
''
d , ,
Other.
1 �e4F F«c p �U6-
u u S•� ,Jlc✓E�S
Signature'
® r
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R -value
A. . cl,,,lg .wu,auvo
Two
Thre
S. Infiltration (Air Leakage)
-17
-8
-5
Number
of stories
.2
.1
R-19
0
0
0
R-30
3
• R -value
One
Two
Three
'
na
Specification
444
Points
-46
i 0.50
R-0
-103
-49
32
-95
-46
Standard
0.30
0
-34
-22
R-19
-8
-4
-2
0.10
-17
-8
-5
0.08
-11
-6
R-30
-2
-1
-1
-2
0.04
-1
0
0
0.02
4
R-38
0
0
.0
5
3
Controlled
Ventilation Crawispace
2
3
Number of stories
u value.......
.._
One
Two
Three
6: Glass Heat Loss.:..
. ......
_ .
-5
R-5
0.50
-176
-84
=54
-2
Total
-2
R-19
U value
-2
.2
0.30
0.10
102
-26
d9
-1g
32
Number of Stories
Percent
Glass
.51 to
Single Double .60
.41 to
.50
.31 to
0.30 or
less
' R-0
0.08
0.06
-11
--83
-5
-6
.4
8
50
-121 -53 -39
-24
.40
-10
4
3
0.04
-4
-2
-1
0.90
40
-90 37 .26
.14
3
8
-1
0.02
4
2
1
1
35
-75 -29 -19
.9
1
10
9
0.00
11
5
3
8
30
29
-61 -21 -13
-58 -20 -12
.4
-3
4
5
12
12
-35
-50
-46
na
12
-8
28
-55 -18 -10
.2
•5
13
-7
2. Wall Insulation
.36
-33
na
27
26
-52 -17 -9
-49 -15 -8.
-2
.1
6
7
13
14
-74
9
Single-
Single-
-27
-25
25
•46 -14 .7
0
7
14
-21.
-56
Family
Family
Multi-
-19
24
-43 -12 -5
1
8
14
-15
R -value
Detached
Attached
Family
-9
23
-40 -11 -4
2
8
15
5
R-0
-68
-51
-34
0
21
34 7 2
4
10
15
1
R-11
R-13
0
2
0
2
0
1
1
20
19
31 -6 0
-29 -4 1
5
6
10
16
0
R-19
8
6
4
0
18
-26 3 2
7
11
12
16
16
.2
U -value
1
4.8
Solar
6
17
-23 -1 3
8
12
17
POU
0.80
-153
-114
-76
0
16
15
-20 0 4
-17 1 6
9 •
10
13
14
17
17
-8
0.50
0.30
-91
-47
-68
-36
46
-24
9
14
13
-14 3 7
-12 4 8
10
14
18
-8
. 0.10
0
0
0
1.3
12
.9 6 9
11
12
15
15
18
19
.,
0.08
0.06
4
9
3
7
2
5
3.S
3.6
11
10
-6 7 10
3 9
13
.
16
19
5.2
0.04
0.02
14
19
11
.14
7
10
63
9
8
ti
-1 10 13
14
15
17
17
19
20
2
0.00
24
18
12
3.1
33
2 12 14
16
18
20
,4:3.
4.3 ' 4.6
'4.0
S
5.2
5.3
5.4
5.5
5.6
5.7
8
5.9
6
6.1
6.2
6.4
75%
1.3
3. Raised Floor Insulation
1.7
1.9
21
23
2.5
27
3
3.2
3.4
36
3.8
4
4.2
7, Shading (Shade Open)
4:8
5.1
5.3
"5.5
.5
5.7`{ 5.9
Insulation
in Floor
64
6.5
BO.Y.
85%
X1.4
1.4
1.6
1.7
1.8
1.9
2
2.1
22
2.3
2.4
2.5
26
2.7
2.8
29
3
3.t
3.3
3.S
3.7
Effective Pemstt Glass
4.1
4.3
4.5 4.7
Number
of stories
5.4
5.6
-5.8
(Pereeat Stan x SC)
64
66
R -value
One
Two
Thre
R-0
-17
-8
-5
R-11
3
.2
.1
R-19
0
0
0
R-30
3
1
1
U -value
5
1
na
0.60.
444
-70
-46
i 0.50
-120
-58
38
0.40
-95
-46
30
0.30
-69
-34
-22
0.20
-43
-21
-14
0.10
-17
-8
-5
0.08
-11
-6
-4
0.06
.6
-3
-2
0.04
-1
0
0
0.02
4
2
1
0.00
10
5
3
Controlled
Ventilation Crawispace
2
3
Number of stories
1
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
3
-- -
-1
Number of Stories
-
R -value
One
Two
Three
' R-0
0
0
0
R-5
8
5
2
R-7
8
6
3
F2 factor
12
200 10
(PesYent
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
e
Effective
Interior Slab Floor
Raised Floor
Mass Stories
Water
%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
1.40 12
13
9
1.60 10
!B. Shading (Shade Closed)
11 ..:
1-80 10
ElTective Percent Glass
12
200 10
(PesYent
Stan x SC)
more
Effective
-30
11. Heating System
-17
-13
SE or BSPF
6.0
North
Etat
south
We6t
Sky of
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
3
-11
-15
-14
-38
5
-2
-9
-11
-10
-30
4
-1
5
-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
IG
None
-8
-4
9: Interior Thermal Mass
Interior Slab Floor
Raised Floor
Mass Stories
Water
Stories
/CFA One Two Three One
Two ' Three,
0.0 -8 -5
-4 .2
-1 -1
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
2.0 -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 11
12 12 '
6.0 5 8
10 12
13 13
6.5 6 9
10 12
13 13 i
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- .
Si
9 7
Wall Family
Fafruly
Multi
Mass Detached
Attached
Family
0.00 0
0
0
0.20 3
2
1
0.40 5
4
3
0.60 8
6
4
0.80 10
8
5
1.00 13
10
7
1.20 13
12
8
1.40 12
13
9
1.60 10
13
11 ..:
1-80 10
12
12
200 10
11 -`
13
I
more
5.0
-30
11. Heating System
-17
-13
SE or BSPF
6.0
(assumes ducts 1n attic)
-11. .9
_ _ Sum of 15
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
Effective
SE or HSPF
(SE or HSPF
x duct eMciency)
Effective -25 or -24 to -1410
-4 b +6 b 16 or
SE HSPF less -15
5 +5 +15 more
0.30 275 -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
0 0
0 0
0.60 5.50 5 5
4 3
3 2
0.70 6.42 17 15
13 11
9 7
0.80 7.33 25 22
19 16
13 10
0.90 8.25 32 28
24 20
17 13
1.00 9.17 37 32
28 24
19 15
Zonal Control Adjustment
System Type
None
-45
Resistance 10 9
7 6
4 3
Other •6 5
4 3
2 2
12. Cooling�Syst.:m
1 Unit Size (sQ .
Water
1199 •' 12M
1700
2200
2700
Heater
SEER
or
1 � In
to
to
or .
(assume; ducts
In.pttic)
`l)ss _1699
2199
2699
Stm of 7-10
SG
None
0
-25 or j,24 to -14 to
.4 to
+6 to
16 or
SEER
less
-15 5
+S
+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 .j
11.0
10
9 7
6
4
3
= 120
15
13 11
9
7
5'
13.0
20
17 14
12
9
• j� 6'
-2
- --
•-EKedlve SEER •--_-._-
, '- x
� ��
7'
(SEER xduct cMdency) '
.4
3
Stm of 7-10
goy,
POU
3
Effective
-25 or
-24 to -1410
-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
5
-4
6.6
-5
-4 -4
•3
-2
.2
7.0
0
0 0
0
0
0
8.0
9
8 6
5
4
-3
9.0
16
14 12
9
7
"'5 !
10.0 '
22
19 16
13
10
7
11.0
26
23 19
15
12
8
12-0
30
26 22
18
14
9
13.0
33
29 24
20
15
10
3.3
Zonal
Control Adjustment
4
3
j
10
8 7
6
4
.3
i
No
Cooling System Installed
I
Stories
One .5 -4 rl -3 .2 -2
Two + 3 3 2 2M 2 1
Single-Farnfly Detached and Attached
EM
1 Unit Size (sQ .
Water
1199 •' 12M
1700
2200
2700
Heater
Credit
or
1 � In
to
to
or .
Type
Type
`l)ss _1699
2199
2699
more
SG
None
0
0
0...
0 0
or
Solar
2'
8
6
5;
s
4
HP
HWR
8
5
4
3}
3
WSB
5
3
3
2,
2
POU
3
5
4
3
3
SE
None
-37
-24
-18
-15
-12
R -value (O]
Solar
-1
-1
-1
0
0
20Y. 2S%
HWR
-18
-12
-9
-7
-6
75'1. `801G'
WSB..
',25
-16
-12
-10'
-8
Sum I.6
POU
-18.-_-12
-9
-7
-6
IG
None
-5
-3
-2
.2
-2
, '- x
Solar
7'
5
.4
3
.
2
goy,
POU
3
2
1
1
1
IE
None
-28
-19
-14
-11
-9
1.1
Solar
8
5
4
3
3
2S-
POU
-10
-6
-5
-4
-3
' 4.2
Multi -Family (individual
4.6
units)
5
53
20%
0.3
Unit
Size (sQ
0.8
1
1
1.2
Water
Heater
Credd
M9
700
1200
1700
2200
Type
Type
or
less
. b
1199
to
1699
to
2199
or
more
SG
None
0
0
0
0
0
or
Solar
14
7
5
4
3
HP
HWR
9
5
3
2
2
3.3
WS8
9
4
3
2
2
S
POU
9
5
3
2
2
SE
None
-45
-23
-15
.11
-9
26
Solar
2
1
1
0
0
4.3
HWR
-23
-12
-8
5
'.5
5.7
WS8
-25
-13
-8
-6
-5
_-
POU
-23.--.:12
23
8
-6
-5
IG
None
-8
-4
.2
2
1
4.8
Solar
6
3
5:7
5.9
6.1
55%
60%
POU
1.
0
- 0
0
0
E
None
30
-15
_
-10
-8
-6
3.7
Solar
18
9
6
4
4
5.3
POU
-8
-4
-3
-2
-2
EM
Point System Summary: Climate Zone 11
SCORE CARD
Measure
�5�. y
Interior Mass/CFA
�''
�L�i/
... , '
Point Scores
. 1T►[ I MASS
41.7-V711C--.71
or
.. .....
,�
New
R -value (38]
U -value [0.030] '
'1 "
`
� '
a
•' •v,
'
R-value[11]
U -value 10.0981
-pet.a •1-•1
or
O
R7value1191
t TYPE'l
PASS
(UIMG • 4.2,
te:,
exposed slab)
ma.
3'S
.
R -value (O]
F2 factor [0.77]
0%
5%
10% 15%
20Y. 2S%
30%
3S% 4A145%
SO% 5S%"6o%
6. Glass Heat Loss
Sgt
'70%
75'1. `801G'
Type [double]
U -value [0.65]
% Total Glass [16]
Sum I.6
7. Shading (Shade Open)
-
a. North1-0'
% Glass
x
SC
1 '7.7
Eff. % Glass
= . i7
t b. East 4
, '- x
1 - •
_611.01D
+ 2
c. South
851.
goy,
esx
100Y.
)OSx
110Y.
115%
120%
125'
0Y.'
10Y-
0:
0.2
0.2
0.4
0.6
0.8'
1.1
1.3
1.5
-1:7
1.9
'21
23
2S-
'2.7
2.9-
3.2 3.4
`3.6•'
3.8
4
' 4.2
4.4
4.6
4.8
5
53
20%
0.3
0.4
0.6
0.6
0.8
0.8
1
1
1.2
1.2
1.4
1.4
1.6
1.6
1.8
1.9
2 '
21
2.2
23
24
2S
21
2.7
29
2.9
3.1
3.3 3.5'.3.7
'3.9
4
4.2
4.4
4.6
4.8
5
5.2
54
COND..
TYPE 2 MASS
AREA
AREA
1.1
1.5
1.7 1.9
ND. FLOUR
__�
Eztelior Wall Mass
3.1
3.3
3.5 3.7
4.1
4.3
4.5
4.8
S
5.2
5.4
56
50Y.
0.7
0.9
0.9
1.1
1.3
1.3
1.5
1.7
HSPF [036/5.15]
' uG = ., %a'�09
24
22
Zonal Control? (YIN)
26
26
38
3.2
3.4
3.6
*3.8 49
4.3
4.5
4.7
4.9
5.1
5.3
5.5
5.7
59
�} �Pi
intTOtaI. I
1.9
21
23
2.5
27
3
3.2
3.4
3.6
3.8
4 42
4.4
4.6
4.8
5.1
5.7
5.5
5:7
5.9
6.1
55%
60%
0.9
1
1.1
1.2
1.4
1.4
1.6
1.7
1.8
1.9
2
21
2.2
2.3
24
25
2.6
2.7
28
29
3
3.2
3.5
3.7
3.9
4.1 4.3
4.5
4.7
4.9
5.)
5.3
5.6
5.8
6
62
65%
:.1.1
1.3
1.5
1.7
1.9
2.2
2.4
2.6
2.8
3
3.1
3.2
3.3
3.4
3.S
3.6
3.8
3.8
.4
4
14.2 , 4.4 4.6
4.5 14.7
4.8 '
4.9
S
5.1
5.2
5.4
5.6
5.9
6.1
63
70x,
= 1.2
1.4
1.6
1.8
2
22
25
27
2.9
3.1
33
3.5
3.7
3.9
4.1
,4:3.
4.3 ' 4.6
'4.0
S
5.2
5.3
5.4
5.5
5.6
5.7
8
5.9
6
6.1
6.2
6.4
75%
1.3
1.5
1.7
1.9
21
23
2.5
27
3
3.2
3.4
36
3.8
4
4.2
4.4 4.6
4:8
5.1
5.3
"5.5
.5
5.7`{ 5.9
6.1
6.3
64
6.5
BO.Y.
85%
X1.4
1.4
1.6
1.7
1.8
1.9
2
2.1
22
2.3
2.4
2.5
26
2.7
2.8
29
3
3.t
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
64
66
MY.
1.5
1.7
2
2.2
24
26
2.8
3
3.2
3.3
3.4
3.5
3.6
3.8
3.8
4
4.1
4.2
4.3
4.4
4.5
4.6 4.8.
4.7 4.9
S
5.1
S.2
53
54
5.5
5.6
5.9
6.1_
63
65
67
95%
-100Y.
1.6
1.7
1.8
1.9
2
21
2.2
25
27
29
3.1
3.3
3.5
3.7
3.9
4.1
4.3
4.6
4.8 S
5.2
5.4
5.6
5.7
5.8
5.9
6
6:2
6.2
6.4
6.4
66
6.7
68
6.9
2.3
25
28
3
3.2
3A
3.8
3.8
4
4.2
4.4
4.6
4.9 5.1
5.3
53
5.7
5.9
6.1
6.3
6.5
6.7
7
105%
110Y.
1.8
1.9
2
2.1
2.2
2.3
2.4
2.5
2.6
27
26
29
3
31
3.3
111
33
3.8,
3.7
3.8
3.9
4
4.1
4.2
4.3
4.5
4.7
4.9 5.1
5.4
S.6
5.8
6
6.2
6.4
6.6
68
7
115%
2
2.2
2.4
2.6
2.8
3
3.2
3.4
3.6
3.8
4.1
4.3
4.4
4.5
4.6
4.7
4.8
4.9
5 5.2
5.1 S.3
5.4
5.5
5.7
5.7
5.9
5.9
6.1
6.2
6.3
6.5
'6.6
6.7
69
7.1
120%
125%
2
21
2.3
2.3
2.5
25
2.7
2.8
29
3
3.1
3.2
3.3
3.5
3.7
3.9
4.1
4.4
4.6
4.6
S
5.2 5.4
5.6
58
6
6.2
6.4
6:5
6.7
6.8
6.9
7
7.1 •
7.2
7.3
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
Measure
�5�. y
-
=1.
�''
�L�i/
... , '
Point Scores
1. Ceiling Insulation
or
.. .....
,�
New
R -value (38]
U -value [0.030] '
2. Wall Insulation
or
R-value[11]
U -value 10.0981
3. Raised Floor Insulation_
or
O
R7value1191
U -value [0.037]
4. Slab Edge Insulation
or
ma.
3'S
.
R -value (O]
F2 factor [0.77]
5. Infiltration 1
Standard
p
6. Glass Heat Loss
Type [double]
U -value [0.65]
% Total Glass [16]
Sum I.6
7. Shading (Shade Open)
-
a. North1-0'
% Glass
x
SC
1 '7.7
Eff. % Glass
= . i7
t b. East 4
, '- x
1 - •
_611.01D
+ 2
c. South
�' X
1
- e30
'" ,
d. West
A. X
= -1, 3'�•
fi I
e. Skylight
0 X
8. Shading (Shade Closed)
r
_-- a. North ------
% Glass
• d x
sC '
, -e
Eff. % Glass
_ e
+ 2
_
------ b. East .►.._._._
- X
r �g
= 1 i?zo
- "
�..-- c. South
x
0411s£a( d. W -
X
9S-r� e. Skylight
_0 X
t?'7 =
9. Interior Thermal Mass �-
O
TYPE 1 MASS
AREA'
- ,
10. Exterior Wall Mass
Interior IV.iu/CFA
COND..
TYPE 2 MASS
AREA
AREA
O
_�_
ND. FLOUR
__�
Eztelior Wall Mass
AREA
Sum 7-10
11. Heating System
• i2 x
-roo
Zonal Control? ( Y / N)
SE - HSPF Duct Efficiency [0.78]
r
Effective SE or
12. Cooling System
[0.72/6.6]
$.9 x
HSPF [036/5.15]
' uG = ., %a'�09
Zonal Control? (YIN)
; Sit [9S] Duct Efficieny 10:74]
Effective SEER [7.03]
13. Water Heating
4 E Hlu 0
Type OleAV
[SG]
Credit [none]
�} �Pi
intTOtaI. I
,Certificate of Compliance: xesiaentlai
Project
Project Address
&J–!—����
Documentation Author Telephone
BUILDING DATA I
Conditioned Floor Area Number of Stories
Sla wise Floor — Number of •Units �-
Single Family Detached (SFD) [ ] Addition -Alone
[ ] Single Family Attached (SFA) [ J Existing Building
[ ] Multi -Family (MF) [ ] Existing -Plus -Addition
l.i111 aw zione ,ii
Buildin P it #
ug�'° 2-/-'10
Chucked By/ Date
Enfornxrne nt Agency Use Only
Glass Area Glass
North 12
.O
East
�!
South
(�
5
West S S
( )
Title 24, Chapter 2-53 and Title 20. (3uptm2. Subdzrp rQ. Article 1 of the California Administrative code. This
Skylight V
o
Total
12.5
'
BUILDING SHELL RgSULATION'' °
Component Insulation Locatiaon/Comments
T R -Value (attic, to era a rr�i.e:, etc.) - d
Wall .............. �� �� L�'XT. 1N�4t►� S 97 2
Wall ...........
«. - -
Roof .............e t
Roof ............. ��3 CG - Ale r S- s�'
OWL
Floor. .......
Slab'Edge .....
GLAZING Shading Devices
Glazing Area Glass Type Interior Exterior Overhang Framing Type
017entation (sf) (single, double) (Toiler blind, etc.) (shadescreen, etc.) (yesmb) (metaltwood)
No rth (ll 12 D 13 L
c
North
East
( )
East
( )
South
(�
5
South
( )
Title 24, Chapter 2-53 and Title 20. (3uptm2. Subdzrp rQ. Article 1 of the California Administrative code. This
West
West
( )
'
Skylight.......
retain a copy of it and transmit the certificate to any subsequent ptudiaser of the building.
0
THERMAL MASS
Manufacturer / Model #
Type/Covering
conditioner, heat pump) (SE, SEER,HSPF) (attic, etc.)
Area
(slab/exposed,
tile, etc.) (Sf)
Thickness
on (kitchen, bath,
Mandatory Measures Checklist: Residential MF -IR
NOTE: Lowrise residential buildings subject to the Standards mus conafn these mcast - rsgardlesa of the compliance
approach used. Items marked with an asterisk (•) may be superseded by more stringent r-ompltance requirements listed
on the Certificate of Compliance When this cheeklis is incorporated into the permit documents. the feature noted shall
be considered by all parties as binding minimum component performance specifrauo ns for the mandatory measures
whether they arc shown elsewhere in the documents or on this checklist only. -
DESCRIPTION
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 I weighted average (does not apply to
uterior mass walls) -
§2 -5352(1} Slab edge insulation - water absorption rate no VvAa than 03%, water vapor
transmission n¢ no greater than 2.0 pcxmfi nch.
§2-5311- insulation specified or installed meets California Frcrgy Commission (CEC) quality
standards Indicate type and form.
02-5352(p: Vapor barriers mandatory in Climate taus 14 and 16 only.
§2.5317: Infiluation/Esfclt ation Controls
a. Doors and windows between conditioned and unconditioned spaces designed to limit air
leakage.
b. Doors and windows certified.
c.Doors and windows weathcrsmpped: all joints and penetrations caulked and scaled
12.5352(c): Special infiltration barrier installed to comply with §2-5351 meets CEC quality
standards.
§2-5352(d): Installation of Fucplaces
1. Masonry and factory -built f rcplaces have
a- Tight fining, closeable meal or glass door
b. Outside air intake with damper and control
e 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 calettladmL
§2.5352(h) and 2.5315: Setback thcrmosta: on all applicable heating systems
•
12.5316(a): Ducts constructed. installed and insulated per Chapter 10, 1976 UMC.
12.5316(b): Exhaust systems have damper control:.
§2.5314(c): Gas -fuel space hating equipment his intermittent ignition devices.
§2-5314: HVAC equipment, water neaten. showerheads and faucets certified by the CEC.
§2.5352(1): Water heater insulation blanket (R-12 or geatrr) or combined interiorkxte icr
insulation (R-16 or greater): fust 5 fca of pipes closest to tank insulated (R-3 or greater)-
§2-5312(Exception 1): Pipe insulation on steam and steam condensate return 8 recirculating
piping.
§2-5319(d): Swimming Pool Heating
1 1- System has:
a. On/off switch on heater.
b. Weatherproof instruction plate on heater.
e. Plumbed to allow for solar.
2. 75 percent thensial efficiency.
�+ 3. Pool cover.
4. Time clock.
5. Directional water inlet
1 Lighting and Appliance Measures
c §2-5352(1): Lighting - 25 lumens/watt or greater for general lighting in kitchuts and bathrooms.
§2-5314(c): Gas fired appliances equipped with intermittent ignition devices.
12-5314(a): Refrigerators, refrigerator-frecem. freaers and nuorescent lamp ballasts certified
by the CEC. Indicate make and model number.
DESIGNER I ENFORCEMENT
COMPLIANCE SrATPKENNT
This ocrtificate of compliance lists th. building features and performance specifications needed to comply with
Title 24, Chapter 2-53 and Title 20. (3uptm2. Subdzrp rQ. Article 1 of the California Administrative code. This
certificate has been signed by the individual with overari design responsibility and the building owner, who shall
HVAC SYSTEMS Mindmum Duct
'
retain a copy of it and transmit the certificate to any subsequent ptudiaser of the building.
Type (furnace, air Efficiency Location
Duct •Output
Manufacturer / Model #
Designer Building Owner
conditioner, heat pump) (SE, SEER,HSPF) (attic, etc.)
R -Value (Btuh)
(or approved equal)
Ntamc /421 ':::0 /Aer1_ ' : .• - Name
FVAVAAr- •?2 �7T'C
� � 0�5
�
Titieffiu : Tttk/Firm
A /L � . A -T -r-' C.
_ ? 0
;
Ab�css: Addrrsz:
Tekphone Tckphonc
Maximum Furnace Heating Output:
Btuh
tic. f:
s_, ,
HOT WATER SYSTEMS Tank Manufacturer/Model #
�'f �—� / _ /6_ , Q
System Type (storage gas etc.) Capacity. (or approved.equal)
Special Feature(s) -
(aiSrt.turc> (dam) (siSn.nue) (date)
STORE etec .'Wwr w6 -m12
OW -99 s•�a•�t
Documentation Author Enrorcement Agency
.
Name: Name:
SPECIAL FEATURES/REMARKS (Add extra sheets if necessary)
titcIFtrm Atc-r-
Addmss: Tekphar+er
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